code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
,,Investigational clinical service provided in a clinical research study that is in an approved clinical research study,,,,,0
,,Professional Component,,,,,0
,,Services delivered under an outpatient occupational therapy plan of care,,,,,0
,,Services delivered under an outpatient physical therapy plan of care,,,,,0
,,Services delivered under an outpatient speech language pathology plan of care,,,,,0
,,"Technical Component; represents the costs of equipment, supplies, and technician personnel for a procedure, excluding the physician's interpretation. It is used when only the technical portion of a te",,,,,0
APC,1214,Inj IVIG privigen 500 mg,,,,,0
APC,1237,Inj iron dextran,,,,,0
APC,1296,Degarelix injection,,,,,0
APC,1482,"Darbepoetin alfa, esrd use",,,,,0
APC,1490,Inj pembrolizumab,,,,,0
APC,1522,New Technology - Level 22 ($2001-$2500),,,,,0
APC,1579,"New Technology - Level 42 ($30,001-$40,000)",,,,,0
APC,1656,Factor viii fc fusion recomb,,,,,0
APC,1685,"Darbepoetin alfa, non-esrd",,,,,0
APC,1822,"Injection, zarxio",,,,,0
APC,1847,"Injection, inflectra",,,,,0
APC,2050,Cath coronary drug-delivery,,,,,0
APC,2616,"Brachytx, non-str,Yttrium-90",,,,,0
APC,2646,"Brachytx, non-str, HDR Ir-192",,,,,0
APC,5012,Clinic Visits and Related Services,,,,,0
APC,5021,Level 1 Type A ED Visits,,,,,0
APC,5022,Level 2 Type A ED Visits,,,,,0
APC,5023,Level 3 Type A ED Visits,,,,,0
APC,5024,Level 4 Type A ED Visits,,,,,0
APC,5025,Level 5 Type A ED Visits,,,,,0
APC,5041,Critical Care,,,,,0
APC,5051,Level 1 Skin Procedures,,,,,0
APC,5052,Level 2 Skin Procedures,,,,,0
APC,5053,Level 3 Skin Procedures,,,,,0
APC,5054,Level 4 Skin Procedures,,,,,0
APC,5055,Level 5 Skin Procedures,,,,,0
APC,5061,Hyperbaric Oxygen,,,,,0
APC,5071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5093,Level 3 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5094,Level 4 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5101,Level 1 Strapping and Cast Application,,,,,0
APC,5102,Level 2 Strapping and Cast Application,,,,,0
APC,5111,Level 1 Musculoskeletal Procedures,,,,,0
APC,5112,Level 2 Musculoskeletal Procedures,,,,,0
APC,5113,Level 3 Musculoskeletal Procedures,,,,,0
APC,5114,Level 4 Musculoskeletal Procedures,,,,,0
APC,5115,Level 5 Musculoskeletal Procedures,,,,,0
APC,5116,Level 6 Musculoskeletal Procedures,,,,,0
APC,5151,Level 1 Airway Endoscopy,,,,,0
APC,5152,Level 2 Airway Endoscopy,,,,,0
APC,5153,Level 3 Airway Endoscopy,,,,,0
APC,5154,Level 4 Airway Endoscopy,,,,,0
APC,5155,Level 5 Airway Endoscopy,,,,,0
APC,5161,Level 1 ENT Procedures,,,,,0
APC,5162,Level 2 ENT Procedures,,,,,0
APC,5163,Level 3 ENT Procedures,,,,,0
APC,5164,Level 4 ENT Procedures,,,,,0
APC,5165,Level 5 ENT Procedures,,,,,0
APC,5166,Cochlear Implant Procedure,,,,,0
APC,5181,Level 1 Vascular Procedures,,,,,0
APC,5182,Level 2 Vascular Procedures,,,,,0
APC,5183,Level 3 Vascular Procedures,,,,,0
APC,5184,Level 4 Vascular Procedures,,,,,0
APC,5191,Level 1 Endovascular Procedures,,,,,0
APC,5192,Level 2 Endovascular Procedures,,,,,0
APC,5193,Level 3 Endovascular Procedures,,,,,0
APC,5194,Level 4 Endovascular Procedures,,,,,0
APC,5211,Level 1 Electrophysiologic Procedures,,,,,0
APC,5212,Level 2 Electrophysiologic Procedures,,,,,0
APC,5213,Level 3 Electrophysiologic Procedures,,,,,0
APC,5222,Level 2 Pacemaker and Similar Procedures,,,,,0
APC,5223,Level 3 Pacemaker and Similar Procedures,,,,,0
APC,5224,Level 4 Pacemaker and Similar Procedures,,,,,0
APC,5231,Level 1 ICD and Similar Procedures,,,,,0
APC,5232,Level 2 ICD and Similar Procedures,,,,,0
APC,5241,Level 1 Blood Product Exchange and Related Services,,,,,0
APC,5242,Level 2 Blood Product Exchange and Related Services,,,,,0
APC,5301,Level 1 Upper GI Procedures,,,,,0
APC,5302,Level 2 Upper GI Procedures,,,,,0
APC,5303,Level 3 Upper GI Procedures,,,,,0
APC,5311,Level 1 Lower GI Procedures,,,,,0
APC,5312,Level 2 Lower GI Procedures,,,,,0
APC,5313,Level 3 Lower GI Procedures,,,,,0
APC,5331,Complex GI Procedures,,,,,0
APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0
APC,5342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0
APC,5361,Level 1 Laparoscopy and Related Services,,,,,0
APC,5362,Level 2 Laparoscopy and Related Services,,,,,0
APC,5371,Level 1 Urology and Related Services,,,,,0
APC,5372,Level 2 Urology and Related Services,,,,,0
APC,5373,Level 3 Urology and Related Services,,,,,0
APC,5374,Level 4 Urology and Related Services,,,,,0
APC,5375,Level 5 Urology and Related Services,,,,,0
APC,5376,Level 6 Urology and Related Services,,,,,0
APC,5377,Level 7 Urology and Related Services,,,,,0
APC,5378,Level 8 Urology and Related Services,,,,,0
APC,5401,Dialysis,,,,,0
APC,5411,Level 1 Gynecologic Procedures,,,,,0
APC,5412,Level 2 Gynecologic Procedures,,,,,0
APC,5413,Level 3 Gynecologic Procedures,,,,,0
APC,5414,Level 4 Gynecologic Procedures,,,,,0
APC,5415,Level 5 Gynecologic Procedures,,,,,0
APC,5431,Level 1 Nerve Procedures,,,,,0
APC,5432,Level 2 Nerve Procedures,,,,,0
APC,5441,Level 1 Nerve Injections,,,,,0
APC,5442,Level 2 Nerve Injections,,,,,0
APC,5443,Level 3 Nerve Injections,,,,,0
APC,5461,Level 1 Neurostimulator and Related Procedures,,,,,0
APC,5462,Level 2 Neurostimulator and Related Procedures,,,,,0
APC,5463,Level 3 Neurostimulator and Related Procedures,,,,,0
APC,5464,Level 4 Neurostimulator and Related Procedures,,,,,0
APC,5465,Level 5 Neurostimulator and Related Procedures,,,,,0
APC,5471,Implantation of Drug Infusion Device,,,,,0
APC,5481,Laser Eye Procedures,,,,,0
APC,5491,Level 1 Intraocular Procedures,,,,,0
APC,5492,Level 2 Intraocular Procedures,,,,,0
APC,5493,Level 3 Intraocular Procedures,,,,,0
APC,5501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5502,"Level 2 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5521,Level 1 Imaging without Contrast,,,,,0
APC,5522,Level 2 Imaging without Contrast,,,,,0
APC,5523,Level 3 Imaging without Contrast,,,,,0
APC,5524,Level 4 Imaging without Contrast,,,,,0
APC,5571,Level 1 Imaging with Contrast,,,,,0
APC,5572,Level 2 Imaging with Contrast,,,,,0
APC,5573,Level 3 Imaging with Contrast,,,,,0
APC,5591,Level 1 Nuclear Medicine and Related Services,,,,,0
APC,5592,Level 2 Nuclear Medicine and Related Services,,,,,0
APC,5593,Level 3 Nuclear Medicine and Related Services,,,,,0
APC,5594,Level 4 Nuclear Medicine and Related Services,,,,,0
APC,5611,Level 1 Therapeutic Radiation Treatment Preparation,,,,,0
APC,5612,Level 2 Therapeutic Radiation Treatment Preparation,,,,,0
APC,5613,Level 3 Therapeutic Radiation Treatment Preparation,,,,,0
APC,5622,Level 2 Radiation Therapy,,,,,0
APC,5623,Level 3 Radiation Therapy,,,,,0
APC,5624,Level 4 Radiation Therapy,,,,,0
APC,5626,Level 6 Radiation Therapy,,,,,0
APC,5627,Level 7 Radiation Therapy,,,,,0
APC,5661,Therapeutic Nuclear Medicine,,,,,0
APC,5671,Level 1 Pathology,,,,,0
APC,5672,Level 2 Pathology,,,,,0
APC,5673,Level 3 Pathology,,,,,0
APC,5674,Level 4 Pathology,,,,,0
APC,5691,Level 1 Drug Administration,,,,,0
APC,5692,Level 2 Drug Administration,,,,,0
APC,5693,Level 3 Drug Administration,,,,,0
APC,5694,Level 4 Drug Administration,,,,,0
APC,5721,Level 1 Diagnostic Tests and Related Services,,,,,0
APC,5722,Level 2 Diagnostic Tests and Related Services,,,,,0
APC,5723,Level 3 Diagnostic Tests and Related Services,,,,,0
APC,5724,Level 4 Diagnostic Tests and Related Services,,,,,0
APC,5731,Level 1 Minor Procedures,,,,,0
APC,5732,Level 2 Minor Procedures,,,,,0
APC,5733,Level 3 Minor Procedures,,,,,0
APC,5734,Level 4 Minor Procedures,,,,,0
APC,5735,Level 5 Minor Procedures,,,,,0
APC,5741,Level 1 Electronic Analysis of Devices,,,,,0
APC,5742,Level 2 Electronic Analysis of Devices,,,,,0
APC,5743,Level 3 Electronic Analysis of Devices,,,,,0
APC,5781,Resuscitation and Cardioversion,,,,,0
APC,5791,Pulmonary Treatment,,,,,0
APC,5801,Ventilation Initiation and Management,,,,,0
APC,5821,Level 1 Health and Behavior Services,,,,,0
APC,5822,Level 2 Health and Behavior Services,,,,,0
APC,5823,Level 3 Health and Behavior Services,,,,,0
APC,5871,Dental Procedures,,,,,0
APC,7048,Alteplase recombinant,,,,,0
APC,733,"Inj brixadi, more than 7 day",,,,,0
APC,743,"Inj, cyclophosphamide, nos",,,,,0
APC,752,Dactinomycin injection,,,,,0
APC,764,Ketorolac tromethamine inj,,,,,0
APC,790,"Inj, methylpred acetate 1 mg",,,,,0
APC,792,"Inj, glycopyrrolate, 0.1 mg",,,,,0
APC,822,"Inj, romiplostim 1 microgram",,,,,0
APC,9013,Inj risankizumab-rzaa?1 mg,,,,,0
APC,902,"Injection,onabotulinumtoxinA",,,,,0
APC,9032,Baclofen 10 MG injection,,,,,0
APC,9120,"Injection, Fulvestrant",,,,,0
APC,9133,"Rabies ig, im/sc",,,,,0
APC,9139,"Rabies vaccine, im",,,,,0
APC,9173,"Injection, fulphila",,,,,0
APC,9215,Cetuximab injection,,,,,0
APC,9217,Leuprolide acetate suspnsion,,,,,0
APC,9257,"Inj., emicizumab-kxwh 0.5 mg",,,,,0
APC,927,Factor viii recombinant,,,,,0
APC,9327,Inj. romosozumab-aqqg 1 mg,,,,,0
APC,9330,"Inj., kanjinti, 10 mg",,,,,0
APC,9353,Inj fam-trastu deru-nxki 1mg,,,,,0
APC,9364,Inj enfort vedo-ejfv 0.25mg,,,,,0
APC,9367,"Inj ruxience, 10 mg",,,,,0
APC,9376,Sacituzumab govitecan-hziy,,,,,0
APC,9378,"Daratumumab, hyaluronidase",,,,,0
APC,9398,Covid-19 Vaccine Administration,,,,,0
APC,9436,Inj pegfilgrast ex bio 0.5mg,,,,,0
APC,9483,"Inj, atezolizumab,10 mg",,,,,0
APC,9511,Cryoprecipitate each unit,,,,,0
APC,9512,RBC leukocytes reduced,,,,,0
APC,9536,Platelets pheresis path redu,,,,,0
APC,963,"Albumin (human), 5%, 250 ml",,,,,0
APC,N700,Non-OPPS Clinic Services,,,,,0
APC,N701,Other Non-OPPS Clinic Visits,,,,,0
APC,N800,Clinical Diagnostic Lab Services,,,,,0
APC,N801,Therapy Services,,,,,0
APC,N804,Mammography Services,,,,,0
APC,N805,Durable Medical Equipment,,,,,0
APC,N809,Other Medicine,,,,,0
APC,N811,"Observation, Other",,,,,0
APC,N900,Non-covered Services,,,,,0
APC,N902,Packaged Services,,,,,0
APC,N905,Not Recognized by OPPS,,,,,0
APC,N907,Not Billable to FI,,,,,0
APR-DRG,101,Description Not Available,,,25329.0,36184.05,3
APR-DRG,102,Description Not Available,,,34460.0,49228.7,3
APR-DRG,103,Description Not Available,,,49988.0,71411.7,3
APR-DRG,104,Description Not Available,,,174225.0,248892.83,3
APR-DRG,11,Liver Transplant And/Or Intestinal Transplant,,,122800.0,175428.91,5
APR-DRG,1101,"Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies",,,10701.34,17366.78,5
APR-DRG,1102,"Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies",,,15187.78,22704.0,5
APR-DRG,1103,"Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies",,,22863.0,32661.77,5
APR-DRG,1104,"Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies",,,41838.0,60770.7,5
APR-DRG,1111,Vertigo And Other Labyrinth Disorders,,,6269.49,12829.4,5
APR-DRG,1112,Vertigo And Other Labyrinth Disorders,,,8054.05,14226.08,5
APR-DRG,1113,Vertigo And Other Labyrinth Disorders,,,11148.62,17831.52,5
APR-DRG,1114,Vertigo And Other Labyrinth Disorders,,,11339.66,37343.46,5
APR-DRG,1131,Infections Of Upper Respiratory Tract,,,5612.97,8164.83,5
APR-DRG,1132,Infections Of Upper Respiratory Tract,,,7226.21,11755.6,5
APR-DRG,1133,Infections Of Upper Respiratory Tract,,,11868.81,18570.22,5
APR-DRG,1134,Infections Of Upper Respiratory Tract,,,30066.25,44613.05,5
APR-DRG,1141,Dental Diseases And Disorders,,,7339.92,11718.91,5
APR-DRG,1142,Dental Diseases And Disorders,,,9329.18,16684.34,5
APR-DRG,1143,Dental Diseases And Disorders,,,18587.1,26991.89,5
APR-DRG,1144,Dental Diseases And Disorders,,,38364.0,54805.64,5
APR-DRG,1151,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses",,,6536.34,11794.73,5
APR-DRG,1152,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses",,,8745.44,16432.4,5
APR-DRG,1153,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses",,,15196.87,25326.14,5
APR-DRG,1154,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses",,,35721.67,51417.89,5
APR-DRG,12,Liver Transplant And/Or Intestinal Transplant,,,130026.0,185751.14,5
APR-DRG,1201,Major Respiratory And Chest Procedures,,,25873.95,42851.91,5
APR-DRG,1202,Major Respiratory And Chest Procedures,,,34526.91,52266.66,5
APR-DRG,1203,Major Respiratory And Chest Procedures,,,53098.0,75853.68,5
APR-DRG,1204,Major Respiratory And Chest Procedures,,,92614.0,132305.49,5
APR-DRG,1211,Other Respiratory And Chest Procedures,,,19140.51,35161.61,5
APR-DRG,1212,Other Respiratory And Chest Procedures,,,27086.91,44931.03,5
APR-DRG,1213,Other Respiratory And Chest Procedures,,,47202.0,67432.02,5
APR-DRG,1214,Other Respiratory And Chest Procedures,,,84878.0,121254.35,5
APR-DRG,13,Liver Transplant And/Or Intestinal Transplant,,,154853.0,221218.5,5
APR-DRG,1301,Respiratory System Diagnosis With Ventilator Support > 96 Hours,,,46542.0,66487.85,5
APR-DRG,1302,Respiratory System Diagnosis With Ventilator Support > 96 Hours,,,51317.31,75516.13,5
APR-DRG,1303,Respiratory System Diagnosis With Ventilator Support > 96 Hours,,,64323.27,92802.19,5
APR-DRG,1304,Respiratory System Diagnosis With Ventilator Support > 96 Hours,,,87315.0,124735.04,5
APR-DRG,1311,Cystic Fibrosis - Pulmonary Disease,,,23115.99,33527.66,5
APR-DRG,1312,Cystic Fibrosis - Pulmonary Disease,,,25337.22,41359.84,5
APR-DRG,1313,Cystic Fibrosis - Pulmonary Disease,,,30472.59,53685.36,5
APR-DRG,1314,Cystic Fibrosis - Pulmonary Disease,,,48338.0,69053.73,5
APR-DRG,1321,Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,,,9287.0,13267.24,5
APR-DRG,1322,Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,,,10374.0,14820.47,5
APR-DRG,1323,Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,,,16437.0,23481.84,5
APR-DRG,1324,Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,,,29241.0,41773.21,5
APR-DRG,1331,Respiratory Failure,,,8034.0,11476.75,5
APR-DRG,1332,Respiratory Failure,,,12162.0,17374.12,5
APR-DRG,1333,Respiratory Failure,,,18470.0,26385.27,5
APR-DRG,1334,Respiratory Failure,,,31324.69,49336.32,5
APR-DRG,1341,Pulmonary Embolism,,,11080.0,15828.23,5
APR-DRG,1342,Pulmonary Embolism,,,14422.0,20602.87,5
APR-DRG,1343,Pulmonary Embolism,,,21204.0,30291.57,5
APR-DRG,1344,Pulmonary Embolism,,,37773.0,53961.76,5
APR-DRG,1351,Major Chest And Respiratory Trauma,,,8499.82,16576.71,5
APR-DRG,1352,Major Chest And Respiratory Trauma,,,11656.55,20849.92,5
APR-DRG,1353,Major Chest And Respiratory Trauma,,,19787.93,30856.61,5
APR-DRG,1354,Major Chest And Respiratory Trauma,,,34281.28,59088.63,5
APR-DRG,1361,Respiratory Malignancy,,,11265.37,20067.19,5
APR-DRG,1362,Respiratory Malignancy,,,13635.19,22422.71,5
APR-DRG,1363,Respiratory Malignancy,,,22937.0,32766.95,5
APR-DRG,1364,Respiratory Malignancy,,,37641.0,53773.41,5
APR-DRG,1371,Major Respiratory Infections And Inflammations,,,10765.0,16741.39,5
APR-DRG,1372,Major Respiratory Infections And Inflammations,,,14001.0,20001.15,5
APR-DRG,1373,Major Respiratory Infections And Inflammations,,,20877.0,29824.38,5
APR-DRG,1374,Major Respiratory Infections And Inflammations,,,36362.0,51946.23,5
APR-DRG,1381,Bronchiolitis And Rsv Pneumonia,,,5036.0,7553.68,5
APR-DRG,1382,Bronchiolitis And Rsv Pneumonia,,,7710.0,11014.45,5
APR-DRG,1383,Bronchiolitis And Rsv Pneumonia,,,18800.0,26857.35,5
APR-DRG,1384,Bronchiolitis And Rsv Pneumonia,,,34153.92,65822.53,5
APR-DRG,1391,Other Pneumonia,,,7352.0,10503.23,5
APR-DRG,1392,Other Pneumonia,,,10361.0,14800.9,5
APR-DRG,1393,Other Pneumonia,,,16376.0,23393.78,5
APR-DRG,1394,Other Pneumonia,,,32053.0,45789.59,5
APR-DRG,14,Liver Transplant And/Or Intestinal Transplant,,,271149.0,387354.97,5
APR-DRG,1401,Chronic Obstructive Pulmonary Disease,,,8532.0,12188.54,5
APR-DRG,1402,Chronic Obstructive Pulmonary Disease,,,10662.0,15231.4,5
APR-DRG,1403,Chronic Obstructive Pulmonary Disease,,,14573.0,20818.12,5
APR-DRG,1404,Chronic Obstructive Pulmonary Disease,,,28697.0,40995.38,5
APR-DRG,1411,Asthma,,,6536.0,9336.48,5
APR-DRG,1412,Asthma,,,8850.06,13372.42,5
APR-DRG,1413,Asthma,,,13019.61,19220.86,5
APR-DRG,1414,Asthma,,,23992.35,38057.7,5
APR-DRG,1421,Interstitial And Alveolar Lung Diseases,,,10032.7,15855.13,5
APR-DRG,1422,Interstitial And Alveolar Lung Diseases,,,13380.47,19140.15,5
APR-DRG,1423,Interstitial And Alveolar Lung Diseases,,,19679.0,28112.17,5
APR-DRG,1424,Interstitial And Alveolar Lung Diseases,,,35993.0,51417.89,5
APR-DRG,1431,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses",,,8007.05,11997.75,5
APR-DRG,1432,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses",,,11871.85,17376.56,5
APR-DRG,1433,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses",,,18864.0,26947.86,5
APR-DRG,1434,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses",,,30721.24,47374.61,5
APR-DRG,1441,"Respiratory Signs, Symptoms And Miscellaneous Diagnoses",,,6548.47,11948.83,5
APR-DRG,1442,"Respiratory Signs, Symptoms And Miscellaneous Diagnoses",,,8464.94,14289.68,5
APR-DRG,1443,"Respiratory Signs, Symptoms And Miscellaneous Diagnoses",,,12830.08,19746.76,5
APR-DRG,1444,"Respiratory Signs, Symptoms And Miscellaneous Diagnoses",,,22984.08,34672.4,5
APR-DRG,1451,Acute Bronchitis And Related Symptoms,,,7996.0,11422.94,3
APR-DRG,1452,Acute Bronchitis And Related Symptoms,,,9616.0,13736.88,3
APR-DRG,1453,Acute Bronchitis And Related Symptoms,,,13636.0,19480.14,3
APR-DRG,1454,Acute Bronchitis And Related Symptoms,,,25834.0,36905.63,3
APR-DRG,1601,Major Cardiothoracic Repair Of Heart Anomaly,,,40884.33,81183.57,5
APR-DRG,1602,Major Cardiothoracic Repair Of Heart Anomaly,,,50494.01,91459.32,5
APR-DRG,1603,Major Cardiothoracic Repair Of Heart Anomaly,,,63170.96,122924.99,5
APR-DRG,1604,Major Cardiothoracic Repair Of Heart Anomaly,,,147891.66,227081.62,5
APR-DRG,1611,Implantable Heart Assist Systems,,,67785.0,96835.68,5
APR-DRG,1612,Implantable Heart Assist Systems,,,86724.0,123891.17,5
APR-DRG,1613,Implantable Heart Assist Systems,,,142374.0,203391.87,5
APR-DRG,1614,Implantable Heart Assist Systems,,,344507.0,492152.46,5
APR-DRG,1621,Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,,,55871.97,105841.95,5
APR-DRG,1622,Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,,,64719.0,119199.69,5
APR-DRG,1623,Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,,,87828.92,154750.22,5
APR-DRG,1624,Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,,,169867.0,242667.69,5
APR-DRG,1631,Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,,,44668.77,87951.72,5
APR-DRG,1632,Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,,,55962.94,100639.25,5
APR-DRG,1633,Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,,,71281.11,128898.18,5
APR-DRG,1634,Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,,,144504.47,208768.23,5
APR-DRG,1651,Coronary Bypass With Ami Or Complex Principal Diagnosis,,,53559.77,91447.09,5
APR-DRG,1652,Coronary Bypass With Ami Or Complex Principal Diagnosis,,,60244.69,98423.15,5
APR-DRG,1653,Coronary Bypass With Ami Or Complex Principal Diagnosis,,,73820.75,125170.44,5
APR-DRG,1654,Coronary Bypass With Ami Or Complex Principal Diagnosis,,,128825.45,185553.01,5
APR-DRG,1661,Coronary Bypass Without Ami Or Complex Principal Diagnosis,,,41389.23,75606.63,5
APR-DRG,1662,Coronary Bypass Without Ami Or Complex Principal Diagnosis,,,46383.59,85730.73,5
APR-DRG,1663,Coronary Bypass Without Ami Or Complex Principal Diagnosis,,,64788.74,107165.25,5
APR-DRG,1664,Coronary Bypass Without Ami Or Complex Principal Diagnosis,,,114166.0,163093.61,5
APR-DRG,1671,Other Cardiothoracic And Thoracic Vascular Procedures,,,32593.75,58604.31,5
APR-DRG,1672,Other Cardiothoracic And Thoracic Vascular Procedures,,,40888.88,65321.1,5
APR-DRG,1673,Other Cardiothoracic And Thoracic Vascular Procedures,,,54424.0,98481.86,5
APR-DRG,1674,Other Cardiothoracic And Thoracic Vascular Procedures,,,104460.12,175115.82,5
APR-DRG,1691,Major Abdominal Vascular Procedures,,,27945.08,40880.42,5
APR-DRG,1692,Major Abdominal Vascular Procedures,,,37616.0,53736.72,5
APR-DRG,1693,Major Abdominal Vascular Procedures,,,61112.0,87303.52,5
APR-DRG,1694,Major Abdominal Vascular Procedures,,,110359.0,157656.1,5
APR-DRG,1701,"Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock",,,39934.0,57048.64,5
APR-DRG,1702,"Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock",,,42598.0,60854.66,5
APR-DRG,1703,"Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock",,,50548.0,72211.55,5
APR-DRG,1704,"Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock",,,65471.03,126956.04,5
APR-DRG,1711,"Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock",,,22659.0,32370.69,5
APR-DRG,1712,"Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock",,,28361.0,40515.96,5
APR-DRG,1713,"Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock",,,37879.0,54113.41,5
APR-DRG,1714,"Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock",,,66571.0,101500.49,5
APR-DRG,1731,Description Not Available,,,22846.1,23697.44,2
APR-DRG,1732,Description Not Available,,,30922.9,32075.22,2
APR-DRG,1733,Description Not Available,,,50813.93,52707.47,2
APR-DRG,1734,Description Not Available,,,112826.51,117030.9,2
APR-DRG,1741,Percutaneous Cardiac Intervention With Ami,,,31835.65,46036.64,5
APR-DRG,1742,Percutaneous Cardiac Intervention With Ami,,,34715.0,49593.16,5
APR-DRG,1743,Percutaneous Cardiac Intervention With Ami,,,42423.28,63178.38,5
APR-DRG,1744,Percutaneous Cardiac Intervention With Ami,,,61898.87,102975.21,5
APR-DRG,1751,Percutaneous Cardiac Intervention Without Ami,,,23172.08,45902.11,5
APR-DRG,1752,Percutaneous Cardiac Intervention Without Ami,,,25258.38,50789.26,5
APR-DRG,1753,Percutaneous Cardiac Intervention Without Ami,,,35453.3,64927.29,5
APR-DRG,1754,Percutaneous Cardiac Intervention Without Ami,,,60522.16,121339.96,5
APR-DRG,1761,"Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices",,,22697.51,42032.49,5
APR-DRG,1762,"Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices",,,43420.94,70575.16,5
APR-DRG,1763,"Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices",,,49200.69,102150.9,5
APR-DRG,1764,"Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices",,,51673.61,171505.49,5
APR-DRG,1771,Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,,,19851.0,28359.21,5
APR-DRG,1772,Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,,,26623.0,38033.24,5
APR-DRG,1773,Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,,,38491.0,54986.64,5
APR-DRG,1774,Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,,,70917.0,115090.19,5
APR-DRG,1801,Other Circulatory System Procedures,,,18813.01,34317.73,5
APR-DRG,1802,Other Circulatory System Procedures,,,25714.75,41702.28,5
APR-DRG,1803,Other Circulatory System Procedures,,,40961.0,58516.26,5
APR-DRG,1804,Other Circulatory System Procedures,,,70341.0,100487.6,5
APR-DRG,1811,Lower Extremity Arterial Procedures,,,25033.0,35760.89,3
APR-DRG,1812,Lower Extremity Arterial Procedures,,,34042.0,48631.87,3
APR-DRG,1813,Lower Extremity Arterial Procedures,,,56436.0,80623.43,3
APR-DRG,1814,Lower Extremity Arterial Procedures,,,101324.0,144748.42,3
APR-DRG,1821,Other Peripheral Vascular Procedures,,,31991.0,45701.53,3
APR-DRG,1822,Other Peripheral Vascular Procedures,,,38218.0,54597.72,3
APR-DRG,1823,Other Peripheral Vascular Procedures,,,52029.0,74327.36,3
APR-DRG,1824,Other Peripheral Vascular Procedures,,,91996.0,131422.48,3
APR-DRG,1901,Acute Myocardial Infarction,,,12937.73,19418.99,5
APR-DRG,1902,Acute Myocardial Infarction,,,15011.0,21444.3,5
APR-DRG,1903,Acute Myocardial Infarction,,,20711.0,29587.12,5
APR-DRG,1904,Acute Myocardial Infarction,,,39451.0,56358.86,5
APR-DRG,1911,Cardiac Catheterization For Coronary Artery Disease,,,14563.1,21532.36,5
APR-DRG,1912,Cardiac Catheterization For Coronary Artery Disease,,,17336.0,24766.0,5
APR-DRG,1913,Cardiac Catheterization For Coronary Artery Disease,,,22933.0,32762.06,5
APR-DRG,1914,Cardiac Catheterization For Coronary Artery Disease,,,44898.0,67339.87,5
APR-DRG,1921,Cardiac Catheterization For Other Non-Coronary Conditions,,,11241.11,22523.0,5
APR-DRG,1922,Cardiac Catheterization For Other Non-Coronary Conditions,,,13774.68,27803.97,5
APR-DRG,1923,Cardiac Catheterization For Other Non-Coronary Conditions,,,19725.76,41112.79,5
APR-DRG,1924,Cardiac Catheterization For Other Non-Coronary Conditions,,,39995.84,81137.1,5
APR-DRG,1931,Acute And Subacute Endocarditis,,,15948.0,22782.28,5
APR-DRG,1932,Acute And Subacute Endocarditis,,,20997.0,29995.6,5
APR-DRG,1933,Acute And Subacute Endocarditis,,,31020.0,44314.63,5
APR-DRG,1934,Acute And Subacute Endocarditis,,,51365.0,74847.94,5
APR-DRG,1941,Heart Failure,,,8636.0,12337.75,5
APR-DRG,1942,Heart Failure,,,11193.0,15989.67,5
APR-DRG,1943,Heart Failure,,,16727.0,23895.22,5
APR-DRG,1944,Heart Failure,,,32941.0,49731.92,5
APR-DRG,1961,Cardiac Arrest And Shock,,,6365.01,12846.52,5
APR-DRG,1962,Cardiac Arrest And Shock,,,9271.56,13624.36,5
APR-DRG,1963,Cardiac Arrest And Shock,,,11794.52,27706.13,5
APR-DRG,1964,Cardiac Arrest And Shock,,,29779.68,71020.34,5
APR-DRG,1971,Peripheral And Other Vascular Disorders,,,8767.0,12523.65,5
APR-DRG,1972,Peripheral And Other Vascular Disorders,,,11744.0,16777.29,5
APR-DRG,1973,Peripheral And Other Vascular Disorders,,,17596.0,25137.8,5
APR-DRG,1974,Peripheral And Other Vascular Disorders,,,40694.0,58134.68,5
APR-DRG,1981,Angina Pectoris And Coronary Atherosclerosis,,,6205.81,11356.89,5
APR-DRG,1982,Angina Pectoris And Coronary Atherosclerosis,,,8091.96,13171.84,5
APR-DRG,1983,Angina Pectoris And Coronary Atherosclerosis,,,11879.43,17944.04,5
APR-DRG,1984,Angina Pectoris And Coronary Atherosclerosis,,,24422.95,57217.42,5
APR-DRG,1991,Hypertension,,,6492.37,11684.66,5
APR-DRG,1992,Hypertension,,,8439.17,13824.93,5
APR-DRG,1993,Hypertension,,,13768.0,19668.49,5
APR-DRG,1994,Hypertension,,,36400.0,52000.05,5
APR-DRG,2001,Cardiac Structural And Valvular Disorders,,,7277.76,14023.06,5
APR-DRG,2002,Cardiac Structural And Valvular Disorders,,,10520.91,16591.39,5
APR-DRG,2003,Cardiac Structural And Valvular Disorders,,,17045.12,25609.88,5
APR-DRG,2004,Cardiac Structural And Valvular Disorders,,,41925.0,72587.97,5
APR-DRG,201,Open Craniotomy For Trauma,,,28689.54,43676.22,5
APR-DRG,2011,Cardiac Arrhythmia And Conduction Disorders,,,6813.8,10591.29,5
APR-DRG,2012,Cardiac Arrhythmia And Conduction Disorders,,,9662.0,13802.92,5
APR-DRG,2013,Cardiac Arrhythmia And Conduction Disorders,,,14920.0,21314.66,5
APR-DRG,2014,Cardiac Arrhythmia And Conduction Disorders,,,32244.0,46063.54,5
APR-DRG,202,Open Craniotomy For Trauma,,,36572.26,61043.0,5
APR-DRG,203,Open Craniotomy For Trauma,,,55880.0,79828.47,5
APR-DRG,2031,Chest Pain,,,5735.78,11721.35,5
APR-DRG,2032,Chest Pain,,,7197.4,13687.96,5
APR-DRG,2033,Chest Pain,,,10805.96,17486.63,5
APR-DRG,2034,Chest Pain,,,20056.29,30895.74,5
APR-DRG,204,Open Craniotomy For Trauma,,,110596.18,158837.53,5
APR-DRG,2041,Syncope And Collapse,,,6609.12,13032.42,5
APR-DRG,2042,Syncope And Collapse,,,8595.34,14805.79,5
APR-DRG,2043,Syncope And Collapse,,,12934.7,18890.65,5
APR-DRG,2044,Syncope And Collapse,,,25296.28,38060.15,5
APR-DRG,2051,Cardiomyopathy,,,7867.56,12636.17,5
APR-DRG,2052,Cardiomyopathy,,,10587.62,16087.51,5
APR-DRG,2053,Cardiomyopathy,,,16258.0,23225.01,5
APR-DRG,2054,Cardiomyopathy,,,21913.64,61781.7,5
APR-DRG,2061,"Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure",,,7955.5,17613.83,5
APR-DRG,2062,"Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure",,,11297.21,18281.59,5
APR-DRG,2063,"Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure",,,20189.72,31502.36,5
APR-DRG,2064,"Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure",,,40737.0,58195.83,5
APR-DRG,2071,Other Circulatory System Diagnoses,,,7597.68,12445.38,5
APR-DRG,2072,Other Circulatory System Diagnoses,,,11142.55,16537.58,5
APR-DRG,2073,Other Circulatory System Diagnoses,,,17346.0,24780.68,5
APR-DRG,2074,Other Circulatory System Diagnoses,,,37474.0,53533.7,5
APR-DRG,21,Heart And/Or Lung Transplant,,,148369.0,211955.4,5
APR-DRG,211,Open Craniotomy Except Trauma,,,30028.34,50089.7,5
APR-DRG,212,Open Craniotomy Except Trauma,,,41989.64,65700.23,5
APR-DRG,213,Open Craniotomy Except Trauma,,,70942.0,101346.15,5
APR-DRG,214,Open Craniotomy Except Trauma,,,124583.0,177975.23,5
APR-DRG,22,Heart And/Or Lung Transplant,,,174613.17,273223.44,5
APR-DRG,2201,"Major Stomach, Esophageal And Duodenal Procedures",,,19146.57,31891.27,5
APR-DRG,2202,"Major Stomach, Esophageal And Duodenal Procedures",,,30680.31,46599.22,5
APR-DRG,2203,"Major Stomach, Esophageal And Duodenal Procedures",,,53586.0,76550.8,5
APR-DRG,2204,"Major Stomach, Esophageal And Duodenal Procedures",,,106880.0,152685.77,5
APR-DRG,221,Ventricular Shunt Procedures,,,19008.6,30685.38,5
APR-DRG,2211,Description Not Available,,,22606.54,23448.96,2
APR-DRG,2212,Description Not Available,,,29506.77,30606.31,2
APR-DRG,2213,Description Not Available,,,49876.92,51735.54,2
APR-DRG,2214,Description Not Available,,,107515.26,111521.73,2
APR-DRG,222,Ventricular Shunt Procedures,,,27199.0,38855.11,5
APR-DRG,2221,"Other Stomach, Esophageal And Duodenal Procedures",,,13140.91,25514.49,5
APR-DRG,2222,"Other Stomach, Esophageal And Duodenal Procedures",,,16954.15,35046.65,5
APR-DRG,2223,"Other Stomach, Esophageal And Duodenal Procedures",,,40170.2,61084.58,5
APR-DRG,2224,"Other Stomach, Esophageal And Duodenal Procedures",,,87286.12,131182.77,5
APR-DRG,223,Ventricular Shunt Procedures,,,46120.0,73128.98,5
APR-DRG,2231,Other Small And Large Bowel Procedures,,,17936.65,26656.78,5
APR-DRG,2232,Other Small And Large Bowel Procedures,,,23868.02,35330.39,5
APR-DRG,2233,Other Small And Large Bowel Procedures,,,40812.0,58303.45,5
APR-DRG,2234,Other Small And Large Bowel Procedures,,,84666.0,120951.04,5
APR-DRG,224,Ventricular Shunt Procedures,,,109986.0,157122.86,5
APR-DRG,2241,Peritoneal Adhesiolysis,,,19377.04,27997.2,5
APR-DRG,2242,Peritoneal Adhesiolysis,,,25243.21,36350.38,5
APR-DRG,2243,Peritoneal Adhesiolysis,,,36561.0,52229.97,5
APR-DRG,2244,Peritoneal Adhesiolysis,,,74901.0,107001.36,5
APR-DRG,2251,Description Not Available,,,11188.04,11604.95,2
APR-DRG,2252,Description Not Available,,,17019.35,17653.56,2
APR-DRG,2253,Description Not Available,,,32428.49,33636.91,2
APR-DRG,2254,Description Not Available,,,66908.39,69401.68,2
APR-DRG,2261,Anal Procedures,,,9691.55,16552.25,5
APR-DRG,2262,Anal Procedures,,,13944.49,22995.08,5
APR-DRG,2263,Anal Procedures,,,26184.77,37920.73,5
APR-DRG,2264,Anal Procedures,,,32446.68,73605.78,5
APR-DRG,2271,"Hernia Procedures Except Inguinal, Femoral And Umbilical",,,15287.84,25274.78,5
APR-DRG,2272,"Hernia Procedures Except Inguinal, Femoral And Umbilical",,,20236.72,32086.96,5
APR-DRG,2273,"Hernia Procedures Except Inguinal, Femoral And Umbilical",,,36391.0,51987.82,5
APR-DRG,2274,"Hernia Procedures Except Inguinal, Femoral And Umbilical",,,74826.0,107991.02,5
APR-DRG,2281,"Inguinal, Femoral And Umbilical Hernia Procedures",,,10610.37,19091.23,5
APR-DRG,2282,"Inguinal, Femoral And Umbilical Hernia Procedures",,,14751.11,24885.86,5
APR-DRG,2283,"Inguinal, Femoral And Umbilical Hernia Procedures",,,26873.0,38390.36,5
APR-DRG,2284,"Inguinal, Femoral And Umbilical Hernia Procedures",,,61392.0,87702.23,5
APR-DRG,2291,Other Digestive System And Abdominal Procedures,,,16522.03,26177.36,5
APR-DRG,2292,Other Digestive System And Abdominal Procedures,,,24811.1,36127.79,5
APR-DRG,2293,Other Digestive System And Abdominal Procedures,,,41579.0,59399.27,5
APR-DRG,2294,Other Digestive System And Abdominal Procedures,,,87623.0,125175.33,5
APR-DRG,23,Heart And/Or Lung Transplant,,,229831.0,328329.94,5
APR-DRG,2301,Major Small Bowel Procedures,,,22603.0,32289.98,3
APR-DRG,2302,Major Small Bowel Procedures,,,28875.0,41249.77,3
APR-DRG,2303,Major Small Bowel Procedures,,,44160.0,63085.43,3
APR-DRG,2304,Major Small Bowel Procedures,,,87364.0,124805.98,3
APR-DRG,231,Spinal Procedures,,,24168.0,34525.64,5
APR-DRG,2311,Major Large Bowel Procedures,,,23800.0,33999.75,3
APR-DRG,2312,Major Large Bowel Procedures,,,29921.0,42744.29,3
APR-DRG,2313,Major Large Bowel Procedures,,,45250.0,64643.55,3
APR-DRG,2314,Major Large Bowel Procedures,,,89429.0,127755.89,3
APR-DRG,232,Spinal Procedures,,,32878.8,49468.41,5
APR-DRG,2321,Gastric Fundoplication,,,18297.0,26138.22,3
APR-DRG,2322,Gastric Fundoplication,,,22582.0,32260.62,3
APR-DRG,2323,Gastric Fundoplication,,,37491.0,53558.16,3
APR-DRG,2324,Gastric Fundoplication,,,87138.0,124483.1,3
APR-DRG,233,Spinal Procedures,,,57074.32,95575.98,5
APR-DRG,2331,Appendectomy With Complex Principal Diagnosis,,,18706.0,26722.82,3
APR-DRG,2332,Appendectomy With Complex Principal Diagnosis,,,18723.0,26747.28,3
APR-DRG,2333,Appendectomy With Complex Principal Diagnosis,,,32131.0,45902.11,3
APR-DRG,2334,Appendectomy With Complex Principal Diagnosis,,,61159.0,87369.57,3
APR-DRG,234,Spinal Procedures,,,119492.0,170703.19,5
APR-DRG,2341,Appendectomy Without Complex Principal Diagnosis,,,14078.0,20111.22,3
APR-DRG,2342,Appendectomy Without Complex Principal Diagnosis,,,18627.0,26610.31,3
APR-DRG,2343,Appendectomy Without Complex Principal Diagnosis,,,31481.0,44972.62,3
APR-DRG,2344,Appendectomy Without Complex Principal Diagnosis,,,58585.0,83693.19,3
APR-DRG,24,Heart And/Or Lung Transplant,,,362360.0,517657.16,5
APR-DRG,2401,Digestive Malignancy,,,11871.0,16958.29,5
APR-DRG,2402,Digestive Malignancy,,,14669.24,21591.06,5
APR-DRG,2403,Digestive Malignancy,,,23740.0,33914.14,5
APR-DRG,2404,Digestive Malignancy,,,47240.0,67485.83,5
APR-DRG,241,Open Extracranial Vascular Procedures,,,19353.0,27647.42,5
APR-DRG,2411,Peptic Ulcer And Gastritis,,,7776.59,15192.26,5
APR-DRG,2412,Peptic Ulcer And Gastritis,,,11503.41,19511.94,5
APR-DRG,2413,Peptic Ulcer And Gastritis,,,18954.02,30183.95,5
APR-DRG,2414,Peptic Ulcer And Gastritis,,,45529.97,79801.57,5
APR-DRG,242,Open Extracranial Vascular Procedures,,,25587.0,36553.4,5
APR-DRG,2421,Major Esophageal Disorders,,,8457.36,13932.56,5
APR-DRG,2422,Major Esophageal Disorders,,,11855.17,17259.15,5
APR-DRG,2423,Major Esophageal Disorders,,,18489.0,26412.18,5
APR-DRG,2424,Major Esophageal Disorders,,,48523.0,69317.9,5
APR-DRG,243,Open Extracranial Vascular Procedures,,,49783.0,71118.18,5
APR-DRG,2431,Other Esophageal Disorders,,,6483.27,13230.55,5
APR-DRG,2432,Other Esophageal Disorders,,,9289.76,16202.47,5
APR-DRG,2433,Other Esophageal Disorders,,,16074.75,23457.38,5
APR-DRG,2434,Other Esophageal Disorders,,,39080.0,55828.07,5
APR-DRG,244,Open Extracranial Vascular Procedures,,,105351.0,150501.47,5
APR-DRG,2441,Diverticulitis And Diverticulosis,,,8111.67,12254.59,5
APR-DRG,2442,Diverticulitis And Diverticulosis,,,10855.99,16077.72,5
APR-DRG,2443,Diverticulitis And Diverticulosis,,,17549.0,25069.31,5
APR-DRG,2444,Diverticulitis And Diverticulosis,,,40402.18,58323.02,5
APR-DRG,2451,Inflammatory Bowel Disease,,,10020.57,14375.29,5
APR-DRG,2452,Inflammatory Bowel Disease,,,12112.0,17303.18,5
APR-DRG,2453,Inflammatory Bowel Disease,,,18538.0,26483.11,5
APR-DRG,2454,Inflammatory Bowel Disease,,,35304.0,50434.59,5
APR-DRG,2461,Gastrointestinal Vascular Insufficiency,,,9603.61,15072.41,5
APR-DRG,2462,Gastrointestinal Vascular Insufficiency,,,12770.95,18325.62,5
APR-DRG,2463,Gastrointestinal Vascular Insufficiency,,,19514.0,27877.35,5
APR-DRG,2464,Gastrointestinal Vascular Insufficiency,,,40217.0,57452.24,5
APR-DRG,2471,Intestinal Obstruction,,,7624.97,11917.03,5
APR-DRG,2472,Intestinal Obstruction,,,10354.13,15231.4,5
APR-DRG,2473,Intestinal Obstruction,,,17124.0,24462.7,5
APR-DRG,2474,Intestinal Obstruction,,,41746.0,59636.54,5
APR-DRG,2481,Major Gastrointestinal And Peritoneal Infections,,,8909.0,12726.67,5
APR-DRG,2482,Major Gastrointestinal And Peritoneal Infections,,,12658.0,18083.46,5
APR-DRG,2483,Major Gastrointestinal And Peritoneal Infections,,,19095.0,27278.07,5
APR-DRG,2484,Major Gastrointestinal And Peritoneal Infections,,,42972.0,61387.89,5
APR-DRG,2491,"Other Gastroenteritis, Nausea And Vomiting",,,5952.6,10495.89,5
APR-DRG,2492,"Other Gastroenteritis, Nausea And Vomiting",,,7828.14,12819.62,5
APR-DRG,2493,"Other Gastroenteritis, Nausea And Vomiting",,,12187.22,18247.35,5
APR-DRG,2494,"Other Gastroenteritis, Nausea And Vomiting",,,31964.0,45662.39,5
APR-DRG,2511,Abdominal Pain,,,6264.94,11980.63,5
APR-DRG,2512,Abdominal Pain,,,8710.57,14913.41,5
APR-DRG,2513,Abdominal Pain,,,13533.6,20793.66,5
APR-DRG,2514,Abdominal Pain,,,18708.39,46202.97,5
APR-DRG,2521,"Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure",,,8590.79,13612.13,5
APR-DRG,2522,"Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure",,,11338.14,19264.89,5
APR-DRG,2523,"Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure",,,19551.4,29129.71,5
APR-DRG,2524,"Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure",,,41090.54,72727.66,5
APR-DRG,2531,Other And Unspecified Gastrointestinal Hemorrhage,,,8845.51,13269.69,5
APR-DRG,2532,Other And Unspecified Gastrointestinal Hemorrhage,,,12275.0,17535.55,5
APR-DRG,2533,Other And Unspecified Gastrointestinal Hemorrhage,,,19043.0,27204.69,5
APR-DRG,2534,Other And Unspecified Gastrointestinal Hemorrhage,,,40499.0,57855.83,5
APR-DRG,2541,Other Digestive System Diagnoses,,,7262.6,12983.5,5
APR-DRG,2542,Other Digestive System Diagnoses,,,10972.74,17090.38,5
APR-DRG,2543,Other Digestive System Diagnoses,,,17804.0,25433.77,5
APR-DRG,2544,Other Digestive System Diagnoses,,,40093.0,57276.12,5
APR-DRG,2601,"Major Pancreas, Liver And Shunt Procedures",,,23214.54,38299.86,5
APR-DRG,2602,"Major Pancreas, Liver And Shunt Procedures",,,31121.52,50618.04,5
APR-DRG,2603,"Major Pancreas, Liver And Shunt Procedures",,,53490.02,79466.46,5
APR-DRG,2604,"Major Pancreas, Liver And Shunt Procedures",,,112404.0,160576.65,5
APR-DRG,261,Other Nervous System And Related Procedures,,,16891.98,31746.96,5
APR-DRG,2611,Major Biliary Tract Procedures,,,22100.13,31854.58,5
APR-DRG,2612,Major Biliary Tract Procedures,,,31025.0,44321.97,5
APR-DRG,2613,Major Biliary Tract Procedures,,,46918.0,67025.98,5
APR-DRG,2614,Major Biliary Tract Procedures,,,86196.0,123137.79,5
APR-DRG,262,Other Nervous System And Related Procedures,,,26263.62,41961.56,5
APR-DRG,2621,Description Not Available,,,19989.58,20734.48,2
APR-DRG,2622,Description Not Available,,,26084.7,27056.73,2
APR-DRG,2623,Description Not Available,,,40735.75,42253.73,2
APR-DRG,2624,Description Not Available,,,76132.95,78969.99,2
APR-DRG,263,Other Nervous System And Related Procedures,,,41942.0,59917.83,5
APR-DRG,2631,Cholecystectomy,,,13694.32,24032.2,5
APR-DRG,2632,Cholecystectomy,,,18506.74,30687.83,5
APR-DRG,2633,Cholecystectomy,,,26795.8,42421.41,5
APR-DRG,2634,Cholecystectomy,,,60913.34,94240.45,5
APR-DRG,264,Other Nervous System And Related Procedures,,,88328.0,126183.09,5
APR-DRG,2641,"Other Hepatobiliary, Pancreas And Abdominal Procedures",,,18200.46,32140.77,5
APR-DRG,2642,"Other Hepatobiliary, Pancreas And Abdominal Procedures",,,25622.26,40841.28,5
APR-DRG,2643,"Other Hepatobiliary, Pancreas And Abdominal Procedures",,,42344.43,61030.77,5
APR-DRG,2644,"Other Hepatobiliary, Pancreas And Abdominal Procedures",,,90540.0,129343.36,5
APR-DRG,2791,Hepatic Coma And Other Major Acute Liver Disorders,,,8584.72,12826.96,5
APR-DRG,2792,Hepatic Coma And Other Major Acute Liver Disorders,,,12304.0,17577.14,5
APR-DRG,2793,Hepatic Coma And Other Major Acute Liver Disorders,,,20620.0,29457.48,5
APR-DRG,2794,Hepatic Coma And Other Major Acute Liver Disorders,,,51719.0,73884.63,5
APR-DRG,2801,Alcoholic Liver Disease,,,9006.23,13807.81,5
APR-DRG,2802,Alcoholic Liver Disease,,,11515.54,18712.09,5
APR-DRG,2803,Alcoholic Liver Disease,,,19510.46,30340.49,5
APR-DRG,2804,Alcoholic Liver Disease,,,47858.0,68368.84,5
APR-DRG,2811,Malignancy Of Hepatobiliary System And Pancreas,,,11679.29,18641.16,5
APR-DRG,2812,Malignancy Of Hepatobiliary System And Pancreas,,,14425.13,23374.21,5
APR-DRG,2813,Malignancy Of Hepatobiliary System And Pancreas,,,22351.82,33075.15,5
APR-DRG,2814,Malignancy Of Hepatobiliary System And Pancreas,,,40420.38,63581.97,5
APR-DRG,2821,Disorders Of Pancreas Except Malignancy,,,9048.68,13113.14,5
APR-DRG,2822,Disorders Of Pancreas Except Malignancy,,,11867.3,17114.84,5
APR-DRG,2823,Disorders Of Pancreas Except Malignancy,,,20394.0,29134.6,5
APR-DRG,2824,Disorders Of Pancreas Except Malignancy,,,57336.62,83106.15,5
APR-DRG,2831,Other Disorders Of The Liver,,,8273.9,13795.58,5
APR-DRG,2832,Other Disorders Of The Liver,,,11336.63,17134.41,5
APR-DRG,2833,Other Disorders Of The Liver,,,18438.51,30489.7,5
APR-DRG,2834,Other Disorders Of The Liver,,,45866.57,65925.27,5
APR-DRG,2841,Disorders Of Gallbladder And Biliary Tract,,,8367.91,15703.48,5
APR-DRG,2842,Disorders Of Gallbladder And Biliary Tract,,,12451.03,21889.48,5
APR-DRG,2843,Disorders Of Gallbladder And Biliary Tract,,,20309.5,34192.98,5
APR-DRG,2844,Disorders Of Gallbladder And Biliary Tract,,,46700.48,72448.81,5
APR-DRG,3011,Hip Joint Replacement,,,26236.0,37480.44,5
APR-DRG,3012,Hip Joint Replacement,,,28651.0,40929.34,5
APR-DRG,3013,Hip Joint Replacement,,,39246.0,56065.34,5
APR-DRG,3014,Hip Joint Replacement,,,64963.0,92804.63,5
APR-DRG,3021,Knee Joint Replacement,,,25039.0,35770.67,5
APR-DRG,3022,Knee Joint Replacement,,,27844.0,39777.26,5
APR-DRG,3023,Knee Joint Replacement,,,35804.0,51148.83,5
APR-DRG,3024,Knee Joint Replacement,,,65833.0,94047.22,5
APR-DRG,3031,Dorsal And Lumbar Fusion Procedure For Curvature Of Back,,,65286.06,110499.18,5
APR-DRG,3032,Dorsal And Lumbar Fusion Procedure For Curvature Of Back,,,75394.56,132870.52,5
APR-DRG,3033,Dorsal And Lumbar Fusion Procedure For Curvature Of Back,,,104884.65,194811.22,5
APR-DRG,3034,Dorsal And Lumbar Fusion Procedure For Curvature Of Back,,,179193.61,264635.44,5
APR-DRG,3041,Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,,,47016.0,67165.4,5
APR-DRG,3042,Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,,,56221.0,80315.23,5
APR-DRG,3043,Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,,,83274.25,119742.71,5
APR-DRG,3044,Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,,,141248.0,201782.39,5
APR-DRG,3051,Amputation Of Lower Limb Except Toes,,,17740.0,27168.39,5
APR-DRG,3052,Amputation Of Lower Limb Except Toes,,,24459.0,34941.47,5
APR-DRG,3053,Amputation Of Lower Limb Except Toes,,,40799.0,58283.88,5
APR-DRG,3054,Amputation Of Lower Limb Except Toes,,,83673.0,119532.35,5
APR-DRG,3081,Hip And Femur Fracture Repair,,,20174.56,30531.28,5
APR-DRG,3082,Hip And Femur Fracture Repair,,,25216.0,36022.61,5
APR-DRG,3083,Hip And Femur Fracture Repair,,,33705.0,48150.0,5
APR-DRG,3084,Hip And Femur Fracture Repair,,,58756.0,84048.23,5
APR-DRG,3091,Other Significant Hip And Femur Surgery,,,17765.32,30900.63,5
APR-DRG,3092,Other Significant Hip And Femur Surgery,,,26871.61,43940.39,5
APR-DRG,3093,Other Significant Hip And Femur Surgery,,,44757.0,63939.09,5
APR-DRG,3094,Other Significant Hip And Femur Surgery,,,87515.0,125021.23,5
APR-DRG,31,Description Not Available,,,132158.06,137082.82,2
APR-DRG,3101,Intervertebral Disc Excision And Decompression,,,12858.89,22958.39,5
APR-DRG,3102,Intervertebral Disc Excision And Decompression,,,18446.09,30475.03,5
APR-DRG,3103,Intervertebral Disc Excision And Decompression,,,30868.0,44096.94,5
APR-DRG,3104,Intervertebral Disc Excision And Decompression,,,66367.0,98572.12,5
APR-DRG,3121,"Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses",,,20758.29,37849.79,5
APR-DRG,3122,"Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses",,,34892.31,53866.36,5
APR-DRG,3123,"Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses",,,67994.0,97134.1,5
APR-DRG,3124,"Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses",,,140513.0,209461.62,5
APR-DRG,3131,Knee And Lower Leg Procedures Except Foot,,,16478.06,26977.21,5
APR-DRG,3132,Knee And Lower Leg Procedures Except Foot,,,25314.48,36976.56,5
APR-DRG,3133,Knee And Lower Leg Procedures Except Foot,,,39967.0,57095.12,5
APR-DRG,3134,Knee And Lower Leg Procedures Except Foot,,,80440.0,114914.25,5
APR-DRG,3141,Foot And Toe Procedures,,,15566.83,24655.93,5
APR-DRG,3142,Foot And Toe Procedures,,,19783.0,28261.37,5
APR-DRG,3143,Foot And Toe Procedures,,,28135.0,40193.08,5
APR-DRG,3144,Foot And Toe Procedures,,,58881.0,84116.35,5
APR-DRG,3151,"Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement",,,12652.69,22234.37,5
APR-DRG,3152,"Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement",,,21137.34,37654.11,5
APR-DRG,3153,"Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement",,,38028.0,54326.22,5
APR-DRG,3154,"Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement",,,76630.0,109471.85,5
APR-DRG,3161,Hand And Wrist Procedures,,,11335.11,19360.29,5
APR-DRG,3162,Hand And Wrist Procedures,,,17222.52,27537.35,5
APR-DRG,3163,Hand And Wrist Procedures,,,30926.0,44180.1,5
APR-DRG,3164,Hand And Wrist Procedures,,,38728.3,84554.19,5
APR-DRG,3171,"Tendon, Muscle And Other Soft Tissue Procedures",,,12722.43,21407.61,5
APR-DRG,3172,"Tendon, Muscle And Other Soft Tissue Procedures",,,21045.0,30064.09,5
APR-DRG,3173,"Tendon, Muscle And Other Soft Tissue Procedures",,,36058.0,51510.84,5
APR-DRG,3174,"Tendon, Muscle And Other Soft Tissue Procedures",,,84984.0,121406.0,5
APR-DRG,32,Description Not Available,,,151526.0,157172.49,2
APR-DRG,3201,Other Musculoskeletal System And Connective Tissue Procedures,,,13556.34,24396.65,5
APR-DRG,3202,Other Musculoskeletal System And Connective Tissue Procedures,,,24519.99,37566.05,5
APR-DRG,3203,Other Musculoskeletal System And Connective Tissue Procedures,,,37611.0,53729.39,5
APR-DRG,3204,Other Musculoskeletal System And Connective Tissue Procedures,,,70559.0,100798.24,5
APR-DRG,3211,Decompression,,,25281.12,40102.58,5
APR-DRG,3212,Decompression,,,34539.04,51978.03,5
APR-DRG,3213,Decompression,,,54170.79,86841.23,5
APR-DRG,3214,Decompression,,,114047.0,162924.83,5
APR-DRG,3221,Shoulder And Elbow Joint Replacement,,,25620.0,36599.87,3
APR-DRG,3222,Shoulder And Elbow Joint Replacement,,,27925.0,39892.22,3
APR-DRG,3223,Shoulder And Elbow Joint Replacement,,,39456.0,56366.2,3
APR-DRG,3224,Shoulder And Elbow Joint Replacement,,,66170.0,94529.08,3
APR-DRG,33,Description Not Available,,,214945.61,222955.39,2
APR-DRG,34,Description Not Available,,,439681.32,456065.7,2
APR-DRG,3401,Fracture Of Femur,,,8003.0,11432.72,5
APR-DRG,3402,Fracture Of Femur,,,9525.0,13607.24,5
APR-DRG,3403,Fracture Of Femur,,,14377.0,20539.27,5
APR-DRG,3404,Fracture Of Femur,,,34362.0,49089.28,5
APR-DRG,3411,Fracture Of Pelvis Or Dislocation Of Hip,,,8112.0,11589.27,5
APR-DRG,3412,Fracture Of Pelvis Or Dislocation Of Hip,,,9852.0,14074.43,5
APR-DRG,3413,Fracture Of Pelvis Or Dislocation Of Hip,,,13266.0,19721.66,5
APR-DRG,3414,Fracture Of Pelvis Or Dislocation Of Hip,,,20476.28,44598.37,5
APR-DRG,3421,"Fractures And Dislocations Except Femur, Pelvis And Back",,,6898.71,12139.62,5
APR-DRG,3422,"Fractures And Dislocations Except Femur, Pelvis And Back",,,10617.95,15791.54,5
APR-DRG,3423,"Fractures And Dislocations Except Femur, Pelvis And Back",,,15206.0,21723.15,5
APR-DRG,3424,"Fractures And Dislocations Except Femur, Pelvis And Back",,,36071.0,53465.51,5
APR-DRG,3431,Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,,,12212.99,18795.26,5
APR-DRG,3432,Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,,,15369.72,22525.44,5
APR-DRG,3433,Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,,,25274.0,36105.78,5
APR-DRG,3434,Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,,,42254.0,60363.0,5
APR-DRG,3441,"Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections",,,12244.0,17491.52,5
APR-DRG,3442,"Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections",,,15412.0,22016.67,5
APR-DRG,3443,"Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections",,,23211.0,33158.31,5
APR-DRG,3444,"Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections",,,47154.0,67363.53,5
APR-DRG,3461,Connective Tissue Disorders,,,9823.46,15644.78,5
APR-DRG,3462,Connective Tissue Disorders,,,13747.39,20876.82,5
APR-DRG,3463,Connective Tissue Disorders,,,24259.2,35296.14,5
APR-DRG,3464,Connective Tissue Disorders,,,60094.0,85848.14,5
APR-DRG,3471,"Other Back And Neck Disorders, Fractures And Injuries",,,7917.6,14793.56,5
APR-DRG,3472,"Other Back And Neck Disorders, Fractures And Injuries",,,11042.48,18249.79,5
APR-DRG,3473,"Other Back And Neck Disorders, Fractures And Injuries",,,17742.0,25345.71,5
APR-DRG,3474,"Other Back And Neck Disorders, Fractures And Injuries",,,45276.0,64680.24,5
APR-DRG,3491,"Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure",,,7805.4,12354.87,5
APR-DRG,3492,"Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure",,,12515.0,17878.0,5
APR-DRG,3493,"Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure",,,19093.0,27275.62,5
APR-DRG,3494,"Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure",,,39448.0,56353.97,5
APR-DRG,3511,Other Musculoskeletal System And Connective Tissue Diagnoses,,,6912.36,12601.92,5
APR-DRG,3512,Other Musculoskeletal System And Connective Tissue Diagnoses,,,9426.22,14573.42,5
APR-DRG,3513,Other Musculoskeletal System And Connective Tissue Diagnoses,,,16449.25,23819.39,5
APR-DRG,3514,Other Musculoskeletal System And Connective Tissue Diagnoses,,,38325.0,54749.38,5
APR-DRG,3611,Skin Graft For Skin And Subcutaneous Tissue Diagnoses,,,19977.45,32500.33,5
APR-DRG,3612,Skin Graft For Skin And Subcutaneous Tissue Diagnoses,,,29763.01,43659.1,5
APR-DRG,3613,Skin Graft For Skin And Subcutaneous Tissue Diagnoses,,,43846.0,62637.81,5
APR-DRG,3614,Skin Graft For Skin And Subcutaneous Tissue Diagnoses,,,96300.0,160619.85,5
APR-DRG,3621,Mastectomy Procedures,,,18170.14,31404.51,5
APR-DRG,3622,Mastectomy Procedures,,,26447.08,38395.25,5
APR-DRG,3623,Mastectomy Procedures,,,33063.0,47232.74,5
APR-DRG,3624,Mastectomy Procedures,,,44505.02,99462.71,5
APR-DRG,3631,Breast Procedures Except Mastectomy,,,12922.57,24604.57,5
APR-DRG,3632,Breast Procedures Except Mastectomy,,,21097.92,41301.13,5
APR-DRG,3633,Breast Procedures Except Mastectomy,,,31236.75,52787.67,5
APR-DRG,3634,Breast Procedures Except Mastectomy,,,31236.75,101669.03,5
APR-DRG,3641,"Other Skin, Subcutaneous Tissue And Related Procedures",,,11802.1,19800.57,5
APR-DRG,3642,"Other Skin, Subcutaneous Tissue And Related Procedures",,,18620.45,27334.33,5
APR-DRG,3643,"Other Skin, Subcutaneous Tissue And Related Procedures",,,29760.0,42514.36,5
APR-DRG,3644,"Other Skin, Subcutaneous Tissue And Related Procedures",,,58311.0,83301.83,5
APR-DRG,3801,Skin Ulcers,,,9494.0,13563.21,5
APR-DRG,3802,Skin Ulcers,,,11549.0,16498.44,5
APR-DRG,3803,Skin Ulcers,,,16858.0,24083.56,5
APR-DRG,3804,Skin Ulcers,,,34737.0,49624.96,5
APR-DRG,3811,Major Skin Disorders,,,7638.0,10911.72,5
APR-DRG,3812,Major Skin Disorders,,,13383.5,19228.2,5
APR-DRG,3813,Major Skin Disorders,,,22065.26,34706.65,5
APR-DRG,3814,Major Skin Disorders,,,67754.0,96791.66,5
APR-DRG,3821,Malignant Breast Disorders,,,10219.19,15216.72,5
APR-DRG,3822,Malignant Breast Disorders,,,12544.0,17919.58,5
APR-DRG,3823,Malignant Breast Disorders,,,19745.0,28207.56,5
APR-DRG,3824,Malignant Breast Disorders,,,32760.0,51617.59,5
APR-DRG,3831,Cellulitis And Other Skin Infections,,,7616.0,10879.92,5
APR-DRG,3832,Cellulitis And Other Skin Infections,,,10106.0,14436.44,5
APR-DRG,3833,Cellulitis And Other Skin Infections,,,15578.0,22253.94,5
APR-DRG,3834,Cellulitis And Other Skin Infections,,,37703.0,53861.47,5
APR-DRG,3841,"Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue",,,5887.4,13851.84,5
APR-DRG,3842,"Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue",,,8651.44,16667.21,5
APR-DRG,3843,"Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue",,,15058.9,24311.04,5
APR-DRG,3844,"Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue",,,32824.21,60267.61,5
APR-DRG,3851,"Other Skin, Subcutaneous Tissue And Breast Disorders",,,6901.74,10561.94,5
APR-DRG,3852,"Other Skin, Subcutaneous Tissue And Breast Disorders",,,9677.9,14108.67,5
APR-DRG,3853,"Other Skin, Subcutaneous Tissue And Breast Disorders",,,14977.02,22173.22,5
APR-DRG,3854,"Other Skin, Subcutaneous Tissue And Breast Disorders",,,29339.99,48059.5,5
APR-DRG,401,Spinal Disorders And Injuries,,,13294.04,24245.0,5
APR-DRG,4011,Adrenal Procedures,,,19208.74,35398.87,5
APR-DRG,4012,Adrenal Procedures,,,29073.14,47589.86,5
APR-DRG,4013,Adrenal Procedures,,,55838.61,80104.87,5
APR-DRG,4014,Adrenal Procedures,,,121324.0,173320.44,5
APR-DRG,402,Spinal Disorders And Injuries,,,17806.25,27627.85,5
APR-DRG,403,Spinal Disorders And Injuries,,,26428.88,39505.75,5
APR-DRG,4031,Procedures For Obesity,,,18805.43,30900.63,5
APR-DRG,4032,Procedures For Obesity,,,21006.95,34310.39,5
APR-DRG,4033,Procedures For Obesity,,,36499.0,52141.91,5
APR-DRG,4034,Procedures For Obesity,,,102762.0,146803.08,5
APR-DRG,404,Spinal Disorders And Injuries,,,31963.01,100957.24,5
APR-DRG,4041,"Thyroid, Parathyroid And Thyroglossal Procedures",,,9882.59,19722.3,5
APR-DRG,4042,"Thyroid, Parathyroid And Thyroglossal Procedures",,,12863.44,26424.41,5
APR-DRG,4043,"Thyroid, Parathyroid And Thyroglossal Procedures",,,32954.61,50282.94,5
APR-DRG,4044,"Thyroid, Parathyroid And Thyroglossal Procedures",,,36960.41,120513.21,5
APR-DRG,4051,"Other Procedures For Endocrine, Nutritional And Metabolic Disorders",,,16585.71,30670.71,5
APR-DRG,4052,"Other Procedures For Endocrine, Nutritional And Metabolic Disorders",,,27500.84,39789.49,5
APR-DRG,4053,"Other Procedures For Endocrine, Nutritional And Metabolic Disorders",,,39888.0,56982.6,5
APR-DRG,4054,"Other Procedures For Endocrine, Nutritional And Metabolic Disorders",,,90174.0,135420.48,5
APR-DRG,41,Tracheostomy With Mv >96 Hours With Extensive Procedure,,,86972.0,136673.92,5
APR-DRG,411,Nervous System Malignancy,,,11735.39,18765.9,5
APR-DRG,412,Nervous System Malignancy,,,13768.61,20766.75,5
APR-DRG,413,Nervous System Malignancy,,,20006.0,28579.36,5
APR-DRG,414,Nervous System Malignancy,,,36066.0,51839.34,5
APR-DRG,42,Tracheostomy With Mv >96 Hours With Extensive Procedure,,,118326.0,169037.45,5
APR-DRG,4201,Diabetes,,,6694.02,10048.27,5
APR-DRG,4202,Diabetes,,,9044.0,12919.9,5
APR-DRG,4203,Diabetes,,,13679.0,19541.29,5
APR-DRG,4204,Diabetes,,,34982.0,49974.74,5
APR-DRG,421,Degenerative Nervous System Disorders Except Multiple Sclerosis,,,9103.26,14908.52,5
APR-DRG,4211,"Malnutrition, Failure To Thrive And Other Nutritional Disorders",,,9230.63,15158.02,5
APR-DRG,4212,"Malnutrition, Failure To Thrive And Other Nutritional Disorders",,,11218.0,16026.36,5
APR-DRG,4213,"Malnutrition, Failure To Thrive And Other Nutritional Disorders",,,17180.0,24543.41,5
APR-DRG,4214,"Malnutrition, Failure To Thrive And Other Nutritional Disorders",,,34270.0,62552.57,5
APR-DRG,422,Degenerative Nervous System Disorders Except Multiple Sclerosis,,,12842.0,18345.19,5
APR-DRG,4221,Hypovolemia And Related Electrolyte Disorders,,,5373.41,8093.9,5
APR-DRG,4222,Hypovolemia And Related Electrolyte Disorders,,,8029.8,11628.4,5
APR-DRG,4223,Hypovolemia And Related Electrolyte Disorders,,,12212.0,17445.05,5
APR-DRG,4224,Hypovolemia And Related Electrolyte Disorders,,,27139.0,40151.03,5
APR-DRG,423,Degenerative Nervous System Disorders Except Multiple Sclerosis,,,20214.0,28877.77,5
APR-DRG,4231,Inborn Errors Of Metabolism,,,6775.9,14629.68,5
APR-DRG,4232,Inborn Errors Of Metabolism,,,11112.23,19555.97,5
APR-DRG,4233,Inborn Errors Of Metabolism,,,21065.0,30093.45,5
APR-DRG,4234,Inborn Errors Of Metabolism,,,40819.0,82692.57,5
APR-DRG,424,Degenerative Nervous System Disorders Except Multiple Sclerosis,,,30060.18,77402.02,5
APR-DRG,4241,Other Endocrine Disorders,,,7382.38,12232.57,5
APR-DRG,4242,Other Endocrine Disorders,,,11391.21,16625.63,5
APR-DRG,4243,Other Endocrine Disorders,,,17742.0,25345.71,5
APR-DRG,4244,Other Endocrine Disorders,,,38611.0,55157.86,5
APR-DRG,4251,Other Non-Hypovolemic Electrolyte Disorders,,,6493.88,10128.99,5
APR-DRG,4252,Other Non-Hypovolemic Electrolyte Disorders,,,9092.65,13252.56,5
APR-DRG,4253,Other Non-Hypovolemic Electrolyte Disorders,,,13886.0,19837.26,5
APR-DRG,4254,Other Non-Hypovolemic Electrolyte Disorders,,,32263.0,46090.45,5
APR-DRG,4261,Non-Hypovolemic Sodium Disorders,,,6977.0,9967.55,3
APR-DRG,4262,Non-Hypovolemic Sodium Disorders,,,9294.0,13277.02,3
APR-DRG,4263,Non-Hypovolemic Sodium Disorders,,,13763.0,19661.15,3
APR-DRG,4264,Non-Hypovolemic Sodium Disorders,,,31791.0,45415.35,3
APR-DRG,4271,Thyroid Disorders,,,8563.0,12232.57,3
APR-DRG,4272,Thyroid Disorders,,,11157.0,15938.3,3
APR-DRG,4273,Thyroid Disorders,,,17554.0,25076.65,3
APR-DRG,4274,Thyroid Disorders,,,37388.0,53411.4,3
APR-DRG,43,Tracheostomy With Mv >96 Hours With Extensive Procedure,,,170134.32,245214.01,5
APR-DRG,431,"Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies",,,10943.93,19348.06,5
APR-DRG,432,"Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies",,,14373.58,24827.15,5
APR-DRG,433,"Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies",,,26513.79,39990.06,5
APR-DRG,434,"Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies",,,61655.0,88078.91,5
APR-DRG,44,Tracheostomy With Mv >96 Hours With Extensive Procedure,,,246960.0,352799.97,5
APR-DRG,4401,Kidney Transplant,,,62127.81,118744.73,5
APR-DRG,4402,Kidney Transplant,,,72224.19,124744.83,5
APR-DRG,4403,Kidney Transplant,,,86653.86,140497.23,5
APR-DRG,4404,Kidney Transplant,,,155699.0,222426.84,5
APR-DRG,441,Intracranial Hemorrhage,,,14655.0,20935.53,5
APR-DRG,4411,Major Bladder Procedures,,,22965.88,35014.85,5
APR-DRG,4412,Major Bladder Procedures,,,36560.13,54274.85,5
APR-DRG,4413,Major Bladder Procedures,,,50128.6,73821.03,5
APR-DRG,4414,Major Bladder Procedures,,,104004.0,148576.45,5
APR-DRG,442,Intracranial Hemorrhage,,,18893.0,26989.44,5
APR-DRG,4421,Kidney And Urinary Tract Procedures For Malignancy,,,19904.67,32289.98,5
APR-DRG,4422,Kidney And Urinary Tract Procedures For Malignancy,,,24288.01,37448.64,5
APR-DRG,4423,Kidney And Urinary Tract Procedures For Malignancy,,,40069.0,57241.88,5
APR-DRG,4424,Kidney And Urinary Tract Procedures For Malignancy,,,81344.0,116205.76,5
APR-DRG,443,Intracranial Hemorrhage,,,28193.0,40276.25,5
APR-DRG,4431,Kidney And Urinary Tract Procedures For Non-Malignancy,,,16788.88,28388.57,5
APR-DRG,4432,Kidney And Urinary Tract Procedures For Non-Malignancy,,,18888.82,33468.96,5
APR-DRG,4433,Kidney And Urinary Tract Procedures For Non-Malignancy,,,34001.0,48573.16,5
APR-DRG,4434,Kidney And Urinary Tract Procedures For Non-Malignancy,,,70593.0,100847.16,5
APR-DRG,444,Intracranial Hemorrhage,,,50701.73,84693.62,5
APR-DRG,4441,Renal Dialysis Access Device Procedures And Vessel Repair,,,15269.65,29388.99,5
APR-DRG,4442,Renal Dialysis Access Device Procedures And Vessel Repair,,,25225.02,40799.7,5
APR-DRG,4443,Renal Dialysis Access Device Procedures And Vessel Repair,,,39771.0,56816.27,5
APR-DRG,4444,Renal Dialysis Access Device Procedures And Vessel Repair,,,78063.0,111519.17,5
APR-DRG,4451,Other Bladder Procedures,,,11868.81,28564.68,5
APR-DRG,4452,Other Bladder Procedures,,,19572.63,38206.91,5
APR-DRG,4453,Other Bladder Procedures,,,27958.73,57726.19,5
APR-DRG,4454,Other Bladder Procedures,,,36825.47,119791.63,5
APR-DRG,4461,Urethral And Transurethral Procedures,,,10178.25,17584.47,5
APR-DRG,4462,Urethral And Transurethral Procedures,,,12244.83,21835.67,5
APR-DRG,4463,Urethral And Transurethral Procedures,,,23661.82,36296.56,5
APR-DRG,4464,Urethral And Transurethral Procedures,,,57200.0,81714.36,5
APR-DRG,4471,"Other Kidney, Urinary Tract And Related Procedures",,,17543.95,28987.84,5
APR-DRG,4472,"Other Kidney, Urinary Tract And Related Procedures",,,21223.77,37849.79,5
APR-DRG,4473,"Other Kidney, Urinary Tract And Related Procedures",,,39054.0,55791.38,5
APR-DRG,4474,"Other Kidney, Urinary Tract And Related Procedures",,,80443.0,130966.59,5
APR-DRG,451,Cva And Precerebral Occlusion With Infarction,,,12346.42,17995.41,5
APR-DRG,452,Cva And Precerebral Occlusion With Infarction,,,15314.0,21877.25,5
APR-DRG,453,Cva And Precerebral Occlusion With Infarction,,,22331.0,31901.06,5
APR-DRG,454,Cva And Precerebral Occlusion With Infarction,,,47958.0,68510.71,5
APR-DRG,4601,Description Not Available,,,9646.06,10005.52,2
APR-DRG,4602,Description Not Available,,,11624.71,12057.89,2
APR-DRG,4603,Description Not Available,,,16708.52,17331.15,2
APR-DRG,4604,Description Not Available,,,49535.77,51381.68,2
APR-DRG,461,Nonspecific Cva And Precerebral Occlusion Without Infarction,,,11470.05,17626.06,5
APR-DRG,4611,Kidney And Urinary Tract Malignancy,,,8226.9,13470.26,5
APR-DRG,4612,Kidney And Urinary Tract Malignancy,,,12999.9,18643.6,5
APR-DRG,4613,Kidney And Urinary Tract Malignancy,,,21231.35,30338.05,5
APR-DRG,4614,Kidney And Urinary Tract Malignancy,,,38085.0,54406.93,5
APR-DRG,462,Nonspecific Cva And Precerebral Occlusion Without Infarction,,,13362.27,20277.55,5
APR-DRG,4621,Nephritis And Nephrosis,,,7450.61,11097.62,5
APR-DRG,4622,Nephritis And Nephrosis,,,10437.52,15657.01,5
APR-DRG,4623,Nephritis And Nephrosis,,,17158.84,29560.21,5
APR-DRG,4624,Nephritis And Nephrosis,,,18229.27,61387.89,5
APR-DRG,463,Nonspecific Cva And Precerebral Occlusion Without Infarction,,,16464.42,28006.99,5
APR-DRG,4631,Kidney And Urinary Tract Infections,,,7589.0,10840.78,5
APR-DRG,4632,Kidney And Urinary Tract Infections,,,9616.0,13736.88,5
APR-DRG,4633,Kidney And Urinary Tract Infections,,,13494.0,19277.12,5
APR-DRG,4634,Kidney And Urinary Tract Infections,,,27889.0,39840.86,5
APR-DRG,464,Nonspecific Cva And Precerebral Occlusion Without Infarction,,,17518.17,69555.17,5
APR-DRG,4651,Urinary Stones And Acquired Upper Urinary Tract Obstruction,,,6542.4,12408.68,5
APR-DRG,4652,Urinary Stones And Acquired Upper Urinary Tract Obstruction,,,7893.34,15336.58,5
APR-DRG,4653,Urinary Stones And Acquired Upper Urinary Tract Obstruction,,,13497.21,25541.39,5
APR-DRG,4654,Urinary Stones And Acquired Upper Urinary Tract Obstruction,,,32105.54,55791.38,5
APR-DRG,4661,"Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure",,,6569.69,12680.19,5
APR-DRG,4662,"Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure",,,10489.07,17836.41,5
APR-DRG,4663,"Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure",,,18709.91,27172.89,5
APR-DRG,4664,"Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure",,,35320.0,50456.6,5
APR-DRG,4681,"Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms",,,7590.1,12217.89,5
APR-DRG,4682,"Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms",,,11272.95,16632.97,5
APR-DRG,4683,"Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms",,,16682.0,23831.62,5
APR-DRG,4684,"Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms",,,35479.0,51856.64,5
APR-DRG,4691,Acute Kidney Injury,,,7833.0,11190.56,3
APR-DRG,4692,Acute Kidney Injury,,,10595.0,15136.0,3
APR-DRG,4693,Acute Kidney Injury,,,17268.0,24668.16,3
APR-DRG,4694,Acute Kidney Injury,,,40556.0,57936.55,3
APR-DRG,4701,Chronic Kidney Disease,,,8270.0,11814.3,3
APR-DRG,4702,Chronic Kidney Disease,,,11169.0,15955.42,3
APR-DRG,4703,Chronic Kidney Disease,,,16371.0,23386.45,3
APR-DRG,4704,Chronic Kidney Disease,,,34962.0,49945.38,3
APR-DRG,471,Transient Ischemia,,,7496.09,14722.62,5
APR-DRG,472,Transient Ischemia,,,9276.11,16028.8,5
APR-DRG,473,Transient Ischemia,,,13432.02,20326.47,5
APR-DRG,474,Transient Ischemia,,,14115.82,39676.97,5
APR-DRG,4801,Major Male Pelvic Procedures,,,16784.33,29927.12,5
APR-DRG,4802,Major Male Pelvic Procedures,,,19414.94,33040.91,5
APR-DRG,4803,Major Male Pelvic Procedures,,,34872.6,53834.56,5
APR-DRG,4804,Major Male Pelvic Procedures,,,39497.01,120129.18,5
APR-DRG,481,"Peripheral, Cranial And Autonomic Nerve Disorders",,,7981.28,14859.6,5
APR-DRG,4811,Description Not Available,,,12360.06,12820.65,2
APR-DRG,4812,Description Not Available,,,20762.84,21536.55,2
APR-DRG,4813,Description Not Available,,,45067.53,46746.93,2
APR-DRG,4814,Description Not Available,,,58193.27,60361.8,2
APR-DRG,482,"Peripheral, Cranial And Autonomic Nerve Disorders",,,11044.0,16892.25,5
APR-DRG,4821,Transurethral Prostatectomy,,,9098.72,16136.43,5
APR-DRG,4822,Transurethral Prostatectomy,,,12790.66,21209.48,5
APR-DRG,4823,Transurethral Prostatectomy,,,26779.0,38255.83,5
APR-DRG,4824,Transurethral Prostatectomy,,,33235.1,76357.56,5
APR-DRG,483,"Peripheral, Cranial And Autonomic Nerve Disorders",,,16634.0,23763.13,5
APR-DRG,4831,"Penis, Testes And Scrotal Procedures",,,9623.32,20020.71,5
APR-DRG,4832,"Penis, Testes And Scrotal Procedures",,,20203.37,30227.98,5
APR-DRG,4833,"Penis, Testes And Scrotal Procedures",,,35332.0,50473.73,5
APR-DRG,4834,"Penis, Testes And Scrotal Procedures",,,53574.93,122805.13,5
APR-DRG,484,"Peripheral, Cranial And Autonomic Nerve Disorders",,,38679.78,60389.91,5
APR-DRG,4841,Other Male Reproductive System And Related Procedures,,,11533.73,22136.53,5
APR-DRG,4842,Other Male Reproductive System And Related Procedures,,,19660.57,31587.97,5
APR-DRG,4843,Other Male Reproductive System And Related Procedures,,,28318.0,40454.81,5
APR-DRG,4844,Other Male Reproductive System And Related Procedures,,,30935.03,102483.56,5
APR-DRG,491,Bacterial And Tuberculous Infections Of Nervous System,,,16454.0,23506.3,5
APR-DRG,492,Bacterial And Tuberculous Infections Of Nervous System,,,34388.0,49125.97,5
APR-DRG,493,Bacterial And Tuberculous Infections Of Nervous System,,,42703.0,61003.86,5
APR-DRG,494,Bacterial And Tuberculous Infections Of Nervous System,,,78596.78,113886.92,5
APR-DRG,5001,"Malignancy, Male Reproductive System",,,8323.94,13697.74,5
APR-DRG,5002,"Malignancy, Male Reproductive System",,,12545.0,17922.03,5
APR-DRG,5003,"Malignancy, Male Reproductive System",,,19566.56,28302.96,5
APR-DRG,5004,"Malignancy, Male Reproductive System",,,24004.48,45202.54,5
APR-DRG,501,Non-Bacterial Infections Of Nervous System Except Viral Meningitis,,,11076.0,15823.34,5
APR-DRG,5011,Male Reproductive System Diagnoses Except Malignancy,,,7059.43,11144.09,5
APR-DRG,5012,Male Reproductive System Diagnoses Except Malignancy,,,9958.4,15045.5,5
APR-DRG,5013,Male Reproductive System Diagnoses Except Malignancy,,,16189.0,23127.17,5
APR-DRG,5014,Male Reproductive System Diagnoses Except Malignancy,,,28597.05,57281.01,5
APR-DRG,502,Non-Bacterial Infections Of Nervous System Except Viral Meningitis,,,18376.34,29848.84,5
APR-DRG,503,Non-Bacterial Infections Of Nervous System Except Viral Meningitis,,,33083.48,49138.2,5
APR-DRG,504,Non-Bacterial Infections Of Nervous System Except Viral Meningitis,,,70708.0,101011.05,5
APR-DRG,51,Tracheostomy With Mv >96 Hours Without Extensive Procedure,,,83539.0,119341.56,5
APR-DRG,5101,"Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Procedures",,,19727.28,30276.9,5
APR-DRG,5102,"Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Procedures",,,24915.71,37563.61,5
APR-DRG,5103,"Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Procedures",,,47026.0,67180.08,5
APR-DRG,5104,"Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Procedures",,,105013.53,155640.57,5
APR-DRG,511,Viral Meningitis,,,9179.07,13925.22,5
APR-DRG,5111,Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,,,18744.78,30545.96,5
APR-DRG,5112,Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,,,23452.58,38304.75,5
APR-DRG,5113,Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,,,40251.0,57501.16,5
APR-DRG,5114,Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,,,85928.0,122753.76,5
APR-DRG,512,Viral Meningitis,,,12817.95,18978.71,5
APR-DRG,5121,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy,,,16132.37,27155.77,5
APR-DRG,5122,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy,,,19960.77,31954.87,5
APR-DRG,5123,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy,,,35147.0,50209.56,5
APR-DRG,5124,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy,,,71802.0,102574.06,5
APR-DRG,513,Viral Meningitis,,,20749.2,32911.27,5
APR-DRG,5131,Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma,,,12634.49,20759.41,5
APR-DRG,5132,Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma,,,15303.01,24372.19,5
APR-DRG,5133,Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma,,,27986.0,39980.28,5
APR-DRG,5134,Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma,,,57556.47,96664.46,5
APR-DRG,514,Viral Meningitis,,,25796.63,67114.03,5
APR-DRG,5141,Female Reproductive System Reconstructive Procedures,,,10915.12,17097.71,5
APR-DRG,5142,Female Reproductive System Reconstructive Procedures,,,14563.1,24761.11,5
APR-DRG,5143,Female Reproductive System Reconstructive Procedures,,,24112.13,43006.01,5
APR-DRG,5144,Female Reproductive System Reconstructive Procedures,,,74023.92,119189.91,5
APR-DRG,5171,Dilation And Curettage For Non-Obstetric Diagnoses,,,9057.78,16451.96,5
APR-DRG,5172,Dilation And Curettage For Non-Obstetric Diagnoses,,,12992.32,20698.26,5
APR-DRG,5173,Dilation And Curettage For Non-Obstetric Diagnoses,,,26251.49,37974.54,5
APR-DRG,5174,Dilation And Curettage For Non-Obstetric Diagnoses,,,26679.06,89353.29,5
APR-DRG,5181,Other Female Reproductive System And Related Procedures,,,10771.08,19595.11,5
APR-DRG,5182,Other Female Reproductive System And Related Procedures,,,15792.74,26979.66,5
APR-DRG,5183,Other Female Reproductive System And Related Procedures,,,30618.14,49111.29,5
APR-DRG,5184,Other Female Reproductive System And Related Procedures,,,37679.09,112140.46,5
APR-DRG,5191,Uterine And Adnexa Procedures For Leiomyoma,,,12737.6,21701.13,5
APR-DRG,5192,Uterine And Adnexa Procedures For Leiomyoma,,,15791.22,26025.71,5
APR-DRG,5193,Uterine And Adnexa Procedures For Leiomyoma,,,32571.01,46980.8,5
APR-DRG,5194,Uterine And Adnexa Procedures For Leiomyoma,,,66655.18,116685.18,5
APR-DRG,52,Tracheostomy With Mv >96 Hours Without Extensive Procedure,,,92821.0,132601.46,5
APR-DRG,521,Alteration In Consciousness,,,7341.44,13673.28,5
APR-DRG,522,Alteration In Consciousness,,,10428.42,16045.92,5
APR-DRG,523,Alteration In Consciousness,,,15270.0,21813.65,5
APR-DRG,524,Alteration In Consciousness,,,33388.24,56921.45,5
APR-DRG,53,Tracheostomy With Mv >96 Hours Without Extensive Procedure,,,120312.0,171874.84,5
APR-DRG,5301,Female Reproductive System Malignancy,,,9389.83,13582.78,5
APR-DRG,5302,Female Reproductive System Malignancy,,,11927.95,17711.67,5
APR-DRG,5303,Female Reproductive System Malignancy,,,22192.0,31702.93,5
APR-DRG,5304,Female Reproductive System Malignancy,,,36883.08,61189.76,5
APR-DRG,531,Seizure,,,6707.67,12802.49,5
APR-DRG,5311,Female Reproductive System Infections,,,7858.46,12129.84,5
APR-DRG,5312,Female Reproductive System Infections,,,10426.91,16464.19,5
APR-DRG,5313,Female Reproductive System Infections,,,17122.45,26111.32,5
APR-DRG,5314,Female Reproductive System Infections,,,17280.13,49216.47,5
APR-DRG,532,Seizure,,,8325.45,15241.18,5
APR-DRG,5321,Menstrual And Other Female Reproductive System Disorders,,,6255.84,10581.5,5
APR-DRG,5322,Menstrual And Other Female Reproductive System Disorders,,,7847.85,13208.54,5
APR-DRG,5323,Menstrual And Other Female Reproductive System Disorders,,,15766.0,22523.0,5
APR-DRG,5324,Menstrual And Other Female Reproductive System Disorders,,,17613.7,43108.74,5
APR-DRG,533,Seizure,,,13832.29,22970.62,5
APR-DRG,534,Seizure,,,41525.0,59321.0,5
APR-DRG,54,Tracheostomy With Mv >96 Hours Without Extensive Procedure,,,179271.0,256101.26,5
APR-DRG,5401,Cesarean Section Without Sterilization,,,9255.0,13220.77,5
APR-DRG,5402,Cesarean Section Without Sterilization,,,11064.0,15806.21,5
APR-DRG,5403,Cesarean Section Without Sterilization,,,15860.0,22657.53,5
APR-DRG,5404,Cesarean Section Without Sterilization,,,37545.66,64100.53,5
APR-DRG,541,Migraine And Other Headaches,,,6818.35,13756.44,5
APR-DRG,5411,Vaginal Delivery With Sterilization And/Or D&C,,,8816.0,12594.58,5
APR-DRG,5412,Vaginal Delivery With Sterilization And/Or D&C,,,9594.0,13705.08,5
APR-DRG,5413,Vaginal Delivery With Sterilization And/Or D&C,,,14285.0,20407.19,5
APR-DRG,5414,Vaginal Delivery With Sterilization And/Or D&C,,,17214.93,71829.97,5
APR-DRG,542,Migraine And Other Headaches,,,8654.47,15933.41,5
APR-DRG,5421,Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,,,6537.0,9338.92,5
APR-DRG,5422,Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,,,8157.0,11652.86,5
APR-DRG,5423,Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,,,17566.0,25093.77,5
APR-DRG,5424,Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,,,23937.77,83842.4,5
APR-DRG,543,Migraine And Other Headaches,,,11667.16,19736.98,5
APR-DRG,544,Migraine And Other Headaches,,,12516.23,36572.97,5
APR-DRG,5441,Description Not Available,,,7361.15,13191.41,5
APR-DRG,5442,Description Not Available,,,9541.45,15615.42,5
APR-DRG,5443,Description Not Available,,,17801.7,25878.94,5
APR-DRG,5444,Description Not Available,,,49325.02,72827.95,5
APR-DRG,5451,Description Not Available,,,11197.14,18885.76,5
APR-DRG,5452,Description Not Available,,,13359.24,20727.62,5
APR-DRG,5453,Description Not Available,,,17507.0,25010.61,5
APR-DRG,5454,Description Not Available,,,20676.42,45647.72,5
APR-DRG,5461,Description Not Available,,,7629.52,14407.09,5
APR-DRG,5462,Description Not Available,,,11650.48,20360.71,5
APR-DRG,5463,Description Not Available,,,25846.66,39014.1,5
APR-DRG,5464,Description Not Available,,,29426.41,106296.91,5
APR-DRG,551,Head Trauma With Coma > 1 Hour Or Hemorrhage,,,8640.82,16332.11,5
APR-DRG,552,Head Trauma With Coma > 1 Hour Or Hemorrhage,,,14165.86,21860.13,5
APR-DRG,553,Head Trauma With Coma > 1 Hour Or Hemorrhage,,,24516.0,35022.19,5
APR-DRG,554,Head Trauma With Coma > 1 Hour Or Hemorrhage,,,54972.86,81254.5,5
APR-DRG,5601,Vaginal Delivery,,,5460.0,7800.37,5
APR-DRG,5602,Vaginal Delivery,,,6157.0,8795.91,5
APR-DRG,5603,Vaginal Delivery,,,8958.0,12797.6,5
APR-DRG,5604,Vaginal Delivery,,,18681.1,38133.53,5
APR-DRG,561,"Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or No Coma",,,7746.27,16373.69,5
APR-DRG,5611,Postpartum And Post Abortion Diagnoses Without Procedure,,,4282.0,6304.95,5
APR-DRG,5612,Postpartum And Post Abortion Diagnoses Without Procedure,,,7053.0,10075.18,5
APR-DRG,5613,Postpartum And Post Abortion Diagnoses Without Procedure,,,11171.0,15957.87,5
APR-DRG,5614,Postpartum And Post Abortion Diagnoses Without Procedure,,,25325.09,45014.2,5
APR-DRG,562,"Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or No Coma",,,11965.85,22231.92,5
APR-DRG,563,"Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or No Coma",,,23958.99,36785.77,5
APR-DRG,5631,Description Not Available,,,4906.0,7007.86,5
APR-DRG,5632,Description Not Available,,,6081.48,9280.22,5
APR-DRG,5633,Description Not Available,,,8963.77,15889.38,5
APR-DRG,5634,Description Not Available,,,8963.77,29293.6,5
APR-DRG,564,"Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or No Coma",,,52349.0,81648.29,5
APR-DRG,5641,"Abortion Without D&C, Aspiration Curettage Or Hysterotomy",,,5212.7,9160.36,5
APR-DRG,5642,"Abortion Without D&C, Aspiration Curettage Or Hysterotomy",,,6029.93,9512.59,5
APR-DRG,5643,"Abortion Without D&C, Aspiration Curettage Or Hysterotomy",,,8609.0,12298.61,5
APR-DRG,5644,"Abortion Without D&C, Aspiration Curettage Or Hysterotomy",,,11181.98,52342.49,5
APR-DRG,5651,Description Not Available,,,2409.0,3535.43,5
APR-DRG,5652,Description Not Available,,,3428.0,4896.94,5
APR-DRG,5653,Description Not Available,,,4953.43,7783.25,5
APR-DRG,5654,Description Not Available,,,4953.43,8563.53,5
APR-DRG,5661,Antepartum Without O.R. Procedure,,,5185.0,7406.56,5
APR-DRG,5662,Antepartum Without O.R. Procedure,,,6606.0,9436.76,5
APR-DRG,5663,Antepartum Without O.R. Procedure,,,10032.0,14331.26,5
APR-DRG,5664,Antepartum Without O.R. Procedure,,,11720.23,41993.36,5
APR-DRG,571,Hour Or No Coma,,,5491.68,16236.71,5
APR-DRG,572,Hour Or No Coma,,,8143.51,20580.85,5
APR-DRG,573,Hour Or No Coma,,,15845.81,28821.51,5
APR-DRG,574,Hour Or No Coma,,,43328.45,72052.56,5
APR-DRG,5801,"Neonate, Transferred < 5 Days Old, Not Born Here",,,4079.0,6198.01,5
APR-DRG,5802,"Neonate, Transferred < 5 Days Old, Not Born Here",,,5250.0,7499.51,5
APR-DRG,5803,"Neonate, Transferred < 5 Days Old, Not Born Here",,,8494.0,12134.73,5
APR-DRG,5804,"Neonate, Transferred < 5 Days Old, Not Born Here",,,15586.54,22909.47,5
APR-DRG,581,Other Disorders Of Nervous System,,,8202.64,15581.18,5
APR-DRG,5811,"Neonate, Transferred < 5 Days Old, Born Here",,,1625.0,2321.28,5
APR-DRG,5812,"Neonate, Transferred < 5 Days Old, Born Here",,,2582.0,3688.61,5
APR-DRG,5813,"Neonate, Transferred < 5 Days Old, Born Here",,,3651.01,6364.56,5
APR-DRG,5814,"Neonate, Transferred < 5 Days Old, Born Here",,,6865.35,12778.03,5
APR-DRG,582,Other Disorders Of Nervous System,,,11944.62,19203.74,5
APR-DRG,583,Other Disorders Of Nervous System,,,18521.0,26458.65,5
APR-DRG,5831,Neonate With Ecmo,,,141051.0,234907.91,5
APR-DRG,5832,Neonate With Ecmo,,,156723.0,234907.91,5
APR-DRG,5833,Neonate With Ecmo,,,229833.18,419747.67,5
APR-DRG,5834,Neonate With Ecmo,,,276914.22,627662.25,5
APR-DRG,584,Other Disorders Of Nervous System,,,43097.0,61566.45,5
APR-DRG,5881,Neonate Birth Weight < 1500 Grams With Major Procedure,,,138428.0,324433.86,5
APR-DRG,5882,Neonate Birth Weight < 1500 Grams With Major Procedure,,,153807.0,324433.86,5
APR-DRG,5883,Neonate Birth Weight < 1500 Grams With Major Procedure,,,314060.0,448657.24,5
APR-DRG,5884,Neonate Birth Weight < 1500 Grams With Major Procedure,,,390758.1,600518.71,5
APR-DRG,5891,"Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining",,,149451.83,347220.59,5
APR-DRG,5892,"Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining",,,149451.83,243558.05,5
APR-DRG,5893,"Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining",,,51089.88,174225.47,5
APR-DRG,5894,"Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining",,,2048.39,5921.83,5
APR-DRG,591,Anoxic And Other Severe Brain Damage,,,10796.0,15422.19,3
APR-DRG,5911,Neonate Birth Weight 500-749 Grams Without Major Procedure,,,24265.26,207361.77,5
APR-DRG,5912,Neonate Birth Weight 500-749 Grams Without Major Procedure,,,31908.43,287689.23,5
APR-DRG,5913,Neonate Birth Weight 500-749 Grams Without Major Procedure,,,173397.18,357241.95,5
APR-DRG,5914,Neonate Birth Weight 500-749 Grams Without Major Procedure,,,249449.77,506498.4,5
APR-DRG,592,Anoxic And Other Severe Brain Damage,,,12501.0,17858.43,3
APR-DRG,593,Anoxic And Other Severe Brain Damage,,,16139.0,23056.23,3
APR-DRG,5931,Neonate Birth Weight 750-999 Grams Without Major Procedure,,,45035.0,176494.68,5
APR-DRG,5932,Neonate Birth Weight 750-999 Grams Without Major Procedure,,,152574.0,217962.84,5
APR-DRG,5933,Neonate Birth Weight 750-999 Grams Without Major Procedure,,,197475.95,294675.08,5
APR-DRG,5934,Neonate Birth Weight 750-999 Grams Without Major Procedure,,,237109.42,419341.63,5
APR-DRG,594,Anoxic And Other Severe Brain Damage,,,40412.0,57731.08,3
APR-DRG,6021,Respiratory Condition Or Major Anomaly,,,66187.0,116148.61,5
APR-DRG,6022,Respiratory Condition Or Major Anomaly,,,121532.0,173616.41,5
APR-DRG,6023,Respiratory Condition Or Major Anomaly,,,163650.0,233786.18,5
APR-DRG,6024,Respiratory Condition Or Major Anomaly,,,192522.53,317557.64,5
APR-DRG,6031,Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,,,38652.0,103637.78,5
APR-DRG,6032,Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,,,89808.0,128296.46,5
APR-DRG,6033,Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,,,146502.83,212124.18,5
APR-DRG,6034,Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,,,205207.06,325125.64,5
APR-DRG,6071,Respiratory Condition Or Major Anomaly,,,60337.0,92716.96,5
APR-DRG,6072,Respiratory Condition Or Major Anomaly,,,95371.0,136243.59,5
APR-DRG,6073,Respiratory Condition Or Major Anomaly,,,124931.85,188270.54,5
APR-DRG,6074,Respiratory Condition Or Major Anomaly,,,161528.37,253965.88,5
APR-DRG,6081,Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,,,40830.0,67939.07,5
APR-DRG,6082,Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,,,77180.0,110257.02,5
APR-DRG,6083,Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,,,113508.0,162154.34,5
APR-DRG,6084,Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,,,118879.18,237716.94,5
APR-DRG,6091,Neonate Birth Weight 1500-2499 Grams With Major Procedure,,,63450.0,90642.35,5
APR-DRG,6092,Neonate Birth Weight 1500-2499 Grams With Major Procedure,,,67363.25,117722.29,5
APR-DRG,6093,Neonate Birth Weight 1500-2499 Grams With Major Procedure,,,114145.6,187805.8,5
APR-DRG,6094,Neonate Birth Weight 1500-2499 Grams With Major Procedure,,,243774.0,348247.92,5
APR-DRG,61,Pancreas Transplant,,,83328.84,142882.1,5
APR-DRG,6111,Neonate Birth Weight 1500-1999 Grams With Major Anomaly,,,35157.0,50224.23,5
APR-DRG,6112,Neonate Birth Weight 1500-1999 Grams With Major Anomaly,,,56169.0,80241.85,5
APR-DRG,6113,Neonate Birth Weight 1500-1999 Grams With Major Anomaly,,,88364.14,130370.69,5
APR-DRG,6114,Neonate Birth Weight 1500-1999 Grams With Major Anomaly,,,123162.44,206764.94,5
APR-DRG,6121,Respiratory Condition,,,43384.0,61977.38,5
APR-DRG,6122,Respiratory Condition,,,60214.37,94920.45,5
APR-DRG,6123,Respiratory Condition,,,88113.96,128323.36,5
APR-DRG,6124,Respiratory Condition,,,109478.74,186377.32,5
APR-DRG,6131,Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,,,35772.0,51102.35,5
APR-DRG,6132,Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,,,52603.04,79219.41,5
APR-DRG,6133,Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,,,83911.06,131109.39,5
APR-DRG,6134,Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,,,89101.01,174802.73,5
APR-DRG,6141,Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,,,23584.0,33691.55,5
APR-DRG,6142,Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,,,46819.0,66884.11,5
APR-DRG,6143,Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,,,77288.0,110411.12,5
APR-DRG,6144,Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,,,83657.85,194436.97,5
APR-DRG,62,Pancreas Transplant,,,83328.84,200896.93,5
APR-DRG,6211,Neonate Birth Weight 2000-2499 Grams With Major Anomaly,,,15742.7,23914.79,5
APR-DRG,6212,Neonate Birth Weight 2000-2499 Grams With Major Anomaly,,,32848.47,50596.03,5
APR-DRG,6213,Neonate Birth Weight 2000-2499 Grams With Major Anomaly,,,51045.91,89896.31,5
APR-DRG,6214,Neonate Birth Weight 2000-2499 Grams With Major Anomaly,,,103318.42,169235.58,5
APR-DRG,6221,Respiratory Condition,,,24489.66,37964.75,5
APR-DRG,6222,Respiratory Condition,,,35375.98,56706.2,5
APR-DRG,6223,Respiratory Condition,,,51785.81,77954.82,5
APR-DRG,6224,Respiratory Condition,,,73603.93,127095.46,5
APR-DRG,6231,Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,,,19093.51,32231.27,5
APR-DRG,6232,Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,,,30739.44,52310.69,5
APR-DRG,6233,Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,,,58253.0,83218.66,5
APR-DRG,6234,Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,,,67097.91,129473.0,5
APR-DRG,6251,Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,,,23156.92,35601.89,5
APR-DRG,6252,Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,,,38952.69,55820.74,5
APR-DRG,6253,Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,,,47839.14,70276.74,5
APR-DRG,6254,Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,,,47839.14,103872.9,5
APR-DRG,6261,"Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem",,,2565.0,3664.15,5
APR-DRG,6262,"Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem",,,6522.0,9316.91,5
APR-DRG,6263,"Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem",,,18441.0,26343.69,5
APR-DRG,6264,"Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem",,,19222.38,59276.97,5
APR-DRG,63,Pancreas Transplant,,,103650.46,224623.37,5
APR-DRG,6301,Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,,,38145.0,54492.54,5
APR-DRG,6302,Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,,,51858.0,74082.76,5
APR-DRG,6303,Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,,,81599.0,116570.21,5
APR-DRG,6304,Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,,,184122.0,263030.85,5
APR-DRG,6311,Neonate Birth Weight > 2499 Grams With Other Major Procedure,,,21416.0,31694.62,5
APR-DRG,6312,Neonate Birth Weight > 2499 Grams With Other Major Procedure,,,25926.0,57368.95,5
APR-DRG,6313,Neonate Birth Weight > 2499 Grams With Other Major Procedure,,,59440.0,90768.38,5
APR-DRG,6314,Neonate Birth Weight > 2499 Grams With Other Major Procedure,,,162087.84,238181.68,5
APR-DRG,6331,Neonate Birth Weight > 2499 Grams With Major Anomaly,,,4224.13,6792.61,5
APR-DRG,6332,Neonate Birth Weight > 2499 Grams With Major Anomaly,,,13119.0,18741.44,5
APR-DRG,6333,Neonate Birth Weight > 2499 Grams With Major Anomaly,,,28418.0,40596.68,5
APR-DRG,6334,Neonate Birth Weight > 2499 Grams With Major Anomaly,,,78067.62,124380.37,5
APR-DRG,6341,Respiratory Condition,,,8931.0,12758.47,5
APR-DRG,6342,Respiratory Condition,,,16359.0,23369.32,5
APR-DRG,6343,Respiratory Condition,,,29891.88,46065.99,5
APR-DRG,6344,Respiratory Condition,,,62296.11,126797.04,5
APR-DRG,6361,Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,,,11659.58,17469.51,5
APR-DRG,6362,Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,,,17564.0,25091.32,5
APR-DRG,6363,Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,,,30088.99,47401.52,5
APR-DRG,6364,Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,,,32862.12,98797.4,5
APR-DRG,6391,Neonate Birth Weight > 2499 Grams With Other Significant Condition,,,6924.0,9891.73,5
APR-DRG,6392,Neonate Birth Weight > 2499 Grams With Other Significant Condition,,,11275.0,19938.69,5
APR-DRG,6393,Neonate Birth Weight > 2499 Grams With Other Significant Condition,,,22839.0,32627.53,5
APR-DRG,6394,Neonate Birth Weight > 2499 Grams With Other Significant Condition,,,43231.41,83228.45,5
APR-DRG,64,Pancreas Transplant,,,142177.11,355424.55,5
APR-DRG,6401,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem",,,1801.0,2620.12,5
APR-DRG,6402,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem",,,2842.0,4060.4,5
APR-DRG,6403,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem",,,6520.0,9314.46,5
APR-DRG,6404,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem",,,8301.2,44295.07,5
APR-DRG,6501,Splenectomy,,,20007.78,31115.88,5
APR-DRG,6502,Splenectomy,,,29600.77,44537.22,5
APR-DRG,6503,Splenectomy,,,42038.0,60054.81,5
APR-DRG,6504,Splenectomy,,,84166.0,120236.8,5
APR-DRG,6511,Other Procedures Of Blood And Blood-Forming Organs,,,14432.71,25027.73,5
APR-DRG,6512,Other Procedures Of Blood And Blood-Forming Organs,,,22145.62,35144.49,5
APR-DRG,6513,Other Procedures Of Blood And Blood-Forming Organs,,,43415.0,62021.41,5
APR-DRG,6514,Other Procedures Of Blood And Blood-Forming Organs,,,91109.0,130155.44,5
APR-DRG,6601,Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation,,,9653.65,18313.39,5
APR-DRG,6602,Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation,,,13782.0,19688.06,5
APR-DRG,6603,Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation,,,22177.0,31680.92,5
APR-DRG,6604,Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation,,,57719.0,99180.75,5
APR-DRG,6611,Coagulation And Platelet Disorders,,,12443.45,22510.77,5
APR-DRG,6612,Coagulation And Platelet Disorders,,,16412.87,26483.11,5
APR-DRG,6613,Coagulation And Platelet Disorders,,,30014.7,50432.14,5
APR-DRG,6614,Coagulation And Platelet Disorders,,,68174.0,97390.93,5
APR-DRG,6621,Sickle Cell Anemia Crisis,,,9677.9,14015.72,5
APR-DRG,6622,Sickle Cell Anemia Crisis,,,13422.0,19174.39,5
APR-DRG,6623,Sickle Cell Anemia Crisis,,,20853.0,29790.14,5
APR-DRG,6624,Sickle Cell Anemia Crisis,,,49651.0,70929.83,5
APR-DRG,6631,Other Anemia And Disorders Of Blood And Blood-Forming Organs,,,7609.81,12041.78,5
APR-DRG,6632,Other Anemia And Disorders Of Blood And Blood-Forming Organs,,,10461.78,15228.95,5
APR-DRG,6633,Other Anemia And Disorders Of Blood And Blood-Forming Organs,,,15556.0,22222.14,5
APR-DRG,6634,Other Anemia And Disorders Of Blood And Blood-Forming Organs,,,30493.0,43561.26,5
APR-DRG,6801,"Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,20677.94,36607.21,5
APR-DRG,6802,"Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,33749.1,50344.09,5
APR-DRG,6803,"Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,60869.0,86956.19,5
APR-DRG,6804,"Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,121751.0,187280.26,5
APR-DRG,6811,"Other  O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,15140.77,26671.46,5
APR-DRG,6812,"Other  O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,24706.48,36805.34,5
APR-DRG,6813,"Other  O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,47230.0,67471.15,5
APR-DRG,6814,"Other  O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,115195.0,164563.67,5
APR-DRG,6901,Acute Leukemia,,,19786.41,31003.37,5
APR-DRG,6902,Acute Leukemia,,,35832.0,51187.97,5
APR-DRG,6903,Acute Leukemia,,,68650.0,98070.93,5
APR-DRG,6904,Acute Leukemia,,,130392.0,186274.59,5
APR-DRG,6911,"Lymphoma, Myeloma And Non-Acute Leukemia",,,13777.71,26262.97,5
APR-DRG,6912,"Lymphoma, Myeloma And Non-Acute Leukemia",,,21269.25,30555.74,5
APR-DRG,6913,"Lymphoma, Myeloma And Non-Acute Leukemia",,,33210.0,47443.1,5
APR-DRG,6914,"Lymphoma, Myeloma And Non-Acute Leukemia",,,72858.0,104083.26,5
APR-DRG,6921,Radiotherapy,,,8601.4,17748.36,5
APR-DRG,6922,Radiotherapy,,,18782.69,37064.62,5
APR-DRG,6923,Radiotherapy,,,38027.0,54323.77,5
APR-DRG,6924,Radiotherapy,,,47074.98,100492.49,5
APR-DRG,6931,Description Not Available,,,10561.85,10955.43,2
APR-DRG,6932,Description Not Available,,,13932.36,14451.54,2
APR-DRG,6933,Description Not Available,,,29711.46,30818.63,2
APR-DRG,6934,Description Not Available,,,105180.31,109099.77,2
APR-DRG,6941,Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,,,10370.81,17095.27,5
APR-DRG,6942,Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,,,13113.61,20248.19,5
APR-DRG,6943,Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,,,22570.0,32243.5,5
APR-DRG,6944,Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,,,47343.0,67632.59,5
APR-DRG,6951,Chemotherapy For Acute Leukemia,,,10434.0,14906.08,3
APR-DRG,6952,Chemotherapy For Acute Leukemia,,,15215.0,21735.38,3
APR-DRG,6953,Chemotherapy For Acute Leukemia,,,39657.0,56652.39,3
APR-DRG,6954,Chemotherapy For Acute Leukemia,,,109289.0,156127.33,3
APR-DRG,6961,Other Chemotherapy,,,13689.0,19555.97,3
APR-DRG,6962,Other Chemotherapy,,,16305.0,23293.5,3
APR-DRG,6963,Other Chemotherapy,,,25640.0,36629.22,3
APR-DRG,6964,Other Chemotherapy,,,60989.0,87127.41,3
APR-DRG,701,Description Not Available,,,12990.8,13474.89,2
APR-DRG,702,Description Not Available,,,18327.83,19010.8,2
APR-DRG,703,Description Not Available,,,31784.1,32968.51,2
APR-DRG,704,Description Not Available,,,34205.47,35480.11,2
APR-DRG,71,Allogeneic Bone Marrow Transplant,,,96304.0,137576.68,3
APR-DRG,7101,Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,,,17986.68,26057.5,5
APR-DRG,7102,Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,,,25675.0,36678.14,5
APR-DRG,7103,Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,,,44434.0,63476.79,5
APR-DRG,7104,Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,,,90083.0,128690.27,5
APR-DRG,7111,"Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure",,,17513.0,25017.94,5
APR-DRG,7112,"Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure",,,24231.0,34616.15,5
APR-DRG,7113,"Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure",,,44531.0,63616.22,5
APR-DRG,7114,"Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure",,,90282.0,128974.01,5
APR-DRG,72,Allogeneic Bone Marrow Transplant,,,112833.0,161190.6,3
APR-DRG,7201,Septicemia And Disseminated Infections,,,9405.0,13436.02,5
APR-DRG,7202,Septicemia And Disseminated Infections,,,12556.0,17936.7,5
APR-DRG,7203,Septicemia And Disseminated Infections,,,21175.0,30249.99,5
APR-DRG,7204,Septicemia And Disseminated Infections,,,47613.0,68019.06,5
APR-DRG,7211,"Post-Operative, Post-Traumatic, Other Device Infections",,,9919.0,14169.82,5
APR-DRG,7212,"Post-Operative, Post-Traumatic, Other Device Infections",,,13390.0,19127.92,5
APR-DRG,7213,"Post-Operative, Post-Traumatic, Other Device Infections",,,22060.71,33106.95,5
APR-DRG,7214,"Post-Operative, Post-Traumatic, Other Device Infections",,,42840.23,69985.67,5
APR-DRG,7221,Fever And Inflammatory Conditions,,,7333.86,10593.73,5
APR-DRG,7222,Fever And Inflammatory Conditions,,,9218.5,14490.25,5
APR-DRG,7223,Fever And Inflammatory Conditions,,,13699.0,19570.65,5
APR-DRG,7224,Fever And Inflammatory Conditions,,,28102.77,40261.57,5
APR-DRG,7231,Viral Illness,,,6528.76,9385.4,5
APR-DRG,7232,Viral Illness,,,8117.73,12682.64,5
APR-DRG,7233,Viral Illness,,,14518.0,20739.85,5
APR-DRG,7234,Viral Illness,,,49902.69,72417.02,5
APR-DRG,7241,Other Infectious And Parasitic Diseases,,,9812.85,16300.31,5
APR-DRG,7242,Other Infectious And Parasitic Diseases,,,12173.57,19389.64,5
APR-DRG,7243,Other Infectious And Parasitic Diseases,,,20744.65,31022.94,5
APR-DRG,7244,Other Infectious And Parasitic Diseases,,,48453.2,72923.34,5
APR-DRG,73,Allogeneic Bone Marrow Transplant,,,147559.0,210798.43,3
APR-DRG,731,Orbit And Eye Procedures,,,10707.4,22721.13,5
APR-DRG,732,Orbit And Eye Procedures,,,14435.74,28276.05,5
APR-DRG,733,Orbit And Eye Procedures,,,30003.0,42861.7,5
APR-DRG,734,Orbit And Eye Procedures,,,43602.88,94920.45,5
APR-DRG,74,Allogeneic Bone Marrow Transplant,,,277744.0,396777.05,3
APR-DRG,7401,Mental Illness Diagnosis With O.R. Procedure,,,22346.0,31923.07,5
APR-DRG,7402,Mental Illness Diagnosis With O.R. Procedure,,,26894.0,38419.71,5
APR-DRG,7403,Mental Illness Diagnosis With O.R. Procedure,,,29127.72,64398.95,5
APR-DRG,7404,Mental Illness Diagnosis With O.R. Procedure,,,29127.72,129421.63,5
APR-DRG,7501,Schizophrenia,,,10446.0,15769.46,5
APR-DRG,7502,Schizophrenia,,,12532.0,17902.46,5
APR-DRG,7503,Schizophrenia,,,15202.94,26170.02,5
APR-DRG,7504,Schizophrenia,,,15202.94,52432.99,5
APR-DRG,7511,Major Depressive Disorders And Other Or Unspecified Psychoses,,,6256.0,9637.51,5
APR-DRG,7512,Major Depressive Disorders And Other Or Unspecified Psychoses,,,8678.0,12396.45,5
APR-DRG,7513,Major Depressive Disorders And Other Or Unspecified Psychoses,,,15419.0,25032.67,5
APR-DRG,7514,Major Depressive Disorders And Other Or Unspecified Psychoses,,,25253.83,41866.16,5
APR-DRG,7521,Disorders Of Personality And Impulse Control,,,5356.0,14640.26,5
APR-DRG,7522,Disorders Of Personality And Impulse Control,,,7604.0,14640.26,5
APR-DRG,7523,Disorders Of Personality And Impulse Control,,,13415.0,19164.61,5
APR-DRG,7524,Disorders Of Personality And Impulse Control,,,14114.31,20563.73,5
APR-DRG,7531,Bipolar Disorders,,,6808.0,12523.41,5
APR-DRG,7532,Bipolar Disorders,,,9219.0,13169.4,5
APR-DRG,7533,Bipolar Disorders,,,14955.0,25482.46,5
APR-DRG,7534,Bipolar Disorders,,,24566.99,42939.97,5
APR-DRG,7541,Depression Except Major Depressive Disorder,,,5030.0,7186.42,5
APR-DRG,7542,Depression Except Major Depressive Disorder,,,6700.0,9571.3,5
APR-DRG,7543,Depression Except Major Depressive Disorder,,,9521.74,14869.39,5
APR-DRG,7544,Depression Except Major Depressive Disorder,,,9521.74,31142.79,5
APR-DRG,7551,Adjustment Disorders And Neuroses Except Depressive Diagnoses,,,4520.0,7544.24,5
APR-DRG,7552,Adjustment Disorders And Neuroses Except Depressive Diagnoses,,,7383.0,10547.26,5
APR-DRG,7553,Adjustment Disorders And Neuroses Except Depressive Diagnoses,,,8859.16,15148.23,5
APR-DRG,7554,Adjustment Disorders And Neuroses Except Depressive Diagnoses,,,8859.16,22855.66,5
APR-DRG,7561,Acute Anxiety And Delirium States,,,5747.91,10439.63,5
APR-DRG,7562,Acute Anxiety And Delirium States,,,9213.0,13162.06,5
APR-DRG,7563,Acute Anxiety And Delirium States,,,11472.0,16388.37,5
APR-DRG,7564,Acute Anxiety And Delirium States,,,12366.13,42189.04,5
APR-DRG,7571,Organic Mental Health Disturbances,,,10802.0,15431.97,5
APR-DRG,7572,Organic Mental Health Disturbances,,,12503.0,17860.87,5
APR-DRG,7573,Organic Mental Health Disturbances,,,15287.84,22870.33,5
APR-DRG,7574,Organic Mental Health Disturbances,,,15287.84,48433.74,5
APR-DRG,7581,Behavioral Disorders,,,6214.9,10187.69,5
APR-DRG,7582,Behavioral Disorders,,,6478.72,12107.82,5
APR-DRG,7583,Behavioral Disorders,,,6478.72,20299.56,5
APR-DRG,7584,Behavioral Disorders,,,6478.72,26828.0,5
APR-DRG,7591,Eating Disorders,,,15480.4,32456.31,5
APR-DRG,7592,Eating Disorders,,,15480.4,34579.46,5
APR-DRG,7593,Eating Disorders,,,15480.4,38197.13,5
APR-DRG,7594,Eating Disorders,,,15480.4,66010.88,5
APR-DRG,7601,Other Mental Health Disorders,,,8893.0,12704.65,5
APR-DRG,7602,Other Mental Health Disorders,,,9526.28,16566.93,5
APR-DRG,7603,Other Mental Health Disorders,,,9703.68,26409.73,5
APR-DRG,7604,Other Mental Health Disorders,,,9703.68,50914.01,5
APR-DRG,7701,"Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice",,,3632.82,5687.01,5
APR-DRG,7702,"Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice",,,4885.2,7477.5,5
APR-DRG,7703,"Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice",,,10938.0,15625.21,5
APR-DRG,7704,"Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice",,,13823.2,45992.61,5
APR-DRG,7721,Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy,,,9991.0,21772.46,5
APR-DRG,7722,Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy,,,11737.0,22863.91,5
APR-DRG,7723,Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy,,,13788.0,22344.92,5
APR-DRG,7724,Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy,,,21542.17,61104.15,5
APR-DRG,7731,Opioid Abuse And Dependence,,,2920.2,6751.03,5
APR-DRG,7732,Opioid Abuse And Dependence,,,4404.56,8634.47,5
APR-DRG,7733,Opioid Abuse And Dependence,,,12319.0,17599.15,5
APR-DRG,7734,Opioid Abuse And Dependence,,,16070.2,59734.38,5
APR-DRG,7741,Cocaine Abuse And Dependence,,,4709.32,8543.97,5
APR-DRG,7742,Cocaine Abuse And Dependence,,,5408.29,8874.18,5
APR-DRG,7743,Cocaine Abuse And Dependence,,,10918.16,17484.19,5
APR-DRG,7744,Cocaine Abuse And Dependence,,,13271.3,62542.41,5
APR-DRG,7751,Alcohol Abuse And Dependence,,,5220.28,8289.58,5
APR-DRG,7752,Alcohol Abuse And Dependence,,,8229.0,11755.6,5
APR-DRG,7753,Alcohol Abuse And Dependence,,,15665.0,22378.68,5
APR-DRG,7754,Alcohol Abuse And Dependence,,,46773.0,66818.06,5
APR-DRG,7761,Other Drug Abuse And Dependence,,,5512.0,7873.75,5
APR-DRG,7762,Other Drug Abuse And Dependence,,,7727.0,11038.91,5
APR-DRG,7763,Other Drug Abuse And Dependence,,,9212.43,19233.09,5
APR-DRG,7764,Other Drug Abuse And Dependence,,,9212.43,53127.66,5
APR-DRG,7911,Description Not Available,,,12670.88,13143.05,2
APR-DRG,7912,Description Not Available,,,21564.91,22368.51,2
APR-DRG,7913,Description Not Available,,,41478.68,43024.35,2
APR-DRG,7914,Description Not Available,,,109292.24,113364.93,2
APR-DRG,7921,Extensive O.R. Procedures For Other Complications Of Treatment,,,17102.0,24430.9,3
APR-DRG,7922,Extensive O.R. Procedures For Other Complications Of Treatment,,,25144.0,35919.88,3
APR-DRG,7923,Extensive O.R. Procedures For Other Complications Of Treatment,,,40550.0,57929.21,3
APR-DRG,7924,Extensive O.R. Procedures For Other Complications Of Treatment,,,91765.0,131092.26,3
APR-DRG,7931,Moderately Extensive O.R. Procedures For Other Complications Of Treatment,,,16542.0,23631.05,3
APR-DRG,7932,Moderately Extensive O.R. Procedures For Other Complications Of Treatment,,,24117.0,34452.26,3
APR-DRG,7933,Moderately Extensive O.R. Procedures For Other Complications Of Treatment,,,38874.0,55534.55,3
APR-DRG,7934,Moderately Extensive O.R. Procedures For Other Complications Of Treatment,,,82308.0,117582.87,3
APR-DRG,7941,Non-Extensive O.R. Procedures For Other Complications Of Treatment,,,15775.0,22535.23,3
APR-DRG,7942,Non-Extensive O.R. Procedures For Other Complications Of Treatment,,,22877.0,32681.34,3
APR-DRG,7943,Non-Extensive O.R. Procedures For Other Complications Of Treatment,,,37443.0,53489.67,3
APR-DRG,7944,Non-Extensive O.R. Procedures For Other Complications Of Treatment,,,70413.0,100590.33,3
APR-DRG,801,Description Not Available,,,7846.34,8138.72,2
APR-DRG,802,Description Not Available,,,10123.67,10500.92,2
APR-DRG,803,Description Not Available,,,19028.31,19737.39,2
APR-DRG,804,Description Not Available,,,19028.31,19737.39,2
APR-DRG,81,Autologous Bone Marrow Transplant Or T-Cell Immunotherapy,,,96304.0,137576.68,3
APR-DRG,8101,Hemorrhage Or Hematoma Due To Complication,,,9063.0,12946.81,3
APR-DRG,8102,Hemorrhage Or Hematoma Due To Complication,,,11765.0,16806.64,3
APR-DRG,8103,Hemorrhage Or Hematoma Due To Complication,,,18146.0,25922.97,3
APR-DRG,8104,Hemorrhage Or Hematoma Due To Complication,,,42211.0,60301.85,3
APR-DRG,8111,Allergic Reactions,,,4568.31,7311.17,5
APR-DRG,8112,Allergic Reactions,,,6440.82,10713.59,5
APR-DRG,8113,Allergic Reactions,,,14240.15,23112.49,5
APR-DRG,8114,Allergic Reactions,,,37234.84,57838.71,5
APR-DRG,8121,Poisoning Of Medicinal Agents,,,5919.0,8455.91,5
APR-DRG,8122,Poisoning Of Medicinal Agents,,,7493.0,10703.81,5
APR-DRG,8123,Poisoning Of Medicinal Agents,,,13525.0,19321.15,5
APR-DRG,8124,Poisoning Of Medicinal Agents,,,33683.0,48118.2,5
APR-DRG,8131,Other Complications Of Treatment,,,7364.18,13475.15,5
APR-DRG,8132,Other Complications Of Treatment,,,10464.81,17919.58,5
APR-DRG,8133,Other Complications Of Treatment,,,17947.26,29623.81,5
APR-DRG,8134,Other Complications Of Treatment,,,46160.71,70624.08,5
APR-DRG,8151,"Other Injury, Poisoning And Toxic Effect Diagnoses",,,4865.49,12014.87,5
APR-DRG,8152,"Other Injury, Poisoning And Toxic Effect Diagnoses",,,8213.26,12858.75,5
APR-DRG,8153,"Other Injury, Poisoning And Toxic Effect Diagnoses",,,15441.0,22058.25,5
APR-DRG,8154,"Other Injury, Poisoning And Toxic Effect Diagnoses",,,37266.68,72832.84,5
APR-DRG,8161,Toxic Effects Of Non-Medicinal Substances,,,5984.44,12575.01,5
APR-DRG,8162,Toxic Effects Of Non-Medicinal Substances,,,7917.6,14052.41,5
APR-DRG,8163,Toxic Effects Of Non-Medicinal Substances,,,13266.75,20184.6,5
APR-DRG,8164,Toxic Effects Of Non-Medicinal Substances,,,34808.0,49725.24,5
APR-DRG,8171,Intentional Self-Harm And Attempted Suicide,,,6375.0,9106.55,4
APR-DRG,8172,Intentional Self-Harm And Attempted Suicide,,,7697.75,11479.2,4
APR-DRG,8173,Intentional Self-Harm And Attempted Suicide,,,11626.22,19443.45,4
APR-DRG,8174,Intentional Self-Harm And Attempted Suicide,,,22752.1,47692.6,4
APR-DRG,82,Autologous Bone Marrow Transplant Or T-Cell Immunotherapy,,,96757.0,138224.87,3
APR-DRG,821,Eye Infections And Other Eye Disorders,,,7414.22,12210.56,5
APR-DRG,822,Eye Infections And Other Eye Disorders,,,8933.45,15539.6,5
APR-DRG,823,Eye Infections And Other Eye Disorders,,,14781.43,23141.84,5
APR-DRG,824,Eye Infections And Other Eye Disorders,,,17108.8,53739.17,5
APR-DRG,83,Autologous Bone Marrow Transplant Or T-Cell Immunotherapy,,,115028.0,164326.41,3
APR-DRG,84,Autologous Bone Marrow Transplant Or T-Cell Immunotherapy,,,182944.0,261347.99,3
APR-DRG,8411,Extensive Third Degree Burns With Skin Graft,,,82536.0,119904.22,5
APR-DRG,8412,Extensive Third Degree Burns With Skin Graft,,,83962.0,119945.73,5
APR-DRG,8413,Extensive Third Degree Burns With Skin Graft,,,115596.6,184577.05,5
APR-DRG,8414,Extensive Third Degree Burns With Skin Graft,,,334276.0,477537.46,5
APR-DRG,8421,Burns With Skin Graft Except Extensive Third Degree Burns,,,25865.0,36949.65,5
APR-DRG,8422,Burns With Skin Graft Except Extensive Third Degree Burns,,,38491.0,54986.64,5
APR-DRG,8423,Burns With Skin Graft Except Extensive Third Degree Burns,,,71676.84,105215.77,5
APR-DRG,8424,Burns With Skin Graft Except Extensive Third Degree Burns,,,165384.06,250257.71,5
APR-DRG,8431,Extensive Third Degree Burns Without Skin Graft,,,12616.0,18022.31,5
APR-DRG,8432,Extensive Third Degree Burns Without Skin Graft,,,17403.0,24861.4,5
APR-DRG,8433,Extensive Third Degree Burns Without Skin Graft,,,30383.13,45405.56,5
APR-DRG,8434,Extensive Third Degree Burns Without Skin Graft,,,51393.12,122494.49,5
APR-DRG,8441,Partial Thickness Burns Without Skin Graft,,,8433.0,12046.67,5
APR-DRG,8442,Partial Thickness Burns Without Skin Graft,,,12814.0,18546.85,5
APR-DRG,8443,Partial Thickness Burns Without Skin Graft,,,25889.0,36983.9,5
APR-DRG,8444,Partial Thickness Burns Without Skin Graft,,,73264.0,104662.96,5
APR-DRG,8501,Services,,,16717.62,37179.58,5
APR-DRG,8502,Services,,,22542.86,46743.54,5
APR-DRG,8503,Services,,,45413.0,74980.05,5
APR-DRG,8504,Services,,,82080.0,162003.83,5
APR-DRG,8601,Rehabilitation,,,14261.0,20372.94,3
APR-DRG,8602,Rehabilitation,,,19343.0,27632.74,3
APR-DRG,8603,Rehabilitation,,,26623.0,38033.24,3
APR-DRG,8604,Rehabilitation,,,35838.0,51197.75,3
APR-DRG,8611,"Signs, Symptoms And Other Factors Influencing Health Status",,,6148.19,10544.81,5
APR-DRG,8612,"Signs, Symptoms And Other Factors Influencing Health Status",,,9098.72,13917.88,5
APR-DRG,8613,"Signs, Symptoms And Other Factors Influencing Health Status",,,14116.0,20165.03,5
APR-DRG,8614,"Signs, Symptoms And Other Factors Influencing Health Status",,,30868.0,44096.94,5
APR-DRG,8621,Other Aftercare And Convalescence,,,7155.0,10221.94,5
APR-DRG,8622,Other Aftercare And Convalescence,,,11056.0,15793.98,5
APR-DRG,8623,Other Aftercare And Convalescence,,,16383.0,23403.57,5
APR-DRG,8624,Other Aftercare And Convalescence,,,24821.71,43045.15,5
APR-DRG,8631,Neonatal Aftercare,,,11621.67,18802.59,5
APR-DRG,8632,Neonatal Aftercare,,,22915.85,53064.07,5
APR-DRG,8633,Neonatal Aftercare,,,55641.51,94859.3,5
APR-DRG,8634,Neonatal Aftercare,,,80522.35,224554.88,5
APR-DRG,8901,HIV With Multiple Major HIV Related Conditions,,,15689.0,22412.93,5
APR-DRG,8902,HIV With Multiple Major HIV Related Conditions,,,18271.0,26101.53,5
APR-DRG,8903,HIV With Multiple Major HIV Related Conditions,,,29606.0,42294.22,5
APR-DRG,8904,HIV With Multiple Major HIV Related Conditions,,,59693.0,85275.77,5
APR-DRG,891,Major Cranial Or Facial Bone Procedures,,,21299.58,40261.57,5
APR-DRG,892,Major Cranial Or Facial Bone Procedures,,,31670.39,53269.53,5
APR-DRG,8921,HIV With Major HIV Related Condition,,,12217.0,17452.39,5
APR-DRG,8922,HIV With Major HIV Related Condition,,,14648.01,23413.35,5
APR-DRG,8923,HIV With Major HIV Related Condition,,,20565.74,30484.81,5
APR-DRG,8924,HIV With Major HIV Related Condition,,,41536.3,60062.14,5
APR-DRG,893,Major Cranial Or Facial Bone Procedures,,,51629.64,87506.54,5
APR-DRG,8931,HIV With Multiple Significant HIV Related Conditions,,,13128.78,20769.2,5
APR-DRG,8932,HIV With Multiple Significant HIV Related Conditions,,,14696.53,23547.88,5
APR-DRG,8933,HIV With Multiple Significant HIV Related Conditions,,,20673.39,35858.73,5
APR-DRG,8934,HIV With Multiple Significant HIV Related Conditions,,,20958.43,72287.38,5
APR-DRG,894,Major Cranial Or Facial Bone Procedures,,,109329.0,156183.59,5
APR-DRG,8941,HIV With One Significant HIV Condition Or Without Significant Related Conditions,,,8631.73,16006.79,5
APR-DRG,8942,HIV With One Significant HIV Condition Or Without Significant Related Conditions,,,11083.42,19306.48,5
APR-DRG,8943,HIV With One Significant HIV Condition Or Without Significant Related Conditions,,,16512.93,27503.11,5
APR-DRG,8944,HIV With One Significant HIV Condition Or Without Significant Related Conditions,,,16512.93,39383.45,5
APR-DRG,901,Description Not Available,,,12209.96,12664.95,2
APR-DRG,902,Description Not Available,,,32755.98,33976.61,2
APR-DRG,903,Description Not Available,,,70403.23,73026.75,2
APR-DRG,904,Description Not Available,,,79605.05,82571.47,2
APR-DRG,91,Extracorporeal Membrane Oxygenation (Ecmo),,,86972.0,124245.84,3
APR-DRG,9101,Craniotomy For Multiple Significant Trauma,,,46662.57,75036.71,5
APR-DRG,9102,Craniotomy For Multiple Significant Trauma,,,46662.57,88993.73,5
APR-DRG,9103,Craniotomy For Multiple Significant Trauma,,,65189.02,116076.12,5
APR-DRG,9104,Craniotomy For Multiple Significant Trauma,,,120462.09,239781.38,5
APR-DRG,911,Other Major Head And Neck Procedures,,,20682.48,42492.35,5
APR-DRG,9111,Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,,,28899.0,41284.01,5
APR-DRG,9112,Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,,,34364.67,54265.06,5
APR-DRG,9113,Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,,,40907.08,73750.1,5
APR-DRG,9114,Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,,,108837.38,175614.81,5
APR-DRG,912,Other Major Head And Neck Procedures,,,36534.0,53040.88,5
APR-DRG,9121,Musculoskeletal And Other Procedures For Multiple Significant Trauma,,,34941.0,49916.03,5
APR-DRG,9122,Musculoskeletal And Other Procedures For Multiple Significant Trauma,,,38472.0,54959.74,5
APR-DRG,9123,Musculoskeletal And Other Procedures For Multiple Significant Trauma,,,63544.0,90776.88,5
APR-DRG,9124,Musculoskeletal And Other Procedures For Multiple Significant Trauma,,,119023.22,174651.08,5
APR-DRG,913,Other Major Head And Neck Procedures,,,60723.81,86980.65,5
APR-DRG,914,Other Major Head And Neck Procedures,,,69202.4,131967.94,5
APR-DRG,92,Extracorporeal Membrane Oxygenation (Ecmo),,,118326.0,169037.45,3
APR-DRG,921,Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,,,16735.82,28210.01,5
APR-DRG,922,Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,,,20674.9,39266.04,5
APR-DRG,923,Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,,,32198.02,62033.64,5
APR-DRG,924,Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,,,35015.12,123277.21,5
APR-DRG,93,Extracorporeal Membrane Oxygenation (Ecmo),,,171650.0,245214.01,3
APR-DRG,9301,Multiple Significant Trauma Without O.R. Procedure,,,10950.0,18986.05,5
APR-DRG,9302,Multiple Significant Trauma Without O.R. Procedure,,,15271.17,26103.98,5
APR-DRG,9303,Multiple Significant Trauma Without O.R. Procedure,,,26898.9,42778.53,5
APR-DRG,9304,Multiple Significant Trauma Without O.R. Procedure,,,57110.71,114510.66,5
APR-DRG,931,Description Not Available,,,12420.71,12883.56,2
APR-DRG,932,Description Not Available,,,18218.66,18897.56,2
APR-DRG,933,Description Not Available,,,34220.63,35495.84,2
APR-DRG,934,Description Not Available,,,37848.9,39259.31,2
APR-DRG,94,Extracorporeal Membrane Oxygenation (Ecmo),,,242364.0,346234.84,3
APR-DRG,9501,Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,19443.75,34794.71,5
APR-DRG,9502,Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,34184.0,48834.89,5
APR-DRG,9503,Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,55791.0,79701.28,5
APR-DRG,9504,Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,107363.0,153375.55,5
APR-DRG,951,Cleft Lip And Palate Repair,,,10573.98,19636.69,5
APR-DRG,9511,Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,14707.14,25538.95,5
APR-DRG,9512,Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,23322.19,37363.03,5
APR-DRG,9513,Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,42232.0,60331.21,5
APR-DRG,9514,Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,82149.0,117355.39,5
APR-DRG,952,Cleft Lip And Palate Repair,,,12807.34,23445.15,5
APR-DRG,9521,Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,11736.9,21155.67,5
APR-DRG,9522,Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,18987.37,30829.7,5
APR-DRG,9523,Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,36484.0,52119.9,5
APR-DRG,9524,Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,69722.0,106257.9,5
APR-DRG,953,Cleft Lip And Palate Repair,,,21801.44,33718.45,5
APR-DRG,954,Cleft Lip And Palate Repair,,,24342.59,69589.41,5
APR-DRG,971,Tonsil And Adenoid Procedures,,,7001.81,11956.17,5
APR-DRG,972,Tonsil And Adenoid Procedures,,,10658.89,17792.39,5
APR-DRG,973,Tonsil And Adenoid Procedures,,,23932.0,34188.09,5
APR-DRG,974,Tonsil And Adenoid Procedures,,,30518.07,115498.85,5
APR-DRG,981,"Other Ear, Nose, Mouth And Throat Procedures",,,10613.4,20925.74,5
APR-DRG,982,"Other Ear, Nose, Mouth And Throat Procedures",,,14822.37,28554.9,5
APR-DRG,983,"Other Ear, Nose, Mouth And Throat Procedures",,,33027.0,47181.38,5
APR-DRG,984,"Other Ear, Nose, Mouth And Throat Procedures",,,66040.0,94343.18,5
CDM,11000001,HC ROOM AND BOARD PRIVATE,3177.0,3177.0,,,0
CDM,11000005,HC ROOM AND BOARD PRIVATE - CNTRCT REQ,3177.0,3177.0,,,0
CDM,11100001,HC ROOM AND BOARD PRIVATE MED/SURG/GYN,3288.0,3288.0,,,0
CDM,11100005,HC ROOM AND BOARD PRIVATE MED/SURG/GYN - CNTRCT REQ,3288.0,3288.0,,,0
CDM,11400001,HC ROOM AND BOARD PRIVATE,3838.0,3838.0,,,0
CDM,12000001,HC ROOM AND BOARD SEMI PRIVATE,3275.0,3275.0,,,0
CDM,12000025,HC ROOM AND BOARD SEMI PRIVATE CAMBPER,3275.0,3275.0,,,0
CDM,12000026,HC ROOM AND BOARD SEMI PRIVATE MH BOARDER,3275.0,3275.0,,,0
CDM,12000030,HC ROOM AND BOARD SEMI PRIVATE - CNTRCT REQ,3275.0,3275.0,,,0
CDM,12300001,HC ROOM AND BOARD SEMI PRIVATE PEDI,3275.0,3275.0,,,0
CDM,12300025,HC ROOM AND BOARD SEMI PRIVATE PEDI CAMBPER,3275.0,3275.0,,,0
CDM,12400001,HC ROOM AND BOARD SEMI PRIVATE,3838.0,3838.0,,,0
CDM,12400002,HC ROOM AND BOARD PRIVATE,3838.0,3838.0,,,0
CDM,12900001,HC ROOM AND BOARD SEMI PRIVATE,2488.0,2488.0,,,0
CDM,13900001,HC ROOM AND BOARD PEDI,3750.0,3750.0,,,0
CDM,13900010,HC ROOM AND BOARD PEDI OTHER CAMBPER,3750.0,3750.0,,,0
CDM,15000001,HC ROOM AND BOARD OVERFLOW SEMI-PRIVATE,3288.0,3288.0,,,0
CDM,20000001,HC INTENSIVE CARE UNIT,7795.0,7795.0,,,0
CDM,20200001,HC INTENSIVE CARE UNIT MEDICAL,7414.0,7414.0,,,0
CDM,20300001,HC INTENSIVE CARE UNIT PEDIATRIC,9780.0,9780.0,,,0
CDM,20600001,HC INTENSIVE CARE UNIT INTERMEDIATE CARE,7414.0,7414.0,,,0
CDM,20800001,HC INTENSIVE CARE UNIT TRAUMA,8262.0,8262.0,,,0
CDM,20900002,HC INTENSIVE CARE INTERMEDIATE PICU,8759.0,8759.0,,,0
CDM,21000001,HC CORONARY CARE UNIT,8262.0,8262.0,,,0
CDM,21400001,HC CORONARY CARE UNIT INTERMEDIATE CARE,7414.0,7414.0,,,0
CDM,25010044,HC SODIUM THIOSULFATE 12.5G/50ML,38.0,38.0,,,0
CDM,25010300,HC MOD SED SAME PHYS PT <5 YRS INI 15MINS,130.0,130.0,,,0
CDM,25010301,HC MOD SED SAME PHYS PT 5 YRS OR> INI 15MINS,130.0,130.0,,,0
CDM,25010302,HC MOD SED EA ADDL 15MINS,28.0,28.0,,,0
CDM,25010505,HC MED FOOD NUTR ORAL 100% INTAKE,50.0,50.0,,,0
CDM,25910100,HC MODIFIED SOLID FOOD SUPPLEMENT,50.0,50.0,,,0
CDM,25910101,HC MED FOOD FOR INBRN ERRORS META,50.0,50.0,,,0
CDM,27000001,#2 ORTHOCORD SUTURE VIOLET (WITH MO-7 NEEDLES),89.3,89.3,,,0
CDM,27000001,100206 : PAINBUSTER ANTIMICROBIAL SILVER SOAKER 400ML-4ML-HR,453.45,453.45,,,0
CDM,27000001,100406 : SUTURE SS 7 L18IN N ABSRB SIL L48MM CCS 1-2 CIR CUT EDGE,40.71,40.71,,,0
CDM,27000001,104229 : SUTURE GOR TX SZ 2-0 L36IN NONABSORBABLE L24MM PH-24 1-2 CIR,60.53,60.53,,,0
CDM,27000001,109381 : SUTURE FIBERLINK 2 L26IN N ABSRB BLU CLS LOOP POLY POLYCORE,143.52,143.52,,,0
CDM,27000001,112578 : SUTURE MERS 5-0 18IN NABSRB WHT 8MM S-14 1-4 CIR SPAT POLY,39.45,39.45,,,0
CDM,27000001,119894 : 2 ORTHOCORD SUTURE VIOLET (WITH MO-7 NEEDLES),89.3,89.3,,,0
CDM,27000001,120 : SUTURE PROL 6-0 24IN NABSRB BLU 9.3MM BV-1 3-8 CIR TAPR,48.53,48.53,,,0
CDM,27000001,12022 : SUTURE VCRL 6-0 L12IN ABSRB VLT L8MM S-14 1-4 CIR REV CUT,40.1,40.1,,,0
CDM,27000001,120875 : SIZE NO. 5 - 20MM X 27MM X 10MM,469.75,469.75,,,0
CDM,27000001,120876 : SIZE NO. 6 - 21MM X 28MM X 11MM,469.75,469.75,,,0
CDM,27000001,122 : SUTURE PROL 5-0 L36IN NABSRB BLU L13MM CC-1 3-8 CIR TAPERCUT,48.28,48.28,,,0
CDM,27000001,123487 : SUTURE ORTHOCORD 2-0 L36IN ABSRB VLT BLU L22MM MO-7 1-2 CIR,108.0,108.0,,,0
CDM,27000001,126293 : KIT RETRCT DISP FOR INTERCONTINENTAL LLIF PLT SPCR SYS MAR,2160.0,2160.0,,,0
CDM,27000001,127845 : SUTURE SUPRAMID X 4-0 L12IN NABSRB WHT L18.7MM 1-2 CIR TAPR,38.6,38.6,,,0
CDM,27000001,128593 : SUTURE MCRYL + 4-0 18IN ABSRB VLT ANTIBACT 19MM PS-2 3-8 CIR,16.05,16.05,,,0
CDM,27000001,128871 : SUTURE FBRWR 3-0 L18IN N ABSRB BLU L15MM 3-8 CIR TAPR NDL,57.72,57.72,,,0
CDM,27000001,128872 : FIBERWIRE 4-01.5 METRIC BRAIDED POLYBLEND SUTURE BLUE WITH T,57.72,57.72,,,0
CDM,27000001,129732 : SUTURE PLN GUT 6-0 18IN ABSRB YELLOWISH TAN 6.5MM TG140-8,55.82,55.82,,,0
CDM,27000001,136 : SUTURE SHRP PT 9-0 L5IN N ABSRB BLK L4MM HRM4 1-2 CIR MET,141.55,141.55,,,0
CDM,27000001,136817 : SPLINT WRST POS FLAT NEUT LP ACUMED II,84.96,84.96,,,0
CDM,27000001,138046 : SUTURE FBRWR 2-0 L18IN N ABSRB SS MENIS REP NDL,187.2,187.2,,,0
CDM,27000001,14088 : PILLOW CARTER 79-90500,43.36,43.36,,,0
CDM,27000001,144 : SUT SILK 6-0 DO1 1780G,36.08,36.08,,,0
CDM,27000001,14771 : SUTURE PROL W- HEMOSEAL 5-0 24IN NABSRB BLU 9.3MM BV-1 3-8,57.31,57.31,,,0
CDM,27000001,14774 : SUTURE PROL 4-0 L30IN NABSRB BLU L13MM C-1 3-8 CIR TAPR PNT,107.85,107.85,,,0
CDM,27000001,14776 : SUTURE PROL 8-0 L24IN NABSRB BLU L8MM BV175-6 3-8 CIR TAPR,64.51,64.51,,,0
CDM,27000001,14807 : SUTURE PROL 5-0 36IN NABSRB BLU 13MM C-1 3-8 CIR TAPR POLYPR,35.85,35.85,,,0
CDM,27000001,14808 : SUTURE PROL 6-0 30IN NABSRB BLU 13MM C-1 3-8 CIR TAPR POLYPR,43.29,43.29,,,0
CDM,27000001,14811 : SUTURE PROL 6-0 30IN NABSRB BLU 9.3MM BV-1 3-8 CIR TAPR,48.53,48.53,,,0
CDM,27000001,14816 : SUTURE PROL 7-0 30IN NABSRB BLU 9.3MM BV-1 3-8 CIR TAPR,45.85,45.85,,,0
CDM,27000001,14843 : SUTURE ETHBND EXCEL SZ 5 L30IN NABSRB GRN L48MM V-40 1-2 CIR,42.4,42.4,,,0
CDM,27000001,153 : SUT SURGILON 0 T12 1962-62,72.41,72.41,,,0
CDM,27000001,169 : SUTURE VCRL 1 L18IN ABSRB VLT L36MM CT-1 1-4 CIR TAPR PNT,33.25,33.25,,,0
CDM,27000001,170 : SUTURE VCRL 2-0 L27IN ABSRB VLT L65MM TP-1 1-2 CIR TAPR PNT,39.95,39.95,,,0
CDM,27000001,173 : SUTURE COAT VCRL 3-0 18IN ABSRB VLT CR 26MM SH 1-2 CIR TAPR,31.57,31.57,,,0
CDM,27000001,176 : SUTURE VCRL 5-0 L12IN ABSRB VLT L8MM S-14 1-4 CIR SPAT REV,40.33,40.33,,,0
CDM,27000001,178 : SUTURE VCRL 5-0 L18IN ABSRB VLT L8MM S-14 1-4 CIR SPAT REV,40.06,40.06,,,0
CDM,27000001,180 : SUTURE VCRL 6-0 L18IN ABSRB VLT L6.5MM TG100-8 1-4 CIR SPAT,37.76,37.76,,,0
CDM,27000001,181 : SUTURE VCRL 7-0 L18IN ABSRB VLT L6.5MM TG140-8 3-8 CIR REV,38.12,38.12,,,0
CDM,27000001,186 : SUTURE VCRL 0 L18IN ABSRB VLT CR L36MM CT-1 1-2 CIR TAPR PNT,32.12,32.12,,,0
CDM,27000001,198 : SUTURE VCRL SZ 4-0 L18IN ABSRB VLT TF L13MM 1-2 CIR,43.84,43.84,,,0
CDM,27000001,2-0 ETHIBOND GRNWHT 10X30IN V-7 DOUBLE ARMED,119.88,119.88,,,0
CDM,27000001,22037 : SUTURE PLN GUT 5-0 12IN ABSRB YELLOWISH TAN 8MM S-14 1-4 CIR,56.62,56.62,,,0
CDM,27000001,23417 : SUTURE PERMA-HND 3-0 L18IN N ABSRB BLK CR L17MM RB-1 1-2 CIR,30.4,30.4,,,0
CDM,27000001,2775 : SUTURE CHRM GUT 4-0 18IN ABSRB UD 8MM G-2 1-2 CIR REV CUT,44.9,44.9,,,0
CDM,27000001,2776 : SUTURE PLN GUT 6-0 18IN ABSRB YELLOWISH TAN 11MM G-1 3-8 CIR,41.29,41.29,,,0
CDM,27000001,30073 : SUTURE ETHBND EXCEL 0 48IN NABSRB GRN 26MM SH 1-2 CIR TAPR,85.11,85.11,,,0
CDM,27000001,32658 : SUTURE PROLENE D6885,287.25,287.25,,,0
CDM,27000001,33036 : SUTURE NYL 10-0 L12IN NABSRB BLK MFIL KNOT FOR CORNEAL,62.4,62.4,,,0
CDM,27000001,359390 : SUTURE V LOC 90 SZ 2-0 L6IN ABSRB VLT L27MM GS-22 1-2 CIR,98.35,98.35,,,0
CDM,27000001,37135 : SUTURE GOR TX SZ 5-0 L30IN NONABSORBABLE L13MM PH-13 1-2 CIR,90.2,90.2,,,0
CDM,27000001,376027 : BLADE SURGICAL NO10 CARBON STEEL STRAIGHT REUSABLE HANDLE SH,34.58,34.58,,,0
CDM,27000001,376028 : BLADE SURGICAL NO11 CARBON STEEL REUSABLE HANDLE CONVENTIONA,33.98,33.98,,,0
CDM,27000001,376030 : BLADE SURGICAL NO15 CARBON STEEL REUSABLE HANDLE CONVENTIONA,33.98,33.98,,,0
CDM,27000001,376035 : BLADE SURGICAL NO10 CARBON STEEL REUSABLE HANDLE CONVENTIONL,44.54,44.54,,,0
CDM,27000001,376043 : BLADE SURGICAL NO10 STAINLESS STEEL REUSABLE HANDLE CONVENTI,30.15,30.15,,,0
CDM,27000001,376044 : BLADE SURGICAL NO11 STAINLESS STEEL REUSABLE HANDLE CONVENTI,30.15,30.15,,,0
CDM,27000001,376046 : BLADE SURGICAL NO15 12MM STAINLESS STEEL REUSABLE HANDLE CON,29.56,29.56,,,0
CDM,27000001,39125 : SUTURE ETHBND EXCEL 2-0 30IN NABSRB GRN WHT 26MM SH 1-2 CIR,172.38,172.38,,,0
CDM,27000001,407725 : SEALANT DURA HYDRGEL AUTOSPRAY ET W- PREASSEMBLED APPL INT,2408.56,2408.56,,,0
CDM,27000001,407968 : ANGLED DRIVING SHAFT,100.8,100.8,,,0
CDM,27000001,410283 : SYSTEM WND DEB 0.05% CHG JET LAV IRRISEPT,165.69,165.69,,,0
CDM,27000001,412182 : KIT PROC INCL IN AND OUT FLOPAK TISS TRAP WST BG FOR FLUENT,6229.47,6229.47,,,0
CDM,27000001,412228 : CVC DRESSING W- BP KIT,39.65,39.65,,,0
CDM,27000001,412459 : NEURO STROKE KIT,97.49,97.49,,,0
CDM,27000001,412495 : O.R. CABLE AND EXTENSION,180.0,180.0,,,0
CDM,27000001,412848 : SUTURE V-LOC SZ 2-0 L18IN ABSRB UD GS-21 L37MM 1-2 CIR TAPR,113.93,113.93,,,0
CDM,27000001,413572 : SUTURE POLY 5-0 L18IN NABSRB GRN L6.1MM 1-4 CIR R-5 CNTR PNT,46.37,46.37,,,0
CDM,27000001,413573 : STAPLER INT 40MM STPL H2XL51MM GRN RELD CRV HD ECHELON,2094.7,2094.7,,,0
CDM,27000001,413574 : STAPLER INT 40MM STPL H1.5XL51MM BLU RELD CRV HD ECHELON,1940.8,1940.8,,,0
CDM,27000001,413575 : RELOAD STPL GRN L40MM 2MM CRV HD REG THCK,1180.23,1180.23,,,0
CDM,27000001,414721 : SUTURE ETHBND EXCEL 2-0 L30IN N ABSRB WHT L26MM 1-2 CIR TAPR,157.04,157.04,,,0
CDM,27000001,420401 : SUT EITHIBOND EXCEL X522H,4.6,4.6,,,0
CDM,27000001,43254 : SUT CV-5 5N06A,72.0,72.0,,,0
CDM,27000001,43255 : SUT CV-5 4N02A,74.2,74.2,,,0
CDM,27000001,44318 : DRESSING,75.91,75.91,,,0
CDM,27000001,45674 : SUTURE CHRM GUT 6-0 18IN ABSRB UD 11MM G-1 3-8 CIR REV CUT,45.22,45.22,,,0
CDM,27000001,49914 : SUTURE FBRWR 2 L38IN N ABSRB BLU L26.5MM 1-2 CIR TAPR PNT,57.72,57.72,,,0
CDM,27000001,5-0 PROLENE BLUE 1X12IN SM-1 DOUBLE ARMED,35.66,35.66,,,0
CDM,27000001,534577 : SUTURE MCRYL 4-0 18IN ABSRB VLT 13MM P-3 3-8 CIR REV CUT,17.11,17.11,,,0
CDM,27000001,540230 : SUTURE MCRYL 5-0 18IN ABSRB VLT 13MM P-3 3-8 CIR REV CUT,17.37,17.37,,,0
CDM,27000001,55733 : SUTURE VCRL SZ 3-0 L18IN ABSRB VLT L22MM X-1 1-2 CIR REV CUT,47.39,47.39,,,0
CDM,27000001,6-0 PROLENE BLUE 1X18IN BV-1 DOUBLE ARMED,41.68,41.68,,,0
CDM,27000001,61605 : SUTURE VCRL SZ 6-0 L12IN ABSRB VLT L7.6MM S-29 1-4 CIR,40.56,40.56,,,0
CDM,27000001,63 : SUTURE CHRM GUT 7-0 18IN ABSRB BLU 6.5MM TG140-8 3-8 CIR,73.53,73.53,,,0
CDM,27000001,63298 : SUTURE FBRWR 5 L38IN N ABSRB BLU L48MM 1-2 CIR CONVENTIONAL,104.52,104.52,,,0
CDM,27000001,63705 : SUTURE 6 SGL WIRE L18IN NABSRB L51MM TC-1 1-2 CIR TAPR CUT,49.6,49.6,,,0
CDM,27000001,64164 : SUTURE FIBERTAPE SZ 2-0 L36IN NABSRB BLU 2MM NDL TAPR END,273.0,273.0,,,0
CDM,27000001,653 : SUTURE PROL SZ 6-0 L30IN NABSRB BLU L13MM CC-1 3-8 CIR DA,181.03,181.03,,,0
CDM,27000001,655 : SUTURE PROL 8-0 L18IN N ABSRB BLU L6.5MM BV130-5 3-8 CIR,69.45,69.45,,,0
CDM,27000001,665 : WIRE CARD PACE TEMP SUR STL SZ 2 - 0 24IN DK BLU POLYETH,31.45,31.45,,,0
CDM,27000001,8-0 COATED VICRYL VIOLET 1X8IN TG140-8 DOUBLE ARMED,40.25,40.25,,,0
CDM,27000001,84 : SUTURE ETHLN 10-0 12IN NABSRB BLK 5.5MM TG160-6 1-2 CIR SPAT,47.31,47.31,,,0
CDM,27000001,85 : SUTURE ETHLN 8-0 5IN NABSRB BLK 5MM BV130-4 3-8 CIR TAPR,44.25,44.25,,,0
CDM,27000001,87 : SUTURE ETHLN 8-0 12IN NABSRB BLK 7MM CS175-6 1-2 CIR SPAT,36.11,36.11,,,0
CDM,27000001,92 : SUTURE MERS DA 4-0 S-4 SABRELOC CONVENTIONAL SPAT 1-4 CIR,39.95,39.95,,,0
CDM,27000001,97 : SUTURE NRLN 4-0 L18IN N ABSRB BLK CR L18MM TF 1-2 CIR TAPR,42.42,42.42,,,0
CDM,27000001,9767 : SUTURE VCRL 8-0 L12IN ABSRB VLT L6.5MM TG140-6 3-8 CIR SPAT,49.82,49.82,,,0
CDM,27000001,ANGLED DRIVING SHAFT,100.8,100.8,,,0
CDM,27000001,BLADE SURGICAL NO10 CARBON STEEL REUSABLE HANDLE CONVENTIONL,44.56,44.56,,,0
CDM,27000001,BLADE SURGICAL NO10 CARBON STEEL STRAIGHT REUSABLE HANDLE SH,34.01,34.01,,,0
CDM,27000001,BLADE SURGICAL NO10 STAINLESS STEEL REUSABLE HANDLE CONVENTI,30.18,30.18,,,0
CDM,27000001,BLADE SURGICAL NO11 CARBON STEEL REUSABLE HANDLE CONVENTIONA,34.0,34.0,,,0
CDM,27000001,BLADE SURGICAL NO11 STAINLESS STEEL REUSABLE HANDLE CONVENTI,30.18,30.18,,,0
CDM,27000001,BLADE SURGICAL NO15 12MM STAINLESS STEEL REUSABLE HANDLE CON,29.59,29.59,,,0
CDM,27000001,BLADE SURGICAL NO15 CARBON STEEL REUSABLE HANDLE CONVENTIONA,34.06,34.06,,,0
CDM,27000001,BRAIDED POLYBLEND SUTURE BLUE,130.27,130.27,,,0
CDM,27000001,BUR SURG SZ 702 L44.5MM DIA1.6MM CARB NO1 SHANK DISP,12.0,12.0,,,0
CDM,27000001,CLIP LIG MD LG POLYMER HEMOLOCK,90.86,90.86,,,0
CDM,27000001,DELTA DRY PANTALOON SIZE 1,316.51,316.51,,,0
CDM,27000001,DRESSING,75.91,75.91,,,0
CDM,27000001,FIBERLINK  SUTURE TAPE 1.3MM,221.52,221.52,,,0
CDM,27000001,FIBERWIRE 4-01.5 METRIC BRAIDED POLYBLEND SUTURE BLUE WITH T,57.72,57.72,,,0
CDM,27000001,INACTIVE USE 97  4-0 NUROLON BLACK 8X18IN TF CR,36.19,36.19,,,0
CDM,27000001,INACTIVE USE PS# 100767 - KIT NEG PRSS SM GRANUFOAM DSG 10X7,43.85,43.85,,,0
CDM,27000001,INACTIVE USE PS# 100769 - KIT NEG PRSS M W12.5XL18CM THK,103.51,103.51,,,0
CDM,27000001,INACTIVE USE PS# 100773 - KIT DSG LG 26X15X3.2CM W/ 2 DRP,127.39,127.39,,,0
CDM,27000001,INACTIVE USE PS# 534577 - SUTURE MCRYL 4-0 18IN ABSRB,166.54,166.54,,,0
CDM,27000001,INACTIVE USE PS# 540230 - SUTURE MCRYL 5-0 18IN ABSRB VLT,168.98,168.98,,,0
CDM,27000001,INACTIVE USE PS# 88065 SUTURE VCRL 4-0 L18IN,25.92,25.92,,,0
CDM,27000001,INACTIVE USE PS#100769 -  KIT NEG PRSS M W12.5XL18CM THK3.2C,93.79,93.79,,,0
CDM,27000001,INACTIVE USE PS#100773 -  KIT DSG LG W15XH3.2XL26CM GRANUFOA,115.51,115.51,,,0
CDM,27000001,INACTIVE USE PS#121195 -  SUTURE FIBERTAPE FBRWR SZ 2-0 L30I,130.27,130.27,,,0
CDM,27000001,KIT POS UE DISP ADPTBL SYS,600.0,600.0,,,0
CDM,27000001,KIT PREP PPK100,228.0,228.0,,,0
CDM,27000001,KIT PROC INCL IN AND OUT FLOPAK TISS TRAP WST BG FOR FLUENT,576.0,576.0,,,0
CDM,27000001,KIT RETRCT DISP FOR INTERCONTINENTAL LLIF PLT SPCR SYS MAR,2160.0,2160.0,,,0
CDM,27000001,NEURO STROKE KIT,97.49,97.49,,,0
CDM,27000001,O.R. CABLE AND EXTENSION,180.0,180.0,,,0
CDM,27000001,PADDING CAST SZ 2 10-11 5IN THGH CIRC WHT SYN PRESHAPED,318.79,318.79,,,0
CDM,27000001,PAINBUSTER ANTIMICROBIAL SILVER SOAKER 400ML/4ML/HR,453.46,453.46,,,0
CDM,27000001,PEDIATRIC DRESSING CHANGE TRAY,31.86,31.86,,,0
CDM,27000001,PILLOW CARTER 79-90500,42.79,42.79,,,0
CDM,27000001,RELOAD STPL GRN L40MM 2MM CRV HD REG THCK,1180.22,1180.22,,,0
CDM,27000001,RES ONLY-DEVICE JET LAV 450ML 0.05% CHG,168.84,168.84,,,0
CDM,27000001,SEALANT DURA HYDRGEL AUTOSPRAY ET W/ PREASSEMBLED APPL INT,2492.86,2492.86,,,0
CDM,27000001,SENSOR STRAIGHT TIP,226.97,226.97,,,0
CDM,27000001,SPLINT WRST POS FLAT NEUT LP ACUMED II,84.96,84.96,,,0
CDM,27000001,"STANDARD HYPODERMIC NEEDLE, 30GX0.5""",0.41,0.41,,,0
CDM,27000001,STAPLER INT 40MM STPL H1.5XL51MM BLU RELD CRV HD ECHELON,2000.66,2000.66,,,0
CDM,27000001,SUT CV-5 4N02A,74.21,74.21,,,0
CDM,27000001,SUT CV-5 5N06A,72.0,72.0,,,0
CDM,27000001,SUT EITHIBOND EXCEL X522H,337.56,337.56,,,0
CDM,27000001,SUT ETHIBOND 3/0 X762H,367.55,367.55,,,0
CDM,27000001,SUT ETHILON 2 D7597,68.33,68.33,,,0
CDM,27000001,SUT GORE-TEX  CV-8 #8M02A,1056.0,1056.0,,,0
CDM,27000001,SUT GORTEX  2N19- V2,58.99,58.99,,,0
CDM,27000001,SUT SILK 6-0 DO1 1780G,30.48,30.48,,,0
CDM,27000001,SUT SURGILON 0 T12 1962-62,64.95,64.95,,,0
CDM,27000001,SUT SURGILON 0 T19 1969-62,47.72,47.72,,,0
CDM,27000001,SUT TICRON 5-0 T31 3271-21,32.38,32.38,,,0
CDM,27000001,SUTURE 6 SGL WIRE L18IN NABSRB L51MM TC-1 1/2 CIR TAPR CUT,49.61,49.61,,,0
CDM,27000001,SUTURE CARDIONYL 5-0 L80CM NABSRB BLU L16MM 3/8 CIR TAPR PNT,686.4,686.4,,,0
CDM,27000001,SUTURE CHRM GUT 0 27IN ABSRB UD 65MM BP-1 1/2 CIR BLNT PNT,23.88,23.88,,,0
CDM,27000001,SUTURE CHRM GUT 4-0 18IN ABSRB UD 8MM G-2 1/2 CIR REV CUT,40.67,40.67,,,0
CDM,27000001,SUTURE CHRM GUT 5-0 18IN ABSRB UD 8MM P-2 1/2 CIR REV CUT,163.03,163.03,,,0
CDM,27000001,SUTURE CHRM GUT 6-0 18IN ABSRB UD 11MM G-1 3/8 CIR REV CUT,39.79,39.79,,,0
CDM,27000001,SUTURE CHRM GUT 7-0 18IN ABSRB BLU 6.5MM TG140-8 3/8 CIR,65.06,65.06,,,0
CDM,27000001,SUTURE COAT VCRL + 3-0 18IN ABSRB UD ANTIBACT CR 26MM CP-2,38.7,38.7,,,0
CDM,27000001,SUTURE COAT VCRL 3-0 18IN ABSRB VLT CR 26MM SH 1/2 CIR TAPR,28.13,28.13,,,0
CDM,27000001,SUTURE COAT VCRL 8-0 5IN ABSRB VLT 6.5MM BV130-5 3/8 CIR,36.89,36.89,,,0
CDM,27000001,SUTURE ETHBND EXCEL 0 48IN NABSRB GRN 26MM SH 1/2 CIR TAPR,85.1,85.1,,,0
CDM,27000001,SUTURE ETHBND EXCEL 2-0 30IN NABSRB GRN WHT 26MM SH 1/2 CIR,149.17,149.17,,,0
CDM,27000001,SUTURE ETHBND EXCEL 2-0 L30IN N ABSRB WHT L26MM 1/2 CIR TAPR,142.98,142.98,,,0
CDM,27000001,SUTURE ETHBND EXCEL SZ 5 L30IN NABSRB GRN L48MM V-40 1/2 CIR,41.22,41.22,,,0
CDM,27000001,SUTURE ETHLN 10-0 12IN NABSRB BLK 5.5MM TG160-6 1/2 CIR SPAT,39.67,39.67,,,0
CDM,27000001,SUTURE ETHLN 8-0 12IN NABSRB BLK 7MM CS175-6 1/2 CIR SPAT,32.17,32.17,,,0
CDM,27000001,SUTURE ETHLN 8-0 5IN NABSRB BLK 5MM BV130-4 3/8 CIR TAPR,39.53,39.53,,,0
CDM,27000001,SUTURE ETHLN 9-0 12IN NABSRB BLK 5.5MM CS160-6 1/2 CIR SPAT,44.52,44.52,,,0
CDM,27000001,SUTURE FBRWR 2-0 L18IN N ABSRB SS MENIS REP NDL,187.2,187.2,,,0
CDM,27000001,SUTURE FBRWR 3-0 L18IN N ABSRB BLU L15MM 3/8 CIR TAPR NDL,57.72,57.72,,,0
CDM,27000001,SUTURE FBRWR 5 L38IN N ABSRB BLU L48MM 1/2 CIR CONVENTIONAL,104.52,104.52,,,0
CDM,27000001,SUTURE FIBERLINK 2 L26IN N ABSRB BLU CLS LOOP POLY POLYCORE,143.52,143.52,,,0
CDM,27000001,SUTURE FIBERTAPE SZ 2-0 L36IN NABSRB BLU 2MM NDL TAPR END,273.0,273.0,,,0
CDM,27000001,SUTURE GOR TX SZ 2-0 L36IN NONABSORBABLE L24MM PH-24 1/2 CIR,60.53,60.53,,,0
CDM,27000001,SUTURE GOR TX SZ 5-0 L30IN NONABSORBABLE L13MM PH-13 1/2 CIR,90.19,90.19,,,0
CDM,27000001,SUTURE GORTEX CC-3 TH-26,66.41,66.41,,,0
CDM,27000001,SUTURE MCRYL + 4-0 18IN ABSRB VLT ANTIBACT 19MM PS-2 3/8 CIR,188.85,188.85,,,0
CDM,27000001,SUTURE MCRYL 4-0 18IN ABSRB VLT 13MM P-3 3/8 CIR REV CUT,166.54,166.54,,,0
CDM,27000001,SUTURE MCRYL 5-0 18IN ABSRB VLT 13MM P-3 3/8 CIR REV CUT,168.98,168.98,,,0
CDM,27000001,SUTURE MERS 5-0 18IN NABSRB WHT 8MM S-14 1/4 CIR SPAT POLY,35.68,35.68,,,0
CDM,27000001,SUTURE MERS DA 4-0 S-4 SABRELOC CONVENTIONAL SPAT 1/4 CIR,35.98,35.98,,,0
CDM,27000001,SUTURE NRLN 4-0 L18IN N ABSRB BLK CR L18MM TF 1/2 CIR TAPR,38.28,38.28,,,0
CDM,27000001,SUTURE NYL 10-0 L12IN NABSRB BLK MFIL KNOT FOR CORNEAL,61.94,61.94,,,0
CDM,27000001,SUTURE ORTHOCORD 2-0 L36IN ABSRB VLT BLU L22MM MO-7 1/2 CIR,108.0,108.0,,,0
CDM,27000001,SUTURE PERMA-HND 3-0 L18IN N ABSRB BLK CR L17MM RB-1 1/2 CIR,26.05,26.05,,,0
CDM,27000001,SUTURE PLN GUT 5-0 12IN ABSRB YELLOWISH TAN 8MM S-14 1/4 CIR,50.1,50.1,,,0
CDM,27000001,SUTURE PLN GUT 6-0 18IN ABSRB YELLOWISH TAN 11MM G-1 3/8 CIR,36.34,36.34,,,0
CDM,27000001,SUTURE PLN GUT 6-0 18IN ABSRB YELLOWISH TAN 6.5MM TG140-8,51.96,51.96,,,0
CDM,27000001,SUTURE POLY 5-0 L18IN NABSRB GRN L6.1MM 1/4 CIR R-5 CNTR PNT,46.37,46.37,,,0
CDM,27000001,SUTURE PROL 10-0 L8IN N ABSRB BLU L13MM CIF-4 1/4 CIR,58.74,58.74,,,0
CDM,27000001,SUTURE PROL 4-0 L30IN NABSRB BLU L13MM C-1 3/8 CIR TAPR PNT,88.08,88.08,,,0
CDM,27000001,SUTURE PROL 5-0 36IN NABSRB BLU 13MM C-1 3/8 CIR TAPR POLYPR,35.15,35.15,,,0
CDM,27000001,SUTURE PROL 5-0 L36IN NABSRB BLU L13MM CC-1 3/8 CIR TAPERCUT,43.57,43.57,,,0
CDM,27000001,SUTURE PROL 6-0 24IN NABSRB BLU 9.3MM BV-1 3/8 CIR TAPR,44.63,44.63,,,0
CDM,27000001,SUTURE PROL 6-0 30IN NABSRB BLU 13MM C-1 3/8 CIR TAPR POLYPR,39.8,39.8,,,0
CDM,27000001,SUTURE PROL 6-0 30IN NABSRB BLU 9.3MM BV-1 3/8 CIR TAPR,44.97,44.97,,,0
CDM,27000001,SUTURE PROL 7-0 24IN NABSRB BLU 9.3MM BV-1 3/8 CIR TAPR,165.3,165.3,,,0
CDM,27000001,SUTURE PROL 7-0 30IN NABSRB BLU 9.3MM BV-1 3/8 CIR TAPR,44.51,44.51,,,0
CDM,27000001,SUTURE PROL 7-0 L30IN NABSRB BLU L9.3MM BV175-8 3/8 CIR TAPR,59.71,59.71,,,0
CDM,27000001,SUTURE PROL 8-0 L18IN N ABSRB BLU L6.5MM BV130-5 3/8 CIR,50.71,50.71,,,0
CDM,27000001,SUTURE PROL 8-0 L24IN NABSRB BLU L8MM BV175-6 3/8 CIR TAPR,62.04,62.04,,,0
CDM,27000001,SUTURE PROL SZ 6-0 L30IN NABSRB BLU L13MM CC-1 3/8 CIR DA,167.02,167.02,,,0
CDM,27000001,SUTURE PROL W/ HEMOSEAL 5-0 24IN NABSRB BLU 9.3MM BV-1 3/8,56.53,56.53,,,0
CDM,27000001,SUTURE PROLENE D6885,287.26,287.26,,,0
CDM,27000001,SUTURE SHRP PT 9-0 L5IN N ABSRB BLK L4MM HRM4 1/2 CIR MET,141.55,141.55,,,0
CDM,27000001,SUTURE SS 7 L18IN N ABSRB SIL L48MM CCS 1/2 CIR CUT EDGE,38.3,38.3,,,0
CDM,27000001,SUTURE SUPRAMID X 4-0 L12IN NABSRB WHT L18.7MM 1/2 CIR TAPR,38.54,38.54,,,0
CDM,27000001,SUTURE TIGERLOOP 2 L20IN N ABSRB WHT GRN L76MM STR NDL POLY,130.27,130.27,,,0
CDM,27000001,SUTURE V LOC 90 SZ 2-0 L6IN ABSRB VLT L27MM GS-22 1/2 CIR,93.72,93.72,,,0
CDM,27000001,SUTURE V-LOC SZ 2-0 L18IN ABSRB UD GS-21 L37MM 1/2 CIR TAPR,109.54,109.54,,,0
CDM,27000001,SUTURE VCRL 0 L18IN ABSRB VLT CR L36MM CT-1 1/2 CIR TAPR PNT,28.23,28.23,,,0
CDM,27000001,SUTURE VCRL 1 L18IN ABSRB VLT L36MM CT-1 1/4 CIR TAPR PNT,28.99,28.99,,,0
CDM,27000001,SUTURE VCRL 2-0 L27IN ABSRB VLT L65MM TP-1 1/2 CIR TAPR PNT,34.86,34.86,,,0
CDM,27000001,SUTURE VCRL 5-0 L12IN ABSRB VLT L8MM S-14 1/4 CIR SPAT REV,34.86,34.86,,,0
CDM,27000001,SUTURE VCRL 5-0 L18IN ABSRB VLT L8MM S-14 1/4 CIR SPAT REV,35.48,35.48,,,0
CDM,27000001,SUTURE VCRL 6-0 L12IN ABSRB VLT L8MM S-14 1/4 CIR REV CUT,36.22,36.22,,,0
CDM,27000001,SUTURE VCRL 6-0 L18IN ABSRB UD L8MM S-14 1/4 CIR SPAT REV,32.26,32.26,,,0
CDM,27000001,SUTURE VCRL 6-0 L18IN ABSRB VLT L6.5MM TG100-8 1/4 CIR SPAT,33.3,33.3,,,0
CDM,27000001,SUTURE VCRL 7-0 L18IN ABSRB VLT L6.5MM TG140-8 3/8 CIR REV,33.88,33.88,,,0
CDM,27000001,SUTURE VCRL 8-0 L12IN ABSRB VLT L6.5MM TG140-6 3/8 CIR SPAT,43.77,43.77,,,0
CDM,27000001,SUTURE VCRL SZ 3-0 L18IN ABSRB VLT L22MM X-1 1/2 CIR REV CUT,45.66,45.66,,,0
CDM,27000001,SUTURE VCRL SZ 4-0 L18IN ABSRB UD L17MM RB-1 1/2 CIR TAPR,30.22,30.22,,,0
CDM,27000001,SUTURE VCRL SZ 4-0 L18IN ABSRB VLT TF L13MM 1/2 CIR,42.08,42.08,,,0
CDM,27000001,SUTURE VCRL SZ 6-0 L12IN ABSRB VLT L7.6MM S-29 1/4 CIR,37.43,37.43,,,0
CDM,27000001,SYSTEM WND DEB 0.05% CHG JET LAV IRRISEPT,165.09,165.09,,,0
CDM,27000001,"TUOHY EPIDURAL NEEDLE 17G X 2""",13.39,13.39,,,0
CDM,27000001,UNIT SUT LD W/ SURGDAC GRN SZ 0 L48IN NDL BRD ENDO STIT,53.95,53.95,,,0
CDM,27000001,WIRE CARD PACE TEMP SUR STL SZ 2 - 0 24IN DK BLU POLYETH,28.81,28.81,,,0
CDM,27010001,HC MIDLINE/PICC DRESS CHNG MED SURG SUPPLIES,35.405,35.405,,,0
CDM,27010009,HC EARMOLD NON DISPOSABLE V5264,177.0,177.0,,,0
CDM,27010010,HC HEARING AID BATTERIES V5266,9.45,9.45,,,0
CDM,27010027,HC ACUTE CARE LOW LONG BED,73.0,73.0,,,0
CDM,27010055,HC DERMABOND,45.0,45.0,,,0
CDM,27010057,HC BARIATRIC BED,449.0,449.0,,,0
CDM,27010070,HC FIRST STEP HD,53.0,53.0,,,0
CDM,27010083,HC CITADEL BED,127.0,127.0,,,0
CDM,27010099,HC LOW AIR LOSS BED/MATTRESS,75.0,75.0,,,0
CDM,27010125,HC PRONE POSITIONING BED,3747.0,3747.0,,,0
CDM,27010129,HC TRYADYNE BED/ROTOREST,1139.0,1139.0,,,0
CDM,27010303,HC ENCLOSURE BED TENT,111.0,111.0,,,0
CDM,27010304,HC BARIATRIC BED ETS MTRESS,449.0,449.0,,,0
CDM,27010305,HC EXTRA LONG BED,154.0,154.0,,,0
CDM,27010315,HC MICROMEND REMOVABLE SKIN STAPLE EACH,45.0,45.0,,,0
CDM,27010317,HC ENVELLA BED,130.0,130.0,,,0
CDM,27010318,412526 : SLEEP REMOTE,3360.0,3360.0,,,0
CDM,27010318,546564 : KIT PT CTRL DBS VERCISE,3360.0,3360.0,,,0
CDM,27010318,SLEEP REMOTE,3360.0,3360.0,,,0
CDM,27100500,HC HEARING AID DIG MON BTE LEVEL I V5257,1265.0,1265.0,,,0
CDM,27100501,HC HEARING AID DIG MON BTE LEVEL II V5257,1414.0,1414.0,,,0
CDM,27100502,HC HEARING AID DIG MON BTE LEVEL III V5257,2434.0,2434.0,,,0
CDM,27100503,HC HEARING AID DIG MON BTE LEVEL IV V5257,3952.0,3952.0,,,0
CDM,27100504,HC HEARING AID DIG MON CIC LEVEL I V5254,881.0,881.0,,,0
CDM,27100505,HC HEARING AID DIG MON CIC LEVEL II V5254,1583.0,1583.0,,,0
CDM,27100506,HC HEARING AID DIG MON CIC LEVEL III V5254,2464.0,2464.0,,,0
CDM,27100507,HC HEARING AID DIG MON CIC LEVEL IV V5254,4123.0,4123.0,,,0
CDM,27100508,HC HEARING AID DIG MON ITE LEVEL I V5256,1063.0,1063.0,,,0
CDM,27100509,HC HEARING AID DIG MON ITE LEVEL II V5256,1272.0,1272.0,,,0
CDM,27100510,HC HEARING AID DIG MON ITE LEVEL III V5256,2222.0,2222.0,,,0
CDM,27100511,HC HEARING AID DIG MON ITE LEVEL IV V5256,3985.0,3985.0,,,0
CDM,27100512,HC HEARING AID DIG BIN BTE LEVEL I V5261,2530.0,2530.0,,,0
CDM,27100513,HC HEARING AID DIG BIN BTE LEVEL II V5261,2827.0,2827.0,,,0
CDM,27100514,HC HEARING AID DIG BIN BTE LEVEL III V5261,4869.0,4869.0,,,0
CDM,27100515,HC HEARING AID DIG BIN BTE LEVEL IV V5261,7905.0,7905.0,,,0
CDM,27100516,HC HEARING AID DIG BIN CIC LEVEL I V5258,1762.0,1762.0,,,0
CDM,27100517,HC HEARING AID DIG BIN CIC LEVEL II V5258,3166.0,3166.0,,,0
CDM,27100518,HC HEARING AID DIG BIN CIC LEVEL III V5258,4928.0,4928.0,,,0
CDM,27100519,HC HEARING AID DIG BIN CIC LEVEL IV V5258,8246.0,8246.0,,,0
CDM,27100520,HC HEARING AID DIG BIN ITE LEVEL I V5260,2125.0,2125.0,,,0
CDM,27100521,HC HEARING AID DIG BIN ITE LEVEL II V5260,2543.0,2543.0,,,0
CDM,27100522,HC HEARING AID DIG BIN ITE LEVEL III V5260,4444.0,4444.0,,,0
CDM,27100523,HC HEARING AID DIG BIN ITE LEVEL IV V5260,7971.0,7971.0,,,0
CDM,27100524,HC HEARING AID CONTRALATERAL ROUTING DEV MON BTE V5181,1472.0,1472.0,,,0
CDM,27100550,HC CLOSED EAR MOLD/INSERT,79.5,79.5,,,0
CDM,27100551,138196 : KIT NEG PRSS W10XL30CM W- 2 DSG PMP CLP PICO 7,663.3,663.3,,,0
CDM,27100551,KIT NEG PRSS W10XL30CM W/ 2 DSG PMP CLP PICO 7,685.01,685.01,,,0
CDM,27100552,HC HEARING AID CONTRALATERAL ROUTING DEV MON ITE V5171,1582.0,1582.0,,,0
CDM,27100556,HC HEARING AID CONTRALATERAL ROUTING DEV MON BTE V5181,1759.0,1759.0,,,0
CDM,27100560,HC HEARING AID CONTRALATERAL ROUTING SYS BIN ITE/ITE LEVEL I V5211,2736.0,2736.0,,,0
CDM,27100561,HC HEARING AID CONTRALATERAL ROUTING SYS BIN ITE/ITE LEVEL II V5211,3357.0,3357.0,,,0
CDM,27100562,HC HEARING AID CONTRALATERAL ROUTING SYS BIN ITE/ITE LEVEL III V5211,4293.0,4293.0,,,0
CDM,27100563,HC HEARING AID CONTRALATERAL ROUTING SYS BIN ITE/ITE LEVEL IV V5211,5547.0,5547.0,,,0
CDM,27100564,HC HEARING AID CONTRALATERAL ROUTING SYS BIN BTE/BTE LEVEL I V5221,3150.0,3150.0,,,0
CDM,27100565,HC HEARING AID CONTRALATERAL ROUTING SYS BIN BTE/BTE LEVEL II V5221,3721.0,3721.0,,,0
CDM,27100566,HC HEARING AID CONTRALATERAL ROUTING SYS BIN BTE/BTE LEVEL III V5221,4624.0,4624.0,,,0
CDM,27100567,HC HEARING AID CONTRALATERAL ROUTING SYS BIN BTE/BTE LEVEL IV V5221,5844.0,5844.0,,,0
CDM,27100568,HC DISPENSING FEE CONTRALATERAL ROUTING SYSTEM BINAURAL,918.93,918.93,,,0
CDM,27100569,HC DISPENSING FEE CONTRALATERAL MONAURAL,708.65,708.65,,,0
CDM,27110003,HC DISP FEE MONAURAL DIG V5241,708.65,708.65,,,0
CDM,27110005,HC HEARING AID ACCESSORIES LEVEL I V5267,14.0,14.0,,,0
CDM,27110011,HC EARMOLD/INSERT DISPOSABLE V5265,21.0,21.0,,,0
CDM,27110020,HC EAR IMPRESSION V5275,58.745000000000005,58.745000000000005,,,0
CDM,27110022,HC DISP FEE BINAURAL DIG,918.93,918.93,,,0
CDM,27110024,HC SWIMMOLDS MA,114.0,114.0,,,0
CDM,27110073,HC HEARING AID ACCESSORIES LEVEL II V5267,84.0,84.0,,,0
CDM,27110074,HC FM BOOT COUPLING V5289,140.0,140.0,,,0
CDM,27110075,HC ALD TV V5270,165.0,165.0,,,0
CDM,27110076,HC HEARING AID ACCESSORIES LEVEL III V5267,230.0,230.0,,,0
CDM,27110077,HC COCHLEAR IMPLANT EARHOOKS V5267,98.0,98.0,,,0
CDM,27110078,HC COCHLEAR IMPLANT MAGNET V5267,101.0,101.0,,,0
CDM,27110079,HC FM SYSTEM MONAURAL,6095.0,6095.0,,,0
CDM,27110080,HC FM SYSTEM BINAURAL,6566.0,6566.0,,,0
CDM,27110086,HC HEARING AID ACCESSORIES LEVEL IV V5267,385.0,385.0,,,0
CDM,27110087,HC EARMOLD NON DISPOSABLE BASIC V5264,75.275,75.275,,,0
CDM,27110089,HC ASSISTED LISTENING DEVICE ALERT ANY TYPE LEVEL I,350.0,350.0,,,0
CDM,27110090,HC ASSISTED LISTENING DEVICE ALERT ANY TYPE LEVEL II,1200.0,1200.0,,,0
CDM,27200001,"""GUIDE POST",334.8,334.8,,,0
CDM,27200001,"""MONOCRYL VIOLET 1X18"""" P-2""",125.45,125.45,,,0
CDM,27200001,"""SUT VLOC 2-0 P-14 CLEAR 12""""""",99.86,99.86,,,0
CDM,27200001,"(FD-410LR) ZENKERS""",548.47,548.47,,,0
CDM,27200001,.054IN X 7IN ST GUIDE WIRE,57.6,57.6,,,0
CDM,27200001,0 45CM STRATAFIX SPIRAL PDS PLUS VIOLET CT-1,61.9,61.9,,,0
CDM,27200001,0 70CM STRATAFIX SPIRAL PDS PLUS VIOLET CT-1,62.05,62.05,,,0
CDM,27200001,0.3MM POLYMER I/A TIP,27.94,27.94,,,0
CDM,27200001,1.00MM CLEARVIEW INTRACORONARY SHUNT,982.25,982.25,,,0
CDM,27200001,1.1MM PRECISION LONG CURVED TIP & TUBESET,2020.27,2020.27,,,0
CDM,27200001,1.2MM/1.6MM PLATE HOLDING TAK,158.4,158.4,,,0
CDM,27200001,1.3MM DRILL MANUAL,492.0,492.0,,,0
CDM,27200001,1.5MM DRILL LONG,388.32,388.32,,,0
CDM,27200001,1.5MM DRILL SHORT,388.32,388.32,,,0
CDM,27200001,1.6 TWIST DRILL,339.12,339.12,,,0
CDM,27200001,1.6MM DRILL 35MM WORKING LENG.TH STRYKER END,336.62,336.62,,,0
CDM,27200001,1.6MM DRILL 5MM STOP STRYKER END,306.79,306.79,,,0
CDM,27200001,1.6MM DRILL 7MM STOP STRYKER END,316.54,316.54,,,0
CDM,27200001,1.6X58MM DRILL 26MM WORKING LENGTH STRYKER END,338.28,338.28,,,0
CDM,27200001,1.7MM LONG CANNULATED DRILL QUICK RELEASE,876.0,876.0,,,0
CDM,27200001,1.8MM DRILL LONG,388.32,388.32,,,0
CDM,27200001,1.9MM DEEP ACCESS STANDARD LONG TIP&TUBESET,2020.27,2020.27,,,0
CDM,27200001,10-0 ETHILON BLACK 1X6IN CS160-6 DOUBLE ARMED,49.49,49.49,,,0
CDM,27200001,10-0 ETHILON BLACK 1X6IN TG160-6 DOUBLE ARMED,41.98,41.98,,,0
CDM,27200001,100224 : PROBE COAG 6.9FR X 3M W- FLTR 3000A FOR FLX ENDOSCP,669.6,669.6,,,0
CDM,27200001,100226 : PROBE COAG 6.9FR X 2.2M CIRCUMFERENTIAL BEAM W- FLTR 2200 C,608.88,608.88,,,0
CDM,27200001,100473 : INSTRUMENT BX NDL 18GA L25CM PEN D22MM PNK DISP FOR SFT TISS,70.08,70.08,,,0
CDM,27200001,100562 : HEMOSTATIC AGNT SURGCEL ORIG FRM 2IN X 3IN OXIDIZED,150.02,150.02,,,0
CDM,27200001,10061 : CATHETHER JEJUNOSTOMY LVB 12FR,343.3,343.3,,,0
CDM,27200001,100767 : DRESSING NEG PRSS SM 10X7.5X3.3CM POLYUR FOR WND THER VAC,43.84,43.84,,,0
CDM,27200001,100769 : KIT NEG PRSS M W12.5XL18CM THK3.2CM SENSA TRAC DSG POLYUR,93.8,93.8,,,0
CDM,27200001,100773 : KIT DSG LG W15XH3.2XL26CM GRANUFOAM,115.52,115.52,,,0
CDM,27200001,100775 : CANISTER NEG PRSS 500ML W- GEL TBNG CLMP CONN INFOVAC 10 PER,77.01,77.01,,,0
CDM,27200001,101176 : NEEDLE PNEUMOP 120MM 14G SUB FOR 117427,118.0,118.0,,,0
CDM,27200001,101180 : TIP IU 6.7MMX6CM WHT SIL SFT FLX DST END DISP RUMI II,229.87,229.87,,,0
CDM,27200001,101181 : TIP IU 6.7MM X 8CM BLU SIL SFT FLX DST END DISP RUMI II,204.33,204.33,,,0
CDM,27200001,101182 : TIP IU 6.7MM X 10CM GRN SIL SFT FLX DST END DISP RUMI II,229.87,229.87,,,0
CDM,27200001,101201 : RELOAD STPL PUR H3X3.5X4XL30MM ENDO GIA TRI-STPL ARTC MD,411.11,411.11,,,0
CDM,27200001,101387 : SUTURE PDS II 5-0 30IN ABSRB VLT 13MM C-1 3-8 CIR TAPR,48.24,48.24,,,0
CDM,27200001,101408 : KIT LUMBAR HERMETIC CATH OPEN TIP,557.76,557.76,,,0
CDM,27200001,101506 : BLADE 188354HR TRICUT 5PK M4 3.5MM ROTA,438.34,438.34,,,0
CDM,27200001,101509 : NEEDLE SCLERO 25GA L4MM WRK L240CM SHTH DIA2.3MM CLR,150.5,150.5,,,0
CDM,27200001,101621 : FORCEPS BX L 2.4MM X 240CM NDL RAD JAW 4 BX-80,67.66,67.66,,,0
CDM,27200001,101715 : PASSER SUT DIA1.8MM 90DEG R CRV SUTLASS SD,365.04,365.04,,,0
CDM,27200001,101716 : PASSER SUT DIA1.8MM 90DEG L CRV SUTLASS SD,365.04,365.04,,,0
CDM,27200001,101893 : BUR SUR DIA1MM MIC RND TAPR EXT NUM EXPOSE MRK 5 STP NOTCH,327.22,327.22,,,0
CDM,27200001,101895 : BUR SUR HD DIA2.0MM RND TAPR SFT TCH ELITE,327.22,327.22,,,0
CDM,27200001,101897 : BUR SUR DIA6MM RND FLUT SFT TCH 5 STP NOTCH EXPOSE MRK ELITE,310.85,310.85,,,0
CDM,27200001,101898 : BUR SUR 1MM DMND TAPR CUT ELITE,310.85,310.85,,,0
CDM,27200001,101899 : BUR SUR DIA2MM DMND RND 5 STP NOTCH EXPOSE MRK ELITE,310.85,310.85,,,0
CDM,27200001,101905 : TUBE SPLNT 1320MM OD13.2MM ID11MM SIL HYDRPHLC RADPQ SMTH,690.33,690.33,,,0
CDM,27200001,101936 : NEEDLE SUT FOR EXPRESSEW LL AND LLL SUT PASS EXPRESSEW LLL,696.0,696.0,,,0
CDM,27200001,101937 : CANNULA ARTHSCP 8.5X72MM THRD DISP COMPLT CLR-TRAC REPROC,51.84,51.84,,,0
CDM,27200001,101938 : CANNULA ARTHSCP L72MM ID7MM GRY POLYCARB THRD 3 SEAL DSGN,51.84,51.84,,,0
CDM,27200001,101939 : CANNULA ENDOSCP L72MM DIA5.5MM BLU POLYCARB THRD 3 SEAL SYS,51.84,51.84,,,0
CDM,27200001,102075 : EVENMORE 28CM STRAIGHT BASIC KIT 1-UP PG,552.0,552.0,,,0
CDM,27200001,102129 : GRASPER LAP L35MM DIA5MM EPIX,216.0,216.0,,,0
CDM,27200001,102133 : STAPLER INT INTLUMN 25MM CIR CUT WHT 3.5MM 2 ROW TI STPL,1056.6,1056.6,,,0
CDM,27200001,102134 : STAPLER INT 25MM TRNSOR CIR W- WHT TI STPL DST SER TECH,301.4,301.4,,,0
CDM,27200001,102140 : COLPO-PNEUMO OCCLUDERS 6 STERILE SINGLE-USE,246.46,246.46,,,0
CDM,27200001,102174 : KIT PERC SHTH INTRO 8.5FR L10CM POLYUR RADPQ W- INTEGR,177.57,177.57,,,0
CDM,27200001,102176 : K WIRE 1.6MM X 150MM TRCR PT FOR PERI-LOC,43.34,43.34,,,0
CDM,27200001,102192 : BIT DRL L340MM 5MM ADD ON FIT QC CALIB W-O STP,285.6,285.6,,,0
CDM,27200001,102294 : 1.6MM DRILL 35MM WORKING LENGTH STRYKER END,336.62,336.62,,,0
CDM,27200001,102318 : CLIP SUR CLS TB DISP FOR GAM 3 TROC NAIL SYS,211.2,211.2,,,0
CDM,27200001,102499 : CUTTER LD SUPP FOR LLD EZ AND LLD LOK DEV,249.6,249.6,,,0
CDM,27200001,102694 : CATHETER SUCT NEO PED 6FR L30.5CM CLS TACTILE SL FOR ET TB,31.49,31.49,,,0
CDM,27200001,102854 : TIP FRCP BPLR L8.5IN WRK L3.5IN DIA1MM CNTOUR SLIM LP AHT,878.21,878.21,,,0
CDM,27200001,102886 : TRAY CUSTOM ARTHROGRAM,51.16,51.16,,,0
CDM,27200001,102905 : CANNULA CB91429 MC2X VEN 29-29-29 CARMED,213.31,213.31,,,0
CDM,27200001,103 : SUT NYLON 2 C12 5-5061,24.7,24.7,,,0
CDM,27200001,10301 : BIT DRL L180MM DIA2.5MM G QC FOR LOK CALCNL PLT INSTR AND,202.09,202.09,,,0
CDM,27200001,10306 : BIT DRL L170MM DIA3.2MM 1.7MM CANN QC FOR 4.5MM SCR,1093.82,1093.82,,,0
CDM,27200001,103470 : SUTURE FBRWR L38IN N ABSRB BLU WHT POLY 2 STRND,91.27,91.27,,,0
CDM,27200001,103540 : CATHETER URETH MD 16FR 5CC AMB SIL HYDRGEL OLV COUDE TIP,29.42,29.42,,,0
CDM,27200001,103636 : MINI STEP SHORT 2-3MM CANNULA & DILATOR,338.69,338.69,,,0
CDM,27200001,103638 : NEEDLE INSUF 14GA SHT CMPTBL VERSASTEP ACCS SYS STP,92.29,92.29,,,0
CDM,27200001,103696 : SET TB HI FLO FOR PNEUMOSURE INSUFFLATOR,30.19,30.19,,,0
CDM,27200001,103750 : INTRODUCER SHTH 7FR CANN L11CM DIL TIP 35MM BRT TIP SLIX,31.66,31.66,,,0
CDM,27200001,103761 : 2-0 ETHIBOND GRNWHT 10X30IN V-7 DOUBLE ARMED FIRM PLEDGET 7M,181.15,181.15,,,0
CDM,27200001,103770 : EED-300 ENDOEASE DISCOVERY SB STANDARD PROFILE,1908.0,1908.0,,,0
CDM,27200001,103814 : CANNULA 18GA 15CM LEN 10MM TIP,31.2,31.2,,,0
CDM,27200001,103817 : CANNULA CRV SHRP 10MM TIP 18FR,31.2,31.2,,,0
CDM,27200001,103821 : SET PERF 15IN BLU CLMP MULT FEM LUER ON SGL INLET LEG DLP,49.53,49.53,,,0
CDM,27200001,103836 : BIT DRL 5MM CANN FOR PERI - LOC PROX FEM LOK PLT SYS,681.91,681.91,,,0
CDM,27200001,103851 : BIT DRL 300MM 3.2MM W- MINI CONN FOR LG CANN SCR SYS,422.4,422.4,,,0
CDM,27200001,103856 : CATHETER PERF 16FR L16IN 20 H TIP L HRT VENT SIL 1-4IN NVENT,61.79,61.79,,,0
CDM,27200001,103857 : CANNULA PERF 10FR X 6IN COR ART OSTIAL FLNG RADPQ BSKT TIP,51.84,51.84,,,0
CDM,27200001,103860 : ADAPTER CARDPLG Y TBNG,52.73,52.73,,,0
CDM,27200001,103872 : CANNULA ELECTROTHERAPY 20GA L10CM TIP L10MM RF CRV SHRP SMK,31.2,31.2,,,0
CDM,27200001,103901 : ACCESS 682-52  STYLET KIT-52CM,55.2,55.2,,,0
CDM,27200001,103902 : PINCH ON TOOL 6056,38.4,38.4,,,0
CDM,27200001,103922 : SUMP PERICARD 20FR L15IN 1-4IN INTCARD CONN PERF POOL TIP,76.36,76.36,,,0
CDM,27200001,104278 : SUTURE FIBERSTICK FBRWR SZ 2-0 L50IN L12IN NDL NABSRB BLU,130.27,130.27,,,0
CDM,27200001,104296 : BUR ROUND 3.0MM,310.85,310.85,,,0
CDM,27200001,104392 : PROBE NRV STIM TIP DIA0.5MM STD PRASS FLSH MPLR INSUL,238.82,238.82,,,0
CDM,27200001,104426 : RESTRICTOR CEM DIA5-8MM FOR TOT EL ARTHROPLASTY LATITUDE EV,478.8,478.8,,,0
CDM,27200001,104429 : NEEDLE SUT FOR ARTHSCP RCR SCORPION LABRAL SCORPION SUREFIRE,365.04,365.04,,,0
CDM,27200001,104793 : SET INTRO SHTH 7FR X 11CM W- INTEGR SIDE PRT HEMSTAS VLV 3 W,79.2,79.2,,,0
CDM,27200001,104794 : 8FR ARROW SHEATH 11CM,66.0,66.0,,,0
CDM,27200001,105061 : CATHETER GUID 5FR L125CM MP A AD 2 SIDE H OPN END COR RADPQ,21.6,21.6,,,0
CDM,27200001,105064 : CATHETER GUID 6FR L55CM 0.070IN HOCKSTICK TRUE LUMN VISTA,96.0,96.0,,,0
CDM,27200001,105243 : CATHETER ANGIO 5FR L100CM AMPLATZ L 1 INFIN,21.6,21.6,,,0
CDM,27200001,105247 : CATHETER ANGIO 5FR L100CM JUDKINS R 4 INFIN,21.6,21.6,,,0
CDM,27200001,105339 : BIT DRL 4MM FOR 5.5MM CANN SCR,849.74,849.74,,,0
CDM,27200001,105422 : CATHETER GUID 6FR L100CM X BK UP LAD 3.5 PTFE TRUE LUMN,91.2,91.2,,,0
CDM,27200001,105424 : CATHETER GUID 6FR L100CM PTFE INNR LNR NYL TOP X BKUP R COR,91.2,91.2,,,0
CDM,27200001,105440 : 7FR EBU4 90CM,110.4,110.4,,,0
CDM,27200001,105472 : CATHETER GUID 7FR L100CM TIP L0.1IN PTFE INNR LNR NYL TOP,91.2,91.2,,,0
CDM,27200001,105506 : MP A-1 CORDIS   7FR,91.2,91.2,,,0
CDM,27200001,105509 : CATHETER GUID AD 6FR L100CM COR PERIPH GRN NYL PTFE MPA 1,91.2,91.2,,,0
CDM,27200001,105510 : XB 3 CORDIS 7FR,91.2,91.2,,,0
CDM,27200001,105511 : CATHETER GUID AD 6FR L100CM COR PERIPH GRN NYL PTFE XB L 3.5,91.2,91.2,,,0
CDM,27200001,105512 : CATHETER GUID AD 7FR L100CM COR PERIPH ORNG NYL PTFE XB L,91.2,91.2,,,0
CDM,27200001,105851 : CATHETER DIAG 2.7FR X 135CM DST TIP 2FR X 20MM CMPTBL,825.6,825.6,,,0
CDM,27200001,105951 : 2-0 ETHIBOND GRNWHT 10X30IN V-5 DOUBLE ARMED,141.64,141.64,,,0
CDM,27200001,105987 : BASKET STONE RETRV SHTH 1.9FR L120CM DIA12MM NIT PLYAMDE 4,478.82,478.82,,,0
CDM,27200001,106377 : CATHETER ANGIO L65CM OD5FR .038IN GWIRE AQ AD ANG MP KMP,54.91,54.91,,,0
CDM,27200001,106386 : FORCEP,168.0,168.0,,,0
CDM,27200001,107080 : MIC GASTROSTOMY FEEDING TUBE 22FR,64.65,64.65,,,0
CDM,27200001,107118 : 16FR J FEED TUBE,343.3,343.3,,,0
CDM,27200001,107129 : G-J TUBE 0270-18-2.3-45 CM,869.14,869.14,,,0
CDM,27200001,107136 : BIT DRL L125MM DIA1.5MM 2 FLUT J LATCH CPL,478.8,478.8,,,0
CDM,27200001,107137 : DRILL BIT,478.8,478.8,,,0
CDM,27200001,107152 : KNIFE SUR FOR MINI CRPL TUNN REL SFGRD,897.6,897.6,,,0
CDM,27200001,107197 : KIT EMB GLUE 1.5ML PREMX RADPQ INJ LIQ VI OF LES AND DMSO,4680.0,4680.0,,,0
CDM,27200001,107241 : GUIDEWIRE VASC 0.014INX200CM SYNCHRO2,1404.0,1404.0,,,0
CDM,27200001,107293 : BIT DRL L150MM DIA2.9MM 2-FLUT QC FOR 2.7MM VA LOK CALCNL,349.2,349.2,,,0
CDM,27200001,107294 : BIT DRL L110MM DIA2.5MM G QC FOR LOK COMPR PLATING SYS,172.06,172.06,,,0
CDM,27200001,107457 : DRILL 5085-1-222,216.0,216.0,,,0
CDM,27200001,107552 : SYSTEM EMB LIQ 1GM N BCA BUTYL CYNOACRLT TANT PWD ETHIODIZED,12200.06,12200.06,,,0
CDM,27200001,107594 : ENVOY 6F XB MPC 100CM,1152.0,1152.0,,,0
CDM,27200001,107722 : KIT INTRO 18FR DIL 22FR W- HEMSTAT NDL GWIRE SCALP SYR,541.06,541.06,,,0
CDM,27200001,108079 : NEEDLE ES L3CM MIC STR EXT SL ULT SHRP TIP INSUL MIC DISECT,128.5,128.5,,,0
CDM,27200001,108207 : GUIDEWIRE VASC 0.018INX180CM ANG TIP 45DEG NIT HYDRPHLC,472.8,472.8,,,0
CDM,27200001,108210 : SHEATH GUID DIAG INTVENT 6FR X 45CM DIL PROTRUDING 2CM PINN,254.4,254.4,,,0
CDM,27200001,108211 : SHEATH GUID DIAG INTVENT 7FR X 45CM DIL PROTRUDING 2CM PINN,254.4,254.4,,,0
CDM,27200001,108214 : SHEATH GUID DIAG INTVENT 7FR X 45CM DIL PROTRUDING 2CM PINN,254.4,254.4,,,0
CDM,27200001,10828 : DEVICE ART AND VEN G COMPR ASST FEM W- PNEUMAT DOME INTEGR,256.8,256.8,,,0
CDM,27200001,108388 : BIT DRL 6MM FOR INBONE TOT ANK SYS,535.2,535.2,,,0
CDM,27200001,108470 : 5867-3M SERIAL  R005262,38.4,38.4,,,0
CDM,27200001,108504 : BIT DRL 3.2MM AO CANN FOR PEDIPLATES SYS,861.49,861.49,,,0
CDM,27200001,108768 : TUBE RMR DIA2.7MM HLLW SPR,955.8,955.8,,,0
CDM,27200001,109377 : SUTURE TIGERSTICK TIGERWIRE SZ 2-0 L50IN L12IN NDL NABSRB,130.27,130.27,,,0
CDM,27200001,109379 : SUTURE FIBERLOOP 2 L20IN N ABSRB BLU L76MM STR NDL LOOP,130.27,130.27,,,0
CDM,27200001,109382 : SUTURE TIGERTAPE TIGERWIRE SZ 2-0 L30IN 2MM 7IN EA END TAPR,130.27,130.27,,,0
CDM,27200001,109383 : SUTURE FBRWR 0 L22.2MM N ABSRB BLU 1-2 CIR TAPERPOINT NDL,57.72,57.72,,,0
CDM,27200001,109950 : BIPOLAR FORCEP,1617.6,1617.6,,,0
CDM,27200001,10MM BLUNT BLADE + TUBESET,1432.15,1432.15,,,0
CDM,27200001,11.5X12X0.4MM MICROCHOICE OSCILLATOR INTRA ORAL BLADE,209.57,209.57,,,0
CDM,27200001,110872 : FORCEPS BX STD 5.5FR L50CM SHFT 1.85MM IJ APPRCH DISP,410.04,410.04,,,0
CDM,27200001,110876 : CATHETER DIAG AD L100CM DIA6FR 0.038IN LCB CRV POLYUR COR,15.6,15.6,,,0
CDM,27200001,110878 : CATHETER DIAG AD 6FR L100CM COR GRN HYDRPHLC NYL AR MOD,21.6,21.6,,,0
CDM,27200001,110932 : CATHETER GUID 7FR L100CM R COR SS PTFE AR1 HYBRID BRD MULT,91.2,91.2,,,0
CDM,27200001,111034 : CATHETER GUID .078IN XBRCA VASC PERIPH W-O HYDRPHLC COAT AD,362.88,362.88,,,0
CDM,27200001,111038 : CATHETER ANGIO 5FR L125CM VERT CRV TAPR RADPQ TIP SS BRD ACC,58.66,58.66,,,0
CDM,27200001,111459 : ASET KIT,230.25,230.25,,,0
CDM,27200001,111614 : CONTROLLER COIL DETACH SLF CONTAINED INTEGR PWR SUPL ERGO,444.0,444.0,,,0
CDM,27200001,111811 : 7FR EBU3.5  90CM CATHETER,110.4,110.4,,,0
CDM,27200001,112053 : MAXTRMAND BENDNG TEMP F1.5MM THICK STRAIGHT PLATES,172.8,172.8,,,0
CDM,27200001,112063 : BIT DRL 1.5MM X 90MM 2 FLUT FOR J LATCH MATRIXMANDIBLE,410.4,410.4,,,0
CDM,27200001,112135 : CANNULA PERF 9GA X 9.25IN AORT FLNG PRSS MON RADPQ TIP STD,62.07,62.07,,,0
CDM,27200001,112220 : DR. SELKE CUSTOM PACK TL6C91R1,1380.0,1380.0,,,0
CDM,27200001,112222 : CATHETER VENT DRNGE L14CM OD2.7MM ID1.4MM H DIA0.5MM STD BA,432.96,432.96,,,0
CDM,27200001,112223 : CATHETER VENT DRNGE L120CM OD2.2MM ID1MM PERI BA IMPREG SIL,424.51,424.51,,,0
CDM,27200001,112315 : INTRODUCER SHTH COR 5FR L10CM PINN KINK RESIST DSGN,26.4,26.4,,,0
CDM,27200001,112316 : SHEATH PINNACLE INTRO 6FRX10CM 2.5 CM,26.4,26.4,,,0
CDM,27200001,112352 : INTRODUCER SHTH COR 8FR X 10CM DIL PROTRUDING 2.5CM PINN,26.4,26.4,,,0
CDM,27200001,112475 : KIT SUR SEAL 8ML INCL DEL HSNG PRELD W- 2 LIQ 1 PWD COMP 2,2296.15,2296.15,,,0
CDM,27200001,112621 : DRAIN SURG 19FR SIL RND HUBLESS W- 0.25IN BEND TRCR BLAK,215.63,215.63,,,0
CDM,27200001,112734 : BUR SUR DIA3MM RND CUT FLUT SHNK SFT TCH ELITE SABER,310.85,310.85,,,0
CDM,27200001,113541 : MICROSPHERE EMB 300-500UM 2ML BLU NACL SYR DEL SYS,583.2,583.2,,,0
CDM,27200001,113801 : SNARE POLYP SM W13MMXL240CM SHTH DIA2.4MM OVL FLX DISP,63.8,63.8,,,0
CDM,27200001,114004 : ZIMMER HEMOVAC 400 ML COMP EVAC 14IN PVC WTROCAR (4IN) 64MM,63.05,63.05,,,0
CDM,27200001,114155 : ACCESS 657-58  STYLET KIT-58CM,55.2,55.2,,,0
CDM,27200001,114156 : ACCESS 657-52  STYLET KIT-52CM,55.2,55.2,,,0
CDM,27200001,114161 : STYLET PACE L53CM DIA0.014IN J SHP BALL TIP EXT TAPR,55.2,55.2,,,0
CDM,27200001,114162 : ACCESS 694-52  STYLET KIT-J EXT TAPER B,55.2,55.2,,,0
CDM,27200001,114194 : PIN PLUG FOR R ATR PRT MRI CRT SURESCAN SYS,0.79,0.79,,,0
CDM,27200001,114198 : CUFF DUAL PORT 12 INCH STERILE SINGLE,43.34,43.34,,,0
CDM,27200001,114218 : CATHETER DRNGE L80CM OD1.5MM ID0.7MM LUM CLS TIP W- 14GA,674.69,674.69,,,0
CDM,27200001,114297 : BOWL BNE CEM MIX SPAT CURET SMARTMIX CTS,108.0,108.0,,,0
CDM,27200001,114588 : SUTURE SUPRAMID X II SZ 3-0 L12IN N ABSRB WHT L17MM 3-8 CIR,38.6,38.6,,,0
CDM,27200001,114825 : CATHETER DIAG 5FR L100CM TIP 0.043IN NYL SLX VERT CRV NEON,24.67,24.67,,,0
CDM,27200001,115472 : GUIDEPIN ENDOSCP L13.5MM DIA2.4MM FLX PASS LSR MRK,257.04,257.04,,,0
CDM,27200001,115504 : BIT DRL 4.5MM FOR PEDIFLEX E STBL IM NAIL SYS,487.5,487.5,,,0
CDM,27200001,115880 : PROBE MPLR INCREMENTING PRASS STD TIP FOR NIM RESPON 3.0,376.47,376.47,,,0
CDM,27200001,116559 : RETAINER SURG RADPQ VISCERA IMPRNT W- CNTOUR LN SURGIFISH,76.32,76.32,,,0
CDM,27200001,116575 : BLADE SHV L7CM DIA2MM BLU FULL RAD DISP FOR ARTHSCP RESECT,126.0,126.0,,,0
CDM,27200001,116576 : BLADE SHV L7CM DIA2.9MM SM JT FULL RAD RED LATCH DISP DYONIC,126.0,126.0,,,0
CDM,27200001,11664 : TROCAR ENDOSCP 10MM BLNT TIP W- BLT-IN CONVERTERS SZ 5MM AND,310.61,310.61,,,0
CDM,27200001,117406 : RETRACTOR LAP L45CM SHFT 5MM ATTCH COT SWAB DISP ENDO PNUT,43.46,43.46,,,0
CDM,27200001,117407 : STAPLER SUR LUMN 25MM STPL H4.8MM THCK TISS WHT CIR W- DST,832.31,832.31,,,0
CDM,27200001,117408 : STAPLER INT AD L28MM DIA5MM STD GI BLU TI CIR CUT 2 ROW,618.51,618.51,,,0
CDM,27200001,117413 : STAPLER INT THCK 4.8MM LUMN 25MM WHT CIR DISP W- DST SER,816.95,816.95,,,0
CDM,27200001,117416 : APPLIER CLP L33CM DIA5MM TI CLP W3.6XL9.1MM LOGIC TECH DIS,689.21,689.21,,,0
CDM,27200001,117417 : STAPLER HERN OPN H4.8MM DIA12MM BLK TI PSTL GRP HNDL DISP,367.23,367.23,,,0
CDM,27200001,117418 : APPLIER CLP SHFT 29CM PSTL GRP 10 MM 20 M-L SUP INTLOK T,199.7,199.7,,,0
CDM,27200001,117419 : APPLIER CLP LG 10MM PSTL GRP DISP,196.86,196.86,,,0
CDM,27200001,117427 : NEEDLE PNEUMOPERI 14GA L120MM BLNT STYL SPR LD SURGINEEDLE,116.77,116.77,,,0
CDM,27200001,117428 : POUCH SPEC RETRV 220ML L34.5CM DIA10MM POLYUR PLAS SHFT,148.04,148.04,,,0
CDM,27200001,117430 : RELOAD STPL BLU H3.8XL60MM GIA VASC MD,111.39,111.39,,,0
CDM,27200001,117431 : RELOAD STPL CART BLU 3.8X80MM GIA M TISS MULTFI TI W- DST,457.06,457.06,,,0
CDM,27200001,117432 : STAPLER INT SHFT 80MM STPL 4.8MM THCK TISS GRN 8 FIRING,320.76,320.76,,,0
CDM,27200001,117433 : STAPLER INT L30MM RELD W- TI STPL DIR STPL TECH SER DISP TA,184.32,184.32,,,0
CDM,27200001,117434 : STAPLER INT L60MM TI STPL 3.5MM 8 FIRING 7 RELD W- DST TECH,215.43,215.43,,,0
CDM,27200001,117435 : STAPLER INT 3.5MM X 90MM BLU M TISS 8 FIRING W- DST SER TECH,213.66,213.66,,,0
CDM,27200001,117437 : STAPLER SUR SHFT L60MM STPL H3.8MM MD TISS BLU MAX 8 FIRING,218.93,218.93,,,0
CDM,27200001,117438 : STAPLER SUR SHFT L80MM STPL H3.8MM MD TISS BLU MAX 8 FIRING,770.89,770.89,,,0
CDM,27200001,117439 : STAPLER TA 30-4.8 SINGLE USE RELOADABLE,218.41,218.41,,,0
CDM,27200001,117440 : STAPLER INT 4.8MM X 60MM TI RELD DISP DST SER TA,225.88,225.88,,,0
CDM,27200001,117441 : STAPLER INT THCK 4.8MM 90MM STD TISS GRN TI DISP DST SER TA,192.77,192.77,,,0
CDM,27200001,117442 : STAPLER INT L30MM RELD W- TI STPL V3 VASC DST SER,242.67,242.67,,,0
CDM,27200001,117447 : RELOAD STPL BLU L60MM 3.5MM TA TI,103.07,103.07,,,0
CDM,27200001,117448 : RELOAD STPL BLU L90MM 3.5MM TA TI,113.56,113.56,,,0
CDM,27200001,117449 : CARTRIDGE STPLR LIN DST SER TA,95.64,95.64,,,0
CDM,27200001,117450 : LOADING UNIT GIA 80-4.8 SINGLE USE,160.75,160.75,,,0
CDM,27200001,117451 : LOADING UNIT TA 30-V3 SINGLE USE,106.78,106.78,,,0
CDM,27200001,117659 : RELOAD STPL GRN L90MM 4.8MM TA TI,101.75,101.75,,,0
CDM,27200001,117665 : RELOAD STPL GRN L60MM 4.8MM GIA VASC THCK,122.96,122.96,,,0
CDM,27200001,117666 : STAPLER INT 60-4.8MM AUTO SGL USE RELD GIA,237.46,237.46,,,0
CDM,27200001,117681 : ENDO GIA ROTICULATOR 45-2.5 SULU,362.09,362.09,,,0
CDM,27200001,117722 : GUIDEWIRE ENDOSCP 0.035IN X 270CM HYDRPHLC STR DST TIP,476.47,476.47,,,0
CDM,27200001,117760 : SET EVAR DIL 14FR X 45CM FASCIAL TISS TRACT VES HYDRPHLC,376.8,376.8,,,0
CDM,27200001,117761 : SET EVAR DIL 16FR X 18FR X 45CM FASCIAL TISS TRACT VES,496.14,496.14,,,0
CDM,27200001,117762 : SET EVAR DIL 20FR X 22FR X 45CM FASCIAL TISS TRACT VES,493.09,493.09,,,0
CDM,27200001,117780 : EZ GLIDE AORTIC CANNULA 24FR W- DURAFLOW,121.61,121.61,,,0
CDM,27200001,117781 : EZ GLIDE AORTIC CANNULA 21FR W- DURAFLOW,128.9,128.9,,,0
CDM,27200001,11807 : PUNCH AORT OD3MM LNG HNDL,72.0,72.0,,,0
CDM,27200001,118096 : RELOAD STPL GRN L60MM 4.8MM TA TI,107.55,107.55,,,0
CDM,27200001,118500 : RELOAD STPL L45MM MTHCK TISS PUR TRI STPL TECH ENDOGIA,848.83,848.83,,,0
CDM,27200001,118501 : RELOAD STPL L45MM VASC TAN TRI STPL TECH ENDOGIA,671.73,671.73,,,0
CDM,27200001,118503 : RELOAD STPL VASC TAN CRV TIP ARTC W- TRI STPL TECH ENDOGIA,513.94,513.94,,,0
CDM,27200001,118504 : RELOAD STPL L60MM MTHCK TISS PUR TRI STPL TECH ENDOGIA,576.55,576.55,,,0
CDM,27200001,118505 : RELOAD STPL TAN L60MM ENDO GIA TRI-STPL ARTC VASC MD,628.64,628.64,,,0
CDM,27200001,118508 : RELOAD STPL TAN L60MM ENDO GIA TRI-STPL ARTC CRV VASC MD,844.39,844.39,,,0
CDM,27200001,118509 : STAPLER INT SHT UNIV L6CM STPL 12MM SKIN ENDOGIA,272.3,272.3,,,0
CDM,27200001,118510 : STAPLER INT STD UNIV RELD ENDOGIA,520.62,520.62,,,0
CDM,27200001,118511 : STAPLER INT L26CM 25 RELD TI ERGO DSGN TRI-STPL TECH ULT GEN,479.68,479.68,,,0
CDM,27200001,118554 : NEEDLE INTRO 18GA L98CM 30DEG BRK-1 XS SS TRNSSEPT STYL CRV,495.12,495.12,,,0
CDM,27200001,118561 : RELOAD STPL SKIN 35 WIDE STPL DISP MULTFI PREM,29.02,29.02,,,0
CDM,27200001,118727 : CATH 6 FR JR 5 100CM,15.6,15.6,,,0
CDM,27200001,118788 : COIL NESTER 14 X 20,307.7,307.7,,,0
CDM,27200001,118965 : STAPLER INT M 3.5MM LUMN 28MM BLU TISS CIR W- DST SER TECH,1001.92,1001.92,,,0
CDM,27200001,119 : SUTURE PROL 7-0 24IN NABSRB BLU 9.3MM BV-1 3-8 CIR TAPR,43.66,43.66,,,0
CDM,27200001,119145 : BEND TEMPLATE 2.0MM BROAD 3X3 ANG,207.6,207.6,,,0
CDM,27200001,119287 : BIT DRL L44.5MM DIA1.1MM STP 6MM STRYKR J LATCH CPL FOR TI,386.4,386.4,,,0
CDM,27200001,119300 : BIO-MOORE ENDO II HIP SYSTEM  ENDO II HEAD COMPONENT  CO-CR,719.35,719.35,,,0
CDM,27200001,119557 : BUR SHV 11CM X 2.9MM M4 360 DEG SNUS ROT INFERIOR TURB STR,531.94,531.94,,,0
CDM,27200001,119606 : NEEDLE INSUF 14GA FOR VERSASTEP + ACCS SYS STP,73.76,73.76,,,0
CDM,27200001,119607 : TROCAR ENDOSCP DIA5MM SHT CANN DIL W- RADIALLY SELF EXPND SL,289.13,289.13,,,0
CDM,27200001,119608 : TROCAR ENDOSCP STD 5MM CANN DIL W- RADIALLY SELF EXPND SL,229.6,229.6,,,0
CDM,27200001,119610 : TROCAR ENDOSCP STD 12MM CANN DIL W- RADIALLY SELF EXPND SL,290.4,290.4,,,0
CDM,27200001,119652 : KIT VASCULAR DIALATOR,54.25,54.25,,,0
CDM,27200001,119674 : TROCAR ENDOSCP 5MM SHT W- CANN AND DIL RADIALLY SELF EXPND,281.03,281.03,,,0
CDM,27200001,119677 : BIT DRL LNG MIC FOR HDLSS COMPR SCR SYS ACUTRK 2,1068.0,1068.0,,,0
CDM,27200001,119816 : SPHINCTEROTOME ENDOSCP 170CM DST RADPQ TIP 4FR X 7MM CUT,396.0,396.0,,,0
CDM,27200001,119858 : PLATE BNE CMF L 2X2 H STR PREBENT TI MAND PLATING SYS,762.24,762.24,,,0
CDM,27200001,119859 : TENSION BAND RIGHT 1.0 MM 2 X 2,762.24,762.24,,,0
CDM,27200001,119860 : BIT DRL 1.8MM X 90MM 2 FLUT FOR J LATCH MATRIXMANDIBLE,414.0,414.0,,,0
CDM,27200001,120430 : SHAFT SUR RMR L510MM DIA8MM MOD TRINKLE BIXCUT,681.2,681.2,,,0
CDM,27200001,120493 : SET TRNSF 2ML L6IN EXT LIFE W- FEM LOK CONN CLMP DISP,119.92,119.92,,,0
CDM,27200001,120923 : TUBE JEJU 8.5FR PGTL TIP THRU THE PEG 3 PRT FEED ENDOVIVE,332.11,332.11,,,0
CDM,27200001,121233 : RELOAD STPL BLK L45MM ENDO GIA TRI-STPL ARTC VASC X THCK,431.8,431.8,,,0
CDM,27200001,121234 : RELOAD STPL BLK L60MM ENDO GIA TRI-STPL ARTC VASC X THCK,646.24,646.24,,,0
CDM,27200001,121446 : KNIFE OPHTH 20GA W1.1MM SS PLAS FULL HNDL STR TIP SIDEPRT,54.46,54.46,,,0
CDM,27200001,121528 : SET ENDOSCP INSTR DISP FOR BIOTENODESIS SCR,507.0,507.0,,,0
CDM,27200001,121623 : NEEDLE INJ 25GA X 230CM PROJCT 5MM SHTH 2.5MM SS TEF LL SPR,96.0,96.0,,,0
CDM,27200001,121787 : PROBE COAG 4.5FR L3M CNVNENT BLT IN FLTR 3000A FIAPC,669.6,669.6,,,0
CDM,27200001,122514 : CATHETER  IAB 40CC 8 FR REDIGUARD FLEXIBLE,2356.8,2356.8,,,0
CDM,27200001,122557 : GUIDE HNDPC FOR PLAT STEREOTACTIC BRST BX MULTICARE,569.14,569.14,,,0
CDM,27200001,122558 : PRODUCT EVIVA 9 GA 13 CM LEN 20MM APER,569.14,569.14,,,0
CDM,27200001,122559 : NEEDLE GUID 9GA FOR FISCHER PRONE AND LORAD,23.28,23.28,,,0
CDM,27200001,122881 : SYSTEM DRNGE ID1.5MM INTCRAN CLR CATH PRSS TEMP MON COMPLT,324.65,324.65,,,0
CDM,27200001,122942 : BLADE SHV L18CM DIA4.5MM LNG CRV FULL RAD CONCAVE DISP,187.2,187.2,,,0
CDM,27200001,123105 : SEAL ENDOSCP INSTR PRT WRK CHN,68.74,68.74,,,0
CDM,27200001,123447 : BLADE SKIMMER 4MM,936.0,936.0,,,0
CDM,27200001,123457 : CANNULA 8.5X110,68.4,68.4,,,0
CDM,27200001,123461 : DEVICE ABS FIX W-10 TACKS,812.82,812.82,,,0
CDM,27200001,123762 : PACK VITRCTMY 20GA 23GA 25GA CANN VISCOUS FLD CTRL 10CC SYR,166.34,166.34,,,0
CDM,27200001,123763 : PACK FRAGMENTATION 20GA STD ALONE CONSTELLATION,152.35,152.35,,,0
CDM,27200001,123764 : PACK VITRCTMY SYR AUTO GAS FILL CONSTELLATION,250.06,250.06,,,0
CDM,27200001,123768 : CHANDELIER OPHTH 25GA,288.5,288.5,,,0
CDM,27200001,123772 : CATHETER GUID 6FR X 150CM TIP 5.1FR GUID EXTN 0.056IN RX,906.4,906.4,,,0
CDM,27200001,123773 : CATHETER GUID 7FR X 150CM TIP 5.7FR GUID EXTN 0.062IN RX,859.8,859.8,,,0
CDM,27200001,123859 : TROCAR ENDOSCP L12MM BLK N CNDTVE SL SFT REP DISP,41.75,41.75,,,0
CDM,27200001,123864 : NEEDLE INSUF 14GA L150MM SS PNEUMOPERI SURGINEEDLE,124.02,124.02,,,0
CDM,27200001,123880 : TROCAR ENDOSCP 15MM STD LEN BLDELSS W- FIX CANN VERSPRT,286.43,286.43,,,0
CDM,27200001,123881 : DEVICE COMPR L24CM REG RAD TR BND,100.8,100.8,,,0
CDM,27200001,123882 : DEVICE COMPR LG L29CM RAD TR BND,100.8,100.8,,,0
CDM,27200001,124048 : COUPLERS MICRO 1.5MM,838.0,838.0,,,0
CDM,27200001,124049 : COUPLER FLO DIA2.5MM RED 20MHZ DOPP,838.0,838.0,,,0
CDM,27200001,124050 : COUPLERS MICRO 3.0MM,838.0,838.0,,,0
CDM,27200001,124115 : COUPLER 3.5MM MICRO,838.0,838.0,,,0
CDM,27200001,124118 : FORCEPS BIPOLAR INSERT 1MM VERTICAL,955.36,955.36,,,0
CDM,27200001,124120 : FORCEPS BIPOLAR INSERT ANGLED SZ 4MM,955.36,955.36,,,0
CDM,27200001,124163 : BIT DRL L44.5MM DIA1.4MM STP 4MM J LATCH CPL NONRADIOPAQUE,387.6,387.6,,,0
CDM,27200001,124184 : SURGIFOAM COMPRESSED SZ 100,68.64,68.64,,,0
CDM,27200001,124580 : DRESSING NSL 5.5CM REM GOODMAN RAP RHINO,75.24,75.24,,,0
CDM,27200001,124638 : NEONATAL TRACHEOSTOMY TUBE 2.5FLEXTEND PLUS     1EA,311.92,311.92,,,0
CDM,27200001,124639 : NEONATAL TRACHEOSTOMY TUBE 3.0FLEXTEND PLUS     1EA,311.92,311.92,,,0
CDM,27200001,124692 : CLIP INT L235CM CHN 2.8MM OPN 11MM W- ERGO HNDL BRD CATH,752.64,752.64,,,0
CDM,27200001,124693 : SNARE ENDOSCP XL L240CM SHTH DIA2.4MM LOOP W33MM 2.8MM WRK,98.99,98.99,,,0
CDM,27200001,124699 : SLITTER LD UNIV ADJ,67.2,67.2,,,0
CDM,27200001,124700 : SLITTER CATH LD GUID ADJ DISP,67.2,67.2,,,0
CDM,27200001,124718 : PINCH-ON FIXATION TOOL,38.4,38.4,,,0
CDM,27200001,124812 : CK COR-KNOT KIT,1020.0,1020.0,,,0
CDM,27200001,124813 : CK COR-KNOT QUICK LOAD KNOTS,108.0,108.0,,,0
CDM,27200001,125441 : BLADE SAGITAL SAW 5.5MM X 18MM X 0.4MM ZS-412,25.2,25.2,,,0
CDM,27200001,125467 : BIT DRL 4MM SS WIDENING W- COUNTSINK BAHA,437.4,437.4,,,0
CDM,27200001,125530 : TRAY CATH 16FR F INCLUDE LUBRI SIL IC COMPLT CARE STATLOK,37.05,37.05,,,0
CDM,27200001,125534 : TRAY CATH 16FR W- FOAM SWAB URIMTR STATLOK STBL DEV,51.18,51.18,,,0
CDM,27200001,125538 : TRAY CATH 16FR COMPLT CARE URIMTR TEMP SENS STATLOK STBL DEV,77.76,77.76,,,0
CDM,27200001,125539 : ULTRA BRAID 2 WHITE W-NEEDLE,45.36,45.36,,,0
CDM,27200001,125540 : ULTRA BRAID 2 CO-BRAID W-NEEDLE,45.36,45.36,,,0
CDM,27200001,125601 : FORCEPS SUR 25GA ILM GRIESHABER,364.49,364.49,,,0
CDM,27200001,125606 : PROBE LSR 25GA 40DEG FLX NIT TIP DISP FOR CONSTELLATION VISN,476.64,476.64,,,0
CDM,27200001,125785 : SEALER BPLR ELECTRD L5.74MM DIA3.48MM CNTR TO CNTR SPC 6MM,2807.95,2807.95,,,0
CDM,27200001,125786 : SEALER BIPOLAR AQUAMANTYS 2.3,1231.2,1231.2,,,0
CDM,27200001,125788 : SEALER MPLR L11 13MM DIA3MM SHFT L317 5MM 10DEG FLOATING,2359.2,2359.2,,,0
CDM,27200001,125935 : INTRODUCER ENDOSCP 22-19FR W- OBT AND SHTH DISP MINOP,653.8,653.8,,,0
CDM,27200001,126073 : DEVICE INFL DEFL FOR BLLN CATH,187.87,187.87,,,0
CDM,27200001,126237 : CATHETER EP DECAPOLAR 6FR L115CM 252 SPC 2MM TIP ELECTRD MD,936.6,936.6,,,0
CDM,27200001,126272 : ARTHREX PASSPORT BUTTON CANNULA 8 MM ID X 5 CM,83.47,83.47,,,0
CDM,27200001,126296 : KIT PEDCL ACCS SPNL IMPL,1200.0,1200.0,,,0
CDM,27200001,126537 : ADHESIVE SKIN CLSR 0.7ML TOP DERMBND ADV,43.11,43.11,,,0
CDM,27200001,126573 : BIT DRL DIA2MM QR SURGIBIT,261.6,261.6,,,0
CDM,27200001,126813 : PROSTHESIS OTO 2-10MM TI CNTR TORP ADJ MIC,720.6,720.6,,,0
CDM,27200001,126818 : SUTURE V-LOC 180 0 L12IN ABSRB GRN L37MM GS-21 1-2 CIR TAPR,103.81,103.81,,,0
CDM,27200001,126819 : SUTURE V-LOC 180 SZ 3-0 L6IN ABSRB GRN V-20 L26MM 1-2 CIR,98.84,98.84,,,0
CDM,27200001,126879 : SUTURE V LOC 180 SZ 0 18IN ABSRB GRN 37MM GS-21 1-2 CIR TAPR,114.5,114.5,,,0
CDM,27200001,126926 : ARTERIAL LINE KIT WITH CATHETER,132.0,132.0,,,0
CDM,27200001,126958 : CATHETER BLLN DIL L60CM OD4.8MM ID2.6MM STD ANORECT,92.4,92.4,,,0
CDM,27200001,126959 : SUTURE ETHLN 10-0 5IN NABSRB BLK 6.5MM BV130-5 3-8 CIR TAPR,46.45,46.45,,,0
CDM,27200001,127027 : BASKET STONE RETRV OPN 20MM WRK 190CM 8 WIRE SIL INTEGR V,597.6,597.6,,,0
CDM,27200001,127044 : PATCH VASC EXT REF CARTO 3 SYS,1248.0,1248.0,,,0
CDM,27200001,127177 : SNARE ENDOSCP 9MM SHTH DIA2.4MM L230CM EXACTO,36.0,36.0,,,0
CDM,27200001,127179 : NEEDLE SUT CRV FOR DEL MENISCI REP SYS FAST-FIX 360,969.84,969.84,,,0
CDM,27200001,127181 : NEEDLE SUT REV FOR DEL MENISCI REP SYS FAST-FIX 360,969.84,969.84,,,0
CDM,27200001,127182 : SET SUT KNOT PUSH CUT SLT CANN STR DISP FOR MENIS REP SYS,316.25,316.25,,,0
CDM,27200001,127230 : BUR SUR OD5.5MM BLK SHTH BRL HI VISIBILITY DYONIC,226.8,226.8,,,0
CDM,27200001,127359 : SUTURE VCRL 10-0 L12IN ABSRB VLT L5.5MM CS160-6 1-2 CIR ULT,61.99,61.99,,,0
CDM,27200001,127365 : TROCAR LAP OD7X8MM BLDELSS CANN DIL RADIALLY EXP SL REDUC,202.06,202.06,,,0
CDM,27200001,127396 : TROCAR ENDOSCP L100MM DIA5MM BLDELSS OPT W- FIX CANN DISP,187.3,187.3,,,0
CDM,27200001,127509 : CANNULA OPHTH 25GA L31MM COAX 2 BOR TW FOR INJ OF PFCL STN,124.8,124.8,,,0
CDM,27200001,127649 : TUBE TRACH AD L105MM OD13.3MM ID8MM PROX EXT LEN W- DISP,147.4,147.4,,,0
CDM,27200001,127830 : SLEEVE FEM 6MM OFFSET HIP TYP 1 TAPR FOR BIOLOX DELT OPT,239.78,239.78,,,0
CDM,27200001,127904 : RING OPHTH 6.25MM CLASS SIL LP W- PUPIL IRIS HLDR INJ OSHER,340.0,340.0,,,0
CDM,27200001,127968 : DRILL BIT 2.7MM,487.5,487.5,,,0
CDM,27200001,128223 : .054IN X 7IN ST GUIDE WIRE,57.6,57.6,,,0
CDM,27200001,128227 : 2.3MM QUICK RELEASE DRILL,444.0,444.0,,,0
CDM,27200001,128671 : RESPONSE CATHETER 8.5F,2683.92,2683.92,,,0
CDM,27200001,128685 : NEEDLE TRANSSEPTAL L98CM SHTH 8.5FR L71CM C0 STEER CRV NRG,1116.0,1116.0,,,0
CDM,27200001,128802 : VALVE ANGIO ID0.096IN BLEEDBK CTRL COPILOT,57.6,57.6,,,0
CDM,27200001,128838 : RING MALYUGIN 2-7MM,340.0,340.0,,,0
CDM,27200001,128870 : SILO BAG 4CM,926.4,926.4,,,0
CDM,27200001,128908 : INSERT BIPOLAR COAD 28164FDG-2,955.36,955.36,,,0
CDM,27200001,128910 : BLADE ENDOSCP KNF 23CM INSRT 13CM PT RETRCT DISP,431.93,431.93,,,0
CDM,27200001,128921 : DRILL BIT  2.5MM  2.5MM,168.0,168.0,,,0
CDM,27200001,128926 : DRAPE RAD PROTCT W14.5XL16.5IN ANGIO FEM ENTRY YEL W- ABSRB,54.72,54.72,,,0
CDM,27200001,129012 : CANNULA AORT ROOT TIP W- VNT LN ST 14G INSRT NDL 16G LEN 6IN,67.2,67.2,,,0
CDM,27200001,129272 : BLADE PARAGON STERILE SS SKIN GRAFT KNIFE,41.44,41.44,,,0
CDM,27200001,129274 : GEN 2752 COUPLER MICRO 2.0MM,838.0,838.0,,,0
CDM,27200001,129376 : BIT DRL 2.5MM DISP FOR 2.7-3.5-4.5MM PEDIFRAG SYS,319.26,319.26,,,0
CDM,27200001,129377 : BIT DRL 2.5MM CALIB DISP FOR 2.7-3.5-4.5MM PEDIFRAG SYS,473.82,473.82,,,0
CDM,27200001,129458 : STYLET DISPOSABLE FOR BRAIN LAB,1284.0,1284.0,,,0
CDM,27200001,129530 : DILATOR ENDOSCP L180CM CATH 7.5FR BLLN L5.5CM INFLATED,832.61,832.61,,,0
CDM,27200001,129531 : CRE ESOPHAGEAL-PYLORIC-BILIARY 8-10MM-180CM,832.61,832.61,,,0
CDM,27200001,129532 : DILATOR ENDOSCP L180CM CATH 7.5FR BLLN L5.5CM INFLATED,832.61,832.61,,,0
CDM,27200001,129533 : DILATOR ENDOSCP L180CM CATH 7.5FR BLLN L5.5CM INFLATED,832.61,832.61,,,0
CDM,27200001,129534 : CATHETER BLLN DIL 7 5FR L180CM BLLN L5 5CM DIA15-16 5-18MM,832.61,832.61,,,0
CDM,27200001,129548 : SHEATH GUID 8FR X 55CM ACC CHN 2.9MM GWIRE 0.035IN ANSEL,152.64,152.64,,,0
CDM,27200001,129678 : HANDPIECE HYDROSURGERY TIP 14MM 45 DEG FOR DERM PRESERVATION,1632.0,1632.0,,,0
CDM,27200001,129680 : HANDPIECE SHV DIA14MM 15DEG HANDSET AGG DEB DISP,1632.0,1632.0,,,0
CDM,27200001,129720 : SET INTRO SUPRPUB ACC 18FR CATH 1 STP INCL 17CM PEEL AWAY,209.21,209.21,,,0
CDM,27200001,129754 : PROBE DOPP L265MM TIP L2MM 8MHZ ENDO NSL BAYONATED HNDL DISP,1335.0,1335.0,,,0
CDM,27200001,129755 : VASCULAR PROBE 8 MHZ,314.4,314.4,,,0
CDM,27200001,129873 : COVER BUR H DIA12MM CMF TI BLU FOR MATRIXNEURO PLATING SYS,278.21,278.21,,,0
CDM,27200001,129874 : COVER BUR H DIA17MM 6 H CMF BLU TI NONCOMPRESSION W-O TAB,278.21,278.21,,,0
CDM,27200001,129876 : COVER BUR H DIA17MM THK0 4MM TI FOR SHNT DRNGE MATRIXNEURO,278.21,278.21,,,0
CDM,27200001,129939 : SPHINCTEROTOME ENDOSCP L25MM OD5-4FR 0.021IN BLK PRECRV,525.6,525.6,,,0
CDM,27200001,130478 : PIN DSTRCTR L12MM BLU TI SLF DRL EFFORTLESS INSRT FOR ACF,57.6,57.6,,,0
CDM,27200001,130495 : TORCON NB ADVANTAGE VAN SCHIE BEACON TIP SEEKING CATHETER,71.86,71.86,,,0
CDM,27200001,130496 : TORCON NB ADVANTAGE VAN SCHIE BEACON TIP SEEKING CATHETER,71.86,71.86,,,0
CDM,27200001,130497 : CATHETER ANGIO 5FR X 65CM VANSCHIE5 CRV BEAC TIP TORC NB,71.86,71.86,,,0
CDM,27200001,130662 : PROBE PH 6.9FR L18CM ES INT REF INFUSED 6 IMPED SPC 1 CHN,276.0,276.0,,,0
CDM,27200001,130808 : TRAY CATH 10FR X 48IN F PED SURSTP W- STATLOK STBL DEV,59.36,59.36,,,0
CDM,27200001,130809 : TRAY CATH 8FR X 48IN F PED SURSTP W- STATLOK STBL DEV URIMTR,59.36,59.36,,,0
CDM,27200001,130909 : NEEDLE ANES 21GA L100MM FACET TIP W- INJ TB CONN CBL,40.2,40.2,,,0
CDM,27200001,131475 : DEVICE SEAL BLNT TIP NANO COAT HND AND FT ACT LIGASURE,1013.04,1013.04,,,0
CDM,27200001,131540 : LAPAROSCOPIC CURVED SPATULA ELECTRODE 36CM,83.02,83.02,,,0
CDM,27200001,13165 : KIT FEED TB 18FR JEJU SIL INFL INT RETEN BLLN SECUR LOK EXT,574.61,574.61,,,0
CDM,27200001,131951 : HOOK SPNL LAM EXT BODY XIA 3,1549.8,1549.8,,,0
CDM,27200001,13371 : TUBE VENT ID1.52MM SIL NOTCH TAB TWST IN INSRT PAPARELLA,39.58,39.58,,,0
CDM,27200001,13481 : SNARE VASC 6FR L120CM DIA15MM 90DEG G PLT TUNG COILS NIT,636.0,636.0,,,0
CDM,27200001,13482 : SNARE VASC 4FR L120CM DIA10MM 90DEG G PLT TUNG COILS NIT,636.0,636.0,,,0
CDM,27200001,135043 : ZIMMER DERMATOME BLADES  LBL 30880000010 VER 05,75.6,75.6,,,0
CDM,27200001,135060 : CATHETER DIAG 2.1FR L150CM DIA0.044X0.038IN SPC 15MM GWIRE,436.8,436.8,,,0
CDM,27200001,135144 : FIXED MODIFIED HALL REAMER 7.5MM,943.2,943.2,,,0
CDM,27200001,13521 : SV SO3 5FX80 .038 NB PG,44.64,44.64,,,0
CDM,27200001,135241 : BIT DRL 2.5MM FOR ALPS EL FRAC-DST FIB-SM FRAG PLATING SYS,168.0,168.0,,,0
CDM,27200001,135242 : BIT DRL 2.7MM CALIB FOR ALPS TOT FT SYS,214.95,214.95,,,0
CDM,27200001,135244 : BIT DRL 3.5MM X 70MM S COUPLE FOR ALPS EL FRAC SM FRAG,168.0,168.0,,,0
CDM,27200001,13554 : CATHETER ANGIO 4FR L65CM 0.035IN FLSH 0 HI TORQ SHFT SFT,51.55,51.55,,,0
CDM,27200001,135643 : SPACER SPNL H19-25MM 12MM COR VERT BODY REPL LORD CRPCTMY,9600.0,9600.0,,,0
CDM,27200001,135857 : CUP UTER MD DIA34MM FOR ID OF COLPOTOMY PLANE,231.26,231.26,,,0
CDM,27200001,135870 : CONNECTOR SPNL THORLUM INLINE LP FOR 5.5-5.5MM ROD REVERE,960.0,960.0,,,0
CDM,27200001,135872 : CLAMP SUR LG FORC 40GF VES DIA2-4MM MICROVASCULAR VEN SGL,94.8,94.8,,,0
CDM,27200001,135944 : NEEDLE ASPIR 21GA L20-40MM WRK L700MM CHN 2MM DST END ADJ,289.89,289.89,,,0
CDM,27200001,135975 : MANIPULATOR UTER CUP DIA3CM KOH-EFFICIENT FOR ES DISP RUMI,439.61,439.61,,,0
CDM,27200001,135976 : MANIPULATOR UTER CUP DIA3.5CM KOH-EFFICIENT FOR ES DISP RUMI,439.61,439.61,,,0
CDM,27200001,135977 : MANIPULATOR UTER CUP DIA4CM KOH-EFFICIENT FOR ES DISP RUMI,250.06,250.06,,,0
CDM,27200001,135980 : CATHETER ABLAT 2.8MM X 135CM BPLR ELECTRD 7.5MM X 15.7MM FLX,4828.8,4828.8,,,0
CDM,27200001,136009 : BIT DRL SZ 3 ANTIROTATION NOTCH FOR INBONE TOT ANK SYS,283.2,283.2,,,0
CDM,27200001,136172 : KIT DIL FOR EXTRM LUM IF NEUROVISION M5 XLIF,2424.0,2424.0,,,0
CDM,27200001,136173 : KIT SUR ACCS EXTRM LAT IF W- LT CBL SHIMS AND ANNULOTOMY KNF,3493.77,3493.77,,,0
CDM,27200001,136322 : RETRACTOR VCARE LARGE CERVICAL CUP 37MM,276.22,276.22,,,0
CDM,27200001,136331 : SUT PROLENE 7-0 BV175 EVERPOINT,94.91,94.91,,,0
CDM,27200001,136332 : NEEDLE BIOPSY DISPOSABLE 1.8MM,1368.0,1368.0,,,0
CDM,27200001,136334 : TIP IU L12CM DIA6.7MM ORNG SIL FLX DISP RUMI II,229.87,229.87,,,0
CDM,27200001,136423 : CATHETER PTCA BLLN 3MM X 30CM 4FR X 150CM ULTRAVERSE,444.0,444.0,,,0
CDM,27200001,136483 : DRESSING NEG PRSS OPN ABD VIS PROTCT LAYR PERF GRANUFOAM VAC,1125.2,1125.2,,,0
CDM,27200001,1367 : NEEDLE BX 11GA L4IN ASPIR J TYP BVL STYL TIP DISP MJCT,61.55,61.55,,,0
CDM,27200001,136966 : KIT PERC DILATION TRACH 8MM,671.98,671.98,,,0
CDM,27200001,137 : SUT SHRPNT 10-0 70MCN AA-0101,155.86,155.86,,,0
CDM,27200001,137104 : TROCAR ACCS PRT 5X120MM W- LP OBT AIRSEAL,220.44,220.44,,,0
CDM,27200001,137106 : PORT ACCS 8MM X 120MM LP OBT W- BLDELSS OPT TIP AIRSEAL,223.16,223.16,,,0
CDM,27200001,137108 : PORT ACCS 12MM X 100MM PALM GRP OBT W- BLDELSS OPT TIP,224.31,224.31,,,0
CDM,27200001,137110 : PORT ACCS 12MM X 120MM PALM GRP OBT W- BLDELSS OPT TIP,231.33,231.33,,,0
CDM,27200001,137112 : GENESYS PROCEDURE SET,3600.0,3600.0,,,0
CDM,27200001,137147 : CUP UTER SM DIA32MM FOR ID OF COLPOTOMY PLANE VCARE +,224.06,224.06,,,0
CDM,27200001,137268 : SUTURE V-LOC 90 2-0 L9IN ABSRB VLT L27MM GS-22 1-2 CIR TAPR,98.84,98.84,,,0
CDM,27200001,137317 : CANNULA ENDOSCP COMPLT THRD HIP DISP L90MM OD8.5MM CLR-TRAC,68.4,68.4,,,0
CDM,27200001,137353 : MANIPULATOR UTER STD BLLN TIP DISP KRONNER MANIPUJECTOR,408.62,408.62,,,0
CDM,27200001,137357 : LEEP REDI-KIT SINGLE USE DISPOSABLE WITH 2% LIDOCIANE WITH E,46.46,46.46,,,0
CDM,27200001,137410 : HEAD UPLR DIA51MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
CDM,27200001,137429 : ADULT PERFERATOR BIT,559.78,559.78,,,0
CDM,27200001,137688 : DRILL SUR LNG EXT HDLSS COMPR SCR SYS MIC ACUTRK 2,1065.6,1065.6,,,0
CDM,27200001,137689 : GUIDEWIRE ORTH 0.035IN X 6IN SGL TRCR ACUTRK 2 HDLSS COMPR,62.4,62.4,,,0
CDM,27200001,137870 : SUTURE GOR TX SZ 5-0 L36IN NABSRB L18MM TH-18 CIR TAPERPOINT,79.4,79.4,,,0
CDM,27200001,137921 : SYSTEM SUT MEND DISP FOR REPAIRING TFCC UND DIR ARTHSCP,270.0,270.0,,,0
CDM,27200001,137926 : SABER-CORE IRRIG,105.99,105.99,,,0
CDM,27200001,138021 : GUIDEWIRE ENDOSCP WRK L4500MM COAT L70MM DIA0.025IN FLUORINE,453.6,453.6,,,0
CDM,27200001,138022 : GUIDEWIRE ENDOSCP 0.035IN X 450CM HYDRPHLC STR DST TIP,476.47,476.47,,,0
CDM,27200001,138056 : KIT PLATFRM BILAT W- D HRDWR FOR STEREOTACTIC SYS STARFIX,10051.2,10051.2,,,0
CDM,27200001,138067 : GRASPER LAP L45MM TIP 5MM EPIX,216.0,216.0,,,0
CDM,27200001,138119 : DEVICE BNE BX SZ 2 10GA DIA43.4MM KYPHON EXPR,221.76,221.76,,,0
CDM,27200001,138143 : DEVICE SUT SZ 0 L21IN VLT LIG LOOP SURGITIE POLYSRB,47.24,47.24,,,0
CDM,27200001,138262 : KIT SNR STD 120CM LOOP 27-45MM CATH 7FR X 100CM G PLT TUNG,794.4,794.4,,,0
CDM,27200001,138300 : KIT ENDOSCP INSTR SPNL 3 RMR FN ACC DISP TESSYS,1908.0,1908.0,,,0
CDM,27200001,138373 : ELECTRODE PACE PROX 1CM CATH 5FR L110CM TEMP DST TIP BPLR,436.1,436.1,,,0
CDM,27200001,138413 : PROBE CRYOABLATION L10CM ALUM SMTH MAL CRYOICE TECH,5932.8,5932.8,,,0
CDM,27200001,138414 : SUTURE POLYSRB 2 5XL18IN ABSRB VLT L65MM BGST-29 1-2 CIR,196.37,196.37,,,0
CDM,27200001,138451 : GUIDEPIN ORTH 3X75MM SIMPLICITI,240.0,240.0,,,0
CDM,27200001,138499 : TRAY CATH 14FR F SURSTP CUST,51.18,51.18,,,0
CDM,27200001,138527 : GUIDE DRL 3+4MM DIA2.3MM SS CONIC BAHA 4 SYS,437.4,437.4,,,0
CDM,27200001,138793 : SHEATH US PRB L48IN SITE-RITE,36.74,36.74,,,0
CDM,27200001,138812 : CLAMP SUR M FORC 30GM-SQMM VEN MICROVASCULAR SGL CONSISTENT,88.8,88.8,,,0
CDM,27200001,138904 : ATTACHMENT ENDOSCP L4MM DIA11.35MM SIDE H 3MM DST STR SFT,63.72,63.72,,,0
CDM,27200001,138939 : V14 6 GRAM 300CM,316.8,316.8,,,0
CDM,27200001,138949 : CATHETER CHOLGM 4.5FR L76CM W-O BLLN TAUT,148.32,148.32,,,0
CDM,27200001,1390 : BURR CBD SDE CUT 2X19 5092-214,38.74,38.74,,,0
CDM,27200001,139000 : CATHETER PTCA L130CM BLLN L30CM DIA6MM SHTH 4FR GWIRE,444.0,444.0,,,0
CDM,27200001,139072 : ANCHOR SUT CRKSCR FT PEEK 4.5MM X 14MM TWO FBRWR SUT NUM 2,741.0,741.0,,,0
CDM,27200001,139127 : ANTENNA ABLAT SYS L15CM SHT PERC W- THERMOSPHERE TECH,6921.6,6921.6,,,0
CDM,27200001,139128 : ANTENNA ABLAT SYS L20CM STD PERC W- THERMOSPHERE TECH,6480.0,6480.0,,,0
CDM,27200001,139168 : BAG IPG LG ENV W2.9XL3.3IN BIOABSRB MESH TYRX,2148.0,2148.0,,,0
CDM,27200001,139171 : BIT DRL LNG MINI FOR HDLSS COMPR SCR SYS ACUTRK 2,1065.6,1065.6,,,0
CDM,27200001,139316 : ANCHOR SUT 2.4X11.3MM PEEK PSHLCK,936.0,936.0,,,0
CDM,27200001,1395 : BURR CBD RND 2MM 5092-224,23.71,23.71,,,0
CDM,27200001,139515 : BAG PRSS INFUS 3000ML W- BLB RELIABLE DISP FOR IV INT ART,31.82,31.82,,,0
CDM,27200001,139526 : SEALER VES L37CM NONSTICK NANO COAT MARYLAND JAW FOR LAP,1111.09,1111.09,,,0
CDM,27200001,139531 : SNARE ENDOSCP AD L240CM LOOP W10MM SHTH DIA2.4MM RND INSUL,98.99,98.99,,,0
CDM,27200001,139533 : SNARE ENDOSCP L240CM W15MM SHTH DIA2.4MM CHN 2.8MM STIFF RND,98.99,98.99,,,0
CDM,27200001,139568 : CABLE PACE TRNSVEN DISP CONN W- PAC LOC SFTY DEV ST 12FT,65.28,65.28,,,0
CDM,27200001,139571 : SMOOTH PEG  2.2MM X 18MM  2.2MM X 18MM,184.8,184.8,,,0
CDM,27200001,139572 : BIT DRL DIA2.2MM CROSSLOCK MOD TY DVR ANAT VOLAR PLATING SYS,176.58,176.58,,,0
CDM,27200001,139653 : TISSEEL DUPLO ENDO DRIP TIP 32CM,146.28,146.28,,,0
CDM,27200001,139657 : APPLICATOR TISS GLUE FIBRIN SEAL L30CM W- SNAP LOK,186.24,186.24,,,0
CDM,27200001,139662 : APPLICATOR ENDOSCP L41CM SS CANN STYL TIP NONPYROGENIC SGL,155.03,155.03,,,0
CDM,27200001,139665 : TYRX ANTIBACTERIAL ENVELOPE MED,1908.0,1908.0,,,0
CDM,27200001,139695 : CAPSULE ENDOSCP 11.4MM X 26.2MM BIOCOMPATIBLE PLAS SB 3 IMAG,1181.28,1181.28,,,0
CDM,27200001,139749 : KIT SNR L120CM LOOP DIA35MM CATH 6FR L102CM 90DEG W- INTRO,636.0,636.0,,,0
CDM,27200001,139833 : NASAL CANNULA W-DEHUMID TUBING,37.2,37.2,,,0
CDM,27200001,139952 : BIT DRL 2MM SHT AO QC DISP FOR EVOS MINI PLATING SYS,218.4,218.4,,,0
CDM,27200001,139953 : BIT DRL 2.7MM OVR AO QC DISP FOR EVOS MINI PLATING SYS,218.4,218.4,,,0
CDM,27200001,14.0MM REAMER HEAD FOR RIA 2,1656.0,1656.0,,,0
CDM,27200001,1401 : BUR SURG L10MM DIA5.5MM 8MM FLUT LNG SS CARB OVL MICROPOWER,34.78,34.78,,,0
CDM,27200001,140124 : SYSTEM EXT CSF DRNGE MGMT CSF EXT W- ANTIREFLX VLV ACCUDRAIN,604.75,604.75,,,0
CDM,27200001,140468 : BIT DRL DIA1.8MM SHT QC ADD ON FOR EVOS MINI PLATING SYS,218.4,218.4,,,0
CDM,27200001,140475 : PLATE BNE L37MM THK1.4MM SHFT W6MM HD 18.3MM 3X5 H ST T SHP,1596.0,1596.0,,,0
CDM,27200001,140484 : TIP ASPIR L4.6IN L OD2.47MM ID1.92MM SFT TISS STR,1204.2,1204.2,,,0
CDM,27200001,140507 : CLIP SUR MIC TI HEMSTAT GEM SUPERFINE,28.01,28.01,,,0
CDM,27200001,140511 : CLAMP ARTERIAL MEDIUM SINGLE,88.8,88.8,,,0
CDM,27200001,140514 : CLAMP SUR FN FORC 15GF VES DIA0.2-1MM MICROVASCULAR VEN SGL,99.6,99.6,,,0
CDM,27200001,140520 : CLAMP SUR SM FORC 20GF VES DIA1MM MICROVASCULAR VEN SGL,88.8,88.8,,,0
CDM,27200001,140529 : BUTTON GASTROSTMY 14FR BLLN MINI 1,276.0,276.0,,,0
CDM,27200001,140530 : BUTTON GASTROSTMY 1.7CM 14FR BLLN MINI,276.0,276.0,,,0
CDM,27200001,140531 : BUTTON GAST ACCS 14FR 2.0CM LEN W- BLLN W-O ADPT SIL RADPQ,276.0,276.0,,,0
CDM,27200001,140842 : AIRSEAL TROCAR 5MM X 150MM,234.5,234.5,,,0
CDM,27200001,140916 : GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG L12CM DIA12MM,10826.4,10826.4,,,0
CDM,27200001,140921 : GRAFT ENDOPROS L14CM DST DIA12MM CONTRALATERAL LEG W- C3 DEL,10826.4,10826.4,,,0
CDM,27200001,140927 : GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG IL EXT L14CM,10826.4,10826.4,,,0
CDM,27200001,140931 : GRAFT ENDOPROS L7CM DST DIA14.5MM IL EXT W- C3 DEL SYS,7502.4,7502.4,,,0
CDM,27200001,141068 : RADIAL VACUUM TREPHINE 7.25MM DIA.,199.2,199.2,,,0
CDM,27200001,141494 : SNARE ENDOSCP 3X4.5CM SHTH 7FR ACC CHN 2.8MM HEX FOR ES,41.28,41.28,,,0
CDM,27200001,141593 : KIT INFUS PMP INCL 22GA X 1.5IN NDL EXTN TBNG SET FLTR 20ML,72.0,72.0,,,0
CDM,27200001,141602 : NEEDLE NRV BLK 22GA L2IN ECHOGENIC STIMULATING W- FACET S,36.6,36.6,,,0
CDM,27200001,141680 : SUTURE V LOC PBT SZ 0 18IN NABSRB BLU 37MM GS-21 1-2 CIR,114.5,114.5,,,0
CDM,27200001,141832 : (FD-410LR) ZENKERS,548.47,548.47,,,0
CDM,27200001,142123 : LUBRICANT INSTR 100ML FOR ATHRCTMY DIAMONDBACK 360 SYS,156.0,156.0,,,0
CDM,27200001,142144 : SYSTEM TB 10FR NSL TEAL BLU RETRV PRB WHT CATH W- ATTCH UMB,294.72,294.72,,,0
CDM,27200001,142400 : BIT DRL DIA1.5MM ADD ON QC DISP,218.4,218.4,,,0
CDM,27200001,142401 : OVERDRILL FOR 2.0MM SCREWS W-AO QC,218.4,218.4,,,0
CDM,27200001,142404 : BIT DRL DIA1.8MM LNG QC ADD ON FOR EVOS MINI PLATING SYS,268.8,268.8,,,0
CDM,27200001,142405 : BIT DRL DIA2.4MM ADD ON QC DISP,218.4,218.4,,,0
CDM,27200001,142408 : BIT DRL 2MM LNG AO QC DISP FOR EVOS MINI PLATING SYS,268.8,268.8,,,0
CDM,27200001,142759 : OVERSTITCH ENDOSCOPIC SUTURING SYSTEM,5430.91,5430.91,,,0
CDM,27200001,142762 : OVERSTITCH SUTURE CINCH,580.6,580.6,,,0
CDM,27200001,142900 : SIZER GRFT DIA24-28MM FOR DETERMINING SZ OF LUMN,24.96,24.96,,,0
CDM,27200001,142908 : FORCEPS OPHTH 25GA+ POS ACT FBR OPT TIP HOMOGENOUS LT SIMP,364.49,364.49,,,0
CDM,27200001,143202 : TROCAR ENDOSCP L100MM DIA12MM BLNT TIP W- THRD ANCHR,281.27,281.27,,,0
CDM,27200001,143213 : INTRODUCER SHTH L11CM OD11FR 0.38IN AD VASC W-O CRV HEMSTAT,18.0,18.0,,,0
CDM,27200001,143390 : SHEATH INTRO 6FR L10CM ID0.087IN NDL 21GA L35MM GWIRE,141.6,141.6,,,0
CDM,27200001,143524 : CATHETER INTRAAORTIC BLLN 7.5FR L25.3IN 30CC SHTH L6IN CNTRL,2872.8,2872.8,,,0
CDM,27200001,143527 : CATHETER INTRAAORTIC BLLN 7.5FR L27.3IN 40CC SHTH L6IN CNTRL,2872.8,2872.8,,,0
CDM,27200001,143547 : CATHETER EP QUADRAPOLAR A CRV 5MM SPC 6FR L115CM FIX W- AUTO,271.2,271.2,,,0
CDM,27200001,143601 : PICK PACK 25G,1741.37,1741.37,,,0
CDM,27200001,143603 : CANNULA VITRCTMY 25GA 2MM BACKFLUSH SFT TIP HND HELD DSP,185.04,185.04,,,0
CDM,27200001,143604 : PROBE DIATHERMY 25GA DSP GRIESHABER,117.77,117.77,,,0
CDM,27200001,143606 : PROBE LSR 25GA FLX CRV ILLUMINATED RFID,560.76,560.76,,,0
CDM,27200001,143700 : CATHETER DRNGE 6.3FR L15CM GWIRE 0.035IN UTHANE HYDRPHLC 5,167.11,167.11,,,0
CDM,27200001,143703 : INTRODUCER SHTH 9FR L30CM DIA3MM GWIRE 0.038IN RADPQ BND,142.27,142.27,,,0
CDM,27200001,143708 : AV 5 100 035 PT 1CM 21RO SIZING CATHETER PG,409.25,409.25,,,0
CDM,27200001,143766 : SET INTRO 4FR X 7CM GWIRE 0.018IN X 40CM PEDAL ECHOGENIC NDL,98.88,98.88,,,0
CDM,27200001,143944 : BASICS CHEST U BAR PACK,29.84,29.84,,,0
CDM,27200001,143969 : COR-KNOT MINI COMBO KITS,1836.0,1836.0,,,0
CDM,27200001,144006 : CLIP HEMSTAT TI CHEVRON INTLOK ATRAUM TEETH MICROCLIP,24.79,24.79,,,0
CDM,27200001,144019 : PLATE BNE CLAV MIDSHAFT SUP R 8 H DECREASED CURVATURE BRDG,3496.8,3496.8,,,0
CDM,27200001,144053 : ELECTRODE SUCT DOME W- COOLPULSE TECH VAPR ARCTIC,2299.2,2299.2,,,0
CDM,27200001,144069 : KII BLUNT TROCAR WITH BALLOON 5X100,288.0,288.0,,,0
CDM,27200001,144070 : KIT VASOVIEW HEMOPRO 2,2980.22,2980.22,,,0
CDM,27200001,144081 : TIP IRRIG 35 ANG BENT POLYMR DISP,27.93,27.93,,,0
CDM,27200001,144195 : INFINITY  IPG TORQUE WRENCH,60.0,60.0,,,0
CDM,27200001,144201 : CINCH  LEAD ANCHOR,192.0,192.0,,,0
CDM,27200001,144222 : KIT NEG PRSS M DSG VERAFLO VAC VERALINK,129.36,129.36,,,0
CDM,27200001,144320 : DEVICE BX NDL 18GA L6CM SEMI AUTO SUPERCORE,96.0,96.0,,,0
CDM,27200001,144322 : SUPERCORE BIOPSY DEVICE  18G X 15G,150.0,150.0,,,0
CDM,27200001,144430 : K WIRE BLUNT,123.0,123.0,,,0
CDM,27200001,144506 : WRENCH SUR 7.6CM HEX FOR SPNL CRD STIM,60.0,60.0,,,0
CDM,27200001,144512 : STRAW TUNNELING TOOL (28 CM),264.0,264.0,,,0
CDM,27200001,144513 : TOOL TUNN L35CM LNG FOR SPNL CRD STIM,264.0,264.0,,,0
CDM,27200001,144546 : SUTURE V LOC 1 L18IN NABSRB GS-21 TAPERPOINT NDL,114.5,114.5,,,0
CDM,27200001,144563 : WIRE FIX L11.875IN DIA0.048IN LUQ SPINE SS CLS BEAD LOOP,143.94,143.94,,,0
CDM,27200001,144570 : SENSOR TISS OXMTR SM PTCH T. OX,3540.0,3540.0,,,0
CDM,27200001,144612 : DRAPE RAD PROTCT W11XL34IN PERIPH SHLD YEL W- ABSRB RADPAD,92.4,92.4,,,0
CDM,27200001,144684 : TITANIUM CATHETER CONNECTOR,362.4,362.4,,,0
CDM,27200001,144752 : PROSTHESIS 2.5MM DIAM 2.5MM LEN PORP OFFSET HD TI MIC,708.0,708.0,,,0
CDM,27200001,144936 : CABLE NEURO 5 CHN INPUT,1122.96,1122.96,,,0
CDM,27200001,144937 : COLLECTION TUBING SET DISPOSABLE 1-2,89.76,89.76,,,0
CDM,27200001,144939 : PROBE LITHO 1.9FR X 375CM FOR AUTOLITH TCH BILI EHL SYS,1029.6,1029.6,,,0
CDM,27200001,144948 : GREEN SILICONE BACKGROUND MATERIAL,38.4,38.4,,,0
CDM,27200001,1451 : MALECOT CATHETER 12FR 086012,58.95,58.95,,,0
CDM,27200001,145132 : SUTURE VCRL 2-0 L18IN ABSRB UD CR L26MM CT-2 1-2 CIR TAPR,31.16,31.16,,,0
CDM,27200001,145240 : SNARE SK7 MICRO SNARE,1368.0,1368.0,,,0
CDM,27200001,145241 : CATHETER DIAG SWAN GANZ POLYMER BLEND TRUE,320.05,320.05,,,0
CDM,27200001,145242 : CATHETER ASPIR 6FR L140CM GWIRE 0.014IN L EXTR LUMN PRELD,780.0,780.0,,,0
CDM,27200001,145385 : DILATOR VASC 20FR L20CM STD RADPQ,30.19,30.19,,,0
CDM,27200001,145388 : INTRODUCER SHTH 18FR X 15.5CM PEEL AWAY,95.52,95.52,,,0
CDM,27200001,145391 : ULTRATHANE MAC-LOC LOCKING LOOP MULTIPURPOSE DRAINAGE CATHET,201.86,201.86,,,0
CDM,27200001,145482 : DISPOSABLE DEPOT BAG,12.72,12.72,,,0
CDM,27200001,145490 : FATHOM 14 STEERABLE GUIDWIRES 300CM,552.0,552.0,,,0
CDM,27200001,145509 : CATHETER ANGIO 5FR L65CM GWIRE 0.038IN SS POLYUR JKT,135.6,135.6,,,0
CDM,27200001,145528 : SET INTRO LOC 9GA FOR ATEC 0914-20MR BRST BX DEV SURESIGHT,464.06,464.06,,,0
CDM,27200001,145529 : HANDPIECE BRST BX 20MM NDL 9GA L14CM MR,761.28,761.28,,,0
CDM,27200001,145532 : TRIMARK TD 13-MR  BIOPSY MARKER,186.24,186.24,,,0
CDM,27200001,145533 : SET INTRO 9GA LOC FOR ATEC 0914-12MR BRST BX DEV SURESIGHT,464.06,464.06,,,0
CDM,27200001,145534 : NEEDLE LOC L14CM OD9GA FOR MRI GUID BRST BX SURESIGHT,761.28,761.28,,,0
CDM,27200001,145560 : TUBE ET OD8.2MM ID6MM NIM TRIVANTAGE,721.46,721.46,,,0
CDM,27200001,145561 : TUBE ET ID7MM OD9.5MM NIM TRIVANTAGE EMG 1EA,721.46,721.46,,,0
CDM,27200001,145562 : TUBE ET ID8MM OD10.7MM NIM TRIVANTAGE EMG 1EA,721.46,721.46,,,0
CDM,27200001,145573 : TRAY CATH 6FR X 48IN F PED SURSTP W- STATLOK STBL DEV URIMTR,71.73,71.73,,,0
CDM,27200001,145574 : TRAY CATH PED 12FR LUBRI-SIL URIMTR STATLOK STBL DEV SURSTP,50.53,50.53,,,0
CDM,27200001,145585 : VIZISHOT FLEX 19G EBUS NEEDLE,806.4,806.4,,,0
CDM,27200001,145596 : CATHETER ANGIO AD L130CM DIA5FR 0.038IN NONBRAIDED PGTL,330.72,330.72,,,0
CDM,27200001,145733 : CONTOUR PVA EMBOZLIZATION PARTICLES 355-500 MICRONS,408.0,408.0,,,0
CDM,27200001,145877 : CATHETER ERCP ACCS DEL FOR SPYSCOPE DS II,9408.0,9408.0,,,0
CDM,27200001,146312 : GLIDESHEATH SLENDER SS KIT 0.021 GW 5 FR 10CM,145.2,145.2,,,0
CDM,27200001,146329 : FUNNEL IMPL DEL TRNSPAR POLYMERIC HYDRPHLC CONE SL DISP,349.44,349.44,,,0
CDM,27200001,146397 : NEEDLE BX ASPIR 18GA X 10CM CHIBA,27.58,27.58,,,0
CDM,27200001,146404 : HANDPIECE IRRIG BTTRY PWR W- SUCT COAX HI FLO TIP INTERPULSE,76.92,76.92,,,0
CDM,27200001,147569 : TROCAR ENDOSCP L100MM DIA11MM BLDELSS OPT W- FIX CANN DISP,317.59,317.59,,,0
CDM,27200001,147570 : VERSAPORT V2 BLADELESS OPT 12M,399.26,399.26,,,0
CDM,27200001,147572 : TROCAR ENDOSCP 12MM X 100MM OPT W- FIX CANN VERSAONE,240.36,240.36,,,0
CDM,27200001,147574 : TROCAR ENDOSCP 5MM X 150MM OPT W- FIX CANN VERSAONE,300.15,300.15,,,0
CDM,27200001,147578 : CANNULA ENDOSCP L11MM STD UNIV BLDELSS TRCR VERSAONE,101.76,101.76,,,0
CDM,27200001,147580 : CANNULA ENDOSCP L12MM STD UNIV BLDELSS TRCR VERSAONE,102.86,102.86,,,0
CDM,27200001,147601 : VRSASTP SHRT INSUFFLATION-ACC,104.98,104.98,,,0
CDM,27200001,147606 : TROCAR ENDOSCP SHT 12MM CANN DIL RADIALLY SL SELF EXPND,253.56,253.56,,,0
CDM,27200001,147640 : BIT DRL L14MM STR W- SLF CNTR SL,120.0,120.0,,,0
CDM,27200001,147646 : MICROSPHERE EMB 2ML PREFIL SYR 40-120UM TRISACRYL,592.8,592.8,,,0
CDM,27200001,147657 : MICROCATHETER VASC 2.1FR X 1.6FR X 156CM STR TIP ID0.0165IN,2451.0,2451.0,,,0
CDM,27200001,14770 : SUTURE PERMAHAND 4-0 L18IN N ABSRB BLK L13MM G-3 3-8 CIR REV,33.42,33.42,,,0
CDM,27200001,147710 : SELECTRA ACCESORY KIT,300.0,300.0,,,0
CDM,27200001,147716 : CATHETER GUID 7.1FR X 2.4FR X 65CM 130 DEG FOR ATTAIN SEL II,626.4,626.4,,,0
CDM,27200001,147723 : RING RETRCT 18.3CM X 32.5CM PLAS W- 2 CATH CLP SELF RET ADJ,180.17,180.17,,,0
CDM,27200001,147771 : CHIN STRAP MIDDLE FM100-B-S-H,61.8,61.8,,,0
CDM,27200001,147852 : RELOAD STPL REINF PUR H3X3.5X4XL60MM ENDO GIA TRI-STPL ARTC,1096.54,1096.54,,,0
CDM,27200001,147863 : BIT DRL 3MM SS WIDENING W- COUNTSINK BAHA,437.4,437.4,,,0
CDM,27200001,147868 : BIT DRL L40MM DIA2MM SLD SIDE CUT FOR GEMINUS VOLAR DST RAD,249.6,249.6,,,0
CDM,27200001,147869 : BIT DRL L40MM DIA2.5MM DORS SPANNING PLT DST RAD SYS GEMINUS,254.4,254.4,,,0
CDM,27200001,147925 : SYSTEM FASCIAL CLSR UNIQUE SHLD WNG SAFE UNIF CONSISTENT EFX,360.0,360.0,,,0
CDM,27200001,147949 : CAPSULE PH 11MM X 26MM PARYLENE C BIOCOMPATIBLE DISSOLVABLE,76.8,76.8,,,0
CDM,27200001,148039 : ELECTRODE MAP F-NEUROPROBE ST,712.56,712.56,,,0
CDM,27200001,148096 : RETRACTOR SUR XSM SHTH L19CM INCIS RANG 2-4CM WND PROTCT FLX,156.0,156.0,,,0
CDM,27200001,148097 : RETRACTOR SUR SM SHTH L18CM 2.5-6CM INCIS WND PROTCT W- FLX,156.0,156.0,,,0
CDM,27200001,149023 : REAMER LOW PROFILE 10 MM,507.0,507.0,,,0
CDM,27200001,149077 : BLADE DERMTOM W1.25-4.25IN SS BRASS RNG MATE W- HNDL DISP,156.06,156.06,,,0
CDM,27200001,149078 : KIT NEG PRSS L20CM PEEL PLC W- PRSS INDIC PREVENA,608.88,608.88,,,0
CDM,27200001,149086 : DRIVER SUR AO CONN FINAL FOR POLYAX LOK SCR DST VOLAR RAD,254.4,254.4,,,0
CDM,27200001,149113 : DRIVER SUR DIA2MM SQ TIP PEG TORQ LIMITING FOR GEMINUS VOLAR,249.6,249.6,,,0
CDM,27200001,149118 : GUIDE AIMING 1.5MM FOR GEMINUS VOLAR DST RAD PLATING SYS,72.0,72.0,,,0
CDM,27200001,14968 : KNIFE OPHTH W2.5MM 55DEG SGL BVL UP CRESC SMTH ACCURATE,104.32,104.32,,,0
CDM,27200001,149917 : PROBE VITRCTMY 23GA ANT CHMBR ULT VIT CENTURION,536.01,536.01,,,0
CDM,27200001,14992 : RETRACTOR SUR 6X5IN FLX DISP FOR IRIS GRIESHABER,212.71,212.71,,,0
CDM,27200001,150034 : BIT DRL 2.5MM X 250MM CALIB 95MM QC W- STP FOR 3.5MM LCP LO,258.43,258.43,,,0
CDM,27200001,150040 : RETRACTOR SUR L SHTH L25CM INCIS RANG 9-14MM WND PROTCT RIG,216.0,216.0,,,0
CDM,27200001,150041 : RETRACTOR SUR XL SHTH L34CM INCIS RANG 11-17CM WND PROTCT,278.4,278.4,,,0
CDM,27200001,150059 : K WIRE FIX L450MM DIA1.6MM SHRP TIP FOR TRANSCONTINENTAL,240.0,240.0,,,0
CDM,27200001,150061 : CLIP SPNL SPR STIM FOR REVERE STBL SYS TRANSCONTINENTAL,720.0,720.0,,,0
CDM,27200001,150065 : SHEATH GUID 7FR L45CM DIL L2CM HYDRPHLC VLV XCUT CRV STR,254.4,254.4,,,0
CDM,27200001,150089 : KIT SPNL CEM 11CC PMMA HI VISC W- 2 INTRO BX NDL RESVR MIX,3816.0,3816.0,,,0
CDM,27200001,150164 : CATHETER DIAG 5FR X 100CM COR RAD TIGER 4.0 1 SIDE H,108.0,108.0,,,0
CDM,27200001,150276 : COR-KNOT QUICK LOAD 6 POUCH,648.0,648.0,,,0
CDM,27200001,15028 : CANNULA AORTIC ROOT 7FR 14GA,44.24,44.24,,,0
CDM,27200001,150301 : NEEDLE SUT KNEE LP SCORPION,507.0,507.0,,,0
CDM,27200001,150354 : CODA BLLN CATH 10FR L140CM DIA 0.035IN,1195.2,1195.2,,,0
CDM,27200001,150360 : BUNDLE NEUROKIT 400 T3,33494.4,33494.4,,,0
CDM,27200001,150406 : K WIRE 1.5MM X 127MM DST RAD SYS GEMINUS,64.8,64.8,,,0
CDM,27200001,15049 : CANNULA PERF L1.8MM TIP L1MM SS SHFT BLB SHP TIP FEM LUER,32.85,32.85,,,0
CDM,27200001,150533 : SHEATH PEEL AWAY SET 5 FR INTRO .035 IN GUID WRE 15.5CM L,95.52,95.52,,,0
CDM,27200001,150546 : KIT BX INSTR NDL 12GA L10CM CANN L6.9CM 18-25MM PEN COAX,235.2,235.2,,,0
CDM,27200001,150555 : BLADE SHV DIA3.5MM BGE FLL RAD BONECUTTER DISP,165.6,165.6,,,0
CDM,27200001,150564 : BLADE SAW W0.98XL3.53IN THK0.035IN AGG TOOTH CUT EDGE,70.87,70.87,,,0
CDM,27200001,150565 : BLADE SAW W12.5XL75MM THK1.27MM CUT THK1.45MM SS TOOTH,70.87,70.87,,,0
CDM,27200001,150566 : BLADE SAW W0.73XL2.88IN THK0.031IN FOR SYS 4 AND 2000 SAG,70.87,70.87,,,0
CDM,27200001,150575 : SYSTEM BX DIA22GA FN W- PRE LD NDL SHARKCORE,1000.8,1000.8,,,0
CDM,27200001,150578 : BNX FNA BULLET 22G - N-22-05,365.28,365.28,,,0
CDM,27200001,150598 : BIT DRL L200MM DIA3MM DISP AEQUALIS,501.6,501.6,,,0
CDM,27200001,150613 : NEEDLE ASPIR 22GA L0-8CM WRK L137.5-141.5CM SHTH DIA1.65MM,825.67,825.67,,,0
CDM,27200001,150614 : NEEDLE ASPIR 19GA L137.5-141.5CM SHTH DIA1.83MM COCR SLM LN,825.67,825.67,,,0
CDM,27200001,150679 : SHUNT CONNECTOR TITANIUM STRL,130.94,130.94,,,0
CDM,27200001,150693 : CATHETER GUID L100CM OD7.5FR COR PWR BKUP 3.0 SHEATHLESS,312.0,312.0,,,0
CDM,27200001,150694 : ASAHI SHEATHLESS EAUCATH 7.5 FR PB 3.5,312.0,312.0,,,0
CDM,27200001,150701 : GUIDEWIRE VASC L190CM DIA0.014IN SPR COIL L15CM TORQUE,336.0,336.0,,,0
CDM,27200001,150702 : GUIDEWIRE VASC L190CM DIA0.014IN SPR COIL L15CM PTCA,336.0,336.0,,,0
CDM,27200001,150719 : COILED LEAD BLANK KIT,180.0,180.0,,,0
CDM,27200001,150816 : BLADE OPHTH 2.65MM BVL UP GAURDED SLT,40.92,40.92,,,0
CDM,27200001,150821 : SYSTEM NEG PRSS INCIS MGMT UPTO 20CM PEEL AND PLC DISP,1021.68,1021.68,,,0
CDM,27200001,150822 : SYSTEM NEG PRSS 13CM PEEL AND PLC W- 125 UNIT CANSTR PREVENA,1021.68,1021.68,,,0
CDM,27200001,151026 : CANNULA MICSUR 25GA 0.8MM SFT TIP DSP,53.06,53.06,,,0
CDM,27200001,151217 : BLADE SAW W10XL19MM THK0.6MM 90DEG SAG ANG FOR DRL SAW PWR,144.0,144.0,,,0
CDM,27200001,151311 : SET GASTROSTMY W- 18FR DIL GWIRE INTRO NDL,381.6,381.6,,,0
CDM,27200001,15332 : BLADE SUR W2.5MM STR SHRP ALL ARND W- RND KNURLED HNDL,133.38,133.38,,,0
CDM,27200001,15443 : KIT OVAL SHIELD PERMCATH 36CM,876.25,876.25,,,0
CDM,27200001,15544 : RETRIEVER SUT L10.1IN HEW,168.0,168.0,,,0
CDM,27200001,156 : SUT TICRON 5 3027-79,31.6,31.6,,,0
CDM,27200001,156258 : CATHETER VASC 5 FR DIAG MULIPURPOSE AMPLATZ 2 COR 80CM LEN,21.6,21.6,,,0
CDM,27200001,156287 : GUIDE SUR SUT CRV,145.14,145.14,,,0
CDM,27200001,15752 : BIT DRL L145MM DIA3.2MM QC FOR L FRAG LOK COMPR PLATING SYS,187.2,187.2,,,0
CDM,27200001,157584 : TUBE FEED 18FR BLLN 7-10ML SIL RADPQ STRP SECUR-LOK EXT,93.94,93.94,,,0
CDM,27200001,157586 : GI ANCHOR SET,290.9,290.9,,,0
CDM,27200001,15768 : BIT DRL L233MM DIA4.5MM CANN JCBS CHK,963.09,963.09,,,0
CDM,27200001,15779 : BIT DRL 110MM 3.5MM QC FOR PRO-PK CLAV MID SHFT LCP SYS,169.09,169.09,,,0
CDM,27200001,15855 : KIT PERCUTANEOUS INTRO 10FR,780.0,780.0,,,0
CDM,27200001,159 : SUT TICRON 2-0 T10 3393-51,42.07,42.07,,,0
CDM,27200001,15927 : CLIP LIG M BLU TI ADH CART STYL HRT SHP WIRE PRECIS EZ LD,27.79,27.79,,,0
CDM,27200001,159310 : ANTIMICROBIAL GAUZE,12.2,12.2,,,0
CDM,27200001,159355 : TRAY CATH 16FR F FOAM SWAB SGL LAYR TY W- BARDX IC COMPLT,64.83,64.83,,,0
CDM,27200001,159361 : SLEEVE INSRT SZ 8-11 E FOR T2 NAIL SYS,193.71,193.71,,,0
CDM,27200001,159461 : OMNIGUIDE LASER,3024.0,3024.0,,,0
CDM,27200001,159645 : FORCEP BIPOLAR 5 ADSON W- CORD DISPOSABLE,98.74,98.74,,,0
CDM,27200001,159696 : TUBE FEED 12FR L43IN YEL RADPQ ANTICLOG BOL CORFLO,48.06,48.06,,,0
CDM,27200001,159766 : KIT NEG PRSS DSG XL-W11.81XH0.6XL23.62IN VAC GRANUFOAM 1,238.77,238.77,,,0
CDM,27200001,159928 : MONOCRYL VIOLET 1X18 P-2,125.44,125.44,,,0
CDM,27200001,15MM REAMER DISTRACTOR,2004.0,2004.0,,,0
CDM,27200001,15MM STERILE STAINLESS STEEL GUIDE TUBE CANNULA,509.07,509.07,,,0
CDM,27200001,160292 : TRAY KYPHOPLASTY SZ 2 BLLN L15MM IBT 1ST FRAC OSTEO INTRO,7705.37,7705.37,,,0
CDM,27200001,160333 : DEVICE HYSTEROSCOPIC TISS REM 3MM X 32CM SS COAT W- ULT HRD,2244.0,2244.0,,,0
CDM,27200001,160392 : SEALER OPN L23CM NANO MARYLAND JAW DIV LIGASURE,1074.61,1074.61,,,0
CDM,27200001,160395 : FORCEPS BPLR L10.5IN TIP 1MM STR SMTH BAYNT INSUL DISP,156.69,156.69,,,0
CDM,27200001,160466 : CATHETER THERMOABLATION 18-31MM BLLN 8CM ELECTRD 4CM 16,6340.68,6340.68,,,0
CDM,27200001,16079 : DERMACARRIERS ZIMMER S.G. CARRIER 16 IN LENGTH (FOR USE WI,148.05,148.05,,,0
CDM,27200001,161 : SUT TICRON 3-0 T16 3369-41,44.24,44.24,,,0
CDM,27200001,161542 : TROCAR ENDOSCP BLNT TIP W- OVL DISECT BLLN SPCMKR PRO,892.3,892.3,,,0
CDM,27200001,161547 : ADHESIVE SKIN CLSR 0.8ML TOP LIQ PRECIS DOME APPL TIP,35.4,35.4,,,0
CDM,27200001,161568 : SYSTEM EXTR BG 3400ML RNG DIA14CM BLLN L100MM DIA12MM,924.0,924.0,,,0
CDM,27200001,161571 : CATHETER ANGIO 6FR X 110CM WRK 102CM 145 DEG PGTL BRD CMPTBL,432.0,432.0,,,0
CDM,27200001,161592 : AIRWAY BALLOON 10X40,8757.0,8757.0,,,0
CDM,27200001,161593 : PROBE DOPP L17.4MM 20MHZ CRYS STD CUF SWARTZ,1461.6,1461.6,,,0
CDM,27200001,161594 : CABLE DOPP EXTN L152CM CONN PRB TO MON,315.0,315.0,,,0
CDM,27200001,161597 : NEEDLE TRNSSEPT L71CM FIX CRV C1 INSUL W- RF ENERGY NRG,1116.0,1116.0,,,0
CDM,27200001,161747 : PROBE ENDOSCP L32CM BPLR BALL TIP VAPORFLEX TESSYS,1296.0,1296.0,,,0
CDM,27200001,161801 : TISSUE FLTR,4.85,4.85,,,0
CDM,27200001,161803 : DRIVER SUR UNIV QC T10,249.6,249.6,,,0
CDM,27200001,161810 : NEEDLE BX 8GA BNE ACCS TRCR TIP,120.0,120.0,,,0
CDM,27200001,161826 : FORCEPS BPLR 10IN TIP 1MM DISP FOR RETRCT SET,2160.0,2160.0,,,0
CDM,27200001,161861 : BIT DRL 1.6MM X 40MM STP 5MM SS TWST J NOTCH FOR 2.1MM,240.0,240.0,,,0
CDM,27200001,161917 : CUSTOM PACK 9H56R M-F LINE,19.2,19.2,,,0
CDM,27200001,161934 : CUFF TRNQT W2.75XL8IN 2 PRT SGL BLDR CYL DISP PLC,40.66,40.66,,,0
CDM,27200001,161944 : GOUGE SUR CART 3.5MM SS CART YAMADA,349.92,349.92,,,0
CDM,27200001,162245 : TUBE TRACH NEO SZ 3.5MM L20-34 PROX DST OD5.3MM ID3.5MM SIL,448.63,448.63,,,0
CDM,27200001,162249 : TUBE TRACH PED L92MM OD5.3MM ID3.5MM SIL CUF STR NK FLNG,448.63,448.63,,,0
CDM,27200001,162251 : TUBE TRACH PED L104MM OD6.7MM ID4.5MM SIL CUF STR NK FLNG,448.63,448.63,,,0
CDM,27200001,162369 : BLADE SHV L11CM DIA3.5MM 5000RPM OSC 60DEG CRV SHFT RAD,479.52,479.52,,,0
CDM,27200001,162370 : BLADE SHV L13CM DIA4.3MM STR LNG SHFT IRRIG TBNG,459.65,459.65,,,0
CDM,27200001,162420 : TUBE TRACH AD L100MM CUF DIA35MM OD12.3MM ID7MM DST EXT LEN,147.4,147.4,,,0
CDM,27200001,162448 : PACK BTTRY DISP FOR LEV 1 SYS,199.2,199.2,,,0
CDM,27200001,162452 : BIT DRL L50MM DIA1.1MM 5MM STP W- J CPL FOR 1.5MM SCR,240.0,240.0,,,0
CDM,27200001,162459 : BIT DRL L50MM DIA1.5MM 20MM STP W- J NOTCH ATTCH,240.0,240.0,,,0
CDM,27200001,163188 : CADWELL BALL TIP PROBE 200MM STERILE SINGLE USE,1152.0,1152.0,,,0
CDM,27200001,164300 : NEEDLE BX 8GA BNE ACCS BVL TIP,120.0,120.0,,,0
CDM,27200001,164350 : DRILL BIT 16MM,120.0,120.0,,,0
CDM,27200001,164771 : ECKARDT END-GRIP DISP MICRO FORCEPS,385.92,385.92,,,0
CDM,27200001,164775 : SUTURETAPE BRAIDED POLYBLEND SUTURE WHITEBLUE 1.3 MM SUTURE,91.27,91.27,,,0
CDM,27200001,164776 : ACCUPASS DIRECT XL SUT PASSER,766.8,766.8,,,0
CDM,27200001,164816 : BIT DRL 1.5MM X 50MM STP 5MM SS TWST J NOTCH DISP FOR 2MM,240.0,240.0,,,0
CDM,27200001,164839 : SUT VLOC NON ABS 3-0 BL 9IN,103.3,103.3,,,0
CDM,27200001,164845 : SYSTEM SKIN CLSR 2.9ML 22CM MESH PTCH DERMBND PRINEO,187.89,187.89,,,0
CDM,27200001,164881 : DRILL SUR 2.7MM,192.0,192.0,,,0
CDM,27200001,164912 : BURRHOLE COVER 15MM,278.21,278.21,,,0
CDM,27200001,164913 : COVER BUR H DIA17MM THK0.3MM 6 H BLU TI NONCOMPRESSION ULT,300.67,300.67,,,0
CDM,27200001,16537 : CATH THORACIC 32FR RT ANGLE,55.98,55.98,,,0
CDM,27200001,16FR J FEED TUBE,343.3,343.3,,,0
CDM,27200001,1718 : TUBE CONN 14FR L30CM LL W- DRNGE BG CONN,26.83,26.83,,,0
CDM,27200001,17244 : PROSTHESIS TORP 14-0890,801.91,801.91,,,0
CDM,27200001,17693 : CATHETER ANGIO 5FR L110CM 145DEG PGTL 6 SIDE H INFIN,21.6,21.6,,,0
CDM,27200001,17FR CANNULA 96670-117 BIO-MEDICUS,983.66,983.66,,,0
CDM,27200001,18003 : SHEATH PEEL AWAY,92.33,92.33,,,0
CDM,27200001,18298 : HEMOCONCENTRATOR HPH-4TS MINNTECH TBG,250.08,250.08,,,0
CDM,27200001,1835 : NEEDLE JAMSHIDI CHILD,45.05,45.05,,,0
CDM,27200001,18395 : PACK AMBRUS EAR MER 400354,21.18,21.18,,,0
CDM,27200001,18602 : CATHETER GUID 5FR L100CM JUDKINS L 4 COR RADPQ TIP TRUE LUMN,21.6,21.6,,,0
CDM,27200001,18682 : CANNULA OPHTH 19GA X 1IN FOR SUB TENON SPACE ANES,18.6,18.6,,,0
CDM,27200001,18955 : KIT TRAUMA,111.58,111.58,,,0
CDM,27200001,18GX10CM AND BLUNT TIP STYLET 4.5 CM LENGTH,40.2,40.2,,,0
CDM,27200001,19433 : PACKING EAR L15CM OD12CM DRAWSTRNG ATRAUM REM ABSORB POSTOP,25.31,25.31,,,0
CDM,27200001,19634 : TRAY CUSTOM MYELOGRAM,93.02,93.02,,,0
CDM,27200001,19714 : CANNULA VENOUS R.A. HIFLO 24FR,101.96,101.96,,,0
CDM,27200001,19774 : POUCH SPEC 15MM G POLYUR DISP ENDO CTCH II,243.58,243.58,,,0
CDM,27200001,19964 : GUIDEWIRE VASC 0.014INX300CM J SUPERSOFT TIP 3CM STBL XS,156.0,156.0,,,0
CDM,27200001,19965 : TRAY IMAGING DIAGNOSTIC,43.43,43.43,,,0
CDM,27200001,2 PT 0MM DRILL BIT,329.9,329.9,,,0
CDM,27200001,2 X 7.5MM SIDECUTTING BUR MEDIUM TAPERED,16.61,16.61,,,0
CDM,27200001,2-0 ETHIBOND GREEN 1X43 IN EN-3,172.03,172.03,,,0
CDM,27200001,2-0 ETHIBOND GRNWHT 10X30IN V-7 DOUBLE ARMED FIRM PLEDGET 7M,181.15,181.15,,,0
CDM,27200001,2-0 MONOCRYL VIOLET,174.82,174.82,,,0
CDM,27200001,2.0 DRILL BIT  QC 125/100,181.63,181.63,,,0
CDM,27200001,2.0/2.4/2.7/3.5/4.0MM PLATE TACK,283.78,283.78,,,0
CDM,27200001,2.0/2.4MM CANNULATED SCREW COUNTERSINK,957.6,957.6,,,0
CDM,27200001,2.0MM CANNULATED DRILLFUSIONQUICK RELE,996.0,996.0,,,0
CDM,27200001,2.0MM DRILL 191MM,383.62,383.62,,,0
CDM,27200001,2.0MM DRILL BIT CALIBRATED,490.13,490.13,,,0
CDM,27200001,2.0MM DRILL LONG,403.62,403.62,,,0
CDM,27200001,2.0MM/2.4MM PLATE HOLDING TAK THREADED,182.4,182.4,,,0
CDM,27200001,2.4MM DRILL,388.32,388.32,,,0
CDM,27200001,2.5 DRILL BIT 95MM GOLD,210.46,210.46,,,0
CDM,27200001,2.5MM CANNULATED DRLL BIT 7111-9106,849.74,849.74,,,0
CDM,27200001,2.5MM DRILL BIT 100MM,168.0,168.0,,,0
CDM,27200001,2.5MM REAMING PILOT DRILL GPS,1080.0,1080.0,,,0
CDM,27200001,2.7MM DRILL,388.32,388.32,,,0
CDM,27200001,2.7MM DRILL 130MM,326.78,326.78,,,0
CDM,27200001,2.7MM DRILL 191MM,383.62,383.62,,,0
CDM,27200001,2.7MM DRILL BIT,329.9,329.9,,,0
CDM,27200001,2.7MM DRILL BIT 100MM,168.0,168.0,,,0
CDM,27200001,2.7MM DRILL BIT QC 125MM,387.0,387.0,,,0
CDM,27200001,2.7MM DRILL STANDARD CANNULATED,252.0,252.0,,,0
CDM,27200001,2.8 DRILL BIT QC 170 80 CALIBRATION,520.2,520.2,,,0
CDM,27200001,2.8 DRILL BIT QC 200 110 CALIBRATION,556.2,556.2,,,0
CDM,27200001,2.9MM DRILL BIT,159.6,159.6,,,0
CDM,27200001,"20"" TUNNELING TOOL",144.0,144.0,,,0
CDM,27200001,200500 : FRAZIER SUCTION TUBE 10 FRENCH,1728.0,1728.0,,,0
CDM,27200001,20057 : VESSELOOP W-NEEDLE (2BX MIN),40.74,40.74,,,0
CDM,27200001,20085 : CATHETER ANGIO 5FR L100CM AMPLATZ R 2 MOD INFIN,21.6,21.6,,,0
CDM,27200001,20102 : CATHETER ANGIO 5FR L100CM IM INFIN,21.6,21.6,,,0
CDM,27200001,20128 : CATH DIAG 5F 572T,21.6,21.6,,,0
CDM,27200001,20309 : BIT DRL 1.8MM X 100MM QC CALIB W-O STP REUSE,372.0,372.0,,,0
CDM,27200001,20382 : BIT DRL L100MM DIA2.7MM QC FOR LOK COMPR PLATING SYS,179.85,179.85,,,0
CDM,27200001,203997 : MALLET,1576.73,1576.73,,,0
CDM,27200001,208 : HOOK RETRCT L3MM E SHRP SELF RET SYS LONE STAR,230.09,230.09,,,0
CDM,27200001,20GA X 15CM FRANSEEN BIOPSY NEEDLE BIOPSY,16.18,16.18,,,0
CDM,27200001,20GX10CM BIOPSY DEVICE,137.4,137.4,,,0
CDM,27200001,20GX15CM AND BLUNT TIP STYLET 9.5 CM LENGTH,40.2,40.2,,,0
CDM,27200001,20MM BLUNT BLADE & TUBESET,1432.15,1432.15,,,0
CDM,27200001,20MM MIS BLUNT BLADE SHEATH & TUBESET,1948.37,1948.37,,,0
CDM,27200001,20°/25° FUSION RECESS REAMERQUICK RELEA,1044.0,1044.0,,,0
CDM,27200001,21035 : BIT DRL L160MM DIA2.7MM 1.35MM CANN QC FOR 3.5MM SCR,1160.6,1160.6,,,0
CDM,27200001,21232 : CATHETER INFUS L100CM OD6FR 0.038IN 1200PSI POLYUR RCB COR,15.6,15.6,,,0
CDM,27200001,21236 : INFLATION DEVICE LOW PRESSURE,96.0,96.0,,,0
CDM,27200001,21461 : SNARE VASC 4FR L120CM DIA5MM 90DEG G PLT TUNG COILS NIT SHFT,636.0,636.0,,,0
CDM,27200001,216900 : BIT DRL L16MM STR W- SLF CNTR SL,120.0,120.0,,,0
CDM,27200001,216901 : STRAIGHT DRILL WITH SELF-CENTERING SLEEVE 18MM,120.0,120.0,,,0
CDM,27200001,216999 : ANGLED DRILL TIP WITH SELF-CENTERING SLEEVE 18MM,120.0,120.0,,,0
CDM,27200001,217094 : DISC SHIM SS MRS 3VL,720.0,720.0,,,0
CDM,27200001,217101 : RETRIEVE BONE MARROW ASPIRATION KIT,609.6,609.6,,,0
CDM,27200001,21818 : CANNULA CB96345-23 BIO-MEDICUS 23FR,773.86,773.86,,,0
CDM,27200001,21819 : CANNULA CB96345-25 BIO-MEDICUS 25FR,773.86,773.86,,,0
CDM,27200001,21821 : CANNULA CB96535-15 BIO-MEDICUS 15FR,683.93,683.93,,,0
CDM,27200001,21822 : CANNULA CB96535-17 BIO-MEDICUS 17FR,683.93,683.93,,,0
CDM,27200001,21823 : CANNULA CB96535-19 BIO-MEDICUS 19FR,683.93,683.93,,,0
CDM,27200001,21824 : CANNULA CB96535-21 BIO-MEDICUS 21FR,683.93,683.93,,,0
CDM,27200001,22009 : KIT MICROSNARE L175CM LOOP DIA4MM CATH 23-3FR L150CM 90DEG,1368.0,1368.0,,,0
CDM,27200001,220443 : LAMINA HOOK THREADED EXTRA WIDE OFFSET RIGHT MEDIUM CREO,720.0,720.0,,,0
CDM,27200001,220446 : LAMINA HOOK THREADED EXTRA WIDE OFFSET LEFT MEDIUM CREO,720.0,720.0,,,0
CDM,27200001,220459 : THORACIC LAMINA HOOK THREADED MEDIUM CREO,720.0,720.0,,,0
CDM,27200001,220469 : TRAVERSE PROCESS HOOK RIGHT LARGE CREO THREADED,720.0,720.0,,,0
CDM,27200001,220471 : TRANSVERSE PROCESS HOOK THREADED RIGHT CREO,720.0,720.0,,,0
CDM,27200001,220472 : TRANSVERSE PROCESS HOOK THREADED LEFT CREO,720.0,720.0,,,0
CDM,27200001,225166 : TRIAL 2193445 O25 IB 27MM 18 DEG 14X45,1044.6,1044.6,,,0
CDM,27200001,225598 : SHAFT 3990002 LONG THREADED,240.86,240.86,,,0
CDM,27200001,22673 : SUT TICRON 2.0 3385-56,569.59,569.59,,,0
CDM,27200001,228266 : FORCEPS 159-1 STRT TIP BAYON BIPOLAR,1995.0,1995.0,,,0
CDM,27200001,228367 : ADAPTER DRVR QC SHFT FOR FEN SCR SET CDH,484.51,484.51,,,0
CDM,27200001,229566 : LIGHT SUR 2 STR TIP SCINTILLANT,720.0,720.0,,,0
CDM,27200001,2297 : TUBE TRACH PED L41MM OD6MM ID4MM SIL UNCUF V NK FLNG W- OBT,117.44,117.44,,,0
CDM,27200001,23365 : CANNULA ARTHSCP DIA7MM LIME GRN W-O H CLR-TRAC,60.48,60.48,,,0
CDM,27200001,23726 : CANALICULUS INTUBATION SET (CIS) 15.5 CM LONG .051 CM DIAM P,298.77,298.77,,,0
CDM,27200001,23G ILLUMINATED FLEX CURVED LASER PROBE RFIDX2,545.23,545.23,,,0
CDM,27200001,24041 : CATHETER DIAG STD 6FR L100CM FEM DUCOR JL 4 CRV NONBRAIDED,15.6,15.6,,,0
CDM,27200001,24044 : CATHETER ANGIO 5FR L100CM JUDKINS L 4.5 INFIN,21.6,21.6,,,0
CDM,27200001,24090 : CATHETER ANGIO 5FR L100CM GRY SS NYL JL3.5 3 SEG BRD L LUMN,21.6,21.6,,,0
CDM,27200001,24184 : CATHETER GUID 6FR L110CM 145DEG VENT ANG PGTL 6 SIDE H RADPQ,21.6,21.6,,,0
CDM,27200001,24198 : KIT HEMSTAS VLV L BOR ACCS 9 MAP W- MTL WIRE INTRO AND TORQ,37.94,37.94,,,0
CDM,27200001,24299 : HOOK LAP L32CM DIA5MM SHTH SCALP DISECT TIP HARM,400.4,400.4,,,0
CDM,27200001,24355 : CATHETER DIAG 6FR L100CM FEM DUCOR IM CRV NONBRAIDED PROX,15.6,15.6,,,0
CDM,27200001,24365 : SYRINGE INFL W- HEMSTAT VLV TORQ ACCS + BASIXCOMPAK,93.6,93.6,,,0
CDM,27200001,24383 : PERFORATOR SUR MINI PED OD11MM ID7MM CRAN CUT EDGE DISP,638.4,638.4,,,0
CDM,27200001,24426 : CATHETER DIAG 6FR L100CM FEM DUCOR JL 4.5 CRV NONBRAIDED,15.6,15.6,,,0
CDM,27200001,24450 : DILATOR VASC 8FR L17CM 0.038IN,25.2,25.2,,,0
CDM,27200001,2447 : TROCAR  9IN 10F 10-CS,91.99,91.99,,,0
CDM,27200001,2449 : TROCAR 10IN 16F,109.45,109.45,,,0
CDM,27200001,2450 : TROCAR 16IN 20F,54.4,54.4,,,0
CDM,27200001,24541 : FORCEPS BX WRK L100CM JAW DIA1.8MM 2MM WRK CHN PULM STD CAP,215.33,215.33,,,0
CDM,27200001,24544 : CATHETER DIAG 6FR L100CM JUDKINS POLYUR BRD BODY PROX DST,15.6,15.6,,,0
CDM,27200001,24550 : CATHETER DIAG 6FR L100CM FEM DUCOR AMPLATZ L 2 CRV,15.6,15.6,,,0
CDM,27200001,245514 : SUTURE STRATAFIX SYMMTRC PDS + 1 18IN ABSRB VLT ANTIBACT,66.29,66.29,,,0
CDM,27200001,245515 : 0 45CM STRATAFIX SPIRAL PDS PLUS VIOLET CT-1,61.8,61.8,,,0
CDM,27200001,245516 : 0 70CM STRATAFIX SPIRAL PDS PLUS VIOLET CT-1,61.8,61.8,,,0
CDM,27200001,245517 : SUTURE STRATAFIX SYMMTRC PDS + 0 18IN ABSRB VLT ANTIBACT,66.29,66.29,,,0
CDM,27200001,245518 : SUTURE STRATAFIX SPRL MCRYL + 3-0 18IN ABSRB UD ANTIBACT,59.01,59.01,,,0
CDM,27200001,245519 : SUTURE STRATAFIX SPRL MCRYL + SZ 3-0 L27IN L19MM PS-2 ABSRB,59.01,59.01,,,0
CDM,27200001,245558 : FORCEPS BX STD 7FR L50CM SHFT 2.3MM OVL CUP SERR IJ APPRCH,410.04,410.04,,,0
CDM,27200001,245562 : CATHETER GUID 6FR L100CM AMPLATZ R 1 MOD RADPQ TIP TRUE LUMN,21.6,21.6,,,0
CDM,27200001,245625 : CATHETER DIAG 6FR L100CM ID0.056IN MP A 1 CRV SUP SFT TRILON,23.36,23.36,,,0
CDM,27200001,245645 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH L COR X,115.2,115.2,,,0
CDM,27200001,245682 : SHUNT CV 1.5MM X 14MM IC SIL TAPR TIP RADPQ CLRVW,196.45,196.45,,,0
CDM,27200001,245683 : 1.75MMCLEARVIEW INTRACORONARY SHUNT,196.45,196.45,,,0
CDM,27200001,24FR 12-30  SM PLASMALOOP ELECTRODE ELECTROSURGICAL HYSTERO,1137.24,1137.24,,,0
CDM,27200001,251016 : KNIFE OPHTH THK2.4MM SGL BVL ANG S SLT CLEARCUT,98.76,98.76,,,0
CDM,27200001,251041 : SET IRRIG TBNG SMARTABLATE SYS,199.2,199.2,,,0
CDM,27200001,25193 : KT JEJUSTMY TB 22FR BLLN 7-10ML JEJU L45CM TRANSGASTRIC SIL,574.61,574.61,,,0
CDM,27200001,25744 : CATHETER DIAG 6FR L100CM GWIRE 0.038IN POLYUR AMPLATZ L 1,15.6,15.6,,,0
CDM,27200001,25906 : SHIELD EYE OD14.5MM CLLGN CORNEAL SFT DISSOLUTION TIME QUIK,63.32,63.32,,,0
CDM,27200001,25G SCLERO NEEDLE .038/200CM INTERJECT LOCKABLE CLEAR HUB,86.18,86.18,,,0
CDM,27200001,25GA VALVED ENTRY SYSTEM 3CT,161.9,161.9,,,0
CDM,27200001,26051 : CANNULA CB9665-21 BIO-MEDICUS 21FR,741.5,741.5,,,0
CDM,27200001,26080 : CATHETER GUID 7FR L100CM PTFE JR4 TRUELUMEN W- 2 SIDE H,91.2,91.2,,,0
CDM,27200001,261409 : COIL EMB L40CM DIA12MM 0.035IN PLAT 2D HELI STRTCH RESIST,1802.4,1802.4,,,0
CDM,27200001,26247 : CANNULA CB66128 SS VENOUS 28FR CARMEDA,154.78,154.78,,,0
CDM,27200001,262520 : MICROCATHETER DIAG 2.6FR X 1.9FR X 135CM TIP OD0.48MM,1020.0,1020.0,,,0
CDM,27200001,262522 : CATHETER OCCL 2.5FR L135CM TAPR SFT TIP BRD WIRE,2040.0,2040.0,,,0
CDM,27200001,262671 : TAP 3.0MM,1340.71,1340.71,,,0
CDM,27200001,262684 : CANNULATED TAP 4.5MM,1340.71,1340.71,,,0
CDM,27200001,262688 : CANNULATED TAP 6.5MM,1340.71,1340.71,,,0
CDM,27200001,262689 : CANNULATED TAP 7.0MM,1340.71,1340.71,,,0
CDM,27200001,26366 : CANNULA CB66124 SS VENOUS 24FR CARMEDA,154.78,154.78,,,0
CDM,27200001,26829 : GUIDE 7FR HS,91.2,91.2,,,0
CDM,27200001,27149 : BLADE SHV DIA4.5MM PNK STR RAZCUT DISP DYONIC,95.04,95.04,,,0
CDM,27200001,27288 : NEEDLE BARD BIOPTY 18GA,228.0,228.0,,,0
CDM,27200001,27324 : BUR SHV 5.5MM ACROMIONIZER BRN LATCH STR WIDE MOUTH DISP,95.04,95.04,,,0
CDM,27200001,27395 : CATHETER GUID 7FR L100CM PTFE XBLAD3.5 TRUELUMEN HYBRID BRD,91.2,91.2,,,0
CDM,27200001,27430 : BIT DRL L125MM DIA2.7MM SHFT L100MM 3 FLUT QC FOR UNIV SM,275.02,275.02,,,0
CDM,27200001,27457 : KIT JEJUSTMY TB 16FR 7-10ML L45CM TRANSGASTRIC SIL SECUR LOK,574.61,574.61,,,0
CDM,27200001,27468 : RING RETRCT 14.1X14.1CM PLAS SELF RET LTWT DISP LONE STAR,234.81,234.81,,,0
CDM,27200001,27487 : CATHETER ANGIO 5FR L90CM 0.38IN 6 SIDE H N-BRD OMNI FLSH,54.12,54.12,,,0
CDM,27200001,27627 : PEG 24 PULL,492.0,492.0,,,0
CDM,27200001,27632 : BLADE STR RAZOR CUTTER,95.04,95.04,,,0
CDM,27200001,27633 : BLADE SHV OD3.5MM BGE STR ENDOSCP ASCP FULL RAD RESECT,95.04,95.04,,,0
CDM,27200001,28.0 X 0.6MM MICRO RECIPROCATOR BLADE,43.13,43.13,,,0
CDM,27200001,28323 : BIT DRL L300MM DIA5MM NS CANN QC ADJ STP REUSE,1131.71,1131.71,,,0
CDM,27200001,28563 : KIT SNR L120CM LOOP DIA25MM CATH 6FR L102CM 90DEG W- INTRO,636.0,636.0,,,0
CDM,27200001,28684 : TUBE CARD SUCT 6FR SHFT W- 10FR SFT TIP 1-4IN CONN SS,40.2,40.2,,,0
CDM,27200001,28698 : CATHETER GUID AD 6FR L100CM COR PERIPH GRN NYL PTFE AL1,91.2,91.2,,,0
CDM,27200001,28995 : LIGATOR ENDOSCP TRIG CRD L122CM SCP DIA9.5-13MM 6 BND SHOT,984.0,984.0,,,0
CDM,27200001,29184 : SUT SILK 4-0,224.68,224.68,,,0
CDM,27200001,29310 : INTRODUCER SHTH 8FR CANN L23CM DIL TIP 35MM MINI GWIRE,53.45,53.45,,,0
CDM,27200001,29510 : SUTURE PERMA-HND 4-0 18IN NABSRB BLK CR 17MM RB-1 1-2 CIR,31.87,31.87,,,0
CDM,27200001,29773 : CATHETER ANGIO 5FR L80CM NYL MIKELSON CRV 10 SIDEPRT TAPR,58.66,58.66,,,0
CDM,27200001,3-0 CATGUT SUTURE VANTAGE CHROMIC 150 CM NO NEEDLE,81.22,81.22,,,0
CDM,27200001,3-0 PERMA HAND BLACK 1X48IN EN-S,176.3,176.3,,,0
CDM,27200001,3.0MM BURR,69.38,69.38,,,0
CDM,27200001,3.2 MM CALIBRATED DRILL BIT,268.8,268.8,,,0
CDM,27200001,3.2MM DRILL BIT 01-1000-010,487.49,487.49,,,0
CDM,27200001,3.5 QC TAP DRILL,159.6,159.6,,,0
CDM,27200001,3.5MM DRILL 130MM,447.55,447.55,,,0
CDM,27200001,3.5MM DRILL BIT,295.2,295.2,,,0
CDM,27200001,3.5MM DRILL BIT QC 150MM,259.2,259.2,,,0
CDM,27200001,3.5MM SHORT DRILL  BIT W/QC,165.24,165.24,,,0
CDM,27200001,3.5X14 AQUACEL AG ADVANTAGE DRESSING ANTIMICROBIAL,78.65,78.65,,,0
CDM,27200001,3.7MM DRILL PIN,338.52,338.52,,,0
CDM,27200001,30-109 STERILE DISPOSABLE CLEARCISION BLADE PK OF 12,345.0,345.0,,,0
CDM,27200001,30130 : BIT DRL L125MM DIA2.7MM QC FOR LOK CALCNL PLT INSTR AND IMPL,172.75,172.75,,,0
CDM,27200001,30390 : CARRIER GRFT L8IN PVC SKIN MESH DERMCARR,100.09,100.09,,,0
CDM,27200001,30456 : INF CATH 4151-1 CRAGG-MCNAMARA,235.2,235.2,,,0
CDM,27200001,30693 : CANNULA CB9665-19 BIO-MEDICUS 19FR,724.51,724.51,,,0
CDM,27200001,30705 : COMPONENTS XOMED INNER EAR0520,1044.48,1044.48,,,0
CDM,27200001,30759 : BLOWER MISTER,107.26,107.26,,,0
CDM,27200001,31377 : WIRE  .035-260 STRAIGHT EXG,21.6,21.6,,,0
CDM,27200001,31421 : BLADE SAW W12.5XL89.5MM THK0.89MM LNG NAR SAG FOR SYS 4 2000,70.87,70.87,,,0
CDM,27200001,32228 : CATH SIMMONS 1,54.91,54.91,,,0
CDM,27200001,32229 : CATHETER ANGIO 5FR L100CM NYL SIM 2 CRV TAPR RADPQ TIP SS,54.91,54.91,,,0
CDM,27200001,32252 : CATHETER ANGIO 5FR L100CM NYL SIM 3 CRV TAPR RADPQ TIP SS,58.66,58.66,,,0
CDM,27200001,32300 : SET BX NDL 11GA L10CM BNE SIDE BVL DMND TIP W- BLNT TIP OBT,145.44,145.44,,,0
CDM,27200001,32425 : BLADE SHV OD4.5MM YEL STR ENDOSCP FULL RAD RESECT DEBRIS,95.04,95.04,,,0
CDM,27200001,32426 : BLADE STR FULL RADIUS 5.5,95.04,95.04,,,0
CDM,27200001,32436 : GUIDEWIRE EXTN VASC COR 0.014INX145CM DOC,228.0,228.0,,,0
CDM,27200001,32571 : BUR SUR M L8MM DIA3MM RND FLUT CARB ELITE TPS,181.15,181.15,,,0
CDM,27200001,32806 : CATHETER SEMI FLOATING LD PACE BPLR PACE ELECTRD 6FRX125CM,290.4,290.4,,,0
CDM,27200001,32936 : GUIDE 6F XBLAD 4.5,91.2,91.2,,,0
CDM,27200001,32952 : SYSTEM INFL ASSEMB 60ML SYR G PULM DISP ALLIANCE II,118.32,118.32,,,0
CDM,27200001,33030 : BLADE SAW THK0 38MM CUT EDGE THK27MM CUT THK0 53MM PRECIS,178.22,178.22,,,0
CDM,27200001,33192 : CLAMP 395.126,1647.36,1647.36,,,0
CDM,27200001,33676 : CATHETER DIAG 5FR L100CM FEM VESTAN AMPLATZ R MOD CRV RADPQ,21.6,21.6,,,0
CDM,27200001,33687 : EZ CLEAN MOD NEEDLE 2.75,187.97,187.97,,,0
CDM,27200001,34541 : BLADE SHV DIA4MM ACROMIONIZER STR BUR WIDE MOUTH MAUVE LATCH,95.04,95.04,,,0
CDM,27200001,34848 : BIT DRL L145MM DIA4.5MM QC FOR L FRAG LOK COMPR PLATING SYS,152.93,152.93,,,0
CDM,27200001,35019 : GRASPER SUT 60DEG SHRP TIP LP FOR RAP ACCS IN SHLDR KNEE,1166.4,1166.4,,,0
CDM,27200001,351019 : KIT DRLBT DIA2MM W- DRL GUID HNDL TMPLT LOC PIN TAMP FOR SPD,1209.6,1209.6,,,0
CDM,27200001,351101 : SUTURE V-LOC 2-0 L6IN NABSRB BLU L37MM GS-21 1-2 CIR TAPR,98.35,98.35,,,0
CDM,27200001,351210 : CATH U5TRACKSHA DXT 5F 5PK 110CM TRACK,72.0,72.0,,,0
CDM,27200001,352962 : RETRIEVER ENDOSCP L230CM NET 3X5.5CM SHTH 2.5MM MIN WRK CHN,289.68,289.68,,,0
CDM,27200001,353227 : 1.6MM DRILL 35MM WORKING LENGTH STRYKER END,336.62,336.62,,,0
CDM,27200001,353239 : PACK BTTRY FOR PWR SCRDRVR QUICKDRIVE MINI,300.26,300.26,,,0
CDM,27200001,35491 : BARRON DONOR CORNEA PUNCH 8.25MM DIA.,168.0,168.0,,,0
CDM,27200001,35492 : RADIAL VACUUM TREPHINE 7.0MM DIA.,187.2,187.2,,,0
CDM,27200001,35493 : TREPHINE OPHTH 8MM SS ROD 360 DEG RAD VAC CHMBR DISP,187.2,187.2,,,0
CDM,27200001,355866 : RESORB XTWIST DRILL J NOTCH 5 MM STOP1.3 X 50 MMQTY:001 EA,504.0,504.0,,,0
CDM,27200001,355988 : TIP US STD STR SONOTRODE II SONICWELD RX,810.0,810.0,,,0
CDM,27200001,355990 : TIP SONOTRODE US SMOOTHING STR SONICWELD RX II,734.4,734.4,,,0
CDM,27200001,357205 : CATH F6 ST+ MP A1 100CM,15.6,15.6,,,0
CDM,27200001,35810 : ASSEMBLY BLDE DISP FOR SMARTRELEASE ENDOSCP CRPL TUNN REL,608.0,608.0,,,0
CDM,27200001,35978 : SUTURE CHRM GUT 6-0 18IN ABSRB BLU 6.5MM TG140-8 3-8 CIR,900.35,900.35,,,0
CDM,27200001,360607 : BIT DRL DIA2.8MM QR W- DEPTH MRK FOR SM FRAG BASE SET,532.8,532.8,,,0
CDM,27200001,360723 : EVOS SMALL 2.0MM DRILL W-AO QC LONG,249.6,249.6,,,0
CDM,27200001,360724 : BIT DRL 2MM SHT AO QC DISP FOR EVOS SM PLATING SYS,121.18,121.18,,,0
CDM,27200001,360725 : BIT DRL 2.5MM LNG AO QC DISP FOR EVOS SM PLATING SYS,121.18,121.18,,,0
CDM,27200001,360726 : BIT DRL SM DIA2.5MM SHT W- AO QC DISP FOR EVOS SM PLATING,143.21,143.21,,,0
CDM,27200001,360728 : BIT DRL DIA2.7MM SHT QC ADD ON FOR EVOS SM PLATING SYS,222.0,222.0,,,0
CDM,27200001,360729 : OVERDRILL SUR DIA3.5MM SHT W- AO QC DISP FOR SM PLATING SYS,306.0,306.0,,,0
CDM,27200001,361 : BLADE TYMPLSTY W2.5MM 60DEG ANG BVL DN SHRP ALL ARND,69.58,69.58,,,0
CDM,27200001,36179 : BLADE RECIP. 5100-137-133,178.22,178.22,,,0
CDM,27200001,362124 : BIT DRL DIA2.4MM BLU BAR FOR XTRAFIX SYS,228.0,228.0,,,0
CDM,27200001,362127 : BIT DRL DIA3.2MM BLU FOR XTRAFIX EXT FIX SYS,228.0,228.0,,,0
CDM,27200001,362128 : BIT DRL DIA4MM LNG ORNG FOR XTRAFIX EXT FIX SYS,228.0,228.0,,,0
CDM,27200001,362129 : BIT DRL M DIA4MM YEL FOR XTRAFIX EXT FIX SYS,228.0,228.0,,,0
CDM,27200001,36223 : CATHETER FLSH 5FR L65CM 8 20 G ALLY MRK BND SIDE H BRD BODY,137.28,137.28,,,0
CDM,27200001,362942 : DAKOTA 1.9F X 11MM X 120CM,490.49,490.49,,,0
CDM,27200001,36339 : BLADE SHV DIA4.5MM STR LIME GRN LATCH ORBT INCIS CRV DISP,104.4,104.4,,,0
CDM,27200001,364 : DRESSING EAR AD 5.5IN GLSCOCK,50.0,50.0,,,0
CDM,27200001,364510 : BIT DRL L320MM DIA4.3MM CALIB FOR PHOENIX SYS,268.8,268.8,,,0
CDM,27200001,365 : KIT EAR DSG PED POSTOP GLSCOCK,50.0,50.0,,,0
CDM,27200001,365238 : BIT DRL DIA4.3MM CALIB FOR RG FEM NAT NAIL SYS,285.6,285.6,,,0
CDM,27200001,365239 : BIT DRL DIA4.9MM CALIB FOR RG FEM NAT NAIL SYS,604.8,604.8,,,0
CDM,27200001,365251 : PIN FIX L355MM DIA3MM NTHRD,201.6,201.6,,,0
CDM,27200001,365259 : BIT DRL 4.3MM TIB HUM CALIB FOR NAT NAIL 18 SYS,352.8,352.8,,,0
CDM,27200001,365263 : BIT DRL DIA4.9MM SHT CALIB FOR NAT NAIL SYS,218.4,218.4,,,0
CDM,27200001,365264 : BIT DRL DIA4.9MM SHT CANN CALIB FOR NAT NAIL AG FEM SYS,571.2,571.2,,,0
CDM,27200001,365269 : BIT DRL DIA4.3MM FREEHAND TARGETING FOR NAT NAIL 18 SYS,159.6,159.6,,,0
CDM,27200001,365273 : FREEHAND DRILL 3.3 MM DIAMETER 152.5 MM LENGTH  FREEHAND DRI,176.4,176.4,,,0
CDM,27200001,365274 : BIT DRL L152.5MM DIA4.3MM SHT FREE HND W-O STP,176.4,176.4,,,0
CDM,27200001,366869 : INTRODUCER KT MIC G STD 5FRX7CM,72.78,72.78,,,0
CDM,27200001,366888 : TUBE GJ 14FR STOMA L1.5CM JEJU L15CM LP ANTI KINK W- BLLN,1401.6,1401.6,,,0
CDM,27200001,367305 : DIAGNOSTIC CATHETER TEMPO HYDROPHILIC COATED,90.28,90.28,,,0
CDM,27200001,367306 : DIAGNOSTIC CATHETER TEMPO SLX COATED,80.81,80.81,,,0
CDM,27200001,368036 : SEALER BPLR MINIMALLY INVASIVE FLX BPLR W- NACL FLD DEL LN 3,1526.4,1526.4,,,0
CDM,27200001,368037 : SEALER BPLR MINI MINIMALLY INVASIVE FLX BPLR W- NACL FLD DEL,1526.4,1526.4,,,0
CDM,27200001,36808 : EMBOSPHERE 700-900,583.2,583.2,,,0
CDM,27200001,368091 : 28MM CALIBRATED DRILL BIT QC 250MM95MM,258.43,258.43,,,0
CDM,27200001,368166 : NEEDLE BX 19GA FLX L0-8CM WRK L137.5-141.5CM SHTH DIA1.73MM,1680.0,1680.0,,,0
CDM,27200001,368167 : NEEDLE BX 22GA COCR US FN ACQUIRE,1223.04,1223.04,,,0
CDM,27200001,368179 : CATHETER THRMDIL 7FR L110CM C TIP N PVC SWN GZ CONTROLCATH,1018.8,1018.8,,,0
CDM,27200001,36877 : CATHETER GUID AD 6FR L100CM COR PERIPH GRN NYL PTFE XB L 3,91.2,91.2,,,0
CDM,27200001,368833 : CANNULA ARTHSCP L9CM DIA8.25MM SELF RET W- DISP CANN TRCR,83.47,83.47,,,0
CDM,27200001,368888 : CATHETER ANGIO 5FR L125CM GWIRE DIA0.038IN VTK TIP BEAC TORC,58.66,58.66,,,0
CDM,27200001,368947 : BLAKE 10FR ROUND,119.98,119.98,,,0
CDM,27200001,369039 : ANCHOR SUT NO 0 MINI DRLBT QANCHR + ORTHOCORD,1987.2,1987.2,,,0
CDM,27200001,369111 : KIT PLATFRM SURG STARFIX,1824.0,1824.0,,,0
CDM,27200001,369121 : PERFORATOR 14OD 11ID 3S WHITE,301.66,301.66,,,0
CDM,27200001,369143 : RETRIEVER SPEC UNIV L230CM SHTH DIA2.5MM NET 4X5.5CM HEX,240.0,240.0,,,0
CDM,27200001,369147 : TOOL TRAPEZIECTOMY CRPL W- HNDL FOR BNE EXCISION,650.52,650.52,,,0
CDM,27200001,369243 : MICROSPHERE EMB 100-300UM 2ML YEL PREFIL SYR NONRADIOACTIVE,583.2,583.2,,,0
CDM,27200001,369409 : VERTEBRAL 4FR 100CM  PT 038,30.0,30.0,,,0
CDM,27200001,369595 : TRAY KYPHOPLASTY SZ 2 BLLN L15MM BNE FILL DEV SYR IBT KYPHON,7705.37,7705.37,,,0
CDM,27200001,369664 : ELASTIC NAIL INSERTION SLEEVE ELASTIC SPI ?8-13,180.0,180.0,,,0
CDM,27200001,370144 : BIT DRL DIA2.5MM PERC FOR UNIV LOK SYS,226.8,226.8,,,0
CDM,27200001,370231 : HNB5038125PNSVTK TORCON NB ADVANTAGE ANGIOGRAPHIC CATHETER 5,50.4,50.4,,,0
CDM,27200001,37029 : SET NDL 13GA L10CM W- SIDE BVL DMND TIP FOR BNE BX OSTEO,147.24,147.24,,,0
CDM,27200001,370345 : BEACON TIP TORCON NB ADVANTAGE ANGIOGRAPHIC CATHETER,54.91,54.91,,,0
CDM,27200001,370350 : CATHETER ANGIO 5FR L65CM NYL COBRA 2 CRV TAPR RADPQ TIP SS,54.91,54.91,,,0
CDM,27200001,370365 : CATHETER ANGIO 5FR L65CM NYL SIM 2 CRV TAPR RADPQ TIP SS BRD,54.91,54.91,,,0
CDM,27200001,370377 : CATHETER ANGIO 5FR X 40CM KMP CRV ACC 0.035IN GWIRE BEAC,54.91,54.91,,,0
CDM,27200001,370385 : CATHETER ANGIO 5FR L80CM GWIRE 0.038IN C1 CRV HYDRPHLC BEAC,54.91,54.91,,,0
CDM,27200001,370390 : BEACON TIP TORCON NB ADVANTAGE ANGIOGRAPHIC CATHETER,58.66,58.66,,,0
CDM,27200001,370426 : CATHETER ANGIO 5FR X 90CM 0.035IN GWIRE RBT BEAC TIP,152.25,152.25,,,0
CDM,27200001,370548 : BIT DRL DIA3.2MM PERIPH SCR AEQUALIS REV PERFORM,240.0,240.0,,,0
CDM,27200001,37252 : MICROSPHERE EMB 500-700UM 2ML RED PREFIL SYR EMBOSPHERE,583.2,583.2,,,0
CDM,27200001,372968 : RETRACTOR SUR LT CRDLSS ILLUMINATION MULT BLDE CONF DISP,506.4,506.4,,,0
CDM,27200001,372983 : SET OPHTH 0.3MM POLYMR BIMANUAL DISP,45.49,45.49,,,0
CDM,27200001,372984 : BLADE OPHTH 2.4MM ANG MIC COAX SLT CLEARCUT INTREPID,76.63,76.63,,,0
CDM,27200001,372985 : KNIFE OPHTH L1MM YEL HNDL SS PARACENT ANG SIDEPRT DISP,29.09,29.09,,,0
CDM,27200001,373317 : 1.6X58MM DRILL 26MM WORKING LENGTH STRYKER END,338.28,338.28,,,0
CDM,27200001,37334 : CLAMP HOLDING FOR 1.25MM K-WIR,1647.36,1647.36,,,0
CDM,27200001,373891 : BIT DRL L85MM DIA1.6MM WRK L20CM FOR 2-2.3MM SCR LEIBINGER,338.28,338.28,,,0
CDM,27200001,373915 : PACK BTTRY DISP FOR SUR SCRDRVR VARISPEED,570.24,570.24,,,0
CDM,27200001,374460 : COONRADMORREY CEMENT RESTRICTOR WITH NOZZLE 1 - 16 MM DIAMET,465.12,465.12,,,0
CDM,27200001,37451 : DEVICE FIX 5MM TI PSTL GRP HNDL FOR LAP HERN REP PROTACK,587.76,587.76,,,0
CDM,27200001,374644 : KIT ACCS HIP W- STR BLDE 16GA L6IN AND 16GA L7IN NDL TWO,1116.0,1116.0,,,0
CDM,27200001,374671 : BLADE SAW W10XL18.5MM THK0.4MM FN TOOTH SAG FOR SM BNE,52.98,52.98,,,0
CDM,27200001,374674 : 9 X 31 X 0.4MM MICRO SAGITTAL BLADE FINE,55.29,55.29,,,0
CDM,27200001,374677 : BUR SUR L2.01IN HD L0.12IN DIA0.012IN CARB 8 FLUT RND,91.97,91.97,,,0
CDM,27200001,37493 : PUNCH OPHTH DIA7.5MM NONVACUUM DISP FOR DONOR CORNEAL BRRN,177.6,177.6,,,0
CDM,27200001,37494 : BARRON DONOR CORNEA PUNCH 7.75MM DIA.,158.4,158.4,,,0
CDM,27200001,37495 : RADIAL VACUUM TREPHINE 7.5MM DIA.,201.6,201.6,,,0
CDM,27200001,37578 : CANNULA CB91329 MC2 VEN 29-29FR,205.56,205.56,,,0
CDM,27200001,376116 : DEVICE OCCL W- 35MM PRELD VCLIP FOR LAA EXCLUSION SYS,4440.0,4440.0,,,0
CDM,27200001,376117 : DEVICE OCCL W- 40MM PRELD VCLIP FOR LAA EXCLUSION SYS,4440.0,4440.0,,,0
CDM,27200001,376118 : DEVICE OCCL W- 45MM PRELD VCLIP FOR LAA EXCLUSION SYS,4440.0,4440.0,,,0
CDM,27200001,376737 : BIT DRL L195MM DIA3.2MM QC,191.52,191.52,,,0
CDM,27200001,376743 : SUTURE STRATAFIX SYMMTRC PDS + SZ 2-0 L18IN L36MM CT-1 ABSRB,66.62,66.62,,,0
CDM,27200001,378372 : K-WIRE 3 X 285MM,204.0,204.0,,,0
CDM,27200001,378373 : LOCKING DRILL 4.2 X 360MM,333.0,333.0,,,0
CDM,27200001,378375 : FREEHAND DRILL 4.2 X 130MM,422.4,422.4,,,0
CDM,27200001,378376 : FREEHAND DRILL 4.2 X 180MM,338.73,338.73,,,0
CDM,27200001,378380 : THREADED RECON K-WIRE 3.2 X 400MM,271.2,271.2,,,0
CDM,27200001,378945 : PASSER 48409 60CM DISP. CATHETER,378.0,378.0,,,0
CDM,27200001,378957 : PASSER 48407 CATHETER 38CM DISP.,353.98,353.98,,,0
CDM,27200001,379040 : SUTURE ETHILON SIZE 4-0 L18IN NONABSORBAB,130.65,130.65,,,0
CDM,27200001,379107 : SUTURE PLAIN GUT SIZE 5-0 L18IN ABSORBABLE YELLOWISH TAN PC-,210.96,210.96,,,0
CDM,27200001,379138 : SUTURE ETHILON SIZE 10-0 L5IN NONABSORBABLE BLACK BV100-4 L5,64.58,64.58,,,0
CDM,27200001,379245 : SUTURE CHROMIC GUT SIZE 3-0 L27IN ABSORBA,99.53,99.53,,,0
CDM,27200001,379539 : SUTURE ETHILON SIZE 10-0 L6IN NONABSORBABLE BLACK CS160-6 L5,61.48,61.48,,,0
CDM,27200001,379908 : SUTURE VICRYL 2-0 L27IN ABSORBABLE UNDYED,4.64,4.64,,,0
CDM,27200001,379915 : SUTURE VICRYL 3-0 L27IN ABSORBABLE UNDYED,72.14,72.14,,,0
CDM,27200001,380034 : SUTURE VICRYL SIZE 3-0 L18IN ABSORBABLE U,145.34,145.34,,,0
CDM,27200001,380179 : SUTURE PERMA-HND SZ 1 L30IN NABSRB BLK L36MM MH 1-2 CIR,60.84,60.84,,,0
CDM,27200001,380189 : SUTURE PERMAHAND SZ 2-0 L30IN NABSRB BLK L17MM BB 3-8 CIR,2.51,2.51,,,0
CDM,27200001,380425 : SUTURE ABSORBABLE L27IN SIZE 3-0 VIOLET RB-1 CV23 MONOFILAME,95.71,95.71,,,0
CDM,27200001,381 : TUBE GOODE T 10-16010,58.73,58.73,,,0
CDM,27200001,381223 : SUTURE ETHIBOND EXCEL SIZE 2-0 L30IN NONABSORBABLE GREEN CT-,47.83,47.83,,,0
CDM,27200001,381306 : SUTURE MCRYL 4-0 27IN ABSRB UD 17MM RB-1 1-2 CIR TAPR,74.5,74.5,,,0
CDM,27200001,381465 : SUTURE 5-0 L18IN ABSORBABLE UNDYED P-2 L8MM 1-2 CIRCLE PRIME,18.63,18.63,,,0
CDM,27200001,381512 : SYSTEM ADIPOSE PROC AUTOLGS ADV INCL CANSTR VAC CONN IRRIG,1398.17,1398.17,,,0
CDM,27200001,381773 : DEVICE GLAUCOMA LSR MICROPULSE P3,660.0,660.0,,,0
CDM,27200001,381781 : KIT INTRO MIC 4FR L15CM SHTH 4FR STIFF DIL 21GA L7CM NDL,480.0,480.0,,,0
CDM,27200001,381794 : SNARE ENDOSCP WRK L240CM LOOP W10MM SHTH DIA2.4MM RND STIFF,63.17,63.17,,,0
CDM,27200001,381801 : GRASPER ENDOSCP 230CM SHTH 2.4MM HYBRID JAW DST RAT TOOTH,252.0,252.0,,,0
CDM,27200001,381805 : PILLCAM SB3 EXTENDED CAPSULE 12 HRS,1154.4,1154.4,,,0
CDM,27200001,38317 : BLADE SHV L11CM DIA4MM TRICUT STR SHFT OFFSET CUT SURF,430.85,430.85,,,0
CDM,27200001,383612 : 28.0 X 0.6MM MICRO RECIPROCATOR BLADE,79.27,79.27,,,0
CDM,27200001,383617 : 3MM ROUND DIAMOND BUR LONG,49.58,49.58,,,0
CDM,27200001,383619 : 5MM ROUND DIAMOND BUR LONG,48.65,48.65,,,0
CDM,27200001,383620 : 2 X 7.5MM SIDECUTTING BUR MEDIUM TAPERED,16.61,16.61,,,0
CDM,27200001,38405 : FORCEPS BX 3FR L115CM 1MM JAW SS DEFL CUP RAT TOOTH SCIS GRP,756.53,756.53,,,0
CDM,27200001,38425 : BIT DRL L230MM OD2.5MM 200MM CALIB 3 FLUT QC DISP,667.8,667.8,,,0
CDM,27200001,38603 : DRAIN SUR 10FR WHT SIL RND RADPQ W- 1-8IN TRCR 4 CHN HUB,210.15,210.15,,,0
CDM,27200001,38795 : CLIP SPR JAW OPN 6MM 2 SFT JAW FOR ATRAUM OCCL FGRTY,39.69,39.69,,,0
CDM,27200001,38796 : INSERT CLMP L33MM 2 EVERCLIP JAW DISP,47.23,47.23,,,0
CDM,27200001,38797 : INSERT CLMP L61MM SFT COMPLIANT TRAC FGRTY HYDRAGRIP,47.23,47.23,,,0
CDM,27200001,39000 : CUFF CRYO MD FOR 18-23IN GRAV COOL W- KNEE PD,128.08,128.08,,,0
CDM,27200001,390193 : ROD TEMPLATE 150 MM,180.0,180.0,,,0
CDM,27200001,390194 : ROD TEMPLATE 300MM,180.0,180.0,,,0
CDM,27200001,390252 : BIT DRL FOR 3.5X50MM SCR,120.0,120.0,,,0
CDM,27200001,390254 : BIT DRL SHT FOR 3.5X30MM SCR,120.0,120.0,,,0
CDM,27200001,390256 : DRILL BIT FOR 4.0MM SCREW,120.0,120.0,,,0
CDM,27200001,390262 : TAP SUR FOR 3.5MM BNE SCR,820.8,820.8,,,0
CDM,27200001,390263 : TAP FOR 4.0MM SCREW,820.8,820.8,,,0
CDM,27200001,390264 : TAP FOR 4.5MM SCREW,820.8,820.8,,,0
CDM,27200001,390460 : NEEDLE BX 11GA BNE ACCS BVL TIP,120.0,120.0,,,0
CDM,27200001,391204 : KIT COR BX INSTR 16GA L10CM COAX 15GA L7.8CM DISP MISSION,112.8,112.8,,,0
CDM,27200001,391237 : NEEDLE BX 18GA L6CM COR DISP MISSION,103.2,103.2,,,0
CDM,27200001,391238 : NEEDLE BIOPSY L10CM DIA18GA DISPOSABLE CORE MISSION,103.2,103.2,,,0
CDM,27200001,391239 : KIT BX NDL 18GA 10CM COAX 17GA X 7.8CM COR INSTR SEMI AUTO,112.8,112.8,,,0
CDM,27200001,391241 : KIT BX INSTR NDL 18GA X 16CM COAX 17GA X 13.8CM SEMI AUTO,112.8,112.8,,,0
CDM,27200001,391243 : KIT BX INSTR 18GA L20CM NDL 17GA L17.8CM PNK SEMI AUTO COAX,112.8,112.8,,,0
CDM,27200001,391245 : KIT BX L25CM DIA18GA,112.8,112.8,,,0
CDM,27200001,391250 : KIT BX INSTR 20GA L16CM NDL 19GA L13.8CM YEL SEMI AUTO COAX,112.8,112.8,,,0
CDM,27200001,391252 : KIT BX INSTR 20GA L20CM NDL 19GA L17.8CM DISP COR MISSION,112.8,112.8,,,0
CDM,27200001,39147 : DRAIN SUR 15FR RND HUBLESS W- 3-16IN BEND TRCR SIL BLAK,252.6,252.6,,,0
CDM,27200001,391493 : KIT BX INSTR 14GA L10CM COAX NDL L5.8CM STYL L6.3CM W- 2,172.8,172.8,,,0
CDM,27200001,391499 : KIT BX NDL L10CM OD18GA COAX MARQUEE,172.8,172.8,,,0
CDM,27200001,392385 : NEEDLE BX US ENH CHIBA TYP ST DISP 20GAX14.9CM SAMPLEMASTER,141.6,141.6,,,0
CDM,27200001,392393 : DRESSING HEMOSTATIC W8XL8IN 2 PLY KAOLIN IMPREGNATED FOR CLA,405.84,405.84,,,0
CDM,27200001,392394 : DRESSING HEMOSTATIC W3INXL2YD Z FOLD QUIKCLOT CONTROL 4020,365.26,365.26,,,0
CDM,27200001,392395 : DRESSING HEMOSTATIC W12XL12IN 3 PLY QUIKCLOT CONTROL 4030,659.49,659.49,,,0
CDM,27200001,39488 : KIT BPLR PACE CATH 5FR X 110CM 6FR INTRO 25MM ELCTRD SPC 8MM,1053.6,1053.6,,,0
CDM,27200001,39624 : HINGE FEMALE,252.29,252.29,,,0
CDM,27200001,396645 : CANISTER SUCT 1000ML VAC PRTBL DISP FOR INDIGO SYS ENGINE,864.0,864.0,,,0
CDM,27200001,396684 : SYSTEM PH REFLX TST CAP BASE CALIB FREE W- DEL SYS,711.84,711.84,,,0
CDM,27200001,396685 : CAPSULE ENDOSCP DIR VIS PILLCAM SB 3,1206.72,1206.72,,,0
CDM,27200001,396686 : BALLOON ENDOSCP FOR CLR VISIBILITY OF EUS PROC FIT OLY,43.2,43.2,,,0
CDM,27200001,396689 : SHARKCORE FNB SYSTEM 19G,1363.2,1363.2,,,0
CDM,27200001,39702 : CATHETER DIAG 5FR L65CM ID0.052IN GWIRE 0.035IN PGTL 20 MRK,217.22,217.22,,,0
CDM,27200001,39896 : DRILL 1.5MM EX FIX,76.8,76.8,,,0
CDM,27200001,3CM RIEMANN NASAL DRESSING,78.36,78.36,,,0
CDM,27200001,3MM CANNULATED DRILL BIT W/ QC,771.94,771.94,,,0
CDM,27200001,3MM ROUND DIAMOND BUR LONG,48.65,48.65,,,0
CDM,27200001,3MM X 100MM BALL TIP GUIDE ROD,305.04,305.04,,,0
CDM,27200001,4.0 MM SHORT AO PILOT DRILL,241.08,241.08,,,0
CDM,27200001,4.2MM THREE-FLUTED DRILL BIT QUICK COUPLING 145MM,606.6,606.6,,,0
CDM,27200001,4.2X130MM FREEHAND DRILL,945.33,945.33,,,0
CDM,27200001,4.2X360MM LOCKING DRIL,939.01,939.01,,,0
CDM,27200001,4.7 LONG DRILL,1384.8,1384.8,,,0
CDM,27200001,400274 : ELECTRODE ES M 24FR 12DEG RESECT W- HF CBL FOR UROLOGY,1111.29,1111.29,,,0
CDM,27200001,40155 : RESTRICTOR CEM SM DIA18.5MM UNIV,120.0,120.0,,,0
CDM,27200001,402063 : BIT DRL L3MM DIA2.3MM ADJ YUKON,258.31,258.31,,,0
CDM,27200001,40428 : REAMER SUR HLLW COMPLT FOR 3.5-4MM SCR,1522.8,1522.8,,,0
CDM,27200001,40453 : BLADE SHV L11CM DIA2MM INFERIOR TURB STR SHFT ELEV PACKAGED,493.34,493.34,,,0
CDM,27200001,405344 : NEEDLE BX L10CM OD18GA CORVOCET,138.45,138.45,,,0
CDM,27200001,405345 : NEEDLE BX L15CM OD18GA CORVOCET,138.68,138.68,,,0
CDM,27200001,405348 : NEEDLE BX L9.5CM OD17GA COAX INTRO CORVOCET,40.3,40.3,,,0
CDM,27200001,405350 : 20GX10CM BIOPSY DEVICE,138.77,138.77,,,0
CDM,27200001,405352 : 20GX10CM AND BLUNT TIP STYLET 4.5 CM LENGTH,40.32,40.32,,,0
CDM,27200001,405444 : RENOVARP PARACENT KT W-O CATH,204.0,204.0,,,0
CDM,27200001,405460 : GUIDE NDL ACC 16-18GA INSTR FOR E72 E721 E8C E8C-RS E8CS,38.3,38.3,,,0
CDM,27200001,405462 : CIVCO ENDOCAVITY QUICK RELEASE GUIDE - COVER,51.6,51.6,,,0
CDM,27200001,405463 : KIT NDL GUID REPL W- 14X91.5CM TELSCP FLD CIV FLX CVR VERZA,51.41,51.41,,,0
CDM,27200001,405596 : BIT DRL L165MM DIA2MM,192.0,192.0,,,0
CDM,27200001,406708 : STERILE DISPOSABLE BARCO BLADE PK OF 6,192.2,192.2,,,0
CDM,27200001,406714 : 30-109 STERILE DISPOSABLE CLEARCISION BLADE PK OF 12,345.0,345.0,,,0
CDM,27200001,406724 : SUTURE ABSRB L18IN L13MM SZ 5-0 P-13 BRAID COAT 3-8 CIR PREM,33.41,33.41,,,0
CDM,27200001,406784 : PLASMA-OVAL BUTTON,1312.2,1312.2,,,0
CDM,27200001,406801 : BLADE SAW SZ 7 0.315IN X 0.05IN UNIV NAR FOR INFIN TOT ANK,340.8,340.8,,,0
CDM,27200001,406802 : SAW BLADE STRYKER UNIV WIDE TOTAL ANKLE .500 IN,340.8,340.8,,,0
CDM,27200001,406894 : KIT BNE ACCS SZ 2 PRB 10GA L90CM CANN STYL DRL W- SPCR,1088.64,1088.64,,,0
CDM,27200001,406903 : KIT ABLAT PRB 17GA L15MM 2 OSTEOCOOL RF,11247.12,11247.12,,,0
CDM,27200001,406934 : DEVICE BNE ACCS SZ 2 10GA DIA3.4MM DMND AND BVL OSTEO INTRO,1881.79,1881.79,,,0
CDM,27200001,406959 : TUBE ET ID6MM OD8.2MM TAPERGUARD CUF MURPHY EYE SHILEY PRELD,20.05,20.05,,,0
CDM,27200001,407023 : INSTRUMENT GRFT DEL CORNEAL ENDOTHELIUM ENDOSERTER,660.0,660.0,,,0
CDM,27200001,407069 : CATHETER ANGIO 5FR L100CM ID1.17MM 0.038IN GWIRE PERIPH SIM,30.0,30.0,,,0
CDM,27200001,407076 : CATHETER TEMPO AQUA 5F 125CM VERT,289.75,289.75,,,0
CDM,27200001,407086 : DEVICE COMPR 10ML BND L24CM L RAD HEMSTAS PRELUDESYNC DST,84.0,84.0,,,0
CDM,27200001,407417 : KIT ABLAT W- 3 SURESOUND DEV DISP NOVASURE,2324.0,2324.0,,,0
CDM,27200001,407532 : DRAIN 28FR 43IN WND HUBLESS SIL RND TRCR JP,83.47,83.47,,,0
CDM,27200001,407726 : TRAY URIN CATH 16FR URIMTR MICROBICIDAL CTRL FIT OUTLT TB,46.41,46.41,,,0
CDM,27200001,407747 : SMALL CLIP APPLIER,7056.0,7056.0,,,0
CDM,27200001,407748 : ENDOWRIST STAPLER RELOAD 30MM WHITE,430.6,430.6,,,0
CDM,27200001,407749 : ENDOWRIST STAPLER RELOAD 30MM GREEN,430.6,430.6,,,0
CDM,27200001,407750 : RELOAD STPL GRY 30MM 2MM 6 ROW ENDOWRIST FOR DA VINCI XI-X,430.6,430.6,,,0
CDM,27200001,407751 : ENDOWRIST STAPLER RELOAD 30MM BLUE,430.6,430.6,,,0
CDM,27200001,407752 : STAPLER 30 MM,17136.0,17136.0,,,0
CDM,27200001,407933 : DISPOSABLE KIT FOR FIBER TAK DX SUTURE ANCHOR,716.04,716.04,,,0
CDM,27200001,407984 : MILLER BONE CEMENT INJECTOR,60.32,60.32,,,0
CDM,27200001,407985 : STAPLER 30MM CURVED TIPUP,18144.0,18144.0,,,0
CDM,27200001,408025 : TUBE FEED 20FR JEJU 51CM SIL J UNIV CONN SECUR LOK EXT RETEN,343.3,343.3,,,0
CDM,27200001,408039 : CATHETER DIAG L125CM OD5FR 0.038IN HYDRPHLC BERN IMPRESS,93.6,93.6,,,0
CDM,27200001,408081 : CATHETER ANGIO 4FR L125CM 0.038IN NYL HYDRPHLC COAT VERT BRD,81.6,81.6,,,0
CDM,27200001,408082 : CATHETER ANGIO 5FR L125CM CEREB NYL SLX HDHUNT I CRV NEON,85.94,85.94,,,0
CDM,27200001,408085 : GJ BOXED KIT - 14F X 1.2 X 30CM,1425.6,1425.6,,,0
CDM,27200001,408090 : TUBE GJ 16FR STOMA L2.7CM JEJU L30CM LP ANTI KINK W- BLLN,1425.6,1425.6,,,0
CDM,27200001,408099 : BIT DRL 2.5MM X 300MM PERC QC CALIB NONRADIOPAQUE W-O STP,590.88,590.88,,,0
CDM,27200001,408102 : DRESSING FOAM 5 CT W4XL5IN GRY SIL SULF RECT ANTIMIC WND,30.01,30.01,,,0
CDM,27200001,408103 : DRESSING FOAM W6XL8IN THN ABSRB SLF ADH BORD PREVENT,51.16,51.16,,,0
CDM,27200001,408104 : DRESSING FOAM 2 CT W8XL20IN GRY SIL SULF RECT ANTIMIC WND,176.44,176.44,,,0
CDM,27200001,408178 : CONTROLLER DETACH FOR OPTMA COIL,492.0,492.0,,,0
CDM,27200001,408443 : KIT INTCRAN ACCS INCL 6FR X 0.071IN X 95CM STR DEL CATH 5FR,2148.0,2148.0,,,0
CDM,27200001,408523 : BIT DRL DIA4.5MM CANN QC,764.4,764.4,,,0
CDM,27200001,408528 : TUBE CRYODECOMPRESSION 20FR ACT VENT CDT TRUFREEZE,672.0,672.0,,,0
CDM,27200001,409304 : CANNULA PERF 17FR BIO-MEDICUS,847.06,847.06,,,0
CDM,27200001,409347 : CATHETER PTCA 1.5FR USABLE L145CM L38CM HYDRPHLC GWIRE,1044.0,1044.0,,,0
CDM,27200001,409446 : RELOAD STPL WHT L30MM SIGNIA SHT CRV TIP,1428.0,1428.0,,,0
CDM,27200001,409673 : TOOL 16OV50 LEGEND 16CM 5MM OVAL,459.56,459.56,,,0
CDM,27200001,409715 : KIT INTCRAN ACCS INCL 6FR X 0.071IN X 105CM STR DEL CATH 5FR,2148.0,2148.0,,,0
CDM,27200001,409765 : SYSTEM ILLUMINATION CORDED,1440.0,1440.0,,,0
CDM,27200001,409803 : BIT DRL L135MM DIA2.7MM FOR ALPS CLAV PLATING SYS,136.66,136.66,,,0
CDM,27200001,409837 : BIT DRL L195MM DIA4.3MM STD QC FOR NCB PLATING SYS,176.4,176.4,,,0
CDM,27200001,409838 : DRILL BIT NCB 3.3MM X 195MM  02.00024.118,193.2,193.2,,,0
CDM,27200001,409839 : BIT DRL L245MM DIA4.3MM QC NCB,243.6,243.6,,,0
CDM,27200001,409854 : K WIRE 2X280MM TRCR TIP FOR NCB PLATING SYS,63.84,63.84,,,0
CDM,27200001,409858 : BIT DRL DIA2.5MM STD REUSE FOR SM FRAG UNIV LOK SYS,248.4,248.4,,,0
CDM,27200001,409933 : BIT DRL L300MM FOR DST FEM PLT NCB SYS,184.8,184.8,,,0
CDM,27200001,41033 : BASKET STONE RETRV L120CM DIA16MM POLYIMIDE-PTFE SHTH 3FR,418.08,418.08,,,0
CDM,27200001,410899 : SET ACCS SOL INCL L230CM DIA0.035IN 24MM PGTL RF WIRE L10FT,2277.6,2277.6,,,0
CDM,27200001,410915 : APPLIER CLP L235CM CLP OPN 17MM BRD CATH RESOL 360 ULT,806.4,806.4,,,0
CDM,27200001,411006 : BIT DRL L135MM DIA2.6MM SCALED AO DISP VARIAX,235.2,235.2,,,0
CDM,27200001,411007 : BIT DRL L135MM DIA2MM SCALED AO DISP VARIAX,235.2,235.2,,,0
CDM,27200001,411008 : BIT DRL 2.7MM X 122MM OVR AO DISP FOR VARIAX 2 CLAV SYS,240.0,240.0,,,0
CDM,27200001,411028 : PROBE INSULATED 8 INCH 675.706S,720.0,720.0,,,0
CDM,27200001,411037 : FORCEPS ENDOSCP L230CM SHTH DIA2.4MM JAW OPN W8MM RAT TOOTH,289.68,289.68,,,0
CDM,27200001,411038 : RESCUE RAT TOOTH FORCEPS PEDIATRIC,289.68,289.68,,,0
CDM,27200001,411484 : HYBRID KNIFE I TYPE O.D. 2.2MM X LENGTH 2.2M,1269.6,1269.6,,,0
CDM,27200001,411864 : CATHETER URETH PED 6FR 1.5ML 100% SIL F 2 W,37.26,37.26,,,0
CDM,27200001,411890 : NEEDLE BX L20CM OD18GA COAX INTRO CORVOCET,40.2,40.2,,,0
CDM,27200001,411891 : FORCEPS BX SPYBITE MAX,1647.74,1647.74,,,0
CDM,27200001,411958 : KIT PERC DIL TRACH W-O TB DRUG US ONLY BLUPERC,611.92,611.92,,,0
CDM,27200001,412032 : PLASMABLADE X PS200-041S 4.0S,686.4,686.4,,,0
CDM,27200001,412201 : CATHETER DIAG L100CM OD5FR ID0.052IN 0.035IN W-O HYDRPHLC,217.22,217.22,,,0
CDM,27200001,41223 : DRILL CANNULATED BIT 4.5,1645.2,1645.2,,,0
CDM,27200001,412233 : 6.5MM X 10MM BUR SURGICAL FLUTES LONG STAINLESS STEEL CARBID,46.61,46.61,,,0
CDM,27200001,412392 : KIT BUR H CVR PREASSEMBLED BASE 2 BNE SCR BTRFLY HLD TOOL,960.0,960.0,,,0
CDM,27200001,412417 : 15MM STERILE STAINLESS STEEL GUIDE TUBE CANNULA,541.44,541.44,,,0
CDM,27200001,412440 : NEEDLE ASPIR 25GA X 20-40MM SPRL LSR CUT W-O SYR FOR 2MM CHN,629.75,629.75,,,0
CDM,27200001,412600 : RELOAD STPL GRY H2XL30MM ENDO GIA TRI-STPL ARTC VASC,511.91,511.91,,,0
CDM,27200001,412602 : RELOAD STPL MD 45MM PUR ARTC CRV TIP ENDO GIA,597.84,597.84,,,0
CDM,27200001,412603 : RELOAD STPL PUR L60MM ENDO GIA TRI-STPL ARTC CRV VASC MD,806.25,806.25,,,0
CDM,27200001,412604 : RELOAD STPL GRY H2XL30MM ENDO GIA TRI-STPL ARTC VASC,513.21,513.21,,,0
CDM,27200001,412610 : SUTURE ETHBND EXCEL 2-0 L30IN NABSRB GRN WHT 10X30IN L17MM,183.57,183.57,,,0
CDM,27200001,412625 : BUR SUR L10CM HD L2.3MM DIA1.7MM DMND MTCH HD SM BOR MR8,244.08,244.08,,,0
CDM,27200001,412626 : BUR SUR L12CM HD L3.8MM DIA2.2MM MTCH HD FLUT SM BOR MR8,237.0,237.0,,,0
CDM,27200001,412629 : BUR SUR L14CM HD DIA2MM DMND BALL L BOR MR8,491.5,491.5,,,0
CDM,27200001,412631 : BUR SUR L14CM HD DIA3MM DMND BALL L BOR MR8,296.59,296.59,,,0
CDM,27200001,412632 : BUR SUR L14CM HD DIA3MM DMND COARSE BALL L BOR MR8,296.59,296.59,,,0
CDM,27200001,412634 : BUR SUR L14CM HD DIA4MM DMND BALL L BOR MR8,313.97,313.97,,,0
CDM,27200001,412635 : BUR SUR L14CM HD DIA4MM DMND COARSE BALL L BOR MR8,296.59,296.59,,,0
CDM,27200001,412638 : BUR SUR L14CM HD DIA5MM DMND BALL L BOR MR8,313.97,313.97,,,0
CDM,27200001,412639 : TOOL MR8 14CM BALL SYM-TRI 5MM DIAMETER,326.4,326.4,,,0
CDM,27200001,412640 : BUR SUR L14CM HD DIA6MM DMND BALL L BOR MR8,296.59,296.59,,,0
CDM,27200001,412641 : TOOL MR8 14CM BALL DMD COARSE 6MM DIAM,296.59,296.59,,,0
CDM,27200001,412643 : BUR SUR L14CM MTCH HD 3MM LG BOR FLUT MIDAS REX MR8,259.68,259.68,,,0
CDM,27200001,412644 : BUR SUR 14CM HD 3MM X 3.8MM DMND MTCH HD L BOR MR8,296.59,296.59,,,0
CDM,27200001,412648 : BUR SUR L21CM HD DIA8MM DMND X COARSE BALL L BOR MR8,495.48,495.48,,,0
CDM,27200001,412652 : BUR SUR L26CM HD DIA5MM DMND BALL L BOR MR8,495.48,495.48,,,0
CDM,27200001,412654 : BUR SUR L7CM HD L3.8MM DIA2.2MM MTCH HD FLUT SM BOR MR8,212.88,212.88,,,0
CDM,27200001,412655 : BUR SUR L9CM HD L7.7MM DIA6MM ACORN FLUT L BOR MR8,255.43,255.43,,,0
CDM,27200001,412656 : BUR SUR L9CM HD L9.4MM DIA7.5MM ACORN FLUT L BOR MR8,245.02,245.02,,,0
CDM,27200001,412657 : BUR SUR L9CM HD DIA6MM BALL FLUT L BOR MR8,268.22,268.22,,,0
CDM,27200001,412660 : BUR SUR L7CM HD L11.1MM DIA1.5MM FOOTED TAPR SM BOR MR8,212.88,212.88,,,0
CDM,27200001,412661 : BUR SUR 7CM HD 2.3MM X 15.9MM FOOTED TAPR SM BOR MR8,212.88,212.88,,,0
CDM,27200001,412665 : BUR SUR L12CM HD L3.7MM DIA2.5MM MTCH HD TELSCP MR8,255.43,255.43,,,0
CDM,27200001,412668 : BUR SUR L14CM HD L3.7MM DIA2.5MM MTCH HD TELSCP MR8,282.41,282.41,,,0
CDM,27200001,412669 : BUR SUR L14CM HD L3.2MM DIA3MM DMND MTCH HD TELSCP MR8,307.97,307.97,,,0
CDM,27200001,412687 : TOOL MR8 13CM ND BALL DC 3MM DIAMETER,648.53,648.53,,,0
CDM,27200001,412689 : TOOL MR8 13CM ND BALL DC 4MM DIAMETER,648.53,648.53,,,0
CDM,27200001,412703 : BOWEL TECHNIQUE PACK,99.8,99.8,,,0
CDM,27200001,412704 : ROBOTIC GYN PACK PGYBK,154.34,154.34,,,0
CDM,27200001,412706 : VASCULAR PACK,203.25,203.25,,,0
CDM,27200001,412707 : PRX LAP BASIN SET,26.01,26.01,,,0
CDM,27200001,412708 : CYSTOSCOPY,92.51,92.51,,,0
CDM,27200001,412709 : ASC HAND PACK,87.86,87.86,,,0
CDM,27200001,412710 : ASC FOOT-ANKLE PACK,140.72,140.72,,,0
CDM,27200001,412711 : RHODE ISLAND GENERAL MINOR,67.19,67.19,,,0
CDM,27200001,412712 : ASC SHOULDER SCOPE PACK,130.58,130.58,,,0
CDM,27200001,412713 : RHODE ISLAND GENERAL MAJOR,115.88,115.88,,,0
CDM,27200001,412714 : PEDI MINOR,82.44,82.44,,,0
CDM,27200001,412716 : MAIN OR BREAST TRAY,128.06,128.06,,,0
CDM,27200001,412717 : ASC KNEE SCOPE PACK,107.88,107.88,,,0
CDM,27200001,412718 : PEDI MAJOR KIT,112.97,112.97,,,0
CDM,27200001,412719 : ASC GENERAL PACK,68.27,68.27,,,0
CDM,27200001,412720 : AV FISTULA PACK,210.31,210.31,,,0
CDM,27200001,412721 : T AND A PACK,70.19,70.19,,,0
CDM,27200001,412722 : OPEN HEART TRAY,581.11,581.11,,,0
CDM,27200001,412723 : ASC THYROID PACK,108.14,108.14,,,0
CDM,27200001,412724 : TRAUMA KIT,143.34,143.34,,,0
CDM,27200001,412725 : ASC OCULAR PLASTICS PACK,58.01,58.01,,,0
CDM,27200001,412726 : ASC BREAST PACK,104.29,104.29,,,0
CDM,27200001,412727 : ASC LAPAROSCOPY PACK,94.49,94.49,,,0
CDM,27200001,412728 : MAJOR VASCULAR TRAY,142.18,142.18,,,0
CDM,27200001,412730 : EP ABLATION TRAY,114.85,114.85,,,0
CDM,27200001,412731 : BROWN HEALTH CATARACT PACK,64.15,64.15,,,0
CDM,27200001,412734 : BROWN HEALTH VITRECTOMY PACK,73.24,73.24,,,0
CDM,27200001,412735 : MINOR INTERVENTIONAL TRAY,88.34,88.34,,,0
CDM,27200001,412736 : HYPOSPADIUS PACK PGYBK,128.99,128.99,,,0
CDM,27200001,412737 : ANGIOGRAPHY TRAY,230.69,230.69,,,0
CDM,27200001,412738 : PERCUTANEOUS TRAY,167.42,167.42,,,0
CDM,27200001,412739 : NEURO SHUNT TRAY,198.07,198.07,,,0
CDM,27200001,412740 : HEAD AND NECK PACK,97.07,97.07,,,0
CDM,27200001,412741 : LUMBAR LAMINECTOMY TRAY,207.77,207.77,,,0
CDM,27200001,412742 : THOROCOLUMBAR SPINES,240.06,240.06,,,0
CDM,27200001,412743 : CRANIOTOMY TRAY,245.87,245.87,,,0
CDM,27200001,412745 : PEDI ORTHO PACK,157.2,157.2,,,0
CDM,27200001,412746 : HAND PACK (ORTHO),145.49,145.49,,,0
CDM,27200001,412749 : CHRONIC EAR PACK,173.13,173.13,,,0
CDM,27200001,412750 : RIH LAPAROSCOPY PACK,106.13,106.13,,,0
CDM,27200001,412751 : CYSTOSCOPY PACK,58.81,58.81,,,0
CDM,27200001,412755 : MINOR SURGICAL TRAY,4.8,4.8,,,0
CDM,27200001,412757 : MAJOR TRAY,89.28,89.28,,,0
CDM,27200001,412761 : TMH ANGIOGRAPHY TRAY,190.1,190.1,,,0
CDM,27200001,412768 : GENERAL MAJOR,71.33,71.33,,,0
CDM,27200001,412783 : CENTURION VISN SYS ACT FMS W- INTREPID ULT SLV 0.9MM 30DEG,878.81,878.81,,,0
CDM,27200001,412784 : PROBE VITRCTMY 23GA 0.9MM 45DEG ABS BAL TIP W- ULT SL DISP,262.32,262.32,,,0
CDM,27200001,412964 : POINTER NAVI STEREOTACTIC DISP AXIEM,1090.56,1090.56,,,0
CDM,27200001,412965 : TRACKER PT NINVAS FOR NEURO STEREOTACTIC SUR SYS AXIEM,416.64,416.64,,,0
CDM,27200001,413022 : BLOCKER BRONCH AD 9FR L610MM 8ML POLYUR STL MESH SIL HI VOL,686.4,686.4,,,0
CDM,27200001,413036 : SUTURE ETHBND EXCEL 2-0 L30IN N ABSRB GRN WHT L17MM V-5 1-2,90.82,90.82,,,0
CDM,27200001,413124 : MOD HOOK FLUSH 4F 65CM,30.0,30.0,,,0
CDM,27200001,413127 : CATHETER INTVENT 5FR L100CM ID0.046IN PERIPH BERN IMPRESS,30.0,30.0,,,0
CDM,27200001,413128 : CATHETER DIAG 5FR L65CM ID0.046IN GWIRE 0.035IN RIM W-O SIDE,30.0,30.0,,,0
CDM,27200001,413129 : CATHETER ANGIO AD 5FR L65CM DIA0.046IN GWIRE 0.035IN MOD H K,30.0,30.0,,,0
CDM,27200001,413130 : CATHETER VASC AD 5FR L65CM 0.038 DIAG PERIPH W-O HYDRPHL C,30.0,30.0,,,0
CDM,27200001,413131 : CATHETER DIAG L65CM OD5FR GWIRE L25CM OD0.038IN HYDRPHLC,93.6,93.6,,,0
CDM,27200001,413219 : BUR SUR L9CM HD L17.9MM DIA3.2MM MTL CUT MR8,360.65,360.65,,,0
CDM,27200001,413220 : BUR SUR L9CM DIA25.4MM DMND WHL MTL CUT MR8,469.18,469.18,,,0
CDM,27200001,413299 : SUTURE ETHBND EXCEL SZ 2-0 L30IN NABSRB GRN WHT L17MM V-5,199.94,199.94,,,0
CDM,27200001,413327 : BIT DRL FILPCUTTER III,1079.52,1079.52,,,0
CDM,27200001,413333 : MAXCESS MAS TLIF 2 KIT ACCESS,4419.04,4419.04,,,0
CDM,27200001,413338 : HEAD RMR 13MM FOR RIA 2 BNE HARV KT,1698.3,1698.3,,,0
CDM,27200001,413344 : 9MM TENDON STRIPPER BLADE,455.52,455.52,,,0
CDM,27200001,413370 : SHEATH DEL 9FR X 80CM 45 DEG ANG TIP AMPLATZER TALISMAN,1929.6,1929.6,,,0
CDM,27200001,413432 : BAG TISS RETRV 1550ML L25.4CM DIA14.1CM 175CM INTRO 15MM NYL,308.4,308.4,,,0
CDM,27200001,413450 : BREVERA BRST BX SYS DISP 9 G NDL,698.4,698.4,,,0
CDM,27200001,413451 : BREVERA BREAST BIOPSY SYSTEM 12 CHAMBER TISSUE FILTER,37.25,37.25,,,0
CDM,27200001,413456 : 2.7MM DRILL 130MM,326.78,326.78,,,0
CDM,27200001,413486 : CELEROMARK-2S BIOPSY SITE IDENTIFIER FOR USE WITH CELERO-12,177.36,177.36,,,0
CDM,27200001,413491 : KIT SURF ELECTRD EP SYS NAVX ARRY ENSITE X,1265.14,1265.14,,,0
CDM,27200001,413523 : BUR SUR L7CM HD L6.4MM DIA1.1MM TAPR SM BOR MR8,190.15,190.15,,,0
CDM,27200001,413524 : BUR SUR 14CM HD 5MM DMND COARSE BALL L BOR MR8,313.97,313.97,,,0
CDM,27200001,413525 : BUR SUR 9CM HD 3MM X 3.8MM MTCH HD FLUT L BOR MR8,259.68,259.68,,,0
CDM,27200001,413528 : TRAY CATH IC W-URIMETER 16FR  LATEX FREE (SUB FOR 125534),51.58,51.58,,,0
CDM,27200001,413566 : BIT DRL DIA2.4MM OCCIPITOCERVICAL UP THOR SYS INFIN,420.0,420.0,,,0
CDM,27200001,413569 : CATHETER URETH 20FR L16IN RED RUB INTMIT UNIV,1.39,1.39,,,0
CDM,27200001,413570 : STIMULATOR SUR HNDHLD DISP CKPT GRDIAN,1855.2,1855.2,,,0
CDM,27200001,413571 : DRAIN SUR SZ 0.25IN L36IN SIL PENROSE RADPQ SMTH EXTERIOR,35.64,35.64,,,0
CDM,27200001,413631 : STYLET NAVI 2 COIL PRB SGL STEREOTACTIC SUR DISP FOR AXIEM,1090.56,1090.56,,,0
CDM,27200001,413632 : KIT PNT TRCE DISP AXIEM,1090.56,1090.56,,,0
CDM,27200001,413642 : CANNULA PERF AD 23FR X 76.2CM TIP 60CM VEN 3-8IN NVENT CONN,983.66,983.66,,,0
CDM,27200001,413663 : DRESSING ANTIMIC 3.5 X 6 IN AQCEL AG ADVNTG,50.65,50.65,,,0
CDM,27200001,413664 : DRESSING ALG 3.5X10IN TAN CARBOXYMETHYL CELOS EDTA,69.89,69.89,,,0
CDM,27200001,413665 : DRESSING ANTIMIC 3.5 X 12 IN AQCEL AG ADVNTG,78.74,78.74,,,0
CDM,27200001,413670 : KIT BNE HARV 520MM FOR RIA 2,6916.89,6916.89,,,0
CDM,27200001,413798 : KIT BUR H DEV EMAN LJ53 FOR DP BRAIN STIM SENSIGHT,1069.2,1069.2,,,0
CDM,27200001,413799 : KIT LD TST CBL EMAN LJ53 FOR DP BRAIN STIM SENSIGHT,161.21,161.21,,,0
CDM,27200001,413818 : BLADE SHRILL DIAMOND ABRASOR,1500.0,1500.0,,,0
CDM,27200001,413819 : ANCHOR SUT 5.5X16.3MM TI W- 3 NO2 FBRWR CRKSCR FT II,638.04,638.04,,,0
CDM,27200001,413844 : PROCEDURE PACKS,237.6,237.6,,,0
CDM,27200001,413847 : SUTURE ETHBND EXCEL 2-0 L30IN N ABSRB GRN WHT L17MM V-5 1-2,153.08,153.08,,,0
CDM,27200001,413853 : BONEBAC PRESS 01-05004 DISPOSABLE,444.92,444.92,,,0
CDM,27200001,414165 : SUTURE PDS II 2-0 L36IN NABSRB VLT L36MM CTB-1 1-2 CIR TAPR,4.32,4.32,,,0
CDM,27200001,414240 : HIGH SPD DRLBT 3.5MM  GPS,990.0,990.0,,,0
CDM,27200001,414241 : HIGH SPD DRLBT 4.5MM  GPS,990.0,990.0,,,0
CDM,27200001,414242 : MARKER ROBOTIC SYS PASS DISP FOR EXCELSIUSGPS ROBOTIC,45.6,45.6,,,0
CDM,27200001,414515 : BONE CLAMP WITH SURVEILLANCE MARKER MEDIUM,3564.0,3564.0,,,0
CDM,27200001,414516 : BONE CLAMP WITH SURVEILLANCE MARKER LONG,3564.0,3564.0,,,0
CDM,27200001,414520 : LOW PROFILE QUATTRO SPIKE SHORT,3564.0,3564.0,,,0
CDM,27200001,414521 : LOW PROF QUATTRO SPIK LNG,3564.0,3564.0,,,0
CDM,27200001,414522 : GUIDE POST LOW PROFILE QUATTRO SPIKE LONG,334.8,334.8,,,0
CDM,27200001,414523 : GUIDE POST LP QUATTRO SPIK SHT,334.8,334.8,,,0
CDM,27200001,414524 : LOW PROF QUATTRO SPIK M,3564.0,3564.0,,,0
CDM,27200001,414525 : GUIDE POST,334.8,334.8,,,0
CDM,27200001,414527 : SURVEILLANCE MARKER PERCUTANEOUS PIN LONG,1080.0,1080.0,,,0
CDM,27200001,414529 : SURVEILLANCE MARKER PERCUTANEOUS PIN MEDIUM,1080.0,1080.0,,,0
CDM,27200001,414533 : 5.5 ROD ATTACHMENT LONG,1044.0,1044.0,,,0
CDM,27200001,414537 : BIT DRL DIA3.5MM RM PILOT FOR EXCELSIUSGPS ROBOTIC,1080.0,1080.0,,,0
CDM,27200001,414548 : DRILL BIT FOR 3.5MM SCREW SHORT GPS,1800.0,1800.0,,,0
CDM,27200001,414647 : IRRIGATOR SUCT TBNG 10FT W- PMP AND HNDPC ASSEMB STRYKEFLOW,158.34,158.34,,,0
CDM,27200001,414664 : TUBE FEED 10FR L109CM ORNG POLYUR RADPQ EA CM MRK 3PORTHOLES,31.19,31.19,,,0
CDM,27200001,414681 : SINGLE USE ROTATABLE GRASPING FORCEPS,476.47,476.47,,,0
CDM,27200001,414688 : 25G SCLERO NEEDLE .038-200CM INTERJECT LOCKABLE CLEAR HUB,86.18,86.18,,,0
CDM,27200001,414703 : NEEDLE BX 21GA FOR ION ENDOLUMINAL ROBOTIC SYS FLEXISION,600.0,600.0,,,0
CDM,27200001,414704 : NEEDLE BX 23GA FOR ION ENDOLUMINAL ROBOTIC SYS FLEXISION,600.0,600.0,,,0
CDM,27200001,414769 : DEVICE BX 18GA X 10CM NDL 17GA X 5.3CM INTRO VLV COAX BNDL,144.77,144.77,,,0
CDM,27200001,414770 : DEVICE BX 18GA X 15CM NDL 17GA X 10.3CM INTRO VLV COAX BNDL,145.26,145.26,,,0
CDM,27200001,414772 : DEVICE BX 20GA X 10CM NDL 19GA X 5.4CM INTRO VLV COAX BNDL,145.35,145.35,,,0
CDM,27200001,414773 : DEVICE BX 20GA X 15CM NDL 19GA X 10.4CM INTRO VLV COAX BNDL,144.77,144.77,,,0
CDM,27200001,414774 : DEVICE BX 20GA X 20CM NDL 19GA X 15.4CM INTRO VLV COAX BNDL,145.06,145.06,,,0
CDM,27200001,414789 : SYSTEM LD 23-29MM TRANSCATHETER AORT VLV EVOLUT FX,936.0,936.0,,,0
CDM,27200001,414799 : LOCATOR DEPTH 8FR FOR VASC CLSR DEV MANTA,96.0,96.0,,,0
CDM,27200001,414800 : LOCATOR DEPTH 14FR FOR VASC CLSR DEV MANTA,180.0,180.0,,,0
CDM,27200001,414809 : KIT PERICARDCENT PREASSEMBLED W- 8.3FR STR CATH PERIVAC,307.2,307.2,,,0
CDM,27200001,414812 : CATHETER ANGIO AD 5FR L90CM DIA0.049IN GWIRE 0.035IN STR,30.0,30.0,,,0
CDM,27200001,414988 : TOOL MR 9CM HOLESAW 5.4MM DIAMETER,475.63,475.63,,,0
CDM,27200001,414989 : BUR SUR L12CM HD L3.8MM DIA3MM MTCH HD FLUT SM BOR MR8,237.0,237.0,,,0
CDM,27200001,415773 : PLI KT SSCL9 SAFESHEATH II 9FR,384.0,384.0,,,0
CDM,27200001,415815 : 1.9MM STANDARD SHORT TIP & TUBESET,2020.27,2020.27,,,0
CDM,27200001,415820 : 1.9MM DEEP ACCESS STANDARD LONG TIP&TUBESET,2020.27,2020.27,,,0
CDM,27200001,415823 : LAPROSCOPIC 2.0MMX30CM LONG TIP & TUBESET,3096.0,3096.0,,,0
CDM,27200001,415826 : SSE 1.6MM MICRO LONG TIP & TUBESET,2672.23,2672.23,,,0
CDM,27200001,415827 : SSE 1.9MM STANDARD LONG TIP & TUBESET,2672.23,2672.23,,,0
CDM,27200001,415836 : CAP E GWIRE LOK FOR TJF160 TJF180 TJF190 JF260V SER DUODSCP,59.14,59.14,,,0
CDM,27200001,415839 : 10MM BLUNT BLADE + TUBESET,1432.16,1432.16,,,0
CDM,27200001,415840 : 20MM BLUNT BLADE & TUBESET,1432.16,1432.16,,,0
CDM,27200001,415844 : MACRO HOOK SHAVER & TUBESET,1469.93,1469.93,,,0
CDM,27200001,415845 : DIAMOND SHAVER & TUBESET,1432.16,1432.16,,,0
CDM,27200001,415975 : NEEDLE LP 20GA L3IN,32.99,32.99,,,0
CDM,27200001,415991 : MIDAS REX DUAL BLADE DISPOSABLE,504.0,504.0,,,0
CDM,27200001,415995 : ACCY B31010 DEPTH STOP CRANIAL TUNNELER,572.62,572.62,,,0
CDM,27200001,415997 : ACCY B31030 EXTENSION TUNNELER DBS,286.9,286.9,,,0
CDM,27200001,415999 : ACCY B31061 CONNECTOR PLUG DBS,634.39,634.39,,,0
CDM,27200001,41602 : SUT TRICRON 2-0  2914-51 41602,36.95,36.95,,,0
CDM,27200001,41812 : RELOAD STPL CART TAN 2-2.5-3X30MM STD ENDO GIA VASC M TISS,425.44,425.44,,,0
CDM,27200001,418250 : EXT B3400060M 60CM MARKER DBS,1817.04,1817.04,,,0
CDM,27200001,418324 : TUBE TRACH BLUSELECT CUFFED NONFEN,72.22,72.22,,,0
CDM,27200001,418325 : TUBE  TRACHEOSTOMY  7.0MM. CUFFED,72.22,72.22,,,0
CDM,27200001,418326 : TUBE TRACH BLUSELECT CUFFEDNONFEN8,72.22,72.22,,,0
CDM,27200001,418329 : TUBE TRAC BLUSELECT CUFFLESS NONFEN6,66.21,66.21,,,0
CDM,27200001,418625 : KIT INSTRUMENT 4.5MM INCLUDES 0.045MM SINGLE AND DOUBLE TROC,960.0,960.0,,,0
CDM,27200001,418630 : FORCEPS BIOPSY WORKING L240CM JAW DIA2.2MM HOT IMPROVED MICR,271.53,271.53,,,0
CDM,27200001,418662 : COLLECTOR SURGICAL FOR AUTOLOGOUS BONE DUST BONE VAC,628.65,628.65,,,0
CDM,27200001,41867 : K WIRE 3.2X450MM DBL SHRP TIP SS FOR GAM 3 NAIL SYS,187.68,187.68,,,0
CDM,27200001,418698 : SURGIPHOR ANTIMICROBIAL IRRIGATION SYSTEM,188.14,188.14,,,0
CDM,27200001,418727 : DILATOR VASCULAR 22FR L20CM 0.038IN TAPERED COONS,43.82,43.82,,,0
CDM,27200001,418739 : COOLSEAL MINI SEALER,1800.0,1800.0,,,0
CDM,27200001,418748 : SURGIGEL HEMO 4X8IN,249.17,249.17,,,0
CDM,27200001,418749 : SURGIGEL HEMO 2X3IN,142.22,142.22,,,0
CDM,27200001,419007 : SUTURE COAT VCRL 3-0 18IN ABSRB UD CR 26MM SH 1-2 CIR TAPR,32.26,32.26,,,0
CDM,27200001,419025 : MATRIX HEMSTAT 10ML W- 13CM MAL APPL FLOSEAL,723.96,723.96,,,0
CDM,27200001,419031 : FORCEPS SUR BPLR L9IN TIP W0.5MM STD NONSTICK DISP VERSATRU,654.28,654.28,,,0
CDM,27200001,419593 : PRECISION PIN TAPR,507.88,507.88,,,0
CDM,27200001,419847 : KIT LARYNCTMY PULM BASE INCL SZ 12 12-36 12-55 LARYTUBE,914.06,914.06,,,0
CDM,27200001,419998 : SUTURE COAT VCRL + 0 27IN ABSRB VLT ANTIBACT CR 36MM CT-1,31.76,31.76,,,0
CDM,27200001,420214 : BIT DRL TRIFLAT DISP,201.6,201.6,,,0
CDM,27200001,420349 : BIT DRL L170MM DIA2.5MM CALIB L80MM NS QC FOR UNIV SM FRAG,440.64,440.64,,,0
CDM,27200001,420350 : BIT DRL L140MM DIA2MM CALIB L60MM NS QC FOR UNIV SM FRAG SYS,400.44,400.44,,,0
CDM,27200001,420423 : SUTURE V-LOC PBT 0 L6IN NABSRB BLU L37MM GS-21 1-2 CIR 11MM,98.84,98.84,,,0
CDM,27200001,420457 : SMOOTH MOD HI BST SZR 545CC,552.0,552.0,,,0
CDM,27200001,420546 : SET SCR SUR FOR IFUSE BEDROCK GRANITE IMPL SYS,324.0,324.0,,,0
CDM,27200001,420723 : KIT INSTR 3.6MM W- GWIRE DEPTH G DRLBT DRVR INNATE,960.0,960.0,,,0
CDM,27200001,420729 : NAVIGATED BX NDL GPS,2700.0,2700.0,,,0
CDM,27200001,420738 : PENCIL CAUT BTTRY OPERATED LO TEMP FN TIP,35.13,35.13,,,0
CDM,27200001,420739 : PENCIL ES 2200DEG HI TEMP CUTERY FN TIP BTTRY OPERATED,40.1,40.1,,,0
CDM,27200001,420744 : BLADE SHV L11CM DIA4MM 7500RPM SNUS 40DEG CRV SHFT,437.76,437.76,,,0
CDM,27200001,420747 : SLEEVE IRRIG BLK LP DISP FOR 7CM ATTCH ELITE,192.89,192.89,,,0
CDM,27200001,420759 : BUR SUR L12.5MM DIA3MM COARSE DMND RND DST BEND IBUR,961.7,961.7,,,0
CDM,27200001,420760 : BUR SUR L12.5MM DIA4MM COARSE DMND RND DST BEND IBUR,961.7,961.7,,,0
CDM,27200001,420761 : NEEDLE ELECTROCAUTERY L3IN 45DEG STR EXT FOR MIC DISECT,315.32,315.32,,,0
CDM,27200001,420762 : BLADE KNF CIR STR TIP,317.86,317.86,,,0
CDM,27200001,420857 : PACK PERF TBNG L6FT DIA1-2X3-32IN CLASS VI PRECUT LEN BOTH,29.14,29.14,,,0
CDM,27200001,421108 : BUR SUR 7CM HD 6MM FLUT BALL SM BOR MR8,227.06,227.06,,,0
CDM,27200001,421109 : BUR SUR 7CM HD 5MM FLUT BALL SM BOR MR8,227.06,227.06,,,0
CDM,27200001,421110 : BUR SUR L7CM HD DIA3MM BALL FLUT SM BOR MR8,227.06,227.06,,,0
CDM,27200001,421208 : SHELL STPL PWR CTRL FOR SIGNIA HNDL,382.3,382.3,,,0
CDM,27200001,42121 : SCISSORS ES TIP L19.3MM DISP ENDOCUT,80.4,80.4,,,0
CDM,27200001,421366 : MARKER PEDCL BEAD FOR STBL SYS REV,165.6,165.6,,,0
CDM,27200001,421367 : TEMPLATE ROD SPNL 500MM,480.0,480.0,,,0
CDM,27200001,421372 : TEMPLATE ROD SPNL L240MM OD3.7MM,810.0,810.0,,,0
CDM,27200001,421373 : TEMPLATE ROD SPNL L240MM OD3.7MM,120.0,120.0,,,0
CDM,27200001,421374 : POSITIONER PATIENT DISP KT,2880.0,2880.0,,,0
CDM,27200001,421376 : FORCEPS BPLR L190MM STR TIP BAYNT,2160.0,2160.0,,,0
CDM,27200001,421380 : AWL SURG SLF CNTR SL BENT,753.6,753.6,,,0
CDM,27200001,421381 : SLEEVE DRL ANG W- BK NUT,60.0,60.0,,,0
CDM,27200001,421471 : TUBE FEED 20FR BLLN 7-10ML SIL TAPR DST TIP RADPQ STRP MIC,93.94,93.94,,,0
CDM,27200001,422029 : KIT INSTR XL DISP FOR SHT 2.9MM HIP PSHLCK,716.04,716.04,,,0
CDM,27200001,422032 : DISPOSABLE KT KNEE FIBERTAKS,638.04,638.04,,,0
CDM,27200001,422034 : KIT ORTH INSTR W- CRV SPEAR CIRCUMFERENTIAL TEETH BLNT OBT,507.0,507.0,,,0
CDM,27200001,422045 : KIT SUT ANCHR HIP CRV W- DRL SPEAR CANN OBT KNTLSS DISP,767.52,767.52,,,0
CDM,27200001,422089 : CANNULA ARTHSCP L30MM DIA12MM SIL PASSPRT BTTN,156.0,156.0,,,0
CDM,27200001,422174 : STERNAL TUNN TOOL FOR DELIVERING INTRO AND EXTRAVASCULAR LD,1440.0,1440.0,,,0
CDM,27200001,422175 : TOOL TRNSVRS TUNN EPSILA EV,1440.0,1440.0,,,0
CDM,27200001,422196 : K WIRE 1.25MM X 150MM TRCR PT FOR PERI-LOC,43.34,43.34,,,0
CDM,27200001,42285 : SUTURE PDS II 6-0 L30IN ABSRB VLT L9.3MM BV-1 3-8 CIR TAPR,49.13,49.13,,,0
CDM,27200001,422930 : SET VENT ASST PMP INCL CATH + COMPANION SHTH IMPELLA CP,64800.0,64800.0,,,0
CDM,27200001,422948 : KIT HEMSTAS VLV L BOR ACCS 9 MAP W- MTL WIRE INTRO AND TORQ,37.94,37.94,,,0
CDM,27200001,422950 : RIH PALEY MFLD KT,76.42,76.42,,,0
CDM,27200001,423088 : ENROUTE TRANSCAROTID NEUROPROTECTION SYS +,8877.6,8877.6,,,0
CDM,27200001,423095 : ATTACHMENT ENDOSCP L4MM DIA13.4MM SIDE H 3MM DST STR SFT,63.72,63.72,,,0
CDM,27200001,423096 : ATTACHMENT FBROPT E L4MM OD15.7MM SFT STR DST DISP,63.72,63.72,,,0
CDM,27200001,42368 : SET NDL 13GA L15CM W- SIDE BVL DMND TIP FOR BNE BX OSTEO,147.24,147.24,,,0
CDM,27200001,427265 : PROBE SURG PEDCL CRV,662.4,662.4,,,0
CDM,27200001,427268 : PROBE SURG BALL TIP PROTEX,350.4,350.4,,,0
CDM,27200001,427269 : PROBE SURG CRV BALL TIP PROTEX,350.4,350.4,,,0
CDM,27200001,427270 : PROBE SUR L203MM THOR PEDCL REVERE,688.8,688.8,,,0
CDM,27200001,428000 : TRIAL HLDR MOD TRL- RASP HD - OUTER SL INSTR UNIV ACDF SYS,475.2,475.2,,,0
CDM,27200001,428001 : MODULE HNDL INNR SHFT ASSEMB INSTR UNIV ACDF SYS,547.2,547.2,,,0
CDM,27200001,428205 : NEEDLE IRRIG,240.0,240.0,,,0
CDM,27200001,428229 : PROBE SUR BALL TIP DBL END FOR REVERE,364.8,364.8,,,0
CDM,27200001,428774 : DRIVER SURG T20 HEXALOBE,924.0,924.0,,,0
CDM,27200001,429092 : OSTEOTOME ORTH 8IN SUCT,2296.8,2296.8,,,0
CDM,27200001,429150 : DRIVER SURG OD3.5MM SHT ANG HEXDRIVER REUSE,213.6,213.6,,,0
CDM,27200001,429289 : SLEEVE SURG SPNL ANG,566.4,566.4,,,0
CDM,27200001,429291 : COUNTER TORQ ANG INSTR,746.4,746.4,,,0
CDM,27200001,429480 : SHAFT SURG FUN THRD,410.4,410.4,,,0
CDM,27200001,430637 : SIZER BRST 530CC 13.9CM 4.7CM PROJCT MOD + PROF SMTH SIL GEL,552.0,552.0,,,0
CDM,27200001,43312 : CANNULA TWIST-IN   WITH NO-SQUIRT CAP   8.25 MM ID X 7 CM,65.52,65.52,,,0
CDM,27200001,43477 : CATHETER DIAG 6FR L80CM CAS 2 TRANSRADIAL SUP TORQ,15.6,15.6,,,0
CDM,27200001,435150 : UNIT DRN AD PED C16LPM AIRFLOW SGL COLL CHMBR 2500ML CHST,96.48,96.48,,,0
CDM,27200001,436197 : VALVE HEMSTAS 7.3FR SIL POLYCARB STANDALONE W- L15CM BONDED,37.44,37.44,,,0
CDM,27200001,43741 : BIT DRL 165MM 2.8MM QC FOR PRO-PK PROX HUM LCP SYS,179.83,179.83,,,0
CDM,27200001,43793 : SNARE 12X20,840.0,840.0,,,0
CDM,27200001,43821 : KIT CAN 23FR ART,651.36,651.36,,,0
CDM,27200001,43842 : BIOGLUE APPLICATOR TIP,780.0,780.0,,,0
CDM,27200001,43882 : CATHETER INFUS 5FR L40CM USABLE L100CM VLV TIP CMPTBL,364.56,364.56,,,0
CDM,27200001,439083 : TRAY URIN CATH F TEMP SENS 350 ML URIMTR BARDX,69.79,69.79,,,0
CDM,27200001,43937 : CATHETER ANGIO 5FR L100CM 1CM SPC 20 BND NYL PG CRVE 10 SIDE,342.15,342.15,,,0
CDM,27200001,440180 : WRENCH SUR NUM 2 WHT ORNG BIDIR TORQ,120.0,120.0,,,0
CDM,27200001,44034 : 11-0 ETHILON BLACK 1X5IN BV50-3,93.96,93.96,,,0
CDM,27200001,440590 : TIGHTROPE II RT WITH DEPLOYING SUTURE,1209.0,1209.0,,,0
CDM,27200001,444170 : 1.25MM DRILL TIP WIRE 150MM,95.42,95.42,,,0
CDM,27200001,444173 : 1.6MM TROCAR TIP WIRE 2X ENDED 150MM,57.19,57.19,,,0
CDM,27200001,444175 : 2.0MM DRILL 191MM,383.62,383.62,,,0
CDM,27200001,444185 : 2.0MM TROCAR TIP WIRE 2X ENDED 150MM,57.19,57.19,,,0
CDM,27200001,444188 : 2.7MM DRILL 191MM,383.62,383.62,,,0
CDM,27200001,445227 : 2.0MM-2.4MM PLATE HOLDING TAK THREADED,182.4,182.4,,,0
CDM,27200001,44948 : CANNULA BIFURCATEDETCO2ADULT,44.88,44.88,,,0
CDM,27200001,45130 : CATHETER DIAG STD 6FR L100CM FEM DUCOR JR 4 CRV NONBRAIDED,15.6,15.6,,,0
CDM,27200001,45147 : KIT WRNCH CARD W- NUM 2 TORQ RATCH WHT HEX FOR CARD PACEMKR,74.4,74.4,,,0
CDM,27200001,45338 : BIT DRL L340MM 4.2MM ADD ON FIT QC CALIB CNTR TIP FOR T2 ANK,260.4,260.4,,,0
CDM,27200001,45501 : RETRACTOR SUR SUT HLD INSRT DISP,119.05,119.05,,,0
CDM,27200001,455971 : 5.0MM DRILL BIT,487.5,487.5,,,0
CDM,27200001,456458 : SHAFT RMR 480MM MOD HALL MOD BIXCUT,696.0,696.0,,,0
CDM,27200001,45730 : STABILIZER SUR TISS EVOL OCTPS,3398.4,3398.4,,,0
CDM,27200001,457685 : SLEEVE PROTCT LNG TISS FOR T2 ALPHA TIB NAILING SYS,698.4,698.4,,,0
CDM,27200001,457728 : SLEEVE DRL LNG LOK FOR T2 ALPHA TIB NAILING SYS,684.0,684.0,,,0
CDM,27200001,45776 : TUBE ET OD9.6MM ID7MM 352MM CUF MURPHY REINF DISP PVC RUSCH,45.36,45.36,,,0
CDM,27200001,45798 : 10-0 ETHILON BLACK 1X6IN TG160-6 DOUBLE ARMED,51.86,51.86,,,0
CDM,27200001,45MM ENDO GIA CURVED TIP ARTICULATING VASCULAR RELOAD GRAY,637.43,637.43,,,0
CDM,27200001,461164 : BIT DRL 2MM X 135MM ADD ON FOR PANGEA SYS,628.8,628.8,,,0
CDM,27200001,461165 : BIT DRL 2MM X 175MM ADD ON FOR PANGEA SYS,770.4,770.4,,,0
CDM,27200001,461179 : BIT DRL 2.5MM X 135MM ADD ON FOR PANGEA SYS,655.68,655.68,,,0
CDM,27200001,461180 : BIT DRL 2.5MM X 215MM ADD ON FOR PANGEA SYS,803.2,803.2,,,0
CDM,27200001,461181 : BIT DRL 3.5MM X 135MM ADD ON FOR PANGEA SYS,692.4,692.4,,,0
CDM,27200001,461189 : BIT SUR DRVR 93MM ADD ON T15 FOR PANGEA SYS,1658.4,1658.4,,,0
CDM,27200001,461195 : BIT DRL 3.2MM X 215MM ADD ON FOR PANGEA SYS,792.0,792.0,,,0
CDM,27200001,461197 : BIT DRL 4.3MM X 215MM ADD ON FOR PANGEA SYS,840.0,840.0,,,0
CDM,27200001,461198 : BIT DRL 4.5MM X 135MM ADD ON FOR PANGEA SYS,708.0,708.0,,,0
CDM,27200001,46220 : INSERT CLMP NO4 L90MM VASC FBR FBR STLTH,62.4,62.4,,,0
CDM,27200001,465070 : SLEEVE DRL FOR 3.5MM SPIK INSRT,1188.0,1188.0,,,0
CDM,27200001,46729 : INSERT CLMP L86MM DISP 2 EVERGRIP JAW,47.23,47.23,,,0
CDM,27200001,46853 : BIT DRL DIA2MM FAST GUID TECH FOR EL FRAC PLATING SYS ALPS,168.0,168.0,,,0
CDM,27200001,46854 : BIT DRL DIA2.5MM DST VOLAR RAD DISP FOR ANAT VOLAR PLATING,168.0,168.0,,,0
CDM,27200001,469969 : 2.7MM DRILL BIT 100MM,168.0,168.0,,,0
CDM,27200001,469970 : 2.5MM DRILL BIT 100MM,168.0,168.0,,,0
CDM,27200001,469971 : 2.9MM DRILL BIT,159.6,159.6,,,0
CDM,27200001,469972 : A.L.P.S. CLAVICLE 2.2MM DRILL BIT 135MM,126.0,126.0,,,0
CDM,27200001,469978 : 1.5MM DRILL LONG,388.32,388.32,,,0
CDM,27200001,469979 : 1.8MM DRILL MID,388.32,388.32,,,0
CDM,27200001,469980 : 1.8MM DRILL LONG,388.32,388.32,,,0
CDM,27200001,469981 : 2.0MM DRILL LONG,388.32,388.32,,,0
CDM,27200001,469983 : 2.4MM DRILL,388.32,388.32,,,0
CDM,27200001,469984 : 2.7MM DRILL,388.32,388.32,,,0
CDM,27200001,469985 : 4.0MM DRILL,193.2,193.2,,,0
CDM,27200001,470000 : 2.0MM DRILL,259.2,259.2,,,0
CDM,27200001,471790 : ETHIBOND EXCEL STURUE SH-1 SIZE 2-0 GREEN 36IN,4.59,4.59,,,0
CDM,27200001,471793 : V-LOC 180 ABSORBABLE WOUND CLOSURE DEVICE GREEN SIZE 3-0 9IN,98.84,98.84,,,0
CDM,27200001,471804 : KIT ARTHROSCOPIC FIXATION WITH DRILL GUIDE OBTURATOR DISPOSA,453.6,453.6,,,0
CDM,27200001,471808 : SUTURE CHROMIC GUT SIZE 4-0 L30IN ABSORBABLE L19MM C-13 3-8,16.98,16.98,,,0
CDM,27200001,471809 : SUTURE CHROMIC GUT SIZE 3-0 L30IN ABSORBABLE L19MM C-13 3-8,16.28,16.28,,,0
CDM,27200001,471811 : SUTURE CHROMIC GUT 5-0 L18IN ABSORBABLE UNDYED L13MM P-13 3-,51.47,51.47,,,0
CDM,27200001,471812 : SUTURE PLAIN GUT 4-0 L18IN ABSORBABLE L19MM P-12 3-8 CIRCLE,38.25,38.25,,,0
CDM,27200001,471815 : SUTURE SOFSILK 1 6XL45CM NONABSORBABLE BLACK RACETRAC SILK W,22.55,22.55,,,0
CDM,27200001,471817 : SUTURE ABSORBABLE NON ANTIBACTERIAL PLAIN GUT COLLAGEN DOUBL,97.71,97.71,,,0
CDM,27200001,471903 : SUTURE PRONOVA NON ABSORBABLE BLUE POLY HEXAFLUOROPROPYLENE,49.96,49.96,,,0
CDM,27200001,47304 : DEVICE BNE BX SZ 3 8GA FOR KYPHOPLASTY KYPHON EXP II,235.22,235.22,,,0
CDM,27200001,478906 : DEVICE INFL SOLACE QL PRSS-TO-REL 20CC 30 ATM W- 3-W STPCOCK,87.89,87.89,,,0
CDM,27200001,480487 : DEVICE NEUROSTIMULATOR W2.9XL3.1IN THK0.8IN 71GM NONRECHARGE,736.56,736.56,,,0
CDM,27200001,483698 : M.BLUE PLUS SYS W-PED.SPRUNG RESERVOIR,16634.88,16634.88,,,0
CDM,27200001,485801 : OPTRELL 36 ELECTRODES D-F,5649.6,5649.6,,,0
CDM,27200001,488282 : TUBE CONNECTING 14FR L40CM VINYL WITH DRAINAGE BAG CONNECTOR,26.83,26.83,,,0
CDM,27200001,490005 : FORCEPS SURGICAL BIPOLAR L8IN TIP W0.5MM SLIM NONSTICK DISPO,685.27,685.27,,,0
CDM,27200001,490006 : FORCEPS SURGICAL BIPOLAR L8IN TIP W0.5MM STANDARD NONSTICK D,661.98,661.98,,,0
CDM,27200001,490009 : FORCEPS SURGICAL BIPOLAR L8IN TIP W1MM STANDARD NONSTICK DIS,685.27,685.27,,,0
CDM,27200001,490016 : FORCEPS SURGICAL BIPOLAR L9IN TIP W1MM SLIM NONSTICK DISPOSA,648.0,648.0,,,0
CDM,27200001,490017 : FORCEPS SURGICAL BIPOLAR L9IN TIP W1MM STANDARD NONSTICK DIS,685.27,685.27,,,0
CDM,27200001,49599 : WIRE STRNOTMY SZ 6 L14IN L65MM BE NO 2 1-2 CIR BALL END NDL,78.0,78.0,,,0
CDM,27200001,49682 : BLADE REPEAT ZO-7079,28.22,28.22,,,0
CDM,27200001,49687 : BUR CARBIDE ROUND 2.0 ZB-124,19.66,19.66,,,0
CDM,27200001,49696 : BUR SUR M L50.8MM HD L19.1MM DIA1.1MM CARB 2 FLUT WIRE PASS,35.78,35.78,,,0
CDM,27200001,497160 : BIT DRILL 2.0MM SHORT ALPS MVX,388.32,388.32,,,0
CDM,27200001,497259 : BIT DRILL L195MM DIA4.5MM QUICK CONNECT,191.52,191.52,,,0
CDM,27200001,5 FR CHECK-FLOW MICRO PUNCTURE KIT,82.08,82.08,,,0
CDM,27200001,5-0 COATED VICRYL UNDYED 1X18IN S-14 DOUBLE ARMED,31.94,31.94,,,0
CDM,27200001,5.0MM DRILL BIT,487.49,487.49,,,0
CDM,27200001,5.5 ROD ATTACHMENT LONG,1044.0,1044.0,,,0
CDM,27200001,5.5 X 25.5 X 0.6MM MICRO SAGITTAL BLADE FINE,27.29,27.29,,,0
CDM,27200001,5.5CM GOODMAN NASAL DRESSING,78.36,78.36,,,0
CDM,27200001,501071 : BRAINPATH APPROACH PACK 13.5X75/13GA/SELECTLOCK/ANCILLARIES,11952.0,11952.0,,,0
CDM,27200001,501072 : BRAINPATH APPROACH PACK 13.5X95-13GA-SELECTLOCK-ANCILLARIES,13015.78,13015.78,,,0
CDM,27200001,501079 : FREEHAND DRILL 3.5 X 130MM,955.85,955.85,,,0
CDM,27200001,501081 : 4.2X130MM FREEHAND DRILL,873.6,873.6,,,0
CDM,27200001,501082 : FREEHAND DRILL D4.2XL180,878.17,878.17,,,0
CDM,27200001,501083 : 4.2X360MM LOCKING DRIL,883.52,883.52,,,0
CDM,27200001,501090 : MAJOR ORTHO,219.32,219.32,,,0
CDM,27200001,501091 : MINOR ORTHO,160.78,160.78,,,0
CDM,27200001,503007 : ADAPTER EXTRACTION CANNULATED FOR RETROGRADE FEMORAL NATURAL,478.8,478.8,,,0
CDM,27200001,50341 : PLASTIBELL  1.3CM,534.41,534.41,,,0
CDM,27200001,503715 : BIT DRILL L280MM DIA3.2MM WITHOUT STOP NONRADIOLUCENT,237.12,237.12,,,0
CDM,27200001,506021 : 2.5MM DRILL SHORT,388.32,388.32,,,0
CDM,27200001,506022 : 2.5MM DRILL LONG,388.32,388.32,,,0
CDM,27200001,506023 : BIT DRILL 3.5MM OVERDRILL ALPS MVX,388.32,388.32,,,0
CDM,27200001,506046 : 2.7-3.5-4.0MM COUNTERSINK,328.58,328.58,,,0
CDM,27200001,506056 : 2.0-2.4-2.7-3.5-4.0MM PLATE TACK,283.78,283.78,,,0
CDM,27200001,506137 : PLATE WASHER,199.13,199.13,,,0
CDM,27200001,50813 : TRAY  PARACERV BLOCK DISP,353.28,353.28,,,0
CDM,27200001,509156 : SYSTEM COMPRESSION DISTRACTION MECHANISM FOR EBI VISION DYNA,848.4,848.4,,,0
CDM,27200001,51018 : DEVICE INFL 20ML HI PRSS STPCOCK ENCORE 26,96.0,96.0,,,0
CDM,27200001,512040 : T6 RETENTION DRIVER,696.98,696.98,,,0
CDM,27200001,512041 : T8 RETENTION DRIVER,721.87,721.87,,,0
CDM,27200001,512042 : T15 RETENTION DRIVER,746.76,746.76,,,0
CDM,27200001,512043 : T15 RETENTION DRIVER LONG,746.76,746.76,,,0
CDM,27200001,520486 : FIBERTAK RC DISPOSABLES KIT,507.0,507.0,,,0
CDM,27200001,521014 : DRILL NON-CANNULATED 4MM,299.52,299.52,,,0
CDM,27200001,521334 : HD SCORPION NEEDLE,507.0,507.0,,,0
CDM,27200001,521916 : DISP KIT NANO SWIVELOCK 2.5 X 7MM,767.52,767.52,,,0
CDM,27200001,521941 : SPINE ACCESS KIT DISPOSABLE,360.0,360.0,,,0
CDM,27200001,521974 : KIT PERCUTANEOUS ENDOSCOPIC GASTROSTOMY 24FR SAFETY PULL WIT,215.26,215.26,,,0
CDM,27200001,521975 : KIT PERCUTANEOUS ENDOSCOPIC GASTROSTOMY 20FR SAFETY PULL WI,215.26,215.26,,,0
CDM,27200001,521977 : SEAL CANNULA 5-12MM ROBOTIC LAPAROSCOPIC ACCESS,48.0,48.0,,,0
CDM,27200001,522570 : DISP. CURVED KIT KNOTLESS HIP FTAK 1.8MM,897.0,897.0,,,0
CDM,27200001,525162 : DRILL 2.75MM .066 CANNULATION,911.04,911.04,,,0
CDM,27200001,525327 : FLEXTIP RF PROBE 28CM,2400.0,2400.0,,,0
CDM,27200001,525328 : FLEXTIP RF PROBE 35CM,2400.0,2400.0,,,0
CDM,27200001,52811 : KIT INSTR W-O SAW BLDE DISP INCL FIX PIN GUIDEPIN TUNN CANN,377.52,377.52,,,0
CDM,27200001,53083 : BUR SUR L8MM DIA4MM CARB OVL STR SHNK LNG,45.87,45.87,,,0
CDM,27200001,533202 : ADAPTER ENDOSCP CATH GWIRE ROT SIDE ARM,106.32,106.32,,,0
CDM,27200001,533225 : EXTRACTOR BROKEN SCREW 2 MM 6IN LONG SINGLE USE,876.0,876.0,,,0
CDM,27200001,533226 : EXTRACTOR BROKEN SCREW 3 MM 6IN LONG SINGLE USE,912.0,912.0,,,0
CDM,27200001,533227 : EXTRACTOR BROKEN SCREW 4 MM 6IN LONG SINGLE USE,912.0,912.0,,,0
CDM,27200001,533233 : EXTRACTOR STRIPPED SCREW 4 MM 6IN LONG SINGLE USE,876.0,876.0,,,0
CDM,27200001,533234 : EXTRACTOR STRIPPED SCREW 5 MM 6IN LONG SINGLE USE,912.0,912.0,,,0
CDM,27200001,533235 : EXTRACTOR STRIPPED SCREW 6 MM 6IN LONG SINGLE USE,912.0,912.0,,,0
CDM,27200001,533236 : EXTRACTOR STRIPPED SCREW 7 MM 6IN LONG SINGLE USE,912.0,912.0,,,0
CDM,27200001,533261 : WIRE SPEAR TIP 58 CM LENGTH 3 MM DIA,444.0,444.0,,,0
CDM,27200001,533302 : SYSTEM DRAIN PEDIATRIC C150ML CHEST DRY SUCTION WET SEAL CON,129.6,129.6,,,0
CDM,27200001,533329 : TUBE GASTROSTMY OD16FR REPL R ANG ENDOVIVE,249.6,249.6,,,0
CDM,27200001,533331 : TUBE GASTROSTMY OD20FR REPL R ANG ENDOVIVE,249.6,249.6,,,0
CDM,27200001,533668 : TOOL MR8 7CM BALL DIAMOND 4MM,249.77,249.77,,,0
CDM,27200001,533669 : TOOL MR8 7CM BALL DMD 3MM DIAMETER,249.77,249.77,,,0
CDM,27200001,533670 : TOOL MR8 7CM BALL DIAMOND 2MM DIAMETER,249.77,249.77,,,0
CDM,27200001,533671 : TOOL MR8 7CM BALL DIAMOND 1MM DIAMETER,249.77,249.77,,,0
CDM,27200001,53418 : SV OF 5FX65CM .038 NB PG,264.32,264.32,,,0
CDM,27200001,534366 : BIT DRL L5IN DIA5-64IN SS,196.2,196.2,,,0
CDM,27200001,534422 : EP DEVICE TRAY,142.65,142.65,,,0
CDM,27200001,534472 : BUR SUR L7CM HD DIA1MM LNG BALL FLUT SM BOR MR8,227.06,227.06,,,0
CDM,27200001,534473 : BUR SUR 7CM HD 1MM LNG DMND BALL SM BOR MR8,249.77,249.77,,,0
CDM,27200001,534474 : BUR SUR 7CM HD 1.5MM LNG DMND FN BALL SM BOR MR8,244.08,244.08,,,0
CDM,27200001,534488 : SHEARS LAP L36CM DIA5MM CRV TIP US HARM 1100,1477.49,1477.49,,,0
CDM,27200001,534496 : SUTURE EXPR GUT 6-0 L18IN ABSRB L13MM PC-1 3-8 CIR PRECIS,30.0,30.0,,,0
CDM,27200001,534497 : SUTURE EXPR GUT 5-0 L18IN ABSRB L13MM PC-1 3-8 CIR PRECIS,30.0,30.0,,,0
CDM,27200001,534511 : KIT INFRAME INSTR FOR 2.0MM ST,960.0,960.0,,,0
CDM,27200001,534528 : DRILL W- AO QC LNG 3.7MM,2167.2,2167.2,,,0
CDM,27200001,534556 : SWISS LITHOCLAST TRIL DISP PRB 3.9X440MM,662.3,662.3,,,0
CDM,27200001,534557 : CATCHER STONE W- SUCT TBNG FOR SWISS LITHOCLAST TRIL SYS,251.65,251.65,,,0
CDM,27200001,534607 : SHARPOINT CHROMIC GUT 4-0 NATURAL 45CM G-3 PRECISION REVERSE,55.99,55.99,,,0
CDM,27200001,535157 : SUTURE GOR TX SZ 0 L36IN NABSRB L26MM TH-26 1-2 CIR,88.39,88.39,,,0
CDM,27200001,538439 : BIT DRL 4.3MM INTLOK SHT AFFIXUS,882.0,882.0,,,0
CDM,27200001,53953 : TUBE CONN 14FR L30CM VYN W- DRNGE BG CONN STPCOCK,26.83,26.83,,,0
CDM,27200001,540467 : S128802 VALVE HEMSTAS NO CLICK W- GWIRE INSRT TOOL GRDIAN II,52.8,52.8,,,0
CDM,27200001,540691 : SMARTFRAME ARRY MR DRL PROC KT,3600.0,3600.0,,,0
CDM,27200001,540694 : CLEARPOINT PRISM LASER APPLICATOR 25MM DIFFUSER NON-COOLED,26400.0,26400.0,,,0
CDM,27200001,540791 : PROBE STIM BPLR SIDE BY SIDE TIP POLARIZED HNDL CBL DISP,269.03,269.03,,,0
CDM,27200001,540840 : TUBE TRACH 12MM STD CLR SAFE-T-TB MONT,506.4,506.4,,,0
CDM,27200001,540841 : TUBE TRACH 13MM STD CLR SAFE-T-TB MONT,506.4,506.4,,,0
CDM,27200001,540848 : CONTROLLER DETACH WEB,444.0,444.0,,,0
CDM,27200001,540865 : SUTURE 7 DBL WIRE L18IN NABSRB L49MM CCS-1 1-2 CIR,234.0,234.0,,,0
CDM,27200001,540947 : SUTURE ETHBND EXCEL 2-0 10-30IN NABSRB GRN WHT SH POLY COAT,171.53,171.53,,,0
CDM,27200001,541274 : PASSER SUT L162MM CANN DIA6MM BITE D18MM MINI SLF CAPTURE,479.52,479.52,,,0
CDM,27200001,541322 : SUTURE V-LOC 180 3-0 L9IN ABSRB GRN L26MM V-20 1-2 CIR TAPR,98.84,98.84,,,0
CDM,27200001,541414 : KIT LACERATION DYNDL1061,13.33,13.33,,,0
CDM,27200001,541493 : FORCEPS ENDOSCP 2.75MM X 230CM GI 4MM JAW OPN WAVE STYL ROT,635.09,635.09,,,0
CDM,27200001,541632 : SYSTEM PANNUS RETEN W/ 2 PD 96IN STRP HYPOALRG ADH BK PRS 541632,112.8,112.8,,,0
CDM,27200001,541633 : SYSTEM PANNUS RETEN W/ 4 ADH PD 2 ADJ STRP HYPOALRG PRS 541633,169.2,169.2,,,0
CDM,27200001,54573 : ZIMMER HEMOVAC 18IN PVC DRAIN WTROCAR 32MM   10FR       PVC,72.24,72.24,,,0
CDM,27200001,546346 : GUIDEWIRE VASC 0.035INX120CM ANG TIP 150DEG HYDRPHLC 546346,81.6,81.6,,,0
CDM,27200001,546592 : ATTACHMENT DRL DISP 2.4MM X 28MM X 90MM BRL DURAPRO,1440.0,1440.0,,,0
CDM,27200001,546593 : ATTACHMENT DRL DISP 2.4MM X 28MM X 140MM BRL DURAPRO,1440.0,1440.0,,,0
CDM,27200001,546594 : ATTACHMENT DRL DISP 3MM X 22MM X 90MM BRL DURAPRO,1440.0,1440.0,,,0
CDM,27200001,546595 : ATTACHMENT DRL DISP 3MM X 22MM X 140MM BRL DURAPRO,1440.0,1440.0,,,0
CDM,27200001,546596 : ATTACHMENT DRL DISP 5MM X 22MM X 140MM BLL DURAPRO,1440.0,1440.0,,,0
CDM,27200001,546598 : ATTACHMENT DRL DISP 30MM X 260MM 3.5-4.5MM TAPR BRL DURAPRO,1680.0,1680.0,,,0
CDM,27200001,546599 : ATTACHMENT DRL DISP 5MM X 25MM X 180MM BRSH DURAPRO,1800.0,1800.0,,,0
CDM,27200001,546600 : ATTACHMENT TISS CUT 5MM 15MM 180MM DURAPRO,1800.0,1800.0,,,0
CDM,27200001,546626 : BLADE OTO KNF CART SS W/ TMPLT FOR TYMPLSTY KURZ PRECI,39.36,39.36,,,0
CDM,27200001,546629 : NERVE STIM BPLR HNDHLD DISP GEM,1855.2,1855.2,,,0
CDM,27200001,547097 : COARSE DMND BUR SPEC LNG 3.0MM,1080.0,1080.0,,,0
CDM,27200001,547169 : TUBE TRACH AD SZ 6 L74MM OD10.8MM ID6.4MM WHT CUFLSS FEN,89.52,89.52,,,0
CDM,27200001,55431 : BLADE OSC SAW L63XW19.5MM 0.9MM THCK SS OFFSET ZM,28.22,28.22,,,0
CDM,27200001,56189 : FISCHER CONE BIOPSY EXCISOR LARGE SHALLOW BOX OF 5,68.75,68.75,,,0
CDM,27200001,56482 : OMNI FLUSH  SOFT-VU 5F 100CM,775.2,775.2,,,0
CDM,27200001,56650 : ZIMMER HEMOVAC 400 ML COMP EVAC COMPONENT KIT  400ML 302500,401.14,401.14,,,0
CDM,27200001,567 : STIMULATOR NRV HND HELD LOC CU FLO CONFR LED BTTRY PWR,98.15,98.15,,,0
CDM,27200001,56890 : BARRON DONOR CORNEA PUNCH 8.0MM DIA.,168.0,168.0,,,0
CDM,27200001,57456 : BUR SURG DIA4MM HD L8MM FLUT 8MM MIC OVL PWR INSTR SYS HALL,43.09,43.09,,,0
CDM,27200001,57893 : PASSER CATH L55CM LNG SS TB NYL MAL DISP CODMAN,287.78,287.78,,,0
CDM,27200001,59097 : BUR  MEDIUM 2MM,32.47,32.47,,,0
CDM,27200001,599 : BLADE STRYKER 277-87-100,34.61,34.61,,,0
CDM,27200001,5MM ROUND DIAMOND BUR LONG,48.65,48.65,,,0
CDM,27200001,6 SHOOTER SAEED MULTI-BAND LIGATOR MBL-6-XL,612.0,612.0,,,0
CDM,27200001,6-0 PERMA HAND BLACK 1X18IN G-1 DOUBLE ARMED,33.41,33.41,,,0
CDM,27200001,6.5/5.5MM DRILL GPS,1800.0,1800.0,,,0
CDM,27200001,6.5MM X 10MM BUR SURGICAL FLUTES LONG STAINLESS STEEL CARBID,26.06,26.06,,,0
CDM,27200001,601 : BLADE SAW D6.3MM THK0.8MM CUT EDGE 32MM STRNM,53.71,53.71,,,0
CDM,27200001,60760 : BUR SURG M DIA2MM RND CARB MICROCHOICE,35.04,35.04,,,0
CDM,27200001,61209 : BLADE  SAGITTAL 6.0X340MM,13.06,13.06,,,0
CDM,27200001,61343 : CANNULA  INFANT,180.0,180.0,,,0
CDM,27200001,62377 : BIT DRL L180MM DIA4.3MM QC FOR L FRAG LOK COMPR PLATING SYS,441.0,441.0,,,0
CDM,27200001,62512 : BIT DRL L150MM DIA2MM QC FOR 3MM CANN SCR,761.42,761.42,,,0
CDM,27200001,62595 : SNARE POLYP WRK 165CM WIRE 0.3MM LOOP 25MM CRESC PLIABLE,57.36,57.36,,,0
CDM,27200001,62638 : CAPSULE GIVEN M2A GI,1118.54,1118.54,,,0
CDM,27200001,62683 : MARKER ENDOSCP TISS TATTOO 5ML PREFIL PREASSEMBLED SYR,91.2,91.2,,,0
CDM,27200001,62913 : CATHETER INTRAAORTIC 8FR BLLN 30CC POLYUR NYL CARDIOTHANE II,2906.4,2906.4,,,0
CDM,27200001,63160 : DRAIN SUR 19FR TRCR 0.25IN SIL RND HUBLESS FULL FLUT CHN,45.2,45.2,,,0
CDM,27200001,63162 : DRAIN 24FR HUBLESS FLL FLUT NOVATION NOVAPLUS,34.85,34.85,,,0
CDM,27200001,63769 : LIGATOR ENDOSCP L230CM CHN DIA2.8MM DETACH LOOP PREASSEMBLED,249.6,249.6,,,0
CDM,27200001,63772 : SPHINCTEROTOME ENDOSCP 170CM DST RADPQ TIP 4.5FR X 7MM CUT,396.0,396.0,,,0
CDM,27200001,63775 : BASKET STONE RETRV OPN 20MM WRK 190CM 8 WIRE SIL FLOWER ROT,597.6,597.6,,,0
CDM,27200001,64497 : _LEVEL ONETWIST DRILL J NOTCH 86 MM STOP 36 MM FLUTE1.9 X 11,316.8,316.8,,,0
CDM,27200001,64771 : INTRODUCER SHTH 10FR CANN L11CM DIL TIP 45MM W- MINI WIRE,28.8,28.8,,,0
CDM,27200001,64952 : SHEATH GUID DIAG INTVENT 6FR X 45CM DIL PROTRUDING 2CM PINN,254.4,254.4,,,0
CDM,27200001,65307 : BLADE SHV DIA5.5MM ORNG STR FULL RAD BONECUTTER RESECT DISP,165.6,165.6,,,0
CDM,27200001,65532 : DEVICE CLSR PRT SITE W- SUT PASS PILOT GUID CARTER-THOMASON,396.81,396.81,,,0
CDM,27200001,65779 : FORCEPS BX WRK L160CM JAW DIA1.8MM 2MM WRK CHN YEL GASTPED,219.72,219.72,,,0
CDM,27200001,65792 : TORNADO PLATINUM EMBOLIZATION COIL,278.86,278.86,,,0
CDM,27200001,66142 : CANNULA PERF 6IN COR ART OSTIAL FLNG RADPQ SFT CNVX TIP,68.37,68.37,,,0
CDM,27200001,66148 : ENDOTINE FIXATION DEVICE 3.0MM,786.0,786.0,,,0
CDM,27200001,66149 : ENDOTINE FIXATION DEVICE 3.5MM,786.0,786.0,,,0
CDM,27200001,66182 : FORCEPS BPLR L8.5IN WRK L3.5IN TIP L0.50MM LP DISP ISOCOOL,860.37,860.37,,,0
CDM,27200001,66183 : ISOCOOL BIPLR TP 8.5 X 1MM,856.8,856.8,,,0
CDM,27200001,66184 : TIP FRCP BPLR L9.5IN WRK L4.5IN DIA0.5MM LP AHT ISOCOOL,856.8,856.8,,,0
CDM,27200001,66318 : BIT DRL DIA4.9MM LG ADD ON FIT FOR 6.5-8MM CANN SCR SYS ASNS,655.2,655.2,,,0
CDM,27200001,66345 : SPHINCTEROTOME ENDOSCP TIP L5MM CUT WIRE 20MM DST 4.4FR,772.49,772.49,,,0
CDM,27200001,66356 : GUIDEPIN ORTH L431MM DIA2.4MM TRCR TIP PASS LSR MRK,263.52,263.52,,,0
CDM,27200001,66358 : PIN FIX ACL PCL WRE PAC A FOR FAST-FIX 360 MENIS REP SYS,477.36,477.36,,,0
CDM,27200001,66409 : TORQUE WRENCH KIT,43.2,43.2,,,0
CDM,27200001,66863 : BIT DRL 3.5MM X 230MM AO CPL CALIB CNTR TIP FOR T2 HUM NAIL,256.8,256.8,,,0
CDM,27200001,66909 : CATHETER INFUS 5FR L100X30CM CRAGG MICROVALVE LL ADPT PROX,235.2,235.2,,,0
CDM,27200001,66912 : CATHETER INFUS 5FR L50CM USABLE L135CM VLV TIP CMPTBL,364.56,364.56,,,0
CDM,27200001,67027 : BIT DRL 3.5MM X 110MM QC,191.52,191.52,,,0
CDM,27200001,67045 : NEEDLE BONE MAR ASPIR L6IN 3 H DISP,451.44,451.44,,,0
CDM,27200001,67284 : DRAIN CHST SGL COLL 1 PT TB FOR ATS BG CMPTBL ATRIUM OCEAN,96.42,96.42,,,0
CDM,27200001,67300 : SHAFT SUR RMR L448MM MOD TRINKLE BIXCUT,434.76,434.76,,,0
CDM,27200001,67602 : BIT DRL 195MM 3.5MM QC FOR PRO-PK CLAV MID SHFT LCP SYS,260.58,260.58,,,0
CDM,27200001,67644 : RADIAL VACUUM TREPHINE 7.75MM DIA.,177.6,177.6,,,0
CDM,27200001,67653 : BARRON DONOR CORNEA PUNCH 7.0MM DIA.,158.4,158.4,,,0
CDM,27200001,67654 : BARRON DONOR CORNEA PUNCH 7.25MM DIA.,158.4,158.4,,,0
CDM,27200001,67903 : BIT DRL L110-85MM DIA1.8MM 2 FLUT QC W- MRK FOR LOK COMPR,295.25,295.25,,,0
CDM,27200001,68062 : STENT POSITIONER 6FX45CM,290.74,290.74,,,0
CDM,27200001,68303 : RELOAD STPL GRY L45MM ENDO GIA ARTC VASC X THN,512.16,512.16,,,0
CDM,27200001,68397 : BIT DRL L140MM DIA2MM QC CALIB W- DEPTH MRK REUSE,342.76,342.76,,,0
CDM,27200001,68444 : VENOUS CANNULA METAL TIP 22FR,175.9,175.9,,,0
CDM,27200001,68446 : ELONGATED ART CANNULA 18 FR,227.42,227.42,,,0
CDM,27200001,68448 : CANNULA PERF 22FR L30.5CM W- 3-8IN ART BLNT TIP HI FLO VENT,256.34,256.34,,,0
CDM,27200001,68462 : DRAIN SURG 32FR L7-16IN RND HUBLESS,70.89,70.89,,,0
CDM,27200001,68766 : CATHETER URETH 22FR BLLN 30CC F 3 W LUBRI-SIL SIL BACT-GRD,29.09,29.09,,,0
CDM,27200001,68787 : CATHETER URETH 14FR 5CC BLLN RED F 2 W SPEC M OLV COUDE TIP,34.73,34.73,,,0
CDM,27200001,68788 : CATHETER URETH 16FR 5CC BLLN RED LTX WVN MESH REINF SIL,34.73,34.73,,,0
CDM,27200001,68796 : CATHETER URETH 20FR BLLN 30CC LTX 3 W STD TIP F BARDX IC,28.85,28.85,,,0
CDM,27200001,68797 : CATHETER URETH 24FR BLLN 30CC 3 W F BARDX IC,28.85,28.85,,,0
CDM,27200001,68798 : CATHETER URETH MD 18FR 5CC AMB SIL HYDRGEL OLV COUDE TIP,29.57,29.57,,,0
CDM,27200001,68799 : CATHETER URETH MD 20FR 5CC AMB SIL HYDRGEL OLV COUDE TIP,29.57,29.57,,,0
CDM,27200001,68800 : CATHETER URETH MD 16FR 5CC AMB SIL HYDRGEL OLV COUDE TIP,29.57,29.57,,,0
CDM,27200001,68996 : DEVICE ERECTILE RESTR FOR PENILE PROS,1344.0,1344.0,,,0
CDM,27200001,69024 : ADAPTER TBNG ACCEPT LESS THAN-EQL TO 9FR INSTR 300PSI,35.62,35.62,,,0
CDM,27200001,69216 : BIT DRL L200MM DIA2.8MM PERC QC W- 100MM CALIB FOR 3.5MM LCP,422.71,422.71,,,0
CDM,27200001,69324 : CATHETER URETH MD 14FR 5CC AMB HYDRPHLC POLYMR OLV COUDE TIP,29.57,29.57,,,0
CDM,27200001,69327 : NEEDLE EPI 14GA L4IN COUDE RX,130.51,130.51,,,0
CDM,27200001,69386 : CATHETER URETH 16FR BLLN 5CC F INF CTRL SHT OPN TIP 2 W SPEC,38.7,38.7,,,0
CDM,27200001,69388 : CATHETER URETH 18FR BLLN 5CC F COUNCL OPN TIP 2 W BARDX IC,38.53,38.53,,,0
CDM,27200001,69389 : CATHETER URETH 20FR BLLN 5CC F COUNCL OPN TIP 2 W BARDX IC,37.99,37.99,,,0
CDM,27200001,69446 : BIPOLAR FORCEP DISP 14-3000,48.48,48.48,,,0
CDM,27200001,69536 : INSERT 66MM ULTRA INTRACK,78.12,78.12,,,0
CDM,27200001,69544 : LIGATURE WIRE BLUNT 160MM 22 GAUGE,39.6,39.6,,,0
CDM,27200001,69825 : SYSTEM LAP GELSEAL CAP ALEXIS WND PROTCT RETRCT W- LUB,1716.0,1716.0,,,0
CDM,27200001,70785 : KIT ART LN 20GA L12CM INDWL CATH L35CM DIA0.025IN J TIP AND,75.84,75.84,,,0
CDM,27200001,71122 : CLIP LIG MD LG POLYMR HEMOLOCK,90.86,90.86,,,0
CDM,27200001,71320 : SNARE ES 2300MM LOOP 20MM WIRE THCK 0.48MM SPRL WIDE OPN OVL,63.12,63.12,,,0
CDM,27200001,71778 : WIRE KIRSCHNER 1.6MM 100MM,90.55,90.55,,,0
CDM,27200001,72070 : RING TENS TYP 14C CAPSULAR,429.6,429.6,,,0
CDM,27200001,72123 : FORCEP BIPOLAR DISP.,133.17,133.17,,,0
CDM,27200001,736 : BUR SUR M L50MM DIA8MM HD DIA4MM SS CARB RND WIRE PASS,79.89,79.89,,,0
CDM,27200001,73618 : BIT DRL 4.5MM SHT W- QC FOR LAT PROX L FRAG TIB LOK PLT SYS,165.24,165.24,,,0
CDM,27200001,73651 : BIT DRL 3.5MM QC FOR PERI - LOC PERIARTC LOCKED PLATING SYS,187.25,187.25,,,0
CDM,27200001,73652 : BIT DRL 4.5MM QC FOR PERI - LOC PERIARTC LOCKED PLATING SYS,187.25,187.25,,,0
CDM,27200001,738 : BURR ROUND CUTTING 5092-228,56.69,56.69,,,0
CDM,27200001,739 : BURR ROUND CUTTING 5092-230,25.13,25.13,,,0
CDM,27200001,742 : BLADE SAW W9.5XL25.5MM MAT THK0.4MM CUT THK0.6MM FN TOOTH,26.4,26.4,,,0
CDM,27200001,75425 : 1.6MM DRILL 7MM STOP STRYKER END,316.54,316.54,,,0
CDM,27200001,75445 : CABLE DISPOSABLE PACEMAKER 12,720.0,720.0,,,0
CDM,27200001,75508 : PASSER SUT DIA1.8MM 90DEG UP CRV SUTLASS SD,365.04,365.04,,,0
CDM,27200001,75510 : PASSER SUT DIA1.8MM 45DEG L CRV SUTLASS SD,365.04,365.04,,,0
CDM,27200001,75511 : PASSER SUT DIA1.8MM 45DEG R CRV SUTLASS SD,365.04,365.04,,,0
CDM,27200001,75857 : GUIDEWIRE VASC 0.035INX150CM TIP 3CM STD FLX ANG NIT,81.6,81.6,,,0
CDM,27200001,75980 : FORCEPS OPHTH 25GA UNCOAT POS ACT END DSGN TIP STYL DISP,280.37,280.37,,,0
CDM,27200001,75987 : PROBE LASER 25G,225.95,225.95,,,0
CDM,27200001,763 : BURR SWANSON REAMER 3.0MM,107.38,107.38,,,0
CDM,27200001,76529 : PENCIL BIPOLAR DISP 25G STRAIG,98.4,98.4,,,0
CDM,27200001,76530 : SCRAPER OPHTH 25GA SFT TIP DMND DUSTING MEM TANO DDMS,321.02,321.02,,,0
CDM,27200001,76779 : SENSOR PLSE OXMTR NEO TBNG L3FT,21.6,21.6,,,0
CDM,27200001,774 : KIT MILLER INJ CART,86.96,86.96,,,0
CDM,27200001,79609 : BRUSH CYTO 8FR W2.1MMXL200CM WRK GWIRE 0.035IN BILI,400.1,400.1,,,0
CDM,27200001,79665 : SMARTSCOPE 200 MICRON SINGLE USE FIBER 11553,684.0,684.0,,,0
CDM,27200001,79666 : SMARTSCOPE 365 MICRON SINGLE USE FIBER 11559,684.0,684.0,,,0
CDM,27200001,7FR EBU3.5  90CM CATHETER,99.84,99.84,,,0
CDM,27200001,7FR EBU4 90CM,96.0,96.0,,,0
CDM,27200001,7MM BONE GRAFT DRILL ASSY.,2784.0,2784.0,,,0
CDM,27200001,815 : DRILL WIRE PASS 1X19 MED,90.34,90.34,,,0
CDM,27200001,83 : SUTURE ETHBND EXCEL 0 18IN NABSRB GRN CR 36MM CT-1 1-2 CIR,28.88,28.88,,,0
CDM,27200001,83910 : K WIRE 2MM SS FOR EL LOK PLT SYS VARIAX,72.0,72.0,,,0
CDM,27200001,83999 : RETRACTOR SUR MD SHTH L18CM 5-9CM INCIS WND PROTCT W- FLX,156.0,156.0,,,0
CDM,27200001,84085 : RING SYMBLEPHARON SMALL,144.0,144.0,,,0
CDM,27200001,84086 : RING SYMBLEPHARON MEDIUM,144.0,144.0,,,0
CDM,27200001,84267 : NEEDLE ASPIR 19GA L15MM CATH L130CM SHTH DIA1.8MM TRNSBRONCH,1415.45,1415.45,,,0
CDM,27200001,84456 : PUNCH AORT DIA4MM SS THRMPLSTC SLF ALIGNING CUT MECHANISM,64.8,64.8,,,0
CDM,27200001,84464 : GUIDEWIRE VASC 0.035INX150CM ANG TIP 3CM HYDRPHLC GLDEWIRE,124.8,124.8,,,0
CDM,27200001,84467 : CATHETER ANGIO 4FR L65CM FLO RATE 15ML-SEC HYDRPHLC ANG TIP,135.6,135.6,,,0
CDM,27200001,84475 : CATHETER ANGIO 4FR L65CM DST TIP DIA1.03MM PROX SHFT,135.6,135.6,,,0
CDM,27200001,84477 : GLIDECATH 5FR 100CM COBRA C2,135.6,135.6,,,0
CDM,27200001,84479 : SHEATH GUID DIAG INTVENT 6FR X 45CM DIL PROTRUDING 2CM PINN,254.4,254.4,,,0
CDM,27200001,86191 : CATHETER ANGIO 5FR L100CM DST TIP DIA1.1MM PROX SHFT,135.6,135.6,,,0
CDM,27200001,86483 : CATHETER ANGIO 5FR L100CM SS HYDRPHLC ANG TAPR CRV SGL BRD,135.6,135.6,,,0
CDM,27200001,86656 : TUBE TRACH AD L120MM OD10.6MM ID7MM SIL CUF ADJ NK FLNG,373.58,373.58,,,0
CDM,27200001,86859 : SUTURE PASSER DKY090,141.6,141.6,,,0
CDM,27200001,86957 : CATHETER ANGIO 5FR L65CM DST TIP DIA1.1MM PROX SHFT,135.6,135.6,,,0
CDM,27200001,87039 : BIT DRL MINI FOR HDLSS COMPR SCR SYS ACUTRK 2,960.0,960.0,,,0
CDM,27200001,87455 : BIT CANNLATED DRILL 310.210,293.4,293.4,,,0
CDM,27200001,87648 : SHEATH INTRO 8FR L10CM DIL L2.5CM PERIPH PINN,27.6,27.6,,,0
CDM,27200001,87727 : ADHESIVE SUR 10ML INCL SYR PLUNG 4 STD AND 3 12MM SPREADED,2383.2,2383.2,,,0
CDM,27200001,87882 : FORCEPS BX L240CM DIA2.8MM WRK CHN 3.2MM ORNG W- NDL RAD JAW,184.04,184.04,,,0
CDM,27200001,87930 : CUSTOM PACK TL4W22R TRILLIUM Y,33.6,33.6,,,0
CDM,27200001,88065 : SUTURE VICRYL 4.0 VCP773D,32.02,32.02,,,0
CDM,27200001,88077 : SNARE ENDOSCP 1.5X2.5CM SHTH 5FR SCP DIA9.5-13MM ACC CHN,840.0,840.0,,,0
CDM,27200001,88249 : TUBING PMP INFLO SET FOR FLD MGMT SYS DYONIC 25,147.6,147.6,,,0
CDM,27200001,88292 : CATHETER ANGIO 4FR L120CM DST TIP DIA1.03MM PROX SHFT,135.6,135.6,,,0
CDM,27200001,88319 : CONTOUR PARTICLES 355-500 MICRONS,432.0,432.0,,,0
CDM,27200001,8FR ARROW SHEATH 11CM,66.0,66.0,,,0
CDM,27200001,8MM 45M MM WHITE,1260.0,1260.0,,,0
CDM,27200001,9 X 31 X 0.4MM MICRO SAGITTAL BLADE FINE,53.9,53.9,,,0
CDM,27200001,9-0 ETHILON BLACK 1X5IN BV130-5,35.23,35.23,,,0
CDM,27200001,91 DEG BAYONETED,5965.51,5965.51,,,0
CDM,27200001,95 : SUGIPRO 2  60 BLUE GS-26 NEEDLE,37.34,37.34,,,0
CDM,27200001,9MM TENDON STRIPPER BLADE,455.52,455.52,,,0
CDM,27200001,A.L.P.S. CLAVICLE 2.2MM DRILL BIT 135MM,126.0,126.0,,,0
CDM,27200001,ACCESS 654-58  STYLET KIT-58CM,55.2,55.2,,,0
CDM,27200001,ACCESS SHOULDERED 4.8MM DRILL,280.8,280.8,,,0
CDM,27200001,ACCESSORY KIT,480.0,480.0,,,0
CDM,27200001,ACCUDRAIN SPECIAL WITH ANTI-REFLUX VALVE AND 12,702.14,702.14,,,0
CDM,27200001,ACCUDRAIN SPECIAL WITH REFLUX VALVE AND REMOVAL OF,715.06,715.06,,,0
CDM,27200001,ACCUDRAIN WITH ANTI-REFLUX VALVE,616.73,616.73,,,0
CDM,27200001,ACCUPASS DIRECT XL SUT PASSER,766.8,766.8,,,0
CDM,27200001,ACCY B31030 EXTENSION TUNNELER DBS,286.9,286.9,,,0
CDM,27200001,ACCY B31061 CONNECTOR PLUG DBS,634.39,634.39,,,0
CDM,27200001,ADAPTER CARDPLG Y TBNG,45.42,45.42,,,0
CDM,27200001,ADAPTER CECOSTOMY CATHETER 10FR L18CM WITH CONNECTING TUBE F,74.4,74.4,,,0
CDM,27200001,ADAPTER DRVR QC SHFT FOR FEN SCR SET CDH,484.51,484.51,,,0
CDM,27200001,ADAPTER ENDOSCP CATH GWIRE ROT SIDE ARM,106.32,106.32,,,0
CDM,27200001,ADAPTER EXTRACTION CANNULATED FOR ANTEGRADE FEMORAL NATURAL,495.6,495.6,,,0
CDM,27200001,ADAPTER KYPHOPLASTY SZ 3 MULT TAP BNE CEM AND MIX PK KYPHON,71.28,71.28,,,0
CDM,27200001,ADAPTER TBNG ACCEPT LESS THAN/EQL TO 9FR INSTR 300PSI,35.62,35.62,,,0
CDM,27200001,ADHESIVE SKIN CLSR 0.7ML TOP DERMBND ADV,40.94,40.94,,,0
CDM,27200001,ADHESIVE SKIN CLSR 0.8ML TOP LIQ PRECIS DOME APPL TIP,45.99,45.99,,,0
CDM,27200001,ADHESIVE SUR 10ML INCL SYR PLUNG 4 STD AND 3 12MM SPREADED,2383.2,2383.2,,,0
CDM,27200001,ADJUSTABLE DRL SL FOR L DIAM DRL BITS,2421.6,2421.6,,,0
CDM,27200001,ADPTR SEALING STANDARD WING FOR CRT SAFESHEATH ATTAIN,564.0,564.0,,,0
CDM,27200001,ADULT PERFERATOR BIT,559.78,559.78,,,0
CDM,27200001,AFX INTRODUCER SYSTEM 17FR X 45CM,837.6,837.6,,,0
CDM,27200001,AIRE-CUF TRACHY TUBE 9.0MM    ADLT MID-RNGEADJUST HYPERFLEX,375.46,375.46,,,0
CDM,27200001,AIRSEAL TROCAR 5MM X 150MM,234.5,234.5,,,0
CDM,27200001,ALLEN WRENCH 3 MM,162.0,162.0,,,0
CDM,27200001,ALPS CLAV 2.7MM SHT DRL,142.08,142.08,,,0
CDM,27200001,AMPLATZ EXTRA-STIFF SUPPORT WIRE GUIDE,46.2,46.2,,,0
CDM,27200001,AMPLATZER SIZING BALLOON II 34MM PKG STR,782.4,782.4,,,0
CDM,27200001,ANCHOR SUT 2.4X11.3MM PEEK PSHLCK,936.0,936.0,,,0
CDM,27200001,ANCHOR SUT 5.5X16.3MM TI W/ 3 NO2 FBRWR CRKSCR FT II,638.04,638.04,,,0
CDM,27200001,ANCHOR SUT CRKSCR FT PEEK 4.5MM X 14MM TWO FBRWR SUT NUM 2,741.0,741.0,,,0
CDM,27200001,ANCHOR SUT DIA1.3MM MIC W/ SZ 4-0 ETHBND EXCEL C-1 TAPERCUT,1370.28,1370.28,,,0
CDM,27200001,ANCHOR SUT NO 0 MINI DRLBT QANCHR + ORTHOCORD,1987.2,1987.2,,,0
CDM,27200001,ANCHOR SUT SFT DBL LD W/ 1.3MM SUTURETAPE FIBERTAK,962.52,962.52,,,0
CDM,27200001,ANCHOR SUT W/ DRL PIN BTB TGHTRP,1106.04,1106.04,,,0
CDM,27200001,ANG DYN 5FR/65CM PIG,84.0,84.0,,,0
CDM,27200001,ANGIOGRAPHY TRAY,229.52,229.52,,,0
CDM,27200001,ANGLE PIN CONNECTOR 85MM,772.63,772.63,,,0
CDM,27200001,ANGLED DRILL TIP WITH SELF-CENTERING SLEEVE 16MM,120.0,120.0,,,0
CDM,27200001,ANGLED LAMINA HOOK THREADED MEDIUM CREO,720.0,720.0,,,0
CDM,27200001,ANTENNA ABLAT SYS L15CM SHT PERC W/ THERMOSPHERE TECH,6921.6,6921.6,,,0
CDM,27200001,ANTENNA ABLAT SYS L20CM STD PERC W/ THERMOSPHERE TECH,6480.0,6480.0,,,0
CDM,27200001,ANTIBACTERIAL VICRYL PLUS COATED SUTURE UNDYED BRAIDED SIZE,4.58,4.58,,,0
CDM,27200001,ANTIMICROBIAL GAUZE,12.19,12.19,,,0
CDM,27200001,APPLICATOR ENDOSCP L41CM SS CANN STYL TIP NONPYROGENIC SGL,155.02,155.02,,,0
CDM,27200001,APPLIER CLP L235CM CLP OPN 17MM BRD CATH RESOL 360 ULT,870.91,870.91,,,0
CDM,27200001,APPLIER CLP L33CM DIA5MM TI CLP W3.6XL9.1MM LOGIC TECH DIS,420.02,420.02,,,0
CDM,27200001,APPLIER CLP L33CM DIA5MM TI CLP W3.6XL9.1MM LOGIC TECH DISP,277.94,277.94,,,0
CDM,27200001,APPLIER CLP LG 10MM PSTL GRP DISP,153.9,153.9,,,0
CDM,27200001,APPLIER CLP SHFT 29CM PSTL GRP 10 MM 20 M/L SUP INTLOK T,181.69,181.69,,,0
CDM,27200001,APPLIER CLP SHFT 29CM PSTL GRP 10 MM 20 M/L SUP INTLOK TI,168.84,168.84,,,0
CDM,27200001,ARCH BAR WIRE #0102990,90.36,90.36,,,0
CDM,27200001,ARROW FLEX SHEATH 80CM 9FR,408.0,408.0,,,0
CDM,27200001,ARTERIAL LINE KIT WITH CATHETER,124.32,124.32,,,0
CDM,27200001,ARTERIAL LINE KIT WITH CATHETER (SUB FOR PS# 126926),117.12,117.12,,,0
CDM,27200001,ARTHREX PASSPORT BUTTON CANNULA  8 MM ID X 3 CM,83.47,83.47,,,0
CDM,27200001,ARTHREX PASSPORT BUTTON CANNULA 12 MM ID X 4 CM,156.0,156.0,,,0
CDM,27200001,ARTHREX PASSPORT BUTTON CANNULA 8 MM ID X 5 CM,83.47,83.47,,,0
CDM,27200001,ARTHROSCOPIC MEASUREMENT PROBE 60 220 MM,521.04,521.04,,,0
CDM,27200001,ASC BREAST PACK,106.11,106.11,,,0
CDM,27200001,ASC EAR PACK,95.16,95.16,,,0
CDM,27200001,ASC FOOT-ANKLE PACK,123.91,123.91,,,0
CDM,27200001,ASC GENERAL PACK,70.14,70.14,,,0
CDM,27200001,ASC HAND PACK,76.6,76.6,,,0
CDM,27200001,ASC KNEE SCOPE PACK,106.55,106.55,,,0
CDM,27200001,ASC LAPAROSCOPY PACK,100.85,100.85,,,0
CDM,27200001,ASC OCULAR PLASTICS PACK,58.98,58.98,,,0
CDM,27200001,ASC SHOULDER SCOPE PACK,128.88,128.88,,,0
CDM,27200001,ASC THYROID PACK,109.85,109.85,,,0
CDM,27200001,ASEPT 1000 ML DRAINAGE BOTTLE WITHOUT DRAIN LINE,51.02,51.02,,,0
CDM,27200001,ASET KIT,242.42,242.42,,,0
CDM,27200001,ASSY SHIP CEN A .9 45 BAL,210.24,210.24,,,0
CDM,27200001,ASSYSHIPFLEX LSR RFID 23GA,476.64,476.64,,,0
CDM,27200001,ATEC TRIMARK 13 TD13-12,1800.0,1800.0,,,0
CDM,27200001,ATTACHMENT ENDOSCP L4MM DIA11.35MM SIDE H 3MM DST STR SFT,63.72,63.72,,,0
CDM,27200001,AUROUS CENTIMETER VESSEL SIZING CATHETER,276.0,276.0,,,0
CDM,27200001,AV 5 100 035 PT 1CM 21RO SIZING CATHETER PG,409.25,409.25,,,0
CDM,27200001,AV FISTULA PACK,200.43,200.43,,,0
CDM,27200001,AVENUE RETRACTOR - K-WIRE,120.0,120.0,,,0
CDM,27200001,AWL SURG 10MM ANG,960.0,960.0,,,0
CDM,27200001,AWL SURG SELF CNTR STR INDEPENDENCE,861.6,861.6,,,0
CDM,27200001,AWL SURG SLF CNTR SL BENT,753.6,753.6,,,0
CDM,27200001,BAG DRNGE 600ML EXT VENT DUET,107.06,107.06,,,0
CDM,27200001,BAG IPG LG ENV W2.9XL3.3IN BIOABSRB MESH TYRX,2148.0,2148.0,,,0
CDM,27200001,BAG PRSS INFUS 3000ML W/ BLB RELIABLE DISP FOR IV INT ART,31.37,31.37,,,0
CDM,27200001,BAG TISS CLSR SILO FOR STAGED REDUC OF VENTRAL WALL DEFECTS,1144.8,1144.8,,,0
CDM,27200001,BAG TISS RETRV 1550ML L25.4CM DIA14.1CM 175CM INTRO 15MM NYL,588.97,588.97,,,0
CDM,27200001,BALLOON ENDOSCP FOR CLR VISIBILITY OF EUS PROC FIT OLY,43.2,43.2,,,0
CDM,27200001,BALLOON ENDOSCP OLY RAD NAVY BLU PKG,38.4,38.4,,,0
CDM,27200001,BANDAGE HEMOSTATIC DIRECT PRESSURE QUIKCLOT RADIAL,71.88,71.88,,,0
CDM,27200001,BANDAGE HEMOSTATIC W3.8XL3.8IN KAOLIN PRESLIT TEGADERM QUIKC,79.06,79.06,,,0
CDM,27200001,BARRON DONOR CORNEA PUNCH 7.25MM DIA.,158.4,158.4,,,0
CDM,27200001,BARRON DONOR CORNEA PUNCH 8.0MM DIA.,168.0,168.0,,,0
CDM,27200001,BARRON DONOR CORNEA PUNCH 8.75MM DIA.,158.4,158.4,,,0
CDM,27200001,BASIC TRAY,52.97,52.97,,,0
CDM,27200001,BASICS CHEST U BAR PACK,29.83,29.83,,,0
CDM,27200001,BASKET RETRV OPN DIA2MM WRK CHN 3.2MM 0.035IN CMPTBL GWIRE,964.46,964.46,,,0
CDM,27200001,BASKET STONE RETRV L120CM DIA16MM POLYIMIDE/PTFE SHTH 3FR,633.02,633.02,,,0
CDM,27200001,BASKET STONE RETRV OPN 20MM WRK 190CM 8 WIRE SIL FLOWER ROT,597.6,597.6,,,0
CDM,27200001,BASKET STONE RETRV OPN 22MM WRK 190CM 4 WIRE SIL INTEGR V,476.47,476.47,,,0
CDM,27200001,BASKET STONE RETRV SHTH 1.9FR L120CM DIA12MM NIT PLYAMDE 4,692.52,692.52,,,0
CDM,27200001,BEACON TIP TORCON NB ADVANTAGE ANGIOGRAPHIC CATHETER,58.66,58.66,,,0
CDM,27200001,BEAULI INFILTRATION CANNULA LATERAL OPENING,67.2,67.2,,,0
CDM,27200001,BEAVER BLADE,94.01,94.01,,,0
CDM,27200001,BENDING TEMPLATE FOR MATRIXRIB LOCKING PLATE/300MM LENGTH,279.6,279.6,,,0
CDM,27200001,BERN CATHETER 4F 65CM,30.0,30.0,,,0
CDM,27200001,BIO-MOORE ENDO II HIP SYSTEM  ENDO II HEAD COMPONENT  CO-CR,719.35,719.35,,,0
CDM,27200001,BIOGLUE APPLICATOR TIP,780.0,780.0,,,0
CDM,27200001,BIOPSY FORCEP 5.5 X 104 (1.8MM),410.04,410.04,,,0
CDM,27200001,BIOPSY NEEDLE KIT 8G,216.96,216.96,,,0
CDM,27200001,BIOPSYMISSION6CM 20G X 6CM,103.2,103.2,,,0
CDM,27200001,BIPOLAR FORCEP,1617.6,1617.6,,,0
CDM,27200001,BIPOLAR FORCEP DISP 14-3000,48.48,48.48,,,0
CDM,27200001,BIPOLAR FORCEPS,596.5,596.5,,,0
CDM,27200001,BIPOLAR SEALER 23-313-1 AQM 9.5XL,1231.2,1231.2,,,0
CDM,27200001,BIT CANNLATED DRILL 310.210,293.4,293.4,,,0
CDM,27200001,BIT DRILL 1.0MM ALPS MVX,388.32,388.32,,,0
CDM,27200001,BIT DRILL 2.5 MM DIA 245 MM LENGTH QUICK COUPLING W/O STOP N,313.2,313.2,,,0
CDM,27200001,BIT DRILL 2.7MM ALPS MVX,388.32,388.32,,,0
CDM,27200001,BIT DRILL 3.3 MM DIA 245 MM LENGTH QUICK COUPLING WITHOUT ST,226.8,226.8,,,0
CDM,27200001,BIT DRILL 3.5MM 310.37S,325.9,325.9,,,0
CDM,27200001,BIT DRILL 3.5MM OVERDRILL ALPS MVX,388.32,388.32,,,0
CDM,27200001,BIT DRILL 4.5 MM DIA 195 MM LENGTH QUICK COUPLING W/O STOP N,302.4,302.4,,,0
CDM,27200001,BIT DRILL DIA2.4MM CANNULATED FOR MAX VPC SCREW SYSTEM,453.6,453.6,,,0
CDM,27200001,BIT DRILL DIA3.2MM STAINLESS STEEL CORTEX CALIBRATED FOR LG,259.2,259.2,,,0
CDM,27200001,BIT DRILL DIA3.3MM STAINLESS STEEL FEMORAL QUICK COUPLING PE,221.66,221.66,,,0
CDM,27200001,BIT DRILL L DIA3.8MM FOR SCREW MODULE,210.0,210.0,,,0
CDM,27200001,BIT DRILL L245MM OD4MM WITHOUT STOP QUICK COUPLING NON RADIO,226.8,226.8,,,0
CDM,27200001,BIT DRILL L280MM DIA3.2MM WITHOUT STOP NONRADIOLUCENT,237.12,237.12,,,0
CDM,27200001,BIT DRILL SHORT 4.3MM DISTAL GRADUATED JACOB AFFIXUS,1340.64,1340.64,,,0
CDM,27200001,BIT DRILL TAP 2.0MM 310.20,279.0,279.0,,,0
CDM,27200001,BIT DRL 1.1MM X 44.5MM STP 4MM FOR J LATCH MATRIXMIDFACE,388.8,388.8,,,0
CDM,27200001,BIT DRL 1.5MM X 50MM STP 12MM 2 FLUT FOR J LATCH,387.6,387.6,,,0
CDM,27200001,BIT DRL 1.5MM X 50MM STP 5MM SS TWST J NOTCH DISP FOR 2MM,240.0,240.0,,,0
CDM,27200001,BIT DRL 1.5MM X 90MM 2 FLUT FOR J LATCH MATRIXMANDIBLE,410.4,410.4,,,0
CDM,27200001,BIT DRL 1.5X70MM 41MM STP 23MM FLUT J NOTCH LEVELONE,240.0,240.0,,,0
CDM,27200001,BIT DRL 1.6MM X 96MM SCALED AO FOR VARIAX 2 MINI FRAG SYS,465.6,465.6,,,0
CDM,27200001,BIT DRL 1.8MM X 125MM QC FOR LAG SCR,372.0,372.0,,,0
CDM,27200001,BIT DRL 1.8MM X 90MM 2 FLUT FOR J LATCH MATRIXMANDIBLE,414.0,414.0,,,0
CDM,27200001,BIT DRL 110MM 3.5MM QC FOR PRO-PK CLAV MID SHFT LCP SYS,273.77,273.77,,,0
CDM,27200001,BIT DRL 14MM SHT ANT CERV SS REUSE FOR PROVIDENCE PLATING,120.0,120.0,,,0
CDM,27200001,BIT DRL 165MM 2.8MM QC FOR PRO-PK PROX HUM LCP SYS,318.02,318.02,,,0
CDM,27200001,BIT DRL 195MM 3.5MM QC FOR PRO-PK CLAV MID SHFT LCP SYS,281.91,281.91,,,0
CDM,27200001,BIT DRL 2.4MM X 100MM QC FOR 2.4/2.7MM VA LOK CALCNL PLT,372.0,372.0,,,0
CDM,27200001,BIT DRL 2.5MM,192.0,192.0,,,0
CDM,27200001,BIT DRL 2.5MM CALIB DISP FOR 2.7/3.5/4.5MM PEDIFRAG SYS,473.83,473.83,,,0
CDM,27200001,BIT DRL 2.5MM DISP FOR 2.7/3.5/4.5MM PEDIFRAG SYS,319.25,319.25,,,0
CDM,27200001,BIT DRL 2.5MM FOR ALPS EL FRAC/DST FIB/SM FRAG PLATING SYS,168.0,168.0,,,0
CDM,27200001,BIT DRL 2.5MM FOR AXSOS 3 LOK PLT SYS,1012.37,1012.37,,,0
CDM,27200001,BIT DRL 2.5MM LNG AO QC DISP FOR EVOS SM PLATING SYS,121.18,121.18,,,0
CDM,27200001,BIT DRL 2.5MM X 110MM QC,191.52,191.52,,,0
CDM,27200001,BIT DRL 2.5MM X 135MM ADD ON FOR PANGEA SYS,620.19,620.19,,,0
CDM,27200001,BIT DRL 2.5MM X 215MM ADD ON FOR PANGEA SYS,733.65,733.65,,,0
CDM,27200001,BIT DRL 2.5MM X 250MM CALIB 95MM QC W/ STP FOR 3.5MM LCP LO,444.4,444.4,,,0
CDM,27200001,BIT DRL 2.5MM X 300MM PERC QC CALIB NONRADIOPAQUE W/O STP,720.0,720.0,,,0
CDM,27200001,BIT DRL 2.7MM CALIB FOR ALPS TOT FT SYS,176.4,176.4,,,0
CDM,27200001,BIT DRL 2.7MM OVR AO QC DISP FOR EVOS MINI PLATING SYS,218.4,218.4,,,0
CDM,27200001,BIT DRL 2.7MM SHT W/ QC,121.18,121.18,,,0
CDM,27200001,BIT DRL 2.7MM X 122MM OVR AO DISP FOR VARIAX 2 CLAV SYS,216.0,216.0,,,0
CDM,27200001,BIT DRL 2.7MM X 125MM ADD ON FOR PANGEA SYS,657.6,657.6,,,0
CDM,27200001,BIT DRL 2.7MM X 205MM STD QC W/O STP REUSE FOR 3.5 - 2.7MM,319.2,319.2,,,0
CDM,27200001,BIT DRL 200MM 5MM CANN QC FOR VA LCP CRV CNDYL PLT SYS,1061.96,1061.96,,,0
CDM,27200001,BIT DRL 2MM LNG AO QC DISP FOR EVOS MINI PLATING SYS,268.8,268.8,,,0
CDM,27200001,BIT DRL 2MM SHT AO QC DISP FOR EVOS MINI PLATING SYS,218.4,218.4,,,0
CDM,27200001,BIT DRL 2MM SHT AO QC DISP FOR EVOS SM PLATING SYS,121.18,121.18,,,0
CDM,27200001,BIT DRL 2MM X 135MM ADD ON FOR PANGEA SYS,644.64,644.64,,,0
CDM,27200001,BIT DRL 2MM X 175MM ADD ON FOR PANGEA SYS,789.84,789.84,,,0
CDM,27200001,BIT DRL 3.2MM AO CANN FOR PEDIPLATES SYS,861.5,861.5,,,0
CDM,27200001,BIT DRL 3.2MM FLX OC,1051.2,1051.2,,,0
CDM,27200001,BIT DRL 3.2MM OC,420.0,420.0,,,0
CDM,27200001,BIT DRL 3.2MM X 145MM ADD ON FOR PANGEA SYS,429.6,429.6,,,0
CDM,27200001,BIT DRL 3.2MM X 215MM ADD ON FOR PANGEA SYS,686.4,686.4,,,0
CDM,27200001,BIT DRL 3.5MM DISP FOR 4.5MM DST FEM LOK PLT TARGETER SYS,138.34,138.34,,,0
CDM,27200001,BIT DRL 3.5MM QC FOR PERI - LOC PERIARTC LOCKED PLATING SYS,187.25,187.25,,,0
CDM,27200001,BIT DRL 3.5MM X 110MM QC,191.52,191.52,,,0
CDM,27200001,BIT DRL 3.5MM X 135MM ADD ON FOR PANGEA SYS,650.0,650.0,,,0
CDM,27200001,BIT DRL 3.5MM X 230MM AO CPL CALIB CNTR TIP FOR T2 HUM NAIL,256.8,256.8,,,0
CDM,27200001,BIT DRL 3.5MM X 70MM S COUPLE FOR ALPS EL FRAC SM FRAG,168.0,168.0,,,0
CDM,27200001,BIT DRL 300MM 3.2MM W/ MINI CONN FOR LG CANN SCR SYS,422.4,422.4,,,0
CDM,27200001,BIT DRL 3MM SS WIDENING W/ COUNTSINK BAHA,437.4,437.4,,,0
CDM,27200001,BIT DRL 4.3MM INTLOK SHT AFFIXUS,882.0,882.0,,,0
CDM,27200001,BIT DRL 4.3MM TIB HUM CALIB FOR NAT NAIL 18 SYS,352.8,352.8,,,0
CDM,27200001,BIT DRL 4.3MM X 215MM ADD ON FOR PANGEA SYS,729.6,729.6,,,0
CDM,27200001,BIT DRL 4.5MM FOR PEDIFLEX E STBL IM NAIL SYS,487.49,487.49,,,0
CDM,27200001,BIT DRL 4.5MM QC FOR PERI - LOC PERIARTC LOCKED PLATING SYS,187.25,187.25,,,0
CDM,27200001,BIT DRL 4.5MM SHT W/ QC FOR LAT PROX L FRAG TIB LOK PLT SYS,165.24,165.24,,,0
CDM,27200001,BIT DRL 4.5MM TI CANN DISP FOR ENDOBUTTON CL RCI SCR,291.6,291.6,,,0
CDM,27200001,BIT DRL 4.5MM X 135MM ADD ON FOR PANGEA SYS,614.4,614.4,,,0
CDM,27200001,BIT DRL 4.8MM LNG FOR 6MM HA PIN SMRT TSF CIR FIX,755.11,755.11,,,0
CDM,27200001,BIT DRL 4MM SS WIDENING W/ COUNTSINK BAHA,437.4,437.4,,,0
CDM,27200001,BIT DRL 5.5MM CANN FOR 8MM L SCR SYS,681.91,681.91,,,0
CDM,27200001,BIT DRL 6MM FOR INBONE TOT ANK SYS,535.2,535.2,,,0
CDM,27200001,BIT DRL DIA1.4MM TWST FOR ANT CERV PLT ASSURE REUSE,120.0,120.0,,,0
CDM,27200001,BIT DRL DIA1.5MM ADD ON QC DISP,218.4,218.4,,,0
CDM,27200001,BIT DRL DIA1.8MM LNG QC ADD ON FOR EVOS MINI PLATING SYS,268.8,268.8,,,0
CDM,27200001,BIT DRL DIA1.8MM SHT QC ADD ON FOR EVOS MINI PLATING SYS,218.4,218.4,,,0
CDM,27200001,BIT DRL DIA2.2MM CROSSLOCK MOD TY DVR ANAT VOLAR PLATING SYS,159.6,159.6,,,0
CDM,27200001,BIT DRL DIA2.4MM ADD ON QC DISP,218.4,218.4,,,0
CDM,27200001,BIT DRL DIA2.4MM BLU BAR FOR XTRAFIX SYS,228.0,228.0,,,0
CDM,27200001,BIT DRL DIA2.4MM SS FOR NAVIGATED INFIN OCT SYS,1224.0,1224.0,,,0
CDM,27200001,BIT DRL DIA2.5MM DST VOLAR RAD DISP FOR ANAT VOLAR PLATING,168.0,168.0,,,0
CDM,27200001,BIT DRL DIA2.5MM PERC FOR UNIV LOK SYS,226.8,226.8,,,0
CDM,27200001,BIT DRL DIA2.5MM STD REUSE FOR SM FRAG UNIV LOK SYS,248.4,248.4,,,0
CDM,27200001,BIT DRL DIA2.7MM SHT QC ADD ON FOR EVOS SM PLATING SYS,222.0,222.0,,,0
CDM,27200001,BIT DRL DIA2.8MM QR W/ DEPTH MRK FOR SM FRAG BASE SET,532.8,532.8,,,0
CDM,27200001,BIT DRL DIA2MM FAST GUID TECH FOR EL FRAC PLATING SYS ALPS,168.0,168.0,,,0
CDM,27200001,BIT DRL DIA2MM FT ANK CALIB FOR FRAC MGMT,248.04,248.04,,,0
CDM,27200001,BIT DRL DIA2MM QR SURGIBIT,261.6,261.6,,,0
CDM,27200001,BIT DRL DIA2MM SCALED FOR VARIAX 2 WRST FUS LOK PLT SYS,274.71,274.71,,,0
CDM,27200001,BIT DRL DIA3.2MM BLU FOR XTRAFIX EXT FIX SYS,235.8,235.8,,,0
CDM,27200001,BIT DRL DIA3.2MM PERIPH SCR AEQUALIS REV PERFORM,240.0,240.0,,,0
CDM,27200001,BIT DRL DIA3.5MM RM PILOT FOR EXCELSIUSGPS ROBOTIC,1080.0,1080.0,,,0
CDM,27200001,BIT DRL DIA4.3MM CALIB FOR RG FEM NAT NAIL SYS,285.6,285.6,,,0
CDM,27200001,BIT DRL DIA4.3MM FREEHAND TARGETING FOR NAT NAIL 18 SYS,159.6,159.6,,,0
CDM,27200001,BIT DRL DIA4.3MM LNG DST GRAD FOR AFFIXUS HIP FRAC NAIL,403.2,403.2,,,0
CDM,27200001,BIT DRL DIA4.3MM SHT CALIB FOR NAT NAIL SM CEPHALOMEDULLARY,218.4,218.4,,,0
CDM,27200001,BIT DRL DIA4.5MM CANN QC,764.4,764.4,,,0
CDM,27200001,BIT DRL DIA4.5MM GRN FOR XTRAFIX EXT FIX SYS,228.0,228.0,,,0
CDM,27200001,BIT DRL DIA4.9MM CALIB FOR RG FEM NAT NAIL SYS,604.8,604.8,,,0
CDM,27200001,BIT DRL DIA4.9MM LG ADD ON FIT FOR 6.5/8MM CANN SCR SYS ASNS,733.39,733.39,,,0
CDM,27200001,BIT DRL DIA4.9MM SHT CALIB FOR NAT NAIL SYS,218.4,218.4,,,0
CDM,27200001,BIT DRL DIA4.9MM SHT CANN CALIB FOR NAT NAIL AG FEM SYS,571.2,571.2,,,0
CDM,27200001,BIT DRL DIA4MM CALIB GRAD DEPTH MRK FOR REV SHLDR PROS,240.0,240.0,,,0
CDM,27200001,BIT DRL DIA4MM LNG ORNG FOR XTRAFIX EXT FIX SYS,236.4,236.4,,,0
CDM,27200001,BIT DRL DIA5MM CANN QC TRINKLE,764.4,764.4,,,0
CDM,27200001,BIT DRL FILPCUTTER III,1079.52,1079.52,,,0
CDM,27200001,BIT DRL FOR 2.4MM PSHLCK ANCHR,273.0,273.0,,,0
CDM,27200001,BIT DRL FOR 3.5X50MM SCR,120.0,120.0,,,0
CDM,27200001,BIT DRL L100MM DIA1.7MM CANN QC NONRADIOLUCENT W/O STP REUSE,1328.62,1328.62,,,0
CDM,27200001,BIT DRL L100MM DIA2.7MM QC FOR LOK COMPR PLATING SYS,270.85,270.85,,,0
CDM,27200001,BIT DRL L100MM DIA2MM QC FOR 7MM CANN SCR SYS,277.2,277.2,,,0
CDM,27200001,BIT DRL L105MM DIA2MM ADD ON FIT SCALED FOR 2.4/2.7MM SCR,465.6,465.6,,,0
CDM,27200001,BIT DRL L110/85MM DIA1.8MM 2 FLUT QC W/ MRK FOR LOK COMPR,532.8,532.8,,,0
CDM,27200001,BIT DRL L110MM DIA1.5MM QC FOR 4.5MM CANN SCR SYS,279.0,279.0,,,0
CDM,27200001,BIT DRL L110MM DIA2.5MM G QC FOR LOK COMPR PLATING SYS,255.51,255.51,,,0
CDM,27200001,BIT DRL L122MM DIA2.4MM ADD ON FIT OVR DRL FOR VARIAX SYS,216.0,216.0,,,0
CDM,27200001,BIT DRL L122MM DIA3.5MM ADD ON FIT,352.98,352.98,,,0
CDM,27200001,BIT DRL L125MM DIA1.5MM 2 FLUT J LATCH CPL,478.8,478.8,,,0
CDM,27200001,BIT DRL L125MM DIA2.7MM SHFT L100MM 3 FLUT QC FOR UNIV SM,399.33,399.33,,,0
CDM,27200001,BIT DRL L125MM DIA2MM QC FOR LOK COMPR PLATING SYS,280.48,280.48,,,0
CDM,27200001,BIT DRL L127MM DIA2.5MM FOR REV SHLDR PROS,88.5,88.5,,,0
CDM,27200001,BIT DRL L12MM ANG TIP W/ SLF CNTR SL,120.0,120.0,,,0
CDM,27200001,BIT DRL L135MM DIA2.6MM SCALED AO DISP VARIAX,335.86,335.86,,,0
CDM,27200001,BIT DRL L135MM DIA2.7MM FOR ALPS CLAV PLATING SYS,126.0,126.0,,,0
CDM,27200001,BIT DRL L135MM DIA2MM SCALED AO DISP VARIAX,216.0,216.0,,,0
CDM,27200001,BIT DRL L140MM DIA2MM QC CALIB W/ DEPTH MRK REUSE,524.65,524.65,,,0
CDM,27200001,BIT DRL L145MM DIA3.2MM QC FOR L FRAG LOK COMPR PLATING SYS,245.17,245.17,,,0
CDM,27200001,BIT DRL L145MM DIA4.5MM QC FOR L FRAG LOK COMPR PLATING SYS,275.4,275.4,,,0
CDM,27200001,BIT DRL L14MM STR W/ SLF CNTR SL,120.0,120.0,,,0
CDM,27200001,BIT DRL L150MM DIA2.9MM 2-FLUT QC FOR 2.7MM VA LOK CALCNL,349.2,349.2,,,0
CDM,27200001,BIT DRL L152.5MM DIA4.3MM SHT FREE HND W/O STP,176.4,176.4,,,0
CDM,27200001,BIT DRL L160MM DIA2.7MM 1.35MM CANN QC FOR 3.5MM SCR,1488.39,1488.39,,,0
CDM,27200001,BIT DRL L160MM DIA3.5MM CANN QC FOR 3.5MM SCR,1018.66,1018.66,,,0
CDM,27200001,BIT DRL L16MM STR W/ SLF CNTR SL,120.0,120.0,,,0
CDM,27200001,BIT DRL L170MM DIA3.2MM 1.7MM CANN QC FOR 4.5MM SCR,1510.75,1510.75,,,0
CDM,27200001,BIT DRL L180MM 4.2MM ADD ON FIT QC CALIB CNTR TIP FOR T2 ANK,266.4,266.4,,,0
CDM,27200001,BIT DRL L180MM DIA2.5MM G QC FOR LOK CALCNL PLT INSTR AND,285.24,285.24,,,0
CDM,27200001,BIT DRL L180MM DIA4.3MM QC FOR L FRAG LOK COMPR PLATING SYS,441.0,441.0,,,0
CDM,27200001,BIT DRL L190MM DIA2MM QC W/ DEPTH MRK FOR MOD MINI FRAG LCP,604.8,604.8,,,0
CDM,27200001,BIT DRL L195/170MM OD3.2MM 25MM STP QC NONRADIOLUCENT,253.73,253.73,,,0
CDM,27200001,BIT DRL L195MM DIA3.2MM QC,191.52,191.52,,,0
CDM,27200001,BIT DRL L195MM DIA4.3MM STD QC FOR NCB PLATING SYS,176.4,176.4,,,0
CDM,27200001,BIT DRL L200MM DIA2.8MM PERC QC W/ 100MM CALIB FOR 3.5MM LCP,605.38,605.38,,,0
CDM,27200001,BIT DRL L200MM DIA3MM DISP AEQUALIS,501.6,501.6,,,0
CDM,27200001,BIT DRL L216MM DIA3.1MM SHT LOK FOR AXSOS 3 TIB LOK SYS,996.94,996.94,,,0
CDM,27200001,BIT DRL L230MM DIA5MM ADD ON FOR T2 R1.5 FEM NAIL SYS,396.05,396.05,,,0
CDM,27200001,BIT DRL L230MM OD2.5MM 200MM CALIB 3 FLUT QC DISP,667.8,667.8,,,0
CDM,27200001,BIT DRL L233MM DIA4.5MM CANN JCBS CHK,1602.23,1602.23,,,0
CDM,27200001,BIT DRL L245MM DIA4.3MM QC NCB,243.6,243.6,,,0
CDM,27200001,BIT DRL L260MM DIA4.2MM SS ADD ON QC CALIB CNTR TIP DISP S2,247.2,247.2,,,0
CDM,27200001,BIT DRL L300MM DIA3.2MM PERC QC CALIB,720.0,720.0,,,0
CDM,27200001,BIT DRL L300MM DIA4.3MM PERC QC CALIB,669.6,669.6,,,0
CDM,27200001,BIT DRL L300MM DIA5MM NS CANN QC ADJ STP REUSE,1441.23,1441.23,,,0
CDM,27200001,BIT DRL L300MM FOR DST FEM PLT NCB SYS,184.8,184.8,,,0
CDM,27200001,BIT DRL L30MM DIA3.2MM HIP DISP FOR 2 MOBILITY CONSTR G7,163.06,163.06,,,0
CDM,27200001,BIT DRL L320MM DIA4.3MM CALIB FOR PHOENIX SYS,268.8,268.8,,,0
CDM,27200001,BIT DRL L340MM 4.2MM ADD ON FIT QC CALIB CNTR TIP FOR T2 ANK,303.02,303.02,,,0
CDM,27200001,BIT DRL L340MM 5MM ADD ON FIT QC CALIB W/O STP,386.08,386.08,,,0
CDM,27200001,BIT DRL L365MM DIA4.3MM CALIB NONRADIOLUCENT W/O STP DISP,319.2,319.2,,,0
CDM,27200001,BIT DRL L40MM DIA1.1MM STP 5MM SS HEX ATTCH TWST LEVELONE,240.0,240.0,,,0
CDM,27200001,BIT DRL L40MM DIA2.5MM DORS SPANNING PLT DST RAD SYS GEMINUS,254.4,254.4,,,0
CDM,27200001,BIT DRL L40MM DIA2MM SLD SIDE CUT FOR GEMINUS VOLAR DST RAD,249.6,249.6,,,0
CDM,27200001,BIT DRL L40MM DIA3.2MM FOR ACET RINGLOC + SYS,163.06,163.06,,,0
CDM,27200001,BIT DRL L44.5MM DIA1.1MM STP 6MM STRYKR J LATCH CPL FOR TI,386.4,386.4,,,0
CDM,27200001,BIT DRL L50MM DIA1.1MM 5MM STP W/ J CPL FOR 1.5MM SCR,240.0,240.0,,,0
CDM,27200001,BIT DRL L50MM DIA1.5MM 2 FLUT W/ 8MM STP FOR J LATCH CPL,387.6,387.6,,,0
CDM,27200001,BIT DRL L50MM DIA1.5MM 20MM STP W/ J NOTCH ATTCH,240.0,240.0,,,0
CDM,27200001,BIT DRL L52MM DIA1.1MM 4MM STP HEX CPL REUSE,375.6,375.6,,,0
CDM,27200001,BIT DRL L54MM DIA1.4MM WRK L8MM FOR MID FACE FIX UNIV SEL,343.13,343.13,,,0
CDM,27200001,BIT DRL L55MM DIA1.1MM MINI QC FOR 1.5/2MM CORR PLT MOD HND,284.4,284.4,,,0
CDM,27200001,BIT DRL L5IN DIA3/32IN SS FOR ALL TYP OF BNE DRL PROC,196.2,196.2,,,0
CDM,27200001,BIT DRL L65MM DIA1.5MM MINI QC FOR MOD HND SYS,284.4,284.4,,,0
CDM,27200001,BIT DRL L81MM DIA1.6MM STP 25MM 2 SYS AO QC APTUS HND,339.12,339.12,,,0
CDM,27200001,BIT DRL L96MM DIA1.5MM MINI QC 2 FLUT W/ DEPTH MRK FOR LCP,532.8,532.8,,,0
CDM,27200001,BIT DRL LNG MIC FOR HDLSS COMPR SCR SYS ACUTRK 2,1068.0,1068.0,,,0
CDM,27200001,BIT DRL LNG MINI FOR HDLSS COMPR SCR SYS ACUTRK 2,1065.6,1065.6,,,0
CDM,27200001,BIT DRL M DIA4MM YEL FOR XTRAFIX EXT FIX SYS,243.0,243.0,,,0
CDM,27200001,BIT DRL MIC FOR HDLSS COMPR SCR SYS ACUTRK 2,960.0,960.0,,,0
CDM,27200001,BIT DRL SHT FOR 3.5X30MM SCR,120.0,120.0,,,0
CDM,27200001,BIT DRL SM DIA2.5MM SHT W/ AO QC DISP FOR EVOS SM PLATING,143.21,143.21,,,0
CDM,27200001,BIT DRL SZ 3 ANTIROTATION NOTCH FOR INBONE TOT ANK SYS,283.2,283.2,,,0
CDM,27200001,BIT DRL TRIFLAT DISP,201.6,201.6,,,0
CDM,27200001,BIT SUR DRVR 180MM ADD ON T20 FOR PANGEA SYS,1572.0,1572.0,,,0
CDM,27200001,BIT SUR DRVR 93MM ADD ON T15 FOR PANGEA SYS,1327.2,1327.2,,,0
CDM,27200001,BIT SUR DRVR 93MM ADD ON T20 FOR PANGEA SYS,1164.0,1164.0,,,0
CDM,27200001,BLADE  OSCILLATING 29.X5X7,25.2,25.2,,,0
CDM,27200001,BLADE 188354HR TRICUT 5PK M4 3.5MM ROTA,438.34,438.34,,,0
CDM,27200001,BLADE 40 DEGREE 18-84006,422.21,422.21,,,0
CDM,27200001,BLADE 4MM MINI BANANA CURVED SSU (6SP),151.58,151.58,,,0
CDM,27200001,BLADE BNE MD THK5MM PARTICLT MILL,720.94,720.94,,,0
CDM,27200001,BLADE BUNION AVG MED SP-111,25.2,25.2,,,0
CDM,27200001,BLADE DERMTOM DISP MOD SB SLM LN PADGETT,253.44,253.44,,,0
CDM,27200001,BLADE DERMTOM W1.25-4.25IN SS BRASS RNG MATE W/ HNDL DISP,153.6,153.6,,,0
CDM,27200001,BLADE ENDOSCP KNF 23CM INSRT 13CM PT RETRCT DISP,425.54,425.54,,,0
CDM,27200001,BLADE FULL RADIUS 3.5 MAG-MINI,126.0,126.0,,,0
CDM,27200001,BLADE HALL SAW OSCIL 1.25,14.86,14.86,,,0
CDM,27200001,BLADE KNF CIR STR TIP,317.86,317.86,,,0
CDM,27200001,BLADE MVR UNITOME 5560,54.0,54.0,,,0
CDM,27200001,BLADE OPHTH 2.4MM ANG MIC COAX SLT CLEARCUT INTREPID,76.08,76.08,,,0
CDM,27200001,BLADE OPHTH 2.65MM BVL UP GAURDED SLT,40.92,40.92,,,0
CDM,27200001,BLADE OSC SAW L63XW19.5MM 0.9MM THCK SS OFFSET ZM,28.22,28.22,,,0
CDM,27200001,BLADE OSCILLATING SAW Z0-7277,28.22,28.22,,,0
CDM,27200001,BLADE OSCILLATING SP-105,25.2,25.2,,,0
CDM,27200001,BLADE PADGET DERM 3539-105,158.4,158.4,,,0
CDM,27200001,BLADE PARAGON STERILE SS SKIN GRAFT KNIFE,41.45,41.45,,,0
CDM,27200001,BLADE RADIUS FULL MINI 8CM,108.0,108.0,,,0
CDM,27200001,BLADE RECIP. 5100-137-133,180.72,180.72,,,0
CDM,27200001,BLADE REPEAT ZO-7079,28.22,28.22,,,0
CDM,27200001,BLADE SAGITAL SAW 5.5MM X 18MM X 0.4MM ZS-412,25.2,25.2,,,0
CDM,27200001,BLADE SAW 25X85X1.19MM SAG FOR SYS 4 AND 2000,69.89,69.89,,,0
CDM,27200001,BLADE SAW D6.3MM THK0.8MM CUT EDGE 32MM STRNM,53.73,53.73,,,0
CDM,27200001,BLADE SAW SZ 7 0.315IN X 0.05IN UNIV NAR FOR INFIN TOT ANK,340.8,340.8,,,0
CDM,27200001,BLADE SAW THK0 38MM CUT EDGE THK27MM CUT THK0 53MM PRECIS,184.88,184.88,,,0
CDM,27200001,BLADE SAW W0.73XL2.88IN THK0.031IN FOR SYS 4 AND 2000 SAG,71.65,71.65,,,0
CDM,27200001,BLADE SAW W0.75XL3.543IN THK0.05IN FASTER SMOOTH ACCURATE,135.94,135.94,,,0
CDM,27200001,BLADE SAW W0.98XL3.53IN THK0.035IN AGG TOOTH CUT EDGE,71.26,71.26,,,0
CDM,27200001,BLADE SAW W10XL18.5MM THK0.4MM FN TOOTH SAG FOR SM BNE,27.29,27.29,,,0
CDM,27200001,BLADE SAW W10XL35MM THK0.6MM OSC FN TOOTH STR EDGE HALL,13.06,13.06,,,0
CDM,27200001,BLADE SAW W12.5XL75MM THK1.27MM CUT THK1.45MM SS TOOTH,71.82,71.82,,,0
CDM,27200001,BLADE SAW W9.5XL25.5MM MAT THK0.4MM CUT THK0.6MM FN TOOTH,13.06,13.06,,,0
CDM,27200001,BLADE SHRILL DIAMOND ABRASOR,1500.0,1500.0,,,0
CDM,27200001,BLADE SHV DIA3.5MM BGE FLL RAD BONECUTTER DISP,165.6,165.6,,,0
CDM,27200001,BLADE SHV DIA4.5MM PNK STR RAZCUT DISP DYONIC,95.04,95.04,,,0
CDM,27200001,BLADE SHV DIA4.5MM STR LIME GRN LATCH ORBT INCIS CRV DISP,104.4,104.4,,,0
CDM,27200001,BLADE SHV DIA4MM ACROMIONIZER STR BUR WIDE MOUTH MAUVE LATCH,95.04,95.04,,,0
CDM,27200001,BLADE SHV DIA5.5MM ORNG STR FULL RAD BONECUTTER RESECT DISP,165.6,165.6,,,0
CDM,27200001,BLADE SHV L11CM DIA2MM INFERIOR TURB STR SHFT ELEV PACKAGED,493.34,493.34,,,0
CDM,27200001,BLADE SHV L11CM DIA3.5MM 5000RPM OSC 60DEG CRV SHFT RAD,479.52,479.52,,,0
CDM,27200001,BLADE SHV L11CM DIA4MM 5000RPM SNUS 60DEG CRV SHFT,439.49,439.49,,,0
CDM,27200001,BLADE SHV L11CM DIA4MM 7500RPM SNUS 40DEG CRV SHFT,437.76,437.76,,,0
CDM,27200001,BLADE SHV L11CM DIA4MM TRICUT STR SHFT OFFSET CUT SURF,430.85,430.85,,,0
CDM,27200001,BLADE SHV L13CM DIA4.3MM STR LNG SHFT IRRIG TBNG,463.84,463.84,,,0
CDM,27200001,BLADE SHV L18CM DIA4.5MM LNG CRV FULL RAD CONCAVE DISP,187.2,187.2,,,0
CDM,27200001,BLADE SHV L22CM OD2.9MM DST BEND 15DEG 60-500RPM DBL CRV ANG,1163.52,1163.52,,,0
CDM,27200001,BLADE SHV L7CM DIA2.9MM SM JT FULL RAD RED LATCH DISP DYONIC,126.0,126.0,,,0
CDM,27200001,BLADE SHV OD3.5MM BGE STR ENDOSCP ASCP FULL RAD RESECT,95.04,95.04,,,0
CDM,27200001,BLADE SKIMMER 4MM,1046.4,1046.4,,,0
CDM,27200001,BLADE STR CUTTER 2.9MM,108.0,108.0,,,0
CDM,27200001,BLADE STR FULL RADIUS 5.5,95.04,95.04,,,0
CDM,27200001,BLADE SUR TIP 0.9MM HK MCELVEEN FOR FN INCIS,348.48,348.48,,,0
CDM,27200001,BLADE SUR W2.5MM STR SHRP ALL ARND W/ RND KNURLED HNDL,133.45,133.45,,,0
CDM,27200001,BLADE SURG L28.5XW5.5MM THK0.4MM CUT THK0.6MM SAW OSC CRESC,13.06,13.06,,,0
CDM,27200001,BLADE SURG L73MM THK.64MM BLDE W25MM SAW SAG SYS 4 AND 2000,71.32,71.32,,,0
CDM,27200001,BLADE TREPH L15MM DIA8.5MM LNG SS FOR FREEHAND USE,160.18,160.18,,,0
CDM,27200001,BLADE TREPH L15MM DIA8.75MM LNG SS FOR FREEHAND USE,170.86,170.86,,,0
CDM,27200001,BLADE TREPH L15MM DIA8MM LNG SS FOR FREEHAND USE,160.18,160.18,,,0
CDM,27200001,BLADE TREPH L15MM DIA9MM LNG SS FOR FREEHAND USE,170.86,170.86,,,0
CDM,27200001,BLADE TYMPLSTY W2.5MM 60DEG ANG BVL DN SHRP ALL ARND,109.95,109.95,,,0
CDM,27200001,BLADE ZIEGLER 3MM 59S 5910,91.99,91.99,,,0
CDM,27200001,BLAKE 10FR ROUND,119.98,119.98,,,0
CDM,27200001,BLOCKER BRONCH AD 9FR L610MM 8ML POLYUR STL MESH SIL HI VOL,686.4,686.4,,,0
CDM,27200001,BLOOD SET IC CODAN,29.06,29.06,,,0
CDM,27200001,BLOWER MISTER,105.76,105.76,,,0
CDM,27200001,BLPT PLUS 5MM-12MM TRC W/ FMGP,65.62,65.62,,,0
CDM,27200001,BLUSELECT 7.0 UNCUFFED NON-FEN,66.22,66.22,,,0
CDM,27200001,BNX FNA BULLET 22G - N-22-05,349.92,349.92,,,0
CDM,27200001,BOLT EXT FIX SLT WIRE FOR ILIZ TAY SPAT FRME SYS,112.13,112.13,,,0
CDM,27200001,BONE BIOPSY KIT 10 GAUGE,225.38,225.38,,,0
CDM,27200001,BONE CLAMP WITH SURVEILLANCE MARKER LONG,3564.0,3564.0,,,0
CDM,27200001,BONEBAC PRESS 01-05004 DISPOSABLE,444.94,444.94,,,0
CDM,27200001,BOWEL TECHNIQUE PACK,72.72,72.72,,,0
CDM,27200001,BOWL BNE CEM MIX SPAT CURET SMARTMIX CTS,108.0,108.0,,,0
CDM,27200001,BOX STERRAD COLLECTION 10306,46.2,46.2,,,0
CDM,27200001,BRAINPATH APPROACH PACK 13.5X50/13GA/SELECTLOCK/ANCILLARIES,11952.0,11952.0,,,0
CDM,27200001,BREVERA BRST BX SYS DISP 9 G NDL,698.4,698.4,,,0
CDM,27200001,BROCKENBROUGH NEEDLES PEDIATRIC 19 GAUGE SHAFT 22 GAUGE TIP,360.0,360.0,,,0
CDM,27200001,BROWN HEALTH CATARACT PACK,47.05,47.05,,,0
CDM,27200001,BROWN HEALTH VITRECTOMY PACK,73.37,73.37,,,0
CDM,27200001,BRUSH CYTO 5FR X 67CM STR TIP REM BX SET,205.39,205.39,,,0
CDM,27200001,BRUSH CYTO 8FR W2.1MMXL200CM WRK GWIRE 0.035IN BILI,400.1,400.1,,,0
CDM,27200001,BSS 500ML BAG,10.16,10.16,,,0
CDM,27200001,BUNDLE NEUROKIT 400 T3,33782.4,33782.4,,,0
CDM,27200001,BUR  MEDIUM 2MM,32.47,32.47,,,0
CDM,27200001,BUR 188415RTD TAPER CHOANAL ATRESIA 3K,756.67,756.67,,,0
CDM,27200001,BUR BIT 4MM EGG MEDIUM,203.93,203.93,,,0
CDM,27200001,BUR CARBIDE ROUND 2.0 ZB-124,19.66,19.66,,,0
CDM,27200001,BUR ENDOSCP DIA5.5MM PEACH STR WIDE MOUTH LATCH ELITE,104.4,104.4,,,0
CDM,27200001,BUR GUARD COLLAR W IRRIGATION BIEN AIRQTY:001 EA,314.4,314.4,,,0
CDM,27200001,BUR GUARD MEDIUM,1216.8,1216.8,,,0
CDM,27200001,BUR ROUND 3.0MM,310.85,310.85,,,0
CDM,27200001,BUR SHV 11CM X 2.9MM M4 360 DEG SNUS ROT INFERIOR TURB STR,531.94,531.94,,,0
CDM,27200001,BUR SHV 5.5MM ACROMIONIZER BRN LATCH STR WIDE MOUTH DISP,95.04,95.04,,,0
CDM,27200001,BUR SHV DIA3.5MM AQUA STR TIP FOR ARTHSCP RESECT DYONIC,126.0,126.0,,,0
CDM,27200001,BUR SUR 14CM HD 3MM X 3.8MM DMND MTCH HD L BOR MR8,296.59,296.59,,,0
CDM,27200001,BUR SUR 14CM HD 5MM DMND COARSE BALL L BOR MR8,313.97,313.97,,,0
CDM,27200001,BUR SUR 2.3MM BLU RED BND SPRL RTR CUT FOR SIGN SYS,299.71,299.71,,,0
CDM,27200001,BUR SUR 2MM DMND RND COARSE GRIT FOR SIGN ELITE SYS,310.85,310.85,,,0
CDM,27200001,BUR SUR 3.8MM DIA3MM PRECIS NEURO MTCH HD,348.6,348.6,,,0
CDM,27200001,BUR SUR 3MM RND COARSE DMND,310.85,310.85,,,0
CDM,27200001,BUR SUR 3MM X 3.8MM CARB MTCH HD PRECIS NEURO FOR SIGN ELITE,710.83,710.83,,,0
CDM,27200001,BUR SUR 7CM HD 1MM FLUT BALL SM BOR FOR MIDAS REX MR8 HI SPD,227.06,227.06,,,0
CDM,27200001,BUR SUR 7CM HD 1MM LNG DMND BALL SM BOR MR8,249.77,249.77,,,0
CDM,27200001,BUR SUR 7CM HD 2.3MM X 15.9MM FOOTED TAPR SM BOR MR8,212.88,212.88,,,0
CDM,27200001,BUR SUR 7CM HD 2MM FLUT BALL SM BOR MR8,227.06,227.06,,,0
CDM,27200001,BUR SUR 9CM HD 3MM X 3.8MM MTCH HD FLUT L BOR MR8,259.68,259.68,,,0
CDM,27200001,BUR SUR DIA1MM MIC RND TAPR EXT NUM EXPOSE MRK 5 STP NOTCH,327.22,327.22,,,0
CDM,27200001,BUR SUR DIA2MM DMND RND 5 STP NOTCH EXPOSE MRK ELITE,310.85,310.85,,,0
CDM,27200001,BUR SUR HD DIA2.0MM RND TAPR SFT TCH ELITE,327.22,327.22,,,0
CDM,27200001,BUR SUR L10CM HD L2.3MM DIA1.7MM DMND MTCH HD SM BOR MR8,244.08,244.08,,,0
CDM,27200001,BUR SUR L12.5MM DIA3MM COARSE DMND RND DST BEND IBUR,961.7,961.7,,,0
CDM,27200001,BUR SUR L12CM HD L3.2MM DIA3MM DMND MTCH HD TELSCP MR8,275.3,275.3,,,0
CDM,27200001,BUR SUR L12CM HD L3.7MM DIA2.5MM MTCH HD TELSCP MR8,255.43,255.43,,,0
CDM,27200001,BUR SUR L12CM HD L3.8MM DIA2.2MM MTCH HD FLUT SM BOR MR8,237.0,237.0,,,0
CDM,27200001,BUR SUR L12CM HD L4.6MM DIA4.5MM DMND MTCH HD TELSCP MR8,275.3,275.3,,,0
CDM,27200001,BUR SUR L14CM DIA4MM BALL COARSE DMND LG BOR MIDAS REX,286.56,286.56,,,0
CDM,27200001,BUR SUR L14CM HD DIA2MM DMND BALL L BOR MR8,491.5,491.5,,,0
CDM,27200001,BUR SUR L14CM HD DIA3MM DMND BALL L BOR MR8,296.59,296.59,,,0
CDM,27200001,BUR SUR L14CM HD DIA3MM PROX BEND MTCH HD CLRVW MR8,648.53,648.53,,,0
CDM,27200001,BUR SUR L14CM HD DIA3MM SS MTCH HD FLUT MIDAS REX LEGEND,242.06,242.06,,,0
CDM,27200001,BUR SUR L14CM HD DIA4MM BALL FLUT L BOR MR8,282.41,282.41,,,0
CDM,27200001,BUR SUR L14CM HD DIA4MM DMND BALL L BOR MR8,313.97,313.97,,,0
CDM,27200001,BUR SUR L14CM HD DIA4MM DMND COARSE BALL L BOR MR8,296.59,296.59,,,0
CDM,27200001,BUR SUR L14CM HD DIA5MM DMND BALL L BOR MR8,313.97,313.97,,,0
CDM,27200001,BUR SUR L14CM HD DIA6MM DMND BALL L BOR MR8,296.59,296.59,,,0
CDM,27200001,BUR SUR L14CM HD L13.2MM DIA25.4MM MTL CUT MR8,475.63,475.63,,,0
CDM,27200001,BUR SUR L14CM HD L3.2MM DIA3MM DMND MTCH HD TELSCP MR8,307.97,307.97,,,0
CDM,27200001,BUR SUR L14CM HD L3.7MM DIA2.5MM MTCH HD TELSCP MR8,282.41,282.41,,,0
CDM,27200001,BUR SUR L14CM MTCH HD 3MM LG BOR FLUT MIDAS REX MR8,259.68,259.68,,,0
CDM,27200001,BUR SUR L2.01IN HD L0.12IN DIA0.012IN CARB 8 FLUT RND,23.71,23.71,,,0
CDM,27200001,BUR SUR L21CM HD DIA8MM DMND X COARSE BALL L BOR MR8,495.48,495.48,,,0
CDM,27200001,BUR SUR L21CM HD L31.5MM DIA3MM TAPR L BOR MR8,296.59,296.59,,,0
CDM,27200001,BUR SUR L21CM HD L9.4MM DIA7.5MM ACORN FLUT L BOR MR8,268.22,268.22,,,0
CDM,27200001,BUR SUR L26CM HD DIA5MM DMND BALL L BOR MR8,495.48,495.48,,,0
CDM,27200001,BUR SUR L7CM HD DIA1MM LNG BALL FLUT SM BOR MR8,227.06,227.06,,,0
CDM,27200001,BUR SUR L7CM HD L11.1MM DIA1.5MM FOOTED TAPR SM BOR MR8,212.88,212.88,,,0
CDM,27200001,BUR SUR L7CM HD L6.4MM DIA1.1MM TAPR SM BOR MR8,190.15,190.15,,,0
CDM,27200001,BUR SUR L8MM DIA4MM CARB OVL STR SHNK LNG,25.13,25.13,,,0
CDM,27200001,BUR SUR L9CM DIA25.4MM DMND WHL MTL CUT MR8,469.18,469.18,,,0
CDM,27200001,BUR SUR L9CM HD DIA6MM BALL FLUT L BOR MR8,268.22,268.22,,,0
CDM,27200001,BUR SUR L9CM HD L17.9MM DIA3.2MM MTL CUT MR8,360.65,360.65,,,0
CDM,27200001,BUR SUR L9CM HD L25.4MM DIA3MM FOOTED TAPR L BOR MR8,255.43,255.43,,,0
CDM,27200001,BUR SUR L9CM HD L7.7MM DIA6MM ACORN FLUT L BOR MR8,255.43,255.43,,,0
CDM,27200001,BUR SUR L9CM HD L9.4MM DIA7.5MM ACORN FLUT L BOR MR8,245.02,245.02,,,0
CDM,27200001,BUR SUR M L50.8MM HD L19.1MM DIA1.1MM CARB 2 FLUT WIRE PASS,35.78,35.78,,,0
CDM,27200001,BUR SUR M L50MM DIA8MM HD DIA4MM SS CARB RND WIRE PASS,23.71,23.71,,,0
CDM,27200001,BUR SUR OD5.5MM BLK SHTH BRL HI VISIBILITY DYONIC,226.8,226.8,,,0
CDM,27200001,BUR SURG DIA4MM HD L8MM FLUT 8MM MIC OVL PWR INSTR SYS HALL,23.71,23.71,,,0
CDM,27200001,BUR SURG DIA4MM LNG SS DMND RND FOR SM BNE MICROPOWER MIC100,49.54,49.54,,,0
CDM,27200001,BUR SURG L L69.9MM HD L7.9MM DIA4MM CARB 8 FLUT OVL CUT,24.7,24.7,,,0
CDM,27200001,BUR SURG L10MM DIA5.5MM 8MM FLUT LNG SS CARB OVL MICROPOWER,34.78,34.78,,,0
CDM,27200001,BUR SURG L73.2MM HD L3MM DIA3MM LNG CARB NONFLUTED RND DMND,53.93,53.93,,,0
CDM,27200001,BUR SURG L8MM DIA4MM LNG SS OVL DMND FOR SM BNE MICROPOWER,51.86,51.86,,,0
CDM,27200001,BUR SURG L9CM 1MM BALL CRV DMND,494.98,494.98,,,0
CDM,27200001,BURR 2.3MM MATCH TURQ-8-23,171.86,171.86,,,0
CDM,27200001,BURR 2.5 RND DIAMOND 5280-20-25,172.8,172.8,,,0
CDM,27200001,BURR CBD RND 3MM 5092-226,25.13,25.13,,,0
CDM,27200001,BURR ELITE 1.0MM 5820-10-310,298.08,298.08,,,0
CDM,27200001,BURR FLUTED MATCHSTICK 3MM,205.34,205.34,,,0
CDM,27200001,BURR FLUTED ROUTER GRE-1,171.86,171.86,,,0
CDM,27200001,BURR HALL TAPER 11 5091-106,50.4,50.4,,,0
CDM,27200001,BURR HOLE COVER SPARES KIT,540.0,540.0,,,0
CDM,27200001,BURR MATCH STICK 3MM,213.6,213.6,,,0
CDM,27200001,BURR ROUND CUTTING 5092-228,26.06,26.06,,,0
CDM,27200001,BURR ROUND CUTTING 5092-230,25.13,25.13,,,0
CDM,27200001,BURRHOLE COVER 15MM,278.21,278.21,,,0
CDM,27200001,BUTTON CERCLAGE 3.5MM THRD,480.0,480.0,,,0
CDM,27200001,BUTTON GAST 14FR L2.5CM SIL LP EXT BOLST G GRN FEED PRT SUP,276.0,276.0,,,0
CDM,27200001,BUTTON GAST ACCS 14FR 2.0CM LEN W/ BLLN W/O ADPT SIL RADPQ,276.0,276.0,,,0
CDM,27200001,BUTTON GASTROJEJUNAL 16FR STOMA L4.4CM ADJ TAPR TRANSITION,266.4,266.4,,,0
CDM,27200001,BUTTON GASTROSTMY 1.7CM 14FR BLLN MINI,276.0,276.0,,,0
CDM,27200001,BUTTON GASTROSTMY 14FR BLLN MINI 1,276.0,276.0,,,0
CDM,27200001,BUTTON SUT DIA14MM RND TGHTRP,556.92,556.92,,,0
CDM,27200001,CABLE ADAP-2000/PACE LOC,48.62,48.62,,,0
CDM,27200001,CABLE CATH CONN 196CM 10 PIN ACHVE ADV,480.0,480.0,,,0
CDM,27200001,CABLE DISPOSABLE PACEMAKER 12',720.0,720.0,,,0
CDM,27200001,CABLE DOPP EXTN L152CM CONN PRB TO MON,315.0,315.0,,,0
CDM,27200001,CABLE NEURO 5 CHN INPUT,1023.36,1023.36,,,0
CDM,27200001,CABLE PACE TRNSVEN DISP CONN W/ PAC LOC SFTY DEV ST 12FT,64.07,64.07,,,0
CDM,27200001,CADWELL BALL TIP PROBE 200MM STERILE SINGLE USE,1152.0,1152.0,,,0
CDM,27200001,CALIBRATED DRILL LONG 4.3 MM  CALIBRATED DRILL  4.3 MM,218.4,218.4,,,0
CDM,27200001,CANALICULUS INTUBATION SET (CIS) 15.5 CM LONG .051 CM DIAM P,298.78,298.78,,,0
CDM,27200001,CANISTER NEG PRSS 500ML W/ GEL TBNG CLMP CONN INFOVAC 10 PER,77.02,77.02,,,0
CDM,27200001,CANISTER SUCT 1000ML VAC PRTBL DISP FOR INDIGO SYS ENGINE,864.0,864.0,,,0
CDM,27200001,CANN BALL TIP 6.0MM HARD RTANG,196.8,196.8,,,0
CDM,27200001,CANN CRNRY BALLOON TIP STR 4MM,213.6,213.6,,,0
CDM,27200001,CANNULA 18GA 15CM LEN 10MM TIP,31.2,31.2,,,0
CDM,27200001,CANNULA 8.0X90,576.0,576.0,,,0
CDM,27200001,CANNULA 8.5X110,68.4,68.4,,,0
CDM,27200001,CANNULA 94215T RCSP SIL MAN 15FR,234.96,234.96,,,0
CDM,27200001,CANNULA AORT ROOT TIP W/ VNT LN ST 14G INSRT NDL 16G LEN 6IN,65.98,65.98,,,0
CDM,27200001,CANNULA AORTIC ROOT 7FR 14GA,692.01,692.01,,,0
CDM,27200001,CANNULA ARTHSCP 8.5X72MM THRD DISP COMPLT CLR-TRAC REPROC,51.84,51.84,,,0
CDM,27200001,CANNULA ARTHSCP DIA7MM LIME GRN W/O H CLR-TRAC,60.48,60.48,,,0
CDM,27200001,CANNULA ARTHSCP L72MM DIA8MM LIME GRN FLX THRD OBT 3 SEAL,51.84,51.84,,,0
CDM,27200001,CANNULA ARTHSCP L9CM DIA8.25MM SELF RET W/ DISP CANN TRCR,83.47,83.47,,,0
CDM,27200001,CANNULA BALLOON 6.0MM STR.,188.64,188.64,,,0
CDM,27200001,CANNULA BIFURCATEDETCO2ADULT,44.88,44.88,,,0
CDM,27200001,CANNULA CB66124 SS VENOUS 24FR CARMEDA,154.78,154.78,,,0
CDM,27200001,CANNULA CB66128 SS VENOUS 28FR CARMEDA,149.39,149.39,,,0
CDM,27200001,CANNULA CB91228C MC2 VEN 28/36FR CARMEDA,110.87,110.87,,,0
CDM,27200001,CANNULA CB91329 MC2 VEN 29/29FR,164.25,164.25,,,0
CDM,27200001,CANNULA CB91429 MC2X VEN 29/29/29 CARMED,204.22,204.22,,,0
CDM,27200001,CANNULA CB96345-23 BIO-MEDICUS 23FR,773.86,773.86,,,0
CDM,27200001,CANNULA CB96345-25 BIO-MEDICUS 25FR,729.03,729.03,,,0
CDM,27200001,CANNULA CB96535-15 BIO-MEDICUS 15FR,683.93,683.93,,,0
CDM,27200001,CANNULA CB9665-21 BIO-MEDICUS 21FR,741.5,741.5,,,0
CDM,27200001,CANNULA CEM DEL 16GA L160MM OPN VIPER,1135.27,1135.27,,,0
CDM,27200001,CANNULA CHOLGM 4.5FR X 1950MM WRK CHN 3.2MM UNIQUE BEND,476.47,476.47,,,0
CDM,27200001,CANNULA CONTOUR 5-4-3 MV,206.28,206.28,,,0
CDM,27200001,CANNULA CORONARY SINUS RC014T,189.24,189.24,,,0
CDM,27200001,CANNULA CRV SHRP 10MM TIP 18FR,31.2,31.2,,,0
CDM,27200001,CANNULA ENDOSCP 2.5FR X 195CM X PRESSV XCUT RND PLAT RADPQ,143.54,143.54,,,0
CDM,27200001,CANNULA ENDOSCP COMPLT THRD HIP DISP L90MM OD8.5MM CLR-TRAC,68.4,68.4,,,0
CDM,27200001,CANNULA ENDOSCP L11MM STD UNIV BLDELSS TRCR VERSAONE,46.85,46.85,,,0
CDM,27200001,CANNULA ENDOSCP L12MM STD UNIV BLDELSS TRCR VERSAONE,53.82,53.82,,,0
CDM,27200001,CANNULA ENDOSCP L150MM 12MM ACCS PRT PALM GRP OBT W/ BLDELSS,238.13,238.13,,,0
CDM,27200001,CANNULA ENDOSCP L72MM DIA5.5MM BLU POLYCARB THRD 3 SEAL SYS,51.84,51.84,,,0
CDM,27200001,CANNULA ERCP 3.5FR L1950MM PORTION DIA2.1MM GWIRE 0.025IN,143.54,143.54,,,0
CDM,27200001,CANNULA INSUL B,2013.6,2013.6,,,0
CDM,27200001,CANNULA MICSUR 25GA 0.8MM SFT TIP DSP,52.87,52.87,,,0
CDM,27200001,CANNULA OPHTH 19GA X 1IN FOR SUB TENON SPACE ANES,34.51,34.51,,,0
CDM,27200001,CANNULA OPHTH 25GA L31MM COAX 2 BOR TW FOR INJ OF PFCL STN,123.3,123.3,,,0
CDM,27200001,CANNULA OPHTH L6MM OD20GA INFUS DISP,30.72,30.72,,,0
CDM,27200001,CANNULA PERF 10FR X 6IN COR ART OSTIAL FLNG RADPQ BSKT TIP,50.5,50.5,,,0
CDM,27200001,CANNULA PERF 17FR BIO-MEDICUS,847.06,847.06,,,0
CDM,27200001,CANNULA PERF 20FR X 10.5IN ART BVL MTL TIP RIG FLNG W/ 3/8IN,64.37,64.37,,,0
CDM,27200001,CANNULA PERF 21FR L14IN AORT STR TIP W/ SUT FLNG 3/8IN VENT,235.2,235.2,,,0
CDM,27200001,CANNULA PERF 22FR L30.5CM W/ 3/8IN ART BLNT TIP HI FLO VENT,250.86,250.86,,,0
CDM,27200001,CANNULA PERF 29/37/37FR L37CM CONN 0.5IN VEN 3 STG NVENT STD,117.31,117.31,,,0
CDM,27200001,CANNULA PERF 5MM COR ART R ANG BLLN TIP,196.8,196.8,,,0
CDM,27200001,CANNULA PERF 6IN COR ART OSTIAL FLNG RADPQ SFT CNVX TIP,62.23,62.23,,,0
CDM,27200001,CANNULA PERF 9GA X 9.25IN AORT FLNG PRSS MON RADPQ TIP STD,58.16,58.16,,,0
CDM,27200001,CANNULA PERF AD 15FR TIP L18CM POLYUR FEM ART W/ INTRO 3/8IN,847.06,847.06,,,0
CDM,27200001,CANNULA PERF AD 25FR X 76.2CM TIP 60CM VEN 3/8IN NVENT CONN,983.66,983.66,,,0
CDM,27200001,CANNULA PERF BLLN 4MM DST TIP 2.1MM R ANG COR ART STR SLF,196.8,196.8,,,0
CDM,27200001,CANNULA PERF L1.8MM TIP L1MM SS SHFT BLB SHP TIP FEM LUER,294.81,294.81,,,0
CDM,27200001,CANNULA PERF PED AD 15FR 12.5IN SIL WIRE WND BODY MNL INFL,230.53,230.53,,,0
CDM,27200001,CANNULA PREM SL RF STR NDL 50 MM 22 G 5 MM ACT TIP,36.0,36.0,,,0
CDM,27200001,CANNULA SPNL CEM ACCS NDL 11GA INFL VERT AUG SYS IVAS,172.18,172.18,,,0
CDM,27200001,CANNULA SUR A INSUL MAR 3V,2013.6,2013.6,,,0
CDM,27200001,CANNULA TWIST-IN   WITH 'NO-SQUIRT' CAP   8.25 MM ID X 7 CM,65.52,65.52,,,0
CDM,27200001,CANNULA VENOUS R.A. HIFLO 24FR,97.96,97.96,,,0
CDM,27200001,CANNULA VITRCTMY 25GA 2MM BACKFLUSH SFT TIP HND HELD DSP,188.2,188.2,,,0
CDM,27200001,CANNULATED HEADED REAMER 9 MM,560.04,560.04,,,0
CDM,27200001,CANNULATED TAP 5.5MM,1340.71,1340.71,,,0
CDM,27200001,CANNULATED TAP 6.5 MM,940.8,940.8,,,0
CDM,27200001,CAP E GWIRE LOK FOR TJF160 TJF180 TJF190 JF260V SER DUODSCP,59.14,59.14,,,0
CDM,27200001,CAPSULE BRAVO PH MEDTRON,650.4,650.4,,,0
CDM,27200001,CAPSULE ENDOSCP 11.4MM X 26.2MM BIOCOMPATIBLE PLAS SB 3 IMAG,3834.06,3834.06,,,0
CDM,27200001,CAPSULE ENDOSCP DIR VIS PILLCAM SB 3,1907.26,1907.26,,,0
CDM,27200001,CAPSULE GIVEN M2A GI,1119.84,1119.84,,,0
CDM,27200001,CAPSULE PH 11MM X 26MM PARYLENE C BIOCOMPATIBLE DISSOLVABLE,72.69,72.69,,,0
CDM,27200001,CAPTIVATOR II-25MM ROUND STIFF,99.0,99.0,,,0
CDM,27200001,CARPAL TUNNEL KNIVES 5 PACK,916.8,916.8,,,0
CDM,27200001,CARRIER GRFT L8IN PVC SKIN MESH DERMCARR,100.1,100.1,,,0
CDM,27200001,CARTRIDGE STPLR LIN DST SER TA,75.74,75.74,,,0
CDM,27200001,CASPAR DISTRACTION PIN 14MM,204.0,204.0,,,0
CDM,27200001,CATCHER STONE W/ SUCT TBNG FOR SWISS LITHOCLAST TRIL SYS,251.66,251.66,,,0
CDM,27200001,CATH 5F/70CM PEDI PIGTAIL,52.8,52.8,,,0
CDM,27200001,CATH 6 FR JR 5 100CM,15.6,15.6,,,0
CDM,27200001,CATH COUNCIL 18FR 0196L18,29.88,29.88,,,0
CDM,27200001,CATH DIAG 5F 524T,21.6,21.6,,,0
CDM,27200001,CATH ENDUCTORS C1002,216.0,216.0,,,0
CDM,27200001,CATH ESOPHAGEAL CONFOTEC Z/PH 18CM LENGTH DOUBLE CHANNEL,228.0,228.0,,,0
CDM,27200001,CATH ESOPHAGEAL GASTRIC CONFOTEC Z/PH 18CM SINGLE CHANNEL,252.0,252.0,,,0
CDM,27200001,CATH F4 INF JL 3.5 100CM,21.6,21.6,,,0
CDM,27200001,CATH F6 ST+ JR 4 MOD 100CM,15.6,15.6,,,0
CDM,27200001,CATH FOLEY 24FR 30CC COUDE TIP,44.9,44.9,,,0
CDM,27200001,CATH PIG TAIL 6.0 FR 100CM,48.0,48.0,,,0
CDM,27200001,CATH SIMMONS 1,54.91,54.91,,,0
CDM,27200001,CATH THORACIC 32FR RT ANGLE,49.9,49.9,,,0
CDM,27200001,CATH U5TRACKSHA DXT 5F 5PK 110CM TRACK,72.0,72.0,,,0
CDM,27200001,CATHETER  IAB 40CC 8 FR REDIGUARD FLEXIBLE,2255.57,2255.57,,,0
CDM,27200001,CATHETER ABLAT 2.8MM X 135CM BPLR ELECTRD 7.5MM X 15.7MM FLX,4828.8,4828.8,,,0
CDM,27200001,CATHETER ABLAT 4MM X 160CM BPLR ELECTRD 13MM X 20MM FOC DISP,3765.6,3765.6,,,0
CDM,27200001,CATHETER ANGIO 4FR L100CM SS HYDRPHLC STR TIP DBL BRD CMPTBL,135.6,135.6,,,0
CDM,27200001,CATHETER ANGIO 4FR L120CM DST TIP DIA1.03MM PROX SHFT,133.32,133.32,,,0
CDM,27200001,CATHETER ANGIO 4FR L125CM 0.038IN NYL HYDRPHLC COAT VERT BRD,81.6,81.6,,,0
CDM,27200001,CATHETER ANGIO 4FR L65CM 0.035IN FLSH 0 HI TORQ SHFT SFT,51.55,51.55,,,0
CDM,27200001,CATHETER ANGIO 4FR L65CM DST TIP DIA1.03MM PROX SHFT,135.6,135.6,,,0
CDM,27200001,CATHETER ANGIO 4FR L65CM FLO RATE 15ML/SEC HYDRPHLC ANG TIP,133.32,133.32,,,0
CDM,27200001,CATHETER ANGIO 5FR L100CM 1CM SPC 20 BND NYL PG CRVE 10 SIDE,315.13,315.13,,,0
CDM,27200001,CATHETER ANGIO 5FR L100CM AMPLATZ L 1 INFIN,21.6,21.6,,,0
CDM,27200001,CATHETER ANGIO 5FR L100CM GRY SS NYL JL3.5 3 SEG BRD L LUMN,21.6,21.6,,,0
CDM,27200001,CATHETER ANGIO 5FR L100CM ID1.17MM 0.038IN GWIRE PERIPH SIM,29.29,29.29,,,0
CDM,27200001,CATHETER ANGIO 5FR L100CM IM INFIN,21.6,21.6,,,0
CDM,27200001,CATHETER ANGIO 5FR L100CM NYL SIM 3 CRV TAPR RADPQ TIP SS,58.66,58.66,,,0
CDM,27200001,CATHETER ANGIO 5FR L100CM SS HYDRPHLC ANG TAPR CRV SGL BRD,132.08,132.08,,,0
CDM,27200001,CATHETER ANGIO 5FR L110CM 145DEG PGTL 6 SIDE H INFIN,21.6,21.6,,,0
CDM,27200001,CATHETER ANGIO 5FR L110CM GWIRE 0.38IN POLYUR BRD 20 G ALLY,137.28,137.28,,,0
CDM,27200001,CATHETER ANGIO 5FR L125CM CEREB NYL SLX HDHUNT I CRV NEON,81.6,81.6,,,0
CDM,27200001,CATHETER ANGIO 5FR L125CM GWIRE DIA0.038IN VTK TIP BEAC TORC,58.66,58.66,,,0
CDM,27200001,CATHETER ANGIO 5FR L125CM VERT CRV TAPR RADPQ TIP SS BRD ACC,58.66,58.66,,,0
CDM,27200001,CATHETER ANGIO 5FR L65CM 0.035IN VIS OMNI FLSH-0 SFT TIP HI,54.12,54.12,,,0
CDM,27200001,CATHETER ANGIO 5FR L65CM DST TIP DIA1.1MM PROX SHFT,134.71,134.71,,,0
CDM,27200001,CATHETER ANGIO 5FR L65CM GWIRE 0.038IN SS POLYUR JKT,132.94,132.94,,,0
CDM,27200001,CATHETER ANGIO 5FR L65CM GWIRE DIA0.038IN MPA TIP BEAC,54.91,54.91,,,0
CDM,27200001,CATHETER ANGIO 5FR L80CM GWIRE 0.038IN C1 CRV HYDRPHLC BEAC,54.91,54.91,,,0
CDM,27200001,CATHETER ANGIO 5FR L80CM NYL MIKELSON CRV 10 SIDEPRT TAPR,58.66,58.66,,,0
CDM,27200001,CATHETER ANGIO 5FR L90CM 0.38IN 6 SIDE H N-BRD OMNI FLSH,54.12,54.12,,,0
CDM,27200001,CATHETER ANGIO 5FR X 40CM KMP CRV ACC 0.035IN GWIRE BEAC,54.91,54.91,,,0
CDM,27200001,CATHETER ANGIO 5FR X 90CM 0.035IN GWIRE RBT BEAC TIP,152.26,152.26,,,0
CDM,27200001,CATHETER ANGIO 6.7FR L100CM POLYETH GPC CRV 4 SIDEPRT,62.4,62.4,,,0
CDM,27200001,CATHETER ANGIO 6FR L100CM ID0.056IN WRP CRV ROBUST SHFT WRE,22.99,22.99,,,0
CDM,27200001,CATHETER ANGIO 6FR X 110CM WRK 102CM 145 DEG PGTL BRD CMPTBL,430.03,430.03,,,0
CDM,27200001,CATHETER ANGIO AD 5FR L65CM DIA0.046IN GWIRE 0.035IN MOD H K,30.0,30.0,,,0
CDM,27200001,CATHETER ANGIO AD 5FR L65CM DIA0.046IN GWIRE 0.035IN MOD HK,29.1,29.1,,,0
CDM,27200001,CATHETER ANGIO AD 5FR L90CM DIA0.049IN GWIRE 0.035IN STR,30.0,30.0,,,0
CDM,27200001,CATHETER ANGIO AD L130CM DIA5FR 0.038IN NONBRAIDED PGTL,330.72,330.72,,,0
CDM,27200001,CATHETER ANGIO L65CM OD5FR .038IN GWIRE AQ AD ANG MP KMP,54.91,54.91,,,0
CDM,27200001,CATHETER ANGIOGRAPHIC STRAIGHT 10 SIDEPORT HIGH FLOW ROYAL F,52.32,52.32,,,0
CDM,27200001,CATHETER ART 18GA L10.8CM GWIRE DIA0.64MM L24.5CM RADPQ OVR,36.86,36.86,,,0
CDM,27200001,CATHETER ASPIR 6FR L140CM GWIRE 0.014IN L EXTR LUMN PRELD,780.0,780.0,,,0
CDM,27200001,CATHETER BEAC TIP NO SIDE H C2,54.91,54.91,,,0
CDM,27200001,CATHETER BLLN DIL 7 5FR L180CM BLLN L5 5CM DIA15-16 5-18MM,832.61,832.61,,,0
CDM,27200001,CATHETER BLLN DIL L60CM OD4.8MM ID2.6MM STD ANORECT,83.66,83.66,,,0
CDM,27200001,CATHETER CECOSTOMY 10 2FR L20CM TRACT L0-6CM PERC CHAIT,484.8,484.8,,,0
CDM,27200001,CATHETER CECOSTOMY 10 2FR L28CM TRACT L6-14CM PERC CHAIT,560.57,560.57,,,0
CDM,27200001,CATHETER CHOLANGIOGRAPHY 4.5FR L18IN TIP 7.5FR CUSTOMIZABLE,223.68,223.68,,,0
CDM,27200001,CATHETER CHOLGM 4.5FR L76CM W/O BLLN TAUT,148.32,148.32,,,0
CDM,27200001,CATHETER DIAG 2.1FR L150CM DIA0.044X0.038IN SPC 15MM GWIRE,414.57,414.57,,,0
CDM,27200001,CATHETER DIAG 2.7FR X 135CM DST TIP 2FR X 20MM CMPTBL,825.6,825.6,,,0
CDM,27200001,CATHETER DIAG 4FR L100CM GWIRE 0.038IN NYL JUDKINS R 4 DISP,21.6,21.6,,,0
CDM,27200001,CATHETER DIAG 5FR L100CM FEM VESTAN AMPLATZ R MOD CRV RADPQ,21.6,21.6,,,0
CDM,27200001,CATHETER DIAG 5FR L100CM TIP 0.043IN NYL SLX VERT CRV NEON,22.8,22.8,,,0
CDM,27200001,CATHETER DIAG 5FR L65CM ID0.046IN GWIRE 0.035IN RIM W/O SIDE,29.76,29.76,,,0
CDM,27200001,CATHETER DIAG 5FR L65CM ID0.052IN GWIRE 0.035IN PGTL 20 MRK,217.22,217.22,,,0
CDM,27200001,CATHETER DIAG 5FR X 100CM COR RAD TIGER 4.0 1 SIDE H,108.0,108.0,,,0
CDM,27200001,CATHETER DIAG 6FR L100CM FEM DUCOR AMPLATZ L 2 CRV,15.6,15.6,,,0
CDM,27200001,CATHETER DIAG 6FR L100CM ID0.056IN MP A 1 CRV SUP SFT TRILON,23.15,23.15,,,0
CDM,27200001,CATHETER DIAG 6FR L100CM JUDKINS POLYUR BRD BODY PROX DST,15.6,15.6,,,0
CDM,27200001,CATHETER DIAG AD 6FR L100CM COR GRN HYDRPHLC NYL AR MOD,21.6,21.6,,,0
CDM,27200001,CATHETER DIAG AD L100CM DIA6FR 0.038IN LCB CRV POLYUR COR,15.6,15.6,,,0
CDM,27200001,CATHETER DIAG L100CM OD5FR ID0.052IN 0.035IN W/O HYDRPHLC,217.22,217.22,,,0
CDM,27200001,CATHETER DIAG L125CM OD5FR 0.038IN HYDRPHLC BERN IMPRESS,93.6,93.6,,,0
CDM,27200001,CATHETER DIAG L65CM OD5FR GWIRE L25CM OD0.038IN HYDRPHLC,93.6,93.6,,,0
CDM,27200001,CATHETER DIAG STD 6FR L100CM FEM DUCOR JL 4 CRV NONBRAIDED,15.6,15.6,,,0
CDM,27200001,CATHETER DIAG SWAN GANZ POLYMER BLEND TRUE,290.99,290.99,,,0
CDM,27200001,CATHETER DIAG TRANSRADIAL BRACH 3D LMA COR VASC W/O HYDRPHLC,48.0,48.0,,,0
CDM,27200001,CATHETER DRNGE 6.3FR L15CM GWIRE 0.035IN UTHANE HYDRPHLC 5,167.11,167.11,,,0
CDM,27200001,CATHETER DRNGE L80CM OD1.5MM ID0.7MM LUM CLS TIP W/ 14GA,654.84,654.84,,,0
CDM,27200001,CATHETER EP DECAPOLAR 6FR L115CM 252 SPC 2MM TIP ELECTRD MD,792.0,792.0,,,0
CDM,27200001,CATHETER EP QUADRAPOLAR A CRV 5MM SPC 6FR L115CM FIX W/ AUTO,271.2,271.2,,,0
CDM,27200001,CATHETER ERCP ACCS DEL FOR SPYSCOPE DS II,9408.0,9408.0,,,0
CDM,27200001,CATHETER EXT DRNGE W/ REFLX VLV AND Y SAMP SITE PROX STPCOCK,559.08,559.08,,,0
CDM,27200001,CATHETER FLSH 5FR L65CM 8 20 G ALLY MRK BND SIDE H BRD BODY,137.28,137.28,,,0
CDM,27200001,CATHETER GUID .078IN XBRCA VASC PERIPH W/O HYDRPHLC COAT AD,362.88,362.88,,,0
CDM,27200001,CATHETER GUID 5FR L100CM JUDKINS L 4 COR RADPQ TIP TRUE LUMN,21.6,21.6,,,0
CDM,27200001,CATHETER GUID 5FR L100CM LUMN ID0.058IN VEST-TECH L COR X,105.6,105.6,,,0
CDM,27200001,CATHETER GUID 5FR L125CM MP A AD 2 SIDE H OPN END COR RADPQ,21.6,21.6,,,0
CDM,27200001,CATHETER GUID 6FR L100CM AMPLATZ R 1 MOD RADPQ TIP TRUE LUMN,21.6,21.6,,,0
CDM,27200001,CATHETER GUID 6FR L100CM JUDKINS R 4 RADPQ TIP TRUE LUMN,21.6,21.6,,,0
CDM,27200001,CATHETER GUID 6FR L100CM PTFE INNR LNR NYL TOP X BKUP R COR,91.2,91.2,,,0
CDM,27200001,CATHETER GUID 6FR L110CM 145DEG VENT ANG PGTL 6 SIDE H RADPQ,21.6,21.6,,,0
CDM,27200001,CATHETER GUID 6FR L55CM 0.070IN HOCKSTICK TRUE LUMN VISTA,96.0,96.0,,,0
CDM,27200001,CATHETER GUID 6FR X 150CM TIP 5.1FR GUID EXTN 0.056IN RX,947.96,947.96,,,0
CDM,27200001,CATHETER GUID 7.1FR X 2.4FR X 65CM 130 DEG FOR ATTAIN SEL II,626.4,626.4,,,0
CDM,27200001,CATHETER GUID 7FR L100CM PTFE JR4 TRUELUMEN W/ 2 SIDE H,91.2,91.2,,,0
CDM,27200001,CATHETER GUID 7FR X 150CM TIP 5.7FR GUID EXTN 0.062IN RX,842.3,842.3,,,0
CDM,27200001,CATHETER GUID 8FR 0.09IN 100CM COR AMPLATZ L 1 MID FLX,96.0,96.0,,,0
CDM,27200001,CATHETER GUID AD 6FR L100CM COR PERIPH GRN NYL PTFE AL 1,91.2,91.2,,,0
CDM,27200001,CATHETER INFUS 5FR L100X30CM CRAGG MICROVALVE LL ADPT PROX,235.2,235.2,,,0
CDM,27200001,CATHETER INFUS 5FR L50CM USABLE L135CM VLV TIP CMPTBL,364.56,364.56,,,0
CDM,27200001,CATHETER INFUS L100CM OD6FR 0.038IN 1200PSI POLYUR RCB COR,15.6,15.6,,,0
CDM,27200001,CATHETER INTRAAORTIC 8FR BLLN 30CC POLYUR NYL CARDIOTHANE II,2906.4,2906.4,,,0
CDM,27200001,CATHETER INTRAAORTIC BLLN 7.5FR L25.3IN 30CC SHTH L6IN CNTRL,2516.19,2516.19,,,0
CDM,27200001,CATHETER INTRAAORTIC BLLN 7.5FR L27.3IN 40CC SHTH L6IN CNTRL,2791.91,2791.91,,,0
CDM,27200001,CATHETER INTVENT 5FR L100CM ID0.046IN PERIPH BERN IMPRESS,29.82,29.82,,,0
CDM,27200001,CATHETER LUMBAR EXTERNAL DRAIN,451.37,451.37,,,0
CDM,27200001,CATHETER MAP DUODECAPOLAR F CRV 2-6-2MM SPC 7FR X 115CM,4401.6,4401.6,,,0
CDM,27200001,CATHETER MON 7FR X 110CM GWIRE 0.038IN PULM WDG PRSS L LUMN,136.8,136.8,,,0
CDM,27200001,CATHETER NON-TAPERED ANGLED 4FR,121.56,121.56,,,0
CDM,27200001,CATHETER OCCL 2.5FR L135CM TAPR SFT TIP BRD WIRE,2040.0,2040.0,,,0
CDM,27200001,CATHETER OUTBACK LTD,5400.0,5400.0,,,0
CDM,27200001,CATHETER PERF 16FR L16IN 20 H TIP L HRT VENT SIL 1/4IN NVENT,58.53,58.53,,,0
CDM,27200001,CATHETER PTCA 1.5FR USABLE L145CM L38CM HYDRPHLC GWIRE,1044.0,1044.0,,,0
CDM,27200001,CATHETER PTCA L130CM BLLN L30CM DIA6MM SHTH 4FR GWIRE,444.0,444.0,,,0
CDM,27200001,CATHETER SEMI FLOATING LD PACE BPLR PACE ELECTRD 6FRX125CM,290.4,290.4,,,0
CDM,27200001,CATHETER SWAN GANZ 7.5 FR,840.0,840.0,,,0
CDM,27200001,CATHETER TEMPO AQUA 5F 125CM VERT,340.2,340.2,,,0
CDM,27200001,CATHETER THERMOABLATION 18-31MM BLLN 8CM ELECTRD 4CM 16,6340.68,6340.68,,,0
CDM,27200001,CATHETER THOR 12FR L9IN DIA4MM ALUM ARGY,46.21,46.21,,,0
CDM,27200001,CATHETER THOR 28FR L20IN SIL 5 EYELET R ANG SFT BLU RADPQ,24.58,24.58,,,0
CDM,27200001,CATHETER THRMDIL 7FR L110CM C TIP N PVC SWN GZ CONTROLCATH,1018.8,1018.8,,,0
CDM,27200001,CATHETER THROMCTMY 6FR L90CM VES DIA3MM INTRO SHTH 6FR GWIRE,3552.0,3552.0,,,0
CDM,27200001,CATHETER URETH 14FR 5CC BLLN RED F 2 W SPEC M OLV COUDE TIP,34.73,34.73,,,0
CDM,27200001,CATHETER URETH 16FR BLLN 5CC F INF CTRL SHT OPN TIP 2 W SPEC,39.24,39.24,,,0
CDM,27200001,CATHETER URETH 18FR 5CC BLLN RED LTX WVN MESH REINF SIL,34.73,34.73,,,0
CDM,27200001,CATHETER URETH 18FR BLLN 5CC F COUNCL OPN TIP 2 W BARDX IC,39.24,39.24,,,0
CDM,27200001,CATHETER URETH 20FR BLLN 30CC LTX 3 W STD TIP F BARDX IC,28.85,28.85,,,0
CDM,27200001,CATHETER URETH 20FR BLLN 5CC F COUNCL OPN TIP 2 W BARDX IC,39.24,39.24,,,0
CDM,27200001,CATHETER URETH 20FR L16IN RED RUB INTMIT UNIV,1.33,1.33,,,0
CDM,27200001,CATHETER URETH 22FR BLLN 30CC 3 W F BARDX IC,28.85,28.85,,,0
CDM,27200001,CATHETER URETH 22FR BLLN 30CC F 3 W LUBRI-SIL SIL BACT-GRD,29.09,29.09,,,0
CDM,27200001,CATHETER URETH 24FR BLLN 30CC 3 W F BARDX IC,28.85,28.85,,,0
CDM,27200001,CATHETER URETH MD 14FR 5CC AMB HYDRPHLC POLYMR OLV COUDE TIP,29.57,29.57,,,0
CDM,27200001,CATHETER URETH MD 16FR 5CC AMB SIL HYDRGEL OLV COUDE TIP,29.42,29.42,,,0
CDM,27200001,CATHETER URETH MD 18FR 5CC AMB SIL HYDRGEL OLV COUDE TIP,29.57,29.57,,,0
CDM,27200001,CATHETER URETH PED 6FR 1.5ML 100% SIL F 2 W,37.27,37.27,,,0
CDM,27200001,CATHETER VASC 5 FR DIAG MULIPURPOSE AMPLATZ 2 COR 80CM LEN,21.6,21.6,,,0
CDM,27200001,CATHETER VASC AD 5FR L65CM 0.038 DIAG PERIPH W/O HYDRPHL C,30.0,30.0,,,0
CDM,27200001,CATHETER VASC AD 5FR L65CM 0.038 DIAG PERIPH W/O HYDRPHLC,29.24,29.24,,,0
CDM,27200001,CATHETER VENT ASST AUTO CTRL IMPELLA CP,60000.0,60000.0,,,0
CDM,27200001,CATHETER VENT DRNGE L120CM OD2.2MM ID1MM PERI BA IMPREG SIL,451.06,451.06,,,0
CDM,27200001,CATHETER VENT DRNGE L14CM OD2.7MM ID1.4MM H DIA0.5MM STD BA,460.03,460.03,,,0
CDM,27200001,CATHETER VISERAL C2 SLIP COAT,126.72,126.72,,,0
CDM,27200001,CATHETER VISTABRITE 6FR AL1,91.2,91.2,,,0
CDM,27200001,CATHETHER JEJUNOSTOMY LVB 12FR,342.7,342.7,,,0
CDM,27200001,CAUTERY PENS LOOP TIP DISP,25.01,25.01,,,0
CDM,27200001,CELEROMARK-2S BIOPSY SITE IDENTIFIER FOR USE WITH CELERO-12,177.36,177.36,,,0
CDM,27200001,CENTURION VISN SYS ACT FMS W/ INTREPID ULT SLV 0.9MM 30DEG,935.57,935.57,,,0
CDM,27200001,CERELINK ICP PROBE 1L M BOLT,1836.0,1836.0,,,0
CDM,27200001,CHAMBER PLEUR CAV AD/CHLD 2500ML SGL COLL POS PRSS RELF VLV,66.94,66.94,,,0
CDM,27200001,CHEST DRAIN 2020-000 DUAL CHAMBER SUB ITEM 138000,97.46,97.46,,,0
CDM,27200001,CHEST POSITIONER,20.0,20.0,,,0
CDM,27200001,CHEST SUCTION ADULT 2002-000,55.94,55.94,,,0
CDM,27200001,CHIN STRAP LONG FM100-C-L-H,53.28,53.28,,,0
CDM,27200001,CHIN STRAP MIDDLE FM100-B-L-H,61.8,61.8,,,0
CDM,27200001,CHISEL INFANT,1520.28,1520.28,,,0
CDM,27200001,CHRONIC EAR PACK,169.19,169.19,,,0
CDM,27200001,CINCH  LEAD ANCHOR,192.0,192.0,,,0
CDM,27200001,CIRCUIT ANESTHESIA PEDIATRIC 2LT BREATHING BAG 90IN TUBING C,24.5,24.5,,,0
CDM,27200001,CIVCO ENDOCAVITY QUICK RELEASE GUIDE / COVER,51.1,51.1,,,0
CDM,27200001,CIVCO INTUIT ROLL COVER,27.79,27.79,,,0
CDM,27200001,CK COR-KNOT KIT,972.0,972.0,,,0
CDM,27200001,CK COR-KNOT QUICK LOAD KNOTS,108.0,108.0,,,0
CDM,27200001,CLAMP ARTERIAL MEDIUM SINGLE,88.8,88.8,,,0
CDM,27200001,CLAMP ENDOSCP 44MM X 31MM X 10MM 180 DEG VLT ATRAUM ERGO,140.45,140.45,,,0
CDM,27200001,CLAMP SUR FN FORC 15GF VES DIA0.2-1MM MICROVASCULAR VEN SGL,99.6,99.6,,,0
CDM,27200001,CLAMP SUR LG FORC 40GF VES DIA2-4MM MICROVASCULAR VEN SGL,94.8,94.8,,,0
CDM,27200001,CLAMP SUR M FORC 30GM/SQMM VEN MICROVASCULAR SGL CONSISTENT,88.8,88.8,,,0
CDM,27200001,CLAMP VENOUS MICRO DOUBLE,180.0,180.0,,,0
CDM,27200001,CLEARPOINT PRISM LASER APPLICATOR 1MM RADIAL NON-COOLED (OD=,26400.0,26400.0,,,0
CDM,27200001,CLIP ENDOSCP 165CM NIT PT PRELD HND WHL MOD 112/6T,1437.6,1437.6,,,0
CDM,27200001,CLIP HEMSTAT TI CHEVRON INTLOK ATRAUM TEETH MICROCLIP,24.79,24.79,,,0
CDM,27200001,CLIP INT L235CM CHN 2.8MM OPN 11MM W/ ERGO HNDL BRD CATH,817.15,817.15,,,0
CDM,27200001,CLIP LIG M BLU TI ADH CART STYL HRT SHP WIRE PRECIS EZ LD,27.79,27.79,,,0
CDM,27200001,CLIP LIG MD LG POLYMR HEMOLOCK,90.86,90.86,,,0
CDM,27200001,CLIP SPNL SPR STIM FOR REVERE STBL SYS TRANSCONTINENTAL,720.0,720.0,,,0
CDM,27200001,CLIP SPR JAW OPN 6MM 2 SFT JAW FOR ATRAUM OCCL FGRTY,39.7,39.7,,,0
CDM,27200001,CLIP SUR MIC TI HEMSTAT GEM SUPERFINE,28.01,28.01,,,0
CDM,27200001,CODA BLLN CATH 10FR L140CM DIA 0.035IN,1161.84,1161.84,,,0
CDM,27200001,COIL NESTER 14 X 20,307.7,307.7,,,0
CDM,27200001,COIL TORNADO 4 2,278.86,278.86,,,0
CDM,27200001,COLD KNIFE KSB,390.05,390.05,,,0
CDM,27200001,"COLLECTION TUBING SET DISPOSABLE 1/2 """,33.26,33.26,,,0
CDM,27200001,COLLECTOR SURGICAL FOR AUTOLOGOUS BONE DUST BONE VAC,628.66,628.66,,,0
CDM,27200001,COMFORT COVERS ULTRA MED,256.39,256.39,,,0
CDM,27200001,COMFORT-FLEX DILATOR SET 3 PER SET (OS FINDER CANAL DILATOR,334.82,334.82,,,0
CDM,27200001,CONCENTRIC DISPOSABLE PROBE,147.12,147.12,,,0
CDM,27200001,CONN CB462 INTERSEPT 1/4X3/8 W/LL,23.95,23.95,,,0
CDM,27200001,CONNECTOR SPNL THORLUM INLINE LP FOR 5.5/5.5MM ROD REVERE,960.0,960.0,,,0
CDM,27200001,CONTAINER DRNGE 1000ML VAC BTL LOK W/ LN 5IN 1 ADPT BLU,122.4,122.4,,,0
CDM,27200001,CONTOUR CURVED CUTTER STAPLER BLUE,1685.33,1685.33,,,0
CDM,27200001,CONTOUR EMBOLI,408.0,408.0,,,0
CDM,27200001,CONTOUR PARTICLES 355-500 MICRONS,386.4,386.4,,,0
CDM,27200001,CONTOUR PVA EMBOZLIZATION PARTICLES 355-500 MICRONS,408.0,408.0,,,0
CDM,27200001,CONTROLLER COIL DETACH SLF CONTAINED INTEGR PWR SUPL ERGO,444.0,444.0,,,0
CDM,27200001,CONTROLLER DETACH FOR OPTMA COIL,492.0,492.0,,,0
CDM,27200001,CONTROLLER DETACH WEB,444.0,444.0,,,0
CDM,27200001,COR-KNOT MINI COMBO KITS,1836.0,1836.0,,,0
CDM,27200001,COR-KNOT QUICK LOAD 6 POUCH,648.0,648.0,,,0
CDM,27200001,CORONET DONOR TREPH PNCH SZ 9.50MM ULTRATHIN AND SHRP BLDE,183.96,183.96,,,0
CDM,27200001,COUNTER TORQ ANG INSTR,746.4,746.4,,,0
CDM,27200001,COUNTERSINK SUR DRL ADD ON FIT FOR 2.7/3.5MM SCR,187.2,187.2,,,0
CDM,27200001,COUPLER 2.0MM MICRO,598.01,598.01,,,0
CDM,27200001,COUPLER 3.5MM MICRO,821.67,821.67,,,0
CDM,27200001,COUPLER FLO DIA2.5MM RED 20MHZ DOPP,816.05,816.05,,,0
CDM,27200001,COUPLERS MICRO 1.5MM,828.01,828.01,,,0
CDM,27200001,COUPLERS MICRO 3.0MM,828.67,828.67,,,0
CDM,27200001,COVER BUR H DIA12MM CMF TI BLU FOR MATRIXNEURO PLATING SYS,278.21,278.21,,,0
CDM,27200001,COVER BUR H DIA17MM 6 H CMF BLU TI NONCOMPRESSION W/O TAB,278.21,278.21,,,0
CDM,27200001,COVER BUR H DIA17MM THK0 4MM TI FOR SHNT DRNGE MATRIXNEURO,278.21,278.21,,,0
CDM,27200001,COVER BUR H DIA17MM THK0.3MM 6 H BLU TI NONCOMPRESSION ULT,300.67,300.67,,,0
CDM,27200001,COVIDIEN LIGASURE 5 MM BLUNT TIP LAPAROSCOPIC SEALERDIVIDER,660.0,660.0,,,0
CDM,27200001,COVIDIEN LIGASURE 5MM MARYLAND JAW SEALERDIVIDER 37CM SHAFT,676.8,676.8,,,0
CDM,27200001,CRANIOTOMY TRAY,289.34,289.34,,,0
CDM,27200001,CRE ESOPHAGEAL/PYLORIC/BILIARY 18-20MM/180CM,832.61,832.61,,,0
CDM,27200001,CUBE EXT FIX 2 H SS RANCHO FOR ILIZ TAY SPAT FRME EXT FIX,406.46,406.46,,,0
CDM,27200001,CUBE EXT FIX 3 H RANCHO FOR ILIZ,453.77,453.77,,,0
CDM,27200001,CUBE RANCHO WITH POST 1 HOLE,367.92,367.92,,,0
CDM,27200001,CUFF CRYO FOR 20-31IN GRAV COOL W/ KNEE PD,128.09,128.09,,,0
CDM,27200001,CUFF DUAL PORT 12 INCH STERILE SINGLE,43.34,43.34,,,0
CDM,27200001,CUFF TRNQT W2.75XL8IN 2 PRT SGL BLDR CYL DISP PLC,40.66,40.66,,,0
CDM,27200001,CUP UTER MD DIA34MM FOR ID OF COLPOTOMY PLANE,224.06,224.06,,,0
CDM,27200001,CUSTOM CATARACT PACK,554.71,554.71,,,0
CDM,27200001,CUSTOM HIP PACK,252.43,252.43,,,0
CDM,27200001,CUSTOM PACK 6V25R SELKE PK,1173.6,1173.6,,,0
CDM,27200001,CUSTOM PACK 9H56R M/F LINE,18.9,18.9,,,0
CDM,27200001,CUSTOM PACK CB6T11R1 PEDIFILTR,300.0,300.0,,,0
CDM,27200001,CUSTOM PACK TL4W22R TRILLIUM Y,33.6,33.6,,,0
CDM,27200001,CUTTER LD SUPP FOR LLD EZ AND LLD LOK DEV,250.4,250.4,,,0
CDM,27200001,CUTTING HEAD DERMATONE DISP,60.84,60.84,,,0
CDM,27200001,CVR PD,0.26,0.26,,,0
CDM,27200001,CYSTO PACK,57.91,57.91,,,0
CDM,27200001,CYSTOSCOPY,91.72,91.72,,,0
CDM,27200001,CYSTOSCOPY PACK,47.89,47.89,,,0
CDM,27200001,DERMABOND MINI,21.72,21.72,,,0
CDM,27200001,DERMACARRIERS II 6 TO 1 DERMACARRIER (FOR USE WITH MESHGRAF,150.34,150.34,,,0
CDM,27200001,DERMACARRIERS ZIMMER S.G. CARRIER 16 IN LENGTH (FOR USE WI,148.06,148.06,,,0
CDM,27200001,DESTINATION SHEATH 7F/65 CM STRAIGHT     RSP02,282.0,282.0,,,0
CDM,27200001,DEVICE ABS FIX W/10 TACKS,812.81,812.81,,,0
CDM,27200001,DEVICE ART AND VEN G COMPR ASST FEM W/ PNEUMAT DOME INTEGR,269.87,269.87,,,0
CDM,27200001,DEVICE BNE ACCS SZ 2 10GA DIA3.4MM DMND AND BVL OSTEO INTRO,1881.79,1881.79,,,0
CDM,27200001,DEVICE BNE BX SZ 2 10GA DIA43.4MM KYPHON EXPR,221.76,221.76,,,0
CDM,27200001,DEVICE BNE BX SZ 3 8GA FOR KYPHOPLASTY KYPHON EXP II,235.22,235.22,,,0
CDM,27200001,DEVICE BX 18GA L10CM FULL TRIAXIAL COR GRN RDY INDIC FWD,189.6,189.6,,,0
CDM,27200001,DEVICE BX 18GA X 10CM NDL 17GA X 5.3CM INTRO VLV COAX BNDL,144.77,144.77,,,0
CDM,27200001,DEVICE BX 18GA X 15CM NDL 17GA X 10.3CM INTRO VLV COAX BNDL,145.06,145.06,,,0
CDM,27200001,DEVICE BX 18GA X 20CM NDL 17GA X 15.3CM INTRO VLV COAX BNDL,145.64,145.64,,,0
CDM,27200001,DEVICE BX 20GA X 10CM NDL 19GA X 5.4CM INTRO VLV COAX BNDL,144.77,144.77,,,0
CDM,27200001,DEVICE BX 20GA X 15CM NDL 19GA X 10.4CM INTRO VLV COAX BNDL,145.6,145.6,,,0
CDM,27200001,DEVICE BX 20GA X 20CM NDL 19GA X 15.4CM INTRO VLV COAX BNDL,144.94,144.94,,,0
CDM,27200001,DEVICE BX NDL 18GA L6CM SEMI AUTO SUPERCORE,96.0,96.0,,,0
CDM,27200001,DEVICE CLSR PRT SITE W/ SUT PASS PILOT GUID CARTER-THOMASON,328.55,328.55,,,0
CDM,27200001,DEVICE COMPR 10ML BND L24CM L RAD HEMSTAS PRELUDESYNC DST,84.0,84.0,,,0
CDM,27200001,DEVICE COMPR L24CM REG RAD TR BND,100.8,100.8,,,0
CDM,27200001,DEVICE ENDOSCP DIA9.5-13MM 7FR SHTH 1.5X2.5CM SNR 6 BND,840.0,840.0,,,0
CDM,27200001,DEVICE GLAUCOMA LSR MICROPULSE P3,660.0,660.0,,,0
CDM,27200001,DEVICE HYSTEROSCOPIC TISS REM 3MM X 32CM SS COAT W/ ULT HRD,2244.0,2244.0,,,0
CDM,27200001,DEVICE INFL 20ML HI PRSS STPCOCK ENCORE 26,96.0,96.0,,,0
CDM,27200001,DEVICE INFL 30ATM 3 W STPCOCK W/ ANALOGY DSPLY EKM,372.0,372.0,,,0
CDM,27200001,DEVICE INFL DEFL FOR BLLN CATH,196.19,196.19,,,0
CDM,27200001,DEVICE INFL FOR HURRICANE RX BILI BLLN DIL CATH ENCORE 26,247.49,247.49,,,0
CDM,27200001,DEVICE INFL SOLACE QL PRSS-TO-REL 20CC 30 ATM W/ 3-W STPCOCK,636.21,636.21,,,0
CDM,27200001,DEVICE OCCL W/ 35MM PRELD VCLIP FOR LAA EXCLUSION SYS,4440.0,4440.0,,,0
CDM,27200001,DEVICE SEAL BLNT TIP NANO COAT HND AND FT ACT LIGASURE,1013.04,1013.04,,,0
CDM,27200001,DEVICE SUT GRN PRELD W/ SURGDAC SZ 2-0 L48IN SUT BRD FOR LAP,48.45,48.45,,,0
CDM,27200001,DEVICE SUT RETEN LG BOR FOR VEN CLSR FLOWSTASIS,480.0,480.0,,,0
CDM,27200001,DEVICE SUT SZ 0 L21IN VLT LIG LOOP SURGITIE POLYSRB,42.61,42.61,,,0
CDM,27200001,DEVICE SUT VLT PRELD W/ POLYSRB SZ 2-0 L48IN SUT FOR LAP INT,49.43,49.43,,,0
CDM,27200001,DEVICES STOMA MEASURING,122.38,122.38,,,0
CDM,27200001,DIAGNOSTIC CATHETER TEMPO HYDROPHILIC COATED,81.6,81.6,,,0
CDM,27200001,DIAGNOSTIC CATHETER TEMPO SLX COATED,82.18,82.18,,,0
CDM,27200001,DIAGNOSTIC CATHETER TEMPO SLX COATED 5F 125CM  S1,76.8,76.8,,,0
CDM,27200001,DIAMOND ABRASOR BALL TIP COARSE,1500.0,1500.0,,,0
CDM,27200001,DIAMOND SHAVER & TUBESET,1432.15,1432.15,,,0
CDM,27200001,DILATOR ENDOSCP L180CM CATH 7.5FR BLLN L5.5CM INFLATED,832.61,832.61,,,0
CDM,27200001,DILATOR ENDOSCP L24MM DIA7MM AIR BLLN INSPIRA,1650.6,1650.6,,,0
CDM,27200001,DILATOR VASC 20FR L20CM STD RADPQ,30.19,30.19,,,0
CDM,27200001,DILATOR VASC 6FR L20CM GWIRE 0.038IN COON TAPR FOR FASCIAL,31.2,31.2,,,0
CDM,27200001,DILATOR VASCULAR 22FR L20CM 0.038IN TAPERED COONS,43.82,43.82,,,0
CDM,27200001,DISC SHIM SS MRS 3VL,720.0,720.0,,,0
CDM,27200001,DISP KIT NANO SWIVELOCK 2.5 X 7MM,767.52,767.52,,,0
CDM,27200001,DISPOSABLE DEPOT BAG,12.67,12.67,,,0
CDM,27200001,DISPOSABLE KT KNEE FIBERTAKS,638.04,638.04,,,0
CDM,27200001,DISPOSABLE REF HDBND,63.0,63.0,,,0
CDM,27200001,DISPOSABLE SET LIPOCOLLECTOR 3 O RINGS,70.8,70.8,,,0
CDM,27200001,DISSECTOR ENDO 174213,190.44,190.44,,,0
CDM,27200001,DISSECTOR LEFT,1660.51,1660.51,,,0
CDM,27200001,DISTAL GRADUATED DRILL SHORT  4.3MM  4.3MM,403.2,403.2,,,0
CDM,27200001,DISTRACTION INTERNALPATIENT SCREWDRIVER HEX ZURICH 1.0 MM PE,1096.8,1096.8,,,0
CDM,27200001,DISTRACTION PIN  3 MM (D) X 12 MM (L)  STERILE INSTRUMENT  0,180.0,180.0,,,0
CDM,27200001,DISTRACTOR 91-535 DBL BARREL OS 18/8MM,3795.12,3795.12,,,0
CDM,27200001,DR. SELKE CUSTOM PACK TL6C91R1,1380.0,1380.0,,,0
CDM,27200001,DRAIN 24FR HUBLESS FLL FLUT NOVATION NOVAPLUS,34.85,34.85,,,0
CDM,27200001,DRAIN 28FR 43IN WND HUBLESS SIL RND TRCR JP,83.47,83.47,,,0
CDM,27200001,DRAIN CHST SGL COLL 1 PT TB FOR ATS BG CMPTBL ATRIUM OCEAN,95.43,95.43,,,0
CDM,27200001,DRAIN INCISION 2450-0000,176.64,176.64,,,0
CDM,27200001,DRAIN SPEC W/ ANTI REFLX,547.58,547.58,,,0
CDM,27200001,DRAIN SUR 10FR WHT SIL RND RADPQ W/ 1/8IN TRCR 4 CHN HUB,210.14,210.14,,,0
CDM,27200001,DRAIN SUR 15FR RND HUBLESS W/ 3/16IN BEND TRCR SIL BLAK,247.43,247.43,,,0
CDM,27200001,DRAIN SUR 19FR TRCR 0.25IN SIL RND HUBLESS FULL FLUT CHN,45.19,45.19,,,0
CDM,27200001,DRAIN SUR SZ 0.25IN L36IN SIL PENROSE RADPQ SMTH EXTERIOR,35.01,35.01,,,0
CDM,27200001,DRAIN SURG 19FR SIL RND HUBLESS W/ 0.25IN BEND TRCR BLAK,215.62,215.62,,,0
CDM,27200001,DRAIN SURG 32FR L7/16IN RND HUBLESS,70.9,70.9,,,0
CDM,27200001,DRAIN TLS 7FR,73.03,73.03,,,0
CDM,27200001,DRAINAGE SET LIPOCOLLECTOR 3 TUBING AND MESH,70.8,70.8,,,0
CDM,27200001,DRAPE DISC W112XL168CM DISP FOR HUSH SLUSH BSIN WRM ORS,119.69,119.69,,,0
CDM,27200001,DRAPE RAD PROTCT W11XL34IN PERIPH SHLD YEL W/ ABSRB RADPAD,92.4,92.4,,,0
CDM,27200001,DRAPE RAD PROTCT W14.5XL16.5IN ANGIO FEM ENTRY YEL W/ ABSRB,52.43,52.43,,,0
CDM,27200001,DRESSING ALG 3.5X10IN TAN CARBOXYMETHYL CELOS EDTA,69.89,69.89,,,0
CDM,27200001,DRESSING ANTIMIC 3.5 X 12 IN AQCEL AG ADVNTG,78.74,78.74,,,0
CDM,27200001,DRESSING ANTIMIC 3.5 X 6 IN AQCEL AG ADVNTG,50.66,50.66,,,0
CDM,27200001,DRESSING EAR AD 5.5IN GLSCOCK,46.29,46.29,,,0
CDM,27200001,DRESSING FOAM 2 CT W8XL20IN GRY SIL SULF RECT ANTIMIC WND,176.45,176.45,,,0
CDM,27200001,DRESSING FOAM 4X10IN TAN SIL RECT SIL ADH W/ MEPILEX BORD,64.99,64.99,,,0
CDM,27200001,DRESSING FOAM 5 CT W4XL5IN GRY SIL SULF RECT ANTIMIC WND,30.0,30.0,,,0
CDM,27200001,DRESSING FOAM W6XL8IN THN ABSRB SLF ADH BORD PREVENT,51.17,51.17,,,0
CDM,27200001,DRESSING HEMOSTATIC W12XL12IN 3 PLY QUIKCLOT CONTROL 4030,659.5,659.5,,,0
CDM,27200001,DRESSING HEMOSTATIC W2XL2IN WHITE KAOLIN GAUZE SOFT NONWOVEN,21.86,21.86,,,0
CDM,27200001,DRESSING HEMOSTATIC W3INXL2YD Z FOLD QUIKCLOT CONTROL 4020,365.26,365.26,,,0
CDM,27200001,DRESSING HEMOSTATIC W4XL4IN KAOLIN GAUZE SOFT NONWOVEN RADIO,44.62,44.62,,,0
CDM,27200001,DRESSING HEMOSTATIC W8XL8IN 2 PLY KAOLIN IMPREGNATED FOR CLA,405.84,405.84,,,0
CDM,27200001,DRESSING NEG PRSS OPN ABD VIS PROTCT LAYR PERF GRANUFOAM VAC,1125.19,1125.19,,,0
CDM,27200001,DRESSING NEG PRSS SM 10X7.5X3.3CM POLYUR FOR WND THER VAC,43.85,43.85,,,0
CDM,27200001,DRESSING NSL 5.5CM REM GOODMAN RAP RHINO,75.24,75.24,,,0
CDM,27200001,DRESSING SINU KIT DISSOLVABLE,138.6,138.6,,,0
CDM,27200001,DRILL 2.3MM X 40MM,302.4,302.4,,,0
CDM,27200001,DRILL BIT,478.8,478.8,,,0
CDM,27200001,DRILL BIT  01-1050-0003,349.66,349.66,,,0
CDM,27200001,DRILL BIT  2.5MM  2.5MM,168.0,168.0,,,0
CDM,27200001,DRILL BIT 16MM,120.0,120.0,,,0
CDM,27200001,DRILL BIT 2.5 MM,221.52,221.52,,,0
CDM,27200001,DRILL BIT 3.2MM,349.66,349.66,,,0
CDM,27200001,DRILL BIT 3.2MM 230205,887.4,887.4,,,0
CDM,27200001,DRILL BIT 4.3MM200MM 310.634,1348.2,1348.2,,,0
CDM,27200001,DRILL BIT 4.5MM 11/64 8054-017,34.78,34.78,,,0
CDM,27200001,DRILL BIT 7080513 STERILE 13MM,291.48,291.48,,,0
CDM,27200001,DRILL BIT 8MM 1.0,343.2,343.2,,,0
CDM,27200001,DRILL BIT AO SCALED 2.6 X 220MM 703901,244.8,244.8,,,0
CDM,27200001,DRILL BIT FOR 3.5MM SCREW GPS,1800.0,1800.0,,,0
CDM,27200001,DRILL BIT FOR 4.0MM SCREW,120.0,120.0,,,0
CDM,27200001,DRILL BIT QUICK COUPLING 4.0MM X 160MM 310.401,333.0,333.0,,,0
CDM,27200001,DRILL BIT TWIST ZIM00-2490-075-43,73.44,73.44,,,0
CDM,27200001,DRILL BIT+STOP KIT (200MM),741.6,741.6,,,0
CDM,27200001,DRILL BITAOLO-PRO PLATE & SCREW2.3MM,195.0,195.0,,,0
CDM,27200001,DRILL QUICK RELEASE 1.3MM,492.0,492.0,,,0
CDM,27200001,DRILL STANDARD 2.0MM  00-2360-175-20,319.2,319.2,,,0
CDM,27200001,DRILL SUR 2.7MM,192.0,192.0,,,0
CDM,27200001,DRILL SUR LNG EXT HDLSS COMPR SCR SYS MIC ACUTRK 2,1065.6,1065.6,,,0
CDM,27200001,DRILL SURG DIA2.8MM QR TOT WFS,458.4,458.4,,,0
CDM,27200001,DRILL TWST L115MM DIA1.5MM J NOTCH ATTCH FOR 2MM MAXDRIVE,240.0,240.0,,,0
CDM,27200001,DRILL TWST L127MM OD6.4MM STD SS DISP JACOB,34.78,34.78,,,0
CDM,27200001,DRILL TWST L50MM DIA1.1MM 7MM NOTCH J CPL FOR 1.5MM SCR,240.0,240.0,,,0
CDM,27200001,DRILL TWST LAG SCR FOR RECON FEM AG NAIL SYS T2 ALPHA,463.2,463.2,,,0
CDM,27200001,DRILL W/ AO QC LNG 3.7MM,2167.2,2167.2,,,0
CDM,27200001,DRILL-TIP RECON K-WIRE 3.2 X 400MM,244.8,244.8,,,0
CDM,27200001,DRIVER SHAFT T-15 SHORT,1440.0,1440.0,,,0
CDM,27200001,DRIVER SUR AO CONN FINAL FOR POLYAX LOK SCR DST VOLAR RAD,254.4,254.4,,,0
CDM,27200001,DRIVER SUR DIA2MM SQ TIP PEG TORQ LIMITING FOR GEMINUS VOLAR,249.6,249.6,,,0
CDM,27200001,DRIVER SURG 3.5MM LNG ANG HEX,213.6,213.6,,,0
CDM,27200001,DRIVER SURG T15 HEXALOBE,924.0,924.0,,,0
CDM,27200001,DRSS PET 3X8 ST,0.45,0.45,,,0
CDM,27200001,DUAL STAGE VENOUS CANNULA 29/29FR,163.2,163.2,,,0
CDM,27200001,ECKARDT END-GRIP DISP MICRO FORCEPS,385.92,385.92,,,0
CDM,27200001,EED-300 ENDOEASE DISCOVERY SB STANDARD PROFILE,1908.0,1908.0,,,0
CDM,27200001,ELASTIC NAIL INSERTION SLEEVE ELASTIC SPI ?8-13,236.5,236.5,,,0
CDM,27200001,ELECTRODE EEG L72MM DIA4MM EXPOSE 2.3MM SBDRL 6 PLAT CNTCT,1682.4,1682.4,,,0
CDM,27200001,ELECTRODE ES 10X10MM SHFT 11CM MPLR LOOP YEL DISP W/ SAFE T,37.44,37.44,,,0
CDM,27200001,ELECTRODE ES M 24FR 12DEG RESECT W/ HF CBL FOR UROLOGY,1111.3,1111.3,,,0
CDM,27200001,ELECTRODE LOOP SQ 1.0CM WX0.4 DX 5.5CM CPRSRG,27.22,27.22,,,0
CDM,27200001,ELECTRODE MAP F/NEUROPROBE ST,686.98,686.98,,,0
CDM,27200001,ELECTRODE PACE PROX 1CM CATH 5FR L110CM TEMP DST TIP BPLR,1084.03,1084.03,,,0
CDM,27200001,ELECTRODE SUCT DOME W/ COOLPULSE TECH VAPR ARCTIC,2299.2,2299.2,,,0
CDM,27200001,ELONGATED ART CANNULA 18 FR,227.42,227.42,,,0
CDM,27200001,EMBOSPHERE 700-900,583.2,583.2,,,0
CDM,27200001,ENCORE INFLATION DEVICE,84.91,84.91,,,0
CDM,27200001,ENDO DISSECT 5MM 174505,159.05,159.05,,,0
CDM,27200001,ENDO GIA ROTICULATOR 45-2.5 SULU,362.09,362.09,,,0
CDM,27200001,ENDO-STITCH 2-0 SILK,53.95,53.95,,,0
CDM,27200001,ENDOTINE FIXATION DEVICE 3.0MM,786.0,786.0,,,0
CDM,27200001,ENDOTINE FIXATION DEVICE 3.5MM,786.0,786.0,,,0
CDM,27200001,ENDOWRIST STAPLER RELOAD 30MM BLUE,430.61,430.61,,,0
CDM,27200001,ENDOWRIST STAPLER RELOAD 30MM GREEN,430.61,430.61,,,0
CDM,27200001,ENDOWRIST STAPLER RELOAD 30MM WHITE,430.61,430.61,,,0
CDM,27200001,ENROUTE TRANSCAROTID NEUROPROTECTION SYS +,8877.6,8877.6,,,0
CDM,27200001,ENSITE VELOCITY NAVX PATCH,2280.0,2280.0,,,0
CDM,27200001,ENSNARE 9-15MMX120CM/6FR/100CM,794.4,794.4,,,0
CDM,27200001,ENVELOPE CMRM6122 ABSORB,2148.0,2148.0,,,0
CDM,27200001,ENVOY 6F XB MPC 100CM,1152.0,1152.0,,,0
CDM,27200001,EP ABLATION TRAY,119.38,119.38,,,0
CDM,27200001,EP DEVICE TRAY,145.55,145.55,,,0
CDM,27200001,EPIDURAL NEEDLE 14 GAUGE 4IN (10 CM),144.0,144.0,,,0
CDM,27200001,ESOPHAGEAL OVERTUBE KENGTH GUARDUS FOREIGN BODY,468.0,468.0,,,0
CDM,27200001,ETHIBOND EXCEL STURUE SH-1 SIZE 2/0 GREEN 36IN,4.35,4.35,,,0
CDM,27200001,EVACUATOR URO BLDR UROVAC,60.85,60.85,,,0
CDM,27200001,EVO WAL APPLICATOR (FOR LARGER CASES),477.6,477.6,,,0
CDM,27200001,EVOLUT FX LOADING SYSTEM 34,936.0,936.0,,,0
CDM,27200001,EVOS 3.5MM TAP W/AO QC,306.0,306.0,,,0
CDM,27200001,EVOS SMALL 2.0MM DRILL W/AO QC LONG,249.6,249.6,,,0
CDM,27200001,EXCISOR  FISCHER MED EXT,87.66,87.66,,,0
CDM,27200001,EXCISOR BX SM H0.354XL0.472IN ES CONE FISCHER,24.72,24.72,,,0
CDM,27200001,EXTRACTOR,372.0,372.0,,,0
CDM,27200001,EXTRACTOR BROKEN SCREW 3 MM 6IN LONG SINGLE USE,876.0,876.0,,,0
CDM,27200001,EXTRACTOR BROKEN SCREW 4 MM 6IN LONG SINGLE USE,888.0,888.0,,,0
CDM,27200001,EXTRACTOR BROKEN SCREW 6 MM 6IN LONG SINGLE USE,876.0,876.0,,,0
CDM,27200001,EXTRACTOR NAIL CONICAL 4 MM TO 8 MM SINGLE USE,912.0,912.0,,,0
CDM,27200001,EXTRACTOR STRIPPED SCREW 3 MM 6IN LONG SINGLE USE,904.8,904.8,,,0
CDM,27200001,EXTRACTOR STRIPPED SCREW 5 MM 6IN LONG SINGLE USE,876.0,876.0,,,0
CDM,27200001,EXTRACTOR SUR 5MM CONIC M L HND,674.4,674.4,,,0
CDM,27200001,EZ CLEAN MOD NEEDLE 2.75,187.97,187.97,,,0
CDM,27200001,EZ GLIDE AORTIC CANNULA 21FR W/ DURAFLOW,128.9,128.9,,,0
CDM,27200001,EZ GLIDE AORTIC CANNULA 24FR W/ DURAFLOW,121.61,121.61,,,0
CDM,27200001,FATHOM 14 STEERABLE GUIDWIRES 300CM,552.0,552.0,,,0
CDM,27200001,FEMORAL BUSHING 2PK,510.0,510.0,,,0
CDM,27200001,FIBERLOOP,130.27,130.27,,,0
CDM,27200001,FIBERTAK RC DISPOSABLES KIT,507.0,507.0,,,0
CDM,27200001,FIBERWIRE  3-0  2 METRIC  BRAIDED POLYBLEND SUTURE BLUE WITH,57.72,57.72,,,0
CDM,27200001,FIBERWIRE 25 METRIC FIBERWIRE LOOP WITH NEEDLE FOR NEEDLEPUN,156.0,156.0,,,0
CDM,27200001,FISCHER CONE BIOPSY EXCISOR LARGE SHALLOW BOX OF 5,301.82,301.82,,,0
CDM,27200001,FIXATION TOOL,72.0,72.0,,,0
CDM,27200001,FLEX DRIVER,1234.8,1234.8,,,0
CDM,27200001,FLEX TIP LASER PROBE,515.52,515.52,,,0
CDM,27200001,FLEXIBLE DRILL BIT 2.9MM,120.0,120.0,,,0
CDM,27200001,FLOW CONTROL CABLE,648.0,648.0,,,0
CDM,27200001,FLUID VISCOVS INJ. PK  10CC,432.0,432.0,,,0
CDM,27200001,"FORCEP BIPOLAR 5"" ADSON W/ CORD DISPOSABLE",95.76,95.76,,,0
CDM,27200001,FORCEP BIPOLAR DISP.,132.46,132.46,,,0
CDM,27200001,FORCEP SINTRAM STRAIGHT PRECIOUS METAL INSULATED NON IRRIGAT,1117.44,1117.44,,,0
CDM,27200001,FORCEPS 159-1 STRT TIP BAYON BIPOLAR,1995.0,1995.0,,,0
CDM,27200001,FORCEPS BIOPSY WORKING L240CM JAW DIA2.2MM HOT IMPROVED MICR,271.54,271.54,,,0
CDM,27200001,FORCEPS BIPOLAR 8IN TIP 1.5MM DUAL IRRIGATING DISPOSABLE SPE,1131.58,1131.58,,,0
CDM,27200001,FORCEPS BIPOLAR INSERT 1MM VERTICAL,843.25,843.25,,,0
CDM,27200001,FORCEPS BIPOLAR INSERT ANGLED SZ 4MM,955.37,955.37,,,0
CDM,27200001,FORCEPS BPLR 10IN TIP 1MM DISP FOR RETRCT SET,2160.0,2160.0,,,0
CDM,27200001,FORCEPS BPLR L10.5IN TIP 1MM STR SMTH BAYNT INSUL DISP,155.77,155.77,,,0
CDM,27200001,FORCEPS BPLR L190MM STR TIP BAYNT,2160.0,2160.0,,,0
CDM,27200001,FORCEPS BPLR L8.5IN WRK L3.5IN TIP L0.50MM LP DISP ISOCOOL,858.66,858.66,,,0
CDM,27200001,FORCEPS BX 3FR L115CM OVL CUP,823.12,823.12,,,0
CDM,27200001,FORCEPS BX L 2.4MM X 240CM NDL RAD JAW 4,67.66,67.66,,,0
CDM,27200001,FORCEPS BX L 2.4MM X 240CM NDL RAD JAW 4 BX-80,67.66,67.66,,,0
CDM,27200001,FORCEPS BX L240CM DIA2.8MM WRK CHN 3.2MM ORNG W/ NDL RAD JAW,184.06,184.06,,,0
CDM,27200001,FORCEPS BX L240CM JAW DIA2.2MM ORNG STD CAP W/ NDL RAD JAW 4,178.1,178.1,,,0
CDM,27200001,FORCEPS BX SPYBITE MAX,1647.74,1647.74,,,0
CDM,27200001,FORCEPS BX STD 5.5FR L50CM SHFT 1.85MM IJ APPRCH DISP,410.04,410.04,,,0
CDM,27200001,FORCEPS BX WRK L100CM JAW DIA1.8MM 2MM WRK CHN PULM STD CAP,215.33,215.33,,,0
CDM,27200001,FORCEPS BX WRK L160CM JAW DIA1.8MM 2MM WRK CHN YEL GASTPED,219.72,219.72,,,0
CDM,27200001,FORCEPS ELECTROSURGICAL ADULT/PEDIATRIC L9IN DIA1MM DUAL IRR,1131.58,1131.58,,,0
CDM,27200001,FORCEPS ENDOSCP L230CM SHTH DIA2.4MM JAW OPN W8MM RAT TOOTH,289.68,289.68,,,0
CDM,27200001,FORCEPS ES LPT 9.5L 4.5WL 1MM ISOCOOL,858.47,858.47,,,0
CDM,27200001,FORCEPS OPHTH 25GA UNCOAT POS ACT END DSGN TIP STYL DISP,280.37,280.37,,,0
CDM,27200001,FORCEPS OPHTH 25GA+ POS ACT FBR OPT TIP HOMOGENOUS LT SIMP,364.49,364.49,,,0
CDM,27200001,FORCEPS SUR BPLR L9IN TIP W0.5MM STD NONSTICK DISP VERSATRU,655.0,655.0,,,0
CDM,27200001,FORCEPS SURGICAL BIPOLAR L8IN TIP W0.5MM SLIM NONSTICK DISPO,664.21,664.21,,,0
CDM,27200001,FORCEPS SURGICAL BIPOLAR L8IN TIP W0.5MM STANDARD NONSTICK D,649.56,649.56,,,0
CDM,27200001,FORCEPS SURGICAL BIPOLAR L8IN TIP W1MM STANDARD NONSTICK DIS,667.66,667.66,,,0
CDM,27200001,FORCEPS SURGICAL BIPOLAR L9IN TIP W1.5MM STANDARD NONSTICK D,685.27,685.27,,,0
CDM,27200001,FORCEPS SURGICAL BIPOLAR L9IN TIP W1MM SLIM NONSTICK DISPOSA,648.31,648.31,,,0
CDM,27200001,FORCEPS SURGICAL BIPOLAR L9IN TIP W1MM STANDARD NONSTICK DIS,662.94,662.94,,,0
CDM,27200001,FREEHAND DRILL 3.3 MM DIAMETER 152.5 MM LENGTH  FREEHAND DRI,176.4,176.4,,,0
CDM,27200001,FREEHAND DRILL 3.5 X 130MM,955.85,955.85,,,0
CDM,27200001,FREEHAND DRILL 4.2 X 130MM,562.44,562.44,,,0
CDM,27200001,FREEHAND DRILL 4.2 X 180MM,580.54,580.54,,,0
CDM,27200001,FREEHAND DRILL D4.2XL180,939.57,939.57,,,0
CDM,27200001,FULL SKULL ADULT CLEAR VIEW,15020.52,15020.52,,,0
CDM,27200001,FUNNEL IMPL DEL TRNSPAR POLYMERIC HYDRPHLC CONE SL DISP,349.44,349.44,,,0
CDM,27200001,G/J TUBE 45 CM,869.14,869.14,,,0
CDM,27200001,GAMMA 3 S NAIL LEFT 10X360MM X 120,8635.9,8635.9,,,0
CDM,27200001,GB EXTRACTION KIT,240.0,240.0,,,0
CDM,27200001,GEN 2752 COUPLER MICRO 2.0MM,827.28,827.28,,,0
CDM,27200001,GENERAL MAJOR,69.88,69.88,,,0
CDM,27200001,GI ANCHOR SET,290.9,290.9,,,0
CDM,27200001,GJ BOXED KIT / 14F X 1.2 X 30CM,1425.6,1425.6,,,0
CDM,27200001,GJ BOXED KIT / 16F X 2.7 X 45CM,1144.8,1144.8,,,0
CDM,27200001,GLIDECATH 4FR 100CM ANGLE TAPE,127.63,127.63,,,0
CDM,27200001,GLIDECATH 5FR 100CM COBRA C2,131.62,131.62,,,0
CDM,27200001,GLIDESHEATH SLENDER SS KIT 0.021 GW 5 FR 10CM,145.2,145.2,,,0
CDM,27200001,GOUGE SUR CART 3.5MM SS CART YAMADA,349.92,349.92,,,0
CDM,27200001,GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG IL EXT L14CM,10826.4,10826.4,,,0
CDM,27200001,GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG L10CM DIA12MM,10826.4,10826.4,,,0
CDM,27200001,GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG L12CM DIA12MM,10826.4,10826.4,,,0
CDM,27200001,GRASPER ENDOSCP 220CM TWIN FOR KOLONOSCOPE GASTROSCP OTSC,1677.6,1677.6,,,0
CDM,27200001,GRASPER ENDOSCP 230CM SHTH 2.4MM HYBRID JAW DST RAT TOOTH,252.0,252.0,,,0
CDM,27200001,GRASPER ENDOSCP L165CM STD SLDE BRKT FLX SHFT CNTRL ARM CLMP,1677.6,1677.6,,,0
CDM,27200001,GRASPER LAP L35MM DIA5MM EPIX,153.0,153.0,,,0
CDM,27200001,GRASPER LAP L45MM TIP 5MM EPIX,108.0,108.0,,,0
CDM,27200001,GRASPER SUT 60DEG SHRP TIP LP FOR RAP ACCS IN SHLDR KNEE,1145.87,1145.87,,,0
CDM,27200001,GRAY PT DRILL 4.0MMX200MM,220.8,220.8,,,0
CDM,27200001,GREEN SILICONE BACKGROUND MATERIAL,37.66,37.66,,,0
CDM,27200001,GUARDUS GASTRIC OVERTUBE,540.0,540.0,,,0
CDM,27200001,GUIDE AIMING 1.5MM FOR GEMINUS VOLAR DST RAD PLATING SYS,72.0,72.0,,,0
CDM,27200001,GUIDE CUTTING FOR DYNAFIX OSTEOTOMY SYSTEM VS,2106.72,2106.72,,,0
CDM,27200001,GUIDE DRILL OD4.3MM LOCKING NCB FOR PERIPROSTHETIC FEMUR SYS,1296.0,1296.0,,,0
CDM,27200001,GUIDE DRL 3+4MM DIA2.3MM SS CONIC BAHA 4 SYS,437.4,437.4,,,0
CDM,27200001,GUIDE NDL ACC 16-18GA INSTR FOR E72 E721 E8C E8C-RS E8CS,38.19,38.19,,,0
CDM,27200001,GUIDE POST LOW PROFILE QUATTRO SPIKE LONG,334.8,334.8,,,0
CDM,27200001,GUIDE SUR LG L6CM ENDONASAL ACCS,2276.16,2276.16,,,0
CDM,27200001,GUIDE SUR SUT CRV,140.3,140.3,,,0
CDM,27200001,GUIDEPIN ARTHSCP L15IN DIA2.4MM EYELT DRL TIP DISP,198.72,198.72,,,0
CDM,27200001,GUIDEPIN ENDOSCP L13.5MM DIA2.4MM FLX PASS LSR MRK,257.04,257.04,,,0
CDM,27200001,GUIDEPIN ORTH 3X75MM SIMPLICITI,240.0,240.0,,,0
CDM,27200001,GUIDEPIN ORTH L12IN DIA3.2MM TRCR TIP PART THRD FOR CANN SCR,30.24,30.24,,,0
CDM,27200001,GUIDEPIN ORTH L431MM DIA2.4MM TRCR TIP PASS LSR MRK,263.52,263.52,,,0
CDM,27200001,GUIDEWIRE ENDOSCP 0.035IN X 270CM HYDRPHLC STR DST TIP,476.47,476.47,,,0
CDM,27200001,GUIDEWIRE ENDOSCP 0.035IN X 450CM HYDRPHLC STR DST TIP,476.47,476.47,,,0
CDM,27200001,GUIDEWIRE ENDOSCP L180CM DIA0.035IN PULM STR STIFF SHFT DISP,33.24,33.24,,,0
CDM,27200001,GUIDEWIRE ENDOSCP WRK L4500MM COAT L70MM DIA0.025IN FLUORINE,453.6,453.6,,,0
CDM,27200001,GUIDEWIRE EXTN VASC COR 0.014INX145CM DOC,217.09,217.09,,,0
CDM,27200001,GUIDEWIRE ORTH 0.035IN X 6IN SGL TRCR ACUTRK 2 HDLSS COMPR,62.4,62.4,,,0
CDM,27200001,GUIDEWIRE ORTH L300MM DIA2.5MM COCR ALLY DRL TIP FOR VA LCP,246.6,246.6,,,0
CDM,27200001,GUIDEWIRE VASC 0.014INX200CM SYNCHRO2,1404.0,1404.0,,,0
CDM,27200001,GUIDEWIRE VASC 0.014INX300CM J SUPERSOFT TIP 3CM STBL XS,156.0,156.0,,,0
CDM,27200001,GUIDEWIRE VASC 0.018INX180CM ANG TIP 45DEG NIT HYDRPHLC,464.61,464.61,,,0
CDM,27200001,GUIDEWIRE VASC 0.018INX180CM ANG TIP NIT HYDRPHLC GLDEWIRE,145.79,145.79,,,0
CDM,27200001,GUIDEWIRE VASC 0.035INX120CM ANG TIP 150DEG HYDRPHLC,253.99,253.99,,,0
CDM,27200001,GUIDEWIRE VASC 0.035INX150CM ANG TIP 3CM HYDRPHLC GLDEWIRE,121.94,121.94,,,0
CDM,27200001,GUIDEWIRE VASC 0.035INX150CM TIP 3CM STD FLX ANG NIT,81.18,81.18,,,0
CDM,27200001,GUIDEWIRE VASC 0.035INX260CM TIP 3CM STD STR NIT HYDRPHLC,122.4,122.4,,,0
CDM,27200001,GUIDEWIRE VASC L145CM DIA0.014IN EXTN ADDWIRE,151.32,151.32,,,0
CDM,27200001,HAKIM PREC VALV WPC - ML,3290.04,3290.04,,,0
CDM,27200001,HAND PACK (ORTHO),145.49,145.49,,,0
CDM,27200001,HANDLE EGIA 4 SHORT,243.64,243.64,,,0
CDM,27200001,HANDLE LITHO STONE REMV SMTH OP TWO DSGN V SYS LITHOCRUSH V,992.98,992.98,,,0
CDM,27200001,HANDLE LITOCRUSHER MAJ-441,1560.0,1560.0,,,0
CDM,27200001,HANDPIECE BRST BX 20MM NDL 9GA L14CM MR,761.28,761.28,,,0
CDM,27200001,HANDPIECE HYDROSURGERY TIP 14MM 45 DEG FOR DERM PRESERVATION,1632.0,1632.0,,,0
CDM,27200001,HANDPIECE IRRIG BTTRY PWR W/ SUCT COAX HI FLO TIP INTERPULSE,77.49,77.49,,,0
CDM,27200001,HANDPIECE IRRIGATION W/TIP,84.29,84.29,,,0
CDM,27200001,HANDPIECE SHV DIA14MM 15DEG HANDSET AGG DEB DISP,1632.0,1632.0,,,0
CDM,27200001,HANDPIECE US FOR HAR23 HAR36 HARM,2148.0,2148.0,,,0
CDM,27200001,HD SCORPION NEEDLE,507.0,507.0,,,0
CDM,27200001,HEAD AND NECK PACK,102.38,102.38,,,0
CDM,27200001,HEAD TRL W14MM D12MM REUSE,955.2,955.2,,,0
CDM,27200001,HEMOCONCENTRATOR HPH-4TS MINNTECH TBG,224.46,224.46,,,0
CDM,27200001,HEMOSTATIC AGNT SURGCEL ORIG FRM 2IN X 3IN OXIDIZED,135.84,135.84,,,0
CDM,27200001,HEX DRIVER ASSEMBLY,124.8,124.8,,,0
CDM,27200001,HIGH SPD DRLBT 2.5MM  GPS,990.0,990.0,,,0
CDM,27200001,HINGE FEMALE,252.29,252.29,,,0
CDM,27200001,HINGE STD.PROFILE,513.34,513.34,,,0
CDM,27200001,HIP ORIF PACK,206.93,206.93,,,0
CDM,27200001,HNB5038125PNSVTK TORCON NB ADVANTAGE ANGIOGRAPHIC CATHETER 5,50.4,50.4,,,0
CDM,27200001,HOFFMANN3 POST 30 DEG ANGLED DIA 11MM,211.2,211.2,,,0
CDM,27200001,HOFFMANN3 POST STRAIGHT DIA 11MM,256.8,256.8,,,0
CDM,27200001,HOFFMANN3 ROD TO ROD COUPLING DIA 5811MM,1168.8,1168.8,,,0
CDM,27200001,HOLIUM FIBER SING HF0200DSSMS,988.01,988.01,,,0
CDM,27200001,HOOD  FOREIGN BODYPROTECTOR,40.73,40.73,,,0
CDM,27200001,HOOK 4MM X 300MM,750.72,750.72,,,0
CDM,27200001,HOOK 5541102 5.5/6.0 PEDICLE SMALL,900.0,900.0,,,0
CDM,27200001,HOOK 6MM X 250MM,806.4,806.4,,,0
CDM,27200001,HOOK LAP L32CM DIA5MM SHTH SCALP DISECT TIP HARM,400.39,400.39,,,0
CDM,27200001,HOOK RETRCT L3MM E SHRP SELF RET SYS LONE STAR,230.09,230.09,,,0
CDM,27200001,HOOK SPNL LAM EXT BODY XIA 3,1549.8,1549.8,,,0
CDM,27200001,HRIS OSTEO STR .25X120MM,374.4,374.4,,,0
CDM,27200001,HYDRAGLIDE THORACIC CATH 24,52.8,52.8,,,0
CDM,27200001,HYHLPJF-TUBE-14X1.51,450.43,450.43,,,0
CDM,27200001,HYPOSPADIUS PACK PGYBK,129.0,129.0,,,0
CDM,27200001,ICD PACEMAKER TRAY,125.74,125.74,,,0
CDM,27200001,IMPLANT FOREHEAD H3MM POLYLACTIC POLYGLY ACID BIOABSRB,762.0,762.0,,,0
CDM,27200001,IMPLANT OSS DIA2-5MM MID EAR TI HD PART CNTR MIC,720.6,720.6,,,0
CDM,27200001,IMPLANT OSS L2.75MM DIA1.17MM SHT INCUS STAP HA FULL CANN,705.05,705.05,,,0
CDM,27200001,IMPLANT OTO M L7.10MM DIA0.76MM HA INCUS STAPE FULL CANN,803.71,803.71,,,0
CDM,27200001,INACTIVE - ADHESIVE SKIN DERMABOND PROPEN,129.6,129.6,,,0
CDM,27200001,INACTIVE - CAPSULE GIVEN M2A GI,1119.84,1119.84,,,0
CDM,27200001,INACTIVE - CONFORMANT 2 WND VEIL 5955305 -  3X5YDS,14.11,14.11,,,0
CDM,27200001,INACTIVE - DRAIN BLAKE 10MM FLAT 072214,34.51,34.51,,,0
CDM,27200001,INACTIVE - DRAIN BLAKE 19FR  2232,106.51,106.51,,,0
CDM,27200001,INACTIVE - DRAIN RND 15FR SIL,120.12,120.12,,,0
CDM,27200001,INACTIVE - NEEDLE ENDOSCP 1ML SYR CA HA SIDEK,142.06,142.06,,,0
CDM,27200001,INACTIVE - PICO 10CM X 20CM DRESSING 5X5 PACK,66.62,66.62,,,0
CDM,27200001,INACTIVE - VRSASTP SHRT INSUFFLATION/ACC,31.66,31.66,,,0
CDM,27200001,INACTIVE CLEANUP - 2-0 STRATAFIX SYMMETRIC PDS PLUS VIOLET 4,47.06,47.06,,,0
CDM,27200001,INACTIVE CLEANUP - SUT PROLENE 7-0 BV175 EVERPOINT,74.76,74.76,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE 4-0 L18IN ABSORBABLE BROWN P-3 L13,165.86,165.86,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE CHROMIC GUT 5-0 L18IN ABSORBABLE B,471.05,471.05,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE CHROMIC GUT SIZE 3-0 L27IN ABSORBA,83.5,83.5,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE CHROMIC GUT SIZE 4-0 L18IN ABSORBA,425.5,425.5,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE CHROMIC GUT SIZE 6-0 L18IN ABSORBA,434.57,434.57,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE COATED VICRYL SIZE 5-0 L18IN ABSOR,392.23,392.23,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE ETHILON 3-0 L18IN NONABSORBABLE BL,55.32,55.32,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE ETHILON 5-0 L18IN NONABSORBABLE BL,111.38,111.38,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE ETHILON SIZE 4-0 L18IN NONABSORBAB,115.87,115.87,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE ETHILON SIZE 6-0 L18IN NONABSORBAB,117.31,117.31,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE ETHILON SIZE 9-0 L12IN NONABSORBAB,542.66,542.66,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE MERSILENE SIZE 6-0 L18IN NONABSORB,393.65,393.65,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE MONOCRYL 5-0 L18IN ABSORBABLE UNDY,171.65,171.65,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE PERMA HAND SIZE 3-0 L30IN NONABSOR,35.23,35.23,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE PERMA-HAND SIZE 2-0 L30IN NONABSOR,35.18,35.18,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE PLAIN GUT 5-0 L18IN ABSORBABLE YEL,166.42,166.42,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE PLAIN GUT SIZE 6-0 L18IN ABSORBABL,501.38,501.38,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE PROLENE 2 L20IN NONABSORBABLE BLUE,273.58,273.58,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE PROLENE SIZE 3-0 L36IN NONABSORBAB,165.0,165.0,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE PROLENE SIZE 4-0 L18IN NONABSORBAB,159.67,159.67,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE PROLENE SIZE 4-0 L36IN NONABSORBAB,166.97,166.97,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE STRATAFIX SYMMETRIC PDS PLUS SIZE,47.06,47.06,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL 0 L27IN ABSORBABLE VIOLET C,42.22,42.22,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL 1 L27IN ABSORBABLE VIOLET C,43.37,43.37,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL 2-0 L27IN ABSORBABLE UNDYED,110.23,110.23,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL 3-0 L27IN ABSORBABLE UNDYED,59.71,59.71,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL 4-0 L27IN ABSORBABLE UNDYED,52.82,52.82,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL PLUS 0 L27IN ABSORBABLE VIO,48.6,48.6,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL PLUS 3-0 L27IN ABSORBABLE U,48.07,48.07,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL SIZE 2-0 L18IN ABSORBABLE V,307.99,307.99,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL SIZE 3-0 L18IN ABSORBABLE U,120.31,120.31,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL SIZE 6-0 L12IN ABSORBABLE V,392.64,392.64,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL SIZE 6-0 L18IN ABSORBABLE U,393.26,393.26,,,0
CDM,27200001,INACTIVE CLEANUP - SUTURE VICRYL SIZE 8-0 L5IN ABSORBABLE VI,449.5,449.5,,,0
CDM,27200001,INACTIVE CLEANUP - USE 126537 DERMABOND ADHESIVE HIGH VISC U,51.84,51.84,,,0
CDM,27200001,INACTIVE CLEANUP - USE 164279 AQUACEL.AG EXTRA 6X6IN,54.74,54.74,,,0
CDM,27200001,INACTIVE CLEANUP - WAX BONE 2.5GM SURGEON KNEADABILITY EASY,143.9,143.9,,,0
CDM,27200001,INACTIVE USE 140124 EXT DRAINAGE SYSTEM 3 W/O STERILE RECALL,396.0,396.0,,,0
CDM,27200001,INACTIVE USE 160333 DEVICE TISS REM IU CANSTR VAC TB FT PED,2244.0,2244.0,,,0
CDM,27200001,INACTIVE USE 368886 ENSNARE 9-15MMX120CM/6FR/100CM,794.4,794.4,,,0
CDM,27200001,INACTIVE USE 413663 - AQUACEL AG 3.5 X 6  412010,64.03,64.03,,,0
CDM,27200001,INACTIVE USE 413664 - DRESSING AQUACEL AG 3.5 X 10,80.04,80.04,,,0
CDM,27200001,INACTIVE USE 413665 - AQUACEL AG COVER DRESSING 9CM X 30CM,89.18,89.18,,,0
CDM,27200001,INACTIVE USE 45017 SUTURE MONOCRYL SIZE 4-0 L27IN,65.86,65.86,,,0
CDM,27200001,INACTIVE USE 534422 MIRIAM DEVICE TRAY,134.9,134.9,,,0
CDM,27200001,INACTIVE USE 63641 DRAPE DISC W112XL168CM DISP FOR HUSH,119.69,119.69,,,0
CDM,27200001,INACTIVE USE 817 - BUR WIRE ZB-149/5091-249,34.08,34.08,,,0
CDM,27200001,INACTIVE USE 97  SUTURE NUROLON SIZE 4-0 L18IN NONABSORBABLE,422.38,422.38,,,0
CDM,27200001,INACTIVE USE PS# 105247 - CATHETER ANGIO 5FR L100CM JUDKINS,21.6,21.6,,,0
CDM,27200001,INACTIVE USE PS# 149077   BLADE DERMTOM W1.25-4.25IN SS BRA,104.76,104.76,,,0
CDM,27200001,INACTIVE USE PS# 26080  - JR 4 CORDIS   7FR,91.2,91.2,,,0
CDM,27200001,INACTIVE USE PS# 422196 - K WIRE 1.25MM X 150MM TRCR PT FOR,43.34,43.34,,,0
CDM,27200001,INACTIVE USE PS# 45927 - GUIDE  6F JR4,91.2,91.2,,,0
CDM,27200001,INACTIVE USE PS# 540493 - CANNULA PERF 21FR L14IN AORT STR,235.2,235.2,,,0
CDM,27200001,INACTIVE USE PS# 540499 - CANNULA CORONARY SINUS RC014T,189.24,189.24,,,0
CDM,27200001,INACTIVE USE PS# 540500 -CANNULA PERF 29/37/37FR L37CM CONN,117.31,117.31,,,0
CDM,27200001,INACTIVE USE PS# 541414 - KIT LACERATION DYNDL1061,12.41,12.41,,,0
CDM,27200001,INACTIVE USE PS# 546346 - GUIDEWIRE VASC 0.035INX120,81.6,81.6,,,0
CDM,27200001,INACTIVE USE PS#101899 -  BUR SUR DIA2MM DMND RND 5 STP NOTC,297.46,297.46,,,0
CDM,27200001,INACTIVE USE PS#104775 -  INTRODUCER SHTH 6FR L55MM DIL TIP,52.2,52.2,,,0
CDM,27200001,INACTIVE USE PS#105243 -  CATHETER ANGIO 5FR L100CM AMPLATZ,21.6,21.6,,,0
CDM,27200001,INACTIVE USE PS#105989 -  BIOGLUE 5ML W/TIPS 5 PK/KIT,7080.0,7080.0,,,0
CDM,27200001,INACTIVE USE PS#107057 -  CANNULA PERF ART HI FLO VENT BLNT,227.42,227.42,,,0
CDM,27200001,INACTIVE USE PS#108470 -  ACCESS 5867-3M  CAP-STERILE FINAL,38.4,38.4,,,0
CDM,27200001,INACTIVE USE PS#117697 - STAPLER SKIN W35MM MULTFI PREM,24.12,24.12,,,0
CDM,27200001,INACTIVE USE PS#128086 -  COIL EMB L40CM DIA10MM 0.035IN PLA,1802.4,1802.4,,,0
CDM,27200001,INACTIVE USE PS#143524 -  CATHETER INTRAAORTIC BLLN 7.5FR L2,2256.0,2256.0,,,0
CDM,27200001,INACTIVE USE PS#143527 -  CATHETER INTRAAORTIC BLLN 7.5FR L2,4308.0,4308.0,,,0
CDM,27200001,INACTIVE USE PS#144006 -  MICROCLIP  GEM 2431,24.79,24.79,,,0
CDM,27200001,INACTIVE USE PS#144205 -  CABLE TRL MULTILEAD FOR MOD 3599 N,480.0,480.0,,,0
CDM,27200001,INACTIVE USE PS#38630 -  PUSHING CATHETER OASIS 8.5 FR,218.4,218.4,,,0
CDM,27200001,INACTIVE USE PS#406710 -  STERILE DISPOSABLE TRIGGER FINGER,156.0,156.0,,,0
CDM,27200001,INACTIVE USE PS#45730 -  OCTOPUS EVOLUTION TISSUE STABILIZER,3214.08,3214.08,,,0
CDM,27200001,INF CATH 4151-1 CRAGG-MCNAMARA,235.2,235.2,,,0
CDM,27200001,INFINITI FMS 0.9MM MICRO ABS 45O KELMAN,175.2,175.2,,,0
CDM,27200001,INJECTOR DEL FOR ALTO ABD STNT GRFT SYS AUTOINJECTOR 2,1197.6,1197.6,,,0
CDM,27200001,INNACTIVE USE PS#376736 - BIT DRL 2.5MM X 110MM QC,191.52,191.52,,,0
CDM,27200001,INSERT 66MM ULTRA INTRACK,76.64,76.64,,,0
CDM,27200001,INSERT BIPOLAR COAD 28164FDG/2,955.37,955.37,,,0
CDM,27200001,INSERT CLMP L33MM 2 EVERCLIP JAW DISP,47.23,47.23,,,0
CDM,27200001,INSERT CLMP L61MM SFT COMPLIANT TRAC FGRTY HYDRAGRIP,47.23,47.23,,,0
CDM,27200001,INSERT CLMP L86MM DISP 2 EVERGRIP JAW,47.23,47.23,,,0
CDM,27200001,INSERT CLMP NO4 L90MM VASC FBR FBR STLTH,62.4,62.4,,,0
CDM,27200001,INSTRUMENT 1206666 SCREWDRIVER SLEEVE,2592.0,2592.0,,,0
CDM,27200001,INSTRUMENT 3289720 SPREADER 20MM,931.15,931.15,,,0
CDM,27200001,INSTRUMENT 853-62 TRI FLAT DRILL BIT,130.9,130.9,,,0
CDM,27200001,INSTRUMENT BIOPSY L16CM OD18GA NEEDLE MISSION,103.2,103.2,,,0
CDM,27200001,INSTRUMENT BX NDL 18GA L25CM PEN D22MM PNK DISP FOR SFT TISS,70.08,70.08,,,0
CDM,27200001,INSTRUMENT CASE 1,2327.04,2327.04,,,0
CDM,27200001,INSTRUMENT GRFT DEL CORNEAL ENDOTHELIUM ENDOSERTER,660.0,660.0,,,0
CDM,27200001,INTERVENTIONAL KIT IN4530 MAP152 MSS031-F,99.36,99.36,,,0
CDM,27200001,INTRODUCER  COAXIAL W/HIGHLITR,348.0,348.0,,,0
CDM,27200001,INTRODUCER ENDOSCP 22-19FR W/ OBT AND SHTH DISP MINOP,2335.0,2335.0,,,0
CDM,27200001,INTRODUCER KT MIC G STD 5FRX7CM,207.1,207.1,,,0
CDM,27200001,INTRODUCER SHTH 10FR CANN L11CM DIL TIP 45MM W/ MINI WIRE,28.8,28.8,,,0
CDM,27200001,INTRODUCER SHTH 18FR X 15.5CM PEEL AWAY,95.52,95.52,,,0
CDM,27200001,INTRODUCER SHTH 7FR CANN L11CM DIL TIP 35MM BRT TIP SLIX,28.8,28.8,,,0
CDM,27200001,INTRODUCER SHTH 7FR L15.5CM DIL L20CM CMPTBL GWIRE 0.035IN,95.52,95.52,,,0
CDM,27200001,INTRODUCER SHTH 8FR CANN L23CM DIL TIP 35MM MINI GWIRE,51.6,51.6,,,0
CDM,27200001,INTRODUCER SHTH 9FR L30CM DIA3MM GWIRE 0.038IN RADPQ BND,142.27,142.27,,,0
CDM,27200001,INTRODUCER SHTH COR 5FR L10CM PINN KINK RESIST DSGN,26.19,26.19,,,0
CDM,27200001,INTRODUCER SHTH COR 8FR X 10CM DIL PROTRUDING 2.5CM PINN,25.77,25.77,,,0
CDM,27200001,INTRODUCER SHTH L11CM OD11FR 0.38IN AD VASC W/O CRV HEMSTAT,18.0,18.0,,,0
CDM,27200001,IRRIGATOR STRYKER,88.2,88.2,,,0
CDM,27200001,IRRIGATOR SUCT TBNG 10FT W/ PMP AND HNDPC ASSEMB STRYKEFLOW,156.1,156.1,,,0
CDM,27200001,ISOCOOL BIPLR TP 10.5 X.5MM,856.8,856.8,,,0
CDM,27200001,ISOCOOL BIPLR TP 8.5 X 1MM,857.02,857.02,,,0
CDM,27200001,JL 4 CORDIS   7FR,91.2,91.2,,,0
CDM,27200001,K WIRE 1.25MM X 150MM TRCR PT FOR PERI-LOC,43.34,43.34,,,0
CDM,27200001,K WIRE 1.5MM X 127MM DST RAD SYS GEMINUS,64.8,64.8,,,0
CDM,27200001,K WIRE 1.6MM X 150MM TRCR PT 1 END FOR PERIARTC LOK PLT SYS,15.5,15.5,,,0
CDM,27200001,K WIRE 1.6MM X 150MM TRCR PT FOR PERI-LOC,43.34,43.34,,,0
CDM,27200001,K WIRE 2MM SS FOR EL LOK PLT SYS VARIAX,72.0,72.0,,,0
CDM,27200001,K WIRE 2MM X 150MM TRCR PT FOR PERI-LOC,43.34,43.34,,,0
CDM,27200001,K WIRE 2MM X 228MM TRCR PT FOR LOCKED PLATING SYS PERI-LOC,33.12,33.12,,,0
CDM,27200001,K WIRE 2X280MM TRCR TIP FOR NCB PLATING SYS,63.84,63.84,,,0
CDM,27200001,K WIRE 3.2X450MM DBL SHRP TIP SS FOR GAM 3 NAIL SYS,180.0,180.0,,,0
CDM,27200001,K WIRE 3MM X 285MM FOR T2 TIB NAIL SYS,170.4,170.4,,,0
CDM,27200001,K WIRE FIX L450MM DIA1.6MM SHRP TIP FOR TRANSCONTINENTAL,240.0,240.0,,,0
CDM,27200001,K WRE FIX DIA2.5MM W/ TRCR TIP,54.72,54.72,,,0
CDM,27200001,K-WIRE,110.71,110.71,,,0
CDM,27200001,K-WIRE 0.9MM,26.4,26.4,,,0
CDM,27200001,K-WIRE 1.25X150MM SS,5.0,5.0,,,0
CDM,27200001,K-WIRE 3 X 285MM,511.32,511.32,,,0
CDM,27200001,KII BLUNT TROCAR WITH BALLOON 5X100,144.0,144.0,,,0
CDM,27200001,KIT ABLAT PRB 17GA L10MM 2 OSTEOCOOL RF,11247.12,11247.12,,,0
CDM,27200001,KIT ABLAT W/ 3 SURESOUND DEV DISP NOVASURE,2395.99,2395.99,,,0
CDM,27200001,KIT ACCS HIP W/ STR BLDE 16GA L6IN AND 16GA L7IN NDL TWO,1116.0,1116.0,,,0
CDM,27200001,KIT ART CATH 20GA L12CM J TIP GWIRE 0.025IN L35CM INTRO NDL,134.64,134.64,,,0
CDM,27200001,KIT ART LN 20GA L12CM INDWL CATH L35CM DIA0.025IN J TIP AND,67.2,67.2,,,0
CDM,27200001,KIT ARTHROSCOPIC FIXATION WITH DRILL GUIDE OBTURATOR DISPOSA,453.6,453.6,,,0
CDM,27200001,KIT ARTHSCP RCR FOR 2.9MM W/ MTL SPEAR DRL PSHLCK,455.52,455.52,,,0
CDM,27200001,KIT BNE ACCS SZ 2 PRB 10GA L90CM CANN STYL DRL W/ SPCR,1088.64,1088.64,,,0
CDM,27200001,KIT BNE HARV 520MM FOR RIA 2,6768.0,6768.0,,,0
CDM,27200001,KIT BPLR PACE CATH 5FR X 110CM 6FR INTRO 25MM ELCTRD SPC 8MM,1031.2,1031.2,,,0
CDM,27200001,KIT BTTN 14FR 2.7CM GASTROSTMY TB,276.0,276.0,,,0
CDM,27200001,KIT BTTN GASTROSTMY AMT 14FR 1.2CM MINI CLASS,276.0,276.0,,,0
CDM,27200001,KIT BUR H CVR PREASSEMBLED BASE 2 BNE SCR BTRFLY HLD TOOL,960.0,960.0,,,0
CDM,27200001,KIT BUR H DEV EMAN LJ53 FOR DP BRAIN STIM SENSIGHT,1069.2,1069.2,,,0
CDM,27200001,KIT BUR H DEV LJ53 FOR DP BRAIN STIM SENSIGHT,624.89,624.89,,,0
CDM,27200001,KIT BX INSTR 14GA L10CM COAX NDL L5.8CM STYL L6.3CM W/ 2,172.8,172.8,,,0
CDM,27200001,KIT BX INSTR 18GA L20CM NDL 17GA L17.8CM PNK SEMI AUTO COAX,112.8,112.8,,,0
CDM,27200001,KIT BX INSTR NDL 12GA L10CM CANN L6.9CM 18-25MM PEN COAX,404.91,404.91,,,0
CDM,27200001,KIT BX INSTR NDL 18GA X 16CM COAX 17GA X 13.8CM SEMI AUTO,112.8,112.8,,,0
CDM,27200001,KIT BX NDL L10CM OD18GA COAX MARQUEE,172.8,172.8,,,0
CDM,27200001,KIT CAN 23FR ART,651.36,651.36,,,0
CDM,27200001,KIT CANNULA FEM 96550,119.95,119.95,,,0
CDM,27200001,KIT COR BX INSTR 16GA L10CM COAX 15GA L7.8CM DISP MISSION,112.8,112.8,,,0
CDM,27200001,KIT CV ACCS L115MM DST LUMN 9FR POLYUR 2 LUMN W/ INTEGR,231.36,231.36,,,0
CDM,27200001,KIT CV SHTH 9FR L10CM CATH 7.5-8FR POLYUR INTEGR HEMSTAS VLV,164.64,164.64,,,0
CDM,27200001,KIT CVC REP 4.2FR LUMN OD1.4MM ID0.7MM WHT ADPT BRVC,300.0,300.0,,,0
CDM,27200001,KIT DIL FOR EXTRM LUM IF NEUROVISION M5 XLIF,2424.0,2424.0,,,0
CDM,27200001,KIT DISP FLX DRL 1.6MM CRV SPEAR W/ CIRCUMFERENTIAL TEETH,507.0,507.0,,,0
CDM,27200001,KIT DRESSING WHITE TRAC VAV,95.14,95.14,,,0
CDM,27200001,KIT DRLBT DIA2MM W/ DRL GUID HNDL TMPLT LOC PIN TAMP FOR SPD,1209.6,1209.6,,,0
CDM,27200001,KIT DSG LG W15XH3.2XL26CM GRANUFOAM,115.51,115.51,,,0
CDM,27200001,KIT EAR DSG PED POSTOP GLSCOCK,43.43,43.43,,,0
CDM,27200001,KIT EMB GLUE 1.5ML PREMX RADPQ INJ LIQ VI OF LES AND DMSO,4680.0,4680.0,,,0
CDM,27200001,KIT EMR WRK L165CM CAP DIA16.1MM HRD WIDE OBLQ DISP,500.16,500.16,,,0
CDM,27200001,KIT ENDOSCP INSTR SPNL 3 RMR FN ACC DISP TESSYS,1908.0,1908.0,,,0
CDM,27200001,KIT FEED TB 18FR JEJU SIL INFL INT RETEN BLLN SECUR LOK EXT,575.43,575.43,,,0
CDM,27200001,KIT FILL 14ML FOR STNT GRFT SYS STNT OVATION PRIM CUSTOMSEAL,1860.0,1860.0,,,0
CDM,27200001,KIT HAD CATH 13FR X 15CM SHT TERM 3L CRV EXTN LEG,510.06,510.06,,,0
CDM,27200001,KIT HEMSTAS VLV L BOR ACCS 9 MAP W/ MTL WIRE INTRO AND TORQ,37.94,37.94,,,0
CDM,27200001,KIT INFRAME INSTR FOR 2.0MM ST,960.0,960.0,,,0
CDM,27200001,KIT INFUS PMP INCL 22GA X 1.5IN NDL EXTN TBNG SET FLTR 20ML,72.0,72.0,,,0
CDM,27200001,KIT INSTR 3.6MM W/ GWIRE DEPTH G DRLBT DRVR INNATE,960.0,960.0,,,0
CDM,27200001,KIT INSTR INCL STR SPEAR W/ CIRCUMFERENTIAL TEETH 1.8MM RIG,455.52,455.52,,,0
CDM,27200001,KIT INSTR W/O SAW BLDE DISP INCL FIX PIN GUIDEPIN TUNN CANN,377.52,377.52,,,0
CDM,27200001,KIT INSTR XL DISP FOR SHT 2.9MM HIP PSHLCK,716.04,716.04,,,0
CDM,27200001,KIT INSTRUMENT 4.5MM INCLUDES 0.045MM SINGLE AND DOUBLE TROC,960.0,960.0,,,0
CDM,27200001,KIT INTCRAN ACCS INCL 6FR X 0.071IN X 105CM STR DEL CATH 5FR,2148.0,2148.0,,,0
CDM,27200001,KIT INTRO 18FR DIL 22FR W/ HEMSTAT NDL GWIRE SCALP SYR,543.76,543.76,,,0
CDM,27200001,KIT INTRO MIC 4FR L15CM SHTH 4FR STIFF DIL 21GA L7CM NDL,480.0,480.0,,,0
CDM,27200001,KIT INTRO MIC SS STD 4F X 4CM,75.84,75.84,,,0
CDM,27200001,KIT JEJUSTMY TB 16FR 7-10ML L45CM TRANSGASTRIC SIL SECUR LOK,577.48,577.48,,,0
CDM,27200001,KIT LACERATION DYNDL1061,225.21,225.21,,,0
CDM,27200001,KIT LARYNCTMY PULM BASE INCL SZ 12 12/36 12/55 LARYTUBE,914.06,914.06,,,0
CDM,27200001,KIT LARYNCTMY SZ 10 INCL LARYTUBE 10/36 10/55 TB BRSH,887.45,887.45,,,0
CDM,27200001,KIT LD TST CBL EMAN LJ53 FOR DP BRAIN STIM SENSIGHT,161.21,161.21,,,0
CDM,27200001,KIT LITHO PRB 3.9MM X 440MM W/ STONE CTCH DISP SWISS,2692.8,2692.8,,,0
CDM,27200001,KIT LUMBAR HERMETIC CATH OPEN TIP,557.76,557.76,,,0
CDM,27200001,KIT MANIFOLD TMH,54.46,54.46,,,0
CDM,27200001,KIT MIC-KEY GT BUTTON,260.62,260.62,,,0
CDM,27200001,KIT MICROSNARE L175CM LOOP DIA4MM CATH 23-3FR L150CM 90DEG,1368.0,1368.0,,,0
CDM,27200001,KIT MILLER INJ CART,84.84,84.84,,,0
CDM,27200001,KIT NDL GUID REPL W/ 14X91.5CM TELSCP FLD CIV FLX CVR VERZA,50.99,50.99,,,0
CDM,27200001,KIT NDL TRCR/BVL TIP FOR CANN PEDCL SCR SPINE PROC PK,71.11,71.11,,,0
CDM,27200001,KIT NEG PRSS DSG XL-W11.81XH0.6XL23.62IN VAC GRANUFOAM 1,238.78,238.78,,,0
CDM,27200001,KIT NEG PRSS L20CM PEEL PLC W/ PRSS INDIC PREVENA,608.88,608.88,,,0
CDM,27200001,KIT NEG PRSS M DSG VERAFLO VAC VERALINK,129.36,129.36,,,0
CDM,27200001,KIT NEG PRSS M W12.5XL18CM THK3.2CM SENSA TRAC DSG POLYUR,93.79,93.79,,,0
CDM,27200001,KIT NEG PRSS MD 2 FOAM DSG 17X15X1.8CM 2 VAC ADV DRP 1 FOAM,253.92,253.92,,,0
CDM,27200001,KIT NEUROSTIM INCL CRANIECTOMY TMPLT LD STRAIN RELF TORQ,1029.6,1029.6,,,0
CDM,27200001,KIT ORTH INSTR W/ CRV SPEAR CIRCUMFERENTIAL TEETH BLNT OBT,507.0,507.0,,,0
CDM,27200001,KIT OVAL SHIELD PERMCATH 36CM,876.26,876.26,,,0
CDM,27200001,KIT PEDCL ACCS SPNL IMPL,1200.0,1200.0,,,0
CDM,27200001,KIT PEG 20FR PUL SFTY EN ACCS INIT PLCMNT ENDOVIVE,430.51,430.51,,,0
CDM,27200001,KIT PEG 20FR PUSH SFTY ENDOVIVE,215.26,215.26,,,0
CDM,27200001,KIT PENILE PROS STD ASSEMB TI,1792.8,1792.8,,,0
CDM,27200001,KIT PERC DIL TRACH W/O TB DRUG US ONLY BLUPERC,611.93,611.93,,,0
CDM,27200001,KIT PERC DILATION TRACH 8MM,692.78,692.78,,,0
CDM,27200001,KIT PERC SHTH INTRO 8.5FR L10CM POLYUR RADPQ W/ INTEGR,171.36,171.36,,,0
CDM,27200001,KIT PERCUTANEOUS ENDOSCOPIC GASTROSTOMY 20FR SAFETY PULL WI,215.26,215.26,,,0
CDM,27200001,KIT PERCUTANEOUS INTRO 10FR,214.2,214.2,,,0
CDM,27200001,KIT PERICARDCENT PREASSEMBLED W/ 8.3FR STR CATH PERIVAC,304.85,304.85,,,0
CDM,27200001,KIT PLATFRM BILAT W/ D HRDWR FOR STEREOTACTIC SYS STARFIX,9888.46,9888.46,,,0
CDM,27200001,KIT PLATFRM SURG STARFIX,1798.61,1798.61,,,0
CDM,27200001,KIT PMP SUTURELESS CONN REV,360.0,360.0,,,0
CDM,27200001,KIT PNT TRCE DISP AXIEM,1090.56,1090.56,,,0
CDM,27200001,KIT REP SS KNTLSS CANN FOR SYNDESMOSIS TGHTRP,3056.04,3056.04,,,0
CDM,27200001,KIT RMR 520MM W/ TB ASSEMB IRRIG ASPIR TB RMR ROD SEAL RIA 2,5376.0,5376.0,,,0
CDM,27200001,KIT SIGMOIDOSCOPY ADULT,71.83,71.83,,,0
CDM,27200001,KIT SNR L120CM LOOP DIA25MM CATH 6FR L102CM 90DEG W/ INTRO,636.0,636.0,,,0
CDM,27200001,KIT SNR STD 120CM LOOP 27-45MM CATH 7FR X 100CM G PLT TUNG,794.4,794.4,,,0
CDM,27200001,KIT SPNL CEM 11CC PMMA HI VISC W/ 2 INTRO BX NDL RESVR MIX,3816.0,3816.0,,,0
CDM,27200001,KIT SUPL FOR MEDTRONIC INSERTABLE CARD MON REVEAL LINQ,85.22,85.22,,,0
CDM,27200001,KIT SUR ACCS EXTRM LAT IF W/ LT CBL SHIMS AND ANNULOTOMY KNF,3552.0,3552.0,,,0
CDM,27200001,KIT SUR SEAL 8ML INCL DEL HSNG PRELD W/ 2 LIQ 1 PWD COMP 2,2270.42,2270.42,,,0
CDM,27200001,KIT SURF ELECTRD EP SYS NAVX ARRY ENSITE X,2520.0,2520.0,,,0
CDM,27200001,KIT SUT ANCHR HIP CRV W/ DRL SPEAR CANN OBT KNTLSS DISP,767.52,767.52,,,0
CDM,27200001,KIT SUT DIA12MM LIG PASS SUT APPAR AND NDL GUID DISP M-CLOSE,215.98,215.98,,,0
CDM,27200001,KIT TEMPLATE IPG2000 FOR NEUROSTIMULATION,180.0,180.0,,,0
CDM,27200001,KIT TRAUMA,111.58,111.58,,,0
CDM,27200001,KIT VASOVIEW HEMOPRO 2,2980.22,2980.22,,,0
CDM,27200001,KIT WRNCH CARD W/ NUM 2 TORQ RATCH WHT HEX FOR CARD PACEMKR,74.4,74.4,,,0
CDM,27200001,KNIFE CRESCENT,105.6,105.6,,,0
CDM,27200001,KNIFE OPHTH 20GA W1.1MM SS PLAS FULL HNDL STR TIP SIDEPRT,54.46,54.46,,,0
CDM,27200001,KNIFE OPHTH L1MM YEL HNDL SS PARACENT ANG SIDEPRT DISP,28.88,28.88,,,0
CDM,27200001,KNIFE OPHTH THK2.4MM SGL BVL ANG S SLT CLEARCUT,98.08,98.08,,,0
CDM,27200001,KNIFE OPHTH W2.5MM 55DEG SGL BVL UP CRESC SMTH ACCURATE,41.39,41.39,,,0
CDM,27200001,KNIFE SLIT ANGL 373730,66.74,66.74,,,0
CDM,27200001,KNIFE SUR 193MM SS BAYONETTED 1 PC DISP FOR ANNULOTOMY,960.0,960.0,,,0
CDM,27200001,KNIFE SUR FOR MINI CRPL TUNN REL SFGRD,897.6,897.6,,,0
CDM,27200001,KNIFE SUR L188MM BAYNT LNG,454.63,454.63,,,0
CDM,27200001,KT JEJUSTMY TB 22FR BLLN 7-10ML JEJU L45CM TRANSGASTRIC SIL,576.04,576.04,,,0
CDM,27200001,KT LEAD ACCESS FIX QUICK TOOL STYLET GD GLOBAL ACCUREAD,55.2,55.2,,,0
CDM,27200001,KT STYLET L45CM SS BL KNOB EXT TAP BALL TIP J W GD,55.2,55.2,,,0
CDM,27200001,KT SYLET L45CM SS BL KNOB BALL TIP ST W GD,55.2,55.2,,,0
CDM,27200001,KWIRE .045 X 12  128034,53.45,53.45,,,0
CDM,27200001,L-TORQUE WRENCH,3758.4,3758.4,,,0
CDM,27200001,LACRIMAL TREPHINE 21G 1-12IN (3SP),129.55,129.55,,,0
CDM,27200001,LAG SCREW INSERTER,2388.0,2388.0,,,0
CDM,27200001,LAPAROSCOPIC CURVED SPATULA ELECTRODE 36CM,83.02,83.02,,,0
CDM,27200001,LAPROSCOPIC 2.0MMX30CM LONG TIP & TUBESET,3096.0,3096.0,,,0
CDM,27200001,LARYNGOSCOPE VID FOR LOPRO S3 SPECTRM GLIDESCOPE,84.0,84.0,,,0
CDM,27200001,LEAD NEUROSTIM L33CM SS 4 LD PERC NRV STIM PLCMNT,1982.4,1982.4,,,0
CDM,27200001,LEAD NEUROSTIMULATOR ANCHR CLIK X,420.0,420.0,,,0
CDM,27200001,LENS GONIO 90DEG FOV HF SECUREFLEX,72.0,72.0,,,0
CDM,27200001,LEVEL ONETWIST DRILL J NOTCH 20 MM STOP 15 MM FLUTE1.9 X 50,240.0,240.0,,,0
CDM,27200001,LIFESPAN CATARACT PACK,45.72,45.72,,,0
CDM,27200001,LIFESPAN VITRECTOMY PACK,75.07,75.07,,,0
CDM,27200001,LIGACLIP EXTRA TITANIUM CLIPS SMALL 20 CLIPS,55.94,55.94,,,0
CDM,27200001,LIGATOR E DIA11MM-14MM 7FR SHTH 3.7MM CHN 6 BND MUCOSECTOMY,840.0,840.0,,,0
CDM,27200001,LIGATOR ENDOSCP L230CM CHN DIA2.8MM DETACH LOOP PREASSEMBLED,249.6,249.6,,,0
CDM,27200001,LIGATOR ENDOSCP SCP DIA8.6-11.5MM WRK CHN 2.8MM CLR ERGO,923.98,923.98,,,0
CDM,27200001,LIGATOR ENDOSCP TRIG CRD L122CM SCP DIA9.5-13MM 6 BND SHOT,984.0,984.0,,,0
CDM,27200001,LIGATURE WIRE BLUNT 160MM 22 GAUGE,39.6,39.6,,,0
CDM,27200001,LIGATURE WIRE BLUNT 160MM 24 GAUGE,19.01,19.01,,,0
CDM,27200001,LIPOCOLLECTOR 3 DISPOSABLE SET,141.6,141.6,,,0
CDM,27200001,LITHOTRIPTER SUR OPN 26MM WRK 195CM DBL SHTH BULL TIP ROT,997.27,997.27,,,0
CDM,27200001,LOADING UNIT GIA 80-4.8 SINGLE USE,147.56,147.56,,,0
CDM,27200001,LOADING UNIT TA 30-V3 SINGLE USE,84.58,84.58,,,0
CDM,27200001,LOCATOR DEPTH 14FR FOR VASC CLSR DEV MANTA,180.0,180.0,,,0
CDM,27200001,LOCATOR DEPTH 8FR FOR VASC CLSR DEV MANTA,96.0,96.0,,,0
CDM,27200001,LOCKING DRILL 3.5X360MM,933.94,933.94,,,0
CDM,27200001,LOCKING DRILL 4.2 X 360MM,483.92,483.92,,,0
CDM,27200001,LONG HANDLED TREPHINE 8.00,184.8,184.8,,,0
CDM,27200001,LOW PROF QUATTRO SPIK LNG,3564.0,3564.0,,,0
CDM,27200001,LOW PROFILE QUATTRO SPIKE SHORT,3564.0,3564.0,,,0
CDM,27200001,LOWER EXTREMITY PACK,193.2,193.2,,,0
CDM,27200001,LUBRICANT INSTR 100ML FOR ATHRCTMY DIAMONDBACK 360 SYS,203.55,203.55,,,0
CDM,27200001,LUER ADAPTOR CONF CEMENT-PK10,445.2,445.2,,,0
CDM,27200001,LUMBAR FIXATION PIN  TRINICA  00889024467828  U.S. PATENTS:,180.0,180.0,,,0
CDM,27200001,LUMBAR LAMINECTOMY TRAY,212.97,212.97,,,0
CDM,27200001,M1871 : NEEDLE BX 18GA X 25CM PNK DISP MAXCOR,70.08,70.08,,,0
CDM,27200001,M1968 : CYSTO PACK,57.91,57.91,,,0
CDM,27200001,M1969 : LAPAROSCOPIC PACK,293.51,293.51,,,0
CDM,27200001,M2289 : CATHETER URETH 16FR 5CC F SHT OPN TIP 2 W BARDX LUB 2 OPP,29.06,29.06,,,0
CDM,27200001,M2657 : MALYUGIN RING 2.0 - 7.0MM,350.0,350.0,,,0
CDM,27200001,M2684 : BLADE SHV L11CM DIA4MM 7500RPM SNUS STR SHFT M4 ROT TRICUT,440.35,440.35,,,0
CDM,27200001,M3254 : CANNULA PREM SL RF STR NDL 50 MM 22 G 5 MM ACT TIP,36.0,36.0,,,0
CDM,27200001,M3606 : CLIP ENDOSCP 235CM LEN X 17MM JAW OPN PRELD RADPQ GI TRACT,682.78,682.78,,,0
CDM,27200001,M4220 : SUTURE ULTRABRAID SZ 2 L38IN NABSRB WHT HI STRENGTH M4220,36.72,36.72,,,0
CDM,27200001,MACRO HOOK SHAVER & TUBESET,1469.93,1469.93,,,0
CDM,27200001,MAIN OR BREAST TRAY,126.92,126.92,,,0
CDM,27200001,MAJOR ORTHO,500.07,500.07,,,0
CDM,27200001,MAJOR TRAY,86.3,86.3,,,0
CDM,27200001,MAJOR VASCULAR TRAY,140.81,140.81,,,0
CDM,27200001,MALYUGIN RING 2.0 - 7.0MM,349.99,349.99,,,0
CDM,27200001,MANIPULATOR UTER CUP DIA3.5CM KOH-EFFICIENT FOR ES DISP RUMI,415.49,415.49,,,0
CDM,27200001,MANIPULATOR UTER CUP DIA3CM KOH-EFFICIENT FOR ES DISP RUMI,429.07,429.07,,,0
CDM,27200001,MANIPULATOR UTER CUP DIA4CM KOH-EFFICIENT FOR ES DISP RUMI,250.06,250.06,,,0
CDM,27200001,MANIPULATOR UTER STD BLLN TIP DISP KRONNER MANIPUJECTOR,296.65,296.65,,,0
CDM,27200001,MANIPULATOR UTERINE V CARE SM,197.11,197.11,,,0
CDM,27200001,MARKER ENDOSCP TISS TATTOO 5ML PREFIL PREASSEMBLED SYR,91.2,91.2,,,0
CDM,27200001,MARKER ROBOTIC SYS PASS DISP FOR EXCELSIUSGPS ROBOTIC,45.6,45.6,,,0
CDM,27200001,MATRIX 1.1MM DRILL BIT J-LATCH8MM STOP44.5MM,386.4,386.4,,,0
CDM,27200001,MATRIX HEMSTAT 10ML W/ 13CM MAL APPL FLOSEAL,702.86,702.86,,,0
CDM,27200001,MAXCESS MAS TLIF 2 KIT ACCESS,3900.0,3900.0,,,0
CDM,27200001,MEDTRONIC REVEAL LINQKIT - STERILE SUPPLY KIT (SUB FOR PS#13,84.0,84.0,,,0
CDM,27200001,MIC GASTROSTOMY FEEDING TUBE 22FR,93.94,93.94,,,0
CDM,27200001,MICRO HOOK SHAVER & TUBESET,1432.15,1432.15,,,0
CDM,27200001,MICRO NERVE,1660.51,1660.51,,,0
CDM,27200001,MICRO TAPERED FISSURE BUR MEDIUM1.6 X 3.8MM NO. 702,28.44,28.44,,,0
CDM,27200001,MICROAIRE DRILL BIT STANDARD TWIST 2.4MM X 127MM,104.45,104.45,,,0
CDM,27200001,MICROCATHETER DIAG 2.6FR X 1.9FR X 135CM TIP OD0.48MM,1020.0,1020.0,,,0
CDM,27200001,MICROCATHETER DIAG 2.8FR X 2.6FR X 150CM TIP OD0.42MM,2040.0,2040.0,,,0
CDM,27200001,MICROCATHETER VASC 2.1FR X 1.6FR X 156CM STR TIP ID0.0165IN,1834.92,1834.92,,,0
CDM,27200001,MICROCOIL EMB 20MM X 20CM CATH ID0.035IN NUM OF LOOP 3.2,329.45,329.45,,,0
CDM,27200001,MICROCOIL EMB ART VEN PERIPH L14CM DIA6MM 7.4 LOOP,267.58,267.58,,,0
CDM,27200001,MICROCOIL EMB ART VEN PERIPH L14CM DIA8MM 5.6 LOOP,267.58,267.58,,,0
CDM,27200001,MICROLINE SCISSOR TIP ENDOCUT 16.51MM WORKING LENGTH,52.22,52.22,,,0
CDM,27200001,MICROPUNCTURE TRANSITIONLESS PEDAL ACCESS SET,98.88,98.88,,,0
CDM,27200001,MICROSPHERE EMB 100-300UM 2ML YEL PREFIL SYR NONRADIOACTIVE,583.2,583.2,,,0
CDM,27200001,MICROSPHERE EMB 2ML PREFIL SYR 40-120UM TRISACRYL,592.8,592.8,,,0
CDM,27200001,MICROSPHERE EMB 300-500UM 2ML BLU NACL SYR DEL SYS,583.2,583.2,,,0
CDM,27200001,MIDAS REX BUR DIAMOND BALL LEGEND SYSTEM 4.0MM X 14CM,68.54,68.54,,,0
CDM,27200001,MIDAS REX DUAL BLADE DISPOSABLE,504.0,504.0,,,0
CDM,27200001,MILLER BONE CEMENT INJECTOR,59.33,59.33,,,0
CDM,27200001,MINI ACUTRAK BONE DRILL,825.6,825.6,,,0
CDM,27200001,MINI STEP SHORT 2/3MM CANNULA & DILATOR,466.96,466.96,,,0
CDM,27200001,MINOR INTERVENTIONAL TRAY,87.48,87.48,,,0
CDM,27200001,MINOR ORTHO,383.83,383.83,,,0
CDM,27200001,MINOR SURGICAL TRAY,4.75,4.75,,,0
CDM,27200001,MIRIAM DEVICE TRAY,134.9,134.9,,,0
CDM,27200001,MIS ILLUMINATION SYSTEM,960.0,960.0,,,0
CDM,27200001,MISONIX BONE SCALPEL 10MM,1044.91,1044.91,,,0
CDM,27200001,MISONIX IRRIGATION TUBESET,129.0,129.0,,,0
CDM,27200001,MOD HOOK FLUSH 4F 65CM,29.73,29.73,,,0
CDM,27200001,MODULAR REAMER HEAD 9MM,451.2,451.2,,,0
CDM,27200001,MONOPOLAR SUCTION COAG CANNULA W/ TRUMPET VALVE 3M,1411.32,1411.32,,,0
CDM,27200001,MP A-1 CORDIS   7FR,91.2,91.2,,,0
CDM,27200001,MULTI-3V PLUS ABOVE 35GW,350.66,350.66,,,0
CDM,27200001,MYOSURE REACH TISSUE REMOVAL DEVICE,3739.2,3739.2,,,0
CDM,27200001,MYOSURE XL TISSUE REMOVAL DEVICE (3-PACK),4278.41,4278.41,,,0
CDM,27200001,NASAL CANNULA W/DEHUMID TUBING,37.58,37.58,,,0
CDM,27200001,NAVIGATED BX NDL GPS,2700.0,2700.0,,,0
CDM,27200001,NEEDLE 20 G L 20CM TIP 10MM,31.2,31.2,,,0
CDM,27200001,NEEDLE ANES 21GA L100MM FACET TIP W/ INJ TB CONN CBL,40.2,40.2,,,0
CDM,27200001,NEEDLE ASPIR 19GA L137.5-141.5CM SHTH DIA1.83MM COCR SLM LN,825.67,825.67,,,0
CDM,27200001,NEEDLE ASPIR 19GA L15MM CATH L130CM SHTH DIA1.8MM TRNSBRONCH,1210.46,1210.46,,,0
CDM,27200001,NEEDLE ASPIR 21GA L20-40MM WRK L700MM CHN 2MM DST END ADJ,289.9,289.9,,,0
CDM,27200001,NEEDLE ASPIR 22GA L0-8CM WRK L137.5-141.5CM SHTH DIA1.65MM,825.67,825.67,,,0
CDM,27200001,NEEDLE ASPIR 22GA X 700MM SYR VLV ECHOGENIC DIMPLED TIP,230.26,230.26,,,0
CDM,27200001,NEEDLE ASPIR 25GA X 20-40MM SPRL LSR CUT W/O SYR FOR 2MM CHN,629.74,629.74,,,0
CDM,27200001,NEEDLE ASPIRATION 25G,825.67,825.67,,,0
CDM,27200001,NEEDLE BARD BIOPTY 18GA,228.0,228.0,,,0
CDM,27200001,NEEDLE BIOPSY DISPOSABLE 1.8MM,1301.33,1301.33,,,0
CDM,27200001,NEEDLE BIOPSY L10CM DIA18GA DISPOSABLE CORE MISSION,103.2,103.2,,,0
CDM,27200001,NEEDLE BONE BIOPSY DISPOSABLE 17GAX7.5CM OSTYCUT,147.84,147.84,,,0
CDM,27200001,NEEDLE BONE MAR ASPIR L6IN 3 H DISP,451.44,451.44,,,0
CDM,27200001,NEEDLE BX 18GA L15CM SFT TISS DISP ACHVE,98.52,98.52,,,0
CDM,27200001,NEEDLE BX 18GA L6CM COR DISP MISSION,103.2,103.2,,,0
CDM,27200001,NEEDLE BX 18GA X 25CM PNK DISP MAXCOR,70.08,70.08,,,0
CDM,27200001,NEEDLE BX 19GA FLX L0-8CM WRK L137.5-141.5CM SHTH DIA1.73MM,1680.0,1680.0,,,0
CDM,27200001,NEEDLE BX 19GA FOR ION ENDOLUMINAL ROBOTIC SYS FLEXISION,600.0,600.0,,,0
CDM,27200001,NEEDLE BX 20CMX20GA CORVOCET,137.55,137.55,,,0
CDM,27200001,NEEDLE BX 21GA FOR ION ENDOLUMINAL ROBOTIC SYS FLEXISION,600.0,600.0,,,0
CDM,27200001,NEEDLE BX 21GA L65.5CM CHIBA FOR ASPIR ECHOTIP,124.8,124.8,,,0
CDM,27200001,NEEDLE BX 22GA COCR US FN ACQUIRE,1223.04,1223.04,,,0
CDM,27200001,NEEDLE BX 23GA FOR ION ENDOLUMINAL ROBOTIC SYS FLEXISION,600.0,600.0,,,0
CDM,27200001,NEEDLE BX 25GA COCR US FN ACQUIRE,945.62,945.62,,,0
CDM,27200001,NEEDLE BX 8GA BNE ACCS TRCR TIP,120.0,120.0,,,0
CDM,27200001,NEEDLE BX ASPIR 18GA X 10CM CHIBA,27.58,27.58,,,0
CDM,27200001,NEEDLE BX DISP 14GAX6IN,39.91,39.91,,,0
CDM,27200001,NEEDLE BX L10CM DIA20GA DISP COR MISSION,103.2,103.2,,,0
CDM,27200001,NEEDLE BX L10CM OD18GA CORVOCET,137.71,137.71,,,0
CDM,27200001,NEEDLE BX L15CM OD18GA CORVOCET,137.66,137.66,,,0
CDM,27200001,NEEDLE BX L15CM OD20GA CORVOCET,137.4,137.4,,,0
CDM,27200001,NEEDLE BX L20CM OD18GA COAX INTRO CORVOCET,40.2,40.2,,,0
CDM,27200001,NEEDLE BX L20CM OD18GA CORVOCET,137.4,137.4,,,0
CDM,27200001,NEEDLE BX L20CM OD20GA COAX INTRO CORVOCET,40.2,40.2,,,0
CDM,27200001,NEEDLE BX L9.5CM OD17GA COAX INTRO CORVOCET,40.24,40.24,,,0
CDM,27200001,NEEDLE BX US ENH CHIBA TYP ST DISP 20GAX14.9CM SAMPLEMASTER,136.8,136.8,,,0
CDM,27200001,NEEDLE CYSTOSCOPIC 4.8FR L35CM BLK INDIC 3 BVL TIP PRECIS,188.4,188.4,,,0
CDM,27200001,NEEDLE ELECTROCAUTERY L3IN 45DEG STR EXT FOR MIC DISECT,314.4,314.4,,,0
CDM,27200001,NEEDLE ENDOSCP 1ML SYR CA HA SIDEKCK RIG INJ COAPTITE,142.06,142.06,,,0
CDM,27200001,NEEDLE EP INTRO XS AD L89CM DIA18GA SS TRANSSEPTAL CRV BVL,396.0,396.0,,,0
CDM,27200001,NEEDLE EPI 14GA L4IN COUDE RX,130.51,130.51,,,0
CDM,27200001,NEEDLE ES L3CM MIC STR EXT SL ULT SHRP TIP INSUL MIC DISECT,128.5,128.5,,,0
CDM,27200001,NEEDLE EUS 22G NA-220H-8022,551.71,551.71,,,0
CDM,27200001,NEEDLE EUS 22G W/SIDEPORT NA-230H-8022 OLYMPUS,652.03,652.03,,,0
CDM,27200001,NEEDLE GUID 9GA FOR FISCHER PRONE AND LORAD,23.28,23.28,,,0
CDM,27200001,NEEDLE INJ 25GA X 230CM PROJCT 5MM SHTH 2.5MM SS TEF LL SPR,96.0,96.0,,,0
CDM,27200001,NEEDLE INJECTION PEDI SCOPE MAJ-75,252.0,252.0,,,0
CDM,27200001,NEEDLE INSUF 14GA FOR VERSASTEP + ACCS SYS STP,37.79,37.79,,,0
CDM,27200001,NEEDLE INSUF 14GA L150MM SS PNEUMOPERI SURGINEEDLE,55.4,55.4,,,0
CDM,27200001,NEEDLE INSUF 14GA SHT CMPTBL VERSASTEP ACCS SYS STP,48.51,48.51,,,0
CDM,27200001,NEEDLE INTRO 11GA L150MM DMND TIP RADPQ W/O SYR,267.12,267.12,,,0
CDM,27200001,NEEDLE INTRO 18GA L98CM 30DEG BRK-1 XS SS TRNSSEPT STYL CRV,456.0,456.0,,,0
CDM,27200001,NEEDLE IRRIG,240.0,240.0,,,0
CDM,27200001,NEEDLE LOC L14CM OD9GA FOR MRI GUID BRST BX SURESIGHT,761.28,761.28,,,0
CDM,27200001,NEEDLE LP 20GA L3IN,52.81,52.81,,,0
CDM,27200001,NEEDLE MAGNUM 14GA X 10CM,51.29,51.29,,,0
CDM,27200001,NEEDLE PINPOINT ASAP,120.0,120.0,,,0
CDM,27200001,NEEDLE PNEUMOP 120MM 14G SUB FOR 117427,117.96,117.96,,,0
CDM,27200001,NEEDLE PNEUMOPERI 14GA L120MM BLNT STYL SPR LD SURGINEEDLE,52.99,52.99,,,0
CDM,27200001,NEEDLE SCLERO 25GA L4MM WRK L240CM SHTH DIA2.3MM CLR,150.5,150.5,,,0
CDM,27200001,NEEDLE SPNL L200MM TRCR TYP STARTING JAMSH,216.0,216.0,,,0
CDM,27200001,NEEDLE SUT CRV FOR DEL MENISCI REP SYS FAST-FIX 360,969.84,969.84,,,0
CDM,27200001,NEEDLE SUT FOR ARTHSCP RCR SCORPION LABRAL SCORPION SUREFIRE,365.04,365.04,,,0
CDM,27200001,NEEDLE SUT FOR EXPRESSEW LL AND LLL SUT PASS EXPRESSEW LLL,680.78,680.78,,,0
CDM,27200001,NEEDLE SUT KNEE LP SCORPION,507.0,507.0,,,0
CDM,27200001,NEEDLE SUT REV FOR DEL MENISCI REP SYS FAST-FIX 360,969.84,969.84,,,0
CDM,27200001,NEEDLE TRANSSEPTAL L98CM SHTH 8.5FR L71CM C0 STEER CRV NRG,1116.0,1116.0,,,0
CDM,27200001,NEEDLE TRNSSEPT AD 18GA L71CM 30DEG BVL BRK-1 XS CRV SS PNT,396.0,396.0,,,0
CDM,27200001,NEEDLE TRNSSEPT L71CM FIX CRV C1 INSUL W/ RF ENERGY NRG,1116.0,1116.0,,,0
CDM,27200001,NERVE HOOK LEFT,1660.51,1660.51,,,0
CDM,27200001,NEURO SHUNT TRAY,220.58,220.58,,,0
CDM,27200001,NICO NAVIGATION PROBE ADAPTER ASSY,1126.8,1126.8,,,0
CDM,27200001,NOVASURE CLASSIC IMPEDENCE CONTROLLED ENDOMETRIAL ABLATION D,2607.19,2607.19,,,0
CDM,27200001,NPH IR MINOR TRAY,53.04,53.04,,,0
CDM,27200001,OMNI FLUSH  SOFT-VU 5F 100CM,775.2,775.2,,,0
CDM,27200001,OMNIGUIDE CO2 LASER,2142.0,2142.0,,,0
CDM,27200001,ON CONTROL CO-AXIAL TRAY 6CM 10GA,1183.99,1183.99,,,0
CDM,27200001,ON-Q PAIN PUMP 10 IN SILVER SOAKER,589.39,589.39,,,0
CDM,27200001,OPEN HEART TRAY,622.91,622.91,,,0
CDM,27200001,OPTRELL 36 ELECTRODES D-F,5649.6,5649.6,,,0
CDM,27200001,OSS AXLE,1104.0,1104.0,,,0
CDM,27200001,OSTEOTOME ORTH 8IN SUCT,2296.8,2296.8,,,0
CDM,27200001,OSTEOTOME SUR L67MM DIA6MM FLX FOR GRY HIP REV INSTR SET,865.2,865.2,,,0
CDM,27200001,OSTEOTOME SUR L80MM DIA8MM FLX FOR GRY HIP REV INSTR SET,578.88,578.88,,,0
CDM,27200001,OSTEOTOME SUR L93MM DIA12MM FLX FOR GRY HIP REV INSTR SET,771.74,771.74,,,0
CDM,27200001,OTSC SYSTEM SET 14/6T - (220 CM),1653.6,1653.6,,,0
CDM,27200001,OUTPATIENT MAJOR,43.13,43.13,,,0
CDM,27200001,OVAL BURR ZB-136/5091-236,28.49,28.49,,,0
CDM,27200001,OVAL CARBIDE BUR 4MM,79.1,79.1,,,0
CDM,27200001,OVERDRILL FOR 2.0MM SCREWS W/AO QC,218.4,218.4,,,0
CDM,27200001,OVERDRILL SUR DIA3.5MM SHT W/ AO QC DISP FOR SM PLATING SYS,306.0,306.0,,,0
CDM,27200001,OVERSTITCH 2-0 POLYPROPYLENE SUTURE,226.39,226.39,,,0
CDM,27200001,OVERSTITCH ENDOSCOPIC SUTURING SYSTEM,5430.91,5430.91,,,0
CDM,27200001,OVERSTITCH SUTURE CINCH,580.61,580.61,,,0
CDM,27200001,OVERSTITCH SX ENDOSCOPIC SUTURING SYSTEM,5584.25,5584.25,,,0
CDM,27200001,OVERSTITCH TISSUE HELIX,755.66,755.66,,,0
CDM,27200001,OVERTUBE ENDOSCP L100CM ENDOLUMINAL ADV RG ENDO-EASE VISTA,1020.0,1020.0,,,0
CDM,27200001,PACK AMBRUS EAR MER 400354,21.17,21.17,,,0
CDM,27200001,PACK BTTRY DISP FOR LEV 1 SYS,199.2,199.2,,,0
CDM,27200001,PACK BTTRY DISP FOR SUR SCRDRVR VARISPEED,570.24,570.24,,,0
CDM,27200001,PACK BTTRY FOR PWR SCRDRVR QUICKDRIVE MINI,300.26,300.26,,,0
CDM,27200001,PACK BTTRY REPL RECHRG DISP FOR PWD DRVR SUR,444.0,444.0,,,0
CDM,27200001,PACK CUTOM HEAD PERF CB8M72R1,492.0,492.0,,,0
CDM,27200001,PACK EENT VHA+ 88037,40.03,40.03,,,0
CDM,27200001,PACK FRAGMENTATION 20GA STD ALONE CONSTELLATION,152.35,152.35,,,0
CDM,27200001,PACK VITRCTMY 20GA 23GA 25GA CANN VISCOUS FLD CTRL 10CC SYR,166.34,166.34,,,0
CDM,27200001,PACK VITRCTMY SYR AUTO GAS FILL CONSTELLATION,230.42,230.42,,,0
CDM,27200001,PACKING EAR L15CM OD12CM DRAWSTRNG ATRAUM REM ABSORB POSTOP,25.32,25.32,,,0
CDM,27200001,PARTICLE EMB SZ 150-250 MIC MIN CMPTBL CATH DIA0 53MM CNTOUR,367.2,367.2,,,0
CDM,27200001,PARTICLE EMB SZ 250-355 MIC POLYVI ALC NONRADIOACTIVE CNTOUR,2040.0,2040.0,,,0
CDM,27200001,PASSER 48409 60CM DISP. CATHETER,378.0,378.0,,,0
CDM,27200001,PASSER CATH L65CM XLN MAL STR UNI SHNT KT DISP FOR HYRCPHLUS,286.18,286.18,,,0
CDM,27200001,PASSER SUT DIA1.8MM 45DEG L CRV SUTLASS SD,365.04,365.04,,,0
CDM,27200001,PASSER SUT L162MM CANN DIA6MM BITE D18MM MINI SLF CAPTURE,479.52,479.52,,,0
CDM,27200001,PASSER SUT WIRE,195.0,195.0,,,0
CDM,27200001,PASSING ELEVATOR ACCESSORY TOOL,180.0,180.0,,,0
CDM,27200001,PATCH VASC EXT REF CARTO 3 SYS,1248.0,1248.0,,,0
CDM,27200001,PEDI MAJOR KIT,111.98,111.98,,,0
CDM,27200001,PEDI MINOR,81.77,81.77,,,0
CDM,27200001,PEDI ORTHO PACK,157.2,157.2,,,0
CDM,27200001,PEDIATRIC 100% SILICONE 1-LAYER FOLEY CATHETER TRAY 8FR,62.11,62.11,,,0
CDM,27200001,PEDIATRIC PICK PACK,1708.99,1708.99,,,0
CDM,27200001,PEDIATRIC TRACHEOSTOMY TUBE 5.5 TTS FLEXTEND STRAIGHT NECK,448.63,448.63,,,0
CDM,27200001,PEDICLE TROCAR ACCESS NEEDLE STERILE,420.0,420.0,,,0
CDM,27200001,PEEL-AWAY SHEATH INTRODUCER,95.52,95.52,,,0
CDM,27200001,PEG 24 PULL,492.0,492.0,,,0
CDM,27200001,PENCIL BIPOLAR DISP 25G STRAIG,98.4,98.4,,,0
CDM,27200001,PENCIL CAUT BTTRY OPERATED LO TEMP FN TIP,35.14,35.14,,,0
CDM,27200001,PENCIL ES 2200DEG HI TEMP CUTERY FN TIP BTTRY OPERATED,38.78,38.78,,,0
CDM,27200001,PERCUTANEOUS TRAY,158.6,158.6,,,0
CDM,27200001,PERFORATOR 14OD 11ID 3S WHITE,301.66,301.66,,,0
CDM,27200001,PERFORATOR SUR MINI PED OD11MM ID7MM CRAN CUT EDGE DISP,638.4,638.4,,,0
CDM,27200001,PICK PACK 25G,1741.37,1741.37,,,0
CDM,27200001,PILLCAM SB3 EXTENDED CAPSULE 12 HRS,1154.4,1154.4,,,0
CDM,27200001,PIN FIX ACL PCL WRE PAC A FOR FAST-FIX 360 MENIS REP SYS,477.36,477.36,,,0
CDM,27200001,PIN FIX L355MM DIA3MM NTHRD,201.6,201.6,,,0
CDM,27200001,PIN PLUG FOR R ATR PRT MRI CRT SURESCAN SYS,0.79,0.79,,,0
CDM,27200001,PINCH ON TOOL 6056,38.4,38.4,,,0
CDM,27200001,PINS SKULL MAYFIELD RADIOLUCENT 3/BX,935.21,935.21,,,0
CDM,27200001,PLASMA NEEDLE-RIGHT-ANGLED,1137.24,1137.24,,,0
CDM,27200001,PLASMA-OVAL BUTTON,1312.2,1312.2,,,0
CDM,27200001,PLASMABLADE X PS200-041S 4.0S,686.4,686.4,,,0
CDM,27200001,PLASTIBELL  1.3CM,534.41,534.41,,,0
CDM,27200001,PLATE BNE L37MM THK1.4MM SHFT W6MM HD 18.3MM 3X5 H ST T SHP,1596.0,1596.0,,,0
CDM,27200001,PLI KT SSCL9 SAFESHEATH II 9FR,384.0,384.0,,,0
CDM,27200001,PLUG CEM SZ 10 BIOABSRB CLEARCUT,192.0,192.0,,,0
CDM,27200001,PNUMBRA NEURON MAX 6FR 088 SHEATH 90CM LONG,1092.0,1092.0,,,0
CDM,27200001,POINTER NAVI STEREOTACTIC DISP AXIEM,1090.56,1090.56,,,0
CDM,27200001,PORT ACCS 12MM X 100MM PALM GRP OBT W/ BLDELSS OPT TIP,224.3,224.3,,,0
CDM,27200001,PORT ACCS 12MM X 120MM PALM GRP OBT W/ BLDELSS OPT TIP,231.34,231.34,,,0
CDM,27200001,POSITIONER PATIENT DISP KT,933.6,933.6,,,0
CDM,27200001,POST EXT FIX 2 H SS M SUPP FOR ILIZ TAY SPAT FRME SYS,280.32,280.32,,,0
CDM,27200001,POUCH SPEC 10MM RETRV ENDO CTCH G,96.0,96.0,,,0
CDM,27200001,POUCH SPEC 15MM G POLYUR DISP ENDO CTCH II,178.93,178.93,,,0
CDM,27200001,POUCH SPEC RETRV 220ML L34.5CM DIA10MM POLYUR PLAS SHFT,108.16,108.16,,,0
CDM,27200001,PRECISION PIN TAPR,709.78,709.78,,,0
CDM,27200001,PREPAY - SET INTUB PRB 0.016IN TBNG 0.025IN LACR W/O SUT CRW,235.2,235.2,,,0
CDM,27200001,PRESSURE INJ ARROWG+ARD BLU PLUSR 3-LUMN CVC,328.32,328.32,,,0
CDM,27200001,PROBE COAG 4.5FR L3M CNVNENT BLT IN FLTR 3000A FIAPC,665.22,665.22,,,0
CDM,27200001,PROBE COAG 6.9FR L2.2M CNVNENT BLT IN FLTR 2200SC SIMPLIFIED,600.0,600.0,,,0
CDM,27200001,PROBE COAG 6.9FR X 2.2M CIRCUMFERENTIAL BEAM W/ FLTR 2200 C,602.77,602.77,,,0
CDM,27200001,PROBE COAG 6.9FR X 2.2M STR FIRE CONIC BEAM W/ FLTR 2200 A,582.0,582.0,,,0
CDM,27200001,PROBE COAG 6.9FR X 3M W/ FLTR 3000A FOR FLX ENDOSCP,662.73,662.73,,,0
CDM,27200001,PROBE CONCENTRIC BIPOLAR DISPOSABLE  10004614,207.0,207.0,,,0
CDM,27200001,PROBE CRYOABLATION L10CM ALUM SMTH MAL CRYOICE TECH,5932.8,5932.8,,,0
CDM,27200001,PROBE DIATHERMY 25GA DSP GRIESHABER,117.48,117.48,,,0
CDM,27200001,PROBE DOPP L17.4MM 20MHZ CRYS STD CUF SWARTZ,1461.6,1461.6,,,0
CDM,27200001,PROBE DOPP L265MM TIP L2MM 8MHZ ENDO NSL BAYONATED HNDL DISP,1335.0,1335.0,,,0
CDM,27200001,PROBE ENDOSCP L32CM BPLR BALL TIP VAPORFLEX TESSYS,1296.0,1296.0,,,0
CDM,27200001,PROBE EPC ANGLE 0615-544-01,168.0,168.0,,,0
CDM,27200001,PROBE HEMOSTASIS CATHETER GOLD 10FR,664.25,664.25,,,0
CDM,27200001,PROBE INSULATED 8 INCH 675.706S,720.0,720.0,,,0
CDM,27200001,PROBE LITHO 1.9FR X 375CM FOR AUTOLITH TCH BILI EHL SYS,1029.6,1029.6,,,0
CDM,27200001,PROBE LSR 25GA 40DEG FLX NIT TIP DISP FOR CONSTELLATION VISN,472.79,472.79,,,0
CDM,27200001,PROBE LSR 25GA FLX CRV ILLUMINATED RFID,559.62,559.62,,,0
CDM,27200001,PROBE MPLR INCREMENTING PRASS STD TIP FOR NIM RESPON 3.0,380.11,380.11,,,0
CDM,27200001,PROBE NRV STIM TIP DIA0.5MM STD PRASS FLSH MPLR INSUL,238.82,238.82,,,0
CDM,27200001,PROBE PH 6.9FR L18CM ES INT REF INFUSED 6 IMPED SPC 1 CHN,276.0,276.0,,,0
CDM,27200001,PROBE VITRCTMY 23GA 0.9MM 45DEG ABS BAL TIP W/ ULT SL DISP,486.99,486.99,,,0
CDM,27200001,PROBE VITRCTMY 23GA ANT CHMBR ULT VIT CENTURION,533.67,533.67,,,0
CDM,27200001,PROSTHESIS 2.5MM DIAM 2.5MM LEN PORP OFFSET HD TI MIC,708.0,708.0,,,0
CDM,27200001,PROSTHESIS OTO 2-10MM TI CNTR TORP ADJ MIC,666.6,666.6,,,0
CDM,27200001,PROSTHESIS PENILE ERECTILE INFL RESTR AMS 700 ACC KT,2568.0,2568.0,,,0
CDM,27200001,PROSTHESIS TORP 14-0890,801.91,801.91,,,0
CDM,27200001,PROXIMATE SKIN STAPLER-REGULAR,81.29,81.29,,,0
CDM,27200001,PRX LAP BASIN SET,23.06,23.06,,,0
CDM,27200001,PULL REDUCTION DEVICE FOR 43MM PERCUTANEOUS DRILL GUIDE,1972.8,1972.8,,,0
CDM,27200001,PUNCH AORT DIA4MM SS THRMPLSTC SLF ALIGNING CUT MECHANISM,64.8,64.8,,,0
CDM,27200001,PUNCH AORT OD3MM LNG HNDL,72.0,72.0,,,0
CDM,27200001,PUNCH OPHTH DIA7.5MM NONVACUUM DISP FOR DONOR CORNEAL BRRN,177.6,177.6,,,0
CDM,27200001,PUNCH OPHTH DIA8.5MM DONOR CORNEAL CYL DEL SHRP NONVACUUM,158.4,158.4,,,0
CDM,27200001,PUNCH SUR 8.25MM CORNEAL DONOR TREPH,175.2,175.2,,,0
CDM,27200001,PUNCH SUR DIA2.7MM CIR BNE DRIFT FOR UNIV SCR EXTR REUSE,396.0,396.0,,,0
CDM,27200001,PUNCH TREPH 9MM CORNEAL DONOR,183.96,183.96,,,0
CDM,27200001,PUSHER COIL L177CM DIA0.016IN CATH LUMN DIA0.018IN,292.8,292.8,,,0
CDM,27200001,PUSHER KNOT SUT CUT W/ PORTAL SKID,572.52,572.52,,,0
CDM,27200001,QUICK CROSS SELECT .018 STRAIGHT,415.2,415.2,,,0
CDM,27200001,RADIAL VACUUM TREPHINE 7.0MM DIA.,187.2,187.2,,,0
CDM,27200001,RADIAL VACUUM TREPHINE 7.75MM DIA.,177.6,177.6,,,0
CDM,27200001,RADIAL VACUUM TREPHINE 8.25MM DIA.,187.2,187.2,,,0
CDM,27200001,REAMER LOW PROFILE 10 MM,507.0,507.0,,,0
CDM,27200001,RECHARGE SYSTEM RS6230 PERCEPT RC DBS US,4459.75,4459.75,,,0
CDM,27200001,REFLECTIVE SPHERES,36.0,36.0,,,0
CDM,27200001,RELOAD MULTIFIRE ENDO HERNIA 4.0MM DLU,93.58,93.58,,,0
CDM,27200001,RELOAD STPL BLK L45MM ENDO GIA TRI-STPL ARTC VASC X THCK,436.64,436.64,,,0
CDM,27200001,RELOAD STPL BLK L60MM ENDO GIA TRI-STPL ARTC VASC X THCK,575.97,575.97,,,0
CDM,27200001,RELOAD STPL BLU H3.8XL60MM GIA VASC MD,104.76,104.76,,,0
CDM,27200001,RELOAD STPL BLU L60MM 3.5MM TA TI,86.9,86.9,,,0
CDM,27200001,RELOAD STPL BLU L90MM 3.5MM TA TI,89.95,89.95,,,0
CDM,27200001,RELOAD STPL CART BLU 3.8X80MM GIA M TISS MULTFI TI W/ DST,218.94,218.94,,,0
CDM,27200001,RELOAD STPL CART TAN 2/2.5/3X30MM STD ENDO GIA VASC M TISS,337.37,337.37,,,0
CDM,27200001,RELOAD STPL GRN L60MM 4.8MM GIA VASC THCK,97.39,97.39,,,0
CDM,27200001,RELOAD STPL GRN L60MM 4.8MM TA TI,85.18,85.18,,,0
CDM,27200001,RELOAD STPL GRN L90MM 4.8MM TA TI,89.95,89.95,,,0
CDM,27200001,RELOAD STPL GRY 30MM 2MM 6 ROW ENDOWRIST FOR DA VINCI XI/X,430.61,430.61,,,0
CDM,27200001,RELOAD STPL GRY H2XL30MM ENDO GIA TRI-STPL ARTC VASC,415.05,415.05,,,0
CDM,27200001,RELOAD STPL GRY L30MM SIGNIA SHT CRV TIP,1260.0,1260.0,,,0
CDM,27200001,RELOAD STPL GRY L45MM ENDO GIA ARTC VASC X THN,424.36,424.36,,,0
CDM,27200001,RELOAD STPL L45MM MTHCK TISS PUR TRI STPL TECH ENDOGIA,493.31,493.31,,,0
CDM,27200001,RELOAD STPL L45MM VASC TAN TRI STPL TECH ENDOGIA,511.13,511.13,,,0
CDM,27200001,RELOAD STPL L60MM H4-4.5-5MM X THCK REINF TRI-STPL 2.0,963.84,963.84,,,0
CDM,27200001,RELOAD STPL L60MM MTHCK TISS PUR TRI STPL TECH ENDOGIA,438.92,438.92,,,0
CDM,27200001,RELOAD STPL MD 45MM PUR ARTC CRV TIP ENDO GIA,481.93,481.93,,,0
CDM,27200001,RELOAD STPL PUR H3X3.5X4XL30MM ENDO GIA TRI-STPL ARTC MD,357.33,357.33,,,0
CDM,27200001,RELOAD STPL PUR L60MM ENDO GIA TRI-STPL ARTC CRV VASC MD,681.94,681.94,,,0
CDM,27200001,RELOAD STPL REINF BLK H4X4.5X5XL45MM ENDO GIA TRI-STPL ARTC,823.61,823.61,,,0
CDM,27200001,RELOAD STPL REINF PUR H3X3.5X4XL45MM ENDO GIA TRI-STPL ARTC,680.23,680.23,,,0
CDM,27200001,RELOAD STPL REINF PUR H3X3.5X4XL60MM ENDO GIA TRI-STPL ARTC,841.49,841.49,,,0
CDM,27200001,RELOAD STPL SKIN 35 WIDE STPL DISP MULTFI PREM,29.69,29.69,,,0
CDM,27200001,RELOAD STPL TAN L60MM ENDO GIA TRI-STPL ARTC CRV VASC MD,664.28,664.28,,,0
CDM,27200001,RELOAD STPL TAN L60MM ENDO GIA TRI-STPL ARTC VASC MD,478.85,478.85,,,0
CDM,27200001,RELOAD STPL VASC TAN CRV TIP ARTC W/ TRI STPL TECH ENDOGIA,442.55,442.55,,,0
CDM,27200001,RELOAD STPL WHT L30MM SIGNIA SHT CRV TIP,1260.0,1260.0,,,0
CDM,27200001,RENOVARP PARACENT KT W/O CATH,199.16,199.16,,,0
CDM,27200001,RESERVOIR VENTRICULAR 44102,0.11,0.11,,,0
CDM,27200001,RESPONSE CATHETER 8.5F,2280.0,2280.0,,,0
CDM,27200001,RESTRICTOR CEM DIA30MM UNIV REV,120.0,120.0,,,0
CDM,27200001,RESTRICTOR CEM DIA5-8MM FOR TOT EL ARTHROPLASTY LATITUDE EV,478.8,478.8,,,0
CDM,27200001,RESTRICTOR CEM DIA8-15MM FOR TOT EL ARTHROPLASTY LATITUDE EV,448.8,448.8,,,0
CDM,27200001,RETAINER SURG RADPQ VISCERA IMPRNT W/ CNTOUR LN SURGIFISH,68.95,68.95,,,0
CDM,27200001,RETRACTOR LAP L45CM SHFT 5MM ATTCH COT SWAB DISP ENDO PNUT,43.3,43.3,,,0
CDM,27200001,RETRACTOR SUR 6X5IN FLX DISP FOR IRIS GRIESHABER,212.71,212.71,,,0
CDM,27200001,RETRACTOR SUR L SHTH L25CM INCIS RANG 9-14MM WND PROTCT RIG,216.0,216.0,,,0
CDM,27200001,RETRACTOR SUR LT CRDLSS ILLUMINATION MULT BLDE CONF DISP,506.4,506.4,,,0
CDM,27200001,RETRACTOR SUR MD SHTH L18CM 5-9CM INCIS WND PROTCT W/ FLX,156.0,156.0,,,0
CDM,27200001,RETRACTOR SUR SUT HLD INSRT DISP,117.25,117.25,,,0
CDM,27200001,RETRACTOR SUR XL SHTH L34CM INCIS RANG 11-17CM WND PROTCT,278.4,278.4,,,0
CDM,27200001,RETRACTOR SUR XSM SHTH L19CM INCIS RANG 2-4CM WND PROTCT FLX,156.0,156.0,,,0
CDM,27200001,RETRACTOR VCARE LARGE CERVICAL CUP 37MM,276.22,276.22,,,0
CDM,27200001,RETRACTOR VCARE X-LARGE CERVICAL CUP 40MM,224.06,224.06,,,0
CDM,27200001,RETRIEVE BONE MARROW ASPIRATION KIT,609.6,609.6,,,0
CDM,27200001,RETRIEVER ENDOSCP L230CM NET 3X5.5CM SHTH 2.5MM MIN WRK CHN,289.68,289.68,,,0
CDM,27200001,RETRIEVER ENDOSCP L230CM SHTH DIA2.5MM REINF NET 3X6CM STD,225.6,225.6,,,0
CDM,27200001,RETRIEVER SPEC UNIV L230CM SHTH DIA2.5MM NET 4X5.5CM HEX,240.0,240.0,,,0
CDM,27200001,RETRIEVER SUT L10.1IN HEW,168.0,168.0,,,0
CDM,27200001,REVERSED INSERT  36X9X12.5 STER,1978.15,1978.15,,,0
CDM,27200001,REVOLVE FAT PROCESSING SYSTEM RV0002,1310.4,1310.4,,,0
CDM,27200001,RHODE ISLAND GENERAL MAJOR,115.01,115.01,,,0
CDM,27200001,RHODE ISLAND GENERAL MINOR,73.52,73.52,,,0
CDM,27200001,RIH LAPAROSCOPY PACK,105.31,105.31,,,0
CDM,27200001,RING 5/8  155 DEG 71070134,2779.44,2779.44,,,0
CDM,27200001,RING MALYUGIN 2-7MM,340.01,340.01,,,0
CDM,27200001,RING OPHTH 6.25MM CLASS SIL LP W/ PUPIL IRIS HLDR INJ OSHER,340.01,340.01,,,0
CDM,27200001,RING RETRCT 14.1X14.1CM PLAS SELF RET LTWT DISP LONE STAR,213.77,213.77,,,0
CDM,27200001,RING RETRCT 18.3CM X 32.5CM PLAS W/ 2 CATH CLP SELF RET ADJ,180.17,180.17,,,0
CDM,27200001,RING RETRCT GYN FOR NAR PELVIS LONE STAR,159.19,159.19,,,0
CDM,27200001,RING SYMBLEPHARON MEDIUM,132.0,132.0,,,0
CDM,27200001,RING TENS TYP 14C CAPSULAR,429.6,429.6,,,0
CDM,27200001,ROBOTIC GYN PACK PGYBK,133.66,133.66,,,0
CDM,27200001,ROD BENDING DIGITIZER ARRAY,4560.0,4560.0,,,0
CDM,27200001,ROD SPNL L500MM DIA3.5-5.5MM TAPR ELLIPSE DSP,720.0,720.0,,,0
CDM,27200001,ROD TEMPLATE 150 MM,180.0,180.0,,,0
CDM,27200001,ROD-TO-ROD CLAMP CT TO TL 10MM,720.0,720.0,,,0
CDM,27200001,ROTH NET FB-MAXI,240.0,240.0,,,0
CDM,27200001,ROTH NET RETRIEVER,225.6,225.6,,,0
CDM,27200001,RUMI KOH-EFFICIENT 2.5CM (5 PER BOX),353.86,353.86,,,0
CDM,27200001,S 369903 SYSTEM BREATHING CIRCUIT FOR MR,71.4,71.4,,,0
CDM,27200001,S128802 VALVE HEMSTAS NO CLICK W/ GWIRE INSRT TOOL GRDIAN II,52.8,52.8,,,0
CDM,27200001,SABER/CORE IRRIG,103.07,103.07,,,0
CDM,27200001,SAW 20.1 X 21.4 PIEZ,600.0,600.0,,,0
CDM,27200001,SAW 20.9 X 14.1 PIEZ,498.6,498.6,,,0
CDM,27200001,SAW BLADE STRYKER UNIV WIDE TOTAL ANKLE .500 IN,340.8,340.8,,,0
CDM,27200001,SAWBLADE OSCILL,13.06,13.06,,,0
CDM,27200001,SB KNIFE,2280.0,2280.0,,,0
CDM,27200001,SCALPEL HANDLE 15MM GPS,1375.2,1375.2,,,0
CDM,27200001,SCALPEL SUR LOK FOR GAM4 HIP FRAC NAIL SYS,967.82,967.82,,,0
CDM,27200001,"SCISSOR CURVED METZ 3/4"" SINGLUE USE TIP STERILE",59.88,59.88,,,0
CDM,27200001,SCISSORS ES TIP L19.3MM DISP ENDOCUT,77.86,77.86,,,0
CDM,27200001,SCISSORS OPHTH 23GA 40DEG FN CRV ORNG DISP GRIESHABER,445.8,445.8,,,0
CDM,27200001,SCORPION NEEDLE,365.04,365.04,,,0
CDM,27200001,SCREW BNE 1.5X4MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
CDM,27200001,SCREW EXTR 3.5MM CONIC FOR L SCR 4.9MM BOLT,253.8,253.8,,,0
CDM,27200001,SCREW EXTR CONIC,654.82,654.82,,,0
CDM,27200001,SEAL CANNULA 5-12MM ROBOTIC LAPAROSCOPIC ACCESS,48.0,48.0,,,0
CDM,27200001,SEAL ENDOSCP INSTR PRT WRK CHN,68.74,68.74,,,0
CDM,27200001,SEAL SELF SEAL 1.2MM  GYN,28.32,28.32,,,0
CDM,27200001,SEALER BIPOLAR AQUAMANTYS 2.3,1231.2,1231.2,,,0
CDM,27200001,SEALER BPLR ELECTRD L5.74MM DIA3.48MM CNTR TO CNTR SPC 6MM,1900.12,1900.12,,,0
CDM,27200001,SEALER BPLR MINI MINIMALLY INVASIVE FLX BPLR W/ NACL FLD DEL,1526.4,1526.4,,,0
CDM,27200001,SEALER MPLR L11 13MM DIA3MM SHFT L317 5MM 10DEG FLOATING,2359.2,2359.2,,,0
CDM,27200001,SEALER OPN L23CM NANO MARYLAND JAW DIV LIGASURE,1050.14,1050.14,,,0
CDM,27200001,SEALER VES L37CM NONSTICK NANO COAT MARYLAND JAW FOR LAP,1087.1,1087.1,,,0
CDM,27200001,SELECTRA ACCESORY KIT,300.0,300.0,,,0
CDM,27200001,SELF-CENTERING ANGLED DRILL,720.0,720.0,,,0
CDM,27200001,SENSOR TISS OXMTR SM PTCH T. OX,3540.0,3540.0,,,0
CDM,27200001,SET ACCS SOL INCL L230CM DIA0.035IN 24MM PGTL RF WIRE L10FT,2277.6,2277.6,,,0
CDM,27200001,SET BIPOLAR IRRIGATOR INTEGRATED TUBING AND BIPOLAR DISPOSAB,118.97,118.97,,,0
CDM,27200001,SET BX NDL 11GA L10CM BNE SIDE BVL DMND TIP W/ BLNT TIP OBT,143.64,143.64,,,0
CDM,27200001,SET DRNGE INF PED TBNG DIA0.25IN 1 PT TB INLINE CONN CLMP,123.57,123.57,,,0
CDM,27200001,SET ENDOSCP INSTR DISP FOR BIOTENODESIS SCR,507.0,507.0,,,0
CDM,27200001,SET EVAR DIL 14FR X 45CM FASCIAL TISS TRACT VES HYDRPHLC,366.74,366.74,,,0
CDM,27200001,SET EVAR DIL 16FR X 18FR X 45CM FASCIAL TISS TRACT VES,487.54,487.54,,,0
CDM,27200001,SET EVAR DIL 20FR X 22FR X 45CM FASCIAL TISS TRACT VES,486.98,486.98,,,0
CDM,27200001,SET GASTROSTMY W/ 18FR DIL GWIRE INTRO NDL,371.26,371.26,,,0
CDM,27200001,SET INSTR MULTISHOT INCL SHTH DART INSRT SHT DRL CANN GUID,1352.52,1352.52,,,0
CDM,27200001,SET INTRO 9GA LOC FOR ATEC 0914-12MR BRST BX DEV SURESIGHT,464.61,464.61,,,0
CDM,27200001,SET INTRO LOC 9GA FOR ATEC 0914-20MR BRST BX DEV SURESIGHT,468.52,468.52,,,0
CDM,27200001,SET INTRO SHTH 5FR L11CM W/ INTEGR SIDE PRT HEMSTAS VLV 3 W,138.24,138.24,,,0
CDM,27200001,SET INTRO SHTH 6FR L11CM W/ INTEGR SIDE PRT HEMSTAS VLV 3 W,72.0,72.0,,,0
CDM,27200001,SET INTRO SHTH 7FR X 11CM W/ INTEGR SIDE PRT HEMSTAS VLV 3 W,79.2,79.2,,,0
CDM,27200001,SET INTRO SHTH 8FR X 45CM FLX RADPQ TIP LUB SUP ARW FLX,215.64,215.64,,,0
CDM,27200001,SET IRRIG TBNG SMARTABLATE SYS,199.2,199.2,,,0
CDM,27200001,SET NDL 13GA L10CM W/ SIDE BVL DMND TIP FOR BNE BX OSTEO,143.64,143.64,,,0
CDM,27200001,SET OPHTH 0.3MM POLYMR BIMANUAL DISP,45.05,45.05,,,0
CDM,27200001,SET PERF 15IN BLU CLMP MULT FEM LUER ON SGL INLET LEG DLP,49.5,49.5,,,0
CDM,27200001,SET PUNC 8MM OD17FR PRI OR 2ND TE PUNC W/ SUBSEQUENT DIL,1141.73,1141.73,,,0
CDM,27200001,SET SCR SUR FOR IFUSE BEDROCK GRANITE IMPL SYS,324.0,324.0,,,0
CDM,27200001,SET SUT ANCHR INTRO NDL 17GA X 12CM GI CART SPEC STR 0.035IN,256.8,256.8,,,0
CDM,27200001,SET SUT KNOT PUSH CUT SLT CANN STR DISP FOR MENIS REP SYS,316.25,316.25,,,0
CDM,27200001,SET TB HI FLO FOR PNEUMOSURE INSUFFLATOR,30.19,30.19,,,0
CDM,27200001,SET TRNSF 2ML L6IN EXT LIFE W/ FEM LOK CONN CLMP DISP,119.93,119.93,,,0
CDM,27200001,SET TUBE BLADE 20MM BONESCALPEL MIS,2741.26,2741.26,,,0
CDM,27200001,SET VENT ASST PMP INCL CATH + COMPANION SHTH IMPELLA CP,60640.0,60640.0,,,0
CDM,27200001,SHAFT 3990002 LONG THREADED,240.86,240.86,,,0
CDM,27200001,SHAFT BIXCUT REAMER 8.0X284MM,410.4,410.4,,,0
CDM,27200001,SHAFT RMR 480MM MOD HALL MOD BIXCUT,628.8,628.8,,,0
CDM,27200001,SHAFT RMR L510MM OD8MM IM FEM MOD TRINKLE NS BIXCUT,688.8,688.8,,,0
CDM,27200001,SHAFT SUR RMR L448MM MOD TRINKLE BIXCUT,471.87,471.87,,,0
CDM,27200001,SHAFT SUR RMR L510MM DIA8MM MOD TRINKLE BIXCUT,1026.46,1026.46,,,0
CDM,27200001,SHARKCORE FNB SYSTEM 19G,1363.2,1363.2,,,0
CDM,27200001,SHARPOINT CHROMIC GUT 4-0 NATURAL 45CM G-3 PRECISION REVERSE,55.99,55.99,,,0
CDM,27200001,SHEARS ENDOSCP US CRV TIP W/ ADAPTIVE TISS TECH HARM ACE,1014.65,1014.65,,,0
CDM,27200001,SHEARS LAP L36CM DIA5MM CRV TIP US HARM 1100,1485.72,1485.72,,,0
CDM,27200001,SHEARS VES SEAL L36CM DIA5MM CRV TIP US W/ ADV HEMSTAS HARM,1094.14,1094.14,,,0
CDM,27200001,SHEATH CATH DISP MANOSHIELD MANOSCAN,630.0,630.0,,,0
CDM,27200001,SHEATH DEL 9FR X 80CM 45 DEG ANG TIP AMPLATZER TALISMAN,1929.6,1929.6,,,0
CDM,27200001,SHEATH ENDOSCP DIA4MM 0DEG DISP FOR KARL STORZ LENS CLN SYS,123.55,123.55,,,0
CDM,27200001,SHEATH GUID 6FR L80CM GWIRE 0.038IN FLX SHUTTLE,278.21,278.21,,,0
CDM,27200001,SHEATH GUID 6FR L80CM WRK L75CM OD0.1IN ID0.087IN STR R2P,768.0,768.0,,,0
CDM,27200001,SHEATH GUID 7FR 80CM,278.21,278.21,,,0
CDM,27200001,SHEATH GUID 7FR L45CM DIL L2CM HYDRPHLC VLV XCUT CRV STR,253.42,253.42,,,0
CDM,27200001,SHEATH GUID 8FR X 55CM ACC CHN 2.9MM GWIRE 0.035IN ANSEL,152.64,152.64,,,0
CDM,27200001,SHEATH GUID DIAG INTVENT 6FR X 45CM DIL PROTRUDING 2CM PINN,253.55,253.55,,,0
CDM,27200001,SHEATH INTRO 6FR L10CM DIL L2.5CM CMPTBL GWIRE 0.038IN,27.6,27.6,,,0
CDM,27200001,SHEATH INTRO 6FR L10CM ID0.087IN NDL 21GA L35MM GWIRE,141.03,141.03,,,0
CDM,27200001,SHEATH INTRO 7FR L25CM DIL L2.5CM CMPTBL GWIRE 0.038IN,60.0,60.0,,,0
CDM,27200001,SHEATH INTRO 8.5FR L10CM GWIRE DIA0.89MM L45CM PERC W/ INTRO,112.87,112.87,,,0
CDM,27200001,SHEATH INTRO 8FR L10CM DIL L2.5CM PERIPH PINN,27.53,27.53,,,0
CDM,27200001,SHEATH PEEL AWAY SET 5 FR INTRO .035 IN GUID WRE 15.5CM L,95.52,95.52,,,0
CDM,27200001,SHEATH PINNACLE INTRO 6FRX10CM 2.5 CM,25.77,25.77,,,0
CDM,27200001,SHEATH US PRB L48IN SITE-RITE,63.28,63.28,,,0
CDM,27200001,SHEETING SIL 5X5X0.25MM ENT ELASTMR BIOCOMPATIBLE CN BE CUT,47.98,47.98,,,0
CDM,27200001,SHELL STPL PWR CTRL FOR SIGNIA HNDL,289.51,289.51,,,0
CDM,27200001,SHIELD EYE OD14.5MM CLLGN CORNEAL SFT DISSOLUTION TIME QUIK,63.31,63.31,,,0
CDM,27200001,SHOULDER PACK,201.12,201.12,,,0
CDM,27200001,SHUNT CONNECTOR TITANIUM STRL,139.13,139.13,,,0
CDM,27200001,SHUNT CV 1.5MM X 14MM IC SIL TAPR TIP RADPQ CLRVW,196.44,196.44,,,0
CDM,27200001,"SILASTIC SHEETING 2"" X 3"" NON REINFORCED 23-700-40",108.0,108.0,,,0
CDM,27200001,SILO BAG 3CM,847.2,847.2,,,0
CDM,27200001,SILO VENTRAL WALL DEFECT 10.0,1192.8,1192.8,,,0
CDM,27200001,SIM 2,348.0,348.0,,,0
CDM,27200001,SINGH VAC ASST PAK 4V82R,1576.8,1576.8,,,0
CDM,27200001,SINGLE USE ROTATABLE GRASPING FORCEPS,476.47,476.47,,,0
CDM,27200001,SIZER GRFT DIA24-28MM FOR DETERMINING SZ OF LUMN,25.0,25.0,,,0
CDM,27200001,SIZER SMALL GRAFT 5MM-24MM,24.96,24.96,,,0
CDM,27200001,SLED PULLBACK FOR OPTICROSS CATH,96.0,96.0,,,0
CDM,27200001,SLEEVE CBL DIA2MM VIT DAL MI,720.0,720.0,,,0
CDM,27200001,SLEEVE CBL M VIT FOR USE W/ 2MM CBL DALL-M,441.6,441.6,,,0
CDM,27200001,SLEEVE CNTR L6MM FOR ANG PIN CONN/ILIZ TAY SPAT FRME SYS,282.07,282.07,,,0
CDM,27200001,SLEEVE COMPR XL FOR 32IN CALF KNEE LEN SCD EXPR,44.71,44.71,,,0
CDM,27200001,SLEEVE EXT FIX 6MM CNTR FOR ILIZ,282.07,282.07,,,0
CDM,27200001,SLEEVE INSRT SZ 8-11 E FOR T2 NAIL SYS,305.56,305.56,,,0
CDM,27200001,SLEEVE IRRIG BLK LP DISP FOR 7CM ATTCH ELITE,192.89,192.89,,,0
CDM,27200001,SLEEVE LAP 4MM DEPTH,720.0,720.0,,,0
CDM,27200001,SLEEVE SCLER BCKL L30IN OD2.4IN ID1.5IN SIL STYL 72,23.52,23.52,,,0
CDM,27200001,SLEEVE SURG SPNL ANG,566.4,566.4,,,0
CDM,27200001,SLITTER CATH LD GUID ADJ DISP,67.2,67.2,,,0
CDM,27200001,SMALL CLIP APPLIER,7056.0,7056.0,,,0
CDM,27200001,SMARTFRAME ARRY MR DRL PROC KT,3600.0,3600.0,,,0
CDM,27200001,SMARTLOCK HMMF PLATE SMALL,881.98,881.98,,,0
CDM,27200001,SMARTSCOPE 1000 MICRON SINGLE USE FIBER 11571,1440.0,1440.0,,,0
CDM,27200001,SMARTSCOPE 200 MICRON SINGLE USE FIBER 11553,684.0,684.0,,,0
CDM,27200001,SMITH AND NEPHEW SHAVER BLADE BONECUTTER FULL RADIUS ORANGEB,75.07,75.07,,,0
CDM,27200001,SMOOTH MOD HI BST SZR 630CC,552.0,552.0,,,0
CDM,27200001,SNARE 12X20,840.0,840.0,,,0
CDM,27200001,SNARE ENDOSCP 3X4.5CM SHTH 7FR ACC CHN 2.8MM HEX FOR ES,41.28,41.28,,,0
CDM,27200001,SNARE ENDOSCP 9MM SHTH DIA2.4MM L230CM EXACTO,36.0,36.0,,,0
CDM,27200001,SNARE ENDOSCP AD L240CM LOOP W10MM SHTH DIA2.4MM RND INSUL,99.0,99.0,,,0
CDM,27200001,SNARE ENDOSCP WRK L240CM LOOP W10MM SHTH DIA2.4MM RND STIFF,63.17,63.17,,,0
CDM,27200001,SNARE ENDOSCP XL L240CM SHTH DIA2.4MM LOOP W33MM 2.8MM WRK,99.0,99.0,,,0
CDM,27200001,SNARE ES 2300MM LOOP 20MM WIRE THCK 0.48MM SPRL WIDE OPN OVL,63.12,63.12,,,0
CDM,27200001,SNARE POLYP SM W13MMXL240CM SHTH DIA2.4MM OVL FLX DISP,63.82,63.82,,,0
CDM,27200001,SNARE POLYPECTOMY SENSATION MEDIUM 27MM,95.64,95.64,,,0
CDM,27200001,SNARE VASC 4FR L120CM DIA10MM 90DEG G PLT TUNG COILS NIT,636.0,636.0,,,0
CDM,27200001,SOFT SIMPLASTIC 3 WAY FOLEY COUVELAIRE TIP CATHETER 22FR 30M,48.24,48.24,,,0
CDM,27200001,SONICISION DISSECTOR DISPOSABLE 39CM,820.08,820.08,,,0
CDM,27200001,SPACER SPNL H19-25MM 12MM COR VERT BODY REPL LORD CRPCTMY,9600.0,9600.0,,,0
CDM,27200001,SPCMKR  BLNT TIP TRCR 12MM,164.11,164.11,,,0
CDM,27200001,SPEED DRILL KIT WITH 2.0MM DRILL BIT,916.2,916.2,,,0
CDM,27200001,SPHINCTEROTOME ENDOSCP 170CM DST RADPQ TIP 4.5FR X 7MM CUT,396.0,396.0,,,0
CDM,27200001,SPHINCTEROTOME ENDOSCP L25MM OD5-4FR 0.021IN BLK PRECRV,525.6,525.6,,,0
CDM,27200001,SPHINCTEROTOME ENDOSCP TIP L5MM CUT WIRE 20MM DST 4.4FR,772.49,772.49,,,0
CDM,27200001,SPHINCTEROTOME L320CM COT CANNULATOME,967.2,967.2,,,0
CDM,27200001,SPINAL NEEDLE,47.14,47.14,,,0
CDM,27200001,SSE 1.6MM MICRO LONG TIP & TUBESET,6854.85,6854.85,,,0
CDM,27200001,SSE 1.9MM MICRO LONG TIP & TUBESET,2672.23,2672.23,,,0
CDM,27200001,SSE 1.9MM STANDARD LONG TIP & TUBESET,3206.66,3206.66,,,0
CDM,27200001,STABILIZER SUR FOR BEAT HRT SUR URCHIN EVO,1910.67,1910.67,,,0
CDM,27200001,STABILIZER SUR TISS EVOL OCTPS,3336.96,3336.96,,,0
CDM,27200001,STAPLER 30 MM,17136.0,17136.0,,,0
CDM,27200001,STAPLER 30MM CURVED TIPUP,18144.0,18144.0,,,0
CDM,27200001,STAPLER ENDO UNIVERSAL 65 12MM INST W/4.0 DLU,367.22,367.22,,,0
CDM,27200001,STAPLER HERN H4MM DIA12MM ENDO MULTFI,311.98,311.98,,,0
CDM,27200001,STAPLER HERN OPN H4.8MM DIA12MM BLK TI PSTL GRP HNDL DISP,367.22,367.22,,,0
CDM,27200001,STAPLER INT 25MM TRNSOR CIR W/ WHT TI STPL DST SER TECH,402.83,402.83,,,0
CDM,27200001,STAPLER INT 3.5MM X 90MM BLU M TISS 8 FIRING W/ DST SER TECH,192.67,192.67,,,0
CDM,27200001,STAPLER INT 4.8MM 6 ROW 10 SULU TI ARTC PSTL GRP HNDL,93.58,93.58,,,0
CDM,27200001,STAPLER INT 4.8MM X 60MM TI RELD DISP DST SER TA,184.4,184.4,,,0
CDM,27200001,STAPLER INT 60-4.8MM AUTO SGL USE RELD GIA,188.04,188.04,,,0
CDM,27200001,STAPLER INT AD L28MM DIA5MM STD GI BLU TI CIR CUT 2 ROW,649.05,649.05,,,0
CDM,27200001,STAPLER INT L26CM 25 RELD TI ERGO DSGN TRI-STPL TECH ULT GEN,441.97,441.97,,,0
CDM,27200001,STAPLER INT L30MM RELD W/ TI STPL DIR STPL TECH SER DISP TA,172.97,172.97,,,0
CDM,27200001,STAPLER INT L30MM RELD W/ TI STPL V3 VASC DST SER,217.43,217.43,,,0
CDM,27200001,STAPLER INT L60MM TI STPL 3.5MM 8 FIRING 7 RELD W/ DST TECH,190.01,190.01,,,0
CDM,27200001,STAPLER INT M 3.5MM LUMN 28MM BLU TISS CIR W/ DST SER TECH,822.02,822.02,,,0
CDM,27200001,STAPLER INT SHFT 80MM STPL 4.8MM THCK TISS GRN 8 FIRING,281.49,281.49,,,0
CDM,27200001,STAPLER INT SHT UNIV L6CM STPL 12MM SKIN ENDOGIA,249.76,249.76,,,0
CDM,27200001,STAPLER INT STD UNIV RELD ENDOGIA,358.29,358.29,,,0
CDM,27200001,STAPLER INT THCK 3.5MM LUMN 28MM GRN CIR W/ DST SER TECH EEA,717.17,717.17,,,0
CDM,27200001,STAPLER INT THCK 4.8MM 90MM STD TISS GRN TI DISP DST SER TA,201.91,201.91,,,0
CDM,27200001,STAPLER INT THCK 4.8MM LUMN 25MM WHT CIR DISP W/ DST SER,779.44,779.44,,,0
CDM,27200001,STAPLER INT XL 28MM BLU TI W/ 4.8MM STPL BARIATRIC CIR CUT 2,805.96,805.96,,,0
CDM,27200001,STAPLER SUR LUMN 25MM STPL H4.8MM THCK TISS WHT CIR W/ DST,689.77,689.77,,,0
CDM,27200001,STAPLER SUR SHFT L60MM STPL H3.8MM MD TISS BLU MAX 8 FIRING,198.82,198.82,,,0
CDM,27200001,STAPLER SUR SHFT L80MM STPL H3.8MM MD TISS BLU MAX 8 FIRING,401.58,401.58,,,0
CDM,27200001,STAPLER TA 30-4.8 SINGLE USE RELOADABLE,172.97,172.97,,,0
CDM,27200001,STENT POSITIONER 6FX45CM,290.74,290.74,,,0
CDM,27200001,STENT URETH INF CHLD 6FR X 50CM KOYLE DIAP,110.21,110.21,,,0
CDM,27200001,STEPDRILL SUR SLD FOR LAG SCR RECON NAIL SYS R2.0 T2,742.12,742.12,,,0
CDM,27200001,STERILE DISPOSABLE BARCO BLADE PK OF 6,180.0,180.0,,,0
CDM,27200001,STERILE DISPOSABLE CLEARCISION BLADE PK OF 12,345.0,345.0,,,0
CDM,27200001,STERILE HUM CUT GUID FIX KT,1800.0,1800.0,,,0
CDM,27200001,STERILE NEURO OMEGA LEADCONFIRM MS CABLE STR-S00041-00,1368.0,1368.0,,,0
CDM,27200001,STERNAL TUNN TOOL FOR DELIVERING INTRO AND EXTRAVASCULAR LD,1440.0,1440.0,,,0
CDM,27200001,STIMULATOR NRV HND HELD LOC CU FLO CONFR LED BTTRY PWR,105.33,105.33,,,0
CDM,27200001,STIMULATOR SUR HNDHLD DISP CKPT GRDIAN,1855.2,1855.2,,,0
CDM,27200001,STOCKINETTE CAST W4INXL25YD SYN CONFORMABILITY PROTOUCH,37.1,37.1,,,0
CDM,27200001,STOCKINETTE CAST W8INXL25YD 1 PLY UNIV COT N TREAT SFT,65.35,65.35,,,0
CDM,27200001,STRAIGHT DRILL WITH SELF-CENTERING SLEEVE 18MM,120.0,120.0,,,0
CDM,27200001,STRAP DSTRCTR ANK FOR ARTHROBROSTROM REP IMPL SYS,117.0,117.0,,,0
CDM,27200001,STRUT EXT FIX L116-152MM SHT FOR ILIZ TAY SPAT FRME EXT FIX,2850.48,2850.48,,,0
CDM,27200001,STRYKER SUCTION IRRIGATOR 2,132.05,132.05,,,0
CDM,27200001,STYLE 42 SILICONE STRIP 4.0MM,37.44,37.44,,,0
CDM,27200001,STYLET DISPOSABLE FOR BRAIN LAB,1284.0,1284.0,,,0
CDM,27200001,STYLET NAVI 2 COIL PRB SGL STEREOTACTIC SUR DISP FOR AXIEM,1090.56,1090.56,,,0
CDM,27200001,STYLET PACE L53CM DIA0.014IN J SHP BALL TIP EXT TAPR,55.2,55.2,,,0
CDM,27200001,SUB - AVANOS 24FR SAFETY PUSH PEG KIT,313.39,313.39,,,0
CDM,27200001,SUBCLAVIAN EP LEFT SHIELD W/ABSORBENT MAT,80.66,80.66,,,0
CDM,27200001,SUCTION MICROMAT 3FR YELLOW,112.01,112.01,,,0
CDM,27200001,SUCTION VALVE FOR VIDEO BRONCOSCOPE,596.57,596.57,,,0
CDM,27200001,SUMP PERICARD 20FR L15IN 1/4IN INTCARD CONN PERF POOL TIP,74.55,74.55,,,0
CDM,27200001,SUPERCORE BIOPSY DEVICE  18G X 15G,150.0,150.0,,,0
CDM,27200001,SUPPORT SCROT MD WHT COT SUSP W/ LEG STRP BAUER AND BLK,25.37,25.37,,,0
CDM,27200001,SURGICEL HEMO 4 X 8,244.54,244.54,,,0
CDM,27200001,SURGIFOAM COMPRESSED SZ 100,66.34,66.34,,,0
CDM,27200001,SURGIGEL HEMO 2X3IN,135.17,135.17,,,0
CDM,27200001,SURGIGEL HEMO 4X8IN,243.34,243.34,,,0
CDM,27200001,SURGIPHOR ANTIMICROBIAL IRRIGATION SYSTEM,169.36,169.36,,,0
CDM,27200001,SURVEILLANCE MARKER PERCUTANEOUS PIN LONG,1080.0,1080.0,,,0
CDM,27200001,SUT CHROMIC 3-0 882H,245.3,245.3,,,0
CDM,27200001,SUT NYLON 2 C12 5-5061,24.7,24.7,,,0
CDM,27200001,SUT SHRPNT 10-0 70MCN AA-0101,155.86,155.86,,,0
CDM,27200001,SUT SILK 4/0,224.69,224.69,,,0
CDM,27200001,SUT TICRON 2-0 T10 3393-51,37.86,37.86,,,0
CDM,27200001,SUT TICRON 3-0 T16 3369-41,32.74,32.74,,,0
CDM,27200001,SUT TICRON 3-0 T5 3256-41,32.09,32.09,,,0
CDM,27200001,SUT TICRON 5 3027-79,29.6,29.6,,,0
CDM,27200001,SUT TRICRON 2-0  2914-51 41602,34.14,34.14,,,0
CDM,27200001,SUT VLOC NON ABS 3-0 BL 9IN,97.55,97.55,,,0
CDM,27200001,SUTURE 5-0 L18IN ABSORBABLE UNDYED P-2 L8MM 1/2 CIRCLE PRIME,17.05,17.05,,,0
CDM,27200001,SUTURE 7 DBL WIRE L18IN NABSRB L49MM CCS-1 1/2 CIR,468.0,468.0,,,0
CDM,27200001,SUTURE ABSORBABLE L27IN SIZE 3-0 VIOLET RB-1 CV23 MONOFILAME,91.72,91.72,,,0
CDM,27200001,SUTURE ABSORBABLE NON ANTIBACTERIAL PLAIN GUT COLLAGEN DOUBL,84.74,84.74,,,0
CDM,27200001,SUTURE ABSRB L18IN L13MM SZ 5-0 P-13 BRAID COAT 3/8 CIR PREM,29.46,29.46,,,0
CDM,27200001,SUTURE CHRM GUT 6-0 18IN ABSRB BLU 6.5MM TG140-8 3/8 CIR,797.22,797.22,,,0
CDM,27200001,SUTURE CHROMIC GUT 4-0 L18IN ABSORBABLE UNDYED L19MM P-12 3/,25.92,25.92,,,0
CDM,27200001,SUTURE CHROMIC GUT 5-0 L18IN ABSORBABLE UNDYED L13MM P-13 3/,46.23,46.23,,,0
CDM,27200001,SUTURE CHROMIC GUT SIZE 3-0 L30IN ABSORBABLE L19MM C-13 3/8,14.78,14.78,,,0
CDM,27200001,SUTURE CHROMIC GUT SIZE 4-0 L30IN ABSORBABLE L19MM C-13 3/8,14.77,14.77,,,0
CDM,27200001,SUTURE COAT VCRL + 0 27IN ABSRB VLT ANTIBACT CR 36MM CT-1,30.57,30.57,,,0
CDM,27200001,SUTURE COAT VCRL 3-0 18IN ABSRB UD CR 26MM SH 1/2 CIR TAPR,29.76,29.76,,,0
CDM,27200001,SUTURE CV7 ON THC-13 30 INCH,75.19,75.19,,,0
CDM,27200001,SUTURE ETHBND EXCEL 0 18IN NABSRB GRN CR 36MM CT-1 1/2 CIR,27.27,27.27,,,0
CDM,27200001,SUTURE ETHBND EXCEL 2-0 10-30IN NABSRB GRN WHT SH POLY COAT,171.53,171.53,,,0
CDM,27200001,SUTURE ETHBND EXCEL 2-0 L30IN N ABSRB GRN WHT L17MM RB-1 1/2,144.48,144.48,,,0
CDM,27200001,SUTURE ETHBND EXCEL 2-0 L30IN N ABSRB GRN WHT L17MM V-5 1/2,148.15,148.15,,,0
CDM,27200001,SUTURE ETHBND EXCEL 2-0 L30IN NABSRB GRN WHT 10X30IN L17MM,175.2,175.2,,,0
CDM,27200001,SUTURE ETHBND EXCEL SZ 2-0 L30IN NABSRB GRN WHT L17MM V-5,179.45,179.45,,,0
CDM,27200001,SUTURE ETHIBOND EXCEL SIZE 2-0 L30IN NONABSORBABLE GREEN CT-,46.71,46.71,,,0
CDM,27200001,SUTURE ETHILON SIZE 10-0 L12IN NONABSORBABLE BLACK CS140-6 L,46.03,46.03,,,0
CDM,27200001,SUTURE ETHILON SIZE 10-0 L5IN NONABSORBABLE BLACK BV100-4 L5,52.75,52.75,,,0
CDM,27200001,SUTURE ETHILON SIZE 10-0 L6IN NONABSORBABLE BLACK CS160-6 L5,57.56,57.56,,,0
CDM,27200001,SUTURE ETHILON SIZE 4-0 L18IN NONABSORBABLE BLACK PS-2 L19MM,108.0,108.0,,,0
CDM,27200001,SUTURE EXPR GUT 5-0 L18IN ABSRB L13MM PC-1 3/8 CIR PRECIS,30.0,30.0,,,0
CDM,27200001,SUTURE FBRSTCK FBRWR SZ 2-0 L50IN L12IN NDL NABSRB BLU,130.27,130.27,,,0
CDM,27200001,SUTURE FBRWR 0 L22.2MM N ABSRB BLU 1/2 CIR TAPERPOINT NDL,57.72,57.72,,,0
CDM,27200001,SUTURE FBRWR L38IN N ABSRB BLU WHT POLY 2 STRND,91.27,91.27,,,0
CDM,27200001,SUTURE FIBERLOOP 2 L20IN N ABSRB BLU L76MM STR NDL LOOP,130.27,130.27,,,0
CDM,27200001,SUTURE GOR TX SZ 5-0 L36IN NABSRB L18MM TH-18 CIR TAPERPOINT,79.39,79.39,,,0
CDM,27200001,SUTURE MONOCRYL 0 L36IN ABSORBABLE VIOLET L48MM CTX 1/2 CIRC,68.83,68.83,,,0
CDM,27200001,SUTURE MONOCRYL PLUS 3-0 L24IN ABSORBABLE UNDYED PS-1 L24MM,45.34,45.34,,,0
CDM,27200001,SUTURE PDS II 2-0 L36IN NABSRB VLT L36MM CTB-1 1/2 CIR TAPR,3.67,3.67,,,0
CDM,27200001,SUTURE PDS II 4-0 L18IN ABSRB UD L8MM P-2 1/2 CIR PRIM REV,19.54,19.54,,,0
CDM,27200001,SUTURE PDS II 5-0 30IN ABSRB VLT 13MM C-1 3/8 CIR TAPR,41.09,41.09,,,0
CDM,27200001,SUTURE PDS II 6-0 L30IN ABSRB VLT L9.3MM BV-1 3/8 CIR TAPR,43.49,43.49,,,0
CDM,27200001,SUTURE PERMA-HAND SIZE 1 L30IN NONABSORBABLE BLACK SH L26MM,44.83,44.83,,,0
CDM,27200001,SUTURE PERMA-HND 4-0 18IN NABSRB BLK CR 17MM RB-1 1/2 CIR,28.09,28.09,,,0
CDM,27200001,SUTURE PERMA-HND 4-0 L18IN NABSRB BLK CR L13MM TF 1/2 CIR,30.82,30.82,,,0
CDM,27200001,SUTURE PERMA-HND SZ 1 L30IN NABSRB BLK L36MM MH 1/2 CIR,55.22,55.22,,,0
CDM,27200001,SUTURE PERMAHAND 4-0 L18IN N ABSRB BLK L13MM G-3 3/8 CIR REV,29.59,29.59,,,0
CDM,27200001,SUTURE PERMAHAND SZ 2-0 L30IN NABSRB BLK L17MM BB 3/8 CIR,62.96,62.96,,,0
CDM,27200001,SUTURE PLAIN GUT 4-0 L18IN ABSORBABLE L19MM P-12 3/8 CIRCLE,36.09,36.09,,,0
CDM,27200001,SUTURE PLAIN GUT SIZE 5-0 L18IN ABSORBABLE YELLOWISH TAN PC-,189.74,189.74,,,0
CDM,27200001,SUTURE POLY 5-0 L18IN NABSRB BLK L6.1MM 1/4 CIR R-5,52.42,52.42,,,0
CDM,27200001,"SUTURE POLYSORB 48"" 12CM",53.95,53.95,,,0
CDM,27200001,SUTURE POLYSRB 2 5XL18IN ABSRB VLT L65MM BGST-29 1/2 CIR,548.83,548.83,,,0
CDM,27200001,SUTURE PROLENE SIZE 10-0 L4IN NONABSORBABLE BLUE CS160-6 L5.,70.8,70.8,,,0
CDM,27200001,SUTURE PROLENE SIZE 7-0 L18IN NONABSORBABLE BLUE BV175-8 L9.,73.69,73.69,,,0
CDM,27200001,SUTURE QUILL MONODERM 2-0 L60CM VAR LOOP 19MM 3/8 CIR REV,41.59,41.59,,,0
CDM,27200001,SUTURE SOFSILK 1 6XL45CM NONABSORBABLE BLACK RACETRAC SILK W,20.8,20.8,,,0
CDM,27200001,SUTURE STRATAFIX MCRYL + 3-0 L30X30CM ABSRB UD PS-2,55.8,55.8,,,0
CDM,27200001,SUTURE STRATAFIX SPIRAL PDS PLUS 0 24XL24CM ABSORBABLE DYED,51.7,51.7,,,0
CDM,27200001,SUTURE STRATAFIX SPRL MCRYL + 3-0 18IN ABSRB UD ANTIBACT,69.57,69.57,,,0
CDM,27200001,SUTURE STRATAFIX SPRL MCRYL + SZ 3-0 L27IN L19MM PS-2 ABSRB,67.47,67.47,,,0
CDM,27200001,SUTURE STRATAFIX SYMMTRC PDS + 0 18IN ABSRB VLT ANTIBACT,56.28,56.28,,,0
CDM,27200001,SUTURE STRATAFIX SYMMTRC PDS + 1 18IN ABSRB VLT ANTIBACT,57.43,57.43,,,0
CDM,27200001,SUTURE SUPRAMID X II SZ 3-0 L12IN N ABSRB WHT L17MM 3/8 CIR,38.27,38.27,,,0
CDM,27200001,SUTURE SURGALLOY SIZE 4-0 L18IN ABSORBABLE P-13 L13MM PREMIU,24.79,24.79,,,0
CDM,27200001,SUTURE TICRON 2 -0 L90CM NABSRB BLU L25MM CV-305 1/2 CIR,34.37,34.37,,,0
CDM,27200001,SUTURE TIGERTAPE TIGERWIRE SZ 2-0 L30IN 2MM 7IN EA END TAPR,130.27,130.27,,,0
CDM,27200001,SUTURE V LOC 1 L18IN NABSRB GS-21 TAPERPOINT NDL,109.9,109.9,,,0
CDM,27200001,SUTURE V LOC PBT SZ 0 18IN NABSRB BLU 37MM GS-21 1/2 CIR,110.55,110.55,,,0
CDM,27200001,SUTURE V-LOC 180 0 L12IN ABSRB GRN L37MM GS-21 1/2 CIR TAPR,98.56,98.56,,,0
CDM,27200001,SUTURE V-LOC 180 0 L9IN ABSRB GRN L37MM GS-21 1/2 CIR TAPR,90.91,90.91,,,0
CDM,27200001,SUTURE V-LOC 180 2-0 L23CM ABSRB GRN L27MM GS-22 1/2 CIR,90.46,90.46,,,0
CDM,27200001,SUTURE V-LOC 180 3-0 L6IN ABSRB GRN L17MM CV-23 1/2 CIR TAPR,90.91,90.91,,,0
CDM,27200001,SUTURE V-LOC 180 3-0 L9IN ABSRB GRN L26MM V-20 1/2 CIR TAPR,98.83,98.83,,,0
CDM,27200001,SUTURE V-LOC 180 SZ 3-0 L6IN ABSRB GRN V-20 L26MM 1/2 CIR,96.19,96.19,,,0
CDM,27200001,SUTURE V-LOC 2-0 L6IN NABSRB BLU L37MM GS-21 1/2 CIR TAPR,93.97,93.97,,,0
CDM,27200001,SUTURE V-LOC 90 2-0 L9IN ABSRB VLT L27MM GS-22 1/2 CIR TAPR,94.15,94.15,,,0
CDM,27200001,SUTURE V-LOC PBT 0 L6IN NABSRB BLU L37MM GS-21 1/2 CIR 11MM,94.01,94.01,,,0
CDM,27200001,SUTURE VCRL 0 L27IN ABSRB VLT L36MM CT-1 1/2 CIR TAPR PNT,27.03,27.03,,,0
CDM,27200001,SUTURE VCRL 10-0 L12IN ABSRB VLT L5.5MM CS160-6 1/2 CIR ULT,61.99,61.99,,,0
CDM,27200001,SUTURE VCRL 2-0 L18IN ABSRB UD CR L26MM CT-2 1/2 CIR TAPR,28.23,28.23,,,0
CDM,27200001,SUTURE VICRYL 3-0 L27IN ABSORBABLE UNDYED,66.29,66.29,,,0
CDM,27200001,SUTURE VICRYL 4.0 VCP773D,30.65,30.65,,,0
CDM,27200001,SUTURE VICRYL 8-0 L5IN ABSORBABLE VIOLET BV130-4 L5MM 1/2 CI,38.28,38.28,,,0
CDM,27200001,SUTURE100ETHILONMICRO,41.26,41.26,,,0
CDM,27200001,SUTURELASSO SD 25 TIGHT CURVE LEFT WITH PERFORATING NEEDLE,365.04,365.04,,,0
CDM,27200001,SUTURETAPE 1.3 BLK/WH W/TPR NDL 36.6MM,130.27,130.27,,,0
CDM,27200001,SUTURETAPE BRAIDED POLYBLEND SUTURE WHITEBLUE 1.3 MM SUTURE,91.27,91.27,,,0
CDM,27200001,SV OF 5FX65CM .038 NB PG,491.04,491.04,,,0
CDM,27200001,SV SO3 5FX80 .038 NB PG,44.64,44.64,,,0
CDM,27200001,SV-8 7CM X .46MM X 180CM,176.26,176.26,,,0
CDM,27200001,SWISS LITHOCLAST TRIL DISP PRB 3.9X440MM,662.3,662.3,,,0
CDM,27200001,SYRINGE 3CC SODIUM CHLORIDE INJECTION USP 0.9% 10/PK,52.8,52.8,,,0
CDM,27200001,SYRINGE INFL W/ HEMSTAT VLV TORQ ACCS + BASIXCOMPAK,91.78,91.78,,,0
CDM,27200001,SYSTEM ADIPOSE PROC AUTOLGS ADV INCL CANSTR VAC CONN IRRIG,1379.42,1379.42,,,0
CDM,27200001,SYSTEM BX 25GA FN NDL SIX DST CUT EDG SHARKCORE,1000.8,1000.8,,,0
CDM,27200001,SYSTEM BX DIA22GA FN W/ PRE LD NDL SHARKCORE,998.26,998.26,,,0
CDM,27200001,SYSTEM CATRCT SUPP HK W/ STAB KNF FLX DISP,72.0,72.0,,,0
CDM,27200001,SYSTEM DRAIN PEDIATRIC C150ML CHEST DRY SUCTION WET SEAL CON,129.6,129.6,,,0
CDM,27200001,SYSTEM DRNGE ID1.5MM INTCRAN CLR CATH PRSS TEMP MON COMPLT,322.97,322.97,,,0
CDM,27200001,SYSTEM EMB LIQ 1GM N BCA BUTYL CYNOACRLT TANT PWD ETHIODIZED,12200.06,12200.06,,,0
CDM,27200001,SYSTEM ENDOSCP VES HARV VASO VW HEMOPRO,2731.87,2731.87,,,0
CDM,27200001,SYSTEM EXT CSF DRNGE MGMT CSF EXT W/ ANTIREFLX VLV ACCUDRAIN,601.7,601.7,,,0
CDM,27200001,SYSTEM EXTR BG 3400ML RNG DIA14CM BLLN L100MM DIA12MM,924.0,924.0,,,0
CDM,27200001,SYSTEM FASCIAL CLSR UNIQUE SHLD WNG SAFE UNIF CONSISTENT EFX,360.0,360.0,,,0
CDM,27200001,SYSTEM HEMSTAS ASSEMB CLR VLV FOR 9FR INSTR CK FLO,24.43,24.43,,,0
CDM,27200001,SYSTEM ILLUMINATION CORDED,1440.0,1440.0,,,0
CDM,27200001,SYSTEM INFL ASSEMB 60ML SYR G PULM DISP ALLIANCE II,118.32,118.32,,,0
CDM,27200001,SYSTEM INTRO DIA0.018IN RO MRK W/ LOK STIFFENING CANN 21GA,181.4,181.4,,,0
CDM,27200001,SYSTEM LAP GELSEAL CAP ALEXIS WND PROTCT RETRCT W/ LUB,1716.0,1716.0,,,0
CDM,27200001,SYSTEM LD 23-29MM TRANSCATHETER AORT VLV EVOLUT FX,936.0,936.0,,,0
CDM,27200001,SYSTEM NEG PRSS 13CM PEEL AND PLC W/ 125 UNIT CANSTR PREVENA,1021.68,1021.68,,,0
CDM,27200001,SYSTEM PANNUS RETEN W/ 2 PD 96IN STRP HYPOALRG ADH BK PRS,112.8,112.8,,,0
CDM,27200001,SYSTEM PANNUS RETEN W/ 4 ADH PD 2 ADJ STRP HYPOALRG PRS,169.2,169.2,,,0
CDM,27200001,SYSTEM PH REFLX TST CAP BASE CALIB FREE W/ DEL SYS,711.84,711.84,,,0
CDM,27200001,SYSTEM SEAL 3.8MM AORT CUT LOADER W/ DEL DEV HEARTSTRING III,1324.97,1324.97,,,0
CDM,27200001,SYSTEM SKIN CLSR 2.9ML 22CM MESH PTCH DERMBND PRINEO,180.7,180.7,,,0
CDM,27200001,SYSTEM SKIN CLSR 60CM 2-OCTYL CYNOACRLT W/ MESH DISPNS,321.65,321.65,,,0
CDM,27200001,SYSTEM STOOL MGMT 60CC JELLY SYR COLL BG CATH ASSEMB TB CLMP,383.52,383.52,,,0
CDM,27200001,SYSTEM SUT MEND DISP FOR REPAIRING TFCC UND DIR ARTHSCP,270.0,270.0,,,0
CDM,27200001,SYSTEM TB 10FR NSL TEAL BLU RETRV PRB WHT CATH W/ ATTCH UMB,294.72,294.72,,,0
CDM,27200001,SYSTEM THROMCTMY CATH 6FR L175CM CONT ASPIR FOR CAT6 SEP,2460.0,2460.0,,,0
CDM,27200001,SYSTEM VERTPLSTY MIX W/ VERTAPLEX HV BNE CEM AUTOPLEX,2754.86,2754.86,,,0
CDM,27200001,T AND A PACK,58.05,58.05,,,0
CDM,27200001,T15 RETENTION DRIVER,746.76,746.76,,,0
CDM,27200001,T2 HUMERAL STERILE TEFLON TUBE,350.4,350.4,,,0
CDM,27200001,T4 RETENTION DRIVER,696.98,696.98,,,0
CDM,27200001,T6 RETENTION DRIVER,696.98,696.98,,,0
CDM,27200001,T8 RETENTION DRIVER,721.87,721.87,,,0
CDM,27200001,TAP 3.0MM,1340.71,1340.71,,,0
CDM,27200001,TAP 5.5MM,1340.71,1340.71,,,0
CDM,27200001,TAP FOR 4.5MM SCREW,820.8,820.8,,,0
CDM,27200001,TAP SUR 2.4MM W/ ADD ON QC FOR EVOS,302.4,302.4,,,0
CDM,27200001,TAP SUR 3.5MM ADD ON VARIAX,424.8,424.8,,,0
CDM,27200001,TAP SUR DIA6.5MM SHLDR GUID RMR RSP,286.2,286.2,,,0
CDM,27200001,TAP SUR FOR 3.5MM BNE SCR,820.8,820.8,,,0
CDM,27200001,TAP SURGICAL DIA4MM DEEP THREAD DCB,277.2,277.2,,,0
CDM,27200001,TAP SURGICAL L250MM OD4MM WITH QUICK COUPLING NCB,268.8,268.8,,,0
CDM,27200001,TEMPLATE ROD SPNL L240MM OD3.7MM,120.0,120.0,,,0
CDM,27200001,THORACENTESIS/PARACENTESIS TRAY,86.74,86.74,,,0
CDM,27200001,THORACOPORT 15MM SOFT,116.94,116.94,,,0
CDM,27200001,THOROCOLUMBAR SPINES,238.85,238.85,,,0
CDM,27200001,THREADED PIN 3.2 MM DIAMETER 508 MM LENGTH  THREADED PIN MM,210.0,210.0,,,0
CDM,27200001,THREADED RECON K-WIRE 3.2 X 400MM,976.39,976.39,,,0
CDM,27200001,TIGHTROPE II RT WITH DEPLOYING SUTURE,1209.0,1209.0,,,0
CDM,27200001,TIP ASPIR L4.6IN L OD2.47MM ID1.92MM SFT TISS STR,1204.2,1204.2,,,0
CDM,27200001,TIP FRCP BPLR L8.5IN WRK L3.5IN DIA1MM CNTOUR SLIM LP AHT,856.8,856.8,,,0
CDM,27200001,TIP FRCP BPLR L9.5IN WRK L4.5IN DIA0.5MM LP AHT ISOCOOL,858.75,858.75,,,0
CDM,27200001,TIP IMPACTOR SM,181.15,181.15,,,0
CDM,27200001,TIP IRRIG 35 ANG BENT POLYMR DISP,27.67,27.67,,,0
CDM,27200001,TIP IRRIG FEM CNL DISP FOR BTTRY PWD INTERPULSE,21.55,21.55,,,0
CDM,27200001,TIP IU 6.7MM X 10CM GRN SIL SFT FLX DST END DISP RUMI II,170.12,170.12,,,0
CDM,27200001,TIP IU 6.7MM X 8CM BLU SIL SFT FLX DST END DISP RUMI II,187.52,187.52,,,0
CDM,27200001,TIP IU 6.7MMX6CM WHT SIL SFT FLX DST END DISP RUMI II,101.57,101.57,,,0
CDM,27200001,TIP IU L12CM DIA6.7MM ORNG SIL FLX DISP RUMI II,121.87,121.87,,,0
CDM,27200001,TIP MALE 5/16-24 UNF-2A SINGLE USE,684.0,684.0,,,0
CDM,27200001,TIP US STD STR SONOTRODE II SONICWELD RX,810.0,810.0,,,0
CDM,27200001,TISSEEL DUPLO ENDO DRIP TIP 32CM,139.75,139.75,,,0
CDM,27200001,TMH ANGIOGRAPHY TRAY,190.66,190.66,,,0
CDM,27200001,TOOL 16OV50 LEGEND 16CM 5MM OVAL,459.55,459.55,,,0
CDM,27200001,TOOL LEGEND 12CM 2.2MM MATCH HEAD,226.22,226.22,,,0
CDM,27200001,TOOL LEGEND 14 CM 2MM BA DIAM,478.7,478.7,,,0
CDM,27200001,TOOL LEGEND 14 CM 5MM DIAM CRS,287.93,287.93,,,0
CDM,27200001,TOOL LEGEND 14CM 3MM DIAM CRS,286.56,286.56,,,0
CDM,27200001,TOOL LEGEND 14CM 5MM BA,276.96,276.96,,,0
CDM,27200001,TOOL LEGEND 14CM 5MM BA DIAM,287.93,287.93,,,0
CDM,27200001,TOOL LEGEND 14CM 5MM BALL DC SH,478.7,478.7,,,0
CDM,27200001,TOOL LEGEND 1CM 1MM BA DIAM,241.32,241.32,,,0
CDM,27200001,TOOL LEGEND 8 CM 1.5MM TA,205.68,205.68,,,0
CDM,27200001,TOOL LEGEND 8CM 2.3MM TAPER,199.49,199.49,,,0
CDM,27200001,TOOL LEGEND 9CM 6MM AC,244.06,244.06,,,0
CDM,27200001,TOOL LEGEND 9CM 6MM BA,247.37,247.37,,,0
CDM,27200001,TOOL LEGEND 9CM 7.5MM AC,236.74,236.74,,,0
CDM,27200001,TOOL MR 9CM HOLESAW 5.4MM DIAMETER,475.63,475.63,,,0
CDM,27200001,TOOL MR8 10CM MATCH HEAD 2MM DIAMETER,218.54,218.54,,,0
CDM,27200001,TOOL MR8 12CM SP MATCH 3MM DIAMETER,648.53,648.53,,,0
CDM,27200001,TOOL MR8 14CM ACORN 6MM DIAMETER,259.68,259.68,,,0
CDM,27200001,TOOL MR8 14CM BALL DMD COARSE 6MM DIAM,296.59,296.59,,,0
CDM,27200001,TOOL MR8 14CM BALL SYM-TRI 5MM DIAMETER,326.4,326.4,,,0
CDM,27200001,TOOL MR8 14CM SP MATCH 2.5MM DIAMETER,648.53,648.53,,,0
CDM,27200001,TOOL MR8 7CM BALL DIAMOND 1MM DIAMETER,249.48,249.48,,,0
CDM,27200001,TOOL MR8 7CM BALL DIAMOND 2MM DIAMETER,249.65,249.65,,,0
CDM,27200001,TOOL MR8 7CM BALL DIAMOND 4MM,249.77,249.77,,,0
CDM,27200001,TOOL MR8 7CM BALL DMD 3MM DIAMETER,249.2,249.2,,,0
CDM,27200001,TOOL TRAPEZIECTOMY CRPL W/ HNDL FOR BNE EXCISION,650.52,650.52,,,0
CDM,27200001,TOOL TRNSVRS TUNN EPSILA EV,1440.0,1440.0,,,0
CDM,27200001,TORCON NB ADVANTAGE VAN SCHIE BEACON TIP SEEKING CATHETER,71.86,71.86,,,0
CDM,27200001,TORCON NB ADVANTAGE VANSCHIE BEACON TIP SEEKING CATHETER,152.26,152.26,,,0
CDM,27200001,TORNADO PLATINUM EMBOLIZATION COIL,278.86,278.86,,,0
CDM,27200001,TORQUE WRENCH KIT,43.2,43.2,,,0
CDM,27200001,TRACKER PT NINVAS FOR NEURO STEREOTACTIC SUR SYS AXIEM,416.64,416.64,,,0
CDM,27200001,TRACOE SILCOSOFT TRACH TUBE 3.5 X 40MM CUFFED SILICONE,465.6,465.6,,,0
CDM,27200001,TRACOE SILCOSOFT TRACH TUBE 3.5 X 40MM PROXIMALLY LONGER CUF,508.8,508.8,,,0
CDM,27200001,TRANSVERSE PROCESS HOOK THREADED LEFT CREO,720.0,720.0,,,0
CDM,27200001,TRAUMA KIT,144.25,144.25,,,0
CDM,27200001,TRAY  PARACERV BLOCK DISP,353.28,353.28,,,0
CDM,27200001,TRAY BIOPSY SOFT TISSUE WITH 25X22GA 5/8X1.5IN NEEDLE SAFETY,47.98,47.98,,,0
CDM,27200001,TRAY CATH 10FR X 48IN F PED SURSTP W/ STATLOK STBL DEV,59.35,59.35,,,0
CDM,27200001,TRAY CATH 14FR F CATH LUBRI-SIL URIMTR STATLOK STBL DEV,50.52,50.52,,,0
CDM,27200001,TRAY CATH 14FR F INCLUDE BARDX IC COMPLT CARE DRNGE BG,37.06,37.06,,,0
CDM,27200001,TRAY CATH 14FR F INCLUDE BARDX IC COMPLT CARE URIMTR STATLOK,48.91,48.91,,,0
CDM,27200001,TRAY CATH 14FR F SURSTP CUST,51.19,51.19,,,0
CDM,27200001,TRAY CATH 16FR COMPLT CARE URIMTR TEMP SENS STATLOK STBL DEV,77.76,77.76,,,0
CDM,27200001,TRAY CATH 16FR F FOAM SWAB SGL LAYR TY W/ BARDX IC COMPLT,64.82,64.82,,,0
CDM,27200001,TRAY CATH 16FR F INCLUDE LUBRI SIL IC COMPLT CARE STATLOK,37.06,37.06,,,0
CDM,27200001,TRAY CATH 16FR W/ FOAM SWAB URIMTR STATLOK STBL DEV,51.19,51.19,,,0
CDM,27200001,TRAY CATH 6FR X 48IN F PED SURSTP W/ STATLOK STBL DEV URIMTR,71.74,71.74,,,0
CDM,27200001,TRAY CATH 8FR X 48IN F PED SURSTP W/ STATLOK STBL DEV URIMTR,59.35,59.35,,,0
CDM,27200001,TRAY CATH IC W/URIMETER 16FR  LATEX FREE (SUB FOR 125534),51.58,51.58,,,0
CDM,27200001,TRAY CATH PED 12FR LUBRI-SIL URIMTR STATLOK STBL DEV SURSTP,50.52,50.52,,,0
CDM,27200001,TRAY CUSTOM ARTHROGRAM,49.66,49.66,,,0
CDM,27200001,TRAY CUSTOM MYELOGRAM,90.63,90.63,,,0
CDM,27200001,TRAY HAD CATH 13FR X 20CM SHT TERM 3L CRV EXTN LEG,533.14,533.14,,,0
CDM,27200001,TRAY HUM THK+0MM 0MM OFFSET CNTR REV AEQUALIS ASCEND FLX,2160.0,2160.0,,,0
CDM,27200001,TRAY IMAGING DIAGNOSTIC,42.66,42.66,,,0
CDM,27200001,TRAY INSERT KERRISON,4354.2,4354.2,,,0
CDM,27200001,TRAY KYPHOPLASTY SZ 2 BLLN L15MM BNE FILL DEV SYR IBT KYPHON,7705.37,7705.37,,,0
CDM,27200001,TRAY SZR OTO POLYPR MOLD DISP,57.1,57.1,,,0
CDM,27200001,TRAY URIN CATH 16FR SIL W/ BARDX IC COMPLT CARE URIMTR,48.91,48.91,,,0
CDM,27200001,TRAY URIN CATH 16FR URIMTR MICROBICIDAL CTRL FIT OUTLT TB,46.42,46.42,,,0
CDM,27200001,TRAY URIN CATH ADD A F COMPLT CARE SYS DRNGE BG STATLOK STBL,24.6,24.6,,,0
CDM,27200001,TRAY URIN CATH F TEMP SENS 350 ML URIMTR BARDX,69.79,69.79,,,0
CDM,27200001,TREPHINE OPHTH 8MM SS ROD 360 DEG RAD VAC CHMBR DISP,187.2,187.2,,,0
CDM,27200001,TRIAL 2191245 O25 IB 27MM 6 DEG 10X45,1044.6,1044.6,,,0
CDM,27200001,TRIMARK TD 13-MR  BIOPSY MARKER,186.24,186.24,,,0
CDM,27200001,TROCAR  9IN 10F 10/CS,50.14,50.14,,,0
CDM,27200001,TROCAR 10IN 16F,92.01,92.01,,,0
CDM,27200001,TROCAR 11MM BLADED,368.69,368.69,,,0
CDM,27200001,TROCAR 16IN 20F,54.41,54.41,,,0
CDM,27200001,TROCAR ACCS PRT 5X120MM W/ LP OBT AIRSEAL,220.44,220.44,,,0
CDM,27200001,TROCAR ENDOSCOPIC L100MM DIA12MM BALLOON BLUNT TIP KII,168.0,168.0,,,0
CDM,27200001,TROCAR ENDOSCP 10MM BLNT TIP W/ BLT-IN CONVERTERS SZ 5MM AND,242.24,242.24,,,0
CDM,27200001,TROCAR ENDOSCP 12MM X 100MM OPT W/ FIX CANN VERSAONE,110.91,110.91,,,0
CDM,27200001,TROCAR ENDOSCP 15MM STD LEN BLDELSS W/ FIX CANN VERSPRT,127.42,127.42,,,0
CDM,27200001,TROCAR ENDOSCP 5MM SHT W/ CANN AND DIL RADIALLY SELF EXPND,174.87,174.87,,,0
CDM,27200001,TROCAR ENDOSCP 5MM X 150MM OPT W/ FIX CANN VERSAONE,96.71,96.71,,,0
CDM,27200001,TROCAR ENDOSCP BLNT TIP W/ OVL DISECT BLLN SPCMKR PRO,892.3,892.3,,,0
CDM,27200001,TROCAR ENDOSCP DIA5MM BLDELSS W/ FIX CANN VERSAONE,55.11,55.11,,,0
CDM,27200001,TROCAR ENDOSCP DIA5MM SHT CANN DIL W/ RADIALLY SELF EXPND SL,87.28,87.28,,,0
CDM,27200001,TROCAR ENDOSCP DIA7-8MM SHT BLDELSS CANN DIL W/ RADIALLY,130.61,130.61,,,0
CDM,27200001,TROCAR ENDOSCP L100MM DIA11MM BLDELSS OPT W/ FIX CANN DISP,109.16,109.16,,,0
CDM,27200001,TROCAR ENDOSCP L100MM DIA12MM BLDELSS STBL SL ENDOPATH XCEL,417.48,417.48,,,0
CDM,27200001,TROCAR ENDOSCP L100MM DIA12MM BLNT TIP W/ THRD ANCHR,120.98,120.98,,,0
CDM,27200001,TROCAR ENDOSCP L100MM DIA15MM BLDELSS OPT W/ FIX CANN,385.39,385.39,,,0
CDM,27200001,TROCAR ENDOSCP L100MM DIA5MM BLDELSS OPT W/ FIX CANN DISP,78.54,78.54,,,0
CDM,27200001,TROCAR ENDOSCP L12MM BLK N CNDTVE SL SFT REP DISP,61.16,61.16,,,0
CDM,27200001,TROCAR ENDOSCP LAP ST SGL USE QUADPORT + (WA58010Q),993.74,993.74,,,0
CDM,27200001,TROCAR ENDOSCP SHT 12MM CANN DIL RADIALLY SL SELF EXPND,116.11,116.11,,,0
CDM,27200001,TROCAR ENDOSCP STD 12MM CANN DIL W/ RADIALLY SELF EXPND SL,135.92,135.92,,,0
CDM,27200001,TROCAR ENDOSCP STD 5MM CANN DIL W/ RADIALLY SELF EXPND SL,130.6,130.6,,,0
CDM,27200001,TROCAR LAP OD7X8MM BLDELSS CANN DIL RADIALLY EXP SL REDUC,164.49,164.49,,,0
CDM,27200001,TUBE  TRACHEOSTOMY  7.0MM. CUFFED,72.22,72.22,,,0
CDM,27200001,TUBE ARMSTRONG BEVELED GROMMET 10-10171,25.99,25.99,,,0
CDM,27200001,TUBE CARD SUCT 6FR SHFT W/ 10FR SFT TIP 1/4IN CONN SS,36.77,36.77,,,0
CDM,27200001,TUBE CONN 14FR L30CM LL W/ DRNGE BG CONN,26.83,26.83,,,0
CDM,27200001,TUBE CRYODECOMPRESSION 20FR ACT VENT CDT TRUFREEZE,672.0,672.0,,,0
CDM,27200001,TUBE ET ID7MM OD9.5MM NIM TRIVANTAGE EMG 1EA,724.62,724.62,,,0
CDM,27200001,TUBE ET ID7MM OD9.5MM TAPERGUARD CUF MURPHY EYE SHILEY PRELD,35.52,35.52,,,0
CDM,27200001,TUBE ET ID8MM OD10.7MM NIM TRIVANTAGE EMG 1EA,729.08,729.08,,,0
CDM,27200001,TUBE ET OD8.2MM ID6MM NIM TRIVANTAGE,721.46,721.46,,,0
CDM,27200001,TUBE ET OD9.6MM ID7MM 352MM CUF MURPHY REINF DISP PVC RUSCH,45.36,45.36,,,0
CDM,27200001,TUBE FEED 10FR L109CM ORNG POLYUR RADPQ EA CM MRK 3PORTHOLES,31.2,31.2,,,0
CDM,27200001,TUBE FEED 12FR L43IN YEL RADPQ ANTICLOG BOL CORFLO,44.76,44.76,,,0
CDM,27200001,TUBE FEED 18FR BLLN 7-10ML SIL RADPQ STRP SECUR-LOK EXT,93.94,93.94,,,0
CDM,27200001,TUBE FEED 20FR BLLN 7-10ML SIL RECESS DST TIP SECUR-LOK EXT,93.94,93.94,,,0
CDM,27200001,TUBE FEED 8FR L43IN YEL RADPQ ANTICLOG BOL CORFLO,44.47,44.47,,,0
CDM,27200001,TUBE FEEDING 6FR,43.85,43.85,,,0
CDM,27200001,TUBE GASTROSTMY 14FR L2.3CM BLLN BTTN LEG MINIONE,276.0,276.0,,,0
CDM,27200001,TUBE GASTROSTMY 18FR L18IN 3L AUTO XCESS REFLUXING,660.0,660.0,,,0
CDM,27200001,TUBE GASTROSTMY OD20FR REPL R ANG ENDOVIVE,249.6,249.6,,,0
CDM,27200001,TUBE GASTROSTOMY 14FR BALLOON 3-5ML SILICONE SECURE LOK EXTE,93.94,93.94,,,0
CDM,27200001,TUBE GASTROSTOMY FEEDING L10CM CATHETER 18FR 5-10ML BALLOON,141.6,141.6,,,0
CDM,27200001,TUBE GJ 14FR STOMA L1.5CM JEJU L15CM LP ANTI KINK W/ BLLN,1401.6,1401.6,,,0
CDM,27200001,TUBE GJ 16FR STOMA L2.7CM JEJU L30CM LP ANTI KINK W/ BLLN,1409.6,1409.6,,,0
CDM,27200001,TUBE GOODE T 10-16010,58.73,58.73,,,0
CDM,27200001,TUBE JEJU 12FR PGTL TIP THRU THE PEG 3 PRT FEED ENDOVIVE,332.11,332.11,,,0
CDM,27200001,TUBE JEJUNAL 26451,334.55,334.55,,,0
CDM,27200001,TUBE REUTER BOBBIN  27070,91.32,91.32,,,0
CDM,27200001,TUBE SPLNT 1320MM OD13.2MM ID11MM SIL HYDRPHLC RADPQ SMTH,689.35,689.35,,,0
CDM,27200001,TUBE SURGICAL FLARED EXCHANGE FOR INTRAMEDULLARY NAIL EXTRAC,130.2,130.2,,,0
CDM,27200001,TUBE TINY TITAN 1056101,64.56,64.56,,,0
CDM,27200001,TUBE TRAC BLUSELECT CUFFLESS NONFEN6,66.22,66.22,,,0
CDM,27200001,TUBE TRACH 13MM STD CLR SAFE-T-TB MONT,506.4,506.4,,,0
CDM,27200001,TUBE TRACH 6MM X 64.5MM POLYVI CHL CUF BLU LN ULT PORTEX,74.42,74.42,,,0
CDM,27200001,TUBE TRACH AD L100MM CUF DIA35MM OD12.3MM ID7MM DST EXT LEN,147.41,147.41,,,0
CDM,27200001,TUBE TRACH AD L120MM OD10.6MM ID7MM SIL CUF ADJ NK FLNG,373.58,373.58,,,0
CDM,27200001,TUBE TRACH AD L130MM OD11.7MM ID8MM SIL CUF ADJ NK FLNG,373.58,373.58,,,0
CDM,27200001,TUBE TRACH AD L70MM OD8.8MM ID6MM SIL STR CUF BIVONA TTS,154.03,154.03,,,0
CDM,27200001,TUBE TRACH BLUSELECT CUFFED NONFEN,72.22,72.22,,,0
CDM,27200001,TUBE TRACH BLUSELECT CUFFEDNONFEN8,72.22,72.22,,,0
CDM,27200001,TUBE TRACH BLUSELECT CUFFLESS NONFEN 8.0,66.22,66.22,,,0
CDM,27200001,TUBE TRACH PED L104MM OD6.7MM ID4.5MM SIL CUF STR NK FLNG,448.63,448.63,,,0
CDM,27200001,TUBE TRACH PED L39MM OD4.7MM ID3MM SIL UNCUF V FLNG W/ OBT,117.43,117.43,,,0
CDM,27200001,TUBE TRACH PED L92MM OD5.3MM ID3.5MM SIL CUF STR NK FLNG,448.63,448.63,,,0
CDM,27200001,TUBE TRACH PED L93MM OD6MM ID4MM SIL CUF STR NK FLNG W/ OBT,446.4,446.4,,,0
CDM,27200001,TUBE TRACH PED SZ 5MM L44MM PROX DST OD7.3MM ID5MM SIL CUF V,448.63,448.63,,,0
CDM,27200001,TUBE TRACH REIN 8.0,45.36,45.36,,,0
CDM,27200001,TUBE VENT ID1.52MM SIL NOTCH TAB TWST IN INSRT PAPARELLA,39.58,39.58,,,0
CDM,27200001,TUBING PMP INFLO SET FOR FLD MGMT SYS DYONIC 25,147.6,147.6,,,0
CDM,27200001,TUNNELER FOR VNS,1353.6,1353.6,,,0
CDM,27200001,TUNNELER SUR PLAS FOR HCKMN BRVC LNRD CATH,182.4,182.4,,,0
CDM,27200001,TUNNELING TOOL  35 CM,180.0,180.0,,,0
CDM,27200001,TW DRLUN31.2X85MMWL4MM TPS,456.31,456.31,,,0
CDM,27200001,TYRX ANTIBACTERIAL ENVELOPE MED,1908.0,1908.0,,,0
CDM,27200001,ULTRA BRAID #2 CO-BRAID W/NEEDLE,45.36,45.36,,,0
CDM,27200001,ULTRATHANE MAC-LOC LOCKING LOOP MULTIPURPOSE DRAINAGE CATHET,201.86,201.86,,,0
CDM,27200001,UN3 BOX PLATELARGE,658.94,658.94,,,0
CDM,27200001,UNIT DRN AD PED C16LPM AIRFLOW SGL COLL CHMBR 2500ML CHST,96.48,96.48,,,0
CDM,27200001,UNIT DRNGE PLEUR CAV 2 COLL WET SUCT WET SEAL REGULATED STR,124.76,124.76,,,0
CDM,27200001,UNIVERSAL PACK II  88766,53.09,53.09,,,0
CDM,27200001,UROLOGY DRAIN BAG C000-0593,35.4,35.4,,,0
CDM,27200001,V-LOC 180 ABSORBABLE WOUND CLOSURE DEVICE GREEN SIZE 3-0 9IN,90.91,90.91,,,0
CDM,27200001,V14 6 GRAM 300CM,316.8,316.8,,,0
CDM,27200001,VAGINAL DILATORS SET OF 4 SZ 1/2/3/4,576.0,576.0,,,0
CDM,27200001,VALVE ANGIO ID0.096IN BLEEDBK CTRL COPILOT,57.6,57.6,,,0
CDM,27200001,VALVE HEMSTAS 7.3FR SIL POLYCARB STANDALONE W/ L15CM BONDED,37.44,37.44,,,0
CDM,27200001,VASCULAR PACK,243.33,243.33,,,0
CDM,27200001,VASCULAR PROBE 8 MHZ,314.4,314.4,,,0
CDM,27200001,VENOUS CANNULA METAL TIP 22FR,175.9,175.9,,,0
CDM,27200001,VERSAJET HANDPIECE 14MM/45 DEGREE,840.0,840.0,,,0
CDM,27200001,VERSAJET II PLUS DISPOSABLE HANDPIECE 45 DEGREE/14MM,1116.0,1116.0,,,0
CDM,27200001,VERSAPORT V2 BLADELESS OPT 12M,58.49,58.49,,,0
CDM,27200001,VERTEBRAL 4FR 100CM  PT 038,29.4,29.4,,,0
CDM,27200001,VESSELOOP W/NEEDLE (2BX MIN),40.75,40.75,,,0
CDM,27200001,VISIGLIDE (ANGLED) .035/270,476.47,476.47,,,0
CDM,27200001,VIZISHOT FLEX 19G EBUS NEEDLE,806.4,806.4,,,0
CDM,27200001,VRSASTP SHRT INSUFFLATION/ACC,40.06,40.06,,,0
CDM,27200001,WAYLAND SQUARE GENERAL PACK,57.07,57.07,,,0
CDM,27200001,WEB DETACHMENT CONTROLLER,444.0,444.0,,,0
CDM,27200001,WECK ENDO FASCIAL CLOSURE SYSTEM,228.0,228.0,,,0
CDM,27200001,WIRE  .035/260 STRAIGHT EXG,21.6,21.6,,,0
CDM,27200001,WIRE BALL TIP 37 CM LENGTH 4.5 MM DIA,444.0,444.0,,,0
CDM,27200001,WIRE EXT FIX 1.8MM X 400MM W/ STPR FOR ILIZ,535.1,535.1,,,0
CDM,27200001,WIRE FIX L11.875IN DIA0.048IN LUQ SPINE SS CLS BEAD LOOP,143.95,143.95,,,0
CDM,27200001,WIRE K TRCR TIP 2.0MM X 255MM,107.29,107.29,,,0
CDM,27200001,WIRE KIRSC 4IN .054 1645-100,25.2,25.2,,,0
CDM,27200001,WIRE ROUND TIP 58 CM LENGTH 1.5 MM DIA,300.0,300.0,,,0
CDM,27200001,WIRE SPEAR TIP 58 CM LENGTH 3 MM DIA,444.0,444.0,,,0
CDM,27200001,WIRE STRNOTMY SZ 6 L14IN L65MM BE NO 2 1/2 CIR BALL END NDL,78.0,78.0,,,0
CDM,27200001,WRENCH SUR NUM 2 WHT ORNG BIDIR TORQ,120.0,120.0,,,0
CDM,27200001,ZIMMER DERMATOME BLADES  LBL# 30880000010 VER 05,75.6,75.6,,,0
CDM,27200008,410911 : KIT ASPIR PROX 12FR DST 12FR X 115CM CATH 0.014-0.038IN WIRE,16056.0,16056.0,,,0
CDM,27200008,412512 : PLATFORM CATH L110CM DIA0.088IN L DST ZOOM 88-T,7668.0,7668.0,,,0
CDM,27200008,412513 : CATHETER VASC L137CM DIA0.071IN ASPIR ZOOM 71,6444.0,6444.0,,,0
CDM,27200008,412514 : CATHETER REPERFUSION L137CM DIA0.055IN ZOOM 55,6444.0,6444.0,,,0
CDM,27200008,412515 : ZOOM 45 REPERFUSION CATHETER,6444.0,6444.0,,,0
CDM,27200008,412516 : CATHETER VASC L160CM DIA0.035IN ASPIR ZOOM 35,4524.0,4524.0,,,0
CDM,27200008,414795 : EMBOLECTOMY CATH 3F 80CM,381.6,381.6,,,0
CDM,27200008,414797 : CATHETER EMB 5FR X 80CM BLLN 1ML 11MM SIL SL REG TIP DISP,381.6,381.6,,,0
CDM,27200008,421449 : CATHETER THROMCTMY 110DEG PRESHAPED FLOWTRIEVER RETRV-ASPIR,19200.0,19200.0,,,0
CDM,27200008,421457 : CATHETER THROMCTMY SUCT L115CM OD16MM VAR CLOTTRIEVER,15600.0,15600.0,,,0
CDM,27200008,490368 : CATHETER THROMCTMY CLT BOLD,14400.0,14400.0,,,0
CDM,27200008,534440 : CATHETER THROMCTMY 6-20MM 80CM REVCORE,15600.0,15600.0,,,0
CDM,27200008,80CM SYS LIGHTNING FLASH CATH HTORQ ASP TB 6F SELECT CATH 10,23160.0,23160.0,,,0
CDM,27200008,CATHETER  FOGARTY 4FR,357.6,357.6,,,0
CDM,27200008,CATHETER REPERFUSION L137CM DIA0.055IN ZOOM 55,6444.0,6444.0,,,0
CDM,27200008,CATHETER THROMCTMY 110DEG PRESHAPED FLOWTRIEVER RETRV/ASPIR,19200.0,19200.0,,,0
CDM,27200008,CATHETER THROMCTMY 6-20MM 80CM REVCORE,15600.0,15600.0,,,0
CDM,27200008,CATHETER THROMCTMY CLT BOLD,14400.0,14400.0,,,0
CDM,27200008,CATHETER THROMCTMY SUCT L115CM OD16MM VAR CLOTTRIEVER,15600.0,15600.0,,,0
CDM,27200008,CATHETER VASC L137CM DIA0.071IN ASPIR ZOOM 71,6444.0,6444.0,,,0
CDM,27200008,CATHETER VASC L160CM DIA0.035IN ASPIR ZOOM 35,4524.0,4524.0,,,0
CDM,27200008,EMBOLECTOMY CATH 3F 80CM,381.6,381.6,,,0
CDM,27200008,PLATFORM CATH L110CM DIA0.088IN L DST ZOOM 88-T,7668.0,7668.0,,,0
CDM,27200008,RETRIEVER THROMCTMY L200CM STNT L36MM DIA3MM GWIRE 0.015IN,12720.0,12720.0,,,0
CDM,27200008,SYSTEM THROMCTMY CATH 100CM HTORQ TIP W/ ASPIR TBNG AND 6FR,23160.0,23160.0,,,0
CDM,27200008,ZOOM 45 REPERFUSION CATHETER,6444.0,6444.0,,,0
CDM,27200009,101410 : CATHETER ANGIO 14G X 5.25IN,28.94,28.94,,,0
CDM,27200009,103466 : CATHETER URET 5FR L70CM PVC OPN END TIP FLEXI-TIP,32.59,32.59,,,0
CDM,27200009,368304 : CATHETER URETH DIL 7FR 29CM BLLN 18CM INFLATED DIA8.7MM OPN,332.16,332.16,,,0
CDM,27200009,38296 : OPEN-END FLEXI-TIP URETERAL CATHETER,31.4,31.4,,,0
CDM,27200009,50338 : CATHETER URET 10FR X 54CM 2 INJ LUMN 0.05IN RECOMMENDED,161.83,161.83,,,0
CDM,27200009,CATHETER URET 10FR X 54CM 2 INJ LUMN 0.05IN RECOMMENDED,205.99,205.99,,,0
CDM,27200009,CATHETER URET 5FR L70CM PVC OPN END TIP FLEXI-TIP,30.88,30.88,,,0
CDM,27200009,INACTIVE USE PS#103466 -  CATHETER URET 5FR L70CM PVC OPN EN,29.11,29.11,,,0
CDM,27200011,113894 : TUNNELER SUR SHFT L13.4IN W- PKM POLYMR SL SS BULL TIP DISP,1387.2,1387.2,,,0
CDM,27200011,TUNNELER SUR SHFT L13.4IN W/ PKM POLYMR SL SS BULL TIP DISP,1370.4,1370.4,,,0
CDM,27200014,105388 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH AL 0.75,115.2,115.2,,,0
CDM,27200014,105389 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH AL 1.0 CRV,115.2,115.2,,,0
CDM,27200014,105396 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH AR 2.0 CRV,115.2,115.2,,,0
CDM,27200014,105426 : CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH AL 7.5 CRV,110.4,110.4,,,0
CDM,27200014,105434 : 7FR EBU 3.75 LAUNCHER,110.4,110.4,,,0
CDM,27200014,105435 : CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH L COR X,115.2,115.2,,,0
CDM,27200014,110826 : 7F RC4 SC GUIDE        34357-448,132.0,132.0,,,0
CDM,27200014,110903 : 6F 3DRC GUIDE,91.2,91.2,,,0
CDM,27200014,110904 : 6F RCB GUIDE     670-182-00,91.2,91.2,,,0
CDM,27200014,111313 : CATHETER GUID 6FR L100CM STD COR NYL JR 4 CRV W-O SIDE H,115.2,115.2,,,0
CDM,27200014,111320 : CATHETER GUID 7FR L100CM ID0.081IN EBU4.5 RADPQ MRK BND FLX,115.2,115.2,,,0
CDM,27200014,122491 : CATHETER GUID LG 6FR L55CM PTFE INNR LNR NYL TOP RDC RADPQ,96.0,96.0,,,0
CDM,27200014,128506 : CATHETER DIAG 4FR L90CM 0.035IN HYDRPHLC SUPP STR TIP RADPQ,389.76,389.76,,,0
CDM,27200014,128507 : CATHETER DIAG 4FR X 135CM 0.035IN GWIRE HYDRPHLC RADPQ TUNG,389.76,389.76,,,0
CDM,27200014,137250 : ATTAIN COMMAND SUREVALVE CATHETER  6250V-3D,705.6,705.6,,,0
CDM,27200014,137260 : CATHETER GUID 9X7.2FR L45CM MP R POLYETHER BLK AMIDE PLYAMDE,705.6,705.6,,,0
CDM,27200014,157593 : MICROCATHETER INTVENT 2.4FR X 150CM HYDRPHLC STR RADPQ MRK,838.8,838.8,,,0
CDM,27200014,157594 : SARAH RADIAL CATHETER,108.0,108.0,,,0
CDM,27200014,245573 : 6F JL 3 GUIDE,91.2,91.2,,,0
CDM,27200014,245575 : CATHETER GUID 6FR L100CM COR BYPS L PTFE TRUE LUMN RADPQ,91.2,91.2,,,0
CDM,27200014,245581 : CATHETER GUID AD 6FR L100CM COR PERIPH GRN NYL PTFE XB LAD,91.2,91.2,,,0
CDM,27200014,357490 : GC 5F 056 JR 4 STAND TIP,91.2,91.2,,,0
CDM,27200014,357561 : 6F .070 XB 4 100CM,91.2,91.2,,,0
CDM,27200014,357646 : 6F .070 IM,91.2,91.2,,,0
CDM,27200014,357658 : 6F .072 XB LAD 3.5 100CM,91.2,91.2,,,0
CDM,27200014,357740 : 6F .070 AR 2 100CM,91.2,91.2,,,0
CDM,27200014,357938 : 6F .070 JR4 ECO PK,91.2,91.2,,,0
CDM,27200014,358601 : SI BRITE TIP 7F 55CM STR CAT,52.2,52.2,,,0
CDM,27200014,368878 : MICROCATHETER DIAG 2.4-3.2FR L130CM 90DEG DST TIP 0.014IN,1464.0,1464.0,,,0
CDM,27200014,368880 : MICROCATHETER DIAG 130CM OD2.4FR X 3.2FR ID0.017IN X 0.018IN,1236.0,1236.0,,,0
CDM,27200014,369809 : CATHETER INFUS 3.2FR X 2.8FR X 160CM SS COIL PTFE INNR LNR,2222.4,2222.4,,,0
CDM,27200014,37208 : SHEATH 7FR BRITE TIP 37208,52.2,52.2,,,0
CDM,27200014,406765 : ASAHI CORSAIR PRO XS 2.1 FR 135 CM,2040.0,2040.0,,,0
CDM,27200014,406766 : MICROCATHETER DIAG 2 1FR X 2 9FR X 150CM TIP 1 3FR HYDRPHLC,2040.0,2040.0,,,0
CDM,27200014,407234 : CATHETER GUID 6FR L150CM DST EXTN L25CM HYDRPHLC SL RX PLAT,960.0,960.0,,,0
CDM,27200014,407568 : CATHETER VASC L90CM OD2 6FR GWIRE OD0 018IN STR CXI SUPP,438.48,438.48,,,0
CDM,27200014,407574 : CATHETER INTVENT 2.6FR X 150CM GWIRE 0.018IN STR TIP CXI,438.48,438.48,,,0
CDM,27200014,407575 : CATHETER DIAG 2.6FR L150CM GWIRE DIA0.018IN ANG TIP W- PLAT,438.48,438.48,,,0
CDM,27200014,407722 : CATHETER DIAG 5FR X 130CM ID0.04IN S BRD SHFT RADPQ POLYMR,300.0,300.0,,,0
CDM,27200014,408139 : MICROCATHETER VASC L154CM DIA0.027IN MIC BRAID VIA 27,3720.0,3720.0,,,0
CDM,27200014,408435 : CATHETER HI DEF KODAMA IVUS,1800.0,1800.0,,,0
CDM,27200014,412112 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH L COR X,112.94,112.94,,,0
CDM,27200014,412510 : TRACSTAR LDP 95CM,4068.0,4068.0,,,0
CDM,27200014,415684 : CATH  6248V-90 ATTAIN SELECT II,626.4,626.4,,,0
CDM,27200014,416081 : CATH LAUNCHER 5R 100CM EBU 3.0,115.2,115.2,,,0
CDM,27200014,416615 : CATH LAUNCHER  L90CM OD7FR ID0.081IN NYL AL 0.75 LG,96.0,96.0,,,0
CDM,27200014,416663 : CATH LAUNCHER L90CM OD7FR EBU3.75 RADIOPAQUE,115.2,115.2,,,0
CDM,27200014,418957 : FINE CROSS MICRO GUIDE M3 CATHETER 150CM,1398.0,1398.0,,,0
CDM,27200014,420316 : MICROCATHETER GUID 130CM OD2.5FR X 1.8FR ID0.021IN X 0.018IN,1398.0,1398.0,,,0
CDM,27200014,420883 : CATHETER VASC L160CM PHENOM 21,2412.0,2412.0,,,0
CDM,27200014,421495 : SET BX NDL 18GA L60CM THRW L20MM SHTH 7FR LIV ACCS,904.78,904.78,,,0
CDM,27200014,421500 : CATHETER DIAG 2.8X2FR L155CM MIC BERN TIP TRUSELECT,2040.0,2040.0,,,0
CDM,27200014,421501 : CATHETER NEUROVASC GUID PROX 2.8FR DST 2FR L175CM TRUSELECT,2160.0,2160.0,,,0
CDM,27200014,440358 : CATHETER GUID 7FR X 60CM IC130 ACUITY PRO,588.0,588.0,,,0
CDM,27200014,45697 : CATHETER GUID 7FR 100CM STD COR NYL JR 4 CRV W-O SIDE H,105.6,105.6,,,0
CDM,27200014,45727 : CATHETER LAUNCHER 7F 1CM EB5,115.2,115.2,,,0
CDM,27200014,487295 : CATHETER DIAGNOSTIC 2.8X2FR L155CM MICRO STRAIGHT TIP TRUSEL,2040.0,2040.0,,,0
CDM,27200014,487296 : CATHETER DIAGNOSTIC L175CM 2.8-2FR STRAIGHT SELECTIVE WITHOU,2160.0,2160.0,,,0
CDM,27200014,535166 : CATHETER GUID 7FR X 150CM RX 13CM 14ATM 0.062IN GUID EXTN,1802.4,1802.4,,,0
CDM,27200014,535367 : CATHETER VASC GUID AD 6FR L90CM SIM 2 PERIPH W-O HYDRPHLC,1307.06,1307.06,,,0
CDM,27200014,540846 : MICROCATHETER VASC DST 2.2FR PROX 2.5FR X 0.0175IN X 154CM,3720.0,3720.0,,,0
CDM,27200014,6F .070 AR 2 100CM,91.2,91.2,,,0
CDM,27200014,6F JL 3 GUIDE,91.2,91.2,,,0
CDM,27200014,6F RCB GUIDE     670-182-00,91.2,91.2,,,0
CDM,27200014,7FR EBU 3.75 LAUNCHER,97.28,97.28,,,0
CDM,27200014,ASAHI CORSAIR PRO XS 2.1 FR 135 CM,2040.0,2040.0,,,0
CDM,27200014,ASAHI SHEATHLESS EAUCATH 6.5 FR JR 4.0,312.0,312.0,,,0
CDM,27200014,ATTAIN COMMAND SUREVALVE CATHETER  6250V-3D,705.6,705.6,,,0
CDM,27200014,CATH  6248V-130L ATTAIN SELECT II,626.4,626.4,,,0
CDM,27200014,CATH GD 6FR L100CM MB2 SIDEHOLE Z2,96.0,96.0,,,0
CDM,27200014,CATH GD CS04-HIS,1668.0,1668.0,,,0
CDM,27200014,CATH GD L90CM OD6FR DIA0.07IN HDPE LNR AMPLATZ LF1 SHERPA NX,115.2,115.2,,,0
CDM,27200014,CATH LAUNCHER  L90CM OD7FR ID0.081IN NYL AL 0.75 LG,97.92,97.92,,,0
CDM,27200014,CATH LAUNCHER 5R 100CM EBU 3.0,96.0,96.0,,,0
CDM,27200014,CATH LAUNCHER 7FR L100CM POLY JR4.0 CURV,19.2,19.2,,,0
CDM,27200014,CATH LAUNCHER 8FR L100CM ID0.090IN JUDKINS LF 3.5,96.0,96.0,,,0
CDM,27200014,CATH LAUNCHER L90CM OD7FR EBU3.75 RADIOPAQUE,97.37,97.37,,,0
CDM,27200014,CATH LAUNCHER L90CM OD7FR NYL AMPLATZ LF 1,96.0,96.0,,,0
CDM,27200014,CATHETER ANGIOGRAPHIC 10 SIDEPORT HIGH FLOW ROYAL FLUSH PLUS,52.32,52.32,,,0
CDM,27200014,CATHETER ANGIOGRAPHIC L100CM OD5FR .038IN KMP CONFIGURATION,126.72,126.72,,,0
CDM,27200014,CATHETER ANGIOGRAPHY 8FR L80CM ID0.096IN 0.038IN GUIDEWIRE S,2148.0,2148.0,,,0
CDM,27200014,CATHETER DIAG 2.6FR L150CM GWIRE DIA0.018IN ANG TIP W/ PLAT,438.48,438.48,,,0
CDM,27200014,CATHETER DIAG 2.8X2FR L155CM MIC BERN TIP TRUSELECT,2025.12,2025.12,,,0
CDM,27200014,CATHETER DIAG 5FR X 130CM ID0.04IN S BRD SHFT RADPQ POLYMR,300.0,300.0,,,0
CDM,27200014,CATHETER DIAGNOSTIC 2.8X2FR L155CM MICRO STRAIGHT TIP TRUSEL,2006.91,2006.91,,,0
CDM,27200014,CATHETER DIAGNOSTIC L175CM 2.8-2FR STRAIGHT SELECTIVE WITHOU,2149.92,2149.92,,,0
CDM,27200014,CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH AL 0.75,96.0,96.0,,,0
CDM,27200014,CATHETER GUID 6FR L100CM STD COR NYL JR 4 CRV W/O SIDE H,96.31,96.31,,,0
CDM,27200014,CATHETER GUID 6FR L150CM DST EXTN L25CM HYDRPHLC SL RX PLAT,960.0,960.0,,,0
CDM,27200014,CATHETER GUID 7FR 100CM STD COR NYL JR 4 CRV W/O SIDE H,96.0,96.0,,,0
CDM,27200014,CATHETER GUID 7FR L100CM ID0.081IN EBU4.5 RADPQ MRK BND FLX,96.0,96.0,,,0
CDM,27200014,CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH AL 7.5 CRV,97.48,97.48,,,0
CDM,27200014,CATHETER GUID 7FR L150CM DST EXTN L25CM HYDRPHLC SL RX PLAT,960.0,960.0,,,0
CDM,27200014,CATHETER GUID 7FR L90CM DIA0.081IN NYL SHFT COR AL1.0 MID,96.0,96.0,,,0
CDM,27200014,CATHETER GUID 7FR X 150CM RX 13CM 14ATM 0.062IN GUID EXTN,1802.4,1802.4,,,0
CDM,27200014,CATHETER GUID 8FR L100CM TIP L0.1IN PTFE INNR LNR NYL TOP MP,91.2,91.2,,,0
CDM,27200014,CATHETER GUID 9X7.2FR L45CM MP R POLYETHER BLK AMIDE PLYAMDE,705.6,705.6,,,0
CDM,27200014,CATHETER GUID LG 6FR L55CM PTFE INNR LNR NYL TOP RDC RADPQ,96.0,96.0,,,0
CDM,27200014,CATHETER GUIDING 2FR L130CM 800PSI STRAIGHT TIP TRUSELECT,2040.0,2040.0,,,0
CDM,27200014,CATHETER HI DEF KODAMA IVUS,1800.0,1800.0,,,0
CDM,27200014,CATHETER INFUS 3.2FR X 2.8FR X 160CM SS COIL PTFE INNR LNR,2222.4,2222.4,,,0
CDM,27200014,CATHETER INTVENT 2.6FR X 150CM GWIRE 0.018IN STR TIP CXI,438.48,438.48,,,0
CDM,27200014,CATHETER LAUNCHER 7F  9CM JR4.,96.0,96.0,,,0
CDM,27200014,CATHETER NEUROVASC GUID L150CM DIA0.021IN SFT DST SEG L6CM,2412.0,2412.0,,,0
CDM,27200014,CATHETER NEUROVASC GUID PROX 2.8FR DST 2FR L175CM TRUSELECT,2151.6,2151.6,,,0
CDM,27200014,CATHETER VASC L160CM PHENOM 21,2412.0,2412.0,,,0
CDM,27200014,CATHETER VASC L90CM OD2 6FR GWIRE OD0 018IN STR CXI SUPP,438.48,438.48,,,0
CDM,27200014,DEVICE TISS REM 4MM X 12.6IN HNDHLD DISP FOR IU TISS FLUENT,2304.0,2304.0,,,0
CDM,27200014,FINE CROSS MICRO GUIDE M3 CATHETER 150CM,1382.4,1382.4,,,0
CDM,27200014,GC 5F 056 XBLAD 3.5 STAND TIP,91.2,91.2,,,0
CDM,27200014,GC 7F 078 XB 4,91.2,91.2,,,0
CDM,27200014,GUIDE  8F MPA1,91.2,91.2,,,0
CDM,27200014,MICROCATHETER DIAG 130CM OD2.4FR X 3.2FR ID0.017IN X 0.018IN,1236.0,1236.0,,,0
CDM,27200014,MICROCATHETER DIAG 2 1FR X 2 9FR X 150CM TIP 1 3FR HYDRPHLC,2040.0,2040.0,,,0
CDM,27200014,MICROCATHETER DIAG 2.4-3.2FR L130CM 90DEG DST TIP 0.014IN,1464.0,1464.0,,,0
CDM,27200014,MICROCATHETER GUID 130CM OD2.5FR X 1.8FR ID0.021IN X 0.018IN,1385.81,1385.81,,,0
CDM,27200014,MICROCATHETER INTVENT 2.4FR X 150CM HYDRPHLC STR RADPQ MRK,829.21,829.21,,,0
CDM,27200014,MICROCATHETER VASC 2.4FR X 0.0175IN X 154CM 90 DEG FLAT BRD,3720.0,3720.0,,,0
CDM,27200014,MICROCATHETER VASC DST 2.2FR PROX 2.5FR X 0.0175IN X 154CM,3720.0,3720.0,,,0
CDM,27200014,MICROCATHETER VASC L154CM DIA0.027IN MIC BRAID VIA 27,3720.0,3720.0,,,0
CDM,27200014,SARAH RADIAL CATHETER,108.0,108.0,,,0
CDM,27200014,SET BX NDL 18GA L60CM THRW L20MM SHTH 7FR LIV ACCS,904.78,904.78,,,0
CDM,27200014,SHEATH 7FR BRITE TIP 37208,54.13,54.13,,,0
CDM,27200014,SHEATH BRITE TIP 7FR 90CM,51.6,51.6,,,0
CDM,27200014,SI BRITE TIP 7F 55CM STR CAT,52.2,52.2,,,0
CDM,27200014,TRACSTAR LDP 95CM,3798.0,3798.0,,,0
CDM,27200014,VIA 3.8F 33 ID MICROCATHETER STR 133CM,3720.0,3720.0,,,0
CDM,27200017,HC REFILL KIT FOR IMPLANTABLE INF PUMP,29.0,29.0,,,0
CDM,27200099,MULTI CLIP APPLIER LIGACLIP MEDIUM CLIPS 11 12IN LENGTH  MED,72.0,72.0,,,0
CDM,27200099,MULTIPLE CLIP APPLIER LIGACLIP MCA 9 38IN LENGTH MEDIUM CLIP,72.0,72.0,,,0
CDM,27200099,TROCAR CANNULA STABILITY SLEEVE XCEL ENDOPATH 5MM X 100MM,44.76,44.76,,,0
CDM,27200100,535318 : SYSTEM ACCS SHTH 17FR X 12FR L ATR APPENDAGE DBL CRV BIDIR,8232.25,8232.25,,,0
CDM,27200100,HC 272 WO HCPCS WATCHMAN NON-IMPLANTABLE COMPONENTS,3504.0,3504.0,,,0
CDM,27200100,SYSTEM ACCS SHTH 17FR X 12FR L ATR APPENDAGE DBL CRV BIDIR,3504.0,3504.0,,,0
CDM,27200125,URETEROSCOPE 9.5FR X 3.6FR TIP 7.7FR DGT FLX SHTH INTEGR CAM,5900.0,5900.0,,,0
CDM,27200151,414811 : RECELL,16500.0,16500.0,,,0
CDM,27200151,RECELL,16500.0,16500.0,,,0
CDM,27200200,MICROCATHETER INFUS 3.2FR L150CM TIP 1.5-3.5MM SLD TUMOR,20925.0,20925.0,,,0
CDM,27200200,TRINAV INFUSION SYSTEM 120CM,23250.0,23250.0,,,0
CDM,27200211,1/3 LCK TUBULAR PLATE 8H,294.0,294.0,,,0
CDM,27200211,1ST MTP TI FUSION PLATE SMALL 0 DEG RIGHT,7666.2,7666.2,,,0
CDM,27200211,2.0 T-SHAPE TI PLATE 6 HOLE,2809.8,2809.8,,,0
CDM,27200211,2.0MM COUNTERSINK,328.58,328.58,,,0
CDM,27200211,2.0MM TI CRTX SCR LGTH16MM BLUE TRILEAP,268.2,268.2,,,0
CDM,27200211,2.0MM TI VARIABLE ANGL SCR LGTH26MM BLUE TRILEAP,772.2,772.2,,,0
CDM,27200211,2.4MM COUNTERSINK,328.58,328.58,,,0
CDM,27200211,2.5 MM TI CORTEX SCREW LENGTH 20 MM MAGENTA,268.2,268.2,,,0
CDM,27200211,2.5 MM TI VARIABLE ANGLE SCREW LENGTH 26 MM MAGENTA,772.2,772.2,,,0
CDM,27200211,2.5MM DRILL LONG,404.13,404.13,,,0
CDM,27200211,2.7/3.5/4.0MM COUNTERSINK,328.58,328.58,,,0
CDM,27200211,3.0 MM TI CORTEX SCREW LENGTH 22 MM GOLD,268.2,268.2,,,0
CDM,27200211,3.0 MM TI VARIABLE ANGLE SCREW LENGTH 12 MM ROSE RED,772.2,772.2,,,0
CDM,27200211,3.5 LCK CONT DUAL COMP PLT 8H,546.0,546.0,,,0
CDM,27200211,3.5 MM TI VARIABLE ANGLE SCREW LENGTH 16 MM DARK PURPLE,772.2,772.2,,,0
CDM,27200211,4.0 MM TI CORTEX SCREW LENGTH 18 MM GREEN,268.2,268.2,,,0
CDM,27200211,4.0 MM TI VARIABLE ANGLE SCREW LENGTH 16 MM GREEN,772.2,772.2,,,0
CDM,27200211,437074 : OPTICROSS 5FR CORONARY IMAG CATHETER,2388.0,2388.0,,,0
CDM,27200211,517146 : NC TI FUSION 5 HOLE SHORT RIGHT,4480.75,4480.75,,,0
CDM,27200211,517356 : 3.5 MM TI CORTEX SCREW LENGTH 34 MM DARK PURPLE,166.3,166.3,,,0
CDM,27200211,A 7X 20MM BC IF SCRW VENTED,767.52,767.52,,,0
CDM,27200211,A 7X 30MM BC IF SCRW VENTED,767.52,767.52,,,0
CDM,27200211,CATHETER ANGIO 4FR 100CM PEBAX NYL JUDKINS L 4.01 CRV DBL,21.0,21.0,,,0
CDM,27200211,CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH COR ARANI,115.2,115.2,,,0
CDM,27200211,CONNECTOR VALVE UNIT OSV II SILICON FOR HYDROCEPHALUS FLOW R,10498.18,10498.18,,,0
CDM,27200211,CUBOID W TI PLATE STANDARD,6190.2,6190.2,,,0
CDM,27200211,DEVICE TORQ 30 ATM/BAR 20 ML MAP152 ACCESSPLUS MTL INSRT,93.6,93.6,,,0
CDM,27200211,EVOS 2.4MM T-PLATE 3 HOLE HD 9 HOLE SFT,1596.0,1596.0,,,0
CDM,27200211,GUIDE COR SNUS SHTH 9FR L40CM DIA3MM GWIRE L135CM 0.035IN,873.6,873.6,,,0
CDM,27200211,GUIDE PIN 3.2MM X 343MM,215.5,215.5,,,0
CDM,27200211,GUIDEWIRE VASC 0.035INX150CM J TIP 3MM HEP MOVABLE COR,26.95,26.95,,,0
CDM,27200211,IMPLANT SYSTEM FIBERTAK BUTTON,2051.4,2051.4,,,0
CDM,27200211,INTERTAN 1.5 11.5MMX40CM 125D LT,3217.68,3217.68,,,0
CDM,27200211,INTERTAN SUBTROC LAG 11 X 100,825.58,825.58,,,0
CDM,27200211,INTRODUCER SHTH 5FR L11CM GWIRE 0.038IN GRY HUB POLYPR,22.97,22.97,,,0
CDM,27200211,INTRODUCER SHTH 6.5FR L11CM GWIRE 0.038IN GRN HUB PRELUDEPRO,22.97,22.97,,,0
CDM,27200211,INTRODUCER SHTH DIAG 5FR L7CM PRELUDE IDEAL HYDRPHLC,204.0,204.0,,,0
CDM,27200211,INTRODUCER SHTH GRN HUB W/O GWIRE 6FRX23CM PRELUDE,31.82,31.82,,,0
CDM,27200211,IPS IMPLANT CRANIAL,25200.0,25200.0,,,0
CDM,27200211,K WIRE 0.035X9IN TROCAR POINT DOUBLE END,16.73,16.73,,,0
CDM,27200211,K-WIRE 0.9MM X 6IN ALPS MVX,109.54,109.54,,,0
CDM,27200211,KIT PENILE PROS ASSEMB HYDRPHLC INFL 2 PMP DSGN SFT MOLD TIP,2155.2,2155.2,,,0
CDM,27200211,KIT SFTY OD20FR PERC ENDOSCP GASTROSTMY PUSH W/ ENFIT,220.51,220.51,,,0
CDM,27200211,LATERAL TI TALAR NECK PLATE BUTTERFLY,6190.2,6190.2,,,0
CDM,27200211,LOW PROFILE FEMALE HINGE,252.29,252.29,,,0
CDM,27200211,NANO SWIVELOCK 2.5 X 7MM W/ FORK EYELET,1365.0,1365.0,,,0
CDM,27200211,NC TI FUSION 5 HOLE LONG LEFT,7227.0,7227.0,,,0
CDM,27200211,NEEDLE TRANSSEPTAL KT AND STYL 18GA 71CM 86 DEG CRV ANG,449.28,449.28,,,0
CDM,27200211,OPTICROSS 5FR CORONARY IMAG CATHETER,2388.0,2388.0,,,0
CDM,27200211,OPTICROSS 6FR CORONARY IMAG CATHETER,2388.0,2388.0,,,0
CDM,27200211,SCREW BONE 13X80MM LAG CANCELLOUS OCTAGONAL RECESS CANNULATE,1249.2,1249.2,,,0
CDM,27200211,SCREW BONE 13X95MM STERILE LAG CANCELLOUS OCTAGONAL RECESS C,921.74,921.74,,,0
CDM,27200211,SCREW BONE 2.5X32MM COMPRESSION HEADLESS CANNULATED SHORT TH,1314.0,1314.0,,,0
CDM,27200211,SCREW BONE 2.7X65MM CORTICAL SELF TAPPING T8 STARDRIVE RECES,180.0,180.0,,,0
CDM,27200211,SCREW BONE 3X30MM COMPRESSION HEADLESS CANNULATED LONG THREA,1314.0,1314.0,,,0
CDM,27200211,SCREW BONE CANNULATED COMPRESSION HEADLESS TITANIUM 5.5MM X,2435.4,2435.4,,,0
CDM,27200211,SET ELECTROSURGICAL INTEGRATED BIPOLAR CORD TUBING SET FIXED,106.94,106.94,,,0
CDM,27200211,THREADED ROD 350MM,147.17,147.17,,,0
CDM,27200211,TN TI FUSION PLATE MEDIUM,7227.0,7227.0,,,0
CDM,27200211,VALVE HEMSTAS 0.094IN POLYCARB HONOR,55.66,55.66,,,0
CDM,27200211,WIRE COMBI BOLT,128.95,128.95,,,0
CDM,27200214,513286 : DRESSINGPREVENA PEEL AND PLACE DRESSING13CM,608.88,608.88,,,0
CDM,27200214,DRESSINGPREVENA PEEL AND PLACE DRESSING13CM,608.88,608.88,,,0
CDM,27200217,547259 : WAND ABLATION 4.6MM  50 DEG FOR AMBIENT HIPVAC 50 IFS,1026.0,1026.0,,,0
CDM,27200217,8.5 FR VARIPULSE BI-DIR CATH,15237.6,15237.6,,,0
CDM,27200217,SLEEVE SCLER BCKL L30MM DIA2.1MM SIL TYP 70 FOR 2X0.75MM TYP,31.99,31.99,,,0
CDM,27200219,107831 : NEEDLE BX ASPIR 22GA X 20CM CHIBA,29.98,29.98,,,0
CDM,27200219,107896 : NEEDLE BX 18GA L15CM ASPIR DISP CHIBA,27.58,27.58,,,0
CDM,27200219,14338 : NEEDLE BX 20GA L20CM CHIBA DISP FOR ASPIR,27.58,27.58,,,0
CDM,27200219,18110 : NEEDLE BX 22GA L15CM STD CANN ASPIR CHIBA,29.98,29.98,,,0
CDM,27200219,29402 : NEEDLE BX 20GA L15CM FOR ASPIR CHIBA,27.58,27.58,,,0
CDM,27200219,381936 : NEEDLE BX 21GA L20CM DISP FOR ASPIR CHIBA,27.58,27.58,,,0
CDM,27200219,88329 : NEEDLE BX CHIBA DISP 18GA 20CM,27.58,27.58,,,0
CDM,27200219,NEEDLE BX 18GA L15CM ASPIR DISP CHIBA,27.58,27.58,,,0
CDM,27200219,NEEDLE BX 20GA L15CM FOR ASPIR CHIBA,27.58,27.58,,,0
CDM,27200219,NEEDLE BX 20GA L20CM CHIBA DISP FOR ASPIR,27.58,27.58,,,0
CDM,27200219,NEEDLE BX 21GA L20CM DISP FOR ASPIR CHIBA,27.58,27.58,,,0
CDM,27200219,NEEDLE BX 22GA L15CM STD CANN ASPIR CHIBA,29.98,29.98,,,0
CDM,27200219,NEEDLE BX ASPIR 22GA X 20CM CHIBA,29.98,29.98,,,0
CDM,27200219,NEEDLE BX CHIBA DISP 18GA 20CM,27.58,27.58,,,0
CDM,27200225,HC VOLARA CIRCUIT,300.0,300.0,,,0
CDM,27200226,414653 : KIT HEMSTAT AGNT FLOSEAL MTRX 5ML BOV DERIVD GEL RECOMB HUM,383.12,383.12,,,0
CDM,27210004,HC MICKEY BUTTON,972.41,972.41,,,0
CDM,27210005,HC MICKEY MEASURING DEVICE,43.77,43.77,,,0
CDM,27210009,HC CENTILINE DRESS ST 8710,38.4,38.4,,,0
CDM,27210146,HC NG TUBE,88.75,88.75,,,0
CDM,27210175,HC WOUND VAC,510.0,510.0,,,0
CDM,27210355,HC HIGH FLOW NASAL OXYGEN,53.519999999999996,53.519999999999996,,,0
CDM,27210471,HC SILICATH,11.29,11.29,,,0
CDM,27210477,HC SPACER,49.79,49.79,,,0
CDM,27210481,HC STANDARD NEB/DAILY,33.965,33.965,,,0
CDM,27210533,HC URINARY DRAINAGE BAG,11.86,11.86,,,0
CDM,27210606,HC NEEDLE RF 20G X 100MM STRAIGHT,32.5,32.5,,,0
CDM,27210607,HC NEEDLE RF 20G X 150MM STRAIGHT,32.5,32.5,,,0
CDM,27210609,HC MEDLINE EPIDURAL TRAY,17.01,17.01,,,0
CDM,27210610,HC VIBRATORY/PEP DEVICE,98.4,98.4,,,0
CDM,27210716,HC TRANS COIL & CABLE INTEGRATED USE W COCHLEAR IMPLANT DEV REPLACE,767.0,767.0,,,0
CDM,27210802,129639 : HIPSTER PROTECTIVE LINER ADULT SZ 20,383.48,383.48,,,0
CDM,27210802,HIPSTER PROTECTIVE LINER ADULT SZ 20,350.4,350.4,,,0
CDM,27210802,HIPSTER PROTECTIVE LINER PEDI SZ 8,319.2,319.2,,,0
CDM,27210803,534621 : 8.5 FR VARIPULSE BI-DIR CATH,15237.6,15237.6,,,0
CDM,27210804,HC NEEDLE RF 20G X 100MM CURVED,43.71,43.71,,,0
CDM,27210805,HC NEEDLE RF 20G X 150MM CURVED,36.4,36.4,,,0
CDM,27210807,HC NEEDLE RF 18G X 100MM CURVED,43.71,43.71,,,0
CDM,27210808,HC NEEDLE RF 18G X 150MM CURVED,46.0,46.0,,,0
CDM,27210809,HC GROUNDING PAD,44.66,44.66,,,0
CDM,27210810,HC PROBE SIMPLICITY II,1198.0,1198.0,,,0
CDM,27210811,159838 : CATHETER PTCA L130CM BLLN L40MM OD3MM GWIRE OD0.035IN 8ATM,300.0,300.0,,,0
CDM,27210811,159842 : ULTRAVERSE BALLOON .035 3MMX120MM,300.0,300.0,,,0
CDM,27210811,159843 : ULTRAVERSE BALLOON .035 3MMX150MM,300.0,300.0,,,0
CDM,27210811,159844 : ULTRAVERSE BALLOON .035 3MMX200MM,300.0,300.0,,,0
CDM,27210811,159847 : CATHETER PTCA BLLN L40MM DIA4MM L130CM CMPTBL GWIRE 0.035IN,300.0,300.0,,,0
CDM,27210811,159858 : ULTRAVERSE BALLOON .035 5MMX80MM,300.0,300.0,,,0
CDM,27210811,159861 : ULTRAVERSE BALLOON .035 5MMX150MM,300.0,300.0,,,0
CDM,27210811,159863 : CATHETER PTCA L130CM BLLN L250MM DIA5MM 0.035IN 16ATM RATE,300.0,300.0,,,0
CDM,27210811,22098 : BALLOON LACRICATH LACRIMAL 3MM,699.3,699.3,,,0
CDM,27210811,534491 : VALVULOPRO VALVULOPLASTY BALLOON CATHETER 18X40,1380.0,1380.0,,,0
CDM,27210811,534492 : VALVULOPRO VALVULOPLASTY BALLOON CATHETER 15X40,1380.0,1380.0,,,0
CDM,27210811,534493 : VALVULOPRO VALVULOPLASTY BALLOON CATHETER 21X40,1305.0,1305.0,,,0
CDM,27210811,BALLOON LACRICATH LACRIMAL 3MM,699.31,699.31,,,0
CDM,27210811,CATHETER DGT SPYGLS DISCOVER,7025.41,7025.41,,,0
CDM,27210811,CATHETER DIL 10CC L55CM BLLN 8X30MM 17ATM SL NONSLIP AERIS,1398.02,1398.02,,,0
CDM,27210811,CATHETER PTCA BLLN 7MM X 60MM 5FR X 130CM 0.035IN GWIRE,300.0,300.0,,,0
CDM,27210811,CATHETER PTCA BLLN L40MM DIA4MM L130CM CMPTBL GWIRE 0.035IN,300.0,300.0,,,0
CDM,27210811,CATHETER PTCA L130CM BLLN L40MM OD3MM GWIRE OD0.035IN 8ATM,300.0,300.0,,,0
CDM,27210811,CATHETER PTCA L75CM BLLN L40MM DIA10MM SHFT 6FR GWIRE,300.0,300.0,,,0
CDM,27210811,TROCAR 12MM BLUNT,163.3,163.3,,,0
CDM,27210811,ULTRAVERSE BALLOON .035 3MMX100MM,300.0,300.0,,,0
CDM,27210812,HC CIPM DISCO POINT DISPOSABLE FLUID DISPENS SYR,660.0,660.0,,,0
CDM,27210813,HC KYPHON EXPRESS II INFLATABLE BONE TAMP,2345.0,2345.0,,,0
CDM,27210814,HC KYPHOPAK EXPRESS II OSTEO INTRODUCER SYS,7783.0,7783.0,,,0
CDM,27210815,HC KYPHOPAK EXPRESS II ADDITIONAL FRACTURE KIT,4522.0,4522.0,,,0
CDM,27210816,HC KYPHON CURETTE SIZE 2 T-TIP,785.0,785.0,,,0
CDM,27210817,HC BONE BIOPSY DEVICE SIZE 2,222.0,222.0,,,0
CDM,27210818,HC CDS CEMENT GUN/BONE FILLER,785.0,785.0,,,0
CDM,27210820,HC CEMENT CARTRIDGE,150.0,150.0,,,0
CDM,27210822,HC INFLATION SYRINGE,329.0,329.0,,,0
CDM,27210825,HC TRACH BLU UNCUFF 7.00 MM,66.22,66.22,,,0
CDM,27210828,HC CONNECTOR CABLE FOR DRG TRIAL,1320.0,1320.0,,,0
CDM,27210829,HC AXIUM LEAD ACCESSORY KIT FOR DRG TRIAL,792.0,792.0,,,0
CDM,27210830,HC DISPOSABLE BRONCHOSCOPE,837.6,837.6,,,0
CDM,27210831,HC METANEB CIRCUIT,184.8,184.8,,,0
CDM,27210833,HC CHEST PHYSIOTHERAPY WRAP (DISPOSABLE),144.0,144.0,,,0
CDM,27210854,103749 : INTRODUCER SHTH 6FR CANN L11CM DIL TIP 35MM BRT TIP SLIX,30.23,30.23,,,0
CDM,27210854,103751 : INTRODUCER SHTH 8FR CANN L11CM DIL TIP 35MM W- MINI WIRE BRT,29.81,29.81,,,0
CDM,27210854,104771 : INTRODUCER SHTH 5FR CANN L45CM DIL TIP 25MM W-O MINI WIRE,56.88,56.88,,,0
CDM,27210854,104791 : INTRODUCER SHTH 5FR CANN L23CM DIL TIP 25MM W-O MINI WIRE,54.51,54.51,,,0
CDM,27210854,107927 : INTRODUCER SHTH 16FR L30CM PEEL-AWAY SILHOUETTE,132.5,132.5,,,0
CDM,27210854,108216 : 8FR LONG SHEATH,552.0,552.0,,,0
CDM,27210854,111539 : INTRODUCER SHTH 8FR CANN L45CM DIL TIP 35MM BRT TIP SLIX,54.71,54.71,,,0
CDM,27210854,118729 : INTRODUCER SHTH L11CM OD6FR VASC W-O CRV HEMSTAT VLV DIL,18.0,18.0,,,0
CDM,27210854,135734 : INTRODUCER SHTH 9FR CANN L35CM DIL TIP 35MM BLK W-O MINI,57.27,57.27,,,0
CDM,27210854,157579 : INTRODUCER MI2355A MICRA 23F 55.7CM HYDR,1440.0,1440.0,,,0
CDM,27210854,31649 : INTRODUCER SHTH 6FR CANN L45CM DIL TIP 35MM BRT TIP SLIX,59.22,59.22,,,0
CDM,27210854,408739 : CATHETER THROMCTMY SHTH 13FR L15CM DEPLOYED FUN DIA4.6MM,4800.0,4800.0,,,0
CDM,27210854,408740 : SHEATH ASPIR 16FR L15CM FOR EMBOLUS ASPIR CLT,4800.0,4800.0,,,0
CDM,27210854,414791 : SYSTEM DEL CATH CAP 18FR L7.6CM SHTH 14FR INLINE FLSH PRT,5064.0,5064.0,,,0
CDM,27210854,422928 : 7 FR. SGL ACCS SHTH-COMPANION,600.0,600.0,,,0
CDM,27210854,430006 : INTRODUCER SHTH 7FR L11CM HYDRPHLC PRELUDE IDEAL,180.0,180.0,,,0
CDM,27210854,488029 : INTRODUCER KIT MICRO GOLD STANDARD 4FRX4CM,72.79,72.79,,,0
CDM,27210854,488031 : KIT INTRODUCER MICRO GOLD STANDARD 5F X 4CM,72.79,72.79,,,0
CDM,27210854,488578 : SHEATH GUIDING 9FR L70CM GUIDEWIRE DIA0.038IN RAABE FLEXOR,141.6,141.6,,,0
CDM,27210854,488644 : INTRODUCER SHEATH 14FR L45CM ID4.6MM DILATOR L56CM GUIDEWIRE,360.19,360.19,,,0
CDM,27210854,488810 : SET VASCULAR ACCESS CATHETER 5FR L10CM NEEDLE 21GA L4CM GUID,56.04,56.04,,,0
CDM,27210854,488877 : SHEATH GUIDING L70CM ID2.9MM INTRODUCER 8FR GUIDEWIRE 0.035I,178.08,178.08,,,0
CDM,27210854,488880 : INTRODUCER SHEATH 7FR X 70CM ANSEL RADIOPAQUE WITH HIGH FLEX,178.08,178.08,,,0
CDM,27210854,488958 : INTRODUCER SHEATH 12FR L15.5CM DILATOR L20CM GUIDEWIRE 0.038,95.52,95.52,,,0
CDM,27210854,540987 : KIT INTRO 14FR DIL 18FR W- HEMSTAT NDL GWIRE SCALP SYR,541.06,541.06,,,0
CDM,27210854,5FR 10CM RAIN SHEATH STAINLESS STEEL,120.0,120.0,,,0
CDM,27210854,7 FR. SGL ACCS SHTH-COMPANION,600.0,600.0,,,0
CDM,27210854,8FR LONG SHEATH,540.96,540.96,,,0
CDM,27210854,CATHETER CHOLGM 4.5FR L3IN CMPTBL W/ 20018-M55 18305 18400,114.48,114.48,,,0
CDM,27210854,CATHETER THROMCTMY SHTH 13FR L15CM DEPLOYED FUN DIA4.6MM,4800.0,4800.0,,,0
CDM,27210854,EVOLUT FX DELIVERY CATHETER SYSTEM W/ INLINE SHEATH 18FR,5064.0,5064.0,,,0
CDM,27210854,INTRODUCER KIT MICRO GOLD STANDARD 4FRX4CM,327.52,327.52,,,0
CDM,27210854,INTRODUCER MI2355A MICRA 23F 55.7CM HYDR,1440.0,1440.0,,,0
CDM,27210854,INTRODUCER SHEATH 12FR L15.5CM DILATOR L20CM GUIDEWIRE 0.038,95.52,95.52,,,0
CDM,27210854,INTRODUCER SHEATH 14FR L45CM ID4.6MM DILATOR L56CM GUIDEWIRE,360.19,360.19,,,0
CDM,27210854,INTRODUCER SHEATH 7F L13CM PTFE,129.6,129.6,,,0
CDM,27210854,INTRODUCER SHEATH 7FR X 70CM ANSEL RADIOPAQUE WITH HIGH FLEX,178.08,178.08,,,0
CDM,27210854,INTRODUCER SHEATH 9F L13CM PTFE,129.6,129.6,,,0
CDM,27210854,INTRODUCER SHTH 12FR L25CM SUP SHTH CBDE FOR SPYGLS DISCOVER,109.33,109.33,,,0
CDM,27210854,INTRODUCER SHTH 14FR L15.5CM DIL L20CM CMPTBL GWIRE 0.038IN,95.52,95.52,,,0
CDM,27210854,INTRODUCER SHTH 16FR L30CM PEEL-AWAY SILHOUETTE,132.5,132.5,,,0
CDM,27210854,INTRODUCER SHTH 5FR CANN L23CM DIL TIP 25MM W/O MINI WIRE,51.6,51.6,,,0
CDM,27210854,INTRODUCER SHTH 5FR CANN L45CM DIL TIP 25MM W/O MINI WIRE,53.33,53.33,,,0
CDM,27210854,INTRODUCER SHTH 5FR COEXTRD KINK RESIST CANN L55CM TUNG FILL,52.2,52.2,,,0
CDM,27210854,INTRODUCER SHTH 6FR CANN L11CM DIL TIP 35MM BRT TIP SLIX,28.8,28.8,,,0
CDM,27210854,INTRODUCER SHTH 6FR CANN L45CM DIL TIP 35MM BRT TIP SLIX,52.2,52.2,,,0
CDM,27210854,INTRODUCER SHTH 6FR L55MM DIL TIP L35MM GRN W/O MINI WIRE,52.2,52.2,,,0
CDM,27210854,INTRODUCER SHTH 7FR L11CM HYDRPHLC PRELUDE IDEAL,180.0,180.0,,,0
CDM,27210854,INTRODUCER SHTH 8FR CANN L11CM DIL TIP 35MM W/ MINI WIRE BRT,28.8,28.8,,,0
CDM,27210854,INTRODUCER SHTH 8FR CANN L45CM DIL TIP 35MM BRT TIP SLIX,70.73,70.73,,,0
CDM,27210854,KIT INTRO VLV 11FR ACCUSTICK,120.0,120.0,,,0
CDM,27210854,KIT INTRODUCER MICRO GOLD STANDARD 5F X 7CM,72.79,72.79,,,0
CDM,27210854,SET VASCULAR ACCESS CATHETER 5FR L10CM NEEDLE 21GA L4CM GUID,56.04,56.04,,,0
CDM,27210854,SHEATH ASPIR 16FR L15CM FOR EMBOLUS ASPIR CLT,4800.0,4800.0,,,0
CDM,27210854,SHEATH GUIDING L70CM ID2.9MM INTRODUCER 8FR GUIDEWIRE 0.035I,178.08,178.08,,,0
CDM,27210854,SYSTEM DEL CATH CAP 18FR L7.6CM SHTH 14FR INLINE FLSH PRT,5064.0,5064.0,,,0
CDM,27210855,32472 : BRUSH CYTO L2.5CM DIA3MM CATH 8FR GWIRE 0.035IN CHN SZ 3.2MM,309.6,309.6,,,0
CDM,27210855,420773 : DRAIN 18X3 8 070 PENROSE,2.71,2.71,,,0
CDM,27210855,439081 : UNIT DRAINAGE ADULT CHILD 950-1900CC BAG PLEURAL CAVITY DUAL,170.45,170.45,,,0
CDM,27210855,483006 : CATHETER PERITONEAL L120CM OD2.5MM ID1.2MM SILICONE LONG DIS,385.82,385.82,,,0
CDM,27210855,BRUSH CYTO L2.5CM DIA3MM CATH 8FR GWIRE 0.035IN CHN SZ 3.2MM,309.6,309.6,,,0
CDM,27210855,CATHETER DRNGE 16FR X 40CM GWIRE 0.038IN HYDRPHLC 32 SIDEPRT,231.31,231.31,,,0
CDM,27210855,CATHETER THOR 28FR L23IN CLR PVC HEP STR TAPR TIP W/ 6 EYELT,15.07,15.07,,,0
CDM,27210855,DRAIN 18X3 8 070 PENROSE,2.67,2.67,,,0
CDM,27210855,PERI VAC TRAY 8.3FR,307.2,307.2,,,0
CDM,27210855,SET DRNGE CATH 10.2FR L40CM BILI HYDRPHLC MACLOC LOK LOOP RB,182.52,182.52,,,0
CDM,27210855,UNIT DRAINAGE ADULT CHILD 950/1900CC BAG PLEURAL CAVITY DUAL,170.3,170.3,,,0
CDM,27210856,.014 TRANSCAROTID GUIDEWIRE,516.0,516.0,,,0
CDM,27210856,147794 : GUIDEWIRE VASC 0.035INX180CM STR TIP 7CM SS PTFE FIX COR,51.36,51.36,,,0
CDM,27210856,150689 : GUIDEWIRE VASC COR 0.014INX180CM STR SHP TIP HYDRCOAT,330.0,330.0,,,0
CDM,27210856,150704 : GUIDEWIRE VASC EXTN 0.014INX150CM RUNTHROUGH NS,254.4,254.4,,,0
CDM,27210856,18374 : DILATOR VASC 8FR L20CM GWIRE 0.038IN STD,14.88,14.88,,,0
CDM,27210856,2.0 GUIDEWIRE,165.6,165.6,,,0
CDM,27210856,2.0 X 230 THREADED GUIDE WIRE,137.76,137.76,,,0
CDM,27210856,2.8 GUIDE WIRE/ 220 LENGTH FLUTED TIP,360.0,360.0,,,0
CDM,27210856,411817 : GUIDEWIRE VASC L190CM STR MINAMO,240.0,240.0,,,0
CDM,27210856,412540 : CATHETER HK FLSH MOD SIDE PORTS 6 5FR 90CM 0.038,30.0,30.0,,,0
CDM,27210856,413059 : GUIDEWIRE URO L150CM DIA0.035IN TAPR 3CM NIT HYDRPHLC ANG,87.58,87.58,,,0
CDM,27210856,413060 : GUIDEWIRE URO L150CM DIA0.035IN FLX STR TIP L3CM STD SUP E,87.59,87.59,,,0
CDM,27210856,413510 : SPLASHWIRE STD ANGLED 180CM,79.87,79.87,,,0
CDM,27210856,413513 : SPLASHWIRE GUID WIRE 0.035 (0.89 MM) 260 CM (102) ANG TIP,84.86,84.86,,,0
CDM,27210856,414677 : GUIDEWIRE VASC 0.014INX330CM ROTAWIRE FLPY 5-BX,639.47,639.47,,,0
CDM,27210856,415971 : ARISTOTLE 24 STANDARD GUIDEWIRE,2160.0,2160.0,,,0
CDM,27210856,415972 : ARISTOTLE WIRE 24 SUPPORT GUIDEWIRE,2160.0,2160.0,,,0
CDM,27210856,421656 : GUIDEWIRE ORTH L200MM DIA3MM HUM MRK WIRE AEQUALIS,398.4,398.4,,,0
CDM,27210856,422809 : GUIDEPIN ORTH L100MM DIA3MM PERFORM,120.0,120.0,,,0
CDM,27210856,422939 : GUIDEWIRE VASC L260CM DIA0.018IN PTFE SIL STR VENT ASST DEV,1200.0,1200.0,,,0
CDM,27210856,422946 : GUIDEWIRE VASC L260CM DIA0.035IN TIP L3MM STD EXCHG PTFE J,29.69,29.69,,,0
CDM,27210856,455793 : ASNIS III THREADED GUIDE WIRE DIA 3.2 X 300MM,206.4,206.4,,,0
CDM,27210856,457725 : GUIDE WIRE IMN INSTR 3X800 MM,843.74,843.74,,,0
CDM,27210856,457727 : GUIDE WIRE IMN INSTR 3X1000 MM,744.48,744.48,,,0
CDM,27210856,487243 : GUIDEWIRE VASCULAR 0.018INX60CM STRAIGHT TIP 6CM NITINOL ACC,110.4,110.4,,,0
CDM,27210856,488309 : GUIDEWIRE VASCULAR 0.025INX260CM STRAIGHT TIP STAINLESS STEE,44.21,44.21,,,0
CDM,27210856,531788 : GUIDEWIRE VASC 0.025FR X 450CM ANG RND TIP 5CM TUNG FILL,619.84,619.84,,,0
CDM,27210856,538421 : GUIDEWIRE 100CM BEAD TIP ST AFFIXUS,453.6,453.6,,,0
CDM,27210856,6495F - WIRE 6495F TEMP PACE BIP MYO 6PK 26L,168.0,168.0,,,0
CDM,27210856,AFFIXUS GUIDEWIRE 100CM BEAD TIP,453.6,453.6,,,0
CDM,27210856,ARISTOTLE 24 STANDARD GUIDEWIRE,2052.91,2052.91,,,0
CDM,27210856,ARISTOTLE WIRE 24 SUPPORT GUIDEWIRE,2036.0,2036.0,,,0
CDM,27210856,ASNIS III THREADED GUIDE WIRE DIA 3.2 X 300MM,187.2,187.2,,,0
CDM,27210856,FIXATION K WIRE,170.4,170.4,,,0
CDM,27210856,GLOBUS BALL TIP PROBE,655.2,655.2,,,0
CDM,27210856,GUIDE PIN 3.2MM X 9IN PARTIAL THREAD TROCAR TIP,30.24,30.24,,,0
CDM,27210856,GUIDE PIN 3.2MM X 9IN SMOOTH SHAFT TROCAR TIP,35.28,35.28,,,0
CDM,27210856,GUIDE WIRE,691.2,691.2,,,0
CDM,27210856,GUIDE WIRE  0 1.2  MM,60.0,60.0,,,0
CDM,27210856,"GUIDE WIRE DIA .035  X 4"" LG",110.4,110.4,,,0
CDM,27210856,GUIDE WIRE IMN INSTR 3X1000 MM,745.29,745.29,,,0
CDM,27210856,GUIDE WIRE IMN INSTR 3X800 MM,843.74,843.74,,,0
CDM,27210856,GUIDEPIN ORTH L100MM DIA3MM PERFORM,120.0,120.0,,,0
CDM,27210856,GUIDEWIRE 100CM BEAD TIP ST AFFIXUS,453.6,453.6,,,0
CDM,27210856,GUIDEWIRE ORTH 0.035IN X 6IN DBL TRCR MIC ACUTRK 2 SYS,67.2,67.2,,,0
CDM,27210856,GUIDEWIRE ORTH ST HUM BALL NOSE AFFIXUS NAT NAIL,529.2,529.2,,,0
CDM,27210856,GUIDEWIRE URO L150CM DIA0.025IN 3CM TAPR NIT HYDRPHLC STD,102.86,102.86,,,0
CDM,27210856,GUIDEWIRE URO L150CM DIA0.035IN FLX STR TIP L3CM STD SUP E,87.58,87.58,,,0
CDM,27210856,GUIDEWIRE VASC 0.014INX330CM ROTAWIRE ES 5/BX,672.0,672.0,,,0
CDM,27210856,GUIDEWIRE VASC 0.014INX330CM ROTAWIRE FLPY 5/BX,664.67,664.67,,,0
CDM,27210856,GUIDEWIRE VASC 0.035INX145CM STR TIP SS PTFE FIX COR,22.9,22.9,,,0
CDM,27210856,GUIDEWIRE VASC 0.035INX150CM J TIP 3MM HEP FIX COR INQWIRE,21.46,21.46,,,0
CDM,27210856,GUIDEWIRE VASC 0.035INX180CM STR TIP 7CM SS PTFE FIX COR,51.36,51.36,,,0
CDM,27210856,GUIDEWIRE VASC COR 0.013INX350CM STR RADPQ TIP NIT,494.4,494.4,,,0
CDM,27210856,GUIDEWIRE VASC COR 0.014INX180CM STR SHP TIP HYDRCOAT,325.74,325.74,,,0
CDM,27210856,GUIDEWIRE VASC EXTN 0.014INX150CM RUNTHROUGH NS,250.21,250.21,,,0
CDM,27210856,GUIDEWIRE VASC L190CM STR MINAMO,240.0,240.0,,,0
CDM,27210856,GUIDEWIRE VASC L260CM DIA0.018IN PTFE SIL STR VENT ASST DEV,1200.0,1200.0,,,0
CDM,27210856,GUIDEWIRE VASC L260CM DIA0.035IN TIP L3MM STD EXCHG PTFE J,29.6,29.6,,,0
CDM,27210856,GUIDEWIRE VASC PERIPH 0.035INX260CM STR TIP 7CM PTFE INQWIRE,112.32,112.32,,,0
CDM,27210856,GUIDEWIRE VASCULAR 0.025INX260CM STRAIGHT TIP STAINLESS STEE,44.21,44.21,,,0
CDM,27210856,GUIDEWIRE VASCULAR 0.035INX180CM STRAIGHT BENTSON TIP STAINL,23.04,23.04,,,0
CDM,27210856,K WIRE,91.97,91.97,,,0
CDM,27210856,K WIRE 1.6MM,43.34,43.34,,,0
CDM,27210856,KIT MIC-INTRO 5FR NIT MANDREL TUNGSTEN SFT TIP GWIRE 0.018,52.8,52.8,,,0
CDM,27210856,PVC THORACIC CATHETER 28 FR,15.05,15.05,,,0
CDM,27210856,SPLASH WIRE,84.86,84.86,,,0
CDM,27210856,SPLASHWIRE GUID WIRE 0.035 (0.89 MM) 260 CM (102) ANG TIP,84.86,84.86,,,0
CDM,27210856,SPLASHWIRE STD ANGLED 180CM,79.87,79.87,,,0
CDM,27210856,WIRE,80.73,80.73,,,0
CDM,27210858,TORQVUE SHEATH 14F 80CM 45X46,2008.8,2008.8,,,0
CDM,27210859,421494 : RETRIEVER VASC SNR 6FR X 90CM SHTH 85CM 4 LOOP CLOVERSNARE,1625.18,1625.18,,,0
CDM,27210859,RETRIEVER VASC SNR 6FR X 90CM SHTH 85CM 4 LOOP CLOVERSNARE,1625.18,1625.18,,,0
CDM,27210859,SHEATH DIL 11FR L6.1IN MECH ROT SHT STIFF SHFT FLX TIP,4656.0,4656.0,,,0
CDM,27220001,HC ANESTHESIA ADULT KIT,105.98,105.98,,,0
CDM,27220002,HC ANESTHESIA ARTERIAL LINE KIT,160.63,160.63,,,0
CDM,27220003,HC ANESTHESIA BLOCK-NEURAXIAL KIT,47.26,47.26,,,0
CDM,27220004,HC ANESTHESIA BLOCK-PERIPHERAL KIT,84.0,84.0,,,0
CDM,27220005,HC ANESTHESIA CENTRAL LINE KIT,128.0,128.0,,,0
CDM,27220006,HC ANESTHESIA MAC KIT,43.58,43.58,,,0
CDM,27220007,HC ANESTHESIA OPEN HEART KIT,821.5,821.5,,,0
CDM,27220008,HC ANESTHESIA PEDIATRIC KIT,105.98,105.98,,,0
CDM,27220009,HC ANESTHESIA ECT/CARDIOVERSION KIT,43.58,43.58,,,0
CDM,27220010,HC ANESTHESIA PEDIATRIC BMT KIT,24.0,24.0,,,0
CDM,27220011,HC ANESTHESIA LUMBAR DRAIN KIT,131.26,131.26,,,0
CDM,27220012,HC ANESTHESIA DOUBLE LUMEN KIT,200.4,200.4,,,0
CDM,27220013,HC BELMONT,771.17,771.17,,,0
CDM,27220014,HC BIS QUATRO SENSOR,60.0,60.0,,,0
CDM,27220015,HC CELL SAVER COMPLETE,665.3,665.3,,,0
CDM,27220016,HC CELL SAVER PARTIAL,665.3,665.3,,,0
CDM,27220017,HC FLUID WARMING SET,52.08,52.08,,,0
CDM,27220018,HC LEVEL ONE,154.1,154.1,,,0
CDM,27220019,HC QUIKPACE EXT PACING ELEC,328.32,328.32,,,0
CDM,27220020,HC CEREBRAL OXIMETRY PROBE,60.0,60.0,,,0
CDM,27220021,HC VIP PA CATHETER,276.0,276.0,,,0
CDM,27299998,412480 : CATHETER DIAG 6FR L125CM DST L9CM SIM CRV SS BRD SEL NEURON,300.0,300.0,,,0
CDM,27299998,412482 : 6F SELECT CATHETER 125 SIM-V,300.0,300.0,,,0
CDM,27299998,547002 : KIT ORTH INSTR DISP FOR WRST MOTN TOT WRST ARTHR SYS,1632.0,1632.0,,,0
CDM,27299998,547067 : GUIDEWIRE ORTH L150MM DIA1.4MM NS TRCR TIP FOR 3.5/4MM CANN,162.29,162.29,,,0
CDM,27299998,547305 : GRAFT BNE SUB DWL L25-29MM DIA16MM CANN DIA2.49MM STD CANC,2346.0,2346.0,,,0
CDM,27299998,6F SELECT CATHETER 125 SIM-V,300.0,300.0,,,0
CDM,27299998,CATHETER DIAG 6FR L125CM DST L9CM SIM CRV SS BRD SEL NEURON,300.0,300.0,,,0
CDM,27299998,HC (TRIAL) MISC SUPPLY,0.1,0.1,,,0
CDM,27299998,RES-ONLY SELUTION SLR 014 DEB 2.25MMX20,0.01,0.01,,,0
CDM,27299999,.9 X150MM DOUBLE TROCARGUIDE WIRE,108.0,108.0,,,0
CDM,27299999,0 VICRYL UR-6,81.17,81.17,,,0
CDM,27299999,0.9 MICRO SMOOTH ULTRA INFUSION SLEEVE KIT,70.7,70.7,,,0
CDM,27299999,0.9% SODIUM CHLORIDE,56.83,56.83,,,0
CDM,27299999,0.9MM MICROSMOOTH ULTRA INFUSION SLEEVE,70.7,70.7,,,0
CDM,27299999,00-2232-004-18 - 2232-04-18,710.4,710.4,,,0
CDM,27299999,03.900.331 - 2.0 MM DRILL BIT FOR LAG TECHNIQUE - 2.0 MM DRILL BIT FOR LAG TECHNIQUE,615.6,615.6,,,0
CDM,27299999,"03.900.350 - COMPRESSION WIRE 1.6MM FOR 2.0/2.5/3.0 PLATES, THREAD LENGTH 25MM - COMPRESSION WIRE 1.6MM FOR 2.0/2.5/3.0 PLATES, THREAD LENGTH 25MM",262.8,262.8,,,0
CDM,27299999,03404020S - 03.404.020S - 12.0MM REAMER HEAD FOR RIA 2 STERILE,1740.6,1740.6,,,0
CDM,27299999,087.0012 - CANISTER FOR NEGATIVE PRESSURE WOUND THERAPY POWERED SUCTION PUMP,37.25,37.25,,,0
CDM,27299999,1 HOLE DOUBLE PIN CUBE,761.98,761.98,,,0
CDM,27299999,1 HOLE POST,295.2,295.2,,,0
CDM,27299999,1.5 MM DRILL QUICK RELEASE,492.0,492.0,,,0
CDM,27299999,1.5MM DRILL MANUAL,492.0,492.0,,,0
CDM,27299999,1.5X7MM DRILL BIT,240.0,240.0,,,0
CDM,27299999,1.6 DRIL,196.2,196.2,,,0
CDM,27299999,1.6 DRILL,1400.4,1400.4,,,0
CDM,27299999,1.6 KWIRES,24.0,24.0,,,0
CDM,27299999,1.8MM DRILL BIT WITH DEPTH MARK/190MM/STERILE,604.8,604.8,,,0
CDM,27299999,10-0 ETHILON NYLON SUTURE BLACK FILAMENT,70.8,70.8,,,0
CDM,27299999,10-0 NYLON,49.49,49.49,,,0
CDM,27299999,10-0 VICRYL,49.54,49.54,,,0
CDM,27299999,10.5MM REAMER HEAD FOR RIA 2 STERILE,2167.2,2167.2,,,0
CDM,27299999,10016240 - 20MM VIAL ACCESS DEVICE,148.19,148.19,,,0
CDM,27299999,101/815/060,72.22,72.22,,,0
CDM,27299999,"1060004A - HI-TORQUE COMMAND¢ 14 MT GUIDE WIRE WITH HYDROPHILIC COATING .014"" ANGLE TIP 300 CM",432.0,432.0,,,0
CDM,27299999,10F PEDIATRIC CYSTOSCOPY,102.98,102.98,,,0
CDM,27299999,10MM 30FR NEPHRO BALLOON,453.6,453.6,,,0
CDM,27299999,10MM BGH 2 TREPHINE,2697.6,2697.6,,,0
CDM,27299999,10MM THICK BOLTS,59.04,59.04,,,0
CDM,27299999,11.0MM REAMER HEAD FOR RIA,1656.0,1656.0,,,0
CDM,27299999,11.5 REAMER HEAD FOR RIA 2,1656.0,1656.0,,,0
CDM,27299999,"11573M - STONE EXTRACTOR, 0.4 MM, 4 WIRES",810.26,810.26,,,0
CDM,27299999,11MM CANNULATED ENTRY DRILL,1670.4,1670.4,,,0
CDM,27299999,12-401 - LARGE ARM SUPPORT WRAP WITH TRACTION STRAP (BOX OF 10),94.8,94.8,,,0
CDM,27299999,12.0 REAMER HEAD FOR RIA,1656.0,1656.0,,,0
CDM,27299999,12.0MM REAMER HEAD FOR RIA 2,1698.3,1698.3,,,0
CDM,27299999,12.5 MM DRILL BIT,414.0,414.0,,,0
CDM,27299999,12MM DRILL BIT,390.0,390.0,,,0
CDM,27299999,130187 - ELECTROSURGICAL SUCTION COAGULATOR 10FR,81.6,81.6,,,0
CDM,27299999,136169 : LAMINAR HOOK NARROW BLADE MED,1549.8,1549.8,,,0
CDM,27299999,14 FR COLON DECOMPRESION SET,468.0,468.0,,,0
CDM,27299999,14 MM CONCAVE REAMER,1298.4,1298.4,,,0
CDM,27299999,14-440041,386.4,386.4,,,0
CDM,27299999,14-440052,216.0,216.0,,,0
CDM,27299999,14.5MM REAMER HEAD FOR RIA 2,1656.0,1656.0,,,0
CDM,27299999,1420-0065S - PRECISION PIN TAPERED,478.89,478.89,,,0
CDM,27299999,15MM DRILL,145.44,145.44,,,0
CDM,27299999,15P BONE TAMP INFLATABLE,3024.0,3024.0,,,0
CDM,27299999,16FR SILICONE LATEX FOLEY CATHETER,53.4,53.4,,,0
CDM,27299999,16MM OVAL 4.0 BURR,459.55,459.55,,,0
CDM,27299999,17MM DRILL,145.44,145.44,,,0
CDM,27299999,180 ABSORABLE POLYGLYCONATE KNOTTLESS WOUND CLOSURE DEVICE 3-0,98.35,98.35,,,0
CDM,27299999,180 ABSORBABLE WOUND CLOSURE DEVICE,90.46,90.46,,,0
CDM,27299999,1803 - LEAD & EXTENSION INSERTION TOOL,216.0,216.0,,,0
CDM,27299999,"1806-0093S - GUIDE WIRE, SMOOTH-TIPPED, STERILE",251.6,251.6,,,0
CDM,27299999,1884004,430.85,430.85,,,0
CDM,27299999,19.5 X 80 X 0.8MM (.031INCH) OSCILLATOR BLADE ME-92 COATED 5,44.78,44.78,,,0
CDM,27299999,1912000 - SHEATH 1912000 5PK 4MM/0DEG STORZ XOMED,123.55,123.55,,,0
CDM,27299999,19743 : WET-FIELD ERASER 20-23GA TAPERED FINE TIP STRAIGHT 5BX - LOG7829603,38.4,38.4,,,0
CDM,27299999,1X STYLET 23CM,1155.84,1155.84,,,0
CDM,27299999,2 HOLE DOUBLE PIN CUBE,852.38,852.38,,,0
CDM,27299999,2 HOLE POST,295.2,295.2,,,0
CDM,27299999,2-0 VICRYL UR-6,2.05,2.05,,,0
CDM,27299999,2.0 12.4 THREADED PLATE TAK,182.4,182.4,,,0
CDM,27299999,2.0 DRILL,870.39,870.39,,,0
CDM,27299999,2.0 DRILL BIT,75.41,75.41,,,0
CDM,27299999,2.0MM DRILL,570.77,570.77,,,0
CDM,27299999,2.0MM SMOOTH GUIDE WIRE,75.41,75.41,,,0
CDM,27299999,2.0X255 K WIRE,600.0,600.0,,,0
CDM,27299999,2.4 PERCUTANEOUS KIT,975.0,975.0,,,0
CDM,27299999,2.5 BALL TIP WIRE,442.8,442.8,,,0
CDM,27299999,2.5 DRILL BIT,279.0,279.0,,,0
CDM,27299999,2.5 DRILL LONG,1934.4,1934.4,,,0
CDM,27299999,2.5 LONG DRILL,121.18,121.18,,,0
CDM,27299999,2.5 SCREW DRIVER,353.28,353.28,,,0
CDM,27299999,2.5 X 80MM DRILL,525.6,525.6,,,0
CDM,27299999,2.5/3.0 COUNTERSINK,912.46,912.46,,,0
CDM,27299999,2.7 DRILL,582.18,582.18,,,0
CDM,27299999,2.7MM SCREW LOCKING 14MM,516.67,516.67,,,0
CDM,27299999,2.7MM/3.5MM X 800MM BALL TIPPED GUIDE WIRE,1047.43,1047.43,,,0
CDM,27299999,2.7MMX50MM DRILL,304.8,304.8,,,0
CDM,27299999,2.8 X 80 DRILL,520.2,520.2,,,0
CDM,27299999,"2102-14-091 - SEEG, PLATINUM, 14 CONTACT, MINI CONNECTOR, REMOVABLE STYLET, FOR 2.4MM DRILL",1797.6,1797.6,,,0
CDM,27299999,"2102-16-091 - SEEG, PLATINUM, 16 CONTACT, MINI CONNECTOR, REMOVABLE STYLET, FOR 2.4MM DRILL",1893.6,1893.6,,,0
CDM,27299999,211300200,450.0,450.0,,,0
CDM,27299999,23-112-1 - AQM 6.0 BIPOLAR SEALER UNIT,2807.95,2807.95,,,0
CDM,27299999,23-700-40 - SIZE: 50.8MM X 76.2MM X 1.016MM  - SILICONE SHEETING NON-REINFORCED,108.0,108.0,,,0
CDM,27299999,2351-0390S - LOCKING SCALPEL,957.3,957.3,,,0
CDM,27299999,2352-3513S - FREEHAND DRILL,955.85,955.85,,,0
CDM,27299999,2352-3518S - FREEHAND DRILL,873.6,873.6,,,0
CDM,27299999,2352-4213S - FREEHAND DRILL,884.15,884.15,,,0
CDM,27299999,2352-4218S - FREEHAND DRILL,885.02,885.02,,,0
CDM,27299999,2352-4236S - LOCKING DRILL,873.6,873.6,,,0
CDM,27299999,"25 GA VALVED ENTRY SYSTEM, 3-CT",161.9,161.9,,,0
CDM,27299999,25+ BEVEL TOTAL PLUS VITRECTOMY PAK,155.59,155.59,,,0
CDM,27299999,25+ MAXGRIP,364.49,364.49,,,0
CDM,27299999,25+ REVOLUTION DSP ILM FORCEPS,369.79,369.79,,,0
CDM,27299999,25.4 X 90 X 0.9MM (.035 INCH) OSCILLATOR BLADE,36.98,36.98,,,0
CDM,27299999,28-0185 - LACRIMAL INTUBATION SET CRAWFORD,235.2,235.2,,,0
CDM,27299999,3 HOLE POST,295.2,295.2,,,0
CDM,27299999,3- MONOCRYL SUTURE,15.89,15.89,,,0
CDM,27299999,3-0 CHROMIC F-S2,77.38,77.38,,,0
CDM,27299999,3-0 PDS,95.71,95.71,,,0
CDM,27299999,3-0 PDS RB-1,77.45,77.45,,,0
CDM,27299999,3-0 VICRYL RB-1 ANTIBACTERIAL,80.42,80.42,,,0
CDM,27299999,3-0 VICRYL SH-1,31.8,31.8,,,0
CDM,27299999,3.0 BILATERAL KIT,1398.6,1398.6,,,0
CDM,27299999,3.0 PIN,201.6,201.6,,,0
CDM,27299999,3.0 TAP,820.8,820.8,,,0
CDM,27299999,3.0MM LACRICATH CATHETER,835.2,835.2,,,0
CDM,27299999,3.0MM PIN,201.6,201.6,,,0
CDM,27299999,3.2MM DRILL BIT,191.52,191.52,,,0
CDM,27299999,3.5 DRILL,579.0,579.0,,,0
CDM,27299999,3.5 DRILL BIT,279.0,279.0,,,0
CDM,27299999,3.5 HEX DRIVER,6912.0,6912.0,,,0
CDM,27299999,3.5 MM DRILL,1236.0,1236.0,,,0
CDM,27299999,3.5 TAP,2229.6,2229.6,,,0
CDM,27299999,3.5 X 60 DRILL,259.2,259.2,,,0
CDM,27299999,3.5MMX152MM AO DRILL BIT,878.4,878.4,,,0
CDM,27299999,3.7 LONG DRILL,1867.2,1867.2,,,0
CDM,27299999,3.7 SHORT DRILL,1713.6,1713.6,,,0
CDM,27299999,3.7 TARGETER DRILL,2820.0,2820.0,,,0
CDM,27299999,3.7MM DRILL SHORT,1713.6,1713.6,,,0
CDM,27299999,3.7MM TARGETER DRILL,1648.8,1648.8,,,0
CDM,27299999,3.8MM DRILL BIT SHORT,1223.23,1223.23,,,0
CDM,27299999,30CC 8 FR. FIBEROPTIC INTRA-AORTIC BALLOON CATHETER KIT,3252.0,3252.0,,,0
CDM,27299999,31-323230,163.06,163.06,,,0
CDM,27299999,3314-8G - LONE STAR ELASTIC STAYS - 3 MM ELASTIC STAYS 8/ PK,28.75,28.75,,,0
CDM,27299999,3600-00-TE - 100MM X 1MM ELECTRODES; 1.9M TWISTED WIRE WITH DIN42802 CONNECTORS.,144.0,144.0,,,0
CDM,27299999,3600-00-TE - DISPOSABLE CONCENTRIC PROBE 100MM X 1MM ELECTRODES; 1.9M TWISTED WIRE WITH TP DIN42802 CONNECTORS,167.98,167.98,,,0
CDM,27299999,3603-00-TE - DISPOSABLE PEDICLE SCREW PROBE 3MM BALL; 100MM X 1.8MM ELECTRODE; 1.9M WIRE WITH DIN42802 CONNECTOR,168.0,168.0,,,0
CDM,27299999,"3995001 - RELINE C DRILL, Ã3.35MM OCCIP STRAIGHT",353.5,353.5,,,0
CDM,27299999,4-0 MONOCRYL,16.01,16.01,,,0
CDM,27299999,4-0 PLAIN SUTURE,14.11,14.11,,,0
CDM,27299999,4.0 X 105 ROD,240.0,240.0,,,0
CDM,27299999,4.0MM REAMER,1656.0,1656.0,,,0
CDM,27299999,4.3 DRILL BIT,176.4,176.4,,,0
CDM,27299999,4.3 LONG DRILL,798.93,798.93,,,0
CDM,27299999,4.3 SHORT DRILL,1055.95,1055.95,,,0
CDM,27299999,4.3MM DRILL BIT CALIBRATED,1244.14,1244.14,,,0
CDM,27299999,"4.3MM DRILL BIT, LONG",878.4,878.4,,,0
CDM,27299999,4.3MM LONG DRILL,882.0,882.0,,,0
CDM,27299999,4.3MM SHORT DRILL,241.69,241.69,,,0
CDM,27299999,4.5 DRILL,764.4,764.4,,,0
CDM,27299999,4.5 MM SHORT DRILL,165.24,165.24,,,0
CDM,27299999,4.5 OVER DRILL,1238.4,1238.4,,,0
CDM,27299999,4.5 ROBOT TAP,1980.0,1980.0,,,0
CDM,27299999,4.9 DRILL,218.4,218.4,,,0
CDM,27299999,4008-00 - DISPOSABLE PEDICLE SCREW PROBE 2.3MM BALL; 130MM X 1.9MM ELECTRODE; 1.9M WIRE WITH DIN42802 CONNECTOR,948.0,948.0,,,0
CDM,27299999,4020 - IPN926809,365.26,365.26,,,0
CDM,27299999,4030 - IPN926808,659.5,659.5,,,0
CDM,27299999,40MM SOCKETS,295.2,295.2,,,0
CDM,27299999,41010,268.8,268.8,,,0
CDM,27299999,41778C - 41778C,1368.0,1368.0,,,0
CDM,27299999,418744 : 25.4 X 90 X 0.9MM (.035 INCH) OSCILLATOR BLADE,64.56,64.56,,,0
CDM,27299999,418746 : 19.5 X 80 X 0.8MM (.031INCH) OSCILLATOR BLADE ME-92 COATED 5,55.9,55.9,,,0
CDM,27299999,419593 : PRECISION PIN TAPR - LOG7901790,535.2,535.2,,,0
CDM,27299999,420441 : NEXPOWDER ENDOSCOPIC HEMOSTASIS SYSTEM,1927.2,1927.2,,,0
CDM,27299999,421382 : K WIRE 1.45X600MM NIT BLNT THRD,60.0,60.0,,,0
CDM,27299999,46-0036-S - 8MM BGH 2 KIT,2697.6,2697.6,,,0
CDM,27299999,465356MHK-NB - C,30.0,30.0,,,0
CDM,27299999,47-2232-060-01,326.4,326.4,,,0
CDM,27299999,5 FR ANGLED TAPER GLIDECATH,135.6,135.6,,,0
CDM,27299999,5-0 CHROMIC GUT SUTURE,51.33,51.33,,,0
CDM,27299999,5-0 CHROMIC P-13,42.05,42.05,,,0
CDM,27299999,5-0 PROLENE BV-1,57.31,57.31,,,0
CDM,27299999,5-0 PROLENE C-1,34.49,34.49,,,0
CDM,27299999,5-0 VICRYL,4.81,4.81,,,0
CDM,27299999,5.0 DRILL,764.4,764.4,,,0
CDM,27299999,5.0 PROLENE C-1,34.32,34.32,,,0
CDM,27299999,5.0X25 BLADES,1440.0,1440.0,,,0
CDM,27299999,5.6MM REAMER,1656.0,1656.0,,,0
CDM,27299999,50-101-1 - RETRACTOR 50-101-1 RADIALUX CE,506.4,506.4,,,0
CDM,27299999,50-601XL - THE MYOSURE® TISSUE REMOVAL SYSTEM IS INTENDED FOR HYSTEROSCOPIC INTRAUTERINE RESECTION PROCEDURES BY A TRAINED GYNECOLOGIST TO HYSTEROSCOPICALLY RESE,2321.69,2321.69,,,0
CDM,27299999,"5023-160 - 00502316000 - MICRO OSCILLATOR BLADE, FINE, 5.5 X 12 X 0.4 MM",42.22,42.22,,,0
CDM,27299999,5023-178 - 00502317800 - MICROCHOICE REPEAT STERNOTOMY BLADE 44.6 MM,51.15,51.15,,,0
CDM,27299999,"5071-196 - 00507119600 - OSCILLATOR BLADE, 25.4 X 90 X 0.9 MM (.035"")",55.37,55.37,,,0
CDM,27299999,"5092-224 - 00509222400 - ROUND BUR, LONG, CARBIDE, 2 MM",31.27,31.27,,,0
CDM,27299999,55846-01,436.8,436.8,,,0
CDM,27299999,56535RIM/B - 00884450654538,30.0,30.0,,,0
CDM,27299999,5:5 GPS TAP,1800.0,1800.0,,,0
CDM,27299999,"5C4482A - THIS SET CONSISTS OF A FEMALE LOCKING CONNECTOR/ON-OFF CLAMP ASSEMBLY, TUBING AND DOUBLE SEALING MALE LUER LOCK CONNECTOR. THIS SET IS TO BE USED WITH",126.18,126.18,,,0
CDM,27299999,5F BERN 100CM,30.0,30.0,,,0
CDM,27299999,5MM LAPAROSCOPIC KITTNER,211.01,211.01,,,0
CDM,27299999,6 MM DRILL BIT,390.0,390.0,,,0
CDM,27299999,6-0 PLAIN GUT HE-1,63.05,63.05,,,0
CDM,27299999,6.25 MALYUGIAN RING,349.99,349.99,,,0
CDM,27299999,6.4MM REAMER,1656.0,1656.0,,,0
CDM,27299999,6.5 CANNULATED TAP,1394.4,1394.4,,,0
CDM,27299999,6.5MM TAP 2.4MM CANNULATED,1236.0,1236.0,,,0
CDM,27299999,60NFPS25,310.37,310.37,,,0
CDM,27299999,61MM FOGARTY CLAMP INSERTS,47.23,47.23,,,0
CDM,27299999,"63000 - 3M¢ BAIR HUGGER¢ WARMING BLANKET, 63000, STERILE CARDIAC, 5/CASE",63.5,63.5,,,0
CDM,27299999,64037 - DISPOSABLE EQUIPMENT COVER,120.53,120.53,,,0
CDM,27299999,"681.05 - DISCISSION KNIFE, STRAIGHT, 0.5 MM",117.02,117.02,,,0
CDM,27299999,7 1/8 DRILL BIT,268.8,268.8,,,0
CDM,27299999,7-0 PROLENE BV175-8,67.15,67.15,,,0
CDM,27299999,7-0MM BONE HARVESTER,2697.6,2697.6,,,0
CDM,27299999,7.0 MALYUGIN RING,349.99,349.99,,,0
CDM,27299999,7.5 LONG DRILL,1384.8,1384.8,,,0
CDM,27299999,7.5MM/9.5MM STEPPED ENTRY REAMER,988.18,988.18,,,0
CDM,27299999,72203238 - SPIDER LEG STABILIZATION KIT 10                                    PER BOX,686.4,686.4,,,0
CDM,27299999,72290004 - AMBIENT HIPVAC 50 IFS,1026.0,1026.0,,,0
CDM,27299999,72346-03 - SPECIALIST 100 STERILE COTTON PADDING 15CM X 3.6MTR WHITE 25,127.39,127.39,,,0
CDM,27299999,7602-20M - B,188.18,188.18,,,0
CDM,27299999,7786703 - ACP TEMPORARY FIXATION PIN,143.83,143.83,,,0
CDM,27299999,7786713,145.44,145.44,,,0
CDM,27299999,80-4134 - AT3 NANO PROFILE DRILL,998.4,998.4,,,0
CDM,27299999,800-0611A,8640.0,8640.0,,,0
CDM,27299999,8032 - 32 FR STRAIGHT Â SOFT PVC CATHETER,148.46,148.46,,,0
CDM,27299999,"81010-6 - 81010-1 - STANDARD BLADE ASSEMBLY, SMARTRELEASE",607.99,607.99,,,0
CDM,27299999,814501080 - 8145-01-080,428.4,428.4,,,0
CDM,27299999,814510090 - 8145-10-090,1041.6,1041.6,,,0
CDM,27299999,82-1516 - 821516 - CODMAN® DISPOSABLE CATHETER PASSER,287.78,287.78,,,0
CDM,27299999,8225101,238.82,238.82,,,0
CDM,27299999,83401-300,10879.97,10879.97,,,0
CDM,27299999,8530637 - DRILL BIT 8530637 DRILL 1.3MM X 7MM,203.33,203.33,,,0
CDM,27299999,86398 - LASER ORAL TRACHEAL TUBE DUAL CUFFED MURPHY EYE,177.58,177.58,,,0
CDM,27299999,"8817142005 - ACUTE DUAL LUMEN CATHETER,STRAIGHT EXTENSIONS WITH 2 SEALING CAPS",152.23,152.23,,,0
CDM,27299999,888561027K - TROCAR CATHETER,83.67,83.67,,,0
CDM,27299999,888570549K - THORACIC CATHETER,28.18,28.18,,,0
CDM,27299999,888571042K - THORACIC CATHETER,28.18,28.18,,,0
CDM,27299999,"8888577775 - ARGYLE CAROTID ARTERY SHUNT KIT RADIOPAQUE LINE, STRAIGHT",112.48,112.48,,,0
CDM,27299999,"8888577775 - CAROTID ARTERY SHUNT KIT;RADIOPAQUE LINE, STRAIGHT",124.77,124.77,,,0
CDM,27299999,8MM BGH 2 KIT,2697.6,2697.6,,,0
CDM,27299999,9.5MMX80MM IFUSE BEDROCK GRANITE INPLANT,7440.0,7440.0,,,0
CDM,27299999,9030135 - FLEXION/EXTENSION PIN,1874.4,1874.4,,,0
CDM,27299999,9092 - HANDHELD SINGLE-USE SURGICAL BIPOLAR NERVE STIMULATOR,1855.2,1855.2,,,0
CDM,27299999,90MM DRILL BIT,1349.04,1349.04,,,0
CDM,27299999,90MM SQUARE SUPPORT,883.75,883.75,,,0
CDM,27299999,950156 - FLUORESCENCE IMAGING PROCEDURE KIT,2949.6,2949.6,,,0
CDM,27299999,9735319 - POINTER 9735319 NAVIGATION AXIEM PKGD,1117.34,1117.34,,,0
CDM,27299999,9735428 - STYLET 9735428 2 COIL SINGLE PACKAGE,1090.56,1090.56,,,0
CDM,27299999,9735560 - VCLAS 9735560 10MM TIP/1.65MM CATHETER,28122.0,28122.0,,,0
CDM,27299999,"9789- - 9789 - KENDALL SCD EXPRESS SLEEVES, KNEE LENGTH, LARGE",28.51,28.51,,,0
CDM,27299999,98430 - INTRODUCER KIT FOR GASTROSTOMY FEEDING TUBE,541.06,541.06,,,0
CDM,27299999,A-6000-08LF - IPN927559 - PLEUR-EVAC ADULT-PEDIATRIC DRY/ WET LATEX FREE,96.45,96.45,,,0
CDM,27299999,A-6002-08LF - IPN927560 - PLEUR-EVAC DRY/WET DUAL COLLECTION LATEX FREE,170.45,170.45,,,0
CDM,27299999,A-70260 - 103006 - CONTOUR COVER KIT 1 PC.,39.15,39.15,,,0
CDM,27299999,A.L.P.S. CLAVICLE PLATING SYSTEM-1.6MM K-WIRE TROCHAR TIP NS,50.4,50.4,,,0
CDM,27299999,"A001009 - CRYOS - CRYOS, PACKAGED ASSEMBLY",5880.0,5880.0,,,0
CDM,27299999,AA01 - CAUTERY HIGH TEMP FINE TIP (10/BX),26.93,26.93,,,0
CDM,27299999,AA0608 - ANGIASSIST® CASE OF 1 X 10.,228.0,228.0,,,0
CDM,27299999,ABTHERA OPEN ABDOMEN DRESSING,1125.19,1125.19,,,0
CDM,27299999,ACCESS KIT,1200.0,1200.0,,,0
CDM,27299999,ACCU-PASS SUTURE SHUTTLE,96.0,96.0,,,0
CDM,27299999,ACP 13MM DRILL,145.08,145.08,,,0
CDM,27299999,ACUFEX SMOOTHER CRUCIAL TOOL,702.0,702.0,,,0
CDM,27299999,ADOLESCENT CHISEL,1773.67,1773.67,,,0
CDM,27299999,ADOLESCENT NAIL ATTACHMENT BOLT SINGLE USE,1881.91,1881.91,,,0
CDM,27299999,"ADVENTURE SERIES PARACHUTING MEDIUM RUBBER BANDS, 1/4""",59.74,59.74,,,0
CDM,27299999,AFFIRM ACCESS PACK PREMIER TRAY,1992.0,1992.0,,,0
CDM,27299999,AFFIRM FILLER DELIVERY PAC,1135.2,1135.2,,,0
CDM,27299999,AFFIRM VCF KIT,5280.0,5280.0,,,0
CDM,27299999,AFFIXUS 100 CM WIRE,453.6,453.6,,,0
CDM,27299999,AFFIXUS 9MM 370MM TIBIAL NAIL,4368.0,4368.0,,,0
CDM,27299999,ALEXIS CONTAINED EXTRACTION SYSTEM,912.92,912.92,,,0
CDM,27299999,ALLIANCE II,295.55,295.55,,,0
CDM,27299999,ALLIEDSIL SHEETING NON-REINFORCED,912.0,912.0,,,0
CDM,27299999,AMPLATZ SUPER STIFF 0.035IN X 145CM,60.94,60.94,,,0
CDM,27299999,AMS 700 ACCESSORY KIT,2700.0,2700.0,,,0
CDM,27299999,"ANATOMIC MODEL, MANDIBLE, CLEAR",4335.98,4335.98,,,0
CDM,27299999,ANCHOR TISSUE RETRIEVAL SYSTEM,197.62,197.62,,,0
CDM,27299999,ANGIOGRAPHIC CATHETER,30.0,30.0,,,0
CDM,27299999,ANKLE DISTRACTOR,95.54,95.54,,,0
CDM,27299999,ANTERIOR VITRECTOMY PROBE,543.05,543.05,,,0
CDM,27299999,"ANTERIOR VITRECTOMY PROBE, 23 GA",514.9,514.9,,,0
CDM,27299999,ANTIMICROBIAL IRRIGATION SYSTEM,154.37,154.37,,,0
CDM,27299999,AR-13999HDN - HD SCORPION NEEDLE,507.0,507.0,,,0
CDM,27299999,AR-5845 - KNOT PUSHER/SUTURE CUTTER W/ PORTAL SKID,572.52,572.52,,,0
CDM,27299999,"AR-S9805-0028 - FLEXTIP BIPOLAR ELECTRODES SINGLE-USE                                   WL: 28CM, CURIS PLUG",2400.0,2400.0,,,0
CDM,27299999,"AS-12-1 - ORTHEX INDICATOR CAP STRUT, RED",118.08,118.08,,,0
CDM,27299999,"AS-17 - ORTHEX, BOLT, SHOULDER MS STRUT",140.23,140.23,,,0
CDM,27299999,AS137-295 - ORTHEX STRUT TELESCOPING C/O 137-295,5258.26,5258.26,,,0
CDM,27299999,ATHLETIC SUPPORTER LARGE,37.13,37.13,,,0
CDM,27299999,ATOMIZER MUCOSAL LARYN TRACH W/O SYR MAD,31.61,31.61,,,0
CDM,27299999,ATTAIN VENOGRAM BALLOON CATHETER,240.0,240.0,,,0
CDM,27299999,AUTO CAP ERCP SCOPE,59.14,59.14,,,0
CDM,27299999,AUTO FILL GAS PAK,180.96,180.96,,,0
CDM,27299999,AUTO GAS FILL PACK,180.96,180.96,,,0
CDM,27299999,AUXILIARY CHANNEL WATER TUBE SET MAJ-1651,43.42,43.42,,,0
CDM,27299999,AWL,775.34,775.34,,,0
CDM,27299999,AXIOS STENT 15MMX15MM,17001.6,17001.6,,,0
CDM,27299999,BACTISEAL CATHETER SYSTEM SHUNT,913.99,913.99,,,0
CDM,27299999,BALLOON 3 FOR ULTRASONIC RADIAL SCOPE,72.72,72.72,,,0
CDM,27299999,BALLOON DILATOR 10X30,453.6,453.6,,,0
CDM,27299999,BARD X FORCE NEPHROSTOMY BLALLOON DILATION CATHETER,453.6,453.6,,,0
CDM,27299999,BARDPORT,1058.4,1058.4,,,0
CDM,27299999,BARE FIBER B 2.1 365 STERIL,926.64,926.64,,,0
CDM,27299999,BB TACK,130.27,130.27,,,0
CDM,27299999,BD ULTRASCORE FOCUSED FORCE PTA BALLOON OTW 3MM X X100MM,2280.0,2280.0,,,0
CDM,27299999,BERTELS BUCKET HANDLE,309.6,309.6,,,0
CDM,27299999,BEVEL TOTALPLUS VITRECTOMY PAC,1227.89,1227.89,,,0
CDM,27299999,BIMANUAL SET,43.22,43.22,,,0
CDM,27299999,BIMANUAL SET 0.3MM POLYMER I/A,46.22,46.22,,,0
CDM,27299999,"BIMANUAL SET, 0.3MM POLYMER I/A",43.72,43.72,,,0
CDM,27299999,BIOSEAL SIGMOIDOSCOPE KIT,204.0,204.0,,,0
CDM,27299999,BIPOLAR CUTIG LOOP,780.0,780.0,,,0
CDM,27299999,"BIPOLAR FORCEPS INSERT, VERTICAL CLOSING 45* ANGLED JAWS",955.37,955.37,,,0
CDM,27299999,"BIPOLAR FORCEPS INSERT, VERTICAL CLOSING, 45 DEGREE ANGLED JAW",875.28,875.28,,,0
CDM,27299999,BIT DRL L140MM DIA2MM CALIB L60MM NS QC,484.7,484.7,,,0
CDM,27299999,BIT DRL L170MM DIA2.5MM CALIB L80MM NS Q,483.12,483.12,,,0
CDM,27299999,BIVONA 67P030 TTS CUFF PEDI,375.46,375.46,,,0
CDM,27299999,BLADE SHV L11CM DIA4MM 7500RPM SNUS STR,440.35,440.35,,,0
CDM,27299999,BONE HARVESTER,2368.8,2368.8,,,0
CDM,27299999,BVI WET-FIELD ERASER,50.04,50.04,,,0
CDM,27299999,BX NEEDLE,1800.0,1800.0,,,0
CDM,27299999,CABLE NEURO STIM,264.0,264.0,,,0
CDM,27299999,CANISTER,80.86,80.86,,,0
CDM,27299999,CANNISTER WITH GEL 300ML,432.14,432.14,,,0
CDM,27299999,CANNULA PREM SL RF STR NDL 50 MM 22 G 5,174.0,174.0,,,0
CDM,27299999,CANNULATED DRILL PAC,594.0,594.0,,,0
CDM,27299999,CAROTID ARTERY SHUNT KIT,148.61,148.61,,,0
CDM,27299999,CATHETER ACCESS PORT KIT,69.6,69.6,,,0
CDM,27299999,CATHETER URET 10FR X 54CM 2 INJ LUMN 0.05IN RECOMMENDED - LOG7187979,190.08,190.08,,,0
CDM,27299999,CELLULOSE OXD 4X3IN NUKNIT,215.54,215.54,,,0
CDM,27299999,"CEMENT DELIVERY DEVICE, 2 PACK",2064.0,2064.0,,,0
CDM,27299999,"CEMENT MIXER AND TRANSFER PACK, TRAY",612.0,612.0,,,0
CDM,27299999,CEREBROFLO EVD CATETER,1800.0,1800.0,,,0
CDM,27299999,CEREBROFLO EVD CATHETER,31.63,31.63,,,0
CDM,27299999,CHANDELIER,288.5,288.5,,,0
CDM,27299999,CHROMIC 4-0 P-13,31.65,31.65,,,0
CDM,27299999,CINCH,192.0,192.0,,,0
CDM,27299999,CLEAR PLANNED MODEL - SYNTHES,4335.98,4335.98,,,0
CDM,27299999,CLEARVIEW BLOWER/MISTER KIT,139.2,139.2,,,0
CDM,27299999,CLEARVIEW INTRACORONARY SHUNT,187.42,187.42,,,0
CDM,27299999,CLIP SUR SCALP PLAS DISP FOR HEMSTAS RAN,231.34,231.34,,,0
CDM,27299999,CO2-500 - CO2 LASER WAVEGUIDE - 500 MICRONS,3168.0,3168.0,,,0
CDM,27299999,COAXIAL FEMORAL CANAL TIP,23.52,23.52,,,0
CDM,27299999,COCHLEAR CONTOUR ADVANCE DEPTH GAUGE,866.4,866.4,,,0
CDM,27299999,COCHLEAR OSIA OS1200 IMPLANT TEMPLATE,67.2,67.2,,,0
CDM,27299999,COCHLEAR OSIA OSI200 IMPLANT TEMPLATE,10239.96,10239.96,,,0
CDM,27299999,CODMAN BACTISEAL 1.5MM ID EVD CATHETER SET,846.12,846.12,,,0
CDM,27299999,CODMAN CEREBRO EVD CATHETER SET,1800.0,1800.0,,,0
CDM,27299999,CODMAN EVD BACTISEAL 1.9MM CATHETER SET,908.16,908.16,,,0
CDM,27299999,CODMAN VERSA TRU,648.0,648.0,,,0
CDM,27299999,COMPRESSION PF PIN 40MM,1545.6,1545.6,,,0
CDM,27299999,CONFIDENCE PLUS KIT SPINAL CEMENT SYSTEM 11CC,3816.0,3816.0,,,0
CDM,27299999,CONMED FOOT CONTROLLED SUCTION COAGULATOR 10 FR,48.79,48.79,,,0
CDM,27299999,CONSTE4LLATION VISCOUS FLUID CONTROL PAK,166.34,166.34,,,0
CDM,27299999,CONSTELLATION 25 GA CHANDELIER,288.5,288.5,,,0
CDM,27299999,CONSTELLATION AUTO GAS FILL PAK,180.96,180.96,,,0
CDM,27299999,CONSTELLATION VISCOUS FLUID CONTROL PAK,166.34,166.34,,,0
CDM,27299999,CONSTELLATION VISION SYSTEM,180.96,180.96,,,0
CDM,27299999,CONSTELLATION VISION SYSTEM VISCOUS FLUID CONTROL PACK,166.34,166.34,,,0
CDM,27299999,CONTROLLER,2216.14,2216.14,,,0
CDM,27299999,CONTROLLER INTELLIS NEUROSTIMULATOR,2216.14,2216.14,,,0
CDM,27299999,COOK CVC DOUBLE LUMEN POWER INJECTABLE CENTRAL VENOUS CATHETER,423.6,423.6,,,0
CDM,27299999,COOK SINGLE LUMEN CVC SET - 6.3FR / 15CM,131.76,131.76,,,0
CDM,27299999,COOLSEAL 3MM 20CM SEALER,1680.0,1680.0,,,0
CDM,27299999,COOLSEAL MINI SEALER,1800.0,1800.0,,,0
CDM,27299999,CORFLO NASOGASTRIC FEEDING TUBE,47.76,47.76,,,0
CDM,27299999,COUNTERSINK,540.0,540.0,,,0
CDM,27299999,CRANIAL ACCESS KIT,1307.02,1307.02,,,0
CDM,27299999,CRANIECTOMY TEMPLATE KIT,1008.0,1008.0,,,0
CDM,27299999,CUBITAL TUNNEL BLADE,2772.0,2772.0,,,0
CDM,27299999,CURVED TIP INTELLIGENT RELOAD AND INTRODUCER,525.41,525.41,,,0
CDM,27299999,CUSTOM ORTHOGNATHIC SPLINTS,6896.57,6896.57,,,0
CDM,27299999,DAKOTA,705.02,705.02,,,0
CDM,27299999,DAKOTA NITINOL STONE RETRIEVAL DEVICE,705.02,705.02,,,0
CDM,27299999,DBS PATIENT PROGRAMMER,3594.89,3594.89,,,0
CDM,27299999,DEEP SCROTAL RETRACTION SYSTEM,1344.0,1344.0,,,0
CDM,27299999,DELTA-DRY PANTALOON SIZE 3,314.23,314.23,,,0
CDM,27299999,DENVER SPLINT SM/MED,147.84,147.84,,,0
CDM,27299999,DEPUY SYNTHES 05.000.031S,790.8,790.8,,,0
CDM,27299999,DERMACARRIERS SKINGRAFT CARRIERS,77.98,77.98,,,0
CDM,27299999,DETACHMENT CONTROLLER,429.62,429.62,,,0
CDM,27299999,DISPOSABLE BIOPSY NEEDLE,1224.0,1224.0,,,0
CDM,27299999,DISPOSABLE BIOPSY NEEDLE KIT TYPE A,1368.0,1368.0,,,0
CDM,27299999,DISPOSABLE CATHETER PASSER,289.26,289.26,,,0
CDM,27299999,DISPOSABLE CONCENTRIC PROBE,1440.0,1440.0,,,0
CDM,27299999,DISPOSABLE INFLATION DEVICE,136.8,136.8,,,0
CDM,27299999,DISPOSABLE KIT FOR 2.8MM Q-FIX ANCHOR,453.6,453.6,,,0
CDM,27299999,DISPOSABLE PEDICLE SCREW PROBE,1476.0,1476.0,,,0
CDM,27299999,"DISPOSABLE RIGID CURETTE CURVED, 7MM CURVED",31.33,31.33,,,0
CDM,27299999,DISPOSABLE STERILE BATTERY-OPERATED CAUTERIES,47.76,47.76,,,0
CDM,27299999,DISPOSABLE SUCTION COAGULATOR BY BOVIE,38.62,38.62,,,0
CDM,27299999,DISPOSABLE SUCTION/IRRIGATOR,153.09,153.09,,,0
CDM,27299999,DISPOSABLE TROCAR FOR PEDICLE ACCESS NEEDLE,840.0,840.0,,,0
CDM,27299999,DISTAL COVER,30.29,30.29,,,0
CDM,27299999,"DLP-M11 - LETZ ELECTRODE - ELECTROSURGICAL LOOP ELECTRODE, 15MM WIDE X 12MM DEEP, ROUND LOOP, 11CM SHAFT LENGTH, WITH SAFE-T-GAUGE",36.0,36.0,,,0
CDM,27299999,"DLP-W11 - LETZ ELECTRODE - ELECTROSURGICAL LOOP ELECTRODE, 20MM WIDE X 12MM DEEP, ROUND LOOP, 11CM SHAFT LENGTH, WITH SAFE-T-GAUGE",38.64,38.64,,,0
CDM,27299999,DOYLE NASAL SEPTAL SPLINT,104.98,104.98,,,0
CDM,27299999,DRAIN SUR 10FR SIL RND PERF RADPQ W/ TRC,28.18,28.18,,,0
CDM,27299999,DRAIN SUR 19FR SIL RND HUBLESS BLAK,259.99,259.99,,,0
CDM,27299999,DRIL,864.0,864.0,,,0
CDM,27299999,DRIL 2.5,153.6,153.6,,,0
CDM,27299999,DRILL,514.4,514.4,,,0
CDM,27299999,DRILL 2.0*60MM,550.8,550.8,,,0
CDM,27299999,DRILL 2.5*80 MM,525.6,525.6,,,0
CDM,27299999,DRILL 2.7*45MM,387.0,387.0,,,0
CDM,27299999,DRILL BIT 2.7 MM CANNULATED 155 MM,935.76,935.76,,,0
CDM,27299999,DRILL KIT WITH DRILL BIT,973.8,973.8,,,0
CDM,27299999,DRILL PAC 2MM 2 X 2.8MM SLEEVES,468.72,468.72,,,0
CDM,27299999,DRIVER QUICK CONNECT,249.6,249.6,,,0
CDM,27299999,DRLL-SSC-27050,304.8,304.8,,,0
CDM,27299999,DRLL-SSC-35070,302.4,302.4,,,0
CDM,27299999,DRYSEAL FLEX INTRODUCER SHEATH,1351.2,1351.2,,,0
CDM,27299999,DUAL KNIFE,1668.0,1668.0,,,0
CDM,27299999,DUAL LUMEN URETERAL CATHETER,190.08,190.08,,,0
CDM,27299999,DUEL LUMEN URETERAL CATHETER,190.08,190.08,,,0
CDM,27299999,"DURAPRO 3MM BARREL ATTACHMENT 22MM, 140MM GPS",1440.0,1440.0,,,0
CDM,27299999,"DURAPRO 5MM BRUSH ATTACHMENT 25MM, 180MM GPS",1800.0,1800.0,,,0
CDM,27299999,DYNJ80094B - OPEN HEART TRAY,581.11,581.11,,,0
CDM,27299999,DYONICS 4.0MM FLYER PLATINUM BLADE,4799.81,4799.81,,,0
CDM,27299999,DYONICS POWERMINI 2.9MM FULL RADIUS BLADE,126.0,126.0,,,0
CDM,27299999,E#NDOSCOPIC APPLICATOR,178.92,178.92,,,0
CDM,27299999,E2608-6 - SUCTION COAGULATOR,955.37,955.37,,,0
CDM,27299999,"E4-4108, 4-4108 - E4-4108 - 8F AMT BRIDLE NASAL TUBE RETAINING SYSTEM (POUCHED)",255.36,255.36,,,0
CDM,27299999,"E4-4214, 4-4214 - E4-4214 - 14F AMT BRIDLE PRO NASAL TUBE RETAINING SYSTEM (POUCHED)",261.36,261.36,,,0
CDM,27299999,E7500 - SPONGE: ENDOSCOPIC 5MM KITTNER 40/CS,51.31,51.31,,,0
CDM,27299999,EASYGRIP FLO-41,167.04,167.04,,,0
CDM,27299999,EFX002 - IPN917216 - WECK EFX SHIELD PORT SITE CLOSURE SYSTEM,360.0,360.0,,,0
CDM,27299999,EINWEGSET LIPO COLLECTOR 3,70.8,70.8,,,0
CDM,27299999,ENCORE 26 INFLATION DEVICE,96.0,96.0,,,0
CDM,27299999,ENDOCLOT,240.0,240.0,,,0
CDM,27299999,ENDOCUT SCISSOR TIP,80.4,80.4,,,0
CDM,27299999,ENDOSCOPIC APPLICATOR,381.02,381.02,,,0
CDM,27299999,ENDOSCOPIC SOFT TISSUE RELEASE,521.04,521.04,,,0
CDM,27299999,ENDOVIVE GASTROSTOMY TUBE,76.27,76.27,,,0
CDM,27299999,ENDOVIVE SAFETY PEG KIT,215.26,215.26,,,0
CDM,27299999,ENSEAL X1 LARGE JAW TISSUE SEALER 20CM,1164.48,1164.48,,,0
CDM,27299999,ESSENTIAL MEDICAL CLOSURE EVOLVED MANTA VASCULAR CLOSURE DEVICE,2148.0,2148.0,,,0
CDM,27299999,EVACUATOR URO BLDR UROVAC - LOG7146558,67.08,67.08,,,0
CDM,27299999,EVOS CABILING SYSTEM,4140.0,4140.0,,,0
CDM,27299999,EXCHANGE TUBE,130.2,130.2,,,0
CDM,27299999,EXTRACTION BOLT,2016.0,2016.0,,,0
CDM,27299999,EZ SHOT 3 PLUS,960.0,960.0,,,0
CDM,27299999,EZSHOT 3 PLUS 22G NEEDLE,386.9,386.9,,,0
CDM,27299999,F05A - BONE BIOPSY DEVICE F05A SIZE 3-RB,235.22,235.22,,,0
CDM,27299999,FASCIAL DILATOR SET,539.81,539.81,,,0
CDM,27299999,FENNE INNER SHAFT,480.0,480.0,,,0
CDM,27299999,FIBERWIRE,218.18,218.18,,,0
CDM,27299999,"FILLER DELIVERY PACK, PREMIER",917.24,917.24,,,0
CDM,27299999,"FILLER DELIVERY PACK, PREMIER, TRAY",1135.2,1135.2,,,0
CDM,27299999,FINGER TRAPS,429.6,429.6,,,0
CDM,27299999,FLAT LENS,113.76,113.76,,,0
CDM,27299999,FLEX LOOP,322.56,322.56,,,0
CDM,27299999,FLEXIBLE PASSING PIN 13.5 X 2.4MM,257.04,257.04,,,0
CDM,27299999,FLUID PACK,166.34,166.34,,,0
CDM,27299999,FORCEPS OPHTH 25GA BLNT DST END RND HVY MEM MIC TEXT MAXGRIP,364.49,364.49,,,0
CDM,27299999,FREEHAND DRILL,954.3,954.3,,,0
CDM,27299999,GAMMA4 PRECISION PIN TAPERED,446.4,446.4,,,0
CDM,27299999,GAS FILL PACK,1085.76,1085.76,,,0
CDM,27299999,GAS KIT,180.96,180.96,,,0
CDM,27299999,GAS PACK,364.49,364.49,,,0
CDM,27299999,GASTRODUODENAL FTRD SET,4005.6,4005.6,,,0
CDM,27299999,GDSF1245 - DRYSEAL HYDRO FLEX SHEATH AO 45CMX12FR,2143.2,2143.2,,,0
CDM,27299999,GDSF1633 - DRYSEAL HYDRO FLEX SHEATH AO 33CMX16FR,1351.2,1351.2,,,0
CDM,27299999,GDSF1833 - DRYSEAL HYDRO FLEX SHEATH AO 33CMX18FR,1795.2,1795.2,,,0
CDM,27299999,GDSF2033 - DRYSEAL HYDRO FLEX SHEATH AO 33CMX20FR,1795.2,1795.2,,,0
CDM,27299999,GENESYS HTA PROCERVA,3600.0,3600.0,,,0
CDM,27299999,GFS-10A - IPN912379 - GABBAY-FRATER SUTORGANIZER (4 PIECES OF 3),108.67,108.67,,,0
CDM,27299999,GIA STAPLER,349.9,349.9,,,0
CDM,27299999,GIA STAPLER W TRI STAPLE TECH,341.3,341.3,,,0
CDM,27299999,GLIDECATH 5FR.,127.68,127.68,,,0
CDM,27299999,GLIDECATH ANGLED TAPER 5FR,127.63,127.63,,,0
CDM,27299999,GLIDELIGHT LASE SHEATH,7908.0,7908.0,,,0
CDM,27299999,GLIDEWIRE 0.035,115.92,115.92,,,0
CDM,27299999,GLIDEWIRE ADVANTAGE 0.018,708.0,708.0,,,0
CDM,27299999,GN2500 - SNARE GN2500 GOOSENECK SNARE V02,636.0,636.0,,,0
CDM,27299999,GONIO LENS,144.0,144.0,,,0
CDM,27299999,GORE BALLOON CATHETER,1188.0,1188.0,,,0
CDM,27299999,GORE DRYSEAL FLEX INTRODUCER SHEATH 22FR X 33CM,1795.2,1795.2,,,0
CDM,27299999,GORE MOLDING & OCCLUSION BALLOON CATHETER,1200.0,1200.0,,,0
CDM,27299999,GRAFTON DEMINERALIZED BONE FIBERS,1320.0,1320.0,,,0
CDM,27299999,GREEN BRAIDED NON ABSORBABLE SUTURE,18.12,18.12,,,0
CDM,27299999,GRIESHABER 25+ FINESSE FLEX LOOP DSP,322.56,322.56,,,0
CDM,27299999,GRIESHABER 25+ MAXGRIP REV DSP FORCEPS,364.49,364.49,,,0
CDM,27299999,GROUNDING PAD,38.28,38.28,,,0
CDM,27299999,"GTB14 - (1) SPECIMEN CONTAINMENT BAG, 14CM DIAMETER, (1) SMALL GUARD, (1) MEDIUM GUARD, (1) RETRACTOR",876.0,876.0,,,0
CDM,27299999,"GTB17 - (1) SPECIMEN CONTAINMENT BAG, 17CM DIAMETER, (1) SMALL GUARD, (1) MEDIUM GUARD, (1) RETRACTOR",876.0,876.0,,,0
CDM,27299999,GUIDE SHEATH PASCAL,7344.0,7344.0,,,0
CDM,27299999,HANDSET WITH COMMUNICATOR,3594.89,3594.89,,,0
CDM,27299999,"HANDSET, COMMUNICATOR, PRODUCT DOCUMENTATION",3592.8,3592.8,,,0
CDM,27299999,HARMONIC 1100 SHEARS,1474.91,1474.91,,,0
CDM,27299999,HC MISC SUPPLY,15696.0,15696.0,,,0
CDM,27299999,HEADLESS TROCAR DRILL PIN,177.6,177.6,,,0
CDM,27299999,HERMETIC LUMBAR CATHETER CLOSED TIP,644.92,644.92,,,0
CDM,27299999,HERMETIC LUMBAR CATHETER OPEN TIP,557.76,557.76,,,0
CDM,27299999,HEX WRENCH 7.6 CM,60.0,60.0,,,0
CDM,27299999,HFX REMOTE,2400.0,2400.0,,,0
CDM,27299999,HOT RADIAL JAW BIOPSY FORCEPS,67.66,67.66,,,0
CDM,27299999,HP3000 - HEART POSITIONER HP3000 STARFISH EVO 26L,1923.84,1923.84,,,0
CDM,27299999,HYDRA JAGWIRE STRAIGHT TIP,619.85,619.85,,,0
CDM,27299999,IAB-05830-LWS - IPN915317 - REDIGUARD(R) IAB,2906.4,2906.4,,,0
CDM,27299999,"IB200051 - SCREW, BONE REMOVER",295.2,295.2,,,0
CDM,27299999,ILM FORCEP,364.49,364.49,,,0
CDM,27299999,ILM FORCEPS,1818.89,1818.89,,,0
CDM,27299999,IMPERIUM CO2LASER FIBER,3168.0,3168.0,,,0
CDM,27299999,IMPLANT ACE PASCAL PRECISION SYSTEM,58752.0,58752.0,,,0
CDM,27299999,IMPLANT PASCAL PRECISION SYSTEM,7344.0,7344.0,,,0
CDM,27299999,INACTIVE USE 412784 SYSTEM FLD MGMT DIA0,659.09,659.09,,,0
CDM,27299999,INACTIVE USE PS# 410283 - RES ONLY-DEVIC,168.84,168.84,,,0
CDM,27299999,INACTIVE USE PS# 541325 - SHEARS LAP L36,1479.25,1479.25,,,0
CDM,27299999,INFRAME INSTRUMENT KIT,960.0,960.0,,,0
CDM,27299999,INFUSE BONE GRAFT,5208.0,5208.0,,,0
CDM,27299999,INFUSION CANNULA 6MM,30.72,30.72,,,0
CDM,27299999,"INTEGRAL SHORT GREATER TROCHANTERIC REATTACHMENT DEVICE (GTR) W/ 2 CABLES, 23 X 53MM",2803.2,2803.2,,,0
CDM,27299999,INTERJECT INJECTION NEEDLE 25GA 240CM,150.5,150.5,,,0
CDM,27299999,"IP-1218 - AMT INITIAL PLACEMENT KIT (12-18FR), MDR",381.6,381.6,,,0
CDM,27299999,IPS PLANNING,5388.0,5388.0,,,0
CDM,27299999,"IPS SUPPLIMENTAL MODEL, HALF",2628.0,2628.0,,,0
CDM,27299999,JEDMED INSTRUMENT CRAWFORD LACRIMAL INTUBATION SET,235.2,235.2,,,0
CDM,27299999,JONES TUBE INTRODUCER SET,1344.0,1344.0,,,0
CDM,27299999,JUSTRIGHT,1290.0,1290.0,,,0
CDM,27299999,JUSTRIGHT 5MM RELOAD,900.0,900.0,,,0
CDM,27299999,JUSTRIGHT 5MM STAPLER,1800.0,1800.0,,,0
CDM,27299999,K WIRE 1.45 X 600MM NIT BLNT THRD,60.0,60.0,,,0
CDM,27299999,K WIRE 1.45X600MM NIT BLNT THR,286.53,286.53,,,0
CDM,27299999,K WIRE 1.45X600MM NIT BLNT THRD,60.0,60.0,,,0
CDM,27299999,K WIRE FIX 1.6MM SS FOR DVR ANAT VOLAR PLATING SYS,67.2,67.2,,,0
CDM,27299999,K WRE FIX L4IN DIA0.045IN SMOOTH DBL TRCR PT,2.62,2.62,,,0
CDM,27299999,K WRE FIX L4IN DIA0.062IN SMOOTH DBL TRCR PT,2.62,2.62,,,0
CDM,27299999,K- WIRE,60.0,60.0,,,0
CDM,27299999,K-5210,317.86,317.86,,,0
CDM,27299999,K-WIRES,60.0,60.0,,,0
CDM,27299999,KIT INSERT PEEK FOR 2.4MM PUSHLOCK,572.52,572.52,,,0
CDM,27299999,KIT PREVENA 20CM PRE1001US,4533.56,4533.56,,,0
CDM,27299999,KIT PRGM HANDSET AND COMMUNICATOR INCEPTIV,2221.56,2221.56,,,0
CDM,27299999,KIT RECHARGER FOR INCEPTIV,3714.5,3714.5,,,0
CDM,27299999,KIT SURG TMP 1ST FX 15/3,6774.46,6774.46,,,0
CDM,27299999,KITTNER DISSECTOR,156.34,156.34,,,0
CDM,27299999,KNEE FIBERTAK DRILL 2.8MM,228.0,228.0,,,0
CDM,27299999,KPT1502 - KIT KPT1502 KYPHOPAK TRAY 15/3 FF W/OIS,6155.74,6155.74,,,0
CDM,27299999,KPT152,6155.74,6155.74,,,0
CDM,27299999,KWIRE,74.06,74.06,,,0
CDM,27299999,KYPHON BONE CEMENT MIXER PACK,329.3,329.3,,,0
CDM,27299999,KYPHOPAK EXPRESS II TRAY FIRST FRACTURE,7705.37,7705.37,,,0
CDM,27299999,LACRIMAL DUCT CATHETER,835.2,835.2,,,0
CDM,27299999,LAPAROSCOPIC PACK,278.66,278.66,,,0
CDM,27299999,LAPAROTOMY PACK,794.3,794.3,,,0
CDM,27299999,LARGE WOUND VAC SPONGE KCI,128.44,128.44,,,0
CDM,27299999,"LDC315T - LACRICATH LACRIMAL DUCT BALLOON CATHETER, 3 MM.",835.2,835.2,,,0
CDM,27299999,LEG STABILIZATION KIT,211.2,211.2,,,0
CDM,27299999,LIGATING LOOP,40.8,40.8,,,0
CDM,27299999,LOCKING DRILL,958.92,958.92,,,0
CDM,27299999,LOCKING SCALPEL,967.82,967.82,,,0
CDM,27299999,LOMG 4.3MM DRILL,882.0,882.0,,,0
CDM,27299999,LONG 4.3 DRILL,882.0,882.0,,,0
CDM,27299999,LUMBAR DRAIN,542.21,542.21,,,0
CDM,27299999,M8275026/5 - ABTHERA OPEN ABDOMEN DRESSING WITH SENSATRAC PAD,1125.19,1125.19,,,0
CDM,27299999,MAC 4,52.8,52.8,,,0
CDM,27299999,MACULAR LENS,113.76,113.76,,,0
CDM,27299999,MALECOT,58.66,58.66,,,0
CDM,27299999,MALYUGIN RING,349.99,349.99,,,0
CDM,27299999,MALYUGIN RING 6.25MM,340.01,340.01,,,0
CDM,27299999,MALYUGIN RING 7.0,349.99,349.99,,,0
CDM,27299999,MALYUGIN RING 7.0MM,348.1,348.1,,,0
CDM,27299999,MALYUGIN RING 7MM,349.99,349.99,,,0
CDM,27299999,MANOMETER,35.66,35.66,,,0
CDM,27299999,MARENA BRA,70.68,70.68,,,0
CDM,27299999,MARENA SHORT VEST,153.22,153.22,,,0
CDM,27299999,"MARKING GUIDE W/PLANNING, CRANIAL, PRIMARY, LP",11280.0,11280.0,,,0
CDM,27299999,MASTISOL LIQUID ADHESIVE,45.81,45.81,,,0
CDM,27299999,MATRIXPRO II BATTERY,790.8,790.8,,,0
CDM,27299999,MAX DRIVER BATTERY STERILE,505.71,505.71,,,0
CDM,27299999,MAX GRIP,364.49,364.49,,,0
CDM,27299999,MAXGRIP,364.49,364.49,,,0
CDM,27299999,"MDSZOL100 - PAD, DEFIB, ADULT, RADIOLUCENT, ZOLL",71.88,71.88,,,0
CDM,27299999,MEDIUM KNEE CUFF,78.89,78.89,,,0
CDM,27299999,MEDTRONIC CATHETER CONNECTOR 3 WAY,579.02,579.02,,,0
CDM,27299999,MEDTRONIC CLEARVIEW INTRACORONARY SHUNT 1.00MM,196.44,196.44,,,0
CDM,27299999,MEDTRONIC MEROCEL SILICONE SPLINT,445.2,445.2,,,0
CDM,27299999,MEDTRONIC OCTOPUS EVOLUTION TISSUE STABILIZER,3398.4,3398.4,,,0
CDM,27299999,MEDTRONIC SIMUPLUS,5892.0,5892.0,,,0
CDM,27299999,MEDTRONIC STARFISH EVO HEART POSITIONER,2661.12,2661.12,,,0
CDM,27299999,MEMORYGEL BOOST RESTERILIZABLE GEL SIZER,552.0,552.0,,,0
CDM,27299999,MEMORYGEL XTRA RESTERILIZABLE GEL SIZER MODERATE HIGH PROFILE XTRA,552.0,552.0,,,0
CDM,27299999,MENTOR MEMORY GEL BOOST,552.0,552.0,,,0
CDM,27299999,MENTOR MEMORY GEL BOOST RESTERILIZABLE GEL SIZER,552.0,552.0,,,0
CDM,27299999,MENTOR MEMORYGEL BOOST GEL SIZER 530,552.0,552.0,,,0
CDM,27299999,"MENTOR MEMORYGEL BOOST RESTERILIZABLE GEL SIZER, MODERATE HIGH PROFILE",945.6,945.6,,,0
CDM,27299999,MENTOR SIZER,552.0,552.0,,,0
CDM,27299999,MICRODEEP DEPTH ELECTRODE,2064.0,2064.0,,,0
CDM,27299999,MICROFIBRIL. COLLAGEN HEMOSTAT 8 X 6.25 X 1 CM SPGE,396.0,396.0,,,0
CDM,27299999,MICROLINE SCISSOR TIP,80.4,80.4,,,0
CDM,27299999,MICROVENTION VIA 17 REF# VIA-17-154-01,1550.0,1550.0,,,0
CDM,27299999,MICROVENTION WEB SL EF# W5-6-2,16495.0,16495.0,,,0
CDM,27299999,MIDAS REX MR8 7CM X 3 MM,249.77,249.77,,,0
CDM,27299999,MINI ACUMED DRILL BIRT,960.0,960.0,,,0
CDM,27299999,MINIONE BALLOON BUTTON 14FR X 0.8CM,266.4,266.4,,,0
CDM,27299999,MINIONE BALLOON BUTTON 14FX1.5CM,276.0,276.0,,,0
CDM,27299999,MOB37 - MOLDING OCCLUSION BALLOON CATH 10MM - 37MM 10FR,1188.0,1188.0,,,0
CDM,27299999,MODEL,2628.0,2628.0,,,0
CDM,27299999,"MODEL, CRANIAL, PLANNING, CLASSIC, LP",7920.0,7920.0,,,0
CDM,27299999,MR8 MIDAS REX CLEAR VIEW TOOLS,626.59,626.59,,,0
CDM,27299999,MR8-7BA60T - TOOL MR8-7BA60T MR8 7CM BALL SYM-TRI 6MM,286.66,286.66,,,0
CDM,27299999,MR8-9AC60 - TOOL MR8-9AC60 MR8 9CM ACORN 6MM,255.43,255.43,,,0
CDM,27299999,MYOSURE XL,2304.0,2304.0,,,0
CDM,27299999,NA-U200H-8019 - SINGLE USE ASPIRATION NEEDLE,1200.0,1200.0,,,0
CDM,27299999,NANO LONG DRILL,998.4,998.4,,,0
CDM,27299999,NANOPHIX INSTRUMENT KIT,948.0,948.0,,,0
CDM,27299999,NATUS EDS 3 CLEAR VENTRICULAR CSF CATHETER,322.97,322.97,,,0
CDM,27299999,NATUS EDS CLEAR VENTRICULAR CSF CATHETER,449.52,449.52,,,0
CDM,27299999,NATUS LUMBAR DRAIN,542.21,542.21,,,0
CDM,27299999,NAVIGATOR ACCESS SHEATH,332.71,332.71,,,0
CDM,27299999,NEPH BALLOON DILATION,453.6,453.6,,,0
CDM,27299999,NEPHROSTOMY BALLON DILATION CATHETER,453.6,453.6,,,0
CDM,27299999,NEUROPROBE 1X,655.2,655.2,,,0
CDM,27299999,NEXPOWDER ENDOSCOPIC HEMOSTASIS SYSTEM,1927.2,1927.2,,,0
CDM,27299999,NITINOL WIRE WITH HYDROPHILIC TIP,656.48,656.48,,,0
CDM,27299999,NN-8045 - NAVIGATION PROBE ADAPTER,1126.8,1126.8,,,0
CDM,27299999,O-UC32 - UROLOGICAL DRAIN BAG,34.32,34.32,,,0
CDM,27299999,"O.R. CABLE 2X8, 61 CM AND EXTENSION",264.0,264.0,,,0
CDM,27299999,OAF402011 - SINGLE USE SURGICAL OPTICAL FIBER à 200 µM,787.44,787.44,,,0
CDM,27299999,OAF402711 - SINGLE USE SURGICAL OPTICAL FIBER à 272 µM,652.8,652.8,,,0
CDM,27299999,OASIS DRY SUCTION WATER SEAL CHEST DRAIN,93.62,93.62,,,0
CDM,27299999,ONE-TIE,2968.8,2968.8,,,0
CDM,27299999,OPEN END FLEXI-TIP URETERAL CATHETER,29.11,29.11,,,0
CDM,27299999,OR CABLE AND EXTENSION MODEL SC-4108,264.0,264.0,,,0
CDM,27299999,ORCAPOD SINGLE USE AIR/WATER SUCTION AND BIOPSY VALVE SET WITH WATER JET CONNECT,40.32,40.32,,,0
CDM,27299999,OSCILLATOR BLADE,36.98,36.98,,,0
CDM,27299999,OVAL BUR 4X8MM,25.13,25.13,,,0
CDM,27299999,OVERSTITCH 2.0 POLYPROPYLENE SUTURE,226.42,226.42,,,0
CDM,27299999,OXY-2-SPD-1,3540.0,3540.0,,,0
CDM,27299999,P670 - INTEGRA® ERICH ARCH BAR MATERIAL 1 METER ROLL,91.39,91.39,,,0
CDM,27299999,PACK COOL W28XL36CM STD VYN NONTOXIC SIL,42.29,42.29,,,0
CDM,27299999,PANTALOON,309.58,309.58,,,0
CDM,27299999,PASCAL GUIDE SHEATH,7344.0,7344.0,,,0
CDM,27299999,PASCAL PRECISION SYSTEM,58752.0,58752.0,,,0
CDM,27299999,PATENCY CAPSULE,76.8,76.8,,,0
CDM,27299999,PATIENT CUSTOM SPLINTS,2206.75,2206.75,,,0
CDM,27299999,PATIENT PROGRAMMER,3594.89,3594.89,,,0
CDM,27299999,PATIENT SPECIFIC CRANIAL CUTTING GUIDE,2206.75,2206.75,,,0
CDM,27299999,"PATIENT SPECIFIC GUIDE, BONE GRAFTING HARVESTING",2206.75,2206.75,,,0
CDM,27299999,"PATIENT SPECIFIC INSTRUMENT AND PLANNING KIT, BASIC MANDIBLE",6896.57,6896.57,,,0
CDM,27299999,PDS-1CD330-30,1080.0,1080.0,,,0
CDM,27299999,PEDICAL ACCESS KIT,1200.0,1200.0,,,0
CDM,27299999,PEDICLE ACCESS KIT,1200.0,1200.0,,,0
CDM,27299999,PEIZOELECTRIC SYSTEM IRRIGATING TUBING,255.6,255.6,,,0
CDM,27299999,"PENUMBRA A16 HT 100 CM, SEL 120 CM 1, FLASH 1.1",23160.0,23160.0,,,0
CDM,27299999,PENUMBRA VASCULAR ACCESS SYSTEM 65CM,2304.0,2304.0,,,0
CDM,27299999,PERCUTANEOUS INSERTION KIT,572.52,572.52,,,0
CDM,27299999,PERI-LOC 1.6MM DIA X 150MM,43.34,43.34,,,0
CDM,27299999,PERITINEAL CATHETER,155.71,155.71,,,0
CDM,27299999,PIEZO SAW,955.2,955.2,,,0
CDM,27299999,PIEZOELECTRIC SYSTEM,255.6,255.6,,,0
CDM,27299999,PIGTAIL,217.22,217.22,,,0
CDM,27299999,PINNACLE PRECISION ACCESS SYSTEM,84.0,84.0,,,0
CDM,27299999,PLANNED MANDIBLE MODEL,4335.98,4335.98,,,0
CDM,27299999,PLATE TACK,201.6,201.6,,,0
CDM,27299999,PM048-A - 13723 - ON-Q* FIXED FLOW PUMP KITS WITH ON-Q* SILVERSOAKER* CATHETER,589.39,589.39,,,0
CDM,27299999,PMT DRILL CUTTER,792.0,792.0,,,0
CDM,27299999,POPLOK 4.5MM,1243.66,1243.66,,,0
CDM,27299999,PORT ACCS 12MM X 120MM PALM GRP OBT W/ B,232.11,232.11,,,0
CDM,27299999,POST OP TSCOPE PREMIER,210.26,210.26,,,0
CDM,27299999,PRASS STANDARD MONOPOLAR SIMULATOR PROBE,238.82,238.82,,,0
CDM,27299999,PRASS STANDARD MONOPOLAR STIM PROBE,354.24,354.24,,,0
CDM,27299999,PRASS STANDARD MONOPOLAR STIMULATOR PROBE,238.82,238.82,,,0
CDM,27299999,PRECISION PASSING ELEVATOR,120.0,120.0,,,0
CDM,27299999,PRECISION PIN,446.4,446.4,,,0
CDM,27299999,PRECSIE OFFSET PARTIAL 2.50MM LENGTH TITANIUM,1011.05,1011.05,,,0
CDM,27299999,PREVENA 45 ML CANISTER - PREVENA 45 ML CANISTER,697.38,697.38,,,0
CDM,27299999,PROBE,655.2,655.2,,,0
CDM,27299999,PROBE ELECTROTHERAPY L10CM OD18GA CRV TI,34.8,34.8,,,0
CDM,27299999,PROBE STIM BPLR SIDE BY SIDE TIP POLARIZ,269.02,269.02,,,0
CDM,27299999,PROGRAMMER DBS FOR PERCEPT PC NEUROSTIM,3594.89,3594.89,,,0
CDM,27299999,PROPHECY INBONE ALIGNMENT GUIDES; PROPINB,2397.6,2397.6,,,0
CDM,27299999,PTA SCULPTING BALLOON CATHETER,1860.0,1860.0,,,0
CDM,27299999,PULMONARY JAGWIRE,398.98,398.98,,,0
CDM,27299999,QUICK CLOT,385.55,385.55,,,0
CDM,27299999,QUICK CROSS SELECT SUPPORT CATH,408.0,408.0,,,0
CDM,27299999,QUICK RELEASE DRIVER TIP,765.6,765.6,,,0
CDM,27299999,QUIK CLOT Z FOLD,365.26,365.26,,,0
CDM,27299999,"R320-155 - FOOTPLATE, LARGE BONE, 155MM",3826.06,3826.06,,,0
CDM,27299999,RADIALUX LIGHTED RETRACTOR,506.4,506.4,,,0
CDM,27299999,RADIFOCUS GLIDEWIRE,386.16,386.16,,,0
CDM,27299999,RADIOLUCENT SKULL PINS,1539.98,1539.98,,,0
CDM,27299999,RAT TOOTH/ALLIGATOR GRASPING FORCEPS,289.68,289.68,,,0
CDM,27299999,RAT TOOTH/ALLIGATOR GRASPING FORCEPSANREI,1465.22,1465.22,,,0
CDM,27299999,RECHARGER,3714.5,3714.5,,,0
CDM,27299999,RECHARGER KIT PERCEPT RC,4459.75,4459.75,,,0
CDM,27299999,REFILL KIT,43.2,43.2,,,0
CDM,27299999,RELIANCE DF4 AF 64 CM - LOG7527427,6480.0,6480.0,,,0
CDM,27299999,REPEAT STERNOTOMY BLADE,56.16,56.16,,,0
CDM,27299999,RFDE-20 - DISPOSABLE RADIOFREQUENCY ELECTRODE,360.0,360.0,,,0
CDM,27299999,ROD CLAMP,1044.0,1044.0,,,0
CDM,27299999,ROUND BURR MEDIUM 3MM,89.24,89.24,,,0
CDM,27299999,ROUND FLUTED SOFT TOUCH,310.85,310.85,,,0
CDM,27299999,RX COUDE EPIDURAL NEEDLE,194.21,194.21,,,0
CDM,27299999,RX-2 COUDE EPIDURAL NEEDLE,172.88,172.88,,,0
CDM,27299999,S-2010 - CLASSIC - RADIOFREQUENCY CANNULA - STRAIGHT,31.2,31.2,,,0
CDM,27299999,SAW LEFT 39.5X4.0X0.8,716.4,716.4,,,0
CDM,27299999,SC-4231-36 - PADDLE BLANK FOR COVEREDGE ¢ 32 SURGICAL LEAD,120.0,120.0,,,0
CDM,27299999,SC-5572-1 - REMOTE CONTROL KIT,2400.0,2400.0,,,0
CDM,27299999,SCLERAL BUCKLING SLEEVE STYLE 70,27.84,27.84,,,0
CDM,27299999,SCRAPER OPHTH 25GA FLX LOOP RETRCT TIP MICROTEXTURED SURF,321.6,321.6,,,0
CDM,27299999,"SDR218 - DRIVER, TORX, T6",576.0,576.0,,,0
CDM,27299999,SEEG ANCHOR BOLT,379.2,379.2,,,0
CDM,27299999,SENSIGHT LEAD TEST CABEL KIT,161.21,161.21,,,0
CDM,27299999,SENSOR NITINOL WIRE WITH HYDROPHILIC TIP,131.35,131.35,,,0
CDM,27299999,SENZA CHARGER KIT,2400.0,2400.0,,,0
CDM,27299999,SET SCREW,29.52,29.52,,,0
CDM,27299999,SHARP DOUBLE STERNAL WIRES,936.0,936.0,,,0
CDM,27299999,SHEARS LAP L36CM DIA5MM CRV TIP US HARM,1402.5,1402.5,,,0
CDM,27299999,SHOE SUSPENSION,1097.78,1097.78,,,0
CDM,27299999,SHUNT SYSTEM,913.99,913.99,,,0
CDM,27299999,SIDE-BY-SIDE BIPOLAR STIMULATING PROBE,269.02,269.02,,,0
CDM,27299999,SIDEKICK RIGID NEEDLE,142.06,142.06,,,0
CDM,27299999,SIGMOIDOSCOPE KIT,6120.0,6120.0,,,0
CDM,27299999,SILICONE SHEET,47.98,47.98,,,0
CDM,27299999,SILICONE SHEET 0.51MM,47.96,47.96,,,0
CDM,27299999,"SILICONE SHEET, 0.13 MM",47.98,47.98,,,0
CDM,27299999,SINGLE LUMEN CENTRAL VENOUS CATHETER SET,395.28,395.28,,,0
CDM,27299999,SINGLE USE ENDOSCOPIC SEAL; GYN,404.3,404.3,,,0
CDM,27299999,SINGLE USE OPTICAL FIBER 272,652.8,652.8,,,0
CDM,27299999,SKW DEEP SCROTAL RETRACTION SYSTEM,1344.0,1344.0,,,0
CDM,27299999,SLEEVE SCLER BCKL L30IN OD21IN ID1IN SIL STYL 70,23.04,23.04,,,0
CDM,27299999,SMITH & NEPHEW WIRE,43.34,43.34,,,0
CDM,27299999,SONUS SHIELD MICROELECTRODE,655.2,655.2,,,0
CDM,27299999,SOS OMNI SELECTIVE 0,66.48,66.48,,,0
CDM,27299999,SPINAL ELECTRODE,1204.8,1204.8,,,0
CDM,27299999,SPONGE NEUROSURGICAL X-RAY DETECTABLE ST,1307.02,1307.02,,,0
CDM,27299999,ST WIRE,91.2,91.2,,,0
CDM,27299999,ST. VAGINAL PACKING X-RAY DETECTABLE,325.32,325.32,,,0
CDM,27299999,STABILIZER RAIL SYSTEM,7344.0,7344.0,,,0
CDM,27299999,STARFISH EVO,1923.84,1923.84,,,0
CDM,27299999,STERILE CANNULA,4934.4,4934.4,,,0
CDM,27299999,STERILE ELECTRODE'S CABLE,1023.36,1023.36,,,0
CDM,27299999,STERILE NEUROPROBE,655.2,655.2,,,0
CDM,27299999,STERILE WATER FOR IRRIGATION USP,56.83,56.83,,,0
CDM,27299999,STERNAL SAW,53.71,53.71,,,0
CDM,27299999,"STERNUM BLADE, OFFSET",53.71,53.71,,,0
CDM,27299999,STIFF 25GA TANO DIAMOND DUSTED MEMBRANE SCRAPER,321.02,321.02,,,0
CDM,27299999,STIM PROBE,354.24,354.24,,,0
CDM,27299999,STOCKINETTE,27.24,27.24,,,0
CDM,27299999,STRAIGHT TIP 0.035IN X 150CM,678.19,678.19,,,0
CDM,27299999,STRAPS,326.4,326.4,,,0
CDM,27299999,STRYKER STERNUM BLADE,53.71,53.71,,,0
CDM,27299999,STYLET KIT,120.0,120.0,,,0
CDM,27299999,SUB-TENON'S ANESTHESIA CANNULA,16.18,16.18,,,0
CDM,27299999,"SUPPLEMENTAL MODEL, HALF",2628.0,2628.0,,,0
CDM,27299999,SUPRATHEL,711.07,711.07,,,0
CDM,27299999,SURECLIP,720.0,720.0,,,0
CDM,27299999,SURGICAL STEEL WIRE 24G,17.47,17.47,,,0
CDM,27299999,SUTURE,45.22,45.22,,,0
CDM,27299999,SUTURE MCRYL 4-0 18IN ABSRB VLT 13MM P-3,17.11,17.11,,,0
CDM,27299999,SUTURE PROLENE SIZE 4-0 L36IN NONABSORBAB,164.97,164.97,,,0
CDM,27299999,SUV-617 - AIR/WATER AND SUCTION VALVE,37.63,37.63,,,0
CDM,27299999,SYNTHES 1.5 DRILL BIT 90MM,410.4,410.4,,,0
CDM,27299999,SYNTHES 1.5 DRILL BIT WITH 12MM STOP,387.6,387.6,,,0
CDM,27299999,SYNTHES CUSTOM MAXILLA MODEL,6505.25,6505.25,,,0
CDM,27299999,SYNTHES DRILL BIT 2.5MM,293.7,293.7,,,0
CDM,27299999,SYNTHES MID-FACE CUSTOM CUTTING GUIDE,6944.09,6944.09,,,0
CDM,27299999,SYRINGE IRRIG 60ML BLB TIP SFT PLIABLE 1,57.62,57.62,,,0
CDM,27299999,SYSTEM RAIL STABILIZER PASCAL PRECISION SYSTEM,33048.0,33048.0,,,0
CDM,27299999,SZ 3 BONE BX DEVICE,235.22,235.22,,,0
CDM,27299999,"T FIX RCG DRILL PAC, 2MM DRILL AND 2 SLEEVES",468.72,468.72,,,0
CDM,27299999,"T-FIX RCG DRILL PAC, 2MM DRILL & (2) SLEEVES",468.72,468.72,,,0
CDM,27299999,TACHOSIL,1047.6,1047.6,,,0
CDM,27299999,TALON GRASPING DEVICE,326.4,326.4,,,0
CDM,27299999,TAPE DSG W4INXL10YD RETEN ADH NWVN HIGHL,31.63,31.63,,,0
CDM,27299999,THORACIC CATHETER 28 FR,26.95,26.95,,,0
CDM,27299999,TISSEEL SPRAY SET,116.74,116.74,,,0
CDM,27299999,TISSUE REINFORCEMENT,1200.0,1200.0,,,0
CDM,27299999,TITAN ASSEMBLY KIT,2155.2,2155.2,,,0
CDM,27299999,TLC140 - 140CM TRI-LUMEN CATHETER,2352.0,2352.0,,,0
CDM,27299999,"TLC5042-M - WILSON RETRACTOR SYSTEM WITH FRAME (BOXED TRAY), MDR",782.4,782.4,,,0
CDM,27299999,TRI LUMEN CATHETER,2352.0,2352.0,,,0
CDM,27299999,TRI-LUMEN CATHETER,2352.0,2352.0,,,0
CDM,27299999,TRILOGY PROBE 3.9X440,2692.8,2692.8,,,0
CDM,27299999,TRIMARK EVIVA 2S-13 MARKER,180.0,180.0,,,0
CDM,27299999,TRU-CUT BIOPSY NEEDLE,39.91,39.91,,,0
CDM,27299999,TRUMATCH MIDFACE/MANDIBLE - TITANIUM 3D PRINTED GUIDE FOR MANDIBLE,6944.09,6944.09,,,0
CDM,27299999,TS2500 - STABILIZER TS2500 OCTO EVOLUTION AS 26L,3628.8,3628.8,,,0
CDM,27299999,TUBING SET FOR PERISTALIC PUMP,43.2,43.2,,,0
CDM,27299999,TWO TIER BACK TABLE COVER,84.19,84.19,,,0
CDM,27299999,ULTRALASE FLEXIBLE CO2 LASER GUIDEWIRE,3168.0,3168.0,,,0
CDM,27299999,"ULTVFL05MD - 3M¢ V.A.C. VERAFLO¢ DRESSING, ULTVFL05MD, MEDIUM, CAVILON WARNING LABEL, 5/CS",264.96,264.96,,,0
CDM,27299999,URETERAL ACCESS SHEATH,332.71,332.71,,,0
CDM,27299999,URETERAL CATHETER,22.61,22.61,,,0
CDM,27299999,URO CATCHER BAG,179.73,179.73,,,0
CDM,27299999,US ENDOSCOPY,96.0,96.0,,,0
CDM,27299999,V.A.C GRANUFOAM DRESSING SMALL,68.35,68.35,,,0
CDM,27299999,VAC  GRANUFOAM DRESSING,238.78,238.78,,,0
CDM,27299999,VAC GRANUFOAM DRESSING MEDIUM,102.09,102.09,,,0
CDM,27299999,VAC GRANUFOAM SILVER DRESSING,149.52,149.52,,,0
CDM,27299999,VAC WHITFOAM DRESSING,28.25,28.25,,,0
CDM,27299999,VALVULOPLASTY BALLON,1080.0,1080.0,,,0
CDM,27299999,VERAFLO VERATRAC DRESSING KIT - MEDIUM,270.48,270.48,,,0
CDM,27299999,VERCISE DBS,1620.0,1620.0,,,0
CDM,27299999,VERSASTEP INSUFFLATION NEEDLE 14G SHORT,30.07,30.07,,,0
CDM,27299999,VISCOUS FLUID,166.34,166.34,,,0
CDM,27299999,VISTA COLLAR SET,83.95,83.95,,,0
CDM,27299999,VISUALASE NEURO ACCESSORY KIT,7188.0,7188.0,,,0
CDM,27299999,VISULAE COOLED  LASER 3 MM,30403.2,30403.2,,,0
CDM,27299999,WHISTLE TIP URETERAL CATHETER 3.0 FR,24.72,24.72,,,0
CDM,27299999,WIRE FIXATION BOLTS,675.26,675.26,,,0
CDM,27299999,WIRE KIRSCHNER 1.6MM X 150MM,94.97,94.97,,,0
CDM,27299999,"Z402-250-45 - DRILL 4.5MM SOLID, LONG",959.4,959.4,,,0
CDM,27410006,HC SO AIRPLANE W WO JOINT,1047.13,1047.13,,,0
CDM,27410007,HC ASPEN COLLAR W/PAD,264.0,264.0,,,0
CDM,27410008,HC SOFT CERVICAL COLLAR,139.0,139.0,,,0
CDM,27410009,HC DORSO LUMBAR CORSET,391.0,391.0,,,0
CDM,27410011,HC JEWETT BRACE,1036.0,1036.0,,,0
CDM,27410012,HC MINERVA ORTHOSIS CERVICAL THORACIC HALO BRACE,1105.0,1105.0,,,0
CDM,27410013,HC HARD CERVICAL COLLAR,541.0,541.0,,,0
CDM,27410014,HC SOMI BRACE,1160.0,1160.0,,,0
CDM,27410015,HC THORAC LUMB SAC ORTHOSIS,4770.0,4770.0,,,0
CDM,27410016,HC TLSO - 2 PIECE TYPE,5370.0,5370.0,,,0
CDM,27410018,HC AFO LINER,190.0,190.0,,,0
CDM,27410019,HC AFO MOLDED FT PLATE,828.0,828.0,,,0
CDM,27410020,HC ANKLE FOOT ORTHOSIS,1780.0,1780.0,,,0
CDM,27410021,HC ASPEN REPLACEMENT PAD,75.0,75.0,,,0
CDM,27410022,HC CUSTOM HIP ABD BRACE,2640.0,2640.0,,,0
CDM,27410023,HC FREEMAN CORSET,155.0,155.0,,,0
CDM,27410024,HC HALO,2096.0,2096.0,,,0
CDM,27410025,HC HALO VEST ASSEMBLY,7560.0,7560.0,,,0
CDM,27410027,HC KAFO-PLASTIC W/METAL DBL UPRT,5200.0,5200.0,,,0
CDM,27410029,HC LEHRMAN KNEE BRACE,1799.0,1799.0,,,0
CDM,27410030,HC LUMBAR SACRAL ORTHOSIS,2260.0,2260.0,,,0
CDM,27410031,HC WARM & FORM,454.61,454.61,,,0
CDM,27410032,HC EO W/O JOINTS CF,285.0,285.0,,,0
CDM,27410033,HC EWHO RIGID W/O JOINTS CF,715.0,715.0,,,0
CDM,27410034,HC EWHO WITH JOINTS CF,930.0,930.0,,,0
CDM,27410035,HC EWHFO RIGID W/O JOINTS CF,1255.0,1255.0,,,0
CDM,27410036,HC WHFO WITH JOINTS CF,445.0,445.0,,,0
CDM,27410037,HC WHFO RIGID W/O JTS CF,415.0,415.0,,,0
CDM,27410038,HC HINGE EXT/FLEX W/F CF,1311.0,1311.0,,,0
CDM,27410039,HC WHO WITH JOINTS CF,970.0,970.0,,,0
CDM,27410040,HC WHO W/O JOINTS CF,473.0,473.0,,,0
CDM,27410041,HC HFO W/O JOINTS CF,265.0,265.0,,,0
CDM,27410042,HC HO W/O JOINTS CF,265.0,265.0,,,0
CDM,27410043,HC HFO WITH JTS CF,315.0,315.0,,,0
CDM,27410044,HC FO W/O JTS CF,210.0,210.0,,,0
CDM,27410045,HC BLEDSOE ELBOW ORTHOSIS,1590.0,1590.0,,,0
CDM,27410048,HC SHLDR ORTH-AIRPLANE/GUNSLINGER,1590.0,1590.0,,,0
CDM,27410051,HC MULTI PODUS BOOT/NIGHT SPLINT,408.0,408.0,,,0
CDM,27410052,HC AIRCAST WALKER,618.0,618.0,,,0
CDM,27410053,HC AUD OSSEOINTEG DEVICE EXTERNAL,8750.0,8750.0,,,0
CDM,27410054,HC ADV VOICE PROSTHESIS 16FR,889.91,889.91,,,0
CDM,27410063,HC COCHLEAR IMPLANT BATTERY,17.04,17.04,,,0
CDM,27410064,HC PASSY-MUIR TRACH VALVES,178.0,178.0,,,0
CDM,27410070,HC LITH ION BATT FOR EAR LVL PROC,605.0,605.0,,,0
CDM,27410071,HC CI EXT SP PROC CONT INTEG SYS REPLACE,15625.0,15625.0,,,0
CDM,27410072,HC COCHLEAR IMPLANT COIL,546.0,546.0,,,0
CDM,27410073,HC COCHLEAR IMPLANT CABLE,221.0,221.0,,,0
CDM,27410074,HC AIR STIRRUP,216.0,216.0,,,0
CDM,27410075,HC AK SHRINKER,163.0,163.0,,,0
CDM,27410076,HC BK SHRINKER,96.0,96.0,,,0
CDM,27410077,HC FOOT UP AFO (PRE-FAB),463.0,463.0,,,0
CDM,27410078,HC HINGED NEOPRENE KNEE BRACE,189.0,189.0,,,0
CDM,27410079,HC HUMERAL FRACTURE ORTHOSIS,947.0,947.0,,,0
CDM,27410080,HC LOCKING HIP JT,404.0,404.0,,,0
CDM,27410081,HC MIAMI J REPLACEMENT PADS,75.0,75.0,,,0
CDM,27410082,HC OFF LOADING SHOE,227.0,227.0,,,0
CDM,27410083,HC PELVIC BAND AND BELT,529.0,529.0,,,0
CDM,27410084,HC PUZZLE SHOE,227.0,227.0,,,0
CDM,27410086,HC CARBON FIBER AFO,1770.0,1770.0,,,0
CDM,27410087,HC LUMBAR SACRAL ORTHOSIS (NON-CUSTOM),2398.0,2398.0,,,0
CDM,27410088,HC RADIUS/ULNAR BRACE,707.0,707.0,,,0
CDM,27410089,HC AK LINER,1688.0,1688.0,,,0
CDM,27410090,HC BK LINER,1688.0,1688.0,,,0
CDM,27410091,HC ARTICULATING AFO,1125.0,1125.0,,,0
CDM,27410092,HC POSTERIOR LEAF SPRING AFO,1161.0,1161.0,,,0
CDM,27410093,HC PAVLIK HARNESS,201.6,201.6,,,0
CDM,27410094,HC ANKLE GAUNTLET PREFAB,277.2,277.2,,,0
CDM,27410095,HC THIGH CUFF CUSTOM FITTED,1487.7,1487.7,,,0
CDM,27410096,HC HIP ABDUCTION CONTROL,991.2,991.2,,,0
CDM,27410097,HC PELVIC BAND AND BELT BILATERAL,910.22,910.22,,,0
CDM,27410098,HC COMFY SPLINT/RESTING HAND SPLINT,560.03,560.03,,,0
CDM,27410099,HC CTLSO,3950.0,3950.0,,,0
CDM,27410100,HC HALO REPLACEMENT LINER,1120.03,1120.03,,,0
CDM,27410101,HC RHINO CRUISER,537.21,537.21,,,0
CDM,27410102,HC HIP ORTHOSIS PELVIC BAND,2337.5,2337.5,,,0
CDM,27410103,HC KAFO PLASTIC NO JOINTS,1296.4,1296.4,,,0
CDM,27410104,HC FOOT PLATE,245.0,245.0,,,0
CDM,27410105,HC ADDITION DORSI ASSIST ANKLE,141.37,141.37,,,0
CDM,27410106,HC INNER BOOT,1064.0,1064.0,,,0
CDM,27410107,HC KNEE JOINT DROP LOCK EA JNT,70.56,70.56,,,0
CDM,27410108,HC SHOE LIFT,94.08,94.08,,,0
CDM,27410109,HC SOFT INTERFACE ABOVE KNEE SECTION,249.2,249.2,,,0
CDM,27410110,HC BELOW KNEE SUS/SEAL SLEEVE,335.69,335.69,,,0
CDM,27410111,HC PRE-TIBIAL SHELL MOLDED TO PT,840.06,840.06,,,0
CDM,27410112,HC ROCKER BOTTOM CONTACT AFO,310.8,310.8,,,0
CDM,27410114,HC HIP ADJ FLEX EXT ABDUCT CONT,829.81,829.81,,,0
CDM,27410115,HC AFO MOLDED ANKLE GAUNTLET CUSTOM,1402.85,1402.85,,,0
CDM,27410116,HC WHO COCK-UP NONMOLDE PREFAB OTS,127.26,127.26,,,0
CDM,27410117,HC LT KX NONPNEUM WALK BOOT PRE CST,496.6,496.6,,,0
CDM,27410118,HC SOCKS FOR PROSTHETIC,84.0,84.0,,,0
CDM,27410119,HC KNEE IMMOBILIZER,294.0,294.0,,,0
CDM,27410120,HC KAFO FEM FX CAST THERMOPLAS,3832.5,3832.5,,,0
CDM,27410121,HC PELVIC BAND AND BELT T HIGH,840.0,840.0,,,0
CDM,27410122,HC DROP LOCK KNEE JOINT,366.8,366.8,,,0
CDM,27410125,HC SHLDER FIG 8 ABDUCT RESTRAIN,190.4,190.4,,,0
CDM,27410126,HC AFO MULTILIG ANK SUP PRE OTS,332.64,332.64,,,0
CDM,27410127,HC ABDUCTION BAR JOINITED ADJUST,638.4,638.4,,,0
CDM,27410128,HC CI MANUFACTUER REPAIR,1375.0,1375.0,,,0
CDM,27410129,HC LITHIUM ION BATTERY CHARGER REPL ONLY,966.0,966.0,,,0
CDM,27410130,HC CI EARHOOK,105.0,105.0,,,0
CDM,27410131,HC CI MAGNET,108.0,108.0,,,0
CDM,27410132,HC OSSEOINTEGRATED DEVICE REPAIR,1106.0,1106.0,,,0
CDM,27410133,HC CI REPLACE MINOR PARTS LEVEL 5,980.0,980.0,,,0
CDM,27410134,HC CI REPLACE MINOR PARTS LEVEL 1,75.0,75.0,,,0
CDM,27410135,HC CI REPLACE MINOR PARTS LEVEL 2,147.0,147.0,,,0
CDM,27410136,HC CI REPLACE MINOR PARTS LEVEL 3,445.2,445.2,,,0
CDM,27410137,HC CI REPLACE MINOR PARTS LEVEL 4,697.2,697.2,,,0
CDM,27410138,HC AUDITORY OSSEOINTEG BODY/HEADBAND,9640.3,9640.3,,,0
CDM,27410139,HC DIAL LOCK KNEE JOINT,424.0,424.0,,,0
CDM,27410140,HC LOWER EXTREMITY ORTHOTIC NOS,1050.0,1050.0,,,0
CDM,27410143,HC TLSO FLEX TRUNK SACROCO JUNC TO SCAP SPINE PREFAB,2248.0,2248.0,,,0
CDM,27410144,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 16FR 10MM,1092.0,1092.0,,,0
CDM,27410145,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 16FR 12MM,1092.0,1092.0,,,0
CDM,27410146,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 16FR 8MM,1092.0,1092.0,,,0
CDM,27410147,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 20FR 10MM,1092.0,1092.0,,,0
CDM,27410148,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 20FR 12MM,1092.0,1092.0,,,0
CDM,27410149,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 20FR 8MM,1092.0,1092.0,,,0
CDM,27410150,HC TRACHEOSTOMY SPEAKING VALVE,374.0,374.0,,,0
CDM,27410155,HC LO SAGITTAL RIGID ANT & POST PANELS PREFAB,432.0,432.0,,,0
CDM,27410156,HC LSO SAG CORONAL CNTL RIGID ANT & POST FRM/PNLS PREFAB,1549.0,1549.0,,,0
CDM,27410157,HC LSO SAG CORONAL CNTL RIGID ANT & POST FRM/PNLS CUSTOM FAB,2376.0,2376.0,,,0
CDM,27410158,HC HO ABD CNTRL HIP JOINT POSTOP HIP ABDUCTION,1944.0,1944.0,,,0
CDM,27410159,HC PLASTIC MOD LOWER EXTREMITY PADDED/LINED,240.0,240.0,,,0
CDM,27410160,HC OFFSET KNEE JOINT EACH JOINT,182.0,182.0,,,0
CDM,27410161,HC SO EIGHT DESIGN ABD RESTRAINER CANVAS & WEBB PREFAB OFF THE SHELF,480.0,480.0,,,0
CDM,27410162,HC EO ADJUST POST LOCK JOINT PREFAB CUSTOM FIT,960.0,960.0,,,0
CDM,27410163,HC WHFO WO JOINTS PREFAB OFF THE SHELF ANY TYPE,574.0,574.0,,,0
CDM,27410164,HC KO ELASTIC WITH JOINTS,43.0,43.0,,,0
CDM,27410165,HC ADD TO LOW EXTREM HIP FLEX INNER SOCKET EXT FRAME,4800.0,4800.0,,,0
CDM,27410166,HC PROTECTIVE BODY SOCK PREFAB OFF THE SHELF EACH,194.0,194.0,,,0
CDM,27500002,127812 : LEAD SPRINT 6935-65,5040.0,5040.0,,,0
CDM,27500002,129015 : LEAD DEFIB 55CM SGL COIL TRNSVEN R VENT SIL W- POLYUR DF4,5040.0,5040.0,,,0
CDM,27500002,129016 : LEAD DEFIB 62CM SGL COIL TRNSVEN R VENT SIL W- POLYUR DF4,5040.0,5040.0,,,0
CDM,27500002,142324 : OPTISURE DF4 - ACTIVE TBP SINGLE SHOCK ICD LEAD,9360.0,9360.0,,,0
CDM,27500002,540226 : LEAD ICD L65-15CM RV AND ATR SENS MR COND PAMIRA S DX,12000.0,12000.0,,,0
CDM,27500002,INACTIVE - LEAD DEFIB 65CM DST TIP 150MM ENDOCARD,11040.0,11040.0,,,0
CDM,27500002,LEAD DEFIB 55CM SGL COIL TRNSVEN R VENT SIL W/ POLYUR DF4,5040.0,5040.0,,,0
CDM,27500002,LEAD DEFIB 65CM DST TIP 150MM ENDOCARD CARDVRTR HYBRID SGL,11040.0,11040.0,,,0
CDM,27500002,LEAD DEFIB 8FR L58CM OPTIM EXT RET HELIX SGL COIL TRUE BPLR,9360.0,9360.0,,,0
CDM,27500002,LEAD ICD L60CM MR COND PAMIRA S,12000.0,12000.0,,,0
CDM,27500002,LEAD ICD L65/15CM RV AND ATR SENS MR COND PAMIRA S DX,11040.0,11040.0,,,0
CDM,27500002,LEAD ICD L65CM MR COND PAMIRA S,12000.0,12000.0,,,0
CDM,27500002,LEAD SPRINT 6935-65,5040.0,5040.0,,,0
CDM,27500002,RELIANCE 4 FRONT AF SC 59CM,6960.0,6960.0,,,0
CDM,27500004,164006 : PACEMAKER CARD 2 CHMBR PROMRI EDORA 8 DR T HOME MON,17748.0,17748.0,,,0
CDM,27500004,370291 : PACEMAKER CARD 2 CHMBR AZURE XT DR MOD W1DR01 FOR 1.5T-3T,6960.0,6960.0,,,0
CDM,27500004,375432 : PACEMAKER 2 CHMBR ACCOLADE 4.45CM X 5.02CM 0.75CM MR COND,10176.0,10176.0,,,0
CDM,27500004,PACEMAKER 2 CHMBR ACCOLADE 4.45CM X 5.02CM 0.75CM MR COND,10176.0,10176.0,,,0
CDM,27500004,PACEMAKER 2 CHMBR ASSURITY MRI 10.4CC 50MM X 47MM THCK 6MM,9840.0,9840.0,,,0
CDM,27500004,PACEMAKER CARD 2 CHMBR AZURE XT DR MOD W1DR01 FOR 1.5T/3T,6960.0,6960.0,,,0
CDM,27500004,PACEMAKER CARD 2 CHMBR PROMRI EDORA 8 DR T HOME MON,17748.0,17748.0,,,0
CDM,27500005,145630 : PACEMAKER CARD 17.6CUCM W4.45XH6.17CM D0.75CM RA-RV IS1-LV,15009.6,15009.6,,,0
CDM,27500005,370292 : IPG W1SR1 AZURE XT SR MRI,6240.0,6240.0,,,0
CDM,27500005,422179 : SYSTEM PACEMKR 2 CHMBR LEADLESS MICRA AV2,29328.0,29328.0,,,0
CDM,27500005,422180 : SYSTEM PACEMKR SGL CHMBR LEADLESS MICRA VR2,22584.0,22584.0,,,0
CDM,27500005,451348 : PACEMAKER CARD AZURE S SR MRI SURESCAN MOD 3SR01 50.8MM X,5760.0,5760.0,,,0
CDM,27500005,ASSURITY MRI PACEMAKER SR - RF,8443.2,8443.2,,,0
CDM,27500005,IPG W1SR1 AZURE XT SR MRI,6240.0,6240.0,,,0
CDM,27500005,MICRA AV MC1AVR1,27000.0,27000.0,,,0
CDM,27500005,PACEMAKER CARD 17.6CUCM W4.45XH6.17CM D0.75CM RA/RV IS1-LV,15009.6,15009.6,,,0
CDM,27500005,PACEMAKER CARD AZURE S SR MRI SURESCAN MOD 3SR01 50.8MM X,5760.0,5760.0,,,0
CDM,27500005,PACEMAKER INSIGNIA PLUS SR,12960.0,12960.0,,,0
CDM,27500005,SYSTEM PACEMKR 2 CHMBR LEADLESS MICRA AV2,29328.0,29328.0,,,0
CDM,27500005,SYSTEM PACEMKR SGL CHMBR LEADLESS MICRA VR2,22584.0,22584.0,,,0
CDM,27500008,114171 : LEAD PACE 6FR L45CM SIL INSUL BPLR PLATINIZED STEROID DXAC,756.0,756.0,,,0
CDM,27500008,15040 : LEAD PACE TEMP ATR MYOCARDIAL PREM UPLR STREAMLINE - 6500,75.0,75.0,,,0
CDM,27500008,161706 : LEAD PACE 4.1FR X 69CM VENT ATRIUM BNDL OF HIS POLYUR SIL,852.0,852.0,,,0
CDM,27500008,164003 : LEAD PACE 45CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
CDM,27500008,164004 : LEAD PACE L53CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
CDM,27500008,164005 : LEAD PACE 60CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
CDM,27500008,457445 CAPSURE SENSE LEAD,756.0,756.0,,,0
CDM,27500008,496825 CAPSURE EPI LEAD 4968,756.0,756.0,,,0
CDM,27500008,56593 : LEAD PACE 6FR 52CM BPLR AV SIL INSUL STEROID ELUT EXT-RETRCT,756.0,756.0,,,0
CDM,27500008,61914 : LEAD PACE 6FR L58CM SIL INSUL BPLR PLATINIZED STEROID DXAC,756.0,756.0,,,0
CDM,27500008,LEAD PACE 4.1FR X 69CM VENT ATRIUM BNDL OF HIS POLYUR SIL,852.0,852.0,,,0
CDM,27500008,LEAD PACE 45CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
CDM,27500008,LEAD PACE 60CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
CDM,27500008,LEAD PACE 6FR 52CM BPLR AV SIL INSUL STEROID ELUT EXT/RETRCT,756.0,756.0,,,0
CDM,27500008,LEAD PACE ACT FIX TENDRIL,1200.0,1200.0,,,0
CDM,27500008,LEAD PACE L53CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
CDM,27500008,LEAD PACE L60CM EPICARD BPLR STEROID ELUT CAPSUR EPI,756.0,756.0,,,0
CDM,27500008,LEAD PACE TEMP ATR MYOCARDIAL PREM UPLR STREAMLINE,75.0,75.0,,,0
CDM,27500008,TENDRIL STS PACING LEAD MR CONDITIONAL 46CM,1200.0,1200.0,,,0
CDM,27500010,142758 : LEAD PACE 5.3FR X 88CM L VENT POLYUR SI POLYIMIDE SIL PLAT,3120.0,3120.0,,,0
CDM,27500010,144401 : LEAD PACE 5.3FR X 88CM L VENT POLYUR SI POLYIMIDE SIL PLAT,3120.0,3120.0,,,0
CDM,27500010,159637 : ACUITY X4 CRTLD CV SB NAV 2 QUAD IS4 4674 86CM US,5088.0,5088.0,,,0
CDM,27500010,262468 : LEAD DEFIB 1.6MM X 87CM L VENT SENTUS PROMRI OTW QP L 85-49,6480.0,6480.0,,,0
CDM,27500010,415621 : LEAD PACING 4.4FR L88CM IS-4 ATTAIN QUAD MRI SURESCAN,3840.0,3840.0,,,0
CDM,27500010,ACUITY X4 CRTLD CV SB NAV 2 QUAD IS4 4674 86CM US,5088.0,5088.0,,,0
CDM,27500010,LEAD DEFIB 1.6MM X 87CM L VENT SENTUS PROMRI OTW QP L 85/49,6480.0,6480.0,,,0
CDM,27500010,LEAD DEFIB 86CM INTRO 5FR L HRT OPTIM INSUL FLX BODY TRAD S,5760.0,5760.0,,,0
CDM,27500010,LEAD PACE 5.3FR X 78CM L VENT POLYUR SI POLYIMIDE SIL PLAT,3120.0,3120.0,,,0
CDM,27500010,LEAD PACE L88CM SIL ART VENT BPLR OTW 2 CANTED ELECTRD CONN,2880.0,2880.0,,,0
CDM,27500010,LEAD PACING 4.4FR L88CM IS-4 ATTAIN QUAD MRI SURESCAN,3840.0,3840.0,,,0
CDM,27500010,SENTUS PROMRI OTW QP L-75/49,6480.0,6480.0,,,0
CDM,27500100,422176 : LEAD ICD EXTRAVASCULAR EPSILA,12936.0,12936.0,,,0
CDM,27500100,422177 : LEAD ICD EXTRAVASCULAR EPSILA,12936.0,12936.0,,,0
CDM,27500100,LEAD ICD EXTRAVASCULAR EPSILA,12936.0,12936.0,,,0
CDM,27510005,245500 : PACEMAKER CARD SOLARA MRI SURESCAN MOD 1TR03 46.5MM X 59MM X,12480.0,12480.0,,,0
CDM,27510005,245501 : PACEMAKER CARD SOLARA QUAD MRI SURESCAN MOD W4TR03 46.5MM X,12480.0,12480.0,,,0
CDM,27510005,415793 : PACEMAKER CARDIAC QUAD MRI SURESCAN,12720.0,12720.0,,,0
CDM,27510005,PACEMAKER CARD SOLARA MRI SURESCAN MOD 1TR03 46.5MM X 59MM X,12480.0,12480.0,,,0
CDM,27510005,PACEMAKER CARDIAC CRT-P MRI SURESCAN,12720.0,12720.0,,,0
CDM,27510005,VALITUDE IS1,15009.6,15009.6,,,0
CDM,27600003,123397 : LENS IO +21.0 DIOPT L13MM DIA6MM 10DEG ANT A CONSTANT 118.4,321.6,321.6,,,0
CDM,27600003,159317 : LENS MA60AC DIOPTER 15.0D,321.6,321.6,,,0
CDM,27600003,19.5 claron iol,360.0,360.0,,,0
CDM,27600003,22414 : PMMA SP 7.0 OPTIC 12.5 LENGTH,120.0,120.0,,,0
CDM,27600003,366971 : CZ70BD190 PMMA SP 70 OPTIC 125 LENGTH,120.0,120.0,,,0
CDM,27600003,367005 : LENS IO +20.5 DIOPT L13MM DIA6MM 10DEG ANT A CONSTANT 118.4,321.6,321.6,,,0
CDM,27600003,533681 : LENS IO +9.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533686 : LENS IO +12.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533688 : LENS IO +13.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533692 : LENS IO +15.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533693 : LENS IO +15.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533695 : LENS IO +16.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533697 : LENS IO +6.0 TO +30.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT,355.2,355.2,,,0
CDM,27600003,533698 : LENS IO +18.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533699 : LENS IO +18.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533700 : LENS IO +19.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533701 : LENS IO +19.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533702 : LENS IO +20.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533704 : LENS IO +21.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533705 : LENS IO +21.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533706 : LENS IO +22.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533707 : LENS IO +22.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533708 : LENS IO +23.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533709 : LENS IO +23.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533710 : LENS IO +24.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533711 : LENS IO +24.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533712 : LENS IO +25.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533713 : LENS IO +25.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533717 : LENS IO +27.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533721 : LENS IO +29.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,533725 : LENS IO +6.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533727 : LENS IO +7.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533735 : LENS IO +11.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533745 : LENS IO +16.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533746 : LENS IO +17.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533748 : LENS IO +18.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533750 : LENS IO +19.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533752 : LENS IO +20.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533753 : LENS IO +20.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533754 : LENS IO +21.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533755 : LENS IO +21.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533756 : LENS IO +22.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533758 : LENS IO +23.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533759 : LENS IO +23.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533760 : LENS IO +24.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533761 : LENS IO +24.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533762 : LENS IO +25.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,533767 : LENS IO +27.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,ACRYSOF MP FOLDABLE 6.0,321.6,321.6,,,0
CDM,27600003,ALCON ANTERIOR LENS MA60AC.255,321.6,321.6,,,0
CDM,27600003,ALCON CLEAR LENS SA60WF.265,348.0,348.0,,,0
CDM,27600003,CATARACT LENS,355.2,355.2,,,0
CDM,27600003,INACTIVE USE PS#109503 -  LENS IO +21.5 DIOPT 0DEG L13MM DIA,348.0,348.0,,,0
CDM,27600003,INACTIVE USE PS#124827 -  LENS MA60AC DIOPTER 22.0D,321.6,321.6,,,0
CDM,27600003,INTRAOCCULAR LENS - Acrysof IOL,348.0,348.0,,,0
CDM,27600003,INTRAOCCULAR LENS - CC60WF 23.0D,355.2,355.2,,,0
CDM,27600003,LENS  SA60AT DIOPTER 21.5,321.6,321.6,,,0
CDM,27600003,LENS IO +0 DIOPT 5DEG L13MM POST CHMBR MULTIPIECE ACRYSOF,321.6,321.6,,,0
CDM,27600003,LENS IO +11.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +13.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +13.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +15.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +16.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +17.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +17.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +17.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +17.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +18.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +18.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +18.5 DIOPT 0DEG L13MM DIA6MM ANT CHMBR SGL PC BCNVX,348.0,348.0,,,0
CDM,27600003,LENS IO +19.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +19.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +19.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +19.0 DIOPT 10DEG L13MM DIA6MM A CONSTANT 118.4 POST,321.6,321.6,,,0
CDM,27600003,LENS IO +19.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +19.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +19.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +19.5 DIOPT 10DEG L13MM DIA6MM A CONSTANT 118.4 POST,321.6,321.6,,,0
CDM,27600003,LENS IO +20.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +20.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +20.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +20.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +20.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +20.5 DIOPT L13MM DIA6MM 10DEG ANT A CONSTANT 118.4,321.6,321.6,,,0
CDM,27600003,LENS IO +21.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +21.0 DIOPT L13MM DIA6MM 10DEG ANT A CONSTANT 118.4,321.6,321.6,,,0
CDM,27600003,LENS IO +21.0 DIOPT L13MM DIA6MM ACRYLATE/METHACRYLATE,348.0,348.0,,,0
CDM,27600003,LENS IO +21.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +22.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +22.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +22.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +22.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +22.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +23.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +23.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +23.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +23.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +24.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +24.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +24.0 DIOPT 10DEG L13MM DIA6MM A CONSTANT 118.4 POST,321.6,321.6,,,0
CDM,27600003,LENS IO +24.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +24.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +24.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +25.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +25.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +25.5 DIOPT L13MM DIA6MM 0DEG HAPTIC ANG A CONSTANT,348.0,348.0,,,0
CDM,27600003,LENS IO +26.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
CDM,27600003,LENS IO +29.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
CDM,27600003,LENS IO +30.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
CDM,27600003,LENS IO 15.5 DIOPT 118.7 A CONSTANT 0DEG ANG HAPTIC L13MM,348.0,348.0,,,0
CDM,27600003,LENS IO 21.0 DIOPT 118.7 A CONSTANT 0DEG ANG HAPTIC L13MM,348.0,348.0,,,0
CDM,27600003,LENS IO CLAREON ASPHERIC UV ABSRB CLR MONOFOCAL FLD POST,355.2,355.2,,,0
CDM,27600003,LENS IOL SN60WF 11.5,348.0,348.0,,,0
CDM,27600003,LENS MA60AC DIOPTER 13.5,321.6,321.6,,,0
CDM,27600003,LENSES MA60AC 24.5,321.6,321.6,,,0
CDM,27600003,MA60AC120 ACRYSOF MP FOLDABLE 60 OPTIC,321.6,321.6,,,0
CDM,27600009,LENS  MTA3UO DIOPTER 16.0,204.0,204.0,,,0
CDM,27600009,LENS IO +9.0 DIOPT 5DEG L13MM DIA5.5MM ANT CHMBR KELMAN,204.0,204.0,,,0
CDM,27600009,LENS MTA4U0 DIOPTER 7.5,204.0,204.0,,,0
CDM,27600012,534319 : CCW0T3.115 CLAREON TORIC UVA,355.0,355.0,,,0
CDM,27600012,CCW0T3.180 CLAREON TORIC UVA,355.0,355.0,,,0
CDM,27600012,CCW0T6.210 CLAREON TORIC UVA,355.0,355.0,,,0
CDM,27600012,HC 276 OR SUPPLIES V2787 (NONCOV PREMIUM IOL),845.0,845.0,,,0
CDM,27600013,CCWET0.210 CLAREON VIVITY (UV),865.0,865.0,,,0
CDM,27600013,CCWET0.225 CLAREON VIVITY (UV),355.0,355.0,,,0
CDM,27600013,HC 276 OR SUPPLIES V2788 (NONCOV PREMIUM IOL),845.0,845.0,,,0
CDM,27600013,LENS IO +20.5 DIOPT POST CHMBR SGL PC TRIFOCAL CLAREON,865.0,865.0,,,0
CDM,27600013,LENS IO +21.0 DIOPT POST CHMBR SGL PC TRIFOCAL CLAREON,865.0,865.0,,,0
CDM,27600013,LENS IO +22.0 DIOPT POST CHMBR SGL PC TRIFOCAL CLAREON,865.0,865.0,,,0
CDM,27600013,LENS IO .0 DIOPT TRIFOCAL CLAREON PANOPTIX TORIC,845.0,845.0,,,0
CDM,27600013,LENS IO 0DEG L13MM DIA6MM A CONSTANT 119.1 POST CHMBR,865.0,865.0,,,0
CDM,27600013,LENS IO 20.5 DIOPT 3.0 DIOPT CYL PWR MONOFOCAL FLD TORIC,345.0,345.0,,,0
CDM,27699999,ALCON LENS 18.0D,120.0,120.0,,,0
CDM,27699999,PMMA SINGLE-PIECE IOL 13.5D,120.0,120.0,,,0
CDM,27699999,VOLK OPTICAL DISPOSABLE FLAT LENS,113.76,113.76,,,0
CDM,27800001,10 HOLE RADIAL SHAFT,1372.8,1372.8,,,0
CDM,27800001,105 MM PIN CLAMP  105 MM PIN CLAMP,1339.2,1339.2,,,0
CDM,27800001,108375 : STEM TIB DIA16MM BILAT ANK PLSM BASE CEM PROPHECY INBONE,1459.2,1459.2,,,0
CDM,27800001,108381 : STEM TIB 14MM PLSM TOP CEM TOT ANK SYS INBONE II,1339.2,1339.2,,,0
CDM,27800001,108617 : SQUARE SHEET,1101.6,1101.6,,,0
CDM,27800001,108659 : CAP SPNL LOK REVERE,108.0,108.0,,,0
CDM,27800001,109221 : SYSTEM URIN CLS CUF CTRL 800,3828.0,3828.0,,,0
CDM,27800001,109411 : SYSTEM EXT FIX INCL PIN BLK DRL E BND FOR PIP JT FLX CNTRCT,4140.0,4140.0,,,0
CDM,27800001,114151 : 32MM GELWEAVE VAL SALVA GRAFT,5811.6,5811.6,,,0
CDM,27800001,114861 : HEART VALVE SUPRA ANNULAR AORTIC 23MM,8880.0,8880.0,,,0
CDM,27800001,114862 : HEART VALVE SUPRA ANNULAR AORTIC 25MM,8880.0,8880.0,,,0
CDM,27800001,115749 : KIT BNE GRFT 50X25.4MM 1.4ML XSM IMPACT CLLGN SPNG,5630.4,5630.4,,,0
CDM,27800001,118708 : ROD SPNL L80MM DIA3.5MM POST SMTH ELLIPSE,240.0,240.0,,,0
CDM,27800001,118786 : ROD SPNL L120MM DIA3.5MM POST SMTH ELLIPSE,240.0,240.0,,,0
CDM,27800001,119158 : HEAD UPLR DIA46MM FEM COCR FOR ECHO FEM HIP SYS BIO MOORE,719.35,719.35,,,0
CDM,27800001,119159 : BIO-MOORE ENDO II HIP SYSTEM  ENDO II TAPER ADAPTER  TI-6AL-,239.78,239.78,,,0
CDM,27800001,119308 : ADAPTER FEM NK L-3MM TYP I TAPR ENDO II,239.78,239.78,,,0
CDM,27800001,119752 : BIO-MOORE ENDO II HIP SYSTEM  ENDO II HEAD COMPONENT  CO-CR-,719.35,719.35,,,0
CDM,27800001,119755 : BIO-MOORE ENDO II HIP SYSTEM  ENDO II TAPER ADAPTER  TI-6AL-,239.78,239.78,,,0
CDM,27800001,119940 : INSERT FEM 0MM STD NK LEN COCR TYP 1 TAPR FOR ECHO HIP SYS,239.78,239.78,,,0
CDM,27800001,1202 : ROD TENDON SPACE 4X24,4497.6,4497.6,,,0
CDM,27800001,125887 : GRAFT HUM TISS 220-300MM SEMITENDINOSUS TEND FRZN,3960.0,3960.0,,,0
CDM,27800001,126141 : CLAMP ABLAT JAW L64MM 30DEG UPWARD 30DEG DOWNWARD R CRV 2,7188.0,7188.0,,,0
CDM,27800001,126628 : GRAFT VASC L45CM DIA5MM BOV CAR CLLGN FIBROUS MTRX FOR ART,9525.6,9525.6,,,0
CDM,27800001,126696 : PATCH BIO W9XL14CM THK0.2-0.6MM BOV PERICARD W- ENCAP AC,1164.0,1164.0,,,0
CDM,27800001,127829 : HEAD FEM DIA36MM HIP BIOLOX DELT OPT FOR G7 ACET SYS,1977.6,1977.6,,,0
CDM,27800001,129154 : RESERVOIR PENILE PROS 75CC CLVRLF W- LOK OUT VLV TI,6535.2,6535.2,,,0
CDM,27800001,129221 : ROD SPNL 5.5MM X 500MM STR TI ALLY REVERE DEFORMITY,480.0,480.0,,,0
CDM,27800001,129225 : FORTIFY-R 14MM CORE HEIGHT 35-54MM,10320.0,10320.0,,,0
CDM,27800001,129308 : AXOGUARD NERVE PROTECTOR 5MM X 40MM,5556.0,5556.0,,,0
CDM,27800001,129961 : CATHETER ITH 86CM ASCENDA,2505.6,2505.6,,,0
CDM,27800001,131425 : GRAFT BNE SUB DBM 2.5MM X 10CM ALLGRFT GRFT,4308.0,4308.0,,,0
CDM,27800001,13370 : TUBE REUTER BOBBIN  27070,82.44,82.44,,,0
CDM,27800001,135073 : FORTIFY-R 14MM CORE HEIGHT 22-26MM 14MM FOOTPRINT 3.5,11400.0,11400.0,,,0
CDM,27800001,135087 : FORTIFY-R 14MM CORE HEIGHT 20-24MM 14MM FOOTPRINT 0,11400.0,11400.0,,,0
CDM,27800001,135399 : IMPLANT VBR 18-23MM 12MM COR FORTIFY,9600.0,9600.0,,,0
CDM,27800001,135662 : GRAFT ENDOPROS L9.5CM DST DIA16MM CONTRALATERAL LEG IL,10826.4,10826.4,,,0
CDM,27800001,135665 : GRAFT EVAR L9.5CM DIA18MM CONTRALATERAL LEG FOR AAA EXCLUDER,10826.4,10826.4,,,0
CDM,27800001,135666 : GRAFT EVAR L11.5CM DIA18MM CONTRALATERAL LEG FOR AAA,10826.4,10826.4,,,0
CDM,27800001,135667 : GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG IL EXT L13.5CM,10826.4,10826.4,,,0
CDM,27800001,135670 : GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG IL EXT L13.5CM,10826.4,10826.4,,,0
CDM,27800001,135726 : FORTIFY 20MM CORE HEIGHT 23-28MM,9600.0,9600.0,,,0
CDM,27800001,135738 : MEDPOR TITAN SHEET - MTB - 38MM X 50MM X 1.0MM,2421.94,2421.94,,,0
CDM,27800001,136182 : DEFLECTOR VENT CATH L DIA16MM TI ADJ RADPQ W- SUT FIX H,229.68,229.68,,,0
CDM,27800001,136183 : GRAFT EVAR L10CM DST DIA23MM FEP NIT CONTRALATERAL LEG IL,10826.4,10826.4,,,0
CDM,27800001,136184 : GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG IL EXT L12CM,10826.4,10826.4,,,0
CDM,27800001,136185 : GRAFT EVAR L10CM DST DIA27MM FEP NIT CONTRALATERAL LEG IL,10826.4,10826.4,,,0
CDM,27800001,136186 : GRAFT EVAR L12CM DIA27MM CONTRALATERAL LEG FOR AAA EXCLUDER,10826.4,10826.4,,,0
CDM,27800001,137375 : NAIL IM L200MM DIA10MM 130DEG R ANK GRN TI CANN LOK FLUT LAT,4440.24,4440.24,,,0
CDM,27800001,138114 : SPACER SPNL 12 MM COR H21-29 MM VERT BODY REPL FORTIFY,9600.0,9600.0,,,0
CDM,27800001,138189 : GRAFT HUM TISS L100MM FEM SHFT FRZN MATRIGRAFT,1167.07,1167.07,,,0
CDM,27800001,138957 : BIT DRL L50MM DIA1.5MM STP L6MM 2 FLUT J LATCH CPL,387.6,387.6,,,0
CDM,27800001,139331 : CATHETER PTCA L137CM BLLN L200MM DIA3MM RBP 20ATM 0.014IN,2580.0,2580.0,,,0
CDM,27800001,139367 : ROD SPNL L200MM OD5.5MM TI POST BILAT STR SMTH LP REVERE,240.0,240.0,,,0
CDM,27800001,139569 : PLATE BNE RAD DST L STD 24X51MM CROSSLOCK TI LP DVR ANAT,1503.6,1503.6,,,0
CDM,27800001,139734 : ELLIPSE 3.5MM OCCIPITAL ROD 240MM 100,336.0,336.0,,,0
CDM,27800001,140923 : GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG IL EXT L10CM,10826.4,10826.4,,,0
CDM,27800001,140924 : GRAFT ENDOPROS L12CM DST DIA14.5MM CONTRALATERAL LEG W- C3,10826.4,10826.4,,,0
CDM,27800001,140929 : GRAFT ENDOPROS L7CM DST DIA12MM IL EXT W- C3 DEL SYS FOR AAA,7502.4,7502.4,,,0
CDM,27800001,140973 : GRAFT ENDOPROS STNT AAA IPSILATERAL LEG L12CM AORT DIA28.5MM,26203.2,26203.2,,,0
CDM,27800001,140982 : EXCLUDER C3 28MMX14.5MMX18CM,26203.2,26203.2,,,0
CDM,27800001,142717 : EVOS 2.4MM FLEX PLATE 6 HOLE,1638.0,1638.0,,,0
CDM,27800001,142738 : PLATE BNE L42MM THK1.4MM SHFT W7.5MM 6 H ST FLX FOR 2.7MM,1806.0,1806.0,,,0
CDM,27800001,142740 : EVOS 2.7MM FLEX PLATE 10 HOLE,1806.0,1806.0,,,0
CDM,27800001,142792 : CONNECTOR SPNL 6.35X6.35MM TI SIDE LD CLS DOMINO CDH,960.0,960.0,,,0
CDM,27800001,144013 : CAGE SPNL 33MM-53MM COR 12MM 0 DEG NO SPIK FORTIFY I,9600.0,9600.0,,,0
CDM,27800001,144212 : TACHOSIL MEDIUM PATCH 1.9IN X 1.9IN,1047.6,1047.6,,,0
CDM,27800001,144442 : ROD SPNL POST OCT 3.5MM X 240MM ELLIPSE,480.0,480.0,,,0
CDM,27800001,144699 : GRAFT BNE SUB W12XH6XL14MM CANC CORT ANT CERV IF SPCR LORD,1620.0,1620.0,,,0
CDM,27800001,144720 : GRAFT HUM TISS W12XH7XL14MM SPCR CANC CORT ANT CERV LORD IF,1620.0,1620.0,,,0
CDM,27800001,145299 : GRAFT HUM TISS ACELLULR DERM MTRX 40MM X 70MM THCK 3MM,8520.0,8520.0,,,0
CDM,27800001,146104 : CATHETER DIAG 2.8X2.1FR L150CM BLLN L11MM DIA4MM TIP L5MM,4692.0,4692.0,,,0
CDM,27800001,147109 : COIL EMB SZ 10 L12CM LOOP DIA4MM ADV STRTCH RESIST,4537.2,4537.2,,,0
CDM,27800001,147110 : COIL EMB SZ 10 L1CM LOOP DIA1.5MM ADV STRTCH RESIST SOFTER,3534.0,3534.0,,,0
CDM,27800001,147111 : COIL EMB SZ 10 L2CM LOOP DIA1.5MM ADV STRTCH RESIST SOFTER,3534.0,3534.0,,,0
CDM,27800001,147113 : COIL EMB SZ 10 L2CM LOOP DIA2MM ADV STRTCH RESIST SOFTER,3534.0,3534.0,,,0
CDM,27800001,147116 : COIL EMB COMPLX ALL IN 1 STRTCH RESIST FOR FRAMING FILL FNSH,3534.0,3534.0,,,0
CDM,27800001,147117 : COIL VASC 3MMX6CM HYPERSOFT ADV,3534.0,3534.0,,,0
CDM,27800001,147118 : COIL EMB SZ 10 L8CM LOOP DIA3MM ADV STRTCH RESIST SOFTER,3534.0,3534.0,,,0
CDM,27800001,147119 : COIL EMB SZ 10 L6CM LOOP DIA3MM ADV STRTCH RESIST,4537.2,4537.2,,,0
CDM,27800001,147120 : COIL EMB SZ 10 L15CM LOOP DIA5MM ADV STRTCH RESIST,4537.2,4537.2,,,0
CDM,27800001,147121 : COIL EMB SZ 10 L22CM L LOOP DIA5MM STRTCH RESIST COMPLX,4537.2,4537.2,,,0
CDM,27800001,147122 : COIL EMB SZ 10 L18CM LOOP DIA6MM ADV STRTCH RESIST,4537.2,4537.2,,,0
CDM,27800001,147123 : COIL EMB SZ 10 L26CM L LOOP DIA6MM STRTCH RESIST COMPLX,4537.2,4537.2,,,0
CDM,27800001,147125 : COIL EMB SZ 10 L31CM L LOOP DIA7MM STRTCH RESIST COMPLX,4537.2,4537.2,,,0
CDM,27800001,147130 : COIL EMB SZ 18 L31CM LOOP DIA9MM ADV FOR FRAMING-FILL-FNSH,4788.0,4788.0,,,0
CDM,27800001,147133 : COIL EMB SZ 18 L43CM LOOP DIA12MM ADV FOR FRAMING-FILL-FNSH,4788.0,4788.0,,,0
CDM,27800001,147209 : GRAFT EVAR L14CM DST DIA27MM FEP NIT CONTRALATERAL LEG IL,10826.4,10826.4,,,0
CDM,27800001,147454 : GRAFT VASC L15CM DIA8MM BOV CAR CLLGN FIBROUS MTRX FOR ART,7893.6,7893.6,,,0
CDM,27800001,147726 : GRAFT DERM MTRX HUM TISS THCK ACELLULR DERM IMPL L20XW8CM,1620.0,1620.0,,,0
CDM,27800001,149039 : STENT URET L16CM DIA6FR SIL CLS TIP DBL J,408.62,408.62,,,0
CDM,27800001,150014 : KIT ANCHR N300 LD,300.0,300.0,,,0
CDM,27800001,150052 : FORGE CERVICAL ALLOGRAFT SPACER ASSEMBLY 12MM X 14MM 9MM LOR,1620.0,1620.0,,,0
CDM,27800001,150267 : CONNECTOR SPNL 5.5MM X 38-50MM THORLUM LNG CRSS CREO,960.0,960.0,,,0
CDM,27800001,150269 : ROD SPNL THORLUM 5.5X70MM CRV TI ALLY CREO,240.0,240.0,,,0
CDM,27800001,150270 : ROD SPNL THORLUM 5.5X60MM CRV TI ALLY CREO,240.0,240.0,,,0
CDM,27800001,150359 : KIT LSR 10MM DIFFUSING TIP VISUALASE,33206.4,33206.4,,,0
CDM,27800001,150574 : ACL FIXATION BUTTON 17MM,146.88,146.88,,,0
CDM,27800001,157250 : HOOK SPNL SM TI ALLY EXT BODY LAM FOR ADOL IDIOPATHIC,1549.8,1549.8,,,0
CDM,27800001,157588 : CATHETER GUID 8X6.4FR L95CM ROT HEMSTAT VLV TUOHY BORST LUER,2797.2,2797.2,,,0
CDM,27800001,159333 : KIT PERC INSRT 17GA SPNL NDL 1.1MM NIT GWIRE PORTAL DIL,572.52,572.52,,,0
CDM,27800001,159360 : K WIRE 3X285MM COCR WCH FOR T2 SUPRAPATELLAR SYS,189.6,189.6,,,0
CDM,27800001,159748 : 4-5 FR PUSHER,159.5,159.5,,,0
CDM,27800001,159969 : GRAFT BNE W22XH8XL22MM WDG PRESHAPED FD FOR FLATFOOT,2576.64,2576.64,,,0
CDM,27800001,159970 : GRAFT BNE W22XH10XL22MM WDG PRESHAPED FD FOR FLATFOOT,2576.64,2576.64,,,0
CDM,27800001,159973 : GRAFT BNE W22XH16XL22MM WDG PRESHAPED FD FOR FLATFOOT,3698.16,3698.16,,,0
CDM,27800001,159977 : GRAFT BNE SUB W16XH8XL22MM COT WDG PRESHAPED FD FOR FLATFOOT,2128.92,2128.92,,,0
CDM,27800001,159978 : COTTON WEDGE 10MM,2576.64,2576.64,,,0
CDM,27800001,160022 : COIL EMB 10 L2CM OD2MM ADV COMPLX STRTCH RESIST FNSH FRAMING,4890.6,4890.6,,,0
CDM,27800001,160024 : COIL EMB SZ 10 L4CM DIA2MM STRTCH RESIST FOR FRAMING FILL,4890.6,4890.6,,,0
CDM,27800001,160026 : HYPERSOFT 3D 10 D2.5 MM L6CM,4890.6,4890.6,,,0
CDM,27800001,160027 : HYPERSOFT 3D 10 D3MM L4CM,4890.6,4890.6,,,0
CDM,27800001,160028 : COIL EMB SZ 10 L6CM DIA3MM STRTCH RESIST FOR FRAMING FILL,4890.6,4890.6,,,0
CDM,27800001,160031 : COIL EMB 10 L6CM OD4MM ADV COMPLX STRTCH RESIST FNSH FRAMING,4890.6,4890.6,,,0
CDM,27800001,160032 : COIL EMB 10 L8CM OD4MM ADV COMPLX STRTCH RESIST FNSH FRAMING,4890.6,4890.6,,,0
CDM,27800001,160033 : COIL EMB 10 L10CM OD5MM ADV COMPLX STRTCH RESIST FNSH,4890.6,4890.6,,,0
CDM,27800001,160039 : COIL VASC 3MMX4CM HYPERSOFT ADV,3534.0,3534.0,,,0
CDM,27800001,160040 : HYPERSOFT 10 D4MM L6CM,3534.0,3534.0,,,0
CDM,27800001,160338 : NOSTRIL RETAINER SIZE 13,345.88,345.88,,,0
CDM,27800001,161584 : COIL EMB ART VEN PERIPH L15CM DIA20MM 2.4 LOOP DIA0.035IN,253.51,253.51,,,0
CDM,27800001,161662 : CONTROLLER DETACH FOR DETACH PERIPH HYDROCOIL EMB SYS AZUP,454.8,454.8,,,0
CDM,27800001,161675 : AZUR CX DETACHABLE 035 4MM X 7CM,2920.8,2920.8,,,0
CDM,27800001,161680 : COIL PERIPH VASC EMB DETACH 0.035IN SYS 8MM X 24CM AZUR CX,2920.8,2920.8,,,0
CDM,27800001,161681 : COIL EMB L19CM LOOP DIA10MM 0.029IN DETACH CRSS SECT OCCL 35,2920.8,2920.8,,,0
CDM,27800001,161683 : COIL EMB L32CM LOOP DIA16MM 0.029IN DETACH CRSS SECT OCCL 35,2920.8,2920.8,,,0
CDM,27800001,161804 : KIT REP LARGER EYELT W- 3 PEC BTTN ATTCH INSRT 3 FIBERTAPE,4290.0,4290.0,,,0
CDM,27800001,161858 : PLATE BNE CMF MINI 4 H STR 24MM THCK 1MM TI LEVELONE,715.68,715.68,,,0
CDM,27800001,161862 : PIN FIX 2.1X4MM RESORB X SONICPINS RX,252.36,252.36,,,0
CDM,27800001,162443 : XTEND ANTERIOR CERVICAL PLATE 3-LEVEL 54MM,1320.0,1320.0,,,0
CDM,27800001,164383 : CAP SPNL LOK CREO MIS,108.0,108.0,,,0
CDM,27800001,164391 : SCREW SPNL POLYAX MOD 30MM REDUC TULIP CREO MIS,960.0,960.0,,,0
CDM,27800001,164431 : ROD SPNL THORLUM 5.5MM X 125MM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800001,164432 : ROD SPNL THORLUM 5.5X40MM CRV TI ALLY CREO,240.0,240.0,,,0
CDM,27800001,164433 : ROD SPNL L45MM DIA5.5MM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800001,164435 : ROD SPNL POST 5.5X50MM CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,164436 : ROD SPNL POST 5.5X75MM CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,164437 : ROD SPNL 5.5X80MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,164468 : 5.5MM STRAIGHT ROD 300MM,360.0,360.0,,,0
CDM,27800001,164473 : CREO MIS 5.5MM STRAIGHT ROD TITANIUM ALLOY 75MM LENGTH,420.0,420.0,,,0
CDM,27800001,164701 : ENDPLATE SPNL 14MM UP 14MM  7DEG PEEK INTEGR TI SCR NO SPIK,840.0,840.0,,,0
CDM,27800001,164802 : ROD SPNL 5.5MM X 120MM PRELORDOSED POST TI EXPEDIUM,667.63,667.63,,,0
CDM,27800001,164817 : PLATE BNE MD 4 H LOK TI FOR 2.7MM THREADLOCK TAPR SCR 2MM,994.56,994.56,,,0
CDM,27800001,21094 : YASARGIL PERM STD-CLIP STR 9MM,1056.89,1056.89,,,0
CDM,27800001,21098 : YASARGIL PERM STD-CLIP SLT-CVD 8.3MM,1056.89,1056.89,,,0
CDM,27800001,211723 : RELINE MAS TI ROD 5.5X60MM LORDOTIC,456.0,456.0,,,0
CDM,27800001,211725 : RELINE MAS TI ROD 5.5X70MM LORDOTIC,456.0,456.0,,,0
CDM,27800001,211726 : RELINE MAS TI ROD 5.5X75MM LORDOTIC,456.0,456.0,,,0
CDM,27800001,216624 : 5.5MM STRAIGHT ROD HEX ENDED COCR 200MM,480.0,480.0,,,0
CDM,27800001,216797 : CROSS CONN SPNL 5.5X29-33MM CREO,960.0,960.0,,,0
CDM,27800001,216799 : CONNECTOR SPNL L32-40MM DIA5.5MM LNG CRSS THORLUM CREO,960.0,960.0,,,0
CDM,27800001,217990 : SPACER SPNL LUM 20X8-17X55MM 5-20DEG LORD SELF EXPND ELSA,20160.0,20160.0,,,0
CDM,27800001,218331 : CONNECTOR SPNL L15MM THORLUM THRD HD OFFSET CREO,720.0,720.0,,,0
CDM,27800001,218343 : CREO THREADED HEAD OFFSET CONNECTOR 30MM LONG,720.0,720.0,,,0
CDM,27800001,218377 : ROD SPNL L450MM DIA5.5MM PRECONTOURED,420.0,420.0,,,0
CDM,27800001,218679 : ELLIPSE 3.5MM OCCIPITAL ROD 240MM 115,336.0,336.0,,,0
CDM,27800001,218867 : ROD TEMPLATE 500MM,180.0,180.0,,,0
CDM,27800001,219062 : PLATE SPNL ANT CERV 40MM 2 LEV XTEND,1200.0,1200.0,,,0
CDM,27800001,219251 : 3.5MM CAPITOL CURVED ROD 30MM,240.0,240.0,,,0
CDM,27800001,219252 : 3.5MM CAPITOL CURVED ROD 35MM,240.0,240.0,,,0
CDM,27800001,219253 : ROD SPNL L40MM DIA3.5MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219254 : ROD SPNL 3.5MM X 45MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219255 : ROD SPNL L50MM DIA3.5MM STD CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219256 : ROD SPNL 3.5MM X 55MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219257 : ROD SPNL 3.5MM X 60MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219259 : ROD SPNL L70MM DIA3.5MM STD CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219260 : ROD SPNL L75MM DIA3.5MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219262 : ROD SPNL L85MM DIA3.5MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219263 : ROD SPNL L90MM DIA3.5MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219264 : 3.5MM CAPITOL CURVED ROD 95MM,240.0,240.0,,,0
CDM,27800001,219265 : ROD SPNL L100MM OD3.5MM CRV TRANSFACET INT FIX CAPITOL,240.0,240.0,,,0
CDM,27800001,219267 : ROD SPNL L110MM OD3.5MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219269 : ROD SPNL L120MM OD3.5MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,219435 : ROD SPNL L125MM DIA5.5MM THORLUM TI ALLY STR CREO,240.0,240.0,,,0
CDM,27800001,219436 : ROD SPNL 5.5X150MM STR TI ALLY CREO,240.0,240.0,,,0
CDM,27800001,219442 : ROD SPNL THORLUM 5.5X50MM CRV TI ALLY CREO,240.0,240.0,,,0
CDM,27800001,219449 : ROD SPNL L85MM DIA5.5MM THORLUM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800001,219450 : ROD SPNL THORLUM 5.5X90MM CRV TI ALLY CREO,240.0,240.0,,,0
CDM,27800001,219451 : ROD SPNL THORLUM 5.5X95MM CRV TI ALLY CREO,240.0,240.0,,,0
CDM,27800001,219452 : ROD SPNL 5.5X100MM CRV TI CREO,240.0,240.0,,,0
CDM,27800001,219454 : ROD SPNL 5.5X150MM CRV TI CREO,240.0,240.0,,,0
CDM,27800001,222637 : ELLIPSE TAPERED ROD 3.5MM TO 5.5MM 700MM,720.0,720.0,,,0
CDM,27800001,222755 : SPACER SPNL W18XH8-15XL55MM 6DEG LAT LUM IF TI SELF EXPND,10800.0,10800.0,,,0
CDM,27800001,222760 : SPACER SPNL W18XH10-17XL55MM 10DEG LAT LUM IF TI SELF EXPND,10800.0,10800.0,,,0
CDM,27800001,222775 : RISE-L SPACER 22 X 55MM 8-15MM 6,10800.0,10800.0,,,0
CDM,27800001,222784 : SPACER SPNL W18XH7-14XL50MM 3-15DEG LAT LUM IF TI SELF EXPND,10800.0,10800.0,,,0
CDM,27800001,222790 : RISE-L SPACER 22 X 55MM 7MM 3-15,10800.0,10800.0,,,0
CDM,27800001,222791 : RISE-L SPACER 22 X 60MM 7MM 3-15,10800.0,10800.0,,,0
CDM,27800001,222850 : FORTIFY 12MM CORE HEIGHT 16-20MM 3.5 NO SPIKES,10800.0,10800.0,,,0
CDM,27800001,222862 : FORTIFY 16MM CORE HEIGHT 28-41MM,9600.0,9600.0,,,0
CDM,27800001,223091 : FORTIFY 20MM UPPER ENDPLATE - 22X50MM 0,840.0,840.0,,,0
CDM,27800001,223103 : FORTIFY 20MM LOWER ENDPLATE - 22X50MM 0,840.0,840.0,,,0
CDM,27800001,223139 : FORTIFY 16MM UPPER ENDPLATE 18X45MM FOOTPRINT 0,840.0,840.0,,,0
CDM,27800001,223151 : FORTIFY 16MM LOWER ENDPLATE 18X45MM FOOTPRINT 4,840.0,840.0,,,0
CDM,27800001,223172 : FORTIFY-R 14MM UPPER ENDPLATE 14X16MM FOOTPRINT 7,840.0,840.0,,,0
CDM,27800001,223212 : BURR HOLE COVERS ULTRA LOW PROFILE 12MM,300.67,300.67,,,0
CDM,27800001,223213 : COVER BUR H DIA15MM THK0.3MM TI ULT LP NONCOMPRESSION CNTOUR,300.67,300.67,,,0
CDM,27800001,223214 : BURR HOLE COVERS ULTRA LOW PROFILE 17MM,300.67,300.67,,,0
CDM,27800001,223219 : PLATE BNE CRAN 6 H DBL Y 18MM TI ULT LP MATRIXNEURO,292.03,292.03,,,0
CDM,27800001,223220 : PLATE BNE CRAN 2 X 3 H STRUT THCK 0.3MM TI ULT LP,504.58,504.58,,,0
CDM,27800001,223245 : KIT BNE GRFT 2XS 0.7CC 1.05MG RHBMP-2 FD W- ABSRB CLLGN SPNG,2616.0,2616.0,,,0
CDM,27800001,223996 : TISSUE CANC CRUSHED 1-10MM 5CC,247.2,247.2,,,0
CDM,27800001,224009 : GRAFT BNE SUB CHIP 15CC 4-10MM CORT CANC FD CTS,441.6,441.6,,,0
CDM,27800001,224171 : CAGE SPNL 16X14X5MM PEEK PURE TI ANAT CERV IF SYS,1824.0,1824.0,,,0
CDM,27800001,224173 : CAGE SPNL CERV 16MM X 14MM X 6MM PEEK CP TI ANAT PEEK PTC,1824.0,1824.0,,,0
CDM,27800001,224175 : CAGE SPNL CERV 16MM X 14MM X 7MM PEEK CP TI ANAT PEEK PTC,1824.0,1824.0,,,0
CDM,27800001,224435 : ROD SPNL L45MM DIA5.5MM TI ANT POST THORACOLUMBOSACRAL CRV,324.0,324.0,,,0
CDM,27800001,224438 : ROD SPNL L60MM DIA5.5MM ANT POST THORACOLUMBOSACRAL TI,324.0,324.0,,,0
CDM,27800001,224439 : ROD SPNL L70MM DIA5.5MM THOR LUMBER TI CRV CDH SOLERA,324.0,324.0,,,0
CDM,27800001,224442 : ROD SPNL L100MM DIA5.5MM TI ANT POST THORACOLUMBOSACRAL CRV,324.0,324.0,,,0
CDM,27800001,224443 : ROD SPNL L110MM DIA5.5MM TI ANT POST THORACOLUMBOSACRAL CRV,324.0,324.0,,,0
CDM,27800001,224444 : ROD SPNL L120MM DIA5.5MM TI ANT POST THORACOLUMBOSACRAL CRV,324.0,324.0,,,0
CDM,27800001,224445 : ROD SPNL THORACOLUMBOSACRAL 5.5X500MM STR TI ALUM CDH,432.0,432.0,,,0
CDM,27800001,224456 : ROD 1555501080 5.5 CCM NS CURV 80MM,324.0,324.0,,,0
CDM,27800001,231252 : CAGE SPNL ACIF 15MM X 5MM X 12MM 6 DEG LORD PEEK NO-P,3480.0,3480.0,,,0
CDM,27800001,235196 : PRE-LORDOSED ROD WLINE 115MM,503.3,503.3,,,0
CDM,27800001,24683 : KIT SHNT 8-14FR L15.2CM RADPQ ARGY,140.69,140.69,,,0
CDM,27800001,28817 : BARRIER ORBITAL FLOOR IMPLANT - 38MM X 50MM X 1.0M,1790.28,1790.28,,,0
CDM,27800001,3.5MM CAPITOL CURVED ROD 30MM,240.0,240.0,,,0
CDM,27800001,3.5MM LOW PROFILE CURVED RECON,3270.6,3270.6,,,0
CDM,27800001,30MM EXTENSION PIECE - GMRS,6283.2,6283.2,,,0
CDM,27800001,30MM VALSALVA GRAFT,5811.6,5811.6,,,0
CDM,27800001,31697 : CABLE CERCLAGE L750MM DIA1.7MM SS W- CRMP,1737.0,1737.0,,,0
CDM,27800001,32805 : CATHETER EP L115CM OD5FR BPLR SEMI FLOATING ELECTRD PACE,338.26,338.26,,,0
CDM,27800001,32MM GELWEAVE VAL SALVA GRAFT,11988.0,11988.0,,,0
CDM,27800001,34123 : YASARGIL PERM MINI-CLIP STR NARR 3MM,1056.89,1056.89,,,0
CDM,27800001,34MM GELWEAVE VAL SALVA GRAFT,5811.6,5811.6,,,0
CDM,27800001,351047 : SPEED COMPRESSION IMPLANT KIT 13X10X10MM,2682.0,2682.0,,,0
CDM,27800001,351050 : SPEED COMPRESSION IMPLANT KIT 15X10X10MM,3713.4,3713.4,,,0
CDM,27800001,35875 : ROD CARBON FIBER ROD 45MM 3.0,95.83,95.83,,,0
CDM,27800001,35877 : ROD CARBON FIBER ROD 60MM 3.0,95.83,95.83,,,0
CDM,27800001,360736 : EVOS 2.5MM PROVISIONAL FIXATION PIN - 25MM,396.0,396.0,,,0
CDM,27800001,362049 : CLAMP EXT FIX BAR TO BAR 3D XTRAFIX,724.61,724.61,,,0
CDM,27800001,362050 : CLAMP EXT FIX BAR TO PIN 3D XTRAFIX,724.61,724.61,,,0
CDM,27800001,362057 : PIN EXT FIX 45MM 2 BAR FOR CLMP XTRAFIX SYS,1627.92,1627.92,,,0
CDM,27800001,362058 : CLAMP PIN 2 BAR 75MM XTRAFIX EXT FIX SYS,1713.6,1713.6,,,0
CDM,27800001,362060 : 105 MM PIN CLAMP  105 MM PIN CLAMP,1339.2,1339.2,,,0
CDM,27800001,362062 : CLAMP EXT FIX L 2D INDEPENDENT LOK,767.04,767.04,,,0
CDM,27800001,362064 : BAR EXT FIX L100MM DIA11MM FOR XTRAFIX SYS,210.53,210.53,,,0
CDM,27800001,362065 : BAR EXT FIX L150MM DIA11MM FOR XTRAFIX SYS,227.66,227.66,,,0
CDM,27800001,362066 : BAR EXT FIX L200MM DIA11MM FOR XTRAFIX SYS,244.8,244.8,,,0
CDM,27800001,362067 : BAR EXT FIX L250MM DIA11MM FOR XTRAFIX SYS,270.1,270.1,,,0
CDM,27800001,362068 : BAR EXT FIX L300MM DIA11MM FOR XTRAFIX SYS,279.07,279.07,,,0
CDM,27800001,362069 : BAR EXT FIX L350MM DIA11MM FBR GLS FOR XTRAFIX SYS,296.21,296.21,,,0
CDM,27800001,362070 : BAR EXT FIX L400MM DIA11MM FOR XTRAFIX SYS,313.34,313.34,,,0
CDM,27800001,362071 : BAR EXT FIX L500MM DIA11MM FOR XTRAFIX SYS,338.64,338.64,,,0
CDM,27800001,362074 : BAR EXT FIX L380MM CRV FOR FIX SYS XTRAFIX,1198.8,1198.8,,,0
CDM,27800001,362100 : PIN EXT FIX W15XH3XL100MM HALF XTRAFIX,172.99,172.99,,,0
CDM,27800001,362103 : PIN EXT FIX L100MM DIA3MM THRD L25MM BLU SLF DRL HALF,172.99,172.99,,,0
CDM,27800001,362105 : HALF PIN 4 MM DIAMETER  100 MM LENGTH 20 MM THREAD LENGTH  H,172.99,172.99,,,0
CDM,27800001,362107 : PIN FIX L100MM DIA4MM THRD L35MM BLU HALF SZ FOR EXT FIX,172.99,172.99,,,0
CDM,27800001,362108 : PIN EXT FIX L160MM DIA5MM THRD L35MM YEL HALF FOR XTRAFIX,190.94,190.94,,,0
CDM,27800001,362109 : PIN EXT FIX L200MM DIA5MM THRD L45MM ORNG HALF FOR XTRAFIX,190.94,190.94,,,0
CDM,27800001,362110 : PIN EXT FIX L160MM DIA5MM THRD L55MM YEL HALF FOR XTRAFIX,190.94,190.94,,,0
CDM,27800001,362111 : PIN EXT FIX L200MM DIA5MM THRD L65MM ORNG XTRAFIX,190.94,190.94,,,0
CDM,27800001,362112 : PIN FIX L250MM DIA5MM THRD L85MM ORNG HALF SZ FOR EXT FIX,190.94,190.94,,,0
CDM,27800001,362115 : PIN FIX L275MM DIA5MM THRD L6MM BLK HALF SZ FOR EXT FIX,234.19,234.19,,,0
CDM,27800001,367091 : CATHETER GUID 8X6.4FR L85CM ROT HEMSTAT VLV TUOHY BORST LUER,2797.2,2797.2,,,0
CDM,27800001,367496 : COIL EMB L2CM LOOP DIA2MM GWIRE 0.018IN HYDROCOIL DETACH SFT,2161.2,2161.2,,,0
CDM,27800001,367500 : COIL EMB L13CM LOOP DIA4MM 0.015IN DETACH CRSS SECT OCCL 18,2161.2,2161.2,,,0
CDM,27800001,367501 : COIL EMB L16CM LOOP DIA5MM 0.015IN DETACH CRSS SECT OCCL 18,2161.2,2161.2,,,0
CDM,27800001,367502 : COIL EMB L20CM LOOP DIA6MM 0.015IN DETACH CRSS SECT OCCL 18,2158.8,2158.8,,,0
CDM,27800001,367503 : COIL EMB L24CM LOOP DIA7MM 0.015IN DETACH CRSS SECT OCCL 18,2158.8,2158.8,,,0
CDM,27800001,367504 : COIL EMB L28CM LOOP DIA8MM GWIRE 0.018IN PERIPH DETACH CRSS,2158.8,2158.8,,,0
CDM,27800001,367505 : COIL EMB L28CM LOOP DIA9MM 0.015IN DETACH CRSS SECT OCCL 18,2158.8,2158.8,,,0
CDM,27800001,367511 : COIL EMB L40CM LOOP DIA20MM 0.015IN DETACH CRSS SECT OCCL 18,2158.8,2158.8,,,0
CDM,27800001,367515 : AZUR CX DETACHABLE 035 6MM X 17CM,2920.8,2920.8,,,0
CDM,27800001,368319 : JUSTRIGHT 5MM RELOAD,900.0,900.0,,,0
CDM,27800001,369800 : SCREW BNE L14MM DIA2.7MM DST VOLAR RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800001,373642 : COVER BUR H 10MM LP W- TAB FOR UNIV NEURO III CRAN FIX SYS,525.41,525.41,,,0
CDM,27800001,373643 : COVER BUR H 14MM LP W- TAB FOR UNIV NEURO III CRAN FIX SYS,532.9,532.9,,,0
CDM,27800001,374777 : VALVE VENT DRNGE IN LN PRGM CERTAS +,9506.33,9506.33,,,0
CDM,27800001,374779 : VALVE CSF DRNGE PROGRAMMABLE INLINE W- UNITZ CATH CERTAS +,9506.33,9506.33,,,0
CDM,27800001,374781 : VALVE VENT DRNGE IN LN W- SIPHONGUARD CODMAN CERTUS,10671.12,10671.12,,,0
CDM,27800001,374784 : VALVE VENT DRNGE IN LN SIPHONGUARD ANTISIPHON DEV BACTISEAL,12023.04,12023.04,,,0
CDM,27800001,375383 : DURAGEN PLUS DURAL REGENERATION MATRIX 1X1,454.22,454.22,,,0
CDM,27800001,375387 : GRAFT DURA W1XL1IN ULT PURE CLLGN REGEN MTRX DURAGN +,799.7,799.7,,,0
CDM,27800001,375388 : PATCH DURA 1X3IN REGEN MTRX CLLGN BASE ST DURAGN +,1306.24,1306.24,,,0
CDM,27800001,375389 : GRAFT DURA W2XL2IN ULTRAPURE DURAGN + 5 PER PK,926.9,926.9,,,0
CDM,27800001,375390 : GRAFT DURA W3XL3IN ULT PURE CLLGN REGEN MTRX DURAGN +,2061.7,2061.7,,,0
CDM,27800001,375391 : VALVE VENT DRNGE SM INLINE PRGM MR COND CERTAS +,9229.44,9229.44,,,0
CDM,27800001,37741 : VALVE MI ANNULUS DIA23MM ID18.6MM ORFC AREA GEOMETRIC,12240.0,12240.0,,,0
CDM,27800001,37744 : VALVE MI ORFC 24.2MM TISS ANNULUS 29MM 85 DEG LEAFLET OPN,12240.0,12240.0,,,0
CDM,27800001,378550 : VALVE 42866 FP-STRATA 2 REGULAR,11495.4,11495.4,,,0
CDM,27800001,378721 : SHUNT CSF 4.5FR L87CM LP CATH T TB CONN FIX TAB,1955.59,1955.59,,,0
CDM,27800001,378770 : RESERVOIR EXT DRNGE SM 1.1ML 28MM BTM INLET CONV VENT CATH,954.86,954.86,,,0
CDM,27800001,378978 : CONNECTOR 45103 CSF-CATH STRAIGHT IMP,183.55,183.55,,,0
CDM,27800001,387876 : ROD SPNL 5.5X180MM POST STR TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,387934 : ROD SPNL 5.5X55MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,387935 : ROD SPNL POST 5.5X60MM CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,387936 : ROD SPNL POST 5.5X65MM CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,387937 : ROD SPNL 5.5X70MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,387939 : ROD SPNL 5.5X85MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,387940 : CREO MIS 5.5MM CURVED ROD TITANIUM ALLOY 90MM LENGTH,420.0,420.0,,,0
CDM,27800001,387941 : ROD SPNL 5.5X95MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,387944 : ROD SPNL 5.5X110MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,387948 : ROD SPNL 5.5X130MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,387950 : ROD SPNL 5.5X140MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,388050 : CAP SPNL THRD LOK QUARTEX,108.0,108.0,,,0
CDM,27800001,388250 : 4.0MM ROD STRAIGHT 500MM,480.0,480.0,,,0
CDM,27800001,388266 : 4.0MM CURVED ROD 60MM,240.0,240.0,,,0
CDM,27800001,388271 : 4.0MM CURVED ROD 85MM,240.0,240.0,,,0
CDM,27800001,388275 : 4.0MM CURVED ROD 105MM,240.0,240.0,,,0
CDM,27800001,388276 : 4.0MM CURVED ROD 110MM,240.0,240.0,,,0
CDM,27800001,388278 : 4.0MM CURVED ROD 120MM,240.0,240.0,,,0
CDM,27800001,388288 : QUARTEX LATERAL CONNECTOR LONG 4.0MM ROD,720.0,720.0,,,0
CDM,27800001,388289 : QUARTEX LATERAL CONNECTOR SHORT 4.0MM ROD,720.0,720.0,,,0
CDM,27800001,388293 : CONNECTOR ROD 3.5MM SHT LAT QUARTEX,720.0,720.0,,,0
CDM,27800001,388306 : CONNECTOR SPNL 3.5X27-33MM ROD TO ROD T QUARTEX,960.0,960.0,,,0
CDM,27800001,388307 : CONNECTOR SPNL 3.5X33-39MM ROD TO ROD T QUARTEX,960.0,960.0,,,0
CDM,27800001,388315 : QUARTEX 4.0MM ROD TO ROD T-CONNECTOR 39-45MM,960.0,960.0,,,0
CDM,27800001,390192 : 9.0MM TAP,477.6,477.6,,,0
CDM,27800001,390425 : DEVICE FILL DEL PREMIER PK AFFIRM,1135.2,1135.2,,,0
CDM,27800001,390426 : PREMIER AFFIRM CEM MIX 3CC SYRINGE,1992.0,1992.0,,,0
CDM,27800001,390449 : MIXER CEM W- 3CC SYR AFFIRM,216.0,216.0,,,0
CDM,27800001,392482 : VALVE AORT DIA21MM BOV PERICARD COCR ALLY WIREFORM POLY FAB,18720.0,18720.0,,,0
CDM,27800001,392483 : VALVE AORT DIA23MM BOV PERICARD COCR ALLY WIREFORM POLY FAB,18720.0,18720.0,,,0
CDM,27800001,392484 : VALVE AORT 25MM BOV PERICARD VFIT TECH HRT VLV REPL INSPIRIS,18720.0,18720.0,,,0
CDM,27800001,392485 : VALVE AORT 27MM BOV PERICARD COCR ALLY POLY STENTED,18720.0,18720.0,,,0
CDM,27800001,392486 : VALVE AORT 29MM BOV PERICARD VFIT TECH HRT VLV REPL INSPIRIS,18720.0,18720.0,,,0
CDM,27800001,392931 : ATTRAX SCAFFOLD BLOCKS LARGE,2880.0,2880.0,,,0
CDM,27800001,392932 : ATTRAX SCAFFOLD BLOCKS SMALL,1008.0,1008.0,,,0
CDM,27800001,392934 : ATTRAX SCAFFOLD MORSELS 20CC,6720.0,6720.0,,,0
CDM,27800001,392935 : ATTRAX SCAFFOLD MORSELS 30CC,9360.0,9360.0,,,0
CDM,27800001,392936 : ATTRAX SCAFFOLD STRIPS LARGE,13320.0,13320.0,,,0
CDM,27800001,392937 : ATTRAX SCAFFOLD STRIPS SMALL,6840.0,6840.0,,,0
CDM,27800001,393034 : COHERE XLW 10X22X55MM 10,13200.0,13200.0,,,0
CDM,27800001,393035 : COHERE XLW 10X22X55MM 15,13200.0,13200.0,,,0
CDM,27800001,393037 : COHERE XLW 10X22X60MM 15,13200.0,13200.0,,,0
CDM,27800001,393043 : COHERE XLW 12X22X55MM 15,13200.0,13200.0,,,0
CDM,27800001,393049 : COHERE XLW 8X22X50MM 15,13200.0,13200.0,,,0
CDM,27800001,394302 : MODULUS XLW 10X22X60MM 10,12000.0,12000.0,,,0
CDM,27800001,394303 : MODULUS XLW 10X22X60MM 15,12000.0,12000.0,,,0
CDM,27800001,394330 : MODULUS XLW 8X22X55MM 10,12000.0,12000.0,,,0
CDM,27800001,4.0MM CURVED ROD 110MM,240.0,240.0,,,0
CDM,27800001,4.0MM ROD STRAIGHT 40MM,240.0,240.0,,,0
CDM,27800001,4.0MM TO 5.5MM TAPERED ROD 350MM,720.0,720.0,,,0
CDM,27800001,4.75MM CURVED ROD COBALT CHROME 90MM LENGTH,360.0,360.0,,,0
CDM,27800001,4/5 FR PUSHER,159.5,159.5,,,0
CDM,27800001,404166 : RAIL FIX L495MM DIA5.5MM TI CONN CNTOUR FOR MESA SPNL 4D,3616.2,3616.2,,,0
CDM,27800001,404171 : MESA RAIL 4D DEFORMITY IMPLANTS TRANSITION 05.5X495 MM TI,3616.2,3616.2,,,0
CDM,27800001,404959 : GRAFT HUM TISS L200MM FBLR SHFT FRZN MATRIGRAFT,1711.78,1711.78,,,0
CDM,27800001,405593 : CAP ORTH 2.7MM LOK,345.6,345.6,,,0
CDM,27800001,406690 : ELECTRODE COAG L10MM INSULATOR DELRIN RND TIP W- STP ADAPTED,756.0,756.0,,,0
CDM,27800001,406956 : GRAFT EVAR L7CM DIA14.5MM INT IL EXCLUDER,7773.6,7773.6,,,0
CDM,27800001,406957 : EXCLUDER ILIAC BRANCH  HC 23X12X10 FA,27607.2,27607.2,,,0
CDM,27800001,407433 : GRAFT ENDOPROS STNT IL L100MM DIA23X14.5MM EXCLUDER CATH,27607.2,27607.2,,,0
CDM,27800001,407439 : COMPONENT EVAR INT IL L7CM DIA10MM EXCLUDER,7773.6,7773.6,,,0
CDM,27800001,407440 : COMPONENT EVAR INT IL L7CM DIA12MM EXCLUDER,7773.6,7773.6,,,0
CDM,27800001,407454 : SHELL ACET DIA56MM SZ F 4 H G7 OSSEOTI,3960.0,3960.0,,,0
CDM,27800001,407466 : STEM FEM 13X170MM CALCAR REV SS GENX VERSYS,7986.12,7986.12,,,0
CDM,27800001,407709 : CATHETER FEM INSRT 5FR L90CM J TIP BPLR PACE SWAN GANZ,344.22,344.22,,,0
CDM,27800001,407866 : VALVE AORT SZ 21 ORFC DIA19.4MM W- CNFRM-X SEW RNG DIA30MM,10080.0,10080.0,,,0
CDM,27800001,407867 : VALVE AORT H16.1MM OD23MM ID21.4MM FLARE DIA24.3MM SEW RNG,11088.0,11088.0,,,0
CDM,27800001,407870 : VALVE HEART ON-X MITRAL PROSTHETIC 25MM WITH STANDARD SEWING,10080.0,10080.0,,,0
CDM,27800001,407872 : VALVE HEART ON-X MITRAL PROSTHETIC 31-33MM WITH STANDARD SEW,10080.0,10080.0,,,0
CDM,27800001,407912 : CONNECTOR SPNL MED OPN LIGAPASS 2.0,2400.0,2400.0,,,0
CDM,27800001,407914 : FIBERLINK SUTURE TAPE 1.3MM,221.52,221.52,,,0
CDM,27800001,407915 : KIT INSRT PEEK FOR 2.4MM PUSHLOCK,572.52,572.52,,,0
CDM,27800001,407940 : BUSHING TIB POLY LFRIC INTFACE OSS,732.0,732.0,,,0
CDM,27800001,407941 : COMPONENT FEM KNEE YOKE REINF ORTH SALV SYS,2640.0,2640.0,,,0
CDM,27800001,407948 : WASHER ORTH ST FOR 3.5MM SCR EVOS SM PLATING SYS,85.3,85.3,,,0
CDM,27800001,408107 : ROD SPNL OCT 4X240MM STR QUARTEX,480.0,480.0,,,0
CDM,27800001,408136 : COIL EMB L51CM DIA14MM ADV COSMOS 18,4788.0,4788.0,,,0
CDM,27800001,408183 : COIL EMB PERIPH NEUROVASC COMPLX 10 SUP SFT 1.5MM X 2CM,4548.0,4548.0,,,0
CDM,27800001,408184 : COIL EMB PERIPH NEUROVASC COMPLX 10 SUP SFT 1.5MM X 3CM,4548.0,4548.0,,,0
CDM,27800001,408187 : COIL EMB PERIPH NEUROVASC COMPLX 10 SUP SFT 2MM X 3CM,4548.0,4548.0,,,0
CDM,27800001,408743 : MWCE-18-14-4-NESTER-010.018 ID PLATINUM MICRO NESTER COILS,267.58,267.58,,,0
CDM,27800001,408758 : MICROCOIL EMB ART VEN PERIPH L14CM DIA10MM 4.5 LOOP,267.58,267.58,,,0
CDM,27800001,408760 : COIL EMB 14MM X 14CM RECOMMENDED 0.035IN CATH END H NEST,307.7,307.7,,,0
CDM,27800001,408761 : MWCE-35-14-16-NESTER-010.035 ID PLATINUM NESTER COILS WITH,307.7,307.7,,,0
CDM,27800001,408762 : MWCE-35-14-18-NESTER-010.035 ID PLATINUM NESTER COILS WITH,307.7,307.7,,,0
CDM,27800001,408767 : MICROCOIL EMB 10MM X 20CM CATH ID0.035IN NUM OF LOOP 6.4,329.45,329.45,,,0
CDM,27800001,408768 : MWCE-35-20-12-NESTER-010.035 ID PLATINUM NESTER COILS WITH,329.45,329.45,,,0
CDM,27800001,408769 : MWCE-35-20-14-NESTER-010.035 ID PLATINUM NESTER COILS WITH,329.45,329.45,,,0
CDM,27800001,409326 : GRAFT EVAR THOR CNFRM 34-34MM X 10CM INTENDED AORT 27-32MM,46524.0,46524.0,,,0
CDM,27800001,409328 : TAG CONFORM THORACIC SG AC 34MMX34MMX20CM 22FR,46524.0,46524.0,,,0
CDM,27800001,409336 : TAG CONFORM THORACIC SG AC 37MMX37MMX10CM 22FR,46524.0,46524.0,,,0
CDM,27800001,409341 : TAG CONFORM THORACIC SG AC 40MMX40MMX20CM 22FR,46524.0,46524.0,,,0
CDM,27800001,409499 : GRAFT EVAR 10MM X 10CM CATH 8FR X 120CM GWIRE 0.035IN,8736.0,8736.0,,,0
CDM,27800001,409501 : VIABAHN SX ENDO HEPARIN 35 RO 11MMX5CM 10FR 120CM CATH,7708.8,7708.8,,,0
CDM,27800001,409503 : VIABAHN SX ENDO HEPARIN 35 RO 13MMX5CM 10FR 120CM CATH,7708.8,7708.8,,,0
CDM,27800001,409611 : WEB SINGLE LAYER 9MM X 5MM,35880.0,35880.0,,,0
CDM,27800001,409746 : CONNECTOR SPNL 5.5-6MM W12MM LAT DBL HD,2160.0,2160.0,,,0
CDM,27800001,40MM EXTENSION PIECE - GMRS,6283.2,6283.2,,,0
CDM,27800001,411968 : GII PLUS SIZE 2 QANCHOR ORTHOCORD CP-2 91CM,1641.6,1641.6,,,0
CDM,27800001,41235 : TUBE VENT ID1.14IN FLROPLAS BVL ARMSTR GRMMT,28.67,28.67,,,0
CDM,27800001,412531 : PLATE BNE TIB DST 4 H ST T PLT 72MM SS VA-LCP FOR 2.7MM SCR,2270.52,2270.52,,,0
CDM,27800001,413094 : PLATE BNE 14 H CRV 182MM RAD 108MM RECON SS LP PELV SYS,3670.2,3670.2,,,0
CDM,27800001,413626 : TUBE ORTH NS FOR T2 HUM NAIL SYS TEF,357.6,357.6,,,0
CDM,27800001,414011 : NANO SPACER TAS 12D STD 10MM,14400.0,14400.0,,,0
CDM,27800001,414050 : SPACER SPNL ALIF 32X14X21MM 20DEG HYPERLORDOTIC STD TI,14400.0,14400.0,,,0
CDM,27800001,414147 : SPACER SPNL 28X10MM TI NANOLOCK SURF TECH ADAPTIX,7800.0,7800.0,,,0
CDM,27800001,414148 : SPACER SPNL 28X11MM TI NANOLOCK SURF TECH ADAPTIX,7800.0,7800.0,,,0
CDM,27800001,414266 : SPACER SPNL ACIF SM 14X6X12MM 6DEG LORD TI NANOLOCK SURF,3760.8,3760.8,,,0
CDM,27800001,414372 : SPACER SPNL LLIF 18X7X45MM 10DEG LORD TI 3D PRNT HEDRON L,10080.0,10080.0,,,0
CDM,27800001,414377 : HEDRON L SPACER 18X50 7MM 10,10080.0,10080.0,,,0
CDM,27800001,414378 : SPACER SPNL LLIF 18X9X50MM 10DEG LORD TI 3D PRNT HEDRON L,10080.0,10080.0,,,0
CDM,27800001,414383 : HEDRON L SPACER 18X55 9MM 10,10080.0,10080.0,,,0
CDM,27800001,414384 : SPACER SPNL LLIF 18X11X55MM 10DEG LORD TI 3D PRNT HEDRON L,10080.0,10080.0,,,0
CDM,27800001,414388 : HEDRON L SPACER 18X60 9MM 10,10080.0,10080.0,,,0
CDM,27800001,414798 : KIT HRT PMP MICROAXIAL W- CATH AX INSRT KT PURGE CASS,105600.0,105600.0,,,0
CDM,27800001,414806 : AGENT SUBMUCOSAL LIFTING 5ML EVERLIFT,96.0,96.0,,,0
CDM,27800001,414807 : AGENT SUBMUCOSAL LIFTING 10ML MARGIN DELINEATION W- DARKER,189.6,189.6,,,0
CDM,27800001,414813 : COVER BUR H DIA24MM 6 H CMF BLU TI NONCOMPRESSION W-O TAB,278.21,278.21,,,0
CDM,27800001,414814 : COVER BUR H DIA24MM THK0.3MM TI ULT LP NONCOMPRESSION CNTOUR,300.67,300.67,,,0
CDM,27800001,415156 : PERFORM HUMERAL STEM SZ 2 PLUS LONG,7320.0,7320.0,,,0
CDM,27800001,415237 : ROD SPNL L70MM DIA3.5MM OCCIPITOCERVICAL UP THOR PRECUT,336.0,336.0,,,0
CDM,27800001,415497 : CONDUIT AORTIC VALVE 27MM,36000.0,36000.0,,,0
CDM,27800001,415498 : CONDUIT AORTIC VALVE 29MM,36000.0,36000.0,,,0
CDM,27800001,419012 : HEAD FEM DIA48MM 12-14 TAPR HIP COCR CEM PRESSFIT ENDOPROS,719.35,719.35,,,0
CDM,27800001,419752 : VALVE AORT DIA20MM RESILIA TISS TRANSCATHETER SYS SAPIEN 3,81600.0,81600.0,,,0
CDM,27800001,419753 : VALVE AORT DIA23MM RESILIA TISS TRANSCATHETER SYS SAPIEN 3,81600.0,81600.0,,,0
CDM,27800001,419754 : VALVE AORT DIA26MM RESILIA TISS TRANSCATHETER SYS SAPIEN 3,81600.0,81600.0,,,0
CDM,27800001,419755 : VALVE AORT DIA29MM RESILIA TISS TRANSCATHETER SYS SAPIEN 3,81600.0,81600.0,,,0
CDM,27800001,420125 : ROD SPNL OCCIPITOCERVICAL UP THOR 3.2X240MM STD INFIN,328.8,328.8,,,0
CDM,27800001,420245 : ROD SPNL 6MM 4+ LEV TI UNID EXP PT SPEC,3360.0,3360.0,,,0
CDM,27800001,420249 : ROD SPNL 6MM 4+ LEV COCR UNID EXP PT SPEC,3360.0,3360.0,,,0
CDM,27800001,420417 : SYSTEM PT SPEC UNID TECH,3360.0,3360.0,,,0
CDM,27800001,421048 : CATHETER VENT W- SMARTASSIST IMPELLA RP FLX,60000.0,60000.0,,,0
CDM,27800001,421960 : GRAFT EVAR AAA CVR AORT EXT 20MM X 4.5CM EXCLUDER,10826.4,10826.4,,,0
CDM,27800001,421962 : GRAFT EVAR AAA CVR AORT EXT 26MM X 4.5CM EXCLUDER,10826.4,10826.4,,,0
CDM,27800001,421963 : GRAFT EVAR AAA CVR AORT EXT 28.5MM X 4.5CM EXCLUDER,10826.4,10826.4,,,0
CDM,27800001,423757 : ADAPTER ROD 0-RUN-ON,1560.0,1560.0,,,0
CDM,27800001,423758 : CAP SPNL ROD RUN ON 0,120.0,120.0,,,0
CDM,27800001,44795 : VALVE AORT ORFC DIA19.6MM TISS ANNULUS DIA21MM 85DEG LEAFLET,12480.0,12480.0,,,0
CDM,27800001,45811 : RING ANNULPLSTY DIA28MM TRICSP VLV TI ALLY SIL RUB POLY 3D,3948.0,3948.0,,,0
CDM,27800001,45812 : RING ANNULPLSTY DIA30MM TRICSP VLV TI ALLY SIL RUB POLY 3D,3948.0,3948.0,,,0
CDM,27800001,45814 : RING ANNULPLSTY DIA34MM TRICSP PART RIG FOR 3D REMODELLING,3948.0,3948.0,,,0
CDM,27800001,480536 : VALVE AORTIC 23MM ANNULUS 17-18-20MM TAVR EVOLUT FX PLUS,72000.0,72000.0,,,0
CDM,27800001,480537 : VALVE AORTIC 26MM ANNULUS 22-23MM TAVR EVOLUT FX PLUS,72000.0,72000.0,,,0
CDM,27800001,480541 : VALVE MITRAL 27MM BOVINE PERICARDIUM LEAFLET COBALT CHROMIUM,18720.0,18720.0,,,0
CDM,27800001,480542 : VALVE MITRAL 29MM BOVINE PERICARDIUM LEAFLET COBALT CHROMIUM,18720.0,18720.0,,,0
CDM,27800001,480543 : VALVE MITRAL 31MM BOVINE PERICARDIUM LEAFLET COBALT CHROMIUM,18720.0,18720.0,,,0
CDM,27800001,480555 : RING ANNULOPLASTY DIA32MM SEMI RIGID WITH OPEN ANTERIOR SEGM,6240.0,6240.0,,,0
CDM,27800001,480556 : RING ANNULOPLASTY DIA34MM SEMI RIGID WITH OPEN ANTERIOR SEGM,6240.0,6240.0,,,0
CDM,27800001,480557 : RING ANNULOPLASTY DIA36MM SEMI RIGID WITH OPEN ANTERIOR SEGM,6240.0,6240.0,,,0
CDM,27800001,49498 : ROD RMR L950MM DIA2.5MM W- EXTN BALL TIP,374.37,374.37,,,0
CDM,27800001,49987 : BAND 638BL26 CG FUTURE 26MM,5760.0,5760.0,,,0
CDM,27800001,5 HOLE 1/3 TUBULAR LOCKING,537.17,537.17,,,0
CDM,27800001,5.5 CREO HEAD OFFSET CONNECTOR 15MM LONG,720.0,720.0,,,0
CDM,27800001,5.5 LOW PROFILE CROSS CONNECTOR 21.5-25MM LONG CREO,960.0,960.0,,,0
CDM,27800001,5.5MM PRE-CONTOURED ROD COCR 450MM,480.0,480.0,,,0
CDM,27800001,5.5MM STRAIGHT ROD 300MM,360.0,360.0,,,0
CDM,27800001,5.5MM STRAIGHT ROD HEX ENDED COCR 200MM,480.0,480.0,,,0
CDM,27800001,5.5MM STRAIGHT ROD TITANIUM ALLOY 100MM LENGTH,240.0,240.0,,,0
CDM,27800001,521544 : DBL LOADED KNEE FIBERTAK W- NEEDLES,1106.04,1106.04,,,0
CDM,27800001,522585 : KNOTLESS TENSIONABLE FIBERTAK BICEPS KIT,2574.0,2574.0,,,0
CDM,27800001,534544 : FLOSEAL W- RECOTHROM - 10ML,723.96,723.96,,,0
CDM,27800001,534569 : MODEL ANAT HALF 00006 LP SUPLMNT FOR PT SPEC IMPLANTS AND,2628.0,2628.0,,,0
CDM,27800001,534581 : IMPLANT OPHTH L100MM 4X125MM TYP 42 SIL BND SFT E FOR SCLE,48.0,48.0,,,0
CDM,27800001,540968 : TUBE FEED 18FR BLLN 7-10ML SIL TAPR DST TIP RADPQ STRP MIC,93.94,93.94,,,0
CDM,27800001,541650 : CLIP INT 2.8MM X 235CM FOR HEMSTAS DEFCT CLSR MANTIS 541650,1164.0,1164.0,,,0
CDM,27800001,6.0MM HEX-ENDED ROD TITANIUM ALLOY 600MM LENGTH,480.0,480.0,,,0
CDM,27800001,61743 : SET CBL SL SM DIA2MM VIT BEAD FOR RECON AND TRAUM SYS DALL-M,770.4,770.4,,,0
CDM,27800001,62255 : KIT BNE GRFT M 5.6CC W- SPNG INFUSE,15314.4,15314.4,,,0
CDM,27800001,63005 : KIT BNE GRFT LG 8CC 10ML ST H2O 12MG ST RHBMP-2 3X4IN CLLGN,15768.0,15768.0,,,0
CDM,27800001,66079 : SHEET SILICONE .080 6X8,465.6,465.6,,,0
CDM,27800001,662 : VALVE HEART MITRAL 27M-101,8404.8,8404.8,,,0
CDM,27800001,69092 : GRAFT HUM TISS L150MM FBLR SHFT FRZN MATRIGRAFT,1508.57,1508.57,,,0
CDM,27800001,6F DYNAMIC XT STEERABLE QUAD LARGE CURVE DIAGNOSTIC CATHETE,909.0,909.0,,,0
CDM,27800001,71202 : GRAFT AORT VLV ID24MM L10CM TISS ANNULUS 23MM SKRT DIA32MM,16680.0,16680.0,,,0
CDM,27800001,7FR PUSHER,281.78,281.78,,,0
CDM,27800001,81203 : CARBON CONNECTING ROD 3MMX60MM,196.8,196.8,,,0
CDM,27800001,81633 : HII MICRO ROD TO ROD CLAMP 33,1538.4,1538.4,,,0
CDM,27800001,88254 : RETRACTOR SURG 3S SHT MAL 3 FNGR ATTCH W- STABLESOFT,1194.98,1194.98,,,0
CDM,27800001,90 DEGREE ANGLED POST 11 MM DIAMETER  90 DEGREE ANGLED POST,168.1,168.1,,,0
CDM,27800001,ACL FIXATION BUTTON 17MM,146.88,146.88,,,0
CDM,27800001,ADAPTER FEM NK L-3MM TYP I TAPR ENDO II,239.78,239.78,,,0
CDM,27800001,ADAPTER ROD 0-RUN-ON,1560.0,1560.0,,,0
CDM,27800001,ADAPTER URET 14FR X 15CM FOR F CATH TO DRNGE BG ATTCH,63.92,63.92,,,0
CDM,27800001,AGENT SUBMUCOSAL LIFTING 10ML MARGIN DELINEATION W/ DARKER,189.6,189.6,,,0
CDM,27800001,AGENT SUBMUCOSAL LIFTING 5ML EVERLIFT,96.0,96.0,,,0
CDM,27800001,AMPLATZER AMULET 18MM WW,40800.0,40800.0,,,0
CDM,27800001,ANCHOR SUT 5.5MM PK PRELD W/ BLU ULTRATAPE AND NO2,788.4,788.4,,,0
CDM,27800001,ANCHOR SUT ORTHOCORD 4-0 DRLBT OD1.3MM NDL P-3 TAPERPOINT,1349.76,1349.76,,,0
CDM,27800001,AORTIC VALVED GRAFT WITH  GELWEAVE VALSALVA TECHNO,16680.0,16680.0,,,0
CDM,27800001,ATTRAX SCAFFOLD BLOCKS EXTRA LARGE,4560.0,4560.0,,,0
CDM,27800001,ATTRAX SCAFFOLD BLOCKS LARGE,2880.0,2880.0,,,0
CDM,27800001,ATTRAX SCAFFOLD BLOCKS SMALL,1008.0,1008.0,,,0
CDM,27800001,ATTRAX SCAFFOLD STRIPS LARGE,13320.0,13320.0,,,0
CDM,27800001,ATTRAX SCAFFOLD STRIPS SMALL,6840.0,6840.0,,,0
CDM,27800001,AWL SUR DIA3.8MM TAPR DISP FOR GEN H PREP,97.2,97.2,,,0
CDM,27800001,AZUR CX DETACHABLE 035 4MM X 7CM,2920.8,2920.8,,,0
CDM,27800001,AZUR CX DETACHABLE 035 6MM X 17CM,2920.8,2920.8,,,0
CDM,27800001,BALLOON ANGIOSCULPT 5 X 200 X 137,2460.0,2460.0,,,0
CDM,27800001,BAND 638BL26 CG FUTURE 26MM,5760.0,5760.0,,,0
CDM,27800001,BAND 7700FB26 SIMUPLUS FLX 26MM,5892.0,5892.0,,,0
CDM,27800001,BAND ANNULPLSTY 33MM X 35.8MM X 41.8MM X 33MM X 81MM CHORDAL,4320.0,4320.0,,,0
CDM,27800001,BAR EXT FIX L100MM DIA11MM FOR XTRAFIX SYS,356.4,356.4,,,0
CDM,27800001,BAR EXT FIX L150MM DIA11MM FOR XTRAFIX SYS,378.0,378.0,,,0
CDM,27800001,BAR EXT FIX L200MM DIA11MM FOR XTRAFIX SYS,399.6,399.6,,,0
CDM,27800001,BAR EXT FIX L250MM DIA11MM FOR XTRAFIX SYS,453.6,453.6,,,0
CDM,27800001,BAR EXT FIX L300MM DIA11MM FOR XTRAFIX SYS,464.4,464.4,,,0
CDM,27800001,BAR EXT FIX L350MM DIA11MM FBR GLS FOR XTRAFIX SYS,486.0,486.0,,,0
CDM,27800001,BAR EXT FIX L380MM CRV FOR FIX SYS XTRAFIX,1198.8,1198.8,,,0
CDM,27800001,BAR EXT FIX L400MM DIA11MM FOR XTRAFIX SYS,507.6,507.6,,,0
CDM,27800001,BAR EXT FIX L500MM DIA11MM FOR XTRAFIX SYS,540.0,540.0,,,0
CDM,27800001,BARRIER ORBITAL FLOOR IMPLANT - 38MM X 50MM X 1.0M,1790.28,1790.28,,,0
CDM,27800001,BENGAL IMPLANT LRG 13MM 7DEG,1920.0,1920.0,,,0
CDM,27800001,BIO-MOORE ENDO II HIP SYSTEM  ENDO II TAPER ADAPTER  TI-6AL-,239.78,239.78,,,0
CDM,27800001,BIT DRL L50MM DIA1.5MM STP L6MM 2 FLUT J LATCH CPL,387.6,387.6,,,0
CDM,27800001,BLOCKER SPNL FOR BTTRS THRD XIA 3 SYS,246.0,246.0,,,0
CDM,27800001,BURR HOLE COVERS ULTRA LOW PROFILE 12MM,300.67,300.67,,,0
CDM,27800001,BURR HOLE COVERS ULTRA LOW PROFILE 17MM,300.67,300.67,,,0
CDM,27800001,BUSHING TIB POLY LFRIC INTFACE OSS,732.0,732.0,,,0
CDM,27800001,BUTTON DOG BONE,911.04,911.04,,,0
CDM,27800001,CABLE CERCLAGE L750MM DIA1.7MM SS W/ CRMP,1737.0,1737.0,,,0
CDM,27800001,CABLE SUR 2MM VIT FOR DALL-M SYS,631.2,631.2,,,0
CDM,27800001,CAGE SPNL 16X14X5MM PEEK PURE TI ANAT CERV IF SYS,1824.0,1824.0,,,0
CDM,27800001,CAGE SPNL 33MM-53MM COR 12MM 0 DEG NO SPIK FORTIFY I,9600.0,9600.0,,,0
CDM,27800001,CAGE SPNL CERV 14MM X 11MM X 5MM PEEK CP TI ANAT PEEK PTC,1824.0,1824.0,,,0
CDM,27800001,CANCELLOUS (1-8 MM) 15 CC PRESERVON,472.58,472.58,,,0
CDM,27800001,CAP GUID SCR DISP FOR MICRODEEP ELECTRD IMPLANTATION,102.56,102.56,,,0
CDM,27800001,CAP LOK 3.5 THRD,432.0,432.0,,,0
CDM,27800001,CAP SPNL DIA4.75MM THRD LOK CREO,108.0,108.0,,,0
CDM,27800001,CATH 43418 CARDIAC CATH REDUCED TIP 58CM,541.9,541.9,,,0
CDM,27800001,CATHETER 50318 EVD ANTIBIOTIC PK 5 NCE,676.92,676.92,,,0
CDM,27800001,CATHETER DIAG 2.8X2.1FR L150CM BLLN L11MM DIA4MM TIP L5MM,3920.22,3920.22,,,0
CDM,27800001,CATHETER EP 6FR L110CM 10 PLAT ELECTRD SPC 2-5-2MM L 4.0 CRV,1230.0,1230.0,,,0
CDM,27800001,CATHETER EP L115CM OD5FR BPLR SEMI FLOATING ELECTRD PACE,338.26,338.26,,,0
CDM,27800001,CATHETER FEM INSRT 5FR L90CM J TIP BPLR PACE SWAN GANZ,374.68,374.68,,,0
CDM,27800001,CATHETER GUID 8X6.4FR L85CM ROT HEMSTAT VLV TUOHY BORST LUER,2797.2,2797.2,,,0
CDM,27800001,CATHETER ITH 86CM ASCENDA,2505.6,2505.6,,,0
CDM,27800001,CATHETER PTCA L137CM 0.014IN BLLN L200MM DIA6MM 12ATM PERIPH,2460.0,2460.0,,,0
CDM,27800001,CATHETER VENT W/ SMARTASSIST IMPELLA RP FLX,60000.0,60000.0,,,0
CDM,27800001,CENTRALIZER FEM STEM 11MM DST HIP CEM LD/FX VERSYS,119.9,119.9,,,0
CDM,27800001,CLAMP ABLAT JAW L64MM 30DEG UPWARD 30DEG DOWNWARD R CRV 2,7188.0,7188.0,,,0
CDM,27800001,CLAMP EXT FIX BAR TO BAR 3D XTRAFIX,1123.2,1123.2,,,0
CDM,27800001,CLAMP EXT FIX L 2D INDEPENDENT LOK,1198.8,1198.8,,,0
CDM,27800001,CLAMP PIN 2 BAR 75MM XTRAFIX EXT FIX SYS,2667.6,2667.6,,,0
CDM,27800001,CLAMP SPNL 5.5MM-6MM R IN LN EXTN FOR 5.5MM X 200MM ROD,8721.6,8721.6,,,0
CDM,27800001,CLIP ANEUR BLDE L5MM 4MM OPN 110GM MINI PERM PHYNOX YASRG,1056.89,1056.89,,,0
CDM,27800001,CLIP ANEUR BLDE L7MM 4.6MM OPN 70GM MINI PHYNOX YASRG,1056.89,1056.89,,,0
CDM,27800001,CLIP ANEUR BLDE L8.4MM 6.8MM OPN 70GM STD PHYNOX YASRG,1056.89,1056.89,,,0
CDM,27800001,COCR CEMENTED STEM 80MM,1922.4,1922.4,,,0
CDM,27800001,CODMAN CERTAS PLUS PROGRAMMABLE VALVE INLINE SMALL VALVE ONL,10671.12,10671.12,,,0
CDM,27800001,COHERE XL 10X18X45MM 10,12480.0,12480.0,,,0
CDM,27800001,COHERE XLW 10X22X45MM 15,13200.0,13200.0,,,0
CDM,27800001,COIL EMB 10 L10CM OD5MM ADV COMPLX STRTCH RESIST FNSH,4890.6,4890.6,,,0
CDM,27800001,COIL EMB 10 L2CM OD2MM ADV COMPLX STRTCH RESIST FNSH FRAMING,4890.6,4890.6,,,0
CDM,27800001,COIL EMB 10 L6CM OD4MM ADV COMPLX STRTCH RESIST FNSH FRAMING,2280.0,2280.0,,,0
CDM,27800001,COIL EMB 10 L8CM OD4MM ADV COMPLX STRTCH RESIST FNSH FRAMING,4890.6,4890.6,,,0
CDM,27800001,COIL EMB ART VEN PERIPH L15CM DIA20MM 2.4 LOOP DIA0.035IN,253.51,253.51,,,0
CDM,27800001,COIL EMB COMPLX ALL IN 1 STRTCH RESIST FOR FRAMING FILL FNSH,3534.0,3534.0,,,0
CDM,27800001,COIL EMB L13CM LOOP DIA4MM 0.015IN DETACH CRSS SECT OCCL 18,2040.0,2040.0,,,0
CDM,27800001,COIL EMB L14CM DIA8MM RECOMMENDED CATH ID0.018IN ART VEN,267.58,267.58,,,0
CDM,27800001,COIL EMB L14CM LOOP DIA8MM 0.035IN HYDRGEL PUSHABLE 35,1004.4,1004.4,,,0
CDM,27800001,COIL EMB L15CM DIA5MM 0.018IN STD PLAT 2D HELI STRTCH RESIST,739.2,739.2,,,0
CDM,27800001,COIL EMB L16CM LOOP DIA5MM 0.015IN DETACH CRSS SECT OCCL 18,2161.2,2161.2,,,0
CDM,27800001,COIL EMB L20CM LOOP DIA15MM 0.035IN HYDRGEL PUSHABLE 35,1004.4,1004.4,,,0
CDM,27800001,COIL EMB L20CM LOOP DIA6MM 0.015IN DETACH CRSS SECT OCCL 18,2158.8,2158.8,,,0
CDM,27800001,COIL EMB L24CM LOOP DIA13MM 0.029IN DETACH CRSS SECT OCCL 35,2920.8,2920.8,,,0
CDM,27800001,COIL EMB L2CM LOOP DIA2MM GWIRE 0.018IN HYDROCOIL DETACH SFT,2161.2,2161.2,,,0
CDM,27800001,COIL EMB L30CM DIA6-10MM ADV REVOLUTIONARY DSGN W/ COMPLX,4845.0,4845.0,,,0
CDM,27800001,COIL EMB L32CM LOOP DIA10MM 0.015IN DETACH CRSS SECT OCCL 18,2040.0,2040.0,,,0
CDM,27800001,COIL EMB L32CM LOOP DIA16MM 0.029IN DETACH CRSS SECT OCCL 35,2755.2,2755.2,,,0
CDM,27800001,COIL EMB L34CM LOOP DIA14MM 0.015IN DETACH CRSS SECT OCCL 18,2040.0,2040.0,,,0
CDM,27800001,COIL EMB L39CM LOOP DIA20MM 0.029IN DETACH CRSS SECT OCCL 35,2920.8,2920.8,,,0
CDM,27800001,COIL EMB L4CM LOOP DIA2MM GWIRE 0.018IN PERIPH DETACH AZUR,2161.2,2161.2,,,0
CDM,27800001,COIL EMB L51CM DIA14MM ADV COSMOS 18,4788.0,4788.0,,,0
CDM,27800001,COIL EMB L6CM DIA2MM 3D ADV HYPERSOFT,4890.6,4890.6,,,0
CDM,27800001,COIL EMB L8CM LOOP DIA3MM GWIRE 0.018IN PERIPH DETACH AZUR,2161.2,2161.2,,,0
CDM,27800001,COIL EMB PERIPH NEUROVASC COMPLX 10 SUP SFT 1.5MM X 2CM,4548.0,4548.0,,,0
CDM,27800001,COIL EMB PERIPH VASC 4.5 LOOP PRELD 10MMX14CM 0.018IN CATH,267.58,267.58,,,0
CDM,27800001,COIL EMB PERIPH VASC 4.8 LOOP PRELD 2MMX3CM 0.018IN CATH,253.51,253.51,,,0
CDM,27800001,COIL EMB SZ 10 L12CM LOOP DIA4MM ADV STRTCH RESIST,4537.2,4537.2,,,0
CDM,27800001,COIL EMB SZ 10 L15CM DIA5MM STRTCH RESIST FOR FRAMING FILL,4890.6,4890.6,,,0
CDM,27800001,COIL EMB SZ 10 L15CM LOOP DIA5MM ADV STRTCH RESIST,4537.2,4537.2,,,0
CDM,27800001,COIL EMB SZ 10 L18CM LOOP DIA6MM ADV STRTCH RESIST,4537.2,4537.2,,,0
CDM,27800001,COIL EMB SZ 10 L1CM LOOP DIA1.5MM ADV STRTCH RESIST SOFTER,3534.0,3534.0,,,0
CDM,27800001,COIL EMB SZ 10 L22CM L LOOP DIA5MM STRTCH RESIST COMPLX,4537.2,4537.2,,,0
CDM,27800001,COIL EMB SZ 10 L22CM LOOP DIA7MM ADV STRTCH RESIST,4537.2,4537.2,,,0
CDM,27800001,COIL EMB SZ 10 L2CM DIA1.5MM STRTCH RESIST FOR FRAMING FILL,4890.6,4890.6,,,0
CDM,27800001,COIL EMB SZ 10 L2CM LOOP DIA1.5MM ADV STRTCH RESIST SOFTER,3534.0,3534.0,,,0
CDM,27800001,COIL EMB SZ 10 L2CM LOOP DIA2MM ADV STRTCH RESIST SOFTER,3534.0,3534.0,,,0
CDM,27800001,COIL EMB SZ 10 L31CM L LOOP DIA7MM STRTCH RESIST COMPLX,4537.2,4537.2,,,0
CDM,27800001,COIL EMB SZ 10 L37CM LOOP DIA8MM ADV STRTCH RESIST,4537.2,4537.2,,,0
CDM,27800001,COIL EMB SZ 10 L3CM DIA2MM V-TRAK ADV COMPLX DEL SYS,4890.6,4890.6,,,0
CDM,27800001,COIL EMB SZ 10 L3CM LOOP DIA2MM ADV STRTCH RESIST SOFTER,3534.0,3534.0,,,0
CDM,27800001,COIL EMB SZ 10 L4CM DIA2MM STRTCH RESIST FOR FRAMING FILL,4890.6,4890.6,,,0
CDM,27800001,COIL EMB SZ 10 L6CM DIA3MM STRTCH RESIST FOR FRAMING FILL,4890.6,4890.6,,,0
CDM,27800001,COIL EMB SZ 10 L6CM LOOP DIA3MM ADV STRTCH RESIST,4537.2,4537.2,,,0
CDM,27800001,COIL EMB SZ 10 L8CM L LOOP DIA4MM STRTCH RESIST COMPLX,2400.0,2400.0,,,0
CDM,27800001,COIL EMB SZ 10 L8CM LOOP DIA3MM ADV STRTCH RESIST SOFTER,3534.0,3534.0,,,0
CDM,27800001,COIL EMB SZ 18 L23CM L LOOP DIA7MM STRTCH RESIST COMPLX,4788.0,4788.0,,,0
CDM,27800001,COIL PERIPH VASC EMB DETACH 0.035IN SYS 8MM X 24CM AZUR CX,2920.8,2920.8,,,0
CDM,27800001,COIL VASC 3MMX4CM HYPERSOFT ADV,3534.0,3534.0,,,0
CDM,27800001,COIL VASC 3MMX6CM HYPERSOFT ADV,3534.0,3534.0,,,0
CDM,27800001,COLONIAL ACDF SPACER BODY X-LARGE LORDOTIC 5MM,1440.0,1440.0,,,0
CDM,27800001,COMPLEX 10 SUPERSOFT 2.5MM X 3CM,4548.0,4548.0,,,0
CDM,27800001,COMPONENT FEM KNEE YOKE REINF ORTH SALV SYS,2640.0,2640.0,,,0
CDM,27800001,COMPONENT PAT DIA35MM THK9MM STD CEM PERSONA,660.0,660.0,,,0
CDM,27800001,CONDUIT AORTIC VALVE 23MM,36000.0,36000.0,,,0
CDM,27800001,CONFORMER OPHTH L24XW21MM THK5.3MM M CLR BILAT NVENT ST,146.06,146.06,,,0
CDM,27800001,CONFORMER OPHTH MD W21XL24MM BILAT CLR VENT ACRYL CUP,171.0,171.0,,,0
CDM,27800001,CONNECTOR 45103 CSF-CATH STRAIGHT IMP,183.55,183.55,,,0
CDM,27800001,CONNECTOR 45105 CSF-CATH 3-WAY IMP,579.02,579.02,,,0
CDM,27800001,CONNECTOR GX0617049 TL 5/6-5/6 DOM TI S,3360.0,3360.0,,,0
CDM,27800001,CONNECTOR GX0617052 55/60 SL-TL DOM TI S,4560.0,4560.0,,,0
CDM,27800001,CONNECTOR NRV L10MM DIA2MM 100 MIC MINIMALLY PROC PORCINE,2522.4,2522.4,,,0
CDM,27800001,CONNECTOR ROD 3.5MM LAT QUARTEX,720.0,720.0,,,0
CDM,27800001,CONNECTOR SPNL 3.5-3.5MM OFFSET OCCIPITOCERVICAL UP THOR,720.0,720.0,,,0
CDM,27800001,CONNECTOR SPNL 3.5X27-33MM ROD TO ROD T QUARTEX,960.0,960.0,,,0
CDM,27800001,CONNECTOR SPNL 5.5MM X 38-50MM THORLUM LNG CRSS CREO,960.0,960.0,,,0
CDM,27800001,CONNECTOR SPNL L15MM THORLUM THRD HD OFFSET CREO,720.0,720.0,,,0
CDM,27800001,CONNECTOR SPNL L24.5-31MM DIA5.5MM LNG CRSS THORLUM LP CREO,960.0,960.0,,,0
CDM,27800001,CONNECTOR SPNL L38-47MM TI TRNSVRS SNAP ON FOR 5.5/6MM ROD,2220.0,2220.0,,,0
CDM,27800001,CONNECTOR SPNL L42.5-67MM DIA5.5MM LNG CRSS THORLUM LP CREO,960.0,960.0,,,0
CDM,27800001,CONNECTOR SPNL MED OPN LIGAPASS 2.0,2400.0,2400.0,,,0
CDM,27800001,CONNECTOR SPNL ROD DIA3.5-4 TO 3.5-4MM SHT NS OCT PARA SYM,1292.76,1292.76,,,0
CDM,27800001,CONNECTOR SPNL ROD DIA3.5MM SHT NS OCT LAT OFFSET SYM,1118.4,1118.4,,,0
CDM,27800001,CONNECTOR SPNL TI 2 CLS END TO END FOR DIA5.5X5.5MM ROD,1860.0,1860.0,,,0
CDM,27800001,CONNECTOR SPNL W5/6XH6XL70MM LAT TOP CDH SOLERA,900.0,900.0,,,0
CDM,27800001,CONTROLLER DETACH FOR DETACH PERIPH HYDROCOIL EMB SYS AZUP,454.8,454.8,,,0
CDM,27800001,CONTROLRESERVOIR SET WDISTAL CATHETER,1213.34,1213.34,,,0
CDM,27800001,CORNEA - DSAEK,10320.0,10320.0,,,0
CDM,27800001,COSEAL SURGICAL SEALANT 4ML,1440.17,1440.17,,,0
CDM,27800001,COTTON WEDGE 10MM,2576.64,2576.64,,,0
CDM,27800001,COTTON WEDGE 6MM,2128.92,2128.92,,,0
CDM,27800001,COVER BUR H 10MM LP W/ TAB FOR UNIV NEURO III CRAN FIX SYS,525.41,525.41,,,0
CDM,27800001,COVER BUR H 14MM LP W/ TAB FOR UNIV NEURO III CRAN FIX SYS,532.9,532.9,,,0
CDM,27800001,COVER BUR H 20MM LP W/ TAB FOR UNIV NEURO III CRAN FIX SYS,575.33,575.33,,,0
CDM,27800001,COVER BUR H DIA15MM THK0.3MM TI ULT LP NONCOMPRESSION CNTOUR,300.67,300.67,,,0
CDM,27800001,COVER BUR H DIA24MM 6 H CMF BLU TI NONCOMPRESSION W/O TAB,278.21,278.21,,,0
CDM,27800001,COVER BUR H DIA24MM THK0.3MM TI ULT LP NONCOMPRESSION CNTOUR,300.67,300.67,,,0
CDM,27800001,CREO 6.0 CROSS CONNECTOR 68-80MM LONG,960.0,960.0,,,0
CDM,27800001,CREO MIS 5.5MM CURVED ROD TITANIUM ALLOY 45MM LENGTH,420.0,420.0,,,0
CDM,27800001,CREO MIS 5.5MM STRAIGHT ROD TITANIUM ALLOY 210MM LENGTH,480.0,480.0,,,0
CDM,27800001,CREO MIS 5.5MM STRAIGHT ROD TITANIUM ALLOY 70MM LENGTH,420.0,420.0,,,0
CDM,27800001,CREO THREADED HEAD OFFSET CONNECTOR 20MM LONG,720.0,720.0,,,0
CDM,27800001,CROSS CONN SPNL 5.5X29-33MM CREO,960.0,960.0,,,0
CDM,27800001,CROSS CONNECTOR 32MM,2066.4,2066.4,,,0
CDM,27800001,CROSSLINK SPNL L43MM MAC XIA 3,2066.4,2066.4,,,0
CDM,27800001,CROSSLINK SPNL MD 30-40MM OCCIPITOCERVICAL UP THOR ROD,1056.0,1056.0,,,0
CDM,27800001,CRYOPRESERVED SKIN MESHED 1.5:1 CRYO,1929.6,1929.6,,,0
CDM,27800001,DBL LOADED KNEE FIBERTAK W/ NEEDLES,1106.04,1106.04,,,0
CDM,27800001,DBM 7509014 MAGNIFUSE 14 X 25MM,2572.8,2572.8,,,0
CDM,27800001,DEFLECTOR VENT CATH L DIA16MM TI ADJ RADPQ W/ SUT FIX H,229.68,229.68,,,0
CDM,27800001,DENALI SINGLE USE QUICK START TAP 05.5 MM,258.31,258.31,,,0
CDM,27800001,DEVICE FILL DEL PREMIER PK AFFIRM,1135.2,1135.2,,,0
CDM,27800001,DEVICE PIPELINE FLEX EMBOLIZATION 3.25MM X 10MM,25500.0,25500.0,,,0
CDM,27800001,DFS ADULT RAIL  ADULT RAIL TITANIUM CD  10  CM  COMPRESSION,2224.8,2224.8,,,0
CDM,27800001,DISTRACTION INTERNAL STERILEEXTENSION CARDANIC FOR ACT ARM16,2901.6,2901.6,,,0
CDM,27800001,DISTRACTION INTERNALEXTENSION CARDANIC FOR ACT ARM16 MMTI-6A,2640.0,2640.0,,,0
CDM,27800001,DISTRACTION INTERNALEXTENSION RIGID FOR ACT ARM TROCAR TIP21,1581.6,1581.6,,,0
CDM,27800001,DURAFLOW 2 15.5FR X 40CM,722.4,722.4,,,0
CDM,27800001,DURAGEN PLUS DURAL REGENERATION MATRIX 1X1,454.22,454.22,,,0
CDM,27800001,DURAGEN PLUS DURAL REGENERATION MATRIX 1X3,752.59,752.59,,,0
CDM,27800001,DURAGEN PLUS DURAL REGENERATION MATRIX 2X2,778.37,778.37,,,0
CDM,27800001,DURAGEN PLUS DURAL REGENERATION MATRIX 3X3,1491.29,1491.29,,,0
CDM,27800001,DVR ANATOMIC EXTRA EXTENDED RIGHT,2385.6,2385.6,,,0
CDM,27800001,DVR ANATOMIC SHORT LEFT,1234.8,1234.8,,,0
CDM,27800001,ELECTRODE COAG L10MM INSULATOR DELRIN RND TIP W/ STP ADAPTED,749.14,749.14,,,0
CDM,27800001,ELECTRODE COAG L30MM INSULATOR DELRIN SHRP TIP W/ STP,781.33,781.33,,,0
CDM,27800001,ELECTRODE DEPTH L33.5MM DIA0.8MM 10 CNTCT INT CEREB PLAT,1896.0,1896.0,,,0
CDM,27800001,ELECTRODE DEPTH L40.5MM DIA0.8MM 12 CNTCT INT CEREB PLAT,2028.0,2028.0,,,0
CDM,27800001,ELECTRODE DEPTH L51MM DIA0.8MM 15 CNTCT INT CEREB PLAT,2124.0,2124.0,,,0
CDM,27800001,ELECTRODE DEPTH L62MM DIA0.8MM 15(3X5) CNTCT INT CEREB PLAT,2160.0,2160.0,,,0
CDM,27800001,ELECTRODE DEPTH L70MM DIA0.8MM 15(3X5) CNTCT INT CEREB PLAT,2232.0,2232.0,,,0
CDM,27800001,ELLIPSE OCCIPITAL JOINTED ROD LEFT,600.0,600.0,,,0
CDM,27800001,ELSA SPACER 20 X 55MM 11-20MM 15-30,20160.0,20160.0,,,0
CDM,27800001,ENDCAP SPNL DIA5.5MM LOK CREO,108.0,108.0,,,0
CDM,27800001,ENDO GRAFT LIMB 23MM X 14CM,10826.4,10826.4,,,0
CDM,27800001,ENDOPROSTHESIS VASC 10MMX5CM VIABAHN HEP BIOACTIVE SURF CATH,7903.2,7903.2,,,0
CDM,27800001,ENDPLATE SPNL  14MM X 16MM X 12MM 0 DEG LO NO SPIK FORTIFY I,1560.0,1560.0,,,0
CDM,27800001,ENDPLATE SPNL DISK H6MM 14X16MM  6DEG COCR MOLYBDENUM CERV,10800.0,10800.0,,,0
CDM,27800001,EVANS WEDGE 14MM,3250.32,3250.32,,,0
CDM,27800001,EVOS 2.4MM FLEX PLATE 6 HOLE,1638.0,1638.0,,,0
CDM,27800001,EVOS 2.5MM PROVISIONAL FIXATION PIN - 14MM,360.0,360.0,,,0
CDM,27800001,EXCLUDER C3 23 X 12 X 12,26203.2,26203.2,,,0
CDM,27800001,EXCLUDER C3 26MMX14.5MMX12CM,25944.0,25944.0,,,0
CDM,27800001,EXP TI END TO END CON 5.5X5.5,1860.0,1860.0,,,0
CDM,27800001,FEMUR SHAFT FRESH FROZEN BISSECTED,1548.1,1548.1,,,0
CDM,27800001,FLOSEAL W/ RECOTHROM - 10ML,481.25,481.25,,,0
CDM,27800001,FORTIFY 12MM LOWER ENDPLATE 15X18MM FOOTPRINT 0,840.0,840.0,,,0
CDM,27800001,FORTIFY 16MM CORE HEIGHT 28-41MM,9600.0,9600.0,,,0
CDM,27800001,FORTIFY 16MM LOWER ENDPLATE 16X30MM FOOTPRINT 0,840.0,840.0,,,0
CDM,27800001,FORTIFY 20MM CORE HEIGHT 23-28MM,9600.0,9600.0,,,0
CDM,27800001,FORTIFY 20MM LOWER ENDPLATE - 22X40MM 0,840.0,840.0,,,0
CDM,27800001,FORTIFY I -R 12X14MM STATIC FOOTPRINT 19MM 3.5-3.5,9600.0,9600.0,,,0
CDM,27800001,FORTIFY I -R 14MM LOWER ENDPLATE 14X16MM FOOTPRINT 7 NO SPI,1920.0,1920.0,,,0
CDM,27800001,FORTIFY I 12MM LOWER ENDPLATE 12X14MM FOOTPRINT 0 NO SPIKES,1560.0,1560.0,,,0
CDM,27800001,FORTIFY-R 14MM CORE HEIGHT 17-20MM 14MM FOOTPRINT 3.5 NO SP,11400.0,11400.0,,,0
CDM,27800001,FRESH FROZEN FEMORAL STRUTS,739.46,739.46,,,0
CDM,27800001,GII PLUS SIZE 2 QANCHOR ORTHOCORD CP-2 91CM,1641.6,1641.6,,,0
CDM,27800001,GORE SMOOTHER 7.9,702.0,702.0,,,0
CDM,27800001,GRAFT AORT VLV ID24MM L10CM TISS ANNULUS 23MM SKRT DIA32MM,16680.0,16680.0,,,0
CDM,27800001,GRAFT BIO TISS M CNTOUR ARTIA,8992.8,8992.8,,,0
CDM,27800001,GRAFT BNE 4-10MM 15ML CANC FRZN,720.0,720.0,,,0
CDM,27800001,GRAFT BNE SUB 1X5CM ALLGRFT DBM FD MAGNIFUSE OSTEOTECH,2532.0,2532.0,,,0
CDM,27800001,GRAFT BNE SUB CHIP 15CC 1-10MM CANC FD CTS,484.8,484.8,,,0
CDM,27800001,GRAFT BNE SUB CHIP 15CC 4-10MM CORT CANC FD CTS,441.6,441.6,,,0
CDM,27800001,GRAFT BNE SUB CHIP 30CC 1-10MM CANC FD CTS,794.4,794.4,,,0
CDM,27800001,GRAFT BNE SUB CHIP 30CC 4-10MM CORT CANC FD CTS,751.2,751.2,,,0
CDM,27800001,GRAFT BNE SUB DBM 2.5MM X 10CM ALLGRFT GRFT,4308.0,4308.0,,,0
CDM,27800001,GRAFT BNE SUB W1.75XL10CM POSTEROLATERAL MAGNIFUSE,6429.6,6429.6,,,0
CDM,27800001,GRAFT BNE SUB W1.75XL5CM POSTEROLATERAL MAGNIFUSE,4420.8,4420.8,,,0
CDM,27800001,GRAFT BNE SUB W12XH6XL14MM CANC CORT ANT CERV IF SPCR LORD,1620.0,1620.0,,,0
CDM,27800001,GRAFT BNE SUB W16XH8XL22MM COT WDG PRESHAPED FD FOR FLATFOOT,2128.92,2128.92,,,0
CDM,27800001,GRAFT BNE SUB W1XL10CM SPNL DEFORMITY MAGNIFUSE SC,3612.0,3612.0,,,0
CDM,27800001,GRAFT BNE SUB W1XL20CM SPNL DEFORMITY MAGNIFUSE,6189.6,6189.6,,,0
CDM,27800001,GRAFT BNE W22XH10XL22MM WDG PRESHAPED FD FOR FLATFOOT,2576.64,2576.64,,,0
CDM,27800001,GRAFT BNE W22XH16XL22MM WDG PRESHAPED FD FOR FLATFOOT,3698.16,3698.16,,,0
CDM,27800001,GRAFT DERM MTRX HUM TISS THCK ACELLULR DERM IMPL L20XW8CM,1620.0,1620.0,,,0
CDM,27800001,GRAFT DURA W1XL1IN ULT PURE CLLGN REGEN MTRX DURAGN +,799.7,799.7,,,0
CDM,27800001,GRAFT DURA W2XL2IN ULTRAPURE DURAGN + 5 PER PK,926.9,926.9,,,0
CDM,27800001,GRAFT DURA W3XL3IN ULT PURE CLLGN REGEN MTRX DURAGN +,2061.7,2061.7,,,0
CDM,27800001,GRAFT ENDOPROS L12CM DST DIA14.5MM CONTRALATERAL LEG W/ C3,10826.4,10826.4,,,0
CDM,27800001,GRAFT ENDOPROS L7CM DST DIA12MM IL EXT W/ C3 DEL SYS FOR AAA,7502.4,7502.4,,,0
CDM,27800001,GRAFT ENDOPROS L9.5CM DST DIA16MM CONTRALATERAL LEG IL,10826.4,10826.4,,,0
CDM,27800001,GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG IL EXT L10CM,10492.8,10492.8,,,0
CDM,27800001,GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG IL EXT L11.5CM,10826.4,10826.4,,,0
CDM,27800001,GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG IL EXT L12CM,10826.4,10826.4,,,0
CDM,27800001,GRAFT ENDOPROS STNT AAA CONTRALATERAL LEG IL EXT L13.5CM,10492.8,10492.8,,,0
CDM,27800001,GRAFT ENDOPROS STNT AAA IPSILATERAL LEG L12CM AORT DIA28.5MM,26203.2,26203.2,,,0
CDM,27800001,GRAFT ENDOPROS STNT IL L100MM DIA23X14.5MM EXCLUDER CATH,27067.2,27067.2,,,0
CDM,27800001,GRAFT EVAR 10MM X 10CM CATH 8FR X 120CM GWIRE 0.035IN,8736.0,8736.0,,,0
CDM,27800001,GRAFT EVAR AAA CVR AORT EXT 20MM X 4.5CM EXCLUDER,10826.4,10826.4,,,0
CDM,27800001,GRAFT EVAR AAA CVR AORT EXT 23MM X 4.5CM EXCLUDER,10492.8,10492.8,,,0
CDM,27800001,GRAFT EVAR AAA CVR AORT EXT 26MM X 4.5CM EXCLUDER,10826.4,10826.4,,,0
CDM,27800001,GRAFT EVAR AAA EXT 10MM X 7CM INTENDED IL 8-9MM RECOMMENDED,7502.4,7502.4,,,0
CDM,27800001,GRAFT EVAR L100MM DIA14X12MM OTR PROF 13FR PTFE PEG FEP NIT,11133.6,11133.6,,,0
CDM,27800001,GRAFT EVAR L10CM DST DIA23MM FEP NIT CONTRALATERAL LEG IL,10826.4,10826.4,,,0
CDM,27800001,GRAFT EVAR L10CM DST DIA27MM FEP NIT CONTRALATERAL LEG IL,10492.8,10492.8,,,0
CDM,27800001,GRAFT EVAR L11.5CM DIA18MM CONTRALATERAL LEG FOR AAA,10826.4,10826.4,,,0
CDM,27800001,GRAFT EVAR L11.5CM DIA20MM CONTRALATERAL LEG FOR AAA,10826.4,10826.4,,,0
CDM,27800001,GRAFT EVAR L15CM DIA34X34MM INTENDED AORT DIA27-32MM,46524.0,46524.0,,,0
CDM,27800001,GRAFT EVAR L7CM DIA14.5MM INT IL EXCLUDER,7622.4,7622.4,,,0
CDM,27800001,GRAFT EVAR L9.5CM DIA18MM CONTRALATERAL LEG FOR AAA EXCLUDER,10826.4,10826.4,,,0
CDM,27800001,GRAFT EVAR L9.5CM DIA20MM CONTRALATERAL LEG FOR AAA EXCLUDER,10826.4,10826.4,,,0
CDM,27800001,GRAFT EVAR STNT L80MM DIA26MM DEL CATH 15X13FR IL ABD AORT,28029.6,28029.6,,,0
CDM,27800001,GRAFT HUM TISS 220-300MM SEMITENDINOSUS TEND FRZN,3960.0,3960.0,,,0
CDM,27800001,GRAFT HUM TISS 500SQ CM CRYOSKIN MESH BIO BARR READIGRAFT,4017.6,4017.6,,,0
CDM,27800001,GRAFT HUM TISS ACELLULR DERM MTRX 40MM X 70MM THCK 3MM,8520.0,8520.0,,,0
CDM,27800001,GRAFT HUM TISS L100MM FEM SHFT FRZN MATRIGRAFT,1167.07,1167.07,,,0
CDM,27800001,GRAFT HUM TISS L150MM FBLR SHFT FRZN MATRIGRAFT,1508.57,1508.57,,,0
CDM,27800001,GRAFT HUM TISS L200MM FBLR SHFT FRZN MATRIGRAFT,1711.78,1711.78,,,0
CDM,27800001,GRAFT HUM TISS L220-300MM DIA4.5-7.5MM SEMITENDINOSUS TEND,3960.0,3960.0,,,0
CDM,27800001,GRAFT HUM TISS MED L FRZN ALLGRFT MENIS W/ HEMI PLATEAU HUM,12350.11,12350.11,,,0
CDM,27800001,GRAFT HUM TISS W12XH7XL14MM SPCR CANC CORT ANT CERV LORD IF,1620.0,1620.0,,,0
CDM,27800001,GRAFT STENT AFX2 BIFURCATED 28X90,31197.6,31197.6,,,0
CDM,27800001,GRAFT STENT ILIAC LIMB 14X14X120MM OVATION IX,11133.6,11133.6,,,0
CDM,27800001,GRAFT VASC L15CM DIA6MM BOV CAR CLLGN FIBROUS MTRX FOR ART,4509.6,4509.6,,,0
CDM,27800001,GRAFT VASC L15CM DIA8MM BOV CAR CLLGN FIBROUS MTRX FOR ART,7893.6,7893.6,,,0
CDM,27800001,GRAFT VASC L45CM DIA5MM BOV CAR CLLGN FIBROUS MTRX FOR ART,9525.6,9525.6,,,0
CDM,27800001,HALF PIN 4 MM DIAMETER  100 MM LENGTH 20 MM THREAD LENGTH  H,172.99,172.99,,,0
CDM,27800001,HEAD FEM DIA48MM 12/14 TAPR HIP COCR CEM PRESSFIT ENDOPROS,719.35,719.35,,,0
CDM,27800001,HEART VALVE SUPRA ANNULAR AORTIC 27MM,8880.0,8880.0,,,0
CDM,27800001,HEDRON L SPACER 18X40 11MM 10,10080.0,10080.0,,,0
CDM,27800001,HERO GRAFT 1003,1344.0,1344.0,,,0
CDM,27800001,HOFFMANN3 CONNECTING ROD DIA 11X350MM,612.0,612.0,,,0
CDM,27800001,HYBRID FIBERTAK WITH NEEDLES KNEE,1365.0,1365.0,,,0
CDM,27800001,HYPERSOFT 10 D4MM L6CM,3534.0,3534.0,,,0
CDM,27800001,HYPERSOFT 3D 10 D1MM L2CM,4890.6,4890.6,,,0
CDM,27800001,IBAL TKABEARING IMPPSSZ 810MM,1637.4,1637.4,,,0
CDM,27800001,IMPLANT CRAN PEEK 00022 IPS,19296.0,19296.0,,,0
CDM,27800001,IMPLANT G6626746 NP LORDO 6MMX17MMX14MM,3480.0,3480.0,,,0
CDM,27800001,IMPLANT OPHTH DIA16MM ORBIT EYE SPHR POLYETH BIOCOMPATIBLE,1493.35,1493.35,,,0
CDM,27800001,IMPLANT OPHTH L100MM 4X125MM TYP 42 SIL BND SFT E FOR SCLE,48.0,48.0,,,0
CDM,27800001,IMPLANT SYSTEM MENISCAL ROOT REPAIR,2588.04,2588.04,,,0
CDM,27800001,IMPLANT VBR 18-23MM 12MM COR FORTIFY,9600.0,9600.0,,,0
CDM,27800001,IMPLANT VBR 24-32X14MM COR FORTIFY-R,10320.0,10320.0,,,0
CDM,27800001,INACTIVE USE 117946 NOSTRIL RETAINER SIZE #3 19 X 25 X 9,304.63,304.63,,,0
CDM,27800001,INACTIVE USE PS# 21945 5.5MM CURVED ROD TITANIUM ALLOY 100MM,240.0,240.0,,,0
CDM,27800001,INACTIVE USE PS#144201 -  SYSTEM NEUROSTIM,192.0,192.0,,,0
CDM,27800001,INACTIVE USE PS#387745 -  ROD SPNL 5.5X100MM STR TI ALLY CRE,240.0,240.0,,,0
CDM,27800001,INDEPENDENCE MIS SPACER  24 X 30MM 15 13MM,8400.0,8400.0,,,0
CDM,27800001,INK MICROPIGMENTATION SANDSTONE 1 FOR PERMARK ULTRAESSENCE,76.8,76.8,,,0
CDM,27800001,INSERT  STD HUM 36MM,2400.0,2400.0,,,0
CDM,27800001,INSERT FEM 0MM STD NK LEN COCR TYP 1 TAPR FOR ECHO HIP SYS,239.78,239.78,,,0
CDM,27800001,IPSIMPLANT CRANIAL 00017PEEKQTY:001 EA,14256.0,14256.0,,,0
CDM,27800001,IPSIMPLANT CRANIAL ONLAY 00035PEEKQTY:001 EA,22896.0,22896.0,,,0
CDM,27800001,IPSIMPLANT ORBITAL 00031PEEKQTY:001 EA,12096.0,12096.0,,,0
CDM,27800001,K WIRE 3X285MM COCR WCH FOR T2 SUPRAPATELLAR SYS,493.34,493.34,,,0
CDM,27800001,KIT ANCHR N300 LD,300.0,300.0,,,0
CDM,27800001,KIT BNE GRFT 2XS 0.7CC 1.05MG RHBMP-2 FD W/ ABSRB CLLGN SPNG,2616.0,2616.0,,,0
CDM,27800001,KIT BNE GRFT 50X25.4MM 1.4ML XSM IMPACT CLLGN SPNG,5630.4,5630.4,,,0
CDM,27800001,KIT BNE GRFT LG 8CC 10ML ST H2O 12MG ST RHBMP-2 3X4IN CLLGN,15768.0,15768.0,,,0
CDM,27800001,KIT BNE GRFT SM 5.6CC W/ SPNG INFUSE,15314.4,15314.4,,,0
CDM,27800001,KIT HEMSTAT AGNT FLOSEAL MTRX 5ML BOV DERIVD GEL RECOMB HUM,395.71,395.71,,,0
CDM,27800001,KIT HRT PMP MICROAXIAL W/ CATH AX INSRT KT PURGE CASS,99428.57,99428.57,,,0
CDM,27800001,KIT INTRAPERITONEAL HYPRTHRM PREBUILT CIRC W/ FLD RESVR HEAT,9552.0,9552.0,,,0
CDM,27800001,KIT LSR 10MM DIFFUSING TIP VISUALASE,33782.4,33782.4,,,0
CDM,27800001,KIT REP LARGER EYELT W/ 3 PEC BTTN ATTCH INSRT 3 FIBERTAPE,4290.0,4290.0,,,0
CDM,27800001,KIT SHNT 8-14FR L15.2CM RADPQ ARGY,125.52,125.52,,,0
CDM,27800001,KNEE FIBERTAK W/ FIBERTAPE,1287.0,1287.0,,,0
CDM,27800001,KNOTLESS TENSIONABLE FIBERTAK BICEPS KIT,2574.0,2574.0,,,0
CDM,27800001,LAMINA HOOK THREADED LARGE CREO,720.0,720.0,,,0
CDM,27800001,LAMINAR HOOK ANGLED BLADE SM,1549.8,1549.8,,,0
CDM,27800001,LEVEL ONE CMFPLATE MINI TLTS STR 2.0-2.5 MM SCREW4 HOLE 24 M,514.8,514.8,,,0
CDM,27800001,LINER ACET DIA36MM SZ E NEUT VIVACIT-E G7,2109.6,2109.6,,,0
CDM,27800001,MAGIC M 1.2FR 180CM,3108.0,3108.0,,,0
CDM,27800001,"MAGNUM WIRE 48"" WHITE SUTURE",47.52,47.52,,,0
CDM,27800001,"MAGNUM WIRE 48""COBRAID SUTURE",60.48,60.48,,,0
CDM,27800001,MASTERS SERIES MITRAL VALVE EXPANDED CUFF 25MM R,12240.0,12240.0,,,0
CDM,27800001,MEDPOR CUSTOMIZED IMPLANT XL,48554.35,48554.35,,,0
CDM,27800001,MEDPOR TITAN 3D OFLEFT SMALL,5468.35,5468.35,,,0
CDM,27800001,MEDPORE TITAL MAX SHEET 100 X 76 X 1.5MM,7145.09,7145.09,,,0
CDM,27800001,MESA RAIL 4D DEFORMITY IMPLANTS TRANSITION 05.5X495 MM COCR,3616.2,3616.2,,,0
CDM,27800001,MESH CRAN W38XL48MM THICKNESS 0.85MM TI PRE SHP RADPQ CRV,3890.16,3890.16,,,0
CDM,27800001,MESH PREFORMED 109MM UNI,5157.5,5157.5,,,0
CDM,27800001,MICRO SUTURE LASSO SMALL CURVE,365.04,365.04,,,0
CDM,27800001,MICROCOIL EMB 2MM X 7CM CATH ID0.018IN NUM OF LOOP 11.1,267.58,267.58,,,0
CDM,27800001,MICROCOIL EMB L1CM 0.018IN PLAT SPC SYN FBR STR HILAL,253.51,253.51,,,0
CDM,27800001,MICRODEEP DEPTH ELECTRODE-18 (3X6) CONTACTS,2400.0,2400.0,,,0
CDM,27800001,MICRODEEP DEPTH ELECTRODE-8 CONTACTS,1824.0,1824.0,,,0
CDM,27800001,MICRODEEPDEPTH ELECTRODE-18 CONTACTS,2328.0,2328.0,,,0
CDM,27800001,MICROPLEX COSMOS 10 MM X 36 CM,4788.0,4788.0,,,0
CDM,27800001,MINI-SPIDER FUSION PLATE,3502.8,3502.8,,,0
CDM,27800001,MINIRAIL LENGTHENER STD 57/5MM,6868.8,6868.8,,,0
CDM,27800001,MIXER CEM W/ 3CC SYR AFFIRM,216.0,216.0,,,0
CDM,27800001,MODEL ANAT HALF 00006 LP SUPLMNT FOR PT SPEC IMPLANTS AND,2628.0,2628.0,,,0
CDM,27800001,MODULUS XL 12X18X50MM 10,11400.0,11400.0,,,0
CDM,27800001,MODULUS XLW 10X22X55MM 10,12000.0,12000.0,,,0
CDM,27800001,MWCE-18-0.5-0-HILAL-01*HILAL PLATINUM EMBOLIZATION MICROCOIL,253.51,253.51,,,0
CDM,27800001,MWCE-18-14-3-NESTER-01*0.018 ID PLATINUM MICRO NESTER COILS,267.58,267.58,,,0
CDM,27800001,MWCE-35-14-16-NESTER-01*0.035 ID PLATINUM NESTER COILS WITH,307.7,307.7,,,0
CDM,27800001,MWCE-35-14-4-NESTER-01*0.035 ID PLATINUM NESTER COILS WITH 4,267.58,267.58,,,0
CDM,27800001,MWCE-35-20-12-NESTER-01*0.035 ID PLATINUM NESTER COILS WITH,329.45,329.45,,,0
CDM,27800001,NANO SPACER TC 6 DEG SM 8MM,3760.8,3760.8,,,0
CDM,27800001,NESTER EMB MICROCOIL,253.51,253.51,,,0
CDM,27800001,NIKO CORPECTOMY SPACER SMALL 12X14 0 17MM,7200.0,7200.0,,,0
CDM,27800001,NOSTRIL RETAINER SIZE 13,469.75,469.75,,,0
CDM,27800001,OCULAR CONFORMER - NON-VENTED - SMALL - 22MM X 19M,146.06,146.06,,,0
CDM,27800001,OCULAR CONFORMER - VENTED - SMALL - 22MM X 19MM X,112.49,112.49,,,0
CDM,27800001,OCULAR CONFORMER LARGE,107.14,107.14,,,0
CDM,27800001,OSTEONICS UNIV. DISTAL SPACER,120.0,120.0,,,0
CDM,27800001,OVATION IX EXT 22 X 45MM,11133.6,11133.6,,,0
CDM,27800001,PATCH BIO W9XL14CM THK0.2-0.6MM BOV PERICARD W/ ENCAP AC,1164.0,1164.0,,,0
CDM,27800001,PATCH DURA 1X3IN REGEN MTRX CLLGN BASE ST DURAGN +,1306.25,1306.25,,,0
CDM,27800001,PEEK PRIORITY CUST IMPL LARGE,41926.9,41926.9,,,0
CDM,27800001,PEEK PRIORITY CUST IMPL XLARGE,49016.14,49016.14,,,0
CDM,27800001,PEG BNE 2.5MM X 14MM FT FOR ALPS HND FRAC SYS,151.2,151.2,,,0
CDM,27800001,PEG BNE FIX L26MM DIA2.5MM FT FOR ALPS HND FRAC SYS,151.2,151.2,,,0
CDM,27800001,PEG FULLY THREADED  2.5MM X 12MM  2.5MM X 12MM,151.2,151.2,,,0
CDM,27800001,PIN CLAMP 3 HOLE,616.7,616.7,,,0
CDM,27800001,PIN EXT FIX 45MM 2 BAR FOR CLMP XTRAFIX SYS,2527.2,2527.2,,,0
CDM,27800001,PIN EXT FIX 45MM FOR CLMP XTRAFIX SYS,1069.2,1069.2,,,0
CDM,27800001,PIN EXT FIX L100MM DIA3MM THRD L25MM BLU SLF DRL HALF,172.99,172.99,,,0
CDM,27800001,PIN EXT FIX L160MM DIA5MM THRD L35MM YEL HALF FOR XTRAFIX,324.0,324.0,,,0
CDM,27800001,PIN EXT FIX L160MM DIA5MM THRD L55MM YEL HALF FOR XTRAFIX,324.0,324.0,,,0
CDM,27800001,PIN EXT FIX L200MM DIA5MM THRD L45MM ORNG HALF FOR XTRAFIX,235.3,235.3,,,0
CDM,27800001,PIN EXT FIX L200MM DIA5MM THRD L65MM ORNG XTRAFIX,324.0,324.0,,,0
CDM,27800001,PIN EXT FIX W15XH3XL100MM HALF XTRAFIX,172.99,172.99,,,0
CDM,27800001,PIN EXT FIX W55XH6XL200MM GRN HALF XTRAFIX,190.94,190.94,,,0
CDM,27800001,PIN FIX 2.1X4MM RESORB X SONICPINS RX,252.36,252.36,,,0
CDM,27800001,PIN FIX L100MM DIA4MM THRD L35MM BLU HALF SZ FOR EXT FIX,172.99,172.99,,,0
CDM,27800001,PIN FIX L250MM DIA5MM THRD L85MM ORNG HALF SZ FOR EXT FIX,324.0,324.0,,,0
CDM,27800001,PIN FIX L275MM DIA5MM THRD L6MM BLK HALF SZ FOR EXT FIX,378.0,378.0,,,0
CDM,27800001,PLATE BNE 17 H TI PRECONTOURED FOR 6 AND 7 L RIB MATRIXRIB,4452.48,4452.48,,,0
CDM,27800001,PLATE BNE CMF 4 H STR TI LEV 1 FOR 2-2.5MM SCR,759.36,759.36,,,0
CDM,27800001,PLATE BNE CMF MINI 4 H STR 24MM THCK 1MM TI LEVELONE,715.68,715.68,,,0
CDM,27800001,PLATE BNE L42MM THK1.4MM SHFT W7.5MM 6 H ST FLX FOR 2.7MM,1806.0,1806.0,,,0
CDM,27800001,PLATE BNE L71MM THK1.4MM SHFT W7.5MM HD 21.5MM 3X9 H ST T,1764.0,1764.0,,,0
CDM,27800001,PLATE BNE MD 4 H LOK TI FOR 2.7MM THREADLOCK TAPR SCR 2MM,994.56,994.56,,,0
CDM,27800001,PLATE BNE THK0.6MM 24 H MIDFACE TI STR PROF LEV 1 FOR 1.5MM,794.64,794.64,,,0
CDM,27800001,PLATE BNE TIB ANTLAT DST L 6 H 112MM SS VA-LCP FOR 2.7/3.5MM,4604.16,4604.16,,,0
CDM,27800001,PLATE BNE TIB DST 4 H ST T PLT 72MM SS VA-LCP FOR 2.7MM SCR,3472.2,3472.2,,,0
CDM,27800001,PLATE SPNL ANT CERV 40MM 2 LEV XTEND,1200.0,1200.0,,,0
CDM,27800001,PLATE SPNL W14XH7MM ANT CERV TI ALLY LO REDUC PROF COALITION,2400.0,2400.0,,,0
CDM,27800001,POST EXT FIX 11MM 30DEG ANG FOR XTRAFIX SYS,202.06,202.06,,,0
CDM,27800001,PRE-LORDOSED ROD WLINE 115MM,503.3,503.3,,,0
CDM,27800001,PRE-LORDOSED ROD WLINE 125MM,667.63,667.63,,,0
CDM,27800001,PRE-LORDOSED ROD WLINE 35MM,503.3,503.3,,,0
CDM,27800001,PREMIER AFFIRM CEM MIX 3CC SYRINGE,1992.0,1992.0,,,0
CDM,27800001,PROGRAMMER DBS PT W/ COMMUNICATOR LIKE SMARTPHONE HANDSET,2126.52,2126.52,,,0
CDM,27800001,PTERIONAL IMPLANT - LEFT - 44MM X 43MM X 6MM,3111.38,3111.38,,,0
CDM,27800001,PUSHABLE COIL FIGURE 8-.18 FIBERED PLATINUM COIL 2 MM X 5 MM,525.6,525.6,,,0
CDM,27800001,QUARTEX 4.0MM OCCIPITAL ROD 240MM 115,720.0,720.0,,,0
CDM,27800001,QUARTEX 4.0MM ROD TO ROD T-CONNECTOR 27-33MM,960.0,960.0,,,0
CDM,27800001,QUARTEX LATERAL CONNECTOR SHORT 4.0MM ROD,720.0,720.0,,,0
CDM,27800001,RAPID EXC STENT 9X40,3480.0,3480.0,,,0
CDM,27800001,REINFORCED SILICONE SHEET 8X6 .040,384.0,384.0,,,0
CDM,27800001,RELINE-O CONN 5-65-6MM O-O MED,1440.0,1440.0,,,0
CDM,27800001,RELINE-O TI ROD 5.5X500MM STRAIGHT,456.0,456.0,,,0
CDM,27800001,RESERVOIR 44103 VENT. INLET SIDE,0.03,0.03,,,0
CDM,27800001,RESERVOIR EXT DRNGE SM 1.1ML 28MM BTM INLET CONV VENT CATH,954.86,954.86,,,0
CDM,27800001,RESERVOIR PENILE PROS 125CC CLVRLF W/ LOK OUT VLV TI,6993.6,6993.6,,,0
CDM,27800001,RESERVOIR PENILE PROS 75CC CLVRLF W/ LOK OUT VLV TI,6535.2,6535.2,,,0
CDM,27800001,RESERVOIR SHNT CATH L15CM W/ CAP 11MM LP NYL BASE PLUG AND,1025.52,1025.52,,,0
CDM,27800001,RETINAL IMPLANT STYLE 510 2.5MMX5.0MM HALF ROUND SILICONE SP,117.6,117.6,,,0
CDM,27800001,RETRACTOR SURG 3S SHT MAL 3 FNGR ATTCH W/ STABLESOFT,1194.98,1194.98,,,0
CDM,27800001,RING ANNULO TRICUSPID 36,3948.0,3948.0,,,0
CDM,27800001,RING ANNULOPLASTY DIA32MM SEMI RIGID WITH OPEN ANTERIOR SEGM,6240.0,6240.0,,,0
CDM,27800001,RING ANNULPLSTY DIA30MM TRICSP VLV TI ALLY SIL RUB POLY 3D,3948.0,3948.0,,,0
CDM,27800001,RING TRI-AD 9SFC32,6612.0,6612.0,,,0
CDM,27800001,ROD 1603200500 6.0 TICP4 NS STR LN 500MM,432.0,432.0,,,0
CDM,27800001,ROD 1606006280 6.0 CCM+ STRT PERC 280MM,456.0,456.0,,,0
CDM,27800001,ROD 3603740 PRE-CUT 3.5MM X 40MM,336.0,336.0,,,0
CDM,27800001,ROD B02226050 6.0 X 500MM CCM NS STRAIGHT,720.0,720.0,,,0
CDM,27800001,ROD RMR L950MM DIA2.5MM W/ EXTN BALL TIP,442.8,442.8,,,0
CDM,27800001,ROD SPNL 3.5MM X 45MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,ROD SPNL 350MM TAPR 3.5 TO 5.5MM ELLIPSE,720.0,720.0,,,0
CDM,27800001,ROD SPNL 5.5MM X 120MM PRELORDOSED POST TI EXPEDIUM,667.63,667.63,,,0
CDM,27800001,ROD SPNL 5.5MM X 500MM STR TI ALLY REVERE DEFORMITY,480.0,480.0,,,0
CDM,27800001,ROD SPNL 5.5X100MM CRV TI CREO,240.0,240.0,,,0
CDM,27800001,ROD SPNL 5.5X150MM CRV TI CREO,240.0,240.0,,,0
CDM,27800001,ROD SPNL 5.5X150MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,ROD SPNL 5.5X150MM STR TI ALLY CREO,240.0,240.0,,,0
CDM,27800001,ROD SPNL 5.5X160MM POST STR TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,ROD SPNL 5.5X250MM POST STR TI ALLY CREO MIS,480.0,480.0,,,0
CDM,27800001,ROD SPNL 5.5X55MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,ROD SPNL 6MM 4+ LEV COCR UNID EXP PT SPEC,3360.0,3360.0,,,0
CDM,27800001,ROD SPNL L100MM DIA5.5MM TI ANT POST THORACOLUMBOSACRAL CRV,324.0,324.0,,,0
CDM,27800001,ROD SPNL L100MM OD3.5MM CRV TRANSFACET INT FIX CAPITOL,240.0,240.0,,,0
CDM,27800001,ROD SPNL L110MM DIA5.5MM TI ANT POST THORACOLUMBOSACRAL CRV,324.0,324.0,,,0
CDM,27800001,ROD SPNL L110MM OD3.5MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,ROD SPNL L120MM DIA5.5MM TI ANT POST THORACOLUMBOSACRAL CRV,324.0,324.0,,,0
CDM,27800001,ROD SPNL L120MM DIA5.5MM TI EXPEDIUM,667.63,667.63,,,0
CDM,27800001,ROD SPNL L120MM OD3.5MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,ROD SPNL L200MM DIA3.5MM OCCIPITOCERVICAL UP THOR TI ADJ,720.0,720.0,,,0
CDM,27800001,ROD SPNL L200MM OD5.5MM TI POST BILAT STR SMTH LP REVERE,240.0,240.0,,,0
CDM,27800001,ROD SPNL L25MM DIA3.5MM CRV INT SPNL FIX SYS CAPITOL,240.0,240.0,,,0
CDM,27800001,ROD SPNL L35MM DIA5.5MM ANT POST THORACOLUMBOSACRAL TI SMTH,324.0,324.0,,,0
CDM,27800001,ROD SPNL L35MM DIA5.5MM THORLUM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800001,ROD SPNL L40MM DIA5.5MM ANT POST THORACOLUMBOSACRAL TI,324.0,324.0,,,0
CDM,27800001,ROD SPNL L450MM DIA5.5MM PRECONTOURED,420.0,420.0,,,0
CDM,27800001,ROD SPNL L45MM DIA5.5MM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800001,ROD SPNL L45MM DIA5.5MM TI ANT POST THORACOLUMBOSACRAL CRV,324.0,324.0,,,0
CDM,27800001,ROD SPNL L500MM DIA5.5MM LN ANT POST THORACOLUMBOSACRAL CP,432.0,432.0,,,0
CDM,27800001,ROD SPNL L50MM DIA3.5MM STD CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,ROD SPNL L50MM DIA5.5MM ANT POST THORACOLUMBOSACRAL TI,324.0,324.0,,,0
CDM,27800001,ROD SPNL L55MM DIA5.5MM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800001,ROD SPNL L55MM DIA5.5MM TI ANT POST THORACOLUMBOSACRAL SMTH,324.0,324.0,,,0
CDM,27800001,ROD SPNL L600MM DIA5.5MM POST SMTH STR REVERE,480.0,480.0,,,0
CDM,27800001,ROD SPNL L60MM DIA3.5MM OCCIPITOCERVICAL UP THOR PRECUT,336.0,336.0,,,0
CDM,27800001,ROD SPNL L60MM DIA5.5MM ANT POST THORACOLUMBOSACRAL TI,324.0,324.0,,,0
CDM,27800001,ROD SPNL L70MM DIA3.5MM OCCIPITOCERVICAL UP THOR PRECUT,336.0,336.0,,,0
CDM,27800001,ROD SPNL L70MM DIA3.5MM STD CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,ROD SPNL L70MM DIA5.5MM THOR LUMBER TI CRV CDH SOLERA,324.0,324.0,,,0
CDM,27800001,ROD SPNL L75MM DIA3.5MM CRV CAPITOL,240.0,240.0,,,0
CDM,27800001,ROD SPNL L80MM DIA3.5MM OCCIPITOCERVICAL UP THOR PRECUT,328.8,328.8,,,0
CDM,27800001,ROD SPNL L80MM DIA5.5MM ANT POST THORACOLUMBOSACRAL TI,324.0,324.0,,,0
CDM,27800001,ROD SPNL L80MM DIA5.5MM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800001,ROD SPNL L90MM DIA5.5MM ANT POST THORACOLUMBOSACRAL TI,324.0,324.0,,,0
CDM,27800001,ROD SPNL OCCIPITOCERVICAL UP THOR 3.2X240MM STD INFIN,328.8,328.8,,,0
CDM,27800001,ROD SPNL OCCIPITOCERVICAL UP THOR 3.5X50MM PRECUT INFIN,336.0,336.0,,,0
CDM,27800001,ROD SPNL OCT 4X120MM STR QUARTEX,240.0,240.0,,,0
CDM,27800001,ROD SPNL OCT 4X240MM STR QUARTEX,480.0,480.0,,,0
CDM,27800001,ROD SPNL PERC 5.5X55MM COCR MOLY ALLY SOLERA CDH,720.0,720.0,,,0
CDM,27800001,ROD SPNL POST 5.5X50MM CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800001,ROD SPNL POST OCT 3.5MM X 240MM ELLIPSE,480.0,480.0,,,0
CDM,27800001,ROD SPNL THORACOLUMBOSACRAL 5.5X500MM STR TI ALUM CDH,432.0,432.0,,,0
CDM,27800001,ROD SPNL THORLUM 5.5MM X 125MM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800001,ROD TENDON SPACE 4X24,4140.1,4140.1,,,0
CDM,27800001,S 163868 BAND 7700FB34 SIMUPLUS FLEX 34MM,5892.0,5892.0,,,0
CDM,27800001,SCREW BNE L14MM DIA2.7MM DST VOLAR RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800001,SCREW SPNL 6X45MM FOR 5.5MM ROD POLYAX CORT FEN TI VIPER,3120.0,3120.0,,,0
CDM,27800001,SCREW SPNL L10MM POLYAX TULIP HD MOD REDUC MIS CREO,960.0,960.0,,,0
CDM,27800001,SCREW SPNL POLYAX MOD 30MM REDUC TULIP CREO MIS,960.0,960.0,,,0
CDM,27800001,SCREW SPNL POLYAX MOD PLATFRM STBL 5.5 MM TULIP ADV CREO,660.0,660.0,,,0
CDM,27800001,SET ANCHR SUT 3 PRELD NDL ADJ L12CM ODSEC17GA GIT ENTUIT,420.0,420.0,,,0
CDM,27800001,SET BNE GRFT DEL SYS W/ 12CC DBF 2 CANN GRFT ACCELERATE,3528.0,3528.0,,,0
CDM,27800001,SET BNE GRFT DEL SYS W/ 6CC DBF 2 CANN GRFT ACCELERATE,2280.0,2280.0,,,0
CDM,27800001,SET CBL SL 2MM HIP SS FLAT LP FOR DALL MI,770.4,770.4,,,0
CDM,27800001,SFX5.5TI MED SIZE A5,1860.0,1860.0,,,0
CDM,27800001,SHEET CRNFCL W38XL50MM THK0.85MM ULT THN BIOMATERIAL NREINF,984.53,984.53,,,0
CDM,27800001,SHEET SILICONE .080 6X8,439.2,439.2,,,0
CDM,27800001,SHELL ACET DIA54MM SZ F MULT H G7 OSSEOTI,5473.94,5473.94,,,0
CDM,27800001,SIZE NO. 12 - 28MM X 34MM X 17MM,469.75,469.75,,,0
CDM,27800001,SONICWELD RX STERILESONICPIN RX2.1 X 5 MMPDLLAQTY:005 EA,256.32,256.32,,,0
CDM,27800001,SPACER 12W 25MM X 10MM 10 DG TI,5880.0,5880.0,,,0
CDM,27800001,SPACER ADAPTIX 28MM X 6MM,7800.0,7800.0,,,0
CDM,27800001,SPACER SPNL 12 MM COR H21-29 MM VERT BODY REPL FORTIFY,9600.0,9600.0,,,0
CDM,27800001,SPACER SPNL 20 MM COR H31-44 MM VERT BODY REPL FORTIFY,9600.0,9600.0,,,0
CDM,27800001,SPACER SPNL 24MM X 10MM ADAPTIX,7800.0,7800.0,,,0
CDM,27800001,SPACER SPNL 24X9MM TI NANOLOCK SURF TECH ADAPTIX,7800.0,7800.0,,,0
CDM,27800001,SPACER SPNL 28X11MM TI NANOLOCK SURF TECH ADAPTIX,7800.0,7800.0,,,0
CDM,27800001,SPACER SPNL ACIF SM 14X6X12MM 6DEG LORD TI NANOLOCK SURF,3760.8,3760.8,,,0
CDM,27800001,SPACER SPNL LLIF 18X11X45MM 10DEG LORD TI 3D PRNT HEDRON L,10080.0,10080.0,,,0
CDM,27800001,SPACER SPNL SM W10XH10XL28MM PEEK THORLUM IF ARTC SIGN,5760.0,5760.0,,,0
CDM,27800001,SPACER SPNL TLIF PLIF MIDLF 7MM SHT TI CATALYFT PL EXP,11760.0,11760.0,,,0
CDM,27800001,SPACER SPNL W18XH10-17XL45MM 10DEG LAT LUM IF TI SELF EXPND,10800.0,10800.0,,,0
CDM,27800001,SPACER SPNL W20XH8-17XL60MM 5-20DEG ELSA,20160.0,20160.0,,,0
CDM,27800001,SPACER SPNL W8XH7XL14MM 7DEG ALLGRFT ANT CERV IF COALITION,1920.0,1920.0,,,0
CDM,27800001,SPACER SPNL XL 14MM X 7MM X 16MM 7 DEG LORD PEEK ACDF,1440.0,1440.0,,,0
CDM,27800001,SPEED COMPRESSION IMPLANT KIT 13X10X10MM,2682.0,2682.0,,,0
CDM,27800001,SPEED COMPRESSION IMPLANT KIT 15X12X12MM,3713.4,3713.4,,,0
CDM,27800001,SST EZ SPHERE - 18MM,1449.98,1449.98,,,0
CDM,27800001,STANDARD HOOK 6.5MM,1549.8,1549.8,,,0
CDM,27800001,STEM FEM 13X170MM CALCAR REV SS GENX VERSYS,7986.12,7986.12,,,0
CDM,27800001,STEM TIB 16MM PLSM TOP CEM TOT ANK SYS INBONE II,1339.2,1339.2,,,0
CDM,27800001,STEM TIB DIA16MM MID PLSM FOR TOT ANK SYS INBONE II,1428.0,1428.0,,,0
CDM,27800001,STENT PANCREAS L3CM OD5FR POLYMER PGTL LD BARB TRAILING,305.74,305.74,,,0
CDM,27800001,STENT URET L16CM DIA6FR SIL CLS TIP DBL J,445.63,445.63,,,0
CDM,27800001,STIMULATOR DP BRAIN BOR PLUG US EMAN,634.39,634.39,,,0
CDM,27800001,STPL BNE FIX BRDG 11MM LEG 10MM WRE 1.5X1.5MM CONT COMPR SPD,2682.0,2682.0,,,0
CDM,27800001,STRIP SCLER W3.5XL125MM THK0.75MM SIL SLD STYL 41/S2970,41.76,41.76,,,0
CDM,27800001,STYLET,200.1,200.1,,,0
CDM,27800001,SUTURE FIBERLOOP 2-0 L13IN N ABSRB BLU L64.8MM DMND PT STR,130.27,130.27,,,0
CDM,27800001,SYSTEM AORTIC BODY ALTO PMA 23MM,28029.6,28029.6,,,0
CDM,27800001,SYSTEM PT SPEC UNID TECH,3360.0,3360.0,,,0
CDM,27800001,SYSTEM URIN CLS CUF CTRL 800,3828.0,3828.0,,,0
CDM,27800001,TAG CONFORM THORACIC SG AC 21MMX21MMX10CM 18FR,46524.0,46524.0,,,0
CDM,27800001,TAG CONFORM THORACIC SG AC 28MMX28MMX10CM 20FR,45840.0,45840.0,,,0
CDM,27800001,TAG CONFORM THORACIC SG AC 28MMX28MMX15CM 20FR,46524.0,46524.0,,,0
CDM,27800001,TAG CONFORM THORACIC SG AC 31MMX31MMX10CM 20FR,46524.0,46524.0,,,0
CDM,27800001,TAG CONFORM THORACIC SG AC 31MMX31MMX20CM 20FR,45840.0,45840.0,,,0
CDM,27800001,TAG CONFORM THORACIC SG AC 34MMX34MMX20CM 22FR,46524.0,46524.0,,,0
CDM,27800001,TAG CONFORM THORACIC SG AC 40MMX40MMX10CM 22FR,45840.0,45840.0,,,0
CDM,27800001,THORACIC LAMINA HOOK THREADED NARROW MEDIUM CREO,720.0,720.0,,,0
CDM,27800001,TISSUE 211300 SELECT 13MM SRVC FEE,1017.46,1017.46,,,0
CDM,27800001,TRANSSPHENOIDAL SELLAR IMPLANT - BARRIER - LARGE -,1731.74,1731.74,,,0
CDM,27800001,TRUSS PLATE 28MM,5400.0,5400.0,,,0
CDM,27800001,TUBE JONES 4.0MM FLANGE 4.0X13,112.8,112.8,,,0
CDM,27800001,TUBE JONES 4.0MM FLANGE 4.0X19,124.8,124.8,,,0
CDM,27800001,TUBE ORTH NS FOR T2 HUM NAIL SYS TEF,727.2,727.2,,,0
CDM,27800001,TUBE VENT ID1.14IN FLROPLAS BVL ARMSTR GRMMT,28.68,28.68,,,0
CDM,27800001,UN3 BURRHOLE COVER10MM WTAB,525.41,525.41,,,0
CDM,27800001,UN3 BURRHOLE COVER14MM WTAB,532.9,532.9,,,0
CDM,27800001,UN3 BURRHOLE COVER7MMWTAB,525.41,525.41,,,0
CDM,27800001,VALVE 42866 FP-STRATA 2 REGULAR,11495.4,11495.4,,,0
CDM,27800001,VALVE AORT 19MM BOV PERICARD VFIT TECH HRT VLV REPL INSPIRIS,18720.0,18720.0,,,0
CDM,27800001,VALVE AORT DIA20MM RESILIA TISS TRANSCATHETER SYS SAPIEN 3,81600.0,81600.0,,,0
CDM,27800001,VALVE AORT DIA20MM ULT TRANSCATHETER HRT TRILEAFLET BOV,78000.0,78000.0,,,0
CDM,27800001,VALVE AORT DIA21MM BOV PERICARD COCR ALLY WIREFORM POLY FAB,18720.0,18720.0,,,0
CDM,27800001,VALVE AORT DIA23MM RESILIA TISS TRANSCATHETER SYS SAPIEN 3,81600.0,81600.0,,,0
CDM,27800001,VALVE AORT DIA23MM ULT TRANSCATHETER HRT TRILEAFLET BOV,78000.0,78000.0,,,0
CDM,27800001,VALVE AORT DIA26MM RESILIA TISS TRANSCATHETER SYS SAPIEN 3,81600.0,81600.0,,,0
CDM,27800001,VALVE AORT DIA26MM ULT TRANSCATHETER HRT TRILEAFLET BOV,78000.0,78000.0,,,0
CDM,27800001,VALVE AORT DIA29MM RESILIA TISS TRANSCATHETER SYS SAPIEN 3,81600.0,81600.0,,,0
CDM,27800001,VALVE AORT H16.1MM OD23MM ID21.4MM FLARE DIA24.3MM SEW RNG,11088.0,11088.0,,,0
CDM,27800001,VALVE AORT H17.8MM OD25MM ID23.4MM FLARE DIA26.4MM SEW RNG,10080.0,10080.0,,,0
CDM,27800001,VALVE AORT ORFC DIA19.6MM TISS ANNULUS DIA21MM 85DEG LEAFLET,12480.0,12480.0,,,0
CDM,27800001,VALVE AORT SZ 21 ORFC DIA19.4MM W/ CNFRM-X SEW RNG DIA30MM,10080.0,10080.0,,,0
CDM,27800001,VALVE AORTIC 26MM ANNULUS 22-23MM TAVR EVOLUT FX PLUS,72000.0,72000.0,,,0
CDM,27800001,VALVE CSF DRNGE PROGRAMMABLE INLINE W/ UNITZ CATH CERTAS +,9506.33,9506.33,,,0
CDM,27800001,VALVE HEART ON-X AORTIC PROSTHETIC 19MM WITH CONFORM-X SEWIN,10080.0,10080.0,,,0
CDM,27800001,VALVE MI H20MM CUF DIA39MM TISS ANNULUS DIA31MM PORCINE,12600.0,12600.0,,,0
CDM,27800001,VALVE MI ORFC 24.2MM TISS ANNULUS 29MM 85 DEG LEAFLET OPN,12240.0,12240.0,,,0
CDM,27800001,VALVE MITRAL 27MM BOVINE PERICARDIUM LEAFLET COBALT CHROMIUM,18720.0,18720.0,,,0
CDM,27800001,VALVE VENT DRNGE IN LN PRGM CERTAS +,9506.33,9506.33,,,0
CDM,27800001,VALVE VENT DRNGE IN LN SIPHONGUARD ANTISIPHON DEV BACTISEAL,12383.74,12383.74,,,0
CDM,27800001,VALVE VENT DRNGE SM INLINE PRGM MR COND CERTAS +,9229.44,9229.44,,,0
CDM,27800001,VIABAHN SX ENDO HEPARIN 35 RO 10MMX15CM 8FR 120CM CATH,9888.0,9888.0,,,0
CDM,27800001,VIABAHN SX ENDO HEPARIN 35 RO 13MMX10CM 10FR 120CM CATH,8736.0,8736.0,,,0
CDM,27800001,VIACELL 5CC,3600.0,3600.0,,,0
CDM,27800001,WASHER ORTH ST FOR 3.5MM SCR EVOS SM PLATING SYS,85.3,85.3,,,0
CDM,27800001,WEB SINGLE LAYER 8MM X 3MM,35880.0,35880.0,,,0
CDM,27800001,WRAP NRV REP 7X40MM AXOGUARD,5697.6,5697.6,,,0
CDM,27800001,XTEND ANTERIOR CERVICAL PLATE 3-LEVEL 39MM,1320.0,1320.0,,,0
CDM,27800001,XTEND ANTERIOR CERVICAL PLATE EXTRA LORDOTIC 1-LEVEL 12MM,1200.0,1200.0,,,0
CDM,27800001,YASARGIL PERM MINI-CLIP SLT-CVD 4MM,1056.89,1056.89,,,0
CDM,27800002,"""""""KWIRE 4"""""""" .035 NS""""""",4.5,4.5,,,0
CDM,27800002,"""""""KWIRE 4"""""""" .054 N""""""",4.52,4.52,,,0
CDM,27800002,".045"" X 4"" K-WIRE DOUBLE TROCAR",122.4,122.4,,,0
CDM,27800002,1.2MM L PLATE RIGHT,1053.6,1053.6,,,0
CDM,27800002,1.2MM X 12MM FULLY THREADED SCREW,254.4,254.4,,,0
CDM,27800002,1.6MM 3 X 8 HOLE T PLATE LOCKING,1185.6,1185.6,,,0
CDM,27800002,1.6MM X 12MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
CDM,27800002,1.6MM X 12MM LAG SCREW,300.0,300.0,,,0
CDM,27800002,1.6MM X 14MM FULLY THREADED SCREW,254.4,254.4,,,0
CDM,27800002,1.6MM X 16MM LAG SCREW,300.0,300.0,,,0
CDM,27800002,1.6MM X 6MM FULLY THREADED SCREW,254.4,254.4,,,0
CDM,27800002,1.6MM Y PLATE LOCKING,1185.6,1185.6,,,0
CDM,27800002,1.7X4MM CROSS-PIN SELF TAPPING SCREW,139.54,139.54,,,0
CDM,27800002,1.7X6MM CROSS-PIN SELF TAPPING SCREW,139.54,139.54,,,0
CDM,27800002,1/3 TUBULAR PLATE 10H,547.63,547.63,,,0
CDM,27800002,1/3 TUBULAR PLATE 6H,497.83,497.83,,,0
CDM,27800002,10.5 X 35MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,10.5 X 40MM SCREW MODULAR CREO AMP,660.0,660.0,,,0
CDM,27800002,10.5 X 40MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,10.5 X 45MM SCREW MODULAR CREO AMP,660.0,660.0,,,0
CDM,27800002,10.5 X 50MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,100DEG  CANNULATED CHILD BLADE PLATE 40MM X 6MM X 3 HOLE,2407.1,2407.1,,,0
CDM,27800002,101822 : ANCHOR SUT L24MM DIA4.5MM PEEK PSHLCK,936.0,936.0,,,0
CDM,27800002,102291 : 2.0X10MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,102868 : 6.5MM X 70 CANNULATED SCREW,445.82,445.82,,,0
CDM,27800002,10292 : K WIRE 1.6X150MM TRCR PT SS,32.04,32.04,,,0
CDM,27800002,103423 : 3.5MM VLP SCREW 26MM,41.18,41.18,,,0
CDM,27800002,103429 : 3.5MM VLP SCREW 28MM,41.18,41.18,,,0
CDM,27800002,103678 : KWIRE 4 .035 NS,4.5,4.5,,,0
CDM,27800002,103680 : KWIRE 4 .054 N,4.81,4.81,,,0
CDM,27800002,103823 : GUIDEPIN ORTH 3.2MM X 300MM FT CANN FOR CANN SCR,168.05,168.05,,,0
CDM,27800002,103845 : WASHER ORTH DIA12.7MM SS RND FOR FIX,214.8,214.8,,,0
CDM,27800002,103887 : SCREW CANNULATED 6.5 X 85MM,445.82,445.82,,,0
CDM,27800002,104191 : VIP ANTERIOR CERVICAL PLATE 1-LEVEL 21MM,1680.0,1680.0,,,0
CDM,27800002,104203 : VIP CERVICAL PLATE 2-LEVEL 36MM,1680.0,1680.0,,,0
CDM,27800002,104236 : 6.5MM CANN SCREW PART THREADED 7110-6575S,445.82,445.82,,,0
CDM,27800002,104292 : ANCHOR SUT 14X4.5MM TI W- TWO NO2 FBRWR CRKSCR FT II,599.04,599.04,,,0
CDM,27800002,104415 : 3.5 VLP SCREW 30MM,41.18,41.18,,,0
CDM,27800002,104608 : 6.5 X 90MM CANNULATED SCREW,445.82,445.82,,,0
CDM,27800002,1067 : WASHER ORTH 13MM SS FOR 4.5MM CORT AND 6.5MM CANC BNE SCR,99.0,99.0,,,0
CDM,27800002,106933 : SCREW BNE 2.7X32MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
CDM,27800002,106934 : SCREW BNE 2.7X36MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
CDM,27800002,106949 : SCREW BNE 4X54MM CANC CANN LNG THRD ST SLF DRL SS,372.36,372.36,,,0
CDM,27800002,107044 : SCREW BNE 2.7X28MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
CDM,27800002,107119 : FILLER BNE VOID 3.45CC 5GM CA PHSPTE MIMIX QS,2064.0,2064.0,,,0
CDM,27800002,108326 : SCREW SPNL ANT CERV 4.6X14MM SLF DRL VA VIP,180.0,180.0,,,0
CDM,27800002,108329 : SCREW SPNL ANT CERV 4.6X16MM SLF DRL VA VIP,180.0,180.0,,,0
CDM,27800002,108407 : SCREW BNE 2.7X16MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,108602 : PLATE BNE CMF 2X2 H STR TI DCP MAND PLATING SYS,692.16,692.16,,,0
CDM,27800002,108605 : 12 HOLE PLATE,1576.32,1576.32,,,0
CDM,27800002,108606 : PLATE BNE CMF 2 X 2 H DCP PLT THCK 1.5MM TI MATRIXMANDIBLE,1227.84,1227.84,,,0
CDM,27800002,108608 : PLATE BNE CMF MINI 2X2 H BROAD MAL TI MAND PLATING SYS,890.88,890.88,,,0
CDM,27800002,108720 : SCREW 1.5 X 4MM,180.0,180.0,,,0
CDM,27800002,109064 : 4 HOLE MINI PLATE LONG BAR,345.0,345.0,,,0
CDM,27800002,109464 : OPUSMAGNUM IMPLANT,1436.4,1436.4,,,0
CDM,27800002,109654 : SCREW BNE 3.5X14MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,109680 : WASHER ORTH 7MM SS FOR 3.5MM CORT AND 4MM CANC BNE SCR,49.56,49.56,,,0
CDM,27800002,10CC ANTIBIOTIC CASO4 IMPLANT,3780.0,3780.0,,,0
CDM,27800002,10CC HYDROSET INJECTABLE CEMENT,7322.26,7322.26,,,0
CDM,27800002,10MM SCREW,304.32,304.32,,,0
CDM,27800002,112265 : SCREW SPNL 3.6X14MM ANT CERV VA ST TI TOP LD COALITION,180.0,180.0,,,0
CDM,27800002,112298 : SCREW BNE 2.4X11MM CORT T8 STARDRV RECESS ST SS,129.58,129.58,,,0
CDM,27800002,112591 : 5.0MM CANNULATED SCREW 105MM,736.2,736.2,,,0
CDM,27800002,112669 : CANNULATED LOCKING SCREW 7.3MM  100MM,981.0,981.0,,,0
CDM,27800002,112677 : 3.5MM EXTRA-ARTICLR 10HRIGHT,3260.16,3260.16,,,0
CDM,27800002,112853 : PLATE BNE CNTR H O SHP 24MM PEDIPLATES FOR 4.5MM SCR,1178.22,1178.22,,,0
CDM,27800002,113500 : TRAY KYPHOPLASTY 15-3 IBT 11GA BNE ACCS NDL OSTEO INTRO SYS,6155.74,6155.74,,,0
CDM,27800002,113502 : SCREW SPNL 3.6X14MM VA SLF DRL COALITION,180.0,180.0,,,0
CDM,27800002,11373 : SCREW INTFR L20MM DIA7MM CANN W- SHTH,299.52,299.52,,,0
CDM,27800002,11380 : SCREW INTFR L20MM DIA8MM CANN CLR PLAS SHTH W- DAM,299.52,299.52,,,0
CDM,27800002,11382 : SCREW INTFR L25MM DIA8MM CANN CLR PLAS SHTH W- DAM,299.52,299.52,,,0
CDM,27800002,11386 : SCREW CANNULATED INTERFERENCE WITH DISPOSABLE SHEATH 9 X 20,299.52,299.52,,,0
CDM,27800002,113903 : PLATE RECON 12 HOLE 2.5MM THICK,1944.96,1944.96,,,0
CDM,27800002,114021 : SCREW BNE 7.3X90MM HEX DRV RECESS CANN LOK SS LCP PERIARTC,963.0,963.0,,,0
CDM,27800002,114748 : SCREW BNE 3.5X46MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
CDM,27800002,114932 : CANNULATED SCREW 7100-6290S,461.57,461.57,,,0
CDM,27800002,114933 : 3.2 X 450MM GUIDEPIN 7193-3167,966.6,966.6,,,0
CDM,27800002,116919 : SCREW CANNULATED 6.5 X 80MM,461.57,461.57,,,0
CDM,27800002,117559 : PLATE ABRASIVE BURR 42MM STRYKER,948.5,948.5,,,0
CDM,27800002,119282 : SCREW BNE 2.4X10MM MAND CORT FT ST TI MATRIXMANDIBLE,191.04,191.04,,,0
CDM,27800002,119284 : SCREW BNE 1.5X4MM CRSS CORT CROSSED HD FT SLF DRL TI,163.25,163.25,,,0
CDM,27800002,119399 : PLATE BNE SUP MIDSHAFT CLAV L 8 H STR NAR PROF ACU-SINCH,4332.0,4332.0,,,0
CDM,27800002,119901 : SCREW BNE 2.1X6MM EMGCY CMF CORT FT ST TI MATRIXORTHOGNATHIC,163.25,163.25,,,0
CDM,27800002,119972 : SCREW BNE 1.85X5MM CMF SLF DRL TI MATRIXORTHOGNATHIC,163.25,163.25,,,0
CDM,27800002,12 HOLE 1/3 TUBULAR PLATE 142MM,124.32,124.32,,,0
CDM,27800002,12 HOLE POSTEROLATERAL DISTAL HUMERUS PLATE,2798.4,2798.4,,,0
CDM,27800002,120641 : SCREW 6.5 X 55MM 71106755S,445.82,445.82,,,0
CDM,27800002,120858 : SCREW SPNL 4.2X14MM VA SLF DRL TI XTEND ANT CERV PLT SYS,180.0,180.0,,,0
CDM,27800002,120859 : PLATE SPNL L28MM ANT CERV TI ALLY LEV 2 XTEND,1200.0,1200.0,,,0
CDM,27800002,120873 : PLATE BNE 8 H 1-3 TBLR W- CLLR 97MM SS SM FRAG SYS FOR 3.5MM,637.2,637.2,,,0
CDM,27800002,121094 : PLATE SPNL L30MM ANT CERV TI ALLY LEV 2 XTEND,1200.0,1200.0,,,0
CDM,27800002,121163 : PLATE SPNL L16MM ANT CERV TI ALLY LEV 1 XTEND,1200.0,1200.0,,,0
CDM,27800002,121164 : SCREW SPNL L16MM DIA4.2MM ANT CERV TI ALLY SLF DRL VA XTEND,180.0,180.0,,,0
CDM,27800002,121451 : SCREW BNE 2X12MM MAND CORT FT ST TI MATRIXMANDIBLE 1-PK,132.48,132.48,,,0
CDM,27800002,121453 : SCREW BNE 2.4X6MM MAND CORT FT NONLOCKING ST TI ALLY SELF,191.04,191.04,,,0
CDM,27800002,121512 : SCREW BNE 3.5X44MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
CDM,27800002,121566 : PLATE BNE TIB MED PROX R 6 H 119MM SS SM FRAG LCP SYS,3224.06,3224.06,,,0
CDM,27800002,122705 : SCREW BNE 3.5X35MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
CDM,27800002,1229 : SCREW BNE 4X40MM CANC HEX DRV RECESS PRTLY THRD SS SM FRAG,94.18,94.18,,,0
CDM,27800002,1230 : SCREW 4.0MM CANCELLOUS BONE PARTIALLY THREADED 45MM 207.045,94.18,94.18,,,0
CDM,27800002,123094 : SCREW BNE MIC 2.5X2.8X20MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
CDM,27800002,123244 : SCREW BNE 3.5MM X 10MM DST VOLAR RAD CORT FT FOR DVR ANAT,151.2,151.2,,,0
CDM,27800002,124013 : SCREW BNE 2.7X14MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,285.12,285.12,,,0
CDM,27800002,124045 : PIN DSTRCTR 14MM YEL TI 3 FLUT SLF DRL LSR ENGRAVED FOR ACF,57.6,57.6,,,0
CDM,27800002,124047 : COUPLER ANAS 1MM VES 0.8-1.2MM POLYETH SS PIN DISP GEM,838.0,838.0,,,0
CDM,27800002,125436 : PLATE SPNL L34MM ANT CERV TI ALLY LEV 2 XTEND,1200.0,1200.0,,,0
CDM,27800002,125462 : PLATE BNE HUM X-ARTC DST R 8 H 194MM SS LCP FOR 3.5MM SCR,3081.22,3081.22,,,0
CDM,27800002,126270 : ARTHREX PASSPORT BUTTON CANNULA  8 MM ID X 4 CM,83.47,83.47,,,0
CDM,27800002,126336 : PLATE BNE CMF MAX L PREBENT 4MM THCK 0.8MM TI,822.62,822.62,,,0
CDM,27800002,126342 : PLATE BNE MAXILLOFACIAL R PREBENT 6MM THCK 0.8MM OFFSET TI,822.62,822.62,,,0
CDM,27800002,126364 : SCREW BNE 1.85X6MM MAND FT SLF DRL TI MATRIXORTHOGNATHIC,163.25,163.25,,,0
CDM,27800002,127785 : PLATE BNE CLAV SUP R 7 H 100MM SS LCP FOR 3.5MM SCR,3794.4,3794.4,,,0
CDM,27800002,128252 : 3.0MM X 10MM NON-LOCKING HEXALOBE SCREW,249.6,249.6,,,0
CDM,27800002,128254 : 3.0MM X 12MM NON-LOCKING HEXALOBE SCREW,249.6,249.6,,,0
CDM,27800002,128256 : 3.0MM X 14MM NON-LOCKING HEXALOBE SCREW,249.6,249.6,,,0
CDM,27800002,128258 : 3.0MM X 16MM NON-LOCKING HEXALOBE SCREW,249.6,249.6,,,0
CDM,27800002,128260 : 3.0MM X 18MM NON-LOCKING HEXALOBE SCREW,249.6,249.6,,,0
CDM,27800002,128297 : SCREW BNE 3.5X12MM HEXALOBE WRST LOK TI ACU-LOC,494.4,494.4,,,0
CDM,27800002,128298 : SCREW BNE L12MM DIA3.5MM NONLOCKING HEXALOBE EL PLATING SYS,249.6,249.6,,,0
CDM,27800002,128300 : 3.5MM X 14MM LOCKING HEXALOBE SCREW,494.4,494.4,,,0
CDM,27800002,128834 : ENDOBUTTON 10MM CL 72203331,766.8,766.8,,,0
CDM,27800002,129228 : FORTIFY-R 14MM UPPER ENDPLATE 14X16MM FOOTPRINT 0,840.0,840.0,,,0
CDM,27800002,129231 : FORTIFY-R 14MM LOWER ENDPLATE 14X16MM FOOTPRINT 0,840.0,840.0,,,0
CDM,27800002,129863 : PLATE BNE CMF 2 H STR 12MM TI CRAN PLATING SYS MATRIXNEURO,74.3,74.3,,,0
CDM,27800002,129865 : PLATE BNE CMF 4 H BX 14X14MM TI CRAN PLATING SYS MATRIXNEURO,269.57,269.57,,,0
CDM,27800002,129867 : PLATE BNE CMF 6 H DBL Y PLT 18MM TI CRAN PLATING SYS,269.57,269.57,,,0
CDM,27800002,129868 : PLATE BNE CMF 6 H DBL Y PLT 21MM TI CRAN PLATING SYS,269.57,269.57,,,0
CDM,27800002,129870 : PLATE BNE CMF 4 H 10X16MM TI CRAN PLATING SYS MATRIXNEURO,257.47,257.47,,,0
CDM,27800002,129871 : PLATE BNE CRAN 2 X 3 H STRUT 14MM X 24MM THCK 0.4MM TI,467.14,467.14,,,0
CDM,27800002,129884 : ANCHOR FOOTPRINT 4.5 ULTRA PK,766.8,766.8,,,0
CDM,27800002,13.0MM O.D. WASHER,44.93,44.93,,,0
CDM,27800002,130 DEG DHS PLATESTD BARREL 3 HOLES62MMSTERILE,2311.2,2311.2,,,0
CDM,27800002,130459 : GRAFT BNE SUB DBM 2.5MM X 5CM ALLGRFT GRFT,2640.0,2640.0,,,0
CDM,27800002,130532 : SCREW BNE L14.5MM DIA8MM CORT TI CANN NONLOCKING COMPR,514.8,514.8,,,0
CDM,27800002,1306 : SCREW BNE 4X12MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
CDM,27800002,130668 : CONNECTOR SPNL TI INLINE FOR 5.5X5.5-6.35MM INTEGR ROD,1860.0,1860.0,,,0
CDM,27800002,1307 : SCREW BNE 4X14MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
CDM,27800002,130754 : SMARTLOCK HMMF PLATE,878.16,878.16,,,0
CDM,27800002,1309 : SCREW BNE 4X18MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
CDM,27800002,131934 : SMARTLOCK HMMF SCR2.0X8MM,379.49,379.49,,,0
CDM,27800002,1348 : K-WIRE .045 IN. (1.1 MM) DIAMETER 4 IN. (102 MM) LENGTH STYL,16.72,16.72,,,0
CDM,27800002,135 DEG DHS PLATESTD BARREL 3 HOLES62MMSTERILE,1776.19,1776.19,,,0
CDM,27800002,135248 : WASHER ORTH DIA3.5MM CORT DST FBLR EL LP FOR FRAC SYS ALPS,117.6,117.6,,,0
CDM,27800002,135275 : OLECRANON PLATE SMALL  10 HOLE   79MM  10 HOLE   79MM,1504.8,1504.8,,,0
CDM,27800002,135277 : OLECRANON PLATE - RIGHT  17 HOLE   154MM  17 HOLE   154MM  A,1738.8,1738.8,,,0
CDM,27800002,135305 : SCREW BNE L20MM DIA3.5MM CORT DST TIB TIM ST NONLOCKING FT,109.2,109.2,,,0
CDM,27800002,135306 : SCREW BNE 3.5X22MM DST TIB CORT LOK ST T15 DRV ALPS,109.2,109.2,,,0
CDM,27800002,135307 : SCREW BNE 3.5X24MM DST TIB CORT LOK ST T15 DRV ALPS,109.2,109.2,,,0
CDM,27800002,135311 : SCREW BNE L32MM DIA3.5MM CORT DST TIB TIM ST NONLOCKING FT,109.2,109.2,,,0
CDM,27800002,135312 : LOW PROFILE CORTICAL SCREW  3.5MM X 34MM  3.5MM X 34MM,109.44,109.44,,,0
CDM,27800002,135313 : LOW PROFILE CORTICAL SCREW  3.5MM X 36MM  3.5MM X 36MM,109.44,109.44,,,0
CDM,27800002,135314 : SCREW BNE L38MM OD3.5MM ST NONLOCKING THRD SQ DRV LP TAPR,109.2,109.2,,,0
CDM,27800002,135316 : LOW PROFILE CORTICAL SCREW  3.5MM X 42MM  3.5MM X 42MM,109.2,109.2,,,0
CDM,27800002,135317 : LOW PROFILE CORTICAL SCREW  3.5MM X 44MM  3.5MM X 44MM,109.2,109.2,,,0
CDM,27800002,135323 : LOW PROFILE CORTICAL SCREW  3.5MM X 65MM  3.5MM X 65MM,109.2,109.2,,,0
CDM,27800002,135324 : LOW PROFILE CORTICAL SCREW  3.5MM X 70MM  3.5MM X 70MM,109.2,109.2,,,0
CDM,27800002,135325 : LOW PROFILE CORTICAL SCREW  3.5MM X 75MM  3.5MM X 75MM,109.44,109.44,,,0
CDM,27800002,135328 : SCREW BNE L14MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,218.88,218.88,,,0
CDM,27800002,135329 : SCREW BNE L16MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,218.88,218.88,,,0
CDM,27800002,135330 : SCREW BNE L18MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,218.88,218.88,,,0
CDM,27800002,135331 : SCREW BNE L20MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,218.88,218.88,,,0
CDM,27800002,135333 : SCREW BNE 3.5X24MM DST TIB CORT FT LOK ALPS,226.8,226.8,,,0
CDM,27800002,135334 : SCREW BNE L26MM DIA3.5MM STD CORT TI ST NONCANN FT LOK SM,226.8,226.8,,,0
CDM,27800002,135335 : SCREW BNE 3.5MM X 28MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
CDM,27800002,135336 : SCREW BNE 3.5MM X 30MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
CDM,27800002,135338 : SCREW BNE L34MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,135339 : SCREW BNE L36MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,135340 : SCREW BNE L38MM DIA3.5MM CORT DST TIB ST LOK FT TAPR HD T15,226.8,226.8,,,0
CDM,27800002,135341 : SCREW BNE L40MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,226.8,226.8,,,0
CDM,27800002,135342 : SCREW BNE L42MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,135343 : SCREW BNE L44MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,135344 : SCREW BNE 3.5MM X 46MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
CDM,27800002,135345 : SCREW BNE L48MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,135347 : SCREW BNE L52MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,135351 : LOCKING CORTICAL SCREW  3.5MM X 60MM  3.5MM X 60MM,226.8,226.8,,,0
CDM,27800002,135353 : LOCKING CORTICAL SCREW  3.5MM X 70MM  3.5MM X 70MM,226.8,226.8,,,0
CDM,27800002,135401 : IMPLANT VBR 12MM LO ENDPLATE 12X14MM  3.5DEG FORTIFY,840.0,840.0,,,0
CDM,27800002,135491 : SCREW BNE 1.5X3MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
CDM,27800002,135551 : SET SCR SPNL 5.5X6MM TI BRK OFF FOR CDH SOLERA SYS,108.0,108.0,,,0
CDM,27800002,135645 : ENDPLATE SPNL DISK L12MM 15X18MM  7DEG VERT BODY REPL LORD,840.0,840.0,,,0
CDM,27800002,135678 : EXTRACTOR SUR FOR BNE SCR REM INBONE II,295.2,295.2,,,0
CDM,27800002,135781 : SCREW 3.5MM CANNULATED PARTIALLY THREADED 28MM 205.028,352.87,352.87,,,0
CDM,27800002,135834 : SCREW SPNL 6.5X40MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
CDM,27800002,135961 : SCREW BNE PED 3.5X16MM PROX DST FEM TIB CORT T15 HEXALOBE ST,118.57,118.57,,,0
CDM,27800002,135991 : FORTIFY 12MM UPPER ENDPLATE 14X16MM 3.5,840.0,840.0,,,0
CDM,27800002,135993 : ENDPLATE SPNL DISK L12MM 14X16MM  3.5DEG VERT BODY REPL LORD,840.0,840.0,,,0
CDM,27800002,136161 : SCREW SPNL 6X45MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
CDM,27800002,136992 : PLATE BNE WRST 11 H STR 170MM SS LP LCP FOR 2.4MM SCR,3870.72,3870.72,,,0
CDM,27800002,137214 : SCREW BNE 4.5X24MM CANN FT SS LP PEDIPLATES,577.71,577.71,,,0
CDM,27800002,137229 : SCREW BNE 2.7X40MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,285.12,285.12,,,0
CDM,27800002,137337 : NAIL IM L380MM OD11MM 120DEG LNG TI R FEM R1.5 GAM3,3460.8,3460.8,,,0
CDM,27800002,137378 : SCREW 3.5MM CANNULATED FULLY THREADED 46MM 205.246,364.7,364.7,,,0
CDM,27800002,137389 : SCREW BNE 1.5X5MM CORT FT SLF DRL TI MATRIXMIDFACE,163.25,163.25,,,0
CDM,27800002,137415 : NAIL IM L400MM OD11MM 120DEG LNG TI R FEM R1.5 GAM3,3460.8,3460.8,,,0
CDM,27800002,137548 : PLATE HUMEROUS 3.5 6 HOLE RGT 158MM,2902.27,2902.27,,,0
CDM,27800002,137692 : SCREW BNE MIC 2.5X2.8X24MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
CDM,27800002,137694 : SCREW BNE MIC 2.5X2.8X28MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
CDM,27800002,137695 : SCREW BNE MIC 2.5X2.8X30MM COMPR HDLSS FT ST TAPR END ACUTRK,1569.6,1569.6,,,0
CDM,27800002,138032 : SCREW SPNL 5.5X40MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
CDM,27800002,138111 : ENDPLATE SPNL 12MM UP 14X16MM  0DEG NO SPIK ADJ CRPCTMY,840.0,840.0,,,0
CDM,27800002,138132 : ANCHOR SUT W- 2 SZ 0 ULTRABRAID SUT AND NDL,604.8,604.8,,,0
CDM,27800002,138133 : GUIDE DRL DIA2.6MM FOR RAPTORMITE 3MM SUT ANCHR,194.4,194.4,,,0
CDM,27800002,138208 : ENDPLATE SPNL  15MM X 18MM X 12MM 0 DEG UP FORTIFY,840.0,840.0,,,0
CDM,27800002,138283 : SCREW BNE 2.7X22MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,285.12,285.12,,,0
CDM,27800002,138387 : 5.5 TI CORT FIX 5X45MM,2337.0,2337.0,,,0
CDM,27800002,138536 : SCREW BNE 2.7X18MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,138538 : WIRE COMPR 1.6MM THRD 15MM FOREFOOT MIDFOOT SYS,165.6,165.6,,,0
CDM,27800002,138860 : SET SCR SPNL 6 35MM THRD 1-4-32IN TI BRK OFF CDH SOLERA,108.0,108.0,,,0
CDM,27800002,138896 : SCREW 3.0MM HEADLESS COMPRESSION SHORT THREAD 40MM,636.14,636.14,,,0
CDM,27800002,138907 : CANNULA ENDOSCP L2CM DIA10MM PASSPRT BTTN,83.47,83.47,,,0
CDM,27800002,138974 : ANCHOR SUT L19.1MM DIA4.75MM PEEK TWST IN KNTLSS W- FOR RCR,975.0,975.0,,,0
CDM,27800002,139012 : SCREW BNE 2.7X20MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,285.12,285.12,,,0
CDM,27800002,139047 : SCREW BNE 2.7X16MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,139275 : SCREW BNE 2X12MM MAND CORT FT LOK ST TI MATRIXMANDIBLE 1-PK,246.72,246.72,,,0
CDM,27800002,139326 : PLATE BNE TIB MED PROX L 6 H 119MM SS SM FRAG LCP SYS,3224.06,3224.06,,,0
CDM,27800002,139495 : SCREW VA 3.5 LOCK  02.127.165,368.76,368.76,,,0
CDM,27800002,139496 : SCREW VA 3.5 LOCK  02.127.170,368.76,368.76,,,0
CDM,27800002,139597 : GRAFT BNE PTTY 1CC ALLGRFT FD DBM GRFT,352.8,352.8,,,0
CDM,27800002,139603 : GRAFT BNE PTTY 5CC ALLGRFT FD DBM GRFT,1200.0,1200.0,,,0
CDM,27800002,139608 : GRAFT BNE PTTY 10CC ALLGRFT FD DBM GRFT,1896.0,1896.0,,,0
CDM,27800002,139810 : ENDPLATE SPNL DISK L12MM 14X16MM  7DEG VERT BODY REPL LORD,840.0,840.0,,,0
CDM,27800002,139964 : SCREW BNE 2.7X16MM CORT ST SELF RET T8 MINI PLATING SYS EVOS,84.0,84.0,,,0
CDM,27800002,139974 : SCREW BNE 2.7X14MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,139980 : SCREW BNE 2.7X20MM CORT ST T8 SELF RET FOR MINI PLATING SYS,84.0,84.0,,,0
CDM,27800002,139992 : SCREW BNE 2.7X28MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,139999 : SCREW BNE L11MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,14.0MM MICRO ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
CDM,27800002,140466 : SCREW BNE 2.7X12MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,140467 : SCREW BNE 2.7X14MM COR DIA2MM PITCH 1MM HD 4.3MM LOK ST T8,260.4,260.4,,,0
CDM,27800002,140472 : SCREW BNE L26MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,140474 : SCREW BNE L38MM THRD DIA2.4MM HD DIA3.8MM COR DIA1.6MM PITCH,79.8,79.8,,,0
CDM,27800002,140479 : SCREW EVOS 2.4 X 12MM CTX T7 S-T,79.8,79.8,,,0
CDM,27800002,140480 : SCREW BNE L16MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,142430 : EVOS 2.0MM X 22MM CTX SCR T6 S-T,75.6,75.6,,,0
CDM,27800002,142449 : SCREW BNE L14MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,142453 : SCREW BNE L18MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,142461 : SCREW BNE L28MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,142464 : SCREW BNE L34MM DIA2.4MM CORT ST T7 SELF RET FOR MINI,79.8,79.8,,,0
CDM,27800002,142467 : EVOS 2.4MM X 40MM CTX SCR T7 S-T,79.8,79.8,,,0
CDM,27800002,142476 : EVOS 2.4MM X 70MM CTX SCR T7 S-T,109.2,109.2,,,0
CDM,27800002,142483 : SCREW BNE 2.7X10MM CORT FT ST T8 DRV EVOS MINI PLATING SYS,84.0,84.0,,,0
CDM,27800002,142486 : SCREW BNE 2.7X13MM COR DIA2MM PITCH 1MM HD 4.5MM FT LOK ST,84.0,84.0,,,0
CDM,27800002,142488 : SCREW BNE L15MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,142491 : SCREW BNE 2.7X18MM ST CORT ST EVOS MINI PLATING SYS,84.0,84.0,,,0
CDM,27800002,142492 : SCREW BNE 2.7X19MM ST CORT ST EVOS MINI PLATING SYS,84.0,84.0,,,0
CDM,27800002,142495 : SCREW BNE 2.7X22MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,142497 : SCREW BNE 2.7X24MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,142498 : SCREW BNE 2.7X26MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,142500 : SCREW BNE L30MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,142501 : SCREW BNE 2.7X32MM CORT ST SELF RET T8 MINI PLATING SYS EVOS,84.0,84.0,,,0
CDM,27800002,142502 : SCREW BNE L34MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,142503 : SCREW BNE L36MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,142504 : SCREW BNE L38MM DIA2.7MM ST CORT ST T8 SELF RET FOR MINI,84.0,84.0,,,0
CDM,27800002,142505 : SCREW BNE L40MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,142506 : SCREW BNE L42MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,142507 : SCREW BNE 2.7X44MM CORT ST MINI PLATING SYS EVOS,84.0,84.0,,,0
CDM,27800002,142508 : SCREW BNE L46MM DIA2.7MM CORT ST T8 SELF RET FOR MINI,84.0,84.0,,,0
CDM,27800002,142509 : SCREW BNE 2.7X48MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,142510 : SCREW BNE L50MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,142511 : SCREW BNE L55MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,142512 : SCREW BNE L60MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,142544 : EVOS 2.4MM X 6MM LCK SCR T7 S-T,256.2,256.2,,,0
CDM,27800002,142552 : EVOS 2.4MM X 14MM LCK SCR T7 S-T,256.2,256.2,,,0
CDM,27800002,142555 : EVOS 2.4MM X 17MM LCK SCR T7 S-T,256.2,256.2,,,0
CDM,27800002,142556 : EVOS 2.4MM X 18MM LCK SCR T7 S-T,256.2,256.2,,,0
CDM,27800002,142563 : SCREW BNE L26MM DIA2.4MM ST WRST SS ST LOK T7 EVOS,256.2,256.2,,,0
CDM,27800002,142585 : EVOS 2.7MM X 9MM LCK SCR T8 S-T,260.4,260.4,,,0
CDM,27800002,142586 : SCREW BNE 2.7X10MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
CDM,27800002,142587 : EVOS 2.7MM X 11MM LCK SCR T8 S-T,260.4,260.4,,,0
CDM,27800002,142588 : SCREW BNE 2.7X12MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
CDM,27800002,142589 : SCREW BNE 2.7X13MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
CDM,27800002,142591 : SCREW BNE 2.7X15MM LOK ST T8 DRV SM PLATING SYS EVOS,260.4,260.4,,,0
CDM,27800002,142592 : SCREW BNE 2.7X16MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
CDM,27800002,142594 : SCREW BNE 2.7X18MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
CDM,27800002,142595 : EVOS 2.7MM X 19MM LCK SCR T8 S-T,260.4,260.4,,,0
CDM,27800002,142596 : SCREW BNE 2.7X20MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
CDM,27800002,142598 : SCREW BNE 2.7MM X 22MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
CDM,27800002,142600 : SCREW BNE 2.7MM X 24MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
CDM,27800002,142601 : SCREW BNE 2.7MM X 26MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
CDM,27800002,142603 : SCREW BNE 2.7MM X 30MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
CDM,27800002,142605 : SCREW BNE 2.7MM X 34MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
CDM,27800002,142607 : SCREW BNE 2.7MM X 38MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
CDM,27800002,142608 : SCREW BNE 2.7X40MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
CDM,27800002,142609 : SCREW BNE 2.7X42MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
CDM,27800002,142611 : SCREW BNE 2.7MM X 46MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
CDM,27800002,142614 : EVOS 2.7MM X 55MM LCK SCR T8 S-T,260.4,260.4,,,0
CDM,27800002,142615 : EVOS 2.7MM X 60MM LCK SCR T8 S-T,260.4,260.4,,,0
CDM,27800002,142648 : EVOS 4.0MM X 12MM OST SCR T8 FT,193.2,193.2,,,0
CDM,27800002,142649 : EVOS 4.0MM X 14MM OST SCR T8 FT,193.2,193.2,,,0
CDM,27800002,142676 : SCREW BNE L30MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
CDM,27800002,142677 : SCREW BNE L32MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
CDM,27800002,142678 : SCREW BNE L34MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
CDM,27800002,142679 : SCREW BNE L36MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
CDM,27800002,142688 : EVOS 4.0MM X 60MM OST SCR T8 PT,193.2,193.2,,,0
CDM,27800002,142711 : WASHER ORTH DIA7MM FOR 2.7MM SCR,75.6,75.6,,,0
CDM,27800002,142713 : EVOS 2.4MM T-PLATE 2 HOLE HD 8 HOLE SFT,1596.0,1596.0,,,0
CDM,27800002,142721 : EVOS 2.4MM STRENGTH PLATE 4 HOLE,1638.0,1638.0,,,0
CDM,27800002,142725 : EVOS 2.4MM STRENGTH PLATE 20 HOLE,1638.0,1638.0,,,0
CDM,27800002,142735 : PLATE BNE 3 X 5 H T 42MM THCK 1.4MM EVOS MINI PLATING SYS,1764.0,1764.0,,,0
CDM,27800002,142739 : EVOS 2.7MM FLEX PLATE 8 HOLE,1806.0,1806.0,,,0
CDM,27800002,142751 : PLATE BNE MINI 5 H Y TINE ST 7.5X52MM VA LOK SS LP FOR 2.7MM,2268.0,2268.0,,,0
CDM,27800002,142798 : SCREW SPNL 6.5X45MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
CDM,27800002,142799 : SCREW SPNL 6.5X50MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
CDM,27800002,143777 : SCREW BNE 3.5X50MM HEX DRV RECESS CANN FT SS,364.7,364.7,,,0
CDM,27800002,143811 : SCREW VA LOCK 3.5 X 80,368.76,368.76,,,0
CDM,27800002,143960 : PEG BNE FIX L16MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
CDM,27800002,143970 : PEG BNE FIX L18MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
CDM,27800002,144543 : ANCHOR SUT L19.1MM DIA5.5MM PEEK TWST IN KNTLSS FOR RCR,975.0,975.0,,,0
CDM,27800002,144647 : PLATE BNE MAXILLOMANDIBULAR 10 H SHT TI MAND PLATING SYS,568.32,568.32,,,0
CDM,27800002,144690 : SUBSTITUTE BNE GRFT 5ML CRUNCH BIOACTIVE SIGNIFY,1404.0,1404.0,,,0
CDM,27800002,144691 : SUBSTITUTE BNE GRFT 10ML SIGNIFY CRUNCH BIOACTIVE,2676.0,2676.0,,,0
CDM,27800002,144692 : GRAFT BNE SUB W25XH8XL50MM 10CC STRP BIOACTIVE BIOLOGIC,3120.0,3120.0,,,0
CDM,27800002,144695 : GRAFT BNE SUB 5ML PTTY BIOLOGIC SPINE SURG BIOACTIVE KINEX,1680.0,1680.0,,,0
CDM,27800002,145026 : WIRE COMPR 1.6MM THRD 20MM FOREFOOT MIDFOOT SYS,93.6,93.6,,,0
CDM,27800002,145542 : K WRE FIX L150MM DIA1.6MM THRD L25MM TI PARTIALLY THRD,93.6,93.6,,,0
CDM,27800002,145543 : SCREW BNE 2.7X44MM CORT T8 STARDRV RECESS FT ST SS,94.18,94.18,,,0
CDM,27800002,145552 : SCREW BNE 2X14MM ST TI MATRIXMANDIBLE,132.48,132.48,,,0
CDM,27800002,145558 : 5.5 TI CORT FIX 7X55MM,2337.0,2337.0,,,0
CDM,27800002,145559 : SCREW SPNL 7X50MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
CDM,27800002,145758 : SCREW MATRX MAND  2 X 5MM,246.72,246.72,,,0
CDM,27800002,145761 : ENDPLATE SPNL  12MM X 14MM X 12MM 0 DEG UP FORTIFY,840.0,840.0,,,0
CDM,27800002,146115 : SCREW  CORT S-T 3.5 X 30MM,118.57,118.57,,,0
CDM,27800002,147239 : PLATE BNE RAD DST L MINI 24X43MM CROSSLOCK TI LP DVR ANAT,1503.6,1503.6,,,0
CDM,27800002,147241 : PLATE BNE W22XL51MM 12 H L DST RAD TI LOK COMPR LP NAR RIG,1503.6,1503.6,,,0
CDM,27800002,147242 : PLATE BNE W24XL51MM 12 H R DST VOLAR RAD WRST STD LOK,1503.6,1503.6,,,0
CDM,27800002,147246 : PLATE BNE W24XL62MM 12 H R DST RAD TI LOK COMPR LP NAR RIG,1688.4,1688.4,,,0
CDM,27800002,147247 : PLATE BNE RAD DST L MD 24X62MM CROSSLOCK TI LP DVR ANAT,1688.4,1688.4,,,0
CDM,27800002,147248 : PLATE BNE R DST RAD LNG 12 H 24X85MM COMPR LOK TI LP,1814.4,1814.4,,,0
CDM,27800002,147254 : SMOOTH PEG  2.2MM X 20MM  2.2MM X 20MM,184.8,184.8,,,0
CDM,27800002,147409 : SCREW BNE L13MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
CDM,27800002,147411 : SCREW BNE L15MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
CDM,27800002,147412 : SCREW BNE L16MM DIA2.7MM DST VOLAR RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,147413 : SCREW BNE L18MM DIA2.7MM DST VOLAR RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,147414 : SCREW BNE L20MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,147415 : SCREW BNE L22MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,147418 : SCREW BNE L28MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,147424 : SCREW BNE L12MM DIA2.7MM DST VOLAR RAD LOK FT SQ DRV HD LP,184.8,184.8,,,0
CDM,27800002,147427 : SCREW BNE L15MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,147430 : SCREW BNE L20MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,147431 : SCREW BNE L22MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,147443 : MULTI-DIRECTIONAL SCREW  2.7MM X 15MM  2.7MM X 15MM,235.2,235.2,,,0
CDM,27800002,147444 : MULTI-DIRECTIONAL SCREW  2.7MM X 16MM  2.7MM X 16MM,235.2,235.2,,,0
CDM,27800002,147445 : SCREW BNE L18MM DIA2.7MM DST VOLAR RAD MULTDIR FT SQ DRV HD,264.48,264.48,,,0
CDM,27800002,147446 : SCREW BNE L20MM DIA2.7MM DST VOLAR RAD MULTDIR FT SQ DRV HD,235.2,235.2,,,0
CDM,27800002,147641 : SCREW SPNL 3.6X16MM VA SLF DRL COALITION,180.0,180.0,,,0
CDM,27800002,147993 : ANCHOR SUT PSHLCK L12.5MM DIA2.9MM SHT SHLDR BIOCOMPOSITE,1040.52,1040.52,,,0
CDM,27800002,149013 : SCREW BNE 2.4X12MM MAND FT LOK ST SELF RET TI ALLY DRV,304.32,304.32,,,0
CDM,27800002,149044 : PLATE BNE 3 H R DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,1994.4,1994.4,,,0
CDM,27800002,149045 : PLATE BNE 3 H L DST VOLAR RAD TI NAR GEMINUS,1994.4,1994.4,,,0
CDM,27800002,149046 : PEG BNE FIX L16MM DIA2MM DST RAD TI SMTH FOR VOLAR PLATING,220.8,220.8,,,0
CDM,27800002,149047 : PEG BNE FIX L18MM DIA2MM DST RAD TI OPT 2 LOK SMTH GEMINUS,220.8,220.8,,,0
CDM,27800002,149053 : THREADED PEG NON-LOCKING 2.7MM X 12MM,216.0,216.0,,,0
CDM,27800002,149054 : THREADED PEG NON-LOCKING 2.7MM X 14MM,216.0,216.0,,,0
CDM,27800002,149056 : SCREW BNE 2.5X20MM DST RAD VOLAR POLYAX CANN LOK COCR,362.4,362.4,,,0
CDM,27800002,149058 : SCREW BNE L10MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
CDM,27800002,149059 : SCREW BNE L11MM DIA3.5MM CORT DST VOLAR RAD TI NONLOCKING FT,216.0,216.0,,,0
CDM,27800002,149060 : SCREW BNE L12MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
CDM,27800002,149061 : SCREW BNE L13MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
CDM,27800002,149062 : SCREW BNE L14MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
CDM,27800002,149085 : PLATE BNE 3 H R DST VOLAR RAD TI NAR GEMINUS,1994.4,1994.4,,,0
CDM,27800002,149114 : SCREW BNE 3.5X10MM DST RAD CORT LOK TI GEMINUS,218.4,218.4,,,0
CDM,27800002,149116 : PLATE BNE 3 H L DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,1994.4,1994.4,,,0
CDM,27800002,149117 : PEG BNE FIX L20MM DIA2MM DST RAD TI SMTH FOR VOLAR PLATING,220.8,220.8,,,0
CDM,27800002,150055 : GRAFT BNE SUB 25X50X4MM 5ML STRP BIOLOGIC SPINE SURG,1680.0,1680.0,,,0
CDM,27800002,150095 : SCREW SLF -DRL 4MM,91.01,91.01,,,0
CDM,27800002,150097 : SCREW BNE 2X16MM MAND CORT FT NONLOCKING ST SELF RET TI ALLY,132.48,132.48,,,0
CDM,27800002,150209 : SCREW SPNL 6X40MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
CDM,27800002,150219 : SCREW BNE 2X14MM MAND CORT FT LOK ST TI MATRIXMANDIBLE 1-PK,246.72,246.72,,,0
CDM,27800002,150230 : SCREW LCKCORT HEX 3.5MM,447.72,447.72,,,0
CDM,27800002,150235 : SCREW LCK CORT HEX 3.5X36MM,447.72,447.72,,,0
CDM,27800002,150238 : SCREW S-T CORT  HEX 3.5X26MM,118.57,118.57,,,0
CDM,27800002,150346 : SCREW CORTICAL LOCKING 3.5MM X 11MM,218.4,218.4,,,0
CDM,27800002,150347 : SCREW CORTICAL LOCKING 3.5MM X 14MM,218.4,218.4,,,0
CDM,27800002,150420 : FORTIFY 12MM UPPER ENDPLATE 15X18MM FOOTPRINT 3.5,840.0,840.0,,,0
CDM,27800002,150589 : SCREW SPNL 6X50MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
CDM,27800002,150599 : SCREW BNE L20MM DIA4.3MM DST PUR AEQUALIS,475.2,475.2,,,0
CDM,27800002,150602 : SCREW BNE L36MM DIA5MM PROX G CANN AEQUALIS,616.8,616.8,,,0
CDM,27800002,151036 : WAY POINT ANCHORS,194.4,194.4,,,0
CDM,27800002,151108 : PLATE BNE DST VOLAR RAD R 4 H NAR TI GEMINUS,2020.8,2020.8,,,0
CDM,27800002,151282 : ANCHOR SUT HIP KNTLSS FIX SPEEDLOCK,972.0,972.0,,,0
CDM,27800002,156296 : PLATE BNE CRAN 2 H STR 12MM THCK 0.3MM TI ULT LP MATRIXNEURO,79.49,79.49,,,0
CDM,27800002,156298 : PLATE BNE CRAN BX 10MM X 16MM THCK 0.3MM TI ULT LP,277.63,277.63,,,0
CDM,27800002,15717 : PLATE BNE 6 H 1-3 TBLR W- CLLR 73MM SS SM FRAG SYS FOR 3.5MM,347.64,347.64,,,0
CDM,27800002,15718 : PLATE BNE 7 H 1-3 TBLR W- CLLR 85MM SS SM FRAG SYS FOR 3.5MM,613.8,613.8,,,0
CDM,27800002,15753 : SCREW BNE 36MM COMPR SS DH-DC SYS,162.0,162.0,,,0
CDM,27800002,159025 : SCREW BNE 2X9MM NONLOCKING TI MAXDRIVE,96.0,96.0,,,0
CDM,27800002,159028 : THREADED PEG LOCKING 2.3MM X 10MM,237.6,237.6,,,0
CDM,27800002,159030 : PEG BNE FIX L20MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
CDM,27800002,159033 : THREADED PEG LOCKING 2.3MM X 22MM,237.6,237.6,,,0
CDM,27800002,159060 : SCREW SPNL 7X45MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
CDM,27800002,159067 : CONNECTOR SPNL L48-60MM DIA5.5MM THORLUM SNAP,960.0,960.0,,,0
CDM,27800002,159159 : 2.7MM LCP PLATE 5 HOLES49MM,1445.4,1445.4,,,0
CDM,27800002,159312 : SCREW BNE L12MM DIA3.5MM CORT DST VOLAR RAD TI LOK FT,218.4,218.4,,,0
CDM,27800002,159463 : ANCHOR SUT L19.1MM DIA6.25MM SHLDR BIOCOMPOSITE SWIVELOCK,1067.04,1067.04,,,0
CDM,27800002,159779 : 1.2X4MM CROSS-PIN SELF DRILLING SCREW,176.93,176.93,,,0
CDM,27800002,15MM CONTINUOUS LOOP SUTUTRE ENDOBUTTON,624.24,624.24,,,0
CDM,27800002,16 HOLE STRAIGHT MINI PLATE,401.69,401.69,,,0
CDM,27800002,160247 : CONNECTOR SPNL L58-70MM DIA5.5MM LNG CRSS THORLUM CREO,960.0,960.0,,,0
CDM,27800002,160248 : ROD SPNL L65MM DIA5.5MM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800002,160296 : GUN BNE CEM DEL SZ 2 W- BNE FILL DEV FOR KYPHOPAK TY KYPHO,776.95,776.95,,,0
CDM,27800002,160297 : CARTRIDGE KYPHOPLASTY C8CC FOR CEM DEL SYS KYPHO,156.82,156.82,,,0
CDM,27800002,160298 : KIT KYPHOPLASTY FULL DOSE PMMA RADPQ HI VISC W-O ANTIBIO BNE,526.06,526.06,,,0
CDM,27800002,160322 : K WIRE FIX L229MM DIA1.1MM,2.63,2.63,,,0
CDM,27800002,160407 : SCREW SPNL 3.6X16MM ANT CERV VA ST TI TOP LD COALITION,180.0,180.0,,,0
CDM,27800002,161586 : SCRUNIII AXS SD1.5X5MM,143.52,143.52,,,0
CDM,27800002,161853 : PLATE BNE MIDFACE L MIC 4 H STR 17MM THCK 0.6MM TI LEVELONE,191.52,191.52,,,0
CDM,27800002,161856 : LEVEL ONE CMFPLATE MINI L SHP LEFT 2.0 MM SCREW2 X 2 HOLES 2,287.04,287.04,,,0
CDM,27800002,161864 : SCREW BNE 2X5MM NONLOCKING TI MAXDRIVE,96.0,96.0,,,0
CDM,27800002,161865 : SCREW BNE 2X11MM CMF TI-6AL-4V LEV 1 MAXDRIVE,96.0,96.0,,,0
CDM,27800002,161869 : LEVEL ONE CMFSCREW MAXDRIVE MMF DRILL FREE2.0 X 8 MM THD TTL,240.0,240.0,,,0
CDM,27800002,161870 : SCREW BNE 2X13MM CMF TI-6AL-4V LEV 1 MAXDRIVE,96.0,96.0,,,0
CDM,27800002,162444 : SPACER SPNL W50XH8-15MM D20MM 6DEG ELSA,20160.0,20160.0,,,0
CDM,27800002,162445 : SCREW SPNL 5.5X40MM ALIF VA SLF DRL TI INDPNDNC,336.0,336.0,,,0
CDM,27800002,162450 : PIN FIX 2.1X4MM PDLLA SONICPINS SONICWELD RX 5 PER PK,256.32,256.32,,,0
CDM,27800002,164402 : PLATE SPNL L51MM ANT CERV TI ALLY LEV 3 XTEND,1320.0,1320.0,,,0
CDM,27800002,164502 : SCREW SPNL 5.5X35MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,164504 : SCREW SPNL 6.5X40MM THORLUM CANN CREO AMP,840.0,840.0,,,0
CDM,27800002,164505 : SCREW SPNL 6.5X45MM THORLUM CANN CREO AMP,840.0,840.0,,,0
CDM,27800002,164506 : SCREW SPNL L50MM DIA6.5MM CANN MOD CREO,840.0,840.0,,,0
CDM,27800002,164627 : SCREW SPNL 4.2X18MM VA ST TI XTEND ANT CERV PLT SYS,180.0,180.0,,,0
CDM,27800002,164667 : RISE-L SPACER 18 X 45MM 7MM 3-15,10800.0,10800.0,,,0
CDM,27800002,164668 : SPACER SPNL W18XH7-14XL55MM 3-15DEG LAT LUM IF TI SELF EXPND,10800.0,10800.0,,,0
CDM,27800002,164671 : SPACER SPNL W18XH8-15XL45MM 6DEG LAT LUM IF TI SELF EXPND,10800.0,10800.0,,,0
CDM,27800002,164673 : SPACER SPNL W18XH8-15XL50MM 6DEG LAT LUM IF TI SELF EXPND,10800.0,10800.0,,,0
CDM,27800002,164890 : GRAFT BNE SUB PSTE 10CC BEAD 25CC W- MIX BWL SPAT MATE APPL,3480.0,3480.0,,,0
CDM,27800002,164897 : SCREW BNE L165MM DIA7MM COMPR CANC FT CANN ST SLF DRL,411.6,411.6,,,0
CDM,27800002,164900 : WASHER ORTH SS FOR 5.5-7.5MM CANN SCR,92.4,92.4,,,0
CDM,27800002,164917 : PLATE BNE CRAN 4 H SQ FRME 14MM X 14MM THCK 0.3MM TI ULT LP,292.03,292.03,,,0
CDM,27800002,17594 : RESTRICTOR CEM MD DIA24MM UNIV,120.0,120.0,,,0
CDM,27800002,18.0MM MICRO ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
CDM,27800002,2 PT 7MM CORTICAL SCREW T10 12MM,120.17,120.17,,,0
CDM,27800002,2 PT 7MM LOCKING COMPRESSION PLATE 8 HOLE,1326.67,1326.67,,,0
CDM,27800002,2.0 LCP 7 HOLE PLATE,896.4,896.4,,,0
CDM,27800002,2.0 TRILOCK CORONOID PLATE LEFT,4426.66,4426.66,,,0
CDM,27800002,2.0MM 12 HOLE STRAIGHT PLATE LOCKING,1185.6,1185.6,,,0
CDM,27800002,2.0MM CORTICAL SCREWS:10,248.93,248.93,,,0
CDM,27800002,2.0MM HAND FUSION PLATE,2726.4,2726.4,,,0
CDM,27800002,2.0MM LCP PLATE 5 HOLES,896.4,896.4,,,0
CDM,27800002,2.0MM LOCKING SCREWS10,293.74,293.74,,,0
CDM,27800002,2.0MM PLATES:Y PLATE 5H,1145.04,1145.04,,,0
CDM,27800002,2.0MM X 10MM CANNULATED LAG SCREW,492.0,492.0,,,0
CDM,27800002,2.0MM X 10MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
CDM,27800002,2.0MM X 10MM FULLY THREADED SCREW,254.4,254.4,,,0
CDM,27800002,2.0MM X 11MM CANNULATED LAG SCREW,492.0,492.0,,,0
CDM,27800002,2.0MM X 11MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
CDM,27800002,2.0MM X 11MM FULLY THREADED SCREW,254.4,254.4,,,0
CDM,27800002,2.0MM X 12MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
CDM,27800002,2.0MM X 13MM CANNULATED LAG SCREW,492.0,492.0,,,0
CDM,27800002,2.0MM X 13MM FULLY THREADED SCREW,254.4,254.4,,,0
CDM,27800002,2.0MM X 14MM CANNULATED LAG SCREW,492.0,492.0,,,0
CDM,27800002,2.0MM X 14MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
CDM,27800002,2.0MM X 14MM FULLY THREADED SCREW,254.4,254.4,,,0
CDM,27800002,2.0MM X 16MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
CDM,27800002,2.0MM X 16MM FULLY THREADED SCREW,254.4,254.4,,,0
CDM,27800002,2.0MM X 18MM CANNULATED LAG SCREW,492.0,492.0,,,0
CDM,27800002,2.0MM X 8MM FULLY THREADED SCREWLOCKING,468.0,468.0,,,0
CDM,27800002,2.0MM X 9MM CANNULATED LAG SCREW,492.0,492.0,,,0
CDM,27800002,2.0MM X 9MM FULLY THREADED SCREW,254.4,254.4,,,0
CDM,27800002,2.0MM Y PLATE LOCKING,1185.6,1185.6,,,0
CDM,27800002,2.0X10MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,2.0X5MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,2.0X6MM CROSS-PIN SELF TAPPING LOCKING SCREW,246.41,246.41,,,0
CDM,27800002,2.0X6MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,2.0X8MM CROSS-PIN SELF TAPPING LOCKING SCREW,246.41,246.41,,,0
CDM,27800002,2.0X8MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,2.0X8MM SELF DRILLING MMF SCREW,281.78,281.78,,,0
CDM,27800002,2.3MM X 18MM LOCKING CORTICAL SCREW,441.6,441.6,,,0
CDM,27800002,2.3X6MM CROSS-PIN SELF TAPPING SCREW,163.9,163.9,,,0
CDM,27800002,2.4/2.7 VA 1ST MTP FUSN PL/REV/0 DEG/LFT,4883.4,4883.4,,,0
CDM,27800002,2.4MM CORTICAL SCREWS:10,248.93,248.93,,,0
CDM,27800002,2.4MM CORTICAL SCREWS:12,248.93,248.93,,,0
CDM,27800002,2.4MM CORTICAL SCREWS:14,248.93,248.93,,,0
CDM,27800002,2.4MM LOCKING SCREWS:10,313.63,313.63,,,0
CDM,27800002,2.4MM LOCKING SCREWS:12,313.63,313.63,,,0
CDM,27800002,2.4MM PLATES:4H T PLATE 5H,1563.22,1563.22,,,0
CDM,27800002,2.4MM PLATES:HIGH STRENGTH PLATE 20H,2489.21,2489.21,,,0
CDM,27800002,2.4MM PLATES:STRAIGHT PLATE 10H,1483.56,1483.56,,,0
CDM,27800002,2.4MM PLATES:STRAIGHT PLATE 20H,1991.38,1991.38,,,0
CDM,27800002,2.4MM PLATES:STRAIGHT PLATE 6H,1463.66,1463.66,,,0
CDM,27800002,2.4MM PLATES:TRIANGLE PLATE 3-2 9H,1613.02,1613.02,,,0
CDM,27800002,2.4MM PLATES:Y PLATE 7H,1593.1,1593.1,,,0
CDM,27800002,2.4MM PLATES:Y PLATE 9H,1622.98,1622.98,,,0
CDM,27800002,2.4MM X 36MM FUSION SCREW,1173.6,1173.6,,,0
CDM,27800002,2.4MM/2.7MM VA-LOCKING CUBOID PLATE/LEFT,4401.0,4401.0,,,0
CDM,27800002,2.5MM FLEX NAIL TI - ROUND TIP,1048.8,1048.8,,,0
CDM,27800002,2.7 HK PLT 2.7MM 72MM/7 H,4389.6,4389.6,,,0
CDM,27800002,2.7 STR BROAD PLT 2.7MM 62MM/6 H,3984.0,3984.0,,,0
CDM,27800002,2.7 STR NAR PLT 2.7MM 61MM/8 H,2841.6,2841.6,,,0
CDM,27800002,2.7 VA LCP CLAVICLE PL LATERAL/ CS1/ RT,3690.0,3690.0,,,0
CDM,27800002,2.7/3.5 LCP LAT DSTL FIB PL 9H/LFT/151,2307.6,2307.6,,,0
CDM,27800002,2.7/3.5 VA PSTLT DHP-LAT SUP 4H/R/88-MED,4347.0,4347.0,,,0
CDM,27800002,2.7MM CANN RMR FOR 4.0MM CANN,639.24,639.24,,,0
CDM,27800002,2.7MM CORTICAL SCREW SELFTAP SMALL HEX 26MM,67.2,67.2,,,0
CDM,27800002,2.7MM CORTICAL SCREW T10 16MM,120.17,120.17,,,0
CDM,27800002,2.7MM CORTICAL SCREWS:10,330.0,330.0,,,0
CDM,27800002,2.7MM CORTICAL SCREWS:11,289.46,289.46,,,0
CDM,27800002,2.7MM CORTICAL SCREWS:12,281.36,281.36,,,0
CDM,27800002,2.7MM CORTICAL SCREWS:14,248.93,248.93,,,0
CDM,27800002,2.7MM CORTICAL SCREWS:15,248.93,248.93,,,0
CDM,27800002,2.7MM CORTICAL SCREWS:16,248.93,248.93,,,0
CDM,27800002,2.7MM CORTICAL SCREWS:17,248.93,248.93,,,0
CDM,27800002,2.7MM LOCKING SCREWS:10,338.54,338.54,,,0
CDM,27800002,2.7MM LOCKING SCREWS:16,338.54,338.54,,,0
CDM,27800002,2.7MM LOCKING SCREWS:18,338.54,338.54,,,0
CDM,27800002,2.7MM LOCKING SCREWS:8,338.54,338.54,,,0
CDM,27800002,2.7MM PLATES:3H T PLATE 12H,1991.38,1991.38,,,0
CDM,27800002,2.7MM PLATES:3H T PLATE 7H,1891.8,1891.8,,,0
CDM,27800002,2.7MM PLATES:3H T PLATE 9H,1941.58,1941.58,,,0
CDM,27800002,2.7MM PLATES:4H T PLATE 7H,1891.8,1891.8,,,0
CDM,27800002,2.7MM PLATES:HIGH STRENGTH PLATE 20H,3696.0,3696.0,,,0
CDM,27800002,2.7MM PLATES:STRAIGHT PLATE 10H,1792.22,1792.22,,,0
CDM,27800002,2.7MM PLATES:STRAIGHT PLATE 6H,1742.45,1742.45,,,0
CDM,27800002,2.7MM PLATES:STRAIGHT TINE PLATE 10H,1792.22,1792.22,,,0
CDM,27800002,2.7MM PLATES:STRAIGHT TINE PLATE 6H,1742.45,1742.45,,,0
CDM,27800002,2.7MM PLATES:Y PLATE 7H,1891.8,1891.8,,,0
CDM,27800002,2.7MM PLATES:Y PLATE 9H,1941.58,1941.58,,,0
CDM,27800002,2.7MM ST CRT SCR 34MM 71823034,34.73,34.73,,,0
CDM,27800002,2.7MM VA LCP HOOK PLATE SHORT/ 9MM/ LEFT,3810.6,3810.6,,,0
CDM,27800002,2.8MM  Q-FIX ALL SUTURE ANCHOR,820.8,820.8,,,0
CDM,27800002,20.0MM MINI ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
CDM,27800002,20412 : K WIRE 1.25X150MM TRCR PT SS,32.04,32.04,,,0
CDM,27800002,20503 : SCREW BNE 4X40MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
CDM,27800002,206448 : SPINAL SCREW MONOAXIAL 4X40,1230.0,1230.0,,,0
CDM,27800002,20711 : SCREW CANNULATED  75MM 208075,641.71,641.71,,,0
CDM,27800002,21169 : PLATE BNE HIP 4 H 78MM 130DEG STD BRL SS DH-DC SYS FOR 4.5MM,2100.6,2100.6,,,0
CDM,27800002,211989 : SCREW SPNL 5.5MM LOK OPN TULIP RELINE,114.0,114.0,,,0
CDM,27800002,215788 : XTEND 4.2MM VARIABLE ANGLE SCREW SELF-TAPPING 20MM,180.0,180.0,,,0
CDM,27800002,215799 : XTEND 4.2MM FIXED ANGLE SCREW SELF-TAPPING 16MM,180.0,180.0,,,0
CDM,27800002,215800 : XTEND 4.2MM FIXED ANGLE SCREW SELF-TAPPING 18MM,180.0,180.0,,,0
CDM,27800002,216277 : SELF DRILLING SCREW VARIABLE ANGLE 5.5MM 30MM,336.0,336.0,,,0
CDM,27800002,216280 : SELF DRILLING SCREW VARIABLE ANGLE 5.5MM 45MM,336.0,336.0,,,0
CDM,27800002,216312 : ANCHOR LUM 25MM MIS,384.0,384.0,,,0
CDM,27800002,216313 : ANCHOR LUM 27MM MIS,384.0,384.0,,,0
CDM,27800002,21772 : SCREW BNE 4X40MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,372.36,372.36,,,0
CDM,27800002,217978 : SPACER SPNL LUM 20X8-15X55MM 6DEG LORD SELF EXPND ELSA,20160.0,20160.0,,,0
CDM,27800002,218556 : SCREW SPNL THORLUM 5X35MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218557 : SCREW SPNL THORLUM 5X40MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218558 : SCREW SPNL THORLUM 5X45MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218559 : CREO THREADED 5.0 X 50MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,218562 : SCREW SPNL THORLUM 5.5X30MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218564 : SCREW SPNL THORLUM 5.5X40MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218565 : SCREW SPNL THORLUM 5.5X45MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218566 : SCREW SPNL THORLUM 5.5X50MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218567 : CREO THREADED 5.5 X 55MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,218570 : CREO THREADED 6.5 X 35MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,218571 : SCREW SPNL THORLUM 6.5X40MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218572 : SCREW SPNL THORLUM 6.5X45MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218573 : SCREW SPNL THORLUM 6.5X50MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218574 : SCREW SPNL THORLUM 6.5X55MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218576 : CREO THREADED 6.5 X 65MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,218579 : SCREW SPNL THORLUM 7.5X35MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218580 : SCREW SPNL THORLUM 7.5X40MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218581 : SCREW SPNL THORLUM 7.5X45MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218582 : SCREW SPNL THORLUM 7.5X50MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218583 : SCREW SPNL THORLUM 7.5X55MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,218589 : CREO THREADED 8.5 X 40MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,218590 : CREO THREADED 8.5 X 45MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,218591 : CREO THREADED 8.5 X 50MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,218592 : CREO THREADED 8.5 X 55MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,218885 : SHAFT,122.4,122.4,,,0
CDM,27800002,218889 : CAP SPNL 5.5MM LOK THRD CREO,108.0,108.0,,,0
CDM,27800002,219003 : PLATE SPNL L26MM ANT CERV TI ALLY LEV 1 XTEND,1200.0,1200.0,,,0
CDM,27800002,22.0MM MINI ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
CDM,27800002,222353 : 10.5 X 45MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,222409 : 4.5 X 35MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,222411 : SCREW SPNL THORLUM 4.5X40MM POLYAX THRD LOK LP PREASSEMBELED,1200.0,1200.0,,,0
CDM,27800002,222413 : 4.5 X 45MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,222594 : 9.5 X 40MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,222596 : 9.5 X 45MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,222598 : 9.5 X 50MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,222600 : 9.5 X 55MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,223204 : SCREW BNE 1.5X5MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
CDM,27800002,223211 : PLATE BNE CMF 4 H STR 24MM TI CRAN PLATING SYS MATRIXNEURO,83.52,83.52,,,0
CDM,27800002,223216 : PLATE STRAIGHT ULTRA LOW PROFILE 24MM 4 HOLES,91.58,91.58,,,0
CDM,27800002,223454 : SCREW SPNL L15MM DIA3.5MM TI ALLY VA SLF DRL FOR ANT CERV,240.0,240.0,,,0
CDM,27800002,223456 : SCREW SPNL L17MM DIA3.5MM ANT CERV TI SLF DRL VA FOR PLATING,240.0,240.0,,,0
CDM,27800002,223476 : SCREW SPNL ANT CERV 3.5X13MM VA 2 THRD LOK ST TI ALLY,240.0,240.0,,,0
CDM,27800002,223478 : SCREW SPNL L15MM DIA3.5MM ANT CERV TI ST VA FOR PLATING SYS,240.0,240.0,,,0
CDM,27800002,223480 : SCREW SPNL L17MM DIA3.5MM ANT CERV TI ST VA FOR PLATING SYS,240.0,240.0,,,0
CDM,27800002,223482 : SCREW 7723519 ZEVO VAR ST 3.5MM X 19MM,240.0,240.0,,,0
CDM,27800002,223484 : SCREW 7723521 ZEVO VAR ST 3.5MM X 21MM,240.0,240.0,,,0
CDM,27800002,223492 : SCREW SPNL 4X15MM ST VA FOR ZEVO ANT CERV PLT SYS,240.0,240.0,,,0
CDM,27800002,223494 : SCREW SPNL 4X17MM ST VA FOR ZEVO ANT CERV PLT SYS,240.0,240.0,,,0
CDM,27800002,223496 : SCREW 7724021 ZEVO VAR ST 4.0MM X 21MM,240.0,240.0,,,0
CDM,27800002,223564 : SCREW PK2 G6633511 SA S-T 3.5MM X 11MM,240.0,240.0,,,0
CDM,27800002,223828 : GRAFT BNE SUB W1.75XL10CM POSTEROLATERAL MAGNIFUSE,6429.6,6429.6,,,0
CDM,27800002,223830 : GRAFT BNE SUB W1XL10CM SPNL DEFORMITY MAGNIFUSE SC,3612.0,3612.0,,,0
CDM,27800002,223832 : GRAFT BNE SUB 1X5CM ALLGRFT DBM FD MAGNIFUSE OSTEOTECH,2532.0,2532.0,,,0
CDM,27800002,223997 : GRAFT BNE SUB CHIP 15CC 1-10MM CANC FD CTS,484.8,484.8,,,0
CDM,27800002,223998 : GRAFT BNE SUB CHIP 30CC 1-10MM CANC FD CTS,794.4,794.4,,,0
CDM,27800002,22803 : SCREW BNE 4.5X40MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,22804 : SCREW BNE 4.5X38MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,22805 : SCREW BNE 4.5X36MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,72.94,72.94,,,0
CDM,27800002,231294 : PLATE SPNL L17MM THK1.9MM ANT CERV TI 1 LEV ZEVO,1740.0,1740.0,,,0
CDM,27800002,231295 : PLATE SPNL L19MM THK1.9MM ANT CERV TI 1 LEV ZEVO,1740.0,1740.0,,,0
CDM,27800002,231296 : PLATE SPNL L21MM THK1.9MM ANT CERV TI ALLY LEV 1 ZEVO,1740.0,1740.0,,,0
CDM,27800002,231332 : PLATE SPNL L33MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
CDM,27800002,231333 : PLATE SPNL L35MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
CDM,27800002,231334 : PLATE SPNL L37MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
CDM,27800002,23136 : PLATE BNE 10 H 1-3 TBLR W- CLLR 121MM SS SM FRAG SYS,662.4,662.4,,,0
CDM,27800002,23137 : SCREW BNE 4.5X34MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,231380 : PLATE 3003048 ZEVO 48MM 3 LVL,1860.0,1860.0,,,0
CDM,27800002,233978 : SCREW SPNL 5.5X45MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
CDM,27800002,233999 : SCREW SPNL 6.5X55MM FOR 5.5-6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
CDM,27800002,234000 : SCREW SPNL 6.5X60MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
CDM,27800002,234010 : SCREW SPNL 7.5X45MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
CDM,27800002,234011 : SCREW SPNL 7.5X50MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
CDM,27800002,234248 : SCREW SPNL 5.5X40MM FOR 5.5-6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,234249 : SCREW SPNL 5.5X45MM FOR 5.5-6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,234250 : SCREW SPNL 5.5X50MM FOR 5.5-6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,234254 : SCREW SPNL 6.5X40MM FOR 5.5-6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,23887 : SCREW BNE 4.5X32MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,72.94,72.94,,,0
CDM,27800002,240663 : 4.5 X 120MM UNIPLANAR SCREW PREASSEMBLED CREO 4.75,1560.0,1560.0,,,0
CDM,27800002,24621 : COIL CERCLAGE WIRE 1.25MM,252.0,252.0,,,0
CDM,27800002,24760 : SCREW BNE 4.5X40MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
CDM,27800002,24MM CORTEX SCREW SLFTPNG WITH T8 STARDRIVE RECESS40MM,217.8,217.8,,,0
CDM,27800002,25310 : SCREW BNE 4.5X30MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,72.94,72.94,,,0
CDM,27800002,2560 : CEMENT BNE FULL DOSE RADPQ SIMPLEX P,135.12,135.12,,,0
CDM,27800002,26277 : SCREW CANN 4.5 72MM 214.772,743.4,743.4,,,0
CDM,27800002,27785 : SCREW BNE 7.3X85MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,907.2,907.2,,,0
CDM,27800002,27MM CORTEX SCREW SLFTPNG WITH T8 STARDRIVE RECESS50MM,158.4,158.4,,,0
CDM,27800002,27MM METAPHYSEAL SCR SLFTPNG WT8 STRDRV RECESS58MM,286.2,286.2,,,0
CDM,27800002,28.0MM MINI ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
CDM,27800002,29627 : SCREW BNE 2.7X18MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,29628 : PLATE BNE 6 H 1-4 TBLR 47MM SS MINI FRAG SYS FOR 2.7MM SCR,336.31,336.31,,,0
CDM,27800002,29639 : SCREW BNE 4.5X26MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,72.94,72.94,,,0
CDM,27800002,29696 : SCREW BNE 2.7X22MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
CDM,27800002,29697 : SCREW BNE 2.7X24MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
CDM,27800002,29721 : SCREW BNE 2.7X26MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
CDM,27800002,29725 : SCREW BNE 2.7X34MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
CDM,27800002,29727 : SCREW BNE 2.7X40MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
CDM,27800002,29728 : SCREW BNE 2.7X45MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,29730 : SCREW BNE 3.5X10MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29731 : SCREW BNE 3.5X12MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29733 : SCREW BNE 3.5X16MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29734 : SCREW BNE 3.5X20MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29735 : SCREW BNE 3.5X22MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29736 : SCREW BNE 3.5X24MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29737 : SCREW BNE 3.5X26MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
CDM,27800002,29738 : SCREW BNE 3.5X28MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29739 : SCREW BNE 3.5X30MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29740 : SCREW BNE 3.5X32MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
CDM,27800002,29741 : SCREW BNE 3.5X34MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29742 : SCREW BNE 3.5X38MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29743 : SCREW BNE 3.5X40MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29744 : SCREW BNE 3.5X45MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
CDM,27800002,29745 : SCREW BNE 3.5X50MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29746 : SCREW BNE 3.5X55MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29747 : SCREW BNE 3.5X60MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29748 : SCREW BNE 3.5X65MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
CDM,27800002,29749 : SCREW BNE 3.5X70MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
CDM,27800002,29750 : SCREW BNE 3.5X75MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
CDM,27800002,29751 : SCREW BNE 3.5X80MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29752 : SCREW BNE 3.5X85MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29753 : SCREW BNE 3.5X90MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29755 : SCREW BNE 3.5X100MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29758 : SCREW BNE 3.5X18MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,29978 : WIRE FIX 1MM X 10MM CERCLAGE SS PRECUT SMTH W- EYELT,139.49,139.49,,,0
CDM,27800002,3 5MM VARIABLE ANGLE LOCKING SCREW SLF TPNG STRDRV 75MM,547.2,547.2,,,0
CDM,27800002,3 X 3 HOLE DCP PLATE  1.5MM,1298.88,1298.88,,,0
CDM,27800002,3.0MM FLEX NAIL TI - ROUND TIP,1048.8,1048.8,,,0
CDM,27800002,3.2 X 358MM GUIDE PIN,101.23,101.23,,,0
CDM,27800002,3.2 X 450MM GUIDEPIN 7193-3167,966.6,966.6,,,0
CDM,27800002,3.5 1/3 TBLR PLT 3.5MM 74MM/6 H,1800.0,1800.0,,,0
CDM,27800002,3.5 1/3 TBLR PLT 3.5MM 86MM/7 H,1404.0,1404.0,,,0
CDM,27800002,3.5 LCP DISTAL TIBIA T-PLATE 3 HOLE/64,2613.6,2613.6,,,0
CDM,27800002,3.5 LCP PERIARTIC PRX HUM PL 12 H/271/RT,7885.8,7885.8,,,0
CDM,27800002,3.5 LCP PROX TIB PL LOW BEND 14 H/206/RT,6105.6,6105.6,,,0
CDM,27800002,3.5 LOW PRO RECONSTRUCTION PL 10 HOLES,2032.2,2032.2,,,0
CDM,27800002,3.5 MM LOCKING SCREW 14 MM LONG,176.4,176.4,,,0
CDM,27800002,3.5 MM LOCKING SCREW 18 MM LENGTH  MM  3.5 MM LOCKING SCREW,184.8,184.8,,,0
CDM,27800002,3.5 MM LOCKING SCREW 18 MM LONG,176.4,176.4,,,0
CDM,27800002,3.5 SD CORTEX SCREW SELF-TAPPING 32,117.0,117.0,,,0
CDM,27800002,3.5 STR BROAD PLT 3.5MM 113MM/7 H,2508.0,2508.0,,,0
CDM,27800002,3.5 STR NAR PLT 3.5MM 104MM/7 H,2193.6,2193.6,,,0
CDM,27800002,3.5 VAL DSTL FEM SPAN ATCH PL/6H/STD/RT,4901.4,4901.4,,,0
CDM,27800002,3.5 VLP SCREW 30MM,41.18,41.18,,,0
CDM,27800002,3.5 X 26MM SCREW MULTI AXIAL,1308.0,1308.0,,,0
CDM,27800002,3.5 X 30MM LOCKING SELF TAPPING SCREW,243.43,243.43,,,0
CDM,27800002,3.5 X 32MM VLP SCREW 7182-1332,41.18,41.18,,,0
CDM,27800002,3.5MM 1/3 TUBULAR PLATES:10 HOLE,168.0,168.0,,,0
CDM,27800002,3.5MM 1/3 TUBULAR PLATES:2 HOLE,134.4,134.4,,,0
CDM,27800002,3.5MM 1/3 TUBULAR PLATES:6 HOLE,159.6,159.6,,,0
CDM,27800002,3.5MM CORT LOCK SCREW 75MM,226.8,226.8,,,0
CDM,27800002,3.5MM CORTICAL SCREW SELFTAP SMALL HEX 100MM,75.6,75.6,,,0
CDM,27800002,3.5MM CORTICAL SCREWS:12,109.2,109.2,,,0
CDM,27800002,3.5MM EXTRA-ARTICLR 10HRIGHT,5452.2,5452.2,,,0
CDM,27800002,3.5MM LOCKING COMPRESSION PLATE 4 HOLE,876.6,876.6,,,0
CDM,27800002,3.5MM LOCKING COMPRESSION PLATES: 10 HOLE,428.4,428.4,,,0
CDM,27800002,3.5MM LOCKING COMPRESSION PLATES: 7 HOLE,369.6,369.6,,,0
CDM,27800002,3.5MM LOCKING COMPRESSION PLATES: 8 HOLE,403.2,403.2,,,0
CDM,27800002,3.5MM LOCKING CORTICAL FULL THREAD 22MM WITH T15 HEXALOBE,447.72,447.72,,,0
CDM,27800002,3.5MM MULTIDIRECT SCREW 55MM,277.2,277.2,,,0
CDM,27800002,3.5MM NON LOCKING CORT FULL THREAD 16MM,70.94,70.94,,,0
CDM,27800002,3.5MM NON LOCKING CORT FULL THREAD 18MM,70.94,70.94,,,0
CDM,27800002,3.5MM NON-LOCKING SCREW 100MM,248.93,248.93,,,0
CDM,27800002,3.5MM NON-LOCKING SCREW 10MM,248.93,248.93,,,0
CDM,27800002,3.5MM NON-LOCKING SCREW 12MM,248.93,248.93,,,0
CDM,27800002,3.5MM NON-LOCKING SCREW 14MM,248.93,248.93,,,0
CDM,27800002,3.5MM NON-LOCKING SCREW 16MM,248.93,248.93,,,0
CDM,27800002,3.5MM NON-LOCKING SCREW 22MM,248.93,248.93,,,0
CDM,27800002,3.5MM NON-LOCKING SCREW 24MM,248.93,248.93,,,0
CDM,27800002,3.5MM NON-LOCKING SCREW 50MM,248.93,248.93,,,0
CDM,27800002,3.5MM NON-LOCKING SCREW 55MM,248.93,248.93,,,0
CDM,27800002,3.5MM SELF TAPPING CORTICAL SCREW WITH T15 HEXALOBE SIZE 34M,118.58,118.58,,,0
CDM,27800002,3.5MM T15 LOW PROFILE NON-LOCKING SCREWS 38,100.8,100.8,,,0
CDM,27800002,3.5MM VA-LCP PROX TIBIA PLATE SMALL BEND4H87MMRIGHT,5643.0,5643.0,,,0
CDM,27800002,3.5MM VLP SCREW 26MM,41.18,41.18,,,0
CDM,27800002,3.5MM X 14MM LOCKING HEXALOBE SCREW,494.4,494.4,,,0
CDM,27800002,3.5MM X 16MM TITANIUM LOCKING SCREW,176.4,176.4,,,0
CDM,27800002,3.5MM X 85 MM LOCKING SCREW,190.8,190.8,,,0
CDM,27800002,3.5X42MM POLYAXIAL SCREW,2140.2,2140.2,,,0
CDM,27800002,3.6MM BONE SCREW FIXED SELF-DRILLING 16MM,180.0,180.0,,,0
CDM,27800002,30056 : SCREW BNE 3.5X42MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,30057 : SCREW BNE 3.5X44MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,30248 : SCREW BNE 3.5X36MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,351120 : SCREW BNE 1.5X4MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
CDM,27800002,351259 : SCREW CORTICAL LOCKING 3.5MM X 15MM,218.4,218.4,,,0
CDM,27800002,351262 : BIT DRL 2MM X 40MM CANN FOR GEMINUS VOLAR RAD PLATING SYS,345.6,345.6,,,0
CDM,27800002,351264 : GEMINUS HOOK PLATE,1204.8,1204.8,,,0
CDM,27800002,351265 : GEMINUS HOOK PLATE SCREW,216.0,216.0,,,0
CDM,27800002,351266 : PLATE BNE 4 H L DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,2020.8,2020.8,,,0
CDM,27800002,351269 : GEMINUS VOLAR DISTAL RADIUS PLATE STANDARD 4 HOLE RIGHT,2020.8,2020.8,,,0
CDM,27800002,351296 : SCREW POLYAXIAL LOCKING 2.5MM X 12MM CANNULATED COCR,362.4,362.4,,,0
CDM,27800002,351319 : PROTEAN FRAGMENT PLATE DOUBLE HOCKEY STICK,2083.2,2083.2,,,0
CDM,27800002,351322 : SMOOTH PEG LOCKING 2.0MM X 14MM,220.8,220.8,,,0
CDM,27800002,351329 : THREADED PEG LOCKING 2.3MM X 14MM,237.6,237.6,,,0
CDM,27800002,351331 : THREADED PEG LOCKING 2.3MM X 19MM,237.6,237.6,,,0
CDM,27800002,351332 : THREADED PEG LOCKING 2.3MM X 21MM,237.6,237.6,,,0
CDM,27800002,351336 : THREADED PEG NON-LOCKING 2.7MM X 16MM,216.0,216.0,,,0
CDM,27800002,351337 : PEG BNE FIX L18MM DIA2.7MM DST RAD TI THRD NONLOCKING,216.0,216.0,,,0
CDM,27800002,351338 : THREADED PEG NON-LOCKING 2.7MM X 20MM,216.0,216.0,,,0
CDM,27800002,351339 : THREADED PEG NON-LOCKING 2.7MM X 22MM,216.0,216.0,,,0
CDM,27800002,353026 : 2.0X12MM SELF DRILLING MMF SCREW,281.78,281.78,,,0
CDM,27800002,353031 : 2.0X12MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,353038 : 2.0X12MM CROSS-PIN SELF TAPPING LOCKING SCREW,246.41,246.41,,,0
CDM,27800002,353197 : 6 HOLE FRACTURE PLATE,1213.42,1213.42,,,0
CDM,27800002,353212 : SCRUNIII AXSSD 1.5X4MM,143.52,143.52,,,0
CDM,27800002,353440 : LEVEL ONE CMFPLATE ORTHOG LEFORT LINDORF LEFT 2.0 MM SCREW3.,471.12,471.12,,,0
CDM,27800002,353441 : LEVEL ONE CMFPLATE ORTHOG LEFORT LINDORF RIGHT 2.0 MM SCREW5,471.12,471.12,,,0
CDM,27800002,353444 : LEVEL ONE CMFPLATE ORTHOG LEFORT LINDORF LEFT 2.0 MM SCREW7.,471.12,471.12,,,0
CDM,27800002,353849 : LEVEL ONE NEUROMESH 3D NEURO SCREW80 X 80 MM T=0.6 MMCP TITA,3567.6,3567.6,,,0
CDM,27800002,353978 : LEVEL ONE CMF STERILEPLATE ORBITAL FLOOR SMART RIGHT GRID 1.,3753.0,3753.0,,,0
CDM,27800002,353990 : SCREW BNE 2X14MM CMF THRD 10MM DRL FREE SS MAXDRIVE MMF,240.0,240.0,,,0
CDM,27800002,354045 : LEVEL ONE NEUROPLATE ULTRAONE STR WTAB NEURO SCREW2 HOLE 17,252.0,252.0,,,0
CDM,27800002,354047 : LEVEL ONE NEUROPLATE ULTRAONE STR WTAB NEURO SCREW4 HOLE 22,376.2,376.2,,,0
CDM,27800002,354055 : PLATE BNE CRAN 2 X 2 H GRID 14MM THCK 0.35MM TI ALLY W- TAB,648.0,648.0,,,0
CDM,27800002,354102 : PLATE BNE THK0.6MM 4 H MIDFACE TI STR PROF LEV 1 FOR 1.5MM,324.24,324.24,,,0
CDM,27800002,354106 : PLATE BNE THK0.6MM 7 H MIDFACE TI L SHP PROF LEV 1 FOR 1.5MM,608.16,608.16,,,0
CDM,27800002,354116 : PLATE BNE THK0.6MM 8 H MIDFACE TI T SHP LEV 1 FOR 1.5MM SCR,489.6,489.6,,,0
CDM,27800002,354118 : PLATE BNE THK0.6MM 6X2 H MIDFACE TI PROF LEV 1 FOR 1.5MM SCR,869.4,869.4,,,0
CDM,27800002,354159 : LEVEL ONE CMFPLATE MIDFACE CVD WTAB 1.5 MM SCREW12 HOLE T=0.,534.6,534.6,,,0
CDM,27800002,354442 : LEVEL ONE CMFPLATE MINI STR 2.0 MM SCREW4 HOLE 24 MM T=1.0 M,124.94,124.94,,,0
CDM,27800002,354608 : SCREW BNE 2X5MM DRL FREE TI MAXDRIVE LEV 1 CMF,96.0,96.0,,,0
CDM,27800002,354904 : PLATE BNE R MAND 2X2 H L SHP 20MM TI LP OSTEOSYN 2.0 MINI,287.04,287.04,,,0
CDM,27800002,354909 : PLATE BNE CMF L 2 X 2 H L 24MM THCK 0.6MM TI MINI SAG,287.04,287.04,,,0
CDM,27800002,35MM CRTX SCREWLOW PROF HD SELFTAPPINGSTAR DRIVE30MM,110.11,110.11,,,0
CDM,27800002,35MM LCP PROXIMAL TIBIA PLATE LOW BEND 14 HOLES206MMLEFT,6105.6,6105.6,,,0
CDM,27800002,35MM LCP PROXIMAL TIBIA PLATE LOW BEND 8 HOLES128MMRIGHT,3580.42,3580.42,,,0
CDM,27800002,35MM LCP SUP ANT CLAVICLE PLATE 7HLT110MM,3794.4,3794.4,,,0
CDM,27800002,360611 : EVOS 3.5MM X 8MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,360612 : SCREW BNE L10MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,360613 : SCREW BNE L11MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,360614 : SCREW BNE L12MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,360615 : SCREW BNE L13MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,360616 : SCREW BNE L14MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,360617 : EVOS 3.5MM X 15MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,360618 : SCREW BNE L16MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,360620 : SCREW BNE L18MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,360622 : SCREW BNE L20MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,360623 : SCREW BNE 3.5X22MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360624 : SCREW BNE 3.5X24MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360625 : SCREW BNE 3.5X26MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360626 : SCREW BNE 3.5X28MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360627 : EVOS 3.5MM X 30MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,360628 : SCREW BNE 3.5MMX32MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360629 : EVOS 3.5MM X 34MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,360630 : EVOS 3.5MM X 36MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,360631 : SCREW BNE 3.5X38MM CORT SS ST SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360632 : EVOS 3.5MM X 40MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,360633 : EVOS 3.5MM X 42MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,360634 : SCREW BNE 3.5X44MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360635 : SCREW BNE 3.5X46MM CORT ST SS EVOS SM PLATING SYS,32.35,32.35,,,0
CDM,27800002,360636 : EVOS 3.5MM X 48MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,360637 : SCREW BNE 3.5X50MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360638 : SCREW BNE 3.5X55MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360639 : SCREW BNE 3.5X60MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360640 : SCREW BNE 3.5X65MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,360641 : EVOS 3.5MM X 70MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,360642 : SCREW BNE L75MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
CDM,27800002,360643 : EVOS 3.5MM X 80MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,360646 : EVOS 3.5MM X 11MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360647 : EVOS 3.5MM X 12MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360648 : SCREW BNE L13MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
CDM,27800002,360649 : EVOS 3.5MM X 14MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360651 : SCREW BNE L16MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
CDM,27800002,360652 : EVOS 3.5MM X 17MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360653 : SCREW BNE L18MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
CDM,27800002,360655 : SCREW BNE L20MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
CDM,27800002,360656 : SCREW BNE 3.5X22MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,360657 : EVOS 3.5MM X 24MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360658 : SCREW BNE L26MM DIA3.5MM SS ST LOK FOR SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,360659 : SCREW BNE 3.5X28MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,360660 : SCREW BNE L30MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
CDM,27800002,360661 : EVOS 3.5MM X 32MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360662 : SCREW BNE L34MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
CDM,27800002,360663 : EVOS 3.5MM X 36MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360664 : EVOS 3.5MM X 38MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360665 : SCREW BNE L40MM DIA3.5MM SS ST LOK FOR EVOS SM PLATING SYS,179.35,179.35,,,0
CDM,27800002,360666 : SCREW BNE L42MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
CDM,27800002,360667 : SCREW BNE 3.5X44MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,360668 : EVOS 3.5MM X 46MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360669 : SCREW BNE L48MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
CDM,27800002,360672 : SCREW BNE 3.5X60MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,360673 : SCREW BNE 3.5X65MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,360674 : EVOS 3.5MM X 70MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360676 : EVOS 3.5MM X 80MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,360678 : SCREW BNE L12MM DIA4.7MM SS OSTEOPENIA FT FOR EVOS SM,110.88,110.88,,,0
CDM,27800002,360679 : EVOS 4.7MM X 14MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
CDM,27800002,360680 : EVOS 4.7MM X 16MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
CDM,27800002,360681 : EVOS 4.7MM X 18MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
CDM,27800002,360682 : EVOS 4.7MM X 20MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
CDM,27800002,360685 : EVOS 4.7MM X 26MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
CDM,27800002,360738 : EVOS 3.5MM PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA PLATE 4H,1446.98,1446.98,,,0
CDM,27800002,360739 : EVOS 3.5MM PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA PLATE 6H,2322.55,2322.55,,,0
CDM,27800002,360741 : EVOS 3.5MM PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA PLATE 6H,2322.55,2322.55,,,0
CDM,27800002,360747 : EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 16H L 200MM,3944.16,3944.16,,,0
CDM,27800002,360751 : EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 10H R 134MM,3701.28,3701.28,,,0
CDM,27800002,360756 : EVOS 3.5MM PARTIAL ARTICULAR MEDIAL PROXIMAL TIBIA PLATE 4H,2244.0,2244.0,,,0
CDM,27800002,360757 : EVOS 3.5MM PARTIAL ARTICULAR MEDIAL PROXIMAL TIBIA PLATE 8H,2333.76,2333.76,,,0
CDM,27800002,360760 : EVOS 3.5MM MEDIAL PROXIMAL TIBIA PLATE 13H L 170MM,3136.32,3136.32,,,0
CDM,27800002,360770 : EVOS 3.5MM PARTIAL ARTICULAR POSTEROMEDIAL PROXIMAL TIBIA I,2244.0,2244.0,,,0
CDM,27800002,360777 : EVOS 2.7-3.5MM LATERAL DISTAL FIBULA PLATE 5H L 81MM,1552.32,1552.32,,,0
CDM,27800002,360778 : EVOS 2.7-3.5MM LATERAL DISTAL FIBULA PLATE 7H L 103MM,1668.48,1668.48,,,0
CDM,27800002,360805 : EVOS 2.7MM-3.5MM POSTEROLATERAL DISTAL FIBULA PLATE 7H R 115,2370.72,2370.72,,,0
CDM,27800002,360825 : EVOS 2.7MM-3.5MM MEDIAL DISTAL TIBIA PLATE 15H R 195MM,4239.84,4239.84,,,0
CDM,27800002,360827 : EVOS 2.7MM-3.5MM PARTIAL ARTICULAR ANTEROLATERAL DISTAL TIBI,2333.76,2333.76,,,0
CDM,27800002,360829 : EVOS 2.7MM-3.5MM PARTIAL ARTICULAR ANTEROLATERAL DISTAL TIBI,2333.76,2333.76,,,0
CDM,27800002,360831 : EVOS 2.7MM-3.5MM ANTEROLATERAL DISTAL TIBIA PLATE 11H L 153M,4181.76,4181.76,,,0
CDM,27800002,360832 : EVOS 2.7MM-3.5MM ANTEROLATERAL DISTAL TIBIA PLATE 14H L 186M,4218.72,4218.72,,,0
CDM,27800002,360852 : EVOS 2.7MM LOCKING COMPRESSION PLATE 10H 76MM,786.72,786.72,,,0
CDM,27800002,360863 : PLATE BNE 8 H 67MM COMPR EVOS,543.84,543.84,,,0
CDM,27800002,360864 : EVOS 2.7MM COMPRESSION PLATE 10H 84MM,749.76,749.76,,,0
CDM,27800002,360871 : EVOS 3.5MM LOCKING 1-3 TUBULAR PLATE 10H 118MM,654.72,654.72,,,0
CDM,27800002,360894 : PLATE BNE L70MM 6 H ST SS 1-3 TBLR FOR 3.5MM SCR EVOS,117.6,117.6,,,0
CDM,27800002,360895 : PLATE BNE L94MM 8 H ST SS 1-3 TBLR FOR 3.5MM SCR EVOS,120.96,120.96,,,0
CDM,27800002,360896 : PLATE BNE 10 H 1-3 TBLR 118MM SS EVOS SM PLATING SYS,120.96,120.96,,,0
CDM,27800002,360899 : EVOS 3.5MM COMPRESSION PLATE 8H 102MM,241.92,241.92,,,0
CDM,27800002,364365 : PTN PERITROCHANTERIC NAIL  TELESCOPING LAG SCREW KEYLESS  TI,1134.0,1134.0,,,0
CDM,27800002,365210 : PIN FIX L305MM DIA3MM TEMP THRD,159.6,159.6,,,0
CDM,27800002,365248 : GUIDEPIN FIX DIA2MM FOR CEPHALOMEDULLARY NAIL INSTR SET NAT,159.6,159.6,,,0
CDM,27800002,365249 : PIN DIA3MM THRD TIB FOR NAT NAIL SYS,159.6,159.6,,,0
CDM,27800002,365376 : NAIL IM L400MM DIA9MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,365384 : NAIL IM L320MM DIA11MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,365386 : NAIL IM L360MM OD11MM 125DEG LNG TIM R HIP AG CANN LOK,3687.6,3687.6,,,0
CDM,27800002,365387 : NAIL IM L380MM DIA11MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,365388 : NAIL IM L400MM DIA11MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,365400 : NAIL IM L400MM DIA13MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,365401 : NAIL IM L420MM DIA15.6X13MM NK 125DEG LNG R DST LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,365411 : HIP FRACTURE NAIL - LEFT  125    9MM X 400MM  125    9MM X,3687.6,3687.6,,,0
CDM,27800002,365420 : NAIL IM L360MM DIA11MM 125DEG LNG L HIP TIM CANN LOK FOR AG,3687.6,3687.6,,,0
CDM,27800002,365422 : NAIL IM L400MM DIA11MM 125DEG LNG L HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,365468 : SCREW BNE L85MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
CDM,27800002,365469 : SCREW BNE L90MM DIA10.5MM ST LAG SQ DRVR SOCK FOR AFFIXUS,1041.6,1041.6,,,0
CDM,27800002,365470 : SCREW BNE L95MM DIA10.5MM ST LAG SQ DRVR SOCK FOR AFFIXUS,1041.6,1041.6,,,0
CDM,27800002,365471 : SCREW BNE L100MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
CDM,27800002,365472 : SCREW BNE L105MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
CDM,27800002,365512 : SCREW BNE 5X32MM DST CORT AFFIXUS HIP FRAC NAIL SYS,310.8,310.8,,,0
CDM,27800002,365513 : SCREW BNE L34MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,365514 : SCREW BNE L36MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,576.0,576.0,,,0
CDM,27800002,365515 : SCREW BNE L38MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,365516 : SCREW BNE L40MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,365517 : SCREW BNE L42MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,365518 : SCREW BNE L44MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,365526 : SCREW BNE DIA5.0MM L60MM CORT DST SCR AFFIMM LUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,365528 : CORTICAL BONE SCREW  5.0MM X 70MM  5.0MM X 70MM  AFFIXUS,310.8,310.8,,,0
CDM,27800002,365677 : 4.0 MM DIAMETER CORTICAL SCREW - WHITE FIXED ANGLE 3.5 MM HE,310.8,310.8,,,0
CDM,27800002,365678 : SCREW BNE 5X25MM FIX ANG CORT HEX HD 3.5MM FT NONLOCKING TI,267.29,267.29,,,0
CDM,27800002,365680 : SCREW BNE L27.5MM DIA5MM HD DIA3.5MM CORT TI NONCANN,267.29,267.29,,,0
CDM,27800002,365682 : SCREW BNE L30MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,267.29,267.29,,,0
CDM,27800002,365684 : 4.0 MM DIAMETER CORTICAL SCREW - WHITE FIXED ANGLE 3.5 MM HE,310.8,310.8,,,0
CDM,27800002,365687 : SCREW BNE L35MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,267.29,267.29,,,0
CDM,27800002,365693 : SCREW BNE L40MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,276.17,276.17,,,0
CDM,27800002,365695 : SCREW BNE L42MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,267.29,267.29,,,0
CDM,27800002,365713 : SCREW BNE L60MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,276.17,276.17,,,0
CDM,27800002,365716 : SCREW BNE L65MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,276.17,276.17,,,0
CDM,27800002,365719 : SCREW BNE L70MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,276.17,276.17,,,0
CDM,27800002,365722 : SCREW BNE 6X75MM FIX ANG FEM CORT HEX HD 3.5MM FT NONLOCKING,276.17,276.17,,,0
CDM,27800002,365725 : SCREW BNE L80MM DIA6MM TI CANC FEM FIX ANG 3.5MM HEX HD AG,276.17,276.17,,,0
CDM,27800002,365731 : SCREW BNE L90MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,276.17,276.17,,,0
CDM,27800002,365734 : SCREW BNE L95MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,276.17,276.17,,,0
CDM,27800002,365780 : GUIDEWIRE ORTH L100CM DIA3MM FEM NAIL TEAR GTT RG NAT NAIL,260.4,260.4,,,0
CDM,27800002,365941 : GREATER TROCHANTER FEMORAL NAIL - GREEN LEFT   11 MM DIAMETE,2124.0,2124.0,,,0
CDM,27800002,366068 : RETROGRADE FEMORAL NAIL - PURPLE 10 MM DIAMETER  34 CM LENGT,2937.6,2937.6,,,0
CDM,27800002,366069 : NAIL IM L340MM DIA11.5MM LNG UNIV FEM TI ALLY RG,2937.6,2937.6,,,0
CDM,27800002,366072 : NAIL IM L36CM DIA11.5MM LNG TI ALLY RG FOR RED PROX AND BLK,2937.6,2937.6,,,0
CDM,27800002,366107 : TIBIAL NAIL - YELLOW 8.3 MM DIAMETER  30 CM LENGTH USE RED P,1932.0,1932.0,,,0
CDM,27800002,366186 : SCREW BNE L70MM DIA4.5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
CDM,27800002,366198 : SCREW BNE L50MM DIA5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
CDM,27800002,366205 : SCREW BNE 5X65MM IM NAIL TIB DBL LD THRD ST TI ALLY PHOENIX,369.6,369.6,,,0
CDM,27800002,366544 : PHOENIX RETROGRADE NAIL SYSTEM  RETROGRADE FEMORAL NAIL  TI-,3192.0,3192.0,,,0
CDM,27800002,36656 : IMPLANT FING JOIN WGROMME SZ4,3276.67,3276.67,,,0
CDM,27800002,36657 : IMPLANT FING JOIN WGROMME SZ3,3276.67,3276.67,,,0
CDM,27800002,368042 : PLATE BNE HIP 2 H ST 46MM 130DEG STD BRL SS DH-DC SYS,1404.0,1404.0,,,0
CDM,27800002,368063 : 24MM CORTEX SCREW SLFTPNG WITH T8 STARDRIVE RECESS40MM,217.8,217.8,,,0
CDM,27800002,368089 : PLATE BNE OLECRANON L 4 H 116MM SS VA-LCP EL SYS,3879.0,3879.0,,,0
CDM,27800002,368118 : PLATE BNE TIB MED PROX L 10 H 171MM SS SM FRAG LCP SYS,3402.24,3402.24,,,0
CDM,27800002,368120 : 35MM LCP MEDIAL PROXIMAL TIBIA PLATE 14HRIGHT 223MM,5877.0,5877.0,,,0
CDM,27800002,368127 : PLATE BNE TIB PROX R 10 H LO BEND 154MM SS LCP FOR 3.5MM SCR,5679.0,5679.0,,,0
CDM,27800002,368129 : 35MM LCP PROXIMAL TIBIA PLATE LOW BEND 14 HOLES206MMLEFT,3365.14,3365.14,,,0
CDM,27800002,368135 : 35MM LCP PROXIMAL TIBIA PLATE LOW BEND 8 HOLES128MMRIGHT,3055.03,3055.03,,,0
CDM,27800002,368140 : PLATE BNE 6 H CRV 78MM RAD 88MM RECON SS LP PELV SYS,2746.8,2746.8,,,0
CDM,27800002,368141 : PLATE BNE 8 H CRV 104MM RAD 88MM RECON SS LP PELV SYS,1644.7,1644.7,,,0
CDM,27800002,368163 : 50MM VARIABLE ANGLE LOCKNG SCREWSLFTPNGSTRDRV42MM,631.8,631.8,,,0
CDM,27800002,369535 : PLATE BNE TIB PROX R 12 H LO BEND 180MM SS LCP FOR 3.5MM SCR,6012.0,6012.0,,,0
CDM,27800002,369546 : 5 0MM VARIABLE ANGLE LOCKNG SCREW SLF TPNG STRDRV 32MM,631.8,631.8,,,0
CDM,27800002,369575 : SCREW BNE 6.5X85MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,604.8,604.8,,,0
CDM,27800002,369576 : SCREW BNE 6.5X90MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,532.8,532.8,,,0
CDM,27800002,369767 : GRAFT BNE SUB 10CC CA PHSPTE HYALURONIC ACID CEM VOID FILL,5642.4,5642.4,,,0
CDM,27800002,369789 : SCREW BNE L14MM DIA2.7MM DST VOLAR RAD LOK FT SQ DRV HD LP,184.8,184.8,,,0
CDM,27800002,369790 : SCREW BNE L16MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,369799 : SCREW BNE L12MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
CDM,27800002,370294 : SCREW BNE L18MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,370543 : SCREW BNE L35MM DIA6.5MM CNTRL THRD GLEN REV AEQUALIS,900.0,900.0,,,0
CDM,27800002,370545 : SCREW BNE 5X34MM PERIPH GLEN REV AEQUALIS PERFORM,120.0,120.0,,,0
CDM,27800002,370546 : SCREW BNE 5X38MM PERIPH GLEN PERFORM,120.0,120.0,,,0
CDM,27800002,370547 : BASEPLATE GLEN DIA25MM 15DEG TI POR FULL WDG AUG PERFORM,4860.0,4860.0,,,0
CDM,27800002,372900 : BIT DRL 4MM FOR TALAR PEG INBONE II,199.2,199.2,,,0
CDM,27800002,37323 : SCREW BNE 3.5X46MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,37324 : SCREW BNE 3.5X48MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
CDM,27800002,373302 : 2.0X8MM SELF DRILLING MMF SCREW,281.78,281.78,,,0
CDM,27800002,373303 : 2.0X12MM SELF DRILLING MMF SCREW,281.78,281.78,,,0
CDM,27800002,373555 : 2.0X8MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,373556 : 2.0X10MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,373557 : 2.0X12MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,373563 : 2.0X10MM CROSS-PIN SELF TAPPING LOCKING SCREW,246.41,246.41,,,0
CDM,27800002,373564 : 2.0X12MM CROSS-PIN SELF TAPPING LOCKING SCREW,246.41,246.41,,,0
CDM,27800002,373636 : PLATE BNE CRAN 2 H 16MM BAR DOG BNE LP UNIV NEURO III,330.72,330.72,,,0
CDM,27800002,373653 : PLATE BNE CRAN 2 H 12MM BAR DOG BNE RIG 0.6MM LP UNIV NEURO,234.62,234.62,,,0
CDM,27800002,373761 : 6 HOLE MINI PLATE,282.72,282.72,,,0
CDM,27800002,373804 : 11 HOLE RECON PLATE,2093.33,2093.33,,,0
CDM,27800002,373834 : SCRUN3SD1.5X4MM,143.52,143.52,,,0
CDM,27800002,373837 : SCREW BNE 1.5X4MM UNIV NEURO 3 SLF DRL TI AXS,143.52,143.52,,,0
CDM,27800002,373993 : GRAFT BNE SUB 15CC CA PHSPTE HA INJ HYDROSET,10505.98,10505.98,,,0
CDM,27800002,373994 : CEMENT BNE 3ML INJ HYDROSET DIRECTINJECT,3121.49,3121.49,,,0
CDM,27800002,374015 : PLTMINI 6 HOLE1.5MM,2044.78,2044.78,,,0
CDM,27800002,374085 : PLTPRIMARY HEMI 2.0MMRIGHT,4065.22,4065.22,,,0
CDM,27800002,374228 : 2.8MM  Q-FIX ALL SUTURE ANCHOR,820.8,820.8,,,0
CDM,27800002,374300 : PIN EXT FIX L150MM DIA4MM FOR TM TOT ANK SYS,270.0,270.0,,,0
CDM,27800002,377775 : LOCKING SCREW D4X22.5,476.4,476.4,,,0
CDM,27800002,377776 : LOCKING SCREW D4X25,476.4,476.4,,,0
CDM,27800002,377777 : LOCKING SCREW D4X27.5,396.0,396.0,,,0
CDM,27800002,377779 : LOCKING SCREW D4X32.5,476.4,476.4,,,0
CDM,27800002,377780 : LOCKING SCREW D4X35,476.4,476.4,,,0
CDM,27800002,377782 : LOCKING SCREW D4X40,476.4,476.4,,,0
CDM,27800002,377790 : LOCKING SCREW D4XL60,476.4,476.4,,,0
CDM,27800002,377792 : LOCKING SCREW D5X27.5,476.4,476.4,,,0
CDM,27800002,377793 : LOCKING SCREW D5X30,476.4,476.4,,,0
CDM,27800002,377794 : LOCKING SCREW D5X32.5,475.2,475.2,,,0
CDM,27800002,377795 : LOCKING SCREW D5X35,475.2,475.2,,,0
CDM,27800002,377796 : LOCKING SCREW D5X37.5,475.2,475.2,,,0
CDM,27800002,377797 : LOCKING SCREW D5X40,476.4,476.4,,,0
CDM,27800002,377798 : LOCKING SCREW D5XL42.5,476.4,476.4,,,0
CDM,27800002,377799 : LOCKING SCREW D5XL45,476.4,476.4,,,0
CDM,27800002,377800 : LOCKING SCREW D5XL47.5,476.4,476.4,,,0
CDM,27800002,377801 : LOCKING SCREW D5XL50,475.2,475.2,,,0
CDM,27800002,377802 : LOCKING SCREW D5XL52.5,475.2,475.2,,,0
CDM,27800002,377803 : LOCKING SCREW D5XL55,475.2,475.2,,,0
CDM,27800002,377804 : LOCKING SCREW D5XL57.5,476.4,476.4,,,0
CDM,27800002,377805 : LOCKING SCREW D5XL60,475.2,475.2,,,0
CDM,27800002,377806 : LOCKING SCREW D5XL65,475.2,475.2,,,0
CDM,27800002,377807 : LOCKING SCREW D5XL70,475.2,475.2,,,0
CDM,27800002,377808 : LOCKING SCREW D5XL75,475.2,475.2,,,0
CDM,27800002,377809 : LOCKING SCREW D5XL80,476.4,476.4,,,0
CDM,27800002,377810 : LOCKING SCREW D5XL85,475.2,475.2,,,0
CDM,27800002,377811 : LOCKING SCREW D5XL90,476.4,476.4,,,0
CDM,27800002,377812 : LOCKING SCREW D5XL95,476.4,476.4,,,0
CDM,27800002,377819 : ADVANCED LOCKING SCREW 5X32.5MM,564.0,564.0,,,0
CDM,27800002,377820 : ADVANCED LOCKING SCREW 5X35MM,619.2,619.2,,,0
CDM,27800002,377821 : ADVANCED LOCKING SCREW 5X37.5MM,619.2,619.2,,,0
CDM,27800002,377822 : ADVANCED LOCKING SCREW 5X40MM,619.2,619.2,,,0
CDM,27800002,377824 : ADVANCED LOCKING SCREW 5X45MM,619.2,619.2,,,0
CDM,27800002,377825 : ADVANCED LOCKING SCREW 5X47.5MM,564.0,564.0,,,0
CDM,27800002,377826 : ADVANCED LOCKING SCREW 5X50MM,564.0,564.0,,,0
CDM,27800002,377827 : ADVANCED LOCKING SCREW 5X52.5MM,564.0,564.0,,,0
CDM,27800002,377828 : ADVANCED LOCKING SCREW 5X55MM,564.0,564.0,,,0
CDM,27800002,377829 : ADVANCED LOCKING SCREW 5X57.5MM,564.0,564.0,,,0
CDM,27800002,377830 : ADVANCED LOCKING SCREW 5X60MM,564.0,564.0,,,0
CDM,27800002,377831 : ADVANCED LOCKING SCREW 5X65MM,619.2,619.2,,,0
CDM,27800002,377832 : ADVANCED LOCKING SCREW 5X70MM,564.0,564.0,,,0
CDM,27800002,377833 : ADVANCED LOCKING SCREW 5X75MM,564.0,564.0,,,0
CDM,27800002,377834 : ADVANCED LOCKING SCREW 5X80MM,619.2,619.2,,,0
CDM,27800002,377835 : ADVANCED LOCKING SCREW 5X85MM,619.2,619.2,,,0
CDM,27800002,377836 : ADVANCED LOCKING SCREW 5X90MM,619.2,619.2,,,0
CDM,27800002,377837 : ADVANCED LOCKING SCREW 5X95MM,619.2,619.2,,,0
CDM,27800002,377838 : ADVANCED LOCKING SCREW 5X100MM,564.0,564.0,,,0
CDM,27800002,377840 : COMPRESSION SCREW FEMUR D8,501.6,501.6,,,0
CDM,27800002,377865 : FEMORAL NAIL GT LEFT D9XL380,4647.6,4647.6,,,0
CDM,27800002,377877 : FEMORAL NAIL GT LEFT D10XL360,4647.6,4647.6,,,0
CDM,27800002,377970 : FEMORAL NAIL GT RIGHT D9XL400,4264.8,4264.8,,,0
CDM,27800002,377980 : FEMORAL NAIL GT RIGHT D10XL340,4647.6,4647.6,,,0
CDM,27800002,377982 : FEMORAL NAIL GT RIGHT D10XL380,4264.8,4264.8,,,0
CDM,27800002,377984 : FEMORAL NAIL GT RIGHT D10XL420,4264.8,4264.8,,,0
CDM,27800002,377985 : FEMORAL NAIL GT RIGHT D10XL440,4264.8,4264.8,,,0
CDM,27800002,378008 : FEMORAL NAIL GT RIGHT D12XL380,4818.0,4818.0,,,0
CDM,27800002,378262 : COMPRESSION SCREW TIBIA D8,483.6,483.6,,,0
CDM,27800002,378264 : END CAP TIBIA D11.5 +10MM,475.2,475.2,,,0
CDM,27800002,378265 : END CAP TIBIA D11.5 +15MM,471.6,471.6,,,0
CDM,27800002,378269 : TIBIAL NAIL D8XL255,3848.4,3848.4,,,0
CDM,27800002,378275 : TIBIAL NAIL D8XL345,3848.4,3848.4,,,0
CDM,27800002,378283 : TIBIAL NAIL D9XL270,3848.4,3848.4,,,0
CDM,27800002,378285 : TIBIAL NAIL D9XL300,3848.4,3848.4,,,0
CDM,27800002,378286 : TIBIAL NAIL D9XL315,3848.4,3848.4,,,0
CDM,27800002,378287 : TIBIAL NAIL D9XL330,3848.4,3848.4,,,0
CDM,27800002,378288 : TIBIAL NAIL D9XL345,3848.4,3848.4,,,0
CDM,27800002,378290 : TIBIAL NAIL D9XL375,3338.4,3338.4,,,0
CDM,27800002,378300 : TIBIAL NAIL D10XL330,3848.4,3848.4,,,0
CDM,27800002,378302 : TIBIAL NAIL D10XL360,3848.4,3848.4,,,0
CDM,27800002,378319 : TIBIAL NAIL D11XL420,3338.4,3338.4,,,0
CDM,27800002,383045 : 8X30MM INTERFERENCE SCREW,767.52,767.52,,,0
CDM,27800002,383048 : SCREW INTFR L30MM DIA9MM BIOCOMPOSITE VENT FASTTHREAD,767.52,767.52,,,0
CDM,27800002,383049 : SCREW INTFR 8X20MM BIOCOMPOSITE FAST THRD,767.52,767.52,,,0
CDM,27800002,387527 : CREO AMP 10.5 X 40MM MODULAR CANNULATED SCREW,840.0,840.0,,,0
CDM,27800002,387543 : SCREW SPNL 4.5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,387548 : SCREW SPNL 5X30MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,387556 : SCREW SPNL 5.5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,387557 : SCREW SPNL 5.5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,387558 : SCREW SPNL 5.5X50MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,387567 : SCREW BNE 6.5X55MM SPNL MOD CANN CREO,840.0,840.0,,,0
CDM,27800002,387569 : 6.5 X 65MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
CDM,27800002,387583 : SCREW SPNL L40MM OD7.5MM CANN MOD CREO,840.0,840.0,,,0
CDM,27800002,387584 : SCREW SPNL L45MM DIA7.5MM CANN MOD CREO,840.0,840.0,,,0
CDM,27800002,387585 : SCREW SPNL 7.5X50MM CANN CREO AMP,840.0,840.0,,,0
CDM,27800002,387586 : SCREW SPNL L55MM DIA7.5MM MOD CANN CREO AMP,840.0,840.0,,,0
CDM,27800002,387603 : SCREW SPNL 8.5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,387604 : SCREW SPNL 8.5X50MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,387605 : 8.5 X 55MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
CDM,27800002,387613 : 8.5 X 95MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
CDM,27800002,387621 : CREO AMP 9.5 X 55MM MODULAR CANNULATED SCREW,840.0,840.0,,,0
CDM,27800002,387696 : SCREW SPNL 5.5MM POLYAX TULIP HD THRD CREO AMP,660.0,660.0,,,0
CDM,27800002,387826 : SPACER SPNL TLIF 10X9-13X26MM 15DEG LORD ALTERA SELF EXPND,10080.0,10080.0,,,0
CDM,27800002,387827 : ALTERA SPACER 10 X 26 10-14MM 15DEG,10080.0,10080.0,,,0
CDM,27800002,387828 : ALTERA SPACER 10 X 26 12-16MM 15DEG,10080.0,10080.0,,,0
CDM,27800002,387833 : SPACER SPNL W10XH9-13XL31MM 15DEG THORLUM IF LORD SAG BAL,10080.0,10080.0,,,0
CDM,27800002,387835 : ALTERA SPACER 10 X 31 12-16MM 15DEG,10080.0,10080.0,,,0
CDM,27800002,387978 : ANCHOR SPNL 12MM FOR INLINE INTEGR FIX TI COALITION MIS ACDF,180.0,180.0,,,0
CDM,27800002,388014 : COALITION MIS SPACER TI 14 X 16 7 7MM,4320.0,4320.0,,,0
CDM,27800002,388051 : CAP SPNL THRD LOK FOR HD TO HD T CONN QUARTEX,108.0,108.0,,,0
CDM,27800002,388052 : NUT SPNL LOK FOR HD TO HD T CONN QUARTEX,108.0,108.0,,,0
CDM,27800002,388058 : SCREW SPNL 3.5X12MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388059 : SCREW SPNL 3.5X14MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388060 : SCREW SPNL 3.5X16MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388061 : SCREW SPNL 3.5X18MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388062 : SCREW SPNL 3.5X20MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388063 : SCREW SPNL 3.5X22MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388064 : SCREW SPNL 3.5X24MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388065 : SCREW SPNL 3.5X26MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388103 : SCREW SPNL 3.5X28MM FOR 3.5-4MM ROD POST POLYAX SHLDR,1200.0,1200.0,,,0
CDM,27800002,388105 : SCREW SPNL OCT 3.5X32MM POLYAX SHLDR QUARTEX,1200.0,1200.0,,,0
CDM,27800002,388107 : SCREW SPNL OCT 3.5X36MM POLYAX SHLDR QUARTEX,1200.0,1200.0,,,0
CDM,27800002,388117 : SCREW SPNL 4X14MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388118 : SCREW SPNL 4X16MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388122 : SCREW SPNL 4X24MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388123 : SCREW SPNL 4X26MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388124 : SCREW SPNL 4X28MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388125 : SCREW SPNL L30MM DIA4MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,388160 : QUARTEX 4.0MM POLYAXIAL SHOULDER SCREW 28MM,1200.0,1200.0,,,0
CDM,27800002,388179 : SCREW SPNL 4.5X24MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388180 : SCREW SPNL 4.5X26MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388181 : SCREW SPNL 4.5X28MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388182 : SCREW SPNL L30MM DIA4.5MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,388183 : SCREW SPNL 4.5X32MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388184 : SCREW SPNL 4.5X34MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388218 : QUARTEX 5.0MM POLYAXIAL SCREW 28MM,1200.0,1200.0,,,0
CDM,27800002,388219 : SCREW SPNL L30MM DIA5MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,388220 : QUARTEX 5.0MM POLYAXIAL SCREW 32MM,1200.0,1200.0,,,0
CDM,27800002,388221 : SCREW SPNL 5X34MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,388222 : QUARTEX 5.0MM POLYAXIAL SCREW 36MM,1200.0,1200.0,,,0
CDM,27800002,388224 : QUARTEX 5.0MM POLYAXIAL SCREW 40MM,1200.0,1200.0,,,0
CDM,27800002,388235 : SCREW SPNL OCT 5.5X30MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,388236 : SCREW SPNL OCT 5.5X32MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,388237 : SCREW SPNL OCT 5.5X34MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,388238 : SCREW SPNL OCT 5.5X36MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,388320 : CONNECTOR SPNL 27-33MM T HD TO HD QUARTEX,960.0,960.0,,,0
CDM,27800002,388321 : CONNECTOR SPNL 33-39MM T HD TO HD QUARTEX,960.0,960.0,,,0
CDM,27800002,388323 : QUARTEX HEAD TO HEAD T-CONNECTOR 45-51MM,960.0,960.0,,,0
CDM,27800002,388326 : QUARTEX 4.2MM OCCIPITAL SCREW 6MM,300.0,300.0,,,0
CDM,27800002,388327 : QUARTEX 4.2MM OCCIPITAL SCREW 8MM,300.0,300.0,,,0
CDM,27800002,388329 : QUARTEX 4.2MM OCCIPITAL SCREW 12MM,300.0,300.0,,,0
CDM,27800002,388941 : SCREW SPNL L16MM DIA4.2MM SLF DRL VA COALITION,180.0,180.0,,,0
CDM,27800002,388949 : SCREW SPNL L18MM DIA3.6MM ST VA COALITION,180.0,180.0,,,0
CDM,27800002,388958 : 3.6MM BONE SCREW FIXED SELF-DRILLING 16MM,180.0,180.0,,,0
CDM,27800002,389134 : COALITION MIS SPACER 12 X 14 0 5MM,4260.0,4260.0,,,0
CDM,27800002,389142 : COALITION MIS SPACER 12 X 14 7 5MM,4260.0,4260.0,,,0
CDM,27800002,389143 : COALITION MIS SPACER 12 X 14 7 6MM,4260.0,4260.0,,,0
CDM,27800002,389144 : COALITION MIS SPACER 12 X 14 7 7MM,4260.0,4260.0,,,0
CDM,27800002,389151 : COALITION MIS SPACER 12 X 14 12 7MM,4260.0,4260.0,,,0
CDM,27800002,389152 : COALITION MIS SPACER 12 X 14 12 8MM,4260.0,4260.0,,,0
CDM,27800002,389166 : COALITION MIS SPACER 14 X 16 7 7MM,4260.0,4260.0,,,0
CDM,27800002,389189 : COALITION MIS SPACER 15 X 18 7 8MM,4260.0,4260.0,,,0
CDM,27800002,389350 : CEMENT BNE 20GM RADPQ FOR KYPHOPLASTY ST CONCORD HP,324.0,324.0,,,0
CDM,27800002,390015 : CREO THREADED 9.5 X 95MM POLYAXIAL SCREW COCR HEAD TI SHANK,1320.0,1320.0,,,0
CDM,27800002,390434 : AFFIRM VCF KIT PREMIER 15P,5280.0,5280.0,,,0
CDM,27800002,390437 : KIT SPNL VERT COMPR SYS 15U ULT AFFIRM,5280.0,5280.0,,,0
CDM,27800002,390446 : MIXER CEM AND TRNSF PK FORTRESS-+,612.0,612.0,,,0
CDM,27800002,390711 : SCREW SPNL POLYAX COCR TULIP HD THRD AMP,660.0,660.0,,,0
CDM,27800002,392291 : CURE ACP 12MM FIXED 04.5 SELF DRILLING SCREW,180.0,180.0,,,0
CDM,27800002,394545 : RELINE MAS MOD SHANK 6.5X55MM TRACTION,1020.0,1020.0,,,0
CDM,27800002,394555 : RELINE MAS MOD REDUCTION EXTENSION,1020.0,1020.0,,,0
CDM,27800002,394645 : RELINE MAS RED SCREW 6.5X50MM POLY 2C,2040.0,2040.0,,,0
CDM,27800002,394646 : RELINE MAS RED SCREW 6.5X55MM POLY 2C,2040.0,2040.0,,,0
CDM,27800002,394662 : RELINE MAS RED SCREW 7.5X55MM POLY 2C,2040.0,2040.0,,,0
CDM,27800002,396587 : VUEPOINT II TEMPLATE 240MM ROD,326.4,326.4,,,0
CDM,27800002,4 HOLE C SHAPE FRACTURE PLATE,968.42,968.42,,,0
CDM,27800002,4 HOLE FRACTURE PLATE WITH BAR,874.66,874.66,,,0
CDM,27800002,4 HOLE MINI PLATE,222.29,222.29,,,0
CDM,27800002,4 HOLE MINI PLATE LONG BAR,345.0,345.0,,,0
CDM,27800002,4 HOLE MINI PLATE SHORT BAR,258.74,258.74,,,0
CDM,27800002,4 HOLE RANCHO CUBE,480.05,480.05,,,0
CDM,27800002,4.0 MM CANCELLOUS LOCKING SCREWS 32,226.8,226.8,,,0
CDM,27800002,4.0 X 30MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,4.0MM CANCELLOUS SCREW SMALL HEX 14MM FULLY THD,67.2,67.2,,,0
CDM,27800002,4.0MM FL THRDED CAN SCR 40MM,355.99,355.99,,,0
CDM,27800002,4.0MM PART THRDED CAN SCR 54MM,371.74,371.74,,,0
CDM,27800002,4.0MM PT CANC SCR 16MM 7180531,55.08,55.08,,,0
CDM,27800002,4.0MM X 46MM CANNULATED SCREW,336.0,336.0,,,0
CDM,27800002,4.2MM BONE SCREW FIXED SELF-DRILLING 16MM,180.0,180.0,,,0
CDM,27800002,4.5 VA-LCP CRVD COND PL/16 HOLE/336/LFT,8053.2,8053.2,,,0
CDM,27800002,4.5 VA-LCP CRVD COND PL/18 HOLE/370/LFT,8904.6,8904.6,,,0
CDM,27800002,4.5 VA-LCP CURVED COND PL/12 HOLE/266/RT,7214.4,7214.4,,,0
CDM,27800002,4.5 VA-LCP CURVED COND PL/18 HOLE/370/RT,8904.6,8904.6,,,0
CDM,27800002,4.5 X 30MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
CDM,27800002,4.5 X 30MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,4.5MM  BOWED LOCKING COMP FEMUR 10  HOLE PLATE,3734.83,3734.83,,,0
CDM,27800002,4.5MM CORTICAL SCREW LARGE HEX 100MM,92.4,92.4,,,0
CDM,27800002,4.5MM CORTICAL SCREW SELFTAP LARGE HEX 120MM,84.0,84.0,,,0
CDM,27800002,4.5MM ELLIPSE POLYAXIAL SCREW 10MM,1200.0,1200.0,,,0
CDM,27800002,4.5MM L-D FEM LK PL 8H L 193MM,2704.51,2704.51,,,0
CDM,27800002,4.5MM L-D FEM LK PL10H L 230MM,2556.0,2556.0,,,0
CDM,27800002,4.5MM LCK CMP PL 10H 193MM 293,883.01,883.01,,,0
CDM,27800002,4.5MM LP ST CRT SCR 24MM 71806,31.99,31.99,,,0
CDM,27800002,4.5MM NARROW LCP PLATES - 260 MM,2475.0,2475.0,,,0
CDM,27800002,4.5MM NON LOCKING CORT FULL THREAD 32MM,81.07,81.07,,,0
CDM,27800002,4.5MMLD FEM LK PL13H L 286MM 0,2999.81,2999.81,,,0
CDM,27800002,4.5MMLP TIB LK PL8H R 165MM 20,2389.8,2389.8,,,0
CDM,27800002,4.5MMST CRT LCK SCR 20MM 07020,241.94,241.94,,,0
CDM,27800002,4.5MMST CRT LCK SCR 22MM 07022,241.94,241.94,,,0
CDM,27800002,4.5MMST CRT LCK SCR 24MM 07024,241.94,241.94,,,0
CDM,27800002,4.5MMST CRT LCK SCR 70MM 07070,241.94,241.94,,,0
CDM,27800002,4.5MMST CRT LCK SCR 72MM 27072,241.94,241.94,,,0
CDM,27800002,4.5MMST CRT LCK SCR 90MM 27090,247.85,247.85,,,0
CDM,27800002,4.7 X 50 SCREW,1586.4,1586.4,,,0
CDM,27800002,400620 : SET SCR SPNL POLYAX ATR EVEREST,246.0,246.0,,,0
CDM,27800002,401661 : MESA 2 SCREWS DEFORMITY POLYAXIAL 05.5X25 MM,2275.51,2275.51,,,0
CDM,27800002,401662 : SCREW SPNL L30MM DIA5.5MM POLYAX 2 LD THRD LP TOP LD 0 TORQ,2275.51,2275.51,,,0
CDM,27800002,401663 : SCREW SPNL L35MM DIA5.5MM POLYAX 2 LD THRD LP TOP LD 0 TORQ,2275.51,2275.51,,,0
CDM,27800002,401664 : MESA 2 SCREWS DEFORMITY POLYAXIAL 05.5X40 MM,2275.51,2275.51,,,0
CDM,27800002,401669 : MESA 2 SCREWS DEFORMITY POLYAXIAL 06.5X30 MM,2275.51,2275.51,,,0
CDM,27800002,401670 : SCREW SPNL L35MM DIA6.5MM POLYAX 2 LD THRD LP TOP LD 0 TORQ,2275.51,2275.51,,,0
CDM,27800002,401671 : MESA 2 SCREWS DEFORMITY POLYAXIAL 06.5X40 MM,2275.51,2275.51,,,0
CDM,27800002,401686 : MESA 2 SCREWS DEFORMITY POLYAXIAL 07.5X60 MM,2275.51,2275.51,,,0
CDM,27800002,401689 : MESA 2 SCREWS DEFORMITY POLYAXIAL 07.5X80 MM,2275.51,2275.51,,,0
CDM,27800002,401697 : MESA 2 SCREWS DEFORMITY POLYAXIAL 08.5X60 MM,2275.51,2275.51,,,0
CDM,27800002,401728 : SCREW SPNL L25MM DIA5.5MM UNIPLANAR 0 TORQ TECH TOP LD 2 LD,2275.51,2275.51,,,0
CDM,27800002,401729 : SCREW SPNL 5.5X30MM UNIPLANAR 2 LD 0-TORQ LOK LP TOP LD MESA,2275.51,2275.51,,,0
CDM,27800002,401735 : MESA 2 SCREWS DEFORMITY UNIPLANAR 06.5X35 MM,2275.51,2275.51,,,0
CDM,27800002,401736 : SCREW SPNL L40MM DIA6.5MM UNIPLANAR 0 TORQ TECH TOP LD 2 LD,2275.51,2275.51,,,0
CDM,27800002,401869 : MESA SMALL STATURE SINGLE USE ROD TEMPLATE 500 MM,135.31,135.31,,,0
CDM,27800002,401937 : SET SCR SPNL OCT YUKON,295.2,295.2,,,0
CDM,27800002,401940 : SCREW SPNL 3.5X14MM FOR 3.5-4MM ROD POLYAX HI ANGULATION SQ,2423.11,2423.11,,,0
CDM,27800002,401941 : SCREW SPNL 3.5X16MM POLYAX HI ANGULATION SQ THRD TOP LD,2423.11,2423.11,,,0
CDM,27800002,401948 : YUKON SCREW POLYAXIAL SCREW 03.5X30 MM,2423.11,2423.11,,,0
CDM,27800002,402056 : YUKON SCREW MEDIAL LATERAL SCREW 04.5X34 MM,2423.11,2423.11,,,0
CDM,27800002,403889 : CASPIAN RODS (SPECIALTY) TRANSITION 03.5-5.5 MM X 500 MM TI,698.64,698.64,,,0
CDM,27800002,404002 : ROD SPNL L500MM DIA5.5MM TI STR HEX FOR DEFORMITY SYS DENALI,698.64,698.64,,,0
CDM,27800002,404026 : DENALI RODS STRAIGHT DEFORMITY 05.5X500 MM DUAL HEX COCR,698.64,698.64,,,0
CDM,27800002,404036 : DENALI RODS (SPECIALTY) PRE CONTOURED DEFORMITY 05.5X500 MM,698.64,698.64,,,0
CDM,27800002,404215 : DENALI DEFORMITY ROD CONNECTOR (WEDDING BAND) 05.5 MM CLOSED,1943.4,1943.4,,,0
CDM,27800002,404322 : EVEREST CONNECTORS ROD EXTRA WIDE 05.5-6.0 OPEN TO 05.5-6.0,1943.4,1943.4,,,0
CDM,27800002,404381 : MESA HOOKS TRANSVERSE PROCESS 6 MM,1549.8,1549.8,,,0
CDM,27800002,404530 : CASPIAN NATURAL BRIDGE MINI CONNECTORS TRANSVERSE (L) ADJUST,2066.4,2066.4,,,0
CDM,27800002,405513 : SCREW BNE CORT 3.5X20MM,84.0,84.0,,,0
CDM,27800002,405514 : SCREW BNE L22MM DIA3.5MM CORT,84.0,84.0,,,0
CDM,27800002,405563 : SCREW BNE L12MM DIA2.7MM CORT,180.0,180.0,,,0
CDM,27800002,405571 : SCREW BNE L28MM DIA2.7MM CORT,180.0,180.0,,,0
CDM,27800002,405573 : CORTICAL SCREW02.7 X 32MM,180.0,180.0,,,0
CDM,27800002,405577 : CORTICAL SCREW02.7 X 40MM,237.6,237.6,,,0
CDM,27800002,405580 : SCREW BNE L46MM DIA2.7MM CORT,237.6,237.6,,,0
CDM,27800002,405582 : CORTICAL SCREW02.7 X 50MM,237.6,237.6,,,0
CDM,27800002,406788 : SCREW BNE 6.5X30MM CNTRL GLEN THRD PERFORM,900.0,900.0,,,0
CDM,27800002,406792 : SCREW BNE 5X14MM PERIPH GLEN PERFORM,120.0,120.0,,,0
CDM,27800002,406795 : SCREW BNE 5X26MM PERIPH GLEN PERFORM,120.0,120.0,,,0
CDM,27800002,406821 : SYSTEM FIX HND-WRST W- SUT ANCHR FBR WIRE FBR LOOP 3MM 3.5MM,3887.52,3887.52,,,0
CDM,27800002,406994 : SCREW BNE L14MM DIA3.5MM CORT VOLAR TI NONCANN LOK FOR DVR,151.2,151.2,,,0
CDM,27800002,407026 : PLATE BNE 7 H 1-3 TBLR 82MM SS EVOS SM PLATING SYS FOR 3.5MM,110.88,110.88,,,0
CDM,27800002,407063 : SCREW BNE 1.85X6MM MAND SLF DRL TI MATRIXWAVE,248.64,248.64,,,0
CDM,27800002,407064 : SCREW BNE 1.85MM X 8MM TI SLF DRL FOR MMF SYS SET MATRIXWAVE,248.64,248.64,,,0
CDM,27800002,407114 : HYDROSET XT 15 CC,8097.6,8097.6,,,0
CDM,27800002,407120 : SCREW BNE 6.5X30MM CANC ST TI TRIL ACET SYS,59.95,59.95,,,0
CDM,27800002,407380 : SCREW BNE 2X5MM EMGCY MAND CORT FT NONLOCKING ST TI,146.88,146.88,,,0
CDM,27800002,407917 : SCREW BNE L85MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
CDM,27800002,407919 : SCREW BNE 2.7X48MM CORT T8 STARDRV RECESS FT ST SS,94.18,94.18,,,0
CDM,27800002,407990 : 5.0 VA LOCKING SCREW 38MM,631.8,631.8,,,0
CDM,27800002,407993 : SCREW BNE L90MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
CDM,27800002,407998 : 7.0 X 150 PELVIC SCREW,411.6,411.6,,,0
CDM,27800002,408106 : 95MM LAG SCREW,700.56,700.56,,,0
CDM,27800002,40894 : SCREW BNE 2X8MM ST SLF DRL SS T8 STARDRV RECESS,230.4,230.4,,,0
CDM,27800002,40895 : SCREW BNE 2X12MM ST SLF DRL SS T8 STARDRV RECESS,230.4,230.4,,,0
CDM,27800002,409429 : PLATE BNE 7 H 90MM COMPR LOK EVOS FOR 3.5MM SCR,359.52,359.52,,,0
CDM,27800002,409505 : BASEPLATE GLEN DIA25MM +3MM TI POR LAT AUGMENTED PERFORM,4860.0,4860.0,,,0
CDM,27800002,409753 : PLATE BNE CLAV MIDSHAFT SUP L 6 H DECREASED CURVATURE BRDG,3373.2,3373.2,,,0
CDM,27800002,409767 : SCREW BNE L24MM DIA3.5MM PROX HUM NONLOCKING T15 LP FOR ALPS,100.8,100.8,,,0
CDM,27800002,409777 : SCREW CORTICAL SELF-TAP SMALL HEX 3.5MM X 60MM  00483506001,75.6,75.6,,,0
CDM,27800002,409789 : PLATE BNE L83MM 5 H R OLECRANON FOR 2.7-3.5MM SCR EVOS,2505.6,2505.6,,,0
CDM,27800002,409805 : SCREW T15 LP CORT 3.5X16MM NS,92.4,92.4,,,0
CDM,27800002,409806 : SCREW T15 LP CORT 3.5X18MM NS,92.4,92.4,,,0
CDM,27800002,409807 : SCREW BNE L20MM DIA3.5MM CANC NONCANN NONLOCKING LP T15,100.8,100.8,,,0
CDM,27800002,409835 : SCREW BNE 5X28MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
CDM,27800002,409836 : SCREW BNE 5X38MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
CDM,27800002,409843 : SCREW BNE 5X36MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
CDM,27800002,409844 : SCREW CORT SELF TAPPING NCB 5.0 X 32MM  02.03150.032,277.2,277.2,,,0
CDM,27800002,409845 : SCREW BNE 5X70MM DST FEM FT ST TI ALLY NCB,277.2,277.2,,,0
CDM,27800002,409847 : SCREW BNE L44MM DIA5MM STD CORT DST FEM TI ST CANN,277.2,277.2,,,0
CDM,27800002,409848 : SCREW BNE 5X65MM DST FEM FT ST TI ALLY NCB,277.2,277.2,,,0
CDM,27800002,409849 : SCREW UNICORTICAL NCB 5.0 X 18MM  02.03151.018,260.4,260.4,,,0
CDM,27800002,409850 : SCREW BNE 5X14MM UNICORTICAL BLNT TIP FT TI ALLY NCB,260.4,260.4,,,0
CDM,27800002,409851 : SCREW BNE 5X12MM UNICORTICAL L FRAG SYS NCB,260.4,260.4,,,0
CDM,27800002,409852 : SCREW BNE L10MM DIA5MM STD UNICORTICAL FEM TI ALLY LOK,260.4,260.4,,,0
CDM,27800002,409853 : CAP SCR DIA8MM HEX DIA3.5MM TI LOK NCB,243.6,243.6,,,0
CDM,27800002,409857 : SCREW CORTICAL SELF TAPPING SMALL HEX 3.5MM X 50MM  00-4835-,75.6,75.6,,,0
CDM,27800002,409859 : SCREW CORTICAL SELF TAPPING SMALL HEX 3.5MM X 34MM  00-4835-,75.6,75.6,,,0
CDM,27800002,409860 : SCREW BNE SM 3.5X36MM CORT HEX ST,75.6,75.6,,,0
CDM,27800002,409871 : SCREW T15 LP CORT 3.5X12MM NS,92.4,92.4,,,0
CDM,27800002,409872 : SCREW T15 LP CORT 3.5X14MM NS,92.4,92.4,,,0
CDM,27800002,409878 : SCREW LOCKING CORTICAL PEG 2.3MM X 18MM  COS2318,415.2,415.2,,,0
CDM,27800002,409879 : SCREW LOCKING CORTICAL PEG 2.3MM X 20MM  COS2320,415.2,415.2,,,0
CDM,27800002,409881 : NAIL IM 2X300MM RND TIP SS PEDIFLEX,1048.8,1048.8,,,0
CDM,27800002,409892 : PLATE EVOS EA-D HUM 16H 2.7-3.5MM 16H R 195MM  72469216,2851.2,2851.2,,,0
CDM,27800002,409911 : DRIVER SUR CANN SHFT FEN CREO,480.0,480.0,,,0
CDM,27800002,409921 : GUIDEPIN ORTH L444MM THRD REDUC FOR HIP FRAC NAIL AFFIXUS,495.53,495.53,,,0
CDM,27800002,409923 : SCREW CORTICAL SELF-TAP SMALL HEX 3.5MM X 38MM  00-4835-038-,75.6,75.6,,,0
CDM,27800002,409924 : SCREW CORTICAL SELF-TAP SMALL HEX 3.5MM X 30MM  00-4835-030-,75.6,75.6,,,0
CDM,27800002,409929 : SCREW SPNL 4.5X35MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,409930 : SCREW SPNL 4.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,409935 : SCREW BNE L75MM DIA5MM DST FEM TI ALLY ST FT NCB,277.2,277.2,,,0
CDM,27800002,409936 : SCREW SELF-TAPPING CORT NCB 5.0 X 80MM  02.03150.080,277.2,277.2,,,0
CDM,27800002,409951 : PLATE EVOS HUM M-D 7-HOLE 2.7-3.5MM  72465607,2481.6,2481.6,,,0
CDM,27800002,409965 : SCREW CORTICAL SMALL HEX SELF TAP 3.5MM X 5MM  00-4835-055-0,75.6,75.6,,,0
CDM,27800002,409971 : PLATE BNE 8 H CRV 104MM RAD 108MM RECON SS LP PELV SYS,1644.7,1644.7,,,0
CDM,27800002,410251 : SCREW BNE 6.5X95MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,532.8,532.8,,,0
CDM,27800002,410998 : SCREW BNE 3.5X22MM T10 DRV FT LOK TI VARIAX,260.4,260.4,,,0
CDM,27800002,411003 : SCREW BNE 3.5X20MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
CDM,27800002,411009 : SCREW BNE 3.5X12MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
CDM,27800002,411011 : SCREW BNE 3.5X14MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
CDM,27800002,411013 : SCREW BNE 3.5X16MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
CDM,27800002,411016 : SCREW BNE 3.5X24MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
CDM,27800002,411040 : COHERE XLIF AMS PLATE 8MM DUAL- SIDED,7680.0,7680.0,,,0
CDM,27800002,411041 : PLATE SPNL 10MM 2 SIDE XLIF AMS,7680.0,7680.0,,,0
CDM,27800002,411057 : HEDRON C SPACER 12X14 8MM 7,1800.0,1800.0,,,0
CDM,27800002,411064 : HEDRON C SPACER 12X14 8MM 12,1800.0,1800.0,,,0
CDM,27800002,411093 : HEDRON C SPACER 14X16 8MM 7,1800.0,1800.0,,,0
CDM,27800002,411154 : HEDRON IA SPACER 24X30 11MM 15,10440.0,10440.0,,,0
CDM,27800002,411155 : SPACER SPNL 24X30X13MM 15DEG HEDRON IA,10440.0,10440.0,,,0
CDM,27800002,411156 : HEDRON IA SPACER 24X30 15MM 15,10440.0,10440.0,,,0
CDM,27800002,411158 : HEDRON IA SPACER 24X30 13MM 20,10440.0,10440.0,,,0
CDM,27800002,411159 : HEDRON IA SPACER 24X30 15MM 20,10440.0,10440.0,,,0
CDM,27800002,411175 : SPACER SPNL 26X34X11MM 15DEG HEDRON IA,10440.0,10440.0,,,0
CDM,27800002,411176 : SPACER SPNL 26X34X13MM 15DEG HEDRON IA,10440.0,10440.0,,,0
CDM,27800002,411181 : HEDRON IA SPACER 26X34 13MM 20,10440.0,10440.0,,,0
CDM,27800002,411182 : SPACER SPNL 26X34X15MM 20DEG HEDRON IA,10440.0,10440.0,,,0
CDM,27800002,411207 : HEDRON IA SPACER 29X39 19MM 20,10440.0,10440.0,,,0
CDM,27800002,411210 : HEDRON IA SPACER 29X39 17MM 25,10440.0,10440.0,,,0
CDM,27800002,411214 : HEDRON IA SPACER 29X39 17MM 30,10440.0,10440.0,,,0
CDM,27800002,411420 : SABLE SPACER 10X22 9-15MM 0 SINGLE STERILE,13200.0,13200.0,,,0
CDM,27800002,411422 : SABLE SPACER 10X22 6-12MM 8  SINGLE STERILE,13200.0,13200.0,,,0
CDM,27800002,411426 : SPACER SPNL W10XH7XL22MM 15DEG SABLE,13200.0,13200.0,,,0
CDM,27800002,411438 : SPACER SPNL W10XH6XL26MM 8DEG SABLE,13200.0,13200.0,,,0
CDM,27800002,411440 : SABLE SPACER 10X26 9-16MM 8 SINGLE STERILE,13200.0,13200.0,,,0
CDM,27800002,411442 : SPACER SPNL W10XH7XL26MM 15DEG SABLE,13200.0,13200.0,,,0
CDM,27800002,411444 : SABLE SPACER 10X26 10-17MM 15  SINGLE STERILE,13200.0,13200.0,,,0
CDM,27800002,411446 : SPACER SPNL W10XH9XL26MM 22DEG SABLE,13200.0,13200.0,,,0
CDM,27800002,411452 : SABLE SPACER 10X30 7-14MM 15 SINGLE STERILE,13200.0,13200.0,,,0
CDM,27800002,411466 : SABLE SPACER 12X26 9-17MM 22  SINGLE STERILE,13200.0,13200.0,,,0
CDM,27800002,411491 : SCREW INTFR 11X30MM BIOCOMPOSITE RND HD L THRD PITCH,767.52,767.52,,,0
CDM,27800002,412085 : PLATE BNE L140MM 7 H L PROX HUM HI ALPS,2965.2,2965.2,,,0
CDM,27800002,412235 : SCREW SPNL L14MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,412236 : SCREW SPNL L16MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,412238 : SCREW SPNL L14MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,412245 : SCREW BNE 5X46MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
CDM,27800002,412246 : NCM CORT SCREW 5.0 X 48MM SELF TAPPING,277.2,277.2,,,0
CDM,27800002,412248 : PLATE BNE PUBIC SYMPHYSIS 6 H 78MM SS LP PELV SYS FOR 3.5MM,2063.83,2063.83,,,0
CDM,27800002,412395 : SCREW BNE L145MM DIA7MM BIODUR ALLY CANN NONLOCKING FT,411.6,411.6,,,0
CDM,27800002,412402 : SCREW BNE 5X42MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
CDM,27800002,412407 : SCREW BNE 3.5X26MM CORT NONLOCKING TI LP T15 PROX HUM,100.8,100.8,,,0
CDM,27800002,412416 : EVOS 2.7-3.5MM PL-D HUMERUS PL 6H R 85MM,2131.2,2131.2,,,0
CDM,27800002,412441 : 10CC CRANIOSCULPT-C CRANIAL BONE VOID FILLER,10828.8,10828.8,,,0
CDM,27800002,412541 : SCREW BNE L24MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,412838 : SCREW BNE L16MM DIA3.5MM STD CORT SS ST NONCANN LOK FT HEX,75.6,75.6,,,0
CDM,27800002,413097 : PLATE BNE L83MM 5 H L OLECRANON FOR 2.7-3.5MM SCR EVOS,2505.6,2505.6,,,0
CDM,27800002,413123 : EVOS 2.7-3.5 AL-D TIBIA PL 17H L 219MM,4461.6,4461.6,,,0
CDM,27800002,413316 : NCB 5.0 UNICORTICAL SCR L=20MM,260.4,260.4,,,0
CDM,27800002,413317 : SCREW BNE 5X26MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
CDM,27800002,413381 : SCREW T15 LP CORT 3.5X34MM NS,100.8,100.8,,,0
CDM,27800002,413382 : SCREW BNE L30MM DIA3.5MM PROX HUM NONLOCKING T15 LP FOR ALPS,100.8,100.8,,,0
CDM,27800002,413387 : NAIL IM 3X400MM RND TIP SS PEDIFLEX,1048.8,1048.8,,,0
CDM,27800002,413396 : EVOS 2.7-3.5MM M-D HUMERUS PL 3H R 80MM,2073.6,2073.6,,,0
CDM,27800002,413421 : SCREW BNE L40MM DIA4MM HEX HD DIA6.2MM CORT DST FEM TI ST,201.6,201.6,,,0
CDM,27800002,413422 : NCB CORT SCREW 4.0X38MM SELF TAPPING,201.6,201.6,,,0
CDM,27800002,413447 : SCREW BNE 3.5X22MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
CDM,27800002,413603 : SCREW 3.5MM CORTICAL SELF-TAP SMALL HEX 32MM 00-4835-032-01,75.6,75.6,,,0
CDM,27800002,413613 : SCREW BNE 2MM X 6MM MAND SLF DRL TI ALLY MATRIXMANDIBLE,146.88,146.88,,,0
CDM,27800002,413622 : PLATE BNE 8 H STR 104MM RECON SS LP PELV SYS FOR 3.5MM SCR,1088.9,1088.9,,,0
CDM,27800002,413680 : SCREW BNE 5X34MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
CDM,27800002,413692 : CREO FENESTRATED 4.5 X 30MM MODULAR SCREW,1320.0,1320.0,,,0
CDM,27800002,413695 : ROD SPNL 5.5X200MM POST STR TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800002,413696 : SCREW SPNL 5.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,413697 : SCREW SPNL 5.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,413698 : SCREW SPNL 5.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,413699 : SCREW BNE 2.7X12MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
CDM,27800002,413806 : SCREW BNE 3.5X16MM T10 DRV FT LOK TI VARIAX,260.4,260.4,,,0
CDM,27800002,413809 : GRAFT EVAR STNT L12CM DIA26X14.5MM RECOMMENDED INTRO SHTH,30290.4,30290.4,,,0
CDM,27800002,413826 : 2.0MM TI MATRIXMANDIBLE SCREW SELF-DRILLING-LOCKING-6MM 04.5,254.4,254.4,,,0
CDM,27800002,413830 : 2.7MM CORTEX SCREW SLF-TPNG 202.965,94.18,94.18,,,0
CDM,27800002,413838 : SCREW SPNL L12MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,413839 : SCREW SPNL L34MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,413840 : MULTI AXIAL SCREW 3604532 4.5 X 32MM 3604532,1308.0,1308.0,,,0
CDM,27800002,413841 : ROD SPNL L240MM DIA3.5MM STD OCCIPITOCERVICAL UP THOR INFIN,328.8,328.8,,,0
CDM,27800002,414251 : SET BNE GRFT DEL SYS W- 9CC DBF 2 CANN GRFT ACCELERATE,3024.0,3024.0,,,0
CDM,27800002,414401 : SCREW SPNL DIA5.0MM L35MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414403 : SCREW SPNL DIA5.0MM L45MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414404 : SCREW SPNL MOD HA COAT 5.5 MM X 30MM CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414405 : SCREW SPNL DIA5.5MM L35MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414406 : SCREW SPNL DIA5.5MM L40MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414407 : SCREW SPNL DIA5.5MM L45MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414408 : SCREW SPNL DIA5.5MM L50MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414409 : SCREW SPNL MOD HA COAT 5.5 MM X 55MM CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414412 : SCREW SPNL 6.5X40MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414413 : SCREW SPNL 6.5X45MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414414 : SCREW SPNL 6.5X50MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414415 : SCREW SPNL 6.5X55MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414416 : SCREW SPNL 6.5X60MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414417 : CREO AMP 6.5 X 65MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
CDM,27800002,414418 : SCREW SPNL MOD HA COAT 7.5 MM X 30MM CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414419 : CREO AMP 7.5 X 35MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
CDM,27800002,414420 : SCREW SPNL DIA7.5MM L40MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414421 : SCREW SPNL DIA7.5MM L45MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414422 : SCREW SPNL DIA7.5MM L50MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414423 : SCREW SPNL MOD HA COAT 7.5 MM X 55MM CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414424 : SCREW SPNL MOD HA COAT 7.5 MM X 60MM CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414425 : CREO AMP 7.5 X 65MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
CDM,27800002,414427 : CREO AMP 8.5 X 35MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
CDM,27800002,414428 : CREO AMP 8.5 X 40MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
CDM,27800002,414429 : SCREW SPNL MOD HA COAT 8.5 MM X 45MM CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414430 : SCREW SPNL MOD HA COAT 8.5 MM X 50MM CREO AMP,1620.0,1620.0,,,0
CDM,27800002,414431 : CREO AMP 8.5 X 55MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
CDM,27800002,414432 : CREO AMP 8.5 X 60MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
CDM,27800002,414454 : CREO FENESTRATED 4.5 X 35MM POLYAXIAL SCREW THREADED,2160.0,2160.0,,,0
CDM,27800002,414458 : CREO FENESTRATED 5.0 X 30MM POLYAXIAL SCREW THREADED,2160.0,2160.0,,,0
CDM,27800002,414460 : CREO FENESTRATED 5.0 X 35MM POLYAXIAL SCREW THREADED,2160.0,2160.0,,,0
CDM,27800002,414462 : SCREW SPNL L40MM DIA5MM THORLUM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,414478 : SCREW SPNL L40MM DIA5.5MM POLYAX THRD FEN CREO,2160.0,2160.0,,,0
CDM,27800002,414480 : SCREW SPNL L45MM DIA5.5MM FEN POLYAX THRD CREO,2160.0,2160.0,,,0
CDM,27800002,414481 : SCREW SPNL 5.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,414820 : SET BNE GRFT DEL SYS W- 6CC DBF 2 CANN GRFT ACCELERATE,2280.0,2280.0,,,0
CDM,27800002,414821 : SET BNE GRFT DEL SYS W- 12CC DBF 2 CANN GRFT ACCELERATE,3528.0,3528.0,,,0
CDM,27800002,414823 : SHANK SPNL SCR 6.5X45MM ATS THRD CDH MODULEX,1252.8,1252.8,,,0
CDM,27800002,414824 : SHANK SPNL SCR 6.5X50MM ATS THRD CDH MODULEX,1252.8,1252.8,,,0
CDM,27800002,414832 : SET SCR SPNL OCCIPITOCERVICAL UP THOR M6 INFIN,115.2,115.2,,,0
CDM,27800002,414953 : SYSTEM GRFT DEL W- 3CC GRFT DEMIN BNE FBR 2 CANN ACCELERATE,1320.0,1320.0,,,0
CDM,27800002,415004 : SCREW MULTI AXIAL 3.5 X 18MM,1308.0,1308.0,,,0
CDM,27800002,415032 : PIN DRL 75MM HDLSS TRCR NXGN,177.6,177.6,,,0
CDM,27800002,415133 : SCREW SPNL L20MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,415238 : SCREW MULTI AXIAL 3.5 X 24MM,1308.0,1308.0,,,0
CDM,27800002,41847 : SCREW BNE 3.5X18MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
CDM,27800002,41848 : SCREW BNE 3.5X16MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
CDM,27800002,41849 : SCREW BNE 3.5X20MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,41852 : PLATE 3.5MM LCP 7H 98MM 223.571,1139.4,1139.4,,,0
CDM,27800002,419256 : PIN FIX POLYETH BUMPER LOK OSS,1020.0,1020.0,,,0
CDM,27800002,41931 : PLATE ONE-THIRD TUBULAR LCP WITH COLLAR 10H 117MM 241.401,396.48,396.48,,,0
CDM,27800002,419435 : SCREW SPNL OCCIPITOCERVICAL UP THOR 3.5X28MM MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,419694 : SCREW BNE 2.7X14MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
CDM,27800002,419706 : SCREW BNE 3.5X48MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,419715 : SCREW BNE 10.5X110MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
CDM,27800002,420117 : SCREW SPNL L10MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
CDM,27800002,420120 : PLATE SPNL SM OCCIPITOCERVICAL UP THOR ADJ INFIN,3600.0,3600.0,,,0
CDM,27800002,420131 : SCREW SPNL L30MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,420132 : SCREW SPNL L34MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,420134 : SCREW SPNL L16MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,420140 : SCREW SPNL L30MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,420141 : SCREW SPNL L32MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,420142 : SCREW SPNL L34MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,420143 : SCREW SPNL L22MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,420144 : SCREW SPNL L24MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,420145 : SCREW SPNL L26MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,420146 : SCREW SPNL L28MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,420147 : SCREW SPNL L30MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,420182 : SHANK SPNL SCR 6.5X40MM ATS THRD CDH MODULEX,1252.8,1252.8,,,0
CDM,27800002,420187 : SCREW SPNL SHNK MDX OSTEOGRIP 6.5MM X 50MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,420188 : SCREW SPNL SHNK 6.5MM X 40MM NANOLOCK CDH MODULEX,1608.0,1608.0,,,0
CDM,27800002,420209 : PLATE SPNL 8MM LAT H OPN DOOR CNTRPC,636.0,636.0,,,0
CDM,27800002,420211 : PLATE SPNL L12MM TI POST CERV OPN DOOR LAT H BILAT CNTRPC,636.0,636.0,,,0
CDM,27800002,420215 : SCREW SPNL 2X5MM FOR OPN DOOR LAMINOPLASTY CNTRPC PLT FIX,96.0,96.0,,,0
CDM,27800002,420216 : SCREW SPNL 2X7MM FOR OPN DOOR LAMINOPLASTY CNTRPC PLT FIX,96.0,96.0,,,0
CDM,27800002,420237 : CROSSLINK 5.5MM ROD M 40-72MM,1176.0,1176.0,,,0
CDM,27800002,420259 : SCREW SPNL 5.5X35MM FOR 3.2-3.5MM ROD POST MULTIAXIAL,1344.0,1344.0,,,0
CDM,27800002,420366 : CABLE SUR L635MM DIA1.8MM COCR ASSEMB W- CERCLAGE CRMP CBL,710.4,710.4,,,0
CDM,27800002,42065 : SCREW BNE 3.5X22MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
CDM,27800002,42066 : SCREW BNE 3.5X24MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
CDM,27800002,42067 : SCREW BNE 3.5X26MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,42068 : SCREW BNE 3.5X28MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,42069 : SCREW BNE 3.5X30MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,42070 : SCREW BNE 3.5X32MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,42072 : SCREW BNE 3.5X36MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,42073 : SCREW BNE 3.5X38MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,42074 : SCREW BNE 3.5X40MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
CDM,27800002,42075 : SCREW BNE 3.5X45MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
CDM,27800002,42076 : SCREW BNE 3.5X50MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
CDM,27800002,42077 : PLATE 3.5MM LCP 9H 124MM 223.591,717.91,717.91,,,0
CDM,27800002,42079 : PLATE 3.5MM LCP RECONSTRUCTION 10H 140MM 245.101,1120.78,1120.78,,,0
CDM,27800002,421122 : NAIL IM L360MM DIA8MM FEM TI CANN LOK AG RG BENT FLUT T2,4338.0,4338.0,,,0
CDM,27800002,421235 : PLATE BNE L117MM 6 H NS L PROX TIB SS VA LOK COMPR SM BEND,3799.32,3799.32,,,0
CDM,27800002,421237 : PLATE BNE L177MM 10 H NS R PROX TIB SS VA LOK COMPR SM BEND,4525.08,4525.08,,,0
CDM,27800002,421281 : PLATE SPNL SM L20MM OCCIPITAL QUARTEX,3600.0,3600.0,,,0
CDM,27800002,421289 : SCREW SPNL 30MM FEN REDUC TULIP MIS,1080.0,1080.0,,,0
CDM,27800002,421291 : SCREW SPNL 4.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,421294 : SCREW SPNL 5X40MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,421298 : SCREW SPNL 5.5X35MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,421303 : SCREW SPNL 6.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,421304 : SCREW SPNL 6.5X55MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,421307 : SCREW SPNL 7.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,421309 : SCREW SPNL 7.5X55MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,421311 : SCREW SPNL 8.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,421352 : SCREW SPNL 6.5X40MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,421354 : SCREW SPNL 6.5X45MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,421355 : SCREW SPNL 6.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,421360 : SCREW SPNL 7.5X45MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,421361 : SCREW SPNL 7.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,421390 : SCREW SPNL 8.5X100MM POST PREFERRED ANG CANN TI-CO CHROM,2400.0,2400.0,,,0
CDM,27800002,421391 : SCREW SPNL 8.5X70MM POST PREFERRED ANG CANN TI-CO CHROM CREO,2400.0,2400.0,,,0
CDM,27800002,421393 : SCREW SPNL 8.5X80MM POST PREFERRED ANG CANN TI-CO CHROM CREO,2400.0,2400.0,,,0
CDM,27800002,421394 : SCREW SPNL 8.5X85MM POST PREFERRED ANG CANN TI-CO CHROM CREO,2400.0,2400.0,,,0
CDM,27800002,421397 : SCREW SPNL L100MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
CDM,27800002,421400 : SCREW SPNL L80MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
CDM,27800002,421402 : SCREW SPNL L90MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
CDM,27800002,421403 : SCREW SPNL L95MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
CDM,27800002,421624 : WASHER ORTH FOR 2.4-2.7-3.5MM SCR VARIAX,76.8,76.8,,,0
CDM,27800002,421626 : PLATE BNE CLAV MIDSHAFT SUP L 6 H DECREASED CURVATURE STD,2761.2,2761.2,,,0
CDM,27800002,421634 : SCREW BNE 3.5X40MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,421636 : SCREW BNE 3.5X50MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,421642 : SCREW BNE 3.5X30MM CORT T15 DRV TI AXSOS 3,85.2,85.2,,,0
CDM,27800002,421644 : SCREW BNE 4.5X36MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
CDM,27800002,421645 : SCREW BNE 4.5X38MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
CDM,27800002,421646 : SCREW BNE 4.5X40MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
CDM,27800002,421681 : SCREW BNE 10.5X85MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
CDM,27800002,42169 : PLATE BNE 8 H 111MM SS LCP FOR 3.5-4MM SCR,1189.8,1189.8,,,0
CDM,27800002,422022 : PIN FIX L229MM DIA2MM SS SGL TRCR PT N THRD STNMN,4.72,4.72,,,0
CDM,27800002,422033 : ANCHOR SUT 1.8 FIBERTAK GEN2 SFT KNTLSS SZ 2 SUT SLF,1145.04,1145.04,,,0
CDM,27800002,422037 : ANCHOR SUT FIBERSTITCH TWO POLY IMPL AND 2-0 FBRWR SUT 1.5MM,1430.52,1430.52,,,0
CDM,27800002,422040 : ANCHOR SUT 2.6 FIBERTAK KNTLSS SLF PUNCHING 1.7MM WHT BLK,1379.04,1379.04,,,0
CDM,27800002,422041 : ANCHOR SUT 2.6 FIBERTAK KNTLSS SLF PUNCHING 1.7MM BLU,1379.04,1379.04,,,0
CDM,27800002,422042 : ANCHOR SUT 2.6 FIBERTAK KNTLSS SLF PUNCHING 1.7MM BLK BLU,1379.04,1379.04,,,0
CDM,27800002,422044 : ANCHOR SUT 1.8 FIBERTAK KNTLSS MACH TAPR SUT SLF BUNCHING,1235.52,1235.52,,,0
CDM,27800002,422084 : ANCHOR SUT W- SLT GUID 1.9MM DRL FIBERTAK,1625.52,1625.52,,,0
CDM,27800002,422141 : ANCHOR SUT DBL LD FIBERTAK DX,1365.0,1365.0,,,0
CDM,27800002,422192 : GUIDEPIN ORTH 1.3MM X 140MM BAYNT PNT,35.14,35.14,,,0
CDM,27800002,422193 : GUIDEPIN ORTH L140MM DIA1.3MM TRCR PT,35.14,35.14,,,0
CDM,27800002,422205 : WASHER ORTH OD8MM ID4MM THK1MM SS,49.1,49.1,,,0
CDM,27800002,422959 : SCREW SPNL L6MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
CDM,27800002,422972 : SCREW SPNL SHNK MDX OSTEOGRIP 4.5MM X 25MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,422973 : SCREW SPNL SHNK MDX OSTEOGRIP 4.5MM X 30MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,422974 : SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 40MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,422992 : FIBER FLOWABLE DEMIN 1CC OSSIFUSE HSA,240.0,240.0,,,0
CDM,27800002,422993 : FIBER FLOWABLE DEMIN 5CC OSSIFUSE HSA,1200.0,1200.0,,,0
CDM,27800002,422994 : FIBER FLOWABLE DEMIN 10CC OSSIFUSE HSA,2400.0,2400.0,,,0
CDM,27800002,423242 : SCREW SPNL L45MM DIA5.5MM HA CANN MOD CREO AMP,1080.0,1080.0,,,0
CDM,27800002,424329 : SCREW SPNL SACROILIAC 10X35MM SL ET WSHR SI LOK SEL,6000.0,6000.0,,,0
CDM,27800002,424330 : SCREW SPNL SACROILIAC 10X40MM SL ET WSHR SI LOK SEL,6000.0,6000.0,,,0
CDM,27800002,424569 : SCREW SPNL L30MM DIA3.5MM CORRIDOR,960.0,960.0,,,0
CDM,27800002,426953 : SCREW SPNL L40MM DIA4.5MM POLYAX THRD FEN CREO,2160.0,2160.0,,,0
CDM,27800002,426996 : CREO FEN 8.5 X 45MM POLYAX SCR THRD,2160.0,2160.0,,,0
CDM,27800002,429982 : OSSIFUSE HSA BOAT 50X25X7MM X2,2872.8,2872.8,,,0
CDM,27800002,431687 : SCREW SPNL L32MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,432956 : SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 30MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,432958 : SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 35MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,432959 : SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 45MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,432960 : SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 50MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,432965 : SCREW SPNL SHNK MDX OSTEOGRIP 6.5MM X 30MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,432966 : SCREW SPNL SHNK MDX OSTEOGRIP 6.5MM X 35MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,432967 : SCREW SPNL SHNK MDX OSTEOGRIP 6.5MM X 40MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,432968 : SCREW SPNL SHNK MDX OSTEOGRIP 6.5MM X 45MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,433120 : SCREW SPNL SET MAS SS ST 5.5-6MM CDH MODULEX,1380.0,1380.0,,,0
CDM,27800002,433121 : SCREW SPNL SET MAS SS ST 5.5-6MM CDH MODULEX,1380.0,1380.0,,,0
CDM,27800002,433122 : SCREW SPNL SET MAS SS ST 5.5-6MM CDH MODULEX,1380.0,1380.0,,,0
CDM,27800002,433127 : HEAD SCR SPNL RMAS SS ST 5.5-6MM CDH MODULEX,1432.8,1432.8,,,0
CDM,27800002,433129 : HEAD SCR SPNL RUAS SS ST 5.5-6MM CDH MODULEX,1552.8,1552.8,,,0
CDM,27800002,434098 : SCREW SPNL 2.4X5MM FOR OPN DOOR LAMINOPLASTY CNTRPC PLT FIX,96.0,96.0,,,0
CDM,27800002,43459 : SCREW BNE 3.5X55MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,43460 : SCREW BNE 3.5X60MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,43858 : WASHER ORTH DIA13MM THK1.5MM SS FOR ASNS III 6.5-8MM CANN,79.2,79.2,,,0
CDM,27800002,439715 : 2.4-2.7 VA 1ST MTP FUSN PL-SM-5 DEG-LFT,2170.08,2170.08,,,0
CDM,27800002,439993 : 2.7 VA LCP HOOK PLATE SHORT- 15- RIGHT,3810.6,3810.6,,,0
CDM,27800002,439996 : 2.7 VA LCP HOOK PLATE SHORT- 12- LEFT,2628.86,2628.86,,,0
CDM,27800002,440000 : 2.7MM VA LCP HOOK PLATE LONG- 15MM- LEFT,2648.83,2648.83,,,0
CDM,27800002,440418 : 2.7 CORTEX SCREW SLF-TPNG  T8 SD REC-42,94.18,94.18,,,0
CDM,27800002,440422 : 3.5 CANNULATED SCREW PARTIALLY THRD-32,352.87,352.87,,,0
CDM,27800002,440482 : 3.5 LOW PRO RECONSTRUCTION PL 18 HOLES,2770.2,2770.2,,,0
CDM,27800002,440492 : DHS-DCS ONE-STEP LAG SCR 12.7 THRD-85,1249.2,1249.2,,,0
CDM,27800002,440539 : 3.5 SELF TAPPING CORTICAL SCREWS130MM,430.2,430.2,,,0
CDM,27800002,440594 : ANCHOR SUTURE FIBERTAG TIGHTROPE II,1547.52,1547.52,,,0
CDM,27800002,440596 : KIT MENISCAL ROOT REPAIR WITH BIOCOMPOSITE SWIVELOCK ANCHOR,4421.04,4421.04,,,0
CDM,27800002,444193 : 6.5MMX100MM CAN SCR FT SS,461.57,461.57,,,0
CDM,27800002,444324 : EVOS 2.7-3.5 AL-D TIBIA PL 11H R 153MM,4181.76,4181.76,,,0
CDM,27800002,444393 : EVOS 2.7-3.5MM L-D HUM PL 7H R 90MM,2342.4,2342.4,,,0
CDM,27800002,444409 : EVOS 2.7-3.5MM OLECRANON PL 3H L 61MM,2299.2,2299.2,,,0
CDM,27800002,444413 : EVOS 2.7-3.5MM OLECRANON PL 8H R 114MM,2697.6,2697.6,,,0
CDM,27800002,444468 : EVOS 3.5MM CVD PROX HUM PL 12H L 180MM,2976.0,2976.0,,,0
CDM,27800002,444472 : EVOS 3.5MM CVD PROX HUM PL 15H L 213MM,3062.4,3062.4,,,0
CDM,27800002,444482 : EVOS 3.5MM CVD PROX HUM PL 4H R 92MM,2635.2,2635.2,,,0
CDM,27800002,444504 : EVOS 3.5MM STR PROX HUM PL 3H 92MM,2563.2,2563.2,,,0
CDM,27800002,444518 : EVOS 3.5MM SUP MS CLAV PL 8H L 86MM,1372.8,1372.8,,,0
CDM,27800002,444526 : EVOS 3.5MM X 100MM CTX SCR S-T,35.98,35.98,,,0
CDM,27800002,444528 : EVOS 3.5MM X 105MM CTX SCR S-T,35.98,35.98,,,0
CDM,27800002,444564 : EVOS PROXIMAL RADIAL SHAFT PL 5H R 95MM,1272.0,1272.0,,,0
CDM,27800002,444574 : EVOS VOLAR PLATE 10H L STD 138MM,2745.6,2745.6,,,0
CDM,27800002,444828 : VLP 3.5MM CALCANEUS PLATE MD LEFT STER,2012.4,2012.4,,,0
CDM,27800002,445004 : 18.0MM MINI ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
CDM,27800002,445056 : ACU-LOC 2 VDR PLT NARROW L,4538.4,4538.4,,,0
CDM,27800002,445118 : 2.3MM X 16MM LOCKING CORTICAL PEG,415.2,415.2,,,0
CDM,27800002,445231 : 2.0MM X 8MM FULLY THREADED SCREWLOCKING,468.0,468.0,,,0
CDM,27800002,445232 : 2.0MM X 9MM FULLY THREADED SCREWLOCKING,468.0,468.0,,,0
CDM,27800002,445233 : 2.0MM X 10MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
CDM,27800002,445252 : 2.0MM X 9MM FULLY THREADED SCREW,254.4,254.4,,,0
CDM,27800002,445282 : 2.0MM 12 HOLE STRAIGHT PLATE LOCKING,1185.6,1185.6,,,0
CDM,27800002,445552 : .045 X 4 K-WIRE DOUBLE TROCAR,122.4,122.4,,,0
CDM,27800002,455817 : 2.5MM FLEX NAIL TI - ROUND TIP,1048.8,1048.8,,,0
CDM,27800002,455818 : 3.0MM FLEX NAIL TI - ROUND TIP,1048.8,1048.8,,,0
CDM,27800002,455823 : SS FLEX NAIL 4.0 - ROUND TIP,1048.8,1048.8,,,0
CDM,27800002,455833 : 3.5MM LOCKING CORTICAL SCREW WITH T15 HEXALOBE SIZE 60MM,447.72,447.72,,,0
CDM,27800002,455843 : 3.5MM LOCKING CORTICAL SCREW WITH T15 HEXALOBE SIZE 38MM,447.72,447.72,,,0
CDM,27800002,457232 : NAIL IM L300MM DIA12MM L ANK TI ALLY CANN LOK LAT BEND,4440.24,4440.24,,,0
CDM,27800002,457235 : NAIL IM L300MM DIA11MM R ANK TI ALLY CANN LOK LAT BEND,8023.68,8023.68,,,0
CDM,27800002,457369 : NAIL IM L320MM OD8MM TI L FEM GREATER TROC ENTRY CANN T2,4869.6,4869.6,,,0
CDM,27800002,457590 : T2 FE RETRO NAIL LNG D9XL320,5271.6,5271.6,,,0
CDM,27800002,457599 : T2 FE RETRO NAIL SHT D10XL170,5271.6,5271.6,,,0
CDM,27800002,457605 : T2 FE RETRO NAIL LNG D10XL300,4586.4,4586.4,,,0
CDM,27800002,457606 : T2 FE RETRO NAIL LNG D10XL320,5271.6,5271.6,,,0
CDM,27800002,457607 : T2 FE RETRO NAIL LNG D10XL340,5271.6,5271.6,,,0
CDM,27800002,457608 : NAIL IM FEM 10MM X 360MM RG T2 ALPHA,5271.6,5271.6,,,0
CDM,27800002,457609 : T2 FE RETRO NAIL LNG D10XL380,5271.6,5271.6,,,0
CDM,27800002,457610 : T2 FE RETRO NAIL LNG D10XL400,4586.4,4586.4,,,0
CDM,27800002,457619 : T2 FE RETRO NAIL LNG D11XL260,5271.6,5271.6,,,0
CDM,27800002,457622 : T2 FE RETRO NAIL LNG D11XL320,4586.4,4586.4,,,0
CDM,27800002,457624 : T2 FE RETRO NAIL LNG D11XL360,4586.4,4586.4,,,0
CDM,27800002,457625 : NAIL IM FEM 11X380MM RG TI T2 ALPHA,5271.6,5271.6,,,0
CDM,27800002,457626 : T2 FE RETRO NAIL LNG D11XL400,5271.6,5271.6,,,0
CDM,27800002,457632 : T2 FE RETRO NAIL SHT D12XL200,5467.2,5467.2,,,0
CDM,27800002,457640 : T2 FE RETRO NAIL LNG D12XL360,4586.4,4586.4,,,0
CDM,27800002,457657 : T2 FE RETRO NAIL LNG D13XL400,4586.4,4586.4,,,0
CDM,27800002,458128 : SCREW BNE 6.5X60MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,532.8,532.8,,,0
CDM,27800002,458130 : SCREW BNE 6.5X70MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,532.8,532.8,,,0
CDM,27800002,458135 : SCREW BNE 6.5X95MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,604.8,604.8,,,0
CDM,27800002,460669 : PROXIMAL HUM PLT L 3.5MM  86MM-3 H,5956.8,5956.8,,,0
CDM,27800002,460713 : 3.5 DST MED FEM PLT L 3.5MM 124MM-4 H,10920.0,10920.0,,,0
CDM,27800002,460714 : 3.5 DST MED FEM PLT L 3.5MM 152MM-6 H,10920.0,10920.0,,,0
CDM,27800002,460743 : PROXIMAL LAT TIB PLT L 3.5MM  207MM-10 H,8476.8,8476.8,,,0
CDM,27800002,460744 : PROXIMAL LAT TIB PLT L 3.5MM  235MM-12 H,6415.2,6415.2,,,0
CDM,27800002,460790 : PROXIMAL POSTEROMEDIAL TIB PLT L 3.5MM  82MM-5 H,5793.6,5793.6,,,0
CDM,27800002,460791 : PROXIMAL POSTEROMEDIAL TIB PLT L 3.5MM  96MM-6 H,5793.6,5793.6,,,0
CDM,27800002,460907 : PROXIMAL HUM PLT R 3.5MM 86MM-3 H,7872.0,7872.0,,,0
CDM,27800002,460964 : 2.7 STR BROAD PLT 2.7MM 86MM-8 H,2841.6,2841.6,,,0
CDM,27800002,461001 : PLATE BNE 8 H CRV NAR 3.5MM X 115MM,4075.2,4075.2,,,0
CDM,27800002,461036 : PLATE BNE T SHP 2.7MM 5TX10,3544.8,3544.8,,,0
CDM,27800002,461061 : SCREW BNE 2.7MM X 12MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
CDM,27800002,461067 : SCREW BNE 2.7MM X 18MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
CDM,27800002,461078 : SCREW BNE 2.7MM X 40MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
CDM,27800002,461082 : SCREW BNE 2.7MM X 48MM NS LOK COCR T8 DRV PANGEA,511.2,511.2,,,0
CDM,27800002,461083 : SCREW BNE 2.7MM X 50MM NS LOK COCR T8 DRV PANGEA,511.2,511.2,,,0
CDM,27800002,461102 : SCREW BNE 3.5MM X 30MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461105 : SCREW BNE 3.5MM X 36MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461106 : SCREW BNE 3.5MM X 38MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461107 : SCREW BNE 3.5MM X 40MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461108 : SCREW BNE 3.5MM X 42MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461109 : SCREW BNE 3.5MM X 44MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461110 : SCREW BNE 3.5MM X 46MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461111 : SCREW BNE 3.5MM X 48MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461112 : SCREW BNE 3.5MM X 50MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461114 : SCREW BNE 3.5MM X 60MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461115 : SCREW BNE 3.5MM X 65MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461116 : SCREW BNE 3.5MM X 70MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461118 : SCREW BNE 3.5MM X 80MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
CDM,27800002,461133 : CORTEX SCR 2.7MM - T8 - L12MM,136.8,136.8,,,0
CDM,27800002,461137 : CORTEX SCR 2.7MM - T8 - L16MM,136.8,136.8,,,0
CDM,27800002,461144 : CORTEX SCR 2.7MM - T8 - L28MM,175.2,175.2,,,0
CDM,27800002,461145 : CORTEX SCR 2.7MM - T8 - L30MM,175.2,175.2,,,0
CDM,27800002,461148 : CORTEX SCR 2.7MM - T8 - L36MM,175.2,175.2,,,0
CDM,27800002,462400 : SCREW BNE 6.5X80MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,523.2,523.2,,,0
CDM,27800002,462449 : SCREW BNE 4X40MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,336.0,336.0,,,0
CDM,27800002,462452 : SCREW BNE 4X60MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,516.0,516.0,,,0
CDM,27800002,462454 : SCREW BNE 4X70MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,516.0,516.0,,,0
CDM,27800002,462474 : SCREW BNE 4X50MM CANC HEX DRV RECESS CANN FT ST SLF DRL TI,516.0,516.0,,,0
CDM,27800002,462552 : SCREW BNE 4X65MM CANC T15 DRV FT TI LP AXSOS 3,85.2,85.2,,,0
CDM,27800002,462584 : SCREW BNE 4X70MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,85.2,85.2,,,0
CDM,27800002,462585 : SCREW BNE 4X75MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,85.2,85.2,,,0
CDM,27800002,463376 : PROXIMAL FEM PLT L,9691.2,9691.2,,,0
CDM,27800002,463386 : INTERPROSTHETIC FEM PLT L,13771.2,13771.2,,,0
CDM,27800002,463387 : INTERPROSTHETIC FEM PLT L,13771.2,13771.2,,,0
CDM,27800002,463391 : INTERPROSTHETIC FEM PLT R,13771.2,13771.2,,,0
CDM,27800002,463454 : PLATE BNE L97MM 8 H STD ANT CLAV TI MIDSHAFT LOK COMPR,3182.4,3182.4,,,0
CDM,27800002,463967 : SCREW BNE 3.5X60MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,464162 : LOCKING SCR FLAT TIP,912.0,912.0,,,0
CDM,27800002,464176 : SCREW BNE 3.5X14MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464177 : SCREW BNE 3.5X16MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464178 : SCREW BNE 3.5X18MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464181 : SCREW BNE 3.5X24MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464182 : SCREW BNE 3.5X26MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464183 : SCREW BNE 3.5X28MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464184 : SCREW BNE 3.5X32MM CORT T15 DRV TI AXSOS 3,85.2,85.2,,,0
CDM,27800002,464185 : SCREW BNE 3.5X34MM CORT T15 DRV TI AXSOS 3,85.2,85.2,,,0
CDM,27800002,464186 : SCREW BNE 3.5X36MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464188 : SCREW BNE 3.5X40MM CORT T15 DRV TI AXSOS 3,85.2,85.2,,,0
CDM,27800002,464189 : SCREW BNE 3.5X42MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464190 : SCREW BNE 3.5X44MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464191 : SCREW BNE 3.5X46MM CORT T15 DRV TI AXSOS 3,85.2,85.2,,,0
CDM,27800002,464193 : SCREW BNE 3.5X50MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464194 : SCREW BNE 3.5X55MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464195 : SCREW BNE 3.5X60MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464196 : SCREW BNE 3.5X65MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464197 : SCREW BNE 3.5X70MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464198 : SCREW BNE 3.5X75MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464199 : SCREW BNE 3.5X80MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,464231 : SCREW BNE 4.5X20MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
CDM,27800002,464235 : SCREW BNE 4.5X28MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
CDM,27800002,464236 : SCREW BNE 4.5X32MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
CDM,27800002,464237 : SCREW BNE 4.5X34MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
CDM,27800002,464238 : SCREW BNE 4.5X42MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
CDM,27800002,464239 : SCREW BNE 4.5X44MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
CDM,27800002,464242 : SCREW BNE 4.5X50MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
CDM,27800002,464280 : PLUG ORTH 5MM TI ALLY CBL T15 FOR PANGEA SYS,782.4,782.4,,,0
CDM,27800002,464291 : PANGEA LOK SCR L34MM DIA4MM,729.6,729.6,,,0
CDM,27800002,464292 : LOCKING SCR 4 0MM - T20 - L36MM,729.6,729.6,,,0
CDM,27800002,464293 : LOCKING SCR 4 0MM - T20 - L38MM,729.6,729.6,,,0
CDM,27800002,464294 : LOCKING SCR 4 0MM - T20 - L40MM,729.6,729.6,,,0
CDM,27800002,464301 : LOCKING SCR 4 0MM - T20 - L60MM,729.6,729.6,,,0
CDM,27800002,464302 : LOCKING SCR 4 0MM - T20 - L65MM,729.6,729.6,,,0
CDM,27800002,464304 : LOCKING SCR 4 0MM - T20 - L75MM,729.6,729.6,,,0
CDM,27800002,464305 : LOCKING SCR 4 0MM - T20 - L80MM,729.6,729.6,,,0
CDM,27800002,464312 : SCREW BNE 5MM X 20MM LOK COCR T20 DRV PANGEA,787.2,787.2,,,0
CDM,27800002,464315 : LOCKING SCR 5 0MM - T20 - L26MM,794.4,794.4,,,0
CDM,27800002,464316 : LOCKING SCR 5 0MM - T20 - L28MM,794.4,794.4,,,0
CDM,27800002,464317 : LOCKING SCR 5 0MM - T20 - L30MM,794.4,794.4,,,0
CDM,27800002,464319 : LOCKING SCR 5 0MM - T20 - L34MM,794.4,794.4,,,0
CDM,27800002,464320 : LOCKING SCR 5 0MM - T20 - L36MM,794.4,794.4,,,0
CDM,27800002,464321 : LOCKING SCR 5 0MM - T20 - L38MM,794.4,794.4,,,0
CDM,27800002,464322 : LOCKING SCR 5 0MM - T20 - L40MM,794.4,794.4,,,0
CDM,27800002,464324 : LOCKING SCR 5 0MM - T20 - L44MM,794.4,794.4,,,0
CDM,27800002,464325 : LOCKING SCR 5 0MM - T20 - L46MM,794.4,794.4,,,0
CDM,27800002,464327 : LOCKING SCR 5 0MM - T20 - L50MM,794.4,794.4,,,0
CDM,27800002,464328 : LOCKING SCR 5 0MM - T20 - L55MM,794.4,794.4,,,0
CDM,27800002,464329 : LOCKING SCR 5 0MM - T20 - L60MM,794.4,794.4,,,0
CDM,27800002,464330 : LOCKING SCR 5 0MM - T20 - L65MM,794.4,794.4,,,0
CDM,27800002,464331 : PANGEA LOK SCR L70MM DIA5MM,794.4,794.4,,,0
CDM,27800002,464332 : PANGEA LOK SCR L75MM DIA5MM,794.4,794.4,,,0
CDM,27800002,464333 : PANGEA LOK SCR L80MM DIA5MM,794.4,794.4,,,0
CDM,27800002,464334 : LOCKING SCR DIA5MM L85MM SCR HD 20.0 TORX PANGEA,794.4,794.4,,,0
CDM,27800002,464335 : LOCKING SCR DIA5MM L90MM SCR HD 20.0 TORX PANGEA,794.4,794.4,,,0
CDM,27800002,464336 : SCREW BNE 5MM X 95MM LOK COCR T20 DRV PANGEA,794.4,794.4,,,0
CDM,27800002,464378 : WASHER ORTH DIA8MM FOR 4MM SCR JFX ASNS,176.4,176.4,,,0
CDM,27800002,464853 : K WIRE FIX L315MM DIA2MM W- DRL TIP,105.6,105.6,,,0
CDM,27800002,465131 : FIXATOR BNE PLT ORTH AO FIT TEMP,463.2,463.2,,,0
CDM,27800002,465755 : ENDCAP SPNL 15.5MM X 15MM GAM,696.19,696.19,,,0
CDM,27800002,465760 : TROCHANTERIC NAIL D9X170MM 120DEG,3050.4,3050.4,,,0
CDM,27800002,465772 : SCREW BNE 10.5X75MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
CDM,27800002,465773 : SCREW BNE 10.5X80MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
CDM,27800002,465774 : SCREW BNE 10.5X90MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
CDM,27800002,465775 : SCREW BNE 10.5X95MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
CDM,27800002,465776 : SCREW BNE 10.5X100MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
CDM,27800002,465777 : SCREW BNE 10.5X105MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
CDM,27800002,465830 : LONG NAIL R D10X340MM X 120DEG,6445.2,6445.2,,,0
CDM,27800002,465842 : LONG NAIL R D11X320MM X 120DEG,6445.2,6445.2,,,0
CDM,27800002,465843 : LONG NAIL R D11X340MM X 120DEG,4673.4,4673.4,,,0
CDM,27800002,465844 : LONG NAIL R D11X360MM X 120DEG,6445.2,6445.2,,,0
CDM,27800002,465845 : LONG NAIL R D11X380MM X 120DEG,6445.2,6445.2,,,0
CDM,27800002,465846 : LONG NAIL R D11X400MM X 120DEG,6445.2,6445.2,,,0
CDM,27800002,465848 : LONG NAIL R D11X440MM X 120DEG,4673.4,4673.4,,,0
CDM,27800002,465857 : LONG NAIL R D12X360MM X 120DEG,6684.0,6684.0,,,0
CDM,27800002,465923 : LONG NAIL R D11X380MM X 125DEG,4673.4,4673.4,,,0
CDM,27800002,466063 : NAIL IM LNG 120 DEG L 10MM X 340MM,6445.2,6445.2,,,0
CDM,27800002,466064 : NAIL IM LNG 120 DEG L 10MM X 360MM,6445.2,6445.2,,,0
CDM,27800002,466066 : NAIL IM LNG 120 DEG L 10MM X 400MM,6445.2,6445.2,,,0
CDM,27800002,466077 : NAIL IM LNG 120 DEG L 11MM X 360MM,6445.2,6445.2,,,0
CDM,27800002,466078 : NAIL IM LNG 120 DEG L 11MM X 380MM,6445.2,6445.2,,,0
CDM,27800002,466079 : NAIL IM LNG 120 DEG L 11MM X 400MM,6445.2,6445.2,,,0
CDM,27800002,466080 : NAIL IM LNG 120 DEG L 11MM X 420MM,6445.2,6445.2,,,0
CDM,27800002,466082 : NAIL IM LNG 120 DEG L 11MM X 460MM,6445.2,6445.2,,,0
CDM,27800002,466091 : NAIL IM LNG 120 DEG L 12MM X 380MM,4673.4,4673.4,,,0
CDM,27800002,466130 : NAIL IM LNG 120 DEG L 9MM X 380MM,6445.2,6445.2,,,0
CDM,27800002,466155 : NAIL IM LNG 125 DEG L 11MM X 380MM,4673.4,4673.4,,,0
CDM,27800002,466158 : NAIL IM LNG 125 DEG L 11MM X 440MM,6445.2,6445.2,,,0
CDM,27800002,466232 : NAIL IM LNG 130 DEG L 11MM X 360MM,6445.2,6445.2,,,0
CDM,27800002,466235 : NAIL IM LNG 130 DEG L 11MM X 420MM,6445.2,6445.2,,,0
CDM,27800002,467891 : NAIL IM L230MM DIA8MM R HUM AEQUALIS,5265.6,5265.6,,,0
CDM,27800002,46837 : PEG BNE FIX L14MM DIA2.5MM VOLAR PRTLY THRD FOR ANAT PLT SYS,151.2,151.2,,,0
CDM,27800002,46838 : PEG BNE FIX L16MM DIA2.5MM DST VOLAR RAD PRTLY THRD FOR ANAT,151.2,151.2,,,0
CDM,27800002,46839 : PEG BNE 2.5MM X 18MM DST VOLAR RAD PRTLY THRD FOR DVR ANAT,151.2,151.2,,,0
CDM,27800002,46846 : SCREW BNE 3.5MM X 12MM DST VOLAR RAD CORT FT FOR DVR ANAT,151.2,151.2,,,0
CDM,27800002,46910 : PEG BNE 2.5X24MM COCR ALPS HND FRAC SYS,145.92,145.92,,,0
CDM,27800002,46973 : PLATE LCP 12 HOLE 224.621,1217.76,1217.76,,,0
CDM,27800002,470019 : SCREW T15 LP CORT 3.5X28MM NS,100.8,100.8,,,0
CDM,27800002,470025 : 3.5MM T15 LOW PROFILE NON-LOCKING SCREWS 48,100.8,100.8,,,0
CDM,27800002,470254 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 10MM,75.6,75.6,,,0
CDM,27800002,470255 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 12MM,75.6,75.6,,,0
CDM,27800002,470256 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 14MM,75.6,75.6,,,0
CDM,27800002,470258 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 18MM,75.6,75.6,,,0
CDM,27800002,470260 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 20MM,75.6,75.6,,,0
CDM,27800002,470262 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 22MM,75.6,75.6,,,0
CDM,27800002,470264 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 24MM,75.6,75.6,,,0
CDM,27800002,470266 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 26MM,75.6,75.6,,,0
CDM,27800002,470268 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 28MM,75.6,75.6,,,0
CDM,27800002,470276 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 40MM,75.6,75.6,,,0
CDM,27800002,470278 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 45MM,75.6,75.6,,,0
CDM,27800002,470280 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 50MM,75.6,75.6,,,0
CDM,27800002,470281 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 55MM,75.6,75.6,,,0
CDM,27800002,470282 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 60MM,75.6,75.6,,,0
CDM,27800002,470284 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 65MM,75.6,75.6,,,0
CDM,27800002,470285 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 70MM,75.6,75.6,,,0
CDM,27800002,470286 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 70MM,75.6,75.6,,,0
CDM,27800002,470291 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 85MM,75.6,75.6,,,0
CDM,27800002,470293 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 90MM,75.6,75.6,,,0
CDM,27800002,470297 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 100MM,75.6,75.6,,,0
CDM,27800002,470298 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 105MM,75.6,75.6,,,0
CDM,27800002,470396 : 4.5MM CORTICAL SCREW SELFTAP LARGE HEX 105MM,84.0,84.0,,,0
CDM,27800002,470404 : 4.5MM CORTICAL SCREW LARGE HEX 130MM,92.4,92.4,,,0
CDM,27800002,470416 : 4.5MM CORTICAL SCREW LARGE HEX 160MM,92.4,92.4,,,0
CDM,27800002,470482 : 2.0MM CORTICAL SCREWS:12,248.93,248.93,,,0
CDM,27800002,470538 : 2.4MM CORTICAL SCREWS:14,248.93,248.93,,,0
CDM,27800002,470540 : 2.4MM CORTICAL SCREWS:16,248.93,248.93,,,0
CDM,27800002,470542 : 2.4MM CORTICAL SCREWS:18,248.93,248.93,,,0
CDM,27800002,470546 : 2.4MM CORTICAL SCREWS:22,248.93,248.93,,,0
CDM,27800002,470548 : 2.4MM CORTICAL SCREWS:24,248.93,248.93,,,0
CDM,27800002,470549 : 2.4MM CORTICAL SCREWS:26,248.93,248.93,,,0
CDM,27800002,470550 : 2.4MM CORTICAL SCREWS:28,248.93,248.93,,,0
CDM,27800002,470551 : 2.4MM CORTICAL SCREWS:30,248.93,248.93,,,0
CDM,27800002,470552 : 2.4MM CORTICAL SCREWS:32,248.93,248.93,,,0
CDM,27800002,470576 : 2.4MM LOCKING SCREWS:14,313.63,313.63,,,0
CDM,27800002,470586 : 2.4MM LOCKING SCREWS:24,313.63,313.63,,,0
CDM,27800002,470587 : 2.4MM LOCKING SCREWS:26,313.63,313.63,,,0
CDM,27800002,470612 : 2.7MM CORTICAL SCREWS:12,248.93,248.93,,,0
CDM,27800002,470614 : 2.7MM CORTICAL SCREWS:14,248.93,248.93,,,0
CDM,27800002,470616 : 2.7MM CORTICAL SCREWS:16,248.93,248.93,,,0
CDM,27800002,470618 : 2.7MM CORTICAL SCREWS:18,248.93,248.93,,,0
CDM,27800002,470622 : 2.7MM CORTICAL SCREWS:22,248.93,248.93,,,0
CDM,27800002,470624 : 2.7MM CORTICAL SCREWS:24,248.93,248.93,,,0
CDM,27800002,470625 : 2.7MM CORTICAL SCREWS:26,248.93,248.93,,,0
CDM,27800002,470626 : 2.7MM CORTICAL SCREWS:28,248.93,248.93,,,0
CDM,27800002,470627 : 2.7MM CORTICAL SCREWS:30,248.93,248.93,,,0
CDM,27800002,470628 : 2.7MM CORTICAL SCREWS:32,248.93,248.93,,,0
CDM,27800002,470630 : 2.7MM CORTICAL SCREWS:36,248.93,248.93,,,0
CDM,27800002,470631 : 2.7MM CORTICAL SCREWS:38,248.93,248.93,,,0
CDM,27800002,470632 : 2.7MM CORTICAL SCREWS:40,248.93,248.93,,,0
CDM,27800002,470634 : 2.7MM CORTICAL SCREWS:44,248.93,248.93,,,0
CDM,27800002,470638 : 2.7MM CORTICAL SCREWS:55,248.93,248.93,,,0
CDM,27800002,470650 : 2.7MM LOCKING SCREWS:8,338.54,338.54,,,0
CDM,27800002,470652 : 2.7MM LOCKING SCREWS:10,338.54,338.54,,,0
CDM,27800002,470653 : 2.7MM LOCKING SCREWS:11,338.54,338.54,,,0
CDM,27800002,470654 : 2.7MM LOCKING SCREWS:12,338.54,338.54,,,0
CDM,27800002,470656 : 2.7MM LOCKING SCREWS:14,338.54,338.54,,,0
CDM,27800002,470657 : 2.7MM LOCKING SCREWS:15,338.54,338.54,,,0
CDM,27800002,470660 : 2.7MM LOCKING SCREWS:18,338.54,338.54,,,0
CDM,27800002,470662 : 2.7MM LOCKING SCREWS:20,338.54,338.54,,,0
CDM,27800002,470679 : 2.7MM LOCKING SCREWS:50,338.54,338.54,,,0
CDM,27800002,470680 : 2.7MM LOCKING SCREWS:55,338.54,338.54,,,0
CDM,27800002,470681 : 2.7MM LOCKING SCREWS:60,338.54,338.54,,,0
CDM,27800002,470690 : 3.5MM NON-LOCKING SCREW 10MM,248.93,248.93,,,0
CDM,27800002,470691 : 3.5MM NON-LOCKING SCREW 12MM,248.93,248.93,,,0
CDM,27800002,470692 : 3.5MM NON-LOCKING SCREW 14MM,248.93,248.93,,,0
CDM,27800002,470693 : 3.5MM NON-LOCKING SCREW 16MM,248.93,248.93,,,0
CDM,27800002,470695 : 3.5MM NON-LOCKING SCREW 20MM,248.93,248.93,,,0
CDM,27800002,470696 : 3.5MM NON-LOCKING SCREW 22MM,248.93,248.93,,,0
CDM,27800002,470697 : 3.5MM NON-LOCKING SCREW 24MM,248.93,248.93,,,0
CDM,27800002,470698 : 3.5MM NON-LOCKING SCREW 26MM,248.93,248.93,,,0
CDM,27800002,470699 : 3.5MM NON-LOCKING SCREW 28MM,248.93,248.93,,,0
CDM,27800002,470700 : 3.5MM NON-LOCKING SCREW 30MM,248.93,248.93,,,0
CDM,27800002,470701 : 3.5MM NON-LOCKING SCREW 32MM,248.93,248.93,,,0
CDM,27800002,470703 : 3.5MM NON-LOCKING SCREW 36MM,248.93,248.93,,,0
CDM,27800002,470704 : 3.5MM NON-LOCKING SCREW 38MM,248.93,248.93,,,0
CDM,27800002,470705 : 3.5MM NON-LOCKING SCREW 40MM,248.93,248.93,,,0
CDM,27800002,470706 : 3.5MM NON-LOCKING SCREW 42MM,248.93,248.93,,,0
CDM,27800002,470708 : 3.5MM NON-LOCKING SCREW 46MM,248.93,248.93,,,0
CDM,27800002,470709 : 3.5MM NON-LOCKING SCREW 48MM,248.93,248.93,,,0
CDM,27800002,470710 : 3.5MM NON-LOCKING SCREW 50MM,248.93,248.93,,,0
CDM,27800002,470711 : 3.5MM NON-LOCKING SCREW 55MM,248.93,248.93,,,0
CDM,27800002,470712 : 3.5MM NON-LOCKING SCREW 60MM,248.93,248.93,,,0
CDM,27800002,470714 : 3.5MM NON-LOCKING SCREW 70MM,248.93,248.93,,,0
CDM,27800002,470715 : 3.5MM NON-LOCKING SCREW 75MM,248.93,248.93,,,0
CDM,27800002,470720 : 3.5MM NON-LOCKING SCREW 100MM,248.93,248.93,,,0
CDM,27800002,470777 : 3.5MM CORTICAL SCREWS:12,109.2,109.2,,,0
CDM,27800002,470778 : 3.5MM CORTICAL SCREWS:14,109.2,109.2,,,0
CDM,27800002,470779 : 3.5MM CORTICAL SCREWS:16,109.2,109.2,,,0
CDM,27800002,470780 : 3.5MM CORTICAL SCREWS:18,109.2,109.2,,,0
CDM,27800002,470781 : 3.5MM CORTICAL SCREWS:20,109.2,109.2,,,0
CDM,27800002,470782 : 3.5MM CORTICAL SCREWS:22,109.2,109.2,,,0
CDM,27800002,470783 : 3.5MM CORTICAL SCREWS:24,109.2,109.2,,,0
CDM,27800002,470787 : 3.5MM CORTICAL SCREWS:32,109.2,109.2,,,0
CDM,27800002,470788 : 3.5MM CORTICAL SCREWS:34,109.2,109.2,,,0
CDM,27800002,470790 : 3.5MM CORTICAL SCREWS:38,109.2,109.2,,,0
CDM,27800002,470792 : 3.5MM CORTICAL SCREWS:42,109.2,109.2,,,0
CDM,27800002,470793 : 3.5MM CORTICAL SCREWS:44,109.2,109.2,,,0
CDM,27800002,470795 : 3.5MM CORTICAL SCREWS:48,109.2,109.2,,,0
CDM,27800002,470796 : 3.5MM CORTICAL SCREWS:50,109.2,109.2,,,0
CDM,27800002,470799 : 3.5MM CORTICAL SCREWS:65,109.2,109.2,,,0
CDM,27800002,470982 : 7.0X32MM THREAD CANNULATED SCREW 70,411.6,411.6,,,0
CDM,27800002,470988 : 7.0X32MM THREAD CANNULATED SCREW 75,411.6,411.6,,,0
CDM,27800002,470994 : 7.0X32MM THREAD CANNULATED SCREW 80,411.6,411.6,,,0
CDM,27800002,471060 : 7.0X32MM THREAD CANNULATED SCREW 140,411.6,411.6,,,0
CDM,27800002,471068 : CANNULATED SCREW 6.5MM X 150MM FULL THREAD,403.2,403.2,,,0
CDM,27800002,471077 : 7.0X32MM THREAD CANNULATED SCREW 170,411.6,411.6,,,0
CDM,27800002,471081 : 7.0MM FULLY THREADED CANNULATED SCREWS 175,411.6,411.6,,,0
CDM,27800002,471171 : NCB SCREWS SELF-TAPPING4.0 SELF-TAPPING L. 34MM,201.6,201.6,,,0
CDM,27800002,471176 : NCB SCREWS SELF-TAPPING4.0 SELF-TAPPING L. 44MM,201.6,201.6,,,0
CDM,27800002,471297 : PROXIMAL HUMERUS LOW PLATE LEFT 7 HOLE,2982.0,2982.0,,,0
CDM,27800002,471317 : 3.5MM RECON PLATE STRAIGHT 6 HOLES 70MM,529.2,529.2,,,0
CDM,27800002,471318 : 3.5MM RECON PLATE STRAIGHT 7 HOLES 82MM,571.2,571.2,,,0
CDM,27800002,471319 : 3.5MM RECON PLATE STRAIGHT 8 HOLES 94MM,588.0,588.0,,,0
CDM,27800002,471320 : 3.5MM RECON PLATE STRAIGHE 9 HOLES 106MM,613.2,613.2,,,0
CDM,27800002,471322 : 3.5MM RECON PLATE STRAIGHT 11 HOLES 130MM,630.0,630.0,,,0
CDM,27800002,471332 : 3.5MM RECON PLATE CURVED 8 HOLES,630.0,630.0,,,0
CDM,27800002,471388 : ONETHIRD TUBULAR PLATE W-COLLAR 7 HOLES 85MM,126.0,126.0,,,0
CDM,27800002,471390 : ONETHIRD TUBULAR PLATE W-COLLAR 8 HOLES 97MM,134.4,134.4,,,0
CDM,27800002,471447 : 2.4MM PLATES:STRAIGHT PLATE 6H,1463.66,1463.66,,,0
CDM,27800002,471450 : 2.4MM PLATES:3H T PLATE 5H,1563.22,1563.22,,,0
CDM,27800002,471453 : 2.4MM PLATES:Y PLATE 5H,1563.22,1563.22,,,0
CDM,27800002,471464 : 2.4MM PLATES:4H T PLATE 7H,1593.1,1593.1,,,0
CDM,27800002,471478 : 2.7MM PLATES:3H T PLATE 7H,1891.8,1891.8,,,0
CDM,27800002,471479 : 2.7MM PLATES:3H T PLATE 9H,1941.58,1941.58,,,0
CDM,27800002,471492 : 2.7MM PLATES:4H T PLATE 9H,1941.58,1941.58,,,0
CDM,27800002,471510 : POSTERIOR FIBULA PLATE 10H RT,2409.55,2409.55,,,0
CDM,27800002,471515 : 1-3 TUBULAR PLATE 6H,497.83,497.83,,,0
CDM,27800002,471516 : 1-3 TUBULAR PLATE 8H,497.83,497.83,,,0
CDM,27800002,471518 : 1-3 TUBULAR PLATE 12H,547.63,547.63,,,0
CDM,27800002,471522 : MEDIAL TIBIA PLATE 6H LT,5326.92,5326.92,,,0
CDM,27800002,471524 : MEDIAL TIBIA PLATE 10H LT,5376.7,5376.7,,,0
CDM,27800002,471526 : MEDIAL TIBIA PLATE 12H LT,5426.5,5426.5,,,0
CDM,27800002,471527 : MEDIAL TIBIA PLATE 12H RT,5426.5,5426.5,,,0
CDM,27800002,471529 : MEDIAL TIBIA PLATE 16H RT,5476.27,5476.27,,,0
CDM,27800002,471549 : MEDIAL MALLELOUS HOOK PLATE 5H,3684.05,3684.05,,,0
CDM,27800002,471550 : 2.7MM PLATES:HIGH STRENGTH PLATE 20H,2787.91,2787.91,,,0
CDM,27800002,471552 : 3.5MM LOCKING COMPRESSION PLATES: 6 HOLE,352.8,352.8,,,0
CDM,27800002,471553 : 3.5MM LOCKING COMPRESSION PLATES: 7 HOLE,369.6,369.6,,,0
CDM,27800002,471575 : PROX TIB LOCK PLATE LT 7H STD,2116.8,2116.8,,,0
CDM,27800002,471580 : PROX TIB LOCK PLATE RT 3H STD,2074.8,2074.8,,,0
CDM,27800002,471583 : PROX TIB LOCK PLATE RT 9H STD,2142.0,2142.0,,,0
CDM,27800002,471642 : 1-3 LCK TUBULAR PLATE 7H,277.2,277.2,,,0
CDM,27800002,471660 : NCB PERIPROSTHETIC PROXIMAL FEMUR PLATESLEFT 18 HOLES L. 363,2503.2,2503.2,,,0
CDM,27800002,471661 : NCB PERIPROSTHETIC DISTAL FEMUR PLATESRIGHT12 HOLES L. 278MM,2251.2,2251.2,,,0
CDM,27800002,471662 : NCB PERIPROSTHETIC DISTAL FEMUR PLATESRIGHT 15 HOLES L. 317M,2377.2,2377.2,,,0
CDM,27800002,471663 : NCB PERIPROSTHETIC DISTAL FEMUR PLATESLEFT 12 HOLES L. 278MM,2251.2,2251.2,,,0
CDM,27800002,471742 : ANTLATERAL TIB PLT 12H RT NRW,4729.51,4729.51,,,0
CDM,27800002,471749 : ANTLATERAL TIB PLT 12H LT WIDE,4779.29,4779.29,,,0
CDM,27800002,47303 : DEVICE BNE FILL SZ 3 1ML 10GA RADPQ FOR INTVENT THER DEL SYS,194.76,194.76,,,0
CDM,27800002,47360 : PLATE BNE W24.4XL89MM 7 H R DST VOLAR RAD EXT ANAT,1212.96,1212.96,,,0
CDM,27800002,484307 : SCREW BNE L100MM DIA3.5MM STD CORT SS NONCANN FT BLNT,98.42,98.42,,,0
CDM,27800002,484496 : SCREW BNE 5X46MM CONDYLE VA FT LOK ST SS LP T25 STARDRV,631.8,631.8,,,0
CDM,27800002,484501 : PLATE BNE L147MM 8 H NS L PROX TIB SS VA LOK COMPR SM BEND,4446.12,4446.12,,,0
CDM,27800002,484508 : SCREW BNE 5X10MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,907.2,907.2,,,0
CDM,27800002,484510 : SCREW BNE 5X14MM VA PERIPROSTHETIC T25 STARDRV RECESS LOK ST,907.2,907.2,,,0
CDM,27800002,484511 : SCREW BNE 5X16MM VA PERIPROSTHETIC T25 STARDRV RECESS LOK ST,907.2,907.2,,,0
CDM,27800002,484545 : SCREW BNE 3.5X80MM CORT STARDRV RECESS ST SS LCP,117.0,117.0,,,0
CDM,27800002,49382 : SCREW BNE 6.5X60MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,495.55,495.55,,,0
CDM,27800002,49386 : SCREW BNE 6.5X80MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,49416 : SCREW BNE L40MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,77.88,77.88,,,0
CDM,27800002,49417 : SCREW BNE L42MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,77.88,77.88,,,0
CDM,27800002,49419 : SCREW BNE L46MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,49421 : SCREW BNE 4X50MM VA FT CORT HEX HD FT ST SS ANK TRAUM SYS,77.88,77.88,,,0
CDM,27800002,497134 : SCREW BONE LOCKING MDS 3.5MM X 70MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497135 : SCREW BONE LOCKING MDS 3.5MM X 65MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497138 : SCREW BONE LOCKING MDS 3.5MM X 50MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497139 : SCREW BONE LOCKING MDS 3.5MM X 48MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497140 : SCREW BONE LOCKING MDS 3.5MM X 46MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497141 : SCREW BONE LOCKING MDS 3.5MM X 44MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497142 : SCREW BONE LOCKING MDS 3.5MM X 42MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497143 : SCREW BONE LOCKING MDS 3.5MM X 40MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497144 : SCREW BONE LOCKING MDS 3.5MM X 38MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497145 : SCREW BONE LOCKING MDS 3.5MM X 36MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497147 : SCREW BONE LOCKING MDS 3.5MM X 32MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497148 : SCREW BONE LOCKING MDS 3.5MM X 30MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497149 : SCREW BONE LOCKING MDS 3.5MM X 28MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497150 : SCREW BONE LOCKING MDS 3.5MM X 26MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497151 : SCREW BONE LOCKING MDS 3.5MM X 24MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497152 : SCREW BONE LOCKING MDS 3.5MM X 22MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497154 : SCREW BONE LOCKING MDS 3.5MM X 18MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497155 : SCREW BONE LOCKING MDS 3.5MM X 16MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497156 : SCREW BONE LOCKING MDS 3.5MM X 14MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497157 : SCREW BONE LOCKING MDS 3.5MM X 12MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497158 : SCREW BONE LOCKING MDS 3.5MM X 10MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,497161 : PLATE BONE DISTAL SUPERIOR LEFT 13 HOLE 120MM CLAVICULAR PLA,2452.8,2452.8,,,0
CDM,27800002,497170 : PLATE BONE SUPERIOR RIGHT 10 HOLE 2.7MM NARROW 100MM CLAVICU,2200.8,2200.8,,,0
CDM,27800002,497172 : PLATE BONE ANTERIOR 9 HOLE 3.5MM STANDARD 100MM CLAVICULAR P,2268.0,2268.0,,,0
CDM,27800002,497184 : SCREW BONE 3.5X85MM DISTAL TIBIAL CORTICAL LOCKING SELF TAPP,109.2,109.2,,,0
CDM,27800002,497185 : SCREW BONE L80MM DIA3.5MM PROXIMAL CORTICAL TIBIAL TYPE II A,109.2,109.2,,,0
CDM,27800002,497223 : SCREW BONE 5X55MM DISTAL FEMORAL HEX HEAD SELF TAPPING PROTA,277.2,277.2,,,0
CDM,27800002,497224 : SCREW BONE L22MM DIA5MM STANDARD CORTICAL DISTAL FEMORAL TIT,277.2,277.2,,,0
CDM,27800002,497299 : PLATE BONE LOCKING COMPRESSION RADIAL RIGHT VOLAR RIM 2.7 MM,1663.2,1663.2,,,0
CDM,27800002,497333 : 4.5MM BROAD LCP PLATES - 206 MM,2349.0,2349.0,,,0
CDM,27800002,49752 : SCREW BNE 6.5X90MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,574.56,574.56,,,0
CDM,27800002,4H PLATE LEFT,1512.0,1512.0,,,0
CDM,27800002,5 0MM VARIABLE ANGLE LOCKNG SCREW SLF TPNG STRDRV 32MM,631.8,631.8,,,0
CDM,27800002,5.0 DST MED FEM PLT R 5.0MM 189MM/6 H,11584.8,11584.8,,,0
CDM,27800002,5.0 LOCKING SCREW CANN 55MM,712.8,712.8,,,0
CDM,27800002,5.0 MM DIAMETER CORTICAL SCREW - RED FIXED ANGLE 3.5 MM HEX,267.29,267.29,,,0
CDM,27800002,5.0 STR BROAD PLT 5.0MM 188MM/9 H,5344.8,5344.8,,,0
CDM,27800002,5.0 STR NAR PLT 5.0MM 160MM/8 H,6480.0,6480.0,,,0
CDM,27800002,5.0 STR NAR PLT 5.0MM 188MM/9 H,6840.0,6840.0,,,0
CDM,27800002,5.0 VA LOCKING SCREW 38MM,631.8,631.8,,,0
CDM,27800002,5.0 X 20MM UNIPLANAR SCREW PREASSEMBLED CREO 4.75,1560.0,1560.0,,,0
CDM,27800002,5.0 X 35MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
CDM,27800002,5.0 X 40MM SCREW MODULAR CREO AMP,660.0,660.0,,,0
CDM,27800002,5.0 X 55MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
CDM,27800002,5.0MM CANNULATED SCREW 105MM,736.2,736.2,,,0
CDM,27800002,5.0MM CANNULATED VA LOCKING SCREW/80MM,851.4,851.4,,,0
CDM,27800002,5.0MM VARIABLE ANGLE LOCKNG  34MM,631.8,631.8,,,0
CDM,27800002,5.5 PEEK ZIP ANCHOR,546.31,546.31,,,0
CDM,27800002,5.5 TI CORT FIX 4.35X30MM,2337.0,2337.0,,,0
CDM,27800002,5.5 TI CORT FIX 5X45MM,2460.0,2460.0,,,0
CDM,27800002,5.5 TI OPN ILIAC CN 40MM,1860.0,1860.0,,,0
CDM,27800002,5.5 X 55MM SCREW MODULAR CREO AMP,660.0,660.0,,,0
CDM,27800002,5.5MM TI CANCELLOUS LOCKING,828.0,828.0,,,0
CDM,27800002,5.5MM VARIABLE ANGLE SCREW 22MM,360.0,360.0,,,0
CDM,27800002,5.5MMX48MM CAN SCR 32MM THRD S,390.1,390.1,,,0
CDM,27800002,5.5MMX50MM CAN SCR 32MM THRD S,390.1,390.1,,,0
CDM,27800002,5.5MMX70MM CAN SCR 16MM THRD S,605.28,605.28,,,0
CDM,27800002,5.5X40MM CANN SC SS 16THD,605.28,605.28,,,0
CDM,27800002,500367 : CANN SCRW 3.75X 36MMFULLY THRDED,521.04,521.04,,,0
CDM,27800002,50117 : SCREW BNE 6.5X55MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,504123 : PLATE BONE RIGHT 24X175MM DISTAL RADIAL 2XLONG CROSSLOCK DVR,2486.4,2486.4,,,0
CDM,27800002,505467 : BUTTON CABLE 2.5MM TITANIUM HEX DRIVE FOR NCB POLYAXIAL LOCK,326.4,326.4,,,0
CDM,27800002,508719 : SCREW BONE 3.5X135MM CORTICAL STAINLESS STEEL HEXAGONAL RECE,75.6,75.6,,,0
CDM,27800002,508720 : SCREW BONE L140MM DIA3.5MM CORTICAL,75.6,75.6,,,0
CDM,27800002,508888 : SCREW BONE CONNECTION FOR 02.00024.220 NCB-PH,277.2,277.2,,,0
CDM,27800002,508937 : SCREW BONE L95MM DIA5MM PARTIALLY THREADED PERIPROSTHETIC FE,268.8,268.8,,,0
CDM,27800002,509457 : WASHER ORTHOPEDIC DIA3MM FLAT FOR CANNULATED SCREW SYSTEM,140.4,140.4,,,0
CDM,27800002,509862 : SCREW BONE 3.5X12MM LOCKING SQUARE DRIVE,277.2,277.2,,,0
CDM,27800002,509863 : SCREW BONE 3.5X14MM DISTAL RADIAL CORTICAL FULLY THREADED LO,277.2,277.2,,,0
CDM,27800002,509864 : SCREW BONE 3.5X16MM DISTAL RADIAL CORTICAL FULLY THREADED LO,277.2,277.2,,,0
CDM,27800002,50MM VARIABLE ANGLE LOCKNG SCREWSLFTPNGSTRDRV30MM,631.8,631.8,,,0
CDM,27800002,510262 : WASHER ORTHOPEDIC FLAT FOR 3.5-4MM CANNULATED SCREW TIMAX,100.92,100.92,,,0
CDM,27800002,514812 : SCREW BONE 2.5X14MM COMPRESSION HEADLESS CANNULATED SHORT TH,847.06,847.06,,,0
CDM,27800002,517144 : 2ND & 3RD TI LISFRANC JOINT FUSION PLATE LARGE RIGHT,7581.6,7581.6,,,0
CDM,27800002,517349 : 3.5 MM TI CORTEX SCREW LENGTH 20 MM DARK PURPLE,166.3,166.3,,,0
CDM,27800002,517351 : 3.5 MM TI CORTEX SCREW LENGTH 24 MM DARK PURPLE,166.3,166.3,,,0
CDM,27800002,517353 : 3.5 MM TI CORTEX SCREW LENGTH 28 MM DARK PURPLE,166.3,166.3,,,0
CDM,27800002,517357 : 3.5 MM TI CORTEX SCREW LENGTH 36 MM DARK PURPLE,166.3,166.3,,,0
CDM,27800002,517374 : 3.5 MM TI VARIABLE ANGLE SCREW LENGTH 18 MM DARK PURPLE,478.78,478.78,,,0
CDM,27800002,517378 : 3.5 MM TI VARIABLE ANGLE SCREW LENGTH 26 MM DARK PURPLE,478.78,478.78,,,0
CDM,27800002,517384 : 3.5 MM TI VARIABLE ANGLE SCREW LENGTH 38 MM DARK PURPLE,478.78,478.78,,,0
CDM,27800002,517386 : 3.5 MM TI VARIABLE ANGLE SCREW LENGTH 42 MM DARK PURPLE,478.78,478.78,,,0
CDM,27800002,517407 : 4.0 MM TI CORTEX SCREW LENGTH 34 MM GREEN,166.3,166.3,,,0
CDM,27800002,521539 : SP FBRTAK RC TGRTPE WH-BLK & STTPE WH-BL,1223.04,1223.04,,,0
CDM,27800002,521540 : SP FBRTAK RC FBRTPE BLU & STTPE WH-BLK,1223.04,1223.04,,,0
CDM,27800002,521541 : SP FBRTAK RC FBRTPE BLK-BLU & STTPE BLU,1223.04,1223.04,,,0
CDM,27800002,521917 : NANO SWIVELOCK 2.5 X 7MM W- FORK EYELET,1365.0,1365.0,,,0
CDM,27800002,522579 : FIBERTAK BICEPS IMPLANT,1040.52,1040.52,,,0
CDM,27800002,522582 : IMPLANT SYSTEM FIBERTAK BUTTON,2051.4,2051.4,,,0
CDM,27800002,522601 : A 7X 20MM BC IF SCRW VENTED,767.52,767.52,,,0
CDM,27800002,52814 : BIT DRL 2.7MM CANN ADD ON CPL FOR 4MM SCR ASNS III,450.0,450.0,,,0
CDM,27800002,534358 : KIRSCHNER WIRES .028-.7MM  NON-THREADED DOUBLE TROCAR POINT,52.2,52.2,,,0
CDM,27800002,534359 : K WRE FIX L4IN DIA0.054IN SMOOTH DBL TRCR PT,52.2,52.2,,,0
CDM,27800002,534360 : K-WIRE .045 (1.1MM) X 9IN DOUBLE TROCAR SMOOTH,42.6,42.6,,,0
CDM,27800002,534361 : WIRE 1.4MM (.054) X 9IN KIRSCHNER SINGLE ENDED TROCAR SMOOTH,3.89,3.89,,,0
CDM,27800002,534373 : K-WIRE .035 X 4IN NON-THREADED DOUBLE TROCAR,52.2,52.2,,,0
CDM,27800002,534374 : K-WIRE.045 X4INDBL TROCAR NON-THREADED,73.8,73.8,,,0
CDM,27800002,534375 : K-WIRE.062 X4IN DBL TROCAR NON-THREADED,52.2,52.2,,,0
CDM,27800002,534376 : K-WIRE  .062 (1.6 MM) X 9IN SINGLE TROCAR POINT,42.6,42.6,,,0
CDM,27800002,534379 : STEINMANN PIN 5-64IN (2.0MM) X 9IN SINGLE TROCAR PT NON-THRE,52.2,52.2,,,0
CDM,27800002,534513 : INFRMAE IMPLANT 2.0MM X 24MM,3600.0,3600.0,,,0
CDM,27800002,534517 : NANOPHIX IMPLANT 1.5MM X 13MM,3600.0,3600.0,,,0
CDM,27800002,534530 : SCREW BNE LOK ST EVOS 4.5MM X 26MM,1648.8,1648.8,,,0
CDM,27800002,534563 : KIT INSTR 1.5MM NANOPHIX,948.0,948.0,,,0
CDM,27800002,535308 : SCREW LAG CANN 1.5MM X 8MM NANOPHIX,2388.0,2388.0,,,0
CDM,27800002,535831 : SCREW LOCKING F1X,480.0,480.0,,,0
CDM,27800002,535837 : SCREW BNE 4.5X16MM LOK R1 REV SHLDR SYS,240.0,240.0,,,0
CDM,27800002,538422 : SCREW BNE CORT 5MM X 40MM ST AFFIXUS,504.0,504.0,,,0
CDM,27800002,538424 : SCREW BNE CORT 5MM X 32MM ST AFFIXUS,576.0,576.0,,,0
CDM,27800002,538429 : SCREW BNE CORT 5MM X 38MM ST AFFIXUS,576.0,576.0,,,0
CDM,27800002,538430 : SCREW BNE CORT 5MM X 54MM ST AFFIXUS,504.0,504.0,,,0
CDM,27800002,540235 : NAIL IM L40MM DIA4.5MM MTCRPL SS THRD INNATE,3600.0,3600.0,,,0
CDM,27800002,540469 : ANCHOR SUT 4.5X11MM KNTLSS DEPLOYED POPLOK,1243.66,1243.66,,,0
CDM,27800002,540470 : ANCHOR SUT ARGO KNTLSS 4.75MM W- 1 1MM HI-FI RBBN,1901.16,1901.16,,,0
CDM,27800002,540471 : ANCHOR SUT 5MM W- 2 NO 2 SUT AND W-O NDL SUP REVO FT,996.26,996.26,,,0
CDM,27800002,540823 : DISTAL HUM PLT LAT L 3 H,4500.0,4500.0,,,0
CDM,27800002,541278 : SCREW SPNL 5.5X35MM FOR 6MM ROD PEDCL ST POLYAX FEN CANN,9840.0,9840.0,,,0
CDM,27800002,541279 : SCREW SPNL 5.5X40MM FOR 6MM ROD PEDCL ST POLYAX FEN CANN,9840.0,9840.0,,,0
CDM,27800002,541309 : PLATE STRNL LADDER SM 10 H MTRX STRNM,2584.8,2584.8,,,0
CDM,27800002,541410 : NAIL IM L26MM DIA2MM MIC PHALANX SS CANN FT INFRAME,3600.0,3600.0,,,0
CDM,27800002,541411 : NAIL IM L28MM DIA2MM MIC PHALANX SS CANN FT INFRAME,3600.0,3600.0,,,0
CDM,27800002,541412 : NAIL IM L30MM DIA2MM MIC PHALANX SS CANN FT INFRAME,3600.0,3600.0,,,0
CDM,27800002,541480 : SCREW SPNL TI NUT FOR DIA5.5-5.7MM ROD C-PEEK PEDCL SYS,1176.0,1176.0,,,0
CDM,27800002,541618 : ANCHOR BNE W/ ARTHSCP DEL SYS ADV 541618,720.0,720.0,,,0
CDM,27800002,541619 : ANCHOR TEND 8 FOR REGENETEN BIOINDUCTIVE IMPL SYS 541619,240.0,240.0,,,0
CDM,27800002,546342 : SCREW BNE LOK ST EVOS 4.5MM X 24MM 546342,1648.8,1648.8,,,0
CDM,27800002,546780 : PLATE STRNL H-PLT SM 8 H MTRX STRNM,1828.8,1828.8,,,0
CDM,27800002,546791 : SCREW STRNL LOK 2.7MM X 13MM SLF DRL MTRX STRNM,504.0,504.0,,,0
CDM,27800002,546793 : SCREW STRNL LOK 2.7MM X 15MM SLF DRL MTRX STRNM,504.0,504.0,,,0
CDM,27800002,546795 : SCREW STRNL LOK 2.7MM X 17MM SLF DRL MTRX STRNM,504.0,504.0,,,0
CDM,27800002,56652 : KIT BNE CEM 180GM MIX UNIV W- BWL CART TWR HI VAC ROTOR,173.31,173.31,,,0
CDM,27800002,5X180 APEX SD HALF PIN 50 THR,206.4,206.4,,,0
CDM,27800002,6 HOLE MINI PLATE,282.72,282.72,,,0
CDM,27800002,6 X 35 X 150 HA COATED HALF PIN 71070806,409.97,409.97,,,0
CDM,27800002,6.0 MM DIAMETER CANCELLOUS SCREW - BLACK FIXED ANGLE 3.5 MM,319.2,319.2,,,0
CDM,27800002,6.5 X 100MM PART THREADED CANN SCREW,445.82,445.82,,,0
CDM,27800002,6.5 X 35MM SCREW PREASSEMBLED CREO 5.5MM,1200.0,1200.0,,,0
CDM,27800002,6.5 X 90MM CANNULATED SCREW,445.82,445.82,,,0
CDM,27800002,6.5 X 90MM PART THREADED CANN SCREW,445.82,445.82,,,0
CDM,27800002,6.5MM LP PT CANC SCR 75MM 2817,55.08,55.08,,,0
CDM,27800002,6.5MM REVERE PEDICLE SCREW 50MM,1200.0,1200.0,,,0
CDM,27800002,6.5MMX110MM CAN SCR FT SS,461.57,461.57,,,0
CDM,27800002,6.5MMX130MM CAN SCR FT SS,445.82,445.82,,,0
CDM,27800002,6.5X85MM CANNULATED SCREW 7110-6285S,461.57,461.57,,,0
CDM,27800002,61620 : KIT KYPHOPLASTY BNE CEM FULL DOSE RADPQ W- MIX KYPHON HV-R,329.3,329.3,,,0
CDM,27800002,61969 : K WIRE FIX L310MM DIA1.8MM FOR CONDYLE SCR S2 FEM NAIL SYS,184.8,184.8,,,0
CDM,27800002,62259 : PIN CERCLAGE 4.5MM SS THRD FOR POS,649.8,649.8,,,0
CDM,27800002,62993 : SCREW BNE 2.7X18MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,62994 : SCREW BNE 2.7X22MM CORT T8 STARDRV RECESS FT ST SS,94.18,94.18,,,0
CDM,27800002,62995 : SCREW BNE 2.7X20MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,62996 : SCREW BNE 2.7X24MM CORT T8 STARDRV RECESS FT ST SS,94.18,94.18,,,0
CDM,27800002,63041 : SCREW BNE 6.5X75MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,495.55,495.55,,,0
CDM,27800002,63042 : SCREW BNE 6.5X80MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,63043 : SCREW BNE 6.5X85MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,574.56,574.56,,,0
CDM,27800002,63052 : SCREW BNE 6.5X85MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,495.55,495.55,,,0
CDM,27800002,63054 : SCREW BNE 6.5X95MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,495.55,495.55,,,0
CDM,27800002,63097 : SCREW BNE 3.5X65MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,267.62,267.62,,,0
CDM,27800002,63098 : SCREW BNE 3.5X70MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,267.62,267.62,,,0
CDM,27800002,63099 : SCREW BNE 3.5X75MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
CDM,27800002,63100 : SCREW BNE 3.5X80MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
CDM,27800002,63101 : SCREW BNE 3.5X85MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,267.62,267.62,,,0
CDM,27800002,64192 : K WIRE 0.028X4IN SMTH DBL TRCR PT ST,2.63,2.63,,,0
CDM,27800002,64204 : CEMENT C1A KYPHX HV-R BONE CEMENT US,203.86,203.86,,,0
CDM,27800002,64504 : LEVEL ONE CMFSCREW CROSSDRIVE DRILL FREE1.5 X 5 MMTI-6AL-4VQ,180.0,180.0,,,0
CDM,27800002,64657 : ASNIS III SS CANNULATED SCR 4X42MM,336.0,336.0,,,0
CDM,27800002,66225 : SCREW BNE L30MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,66226 : SCREW BNE L52MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,66227 : SCREW 4.0MM CORTEX SELF TAPPING 70MM 206.470,77.88,77.88,,,0
CDM,27800002,66992 : SCREW BNE 10.5X90MM ST LAG ST TI GAM3 LOK NAIL SYS,856.8,856.8,,,0
CDM,27800002,67309 : SCREW BNE L56MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,77.88,77.88,,,0
CDM,27800002,67311 : SCREW BNE 4X58MM FT CORT HEX HD FT ST SS,77.88,77.88,,,0
CDM,27800002,67312 : SCREW BNE 4X60MM FT CORT HEX HD FT ST SS,77.88,77.88,,,0
CDM,27800002,67430 : SCREW BNE 2.4X12MM T8 STARDRV RECESS LOK ST SS LCP DST RAD,250.63,250.63,,,0
CDM,27800002,67497 : SCREW BNE 2.7X12MM CORT T8 STARDRV RECESS FT ST SS,94.18,94.18,,,0
CDM,27800002,67498 : SCREW BNE 2.7X14MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,67525 : ROD SPNL 5.5MM X 300MM TI EXPEDIUM,667.63,667.63,,,0
CDM,27800002,67878 : SCREW BNE 2.4X16MM CORT T8 STARDRV RECESS ST SS,129.58,129.58,,,0
CDM,27800002,67896 : SCREW BNE 2.4X14MM T8 STARDRV RECESS LOK ST SS LCP DST RAD,250.63,250.63,,,0
CDM,27800002,67902 : SCREW BNE 2.4X12MM CORT T8 STARDRV RECESS ST SS,129.58,129.58,,,0
CDM,27800002,68035 : SCREW BNE 2.4X32MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
CDM,27800002,68299 : SCREW BNE 2.4X14MM CORT T8 STARDRV RECESS ST SS,129.58,129.58,,,0
CDM,27800002,69208 : SCREW FIX L190MM DIA6MM SS SPADE PNT MR COND FOR ADJ SM LG,347.4,347.4,,,0
CDM,27800002,69732 : TOOL SMOOTHER 9.5MM,702.0,702.0,,,0
CDM,27800002,69789 : SCREW BNE 6.5X45MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,495.55,495.55,,,0
CDM,27800002,69793 : SCREW BNE 6.5X65MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,912.6,912.6,,,0
CDM,27800002,69796 : SCREW BNE 6.5X80MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,495.55,495.55,,,0
CDM,27800002,69797 : SCREW BNE 6.5X85MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,912.6,912.6,,,0
CDM,27800002,69800 : SCREW BNE 6.5X100MM CANC HEX DRV RECESS CANN FT ST SLF DRL,495.55,495.55,,,0
CDM,27800002,6H PLATE RIGHT,1620.0,1620.0,,,0
CDM,27800002,7 X 25 X 150 COATED HALF PIN 7107-0802,409.97,409.97,,,0
CDM,27800002,7.0 X 150 PELVIC SCREW,411.6,411.6,,,0
CDM,27800002,7.0MM CANNULATED SCREW 32MM THD 155MM,411.6,411.6,,,0
CDM,27800002,7.0MMX75MM CAN SCR 32MM THRD S,501.98,501.98,,,0
CDM,27800002,7.0X16MM THREAD CANNULATED SCREWS 75,411.6,411.6,,,0
CDM,27800002,7.0X32MM THREAD CANNULATED SCREW 100,411.6,411.6,,,0
CDM,27800002,7.3MM TITANIUM CANNULATED SCREW/32MM THREAD/60MM,997.2,997.2,,,0
CDM,27800002,7.5 X 30MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
CDM,27800002,71184 : PLATE 3.5MM LCP PROXIMAL HUMERUS LONG 6H  160MM 241.919,4570.37,4570.37,,,0
CDM,27800002,72049 : PLATE 10HOLE LCP 242.110,6080.4,6080.4,,,0
CDM,27800002,72125 : PLATE BNE DST VOLAR RAD L NAR SHT 3 H 21.6MM X 48.9MM,1234.8,1234.8,,,0
CDM,27800002,72168 : SCREW BNE 6.5X25MM CANC ST TI TRIL ACET SYS,59.95,59.95,,,0
CDM,27800002,72512 : 6 HOLE FRACTURE PLATE,1213.42,1213.42,,,0
CDM,27800002,72525 : 2.0X12MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,72704 : 2.7MM ST CRT SCR 26MM 71823026,34.73,34.73,,,0
CDM,27800002,72706 : 2.7MM ST CRT SCR 30MM 71823030,34.73,34.73,,,0
CDM,27800002,73686 : 3.5MM PF PIN 40MM,198.65,198.65,,,0
CDM,27800002,73867 : 4.5MMST CRT LCK SCR 24MM 07024,241.94,241.94,,,0
CDM,27800002,73868 : 4.5MMST CRT LCK SCR 26MM 07026,241.94,241.94,,,0
CDM,27800002,73870 : 4.5MMST CRT LCK SCR 30MM 07030,241.94,241.94,,,0
CDM,27800002,73874 : 4.5MMST CRT LCK SCR 38MM 07038,241.94,241.94,,,0
CDM,27800002,73879 : 4.5MMST CRT LCK SCR 48MM 07048,241.94,241.94,,,0
CDM,27800002,73893 : 4.5MMST CRT LCK SCR 76MM 07076,241.94,241.94,,,0
CDM,27800002,73895 : 4.5MMST CRT LCK SCR 80MM 07080,241.94,241.94,,,0
CDM,27800002,74080 : 4.0MM PART THRDED CAN SCR 44MM,355.99,355.99,,,0
CDM,27800002,74125 : 4.0MM PART THRDED CAN SCR 65MM,371.74,371.74,,,0
CDM,27800002,74126 : 4.0MM PART THRDED CAN SCR 70MM,371.74,371.74,,,0
CDM,27800002,74181 : 5.5MMX120MM CAN SCR 32MM TRD S,605.28,605.28,,,0
CDM,27800002,74253 : 5.5MMX65MM CAN SCR 32MM THRD T,630.24,630.24,,,0
CDM,27800002,74255 : 5.5MMX75MM CAN SCR 32MM THRD T,630.24,630.24,,,0
CDM,27800002,75087 : 4.5MMLP TIB LK PL13H L 255MM 0,2389.8,2389.8,,,0
CDM,27800002,75186 : K WIRE 2MM X 150MM TRCR PT FOR PERI-LOC,43.34,43.34,,,0
CDM,27800002,75943 : 2.0X14MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
CDM,27800002,79798 : PLATE BNE L145MM 8 H NONSTERILE R PROX MED TIB LOK COMPR LP,3326.98,3326.98,,,0
CDM,27800002,8.0MMX110MM CAN SCR 46MM PT SS,445.82,445.82,,,0
CDM,27800002,8.5 X 35MM UNIPLANAR SCREW PREASSEMBLED CREO 5.5,1560.0,1560.0,,,0
CDM,27800002,8.5 X 55MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
CDM,27800002,80327 : 202 MINI DEVICE WADJ NUT,3181.08,3181.08,,,0
CDM,27800002,80339 : 2X45 APEX SD HALF PIN 12 THR,127.2,127.2,,,0
CDM,27800002,80340 : 2X45 APEX SD HALF PIN 20 THR,141.6,141.6,,,0
CDM,27800002,80841 : WASHER ORTH DIA7MM TI FOR ASNS III 4MM CANN SCR SYS,61.2,61.2,,,0
CDM,27800002,80957 : SCREW BNE 6.5X80MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,604.8,604.8,,,0
CDM,27800002,80960 : SCREW BNE 6.5X85MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,604.8,604.8,,,0
CDM,27800002,80963 : SCREW BNE 6.5X90MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,604.8,604.8,,,0
CDM,27800002,80966 : SCREW BNE 6.5X95MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,604.8,604.8,,,0
CDM,27800002,81631 : HII MICRO MULTI-PIN CLAMP,1551.6,1551.6,,,0
CDM,27800002,81724 : K WIRE 1.6X150MM SGL END SMTH SHRP TRCR TIP SS,14.4,14.4,,,0
CDM,27800002,81772 : APEX HALF PIN 3X80 20 CONT THR,122.4,122.4,,,0
CDM,27800002,82828 : T2 CONDYLE SCREW 5MMX55MM,321.6,321.6,,,0
CDM,27800002,82831 : SCREW BNE 5X70MM ST CONDYLE PRTLY THRD TI T2 NAIL SYS,513.6,513.6,,,0
CDM,27800002,82832 : T2 CONDYLE SCREW 5MMX75MM,513.6,513.6,,,0
CDM,27800002,82833 : T2 CONDYLE SCREW 5MMX80MM,321.6,321.6,,,0
CDM,27800002,83076 : T2 HUMERAL ROUND WASHER,447.6,447.6,,,0
CDM,27800002,83081 : T2 LONG PROXIMAL HUMERAL NAIL LEFT 260MM,2892.0,2892.0,,,0
CDM,27800002,83089 : NUT ORTH L17MM DIA5MM TI FOR CNDYL SCR T2-GAM3 NAIL SYS,513.6,513.6,,,0
CDM,27800002,83199 : SCREW BNE 6.5X100MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,600.0,600.0,,,0
CDM,27800002,83212 : SCREW BNE 6.5X95MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,600.0,600.0,,,0
CDM,27800002,83293 : ENDCAP ORTH FOR T2 SUPCNDYL NAIL SYS,481.2,481.2,,,0
CDM,27800002,83319 : SCREW BNE 5X40MM ST SHFT PRTLY THRD LOK TI T2 NAIL SYS,321.6,321.6,,,0
CDM,27800002,83320 : SCREW BNE 5X45MM ST SHFT PRTLY THRD LOK TI T2 NAIL SYS,513.6,513.6,,,0
CDM,27800002,83321 : SCREW BNE 5X50MM ST SHFT PRTLY THRD LOK TI T2 NAIL SYS,513.6,513.6,,,0
CDM,27800002,83993 : K WIRE FIX 1.6MM SS FOR DVR ANAT VOLAR PLATING SYS,67.2,67.2,,,0
CDM,27800002,856 : IMPLANT FNGR JT SZ 2 IM STEM FLX SWNSN,2643.46,2643.46,,,0
CDM,27800002,86345 : SET SCR SPNL TI SGL INNR FOR DIA5.5MM ROD VIPER,259.2,259.2,,,0
CDM,27800002,87031 : SCREW BNE MINI 3.5X3.6X18MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
CDM,27800002,87032 : SCREW BNE MINI 3.5X3.6X20MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
CDM,27800002,87033 : SCREW BNE MINI 3.5X3.6X22MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
CDM,27800002,87037 : SCREW BNE MINI 3.5X3.6X30MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
CDM,27800002,87710 : PLATE SPNL HNG CNTRPC,636.0,636.0,,,0
CDM,27800002,87890 : K WIRE 1.6X150MM DBL END TRCR PT SS,24.42,24.42,,,0
CDM,27800002,87939 : T2 ANKLE ARTHRODESIS NAIL LEFT 12MM X 200MM,8023.68,8023.68,,,0
CDM,27800002,88343 : ANCHOR SUT L16MM DIA5.5MM TI CRKSCR FT W- TWO SZ 2 FBRWR,599.04,599.04,,,0
CDM,27800002,8X30MM INTERFERENCE SCREW,767.52,767.52,,,0
CDM,27800002,9.0MM MICRO ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
CDM,27800002,9.5 X 30MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,9.5 X 45MM SCREW MODULAR CREO AMP,660.0,660.0,,,0
CDM,27800002,9.5 X 45MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
CDM,27800002,90DEG  CANNULATED CHILD BLADE PLATE 45MM X 6MM X 3 HOLE,2407.1,2407.1,,,0
CDM,27800002,95MM LAG SCREW,1249.2,1249.2,,,0
CDM,27800002,ACU-LOC 2 VDR PLT NARROW L,4538.4,4538.4,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X100MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X32.5MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X37.5MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X40MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X42.5MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X45MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X47.5MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X50MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X52.5MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X55MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X57.5MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X65MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X70MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X75MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X80MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X85MM,981.53,981.53,,,0
CDM,27800002,ADVANCED LOCKING SCREW 5X90MM,981.53,981.53,,,0
CDM,27800002,ALTERA SPACER 10 X 26 8-12MM 8DEG,10080.0,10080.0,,,0
CDM,27800002,ANATOMIC LAT FIB PLATE 10H LT,2220.38,2220.38,,,0
CDM,27800002,ANATOMIC LAT FIB PLATE 12H LT,2240.3,2240.3,,,0
CDM,27800002,ANATOMIC LAT FIB PLATE 4H LT,1891.8,1891.8,,,0
CDM,27800002,ANATOMIC LAT FIB PLATE 6H LT,2090.93,2090.93,,,0
CDM,27800002,ANATOMIC LAT FIB PLATE 8H LT,2190.5,2190.5,,,0
CDM,27800002,ANCHOR BOLTS LENGTH 15MM,351.6,351.6,,,0
CDM,27800002,ANCHOR BOLTS LENGTH 30MM,351.6,351.6,,,0
CDM,27800002,ANCHOR FOOTPRINT 4.5 ULTRA PK,766.8,766.8,,,0
CDM,27800002,ANCHOR LUM 25MM MIS,384.0,384.0,,,0
CDM,27800002,ANCHOR SFT TISS L18MM DIA1.3MM PLLA CHONDRAL DART BIOABSRB,315.12,315.12,,,0
CDM,27800002,ANCHOR SPNL 12MM FOR INLINE INTEGR FIX TI COALITION MIS ACDF,180.0,180.0,,,0
CDM,27800002,ANCHOR SUT 1.8 FIBERTAK GEN2 SFT KNTLSS SZ 2 SUT SLF,1145.04,1145.04,,,0
CDM,27800002,ANCHOR SUT 1.8 FIBERTAK KNTLSS MACH TAPR SUT SLF BUNCHING,1235.52,1235.52,,,0
CDM,27800002,ANCHOR SUT 14X4.5MM TI W/ TWO NO2 FBRWR CRKSCR FT II,599.04,599.04,,,0
CDM,27800002,ANCHOR SUT 2.6 FIBERTAK KNTLSS SLF PUNCHING 1.7MM BLK BLU,1379.04,1379.04,,,0
CDM,27800002,ANCHOR SUT 3.5X19.5MM PEEK PSHLCK,936.0,936.0,,,0
CDM,27800002,ANCHOR SUT 4.5X11MM KNTLSS DEPLOYED POPLOK,1243.66,1243.66,,,0
CDM,27800002,ANCHOR SUT 5MM W/ 2 NO 2 SUT AND W/O NDL SUP REVO FT,996.26,996.26,,,0
CDM,27800002,ANCHOR SUT ANT CRUCE LIG W/ FIBERTAG TGHTRP ABS,872.04,872.04,,,0
CDM,27800002,ANCHOR SUT ARGO KNTLSS 4.75MM W/ 1 1MM HI-FI RBBN,1901.16,1901.16,,,0
CDM,27800002,ANCHOR SUT DIA4.5MM TWO ULTRABRAID FOR RC SFT TISS FIX,734.4,734.4,,,0
CDM,27800002,ANCHOR SUT ETHBND SZ 2 L36IN GRN POLY BRD CP-2 DA NDL,1744.8,1744.8,,,0
CDM,27800002,ANCHOR SUT FIBERSTITCH TWO POLY IMPL AND 2-0 FBRWR SUT 1.5MM,1430.52,1430.52,,,0
CDM,27800002,ANCHOR SUT HIP KNTLSS FIX SPEEDLOCK,972.0,972.0,,,0
CDM,27800002,ANCHOR SUT L12.5MM DIA2.9MM SHT HIP BIOCOMPOSITE PSHLCK,1092.0,1092.0,,,0
CDM,27800002,ANCHOR SUT L12.5MM DIA2.9MM SHT PEEK PSHLCK,936.0,936.0,,,0
CDM,27800002,ANCHOR SUT L12MM DIA2.4MM BIOCOMPOSITE W/ 2-0 FBRWR,833.04,833.04,,,0
CDM,27800002,ANCHOR SUT L16MM DIA5.5MM TI CRKSCR FT W/ TWO SZ 2 FBRWR,599.04,599.04,,,0
CDM,27800002,ANCHOR SUT L19.1MM DIA4.75MM BIOCOMPOSITE SWIVELOCK,1040.52,1040.52,,,0
CDM,27800002,ANCHOR SUT L19.1MM DIA4.75MM PEEK TWST IN KNTLSS W/ FOR RCR,975.0,975.0,,,0
CDM,27800002,ANCHOR SUT L19.1MM DIA6.25MM SHLDR BIOCOMPOSITE SWIVELOCK,1067.04,1067.04,,,0
CDM,27800002,ANCHOR SUT L24MM DIA4.5MM PEEK PSHLCK,936.0,936.0,,,0
CDM,27800002,ANCHOR SUT QANCHR ORTHOCORD MINI SZ 2-0 BRD COMP SUT W/ V5,1987.2,1987.2,,,0
CDM,27800002,ANCHOR SUT SZ 3-0 BRD ORTHOCORD V-4 NDL 1.3X5MM DRLBT MIC,1056.0,1056.0,,,0
CDM,27800002,ANCHOR SUT W/ 2 SZ 0 ULTRABRAID SUT AND NDL,604.8,604.8,,,0
CDM,27800002,ANCHOR SUT W/ ETHBND SZ 0 L36IN GRN POLY BRD OS-2 DA NDL,1200.0,1200.0,,,0
CDM,27800002,ANCHOR SUT W/ ETHBND SZ 2-0 L18IN GRN POLY BRD V5 DA NDL,1056.0,1056.0,,,0
CDM,27800002,ANCHOR SUT W/ SLT GUID 1.9MM DRL FIBERTAK,1625.52,1625.52,,,0
CDM,27800002,ANCHOR SUTURE FIBERTAG TIGHTROPE II,1547.52,1547.52,,,0
CDM,27800002,ANCHOR SUTURE FIBERTAG TIGHTROPE II ABS,1053.0,1053.0,,,0
CDM,27800002,ANCHOR SUTURE TIGHTROPE II BTB ADDITIONAL FLIPPING SUTURE,1418.04,1418.04,,,0
CDM,27800002,ANKLE ARTHRODESIS NAIL RIGHT 10X300MM,4440.24,4440.24,,,0
CDM,27800002,ANKLE DISTRACTION STRAP ADJUSTABLE TO ALL SIZES,159.12,159.12,,,0
CDM,27800002,ANTERIOR TIB PLATE 8H WIDE,3833.4,3833.4,,,0
CDM,27800002,ANTLATERAL TIB PLT 10H RT NRW,4580.16,4580.16,,,0
CDM,27800002,ANTLATERAL TIB PLT 10H RT WIDE,4629.94,4629.94,,,0
CDM,27800002,ANTLATERAL TIB PLT 6H LT WIDE,4480.58,4480.58,,,0
CDM,27800002,ANTLATERAL TIB PLT 6H RT NRW,4430.81,4430.81,,,0
CDM,27800002,ATTRAX PUTTY 10CC US,2280.0,2280.0,,,0
CDM,27800002,ATTRAX PUTTY 5CC US,1425.0,1425.0,,,0
CDM,27800002,ATTRAX PUTTY 6CC US,1596.0,1596.0,,,0
CDM,27800002,BASEPLATE GLEN 30MM ALTIVATE,2856.0,2856.0,,,0
CDM,27800002,BASEPLATE GLEN DIA25MM +3MM TI POR LAT AUGMENTED PERFORM,4860.0,4860.0,,,0
CDM,27800002,BICEPSBUTTON,767.52,767.52,,,0
CDM,27800002,BIT DRL 2.7MM CANN ADD ON CPL FOR 4MM SCR ASNS III,619.1,619.1,,,0
CDM,27800002,BIT DRL 4MM FOR TALAR PEG INBONE II,199.2,199.2,,,0
CDM,27800002,BOLT EXTR FOR 2.7MM SCR,408.6,408.6,,,0
CDM,27800002,BROAD PLATE 3.5T 12 HOLE,2728.8,2728.8,,,0
CDM,27800002,BUTTON CABLE 2.5MM TITANIUM HEX DRIVE FOR NCB POLYAXIAL LOCK,326.4,326.4,,,0
CDM,27800002,BUTTON FIX L20MM RND CONCAVE W/ 9MM CLLR TGHTRP ABS,583.44,583.44,,,0
CDM,27800002,CABLE SUR L635MM DIA1.8MM COCR ASSEMB W/ CERCLAGE CRMP CBL,710.4,710.4,,,0
CDM,27800002,CANNULA ENDOSCP L2CM DIA10MM PASSPRT BTTN,83.47,83.47,,,0
CDM,27800002,CANNULATED PROXIMAL SCREW 5 MM X 48 MM,616.8,616.8,,,0
CDM,27800002,CANNULATED SCREW 6.5MM X 125MM X 32MM THREAD,403.2,403.2,,,0
CDM,27800002,CAP 2.5MM FLEX NAIL END,382.08,382.08,,,0
CDM,27800002,CAP SCR DIA8MM HEX DIA3.5MM TI LOK NCB,243.6,243.6,,,0
CDM,27800002,CAP SPNL 5.5MM LOK THRD CREO,108.0,108.0,,,0
CDM,27800002,CAP SPNL COCR FLAT 1 STP LOK FOR DIA5.5MM ROD MTRX,263.47,263.47,,,0
CDM,27800002,CAP SPNL THRD LOK FOR HD TO HD T CONN QUARTEX,108.0,108.0,,,0
CDM,27800002,CARTRIDGE KYPHOPLASTY C8CC FOR CEM DEL SYS KYPHO,156.82,156.82,,,0
CDM,27800002,CEMENT BNE 10CC CA PHSPTE HA INJ FAST SET ISOTHERMIC RADPQ,8458.66,8458.66,,,0
CDM,27800002,CEMENT BNE 20GM RADPQ FOR KYPHOPLASTY ST CONCORD HP,324.0,324.0,,,0
CDM,27800002,CEMENT BNE 20ML 40GM FULL DOSE PMMA W/O ANTIBIO M VISC RADPQ,134.4,134.4,,,0
CDM,27800002,CEMENT BNE 3ML INJ HYDROSET DIRECTINJECT,3121.49,3121.49,,,0
CDM,27800002,CEMENT BNE 5CC CA PHSPTE HA INJ FAST SET ISOTHERMIC RADPQ,4484.93,4484.93,,,0
CDM,27800002,CEMENT BNE FULL DOSE RADPQ SIMPLEX P,135.12,135.12,,,0
CDM,27800002,CEMENT C1A KYPHX HV-R BONE CEMENT US,203.86,203.86,,,0
CDM,27800002,CEMENT MIXING KIT,1680.0,1680.0,,,0
CDM,27800002,COALITION MIS SPACER 12 X 14 12 6MM,4260.0,4260.0,,,0
CDM,27800002,COALITION MIS SPACER TI 12 X 14 12 8MM,4320.0,4320.0,,,0
CDM,27800002,COHERE XLIF AMS PLATE 8MM DUAL- SIDED,7680.0,7680.0,,,0
CDM,27800002,COIL CERCLAGE WIRE 1.25MM,252.0,252.0,,,0
CDM,27800002,COMPRESSION SCREW FEMUR D8,501.6,501.6,,,0
CDM,27800002,CONNECTOR SPNL 27-33MM T HD TO HD QUARTEX,960.0,960.0,,,0
CDM,27800002,CONNECTOR SPNL 5.5-6MM HD TO 5.5-6MM IN LN DBL CREO,2160.0,2160.0,,,0
CDM,27800002,CONNECTOR SPNL DIA6.35MM TI OPN CLS AX CDH LEG,960.0,960.0,,,0
CDM,27800002,CONNECTOR SPNL L20MM SACR PELV TI OPN POLYAX LAT FOR 5.5MM,1860.0,1860.0,,,0
CDM,27800002,COROENT XLF SCREW 5.5X25MM VARIABLE,1560.0,1560.0,,,0
CDM,27800002,CORTEX BONE SCREW 2.0MM HD6  2.0 X 06 MM,248.28,248.28,,,0
CDM,27800002,CORTEX SCR 2.7MM / T8 / L12MM,136.8,136.8,,,0
CDM,27800002,CORTEX SCR 2.7MM / T8 / L14MM,218.4,218.4,,,0
CDM,27800002,CORTEX SCR 2.7MM / T8 / L16MM,218.4,218.4,,,0
CDM,27800002,CORTEX SCR 2.7MM / T8 / L22MM,175.2,175.2,,,0
CDM,27800002,CORTEX SCR 2.7MM / T8 / L55MM,194.4,194.4,,,0
CDM,27800002,CORTICAL BONE SCREW  5.0MM X 54MM  5.0MM X 54MM  AFFIXUS,310.8,310.8,,,0
CDM,27800002,CORTICAL BONE SCREW SELF-TAPPING HEX HEAD 3.5 MM DIAMETER,84.0,84.0,,,0
CDM,27800002,CORTICAL LOCK SCREW  2.7MM X 14MM  2.7MM X 14MM,184.8,184.8,,,0
CDM,27800002,CORTICAL SCREW  3.5MM X 14MM  3.5MM X 14MM,145.92,145.92,,,0
CDM,27800002,CORTICAL SCREW  3.5MM X 18MM  3.5MM X 18MM,151.2,151.2,,,0
CDM,27800002,CORTICAL SCREW03.5 X 16MM,84.0,84.0,,,0
CDM,27800002,COUPLER ANAS 1MM VES 0.8-1.2MM POLYETH SS PIN DISP GEM,838.01,838.01,,,0
CDM,27800002,CREO 5.5 5.0 X 30MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,CREO AMP 10.5 X 50MM MODULAR CANNULATED SCREW,840.0,840.0,,,0
CDM,27800002,CREO AMP 4.0 X 30MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
CDM,27800002,CREO AMP 4.75 THREADED TULIP COCR,780.0,780.0,,,0
CDM,27800002,CREO AMP 6.5 X 30MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
CDM,27800002,CREO FENESTRATED 4.5 X 35MM POLYAXIAL SCREW THREADED,2160.0,2160.0,,,0
CDM,27800002,CREO THREADED 5.0 X 30MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,CREO THREADED 5.5 X 60MM POLYAXIAL SCREW COCR HEAD TI SHANK,1200.0,1200.0,,,0
CDM,27800002,CREO THREADED 6.5 X 35MM CANNULATED SCREW,1800.0,1800.0,,,0
CDM,27800002,CROSSCONNECTOR SPNL 40-49MM NS OCT ROD TO ROD SYM,2423.93,2423.93,,,0
CDM,27800002,CROSSLINK 5.5MM ROD M 40-72MM,1176.0,1176.0,,,0
CDM,27800002,DENALI LUMBAR RODS CONTOURED 05.5X45 MM TI,410.83,410.83,,,0
CDM,27800002,DENALI RODS STRAIGHT DEFORMITY 05.5X500 MM DUAL HEX COCR,698.64,698.64,,,0
CDM,27800002,DEVICE BNE FILL SZ 3 1ML 10GA RADPQ FOR INTVENT THER DEL SYS,194.76,194.76,,,0
CDM,27800002,DHSDCS LAG SCREW 12.7MM THREAD85MM,1249.2,1249.2,,,0
CDM,27800002,DISTAL CLAVICLE PLATE SHORT LEFT SS,2210.52,2210.52,,,0
CDM,27800002,DISTAL LATERAL FIBULA LOCKING PLATE 8H 132MM RT,1749.6,1749.6,,,0
CDM,27800002,DISTRACTION INTERNAL STERILEDIST MANDIBLE HYPERDRIVE MICRO R,21804.0,21804.0,,,0
CDM,27800002,DISTRACTION INTERNALDIST MANDIBLE HYPERDRIVE MICRO RTCH 1.0-,21422.4,21422.4,,,0
CDM,27800002,DISTRACTION INTERNALSCREW MAXDRIVEHEX ZURICH DRILL FREE 2.0,506.4,506.4,,,0
CDM,27800002,DISTRACTOR PIN 14MM,120.0,120.0,,,0
CDM,27800002,DORSAL SPANNING PLATE LONG 210 MM TI,2908.8,2908.8,,,0
CDM,27800002,DRILL BIT-MINI QUICK COUPLING 1.8MM X 80MM 317.861,279.0,279.0,,,0
CDM,27800002,DRIVER SUR CANN SHFT FEN CREO,480.0,480.0,,,0
CDM,27800002,DVR VOLAR RIM PLATE RIGHT,1663.2,1663.2,,,0
CDM,27800002,ENDCAP ORTH FOR T2 SUPCNDYL NAIL SYS,716.88,716.88,,,0
CDM,27800002,ENDPLATE SPNL  12MM X 14MM X 12MM 0 DEG UP FORTIFY,840.0,840.0,,,0
CDM,27800002,ENDPLATE SPNL  15MM X 18MM X 12MM 0 DEG UP FORTIFY,840.0,840.0,,,0
CDM,27800002,ENDPLATE SPNL DISK L12MM 14X16MM  3.5DEG VERT BODY REPL LORD,840.0,840.0,,,0
CDM,27800002,EVEREST SCREWS POLYAXIAL 06.5X45 MM,2029.51,2029.51,,,0
CDM,27800002,EVOS 2.0MM STRAIGHT TINE PLATE 5 HOLE,1554.0,1554.0,,,0
CDM,27800002,EVOS 2.0MM T-PLATE 3 HOLE HD 9 HOLE SFT,1260.0,1260.0,,,0
CDM,27800002,EVOS 2.0MM X 14MM CTX SCR T6 S-T,75.6,75.6,,,0
CDM,27800002,EVOS 2.0MM X 14MM LCK SCR T6 S-T,252.0,252.0,,,0
CDM,27800002,EVOS 2.0MM X 20MM CTX SCR T6 S-T,75.6,75.6,,,0
CDM,27800002,EVOS 2.0MM X 20MM LCK SCR T6 S-T,252.0,252.0,,,0
CDM,27800002,EVOS 2.0MM X 22MM CTX SCR T6 S-T,75.6,75.6,,,0
CDM,27800002,EVOS 2.0MM X 7MM LCK SCR T6 S-T,252.0,252.0,,,0
CDM,27800002,EVOS 2.4MM TRAPEZOID PLATE,2058.0,2058.0,,,0
CDM,27800002,EVOS 2.4MM X 10MM LCK SCR T7 S-T,256.2,256.2,,,0
CDM,27800002,EVOS 2.4MM X 20MM CTX SCR T7 S-T,79.8,79.8,,,0
CDM,27800002,EVOS 2.4MM X 24MM LCK SCR T7 S-T,256.2,256.2,,,0
CDM,27800002,EVOS 2.4MM X 46MM CTX SCR T7 S-T,79.8,79.8,,,0
CDM,27800002,EVOS 2.4MM X 50MM LCK SCR T7 S-T,256.2,256.2,,,0
CDM,27800002,EVOS 2.7/3.5 AL-D TIBIA PL 20H L 252MM,4720.32,4720.32,,,0
CDM,27800002,EVOS 2.7/3.5 OLCRNN PL W/TNS 4H L 82MM,2505.6,2505.6,,,0
CDM,27800002,EVOS 2.7/3.5MM EA-D HUM PL 20H L 239MM,2952.0,2952.0,,,0
CDM,27800002,EVOS 2.7/3.5MM L-D HUM PL 11H R 134MM,2611.2,2611.2,,,0
CDM,27800002,EVOS 2.7/3.5MM L-D HUM PL 7H R 90MM,2342.4,2342.4,,,0
CDM,27800002,EVOS 2.7/3.5MM L-D HUM PL 9H R 112MM,2534.4,2534.4,,,0
CDM,27800002,EVOS 2.7/3.5MM LATERAL DISTAL FIBULA PLATE 5H R 81MM,1552.32,1552.32,,,0
CDM,27800002,EVOS 2.7/3.5MM LATERAL DISTAL FIBULA PLATE 7H L 103MM,1668.48,1668.48,,,0
CDM,27800002,EVOS 2.7/3.5MM LATERAL DISTAL FIBULA PLATE 9H L 125MM,1742.4,1742.4,,,0
CDM,27800002,EVOS 2.7/3.5MM M-D HUMERUS PL 3H R 80MM,2073.6,2073.6,,,0
CDM,27800002,EVOS 2.7/3.5MM M-D HUMERUS PL 7H L 124MM,2481.6,2481.6,,,0
CDM,27800002,EVOS 2.7/3.5MM M-D HUMERUS PL 9H R 146MM,2611.2,2611.2,,,0
CDM,27800002,EVOS 2.7/3.5MM OLECRANON PL 3H L 61MM,2299.2,2299.2,,,0
CDM,27800002,EVOS 2.7/3.5MM OLECRANON PL 8H R 114MM,2697.6,2697.6,,,0
CDM,27800002,EVOS 2.7/3.5MM PL-D HUM PL 10H L 129MM,2534.4,2534.4,,,0
CDM,27800002,EVOS 2.7/3.5MM PL-D HUM PL 8H R 107MM,2342.4,2342.4,,,0
CDM,27800002,EVOS 2.7/3.5MM PL-D HUMERUS PL 6H L 85MM,2131.2,2131.2,,,0
CDM,27800002,EVOS 2.7MM COMPRESSION PLATE 10H 84MM,749.76,749.76,,,0
CDM,27800002,EVOS 2.7MM COMPRESSION PLATE 6H 50MM,443.52,443.52,,,0
CDM,27800002,EVOS 2.7MM FLEX PLATE 8 HOLE,1806.0,1806.0,,,0
CDM,27800002,EVOS 2.7MM L-D FIBULA PL 11H L 103MM,1457.28,1457.28,,,0
CDM,27800002,EVOS 2.7MM RECON PLATE 10H 81MM,918.72,918.72,,,0
CDM,27800002,EVOS 2.7MM STRAIGHT TINE PLATE 7 HL,1890.0,1890.0,,,0
CDM,27800002,EVOS 2.7MM STRENGTH PLATE 20 HL,1806.0,1806.0,,,0
CDM,27800002,EVOS 2.7MM SUP MS CLAV PL 14H L 93MM,1219.2,1219.2,,,0
CDM,27800002,EVOS 2.7MM TRIANGLE PLATE 8 HL SFT,1974.0,1974.0,,,0
CDM,27800002,EVOS 2.7MM X 11MM LCK SCR T8 S-T,260.4,260.4,,,0
CDM,27800002,EVOS 2.7MM X 65MM LCK SCR T8 S-T,294.0,294.0,,,0
CDM,27800002,EVOS 2.7MM X 6MM LCK SCR T8 S-T,260.4,260.4,,,0
CDM,27800002,EVOS 2.7MM X 70MM LCK SCR T8 S-T,294.0,294.0,,,0
CDM,27800002,EVOS 2.7MM X 75MM CTX SCR T8 S-T,113.4,113.4,,,0
CDM,27800002,EVOS 2.7MM X 7MM LCK SCR T8 S-T,260.4,260.4,,,0
CDM,27800002,EVOS 2.7MM X 80MM LCK SCR T8 S-T,294.0,294.0,,,0
CDM,27800002,EVOS 2.7MM X 8MM CTX SCR T8 S-T,84.0,84.0,,,0
CDM,27800002,EVOS 2.7MM Y-PLATE 5 HL HD 5 HL SFT,1974.0,1974.0,,,0
CDM,27800002,EVOS 2.7MM/3.5MM ANTEROLATERAL DISTAL TIBIA PLATE 11H L 153M,4181.76,4181.76,,,0
CDM,27800002,EVOS 2.7MM/3.5MM ANTEROLATERAL DISTAL TIBIA PLATE 14H L 186M,4218.72,4218.72,,,0
CDM,27800002,EVOS 2.7MM/3.5MM ANTEROLATERAL DISTAL TIBIA PLATE 8H L 120MM,4128.96,4128.96,,,0
CDM,27800002,EVOS 2.7MM/3.5MM MEDIAL DISTAL TIBIA PLATE 12H L 162MM,4181.76,4181.76,,,0
CDM,27800002,EVOS 2.7MM/3.5MM MEDIAL DISTAL TIBIA PLATE 15H R 195MM,4239.84,4239.84,,,0
CDM,27800002,EVOS 2.7MM/3.5MM MEDIAL DISTAL TIBIA PLATE 9H L 130MM,4092.0,4092.0,,,0
CDM,27800002,EVOS 2.7MM/3.5MM PARTIAL ARTICULAR ANTEROLATERAL DISTAL TIBI,2333.76,2333.76,,,0
CDM,27800002,EVOS 2.7MM/3.5MM PARTIAL ARTICULAR MEDIAL DISTAL TIBIA PLATE,2465.76,2465.76,,,0
CDM,27800002,EVOS 2.7MM/3.5MM POSTEROLATERAL DISTAL FIBULA PLATE 5H R 93M,2212.32,2212.32,,,0
CDM,27800002,EVOS 2.7MM/3.5MM POSTEROLATERAL DISTAL FIBULA PLATE 7H L 115,2370.72,2370.72,,,0
CDM,27800002,EVOS 3.5MM  PARTIAL ARTICULAR POSTEROMEDIAL PROXIMAL TIBIA T,2333.76,2333.76,,,0
CDM,27800002,EVOS 3.5MM 1/3 TUBULAR PLATE 2H 22MM,93.84,93.84,,,0
CDM,27800002,EVOS 3.5MM 1/3 TUBULAR PLATE 4H 46MM,110.16,110.16,,,0
CDM,27800002,EVOS 3.5MM COMPRESSION PLATE 10H 127MM,252.0,252.0,,,0
CDM,27800002,EVOS 3.5MM COMPRESSION PLATE 6H 77MM,221.76,221.76,,,0
CDM,27800002,EVOS 3.5MM COMPRESSION PLATE 8H 102MM,241.92,241.92,,,0
CDM,27800002,EVOS 3.5MM CVD PROX HUM PL 15H L 213MM,3062.4,3062.4,,,0
CDM,27800002,EVOS 3.5MM CVD PROX HUM PL 18H R 246MM,3504.0,3504.0,,,0
CDM,27800002,EVOS 3.5MM CVD PROX HUM PL 4H L 92MM,2635.2,2635.2,,,0
CDM,27800002,EVOS 3.5MM CVD PROX HUM PL 6H R 114MM,2712.0,2712.0,,,0
CDM,27800002,EVOS 3.5MM CVD PROX HUM PL 9H R 147MM,2793.6,2793.6,,,0
CDM,27800002,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 10H L 134MM,3701.28,3701.28,,,0
CDM,27800002,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 13H L 167MM,3754.08,3754.08,,,0
CDM,27800002,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 16H R 200MM,3944.16,3944.16,,,0
CDM,27800002,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 4H R 70MM,3574.56,3574.56,,,0
CDM,27800002,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 6H L 91MM,3622.08,3622.08,,,0
CDM,27800002,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 8H R 113MM,3659.04,3659.04,,,0
CDM,27800002,EVOS 3.5MM LOCKING 1/3 TUBULAR PLATE 10H 118MM,654.72,654.72,,,0
CDM,27800002,EVOS 3.5MM LOCKING 1/3 TUBULAR PLATE 8H 94MM,601.92,601.92,,,0
CDM,27800002,EVOS 3.5MM LOCKING COMPRESSION PLATE 10H 116MM,844.8,844.8,,,0
CDM,27800002,EVOS 3.5MM LOCKING COMPRESSION PLATE 12H 139MM,934.56,934.56,,,0
CDM,27800002,EVOS 3.5MM LOCKING COMPRESSION PLATE 14H 162MM,1441.44,1441.44,,,0
CDM,27800002,EVOS 3.5MM LOCKING COMPRESSION PLATE 20H 231MM,1943.04,1943.04,,,0
CDM,27800002,EVOS 3.5MM LOCKING COMPRESSION PLATE 8H 93MM,797.28,797.28,,,0
CDM,27800002,EVOS 3.5MM MEDIAL PROXIMAL TIBIA PLATE 13H L 170MM,3136.32,3136.32,,,0
CDM,27800002,EVOS 3.5MM MEDIAL PROXIMAL TIBIA PLATE 16H L 201MM,3231.36,3231.36,,,0
CDM,27800002,EVOS 3.5MM MEDIAL PROXIMAL TIBIA PLATE 8H L 117MM,2877.6,2877.6,,,0
CDM,27800002,EVOS 3.5MM PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA PLATE 4H,1446.98,1446.98,,,0
CDM,27800002,EVOS 3.5MM PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA PLATE 6H,2322.55,2322.55,,,0
CDM,27800002,EVOS 3.5MM PARTIAL ARTICULAR MEDIAL PROXIMAL TIBIA PLATE 4H,2244.0,2244.0,,,0
CDM,27800002,EVOS 3.5MM PARTIAL ARTICULAR MEDIAL PROXIMAL TIBIA PLATE 8H,2333.76,2333.76,,,0
CDM,27800002,EVOS 3.5MM PARTIAL ARTICULAR POSTERIOR DISTAL TIBIA PLATE 3H,1436.16,1436.16,,,0
CDM,27800002,EVOS 3.5MM PARTIAL ARTICULAR POSTEROMEDIAL PROXIMAL TIBIA I,2244.0,2244.0,,,0
CDM,27800002,EVOS 3.5MM PM-P TIBIA T-PL 10H L 137MM,2904.0,2904.0,,,0
CDM,27800002,EVOS 3.5MM RECON PLATE 18H 198MM,782.88,782.88,,,0
CDM,27800002,EVOS 3.5MM STR PROX HUM PL 3H 92MM,2563.2,2563.2,,,0
CDM,27800002,EVOS 3.5MM X 100MM CTX SCR S-T,35.98,35.98,,,0
CDM,27800002,EVOS 3.5MM X 10MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 110MM CTX SCR S-T,35.98,35.98,,,0
CDM,27800002,EVOS 3.5MM X 11MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 12MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 15MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,EVOS 3.5MM X 15MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 17MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,EVOS 3.5MM X 17MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 19MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,EVOS 3.5MM X 24MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 30MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,EVOS 3.5MM X 32MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 34MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,EVOS 3.5MM X 36MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 40MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,EVOS 3.5MM X 46MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 48MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,EVOS 3.5MM X 70MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 80MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,EVOS 3.5MM X 80MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
CDM,27800002,EVOS 3.5MM X 8MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
CDM,27800002,EVOS 4.0MM X 12MM OST SCR T8 FT,193.2,193.2,,,0
CDM,27800002,EVOS 4.7MM X 10MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
CDM,27800002,EVOS 4.7MM X 28MM OSTEOPENIA SCREW PARTIALLY THREADED,123.0,123.0,,,0
CDM,27800002,EVOS 4.7MM X 30MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
CDM,27800002,EVOS DBL WASHER - 3.5MM SCREWS,138.0,138.0,,,0
CDM,27800002,EXTRA ARTC DST HUM PLT L 3.5MM  164MM/6 H,4622.4,4622.4,,,0
CDM,27800002,EXTRA ARTC DST HUM PLT L 3.5MM 198MM/8 H,5239.2,5239.2,,,0
CDM,27800002,EXTRA ARTC DST HUM PLT L 3.5MM 266MM/12 H,6787.2,6787.2,,,0
CDM,27800002,EXTRA ARTC DST HUM PLT R 3.5MM  198MM/8 H,5239.2,5239.2,,,0
CDM,27800002,EXTRACTOR SUR FOR BNE SCR REM INBONE II,295.2,295.2,,,0
CDM,27800002,F.A.S.T. PEG DRIVER  2.0MM  2.0MM,92.4,92.4,,,0
CDM,27800002,FEMORAL NAIL GT LEFT D10XL380,4264.8,4264.8,,,0
CDM,27800002,FEMORAL NAIL GT LEFT D11XL380,7736.59,7736.59,,,0
CDM,27800002,FEMORAL NAIL GT LEFT D13XL420,7736.59,7736.59,,,0
CDM,27800002,FEMORAL NAIL GT RIGHT D10XL360,4264.8,4264.8,,,0
CDM,27800002,FEMORAL NAIL GT RIGHT D10XL380,7736.59,7736.59,,,0
CDM,27800002,FEMORAL NAIL GT RIGHT D10XL400,7736.59,7736.59,,,0
CDM,27800002,FEMORAL NAIL GT RIGHT D11XL380,4264.8,4264.8,,,0
CDM,27800002,FEMORAL NAIL GT RIGHT D11XL400,7736.59,7736.59,,,0
CDM,27800002,FEMORAL NAIL GT RIGHT D12XL380,7736.59,7736.59,,,0
CDM,27800002,FEMORAL NAIL GT RIGHT D12XL440,4264.8,4264.8,,,0
CDM,27800002,FEMORAL NAIL GT RIGHT D13XL380,7736.59,7736.59,,,0
CDM,27800002,FEMORAL NAIL GT RIGHT D9XL320,4264.8,4264.8,,,0
CDM,27800002,FEMORAL NAIL GT RIGHT D9XL400,7736.59,7736.59,,,0
CDM,27800002,FIBER FLOWABLE DEMIN 10CC OSSIFUSE HSA,2400.0,2400.0,,,0
CDM,27800002,FIBER FLOWABLE DEMIN 1CC OSSIFUSE HSA,240.0,240.0,,,0
CDM,27800002,FIBER FLOWABLE DEMIN 5CC OSSIFUSE HSA,1200.0,1200.0,,,0
CDM,27800002,FIBERTAK BICEPS IMPLANT,1040.52,1040.52,,,0
CDM,27800002,FIBULA HOOK PLATE 4H,2389.66,2389.66,,,0
CDM,27800002,FILLER BNE VOID 3.45CC 5GM CA PHSPTE MIMIX QS,2064.0,2064.0,,,0
CDM,27800002,FIXATOR BNE PLT ORTH AO FIT TEMP,420.0,420.0,,,0
CDM,27800002,FORTIFY-R 14MM LOWER ENDPLATE 14MM FOOTPRINT 3.5,840.0,840.0,,,0
CDM,27800002,FREEZE DRIED BONE 30CC READIGRAFT CRUSHED,792.14,792.14,,,0
CDM,27800002,FULLY THREADED SCREW 12MM,254.4,254.4,,,0
CDM,27800002,GEMINUS VOLAR DISTAL RADIUS PLATE STANDARD 4 HOLE RIGHT,2020.8,2020.8,,,0
CDM,27800002,GEMINUS VOLAR DISTAL RADIUS PLATE STANDARD 7 HOLE LEFT,2265.6,2265.6,,,0
CDM,27800002,GRAFT BNE PSTE 5CC BEAD 12CC CANC CA SULF STIMULAN RAP CURE,2388.0,2388.0,,,0
CDM,27800002,GRAFT BNE PTTY 10CC ALLGRFT FD DBM GRFT,1896.0,1896.0,,,0
CDM,27800002,GRAFT BNE PTTY 1CC ALLGRFT FD DBM GRFT,352.8,352.8,,,0
CDM,27800002,GRAFT BNE PTTY 5CC ALLGRFT FD DBM GRFT,1200.0,1200.0,,,0
CDM,27800002,GRAFT BNE SUB 10CC CA PHSPTE HYALURONIC ACID CEM VOID FILL,5642.4,5642.4,,,0
CDM,27800002,GRAFT BNE SUB 10CC PTTY BIOACTIVE SIGNIFY,2676.0,2676.0,,,0
CDM,27800002,GRAFT BNE SUB 15CC CA PHSPTE HA INJ HYDROSET,10505.98,10505.98,,,0
CDM,27800002,GRAFT BNE SUB 25X50X4MM 5ML STRP BIOLOGIC SPINE SURG,1680.0,1680.0,,,0
CDM,27800002,GRAFT BNE SUB DBM 2.5MM X 5CM ALLGRFT GRFT,2640.0,2640.0,,,0
CDM,27800002,GRAFT BNE SUB PSTE 10CC BEAD 25CC W/ MIX BWL SPAT MATE APPL,3480.0,3480.0,,,0
CDM,27800002,GRAFT BNE SUB VOID FILL GRAN 10CC 15% HA 85% B-TCP,1005.6,1005.6,,,0
CDM,27800002,GRAFT BNE SUB W25XH8XL50MM 10CC STRP BIOACTIVE BIOLOGIC,3120.0,3120.0,,,0
CDM,27800002,GREATER TROCHANTER FEMORAL NAIL - GREEN LEFT   10 MM DIAMETE,2604.0,2604.0,,,0
CDM,27800002,GREATER TROCHANTER FEMORAL NAIL - GREEN LEFT   11 MM DIAMETE,2124.0,2124.0,,,0
CDM,27800002,GREATER TROCHANTER FEMORAL NAIL - GREEN RIGHT   10 MM DIAMET,2604.0,2604.0,,,0
CDM,27800002,GREATER TROCHANTER FEMORAL NAIL - GREEN RIGHT   13 MM DIAMET,2604.0,2604.0,,,0
CDM,27800002,GUIDE DRL DIA2.6MM FOR RAPTORMITE 3MM SUT ANCHR,194.4,194.4,,,0
CDM,27800002,GUIDE PIN 3.2MM X 330MM,365.04,365.04,,,0
CDM,27800002,GUIDE PIN TIP THRD 3.2 X 300MM,66.1,66.1,,,0
CDM,27800002,GUIDEPIN FIX DIA2MM FOR CEPHALOMEDULLARY NAIL INSTR SET NAT,159.6,159.6,,,0
CDM,27800002,GUIDEPIN ORTH 1.3MM X 140MM BAYNT PNT,35.14,35.14,,,0
CDM,27800002,GUIDEPIN ORTH 3.2MM X 300MM FT CANN FOR CANN SCR,168.05,168.05,,,0
CDM,27800002,GUIDEPIN ORTH L140MM DIA1.3MM TRCR PT,35.14,35.14,,,0
CDM,27800002,GUIDEPIN ORTH L300MM DIA1.9MM COCR FT,66.1,66.1,,,0
CDM,27800002,GUIDEPIN ORTH L444MM THRD REDUC FOR HIP FRAC NAIL AFFIXUS,427.72,427.72,,,0
CDM,27800002,GUIDEWIRE ORTH L100CM DIA3MM FEM NAIL TEAR GTT RG NAT NAIL,260.4,260.4,,,0
CDM,27800002,GUN BNE CEM DEL SZ 2 W/ BNE FILL DEV FOR KYPHOPAK TY KYPHO,776.95,776.95,,,0
CDM,27800002,HALF PINCOATED SS 6 X 45 X 200,409.97,409.97,,,0
CDM,27800002,HC 278 C1713 ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE,42504.0,42504.0,,,0
CDM,27800002,HEAD SCR SPNL MAS ST 5.5/6MM CDH MODULEX,1272.0,1272.0,,,0
CDM,27800002,HEAD SCR SPNL RMAS SS ST 5.5/6MM CDH MODULEX,1432.8,1432.8,,,0
CDM,27800002,HEAD SCR SPNL RUAS SS ST 5.5/6MM CDH MODULEX,1552.8,1552.8,,,0
CDM,27800002,HEAD SCR SPNL RUAS ST 5.5/6MM CDH MODULEX,1444.8,1444.8,,,0
CDM,27800002,HEDRON IA SPACER 24X30 11MM 15,10440.0,10440.0,,,0
CDM,27800002,HEDRON P SPACER 10X26 10MM 15,6960.0,6960.0,,,0
CDM,27800002,HELIX R PLATE 42MM 2-LEVEL,1596.0,1596.0,,,0
CDM,27800002,HELIX R PLATE 54MM 3-LEVEL,1824.0,1824.0,,,0
CDM,27800002,HIGH COMPRESSION LOCKING PEG 2.7MM X 18MM,237.6,237.6,,,0
CDM,27800002,HIP FRACTURE NAIL  125    9MM X 180MM  125    9MM X 180MM,2604.0,2604.0,,,0
CDM,27800002,HIP FRACTURE NAIL - LEFT  125    11MM X 440MM  125    11MM,3687.6,3687.6,,,0
CDM,27800002,HOFFMANN3 5 HOLE PIN CLAMP DIA 456MM,1204.8,1204.8,,,0
CDM,27800002,HYDROSET XT 15 CC,8097.6,8097.6,,,0
CDM,27800002,HYDROSET XT 5 CC,2992.8,2992.8,,,0
CDM,27800002,IMPLANT FING JOIN WGROMME SZ3,3276.67,3276.67,,,0
CDM,27800002,IMPLANT FIXATION ATTACHABLE BUTTON SYSTEM TIGHTROPE II,741.0,741.0,,,0
CDM,27800002,IMPLANT FNGR JT SZ 2 IM STEM FLX SWNSN,2643.46,2643.46,,,0
CDM,27800002,IMPLANT IM 2X14MM INFRAME,3600.0,3600.0,,,0
CDM,27800002,IMPLANT VBR 12MM LO ENDPLATE 12X14MM  3.5DEG FORTIFY,840.0,840.0,,,0
CDM,27800002,INACTIVE -  ANCHOR SUT ANT CRUCE LIG TI UHMWPE TGHTRP RT,911.04,911.04,,,0
CDM,27800002,INACTIVE - ANCHOR SUT ANT CRUCE LIG W/ FIBERTAG TGHTRP ABS,872.04,872.04,,,0
CDM,27800002,INACTIVE USE - 217767 CALIBER-L SPACER 22 X 50MM 7-10MM,13200.0,13200.0,,,0
CDM,27800002,INACTIVE USE 440463 PLATE CALCANEAL,2492.62,2492.62,,,0
CDM,27800002,INACTIVE USE PS#113291 -  SCREW 4.5 X 34MM CORT,81.07,81.07,,,0
CDM,27800002,INACTIVE USE PS#12296 -  BOLT EXT FIX 16MM FOR ILIZ,4.6,4.6,,,0
CDM,27800002,INACTIVE USE PS#128428 -  PIN EXT FIX L200MM DIA6MM THRD L30,409.97,409.97,,,0
CDM,27800002,INACTIVE USE PS#129884 -  ANCHOR SUT DIA4.5MM TAP IN DSGN FO,766.8,766.8,,,0
CDM,27800002,INSCREW STERNAL TITANIUM 18INININ,196.68,196.68,,,0
CDM,27800002,INSERT HUMERAL REVERSE RING POLY PLUS 0MM OFFSET 32MM SPECIA,2640.0,2640.0,,,0
CDM,27800002,INTERPROSTHETIC FEM PLT R,10327.2,10327.2,,,0
CDM,27800002,K WIRE 0.028X4IN SMTH DBL TRCR PT ST,2.62,2.62,,,0
CDM,27800002,K WIRE 0.054X9IN BAYONET POINT DOUBLE ENDED THREADED STAINLE,41.4,41.4,,,0
CDM,27800002,K WIRE 0.062X9IN SMTH SGL TRCR PT NS,4.5,4.5,,,0
CDM,27800002,K WIRE 0.062X9IN SMTH SGL TRCR PT ST,15.29,15.29,,,0
CDM,27800002,K WIRE 0.45X5IN SS SGL TRCR PT,81.6,81.6,,,0
CDM,27800002,K WIRE 1.25X150MM DBL END TRCR PT SS,37.8,37.8,,,0
CDM,27800002,K WIRE 1.25X150MM TRCR PT SS,32.04,32.04,,,0
CDM,27800002,K WIRE 1.6X150MM SGL END SMTH SHRP TRCR TIP SS,5.0,5.0,,,0
CDM,27800002,K WIRE 1.6X150MM TRCR PT SS,32.04,32.04,,,0
CDM,27800002,K WIRE 2X150MM TRCR PT SS,32.04,32.04,,,0
CDM,27800002,K WIRE FIX L229MM DIA1.1MM,2.62,2.62,,,0
CDM,27800002,K WIRE FIX L229MM DIA1.1MM SS THRD TRCR PT TWO END SHRP TIP,15.22,15.22,,,0
CDM,27800002,K WIRE FIX L310MM DIA1.8MM FOR CONDYLE SCR S2 FEM NAIL SYS,168.0,168.0,,,0
CDM,27800002,K WIRE FIX L6IN DIA1.6MM FEM TIB SMTH BAYNT TOT FT FOR ALPS,97.2,97.2,,,0
CDM,27800002,K WIRE FIX L9IN DIA.035IN 2 TRCR PNT SS ST,2.62,2.62,,,0
CDM,27800002,K WIRE FIXATION 2MM X 15.2CM STAINLESS STEEL SMOOTH DOUBLE S,75.6,75.6,,,0
CDM,27800002,K WIRE FIXATION L4IN DIA0.045IN DOUBLE END BAYONET TIP SMOOT,25.2,25.2,,,0
CDM,27800002,K WIRE TROCAR POINT BOTH ENDS 2.0MM X 150MM 292.58,37.8,37.8,,,0
CDM,27800002,K WRE FIX L150MM DIA1.6MM THRD L25MM TI PARTIALLY THRD,165.6,165.6,,,0
CDM,27800002,K WRE FIX L4IN DIA0.054IN SMOOTH DBL TRCR PT,52.2,52.2,,,0
CDM,27800002,K-WIRE  .062 (1.6 MM) X 9IN SINGLE TROCAR POINT,42.6,42.6,,,0
CDM,27800002,K-WIRE .035 IN. (0.9 MM) DIAMETER 4 IN. (102 MM) LENGTH STYL,16.73,16.73,,,0
CDM,27800002,K-WIRE .035 X 4IN NON-THREADED DOUBLE TROCAR,52.2,52.2,,,0
CDM,27800002,K-WIRE .045 (1.1MM) X 9IN DOUBLE TROCAR SMOOTH,42.6,42.6,,,0
CDM,27800002,K-WIRE .045X4 1PT TR,53.45,53.45,,,0
CDM,27800002,K-WIRE 045X4 2PT TR,53.45,53.45,,,0
CDM,27800002,K-WIRE 1.1MM X 6IN,129.43,129.43,,,0
CDM,27800002,K-WIRE 1.6MM X 6IN ALPS MVX,149.35,149.35,,,0
CDM,27800002,K-WIRE.045 X4INDBL TROCAR NON-THREADED,73.8,73.8,,,0
CDM,27800002,KINEX BIOACTIVE STRIP 10CC 25X100X4MM,3120.0,3120.0,,,0
CDM,27800002,KIT BNE CEM 180GM MIX UNIV W/ BWL CART TWR HI VAC ROTOR,168.41,168.41,,,0
CDM,27800002,KIT IMPL 4.75X19.1MM PEEK SWIVELOCK C W/ 1 PRELD FIBERTAPE,4160.52,4160.52,,,0
CDM,27800002,KIT INSTR 1.5MM NANOPHIX,948.0,948.0,,,0
CDM,27800002,KIT KYPHOPLASTY BNE CEM FULL DOSE RADPQ W/ MIX KYPHON HV-R,329.3,329.3,,,0
CDM,27800002,KIT KYPHOPLASTY FULL DOSE PMMA RADPQ HI VISC W/O ANTIBIO BNE,526.06,526.06,,,0
CDM,27800002,KIT MENISCAL ROOT REPAIR WITH BIOCOMPOSITE SWIVELOCK ANCHOR,4421.04,4421.04,,,0
CDM,27800002,KIT SPNL VERT COMPR SYS 15U ULT AFFIRM,5280.0,5280.0,,,0
CDM,27800002,KNOTLESS DIS CLAV PLATE BUTTON TIGHTROP,2561.52,2561.52,,,0
CDM,27800002,KREULOCK COMPRESSION SCREW SS 2.7X12MM,767.52,767.52,,,0
CDM,27800002,LCP PLATE 16HOLE  02.001.306,6503.4,6503.4,,,0
CDM,27800002,LCP WRIST FUSION STRAIGHT PLATE,6156.0,6156.0,,,0
CDM,27800002,LEVEL ONE CMF STERILEPLATE ORBITAL FLOOR SMART LEFT GRID 1.5,3870.0,3870.0,,,0
CDM,27800002,LEVEL ONE CMF STERILEPLATE ORBITAL FLOOR SMART RIGHT GRID 1.,3753.0,3753.0,,,0
CDM,27800002,LEVEL ONE CMFPLATE FRACTURE TLTS STR 2.0-2.5 MM SCREW4 HOLE,717.6,717.6,,,0
CDM,27800002,LEVEL ONE CMFPLATE MIDFACE X SHP WTAB 1.5 MM SCREW4 HOLE T=0,511.2,511.2,,,0
CDM,27800002,LEVEL ONE CMFPLATE MINI L SHP LEFT 2.0 MM SCREW2 X 2 HOLES 2,287.04,287.04,,,0
CDM,27800002,LEVEL ONE CMFPLATE MINI TLTS CONDYLAR RHOMBIC 2.0-2.5 MM SCR,1183.68,1183.68,,,0
CDM,27800002,LEVEL ONE CMFPLATE MINI TLTS LADDER CVD 2.0-2.5 MM SCREW6 X,848.64,848.64,,,0
CDM,27800002,LEVEL ONE CMFPLATE ORTHOG LEFORT LINDORF LEFT 2.0 MM SCREW7.,471.12,471.12,,,0
CDM,27800002,LEVEL ONE CMFSCREW CROSSDRIVE DRILL FREE1.5 X 5 MMTI-6AL-4VQ,180.0,180.0,,,0
CDM,27800002,LEVEL ONE CMFSCREW MAXDRIVE DRILL FREE2.0 X 7 MMTI-6AL-4VQTY,96.0,96.0,,,0
CDM,27800002,LEVEL ONE CMFSCREW MAXDRIVE TLTS2.0 X 7 MMTI-6AL-4VQTY:001 E,180.0,180.0,,,0
CDM,27800002,LEVEL ONE CMFSCREW MAXDRIVE2.0 X 15 MMTI-6AL-4VQTY:001 EA,96.0,96.0,,,0
CDM,27800002,LEVEL ONE NEUROBURR HOLE COVER ULTRAONE CONTOURED WTAB NEURO,727.2,727.2,,,0
CDM,27800002,LEVEL ONE NEUROPLATE ULTRAONE STR WTAB NEURO SCREW2 HOLE 17,252.0,252.0,,,0
CDM,27800002,LEVEL ONE NEUROPLATE ULTRAONE Y SHP WTAB NEURO SCREW5 HOLE 1,685.8,685.8,,,0
CDM,27800002,LEVEL ONE NEUROSCREW ONEDRIVE DRILL FREE1.5 X 4 MMTI-6AL-4VQ,96.0,96.0,,,0
CDM,27800002,LOCKING CORTICAL SCREW  3.5MM X 60MM  3.5MM X 60MM,226.8,226.8,,,0
CDM,27800002,LOCKING SCR 4 0MM / T20 / L26MM,547.2,547.2,,,0
CDM,27800002,LOCKING SCR 5 0MM / T20 / L24MM,595.2,595.2,,,0
CDM,27800002,LOCKING SCR FLAT TIP,684.0,684.0,,,0
CDM,27800002,LOCKING SCREW 2.0MM HD6  2.0 X 12 MM,406.51,406.51,,,0
CDM,27800002,LOCKING SCREW 5.0X56MM,612.0,612.0,,,0
CDM,27800002,LOCKING SCREW D4X25,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D4X27.5,396.0,396.0,,,0
CDM,27800002,LOCKING SCREW D5X27.5,475.2,475.2,,,0
CDM,27800002,LOCKING SCREW D5X30,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5X32.5,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5X35,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5X37.5,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5X40,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL42.5,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL45,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL47.5,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL50,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL52.5,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL55,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL57.5,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL60,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL65,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL70,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL75,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL80,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL85,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL90,778.54,778.54,,,0
CDM,27800002,LOCKING SCREW D5XL95,778.54,778.54,,,0
CDM,27800002,LONG NAIL R D10X340MM X 120DEG,4673.4,4673.4,,,0
CDM,27800002,LONG NAIL R D11X320MM X 120DEG,9021.02,9021.02,,,0
CDM,27800002,LONG NAIL R D11X360MM X 120DEG,9021.02,9021.02,,,0
CDM,27800002,LONG NAIL R D11X420MM X 120DEG,9021.02,9021.02,,,0
CDM,27800002,LOW PROF CLAVICLE PLATE 8-HOLE STR LEFT,4332.0,4332.0,,,0
CDM,27800002,LOW PROFILE CORTICAL SCREW  3.5MM X 16MM  3.5MM X 16MM,109.2,109.2,,,0
CDM,27800002,LOW PROFILE HEAD SCREWS02.7X 20MM,180.0,180.0,,,0
CDM,27800002,LOW PROFILE NON-LOCK SCREW  2.7MM X 11MM  2.7MM X 11MM,117.6,117.6,,,0
CDM,27800002,LUMBAR MIS ANCHOR 30MM,384.0,384.0,,,0
CDM,27800002,M3640 : CEMENT BNE 20ML 40GM FULL DOSE PMMA W-O ANTIBIO M VISC RADPQ,165.62,165.62,,,0
CDM,27800002,MAS 558424535T 5.5/6. FENSTRTD 4.5X35,2040.0,2040.0,,,0
CDM,27800002,MATRIX MANDIBLE TITANIUM NON LOCKING SCREW,191.04,191.04,,,0
CDM,27800002,MEDIAL MALLELOUS HOOK PLATE 3H,3684.05,3684.05,,,0
CDM,27800002,MEDIAL TIBIA PLATE 10H RT,5376.7,5376.7,,,0
CDM,27800002,MEDIAL TIBIA PLATE 6H RT,5326.92,5326.92,,,0
CDM,27800002,MEDPOR TITAN POSTERIOR IMPLANT - 96MMMM X 61MM X 1,7638.74,7638.74,,,0
CDM,27800002,MESA 2 SCREWS DEFORMITY POLYAXIAL 05.5X40 MM,2275.51,2275.51,,,0
CDM,27800002,MIDFACE 8 HOLE STRAIGHT PLATE,610.18,610.18,,,0
CDM,27800002,MIXER CEM AND TRNSF PK FORTRESS-+,612.0,612.0,,,0
CDM,27800002,MNTR OC INNER SCREW,221.06,221.06,,,0
CDM,27800002,MNTR OC PLATE MEDIUM,5716.73,5716.73,,,0
CDM,27800002,MNTR OC PREBENT ROD 3.5X120,1644.0,1644.0,,,0
CDM,27800002,MNTR OC SCREW 4.5X14,528.0,528.0,,,0
CDM,27800002,MONOAXIAL SCREW DIA.4.5X30MM,2029.51,2029.51,,,0
CDM,27800002,MONTAGE 2CC/ 4G - SETTABLE BONE PUTTY,2337.6,2337.6,,,0
CDM,27800002,MULTI AXIAL SCREW 3604532 4.5 X 32MM 3604532,1308.0,1308.0,,,0
CDM,27800002,MULTI-DIRECTIONAL SCREW  2.7MM X 13MM  2.7MM X 13MM,235.2,235.2,,,0
CDM,27800002,MULTIDIRECTIONAL SCREW  3.5MM X 20MM  3.5MM X 20MM,277.2,277.2,,,0
CDM,27800002,MULTIUSE SCR 3.5MM X L36MM,204.0,204.0,,,0
CDM,27800002,NAIL IM 11X420MM 125DEG R LNG FOR HIP FRAC AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,NAIL IM 2X300MM RND TIP SS PEDIFLEX,1048.8,1048.8,,,0
CDM,27800002,NAIL IM FEM 10MM X 360MM RG T2 ALPHA,4586.4,4586.4,,,0
CDM,27800002,NAIL IM L130MM DIA8MM L HUM BLU AEQUALIS,5700.0,5700.0,,,0
CDM,27800002,NAIL IM L150MM OD8MM R PROX HUM T2,3184.8,3184.8,,,0
CDM,27800002,NAIL IM L180MM DIA11MM 125DEG SHT FOR HIP FRAC AFFIXUS,2604.0,2604.0,,,0
CDM,27800002,NAIL IM L200MM DIA11MM 130DEG R ANK GRN TI CANN LOK FLUT LAT,4440.24,4440.24,,,0
CDM,27800002,NAIL IM L26MM DIA2MM MIC PHALANX SS CANN FT INFRAME,3600.0,3600.0,,,0
CDM,27800002,NAIL IM L28CM DIA11MM UNIV TIB YEL TI ALLY NAT NAIL,2469.6,2469.6,,,0
CDM,27800002,NAIL IM L300MM DIA12MM L ANK TI ALLY CANN LOK LAT BEND,4440.24,4440.24,,,0
CDM,27800002,NAIL IM L300MM DIA8MM FEM TI CANN LOK AG RG BENT FLUT T2,2224.8,2224.8,,,0
CDM,27800002,NAIL IM L30CM DIA10MM UNIV TIB YEL TI ALLY NAT NAIL,2469.6,2469.6,,,0
CDM,27800002,NAIL IM L30CM DIA9.3MM UNIV TIB YEL TI ALLY NAT NAIL,1932.0,1932.0,,,0
CDM,27800002,NAIL IM L310MM DIA9MM UNIV TIB TI ALLY CANN LOK CORELOCK,2746.8,2746.8,,,0
CDM,27800002,NAIL IM L320MM DIA11MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,NAIL IM L320MM OD10MM LNG TI SUPCNDYL CANN LOK RG BENT T2,3098.4,3098.4,,,0
CDM,27800002,NAIL IM L32CM DIA10MM LNG RG UNIV FEM PUR TI ALLY FOR RED,2937.6,2937.6,,,0
CDM,27800002,NAIL IM L32CM DIA10MM UNIV TIB YEL TI ALLY NAT NAIL,2272.32,2272.32,,,0
CDM,27800002,NAIL IM L32CM DIA11.5MM LNG RG UNIV FEM PUR TI ALLY FOR RED,3200.4,3200.4,,,0
CDM,27800002,NAIL IM L330MM DIA9MM STD TIB CANN TI T2,5632.22,5632.22,,,0
CDM,27800002,NAIL IM L340MM DIA10.5MM TI ALLY RG CORELOCK TECH PHOENIX,3334.8,3334.8,,,0
CDM,27800002,NAIL IM L340MM DIA11.5MM LNG UNIV FEM TI ALLY RG,3200.4,3200.4,,,0
CDM,27800002,NAIL IM L340MM DIA11MM 125DEG LNG R HIP TIM CANN LOK FOR AG,3687.6,3687.6,,,0
CDM,27800002,NAIL IM L34CM DIA10MM 10DEG UNIV TIB YEL TI ALLY AG CANN LOK,2469.6,2469.6,,,0
CDM,27800002,NAIL IM L34CM DIA13MM LNG RG UNIV FEM PUR TI ALLY FOR RED,3200.4,3200.4,,,0
CDM,27800002,NAIL IM L360MM DIA10MM STD TIB TI CANN LOK CEPHALOMEDULLARY,2102.4,2102.4,,,0
CDM,27800002,NAIL IM L360MM DIA11MM 125DEG LNG L HIP TIM CANN LOK FOR AG,3687.6,3687.6,,,0
CDM,27800002,NAIL IM L360MM DIA11MM 125DEG LNG R SUPCNDYL TI CANN LOK RG,7394.86,7394.86,,,0
CDM,27800002,NAIL IM L360MM DIA13MM 125DEG LNG R HIP TIM CANN LOK FOR AG,3687.6,3687.6,,,0
CDM,27800002,NAIL IM L360MM OD10MM TI L FEM RECON AG FLUT T2 R1.5,3240.0,3240.0,,,0
CDM,27800002,NAIL IM L360MM OD11MM 125DEG LNG TIM R HIP AG CANN LOK,3687.6,3687.6,,,0
CDM,27800002,NAIL IM L36CM DIA10MM LNG RG UNIV FEM PUR TI ALLY FOR RED,2937.6,2937.6,,,0
CDM,27800002,NAIL IM L36CM DIA11.5MM LNG TI ALLY RG FOR RED PROX AND BLK,3200.4,3200.4,,,0
CDM,27800002,NAIL IM L36CM DIA11MM UNIV TIB YEL TI ALLY NAT NAIL,2272.32,2272.32,,,0
CDM,27800002,NAIL IM L36CM DIA9.3MM R GTR TROCH FEM GRN TI ALLY FOR BLK,2124.0,2124.0,,,0
CDM,27800002,NAIL IM L380MM DIA11MM 125DEG LNG L HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,NAIL IM L380MM OD11MM 120DEG LNG TI L FEM R1.5 GAM3,3460.8,3460.8,,,0
CDM,27800002,NAIL IM L380MM OD11MM 120DEG LNG TI R FEM R1.5 GAM3,8635.9,8635.9,,,0
CDM,27800002,NAIL IM L380MM OD9MM TI L FEM RECON AG FLUT T2 R1.5,7728.86,7728.86,,,0
CDM,27800002,NAIL IM L38CM DIA10MM L GTR TROCH FEM GRN TI ALLY FOR BLK,2604.0,2604.0,,,0
CDM,27800002,NAIL IM L38CM DIA10MM LNG RG UNIV FEM PUR TI ALLY FOR RED,2937.6,2937.6,,,0
CDM,27800002,NAIL IM L38CM DIA11.5MM LNG RG UNIV FEM PUR TI ALLY FOR RED,3200.4,3200.4,,,0
CDM,27800002,NAIL IM L400MM DIA11MM 125DEG LNG L HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,NAIL IM L400MM OD11MM 120DEG LNG TI L FEM R1.5 GAM3,3460.8,3460.8,,,0
CDM,27800002,NAIL IM L40CM DIA11.5MM LNG RG UNIV FEM PUR TI ALLY FOR RED,2937.6,2937.6,,,0
CDM,27800002,NAIL IM L40CM DIA11MM AG UNIV PIRIFORMIS FOSSA FEM GRN TI,2124.0,2124.0,,,0
CDM,27800002,NAIL IM L40MM DIA3.6MM MTCRPL SS THRD INNATE,3600.0,3600.0,,,0
CDM,27800002,NAIL IM L420MM DIA11MM 125DEG LNG L HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
CDM,27800002,NAIL IM L420MM OD10MM TI L FEM RECON AG FLUT T2 R1.5,7728.86,7728.86,,,0
CDM,27800002,NAIL IM L420MM OD11MM 120DEG LNG TI R FEM R1.5 GAM3,3460.8,3460.8,,,0
CDM,27800002,NAIL IM L42CM DIA10MM LNG RG UNIV FEM PUR TI ALLY FOR RED,2937.6,2937.6,,,0
CDM,27800002,NAIL IM LNG 120 DEG L 10MM X 320MM,9021.02,9021.02,,,0
CDM,27800002,NAIL IM LNG 120 DEG L 10MM X 340MM,4673.4,4673.4,,,0
CDM,27800002,NAIL IM LNG 120 DEG L 10MM X 380MM,9021.02,9021.02,,,0
CDM,27800002,NAIL IM LNG 120 DEG L 11MM X 340MM,9021.02,9021.02,,,0
CDM,27800002,NAIL IM LNG 120 DEG L 11MM X 360MM,6847.21,6847.21,,,0
CDM,27800002,NAIL IM LNG 120 DEG L 11MM X 380MM,9021.02,9021.02,,,0
CDM,27800002,NAIL IM LNG 120 DEG L 11MM X 400MM,9021.02,9021.02,,,0
CDM,27800002,NAIL IM LNG 120 DEG L 11MM X 440MM,9021.02,9021.02,,,0
CDM,27800002,NAIL IM PROX HUM 8X150MM L CANN TYP II ANODIZED TI ALLY T2,3184.8,3184.8,,,0
CDM,27800002,NAIL INTRAMEDULLARY HAND 3.0MM X 45MM ALPS MVX,3932.95,3932.95,,,0
CDM,27800002,NAIL INTRAMEDULLARY HAND 3.5MM X 60MM ALPS MVX,3982.75,3982.75,,,0
CDM,27800002,NAIL INTRAMEDULLARY HAND 4.0MM X 45MM ALPS MVX,4032.53,4032.53,,,0
CDM,27800002,NAIL INTRAMEDULLARY L160MM DIA9MM LEFT PROXIMAL HUMERAL AFFI,2830.8,2830.8,,,0
CDM,27800002,NAIL INTRAMEDULLARY L45MM DIA4.5MM METACARPAL STAINLESS STEE,3600.0,3600.0,,,0
CDM,27800002,NANOPHIX IMPLANT 1.5MM X 13MM,3600.0,3600.0,,,0
CDM,27800002,NARROW MINI PLATE LEFT (HEAD WIDTH X OVERALL LENGTH)  22MM X,1503.6,1503.6,,,0
CDM,27800002,NCB 5.0 UNICORTICAL SCR L=16MM,260.4,260.4,,,0
CDM,27800002,NCB CORT SCREW 4.0 X 32MM SELF-TAPPING,201.6,201.6,,,0
CDM,27800002,NCB CURVED FEMUR SHAFT PLATES14 HOLES L. 289MM,1083.6,1083.6,,,0
CDM,27800002,NCB PERIPROSTHETIC DISTAL FEMUR PLATESLEFT 9 HOLES L. 238MM,2133.6,2133.6,,,0
CDM,27800002,NCB PERIPROSTHETIC DISTAL FEMUR PLATESRIGHT 15 HOLES L. 317M,2377.2,2377.2,,,0
CDM,27800002,NCB PERIPROSTHETIC DISTAL FEMUR PLATESRIGHT12 HOLES L. 278MM,2251.2,2251.2,,,0
CDM,27800002,NCB PERIPROSTHETIC PROXIMAL FEMUR PLATESLEFT 15 HOLES L. 324,2377.2,2377.2,,,0
CDM,27800002,NCB PERIPROSTHETIC PROXIMAL FEMUR PLATESRIGHT 12 HOLES L. 28,2251.2,2251.2,,,0
CDM,27800002,NCB PERIPROSTHETIC PROXIMAL FEMUR PLATESRIGHT 9 HOLES L. 245,2133.6,2133.6,,,0
CDM,27800002,NCB PP DIST FEM PLATE R L 355MM,2503.2,2503.2,,,0
CDM,27800002,NCB SCREWS DEEP THREAD4.0 DEEP THREAD L. 36MM,226.8,226.8,,,0
CDM,27800002,NCB SCREWS SELF-TAPPING4.0 SELF-TAPPING L. 26MM,201.6,201.6,,,0
CDM,27800002,NCM CORT SCREW 5.0 X 48MM SELF TAPPING,277.2,277.2,,,0
CDM,27800002,NUT ORTH L17MM DIA5MM TI FOR CNDYL SCR T2/GAM3 NAIL SYS,321.6,321.6,,,0
CDM,27800002,NUT SPNL LOK FOR HD TO HD T CONN QUARTEX,108.0,108.0,,,0
CDM,27800002,OASYS BONE SCREW 4.5 X 14MM,479.71,479.71,,,0
CDM,27800002,OLECRANON PLATE LARGE  13 HOLE   104MM  13 HOLE   104MM,1621.2,1621.2,,,0
CDM,27800002,ONETHIRD TUBULAR PLATE W/COLLAR 10 HOLES121MM,134.4,134.4,,,0
CDM,27800002,ONETHIRD TUBULAR PLATE W/COLLAR 6 HOLES 73MM,126.0,126.0,,,0
CDM,27800002,ONETHIRD TUBULAR PLATE W/COLLAR 8 HOLES 97MM,134.4,134.4,,,0
CDM,27800002,OPUSMAGNUM IMPLANT,1436.4,1436.4,,,0
CDM,27800002,OSSIFUSE HSA BOAT 50X25X7MM X2,2872.8,2872.8,,,0
CDM,27800002,OSSIFUSE HSA STRP 100X10X5MM 5CC X2,5280.0,5280.0,,,0
CDM,27800002,OSSIFUSE HSA STRP 50X10X5MM 2.5CC X2,2868.0,2868.0,,,0
CDM,27800002,PACK NASAL RHINO GOODMAN 5.5CM,75.24,75.24,,,0
CDM,27800002,PANGEA LOK SCR L32MM DIA4MM,547.2,547.2,,,0
CDM,27800002,PANGEA LOK SCR L70MM DIA5MM,595.2,595.2,,,0
CDM,27800002,PARTIAL ARTC PROX TIB PLT L 3.5MM  85MM/3 H,6108.0,6108.0,,,0
CDM,27800002,PEDIATRIC LOCKING NAIL SYSTEM  PEDIATRIC FEMORAL NAIL  TI-6A,1806.0,1806.0,,,0
CDM,27800002,PEG BNE 2X21MM SMTH DST RAD LOK TI VOLAR PLATING SYS GEMINUS,220.8,220.8,,,0
CDM,27800002,PEG BNE FIX L14MM DIA2.5MM VOLAR PRTLY THRD FOR ANAT PLT SYS,151.2,151.2,,,0
CDM,27800002,PEG BNE FIX L16MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
CDM,27800002,PEG BNE FIX L16MM DIA2.5MM DST VOLAR CORT RAD COCR MULTDIR,235.2,235.2,,,0
CDM,27800002,PEG BNE FIX L16MM DIA2.5MM DST VOLAR RAD PRTLY THRD FOR ANAT,151.2,151.2,,,0
CDM,27800002,PEG BNE FIX L16MM DIA2MM DST RAD TI SMTH FOR VOLAR PLATING,220.8,220.8,,,0
CDM,27800002,PEG BNE FIX L18MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
CDM,27800002,PEG BNE FIX L18MM DIA2.7MM DST RAD TI THRD NONLOCKING,216.0,216.0,,,0
CDM,27800002,PEG BNE FIX L18MM DIA2MM DST RAD TI OPT 2 LOK SMTH GEMINUS,220.8,220.8,,,0
CDM,27800002,PEG BNE FIX L20MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
CDM,27800002,PEG BNE FIX L20MM DIA2MM DST RAD TI SMTH FOR VOLAR PLATING,220.8,220.8,,,0
CDM,27800002,PEG PARTIAL THREAD  2.5MM X 12MM  2.5MM X 12MM,151.2,151.2,,,0
CDM,27800002,PERI SCREW 3.5MM X 80MM W/2.7MM HEAD SELFTAP,84.0,84.0,,,0
CDM,27800002,PHOENIX ANKLE NAIL SYSTEM  OFFSET END CAP  TI-6AL-4V ELI  12,259.2,259.2,,,0
CDM,27800002,PHOENIX NAIL SYSTEM  TI-DOUBLE LEAD CORTICAL SCREW  TI-6AL-4,369.6,369.6,,,0
CDM,27800002,PHOENIX RETROGRADE NAIL SYSTEM  RETROGRADE FEMORAL NAIL  TI-,3334.8,3334.8,,,0
CDM,27800002,PHOENIX TIBIAL NAIL SYSTEM  TIBIAL NAIL  TI-6AL-4V ELI  10.5,2746.8,2746.8,,,0
CDM,27800002,PIN ALIGN L200MM DIA2.5MM DISP FOR BIO RSA REV SHLDR,240.0,240.0,,,0
CDM,27800002,PIN CERCLAGE 4.5MM SS THRD FOR POS,649.8,649.8,,,0
CDM,27800002,PIN DIA3MM THRD TIB FOR NAT NAIL SYS,159.6,159.6,,,0
CDM,27800002,PIN DSTRCTR 14MM YEL TI 3 FLUT SLF DRL LSR ENGRAVED FOR ACF,57.6,57.6,,,0
CDM,27800002,PIN EXT FIX L150MM DIA4MM FOR TM TOT ANK SYS,270.0,270.0,,,0
CDM,27800002,PIN FIX 1.5MM PROV DISP FOR EVOS MINI PLATING SYS,352.8,352.8,,,0
CDM,27800002,PIN FIX 2.1X4MM PDLLA SONICPINS SONICWELD RX 5 PER PK,256.32,256.32,,,0
CDM,27800002,PIN FIX L229MM DIA2MM SS SGL TRCR PT N THRD STNMN,4.72,4.72,,,0
CDM,27800002,PIN FIX POLYETH BUMPER LOK OSS,1020.0,1020.0,,,0
CDM,27800002,PIN FIX POLYETH LOK COMPR MOLD OSS,552.0,552.0,,,0
CDM,27800002,PIRIFORMIS FOSSA FEMORAL NAIL - GREEN 11 MM DIAMETER  36 CM,2604.0,2604.0,,,0
CDM,27800002,PIRIFORMIS FOSSA FEMORAL NAIL - GREEN 12 MM DIAMETER  38 CM,2124.0,2124.0,,,0
CDM,27800002,PLATE 10HOLE LCP 242.110,6080.4,6080.4,,,0
CDM,27800002,PLATE 2.42.7MM VA-LOCKING STRAIGHT FUSION 4-HOLE,3166.2,3166.2,,,0
CDM,27800002,PLATE 2.4MM SD241.003,2464.8,2464.8,,,0
CDM,27800002,PLATE 2.7MM LC-DCP 4H 41MM 242.204,1445.4,1445.4,,,0
CDM,27800002,PLATE 226.58,1895.4,1895.4,,,0
CDM,27800002,PLATE 3 X 4,570.0,570.0,,,0
CDM,27800002,PLATE 3.5 POST PROX  2 HOLES,4149.0,4149.0,,,0
CDM,27800002,PLATE 3.5MM LC-DCP 10H 129MM 223.60,1368.0,1368.0,,,0
CDM,27800002,PLATE 3.5MM LC-DCP 12H 155MM 223.62,1506.6,1506.6,,,0
CDM,27800002,PLATE 3.5MM LCP 7H 98MM 223.571,1139.4,1139.4,,,0
CDM,27800002,PLATE 3.5MM LCP 9H 124MM 223.591,1265.4,1265.4,,,0
CDM,27800002,PLATE 3.5MM LCP T  4H HEAD X 6H SHAFT 78MM R ANGLE 241.161,1459.8,1459.8,,,0
CDM,27800002,PLATE 3001029 ZEVO 29MM 1 LVL,1740.0,1740.0,,,0
CDM,27800002,PLATE 4.5 12H LT,5952.6,5952.6,,,0
CDM,27800002,PLATE 5 HOLE FIBULA RT DISTAL,2109.6,2109.6,,,0
CDM,27800002,PLATE 8 HL UNI,3036.96,3036.96,,,0
CDM,27800002,PLATE AO DCP 10H 3.5MM 248.10,1485.0,1485.0,,,0
CDM,27800002,PLATE AO DCP 12H 2.7MM 244.12,533.74,533.74,,,0
CDM,27800002,PLATE AO DCP 5H 4.5MM 224.05,1504.8,1504.8,,,0
CDM,27800002,PLATE BNE 10 H 1/3 TBLR 118MM SS EVOS SM PLATING SYS,120.96,120.96,,,0
CDM,27800002,PLATE BNE 10 H 1/3 TBLR W/ CLLR 121MM SS SM FRAG SYS,662.4,662.4,,,0
CDM,27800002,PLATE BNE 10 H STR NAR 5MM X 205MM,6840.0,6840.0,,,0
CDM,27800002,PLATE BNE 11 H STR 143MM RECON SS LP PELV SYS FOR 3.5MM SCR,2145.6,2145.6,,,0
CDM,27800002,PLATE BNE 12 H 1/3 TBLR 3.5MM X 146MM,1886.4,1886.4,,,0
CDM,27800002,PLATE BNE 12 H 1/3 TBLR W/ CLLR 145MM SS SM FRAG SYS,691.2,691.2,,,0
CDM,27800002,PLATE BNE 12 H ADPT 97MM SS MOD MINI FRAG LCP SYS FOR 2.7MM,1594.8,1594.8,,,0
CDM,27800002,PLATE BNE 12 H STR NAR 3.5MM X 183MM,3760.8,3760.8,,,0
CDM,27800002,PLATE BNE 12 H STR NAR 5MM X 249MM,7927.2,7927.2,,,0
CDM,27800002,PLATE BNE 13 H STR BROAD 5MM X 277MM,6108.0,6108.0,,,0
CDM,27800002,PLATE BNE 14 H 189MM SS LCP FOR 3.5/4MM SCR,2169.0,2169.0,,,0
CDM,27800002,PLATE BNE 16 H 215MM SS LCP FOR 3.5/4MM SCR,2440.8,2440.8,,,0
CDM,27800002,PLATE BNE 2 H 1/3 TBLR W/ CLLR 25MM SS SM FRAG SYS FOR 3.5MM,504.0,504.0,,,0
CDM,27800002,PLATE BNE 2 H STR FUS 27MM SS VA-LCP FOREFOOT/MIDFOOT SYS,2993.4,2993.4,,,0
CDM,27800002,PLATE BNE 2 H W/ TAB DOGBONE UN3,265.82,265.82,,,0
CDM,27800002,PLATE BNE 24.4X89.5MM 7 H L ANAT EXT DVR,1234.8,1234.8,,,0
CDM,27800002,PLATE BNE 3 H 1/3 TBLR W/ CLLR 37MM SS SM FRAG SYS FOR 3.5MM,516.6,516.6,,,0
CDM,27800002,PLATE BNE 3 H L DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,1994.4,1994.4,,,0
CDM,27800002,PLATE BNE 3 H L PROX HUM,3592.8,3592.8,,,0
CDM,27800002,PLATE BNE 3 H R DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,1994.4,1994.4,,,0
CDM,27800002,PLATE BNE 3 H R PROX HUM,3592.8,3592.8,,,0
CDM,27800002,PLATE BNE 3 X 5 H T 42MM THCK 1.4MM EVOS MINI PLATING SYS,1764.0,1764.0,,,0
CDM,27800002,PLATE BNE 3X10 H T PLT 66MM SS MOD FT SYS FOR 2.4MM SCR,1830.6,1830.6,,,0
CDM,27800002,PLATE BNE 3X7 H T PLT 58MM SS MOD MINI FRAG LCP SYS,2512.8,2512.8,,,0
CDM,27800002,PLATE BNE 4 H 1/3 TBLR W/ CLLR 49MM SS SM FRAG SYS FOR 3.5MM,597.6,597.6,,,0
CDM,27800002,PLATE BNE 4 H 27MM SS LC-DCP FOR 2MM SCR,1533.6,1533.6,,,0
CDM,27800002,PLATE BNE 4 H L DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,2020.8,2020.8,,,0
CDM,27800002,PLATE BNE 5 H 1/3 TBLR W/ CLLR 57MM SS SM FRAG LCP SYS,601.2,601.2,,,0
CDM,27800002,PLATE BNE 5 H 1/3 TBLR W/ CLLR 61MM SS SM FRAG SYS FOR 3.5MM,597.6,597.6,,,0
CDM,27800002,PLATE BNE 6 H 1/3 TBLR W/ CLLR 73MM SS SM FRAG SYS FOR 3.5MM,613.8,613.8,,,0
CDM,27800002,PLATE BNE 6 H 77MM SS LC-DCP FOR 3.5MM SCR,1168.2,1168.2,,,0
CDM,27800002,PLATE BNE 6 H 85MM SS LCP FOR 3.5/4MM SCR,1092.6,1092.6,,,0
CDM,27800002,PLATE BNE 6 H CRV 78MM RAD 88MM RECON SS LP PELV SYS,2746.8,2746.8,,,0
CDM,27800002,PLATE BNE 6 H STR 51MM SS LC-DCP FOR 2.4MM SCR,2388.6,2388.6,,,0
CDM,27800002,PLATE BNE 7 H 1/3 TBLR 82MM SS EVOS SM PLATING SYS FOR 3.5MM,110.88,110.88,,,0
CDM,27800002,PLATE BNE 7 H 1/3 TBLR W/ CLLR 81MM SS SM FRAG LCP SYS,601.2,601.2,,,0
CDM,27800002,PLATE BNE 7 H 1/3 TBLR W/ CLLR 85MM SS SM FRAG SYS FOR 3.5MM,613.8,613.8,,,0
CDM,27800002,PLATE BNE 7 H 67MM SS MOD MINI FRAG LCP SYS FOR 2.7MM SCR,1445.4,1445.4,,,0
CDM,27800002,PLATE BNE 7 H 90MM COMPR LOK EVOS FOR 3.5MM SCR,359.52,359.52,,,0
CDM,27800002,PLATE BNE 7 H 90MM SS LC-DCP FOR 3.5MM SCR,1213.2,1213.2,,,0
CDM,27800002,PLATE BNE 8 H 1/3 TBLR W/ CLLR 93MM SS SM FRAG LCP SYS,642.6,642.6,,,0
CDM,27800002,PLATE BNE 8 H 1/3 TBLR W/ CLLR 97MM SS SM FRAG SYS FOR 3.5MM,637.2,637.2,,,0
CDM,27800002,PLATE BNE 8 H 103MM SS LC-DCP FOR 3.5MM SCR,1274.4,1274.4,,,0
CDM,27800002,PLATE BNE 8 H 111MM SS LCP FOR 3.5/4MM SCR,1189.8,1189.8,,,0
CDM,27800002,PLATE BNE 8 H 67MM COMPR EVOS,543.84,543.84,,,0
CDM,27800002,PLATE BNE 8 H CRV 104MM RAD 108MM RECON SS LP PELV SYS,2982.6,2982.6,,,0
CDM,27800002,PLATE BNE 8 H CRV NAR 3.5MM X 115MM,4075.2,4075.2,,,0
CDM,27800002,PLATE BNE 8 H NAR 152MM SS LCP FOR 4.5MM SCR,1677.6,1677.6,,,0
CDM,27800002,PLATE BNE 8 H R POST LAT HUM,1600.8,1600.8,,,0
CDM,27800002,PLATE BNE 8 H STR 104MM RECON SS LP PELV SYS FOR 3.5MM SCR,1974.6,1974.6,,,0
CDM,27800002,PLATE BNE 80MM DP LAT HUM FOR R HUM 3 H,1927.2,1927.2,,,0
CDM,27800002,PLATE BNE 9 H 1/3 TBLR 3.5MM 110MM PANGEA,1886.4,1886.4,,,0
CDM,27800002,PLATE BNE 9 H 1/3 TBLR W/ CLLR 109MM SS SM FRAG SYS,662.4,662.4,,,0
CDM,27800002,PLATE BNE 9 H NAR 170MM SS LCP FOR 4.5MM SCR,1755.0,1755.0,,,0
CDM,27800002,PLATE BNE CALCANEUS 8 H 64MM RECON SS MOD FT SYS FOR 2.7MM,1321.2,1321.2,,,0
CDM,27800002,PLATE BNE CENTRE H 16MM O SHP SS FOR 4.5MM SCR PEDIPLATES,1178.21,1178.21,,,0
CDM,27800002,PLATE BNE CLAV MIDSHAFT ANT 7 H 86MM LOK TI VARIAX CLAV SYS,4388.59,4388.59,,,0
CDM,27800002,PLATE BNE CLAV MIDSHAFT SUP L 6 H DECREASED CURVATURE BRDG,2558.4,2558.4,,,0
CDM,27800002,PLATE BNE CLAV MIDSHAFT SUP L 7 H DECREASED CURVATURE STD,2092.8,2092.8,,,0
CDM,27800002,PLATE BNE CLAV MIDSHAFT SUP L 8 H DECREASED CURVATURE BRDG,2558.4,2558.4,,,0
CDM,27800002,PLATE BNE CLAV MIDSHAFT SUP L 8 H DECREASED CURVATURE STD,2325.6,2325.6,,,0
CDM,27800002,PLATE BNE CLAV MIDSHAFT SUP R 6 H DECREASED CURVATURE BRDG,2558.4,2558.4,,,0
CDM,27800002,PLATE BNE CLAV MIDSHAFT SUP R 6 H DECREASED CURVATURE STD,3949.22,3949.22,,,0
CDM,27800002,PLATE BNE CLAV MIDSHAFT SUP R 7 H DECREASED CURVATURE STD,3949.22,3949.22,,,0
CDM,27800002,PLATE BNE CLAV SUP R 7 H 100MM SS LCP FOR 3.5MM SCR,3794.4,3794.4,,,0
CDM,27800002,PLATE BNE CMF 2 H STR 12MM TI CRAN PLATING SYS MATRIXNEURO,74.3,74.3,,,0
CDM,27800002,PLATE BNE CMF 2 X 2 H CRESC THCK 1.25MM TI MATRIXMANDIBLE,917.76,917.76,,,0
CDM,27800002,PLATE BNE CMF 20 H ADPT TI CRAN PLATING SYS MATRIXNEURO,597.31,597.31,,,0
CDM,27800002,PLATE BNE CMF 20 H STR TI MATRIXMIDFACE,1232.11,1232.11,,,0
CDM,27800002,PLATE BNE CMF 3 X 3 H ANG THCK 1.25MM DCP TI MATRIXMANDIBLE,1021.44,1021.44,,,0
CDM,27800002,PLATE BNE CMF 4 H 10X16MM TI CRAN PLATING SYS MATRIXNEURO,257.47,257.47,,,0
CDM,27800002,PLATE BNE CMF 4 H BX 14X14MM TI CRAN PLATING SYS MATRIXNEURO,269.57,269.57,,,0
CDM,27800002,PLATE BNE CMF 4 H STR 24MM TI CRAN PLATING SYS MATRIXNEURO,83.52,83.52,,,0
CDM,27800002,PLATE BNE CMF 5 H Y PLT TI CRAN PLATING SYS MATRIXNEURO,269.57,269.57,,,0
CDM,27800002,PLATE BNE CMF 6 H DBL Y PLT 18MM TI CRAN PLATING SYS,269.57,269.57,,,0
CDM,27800002,PLATE BNE CMF MINI 2X2 H BROAD MAL TI MAND PLATING SYS,890.88,890.88,,,0
CDM,27800002,PLATE BNE CNDYL L 6 H 170MM SS LCP FOR 4.5MM SCR,5740.2,5740.2,,,0
CDM,27800002,PLATE BNE CNDYL L 8 H 57MM SS MOD HND SYS FOR 2.4MM SCR,2496.6,2496.6,,,0
CDM,27800002,PLATE BNE CNDYL R 12 H CRV 278MM SS LCP PERIARTC PLATING SYS,6253.2,6253.2,,,0
CDM,27800002,PLATE BNE CNTR H O PLT 20MM THK1.5MM PEDIPLATES,1178.21,1178.21,,,0
CDM,27800002,PLATE BNE CRAN 2 H 16MM BAR DOG BNE LP UNIV NEURO III,330.72,330.72,,,0
CDM,27800002,PLATE BNE CRAN 2 H STR 12MM THCK 0.3MM TI ULT LP MATRIXNEURO,79.49,79.49,,,0
CDM,27800002,PLATE BNE CRAN 2 X 2 H GRID 14MM THCK 0.35MM TI ALLY W/ TAB,648.0,648.0,,,0
CDM,27800002,PLATE BNE CRAN 2 X 3 H STRUT 14MM X 24MM THCK 0.4MM TI,467.14,467.14,,,0
CDM,27800002,PLATE BNE CRAN 2X2 H RECT LP UNIV NEURO III FOR 1.5MM SCR,645.22,645.22,,,0
CDM,27800002,PLATE BNE CRAN 3 X 2 H GRID 15MM THCK 0.35MM TI ALLY W/ TAB,838.8,838.8,,,0
CDM,27800002,PLATE BNE CRAN 4 H SQ FRME 14MM X 14MM THCK 0.3MM TI ULT LP,292.03,292.03,,,0
CDM,27800002,PLATE BNE CRAN 6 H STR 27MM THCK 0.35MM TI ALLY W/ TAB,588.6,588.6,,,0
CDM,27800002,PLATE BNE CRAN BX 10MM X 16MM THCK 0.3MM TI ULT LP,277.63,277.63,,,0
CDM,27800002,PLATE BNE CRAN LG 2X2 H BX LP UNIV NEURO III FOR 1.5MM SCR,658.94,658.94,,,0
CDM,27800002,PLATE BNE CRAN SM 2X2 H BX LP UNIV NEURO III FOR 1.5MM SCR,416.83,416.83,,,0
CDM,27800002,PLATE BNE DST VOLAR RAD L NAR 4 H 21.6MM X 57.2MM FOR DVR,1234.8,1234.8,,,0
CDM,27800002,PLATE BNE DST VOLAR RAD R 4 H NAR TI GEMINUS,2020.8,2020.8,,,0
CDM,27800002,PLATE BNE DST VOLAR RAD R NAR SHT 3 H 21.6MM X 48.9MM,1234.8,1234.8,,,0
CDM,27800002,PLATE BNE FEM DST R 355MM PANGEA,7996.8,7996.8,,,0
CDM,27800002,PLATE BNE FEM PERIPROSTHETIC TROC R NAR TI ALLY W/ 2 CONN,1579.2,1579.2,,,0
CDM,27800002,PLATE BNE FEM PROX L 10 H SS VA-LCP PPFX FOR 3.5/4.5MM SCR,9547.2,9547.2,,,0
CDM,27800002,PLATE BNE FEM PROX L 11 H SS VA-LCP PPFX FOR 3.5/4.5MM SCR,10060.2,10060.2,,,0
CDM,27800002,PLATE BNE FIB LAT DST R 6 H 112MM SS LCP FOR 2.7/3.5MM SCR,2156.4,2156.4,,,0
CDM,27800002,PLATE BNE HIP 2 H ST 46MM 130DEG STD BRL SS DH-DC SYS,2311.2,2311.2,,,0
CDM,27800002,PLATE BNE HIP 4 H ST 78MM 130DEG STD BRL SS DH-DC SYS,1776.19,1776.19,,,0
CDM,27800002,PLATE BNE HUM DST MED L OR R 8 H 139MM TI VARIAX EL,2712.0,2712.0,,,0
CDM,27800002,PLATE BNE HUM X-ARTC DST L 8 H 194MM SS LCP FOR 3.5MM SCR,5151.6,5151.6,,,0
CDM,27800002,PLATE BNE INF 3 H 35MM BLDE 5MM OFFSET 90DEG LOK CANN,2407.1,2407.1,,,0
CDM,27800002,PLATE BNE L107MM 6 H ST L ANT DST TIB SS PART ARTC,2333.76,2333.76,,,0
CDM,27800002,PLATE BNE L113MM 8 H ST L LAT PROX TIB SS FOR 3.5MM SCR EVOS,3659.04,3659.04,,,0
CDM,27800002,PLATE BNE L114MM 8 H L OLECRANON FOR 2.7/3.5MM SCR EVOS,2697.6,2697.6,,,0
CDM,27800002,PLATE BNE L116MM 4 H NS R OLECRANON VA LOK COMPR LP,3879.0,3879.0,,,0
CDM,27800002,PLATE BNE L120MM 10 H R SUP MIDSHAFT ANK FT TI LOK INCREASED,2325.6,2325.6,,,0
CDM,27800002,PLATE BNE L129MM 10 H R POSTEROLATERAL DST HUM FOR 2.7/3.5MM,2534.4,2534.4,,,0
CDM,27800002,PLATE BNE L145MM 8 H NONSTERILE L PROX MED TIB LOK COMPR LP,5563.8,5563.8,,,0
CDM,27800002,PLATE BNE L171MM 10 H NONSTERILE R PROX MED TIB LOK COMPR LP,5689.8,5689.8,,,0
CDM,27800002,PLATE BNE L28MM THK1.4MM SHFT W7.5MM 4 H ST FLX FOR 2.7MM,1806.0,1806.0,,,0
CDM,27800002,PLATE BNE L317MM 15 H L DST PERIPROSTHETIC FEM TI NCB,2377.2,2377.2,,,0
CDM,27800002,PLATE BNE L350MM 16 H NS R PERIARTC CNDYL KNEE CRV LOK COMPR,6503.4,6503.4,,,0
CDM,27800002,PLATE BNE L355MM 18 H NS PERIPROSTHETIC L DST FEM TI NCB,2503.2,2503.2,,,0
CDM,27800002,PLATE BNE L35MM THK1.3MM 2X4 H L HND TI L SHP LOK TRILOK,1903.56,1903.56,,,0
CDM,27800002,PLATE BNE L41MM 3X5 H T SHP NAR LOK VARIAX 2.4,2047.2,2047.2,,,0
CDM,27800002,PLATE BNE L49MM THK1.9MM SHFT W6MM 8 H ST STRENGTH FOR 2.4MM,1638.0,1638.0,,,0
CDM,27800002,PLATE BNE L56MM THK1.3MM 2X8 H HND TI T SHP LOK TRILOK,2012.42,2012.42,,,0
CDM,27800002,PLATE BNE L56MM THK2.2MM SHFT W7.5MM 8 H ST STRENGTH,1806.0,1806.0,,,0
CDM,27800002,PLATE BNE L70MM 6 H ST SS 1/3 TBLR FOR 3.5MM SCR EVOS,117.6,117.6,,,0
CDM,27800002,PLATE BNE L70MM THK2.2MM SHFT W7.5MM 10 H ST STRENGTH,1806.0,1806.0,,,0
CDM,27800002,PLATE BNE L81MM THK3.5MM XLN R CALCNL SS LOK COMPR FOR 3.5MM,3421.68,3421.68,,,0
CDM,27800002,PLATE BNE L82MM 7 H ST SS 1/3 TBLR LOK FOR 3.5MM SCR EVOS,337.92,337.92,,,0
CDM,27800002,PLATE BNE L83MM 5 H L OLECRANON FOR 2.7/3.5MM SCR EVOS,2505.6,2505.6,,,0
CDM,27800002,PLATE BNE L87MM 2X10 H T SHP NAR LOK VARIAX 2.7,2342.4,2342.4,,,0
CDM,27800002,PLATE BNE L90MM 10 H BROAD LOK VARIAX 2.7,2342.4,2342.4,,,0
CDM,27800002,PLATE BNE L90MM 4 H L PROX HUM HI ALPS,2536.8,2536.8,,,0
CDM,27800002,PLATE BNE L94MM 8 H ST SS 1/3 TBLR FOR 3.5MM SCR EVOS,120.96,120.96,,,0
CDM,27800002,PLATE BNE M L150MM THK4MM VIT TROC GRP LP W/ 2 2MM CBL,3456.0,3456.0,,,0
CDM,27800002,PLATE BNE MANUBRIUM STRNM 12 H STAR LOK TI,2151.6,2151.6,,,0
CDM,27800002,PLATE BNE MAXILLOMANDIBULAR 10 H SHT TI MAND PLATING SYS,568.32,568.32,,,0
CDM,27800002,PLATE BNE MIDFACE L MIC 4 H STR 17MM THCK 0.6MM TI LEVELONE,191.52,191.52,,,0
CDM,27800002,PLATE BNE MINI 5 H Y TINE ST 7.5X52MM VA LOK SS LP FOR 2.7MM,2268.0,2268.0,,,0
CDM,27800002,PLATE BNE NONSTERILE L VOLAR RIM CROSSLOCK DVR,1663.2,1663.2,,,0
CDM,27800002,PLATE BNE OLECRANON L 3 H 65MM TI VARIAX EL FOR 2.7/3.5MM,1927.2,1927.2,,,0
CDM,27800002,PLATE BNE OLECRANON R 2 H 90MM SS VA-LCP EL SYS,3778.2,3778.2,,,0
CDM,27800002,PLATE BNE OLECRANON R 4 H 89MM TI VARIAX EL FOR 2.7/3.5MM,2126.4,2126.4,,,0
CDM,27800002,PLATE BNE ORBIT 12 H CRV TI MATRIXMIDFACE,677.62,677.62,,,0
CDM,27800002,PLATE BNE PUBIC SYMPHYSIS 6 H 78MM SS LP PELV SYS FOR 3.5MM,3744.0,3744.0,,,0
CDM,27800002,PLATE BNE R ANT TIBIOTALAR STD COMPR TI FOR 3.5/4MM SCR ANK,4531.2,4531.2,,,0
CDM,27800002,PLATE BNE R DST RAD LNG 12 H 24X85MM COMPR LOK TI LP,1814.4,1814.4,,,0
CDM,27800002,PLATE BNE R MAND 2X2 H L SHP 20MM TI LP OSTEOSYN 2.0 MINI,287.04,287.04,,,0
CDM,27800002,PLATE BNE RAD DST ANAT VOLAR R 2XL 15 H ST STD 189MM TI,3576.0,3576.0,,,0
CDM,27800002,PLATE BNE RAD DST L MD 24X62MM CROSSLOCK TI LP DVR ANAT,1688.4,1688.4,,,0
CDM,27800002,PLATE BNE RAD DST L MD 24X85MM CROSSLOCK TI LP DVR ANAT,1814.4,1814.4,,,0
CDM,27800002,PLATE BNE RAD DST L MINI 24X43MM CROSSLOCK TI LP DVR ANAT,1503.6,1503.6,,,0
CDM,27800002,PLATE BNE RAD DST VOLAR L STD SHT 24.4X51.3MM DVR ANAT VOLAR,1234.8,1234.8,,,0
CDM,27800002,PLATE BNE STRNM 8 H ST X-PLT LOK LP STERNALPLATE,2059.2,2059.2,,,0
CDM,27800002,PLATE BNE SZ 3.5 18 H T SHP BROAD,3592.8,3592.8,,,0
CDM,27800002,PLATE BNE T SHP 2.7MM 3TX10,3204.0,3204.0,,,0
CDM,27800002,PLATE BNE T SHP 2.7MM 5TX10,3544.8,3544.8,,,0
CDM,27800002,PLATE BNE T SHP 3.5MM 3TX5,3204.0,3204.0,,,0
CDM,27800002,PLATE BNE TARSOMETATARSAL FUS 2X2 H 43MM SS VA-LCP,3515.4,3515.4,,,0
CDM,27800002,PLATE BNE THK.6MM L 3D ORBIT FLR RESORB XG,2870.4,2870.4,,,0
CDM,27800002,PLATE BNE THK0.6MM 12 H CMF TI ORBIT LEV 1 FOR 1.5MM SCR,638.4,638.4,,,0
CDM,27800002,PLATE BNE THK0.6MM 4 H MIDFACE TI STR PROF LEV 1 FOR 1.5MM,324.24,324.24,,,0
CDM,27800002,PLATE BNE THK0.6MM 6 H MIDFACE TI STR PROF LEV 1 FOR 1.5MM,378.0,378.0,,,0
CDM,27800002,PLATE BNE THK0.6MM 6X2 H MIDFACE TI PROF LEV 1 FOR 1.5MM SCR,869.4,869.4,,,0
CDM,27800002,PLATE BNE THK0.6MM 7 H MIDFACE TI L SHP PROF LEV 1 FOR 1.5MM,608.16,608.16,,,0
CDM,27800002,PLATE BNE THK0.8MM 6 H MIDFACE TI STR PROF LEV 1 G FOR 1.5MM,378.0,378.0,,,0
CDM,27800002,PLATE BNE TIB POSTEROMEDIAL PROX 4 H 105MM SS LCP FOR 3.5MM,4194.0,4194.0,,,0
CDM,27800002,PLATE BNE TIB PROX L 10 H LO BEND 154MM SS LCP FOR 3.5MM SCR,5679.0,5679.0,,,0
CDM,27800002,PLATE BNE TIB PROX L 16 H LO BEND 232MM SS LCP FOR 3.5MM SCR,6318.0,6318.0,,,0
CDM,27800002,PLATE BNE TIB PROX L 4 H LO BEND 76MM SS LCP FOR 3.5MM SCR,5299.2,5299.2,,,0
CDM,27800002,PLATE BNE TIB PROX L 8 H LO BEND 128MM SS LCP FOR 3.5MM SCR,5542.2,5542.2,,,0
CDM,27800002,PLATE BNE TIB PROX R 12 H 226MM SS LCP PERIARTC PLATING SYS,5979.6,5979.6,,,0
CDM,27800002,PLATE BNE TIB PROX R 12 H LO BEND 180MM SS LCP FOR 3.5MM SCR,6012.0,6012.0,,,0
CDM,27800002,PLATE BNE W22XL51MM 12 H L DST RAD TI LOK COMPR LP NAR RIG,1503.6,1503.6,,,0
CDM,27800002,PLATE BNE W24.4XL89MM 7 H R DST VOLAR RAD EXT ANAT,1234.8,1234.8,,,0
CDM,27800002,PLATE BNE W24XL51MM 12 H R DST VOLAR RAD WRST STD LOK,1503.6,1503.6,,,0
CDM,27800002,PLATE BNE W24XL62MM 12 H R DST RAD TI LOK COMPR LP NAR RIG,1688.4,1688.4,,,0
CDM,27800002,PLATE BNE WRST 11 H STR 170MM SS LP LCP FOR 2.4MM SCR,5178.6,5178.6,,,0
CDM,27800002,PLATE BONE 10 HOLE 4.5MM TIMAX COMPRESSION NARROW HYBRID LG,487.2,487.2,,,0
CDM,27800002,PLATE BONE ANTERIOR 11 HOLE 2.7MM NARROW 90MM CLAVICULAR PLA,2200.8,2200.8,,,0
CDM,27800002,PLATE BONE ANTERIOR 9 HOLE 3.5MM STANDARD 100MM CLAVICULAR P,2268.0,2268.0,,,0
CDM,27800002,PLATE BONE CLAVICULAR SUPERIOR LEFT 10 HOLE 110MM ALPS,2326.8,2326.8,,,0
CDM,27800002,PLATE BONE FEMORAL DISTAL RIGHT 13 HOLE 324MM COMPRESSION LO,2268.0,2268.0,,,0
CDM,27800002,PLATE BONE LEFT 24X175MM DISTAL RADIAL 2XLONG CROSSLOCK DVR,2486.4,2486.4,,,0
CDM,27800002,PLATE BONE LEFT STRAIGHT NARROW 10 HOLE 146MM NCB,966.0,966.0,,,0
CDM,27800002,PLATE BONE LOCKING COMPRESSION ULNAR BILATERAL 2.7 MM SCREW,1444.8,1444.8,,,0
CDM,27800002,PLATE BONE NARROW Y 1.5MM/2.0MM 5 HOLE ALPS MVX,1294.39,1294.39,,,0
CDM,27800002,PLATE BONE PERIPROSTHETIC TROCHANTER LEFT NARROW TITANIUM NC,1579.2,1579.2,,,0
CDM,27800002,PLATE BONE RADIAL DISTAL LEFT EXTRA LONG STERILE 24X125MM CR,2268.0,2268.0,,,0
CDM,27800002,PLATE BONE T CURVED 1.5MM/2.0MM 53 HOLE ALPS MVX,1393.97,1393.97,,,0
CDM,27800002,PLATE BONE WRIST DORSAL RIGHT DVR CROSSLOCK,1587.6,1587.6,,,0
CDM,27800002,PLATE BONE WRIST RIGHT 7 HOLE 13X42.7MM COMPRESSION ANGLED L,890.4,890.4,,,0
CDM,27800002,PLATE CALCANEAL LONGLEFT,3307.25,3307.25,,,0
CDM,27800002,PLATE CALCANEAL LONGRIGHT,1713.84,1713.84,,,0
CDM,27800002,PLATE CALCANEAL SHORTLEFT,1607.28,1607.28,,,0
CDM,27800002,PLATE CALCANEAL SHORTRIGHT,3100.82,3100.82,,,0
CDM,27800002,PLATE CLAVICLE SUP LT 8-HOLE NS 90MM  133525090,2268.0,2268.0,,,0
CDM,27800002,PLATE COND 4.5159 LEFT,6831.0,6831.0,,,0
CDM,27800002,PLATE DISTAL HUMEROUS 02.107.002,3380.4,3380.4,,,0
CDM,27800002,PLATE EVOS 2.4MM STRENGTH 6 HOLE,1638.0,1638.0,,,0
CDM,27800002,PLATE EVOS EA-D HUM 16H 2.7/3.5MM 16H R 195MM  72469216,2851.2,2851.2,,,0
CDM,27800002,PLATE EVOS HUM M-D 7-HOLE 2.7/3.5MM  72465607,2481.6,2481.6,,,0
CDM,27800002,PLATE EVOS HUMERUS M-D 3-HOLE 2.7/3.5MM 80MM  7246-5503,2073.6,2073.6,,,0
CDM,27800002,PLATE EVOS HUMERUS M-D 5-HOLE R 2.7 X 3.5MM  7246-5605,2308.8,2308.8,,,0
CDM,27800002,PLATE EVOS OLCRNN W/ TNS 2-HOLE 2.7/3.5 61.MM  72466402,2299.2,2299.2,,,0
CDM,27800002,PLATE EVOS RADIAL SHAFT 12-HOLE 146MM  7246-8612,1526.4,1526.4,,,0
CDM,27800002,PLATE EVOS RADIAL SHAFT 8-HOLE 98MM  7246-8608,1118.4,1118.4,,,0
CDM,27800002,PLATE FOOT 155 71070144,3507.6,3507.6,,,0
CDM,27800002,PLATE INFANT BLADE 3.5 X 35 X 5MM,2407.1,2407.1,,,0
CDM,27800002,PLATE LCP 12 HOLE 224.621,2206.8,2206.8,,,0
CDM,27800002,PLATE LEFT 2MM THICK TI MATMAN 7X23,3764.16,3764.16,,,0
CDM,27800002,PLATE NARROW 4.510H188MM,1906.2,1906.2,,,0
CDM,27800002,PLATE PROXIMAL TIBIA 10H LEFT,5909.4,5909.4,,,0
CDM,27800002,PLATE RECONSTRUCTION LOW PROFILE CURVED 10H 88MM RADIUS 245.,3121.2,3121.2,,,0
CDM,27800002,PLATE SPNL 10MM 2 SIDE XLIF AMS,7680.0,7680.0,,,0
CDM,27800002,PLATE SPNL 8MM OPN DOOR CNTRPC,636.0,636.0,,,0
CDM,27800002,PLATE SPNL ANT CERV 10MM 1 LEV XTEND,1200.0,1200.0,,,0
CDM,27800002,PLATE SPNL ANT CERV 13MM 1 LEV VIP,1680.0,1680.0,,,0
CDM,27800002,PLATE SPNL ANT CERV 14MM 1 LEV XTEND,1200.0,1200.0,,,0
CDM,27800002,PLATE SPNL ANT CERV 17MM 1 LEV VIP,1680.0,1680.0,,,0
CDM,27800002,PLATE SPNL L10MM TI POST CERV OPN DOOR WIDE MOUTH H BILAT,636.0,636.0,,,0
CDM,27800002,PLATE SPNL L12MM ANT CERV TI ALLY LEV 1 XTEND,1200.0,1200.0,,,0
CDM,27800002,PLATE SPNL L12MM TI POST CERV OPN DOOR LAT H BILAT CNTRPC,636.0,636.0,,,0
CDM,27800002,PLATE SPNL L16MM ANT CERV TI ALLY LEV 1 XTEND,1200.0,1200.0,,,0
CDM,27800002,PLATE SPNL L17MM THK1.9MM ANT CERV TI 1 LEV ZEVO,1740.0,1740.0,,,0
CDM,27800002,PLATE SPNL L24MM ANT CERV TI ALLY LEV 1 XTEND,1200.0,1200.0,,,0
CDM,27800002,PLATE SPNL L33MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
CDM,27800002,PLATE SPNL L34MM ANT CERV TI ALLY LEV 2 XTEND,1200.0,1200.0,,,0
CDM,27800002,PLATE SPNL L35MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
CDM,27800002,PLATE SPNL L36MM ANT CERV TI ALLY LEV 2 XTEND,1200.0,1200.0,,,0
CDM,27800002,PLATE SPNL L37MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
CDM,27800002,PLATE SPNL L45MM ANT CERV TI ALLY LEV 3 XTEND,1320.0,1320.0,,,0
CDM,27800002,PLATE SPNL L7MM POST DCOMPR SHLF ADJACENT CNPY,960.0,960.0,,,0
CDM,27800002,PLATE SPNL OCCIPITOCERVICAL UP THOR ADJ INFIN,3600.0,3600.0,,,0
CDM,27800002,PLATE SPNL POST CERV 10MM TI LP CNTRPC,636.0,636.0,,,0
CDM,27800002,PLATE SPNL SM L20MM OCCIPITAL QUARTEX,3600.0,3600.0,,,0
CDM,27800002,PLATE STRAIGHT ULTRA LOW PROFILE 24MM 4 HOLES,91.58,91.58,,,0
CDM,27800002,PLATE SUPERIOR INCREASED 6-HOLE LEFT 97MM  628146,4822.85,4822.85,,,0
CDM,27800002,PLATE SUPERIOR LATERAL RIGHT  628224,4388.59,4388.59,,,0
CDM,27800002,PLATE TIBIA  RIGHT 93MM,5236.2,5236.2,,,0
CDM,27800002,PLATE TIT LC-DCP 2.4MM 8H48MM,2604.6,2604.6,,,0
CDM,27800002,PLATE XLIF AMS 12MM SINGLE SIDED,7680.0,7680.0,,,0
CDM,27800002,PLTMINI 4 HOLE W BAR1.5MM,1689.34,1689.34,,,0
CDM,27800002,PLTMINI 6 HOLE1.5MM,2044.78,2044.78,,,0
CDM,27800002,PLTRETROSIGMOID MALLEABLE LRG,2755.56,2755.56,,,0
CDM,27800002,PLTSUBOCCIPTAL MALLEABLE SML,1809.6,1809.6,,,0
CDM,27800002,PLUG ORTH 5MM TI ALLY CBL T15 FOR PANGEA SYS,588.0,588.0,,,0
CDM,27800002,PMF THREADED WIRES D 1.6 MM LENGTH 70/15 MM,183.6,183.6,,,0
CDM,27800002,POLYAXIAL SCREW MEDIAL 3.5X22,2140.2,2140.2,,,0
CDM,27800002,POSTERIOR FIBULA PLATE 10H RT,2409.55,2409.55,,,0
CDM,27800002,POSTERIOR FIBULA PLATE 14H RT,2489.21,2489.21,,,0
CDM,27800002,POSTERIOR FIBULA PLATE 8H RT,2389.66,2389.66,,,0
CDM,27800002,POSTLAT TIBIA PLATE 4-5H RT,3903.1,3903.1,,,0
CDM,27800002,POSTLAT TIBIA PLATE 6-4H LT,3942.91,3942.91,,,0
CDM,27800002,PRE-LORDOSED ROD WLINE 85MM,529.8,529.8,,,0
CDM,27800002,PROBE PEDICLE SCREW  DISPOSABLE 3MM  10004986,207.0,207.0,,,0
CDM,27800002,PROSTHESIS SPACER SM 12MM SHOULDER ALTIVATE REVERSE,3348.0,3348.0,,,0
CDM,27800002,PROTEAN FRAGMENT PLATE DOUBLE HOCKEY STICK,2083.2,2083.2,,,0
CDM,27800002,PROVIDENCE ANTERIOR CERVICAL PLATE 3-LEVEL 57MM,1320.0,1320.0,,,0
CDM,27800002,PROX TIB LOCK PLATE LT 5H STD,2100.0,2100.0,,,0
CDM,27800002,PROX TIB LOCK PLATE LT 7H STD,2116.8,2116.8,,,0
CDM,27800002,PROX TIB LOCK PLATE LT 9H STD,2142.0,2142.0,,,0
CDM,27800002,PROX TIB LOCK PLATE RT 13H STD,2175.6,2175.6,,,0
CDM,27800002,PROX TIB LOCK PLATE RT 9H STD,2142.0,2142.0,,,0
CDM,27800002,PROXIMAL HUM PLT 8 H R,4168.8,4168.8,,,0
CDM,27800002,PROXIMAL HUM PLT L 3.5MM  105MM/4 H,5956.8,5956.8,,,0
CDM,27800002,PROXIMAL HUM PLT L 3.5MM 245MM/14 H,11181.6,11181.6,,,0
CDM,27800002,PROXIMAL HUM PLT R 3.5MM  189MM/10 H,7034.4,7034.4,,,0
CDM,27800002,PROXIMAL HUM PLT R 3.5MM  217MM/12 H,7332.0,7332.0,,,0
CDM,27800002,PROXIMAL HUM PLT R 3.5MM 105MM/4 H,5956.8,5956.8,,,0
CDM,27800002,PROXIMAL HUMERUS HI PLATE LEFT 3 HOLE,2444.4,2444.4,,,0
CDM,27800002,PROXIMAL HUMERUS HI PLATE RIGHT 7 HOLE,2965.2,2965.2,,,0
CDM,27800002,PROXIMAL HUMERUS LOW PLATE LEFT 11 HOLE,3334.8,3334.8,,,0
CDM,27800002,PROXIMAL LAT TIB PLT L 3.5MM 123MM/4 H,5498.4,5498.4,,,0
CDM,27800002,PROXIMAL LAT TIB PLT L 3.5MM 151MM/6 H,5652.0,5652.0,,,0
CDM,27800002,PROXIMAL LAT TIB PLT R 3.5MM  235MM/12 H,6415.2,6415.2,,,0
CDM,27800002,PROXIMAL LAT TIB PLT R 3.5MM 151MM/6 H,5652.0,5652.0,,,0
CDM,27800002,PROXIMAL MED TIB PLT L 3.5MM 100MM/6 H,5856.0,5856.0,,,0
CDM,27800002,PROXIMAL MED TIB PLT L 3.5MM 72MM/4 H,5239.2,5239.2,,,0
CDM,27800002,PROXIMAL MED TIB PLT R 3.5MM  184MM/12 H,6787.2,6787.2,,,0
CDM,27800002,PROXIMAL MED TIB PLT R 3.5MM 100MM/6 H,5546.4,5546.4,,,0
CDM,27800002,PROXIMAL MED TIB PLT R 3.5MM 128MM/8 H,6163.2,6163.2,,,0
CDM,27800002,PROXIMAL POSTEROMEDIAL TIB PLT R 3.5MM  96MM/6 H,5793.6,5793.6,,,0
CDM,27800002,PTN PERITROCHANTERIC NAIL  TELESCOPING LAG SCREW KEYLESS  TI,1134.0,1134.0,,,0
CDM,27800002,QUARTEX 3.5MM POLYAXIAL SHOULDER SCREW 26MM,1200.0,1200.0,,,0
CDM,27800002,QUARTEX 4.0MM POLYAXIAL SCREW 20MM,1200.0,1200.0,,,0
CDM,27800002,QUARTEX 4.2MM OCCIPITAL SCREW 12MM,300.0,300.0,,,0
CDM,27800002,QUARTEX 4.5MM POLYAXIAL SCREW 14MM,1200.0,1200.0,,,0
CDM,27800002,QUARTEX 4.6MM OCCIPITAL SCREW 10MM,300.0,300.0,,,0
CDM,27800002,QUARTEX 5.0MM POLYAXIAL SCREW 24MM,1200.0,1200.0,,,0
CDM,27800002,QUARTEX HEAD TO HEAD T-CONNECTOR 45-51MM,960.0,960.0,,,0
CDM,27800002,REDUCTION SCREW 6.5 X 45MM,2878.2,2878.2,,,0
CDM,27800002,RELINE MAS MOD REDUCTION EXTENSION,1020.0,1020.0,,,0
CDM,27800002,RELINE MAS SCREW 5.5X40MM 2C POLYAXIAL,2040.0,2040.0,,,0
CDM,27800002,RELINE-O X-CONN 35-42MM 5.5 LP ADJ,1440.0,1440.0,,,0
CDM,27800002,RESTRICTOR CEM MD DIA24MM UNIV,120.0,120.0,,,0
CDM,27800002,RETROGRADE FEMORAL NAIL - PURPLE 10 MM DIAMETER  34 CM LENGT,2937.6,2937.6,,,0
CDM,27800002,RETROGRADE FEMORAL NAIL - PURPLE 13 MM DIAMETER  36 CM LENGT,3200.4,3200.4,,,0
CDM,27800002,RISE-L SPACER 18 X 40MM 7-14MM,10800.0,10800.0,,,0
CDM,27800002,ROD SPNL 5.5MM X 300MM TI EXPEDIUM,283.2,283.2,,,0
CDM,27800002,ROD SPNL 5.5X480MM HEX END EXPEDIUM,667.63,667.63,,,0
CDM,27800002,ROD SPNL L QUAD THRD DBL SCR HD CREO AMP,2880.0,2880.0,,,0
CDM,27800002,ROD SPNL L240MM DIA3.5MM STD OCCIPITOCERVICAL UP THOR INFIN,328.8,328.8,,,0
CDM,27800002,ROD SPNL L300MM DIA5.5MM POST THORLUM COCR SMTH STR,1500.0,1500.0,,,0
CDM,27800002,ROD SPNL L65MM DIA5.5MM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800002,ROD SPNL THORACOLUMBOSACRAL 5.5X45MM PRELORDOSED TI EXPEDIUM,503.3,503.3,,,0
CDM,27800002,ROD SPNL THORACOLUMBOSACRAL 5.5X55MM PRELORDOSED TI EXPEDIUM,503.3,503.3,,,0
CDM,27800002,ROD SPNL THORACOLUMBOSACRAL 5.5X95MM PRELORDOSED TI EXPEDIUM,529.8,529.8,,,0
CDM,27800002,ROD THREADED 120MM,73.58,73.58,,,0
CDM,27800002,RUSSIAN LONG NUT,110.38,110.38,,,0
CDM,27800002,RUSSIAN WIRE FIXATION BOLT,99.5,99.5,,,0
CDM,27800002,SABLE SPACER 10X22 6-12MM 8  SINGLE STERILE,13200.0,13200.0,,,0
CDM,27800002,SCREW  5.0X30 55840005030,1156.8,1156.8,,,0
CDM,27800002,SCREW  CANNULATED 56MM 19MM,723.6,723.6,,,0
CDM,27800002,SCREW  SYNTHES MODULAR 2.4X10,327.6,327.6,,,0
CDM,27800002,SCREW 1.5 X 4MM,180.0,180.0,,,0
CDM,27800002,SCREW 1.5X6MM 805.606.04S,986.4,986.4,,,0
CDM,27800002,SCREW 2.0MM 401.061,146.88,146.88,,,0
CDM,27800002,SCREW 2.0MM CORTEX SELF TAPPING 28MM 201.828,183.6,183.6,,,0
CDM,27800002,SCREW 2.4 MATRIX MAN 04.503.446.01,191.04,191.04,,,0
CDM,27800002,SCREW 2.4MM 212.824,441.0,441.0,,,0
CDM,27800002,SCREW 2.4MM CORTEX SELF TAPPING 14MM 201.644,190.8,190.8,,,0
CDM,27800002,SCREW 2.7 CORT META 60MM,286.2,286.2,,,0
CDM,27800002,SCREW 2.7MM NON-LOCKING SELF-TPNG 34MM,158.4,158.4,,,0
CDM,27800002,SCREW 214.760,743.4,743.4,,,0
CDM,27800002,SCREW 3.5 LP SLF TP CORT  26MM,110.11,110.11,,,0
CDM,27800002,SCREW 3.5MM CANNULATED PARTIALLY THREADED 26MM 205.026,649.8,649.8,,,0
CDM,27800002,SCREW 3.5MM CORTEX 12MM 204.012,115.2,115.2,,,0
CDM,27800002,SCREW 3.5MM PELVIC CORTEX SELF-TAPPING 65MM 204.665,140.4,140.4,,,0
CDM,27800002,SCREW 4.0MM CANCELLOUS BONE FULLY THREADED 22MM 206.022,133.2,133.2,,,0
CDM,27800002,SCREW 4.0MM CANNULATED LONG THREAD 64MM 207.764,687.6,687.6,,,0
CDM,27800002,SCREW 4.0MM CORTEX SELF TAPPING 24MM 206.424,135.0,135.0,,,0
CDM,27800002,SCREW 4.5 32MM,743.4,743.4,,,0
CDM,27800002,SCREW 4.5 CORTEX 22MM,131.4,131.4,,,0
CDM,27800002,SCREW 5.5 X 25MM 55840005525,1156.8,1156.8,,,0
CDM,27800002,SCREW 54740107055 4.75 HA MAS 7.0X55 CC,4358.88,4358.88,,,0
CDM,27800002,SCREW 55890005525 5.5/6.0 RMAS 5.5X25,1476.0,1476.0,,,0
CDM,27800002,SCREW 6.5 CANNULATED 71106270S,461.57,461.57,,,0
CDM,27800002,SCREW 6.5 X 155MM CANN PART THREADED,445.82,445.82,,,0
CDM,27800002,SCREW 6958736PT 3.5MM X 36 PT MAS,900.0,900.0,,,0
CDM,27800002,SCREW 7.3 32MM CAMM,907.2,907.2,,,0
CDM,27800002,SCREW 7.3MM 02.207.095,963.0,963.0,,,0
CDM,27800002,SCREW 7723514 ZEVO VAR ST 3.5MM X 14MM,240.0,240.0,,,0
CDM,27800002,SCREW 837-645 TSR3D 6.5X45MM TI,883.9,883.9,,,0
CDM,27800002,SCREW AFFIXUS BLUNT TIP 4 X 34MM  47-2486-034-40,294.0,294.0,,,0
CDM,27800002,SCREW ANN CORT BONE 4 X 26MM  47-2486-126-40,285.6,285.6,,,0
CDM,27800002,SCREW ASNIS III 6.5X90,388.46,388.46,,,0
CDM,27800002,SCREW BNE 1.2X4MM SLF DRL LP HD HT AXS,181.2,181.2,,,0
CDM,27800002,SCREW BNE 1.55X8MM CORT FT NONLOCKING SLF DRL SIL TI ALLY,163.25,163.25,,,0
CDM,27800002,SCREW BNE 1.5X3MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
CDM,27800002,SCREW BNE 1.5X4MM CRSS CORT CROSSED HD FT SLF DRL TI,163.25,163.25,,,0
CDM,27800002,SCREW BNE 1.5X4MM NEURO DRL FREE TI-6AL-4V LEV 1 ONEDRIVE,96.0,96.0,,,0
CDM,27800002,SCREW BNE 1.5X4MM UNIV NEURO 3 SLF DRL TI AXS,143.52,143.52,,,0
CDM,27800002,SCREW BNE 1.5X5MM CMF FT SLF DRL TI CRAN PLATING SYS,1815.55,1815.55,,,0
CDM,27800002,SCREW BNE 1.5X5MM CORT FT SLF DRL TI MATRIXMIDFACE,163.25,163.25,,,0
CDM,27800002,SCREW BNE 1.5X6MM CRSS CORT CROSSED HD FT SLF DRL TI,163.25,163.25,,,0
CDM,27800002,SCREW BNE 1.85MM X 8MM TI SLF DRL FOR MMF SYS SET MATRIXWAVE,248.64,248.64,,,0
CDM,27800002,SCREW BNE 1.85X6MM MAND FT SLF DRL TI MATRIXORTHOGNATHIC,163.25,163.25,,,0
CDM,27800002,SCREW BNE 1.85X6MM MAND SLF DRL TI MATRIXWAVE,248.64,248.64,,,0
CDM,27800002,SCREW BNE 1.8X4MM CMF ST TI MATRIXMIDFACE PLATING SYS,163.25,163.25,,,0
CDM,27800002,SCREW BNE 1.8X4MM EMGCY FT ST TI MATRIXNEURO,91.01,91.01,,,0
CDM,27800002,SCREW BNE 1.8X4MM EMGCY NEURO DRL FREE TI-6AL-4V LEV 1,96.0,96.0,,,0
CDM,27800002,SCREW BNE 1.8X5MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
CDM,27800002,SCREW BNE 1.8X5MM EMGCY NEURO DRL FREE TI-6AL-4V LEV 1,96.0,96.0,,,0
CDM,27800002,SCREW BNE 10.5X100MM LAG GAM4 HIP FRAC NAIL SYS,1151.78,1151.78,,,0
CDM,27800002,SCREW BNE 10.5X100MM ST LAG ST TI GAM3 LOK NAIL SYS,856.8,856.8,,,0
CDM,27800002,SCREW BNE 10.5X105MM LAG GAM4 HIP FRAC NAIL SYS,2149.68,2149.68,,,0
CDM,27800002,SCREW BNE 10.5X110MM LAG GAM4 HIP FRAC NAIL SYS,2149.68,2149.68,,,0
CDM,27800002,SCREW BNE 10.5X75MM LAG GAM4 HIP FRAC NAIL SYS,2149.68,2149.68,,,0
CDM,27800002,SCREW BNE 10.5X75MM ST LAG ST TI GAM3 LOK NAIL SYS,2052.98,2052.98,,,0
CDM,27800002,SCREW BNE 10.5X80MM LAG GAM4 HIP FRAC NAIL SYS,1151.78,1151.78,,,0
CDM,27800002,SCREW BNE 10.5X85MM LAG GAM4 HIP FRAC NAIL SYS,2149.68,2149.68,,,0
CDM,27800002,SCREW BNE 10.5X85MM ST LAG ST TI GAM3 LOK NAIL SYS,856.8,856.8,,,0
CDM,27800002,SCREW BNE 10.5X90MM LAG GAM4 HIP FRAC NAIL SYS,1484.41,1484.41,,,0
CDM,27800002,SCREW BNE 10.5X90MM ST LAG ST TI GAM3 LOK NAIL SYS,2052.98,2052.98,,,0
CDM,27800002,SCREW BNE 10.5X95MM LAG GAM4 HIP FRAC NAIL SYS,2149.68,2149.68,,,0
CDM,27800002,SCREW BNE 13X80MM LAG CANC STD RECESS CANN SS DH-DC SYS,1249.2,1249.2,,,0
CDM,27800002,SCREW BNE 13X90MM LAG CANC OCTAGONAL RECESS CANN SS DH-DC,807.19,807.19,,,0
CDM,27800002,SCREW BNE 2.3X16MM CORT THRD LOK WRST PLATING SYS ACU-LOC 2,441.6,441.6,,,0
CDM,27800002,SCREW BNE 2.3X7MM TI MAXDRIVE,96.0,96.0,,,0
CDM,27800002,SCREW BNE 2.4X10MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
CDM,27800002,SCREW BNE 2.4X10MM VA T8 STARDRV RECESS LOK ST SS PRO-PK,529.2,529.2,,,0
CDM,27800002,SCREW BNE 2.4X12MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
CDM,27800002,SCREW BNE 2.4X12MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
CDM,27800002,SCREW BNE 2.4X12MM MAND CORT FT ST TI MATRIXMANDIBLE,191.04,191.04,,,0
CDM,27800002,SCREW BNE 2.4X12MM MAND FT LOK ST SELF RET TI ALLY DRV,304.32,304.32,,,0
CDM,27800002,SCREW BNE 2.4X12MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.4X12MM T8 STARDRV RECESS LOK ST SS LCP DST RAD,441.0,441.0,,,0
CDM,27800002,SCREW BNE 2.4X12MM VA T8 STARDRV RECESS LOK ST SS PRO-PK,529.2,529.2,,,0
CDM,27800002,SCREW BNE 2.4X14MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
CDM,27800002,SCREW BNE 2.4X14MM MAND FT LOK ST TI MATRIXMANDIBLE,304.32,304.32,,,0
CDM,27800002,SCREW BNE 2.4X14MM T8 STARDRV RECESS LOK ST SS LCP DST RAD,441.0,441.0,,,0
CDM,27800002,SCREW BNE 2.4X14MM VA T8 STARDRV RECESS LOK ST SS PRO-PK,529.2,529.2,,,0
CDM,27800002,SCREW BNE 2.4X16MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
CDM,27800002,SCREW BNE 2.4X16MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
CDM,27800002,SCREW BNE 2.4X16MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.4X16MM T8 STARDRV RECESS LOK ST SS LCP DST RAD,441.0,441.0,,,0
CDM,27800002,SCREW BNE 2.4X16MM VA T8 STARDRV RECESS LOK ST SS PRO-PK,529.2,529.2,,,0
CDM,27800002,SCREW BNE 2.4X18MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
CDM,27800002,SCREW BNE 2.4X18MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
CDM,27800002,SCREW BNE 2.4X18MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
CDM,27800002,SCREW BNE 2.4X18MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.4X18MM VA T8 STARDRV RECESS LOK ST SS PRO-PK,529.2,529.2,,,0
CDM,27800002,SCREW BNE 2.4X22MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
CDM,27800002,SCREW BNE 2.4X22MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.4X24MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
CDM,27800002,SCREW BNE 2.4X24MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
CDM,27800002,SCREW BNE 2.4X26MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
CDM,27800002,SCREW BNE 2.4X28MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.4X30MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
CDM,27800002,SCREW BNE 2.4X30MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.4X32MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
CDM,27800002,SCREW BNE 2.4X32MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.4X36MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
CDM,27800002,SCREW BNE 2.4X36MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.4X38MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
CDM,27800002,SCREW BNE 2.4X38MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.4X40MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
CDM,27800002,SCREW BNE 2.4X40MM T8 DRV FT NONLOCKING TI VARIAX,273.6,273.6,,,0
CDM,27800002,SCREW BNE 2.5MM X 14MM CANN LOK POLYAX GEMINUS VOLAR PLATING,362.4,362.4,,,0
CDM,27800002,SCREW BNE 2.5MM X 18MM HND MULT DIR LOK ALPS,235.2,235.2,,,0
CDM,27800002,SCREW BNE 2.7MM X 10MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
CDM,27800002,SCREW BNE 2.7MM X 12MM NS LOK COCR T8 DRV PANGEA,703.2,703.2,,,0
CDM,27800002,SCREW BNE 2.7MM X 14MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
CDM,27800002,SCREW BNE 2.7MM X 17MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7MM X 18MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
CDM,27800002,SCREW BNE 2.7MM X 22MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7MM X 38MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
CDM,27800002,SCREW BNE 2.7MM X 46MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7MM X 50MM NS LOK COCR T8 DRV PANGEA,511.2,511.2,,,0
CDM,27800002,SCREW BNE 2.7MM X 8MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
CDM,27800002,SCREW BNE 2.7X10MM CORT FT ST T8 DRV EVOS MINI PLATING SYS,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X10MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X12MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X12MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X12MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X12MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
CDM,27800002,SCREW BNE 2.7X12MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X12MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X13MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X13MM COR DIA2MM PITCH 1MM HD 4.5MM FT LOK ST,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X14MM COR DIA2MM PITCH 1MM HD 4.3MM LOK ST T8,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X14MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X14MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X14MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
CDM,27800002,SCREW BNE 2.7X14MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.7X14MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X15MM LOK ST T8 DRV SM PLATING SYS EVOS,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X16MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X16MM CORT ST SELF RET T8 MINI PLATING SYS EVOS,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X16MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X16MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
CDM,27800002,SCREW BNE 2.7X16MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X16MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,SCREW BNE 2.7X16MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
CDM,27800002,SCREW BNE 2.7X16MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.7X16MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X17MM ST CORT ST EVOS MINI PLATING SYS,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X18MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X18MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X18MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
CDM,27800002,SCREW BNE 2.7X18MM ST CORT ST EVOS MINI PLATING SYS,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X18MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X18MM T10 DRV FT LOK TI VARIAX,374.4,374.4,,,0
CDM,27800002,SCREW BNE 2.7X18MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
CDM,27800002,SCREW BNE 2.7X18MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.7X18MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X20MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X20MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X20MM CORT ST T8 SELF RET FOR MINI PLATING SYS,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X20MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X20MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
CDM,27800002,SCREW BNE 2.7X20MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.7X20MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X22MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X22MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X22MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
CDM,27800002,SCREW BNE 2.7X22MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
CDM,27800002,SCREW BNE 2.7X22MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X24MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X24MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X24MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X24MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
CDM,27800002,SCREW BNE 2.7X24MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
CDM,27800002,SCREW BNE 2.7X24MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X26MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X26MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X26MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
CDM,27800002,SCREW BNE 2.7X26MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
CDM,27800002,SCREW BNE 2.7X26MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.7X26MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X28MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X28MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X28MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X28MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
CDM,27800002,SCREW BNE 2.7X28MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.7X28MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X30MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X30MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.7X30MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X32MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X32MM CORT ST SELF RET T8 MINI PLATING SYS EVOS,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X32MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X32MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
CDM,27800002,SCREW BNE 2.7X32MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X34MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X36MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
CDM,27800002,SCREW BNE 2.7X36MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.7X36MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X38MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X38MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X40MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X40MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X40MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X40MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
CDM,27800002,SCREW BNE 2.7X40MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X42MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X42MM MTPHSEAL LOK ST SS VA-LCP ANK TRAUM SYS,190.92,190.92,,,0
CDM,27800002,SCREW BNE 2.7X42MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X44MM CORT ST MINI PLATING SYS EVOS,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X44MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X44MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X44MMCORE DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2.7X45MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X46MM MTPHSEAL LOK ST SS VA-LCP ANK TRAUM SYS,286.2,286.2,,,0
CDM,27800002,SCREW BNE 2.7X46MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X48MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
CDM,27800002,SCREW BNE 2.7X48MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X50MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
CDM,27800002,SCREW BNE 2.7X50MM MTPHSEAL LOK ST SS VA-LCP ANK TRAUM SYS,190.92,190.92,,,0
CDM,27800002,SCREW BNE 2.7X60MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
CDM,27800002,SCREW BNE 2.7X60MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,SCREW BNE 2.7X60MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
CDM,27800002,SCREW BNE 2.7X8MM LOK ST SS T8 DRV EVOS MINI PLATING SYS,260.4,260.4,,,0
CDM,27800002,SCREW BNE 2MM X 6MM MAND SLF DRL TI ALLY MATRIXMANDIBLE,146.88,146.88,,,0
CDM,27800002,SCREW BNE 2X10MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
CDM,27800002,SCREW BNE 2X10MM MAND CORT FT ST TI MATRIXMANDIBLE 1/PK,132.48,132.48,,,0
CDM,27800002,SCREW BNE 2X11MM CMF THRD LOK TAPR TI-6AL-4V LEV 1 MAXDRIVE,180.0,180.0,,,0
CDM,27800002,SCREW BNE 2X11MM CMF TI-6AL-4V LEV 1 MAXDRIVE,96.0,96.0,,,0
CDM,27800002,SCREW BNE 2X12MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
CDM,27800002,SCREW BNE 2X12MM MAND CORT FT LOK ST TI MATRIXMANDIBLE 1/PK,246.72,246.72,,,0
CDM,27800002,SCREW BNE 2X12MM MAND CORT FT ST TI MATRIXMANDIBLE 1/PK,132.48,132.48,,,0
CDM,27800002,SCREW BNE 2X12MM ST SLF DRL SS T8 STARDRV RECESS,230.4,230.4,,,0
CDM,27800002,SCREW BNE 2X13MM CMF TI-6AL-4V LEV 1 MAXDRIVE,96.0,96.0,,,0
CDM,27800002,SCREW BNE 2X14MM CMF THRD 10MM DRL FREE SS MAXDRIVE MMF,240.0,240.0,,,0
CDM,27800002,SCREW BNE 2X14MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
CDM,27800002,SCREW BNE 2X14MM ST TI MATRIXMANDIBLE,132.48,132.48,,,0
CDM,27800002,SCREW BNE 2X16MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
CDM,27800002,SCREW BNE 2X16MM MAND CORT FT NONLOCKING ST SELF RET TI ALLY,132.48,132.48,,,0
CDM,27800002,SCREW BNE 2X22MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
CDM,27800002,SCREW BNE 2X32MM T6 DRV TI VARIAX,273.6,273.6,,,0
CDM,27800002,SCREW BNE 2X34MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
CDM,27800002,SCREW BNE 2X34MM T6 DRV TI VARIAX,273.6,273.6,,,0
CDM,27800002,SCREW BNE 2X40MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
CDM,27800002,SCREW BNE 2X5MM CMF THRD LOK TAPR TI-6AL-4V LEV 1 MAXDRIVE,180.0,180.0,,,0
CDM,27800002,SCREW BNE 2X5MM DRL FREE TI MAXDRIVE LEV 1 CMF,96.0,96.0,,,0
CDM,27800002,SCREW BNE 2X8MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
CDM,27800002,SCREW BNE 2X8MM MAND CORT FT ST TI MATRIXMANDIBLE 1/PK,132.48,132.48,,,0
CDM,27800002,SCREW BNE 2X8MM ST SLF DRL SS T8 STARDRV RECESS,230.4,230.4,,,0
CDM,27800002,SCREW BNE 2X9MM CMF THRD LOK TAPR TI-6AL-4V LEV 1 MAXDRIVE,180.0,180.0,,,0
CDM,27800002,SCREW BNE 2X9MM NONLOCKING TI MAXDRIVE,96.0,96.0,,,0
CDM,27800002,SCREW BNE 3.5MM X 10MM DST VOLAR RAD CORT FT FOR DVR ANAT,151.2,151.2,,,0
CDM,27800002,SCREW BNE 3.5MM X 12MM DST VOLAR RAD CORT FT FOR DVR ANAT,151.2,151.2,,,0
CDM,27800002,SCREW BNE 3.5MM X 12MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
CDM,27800002,SCREW BNE 3.5MM X 16MM DST VOLAR RAD CORT FT FOR DVR ANAT,151.2,151.2,,,0
CDM,27800002,SCREW BNE 3.5MM X 16MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
CDM,27800002,SCREW BNE 3.5MM X 28MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
CDM,27800002,SCREW BNE 3.5MM X 28MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
CDM,27800002,SCREW BNE 3.5MM X 30MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
CDM,27800002,SCREW BNE 3.5MM X 30MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
CDM,27800002,SCREW BNE 3.5MM X 46MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
CDM,27800002,SCREW BNE 3.5MM X 46MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
CDM,27800002,SCREW BNE 3.5MM X 56MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
CDM,27800002,SCREW BNE 3.5MM X 60MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
CDM,27800002,SCREW BNE 3.5MMX32MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X100MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X10MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
CDM,27800002,SCREW BNE 3.5X10MM DST RAD CORT LOK TI GEMINUS,218.4,218.4,,,0
CDM,27800002,SCREW BNE 3.5X10MM HEXALOBE WRST LOK TI ACU-LOC,494.4,494.4,,,0
CDM,27800002,SCREW BNE 3.5X10MM HEXALOBE WRST TI ACU-LOC,249.6,249.6,,,0
CDM,27800002,SCREW BNE 3.5X10MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X10MM T10 DRV FT LOK TI VARIAX,706.61,706.61,,,0
CDM,27800002,SCREW BNE 3.5X12MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X12MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
CDM,27800002,SCREW BNE 3.5X12MM HEXALOBE WRST LOK TI ACU-LOC,494.4,494.4,,,0
CDM,27800002,SCREW BNE 3.5X12MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X12MM T10 DRV FT LOK TI VARIAX,706.61,706.61,,,0
CDM,27800002,SCREW BNE 3.5X12MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
CDM,27800002,SCREW BNE 3.5X14MM ANK CORT FT SS LP FRAC MGMT SYS,91.27,91.27,,,0
CDM,27800002,SCREW BNE 3.5X14MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X14MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
CDM,27800002,SCREW BNE 3.5X14MM HEXALOBE WRST TI ACU-LOC,249.6,249.6,,,0
CDM,27800002,SCREW BNE 3.5X14MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X14MM T10 DRV FT LOK TI VARIAX,706.61,706.61,,,0
CDM,27800002,SCREW BNE 3.5X14MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
CDM,27800002,SCREW BNE 3.5X16MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X16MM CORT STARDRV RECESS ST SS LCP,117.0,117.0,,,0
CDM,27800002,SCREW BNE 3.5X16MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
CDM,27800002,SCREW BNE 3.5X16MM DST LAT PERIARTC HEX HD 2.7MM FT LOK ST,176.4,176.4,,,0
CDM,27800002,SCREW BNE 3.5X16MM HEXALOBE WRST LOK TI ACU-LOC,494.4,494.4,,,0
CDM,27800002,SCREW BNE 3.5X16MM HEXALOBE WRST TI ACU-LOC,249.6,249.6,,,0
CDM,27800002,SCREW BNE 3.5X16MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X16MM T10 DRV FT LOK TI VARIAX,706.61,706.61,,,0
CDM,27800002,SCREW BNE 3.5X16MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
CDM,27800002,SCREW BNE 3.5X18MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X18MM CORT STARDRV RECESS ST SS LCP,117.0,117.0,,,0
CDM,27800002,SCREW BNE 3.5X18MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X18MM HEXALOBE WRST LOK TI ACU-LOC,494.4,494.4,,,0
CDM,27800002,SCREW BNE 3.5X18MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X18MM T10 DRV FT LOK TI VARIAX,706.61,706.61,,,0
CDM,27800002,SCREW BNE 3.5X18MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
CDM,27800002,SCREW BNE 3.5X20MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X20MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X20MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X20MM T10 DRV FT LOK TI VARIAX,374.4,374.4,,,0
CDM,27800002,SCREW BNE 3.5X20MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
CDM,27800002,SCREW BNE 3.5X22MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X22MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X22MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X22MM DST TIB CORT LOK ST T15 DRV ALPS,109.2,109.2,,,0
CDM,27800002,SCREW BNE 3.5X22MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE 3.5X22MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X22MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
CDM,27800002,SCREW BNE 3.5X24MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X24MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X24MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X24MM DST TIB CORT FT LOK ALPS,226.8,226.8,,,0
CDM,27800002,SCREW BNE 3.5X24MM DST TIB CORT LOK ST T15 DRV ALPS,109.2,109.2,,,0
CDM,27800002,SCREW BNE 3.5X24MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X24MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,SCREW BNE 3.5X24MM VA TIB FT LOK ST SS T15 STARDRV RECESS,547.2,547.2,,,0
CDM,27800002,SCREW BNE 3.5X26MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X26MM CORT NONLOCKING TI LP T15 PROX HUM,100.8,100.8,,,0
CDM,27800002,SCREW BNE 3.5X26MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X26MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X26MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X28MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X28MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X28MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X28MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE 3.5X28MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X28MM T10 DRV FT LOK TI VARIAX,374.4,374.4,,,0
CDM,27800002,SCREW BNE 3.5X28MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,SCREW BNE 3.5X30MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X30MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
CDM,27800002,SCREW BNE 3.5X30MM HEX DRV RECESS CANN PRTLY THRD SS,649.8,649.8,,,0
CDM,27800002,SCREW BNE 3.5X30MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X30MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
CDM,27800002,SCREW BNE 3.5X30MM VA TIB FT LOK ST SS T15 STARDRV RECESS,547.2,547.2,,,0
CDM,27800002,SCREW BNE 3.5X32MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X32MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X32MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X34MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X34MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X34MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X34MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,SCREW BNE 3.5X35MM CORT,129.6,129.6,,,0
CDM,27800002,SCREW BNE 3.5X35MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X36MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X36MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X36MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X36MM VA T15 STARDRV RECESS LOK ST SS VA-LCP,547.2,547.2,,,0
CDM,27800002,SCREW BNE 3.5X38MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X38MM CORT SS ST SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X38MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X38MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X38MM VA T15 STARDRV RECESS LOK ST SS VA-LCP,547.2,547.2,,,0
CDM,27800002,SCREW BNE 3.5X40MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X40MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X40MM HEX DRV RECESS CANN PRTLY THRD SS,649.8,649.8,,,0
CDM,27800002,SCREW BNE 3.5X40MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X40MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,SCREW BNE 3.5X40MM VA TIB FT LOK ST SS T15 STARDRV RECESS,547.2,547.2,,,0
CDM,27800002,SCREW BNE 3.5X42MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X42MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X42MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
CDM,27800002,SCREW BNE 3.5X42MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X44MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X44MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X44MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X44MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE 3.5X44MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X44MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
CDM,27800002,SCREW BNE 3.5X45MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X45MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X46MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X46MM CORT ST SS EVOS SM PLATING SYS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X46MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X46MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X48MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X48MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X48MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X48MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
CDM,27800002,SCREW BNE 3.5X50MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X50MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X50MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X50MM DST TIB CORT FT LOK ALPS,226.8,226.8,,,0
CDM,27800002,SCREW BNE 3.5X50MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE 3.5X50MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X50MM VA T15 STARDRV RECESS LOK ST SS VA-LCP,547.2,547.2,,,0
CDM,27800002,SCREW BNE 3.5X55MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X55MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X55MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X55MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE 3.5X55MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X55MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
CDM,27800002,SCREW BNE 3.5X60MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X60MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X60MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X60MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE 3.5X60MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X65MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X65MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE 3.5X65MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X65MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE 3.5X65MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X70MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X70MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X70MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X75MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X75MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
CDM,27800002,SCREW BNE 3.5X75MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X80MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X80MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X80MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X85MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X85MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
CDM,27800002,SCREW BNE 3.5X85MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X8MM DST RAD VOLAR CORT HEXALOBE HD LOK TI ACU,494.4,494.4,,,0
CDM,27800002,SCREW BNE 3.5X90MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 3.5X90MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
CDM,27800002,SCREW BNE 3.5X95MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
CDM,27800002,SCREW BNE 36MM COMPR SS DH-DC SYS,162.0,162.0,,,0
CDM,27800002,SCREW BNE 3MM X 14MM STRNM LOK SLF DRL TI FOR STBL INT FIX,439.56,439.56,,,0
CDM,27800002,SCREW BNE 4.3X26MM PROX HUM FT TI AEQUALIS IM NAIL,475.2,475.2,,,0
CDM,27800002,SCREW BNE 4.5MM X 26MM FEM CORT ST SS PERI-LOC,31.99,31.99,,,0
CDM,27800002,SCREW BNE 4.5MM X 36MM FEM LOK ST SS PERI-LOC,241.94,241.94,,,0
CDM,27800002,SCREW BNE 4.5MM X 40MM FEM LOK ST SS PERI-LOC,241.94,241.94,,,0
CDM,27800002,SCREW BNE 4.5X16MM LOK R1 REV SHLDR SYS,240.0,240.0,,,0
CDM,27800002,SCREW BNE 4.5X20MM CANN FT SS LP PEDIPLATES,577.7,577.7,,,0
CDM,27800002,SCREW BNE 4.5X22MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X24MM CANN FT SS LP PEDIPLATES,577.7,577.7,,,0
CDM,27800002,SCREW BNE 4.5X24MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X24MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X26MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X26MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X28MM CANN FT SS LP PEDIPLATES,577.7,577.7,,,0
CDM,27800002,SCREW BNE 4.5X28MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X28MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X30MM CORT FT NONLOCKING ST SS LP SM FRAG SYS,31.99,31.99,,,0
CDM,27800002,SCREW BNE 4.5X30MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X30MM CORT T20 DRV TI AXSOS 3,146.45,146.45,,,0
CDM,27800002,SCREW BNE 4.5X32MM CANN FT SS LP PEDIPLATES,577.7,577.7,,,0
CDM,27800002,SCREW BNE 4.5X32MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X32MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X34MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X34MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X36MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X36MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X38MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,743.4,743.4,,,0
CDM,27800002,SCREW BNE 4.5X38MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X38MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X40MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X42MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X42MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X44MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
CDM,27800002,SCREW BNE 4.5X44MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X44MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X46MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X46MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X48MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
CDM,27800002,SCREW BNE 4.5X48MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X50MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,85.25,85.25,,,0
CDM,27800002,SCREW BNE 4.5X50MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4.5X52MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
CDM,27800002,SCREW BNE 4.5X52MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X54MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
CDM,27800002,SCREW BNE 4.5X54MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X60MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
CDM,27800002,SCREW BNE 4.5X60MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
CDM,27800002,SCREW BNE 4.5X60MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
CDM,27800002,SCREW BNE 4MM X 14MM LOK COCR T20 DRV PANGEA,535.2,535.2,,,0
CDM,27800002,SCREW BNE 4X10MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X10MM CANC T15 DRV FT TI LP AXSOS 3,100.8,100.8,,,0
CDM,27800002,SCREW BNE 4X14MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
CDM,27800002,SCREW BNE 4X14MM CANC T15 DRV FT TI LP AXSOS 3,100.8,100.8,,,0
CDM,27800002,SCREW BNE 4X16MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
CDM,27800002,SCREW BNE 4X16MM CANC T15 DRV FT TI LP AXSOS 3,100.8,100.8,,,0
CDM,27800002,SCREW BNE 4X18MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
CDM,27800002,SCREW BNE 4X18MM CANC T15 DRV FT TI LP AXSOS 3,100.8,100.8,,,0
CDM,27800002,SCREW BNE 4X20MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
CDM,27800002,SCREW BNE 4X26MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X32MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,336.0,336.0,,,0
CDM,27800002,SCREW BNE 4X32MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X34MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,432.0,432.0,,,0
CDM,27800002,SCREW BNE 4X34MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,100.8,100.8,,,0
CDM,27800002,SCREW BNE 4X36MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X36MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,100.8,100.8,,,0
CDM,27800002,SCREW BNE 4X38MM CANC CANN LNG THRD ST SLF DRL SS,432.0,432.0,,,0
CDM,27800002,SCREW BNE 4X38MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,336.0,336.0,,,0
CDM,27800002,SCREW BNE 4X38MM CORT T15 DRV TI AXSOS 3,124.8,124.8,,,0
CDM,27800002,SCREW BNE 4X38MM STD CANC PRTLY THRD SPHR HD CANN THRD L14MM,355.99,355.99,,,0
CDM,27800002,SCREW BNE 4X40MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X40MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,693.74,693.74,,,0
CDM,27800002,SCREW BNE 4X40MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X40MM CANC HEX DRV RECESS PRTLY THRD SS SM FRAG,133.2,133.2,,,0
CDM,27800002,SCREW BNE 4X40MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,100.8,100.8,,,0
CDM,27800002,SCREW BNE 4X40MM CORT T15 DRV TI AXSOS 3,124.8,124.8,,,0
CDM,27800002,SCREW BNE 4X40MM HEX DRV RECESS CANN FT ST SLF DRL SS LP,403.2,403.2,,,0
CDM,27800002,SCREW BNE 4X40MM STD CANC SPHR HD CANN PRTLY THRD L14MM ST,355.99,355.99,,,0
CDM,27800002,SCREW BNE 4X42MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,336.0,336.0,,,0
CDM,27800002,SCREW BNE 4X42MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X42MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,100.8,100.8,,,0
CDM,27800002,SCREW BNE 4X42MM CORT T15 DRV TI AXSOS 3,124.8,124.8,,,0
CDM,27800002,SCREW BNE 4X44MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X46MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,100.8,100.8,,,0
CDM,27800002,SCREW BNE 4X46MM T15 DRV FT LOK TI AXSOS 3,439.2,439.2,,,0
CDM,27800002,SCREW BNE 4X48MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,336.0,336.0,,,0
CDM,27800002,SCREW BNE 4X48MM HEX DRV RECESS CANN FT ST SLF DRL SS LP,403.2,403.2,,,0
CDM,27800002,SCREW BNE 4X50MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X50MM CANC SPHR HD SLF CANN PRTLY THRD 15MM,355.99,355.99,,,0
CDM,27800002,SCREW BNE 4X50MM VA FT CORT HEX HD FT ST SS ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,SCREW BNE 4X52MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X54MM VA FT CORT HEX HD FT ST SS ANK TRAUM SYS,112.79,112.79,,,0
CDM,27800002,SCREW BNE 4X58MM FT CORT HEX HD FT ST SS,135.0,135.0,,,0
CDM,27800002,SCREW BNE 4X60MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
CDM,27800002,SCREW BNE 4X60MM FT CORT HEX HD FT ST SS,135.0,135.0,,,0
CDM,27800002,SCREW BNE 4X80MM T15 DRV FT LOK TI AXSOS 3,439.2,439.2,,,0
CDM,27800002,SCREW BNE 5MM X 16MM LOK COCR T20 DRV PANGEA,595.2,595.2,,,0
CDM,27800002,SCREW BNE 5MM X 22MM GLEN BASEPLT LOK TI RSP ALTIVATE REV,180.0,180.0,,,0
CDM,27800002,SCREW BNE 5MM X 32MM ANK CORT TI CORELOCK ARTH NAIL SYS,369.6,369.6,,,0
CDM,27800002,SCREW BNE 5MM X 34MM GLEN BASEPLT LOK TI RSP ALTIVATE REV,180.0,180.0,,,0
CDM,27800002,SCREW BNE 5MM X 56MM ANK CORT TI CORELOCK ARTH NAIL SYS,369.6,369.6,,,0
CDM,27800002,SCREW BNE 5X10MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,907.2,907.2,,,0
CDM,27800002,SCREW BNE 5X12MM UNICORTICAL L FRAG SYS NCB,260.4,260.4,,,0
CDM,27800002,SCREW BNE 5X14MM PERIPH GLEN PERFORM,120.0,120.0,,,0
CDM,27800002,SCREW BNE 5X14MM UNICORTICAL BLNT TIP FT TI ALLY NCB,260.4,260.4,,,0
CDM,27800002,SCREW BNE 5X14MM VA PERIPROSTHETIC T25 STARDRV RECESS LOK ST,907.2,907.2,,,0
CDM,27800002,SCREW BNE 5X20MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X25MM FIX ANG CORT HEX HD 3.5MM FT NONLOCKING TI,310.8,310.8,,,0
CDM,27800002,SCREW BNE 5X26MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X26MM PERIPH GLEN PERFORM,120.0,120.0,,,0
CDM,27800002,SCREW BNE 5X26MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X28MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X28MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X30MM DST HIP CORT FT ST FRAC NAIL SYS AFFIXUS,310.8,310.8,,,0
CDM,27800002,SCREW BNE 5X30MM PERIPH GLEN PERFORM,120.0,120.0,,,0
CDM,27800002,SCREW BNE 5X30MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X32MM FIX ANG TIB CORT HEX HD 3.5MM FT TI ALLY,310.8,310.8,,,0
CDM,27800002,SCREW BNE 5X32MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X34MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X34MM PERIPH GLEN REV AEQUALIS PERFORM,120.0,120.0,,,0
CDM,27800002,SCREW BNE 5X34MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X35MM CANN LOK SS LCP PERIARTC PLATING SYS,712.8,712.8,,,0
CDM,27800002,SCREW BNE 5X36MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X36MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X37.5MM TIB CORT HEX HD 3.5MM FT FIX ANG TI ALLY,310.8,310.8,,,0
CDM,27800002,SCREW BNE 5X38MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X38MM PERIPH GLEN PERFORM,120.0,120.0,,,0
CDM,27800002,SCREW BNE 5X38MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X40MM IM NAIL TIB DBL LD THRD ST TI ALLY PHOENIX,369.6,369.6,,,0
CDM,27800002,SCREW BNE 5X40MM PROX HUM CANN FT TI AEQUALIS IM NAIL,616.8,616.8,,,0
CDM,27800002,SCREW BNE 5X40MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X42MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X42MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X44MM PROX HUM CANN FT TI AEQUALIS IM NAIL,616.8,616.8,,,0
CDM,27800002,SCREW BNE 5X44MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X45MM FIX ANG FEM CORT HEX HD 3.5MM FT NONLOCKING,310.8,310.8,,,0
CDM,27800002,SCREW BNE 5X45MM ST SHFT PRTLY THRD LOK TI T2 NAIL SYS,321.6,321.6,,,0
CDM,27800002,SCREW BNE 5X46MM CONDYLE VA FT LOK ST SS LP T25 STARDRV,631.8,631.8,,,0
CDM,27800002,SCREW BNE 5X46MM DST CORT AFFIXUS HIP FRAC NAIL SYS,310.8,310.8,,,0
CDM,27800002,SCREW BNE 5X46MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X46MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X48MM CORT DBL LD THRD ST TI PHOENIX TIB NAIL SYS,369.6,369.6,,,0
CDM,27800002,SCREW BNE 5X48MM DST CORT AFFIXUS HIP FRAC NAIL SYS,310.8,310.8,,,0
CDM,27800002,SCREW BNE 5X48MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,631.8,631.8,,,0
CDM,27800002,SCREW BNE 5X50MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X50MM DST HIP CORT FT ST FRAC NAIL SYS AFFIXUS,310.8,310.8,,,0
CDM,27800002,SCREW BNE 5X50MM ST SHFT PRTLY THRD LOK TI T2 NAIL SYS,321.6,321.6,,,0
CDM,27800002,SCREW BNE 5X50MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,631.8,631.8,,,0
CDM,27800002,SCREW BNE 5X52MM DST CORT AFFIXUS HIP FRAC NAIL SYS,310.8,310.8,,,0
CDM,27800002,SCREW BNE 5X55MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,631.8,631.8,,,0
CDM,27800002,SCREW BNE 5X60MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X60MM FIX ANG FEM CORT HEX HD 3.5MM FT NONLOCKING,310.8,310.8,,,0
CDM,27800002,SCREW BNE 5X60MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,631.8,631.8,,,0
CDM,27800002,SCREW BNE 5X65MM CANN LOK SS LCP PERIARTC PLATING SYS,712.8,712.8,,,0
CDM,27800002,SCREW BNE 5X65MM DST FEM FT ST TI ALLY NCB,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X65MM IM NAIL TIB DBL LD THRD ST TI ALLY PHOENIX,369.6,369.6,,,0
CDM,27800002,SCREW BNE 5X70MM CANN LOK SS LCP PERIARTC PLATING SYS,712.8,712.8,,,0
CDM,27800002,SCREW BNE 5X70MM DST FEM FT ST TI ALLY NCB,277.2,277.2,,,0
CDM,27800002,SCREW BNE 5X70MM ST CONDYLE PRTLY THRD TI T2 NAIL SYS,321.6,321.6,,,0
CDM,27800002,SCREW BNE 5X70MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X75MM CANN LOK SS LCP PERIARTC PLATING SYS,712.8,712.8,,,0
CDM,27800002,SCREW BNE 5X75MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
CDM,27800002,SCREW BNE 5X80MM CANN LOK SS LCP PERIARTC PLATING SYS,712.8,712.8,,,0
CDM,27800002,SCREW BNE 6.5MM X 80MM CANN PRTLY THRD 46MM SS,445.82,445.82,,,0
CDM,27800002,SCREW BNE 6.5X100MM CANC HEX DRV RECESS CANN 16MM THRD ST,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X100MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,532.8,532.8,,,0
CDM,27800002,SCREW BNE 6.5X100MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,376.8,376.8,,,0
CDM,27800002,SCREW BNE 6.5X110MM CANC HEX DRV RECESS CANN 32MM THRD ST,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X140MM CANC HEX DRV RECESS CANN FT ST SLF DRL,937.8,937.8,,,0
CDM,27800002,SCREW BNE 6.5X15MM ACET ST TI HGP II,59.95,59.95,,,0
CDM,27800002,SCREW BNE 6.5X160MM CANC HEX DRV RECESS CANN FT ST SLF DRL,937.8,937.8,,,0
CDM,27800002,SCREW BNE 6.5X20MM CANC ST TI TRIL ACET SYS,59.95,59.95,,,0
CDM,27800002,SCREW BNE 6.5X30MM CNTRL GLEN THRD PERFORM,900.0,900.0,,,0
CDM,27800002,SCREW BNE 6.5X35MM ACET ST TI HGP II,59.95,59.95,,,0
CDM,27800002,SCREW BNE 6.5X40MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,532.8,532.8,,,0
CDM,27800002,SCREW BNE 6.5X45MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X45MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,532.8,532.8,,,0
CDM,27800002,SCREW BNE 6.5X50MM CANC HEX DRV RECESS 32MM THRD SS L FRAG,253.8,253.8,,,0
CDM,27800002,SCREW BNE 6.5X50MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X50MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,532.8,532.8,,,0
CDM,27800002,SCREW BNE 6.5X55MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,523.2,523.2,,,0
CDM,27800002,SCREW BNE 6.5X55MM SPNL MOD CANN CREO,840.0,840.0,,,0
CDM,27800002,SCREW BNE 6.5X60MM CANC HEX DRV RECESS 32MM THRD SS L FRAG,253.8,253.8,,,0
CDM,27800002,SCREW BNE 6.5X60MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X65MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,574.56,574.56,,,0
CDM,27800002,SCREW BNE 6.5X65MM CORT CANN THRD 22MM ST SLF DRL SS LP,445.82,445.82,,,0
CDM,27800002,SCREW BNE 6.5X65MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,523.2,523.2,,,0
CDM,27800002,SCREW BNE 6.5X70MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X70MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X70MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,523.2,523.2,,,0
CDM,27800002,SCREW BNE 6.5X75MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,1002.6,1002.6,,,0
CDM,27800002,SCREW BNE 6.5X75MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X75MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,532.8,532.8,,,0
CDM,27800002,SCREW BNE 6.5X80MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X80MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,574.56,574.56,,,0
CDM,27800002,SCREW BNE 6.5X80MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,1104.86,1104.86,,,0
CDM,27800002,SCREW BNE 6.5X80MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,901.87,901.87,,,0
CDM,27800002,SCREW BNE 6.5X85MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X85MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,574.56,574.56,,,0
CDM,27800002,SCREW BNE 6.5X85MM CANN PRTLY THRD 16MM BIODUR 108 ALLY,403.2,403.2,,,0
CDM,27800002,SCREW BNE 6.5X85MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,532.8,532.8,,,0
CDM,27800002,SCREW BNE 6.5X85MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,1104.86,1104.86,,,0
CDM,27800002,SCREW BNE 6.5X85MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,376.8,376.8,,,0
CDM,27800002,SCREW BNE 6.5X90MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X90MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X90MM CANN PRTLY THRD 16MM BIODUR 108 ALLY,403.2,403.2,,,0
CDM,27800002,SCREW BNE 6.5X90MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,532.8,532.8,,,0
CDM,27800002,SCREW BNE 6.5X90MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,901.87,901.87,,,0
CDM,27800002,SCREW BNE 6.5X95MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X95MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,912.6,912.6,,,0
CDM,27800002,SCREW BNE 6.5X95MM CANN PRTLY THRD 16MM BIODUR 108 ALLY,403.2,403.2,,,0
CDM,27800002,SCREW BNE 6.5X95MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,532.8,532.8,,,0
CDM,27800002,SCREW BNE 6.5X95MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,901.87,901.87,,,0
CDM,27800002,SCREW BNE 6X75MM FIX ANG FEM CORT HEX HD 3.5MM FT NONLOCKING,319.2,319.2,,,0
CDM,27800002,SCREW BNE 7.3X70MM HEX DRV RECESS CANN LOK SS LCP PERIARTC,963.0,963.0,,,0
CDM,27800002,SCREW BNE 7X150MM CANN PRTLY THRD 32MM BIODUR 108 ALLY,411.6,411.6,,,0
CDM,27800002,SCREW BNE 8X105MM HEX DRV RECESS CANN PRTLY THRD ST SLF DRL,1104.86,1104.86,,,0
CDM,27800002,SCREW BNE 8X70MM HEX DRV RECESS CANN PRTLY THRD ST SLF DRL,532.8,532.8,,,0
CDM,27800002,SCREW BNE CORT 3.5X20MM,84.0,84.0,,,0
CDM,27800002,SCREW BNE CORT 5MM X 28MM ST AFFIXUS,504.0,504.0,,,0
CDM,27800002,SCREW BNE CORT HND EL FT TI L10MM OD2MM APTUS HEXADRIVE 6,248.28,248.28,,,0
CDM,27800002,SCREW BNE DIA5.0MM L60MM CORT DST SCR AFFIMM LUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,SCREW BNE L100MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
CDM,27800002,SCREW BNE L100MM DIA6MM HEX HD FT FIX ANG FEM CANC NONCANN,319.2,319.2,,,0
CDM,27800002,SCREW BNE L105MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
CDM,27800002,SCREW BNE L10MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,SCREW BNE L10MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
CDM,27800002,SCREW BNE L10MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L10MM DIA5MM STD UNICORTICAL FEM TI ALLY LOK,260.4,260.4,,,0
CDM,27800002,SCREW BNE L110MM DIA10.5MM HIP LAG FOR AFFIXUS FRAC NAIL SYS,1041.6,1041.6,,,0
CDM,27800002,SCREW BNE L11MM DIA2.7MM DST VOLAR RAD GRN TI SQ LOK DVR,184.8,184.8,,,0
CDM,27800002,SCREW BNE L11MM DIA2.7MM TI LOK SLF DRL MATRIXRIB,581.76,581.76,,,0
CDM,27800002,SCREW BNE L11MM DIA3.5MM CORT DST VOLAR RAD TI NONLOCKING FT,216.0,216.0,,,0
CDM,27800002,SCREW BNE L11MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L11MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,SCREW BNE L12MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
CDM,27800002,SCREW BNE L12MM DIA2.7MM DST VOLAR RAD LOK FT SQ DRV HD LP,184.8,184.8,,,0
CDM,27800002,SCREW BNE L12MM DIA2MM TI EL HND CORT 6 HEXADRIVE APTUS,248.28,248.28,,,0
CDM,27800002,SCREW BNE L12MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
CDM,27800002,SCREW BNE L12MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L12MM DIA3.5MM CORT DST VOLAR RAD TI LOK FT,218.4,218.4,,,0
CDM,27800002,SCREW BNE L12MM DIA3.5MM NONLOCKING HEXALOBE EL PLATING SYS,249.6,249.6,,,0
CDM,27800002,SCREW BNE L12MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L12MM DIA4.7MM SS OSTEOPENIA FT FOR EVOS SM,110.88,110.88,,,0
CDM,27800002,SCREW BNE L13MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,SCREW BNE L13MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
CDM,27800002,SCREW BNE L13MM DIA3.5MM CORT DST RAD TI LOK FOR VOLAR,218.4,218.4,,,0
CDM,27800002,SCREW BNE L13MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
CDM,27800002,SCREW BNE L13MM DIA3.5MM CORT ST NONLOCKING FT FOR ANAT,145.92,145.92,,,0
CDM,27800002,SCREW BNE L13MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L13MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE L14.5MM DIA8MM CORT TI CANN NONLOCKING COMPR,711.74,711.74,,,0
CDM,27800002,SCREW BNE L140MM DIA6.5MM STD SS CORT ST SLF DRL CANN,445.82,445.82,,,0
CDM,27800002,SCREW BNE L145MM DIA7MM BIODUR ALLY CANN NONLOCKING FT,411.6,411.6,,,0
CDM,27800002,SCREW BNE L14MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,SCREW BNE L14MM DIA2.7MM DST VOLAR RAD LOK FT SQ DRV HD LP,184.8,184.8,,,0
CDM,27800002,SCREW BNE L14MM DIA2MM TI EL HND FT 6 HEXADRIVE TRILOK APTUS,406.51,406.51,,,0
CDM,27800002,SCREW BNE L14MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
CDM,27800002,SCREW BNE L14MM DIA3.5MM CORT VOLAR TI NONCANN LOK FOR DVR,151.2,151.2,,,0
CDM,27800002,SCREW BNE L14MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L14MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,226.8,226.8,,,0
CDM,27800002,SCREW BNE L14MM DIA5MM TI NONLOCKING FOR GLEN BASEPLT FIX,180.0,180.0,,,0
CDM,27800002,SCREW BNE L15MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,SCREW BNE L15MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
CDM,27800002,SCREW BNE L15MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
CDM,27800002,SCREW BNE L15MM DIA3.5MM CORT ST NONLOCKING FT FOR ANAT,151.2,151.2,,,0
CDM,27800002,SCREW BNE L15MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,SCREW BNE L165MM DIA7MM COMPR CANC FT CANN ST SLF DRL,411.6,411.6,,,0
CDM,27800002,SCREW BNE L16MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,SCREW BNE L16MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,SCREW BNE L16MM DIA2.7MM DST VOLAR RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,SCREW BNE L16MM DIA2MM CORT EL G TI ST SELF DRL FT HEXADRIVE,248.28,248.28,,,0
CDM,27800002,SCREW BNE L16MM DIA2MM CORT HND EL FT TI TRILOK APTUS,406.51,406.51,,,0
CDM,27800002,SCREW BNE L16MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
CDM,27800002,SCREW BNE L16MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L16MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE L16MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,226.8,226.8,,,0
CDM,27800002,SCREW BNE L16MM DIA3.5MM STD CORT SS ST NONCANN LOK FT HEX,75.6,75.6,,,0
CDM,27800002,SCREW BNE L17MM DIA2MM CORT HND TI APTUS HEXADRIVE 6,248.28,248.28,,,0
CDM,27800002,SCREW BNE L18MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,SCREW BNE L18MM DIA2.5MM DST RAD VOLAR COCR POLYAX LOK CANN,362.4,362.4,,,0
CDM,27800002,SCREW BNE L18MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,SCREW BNE L18MM DIA2.7MM DST VOLAR RAD MULTDIR FT SQ DRV HD,235.2,235.2,,,0
CDM,27800002,SCREW BNE L18MM DIA2.7MM DST VOLAR RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,SCREW BNE L18MM DIA2MM CORT HND EL FT TI TRILOK APTUS,406.51,406.51,,,0
CDM,27800002,SCREW BNE L18MM DIA2MM CORT HND EL TI APTUS HEXADRIVE 6,248.28,248.28,,,0
CDM,27800002,SCREW BNE L18MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L18MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE L18MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,226.8,226.8,,,0
CDM,27800002,SCREW BNE L18MM DIA5MM PERIPH THRD GLEN REV AEQUALIS PERFORM,120.0,120.0,,,0
CDM,27800002,SCREW BNE L18MM DIA5MM TI NONLOCKING FOR GLEN BASEPLT FIX,180.0,180.0,,,0
CDM,27800002,SCREW BNE L20MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,SCREW BNE L20MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,SCREW BNE L20MM DIA2.7MM DST VOLAR RAD MULTDIR FT SQ DRV HD,235.2,235.2,,,0
CDM,27800002,SCREW BNE L20MM DIA2MM CORT HND EL TI APTUS HEXADRIVE 6,248.28,248.28,,,0
CDM,27800002,SCREW BNE L20MM DIA3.5MM CANC NONCANN NONLOCKING LP T15,100.8,100.8,,,0
CDM,27800002,SCREW BNE L20MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L20MM DIA3.5MM CORT DST TIB TIM ST NONLOCKING FT,109.2,109.2,,,0
CDM,27800002,SCREW BNE L20MM DIA3.5MM CORT ST NONLOCKING FT FOR ANAT,151.2,151.2,,,0
CDM,27800002,SCREW BNE L20MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L20MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE L20MM SHLDR ASSEMB FOR ARTHROPLASTY AEQUALIS FLX,1920.0,1920.0,,,0
CDM,27800002,SCREW BNE L22MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,SCREW BNE L22MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,SCREW BNE L22MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,SCREW BNE L22MM DIA2.7MM DST VOLAR RAD MULTDIR FT SQ DRV HD,235.2,235.2,,,0
CDM,27800002,SCREW BNE L22MM DIA3.5MM CORT,84.0,84.0,,,0
CDM,27800002,SCREW BNE L22MM DIA3.5MM PROX HUM NONLOCKING T15 LP FOR ALPS,100.8,100.8,,,0
CDM,27800002,SCREW BNE L22MM DIA3.5MM STD DST CORT TIB TI ST NONCANN LOK,226.8,226.8,,,0
CDM,27800002,SCREW BNE L22MM DIA5MM PERIPH THRD GLEN REV AEQUALIS PERFORM,120.0,120.0,,,0
CDM,27800002,SCREW BNE L24MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,SCREW BNE L24MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
CDM,27800002,SCREW BNE L24MM DIA3.5MM CORT,84.0,84.0,,,0
CDM,27800002,SCREW BNE L24MM DIA3.5MM PROX HUM NONLOCKING T15 LP FOR ALPS,100.8,100.8,,,0
CDM,27800002,SCREW BNE L25MM DIA6.5MM CNTRL THRD GLEN REV AEQUALIS,900.0,900.0,,,0
CDM,27800002,SCREW BNE L26MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,SCREW BNE L26MM DIA2.4MM ST WRST SS ST LOK T7 EVOS,256.2,256.2,,,0
CDM,27800002,SCREW BNE L26MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,SCREW BNE L26MM DIA3.5MM CORT,84.0,84.0,,,0
CDM,27800002,SCREW BNE L26MM DIA3.5MM SS ST LOK FOR SM PLATING SYS EVOS,179.35,179.35,,,0
CDM,27800002,SCREW BNE L26MM DIA3.5MM STD CORT TI ST NONCANN FT LOK SM,226.8,226.8,,,0
CDM,27800002,SCREW BNE L27.5MM DIA5MM HD DIA3.5MM CORT TI NONCANN,310.8,310.8,,,0
CDM,27800002,SCREW BNE L28MM DIA2.2MM DST VOLAR RAD NONLOCKING FT FOR DVR,117.6,117.6,,,0
CDM,27800002,SCREW BNE L28MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,SCREW BNE L28MM DIA2.4MM ST WRST SS ST LOK T7 EVOS,256.2,256.2,,,0
CDM,27800002,SCREW BNE L28MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
CDM,27800002,SCREW BNE L28MM DIA3.5MM CORT DST TIB TIM ST NONLOCKING FT,109.2,109.2,,,0
CDM,27800002,SCREW BNE L28MM DIA4.5MM SS CORT FEM ST NONLOCKING FT HEX HD,31.99,31.99,,,0
CDM,27800002,SCREW BNE L28MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,SCREW BNE L28MM DIA5MM PROX G CANN AEQUALIS,616.8,616.8,,,0
CDM,27800002,SCREW BNE L30MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
CDM,27800002,SCREW BNE L30MM DIA3.5MM CORT,84.0,84.0,,,0
CDM,27800002,SCREW BNE L30MM DIA3.5MM CORT DST TIB TIM ST NONLOCKING FT,109.2,109.2,,,0
CDM,27800002,SCREW BNE L30MM DIA3.5MM MULTIUSE,204.0,204.0,,,0
CDM,27800002,SCREW BNE L30MM DIA3.5MM PROX HUM NONLOCKING T15 LP FOR ALPS,100.8,100.8,,,0
CDM,27800002,SCREW BNE L30MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
CDM,27800002,SCREW BNE L30MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,SCREW BNE L30MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,310.8,310.8,,,0
CDM,27800002,SCREW BNE L30MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,SCREW BNE L30MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
CDM,27800002,SCREW BNE L32MM DIA3.5MM CORT,84.0,84.0,,,0
CDM,27800002,SCREW BNE L32MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L32MM DIA4.5MM SS CORT FEM ST NONLOCKING FT LP HEX,31.99,31.99,,,0
CDM,27800002,SCREW BNE L32MM THRD DIA2.4MM HD DIA3.8MM COR DIA1.6MM PITCH,79.8,79.8,,,0
CDM,27800002,SCREW BNE L33MM DIA3.5MM MULTIUSE,204.0,204.0,,,0
CDM,27800002,SCREW BNE L34MM DIA2.4MM CORT ST T7 SELF RET FOR MINI,79.8,79.8,,,0
CDM,27800002,SCREW BNE L34MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L34MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
CDM,27800002,SCREW BNE L34MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,SCREW BNE L34MM DIA5MM TIB TI DBL LD FOR PHOENIX NAIL SYS,369.6,369.6,,,0
CDM,27800002,SCREW BNE L34MM THRD DIA2.4MM HD DIA3.8MM COR DIA1.6MM PITCH,256.2,256.2,,,0
CDM,27800002,SCREW BNE L34MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,SCREW BNE L34MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
CDM,27800002,SCREW BNE L35MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,310.8,310.8,,,0
CDM,27800002,SCREW BNE L36MM DIA2.4MM CORT ST T7 SELF RET FOR MINI,79.8,79.8,,,0
CDM,27800002,SCREW BNE L36MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L36MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,SCREW BNE L36MM DIA5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
CDM,27800002,SCREW BNE L36MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,SCREW BNE L36MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
CDM,27800002,SCREW BNE L38MM DIA2.7MM ST CORT ST T8 SELF RET FOR MINI,84.0,84.0,,,0
CDM,27800002,SCREW BNE L38MM DIA3.5MM CORT DST TIB ST LOK FT TAPR HD T15,226.8,226.8,,,0
CDM,27800002,SCREW BNE L38MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,SCREW BNE L38MM DIA5MM TIB TI DBL LD FOR PHOENIX NAIL SYS,369.6,369.6,,,0
CDM,27800002,SCREW BNE L38MM OD3.5MM ST NONLOCKING THRD SQ DRV LP TAPR,109.2,109.2,,,0
CDM,27800002,SCREW BNE L38MM THRD DIA2.4MM HD DIA3.8MM COR DIA1.6MM PITCH,79.8,79.8,,,0
CDM,27800002,SCREW BNE L40MM DIA3.5MM SS ST LOK FOR EVOS SM PLATING SYS,179.35,179.35,,,0
CDM,27800002,SCREW BNE L40MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,226.8,226.8,,,0
CDM,27800002,SCREW BNE L40MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,SCREW BNE L40MM DIA4MM HEX HD DIA6.2MM CORT DST FEM TI ST,201.6,201.6,,,0
CDM,27800002,SCREW BNE L40MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,SCREW BNE L40MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,267.29,267.29,,,0
CDM,27800002,SCREW BNE L40MM DIA6.5MM CNTRL THRD GLEN REV AEQUALIS,900.0,900.0,,,0
CDM,27800002,SCREW BNE L40MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,319.2,319.2,,,0
CDM,27800002,SCREW BNE L40MM OD5MM STD TI CORT DST FEM ST NONCANNULATED,277.2,277.2,,,0
CDM,27800002,SCREW BNE L40MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,SCREW BNE L42MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L42MM DIA3.5MM MULTIUSE,204.0,204.0,,,0
CDM,27800002,SCREW BNE L42MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
CDM,27800002,SCREW BNE L42MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,SCREW BNE L42MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,267.29,267.29,,,0
CDM,27800002,SCREW BNE L42MM THRD DIA2.4MM HD DIA3.8MM COR DIA1.6MM PITCH,79.8,79.8,,,0
CDM,27800002,SCREW BNE L42MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,SCREW BNE L44MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L44MM DIA3.5MM PROX HUM NONLOCKING LP T15 MULT DIR,277.2,277.2,,,0
CDM,27800002,SCREW BNE L44MM DIA3.5MM PROX TIB SS ST FT W/ T15 STARDRV,547.2,547.2,,,0
CDM,27800002,SCREW BNE L44MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,SCREW BNE L44MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
CDM,27800002,SCREW BNE L44MM DIA5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
CDM,27800002,SCREW BNE L44MM DIA5MM STD CORT DST FEM TI ST CANN,277.2,277.2,,,0
CDM,27800002,SCREW BNE L45MM DIA3.5MM MULTIUSE,204.0,204.0,,,0
CDM,27800002,SCREW BNE L45MM DIA6MM HD DIA3.5MM CANC TI ALLY FIX ANG,319.2,319.2,,,0
CDM,27800002,SCREW BNE L46MM DIA2.7MM CORT ST T8 SELF RET FOR MINI,84.0,84.0,,,0
CDM,27800002,SCREW BNE L46MM DIA3.5MM PROX TIB SS ST FT W/ T15 STARDRV,547.2,547.2,,,0
CDM,27800002,SCREW BNE L46MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,SCREW BNE L47.5MM DIA5MM HD DIA3.5MM CORT TI ALLY FIX ANG,267.29,267.29,,,0
CDM,27800002,SCREW BNE L48MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L48MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
CDM,27800002,SCREW BNE L50MM DIA5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
CDM,27800002,SCREW BNE L50MM DIA5MM HEX HD 3.5MM CORT TIB FIX ANG FT NAT,310.8,310.8,,,0
CDM,27800002,SCREW BNE L50MM DIA6MM HD DIA3.5MM CANC TI ALLY FIX ANG,319.2,319.2,,,0
CDM,27800002,SCREW BNE L50MM SHLDR ASSEMB FOR ARTHROPLASTY AEQUALIS FLX,1920.0,1920.0,,,0
CDM,27800002,SCREW BNE L50MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,SCREW BNE L52.5MM DIA5MM CORT TIB FIX ANG 3.5MM HEX HD FT,267.29,267.29,,,0
CDM,27800002,SCREW BNE L52MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L52MM DIA3.5MM PROX TIB SS ST FT T15 STARDRV,547.2,547.2,,,0
CDM,27800002,SCREW BNE L52MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,SCREW BNE L54MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L54MM DIA4.5MM SS CORT ST NONLOCKING FT LP FOR SM,31.99,31.99,,,0
CDM,27800002,SCREW BNE L55MM DIA6MM TI CANC FEM FIX ANG 3.5MM HEX HD AG,319.2,319.2,,,0
CDM,27800002,SCREW BNE L55MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,SCREW BNE L56MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
CDM,27800002,SCREW BNE L57.5MM DIA5MM HEX HD 3.5MM CORT TIB FIX ANG FT,310.8,310.8,,,0
CDM,27800002,SCREW BNE L58MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
CDM,27800002,SCREW BNE L60MM DIA3.5MM MULTDIR DST TIB COCR ST LOK FT TAPR,277.2,277.2,,,0
CDM,27800002,SCREW BNE L60MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,319.2,319.2,,,0
CDM,27800002,SCREW BNE L60MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
CDM,27800002,SCREW BNE L65MM DIA4MM CORT SS ST NONCANN NONLOCKING FT SM,135.0,135.0,,,0
CDM,27800002,SCREW BNE L65MM DIA5MM HEX HD 3.5MM CORT TIB FIX ANG FT NAT,267.29,267.29,,,0
CDM,27800002,SCREW BNE L65MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,319.2,319.2,,,0
CDM,27800002,SCREW BNE L65MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,113.4,113.4,,,0
CDM,27800002,SCREW BNE L70MM DIA4.5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
CDM,27800002,SCREW BNE L70MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,319.2,319.2,,,0
CDM,27800002,SCREW BNE L70MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,113.4,113.4,,,0
CDM,27800002,SCREW BNE L74MM DIA4.5MM SS CORT ST LOK FT FOR L FRAG SYS,241.94,241.94,,,0
CDM,27800002,SCREW BNE L75MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L75MM DIA5MM DST FEM TI ALLY ST FT NCB,277.2,277.2,,,0
CDM,27800002,SCREW BNE L78MM DIA4.5MM ST CORT LOK L FRAG SET,241.94,241.94,,,0
CDM,27800002,SCREW BNE L80MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
CDM,27800002,SCREW BNE L80MM DIA5MM TI RG FEM NAIL THRD DBL LD PHOENIX,369.6,369.6,,,0
CDM,27800002,SCREW BNE L80MM DIA6MM TI CANC FEM FIX ANG 3.5MM HEX HD AG,319.2,319.2,,,0
CDM,27800002,SCREW BNE L80MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,113.4,113.4,,,0
CDM,27800002,SCREW BNE L85MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
CDM,27800002,SCREW BNE L85MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L85MM DIA4.5MM STD CORT CORT CANN FT SS ST LOK L,241.94,241.94,,,0
CDM,27800002,SCREW BNE L85MM DIA5MM DST FEM TI ALLY ST FT NCB,277.2,277.2,,,0
CDM,27800002,SCREW BNE L85MM DIA6MM TI CANC FEM FIX ANG 3.5MM HEX HD AG,319.2,319.2,,,0
CDM,27800002,SCREW BNE L90MM DIA10.5MM ST LAG SQ DRVR SOCK FOR AFFIXUS,1041.6,1041.6,,,0
CDM,27800002,SCREW BNE L90MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
CDM,27800002,SCREW BNE L90MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,319.2,319.2,,,0
CDM,27800002,SCREW BNE L95MM DIA10.5MM ST LAG SQ DRVR SOCK FOR AFFIXUS,1041.6,1041.6,,,0
CDM,27800002,SCREW BNE L95MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,319.2,319.2,,,0
CDM,27800002,SCREW BNE LNG 3.5X14MM LOK SS PERIARTC PLATING SYS,184.8,184.8,,,0
CDM,27800002,SCREW BNE LOK ST EVOS 4.5MM X 26MM,1648.8,1648.8,,,0
CDM,27800002,SCREW BNE MIC 2.5X2.8X12MM COMPR HDLSS FT ST TAPR END ACUTRK,1569.6,1569.6,,,0
CDM,27800002,SCREW BNE PED 3.5X12MM PROX DST FEM TIB CORT T15 HEXALOBE ST,118.58,118.58,,,0
CDM,27800002,SCREW BNE PED 3.5X14MM PROX DST FEM TIB CORT T15 HEXALOBE ST,118.58,118.58,,,0
CDM,27800002,SCREW BNE PED 3.5X18MM PROX DST FEM TIB CORT T15 HEXALOBE ST,118.58,118.58,,,0
CDM,27800002,SCREW BNE SM 3.5X36MM CORT HEX ST,75.6,75.6,,,0
CDM,27800002,SCREW BNE STD 6.5X85MM CORT CANN PRTLY THRD 46MM NONLOCKING,445.82,445.82,,,0
CDM,27800002,SCREW BONE 3.5X14MM DISTAL RADIAL CORTICAL FULLY THREADED LO,277.2,277.2,,,0
CDM,27800002,SCREW BONE 3.5X16MM STAINLESS STEEL PERIARTICULAR PLATING UN,184.8,184.8,,,0
CDM,27800002,SCREW BONE 3.5X18MM DISTAL RADIAL CORTICAL FULLY THREADED LO,277.2,277.2,,,0
CDM,27800002,SCREW BONE 3.5X20MM CORTICAL HEX HEAD FULLY THREADED SELF TA,176.4,176.4,,,0
CDM,27800002,SCREW BONE 3.5X56MM CORTICAL SELF TAPPING PERIARTICULAR PLAT,92.4,92.4,,,0
CDM,27800002,SCREW BONE 3.5X85MM DISTAL TIBIAL CORTICAL LOCKING SELF TAPP,109.2,109.2,,,0
CDM,27800002,SCREW BONE 4.5X28MM POLYAXIAL PROXIMAL TIBIAL CORTICAL FULLY,92.4,92.4,,,0
CDM,27800002,SCREW BONE 4MM X 16MM CANCELLOUS FULLY THREADED NONLOCKING F,100.8,100.8,,,0
CDM,27800002,SCREW BONE 4MM X 16MM CANCELLOUS TAPER HEAD FULLY THREADED L,226.8,226.8,,,0
CDM,27800002,SCREW BONE 4MM X 18MM CANCELLOUS FULLY THREADED NONLOCKING F,100.8,100.8,,,0
CDM,27800002,SCREW BONE 4X12MM DISTAL TIBIAL CANCELLOUS FULLY THREADED LO,226.8,226.8,,,0
CDM,27800002,SCREW BONE 5X55MM DISTAL FEMORAL HEX HEAD SELF TAPPING PROTA,277.2,277.2,,,0
CDM,27800002,SCREW BONE L20MM DIA4.5MM STANDARD CORTICAL TITANIUM SELF TA,218.4,218.4,,,0
CDM,27800002,SCREW BONE L22MM DIA5MM STANDARD CORTICAL DISTAL FEMORAL TIT,277.2,277.2,,,0
CDM,27800002,SCREW BONE L24MM DIA4.5MM STANDARD CORTICAL TITANIUM SELF TA,218.4,218.4,,,0
CDM,27800002,SCREW BONE L24MM DIA4MM CORTICAL HUMERAL FOR ANTEGRADE RETRO,285.6,285.6,,,0
CDM,27800002,SCREW BONE L34MM DIA4.5MM CORTICAL DISTAL FEMORAL TITANIUM S,92.4,92.4,,,0
CDM,27800002,SCREW BONE L42MM DIA4MM HUMERAL BLUNT TIP FOR ANTEGRADE RETR,294.0,294.0,,,0
CDM,27800002,SCREW BONE L6MM DIA2.7MM CORTICAL PERIARTICULAR SELF TAPPING,67.2,67.2,,,0
CDM,27800002,SCREW BONE L80MM DIA3.5MM PROXIMAL CORTICAL TIBIAL TYPE II A,109.2,109.2,,,0
CDM,27800002,SCREW BONE L90MM DIA5MM LOCKING FOR POLYAXIAL PLACEMENT NCB,268.8,268.8,,,0
CDM,27800002,SCREW BONE LOCKING MDS 1.5MM X 6MM ALPS MVX,293.74,293.74,,,0
CDM,27800002,SCREW BONE LOCKING MDS 3.5MM X 100MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,SCREW BONE LOCKING MDS 3.5MM X 10MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,SCREW BONE LOCKING MDS 3.5MM X 12MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,SCREW BONE LOCKING MDS 3.5MM X 14MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,SCREW BONE LOCKING MDS 3.5MM X 36MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,SCREW BONE LOCKING MDS 3.5MM X 38MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,SCREW BONE LOCKING MDS 3.5MM X 40MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,SCREW BONE LOCKING MDS 3.5MM X 42MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,SCREW BONE LOCKING MDS 3.5MM X 44MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,SCREW BONE LOCKING MDS 3.5MM X 46MM ALPS MVX,448.06,448.06,,,0
CDM,27800002,SCREW BONE NON-LOCKING 1.5MM X 6MM ALPS MVX,248.93,248.93,,,0
CDM,27800002,SCREW CAN FT SS 6.5MM X 135MM  71106335S,445.82,445.82,,,0
CDM,27800002,SCREW CANCEL 6.5MM 217.065,253.8,253.8,,,0
CDM,27800002,SCREW CANN  7.3 3260,907.2,907.2,,,0
CDM,27800002,SCREW CANN 48MM,743.4,743.4,,,0
CDM,27800002,SCREW CANN 6.5MM X 95MM SS FT,461.57,461.57,,,0
CDM,27800002,SCREW CANN 6.5X115MM 208.446,912.6,912.6,,,0
CDM,27800002,SCREW CANN 6.5X70 208.470,912.6,912.6,,,0
CDM,27800002,SCREW CANN 64MM,723.6,723.6,,,0
CDM,27800002,SCREW CANN 7 X 140MM,411.6,411.6,,,0
CDM,27800002,SCREW CANN 7.3 55MM,907.2,907.2,,,0
CDM,27800002,SCREW CANN 7.3 75MM 208.875,570.24,570.24,,,0
CDM,27800002,SCREW CANN 7.3 80MM,907.2,907.2,,,0
CDM,27800002,SCREW CANN 71106850,445.82,445.82,,,0
CDM,27800002,SCREW CANN LP 4.5X36,577.7,577.7,,,0
CDM,27800002,SCREW CANN THR 4.528MM,743.4,743.4,,,0
CDM,27800002,SCREW CANN THR 4.542MM,723.6,723.6,,,0
CDM,27800002,SCREW CANN THR 4.556MM,743.4,743.4,,,0
CDM,27800002,SCREW CANNCELLOUS 2.5MMX14MM,151.2,151.2,,,0
CDM,27800002,SCREW CANNULATED 50MM16MM,723.6,723.6,,,0
CDM,27800002,SCREW CANNULATED 6.5MM X 160MM,445.82,445.82,,,0
CDM,27800002,SCREW CANNULATED FULL THD 7.0MM X 135MM  00-1147-135-72,411.6,411.6,,,0
CDM,27800002,SCREW CANNULATED INTERFERENCE WITH DISPOSABLE SHEATH 9 X 20,299.52,299.52,,,0
CDM,27800002,SCREW CANNULATED THD 7.0MM X 32MM X 125MM  00-1147-125-71,411.6,411.6,,,0
CDM,27800002,SCREW CORT 4.5 90MM,232.2,232.2,,,0
CDM,27800002,SCREW CORT SELF TAPPING NCB 5.0 X 24MM  02.03150.024,277.2,277.2,,,0
CDM,27800002,SCREW CORTEX 2.4X8MM,327.6,327.6,,,0
CDM,27800002,SCREW CORTEX 4.5X58MM,131.4,131.4,,,0
CDM,27800002,SCREW CORTICAL LOCKING 3.5MM X 11MM,218.4,218.4,,,0
CDM,27800002,SCREW CORTICAL SELF TAPPING SMALL HEX 3.5MM X 34MM  00-4835-,75.6,75.6,,,0
CDM,27800002,SCREW DP THD NCB 4.0 X 26MM  02.03154.026,226.8,226.8,,,0
CDM,27800002,SCREW EVOS 2.4 X 16MM LOCK T7 S-T,256.2,256.2,,,0
CDM,27800002,SCREW EVOS 2.4 X 50MM CTX T7 S-T,79.8,79.8,,,0
CDM,27800002,SCREW GUID L20MM ST FOR MICRODEEP ELECTRD IMPLANTATION,351.6,351.6,,,0
CDM,27800002,SCREW GUID L25MM ST FOR MICRODEEP ELECTRD IMPLANTATION,351.6,351.6,,,0
CDM,27800002,SCREW IMPL 40 MM THRD CANN 6.5 MM X 125 MM ASNS III SS SPEC,575.71,575.71,,,0
CDM,27800002,SCREW INTFR 10X30MM BIOCOMPOSITE RND HD L THRD PITCH,767.52,767.52,,,0
CDM,27800002,SCREW INTFR L15MM DIA4.75MM PEEK VENT BIO-TENODESIS,819.0,819.0,,,0
CDM,27800002,SCREW INTFR L20MM DIA7MM CANN W/ SHTH,299.52,299.52,,,0
CDM,27800002,SCREW INTFR L30MM DIA9MM BIOCOMPOSITE VENT FASTTHREAD,767.52,767.52,,,0
CDM,27800002,SCREW LAG 2.0MM X 10MM,300.0,300.0,,,0
CDM,27800002,SCREW LAG CANN 1.5MM X 8MM NANOPHIX,2388.0,2388.0,,,0
CDM,27800002,SCREW LCK CORT HEX 3.5X50MM,447.72,447.72,,,0
CDM,27800002,SCREW LOCKING 2.7MM X 12MM  00-4828-012-02,184.8,184.8,,,0
CDM,27800002,SCREW LOCKING 3.5 X 44MM,447.72,447.72,,,0
CDM,27800002,SCREW LOCKING 5.0MM 212.218,491.4,491.4,,,0
CDM,27800002,SCREW LOCKING F1X,480.0,480.0,,,0
CDM,27800002,SCREW LOCKING W/ 2.7MM HEAD 3.5MM X 12MM  00-2359-012-38,176.4,176.4,,,0
CDM,27800002,SCREW MULTI AXIAL 3.5 X 18MM,1308.0,1308.0,,,0
CDM,27800002,SCREW MULTI-THREAD COMPRESSION 3.0MM X 10MM TI,280.8,280.8,,,0
CDM,27800002,SCREW MULTIUSE L48MM DIA3.5MM FIX BNE,204.0,204.0,,,0
CDM,27800002,SCREW PK2 G6623515 SA S-D 3.5MM X 15MM,240.0,240.0,,,0
CDM,27800002,SCREW PK2 G7733515 MINIP S-D 3.5MM X15MM,216.0,216.0,,,0
CDM,27800002,SCREW POLYAXIAL LOCKING 2.5MM X 16MM CANNULATED COCR,362.4,362.4,,,0
CDM,27800002,SCREW S-T CORT  HEX 3.5X26MM,118.58,118.58,,,0
CDM,27800002,SCREW SELF TAPPING CORTEX 72MM,131.4,131.4,,,0
CDM,27800002,SCREW SELF TAPPING CORTICAL 3.5MM X 20,118.58,118.58,,,0
CDM,27800002,SCREW SELF-TAPPING CORT NCB 5.0 X 80MM  02.03150.080,277.2,277.2,,,0
CDM,27800002,SCREW SLF -DRL 4MM,91.01,91.01,,,0
CDM,27800002,SCREW SPINAL 5.5X25MM FOR 5.5/6MM ROD UNIAXIAL REDUCTION CD,7761.6,7761.6,,,0
CDM,27800002,SCREW SPNL 2.6X6MM VA SLF DRL TI CNPY LAMINOPLASTY PLT,120.0,120.0,,,0
CDM,27800002,SCREW SPNL 2X5MM FOR OPN DOOR LAMINOPLASTY CNTRPC PLT FIX,96.0,96.0,,,0
CDM,27800002,SCREW SPNL 3.5X12MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 3.5X13MM FOR STD ALONE INTBDY CAGE SLF DRL,240.0,240.0,,,0
CDM,27800002,SCREW SPNL 3.5X14MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 3.5X22MM FOR 4MM ROD POST OCT POLYAX TI SYM,2460.0,2460.0,,,0
CDM,27800002,SCREW SPNL 3.5X24MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 3.5X30MM MULTIAXIAL PT INFIN OCCIPITOCERVICAL,1344.0,1344.0,,,0
CDM,27800002,SCREW SPNL 3.5X32MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 3.6X12MM ANT CERV VA ST TI TOP LD COALITION,180.0,180.0,,,0
CDM,27800002,SCREW SPNL 30MM FEN REDUC TULIP MIS,1080.0,1080.0,,,0
CDM,27800002,SCREW SPNL 4.2X14MM ST VA COALITION,180.0,180.0,,,0
CDM,27800002,SCREW SPNL 4.35X35MM FOR 5.5MM ROD PEDCL POLYAX CORT CANN TI,2337.0,2337.0,,,0
CDM,27800002,SCREW SPNL 4.5X12MM POST OCCIPITOCERVICAL TI MOUNTAINEER OCT,528.0,528.0,,,0
CDM,27800002,SCREW SPNL 4.5X24MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 4.5X30MM FOR 4MM ROD POST OCT POLYAX CORT TI SYM,2639.38,2639.38,,,0
CDM,27800002,SCREW SPNL 4.5X32MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 4.5X32MM FOR 4MM ROD POST OCT POLYAX CORT TI SYM,2639.38,2639.38,,,0
CDM,27800002,SCREW SPNL 4.5X34MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 4.5X34MM FOR 4MM ROD POST OCT POLYAX CORT TI SYM,2639.38,2639.38,,,0
CDM,27800002,SCREW SPNL 4.5X35MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 4.5X35MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 4.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 4.5X40MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 4.5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 4.5X45MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL 4.5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 4X12MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 4X15MM ST VA FOR ZEVO ANT CERV PLT SYS,240.0,240.0,,,0
CDM,27800002,SCREW SPNL 4X16MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 4X17MM ST VA FOR ZEVO ANT CERV PLT SYS,240.0,240.0,,,0
CDM,27800002,SCREW SPNL 4X24MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 5.5MM LOK OPN TULIP RELINE,114.0,114.0,,,0
CDM,27800002,SCREW SPNL 5.5MM POLYAX TULIP HD THRD CREO AMP,660.0,660.0,,,0
CDM,27800002,SCREW SPNL 5.5X20MM ALIF VA TI INDPNDNC,336.0,336.0,,,0
CDM,27800002,SCREW SPNL 5.5X30MM FOR 3.2/3.5MM ROD POST MULTIAXIAL,1344.0,1344.0,,,0
CDM,27800002,SCREW SPNL 5.5X30MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 5.5X30MM FOR 6MM ROD PEDCL ST POLYAX FEN CANN,9840.0,9840.0,,,0
CDM,27800002,SCREW SPNL 5.5X30MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 5.5X30MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 5.5X35MM ALIF VA TI INDPNDNC,336.0,336.0,,,0
CDM,27800002,SCREW SPNL 5.5X35MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 5.5X35MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 5.5X35MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 5.5X35MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 5.5X40MM ALIF VA TI INDPNDNC,336.0,336.0,,,0
CDM,27800002,SCREW SPNL 5.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 5.5X40MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 5.5X40MM FOR 6MM ROD PEDCL ST POLYAX FEN CANN,9840.0,9840.0,,,0
CDM,27800002,SCREW SPNL 5.5X40MM LUM VA PEEK-OPTMA COROENT XL-F,1560.0,1560.0,,,0
CDM,27800002,SCREW SPNL 5.5X40MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 5.5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 5.5X42MM ANT THORLUM CANC 2 COR LOK ST TI BLNT,828.0,828.0,,,0
CDM,27800002,SCREW SPNL 5.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 5.5X45MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 5.5X45MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 5.5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 5.5X45MM THORLUM MOD CREO AMP,660.0,660.0,,,0
CDM,27800002,SCREW SPNL 5.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 5.5X50MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 5.5X50MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 5.5X50MM THORLUM MOD CREO AMP,660.0,660.0,,,0
CDM,27800002,SCREW SPNL 5.5X55MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 5X34MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 5X35MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 5X45MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 5X50MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 5X50MM FOR 5.5MM ROD POLYAX CORT CANN TI VIPER,2460.0,2460.0,,,0
CDM,27800002,SCREW SPNL 5X50MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 6.5MM X 60MM FOR 5.5MM ROD MULTIAXIAL FEN COCR,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 6.5X35MM FOR 5.5/6MM ROD EXT TAB REDUC MULTIAXIAL,1476.0,1476.0,,,0
CDM,27800002,SCREW SPNL 6.5X35MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 6.5X35MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 6.5X35MM THORLUM CANN CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 6.5X35MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,SCREW SPNL 6.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 6.5X40MM FOR 5.5/6MM ROD MULTIAXIAL CANN TI/CO,1879.2,1879.2,,,0
CDM,27800002,SCREW SPNL 6.5X40MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 6.5X40MM FOR 5.5MM ROD POLYAX THRD TI/CO CHROM,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 6.5X40MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 6.5X40MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL 6.5X40MM THORLUM CANN CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 6.5X40MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,SCREW SPNL 6.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 6.5X45MM FOR 5.5/6MM ROD MULTIAXIAL CANN TI/CO,1879.2,1879.2,,,0
CDM,27800002,SCREW SPNL 6.5X45MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 6.5X45MM FOR 5.5MM ROD POLYAX THRD PREASSEMBLED,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL 6.5X45MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 6.5X45MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL 6.5X45MM THORLUM CANN CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 6.5X45MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,SCREW SPNL 6.5X45MM THORLUM MOD CREO AMP,660.0,660.0,,,0
CDM,27800002,SCREW SPNL 6.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 6.5X50MM FOR 5.5/6MM ROD MULTIAXIAL CANN TI/CO,1879.2,1879.2,,,0
CDM,27800002,SCREW SPNL 6.5X50MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 6.5X50MM FOR 5.5/6MM ROD MULTIAXIAL HA COAT CDH,1800.0,1800.0,,,0
CDM,27800002,SCREW SPNL 6.5X50MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 6.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL 6.5X50MM POLYAX ST TI 2 LD XIA 3 SYS SERRATO,2423.11,2423.11,,,0
CDM,27800002,SCREW SPNL 6.5X50MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,SCREW SPNL 6.5X50MM THORLUM MOD CREO AMP,660.0,660.0,,,0
CDM,27800002,SCREW SPNL 6.5X55MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 6.5X55MM FOR 5.5/6MM ROD MULTIAXIAL CANN TI/CO,1879.2,1879.2,,,0
CDM,27800002,SCREW SPNL 6.5X55MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 6.5X55MM FOR 5.5/6MM ROD MULTIAXIAL HA COAT CDH,1800.0,1800.0,,,0
CDM,27800002,SCREW SPNL 6.5X55MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 6.5X55MM FOR ROBOTIC NAVI CREO 1,1800.0,1800.0,,,0
CDM,27800002,SCREW SPNL 6.5X55MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,SCREW SPNL 6.5X60MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 6.5X60MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
CDM,27800002,SCREW SPNL 6.5X65MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 6X40MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
CDM,27800002,SCREW SPNL 6X45MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
CDM,27800002,SCREW SPNL 7.5X30MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 7.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 7.5X40MM FOR 5.5/6MM ROD MULTIAXIAL CANN CDH,1879.2,1879.2,,,0
CDM,27800002,SCREW SPNL 7.5X40MM FOR 5.5/6MM ROD MULTIAXIAL FEN TI CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 7.5X40MM FOR ROBOTIC NAVI CREO 1,1800.0,1800.0,,,0
CDM,27800002,SCREW SPNL 7.5X40MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 7.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 7.5X45MM FOR ROBOTIC NAVI CREO 1,1800.0,1800.0,,,0
CDM,27800002,SCREW SPNL 7.5X45MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 7.5X45MM THORLUM MOD CREO AMP,660.0,660.0,,,0
CDM,27800002,SCREW SPNL 7.5X50MM CANN CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 7.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 7.5X50MM FOR 5.5/6MM ROD MULTIAXIAL FEN TI CDH,2040.0,2040.0,,,0
CDM,27800002,SCREW SPNL 7.5X50MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 7.5X50MM THORLUM CANN HA COAT MOD CREO AMP,1080.0,1080.0,,,0
CDM,27800002,SCREW SPNL 7.5X50MM THORLUM MOD CREO AMP,660.0,660.0,,,0
CDM,27800002,SCREW SPNL 7.5X55MM FOR 5.5/6MM ROD MULTIAXIAL HA COAT CDH,1800.0,1800.0,,,0
CDM,27800002,SCREW SPNL 7.5X55MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 7.5X55MM THORLUM MOD CREO AMP,660.0,660.0,,,0
CDM,27800002,SCREW SPNL 7.5X60MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 7X40MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
CDM,27800002,SCREW SPNL 8.5X100MM ST MULTIAXIAL CANC T/C CDH,2220.0,2220.0,,,0
CDM,27800002,SCREW SPNL 8.5X35MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 8.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 8.5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 8.5X45MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 8.5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 8.5X50MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 8.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL 8.5X50MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL 8.5X55MM FEN MOD CREO,1320.0,1320.0,,,0
CDM,27800002,SCREW SPNL 8.5X55MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
CDM,27800002,SCREW SPNL 8.5X70MM MULTIAXIAL CANC CANN TI/CO CHROM CDH,2220.0,2220.0,,,0
CDM,27800002,SCREW SPNL 8.5X70MM POST PREFERRED ANG CANN TI/CO CHROM CREO,2400.0,2400.0,,,0
CDM,27800002,SCREW SPNL 8.5X80MM MULTIAXIAL CANC CANN TI/CO CHROM CDH,2220.0,2220.0,,,0
CDM,27800002,SCREW SPNL 8.5X80MM POST PREFERRED ANG CANN TI/CO CHROM CREO,2400.0,2400.0,,,0
CDM,27800002,SCREW SPNL 8.5X90MM MULTIAXIAL CANC CANN TI/CO CHROM CDH,2220.0,2220.0,,,0
CDM,27800002,SCREW SPNL 8.5X90MM POST PREFERRED ANG CANN TI/CO CHROM CREO,2400.0,2400.0,,,0
CDM,27800002,SCREW SPNL 8X40MM FOR 5.5MM ROD PEDCL CORT CANN TI VIPER,2337.0,2337.0,,,0
CDM,27800002,SCREW SPNL 9.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL 9.5X90MM MULTIAXIAL CANC CANN TI/CO CHROM CDH,2220.0,2220.0,,,0
CDM,27800002,SCREW SPNL ANT CERV 3.5X13MM VA 2 THRD LOK ST TI ALLY,240.0,240.0,,,0
CDM,27800002,SCREW SPNL ANT CERV 4.6X12MM SLF DRL VA VIP,180.0,180.0,,,0
CDM,27800002,SCREW SPNL CREO FEN 4.5 X 25MM POLYAX THRD,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL DIA4.5MM L40MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,SCREW SPNL DIA5.0MM L45MM HA COAT MOD CANN CREO AMP,1080.0,1080.0,,,0
CDM,27800002,SCREW SPNL DIA5.0MM L45MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
CDM,27800002,SCREW SPNL L100MM DIA10.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
CDM,27800002,SCREW SPNL L10MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
CDM,27800002,SCREW SPNL L110MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
CDM,27800002,SCREW SPNL L12MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,SCREW SPNL L12MM DIA4.2MM ANT CERV TI ALLY SLF DRL VA XTEND,180.0,180.0,,,0
CDM,27800002,SCREW SPNL L12MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
CDM,27800002,SCREW SPNL L14MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,SCREW SPNL L14MM DIA4.2MM SLF DRL VA COALITION,180.0,180.0,,,0
CDM,27800002,SCREW SPNL L14MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
CDM,27800002,SCREW SPNL L14MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,SCREW SPNL L15MM DIA3.5MM ANT CERV TI ST VA FOR PLATING SYS,240.0,240.0,,,0
CDM,27800002,SCREW SPNL L16MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,SCREW SPNL L16MM DIA4.2MM ANT CERV TI ALLY SLF DRL VA XTEND,180.0,180.0,,,0
CDM,27800002,SCREW SPNL L16MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,SCREW SPNL L17MM DIA3.5MM ANT CERV TI SLF DRL VA FOR PLATING,240.0,240.0,,,0
CDM,27800002,SCREW SPNL L18MM DIA3.6MM ST VA COALITION,180.0,180.0,,,0
CDM,27800002,SCREW SPNL L19MM DIA3.5MM SLF DRL VA NONCANN ZEVO,240.0,240.0,,,0
CDM,27800002,SCREW SPNL L20MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,SCREW SPNL L30MM DIA3.5MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL L30MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
CDM,27800002,SCREW SPNL L30MM DIA4.5MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL L30MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,SCREW SPNL L30MM DIA4MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL L30MM DIA5.5MM THORLUM HA STBL CANN MOD CREO AMP,1080.0,1080.0,,,0
CDM,27800002,SCREW SPNL L30MM DIA5MM POLYAX QUARTEX,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL L32MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,SCREW SPNL L35MM DIA5.5MM POLYAX 2 LD THRD LP TOP LD 0 TORQ,2275.51,2275.51,,,0
CDM,27800002,SCREW SPNL L35MM DIA5.5MM POLYAX THRD FEN CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL L40MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1344.0,1344.0,,,0
CDM,27800002,SCREW SPNL L40MM DIA4.5MM POLYAX THRD FEN CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL L40MM DIA5MM HA COAT MOD CANN CREO AMP,1080.0,1080.0,,,0
CDM,27800002,SCREW SPNL L40MM DIA5MM THORLUM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL L40MM OD7.5MM CANN MOD CREO,840.0,840.0,,,0
CDM,27800002,SCREW SPNL L45MM DIA5.5MM FEN POLYAX THRD CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL L45MM DIA5.5MM HA CANN MOD CREO AMP,1080.0,1080.0,,,0
CDM,27800002,SCREW SPNL L45MM DIA7.5MM CANN MOD CREO,840.0,840.0,,,0
CDM,27800002,SCREW SPNL L50MM DIA4.5MM THORLUM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
CDM,27800002,SCREW SPNL L50MM DIA6.5MM CANN MOD CREO,840.0,840.0,,,0
CDM,27800002,SCREW SPNL L50MM DIA6.5MM HA CANN MOD CREO AMP,1080.0,1080.0,,,0
CDM,27800002,SCREW SPNL L55MM DIA7.5MM MOD CANN CREO AMP,840.0,840.0,,,0
CDM,27800002,SCREW SPNL L6MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
CDM,27800002,SCREW SPNL L70MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
CDM,27800002,SCREW SPNL L8MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
CDM,27800002,SCREW SPNL L90MM DIA10.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
CDM,27800002,SCREW SPNL LS 5X20MM TI NANOLOCK SURF TECH ANTERALIGN,540.0,540.0,,,0
CDM,27800002,SCREW SPNL MOD HA COAT 4.5 MM X 35MM CREO AMP,1620.0,1620.0,,,0
CDM,27800002,SCREW SPNL OCCIPITOCERVICAL UP THOR 3.5X28MM MULTIAXIAL,1308.0,1308.0,,,0
CDM,27800002,SCREW SPNL OCT 3.5X24MM POLYAX SHLDR QUARTEX,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL POLYAX COCR TULIP HD THRD AMP,660.0,660.0,,,0
CDM,27800002,SCREW SPNL R QUAD DBL THRD HD CREO AMP,2880.0,2880.0,,,0
CDM,27800002,SCREW SPNL SACROILIAC 10X30MM SL ET WSHR SI LOK SEL,6000.0,6000.0,,,0
CDM,27800002,SCREW SPNL SET MAS SS ST 5.5/6MM CDH MODULEX,1380.0,1380.0,,,0
CDM,27800002,SCREW SPNL SET UAS SS ST 5.5/6MM CDH MODULEX,1744.8,1744.8,,,0
CDM,27800002,SCREW SPNL SHNK 5.5MM X 45MM NANOLOCK CDH MODULEX,1608.0,1608.0,,,0
CDM,27800002,SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 25MM CDH MODULEX,820.8,820.8,,,0
CDM,27800002,SCREW SPNL THORLUM 4.5X40MM POLYAX THRD LOK LP PREASSEMBELED,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL THORLUM 5.5X35MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,SCREW SPNL THORLUM 5.5X40MM POLYAX THRD LOK COCR HD TI SHNK,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL THORLUM 5.5X45MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,SCREW SPNL THORLUM 5X45MM POLYAX THRD LOK LP PREASSEMBELED,1200.0,1200.0,,,0
CDM,27800002,SCREW SPNL THORLUM 6.5X30MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
CDM,27800002,SCREW SPNL THORLUM 8.5X80MM POLYAX THRD LOK LP PREASSEMBELED,1320.0,1320.0,,,0
CDM,27800002,SCREW T15 LP CORT 3.5X10MM NS,92.4,92.4,,,0
CDM,27800002,SCREW T15 LP CORT 3.5X28MM NS,100.8,100.8,,,0
CDM,27800002,SCREW T15 MD 3.5X46 NS,277.2,277.2,,,0
CDM,27800002,SCREW TI MATRIXMIDFACE EMERGENCY 5MM,163.25,163.25,,,0
CDM,27800002,SCREW TI MTXMN 2.4MM,191.04,191.04,,,0
CDM,27800002,SCREW UNICORTICAL NCB 5.0 X 18MM  02.03151.018,260.4,260.4,,,0
CDM,27800002,SCREW VA 3.5 LOCK  02.127.160,547.2,547.2,,,0
CDM,27800002,SCREW VA COND LCK 5 X 75MM,631.8,631.8,,,0
CDM,27800002,SCREW VA LOCK 3.5 X 80,547.2,547.2,,,0
CDM,27800002,SCREWS CORTEX 2.4MM 201.784,217.8,217.8,,,0
CDM,27800002,SCREWS CORTEX 2.7MM 202.890,158.4,158.4,,,0
CDM,27800002,SCRUN3EM1.7X4MM5PK,143.52,143.52,,,0
CDM,27800002,SCRUNIII AXS SD1.5X3MM,143.52,143.52,,,0
CDM,27800002,SET BNE GRFT DEL SYS W/ 9CC DBF 2 CANN GRFT ACCELERATE,3024.0,3024.0,,,0
CDM,27800002,SET SCR SPNL 5.5/6MM CANN FEN MULTIAXIAL CDH SOLERA VOYAGER,108.0,108.0,,,0
CDM,27800002,SET SCR SPNL 5.5MM TI BRK OFF HIGHER CLMP CDH LEG SYS,76.8,76.8,,,0
CDM,27800002,SET SCR SPNL 5.5X6MM TI BRK OFF FOR CDH SOLERA SYS,108.0,108.0,,,0
CDM,27800002,SET SCR SPNL 5.5X6MM TI REDUC FOR CDH SOLERA SYS,115.2,115.2,,,0
CDM,27800002,SET SCR SPNL 6 35MM THRD 1/4-32IN TI BRK OFF CDH SOLERA,108.0,108.0,,,0
CDM,27800002,SET SCR SPNL DIA6.35MM IL TI HEX BRK OFF CDH SOLERA,76.8,76.8,,,0
CDM,27800002,SET SCR SPNL INNR MOUNTAINEER OCT,221.06,221.06,,,0
CDM,27800002,SET SCR SPNL MD STD OCCIPITOCERVICAL UP THOR LOK INFIN,115.2,115.2,,,0
CDM,27800002,SET SCR SPNL N BRK OFF CDH MODULEX,108.0,108.0,,,0
CDM,27800002,SET SCR SPNL NS OCT SYM,226.8,226.8,,,0
CDM,27800002,SET SCR SPNL OCCIPITOCERVICAL UP THOR M6 INFIN,115.2,115.2,,,0
CDM,27800002,SET SCR SPNL POLYAX ATR EVEREST,246.0,246.0,,,0
CDM,27800002,SET SCR SPNL TI INNR FOR DIA3.5MM ROD OCT SYS MOUNTAINEER,232.7,232.7,,,0
CDM,27800002,SET SCR SPNL TI SGL INNR FOR DIA5.5MM ROD VIPER,300.0,300.0,,,0
CDM,27800002,SET SCR SPNL X25 DRV TI EXPEDIUM 5.5,216.0,216.0,,,0
CDM,27800002,SF U PLATE 155MM INNER DIA,3933.84,3933.84,,,0
CDM,27800002,SHAFT,122.4,122.4,,,0
CDM,27800002,SHELL ACET SZ C DIA48MM HIP OSSEOTI 3 LIMIT H G7,3960.0,3960.0,,,0
CDM,27800002,SI POLYAXL SCREW 7 X 60MM,1392.0,1392.0,,,0
CDM,27800002,SMARTLOCK HMMF PLATE,878.16,878.16,,,0
CDM,27800002,SMARTLOCK HMMF SCR2.0X6MM,379.51,379.51,,,0
CDM,27800002,SMARTLOCK HMMF SCR2.0X8MM,379.49,379.49,,,0
CDM,27800002,SMOOTH PEG  2.2MM X 14MM  2.2MM X 14MM,184.8,184.8,,,0
CDM,27800002,SMOOTH PEG LOCKING 2.0MM X 14MM,220.8,220.8,,,0
CDM,27800002,SP FBRTAK RC FBRTPE BLK/BLU & STTPE BLU,1223.04,1223.04,,,0
CDM,27800002,SPACER MTL SM 8MM ALTIVATE REV,3349.08,3349.08,,,0
CDM,27800002,SPACER SPNL 24X30X13MM 15DEG HEDRON IA,10440.0,10440.0,,,0
CDM,27800002,SPACER SPNL 26X34X11MM 15DEG HEDRON IA,10440.0,10440.0,,,0
CDM,27800002,SPACER SPNL 29X39X17MM 15DEG HEDRON IA,10440.0,10440.0,,,0
CDM,27800002,SPACER SPNL LUM 20X8-15X55MM 6DEG LORD SELF EXPND ELSA,20160.0,20160.0,,,0
CDM,27800002,SPACER SPNL W10XH6XL26MM 8DEG SABLE,13200.0,13200.0,,,0
CDM,27800002,SPACER SPNL W10XH9-13XL31MM 15DEG THORLUM IF LORD SAG BAL,10080.0,10080.0,,,0
CDM,27800002,SPACER SPNL W14XH7MM D12MM 7DEG LORDOSIS TI COALITION MIS,4320.0,4320.0,,,0
CDM,27800002,SPACER SPNL W16XH7MM D14MM 12DEG ANT CERV TI ALLY SINTROS,4260.0,4260.0,,,0
CDM,27800002,SPEEDTITAN COMPRESSION IMPLANT KIT 20X15X15MM,4635.0,4635.0,,,0
CDM,27800002,SPHERE GLEN SZ 32 NEUT OFFSET W/ RET SCR ALTIVATE,2520.0,2520.0,,,0
CDM,27800002,SS FLEX NAIL 1.5 - ROUND TIP,1048.8,1048.8,,,0
CDM,27800002,STAPLE INT W9XH7MM WIRE OD1.5X1.5MM HND WRST COMPR,2682.0,2682.0,,,0
CDM,27800002,STEINMANN PIN 5/64IN (2.0MM) X 9IN SINGLE TROCAR PT NON-THRE,52.2,52.2,,,0
CDM,27800002,SUBSTITUTE BNE GRFT 10ML SIGNIFY CRUNCH BIOACTIVE,2676.0,2676.0,,,0
CDM,27800002,SUBSTITUTE BNE GRFT 5ML CRUNCH BIOACTIVE SIGNIFY,1404.0,1404.0,,,0
CDM,27800002,SUPERIOR PLATE DECREASED - 8 HOLE / RIGHT,2325.6,2325.6,,,0
CDM,27800002,SUTR ANCHCRKSCRW FT 5.5X 15MM,599.04,599.04,,,0
CDM,27800002,SUTURE ANCHOR PEEK PUSHLOCK SP  4.5 X 28 MM,1014.0,1014.0,,,0
CDM,27800002,SUTURE FIBERTAG TGHTRP FOR QUADLINK GRFT PREP,1365.0,1365.0,,,0
CDM,27800002,SYMPHONY 4.0 SHAFT PLY SCRW 3.5X30 102035730,2460.0,2460.0,,,0
CDM,27800002,SYNPOR FAN PLATE 0.8MM,3610.08,3610.08,,,0
CDM,27800002,SYSTEM DST BICEPS IMPL W/ PEEK TENODESIS SCR L10MM DIA7MM,2210.52,2210.52,,,0
CDM,27800002,SYSTEM FIX HND/WRST W/ SUT ANCHR FBR WIRE FBR LOOP 3MM 3.5MM,3887.52,3887.52,,,0
CDM,27800002,SYSTEM GRFT DEL W/ 3CC GRFT DEMIN BNE FBR 2 CANN ACCELERATE,1320.0,1320.0,,,0
CDM,27800002,SYSTEM MENIS REP 12DEG NDL VERSATILE LP ROBUST W/ PEEK IMPL,1020.0,1020.0,,,0
CDM,27800002,T-PLATE 3X4 HOLES,496.13,496.13,,,0
CDM,27800002,T2 ANKLE NAIL 11X200MM LEFT,4440.24,4440.24,,,0
CDM,27800002,T2 CONDYLE SCREW 5MMX95MM,321.6,321.6,,,0
CDM,27800002,T2 FE RETRO NAIL LNG D10XL320,8697.55,8697.55,,,0
CDM,27800002,T2 FE RETRO NAIL LNG D10XL380,8697.55,8697.55,,,0
CDM,27800002,T2 FE RETRO NAIL LNG D12XL420,8697.55,8697.55,,,0
CDM,27800002,T2 FE RETRO NAIL LNG D13XL340,4586.4,4586.4,,,0
CDM,27800002,T2 LONG PROXIMAL HUMERAL NAIL LEFT 260MM,2892.0,2892.0,,,0
CDM,27800002,T2 RECON LAG SCREW 6.5MMX105MM,376.8,376.8,,,0
CDM,27800002,T2 RECON LAG SCREW 6.5MMX75MM,901.87,901.87,,,0
CDM,27800002,T2 STD. TIBIAL NAIL 10MMX300MM,2102.4,2102.4,,,0
CDM,27800002,T2 SUPRACONDYLAR NAIL 11X320MM,3098.4,3098.4,,,0
CDM,27800002,TENODESIS SCREW PEEK 5.5 X 8 MM,741.0,741.0,,,0
CDM,27800002,TENODESIS SCREW PEEK VENTED 5.5 X 15 MM,819.0,819.0,,,0
CDM,27800002,THICK ITALIAN NUT,73.58,73.58,,,0
CDM,27800002,THREADED PEG LOCKING 2.3MM X 10MM,237.6,237.6,,,0
CDM,27800002,THREADED PEG NON-LOCKING 2.7MM X 12MM,216.0,216.0,,,0
CDM,27800002,TI MATRIXMIDFACE ADAP PLATE 20 HOLES,1232.11,1232.11,,,0
CDM,27800002,TI MATRIXMIDFACE BOX PLATE 4 HOLES5MMX10MM0.5MM THICK,548.11,548.11,,,0
CDM,27800002,TI MATRIXMIDFACE OBLIQ L-PL 2X3 HOLES-LFT0.7MM THICK,557.23,557.23,,,0
CDM,27800002,TI MATRIXMIDFACE OBLIQUE L-PL 3X4 HOLES-RIGHT0.5MM THICK,570.0,570.0,,,0
CDM,27800002,TI THORACOLUMBAR SPINE LOCKING,7081.15,7081.15,,,0
CDM,27800002,TIBIAL NAIL - YELLOW 11 MM DIAMETER  32 CM LENGTH USE RED PR,2272.32,2272.32,,,0
CDM,27800002,TIBIAL NAIL - YELLOW 9.3 MM DIAMETER  38 CM LENGTH USE RED P,2469.6,2469.6,,,0
CDM,27800002,TIBIAL NAIL D10XL300,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D10XL330,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D10XL360,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D10XL375,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D11XL300,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D11XL315,3338.4,3338.4,,,0
CDM,27800002,TIBIAL NAIL D11XL345,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D11XL360,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D11XL375,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D12XL345,3338.4,3338.4,,,0
CDM,27800002,TIBIAL NAIL D9XL270,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D9XL285,3338.4,3338.4,,,0
CDM,27800002,TIBIAL NAIL D9XL300,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D9XL315,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D9XL330,6518.66,6518.66,,,0
CDM,27800002,TIBIAL NAIL D9XL360,6518.66,6518.66,,,0
CDM,27800002,TOOL SMOOTHER 9.5MM,702.0,702.0,,,0
CDM,27800002,TRAUMA 853-12 12MM OD PLATE,636.0,636.0,,,0
CDM,27800002,TRAY KYPHOPLASTY 15/3 IBT 11GA BNE ACCS NDL OSTEO INTRO SYS,6155.74,6155.74,,,0
CDM,27800002,TRAY KYPHOPLASTY SZ 3 BLLN L15MM SYR 30ML 11GA ADD FRAC,4070.09,4070.09,,,0
CDM,27800002,TRIGEN LOW PROFILE SCREW 5.0MM X 35MM,318.82,318.82,,,0
CDM,27800002,TROCHANTERIC NAIL D10X170MM 120DEG,3050.4,3050.4,,,0
CDM,27800002,ULTRABUTTON ADJUSTABLE. ENDOBUTTON CL ULTRA FIXATION DEVICE,1026.0,1026.0,,,0
CDM,27800002,UN3 DOUBLE-Y PLT6HOLEWBAR,575.33,575.33,,,0
CDM,27800002,UN3 SHUNT PLATE14MMWTAB,677.69,677.69,,,0
CDM,27800002,UN3 STRT PLT4HOLE WBAR,300.77,300.77,,,0
CDM,27800002,UPPERFACE 7 HOLE T PLATE,416.86,416.86,,,0
CDM,27800002,VADER PEDCL SYS SCR C/PEEK POLYAX. FEN. 4.5 35 MM,9840.0,9840.0,,,0
CDM,27800002,VERSYS CEM/REV/CALCAR 13X210MM,7986.12,7986.12,,,0
CDM,27800002,VIP 4.6MM VARIABLE ANGLE SCREW SELF-TAPPING 16MM,180.0,180.0,,,0
CDM,27800002,VIP 5.1MM VARIABLE ANGLE SCREW SELF-DRILLING 14MM,180.0,180.0,,,0
CDM,27800002,VIP ANTERIOR CERVICAL PLATE 1-LEVEL 15MM,1680.0,1680.0,,,0
CDM,27800002,VIP CERVICAL PLATE 2-LEVEL 36MM,1680.0,1680.0,,,0
CDM,27800002,VITOSS BIMODAL FOAM PACK 1.2CC,840.0,840.0,,,0
CDM,27800002,VITOSS BIMODAL FOAM PACK 10CC,7080.0,7080.0,,,0
CDM,27800002,VITOSS BIMODAL FOAM PACK 2.5CC,1800.0,1800.0,,,0
CDM,27800002,VITOSS BIMODAL FOAM PACK 5CC,3600.0,3600.0,,,0
CDM,27800002,VLP 3.5MM CALCANEUS PLATE LGE RIGHT STER,1887.6,1887.6,,,0
CDM,27800002,VLP 3.5MM CALCANEUS PLATE SM LEFT STER,1825.2,1825.2,,,0
CDM,27800002,VOLAR DR PLT NAR R,2424.0,2424.0,,,0
CDM,27800002,VPC SCREW 3.4X20MM,756.0,756.0,,,0
CDM,27800002,VUEPOINT II TEMPLATE 240MM ROD,326.4,326.4,,,0
CDM,27800002,WASHER,156.84,156.84,,,0
CDM,27800002,WASHER 7.0MM,57.72,57.72,,,0
CDM,27800002,WASHER ORTH 10MM SS FOR 4.5MM CANN SCR,97.2,97.2,,,0
CDM,27800002,WASHER ORTH 13MM SS FOR 4.5MM CORT AND 6.5MM CANC BNE SCR,99.0,99.0,,,0
CDM,27800002,WASHER ORTH 7MM SS FOR 3.5MM CORT AND 4MM CANC BNE SCR,88.2,88.2,,,0
CDM,27800002,WASHER ORTH DIA12.7MM SS RND FOR FIX,214.8,214.8,,,0
CDM,27800002,WASHER ORTH DIA13MM THK1.5MM SS FOR ASNS III 6.5/8MM CANN,79.2,79.2,,,0
CDM,27800002,WASHER ORTH DIA3.5MM CORT DST FBLR EL LP FOR FRAC SYS ALPS,117.6,117.6,,,0
CDM,27800002,WASHER ORTH DIA7MM FOR 2.7MM SCR,75.6,75.6,,,0
CDM,27800002,WASHER ORTH DIA8MM FOR 4MM SCR JFX ASNS,87.22,87.22,,,0
CDM,27800002,WASHER ORTH OD12.7MM ID6.5MM SS,99.07,99.07,,,0
CDM,27800002,WASHER ORTH OD8MM ID4MM THK1MM SS,49.1,49.1,,,0
CDM,27800002,WASHER ORTH SS FOR 5.5-7.5MM CANN SCR,92.4,92.4,,,0
CDM,27800002,WASHER ORTHOPEDIC DIA3MM FLAT FOR CANNULATED SCREW SYSTEM,140.4,140.4,,,0
CDM,27800002,WAY POINT ANCHORS,194.4,194.4,,,0
CDM,27800002,WIDE PLATE LEFT (HEAD WIDTH X OVERALL LENGTH)  28MM X 56MM,1503.6,1503.6,,,0
CDM,27800002,WIRE ARCH BAR #0102990,5381.26,5381.26,,,0
CDM,27800002,WIRE FIX 1MM X 10MM CERCLAGE SS PRECUT SMTH W/ EYELT,252.0,252.0,,,0
CDM,27800002,WRIST SPANNING PLATE,3696.0,3696.0,,,0
CDM,27800002,XTEND 4.2MM VARIABLE ANGLE SCREW SELF-DRILLING 18MM,180.0,180.0,,,0
CDM,27800002,XTEND ANTERIOR CERVICAL PLATE 2-LEVEL 38MM,1200.0,1200.0,,,0
CDM,27800002,_LEVEL ONE CMFPLATE FRACTURE STR 2.3 MM SCREW4 HOLE 33 MM T=,912.0,912.0,,,0
CDM,27800007,415736 : ICD-DR  COBALT XT DR MRI IS1 DF1,28080.0,28080.0,,,0
CDM,27800007,415737 : ICD-DR  DF4 COBALT XT DR MRI SURESCAN,28080.0,28080.0,,,0
CDM,27800007,DEFIBRILLATOR CARD DYNAGEN MINI W2.06XH2.76IN THK0.38IN DR,24240.0,24240.0,,,0
CDM,27800007,DEFIBRILLATOR ICD 2 CHMBR DYNAGEN EL 5.37CM X 7.68CM 0.99CM,30019.2,30019.2,,,0
CDM,27800007,ICD-DR  COBALT XT DR MRI IS1 DF1,28080.0,28080.0,,,0
CDM,27800007,RIVACOR 7 DR-T DF4 PROMRI,59520.0,59520.0,,,0
CDM,27800008,146432 : SYSTEM ICD SGL CHMBR EMBLEM 83.1MM X 69.1MM 2.7MM MRI SUBQ,47520.0,47520.0,,,0
CDM,27800008,407504 : DEFIBRILLATOR ICD SGL CHMBR PROMRI ACTICOR 7 VR T DX MRI,59520.0,59520.0,,,0
CDM,27800008,412420 : DEFIBRILLATOR ICD SGL CHMBR PROMRI INTICA NEO 7 VR-T DX MRI,59520.0,59520.0,,,0
CDM,27800008,415753 : ICD COBALT XT VR MRI DF4,24000.0,24000.0,,,0
CDM,27800008,422171 : SYSTEM EXTRAVASCULAR ICD AURORA EV-ICD MRI SURESCAN,49800.0,49800.0,,,0
CDM,27800008,ACTICOR 7 HF-T DF4 IS-1 PROMRI,70356.0,70356.0,,,0
CDM,27800008,DEFIBRILLATOR ICD SGL CHMBR PROMRI ACTICOR 7 VR T DX MRI,59520.0,59520.0,,,0
CDM,27800008,DEFIBRILLATOR ICD VR SGL CHMBR DYNAGEN EL 5.37CM X 7.36CM,26457.6,26457.6,,,0
CDM,27800008,GALLANT VR ICD,31449.6,31449.6,,,0
CDM,27800008,ICD COBALT XT VR MRI DF4,24000.0,24000.0,,,0
CDM,27800008,ICD-VR DVFB1D4 VISIA MRI AF US DF4,19776.0,19776.0,,,0
CDM,27800008,SYSTEM EXTRAVASCULAR ICD AURORA EV-ICD MRI SURESCAN,49800.0,49800.0,,,0
CDM,27800008,SYSTEM ICD SGL CHMBR EMBLEM 83.1MM X 69.1MM 2.7MM MRI SUBQ,47520.0,47520.0,,,0
CDM,27800010,101500 : BALLOON ANGIOSCULPT 2039-2520,1920.0,1920.0,,,0
CDM,27800010,101503 : CATHETER PTCA L137CM BLLN L20MM DIA4MM SHTH 6FR 20ATM,2280.0,2280.0,,,0
CDM,27800010,102591 : ANGIOSCULPT BALLOON,2256.0,2256.0,,,0
CDM,27800010,103604 : CATHETER PTCA L120CM BLLN L4CM DIA12MM 18ATM PERIPH OTW ATLS,720.0,720.0,,,0
CDM,27800010,103606 : CATHETER PTCA BLLN 14MMX4CM 7FRX120CM 0.035IN GWIRE ULT,720.0,720.0,,,0
CDM,27800010,105015 : OPTA PRO 8.0MM X 8CM X 80CM,168.0,168.0,,,0
CDM,27800010,105043 : CATHETER PTCA PERIPH DIL HYDROPHOBIC XCELON BLLN L30MM,336.0,336.0,,,0
CDM,27800010,105044 : VIA TRAC BALLOON 5.0MM X 40MM X 135CM,336.0,336.0,,,0
CDM,27800010,105828 : INOUE BALLOON 28MM,6000.0,6000.0,,,0
CDM,27800010,105852 : CATHETER VALVULOPLASTY L100CM SHFT 8FR BLLN L5CM DIA20MM,1877.93,1877.93,,,0
CDM,27800010,107815 : CATHETER PTCA L75CM BLLN L2CM DIA7MM SHTH 6FR 0.035IN 30ATM,468.0,468.0,,,0
CDM,27800010,108153 : CATHETER PTCA L90CM BLLN L20MM DIA6MM SHTH 6FR 0.018IN 10ATM,1740.0,1740.0,,,0
CDM,27800010,111087 : CATHETER PTCA L142CM BLLN L12MM DIA2.5MM GWIRE 0.022IN 8ATM,173.54,173.54,,,0
CDM,27800010,111088 : CATHETER PTCA L142CM BLLN L20MM DIA2.5MM 0.022IN DURATRAC,168.8,168.8,,,0
CDM,27800010,111514 : CATHETER VENOGRAM L80CM BLLN DIA10MM DISP ATTAIN,240.0,240.0,,,0
CDM,27800010,112691 : ANGIOSCULPT BALLOON 2076-6020,2148.0,2148.0,,,0
CDM,27800010,115041 : CATHETER PTCA L142CM BLLN L12MM DIA1.25MM COR FULCRUM,168.0,168.0,,,0
CDM,27800010,115046 : CATHETER PTCA L142CM BLLN L12MM DIA1.5MM GWIRE 0.021IN 6ATM,172.0,172.0,,,0
CDM,27800010,115051 : CATHETER PTCA L142CM BLLN L12MM DIA2MM 0.022IN DURATRAC,171.43,171.43,,,0
CDM,27800010,115052 : CATHETER PTCA L142CM BLLN L15MM DIA2MM 0.022IN 14ATM,170.47,170.47,,,0
CDM,27800010,115053 : CATHETER PTCA L142CM BLLN L20MM DIA2MM 0.022IN 14ATM,171.0,171.0,,,0
CDM,27800010,115059 : CATHETER PTCA L142CM BLLN L15MM DIA2.25MM 0.022IN 14ATM,168.0,168.0,,,0
CDM,27800010,115065 : CATHETER PTCA L142CM BLLN L15MM DIA2.5MM GWIRE 0.022IN 8ATM,171.5,171.5,,,0
CDM,27800010,115076 : CATHETER PTCA L142CM BLLN L12MM DIA3MM GWIRE 0.023IN 8ATM,168.0,168.0,,,0
CDM,27800010,115077 : CATHETER PTCA L142CM BLLN L15MM DIA3MM 0.023IN DURATRAC,172.8,172.8,,,0
CDM,27800010,115087 : BLN SPL3515X SPRINTER LEGEND 3.5X15 RX,174.0,174.0,,,0
CDM,27800010,116434 : BALLOON ATLAS 18MM X  4CM X 75,720.0,720.0,,,0
CDM,27800010,116564 : CATHETER PTCA BLLN 18FRX16MM L108CM RADPQ TIP POLYUR,1684.8,1684.8,,,0
CDM,27800010,118228 : ANGIOSCULPT EVO RX PTCA 2.5MM X 15MM,1980.0,1980.0,,,0
CDM,27800010,118229 : CATHETER PTCA PERC TRNSLUMN COR SCORING BLLN L10MM DIA3MM RX,1980.0,1980.0,,,0
CDM,27800010,118230 : CATHETER PTCA PERC TRNSLUMN COR HYDRPHLC BLLN L15MM DIA3MM,1980.0,1980.0,,,0
CDM,27800010,120586 : CATHETER PTCA PERC TRNSLUMN COR SCORING BLLN L15MM DIA3.5MM,1932.0,1932.0,,,0
CDM,27800010,124519 : ANTIOSCULPT BALLOON 3.0 MM X 40MM,2264.0,2264.0,,,0
CDM,27800010,124791 : CATHETER PTCA L75CM BLLN L40MM DIA4MM SHTH 5FR GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,124792 : MUSTANG 5.0 X 20 75CM,600.0,600.0,,,0
CDM,27800010,124795 : CATHETER PTCA BLLN L40MM DIA6MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,124798 : CATHETER PTCA BLLN L40MM DIA7MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,124800 : CATHETER PTCA BLLN 8X40MM 5.3FRX75CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
CDM,27800010,124803 : CATHETER PTCA BLLN L40MM DIA9MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,124806 : CATHETER PTCA BLLN 12X40MM 5.8FRX75CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
CDM,27800010,125798 : ANGIOSCULPT OTW US PTA 3.5 X 40MM 155 CM,2256.0,2256.0,,,0
CDM,27800010,125802 : CATHETER PTCA L137CM BLLN L100MM DIA4MM SHTH 6FR 0.014IN,2580.0,2580.0,,,0
CDM,27800010,125804 : CATHETER PTCA L137CM BLLN L100MM DIA6MM RBP 20ATM 0.014IN,2580.0,2580.0,,,0
CDM,27800010,126586 : CATHETER PTCA L75CM BLLN L60MM OD4MM 0.035IN PROF 0.040IN LO,600.0,600.0,,,0
CDM,27800010,126587 : MUSTANG 5.0 X60 75CM,600.0,600.0,,,0
CDM,27800010,126588 : MUSTANG 6.0 X60 75CM,600.0,600.0,,,0
CDM,27800010,126591 : CATHETER PTCA BLLN L60MM DIA7MM L75MM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,126592 : CATHETER PTCA BLLN L60MM DIA8MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,128023 : CATHETER PTCA BLLN 5X40MM OTW 135CM 0.035IN GWIRE COMPLIANT,192.0,192.0,,,0
CDM,27800010,128024 : ARMADA 35 PTA CATHETER 5 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,128025 : ARMADA 35 PTA CATHETER 5 MM X 80 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,128035 : ARMADA 35 PTA CATHETER 6 MM X 100 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,128048 : ARMADA 35 PTA CATHETER 8 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,128050 : ARMADA 35 PTA CATHETER 8 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,128052 : ARMADA 35 PTA CATHETER 9 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,128053 : ARMADA 35 PTA CATHETER 9 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,130778 : BALLOON ANGIOSCULPT OTW 2.5 X 100MM,2580.0,2580.0,,,0
CDM,27800010,130780 : CATHETER PTCA L155CM BLLN L100MM DIA3.5MM SHTH 6FR 0.014IN,2580.0,2580.0,,,0
CDM,27800010,136358 : CATHETER PTCA 4FR L150CM BLLN L12CM DIA1.5MM GWIRE 0.014IN,444.0,444.0,,,0
CDM,27800010,136365 : BALLOON ULTRAVERSE  .014 2MMX30CM,444.0,444.0,,,0
CDM,27800010,136377 : CATHETER PTCA L150CM BLLN L15CM DIA3MM SHTH 4FR GWIRE,444.0,444.0,,,0
CDM,27800010,136408 : BALLOON ULTRAVERSE  .018 2MMX22CM,444.0,444.0,,,0
CDM,27800010,136409 : CATHETER PTCA L150CM BLLN L30CM DIA2MM SHTH 4FR GWIRE,444.0,444.0,,,0
CDM,27800010,136413 : CATHETER PTCA L150CM BLLN L150MM DIA2.5MM 0.018IN 6ATM,444.0,444.0,,,0
CDM,27800010,136415 : CATHETER PTCA L150CM BLLN L30CM DIA2.5MM SHTH 4FR GWIRE,444.0,444.0,,,0
CDM,27800010,136421 : BALLOON ULTRAVERSE  .018 3MMX15CM,444.0,444.0,,,0
CDM,27800010,136422 : CATHETER PTCA BLLN 3MM X 22CM 4FR X 150CM ULTRAVERSE,444.0,444.0,,,0
CDM,27800010,136437 : CATHETER DIL L150CM BLLN L22CM DIA4MM SHTH 4FR GWIRE 0.018IN,444.0,444.0,,,0
CDM,27800010,136439 : CATHETER PTCA L150CM BLLN L40MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
CDM,27800010,136440 : CATHETER PTCA L150CM BLLN L60MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
CDM,27800010,136442 : CATHETER PTCA L150CM BLLN L100MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
CDM,27800010,136444 : CATHETER PTCA L150CM BLLN L150MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
CDM,27800010,136446 : CATHETER PTCA L150CM BLLN L300MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
CDM,27800010,137806 : ARMADA 35 PTA CATHETER 5 MM X 100 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,137808 : ARMADA 35 PTA CATHETER 6 MM X 20 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,137812 : ARMADA 35 PTA CATHETER 6 MM X 100 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,137814 : CATHETER PTCA L80CM BLLN L20MM DIA7MM SHTH 5FR 15ATM PERIPH,192.0,192.0,,,0
CDM,27800010,137815 : CATHETER PTCA L80CM BLLN L40MM DIA7MM SHTH 5FR 15ATM OTW,192.0,192.0,,,0
CDM,27800010,137816 : CATHETER PTCA L80CM BLLN L60MM DIA7MM SHTH 5FR 15ATM OTW,192.0,192.0,,,0
CDM,27800010,137820 : ARMADA 35 PTA CATHETER 8 MM X 20 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,140702 : CATHETER PTCA 2MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,172.0,172.0,,,0
CDM,27800010,140708 : CATHETER PTCA L15MM DIA2MM BLLN NYL BLEND NCOMPL RX NC,170.0,170.0,,,0
CDM,27800010,140716 : CATHETER PTCA 2.25MM X 12MM RX NCOMPL NC EUPHORA LO GWTH,168.0,168.0,,,0
CDM,27800010,140726 : CATHETER PTCA L8MM DIA2.5MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
CDM,27800010,140727 : CATHETER PTCA 2.5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.92,168.92,,,0
CDM,27800010,140729 : CATHETER PTCA L15MM DIA2.5MM BLLN NYL BLEND NCOMPL RX NC,171.69,171.69,,,0
CDM,27800010,140730 : CATHETER PTCA 2.5MM X 20MM RX NCOMPL NC EUPHORA LO GWTH PROF,171.43,171.43,,,0
CDM,27800010,140731 : BALLOON NCEUP2527X NCEUPHORA RX US,171.0,171.0,,,0
CDM,27800010,140735 : CATHETER PTCA 2.75MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.0,168.0,,,0
CDM,27800010,140736 : CATHETER PTCA 2.75MM X 12MM RX NCOMPL NC EUPHORA LO GWTH,172.0,172.0,,,0
CDM,27800010,140740 : CATHETER PTCA 2.75MM X 15MM RX NCOMPL NC EUPHORA LO GWTH,171.33,171.33,,,0
CDM,27800010,140741 : CATHETER PTCA L20MM DIA2.75MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
CDM,27800010,140742 : BALLOON NCEUP27527X NCEUPHORA RX US,168.0,168.0,,,0
CDM,27800010,140747 : CATHETER PTCA 3MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.0,168.0,,,0
CDM,27800010,140749 : CATHETER PTCA 3MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,172.24,172.24,,,0
CDM,27800010,140752 : CATHETER PTCA 3MM X 15MM RX NCOMPL NC EUPHORA LO GWTH PROF,171.9,171.9,,,0
CDM,27800010,140754 : CATHETER PTCA 3MM X 20MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.83,168.83,,,0
CDM,27800010,140755 : BALLOON NCEUP3027X NCEUPHORA RX US,170.67,170.67,,,0
CDM,27800010,140758 : CATHETER PTCA 3.25MM X 12MM RX NCOMPL NC EUPHORA LO GWTH,168.0,168.0,,,0
CDM,27800010,140764 : CATHETER PTCA L15MM DIA3.25MM BLLN NYL BLEND NCOMPL RX NC,169.33,169.33,,,0
CDM,27800010,140765 : CATHETER PTCA L20MM DIA3.25MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
CDM,27800010,140775 : CATHETER PTCA 3.5MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,170.4,170.4,,,0
CDM,27800010,140781 : CATHETER PTCA 3.5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,172.0,172.0,,,0
CDM,27800010,140782 : CATHETER PTCA L15MM DIA3.5MM BLLN NYL BLEND NCOMPL RX NC,169.76,169.76,,,0
CDM,27800010,140784 : CATHETER PTCA L20MM DIA3.5MM BLLN NYL BLEND NCOMPL RX NC,170.53,170.53,,,0
CDM,27800010,140785 : BALLOON NCEUP3527X NCEUPHORA RX US,169.5,169.5,,,0
CDM,27800010,140791 : CATHETER PTCA L8MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
CDM,27800010,140794 : CATHETER PTCA L15MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
CDM,27800010,140799 : CATHETER PTCA L20MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
CDM,27800010,140805 : CATHETER PTCA L8MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,169.71,169.71,,,0
CDM,27800010,140806 : CATHETER PTCA L12MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,170.0,170.0,,,0
CDM,27800010,140809 : CATHETER PTCA L15MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,169.5,169.5,,,0
CDM,27800010,140810 : CATHETER PTCA L20MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,171.0,171.0,,,0
CDM,27800010,140823 : BALLOON NCEUP4027X NCEUPHORA RX US,168.0,168.0,,,0
CDM,27800010,140825 : CATHETER PTCA 4.5MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.0,168.0,,,0
CDM,27800010,140826 : CATHETER PTCA L12MM DIA4.5MM BLLN NYL BLEND NCOMPL RX NC,170.0,170.0,,,0
CDM,27800010,140829 : CATHETER PTCA L142CM BLLN L15MM DIA4.5MM 20ATM DURA-TRAC NYL,169.5,169.5,,,0
CDM,27800010,140830 : CATHETER PTCA L20MM DIA4.5MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
CDM,27800010,140831 : CATHETER PTCA 5MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,180.0,180.0,,,0
CDM,27800010,142940 : CATHETER DIAG 4FR X 90CM 0.035IN GWIRE HYDRPHLC RADPQ MRK,389.76,389.76,,,0
CDM,27800010,144046 : BALLOON.018 ULTRA 6 X 6 X130,444.0,444.0,,,0
CDM,27800010,145357 : CATHETER PTCA L150CM BLLN L40MM DIA1.5MM SHTH 4FR GWIRE,840.0,840.0,,,0
CDM,27800010,145361 : COYOTE MR 2 X 150 X 150,1080.0,1080.0,,,0
CDM,27800010,145362 : COYOTE MR 2 X 220 X 150,1080.0,1080.0,,,0
CDM,27800010,145368 : COYOTE MR 3 X 60 X 150,840.0,840.0,,,0
CDM,27800010,145371 : CATHETER PTCA L150CM BLLN L150MM DIA3MM SHTH 4FR GWIRE,1080.0,1080.0,,,0
CDM,27800010,145372 : CATHETER PTCA L150CM BLLN L220MM DIA3MM SHTH 4FR GWIRE,1080.0,1080.0,,,0
CDM,27800010,146101 : CATHETER PTCA BLLN L80MM DIA6MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,146325 : HI-TORQUE CONNECT GUIDE WIRE .018IN 195 CM,192.0,192.0,,,0
CDM,27800010,156257 : ARMADA 35 PTA CATHETER 6 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,161877 : CATHETER PTCA 5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.0,168.0,,,0
CDM,27800010,162281 : ARMADA 18 PTA CATHETER 2.0 MM X 80 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,162284 : ARMADA 18 PTA CATHETER 2.0 MM X 150 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,162286 : ARMADA 18 PTA CATHETER 2.0 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,162292 : ARMADA 18 PTA CATHETER 2.5 MM X 120 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,162295 : ARMADA 18 PTA CATHETER 2.5 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,162316 : CATHETER PTCA L150CM BLLN L60MM DIA5MM CMPTBL GWIRE 0.018IN,336.0,336.0,,,0
CDM,27800010,162321 : ARMADA 18 PTA CATHETER 5.0 MM X 180 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,162332 : ARMADA 18 PTA CATHETER 6.0 MM X 20 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,162341 : GUIDEWIRE VASC L300CM DIA0.018IN TIP DIA0.018IN STIFFNESS,192.0,192.0,,,0
CDM,27800010,164848 : CATHETER PTCA L137CM BLLN L40MM DIA7MM PERIPH OTW SCORED,2400.0,2400.0,,,0
CDM,27800010,2.00MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,2.25MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,2.25MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,2.50MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,2.50MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,2.75MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,250828 : ANGIOSCULPT EVO RX PTCA 3.0MM X 6MM,1860.0,1860.0,,,0
CDM,27800010,261206 : CATHETER PTCA L135CM BLLN L60MM DIA9MM SHTH 6FR GWIRE,600.0,600.0,,,0
CDM,27800010,261218 : MUSTANG 5.0 X80 75CM,600.0,600.0,,,0
CDM,27800010,261241 : MUSTANG 8.0 X100 135CM,600.0,600.0,,,0
CDM,27800010,261520 : STERLING OTW 6.0 X 80 X 135 HYBRID,840.0,840.0,,,0
CDM,27800010,262198 : CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L12MM DIA2MM ZGLIDE,513.6,513.6,,,0
CDM,27800010,262200 : CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L12MM DIA2.5MM,513.6,513.6,,,0
CDM,27800010,262209 : CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA2MM ZGLIDE,513.6,513.6,,,0
CDM,27800010,262211 : CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA2.5MM,513.6,513.6,,,0
CDM,27800010,262213 : CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA3MM ZGLIDE,513.6,513.6,,,0
CDM,27800010,262215 : CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL L144CM EMERGE LP,513.6,513.6,,,0
CDM,27800010,262217 : EMERGE MR US 15MM X 4.00MM,513.6,513.6,,,0
CDM,27800010,262239 : CATHETER PTCA L144CM BLLN L8MM DIA1.5MM PUSH MRAIL L143CM,513.6,513.6,,,0
CDM,27800010,262384 : FG NC EMERGE MR US 3.00MM X 6MM,513.6,513.6,,,0
CDM,27800010,262386 : CATHETER PTCA BLLN L6MM DIA3.5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262389 : FG NC EMERGE MR US 4.50MM X 6MM,513.6,513.6,,,0
CDM,27800010,262390 : CATHETER PTCA 6FR L143CM BLLN L6MM DIA5MM HYDRPHLC MRAIL RX,513.6,513.6,,,0
CDM,27800010,262393 : CATHETER PTCA 6FR L143CM BLLN L8MM DIA2.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
CDM,27800010,262399 : CATHETER PTCA 6FR L143CM BLLN L8MM DIA4MM HYDRPHLC MRAIL RX,513.6,513.6,,,0
CDM,27800010,262400 : CATHETER PTCA 6FR L143CM BLLN L8MM DIA4.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
CDM,27800010,262408 : CATHETER PTCA BLLN L12MM DIA3MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262410 : CATHETER PTCA BLLN L12MM DIA3.5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262412 : CATHETER PTCA BLLN L12MM DIA4MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262419 : CATHETER PTCA BLLN L15MM DIA2.5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262421 : CATHETER PTCA 6FR L143CM BLLN L15MM DIA3MM HYDRPHLC MRAIL RX,513.6,513.6,,,0
CDM,27800010,262422 : CATHETER PTCA 6FR L143CM BLLN L15MM DIA3.25MM HYDRPHLC MRAIL,513.6,513.6,,,0
CDM,27800010,262423 : CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262425 : CATHETER PTCA BLLN L15MM DIA4MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262426 : CATHETER PTCA 6FR L143CM BLLN L15MM DIA4.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
CDM,27800010,262427 : CATHETER PTCA BLLN L15MM DIA5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262430 : CATHETER PTCA BLLN L20MM DIA2MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262431 : CATHETER PTCA 6FR L143CM BLLN L20MM DIA2.25MM HYDRPHLC MRAIL,513.6,513.6,,,0
CDM,27800010,262436 : CATHETER PTCA BLLN L20MM DIA3.5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262438 : CATHETER PTCA BLLN L20MM DIA4MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,262439 : CATHETER PTCA 6FR L143CM BLLN L20MM DIA4.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
CDM,27800010,262440 : CATHETER PTCA 6FR L143CM BLLN L20MM DIA5MM HYDRPHLC MRAIL RX,513.6,513.6,,,0
CDM,27800010,262445 : FG NC EMERGE MR US 2.50MM X 30MM,513.6,513.6,,,0
CDM,27800010,262449 : CATHETER PTCA 6FR L143CM BLLN L30MM DIA3.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
CDM,27800010,27607 : CATH XXL LGE BALLOON DIL14-552,688.8,688.8,,,0
CDM,27800010,3.00MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,3.00MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,3.25MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,3.50MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,3.75MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,32694 : CATHETER PTCA BLLN 14MM X 20MM 75CM 0.035IN GWIRE NCOMPL 2XL,688.8,688.8,,,0
CDM,27800010,351964 : ARMADA 18 PTA CATHETER 2.0 MM X 60 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,351972 : ARMADA 18 PTA CATHETER 2.5 MM X 40 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,351977 : ARMADA 18 PTA CATHETER 2.5 MM X 150 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,351980 : ARMADA 18 PTA CATHETER 3.0 MM X 20 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,351982 : ARMADA 18 PTA CATHETER 3.0 MM X 60 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,351983 : ARMADA 18 PTA CATHETER 3.0 MM X 80 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,351984 : ARMADA 18 PTA CATHETER 3.0 MM X 100 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,351988 : ARMADA 18 PTA CATHETER 3.0 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,351990 : ARMADA 18 PTA CATHETER 4.0 MM X 40 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,351992 : ARMADA 18 PTA CATHETER 4.0 MM X 80 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,351994 : ARMADA 18 PTA CATHETER 4.0 MM X 120 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,351995 : ARMADA 18 PTA CATHETER 4.0 MM X 150 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,351997 : ARMADA 18 PTA CATHETER 4.0 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,351999 : ARMADA 18 PTA CATHETER 5.0 MM X 40 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,352002 : ARMADA 18 PTA CATHETER 5.0 MM X 100 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,352003 : ARMADA 18 PTA CATHETER 5.0 MM X 120 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,352004 : ARMADA 18 PTA CATHETER 5.0 MM X 150 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,352006 : ARMADA 18 PTA CATHETER 5.0 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,352019 : ARMADA 18 PTA CATHETER 6.0 MM X 80 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
CDM,27800010,352020 : ARMADA 18 PTA CATHETER 6.0 MM X 100 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,352033 : CATHETER PTCA PERIPH DIL HYDROPHOBIC XCELON BLLN L30MM,336.0,336.0,,,0
CDM,27800010,352040 : VIATRAC 14 PLUS PERIPHERAL DILATATION CATHETER 4.5 MM X 20 M,336.0,336.0,,,0
CDM,27800010,352056 : VIATRAC 14 PLUS PERIPHERAL DILATATION CATHETER 5.5 MM X 20 M,336.0,336.0,,,0
CDM,27800010,352057 : CATHETER PTCA L135CM BLLN L30MM DIA5.5MM XCELON HYDROPHOBIC,336.0,336.0,,,0
CDM,27800010,352061 : VIATRAC 14 PLUS PERIPHERAL DILATATION CATHETER 5.5 MM X 30 M,336.0,336.0,,,0
CDM,27800010,352065 : CATHETER PTCA PERIPH DIL HYDROPHOBIC XCELON BLLN L30MM,336.0,336.0,,,0
CDM,27800010,352124 : ARMADA 14 PTA CATHETER 2.0 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,352164 : ARMADA 35 PTA CATHETER 6 MM X 40 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352166 : ARMADA 35 PTA CATHETER 6 MM X 80 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352175 : ARMADA 35 PTA CATHETER 7 MM X 80 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352181 : ARMADA 35 PTA CATHETER 8 MM X 40 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352183 : ARMADA 35 PTA CATHETER 8 MM X 80 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352188 : ARMADA 35 PTA CATHETER 10 MM X 20 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352189 : ARMADA 35 PTA CATHETER 10 MM X 40 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352194 : ARMADA 35 PTA CATHETER 12 MM X 60 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352197 : ARMADA 35 PTA CATHETER 14 MM X 40 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352202 : ARMADA 35 PTA CATHETER 4 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352206 : ARMADA 35 PTA CATHETER 4 MM X 100 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352207 : ARMADA 35 PTA CATHETER 4 MM X 120 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352208 : ARMADA 35 LL PTA CATHETER 4 MM X 150 MM X 135 CM  OVER-THE-W,192.0,192.0,,,0
CDM,27800010,352215 : ARMADA 35 PTA CATHETER 5 MM X 100 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352216 : ARMADA 35 PTA CATHETER 5 MM X 120 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352217 : ARMADA 35 LL PTA CATHETER 5 MM X 150 MM X 135 CM  OVER-THE-W,192.0,192.0,,,0
CDM,27800010,352220 : ARMADA 35 PTA CATHETER 6 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352222 : ARMADA 35 PTA CATHETER 6 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352223 : ARMADA 35 PTA CATHETER 6 MM X 80 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352225 : ARMADA 35 PTA CATHETER 6 MM X 120 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352229 : ARMADA 35 PTA CATHETER 7 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352230 : ARMADA 35 PTA CATHETER 7 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352231 : ARMADA 35 PTA CATHETER 7 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352233 : ARMADA 35 PTA CATHETER 7 MM X 100 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352238 : ARMADA 35 PTA CATHETER 8 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352245 : ARMADA 35 PTA CATHETER 10 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352246 : ARMADA 35 PTA CATHETER 10 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352250 : ARMADA 35 PTA CATHETER 12 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352251 : ARMADA 35 PTA CATHETER 12 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352253 : ARMADA 35 PTA CATHETER 14 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352254 : ARMADA 35 PTA CATHETER 14 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352255 : ARMADA 35 PTA CATHETER 14 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
CDM,27800010,352268 : MINI TREK CORONARY DILATATION CATHETER 2.0 MM X 30 MM  RAPID,300.0,300.0,,,0
CDM,27800010,352279 : TREK CORONARY DILATATION CATHETER 2.50 MM X 15 MM  RAPID-EXC,300.0,300.0,,,0
CDM,27800010,352293 : TREK CORONARY DILATATION CATHETER 3.0 MM X 15 MM  RAPID-EXCH,300.0,300.0,,,0
CDM,27800010,359152 : BLUE-SLALOM 6X24-80 BIL PCKGD,1800.0,1800.0,,,0
CDM,27800010,359513 : CATHETER PTCA L135CM BLLN L8MM DIA3.5MM 0.014IN COR RX,2397.6,2397.6,,,0
CDM,27800010,359526 : 4.5 X 8MM FLASH OSTIAL SYSTEM,2397.6,2397.6,,,0
CDM,27800010,359592 : CATHETER PTCA 8FR L120CM BLLN L40MM DIA16MM 18ATM 0.035IN,720.0,720.0,,,0
CDM,27800010,359703 : CONQUEST 035 OTW PTA CATHETER 9MM X 40MM X 75CM,468.0,468.0,,,0
CDM,27800010,359737 : CONQUEST 40 035 OTW PTA CATHETER 12MM X 40MM X 75CM,468.0,468.0,,,0
CDM,27800010,370126 : CATHETER VLVULPLSTY 11FR X 110CM BLLN 20MM X 4.5CM AORT VLV,3600.0,3600.0,,,0
CDM,27800010,375404 : CATHETER PTCA BLLN L8MM DIA1MM COR DIL PTECH SHFT KINK,540.0,540.0,,,0
CDM,27800010,375406 : CATHETER PTCA BLLN L15MM DIA1MM OTW L150CM CMPTBL GWIRE,540.0,540.0,,,0
CDM,27800010,375920 : CATHETER PTCA BLLN L10MM DIA3MM MRAIL WOLVERINE,2280.0,2280.0,,,0
CDM,27800010,375922 : CATHETER PTCA BLLN L10MM DIA3.5MM MRAIL WOLVERINE,2280.0,2280.0,,,0
CDM,27800010,375924 : CATHETER PTCA BLLN L10MM DIA4MM MRAIL WOLVERINE,2280.0,2280.0,,,0
CDM,27800010,375929 : CATHETER PTCA BLLN L15MM DIA3MM MRAIL WOLVERINE,2280.0,2280.0,,,0
CDM,27800010,375931 : CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL WOLVERINE,2280.0,2280.0,,,0
CDM,27800010,375933 : CATHETER PTCA BLLN L15MM DIA4MM MRAIL WOLVERINE,2280.0,2280.0,,,0
CDM,27800010,4.00MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,4.00MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,4.5 X 8MM FLASH OSTIAL SYSTEM,2397.6,2397.6,,,0
CDM,27800010,4.50MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,406128 : CATH PCU040200130 PTA PACIFIC XTR 04L200,660.0,660.0,,,0
CDM,27800010,407229 : CATHETER PTCA COR HYDRPHLC POLYMR COAT BLLN L12MM DIA1.5MM,338.4,338.4,,,0
CDM,27800010,407230 : CATHETER PTCA COR HYDRPHLC POLYMR COAT BLLN L15MM DIA1.5MM,338.4,338.4,,,0
CDM,27800010,408645 : ULTRAVERSE RX 014 RX PTA CATHETER 2.5MM X 100MM X 200CM,444.0,444.0,,,0
CDM,27800010,413886 : CATHETER LITHO L135CM BLLN L60MM DIA4MM SHTH COMPATIBILITY,8280.0,8280.0,,,0
CDM,27800010,413889 : CATHETER LITHO L135CM BLLN L60MM DIA5.5MM SHTH COMPATIBILITY,8280.0,8280.0,,,0
CDM,27800010,413890 : CATHETER LITHO L135CM BLLN L60MM DIA6MM SHTH COMPATIBILITY,8280.0,8280.0,,,0
CDM,27800010,413892 : CATHETER LITHO L135CM BLLN L60MM DIA7MM SHTH COMPATIBILITY,8280.0,8280.0,,,0
CDM,27800010,413893 : CATHETER LITHO L135CM BLLN L60MM DIA8MM SHTH COMPATIBILITY,8280.0,8280.0,,,0
CDM,27800010,414555 : ANGIOSCULPT EVO RX PTCA 3.0MM X 20MM,1920.0,1920.0,,,0
CDM,27800010,414943 : CATHETER LITHO L110CM BLLN L30MM DIA8MM CROSSING PROF,8280.0,8280.0,,,0
CDM,27800010,418444 : 2.00MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418454 : 2.50MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418455 : 2.50MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418456 : 2.50MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418460 : 2.75MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418465 : 3.00MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418466 : 3.00MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418467 : 3.00MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418468 : 3.00MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418476 : 3.50MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418477 : 3.50MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418478 : 3.50MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418479 : 3.50MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,418488 : 4.00MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,419551 : CATHETER PTCA L150CM DIA4FR BLLN L150MM DIA2MM GWIRE 0.014IN,2280.0,2280.0,,,0
CDM,27800010,419557 : CATHETER PTCA L150CM DIA4FR BLLN L40MM DIA2.5MM GWIRE,2280.0,2280.0,,,0
CDM,27800010,419565 : CATHETER PTCA L150CM DIA4FR BLLN L40MM DIA3.5MM GWIRE,2280.0,2280.0,,,0
CDM,27800010,419570 : CATHETER PTCA L130CM DIA5FR BLLN L100MM DIA5MM GWIRE 0.035IN,2280.0,2280.0,,,0
CDM,27800010,419573 : CATHETER PTCA L130CM DIA5FR BLLN L40MM DIA5MM GWIRE 0.035IN,2280.0,2280.0,,,0
CDM,27800010,42911 : CATHETER PTCA 6FR L75CM BLLN L4CM DIA8MM SHEATHLESS ENTRY,468.0,468.0,,,0
CDM,27800010,5.00MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
CDM,27800010,50997 : CATHETER PTCA L75CM BLLN L40MM DIA12MM GWIRE 0.035IN SHTH,688.8,688.8,,,0
CDM,27800010,541043 : CATHETER VLVULPLSTY 13FR L110CM BLLN L4.5CM DIA26MM AORT DIL,3600.0,3600.0,,,0
CDM,27800010,546455 : CATHETER INTVASC LITHO 150CM BLLN 3MM X 80MM CMPTBL 5FR 546455,11280.0,11280.0,,,0
CDM,27800010,546456 : CATHETER INTVASC LITHO 150CM BLLN 3.5MM X 80MM CMPTBL 5FR 546456,11280.0,11280.0,,,0
CDM,27800010,546457 : CATHETER INTVASC LITHO 150CM BLLN 4MM X 80MM CMPTBL 5FR 546457,11280.0,11280.0,,,0
CDM,27800010,546458 : CATHETER INTVASC LITHO 150CM BLLN 5MM X 80MM CMPTBL 6FRCATHE 546458,11280.0,11280.0,,,0
CDM,27800010,63278 : CATHETER PTCA L135CM BLLN L20MM DIA5MM XCELON HYDROPHOBIC RX,336.0,336.0,,,0
CDM,27800010,66293 : CATHETER PTCA 5FR L80CM INFLATED BLLN L20MM DIA6MM CROSSING,336.0,336.0,,,0
CDM,27800010,66919 : CATHETER DIL 7FR L75CM BLLN L4CM DIA10MM SHTH 7FR 24ATM RAP,468.0,468.0,,,0
CDM,27800010,67141 : BALLOON SUBMAINE 4X120X130,708.0,708.0,,,0
CDM,27800010,72381 : .018 STERLING OTW 6X2-135,840.0,840.0,,,0
CDM,27800010,72383 : .018 STERLING OTW 6X10-135,840.0,840.0,,,0
CDM,27800010,ANGIOSCULPT BALLOON,2148.0,2148.0,,,0
CDM,27800010,ANGIOSCULPT EVO RX PTCA 2.0MM X 10MM,1860.0,1860.0,,,0
CDM,27800010,ANGIOSCULPT EVO RX PTCA 2.5MM X 10MM,1900.0,1900.0,,,0
CDM,27800010,ANGIOSCULPT EVO RX PTCA 2.5MM X 15MM,1860.0,1860.0,,,0
CDM,27800010,ARMADA 14 PTA CATHETER 2.0 MM X 120 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
CDM,27800010,ARMADA 35 LL PTA CATHETER 4 MM X 150 MM X 135 CM  OVER-THE-W,192.0,192.0,,,0
CDM,27800010,BALLOON AGILTRAC 5X40X135,672.0,672.0,,,0
CDM,27800010,BALLOON ATLAS 24MM X  4CM X 75,1260.0,1260.0,,,0
CDM,27800010,BALLOON NCEUP22520X NCEUPHORA RX US,180.0,180.0,,,0
CDM,27800010,BALLOON NCEUP27527X NCEUPHORA RX US,178.29,178.29,,,0
CDM,27800010,BALLOON NCEUP3027X NCEUPHORA RX US,180.0,180.0,,,0
CDM,27800010,BALLOON NCEUP3527X NCEUPHORA RX US,179.43,179.43,,,0
CDM,27800010,BALLOON NCEUP4027X NCEUPHORA RX US,180.0,180.0,,,0
CDM,27800010,BALLOON ULTRAVERSE  .014 2.5MMX12CM,444.0,444.0,,,0
CDM,27800010,BALLOON.018 ULTRA 6 X 10 X 130,444.0,444.0,,,0
CDM,27800010,BLN CATH ANGIO L138CM SPR2510W SPRINTER,180.0,180.0,,,0
CDM,27800010,BLN SPL27512X SPRINTER LEGEND 2.75X12 RX,174.0,174.0,,,0
CDM,27800010,BLN SPL3515X SPRINTER LEGEND 3.5X15 RX,178.0,178.0,,,0
CDM,27800010,CATH XXL LGE BALLOON DIL14-552,688.8,688.8,,,0
CDM,27800010,CATHETER BLLN L350CM DIA13MM CHN 2.8MM GWIRE DIA0.035IN ABV,392.06,392.06,,,0
CDM,27800010,CATHETER DIL 135CM BLLN 6MM X 20MM RENAL ART HYDROPHOBIC RX,336.0,336.0,,,0
CDM,27800010,CATHETER DIL 7FR L75CM BLLN L4CM DIA10MM SHTH 7FR 24ATM RAP,468.0,468.0,,,0
CDM,27800010,CATHETER DIL L150CM BLLN L4CM DIA3MM SHTH 4FR GWIRE 0.018IN,444.0,444.0,,,0
CDM,27800010,CATHETER INTVASC LITHO 150CM BLLN 5MM X 80MM CMPTBL 6FRCATHE,11280.0,11280.0,,,0
CDM,27800010,CATHETER LITHO L110CM BLLN L30MM DIA10MM CROSSING PROF,8280.0,8280.0,,,0
CDM,27800010,CATHETER LITHO L135CM SHTH 5FR BLLN L40MM DIA3MM 6ATM PROX,6600.0,6600.0,,,0
CDM,27800010,CATHETER OCCL 3.2FR L135CM REENTRY STINGRAY LP,6055.2,6055.2,,,0
CDM,27800010,CATHETER PTCA 2.25MM X 12MM RX NCOMPL NC EUPHORA LO GWTH,176.0,176.0,,,0
CDM,27800010,CATHETER PTCA 2.5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.69,179.69,,,0
CDM,27800010,CATHETER PTCA 2.5MM X 20MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.75,179.75,,,0
CDM,27800010,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L12MM DIA2MM ZGLIDE,459.2,459.2,,,0
CDM,27800010,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA1.5MM PUSH,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA2.5MM,470.08,470.08,,,0
CDM,27800010,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA2MM ZGLIDE,472.8,472.8,,,0
CDM,27800010,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA3MM ZGLIDE,483.93,483.93,,,0
CDM,27800010,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L20MM DIA2MM ZGLIDE,452.4,452.4,,,0
CDM,27800010,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L8MM DIA2MM ZGLIDE,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA 2.75MM X 12MM RX NCOMPL NC EUPHORA LO GWTH,178.11,178.11,,,0
CDM,27800010,CATHETER PTCA 2.75MM X 15MM RX NCOMPL NC EUPHORA LO GWTH,179.62,179.62,,,0
CDM,27800010,CATHETER PTCA 2.75MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA 3.5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.79,179.79,,,0
CDM,27800010,CATHETER PTCA 3.5MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA 3MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,178.5,178.5,,,0
CDM,27800010,CATHETER PTCA 3MM X 15MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.36,179.36,,,0
CDM,27800010,CATHETER PTCA 3MM X 20MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.32,179.32,,,0
CDM,27800010,CATHETER PTCA 3MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,178.11,178.11,,,0
CDM,27800010,CATHETER PTCA 4.5MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.08,179.08,,,0
CDM,27800010,CATHETER PTCA 4FR L150CM BLLN L12CM DIA1.5MM GWIRE 0.014IN,444.0,444.0,,,0
CDM,27800010,CATHETER PTCA 5FR L80CM INFLATED BLLN L20MM DIA6MM CROSSING,336.0,336.0,,,0
CDM,27800010,CATHETER PTCA 5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA 6FR L130CM BLLN L40MM DIA6MM GWIRE 0.035IN,2280.0,2280.0,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L15MM DIA3.25MM HYDRPHLC MRAIL,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L15MM DIA3MM HYDRPHLC MRAIL RX,454.05,454.05,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L15MM DIA4.5MM HYDRPHLC MRAIL,443.66,443.66,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L20MM DIA2.5MM HYDRPHLC MRAIL,438.8,438.8,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L20MM DIA4.5MM HYDRPHLC MRAIL,459.2,459.2,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L30MM DIA3.5MM HYDRPHLC MRAIL,472.8,472.8,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L6MM DIA5MM HYDRPHLC MRAIL RX,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L8MM DIA3.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L8MM DIA3.75MM HYDRPHLC MRAIL,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L8MM DIA3MM HYDRPHLC MRAIL RX,445.6,445.6,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L8MM DIA4.5MM HYDRPHLC MRAIL,459.2,459.2,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L8MM DIA4MM HYDRPHLC MRAIL RX,442.2,442.2,,,0
CDM,27800010,CATHETER PTCA 6FR L143CM BLLN L8MM DIA5.5MM HYDRPHLC MRAIL,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA 6FR L75CM BLLN DIA7MM L4CM GWIRE 0.035IN ULT,468.0,468.0,,,0
CDM,27800010,CATHETER PTCA 8FR L120CM BLLN L40MM DIA16MM 18ATM 0.035IN,720.0,720.0,,,0
CDM,27800010,CATHETER PTCA BLLN 10X80MM 5.8FRX135CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA BLLN 14MM X 20MM 75CM 0.035IN GWIRE NCOMPL 2XL,688.8,688.8,,,0
CDM,27800010,CATHETER PTCA BLLN 14MMX4CM 7FRX120CM 0.035IN GWIRE ULT,720.0,720.0,,,0
CDM,27800010,CATHETER PTCA BLLN 18FRX16MM L108CM RADPQ TIP POLYUR,1656.0,1656.0,,,0
CDM,27800010,CATHETER PTCA BLLN 2.5MM X 40MM OTW 145CM 0.014IN GWIRE ULT,840.0,840.0,,,0
CDM,27800010,CATHETER PTCA BLLN 20MM X 4CM 9FR X 75CM ATLS,864.0,864.0,,,0
CDM,27800010,CATHETER PTCA BLLN 3MM X 22CM 4FR X 150CM ULTRAVERSE,444.0,444.0,,,0
CDM,27800010,CATHETER PTCA BLLN 4X40MM 5.3FRX135CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA BLLN 4X80MM OTW 135CM 0.035IN GWIRE COMPLIANT,192.0,192.0,,,0
CDM,27800010,CATHETER PTCA BLLN 5X20MM 5.3FRX135CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA BLLN 5X40MM OTW 135CM 0.035IN GWIRE COMPLIANT,192.0,192.0,,,0
CDM,27800010,CATHETER PTCA BLLN 6X20MM 5.3FRX75CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA BLLN 7X80MM 5.3FRX75CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA BLLN L10MM DIA1MM COR DIL PTECH SHFT KINK,540.0,540.0,,,0
CDM,27800010,CATHETER PTCA BLLN L10MM DIA3.5MM MRAIL WOLVERINE,2210.0,2210.0,,,0
CDM,27800010,CATHETER PTCA BLLN L10MM DIA3MM MRAIL WOLVERINE,2280.0,2280.0,,,0
CDM,27800010,CATHETER PTCA BLLN L10MM DIA4MM MRAIL WOLVERINE,2256.0,2256.0,,,0
CDM,27800010,CATHETER PTCA BLLN L12MM DIA2.5MM MRAIL L143CM NCOMPL NC,450.13,450.13,,,0
CDM,27800010,CATHETER PTCA BLLN L12MM DIA2.75MM MRAIL L143CM NCOMPL NC,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA BLLN L12MM DIA3.5MM MRAIL L143CM NCOMPL NC,443.66,443.66,,,0
CDM,27800010,CATHETER PTCA BLLN L12MM DIA3.75MM MRAIL L143CM NCOMPL NC,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA BLLN L12MM DIA3MM MRAIL L143CM NCOMPL NC,450.83,450.83,,,0
CDM,27800010,CATHETER PTCA BLLN L12MM DIA3MM MRAIL L144CM EMERGE LP,513.6,513.6,,,0
CDM,27800010,CATHETER PTCA BLLN L12MM DIA4.5MM MRAIL L143CM NCOMPL NC,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA1MM OTW L150CM CMPTBL GWIRE,540.0,540.0,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA2.25MM MRAIL L143CM NCOMPL NC,452.4,452.4,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA2.5MM MRAIL L143CM NCOMPL NC,447.69,447.69,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA2.75MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA2MM MRAIL L143CM NCOMPL NC,459.2,459.2,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL L143CM NCOMPL NC,456.48,456.48,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL L144CM EMERGE LP,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL WOLVERINE,2244.0,2244.0,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA3.75MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA3MM MRAIL WOLVERINE,2157.0,2157.0,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA4MM MRAIL L143CM NCOMPL NC,456.48,456.48,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA4MM MRAIL WOLVERINE,2186.0,2186.0,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA5.5MM MRAIL L143CM NCOMPL NC,472.8,472.8,,,0
CDM,27800010,CATHETER PTCA BLLN L15MM DIA5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
CDM,27800010,CATHETER PTCA BLLN L20MM DIA2.5MM MRAIL L144CM EMERGE LP,480.96,480.96,,,0
CDM,27800010,CATHETER PTCA BLLN L20MM DIA2MM MRAIL L143CM NCOMPL NC,478.63,478.63,,,0
CDM,27800010,CATHETER PTCA BLLN L20MM DIA3.5MM MRAIL L143CM NCOMPL NC,442.88,442.88,,,0
CDM,27800010,CATHETER PTCA BLLN L20MM DIA3MM MRAIL L143CM NCOMPL NC,457.11,457.11,,,0
CDM,27800010,CATHETER PTCA BLLN L20MM DIA3MM MRAIL L144CM EMERGE LP,486.4,486.4,,,0
CDM,27800010,CATHETER PTCA BLLN L20MM DIA4MM MRAIL L143CM NCOMPL NC,443.66,443.66,,,0
CDM,27800010,CATHETER PTCA BLLN L20MM DIA6MM MRAIL L143CM NCOMPL NC,432.0,432.0,,,0
CDM,27800010,CATHETER PTCA BLLN L30MM DIA3MM MRAIL L143CM NCOMPL NC,450.13,450.13,,,0
CDM,27800010,CATHETER PTCA BLLN L40MM DIA10MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA BLLN L40MM DIA5MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA BLLN L5MM DIA1MM COR SAPPHIRE II PRO,540.0,540.0,,,0
CDM,27800010,CATHETER PTCA BLLN L60MM DIA7MM L75MM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA BLLN L6MM DIA3.5MM MRAIL L143CM NCOMPL NC,459.2,459.2,,,0
CDM,27800010,CATHETER PTCA BLLN L80MM DIA6MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA BLLN L8MM DIA1MM COR DIL PTECH SHFT KINK,540.0,540.0,,,0
CDM,27800010,CATHETER PTCA COR HYDRPHLC POLYMR COAT BLLN L12MM DIA1.5MM,329.73,329.73,,,0
CDM,27800010,CATHETER PTCA COR HYDRPHLC POLYMR COAT BLLN L15MM DIA1.5MM,338.4,338.4,,,0
CDM,27800010,CATHETER PTCA COR HYDRPHLC POLYMR COAT BLLN L6MM DIA1.5MM RX,327.73,327.73,,,0
CDM,27800010,CATHETER PTCA CUT PERIPH BLLN 5MMX2CM OTW 135CM 0.018IN,1740.0,1740.0,,,0
CDM,27800010,CATHETER PTCA DIL BLLN L8MM DIA4.5MM MRAIL ULT LO TIP,513.6,513.6,,,0
CDM,27800010,CATHETER PTCA L120CM BLLN L4CM DIA12MM 18ATM PERIPH OTW ATLS,720.0,720.0,,,0
CDM,27800010,CATHETER PTCA L12MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA L12MM DIA4.5MM BLLN NYL BLEND NCOMPL RX NC,179.0,179.0,,,0
CDM,27800010,CATHETER PTCA L12MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,178.86,178.86,,,0
CDM,27800010,CATHETER PTCA L130CM BLLN L4CM DIA7MM SHTH 5FR GWIRE 0.018IN,444.0,444.0,,,0
CDM,27800010,CATHETER PTCA L130CM DIA5FR BLLN L100MM DIA4MM GWIRE 0.035IN,2280.0,2280.0,,,0
CDM,27800010,CATHETER PTCA L135CM BLLN L20MM DIA5MM XCELON HYDROPHOBIC RX,336.0,336.0,,,0
CDM,27800010,CATHETER PTCA L135CM BLLN L60MM DIA9MM SHTH 6FR GWIRE,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA L135CM BLLN L80MM DIA7MM SHTH 5FR GWIRE,240.0,240.0,,,0
CDM,27800010,CATHETER PTCA L135CM BLLN L8MM DIA3.5MM 0.014IN COR RX,2397.6,2397.6,,,0
CDM,27800010,CATHETER PTCA L137CM BLLN L20MM DIA4MM SHTH 6FR 20ATM,2148.0,2148.0,,,0
CDM,27800010,CATHETER PTCA L137CM BLLN L40MM DIA4MM RBP 20ATM 0.018IN,2280.0,2280.0,,,0
CDM,27800010,CATHETER PTCA L137CM BLLN L40MM DIA6MM SHTH 6FR 0.018IN RBP,2148.0,2148.0,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L10MM DIA1.25MM TIP L2.5MM SHFT,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L12MM DIA1.25MM COR FULCRUM,175.2,175.2,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L12MM DIA1.5MM GWIRE 0.021IN 6ATM,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L12MM DIA2.25MM 8ATM 0.022IN RX,175.2,175.2,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L12MM DIA2.5MM GWIRE 0.022IN 8ATM,179.18,179.18,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L12MM DIA2MM 0.022IN DURATRAC,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L15MM DIA1.5MM CROSSING PROF,178.5,178.5,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L15MM DIA2.25MM 0.022IN 14ATM,177.82,177.82,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L15MM DIA2.5MM GWIRE 0.022IN 8ATM,179.23,179.23,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L15MM DIA2MM 0.022IN 14ATM,179.74,179.74,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L15MM DIA3MM 0.023IN DURATRAC,179.31,179.31,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L15MM DIA4.5MM 20ATM DURA-TRAC NYL,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L20MM DIA2.5MM 0.022IN DURATRAC,179.47,179.47,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L20MM DIA2MM 0.022IN 14ATM,179.14,179.14,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L20MM DIA3MM GWIRE 0.023IN 8ATM,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA L142CM BLLN L6MM DIA1.25MM COR FULCRUM,168.0,168.0,,,0
CDM,27800010,CATHETER PTCA L143CM BLLN L20MM DIA1.5MM GWIRE 0.014IN SHTH,840.0,840.0,,,0
CDM,27800010,CATHETER PTCA L150CM BLLN L100MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
CDM,27800010,CATHETER PTCA L150CM BLLN L150MM DIA2.5MM SHTH 4FR GWIRE,1080.0,1080.0,,,0
CDM,27800010,CATHETER PTCA L150CM BLLN L150MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
CDM,27800010,CATHETER PTCA L150CM BLLN L150MM OD2.5MM MRAIL COYOTE,1080.0,1080.0,,,0
CDM,27800010,CATHETER PTCA L150CM BLLN L15CM DIA3MM SHTH 4FR GWIRE,444.0,444.0,,,0
CDM,27800010,CATHETER PTCA L150CM BLLN L220MM DIA3.5MM SHTH 4FR GWIRE,1080.0,1080.0,,,0
CDM,27800010,CATHETER PTCA L150CM BLLN L300MM DIA4MM SHTH 5FR GWIRE,444.0,444.0,,,0
CDM,27800010,CATHETER PTCA L150CM BLLN L60MM DIA5MM CMPTBL GWIRE 0.018IN,336.0,336.0,,,0
CDM,27800010,CATHETER PTCA L150CM DIA4FR BLLN L150MM DIA2.5MM GWIRE,2280.0,2280.0,,,0
CDM,27800010,CATHETER PTCA L15MM DIA2.25MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA L15MM DIA2.5MM BLLN NYL BLEND NCOMPL RX NC,179.29,179.29,,,0
CDM,27800010,CATHETER PTCA L15MM DIA2MM BLLN NYL BLEND NCOMPL RX NC,178.43,178.43,,,0
CDM,27800010,CATHETER PTCA L15MM DIA3.25MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA L15MM DIA3.5MM BLLN NYL BLEND NCOMPL RX NC,179.43,179.43,,,0
CDM,27800010,CATHETER PTCA L15MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,178.8,178.8,,,0
CDM,27800010,CATHETER PTCA L15MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,179.23,179.23,,,0
CDM,27800010,CATHETER PTCA L170CM BLLN L210MM DIA3MM SHTH 4FR W/ 0.014IN,885.6,885.6,,,0
CDM,27800010,CATHETER PTCA L20MM DIA2.75MM BLLN NYL BLEND NCOMPL RX NC,178.29,178.29,,,0
CDM,27800010,CATHETER PTCA L20MM DIA3.25MM BLLN NYL BLEND NCOMPL RX NC,175.2,175.2,,,0
CDM,27800010,CATHETER PTCA L20MM DIA3.5MM BLLN NYL BLEND NCOMPL RX NC,178.58,178.58,,,0
CDM,27800010,CATHETER PTCA L20MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA L20MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,179.22,179.22,,,0
CDM,27800010,CATHETER PTCA L75CM BLLN L30MM DIA4MM SHTH 5FR GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA L75CM BLLN L40MM DIA4MM SHTH 5FR GWIRE 0.035IN,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA L80CM BLLN L20MM DIA4.5MM GUID 6FR PERIPH,336.0,336.0,,,0
CDM,27800010,CATHETER PTCA L80CM BLLN L20MM DIA7MM SHTH 5FR 15ATM PERIPH,192.0,192.0,,,0
CDM,27800010,CATHETER PTCA L8MM DIA2.5MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
CDM,27800010,CATHETER PTCA L8MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,179.62,179.62,,,0
CDM,27800010,CATHETER PTCA MEDIGLIDE BLLN 7X80MM 5.3FRX135CM 0.035IN,600.0,600.0,,,0
CDM,27800010,CATHETER PTCA PERC TRNSLUMN COR HYDRPHLC BLLN L15MM DIA3MM,1900.0,1900.0,,,0
CDM,27800010,CATHETER PTCA PERC TRNSLUMN COR SCORING BLLN L15MM DIA3.5MM,1890.0,1890.0,,,0
CDM,27800010,CATHETER PTCA PERIPH DIL HYDROPHOBIC XCELON BLLN L30MM,336.0,336.0,,,0
CDM,27800010,CATHETER PTCA SHFT L144CM SHTH 4FR BLLN L20MM DIA3MM GWIRE,840.0,840.0,,,0
CDM,27800010,CATHETER PTCA SHFT L75CM SHTH 5FR BLLN L100MM DIA5MM GWIRE,600.0,600.0,,,0
CDM,27800010,CATHETER VALVULOPLASTY L100CM SHFT 8FR BLLN L5CM DIA20MM,1848.56,1848.56,,,0
CDM,27800010,CATHETER VENOGRAM L80CM BLLN DIA10MM DISP ATTAIN,240.0,240.0,,,0
CDM,27800010,CATHETER VLVULPLSTY 11FR X 110CM BLLN 20MM X 4.5CM AORT VLV,3120.0,3120.0,,,0
CDM,27800010,CATHETER VLVULPLSTY 7FR L100CM BLLN L4CM DIA16MM INTRO 9FR,1838.78,1838.78,,,0
CDM,27800010,CATHETER VLVULPLSTY 9FR L100CM BLLN L5CM DIA22MM 0.035IN SHT,1854.44,1854.44,,,0
CDM,27800010,CATHETER VLVULPLSTY AORT AND PULM VLV BLLN 18MMX4CM,1866.18,1866.18,,,0
CDM,27800010,CONQUEST 035 OTW PTA CATHETER 12MM X 20MM X 75CM,468.0,468.0,,,0
CDM,27800010,COYOTE ES MR 2 X 20 X 142,840.0,840.0,,,0
CDM,27800010,COYOTE MR 2 X 150 X 150,1080.0,1080.0,,,0
CDM,27800010,COYOTE MR 3 X 100 X 150,840.0,840.0,,,0
CDM,27800010,COYOTE MR 4 X 150 X 150,1080.0,1080.0,,,0
CDM,27800010,EMERGE MR US 12MM X 1.50MM,432.0,432.0,,,0
CDM,27800010,EMERGE MR US 15MM X 4.00MM,472.8,472.8,,,0
CDM,27800010,EMERGE MR US 20MM X 3.50MM,432.0,432.0,,,0
CDM,27800010,EMERGE MR US 20MM X 4.00MM,513.6,513.6,,,0
CDM,27800010,FG NC EMERGE MR US 2.00MM X 30MM,432.0,432.0,,,0
CDM,27800010,FG NC EMERGE MR US 2.50MM X 30MM,486.4,486.4,,,0
CDM,27800010,FG NC EMERGE MR US 3.00MM X 6MM,432.0,432.0,,,0
CDM,27800010,FG NC EMERGE MR US 6.00MM X 8MM,472.8,472.8,,,0
CDM,27800010,FOX SV 3MM X 120MM X 150CM,492.0,492.0,,,0
CDM,27800010,GUIDEWIRE VASC L300CM DIA0.018IN TIP DIA0.018IN STIFFNESS,192.0,192.0,,,0
CDM,27800010,HI-TORQUE CONNECT GUIDE WIRE .018IN 195 CM,192.0,192.0,,,0
CDM,27800010,INACTIVE USE 137815 - ARMADA 35 PTA CATH7MMX40MMX80CMOTW,192.0,192.0,,,0
CDM,27800010,INACTIVE USE PS#125520 -  ARMADA 14 PTA CATHETER 3.0 MM X 12,336.0,336.0,,,0
CDM,27800010,INACTIVE USE PS#137812 -  ARMADA 35 PTA CATHETER 6 MM X 100,192.0,192.0,,,0
CDM,27800010,INACTIVE USE PS#162291 -  ARMADA 18 PTA CATHETER 2.5 MM X 10,336.0,336.0,,,0
CDM,27800010,INACTIVE USE PS#351981 -  CATHETER PTCA L150CM BLLN L40MM DI,336.0,336.0,,,0
CDM,27800010,INACTIVE USE PS#352203 -  CATHETER PTCA BLLN 4X40MM OTW 135C,192.0,192.0,,,0
CDM,27800010,INACTIVE USE PS#352480 -  CATH DILATION CORONARY NC TREK 3.2,300.0,300.0,,,0
CDM,27800010,INACTIVE USE PS#66293 -  VIATRAC 14 PLUS PERIPHERAL DILATATI,336.0,336.0,,,0
CDM,27800010,INOUE BALLOON 28MM,6000.0,6000.0,,,0
CDM,27800010,MINI TREK CORONARY DILATATION CATHETER 1.20 MM X 08 MM  RAPI,300.0,300.0,,,0
CDM,27800010,MOZEC RX PTCA  2.50X25(US MARKET),216.0,216.0,,,0
CDM,27800010,MUSTANG 10.0 X 20 75CM,600.0,600.0,,,0
CDM,27800010,NC TREK CORONARY DILATATION CATHETER 3.0 MM X 12 MM  RAPID-E,300.0,300.0,,,0
CDM,27800010,OPTA PRO 8.0MM X 6CM X 80CM,168.0,168.0,,,0
CDM,27800010,SET VLVULPLSTY CATH MI VLV BLLN 30MM X 2.5CM 12FR X 70CM,5520.0,5520.0,,,0
CDM,27800010,SHOCKWAVE M5 IVL CATHETER 6.0X60 MM,6600.0,6600.0,,,0
CDM,27800010,STERLING OTW 5 X 60 X 135,840.0,840.0,,,0
CDM,27800010,THREADER MICRO-DILATION CATHETER,2457.6,2457.6,,,0
CDM,27800010,TREK CORONARY DILATATION CATHETER 2.50 MM X 15 MM  RAPID-EXC,300.0,300.0,,,0
CDM,27800010,ULTRAVERSE RX 014 RX PTA CATHETER 2MM X 300MM X 200CM,444.0,444.0,,,0
CDM,27800010,ULTRAVERSE RX 014 RX PTA CATHETER 3MM X 200MM X 200CM,396.0,396.0,,,0
CDM,27800010,ULTRAVERSE RX 014 RX PTA CATHETER 4MM X 200MM X 200CM,444.0,444.0,,,0
CDM,27800010,ULTRAVERSE RX 2.5MM X120MM X200CM,396.0,396.0,,,0
CDM,27800010,ULTRAVERSE RX 2MM X 80MM X 200CM,444.0,444.0,,,0
CDM,27800010,VIA TRAC BALLOON 5.0MM X 40MM X 135CM,336.0,336.0,,,0
CDM,27800010,VIATRAC 14 PLUS PERIPHERAL DILATATION CATHETER 4.0 MM X 20 M,336.0,336.0,,,0
CDM,27800010,WOLVERINE CB MR US 15MMX2.50MM,2244.0,2244.0,,,0
CDM,27800010,Z-MED BALLOON 26X4X100,1877.93,1877.93,,,0
CDM,27800010,ZMED BALLOON 33 X 4 X 100,1877.93,1877.93,,,0
CDM,27800011,102003 : CATHETER DIL L110CM BLLN L3CM DIA8X9X10MM 0.035IN CMPTBL,1075.46,1075.46,,,0
CDM,27800011,105991 : BALLOON ENDOSCP US FOR BF-UC160F BF-UC180F BRONCHSCP DISP,74.06,74.06,,,0
CDM,27800011,122651 : BALLOON STONE EXTR L195CM DIA8.5-11.5-15MM 3.2MM CHN 3 LUMN,350.66,350.66,,,0
CDM,27800011,127897 : DILATOR ENDOSCP L90CM CATH 14FR BLLN L10CM DIA30MM 0.038IN,2176.37,2176.37,,,0
CDM,27800011,128363 : CATHETER DIL 7.5FR L240CM BLLN 18X21X24FR L5.5CM 3X6X10ATM,832.61,832.61,,,0
CDM,27800011,128364 : CATHETER DIL 7.5FR L240CM BLLN 24X27X30FR L5.5CM 3X5.5X9ATM,832.61,832.61,,,0
CDM,27800011,128365 : CATHETER DIL 7.5FR L240CM BLLN 30X33X36FR L5.5CM 3X5X8ATM ES,832.61,832.61,,,0
CDM,27800011,128366 : CATHETER DIL 7.5FR L240CM BLLN 36X40.5X45FR L5.5CM,832.61,832.61,,,0
CDM,27800011,128367 : CATHETER DIL 7.5FR L240CM BLLN 45X49.5X54FR L5.5CM,832.61,832.61,,,0
CDM,27800011,128368 : CATHETER DIL 7.5FR L240CM BLLN 54X57X60FR L5.5CM 3X4.5X6ATM,832.61,832.61,,,0
CDM,27800011,250894 : CATHETER DIL 7.5FR L180CM BLLN L3CM DIA8-9-10MM 0.035IN,913.92,913.92,,,0
CDM,27800011,250895 : CATHETER DIL 7.5FR L180CM BLLN L3CM DIA10-11-12MM 0.035IN,913.92,913.92,,,0
CDM,27800011,250896 : CATHETER DIL 7.5FR L180CM BLLN L3CM DIA12-13.5-15MM 0.035IN,913.92,913.92,,,0
CDM,27800011,29372 : BALLOON US E 3 FOR GF-UC140P-AL5 GF-UCT140-AL5 GF-UCT140-DO5,75.17,75.17,,,0
CDM,27800011,29373 : CUFF BLLN FOR USE,73.08,73.08,,,0
CDM,27800011,368024 : INSPIRA AIR BALLOON DILATION SYSTEM 12X40MM,1751.4,1751.4,,,0
CDM,27800011,368025 : INSPIRA AIR BALLOON DILATION SYSTEM 14X40MM,1751.4,1751.4,,,0
CDM,27800011,368029 : EUSTACHIAN DILATION SYSTEM,4558.68,4558.68,,,0
CDM,27800011,381777 : CATHETER VLVULPLSTY 12FR X 110CM BLLN 21MM X 4.5CM AORT VLV,3600.0,3600.0,,,0
CDM,27800011,381778 : CATHETER VLVULPLSTY 12FR L110CM BLLN L4.5CM DIA22MM AORT DIL,3600.0,3600.0,,,0
CDM,27800011,381779 : CATHETER VLVULPLSTY L110CM BLLN L4.5CM DIA23MM SHTH 12FR,3600.0,3600.0,,,0
CDM,27800011,63773 : CATHETER BLLN 4.5FR L190CM DIA2.8MM DIL EXTR OTW ABV INJ,331.2,331.2,,,0
CDM,27800011,71400 : CATHETER DIL 5.8FR L180CM BLLN L4CM DIA6MM GWIRE 0.035IN MIN,1038.46,1038.46,,,0
CDM,27800011,87566 : CATHETER BLLN DIL 5.8FR L180CM BLLN L4CM DIA4MM GWIRE,1038.46,1038.46,,,0
CDM,27800011,AIRWAY BALLOON 5X24,1674.18,1674.18,,,0
CDM,27800011,BALLOON CATHETER 21GW,392.06,392.06,,,0
CDM,27800011,BALLOON ENDOSCP US FOR BF-UC160F BF-UC180F BRONCHSCP DISP,73.78,73.78,,,0
CDM,27800011,BALLOON STONE EXTR L195CM DIA8.5-11.5-15MM 3.2MM CHN 3 LUMN,350.66,350.66,,,0
CDM,27800011,BALLOON US E 3 FOR GF-UC140P-AL5 GF-UCT140-AL5 GF-UCT140-DO5,75.17,75.17,,,0
CDM,27800011,CATHETER BLLN 4.5FR L190CM DIA2.8MM DIL EXTR OTW ABV INJ,331.2,331.2,,,0
CDM,27800011,CATHETER BLLN DIL 5.8FR L180CM BLLN L4CM DIA4MM GWIRE,1038.46,1038.46,,,0
CDM,27800011,CATHETER DIL 14FR L90CM BLLN L10CM DIA40MM 0.038IN,2176.37,2176.37,,,0
CDM,27800011,CATHETER DIL 5.8FR L180CM BLLN L4CM DIA10MM 8ATM BILI RX 2,1038.46,1038.46,,,0
CDM,27800011,CATHETER DIL 5.8FR L180CM BLLN L4CM DIA6MM GWIRE 0.035IN MIN,1038.46,1038.46,,,0
CDM,27800011,CATHETER DIL 5.8FR L180CM BLLN L4CM DIA8MM GWIRE 0.035IN MIN,1038.46,1038.46,,,0
CDM,27800011,CATHETER DIL 7.5FR L180CM BLLN L3CM DIA10-11-12MM 0.035IN,913.92,913.92,,,0
CDM,27800011,CATHETER DIL 7.5FR L240CM BLLN 18X21X24FR L5.5CM 3X6X10ATM,832.61,832.61,,,0
CDM,27800011,CATHETER DIL L110CM BLLN L3CM DIA10X11X12MM 0.035IN CMPTBL,1075.46,1075.46,,,0
CDM,27800011,CATHETER DIL L110CM BLLN L3CM DIA8X9X10MM 0.035IN CMPTBL,1075.46,1075.46,,,0
CDM,27800011,CATHETER DIL L110CM BLLN L5.5CM DIA15X16.5X18MM 0.035IN,1075.46,1075.46,,,0
CDM,27800011,CATHETER VLVULPLSTY 12FR L110CM BLLN L4.5CM DIA22MM AORT DIL,3330.0,3330.0,,,0
CDM,27800011,CATHETER VLVULPLSTY BLLN L4.5CM DIA24MM 12FR L100CM 0.035IN,3600.0,3600.0,,,0
CDM,27800011,CATHETER VLVULPLSTY L110CM BLLN L4.5CM DIA23MM SHTH 12FR,3480.0,3480.0,,,0
CDM,27800011,CUFF BLLN FOR USE,72.72,72.72,,,0
CDM,27800011,DILATOR ENDOSCP CATH 14FR L90CM BLLN INFLATED L10CM DIA35MM,2176.37,2176.37,,,0
CDM,27800011,DILATOR ENDOSCP L90CM CATH 14FR BLLN L10CM DIA30MM 0.038IN,2176.37,2176.37,,,0
CDM,27800011,EUSTACHIAN DILATION SYSTEM,4558.68,4558.68,,,0
CDM,27800011,INACTIVE USE 87566 BALLOON BIL DIL CATH 4 X 4,1038.46,1038.46,,,0
CDM,27800011,INACTIVE USE PS#119876 -  CATHETER  BALL DILAT 10-12MM,507.53,507.53,,,0
CDM,27800011,KIT BLLN CATH 24FR L12CM SHTH 17CM PTFE HI PRSS W/ ENCORE 26,1377.48,1377.48,,,0
CDM,27800011,NEPHROMAX BALLOON 24FW/17CM PTFE SHEATH,1273.18,1273.18,,,0
CDM,27800011,NEPHROMAX BALLOON 30FW/17CM CLEAR SHEATH,1377.48,1377.48,,,0
CDM,27800014,106732 : MULTIPURPOSE DRNGE CATH 8.5FR DIA 0.038IN L25CM,178.92,178.92,,,0
CDM,27800014,106982 : CATHETER DRNGE 14FR L25CM GWIRE DIA0.038IN HYDRPHLC 6,178.92,178.92,,,0
CDM,27800014,107937 : CATHETER DRNGE 10.2FR L45CM GWIRE DIA0.038IN HYDRPHLC 6,201.86,201.86,,,0
CDM,27800014,120492 : NEEDLE CENTESIS 19GA CATH 5FR L15CM PGTL FOR PERC FLD ASPIR,56.42,56.42,,,0
CDM,27800014,124922 : NEEDLE CATH 19GA 5FR L20CM FOR PERC FLD ASPIR YUEH,38.5,38.5,,,0
CDM,27800014,130002 : MULTIPURPOSE DRAINAGE CATHETER-NEEDLE SET,130.51,130.51,,,0
CDM,27800014,138125 : SET CATH EVD ID1.5MM DEPTH MRK 3-15CM SIL ANTIMIC BACTISEAL,898.99,898.99,,,0
CDM,27800014,138127 : SET CATH EVD ID1.9MM DEPTH MRK 3-15CM SIL LG LUMN ANTIMIC,964.92,964.92,,,0
CDM,27800014,143404 : TRAY PNEUMOTHOR CATH 14FR X 29CM NDL 18GA X 5CM X 9CM 19,534.38,534.38,,,0
CDM,27800014,145279 : CATHETER DRNGE 7FR L25CM GWIRE DIA0.035IN HYDRPHLC 5 SIDEPRT,167.11,167.11,,,0
CDM,27800014,145390 : ULTRATHANE MAC-LOC LOCKING LOOP BILIARY DRAINAGE CATHETER,182.52,182.52,,,0
CDM,27800014,24397 : CATHETER DRNGE 10.2FR L40CM GWIRE DIA0.038IN HYDRPHLC RADPQ,182.52,182.52,,,0
CDM,27800014,26789 : KIT PLEUR CATH 15.5FR SIL INCL GWIRE INTRO NDL FEN DRP FLTR,1359.6,1359.6,,,0
CDM,27800014,27747 : NEEDLE CENTESIS 19GA CATH 5FR L7CM 4 SIDEPRT FOR PERC FLD,38.5,38.5,,,0
CDM,27800014,28154 : NEEDLE CENTESIS 19GA CATH 5FR 10CM 4 SIDEPRT FOR PRCUTANEOUS,38.5,38.5,,,0
CDM,27800014,30803 : CATHETER DRNGE 10.2FR L25CM NDL 18GA 0.038IN 6 SIDEPRT MP,178.92,178.92,,,0
CDM,27800014,31896 : CATHETER DRNGE 12FR L40CM GWIRE DIA0.038IN HYDRPHLC RADPQ,182.52,182.52,,,0
CDM,27800014,35587 : SET DCOMPR CATH 14FR L175CM 10 SIDEPRT DRNGE GUID CATH 6FR,468.0,468.0,,,0
CDM,27800014,361614 : BARDEX 4-WING MALECOT 28FR,58.66,58.66,,,0
CDM,27800014,37158 : CATHETER DRNGE 12FR L25CM GWIRE 0.038IN HYDRPHLC MP LP MAC,178.92,178.92,,,0
CDM,27800014,408059 : CATHETER DRNGE 40CMX12FRX.038IN UTHANE BILI EXT SIDEPORTS,182.52,182.52,,,0
CDM,27800014,421488 : CATHETER DRNGE 10.2FR L25CM GWIRE DIA0.038IN HYDRPHLC 5,167.11,167.11,,,0
CDM,27800014,43307 : NEEDLE CENTESIS 19GA CATH 5FR L15CM 4 SIDEPRT FOR PERC FLD,38.5,38.5,,,0
CDM,27800014,45867 : CATHETER VENT DRNGE L14CM OD2.7MM ID1.4MM BA SIL ANTIMIC,913.99,913.99,,,0
CDM,27800014,46397 : CATHETER DRNGE L120CM OD2.15MM ID1MM PERI BA OPN END,913.99,913.99,,,0
CDM,27800014,ARGYLE LT VENTRICULAR SUMP VENT CATH,67.78,67.78,,,0
CDM,27800014,BARDEX 4-WING MALECOT 18FR,58.66,58.66,,,0
CDM,27800014,BARDEX 4-WING MALECOT 28FR,22.7,22.7,,,0
CDM,27800014,CATH NEURO CARDIAC 43418,541.9,541.9,,,0
CDM,27800014,CATHETER DRAINAGE 16FR X 25CM ACCEPTS 0.038IN GUIDEWIRE 6 SI,169.58,169.58,,,0
CDM,27800014,CATHETER DRAINAGE 18FR L40CM GUIDEWIRE DIA0.038IN HYDROPHILI,231.31,231.31,,,0
CDM,27800014,CATHETER DRAINAGE 20FR L25CM GUIDEWIRE 0.038IN NEEDLE 18GA 6,232.46,232.46,,,0
CDM,27800014,CATHETER DRNGE 10.2FR L25CM GWIRE DIA0.038IN HYDRPHLC 5,167.11,167.11,,,0
CDM,27800014,CATHETER DRNGE 10.2FR L25CM NDL 18GA 0.038IN 6 SIDEPRT MP,178.92,178.92,,,0
CDM,27800014,CATHETER DRNGE 10.2FR L40CM GWIRE DIA0.038IN HYDRPHLC RADPQ,182.52,182.52,,,0
CDM,27800014,CATHETER DRNGE 10.2FR L45CM GWIRE DIA0.038IN HYDRPHLC 6,201.86,201.86,,,0
CDM,27800014,CATHETER DRNGE 12FR L25CM GWIRE 0.038IN HYDRPHLC MP LP MAC,178.92,178.92,,,0
CDM,27800014,CATHETER DRNGE 12FR L40CM GWIRE DIA0.038IN HYDRPHLC RADPQ,182.52,182.52,,,0
CDM,27800014,CATHETER DRNGE 12FR L45CM GWIRE DIA0.038IN HYDRPHLC 6,201.86,201.86,,,0
CDM,27800014,CATHETER DRNGE 14FR L25CM GWIRE DIA0.038IN HYDRPHLC 6,178.92,178.92,,,0
CDM,27800014,CATHETER DRNGE 40CMX12FRX.038IN UTHANE BILI EXT SIDEPORTS,182.52,182.52,,,0
CDM,27800014,CATHETER DRNGE L120CM OD2.15MM ID1MM PERI BA OPN END,913.99,913.99,,,0
CDM,27800014,CATHETER VENT DRNGE L14CM OD2.7MM ID1.4MM BA SIL ANTIMIC,878.15,878.15,,,0
CDM,27800014,CATHETER VENTRICULAR L23CM OD2.5MM ID1.3MM ANTIBIOTIC IMPREG,930.82,930.82,,,0
CDM,27800014,DRAINAGE BILIARY 8.5,182.52,182.52,,,0
CDM,27800014,INACTIVE USE PS#28154 -  NEEDLE CENTESIS 19GA CATH STR 5FR X,38.5,38.5,,,0
CDM,27800014,KIT LUM DRNGE CEREBROSPINAL FLD VERSION II,542.21,542.21,,,0
CDM,27800014,KIT PLEUR CATH 15.5FR SIL INCL GWIRE INTRO NDL FEN DRP FLTR,1359.6,1359.6,,,0
CDM,27800014,MULTIPURPOSE DRNGE CATH 8.5FR DIA 0.038IN L25CM,178.92,178.92,,,0
CDM,27800014,NEEDLE CATH 19GA 5FR L20CM FOR PERC FLD ASPIR YUEH,38.5,38.5,,,0
CDM,27800014,NEEDLE CENTESIS 19GA CATH 5FR 10CM 4 SIDEPRT FOR PRCUTANEOUS,38.5,38.5,,,0
CDM,27800014,NEEDLE CENTESIS 19GA CATH 5FR L15CM 4 SIDEPRT FOR PERC FLD,38.5,38.5,,,0
CDM,27800014,NEEDLE CENTESIS 19GA CATH 5FR L15CM PGTL FOR PERC FLD ASPIR,56.42,56.42,,,0
CDM,27800014,NEEDLE CENTESIS 19GA CATH 5FR L7CM 4 SIDEPRT FOR PERC FLD,38.5,38.5,,,0
CDM,27800014,SET CATH EVD ID1.5MM DEPTH MRK 3-15CM SIL ANTIMIC BACTISEAL,846.12,846.12,,,0
CDM,27800014,SET CATH EVD ID1.9MM DEPTH MRK 3-15CM SIL LG LUMN ANTIMIC,908.16,908.16,,,0
CDM,27800014,SET DCOMPR CATH 14FR L175CM 10 SIDEPRT DRNGE GUID CATH 6FR,468.0,468.0,,,0
CDM,27800014,SET DRAINAGE CATHETER L41CM OD20FR 0.038IN CLEAR FOR ABSCESS,252.02,252.02,,,0
CDM,27800014,TRAY CHST TB 20FR X 41CM 4 SIDE PRT INCL 80CM GWIRE DIL,373.75,373.75,,,0
CDM,27800014,TRAY PNEUMOTHOR CATH 14FR X 29CM NDL 18GA X 5CM X 9CM 19,534.38,534.38,,,0
CDM,27800014,TUBE CHEST TRAY THAL QUICK  28 FR  C-TQTSY-2800,373.75,373.75,,,0
CDM,27800014,ULTRATHANE MAC-LOC LOCKING LOOP BILIARY DRAINAGE CATHETER,182.52,182.52,,,0
CDM,27800015,104462 : CATHETER EP DECAPOLAR CSL CRV 6FR L120CM 2-8-2MM SPC 2MM TIP,780.0,780.0,,,0
CDM,27800015,111536 : CATHETER EP 6FR L115CM QPLR ELECTRD 5MM SPC STABILENE,288.0,288.0,,,0
CDM,27800015,119196 : CATHETER EP QPLR JSN CRV 6FR L120CM 2-5-2MM SPC RESPON,220.73,220.73,,,0
CDM,27800015,128710 : CATHETER EP L165CM OD3.5FR ID3.8FR ELECTRD L1MM SPC 4MM LOOP,2100.0,2100.0,,,0
CDM,27800015,128711 : CATHETER EP 6MM ELECTRD SPC 3.3FR X 165MM TIP 20MM ACHVE,2100.0,2100.0,,,0
CDM,27800015,161704 : CATHETER EP 6FR L110CM 10 PLAT ELECTRD SPC 2-5-2MM L 4.0 CRV,1230.0,1230.0,,,0
CDM,27800015,251036 : FIX 5F 4P HIS 5MM 12PN-DR 115,424.8,424.8,,,0
CDM,27800015,251037 : CATHETER EP QUADRAPOLAR F CRV 5MM SPC 6FR L115CM FIX W- AUTO,271.2,271.2,,,0
CDM,27800015,CATH TO GENRTR CBL ST,2160.0,2160.0,,,0
CDM,27800015,CATHETER EP 6FR L110CM 2-5-2MM ELECTRD SPC L CRV DECAPOLAR,720.0,720.0,,,0
CDM,27800015,CATHETER EP 6FR L115CM QPLR ELECTRD 5MM SPC STABILENE,288.0,288.0,,,0
CDM,27800015,CATHETER EP 6MM ELECTRD SPC 3.3FR X 165MM TIP 20MM ACHVE,2100.0,2100.0,,,0
CDM,27800015,CATHETER EP DECAPOLAR CSL CRV 6FR L120CM 2-8-2MM SPC 2MM TIP,780.0,780.0,,,0
CDM,27800015,CATHETER EP L165CM OD3.5FR ID3.8FR ELECTRD L1MM SPC 4MM LOOP,2100.0,2100.0,,,0
CDM,27800015,CATHETER EP QPLR JSN CRV 6FR L120CM 2-5-2MM SPC RESPON,199.2,199.2,,,0
CDM,27800015,FIX 5F 4P HIS 5MM 12PN-DR 115,424.8,424.8,,,0
CDM,27800015,FIX 6F 4P A SD 5MM 10PN-DR 115,271.2,271.2,,,0
CDM,27800019,108253 : 24 CM PERMCATH,480.0,480.0,,,0
CDM,27800019,24 CM PERMCATH,480.0,480.0,,,0
CDM,27800019,26064 : CATHETER PERI DLYS L62CM SIL RUB CRL TWO CUF W- ADPT CAP,227.4,227.4,,,0
CDM,27800019,36001 : CATHETER PERI DLYS L57CM SIL RUB TWO CUF CRL TBNG RADPQ STRP,227.4,227.4,,,0
CDM,27800019,430022 : KIT HAD CATH 15.5FR L28CM LT W- SIDE H SHTH VES DIL DSG,480.0,480.0,,,0
CDM,27800019,478900 : SET HAD CATH 15.5FR 28CM POLYUR STR STP TIP AG DBL D INT,480.0,480.0,,,0
CDM,27800019,485128 : CATHETER HEMODIALYSIS ADMINISTRATION BASIC SET 15.5FRX28CM H,480.0,480.0,,,0
CDM,27800019,9449 : PASSER CATH L55CM LNG SS TB NYL MAL DISP CODMAN,287.61,287.61,,,0
CDM,27800019,CATH PEDI STR 6FR 6006 KENDALL,25.18,25.18,,,0
CDM,27800019,CATH PERMA 40CM,285.22,285.22,,,0
CDM,27800019,CATHETER HEMODIALYSIS 12.5FRX32CM HEMO-CATH,308.64,308.64,,,0
CDM,27800019,CATHETER HEMODIALYSIS ADMINISTRATION BASIC SET 15.5FRX28CM H,480.0,480.0,,,0
CDM,27800019,CATHETER PERI DLYS L57CM SIL RUB TWO CUF CRL TBNG RADPQ STRP,227.4,227.4,,,0
CDM,27800019,CATHETER PERI DLYS L62CM SIL RUB CRL TWO CUF W/ ADPT CAP,227.4,227.4,,,0
CDM,27800019,CATHETER PERITONEAL DIALYSIS STRAIGHT WITH DOUBLE CUFF ONLY,360.0,360.0,,,0
CDM,27800019,DISPOSABLE CATH PASSER 36CM,263.21,263.21,,,0
CDM,27800019,KIT HAD CATH 15.5FR L28CM LT W/ SIDE H SHTH VES DIL DSG,480.0,480.0,,,0
CDM,27800019,PASSER CATH L55CM LNG SS TB NYL MAL DISP CODMAN,290.19,290.19,,,0
CDM,27800019,SET HAD CATH 15.5FR 28CM POLYUR STR STP TIP AG DBL D INT,480.0,480.0,,,0
CDM,27800019,SET HEMODIALYSIS CATHETER 12.5FR X 24CM CUFF TO TIP 19CM SIL,547.2,547.2,,,0
CDM,27800020,102079 : CATHETER CV 0.62ML 5FR POLYUR SL GRAV FLO RATE 1245ML-HR,670.32,670.32,,,0
CDM,27800020,102080 : TRAY MICROINTRODUCER 2 LUMN CATH 6FR CUF POS 5CM POWERLINE,715.68,715.68,,,0
CDM,27800020,107145 : CATHETER CV PED 7FR 1-0.5ML RED WHT L65CM 2 LUMN OD3MM,491.4,491.4,,,0
CDM,27800020,147790 : TRAY PICC 5FR X 55CM POWERPICC SL RAD BAS INCLUDE 70CM NIT,186.24,186.24,,,0
CDM,27800020,24069 : CATHETER PA 6FR 110CM GWIRE 0.030IN INTRO 2.3MM DL SWAN GANZ,205.94,205.94,,,0
CDM,27800020,2437 : CATHETER PULM CATH 7.5FR X 110CM GWIRE 0.025IN INTRO 8.5FR,260.67,260.67,,,0
CDM,27800020,24521 : CATHETER PA 5FR L110CM DL MON SWN GZ,206.4,206.4,,,0
CDM,27800020,25704 : CATH BROVIAC 2.7 FR. 60040,307.44,307.44,,,0
CDM,27800020,37625 : CATHETER CVC 1.8ML 9.6FR L90CM SIL SL ATRAUM TIP SMTH MOLD,417.48,417.48,,,0
CDM,27800020,392 : CATHETER CVC 0.3ML 4.2FR L71CM SL ATRAUM TIP SMTH MOLD,456.12,456.12,,,0
CDM,27800020,393 : CATHETER CVC 0.7ML 6.6FR L90CM SIL SL ATRAUM TIP SMTH MOLD,428.4,428.4,,,0
CDM,27800020,418984 : SINGLE LUMEN PRESSURE MONITORING SET,131.76,131.76,,,0
CDM,27800020,479068 : CATHETER CV 0.55ML 5FR 2 LUMN GRAV FLO RATE 577ML-HR,844.2,844.2,,,0
CDM,27800020,479803 : CATHETER PICC 3FR L20CM SL MIDLN MAX BARR+ TY PROVENA,362.4,362.4,,,0
CDM,27800020,479807 : TRAY PICC 4FR 2 LUMN MIDLN MAX BARR+ W- BIOPATCH DSG PRB CVR,458.4,458.4,,,0
CDM,27800020,CATHETER ANGIO 5FR L100CM NYL DAVIS CRV TAPR RADPQ TIP SS,54.91,54.91,,,0
CDM,27800020,CATHETER CV 0.62ML 5FR POLYUR SL GRAV FLO RATE 1245ML/HR,670.32,670.32,,,0
CDM,27800020,CATHETER CV PED 7FR 1/0.5ML RED WHT L65CM 2 LUMN OD3MM,491.4,491.4,,,0
CDM,27800020,CATHETER CVC 0.3ML 4.2FR L71CM SL ATRAUM TIP SMTH MOLD,456.12,456.12,,,0
CDM,27800020,CATHETER CVC 0.7ML 6.6FR L90CM SIL SL ATRAUM TIP SMTH MOLD,400.68,400.68,,,0
CDM,27800020,CATHETER CVC 1.8ML 9.6FR L90CM SIL SL ATRAUM TIP SMTH MOLD,398.16,398.16,,,0
CDM,27800020,CATHETER PA 5FR L110CM DL MON SWN GZ,218.4,218.4,,,0
CDM,27800020,CATHETER PA 6FR 110CM GWIRE 0.030IN INTRO 2.3MM DL SWAN GANZ,217.7,217.7,,,0
CDM,27800020,CATHETER PULM CATH 7.5FR X 110CM GWIRE 0.025IN INTRO 8.5FR,257.53,257.53,,,0
CDM,27800020,DOT PROVPP 4FDL 3CG CHG PC NG,712.97,712.97,,,0
CDM,27800020,KIT CVC 7FR L20CM 3L PRSS INJ ARROWG+ARD BLU +,328.32,328.32,,,0
CDM,27800020,POWERPICC 5FR TL MAX BARRIER 3CG,769.46,769.46,,,0
CDM,27800020,SINGLE LUMEN PRESSURE MONITORING SET,131.76,131.76,,,0
CDM,27800020,TRAY MICROINTRODUCER 2 LUMN CATH 6FR CUF POS 5CM POWERLINE,715.68,715.68,,,0
CDM,27800020,TRAY PICC 5FR X 55CM POWERPICC SL RAD BAS INCLUDE 70CM NIT,186.24,186.24,,,0
CDM,27800020,TRAY PICC PRIM 0.53ML 3FR SL 18GA PUR NRS SM PT MAX BARR,576.07,576.07,,,0
CDM,27800024,135659 : KIT CATH ACCS PRT NEURO W- 10ML SYR 25-24GA NCOR NDL 2 TMPLT,60.0,60.0,,,0
CDM,27800024,606 : VENT SUCT VENT 20FR CONN 1-4IN SIL MAL INTRO NVENT DLP,62.96,62.96,,,0
CDM,27800024,CATH VENOUS DLP CB 22 FR.,125.62,125.62,,,0
CDM,27800024,KIT CATH ACCS PRT NEURO W/ 10ML SYR 25/24GA NCOR NDL 2 TMPLT,60.0,60.0,,,0
CDM,27800024,VENT SUCT VENT 20FR CONN 1/4IN SIL MAL INTRO NVENT DLP,55.54,55.54,,,0
CDM,27800025,1481 : CATHETER EMB 3FR L80CM INFLATED BLLN DIA5MM ART GRN SFT RND,99.19,99.19,,,0
CDM,27800025,1482 : CATHETER EMB 4FR L80CM INFLATED BLLN DIA9MM ART RED SFT RND,99.19,99.19,,,0
CDM,27800025,1483 : CATHETER EMB 5FR L80CM INFLATED BLLN DIA11MM ART WHT SFT RND,99.19,99.19,,,0
CDM,27800025,21827 : CATHETER EMB 2FR L60CM INFLATED BLLN DIA4MM ART PUR SFT RND,235.01,235.01,,,0
CDM,27800025,25030 : CATHETER EMB 4FR L80CM BLLN INFLATED DIA9MM DEFLATED 5FR,233.38,233.38,,,0
CDM,27800025,32786 : CATHETER EMB 5.5FR L80CM BLLN INFLATED DIA11MM DEFLATED 6FR,233.38,233.38,,,0
CDM,27800025,32787 : CATHETER EMB 3FR X 80CM OTW THRU LUMN RADPQ SS BUSHING FGRTY,233.38,233.38,,,0
CDM,27800025,418964 : STENT CLOT RETRV L20MM DIA3MM V01,12000.0,12000.0,,,0
CDM,27800025,418965 : DEVICE REVASCULARIZATION USABLE L40MM STNT,12000.0,12000.0,,,0
CDM,27800025,418966 : DEVICE REVASCULARIZATION STNT L47MM DIA6MM,12000.0,12000.0,,,0
CDM,27800025,540792 : CATHETER EMB 2FR X 60CM BLLN 0.05ML INFLATED 4MM NOVASIL SIL,501.6,501.6,,,0
CDM,27800025,CANNULA PERF 24FR L14IN AORT STR TIP W/ SUT FLNG 3/8IN VENT,195.83,195.83,,,0
CDM,27800025,CATH 9MM FOGARTY BALLOON,233.38,233.38,,,0
CDM,27800025,CATHETER EMB 2FR L60CM INFLATED BLLN DIA4MM ART PUR SFT RND,235.01,235.01,,,0
CDM,27800025,CATHETER EMB 3FR L80CM INFLATED BLLN DIA5MM ART GRN SFT RND,99.19,99.19,,,0
CDM,27800025,CATHETER EMB 3FR X 80CM OTW THRU LUMN RADPQ SS BUSHING FGRTY,233.38,233.38,,,0
CDM,27800025,CATHETER EMB 4FR L80CM BLLN INFLATED DIA9MM DEFLATED 5FR,233.38,233.38,,,0
CDM,27800025,CATHETER EMB 4FR L80CM INFLATED BLLN DIA9MM ART RED SFT RND,99.19,99.19,,,0
CDM,27800025,CATHETER EMB 5.5FR L80CM BLLN INFLATED DIA11MM DEFLATED 6FR,233.38,233.38,,,0
CDM,27800025,CATHETER EMB 5FR L80CM INFLATED BLLN DIA11MM ART WHT SFT RND,99.19,99.19,,,0
CDM,27800025,CATHETER EMB 6FR L80CM SIL BLLN INFLATED DIA13MM ART SS,94.46,94.46,,,0
CDM,27800025,DEVICE REVASCULARIZATION STNT L37MM DIA6MM PUSH WIRE L200CM,12000.0,12000.0,,,0
CDM,27800025,FOGARTY EMBOLECTOMY POUCH PACK 3F 40CM,99.19,99.19,,,0
CDM,27800025,SOLITAIRE 2 DEVICE,16440.0,16440.0,,,0
CDM,27800025,STENT CLOT RETRV L20MM DIA3MM V01,12000.0,12000.0,,,0
CDM,27800027,105348 : DEVICE CLSR L7MM 10MM 1.42-2.49MM NIT SELF EXPND PRELD VASC,2469.6,2469.6,,,0
CDM,27800027,105349 : DEVICE CLSR L9MM 12MM 1.78-2.69MM NIT SELF EXPND PRELD VASC,2469.6,2469.6,,,0
CDM,27800027,105899 : AMPLATZER VASCULAR PLUG II   14MM,2040.0,2040.0,,,0
CDM,27800027,105903 : PLUG VASC UNCNSTRN L7MM DIA8MM NIT WIRE MESH PLAT MRK BND SS,2040.0,2040.0,,,0
CDM,27800027,106846 : DEVICE VASC CLSR 5-6FR ART W- CLP APPL 50CM J TIP GWIRE,600.0,600.0,,,0
CDM,27800027,146375 : AMPLATZER VASCULAR PLUG II   20MM,2040.0,2040.0,,,0
CDM,27800027,357131 : DEVICE VASC CLSR 5FR GRY BLLN CATH W- INTEGR SEAL 10ML LOK,420.0,420.0,,,0
CDM,27800027,357132 : DEVICE VASC CLSR 6X7FR GRN BLLN CATH W- INTEGR SEAL 10ML LOK,420.0,420.0,,,0
CDM,27800027,413349 : DEVICE VASC CLSR SUT MEDIATED REP FEM ART AND VEIN ACCS,607.2,607.2,,,0
CDM,27800027,413404 : SYSTEM CLSR 6-12FR VEN VASC VASCADE MVP,600.0,600.0,,,0
CDM,27800027,65158 : DEVICE CLSR SUT MEDIATED TRIM W- SNR KNOT PUSH PERCLOSE,607.2,607.2,,,0
CDM,27800027,86193 : DEVICE VASC CLSR 8FR GWIRE 0.035IN BIOABSRB ANCHR CLLGN SPNG,600.0,600.0,,,0
CDM,27800027,87527 : DEVICE VASC CLSR 6FR GWIRE 0.035IN BIOABSRB ANCHR CLLGN SPNG,540.0,540.0,,,0
CDM,27800027,AMPLATZER VASCULAR PLUG II   14MM,2040.0,2040.0,,,0
CDM,27800027,ANGIOSEAL 8F 610121,492.0,492.0,,,0
CDM,27800027,DEVICE CLSR L7MM 10MM 1.42-2.49MM NIT SELF EXPND PRELD VASC,2469.6,2469.6,,,0
CDM,27800027,DEVICE CLSR L9MM 12MM 1.78-2.69MM NIT SELF EXPND PRELD VASC,2469.6,2469.6,,,0
CDM,27800027,DEVICE CLSR SUT MEDIATED TRIM W/ SNR KNOT PUSH PERCLOSE,511.8,511.8,,,0
CDM,27800027,DEVICE VASC CLSR 5-6FR ART W/ CLP APPL 50CM J TIP GWIRE,530.0,530.0,,,0
CDM,27800027,DEVICE VASC CLSR 5FR GRY BLLN CATH W/ INTEGR SEAL 10ML LOK,420.0,420.0,,,0
CDM,27800027,DEVICE VASC CLSR 6FR GWIRE 0.035IN BIOABSRB ANCHR CLLGN SPNG,540.0,540.0,,,0
CDM,27800027,DEVICE VASC CLSR 6X7FR GRN BLLN CATH W/ INTEGR SEAL 10ML LOK,420.0,420.0,,,0
CDM,27800027,DEVICE VASC CLSR 8FR GWIRE 0.035IN BIOABSRB ANCHR CLLGN SPNG,600.0,600.0,,,0
CDM,27800027,DEVICE VASC CLSR SUT MEDIATED REP FEM ART AND VEIN ACCS,553.68,553.68,,,0
CDM,27800027,INACTIVE USE PS#106846 -  STARCLOSE SE VASCULAR CLOSURE SYST,516.0,516.0,,,0
CDM,27800027,MYNX ACE VASCULAR CLOSURE DEVICE 6F-7F,420.0,420.0,,,0
CDM,27800027,SYSTEM CLSR 6-12FR VEN VASC VASCADE MVP,600.51,600.51,,,0
CDM,27800027,VASCULAR CLOSURE DEVICE MYNX,516.0,516.0,,,0
CDM,27800028,129322 : GRAFT NRV REP 1-2MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,10728.0,10728.0,,,0
CDM,27800028,129323 : GRAFT NRV REP 2-3MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,10728.0,10728.0,,,0
CDM,27800028,129324 : GRAFT NRV REP 3-4MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,7579.2,7579.2,,,0
CDM,27800028,129330 : AVANCE NERVE GRAFT 1-2MM X 70MM,16312.8,16312.8,,,0
CDM,27800028,129333 : AVANCE NERVE GRAFT 4-5MM X 70MM,15460.8,15460.8,,,0
CDM,27800028,359468 : AXOGUARD NERVE CONNECTOR AXOGUARD 2MM X 15MM,3580.8,3580.8,,,0
CDM,27800028,359478 : AVIVE SOFT TISSUE MEMBRANE 3CM X 6CM,9540.0,9540.0,,,0
CDM,27800028,420821 : GRAFT HUM TISS L30-59MM DIA7MM COSTAL CART FRZN,1080.0,1080.0,,,0
CDM,27800028,43699 : KIT BNE GRFT SM 2.8CC W- SPNG INFUSE,11186.4,11186.4,,,0
CDM,27800028,546403 : GRAFT HUM TISS L LAT DST FEM OSTEOCHNDRL AMBIENT MOP 546403,28505.52,28505.52,,,0
CDM,27800028,59006 : GRAFT BNE SUB INSRT W20MM WHL PAT LIG FRZN FLEXIGRAFT,8287.97,8287.97,,,0
CDM,27800028,64187 : GRAFT HUM TISS W10-25XL30-55MM BNE BLK W10XL25MM THK12MM,5308.46,5308.46,,,0
CDM,27800028,64188 : TENDON ACHILLES,3830.47,3830.47,,,0
CDM,27800028,64189 : GRAFT HUM TISS L230-380MM DIA7.5-11MM ANT TIBIALIS TEND FRZN,4404.82,4404.82,,,0
CDM,27800028,66137 : GRAFT TISS FRZN FEM SEMI-TEND PRODUCED FR DST FEM W MEAS MED,3558.58,3558.58,,,0
CDM,27800028,71490 : TENDON  ACHILLES (FAT),3360.0,3360.0,,,0
CDM,27800028,ALLOGRAFT HUM SKIN 232SQCM 1.5:1 MESHED ALLGRFT,1929.6,1929.6,,,0
CDM,27800028,AVANCE NERVE GRAFT 1-2MM X 70MM,16312.8,16312.8,,,0
CDM,27800028,AVANCE NERVE GRAFT 4-5MM X 70MM,15460.8,15460.8,,,0
CDM,27800028,AXOGUARD NERVE CONNECTOR AXOGUARD 3MM X 15MM,3580.8,3580.8,,,0
CDM,27800028,DURAGEN 1X1 5 PACK,725.5,725.5,,,0
CDM,27800028,DURAGEN 1X3 5 PACK,1346.74,1346.74,,,0
CDM,27800028,FREEZE DRIED BONE CANCELLOUS 5CC CRUSHED,268.1,268.1,,,0
CDM,27800028,GRAFT HUM TISS L230-380MM DIA7.5-11MM ANT TIBIALIS TEND FRZN,4404.82,4404.82,,,0
CDM,27800028,GRAFT HUM TISS L30-59MM DIA7MM COSTAL CART FRZN,1080.0,1080.0,,,0
CDM,27800028,GRAFT HUM TISS L60-90MM DIA7MM COSTAL CART FRZN,1236.0,1236.0,,,0
CDM,27800028,GRAFT NRV L50MM DIA2-3MM PERIPH NAT CONN CBL PROC FOR RECON,12840.0,12840.0,,,0
CDM,27800028,GRAFT NRV REP 1-2MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,7958.4,7958.4,,,0
CDM,27800028,GRAFT NRV REP 2-3MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,7075.2,7075.2,,,0
CDM,27800028,GRAFT NRV REP 3-4MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,7579.2,7579.2,,,0
CDM,27800028,GRAFT NRV REP L70MM DIA2-3MM LAMININ RICH ENDONEURIAL TB HUM,15686.4,15686.4,,,0
CDM,27800028,GRAFT TISS FRZN FEM CONDYLE PRODUCED FR DST FEM W MEAS MED,3558.58,3558.58,,,0
CDM,27800028,KIT BNE GRFT SM 2.8CC W/ SPNG INFUSE,11186.4,11186.4,,,0
CDM,27800028,TENDON  ACHILLES (FAT),3360.0,3360.0,,,0
CDM,27800028,TENDON  GRACILIS (FGRACILIS),2568.0,2568.0,,,0
CDM,27800028,TENDON ACHILLES,3830.47,3830.47,,,0
CDM,27800028,TUTOPLAST FASCIA LATA.03X12CM,924.0,924.0,,,0
CDM,27800029,129302 : PROTECTOR NRV 2MM X 20MM PORCINE EXTRACELLULAR MTRX WRP,4370.4,4370.4,,,0
CDM,27800029,129307 : WRAP NRV REP 3.5X40MM AXOGUARD,5556.0,5556.0,,,0
CDM,27800029,129309 : WRAP NRV REP 7X40MM AXOGUARD,6571.2,6571.2,,,0
CDM,27800029,129312 : CONNECTOR NRV L10MM DIA2MM 100 MIC MINIMALLY PROC PORCINE,2728.8,2728.8,,,0
CDM,27800029,15096 : PERI-GUARD IS PREPARED FR BOV PERICARD CRSS-LINKED W- GTA,1274.57,1274.57,,,0
CDM,27800029,IMPLANT BIOINDCTV M BOV ACHILLES TEND W/ ARTHSCP DEL SYS,4800.0,4800.0,,,0
CDM,27800029,PERI-GUARD IS PREPARED FR BOV PERICARD CRSS-LINKED W/ GTA,1274.57,1274.57,,,0
CDM,27800029,PROTECTOR NRV 2MM X 20MM PORCINE EXTRACELLULAR MTRX WRP,4370.4,4370.4,,,0
CDM,27800029,PROTECTOR NRV 3CM X 6CM EXTRACELLULAR MTRX BASE LAYR RESRB,8966.4,8966.4,,,0
CDM,27800029,WRAP NRV REP 10X40MM AXOGUARD,5697.6,5697.6,,,0
CDM,27800029,WRAP NRV REP 3.5X40MM AXOGUARD,5556.0,5556.0,,,0
CDM,27800031,PACK PROC 3IN X 5IN 6 HALF SHT ADH BARR SEPRAFILM,8753.02,8753.02,,,0
CDM,27800033,261065 : GENERATOR VNS THER LD CONN SETSCREW PLUG CA PRGM SENTIVA,96295.2,96295.2,,,0
CDM,27800033,408805 : DEVICE NEUROSTIM 61 GM 68MM X 51MM 2 CHN PRI CELL BTTRY,46522.08,46522.08,,,0
CDM,27800033,412494 : VERCISE GENUS PRIMARY 16  IPG,34080.0,34080.0,,,0
CDM,27800033,412523 : IMPLANTABLE PULSE GENERATOR,43740.0,43740.0,,,0
CDM,27800033,480478 : MANUAL INSTRUCTIONAL VANTA IMPLANT,40776.0,40776.0,,,0
CDM,27800033,DEVICE NEUROSTIM 61 GM 68MM X 51MM 2 CHN PRI CELL BTTRY,46522.08,46522.08,,,0
CDM,27800033,DEVICE NEUROSTIM 64 GM 55MM X 60MM 1 CHN PRI CELL BTTRY,19720.8,19720.8,,,0
CDM,27800033,GENERATOR PLSE 1.8X1.6X0.27IN 0.2IN 2 PIN LD RECPT DY NT,96295.2,96295.2,,,0
CDM,27800033,GENERATOR VNS THER LD CONN SETSCREW PLUG CA PRGM SENTIVA,96295.2,96295.2,,,0
CDM,27800033,IMPLANTABLE PULSE GENERATOR,43740.0,43740.0,,,0
CDM,27800033,KIT NEUROSTIM W/ CONN 1 FERRULE 1 FERRULE CLMP TORQ DRVR RNS,87144.0,87144.0,,,0
CDM,27800033,VERCISE GENUS PRIMARY 16  IPG,34080.0,34080.0,,,0
CDM,27800034,101733 : GRAFT VASC L80CM DIA6MM PTFE CBAS HEP SURF TW REM RNGD,7060.8,7060.8,,,0
CDM,27800034,101734 : GRAFT VASCULAR HEP RR T8MM 70 CM RS X 80CM US PROPATEN,7274.4,7274.4,,,0
CDM,27800034,102225 : GRAFT VASC L50CM DIA8MM RNG L40CM EPTFE TW CBAS HEP SURF REM,4593.6,4593.6,,,0
CDM,27800034,102598 : HEMASHIELD GRAFT BIF. 12 X 6 X 40,1701.55,1701.55,,,0
CDM,27800034,103225 : GRAFT VASC L30CM DIA8MM GEL IMPREG WVN STR GELWEAVE,2102.4,2102.4,,,0
CDM,27800034,103227 : GRAFT VASC L30CM DIA36MM GEL IMPREG WVN STR GELWEAVE,1309.8,1309.8,,,0
CDM,27800034,104411 : GRAFT VASC L90CM RNGD L70CM ID5MM EPTFE CBAS HEP SURF TW REM,7543.2,7543.2,,,0
CDM,27800034,105902 : PLUG VASC UNCNSTRN L6MM DIA6MM NIT WIRE MESH PLAT MRK BND SS,2040.0,2040.0,,,0
CDM,27800034,126625 : GRAFT VASC L30CM DIA5MM BOV CAR CLLGN FIBROUS MTRX FOR ART,5781.6,5781.6,,,0
CDM,27800034,126634 : GRAFT VASC L45CM DIA6MM BOV CAR CLLGN FIBROUS MTRX FOR ART,6981.6,6981.6,,,0
CDM,27800034,15033 : FELT SUR W6XL6IN THK1.65MM PTFE FOR THE REP OF SEPT DEFCT,216.6,216.6,,,0
CDM,27800034,17487 : PATCH VASC 2X9CM BOV PERICARD GTA CROSSLINKED NAOH TREAT,672.1,672.1,,,0
CDM,27800034,17955 : GRAFT HEMASHIELD 34MM 175434P,1436.21,1436.21,,,0
CDM,27800034,18824 : GRAFT HEMASHIELD 30MM 175430P,1382.52,1382.52,,,0
CDM,27800034,23820 : PATCH CV W2XL2IN THK1.65MM PTFE FELT THCK,50.16,50.16,,,0
CDM,27800034,29514 : GRAFT VASC L30CM DIA34MM GEL IMPREG WVN STR GELWEAVE,1309.8,1309.8,,,0
CDM,27800034,29604 : GRAFT VASC L30CM DIA10MM GEL IMPREG WVN STR GELWEAVE,1253.4,1253.4,,,0
CDM,27800034,29619 : GRAFT VASC L30CM DIA26MM GEL IMPREG WVN STR GELWEAVE,1309.8,1309.8,,,0
CDM,27800034,31464 : GRAFT VASC L30CM DIA28MM GEL IMPREG WVN STR GELWEAVE,2102.4,2102.4,,,0
CDM,27800034,31744 : GRAFT VASC L30CM DIA30MM GEL IMPREG WVN STR GELWEAVE,2376.0,2376.0,,,0
CDM,27800034,34605 : GRAFT VASC L30CM DIA32MM GEL IMPREG WVN STR GELWEAVE,2376.0,2376.0,,,0
CDM,27800034,407495 : DEVICE VASC CLSR 18FR FEM ART ACCS SITE L BOR RADPQ LOK SLDE,2363.04,2363.04,,,0
CDM,27800034,430005 : GRAFT VASC L40CM OD18X9MM PLAT THOR BIFUR DBL VEL,1688.69,1688.69,,,0
CDM,27800034,430015 : GRAFT VASC 10MM X 30CM THOR CLLGN IMPREG POLY STR WVN DBL,1291.73,1291.73,,,0
CDM,27800034,62476 : IMPLANT BIO TISS 1X8CM PTCH VASC BOV PERICARD GTA,359.83,359.83,,,0
CDM,27800034,DEVICE VASC CLSR 18FR FEM ART ACCS SITE L BOR RADPQ LOK SLDE,2279.8,2279.8,,,0
CDM,27800034,FELT SUR W6XL6IN THK1.65MM PTFE FOR THE REP OF SEPT DEFCT,216.6,216.6,,,0
CDM,27800034,GRAFT 6X45 RING,1903.2,1903.2,,,0
CDM,27800034,GRAFT EVAR L40X70CM DIA8X8MM AXILLOBIFEMORAL FULL RNGD STD,9458.4,9458.4,,,0
CDM,27800034,GRAFT GELWEAVE 16X8X45CM,1663.2,1663.2,,,0
CDM,27800034,GRAFT HEMASHIELD 26MM 175426P,1382.52,1382.52,,,0
CDM,27800034,GRAFT VASC 10MM X 30CM THOR CLLGN IMPREG POLY STR WVN DBL,1291.73,1291.73,,,0
CDM,27800034,GRAFT VASC 32MM X 30CM PLAT STR CLLGN POLY WVN DBL VEL,1436.21,1436.21,,,0
CDM,27800034,GRAFT VASC 6MM X 40CM EPTFE CBAS HEP SURF STRTCH STD WALLED,2690.4,2690.4,,,0
CDM,27800034,GRAFT VASC 6MM X 40CM EPTFE CBAS HEP SURF STRTCH TW PROPATEN,3136.8,3136.8,,,0
CDM,27800034,GRAFT VASC BIFUR DBL VEL THOR CLLGN POLY WVN IMPL L40CM,1767.62,1767.62,,,0
CDM,27800034,GRAFT VASC DIA16MM L300MM THOR STR STD WALL N TAPR N RNGD,1329.34,1329.34,,,0
CDM,27800034,GRAFT VASC L300MM OD6MM UNIV STR STD WALL N TAPR NONRINGED,1684.8,1684.8,,,0
CDM,27800034,GRAFT VASC L30CM DIA10MM GEL IMPREG WVN STR GELWEAVE,1253.4,1253.4,,,0
CDM,27800034,GRAFT VASC L30CM DIA12MM GEL IMPREG WVN STR GELWEAVE,2102.4,2102.4,,,0
CDM,27800034,GRAFT VASC L30CM DIA22MM THOR CLLGN POLY WVN STR DBL VEL,1329.34,1329.34,,,0
CDM,27800034,GRAFT VASC L30CM DIA26MM GEL IMPREG WVN STR GELWEAVE,1309.8,1309.8,,,0
CDM,27800034,GRAFT VASC L30CM DIA28MM GEL IMPREG WVN STR GELWEAVE,2102.4,2102.4,,,0
CDM,27800034,GRAFT VASC L30CM DIA30MM GEL IMPREG WVN STR GELWEAVE,2376.0,2376.0,,,0
CDM,27800034,GRAFT VASC L30CM DIA34MM GEL IMPREG WVN STR GELWEAVE,1309.8,1309.8,,,0
CDM,27800034,GRAFT VASC L30CM DIA5MM BOV CAR CLLGN FIBROUS MTRX FOR ART,5781.6,5781.6,,,0
CDM,27800034,GRAFT VASC L30CM DIA8MM GEL IMPREG WVN STR GELWEAVE,2376.0,2376.0,,,0
CDM,27800034,GRAFT VASC L35CM OD6MM CLLGN NONANTIGENIC ACELLULR PULSATILE,5373.6,5373.6,,,0
CDM,27800034,GRAFT VASC L40CM DIA16X8MM POLY CLLGN IMPREG WVN DBL VEL,1701.55,1701.55,,,0
CDM,27800034,GRAFT VASC L40CM DIA6MM BOV CAR ART CLLGN FOR FUNC HAD ACCS,4509.6,4509.6,,,0
CDM,27800034,GRAFT VASC L40CM OD18X9MM PLAT THOR BIFUR DBL VEL,1701.55,1701.55,,,0
CDM,27800034,GRAFT VASC L40CM SIDE L15CM DIA28MM THOR ANTEFLO,3600.0,3600.0,,,0
CDM,27800034,GRAFT VASC L40CM SIDE L15CM DIA32MM THOR ANTEFLO,3528.0,3528.0,,,0
CDM,27800034,GRAFT VASC L45CM DIA6MM BOV CAR CLLGN FIBROUS MTRX FOR ART,6981.6,6981.6,,,0
CDM,27800034,GRAFT VASC L50CM DIA8MM RNG L40CM EPTFE TW CBAS HEP SURF REM,4593.6,4593.6,,,0
CDM,27800034,GRAFT VASC L60CM DIA18MM STR PLAT WVN DBL VEL HEMSHLD,1380.96,1380.96,,,0
CDM,27800034,GRAFT VASC L80CM DIA6MM PTFE CBAS HEP SURF TW REM RNGD,7060.8,7060.8,,,0
CDM,27800034,GRAFT VASC L90CM RNGD L70CM ID5MM EPTFE CBAS HEP SURF TW REM,7543.2,7543.2,,,0
CDM,27800034,GRAFT VASC STR STD WALL N RNGD DBL VEL 10MM DIA 30CM LEN,1243.44,1243.44,,,0
CDM,27800034,GRAFT VASCULAR HEP RR T8MM 70 CM RS X 80CM US PROPATEN,7274.4,7274.4,,,0
CDM,27800034,HEMASHEILD GRAFT 16 X 30,1329.34,1329.34,,,0
CDM,27800034,HEMASHIELD GRAFT BIF. 14 X 7 X 40,1701.55,1701.55,,,0
CDM,27800034,HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR VASCULAR GRAFT  D 30,4908.31,4908.31,,,0
CDM,27800034,HEMASHIELD PLATNIUM GRAFT 8 X 30,1291.73,1291.73,,,0
CDM,27800034,PATCH CV W2XL2IN THK1.65MM PTFE FELT THCK,50.16,50.16,,,0
CDM,27800034,PATCH VASC 2X9CM BOV PERICARD GTA CROSSLINKED NAOH TREAT,672.1,672.1,,,0
CDM,27800034,PLUG VASC UNCNSTRN L6MM DIA6MM NIT WIRE MESH PLAT MRK BND SS,2040.0,2040.0,,,0
CDM,27800035,.035IN X 5.75IN ST GUIDE WIRE,57.6,57.6,,,0
CDM,27800035,.62 GUIDE WIRE,62.4,62.4,,,0
CDM,27800035,102917 : GUIDEWIRE VASC L200CM DIA0.014IN TIP L10CM NIT HYDRPHLC STR,552.0,552.0,,,0
CDM,27800035,10294 : GUIDEWIRE ORTH L150MM DIA1.6MM THRD FOR CANN SCR,88.33,88.33,,,0
CDM,27800035,103067 : GUIDEWIRE VASC 0.035INX260CM DBL CRV TIP SS PTFE LUNDERQUIST,654.8,654.8,,,0
CDM,27800035,103068 : GUIDEWIRE VASC 0.035INX260CM FLPY TIP SS PTFE LUNDERQUIST X,323.14,323.14,,,0
CDM,27800035,103083 : GUIDEWIRE VASC 0.035INX75CM ATRAUM TIP PTFE AMPLATZ SUP,51.36,51.36,,,0
CDM,27800035,103800 : PTFE .035 FIXED CORE 15CM FLEX BENTSON,35.21,35.21,,,0
CDM,27800035,104801 : GUIDEWIRE VASC FIX COR PERIPH MNL EXCHG CRV ROSEN,56.98,56.98,,,0
CDM,27800035,105276 : GUIDEWIRE VASC COR 0.014INX190CM STR TIP NIT HI TORQ BAL,350.4,350.4,,,0
CDM,27800035,105288 : GUIDEWIRE VASC 0.014INX190CM STR TIP 3CM HI TORQ PILOT 50,343.64,343.64,,,0
CDM,27800035,105796 : GUIDEWIRE VASC 0.035INX150CM ANG TIP NIT HYDRPHLC LNG TAPR,124.8,124.8,,,0
CDM,27800035,105797 : GUIDEWIRE VASC IMAG L190CM DIA0.014IN J TIP OCCL HYDRPHLC HI,336.0,336.0,,,0
CDM,27800035,106429 : GUIDEWIRE VASC 0.018INX60CM PLAT TIP NIT COPE MDRL,76.92,76.92,,,0
CDM,27800035,107945 : TUBE JEJUSTMY 12FR L66CM GWIRE 0.035IN PERC ENDOSCP PEG 24,396.0,396.0,,,0
CDM,27800035,108281 : GUIDEWIRE ORTH L6IN DIA0.045IN SGL TRCR FOR SM BNE EXT FIX,57.6,57.6,,,0
CDM,27800035,110607 : GUIDEWIRE ENDOSCP L480CM DIA0.21IN TIP L5CM HYDRPHLC DIR,444.0,444.0,,,0
CDM,27800035,110883 : CATHETER GUID 6FR L100CM BLU PTFE JL3.5 TRUELUMEN HYBRID BRD,91.2,91.2,,,0
CDM,27800035,110889 : CATHETER GUID 6FR L100CM GRN PTFE AL0.75 TRUELUMEN TECH,91.2,91.2,,,0
CDM,27800035,110901 : CATHETER GUID AD 6FR L100CM COR PERIPH GRN NYL PTFE AR 1,91.2,91.2,,,0
CDM,27800035,111022 : GUIDEWIRE VASC 0.025INX145CM STR TIP SS PTFE FIX COR TAPR,31.06,31.06,,,0
CDM,27800035,111124 : GUIDEWIRE VASC COR 0.014INX190CM STR TIP 3CM SS HYDRCOAT HI,345.0,345.0,,,0
CDM,27800035,111564 : GUIDEWIRE VASC 0.032INX260CM CRV FLPY TIP SS PTFE AMPLATZ X,54.0,54.0,,,0
CDM,27800035,111825 : GUIDEWIRE VASC L190CM DIA0.014IN SPR COIL L16CM HYDRPHLC,336.0,336.0,,,0
CDM,27800035,114269 : GUIDEWIRE VASC L300CM DIA0.014IN HYDRPHLC NIT COR TO TIP SFT,253.2,253.2,,,0
CDM,27800035,114402 : NASAL JEJUNAL FEEDING TUBE,396.0,396.0,,,0
CDM,27800035,115261 : GUIDEWIRE VASC L165CM DIA0.014IN PTCA STR TIP EXTN,228.0,228.0,,,0
CDM,27800035,117720 : GUIDEWIRE ENDOSCP 0.025IN X 270CM HYDRPHLC STR DST TIP,453.6,453.6,,,0
CDM,27800035,117721 : GUIDEWIRE ENDOSCP 0.025IN X 270CM HYDRPHLC ANG DST TIP,476.47,476.47,,,0
CDM,27800035,117772 : GUIDEWIRE VASC 0.014INX300CM STR TIP SS PTFE APPRCH CTO 18GM,322.78,322.78,,,0
CDM,27800035,118621 : GUIDEWIRE ORTH L150MM DIA1.25MM SS NTHRD FOR 3.5MM CANN SCR,69.7,69.7,,,0
CDM,27800035,118680 : 6F JR 5 GUIDE 670-084,91.2,91.2,,,0
CDM,27800035,118821 : GUIDEWIRE ENDOSCP L260CM DIA0.025IN RND STR TIP HI PERF,619.84,619.84,,,0
CDM,27800035,120829 : GUIDEWIRE ORTH L150MM DIA1.25MM SS THRD FOR 3.5MM CANN SCR,71.37,71.37,,,0
CDM,27800035,121581 : GUIDEWIRE VASC 0.018INX60CM FLPY PLAT TIP SS COPE MDRL,63.36,63.36,,,0
CDM,27800035,124086 : GUIDEWIRE URO L150CM DIA0.035IN 3CM STR HYDRPHLC TIP PTFE,100.91,100.91,,,0
CDM,27800035,127363 : .062IN GUIDE WIRE 6IN LONG,104.52,104.52,,,0
CDM,27800035,127364 : .062IN GUIDE WIRE 7IN LONG,104.52,104.52,,,0
CDM,27800035,129371 : GUIDE WIRE 1.6MM,471.28,471.28,,,0
CDM,27800035,129378 : GUIDE WIRE 2.5MM,537.17,537.17,,,0
CDM,27800035,129490 : GUIDEWIRE VASC PERIPH 0.035INX260CM FLPY TIP HI TORQ,177.6,177.6,,,0
CDM,27800035,129721 : GUIDEWIRE VASC 0.035INX180CM FLPY TIP SS PTFE AMPALTZ X,38.4,38.4,,,0
CDM,27800035,129722 : GUIDEWIRE VASC 0.035INX260CM CRV TIP SS PTFE AMPLATZ X STIFF,54.0,54.0,,,0
CDM,27800035,13452 : GUIDEWIRE VASC 0.035INX145CM STR TIP SS PTFE AMPLATZ SUP,51.36,51.36,,,0
CDM,27800035,135495 : GUIDEWIRE SUR 2X150MM FOR PEDILOC LOK PROX FEM PLT SYS,438.3,438.3,,,0
CDM,27800035,136321 : GUIDEWIRE VASC 0.014INX300CM APPRCH HYDR ST,341.04,341.04,,,0
CDM,27800035,137320 : GUIDEWIRE ENDOSCP L260CM DIA0.025IN PANCREAS BILI HYDRPHLC,519.92,519.92,,,0
CDM,27800035,137672 : GUIDEWIRE VASC L190CM TIP DIA0.014IN SS TIP NIT HYDRPHLC,432.0,432.0,,,0
CDM,27800035,137674 : GUIDEWIRE VASC L300CM TIP DIA0.014IN NIT HYDRPHLC SS TIP,432.0,432.0,,,0
CDM,27800035,137987 : GUIDEWIRE ENDOSCP L260CM DIA0.018IN TIP L6CM TRITON STR,630.6,630.6,,,0
CDM,27800035,137988 : GUIDEWIRE ENDOSCP STD ANG NAVIPRO HYDRPHLC L260CM OD.025IN,519.92,519.92,,,0
CDM,27800035,138605 : GUIDEWIRE ENDOSCP L260CM DIA0.018IN PANCREAS BILI HYDRPHLC,519.92,519.92,,,0
CDM,27800035,139105 : GUIDEWIRE VASC IMAG L300CM DIA0.014IN SPR COIL L17CM RADPQ,384.0,384.0,,,0
CDM,27800035,143797 : GUIDEWIRE URO L150CM DIA0.035IN HYDRPHLC STR TIP PTFE SHFT,153.6,153.6,,,0
CDM,27800035,145738 : GUIDEWIRE VASC 0.018INX300CM ANG TIP NIT HYDRPHLC GLDEWIRE,745.2,745.2,,,0
CDM,27800035,146451 : GUIDEWIRE VASC L300CM DIA0.018IN TIP L10MM HI TORQ COMMND 18,432.0,432.0,,,0
CDM,27800035,150383 : GUIDEWIRE SUR PED DIA1.6MM COCR THRD TRCR TIP PEDIPLATES,88.68,88.68,,,0
CDM,27800035,150597 : GUIDEWIRE SUR L500MM DISP FOR HUM FRAC SYS AEQUALIS,547.2,547.2,,,0
CDM,27800035,15784 : GUIDEWIRE ORTH L230MM DIA2.5MM THRD SPADE PNT TIP FOR LCP,121.37,121.37,,,0
CDM,27800035,159653 : GUIDEWIRE VASC 0.035INX80CM ANG TIP NIT HYDRPHLC GLDEWIRE,124.8,124.8,,,0
CDM,27800035,159910 : KIT PREP INCL CMPTBL GWIRE INTRO SHTH SET SYR STPCOCK,744.0,744.0,,,0
CDM,27800035,161844 : GUIDEWIRE SURG L26IN SHRP TIP DISCVR VIPER,312.0,312.0,,,0
CDM,27800035,164710 : GUIDEWIRE VASC COR 175CM HYDRPHLC PRESSUREWIRE X,1680.0,1680.0,,,0
CDM,27800035,164808 : GUIDEWIRE ORTH DIA1.45MM BLNT THRD FOR VIPER 2 MINIMALLY,312.0,312.0,,,0
CDM,27800035,164846 : GUIDEWIRE VASC L260CM DST FLX L5CM DIA0.89MM RADIFOCUS,559.2,559.2,,,0
CDM,27800035,18021 : GUIDEWIRE VASC L145CM TAPR L15CM 0.038IN SS PTFE COON,49.85,49.85,,,0
CDM,27800035,19962 : GUIDEWIRE VASC 0.035INX260CM J TIP 3MM PTFE FIX COR EMERALD,21.6,21.6,,,0
CDM,27800035,22120 : GUIDEWIRE VASC 0.018INX200CM STR TIP 8CM V-18 CONTROLWIRE,160.8,160.8,,,0
CDM,27800035,23052 : GUIDEWIRE VASC L260CM DIA0.035IN TAPR L7CM PTFE SS STR,51.36,51.36,,,0
CDM,27800035,23993 : GUIDEWIRE VASC 0.035INX145CM FLPY TIP SS PTFE BENT,35.66,35.66,,,0
CDM,27800035,24085 : GUIDEWIRE VASC L190CM SS HYDROPHOBIC RADPQ STR TIP BARE COIL,342.86,342.86,,,0
CDM,27800035,241111 : GUIDEWIRE VASC 0.035INX150CM J ATRAUM TIP NIT HYDRPHLC,81.6,81.6,,,0
CDM,27800035,24467 : GUIDEWIRE VASC 0.035INX150CM J TIP PTFE FIX COR EMERALD,18.0,18.0,,,0
CDM,27800035,24472 : GUIDEWIRE VASC 0.025INX260CM FLPY TIP SS PTFE FIX COR,35.3,35.3,,,0
CDM,27800035,24900 : GUIDEWIRE VASC 0.035INX150CM STR TIP 7CM PTFE FIX COR,18.0,18.0,,,0
CDM,27800035,262462 : GUIDEWIRE VASC 0.035INX275CM SS PTFE XSM CRV SAFARI2,480.0,480.0,,,0
CDM,27800035,27444 : GUIDEWIRE ORTH L150MM DIA1.1MM NTHRD FOR 3MM CANN SCR SYS,56.38,56.38,,,0
CDM,27800035,27628 : TUBE NASOJEJUNAL FEED 10FR X 240CM GWIRE 0.035IN X 260CM,396.0,396.0,,,0
CDM,27800035,29265 : GUIDEWIRE ENDOSCP L450CM DIA0.035IN STD BILI HYDRPHLC TRIM,439.44,439.44,,,0
CDM,27800035,32701 : GUIDEWIRE VASC 0.035INX300CM STR STEER TIP HYDROPHOBIC WHLY,338.69,338.69,,,0
CDM,27800035,32951 : GUIDEWIRE VASC 0.025FR X 450CM STR RND TIP 5CM TUNG FILL,619.84,619.84,,,0
CDM,27800035,351643 : GUIDEWIRE VASC COR 0.014INX300CM STR TIP 3CM HI TORQ BAL,360.0,360.0,,,0
CDM,27800035,351697 : HI-TORQUE PILOT 200 GUIDE WIRE .014 STRAIGHT TIP 3.0 CM X 19,300.0,300.0,,,0
CDM,27800035,351698 : HI-TORQUE PILOT 200 GUIDE WIRE .014 J TIP 3.0 CM X 190 CM,360.0,360.0,,,0
CDM,27800035,351699 : HI-TORQUE PILOT 50 GUIDE WIRE .014 STRAIGHT TIP 3.0 CM X 300,360.0,360.0,,,0
CDM,27800035,351722 : HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 2.0 CM X 190 C,348.46,348.46,,,0
CDM,27800035,351723 : HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 30 CM X 190 CM,340.0,340.0,,,0
CDM,27800035,351741 : HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 2.0 CM X 300 C,360.0,360.0,,,0
CDM,27800035,351745 : HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 30 CM X 300 CM,300.0,300.0,,,0
CDM,27800035,357024 : GUIDEWIRE ORTH L220MM DIA2.5MM DISP AEQUALIS PERFORM+,240.0,240.0,,,0
CDM,27800035,361654 : HYDROGLIDE .038 STRAIGHT GUIDEWIRE,108.0,108.0,,,0
CDM,27800035,364034 : GUIDEWIRE URO DIA.035IN L145CM AMPLATZ SUP STIFF PTFE COAT J,68.55,68.55,,,0
CDM,27800035,364036 : GUIDEWIRE URO 0.035IN X 145CM TIP 7CM SS PTFE BENT TYP TIP,60.93,60.93,,,0
CDM,27800035,364320 : GUIDEWIRE ORTH L98CM DIA3MM SS BEAD TIP DISP FOR UNIFLEX AG,260.4,260.4,,,0
CDM,27800035,367580 : GUIDEWIRE VASC 0.018INX180CM ANG TIP GLDEWIRE ADVNTG,700.8,700.8,,,0
CDM,27800035,367945 : GUIDEWIRE VASC PERIPH 0.035INX180CM ANG TIP NIT PTFE,512.4,512.4,,,0
CDM,27800035,368048 : 16MM DRILL TIP GUIDE WIRE 200MM,75.05,75.05,,,0
CDM,27800035,368619 : GLIDEWIRE - REGULAR - STANDARD  J-TIP 1.5MM  180 CM LENGTH,109.2,109.2,,,0
CDM,27800035,368655 : GLIDEWIRE - REGULAR - STANDARD ANGLE TIP      .025 DIAME,148.8,148.8,,,0
CDM,27800035,368660 : GUIDEWIRE VASC 0.018INX260CM ANG TIP NIT HYDRPHLC GLDEWIRE,205.2,205.2,,,0
CDM,27800035,368662 : RUNTHROUGH CORONARY WIRE  NS SHAPEABLE TIP 0.014 180CM FLOPP,253.2,253.2,,,0
CDM,27800035,368840 : GUIDEWIRE VASC L180CM DIA0.014IN SPR COIL L20CM HYDRPHLC,228.0,228.0,,,0
CDM,27800035,368867 : GUIDEWIRE VASC L180CM DIA0.014IN HYDRPHLC POLYMR JKT FIELDER,228.0,228.0,,,0
CDM,27800035,370253 : BENTSON PLUS FIXED CORE WIRE GUIDE,43.66,43.66,,,0
CDM,27800035,37975 : GUIDEWIRE ORTH 200MM 2.5MM SS W- DRL TIP FOR PERIARTC LCP,232.2,232.2,,,0
CDM,27800035,381782 : GUIDEWIRE VASC DIA0.014IN SS HYDRPHLC DST TIP RADPQ COIL,516.0,516.0,,,0
CDM,27800035,38181 : GUIDEWIRE VASC COR 0.014INX300CM STR TIP 3CM HI TORQ WHISPER,360.0,360.0,,,0
CDM,27800035,390993 : LUNDERQUIST X-STIFF WIRE GUID DBL CRV PTFE-COAT SS DIA0.035,349.44,349.44,,,0
CDM,27800035,392451 : GUIDEWIRE VASC PERIPH 0.035INX300CM STR ATRAUM TIP,156.0,156.0,,,0
CDM,27800035,400207 : SPHINCTEROTOME ENDOSCP TIP 3.9FR L5MM CUT WIRE 20MM GWIRE,1461.7,1461.7,,,0
CDM,27800035,400209 : GUIDEWIRE ORTH L80CM BALL NOSE REDUC FOR HIP FRAC NAIL,246.24,246.24,,,0
CDM,27800035,404668 : GUIDEWIRE ORTH 100CM BALL NOSE REDUC FOR HIP FRAC NAIL,246.24,246.24,,,0
CDM,27800035,406443 : GUIDEWIRE VASC 0.018INX80CM ANG INTMED TIP NIT NITREX,140.0,140.0,,,0
CDM,27800035,406444 : GUIDEWIRE VASC 0.018INX180CM NIT NITREX,194.4,194.4,,,0
CDM,27800035,406545 : GUIDEWIRE ENDOSCP L200CM SS PROGRESSIVELY FLX TIP SAVARY,288.0,288.0,,,0
CDM,27800035,406757 : GUIDEWIRE VASC L190CM DIA0.014IN COIL L8.5CM POLYMR JKT,336.0,336.0,,,0
CDM,27800035,406759 : GUIDEWIRE VASC IMAG L190CM DIA0.014IN SPR COIL L12CM RADPQ,300.0,300.0,,,0
CDM,27800035,406838 : GUIDEWIRE VASC 0.035INX400CM ANG TIP 45DEG HYDRPHLC GLDEWIRE,216.0,216.0,,,0
CDM,27800035,406839 : GUIDEWIRE VASC 0.035INX400CM ANG TIP 45DEG HYDRPHLC GLDEWIRE,242.4,242.4,,,0
CDM,27800035,406974 : GUIDEWIRE VASC L200CM DIA0.016IN TIP L10CM NIT HYDRPHLC STR,484.8,484.8,,,0
CDM,27800035,407497 : GUIDEWIRE VASC 0.014INX215CM HYDRPHLC SYNCHRO2,1350.0,1350.0,,,0
CDM,27800035,407499 : GUIDEWIRE VASC L300CM DIA0.014IN DST SEG 35CM STD HYDRPHLC,1674.0,1674.0,,,0
CDM,27800035,408196 : GUIDEWIRE VASC 0.008INX210CM STR SS HYBRID,1644.0,1644.0,,,0
CDM,27800035,408197 : GUIDEWIRE VASC 0.008-0.012INX220CM DBL ANG RADPQ TIP SS NIT,1632.0,1632.0,,,0
CDM,27800035,408198 : GUIDEWIRE VASC 0.012-0.014INX200CM STR TIP HYDRPHLC HYBRID,1128.0,1128.0,,,0
CDM,27800035,408200 : HYBRID GUIDEWIRE .010IN EXCHANGE STRAIGHT TIP,1752.0,1752.0,,,0
CDM,27800035,40941 : WIRE GUIDE .O35MM (10-BX),108.0,108.0,,,0
CDM,27800035,410971 : GUIDEWIRE VASC L190CM DIA0.014IN SPR COIL L20CM BLU HYDRPHLC,300.0,300.0,,,0
CDM,27800035,412030 : GUIDEWIRE VASC 0.014INX215CM HYDRPHLC STD STR SYNCHRO SEL,1891.2,1891.2,,,0
CDM,27800035,412031 : GUIDEWIRE VASC 0.014INX300CM HYDRPHLC STD SYNCHRO SEL,1740.0,1740.0,,,0
CDM,27800035,413662 : ASAHI SION PTCA GW 180 CM,336.0,336.0,,,0
CDM,27800035,43476 : CATHETER DIAG 6FR L80CM CAS 1 TRANSRADIAL SUP TORQ,15.6,15.6,,,0
CDM,27800035,437076 : GUIDEWIRE VASC 0.035INX260CM STR TIP 1CM SS PTFE SHT TAPR,51.36,51.36,,,0
CDM,27800035,44780 : GUIDEWIRE VASC L260CM DIA0.035IN TIP FLPY L5CM MOD J L1.5MM,134.4,134.4,,,0
CDM,27800035,44977 : GW ACUITY MAILMAN,336.0,336.0,,,0
CDM,27800035,45268 : GUIDEWIRE ORTH L400MM DIA3.2MM FOR TROC FIX NAIL SYS,347.4,347.4,,,0
CDM,27800035,45412 : GUIDEWIRE ORTH 3MM X 800MM BALL TIP FOR T2 TIB NAIL SYS,274.8,274.8,,,0
CDM,27800035,45413 : GUIDEWIRE VASC 0.021INX260CM J TIP SS PTFE FIX COR SAFE-T-J,42.24,42.24,,,0
CDM,27800035,45900 : GUIDEWIRE ORTH SHRP DISP FOR CDH,88.13,88.13,,,0
CDM,27800035,46570 : GUIDEWIRE VASC L190CM DIA0.014IN HYDRPHLC ACUITY WHISPER VW,1069.09,1069.09,,,0
CDM,27800035,47308 : GUIDEWIRE ENDOSCP L260CM DIA0.038IN ENDO GLDE STR TIP SIDE,412.84,412.84,,,0
CDM,27800035,49927 : GUIDEWIRE ORTH L800MM DIA2.2MM SMTH TIP FOR T2 HUM NAIL SYS,264.8,264.8,,,0
CDM,27800035,51261 : GUIDEWIRE VASC L180CM DIA0.035IN L7CM DIA3MM J TIP PTFE SS,51.36,51.36,,,0
CDM,27800035,54696 : GUIDEWIRE ORTH L150MM DIA1.4MM SS THRD FOR 4MM ASNS III SCR,114.86,114.86,,,0
CDM,27800035,59861 : GUIDEWIRE ORTH 3.2MM X 300MM THRD FOR 6.5MM-8MM ASNS III,74.0,74.0,,,0
CDM,27800035,60880 : GUIDEWIRE VASC 0.018INX300CM STR TIP 8CM V-18 CONTROLWIRE,160.8,160.8,,,0
CDM,27800035,61763 : GUIDEWIRE VASC 0.035INX260CM J TIP SS PTFE AMPLATZ SUP STIFF,51.36,51.36,,,0
CDM,27800035,63621 : GUIDEWIRE ORTH L1000MM DIA3MM SS SMTH BALL TIP FOR T2 HUM,292.8,292.8,,,0
CDM,27800035,64655 : GUIDEWIRE ENDOSCP 0.035IN X 450CM BILI STR RND TIP HI PERF,619.84,619.84,,,0
CDM,27800035,64681 : GUIDEWIRE VASC 0.035INX220CM SS PTFE ROSEN,30.02,30.02,,,0
CDM,27800035,65200 : GUIDEWIRE VASC L180CM DIA0.035IN TAPR L15CM STR TIP PTFE,23.04,23.04,,,0
CDM,27800035,65487 : GUIDEWIRE VASC 0.035INX260CM STR TIP SS PTFE LUNDERQUIST X,336.69,336.69,,,0
CDM,27800035,65960 : GUIDEWIRE VASC 0.035INX145CM DBL TIP SS PTFE,35.66,35.66,,,0
CDM,27800035,66793 : GUIDEWIRE ORTH L800MM DIA2.5MM SS SMTH BALL TIP FOR T2 HUM,267.6,267.6,,,0
CDM,27800035,66814 : GUIDEWIRE VASC 0.014INX300CM STR TIP GLDEX HYDRPHLC SHT TAPR,146.4,146.4,,,0
CDM,27800035,66815 : GUIDEWIRE VASC 0.014INX300CM FLPY PLAT TIP NIT PTFE RDRUN,238.73,238.73,,,0
CDM,27800035,67605 : GUIDEWIRE ENDOSCP L260CM DIA0 035IN STR RND TIP STD SHFT HI,619.84,619.84,,,0
CDM,27800035,68614 : SPHINCTEROTOME ENDOSCP 4.4FR X 20MM TIP 5MM 0.035IN X 260CM,1461.7,1461.7,,,0
CDM,27800035,69306 : GUIDEWIRE ORTH L300MM DIA2.8MM 150MM CALIB W- FLUT FOR CANN,230.85,230.85,,,0
CDM,27800035,70869 : ZIPWIRE ANGLED .035 X 180 CM,55.2,55.2,,,0
CDM,27800035,70872 : ZIPWIRE STRAIGHT TIP .035 X 180 CM,55.2,55.2,,,0
CDM,27800035,70885 : GUIDEWIRE VASC L180CM DIA0.035IN ANG TIP TAPR 3CM HYDRPHLC,65.28,65.28,,,0
CDM,27800035,71763 : GUIDEWIRE ORTH L300MM OD2.8MM SS FT SHRP TIP,116.19,116.19,,,0
CDM,27800035,71779 : WIRE GUIDE 1.25 X 100 MM,90.56,90.56,,,0
CDM,27800035,84463 : GUIDEWIRE VASC 0.035INX260CM TIP 3CM STD FLX ANG NIT,122.4,122.4,,,0
CDM,27800035,84465 : GUIDEWIRE VASC 0.035INX260CM ANG TIP NIT HYDRPHLC GLDEWIRE,138.0,138.0,,,0
CDM,27800035,87027 : GUIDEWIRE SUR L7IN DIA0.054IN SS STR SGL TRCR FOR ACUTRK 2,57.6,57.6,,,0
CDM,27800035,87048 : GUIDEWIRE ORTH L5.75IN DIA0.035IN SGL TRCR FOR SM BNE EXT,57.6,57.6,,,0
CDM,27800035,ASAHI FIELDER XT-R 300CM,336.0,336.0,,,0
CDM,27800035,ASAHI SION PTCA GW 180 CM,336.0,336.0,,,0
CDM,27800035,BENTSON PLUS FIXED CORE WIRE GUIDE,43.66,43.66,,,0
CDM,27800035,CATHETER DIAG 6FR L80CM CAS 1 TRANSRADIAL SUP TORQ,15.6,15.6,,,0
CDM,27800035,CATHETER GUID 6FR L100CM BLLN L0.07IN DIA0.1IN JL JL 4.5,91.2,91.2,,,0
CDM,27800035,DGW .035 FC J3MM 150CM TEF EXT,21.6,21.6,,,0
CDM,27800035,DISPOSABLE REUTER TIP DEFLECTING WIRE,179.4,179.4,,,0
CDM,27800035,DOUBLE FLEXIBLE TIPPED WIREGUIDE,73.06,73.06,,,0
CDM,27800035,FIELDER 300CM,228.0,228.0,,,0
CDM,27800035,GLIDEWIRE - REGULAR - STANDARD  J-TIP 1.5MM  180 CM LENGTH,109.2,109.2,,,0
CDM,27800035,GLIDEWIRE - REGULAR - STANDARD ANGLE TIP      .025 DIAME,148.8,148.8,,,0
CDM,27800035,GLIDEWIRE - STIFF SHAFT - STIFF SHAFT  ANGLE  0.035  150 CM,112.32,112.32,,,0
CDM,27800035,GLIDEWIRE 035/180/3CM GE3502,90.0,90.0,,,0
CDM,27800035,GUIDE WIRE 1.60MM,55.75,55.75,,,0
CDM,27800035,GUIDE WIRE 1.6MM,84.0,84.0,,,0
CDM,27800035,GUIDE WIRE 2.4 X 230MM,471.29,471.29,,,0
CDM,27800035,GUIDE WIRE 2.5MM,537.17,537.17,,,0
CDM,27800035,GUIDE WIRE DOUBLE TROCAR,67.2,67.2,,,0
CDM,27800035,GUIDE WIRE NEWTON,34.78,34.78,,,0
CDM,27800035,GUIDEWIRE,84.65,84.65,,,0
CDM,27800035,GUIDEWIRE .035 X150 CM,89.74,89.74,,,0
CDM,27800035,GUIDEWIRE ASTATO XS 20 (0.014IN) 180CM,384.0,384.0,,,0
CDM,27800035,GUIDEWIRE ENDOSCP 0.025IN X 270CM HYDRPHLC ANG DST TIP,476.47,476.47,,,0
CDM,27800035,GUIDEWIRE ENDOSCP 0.025IN X 270CM HYDRPHLC STR DST TIP,453.6,453.6,,,0
CDM,27800035,GUIDEWIRE ENDOSCP 0.035IN X 450CM BILI STR RND TIP HI PERF,619.85,619.85,,,0
CDM,27800035,GUIDEWIRE ENDOSCP L200CM SS PROGRESSIVELY FLX TIP SAVARY,288.0,288.0,,,0
CDM,27800035,GUIDEWIRE ENDOSCP L260CM DIA0 035IN STR RND TIP STD SHFT HI,619.85,619.85,,,0
CDM,27800035,GUIDEWIRE ENDOSCP L260CM DIA0.018IN PANCREAS BILI HYDRPHLC,519.91,519.91,,,0
CDM,27800035,GUIDEWIRE ENDOSCP L260CM DIA0.018IN TIP L6CM TRITON STR,635.71,635.71,,,0
CDM,27800035,GUIDEWIRE ENDOSCP L260CM DIA0.025IN PANCREAS BILI HYDRPHLC,519.91,519.91,,,0
CDM,27800035,GUIDEWIRE ENDOSCP L260CM DIA0.025IN RND STR TIP HI PERF,619.85,619.85,,,0
CDM,27800035,GUIDEWIRE ENDOSCP L260CM DIA0.038IN ENDO GLDE STR TIP SIDE,412.85,412.85,,,0
CDM,27800035,GUIDEWIRE ENDOSCP L260CM OD.035IN 14FR INTRO STR TIP STIFF,519.91,519.91,,,0
CDM,27800035,GUIDEWIRE ENDOSCP L450CM DIA0.035IN STD BILI HYDRPHLC TRIM,439.44,439.44,,,0
CDM,27800035,GUIDEWIRE ENDOSCP L480CM DIA0.21IN TIP L5CM HYDRPHLC DIR,444.0,444.0,,,0
CDM,27800035,GUIDEWIRE ENDOSCP STD ANG NAVIPRO HYDRPHLC L260CM OD.025IN,519.91,519.91,,,0
CDM,27800035,GUIDEWIRE ORTH 100CM BALL NOSE REDUC FOR HIP FRAC NAIL,246.24,246.24,,,0
CDM,27800035,GUIDEWIRE ORTH 200MM 2.5MM SS W/ DRL TIP FOR PERIARTC LCP,232.2,232.2,,,0
CDM,27800035,GUIDEWIRE ORTH 2MM X 230MM BLU NTHRD SPADE PNT FOR 7MM CANN,138.6,138.6,,,0
CDM,27800035,GUIDEWIRE ORTH 3.2MM X 300MM THRD FOR 6.5MM/8MM ASNS III,98.01,98.01,,,0
CDM,27800035,GUIDEWIRE ORTH 3MM X 800MM BALL TIP FOR T2 TIB NAIL SYS,261.6,261.6,,,0
CDM,27800035,GUIDEWIRE ORTH DIA1.45MM BLNT THRD FOR VIPER 2 MINIMALLY,326.66,326.66,,,0
CDM,27800035,GUIDEWIRE ORTH L1000MM DIA3MM SS SMTH BALL TIP FOR T2 HUM,378.5,378.5,,,0
CDM,27800035,GUIDEWIRE ORTH L12IN OD2.4MM LNG KNEE DRL TIP NO EYELT CRUCE,146.88,146.88,,,0
CDM,27800035,GUIDEWIRE ORTH L150MM DIA1.1MM NTHRD FOR 3MM CANN SCR SYS,100.8,100.8,,,0
CDM,27800035,GUIDEWIRE ORTH L150MM DIA1.25MM SS NTHRD FOR 3.5MM CANN SCR,98.8,98.8,,,0
CDM,27800035,GUIDEWIRE ORTH L150MM DIA1.25MM SS THRD FOR 3.5MM CANN SCR,108.0,108.0,,,0
CDM,27800035,GUIDEWIRE ORTH L150MM DIA1.4MM SS THRD FOR 4MM ASNS III SCR,134.03,134.03,,,0
CDM,27800035,GUIDEWIRE ORTH L150MM DIA1.6MM THRD FOR CANN SCR,120.6,120.6,,,0
CDM,27800035,GUIDEWIRE ORTH L220MM DIA2.5MM DISP AEQUALIS PERFORM+,240.0,240.0,,,0
CDM,27800035,GUIDEWIRE ORTH L230MM DIA2.5MM THRD SPADE PNT TIP FOR LCP,174.6,174.6,,,0
CDM,27800035,GUIDEWIRE ORTH L300MM DIA2.5MM COCR ALLY W/ DRL TIP,253.8,253.8,,,0
CDM,27800035,GUIDEWIRE ORTH L300MM DIA2.8MM 150MM CALIB W/ FLUT FOR CANN,344.37,344.37,,,0
CDM,27800035,GUIDEWIRE ORTH L300MM OD2.8MM SS FT SHRP TIP,165.6,165.6,,,0
CDM,27800035,GUIDEWIRE ORTH L400MM DIA3.2MM FOR TROC FIX NAIL SYS,347.4,347.4,,,0
CDM,27800035,GUIDEWIRE ORTH L5 IN OD.059 IN SGL TRCR SMOOTH SHRP TIP SS,57.6,57.6,,,0
CDM,27800035,GUIDEWIRE ORTH L800MM DIA2.2MM SMTH TIP FOR T2 HUM NAIL SYS,291.6,291.6,,,0
CDM,27800035,GUIDEWIRE ORTH L800MM DIA2.5MM SS SMTH BALL TIP FOR T2 HUM,254.4,254.4,,,0
CDM,27800035,GUIDEWIRE ORTH L80CM BALL NOSE REDUC FOR HIP FRAC NAIL,246.24,246.24,,,0
CDM,27800035,GUIDEWIRE ORTH L80CM DIA2.6MM SS PRTLY THRD BEAD TIP BALL,226.8,226.8,,,0
CDM,27800035,GUIDEWIRE ORTH L98CM DIA3MM SS BEAD TIP DISP FOR UNIFLEX AG,260.4,260.4,,,0
CDM,27800035,GUIDEWIRE ORTH SHRP DISP FOR CDH,88.13,88.13,,,0
CDM,27800035,GUIDEWIRE SUR 2X150MM FOR PEDILOC LOK PROX FEM PLT SYS,438.29,438.29,,,0
CDM,27800035,GUIDEWIRE SUR 2X230MM FOR PEDILOC LOK PROX FEM PLT SYS,471.29,471.29,,,0
CDM,27800035,GUIDEWIRE SUR L500MM DISP FOR HUM FRAC SYS AEQUALIS,547.2,547.2,,,0
CDM,27800035,GUIDEWIRE SUR L7IN DIA0.054IN SS STR SGL TRCR FOR ACUTRK 2,57.6,57.6,,,0
CDM,27800035,GUIDEWIRE SUR PED DIA1.6MM COCR THRD TRCR TIP PEDIPLATES,88.68,88.68,,,0
CDM,27800035,GUIDEWIRE SURG L26IN SHRP TIP DISCVR VIPER,317.33,317.33,,,0
CDM,27800035,GUIDEWIRE URO 0.035IN X 145CM TIP 7CM SS PTFE BENT TYP TIP,101.75,101.75,,,0
CDM,27800035,GUIDEWIRE URO L150CM DIA0.025IN TIP L3CM NIT HYDRPHLC STD,163.42,163.42,,,0
CDM,27800035,GUIDEWIRE URO L150CM DIA0.035IN 3CM STR HYDRPHLC TIP PTFE,141.7,141.7,,,0
CDM,27800035,GUIDEWIRE URO L150CM DIA0.035IN HYDRPHLC STR TIP PTFE SHFT,106.64,106.64,,,0
CDM,27800035,GUIDEWIRE VASC 0.007INX220CM STR RADPQ TIP SS NIT HYDRPHLC,1560.0,1560.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.008/0.012INX220CM DBL ANG RADPQ TIP SS NIT,1632.0,1632.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.008INX210CM STR SS HYBRID,1576.8,1576.8,,,0
CDM,27800035,GUIDEWIRE VASC 0.012/0.014INX200CM STR TIP HYDRPHLC HYBRID,1128.0,1128.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.012INX325CM FLX TIP VIPERWIRE,504.0,504.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX190CM STR TIP 3CM HI TORQ PILOT 50,360.0,360.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX215CM HYDRPHLC STD STR SYNCHRO SEL,1862.54,1862.54,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX215CM HYDRPHLC SYNCHRO2,1350.0,1350.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX300CM APPRCH HYDR ST,341.04,341.04,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX300CM FLPY PLAT TIP NIT PTFE RDRUN,238.73,238.73,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX300CM HYDRPHLC STD SYNCHRO SEL,1740.0,1740.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX300CM PLAT FLPY TIP SS PTFE APPRCH,322.78,322.78,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX300CM STR SFT TIP 3CM WIZDOM,156.0,156.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX300CM STR TIP GLDEX HYDRPHLC SHT TAPR,146.4,146.4,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX300CM STR TIP HYDRPHLC SION,336.0,336.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX300CM STR TIP STBL +,156.0,156.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.014INX315CM BRWIR,384.0,384.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX110CM STR TIP 8CM V-18 CONTROLWIRE,160.8,160.8,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX180CM ANG TIP GLDEWIRE ADVNTG,700.8,700.8,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX180CM FLPY PLAT TIP NIT PTFE RDRUN,216.82,216.82,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX180CM NIT NITREX,194.4,194.4,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX200CM STR TIP 8CM V-18 CONTROLWIRE,160.8,160.8,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX260CM ANG TIP NIT HYDRPHLC GLDEWIRE,205.2,205.2,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX300CM ANG TIP NIT HYDRPHLC GLDEWIRE,745.2,745.2,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX300CM STR TIP 12CM V-18 CONTROLWIRE,160.8,160.8,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX60CM FLPY PLAT TIP SS COPE MDRL,63.36,63.36,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX60CM PLAT TIP NIT COPE MDRL,76.92,76.92,,,0
CDM,27800035,GUIDEWIRE VASC 0.018INX80CM ANG INTMED TIP NIT NITREX,139.99,139.99,,,0
CDM,27800035,GUIDEWIRE VASC 0.021INX260CM J TIP SS PTFE FIX COR SAFE-T-J,42.24,42.24,,,0
CDM,27800035,GUIDEWIRE VASC 0.025FR X 450CM STR RND TIP 5CM TUNG FILL,619.85,619.85,,,0
CDM,27800035,GUIDEWIRE VASC 0.025INX175CM SS TORAYGUIDE,408.0,408.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.025INX260CM FLPY TIP SS PTFE FIX COR,35.3,35.3,,,0
CDM,27800035,GUIDEWIRE VASC 0.032INX260CM CRV FLPY TIP SS PTFE AMPLATZ X,54.0,54.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX145CM ANG PLAT TIP NIT MDRL HYDRPHLC,67.39,67.39,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX145CM DBL TIP SS PTFE,35.66,35.66,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX145CM FLPY TIP SS PTFE BENT,35.66,35.66,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX145CM STR TIP SS PTFE AMPLATZ SUP,51.36,51.36,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX150CM ANG TIP NIT HYDRPHLC LNG TAPR,123.72,123.72,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX150CM J ATRAUM TIP NIT HYDRPHLC,81.6,81.6,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX150CM J TIP PTFE FIX COR EMERALD,18.0,18.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX180CM FLPY TIP SS PTFE AMPALTZ X,38.4,38.4,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX180CM FLPY TIP SS PTFE FIX COR,26.71,26.71,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX180CM TIP 3CM STD FLX ANG NIT,109.2,109.2,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX220CM SS PTFE ROSEN,30.02,30.02,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX260CM ANG TIP NIT HYDRPHLC GLDEWIRE,138.0,138.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX260CM CRV TIP SS PTFE AMPLATZ X STIFF,54.0,54.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX260CM DBL CRV TIP SS PTFE LUNDERQUIST,1192.8,1192.8,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX260CM FLPY TIP SS PTFE LUNDERQUIST X,341.61,341.61,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX260CM J TIP 3MM PTFE FIX COR EMERALD,21.6,21.6,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX260CM J TIP SS PTFE AMPLATZ SUP STIFF,51.36,51.36,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX260CM STR TIP NIT HYDRPHLC GLDEWIRE,134.08,134.08,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX260CM STR TIP SS PTFE LUNDERQUIST X,336.7,336.7,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX260CM TIP 3CM STD FLX ANG NIT,122.4,122.4,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX275CM SS PTFE XSM CRV SAFARI2,480.0,480.0,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX300CM STR STEER TIP HYDROPHOBIC WHLY,338.69,338.69,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX400CM ANG TIP 45DEG HYDRPHLC GLDEWIRE,236.83,236.83,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX75CM ATRAUM TIP PTFE AMPLATZ SUP,51.36,51.36,,,0
CDM,27800035,GUIDEWIRE VASC 0.035INX80CM ANG TIP NIT HYDRPHLC GLDEWIRE,124.8,124.8,,,0
CDM,27800035,GUIDEWIRE VASC COR 0.014INX180CM STR TIP HYDRPHLC UNCOAT,336.0,336.0,,,0
CDM,27800035,GUIDEWIRE VASC COR 0.014INX190CM STR TIP 3CM SS HYDRCOAT HI,300.0,300.0,,,0
CDM,27800035,GUIDEWIRE VASC COR 0.014INX190CM STR TIP NIT HI TORQ BAL,360.0,360.0,,,0
CDM,27800035,GUIDEWIRE VASC COR 0.014INX300CM STR TIP 3CM HI TORQ BAL,360.0,360.0,,,0
CDM,27800035,GUIDEWIRE VASC COR 0.014INX300CM STR TIP 3CM HI TORQ ES,305.45,305.45,,,0
CDM,27800035,GUIDEWIRE VASC COR 0.014INX300CM STR TIP 3CM HI TORQ WHISPER,300.0,300.0,,,0
CDM,27800035,GUIDEWIRE VASC COR 175CM HYDRPHLC PRESSUREWIRE X,1680.0,1680.0,,,0
CDM,27800035,GUIDEWIRE VASC DIA0.014IN SS HYDRPHLC DST TIP RADPQ COIL,432.15,432.15,,,0
CDM,27800035,GUIDEWIRE VASC FIX COR PERIPH MNL EXCHG CRV ROSEN,56.98,56.98,,,0
CDM,27800035,GUIDEWIRE VASC IMAG L190CM DIA0.014IN J TIP OCCL HYDRPHLC HI,336.0,336.0,,,0
CDM,27800035,GUIDEWIRE VASC IMAG L190CM DIA0.014IN SPR COIL L12CM RADPQ,300.0,300.0,,,0
CDM,27800035,GUIDEWIRE VASC IMAG L300CM DIA0.014IN SPR COIL L17CM RADPQ,384.0,384.0,,,0
CDM,27800035,GUIDEWIRE VASC L145CM TAPR L15CM 0.038IN SS PTFE COON,49.85,49.85,,,0
CDM,27800035,GUIDEWIRE VASC L165CM DIA0.014IN PTCA STR TIP EXTN,228.0,228.0,,,0
CDM,27800035,GUIDEWIRE VASC L180CM DIA0.014IN SPR COIL L11CM HYDROPHOBIC,336.0,336.0,,,0
CDM,27800035,GUIDEWIRE VASC L180CM DIA0.014IN SPR COIL L20CM HYDRPHLC,228.0,228.0,,,0
CDM,27800035,GUIDEWIRE VASC L180CM DIA0.018IN TIP L3CM STD HYDRPHLC STR,144.59,144.59,,,0
CDM,27800035,GUIDEWIRE VASC L180CM DIA0.035IN ANG TIP TAPR 3CM HYDRPHLC,65.28,65.28,,,0
CDM,27800035,GUIDEWIRE VASC L180CM DIA0.035IN L7CM DIA3MM J TIP PTFE SS,256.8,256.8,,,0
CDM,27800035,GUIDEWIRE VASC L180CM DIA0.035IN TAPR L15CM STR TIP PTFE,23.04,23.04,,,0
CDM,27800035,GUIDEWIRE VASC L190CM DIA0.014/0.010IN COIL L16CM SS COR,336.0,336.0,,,0
CDM,27800035,GUIDEWIRE VASC L190CM DIA0.014IN SPR COIL L20CM BLU HYDRPHLC,300.0,300.0,,,0
CDM,27800035,GUIDEWIRE VASC L190CM SS HYDROPHOBIC RADPQ STR TIP BARE COIL,317.14,317.14,,,0
CDM,27800035,GUIDEWIRE VASC L190CM TIP DIA0.014IN SS TIP NIT HYDRPHLC,432.0,432.0,,,0
CDM,27800035,GUIDEWIRE VASC L200CM DIA0.014IN TIP L10CM NIT HYDRPHLC STR,552.0,552.0,,,0
CDM,27800035,GUIDEWIRE VASC L200CM DIA0.016IN TIP L10CM NIT HYDRPHLC STR,484.8,484.8,,,0
CDM,27800035,GUIDEWIRE VASC L260CM DIA0.035IN TAPR L7CM PTFE SS STR,51.36,51.36,,,0
CDM,27800035,GUIDEWIRE VASC L260CM DIA0.035IN TIP FLPY L5CM MOD J L1.5MM,134.4,134.4,,,0
CDM,27800035,GUIDEWIRE VASC L260CM DIA0.038IN L1CM TIP PTFE SS SHT TAPR,51.36,51.36,,,0
CDM,27800035,GUIDEWIRE VASC L260CM DST FLX L5CM DIA0.89MM RADIFOCUS,559.2,559.2,,,0
CDM,27800035,GUIDEWIRE VASC L300CM DIA0.014IN COIL L20CM BLU HYBRID,300.0,300.0,,,0
CDM,27800035,GUIDEWIRE VASC L300CM DIA0.014IN DST SEG 35CM STD HYDRPHLC,1674.0,1674.0,,,0
CDM,27800035,GUIDEWIRE VASC L300CM DIA0.014IN HYDRPHLC NIT COR TO TIP SFT,253.2,253.2,,,0
CDM,27800035,GUIDEWIRE VASC L300CM DIA0.018IN TIP L10MM HI TORQ COMMND 18,432.0,432.0,,,0
CDM,27800035,GUIDEWIRE VASC PERIPH 0.035INX180CM ANG TIP NIT PTFE,512.4,512.4,,,0
CDM,27800035,GUIDEWIRE VASC PERIPH 0.035INX260CM FLPY TIP HI TORQ,177.6,177.6,,,0
CDM,27800035,GUIDEWIRE VASC PERIPH 0.035INX300CM STR ATRAUM TIP,156.0,156.0,,,0
CDM,27800035,GW ACUITY MAILMAN,336.0,336.0,,,0
CDM,27800035,HI-TORQUE PILOT 200 GUIDE WIRE .014 STRAIGHT TIP 3.0 CM X 19,360.0,360.0,,,0
CDM,27800035,HI-TORQUE VERSACORE FLOPPY GUIDE WIRE SYSTEM 175 CM,172.8,172.8,,,0
CDM,27800035,HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 2.0 CM X 190 C,343.64,343.64,,,0
CDM,27800035,HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 2.0 CM X 300 C,310.0,310.0,,,0
CDM,27800035,HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 30 CM X 190 CM,360.0,360.0,,,0
CDM,27800035,HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 30 CM X 300 CM,300.0,300.0,,,0
CDM,27800035,HIWIRE NITINOL HYDROPHILIC WIRE GUIDE,80.57,80.57,,,0
CDM,27800035,HYBRID GUIDEWIRE .010IN EXCHANGE STRAIGHT TIP,1752.0,1752.0,,,0
CDM,27800035,INACTIVE USE PS#100825 -  SAVARY-GILLIARD WIRE GUIDE,331.2,331.2,,,0
CDM,27800035,INACTIVE USE PS#106429 -  GUIDEWIRE VASC 0.018INX60CM PLAT T,76.92,76.92,,,0
CDM,27800035,INACTIVE USE PS#113399 -  GUIDEWIRE 3.2 THREADED,534.94,534.94,,,0
CDM,27800035,INACTIVE USE PS#113400 -  SMOOTH WIRE 2.0,653.52,653.52,,,0
CDM,27800035,INACTIVE USE PS#13443 -  ZIPWIRE ANGLED .035 X 150 CM,55.2,55.2,,,0
CDM,27800035,INACTIVE USE PS#147794 -  GUIDEWIRE VASC 0.035INX180CM STR T,51.36,51.36,,,0
CDM,27800035,INNACTIVE - MAGIC TORQUE .035 X 260CM,100.01,100.01,,,0
CDM,27800035,INTRODUCER PEELAWAY 10FR C-PLI,92.88,92.88,,,0
CDM,27800035,JAG REVOLUTION ANGLED,619.85,619.85,,,0
CDM,27800035,KIT PREP INCL CMPTBL GWIRE INTRO SHTH SET SYR STPCOCK,744.0,744.0,,,0
CDM,27800035,KIT VASC ACCS INCL STP VES DIL J TIP SS GWIRE INTRO NDL SFTY,360.0,360.0,,,0
CDM,27800035,KNIFE NDL CATH L200CM 7-5FR 0.035IN TAPR TIP 3L,564.0,564.0,,,0
CDM,27800035,LAUREATE WIRE STIFF ANGLED .035 260CM,84.86,84.86,,,0
CDM,27800035,LUNDERQUIST X-STIFF WIRE GUID DBL CRV PTFE-COAT SS DIA0.035,375.24,375.24,,,0
CDM,27800035,PTFE .035 FIXED CORE 15CM FLEX BENTSON,35.21,35.21,,,0
CDM,27800035,RADIOFOCUS ANGLED GLIDEWIRE ADVANTAGE .035X180CM,384.0,384.0,,,0
CDM,27800035,ROADRUNNER .018,67.39,67.39,,,0
CDM,27800035,RUNTHROUGH CORONARY WIRE  NS SHAPEABLE TIP 0.014 180CM FLOPP,253.2,253.2,,,0
CDM,27800035,SAFE-T-J FIXED CORE WIRE GUIDE,24.89,24.89,,,0
CDM,27800035,SENSOR .035 3CM FLEX ANG/150 BOX 5,171.6,171.6,,,0
CDM,27800035,SET INTRO SUPRPUB ACC 18FR CATH 1 STP INCL 17CM PEEL AWAY,1680.0,1680.0,,,0
CDM,27800035,SET THERMOABLATION DISP GENESYS HTA PROCERVA,3600.0,3600.0,,,0
CDM,27800035,SMOOTH GUIDE WIRE BALL TIP 3.0 MM DIAMETER     100 CM LENGTH,260.4,260.4,,,0
CDM,27800035,SPHINCTEROTOME ENDOSCP 4.4FR X 20MM TIP 5MM 0.035IN X 260CM,1461.7,1461.7,,,0
CDM,27800035,SPHINCTEROTOME ENDOSCP TIP 3.9FR L5MM CUT WIRE 20MM GWIRE,1461.7,1461.7,,,0
CDM,27800035,STARTER GUIDEWIRE BENTSON .035 X 150 CM,17.76,17.76,,,0
CDM,27800035,THREADED GUIDE PIN  3.2MM  3.2MM  ACE,235.2,235.2,,,0
CDM,27800035,THREADED GUIDE PIN  3.2MM X 444MM  3.2MM X 444MM  VERSANAIL,271.04,271.04,,,0
CDM,27800035,TUBE JEJUSTMY 12FR L66CM GWIRE 0.035IN PERC ENDOSCP PEG 24,396.0,396.0,,,0
CDM,27800035,TUBE NASOJEJUNAL FEED 10FR X 240CM GWIRE 0.035IN X 260CM,396.0,396.0,,,0
CDM,27800035,WIRE 1.0MM MSD,48.0,48.0,,,0
CDM,27800035,WIRE SYNCHRO 014/200,1350.0,1350.0,,,0
CDM,27800035,WIRE SYNCHRO 2/14 300 CM SOFT,1674.0,1674.0,,,0
CDM,27800035,ZIPWIRE .035 X 150CM STRAIGHT,81.6,81.6,,,0
CDM,27800035,ZIPWIRE ANGLED .035 X 180 CM,55.2,55.2,,,0
CDM,27800037,407955 : SYSTEM SLNG 7.75CM SGL INCIS W- HELI INTRO ANCHR TENSIONING,6319.2,6319.2,,,0
CDM,27800037,534578 : KIT GYN IMPL SYN SLNG RETROPUBIC W- TRCR SHTH AND IMPL,4940.21,4940.21,,,0
CDM,27800037,SYSTEM SLNG 7.75CM SGL INCIS W/ HELI INTRO ANCHR TENSIONING,3302.4,3302.4,,,0
CDM,27800038,129963 : PUMP SEGMENT REVISION KIT,1200.0,1200.0,,,0
CDM,27800038,435151 : PUMP INTRATHECAL INFUSION 87.5MM THICK 19.6MM WITH 20ML RESE,30698.4,30698.4,,,0
CDM,27800038,435152 : PUMP INTRATHECAL INFUSION 87.5MM THICK 19.6MM WITH 40ML RESE,30698.4,30698.4,,,0
CDM,27800038,PUMP INFUS IMPL SYNCHROMED II 40ML TI PRGM,27655.2,27655.2,,,0
CDM,27800038,PUMP INTRATHECAL INFUSION 87.5MM THICK 19.6MM WITH 20ML RESE,30698.4,30698.4,,,0
CDM,27800038,PUMP SEGMENT REVISION KIT,1200.0,1200.0,,,0
CDM,27800040,108400 : TIBIAL TRAY SZ 3 R,3775.2,3775.2,,,0
CDM,27800040,118348 : ECHO BI-METRIC HIP SYSTEM  STANDARD FEMORAL STEM  TI-6AL-4,4200.0,4200.0,,,0
CDM,27800040,120520 : HEAD UPLR DIA45MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
CDM,27800040,135271 : DISTAL HUMERAL POST LATERAL PLATE LEFT SMALL  9 HOLE   74MM,1713.6,1713.6,,,0
CDM,27800040,136006 : STEM TIB 14MM PLSM MID CEM TOT ANK SYS INBONE II,1428.0,1428.0,,,0
CDM,27800040,150158 : HUMERAL SPOOL - MEDIUM RIGHT,2517.6,2517.6,,,0
CDM,27800040,150159 : CAP ORTH MD ULN FOR LATITUDE EV EL ARTHROPLASTY SYS,1908.0,1908.0,,,0
CDM,27800040,159068 : ROD SPNL L75MM DIA5.5MM THORLUM TI ALLY CRV CREO,240.0,240.0,,,0
CDM,27800040,22853 : SROMSTM LG 36+8L 20X15X225R,12265.56,12265.56,,,0
CDM,27800040,374348 : EXPLOR  MODULAR RADIAL HEAD  CO-CR-MO  10MM  HEIGHT,4800.0,4800.0,,,0
CDM,27800040,374362 : EXPLOR  MODULAR RADIAL STEM WITH SCREW  TI-6AL-4V  8MM    B,4800.0,4800.0,,,0
CDM,27800040,374462 : INTERCHANGEABLE ULNAR ASSEMBLY     PLASMA SPRAYED EXTRA SMAL,11520.0,11520.0,,,0
CDM,27800040,406790 : SPHERE GLEN 36MM STD COCR REV PERFORM,3060.0,3060.0,,,0
CDM,27800040,409532 : HEAD FEM CERAMIC MOD TYP 1 36MM MINUS STD OFFSET BIOLOX DELT,1680.0,1680.0,,,0
CDM,27800040,415305 : G7 LONGEVITY +5MM LNR 36MM F,2781.5,2781.5,,,0
CDM,27800040,418677 : G7 LONGEVITY NEUTRAL 36MM F,1389.6,1389.6,,,0
CDM,27800040,419227 : HEAD UPLR DIA43MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
CDM,27800040,419229 : HEAD UPLR DIA50MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
CDM,27800040,419230 : HEAD UPLR DIA52MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
CDM,27800040,419231 : HEAD UPLR DIA53MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
CDM,27800040,419233 : STEM FEM 7MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
CDM,27800040,419234 : STEM FEM 9MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
CDM,27800040,419235 : STEM FEM 11MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
CDM,27800040,419236 : STEM FEM 9MM LAT OFFSET COCR ECHO FX,1798.39,1798.39,,,0
CDM,27800040,419248 : STEM FEM L150MM DIA9MM TI POR IM STR CEM LNG BODY MOD NEUT,3909.6,3909.6,,,0
CDM,27800040,419250 : SEGMENT DPHSEAL L3CM KNEE TI ELP OSS,14760.0,14760.0,,,0
CDM,27800040,419251 : SEGMENT DPHSEAL L7CM KNEE TI ELP OSS,14760.0,14760.0,,,0
CDM,27800040,419254 : ADAPTER STK TI SEG OSS,372.0,372.0,,,0
CDM,27800040,419265 : BUSHING FEM KNEE POLY REDUC SZ OSS,1020.0,1020.0,,,0
CDM,27800040,419266 : AXLE KNEE COCR MOLY ALLY REDUC SZ OSS,1104.0,1104.0,,,0
CDM,27800040,419270 : BEARING TIB THCK14MM KNEE POLY LAT STBL REDUC SZ OSS,2061.6,2061.6,,,0
CDM,27800040,419272 : BODY FEM L8.5CM L KNEE SEG REDUC SZ OSS,16761.6,16761.6,,,0
CDM,27800040,419334 : HEAD FEM 36MM +3MM NK TYP 1 TAPR MOD BIOLOX DELT,1680.0,1680.0,,,0
CDM,27800040,420421 : STEM FEM 13X145MM STD OFFSET 135DEG TYP 1 TAPR REDUC PROX,4200.0,4200.0,,,0
CDM,27800040,422647 : INSERT HUM SZ 1-2 DIA36MM THK+0MM SYMMTRC RETENTIVE REV,3360.0,3360.0,,,0
CDM,27800040,422656 : INSERT HUM SZ 3-4 DIA39MM THK+0MM SYMMTRC RETENTIVE REV,3360.0,3360.0,,,0
CDM,27800040,422790 : STEM HUM SZ 3+ LNG PERFORM,7320.0,7320.0,,,0
CDM,27800040,422825 : STEM HUM SZ 9 130MM FOR FRAC PERFORM,18000.0,18000.0,,,0
CDM,27800040,535830 : PACK SCR GLENOSPHERE CNTR W- LOK CAP 6.5MM X 30MM R1 TRI-PK,1680.0,1680.0,,,0
CDM,27800040,535832 : BASEPLATE GLEN STD FOR R1 REV SHLDR SYS,3360.0,3360.0,,,0
CDM,27800040,535833 : COMPONENT GLENOSPHERE 32MM LAT FOR R1 REV SHLDR SYS,3840.0,3840.0,,,0
CDM,27800040,542130 : BODY FEM SZ D W26XH60MM DIA24.5MM +10MM STD OFFSET TI PPS 542130,12353.66,12353.66,,,0
CDM,27800040,542132 : BODY FEM SZ F W30XH60MM DIA28.5MM +10MM STD OFFSET TI PPS 542132,12353.66,12353.66,,,0
CDM,27800040,542139 : BODY FEM SZ A W21XH60MM DIA18.5MM +20MM STD OFFSET TI PPS 542139,12353.66,12353.66,,,0
CDM,27800040,542746 : CENTRALIZER FEM STEM 9MM DST PMMA ECHO FEM HIP SYS 542746,119.9,119.9,,,0
CDM,27800040,543139 : STEM FEM 16X160MM HI OFFSET 135DEG TYP 1 TAPR REDUC PROX 543139,4200.0,4200.0,,,0
CDM,27800040,544978 : BASEPLATE TIB 67X160X9MM REDUC SZ LNG NONMODULAR OSS 544978,7516.8,7516.8,,,0
CDM,27800040,855 : FINGER SWAN 470-0001,3207.98,3207.98,,,0
CDM,27800040,AXLE KNEE COCR MOLY ALLY REDUC SZ OSS,1104.0,1104.0,,,0
CDM,27800040,AXLE TIB PROX KNEE MRH GMRS,2131.2,2131.2,,,0
CDM,27800040,BASEPLATE GLEN DIA25MM STD TI POR PERFORM,2460.0,2460.0,,,0
CDM,27800040,BASEPLATE GLEN STD FOR R1 REV SHLDR SYS,3360.0,3360.0,,,0
CDM,27800040,BASEPLATE TIB L71MM SHT UHMWPE NONMODULAR ORTH SALV SYS,7236.0,7236.0,,,0
CDM,27800040,BASEPLATE TIB SZ M2 KEEL MRH,6876.0,6876.0,,,0
CDM,27800040,BEARING TIB THCK12MM KNEE POLY LAT STBL REDUC SZ OSS,2061.6,2061.6,,,0
CDM,27800040,BEARING TIB THK12MM POLY ORTH SALV SYS,2450.4,2450.4,,,0
CDM,27800040,BIOLOX DELTA FEMORAL HEAD 36MM -3.5MM,1680.0,1680.0,,,0
CDM,27800040,BODY FEM L7CM R DST HIP REDUC SZ SEG OSS,16080.0,16080.0,,,0
CDM,27800040,BODY FEM L8.5CM L DST HIP REDUC SZ ELP SEG OSS,17419.2,17419.2,,,0
CDM,27800040,BODY HUM DIA11MM 132.5DEG STD PROX SHLDR FOR ARTHROPLASTY,9540.0,9540.0,,,0
CDM,27800040,BUSHING FEM ALL SZ TOT KNEE MRH REV MNGRM,621.6,621.6,,,0
CDM,27800040,BUSHING FEM KNEE POLY REDUC SZ OSS,1020.0,1020.0,,,0
CDM,27800040,CAP ORTH MD ULN FOR LATITUDE EV EL ARTHROPLASTY SYS,1908.0,1908.0,,,0
CDM,27800040,CAP SCR SHLDR LOK FOR ARTHROPLASTY AEQUALIS FLX REVIVE,900.0,900.0,,,0
CDM,27800040,CENTRALIZER FEM STEM 9MM DST PMMA ECHO FEM HIP SYS,119.9,119.9,,,0
CDM,27800040,CERAMIC HEAD DELTA FEMORAL 28/0MM T1 650-1158,1680.0,1680.0,,,0
CDM,27800040,COMPONENT FEM STD R DST KNEE GLOB MRS,14848.8,14848.8,,,0
CDM,27800040,COMPONENT GLENOSPHERE 32MM LAT FOR R1 REV SHLDR SYS,3840.0,3840.0,,,0
CDM,27800040,COMPONENT PAT DIA32MM THK8.5MM STD KNEE VIVACIT-E CEM,1080.0,1080.0,,,0
CDM,27800040,COMPONENT PAT DIA35MM THK9MM STD KNEE VIVACIT-E CEM PERSONA,1080.0,1080.0,,,0
CDM,27800040,COMPONENT PAT THK10MM DIA35MM X3 ASYM FOR TRIATHLON KNEE SYS,1440.0,1440.0,,,0
CDM,27800040,COMPONENT TIB XSM-XL FOR MRH,6153.6,6153.6,,,0
CDM,27800040,CONNECTOR SPNL DOMINO TOP/TOP TI 5/6-5/6 CDH,2006.4,2006.4,,,0
CDM,27800040,DISTAL HUMERAL MEDIAL PLATE RIGHT LARGE  10 HOLE   97MM  10,1713.6,1713.6,,,0
CDM,27800040,EXPLOR  MODULAR RADIAL HEAD  CO-CR-MO  10MM  HEIGHT,4046.4,4046.4,,,0
CDM,27800040,FINGER SWAN 470-0001,2643.46,2643.46,,,0
CDM,27800040,G7 LONGEVITY NEUTRAL 36MM F,1389.6,1389.6,,,0
CDM,27800040,G7 VIT E +5MM LNR 36MM F,3376.15,3376.15,,,0
CDM,27800040,HEAD FEM -3MM BIOLOX DELT CERAMIC MOD OFFSET OPT,1680.0,1680.0,,,0
CDM,27800040,HEAD HUM W42XH16MM CONCENTRIC SHLDR COCR MOD SYS TI 2.5,4583.09,4583.09,,,0
CDM,27800040,HEAD RAD DIA20MM COCR POLY LNR MOD RHS,4043.16,4043.16,,,0
CDM,27800040,HRHK TIB INS 13MM ML M2L2,2397.6,2397.6,,,0
CDM,27800040,HUMERAL HEAD 52X23 LOW OFFSET AEQUALIS,2880.0,2880.0,,,0
CDM,27800040,INSERT HUM SM SZ 32  SOCK E  RSP,2400.0,2400.0,,,0
CDM,27800040,INSERT HUM SZ 3/4 DIA36MM THK+3MM SYMMTRC RETENTIVE REV,3360.0,3360.0,,,0
CDM,27800040,INSERT HUM SZ 44  SOCK E  RSP,2400.0,2400.0,,,0
CDM,27800040,INSERT HUMERAL SOCKET 32MM SEMI CONSTRAINED HXE+,2400.0,2400.0,,,0
CDM,27800040,INSERT TIB ALL SZ 3DEG BUMPER FOR MRH MNGRM,1279.2,1279.2,,,0
CDM,27800040,INSERT TIB SZ 4 15MM GVF RP SIG TC3,6502.68,6502.68,,,0
CDM,27800040,INTERCHANGEABLE HUMERAL ASSEMBLY FOR CEMENTED USE ONLY SMALL,12720.0,12720.0,,,0
CDM,27800040,INTERCHANGEABLE ULNAR ASSEMBLY     PLASMA SPRAYED EXTRA SMAL,11520.0,11520.0,,,0
CDM,27800040,MRS 11X127 CUR FEM STEM WO BODY,5803.2,5803.2,,,0
CDM,27800040,PACK SCR GLENOSPHERE CNTR W/ LOK CAP 6.5MM X 30MM R1 TRI-PK,1680.0,1680.0,,,0
CDM,27800040,PLATE BNE L88MM 9 H L MED DST HUM TIM LP ALPS,1713.6,1713.6,,,0
CDM,27800040,SEGMENT DPHSEAL L3CM KNEE TI ELP OSS,14760.0,14760.0,,,0
CDM,27800040,SHELL ACET DIA52MM SZ E HMSPHR LIMIT H PPS G7,1797.6,1797.6,,,0
CDM,27800040,SLEEVE TIB ALL SZ PROX ROT HNG GLOB MRS,1068.0,1068.0,,,0
CDM,27800040,SPACER SHLDR L20MM DIA11MM FOR ARTHROPLASTY AEQUALIS FLX,5812.8,5812.8,,,0
CDM,27800040,SPHERE GLEN 32 -4MM OFFSET W/ RET SCR ALTIVATE,2520.0,2520.0,,,0
CDM,27800040,SPHERE GLEN 36MM STD COCR CANN REV PERFORM,4320.0,4320.0,,,0
CDM,27800040,SPHERE GLEN 36MM STD COCR REV PERFORM,3060.0,3060.0,,,0
CDM,27800040,SROM*STM LG 36+8L 20X15X225R,12265.56,12265.56,,,0
CDM,27800040,STEM FEM 11MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
CDM,27800040,STEM FEM 7MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
CDM,27800040,STEM FEM 9X125MM STD OFFSET 135DEG TYP 1 TAPR FULL PROX PROF,4200.0,4200.0,,,0
CDM,27800040,STEM FEM L150MM DIA13MM IM STR CEM ORTH SALV SYS,3909.6,3909.6,,,0
CDM,27800040,STEM FEM SZ 4 HA CLLRD HI OFFSET AVENIR COMPLT,4200.0,4200.0,,,0
CDM,27800040,STEM HUM L170MM DIA11MM DST SHLDR PTC FOR ARTHROPLASTY,17484.0,17484.0,,,0
CDM,27800040,STEM HUM L48MM DIA10MM STD SHELL DIA42MM SHLDR HXLPE VIT E,9840.0,9840.0,,,0
CDM,27800040,STEM HUM L90MM DIA11MM DST SHLDR PTC PRTLY COAT,8700.0,8700.0,,,0
CDM,27800040,STEM HUM SZ 10 108MM SM SHELL ALTIVATE REV,9840.0,9840.0,,,0
CDM,27800040,STEM HUM SZ 12 130MM FOR FRAC PERFORM,18000.0,18000.0,,,0
CDM,27800040,STEM HUM SZ 3 STD SHT PERFORM,6600.0,6600.0,,,0
CDM,27800040,STEM HUM SZ 8 108MM SM SHELL ALTIVATE REV,9840.0,9840.0,,,0
CDM,27800040,STEM HUMERAL DISTAL REVERSE UNCEMENTED SIZE 11 F1X,6000.0,6000.0,,,0
CDM,27800040,STEM RAD DIA6.5MM NK 22MM LNG COCR CEM RHS,7449.58,7449.58,,,0
CDM,27800040,STEM TIB 14MM PLSM MID CEM TOT ANK SYS INBONE II,1428.0,1428.0,,,0
CDM,27800040,STEM TIB 18MM PLSM BASE CEM TOT ANK SYS INBONE II,1459.2,1459.2,,,0
CDM,27800040,TIBIAL STEM TOP 12MM,1339.2,1339.2,,,0
CDM,27800040,TIBIAL TRAY INBONE,3957.6,3957.6,,,0
CDM,27800040,V40 COCR LFIT HEAD 28MM-4,1200.0,1200.0,,,0
CDM,27800041,125175 : LEAD NEUROSTIM L43CM DIA2MM HELIX DIA2MM VAGUS NRV SIL INSUL,22123.2,22123.2,,,0
CDM,27800041,144489 : COVEREDGE 32 SURGICAL LEAD KIT - 50CM,14400.0,14400.0,,,0
CDM,27800041,150709 : LEAD PERC W-ELECT 5MMX70CM,1200.0,1200.0,,,0
CDM,27800041,150710 : LEAD KIT  70CM,2400.0,2400.0,,,0
CDM,27800041,161567 : LEAD NEUROSTIM L60CM MR COND PENTA,10800.0,10800.0,,,0
CDM,27800041,412524 : STIMULATION LEAD,4680.0,4680.0,,,0
CDM,27800041,412525 : RESPIRATORY SENSING LEAD,8100.0,8100.0,,,0
CDM,27800041,DEPTH LEAD 10X30MM,11208.0,11208.0,,,0
CDM,27800041,DEPTH LEAD 30CM 3.5MM,10872.0,10872.0,,,0
CDM,27800041,DEPTH LEAD 44CM 10MM,11208.0,11208.0,,,0
CDM,27800041,DEVICE NEUROSTIM 13.9CC 47.2MM X 57.1MM RECHRG INTELLIS,38966.4,38966.4,,,0
CDM,27800041,INACTIVE - LEAD NEUROSTIM L43CM FOR VAGUS,21583.2,21583.2,,,0
CDM,27800041,KIT LEAD DEEP BRAIN STIMULATOR DIRECTIONAL 45CM,6720.0,6720.0,,,0
CDM,27800041,KIT NEUROSTIM 44CM X 3.5MM SPC 4 ELECTRD INCL DEPTH LD 2 CAP,11208.0,11208.0,,,0
CDM,27800041,LEAD KIT  70CM,2400.0,2400.0,,,0
CDM,27800041,LEAD NEUROSTIM L43CM DIA2MM HELIX DIA2MM VAGUS NRV SIL INSUL,22123.2,22123.2,,,0
CDM,27800041,LEAD NEUROSTIM L43CM FOR VAGUS NRV STIM PERENNIA FLX,21583.2,21583.2,,,0
CDM,27800041,LEAD NEUROSTIM L60CM MR COND PENTA,10800.0,10800.0,,,0
CDM,27800041,LEAD PERC W/ELECT 5MMX70CM,1200.0,1200.0,,,0
CDM,27800041,RESPIRATORY SENSING LEAD,8100.0,8100.0,,,0
CDM,27800041,STIMULATION LEAD,4680.0,4680.0,,,0
CDM,27800042,1.7MM DYNAMIC MESH 90X90X.6MM,3834.67,3834.67,,,0
CDM,27800042,100399 : MESH HERN SM DIA4.3CM VENTRAL POLYPR EPTFE CIR SELF EXPND,1594.8,1594.8,,,0
CDM,27800042,108488 : MESH HERN SM SFT TISS 3.1IN X 4.7IN OVL PTCH POLYPR EPTFE,1814.16,1814.16,,,0
CDM,27800042,129875 : MESH CRAN W100XL100MM THK0.4MM BLU TI RIG MATRIXNEURO,2419.2,2419.2,,,0
CDM,27800042,131930 : MESH CRAN M 12 H SIL TI CNTOUR MAL FOR 1.5MM SCR MATRIXNEURO,895.1,895.1,,,0
CDM,27800042,137680 : MESH HERN W7XL10CM SYN TISS REINF BIOABSRB DISP BIO-A,1303.2,1303.2,,,0
CDM,27800042,159993 : MESH HERN W10XL15CM POLY POLYLACTIC ACID 70% CLLGN 30% GLYC,704.57,704.57,,,0
CDM,27800042,161805 : MESH HERN W16XL12CM LAP MFIL POLY TEREPHTHALATE MFIL,1069.65,1069.65,,,0
CDM,27800042,18701 : MESH HERN REP LG 1.6X 1.90IN POLYPR PERFIX,715.92,715.92,,,0
CDM,27800042,24316 : MESH HERN MD 1.3X1.55IN INGUINAL POLYPR MFIL REP PRESHAPED,722.64,722.64,,,0
CDM,27800042,24318 : PLUG HERN XL 1.6X2IN WHT INGUINAL POLYPR MFIL MESH PERFIX,825.6,825.6,,,0
CDM,27800042,25995 : MESH HERN 30X30CM WVN VCRL,2744.68,2744.68,,,0
CDM,27800042,26263 : MESH SUR INGUINAL HERN L 2.4IN X 5.4IN PRESHAPED W- KEYHOLE,211.92,211.92,,,0
CDM,27800042,356062 : RESORB XG STERILEMESH SMALL GRID51 X 51 MM T=0.6 MMPLLA-PGAQ,3900.0,3900.0,,,0
CDM,27800042,367492 : MESH HERN SFT TISS 10CM X 15CM 3D WHT MFIL POLY SYMBOTEX,826.46,826.46,,,0
CDM,27800042,367494 : MESH HERN 12CM SYMBOTEX BIOABSRB FLM COMP,826.46,826.46,,,0
CDM,27800042,372768 : MESH HERN 9CM SYMBOTEX BIOABSRB FLM COMP,602.62,602.62,,,0
CDM,27800042,38252 : MESH HERN MD W8.5XL13.7CM R POLYPR 3D MAX,646.8,646.8,,,0
CDM,27800042,408419 : MESH HERN 30X30CM MACROPOROUS PARIETENE,236.74,236.74,,,0
CDM,27800042,408421 : MESH SUR INGUINAL HERN 15CM X 15CM SQ POLY PARIETENE NABSRB,119.93,119.93,,,0
CDM,27800042,43164 : MESH SUR HERN REP EXT ONLAY 5.5X12.8CM UNDERLAY PTCH DIA10CM,948.86,948.86,,,0
CDM,27800042,44323 : MESH SUR HERN REP 3X6IN RECTANG SFT POLYPR PROL N ABSRB,745.32,745.32,,,0
CDM,27800042,452 : MESH SURG 3X6IN MARLEX,271.92,271.92,,,0
CDM,27800042,541392 : IMPLANT GYN SYN 4CM X 22CM MESH FOR SACROCOLPOPEXY VERTESSA,2784.67,2784.67,,,0
CDM,27800042,62900 : MESH HERN VENTRAL REP MD DIA2 1-2IN CIR POLYPR VENTRALEX,1907.52,1907.52,,,0
CDM,27800042,67488 : MESH HERN W6XL8IN POLYPR BIORESORBABLE HYDRGEL SEPRAMESH,2419.68,2419.68,,,0
CDM,27800042,87876 : PATCH HERN LG DIA3.2IN WHT POLYPR MFIL EPTFE MESH CIR,2122.8,2122.8,,,0
CDM,27800042,GORE TEX SOFT TISSUE PATCH,2623.2,2623.2,,,0
CDM,27800042,GRAFT 2MM 1315020020,4771.2,4771.2,,,0
CDM,27800042,IMPLANT GYN SYN 4CM X 22CM MESH FOR SACROCOLPOPEXY VERTESSA,2109.6,2109.6,,,0
CDM,27800042,MESH CRAN M 12 H SIL TI CNTOUR MAL FOR 1.5MM SCR MATRIXNEURO,895.1,895.1,,,0
CDM,27800042,MESH CRAN W100XL100MM THK0.4MM BLU TI RIG MATRIXNEURO,2419.2,2419.2,,,0
CDM,27800042,MESH CRAN W52XL52MM THK1MM CMF RESORB XG SM GRID RESRB,3458.4,3458.4,,,0
CDM,27800042,MESH GORE BIO A FLAT SHEET ABSORBABLE 20 CM X 30 CM,9487.2,9487.2,,,0
CDM,27800042,MESH HERN 12CM SYMBOTEX BIOABSRB FLM COMP,826.46,826.46,,,0
CDM,27800042,MESH HERN 30X30CM MACROPOROUS PARIETENE,236.74,236.74,,,0
CDM,27800042,MESH HERN 30X30CM WVN VCRL,2744.69,2744.69,,,0
CDM,27800042,MESH HERN 9CM SYMBOTEX BIOABSRB FLM COMP,602.62,602.62,,,0
CDM,27800042,MESH HERN L SFT TISS 4.5IN CIR PTCH POLYPR EPTFE VENTRIO,2047.2,2047.2,,,0
CDM,27800042,MESH HERN L15.2XW7.6CM POLYPR ABD ABSRB RECTANG SEPRAMESH IP,1147.92,1147.92,,,0
CDM,27800042,MESH HERN L20.3XW10.2CM POLYPR ABD ABSRB RECTANG SEPRAMESH,1784.88,1784.88,,,0
CDM,27800042,MESH HERN MD 1.3X1.55IN INGUINAL POLYPR MFIL REP PRESHAPED,722.64,722.64,,,0
CDM,27800042,MESH HERN MD W8.5XL13.7CM R POLYPR 3D MAX,646.8,646.8,,,0
CDM,27800042,MESH HERN REP LG 1.6X 1.90IN POLYPR PERFIX,729.36,729.36,,,0
CDM,27800042,MESH HERN SFT TISS 10CM X 15CM 3D WHT MFIL POLY SYMBOTEX,826.46,826.46,,,0
CDM,27800042,MESH HERN SM DIA4.3CM VENTRAL POLYPR EPTFE CIR SELF EXPND,1456.08,1456.08,,,0
CDM,27800042,MESH HERN VENTRAL REP MD DIA2 1/2IN CIR POLYPR VENTRALEX,1907.52,1907.52,,,0
CDM,27800042,MESH HERN W1.8XL4IN INGUINAL POLYPR PRESHAPED SPERMATIC CRD,171.84,171.84,,,0
CDM,27800042,MESH HERN W10XL15CM POLY POLYLACTIC ACID 70% CLLGN 30% GLYC,704.57,704.57,,,0
CDM,27800042,MESH HERN W16XL12CM LAP MFIL POLY TEREPHTHALATE MFIL,1069.66,1069.66,,,0
CDM,27800042,MESH HERN W30XL30CM POLYGLACTIN 910 WVN KNIT VCRL,2613.74,2613.74,,,0
CDM,27800042,MESH HERN W6XL8IN POLYPR BIORESORBABLE HYDRGEL SEPRAMESH,2419.68,2419.68,,,0
CDM,27800042,MESH HERN W7XL10CM SYN TISS REINF BIOABSRB DISP BIO-A,1303.2,1303.2,,,0
CDM,27800042,MESH HERN W8XL12IN RECT SEPRAMESH IP COMP,4122.72,4122.72,,,0
CDM,27800042,MESH SUR HERN REP 3X6IN RECTANG POLYPR PROL N ABSRB,220.82,220.82,,,0
CDM,27800042,MESH SUR HERN REP 3X6IN RECTANG SFT POLYPR PROL N ABSRB,745.32,745.32,,,0
CDM,27800042,MESH SUR HERN REP EXT ONLAY 5.5X12.8CM UNDERLAY PTCH DIA10CM,948.86,948.86,,,0
CDM,27800042,MESH SUR INGUINAL HERN 15CM X 15CM SQ POLY PARIETENE NABSRB,359.78,359.78,,,0
CDM,27800042,MESH SUR INGUINAL HERN L 2.4IN X 5.4IN PRESHAPED W/ KEYHOLE,211.92,211.92,,,0
CDM,27800042,MESH SUR INGUINAL HERN L 4IN X 6IN L 3D POLYPR MFIL 3DMAX,689.28,689.28,,,0
CDM,27800042,MESH SUR INGUINAL HERN REP SM 1X1.35IN PLUG 3D POLYPR MFIL,702.96,702.96,,,0
CDM,27800042,MESH SURGICAL COMPOSITE 15CM SYMBOTEX,1081.8,1081.8,,,0
CDM,27800042,PATCH HERN LG DIA3.2IN WHT POLYPR MFIL EPTFE MESH CIR,1938.0,1938.0,,,0
CDM,27800042,PLATE BNE CRAN SM GRID 51MM X 51MM THCK 0.3MM MESH PLLA-PGA,3900.0,3900.0,,,0
CDM,27800042,PLUG  PERFIX HERNIA MED,712.99,712.99,,,0
CDM,27800042,PLUG HERN XL 1.6X2IN WHT INGUINAL POLYPR MFIL MESH PERFIX,840.96,840.96,,,0
CDM,27800042,RESORB XG STERILEMESH SMALL GRID51 X 51 MM T=0.6 MMPLLA-PGAQ,3900.0,3900.0,,,0
CDM,27800043,112741 : VALVE GLCMA PLT W13.5XL17.1MM THK2.1MM TB L25.4MM MED GRD,3600.0,3600.0,,,0
CDM,27800043,418587 : TRABECULAR MICRO-BYPASS STENT SYSTEM 360 DIA. X 360 MM H TIT,5760.0,5760.0,,,0
CDM,27800043,TRABECULAR MICRO-BYPASS STENT SYSTEM 360 DIA. X 360 MM H TIT,5760.0,5760.0,,,0
CDM,27800043,VALVE GLCMA PLT W13.5XL17.1MM THK2.1MM TB L25.4MM MED GRD,3600.0,3600.0,,,0
CDM,27800045,408807 : PROGRAMMER DBS FOR PERCEPT PC NEUROSTIM,3594.89,3594.89,,,0
CDM,27800045,KIT PT REMOT 2500 OMNIA,2400.0,2400.0,,,0
CDM,27800046,117769 : PORT INFUS 6FR L45CM POLYUR CATH SLIM TI SL NONFILLED LP,1638.0,1638.0,,,0
CDM,27800046,12012 : PORT HICKMAN PLAST. 60266,1058.4,1058.4,,,0
CDM,27800046,15451 : PORT HICKMAN 9.6FR 60223,1025.64,1025.64,,,0
CDM,27800046,157589 : PORT MID SIZED 6.6FR ATTCH TRINIFLEX CATH DIGNITY,405.6,405.6,,,0
CDM,27800046,22465 : PORT INFUS CATH 6.6FR TI SL PEEL APART PERC INTRO SYS,1025.64,1025.64,,,0
CDM,27800046,421504 : PORT PWR INJ W- PRE ATTCH CATH AND MICROSTICK INTRO KT TI ST,540.0,540.0,,,0
CDM,27800046,479901 : 6.6F T-PORT HP PUR KT,1476.0,1476.0,,,0
CDM,27800046,534439 : PORT W- 6.6FR PRE ATTCH POLYUR CATH AND SIL FILL SUT H MID,420.0,420.0,,,0
CDM,27800046,534448 : PORT INFUS OD8FR MID SIZED ATTCH CATH DIGNITY TRINIFLEX,912.0,912.0,,,0
CDM,27800046,6.6F T-PORT HP PUR KT,1476.0,1476.0,,,0
CDM,27800046,64120 : PORT INFUS VORT LP 2 TI 11.4FR TAPR BAYNT LOK MECHANISM,1142.16,1142.16,,,0
CDM,27800046,8F PLASTIC PRO-FUSE CT PORT WATTACHABLE CHRONOFLEX POLYURETH,576.0,576.0,,,0
CDM,27800046,8FR PROFUSE  CT PORT,888.0,888.0,,,0
CDM,27800046,CATH HICKMAN PORT TIT 0606100,1106.28,1106.28,,,0
CDM,27800046,GENERATOR PLSE 13.97CUCM H1.52XL1.89IN THK0.9CM TWO 5N 8 CHN,44400.0,44400.0,,,0
CDM,27800046,PORT DEVICE WITH 6.6 FR. CATHETER,568.8,568.8,,,0
CDM,27800046,PORT HICKMAN 6.6FR 60229,1131.48,1131.48,,,0
CDM,27800046,PORT HICKMAN 9.6FR 60223,1025.64,1025.64,,,0
CDM,27800046,PORT INFUS 6FR L45CM POLYUR CATH SLIM TI SL NONFILLED LP,1638.0,1638.0,,,0
CDM,27800046,PORT INFUS CATH 6.6FR TI SL PEEL APART PERC INTRO SYS,1025.64,1025.64,,,0
CDM,27800046,PORT INFUS OD8FR MID SIZED ATTCH CATH DIGNITY TRINIFLEX,912.0,912.0,,,0
CDM,27800046,PORT INFUS SL LP TI 6.6FR PREATTACH SIL CATH INTMED KT OPN,1116.36,1116.36,,,0
CDM,27800046,PORT INFUS VORT LP 2 TI 11.4FR TAPR BAYNT LOK MECHANISM,1142.16,1142.16,,,0
CDM,27800046,PORT MID SIZED 6.6FR ATTCH TRINIFLEX CATH DIGNITY,405.6,405.6,,,0
CDM,27800046,PORT W/ 6.6FR PRE ATTCH POLYUR CATH AND SIL FILL SUT H MID,420.0,420.0,,,0
CDM,27800047,137306 : IMPLANT BRST 350CC 11.7CM 4.8CM PROJCT HI PROF SMTH COHESIVE,1860.0,1860.0,,,0
CDM,27800047,369831 : IMPLANT BRST 385CC DIA13.9CM P3.3CM SIL GEL SMTH RND MOD,1860.0,1860.0,,,0
CDM,27800047,383501 : IMPLANT BRST 595CC DIA16.1CM P3.8CM SIL COHESIVE GEL SMTH,1860.0,1860.0,,,0
CDM,27800047,383545 : IMPLANT BRST 790CC DIA14.8CM P6.7CM SIL GEL SMTH RND HI PROF,2280.0,2280.0,,,0
CDM,27800047,412486 : EXPANDER BRST TISS 275CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
CDM,27800047,412487 : EXPANDER BRST TISS 350CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
CDM,27800047,412488 : EXPANDER BRST TISS 450CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
CDM,27800047,412489 : EXPANDER BRST TISS 550CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
CDM,27800047,412490 : EXPANDER BRST TISS 650CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
CDM,27800047,418550 : IMPLANT BREAST 700CC ROUND SMOOTH MHP MEMORYGEL XTRA,2280.0,2280.0,,,0
CDM,27800047,418971 : IMPLANT BRST 290CC 11.4CM 3.9CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
CDM,27800047,430766 : IMPLANT BRST 210CC 10.3CM 3.5CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
CDM,27800047,430774 : IMPLANT BRST 530CC 13.9CM 4.7CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
CDM,27800047,430775 : IMPLANT BRST 545CC 14.1CM 4.8CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
CDM,27800047,546696 : EXPANDER TISS GEN USE SMTH RECT 450CC 8CM X 18CM X 7CM REMOT,2664.0,2664.0,,,0
CDM,27800047,EXPANDER BRST TISS 275CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
CDM,27800047,FLORA TISS EXP SMOOTHSILKMOTIVA FLORA SMOOTHSILK TISS EXP,4320.0,4320.0,,,0
CDM,27800047,IMPLANT BREAST 210CC ROUND SMOOTH MHP MEMORYGEL XTRA,2280.0,2280.0,,,0
CDM,27800047,IMPLANT BRST 125CC P2.8CM DIA8.9CM GEL FILL MOD + PROF SMTH,1860.0,1860.0,,,0
CDM,27800047,IMPLANT BRST 265CC 11.2CM 3.6CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
CDM,27800047,IMPLANT BRST 270CC DIA11.4CM P3.8CM SIL GEL RND MOD + PROF,2280.0,2280.0,,,0
CDM,27800047,IMPLANT BRST 300CC 11.1CM 4.5CM PROJCT RND HI PROF SMTH,1860.0,1860.0,,,0
CDM,27800047,IMPLANT BRST 370CC DIA12.6CM P4.1CM SIL GEL RND MOD + PROF,2280.0,2280.0,,,0
CDM,27800047,IMPLANT BRST 390CC 12.7CM 4.1CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
CDM,27800047,IMPLANT BRST 415CC DIA11.5CM P5.8CM SIL COHESIVE GEL SMTH,2280.0,2280.0,,,0
CDM,27800047,IMPLANT BRST 425CC DIA13.5CM P4.1CM SIL GEL SMTH RND HI PROF,1860.0,1860.0,,,0
CDM,27800047,IMPLANT BRST 450CC 13.2CM 4.5CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
CDM,27800047,IMPLANT BRST 465CC DIA13.3CM P4.7CM SIL GEL RND MOD + PROF,2280.0,2280.0,,,0
CDM,27800047,IMPLANT BRST 480CC 13.4CM 4.6CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
CDM,27800047,IMPLANT BRST 490CC 12.5CM 5.8CM PROJCT RND HI PROF SMTH SIL,2280.0,2280.0,,,0
CDM,27800047,IMPLANT BRST 520CC 12.3CM 6CM PROJCT HI PROF SMTH SIL GEL,2520.0,2520.0,,,0
CDM,27800047,IMPLANT BRST 525CC DIA14.3CM P4.4CM COHESIVE I SIL GEL SMTH,1860.0,1860.0,,,0
CDM,27800047,IMPLANT BRST 545CC DIA14CM P4.9CM SIL GEL RND MOD + PROF,2280.0,2280.0,,,0
CDM,27800047,IMPLANT BRST 585CC 12.8CM 6.3CM PROJCT HI PROF SMTH SIL GEL,2520.0,2520.0,,,0
CDM,27800047,IMPLANT BRST 650CC DIA15.4CM P4.7CM SIL GEL SMTH RND MOD +,1860.0,1860.0,,,0
CDM,27800047,IMPLANT BRST 700CC DIA14.1CM P6.5CM SIL GEL SMTH RND HI PROF,2280.0,2280.0,,,0
CDM,27800047,IMPLANT BRST 740CC 14.1CM 6.6CM PROJCT HI PROF SMTH SIL GEL,2520.0,2520.0,,,0
CDM,27800047,IMPLANT BRST 790CC DIA14.8CM P6.7CM SIL GEL SMTH RND HI PROF,2280.0,2280.0,,,0
CDM,27800047,IMPLANT BRST 800ML 14.1CM 6.7CM PROJCT SIL GEL FILL SMTH RND,1860.0,1860.0,,,0
CDM,27800047,MEMORYGEL SMOOTH ROUND ULTRA H,1860.0,1860.0,,,0
CDM,27800047,SMOOTH MOD HI PROF BST 470CC,2520.0,2520.0,,,0
CDM,27800048,139172 : RESERVOIR PENILE PROS 125CC CLVRLF W- LOK OUT VLV TI,6993.6,6993.6,,,0
CDM,27800048,139172 : TITAN CLOVERLEAF RESERVOIR WITH LOCK-OUT VALVE 125CC,6333.6,6333.6,,,0
CDM,27800048,139173 : CYLINDER SCORTAL ZERO DEGREE ANGLE,31836.0,31836.0,,,0
CDM,27800048,139173 : TITAN TOUCH SCROTAL ZERO ANGLE 22CM,28836.0,28836.0,,,0
CDM,27800048,140580 : PROSTHESIS PENILE 20CM 0 DEG PS INFL SLF CONTAINED CYL FLD,20678.4,20678.4,,,0
CDM,27800048,140605 : TITAN TOUCH SCROTAL ZERO ANGLE 18CM,28836.0,28836.0,,,0
CDM,27800048,534567 : KIT PENILE PROS ASSEMB HYDRPHLC INFL 2 PMP DSGN SFT MOLD TIP,2155.2,2155.2,,,0
CDM,27800048,534567 : TITAN ASSEMBLY KIT,1884.0,1884.0,,,0
CDM,27800048,546892 : SET PENILE PROS TI PS CYL W/ TCH PMP,28836.0,28836.0,,,0
CDM,27800048,CX PRECONNECT MS 24CM PS 14CM TL IZ,25668.24,25668.24,,,0
CDM,27800048,CYLINDER SCORTAL ZERO DEGREE ANGLE,31836.0,31836.0,,,0
CDM,27800048,PROSTHESIS PENILE 100ML PC INHIBZN RESVR MS SER AMS 700,6556.37,6556.37,,,0
CDM,27800048,PROSTHESIS PENILE 20CM 0 DEG PS INFL SLF CONTAINED CYL FLD,20678.4,20678.4,,,0
CDM,27800048,PROSTHESIS PENILE L18CM 0DEG PS BIOFLX HYDRPHLC 3 PC INFL,29752.8,29752.8,,,0
CDM,27800048,PROSTHESIS PENILE L21CM DIA12MM PS INHIBZN 2 CTRL EXP CYL 1,25668.24,25668.24,,,0
CDM,27800048,PROSTHESIS PENILE L23CM DIA9.5MM HYDRPHLC MAL TAIL CAP TRIM,27698.4,27698.4,,,0
CDM,27800049,19148 : VISCOELASTIC AGNT 8.5ML PURIFY POLYDIMETHYLSILOXANE OPHTH VI,1008.82,1008.82,,,0
CDM,27800049,VISCOELASTIC AGNT 8.5ML PURIFY POLYDIMETHYLSILOXANE OPHTH VI,1008.82,1008.82,,,0
CDM,27800050,109231 : PUMP URIN CTRL SYS W- INHIBZN ANTIBIO SURF TREAT IZ AMS 800,18264.0,18264.0,,,0
CDM,27800050,109232 : CUFF PENILE ARTFCL URIN SPHIN AMS 800,18960.0,18960.0,,,0
CDM,27800050,62577 : REGULATOR PRSS 61-70CM H2O BLLN AMS 800 ARTFCL URIN SPHIN,8688.0,8688.0,,,0
CDM,27800050,CUFF OCCL 5CM W/ INHIBZN FOR AMS 800 URIN CTRL SYS,16685.76,16685.76,,,0
CDM,27800050,CUFF PENILE ARTFCL URIN SPHIN AMS 800,18960.0,18960.0,,,0
CDM,27800050,CUFF URETH W/ INHIBZN AMS 800 ARTFCL URIN SPHIN,16685.76,16685.76,,,0
CDM,27800050,PUMP URIN CTRL SYS W/ INHIBZN ANTIBIO SURF TREAT IZ AMS 800,18264.0,18264.0,,,0
CDM,27800050,REGULATOR PRSS 61-70CM H2O BLLN AMS 800 ARTFCL URIN SPHIN,8688.0,8688.0,,,0
CDM,27800053,"""LIFESTREAM BALLOON EXPANDABLE VASCULAR COVERED STENT - 10 M",5520.0,5520.0,,,0
CDM,27800053,103055 : VIABAHN STENT 8 X 5 X 120,7903.2,7903.2,,,0
CDM,27800053,103056 : VIABAHN STENT 8 X 10 X 120,8736.0,8736.0,,,0
CDM,27800053,103096 : ATRIUM ICAST COVERED STENT 8 X 59 X 120,6193.8,6193.8,,,0
CDM,27800053,105115 : STENT TRACHBRONCH L22CM DIA7CM CATH L80CM PTFE SELF EXPND,5613.48,5613.48,,,0
CDM,27800053,108175 : GRAFT EVAR TIP 8-10MM LN 7CM UNLINED 2CM HEMSTAT INTRO SHTH,12828.0,12828.0,,,0
CDM,27800053,112707 : GRAFT EVAR L82MM DIA28MM SHTH OD7.7MM ID6.7MM HYDRPHLC BIFUR,25459.2,25459.2,,,0
CDM,27800053,112708 : ZENITH GRAFT TFFB-28-96-ZT,25459.2,25459.2,,,0
CDM,27800053,112767 : STENT BILI L60MM DIA10MM CATH 8.5FR WRK L194CM 0.035IN,7979.28,7979.28,,,0
CDM,27800053,114511 : STENT BILI L60MM DIA10MM CVR L48MM CATH L194CM 8.5FR 0.035IN,7632.36,7632.36,,,0
CDM,27800053,115207 : STENT ES L10CM DIA18MM CATH 18.5FR L120CM MTL PERMALUME FULL,7696.18,7696.18,,,0
CDM,27800053,115208 : STENT ES L12.3CM DIA18MM CATH 18.5FR L78CM FLARE DIA25X23MM,7696.18,7696.18,,,0
CDM,27800053,115210 : STENT ES L10.5CM DIA23MM CATH 18.5FR L78CM FLARE DIA28X28MM,7696.18,7696.18,,,0
CDM,27800053,115211 : STENT ES L12.5CM DIA23MM CATH 18.5FR L78CM FLARE DIA28X28MM,7696.18,7696.18,,,0
CDM,27800053,115212 : STENT ES L15CM DIA23MM FLARE DIA28X28MM CATH DIA6.17MM SYS,7696.18,7696.18,,,0
CDM,27800053,123276 : GRAFT EVAR 5MM X 5CM CATH 6FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
CDM,27800053,123277 : GRAFT EVAR 5MM X 10CM CATH 6FR X 120CM GWIRE 0.035IN,9000.0,9000.0,,,0
CDM,27800053,123279 : STENT VIABAHN 6.0MM X 2.5CM .018,7984.8,7984.8,,,0
CDM,27800053,123280 : GRAFT EVAR 6MM X 5CM CATH 6FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
CDM,27800053,123281 : GRAFT EVAR 6MM X 10CM CATH 6FR X 120CM GWIRE 0.035IN,9000.0,9000.0,,,0
CDM,27800053,123282 : STENT VIABAHN 6.0MM X 15.0CM .018,10084.8,10084.8,,,0
CDM,27800053,123284 : GRAFT EVAR 7MM X 5CM CATH 7FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
CDM,27800053,125645 : ZENITH FLEX WITH SPIRAL-Z TECHNOLOGY AAA ENDOVASCULAR GRAFT,10627.2,10627.2,,,0
CDM,27800053,125647 : ZENITH FLEX WITH SPIRAL-Z TECHNOLOGY AAA ENDOVASCULAR GRAFT,10627.2,10627.2,,,0
CDM,27800053,125651 : GRAFT EVAR AAA IL LEG 20MM X 74MM INTRO SHTH OD5.4MM ID4.7MM,10627.2,10627.2,,,0
CDM,27800053,125656 : GRAFT EVAR AAA IL LEG 24MM X 90MM INTRO SHTH OD5.4MM ID4.7MM,10627.2,10627.2,,,0
CDM,27800053,127304 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 6.0 MM X 8,1680.0,1680.0,,,0
CDM,27800053,138810 : STENT ENDOPROS L25CM DIA5MM CATH 6FR L120CM 0.018-0.014IN,16620.0,16620.0,,,0
CDM,27800053,138811 : STENT VIABAHN 6X25X120,16214.4,16214.4,,,0
CDM,27800053,156358 : STENT RONYX4526UX RESOLUTE ONYX 4.5X26,960.0,960.0,,,0
CDM,27800053,156394 : STENT RONYX312W RESOLUTE ONYX 3.X12,960.0,960.0,,,0
CDM,27800053,2.25MM X 15MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
CDM,27800053,2.25MM X 23MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
CDM,27800053,2.50MM X 38MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
CDM,27800053,2.75MM X 18MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
CDM,27800053,3.00MM X 33MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
CDM,27800053,360178 : LIFESTREAM BALLOON EXPANDABLE VASCULAR COVERED STENT - 7 MM,5520.0,5520.0,,,0
CDM,27800053,360183 : LIFESTREAM BALLOON EXPANDABLE VASCULAR COVERED STENT - 8 MM,5520.0,5520.0,,,0
CDM,27800053,360185 : STENT PERIPH L58MM DIA9MM CATH L80CM 0.035IN VASC SS EPTFE,5520.0,5520.0,,,0
CDM,27800053,360195 : LIFESTREAM BALLOON EXPANDABLE VASCULAR COVERED STENT - 7 MM,5040.0,5040.0,,,0
CDM,27800053,360937 : VIABAHNBX 5MMX59MMX135CM CATH,8080.8,8080.8,,,0
CDM,27800053,360939 : VIABAHNBX 5MMX79MMX135CM CATH,8548.8,8548.8,,,0
CDM,27800053,360949 : VIABAHNBX 6MMX59MMX135CM CATH,7766.4,7766.4,,,0
CDM,27800053,360959 : GRAFT ENDOPROS STNT AORTOILIAC L39MM DIA7MM VIABAHN VBX SS,8080.8,8080.8,,,0
CDM,27800053,360961 : GRAFT ENDOPROS STNT AORTOILIAC L59MM DIA7MM VIABAHN VBX SS,8080.8,8080.8,,,0
CDM,27800053,360963 : GRAFT ENDOPROS STNT AORTOILIAC L79MM DIA7MM VIABAHN VBX SS,8889.6,8889.6,,,0
CDM,27800053,360967 : GRAFT EVAR STNT L39MM DIA8-11MM CATH L135CM INTRO SHTH 7FR,8080.8,8080.8,,,0
CDM,27800053,360969 : GRAFT EVAR STNT L59MM DIA8-11MM CATH L135CM INTRO SHTH 7FR,8080.8,8080.8,,,0
CDM,27800053,360971 : VIABAHNBX 8MMX79MMX135CM CATH,8548.8,8548.8,,,0
CDM,27800053,360975 : VIABAHNBX 9MMX39MMX135CM CATH,8080.8,8080.8,,,0
CDM,27800053,360977 : VIABAHNBX 9MMX59MMX135CM CATH,8080.8,8080.8,,,0
CDM,27800053,360979 : VIABAHNBX 9MMX79MMX135CM CATH,8548.8,8548.8,,,0
CDM,27800053,360991 : GRAFT EVAR STNT 11-16MM X 39MM CATH 135CM INTRO SHTH 8FR,8080.8,8080.8,,,0
CDM,27800053,360995 : VIABAHNBX 11MMX79MMX135CM CATH,8548.8,8548.8,,,0
CDM,27800053,360997 : VIABAHNBX 8MMX29MMX135CM CATH,7766.4,7766.4,,,0
CDM,27800053,360999 : VIABAHNBX 8MMX39MMX135CM CATH,7766.4,7766.4,,,0
CDM,27800053,361001 : VIABAHNBX 8MMX59MMX135CM CATH,7766.4,7766.4,,,0
CDM,27800053,368175 : AXIOS ELECTROCAUTERYENHANCED 15MMX10MM,15456.0,15456.0,,,0
CDM,27800053,390824 : STENT GRFT FEN 34X107,31144.8,31144.8,,,0
CDM,27800053,390830 : GRAFT EVAR STNT AAA IPSILATERAL LEG DIA12MM DST LEG L28MM,10684.8,10684.8,,,0
CDM,27800053,4.00MM X 18MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
CDM,27800053,407488 : STENT VASC L120MM DIA7MM CATH L130CM SHTH 6FR DRG ELUT,6720.0,6720.0,,,0
CDM,27800053,407577 : STENT GI FLNG DIA29MM LUMN DIA20MM SADL L10MM CATH 10.8FR,17001.6,17001.6,,,0
CDM,27800053,410927 : GRAFT EVAR 9MM X 5CM CATH 8FR X 120CM GWIRE 0.035IN,7903.2,7903.2,,,0
CDM,27800053,410929 : GRAFT EVAR 9MM X 10CM CATH 8FR X 120CM GWIRE 0.035IN,8736.0,8736.0,,,0
CDM,27800053,411989 : 2.50MM X 38MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,960.0,960.0,,,0
CDM,27800053,412013 : 3.25MM X 38MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,960.0,960.0,,,0
CDM,27800053,412021 : STENT COR DRG ELUT XIENCE SKYPOINT DIA3.5MM L38MM EVEROLIMUS,960.0,960.0,,,0
CDM,27800053,412500 : STENT COR DRG ELUT SYNERGY XD DIA3MM L48MM EVEROLIMUS COAT,2160.0,2160.0,,,0
CDM,27800053,412501 : STENT COR DRG ELUT SYNERGY XD DIA3.5MM L48MM EVEROLIMUS COAT,2160.0,2160.0,,,0
CDM,27800053,412502 : STENT COR DRG ELUT SYNERGY XD DIA4MM L48MM EVEROLIMUS COAT,2880.0,2880.0,,,0
CDM,27800053,414870 : STENT COR DRG ELUT ONYX FRONTIER 2MM X 8MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414872 : STENT COR DRG ELUT ONYX FRONTIER 2MM X 15MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414875 : STENT COR DRG ELUT ONYX FRONTIER 2MM X 26MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414878 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 12MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414879 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 15MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414880 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 18MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414881 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 22MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414882 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 26MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414885 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 38MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414886 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 8MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414887 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 12MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414888 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 15MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414889 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 18MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414890 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 22MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414891 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 26MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414892 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 30MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414893 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 34MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414894 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 38MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414895 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 8MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414897 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 15MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414898 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 18MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414899 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 22MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414900 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 26MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414901 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 30MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414902 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 34MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414903 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 38MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414904 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 8MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414905 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 12MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414906 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 15MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414907 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 18MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414908 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 22MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414909 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 26MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414910 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 30MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414911 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 34MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414912 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 38MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414913 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 8MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414914 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 12MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414915 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 15MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414916 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 18MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414917 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 22MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414918 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 26MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414919 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 30MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414920 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 34MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414921 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 38MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414922 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 8MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414923 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 12MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414924 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 15MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414925 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 18MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414926 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 22MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414927 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 26MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414928 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 30MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414929 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 34MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414930 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 38MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414931 : STENT COR DRG ELUT ONYX FRONTIER 4.5MM X 12MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414932 : STENT COR DRG ELUT ONYX FRONTIER 4.5MM X 15MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414933 : STENT COR DRG ELUT ONYX FRONTIER 4.5MM X 18MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414934 : STENT COR DRG ELUT ONYX FRONTIER 4.5MM X 22MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,414937 : STENT COR DRG ELUT ONYX FRONTIER 5MM X 12MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,414942 : STENT COR DRG ELUT ONYX FRONTIER 5MM X 30MM ZOTAROLIMUS COAT,960.0,960.0,,,0
CDM,27800053,420086 : GRAFT EVAR STNT L12CM DIA23X14.5MM RECOMMENDED INTRO SHTH,30290.4,30290.4,,,0
CDM,27800053,420089 : GRAFT ENDOPROS STNT AAA PROX L12CM DIA28.5MM LEG 14.5MM,30290.4,30290.4,,,0
CDM,27800053,420090 : GRAFT ENDOPROS STNT AAA PROX L14CM DIA32MM LEG 14.5MM,30290.4,30290.4,,,0
CDM,27800053,471828 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 3.5MM X,1020.0,1020.0,,,0
CDM,27800053,471851 : STENT COR SIROLIMUS DRG ELUT MT SYS 3MM X 26MM,1020.0,1020.0,,,0
CDM,27800053,471861 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 2.75MM,1020.0,1020.0,,,0
CDM,27800053,471863 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 3.5MM X,1020.0,1020.0,,,0
CDM,27800053,471864 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 4MM X 3,1020.0,1020.0,,,0
CDM,27800053,471865 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 2.5MM X,1020.0,1020.0,,,0
CDM,27800053,471866 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 2.75MM,1020.0,1020.0,,,0
CDM,27800053,541615 : GRAFT ENDOVASCULAR AAA COVERED ILIAC BRANCH 12MM X 45MM X 41 541615,31199.98,31199.98,,,0
CDM,27800053,546460 : STENT GI L15MM DIA15MM ELECTROCAUTERY ENH DEL SYS AXIOS 546460,17001.6,17001.6,,,0
CDM,27800053,ATRIUM ICAST STENT 6MMX22MMX80CM,5613.48,5613.48,,,0
CDM,27800053,AXIOS ELECTROCAUTERYENHANCED 10MMX10MM,15456.0,15456.0,,,0
CDM,27800053,ENDOMAXX OTW FULLY COVERED ESOPHAGEAL STENT 19MM X 100MM,6720.0,6720.0,,,0
CDM,27800053,GRAFT ENDOPROS L15CM DIA9MM CATH L120CM SHTH 8FR GWIRE,9888.0,9888.0,,,0
CDM,27800053,GRAFT ENDOPROS STNT AAA PROX L12CM DIA28.5MM LEG 14.5MM,30290.4,30290.4,,,0
CDM,27800053,GRAFT ENDOPROS STNT AAA PROX L14CM DIA32MM LEG 14.5MM,30290.4,30290.4,,,0
CDM,27800053,GRAFT ENDOPROS STNT AORTOILIAC L29MM DIA7MM VIABAHN VBX SS,8080.8,8080.8,,,0
CDM,27800053,GRAFT ENDOPROS STNT AORTOILIAC L79MM DIA7MM VIABAHN VBX SS,8889.6,8889.6,,,0
CDM,27800053,GRAFT ENDOVASCULAR AAA COVERED ILIAC BRANCH 12MM X 45MM X 41MM ZENITH,31199.98,31199.98,,,0
CDM,27800053,GRAFT EVAR 5MM X 5CM CATH 6FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
CDM,27800053,GRAFT EVAR 6MM X 10CM CATH 6FR X 120CM GWIRE 0.035IN,9000.0,9000.0,,,0
CDM,27800053,GRAFT EVAR 6MM X 5CM CATH 6FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
CDM,27800053,GRAFT EVAR 7MM X 10CM CATH 7FR X 120CM GWIRE 0.035IN,9000.0,9000.0,,,0
CDM,27800053,GRAFT EVAR 7MM X 5CM CATH 7FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
CDM,27800053,GRAFT EVAR 9MM X 10CM CATH 8FR X 120CM GWIRE 0.035IN,8736.0,8736.0,,,0
CDM,27800053,GRAFT EVAR 9MM X 5CM CATH 8FR X 120CM GWIRE 0.035IN,7903.2,7903.2,,,0
CDM,27800053,GRAFT EVAR AAA IL LEG 13MM X 56MM INTRO SHTH OD5.4MM ID4.7MM,9586.42,9586.42,,,0
CDM,27800053,GRAFT EVAR L150MM DIA5MM CATH L120CM DIA6FR 0.035IN HEP,10084.8,10084.8,,,0
CDM,27800053,GRAFT EVAR L6CM DIA8-10MM INTRO 10FR BLLN DIA10MM GWIRE,12828.0,12828.0,,,0
CDM,27800053,GRAFT EVAR STNT 11-16MM X 39MM CATH 135CM INTRO SHTH 8FR,8080.8,8080.8,,,0
CDM,27800053,GRAFT EVAR STNT AAA IL LEG DIA16XL56MM ZENITH SPRL Z WVN,9586.42,9586.42,,,0
CDM,27800053,GRAFT EVAR STNT AAA IPSILATERAL LEG DIA12MM DST LEG L28MM,10684.8,10684.8,,,0
CDM,27800053,GRAFT EVAR STNT L12CM DIA20X14.5MM RECOMMENDED INTRO SHTH,30290.4,30290.4,,,0
CDM,27800053,GRAFT EVAR STNT L14CM DIA36X14.5MM RECOMMENDED INTRO SHTH,29844.0,29844.0,,,0
CDM,27800053,GRAFT EVAR STNT L39MM DIA8-11MM CATH L135CM INTRO SHTH 7FR,8080.8,8080.8,,,0
CDM,27800053,GRAFT EVAR STNT THOR PROX DIA36/32MM L161MM TAPR VES,38400.0,38400.0,,,0
CDM,27800053,GRAFT EVAR TIP 8-10MM LN 7CM UNLINED 2CM HEMSTAT INTRO SHTH,12828.0,12828.0,,,0
CDM,27800053,ICAST STEN 5 X 22 X 120,5613.48,5613.48,,,0
CDM,27800053,STENT BILI L40MM DIA10MM CATH 8.5FR WRK L194CM 0.035IN,7979.28,7979.28,,,0
CDM,27800053,STENT BILI L60MM DIA10MM CATH L75CM SHTH 9FR TRNSHEP,8400.0,8400.0,,,0
CDM,27800053,STENT BILI L60MM DIA10MM CVR L48MM CATH L194CM 8.5FR 0.035IN,7632.36,7632.36,,,0
CDM,27800053,STENT COR 5FR CVR PK PAPYRUS DIA3MM L15MM ELECTROSPUN POLYUR,8712.0,8712.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 12MM ZOTAROLIMUS,960.0,960.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 22MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 38MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 15MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 22MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 26MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 38MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 15MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 18MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 22MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 38MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 3MM X 12MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 3MM X 30MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 3MM X 34MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 3MM X 38MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 4.5MM X 26MM ZOTAROLIMUS,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 4MM X 12MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 4MM X 15MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 4MM X 18MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 4MM X 22MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT ONYX FRONTIER 4MM X 26MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
CDM,27800053,STENT COR DRG ELUT SYNERGY XD DIA2.75MM L48MM EVEROLIMUS,4200.0,4200.0,,,0
CDM,27800053,STENT COR DRG ELUT SYNERGY XD DIA3.5MM L12MM EVEROLIMUS COAT,3720.0,3720.0,,,0
CDM,27800053,STENT COR DRG ELUT SYNERGY XD DIA3.5MM L48MM EVEROLIMUS COAT,4200.0,4200.0,,,0
CDM,27800053,STENT COR DRG ELUT SYNERGY XD DIA3MM L12MM EVEROLIMUS COAT,3720.0,3720.0,,,0
CDM,27800053,STENT COR DRG ELUT SYNERGY XD DIA3MM L48MM EVEROLIMUS COAT,4200.0,4200.0,,,0
CDM,27800053,STENT COR DRG ELUT SYNERGY XD DIA4.5MM L32MM EVEROLIMUS COAT,3720.0,3720.0,,,0
CDM,27800053,STENT COR DRG ELUT SYNERGY XD DIA4MM L48MM EVEROLIMUS COAT,4200.0,4200.0,,,0
CDM,27800053,STENT COR DRG ELUT XIENCE SKYPOINT DIA2.25MM L8MM EVEROLIMUS,1320.0,1320.0,,,0
CDM,27800053,STENT COR DRG ELUT XIENCE SKYPOINT DIA3.25MM L28MM,960.0,960.0,,,0
CDM,27800053,STENT COR DRG ELUT XIENCE SKYPOINT DIA3.5MM L15MM EVEROLIMUS,1320.0,1320.0,,,0
CDM,27800053,STENT COR L16MM DIA2.5MM PLAT CHROM EVEROLIMUS ELUT BIOABSRB,3720.0,3720.0,,,0
CDM,27800053,STENT COR L48MM DIA2.5MM PLAT CHROM EVEROLIMUS ELUT BIOABSRB,4200.0,4200.0,,,0
CDM,27800053,STENT COR SIROLIMUS DRG ELUT MT SYS 2.25MM X 18MM,1020.0,1020.0,,,0
CDM,27800053,STENT COR ZOTAROLIMUS DRG ELUT SYS RX 2 25MM X 12MM RESOLUTE,960.0,960.0,,,0
CDM,27800053,STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 2.5MM X,1020.0,1020.0,,,0
CDM,27800053,STENT ENDOPROS L2.5CM DIA7MM CATH 7FR L120CM 0.018/0.014IN,8184.0,8184.0,,,0
CDM,27800053,STENT ENDOPROS L25CM DIA5MM CATH 6FR L120CM 0.018/0.014IN,16620.0,16620.0,,,0
CDM,27800053,STENT ES L10.5CM DIA23MM CATH 18.5FR L78CM FLARE DIA28X28MM,7696.18,7696.18,,,0
CDM,27800053,STENT ES L12.5CM DIA23MM CATH 18.5FR L78CM FLARE DIA28X28MM,7696.18,7696.18,,,0
CDM,27800053,STENT ES L15.3CM DIA18MM CATH 18.5FR WRK L78CM 0.035IN GWIRE,7696.18,7696.18,,,0
CDM,27800053,STENT GI FLNG DIA29MM LUMN DIA20MM SADL L10MM CATH 10.8FR,17001.6,17001.6,,,0
CDM,27800053,STENT I CAST COVERED 9X59X80,6193.8,6193.8,,,0
CDM,27800053,STENT ONYXNG20012UX ONYX 2.00X12RX,960.0,960.0,,,0
CDM,27800053,STENT PERIPH L100MM DIA5.5MM CATH 6FR L120CM NIT OTW SELF,4560.0,4560.0,,,0
CDM,27800053,STENT PERIPH L25MM DIA5MM CATH L120CM DIA6FR 0.035IN HEP,8184.0,8184.0,,,0
CDM,27800053,STENT PERIPH L37MM DIA8MM CATH L80CM 0.035IN VASC SS EPTFE,5520.0,5520.0,,,0
CDM,27800053,STENT PERIPH L58MM DIA9MM CATH L80CM 0.035IN VASC SS EPTFE,5520.0,5520.0,,,0
CDM,27800053,STENT TRACHBRONCH 22 CM X 7 CM CATH 120 CM PTFE BLLN EXP CVR,7207.44,7207.44,,,0
CDM,27800053,STENT TRACHBRONCH 59 MM X 8 MM CATH 80 CM PTFE BLLN EXP CVR,6193.8,6193.8,,,0
CDM,27800053,STENT TRACHBRONCH L22CM DIA6CM CATH L120CM PTFE SELF EXPND,7207.44,7207.44,,,0
CDM,27800053,STENT TRACHBRONCH L22CM DIA7CM CATH L80CM PTFE SELF EXPND,5613.48,5613.48,,,0
CDM,27800053,STENT VIABAHN 6.0MM X 15.0CM .018,10084.8,10084.8,,,0
CDM,27800053,STENT VIABAHN 6.0MM X 2.5CM .018,7984.8,7984.8,,,0
CDM,27800053,STENT VIABAHN 6X25X120,16214.4,16214.4,,,0
CDM,27800053,STENT VIABAHN 8.0MM X 2.5CM  .018,7984.8,7984.8,,,0
CDM,27800053,SYNERGY XD STENT MR US 2.25X32MM,3720.0,3720.0,,,0
CDM,27800053,VIABAHN STENT 8 X 10 X 120,8736.0,8736.0,,,0
CDM,27800053,VIABAHN STENT 8 X 5 X 120,7903.2,7903.2,,,0
CDM,27800053,VIABAHNBX 11MMX79MMX135CM CATH,8548.8,8548.8,,,0
CDM,27800053,VIABAHNBX 8MMX29MMX135CM CATH,7766.4,7766.4,,,0
CDM,27800053,VIABAHNBX 8MMX79MMX135CM CATH,8548.8,8548.8,,,0
CDM,27800053,VIABAHNBX 9MMX29MMX135CM CATH,8080.8,8080.8,,,0
CDM,27800053,VIABAHNBX 9MMX39MMX135CM CATH,8889.6,8889.6,,,0
CDM,27800053,VIABAHNBX 9MMX79MMX135CM CATH,8548.8,8548.8,,,0
CDM,27800053,ZENITH ALPHA THORACIC ENDOVASCULAR GRAFT PROXIMAL TAPERED ZT,41868.26,41868.26,,,0
CDM,27800053,ZENITH FENESTRATED AAA ENDOVASCULAR GRAFT DISTAL BIFURCATED,9727.32,9727.32,,,0
CDM,27800053,ZENITH FENESTRATED AAA ENDOVASCULAR GRAFT PROXIMAL BODY ZFEN,31144.8,31144.8,,,0
CDM,27800053,ZENITH FLEX WITH SPIRAL-Z TECHNOLOGY AAA ENDOVASCULAR GRAFT,10627.2,10627.2,,,0
CDM,27800053,ZENITH GRAFT TFFB-26-96-ZT,23530.97,23530.97,,,0
CDM,27800055,103033 : EXPRESS LD OTW 7 MM X 15 MM X 150 CM,2940.0,2940.0,,,0
CDM,27800055,103034 : EXPRESS LD OTW 7 MM X 19 MM X 150 CM,2940.0,2940.0,,,0
CDM,27800055,105215 : STENT CAR PRECIS PRO RX L40MM DIA8MM CATH 7FR L135CM NIT RX,3480.0,3480.0,,,0
CDM,27800055,105218 : STENT CAR PRECIS PRO RX L30MM DIA9MM CATH 7FR L135CM NIT RX,3480.0,3480.0,,,0
CDM,27800055,112762 : STENT BILI L60MM DIA8MM CATH L194CM 8FR 0.035IN MTL,5666.45,5666.45,,,0
CDM,27800055,112763 : STENT BILI L80MM DIA8MM CATH 8FR L194CM  0.035IN MTL,5666.45,5666.45,,,0
CDM,27800055,112765 : STENT BILI L60MM DIA10MM CATH 8FR 0.035IN GWIRE MTL,5666.45,5666.45,,,0
CDM,27800055,121627 : STENT BILI 10FR BARB TO BARB L7CM 4.2MM CMPTBL SCP WRK CHN,608.26,608.26,,,0
CDM,27800055,121628 : STENT BILI 10FR BARB TO BARB L9CM 4.2MM CMPTBL SCP WRK CHN,608.26,608.26,,,0
CDM,27800055,121629 : STENT BILI 10FR X 12CM DUODENAL BEND W- NAVIFLEX RX DEL SYS,608.26,608.26,,,0
CDM,27800055,121630 : STENT BILI 10FR X 15CM DUODENAL BEND W- NAVIFLEX RX DEL SYS,608.26,608.26,,,0
CDM,27800055,122650 : STENT BILI 10FR BARB TO BARB L5CM 4.2MM CMPTBL SCP WRK CHN,608.26,608.26,,,0
CDM,27800055,125448 : STENT RX BILIARY DB PRELOAD 7FR X 7CM,608.26,608.26,,,0
CDM,27800055,126178 : STENT PERIPH L200MM DIA6MM CATH 6FR L135CM GWIRE 0.035IN NIT,4320.0,4320.0,,,0
CDM,27800055,127287 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 8.0 MM X 8,1680.0,1680.0,,,0
CDM,27800055,127302 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 6.0 MM X 6,1680.0,1680.0,,,0
CDM,27800055,127305 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 7.0 MM X 1,1680.0,1680.0,,,0
CDM,27800055,127326 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 8.0 MM X 6,1680.0,1680.0,,,0
CDM,27800055,127328 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 8.0 MM X 8,1680.0,1680.0,,,0
CDM,27800055,127332 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 9.0 MM X 2,1680.0,1680.0,,,0
CDM,27800055,129057 : OMNILINK ELITE VASCULAR BALLOON-EXPANDABLE STENT SYSTEM 6.0,1740.0,1740.0,,,0
CDM,27800055,129061 : OMNILINK ELITE VASCULAR BALLOON-EXPANDABLE STENT SYSTEM 7.0,1740.0,1740.0,,,0
CDM,27800055,138298 : OMNILINK ELITE VASCULAR BALLOON-EXPANDABLE STENT SYSTEM 6.0,1740.0,1740.0,,,0
CDM,27800055,159473 : STENT TRANSCAROTID L40MM DIA7MM CATH L57CM CROSSING PROF 5FR,6600.0,6600.0,,,0
CDM,27800055,159475 : STENT TRANSCAROTID L30MM DIA8MM W- L57CM DEL SYS FOR 6-7MM,6600.0,6600.0,,,0
CDM,27800055,159476 : STENT TRANSCAROTID L40MM DIA8MM W- L57CM DEL SYS FOR 6-7MM,6600.0,6600.0,,,0
CDM,27800055,159478 : STENT TRANSCAROTID L30MM DIA9MM W- L57CM DEL SYS FOR 7-8MM,6600.0,6600.0,,,0
CDM,27800055,159479 : STENT TRANSCAROTID L40MM DIA9MM CATH L57CM CROSSING PROF 6FR,6600.0,6600.0,,,0
CDM,27800055,159481 : STENT TRANSCAROTID L30MM DIA10MM W- L57CM DEL SYS FOR 8-9MM,6600.0,6600.0,,,0
CDM,27800055,159482 : STENT TRANSCAROTID L40MM DIA10MM W- L57CM DEL SYS FOR 8-9MM,6600.0,6600.0,,,0
CDM,27800055,351381 : RX ACCULINK CAROTID STENT SYSTEM 7-10 MM X 40 MM X 132 CM RA,4788.0,4788.0,,,0
CDM,27800055,351851 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 8.0 MM X 4,1680.0,1680.0,,,0
CDM,27800055,351856 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 9.0 MM X 4,1680.0,1680.0,,,0
CDM,27800055,351876 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 8.0 MM X 4,1680.0,1680.0,,,0
CDM,27800055,351889 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 6.0 MM X 1,1680.0,1680.0,,,0
CDM,27800055,351893 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 10.0MM X 1,1680.0,1680.0,,,0
CDM,27800055,359796 : STENT PERIPH L170MM DIA6MM CATH 6FR L130CM GWIRE 0.035IN,2520.0,2520.0,,,0
CDM,27800055,359805 : STENT BILI L170MM DIA7MM CATH L130CM DIA6FR 0.035IN NIT OTW,2520.0,2520.0,,,0
CDM,27800055,375992 : STENT PERIPH 5FR L40MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
CDM,27800055,375993 : STENT PERIPH 5FR L60MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
CDM,27800055,375995 : STENT PERIPH 5FR L100MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
CDM,27800055,375996 : STENT PERIPH 5FR L120MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
CDM,27800055,375997 : STENT PERIPH 5FR L150MM DIA5MM CATH L135CM 0.035IN NIT LP,2280.0,2280.0,,,0
CDM,27800055,375998 : STENT PERIPH 5FR L170MM DIA5MM CATH L135CM 0.035IN NIT LP,2520.0,2520.0,,,0
CDM,27800055,376000 : STENT PERIPH VASC LIFESTENT 6X40MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
CDM,27800055,376001 : STENT PERIPH VASC LIFESTENT 6X60MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
CDM,27800055,376002 : STENT PERIPH VASC LIFESTENT 6X80MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
CDM,27800055,376003 : STENT PERIPH VASC LIFESTENT 6X100MM CATH 5FRX135CM SELF,2160.0,2160.0,,,0
CDM,27800055,376004 : STENT PERIPH 5FR L120MM DIA6MM CATH L135CM 0.035IN LP 2 SPD,2160.0,2160.0,,,0
CDM,27800055,376005 : STENT PERIPH VASC LIFESTENT 6X150MM CATH 5FRX135CM SELF,2280.0,2280.0,,,0
CDM,27800055,376008 : STENT PERIPH VASC LIFESTENT 7X40MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
CDM,27800055,376009 : STENT PERIPH VASC LIFESTENT 7X60MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
CDM,27800055,376010 : STENT PERIPH VASC LIFESTENT 7X80MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
CDM,27800055,376011 : STENT PERIPH VASC LIFESTENT 7X100MM CATH 5FRX135CM SELF,2160.0,2160.0,,,0
CDM,27800055,376012 : STENT PERIPH 5FR L120MM DIA7MM CATH L135CM 0.035IN LP 2 SPD,2160.0,2160.0,,,0
CDM,27800055,400276 : STENT PERIPH L60MM DIA14MM CATH L80CM GWIRE 0.035IN SHTH 9FR,3840.0,3840.0,,,0
CDM,27800055,400285 : STENT VENOVO 10F 18 MM X 100 MM 80 CM CATHETER LENGTH,3840.0,3840.0,,,0
CDM,27800055,405687 : STENT PERIPH L120MM DIA5MM CATH 6FR L120CM NIT OTW SELF,4788.0,4788.0,,,0
CDM,27800055,408053 : VENOVO 10F 18 MM X 60 MM 80 CM CATHETER LENGTH,3840.0,3840.0,,,0
CDM,27800055,412957 : SUPERA PERIPH STNT SYS 7.5 MM X 40 MM X 120 CM 6 F,4560.0,4560.0,,,0
CDM,27800055,423090 : SYSTEM TRANSCAROTID STNT 8-6MM X 40MM CROSSING PROF 5FR X,6600.0,6600.0,,,0
CDM,27800055,423093 : SYSTEM TRANSCAROTID STNT 10-8MM X 30MM CROSSING PROF 6FR X,6600.0,6600.0,,,0
CDM,27800055,423094 : SYSTEM TRANSCAROTID STNT 10-8MM X 40MM CROSSING PROF 6FR X,6600.0,6600.0,,,0
CDM,27800055,63273 : STENT CAR L40MM DIA6X8MM TAPR VES ICA DIA4.3-5.4MM CCA,4788.0,4788.0,,,0
CDM,27800055,65164 : EXPRESS SD 0.018 MONORAIL 5 MM X 19 MM X 90 CM,2940.0,2940.0,,,0
CDM,27800055,65174 : STENT BILI AD L57MM DIA10MM CATH L75CM BLLN L60MM IL BARE,3000.0,3000.0,,,0
CDM,27800055,7X40 STENT CAROTID,3480.0,3480.0,,,0
CDM,27800055,87880 : STENT COLON L90MM DIA22MM ANCHR LOK DEL SYS 10FR L270CM WRK,7382.57,7382.57,,,0
CDM,27800055,87881 : STENT COLON L120MM DIA22MM ANCHR LOK DEL SYS 10FR L270CM WRK,7382.57,7382.57,,,0
CDM,27800055,88074 : STENT DUODENAL L90MM DIA22MM ANCHR LOK DEL SYS 10FR L270CM,7382.57,7382.57,,,0
CDM,27800055,88075 : STENT DUODENAL L230CM EXP L120MM DIA22MM FLARE DIA27MM DEL,7382.57,7382.57,,,0
CDM,27800055,ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 10.0 MM X,1680.0,1680.0,,,0
CDM,27800055,EXPRESS LD OTW 6 MM X 37 MM X 75 CM,3000.0,3000.0,,,0
CDM,27800055,EXPRESS LD OTW 7 MM X 15 MM X 150 CM,2940.0,2940.0,,,0
CDM,27800055,EXPRESS LD OTW 7 MM X 37 MM X 75 CM,3000.0,3000.0,,,0
CDM,27800055,EXPRESS SD 0.018 MONORAIL 6MM X 14 MM X 90CM,2940.0,2940.0,,,0
CDM,27800055,GUIDEWIRE VASC 0.035INX145CM FLPY TIP SS PTFE FIX COR,26.71,26.71,,,0
CDM,27800055,INACTIVE USE PS#127326 -  ABSOLUTE PRO VASCULAR SELF-EXPANDI,1680.0,1680.0,,,0
CDM,27800055,INACTIVE USE PS#129057 -  OMNILINK ELITE VASCULAR BALLOON-EX,1740.0,1740.0,,,0
CDM,27800055,INACTIVE USE PS#351851 -  STENT PERIPH L40MM DIA8MM CATH 8FR,1680.0,1680.0,,,0
CDM,27800055,LIFESTENT SOLO 035 OTW SX STENT 7MM X 200 MM X 100CM,4320.0,4320.0,,,0
CDM,27800055,OMNILINK 8.0MM X 58MM X 80CM,2448.0,2448.0,,,0
CDM,27800055,OMNILINK ELITE VASCULAR BALLOON-EXPANDABLE STENT SYSTEM 10.0,1740.0,1740.0,,,0
CDM,27800055,PERIPHERAL CUTTING BALLOON OTW 8MM X 2CM X 90CM,1740.0,1740.0,,,0
CDM,27800055,RX ACCULINK CAROTID STENT SYSTEM 6-8 MM X 30 MM X 132 CM RAP,4788.0,4788.0,,,0
CDM,27800055,SELF EXPANDING STENT 200CM 6FR 6MM X 150MM R2P MISAGO,2289.6,2289.6,,,0
CDM,27800055,SELF EXPANDING STENT 200CM 6FR 7MM X 60MM R2P MISAGO,2160.0,2160.0,,,0
CDM,27800055,STENT BILI 10FR BARB TO BARB L5CM 4.2MM CMPTBL SCP WRK CHN,608.26,608.26,,,0
CDM,27800055,STENT BILI 10FR BARB TO BARB L7CM 4.2MM CMPTBL SCP WRK CHN,608.26,608.26,,,0
CDM,27800055,STENT BILI L200MM DIA7MM CATH L135CM DIA6FR 0.035IN NIT OTW,4320.0,4320.0,,,0
CDM,27800055,STENT BILI L25MM DIA10MM CATH L75CM BLLN L30MM PREMOUNTED,3000.0,3000.0,,,0
CDM,27800055,STENT BILI L60MM DIA10MM CATH 8FR 0.035IN GWIRE MTL,5666.45,5666.45,,,0
CDM,27800055,STENT BILI L80MM DIA10MM DEL SYS L80CM SHTH 6FR RECOMMENDED,1740.0,1740.0,,,0
CDM,27800055,STENT BILI L80MM DIA8MM CATH 8FR L194CM  0.035IN MTL,5666.45,5666.45,,,0
CDM,27800055,STENT CAR L30MM DIA8MM DEL SYS L135CM CMPTBL SHTH 5FR GUID,3480.0,3480.0,,,0
CDM,27800055,STENT CAR L40MM DIA6X8MM TAPR VES ICA DIA4.3-5.4MM CCA,4788.0,4788.0,,,0
CDM,27800055,STENT CAR PRECIS PRO RX L40MM DIA8MM CATH 7FR L135CM NIT RX,3480.0,3480.0,,,0
CDM,27800055,STENT COLON L60MM DIA22MM ANCHR LOK DEL SYS 10FR L270CM WRK,7382.57,7382.57,,,0
CDM,27800055,STENT DUODENAL L60MM DIA22MM WRK L230CM DEL SYS 10FR L270CM,7382.57,7382.57,,,0
CDM,27800055,STENT PERIPH 5FR L100MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
CDM,27800055,STENT PERIPH 5FR L150MM DIA5MM CATH L135CM 0.035IN NIT LP,2280.0,2280.0,,,0
CDM,27800055,STENT PERIPH 5FR L170MM DIA5MM CATH L135CM 0.035IN NIT LP,2520.0,2520.0,,,0
CDM,27800055,STENT PERIPH 5FR L40MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
CDM,27800055,STENT PERIPH IL EXPR LD BARE MTL STNT 7X57MM CATH L75CM BLLN,3000.0,3000.0,,,0
CDM,27800055,STENT PERIPH L100MM DIA12MM DEL SYS 9FR L90CM CMPTBL GWIRE,4380.0,4380.0,,,0
CDM,27800055,STENT PERIPH L120MM DIA5MM CATH 6FR L120CM NIT OTW SELF,4788.0,4788.0,,,0
CDM,27800055,STENT PERIPH L150MM DIA18MM DEL SYS 9FR L90CM CMPTBL GWIRE,4860.0,4860.0,,,0
CDM,27800055,STENT PERIPH L150MM DIA5.5MM CATH 6FR L120CM NIT OTW SELF,4788.0,4788.0,,,0
CDM,27800055,STENT PERIPH L170MM DIA6MM CATH 6FR L130CM GWIRE 0.035IN,2520.0,2520.0,,,0
CDM,27800055,STENT PERIPH L200MM DIA6MM CATH 6FR L135CM GWIRE 0.035IN NIT,6828.0,6828.0,,,0
CDM,27800055,STENT PERIPH L39MM DIA8MM CATH L80CM SHTH 6FR COCR SELF,1740.0,1740.0,,,0
CDM,27800055,STENT PERIPH L60MM DIA12MM CATH L80MM SHTH 8FR GWIRE 0.035IN,3840.0,3840.0,,,0
CDM,27800055,STENT PERIPH L60MM DIA18MM DEL SYS 9FR L90CM CMPTBL GWIRE,4380.0,4380.0,,,0
CDM,27800055,STENT PERIPH L80MM DIA14MM CATH L80CM GWIRE 0.035IN SHTH 9FR,3840.0,3840.0,,,0
CDM,27800055,STENT PERIPH L80MM DIA16MM DEL SYS 9FR L90CM CMPTBL GWIRE,4380.0,4380.0,,,0
CDM,27800055,STENT PERIPH L80MM DIA6MM W/ 6FR SHTH L200CM SHFT SELF EXPND,2289.6,2289.6,,,0
CDM,27800055,STENT PERIPH SYS INTERWOVEN NIT SELF EXPND 6FR 5MM X 100MM X,4788.0,4788.0,,,0
CDM,27800055,STENT PERIPH VASC LIFESTENT 6X100MM CATH 5FRX135CM SELF,2160.0,2160.0,,,0
CDM,27800055,STENT PERIPH VASC LIFESTENT 6X150MM CATH 5FRX135CM SELF,2280.0,2280.0,,,0
CDM,27800055,STENT PERIPH VASC LIFESTENT 6X40MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
CDM,27800055,STENT PERIPHERAL L120MM DIA12MM CATHETER L80CM GUIDEWIRE 0.0,3840.0,3840.0,,,0
CDM,27800055,STENT RX BILIARY DB PRELOAD 7FR X 7CM,608.26,608.26,,,0
CDM,27800055,STENT TRANSCAROTID L30MM DIA10MM W/ L57CM DEL SYS FOR 8-9MM,6600.0,6600.0,,,0
CDM,27800055,STENT US CAR SYS,3480.0,3480.0,,,0
CDM,27800055,STENT VASCULAR L42MM DIA10MM CATHETER L75CM SHEATH 7FR VENOU,3420.0,3420.0,,,0
CDM,27800055,STENT VENOVO 10F 16 MM X 100 MM 80 CM CATHETER LENGTH,3840.0,3840.0,,,0
CDM,27800055,SYSTEM TRANSCAROTID STNT 10-8MM X 30MM CROSSING PROF 6FR X,6600.0,6600.0,,,0
CDM,27800055,VENOVO 10F 16 MM X 60 MM 80 CM CATHETER LENGTH,3840.0,3840.0,,,0
CDM,27800055,WALLSTENT 10X69,5354.4,5354.4,,,0
CDM,27800056,369151 : SYSTEM STNT L21MM DIA3MM MICRODELIVERY NEUROFORM ATLS,17328.0,17328.0,,,0
CDM,27800056,369154 : STENT NEUROVASC 4MM X 24MM NIT W-O TIP NEUROFORM ATLS,17328.0,17328.0,,,0
CDM,27800056,STENT NEUROVASC 4.5MM X 30MM NIT W/O TIP NEUROFORM ATLS,17328.0,17328.0,,,0
CDM,27800056,STENT NEUROVASC L15MM DIA3MM NIT SELF EXPND OPN CELL,17400.0,17400.0,,,0
CDM,27800056,STENT NEUROVASC L24MM DIA3MM NIT SELF EXPND OPN CELL,17328.0,17328.0,,,0
CDM,27800057,127357 : SYSTEM INFERIOR VENA CAVA FLTR DIA30MM SHTH 5FR L70CM JUG,3000.0,3000.0,,,0
CDM,27800057,ASNIS III CANNULATED DRILL 5.6MM LG AO,1180.56,1180.56,,,0
CDM,27800057,SYSTEM INFERIOR VENA CAVA FLTR DIA30MM SHTH 5FR L70CM JUG,3000.0,3000.0,,,0
CDM,27800058,102071 : TRAY PICC 4FR X 55CM POWERPICC POLYUR SL RAD BAS INCLUDE,151.32,151.32,,,0
CDM,27800058,102072 : TRAY PICC 5FR X 55CM POWERPICC POLYUR 2 LUMN IR INCLUDE 70CM,195.55,195.55,,,0
CDM,27800058,CATH INTRODUCER 4.0 FR PICC,163.2,163.2,,,0
CDM,27800058,DURAFLOW 2   32CM STRAIGHT BASIC KIT PG,600.0,600.0,,,0
CDM,27800058,DURAFLOW 29/29/29 RMI,100.8,100.8,,,0
CDM,27800058,EVENMORE 24CM STRAIGHT BASIC KIT 1-UP PG,552.0,552.0,,,0
CDM,27800058,KIT PERMCATH DUAL LUMEN 28CM,396.5,396.5,,,0
CDM,27800058,SV BEREN 5FX65CM .038 NB PG,43.2,43.2,,,0
CDM,27800058,TRAY PICC 4FR X 55CM POWERPICC POLYUR SL RAD BAS INCLUDE,151.32,151.32,,,0
CDM,27800058,TRAY PICC 5FR X 55CM POWERPICC POLYUR 2 LUMN IR INCLUDE 70CM,195.55,195.55,,,0
CDM,27800059,412508 : GALLANT HF CRT-D,44760.0,44760.0,,,0
CDM,27800059,415743 : ICD COBALT XT HF MRI IS1 DF4,38880.0,38880.0,,,0
CDM,27800059,415745 : ICD COBALT XT HF QUAD MRI IS1 DF4,38880.0,38880.0,,,0
CDM,27800059,DEFIBRILLATOR ICD ACTICOR 7 HF-T-QP MR COND DF4 CONN,70356.0,70356.0,,,0
CDM,27800059,DYNAGEN CRTD X4 DF1,33835.2,33835.2,,,0
CDM,27800059,GALLANT HF CRT-D,44760.0,44760.0,,,0
CDM,27800059,ICD COBALT XT HF MRI IS1 DF1,38880.0,38880.0,,,0
CDM,27800060,CATHETER ATHRCTMY 130CM TIP 0.038IN SHFT 0.049IN CMPTBL,5892.0,5892.0,,,0
CDM,27800061,102231 : CATHETER DIAG L150CM SHFT DIA0.026X0.039IN SPC L15MM TIP,402.8,402.8,,,0
CDM,27800061,103076 : CATHETER GUID 7FR L55CM ID0.081IN PERIPH POLYMR PTFE LNR,156.0,156.0,,,0
CDM,27800061,103084 : CATHETER DIAG L65CM DIA0.063X0.05IN TIP 3.1FR CMPTBL GWIRE,402.96,402.96,,,0
CDM,27800061,103085 : CATHETER SUPP L135CM DIA0.063X0.05IN TIP 3.1FR HYDRPHLC LP,402.78,402.78,,,0
CDM,27800061,106870 : MICROCATHETER VASC L150CM PROX-DST OD3-2.4FR ID0.021IN TIP,727.2,727.2,,,0
CDM,27800061,110846 : CATHETER GUID 6FR L100CM ID0.07IN FEM APPRCH POLYMR PTFE LNR,132.0,132.0,,,0
CDM,27800061,110908 : CATHETER GUID 6FR L100CM COR PERIPH BLU NYL COAT PTFE LNR,91.2,91.2,,,0
CDM,27800061,121100 : CATHETER DIAG 4FR L135CM GWIRE 0.035IN HYDRPHLC RADPQ MRK,389.76,389.76,,,0
CDM,27800061,123084 : MICROCATHETER VASC 3FR X 2.4FR X 0.021IN X 150CM TIP 20CM,727.2,727.2,,,0
CDM,27800061,129538 : STENT BILI 10FR BARB TO BARB L7CM 4.2MM CMPTBL SCP WRK CHN,247.49,247.49,,,0
CDM,27800061,137251 : CATHETER 625V-45S ATTAIN COMMAND,705.6,705.6,,,0
CDM,27800061,137255 : CATHETER 625V-EH ATTAIN COMMAND,705.6,705.6,,,0
CDM,27800061,137261 : CATHETER GUID 9X7.2FR L50CM MP X POLYETHER BLK AMIDE PLYAMDE,705.6,705.6,,,0
CDM,27800061,157592 : CATHETER VASC L132CM 0.06IN FLX DST ACCS AXIS CATLYST 6,3600.0,3600.0,,,0
CDM,27800061,160143 : CATHETER GUID 5FR X 115CM STR DST TIP SFT TORQUEABLE SHFT,3636.6,3636.6,,,0
CDM,27800061,160144 : CATHETER GUID 5FR X 125CM STR DST TIP SFT TORQUEABLE SHFT,3636.6,3636.6,,,0
CDM,27800061,160145 : CATHETER GUID 6FR X 115CM STR DST TIP SFT TORQUEABLE SHFT,5985.0,5985.0,,,0
CDM,27800061,160146 : SOFIA 6F STRAIGHT L131CM,5985.0,5985.0,,,0
CDM,27800061,160147 : MICROCATHETER VASC 2.1FR X 1.3FR X 167CM TIP 0.013IN STR 1,3192.0,3192.0,,,0
CDM,27800061,160148 : HEADWAY 17 STRAIGHT L150CM,2040.6,2040.6,,,0
CDM,27800061,160150 : MICROCATHETER DIAG 1.7FR X 2.4FR X 150CM TAPR PTFE LNR,2223.0,2223.0,,,0
CDM,27800061,160151 : CATHETER DIAG 2.4FR ID0.017IN L150CM HYDRPHLC COAT,2223.0,2223.0,,,0
CDM,27800061,160154 : MICROCATHETER VASC 2FR X 2.5FR X 156CM STR TIP ID0.021IN,2736.0,2736.0,,,0
CDM,27800061,160156 : MICROCATHETER DIAG 3.1FR X 2.6FR X 156CM PTFE LNR HYDRPHLC,3192.0,3192.0,,,0
CDM,27800061,162344 : CATHETER GUID 7FR X 5.4FR X 43CM RIGHTSITE,602.4,602.4,,,0
CDM,27800061,18033 : SET INTRO 10FR L40CM TRCR STYL L62.5CM DIA0.038IN CANN 14GA,1079.98,1079.98,,,0
CDM,27800061,29902 : CATHETER GUID 6FR L100CM PTFE NYL SS XBLAD 4 DISP VISTA BRT,91.2,91.2,,,0
CDM,27800061,367040 : MICROCATHETER PERIPH 2FR X 150CM HYDRPHLC COAT 90CM STR TIP,1844.4,1844.4,,,0
CDM,27800061,367041 : MICROCATHETER INTVENT 2.8FR X 150CM HYDRPHLC STR RADPQ MRK,838.8,838.8,,,0
CDM,27800061,367927 : SHEATH GUID DIAG INTVENT 8FR X 45CM DIL PROTRUDING 2CM PINN,254.4,254.4,,,0
CDM,27800061,367944 : PINNACLE DESTINATION  90 CM SHEATH W-DILATOR.  8 FR INNER,309.6,309.6,,,0
CDM,27800061,367978 : CATHETER DIAG 1.39MM X 135CM HYDRPHLC 40CM ANG TIP SS DBL,548.4,548.4,,,0
CDM,27800061,368481 : 4 FRENCH GLIDECATH 100 CM LONG MULTI-PURPOSE TIP SHAPE 0.0,135.6,135.6,,,0
CDM,27800061,368490 : CATHETER ANGIO 4FR X 150CM NYL INNR LAYR HYDRPHLC ANG CRV,135.6,135.6,,,0
CDM,27800061,368505 : 5 FRENCH GLIDECATH 100 CM LONG SIMMONS 1 (SIM 1) TIP SHAPE,135.6,135.6,,,0
CDM,27800061,368506 : CATHETER ANGIO 5FR L100CM DST TIP DIA1.1MM PROX SHFT,135.6,135.6,,,0
CDM,27800061,368536 : OPTITORQUE TR-SHAPE 5FR JACKAY RADIAL,108.0,108.0,,,0
CDM,27800061,368537 : OPTITORQUE TR-SHAPE 5FR SARAH RADIAL,108.0,108.0,,,0
CDM,27800061,368540 : OPTITORQUE TR-SHAPE 6FR RADIAL TIG 4.0,108.0,108.0,,,0
CDM,27800061,368786 : PINNACLE SHEATHS FOR CORONARY APPLICATIONS 10FR INTRODUCER 1,55.2,55.2,,,0
CDM,27800061,382002 : SET RNG TRNSJUG INTRAHEPATIC ACCS W- NDL 16GA L50.5CM INTRO,1223.98,1223.98,,,0
CDM,27800061,396636 : KIT ASPIR PROX 6FR DST 6FR X 135CM CATH 0.014- 0.038IN WIRE,5340.0,5340.0,,,0
CDM,27800061,396644 : KIT ASPIR DST 5.3FR X 140CM CATH 0.014IN WIRE PLATFRM L LUMN,4320.0,4320.0,,,0
CDM,27800061,4 FRENCH GLIDECATH 100 CM LONG COBRA 2 C2 TIP SHAPE 0038 GUI,131.62,131.62,,,0
CDM,27800061,4 FRENCH GLIDECATH 100 CM LONG MULTI-PURPOSE TIP SHAPE 0.0,133.32,133.32,,,0
CDM,27800061,404748 : CATHETER GUID 6FR X 125CM STR DST TIP SFT TORQUEABLE SHFT,5985.0,5985.0,,,0
CDM,27800061,406981 : CATHETER GUID PAPA L LUMN FLX RADPQ MRK BND FLL WALL,96.0,96.0,,,0
CDM,27800061,407211 : MICROCATHETER GUID 0.04IN X 0.036IN X 150CM STR RND TIP,2412.0,2412.0,,,0
CDM,27800061,407407 : CATHETER ANGIO 5FR L80CM 0.038IN SOS OMNI 2 HI TORQ SHFT,82.72,82.72,,,0
CDM,27800061,407602 : MICROCATHETER GUID 4.7FR X 4.2FR X 120CM STR SFT RND DST TIP,4116.0,4116.0,,,0
CDM,27800061,408029 : MICROCATHETER VASC PROX-DST 3X2.4FR L155CM LUMN DIA0.021IN,1113.6,1113.6,,,0
CDM,27800061,408030 : MICROCATHETER VASCULAR PROXIMAL-DISTAL 3X2.4FR L155CM LUMEN,1106.4,1106.4,,,0
CDM,27800061,408032 : MICROCATHETER VASC PROX-DST 3X2.8FR L155CM LUMN DIA0.027IN,1113.6,1113.6,,,0
CDM,27800061,408093 : BUR SUR PED SM L13MM TI W- SUT FIX RADPQ ADJ ON CATH,309.22,309.22,,,0
CDM,27800061,408395 : MICROCATHETER GUID 3.1FR X 2.8FR X 150CM STR SFT RND DST TIP,2412.0,2412.0,,,0
CDM,27800061,45137 : VENT PEDI 10 FR. 12110,117.61,117.61,,,0
CDM,27800061,45148 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH L COR X,113.18,113.18,,,0
CDM,27800061,45149 : CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH L COR X,112.46,112.46,,,0
CDM,27800061,45472 : CATHETER GUID 6FR L100CM COR NYL HYDRPHLC FLAT WIRE BRD X BK,109.96,109.96,,,0
CDM,27800061,45473 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH L COR X,105.6,105.6,,,0
CDM,27800061,45474 : CATHETER GUID 7FR L100CM CRV EBU3.5 POLYMR FLAT ENCAP BRD,115.2,115.2,,,0
CDM,27800061,45927 : CATHETER GUID 6FR L100CM GRN PTFE JR4,91.2,91.2,,,0
CDM,27800061,5 FRENCH GLIDECATH 100 CM LONG SIMMONS 1 (SIM 1) TIP SHAPE,135.6,135.6,,,0
CDM,27800061,65096 : CATHETER GUID 6FR L55CM ID0.07IN PERIPH POLYMR PTFE LNR LIMA,156.0,156.0,,,0
CDM,27800061,69836 : MACH 1  C1 6F X 55 CM,156.0,156.0,,,0
CDM,27800061,70082 : CATHETER SUPP L150CM DIA0.063X0.05IN TIP 3.1FR HYDRPHLC LP,402.51,402.51,,,0
CDM,27800061,72162 : CATHETER PUSH L170CM PTFE DISP FOR FREEMAN 4-5FR STNT,98.4,98.4,,,0
CDM,27800061,AXS CATALYST 5 - 058X115CM,2880.0,2880.0,,,0
CDM,27800061,BUR SUR PED SM L13MM TI W/ SUT FIX RADPQ ADJ ON CATH,309.22,309.22,,,0
CDM,27800061,CATHETER 625V-45S ATTAIN COMMAND,705.6,705.6,,,0
CDM,27800061,CATHETER ANGIO 4FR L100CM DST TIP DIA1.03MM PROX SHFT,127.63,127.63,,,0
CDM,27800061,CATHETER ANGIO 4FR X 150CM NYL INNR LAYR HYDRPHLC ANG CRV,135.6,135.6,,,0
CDM,27800061,CATHETER ANGIO 5FR L100CM DST TIP DIA1.1MM PROX SHFT,135.6,135.6,,,0
CDM,27800061,CATHETER ANGIO 5FR L80CM 0.038IN SOS OMNI 2 HI TORQ SHFT,89.28,89.28,,,0
CDM,27800061,CATHETER DIAG 1.39MM X 135CM HYDRPHLC 40CM ANG TIP SS DBL,548.4,548.4,,,0
CDM,27800061,CATHETER DIAG 2.4FR ID0.017IN L150CM HYDRPHLC COAT,1856.72,1856.72,,,0
CDM,27800061,CATHETER DIAG 4FR L135CM GWIRE 0.035IN HYDRPHLC RADPQ MRK,389.76,389.76,,,0
CDM,27800061,CATHETER DIAG 5FR L110CM 2 SIDE H COR SARAH RAD CRV 4.0,108.0,108.0,,,0
CDM,27800061,CATHETER DIAG L150CM SHFT DIA0.026X0.039IN SPC L15MM TIP,384.0,384.0,,,0
CDM,27800061,CATHETER DIAG L65CM DIA0.063X0.05IN TIP 3.1FR CMPTBL GWIRE,387.49,387.49,,,0
CDM,27800061,CATHETER GUID 5FR X 115CM STR DST TIP SFT TORQUEABLE SHFT,3604.13,3604.13,,,0
CDM,27800061,CATHETER GUID 5FR X 125CM STR DST TIP SFT TORQUEABLE SHFT,3536.42,3536.42,,,0
CDM,27800061,CATHETER GUID 6FR L100CM COR NYL HYDRPHLC FLAT WIRE BRD X BK,98.3,98.3,,,0
CDM,27800061,CATHETER GUID 6FR L100CM COR PERIPH BLU NYL COAT PTFE LNR,91.2,91.2,,,0
CDM,27800061,CATHETER GUID 6FR L100CM ID0.07IN FEM APPRCH POLYMR PTFE LNR,131.2,131.2,,,0
CDM,27800061,CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH L COR X,98.09,98.09,,,0
CDM,27800061,CATHETER GUID 6FR L100CM TIP L0.1IN PTFE INNR LNR NYL TOP X,91.2,91.2,,,0
CDM,27800061,CATHETER GUID 6FR X 115CM STR DST TIP SFT TORQUEABLE SHFT,5874.0,5874.0,,,0
CDM,27800061,CATHETER GUID 6FR X 125CM STR DST TIP SFT TORQUEABLE SHFT,5652.0,5652.0,,,0
CDM,27800061,CATHETER GUID 7FR L100CM CRV EBU3.5 POLYMR FLAT ENCAP BRD,96.94,96.94,,,0
CDM,27800061,CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH L COR X,97.16,97.16,,,0
CDM,27800061,CATHETER GUID 7FR X 5.4FR X 43CM RIGHTSITE,602.4,602.4,,,0
CDM,27800061,CATHETER GUID PAPA L LUMN FLX RADPQ MRK BND FLL WALL,96.75,96.75,,,0
CDM,27800061,CATHETER INFUS 7FR L150CM MIC J SHP TIP HEADWAY,1974.45,1974.45,,,0
CDM,27800061,CATHETER OCCL BLLN 6MM X 12MM DST TIP 2FR X 7MM DL 1.1MM,4440.0,4440.0,,,0
CDM,27800061,CATHETER PUSH L170CM PTFE DISP FOR FREEMAN 4/5FR STNT,98.4,98.4,,,0
CDM,27800061,CATHETER SUPP 4FR L150CM GWIRE 0.018IN SS ANG TIP DBL BRD,493.2,493.2,,,0
CDM,27800061,CATHETER SUPP L135CM DIA0.039X0.026IN TIP 1.5FR HYDRPHLC LP,384.0,384.0,,,0
CDM,27800061,CATHETER SUPP L135CM DIA0.063X0.05IN TIP 3.1FR HYDRPHLC LP,400.8,400.8,,,0
CDM,27800061,CATHETER SUPP L150CM DIA0.063X0.05IN TIP 3.1FR HYDRPHLC LP,387.6,387.6,,,0
CDM,27800061,CATHETER SUPP PERIPH 4FRX135CM STR TIP HYDRPHLC COAT RADPQ,548.4,548.4,,,0
CDM,27800061,CATHETER VASC L132CM 0.06IN FLX DST ACCS AXIS CATLYST 6,3600.0,3600.0,,,0
CDM,27800061,GLIDECATH XP 5FR 100 CM LONG SIMMONS 2 (SIM 2) TIP SHAPE.,130.71,130.71,,,0
CDM,27800061,HEADWAY 17 STRAIGHT L150CM,1499.4,1499.4,,,0
CDM,27800061,HEADWAY 21STRAIGHT L150CM,1440.0,1440.0,,,0
CDM,27800061,KIT ASPIR DST 5.3FR X 140CM CATH 0.014IN WIRE PLATFRM L LUMN,4320.0,4320.0,,,0
CDM,27800061,KIT ASPIR PROX 6FR DST 6FR X 135CM CATH 0.014- 0.038IN WIRE,5340.0,5340.0,,,0
CDM,27800061,MICROCATHETER DIAG 1.7FR X 2.4FR X 150CM TAPR PTFE LNR,1699.74,1699.74,,,0
CDM,27800061,MICROCATHETER DIAG 3.1FR X 2.6FR X 156CM PTFE LNR HYDRPHLC,2417.56,2417.56,,,0
CDM,27800061,MICROCATHETER GUID 0.04IN X 0.036IN X 150CM STR RND TIP,2412.0,2412.0,,,0
CDM,27800061,MICROCATHETER GUID 3.1FR X 2.8FR X 150CM STR SFT RND DST TIP,2412.0,2412.0,,,0
CDM,27800061,MICROCATHETER GUID 4.7FR X 4.2FR X 120CM STR SFT RND DST TIP,4116.0,4116.0,,,0
CDM,27800061,MICROCATHETER INTVENT 2.8FR X 150CM HYDRPHLC STR RADPQ MRK,838.8,838.8,,,0
CDM,27800061,MICROCATHETER PERIPH 2FR X 150CM HYDRPHLC COAT 90CM STR TIP,1813.08,1813.08,,,0
CDM,27800061,MICROCATHETER VASC 2.1FR X 1.3FR X 167CM TIP 0.013IN STR 1,2842.2,2842.2,,,0
CDM,27800061,MICROCATHETER VASC 2.4FR X 1.7FR X 150CM TIP 0.017IN STR 2,1572.25,1572.25,,,0
CDM,27800061,MICROCATHETER VASC 2.7FR X 2.4FR X 0.021IN X 155CM BERN TIP,1113.6,1113.6,,,0
CDM,27800061,MICROCATHETER VASC 2FR X 2.5FR X 156CM STR TIP ID0.021IN,2187.86,2187.86,,,0
CDM,27800061,MICROCATHETER VASC 3FR X 2.4FR X 0.021IN X 150CM TIP 20CM,727.2,727.2,,,0
CDM,27800061,MICROCATHETER VASC L150CM PROX/DST OD3/2.4FR ID0.021IN TIP,727.2,727.2,,,0
CDM,27800061,MICROCATHETER VASC L155CM PROX/DST OD3/2.8FR ID0.027IN,1113.6,1113.6,,,0
CDM,27800061,MICROCATHETER VASC PROX/DST 3/2.8FR L150CM LUMN DIA0.027IN,650.4,650.4,,,0
CDM,27800061,MICROCATHETER VASC PROX/DST 3X2.4FR L155CM LUMN DIA0.021IN,1113.6,1113.6,,,0
CDM,27800061,MICROCATHETER VASCULAR PROXIMAL/DISTAL 3X2.4FR L155CM LUMEN,1106.4,1106.4,,,0
CDM,27800061,MICROCATHETER VASCULAR PROXIMAL/DISTAL 3X2.8FR L155CM LUMEN,1060.8,1060.8,,,0
CDM,27800061,NAVICROSS SUPPORT CATHETER 0.035 X 135CM ANGLE TIP,410.4,410.4,,,0
CDM,27800061,NAVICROSS SUPPORT CATHETER 0.035 X 150CM STRAIGHT TIP,548.4,548.4,,,0
CDM,27800061,OPTITORQUE TR-SHAPE 5FR JACKAY RADIAL,108.0,108.0,,,0
CDM,27800061,PINNACLE DESTINATION  45 CM SHEATH W/DILATOR.  7 FR INNER,254.4,254.4,,,0
CDM,27800061,PINNACLE SHEATHS FOR CORONARY APPLICATIONS 10 CM SHEATH   9F,24.96,24.96,,,0
CDM,27800061,PINNACLE SHEATHS FOR CORONARY APPLICATIONS 10FR INTRODUCER 1,54.7,54.7,,,0
CDM,27800061,PROGREAT MICROCATHETER 2.4 FR / 110 CM RO MARKER BAND,840.0,840.0,,,0
CDM,27800061,SET INTRO 10FR L40CM TRCR STYL L62.5CM DIA0.038IN CANN 14GA,1079.98,1079.98,,,0
CDM,27800061,SET RNG TRNSJUG INTRAHEPATIC ACCS W/ NDL 16GA L50.5CM INTRO,1223.98,1223.98,,,0
CDM,27800061,SHEATH GUID 6FR L119CM R2P DESTINATION STR SLENDER,724.2,724.2,,,0
CDM,27800061,SHEATH GUID DIAG INTVENT 8FR X 45CM DIL PROTRUDING 2CM PINN,250.8,250.8,,,0
CDM,27800061,SHEATHR2P DESTINATION SLENDER 149CM 6FR STRAIGHT,746.1,746.1,,,0
CDM,27800061,SOFIA 6F STRAIGHT L131CM,5859.68,5859.68,,,0
CDM,27800061,STENT BILI 10FR BARB TO BARB L10CM 4.2MM CMPTBL SCP WRK CHN,247.49,247.49,,,0
CDM,27800061,VENT PEDI 10 FR. 12110,82.56,82.56,,,0
CDM,27800063,104467 : INTRODUCER SHTH EP 8.5FR X 63CM FAST-CATH SWARTZ SR1 CRV,353.76,353.76,,,0
CDM,27800063,106815 : CATHETER EP QPLR CRD-2 CRV 5FR L120CM ELECTRD SPC 5MM TORQ,241.92,241.92,,,0
CDM,27800063,118543 : INTRODUCER SHTH EP TRNSSEPT ACCS 8.5FR X 63CM FAST-CATH,353.76,353.76,,,0
CDM,27800063,CATHETER EP QPLR CRD-2 CRV 5FR L120CM ELECTRD SPC 5MM TORQ,204.0,204.0,,,0
CDM,27800063,INTRODUCER SHTH EP 8.5FR X 63CM FAST-CATH SWARTZ SR1 CRV,313.2,313.2,,,0
CDM,27800063,SWARTZ BRD TRNS INTRO 8.5FR-81CM-SL1,384.0,384.0,,,0
CDM,27800064,101417 : INTRODUCER SHTH 11FR 23CML YEL CANN VASC AD PERIPH AVNT,55.44,55.44,,,0
CDM,27800064,102086 : INTRODUCER SHTH 6FR CANN L23CM DIL TIP 35MM BRT TIP SLIX,52.27,52.27,,,0
CDM,27800064,102090 : INTRODUCER SHTH 9FR CANN L23CM DIL TIP 35MM MINI GWIRE,51.6,51.6,,,0
CDM,27800064,102315 : SHEATH GUID 6FR X 90CM FLX SHUTTLE SEL,293.11,293.11,,,0
CDM,27800064,102846 : 6FR BALKIN SHEATH,144.07,144.07,,,0
CDM,27800064,103292 : CATHETER NEPHSTMY 15CM BLLN 10MM DIL W- INFL DEV X-FORC N30,720.0,720.0,,,0
CDM,27800064,103752 : INTRODUCER SHTH 9FR CANN L11CM DIL TIP 35MM W- MINI WIRE BRT,29.54,29.54,,,0
CDM,27800064,104778 : SHEATH GUID 6FR L55CM DIA2.2MM GWIRE 0.038IN RAABE RADPQ BND,141.6,141.6,,,0
CDM,27800064,104779 : INTRODUCER SHTH GUID 6FR L70CM GWIRE DIA0.038IN RAABE FLX,141.6,141.6,,,0
CDM,27800064,104782 : 10FR CHECK FLO 40CM SHEATH,158.35,158.35,,,0
CDM,27800064,104783 : INTRODUCER BLLN 12FR L30CM DIA4MM 0.038IN CLS NTAPR END CATH,162.24,162.24,,,0
CDM,27800064,104790 : SHEATH GUID 8FR L90CM ID2.9MM CMPTBL GWIRE 0.038IN W- CK FLO,278.21,278.21,,,0
CDM,27800064,107909 : INTRODUCER SHTH 22FR X 13CM PEEL AWAY,95.52,95.52,,,0
CDM,27800064,107917 : INTRODUCER SHTH 20FR L13CM DIL L20CM GWIRE 0.038IN FOR PERC,95.52,95.52,,,0
CDM,27800064,107928 : INTRODUCER SHTH 10FR L30CM GWIRE 0.038IN RADPQ BND CLS NTAPR,82.37,82.37,,,0
CDM,27800064,107962 : SET INTRO 4FR L7CM TB L10CM ACCS DISP MICPUNC,60.91,60.91,,,0
CDM,27800064,10FR CHECK FLO 40CM SHEATH,158.35,158.35,,,0
CDM,27800064,110852 : SHEATH INTRO 4FR L11CM BRT TIP SLIX VLV SIL RADPQ TUNG,32.74,32.74,,,0
CDM,27800064,111878 : SHEATH GUID 5FR L55CM ID1.9MM CMPTBL GWIRE 0.038IN W- CK FLO,141.6,141.6,,,0
CDM,27800064,121582 : SHEATH GUID 6FR L90CM DIA2.2MM GWIRE 0.038IN RAABE RADPQ BND,141.6,141.6,,,0
CDM,27800064,124682 : SHEATH GUID 6FR L55CM DIA2.2MM GWIRE 0.035IN MP W- HI FLX,152.64,152.64,,,0
CDM,27800064,124683 : SHEATH GUID 7FR X 55CM ACC 0.035IN GWIRE MP TIP W- HI FLX,184.44,184.44,,,0
CDM,27800064,129725 : SHEATH GUID L55CM DIA0 074IN INTRO 5FR 0 035IN MP TIP CK FLO,152.64,152.64,,,0
CDM,27800064,138288 : SHEATH INTRO 5FR L10CM 21-19GA ECHOGENIC TAPR NDL W- NIT,91.2,91.2,,,0
CDM,27800064,138309 : SYSTEM SHTH 6FR L10CM NIT WIRE L45CM ECHOGENIC TAPR NDL,91.2,91.2,,,0
CDM,27800064,146322 : SHEATH INTRO 5FR L10CM ID0.074IN NDL 21GA L35MM GWIRE,141.6,141.6,,,0
CDM,27800064,159912 : DILATOR SHTH 11FR L47.5CM DIA3.7MM ROT LD EXTR TIGHTRAIL,6012.0,6012.0,,,0
CDM,27800064,164831 : INTRODUCER SHTH 4.7MM X 4MM X 33CM DRYSEAL FLX VLV HYDRPHLC,1351.2,1351.2,,,0
CDM,27800064,164832 : INTRODUCER SHTH 5.3MM X 4.7MM X 33CM DRYSEAL FLX VLV,1351.2,1351.2,,,0
CDM,27800064,164833 : INTRODUCER SHTH 6.1MM X 5.3MM X 33CM DRYSEAL FLX VLV,1351.2,1351.2,,,0
CDM,27800064,164834 : INTRODUCER SHTH 6.7MM X 6MM X 33CM DRYSEAL FLX VLV HYDRPHLC,1795.2,1795.2,,,0
CDM,27800064,164835 : INTRODUCER SHTH 20FR L33CM OD7.5MM ID6.7MM DRYSEAL FLX,1795.2,1795.2,,,0
CDM,27800064,164836 : INTRODUCER SHTH 22FR L33CM OD8.2MM ID7.3MM DRYSEAL FLX,1795.2,1795.2,,,0
CDM,27800064,164837 : INTRODUCER SHTH 24FR L33CM OD8.8MM ID8MM DRYSEAL FLX HEMSTAS,1795.2,1795.2,,,0
CDM,27800064,164838 : INTRODUCER SHTH 26FR L33CM OD9.5MM ID8.7MM DRYSEAL FLX,1795.2,1795.2,,,0
CDM,27800064,2418 : INTRODUCER SHTH 5FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
CDM,27800064,2419 : SHEATH CATH 6FR 11MM CANN 0.038IN GWIRE GRN STD PATENTED,18.0,18.0,,,0
CDM,27800064,2420 : INTRODUCER SHTH 7FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
CDM,27800064,2421 : INTRODUCER SHTH 8FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
CDM,27800064,24639 : INTRODUCER SHTH 7FR CANN L23CM DIL TIP 35MM BRT TIP SLIX,52.53,52.53,,,0
CDM,27800064,262124 : SYSTEM INTRO W-O GWIRE ACCUSTICK II,156.0,156.0,,,0
CDM,27800064,262125 : F-G ACCUSTICK II KIT NITINOL,240.0,240.0,,,0
CDM,27800064,262709 : SHEATH GUID L90CM ID1.9MM COMPATIBLE GWIRE 0.038IN W- CK FLO,141.6,141.6,,,0
CDM,27800064,262710 : SHEATH GUID 5FR L70CM GWIRE DIA0.038IN CK FLO HEMSTAT VLV,141.6,141.6,,,0
CDM,27800064,30166 : SHEATH INTRO 4FR CANN L11CM 0.035IN MINIWIRE STD RED KINK,18.0,18.0,,,0
CDM,27800064,34218 : SHEATH GUID 7FR L90CM DIA2.5MM GWIRE 0.038IN HYDRPHLC SFT,278.21,278.21,,,0
CDM,27800064,358405 : CSI AVANTI+ CARDIOLOGY MS .038,15.12,15.12,,,0
CDM,27800064,363045 : SHEATH URET ACCS 11FR X 13FR X 28CM HYDRPHLC 2 DUROMETER SGL,289.44,289.44,,,0
CDM,27800064,363046 : SHEATH URET ACCS 11FR X 13FR X 36CM HYDRPHLC 2 DUROMETER SGL,289.44,289.44,,,0
CDM,27800064,367038 : INTRODUCER SHTH COR 7FR X 10CM DIL PROTRUDING 2.5CM PINN,26.4,26.4,,,0
CDM,27800064,36705 : SET INTRO 12FR L13CM GWIRE DIA0.038IN PERFRMR,106.82,106.82,,,0
CDM,27800064,368332 : SYSTEM INTRO 9FR X 13CM DIL 19.5CM BLK PEEL AWAY VLV HEMSTAT,129.6,129.6,,,0
CDM,27800064,368733 : GLIDESHEATH - SLENDER NITINOL KIT 0.021 GW 5 FR 10CM,183.6,183.6,,,0
CDM,27800064,368823 : KIT INTRO SHTH 6FR L10CM DIL DIA0.021IN NDL 21GA,145.2,145.2,,,0
CDM,27800064,368826 : KIT INTRO SHTH 7FR X 10CM SS HYDRPHLC ANT WALL PUNC ACCS,145.2,145.2,,,0
CDM,27800064,368875 : FLEXOR HIGH-FLEX ANSEL GUIDING SHEATH,152.64,152.64,,,0
CDM,27800064,369178 : KIT CV SHTH AD 6FR L4CM GRN RAD PERM VLV PRELUDE,79.08,79.08,,,0
CDM,27800064,376748 : SAFETY SHEATH 7FR LONG,134.4,134.4,,,0
CDM,27800064,376750 : SAFETY SHEATH 9FR LONG,134.4,134.4,,,0
CDM,27800064,376752 : SAFETY SHEATH 11FR,129.6,129.6,,,0
CDM,27800064,37817 : SET INTRO DIAG INTVENT 16FR L30CM GWIRE DIA0.038IN PERFRMR,245.93,245.93,,,0
CDM,27800064,392383 : SET INTRO 18FR L40CM GWIRE 0.038IN PERFRMR,245.93,245.93,,,0
CDM,27800064,392468 : INTRODUCER SHTH 6.5FR X 55CM DEFLECTION 9MM TOURGUIDE,1464.0,1464.0,,,0
CDM,27800064,392469 : SHEATH INTRO 6.5FR L55CM DEFLECTION L17MM 180DEG HYDROPHOBIC,1464.0,1464.0,,,0
CDM,27800064,392472 : INTRODUCER SHTH 7FR X 55CM DEFLECTION 9MM TOURGUIDE,1464.0,1464.0,,,0
CDM,27800064,392480 : SHEATH INTRO 8.5FR L90CM STEER TOURGUIDE,1526.4,1526.4,,,0
CDM,27800064,39700 : SET INTRO ACCS CATH 5FR X 10CM NDL 21GA X 7CM GWIRE 0.018IN,97.44,97.44,,,0
CDM,27800064,398 : CATH INTRODUCER SET 60115,204.0,204.0,,,0
CDM,27800064,40503 : SHEATH 14FR 30CM,247.1,247.1,,,0
CDM,27800064,406958 : INTRODUCER SHTH 4.7MM X 4MM X 45CM DRYSEAL FLX VLV HYDRPHLC,2143.2,2143.2,,,0
CDM,27800064,406970 : INTRODUCER SHTH 16FR L45CM ACC GWIRE 0.038IN RADPQ BND,245.93,245.93,,,0
CDM,27800064,407081 : INTRODUCER SHEATH 4FR L11CM GUIDEWIRE L14CM DIA0.018IN ADVAN,180.0,180.0,,,0
CDM,27800064,407083 : INTRODUCER SHTH 5FR L11CM GWIRE L45CM DIA0.021IN ADV NDL,151.92,151.92,,,0
CDM,27800064,407085 : INTRODUCER SHTH 6FR L11CM GWIRE L45CM DIA0.021IN ADV NDL,152.12,152.12,,,0
CDM,27800064,407434 : DRYSEAL FLEX INTRODUCER SHEATH 33CM 15FR HYDROPHILIC COATING,1351.2,1351.2,,,0
CDM,27800064,407437 : INTRODUCER SHTH 24FR L65CM OD8.8MM ID8MM DRYSEAL FLX HEMSTAS,2529.6,2529.6,,,0
CDM,27800064,408211 : INTRODUCER SHTH COR 80CM OD0.0106IN X 0.1IN ID0.088IN X,1380.0,1380.0,,,0
CDM,27800064,408212 : INTRODUCER SHTH COR 90CM OD0.0106IN X 0.1IN ID0.088IN X,1380.0,1380.0,,,0
CDM,27800064,408213 : BALLAST100 LONG SHEATH 100CM,1380.0,1380.0,,,0
CDM,27800064,408502 : AMPLATZER TREVISIO SHEATH SZ 7F TIP ANGLE 45 DEGREE 80CM,1855.2,1855.2,,,0
CDM,27800064,408505 : SYSTEM DEL 9FR OD3.81MM ID3MM SHTH W- CBL LOADER DIL,1929.6,1929.6,,,0
CDM,27800064,410883 : SHEATH GUID 6FR L95CM STR TIP HYDRPHLC COAT R2P DESTINATION,768.0,768.0,,,0
CDM,27800064,411881 : INTRODUCER MIC KT VSI 5FR NIT MANDREL TUNG SFT TIP,50.4,50.4,,,0
CDM,27800064,411882 : INTRODUCER MIC KT VSI 4FR NIT MANDREL TUNGSTEN SFT TIP,52.8,52.8,,,0
CDM,27800064,41301 : SHEATH GUID 6FR L90CM GWIRE 0.038IN BLLN CLS NTAPR END CATH,278.21,278.21,,,0
CDM,27800064,41674 : SHEATH COOK 8FR LONG,71.95,71.95,,,0
CDM,27800064,42925 : INTRODUCER SHTH INTVENT 14FR X 12CM FAST-CATH HEMSTAT VLV,45.6,45.6,,,0
CDM,27800064,45362 : HEMO SET 12F 12CM 038GW,0.9,0.9,,,0
CDM,27800064,65100 : INTRODUCER VASC 18FR L30CM DIA5.9MM GWIRE 0.038IN SHTH RADPQ,245.93,245.93,,,0
CDM,27800064,69357 : SHEATH GUID 7FR L40CM ID2.5MM GWIRE 0.038IN W- CK FLO VLV,136.63,136.63,,,0
CDM,27800064,6FR ANSEL 2 FLEXOR,165.6,165.6,,,0
CDM,27800064,71012 : SUPER SHEATH R-0 7FX7CM,20.4,20.4,,,0
CDM,27800064,71023 : SHEATH INTRO 6FR L25CM HEMSTAT VLV DIL SIDE PRT RADPQ,32.64,32.64,,,0
CDM,27800064,84484 : INTRODUCER SHTH VASC 5FR L25CM PINN W- DIL,60.0,60.0,,,0
CDM,27800064,84485 : SHEATH 6FR 25CM,60.0,60.0,,,0
CDM,27800064,87529 : INTRODUCER SHTH 5FR CANN L11CM DIL TIP 25MM W- MINI WIRE BRT,31.82,31.82,,,0
CDM,27800064,88290 : SHEATH 8FR-RB,69.6,69.6,,,0
CDM,27800064,ACCUSTICK II SYSTEM .038 STRT,208.8,208.8,,,0
CDM,27800064,AMPLATZ DILATORS,516.31,516.31,,,0
CDM,27800064,AMPLATZER TREVISIO SHEATH SZ 10F TIP ANGLE 45 DEGREE 80CM,1855.2,1855.2,,,0
CDM,27800064,AVANTI + 10F SHEATH 23L,55.44,55.44,,,0
CDM,27800064,BALLAST100 LONG SHEATH 100CM,1380.0,1380.0,,,0
CDM,27800064,CATH INTRODUCER SET 60115,204.0,204.0,,,0
CDM,27800064,CATHETER NEPHSTMY 15CM BLLN 10MM DIL W/ INFL DEV X-FORC N30,635.87,635.87,,,0
CDM,27800064,CSI AVANTI+ CARDIOLOGY MS .038,15.12,15.12,,,0
CDM,27800064,DRYSEAL FLEX INTRODUCER SHEATH 33CM 15FR HYDROPHILIC COATING,1327.38,1327.38,,,0
CDM,27800064,F/G ACCUSTICK II KIT NITINOL,239.72,239.72,,,0
CDM,27800064,FLEXOR ANSEL GUIDING SHEATH,165.6,165.6,,,0
CDM,27800064,FLEXOR BALKIN GUIDING SHEATH,136.63,136.63,,,0
CDM,27800064,FLEXOR SHUTTLE TIBIAL GUIDING SHEATH,278.21,278.21,,,0
CDM,27800064,GLIDESHEATH - SLENDER NITINOL KIT 0.021 GW 5 FR 10CM,183.6,183.6,,,0
CDM,27800064,GLIDESHEATH - SS KIT 0.021 GW 21G - 6FR. 25CM,141.6,141.6,,,0
CDM,27800064,HEMO SET 12F 12CM 038GW,0.9,0.9,,,0
CDM,27800064,INACTIVE - PRECISION ACCESS KIT 5 FR ECHOGENI,84.0,84.0,,,0
CDM,27800064,INACTIVE USE PS# 138309 - PRECISION ACCESS KIT 6 FR ECHOG,84.0,84.0,,,0
CDM,27800064,INACTIVE USE PS#118729 -  INTRODUCER SHTH L11CM OD6FR VASC W,18.0,18.0,,,0
CDM,27800064,INACTIVE USE PS#146312 -KIT INTRO SHTH 5FR L10CM DIL DIA0.02,145.2,145.2,,,0
CDM,27800064,INACTIVE USE PS#41301 -  SHEATH GUID 6FR X 90CM FLX SHUTTLE,278.21,278.21,,,0
CDM,27800064,INTRODUCER BLLN 12FR L30CM DIA4MM 0.038IN CLS NTAPR END CATH,162.24,162.24,,,0
CDM,27800064,INTRODUCER CATH 7FR L13CM PTFE LOK LUER CLLR HUB LONGER T,214.2,214.2,,,0
CDM,27800064,INTRODUCER MIC KT VSI 4FR NIT MANDREL TUNGSTEN SFT TIP,52.8,52.8,,,0
CDM,27800064,INTRODUCER MIC KT VSI 5FR NIT MANDREL TUNG SFT TIP,50.4,50.4,,,0
CDM,27800064,INTRODUCER SHEATH 4FR L11CM GUIDEWIRE L14CM DIA0.018IN ADVAN,180.0,180.0,,,0
CDM,27800064,INTRODUCER SHTH 10FR CANN L11CM W/ 0.038IN MINI WIRE AVNT +,18.0,18.0,,,0
CDM,27800064,INTRODUCER SHTH 10FR L30CM GWIRE 0.038IN RADPQ BND CLS NTAPR,82.37,82.37,,,0
CDM,27800064,INTRODUCER SHTH 11CM OD 8FR GWIRE 0.38IN VASC W/O CRV,18.0,18.0,,,0
CDM,27800064,INTRODUCER SHTH 11FR 23CML YEL CANN VASC AD PERIPH AVNT,55.44,55.44,,,0
CDM,27800064,INTRODUCER SHTH 20FR L33CM OD7.5MM ID6.7MM DRYSEAL FLX,1710.4,1710.4,,,0
CDM,27800064,INTRODUCER SHTH 22FR L33CM OD8.2MM ID7.3MM DRYSEAL FLX,1668.0,1668.0,,,0
CDM,27800064,INTRODUCER SHTH 22FR X 13CM PEEL AWAY,95.52,95.52,,,0
CDM,27800064,INTRODUCER SHTH 24FR L33CM OD8.8MM ID8MM DRYSEAL FLX HEMSTAS,1668.0,1668.0,,,0
CDM,27800064,INTRODUCER SHTH 26FR L13CM DIL L20CM 0.038IN FOR PERC PLCMNT,95.52,95.52,,,0
CDM,27800064,INTRODUCER SHTH 26FR L33CM OD9.5MM ID8.7MM DRYSEAL FLX,1795.2,1795.2,,,0
CDM,27800064,INTRODUCER SHTH 4.7MM X 4MM X 33CM DRYSEAL FLX VLV HYDRPHLC,1319.61,1319.61,,,0
CDM,27800064,INTRODUCER SHTH 4.7MM X 4MM X 45CM DRYSEAL FLX VLV HYDRPHLC,1981.6,1981.6,,,0
CDM,27800064,INTRODUCER SHTH 5.3MM X 4.7MM X 33CM DRYSEAL FLX VLV,1325.4,1325.4,,,0
CDM,27800064,INTRODUCER SHTH 5FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
CDM,27800064,INTRODUCER SHTH 5FR CANN L11CM DIL TIP 25MM W/ MINI WIRE BRT,28.8,28.8,,,0
CDM,27800064,INTRODUCER SHTH 5FR L11CM GWIRE L45CM DIA0.021IN ADV NDL,162.56,162.56,,,0
CDM,27800064,INTRODUCER SHTH 6.1MM X 5.3MM X 33CM DRYSEAL FLX VLV,1308.5,1308.5,,,0
CDM,27800064,INTRODUCER SHTH 6.5FR X 55CM DEFLECTION 9MM TOURGUIDE,1389.88,1389.88,,,0
CDM,27800064,INTRODUCER SHTH 6.7MM X 6MM X 33CM DRYSEAL FLX VLV HYDRPHLC,1760.51,1760.51,,,0
CDM,27800064,INTRODUCER SHTH 6FR CANN L23CM DIL TIP 35MM BRT TIP SLIX,51.6,51.6,,,0
CDM,27800064,INTRODUCER SHTH 6FR L11CM GWIRE L45CM DIA0.021IN ADV NDL,161.68,161.68,,,0
CDM,27800064,INTRODUCER SHTH 7FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
CDM,27800064,INTRODUCER SHTH 7FR CANN L23CM DIL TIP 35MM BRT TIP SLIX,51.6,51.6,,,0
CDM,27800064,INTRODUCER SHTH 7FR X 55CM DEFLECTION 9MM TOURGUIDE,1432.5,1432.5,,,0
CDM,27800064,INTRODUCER SHTH 8FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
CDM,27800064,INTRODUCER SHTH 9FR CANN L11CM DIL TIP 35MM W/ MINI WIRE BRT,28.8,28.8,,,0
CDM,27800064,INTRODUCER SHTH 9FR CANN L23CM DIL TIP 35MM MINI GWIRE,51.6,51.6,,,0
CDM,27800064,INTRODUCER SHTH COR 7FR X 10CM DIL PROTRUDING 2.5CM PINN,25.77,25.77,,,0
CDM,27800064,INTRODUCER SHTH COR 80CM OD0.0106IN X 0.1IN ID0.088IN X,1380.0,1380.0,,,0
CDM,27800064,INTRODUCER SHTH COR 90CM OD0.0106IN X 0.1IN ID0.088IN X,1380.0,1380.0,,,0
CDM,27800064,INTRODUCER SHTH GUID 6FR L70CM GWIRE DIA0.038IN RAABE FLX,141.6,141.6,,,0
CDM,27800064,INTRODUCER SHTH INTVENT 14FR X 12CM FAST-CATH HEMSTAT VLV,45.6,45.6,,,0
CDM,27800064,INTRODUCER SHTH VASC 5FR L25CM PINN W/ DIL,58.67,58.67,,,0
CDM,27800064,INTRODUCER SHTH XL 20FR X 40CM DIL 56CM CK FLO VLV FOR BLLN,941.83,941.83,,,0
CDM,27800064,INTRODUCER VASC 18FR L30CM DIA5.9MM GWIRE 0.038IN SHTH RADPQ,245.93,245.93,,,0
CDM,27800064,INTRODUCER VASC HEMSTAT VLV AD CK FLO 10FRX38CM,381.6,381.6,,,0
CDM,27800064,KIT ACCS INTRO SHTH 5FR X 10CM DIL 0.021IN NDL 22GA X 25MM,255.0,255.0,,,0
CDM,27800064,KIT CV SHTH AD 6FR L4CM GRN RAD PERM VLV PRELUDE,79.08,79.08,,,0
CDM,27800064,KIT INTRO SHTH 5FR L10CM DIL DIA0.021IN NDL 21GA L35MM GWIRE,145.2,145.2,,,0
CDM,27800064,MICRO INTRODUCER 5FST 40CM BX/10EA,50.4,50.4,,,0
CDM,27800064,PERFORMER INTRODUCER,106.82,106.82,,,0
CDM,27800064,PINNACLE R/O II  10 CM SHEATH  5FR RADIOPAQUE MARKER INTROD,69.6,69.6,,,0
CDM,27800064,PRECISION ACCESS KIT 5 FR ECHOGENIC NEEDLE NITI WIRE LONG,84.0,84.0,,,0
CDM,27800064,R2P DESTINATION SLENDER GUID SHTH,768.0,768.0,,,0
CDM,27800064,SAFE SHEATH 11 FR,175.2,175.2,,,0
CDM,27800064,SAFETY SHEATH 10FR,69.6,69.6,,,0
CDM,27800064,SAFETY SHEATH 7FR LONG,134.4,134.4,,,0
CDM,27800064,SAFETY SHEATH 8FR,129.6,129.6,,,0
CDM,27800064,SAFETY SHEATH 8FR LONG,134.4,134.4,,,0
CDM,27800064,SAFETY SHEATH II  6FR,72.96,72.96,,,0
CDM,27800064,SET INTRO 10FR L13CM GWIRE DIA0.038IN PERFRMR,106.82,106.82,,,0
CDM,27800064,SET INTRO 12FR L13CM GWIRE DIA0.038IN PERFRMR,106.82,106.82,,,0
CDM,27800064,SET INTRO 18FR L40CM GWIRE 0.038IN PERFRMR,245.93,245.93,,,0
CDM,27800064,SET INTRO 4FR L7CM TB L10CM ACCS DISP MICPUNC,60.91,60.91,,,0
CDM,27800064,SET INTRO ACCS CATH 5FR X 10CM NDL 21GA X 7CM GWIRE 0.018IN,97.44,97.44,,,0
CDM,27800064,SET INTRO DIAG INTVENT 16FR L30CM GWIRE DIA0.038IN PERFRMR,245.93,245.93,,,0
CDM,27800064,SET URET ACCS SHTH 12FR X 14FR X 28CM HYDRPHLC SGL TAPR TIP,332.71,332.71,,,0
CDM,27800064,SHEATH 14FR 30CM,247.1,247.1,,,0
CDM,27800064,SHEATH 6FR 25CM,59.18,59.18,,,0
CDM,27800064,SHEATH 6FR/RB,69.6,69.6,,,0
CDM,27800064,SHEATH 7FR/RB,69.6,69.6,,,0
CDM,27800064,SHEATH BRITE TIP 8/90,79.7,79.7,,,0
CDM,27800064,SHEATH CATH 6FR 11MM CANN 0.038IN GWIRE GRN STD PATENTED,18.0,18.0,,,0
CDM,27800064,SHEATH COOK 8FR LONG,71.95,71.95,,,0
CDM,27800064,SHEATH DIL VASC 13FR L47.5CM DIA8.1MM DEV OD6.6MM ID4.3MM,5996.0,5996.0,,,0
CDM,27800064,SHEATH GUID 5FR L55CM ID1.9MM CMPTBL GWIRE 0.038IN W/ CK FLO,141.6,141.6,,,0
CDM,27800064,SHEATH GUID 5FR L90CM GWIRE 0.018-0.035IN FOR TIB,278.21,278.21,,,0
CDM,27800064,SHEATH GUID 6FR L55CM DIA2.2MM GWIRE 0.035IN MP W/ HI FLX,152.64,152.64,,,0
CDM,27800064,SHEATH GUID 6FR L55CM DIA2.2MM GWIRE 0.038IN RAABE RADPQ BND,141.6,141.6,,,0
CDM,27800064,SHEATH GUID 6FR L90CM DIA2.2MM GWIRE 0.038IN RAABE RADPQ BND,141.6,141.6,,,0
CDM,27800064,SHEATH GUID 6FR L90CM GWIRE 0.038IN BLLN CLS NTAPR END CATH,278.21,278.21,,,0
CDM,27800064,SHEATH GUID 6FR L95CM STR TIP HYDRPHLC COAT R2P DESTINATION,755.49,755.49,,,0
CDM,27800064,SHEATH GUID 6FR X 90CM FLX SHUTTLE SEL,293.11,293.11,,,0
CDM,27800064,SHEATH GUID 7FR L70CM ID2.5MM CMPTBL GWIRE 0.038IN RAABE,141.6,141.6,,,0
CDM,27800064,SHEATH GUID 7FR L90CM DIA2.5MM GWIRE 0.038IN HYDRPHLC SFT,278.21,278.21,,,0
CDM,27800064,SHEATH GUID 7FR X 55CM ACC 0.035IN GWIRE MP TIP W/ HI FLX,184.44,184.44,,,0
CDM,27800064,SHEATH GUID 8FR L90CM ID2.9MM CMPTBL GWIRE 0.038IN W/ CK FLO,278.21,278.21,,,0
CDM,27800064,SHEATH GUID DIAG INTVENT 7FR X 45CM DIL PROTRUDING 2CM PINN,254.4,254.4,,,0
CDM,27800064,SHEATH GUID L55CM DIA0 074IN INTRO 5FR 0 035IN MP TIP CK FLO,152.64,152.64,,,0
CDM,27800064,SHEATH GUID L90CM ID1.9MM COMPATIBLE GWIRE 0.038IN W/ CK FLO,141.6,141.6,,,0
CDM,27800064,SHEATH INTRO 4FR CANN L11CM 0.035IN MINIWIRE STD RED KINK,18.0,18.0,,,0
CDM,27800064,SHEATH INTRO 4FR L11CM BRT TIP SLIX VLV SIL RADPQ TUNG,28.8,28.8,,,0
CDM,27800064,SHEATH INTRO 5FR L10CM 21/19GA ECHOGENIC TAPR NDL W/ NIT,91.2,91.2,,,0
CDM,27800064,SHEATH INTRO 5FR L10CM ID0.074IN NDL 21GA L35MM GWIRE,141.3,141.3,,,0
CDM,27800064,SHEATH INTRO 6.5FR L55CM DEFLECTION L17MM 180DEG HYDROPHOBIC,1380.0,1380.0,,,0
CDM,27800064,SHEATH INTRO 7FR L55CM DEFLECTION L17MM 180DEG HYDROPHOBIC,1436.0,1436.0,,,0
CDM,27800064,SHEATH INTRO 8.5FR L90CM STEER TOURGUIDE,1468.8,1468.8,,,0
CDM,27800064,SHEATH INTRO 9FR L11CM GWIRE 0.035IN SIL TRICSP VLV SMTH,19.2,19.2,,,0
CDM,27800064,SHEATH INTRO L15.5CM INTRO 6FR DIL L20CM 0.035IN FOR PERC,95.52,95.52,,,0
CDM,27800064,SHEATH RADIOPAQUE BAND 8FR X,88.8,88.8,,,0
CDM,27800064,SHEATH URET ACCS 11FR X 13FR X 28CM HYDRPHLC 2 DUROMETER SGL,473.42,473.42,,,0
CDM,27800064,SHEATH URET ACCS 11FR X 13FR X 36CM HYDRPHLC 2 DUROMETER SGL,372.72,372.72,,,0
CDM,27800064,SYSTEM INTRO 7FR X 13CM DIL 19.5CM ORNG PEEL AWAY VLV,129.6,129.6,,,0
CDM,27800064,SYSTEM INTRO W/O GWIRE ACCUSTICK II,142.8,142.8,,,0
CDM,27800064,SYSTEM SHTH 6FR L10CM NIT WIRE L45CM ECHOGENIC TAPR NDL,90.34,90.34,,,0
CDM,27800064,TRAY KYPHOPLASTY SZ 2 BLLN L10MM BNE FILL DEV SYR IBT KYPHON,6771.6,6771.6,,,0
CDM,27800064,XXXGLIDESHEATH - SS KIT 0.021 GW 21G - 6FR. 10CM,139.2,139.2,,,0
CDM,27800065,KIT SUR LD 70CM FOR SPNL CRD STIM SYS,6000.0,6000.0,,,0
CDM,27800067,107252 : STENT URET 8FR L24CM PGTL REG DUROMETER FLEXIMA,312.0,312.0,,,0
CDM,27800067,123750 : STENT URET 8FR X 22CM HYDRPHLC SCFLD WIRE REINF TECH MR COND,816.0,816.0,,,0
CDM,27800067,129911 : NAVIFLEX RX DELIVERY SYSTEM 10FR,333.05,333.05,,,0
CDM,27800067,129914 : STENT PANCREAS 5FR L3CM 0.035IN GWIRE SGL PGTL SFT PLIABLE,181.2,181.2,,,0
CDM,27800067,129915 : STENT PANCREAS 5FR X 5CM GWIRE 0.035IN SGL PG CRVE W-O FLNG,181.2,181.2,,,0
CDM,27800067,15264 : STENT URET 7FR L90CM BRD DIV GWIRE DISP,416.16,416.16,,,0
CDM,27800067,156244 : STENT URET 8FR L90CM BRAID DIV GWIRE DISP,416.16,416.16,,,0
CDM,27800067,19782 : STENT URET 6FR L12CM SIL CLS TIP DBL J,445.63,445.63,,,0
CDM,27800067,363230 : SET URET STNT 4.8FR L26CM AXXCESS CATH 6FR PERCFLX HYDR+ FRM,264.72,264.72,,,0
CDM,27800067,363247 : PERC PLUS STENT 6X20,264.72,264.72,,,0
CDM,27800067,363255 : STENT URET 6FR L22CM HYDR+ LP TAPR TIP GRAD MRK PERCFLX +,264.72,264.72,,,0
CDM,27800067,363282 : SET URET STNT 6FR X 28CM HYDR INCL 6FR AXXCESS CATH GWIRE,264.72,264.72,,,0
CDM,27800067,363323 : PERC PLUS STENT 7X26,264.72,264.72,,,0
CDM,27800067,363332 : SET URET STNT 7FR L28CM AXXCESS CATH 6FR PERCFLX HYDR+ FRM,264.72,264.72,,,0
CDM,27800067,363360 : PERC PLUS STENT 8X24,264.72,264.72,,,0
CDM,27800067,40620 : STENT URET 6FR X 24CM HYDR LP TAPR TIP GRAD MRK PERCFLX,264.72,264.72,,,0
CDM,27800067,40621 : STENT URET 6FR X 26CM HYDR LP TAPR TIP GRAD MRK PERCFLX,264.72,264.72,,,0
CDM,27800067,407999 : STENT URET 7FR L12CM SIL DBL J W- CLS END,696.0,696.0,,,0
CDM,27800067,546462 : STENT PANCREAS 10FR X 9CM POLYMR STR LD BARB LD RADPQ 546462,345.6,345.6,,,0
CDM,27800067,68784 : CATHETER URETH 22FR BLLN 30CC 3 W F BARDX IC,28.85,28.85,,,0
CDM,27800067,70615 : STENT URET 4.8FR L18CM HYDR+ TAPR TIP PGTL BLDR MRK RADPQ,264.72,264.72,,,0
CDM,27800067,71374 : STENT URET 4.8FR L20CM HYDR+ RADPQ W- TAPR TIP PGTL BLDR MRK,264.72,264.72,,,0
CDM,27800067,KIT STNT 8FR L20CM URET PERCFLX HYDR+ DBL PGTL FLX TIP SFT,346.61,346.61,,,0
CDM,27800067,NAVIFLEX RX DELIVERY SYSTEM 10FR,333.05,333.05,,,0
CDM,27800067,PERC PLUS STENT 6X20,264.72,264.72,,,0
CDM,27800067,PERC PLUS STENT 7X24,346.61,346.61,,,0
CDM,27800067,PERC PLUS STENT 7X26,346.61,346.61,,,0
CDM,27800067,PERC PLUS STENT 8X24,346.61,346.61,,,0
CDM,27800067,PERCUFLEX 6FR X 28CM WITH .038/150 STANDARD SHAFT/STRAIGHT,381.22,381.22,,,0
CDM,27800067,PERCUFLEX STENT 6FX26CM BRAIDED SUTURE,380.95,380.95,,,0
CDM,27800067,PERCUFLEX URINARY STENT 4.8X22,296.04,296.04,,,0
CDM,27800067,SET URET STNT 4.8FR L26CM AXXCESS CATH 6FR PERCFLX HYDR+ FRM,653.45,653.45,,,0
CDM,27800067,SET URET STNT 6FR X 28CM HYDR INCL 6FR AXXCESS CATH GWIRE,653.45,653.45,,,0
CDM,27800067,SET URET STNT SM 3.7FR L10CM DBL PGTL W/ 4FR L70CM POLYUR,300.0,300.0,,,0
CDM,27800067,SOF-FLEX PEDIATRIC DOUBLE PIGTAIL URETERAL STENT SET,264.91,264.91,,,0
CDM,27800067,STENT HOBBS PANCREATIC SINGLE PIGTAIL 5FT-7CM W/O FLANGE,181.2,181.2,,,0
CDM,27800067,STENT PANCREAS 4FR L5CM 0.025IN GWIRE SGL PGTL SFT PLIABLE,181.2,181.2,,,0
CDM,27800067,STENT URET 4.8FR L12CM HYDR+ TAPR TIP PGTL BLDR MRK RADPQ,653.45,653.45,,,0
CDM,27800067,STENT URET 4.8FR L14CM HYDR+ TAPR TIP PGTL BLDR MRK RADPQ,653.45,653.45,,,0
CDM,27800067,STENT URET 4.8FR L16CM HYDR+ TAPR TIP PGTL BLDR MRK RADPQ,653.45,653.45,,,0
CDM,27800067,STENT URET 4.8FR L18CM HYDR+ TAPR TIP PGTL BLDR MRK RADPQ,653.45,653.45,,,0
CDM,27800067,STENT URET 4.8FR L20CM HYDR+ RADPQ W/ TAPR TIP PGTL BLDR MRK,346.61,346.61,,,0
CDM,27800067,STENT URET 6FR L12CM SIL CLS TIP DBL J,696.0,696.0,,,0
CDM,27800067,STENT URET 6FR L22CM HYDR+ LP TAPR TIP GRAD MRK PERCFLX +,346.61,346.61,,,0
CDM,27800067,STENT URET 6FR X 24CM HYDR LP TAPR TIP GRAD MRK PERCFLX,653.45,653.45,,,0
CDM,27800067,STENT URET 6FR X 26CM HYDR LP TAPR TIP GRAD MRK PERCFLX,653.45,653.45,,,0
CDM,27800067,STENT URET 7FR L12CM SIL DBL J W/ CLS END,696.0,696.0,,,0
CDM,27800067,STENT URET 8FR L24CM PGTL REG DUROMETER FLEXIMA,312.0,312.0,,,0
CDM,27800067,STENT URET 8FR L90CM BRAID DIV GWIRE DISP,416.16,416.16,,,0
CDM,27800067,STENT URET L26CM OD8FR HYDR+ TAPR TIP DBL PGTL THRD POS,346.61,346.61,,,0
CDM,27800067,STENT URETERAL 6X26 778626,108.19,108.19,,,0
CDM,27800067,STENT URETHRAL 6FR L12CM FOR HYPOSPADIAS AND EPISPADIAS REPA,79.13,79.13,,,0
CDM,27800067,STENT URO L12CM OD3.7FR PED KT DBL PGTL TETHERED GWIRE,300.0,300.0,,,0
CDM,27800068,151309 : NEEDLE CRYOABLATION 14GA SHFT L17.5CM ABLAT RAD W2.1XL29MM,4200.0,4200.0,,,0
CDM,27800068,151310 : NEEDLE CRYOABLATION 14GA SHFT L17.5CM ABLAT RAD W2.1XL13MM,3466.67,3466.67,,,0
CDM,27800068,405458 : NEEDLE CRYOABLATION 17GA SHFT L17.5CM 90DEG 3 FACET SHRP TIP,5028.0,5028.0,,,0
CDM,27800068,KIT NEEDLE ICESPHERE 2.1 CRYOABLATION,3120.0,3120.0,,,0
CDM,27800068,NEEDLE CRYOABLATION 14GA SHFT L17.5CM ABLAT RAD W2.1XL13MM,3332.57,3332.57,,,0
CDM,27800068,NEEDLE CRYOABLATION 14GA SHFT L17.5CM ABLAT RAD W2.1XL29MM,4200.0,4200.0,,,0
CDM,27800068,NEEDLE CRYOABLATION 17GA SHFT L17.5CM 90DEG 3 FACET SHRP TIP,5028.0,5028.0,,,0
CDM,27800069,PROSTHESIS PENILE L16-25CM DIA11MM HYDROVANTAGE HYDRPHLC 2,16070.4,16070.4,,,0
CDM,27800070,107964 : STENT NEPHURETSTMY DIA10.2MM 24CM DISTANCE BTWN PGTL,236.83,236.83,,,0
CDM,27800070,STENT NEPHURETSTMY DIA10.2MM 22CM DISTANCE BTWN PGTL,236.83,236.83,,,0
CDM,27800070,STENT RX BILIARY DB PRELOAD 7FR X 12CM BS 3423,608.26,608.26,,,0
CDM,27800070,STENT SOLUS DOUBLE PIGTAIL 10 FR 10 CM,364.8,364.8,,,0
CDM,27800070,STENT URET 8FR X 26CM HYDRPHLC SCFLD WIRE REINF TECH MR COND,816.0,816.0,,,0
CDM,27800070,STENT URETERAL 8.5FR L10CM GUIDEWIRE DIA0.035IN HYDROPHILIC,287.93,287.93,,,0
CDM,27800072,130494 : CATHETER ANGIO 5FR X 65CM VANSCHIE2 CRV BEAC TIP TORC NB,71.86,71.86,,,0
CDM,27800072,CATHETER ANGIO 5FR X 65CM VANSCHIE2 CRV BEAC TIP TORC NB,71.86,71.86,,,0
CDM,27800078,413795 : LEAD DP BRAIN STIM L42CM DIA0.5MM EMAN LJ53 W- MRK SENSIGHT,6795.36,6795.36,,,0
CDM,27800078,413796 : LEAD DP BRAIN STIM L42CM DIA0.5MM EMAN LJ53 SENSIGHT,6795.36,6795.36,,,0
CDM,27800078,418243 : LEAD B3301542 1.5MM 42CM DBS,6795.36,6795.36,,,0
CDM,27800078,418245 : LEAD B3301542M 1.5MM 42CM MARKER DBS,6795.36,6795.36,,,0
CDM,27800078,418247 : EXT B3400060 60CM DBS,1817.04,1817.04,,,0
CDM,27800078,EXT B3400060 60CM DBS,1817.04,1817.04,,,0
CDM,27800078,LEAD B3301542 1.5MM 42CM DBS,6795.36,6795.36,,,0
CDM,27800078,LEAD DP BRAIN STIM L42CM DIA0.5MM EMAN LJ53 SENSIGHT,6795.36,6795.36,,,0
CDM,27800079,407716 : LEAD SPC 52CM AV BPLR STR INGEVITY,1017.6,1017.6,,,0
CDM,27800079,407717 : LEAD SPC 59CM AV BPLR STR INGEVITY,1017.6,1017.6,,,0
CDM,27800079,CAPSURE SENSE PREFORM MRI LEAD,756.0,756.0,,,0
CDM,27800079,INGEVITY PLUS LD AF IS1 7840 45CM US ACTIVE FIX,1017.6,1017.6,,,0
CDM,27800079,LEAD SPC 52CM AV BPLR STR INGEVITY,1017.6,1017.6,,,0
CDM,27800080,405423 : LEAD DEFIB 72CM SGL COIL TRNSVEN R VENT SIL W- POLYUR DF4,5040.0,5040.0,,,0
CDM,27800081,129050 : SHEATH LSR 14FR L50CM LD 9.5FR TIP OD0.192IN ID0.134IN,7980.0,7980.0,,,0
CDM,27800081,129051 : SHEATH LSR 16FR L50CM LD 11.5FR TIP OD0.225IN ID0.164IN,7980.0,7980.0,,,0
CDM,27800081,SHEATH LSR 14FR L50CM LD 9.5FR TIP OD0.192IN ID0.134IN,7980.0,7980.0,,,0
CDM,27800082,119510 : CATHETER OCCL 9FR X 120CM BLLN 30ML DIA32MM L VES POLYUR TWO,1187.79,1187.79,,,0
CDM,27800082,145506 : MARKSMAN CATHETER 15CM,2107.2,2107.2,,,0
CDM,27800082,159909 : CATHETER OCCL 5FR L90CM BLLN L80MM DIA20MM BRDG,2340.0,2340.0,,,0
CDM,27800082,413025 : CATHETER NEUROVASC 8FR L95CM BLLN STR 2 PRT LUER HUB,4200.0,4200.0,,,0
CDM,27800082,90CM WALRUS 087 BALLOON GUIDE CATHETER SYSTEM DEVICE,4200.0,4200.0,,,0
CDM,27800082,CATH REDDICK CYSTIC 2405-53,424.94,424.94,,,0
CDM,27800082,CATHETER NEUROVASC 8FR L95CM BLLN STR 2 PRT LUER HUB,4200.0,4200.0,,,0
CDM,27800082,CATHETER OCCL 3FR L27CM BLLN DIA7MM POLYUR SAFE PLIABLE,927.6,927.6,,,0
CDM,27800082,CATHETER OCCL 4FR L27CM BLLN DIA9MM POLYUR SAFE PLIABLE,957.6,957.6,,,0
CDM,27800082,CATHETER OCCL 5FR L90CM BLLN L80MM DIA20MM BRDG,2308.0,2308.0,,,0
CDM,27800082,CATHETER OCCL 9FR X 120CM BLLN 30ML DIA32MM L VES POLYUR TWO,1165.35,1165.35,,,0
CDM,27800082,MARKSMAN CATHETER 15CM,2107.2,2107.2,,,0
CDM,27800082,SCEPTER C D4.0MM L10MM,2900.0,2900.0,,,0
CDM,27800084,29381 : SET ENDOSCP DIL 8-24FR X 37CM FASCIAL POLYETH INCL 0.038IN X,598.92,598.92,,,0
CDM,27800084,SET ENDOSCP DIL 8-24FR X 37CM FASCIAL POLYETH INCL 0.038IN X,590.48,590.48,,,0
CDM,27800085,370162 : CATHETER MAP 8FR L105CM SPC 3MM TIP 1MM L ATRIUM VENT DF CRV,6054.0,6054.0,,,0
CDM,27800085,418948 : TRIAL - CATHETER CARD ABLAT D-F CRV 2-2-2MM 8FR X 115CM BIDI,9680.0,9680.0,,,0
CDM,27800085,418949 : TRIAL - CATHETER CARD ABLAT F-J CRV 2-2-2MM 8FR X 115CM BIDI,9840.0,9840.0,,,0
CDM,27800085,CATHETER ABLAT L160CM DIA4MM BPLR ELECTRD W10XL15MM FOC DISP,3705.6,3705.6,,,0
CDM,27800085,CATHETER CARD ABLAT D-F CRV ELECTRD SPC 2-2-2MM 8FR L115CM,6960.0,6960.0,,,0
CDM,27800085,CATHETER MAP 8FR L105CM SPC 3MM TIP 1MM L ATRIUM VENT DF CRV,5814.19,5814.19,,,0
CDM,27800085,TRIAL - CATHETER CARD ABLAT D-F CRV 2-2-2MM 8FR X 115CM BIDI,9360.0,9360.0,,,0
CDM,27800090,CI622 COCHLEAR NUCLEUS CI622 COCHLEAR IMPLANT WITH SLIM STRA,36360.0,36360.0,,,0
CDM,27800096,16MM SILICONE ORBITAL SPHERE,144.0,144.0,,,0
CDM,27800096,18MM SILICONE ORBITAL SPHERE,144.0,144.0,,,0
CDM,27800096,524065 : 16MM SILICONE ORBITAL SPHERE,144.0,144.0,,,0
CDM,27800100,M4175 : WAND ABLATION 4.6MM 50DEG FOR AMBIENT HIPVAC 50 IFS M4175,1026.0,1026.0,,,0
CDM,27800101,138224 : MON LNQ11 REVEAL LINQ FAMILY,10080.0,10080.0,,,0
CDM,27800101,415763 : MON CARDIAC 3.4GM LNQ22,10428.0,10428.0,,,0
CDM,27800101,415765 : MON CARDIAC 3.4GM LNQ22SYS,10428.0,10428.0,,,0
CDM,27800101,MON CARDIAC 3.4GM LNQ22,10428.0,10428.0,,,0
CDM,27800101,MON LNQ11 REVEAL LINQ FAMILY,10080.0,10080.0,,,0
CDM,27800101,SYS INSERTABLE CARDIAC W MON LINQ II,10428.0,10428.0,,,0
CDM,27800252,480291 : VERCISE GENUS P32 IPG KIT,58080.0,58080.0,,,0
CDM,27800252,GENERATOR NEUROSTIM 45 GM 28ML 55MM X 60MM THCK 11MM SGL CHN,19720.8,19720.8,,,0
CDM,27800252,GENERATOR PLSE W5.55XH4.95CM THK1.34CM 48.9GM 30.4CUCM C,39979.2,39979.2,,,0
CDM,27800252,INS B35300 DBS PERCEPT RC US EMANUAL,61158.24,61158.24,,,0
CDM,27800255,409313 : SYSTEM ATHRCTMY 0.58IN X 135CM ROT INCL 1.25MM PRECONN BUR,5520.0,5520.0,,,0
CDM,27800255,409314 : SYSTEM ATHRCTMY 0.58IN X 135CM ROT INCL 1.5MM PRECONN BUR,5520.0,5520.0,,,0
CDM,27800255,CATHETER ATHRCTMY L135CM CRWN 1.25MM COR DIAMONDBACK 360,9588.0,9588.0,,,0
CDM,27800255,SYSTEM ATHRCTMY 0.58IN X 135CM ROT INCL 1.25MM PRECONN BUR,6691.85,6691.85,,,0
CDM,27800255,SYSTEM ATHRCTMY 0.58IN X 135CM ROT INCL 1.5MM PRECONN BUR,6712.23,6712.23,,,0
CDM,27800301,138856 : IMPLANT OTO 4MM TI W- ABTMNT BAHA B1300,3149.28,3149.28,,,0
CDM,27800301,147862 : IMPLANT OTO 3MM TI W- ABTMNT BAHA B1300,3149.28,3149.28,,,0
CDM,27800301,418955 : IMPLANT COCHLEAR MRI 3 0 TESLA CMPTBL PIEZO PWR TECH OSIA,11182.66,11182.66,,,0
CDM,27800301,HC 278 OR SUPPLIES L8690,5551.2,5551.2,,,0
CDM,27800301,IMPLANT COCHLEAR MRI 3 0 TESLA CMPTBL PIEZO PWR TECH OSIA,11182.66,11182.66,,,0
CDM,27800301,IMPLANT OTO 3MM TI W/ ABTMNT BAHA B1300,3149.28,3149.28,,,0
CDM,27800303,102137 : BALLOON DISECT ENDOSCP PREPERI RND PDB,1102.01,1102.01,,,0
CDM,27800303,BALLOON DISECT ENDOSCP PREPERI RND PDB,1338.61,1338.61,,,0
CDM,27800307,101958 : GRAFT CORNEAL W1XL1.5CM THK50-100UM BIO TRANSPLANTATION,1548.0,1548.0,,,0
CDM,27800307,138374 : GRAFT CORNEAL W2.0XL1.5CM THK50-100UM BIO TRANSPLANTATION,1944.0,1944.0,,,0
CDM,27800307,GRAFT CORNEAL W1XL1.5CM THK50-100UM BIO TRANSPLANTATION,1548.0,1548.0,,,0
CDM,27800313,16FR INTRODUCER CATH .003X15.5 GUIDEWIRE W NEEDLE CUP HOLDER,106.18,106.18,,,0
CDM,27800313,414560 : 16FR INTRODUCER CATH .003X15.5 GUIDEWIRE W NEEDLE CUP HOLDER,106.18,106.18,,,0
CDM,27800329,HC QUATTRODE TRIAL LEAD KIT,1440.0,1440.0,,,0
CDM,27800330,HC OCTRODE TRIAL LEAD KIT 60CM LENGTH,1440.0,1440.0,,,0
CDM,27800334,HC INFINION TRIAL LEAD KIT 50CM,1920.0,1920.0,,,0
CDM,27800335,HC TRIAL LEAD KIT 50CM - 90CM,3168.0,3168.0,,,0
CDM,27800338,"""EMBLEM S-ICD",9600.0,9600.0,,,0
CDM,27800338,245532 : EMBLEM S-ICD,9600.0,9600.0,,,0
CDM,27800338,SYSTEM ELECTRD DEL FOR EMBLEM S-ICD,3000.0,3000.0,,,0
CDM,27800340,HC EXTENDED DWELL CATHETER,121.31,121.31,,,0
CDM,27800351,127744 : KIT REP SS KNTLSS CANN FOR SYNDESMOSIS TGHTRP,3056.04,3056.04,,,0
CDM,27800351,3.5 VA GREATER TROCH HOOK PL/LRG/UNIV,6877.8,6877.8,,,0
CDM,27800351,3.5/4.5 VA PROX FEM HOOK PL/SMALL/354/LT,10252.8,10252.8,,,0
CDM,27800351,32950 : CATHETER ELECHEMSTAS 7FR L210CM 25GA NDL BPLR STD PLUG CONN,1119.7,1119.7,,,0
CDM,27800351,34165 : CATHETER ELECHEMSTAS 10FR L201CM NDL 25GA WRK CHN 3.7MM STD,1119.7,1119.7,,,0
CDM,27800351,35622 : CATHETER ANGIO 5FR L100CM NYL DAVIS CRV TAPR RADPQ TIP SS,54.91,54.91,,,0
CDM,27800351,356282 : SCREW BNE 1.5X5MM V2 NEURO DRL FREE TI-6AL-4V LEV 1 ONEDRIVE,96.0,96.0,,,0
CDM,27800351,356308 : PACK BTTRY REPL RECHRG DISP FOR PWD DRVR SUR,444.0,444.0,,,0
CDM,27800351,408748 : NESTER EMB MICROCOIL,253.51,253.51,,,0
CDM,27800351,420825 : DISC SPNL ARTFCL SM 4MM SIMPLIFY ST PK,12000.0,12000.0,,,0
CDM,27800351,420830 : DISC SPNL ARTFCL M 4MM SIMPLIFY ST PK,14976.0,14976.0,,,0
CDM,27800351,420831 : DISC SPNL ARTFCL M 5MM SIMPLIFY ST PK,14976.0,14976.0,,,0
CDM,27800351,420907 : DEVICE EMB 14MM DIA2.75MM NEUROVASC FLO DIVERTING,30000.0,30000.0,,,0
CDM,27800351,420931 : DEVICE EMB L14MM DIA3.5MM NEUROVASC FLO DIVERTING FLX BRD,30000.0,30000.0,,,0
CDM,27800351,420944 : DEVICE EMB L25MM DIA3.75MM NEUROVASC FLO DIVERTING FLX BRD,32400.0,32400.0,,,0
CDM,27800351,420958 : DEVICE EMB L14MM DIA4.25MM NEUROVASC FLO DIVERTING FLX BRD,30000.0,30000.0,,,0
CDM,27800351,420970 : DEVICE EMB L20MM DIA4.5MM NEUROVASC FLO DIVERTING FLX BRD,30000.0,30000.0,,,0
CDM,27800351,420975 : DEVICE EMB L12MM DIA4.75MM NEUROVASC FLO DIVERTING FLX BRD,30000.0,30000.0,,,0
CDM,27800351,420985 : DEVICE EMB L14MM DIA5MM NEUROVASC FLO DIVERTING FLX BRD SFT,30000.0,30000.0,,,0
CDM,27800351,420987 : DEVICE EMB L18MM DIA5MM NEUROVASC FLO DIVERTING FLX BRD SFT,30000.0,30000.0,,,0
CDM,27800351,420989 : DEVICE EMB L25MM DIA5MM NEUROVASC FLO DIVERTING FLX BRD SFT,32400.0,32400.0,,,0
CDM,27800351,420991 : DEVICE EMB L35MM DIA5MM NEUROVASC FLO DIVERTING FLX BRD SFT,32400.0,32400.0,,,0
CDM,27800351,420998 : COIL PERIPH VASC EMB DETACH 2MM X 4CM EMBOLD FBR,2196.0,2196.0,,,0
CDM,27800351,420999 : COIL PERIPH VASC EMB DETACH 2MM X 6CM EMBOLD FBR,2196.0,2196.0,,,0
CDM,27800351,421001 : COIL PERIPH VASC EMB DETACH 3MM X 12CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,421002 : COIL PERIPH VASC EMB DETACH 4MM X 8CM EMBOLD FBR,2196.0,2196.0,,,0
CDM,27800351,421003 : COIL PERIPH VASC EMB DETACH 4MM X 15CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,421004 : COIL PERIPH VASC EMB DETACH 5MM X 8CM EMBOLD FBR,2196.0,2196.0,,,0
CDM,27800351,421006 : COIL PERIPH VASC EMB DETACH 6MM X 10CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,421007 : COIL PERIPH VASC EMB DETACH 6MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,421008 : COIL PERIPH VASC EMB DETACH 8MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,421009 : COIL PERIPH VASC EMB DETACH 10MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,421267 : ROD SPNL TI ALLY 5.5MM X 200MM CREO,360.0,360.0,,,0
CDM,27800351,421276 : ANCHOR SPNL 13MM FOR INLINE INTEGR FIX TI COALITION MIS ACDF,180.0,180.0,,,0
CDM,27800351,421283 : CONNECTOR SPNL L400MM 5.5-6.35MM CLS IN LN W- INTEGR 5.5MM,1200.0,1200.0,,,0
CDM,27800351,421287 : CAP SPNL LOK THRD FEN CREO,120.0,120.0,,,0
CDM,27800351,421288 : CAP LOK FEN STBL SYS MIS CREO,120.0,120.0,,,0
CDM,27800351,421776 : STEM FEM 13MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
CDM,27800351,422030 : SWIVELOCK  SP BC KL 4.75MM,1287.0,1287.0,,,0
CDM,27800351,422031 : DOUBLE LD KNTLSS FIBERTAK KNEE,1365.0,1365.0,,,0
CDM,27800351,422958 : ROD SPNL L200MM DIA3.5MM OCCIPITOCERVICAL UP THOR TI PRECRV,960.0,960.0,,,0
CDM,27800351,422981 : ROD SPNL L450MM ANT POST SMTH STR FOR 6MM SCR PASS LP,720.0,720.0,,,0
CDM,27800351,422983 : ROD SPNL 5.5MM 4+ LEV COCR UNID EXP PT SPEC,3360.0,3360.0,,,0
CDM,27800351,424477 : SPACER SPNL LLIF 18X9X40MM 15DEG LORD TI 3D PRNT HEDRON L,10800.0,10800.0,,,0
CDM,27800351,425601 : SPACER SPNL ACDF 16X8X14MM 7DEG LORD PEEK TPS COLONIAL,1560.0,1560.0,,,0
CDM,27800351,425749 : SPACER SPNL LLIF 18X13X55MM 15DEG LORD TPS TRANSCONTINENTAL,8400.0,8400.0,,,0
CDM,27800351,429592 : ROD SPNL THORLUM 5.5X300MM SGL HEX END PRECONTOURED COCR,480.0,480.0,,,0
CDM,27800351,431610 : SPACER SPNL CERV W- NANOTECHNOLOGY 4.6 DEG 16MM 14MM 6MM,3760.8,3760.8,,,0
CDM,27800351,431613 : SPACER SPNL CERV W- NANOTECHNOLOGY 4.6 DEG 16MM 14MM 7MM,3760.8,3760.8,,,0
CDM,27800351,433163 : HOOK SPNL WIDE BLDE ST L CDH MODULEX,1260.0,1260.0,,,0
CDM,27800351,433169 : HOOK SPNL EXT BODY ST L CDH MODULEX,1260.0,1260.0,,,0
CDM,27800351,434830 : ROD SPNL 3.5MM X 90MM PRECUT COCR VRTX,336.0,336.0,,,0
CDM,27800351,434831 : ROD SPNL 3.5MM X 100MM PRECUT COCR VRTX,336.0,336.0,,,0
CDM,27800351,460697 : DISTAL LAT FEM PLT L 5.0MM  231MM-8 H,9283.2,9283.2,,,0
CDM,27800351,460705 : DISTAL LAT FEM PLT R 5.0MM  231MM-8 H,9283.2,9283.2,,,0
CDM,27800351,463397 : DISTAL FEM PLT L,9691.2,9691.2,,,0
CDM,27800351,485719 : PLUG VASCULAR L18MM DIA13MM VESSEL DIA7-9MM MICRO PERIPHERAL,3588.0,3588.0,,,0
CDM,27800351,485761 : MWCE-18-2-2-NESTER-010.018 ID PLATINUM MICRO NESTER COILS W,253.51,253.51,,,0
CDM,27800351,485842 : SPHERE EMBOLIZATION PRE FILLED SYRINGE ACRYLIC GEL 900-1200,696.0,696.0,,,0
CDM,27800351,487300 : OBSIDIO CONFORMABLE EMBOLIC SALES UNIT,10320.0,10320.0,,,0
CDM,27800351,490461 : THREADED ROD 350MM,147.17,147.17,,,0
CDM,27800351,534570 : IPS IMPLANT CRANIAL,25200.0,25200.0,,,0
CDM,27800351,534595 : VALVE MI 31MM H20MM CUF DIA39MM PORCINE TISS STENTED EPIC +,12720.0,12720.0,,,0
CDM,27800351,535338 : BAND 7700FB40 SIMUPLUS FLX 40MM,5892.0,5892.0,,,0
CDM,27800351,541072 : SYSTEM EMB 6X2MM MICROBRAID WEB 17 SL,39588.0,39588.0,,,0
CDM,27800351,546862 : AGENT SUBMUCOSAL LIFTING 1 GM ABSRB MOD POLYMR PWD 1 SYR,1200.0,1200.0,,,0
CDM,27800351,65610 : MICROCOIL EMB ART VEN PERIPH L14CM DIA6MM 7.4 LOOP,267.58,267.58,,,0
CDM,27800351,65611 : MICROCOIL EMB ART VEN PERIPH L14CM DIA8MM 5.6 LOOP,267.58,267.58,,,0
CDM,27800351,87279 : CATHETER ABLAT 4MM X 160CM BPLR ELECTRD 13MM X 20MM FOC DISP,3765.6,3765.6,,,0
CDM,27800351,ADAPTER HD 3.2-4 2 QUARTEX,1200.0,1200.0,,,0
CDM,27800351,ADAPTER SPNL OCT 2 HD FOR 3.2-4MM TO CREO THRD 5.5-6MM,1200.0,1200.0,,,0
CDM,27800351,ANCHOR SPNL 25MM LAT LUM,960.0,960.0,,,0
CDM,27800351,BASKET AIRWY RETRV DIA1MM POLYIMIDE PTFE SHTH L120CM WRK OPN,846.5,846.5,,,0
CDM,27800351,BASKET RETRV 2.4FR 12MM X 120CM 4 WIRE NIT FOR BILI STONE,653.18,653.18,,,0
CDM,27800351,CAP LOK FEN STBL SYS MIS CREO,120.0,120.0,,,0
CDM,27800351,CAP SPNL LOK THRD FEN CREO,120.0,120.0,,,0
CDM,27800351,CATHETER ELECHEMSTAS 10FR L201CM NDL 25GA WRK CHN 3.7MM STD,1119.7,1119.7,,,0
CDM,27800351,CATHETER ELECHEMSTAS 7FR L210CM 25GA NDL BPLR STD PLUG CONN,1119.7,1119.7,,,0
CDM,27800351,COIL EMB H2MM DIA4MM RECOMMENDED VIA17 CATH FOR ANEUR WEB SL,39588.0,39588.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 10MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 10MM X 30CM EMBOLD FBR,3067.2,3067.2,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 12MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 12MM X 30CM EMBOLD FBR,3067.2,3067.2,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 14MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 14MM X 30CM EMBOLD FBR,3067.2,3067.2,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 2MM X 4CM EMBOLD FBR,2196.0,2196.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 32MM X 60CM EMBOLD FBR,3067.2,3067.2,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 3MM X 12CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 3MM X 6CM EMBOLD FBR,2196.0,2196.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 4MM X 15CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 4MM X 8CM EMBOLD FBR,2196.0,2196.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 5MM X 15CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 5MM X 8CM EMBOLD FBR,2196.0,2196.0,,,0
CDM,27800351,COIL PERIPH VASC EMB DETACH 6MM X 10CM EMBOLD FBR,2436.0,2436.0,,,0
CDM,27800351,CONNECTOR SPNL 5.5-6.35 TO 5.5-6.35 INLINE CLS 2 SET SCR,720.0,720.0,,,0
CDM,27800351,CROSSLINK SPNL L 40-56MM OCCIPITOCERVICAL UP THOR MAS TO MAS,1056.0,1056.0,,,0
CDM,27800351,DEVICE EMB 12MM DIA2.75MM NEUROVASC FLO DIVERTING,30000.0,30000.0,,,0
CDM,27800351,DEVICE EMB L25MM DIA3.75MM NEUROVASC FLO DIVERTING FLX BRD,32400.0,32400.0,,,0
CDM,27800351,DILATOR VASC 8FR L20CM GWIRE 0.038IN STD,14.88,14.88,,,0
CDM,27800351,DISC SPNL ARTFCL L 5MM SIMPLIFY ST PK,12000.0,12000.0,,,0
CDM,27800351,DISC SPNL ARTFCL M 4MM SIMPLIFY ST PK,14976.0,14976.0,,,0
CDM,27800351,DISC SPNL ARTFCL M 5MM SIMPLIFY ST PK,12000.0,12000.0,,,0
CDM,27800351,DISTAL FEM PLT L,7269.6,7269.6,,,0
CDM,27800351,DISTAL LAT FEM PLT R 5.0MM  337MM/14 H,7636.8,7636.8,,,0
CDM,27800351,DISTAL LAT FIB PLT L 2.7/3.5MM  109MM/6 H,2880.0,2880.0,,,0
CDM,27800351,DISTAL LAT FIB PLT L 2.7/3.5MM  81MM/4 H,2700.0,2700.0,,,0
CDM,27800351,DISTAL LAT FIB PLT L 2.7/3.5MM 137MM/8 H,4428.0,4428.0,,,0
CDM,27800351,DISTAL POSTEROLATERAL FIB PLT R 2.7/3.5MM  95MM/5 H,2616.0,2616.0,,,0
CDM,27800351,DOUBLE LD KNTLSS FIBERTAK KNEE,1365.0,1365.0,,,0
CDM,27800351,HEAD UPLR DIA41MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
CDM,27800351,HOOK SPNL PEDCL ST SM CDH MODULEX,1260.0,1260.0,,,0
CDM,27800351,IMPLANT FACE ORBIT MIDFACE MAND ANG CHIN SU-POR PT SPEC,9360.0,9360.0,,,0
CDM,27800351,LINER ACET SZ C DIA38MM HIP COCR 2 MOBILITY G7,2397.6,2397.6,,,0
CDM,27800351,MWCE-18-2-2-NESTER-01*0.018 ID PLATINUM MICRO NESTER COILS W,253.51,253.51,,,0
CDM,27800351,NAIL IM L460MM OD11MM TI L FEM RECON AG FLUT T2 R1.5,7728.86,7728.86,,,0
CDM,27800351,OBSIDIO CONFORMABLE EMBOLIC SALES UNIT,10320.0,10320.0,,,0
CDM,27800351,ROD SPNL 3.5MM X 100MM PRECUT COCR VRTX,336.0,336.0,,,0
CDM,27800351,ROD SPNL 5.5MM 4+ LEV COCR UNID EXP PT SPEC,3360.0,3360.0,,,0
CDM,27800351,ROD SPNL 5.5X100MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
CDM,27800351,ROD SPNL 5.5X400MM POST STR TI ALLY CREO MIS,720.0,720.0,,,0
CDM,27800351,ROD SPNL L200MM DIA3.5MM OCCIPITOCERVICAL UP THOR TI PRECRV,960.0,960.0,,,0
CDM,27800351,ROD SPNL L450MM ANT POST SMTH STR FOR 6MM SCR PASS LP,720.0,720.0,,,0
CDM,27800351,ROD SPNL OCCIPITAL 4X240MM 100DEG QUARTEX,720.0,720.0,,,0
CDM,27800351,ROD SPNL OCT 3.5X100MM ADJ TI INFIN,720.0,720.0,,,0
CDM,27800351,ROD SPNL TI ALLY 5.5MM X 200MM CREO,360.0,360.0,,,0
CDM,27800351,ROD SPNL W12MM OFFSET DIA5.5MM 100-200MM TI ALLY Z CREO,840.0,840.0,,,0
CDM,27800351,SPACER SPNL 20 DEG 29MM X 39MM X 15MM CORBEL,20400.0,20400.0,,,0
CDM,27800351,SPACER SPNL ACDF 14X7X12MM 7DEG LORD PEEK TPS COLONIAL,1560.0,1560.0,,,0
CDM,27800351,SPACER SPNL LLIF 22X11X50MM 15DEG LORD TI 3D PRNT HEDRON L,10800.0,10800.0,,,0
CDM,27800351,SPACER SPNL THORLUM NANOLOCK SURF TI M 12 DEG 37MM X 29MM X,19152.0,19152.0,,,0
CDM,27800351,SPACER SPNL W10XH13XL26MM 15DEG TI POST LUM IF LORD BULL,5760.0,5760.0,,,0
CDM,27800351,SPACER SPNL W9XH12XL26MM 15DEG TI POST LUM IF LORD BULL NOSE,5760.0,5760.0,,,0
CDM,27800351,STEM FEM 9X90MM IM CEM OSS,3595.2,3595.2,,,0
CDM,27800351,SWIVELOCK  SP BC KL 4.75MM,1287.0,1287.0,,,0
CDM,27800351,SYSTEM EMB 6X2MM MICROBRAID WEB 17 SL,39588.0,39588.0,,,0
CDM,27800351,VALVE MI 27MM H17MM CUF DIA35MM PORCINE TISS STENTED EPIC +,12720.0,12720.0,,,0
CDM,27800351,WATCHMAN PROCEDURE  TRUSTEER ACCESS SYSTEM,3600.0,3600.0,,,0
CDM,27800358,HC 8 CONTACT TRIAL LEAD STANDARD SPACING 45CM,359.0,359.0,,,0
CDM,27800359,HC 8 CONTACT TRIAL LEAD STANDARD SPACING 60CM,359.0,359.0,,,0
CDM,27800364,"""LUTONIX .018"""" DCB 130CM 4X80MM """,4560.0,4560.0,,,0
CDM,27800364,143620 : CATHETER PTCA PACLITAXEL COAT BLLN L40MM DIA4MM L130CM SHTH,3960.0,3960.0,,,0
CDM,27800364,143624 : LUTONIX 035 130CM 5X60MM,3960.0,3960.0,,,0
CDM,27800364,143630 : LUTONIX 035 130CM5X100MM,3960.0,3960.0,,,0
CDM,27800364,143631 : CATHETER PTCA PACLITAXEL COAT BLLN L100MM DIA6MM L130CM SHTH,3960.0,3960.0,,,0
CDM,27800364,149006 : CATHETER PTCA PACLITAXEL COAT BLLN L150MM DIA6MM L130CM SHTH,4680.0,4680.0,,,0
CDM,27800364,360258 : CATHETER PTCA PACLITAXEL COAT BLLN L150MM DIA5MM L130CM SHTH,4680.0,4680.0,,,0
CDM,27800364,370277 : LUTONIX 6MM X 220MM,6120.0,6120.0,,,0
CDM,27800364,370281 : LUTONIX 7MM X 80MM,3960.0,3960.0,,,0
CDM,27800364,375971 : CATHETER PTCA L130CM BLLN L220MM DIA4MM GWIRE 0.018IN PERIPH,6720.0,6720.0,,,0
CDM,27800364,375972 : CATHETER PTCA L130CM BLLN L220MM DIA5MM GWIRE 0.018IN PERIPH,6720.0,6720.0,,,0
CDM,27800364,375973 : CATHETER PTCA L130CM BLLN L220MM DIA6MM GWIRE 0.018IN PERIPH,6720.0,6720.0,,,0
CDM,27800364,375974 : CATHETER PTCA L130CM BLLN L100MM DIA4MM GWIRE 0.018IN PERIPH,4560.0,4560.0,,,0
CDM,27800364,375975 : CATHETER PTCA L130CM BLLN L150MM DIA4MM GWIRE 0.018IN PERIPH,5280.0,5280.0,,,0
CDM,27800364,375976 : CATHETER PTCA L130CM BLLN L40MM DIA4MM SHTH 4FR GWIRE,4560.0,4560.0,,,0
CDM,27800364,375977 : CATHETER PTCA L130CM BLLN L60MM DIA4MM SHTH 4FR GWIRE,4560.0,4560.0,,,0
CDM,27800364,375980 : CATHETER PTCA L130CM BLLN L40MM DIA5MM GWIRE 0.018IN PERIPH,4560.0,4560.0,,,0
CDM,27800364,375983 : CATHETER PTCA L130CM BLLN L100MM DIA6MM GWIRE 0.018IN PERIPH,4560.0,4560.0,,,0
CDM,27800364,375984 : CATHETER PTCA L130CM BLLN L150MM DIA6MM GWIRE 0.018IN PERIPH,5280.0,5280.0,,,0
CDM,27800364,412378 : 6.0X40MM 80CM RANGER GLOBAL DCB OTW,2820.0,2820.0,,,0
CDM,27800364,CATHETER PTCA L130CM BLLN L100MM DIA4MM GWIRE 0.018IN PERIPH,4560.0,4560.0,,,0
CDM,27800364,CATHETER PTCA L130CM BLLN L150MM DIA4MM GWIRE 0.018IN PERIPH,5280.0,5280.0,,,0
CDM,27800364,CATHETER PTCA L130CM BLLN L220MM DIA4MM GWIRE 0.018IN PERIPH,6720.0,6720.0,,,0
CDM,27800364,CATHETER PTCA L130CM BLLN L220MM DIA5MM SHTH 5FR GWIRE,6120.0,6120.0,,,0
CDM,27800364,CATHETER PTCA L130CM BLLN L220MM DIA6MM GWIRE 0.018IN PERIPH,6720.0,6720.0,,,0
CDM,27800364,CATHETER PTCA L130CM BLLN L40MM DIA4MM SHTH 4FR GWIRE,4560.0,4560.0,,,0
CDM,27800364,CATHETER PTCA L130CM BLLN L60MM DIA4MM SHTH 4FR GWIRE,4560.0,4560.0,,,0
CDM,27800364,CATHETER PTCA PACLITAXEL COAT BLLN L100MM DIA4MM L130CM SHTH,3960.0,3960.0,,,0
CDM,27800364,CATHETER PTCA PACLITAXEL COAT BLLN L150MM DIA5MM L130CM SHTH,4680.0,4680.0,,,0
CDM,27800364,CATHETER PTCA PACLITAXEL COAT BLLN L40MM DIA5MM L130CM SHTH,3960.0,3960.0,,,0
CDM,27800364,CATHETER PTCA PACLITAXEL COAT BLLN L60MM DIA6MM L130CM,4560.0,4560.0,,,0
CDM,27800364,CATHETER PTCA PACLITAXEL COAT BLLN L60MM DIA6MM L130CM SHTH,3960.0,3960.0,,,0
CDM,27800364,LUTONIX 035 130CM 6X80MM,3960.0,3960.0,,,0
CDM,27800364,LUTONIX 6MM X 220MM,6120.0,6120.0,,,0
CDM,27800364,LUTONIX 7MM X 80MM,3960.0,3960.0,,,0
CDM,27800400,420498 : DEVICE L ATR APPENDAGE CLSR 12FR 20MM NIT FRME HEMOCOAT PET,40800.0,40800.0,,,0
CDM,27800400,420499 : DEVICE L ATR APPENDAGE CLSR 12FR 24MM NIT FRME HEMOCOAT PET,40800.0,40800.0,,,0
CDM,27800400,420500 : DEVICE L ATR APPENDAGE CLSR 12FR 27MM NIT FRME HEMOCOAT PET,40800.0,40800.0,,,0
CDM,27800400,420501 : DEVICE L ATR APPENDAGE CLSR 12FR 31MM NIT FRME HEMOCOAT PET,40800.0,40800.0,,,0
CDM,27800400,420502 : DEVICE L ATR APPENDAGE CLSR 12FR 35MM NIT FRME HEMOCOAT PET,40800.0,40800.0,,,0
CDM,27800400,DEVICE L ATR APPENDAGE CLSR 12FR 20MM NIT FRME HEMOCOAT PET,40800.0,40800.0,,,0
CDM,27800400,DEVICE L ATR APPENDAGE CLSR 12FR 27MM NIT FRME HEMOCOAT PET,42500.0,42500.0,,,0
CDM,27800400,DEVICE L ATR APPENDAGE CLSR 12FR 31MM NIT FRME HEMOCOAT PET,40800.0,40800.0,,,0
CDM,27800400,DEVICE L ATR APPENDAGE CLSR 12FR 35MM NIT FRME HEMOCOAT PET,40800.0,40800.0,,,0
CDM,27800400,HC 278 WO HCPCS WATCHMAN PRIMARY DEVICE,40800.0,40800.0,,,0
CDM,27800400,WATCHMAN FLX LAA CLOSURE 27MM US,40800.0,40800.0,,,0
CDM,27800401,414238 : SHEATH INTRO OD5MM ID4.2MM FIX DBL CRV ACCS SYS WATCHMAN,3538.96,3538.96,,,0
CDM,27800401,SHEATH INTRO OD5MM ID4.2MM FIX DBL CRV ACCS SYS WATCHMAN,3674.54,3674.54,,,0
CDM,27800401,WATCHMAN FXD CURVE ACCESS SYSTEM SGL US,11021.6,11021.6,,,0
CDM,27800416,HC MITRA CLIP G4 SYSTEM & COMPONENTS INCL CLIPS & STEERABLE CATHETER,75000.0,75000.0,,,0
CDM,27800417,408491 : IMPLANT LARYN CA HA GEL H2O BASE INJ PROLARYN +,1716.0,1716.0,,,0
CDM,27800417,IMPLANT CMF L CLEARFIT,25200.0,25200.0,,,0
CDM,27800417,IMPLANT LARYN 24GA 1ML TRNSOR CA HA FILL PERC INJ NCOR,1764.0,1764.0,,,0
CDM,27800418,117422 : APPLIER LIG CLP MD L11.5IN AUTO W- SUP INTLOK 30 TI CLP PREM,289.5,289.5,,,0
CDM,27800418,117423 : APPLIER CLP LG L13IN GRN TI CLP AUTO ATTCH HNDL INTEGR CART,125.67,125.67,,,0
CDM,27800418,117424 : APPLIER LIG CLP L9IN SM TI CLP SUP INTLOK SURGCLP III,271.84,271.84,,,0
CDM,27800418,117694 : NEEDLE LOC L15CM DIA21GA BRST LESION MOD NONPALPABLE DISP QK,61.28,61.28,,,0
CDM,27800418,122560 : MARKER BX SITE TI HR GLS SHP W- INTRO DEPLOYMENT METHD,210.24,210.24,,,0
CDM,27800418,122561 : BIOPSY SITE IDENTIFIER FOR USE W- EVIVA 13CM 1ST SHP,197.88,197.88,,,0
CDM,27800418,122562 : TRIMARK EVIVA 2S-13 PETITE,185.52,185.52,,,0
CDM,27800418,145530 : SECURMARK FOR MRI SS SHP 1,197.88,197.88,,,0
CDM,27800418,145531 : MARKER BRST BX SITE SS INFIN BIOABSRB W- INTRO FOR ATEC MRI,197.88,197.88,,,0
CDM,27800418,405441 : FIDUCIAL MARKER KIT 17G,676.8,676.8,,,0
CDM,27800418,413487 : TUMARK PROFESSIONALXSHAPE 10CM,197.88,197.88,,,0
CDM,27800418,413488 : TUMARK PROF Q SHP 10CM,197.88,197.88,,,0
CDM,27800418,413755 : MARKER RAD 18GA L7CM NDL CANN MAG MAGSEED,1380.0,1380.0,,,0
CDM,27800418,413756 : MARKER RAD 18GA L12CM NDL CANN MAG MAGSEED,1380.0,1380.0,,,0
CDM,27800418,57973 : NEEDLE LOC L9CM DIA20GA BRST REPOSITIONAL MRK SYS SPR HK,61.95,61.95,,,0
CDM,27800418,84489 : NEEDLE LOC 21GA L7CM FOR PREOPERATIVE MRK OF NONPALPABLE,61.94,61.94,,,0
CDM,27800418,84490 : NEEDLE LOC L5CM DIA21GA BRST LESION MOD NONPALPABLE DISP QK,61.95,61.95,,,0
CDM,27800418,APPLIER CLP LG L13IN GRN TI CLP AUTO ATTCH HNDL INTEGR CART,118.82,118.82,,,0
CDM,27800418,APPLIER LIG CLP L9IN SM TI CLP SUP INTLOK SURGCLP III,142.96,142.96,,,0
CDM,27800418,APPLIER LIG CLP MD L11.5IN AUTO W/ SUP INTLOK 30 TI CLP PREM,163.94,163.94,,,0
CDM,27800418,BIOPSY SITE IDENTIFIER FOR USE W/ EVIVA 13CM 1ST SHP,197.88,197.88,,,0
CDM,27800418,BREAST TISSUE MARKER,192.94,192.94,,,0
CDM,27800418,FIDUCIAL MARKER KIT 17G,676.8,676.8,,,0
CDM,27800418,FIDUCIAL PLACEMENT TEMPLATE 66-DA-FT-02,96.77,96.77,,,0
CDM,27800418,MARKER BRST BX SITE SS INFIN BIOABSRB W/ INTRO FOR ATEC MRI,197.88,197.88,,,0
CDM,27800418,MARKER BX SITE TI HR GLS SHP W/ INTRO DEPLOYMENT METHD,210.24,210.24,,,0
CDM,27800418,MARKER RAD 18GA L12CM NDL CANN MAG MAGSEED,1380.0,1380.0,,,0
CDM,27800418,NEEDLE LOC 20GA L7CM FOR PREOP MRK OF NONPALPABLE BRST,59.28,59.28,,,0
CDM,27800418,NEEDLE LOC 21GA L7CM FOR PREOPERATIVE MRK OF NONPALPABLE,59.57,59.57,,,0
CDM,27800418,NEEDLE LOC L15CM DIA21GA BRST LESION MOD NONPALPABLE DISP QK,59.28,59.28,,,0
CDM,27800418,NEEDLE LOC L5CM DIA21GA BRST LESION MOD NONPALPABLE DISP QK,59.71,59.71,,,0
CDM,27800418,NEEDLE LOC L9CM DIA20GA BRST REPOSITIONAL MRK SYS SPR HK,59.39,59.39,,,0
CDM,27800418,SECURMARK FOR MRI SS SHP 1,197.88,197.88,,,0
CDM,27800418,TRIMARK EVIVA 2S-13 PETITE,182.01,182.01,,,0
CDM,27800418,TUMARK PROF Q SHP 10CM,197.88,197.88,,,0
CDM,27800420,418951 : SHOCKWAVE C2+IVL CATH 2.5X12MM,11280.0,11280.0,,,0
CDM,27800420,418952 : SHOCKWAVE C2+IVL CATH 3.0X12MM,11280.0,11280.0,,,0
CDM,27800420,418953 : SHOCKWAVE C2+IVL CATH 3.5X12MM,11280.0,11280.0,,,0
CDM,27800420,418954 : SHOCKWAVE C2+IVL CATH 4.0X12MM,11280.0,11280.0,,,0
CDM,27800420,INACTIVE USE PS#418954 -  CATHETER INTVASC LITHO 6FR L138CM,11280.0,11280.0,,,0
CDM,27800420,SHOCKWAVE C2+IVL CATH 2.5X12MM,11280.0,11280.0,,,0
CDM,27800425,HC FLOWTRIEVER PRICE PER PROCEDURE (INARI),27500.0,27500.0,,,0
CDM,27800451,414660 : KIT IMPL PLSE GENRTR SENZA II,84000.0,84000.0,,,0
CDM,27800451,KIT IMPL PLSE GENRTR SENZA II,84000.0,84000.0,,,0
CDM,27800451,KIT NEUROSTIM CHRG OMNIA,2400.0,2400.0,,,0
CDM,27800466,546312 : PRECISE CNTR NYTEBYTE PART OSS PROS L1.00MM 546312,1310.16,1310.16,,,0
CDM,27800466,546351 : IMPLANT STAP CUP PIST BCKT HNDL 0.4MM PIST 4.50MML TI 546351,637.78,637.78,,,0
CDM,27800466,S 13370 BLUE TITANIUM BOBBIN VENT TUBE,214.27,214.27,,,0
CDM,27800503,421060 : PACLITAXEL-COATED BLLN CATH AGENT US MR 3.00 X 15MM,22720.0,22720.0,,,0
CDM,27800503,421065 : PACLITAXEL-COATED BLLN CATH AGENT US MR 2.50 X 20MM,22840.0,22840.0,,,0
CDM,27800503,421067 : PACLITAXEL-COATED BLLN CATH AGENT US MR 3.00 X 20MM,22840.0,22840.0,,,0
CDM,27800503,421068 : PACLITAXEL-COATED BLLN CATH AGENT US MR 3.50 X 20MM,22720.0,22720.0,,,0
CDM,27800503,421069 : PACLITAXEL-COATED BLLN CATH AGENT US MR 4.00 X 20MM,22840.0,22840.0,,,0
CDM,27800503,421072 : PACLITAXEL-COATED BLLN CATH AGENT US MR 2.50 X 30MM,17130.0,17130.0,,,0
CDM,27800503,421074 : PACLITAXEL-COATED BLLN CATH AGENT US MR 3.00 X 30MM,21292.5,21292.5,,,0
CDM,27800503,421075 : PACLITAXEL-COATED BLLN CATH AGENT US MR 3.50 X 30MM,19985.0,19985.0,,,0
CDM,27800503,421076 : PACLITAXEL-COATED BLLN CATH AGENT US MR 4.00 X 30MM,22600.0,22600.0,,,0
CDM,27800503,PACLITAXEL-COATED BLLN CATH AGENT US MR 2.25 X 30MM,16950.0,16950.0,,,0
CDM,27800503,PACLITAXEL-COATED BLLN CATH AGENT US MR 2.50 X 30MM,15820.0,15820.0,,,0
CDM,27800503,PACLITAXEL-COATED BLLN CATH AGENT US MR 3.00 X 15MM,16950.0,16950.0,,,0
CDM,27800503,PACLITAXEL-COATED BLLN CATH AGENT US MR 3.00 X 30MM,16995.0,16995.0,,,0
CDM,27800503,PACLITAXEL-COATED BLLN CATH AGENT US MR 3.50 X 15MM,15820.0,15820.0,,,0
CDM,27800503,PACLITAXEL-COATED BLLN CATH AGENT US MR 3.50 X 20MM,16950.0,16950.0,,,0
CDM,27800503,PACLITAXEL-COATED BLLN CATH AGENT US MR 4.00 X 20MM,17010.0,17010.0,,,0
CDM,27800503,PACLITAXEL-COATED BLLN CATH AGENT US MR 4.00 X 30MM,16950.0,16950.0,,,0
CDM,27800520,HC 278 WO HCPCS WATCHMAN TRICLIP STEERABLE CATHETER,93600.0,93600.0,,,0
CDM,27800521,TRICLIP STEERABLE GUID CATH,81900.0,81900.0,,,0
CDM,27800530,LIMFLOW V-CEIVER,75000.0,75000.0,,,0
CDM,27810000,104583 : FILTER VASC L320CM DIA0.014IN CATH DIA0.066IN 3MM LUMN 3MM,2700.0,2700.0,,,0
CDM,27810000,104584 : FILTER VASC L320CM DIA0.014IN CATH DIA0.066IN 4MM LUMN,2700.0,2700.0,,,0
CDM,27810000,124220 : FILTER EMB L 7.2MM X 190CM PROTCT EMBOSHIELD NAV6,2772.0,2772.0,,,0
CDM,27810000,65161 : SYSTEM EMB PROTCT VES L190MM DIA3.5-5.5MM 3.2FR CROSSING,4004.64,4004.64,,,0
CDM,27810000,FILTER EMB L 7.2MM X 190CM PROTCT EMBOSHIELD NAV6,2772.0,2772.0,,,0
CDM,27810000,FILTER VASC L320CM DIA0.014IN CATH DIA0.066IN 3MM LUMN 3MM,2700.0,2700.0,,,0
CDM,27810000,SYSTEM CEREB PROTCT FLTR 15X10MM VES 6.5X9-15MM GWIRE L175CM,9600.0,9600.0,,,0
CDM,27810000,SYSTEM EMB PROTCT VES L190MM DIA3.5-5.5MM 3.2FR CROSSING,3798.4,3798.4,,,0
CDM,27810000,SYSTEM NEUROPROTECTION TRANSCAROTID ANG TIP ART SHTH CONF,8877.6,8877.6,,,0
CDM,27810000,WEB SL 9 X 4 - ANEURYSM EMBOLIZATION SYSTEM,35880.0,35880.0,,,0
CDM,27810001,105879 : AMPLATZER DUCT OCCLUDER 10-8MM,10332.0,10332.0,,,0
CDM,27810001,18MM X 18MM TALISMAN PFO DEVICE,23988.0,23988.0,,,0
CDM,27810001,35MM X 25MM TALISMAN PFO DEVICE,23988.0,23988.0,,,0
CDM,27810001,413366 : OCCLUDER CV R-L ATR DISC DIA25X18MM RECOMMENDED SHTH 8FR,23988.0,23988.0,,,0
CDM,27810001,413367 : OCCLUDER CV R-L ATR DISC DIA30X25MM RECOMMENDED SHTH 9FR,23988.0,23988.0,,,0
CDM,27810001,413368 : 35MM X 25MM TALISMAN PFO DEVICE,23988.0,23988.0,,,0
CDM,27810001,44773 : AMPLATZER SEPTAL OCCLUDER,15895.2,15895.2,,,0
CDM,27810001,AMPLATZER SEPTAL OCCLUDER,15895.2,15895.2,,,0
CDM,27810001,OCCLUDER CV R/L ATR DISC DIA25X18MM RECOMMENDED SHTH 8FR,23988.0,23988.0,,,0
CDM,27810002,161572 : TRAY HAD AD L20CM DIA13FR POLYUR N COAT SYMMTRC 3L STR CATH,386.02,386.02,,,0
CDM,27810005,37615 : INTUBATION SET COLLARETTE SELF THREADING MONOKA M,264.0,264.0,,,0
CDM,27810005,INTUBATION SET COLLARETTE SELF THREADING MONOKA M,264.0,264.0,,,0
CDM,27810005,STENT LACR 40X2MM DIA0.64MM SIL FOR CANALICULAR LAC,576.0,576.0,,,0
CDM,27850003,HC NUCLETRON IR 192 HDR,1286.02,1286.02,,,0
CDM,27850030,126713 : RETRIEVER ENDOSCP CATH 6-7FR L200CM BLLN DIA9-12MM BILI 3L,591.58,591.58,,,0
CDM,27850030,126714 : BALLOON STONE RETRV L200CM DIA12-15MM CATH DIA7-6FR 0.035IN,591.58,591.58,,,0
CDM,27850030,126715 : CATHETER BLLN RETRV 7-6FR BLLN DIA15-18MM RX 3L ABV INJ EXTR,591.58,591.58,,,0
CDM,27850030,BALLOON STONE RETRV L200CM DIA12-15MM CATH DIA7-6FR 0.035IN,591.58,591.58,,,0
CDM,27850030,CATHETER BLLN RETRV 7-6FR BLLN DIA15-18MM RX 3L ABV INJ EXTR,591.58,591.58,,,0
CDM,27850030,RETRIEVER ENDOSCP CATH 6-7FR L200CM BLLN DIA9-12MM BILI 3L,591.58,591.58,,,0
CDM,27850044,HC BRACHY CATHETER,85.1,85.1,,,0
CDM,27850055,104461 : CATHETER EP DUO DECAPOLAR 7FR L95CM 2-8-2-(60)-2-8-2MM SPC,2813.28,2813.28,,,0
CDM,27850055,413506 : SSPC2 - SITE SELECTIVE PACING CATHETER-MULTIPURPOSE,1176.0,1176.0,,,0
CDM,27850055,CATHETER EP DUO DECAPOLAR 7FR L95CM 2-8-2-(60)-2-8-2MM SPC,2364.0,2364.0,,,0
CDM,27850055,PENTARAY NAV ECO 7FR D 4-4-4,4401.6,4401.6,,,0
CDM,27850055,SSPC2 - SITE SELECTIVE PACING CATHETER/MULTIPURPOSE,1176.0,1176.0,,,0
CDM,27850055,SSPC3 - SITE SELECTIVE PACING CATHETER/EXTENDED HOOK,1176.0,1176.0,,,0
CDM,27850057,136136 : CATHETER EP DECAPOLAR D CRV 2-8-2MM SPC 7FR L115CM TIP 2MM,2539.2,2539.2,,,0
CDM,27850057,136137 : CATHETER EP DECAPOLAR F CRV 2-8-2MM SPC 7FR L115CM TIP 2MM,2539.2,2539.2,,,0
CDM,27850057,251035 : CATHETER EP 7FR L115CM ELECTRD TIP 2MM SPC 2-8-2MM DF CRV BI,1322.4,1322.4,,,0
CDM,27850057,251050 : CATHETER EP HEXAPOLAR D-F CRV 1-6-2MM 8FR X 115CM TIP 3.5MM,8229.6,8229.6,,,0
CDM,27850057,485796 : CATHETER MAPPING 48 POLE F CURVE 2-2-2MM SPACING 8FR SPLINE,5649.6,5649.6,,,0
CDM,27850057,485798 : CATHETER MAPPING F CURVE ELECTRODE SPACING 3-3-3-3-3 2CM SPL,5649.6,5649.6,,,0
CDM,27850057,485799 : CATHETER MAPPING 8FR X 113CM D-F CURVE WITH TRUEREF TECHNOLO,5649.6,5649.6,,,0
CDM,27850057,485807 : CATHETER ELECTROPHYSIOLOGY D-F CURVE 1-6-2MM 115CM TIP 3.5MM,9240.0,9240.0,,,0
CDM,27850057,4MM NAVIGATIONAL BI-DIRECT,5289.6,5289.6,,,0
CDM,27850057,CATHETER ELECTROPHYSIOLOGY D-F CURVE 1-6-2MM 115CM TIP 3.5MM,9240.0,9240.0,,,0
CDM,27850057,CATHETER EP 7FR L115CM ELECTRD TIP 2MM SPC 2-8-2MM DF CRV BI,1322.4,1322.4,,,0
CDM,27850057,CATHETER EP DECAPOLAR D CRV 2-8-2MM SPC 7FR L115CM TIP 2MM,2539.2,2539.2,,,0
CDM,27850057,CATHETER EP HEXAPOLAR D-F CRV 1-6-2MM 8FR X 115CM TIP 3.5MM,8229.6,8229.6,,,0
CDM,27850057,CATHETER MAPPING 48 POLE F CURVE 2-2-2MM SPACING 8FR SPLINE,5649.6,5649.6,,,0
CDM,27850057,DEF 7F NS4PD1-7-4MMHYP115,4855.2,4855.2,,,0
CDM,27850059,100772 : CRYO STRAIGHT CATH ABLATION,4788.0,4788.0,,,0
CDM,27850059,104451 : CATHETER CARD ABLAT QPLR 7FR L115CM 2-5-2MM SPC 4MM TIP,1653.6,1653.6,,,0
CDM,27850059,419030 : CATHETER CARD CRYOABLATION 10.5FR L95CM INFLATED BLLN,11880.0,11880.0,,,0
CDM,27850059,CATHETER CARD ABLAT QPLR 7FR L115CM 2-5-2MM SPC 4MM TIP,1404.0,1404.0,,,0
CDM,27850059,CATHETER CARD CRYOABLATION 10.5FR L95CM INFLATED BLLN,11880.0,11880.0,,,0
CDM,27850059,CRYO STRAIGHT CATH ABLATION,4788.0,4788.0,,,0
CDM,27850059,INACTIVE USE PS#114808 -  PROBE HEMOSTASIS GOLD 10 MV,287.28,287.28,,,0
CDM,27850087,HC HICKMAN CATHETER 6/5,491.4,491.4,,,0
CDM,27850097,HC DIALYSIS SHORT TERM CATHETER,556.22,556.22,,,0
CDM,27850099,126376 : CATHETER US IMAG 3FR L135CM 0.18IN INTVASC VISIONS PV,1836.0,1836.0,,,0
CDM,27850099,135382 : CATHETER US 8.5FR L100CM GWIRE 0.035IN OTW DGT SHFT MRK PIM,2478.0,2478.0,,,0
CDM,27850099,437063 : OPTICROSS 6FR CORONARY IMAG CATHETER,1987.11,1987.11,,,0
CDM,27850099,485788 : CATHETER ULTRASOUND IMAGING 10FR FOR INTRACARDIAC ECHOCARDIO,8400.0,8400.0,,,0
CDM,27850099,CATHETER COR IMAG 5FR X 135CM PROX BIO-SLDE HYDRPHLC,2014.29,2014.29,,,0
CDM,27850099,CATHETER IMAG W/ DOC CVR 3ML PURGE SYR DRAGONFLY OPSTAR,1680.0,1680.0,,,0
CDM,27850099,CATHETER ULTRASOUND IMAGING 10FR FOR INTRACARDIAC ECHOCARDIO,8400.0,8400.0,,,0
CDM,27850099,CATHETER US 8.5FR L100CM GWIRE 0.035IN OTW DGT SHFT MRK PIM,2414.67,2414.67,,,0
CDM,27850099,CATHETER US IMAG 3FR L135CM 0.18IN INTVASC VISIONS PV,1772.0,1772.0,,,0
CDM,27850099,OPTICROSS HD-IVUS 60MHZ,1898.68,1898.68,,,0
CDM,27850113,101539 : CATHETER CARD ABLAT D-F CRV 1-7-4MM SPC 7FR L115CM ELECTRD,5289.6,5289.6,,,0
CDM,27850113,118546 : CATHETER US 8FR X 90CM ORNG HNDL BLU KNOB WHT FOR GE-VIVID I,6252.0,6252.0,,,0
CDM,27850113,251051 : CATHETER US 8FR X 90CM FOR GE-VIVID I GE-VIVID Q SOUNDSTAR,6028.8,6028.8,,,0
CDM,27850113,546601 : CATHETER INTCARD ECHOCARDIOGRAPHY 9FR L90CM FIX DST TIP L2CM,8640.0,8640.0,,,0
CDM,27850113,CATHETER CARD ABLAT D-F CRV 1-7-4MM SPC 7FR L115CM ELECTRD,5289.6,5289.6,,,0
CDM,27850113,CATHETER US 8FR X 90CM FOR GE-VIVID I GE-VIVID Q SOUNDSTAR,6028.8,6028.8,,,0
CDM,27850113,CATHETER US 8FR X 90CM ORNG HNDL BLU KNOB WHT FOR GE-VIVID I,6252.0,6252.0,,,0
CDM,27850124,104456 : INTRODUCER SHTH EP TRNSSEPT ACCS 8.5FR X 71CM AGILIS NXT SM,2080.42,2080.42,,,0
CDM,27850124,104460 : INTRODUCER SHTH TRNSSEPT 8.5FR L71CM DIL 8.5FR 22.4MM,2135.73,2135.73,,,0
CDM,27850124,112673 : INTRODUCER SHTH 8.5FR X 71CM AGILIS NXT L CURL 2-REACH BIDIR,2159.43,2159.43,,,0
CDM,27850124,128707 : SHEATH CARD 12FR X 65CM OD5MM ID4MM STEER DEFL FLEXCATH ADV,2880.0,2880.0,,,0
CDM,27850124,413872 : SET ACCS SOL INCL L180CM DIA0.035IN 24MM PGTL RF WIRE L10FT,3960.0,3960.0,,,0
CDM,27850124,INTRODUCER SHTH 8.5FR X 71CM AGILIS NXT L CURL 2-REACH BIDIR,1929.6,1929.6,,,0
CDM,27850124,INTRODUCER SHTH EP TRNSSEPT ACCS 8.5FR X 71CM AGILIS NXT SM,1929.6,1929.6,,,0
CDM,27850124,INTRODUCER SHTH TRNSSEPT 8.5FR L71CM DIL 8.5FR 22.4MM,1929.6,1929.6,,,0
CDM,27850124,SET ACCS SOL INCL L180CM DIA0.035IN 24MM PGTL RF WIRE L10FT,3960.0,3960.0,,,0
CDM,27850124,SHEATH CARD 12FR X 65CM OD5MM ID4MM STEER DEFL FLEXCATH ADV,2880.0,2880.0,,,0
CDM,27850138,HC NITINOL MNDRL GUIDEWIRE 40CM,25.0,25.0,,,0
CDM,27850141,102494 : DEVICE LD LOK 0.015-0.023IN X 65CM CLR STYL 0.012IN W-O LP,1516.0,1516.0,,,0
CDM,27850141,102495 : DEVICE LOK LD SZ E WRK L85CM RANG 0.015-0.38-0.023-0.58IN-MM,1516.0,1516.0,,,0
CDM,27850141,102497 : LLD 2,1516.0,1516.0,,,0
CDM,27850141,121534 : FRCP ENDOSCP SPEC RETRV 3.3FR L115CM PTFE SS ALGTR TOOTH SGL,843.65,843.65,,,0
CDM,27850141,368886 : ENSNARE SYSTEM 9-15MM,794.4,794.4,,,0
CDM,27850141,390996 : INDY OTW VASCULAR RETRIEVER INDY-8.0-35-100-40,1202.4,1202.4,,,0
CDM,27850141,420431 : SNARE RETRV L94CM DIA13MM CK FLO INTRO 16FR W- STR INNR SHTH,4320.0,4320.0,,,0
CDM,27850141,DELIVERY SYSTEM ITV 8F 4560 PKG STER,1855.2,1855.2,,,0
CDM,27850141,DEVICE LD LOK 0.015-0.023IN X 65CM CLR STYL 0.012IN W/O LP,1494.47,1494.47,,,0
CDM,27850141,FILTER TULIP RETRIEVAL SET,844.2,844.2,,,0
CDM,27850141,FRCP ENDOSCP SPEC RETRV 3.3FR L115CM PTFE SS ALGTR TOOTH SGL,771.28,771.28,,,0
CDM,27850141,INDY OTW VASCULAR RETRIEVER INDY-8.0-35-100-40,1318.39,1318.39,,,0
CDM,27850141,LLD #1,1476.0,1476.0,,,0
CDM,27850141,LLD #2,2082.4,2082.4,,,0
CDM,27850149,HC DAVOL PORT 6/6,1025.64,1025.64,,,0
CDM,27850150,HC DAVOL PORT LOW PROFILE,1131.48,1131.48,,,0
CDM,27850209,103293 : INTRODUCER SET,132.5,132.5,,,0
CDM,27850209,26691 : SET INTRO SHTH 18FR L20CM GWIRE DIA0.038IN SHTH L15.5CM,129.6,129.6,,,0
CDM,27850209,35560 : SET INTRO OD14FR STD LD PLCMNT COR SNUS ACCS NONHEMOSTATIC,106.18,106.18,,,0
CDM,27850209,408721 : SYSTEM INTRO SHTH 7FR L13CM ORNG HUB W- SIDEPRT SPLITTABLE,88.56,88.56,,,0
CDM,27850209,408724 : SYSTEM INTRO SHTH 9FR L13CM BLK HUB W- SIDEPRT SPLITTABLE,88.56,88.56,,,0
CDM,27850209,43935 : SILHOUETTE TRANSITIONLESS PEEL-AWAY INTRODUCER,132.5,132.5,,,0
CDM,27850209,44905 : SET INTRO 12FR L20CM SHTH L15.5CM 0.038IN STD 2 KNOB,111.5,111.5,,,0
CDM,27850209,AN MRI SAFE ACC KT W/ A 5 FR STYL LANC AND A PEEL AWAY SHTH,1200.0,1200.0,,,0
CDM,27850209,INACTIVE USE PS#103293 -  INTRODUCER SHTH 9FR L30CM CMPTBL G,132.5,132.5,,,0
CDM,27850209,INTRODUCER SET,132.5,132.5,,,0
CDM,27850209,SET INTRO 12FR L20CM SHTH L15.5CM 0.038IN STD 2 KNOB,111.5,111.5,,,0
CDM,27850209,SET INTRO OD14FR STD LD PLCMNT COR SNUS ACCS NONHEMOSTATIC,106.18,106.18,,,0
CDM,27850209,SET INTRO SHTH 18FR L20CM GWIRE DIA0.038IN SHTH L15.5CM,129.6,129.6,,,0
CDM,27850209,SILHOUETTE TRANSITIONLESS PEEL-AWAY INTRODUCER,132.5,132.5,,,0
CDM,27850209,SYSTEM INTRO SHTH 7FR L13CM ORNG HUB W/ SIDEPRT SPLITTABLE,88.12,88.12,,,0
CDM,27850209,SYSTEM INTRO SHTH 9FR L13CM BLK HUB W/ SIDEPRT SPLITTABLE,88.46,88.46,,,0
CDM,27850221,HC MICRO-ACCESS TEARAWAY INTRDCR,21.9,21.9,,,0
CDM,27850224,HC BRACHY NON STRAN YTTRIUM-90 PER SOURCE,50889.0,50889.0,,,0
CDM,27850253,HC BRACHY NON STRANDED I-125,125.0,125.0,,,0
CDM,27850256,HC BRACHY LINEAR NONSTRNDED P-103,138.0,138.0,,,0
CDM,27850260,HC BRACHY NON STRANDED C-131,212.0,212.0,,,0
CDM,27850260,SEED BRACHYTHERAPY CESIUM 131 THERAPY D GAMMATILE 4 PACK 4 S,59529.6,59529.6,,,0
CDM,27850260,SEED BRACHYTHERAPY CESIUM 131 THERAPY D GAMMATILE 7 PACK 4 S,35298.0,35298.0,,,0
CDM,27850260,SEED BRACHYTHERAPY CESIUM 131 THERAPY D GAMMATILE 9 PACK 4 S,107611.2,107611.2,,,0
CDM,27850429,HC XPEDE CEMENT,531.0,531.0,,,0
CDM,27850431,HC CATH HEMODIALYSIS LONG-TERM,527.98,527.98,,,0
CDM,27850436,HC DORSAL ROOT GANGLION SHEATH,1248.0,1248.0,,,0
CDM,27860000,546502 : IMPLANT SACROILIAC FUS 9.5MM X 40MM TI POR 3D PRNT TRIANG,21080.0,21080.0,,,0
CDM,27860000,HC 278 IFUSE BEDROCK GRANITE IMPLANT SYSTEM C1737,9300.0,9300.0,,,0
CDM,27860000,IMPLANT SACROILIAC 10X90MM TI ALLY COAT IFUSE-TORQ,6720.0,6720.0,,,0
CDM,27860000,IMPLANT SACROILIAC FUS 10.5MM X 50MM TI POR 3D PRNT TRIANG,9300.0,9300.0,,,0
CDM,27860000,IMPLANT SACROILIAC FUS 10.5MM X 80MM TI POR 3D PRNT TRIANG,12400.0,12400.0,,,0
CDM,27860000,IMPLANT SACROILIAC FUS 10.5MM X 90MM TI POR 3D PRNT TRIANG,12400.0,12400.0,,,0
CDM,27860000,IMPLANT SACROILIAC FUS 11.5MM X 100MM TI POR 3D PRNT TRIANG,8370.0,8370.0,,,0
CDM,27899998,413757 : MAGTRACE 10 VIAL,1782.0,1782.0,,,0
CDM,27899998,418513 : TRIAL - AXS UNIVERSAL ASPIRATION TUBING,0.01,0.01,,,0
CDM,27899998,419849 : SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 20MM,81600.0,81600.0,,,0
CDM,27899998,419850 : SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 23MM,81600.0,81600.0,,,0
CDM,27899998,419851 : SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 26MM,81600.0,81600.0,,,0
CDM,27899998,419852 : SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 29MM,81600.0,81600.0,,,0
CDM,27899998,546990 : PLATE BNE TIB MED L SZ 1 OPN WDG ACTIVMOTION S FOR HTO,4680.0,4680.0,,,0
CDM,27899998,546992 : SCREW BNE 4.5X40MM ST TI ALLY HI TIB DST FEM OSTEOTMY PLT,660.0,660.0,,,0
CDM,27899998,546994 : SCREW BNE 4.5X35MM ST TI ALLY HI TIB DST FEM OSTEOTMY PLT,660.0,660.0,,,0
CDM,27899998,546997 : SCREW BNE 4.5X55MM ST TI ALLY HI TIB DST FEM OSTEOTMY PLT,660.0,660.0,,,0
CDM,27899998,547005 : MEDIUM CRPL ARTC COMP,8563.2,8563.2,,,0
CDM,27899998,547008 : PLATE CRPL MD WRISTMOTION,1360.8,1360.8,,,0
CDM,27899998,547010 : SCREW BNE 4.5X10MM,681.6,681.6,,,0
CDM,27899998,547014 : SCREW BNE 4.5X30MM,681.6,681.6,,,0
CDM,27899998,547018 : POST CRPL 8MM TAPR WRISTMOTION,681.6,681.6,,,0
CDM,27899998,547022 : STEM RAD MD R WRISTMOTION,14270.4,14270.4,,,0
CDM,27899998,547034 : POLY RAD MD +0MM R WRISTMOTION,6115.2,6115.2,,,0
CDM,27899998,MAGTRACE 10 VIAL,2574.0,2574.0,,,0
CDM,27899998,SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 20MM,81600.0,81600.0,,,0
CDM,27899998,SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 23MM,78000.0,78000.0,,,0
CDM,27899998,SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 26MM,81600.0,81600.0,,,0
CDM,27899998,SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 29MM,81600.0,81600.0,,,0
CDM,27899998,TRIAL - AXS UNIVERSAL ASPIRATION TUBING,0.01,0.01,,,0
CDM,27899999,1.1MM K-WIRE,216.0,216.0,,,0
CDM,27899999,1.5MM STAINLESS STEEL FLEXINAIL,1048.8,1048.8,,,0
CDM,27899999,1.5X4 THREADED K-WIRE,156.0,156.0,,,0
CDM,27899999,1.8MM SMOOTH WIRE,331.42,331.42,,,0
CDM,27899999,10 MM TPAL,6244.39,6244.39,,,0
CDM,27899999,1016010 - VENT TUBE 1016010 5PK GOODE T 12MM SILIC,58.73,58.73,,,0
CDM,27899999,1025045 - VENT TUBE 1025045 5PK PAPA NTCH/TAB 1.52,39.58,39.58,,,0
CDM,27899999,1027070 - VENT TUBE 1027070 5PK REUTER BOBB TITAN,89.7,89.7,,,0
CDM,27899999,"1172.4121S - SABLE SPACER, 12X26, 7-14MM, 15°",13200.0,13200.0,,,0
CDM,27899999,11MM X 320MM TIBIAL NAIL,4368.0,4368.0,,,0
CDM,27899999,11MM/130 DEG CANN TFNA 400MM RIGHT FEMUR NAIL,7889.4,7889.4,,,0
CDM,27899999,12 HOLE 70MM,5691.6,5691.6,,,0
CDM,27899999,"1305225 - MODULUS ALIF BLADE, Ã5.0X22.5MM",1440.0,1440.0,,,0
CDM,27899999,"1350200P2 - MODULUS ALIF BOLT, Ã5.0X20MM FIX/2PK",1440.0,1440.0,,,0
CDM,27899999,"1350250P2 - MODULUS ALIF BOLT, Ã5.0X25MM FIX/2PK",1440.0,1440.0,,,0
CDM,27899999,"14FR X 1.0CM MINIONE BALLOON BUTTON - LOW PROFILE FEEDING DEVICE, MDR",276.0,276.0,,,0
CDM,27899999,1524105 - DEVICE 1524105 NASAL SEPTAL BUTTON SILIC,436.75,436.75,,,0
CDM,27899999,1532505 - SHEET 1532505 10PK SILICONE 5X5CM .13MM,47.98,47.98,,,0
CDM,27899999,1554300500 - ROD 1554300500 5.5 TIAL STRT LN 500MM S,432.0,432.0,,,0
CDM,27899999,1627H - ABSORBABLE SURGICAL SUTURE,18.14,18.14,,,0
CDM,27899999,165 MM FULLY THREADED,411.6,411.6,,,0
CDM,27899999,"1759450P2 - MODULUS XLIF PLATE, 8MM MODULAR",5760.0,5760.0,,,0
CDM,27899999,18 CM CYLINDER WITH PUMP,34065.6,34065.6,,,0
CDM,27899999,"1910110P2 - XLIF AMS PLATE, 10MM SINGLE-SIDED",5760.0,5760.0,,,0
CDM,27899999,"1921010P2 - MODULUS ALIF, 8X34X24MM 20°",15696.0,15696.0,,,0
CDM,27899999,"1921046P2 - MODULUS ALIF, 8X38X28MM 15°",15120.0,15120.0,,,0
CDM,27899999,"1921050P2 - MODULUS ALIF, 8X38X28MM 20°",15696.0,15696.0,,,0
CDM,27899999,"1921090P2 - MODULUS ALIF, 8X42X32MM 20°",15696.0,15696.0,,,0
CDM,27899999,"2.0 KWIRE, 150MM",108.24,108.24,,,0
CDM,27899999,2.0MM(100/15)MM THREADED WIRE,734.4,734.4,,,0
CDM,27899999,2.4 BONE DISTRACTOR HEX,223.2,223.2,,,0
CDM,27899999,2.5 X 38 MICRO ACUTRAK 3,1850.4,1850.4,,,0
CDM,27899999,2.7 MM VA LCP CLAVICLE SYSTEM,2808.0,2808.0,,,0
CDM,27899999,2.8MM Q-FIX ALL-SUTURE ANCHOR,1152.0,1152.0,,,0
CDM,27899999,200 CURVED RODS,360.0,360.0,,,0
CDM,27899999,20MM ANCHOR BOLT,340.8,340.8,,,0
CDM,27899999,23 MM ACT ARM,3508.8,3508.8,,,0
CDM,27899999,24442 - VENT TUBE 24442 10PK PAPA PAIR 1.02 SIL,43.49,43.49,,,0
CDM,27899999,25MM ANCHOR BOLT,340.8,340.8,,,0
CDM,27899999,28MM NANO ACUTRACK 3,1850.4,1850.4,,,0
CDM,27899999,3.5 100 DEGREE LOCKING PROXIMAL FEMUR PLATE,4560.84,4560.84,,,0
CDM,27899999,3.5 CABLE SADDLE,2268.0,2268.0,,,0
CDM,27899999,3.5 K-WIRE,57.6,57.6,,,0
CDM,27899999,3.5 LOW PRO CRVD RECON PL 88 RAD 14 H,3121.2,3121.2,,,0
CDM,27899999,3.5 LOW PRO RECONSTRUCTION PL 13 HOLES,2338.2,2338.2,,,0
CDM,27899999,3.5 LOW PRO RECONSTRUCTION PL 6 HOLES,1807.2,1807.2,,,0
CDM,27899999,3.5 STRAIGHT ROD,336.0,336.0,,,0
CDM,27899999,3.5MM STAR DRIVE 105MM,121.66,121.66,,,0
CDM,27899999,3.5X 75MM ROD,336.0,336.0,,,0
CDM,27899999,300 MM ROD,456.0,456.0,,,0
CDM,27899999,300 PRE BENT ROD,480.0,480.0,,,0
CDM,27899999,300MM ROD,456.0,456.0,,,0
CDM,27899999,300W S-ROD,480.0,480.0,,,0
CDM,27899999,3013,480.0,480.0,,,0
CDM,27899999,"3050-20013 - 13MM, 2.0 NANO ACUTRAK 3® BONE SCREW",1850.4,1850.4,,,0
CDM,27899999,30MM ANCHOR BOLT,340.8,340.8,,,0
CDM,27899999,30MM MEDTRONIC SIMUPLUS FLEXIBLE ANNULOPLASTY BAND,5892.0,5892.0,,,0
CDM,27899999,32-8105-027-04 - 32-8105-27-04,13101.6,13101.6,,,0
CDM,27899999,3240664 - ANATOMIC PEEK W/ NANO 16 X 14 X 6 X 4.6°,3760.8,3760.8,,,0
CDM,27899999,3240764 - ANATOMIC PEEK W/ NANO 16 X 14 X 7 X 4.6°,3760.8,3760.8,,,0
CDM,27899999,33680033,13922.4,13922.4,,,0
CDM,27899999,34MM MEMO 4D SEMIRIGID ANNULOPLASTY RING,4080.0,4080.0,,,0
CDM,27899999,"3900241 - RELINE C EYELET, SINGLE SHORT",1143.65,1143.65,,,0
CDM,27899999,"3943025 - RELINE C TI ROD, 3.5X25MM PRE BENT",457.46,457.46,,,0
CDM,27899999,"3949303 - RELINE C TI ROD, Ã4.0X200MM HINGE",2859.12,2859.12,,,0
CDM,27899999,4 PLUS SMOOTH TISSUE EXPANDER,3000.0,3000.0,,,0
CDM,27899999,4.0 X 250/100,662.81,662.81,,,0
CDM,27899999,4.0X100 ROD,240.0,240.0,,,0
CDM,27899999,4.0X110 ROD,457.46,457.46,,,0
CDM,27899999,4.0X90 ROD,240.0,240.0,,,0
CDM,27899999,4.5 CABLE SADDLE,2268.0,2268.0,,,0
CDM,27899999,4.5X 80 CORTEX,292.8,292.8,,,0
CDM,27899999,40 ROD,324.0,324.0,,,0
CDM,27899999,407911 : CONNECTOR SPNL BND TI TIP FLAT TBLR LIGAPASS 2.0,1920.0,1920.0,,,0
CDM,27899999,40MM ROD,324.0,324.0,,,0
CDM,27899999,41 BAND,48.0,48.0,,,0
CDM,27899999,"4129.2020S - FORTRESS-PLUS RADIOPAQUE BONE CEMENT, 20G",324.0,324.0,,,0
CDM,27899999,42-5402-000-38,960.0,960.0,,,0
CDM,27899999,"42722 - ICAST COVERED STENT SYSTEM, 7MMX22MMX120CM",7207.44,7207.44,,,0
CDM,27899999,"42859 - ICAST COVERED STENT SYSTEM, 8MMX59MMX120CM",7773.84,7773.84,,,0
CDM,27899999,45 CM DIRECTIONAL LEAD KIT,6720.0,6720.0,,,0
CDM,27899999,45 ROD,324.0,324.0,,,0
CDM,27899999,45CM LEAD KIT - MEDTONIC DB-2202-45,0.1,0.1,,,0
CDM,27899999,46590 : GRAFT DURA W1XL3IN ULT PURE CLLGN REGEN MTRX CLASS SGL UNIT,1273.5,1273.5,,,0
CDM,27899999,48630W - STAPLER 30 RELOAD WHITE,430.61,430.61,,,0
CDM,27899999,"48722 - ICAST COVERED STENT SYSTEM, 7MMX22MMX80CM",7207.44,7207.44,,,0
CDM,27899999,4X18 JONES TUBE,132.0,132.0,,,0
CDM,27899999,5-5061 - IPN029155 - NYLON BLACK MONOFILAMENT 2 C-12 1N 60,24.7,24.7,,,0
CDM,27899999,5.0 PIN,190.94,190.94,,,0
CDM,27899999,5.0 X 20MM ANCHOR,1440.0,1440.0,,,0
CDM,27899999,5.0 X 25,720.0,720.0,,,0
CDM,27899999,5.0MM TI LOCKING SCREW W/T25 STARDRIVE 64 MM F/IM NAIL-STER,792.0,792.0,,,0
CDM,27899999,5.5 MM ROD,554.4,554.4,,,0
CDM,27899999,5.5 PRE BENT ROD,1710.0,1710.0,,,0
CDM,27899999,5.5 ROD,503.3,503.3,,,0
CDM,27899999,5.5 X 40 RMAS,1476.0,1476.0,,,0
CDM,27899999,5.5 X 40 RUS,2040.0,2040.0,,,0
CDM,27899999,5.5X 300MM ROD,1080.0,1080.0,,,0
CDM,27899999,50 ROD,324.0,324.0,,,0
CDM,27899999,500MM ROD,432.0,432.0,,,0
CDM,27899999,534476 : BAND OPHTH L100MM 3.5X0.75MM TYP 41 SIL DISP,3.0,3.0,,,0
CDM,27899999,538435 : UNIPLANNING TEE 739335],3360.0,3360.0,,,0
CDM,27899999,547088 : SYSTEM SPNL CRD STIM RECHRG W/ ADAPTIVESTIM INTELLIS PRO,45621.6,45621.6,,,0
CDM,27899999,55 MM SHORT THREAD 6.5 CANN,445.82,445.82,,,0
CDM,27899999,559200067 - BIASED MAS 559200067 DOUBLE PACK HEAD/SS,3105.6,3105.6,,,0
CDM,27899999,55CM 8 CONTACT EXTENSION KIT,2016.0,2016.0,,,0
CDM,27899999,55MM ROD,324.0,324.0,,,0
CDM,27899999,5X 160X 55MM HALF PINS,324.0,324.0,,,0
CDM,27899999,5X160X35MM HALF PINS,324.0,324.0,,,0
CDM,27899999,5X200X65MM HALF PINS,324.0,324.0,,,0
CDM,27899999,6.0 + 450MM TITANIUM ROD,720.0,720.0,,,0
CDM,27899999,6.0 TI ROD,432.0,432.0,,,0
CDM,27899999,6.4MM X 240MM SLIM NAIL,4140.0,4140.0,,,0
CDM,27899999,6.5 X 35 RMAS,1476.0,1476.0,,,0
CDM,27899999,6.5 X 40 RMAS,1476.0,1476.0,,,0
CDM,27899999,6.5 X 45 RUS,2040.0,2040.0,,,0
CDM,27899999,6.5 X 65MM PARTIALLY THREADED SCREW,445.82,445.82,,,0
CDM,27899999,6.5X 40RMAS,1476.0,1476.0,,,0
CDM,27899999,60 MM SMALL BONE FIXATOR SHAFT,396.0,396.0,,,0
CDM,27899999,"60-000-23-09-LP - IMPLANT, CRANIAL, 00023, LP, PEEK",22896.0,22896.0,,,0
CDM,27899999,60MM SMALL BONE FIXATOR SHAFT,396.0,396.0,,,0
CDM,27899999,"635H - GUT, ABSORBABLE SURGICAL SUTURE",99.53,99.53,,,0
CDM,27899999,66910 : CATH CRAGGMC 5FRX100CMX50CMINF,364.56,364.56,,,0
CDM,27899999,70 ROD,324.0,324.0,,,0
CDM,27899999,"70-0053-224 - M00510020 - ENDOVIVE GASTROSTOMY TUBE, RIGHT ANGLE, WITH ENFIT CONNECTOR, 24FR",1248.0,1248.0,,,0
CDM,27899999,70MM ROD,457.46,457.46,,,0
CDM,27899999,71075310 - SMART TSF SHOULDER BOLT,384.0,384.0,,,0
CDM,27899999,75 MM ACUTRACT 7.5 SCREW,1744.8,1744.8,,,0
CDM,27899999,7B3050 - BBRAUN MEDICAL 21G X 4.4CM WINGED INF,96.48,96.48,,,0
CDM,27899999,80 FULL THREAD,743.4,743.4,,,0
CDM,27899999,80MM LOCKING,1855.2,1855.2,,,0
CDM,27899999,"8140-14-1.0 - 42725 - MIC-KEY* GASTROSTOMY FEEDING TUBE KIT, SECUR-LOK",260.62,260.62,,,0
CDM,27899999,814411360 - 8144-11-360,3687.6,3687.6,,,0
CDM,27899999,814650034,504.0,504.0,,,0
CDM,27899999,814650040,576.0,576.0,,,0
CDM,27899999,814650046,504.0,504.0,,,0
CDM,27899999,815409340,4368.0,4368.0,,,0
CDM,27899999,815409350,4992.0,4992.0,,,0
CDM,27899999,815410320,4368.0,4368.0,,,0
CDM,27899999,"82-3073 - 823073 - CODMAN® BACTISEAL® VENTRICULAR CATHETER WITH BACTISEAL SHUNT SYSTEMMR CONDITIONAL CONTENTS: VENTRICULAR CATHETER 14CM (1), RIGHT ANGLE ADAPTER (1); AD",913.99,913.99,,,0
CDM,27899999,8M02 - GORE-TEX SUTURE CV-8 76CM DOUBLEARM TTC-9-1DZ,87.29,87.29,,,0
CDM,27899999,9.5 MM X 50 MM IFUSE BEDROCK GRANITE IMPLANT,7440.0,7440.0,,,0
CDM,27899999,9.5MM X 90MM SCREW,7440.0,7440.0,,,0
CDM,27899999,9989517-045 MENTOR,3000.0,3000.0,,,0
CDM,27899999,9MM X 340MM ADOL LEFT NAIL,8154.91,8154.91,,,0
CDM,27899999,ABBOTT CINCH ANCHOR,192.0,192.0,,,0
CDM,27899999,ABBOTT ETERNA IMPLANTABLE PULSE GENERATOR,44400.0,44400.0,,,0
CDM,27899999,ABBOTT IMPLANTABLE PULSE GENERATOR,42000.0,42000.0,,,0
CDM,27899999,ABBOTT MITRAL EPIC PLUS SUPRA ANNULAR CUFF 33MM,12720.0,12720.0,,,0
CDM,27899999,"ABBOTT PENTA 3MM LEAD, 60CM",10800.0,10800.0,,,0
CDM,27899999,ABSORBABLE SUTURE,35.11,35.11,,,0
CDM,27899999,ACHILLES TENDON,3360.0,3360.0,,,0
CDM,27899999,ACUMED OS-PER-1001,5877.6,5877.6,,,0
CDM,27899999,ADAPTER DRIVERS,484.51,484.51,,,0
CDM,27899999,ADOLESCENT NAIL RIGHT 11MM X 400MM,8154.91,8154.91,,,0
CDM,27899999,AFFIXUS 010MM LENGTH 370 MM TIBIAL NAIL,4368.0,4368.0,,,0
CDM,27899999,"AFFIXUS 10MM, LENGTH 350MM TIBIAL NAIL",4992.0,4992.0,,,0
CDM,27899999,AFFIXUS 5 MM LENGTH 60 MM CORTICAL BONE SCREW,504.0,504.0,,,0
CDM,27899999,AFFIXUS CORTICAL BONE SCREW 34MM,504.0,504.0,,,0
CDM,27899999,AFFIXUS TBIAL NAIL 10MM X 330MM,4368.0,4368.0,,,0
CDM,27899999,AHMED GLAUCOMA VALVE,3600.0,3600.0,,,0
CDM,27899999,ALLODERM SELECT 16 X 20,70.16,70.16,,,0
CDM,27899999,ALLODERM SELECT 16 X 20 PERF-THK 2.0-2.8 [1519320P],3.22,3.22,,,0
CDM,27899999,ANATOMIC GLENOID,2880.0,2880.0,,,0
CDM,27899999,ANCHOR,384.0,384.0,,,0
CDM,27899999,ANCHOR BOLT,379.22,379.22,,,0
CDM,27899999,ANCHOR BOLT 20MM,340.8,340.8,,,0
CDM,27899999,ANGIODYNAMICS VORTEX DUAL LUMEN PORT,1142.16,1142.16,,,0
CDM,27899999,"ANTEGRADE FEMURNAIL 8.5X245MM,GT,TI",63463.2,63463.2,,,0
CDM,27899999,APREVO,62400.0,62400.0,,,0
CDM,27899999,AR-2923BCH - SUTR ANCH HIP BIO-COMP P-LCK 2.9X12.5MM,1092.0,1092.0,,,0
CDM,27899999,AR-3670 - FIBERTAK BICEPS IMPLANT SET,1625.52,1625.52,,,0
CDM,27899999,AR-7237-7 - FIBERTAPE,130.27,130.27,,,0
CDM,27899999,ARGYLE 62CM PERITONEAL DIALYSIS CATHETER,226.27,226.27,,,0
CDM,27899999,ARGYLE PERITONEAL DIALYSIS CATHETER,227.4,227.4,,,0
CDM,27899999,ARTHROFLEX ACELLULAR DERMAL MATRIX,321.3,321.3,,,0
CDM,27899999,"ARTHROFLEX, PER SQUARE CENTIMETER",296.58,296.58,,,0
CDM,27899999,ARTIA  RECONSTRUCTIVE TISSUE MATRIX,22452.0,22452.0,,,0
CDM,27899999,"ARTICULAR INSERT, DISHED LEGION XLPE 11MM SIZE 7-8",5552.74,5552.74,,,0
CDM,27899999,ASSEMBLY KIT,2155.2,2155.2,,,0
CDM,27899999,ATAA43120160A - EXC TAMBE 31MMX20MMX160MM 22FR,69600.0,69600.0,,,0
CDM,27899999,ATRICLIP FLEX V,4440.0,4440.0,,,0
CDM,27899999,ATRICURE ATRICLIP FLEX V 50,2880.0,2880.0,,,0
CDM,27899999,ATTRAX PUTTY,285.0,285.0,,,0
CDM,27899999,ATTRAX PUTTY 1CC,285.0,285.0,,,0
CDM,27899999,AUGMENT INJECTABLE KIT 3CC,8953.2,8953.2,,,0
CDM,27899999,AUTOGRAFT,0.01,0.01,,,0
CDM,27899999,AVANCE NERVE GRAFT,10365.6,10365.6,,,0
CDM,27899999,AXOGUARD HA+ NERVE PROTECTOR,7872.0,7872.0,,,0
CDM,27899999,AXOGUARD HA+ NERVE PROTECTOR 3X6,8966.4,8966.4,,,0
CDM,27899999,AZUR 18 PERIPHERAL COIL SYSTEM,2072.76,2072.76,,,0
CDM,27899999,AZUR HYDROPACK 18 PERIPHERAL COIL SYSTEM,3661.54,3661.54,,,0
CDM,27899999,AZUR HYDROPACK18 60CM,3880.8,3880.8,,,0
CDM,27899999,BAND OPHTH L100MM 3.5X0.75MM TYP 41 SIL DISP,144.0,144.0,,,0
CDM,27899999,BARD PTFE FELT,50.16,50.16,,,0
CDM,27899999,BARD VENTRALEX HERNIA PATCH,1456.08,1456.08,,,0
CDM,27899999,BASEPLATE 6.5MM WEDGE,4416.0,4416.0,,,0
CDM,27899999,BG3510-5-US - 10ML SYRINGE WITH STANDARD APPLICATOR TIPS,2383.2,2383.2,,,0
CDM,27899999,BILLE A ENUCLEATION 13MM,120.0,120.0,,,0
CDM,27899999,BIOCOMPOSITE,3480.0,3480.0,,,0
CDM,27899999,BIOINDUCTIVE IMPLANT W/ ARTHRO DEL PKG LARGE,4800.0,4800.0,,,0
CDM,27899999,BIOLOX DELTA OPTIN HIP SYSTEM CERAMIC HEAD 28MM HEAD TYPE 16/18 TAPER,1977.6,1977.6,,,0
CDM,27899999,BIOLOX OPTION HIP SYSTEM TAPER ADAPTER 3MM NECK TYPE I TAPER,239.78,239.78,,,0
CDM,27899999,BIOMET DISTAL CENTRALIZER/CENTERING SLEEVE,119.9,119.9,,,0
CDM,27899999,BLUNT GUIDE WIRE,88.13,88.13,,,0
CDM,27899999,BOINDUCTIVE IMPLANT W ARTH DEL MED,4800.0,4800.0,,,0
CDM,27899999,BONE ANCHORS,720.0,720.0,,,0
CDM,27899999,"BONE GRAFT SUBSTITUTE, PUTTY, 8X20MM",285.0,285.0,,,0
CDM,27899999,BONE VOID FILLER KIT,3780.0,3780.0,,,0
CDM,27899999,BOSTON SCIENTIFIC MODEL DB-2203-45 VERCISE CARTESIA,11880.0,11880.0,,,0
CDM,27899999,BOSTON SCIENTIFIC WALLFLEX ESOPHAGEAL,7696.18,7696.18,,,0
CDM,27899999,BOSTON ULTRAFLEX TRACHEOBANCHIAL 18MMX60MM,8534.4,8534.4,,,0
CDM,27899999,BOWED IM STEM WITH SCREW,3909.6,3909.6,,,0
CDM,27899999,BROVIAC 4.2 F SINGLE-LUMEN CV CATHETER,456.12,456.12,,,0
CDM,27899999,BUCKLE COMPONENT TYPE 240,48.0,48.0,,,0
CDM,27899999,BUCKLE COMPONENT TYPE 276,64.01,64.01,,,0
CDM,27899999,BURRHOLE DEFLECTOR,309.22,309.22,,,0
CDM,27899999,"BUTTON POLYESTER 9/16"" - 14MM",0.81,0.81,,,0
CDM,27899999,C01A - BONE CEMENT C01A HV-R US,203.86,203.86,,,0
CDM,27899999,CABLE BUTTON,326.4,326.4,,,0
CDM,27899999,CABLE READY CABLE GRIP SYSTEM,4473.6,4473.6,,,0
CDM,27899999,CABLE SADDLE 4.5,2268.0,2268.0,,,0
CDM,27899999,CANALICULUS INTUBATION SET,298.78,298.78,,,0
CDM,27899999,CANALICULUS INTUBATION SET 15 CM,298.78,298.78,,,0
CDM,27899999,CAPSULAR TENSION RING,429.6,429.6,,,0
CDM,27899999,CARDANIC EXTENSION,2640.0,2640.0,,,0
CDM,27899999,CARPENTIER-EDWARDS PHYSIO II ANNULOPLASTY RING,6240.0,6240.0,,,0
CDM,27899999,CATH CRAGGMC 5FRX100CMX50CMINF,364.56,364.56,,,0
CDM,27899999,CENTERED ALTO,1030.82,1030.82,,,0
CDM,27899999,CENTERED ALTO PARTIAL SIZERS INCLUDED TITANIUM/SILICONE,57.1,57.1,,,0
CDM,27899999,CERCLAGE CABLE WITH CRIMP,710.4,710.4,,,0
CDM,27899999,CG FUTURE ANNULOPLASTY BAND,5760.0,5760.0,,,0
CDM,27899999,CI1022 - COCHLEAR IMPLANT,38670.48,38670.48,,,0
CDM,27899999,CLAREON ASPHERIC UV ABSORBING IOL,355.2,355.2,,,0
CDM,27899999,CLAREON VIVITY 23.0,865.0,865.0,,,0
CDM,27899999,COCR STABILIZATION TULIP,660.0,660.0,,,0
CDM,27899999,CODMAN BACTISEAL VENTRICULAR CATHETER WITH BACTISEAL SHUNT SYSTEM,869.19,869.19,,,0
CDM,27899999,CODMAN CERTAS PLUS PROGRAMMABLE VALVE,9229.44,9229.44,,,0
CDM,27899999,CODMAN HOLTER SALMON RICKHAM,969.31,969.31,,,0
CDM,27899999,CODMAN VENTRICULAR CATHETER,913.99,913.99,,,0
CDM,27899999,"CODMAN® BACTISEAL® VENTRICULAR CATHETER WITH BACTISEAL SHUNT SYSTEMMR CONDITIONAL CONTENTS: VENTRICULAR CATHETER 14CM (1), RIGHT ANGLE ADAPTER (1); AD",860.23,860.23,,,0
CDM,27899999,COMPRESSION WIRE 1.6MM THREAD LENGHT 25 MM,262.8,262.8,,,0
CDM,27899999,CONNECTOR SPNL BND TI TIP FLAT TBLR LIGAPASS 2.0,1920.0,1920.0,,,0
CDM,27899999,CORNEAL TISSUE ALLOGRAFT,91.01,91.01,,,0
CDM,27899999,CORTICAL SCREW,1.58,1.58,,,0
CDM,27899999,CORTICAL SCREW 24MM,264.0,264.0,,,0
CDM,27899999,CORTILOC PEGGED GLENOID UHMWPE+COCR S35 ANATOMIC,2880.0,2880.0,,,0
CDM,27899999,COSTAL CARTILAGE,1080.0,1080.0,,,0
CDM,27899999,CRAWFORD LACRIMAL INTUBATION SET,235.2,235.2,,,0
CDM,27899999,CROSS CONNECTOR 49-59,1860.0,1860.0,,,0
CDM,27899999,CROSS LINKED POLY INSERT,4668.0,4668.0,,,0
CDM,27899999,CROSS-LINKED POLY INSERT SIDE 3+ H 12MM,4668.0,4668.0,,,0
CDM,27899999,CRYOPRESERVED ULTRA THICK HUMAN AMIOTIC MEMBRANE,2148.0,2148.0,,,0
CDM,27899999,CT4.5L35D-ST,660.0,660.0,,,0
CDM,27899999,CYLINDER SET- ZERO ANGLE,10336.8,10336.8,,,0
CDM,27899999,"CZ70BD.155 - CZ70BD - SINGLE-PIECE PMMA STERILE PCL (IOL/PC),12.5MM LENGTH, 7.0MM BICONVEX OPTIC,5-DEGREE SLANT(TM*) HAPTICS WITH EYELETS. *REG. U.S",120.0,120.0,,,0
CDM,27899999,DB-2201-45DC - 45CM LEAD KIT,6720.0,6720.0,,,0
CDM,27899999,DB-2202-45 - 45CM 8 CONTACT DBS DIRECTIONAL LEAD KIT,7560.0,7560.0,,,0
CDM,27899999,DEFLUX,57.91,57.91,,,0
CDM,27899999,DEPUY  02.112.620 CLAVICLE PLATE SYSTEM,2808.0,2808.0,,,0
CDM,27899999,DEPUY  N335277,1860.0,1860.0,,,0
CDM,27899999,DHS/DCS ONE-STEP LAG SCR 12.7 THRD/85,1249.2,1249.2,,,0
CDM,27899999,DISTRACTION ACTIVATION ARM,2160.0,2160.0,,,0
CDM,27899999,DKY214,2517.6,2517.6,,,0
CDM,27899999,DOMINO CONNECTOR TOP/TOP 5.5MM/6.0MM X 5.5MM/6.0MM,2006.4,2006.4,,,0
CDM,27899999,DUAL DIAMETER ROD 03.5 TO 4.0 X 420MM,1260.0,1260.0,,,0
CDM,27899999,DUAL MOBILITY VIVACIT-E VITAMIN E HIGHLY ROSSLINKED POLYETHYLENE BEARING 28MM I.D 38MM O.D. SIZE C,2109.6,2109.6,,,0
CDM,27899999,DVR CROSSLOCK WRIST SPANNING PLATE 180MM,3696.0,3696.0,,,0
CDM,27899999,DWJ013,3060.0,3060.0,,,0
CDM,27899999,DWP4366,3360.0,3360.0,,,0
CDM,27899999,EBO101 - CEMENT RESTRICTOR,448.8,448.8,,,0
CDM,27899999,EDWARDS MC3 TRICUSPID ANNULOPLASTY RING,3948.0,3948.0,,,0
CDM,27899999,ELECTRODE DEPTH L40.5MM DIA0.8MM 12 CNTCT INT CEREB PLA,8040.0,8040.0,,,0
CDM,27899999,ELECTRODE SURFACE 6 CONTACT,1080.0,1080.0,,,0
CDM,27899999,END CAP,382.08,382.08,,,0
CDM,27899999,ENDOTINE FOREHEAD 3.0,774.0,774.0,,,0
CDM,27899999,ENDOTINE FOREHEAD 3.5,786.0,786.0,,,0
CDM,27899999,ENDOTINE IMPLANT,611.34,611.34,,,0
CDM,27899999,"ENDOVIVE GASTROSTOMY TUBE, RIGHT ANGLE, WITH ENFIT CONNECTOR, 24FR",249.6,249.6,,,0
CDM,27899999,ENDOVIVE SAFETY PEG KIT 20FR,76.27,76.27,,,0
CDM,27899999,ENROUTE TRANSCAROTID STENT SYSTEM,6600.0,6600.0,,,0
CDM,27899999,ENUCLEATION EVISCERATION IMPLANT,144.0,144.0,,,0
CDM,27899999,ETERNA,44400.0,44400.0,,,0
CDM,27899999,EVOQUE BUNDLE,103200.0,103200.0,,,0
CDM,27899999,EVOS CABLE SADDLE,2268.0,2268.0,,,0
CDM,27899999,EXINF922016 - INFRAME IS A STAINLESS STEEL BONE SCREW,3600.0,3600.0,,,0
CDM,27899999,EXINN921509 - NANOPHIX¢ IMPLANT 1.5MM X 9MM,2388.0,2388.0,,,0
CDM,27899999,EXINN923650 - INNATE IS A STAINLESS STEEL BONE SCREW,3600.0,3600.0,,,0
CDM,27899999,EXPANDER  PMT 6X18 CM RECTANGULA,3384.0,3384.0,,,0
CDM,27899999,EXTENDED BODY HOOK,900.0,900.0,,,0
CDM,27899999,EYELET SINGLE SHORT,1143.65,1143.65,,,0
CDM,27899999,FCI SILICONE ORBITAL IMPLANT,144.0,144.0,,,0
CDM,27899999,FIBERTAG TIGHTROPE II IMPLANT WITH NEEDLE,1547.52,1547.52,,,0
CDM,27899999,FIBRIN SEALANT PATCH,1047.6,1047.6,,,0
CDM,27899999,FIDUCIAL,194.4,194.4,,,0
CDM,27899999,FRESH FROZEN FIBULA STRUT 5.0,1508.57,1508.57,,,0
CDM,27899999,FRONTALIS SUSPENSION SET,260.3,260.3,,,0
CDM,27899999,G7 ACETABULAR SYSTEM DUAL MOBILITY ACETABULAR LINER NEUTRIAL 38MM C LINER SIZE,2397.6,2397.6,,,0
CDM,27899999,GASTROINTESTINAL ANCHOR SET,290.9,290.9,,,0
CDM,27899999,GEM COUPLER 2.0MM,598.01,598.01,,,0
CDM,27899999,GLENOSPHERE IMPLANT SIZE 32 STD,3840.0,3840.0,,,0
CDM,27899999,GLOBUS  7146.0110,660.0,660.0,,,0
CDM,27899999,GORE EXCLUDER THORACOABDOMINAL BRANCH ENDOPROSTHESIS,69600.0,69600.0,,,0
CDM,27899999,GORE VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS,8548.8,8548.8,,,0
CDM,27899999,GORE VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS 5MM X 79MM (6FR),8889.6,8889.6,,,0
CDM,27899999,GRAFT BNE SUB POR GRAN 5CC VI 85% B-TCP 15% HA CERAMIC RESRB,532.8,532.8,,,0
CDM,27899999,GRAFT CORNEA SPL THCK HALF MOON,996.0,996.0,,,0
CDM,27899999,GRAFT CORNEA SPL THCK HALF MOON - LOG7370585,2390.4,2390.4,,,0
CDM,27899999,GRAFT CORNEAL W2.0X1.5CM,1944.0,1944.0,,,0
CDM,27899999,GRAFT DURA W1XL3IN ULT PURE CLLGN REGEN MTRX CLASS SGL UNIT,1273.51,1273.51,,,0
CDM,27899999,GRAFT DURAGEN 1X1 ID-1105,725.5,725.5,,,0
CDM,27899999,GRAFT DURAGEN 2X2 ID-2205,824.86,824.86,,,0
CDM,27899999,GRAFT DURAGEN 3X3 ID-3305,1744.22,1744.22,,,0
CDM,27899999,GRAFT EVAR AAA CVR AORT EXT 32MM X 4.5CM,10826.4,10826.4,,,0
CDM,27899999,GT-001 - PRELOADED FLEXIBLE BRAIDED STRANDS WITH CS-131 BRACHYTHERAPY SEEDS INSIDE A PURIFIED COLLAGEN CARRIER,54000.0,54000.0,,,0
CDM,27899999,HEALICOIL PK5.5MM SUTURE ANCHOR,788.4,788.4,,,0
CDM,27899999,HEDRON C SPACER,1800.0,1800.0,,,0
CDM,27899999,HICKMAN 7 F DUAL-LUMEN CV CATHETER,491.4,491.4,,,0
CDM,27899999,"HP60-200-20B - HALF PIN, ORTHEX 6.0X200X20 BUTTON, HA",707.11,707.11,,,0
CDM,27899999,HUMERAL NAIL,3110.4,3110.4,,,0
CDM,27899999,HUMERAL SACER IMPLANT +12MM,4560.0,4560.0,,,0
CDM,27899999,HUMERAL SPACER CONNECTION D 10MM,34560.0,34560.0,,,0
CDM,27899999,HUMERAL SPACER CONNECTOR 20MM,3540.0,3540.0,,,0
CDM,27899999,HUMERAL SPOOL,5469.6,5469.6,,,0
CDM,27899999,HUMERAL STEM,10936.8,10936.8,,,0
CDM,27899999,"HYDROSET, 15CC",10505.98,10505.98,,,0
CDM,27899999,I FUSE BEDROCK GRANITE IMPLANT 9.5MMX60MM,7440.0,7440.0,,,0
CDM,27899999,ICAST 7MM X 22MM,8399.98,8399.98,,,0
CDM,27899999,ICAST COVERED STENT SYSTEM,7207.44,7207.44,,,0
CDM,27899999,ICAST STENT,6193.8,6193.8,,,0
CDM,27899999,IFUSE BEDROCK GRANIT IMPLANT,7440.0,7440.0,,,0
CDM,27899999,IMPLANT BIO TISS 1X8CM PTCH VASC BOV PERICARD,359.83,359.83,,,0
CDM,27899999,IMPLANT COCHLEAR W/ SLIM MOD ELECTRD NUC PROF,37560.0,37560.0,,,0
CDM,27899999,IMPLANT CRANIAL,25200.0,25200.0,,,0
CDM,27899999,IMPLANT MANDIBLE ONLAY,12816.0,12816.0,,,0
CDM,27899999,IMPLANT RECORD,18593.7,18593.7,,,0
CDM,27899999,"IMPLANT SYSTEM, MENISCAL ROOT REPAIR WITH BIOCOMPOSITE SWIVELOCK",4421.04,4421.04,,,0
CDM,27899999,"IMPLANT, CRANIAL",14256.0,14256.0,,,0
CDM,27899999,IN FRAME IMPLANT2.0MMX22MM,4500.0,4500.0,,,0
CDM,27899999,IN LINE CONNECTOR,1200.0,1200.0,,,0
CDM,27899999,INACTIVE USE PS#104638 -  6250-MPX CS CATHETER MULTIPURPOSE,480.0,480.0,,,0
CDM,27899999,INATE IMPLANT,3600.0,3600.0,,,0
CDM,27899999,INBONE EVERLAST CROSS-LINKED POLY INSERT,4668.0,4668.0,,,0
CDM,27899999,"INBONE TIBIAL MID STEM TI6AI4V, CPTI",1428.0,1428.0,,,0
CDM,27899999,INBONE TIBIAL TRAY LEFT TI6AI4V CPTI,3957.6,3957.6,,,0
CDM,27899999,"INBONE TIBIAL TRAY, LEFT TI6AI4V, CPTI, SIZE 4 LONG",3775.2,3775.2,,,0
CDM,27899999,INFRAME IMPLANT,3600.0,3600.0,,,0
CDM,27899999,INNATE 3.6 X 45 MM,3600.0,3600.0,,,0
CDM,27899999,INNATE IMPLANT 3.6 MM X 45 MM,4500.0,4500.0,,,0
CDM,27899999,INNATE IMPLANT 4.5MMX40MM,3600.0,3600.0,,,0
CDM,27899999,"INNATE IMPLANT, 3.6MMX45MM",5280.0,5280.0,,,0
CDM,27899999,"INNATE IMPLANT, 4.5MM X 55MM",3600.0,3600.0,,,0
CDM,27899999,INTEGRA BILAYER MATRIX WOUND DRESSING,794.17,794.17,,,0
CDM,27899999,INTRAOCCULAR LENS - clareon iol,355.2,355.2,,,0
CDM,27899999,"J790D - VIOLET BRAIDED (POLYGLACTIN 910), SYNTHETIC ABSORBABLE SUTURE",47.04,47.04,,,0
CDM,27899999,JONES TUBE,336.0,336.0,,,0
CDM,27899999,K WRE FIX L4IN DIA0.035IN SMOOTH DBL TRCR PT,15.29,15.29,,,0
CDM,27899999,K-WIRE 1.6MMX229MM,15.25,15.25,,,0
CDM,27899999,K-WIRE DOUBLE TROCAR .035 X 4,122.4,122.4,,,0
CDM,27899999,"K400-18BNA - WIRE, SHARP BAYONET, 400MM X 1.8MM, HA COATED (STERILE)",1215.86,1215.86,,,0
CDM,27899999,KLS MARTIN SCREW,180.0,180.0,,,0
CDM,27899999,KYPHON XPEDE BONE CEMENT,400.58,400.58,,,0
CDM,27899999,LAPAROSCOPIC SELF-FIXATING MESH 16 CM X 12 CM,1064.33,1064.33,,,0
CDM,27899999,LARGE LATERAL OFF SET CONNECTOR SPINAL ROD,1118.4,1118.4,,,0
CDM,27899999,LARGE NARROW BLADE TRANSVERSE HOOK,900.0,900.0,,,0
CDM,27899999,LATERAL OFF SET,1860.0,1860.0,,,0
CDM,27899999,LATERAL OFF SET LONG,1292.76,1292.76,,,0
CDM,27899999,LEAD,1440.0,1440.0,,,0
CDM,27899999,LEAD NEURO STIMULATOR ANCHOR SC-4318,420.0,420.0,,,0
CDM,27899999,LIFENET HEALTH,2346.0,2346.0,,,0
CDM,27899999,LINE STRAIGHT 500MM ROD,432.0,432.0,,,0
CDM,27899999,LINED STRAIGHT ROD,432.0,432.0,,,0
CDM,27899999,LOCKADO REPOSITIONABLE HEMOSTASIS CLIP,216.0,216.0,,,0
CDM,27899999,LUMICOIL PLAINUM MARKER,520.56,520.56,,,0
CDM,27899999,M00202175426T0 - HEMASHIELD PLATINUM WOVEN THORACOABDOMINAL 4 BRANCH DOUBLE VELOUR VASCULAR GRAFT WITH GRAFT SIZER ACCESSORY,5868.31,5868.31,,,0
CDM,27899999,"M1-5-1410 - 14FR X 1.0CM MINIONE BALLOON BUTTON - LOW PROFILE FEEDING DEVICE, MDR",981.89,981.89,,,0
CDM,27899999,M3556 : TISSEEL FIBRIN SEALANT KIT WITH PREFILLED DUPLOJECT APPLICAT,1451.5,1451.5,,,0
CDM,27899999,"M365DB2203450 - DB-2203-45 - DIRECTIONAL LEAD KIT, 16 CONTACT, 45CM",11880.0,11880.0,,,0
CDM,27899999,"M365DB3216550 - DB-3216-55 - 16 CONTACT LEAD EXTENSION KIT, 55 CM",5580.0,5580.0,,,0
CDM,27899999,M365DB55900 - DB-5590 - CONTROLLER PATIENT KIT,3360.0,3360.0,,,0
CDM,27899999,MAGNET PT PRGMR FOR PROCLAIM SYS,0.01,0.01,,,0
CDM,27899999,MALE SLING SYSTEM/ADVANCE XP,23772.0,23772.0,,,0
CDM,27899999,MANTIS CLIP,1012.8,1012.8,,,0
CDM,27899999,MATRIDERM,4821.86,4821.86,,,0
CDM,27899999,"MATRIX STERNUM SQUARE PLATE, LARGE 4 HOLES",1710.0,1710.0,,,0
CDM,27899999,MEDIUM EXT BODY TRANSVERSE PROCESS HOOK,900.0,900.0,,,0
CDM,27899999,MEDIUM GOLD COVER,300.67,300.67,,,0
CDM,27899999,MEDIUM NARROW BLADE PROCESS HOOK,900.0,900.0,,,0
CDM,27899999,MEDTRONIC PIPELINE PED3-021-275-16,30000.0,30000.0,,,0
CDM,27899999,MEMORY GEL XTRA BREAST IMPLANT SMOOTH MODERATE HIGH PROFILE XTRA SILICONE GEL-FILLED BREAST IMPLANT,2280.0,2280.0,,,0
CDM,27899999,MENTOR BREAST IMPLANT,1860.0,1860.0,,,0
CDM,27899999,"MENTOR CPX 4 PLUS, SMOOTH, MEDIUM HEIGHT",3000.0,3000.0,,,0
CDM,27899999,MENTOR MEMORY GEL BOOST BREAST IMPLANT,2520.0,2520.0,,,0
CDM,27899999,MENTOR MEMORY GEL SMOOTH MODERATE HIGH PROFILE BREAST IMPLANT 545CC,2520.0,2520.0,,,0
CDM,27899999,MENTOR MEMORYGEL BOOST SMOOTH MODERATE HIGH BREAST IMPLANT,2520.0,2520.0,,,0
CDM,27899999,MENTORCPX 4PLUS SMOOTH MEDIUM EXPANDER,3000.0,3000.0,,,0
CDM,27899999,MENTORY MEMORY GEL BOOST BREAST IJM,2520.0,2520.0,,,0
CDM,27899999,"MICRO ACUTRAK 3, 2.5 X 42",1850.4,1850.4,,,0
CDM,27899999,MICRODEEP DEPTH ELECTRODE 12 CONTACT,1968.0,1968.0,,,0
CDM,27899999,MICRODEEP DEPTH ELECTRODE 15 (3X5) CONTACT,2160.0,2160.0,,,0
CDM,27899999,MICRODEEP DEPTH ELECTRODE 15 CONTACT,2064.0,2064.0,,,0
CDM,27899999,MINI QUICKANCHOR PLUS 0 SUTURE,1732.8,1732.8,,,0
CDM,27899999,"MINI RAIL , SHORT",6868.8,6868.8,,,0
CDM,27899999,MINIONE BALLOON BUTTON 12FR,316.8,316.8,,,0
CDM,27899999,MODULAS ALIF 6X42X32MM,15696.0,15696.0,,,0
CDM,27899999,MODULUS 6 X 42X 32MM 25,15696.0,15696.0,,,0
CDM,27899999,MODULUS ALIF 8X34X24MM,15120.0,15120.0,,,0
CDM,27899999,MODULUS ALIF 8X38X28MM,15696.0,15696.0,,,0
CDM,27899999,"MODULUS ALIF, 8X34X24MM 10DEGREE",15120.0,15120.0,,,0
CDM,27899999,MONTAGE,1677.6,1677.6,,,0
CDM,27899999,MOPS DISTAL HUMERUS LEFT,24394.42,24394.42,,,0
CDM,27899999,MTF FEMORAL CONDYLE LAT RIGHT OC,24002.28,24002.28,,,0
CDM,27899999,NANOPHIX 1.5 X 11MM,2388.0,2388.0,,,0
CDM,27899999,NANOVIS SPACER 6MM X 16MM X 14MM X 4.6 DEGREES,3760.8,3760.8,,,0
CDM,27899999,NARROW BLADE TRANSVERSE PROCESS HOOK (MEDIUM),900.0,900.0,,,0
CDM,27899999,NM-3138-55 - 55CM 8 CONTACT EXTENSION KIT,840.0,840.0,,,0
CDM,27899999,NON-REINFORCED MEDICAL GRADE SILICONE SHEETING,439.2,439.2,,,0
CDM,27899999,OCTRODE TRIAL LEAD,1440.0,1440.0,,,0
CDM,27899999,OCULAR CONFORMER,183.46,183.46,,,0
CDM,27899999,OFFSET CONNECTOR,2354.4,2354.4,,,0
CDM,27899999,OLIVE WIRE,359.16,359.16,,,0
CDM,27899999,OPEN REVISION CONNECTOR,1860.0,1860.0,,,0
CDM,27899999,OPEN-END FLEXI-TIP URETERAL CATHETER,32.68,32.68,,,0
CDM,27899999,OSSIFUSE FLOWABLE BONR GRAFT PUTTY 10CC,2400.0,2400.0,,,0
CDM,27899999,OSSIFUSE FLOWABLE FIBER BONE GRAFT PUTTY,240.0,240.0,,,0
CDM,27899999,P1434929 - CI1032 - COCHLEAR IMPLANT,39912.65,39912.65,,,0
CDM,27899999,P1772248,11182.66,11182.66,,,0
CDM,27899999,PAPARELLA TYPE 1,43.49,43.49,,,0
CDM,27899999,PATIENT SPECIFIC DURS BLOC,41808.0,41808.0,,,0
CDM,27899999,PECTUS BLU PREBENT TITANIUM BAR 11 .5 INCH,11952.0,11952.0,,,0
CDM,27899999,PECTUS BLU TRULINK STABILIZER,13197.6,13197.6,,,0
CDM,27899999,PERCUFLEX PLUS,346.61,346.61,,,0
CDM,27899999,PERI-LOC 2.0MM X 228MM K-WIRE W/ TROCAR POINT,33.12,33.12,,,0
CDM,27899999,PERITONEAL DIALYSIS CATHETER,154.94,154.94,,,0
CDM,27899999,PERITONEAL DIALYSIS CATHETER CURL CATH 2 CUFF,155.71,155.71,,,0
CDM,27899999,PERMATAGE,5877.6,5877.6,,,0
CDM,27899999,PIN ORTH SMOOTH SGL SHRP TIP DMND PLN SS 2.4MM DIA 229MM,4.72,4.72,,,0
CDM,27899999,PIN ORTH SMOOTH SGL SHRP TIP DMND PLN SS ST 2.0MM DIA 229MM,22.08,22.08,,,0
CDM,27899999,PLATE BNE 8 H CRV 104MM RAD 88MM RECON SS LP PELV SYS,1807.2,1807.2,,,0
CDM,27899999,PLATE CALC RIGHT FOOT,3387.6,3387.6,,,0
CDM,27899999,PLATE LEFT CALC,3387.6,3387.6,,,0
CDM,27899999,PORT A CATH II POWER PAC LOW PROFILE,468.0,468.0,,,0
CDM,27899999,POWERPOINT 6 FR,1638.0,1638.0,,,0
CDM,27899999,POWERPORT IMPLANTABLE PORT 9.6F OPEN ENDED SINGLE LUMEN VENOUS CATHETER,1549.8,1549.8,,,0
CDM,27899999,POWERPORT SLIM IMPLANTABLE PORT 6 F,1638.0,1638.0,,,0
CDM,27899999,PRE-BENT ROD 110MM,324.0,324.0,,,0
CDM,27899999,PRECISE OFFSE PARTIAL 2.50MM LENGTH TITANIUM,1011.05,1011.05,,,0
CDM,27899999,PROGRAMABLE VALVE CODMAN,9229.44,9229.44,,,0
CDM,27899999,"PROPEL CONTOUR (MOMETASONE FUROATE IMPLANT,370HG)",144.36,144.36,,,0
CDM,27899999,PROTECTOR PIN L0.42IN DIA1.1MM WHT FOR K-WIRE,1.1,1.1,,,0
CDM,27899999,PROTECTOR PIN L0.42IN DIA1.6MM GRN FOR K-WIRE,5.0,5.0,,,0
CDM,27899999,PROXIMAL BODY,6720.0,6720.0,,,0
CDM,27899999,"R025-155 - RING, TOE, LARGE BONE, 155MM",2228.09,2228.09,,,0
CDM,27899999,R100-155 - ORTHEX FULL RING 155MM,3535.49,3535.49,,,0
CDM,27899999,R350 GUIDEWIRE,494.4,494.4,,,0
CDM,27899999,REFLOW MINI FLUSHER,10080.0,10080.0,,,0
CDM,27899999,RESP SENSE LEAD,8100.0,8100.0,,,0
CDM,27899999,RETENTIA HEMO CLIP,360.0,360.0,,,0
CDM,27899999,RIGHT SHORT 12MM HOOK PLT,1632.58,1632.58,,,0
CDM,27899999,RING SC POLY INSERT IMPLANT SIZE 40+4,2640.0,2640.0,,,0
CDM,27899999,RMAS,1476.0,1476.0,,,0
CDM,27899999,RMAS 6.5 X 35,1476.0,1476.0,,,0
CDM,27899999,ROD,336.0,336.0,,,0
CDM,27899999,ROD 300 MM,667.2,667.2,,,0
CDM,27899999,ROD 350MM,480.0,480.0,,,0
CDM,27899999,ROD 60MM,324.0,324.0,,,0
CDM,27899999,ROD 70MM,324.0,324.0,,,0
CDM,27899999,ROD 90MM,324.0,324.0,,,0
CDM,27899999,RUS 5.5 X 25,7761.6,7761.6,,,0
CDM,27899999,"S3.3012 - OCULID GOLD 1,2G",929.28,929.28,,,0
CDM,27899999,"S5.1025U - BAND (4.0 X 1.25 MM) TYPE 42 - A STERILE, NON-BIOABSORBABLE DEVICE INTENDED TO BE IMPLANTED FOR INTRASCLERAL AND EPISCLERAL BUCKLING FOR THE SURGICAL TREATMENT OF RETINAL DETACHMENT",48.0,48.0,,,0
CDM,27899999,SAPIEN 3 TAVR HEART VALVE 29MM,78000.0,78000.0,,,0
CDM,27899999,SC-1232 - IMPLANTABLE PULSE GENERATOR KIT,43200.0,43200.0,,,0
CDM,27899999,SCREW,1560.0,1560.0,,,0
CDM,27899999,"SCREW, 1.5 DIA. X 4 MM LENGTH, SILVER, TITANIUM, SELF-DRILLING, FOR CRANIAL PLATING SYSTEM",91.01,91.01,,,0
CDM,27899999,SEEG DEPTHALON,1967.57,1967.57,,,0
CDM,27899999,SEMI-CONSTRAINED POLY INSERT IMPLANT SIZE 32 +0,3120.0,3120.0,,,0
CDM,27899999,SEPRAFILM ADHESION BARRIER,1750.61,1750.61,,,0
CDM,27899999,SET CAPS,300.0,300.0,,,0
CDM,27899999,SG-5644 - ABSORBABLE SUTURE,35.11,35.11,,,0
CDM,27899999,SG-5687G - ABSORBABLE SUTURE,51.48,51.48,,,0
CDM,27899999,SG-635 - ABSORBABLE SUTURE,16.99,16.99,,,0
CDM,27899999,SHEET 1532510 10PK SILICONE 5X5CM .51MM,47.98,47.98,,,0
CDM,27899999,SILICONE MCPX PREFLEW METACARPOPHALANGEAL IMPLANT,2545.15,2545.15,,,0
CDM,27899999,SILICONE ORBITAL IMPLANT,144.0,144.0,,,0
CDM,27899999,SIMPLEX P BONE CEMENT,122.11,122.11,,,0
CDM,27899999,SIMPLEX P BONE CEMENTSIMPLEX P BONE CEMENT,134.4,134.4,,,0
CDM,27899999,"SIMPLIFY DISC SIZE 3, HT 5, 5 DEGREE",14976.0,14976.0,,,0
CDM,27899999,SIMUPLUS ANNULOPLASTY BAND,5892.0,5892.0,,,0
CDM,27899999,SIZER BRST 425CC DIA13.5CM P4.1CM SIL GEL SMOOTH RND MOD +,552.0,552.0,,,0
CDM,27899999,SIZING BALLOON 18 M,782.4,782.4,,,0
CDM,27899999,SM-5100 - SMALL BONE HOUSING ASSEMBLY,1627.2,1627.2,,,0
CDM,27899999,SMALL BONE HOUSING ASSEMBLY,1627.2,1627.2,,,0
CDM,27899999,SMALL EXT BODY TRANSVERSE PROCESS HOOK,900.0,900.0,,,0
CDM,27899999,SMITH & NEPHEW  7225602,1200.0,1200.0,,,0
CDM,27899999,SMITH & NEPHEW 1017331229,788.4,788.4,,,0
CDM,27899999,SMITH & NEPHEW 7250-4528,264.0,264.0,,,0
CDM,27899999,SMITH & NEPHEW 72514526,1648.8,1648.8,,,0
CDM,27899999,SMITH & NEWPHEW 7250-4528,264.0,264.0,,,0
CDM,27899999,SMOOTH BREAST TISSUE EXPANDER,3000.0,3000.0,,,0
CDM,27899999,SPINAL CORD STIMULATOR SURGICAL LEAD KIT SC-8436-70,14400.0,14400.0,,,0
CDM,27899999,SPLINT INTNSL AIRWY SIL ANT TIP H DOYLE II 5 PER BX,104.98,104.98,,,0
CDM,27899999,SPRINT QUATTRO SECURE S MRI SURESCAN,5040.0,5040.0,,,0
CDM,27899999,STANDARD FEMORAL STEM,1798.39,1798.39,,,0
CDM,27899999,STEINMANN PIN,4.73,4.73,,,0
CDM,27899999,STEM IMPLANT PRESS-FIT SIZE 13,6000.0,6000.0,,,0
CDM,27899999,STERNAL ZIPFIX,304.92,304.92,,,0
CDM,27899999,STRAIGHT IM STEM WITH SCREW,3909.6,3909.6,,,0
CDM,27899999,STRATTICE EXTRA THICK 15CMX25CM,57.7,57.7,,,0
CDM,27899999,STRATTICE TISSUE MATRIX EXTRA THICK,57.7,57.7,,,0
CDM,27899999,STRYKER 663001,89.21,89.21,,,0
CDM,27899999,STRYKER UNIVERSAL NEURO SCREW,160.99,160.99,,,0
CDM,27899999,SU-POR PATIENT SPECIFIC FACIAL IMPLANT,9360.0,9360.0,,,0
CDM,27899999,SUPERA PERIPHERAL STENT SYSTEM,4560.0,4560.0,,,0
CDM,27899999,"SURGIBIND KERECIS OMEGA3, PER SQUARE CENTIMETER",96.0,96.0,,,0
CDM,27899999,SURGICLOSE MESHED 2:1 CM 7X20 FISH SKIN GRAFT,122.85,122.85,,,0
CDM,27899999,SURGICLOSE MICRO 38SQ CM FISH-SKIN GRAFT,114.95,114.95,,,0
CDM,27899999,SUTURE VCRL 4-0 L27IN ABSRB UD L13MM TF 1/2 CIR TAPR PNT,5.98,5.98,,,0
CDM,27899999,SYNTHECURE BONE VOID FILLER,3780.0,3780.0,,,0
CDM,27899999,SYNTHES  04.502.162,79.49,79.49,,,0
CDM,27899999,SYNTHESE DS7010904,1490.4,1490.4,,,0
CDM,27899999,SYSTEM DEL XTW TRANSCATHETER EDGE TO EDGE REP TRICLIP G4,93600.0,93600.0,,,0
CDM,27899999,SYSTEM KT STNT PERI EXTN PTFE CVR NIT - INARI LIMFLOW,75000.0,75000.0,,,0
CDM,27899999,SYSTEM SHNT LP MR COND W/ STRATA STRATAMR ADJ VLV STRATA II,13138.54,13138.54,,,0
CDM,27899999,T1027070 - VENT TUBE 1027070 5PK REUTER BOBB TITAN,82.44,82.44,,,0
CDM,27899999,TALAR DOME FLAT CUT SIZE 2,13922.4,13922.4,,,0
CDM,27899999,TENDON ANCHORS,1080.0,1080.0,,,0
CDM,27899999,TGMR403415 - CTAG CMDS 40MMX34MMX15CM 22FR,53517.6,53517.6,,,0
CDM,27899999,THORACIC BRANCH ENDOPROSTHESIS,76800.0,76800.0,,,0
CDM,27899999,THROMBIN-FIBRINOGN-APROTIN-CAL (TISSEEL) SYRINGE,599.5,599.5,,,0
CDM,27899999,TI MATRIXMIDFACE ORBITAL FLOOR PLATE-ANATOMIC SMALL/0.3MM TH,2342.93,2342.93,,,0
CDM,27899999,TI MATRIXNEURO PREFORMED MESH 109MM X 78MM FRONTAL-STERILE,5157.5,5157.5,,,0
CDM,27899999,TI MATRIXNEURO PREFORMED MESH 151MM X 125MM,8692.99,8692.99,,,0
CDM,27899999,TI MATRIXNEURO RECON MESH,4140.29,4140.29,,,0
CDM,27899999,TIGER STICK,130.27,130.27,,,0
CDM,27899999,TISSEEL FIBRIN SEALANT KIT WITH PREFILLED DUPLOJECT APPLICAT,1451.5,1451.5,,,0
CDM,27899999,TISSUE CANC CRUSEH 1-10,247.2,247.2,,,0
CDM,27899999,TISSUE EXPANDER,3000.0,3000.0,,,0
CDM,27899999,TITANIUM LOW PROFILE IMPLANTABLE PORT,1106.28,1106.28,,,0
CDM,27899999,TITANIUM MATRIXSTERNUM STERNAL BODY PLATES,2008.8,2008.8,,,0
CDM,27899999,"TITANIUM ORBITAL FLOOR PLATE, ANATOMIC",2342.93,2342.93,,,0
CDM,27899999,TORNIER SIMPLICITI SHOULDER,6000.0,6000.0,,,0
CDM,27899999,TORNIER SIMPLICITI SHOULDER SYSTEM HUMERAL HEAD COCR 48MM THICKNESS:18MM,2880.0,2880.0,,,0
CDM,27899999,TORNIER SIMPLICITI SHOULDER SYSTEM NUCLEUS TI6AI4V SIZE 2,6000.0,6000.0,,,0
CDM,27899999,TOUCH PUMP,12568.8,12568.8,,,0
CDM,27899999,TRABECULAR METAL ACETABULAR REVISION SYSTEM SHORT RIGHT CEMENTED FLANGE CAGE,7856.95,7856.95,,,0
CDM,27899999,TRANSFIX PIN,234.19,234.19,,,0
CDM,27899999,TRICENTRUS,10800.0,10800.0,,,0
CDM,27899999,"TRUMATCH MIDFACE/MANDIBLE - TITANIU 3D PLATE FOR MANDIBLE, MEDIUM",16663.82,16663.82,,,0
CDM,27899999,TSB081506A - TAG TBE THORACIC SIDE BRANCH 15MMX6CM 8MM HEPARIN,18720.0,18720.0,,,0
CDM,27899999,TUBE VENT ID1.02MM INNR FLNG OD2.5MM INTERFLANGE DISTANCE,43.49,43.49,,,0
CDM,27899999,ULNAR STEM,8594.4,8594.4,,,0
CDM,27899999,ULTRA LOW PROFILE BURR HOLE COVER,300.67,300.67,,,0
CDM,27899999,ULTRABUTTON BBADJUSTABLE FIXATION DEVICE,1248.0,1248.0,,,0
CDM,27899999,ULTRABUTTON TIB LARGE,1200.0,1200.0,,,0
CDM,27899999,UNID EXP TI ROD 3.5MM 4+ LV,3360.0,3360.0,,,0
CDM,27899999,UNID ROD PATIENT SPECIFIC,3360.0,3360.0,,,0
CDM,27899999,UNIPLANNING TEE,3360.0,3360.0,,,0
CDM,27899999,VALVED INFUSION CATHETER,364.56,364.56,,,0
CDM,27899999,VARIEX DIST RADIUS 11 HOLE 145MM,3576.0,3576.0,,,0
CDM,27899999,VASCULAR REPAIR PATCH,359.83,359.83,,,0
CDM,27899999,VERSY HIP SYSTEM DISTAL CENTRALIZER 12MM O.D,119.88,119.88,,,0
CDM,27899999,VERSYS HIP SYSTEM ENDO FEMERAL HEAD 46 MM DIAMETER,719.35,719.35,,,0
CDM,27899999,VLOCN0306 - PBT NON ABSORBABLE WOUND CLOSURE DEVICE,98.83,98.83,,,0
CDM,27899999,W - CONNECTOR,2006.4,2006.4,,,0
CDM,27899999,WALLFLEX ESOPHAGEAL,7696.18,7696.18,,,0
CDM,27899999,WAVE WRITER ALPHA PULSE GENERATOR,43200.0,43200.0,,,0
CDM,27899999,WAYPOINT ANCHORS,194.4,194.4,,,0
CDM,27899999,"WIDE 4 HOLE, RIGHT",2095.2,2095.2,,,0
CDM,27899999,"X762H - GREEN BRAIDED POLYESTER, NONABSORBABLE SURGICAL SUTURE",4.58,4.58,,,0
CDM,27899999,XLF SCREW 5.5X30 X2 SCREWS,1559.52,1559.52,,,0
CDM,27899999,XLIF AMS PLATE 10MM SINGLE SIDED,7680.0,7680.0,,,0
CDM,27899999,Z334204 - CI1022 - COCHLEAR IMPLANT,38670.48,38670.48,,,0
CDM,27899999,"Z402-185-45 - ORTHEX, DRILL 4.5X185MM SOLID",959.4,959.4,,,0
CDM,27899999,ZENITH ALPHA 2,43948.2,43948.2,,,0
CDM,27899999,ZENITH DISSECTION ENDOVASCULAR STENT,40785.6,40785.6,,,0
CDM,27899999,ZENITH ILIAC BRANCH ENDOVASCULAR GRAFT,31199.98,31199.98,,,0
CDM,27899999,ZIMMER TIBIA COMPONENT,504.0,504.0,,,0
CDM,27899999,ZIMMER-  815409300,4368.0,4368.0,,,0
CDM,28000000,HC CHEMO ADMIN IV STARTED OFFICE W PUMP CONTIN IN COMM SET W FU VISIT,532.0,532.0,,,0
CDM,30000001,HC CAPILLARY GAS,429.0,429.0,,,0
CDM,30000002,HC LDL LIPID PANEL SO,108.6,108.6,,,0
CDM,30000022,HC ALPRAZOLAM,148.0,148.0,,,0
CDM,30000024,HC CLONAZEPAM,148.0,148.0,,,0
CDM,30000026,HC LORAZEPAM,148.0,148.0,,,0
CDM,30000029,HC CHLORDIAZEPOXIDE,148.0,148.0,,,0
CDM,30000030,HC DIAZEPAM,148.0,148.0,,,0
CDM,30000031,HC FLURAZEPAM,148.0,148.0,,,0
CDM,30000032,HC MIDAZOLAM,148.0,148.0,,,0
CDM,30000033,HC OXAZEPAM,148.0,148.0,,,0
CDM,30000034,HC TEMAZEPAM,148.0,148.0,,,0
CDM,30000035,HC TRANXENE,148.0,148.0,,,0
CDM,30000038,HC FREE PHENOBARBITAL,91.0,91.0,,,0
CDM,30000043,HC QUINIDINE SO,116.0,116.0,,,0
CDM,30000048,HC LOXAPINE (SO),86.0,86.0,,,0
CDM,30000049,HC DISOPYRAMIDE SO,178.0,178.0,,,0
CDM,30000053,HC BCL 2 PCR,362.0,362.0,,,0
CDM,30000054,HC BETA HYDROXYBUTYRATE,65.6,65.6,,,0
CDM,30000055,HC B BURGDOFERI ALBUMIN SERUM,23.5,23.5,,,0
CDM,30000060,HC CSF ALBUMIN,41.9,41.9,,,0
CDM,30000061,HC B BURGDOFERI ALBUMIN CSF,41.9,41.9,,,0
CDM,30000062,HC URINE MICROALBUMIN 24 HR,56.2,56.2,,,0
CDM,30000066,HC ALDOSTERONE,325.0,325.0,,,0
CDM,30000068,HC AFP FOR NEUTRAL T,134.0,134.0,,,0
CDM,30000069,HC INTEGRATED SCR ALPHA FETO SO,134.0,134.0,,,0
CDM,30000070,HC ALPHA FETO PROTEIN AMINO,134.0,134.0,,,0
CDM,30000071,HC AMINO ACID SINGLE ANALYTE,134.0,134.0,,,0
CDM,30000072,HC TRYPTOPHAN SENDOUT,134.0,134.0,,,0
CDM,30000076,HC AMINO ACIDS 2-5 SERUM ANALYTES,105.0,105.0,,,0
CDM,30000077,HC AMINO ACIDS 2-5 URINE ANALYTES,105.0,105.0,,,0
CDM,30000078,HC ASYMMETTRIC DIMETHYL ARGININE,105.0,105.0,,,0
CDM,30000079,HC AMINO ACIDS OVER 5 URINE QUANT,107.0,107.0,,,0
CDM,30000080,HC AMINO ACIDS OVER 5 CSF QUANT,107.0,107.0,,,0
CDM,30000083,HC AMYLASE URINE,75.0,75.0,,,0
CDM,30000086,HC AMYLASE SALIVARY SO,75.0,75.0,,,0
CDM,30000087,HC AMYLASE PANCREATIC SO,75.0,75.0,,,0
CDM,30000088,HC AMYLASE TOTAL SO,75.0,75.0,,,0
CDM,30000090,HC ANDROSTENEDIONE (ESOTERIX),233.0,233.0,,,0
CDM,30000091,HC CSF ANGIOTENSIN CONVERTING ENZ,116.0,116.0,,,0
CDM,30000092,HC APOLIPOPROTEIN B 100,124.7,124.7,,,0
CDM,30000095,HC ARSENIC BLOOD,151.6,151.6,,,0
CDM,30000096,HC OCCULT BLOOD,28.0,28.0,,,0
CDM,30000097,HC BLOOD OCCULT SCREEN CONSEC,28.0,28.0,,,0
CDM,30000098,HC BLOOD OCCULT DIAGNOSTIC CONSEC,27.5,27.5,,,0
CDM,30000099,HC CADMIUM URINE,185.0,185.0,,,0
CDM,30000102,HC BODY FLUID CEA,151.6,151.6,,,0
CDM,30000105,HC DOPAMINE ESOTERIX,202.0,202.0,,,0
CDM,30000109,HC CATECHELAMINES PLASMA PDAC,202.0,202.0,,,0
CDM,30000111,HC NOREPINEPHRINE (SEND-OUT),202.0,202.0,,,0
CDM,30000112,HC EPINEPHRINE (SEND-OUT),202.0,202.0,,,0
CDM,30000116,HC CHLORIDE CSF,39.8,39.8,,,0
CDM,30000117,HC FECAL CL,39.8,39.8,,,0
CDM,30000119,HC CHOLINESTERASE SO,63.0,63.0,,,0
CDM,30000130,HC CLOZAPINE,148.0,148.0,,,0
CDM,30000155,HC GABAPENTIN,106.0,106.0,,,0
CDM,30000166,HC C TELOPEPTIDE,102.0,102.0,,,0
CDM,30000167,HC COPPER SERUM,99.0,99.0,,,0
CDM,30000170,HC CORTISOL SALIVA,143.0,143.0,,,0
CDM,30000171,HC CORTISOL (ESOTERIX),143.0,143.0,,,0
CDM,30000176,HC BODY FLUID CREATININE,54.0,54.0,,,0
CDM,30000177,HC DHEA (ESOTERIX),202.0,202.0,,,0
CDM,30000179,HC DHEA-S (ESOTERIX),177.0,177.0,,,0
CDM,30000180,HC DEOXYCORTICOSTERONE,247.0,247.0,,,0
CDM,30000181,HC DEOXYCORTISOL 11,233.0,233.0,,,0
CDM,30000184,HC NEUTROPHIL OXID BURST TEST,144.0,144.0,,,0
CDM,30000186,HC ESTRADIOL ULTRA SENSITIVE,223.6,223.6,,,0
CDM,30000187,HC ESTRADIOL (SEND-OUT),223.6,223.6,,,0
CDM,30000188,HC ESTROGEN ESOTERIX,174.0,174.0,,,0
CDM,30000189,HC ESTRIOL (SO),148.0,148.0,,,0
CDM,30000190,HC INTEGRATED SCREEN ESTRIOL SO,148.0,148.0,,,0
CDM,30000193,HC B BURGDOFERI GAMMA GLOBULIN EA,60.0,60.0,,,0
CDM,30000195,HC IMMUNOGLOBULIN D,60.0,60.0,,,0
CDM,30000196,HC IMMUNOGLOBULIN IGG,60.0,60.0,,,0
CDM,30000197,HC IMMUNOGLOBULIN IGG CSF,60.0,60.0,,,0
CDM,30000198,HC IMMUNOGLOBULIN IGM,60.0,60.0,,,0
CDM,30000200,HC VENOUS BLOOD GAS STUDY,178.0,178.0,,,0
CDM,30000201,HC ARTERIAL BLOOD STUDY,178.0,178.0,,,0
CDM,30000202,HC DISTAL BLOOD STUDY,178.0,178.0,,,0
CDM,30000203,HC PROXIMAL BLOOD STUDY,178.0,178.0,,,0
CDM,30000205,HC GASTRIN SO,141.0,141.0,,,0
CDM,30000206,HC CSF GLUCOSE,31.0,31.0,,,0
CDM,30000209,HC GLUCOSE TOLERANCE 3 SPECIMENS,120.0,120.0,,,0
CDM,30000210,HC LACTOSE TOL EACH SPEC BEY 3,38.0,38.0,,,0
CDM,30000212,HC FSH 3RD GENERATION,148.0,148.0,,,0
CDM,30000213,HC FOLLICLE STIMULATING HORMONE,148.0,148.0,,,0
CDM,30000214,HC LH 3RD GENERATION,149.0,149.0,,,0
CDM,30000215,HC LEUTEINIZING HORMONE(SEND-OUT),149.0,149.0,,,0
CDM,30000216,HC HGH STIMULATION,133.0,133.0,,,0
CDM,30000218,HC THALLIUM EA,175.0,175.0,,,0
CDM,30000220,HC ANTIMONY,175.0,175.0,,,0
CDM,30000221,HC ANTIMONY URINE EA (SO),175.0,175.0,,,0
CDM,30000222,HC COBALT BLOOD,175.0,175.0,,,0
CDM,30000223,HC BROMIDE SENDOUT,175.0,175.0,,,0
CDM,30000226,HC HEMOGLOBIN ELECTROPHORESIS,99.0,99.0,,,0
CDM,30000227,HC HEMOGLOBIN A2,144.0,144.0,,,0
CDM,30000229,HC GLYCOHEMOGLOBIN,62.0,62.0,,,0
CDM,30000230,HC HEMOGLOBIN FREE PLASMA,59.0,59.0,,,0
CDM,30000232,HC HEMOGLOBIN UNSTABLE SCREEN,67.7,67.7,,,0
CDM,30000234,HC GLIADIN IGA,82.8,82.8,,,0
CDM,30000235,HC GLIADIN IGG,82.8,82.8,,,0
CDM,30000236,HC TISSUE TRANSGLUTAMINASE IGA,82.8,82.8,,,0
CDM,30000237,HC ANTI MITOCHONDRIAL AB EIA,82.8,82.8,,,0
CDM,30000238,HC ANTI SMOOTH MUSCLE EIA,82.8,82.8,,,0
CDM,30000239,HC RIBOSOMAL P PROTEIN AB SO,82.8,82.8,,,0
CDM,30000240,HC HISTONE AB,82.8,82.8,,,0
CDM,30000243,HC HYDROXYCORTICOSTEROIDS 18,108.6,108.6,,,0
CDM,30000244,HC GLUTAMIC ACID DECARBOXYLASE,108.6,108.6,,,0
CDM,30000245,HC IRON URINE,44.0,44.0,,,0
CDM,30000246,HC ANTI GAD AB ESOTERIX,108.6,108.6,,,0
CDM,30000247,HC ACETYLCHOLINE RECEP AB,108.6,108.6,,,0
CDM,30000248,HC CORTICOTROPIN CRH,108.6,108.6,,,0
CDM,30000250,HC IGF BINDING PROTEIN III,108.6,108.6,,,0
CDM,30000251,HC IGF BINDING PROTEIN 2,108.6,108.6,,,0
CDM,30000253,HC IGF BINDING 3 ESOTERIX,108.6,108.6,,,0
CDM,30000254,HC PANCREATIC POLYPEPTIDE,108.6,108.6,,,0
CDM,30000255,HC PTH RELATED PROTEIN,108.6,108.6,,,0
CDM,30000256,HC TRYPSIN,108.6,108.6,,,0
CDM,30000258,HC THYROTROPIN BINDING INHIB IMMU,108.6,108.6,,,0
CDM,30000259,HC TRYPSINOGEN,108.6,108.6,,,0
CDM,30000260,HC U CORTISOL TETRAHYDRO,108.6,108.6,,,0
CDM,30000261,HC U CORTISOL TETRAHYDRO AUO,108.6,108.6,,,0
CDM,30000262,HC U CORTISONE TETRAHYDRO,108.6,108.6,,,0
CDM,30000263,HC VOLTAGE GATED CALCIUM IGG,108.6,108.6,,,0
CDM,30000266,HC GANGLIDSIDE GQ1B AB,104.0,104.0,,,0
CDM,30000268,HC GANGLIOSIDE IGG,104.0,104.0,,,0
CDM,30000269,HC GANGLIOSIDE IGM,104.0,104.0,,,0
CDM,30000270,HC GM1 IGM ELISA,104.0,104.0,,,0
CDM,30000272,HC INTERLEUKIN 6,104.0,104.0,,,0
CDM,30000273,HC METHOTREXATE,104.0,104.0,,,0
CDM,30000275,HC MAG SGPG AB IGM,104.0,104.0,,,0
CDM,30000276,HC MAG AB IGM EIA,104.0,104.0,,,0
CDM,30000278,HC TRYPTASE,104.0,104.0,,,0
CDM,30000279,HC SOLUBLE LIVER AUTOANTIBODY,104.0,104.0,,,0
CDM,30000281,HC TOTAL NITROGEN URINE,104.0,104.0,,,0
CDM,30000282,HC INSULIN,91.0,91.0,,,0
CDM,30000287,HC CSF LDH,48.0,48.0,,,0
CDM,30000288,HC LDH (SEND OUT),48.0,48.0,,,0
CDM,30000290,HC LEAD RANDOM URINE,72.0,72.0,,,0
CDM,30000291,HC 24 HR URIN LE,72.0,72.0,,,0
CDM,30000292,HC LIPOPROTEIN HIGH RESOL FRAC,199.0,199.0,,,0
CDM,30000294,HC URINE MAGNESIUM,52.7,52.7,,,0
CDM,30000295,HC RBC MAGNESIUM SO,52.7,52.7,,,0
CDM,30000297,HC MERCURY BLOOD,130.0,130.0,,,0
CDM,30000298,HC MERCURY URINE,130.0,130.0,,,0
CDM,30000300,HC METANEPHRINES PLASMA,149.0,149.0,,,0
CDM,30000301,HC URINE MYOGLOBIN SEND OUT,103.0,103.0,,,0
CDM,30000303,HC FREE KAPPA LIGHT CHAIN,88.0,88.0,,,0
CDM,30000304,HC FREE LAMBDA LIGHT CHAIN,88.0,88.0,,,0
CDM,30000306,HC URINE METHYMALONIC ACID/QUANT,144.0,144.0,,,0
CDM,30000307,HC U TRICHLOROACETIC ACID SENDOUT,144.0,144.0,,,0
CDM,30000310,HC PH STOOL,28.0,28.0,,,0
CDM,30000311,HC URINE PH,28.0,28.0,,,0
CDM,30000312,HC THIORIDAZINE,80.6,80.6,,,0
CDM,30000314,HC PHENYLALANINE AMINO,44.0,44.0,,,0
CDM,30000316,HC ALKALINE PHOS BONE,33.0,33.0,,,0
CDM,30000318,HC ALKALINE PHOS TOTAL SO,33.0,33.0,,,0
CDM,30000320,HC U PORHYRIN RANDOM SO,117.0,117.0,,,0
CDM,30000322,HC PORPHYRINS 24 HRS,117.0,117.0,,,0
CDM,30000324,HC 17-OH PREGNENOLONE (ESOTERIX),173.0,173.0,,,0
CDM,30000325,HC PROGESTERONE (ESOTERIX),166.6,166.6,,,0
CDM,30000326,HC PROLACTIN (SEND-OUT),155.0,155.0,,,0
CDM,30000327,HC PSA POST PROSTATECTOMY,115.0,115.0,,,0
CDM,30000330,HC HU AB WB,136.5,136.5,,,0
CDM,30000331,HC YO AB WB,136.5,136.5,,,0
CDM,30000332,HC NEURONAL NUC AB RI WB,136.5,136.5,,,0
CDM,30000335,HC FEP SO,115.0,115.0,,,0
CDM,30000336,HC SEX BINDING GLOBULIN (SO),174.0,174.0,,,0
CDM,30000337,HC CSF SODIUM,38.7,38.7,,,0
CDM,30000338,HC SODIUM FECAL,38.7,38.7,,,0
CDM,30000339,HC IGF I ESOTERIX,135.0,135.0,,,0
CDM,30000340,HC LACTASE BIOPSY,51.6,51.6,,,0
CDM,30000341,HC SUCRASE BIOPSY,51.6,51.6,,,0
CDM,30000342,HC MALTASE BIOPSY,51.6,51.6,,,0
CDM,30000343,HC PALATINASE BIOPSY,51.6,51.6,,,0
CDM,30000344,HC FECAL POTASSIUM,51.6,51.6,,,0
CDM,30000345,HC FECAL CHYMOTRYPSIN,51.6,51.6,,,0
CDM,30000347,HC SULFONAMIDES,51.6,51.6,,,0
CDM,30000349,HC U KETOGENIC STERIOD,51.6,51.6,,,0
CDM,30000351,HC TESTOSTERONE FREE SENDOUT,203.0,203.0,,,0
CDM,30000352,HC TESTOSTERONE TOTAL SENDOUT,206.0,206.0,,,0
CDM,30000353,HC TESTOSTERONE (ESOTERIX),206.0,206.0,,,0
CDM,30000355,HC TOTAL T4 (SENDOUT),47.0,47.0,,,0
CDM,30000357,HC T4 FREE,72.0,72.0,,,0
CDM,30000358,HC FREE T4 BY DIALYSIS,72.0,72.0,,,0
CDM,30000359,HC TSH 3RD GENERATION,107.0,107.0,,,0
CDM,30000361,HC TRIGLYCERIDE FOR VAP,37.0,37.0,,,0
CDM,30000362,HC T3 UPTAKE SO,57.0,57.0,,,0
CDM,30000363,HC BODY FLUID UREA NITROGEN,23.9,23.9,,,0
CDM,30000364,HC UREA URINE,38.7,38.7,,,0
CDM,30000367,HC METHANOL,129.0,129.0,,,0
CDM,30000368,HC VOLATILE ANALYSIS,129.0,129.0,,,0
CDM,30000369,HC TRICHLOROETHANOL SENDOUT,129.0,129.0,,,0
CDM,30000372,HC URINE XYLOSE (SEND-OUT),94.6,94.6,,,0
CDM,30000375,HC ZINC URINE,91.0,91.0,,,0
CDM,30000376,HC URINE CPEPTIDE,165.6,165.6,,,0
CDM,30000377,HC CSF BETA HCG,132.0,132.0,,,0
CDM,30000379,HC GONADOTROPHIN CHORIONIC,132.0,132.0,,,0
CDM,30000380,HC INTEGRATED SCR GONADOTROPIN SO,132.0,132.0,,,0
CDM,30000382,HC POTASSIUM CSF,25.8,25.8,,,0
CDM,30000387,HC INHIBITOR FACTOR IX,103.0,103.0,,,0
CDM,30000388,HC INHIBITOR PORCINE FACTOR VIII,103.0,103.0,,,0
CDM,30000389,HC VW PROTEASE INHIBITOR,103.0,103.0,,,0
CDM,30000390,HC INHIBITOR FACTOR XI,103.0,103.0,,,0
CDM,30000397,HC D DIMER DEEP VEIN THROMBOSIS,90.0,90.0,,,0
CDM,30000399,HC ANTI XA LEVEL,105.0,105.0,,,0
CDM,30000400,HC DETECT CLOPIDOGREL EFFECT,135.0,135.0,,,0
CDM,30000401,HC PLT AGGRE/THROMBIN,135.0,135.0,,,0
CDM,30000402,HC HGB S DONOR SCREEN,48.0,48.0,,,0
CDM,30000403,HC PLT AGGRE/ADP,135.0,135.0,,,0
CDM,30000404,HC PLT AGGRE/ARACHID ACID,135.0,135.0,,,0
CDM,30000405,HC PLT AGGRE/COLLAGEN,135.0,135.0,,,0
CDM,30000406,HC PLT AGGRE/EPINEPHRINE,135.0,135.0,,,0
CDM,30000407,HC PLT AGGRE/RISTOCETIN,135.0,135.0,,,0
CDM,30000408,HC COLLAGEN ADP,135.0,135.0,,,0
CDM,30000409,HC COLLAGEN EPINEPRINE,135.0,135.0,,,0
CDM,30000410,HC SILICA CLOTTING TIME RATIO,47.0,47.0,,,0
CDM,30000415,HC ASPERGILLUS FUMIGATUS IGE,46.0,46.0,,,0
CDM,30000416,HC ALLERGEN SPECIFIC IGE,46.0,46.0,,,0
CDM,30000417,HC PEANUT COMPONENT VIRACOR,46.0,46.0,,,0
CDM,30000418,HC PEANUT SPECIFIC IGE EACH OF 7,46.0,46.0,,,0
CDM,30000420,HC BETA2 GLYCOPROTEIN IGG,160.0,160.0,,,0
CDM,30000421,HC BETA2 GLYCOPROTEIN IGM,160.0,160.0,,,0
CDM,30000422,HC BETA2 GLYCOPROTEIN IGA,160.0,160.0,,,0
CDM,30000423,HC CARDIOLIPIN AB IGM,172.0,172.0,,,0
CDM,30000424,HC CARDIOLIPIN AB IGA,172.0,172.0,,,0
CDM,30000425,HC ANTICARDIOLIPIN AB,172.0,172.0,,,0
CDM,30000426,HC C2 COMPLEMENT COMPONENT,105.0,105.0,,,0
CDM,30000427,HC C1 ESTERASE INHIBITOR SO,105.0,105.0,,,0
CDM,30000428,HC ENA RNP,143.0,143.0,,,0
CDM,30000429,HC ENA SCLERODERMA/SCL,143.0,143.0,,,0
CDM,30000430,HC ENA SM,143.0,143.0,,,0
CDM,30000431,HC SJORGENS/SSA,143.0,143.0,,,0
CDM,30000432,HC SJORGENS/SSB,143.0,143.0,,,0
CDM,30000433,HC CHROMATIN NUCLEOSOMAL AB,143.0,143.0,,,0
CDM,30000441,HC RABIES TITER,119.0,119.0,,,0
CDM,30000442,HC PNEUMOCCAL AB EA OF 14,119.0,119.0,,,0
CDM,30000443,HC CRYOGLOBULIN ISO TYPING,178.0,178.0,,,0
CDM,30000444,HC IMMUNE COMPLEX BY CIQ BN,194.6,194.6,,,0
CDM,30000454,HC INTEGRATED SCREEN INHIBIN A SO,124.7,124.7,,,0
CDM,30000456,HC ICA 512 AB (SEND-OUT),158.0,158.0,,,0
CDM,30000457,HC BORD PERT IGG FHA,105.0,105.0,,,0
CDM,30000458,HC BORD PERT IGG PT,105.0,105.0,,,0
CDM,30000461,HC BRUCELLA IGM,69.9,69.9,,,0
CDM,30000462,HC BRUCELLA AB AGGLUTINATION,69.9,69.9,,,0
CDM,30000463,HC ASPERGILLUS NIGER AB,117.0,117.0,,,0
CDM,30000464,HC ASPERGILLUS FLAVUS AB,117.0,117.0,,,0
CDM,30000465,HC BORD PERT IGA FHA,105.0,105.0,,,0
CDM,30000469,HC B BURGDOFERI ANTIBODY EA,113.0,113.0,,,0
CDM,30000470,HC CHLAMYDIA IGA (SEND-OUT),94.6,94.6,,,0
CDM,30000473,HC CHLAM SPEC EACH OF 3 IGM,102.0,102.0,,,0
CDM,30000475,HC Q FEVER IGG AND IGM SCREEN,77.0,77.0,,,0
CDM,30000476,HC Q FEVER I AND II IGG TITER,77.0,77.0,,,0
CDM,30000477,HC Q FEVER I IGM TITER,77.0,77.0,,,0
CDM,30000478,HC Q FEVER II IGM TITER,77.0,77.0,,,0
CDM,30000479,HC CYTOMEGALOVIRUS IGG EIA,115.0,115.0,,,0
CDM,30000482,HC CYTOMEGALOVIRUS IGM EIA,114.0,114.0,,,0
CDM,30000485,HC CALIFORNIA IGM,105.0,105.0,,,0
CDM,30000486,HC EASTERN EQUINE IGM,83.0,83.0,,,0
CDM,30000487,HC ST LOUIS IGM,83.0,83.0,,,0
CDM,30000488,HC WESTERN EQUINE IGM,83.0,83.0,,,0
CDM,30000491,HC ECHOVIRUS AB EA OF 7 COMP,83.9,83.9,,,0
CDM,30000494,HC EB VCA IGM,114.0,114.0,,,0
CDM,30000495,HC EPSTEIN BARR CAPSID ANTIGEN,114.0,114.0,,,0
CDM,30000496,HC SACCHAROMYCES IGG,77.0,77.0,,,0
CDM,30000497,HC HELICOBACTER IGA,128.0,128.0,,,0
CDM,30000500,HC SCHISTOSOMIASIS IGG AB,83.0,83.0,,,0
CDM,30000501,HC TOXOCARA AB,83.0,83.0,,,0
CDM,30000502,HC ECHINOCOCCUS IGG EIA,83.0,83.0,,,0
CDM,30000503,HC ECHINOCOCCUS IGG WB,83.0,83.0,,,0
CDM,30000504,HC CYSTICERCOSIS AB,83.0,83.0,,,0
CDM,30000505,HC STRONGYLODIASIS AB,83.0,83.0,,,0
CDM,30000507,HC CSF HSV 1 IGG (SO),105.0,105.0,,,0
CDM,30000508,HC CSF HSV 1 IGM (SO),105.0,105.0,,,0
CDM,30000509,HC HSV 1 IGG HERPES SIMPLEX,105.0,105.0,,,0
CDM,30000511,HC CSF HSV IGG TYPE 1 SPECIFIC,105.0,105.0,,,0
CDM,30000512,HC HSV 1 IGM TITER SO,105.0,105.0,,,0
CDM,30000513,HC HSV 2 IGM TITER SO,105.0,105.0,,,0
CDM,30000514,HC HSV1 IGM SCREEN,105.0,105.0,,,0
CDM,30000515,HC HSV1 IGM TITER,105.0,105.0,,,0
CDM,30000517,HC CSF HSV 2 IGG (SO),155.0,155.0,,,0
CDM,30000518,HC CSF HSV 2 IGM (SO),155.0,155.0,,,0
CDM,30000519,HC HSV2 IGM SCREEN,155.0,155.0,,,0
CDM,30000520,HC HSV2 IGM TITER,155.0,155.0,,,0
CDM,30000521,HC CSF HSV IGG TYPE 2 SPECIFIC,155.0,155.0,,,0
CDM,30000525,HC VIRACOR HCV RNA PCR,342.0,342.0,,,0
CDM,30000528,HC HSV 2 PCR CHARGE,220.0,220.0,,,0
CDM,30000529,HC HSV 1 PCR CHARGE,220.0,220.0,,,0
CDM,30000530,HC VIRACOR HSV 2 PCR,342.0,342.0,,,0
CDM,30000534,HC HPV GENOTYPE,215.0,215.0,,,0
CDM,30000535,HC HUMAN PAP VIRUS,213.0,213.0,,,0
CDM,30000537,HC TRICHOMONAS VAGINALIS PROBE,149.0,149.0,,,0
CDM,30000540,HC CSF WEST NILE RNA,175.0,175.0,,,0
CDM,30000543,HC HTLV I/II DNA DETECTION,175.0,175.0,,,0
CDM,30000544,HC HTLV I/II DNA DIFFERENTIATION,175.0,175.0,,,0
CDM,30000548,HC PARVO PCR,175.0,175.0,,,0
CDM,30000552,HC VIRACOR RESP VIRAL PANEL,175.0,175.0,,,0
CDM,30000553,HC VZV PCR,175.0,175.0,,,0
CDM,30000554,HC WEST NILE PCR,175.0,175.0,,,0
CDM,30000555,HC WHIPPLE'S DISEASE PCR,175.0,175.0,,,0
CDM,30000557,HC PLASMA BKV QPCR,645.0,645.0,,,0
CDM,30000558,HC VIRACOR ADENOVIRUS PCR,645.0,645.0,,,0
CDM,30000559,HC VIRACOR CSF JCV PCR,645.0,645.0,,,0
CDM,30000560,HC VIRACOR EBV PCR,645.0,645.0,,,0
CDM,30000561,HC VIRACOR ENTEROVIRUS PCR,645.0,645.0,,,0
CDM,30000562,HC VIRACOR HHV 7 PCR,645.0,645.0,,,0
CDM,30000563,HC VIRACOR HHV 8 PCR,645.0,645.0,,,0
CDM,30000564,HC VIRACOR JCK PCR,645.0,645.0,,,0
CDM,30000565,HC PARVO B19 PCR,645.0,645.0,,,0
CDM,30000566,HC VIRACOR PNEU CARINII PCR,645.0,645.0,,,0
CDM,30000568,HC VIRACOR TOXO GONDII PCR,645.0,645.0,,,0
CDM,30000569,HC VIRACOR VZV PCR,645.0,645.0,,,0
CDM,30000570,HC VIRACOR HCV GENOTYPE,735.0,735.0,,,0
CDM,30000577,HC SYNOVIAL CELL COUNT,37.6,37.6,,,0
CDM,30000578,HC CSF CELL COUNT,37.6,37.6,,,0
CDM,30000579,HC CELL CT FLUID,37.6,37.6,,,0
CDM,30000580,HC SYNOVIAL DIFF,147.0,147.0,,,0
CDM,30000581,HC CSF DIFF,147.0,147.0,,,0
CDM,30000582,HC CELL CT W/DIF,147.0,147.0,,,0
CDM,30000583,HC URINE EOSINOPHIL SMEAR,38.7,38.7,,,0
CDM,30000586,HC FLUOXETINE SERUM,151.0,151.0,,,0
CDM,30000587,HC PHENSUXIMIDE (SO),258.0,258.0,,,0
CDM,30000588,HC MUSK ANTIBODY,108.6,108.6,,,0
CDM,30000589,HC CSF LYME IGG WB,137.0,137.0,,,0
CDM,30000590,HC CSF LYME IGM WB,137.0,137.0,,,0
CDM,30000591,HC DONOR HIV 1 2 ANTIBODY,88.0,88.0,,,0
CDM,30000592,HC HIV DOH ELISA,88.0,88.0,,,0
CDM,30000594,HC CYCLOSPOSRA ISOSPORA STAIN,47.0,47.0,,,0
CDM,30000595,HC CSF COXSACKIE B 1 OF 6,83.9,83.9,,,0
CDM,30000596,HC CSF COXSACKIE A 1 OF 6,83.9,83.9,,,0
CDM,30000598,HC BLOOD SMEAR PARASITE PC,47.0,47.0,,,0
CDM,30000601,HC PSA SCREENING TOTAL,115.0,115.0,,,0
CDM,30000608,HC STRAIGHT CATH FOR URINE SPEC,12.9,12.9,,,0
CDM,30000611,HC INFLUENZA AB,83.9,83.9,,,0
CDM,30000612,HC LEPTOSPIRA,83.0,83.0,,,0
CDM,30000614,HC CSF LCM,83.9,83.9,,,0
CDM,30000616,HC MUMPS IGM (SO),114.0,114.0,,,0
CDM,30000618,HC MYCOPLASMA PNEUMON IGG EIA,83.9,83.9,,,0
CDM,30000619,HC MYCOPLASMA PNEUMON IGM EIA,83.9,83.9,,,0
CDM,30000621,HC BABESIA IGM,83.0,83.0,,,0
CDM,30000622,HC E HISTOLYTIOA ANTIB,83.0,83.0,,,0
CDM,30000623,HC LEGIONELLA  SEROGROUP 1,121.0,121.0,,,0
CDM,30000626,HC LEGIONELLA NON PNEUMONIA SO,121.0,121.0,,,0
CDM,30000627,HC LEGIONELLA SEROGR 2 TO 6 AND 8,121.0,121.0,,,0
CDM,30000628,HC RICKETTSIA AB,155.0,155.0,,,0
CDM,30000629,HC R TYPHI IGG TITER,155.0,155.0,,,0
CDM,30000630,HC R TYPHI IGM TITER,155.0,155.0,,,0
CDM,30000631,HC RMSF IGG TITER,155.0,155.0,,,0
CDM,30000633,HC RUBELLA IGM ANTIBODY SENDOUT,115.0,115.0,,,0
CDM,30000634,HC RUBEOLA IGM,113.0,113.0,,,0
CDM,30000636,HC SALMONELLA H TYPE B,83.0,83.0,,,0
CDM,30000637,HC SALMONELLA H TYPE D,83.0,83.0,,,0
CDM,30000638,HC SALMONELLA O TYPE D,83.0,83.0,,,0
CDM,30000639,HC SALMONELLA O TYPE VI,83.0,83.0,,,0
CDM,30000640,HC CSF TOXOPLASMA IGG (SO),115.0,115.0,,,0
CDM,30000641,HC CSF TOXOPLASMA IGM (SO),127.0,127.0,,,0
CDM,30000644,HC CSF VARICELLA ZOSTER IGM (SO),117.0,117.0,,,0
CDM,30000645,HC VARICELLA ZOSTER IGM SO,117.0,117.0,,,0
CDM,30000646,HC WEST NILE IGM,114.0,114.0,,,0
CDM,30000647,HC WEST NILE IGG,115.0,115.0,,,0
CDM,30000648,HC DENGUE IGM,83.0,83.0,,,0
CDM,30000649,HC HANTAVIRUS IGG,83.0,83.0,,,0
CDM,30000650,HC HANTAVIRUS IGM,83.0,83.0,,,0
CDM,30000651,HC HEPATITIS E AB IGM,83.0,83.0,,,0
CDM,30000652,HC HEPATITIS E AB IGG,83.0,83.0,,,0
CDM,30000653,HC HERPES VIRUS 6 IGG,83.0,83.0,,,0
CDM,30000654,HC HERPES VIRUS 6 IGM,83.0,83.0,,,0
CDM,30000655,HC HTLV I/II ANTIBODY EIA,83.0,83.0,,,0
CDM,30000656,HC HTLV I/II DONOR,83.0,83.0,,,0
CDM,30000657,HC VIRACOR BK IGG AB,83.0,83.0,,,0
CDM,30000658,HC HLA COMPATIBILITY FEE,463.0,463.0,,,0
CDM,30000659,HC RIBC REF ELUTION,269.0,269.0,,,0
CDM,30000660,HC RIBC REF AB IDENTIFICATION,526.0,526.0,,,0
CDM,30000662,HC DIRECT AHG ANTI-IGG,100.0,100.0,,,0
CDM,30000663,HC DIRECT AHG ANTI-C3,100.0,100.0,,,0
CDM,30000664,HC RIBC REF DAT-POLY,100.0,100.0,,,0
CDM,30000665,HC RIBC REF DAT-IGG,100.0,100.0,,,0
CDM,30000666,HC RIBC REF DAT-C3,100.0,100.0,,,0
CDM,30000668,HC RIBC REF ABO TYPE,200.0,200.0,,,0
CDM,30000669,HC RIBC REF RH TYPE,63.0,63.0,,,0
CDM,30000670,HC AG SCREEN DONOR,502.0,502.0,,,0
CDM,30000671,HC RIBC REF AG SCREEN PT (NOT RH),483.0,483.0,,,0
CDM,30000672,HC RIBC REF RH PHENOTYPE,104.0,104.0,,,0
CDM,30000675,HC RIBC REF ABSORPTION W/CELLS,145.0,145.0,,,0
CDM,30000676,HC RIBC REF REST/HPC ABSORPTION,145.0,145.0,,,0
CDM,30000678,HC THICK SMEAR FOR PARASITE TC,58.0,58.0,,,0
CDM,30000679,HC MICROSPORIDIA CONCENTRATION,58.0,58.0,,,0
CDM,30000680,HC CYCLOSPORA ISOSPORA CONC,58.0,58.0,,,0
CDM,30000681,HC F CRYPTOSPORIDIUM CONCENTRAT,58.0,58.0,,,0
CDM,30000685,HC CULTURE CSF,68.8,68.8,,,0
CDM,30000686,HC CULTURE RESPIRATORY,68.8,68.8,,,0
CDM,30000687,HC CULTURE WOUND,68.8,68.8,,,0
CDM,30000688,HC CULTURE BACT,68.8,68.8,,,0
CDM,30000689,HC BORDETELLA CULTURE DOH,68.8,68.8,,,0
CDM,30000690,HC CULTURE ROUTINE ADD ID MAJOR,41.9,41.9,,,0
CDM,30000693,HC CULTURE LEGIONELLA,68.0,68.0,,,0
CDM,30000694,HC CULTURE MRSA SCREEN,68.0,68.0,,,0
CDM,30000695,HC CULTURE VRE SCREEN,68.0,68.0,,,0
CDM,30000696,HC MRSA SCREEN WOUND,68.0,68.0,,,0
CDM,30000699,HC CULTURE GROUP B SCREEN,68.0,68.0,,,0
CDM,30000700,HC RECTAL CPE SCREEN,68.0,68.0,,,0
CDM,30000701,HC GENITAL GROUP A STREP SCREEN,68.0,68.0,,,0
CDM,30000702,HC RECTAL GROUP A STREP SCREEN,68.0,68.0,,,0
CDM,30000705,HC BORDETELLA PCR DOH,48.0,48.0,,,0
CDM,30000707,HC OVA AND PARASITES (SEND OUT),71.0,71.0,,,0
CDM,30000710,HC SMEAR FUNGUS FLUORESCENT,43.0,43.0,,,0
CDM,30000711,HC F CRYPTOSPORIDIUM SMEAR,43.0,43.0,,,0
CDM,30000712,HC SMEAR INDIA INK,34.0,34.0,,,0
CDM,30000721,HC ASPERGILLUS ANTIGEN,91.0,91.0,,,0
CDM,30000722,HC HEPATITIS SURFACE AG DONOR,91.0,91.0,,,0
CDM,30000724,HC LEGIONELLA ANTIGEN URINE,91.0,91.0,,,0
CDM,30000726,HC VIRACOR FUNGITELL,91.0,91.0,,,0
CDM,30000727,HC NOROVIRUS EIA SO,91.0,91.0,,,0
CDM,30000731,HC VIRACOR FLU ADDITIONAL TYPES,129.0,129.0,,,0
CDM,30000732,HC VIRACOR HBV PCR,342.0,342.0,,,0
CDM,30000738,HC ALBUMIN SO,23.5,23.5,,,0
CDM,30000739,HC AFP SENDOUT,134.0,134.0,,,0
CDM,30000742,HC PROTEIN TOTAL CSF,32.0,32.0,,,0
CDM,30000743,HC DEGREE OF PARASITEMIA TC,47.0,47.0,,,0
CDM,30000745,HC MICROSPORIDIA SMEAR SPEC STAIN,47.0,47.0,,,0
CDM,30000746,HC STONERISK AMMONIA,116.0,116.0,,,0
CDM,30000747,HC STONERISK CALCIUM,48.0,48.0,,,0
CDM,30000748,HC STONERISK CITRATE,223.0,223.0,,,0
CDM,30000749,HC STONERISK CREATINE,54.0,54.0,,,0
CDM,30000750,HC STONERISK MAGNESIUM,52.7,52.7,,,0
CDM,30000751,HC STONERISK OXALATE,103.0,103.0,,,0
CDM,30000752,HC STONERISK PH,28.0,28.0,,,0
CDM,30000753,HC STONERISK PHOSPHORUS,41.9,41.9,,,0
CDM,30000754,HC STONERISK POTASSIUM,34.0,34.0,,,0
CDM,30000755,HC STONERISK SODIUM,38.7,38.7,,,0
CDM,30000756,HC STONERISK URIC ACID,38.7,38.7,,,0
CDM,30000757,HC LIPO ELECTROPHORESIS TECHNIQUE,274.0,274.0,,,0
CDM,30000758,HC COBALT 24HR URINE,175.0,175.0,,,0
CDM,30000759,HC C5 COMPLEMENT,105.0,105.0,,,0
CDM,30000760,HC HELICOBACTER PYLORI IGM SO,128.0,128.0,,,0
CDM,30000761,HC ACETYLCHOLINE RECEPTOR BLOCK,108.6,108.6,,,0
CDM,30000762,HC ACETYLCHOLINE RECEPTOR MODULAT,108.6,108.6,,,0
CDM,30000763,HC TAU PHOSPHORYLATED EACH SEND OUT,656.25,656.25,,,0
CDM,30000863,HC NUCLEAR MATRIX PROTEINS,165.6,165.6,,,0
CDM,30000864,HC POLIOVIRUS AB BILL,135.0,135.0,,,0
CDM,30000865,HC CHROMIUM WHOLE BLOOD,162.0,162.0,,,0
CDM,30000866,HC IMMUNOGLOBULIN IGG CSF SO,60.0,60.0,,,0
CDM,30000867,HC IMMUNOGLOBULIN IGG SO,60.0,60.0,,,0
CDM,30000900,HC URINE HCG POCT,37.0,37.0,,,0
CDM,30000902,HC AMITRIPTYLINE 3-5,124.7,124.7,,,0
CDM,30000903,HC DESIPRAMINE 3-5,124.7,124.7,,,0
CDM,30000904,HC DOXEPIN 3-5,124.7,124.7,,,0
CDM,30000905,HC IMIPRAMINE 3-5,124.7,124.7,,,0
CDM,30000906,HC NORTRIPTYLINE 3-5,124.7,124.7,,,0
CDM,30000907,HC AMPHETAMINES 3 OR 4 MDA,80.6,80.6,,,0
CDM,30000908,HC AMPHETAMINES 5 OR MORE MDA,80.6,80.6,,,0
CDM,30000909,HC AMPHETAMINES 3 OR 4 MDMA,80.6,80.6,,,0
CDM,30000910,HC AMPHETAMINES 5 OR MORE MDMA,80.6,80.6,,,0
CDM,30000911,HC AMPHETAMINES 3 OR 4 AMPH,80.6,80.6,,,0
CDM,30000912,HC AMPHETAMINES 5 OR MORE AMPH,80.6,80.6,,,0
CDM,30000913,HC AMPHETAMINES 3 OR 4 MAMPH,80.6,80.6,,,0
CDM,30000914,HC AMPHETAMINES 5 OR MORE MAMPH,80.6,80.6,,,0
CDM,30000915,HC AMPHETAMINES 3 OR 4 PHENT,80.6,80.6,,,0
CDM,30000916,HC AMPHETAMINES 5 OR MORE PHENT,80.6,80.6,,,0
CDM,30000917,HC MUCOPOLYSACCHARIDES QUANT,125.0,125.0,,,0
CDM,30000919,HC HEMOGLOBIN POCT,17.0,17.0,,,0
CDM,30000923,HC STREP A ASSAY WITH OPTIC POCT,87.0,87.0,,,0
CDM,30000925,HC LAB CYSTATIN C SEND OUT,103.0,103.0,,,0
CDM,30000926,HC DRUG ASSAY VORICONAZOLE SEND OUT,140.0,140.0,,,0
CDM,30001007,HC OCCULT POCT,27.5,27.5,,,0
CDM,30001011,HC ANTIBODY ID PLATELET ANTIBODIES SRA SO,162.0,162.0,,,0
CDM,30001012,HC HUMAN EPIDIDMIS PROTEIN 4 SEND OUT,130.0,130.0,,,0
CDM,30001013,HC IMMUNOASSAY ANALYTE SEND OUT,104.0,104.0,,,0
CDM,30001014,HC DETECT AGENT APT PCR SEND OUT,175.0,175.0,,,0
CDM,30001015,HC ANTIBODY VIRUS NOT SPECIFIED SEND OUT,83.0,83.0,,,0
CDM,30001016,HC IMMUNOASSAY NONANTIBODY SEND OUT,82.8,82.8,,,0
CDM,30001017,HC EXTRACT NUCLEAR ANTIGEN ANTIBODY SEND OUT,143.0,143.0,,,0
CDM,30001018,HC GASTROINTESTINAL PATHOGEN PANEL,1250.0,1250.0,,,0
CDM,30001019,HC CELLULAR FUNCT ASSAY STIM & DETECT BIOMARKER SEND OUT,360.0,360.0,,,0
CDM,30001020,HC MYCOBACTERIA TUBERCULOSIS AMPLIFIED PROBE,175.0,175.0,,,0
CDM,30001021,HC COLLAGEN CROSS LINKS ANY METHOD,102.0,102.0,,,0
CDM,30001022,HC TEG REACTION TIME,31.0,31.0,,,0
CDM,30001023,HC TEG CLOT FIRMNESS,57.0,57.0,,,0
CDM,30001024,HC TEG ANGLE,57.0,57.0,,,0
CDM,30001025,HC TEG MAXIMUM AMPLITUDE,135.0,135.0,,,0
CDM,30001026,HC TEG LYSIS AT 30 MINUTES,34.1,34.1,,,0
CDM,30001027,HC TEG REACTION TIME WITH HEPARINASE,31.0,31.0,,,0
CDM,30001028,HC TEG CLOT FIRMNESS W LOT FIRMNESS W HEPARINASE,57.0,57.0,,,0
CDM,30001029,HC TEG ANGLE W HEPARINASE,57.0,57.0,,,0
CDM,30001030,HC TEG MAX AMPLITUDE W HEPARINASE,135.0,135.0,,,0
CDM,30001031,HC TEG LYSIS AT 30 MINS W HEPARINASE,34.1,34.1,,,0
CDM,30001032,HC TEG ACTIVATED CLOTTING TIME,31.0,31.0,,,0
CDM,30001033,HC TEG RAPID REACTION TIME,31.0,31.0,,,0
CDM,30001034,HC TEG RAPID CLOT FIRMNESS,57.0,57.0,,,0
CDM,30001035,HC TEG RAPID ANGLE,57.0,57.0,,,0
CDM,30001036,HC TEG RAPID MAXIMUM AMPLITUDE,135.0,135.0,,,0
CDM,30001037,HC HIV-1 ANTIGENS W HIV-1 & HIV-2 ANTBDY SINGLE,95.0,95.0,,,0
CDM,30001038,HC GI PATHOGEN 6-11 TARGETS,625.0,625.0,,,0
CDM,30001039,HC AMPLIFIED PROBE TECHNIQUE EACH ORGANISM,175.0,175.0,,,0
CDM,30001040,HC RESPIRATORY VIRUS 3-5 TARGETS,400.0,400.0,,,0
CDM,30001041,HC QUANTITATIVE EA SPECIMEN NON DRUG ANALYTE NOT SPECIFIED,144.0,144.0,,,0
CDM,30001042,HC QUANTITATION OF DRUG NOT ELSEWHERE SPECIFIED,258.0,258.0,,,0
CDM,30001043,HC ANTIDEPRESSANTS TRICYCLIC & OTHER CYCLICALS 1 OR 2,143.0,143.0,,,0
CDM,30001044,HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3,80.6,80.6,,,0
CDM,30001045,HC ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2,147.0,147.0,,,0
CDM,30001046,HC BENZODIAZEPINES 1-12,148.0,148.0,,,0
CDM,30001047,HC ANALGESICS NON OPIOID 1 OR 2,71.0,71.0,,,0
CDM,30001048,HC ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED,147.0,147.0,,,0
CDM,30001049,HC INFECT AGENT NOS ASSAY W OPTICAL OBSV,35.0,35.0,,,0
CDM,30001050,HC PARTICLE AGGLUTINATION SCREEN EA ANTIBODY,65.0,65.0,,,0
CDM,30001066,HC DRUG TESTS DEFINITIVE PER DAY 1-7 CLASSES,271.0,271.0,,,0
CDM,30001067,HC DRUG TESTS DEFINITIVE PER DAY 1-7 CLASSES SEND OUT,271.0,271.0,,,0
CDM,30001068,HC DRUG TESTS DEFINITIVE PER DAY 8-14 CLASSES,261.0,261.0,,,0
CDM,30001069,HC DRUG TESTS DEFINITIVE PER DAY 8-14 CLASSES,261.0,261.0,,,0
CDM,30001070,HC DRUG TESTS DEFINITIVE PER DAY 15-21 CLASSES,294.6,294.6,,,0
CDM,30001071,HC DRUG TESTS DEFINITIVE PER DAY 15-21 CLASSES,294.6,294.6,,,0
CDM,30001072,HC DRUG TESTS DEFINITIVE PER DAY 22 OR MORE CLASSES,364.0,364.0,,,0
CDM,30001073,HC DRUG TESTS DEFINITIVE PER DAY 22 OR MORE CLASSES,364.0,364.0,,,0
CDM,30001075,HC HIV ANTIGEN/ANTIBODY COMBO ASSAY SCREEN,177.0,177.0,,,0
CDM,30001076,HC SKELETAL MUSCLE RELAXANTS 1 OR 2,141.0,141.0,,,0
CDM,30001077,HC SKELETAL MUSCLE RELAXANTS 1 OR 2,141.0,141.0,,,0
CDM,30001078,HC DRUGS OR SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,80.6,80.6,,,0
CDM,30001079,HC DRUGS OR SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,80.6,80.6,,,0
CDM,30001080,HC BARBITURATES,80.6,80.6,,,0
CDM,30001081,HC BARBITURATES,80.6,80.6,,,0
CDM,30001082,HC MASS SPECTROMETRY QUANT,144.0,144.0,,,0
CDM,30001083,HC IMMUNOASSAY FOR ANALYTE OTHER THAN INFECT AGENT,82.8,82.8,,,0
CDM,30001085,HC GASTROINTESTINAL PATHOGEN PANEL 3-5 TARGETS,475.0,475.0,,,0
CDM,30001086,HC LIPASE SEND OUT,53.0,53.0,,,0
CDM,30001087,HC BILIRUBIN TOTAL SEND OUT,31.0,31.0,,,0
CDM,30001088,HC CREATININE OTHER SOURCE,54.0,54.0,,,0
CDM,30001089,HC DRUG TEST(S) PRESUMP READ DIR OPTICAL PER DOS,33.0,33.0,,,0
CDM,30001091,HC DRUG TEST(S) PRESUMP READ BY INSTRU ASSIST DIR OPTICAL PER DOS,49.0,49.0,,,0
CDM,30001093,HC DRUG TEST(S) PRESUMP INSTRU CHEM ANALY CHROMATO MASS SPECTR PER DOS,75.0,75.0,,,0
CDM,30001095,HC DRUG TESTS DEF IDENT INDIV DRUGS & STRUCT ISOMERS GC/MS & LC/MS,119.0,119.0,,,0
CDM,30001096,HC DRUG TESTS DEF IDENT INDIV DRUGS & STRUCT ISOMERS GC/MS & LC/MS,119.0,119.0,,,0
CDM,30001097,HC STREPTOCOCCUS GROUP A AMPLIFIED PROBE TECH,110.0,110.0,,,0
CDM,30001098,HC BLOOD OCCULT FECAL HGB DETER IA 1-3 SIMULT DETER,105.0,105.0,,,0
CDM,30001099,HC STAPHYLOCOCCUS AUREUS AMPLIFIED PROBE TECH,175.0,175.0,,,0
CDM,30001100,HC STAPHYLOCOCCUS AUREUS METHICILLIN RESISTANT AMPLI PROBE TECH,125.0,125.0,,,0
CDM,30001101,HC DETECT AGENT NUCLEIC ACID MULTI ORGANISM AMPLIFIED PROBE TECH,437.0,437.0,,,0
CDM,30001102,HC COAGULATION TIME ACTIVATED POCT,31.0,31.0,,,0
CDM,30001103,HC PREGNANCY ASSOC PLASMA PROTEIN A (PAPP-A),95.0,95.0,,,0
CDM,30001104,HC CULT FUNGI DEFINITIVE ID EA ORGANISM MOLD,66.0,66.0,,,0
CDM,30001105,HC INFECT AGENT DETECT NUCLEIC ACID RESPIR SYNCVTIAL VIRUS AMPL PROBE,202.0,202.0,,,0
CDM,30001106,HC LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH W TITRAT,250.0,250.0,,,0
CDM,30001107,HC ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL,95.0,95.0,,,0
CDM,30001108,HC BLOOD TYPING SEROLOGIC ABO,200.0,200.0,,,0
CDM,30001109,HC INFECT AGENT NOS ASSAY W OPTICAL OBSV,35.0,35.0,,,0
CDM,30001110,HC UNLISTED IMMUNOLOGY PROC,37.6,37.6,,,0
CDM,30001111,HC CNS PATHOGEN MULTIPLEX AMPLIFIED PROBE 12-25 TARGETS,1675.0,1675.0,,,0
CDM,30001112,HC STREP B AMPLIFIED PROBE TECHNIQUE,220.0,220.0,,,0
CDM,30001113,HC MGMT METHYLATION ANALYSIS,1250.0,1250.0,,,0
CDM,30001114,HC NEUTRALIZATION TEST VIRAL,135.0,135.0,,,0
CDM,30001115,HC DRUG ASSAY EVEROLIMUS,77.0,77.0,,,0
CDM,30001116,HC DRUG TEST(S) PRESUMP INSTRU CHEM ANALY CHROMATO MASS SPECTR PER DOS,75.0,75.0,,,0
CDM,30001117,HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3 (27.29),165.6,165.6,,,0
CDM,30001118,HC QUANTIFERON TB GOLD PLUS,554.0,554.0,,,0
CDM,30001120,HC ENZYME ACTIVITY CELLS/TISSUE NOS NONRAD SUB EA SPEC,144.0,144.0,,,0
CDM,30001121,HC EXTRACT NUCLEAR ANTIGEN ANTIBODY CENTROMERE B ANTIBODY,143.0,143.0,,,0
CDM,30001122,HC IMMUNO ANTI GLOMERULAR BASE MEMB AB,82.8,82.8,,,0
CDM,30001123,HC ALCOHOL BIOMARKERS 1 OR 2,102.0,102.0,,,0
CDM,30001125,HC NEUROLOGY (PRION DISEASE) CEREBRAL SPINAL FLUID,104.0,104.0,,,0
CDM,30001130,HC DISACCHARDIASES EACH SPECIMEN SEND OUT,144.0,144.0,,,0
CDM,30001132,HC DIHYDROTESTOSTERONE SEND OUT,145.0,145.0,,,0
CDM,30001135,HC PROTEIN WESTERN BLOT W I&R BLOOD/OTH FLUID IMMUNOLOGICAL EA,143.0,143.0,,,0
CDM,30001136,HC FLUORESCENT NONINFECTIOUS AGENT ANTIBODY TITER EACH ANTIBODY,157.0,157.0,,,0
CDM,30001137,HC AMINOLEVULINIC ACID DELTA SEND OUT,131.0,131.0,,,0
CDM,30001138,HC DRUG SCREEN QUANT AMPHETAMINES 3 OR 4 SEND OUT,80.6,80.6,,,0
CDM,30001139,HC DRUG SCREEN METHYLENEDIOXYAMPHETAMINES MDA MDEA MDMA SEND OUT,97.0,97.0,,,0
CDM,30001140,HC DRUG SCREEN BENZODIAZEPINES 1-12 SEND OUT,148.0,148.0,,,0
CDM,30001141,HC ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2 SEND OUT,147.0,147.0,,,0
CDM,30001142,HC DRUG ASSAY FLECAINIDE SEND OUT,103.0,103.0,,,0
CDM,30001143,HC INFECT AGNT DET NUC ACID BABESIA SPP PCR,156.0,156.0,,,0
CDM,30001144,HC INF AGNT DET NUC ACID EHRLICHIA SPP PCR,156.0,156.0,,,0
CDM,30001145,HC INF AGNT DET NUCL ACID ANAPLASMA PHAGOCYTOPHILUM PCR,156.0,156.0,,,0
CDM,30001146,HC QUANTITATION DRUG APIXABAN,169.0,169.0,,,0
CDM,30001147,HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL SEND OUT,115.0,115.0,,,0
CDM,30001148,HC HUMAN PAPILLOMAVIRUS (HPV) HI-RISK TYPES & HI-RISK POOLED RESULTS,303.0,303.0,,,0
CDM,30001150,HC STEM CELLS TOTAL COUNT,380.0,380.0,,,0
CDM,30002020,HC NON-CDC LAB SARS-COV-2/2019-NCOV (COVID-19),214.0,214.0,,,0
CDM,30002021,HC SENDOUT NON-CDC LAB SARS-COV-2/2019-NCOV (COVID-19),214.0,214.0,,,0
CDM,30002022,HC SARS COV-2 IGG IGM TOTAL ANTIBODIES,199.0,199.0,,,0
CDM,30002023,HC SARS COV-2 IGG TOTAL ANTIBODY ELISA,214.0,214.0,,,0
CDM,30002030,HC SARS COV-2 IGG OR IGM ANTIBODY ELISA,214.0,214.0,,,0
CDM,30002034,HC CANDIDA DNA DIRECT PROBE TECHNIQ,160.0,160.0,,,0
CDM,30002035,HC GARDNERELLA VAG DNA DIRECT PROBE TECHNIQ,160.0,160.0,,,0
CDM,30002036,HC TRICHOMONAS VAGINALIS DIRECT PROBE TECHNIQ,160.0,160.0,,,0
CDM,30002040,HC RESPIRATORY VIRUS 3-5 TARGETS INCL SARS-COV-2,614.0,614.0,,,0
CDM,30002041,HC C TRACHOMATIS AMPLIFIED PROBE,202.0,202.0,,,0
CDM,30002042,HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID,212.0,212.0,,,0
CDM,30002043,HC N GONORRHOEAE AMPLIFIED PROBE,202.0,202.0,,,0
CDM,30002046,HC TISSUE TRANSGLUTAMINASE IGG,82.8,82.8,,,0
CDM,30002047,HC NAT HIV-1 AMPLIFIED PROBE & REV TRANSCRIPT,231.0,231.0,,,0
CDM,30002048,HC NAT HCV AMPLIFIED PROBE & REV TRANSCRIPT,219.0,219.0,,,0
CDM,30002049,HC NAT HBV AMPLIFIED PROBE TECH,231.0,231.0,,,0
CDM,30002050,HC CHLORIDE URINE SEND OUTS,45.0,45.0,,,0
CDM,30002051,HC ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA SO,139.8,139.8,,,0
CDM,30002052,HC ALPHA-1-ANTITRYPSIN PHENOTYPE SEND OUTS,113.0,113.0,,,0
CDM,30002053,HC ALPHA-1-ANTITRYPSIN TOTAL SEND OUTS,107.5,107.5,,,0
CDM,30002054,HC ASSAY OF ESTROGENS FRACTIONATED SEND OUTS,252.6,252.6,,,0
CDM,30002055,HC DEOXYRIBONUCLEASE ANTIBODY SEND OUTS,117.0,117.0,,,0
CDM,30002056,HC INFECT AGT DRUG SUSCEPT PHENOTYPE PREDICTION SEND OUTS,1018.0,1018.0,,,0
CDM,30002058,HC CONCENTRATION FOR INFECTIOUS AGENTS SEND OUTS,58.0,58.0,,,0
CDM,30002059,HC SMEAR PRIM SRC W INTER SPEC STAIN BODIES/PARASITS SEND OUTS,47.0,47.0,,,0
CDM,30002061,HC VIRUS INOCULATION SHELL VIAL,156.0,156.0,,,0
CDM,30002062,HC GENOTYPE DNA HIV REVERSE,735.0,735.0,,,0
CDM,30002063,HC INFECT AGENT ANTIGEN DET IA CLOSTRIDIUM DIFFICILE TOXIN,104.0,104.0,,,0
CDM,30002064,HC URINALYSIS DIP STICK/TABLET AUTO WO MICRO SEND OUT,27.0,27.0,,,0
CDM,30002065,HC OSMOLALITY URINE SEND OUT,67.7,67.7,,,0
CDM,30002066,HC IMMUNOASSAY INFECT AGENT ANTIBODY QUAN NOS SEND OUT,119.0,119.0,,,0
CDM,30002067,HC DRUG OR SUBSTANCE DEF QUAL/QUANT NOS 7 OR> SEND OUT,242.0,242.0,,,0
CDM,30002070,HC CULTYPE TYPING ID BLD PATHOGEN & RESIST TYPE 6 OR> TARGETS,1358.0,1358.0,,,0
CDM,30002071,HC INF AGNT DETECT NUC ACID SARSCOV2 & INFLU A&B & RSV MULTI AMPL PROBE TECH,710.0,710.0,,,0
CDM,30002072,HC ASSAY OF MAGNESIUM SEND OUTS,52.7,52.7,,,0
CDM,30002073,HC ASSAY OF COPPER SEND OUTS,99.0,99.0,,,0
CDM,30002074,HC ASSAY OF ARSENIC SEND OUTS,151.6,151.6,,,0
CDM,30002075,HC ALKALOIDS NOT OTHERWISE SPECIFIED SEND OUTS,271.0,271.0,,,0
CDM,30002076,HC ASSAY OF METANPEPHRINES SEND OUTS,149.0,149.0,,,0
CDM,30002077,HC PORPHOBILINOGEN URINE QUANTITIATIVE SEND OUTS,67.7,67.7,,,0
CDM,30002078,HC ASSAY OF ZINC SEND OUTS,91.0,91.0,,,0
CDM,30002079,HC ASSAY OF PYRUVATE SEND OUTS,87.0,87.0,,,0
CDM,30002080,HC INTERLEUKIN-6 (IL-6) SERUM SEND OUTS,129.0,129.0,,,0
CDM,30002081,HC TISSUE TRANSGLUTAMINASE ANTIBODY IGG SEND OUTS,82.8,82.8,,,0
CDM,30002082,HC PANCREATIC ELASTASE FECAL BY IMMUNOASSAY QUAN SEND OUTS,252.6,252.6,,,0
CDM,30002083,HC FREE KAPPA AND LAMBDA IMMUNOGLOB LIGHT CHAINS EACH SEND OUTS,129.0,129.0,,,0
CDM,30002085,HC ACTIN (SMOOTH MUSCLE) ANTIBODY (ASMA) EACH,82.8,82.8,,,0
CDM,30002086,HC ANTINEUTROPHIL CYTOPLASMIC ANTIBODY (ANCA) SCREEN EACH ANTIBODY,69.9,69.9,,,0
CDM,30002087,HC ANTINEUTROPHIL CYTOPLASMIC ANTIBODY (ANCA) TITER EACH ANTIBODY,95.7,95.7,,,0
CDM,30002088,HC ENDOMYSIAL ANTIBODY (EMA) EACH IMMUNOGLOBULIN (IG) CLASS,95.7,95.7,,,0
CDM,30002089,HC GLIADIN (DEAMIDATED) (DGP) ANTIBODY EACH IMMUNOGLOBULIN (IG) CLASS,82.8,82.8,,,0
CDM,30002090,HC TISSUE TRANSGLUTAMINASE EACH IMMUNOGLOBULIN (IG) CLASS,82.8,82.8,,,0
CDM,30002091,HC MITOCHONDRIAL ANTIBODY EACH,115.0,115.0,,,0
CDM,30002092,HC NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN,265.0,265.0,,,0
CDM,30002096,HC CLOTTING FACTOR XIII FIBRIN STABILIZING TEST,132.0,132.0,,,0
CDM,30002097,HC NEPHELOMETRY EACH ANALYTE NOT ELSEWHERE SPEC SEND OUT,88.0,88.0,,,0
CDM,30002098,HC OSMOTIC FRAGILITY RBC UNINCUBATED SEND OUT,80.6,80.6,,,0
CDM,30002099,HC INFECT AGENT DETECT NUCL ACID NOS QUANTIFICATION EA ORGANISM,645.0,645.0,,,0
CDM,30002100,HC INFECT AGENT DETECT NUCL ACID CYTOMEGALOVIRUS QUANTIFICATION,342.0,342.0,,,0
CDM,30002101,HC AQUAPORIN-4 ANTIBODY CELL-BASED IMMUNOFLUORESC ASSAY EA SENDOUT,134.0,134.0,,,0
CDM,30002102,HC MYELIN OLIGODENDROCYTE GLYCOPRTN ANTIBDY IMMFLUOR ASSAY EA SENDOUT,177.0,177.0,,,0
CDM,30002103,HC PORPHYRINS URINE QUANTITATION AND FRACTIONATION SENDOUT,117.0,117.0,,,0
CDM,30002104,HC BLOOD FUNGAL PCR PANEL,110.0,110.0,,,0
CDM,30002105,HC PLATELET ASSOCIATED IMMUNOGLOBULIN ASSAY SENDOUT,104.0,104.0,,,0
CDM,30002106,HC CREATININE SENDOUTS,54.0,54.0,,,0
CDM,30002107,HC PROTEIN TOTAL URINE SENDOUTS,35.0,35.0,,,0
CDM,30002108,HC ELECTROPHORESIS URINE SENDOUTS (QUEST READS),143.0,143.0,,,0
CDM,30002109,HC IMMUNOFIXATION URINE SENDOUTS (QUEST READS),208.6,208.6,,,0
CDM,30002110,HC INFECT AGENT DETECT NUCL ACID ORTHOPOXVIRUS AMPLIFIED PROBE TECH EA,235.0,235.0,,,0
CDM,30002111,HC FOLIC ACID SERUM SEND OUT,82.0,82.0,,,0
CDM,30002112,HC FOLIC ACID RBC SEND OUT,125.8,125.8,,,0
CDM,30002115,HC HYDROXYINDOLACETIC ACID 5 HIAA SEND OUT,103.0,103.0,,,0
CDM,30002116,HC VANILLYLMANDELIC ACID (VMA) URINE SEND OUT,124.7,124.7,,,0
CDM,30002117,HC ASSAY OF HOMOVANILLIC ACID SEND OUT,155.0,155.0,,,0
CDM,30002118,HC EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA SEND OUT,114.0,114.0,,,0
CDM,30002119,HC ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA SEND OUT,114.0,114.0,,,0
CDM,30002120,HC ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN SEND OUT,105.0,105.0,,,0
CDM,30002121,HC VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EA SEND OUT,188.0,188.0,,,0
CDM,30002122,HC CHROMOGENIC FACTOR VIII ASSAY,143.0,143.0,,,0
CDM,30002125,HC THIOPURINE S-METHYLTRANSFERASE (TPMT) LEVELS IN BLOOD SENDOUT,144.0,144.0,,,0
CDM,30002129,HC LAB TEST LACOSAMIDE,153.7,153.7,,,0
CDM,30002130,HC HEAVY METAL QUANTITATIVE EA NOS SEND OUT,175.0,175.0,,,0
CDM,30002131,HC FLUORESCENT NONINFCT AGENT ANTB SCREEN EA ANTIBODY SEND OUT,338.0,338.0,,,0
CDM,30002132,HC INF AGNT DET NUC ACD MYCOPLASMA GENITALIUM AMPL PROBE TECH SEND OUT,161.0,161.0,,,0
CDM,30002133,HC LAB TEST AMIODARONE SEND OUT,132.0,132.0,,,0
CDM,30002134,HC LAB TEST PRIMIDONE SEND OUT,132.0,132.0,,,0
CDM,30002135,HC ANTIBODY FRANCISELLA TULARENSIS SENDOUT,76.0,76.0,,,0
CDM,30002136,HC IADNA QUANTIFICATION EACH ORGANISM SENDOUT,645.0,645.0,,,0
CDM,30002140,HC ASSAY OF ANTI-MULLERIAN HORMONE SEND OUT,154.0,154.0,,,0
CDM,30002141,HC ACETYLCHOLINE RECEPTOR BINDING ANTIBODY SEND OUT,108.6,108.6,,,0
CDM,30002142,HC ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY SEND OUT,108.6,108.6,,,0
CDM,30002143,HC ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY SEND OUT,104.0,104.0,,,0
CDM,30002144,HC MUSCLE-SPECIFIC KINASE ANTIBODY SEND OUT,108.6,108.6,,,0
CDM,30002145,HC INF AGNT DETCT NUC ACID HEPATITIS D DELTA QUAN W REV TRNSCRPT W PRF,128.5,128.5,,,0
CDM,30002146,HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE EACH,165.6,165.6,,,0
CDM,30002147,HC CULTURE FUNGI ISOLATION W PRESUMPTIVE ID ISOL BLOOD SEND OUT,72.0,72.0,,,0
CDM,30002148,HC CULTURE TUBERCLE/OTHER ACID FAST BACILLI ANY SOURCE W ISOL SEND OUT,60.0,60.0,,,0
CDM,30002149,HC CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANISM SENDOUT,160.0,160.0,,,0
CDM,30002150,HC SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUT PER PLATE SENDOUT,131.25,131.25,,,0
CDM,30002151,HC CULTURE TYPING NUCLEIC ACID SEQUENCING METH EA ISOLATE SENDOUT,702.0,702.0,,,0
CDM,30002152,HC SUSCEPT STUDIES ANTIMICRBL AGNT MACROBROTH DIL METH EA AGNT SENDOUT,131.25,131.25,,,0
CDM,30002153,HC CULTURE TYPING OTHER METHODS SENDOUT,85.25,85.25,,,0
CDM,30002154,HC QUANTIFICATION EACH ORGANISM SENDOUT,437.5,437.5,,,0
CDM,30002155,HC CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST SENDOUT,93.25,93.25,,,0
CDM,30002156,HC CULTURE TYP ID BY NUCL ACID AMPL PROBE TECH EA ORG PROBED SENDOUT,229.75,229.75,,,0
CDM,30002157,HC TITER AND ANTIGEN TYPING,273.0,273.0,,,0
CDM,30002158,HC SWEAT COLLECTION BY IONTOPHORESIS,279.0,279.0,,,0
CDM,30002159,HC ANTIBODY SEVERE ACUTE RESP SYN SARS-COV-2 COVID-19 SEND OUT,214.0,214.0,,,0
CDM,30002160,HC ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT POCT,88.0,88.0,,,0
CDM,30002171,HC DRUG ASSAY ACETAMINOPHEN,90.0,90.0,,,0
CDM,30002172,HC DRUG ASSAY SALICYLATE,90.0,90.0,,,0
CDM,30002423,HC GLUCOSE BODY FLUID SENDOUT,31.0,31.0,,,0
CDM,30003946,HC BORDETELLA PCR,175.0,175.0,,,0
CDM,30036415,HC VENOUS BLOOD BY VENIPUNCTURE,13.25,13.25,,,0
CDM,30036600,HC ARTERIAL PUNCTURE,429.0,429.0,,,0
CDM,30080074,HC ACUTE HEPATITIS PANEL,358.0,358.0,,,0
CDM,30080103,HC TISSUE PREPARATION,47.0,47.0,,,0
CDM,30080145,HC DRUG ASSAY ADALIMUMAB,172.0,172.0,,,0
CDM,30080150,HC AMIKACIN,120.0,120.0,,,0
CDM,30080152,HC AMITRIPTYLINE,143.0,143.0,,,0
CDM,30080154,HC NITRAZEPAM,148.0,148.0,,,0
CDM,30080156,HC CARBAMAZEPINE/TEGRETOL,116.0,116.0,,,0
CDM,30080157,HC FREE TEGRETOL,106.0,106.0,,,0
CDM,30080158,HC CYCLOSPORINE,144.0,144.0,,,0
CDM,30080160,HC DESIPRAMINE,143.0,143.0,,,0
CDM,30080162,HC DIGOXIN,106.0,106.0,,,0
CDM,30080164,HC VALPROIC ACID TOTAL,108.6,108.6,,,0
CDM,30080165,HC VALPROIC ACID FREE,89.0,89.0,,,0
CDM,30080166,HC DOXEPIN,143.0,143.0,,,0
CDM,30080168,HC ETHOSUXIMIDE,131.0,131.0,,,0
CDM,30080170,HC GENTAMICIN,131.0,131.0,,,0
CDM,30080174,HC IMIPRAMINE,143.0,143.0,,,0
CDM,30080175,HC LAMOTRIGINE,106.0,106.0,,,0
CDM,30080176,HC LIDOCAINE,117.0,117.0,,,0
CDM,30080178,HC LITHIUM,62.0,62.0,,,0
CDM,30080180,HC MYCOPHENOLIC ACID,144.0,144.0,,,0
CDM,30080182,HC NORTRIPTYLINE,143.0,143.0,,,0
CDM,30080183,HC OXCARBAZEPINE LEVEL,106.0,106.0,,,0
CDM,30080184,HC PHENOBARBITAL,91.0,91.0,,,0
CDM,30080185,HC PHENYTOIN/DILANTIN,106.0,106.0,,,0
CDM,30080186,HC PHENYTOIN/DILANTIN FREE,109.7,109.7,,,0
CDM,30080188,HC PRIMIDONE/MYSOLINE,132.0,132.0,,,0
CDM,30080192,HC PROCAINAMIDE WITH NAPA,134.0,134.0,,,0
CDM,30080195,HC SIROLIMUS (IMX),79.2,79.2,,,0
CDM,30080196,HC SALICYLATE,71.0,71.0,,,0
CDM,30080197,HC TACROLIMUS FK506,79.0,79.0,,,0
CDM,30080198,HC THEOPHYLLINE,113.0,113.0,,,0
CDM,30080200,HC TOBRAMYCIN,113.0,113.0,,,0
CDM,30080201,HC TOPIRAMATE,94.6,94.6,,,0
CDM,30080202,HC VANCOMYCIN,117.0,117.0,,,0
CDM,30080230,HC DRUG ASSAY INFLIXIMAB,170.0,170.0,,,0
CDM,30080299,HC FELBAMATE,215.0,215.0,,,0
CDM,30081001,HC URINALYSIS W/MICRO,25.0,25.0,,,0
CDM,30081002,HC URINALYSIS BY DIPSTICK,20.0,20.0,,,0
CDM,30081003,HC ROUTINE URINALYSIS,27.0,27.0,,,0
CDM,30081015,HC DETECTION OF SPERM IN URINE,24.7,24.7,,,0
CDM,30081025,HC PREGNANCY TEST URINE,37.0,37.0,,,0
CDM,30081050,HC URINE MEASUREMENT,23.7,23.7,,,0
CDM,30081206,HC BCR ABL,363.0,363.0,,,0
CDM,30081210,HC BRAF,362.0,362.0,,,0
CDM,30081240,HC PROTHROMBIN GENE MUTATION,241.0,241.0,,,0
CDM,30081241,HC FACTOR V DNA,352.0,352.0,,,0
CDM,30081261,HC IGH PCR,861.0,861.0,,,0
CDM,30081270,HC JAK2 MUTATION BY PCR,424.0,424.0,,,0
CDM,30081275,HC KRAS,540.0,540.0,,,0
CDM,30081291,HC MTHFR,374.0,374.0,,,0
CDM,30081340,HC T CELL BETA CLONALITY,861.0,861.0,,,0
CDM,30081342,HC T CELL GAMMA CLONALITY,861.0,861.0,,,0
CDM,30082003,HC ACETAMINOPHEN/TYLENOL,71.0,71.0,,,0
CDM,30082010,HC ACETONE QUANT,65.6,65.6,,,0
CDM,30082017,HC ACYLCARNITINE QUANT SO,107.0,107.0,,,0
CDM,30082024,HC ACTH SO,308.5,308.5,,,0
CDM,30082030,HC CYCLIC AMP BLOOD/URINE,206.0,206.0,,,0
CDM,30082040,HC ALBUMIN,23.5,23.5,,,0
CDM,30082042,HC BODY FLUID ALBUMIN,41.9,41.9,,,0
CDM,30082043,HC URINE MICROALBUMIN RANDOM,56.2,56.2,,,0
CDM,30082055,HC ETHANOL,88.0,88.0,,,0
CDM,30082085,HC ALDOLASE,77.0,77.0,,,0
CDM,30082088,HC ALDOSTERONE SERUM,325.0,325.0,,,0
CDM,30082103,HC ALPHA 1 ANTITRYPSIN,107.5,107.5,,,0
CDM,30082105,HC ALPHA FETOPROTEIN,134.0,134.0,,,0
CDM,30082108,HC ALUMINUM,203.0,203.0,,,0
CDM,30082135,HC DELTA AMINOLEVULINIC,131.0,131.0,,,0
CDM,30082139,HC AMINO ACIDS OVER 5 SERUM QUANT,107.0,107.0,,,0
CDM,30082140,HC AMMONIA,116.0,116.0,,,0
CDM,30082145,HC AMPHETAMINES 1 OR 2,80.6,80.6,,,0
CDM,30082150,HC AMYLASE,75.0,75.0,,,0
CDM,30082154,HC ANDROSTANEDIOL,230.0,230.0,,,0
CDM,30082157,HC ANDROSTENEDIONE,233.0,233.0,,,0
CDM,30082164,HC ACE,116.0,116.0,,,0
CDM,30082172,HC APOLIPOPROTEIN A1,124.7,124.7,,,0
CDM,30082175,HC ARSENIC URINE,151.6,151.6,,,0
CDM,30082180,HC ASCORBIC ACID,79.6,79.6,,,0
CDM,30082190,HC METAL ANALYSIS BY ATOMIC ABSOR,94.0,94.0,,,0
CDM,30082232,HC BETA 2 MICROGLOBULIN,129.0,129.0,,,0
CDM,30082239,HC TOTAL BILE ACIDS,136.5,136.5,,,0
CDM,30082247,HC BILIRUBIN TOTAL,31.0,31.0,,,0
CDM,30082248,HC BILIRUBIN DIRECT,40.9,40.9,,,0
CDM,30082261,HC BIOTINIDASE,105.0,105.0,,,0
CDM,30082271,HC OCCULT BLOOD-NON FECAL,25.8,25.8,,,0
CDM,30082272,HC OCCULT,27.5,27.5,,,0
CDM,30082300,HC CADMIUM BLOOD,185.0,185.0,,,0
CDM,30082306,HC VITAMIN D25 OH TOTAL,145.0,145.0,,,0
CDM,30082308,HC CALCITONIN,215.0,215.0,,,0
CDM,30082310,HC CALCIUM,35.0,35.0,,,0
CDM,30082330,HC CALCIUM IONIZED,109.7,109.7,,,0
CDM,30082340,HC CALCIUM URINE,48.0,48.0,,,0
CDM,30082365,HC CALCULUS QUAL,103.0,103.0,,,0
CDM,30082374,HC CARBON DIOXIDE,29.5,29.5,,,0
CDM,30082375,HC CARBOXY HEMOGLOBIN,97.8,97.8,,,0
CDM,30082378,HC CEA,151.6,151.6,,,0
CDM,30082379,HC CARNITINE TOTAL AND FREE,105.0,105.0,,,0
CDM,30082380,HC CAROTENE,73.0,73.0,,,0
CDM,30082384,HC CATECHOL FRACT URINE,202.0,202.0,,,0
CDM,30082390,HC CERULOPLASMIN,86.0,86.0,,,0
CDM,30082397,HC CHMILUMINESCNT ASSAY (VIRACOR),87.0,87.0,,,0
CDM,30082415,HC CHLORAMPHENICOL SENDOUT,102.0,102.0,,,0
CDM,30082435,HC CHLORIDE,28.0,28.0,,,0
CDM,30082436,HC CHLORIDE URINE,45.0,45.0,,,0
CDM,30082438,HC IONTOPHORESIS CHLORIDE,39.8,39.8,,,0
CDM,30082465,HC CHOLESTEROL,29.0,29.0,,,0
CDM,30082495,HC PLASMA CHROMIUM,162.0,162.0,,,0
CDM,30082507,HC CITRIC ACID,223.0,223.0,,,0
CDM,30082523,HC N-TELEOPEPTIDES SO,102.0,102.0,,,0
CDM,30082525,HC COPPER URINE,99.0,99.0,,,0
CDM,30082528,HC CORTICOSTERONE,179.5,179.5,,,0
CDM,30082530,HC CORTISOL FREE,133.0,133.0,,,0
CDM,30082533,HC CORTISOL TOTAL,143.0,143.0,,,0
CDM,30082542,HC SULFONYUREA,144.0,144.0,,,0
CDM,30082550,HC CK,46.0,46.0,,,0
CDM,30082565,HC CREATININE,38.0,38.0,,,0
CDM,30082570,HC CREATININE URINE,54.0,54.0,,,0
CDM,30082595,HC CRYOGLOBULIN,51.6,51.6,,,0
CDM,30082600,HC CYANIDE,155.0,155.0,,,0
CDM,30082607,HC VITAMIN B12,119.0,119.0,,,0
CDM,30082608,HC VIT B12 UBC,114.0,114.0,,,0
CDM,30082626,HC DHEA,202.0,202.0,,,0
CDM,30082627,HC DHEA SULFATE,177.0,177.0,,,0
CDM,30082633,HC DEOXYCORTICOSTERONE (ESO),247.0,247.0,,,0
CDM,30082634,HC 11-DESOXYCORTISOL (ESOTERIX),233.0,233.0,,,0
CDM,30082638,HC DIBUCAINE INHIBITION,97.8,97.8,,,0
CDM,30082651,HC DIHYDROTESTOSTERONE,206.0,206.0,,,0
CDM,30082652,HC VITAMIN D 125 LCMS,307.0,307.0,,,0
CDM,30082656,HC PANCREATIC ELASTASE-1,91.0,91.0,,,0
CDM,30082657,HC CLO TEST,144.0,144.0,,,0
CDM,30082664,HC GALACT-1-PHOS URIDYLTR PHENO,274.0,274.0,,,0
CDM,30082668,HC EPO SO,150.5,150.5,,,0
CDM,30082670,HC ESTRADIOL,223.6,223.6,,,0
CDM,30082672,HC ESTROGENS TOTAL,174.0,174.0,,,0
CDM,30082677,HC ESTRIOL,148.0,148.0,,,0
CDM,30082679,HC ESTRONE,200.0,200.0,,,0
CDM,30082693,HC ETHYLENE GLYCOL,118.0,118.0,,,0
CDM,30082705,HC FECAL FAT STAIN,40.9,40.9,,,0
CDM,30082710,HC FECAL LIPIDS QUANT,134.0,134.0,,,0
CDM,30082725,HC FREE FATTY ACID (SO),106.0,106.0,,,0
CDM,30082726,HC VERY LONG CHAIN FATTY ACIDS,144.0,144.0,,,0
CDM,30082728,HC FERRITIN,92.0,92.0,,,0
CDM,30082746,HC FOLIC ACID SERUM,82.0,82.0,,,0
CDM,30082747,HC FOLIC ACID RBC,125.8,125.8,,,0
CDM,30082759,HC GALACTOKINASE,172.0,172.0,,,0
CDM,30082775,HC GALACTOSE-1-PHOS URIDYLTRANS,167.7,167.7,,,0
CDM,30082784,HC IMMUNOGLOBULIN IGA,60.0,60.0,,,0
CDM,30082785,HC IGE,132.0,132.0,,,0
CDM,30082787,HC IGG SUBCLASS EA OF 4,59.0,59.0,,,0
CDM,30082800,HC GASES BLOOD PH,67.7,67.7,,,0
CDM,30082803,HC BLOOD GASES,141.0,141.0,,,0
CDM,30082805,HC MIXED BLOOD STUDY,178.0,178.0,,,0
CDM,30082810,HC O2 SATURATION,69.9,69.9,,,0
CDM,30082943,HC GLUCAGON EA,114.0,114.0,,,0
CDM,30082945,HC GLUCOSE BODY FLUID,31.0,31.0,,,0
CDM,30082947,HC GLUCOSE,27.0,27.0,,,0
CDM,30082948,HC FINGERSTICK GLUCOSE,19.0,19.0,,,0
CDM,30082950,HC GLUCOSE WITH DOSE,42.0,42.0,,,0
CDM,30082951,HC LACTOSE TOLERANCE TEST,120.0,120.0,,,0
CDM,30082952,HC GLUCOSE TOL EACH SPEC BEY 3,38.0,38.0,,,0
CDM,30082955,HC G 6 PD QUANT,71.0,71.0,,,0
CDM,30082977,HC GLUTAMYL TRANSFERASE,58.0,58.0,,,0
CDM,30082985,HC FRUCTOSAMINE,120.0,120.0,,,0
CDM,30083001,HC FSH,148.0,148.0,,,0
CDM,30083002,HC LH,149.0,149.0,,,0
CDM,30083003,HC GROWTH HORMONE HUMAN,133.0,133.0,,,0
CDM,30083010,HC HAPTOGLOBIN,100.0,100.0,,,0
CDM,30083013,HC H PYLORI UREA BREATH TEST,539.0,539.0,,,0
CDM,30083020,HC ACID CITRATE ELECTROPHORESIS,99.0,99.0,,,0
CDM,30083021,HC HEMOGLOBIN S,144.0,144.0,,,0
CDM,30083030,HC HEMOGLOBIN F,66.7,66.7,,,0
CDM,30083036,HC HEMOGLOBIN A1C,62.0,62.0,,,0
CDM,30083050,HC METHEMOGLOBIN,59.0,59.0,,,0
CDM,30083069,HC HEMOGLOBIN URINE,31.0,31.0,,,0
CDM,30083070,HC HEMOSIDERIN,38.7,38.7,,,0
CDM,30083088,HC HISTAMINE,235.0,235.0,,,0
CDM,30083090,HC HOMOCYSTEINE,134.0,134.0,,,0
CDM,30083150,HC URINE HVA,155.0,155.0,,,0
CDM,30083491,HC HYDROXYCORTICOSTEROIDS 17,139.8,139.8,,,0
CDM,30083497,HC HYDROXYINDOLACETIC ACID 5 HIAA,103.0,103.0,,,0
CDM,30083498,HC HYDROXYPROGESTERONE 17,217.0,217.0,,,0
CDM,30083500,HC HYDROXYPROLINE FREE,180.6,180.6,,,0
CDM,30083505,HC HYDROXYPROLINE TOTAL,194.6,194.6,,,0
CDM,30083516,HC PROTEINASE 3 AB IMM INHOUSE,82.8,82.8,,,0
CDM,30083520,HC COLLAGEN BIND ASSAY,104.0,104.0,,,0
CDM,30083525,HC INSULIN SERUM,91.0,91.0,,,0
CDM,30083527,HC INSULIN FREE,102.0,102.0,,,0
CDM,30083540,HC IRON,44.0,44.0,,,0
CDM,30083550,HC IRON BINDING CAPACITY,66.0,66.0,,,0
CDM,30083586,HC KETOSTEROIDS 17,103.0,103.0,,,0
CDM,30083605,HC LACTIC ACID,83.9,83.9,,,0
CDM,30083615,HC LDH,48.0,48.0,,,0
CDM,30083625,HC LDH ISO (SEND OUT),103.0,103.0,,,0
CDM,30083655,HC LEAD,72.0,72.0,,,0
CDM,30083690,HC LIPASE,53.0,53.0,,,0
CDM,30083695,HC LIPOPROTEIN A SO,104.0,104.0,,,0
CDM,30083704,HC LIPOPROTEIN PARTICLE NUMBER(S),251.6,251.6,,,0
CDM,30083718,HC HDL CHOLESTEROL,54.0,54.0,,,0
CDM,30083721,HC LDL CHOLESTEROL,48.0,48.0,,,0
CDM,30083735,HC MAGNESIUM,52.7,52.7,,,0
CDM,30083785,HC MANGANESE,196.7,196.7,,,0
CDM,30083805,HC MEPROBAMATE,141.0,141.0,,,0
CDM,30083825,HC MERCURY,130.0,130.0,,,0
CDM,30083835,HC METANEPHRINES TOTAL,149.0,149.0,,,0
CDM,30083858,HC METHSUXIMIDE,118.0,118.0,,,0
CDM,30083873,HC MYELIN BASIC PROTEIN,137.6,137.6,,,0
CDM,30083874,HC MYOGLOBIN,103.0,103.0,,,0
CDM,30083876,HC MYELOPEROXIDASE,271.0,271.0,,,0
CDM,30083880,HC NATRIURETIC PEPTIDE,284.0,284.0,,,0
CDM,30083883,HC RETINOL BINDING PROTEIN,88.0,88.0,,,0
CDM,30083915,HC NUCLEOTIDASE 5,89.0,89.0,,,0
CDM,30083916,HC OLIGOCLONAL BANDS,160.0,160.0,,,0
CDM,30083918,HC ORGANIC ACID BY GC/MS,131.0,131.0,,,0
CDM,30083921,HC METHYLMALONIC ACID/QUANT,144.0,144.0,,,0
CDM,30083930,HC OSMOLALITY BLOOD,52.7,52.7,,,0
CDM,30083935,HC OSMOLALITY URINE,67.7,67.7,,,0
CDM,30083937,HC OSTEOCALCIN,238.7,238.7,,,0
CDM,30083945,HC OXALATE,103.0,103.0,,,0
CDM,30083970,HC PARATHYROID HORMONE DETAIL,330.0,330.0,,,0
CDM,30083986,HC PH BODY FLUID,28.0,28.0,,,0
CDM,30083993,HC CALPROTECTIN FECAL,157.0,157.0,,,0
CDM,30084022,HC CHLORPROMAZINE,80.6,80.6,,,0
CDM,30084030,HC PNENYLALANINE (PKU),44.0,44.0,,,0
CDM,30084066,HC PROSTATIC ACID PHOSPHATASE,76.0,76.0,,,0
CDM,30084075,HC ALKALINE PHOSPHATASE,33.0,33.0,,,0
CDM,30084080,HC ALKALINE ISOENZYME (SO),118.0,118.0,,,0
CDM,30084100,HC PHOSPHORUS,38.7,38.7,,,0
CDM,30084105,HC PHOSPHORUS URINE,41.9,41.9,,,0
CDM,30084106,HC PORPHOBILINOGEN,34.0,34.0,,,0
CDM,30084132,HC POTASSIUM SERUM,29.5,29.5,,,0
CDM,30084133,HC POTASSIUM URINE,34.0,34.0,,,0
CDM,30084134,HC PRE ALBUMIN,116.0,116.0,,,0
CDM,30084138,HC PREGNANETRIOL URINE,120.0,120.0,,,0
CDM,30084140,HC PREGNENOLONE,164.0,164.0,,,0
CDM,30084144,HC PROGESTERONE,166.6,166.6,,,0
CDM,30084145,HC PROCALCITONIN,169.0,169.0,,,0
CDM,30084146,HC PROLACTIN,155.0,155.0,,,0
CDM,30084150,HC PROSTAGLANDIN EA,200.0,200.0,,,0
CDM,30084153,HC PROSTATIC SPECIFIC ANTIGEN,115.0,115.0,,,0
CDM,30084154,HC PSA FREE,147.0,147.0,,,0
CDM,30084155,HC PROTEIN TOTAL SERUM,24.7,24.7,,,0
CDM,30084156,HC PROTEIN TOTAL URINE,35.0,35.0,,,0
CDM,30084157,HC PROTEIN TOTAL BODY FLUID,32.0,32.0,,,0
CDM,30084163,HC INTEGRATED SCR PROTEIN A SO,95.0,95.0,,,0
CDM,30084165,HC ELECTROPHORESIS SERUM,83.9,83.9,,,0
CDM,30084166,HC ELECTROPHORESIS URINE,143.0,143.0,,,0
CDM,30084181,HC CSF HU ANTIBODY WESTERN BLOT,136.5,136.5,,,0
CDM,30084202,HC FEP RBC PROTOPORPHYRIN,115.0,115.0,,,0
CDM,30084206,HC PROINSULIN,142.0,142.0,,,0
CDM,30084207,HC VITAMIN B6,239.0,239.0,,,0
CDM,30084210,HC PYRUVATE,87.0,87.0,,,0
CDM,30084220,HC PYRUVATE KINASE,75.0,75.0,,,0
CDM,30084238,HC SOLUBLE IL2 RECEPTOR,292.0,292.0,,,0
CDM,30084244,HC RENIN ACTIVITY,176.0,176.0,,,0
CDM,30084252,HC VITAMIN B2,177.0,177.0,,,0
CDM,30084255,HC SELENIUM,204.0,204.0,,,0
CDM,30084260,HC SEROTONIN,247.0,247.0,,,0
CDM,30084270,HC SEX HORM BIND GLOBULIN,174.0,174.0,,,0
CDM,30084275,HC LASA P,107.5,107.5,,,0
CDM,30084295,HC SODIUM,32.0,32.0,,,0
CDM,30084300,HC SODIUM URINE,38.7,38.7,,,0
CDM,30084305,HC SOMATOMEDIN C ELECTROCHEMILUM,135.0,135.0,,,0
CDM,30084307,HC SOMATOSTATIN,135.0,135.0,,,0
CDM,30084376,HC FECAL REDUCING SUBSTANCE,44.0,44.0,,,0
CDM,30084378,HC GALACTOSE-1-PHOSPHATE,92.0,92.0,,,0
CDM,30084392,HC STONERISK SULFATE,38.7,38.7,,,0
CDM,30084403,HC TESTOSTERONE TOTAL,206.0,206.0,,,0
CDM,30084425,HC VITAMIN B1,189.0,189.0,,,0
CDM,30084430,HC THIOCYANATE,92.0,92.0,,,0
CDM,30084432,HC THYROGLOBULIN,129.0,129.0,,,0
CDM,30084436,HC T4 TOTAL,47.0,47.0,,,0
CDM,30084442,HC THYROXINE BINDING GLOBULIN,118.0,118.0,,,0
CDM,30084445,HC TSI,406.0,406.0,,,0
CDM,30084446,HC VITAMIN E,113.0,113.0,,,0
CDM,30084449,HC CORTISOL BINDING GLOBULIN,139.8,139.8,,,0
CDM,30084450,HC AST,34.0,34.0,,,0
CDM,30084460,HC ALT,32.0,32.0,,,0
CDM,30084466,HC TRANSFERRIN,102.0,102.0,,,0
CDM,30084478,HC TRIGLYCERIDES,37.0,37.0,,,0
CDM,30084480,HC T3 TOTAL,99.0,99.0,,,0
CDM,30084481,HC T3 FREE,95.0,95.0,,,0
CDM,30084482,HC T3 REVERSE,121.0,121.0,,,0
CDM,30084484,HC TROPONIN QUANT,79.6,79.6,,,0
CDM,30084510,HC TYROSINE AMINO,83.9,83.9,,,0
CDM,30084520,HC BUN,23.9,23.9,,,0
CDM,30084550,HC URIC ACID,36.6,36.6,,,0
CDM,30084560,HC URIC ACID URINE,38.7,38.7,,,0
CDM,30084585,HC VMA ACID,124.7,124.7,,,0
CDM,30084586,HC VASO INTESTINAL POLYPEP,152.7,152.7,,,0
CDM,30084588,HC ARGININE VASOPRESSIN,271.0,271.0,,,0
CDM,30084590,HC VITAMIN A,92.0,92.0,,,0
CDM,30084591,HC NIACIN,92.0,92.0,,,0
CDM,30084597,HC VITAMIN K,109.7,109.7,,,0
CDM,30084600,HC ISOPROPYLALCOHOL,129.0,129.0,,,0
CDM,30084620,HC XYLOSE (SEND-OUT),94.6,94.6,,,0
CDM,30084630,HC ZINC SERUM,91.0,91.0,,,0
CDM,30084681,HC C PEPTIDE SERUM,165.6,165.6,,,0
CDM,30084702,HC QUANTITATIVE BETA HCG,132.0,132.0,,,0
CDM,30084703,HC PREGNANCY SERUM,46.0,46.0,,,0
CDM,30085002,HC BLEEDING TIME,36.6,36.6,,,0
CDM,30085007,HC BLOOD COUNT MANUAL DIF,30.0,30.0,,,0
CDM,30085013,HC BE HEMATOCRIT,19.0,19.0,,,0
CDM,30085014,HC MICRO HCT,21.0,21.0,,,0
CDM,30085018,HC HEMOGLOBIN,21.0,21.0,,,0
CDM,30085025,HC AUTO CBC WITH DIFF,52.0,52.0,,,0
CDM,30085027,HC AUTO CBC NO DIFF,48.0,48.0,,,0
CDM,30085045,HC RETIC COUNT AUTO,34.0,34.0,,,0
CDM,30085049,HC PLATELET AUTOMATED COUNT,36.6,36.6,,,0
CDM,30085130,HC PROTHROMBIN FRAGMENT 1 2,75.0,75.0,,,0
CDM,30085210,HC ASSAY FACTOR II,65.6,65.6,,,0
CDM,30085220,HC ASSAY FACTOR V,141.0,141.0,,,0
CDM,30085230,HC ASSAY FACTOR VII,143.0,143.0,,,0
CDM,30085240,HC ASSAY FACTOR VIII,143.0,143.0,,,0
CDM,30085245,HC RISTOCETIN COFACTOR,183.0,183.0,,,0
CDM,30085246,HC VW FACTOR ANTIGEN,183.0,183.0,,,0
CDM,30085247,HC VW FACTOR MULTIMETRIC ANALYS,183.0,183.0,,,0
CDM,30085250,HC ASSAY FACTOR IX,152.7,152.7,,,0
CDM,30085260,HC ASSAY FACTOR X,143.0,143.0,,,0
CDM,30085270,HC ASSAY FACTOR XI,143.0,143.0,,,0
CDM,30085280,HC ASSAY FACTOR XII,155.0,155.0,,,0
CDM,30085291,HC SCREEN FACTOR XIII,71.0,71.0,,,0
CDM,30085300,HC ANTITHROMBIN III FUNCTIONAL,94.6,94.6,,,0
CDM,30085303,HC PROTEIN C FUNCTIONAL,102.0,102.0,,,0
CDM,30085305,HC PROTEIN S TOTAL,92.0,92.0,,,0
CDM,30085306,HC PROTEIN S FREE,114.0,114.0,,,0
CDM,30085307,HC APC RATIO,114.0,114.0,,,0
CDM,30085335,HC FACTOR VIII INHIBITOR SCREEN,103.0,103.0,,,0
CDM,30085347,HC ACT NON OPEN HEART,31.0,31.0,,,0
CDM,30085362,HC FDP,54.8,54.8,,,0
CDM,30085379,HC D DIMER QUANT,90.0,90.0,,,0
CDM,30085384,HC FIBRINGEN ACTIVITY,57.0,57.0,,,0
CDM,30085540,HC LAP W/COUNT,68.8,68.8,,,0
CDM,30085549,HC MURAMIDASE SERUM,150.5,150.5,,,0
CDM,30085557,HC OSMOTIC FRAGILITY SO,83.0,83.0,,,0
CDM,30085576,HC DETECT ASPIRIN EFFECT,135.0,135.0,,,0
CDM,30085610,HC PROTHROMBIN TIME,37.0,37.0,,,0
CDM,30085612,HC LUPUS ANTICOAGULANT,47.0,47.0,,,0
CDM,30085613,HC DRVVT,47.0,47.0,,,0
CDM,30085660,HC SICKLE CELL,48.0,48.0,,,0
CDM,30085670,HC THROMBIN TIME,46.0,46.0,,,0
CDM,30085730,HC APTT,47.0,47.0,,,0
CDM,30085810,HC VISCOSITY,93.5,93.5,,,0
CDM,30086003,HC AUREOBASIDIUM PULLANS,46.0,46.0,,,0
CDM,30086022,HC ELISA IGG HITA,162.0,162.0,,,0
CDM,30086060,HC ASO TITER,65.0,65.0,,,0
CDM,30086140,HC C REACTIVE PROTEIN,41.9,41.9,,,0
CDM,30086141,HC HIGHLY SENSITIVE C-REACT,104.0,104.0,,,0
CDM,30086146,HC BETA 2 GLYCO PRO INHIBITOR,160.0,160.0,,,0
CDM,30086147,HC CARDIOLIPIN AB IGG,172.0,172.0,,,0
CDM,30086160,HC C1Q COMPLEMENT COMPONENT,105.0,105.0,,,0
CDM,30086161,HC C1 ESTERASE INHIB FUNCTNL SO,95.7,95.7,,,0
CDM,30086200,HC CYCLIC CITRULLINATED PEPTIDE,114.0,114.0,,,0
CDM,30086226,HC SINGLE STRAND DNA ANTIBODY,96.8,96.8,,,0
CDM,30086235,HC ENA JO 1,143.0,143.0,,,0
CDM,30086256,HC ANCA FLUORESCENT,157.0,157.0,,,0
CDM,30086300,HC CA 27 29,165.6,165.6,,,0
CDM,30086301,HC CA 19 9,165.6,165.6,,,0
CDM,30086304,HC CA 125,165.6,165.6,,,0
CDM,30086308,HC MONO TEST SCREEN,46.0,46.0,,,0
CDM,30086316,HC CHROMOGRANIN A,165.6,165.6,,,0
CDM,30086331,HC TEICHOIC ACID,95.7,95.7,,,0
CDM,30086332,HC IMMUNE COMPLEX BY RAJI,194.6,194.6,,,0
CDM,30086334,HC IMMUNOFIXATION ELECTROPHORESIS,178.0,178.0,,,0
CDM,30086335,HC URINE IMMUNOFIXATION ELECTRO,208.6,208.6,,,0
CDM,30086336,HC INHIBIN A,124.7,124.7,,,0
CDM,30086337,HC INSULIN ANTIBODY(SEND-OUT),172.0,172.0,,,0
CDM,30086340,HC INTRINSIC FACTOR AB,120.0,120.0,,,0
CDM,30086353,HC LYMPHOCYTIC TRANFORM (VIRACOR),391.0,391.0,,,0
CDM,30086382,HC POLIOVIRUS AB NEUTRALIZATION,135.0,135.0,,,0
CDM,30086384,HC SPONTANEOUS N B T,91.0,91.0,,,0
CDM,30086480,HC QUANTIFERON TB GOLD,496.0,496.0,,,0
CDM,30086580,HC PPD,44.0,44.0,,,0
CDM,30086606,HC ASPERGILLUS FUMIGATUS AB,117.0,117.0,,,0
CDM,30086611,HC BARTONELLA SPECIES EACH AB,77.0,77.0,,,0
CDM,30086612,HC BLASTOMYCES AB SO,103.0,103.0,,,0
CDM,30086615,HC BORD PERT IGA PT,105.0,105.0,,,0
CDM,30086618,HC LYME DISEASE AB,113.0,113.0,,,0
CDM,30086622,HC BRUCELLA IGG,69.9,69.9,,,0
CDM,30086628,HC CANDIDA ALBICANS AB SO,95.7,95.7,,,0
CDM,30086631,HC CHLAMYDIA IGG (SEND-OUT),94.6,94.6,,,0
CDM,30086632,HC CHLAMYDIA IGM (SEND-OUT),102.0,102.0,,,0
CDM,30086635,HC CSF COCCIDIOIDES IMMITIS AB SO,91.0,91.0,,,0
CDM,30086641,HC CRYPTOCOCCUS AB,92.0,92.0,,,0
CDM,30086644,HC CSF CMV IGG (SO),115.0,115.0,,,0
CDM,30086645,HC CSF CMV IGM (SO),114.0,114.0,,,0
CDM,30086648,HC DIPHTHERIA AB,96.0,96.0,,,0
CDM,30086651,HC CALIFORNIA IGG,105.0,105.0,,,0
CDM,30086652,HC EASTERN EQUINE IGG,83.0,83.0,,,0
CDM,30086653,HC ST LOUIS IGG,83.0,83.0,,,0
CDM,30086654,HC WESTERN EQUINE IGG,83.0,83.0,,,0
CDM,30086658,HC COX A EACH COMPONENT,83.9,83.9,,,0
CDM,30086663,HC EB VIRUS EARLY AG,105.0,105.0,,,0
CDM,30086664,HC EB VIRUS NUCLEAR AG,114.0,114.0,,,0
CDM,30086665,HC EB VCA IGG,114.0,114.0,,,0
CDM,30086671,HC SACCHAROMYCES IGA,77.0,77.0,,,0
CDM,30086674,HC GIARDIA LAMBLIA IGG ANTIBODY,114.0,114.0,,,0
CDM,30086677,HC HELICOBACTER PYLORI,128.0,128.0,,,0
CDM,30086692,HC HEPATITIS DELTA,135.0,135.0,,,0
CDM,30086694,HC HSV IGM SCREEN (SO),128.0,128.0,,,0
CDM,30086696,HC HSV 2 IGG HERPES SIMPLEX,155.0,155.0,,,0
CDM,30086698,HC HISTOPLASMA ANTIBODY,99.0,99.0,,,0
CDM,30086703,HC HIV,88.0,88.0,,,0
CDM,30086713,HC LEGIONELLA  PNEUMONIA IFA SO,121.0,121.0,,,0
CDM,30086717,HC LEISHMANIA ANTIBODY IFA,78.0,78.0,,,0
CDM,30086727,HC LCM,83.9,83.9,,,0
CDM,30086735,HC MUMP IGG EIA,114.0,114.0,,,0
CDM,30086747,HC PARVOVIRUS B19 EA OF 2 COMP,95.0,95.0,,,0
CDM,30086753,HC BABESIA IGG,83.0,83.0,,,0
CDM,30086756,HC RESPIRATORY SYNCYTIAL VIRUS,103.0,103.0,,,0
CDM,30086757,HC RMSF IGM TITER,155.0,155.0,,,0
CDM,30086762,HC RUBELLA IGG,115.0,115.0,,,0
CDM,30086765,HC RUBEOLA IGG,113.0,113.0,,,0
CDM,30086768,HC SALMONELLA H TYPE A,83.0,83.0,,,0
CDM,30086774,HC TETANUS,93.0,93.0,,,0
CDM,30086777,HC TOXOPLASMA IGG,115.0,115.0,,,0
CDM,30086778,HC TOXOPLASMA IGM,127.0,127.0,,,0
CDM,30086787,HC VARICELLA IGG EIA,117.0,117.0,,,0
CDM,30086788,HC CSF WEST NILE IGM,114.0,114.0,,,0
CDM,30086789,HC CSF WEST NILE IGG,115.0,115.0,,,0
CDM,30086790,HC DENGUE IGG,83.0,83.0,,,0
CDM,30086807,HC HLA AB SCREEN,316.0,316.0,,,0
CDM,30086812,HC HLA B27,206.0,206.0,,,0
CDM,30086813,HC HLA ABC TYPING AG,463.0,463.0,,,0
CDM,30086817,HC HLA DR TYPING AG,515.0,515.0,,,0
CDM,30086825,HC HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM OR DILUTION,325.0,325.0,,,0
CDM,30086850,HC AB SCREEN,104.0,104.0,,,0
CDM,30086860,HC ELUTION,269.0,269.0,,,0
CDM,30086870,HC AB IDENTIFICATION,526.0,526.0,,,0
CDM,30086880,HC COOMBS TEST DIRECT,100.0,100.0,,,0
CDM,30086886,HC AB TITRATION,273.0,273.0,,,0
CDM,30086900,HC ABO TYPE,200.0,200.0,,,0
CDM,30086901,HC RH TYPE,63.0,63.0,,,0
CDM,30086902,HC RIBC AG SCREEN,502.0,502.0,,,0
CDM,30086905,HC AG SCREEN PATIENT,483.0,483.0,,,0
CDM,30086920,HC CROSSMATCH IS,257.0,257.0,,,0
CDM,30086922,HC CROSSMATCH AHG,274.0,274.0,,,0
CDM,30086923,HC CROSSMATCH  ELECTRONIC,257.0,257.0,,,0
CDM,30086927,HC THAWING FFP,282.0,282.0,,,0
CDM,30086945,HC IRRAD OF BLOOD COMPONENT,104.0,104.0,,,0
CDM,30086960,HC VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT,428.0,428.0,,,0
CDM,30086965,HC POOLING PLTS OR CRYO PER POOL,282.0,282.0,,,0
CDM,30086972,HC RIBC REF RETIC SEPARATION,282.0,282.0,,,0
CDM,30086975,HC RIBC REF DRUG TREATMENT-SERUM,515.0,515.0,,,0
CDM,30086977,HC RIBC REF NEUTRALIZATION,282.0,282.0,,,0
CDM,30086978,HC RIBC REF ENZYME TREAT,145.0,145.0,,,0
CDM,30086985,HC SPLITTING OF BLOOD COMPONENTS,282.0,282.0,,,0
CDM,30087015,HC CONCENTRATION STEP,58.0,58.0,,,0
CDM,30087040,HC CULTURE BLOOD,82.8,82.8,,,0
CDM,30087045,HC CULTURE STOOL,83.0,83.0,,,0
CDM,30087046,HC CULTURE STOOL ADD PATHOGENS,75.0,75.0,,,0
CDM,30087070,HC CULTURE THROAT,68.8,68.8,,,0
CDM,30087075,HC CULTURE ANAEROBIC,81.7,81.7,,,0
CDM,30087081,HC CULTURE BACTERIAL SCREEN,68.0,68.0,,,0
CDM,30087086,HC CULTURE URINE COLONY COUNT,51.6,51.6,,,0
CDM,30087088,HC CULTURE URINE ADD ID MAJOR,51.6,51.6,,,0
CDM,30087101,HC CULTURE FUNGUS SKIN,62.0,62.0,,,0
CDM,30087102,HC CULTURE FUNGUS,66.7,66.7,,,0
CDM,30087103,HC CULTURE FUNGUS BLOOD,72.0,72.0,,,0
CDM,30087109,HC MYCOPLASMA HOMINIS CULT (SO),122.6,122.6,,,0
CDM,30087116,HC CULTURE AFB,60.0,60.0,,,0
CDM,30087147,HC CULT TYPING AGGLUTINATION GRP,41.9,41.9,,,0
CDM,30087149,HC PEPTIDE NUCLEIC ACID FLUORES,160.0,160.0,,,0
CDM,30087150,HC ID BY NUCLEIC ACID (DNA OR RNA) PROBE CULT/ISOLATE EACH,110.0,110.0,,,0
CDM,30087172,HC PINWORM EXAM,34.0,34.0,,,0
CDM,30087176,HC HOMOGENIZATION TISSUE,47.0,47.0,,,0
CDM,30087181,HC SUSCEPTIBILITY E TEST,45.0,45.0,,,0
CDM,30087184,HC SENSITIVITY DISKS,54.8,54.8,,,0
CDM,30087186,HC SENSITIVITY MIC,68.8,68.8,,,0
CDM,30087205,HC SMEAR PRIMARY SOURCE,37.0,37.0,,,0
CDM,30087206,HC SMEAR AFB FLUORESCENT,43.0,43.0,,,0
CDM,30087207,HC THIN SMEAR FOR PARASITE TC,47.0,47.0,,,0
CDM,30087209,HC COMPLEX STAIN OVA & PARASITES,143.0,143.0,,,0
CDM,30087210,HC SMEAR WET MOUNT,34.0,34.0,,,0
CDM,30087220,HC KOH SLIDE,34.0,34.0,,,0
CDM,30087253,HC TISS CULT ADD STUDIES EA ISOL,161.0,161.0,,,0
CDM,30087281,HC SMEAR PNEUMO CARINII DFA,91.0,91.0,,,0
CDM,30087305,HC VIRACOR ASPERGILLUS GALACTO,91.0,91.0,,,0
CDM,30087338,HC FECAL HELICOBACTER,100.0,100.0,,,0
CDM,30087340,HC HEPATITIS B SURFACE AG,91.0,91.0,,,0
CDM,30087350,HC HBE AG,92.0,92.0,,,0
CDM,30087385,HC HISTOPLASMA ANTIGEN,91.0,91.0,,,0
CDM,30087430,HC STREPTOCOCCUS GROUP A EIA,101.0,101.0,,,0
CDM,30087476,HC LYME DNA BY PCR,285.0,285.0,,,0
CDM,30087481,HC CANDIDA SPECIES AMPLIFIED PROBE TECHNIQUE,218.0,218.0,,,0
CDM,30087491,HC CHLAMYDIA DNA PROBE,202.0,202.0,,,0
CDM,30087493,HC C. DIFFICILE TOXIN PCR,220.0,220.0,,,0
CDM,30087496,HC CYTOMEGALOVIRUS PCR,225.0,225.0,,,0
CDM,30087497,HC VIRACOR CMV PCR,342.0,342.0,,,0
CDM,30087498,HC ENTEROVIRUS  PCR,219.0,219.0,,,0
CDM,30087510,HC GARDNERELLA VAGINALIS PROBE,149.0,149.0,,,0
CDM,30087517,HC HEPATITIS B VIRAL LOAD,342.0,342.0,,,0
CDM,30087521,HC HCV QUALITATIVE,219.0,219.0,,,0
CDM,30087522,HC HCV QUANTITATIVE,342.0,342.0,,,0
CDM,30087530,HC VIRACOR HSV 1 PCR,342.0,342.0,,,0
CDM,30087533,HC VIRACOR HHV 6 PCR,333.0,333.0,,,0
CDM,30087536,HC HIV VIRAL LOAD,375.0,375.0,,,0
CDM,30087591,HC GC DNA PROBE,202.0,202.0,,,0
CDM,30087621,HC HPV AMPLIFIED PROBE,213.0,213.0,,,0
CDM,30087633,HC BUNDLED RESP VIRAL PANEL,960.0,960.0,,,0
CDM,30087797,HC CANDIDA PROBE VAGINAL,149.0,149.0,,,0
CDM,30087799,HC BKV QPCR URINE,645.0,645.0,,,0
CDM,30087804,HC INFLUENZA EIA,100.0,100.0,,,0
CDM,30087901,HC HIV GENOTYPE,735.0,735.0,,,0
CDM,30087902,HC HCV GENOTYPING (INHOUSE),735.0,735.0,,,0
CDM,30087903,HC HIV PHENOTYPE NUCLEIC FIRST,3903.0,3903.0,,,0
CDM,30087904,HC HIV PHENOSENSE EACH ADDITIONAL,207.0,207.0,,,0
CDM,30087910,HC VIRACOR CMV DNA,735.0,735.0,,,0
CDM,30088319,HC CHLOROACETATE ESTERASE,1134.0,1134.0,,,0
CDM,30089050,HC PLEURAL CELL COUNT,37.6,37.6,,,0
CDM,30089051,HC PLEURAL DIFF,147.0,147.0,,,0
CDM,30089055,HC FEC LEUKOCYTE EOSINOPHIL SMEAR,34.0,34.0,,,0
CDM,30089060,HC SYNOVIAL FLUID CRYSTAL,110.0,110.0,,,0
CDM,30089190,HC NASAL SMEAR EOSINOPHILS,38.7,38.7,,,0
CDM,30099001,HC SENDOUT SHIPPING/HANDLING,13.5,13.5,,,0
CDM,30100001,HC ZONISAMIDE,106.0,106.0,,,0
CDM,30100002,HC KEPPRA,106.0,106.0,,,0
CDM,30100003,HC RITALIN METHYLPHENIDATE,102.0,102.0,,,0
CDM,30100004,HC SUBSTANCE P SO,104.0,104.0,,,0
CDM,30180173,HC HALDOL LEVEL,116.0,116.0,,,0
CDM,30180299,HC KETOCONAZOLE LEVEL,215.0,215.0,,,0
CDM,30182530,HC CORTISOL FREE URINE HPLC,133.0,133.0,,,0
CDM,30182785,HC QUEST IGE TOTAL,132.0,132.0,,,0
CDM,30183519,HC ALPHA SUBUNIT,108.6,108.6,,,0
CDM,30183520,HC SULFATIDE AB EACH OF 2 COMP,104.0,104.0,,,0
CDM,30183789,HC URINE IODINE,144.0,144.0,,,0
CDM,30183921,HC URINE OROTIC ACID,144.0,144.0,,,0
CDM,30184182,HC MYELIN ASS GLYCOPROTEIN,143.0,143.0,,,0
CDM,30184591,HC BIOTIN,92.0,92.0,,,0
CDM,30200007,HC PLATELET AB GP IIB IIIA,162.0,162.0,,,0
CDM,30200008,HC PLATELET AB GP IA IIA,162.0,162.0,,,0
CDM,30200009,HC PLATELET AB GP IB IX,162.0,162.0,,,0
CDM,30200010,HC PLATELET AB HLA CLASS I,162.0,162.0,,,0
CDM,30200011,HC ANTI PLATELET AB DIR,162.0,162.0,,,0
CDM,30200013,HC C3 COMPLEMENT,105.0,105.0,,,0
CDM,30200026,HC ANTI EPIDERMAL AB,180.0,180.0,,,0
CDM,30200028,HC RETICULIN ANTIBODY IGG,180.0,180.0,,,0
CDM,30200029,HC RETICULIN ANTIBODY IGA,180.0,180.0,,,0
CDM,30200030,HC ANTI ADRENAL SCREEN,180.0,180.0,,,0
CDM,30200031,HC HU AB IFA,180.0,180.0,,,0
CDM,30200032,HC YO AB IFA,180.0,180.0,,,0
CDM,30200033,HC NEURONAL NUC AB RI IFA,180.0,180.0,,,0
CDM,30200034,HC OVARIAN AB,180.0,180.0,,,0
CDM,30200039,HC ANTI STRIATED MUSCLE,157.0,157.0,,,0
CDM,30200041,HC PARIETAL AB,157.0,157.0,,,0
CDM,30200042,HC SMOOTH MUSCLE AB,157.0,157.0,,,0
CDM,30200044,HC ANTIADRENAL,157.0,157.0,,,0
CDM,30200045,HC CSF HU ANTIBODY TITER,157.0,157.0,,,0
CDM,30200046,HC HU AB TITER,157.0,157.0,,,0
CDM,30200047,HC YO AB TITER,157.0,157.0,,,0
CDM,30200048,HC NEURONAL NUC AB RI TITER,157.0,157.0,,,0
CDM,30200049,HC OVARIAN ANTIBODY TITER,157.0,157.0,,,0
CDM,30200051,HC ISLET CELL AB TITER,158.0,158.0,,,0
CDM,30200052,HC LIVER KIDNEY AB,128.0,128.0,,,0
CDM,30200055,HC VDRL CSF,37.0,37.0,,,0
CDM,30200056,HC LYME WESTERN BLOT IGM,137.0,137.0,,,0
CDM,30200058,HC EHRLICHIA MONO IGM,77.0,77.0,,,0
CDM,30200059,HC EHRLICHIA GRAN IGG,77.0,77.0,,,0
CDM,30200060,HC EHRLICHIA GRAN IGM,77.0,77.0,,,0
CDM,30200061,HC HIV 2 AB WESTERN BLOT,155.0,155.0,,,0
CDM,30200062,HC HTLV I/II AB WESTERN BLOT,155.0,155.0,,,0
CDM,30200065,HC HEPATITIS CORE AB DONOR,105.0,105.0,,,0
CDM,30200070,HC TREPONEMA PALLIDUM AB SENDOUT,106.0,106.0,,,0
CDM,30200071,HC FTA CSF,106.0,106.0,,,0
CDM,30200072,HC HEPATITIS C ANTIBODY DONOR,100.0,100.0,,,0
CDM,30200073,HC HEPATITIS C AB CONFIRM,124.7,124.7,,,0
CDM,30200075,HC NEURONAL AB IFA,180.0,180.0,,,0
CDM,30286000,HC AGGLUTININS FEBRILE EA,54.8,54.8,,,0
CDM,30286022,HC HIT ANTIBODY,162.0,162.0,,,0
CDM,30286038,HC ANTINUCLEAR ANTIBODIES/ANA,96.8,96.8,,,0
CDM,30286039,HC ANA TITER,98.0,98.0,,,0
CDM,30286157,HC COLD AGGLUTININS TITER,64.5,64.5,,,0
CDM,30286160,HC C4 COMPLEMENT,105.0,105.0,,,0
CDM,30286162,HC COMPLEMENT CH 50,162.0,162.0,,,0
CDM,30286215,HC DNASE B ANTIBODY,117.0,117.0,,,0
CDM,30286225,HC DNA AB DOUBLE STRANDED,109.7,109.7,,,0
CDM,30286255,HC ANCA SCREEN,180.0,180.0,,,0
CDM,30286256,HC ANTI ENDOMYSIAL AB,157.0,157.0,,,0
CDM,30286331,HC IMMUNODIF OUCHTERLONY,95.7,95.7,,,0
CDM,30286341,HC ISLET CELL AB SCREEN,158.0,158.0,,,0
CDM,30286355,HC T CELL CD19,120.0,120.0,,,0
CDM,30286357,HC T CELL CD16/56,120.0,120.0,,,0
CDM,30286359,HC T CELL CD3,120.0,120.0,,,0
CDM,30286360,HC T CELL CD4/CD8,150.0,150.0,,,0
CDM,30286376,HC ANTITHYROID PEROXIDASE AB,128.0,128.0,,,0
CDM,30286431,HC RHEUMATOID FACTOR QUANT,45.0,45.0,,,0
CDM,30286592,HC RPR,37.0,37.0,,,0
CDM,30286593,HC RPR/VDRL QUANT,35.0,35.0,,,0
CDM,30286603,HC ADENOVIRUS CF,83.9,83.9,,,0
CDM,30286606,HC ASPERGILLUS AB,117.0,117.0,,,0
CDM,30286609,HC THERMOPHILE BACTERIUM AB,82.0,82.0,,,0
CDM,30286615,HC BORDETELLA AB,105.0,105.0,,,0
CDM,30286617,HC LYME WESTERN BLOT IGG,137.0,137.0,,,0
CDM,30286631,"HC CHLAM SPEC EACH OF 6 IGG, IGA",94.6,94.6,,,0
CDM,30286635,HC COCCIDIOIDES,91.0,91.0,,,0
CDM,30286644,HC CYTOMEGALOVIRUS AB DONOR,115.0,115.0,,,0
CDM,30286658,HC COXSACKIE B 1 6,83.9,83.9,,,0
CDM,30286666,HC EHRLICHIA MONO IGG,77.0,77.0,,,0
CDM,30286671,HC THERMOPHILE FUNGUS AB,77.0,77.0,,,0
CDM,30286704,HC HEPATITIS B CORE AB,105.0,105.0,,,0
CDM,30286705,HC HEPATITIS B CORE IGM AB,103.0,103.0,,,0
CDM,30286706,HC HEPATITIS B SURFACE AB,83.9,83.9,,,0
CDM,30286707,HC HBE AB,92.0,92.0,,,0
CDM,30286708,HC HA AB,92.0,92.0,,,0
CDM,30286709,HC HA AB IGM,99.0,99.0,,,0
CDM,30286744,HC HYPER PNEUMO NOCARDIA,83.0,83.0,,,0
CDM,30286753,HC TRYPANOSOMA CRUZI AB,83.0,83.0,,,0
CDM,30286780,HC FTA ABS,106.0,106.0,,,0
CDM,30286784,HC TRICHINELLA ANTIBODY,100.0,100.0,,,0
CDM,30286790,HC PARAINFLUENZA EACH OF 3 COMP,83.0,83.0,,,0
CDM,30286793,HC YERSINIA EACH OF 3 COMP,83.0,83.0,,,0
CDM,30286800,HC THYROGLOBULIN AUTOANTIBODIES,118.0,118.0,,,0
CDM,30286803,HC HEPATITIS C AB,100.0,100.0,,,0
CDM,30286830,HC HLA ANTB ID PHENO BEADS CL 1,640.0,640.0,,,0
CDM,30286831,HC HLA ANTB ID PHENO BEADS CL 2,548.0,548.0,,,0
CDM,30286832,HC HLA ANTB ID SING ANT BDS CL 1,1006.0,1006.0,,,0
CDM,30286833,HC HLA ANTB ID SING ANT BDS CL 2,915.0,915.0,,,0
CDM,30286834,HC HLA ANTIBODY TITER CLASS 1,2836.0,2836.0,,,0
CDM,30286835,HC HLA ANTIBODY TITER CLASS 2,2561.0,2561.0,,,0
CDM,30500001,HC COLORECTAL CA SCREEN FECAL OCCULT BLOOD TEST IA 1-3 SIMULT,98.0,98.0,,,0
CDM,30585397,HC VW PROTEASE ACTIVITY,183.0,183.0,,,0
CDM,30585651,HC SED RATE,30.0,30.0,,,0
CDM,30687661,HC TRICHOMONAS AMPLIFIED PROBE,212.0,212.0,,,0
CDM,30900002,HC H HANDLING/PREP,13.5,13.5,,,0
CDM,30900003,HC TRAVEL FEE P9603,12.0,12.0,,,0
CDM,30900008,HC RBC ANT TYP DNA 35 ANTIGENS 11 BL GRPS WH BLD CMN ALLELES,870.0,870.0,,,0
CDM,30999001,HC HANDLING/PROCESSING FEE,13.5,13.5,,,0
CDM,31000001,HC EGFRA MUTATION BUNDLED,1060.0,1060.0,,,0
CDM,31000002,HC HEMACHROMATOSIS DNA,407.0,407.0,,,0
CDM,31000003,HC BONE MRW ASPIRATE INTERP PC,1241.0,1241.0,,,0
CDM,31000004,HC BM BX TOUCH PREP DIFFERENTIAL,1241.0,1241.0,,,0
CDM,31000011,HC CYTOL SMEAR PREP/SCREEN/INTERP,125.0,125.0,,,0
CDM,31000014,HC FNA PREP AND MD INTERP,250.0,250.0,,,0
CDM,31000016,HC BM CELL BLOCK AND INTERP,363.0,363.0,,,0
CDM,31000017,HC BONE MARROW NDL INTERP,363.0,363.0,,,0
CDM,31000021,HC SPECIAL STAIN PAS,175.0,175.0,,,0
CDM,31000022,HC SPECIAL STAIN SIDEROBLAST,175.0,175.0,,,0
CDM,31000023,HC ALPHA NAPTHYL B ESTHERAS,1134.0,1134.0,,,0
CDM,31000024,HC LYMPHOCYTE ACID PHOSPH,1134.0,1134.0,,,0
CDM,31000025,HC PEROXIDASE,1134.0,1134.0,,,0
CDM,31000029,HC EXAM & SELECTION OF RETRIEVED ARCHIVAL TISS MOLEC ANALY,106.0,106.0,,,0
CDM,31000044,HC IMMUNOHISTOCHEMISTRY TECH,297.0,297.0,,,0
CDM,31000049,HC HLA B 5701 TYPING,425.0,425.0,,,0
CDM,31000050,HC IHC INITIAL,297.0,297.0,,,0
CDM,31000052,HC PROSTATE 12 PART,812.0,812.0,,,0
CDM,31000105,HC IHC ADDITIONAL STAIN,124.0,124.0,,,0
CDM,31000106,HC 1P19Q FISH DEL MULTIPLEX,475.0,475.0,,,0
CDM,31000107,HC ALK FISH MULTIPLEX,475.0,475.0,,,0
CDM,31000108,HC HER2 MULTIPLEX,475.0,475.0,,,0
CDM,31000112,HC IMMUNOFLUOR AB ADDITIONAL STAIN,204.0,204.0,,,0
CDM,31000113,HC MORPHOMETRIC ANAL ISH EA MULTI STAIN PROC,475.0,475.0,,,0
CDM,31000114,HC TARGET GENOMIC SEQ ANALY PNL HEMATOLYMPHD NEO 5-50 GENES,1375.0,1375.0,,,0
CDM,31000115,HC TARGETED GENOMIC SEQ ANALY PNL SOLID ORG NEO 5-50 GENES,1375.0,1375.0,,,0
CDM,31000116,HC SEND OUT LEVEL 2 MOLECULAR PATH PROC,360.0,360.0,,,0
CDM,31000117,HC MORPHOMETRIC ANALYSIS INITIAL SINGLE PROC,520.0,520.0,,,0
CDM,31000118,HC MORPHOMETRIC ANALYSIS INITIAL EA ADDL SINGLE PROC,226.0,226.0,,,0
CDM,31000119,HC FETAL CONGENITAL ABNOR ASSAY FOUR ANAL UTIL MATERN SERUM,245.0,245.0,,,0
CDM,31000120,HC CONSULT & RPT ON REFER MAT REQ SLIDE PREP,349.0,349.0,,,0
CDM,31000121,HC MACROSCOPIC EXAM DISSECT PREP TISS NON-MICRO EA,84.0,84.0,,,0
CDM,31000122,HC CYTOPATHOLOGY CONC BODY FLUID PATH REVIEW (BFPR),145.0,145.0,,,0
CDM,31000125,HC ACCELERATE PHENOTEST BC KIT,788.0,788.0,,,0
CDM,31000126,HC NEUROLOGY PRION DISEASE CEREBROSPINAL FLUID QUAL,2390.0,2390.0,,,0
CDM,31000130,HC COMPREHENSIVE SOLID TUMOR FUSION PANEL,5696.0,5696.0,,,0
CDM,31000131,HC SARCOMA FUSION PANEL,1375.0,1375.0,,,0
CDM,31000132,HC LUNG AND THYROID CANCER FUSION PANEL,1375.0,1375.0,,,0
CDM,31000133,HC NEURO-ONCOLOGY FUSION PANEL,1375.0,1375.0,,,0
CDM,31000135,HC COMPREHENSIVE HEMATOLYMPHOID MUTATION PANEL,5696.0,5696.0,,,0
CDM,31000136,HC INFECT AGNT DET DNA/RNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TECH,214.0,214.0,,,0
CDM,31000151,"HC HLA TYPING ONE LOCUS (DPA/B, DQA/B, DRB1, DRB3/4/5)",802.0,802.0,,,0
CDM,31000152,HC BCR/ABL1 TRNSLC ANALY MINOR BREAKPNT QUALITATIVE/QUANTITATIVE SO,955.0,955.0,,,0
CDM,31000153,HC INFECT AGNT DETEC SARS-COV-2 & INFLU A & B MULTI AMPL PROBE TECH,700.0,700.0,,,0
CDM,31000154,HC BCL 2 PCR,915.0,915.0,,,0
CDM,31000155,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,797.0,797.0,,,0
CDM,31000156,HC SMN1 GENE ANALY DOSAGE/DELET ALYS INCL SMN2 ALYS IF PERF SENDOUT,605.0,605.0,,,0
CDM,31000160,HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUPL VARIANTS,713.0,713.0,,,0
CDM,31000161,HC FLT3 GENE ANALYSIS TYROSINE KINASE DOMAIN VARIANTS,645.0,645.0,,,0
CDM,31000162,HC MTHFR GENE ANALYSIS COMMON VARIANTS SEND OUT,374.0,374.0,,,0
CDM,31000165,HC PATH CLINICAL CONSULT STRAIGTFORWARD MDM 5-20 MINS,305.0,305.0,,,0
CDM,31000166,HC PATH CLINICAL CONSULT MODERATE LEVEL MDM 21-40 MINS,346.0,346.0,,,0
CDM,31000167,HC PATH CLINICAL CONSULT HIGH LEVEL MDM 41-60 MINS,412.0,412.0,,,0
CDM,31000168,HC PATH CLINICAL CONSULT PROLONGED SVC EA ADDL 30 MINS,197.0,197.0,,,0
CDM,31000200,HC FUSION PANEL SARCOMA TISSUE NGS,1375.0,1375.0,,,0
CDM,31000201,HC FUSION PANEL COMPREHENSIVE SOLID TUMOR TISSUE NGS,5720.0,5720.0,,,0
CDM,31000202,HC ACTIONABLE MUTATION PANEL BLOOD NGS,1375.0,1375.0,,,0
CDM,31000203,HC ACTIONABLE MUTATION PANEL BMA NGS,1375.0,1375.0,,,0
CDM,31000204,HC FUSION PANEL LUNG THYROID SALIVARY GLAND TISSUE NGS,1375.0,1375.0,,,0
CDM,31000205,HC FUSION PANEL NEURO ONCOLOGY TISSUE NGS,1375.0,1375.0,,,0
CDM,31000250,HC INTERROGATION OF GENOMIC REGIONS SNP SEND OUT,4988.0,4988.0,,,0
CDM,31000251,HC COMPARATIVE ANALYSIS USING STR SEND OUT,1250.0,1250.0,,,0
CDM,31000252,HC NOONAN SPECTRUM DISORDERS SEND OUT,3100.0,3100.0,,,0
CDM,31000255,HC BCR-ABL P210 QUANTITATIVE ASSAY,363.0,363.0,,,0
CDM,31000257,HC CONSULT COMPREHEN W REV RECORDS & SPECIMENS W RPT REF MAT,728.0,728.0,,,0
CDM,31000260,HC JAK2 GENE ANALYSIS P.VAL617PHE VARIANT SEND OUT,424.0,424.0,,,0
CDM,31000261,HC CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9 SEND OUT,803.0,803.0,,,0
CDM,31000262,HC MPL GENE ANALYSIS COMMON VARIANTS SEND OUT,835.0,835.0,,,0
CDM,31000263,HC SOLID ORGAN/HEMATOLYMPHOID NEO/DO 51/>GSAP DNA/DNA&RNA SEND OUT,5696.0,5696.0,,,0
CDM,31000264,HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUPL VARIANTS SEND OUT,810.0,810.0,,,0
CDM,31000265,HC FLT3 GENE ANALYSIS TYROSINE KINASE DOMAIN VARIANTS SEND OUT,707.0,707.0,,,0
CDM,31000266,HC MICROSATELLITE INSTABILITY BY PCR,1782.0,1782.0,,,0
CDM,31000267,HC INFCT DIS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG,776.0,776.0,,,0
CDM,31001156,HC INFCT DS BACT VAGINOSIS&VAGINITIS DNA VAG FLU ALG,625.0,625.0,,,0
CDM,31001160,HC TRNSPL PREP HEMATOP PROGEN THAW PREV FROZ HRVST WO WASH PER DNR,2370.0,2370.0,,,0
CDM,31001162,HC LIVER DISEASE ANALY 3 BIOMARKERS USING IMMUNOASSAY SERUM PROG ALGO,705.0,705.0,,,0
CDM,31001165,HC GROUP III FOR ENZYME CONSTITUENTS FOR EACH STAIN,1134.0,1134.0,,,0
CDM,31081206,HC ABL QUANT BUNDLED,363.0,363.0,,,0
CDM,31081220,HC CYSTIC FIBROSIS PCR BUNDLED,1790.0,1790.0,,,0
CDM,31081224,HC CYSTIC FIB POLY T BUNDLED,256.0,256.0,,,0
CDM,31081235,HC EGFR BUNDLED,1060.0,1060.0,,,0
CDM,31081265,HC CHIMERISM GENOTYPING,1250.0,1250.0,,,0
CDM,31081267,HC CHIMERISM MONITORING,1250.0,1250.0,,,0
CDM,31081268,HC CHIMERISM SUB POP,941.0,941.0,,,0
CDM,31081332,HC ANTITRYPSIN P1 TYPE BUNDLED,374.0,374.0,,,0
CDM,31081370,HC HLA TYPING LOW RESOLUTION,3212.0,3212.0,,,0
CDM,31081371,HC VERI TYPING LOW RESOLUTION,1922.0,1922.0,,,0
CDM,31081378,HC HLA TYPING HR ABCDR,2760.0,2760.0,,,0
CDM,31081381,HC HLAB 1502 CARBAMAZEP BUNDLED,425.0,425.0,,,0
CDM,31081383,HC HLA TYPING DQ,872.0,872.0,,,0
CDM,31081401,HC APOE BUNDLED,360.0,360.0,,,0
CDM,31081508,HC FETAL CONGENITAL ABNOR ASSAY TWO PROTEINS UTIL MATRNL SERUM,95.0,95.0,,,0
CDM,31088108,HC CYTOLOGY CONC SMEAR NON GYN,145.0,145.0,,,0
CDM,31088112,HC LIQUID BASED SLIDE PREP NONGYN,195.0,195.0,,,0
CDM,31088160,HC EXTRAVAGINAL CYTOLOGY,145.0,145.0,,,0
CDM,31088172,HC FNA INTERP ON SITE,285.0,285.0,,,0
CDM,31088177,HC ADDL ON SITE ADEQUACY FOR FNA,74.0,74.0,,,0
CDM,31088230,HC TISS CULT UNSP CHROMO AN,335.0,335.0,,,0
CDM,31088237,HC BONE MARR CHROM TISS,375.0,375.0,,,0
CDM,31088262,HC CHROM ANAL BLD CT 15 TO 2K,995.0,995.0,,,0
CDM,31088264,HC CHROM ANAL 20-25 CELLS,995.0,995.0,,,0
CDM,31088280,HC CHROM ANALY SITE,201.0,201.0,,,0
CDM,31088289,HC HI RESOLU BAND ANAL,275.0,275.0,,,0
CDM,31088300,HC SURGICAL PATH LEVEL I,149.0,149.0,,,0
CDM,31088302,HC SURGICAL PATH LEVEL II,237.0,237.0,,,0
CDM,31088304,HC SURGICAL PATH LEVEL III,296.0,296.0,,,0
CDM,31088305,HC SURGICAL PATH LEVEL IV,363.0,363.0,,,0
CDM,31088307,HC SURGICAL PATH LEVEL V,860.0,860.0,,,0
CDM,31088309,HC SURGICAL PATH LEVEL VI,1241.0,1241.0,,,0
CDM,31088311,HC DECALCIFICATION,80.0,80.0,,,0
CDM,31088312,HC SPECIAL STAIN GROUP I,225.0,225.0,,,0
CDM,31088313,HC SPECIAL STAIN GROUP II,175.0,175.0,,,0
CDM,31088314,HC HISTOCHEM STAIN FS,175.0,175.0,,,0
CDM,31088319,HC ACID PHOSP TARTRATE RES,1134.0,1134.0,,,0
CDM,31088321,HC CONSULT REF SLIDES,175.0,175.0,,,0
CDM,31088329,HC INTRAOP CONSULTATION W/O FS,102.0,102.0,,,0
CDM,31088331,HC INTRAOP CONSULTATION FS,450.0,450.0,,,0
CDM,31088332,HC INTRAOP FS ADD,87.0,87.0,,,0
CDM,31088333,HC IOC WITH TOUCH PREP,1134.0,1134.0,,,0
CDM,31088334,HC ADDITIONAL TOUCH PREP,76.0,76.0,,,0
CDM,31088342,HC IMMUNOPEROXIDASE EA AB,297.0,297.0,,,0
CDM,31088346,HC IMMUNOFLUOR EA AB INITIAL,509.0,509.0,,,0
CDM,31088348,HC EM DIAGNOSTIC,1250.0,1250.0,,,0
CDM,31088349,HC EM SCANNING,1250.0,1250.0,,,0
CDM,31088360,HC TUMOR HISTOCHEMISTRY,292.5,292.5,,,0
CDM,31088362,HC NERVE TEASING,1129.0,1129.0,,,0
CDM,31088365,HC EBER FISH EACH PROBE,311.0,311.0,,,0
CDM,31100001,HC THIN PREP MD INTERP MED SCREEN,85.0,85.0,,,0
CDM,31100003,HC THIN PREP PAP SMEAR SCREENING,161.0,161.0,,,0
CDM,31100006,HC NATURAL KILLER EA ADDL MARKER,175.0,175.0,,,0
CDM,31100009,HC PREP SMEAR NON GYN TECH,195.0,195.0,,,0
CDM,31100012,HC THIN PREP AUTOMATED MEDICARE,85.0,85.0,,,0
CDM,31100014,HC NATURAL KILLER CELL 1ST MARKER,526.0,526.0,,,0
CDM,31100015,HC LUNG CANCER ROS1 CYTP 25-99,277.0,277.0,,,0
CDM,31100016,HC LUNG CANCER ROS1 6Q23,172.0,172.0,,,0
CDM,31100050,HC AMNIOTIC FLUID ANALYSIS SEND OUT,915.0,915.0,,,0
CDM,31188104,HC CYTOLOGY SMEAR NON GYN,179.0,179.0,,,0
CDM,31188141,HC VAGINAL CERV CYTOL MD INTERP,85.0,85.0,,,0
CDM,31188142,HC THIN PREP PAP SMEAR DIAGNOSTIC,161.0,161.0,,,0
CDM,31188164,HC VAGINAL CERV CYTOLOGY,85.0,85.0,,,0
CDM,31188175,HC THIN PREP AUTOMATED SCREEN,211.0,211.0,,,0
CDM,31188184,HC FLOW CYTOMETRY FIRST MARKER,526.0,526.0,,,0
CDM,31188185,HC FLOW CYTOMETRY EACH ADD,175.0,175.0,,,0
CDM,31188235,HC AMNIOTIC TISS CULTURE PLACENTA,915.0,915.0,,,0
CDM,31188269,HC CHROMOSOME ANALY AMNIOTIC,1329.0,1329.0,,,0
CDM,31188271,HC FISH CYTO EACH DNA PROBE,172.0,172.0,,,0
CDM,31188275,HC FISH CYTO CELLS 100-300,320.0,320.0,,,0
CDM,31188280,HC CHROMO ANALY ADDL KARYOT,201.0,201.0,,,0
CDM,31188291,HC AMNIOTIC CYTO/MOL REPORT,75.0,75.0,,,0
CDM,32000003,HC MYELOGRAM POST FOSSA SI,1908.0,1908.0,,,0
CDM,32000004,HC CISTERNOGRAPHY SI,2003.0,2003.0,,,0
CDM,32000005,HC EYE DETECTION FB,285.0,285.0,,,0
CDM,32000006,HC MANDIBLE PARTIAL < 4 VIEW,213.0,213.0,,,0
CDM,32000007,HC MANDIBLE COMP MIN 4 VIEW,290.0,290.0,,,0
CDM,32000010,HC FACIAL BONES < 3 VIEWS,213.0,213.0,,,0
CDM,32000011,HC FACIAL BONES MIN 3 VIEW,290.0,290.0,,,0
CDM,32000012,HC NASAL BONES MIN 3 VIEWS,213.0,213.0,,,0
CDM,32000013,HC DACRO NASOLACRIMAL SI,988.0,988.0,,,0
CDM,32000015,HC ORBITS COMPLETE MIN 4 VIEWS,266.0,266.0,,,0
CDM,32000016,HC SINUSES PARANASAL < 3 VIEW,213.0,213.0,,,0
CDM,32000017,HC SINUSES PARA COMP MIN 3 VIEW,218.0,218.0,,,0
CDM,32000018,HC SELLA TURCICA,213.0,213.0,,,0
CDM,32000019,HC SKULL < 4 VIEW,261.0,261.0,,,0
CDM,32000020,HC SKULL COMP MIN 4 VIEW,288.0,288.0,,,0
CDM,32000024,HC TM JOINT BILATERAL,231.0,231.0,,,0
CDM,32000025,HC ORTHOPANTOGRAM/PANOREX,221.0,221.0,,,0
CDM,32000026,HC NECK SOFT TISSUE,213.0,213.0,,,0
CDM,32000027,HC PHARYNX SPEECH VIDEOFLUORO,603.0,603.0,,,0
CDM,32000030,HC SIALOGRAPHY SI,988.0,988.0,,,0
CDM,32000040,HC RIBS BILATERAL 3 VIEW,349.0,349.0,,,0
CDM,32000041,HC RIBS BIL W/CHEST MIN 4 VIEW,302.0,302.0,,,0
CDM,32000042,HC STERNUM MIN 2 VIEW,221.0,221.0,,,0
CDM,32000043,HC STERNO CLAVICULAR MIN 3 VIEW,207.0,207.0,,,0
CDM,32000045,HC SPINE 1 VIEW SPECIFY LEVEL,213.0,213.0,,,0
CDM,32000046,HC C SPINE 2 OR 3 VIEW,227.0,227.0,,,0
CDM,32000047,HC C SPINE MIN 4 VIEW,302.0,302.0,,,0
CDM,32000048,HC C SPINE 6 OR MORE VIEWS,285.0,285.0,,,0
CDM,32000050,HC T SPINE 2 VIEW,261.0,261.0,,,0
CDM,32000051,HC T SPINE 3 VIEW,305.0,305.0,,,0
CDM,32000052,HC T SPINE 4 VIEW,261.0,261.0,,,0
CDM,32000053,HC THORACOLUMBAR 2 VIEW,213.0,213.0,,,0
CDM,32000055,HC L SPINE 2 OR 3 VIEW,274.0,274.0,,,0
CDM,32000056,HC L SPINE MIN 4 VIEW,302.0,302.0,,,0
CDM,32000057,HC L SPINE COMP W BEND MIN 6 VIEW,298.0,298.0,,,0
CDM,32000058,HC L SPINE BEND ONLY 2 OR 3 VIEW,290.0,290.0,,,0
CDM,32000059,HC PELVIS 1 OR 2 VIEW,261.0,261.0,,,0
CDM,32000060,HC PELVIS COMP MIN 3 VIEW,273.0,273.0,,,0
CDM,32000062,HC SI JOINTS MIN 3 VIEW,261.0,261.0,,,0
CDM,32000063,HC SACRUM & COCCYX MIN 2 VIEW,213.0,213.0,,,0
CDM,32000064,HC C MYELOGRAPHY S&I,2003.0,2003.0,,,0
CDM,32000065,HC T MYELOGRAPHY S&I,2003.0,2003.0,,,0
CDM,32000066,HC L MYELOGRAPHY S&I,2003.0,2003.0,,,0
CDM,32000067,HC SPINE MYELOGRAPHY SI,2003.0,2003.0,,,0
CDM,32000069,HC DISKOGRAPHY CERV OR THORAC SI,8571.0,8571.0,,,0
CDM,32000072,HC DISKOGRAPHY LUMBAR SI,8571.0,8571.0,,,0
CDM,32000073,HC SHOULDER COMP MIN 2 VIEW,213.0,213.0,,,0
CDM,32000074,HC A C JOINTS BIL W/W/O WEIGHTS,213.0,213.0,,,0
CDM,32000075,HC HUMERUS MIN 2 VIEW,213.0,213.0,,,0
CDM,32000076,HC ELBOW 2 VIEW,225.0,225.0,,,0
CDM,32000077,HC FOREARM 2 VIEW,213.0,213.0,,,0
CDM,32000078,HC WRIST 2 VIEW,213.0,213.0,,,0
CDM,32000083,HC KNEE 1-2 VWS,213.0,213.0,,,0
CDM,32000084,HC BILAT STANDING AP KNEES,213.0,213.0,,,0
CDM,32000085,HC TIBIA & FIBULA 2 VIEWS,217.0,217.0,,,0
CDM,32000086,HC ANKLE 2 VIEW,213.0,213.0,,,0
CDM,32000087,HC ANKLE COMP MIN 3 VIEW,212.0,212.0,,,0
CDM,32000088,HC FOOT 2 VIEW,213.0,213.0,,,0
CDM,32000089,HC FOOT COMP MIN 3 VIEW,213.0,213.0,,,0
CDM,32000090,HC CALCANEUS MIN 2 VIEW,213.0,213.0,,,0
CDM,32000091,HC TOE/S MIN 2 VIEW,213.0,213.0,,,0
CDM,32000096,HC ABDOMEN 2-3 VWS W/1 VW CXR,288.0,288.0,,,0
CDM,32000097,HC ESOPHAGUS,446.0,446.0,,,0
CDM,32000098,HC SWALLOWING FUNCT W/VIDEO/CINE,446.0,446.0,,,0
CDM,32000099,HC REM FOREIGN BODY ESOPH SI,506.0,506.0,,,0
CDM,32000100,HC UGI INCL SCOUT ABD RADIO & DELAY IMG WH PERF SNGL CONTR STUDY,494.0,494.0,,,0
CDM,32000103,HC UGI INC SCOUT ABD RADIO & DELAY IMG WH PRF DOUBLE CONTR STDY W GLUC,513.0,513.0,,,0
CDM,32000106,HC SMALL BOWEL SERIES,446.0,446.0,,,0
CDM,32000107,HC BARIUM ENEMA,497.0,497.0,,,0
CDM,32000108,HC BARIUM ENEMA W/ AIR CONTRAST,562.0,562.0,,,0
CDM,32000109,HC BARIUM ENEMA THERAPEUTIC,582.0,582.0,,,0
CDM,32000118,HC ENDOSCOPIC CATHETERIZATION BILIARY DUCTAL SYS RAD S&I,611.0,611.0,,,0
CDM,32000119,HC ERCP PANCREATIC DUCT S&I,611.0,611.0,,,0
CDM,32000120,HC ERCP BILIARY PANC DUCT SI,611.0,611.0,,,0
CDM,32000121,HC INTRO GI TUBE W/FLUORO S&I,506.0,506.0,,,0
CDM,32000122,HC PERC PLCMT ENTEROCLYS TUBE SI,506.0,506.0,,,0
CDM,32000123,"HC LUMEN GI DIL, S&I",611.0,611.0,,,0
CDM,32000125,HC PERC TRANSHEPATIC BIL DCT S&I,1180.0,1180.0,,,0
CDM,32000128,HC UROGRAPHY RETROGRADE W/WO KUB,982.0,982.0,,,0
CDM,32000129,HC PYELO NEPHROSTO & LOOP S&I,982.0,982.0,,,0
CDM,32000130,HC CYSTOGRAPHY MIN 3 VIEW S&I,880.0,880.0,,,0
CDM,32000132,HC VASO VESIC EPIDID SI,800.0,800.0,,,0
CDM,32000133,HC CORPORA CAVERNOS SI,800.0,800.0,,,0
CDM,32000134,HC URETHROCYSTOGRAPHY RETRO S&I,800.0,800.0,,,0
CDM,32000135,HC URETHROCYSTOGRAM VCUG ID SI,800.0,800.0,,,0
CDM,32000137,HC HYSTEROSALPINGOGRAPHY S&I,988.0,988.0,,,0
CDM,32000138,HC AORTOGRAPHY W/O SERIALOG S&I,8708.0,8708.0,,,0
CDM,32000139,HC AORTOGRAPHY THORACIC S&I,13347.0,13347.0,,,0
CDM,32000140,HC AORTOGRAPHY ABDOMINAL S&I,8224.0,8224.0,,,0
CDM,32000141,HC AORT ABD W/BIL FEM LEX S&I,8224.0,8224.0,,,0
CDM,32000143,HC ANGIO SPINAL SEL EA VESSEL SI,13827.0,13827.0,,,0
CDM,32000144,HC ANGIO EXT UNI S&I,7955.0,7955.0,,,0
CDM,32000145,HC ANGIO EXT BIL S&I,8224.0,8224.0,,,0
CDM,32000146,HC ANGIO VISC SEL S&I,13827.0,13827.0,,,0
CDM,32000147,HC ANGIO ADRENAL BILAT SEL SI,8224.0,8224.0,,,0
CDM,32000148,HC ANGIO PELVIC S&I,13347.0,13347.0,,,0
CDM,32000149,HC ANGIO PULMONARY BIL SEL S&I,8224.0,8224.0,,,0
CDM,32000150,HC ANGIO PUL NON SEL CATH/INJ S&I,7742.0,7742.0,,,0
CDM,32000152,HC ANGIO SEL EA ADD VES S&I,2123.0,2123.0,,,0
CDM,32000155,HC LYMPHANGIO EXTR UNILAT SI,1494.0,1494.0,,,0
CDM,32000156,HC LYMPHANGIO EXTR BILAT SI,3890.0,3890.0,,,0
CDM,32000157,HC LYMPHANGIO PEL ABD BILAT SI,7742.0,7742.0,,,0
CDM,32000158,HC SPLENOPORTOGRAPHY SI,8224.0,8224.0,,,0
CDM,32000159,HC VENOGRAPHY EXT BIL S&I,3890.0,3890.0,,,0
CDM,32000160,HC VENOGRAPHY CAVAL INF S&I,8224.0,8224.0,,,0
CDM,32000161,HC VENOGRAPHY CAVAL SUP S&I,3890.0,3890.0,,,0
CDM,32000162,HC VENOGRAPHY RENAL BIL SEL S&I,8224.0,8224.0,,,0
CDM,32000164,HC VENOGRAPHY EPIDURAL SI,3010.0,3010.0,,,0
CDM,32000165,HC PERC TRANSHEP PORT W/HEMO S&I,8224.0,8224.0,,,0
CDM,32000166,HC PERC TRANSHEP PORT W/O HEM S&I,7742.0,7742.0,,,0
CDM,32000167,HC HEPATIC VENOGRAPHY W/HEMO S&I,8224.0,8224.0,,,0
CDM,32000168,HC HEPATIC VENO W/O HEMO S&I,8224.0,8224.0,,,0
CDM,32000169,HC VEN SAMPL CATH RENIN S&I,13347.0,13347.0,,,0
CDM,32000170,HC TRANSCATH EMBOLIZATION S&I,4085.0,4085.0,,,0
CDM,32000173,HC ANGIO THRU EXISTCATH EMB/INFU,7742.0,7742.0,,,0
CDM,32000175,HC REMOV CATH OBST MAT S&I,332.0,332.0,,,0
CDM,32000176,HC REMOV INTRAUL MAT FROM CUD S&I,332.0,332.0,,,0
CDM,32000201,HC TRANSCATHETER BX SI,2232.0,2232.0,,,0
CDM,32000206,HC CHANGE PERC DRAIN CATH S&I,377.0,377.0,,,0
CDM,32000207,HC CT ABSC DRAIN CATH PLCMT S&I,611.0,611.0,,,0
CDM,32000209,HC FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,595.0,595.0,,,0
CDM,32000213,HC FB SINGLE FILM CHILD,213.0,213.0,,,0
CDM,32000214,HC FISTULA/SINUS TRACT STUDY S&I,1340.0,1340.0,,,0
CDM,32000217,HC SURGICAL SPECIMEN,1284.0,1284.0,,,0
CDM,32000226,HC FLUORO GUIDE VEIN DEVICE SI,81.0,81.0,,,0
CDM,32000227,HC FLOURO NDLE PLCMT BX ASP S&I,81.0,81.0,,,0
CDM,32000228,HC FLUORO CATH OR NDL SPINE DX TX,81.0,81.0,,,0
CDM,32000232,HC BONE AGE STUDIES,261.0,261.0,,,0
CDM,32000233,HC BONE LENGTH STUDIES SCANOGRAM,267.0,267.0,,,0
CDM,32000234,HC BONE SURVEY LTD,288.0,288.0,,,0
CDM,32000237,HC BONE SURVEY COMP,375.0,375.0,,,0
CDM,32000238,HC BONE SURVEY PEDI,288.0,288.0,,,0
CDM,32000240,HC BONE DENSITY DEXA SCAN MULTI,412.0,412.0,,,0
CDM,32000242,HC SWAN GANZ PLACEMENT,4731.0,4731.0,,,0
CDM,32000243,HC CLAVICLE COMP,213.0,213.0,,,0
CDM,32000244,HC SCAPULA COMP,267.0,267.0,,,0
CDM,32000245,HC SHOULDER 1 VIEW,213.0,213.0,,,0
CDM,32000246,HC ARTHROGRAM SHOULDER SI,1059.0,1059.0,,,0
CDM,32000247,HC ELBOW COMP MIN 3 VIEW,213.0,213.0,,,0
CDM,32000248,HC ELBOW ARTHROGRAM SI,1059.0,1059.0,,,0
CDM,32000250,HC UPR EXTR INFANT MIN 2 VW,290.0,290.0,,,0
CDM,32000251,HC WRIST COMP MIN 3 VIEW,213.0,213.0,,,0
CDM,32000252,HC ARTHROGRAM WRIST SI,1059.0,1059.0,,,0
CDM,32000253,HC HAND 2 VIEW,261.0,261.0,,,0
CDM,32000254,HC HAND MIN 3 VIEW,213.0,213.0,,,0
CDM,32000255,HC ARTHROGRAM HIP SI,1059.0,1059.0,,,0
CDM,32000256,HC KNEE MIN 3 VIEW,213.0,213.0,,,0
CDM,32000257,HC KNEE COMP 4 VIEW,261.0,261.0,,,0
CDM,32000258,HC ARTHROGRAM KNEE SI,1059.0,1059.0,,,0
CDM,32000259,HC LOWER EXTR INF MIN 2 VW,213.0,213.0,,,0
CDM,32000260,HC ARTHROGRAM ANKLE SI,1059.0,1059.0,,,0
CDM,32000262,HC RENAL CYST TRANSLUMBAR SI,2293.0,2293.0,,,0
CDM,32000265,HC RIBS UNI W CHEST MIN 3 VW,305.0,305.0,,,0
CDM,32000271,HC RIBS UNILAT 2 VIEW,212.0,212.0,,,0
CDM,32000273,HC URETERAL NEPH DIL SI,4947.0,4947.0,,,0
CDM,32000276,HC ANGIO ADRENAL UNI SEL SI,8224.0,8224.0,,,0
CDM,32000277,HC ANGIO PULMON UNI SELEC SI,8224.0,8224.0,,,0
CDM,32000278,HC ANGIOGRAPHY INTERNAL MAMMARY SI,7742.0,7742.0,,,0
CDM,32000279,HC LYMPHANGIO PEL ABD UNIL SI,7742.0,7742.0,,,0
CDM,32000280,HC VENOGRAPHY EXTR UNILAT SI,3890.0,3890.0,,,0
CDM,32000281,HC VENOGR RENAL UNILAT SI,8224.0,8224.0,,,0
CDM,32000282,HC VENOG ADRENAL UNI SEL SI,8224.0,8224.0,,,0
CDM,32000283,HC VENOG VEN SINUS JUG CATH SI,7742.0,7742.0,,,0
CDM,32000284,HC VENOGRAPHY ORBITAL SI,2580.0,2580.0,,,0
CDM,32000293,HC ILIAC ART ANGIO DURING CCATH,2025.0,2025.0,,,0
CDM,32000294,HC FINGER(S) MIN 2 VIEW,224.0,224.0,,,0
CDM,32000295,HC PERITONEOGRAM SI,2293.0,2293.0,,,0
CDM,32000296,HC VENOG SUP SAGITTAL SINUS SI LT,7742.0,7742.0,,,0
CDM,32000304,HC NONVASCULAR SHUNTOGRAM,297.0,297.0,,,0
CDM,32000305,HC LARYNGOGRAPHY,755.0,755.0,,,0
CDM,32000306,HC SPINE ENTIRE THORACIC AND LUMBAR 2 OR 3 VIEWS,377.0,377.0,,,0
CDM,32000307,HC FEMUR MIN 2 VIEWS,218.0,218.0,,,0
CDM,32000308,HC HIP UNILATERAL 1 VIEW,218.0,218.0,,,0
CDM,32000309,HC HIP UNILATERAL 2-3 VIEWS,218.0,218.0,,,0
CDM,32000310,HC HIPS BILATERAL 2 VIEWS,328.0,328.0,,,0
CDM,32000311,HC SPINE ENTIRE THORACIC AND LUMBAR 1 VIEW,218.0,218.0,,,0
CDM,32000312,HC HIPS BILAT W PELVIS 3-4 VIEWS,328.0,328.0,,,0
CDM,32000313,HC HIPS BILAT W PELVIS MIN 5 VIEWS,626.0,626.0,,,0
CDM,32000314,HC SPINE ENTIRE THORACIC AND LUMBAR 4 OR 5 VIEWS,596.0,596.0,,,0
CDM,32000315,HC SPINE ENTIRE THORACIC AND LUMBAR 6 OR MORE VIEWS,596.0,596.0,,,0
CDM,32000316,HC HIP UNILATERAL MIN 4 VIEWS,312.0,312.0,,,0
CDM,32000317,HC FEMUR 1 VIEW,209.0,209.0,,,0
CDM,32000318,HC RADIOLOGIC EXAM CHEST SINGLE VIEW,227.0,227.0,,,0
CDM,32000319,HC RADIOLOGIC EXAM CHEST 2 VIEWS,238.0,238.0,,,0
CDM,32000320,HC RADIOLOGIC EXAM CHEST 3 VIEWS,214.0,214.0,,,0
CDM,32000321,HC RADIOLOGIC EXAM CHEST 4 OR MORE VIEWS,366.0,366.0,,,0
CDM,32000322,HC RADIOLOGIC EXAM ABDOMEN 1 VIEW,222.0,222.0,,,0
CDM,32000323,HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS,384.0,384.0,,,0
CDM,32000324,HC RADIOLOGIC EXAM ABDOMEN 3 OR MORE VIEWS,366.0,366.0,,,0
CDM,32000350,HC RAD EXAM ESOPHAGUS DOUBLE CONTRAST STUDY,804.0,804.0,,,0
CDM,32001012,HC SMALL INTESTINE FOLLOW-THR STUDY INCL MULTI SERIAL IMAGES,582.0,582.0,,,0
CDM,32001040,HC MR SAFETY IMPLANT &OR FB ASSMT CLIN STAF INI 15MIN,106.0,106.0,,,0
CDM,32001041,HC MR SAFETY IMPLANT &OR FB ASSMT CLIN STAF EA ADDL 30MINS,35.0,35.0,,,0
CDM,32001042,HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,381.0,381.0,,,0
CDM,32001043,HC MR SAFETY MED PHYSICS EXAM CUSTOMIZATION PLAN & PERF MONITOR,1047.0,1047.0,,,0
CDM,32001044,HC MR SAFETY IMPLANT ELECTRONICS PREP UNDER SUPV PHYS/QHP,397.0,397.0,,,0
CDM,32001045,HC MR SAFETY IMPLANT POSITION &OR IMMOBILIZATION UNDER SUPV PHYS/QHP,257.0,257.0,,,0
CDM,32001054,HC QUANTI & CHARACT CORONARY ATHEROSCLEROTIC PLAQUE,2751.0,2751.0,,,0
CDM,33100001,HC CHEMO INTRALESIONAL MAX 7 LES,414.0,414.0,,,0
CDM,33100002,HC CHEMO INTRALESIONAL OVER 7 LES,1115.0,1115.0,,,0
CDM,33100003,HC CHEMO ADMIN SUBCUTAN RESERVOIR,823.0,823.0,,,0
CDM,33100004,HC CHEMO ADMIN SC/IM NON-HORMONAL,416.0,416.0,,,0
CDM,33100005,HC CHEMO CNS W/LP,1221.0,1221.0,,,0
CDM,33100006,HC CHEMO SC/IM HORMON ANTI NEOPL,225.0,225.0,,,0
CDM,33100007,HC CHEMO ADMIN IV/PUSH EA AD DRUG,290.0,290.0,,,0
CDM,33100010,HC CHEMOTHERAPY INJECTION INTRATUMORAL,469.0,469.0,,,0
CDM,33300004,HC GK SRS DELIVERY OF TREATMENT,22575.0,22575.0,,,0
CDM,33300005,HC BASIC DOSIMETRY CALCULATION,376.0,376.0,,,0
CDM,33300006,HC TX DEVICE DESIGN COMPLEX,897.0,897.0,,,0
CDM,33300009,HC SPECIAL MED PHYSICS CONSULT,730.0,730.0,,,0
CDM,33300010,HC INTERSTITIAL TX COMPLEX W SUPERVISION HANDLING LOADING RAD SOURCE,3425.0,3425.0,,,0
CDM,33300015,HC HANDLING OF RADIOELEMENT,105.0,105.0,,,0
CDM,33300019,HC SIMULATION SIMPLE,800.0,800.0,,,0
CDM,33300020,HC SIMULATION INTERMEDIATE,1288.0,1288.0,,,0
CDM,33300021,HC SIMULATION COMPLEX,1506.0,1506.0,,,0
CDM,33300022,HC SIMULATION 3D RECONST,6452.0,6452.0,,,0
CDM,33300027,HC IMRT PLANNING,5856.0,5856.0,,,0
CDM,33300028,HC SPEC TELETHERAPY PORT PLAN,1283.0,1283.0,,,0
CDM,33300032,HC SPECIAL DOSIMETRY,360.0,360.0,,,0
CDM,33300033,HC TX DEVICE DESIGN SIMPLE,665.0,665.0,,,0
CDM,33300034,HC TX DEVICE DESIGN INTERM,665.0,665.0,,,0
CDM,33300036,HC CONT MED PHYSICS SUPPORT,618.0,618.0,,,0
CDM,33300037,HC MLC DEV IMRT DESIGN/CONSTRUCT,3090.0,3090.0,,,0
CDM,33300038,HC RADIATION TREATMENT DELIV =>1 MEV SIMPLE,465.0,465.0,,,0
CDM,33300041,HC RADIATION TREATMENT DELIV =>1 MEV INTERMEDIATE,702.0,702.0,,,0
CDM,33300044,HC RADIATION TREATMENT DELIV =>1 MEV COMPLEX,649.0,649.0,,,0
CDM,33300048,HC THERAPUTIC PORT FILMS,138.0,138.0,,,0
CDM,33300051,HC TOTAL/HEMI BODY PROCEDURE,2574.0,2574.0,,,0
CDM,33300052,HC HYPERTHEMIA SUPERF 4CM OR LESS,1290.0,1290.0,,,0
CDM,33300053,HC HYPERTHERMIA DEEP > 4CM,1741.0,1741.0,,,0
CDM,33300069,HC PLMT FIDUCIAL MARKERS NON PROS,3440.0,3440.0,,,0
CDM,33300070,HC ROBOT LIN SRS COM 1ST OR 1 SES,11271.0,11271.0,,,0
CDM,33300071,HC ROBOT LIN SRS FRACTX 2-5 SESS,11271.0,11271.0,,,0
CDM,33300072,HC RESPIRATORY MGMT SIMULATION,529.0,529.0,,,0
CDM,33300073,HC US GUIDE FOR PLACEMNT FIELDS,990.0,990.0,,,0
CDM,33300074,HC TELETHERAPY ISO PLAN SIMPLE,897.0,897.0,,,0
CDM,33300075,HC TELETHERAPY ISO PLAN COMPLEX,857.0,857.0,,,0
CDM,33300076,HC BRACHYTHER ISODOSE PLAN SIMPLE W DOSIMETRY CAL,897.0,897.0,,,0
CDM,33300077,HC BRACHYTHER ISODOSE PLAN INTERMED W DOSIMETRY CAL,994.0,994.0,,,0
CDM,33300078,HC BRACHYTHER ISODOSE PLAN COMPLEX W DOSIMETRY CAL,1260.0,1260.0,,,0
CDM,33300099,HC RAD TX DELVRY SRS CRANIAL LES ONE SESSION LINEAR ACC BASED,18914.0,18914.0,,,0
CDM,33300100,HC FRAMELESS SRS MASK SET CRANIAL (5PCS),3000.0,3000.0,,,0
CDM,33300101,HC FRAMELESS SRS MASK SET EXTENDED (5PCS),3000.0,3000.0,,,0
CDM,33300150,HC MED PHYSICS DOSE EVAL RADIATION EXPOSURE EXC THRESHOLD INC REPORT,1302.0,1302.0,,,0
CDM,33300151,HC FREIBURG FLAP,7687.0,7687.0,,,0
CDM,33300200,HC SURF RAD THER SUPERF OR ORTHOVOLT TX PLAN & SIMUL-AIDED FIELD SET,800.0,800.0,,,0
CDM,33300201,HC SURF RAD THER SUPERFICIAL DELV<=150 KV PER FRACTION,465.0,465.0,,,0
CDM,33300202,HC SURF RAD THER ORTHOVOLTAGE DLVR>150-500 KV PER FRACTION,465.0,465.0,,,0
CDM,33300203,HC SURF RAD THER SUPFC/ORTHVLT IMG GDN US PLCMNT PER COURSE OF TX,439.0,439.0,,,0
CDM,33302019,HC APPL STEREOTACTIC HEADFRAME STEREOTACTIC RADIOSURG,1970.0,1970.0,,,0
CDM,33302020,HC STEREOTACTIC RADIOSURG 1 COMPLEX CRANIAL LESION,10221.0,10221.0,,,0
CDM,33302021,HC STEREOTACTIC RADIOSURG EA ADDL CRANIAL LESION COMPLEX,5600.0,5600.0,,,0
CDM,33302022,HC STEREOTACTIC RADIOSURG 1 SIMPLE CRANIAL LESION,10221.0,10221.0,,,0
CDM,33302023,HC STEREOTACTIC RADIOSURG EA ADDL CRANIAL LESION SIMPLE,5600.0,5600.0,,,0
CDM,33500001,HC CHEMO ADMIN SC/IM NON-HORMONAL,416.0,416.0,,,0
CDM,33500002,HC CHEMO SC/IM HORMON ANTI NEOPL,225.0,225.0,,,0
CDM,33500003,HC CHEMO ADMIN IV PUSH SNGL DRUG,852.0,852.0,,,0
CDM,33500005,HC CHEMO IV INF 1ST 16-60MIN,1221.0,1221.0,,,0
CDM,33500006,HC STUDY CHEMO 1ST HOUR ADMIN RESEARCH ONLY,0.01,0.01,,,0
CDM,33500007,HC CHEMO IV INFUSE EA ADD HOUR,291.0,291.0,,,0
CDM,33500008,HC CHEMO ADMIN IV INFUSION >8 HRS,1221.0,1221.0,,,0
CDM,33500010,HC CHEMO IV INF SEQ HR 16-60MIN,331.0,331.0,,,0
CDM,33500011,HC CHEMO ADM INTRA ART PUSH,823.0,823.0,,,0
CDM,33500013,HC CHEMO ADM PERIT VIA PORT CATH,823.0,823.0,,,0
CDM,33500014,HC CHEMO CNS W/LP,1221.0,1221.0,,,0
CDM,33500015,HC CONCURRENT CHEMO INFUSION,469.0,469.0,,,0
CDM,33500020,HC MECHANICAL SCALP COOL INCL INDIV CAP SUPPLY HEAD MEAS FIT & EDUC,6330.0,6330.0,,,0
CDM,34100001,HC THYROID UPTAKE SINGLE OR MULTI,1002.0,1002.0,,,0
CDM,34100002,HC THYROID SCAN 99M TC,1002.0,1002.0,,,0
CDM,34100004,HC THYROID UPTK SCAN SNGL OR MULT,979.0,979.0,,,0
CDM,34100005,HC THYROID IMAG CARC MET LTD,1189.0,1189.0,,,0
CDM,34100006,HC THYROID IMAG CARC MET WB MULTI,1358.0,1358.0,,,0
CDM,34100007,HC THYROID UPTAKE ADD ON CA MET,202.0,202.0,,,0
CDM,34100008,HC PARATHYROID PLANAR SCAN,979.0,979.0,,,0
CDM,34100009,HC PARATHYROID SPECT IMAGING,2293.0,2293.0,,,0
CDM,34100010,HC PARATHYROID SPECT CT IMAGING,2293.0,2293.0,,,0
CDM,34100011,HC ADRENAL IMAG,3593.0,3593.0,,,0
CDM,34100012,HC BONE MARROW IMAG LTD,1075.0,1075.0,,,0
CDM,34100013,HC BONE MARROW IMAG WB,1102.0,1102.0,,,0
CDM,34100014,HC LABEL RED CELL SEQUEST/SPLENIC,1758.0,1758.0,,,0
CDM,34100016,HC LYMPH & GLAND IMAG,1233.0,1233.0,,,0
CDM,34100018,HC LIVER IMAG STATIC,1796.0,1796.0,,,0
CDM,34100019,HC LIVER IMAG W/VASC FLOW,1796.0,1796.0,,,0
CDM,34100022,HC LIVER & SPLEEN IMAG STATIC,1157.0,1157.0,,,0
CDM,34100023,HC LIVER & SPLEEN W/VASC FLOW,1157.0,1157.0,,,0
CDM,34100025,HC HEPATOBILIARY SCAN,1157.0,1157.0,,,0
CDM,34100026,HC HEPATOBILIARY SCAN W GB EF,1273.0,1273.0,,,0
CDM,34100027,HC GASTRIC EMPTYING STUDY,1605.0,1605.0,,,0
CDM,34100028,HC GI BLOOD LOSS IMAG,1219.0,1219.0,,,0
CDM,34100029,HC MECKELS,1055.0,1055.0,,,0
CDM,34100031,HC BONE IMAGE LIMITED STUDY,1055.0,1055.0,,,0
CDM,34100032,HC BONE IMAGE WHOLE BODY,1069.0,1069.0,,,0
CDM,34100033,HC BONE 3 PHASE,1250.0,1250.0,,,0
CDM,34100035,HC NON CARDIAC VASCULAR FLOW,1037.0,1037.0,,,0
CDM,34100036,HC MYOCARD PERF IMAG W E/F WM SGL,3581.0,3581.0,,,0
CDM,34100038,HC MYOCARD PERF IMAG W E/F WM MUL,3581.0,3581.0,,,0
CDM,34100039,HC MYOCARD PERF PLNR W E/F WM SGL,3581.0,3581.0,,,0
CDM,34100040,HC MYOCARD PERF PLNR W E/F WM MUL,3581.0,3581.0,,,0
CDM,34100041,HC MYOCARD INFARCT AVID PLANAR,2163.0,2163.0,,,0
CDM,34100042,HC GATED BLOOD POOL-SINGLE STUDY,1478.0,1478.0,,,0
CDM,34100045,HC LUNG VENTILATION IMAGING,996.0,996.0,,,0
CDM,34100046,HC LUNG PERFUSION IMAGING,991.0,991.0,,,0
CDM,34100047,HC VQ LUNG VENT AND PERF IMAG,1337.0,1337.0,,,0
CDM,34100048,HC QUANT DIFF LUNG PERF ONLY,996.0,996.0,,,0
CDM,34100049,HC QUANT DIFF LUNG PERF AND VENT,1337.0,1337.0,,,0
CDM,34100050,HC BRAIN IMAGING LTD VAS FLOW,1959.0,1959.0,,,0
CDM,34100053,HC CISTERNOGRAPHY,1959.0,1959.0,,,0
CDM,34100054,HC SHUNT EVALUATION,1656.0,1656.0,,,0
CDM,34100055,HC CISTERNOGRAPHY FOR LEAK,3449.0,3449.0,,,0
CDM,34100056,HC KIDNEY IMAGING STATIC ONLY,1295.0,1295.0,,,0
CDM,34100057,HC KIDNEY W/VASC FLOW & FUNCT,1366.0,1366.0,,,0
CDM,34100059,HC KIDNEY IMAG MULT W&W/O PHARM,1431.0,1431.0,,,0
CDM,34100062,HC CYSTOGRAM,1295.0,1295.0,,,0
CDM,34100063,HC RADIOPHARM LOCAL TUMOR PLANAR SNGL AREA SNGL DAY IMG,1189.0,1189.0,,,0
CDM,34100064,HC RADIOPHARM LOCAL TUMOR PLANAR WHOLE BODY SNGL DAY IMG,3449.0,3449.0,,,0
CDM,34100065,HC TUMOR LOCAL SPECT SNGL AREA SNGL DAY IMAGING,4103.0,4103.0,,,0
CDM,34100066,HC TUMOR LOC WB 2 OR MORE DYS,3593.0,3593.0,,,0
CDM,34100072,HC BONE IMAGE MULTI,1069.0,1069.0,,,0
CDM,34100105,HC RADIOPH LCL TUM PLNR 2 OR> ARE 1 OR>DY IMG OR SNGL ARE  IMG 2 OR>DY,1189.0,1189.0,,,0
CDM,34100106,HC GASTROESOPHAGEAL REFLUX STUDY,2226.0,2226.0,,,0
CDM,34100110,HC ABSOLU QUANT MYOCARD BLD FLW SPECT W EXERC OR PHARM STRESS & REST,1193.0,1193.0,,,0
CDM,34100115,HC MYOCRD IMG PET PERF SNGL STDY REST/STRESS CNCRNT CT SCAN,5070.0,5070.0,,,0
CDM,34100116,HC MYOCRD IMG PET PERF MULTI STDY REST&STRESS CNCRNT CT SCAN,7910.0,7910.0,,,0
CDM,34100117,HC MYOCRD IMG PET COMB PERF W METAB EVAL STDY DUAL RADIOTRACER,9666.0,9666.0,,,0
CDM,34100118,HC MYOCRD IMG PET COMB PERF W METAB EVAL STDY DUAL RDTRCR CNCRNT CT,9666.0,9666.0,,,0
CDM,34100119,HC ABSOL QUANT MYOCARD BLD FLW (AQMBF) PET REST & PHARMACOLOGIC STRESS,2640.0,2640.0,,,0
CDM,34100120,HC MYOCARD IMG PET METABOLIC EVAL SNGL STDY W CONCURRENT CT,8261.0,8261.0,,,0
CDM,34200001,HC RADIOPHARM THERAPY ORAL ADMIN,806.0,806.0,,,0
CDM,34200003,HC RADIOPHARM THERAPY IV ADMIN,806.0,806.0,,,0
CDM,34200004,HC RADIOLBL MONO ANTIBDY INTR INF,1113.0,1113.0,,,0
CDM,34200005,HC RADIOPHARMECEUTICAL THERAPY,806.0,806.0,,,0
CDM,34200010,HC HDR RADIONUC SKIN SURF BRACHYTH LESION UPTO 2.0CM OR 1 CHANNEL,637.0,637.0,,,0
CDM,34200011,HC HDR RADIONUC SKIN SURF BRACHYTH LESION >2.0CM & 2 CHANNELS OR MULTI,637.0,637.0,,,0
CDM,34200012,HC HDR RADIONUC INTERSTIT OR INTRACAV BRACHYTH 1 CHANNEL,3592.0,3592.0,,,0
CDM,34200013,HC HDR RADIONUC INTERSTIT OR INTRACAV BRACHYTH 2-12 CHANNELS,4295.0,4295.0,,,0
CDM,34200014,HC HDR RADIONUC INTERSTIT OR INTRACAV BRACHYTH > 12 CHANNELS,5913.0,5913.0,,,0
CDM,34200100,HC LUTATHERA IV ADMIN RADIOPH THERAPY,806.0,806.0,,,0
CDM,34300001,HC RADIOPHARM DIAG NOT CLASSIFIED,2481.0,2481.0,,,0
CDM,34300002,HC SESTAMIBI INJ UP TO 40MCI,576.0,576.0,,,0
CDM,34300003,HC TC-99M MYOVW DIAG UP TO 40MCI,494.0,494.0,,,0
CDM,34300004,HC INJ 99M-TC MDP UP TO 30 MCI,107.0,107.0,,,0
CDM,34300005,HC THALLOUS CHLORIDE INJ PER MCI,205.0,205.0,,,0
CDM,34300006,HC IN-111CEPROMENDET UP TO 10 MCI,5908.0,5908.0,,,0
CDM,34300007,HC I-131 MIBG 0.5MCI,952.0,952.0,,,0
CDM,34300008,HC I -123 SOD IODIDE DIAG PER MCI,2228.0,2228.0,,,0
CDM,34300009,HC TC-99M HEPATOLITE UP TO 15MCI,497.0,497.0,,,0
CDM,34300010,HC 99M-TCM PERTECHNETAT PER MCI,2.5,2.5,,,0
CDM,34300011,HC I-123 SODIUM IODIDE CAP/100UCI,222.8,222.8,,,0
CDM,34300012,HC TC-99M CERETEC UP TO 25MCI,3163.0,3163.0,,,0
CDM,34300013,HC I-131 SODIUM IODIDE CAP DIAGNOSTIC PER MCI,44.0,44.0,,,0
CDM,34300014,HC TC-99M MEBROFENIN DIAG PER STUDY DOSE UP TO 15MCI,513.0,513.0,,,0
CDM,34300015,HC INJ 99M-TC DTPA UP TO 25 MCI,473.0,473.0,,,0
CDM,34300016,HC INJ 99M-TC MAA UP TO 10MCI,309.0,309.0,,,0
CDM,34300017,HC INJ 99M-TC SUL COL UP TO 20MCI,359.0,359.0,,,0
CDM,34300022,HC 111 IN DTPA PER 0.5MCI,555.0,555.0,,,0
CDM,34300024,HC TC-99M SUCCIM DMSA UP TO 10MCI,806.0,806.0,,,0
CDM,34300025,HC INJ FDG DIAG UP TO 45 MCI,1682.0,1682.0,,,0
CDM,34300027,HC 67 GA PER MCI,162.0,162.0,,,0
CDM,34300028,HC NEUROLITE PER DOSE UP TO 25MCI,1368.0,1368.0,,,0
CDM,34300029,HC XENON 133 PER 10 MCI,310.0,310.0,,,0
CDM,34300030,HC ULTRA TAG PER DOSE UP TO 30MCI,134.0,134.0,,,0
CDM,34300031,HC 99M-TC OXIDRN HDP PER DOSE UP TO 30MCI,59.0,59.0,,,0
CDM,34300032,HC TC-99M MERTIATIDE PER DOSE UP TO15MCI,955.0,955.0,,,0
CDM,34300033,HC TC99M PENTETATE PER DOSE UP TO 75MCI,552.0,552.0,,,0
CDM,34300035,HC TC-99M LBLD WBC DIAG PER DOSE,2693.0,2693.0,,,0
CDM,34300036,HC IN-111 LBLD WBC DIAG PER DOSE,5047.0,5047.0,,,0
CDM,34300037,HC IN-111 PENTETETIDE PER DOSE UP TO 6MCI,7500.0,7500.0,,,0
CDM,34300038,HC IOBENGUANE 1-123 PER DOSE UP TO 15 MCI,7935.0,7935.0,,,0
CDM,34300039,HC I 123 DATSCAN 2.5ML,3317.0,3317.0,,,0
CDM,34300050,HC F18 SOD FLUORIDE UP TO 30 MCI,1013.0,1013.0,,,0
CDM,34300051,HC TC-99M PYROPHOSPHATE DIAG PER STUDY DOSE UP TO 25MCI,74.0,74.0,,,0
CDM,34300055,HC FLORBETAPIR F18 UP TO 10MCI,5997.0,5997.0,,,0
CDM,34300060,HC FLUCICLOVINE F-18 1 MCI (AXUMIN),646.0,646.0,,,0
CDM,34300061,HC GALLIUM GA-68 DOTATATE 0.1 MCI (NETSPOT),141.0,141.0,,,0
CDM,34300062,HC TECHNETIUM TC-99M TILMANOCEPT TO 0.5 MCI (LYMPHOSEEK),1252.0,1252.0,,,0
CDM,34300063,HC FLUTEMETAMOL F18 DIAG PER STUDY DOSE TO 5 MCI,6926.0,6926.0,,,0
CDM,34300064,HC FLORBETABEN F18 DIAG PER STUDY DOSE TO 8.1 MCI,4900.0,4900.0,,,0
CDM,34302021,GALLIUM (GA-68),141.0,141.0,,,0
CDM,34302021,GALLIUM (GA-68) DOTATATE 40 MCG SOLR,86.55,86.55,,,0
CDM,34302021,TC-99 TILMANOCEPT PER 0.5 MCI,1126.8,1126.8,,,0
CDM,34400001,HC I-131 SODIUM IODIDE CAP THERAPEUTIC PER MCI,60.0,60.0,,,0
CDM,34400002,HC I-131 SODIUM IODID SOL PER MCI,58.0,58.0,,,0
CDM,34400003,HC YITRIUM-90 THERAP UP TO 40 MCI,84210.0,84210.0,,,0
CDM,34400005,HC STRONTIUM 89 PER MCI,7871.0,7871.0,,,0
CDM,34400006,HC SAMARIUM SM153 LEXIDRON PER DOSE UP TO 150MCI,26590.0,26590.0,,,0
CDM,34400200,HC LUTETIUM LU 177 DOTATATE THERA 1 MCI (LUTATHERA),530.0,530.0,,,0
CDM,35000025,HC ANATOMIC MODEL 3D PRINTED 1ST INDIV COMPONENT ANATOMIC STRUCT,388.0,388.0,,,0
CDM,35000026,HC ANATOMIC MODEL 3D PRINTED EA ADDL INDIV COMPONENT ANATOMIC STRUCT,195.0,195.0,,,0
CDM,35000027,HC ANATOMIC GUIDE 3D PRINT & DESIGN 1ST ANATOMIC GUIDE,388.0,388.0,,,0
CDM,35000028,HC ANATOMIC GUIDE 3D PRINT & DESIGN EA ADDL ANATOMIC GUIDE,195.0,195.0,,,0
CDM,35100002,HC CT BRAIN W/O CONTRAST,1100.0,1100.0,,,0
CDM,35100003,HC CT BRAIN W/ CONTRAST,1881.0,1881.0,,,0
CDM,35100004,HC CT BRAIN W/ & W/O CONTRAST,1975.0,1975.0,,,0
CDM,35100006,HC CT PF ORB SELLA EAR W/O CONT,1041.0,1041.0,,,0
CDM,35100008,HC CT PF ORBIT SELLA EAR W CONT,1782.0,1782.0,,,0
CDM,35100011,HC CT PF ORB SELLA EAR W&W/O CONT,1975.0,1975.0,,,0
CDM,35100012,HC CT TMJ W/O CONTRAST,1041.0,1041.0,,,0
CDM,35100016,HC CT SINUS W/CONTRAST,1782.0,1782.0,,,0
CDM,35100018,HC CT MAXILLOFACIAL W/&W/O CONT,1975.0,1975.0,,,0
CDM,35100019,HC CT SOFT TISSUE NECK W/O CONTRAST,1041.0,1041.0,,,0
CDM,35100021,HC CT SOFT TISSUE NECK W CONTRAST,1782.0,1782.0,,,0
CDM,35100023,HC CT SOFT TISSUE NECK W & W/O CONTRAST & ADDL SEC,1975.0,1975.0,,,0
CDM,35100026,HC CTA BRAIN W/&W/O CO INC POST,2035.0,2035.0,,,0
CDM,35100027,HC CTA NECK W/&W/O CO INC POST,2035.0,2035.0,,,0
CDM,35200020,HC CT THORAX WO CONT,1230.0,1230.0,,,0
CDM,35200025,HC CT THORAX W CONT,1466.0,1466.0,,,0
CDM,35200028,HC CT CHEST DEDICATED W WO CONT,2096.0,2096.0,,,0
CDM,35200030,HC CTA CHEST W/WO CO W/REC RM,2042.0,2042.0,,,0
CDM,35200033,HC CT CERVICAL SPINE W/O CONTRAST,1230.0,1230.0,,,0
CDM,35200034,HC CT CERVICAL SPINE W/ CONTRAST,1782.0,1782.0,,,0
CDM,35200035,HC CT CERV SPINE W&W/O CONTRAST,2096.0,2096.0,,,0
CDM,35200037,HC CT THORACIC SPINE W/O CONT,1230.0,1230.0,,,0
CDM,35200038,HC CT THORACIC SPINE W/CONTRAST,1782.0,1782.0,,,0
CDM,35200039,HC CT THORACIC SPINE W/&W/O CONT,2096.0,2096.0,,,0
CDM,35200040,HC CT LUMBAR SPINE W/O CONTRAST,1230.0,1230.0,,,0
CDM,35200043,HC CT LUMBAR SPINE W/&W/O CONT,2096.0,2096.0,,,0
CDM,35200044,HC CTA PELVIS W/&W/O CO & ADD SEQ,2035.0,2035.0,,,0
CDM,35200047,HC CT PELVIS W/O CONTRAST,1230.0,1230.0,,,0
CDM,35200048,HC CT PELVIS W/CYSTOGRAM,1782.0,1782.0,,,0
CDM,35200050,HC CT PELVIS W&W/O CONTRAST,2096.0,2096.0,,,0
CDM,35200051,HC CT LOWER EXTREMITY WO CONTRAST MATERIAL,1041.0,1041.0,,,0
CDM,35200054,HC CTA LOWER EXTR W/&WO CONT,2035.0,2035.0,,,0
CDM,35200055,HC CT ABDOMEN W/O CONTRAST,1177.0,1177.0,,,0
CDM,35200056,HC CT ABDOMEN W/ CONTRAST,1782.0,1782.0,,,0
CDM,35200058,HC CT ABDOMEN W/&W/O CONTRAST,2096.0,2096.0,,,0
CDM,35200059,HC CTA ABDOMEN AND PELVIS,2400.0,2400.0,,,0
CDM,35200060,HC CTA ABD W/&W/O CONT & ADD SEQ,2035.0,2035.0,,,0
CDM,35200061,HC CT ABD PELVIS WO CONTRAST,1835.0,1835.0,,,0
CDM,35200062,HC CT ABD PELVIS W CONTRAST,2900.0,2900.0,,,0
CDM,35200063,HC CT ABD PELVIS W WO CONTR IV,2900.0,2900.0,,,0
CDM,35200064,HC CTS CT COLONOGRAPH DIAG W/O CO,1041.0,1041.0,,,0
CDM,35200065,HC CTS COLONOGRAPH W/WO CO W/IMAG,1782.0,1782.0,,,0
CDM,35200066,HC CTS COLONOGRAPH SCREEN W/IMAGE,1273.0,1273.0,,,0
CDM,35200067,HC CTS CALC SCOR HRT W/O CO,90.0,90.0,,,0
CDM,35200068,HC CTS HRT PUL VNS W/CO QUAL CAL,1603.0,1603.0,,,0
CDM,35200069,HC CCTA CHF W/WO CO STRXR,1603.0,1603.0,,,0
CDM,35200070,HC CCTA W/CO INCL EVALUATION,759.0,759.0,,,0
CDM,35200071,HC CTA ABD AORT BIL IL FEM W/WO,2035.0,2035.0,,,0
CDM,35200077,HC CT UPPER EXTREMITY WO CONT,1041.0,1041.0,,,0
CDM,35200090,HC CT UPR EXTR POST ARTHROGRAM,1782.0,1782.0,,,0
CDM,35200093,HC CT UPPER EXTREMITY W/O & W/ CONT,2096.0,2096.0,,,0
CDM,35200098,HC CTA UPPER EXTR W WO CONT,2035.0,2035.0,,,0
CDM,35200114,HC CT LOWER EXTREMITY WITH CONTRAST MATERIAL,1782.0,1782.0,,,0
CDM,35200115,HC CT LOWER EXTREMITY W WO CONTR & ADDL SEC,2096.0,2096.0,,,0
CDM,35200121,HC CT LUMBAR SPINE W/CONTRAST,1782.0,1782.0,,,0
CDM,35200150,HC CT THORAX LOW DOSE LUNG CANCER SCREEN WO CONTRAST,373.0,373.0,,,0
CDM,35200154,HC NONINV EST CORON FFR DERIV AUG SFTWR ANALY CTA I&R PHY/QHP,6678.0,6678.0,,,0
CDM,35900003,HC CT 3D WO INDEPENDNT WK STATION,468.0,468.0,,,0
CDM,35900004,HC CT 3D W INDEPENDNT WK STATION,602.0,602.0,,,0
CDM,35900005,HC CT LIMITED OR LOCALIZED F/U,727.0,727.0,,,0
CDM,35900007,HC UNLISTED CT PROC/DIAG/INTEV,593.0,593.0,,,0
CDM,35900011,HC CT VIEWING WAND,1656.0,1656.0,,,0
CDM,35900012,HC CT NDLE PLCMT BX ASP LOC S&I,644.0,644.0,,,0
CDM,35900014,HC CT ABLATION TISSUE,1072.0,1072.0,,,0
CDM,36000001,HC FNA WITHOUT IMAGING GUIDANCE,968.0,968.0,,,0
CDM,36000002,HC FOREIGN BODY REMOVAL SC,1490.0,1490.0,,,0
CDM,36000003,HC FOREIGN BODY REMOVAL SC COMP,4638.0,4638.0,,,0
CDM,36000091,HC CRYOBLA FIBRO EA INCL U/S GUID,10377.0,10377.0,,,0
CDM,36000112,HC BIOPSY MUSCLE PERC,4454.0,4454.0,,,0
CDM,36000113,HC BIOPSY BONE SUPERFICIAL,3938.0,3938.0,,,0
CDM,36000114,HC INJ SINUS TRACT THERAPUT,4454.0,4454.0,,,0
CDM,36000115,HC INJ ASP INTERMED JOINT,1480.0,1480.0,,,0
CDM,36000117,HC ASP/INJ GANG CYST(S) ANY LOC,1480.0,1480.0,,,0
CDM,36000118,HC INJ/ASP BONE CYST,2700.0,2700.0,,,0
CDM,36000124,HC RF ABLATION BONE PERC,13066.0,13066.0,,,0
CDM,36000129,HC ARTHRO TMJ JOINT INJ,1480.0,1480.0,,,0
CDM,36000134,HC DRAIN DEEP ABSC NCK/THRX,7691.0,7691.0,,,0
CDM,36000136,HC BX SOFT TISS NECK OR CHEST,4325.0,4325.0,,,0
CDM,36000141,HC UNLISTED PROC NECK OR THORAX,1480.0,1480.0,,,0
CDM,36000142,HC BX SFT TISS BACK SUPERFI,3938.0,3938.0,,,0
CDM,36000143,HC BX SFT TISS BACK/FLNK DP,7691.0,7691.0,,,0
CDM,36000148,HC OPEN TMT VERT FX DISL VERT LUM,6988.0,6988.0,,,0
CDM,36000159,HC UNLISTED PROCEDURE SPINE,8063.0,8063.0,,,0
CDM,36000162,HC UNLISTED PROC ABD MUSCULOSKEL,8063.0,8063.0,,,0
CDM,36000163,HC BX SFT TISS SHOULDER SUPERF,3938.0,3938.0,,,0
CDM,36000164,HC BX SFT TISS SHOULDER DEEP,7691.0,7691.0,,,0
CDM,36000166,HC INJ SHOULDER ARTHRO,1480.0,1480.0,,,0
CDM,36000169,HC BX ARM/ELBW SOFT TISSUE,4325.0,4325.0,,,0
CDM,36000171,HC INJ ELBOW ARTHRO,1480.0,1480.0,,,0
CDM,36000181,HC INJ WRIST ARTHRO,1490.0,1490.0,,,0
CDM,36000224,HC BX SFT TISS PELV/HIP SUP,3938.0,3938.0,,,0
CDM,36000225,HC BX SFT TISS PELV/HIP DP,3938.0,3938.0,,,0
CDM,36000226,HC INJ PROCEDURE HIP ARTHROGRAPHY,1480.0,1480.0,,,0
CDM,36000227,HC INJ HIP ARTHRO W ANES,1693.0,1693.0,,,0
CDM,36000228,HC INJ SI JT W GUID ANESTH TX DX,2184.0,2184.0,,,0
CDM,36000237,HC INJ ANKLE ARTHRO,1480.0,1480.0,,,0
CDM,36000249,HC INTUBATION ENDOTRACHEAL,664.0,664.0,,,0
CDM,36000251,HC PERCUTANEOUS TRACH ASSIST,3469.0,3469.0,,,0
CDM,36000252,HC BRONCHOSCOPY DX W/WO CELL WASH,3469.0,3469.0,,,0
CDM,36000253,HC BRONCHOSCOPY W DIL W STENT,6029.0,6029.0,,,0
CDM,36000258,HC CATH ASPIRATION NASOTRACHEAL,336.0,336.0,,,0
CDM,36000261,HC BIOPSY PLEURA PERC,4454.0,4454.0,,,0
CDM,36000263,HC INS TUNNELED CUFF PLEURAL CATH,10377.0,10377.0,,,0
CDM,36000264,HC TUBE THORACOSTOMY W/WATER SEAL,2678.0,2678.0,,,0
CDM,36000265,HC REMV TUN PLEUR CATH W/CUFF S&I,2700.0,2700.0,,,0
CDM,36000266,HC PLCMT INT DEV RAD THER SGL/MUL,4454.0,4454.0,,,0
CDM,36000267,HC CHEMICAL PLEURODESIS PNEUMO,2700.0,2700.0,,,0
CDM,36000268,HC FIBRINLYSIS VIA CH TUBE 1ST DY,2700.0,2700.0,,,0
CDM,36000269,HC FIBRINLYSIS VIA CH TUBE SUB DY,2700.0,2700.0,,,0
CDM,36000270,HC ABLATION THER 1 OR> PULM TUMORS PERC UNI RADIOFREQ,16022.0,16022.0,,,0
CDM,36000271,HC UNLISTED PROCEDURE LUNG/PLEURA,2678.0,2678.0,,,0
CDM,36000275,HC PPM W ATRIAL LEAD,21988.0,21988.0,,,0
CDM,36000276,HC PPM W VENTRICULAR LEAD,21549.0,21549.0,,,0
CDM,36000277,HC PPM DUAL CHAMBER W 2 LEADS,21549.0,21549.0,,,0
CDM,36000279,HC INSERT TEMP PACEMAKER SINGLE,13002.0,13002.0,,,0
CDM,36000280,HC TEMP AV PACING WIRE W/FLURO,14190.0,14190.0,,,0
CDM,36000281,HC PPM REPLACE GEN HAS 1 LEAD,18394.0,18394.0,,,0
CDM,36000282,HC PPM GEN ONLY HAS DUAL LEADS,20981.0,20981.0,,,0
CDM,36000283,HC PPM UPGRD SINGLE TO DUAL CH,27090.0,27090.0,,,0
CDM,36000284,HC PPM/ICD REPOSITION TV LEAD,5425.0,5425.0,,,0
CDM,36000286,HC PPM REPOS AFTER INITIAL SINGLE,11885.0,11885.0,,,0
CDM,36000288,HC PPM REPOS AFTER INITIAL DUAL,13347.0,13347.0,,,0
CDM,36000290,HC RPR SINGLE TRANSVNS ELECTRO PPM/IMPLT DEFIB,12831.0,12831.0,,,0
CDM,36000291,HC RPR 2 TRANSVNS ELECTRO PPM/IMPLT DEFIB,6303.0,6303.0,,,0
CDM,36000292,HC INSERT PPM GEN ONLY MULTIPLE,25531.0,25531.0,,,0
CDM,36000293,HC PPM POCKET REVISION,5300.0,5300.0,,,0
CDM,36000294,HC ICD POCKET REVISION,3946.0,3946.0,,,0
CDM,36000295,HC INSERT PACING LEAD/CONNECT,21549.0,21549.0,,,0
CDM,36000296,HC INSERT LV LEAD ICD OR PPM,6321.0,6321.0,,,0
CDM,36000298,HC REPOSITIONING OF LV LEAD,5425.0,5425.0,,,0
CDM,36000299,HC REMOVE&REPLACE PPM GEN SINGLE,14528.0,14528.0,,,0
CDM,36000300,HC REMOVE&REPLACE PPM GEN DUAL,19589.0,19589.0,,,0
CDM,36000301,HC REMOVE&REPLACE PPM GEN MULTI,26875.0,26875.0,,,0
CDM,36000302,HC ICD INSERT GEN ONLY DUAL SYS,57566.0,57566.0,,,0
CDM,36000303,HC ICD INSERT GEN ONLY MULTIPLE,54825.0,54825.0,,,0
CDM,36000304,HC OUT PPM REM SGL CH GEN&LEADS,5425.0,5425.0,,,0
CDM,36000306,HC OUT PPM REM DUAL CH GEN&LEADS,6303.0,6303.0,,,0
CDM,36000308,HC PPM REMOVE GENERATOR ONLY,10805.0,10805.0,,,0
CDM,36000309,HC ICD INSERT GEN ONLY BIV,59125.0,59125.0,,,0
CDM,36000311,HC ICD REMOVE GEN ONLY,6842.0,6842.0,,,0
CDM,36000312,HC ICD REMOVE GEN &/OR LEAD,7167.0,7167.0,,,0
CDM,36000313,HC ICD IMPLANT TV LEADS & GEN,53213.0,53213.0,,,0
CDM,36000315,HC REMOVE&REPLACE ICD GEN SINGLE,47300.0,47300.0,,,0
CDM,36000316,HC REMOVE&REPLACE ICD GEN DUAL,53331.0,53331.0,,,0
CDM,36000317,HC REMOVE&REPLACE ICD GEN MULTI,47300.0,47300.0,,,0
CDM,36000321,HC ENDO REPR TAA W COV SUBCL ART,10879.0,10879.0,,,0
CDM,36000322,HC ENDOVASC RPR TAA WO SUBCL ART,10879.0,10879.0,,,0
CDM,36000323,HC PLCM PROST ENDVAS RPR INIT EXT,10879.0,10879.0,,,0
CDM,36000325,HC ENDOVASC PROSTH DELAYED,10879.0,10879.0,,,0
CDM,36000326,HC PULM ARTERY WO BYPASS,10879.0,10879.0,,,0
CDM,36000329,HC INSERT INTRA AORTIC BAL DEVICE,16314.0,16314.0,,,0
CDM,36000331,HC EMBL THROMBEC UPPER ART,16022.0,16022.0,,,0
CDM,36000332,HC EMBL RADIAL OR ULNAR EMBOL,16022.0,16022.0,,,0
CDM,36000333,HC EMBL RENAL CEL AORTOIL EMBOL,10879.0,10879.0,,,0
CDM,36000334,HC EMBL FEM POP AORTO IL,16022.0,16022.0,,,0
CDM,36000335,HC EMBL POP TIB PERONEAL,16022.0,16022.0,,,0
CDM,36000336,HC THRMBCTOMY VENA CAVA LEG,10377.0,10377.0,,,0
CDM,36000337,HC THROMBECTOMY AX SUB VEIN,10377.0,10377.0,,,0
CDM,36000367,HC THROMBOEND COMMON FEMORAL,13115.0,13115.0,,,0
CDM,36000376,HC GRAFT THROMBECTOMY,16022.0,16022.0,,,0
CDM,36000377,HC INJ PERC EXTR PSEUDOANEURYSM,2700.0,2700.0,,,0
CDM,36000378,HC INJ VENO EXTR INCL NDL/INTRAC,1613.0,1613.0,,,0
CDM,36000379,HC INTRO CATH SUP INF VENA CAVA,6816.0,6816.0,,,0
CDM,36000380,HC CATH IN VEIN 1ST RNL/JGL,6816.0,6816.0,,,0
CDM,36000383,HC CATH LT ADRNL/PETROSAL SINUS,6816.0,6816.0,,,0
CDM,36000388,HC CATH RT HEART OR MAIN PULM ART,1613.0,1613.0,,,0
CDM,36000389,HC CATH PLCMNT L/R PULMONARY ART,1613.0,1613.0,,,0
CDM,36000390,HC CATH SUB SEGMENTAL PULM ART,1613.0,1613.0,,,0
CDM,36000391,HC INTRO NDL CATH CAROTID/VER ART,1613.0,1613.0,,,0
CDM,36000393,HC INTRO NDLE UPPER OR LOWER EXTREMITY ART,6815.0,6815.0,,,0
CDM,36000397,HC INTRO CATH AORTA,6815.0,6815.0,,,0
CDM,36000398,HC INTRO CATH EA 1ST ORD THOR/BRA,11662.0,11662.0,,,0
CDM,36000399,HC CATH IN ART THOR/BRACH,11662.0,11662.0,,,0
CDM,36000400,HC CATH IN ART SELECT THOR/BRACH,6816.0,6816.0,,,0
CDM,36000401,HC CATH IN ART 2ND 3RD,1535.0,1535.0,,,0
CDM,36000402,HC ANG NON SEL CEREB TO ARCH W SI,10377.0,10377.0,,,0
CDM,36000403,HC INTR CATH EA 1ST ORD AB/PEL/EX,1693.0,1693.0,,,0
CDM,36000404,HC CATH IN ART ABD/PLV/L EX,1693.0,1693.0,,,0
CDM,36000405,HC CATH IN ART 3RD ABD/PLV,1693.0,1693.0,,,0
CDM,36000406,HC CATH IN ART 2ND & 3RD ABD,974.0,974.0,,,0
CDM,36000407,HC RENAL ARTERY SEL CATH PLACE,10377.0,10377.0,,,0
CDM,36000409,HC REN ART 1ST ORD INC GUID BILAT,10377.0,10377.0,,,0
CDM,36000410,HC SUPERSEL CATH RENAL ART,16022.0,16022.0,,,0
CDM,36000412,HC REN ART SUBS ORD INC GUID BILA,10377.0,10377.0,,,0
CDM,36000413,HC ENDOVSC ABL VEIN EXT 1 VEIN IG,10377.0,10377.0,,,0
CDM,36000414,HC SUBSEQ VEIN(S) THRU SEPARATE ACCESS,4620.0,4620.0,,,0
CDM,36000415,HC ENDOVEN ABL INCM VEN 1 VEIN IG,10377.0,10377.0,,,0
CDM,36000416,HC SUBSEQUENT VEIN(S) SNGL SEP AC,4730.0,4730.0,,,0
CDM,36000418,HC PORTAL ACCESS,1881.0,1881.0,,,0
CDM,36000419,HC VENOUS CATH FOR SAMPLING,1696.0,1696.0,,,0
CDM,36000420,HC THERAPEUTIC APHERESIS WBC,4368.0,4368.0,,,0
CDM,36000421,HC THERAPEUTIC APHERESIS RBC,4368.0,4368.0,,,0
CDM,36000422,HC THERAPEUTIC APHERESIS FOR PLTS,3494.0,3494.0,,,0
CDM,36000423,HC INS NON TUN CVC < 5 YRS,3375.0,3375.0,,,0
CDM,36000424,HC INSERT NON-T CV CATH >5YR,3375.0,3375.0,,,0
CDM,36000426,HC INS TUN CVC W/O PORT/PMP <5 YR,10566.0,10566.0,,,0
CDM,36000427,HC INSERT CV-T CATH W/O PORT >5YR,7653.0,7653.0,,,0
CDM,36000428,HC INS TUN CVA W/PORT <5 YR,10377.0,10377.0,,,0
CDM,36000429,HC INSERT T-CV ACC W/SUB PORT>5YR,9568.0,9568.0,,,0
CDM,36000430,HC INS TUN CVA2 CATH2 VEN W/O POR,10377.0,10377.0,,,0
CDM,36000431,HC INS TUN CVA2 CATH2 VEN W/ PORT,16022.0,16022.0,,,0
CDM,36000432,HC INS PERIP CVC < 5 YRS,2678.0,2678.0,,,0
CDM,36000435,HC INSERT PICC W/O SUBC PORT >5YR,2678.0,2678.0,,,0
CDM,36000437,HC INS PERIP CVA W/PORT <5 YR,10377.0,10377.0,,,0
CDM,36000438,HC INS PERIP CVA W/PORT >5 YR,10377.0,10377.0,,,0
CDM,36000439,HC REPR TUN/NON CVA W/O PORT/PMP,2700.0,2700.0,,,0
CDM,36000440,HC REPAIR CV ACCESS DEVICE,2678.0,2678.0,,,0
CDM,36000441,HC REPLAC CATH W/SUBC PORT,10377.0,10377.0,,,0
CDM,36000442,HC REPL CVC NON TUN THRU SAME VEN,2678.0,2678.0,,,0
CDM,36000443,HC REPL CMP TUN CVA W/O PMP,10377.0,10377.0,,,0
CDM,36000444,HC REPLAC COMP CVA TUNN CVA CATH,10377.0,10377.0,,,0
CDM,36000445,HC REPL CMP TUN CVA W/ PMP,16022.0,16022.0,,,0
CDM,36000446,HC REPL PERIP CVC THRU SAME VEN,3642.0,3642.0,,,0
CDM,36000447,HC REPL CMP PERIP CVA W/ PORT,10377.0,10377.0,,,0
CDM,36000448,HC REM T-CV CATH W/O SUBC PORT,2700.0,2700.0,,,0
CDM,36000449,HC REM T-CV CATH W/SUBC PORT,3924.0,3924.0,,,0
CDM,36000450,HC DECLOTTING THROMBOLYTIC AGENT,860.0,860.0,,,0
CDM,36000451,HC REMOV PERICATH CENT VEN DEV,10377.0,10377.0,,,0
CDM,36000452,HC REMOV INTRAUL MAT FROM CUD,2678.0,2678.0,,,0
CDM,36000453,HC REPOS PREV PLCD CATH W/FLUOR,2678.0,2678.0,,,0
CDM,36000454,HC CONT INJ EVAL CVA DEV FLOURO,1480.0,1480.0,,,0
CDM,36000455,HC ARTERIAL CATH INSERT,1535.0,1535.0,,,0
CDM,36000456,HC ARTERIAL CUTDOWN,1535.0,1535.0,,,0
CDM,36000460,HC INSERTION OF CANNULA,16022.0,16022.0,,,0
CDM,36000464,HC INSERT INTRAHEP SHUNT TIPS,12363.0,12363.0,,,0
CDM,36000465,HC REV TIPPS/CATH/STENT PLCMT,28981.0,28981.0,,,0
CDM,36000466,HC PERC THROMBEC NON COR ARTERIAL,16022.0,16022.0,,,0
CDM,36000467,HC 2ND/ALL SUB VES W/I VASC FAM,10785.0,10785.0,,,0
CDM,36000468,HC SECONDARY THROMB NON COR ARTER,7187.0,7187.0,,,0
CDM,36000469,HC PERC TRANS THROMB VEINS,16022.0,16022.0,,,0
CDM,36000472,HC PERC TRANS THROM VEIN REPT TRT,10377.0,10377.0,,,0
CDM,36000474,HC INSERT IVC FILTER W GUIDANCE,16022.0,16022.0,,,0
CDM,36000476,HC REPOSITION IVC FILTER W GUID,10377.0,10377.0,,,0
CDM,36000478,HC RETRIEVE IVC FILTER W GUIDANCE,10377.0,10377.0,,,0
CDM,36000479,HC TRANSCATHETER BIOPSY,16022.0,16022.0,,,0
CDM,36000485,HC TRNSCATH INTRA STENT W/ DIS EM,11093.0,11093.0,,,0
CDM,36000532,HC UNLISTED PROC VASCULAR SURG,3478.0,3478.0,,,0
CDM,36000533,HC INJECTION SPLEEN XRAY,1490.0,1490.0,,,0
CDM,36000534,HC DIAGNOSTIC BONE MARROW ASPIRATIONS,3938.0,3938.0,,,0
CDM,36000535,HC DIAGNOSTIC BONE MARROW BIOPSY,2700.0,2700.0,,,0
CDM,36000537,HC BX SUPERFICIAL LYMPH NODE,4454.0,4454.0,,,0
CDM,36000538,HC BX/REM LYMPH NODE CER,8460.0,8460.0,,,0
CDM,36000539,HC BX/REM LYMPH NODE AXIL,8460.0,8460.0,,,0
CDM,36000540,HC INJ LYMPHANGIOGRAPHY UNI,1480.0,1480.0,,,0
CDM,36000545,HC SIALOGRAPHY INJ,1988.0,1988.0,,,0
CDM,36000546,HC DILATION SALIVARY DUCT,4898.0,4898.0,,,0
CDM,36000547,HC DIL CATH OF SAL DUCT,1480.0,1480.0,,,0
CDM,36000548,HC BIOPSY NASOPH SVY LESION,8076.0,8076.0,,,0
CDM,36000554,HC INTRO NASO ORO GASTRIC TUBE REQ PHYS SKILL W FLUORO GUID,1480.0,1480.0,,,0
CDM,36000556,HC REPOSITION OF GASTROSTOMY TUBE,2081.0,2081.0,,,0
CDM,36000557,HC TUBE JEJUNOSTOMY,10523.0,10523.0,,,0
CDM,36000560,HC INTRO LONG GI TUBE SEP PROC,4454.0,4454.0,,,0
CDM,36000584,HC ABLATION LIVER,16022.0,16022.0,,,0
CDM,36000585,HC PERC CHOLE COMP W IMGE GUID,10377.0,10377.0,,,0
CDM,36000593,HC BILIARY ENDOS FOR BIOPSY,17624.0,17624.0,,,0
CDM,36000594,HC BILIARY ENDOSCOPY PERCUT VIA T-TUBE W REMVL CALCULUS,10377.0,10377.0,,,0
CDM,36000595,HC BIL ENDOS/DIL W/O STENT,10377.0,10377.0,,,0
CDM,36000596,HC BIL ENDOS/DIL W/STENT,16022.0,16022.0,,,0
CDM,36000598,HC PLACEMENT BILE DUCT SUPP,11049.0,11049.0,,,0
CDM,36000599,HC UNLISTED PROCED BILIARY TRACK,4454.0,4454.0,,,0
CDM,36000601,HC I&D ABSCESS CUT/SUB COMP/MUL,968.0,968.0,,,0
CDM,36000603,HC BIOPSY PANCREAS,4454.0,4454.0,,,0
CDM,36000604,HC MARSUPIAL OF PANCRE CYST,11049.0,11049.0,,,0
CDM,36000605,HC DRAIN PSEUDOCYST PANCREAS,10879.0,10879.0,,,0
CDM,36000611,HC ABDOMINAL PARACENT W GUIDANCE,4473.0,4473.0,,,0
CDM,36000620,HC INJ AIR CONTRST INTO PERIT CAV,1480.0,1480.0,,,0
CDM,36000623,HC INTRAPER CATH PLACE W SI,10377.0,10377.0,,,0
CDM,36000624,HC INSERT PERIT DRAIN/DIAL PERMA,10377.0,10377.0,,,0
CDM,36000625,HC EXCHANGE OF DRAINAGE CATHETER,5069.0,5069.0,,,0
CDM,36000626,HC CONTRAST INJ PREV PLACED CATH,1480.0,1480.0,,,0
CDM,36000627,HC INJ PERIT VENOUS SHT EVL,1613.0,1613.0,,,0
CDM,36000628,HC INS G-TUBE FLRO/CO/DOC/REPORT,4454.0,4454.0,,,0
CDM,36000629,HC INS DUOD/J TUBE/FLRO CO/DOC,4454.0,4454.0,,,0
CDM,36000631,HC CHNG G TO J TUBE/FLRO/CO/DOC,4454.0,4454.0,,,0
CDM,36000632,HC REPLC G/C TUBE/FLRO/CO/DOC,4454.0,4454.0,,,0
CDM,36000633,HC REPLC DUO/J TUBE/FLRO/CO/DOC,4454.0,4454.0,,,0
CDM,36000634,HC REPLC G TO J TUBE/FLRO/CO DOC,4454.0,4454.0,,,0
CDM,36000635,HC REMOV G/COL TUBE W/DEV/FLRO/CO,4454.0,4454.0,,,0
CDM,36000636,HC CO INJ EXT G/J/DUO/G-J DOC/RPT,1480.0,1480.0,,,0
CDM,36000648,HC UNLISTED PROC ABD PERITONEUM,6988.0,6988.0,,,0
CDM,36000652,HC PERC GU STONE <2CM,13066.0,13066.0,,,0
CDM,36000655,HC EXC UNROOF CYST KIDNEY,10879.0,10879.0,,,0
CDM,36000656,HC REMOV/REPLAC URET STENT S&I,7691.0,7691.0,,,0
CDM,36000657,HC CHANGE STENT VIA TRANSURETH,7691.0,7691.0,,,0
CDM,36000658,HC REMOVE STENT VIA TRANSURETH,7691.0,7691.0,,,0
CDM,36000659,HC CHANGE EXT/INT URETER STENT,4608.0,4608.0,,,0
CDM,36000660,HC REMOV NEPHROST TUBE FLOUR GUID,2700.0,2700.0,,,0
CDM,36000661,HC ASP RENAL CYST/PEL NDLE PERC,2700.0,2700.0,,,0
CDM,36000662,HC INSTIL THER AGNT RNL PLV NEPHR,1480.0,1480.0,,,0
CDM,36000665,HC MANO STUDY THRU CATH,2700.0,2700.0,,,0
CDM,36000666,HC RF ABLATION RENAL,16022.0,16022.0,,,0
CDM,36000667,HC CRYOABLATION RENAL,16022.0,16022.0,,,0
CDM,36000668,HC INJ FOR URETEROGRAPHY,1480.0,1480.0,,,0
CDM,36000669,HC MEASURE URETER PRESSURE,355.0,355.0,,,0
CDM,36000670,HC CHANGE OF URETEROSTOMY TUBE,4608.0,4608.0,,,0
CDM,36000671,HC INJ FOR URETEROPYELOGRAPHY,1480.0,1480.0,,,0
CDM,36000673,HC DRAIN OF BLADD ABSCESS,4429.0,4429.0,,,0
CDM,36000674,HC ASPIR OF BLADDER BY NEEDLE,879.0,879.0,,,0
CDM,36000675,HC BLAD ASPIR BY INTRACATH,336.0,336.0,,,0
CDM,36000676,HC BLADDER DRAIN W SUPRAPUB CATH,7691.0,7691.0,,,0
CDM,36000678,HC INJ RETROGRADE URETER,1490.0,1490.0,,,0
CDM,36000681,HC CATHERIZATION URETHRA SIMPLE,425.0,425.0,,,0
CDM,36000682,HC CHANGE OF BLADD TUBE SIMPLE,1480.0,1480.0,,,0
CDM,36000684,HC MEASURE POST VOID BLD CAP,1510.0,1510.0,,,0
CDM,36000686,HC CYSTO & DUCT CATHETER,2700.0,2700.0,,,0
CDM,36000687,HC CYSTOURETHROSCOPY INS STENT,8460.0,8460.0,,,0
CDM,36000688,HC RETRO CYST PUNCT & DILAT,8460.0,8460.0,,,0
CDM,36000699,HC CORPORA CAVERNOSA INJECT,1480.0,1480.0,,,0
CDM,36000708,HC PLCMT NDLE/CATH PELVIS FOR RT,11415.0,11415.0,,,0
CDM,36000711,HC PARTIAL HYMENECTOMY OR REVISN HYMENAL RING,10213.0,10213.0,,,0
CDM,36000717,HC BX VAGINA SIMPLE,2678.0,2678.0,,,0
CDM,36000779,HC ASPIRATION/OR INJ THYROID CYST,2700.0,2700.0,,,0
CDM,36000780,HC UNLISTED PROC ENDOCRINE SYS,16022.0,16022.0,,,0
CDM,36000781,HC CIST OR LAT CERV PUNCTURE,4778.0,4778.0,,,0
CDM,36000782,HC INJECTION FOR MYELO C1-C2,2080.0,2080.0,,,0
CDM,36000783,HC ENDOVAS BALL ART OCC HEAD/NCK,28981.0,28981.0,,,0
CDM,36000784,HC EMBOLIZATION PERC CNS,13035.0,13035.0,,,0
CDM,36000785,HC EMBOLIZATION NON CNS HEAD NECK,28981.0,28981.0,,,0
CDM,36000786,HC PERC BALL ANGIOPLAST INTRACRAN,10879.0,10879.0,,,0
CDM,36000787,HC TRANSCATH PLCM STENT INTRACRAN,10879.0,10879.0,,,0
CDM,36000788,HC PERC BALL INTRACRAN VASOSPASM,3154.0,3154.0,,,0
CDM,36000789,HC EACH ADD VES IN SAME FAM,3154.0,3154.0,,,0
CDM,36000790,HC EACH ADD VES DIFF VASC FAM,3154.0,3154.0,,,0
CDM,36000793,HC PERC ASP INTERV DISC/PARVER DX,2700.0,2700.0,,,0
CDM,36000794,HC DRAIN SPINAL CORD CYST,2700.0,2700.0,,,0
CDM,36000795,HC SPINAL CORD BIOPSY NEED,4454.0,4454.0,,,0
CDM,36000796,HC DRAIN SPINAL FLUID BY NDLE CAT,2700.0,2700.0,,,0
CDM,36000798,HC INJ L SPINE NEUROL SUBSTN,4360.0,4360.0,,,0
CDM,36000799,HC INJ DISKOGRAPHY LUMBAR,6099.0,6099.0,,,0
CDM,36000800,HC INJ DISKOGRAPHY CERVICAL,1535.0,1535.0,,,0
CDM,36000801,HC INJ INTO DISK LESION,7691.0,7691.0,,,0
CDM,36000802,HC OCCL AVM SPINE,2700.0,2700.0,,,0
CDM,36000808,HC IMPLANT EPIDURAL CATH WO LAM,12499.0,12499.0,,,0
CDM,36000816,HC INJ INTERCOSTAL NERVE SINGLE,2700.0,2700.0,,,0
CDM,36000817,HC INJ INTERCOSTAL NERVE MULTI,2678.0,2678.0,,,0
CDM,36000822,HC INJ PARAVERT C OR T W CT OR FL,2678.0,2678.0,,,0
CDM,36000824,HC INJ PARAVERT C OR T EA ADD LEV,1480.0,1480.0,,,0
CDM,36000825,HC INJ PARAVERT LS SNGL LEVEL,2700.0,2700.0,,,0
CDM,36000827,HC INJ LUMB OR SAC EA ADD LEVEL,817.0,817.0,,,0
CDM,36000828,HC INJ FACET NRV CER/THOR SNG,2700.0,2700.0,,,0
CDM,36000829,HC INJ FACET JT LUM/SAC 1ST LEVEL,2700.0,2700.0,,,0
CDM,36000830,HC INJ FACET JT LUM/SAC 2ND LEVEL,1480.0,1480.0,,,0
CDM,36000831,HC INJ FACET JT 3RD LEV & ADD LEV,1480.0,1480.0,,,0
CDM,36000832,HC INJ STELLATE GANGLION,2678.0,2678.0,,,0
CDM,36000833,HC INJ LUMBAR SYMPATHETIC,2700.0,2700.0,,,0
CDM,36000834,HC INJ CELIAC PLEXUS,2678.0,2678.0,,,0
CDM,36000835,HC DEST NEUROLYTIC AGNT INTERCOSTAL NERVE,4797.0,4797.0,,,0
CDM,36000837,HC CT INJ NERV TRT CEL PLEXUS,4797.0,4797.0,,,0
CDM,36000852,HC UNLISTED NERVOUS SYSTEM VIR,2700.0,2700.0,,,0
CDM,36000882,HC INJ FOR TEAR SAC XRAY,1535.0,1535.0,,,0
CDM,36000932,HC INJ DISKOGRAPHY LUMBAR,2514.0,2514.0,,,0
CDM,36000950,HC INJ SACROILIAC JT ANESTH THER,2514.0,2514.0,,,0
CDM,36000984,HC NEUROLYTIC FACET BLOCK ADD C/T,3556.0,3556.0,,,0
CDM,36000985,HC NEUROLYTIC FACET BLOCK IST C/T,2963.0,2963.0,,,0
CDM,36000986,HC NEUROLYTIC FACET BLOCK ISTL/S,3556.0,3556.0,,,0
CDM,36000987,HC MINOR ROOM PROCEDURE,1257.0,1257.0,,,0
CDM,36000988,HC O R PUMP TEAM,9799.0,9799.0,,,0
CDM,36001014,HC TRNSCTH EXCR VE/INTTH STEN S&I,10879.0,10879.0,,,0
CDM,36001015,HC TRANSCATH PLCMT EA ADDL SI,10523.0,10523.0,,,0
CDM,36001018,HC PERC SACRL AUG UNILAT INJ,17376.0,17376.0,,,0
CDM,36001019,HC PERC SACRAL AUG BILAT INJ,17376.0,17376.0,,,0
CDM,36001020,HC TRNSL ATHER RENAL ART,28981.0,28981.0,,,0
CDM,36001021,HC VISCERAL ART XRA W CONTR W SI,10879.0,10879.0,,,0
CDM,36001023,HC ABD AORTA XRA W CONTR W SI,28981.0,28981.0,,,0
CDM,36001024,HC ATHER BRACHCEPH AND BRANCH,28981.0,28981.0,,,0
CDM,36001025,HC TRNSL ATHER ILIAC ART,42589.0,42589.0,,,0
CDM,36001029,HC ASPIR OF BREAST CYST,2700.0,2700.0,,,0
CDM,36001037,HC INJ ASP SHLDR HIP KNEE,1510.0,1510.0,,,0
CDM,36001042,HC ANG SEL COM EXCRNL CAROT SI,10377.0,10377.0,,,0
CDM,36001043,HC ANG SEL COM INTCRN CAROT SI,9681.0,9681.0,,,0
CDM,36001044,HC ANG SEL INTERNAL CAROT SI,16022.0,16022.0,,,0
CDM,36001045,HC ANG SEL SUBCLV VERT CIRC SI,10377.0,10377.0,,,0
CDM,36001046,HC ANG SEL VERTEB CIRCUL SI,16022.0,16022.0,,,0
CDM,36001047,HC AN SEL EXT CAROT EA ADDL SI,1666.0,1666.0,,,0
CDM,36001048,HC AN SEL INCR OR VER EA AD SI,2107.0,2107.0,,,0
CDM,36001051,HC INJ SCLEROSANT SGL INCOMPETENT VEIN,1494.0,1494.0,,,0
CDM,36001052,HC INJ SCLEROSANT MULTP INCOMPTNT VEIN SAME LEG,1494.0,1494.0,,,0
CDM,36001053,HC TRANSCATH RETRIEVAL FB,10377.0,10377.0,,,0
CDM,36001054,HC ARTERIAL THROMBO INIT W SI,16022.0,16022.0,,,0
CDM,36001055,HC VENOUS THROMBO INIT W SI,10377.0,10377.0,,,0
CDM,36001056,HC THROMBO SUBSQ W SI,5430.0,5430.0,,,0
CDM,36001057,HC THROMBO SUBSQ DC TX W SI,5430.0,5430.0,,,0
CDM,36001059,HC CAROTID STENT WO EMB PROT,2365.0,2365.0,,,0
CDM,36001066,HC MANO STUDY THRU CATH,2700.0,2700.0,,,0
CDM,36001070,HC NEUROLYTIC FACET BLOCK ADDL/S,2963.0,2963.0,,,0
CDM,36001075,HC ECMO PROCEDURE,10894.0,10894.0,,,0
CDM,36001077,HC UNLIST FETAL INVASIVE PROC W/WO US GUID,705.0,705.0,,,0
CDM,36001078,HC DEST BY NEUROLYTIC AGENT OTHER PERIPHERAL NERVE OR BRANCH,2700.0,2700.0,,,0
CDM,36001090,HC TWIST DRILL OR BURR HOLE IMPLANT NEUROSTIMULATOR ELECTRODES CORTICL,11813.0,11813.0,,,0
CDM,36001091,HC STEREO BX ASP OR EXC INCL BURR HOLE INTRACRN LESION W CT &/ MR GUID,11813.0,11813.0,,,0
CDM,36001092,HC CRANIECTOMY OR CRANIOTOMY IMPL NEUROSTIM ELECTRODES CEREBRAL CORT,11813.0,11813.0,,,0
CDM,36001093,HC TWST DRLL BURR HL CRANIOTMY/ECTMY W ST IMPL NEURO WO REC 1ST ARRAY,11813.0,11813.0,,,0
CDM,36001094,HC TWST DRLL BURR HL CRANIOTMY/ECTMY W ST IMPL NEU WO REC EA ADDL ARRY,3750.0,3750.0,,,0
CDM,36001095,HC TRANSCATH PULM VALVE IMPLANT PERCUT APPROACH,11813.0,11813.0,,,0
CDM,36001096,HC TRANSCATH ATRIAL SEPTOSTOMY CONGENITAL CARDIAC ANOMALIES ANY METHOD,11813.0,11813.0,,,0
CDM,36001097,HC TRNSCTH MITRL VALVE ANN RECON W IMPL ADJU ANN RECON DEVICE PERC APP,11813.0,11813.0,,,0
CDM,36001098,HC INJECTION INTO THE INTERNAL JUGULAR VEIN,6196.0,6196.0,,,0
CDM,36001100,HC BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED,4632.0,4632.0,,,0
CDM,36001101,HC BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED,4849.0,4849.0,,,0
CDM,36001102,HC BIOPSY PROSTATE TRANSRECTAL US GID W MRI FUS GDN 1ST LES,5363.0,5363.0,,,0
CDM,36001103,HC BIOPSY PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED,4849.0,4849.0,,,0
CDM,36001104,HC BIOPSY PROSTATE TRANSPERINEAL US GID W MRI FUS GDN 1ST LES,5363.0,5363.0,,,0
CDM,36001105,HC BIOPSY PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST LES,5363.0,5363.0,,,0
CDM,36001106,HC BIOPSY PROSTATE TRANSPERINEAL MRI-US GID TRGT LES 1ST LES,5363.0,5363.0,,,0
CDM,36001107,HC BIOPSY PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST LES,5363.0,5363.0,,,0
CDM,36001108,HC ENDOEVASC REPAIR TA DPLMNT BRNCHD ENDOGFT MULTIPIECE SYS,10879.0,10879.0,,,0
CDM,36001109,HC BYPASS GRAFT W OTHER THAN VEIN CAROTID-CONTRALATERAL CAROTID,10879.0,10879.0,,,0
CDM,36001110,HC ABLATION IRREVER ELECTRO LIVER 1OR> TUMORS W IMG GUID PERCUT,23865.0,23865.0,,,0
CDM,36002025,HC T CATH STNT PLCM INIT ARTER SI,28981.0,28981.0,,,0
CDM,36002026,HC T CATH STNT PLCM EA ADDL ARTER,14190.0,14190.0,,,0
CDM,36002027,HC TRNSCATH STNT PLMT SI INITIAL VEIN,28981.0,28981.0,,,0
CDM,36002028,HC TRNSCAT STNT PLMT SI EA ADDITIONAL VEIN,14190.0,14190.0,,,0
CDM,36002029,HC TRANS CATH/EMBOL VENOUS SI,28981.0,28981.0,,,0
CDM,36002030,HC TRANS CATH/EMBOL ARTERIAL SI,28981.0,28981.0,,,0
CDM,36002031,HC TRANSCATH/EMBL FOR TMRS/UFE SI,19465.0,19465.0,,,0
CDM,36002032,HC TRANS CATH/EMBL ART/VEN HEM SI,28981.0,28981.0,,,0
CDM,36002040,HC INSERT VAG RADIATION APPARATUS,866.0,866.0,,,0
CDM,36002041,HC STENT COMMON CAROTID OR INNOMINATE AND PTA,4515.0,4515.0,,,0
CDM,36002042,HC UNLISTED PROC MUSCULOSKEL SYS,1480.0,1480.0,,,0
CDM,36002043,HC PLCMT BREAST LOC DEV FIRST LESION INC STEREO GUIDE,2700.0,2700.0,,,0
CDM,36002044,HC PLCMT BREAST LOC DEV EACH ADDITIONAL LESION INC ST GUIDE,1480.0,1480.0,,,0
CDM,36002050,HC CHEMODENERVATION INTERNAL ANAL SPHINCTER,3313.0,3313.0,,,0
CDM,36002100,HC FLUID DRN CATH SOFT TSS PRC SI,2700.0,2700.0,,,0
CDM,36002101,HC PLCMT OF BREAST LOC DEVICE FIRST LESION INC MAMMO GUIDE,3938.0,3938.0,,,0
CDM,36002102,HC PLCMT OF BREAST LOC DEVICE EACH ADDL LESION INC MAMMO GUIDE,1480.0,1480.0,,,0
CDM,36002103,HC US GUIDED PLCMT BREAST LOC DEVICE FIRST LESION,2700.0,2700.0,,,0
CDM,36002104,HC US GUIDED PLCMT BREAST LOC DEVICE EA ADDL LESION,1480.0,1480.0,,,0
CDM,36002105,HC IMAGE GUIDED FLUID COLL DRAIN BY CATH VISCERAL PERCUTANEOUS,4454.0,4454.0,,,0
CDM,36002106,HC IMAGE GUIDE FLU COLL DRAIN CATH PERI/RETROPERI PERCUT,4454.0,4454.0,,,0
CDM,36002108,HC INJ ANES AGENT SPHENOPALATINE GANGLION,1490.0,1490.0,,,0
CDM,36002109,HC PUNCTURE SHUNT TUBE/RESERV ASP OR INJ PROC,2700.0,2700.0,,,0
CDM,36002205,HC FINE NEEDLE ASPIR BX W US GUID 1ST LESION,2700.0,2700.0,,,0
CDM,36002206,HC FINE NEEDLE ASPIR BX W US GUID EA ADDL LESION,1480.0,1480.0,,,0
CDM,36002207,HC FINE NEEDLE ASPIR BX W FLUORO GUID 1ST LESION,2678.0,2678.0,,,0
CDM,36002208,HC FINE NEEDLE ASPIR BX W FLUORO GUID EA ADDL LESION,1091.0,1091.0,,,0
CDM,36002209,HC FINE NEEDLE ASPIR BX W CT GUID 1ST LESION,2678.0,2678.0,,,0
CDM,36002210,HC FINE NEEDLE ASPIR BX W CT GUID EA ADDL LESION,1107.0,1107.0,,,0
CDM,36002211,HC FINE NEEDLE ASPIR BX W MR GUID 1ST LESION,2678.0,2678.0,,,0
CDM,36002212,HC FINE NEEDLE ASPIR BX W MR GUID EA ADDL LESION,1693.0,1693.0,,,0
CDM,36002215,HC TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH W TRNSSEP PUNC WH PRF,12045.0,12045.0,,,0
CDM,36002216,HC TRANSCATH AORTIC VALVE REPLCMNT (TAVR/TAVI) PERCUT FEMRL ARTERY APP,11677.0,11677.0,,,0
CDM,36002250,HC LITT LESION INTRCRNL INC BURR HOLE SINGL TRAJECTORY 1 SIMP LESION,49596.0,49596.0,,,0
CDM,36002251,HC LITT LESION INTRCRNL INC BURR HOLE MLTI TRAJECTORY MLT/COMPLX LES,16395.0,16395.0,,,0
CDM,36002252,HC THRML DESTR INTRAOSSEOUS BASIVRTBRL NRV INC IMG GUID 1ST 2 LMBR/SAC,54151.0,54151.0,,,0
CDM,36002253,HC THRML DESTR INTRAOSSEOUS BASIVRTBRL NRV INC IMG GU EA ADDL LMBR/SAC,18048.0,18048.0,,,0
CDM,36002254,HC INJ BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT W IM GUID & AR JT V,12437.0,12437.0,,,0
CDM,36002255,HC TRANSCATH PLMNT & SBSQ REM CEPD INCL ART ACC CATH IMG RAD S&I PRCUT,3892.0,3892.0,,,0
CDM,36002257,HC ROBOTIC BRONCH W FLUORO WHEN PERF W TRNSBRN LUNG BX SNGL LB,4858.0,4858.0,,,0
CDM,36002275,HC TAVR TRANSCAVAL PERCUTANEOUS,11677.0,11677.0,,,0
CDM,36002276,HC VALVULOPLASTY TRICUSPID VALVE WO RING INSERTION,13115.0,13115.0,,,0
CDM,36003002,HC INST/REPL SICD W/SUB ELECTRODE,53213.0,53213.0,,,0
CDM,36003003,HC INSERT SICD ELECTRODE,15643.0,15643.0,,,0
CDM,36003004,HC REMOVAL SICD ELECTRODE,16468.0,16468.0,,,0
CDM,36003005,HC REPOSITION SICD ELECTRODE,6335.0,6335.0,,,0
CDM,36003006,HC INJ ASP SMALL JOINT WITH ULTRASOUND,1492.0,1492.0,,,0
CDM,36003007,HC INJ ASP INTERMEDIATE JOINT WITH ULTRASOUND,1680.0,1680.0,,,0
CDM,36003008,HC INJ ASP MAJOR JOINT W US W PERMANENT RECORD & REPORT,1480.0,1480.0,,,0
CDM,36003009,HC CRYOABLATION LIVER TUMORS PERCUTANEOUS,16022.0,16022.0,,,0
CDM,36003010,HC CRYOABLATION BONE,16819.0,16819.0,,,0
CDM,36003011,HC VERTPLAST CERVTHOR PERC WWO BX UNILAT OR BILAT,10377.0,10377.0,,,0
CDM,36003012,HC VERTPLAST LS PERC W&WO BX UNILAT/BILAT INJ,10377.0,10377.0,,,0
CDM,36003013,HC VERTPLAST EACH ADDL CERVICOTHOR/LUMBOSACRAL PERC W&WO BX,5555.0,5555.0,,,0
CDM,36003014,HC PERC VERT AGMNT W CAVITY CREATION THORACIC UNI/BI CANNULATION,19270.0,19270.0,,,0
CDM,36003015,HC PERC VERT AGMNT W CAVITY CREATION LUMBAR UNI/BI CANNULATION,18363.0,18363.0,,,0
CDM,36003016,HC PERC VERT AGMNT UNI/BI CANN EACH ADDL THORACIC/LUMBAR,6418.0,6418.0,,,0
CDM,36003017,HC INJ FOR MYELO CERVICAL WITH S&I,2700.0,2700.0,,,0
CDM,36003018,HC INJ FOR MYELO THORACIC WITH S&I,2700.0,2700.0,,,0
CDM,36003019,HC INJ FOR MYELO LUMBOSACRAL WITH S&I,2700.0,2700.0,,,0
CDM,36003020,HC INJ FOR MYELO 2 OR MORE REGIONS WITH S&I,2700.0,2700.0,,,0
CDM,36003021,HC ECMO INITIATION VENO-VENOUS,11439.0,11439.0,,,0
CDM,36003022,HC ECMO INITIATION VENO-ARTERIAL,11439.0,11439.0,,,0
CDM,36003023,HC ECMO DAILY MGT EACH DAY VENO-VENOUS,11524.0,11524.0,,,0
CDM,36003024,HC ECMO DAILY MGT EACH DAY VENO-ARTERIAL,11524.0,11524.0,,,0
CDM,36003025,HC ENDOBRONCHIAL US HILAR LYMPH 1-2,6160.0,6160.0,,,0
CDM,36003026,HC ENDOBRONCHIAL US HILAR LYMPH 3 OR MORE,5561.0,5561.0,,,0
CDM,36003027,HC ENDOBRONCHIAL US PERIPHERAL LESION,2528.0,2528.0,,,0
CDM,36003028,HC INJ PROC CHOLANGIO PERCUT W IMG GUIDANCE S&I EXIST ACCESS,9905.0,9905.0,,,0
CDM,36003029,HC INJ PROC ANTEGRD NEPHR & OR URETERO W IMG GUIDE S&I EXIST ACCESS,2700.0,2700.0,,,0
CDM,36003030,HC PLCMNT BILI DRAIN CATH PERCUT IMAGE GUIDE S&I EXTERNAL,10377.0,10377.0,,,0
CDM,36003031,HC REM CALCULI/DEBRIS BILI DUCT & OR GALLBLADDER PERCUT S&I,5762.0,5762.0,,,0
CDM,36003032,HC EXCHANGE NEPHROSTOMY CATH PERCUT IMAGE GUIDE S&I,3229.0,3229.0,,,0
CDM,36003033,HC EXCHANGE BILI DRAIN CATH PERCUT IMAGE GUIDE S&I,10377.0,10377.0,,,0
CDM,36003034,HC INJ PROC ANTEGRADE NEPHR & OR URETERO W IMG GUIDE S&I NEW ACCESS,2700.0,2700.0,,,0
CDM,36003035,HC INTRAVASC ULT NONCOR VESSEL S&I EA ADDL VESSEL,1613.0,1613.0,,,0
CDM,36003036,HC INTRAVASC ULT NONCOR VESSEL S&I EA INITIAL VESSEL,2160.0,2160.0,,,0
CDM,36003037,HC PLACEMNT URETERAL STENT PERCUT S&I PREEXIST NEPHRO TRACT,10377.0,10377.0,,,0
CDM,36003038,HC PLACEMNT NEPHROSTOMY CATH PERCUT IMAGE GUIDE S&I,7691.0,7691.0,,,0
CDM,36003039,HC PLACEMNT BILE DUCT STENT PERCUT NEW ACCESS WO SEP CATH,16022.0,16022.0,,,0
CDM,36003040,HC PLACEMNT BILE DUCT STENT PERCUT NEW ACCESS W SEP CATH,16022.0,16022.0,,,0
CDM,36003041,HC ENDOVASC INTRACRAN PROLONG ADMIN PHARM AGENT ARTERIAL INITIAL,11090.0,11090.0,,,0
CDM,36003042,HC INJ PROC CHOLANGIO PERCUT W IMG GUIDANCE S&I NEW ACCESS,10377.0,10377.0,,,0
CDM,36003043,HC PLCMNT SOFT TISSUE LOCAL DEVICE PERCUT W GUIDANCE 1ST LESION,2700.0,2700.0,,,0
CDM,36003044,HC PLCMNT SOFT TISSUE LOCAL DEVICE PERCUT W GUIDANCE EA ADDL LESION,1480.0,1480.0,,,0
CDM,36003045,HC PLCMT BILIARY DRAIN PERC W CHOLANGIOGRAPHY W S&I INT-EXT,10377.0,10377.0,,,0
CDM,36003046,HC CONV EXT BILIARY DRAIN CATH TO INT-EXT BILI DRAIN CATH PERC W S&I,10377.0,10377.0,,,0
CDM,36003047,HC REMOVAL BILIARY DRAIN CATH PERC REQ FLUORO GUID W CHOLANGIO S&I,4454.0,4454.0,,,0
CDM,36003048,HC PLCMT BILE DUCT STENT PERC W CHOLANGIO S&I EA EXIST ACCESS,16022.0,16022.0,,,0
CDM,36003049,HC PLCMT ACCESS THRU BILIARY TREE INTO SMALL BOWEL PERC S&I NEW ACCESS,10377.0,10377.0,,,0
CDM,36003050,HC BALLOON DILAT BILIARY DUCT / AMPULLA PERC S&I EACH DUCT,1534.0,1534.0,,,0
CDM,36003051,HC ENDOLUMINAL BX BILIARY TREE PERC ANY METHOD S&I SINGLE / MULTI,1737.0,1737.0,,,0
CDM,36003052,HC SCLEROTHERAPY FLUID COLLECTION PERC W CONTRAST INJ W IMG GUID S&I,4037.0,4037.0,,,0
CDM,36003053,HC PLCMT NEPHROURETERAL CATH PERC S&I NEW ACCESS,8460.0,8460.0,,,0
CDM,36003054,HC CONVERT NEPHROSTMY CATH TO NEPHROURETRL CATH PERC S&I PREEXIST TRCT,2760.0,2760.0,,,0
CDM,36003055,HC PLCMT URETERAL STENT PERC S&I NEW ACCESS WO SEP NEPHRO CATH,10377.0,10377.0,,,0
CDM,36003056,HC PLCMT URETERAL STENT PERC S&I NEW ACCESS W SEP NEPHRO CATH,10377.0,10377.0,,,0
CDM,36003057,HC URETERAL EMBOLIZATION / OCCLUSION W IMG GUIDE S&I,1534.0,1534.0,,,0
CDM,36003058,HC BALLOON DILAT URETERAL STRICTURE W IMG GUIDE S&I I,1534.0,1534.0,,,0
CDM,36003059,HC PERC ARTERIAL TRANSLUMINAL M-THROMBECTOMY AND/OR INF INTRACRAN,11042.0,11042.0,,,0
CDM,36003060,HC ENDOVASC INTRACRAN PROLONG ADMIN PHARM AGENT ARTERIAL EA ADDL,3183.0,3183.0,,,0
CDM,36003061,HC PLCMT DEVICE FOR RAD THERAPY GUID MARKERS PROSTATE,4486.0,4486.0,,,0
CDM,36003062,HC INJ DIAG/THER EPI/SUBARACH CERV/THOR W IMG GUID,2700.0,2700.0,,,0
CDM,36003063,HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL W IMG GUID,2678.0,2678.0,,,0
CDM,36003064,HC TRANS BALLOON ANGIO OPEN/PERCUT INC IMG & S&I INI ARTERY,16022.0,16022.0,,,0
CDM,36003065,HC TRANS BALLOON ANGIO OPEN/PERCUT INC IMG & S&I EA ADDL ARTERY,1851.0,1851.0,,,0
CDM,36003066,HC TRANS BALLOON ANGIO OPEN/PERCUT INC IMG & S&I INI VEIN,16022.0,16022.0,,,0
CDM,36003067,HC TRANS BALLOON ANGIO OPEN/PERCUT INC IMG & S&I EA ADDL VEIN,1851.0,1851.0,,,0
CDM,36003068,HC ENDO ABL THER INCOMPETENT VEIN EXT PERC 1ST VEIN,10377.0,10377.0,,,0
CDM,36003069,HC ENDO ABL THER INCOMPETENT VEIN EXT PERC SUBSEQ VEIN,1480.0,1480.0,,,0
CDM,36003070,HC INTRO NEEDLE &OR CATH DIAL CIRC W DIAG ANGIO S&I RPT,3040.0,3040.0,,,0
CDM,36003071,HC INTRO NEEDLE &OR CATH DIAL CIRC W TRANS BALLOON ANGIO S&I,16022.0,16022.0,,,0
CDM,36003072,HC INTRO NEEDLE &OR CATH DIAL CIRC W TRANS PLC INTRAV STENT S&I,28981.0,28981.0,,,0
CDM,36003073,HC PERC TRANS MECH THROMB AND/OR INF THROMB DIALY S&I,16022.0,16022.0,,,0
CDM,36003074,HC PERC TRANS MECH THROMB W BALL ANGIO PERI DIAL SEG S&I,28981.0,28981.0,,,0
CDM,36003075,HC PERC TRANS MECH THROMB W TRANSCATH PLMT INTRA STENT(S) S&I,30099.0,30099.0,,,0
CDM,36003076,HC TRANSLUM BALLOON ANGIO CENTRAL DIAL SEG THR DIAL CIRC S&I,4283.0,4283.0,,,0
CDM,36003077,HC TRANSCATH PL INTRAVAS STENT(S) CEN DIAL SEG THR DIAL CIR S&I,6424.0,6424.0,,,0
CDM,36003078,HC DIAL CIRC PERM VASC EMBOL/OCCL ENDOVAS S&I,5355.0,5355.0,,,0
CDM,36003079,HC INJ DIAG/THER INDW CATH PL EPI/SUBARAC CERV/THOR W IMG GUID,2700.0,2700.0,,,0
CDM,36003080,HC INJ DIAG/THER INDW CATH PL EPI/SUBARAC LUMB/SACR W IMG GUID,2678.0,2678.0,,,0
CDM,36003082,HC ABL PERCUT CRYOBL W IMG GUID UPPER EXTR DIS/PERI NERVE,13066.0,13066.0,,,0
CDM,36003083,HC ABL PERCUT CRYOBL W IMG GUID LOWER EXTR DIS/PERI NERVE,13066.0,13066.0,,,0
CDM,36003084,HC ABL PERCUT CRYOBL W IMG GUID PLEXUS/OTHER TRUNCAL NERVE,13066.0,13066.0,,,0
CDM,36003086,HC INJ DIAG/THER EPI/SUBARACH CERV/THOR WO IMG GUID,2700.0,2700.0,,,0
CDM,36003087,HC INJ DIAG/THER INDW CATH PL EPI/SUBARAC CERV/THOR WO IMG GUID,2700.0,2700.0,,,0
CDM,36003088,HC INJ DIAG/THER INDW CATH PL EPI/SUBARAC LUMB/SACR WO IMG GUID,2678.0,2678.0,,,0
CDM,36003089,HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL WO IMG GUID,2700.0,2700.0,,,0
CDM,36003090,HC INJ ANES SUPERIOR HYPOGASTRIC PLEXUS,2985.0,2985.0,,,0
CDM,36003092,HC ABLATION THER 1 OR> PULM TUMORS PERC UNI CRYOABLATION,16022.0,16022.0,,,0
CDM,36003093,HC DIAGNOSTIC BONE MARROW BIOPSY & ASPIRATION,4755.0,4755.0,,,0
CDM,36003094,HC TRANSPERINEAL PLCMNT BIODEGRAD MATR PERIPROS SNGL/MULT INJECTIONS,13066.0,13066.0,,,0
CDM,36003095,HC ENDOVASC RPR INFRAR AORTA DPLMNT AORTA-AORTIC TUBE ENDOGFT NON RUPT,10879.0,10879.0,,,0
CDM,36003096,HC ENDOVASC RPR INFRAR AORTA DPLMNT AORTA-AORTIC TUBE ENDOGFT RUPTURE,12363.0,12363.0,,,0
CDM,36003097,HC ENDOVASC RPR INFRAR DPLMNT AORTA-UNI-ILIAC ENDOGFT FOR NON  RUPTURE,10700.0,10700.0,,,0
CDM,36003098,HC ENDOVASC RPR INFRAR DPLMNT AORTA-UNI-ILIAC ENDOGFT FOR RUPTURE,11825.0,11825.0,,,0
CDM,36003099,HC ENDOVASC RPR INFRAR DPLMNT AORTA-BI-ILIAC ENDOGFT FOR NON RUPTURE,11391.0,11391.0,,,0
CDM,36003100,HC ENDOVASC RPR INFRAR DPLMNT AORTA-BI-ILIAC ENDOGFT FOR RUPTURE,11825.0,11825.0,,,0
CDM,36003101,HC ENDOVASC RPR INFRAR DPLMNT ILIO-ILIAC ENDOGFT FOR NON RUPTURE,10516.0,10516.0,,,0
CDM,36003102,HC ENDOVASC RPR INFRAR DPLMNT ILIO-ILIAC ENDOGFT FOR RUPTURE,11825.0,11825.0,,,0
CDM,36003103,HC PLACEMENT EXT PROSTH DISTAL ENDOVASC RPR PER VESSEL,10516.0,10516.0,,,0
CDM,36003104,HC DELAYED PLCMNT EXT PROSTH ENDOVASC RPR INI VESSEL,10516.0,10516.0,,,0
CDM,36003105,HC DELAYED PLCMNT EXT PROSTH ENDOVASC RPR EA ADDL VESSEL,10516.0,10516.0,,,0
CDM,36003106,HC PERCUT TRNSCTH CLOSURE LAA W ENDOCARD IMPLANT,10514.0,10514.0,,,0
CDM,36003107,HC BIOPSY SALIVARY GLAND NEEDLE,3625.0,3625.0,,,0
CDM,36003108,HC PERCUT TRANSCATH SEPTAL REDUCTION THERAPY (ALCOHOL SEPTAL ABLATION),11040.0,11040.0,,,0
CDM,36003109,HC REM VIA SNARE/CAPT INDWELL URETERAL STENT VIA PERCUT APPROACH W S&I,8127.0,8127.0,,,0
CDM,36003110,HC TRNSCATH REMOVAL PERM LEADLESS PACEMKR RT VENTRICULAR,8832.0,8832.0,,,0
CDM,36003111,HC REMOVAL SUBCUT CARDIAC RHYTHM MONITOR,2678.0,2678.0,,,0
CDM,36003112,HC INJ ANES AGENT FEMORAL NERVE SINGLE,1573.0,1573.0,,,0
CDM,36003113,HC INSERT PICC WO SUBCUT PORT/PUMP INCL ALL IMG GUID DOC S&I < 5 YRS,2700.0,2700.0,,,0
CDM,36003114,HC INSERT PICC WO SUBCUT PORT/PUMP INCL ALL IMG GUID DOC S&I AGE 5 OR>,4454.0,4454.0,,,0
CDM,36003115,HC INJ(S) SCLEROSANT SPIDER VEINS LIMB OR TRUNK,613.0,613.0,,,0
CDM,36003116,HC ENDOLUMINL BX URETR &OR RENL PELVS NONENDO INC IMG GUID & SI,1480.0,1480.0,,,0
CDM,36003117,HC INSERT TUNNEL INTRAPERITONEAL CATH W SUBCUT PORT,16823.0,16823.0,,,0
CDM,36003118,HC TRANSCATH MVR PERCUT INCL TS PUNCT INITIAL PROSTHESIS,11407.0,11407.0,,,0
CDM,36003119,HC TRANSCATH MVR PERCUT INCL TS PUNCT ADDL PROSTHESIS(ES),1634.0,1634.0,,,0
CDM,36003120,HC ENDOVENOUS FEMPOP ART REVASC W TRNSCTH PLCMT IV STNT GRFT & CLOSE,41710.0,41710.0,,,0
CDM,36003121,HC INJ ANESTH AGENT PUDENDAL NERVE,2678.0,2678.0,,,0
CDM,36003122,HC INJ PROC CNTRST KNEE ARTHO OR CNTRST ENHAN CT/MRI KNEE ARTHO,845.0,845.0,,,0
CDM,36003123,HC PERICARDIOCENTESIS INCL IMG GUID WH PERF,2678.0,2678.0,,,0
CDM,36003124,HC PERIC DRAIN INSRT INDW CATH PERC AGE 6 OR> WO CONG CARD ANOMALY,5786.0,5786.0,,,0
CDM,36003125,HC ENDOVASC RPR ILIAC ART TIME OF AORTOILIAC ART RUPT/OTH THN RUPT UNI,4784.0,4784.0,,,0
CDM,36003126,HC ENDOVSC RPR ILIAC ART NOT ASSOC PLCMNT AORTOILIAC OTHR THN RUPT UNI,10879.0,10879.0,,,0
CDM,36003127,HC SPINAL PUNCTURE LUMBAR DIAG W FLUOROSCOPIC OR CT GUIDANCE,2858.0,2858.0,,,0
CDM,36003128,HC SPINAL PUNC THERA DRAIN CEREBROSPINAL FLUID W FLUORO OR CT GUID,2858.0,2858.0,,,0
CDM,36003129,HC INJ ANESTH AGNT &/OR STEROID NERVES INNERV SACROILIAC JNT W IMG GUI,2678.0,2678.0,,,0
CDM,36003130,HC INJ ANESTH AGNT &/OR STROID GENICULAR NRV BRNCH INC IMG GUID WH PRF,2678.0,2678.0,,,0
CDM,36003131,HC DESTRUCT NEUROLYTIC AGENT GENICULAR NRV BRANCH INC IMG GUID WH PERF,7591.0,7591.0,,,0
CDM,36003132,HC RADIOFREQ ABLATION NERVES INNERV SACROILIAC JOINT W IMG GUID,7591.0,7591.0,,,0
CDM,36003150,HC PERICARD DRAIN W INSERT INDWELL CATH PERCUT INCL CT GUIDANCE,7740.0,7740.0,,,0
CDM,36003151,HC INSRT/RPL IMPL CARDIO-DEFIB SYS W SBSTN ELEC INC IMG GUID&EVL WH PR,69407.0,69407.0,,,0
CDM,36003152,HC INSERT SUBSTERNAL IMPL DEFIBRILLATOR ELECTRODE,17915.0,17915.0,,,0
CDM,36003154,HC REPOSITION PREV IMPL SUBSTERNAL IMPL DEFIB-PACING ELECTRODE,7562.0,7562.0,,,0
CDM,36003157,HC REMOVAL SUBSTERN IMPL DEFIB PULSE GENERATOR ONLY,7562.0,7562.0,,,0
CDM,36003160,HC PERIC DRAIN INS IND CATH PERC BRTH-AGE 5 OR ANY AGE W CON CARD ANOM,11524.0,11524.0,,,0
CDM,36003162,HC ABLATION MALIGNANT BREAST TUMOR(S) PERC CRYOTHERAPY UNILATERAL,4850.0,4850.0,,,0
CDM,36003163,HC CRYOABLATION FOR BIOPSY PROVEN BREAST CANCER,8359.0,8359.0,,,0
CDM,36003164,HC INJ ANES AGENT &OR STEROID OTHER PERIPHERAL NERVE OR BRANCH,1573.0,1573.0,,,0
CDM,36003170,HC INSERT VAD PERCUT INCL S&I RT HRT VENOUS ACCESS ONLY,11407.0,11407.0,,,0
CDM,36003171,HC REM PERCUT RT HEART VAD VENOUS CANNULA SEP FROM INSERT,11407.0,11407.0,,,0
CDM,36003200,HC CORE NEEDLE BX LUNG/MEDIASTINUM PERCUT INC IMG GUID,6050.0,6050.0,,,0
CDM,36003201,HC ENDOVASCULAR VENOUS ARTERIALIZATION TIBIAL/PERONEAL VEIN,72529.0,72529.0,,,0
CDM,36003202,HC PERCUT INJ ALLO CELL &/ TISS PROD UNI/BI FLUOR LUMBAR 1ST LEVEL,52953.0,52953.0,,,0
CDM,36003203,HC PERC INJ ALLO CELL &/ TISS PROD UNI/BI FLUOR LUMBAR EA ADDL LEVEL,17649.23,17649.23,,,0
CDM,36003204,HC PERC INJ ALLO CELL &/ TISS PROD UNI/BI W CT GUID LUMBAR 1ST LEVEL,52953.0,52953.0,,,0
CDM,36003205,HC PERC INJ ALLO CELL&/TISS PROD UNI/BI W CT GUID LUMBAR EA ADDL LEVEL,17649.23,17649.23,,,0
CDM,36003210,HC INJ NONCOMPND FOAM SCLEROSANT W US SINGLE INCOMPETENT TRUNCAL VEIN,8483.0,8483.0,,,0
CDM,36003211,HC INJ NONCMPND FOAM SCLROSNT W US MULTI INCMPTNT TRNCL VEINS SAME LEG,8483.0,8483.0,,,0
CDM,36003215,HC ENDOVEN ABL THER INCOMPET VEIN EXT CHEM ADHESIVE 1ST VEIN,20713.0,20713.0,,,0
CDM,36003216,HC ENDOVEN ABL THER INCOMPET VEIN EXT CHEM ADHESIVE SUBSEQ VEIN,1763.0,1763.0,,,0
CDM,36003222,HC REPLAC GASTRO TUBE WO IMG OR GUID NOT REQ REV OF GASTRO TRACT,1510.0,1510.0,,,0
CDM,36003223,HC PERCUT TRANSCATH CLOSURE LEAK PREV IMPL WATCHMAN W ANES,22404.0,22404.0,,,0
CDM,36003224,HC TRANSCATH TRICUSPID VALVE REPAIR PERCUT APPROACH INITIAL PROSTHESIS,11677.0,11677.0,,,0
CDM,36003225,HC TRANSCATH TRICUSPID VALVE REPAIR PERCUT APPROACH EA ADDL PROSTHESIS,11541.0,11541.0,,,0
CDM,36003226,HC ECMO/ECLS INSERT OF PERIPHERAL CANNULA PERCUT 6YRS&>,11407.0,11407.0,,,0
CDM,36003227,HC ECMO/ECLS REPOSITION PERIPHERAL CANNULA PERCUT 6YRS&>,10995.0,10995.0,,,0
CDM,36003230,HC PERCUT ARTERIOVEN FISTULA CREAT UPPER EXTREM SINGL ACCESS,72025.0,72025.0,,,0
CDM,36003231,HC PERCUT ARTERIOVEN FISTULA CREAT UPPER EXTREM SEPARATE ACCESS SITES,72025.0,72025.0,,,0
CDM,36003235,HC VASC EMBOL OR OCCLUSION PROC PRESS-GEN CATHETER S&I IMG GUID,69075.0,69075.0,,,0
CDM,36003240,HC ABLATION 1 OR> THYROID NODULE 1 LOBE/ISTHMUS PERCUT IMG GUID RF,7070.0,7070.0,,,0
CDM,36003241,HC ABLATION 1 OR> THYROID NODULE ADDL LOBE PERCUT IMG GUID RADIOFREQ,2356.0,2356.0,,,0
CDM,36003242,HC THORACIC FASCIAL PLANE BLOCK UNI INJECTION INCL IMG GUID WH PERF,1768.0,1768.0,,,0
CDM,36003243,HC THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION INCL IMG GUID W PERF,1768.0,1768.0,,,0
CDM,36003244,HC THORACIC FASCIAL PLANE BLOCK BILAT INJECTION INCL IMG GUID WH PERF,3536.0,3536.0,,,0
CDM,36003245,HC THORACIC FASCIAL PLANE BLOCK BILAT CONT INFUSION INC IMG GUID W PER,3536.0,3536.0,,,0
CDM,36003246,HC LOWER EXTR FASCIAL PLANE BLOCK UNI INJECTION INCL IMG GUID WH PERF,1768.0,1768.0,,,0
CDM,36003247,HC LOWER EXTR FASCIAL PLANE BLOCK UNI CONT INFUSION INC IMG GUID W PER,1768.0,1768.0,,,0
CDM,36020003,HC SURGERY SET UP TIER III BASE,1310.0,1310.0,,,0
CDM,36020004,HC SURGERY SET UP ROBOTICS BASE,1290.0,1290.0,,,0
CDM,36020008,HC SURGERY TIER III EA MIN,66.0,66.0,,,0
CDM,36020010,HC ASC SET UP BASE,564.0,564.0,,,0
CDM,36020011,HC ASC EA MIN,34.0,34.0,,,0
CDM,36020020,HC LITHOTRIPSY SET UP,2365.0,2365.0,,,0
CDM,36020021,HC LITHOTRIPSY EA MIN,102.0,102.0,,,0
CDM,36020025,HC OPERATING ROOM INITIAL,775.0,775.0,,,0
CDM,36020026,HC OPERATING ROOM TIMED CHARGE (MINS),64.0,64.0,,,0
CDM,36020030,HC SPECIALTY CARE OR ROOM CHARGE PER HOUR (PURC SVCS),118.0,118.0,,,0
CDM,36100002,HC I & D ABSCESS SIMPLE/SINGLE,664.0,664.0,,,0
CDM,36100003,HC I&D ABSCESS MULTIPLE OR COMPLICATED,664.0,664.0,,,0
CDM,36100005,HC I&D HEMATOMA FLUID COLLECTION,3687.0,3687.0,,,0
CDM,36100008,HC DEBRIDE MUSC/FASC 1ST 20SQ CM,1525.0,1525.0,,,0
CDM,36100009,HC DEBRIDE BONE 1ST 20SQ CM,3938.0,3938.0,,,0
CDM,36100010,HC DEBRIDE SUBC TISS ADDL 20SQ CM,1189.0,1189.0,,,0
CDM,36100011,HC DEBRIDE MUSC/FASC ADDL 20SQ CM,653.0,653.0,,,0
CDM,36100012,HC DEBRIDE BONE ADDL 20SQ CM,1625.0,1625.0,,,0
CDM,36100042,HC PUNC ASP ABSCES HEMA BULL CYST,1480.0,1480.0,,,0
CDM,36100076,HC REP WNDS SCALP/AXILLAE/TRNK/EXTREMETIES 12.6-20.0CM,1510.0,1510.0,,,0
CDM,36100091,HC SURG PREP WOUND ADDL 100SQ CM,888.0,888.0,,,0
CDM,36100092,HC INCISION RELEASE SCAR CONTRACT,1510.0,1510.0,,,0
CDM,36100093,HC STSG TRNK/ARM/LEG 1ST 100SQ CM,6988.0,6988.0,,,0
CDM,36100094,HC STSG TRNK/ARM/LEG EA 100SQ CM,4266.0,4266.0,,,0
CDM,36100099,HC SKIN SUB TRNKARMLEG ADD 25 CM2,319.0,319.0,,,0
CDM,36100102,HC SKIN SUB EXTR FACE SCALP (<100CM2) 1ST 25CM,4527.0,4527.0,,,0
CDM,36100103,HC SKIN SUB EXTR FACE SCALP EA ADD 25CM2,319.0,319.0,,,0
CDM,36100120,HC DESTR CUT VASC LES<10SQ CM,1069.0,1069.0,,,0
CDM,36100121,HC DESTR CUT VASC LES 10-50SQ CM,1069.0,1069.0,,,0
CDM,36100122,HC DESTR CUT VASC LES >50SQ CM,3575.0,3575.0,,,0
CDM,36100133,HC UNLISTED PROCEDURE BREAST,8359.0,8359.0,,,0
CDM,36100135,HC BIOPSY BONE DEEP VERT/FEMUR,4325.0,4325.0,,,0
CDM,36100136,HC INJ SINUS TRACT DIAGNOSTIC,1480.0,1480.0,,,0
CDM,36100138,HC TENDON SHEATH INJECTION,825.0,825.0,,,0
CDM,36100139,HC INJ TRIGGER PT ONE/TWO MUSCLE,1575.0,1575.0,,,0
CDM,36100141,HC INJ ASP MAJOR JOINT,511.0,511.0,,,0
CDM,36100158,HC REM FB SUBCUTANEOUS ARM/UPPER,4003.0,4003.0,,,0
CDM,36100195,HC MULTI-LAYER COMPRESSION WRAP,416.0,416.0,,,0
CDM,36100201,HC THORACENTESIS WITH US GUIDANCE,2700.0,2700.0,,,0
CDM,36100202,HC INTRO NEEDLE OR CATH IN VEIN,1480.0,1480.0,,,0
CDM,36100210,HC THERAPEUTIC APHERESIS PLASMA,4368.0,4368.0,,,0
CDM,36100212,HC REM T-CV CATH W/SUBC PORT,3924.0,3924.0,,,0
CDM,36100213,HC BLOOD COL FROM IMPLANTED VAD,353.0,353.0,,,0
CDM,36100215,HC COLLECT BLOOD FROM PICC,336.0,336.0,,,0
CDM,36100216,HC DECLOTTING THROMBOLYTIC AGENT,860.0,860.0,,,0
CDM,36100231,HC BIOPSY LIVER,4454.0,4454.0,,,0
CDM,36100232,HC BIOPSY LIVER W OTHER MAJ PROC,1480.0,1480.0,,,0
CDM,36100234,HC BIOPSY ABD RETRO PERI,4454.0,4454.0,,,0
CDM,36100235,HC REMOV TUNNEL INTRAP CATHETER,10377.0,10377.0,,,0
CDM,36100236,HC BIOPSY RENAL,4454.0,4454.0,,,0
CDM,36100239,HC INJ FOR CYSTOGRAPHY,1480.0,1480.0,,,0
CDM,36100255,HC BIOPSY THYROID,2700.0,2700.0,,,0
CDM,36100257,HC LUMB PUNCT SPINAL PUNC DIAG,1573.0,1573.0,,,0
CDM,36100259,HC INJECTION FOR MYELO LP,1725.0,1725.0,,,0
CDM,36100261,HC ELECTRONIC PROGRAM WO ANALYSIS,1490.0,1490.0,,,0
CDM,36100262,HC ELECTRONIC PROGRAM W ANALYSIS,1490.0,1490.0,,,0
CDM,36100264,HC INJ FACET NRV CER/THOR 2ND LEV,1480.0,1480.0,,,0
CDM,36100265,HC INJ FACET CERV/THORC 3RD LEVEL,1480.0,1480.0,,,0
CDM,36100292,HC PROBE NASOLACRIMAL DUCT REQUIRING GEN ANES,5746.0,5746.0,,,0
CDM,36100299,HC IV INF. HYDRATION 1ST 31-60MIN,527.0,527.0,,,0
CDM,36100307,HC NEG PRESS DME WOUND TX <50CM,500.0,500.0,,,0
CDM,36100309,HC ANOGENITAL EXAM W/COLPOSCOPY,498.0,498.0,,,0
CDM,36100321,HC THORACENT W CATH INCL SI,2700.0,2700.0,,,0
CDM,36100326,HC PLCMT DEV VEN/ART IN PROC,1490.0,1490.0,,,0
CDM,36100328,HC INJECTION OF BLOOD PATCH,2760.0,2760.0,,,0
CDM,36100337,HC INJ PARAVERT NRV LUMBAR EA ADD,2514.0,2514.0,,,0
CDM,36100346,HC INJ PARAVERT NRV CERV OR THOR,2514.0,2514.0,,,0
CDM,36100348,HC INJ PARAVERT NRV LUMBAR/SAC,2700.0,2700.0,,,0
CDM,36100357,HC LUMBAR SYMPATHETIC BLOCK,2513.0,2513.0,,,0
CDM,36100358,HC THORACENTESIS WO US GUIDANCE,2678.0,2678.0,,,0
CDM,36100363,HC FOREIGN BODY REMOVAL SC COMP,4638.0,4638.0,,,0
CDM,36100509,HC SUR PREP TRK ARM LG 1ST100SQCM,1613.0,1613.0,,,0
CDM,36100510,HC PREP HAND FOOT HEAD EA ADD 100 SQ CM,888.0,888.0,,,0
CDM,36100520,HC BONE BIOPSY OPEN SUPERFICIAL,6462.0,6462.0,,,0
CDM,36100801,HC INSERT PICC W/O SUBC PORT/PUMP W/O IMG GDN < 5 YR,2678.0,2678.0,,,0
CDM,36100802,HC INSERT PICC W/O SUBC PORT <5YRÂ,2678.0,2678.0,,,0
CDM,36100805,HC INJ FACET JT LUM/SAC 1ST LEVEL,2514.0,2514.0,,,0
CDM,36100806,HC INJ FACET JT LUM/SAC 2ND LEVEL,2514.0,2514.0,,,0
CDM,36100810,HC EXCISION VAGINAL SEPTUM,8926.0,8926.0,,,0
CDM,36100813,HC DILATION OF RECTAL STRICTURE UNDER ANESTHESIA,5359.0,5359.0,,,0
CDM,36101001,HC INSERT PICC W/O SUBC PORT >5YR,2678.0,2678.0,,,0
CDM,36101002,HC PLCMENT NEEDLE INTRAOS INFUS,530.0,530.0,,,0
CDM,36101005,HC INSERT PICC W/O SUBC PORT/PUMP W/O IMG GDN AGE 5 YR OR>,2678.0,2678.0,,,0
CDM,36101006,HC MIDLINE PICC INSERTION,2678.0,2678.0,,,0
CDM,36101010,HC THERAPEUTIC APHERESIS PLASMA POCT,4368.0,4368.0,,,0
CDM,36101012,HC COMPLEX REPAIR TRUNK 1.1-2.5 CM,1510.0,1510.0,,,0
CDM,36101013,HC 2.6-7.5CM COMPLX REP TRUNK,1510.0,1510.0,,,0
CDM,36101014,HC EA ADD 5CM OR LESS COMPLX REP TRUNK,888.0,888.0,,,0
CDM,36101015,HC 1.1-2.5CM COMPLX REPAIR HEAD/FACE/HAND/FEET,907.0,907.0,,,0
CDM,36101016,HC 2.6-7.5CM COMPLX REPAIR HEAD/FACE/HAND/FEET,1510.0,1510.0,,,0
CDM,36101017,HC EA ADD 5CM OR LESS COMPLX REPAIR HEAD/FACE/HAND/FEET,852.0,852.0,,,0
CDM,36101022,HC VERTPLAST CERVTHOR PERC WWO BX UNILAT OR BILAT,10377.0,10377.0,,,0
CDM,36101023,HC VERTPLAST LS PERC W&WO BX UNILAT/BILAT INJ,10377.0,10377.0,,,0
CDM,36101025,HC ARTHROCENTESIS ASP INJ MAJOR JNT/BURSA W US PERM REC & RPT,1480.0,1480.0,,,0
CDM,36101026,HC I&D PILONIDAL CYST COMPLICATED,2734.0,2734.0,,,0
CDM,36101027,HC UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,1525.0,1525.0,,,0
CDM,36101028,HC FORESKIN MANIP W LYSIS PREPUTIAL ADH & STRETCHING,879.0,879.0,,,0
CDM,36101029,HC EYE EXAM UNDER GENERAL ANESTHESIA COMPLETE,4845.0,4845.0,,,0
CDM,36101033,HC AMPUTATION TOE METATARSOPHALANGEAL JOINT,5293.0,5293.0,,,0
CDM,36101035,HC TENOTOMY PERCUT ACHILLES TENDON LOCAL ANESTH,6046.0,6046.0,,,0
CDM,36101036,HC EYE EXAM & EVAL UNDER GENERAL ANESTHESIA W/WO MANI LIMITED,6450.0,6450.0,,,0
CDM,36101040,HC DILATION OF ANAL SPHINCTER UNDER ANESTHESIA OTHAN THAN LOCAL,4921.0,4921.0,,,0
CDM,36101050,HC HEMATOPOIETIC PROGENITOR CELL AUTOLOGOUS TRANSPLANT,11040.0,11040.0,,,0
CDM,36101051,HC RPR CTR VAD W SUBCUT PORT/PUMP CENTRAL/PERIPHERAL INSERT SITE,2678.0,2678.0,,,0
CDM,36101052,HC CAR-T THERAPY HARVEST BLOOD DERIVED T LYMPHOCYTES PER DAY,3279.0,3279.0,,,0
CDM,36101053,HC CAR-T THERAPY RECEIPT & PREP CAR-T CELLS FOR ADMINISTRATION,1063.0,1063.0,,,0
CDM,36101054,HC CAR-T THERAPY CAR-T CELL ADMINISTRATION AUTOLOGOUS,1490.0,1490.0,,,0
CDM,36101056,HC REMOVAL SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,80.0,80.0,,,0
CDM,36101057,HC REMOVAL SUTURES AND STAPLES NOT REQUIRING ANESTHESIA,80.0,80.0,,,0
CDM,36101058,HC EXC LESION PALATE UVULA WO CLOSURE,8886.0,8886.0,,,0
CDM,36101060,HC FACILITY SVCS DENTAL REHAB PROC WHEN UNDER ANES,4070.0,4070.0,,,0
CDM,36130051,HC PERC VERT AGMNT W CAVITY CREAT THORACIC UNI/BI CANN,19270.0,19270.0,,,0
CDM,36130052,HC PERC VERT AGMNT W CAVITY CREAT LUMBAR UNI/BI CANN,18363.0,18363.0,,,0
CDM,36130053,HC PERC VERT AGMNT UNI/BI CANN EACH ADDL THORACIC/LUMBAR,6418.0,6418.0,,,0
CDM,36130054,HC INJ ANES & OR STEROID FORAMEN W IMG GUIDE CERV/THOR EA ADD LEVEL,1480.0,1480.0,,,0
CDM,36140053,HC INJ ANES AGENT &/STEROID TRIGEMINAL NERVE EACH BRANCH,841.0,841.0,,,0
CDM,36200001,HC BLD-DERIVED HEMATOP PROGEN CELL HARVEST TRANPLANT PER COLLECT AUTOL,4965.0,4965.0,,,0
CDM,37000005,HC MOD SED OTHER PHY/QUAL HLTH CARE PROF PT <5 YRS INI 15MINS,222.0,222.0,,,0
CDM,37000006,HC MOD SED OTHER PHY/QUAL HLTH CARE PROF PT 5 YRS OR> INI 15MINS,125.0,125.0,,,0
CDM,37000007,HC MOD SED OTHER PHY/QUAL HLTH CARE PROF EA ADDL 15MINS,110.0,110.0,,,0
CDM,37000100,HC ANESTHESIA PER MINUTE,10.55,10.55,,,0
CDM,37003002,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 30 MINS,28.0,28.0,,,0
CDM,37003003,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 45 MINS,28.0,28.0,,,0
CDM,37003004,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 60 MINS,28.0,28.0,,,0
CDM,37003005,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 75 MINS,28.0,28.0,,,0
CDM,37003006,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 90 MINS,28.0,28.0,,,0
CDM,37003007,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 105 MINS,28.0,28.0,,,0
CDM,37003008,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 120 MINS,28.0,28.0,,,0
CDM,37003009,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 135 MINS,28.0,28.0,,,0
CDM,37003010,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 150 MINS,28.0,28.0,,,0
CDM,37003011,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 165 MINS,28.0,28.0,,,0
CDM,37003012,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 180 MINS,28.0,28.0,,,0
CDM,37003013,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 195 MINS,28.0,28.0,,,0
CDM,37003014,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 210 MINS,28.0,28.0,,,0
CDM,37003015,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 225 MINS,28.0,28.0,,,0
CDM,37003016,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 240 MINS,28.0,28.0,,,0
CDM,37003017,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 255 MINS,28.0,28.0,,,0
CDM,37003018,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 270 MINS,28.0,28.0,,,0
CDM,37003019,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 285 MINS,28.0,28.0,,,0
CDM,38300001,HC PLASMA SOLVENT DETERGENT,250.0,250.0,,,0
CDM,39000004,HC PROC FEE CRYO,253.0,253.0,,,0
CDM,39000005,HC PROC FEE PRESTORAGE FILTD RBC,745.0,745.0,,,0
CDM,39000006,HC PROC FEE FFP,316.0,316.0,,,0
CDM,39000007,HC PROC FEE RBC NON  L/R,544.0,544.0,,,0
CDM,39000009,HC PROC FEE RBC AUTO NOT TRXD,544.0,544.0,,,0
CDM,39000010,HC PROC FEE RBC WASHED,1175.0,1175.0,,,0
CDM,39000011,HC PROC FEE PRESTORAGE FILTD PLT,458.0,458.0,,,0
CDM,39000012,HC PROC FEE PLT PHERESIS L/R,1763.0,1763.0,,,0
CDM,39000013,HC PROC FEE CRYO POOR PLASMA,354.0,354.0,,,0
CDM,39000014,HC PROC FEE GRANULOCYTE PHERESIS,6811.0,6811.0,,,0
CDM,39000015,HC PROC FEE RBC DEGLYCED L/R,810.0,810.0,,,0
CDM,39000016,HC PLATELETS PHERESIS PATHOGEN-REDUCED EA UNIT,1176.0,1176.0,,,0
CDM,39000025,HC PROC FEE FRESH FROZEN PLASMA BET 8-24 HRS OF COLLECTION EA UNIT,409.0,409.0,,,0
CDM,39000026,HC PROC FEE BLOOD SPLIT UNIT FOR COVID,459.0,459.0,,,0
CDM,39000030,HC PROC FEE WHOLE BLOOD FOR TRANSFUSION PER UNIT,756.0,756.0,,,0
CDM,39000032,HC PROC FEE LIQUID PLASMA,929.0,929.0,,,0
CDM,39100001,HC TRANSFUSION BLD/BLD COMPONENTS,1213.0,1213.0,,,0
CDM,39100005,HC EXCH TRANSFUSION BLOOD OTHER THAN NEWBORN,2474.0,2474.0,,,0
CDM,40100011,HC STER BREAST BX AUT VC IMG FIRST LESION,4454.0,4454.0,,,0
CDM,40100013,HC STEREO BREAST BX AUT VC IMG EA ADDL LESION,1480.0,1480.0,,,0
CDM,40100015,HC DIAG MAMMO W WO CAD UNILAT,278.0,278.0,,,0
CDM,40100016,HC DIAG MAMMO W WO CAD BILAT,403.0,403.0,,,0
CDM,40100018,HC US BREAST BX W IMAGE FIRST LESION,4454.0,4454.0,,,0
CDM,40100019,HC US BREAST BX W IMAGE EA ADDL LESION,1480.0,1480.0,,,0
CDM,40200001,HC PUNC ASP ABSCES HEMA BULL CYST,1480.0,1480.0,,,0
CDM,40200005,HC ECHOENCEPHAL REAL TIME COMP,454.0,454.0,,,0
CDM,40200007,HC ECHOENC B SCAN W/WO SIM A SCAN,419.0,419.0,,,0
CDM,40200010,HC US THYROID/PARATHYR/HEAD/NECK,454.0,454.0,,,0
CDM,40200011,HC US CHEST INCL MEDIASTINUM,432.0,432.0,,,0
CDM,40200016,HC US ABDOMEN REAL TIME COMPLETE,455.0,455.0,,,0
CDM,40200018,HC US RUQ GB LUQ LTD ABD,454.0,454.0,,,0
CDM,40200021,HC US RETRO/RENAL/AORTA/NODES COMPLETE,455.0,455.0,,,0
CDM,40200023,HC US RETRO AORTA LTD,454.0,454.0,,,0
CDM,40200024,HC US RENAL TRANS W DOPPLER,432.0,432.0,,,0
CDM,40200025,HC US SPINAL CANAL AND CONTENTS,330.0,330.0,,,0
CDM,40200026,HC US PREG TRANS ABD < 14 WEEKS,454.0,454.0,,,0
CDM,40200027,HC US EA ADD GEST TRANSABD<14WKS,450.0,450.0,,,0
CDM,40200028,HC US PREG  > OR EQUAL TO 14 WKS,486.0,486.0,,,0
CDM,40200029,HC EA ADD GEST>OR EQUAL TO 14 WKS,725.0,725.0,,,0
CDM,40200030,HC ECHO PREG UTERUS LIMITED,454.0,454.0,,,0
CDM,40200031,HC ECHO PREG UTERUS F/U,298.0,298.0,,,0
CDM,40200032,HC US TRANSVAGINAL / OB,454.0,454.0,,,0
CDM,40200034,HC FETAL BIOPHYSICAL W/O NON STR,432.0,432.0,,,0
CDM,40200035,HC FETAL ECHO,935.0,935.0,,,0
CDM,40200036,HC DOPPLER ECHO FETAL COMP,778.0,778.0,,,0
CDM,40200037,HC FOLLOWUP OR REPEAT FETAL ECHO,296.0,296.0,,,0
CDM,40200038,HC US TRANSVAGINAL,449.0,449.0,,,0
CDM,40200039,HC US PELVIS REAL TIME COMP,594.0,594.0,,,0
CDM,40200040,HC ECHO PELVIC REAL TIME LTD F/U,311.0,311.0,,,0
CDM,40200041,HC US SCROTUM & CONTENTS,442.0,442.0,,,0
CDM,40200042,HC ULTRASOUND TRANSRECTAL,440.0,440.0,,,0
CDM,40200043,HC US HIPS INFANT,354.0,354.0,,,0
CDM,40200044,HC US HIPS INFANT LIMITED,330.0,330.0,,,0
CDM,40200045,HC US COMPRESS PSEUDO ANEURYSM,1374.0,1374.0,,,0
CDM,40200046,HC US GUIDE VASC ACCESS SI,118.0,118.0,,,0
CDM,40200047,HC ABL MONT VISC TISS US GUID,191.0,191.0,,,0
CDM,40200053,HC US GUIDANCE FOR NEEDLE PLCMNT SI,217.0,217.0,,,0
CDM,40200057,HC US COMPL JOINT REAL TIME W IMG DOC,454.0,454.0,,,0
CDM,40200058,HC US LMTD JOINT/OTH NONVASC EXTR STRU REAL TIME W/IMG,294.0,294.0,,,0
CDM,40200060,HC US AMNIOCENTESIS,239.0,239.0,,,0
CDM,40200062,HC US GUID FOR INTERST RADIO APP,790.0,790.0,,,0
CDM,40200063,HC ECHO INTRAOPERATIVE,369.0,369.0,,,0
CDM,40200067,HC DRAIN BY CATH PERI OR RETROPERI TRANSVAG/TRANSRECTL SI,4454.0,4454.0,,,0
CDM,40200111,HC US BREAST UNILATERAL COMPLETE,342.0,342.0,,,0
CDM,40200112,HC US BREAST UNILATERAL LIMITED,342.0,342.0,,,0
CDM,40200115,HC US DETAILED SNGL FETUS,622.0,622.0,,,0
CDM,40200121,HC LIVER ELASTOGRAPHY WO IMG W INTER & RPT,475.0,475.0,,,0
CDM,40200122,HC US ABD AORTA W IMG DOC SCREEN STUDY FOR AAA,368.0,368.0,,,0
CDM,40200123,HC US OTHER BODY PARTS SOFT TISSUE W DIAG INJ,377.0,377.0,,,0
CDM,40200150,HC US ELASTOGRAPHY PARENCHYMA,785.0,785.0,,,0
CDM,40200151,HC US TRGT DYN MICROBUBBLE SONO CONT CHAR INITIAL LESION,1408.0,1408.0,,,0
CDM,40200152,HC US TRGT DYN MICROBUBBLE SONO CONT CHAR EA ADDL LES W SEP INJ,1183.0,1183.0,,,0
CDM,40200160,HC US NERVE & ACCOMP STRCT ENT ANATOMIC 1 EXTR COMPRE W IMG PER EXTREM,598.0,598.0,,,0
CDM,40300021,HC SCREEN DIGITAL BREAST TOMOSYNTHESIS BILAT,44.0,44.0,,,0
CDM,40300025,HC SCREEN MAMMO BILAT W WO CAD,403.0,403.0,,,0
CDM,40400001,HC PET MYOCARDIAL VIABILITY,5807.0,5807.0,,,0
CDM,40400002,HC PET BRAIN MET EVAL,5807.0,5807.0,,,0
CDM,40400003,HC PET W/CONACQ CT CH HD NCK,5807.0,5807.0,,,0
CDM,40400004,HC PET W/CONACQ CT SKL TO THG,5807.0,5807.0,,,0
CDM,40400005,HC PET WBDY W/CONACQ  WHOLEBODY,5807.0,5807.0,,,0
CDM,40400017,HC PET RADIOPHARM DIAG FOR TUMOR ID NOC,7350.0,7350.0,,,0
CDM,40400018,HC PET RADIOPHARM DIAG FOR NON-TUMOR ID NOC,7350.0,7350.0,,,0
CDM,40400020,HC MYOCARD IMAG PET PERFUS MULTI STUDIES REST/STRESS,6688.0,6688.0,,,0
CDM,40400025,HC PET IMAGING WHOLE BODY,6534.0,6534.0,,,0
CDM,40400027,HC PET IMAGING SKULL BASE TO MID-THIGH,5807.0,5807.0,,,0
CDM,40900001,HC RECON CTA AORTA SURG PLANNING,675.0,675.0,,,0
CDM,40900005,HC RADIOPH LCL TUM SPECT W CONCURRENT CT SCAN SNGL AREA SNGL DAY IMG,4103.0,4103.0,,,0
CDM,40900006,HC RADIOPH LCL TUMR SPECT MN 2 ARE SNG DY IMG/SNGL ARE IMG OVR 2 OR>DY,4103.0,4103.0,,,0
CDM,40900007,HC RPH LCL TUM SPECT W CNCUR CT MIN 2 AR SNG DY IMG/SNG AR IM OV 2OR>D,4654.0,4654.0,,,0
CDM,40900010,HC RADIOPHARM QUANTIFICATION MEASUREMENT SINGLE AREA ADD-ON CODE,670.0,670.0,,,0
CDM,41000001,HC VENTILATOR MGMT 1ST DAY,1750.0,1750.0,,,0
CDM,41000002,HC VENTILATOR MGMT SUBSEQUENT,1750.0,1750.0,,,0
CDM,41000012,HC AIRWAY INHALATION TREATMENT,219.0,219.0,,,0
CDM,41000014,HC PENTAMADINE TREATMENT,533.0,533.0,,,0
CDM,41000015,HC CONT INH TX WAERO MED 1ST HR,436.0,436.0,,,0
CDM,41000016,HC CONT INH TX WAERO MED ADDL HRS,136.0,136.0,,,0
CDM,41000017,HC CONTINUOUS POSITIVE AIRWAY P.,383.0,383.0,,,0
CDM,41000018,HC BILEVEL PRESSURE VENTILATION,383.0,383.0,,,0
CDM,41000020,HC DEMONSTRATION OF AEROSOL/MDI,333.0,333.0,,,0
CDM,41000022,HC VIBRATORY DEVICE TX INITIAL,316.0,316.0,,,0
CDM,41000024,HC POSITIVE EXP PRESS TX INITIAL,316.0,316.0,,,0
CDM,41000025,HC CHEST PHYSIOTHERAPY INITIAL,316.0,316.0,,,0
CDM,41000026,HC POSITIVE EXP PRESS TX SUBSEQ,155.0,155.0,,,0
CDM,41000027,HC CHEST PHYSIOTHERAPY SUBSEQUENT,155.0,155.0,,,0
CDM,41000028,HC VIBRATORY DEVICE TX SUBSEQUENT,155.0,155.0,,,0
CDM,41000036,HC MECHANICAL CHEST WALL OSCILLAT,155.0,155.0,,,0
CDM,41000040,HC SPUTUM OBTAIN SPECIMEN AEROSOL IND TECH,336.0,336.0,,,0
CDM,41000041,HC CPAP INITIATION & MGT PATIENT OWN MACHINE,188.0,188.0,,,0
CDM,41300001,HC HYPERBARIC OXY TRT PER 30 MIN,669.0,669.0,,,0
CDM,42000001,HC PT ELECTRICAL STIM EA 15 MIN,160.0,160.0,,,0
CDM,42000004,HC APP SHORT LEG AMB TYPE CAST,611.0,611.0,,,0
CDM,42000006,HC PT CANALITH REPOS PROC PER DAY,145.0,145.0,,,0
CDM,42000007,HC PT HOT/COLD PACKS,27.0,27.0,,,0
CDM,42000008,HC PT TRACTION MECHANICAL,175.0,175.0,,,0
CDM,42000010,HC PT VASOPNEUMATIC DEVICE,210.0,210.0,,,0
CDM,42000012,HC PT WHIRLPOOL,160.0,160.0,,,0
CDM,42000014,HC PT ULTRASOUND EA 15 MIN,148.0,148.0,,,0
CDM,42000017,HC THER EX EA 15 MIN,185.0,185.0,,,0
CDM,42000018,HC PT NEUROMUSCULR RE ED EA 15MIN,165.0,165.0,,,0
CDM,42000019,HC PT AQUATIC THERAPY EA 15 MIN,155.0,155.0,,,0
CDM,42000020,HC GAIT TRAINING EA 15 MIN,165.0,165.0,,,0
CDM,42000022,HC PT MANUAL THERAPY EA 15 MIN,190.0,190.0,,,0
CDM,42000023,HC PT GROUP THERAPY,63.0,63.0,,,0
CDM,42000024,HC PT THER ACTIVITIES EA 15 MIN,132.0,132.0,,,0
CDM,42000025,HC PT SENSORY INTEG TECH EA 15MIN,151.0,151.0,,,0
CDM,42000026,HC PT SELF CARE EA 15 MIN,143.0,143.0,,,0
CDM,42000027,HC PT WHEELCHAIR MNGMNT EA 15 MIN,97.0,97.0,,,0
CDM,42000028,HC PT WORK CONDITIONING FIRST 2HR,401.0,401.0,,,0
CDM,42000030,HC PT NON SEL DEBRIDE PER SESSION,271.0,271.0,,,0
CDM,42000034,HC PT ORTHOTIC MGMT/TRNG INITIAL ENC EA 15 MIN,132.0,132.0,,,0
CDM,42000035,HC PT PROSTHETIC TRAINING INITIAL ENC EA 15 MIN,134.0,134.0,,,0
CDM,42000059,HC PT ELECTRICAL STIM UNATTEND,187.0,187.0,,,0
CDM,42000061,HC PT ASSIST TECH ASSESS EA 15MIN,140.0,140.0,,,0
CDM,42000066,HC PT PHYSICAL PERF TEST OR MEAS W RPT EA 15 MINS,153.0,153.0,,,0
CDM,42000101,HC PT ORTH/PROS MGT/TRAIN UP/LOW EXT SUBSEQ ENC EA 15 MINS,171.0,171.0,,,0
CDM,42000105,HC PT APPL LONG ARM SPLINT (SHOULDER TO HAND),490.0,490.0,,,0
CDM,42000107,HC PT MOTOR COGN SEMI IMMERS VIRT REAL FACILIT GAIT TRAIN EA 15 MINS,196.0,196.0,,,0
CDM,42000108,HC PT APPLICATION CYLINDER CAST (THIGH TO ANKLE),611.0,611.0,,,0
CDM,42000115,HC PT CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT INITIAL 30 MINS,160.0,160.0,,,0
CDM,42000116,HC PT CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT EA ADDL 15 MINS,80.0,80.0,,,0
CDM,42000117,HC PT GROUP CAREGIVER TRAIN STRATEGIES & TECHN W MULTI SETS CAREGIVERS,68.0,68.0,,,0
CDM,42000120,HC PT BIOIMPEDANCE SPECTROSCPY EXTRACELL FLUID ALYS LYMPHEDEMA ASSESS,670.0,670.0,,,0
CDM,42100005,HC 30 MIN EXPANDED TX WCA,250.0,250.0,,,0
CDM,42100006,HC COMPREHENSIVE EVALUATION WCA,450.0,450.0,,,0
CDM,42100007,HC COMPREHENSIVE TREATMENT WCA,397.0,397.0,,,0
CDM,42100008,HC PT LIMITED EVALUATION WCA,313.0,313.0,,,0
CDM,42100009,HC PT LIMITED TX WCA,121.0,121.0,,,0
CDM,42400010,HC PT EVAL LOW COMPLEX 20 MINS W/PT AND/OR FAM,518.0,518.0,,,0
CDM,42400011,HC PT EVAL MOD COMPLEX 30 MINS W/PT AND/OR FAM,558.0,558.0,,,0
CDM,42400012,HC PT EVAL HIGH COMPLEX 45 MINS W/PT AND/OR FAM,575.0,575.0,,,0
CDM,42400013,HC PT RE-EVAL 20 MINS W/PT AND/OR FAM,547.0,547.0,,,0
CDM,43000001,HC OT ELECTRICAL STIM EA 15 MIN,160.0,160.0,,,0
CDM,43000002,HC OT IONTOPHORESIS EA 15 MIN,150.0,150.0,,,0
CDM,43000004,HC APP LONG ARM SPLINT,490.0,490.0,,,0
CDM,43000006,HC APP SHORT ARM SPLINT,490.0,490.0,,,0
CDM,43000007,HC APPLIC SHT ARM SPLNT DYNAMIC,490.0,490.0,,,0
CDM,43000008,HC APP FINGER SPLINT STATIC,291.0,291.0,,,0
CDM,43000009,HC APPLIC FINGER SPLNT DYNAMIC,245.0,245.0,,,0
CDM,43000012,HC OT HOT/COLD PACKS,27.0,27.0,,,0
CDM,43000014,HC OT VASOPNEUMATIC DEVICE,210.0,210.0,,,0
CDM,43000015,HC OT PARAFFIN BATH,52.0,52.0,,,0
CDM,43000016,HC OT WHIRLPOOL,160.0,160.0,,,0
CDM,43000018,HC OT ULTRASOUND EA 15 MIN,148.0,148.0,,,0
CDM,43000019,HC OT THER EX EA 15 MIN,185.0,185.0,,,0
CDM,43000020,HC OT NEUROMUSCULR RE ED EA 15MIN,165.0,165.0,,,0
CDM,43000021,HC OT AQUATIC THERAPY EA 15 MIN,155.0,155.0,,,0
CDM,43000023,HC OT MANUAL THERAPY EA 15 MIN,190.0,190.0,,,0
CDM,43000024,HC OT GROUP THERAPY,63.0,63.0,,,0
CDM,43000026,HC OT THER ACTIVITIES EA 15 MIN,132.0,132.0,,,0
CDM,43000030,HC OT SENSORY INTEG TECH EA 15MIN,151.0,151.0,,,0
CDM,43000032,HC OT SELF CARE EA 15 MIN,143.0,143.0,,,0
CDM,43000033,HC COMMUNITY RE-INTEG EA 15 MIN,95.0,95.0,,,0
CDM,43000034,HC OT WHEELCHAIR MNGMNT EA 15 MIN,97.0,97.0,,,0
CDM,43000035,HC OT WORK CONDITIONING FIRST 2HR,401.0,401.0,,,0
CDM,43000038,HC OT NON SEL DEBRIDE PER SESSION,271.0,271.0,,,0
CDM,43000040,HC OT PHYSICAL PERF TEST OR MEAS W RPT EA 15 MINS,153.0,153.0,,,0
CDM,43000041,HC OT ASSIST TECH ASSESS EA 15MIN,140.0,140.0,,,0
CDM,43000042,HC OT ORTHOTIC MGMT/TRNG INITIAL ENC EA 15 MIN,132.0,132.0,,,0
CDM,43000043,HC OT PROSTHETIC TRAINING INITIAL ENC EA 15 MIN,134.0,134.0,,,0
CDM,43000063,HC OT ELECTRICAL STIM UNATTEND,187.0,187.0,,,0
CDM,43000064,HC APP SHORT LEG AMB TYPE CAST,611.0,611.0,,,0
CDM,43000066,HC OT ORTH/PROS MGT/TRAIN UP/LOW EXT SUBSEQ ENC EA 15 MINS,171.0,171.0,,,0
CDM,43000100,HC OT THER COGNITIVE FUNC THER DIR PT CONT INI 15MINS,123.0,123.0,,,0
CDM,43000101,HC OT THER COGNITIVE FUNC THER DIR PT CONT EA ADDL 15MINS,125.0,125.0,,,0
CDM,43000110,HC OT CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT INITIAL 30 MINS,160.0,160.0,,,0
CDM,43000111,HC OT CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT EA ADDL 15 MINS,80.0,80.0,,,0
CDM,43000112,HC OT GROUP CAREGIVER TRAIN STRATEGIES & TECHN W MULTI SETS CAREGIVERS,68.0,68.0,,,0
CDM,43000114,HC OT BIOIMPEDANCE SPECTROSCPY EXTRACELL FLUID ALYS LYMPHEDEMA ASSESS,670.0,670.0,,,0
CDM,43100003,HC OT 30 MIN EXP TREATMENT WCA,210.0,210.0,,,0
CDM,43100004,HC OT COMP EVAL WCA,515.0,515.0,,,0
CDM,43100005,HC OT COMPREHENSIVE TX WCA,400.0,400.0,,,0
CDM,43100006,HC OT LIMITED EVALUATION WCA,406.0,406.0,,,0
CDM,43100007,HC OT LIMITED TX WCA,157.0,157.0,,,0
CDM,43400010,HC OT EVAL LOW COMPLEX 30 MINS W/PT AND/OR FAM,526.0,526.0,,,0
CDM,43400011,HC OT EVAL MOD COMPLEX 45 MINS W/PT AND/OR FAM,560.0,560.0,,,0
CDM,43400012,HC OT EVAL HIGH COMPLEX 60 MINS W/PT AND/OR FAM,590.0,590.0,,,0
CDM,43400013,HC OT RE-EVAL 30 MINS W/PT AND/OR FAM,559.0,559.0,,,0
CDM,44000003,HC SPEECH THERAPY,324.0,324.0,,,0
CDM,44000006,HC SPEECH THERAPY GROUP,140.0,140.0,,,0
CDM,44000007,HC SWALLOWING TREATMENT,490.0,490.0,,,0
CDM,44000009,HC EVAL USE/FITING PROSTHETIC DEV,297.0,297.0,,,0
CDM,44000010,HC AAC EVAL NON SPEECH 1ST HOUR,559.0,559.0,,,0
CDM,44000011,HC THERAPY/AAC/NON-SPEECH GEN,235.0,235.0,,,0
CDM,44000012,HC AAC/EVAL/SPEECH GEN 1ST HOUR,532.0,532.0,,,0
CDM,44000013,HC AAC EVAL/SPEECH ADDTL 30 MINS,172.0,172.0,,,0
CDM,44000014,HC THERAPY/AAC/SPEECH GEN,490.0,490.0,,,0
CDM,44000015,HC CLINICAL SWALLOW EVALUATION,618.0,618.0,,,0
CDM,44000016,HC MODIFIED BARIUM SWALLOW (MBS),416.0,416.0,,,0
CDM,44000017,HC FLEX ENDO SWALLOW EVAL,564.0,564.0,,,0
CDM,44000019,HC AAC EVAL NON SPEECH ADDL 30MIN,190.0,190.0,,,0
CDM,44000020,HC ASSESSMENT OF APHASIA PER HR,324.0,324.0,,,0
CDM,44000023,HC STAND COG/SLP TESTING PER HOUR,559.0,559.0,,,0
CDM,44000050,HC SPEECH SCREENING,221.0,221.0,,,0
CDM,44000051,HC EVALUATION OF SPEECH FLUENCY,532.0,532.0,,,0
CDM,44000052,HC EVALUATION SPEECH SOUND PROD,559.0,559.0,,,0
CDM,44000053,HC EVAL SP SOUND W LANG COMP &EXP,693.0,693.0,,,0
CDM,44000056,HC BEHV QUAL ANAL VOICE RESONANCE,559.0,559.0,,,0
CDM,44000100,HC ST THER COGNITIVE FUNC THER DIR PT CONT INI 15MINS,118.0,118.0,,,0
CDM,44000101,HC ST THER COGNITIVE FUNC THER DIR PT CONT EA ADDL 15MINS,118.0,118.0,,,0
CDM,44000110,HC ST CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT INITIAL 30 MINS,160.0,160.0,,,0
CDM,44000111,HC ST CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT EA ADDL 15 MINS,80.0,80.0,,,0
CDM,44000112,HC ST GROUP CAREGIVER TRAIN STRATEGIES & TECHN W MULTI SETS CAREGIVERS,68.0,68.0,,,0
CDM,45000001,HC I & D ABSCESS SIMPLE/SINGLE,664.0,664.0,,,0
CDM,45000002,HC I&D ABSCESS MULTIPLE OR COMPLICATED,664.0,664.0,,,0
CDM,45000003,HC I & D PILONIDAL CYST,1709.0,1709.0,,,0
CDM,45000004,HC I&D PILONIDAL CYST COMPLICATED,2734.0,2734.0,,,0
CDM,45000005,HC FOREIGN BODY REMOVAL SC,1490.0,1490.0,,,0
CDM,45000006,HC I&D HEMATOMA FLUID COLLECTION,3687.0,3687.0,,,0
CDM,45000007,HC PUNCTURE ASPIRATION,618.0,618.0,,,0
CDM,45000008,HC DEBRIDE INFECTED SKIN UP TO 10% BODY SURFACE,1490.0,1490.0,,,0
CDM,45000009,HC DEBRIDE SUBCU TISS 1ST 20SQ CM,1559.0,1559.0,,,0
CDM,45000010,HC CUT BENIGN HYPEK LESION SINGLE,455.0,455.0,,,0
CDM,45000011,HC AVULSION NAIL PLATE PART/COMP,613.0,613.0,,,0
CDM,45000012,HC EVACUATION SUBUNGUAL HEMATOMA,283.0,283.0,,,0
CDM,45000013,HC EXCISION OF NAIL PART/COMP,1525.0,1525.0,,,0
CDM,45000014,HC REPAIR NAIL BED,828.0,828.0,,,0
CDM,45000015,HC WEDGE EXC SKIN NAIL TO FOLD,348.0,348.0,,,0
CDM,45000016,HC TO 2.5CM SUTURE BODY,455.0,455.0,,,0
CDM,45000017,HC 2.6-7.5CM SUTURE BODY,455.0,455.0,,,0
CDM,45000018,HC 7.6-12.5CM SUTURE BODY,455.0,455.0,,,0
CDM,45000019,HC TO 2.5CM SIMPLE SUTURE FACE,455.0,455.0,,,0
CDM,45000020,HC 2.6-5.0CM SIMPLE SUTURE FACE,455.0,455.0,,,0
CDM,45000021,HC 5.1-7.5CM SIMPLE SUTURE FACE,455.0,455.0,,,0
CDM,45000022,HC 7.6-12.5CM SIMPLE SUTURE FACE,455.0,455.0,,,0
CDM,45000023,HC TO 2.5CM SUTURE INTER BODY,907.0,907.0,,,0
CDM,45000024,HC 2.6 TO 7.5CM SUT INTERMED BODY,907.0,907.0,,,0
CDM,45000025,HC 7.6-12.5CM SUT INTERMED BODY,907.0,907.0,,,0
CDM,45000026,HC 12.6-20.0 CM SUT INTER BODY,1510.0,1510.0,,,0
CDM,45000027,HC TO 2.5CM SUT INTER NK HDS FT,907.0,907.0,,,0
CDM,45000028,HC 2.6-7.5CM SUT INTER NK HDS FT,907.0,907.0,,,0
CDM,45000029,HC 7.6-12.5CM SUT INTER NK HDS FT,828.0,828.0,,,0
CDM,45000030,HC 2.6 TO 5.0CM SUT INTER FACE,907.0,907.0,,,0
CDM,45000031,HC 5.1-7.5CM SUT INTERMED FACE,907.0,907.0,,,0
CDM,45000032,HC 7.6-12.5CM SUT INTERMED FACE,907.0,907.0,,,0
CDM,45000033,HC 2.6-7.5CM COMPLX SCALP/ARM/LEG,1510.0,1510.0,,,0
CDM,45000034,HC 1.1-2.5CM COMPLX FORHD/CHK/CHN,907.0,907.0,,,0
CDM,45000035,HC 2.6-7.5 COMPLX FORHD/CHK/CHN,1510.0,1510.0,,,0
CDM,45000037,"HC REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM",1510.0,1510.0,,,0
CDM,45000038,HC 2.6-7.5CM COMPLX EYELID/NOSE/E,1510.0,1510.0,,,0
CDM,45000039,HC 1ST DEGREE LOCAL TREAT,455.0,455.0,,,0
CDM,45000040,HC SM BURN W/O ANESTH,613.0,613.0,,,0
CDM,45000041,HC ASP OF CYST BREAST INITIAL,2700.0,2700.0,,,0
CDM,45000042,HC MAST W EXPLOR/DRAIN ABCES DEEP,4845.0,4845.0,,,0
CDM,45000044,HC INJ ASP SMALL JOINT,925.0,925.0,,,0
CDM,45000045,HC INJ ASP INTERMED JOINT,1480.0,1480.0,,,0
CDM,45000046,HC INJ ASP MAJOR JOINT,1510.0,1510.0,,,0
CDM,45000049,HC INSERT PIN W/APP SKELETAL TRAC,8099.0,8099.0,,,0
CDM,45000050,HC EXT FIXATION DEVICE ONE PLANE,8099.0,8099.0,,,0
CDM,45000052,HC CL TX NASAL BONE FX W MANIPULATION W STABILIZATION,4928.0,4928.0,,,0
CDM,45000053,HC I/C TM REDUCTION,351.0,351.0,,,0
CDM,45000055,HC CL TMT CLAV FRAC WO MANIP,536.0,536.0,,,0
CDM,45000056,HC I&D DEEP ABSC UPPER ARM/ELBOW,4845.0,4845.0,,,0
CDM,45000057,HC REM FB SUBCUTANEOUS ARM/UPPER,4003.0,4003.0,,,0
CDM,45000058,HC ELBOW DISLOCATE W/O ANES,721.0,721.0,,,0
CDM,45000059,HC CL TMT MONTEGGIA FX W/MAN,5066.0,5066.0,,,0
CDM,45000060,HC CL TMT RAD HD SUBLUX CH W/MAN,721.0,721.0,,,0
CDM,45000061,HC CL TMT RADIAL HEAD FX W/O MAN,721.0,721.0,,,0
CDM,45000062,HC I&D DEEP ABSC FOREARM/WRIST,5305.0,5305.0,,,0
CDM,45000063,HC EXPLORATION W/REM FB ARM/WRIST,5305.0,5305.0,,,0
CDM,45000064,HC CL TMT RAD ULNAR FX W/MAN,721.0,721.0,,,0
CDM,45000067,HC TREAT FRAC RADIUS/ULN WO MANIP,721.0,721.0,,,0
CDM,45000068,HC RADIUS DISTAL FX W/MAN,2678.0,2678.0,,,0
CDM,45000069,HC RADIUS/INTERCARP DISLOC W/MAN,705.0,705.0,,,0
CDM,45000070,HC CL TMT RADIOULNAR DIS W MAN,721.0,721.0,,,0
CDM,45000072,HC I&D FELON,3687.0,3687.0,,,0
CDM,45000073,HC DRAINAGE FINGER ABS SIMPLE,664.0,664.0,,,0
CDM,45000074,HC ARTHROTOMY W/REM FB HAND JT,4519.0,4519.0,,,0
CDM,45000076,HC FINGER FX WO MANIPULATION,536.0,536.0,,,0
CDM,45000077,HC FINGER FX W/MANIPULATION,721.0,721.0,,,0
CDM,45000078,HC CARPO DISLOC EXCL THUMB W/O AN,536.0,536.0,,,0
CDM,45000079,HC CLOSED TX PHALANGEAL SHAFT FX,536.0,536.0,,,0
CDM,45000080,HC CL TMT PHAL SHT FX PROX W MAN,721.0,721.0,,,0
CDM,45000081,HC FINGER DISLOCATE W/O ANES,536.0,536.0,,,0
CDM,45000082,HC FINGER DISLOCATE W/W/O FIX,7361.0,7361.0,,,0
CDM,45000083,HC FEMUR NECK FX W/O MAN,721.0,721.0,,,0
CDM,45000084,HC HIP DISLOCATE W/O ANES,721.0,721.0,,,0
CDM,45000085,HC CL TMT OF POST HIP WO ANES,721.0,721.0,,,0
CDM,45000087,HC CL TMT KNEE DISLOC W/O ANEST,721.0,721.0,,,0
CDM,45000088,HC PATELLA DISLOCATE WO ANE,536.0,536.0,,,0
CDM,45000090,HC CL TMT DISTAL FIB FX W/O MAN,721.0,721.0,,,0
CDM,45000091,HC CL TMT BIMAL ANKLE FX W/MAN,2678.0,2678.0,,,0
CDM,45000092,HC CLSD REDUCT TRIMALLEOLAR FRAC,2678.0,2678.0,,,0
CDM,45000093,HC CL TREAT ANK DISLOC W/O ANEST,721.0,721.0,,,0
CDM,45000094,HC REM FB FOOT SUBCU,2678.0,2678.0,,,0
CDM,45000095,HC METATARSAL FX WO,721.0,721.0,,,0
CDM,45000096,HC CLSD TRT MET JNT DIS W/O ANES,721.0,721.0,,,0
CDM,45000097,HC APP GAUNTLET CAST,416.0,416.0,,,0
CDM,45000098,HC APP LONG ARM CAST SHOULDER/HND,611.0,611.0,,,0
CDM,45000099,HC SHORT ARM CAST ELBOW TO FINGER,611.0,611.0,,,0
CDM,45000100,HC APP LONG ARM SPLINT,490.0,490.0,,,0
CDM,45000101,HC APP SHORT ARM SPLNT FORARM/HND,490.0,490.0,,,0
CDM,45000102,HC APP FINGER SPLINT STATIC,291.0,291.0,,,0
CDM,45000103,HC APP LONG LEG CAST THIGH/TOES,611.0,611.0,,,0
CDM,45000104,HC APP SHORT LEG CAST BELOW KNEE,611.0,611.0,,,0
CDM,45000105,HC APP LONG LEG SPLINT THIGH/TOES,416.0,416.0,,,0
CDM,45000106,HC APP SHORT LEG SPLINT CALF/FOOT,416.0,416.0,,,0
CDM,45000107,HC REMOV/REPAIR BIVALVE CAST,416.0,416.0,,,0
CDM,45000108,HC REMOVAL REPAIR LEG OR ARM CAST,416.0,416.0,,,0
CDM,45000109,HC FB REMOVAL NOSE,425.0,425.0,,,0
CDM,45000110,HC NASAL CAUTERY/PACKING COMPLEX,351.0,351.0,,,0
CDM,45000111,HC CONTROL NASAL HEMORR POST W/NASAL PACKS AND/OR CAUTERY INITIAL,351.0,351.0,,,0
CDM,45000112,HC INTUBATION ENDOTRACHEAL EMERGENCY PROC,664.0,664.0,,,0
CDM,45000113,HC TRACH TUBE CHNG PRIOR FIS TRAC,575.0,575.0,,,0
CDM,45000114,HC LARYNGOSCOPY INDIRECT,626.0,626.0,,,0
CDM,45000115,HC LARYNGOSCOPY FLEX DIAG,1510.0,1510.0,,,0
CDM,45000116,HC THORACOTOMY MAJ W/CARD MASSAGE,11186.0,11186.0,,,0
CDM,45000117,HC TUBE THORACOSTOMY W/WATER SEAL,2678.0,2678.0,,,0
CDM,45000118,HC THORACENTESIS WO US GUIDANCE,2678.0,2678.0,,,0
CDM,45000119,HC INS NON TUN CVC < 5 YRS,3375.0,3375.0,,,0
CDM,45000120,HC INSERT NON-T CV CATH >5YR,3375.0,3375.0,,,0
CDM,45000122,HC INS PERIP CVC < 5 YRS,2678.0,2678.0,,,0
CDM,45000123,HC INSERT PICC W/O SUBC PORT >5YR,2678.0,2678.0,,,0
CDM,45000128,HC DRAIN OF ABSC DENTAL OR GUMS,664.0,664.0,,,0
CDM,45000129,HC I&D ABSCESS TONSIL,1088.0,1088.0,,,0
CDM,45000130,HC REMOVAL FOREIGN BODY PHARANX,425.0,425.0,,,0
CDM,45000131,HC CAUTERIZE TONSIL SIMPLE,351.0,351.0,,,0
CDM,45000133,HC GASTRIC INTUB/THER ASP/LAVAGE,425.0,425.0,,,0
CDM,45000137,HC SIGMOIDOSCOPY FLEXIBLE,2678.0,2678.0,,,0
CDM,45000139,HC I&D ISCHIO/PERI/RECTAL ABSC,4596.0,4596.0,,,0
CDM,45000140,HC I&D OF PERIANAL ABC(SPRF,2678.0,2678.0,,,0
CDM,45000141,HC INCISION THROM HEMORROID EXT,879.0,879.0,,,0
CDM,45000142,HC ANOSCOPY,425.0,425.0,,,0
CDM,45000143,HC ABD PARACENTESIS WO IMAGING,2062.0,2062.0,,,0
CDM,45000148,HC BLAD DRAIN W/SUPRAPUB CA,4845.0,4845.0,,,0
CDM,45000149,HC BLADDER IRRIG SIMP LAVAGE INS,879.0,879.0,,,0
CDM,45000150,HC CATHERIZATION RESIDUAL URINE,425.0,425.0,,,0
CDM,45000151,HC CATHERIZATION URETHRA SIMPLE,425.0,425.0,,,0
CDM,45000153,HC FORESKIN INFECTION MANIPULATIO,879.0,879.0,,,0
CDM,45000154,HC I&D ABSCESS SCROTUM,5456.0,5456.0,,,0
CDM,45000155,HC DRAINAGE OF SCROTUM ABCESS,3687.0,3687.0,,,0
CDM,45000156,HC I&D OF VULVA OR PERINEAL ABS,825.0,825.0,,,0
CDM,45000157,HC I&D BARTHOLIN ABS,526.0,526.0,,,0
CDM,45000159,HC REMOVAL VAGINA FB W/ANESTHESIA,4845.0,4845.0,,,0
CDM,45000161,HC PUNCTURE SHUNT ASPIRATION/INJ,2700.0,2700.0,,,0
CDM,45000162,HC LUMB PUNCT SPINAL PUNC DIAG,1573.0,1573.0,,,0
CDM,45000163,HC INJ TRIGEMINAL NERVE,841.0,841.0,,,0
CDM,45000165,HC INJECTION PERIPHERAL NERVE,2678.0,2678.0,,,0
CDM,45000166,HC REMOVAL OF FB EXTERNAL EYE,336.0,336.0,,,0
CDM,45000167,HC REM FB CONJUNCTIVAL EMBEDDED,336.0,336.0,,,0
CDM,45000168,HC REM FB CORNEAL W SLIT LAMP,336.0,336.0,,,0
CDM,45000169,HC REMOVAL OF EMBEDDED FB EYELID,531.0,531.0,,,0
CDM,45000170,HC I&D EAR SIMPLE,1709.0,1709.0,,,0
CDM,45000171,HC I&D EAR COMPLICATED,3687.0,3687.0,,,0
CDM,45000172,HC REM/FB EXTERNL EAR W/O ANES,291.0,291.0,,,0
CDM,45000173,HC REM IMPACT CERUMEN W INSTR UNI,226.0,226.0,,,0
CDM,45000176,HC US RUQ GB LUQ LTD ABD,454.0,454.0,,,0
CDM,45000177,HC US RETRO AORTA LTD,454.0,454.0,,,0
CDM,45000178,HC ECHO PREG UTERUS LIMITED,454.0,454.0,,,0
CDM,45000179,HC US PREG UTER W/IMAGE DOC TRAN,454.0,454.0,,,0
CDM,45000180,HC US TRANSVAGINAL,449.0,449.0,,,0
CDM,45000181,HC ECHO PELVIC REAL TIME LTD FU,311.0,311.0,,,0
CDM,45000182,HC US GUIDE VASC ACCESS SI,118.0,118.0,,,0
CDM,45000183,HC CARDIOPULMONARY RESUSCITATION,1535.0,1535.0,,,0
CDM,45000184,HC CARDIOVERSION ELECTIVE,2709.0,2709.0,,,0
CDM,45000185,HC 2D ECHO TRANSTHOR W M-MODE WH PERF F/U OR LMTD,1120.0,1120.0,,,0
CDM,45000186,HC DEBRIDEMENT SKIN 1ST 20 SQ CM,625.0,625.0,,,0
CDM,45000188,HC ED LEVEL I,630.0,630.0,,,0
CDM,45000189,HC ED LEVEL II,1040.0,1040.0,,,0
CDM,45000190,HC ED LEVEL III,1494.0,1494.0,,,0
CDM,45000191,HC ED LEVEL IV,3500.0,3500.0,,,0
CDM,45000192,HC ED LEVEL V,4500.0,4500.0,,,0
CDM,45000193,HC ED LEVEL VI,4650.0,4650.0,,,0
CDM,45000194,HC ED LEVEL VI EA 30 MIN,968.0,968.0,,,0
CDM,45000197,HC NASOPHARYNGOSCOPY,515.0,515.0,,,0
CDM,45000198,HC SHOULDER DISLOCATE W/O ANES,721.0,721.0,,,0
CDM,45000199,HC CL TX SHOULDER DISLOC W ANES,4093.0,4093.0,,,0
CDM,45000200,HC TO 2.5CM SUTURE INTER FACE,907.0,907.0,,,0
CDM,45000201,HC HALO TRAC INSERTION CRANIAL,10523.0,10523.0,,,0
CDM,45000202,HC REMOVAL IMPLANT SUPERFICIAL,4325.0,4325.0,,,0
CDM,45000203,HC NASAL CAUTERY,351.0,351.0,,,0
CDM,45000205,HC INSERT TEMP PACEMAKER SINGLE,13002.0,13002.0,,,0
CDM,45000210,HC CL TX SHOULDER DISLOC W MAN,2678.0,2678.0,,,0
CDM,45000211,HC DILATION SALIVARY DUCT,4898.0,4898.0,,,0
CDM,45000212,HC AMPUTATION TOE METATARSOPHALANGEAL JNT,5293.0,5293.0,,,0
CDM,45000213,HC OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED,8029.0,8029.0,,,0
CDM,45000214,HC INJ ANESTH AGENT SPHENOPALATINE GANGLION,1490.0,1490.0,,,0
CDM,45000215,HC EXPLORATION PENETRATING WOUND CHEST,4660.0,4660.0,,,0
CDM,45000216,HC EXC BEN LESION INCL MRGN SCLP NCK HND FT GEN 0.5CM OR<,3938.0,3938.0,,,0
CDM,45000217,HC EXC BEN LES INC MRGN FACE EARS EYELIDS NOSE LIPS MUC MEM 0.5CM OR<,1600.0,1600.0,,,0
CDM,45001001,HC ARTERIAL CATH INSERT,1535.0,1535.0,,,0
CDM,45001002,HC ASPIR OF BLADDER BY NEEDLE,879.0,879.0,,,0
CDM,45001004,HC CATHERIZATION URETHRA COMPLEX,879.0,879.0,,,0
CDM,45001005,HC DRES/DEBRID PART BURNS 5%-10%,613.0,613.0,,,0
CDM,45001006,HC DRES/DEBRID PART BURNS >10%,613.0,613.0,,,0
CDM,45001009,HC NASAL POSTER PACK SUBSEQUENT,369.0,369.0,,,0
CDM,45001010,HC REPOSITION OF GASTROSTOMY TUBE,2081.0,2081.0,,,0
CDM,45001013,HC REM FB SUBCUT,2238.0,2238.0,,,0
CDM,45001015,HC REM FB THIGH/KNEE,4845.0,4845.0,,,0
CDM,45001016,HC REM FB FOOT DEEP,2554.0,2554.0,,,0
CDM,45001017,HC REM FB FOOT COMPLICATED,3938.0,3938.0,,,0
CDM,45001018,"HC REMOVAL FOREIGN BODY, MOUTH",425.0,425.0,,,0
CDM,45001021,HC PROCTOSIGMOIDOSCOPY W REM FB,6386.0,6386.0,,,0
CDM,45001022,HC ABDOSCOPY W FB REMOVAL,2275.0,2275.0,,,0
CDM,45001024,HC REM FB CORNEAL WO SLIT LAMP,336.0,336.0,,,0
CDM,45001025,HC REM FB MUSCLE SIMPLE,1560.0,1560.0,,,0
CDM,45001026,HC REM FB MUSCLE DEEP,5033.0,5033.0,,,0
CDM,45001027,HC FOREIGN BODY REMOVAL SC COMP,4638.0,4638.0,,,0
CDM,45001031,HC I & D HEMATOMA,1088.0,1088.0,,,0
CDM,45001032,HC DRA ABS CYS HEM VES OF MOUTH SIMPLE,1709.0,1709.0,,,0
CDM,45001033,HC I & D MOUTH COMPLICATED,1764.0,1764.0,,,0
CDM,45001034,HC I & D LINGUAL,3319.0,3319.0,,,0
CDM,45001035,HC I & D SUBLINGUAL,935.0,935.0,,,0
CDM,45001038,HC I & D SUBMANDIBULAR SPACE,4928.0,4928.0,,,0
CDM,45001040,HC I & D PALATE,1088.0,1088.0,,,0
CDM,45001042,HC BLEPHAROTOMY DRAIN ABSC EYELID,1063.0,1063.0,,,0
CDM,45001044,HC 2.6-7.5CM COMPLX REP TRUNK,1510.0,1510.0,,,0
CDM,45001046,HC OVER 30.0 CM SUT INTER FACE,1812.0,1812.0,,,0
CDM,45001047,HC 12.6-20.0 CM SUT INTER FACE,907.0,907.0,,,0
CDM,45001048,HC 20.1-30.0 CM SUT INTER FACE,1924.0,1924.0,,,0
CDM,45001050,HC 12.6-20.0CM SIMPLE SUTURE FACE,348.0,348.0,,,0
CDM,45001051,HC 20.1-30.0CM SIMPLE SUTURE FACE,348.0,348.0,,,0
CDM,45001052,HC >2.6CM COMPLX SUTURE TONGUE/MOUTH,1764.0,1764.0,,,0
CDM,45001053,HC 2.5CM OR LESS REPAIR LAC TWO-THIRDS OF TONGUE/MOUTH,351.0,351.0,,,0
CDM,45001054,HC REPAIR LIP FULL THICK OVER ONE-HALF VERT HEIGHT OR COMPLEX,2205.0,2205.0,,,0
CDM,45001055,HC REPAIR LIP FULL THICK UP TO HALF VERT HEIGHT,1764.0,1764.0,,,0
CDM,45001056,HC REPAIR LIP FULL THICK VERMIL,1764.0,1764.0,,,0
CDM,45001057,HC >30.0CM SUT INTER NK HDS FT,2095.0,2095.0,,,0
CDM,45001058,HC 12.6-20.0CM SUT INTER NK HDS FT,828.0,828.0,,,0
CDM,45001059,HC 20.1-30.0CM SUT INTER NK HDS FT,1560.0,1560.0,,,0
CDM,45001062,HC 2.5CM OR < REP LAC TWO THIRDS ANT TONGUE/MOUTH & PST ONE THIRD,1088.0,1088.0,,,0
CDM,45001063,HC 1.1-2.5CM REP COMPL SCALP/ARM/LEG,828.0,828.0,,,0
CDM,45001064,HC >30.0CM REP INT SCALP/AXILLAE/TRNK/EXTREMETIES,1656.0,1656.0,,,0
CDM,45001065,HC >20.1-30.0CM REP INT SCALP/AXILLAE/TRNK/EXTREMETIES,1510.0,1510.0,,,0
CDM,45001066,HC >30.0CM REP SIMP SCALP/AXILLAE/TRNK/EXTREMETIES/EXT GENETALIA,455.0,455.0,,,0
CDM,45001067,HC 12.6-20.0CM REP SIMP SCALP/AXILLAE/TRNK/EXTREMETIES/EXT GENETALIA,348.0,348.0,,,0
CDM,45001068,HC 20.1-30.0CM REP SIMP SCALP/AXILLAE/TRNK/EXTREMETIES/EXT GENETALIA,907.0,907.0,,,0
CDM,45001070,HC >2.5CM REP COMPL MOUTH VESTIBULE,1764.0,1764.0,,,0
CDM,45001071,HC < OR = 2.5CM REP COMPL MOUTH VESTIBULE,1088.0,1088.0,,,0
CDM,45001072,HC INJECTION OCCIPITAL NERVE,1490.0,1490.0,,,0
CDM,45001077,HC INJECTION SUPRASCAPULAR NERVE,1560.0,1560.0,,,0
CDM,45001079,HC INJ INTERCOSTAL NERVE SINGLE,2700.0,2700.0,,,0
CDM,45001083,HC INJECTION SCIATIC NERVE SINGLE,2678.0,2678.0,,,0
CDM,45001084,HC INJECTION BRACHIAL PLEXUS NERVE SINGLE,3492.0,3492.0,,,0
CDM,45001086,HC INJECTION FEMORAL NERVE SINGLE,1573.0,1573.0,,,0
CDM,45001088,HC CL TX NASAL BONE FX W MANIPULATION WO STABILIZATION,2205.0,2205.0,,,0
CDM,45001089,HC CLOSED TX NASAL SEPTAL FX,4928.0,4928.0,,,0
CDM,45001090,HC CLOSED TX NASAL MAXILLARY FX COMPLEX,5400.0,5400.0,,,0
CDM,45001094,HC CLOSED TX FX MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE,5846.0,5846.0,,,0
CDM,45001095,HC CL TX MANDIBULAR FX W/INT FIX,9693.0,9693.0,,,0
CDM,45001096,HC CLOSED TX FX MANDIBULAR WO MANIP,2226.0,2226.0,,,0
CDM,45001097,HC CLOSED TX FX MANDIBULAR W MANIP,4928.0,4928.0,,,0
CDM,45001103,HC CLOSED TX FX VERTEBRAL WO MANIP INCL CAST,705.0,705.0,,,0
CDM,45001106,HC CL TMT SCAPULAR FRAC W MANIP,721.0,721.0,,,0
CDM,45001108,HC CL TMT PROX HUM FRAC W MANIP,4845.0,4845.0,,,0
CDM,45001110,HC CL TMT GREAT HUM TUBEROSITY FRAC W MANIP,4985.0,4985.0,,,0
CDM,45001112,HC CL TMT SHOULDER DISLOCATION W NECK FRAC W MANIP,721.0,721.0,,,0
CDM,45001113,HC CL TMT HUM SHAFT FRAC WO MANIP,721.0,721.0,,,0
CDM,45001114,HC CL TMT HUM SHAFT FRAC W MANIP,721.0,721.0,,,0
CDM,45001115,HC CL TMT SUPER/TRANSCONDULAR FRAC WO MANIP,721.0,721.0,,,0
CDM,45001116,HC CL TMT SUPER/TRANSCONDULAR FRAC W MANIP,721.0,721.0,,,0
CDM,45001117,HC CL TMT HUMERAL EPICONDULAR FRAC WO MANIP,536.0,536.0,,,0
CDM,45001118,HC CL TMT HUMERAL EPICONDULAR FRAC W MANIP,721.0,721.0,,,0
CDM,45001119,HC CL TMT HUMERAL CONDULAR FRAC WO MANIP,705.0,705.0,,,0
CDM,45001120,HC CL TMT HUMERAL CONDULAR FRAC W MANIP,721.0,721.0,,,0
CDM,45001121,HC CL TMT RADIAL HEAD FX W MAN,721.0,721.0,,,0
CDM,45001123,HC CL TMT ULNAR FX PROXIMAL END W MAN,721.0,721.0,,,0
CDM,45001124,HC CL TMT RAD SHAFT FX W/O MAN,536.0,536.0,,,0
CDM,45001125,HC CL TMT RADIAL SHAFT FX W MAN,2678.0,2678.0,,,0
CDM,45001126,HC CL TMT GALEAZZI FX/DISLOCATION,705.0,705.0,,,0
CDM,45001127,HC CL TMT ULNAR SHAFT FX WO MAN,536.0,536.0,,,0
CDM,45001128,HC CL TMT ULNAR SHAFT FX W MAN,721.0,721.0,,,0
CDM,45001129,HC CL TMT RAD ULNAR FX WO MAN,536.0,536.0,,,0
CDM,45001131,HC CL TX SCAPHOID FX W MAN,2678.0,2678.0,,,0
CDM,45001132,HC CL TX CARPAL EACH BONE FX WO MAN,705.0,705.0,,,0
CDM,45001133,HC CL TX CARPAL EACH BONE FX W MAN,705.0,705.0,,,0
CDM,45001134,HC CL TX ULNAR STYLOID FX,721.0,721.0,,,0
CDM,45001135,HC CL TX TRANS-SCAPHOPERILUNAR FX W MAN,536.0,536.0,,,0
CDM,45001136,HC CL TX CARPOMETACARPAL FX W MAN,721.0,721.0,,,0
CDM,45001138,HC CL TX EACH ARTICULAR FX W MANIP,721.0,721.0,,,0
CDM,45001139,HC CLOSED TX DISTAL PHALANGEAL FX,536.0,536.0,,,0
CDM,45001140,HC CL TX EACH DISTAL PHALANGEAL FX W MANIP,721.0,721.0,,,0
CDM,45001150,HC CL TX FEM SHAFT FX WO MAN,721.0,721.0,,,0
CDM,45001151,HC CL TX FEM SHAFT FX W MAN,5066.0,5066.0,,,0
CDM,45001153,HC CL TX TRANS/SUPRA-CONDULAR FEM FX W MAN,721.0,721.0,,,0
CDM,45001154,HC CL TX FEM FX DISTAL END WO MANIP,705.0,705.0,,,0
CDM,45001155,HC CL TX FEM FX DISTAL END W MANIP,721.0,721.0,,,0
CDM,45001157,HC CL TX FEM FX DISTAL FEMORAL EPIPHYSEAL SEPARATION W MANIP,705.0,705.0,,,0
CDM,45001160,HC CL TX TIBIAL FX PROXIMAL W OR WO MANIP W SKELETAL TRAC,5066.0,5066.0,,,0
CDM,45001161,HC CL TX INTRACONDULAR SPINE AND/OR TUB FX KNEE W OR WO MANIP,705.0,705.0,,,0
CDM,45001162,HC CL TX TIBIAL SHAFT FX WO MANIP,705.0,705.0,,,0
CDM,45001163,HC CL TX TIBIAL SHAFT FX W MANIP,5066.0,5066.0,,,0
CDM,45001164,HC CL TX MEDIAL MALLEOLUS FX WO MANIP,705.0,705.0,,,0
CDM,45001165,HC CL TX MEDIAL MALLEOLUS FX W MANIP,5066.0,5066.0,,,0
CDM,45001167,HC CL TX POSTERIOR MALLEOLUS FX W MANIP,450.0,450.0,,,0
CDM,45001168,HC CL TX PROX FIBULA OR SHAFT FX WO MANIP,705.0,705.0,,,0
CDM,45001169,HC CL TX PROX FIBULA OR SHAFT FX W MANIP,2678.0,2678.0,,,0
CDM,45001170,HC CL TMT DISTAL FIB FX WO MAN,721.0,721.0,,,0
CDM,45001171,HC CL TMT BIMALLEOLAR ANKLE FX WO MAN,721.0,721.0,,,0
CDM,45001172,HC CLSD REDUCT TRIMALLEOLAR FRAC WO MAN,705.0,705.0,,,0
CDM,45001173,HC CLSD TRT MET ARTICULAR PORTION OF DISTAL TIBIA WO MAN,721.0,721.0,,,0
CDM,45001174,HC CLSD TRT MET ARTICULAR PORTION OF DISTAL TIBIA W MAN,5066.0,5066.0,,,0
CDM,45001175,HC CLSD TRT MET PROXIMAL TIBIOFIBULAR WO ANES,536.0,536.0,,,0
CDM,45001177,HC CLSD TRT MET CALCANEAL W MAN,1490.0,1490.0,,,0
CDM,45001178,HC CLSD TRT MET TALUS FX WO MAN,536.0,536.0,,,0
CDM,45001179,HC CLSD TRT MET TALUS FX W MAN,5066.0,5066.0,,,0
CDM,45001180,HC CLSD TRT MET TARSAL FX WO MAN,536.0,536.0,,,0
CDM,45001181,HC CLSD TRT MET TARSAL FX W MAN,450.0,450.0,,,0
CDM,45001182,HC METATARSAL FX W MAN,721.0,721.0,,,0
CDM,45001185,HC CLSD TRT INTERPHALANGEAL JNT DIS WO ANES,536.0,536.0,,,0
CDM,45001187,HC APP SHORT ARM SPLNT FORARM/HND DYNAMIC,490.0,490.0,,,0
CDM,45001188,HC APP FINGER SPLINT DYNAMIC,245.0,245.0,,,0
CDM,45001191,HC AVULSION NAIL PLATE EA ADDL,174.0,174.0,,,0
CDM,45001192,HC ABDOMINAL PARACENT W GUIDANCE,4473.0,4473.0,,,0
CDM,45001193,HC LAC COMP SCALP/EXTREM EA <5CM,319.0,319.0,,,0
CDM,45001194,HC LAC COM EYELID/NOSE/LIP EA<5CM,756.0,756.0,,,0
CDM,45001196,HC CL TX FX PHALANX OR PHALANGES OTHER THAN TOE W/MAN,721.0,721.0,,,0
CDM,45001197,HC REMOVAL OF IUD,825.0,825.0,,,0
CDM,45001199,HC APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLOC,2205.0,2205.0,,,0
CDM,45001200,HC OP TMT PHALAN SHAFT FX FINGER PROX/MIDDLE EACH,7361.0,7361.0,,,0
CDM,45001201,HC REPAIR EXT TENDON HAND W/O GRAFT EACH,4623.0,4623.0,,,0
CDM,45001202,HC IRRIGATION OF CORPORA CAVERNOSA FOR PRIAPISM,879.0,879.0,,,0
CDM,45001203,HC FULL THICK GRAFT HEAD FACE HAND 20SQCM OR<,4660.0,4660.0,,,0
CDM,45001204,HC CL TMT METACAR W/MAN W/O ANES,721.0,721.0,,,0
CDM,45001205,HC EXPLORE WOUND EXTREMITY,3856.0,3856.0,,,0
CDM,45001206,HC CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,4874.0,4874.0,,,0
CDM,45001208,HC CHANGE OF BLADD TUBE SIMPLE,1480.0,1480.0,,,0
CDM,45001209,HC TX SPONTANEOUS HIP DISLOC ABDCT SPLNT/TRC WO ANES WO MAN,536.0,536.0,,,0
CDM,45001210,HC TENDON REPAIR DORSUM FINGERS,5059.0,5059.0,,,0
CDM,45001212,HC TRACH CRICOTHYROID,1764.0,1764.0,,,0
CDM,45001213,HC PLCMENT NEEDLE INTRAOS INFUS,530.0,530.0,,,0
CDM,45001214,HC TX CLOSED ELBOW DISLOCATION W ANES,5235.0,5235.0,,,0
CDM,45001215,HC I&D UPPER ARM/ELBOW BURSA,3687.0,3687.0,,,0
CDM,45001216,HC FNA WITHOUT IMAGING GUIDANCE,613.0,613.0,,,0
CDM,45001217,HC PHALANGEAL FRACTURE FINGER,7361.0,7361.0,,,0
CDM,45001218,HC EA ADD 5CM OR LESS COMPLX REPAIR HEAD/FACE/HAND/FEET,852.0,852.0,,,0
CDM,45001221,HC GRAFT COMPOSITE W PRIMARY CLOSURE DONOR AREA,4660.0,4660.0,,,0
CDM,45001222,HC REPLANT DIGIT EXCL THUMB COMPL AMPUTATION,6948.0,6948.0,,,0
CDM,45001225,HC MEASURE POST VOID BLD CAP,1510.0,1510.0,,,0
CDM,45001227,HC REM IMPACT CERUMEN W IRRIGATION/LAVAGE UNI,255.0,255.0,,,0
CDM,45001229,HC FLUID PRESSURE MUSCLE,960.0,960.0,,,0
CDM,45001230,HC CL TREAT LUNATE DISLOC W MAN,5066.0,5066.0,,,0
CDM,45001234,HC TISS TRANS OR REARR FRHD/CHEEK/CHN/NCK/AXILLAE/HND/FT 10SQCM OR<,4660.0,4660.0,,,0
CDM,45001236,HC CL TX TALOTARSAL JOINT DISLOC WO ANES,721.0,721.0,,,0
CDM,45001237,HC TRACHEOSTOMY EMERG PROC TRANSTRACH,3704.0,3704.0,,,0
CDM,45001238,HC EXC BEN LESION TRUNK/LIMB 2.1-3.0 CM,2678.0,2678.0,,,0
CDM,45001239,HC REM IMPLANT FROM FINGER OR HAND,5055.0,5055.0,,,0
CDM,45001240,HC THER/PROPH/DIAG INJ INTRA-ARTERIAL,505.0,505.0,,,0
CDM,45001243,HC PART EXC BONE DISTAL PHAL FINGER,6434.0,6434.0,,,0
CDM,45001244,HC PART EXC BONE PHALANX OF TOE,7361.0,7361.0,,,0
CDM,45001246,HC TEMP TRANSCUTANEOUS PACING,825.0,825.0,,,0
CDM,45001247,HC INJ TRIGG PT THREE/MORE MUSCLE,1625.0,1625.0,,,0
CDM,45001248,HC REPR BLOOD VESS DIRECT UPPER EXTREMITY,9604.0,9604.0,,,0
CDM,45001249,HC ADJ TISS TRANS/REARR SCALP/ARMS/LEGS 10SQ CM OR<,4660.0,4660.0,,,0
CDM,45001251,HC CL TX CARPOMET DISLOC THUMB W MAN,721.0,721.0,,,0
CDM,45001252,HC REMOVAL TONGS OR HALO APPL BY ANOTHER IND,425.0,425.0,,,0
CDM,45001253,HC REPAIR/ADVANCEMENT FLEXOR TENDON EACH,8256.0,8256.0,,,0
CDM,45001257,HC BRONCHOSCOPY DX W/WO CELL WASH,3469.0,3469.0,,,0
CDM,45001259,HC DEBRIDE OPEN FX AND/OR DISLOC SKIN/SUB TISS/MUSCLE/BONE,2678.0,2678.0,,,0
CDM,45001261,HC EXCHANGE NEPHROSTOMY CATH PERCUT IMAGE GUIDE S&I,3229.0,3229.0,,,0
CDM,45001262,HC ADJ TISS TRANS EYELIDS NOSE EARS LIPS 10SQCM OR<,4855.0,4855.0,,,0
CDM,45001263,HC PERC SKEL FIX PHAL SHAFT FX PROX/MIDD PHAL FNG/THUMB W MAN EA,7809.0,7809.0,,,0
CDM,45001264,HC REP TENDON/MUSC ENTEN FOREARM WRIST PRIM SNGL EA,8600.0,8600.0,,,0
CDM,45001267,HC REMOVE NONBIO DRUG DELV IMPLNT,425.0,425.0,,,0
CDM,45001268,HC NASAL/SINUS ENDO W CONT NASAL HEMORRHAGE,4709.0,4709.0,,,0
CDM,45001271,HC COLPORRHAPHY SUTURE OF VAGINA INJURY (NONOB),7931.0,7931.0,,,0
CDM,45001274,HC DRAINAGE OF PALM BURSA SINGLE,5059.0,5059.0,,,0
CDM,45001276,HC DEBRIDEMENTOPEN WOUND EA ADDL 20 SQ CM,706.0,706.0,,,0
CDM,45001278,HC US CHEST INCL MEDIASTINUM REAL TIME W IMG DOC,432.0,432.0,,,0
CDM,45001280,HC CANTHOPLASTY (RECONSTRUCTION OF CANTHUS),4845.0,4845.0,,,0
CDM,45001281,HC US BREAST UNI REAL TIME W IMG DOC LIMITED,342.0,342.0,,,0
CDM,45001282,HC US SOFT TISSUES HEAD & NECK REAL TIME W IMG DOC,454.0,454.0,,,0
CDM,45001283,HC TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,1510.0,1510.0,,,0
CDM,45001284,HC TX SUPERFICIAL WOUND DEHISCENCE W PACKING,907.0,907.0,,,0
CDM,45001285,HC REPR TUN/NON CVA CATH W/O PORT/PMP,2700.0,2700.0,,,0
CDM,45001287,HC US LMTD JOINT/OTH NONVASC EXTR STRU REAL TIME W/IMG,294.0,294.0,,,0
CDM,45001288,HC DEBRIDE BONE 1ST 20SQ CM OR LESS,3938.0,3938.0,,,0
CDM,45001290,HC CORPORA CAVERNOSA SAPHENOUS VEIN SHUNT UNI/BI,8415.0,8415.0,,,0
CDM,45001291,HC SIGMOIDOSCOPY FLEX W REMOVAL OF FOREIGN BODY,2124.0,2124.0,,,0
CDM,45001330,HC EXCISION OF EXTERNAL THROMBOSED HEMORRHOID,6555.0,6555.0,,,0
CDM,45001331,HC CYSTOURETHROSCOPY CATH,6311.0,6311.0,,,0
CDM,45001333,HC INJ TRIGGER PT ONE/TWO MUSCLE,1575.0,1575.0,,,0
CDM,45001335,HC UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,705.0,705.0,,,0
CDM,45001338,HC REM SKIN TAGS UP TO 15 LESIONS,455.0,455.0,,,0
CDM,45001339,HC PERITONEAL LAVAGE INCLUDING IMAGING GUIDANCE,3450.0,3450.0,,,0
CDM,45001340,HC INJECTION OF BLOOD PATCH,2760.0,2760.0,,,0
CDM,45001341,HC REPR TENDON/MUSC FLEX FOREARM/WRIST PRIMARY EA,8912.0,8912.0,,,0
CDM,45001342,HC UNLISTED PROCEDURE RECTUM,2760.0,2760.0,,,0
CDM,45001343,HC PROBE NASOLACRIMAL DUCT W INSERT TUBE/STENT,4845.0,4845.0,,,0
CDM,45001344,HC REPAIR EYELID WOUND FULL THICKNESS,4845.0,4845.0,,,0
CDM,45001345,HC LARYNGOSCOPY FLEX DIAG W REM OF FB,1525.0,1525.0,,,0
CDM,45001346,HC CHEMICAL CAUTERIZATION TISSUE,613.0,613.0,,,0
CDM,45001347,HC VAGINAL DELIVERY ONLY,4845.0,4845.0,,,0
CDM,45001349,HC NASAL ENDOSCOPY UNI/BILAT,813.0,813.0,,,0
CDM,45001351,HC CL TX FX GREAT TOE PHALANX OR PHALANGES W MAN,721.0,721.0,,,0
CDM,45001352,HC REPAIR BL VESSL DIR LOW EMTRM,2678.0,2678.0,,,0
CDM,45001353,"HC CYSTOURETHROSCOPY W REM FB, CALCULUS OR STENT SIMPLE",4625.0,4625.0,,,0
CDM,45001356,HC LARYNGOSCOPY W FB REMOVAL,5776.0,5776.0,,,0
CDM,45001357,HC CANTHOTOMY,4845.0,4845.0,,,0
CDM,45001358,HC FULL THICK GRAFT INC CLOSURE NOSE EARS LIDS LIPS 20SQCM OR<,4531.0,4531.0,,,0
CDM,45001359,HC REPAIR BLOOD VESSEL DIR HAND FINGER,9664.0,9664.0,,,0
CDM,45001360,HC CYSTOURETHOSCOPY,2678.0,2678.0,,,0
CDM,45001361,HC DEBRIDE NAIL 1-5,283.0,283.0,,,0
CDM,45001362,HC DEBRIDE W REM FM OPEN FX/DISLOC SKIN & SUB TISS,2678.0,2678.0,,,0
CDM,45001363,HC REPAIR EXTENSOR TENDON DISTAL INSERT WO GRAFT,5059.0,5059.0,,,0
CDM,45001364,HC REPLANT DIGIT EXCLUD THUMB COMPL AMPUTATION,6571.0,6571.0,,,0
CDM,45001365,HC REPAIR TENDON EXTENSOR FOOT EACH TENDON,10369.0,10369.0,,,0
CDM,45001366,HC LIGATION MAJOR ARTERY EXTREMITY,11040.0,11040.0,,,0
CDM,45001367,HC PLEURAL DRAIN PERCUT W INSERT INDWELL CATH WO IMG GUID,1650.0,1650.0,,,0
CDM,45001368,HC NEG PRESSURE WOUND THERAPY NON DME <= 50 SQ CM,571.0,571.0,,,0
CDM,45001370,HC INJ ANTERIOR CHAMBER OF EYE MEDICATION,6111.0,6111.0,,,0
CDM,45001371,HC REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA PRIME/SECND,18602.0,18602.0,,,0
CDM,45001372,HC I&D COMPLEX POSTOP WOUND INFECTION,6462.0,6462.0,,,0
CDM,45001373,HC OPHTHALMIC US DIAG B SCAN W WO SPRIMP NONQUAN A SCAN,419.0,419.0,,,0
CDM,45001374,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,639.0,639.0,,,0
CDM,45001375,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDL LESION,174.0,174.0,,,0
CDM,45001376,HC PUNCH BIOPSY SKIN INCL SMPL CLOSE WHEN PERF SINGLE LESION,639.0,639.0,,,0
CDM,45001377,HC PUNCH BIOPSY SKIN INCL SMPL CLOSE WHEN PERF EA SEP/ADDL LESION,174.0,174.0,,,0
CDM,45001378,HC INSERT PICC WO SUBCUT PORT/PUMP INCL ALL IMG GUID DOC S&I < 5 YRS OF AGE,2700.0,2700.0,,,0
CDM,45001379,HC INSERT PICC WO SUBCUT PORT/PUMP INCL ALL IMG GUID DOC S&I AGE 5 OR OLDER,4454.0,4454.0,,,0
CDM,45001380,HC REPLAC GASTRO TUBE WO IMG OR GUID NOT REQ REV OF GASTRO TRACT,1510.0,1510.0,,,0
CDM,45001381,HC NASAL/SINUS ENDO W BX POLYPECT OR DEBRID,4636.0,4636.0,,,0
CDM,45001382,HC REPAIR ADVANCE FLEXOR TENDON NOT ZONE 2 WO FREE GRAFT EA TENDON,7609.0,7609.0,,,0
CDM,45001383,HC DRAIN ABSCESS PAROTID SIMPLE,2205.0,2205.0,,,0
CDM,45001384,HC SUTURE DIGITAL NERVE HAND OR FOOT ONE NERVE,12547.0,12547.0,,,0
CDM,45001385,HC ARTHROCENTEIS ASP &OR INJ INTERMED JNT/BURSA W ULTRASOUND W REC RPT,841.0,841.0,,,0
CDM,45001387,HC ARTHROCENTESIS ASP &OR INJ MAJOR JNT/BURSA W ULTRASOUND W REC RPT,1480.0,1480.0,,,0
CDM,45001388,HC SLIT PREPUCE DORSAL/LATERAL EXCEPT NEWBORN,6110.0,6110.0,,,0
CDM,45001389,HC DEBRIDE MUSCLE &OR FASCIA 1ST 20SQCM OR<,1525.0,1525.0,,,0
CDM,45001390,HC SHAVE EPI OR DERMAL LESION SNGLE TRUNK/ARM/LEG 0.5CM OR<,348.0,348.0,,,0
CDM,45001391,HC EXTRAORAL I&D ABSC CYST/HEMATOMA FL MOUTH SUBMANDIBULAR,5060.0,5060.0,,,0
CDM,45001392,HC OPEN TX ULNAR STYLOID FRACTURE,13225.0,13225.0,,,0
CDM,45001393,HC DRAINAGE TENDON SHEATH DIGIT &OR PALM EACH,5059.0,5059.0,,,0
CDM,45001394,HC DUPLEX SCAN AORTA IVC ILIAC VASCL/BP GRFT UNI/LMTD,931.0,931.0,,,0
CDM,45001395,HC US GUIDANCE FOR NEEDLE PLCMNT S&I,217.0,217.0,,,0
CDM,45001396,HC DEBRIDE INC REM FM SITE OPEN FX &OR DISLOC SKIN SUB TISS FSCIA MUSC,2678.0,2678.0,,,0
CDM,45001397,HC PERICARDIOCENTESIS INCL IMG GUID WH PERF,2678.0,2678.0,,,0
CDM,45001399,HC INJ ANESTHETIC AGENT LUMBAR OR THORACIC,2700.0,2700.0,,,0
CDM,45001400,HC BRONCH INCL FLUORO GUID WH PERF W REM FB,3763.0,3763.0,,,0
CDM,45001410,HC REM SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,125.0,125.0,,,0
CDM,45001411,HC REM SUTURES AND STAPLES NOT REQUIRING ANESTHESIA,125.0,125.0,,,0
CDM,45001412,HC THORACENTESIS NEEDLE OR CATH ASP PLEURA SPACE W IMAGING GUID,2700.0,2700.0,,,0
CDM,45020073,HC CL TX POST HIP ARTHROPLASTY DISLOC REQ ANES,4436.0,4436.0,,,0
CDM,45020099,HC TRACHEOBRONCHOSCOPY THR EST TRACHEOSTOMY INCISION,3090.0,3090.0,,,0
CDM,45020115,HC ARTERIAL PUNCTURE WITHDRAWAL OF BLOOD FOR DIAGNOSIS,429.0,429.0,,,0
CDM,45020139,HC I&D SUBMUCOSAL ABSCESS RECTUM,5145.0,5145.0,,,0
CDM,46000011,HC FORCED EXP VOL TOT&TIMED,568.0,568.0,,,0
CDM,46000012,HC BEDSIDE PFT,568.0,568.0,,,0
CDM,46000013,HC SPIROMETRY,568.0,568.0,,,0
CDM,46000018,HC BRONCHOSPASM EVALUATION,714.0,714.0,,,0
CDM,46000019,HC BRONCHOSPASM PROVOCATION,800.0,800.0,,,0
CDM,46000020,HC VITAL CAPACITY,183.0,183.0,,,0
CDM,46000021,HC PEAK FLOW RATE,183.0,183.0,,,0
CDM,46000022,HC MAX INSP/EXP PRESSURE,183.0,183.0,,,0
CDM,46000024,HC MAXIMAL VOLUNTARY VENTILATION,183.0,183.0,,,0
CDM,46000025,HC FLOW VOLUME LOOP,280.0,280.0,,,0
CDM,46000026,HC HIGH ALTITUDE SIM TEST  HAST,308.0,308.0,,,0
CDM,46000027,HC HIGH ALTITUDE SIM TEST WITH O2,308.0,308.0,,,0
CDM,46000031,HC CARDIOPULMONARY EXERCISE TESTING,832.0,832.0,,,0
CDM,46000032,HC CARDIOPULMONARY EXERCISE TESTING,832.0,832.0,,,0
CDM,46000035,HC METABOLIC STUDY,139.0,139.0,,,0
CDM,46000036,HC THORACIC GAS VOL W AIR RESIST,694.0,694.0,,,0
CDM,46000037,HC THORACIC GAS VOLUME,714.0,714.0,,,0
CDM,46000038,HC RESIDUAL AIR,355.0,355.0,,,0
CDM,46000039,HC AIRWAY RESIST IMPULSE OSCILLOM,355.0,355.0,,,0
CDM,46000040,HC CARBON MONOXIDE DIFF CAP,181.0,181.0,,,0
CDM,46000041,HC PULSE OXIMETRY SINGLE,12.0,12.0,,,0
CDM,46000042,HC PULSE OXIMETRY MULTI DETER,15.0,15.0,,,0
CDM,46000043,HC PULSE OXIMETRY CONTINUOUS,255.0,255.0,,,0
CDM,46000045,HC EXTUBATE PATIENT,185.0,185.0,,,0
CDM,46000046,HC SPUTUM INDUCTION,53.0,53.0,,,0
CDM,46000047,HC NASOTRACHEAL SUCTIONING,74.0,74.0,,,0
CDM,46000048,HC AIRWAY MANAGEMENT,74.0,74.0,,,0
CDM,46000055,HC PATIENT TEACHING,100.0,100.0,,,0
CDM,46000056,HC OTHER TX/PROCEDURE,74.0,74.0,,,0
CDM,46000057,HC NITRIC OXIDE THERAPY (CATH LAB),1166.0,1166.0,,,0
CDM,46000058,HC IN/EXSUFFOLATOR TX,177.0,177.0,,,0
CDM,46000060,HC MIP/MEP,219.0,219.0,,,0
CDM,46000070,HC TRANSCUT MONITORING CO2/O2,76.0,76.0,,,0
CDM,46000071,HC PULM STRESS TEST INCL MEAS HEART RATE OXIMETRY OX TITRATION IF PERF,464.0,464.0,,,0
CDM,46000075,HC OXYGEN UPTK EXP GAS ALYS W CO2 OUTPUT PERCENT OXY EXTRACT,1120.0,1120.0,,,0
CDM,47000001,HC BINOCULAR MICROSCOPY (SEP DIAG PROC),35.0,35.0,,,0
CDM,47000002,HC NASOPHARYNGOSCOPY,515.0,515.0,,,0
CDM,47000003,HC VERTICAL ELECTRODES TEST,50.0,50.0,,,0
CDM,47000004,HC BASIC HEARING SCREEN,133.0,133.0,,,0
CDM,47000005,HC ELECTROCOCHLEOGRAPHY,1226.0,1226.0,,,0
CDM,47000012,HC AUDIOLOGY REHAB EVAL 1 HOUR,780.0,780.0,,,0
CDM,47000013,HC AUD REHAB EVAL ADDTL 15 MINS,35.0,35.0,,,0
CDM,47000015,HC UNLISTED OTORHINOLARYNGOLOGICAL SERVICE OR PROCEDURE,135.0,135.0,,,0
CDM,47000023,HC CONFORMITY EVAL,256.0,256.0,,,0
CDM,47000050,HC VEMP TESTING CERVICAL W I&R,600.0,600.0,,,0
CDM,47000051,HC VEMP TESTING OCULAR W I&R,600.0,600.0,,,0
CDM,47000052,HC VEMP TESTING CERVICAL & OCULAR W I&R,1137.0,1137.0,,,0
CDM,47000060,HC EVAL FOR HEARING AID CANDIDACY FIRST 30 MINS,58.0,58.0,,,0
CDM,47000061,HC EVAL FOR HEARING AID CANDIDACY EA ADDL 15 MINS,29.0,29.0,,,0
CDM,47000062,HC HEARING AID SELECTION SERVICES FIRST 30 MINS,58.0,58.0,,,0
CDM,47000063,HC HEARING AID SELECTION SERVICES FIRST EA ADDL 15 MINS,29.0,29.0,,,0
CDM,47000064,HC HEARING AID POST-FITTING F/U FIRST 30 MINS,58.0,58.0,,,0
CDM,47000065,HC HEARING AID POST-FITTING F/U EA ADDL 15 MINS,29.0,29.0,,,0
CDM,47000066,HC ALD SUPPLEMENTAL TECH FITTING,58.0,58.0,,,0
CDM,47000067,HC BEHAVIORAL AIDED TESTING,20.0,20.0,,,0
CDM,47000068,HC ON EAR HEARING AID PROBE-MICROPHONE TESTING,20.0,20.0,,,0
CDM,47000069,HC HEARING AID TEST BOX MEASURES,58.0,58.0,,,0
CDM,47000070,HC HEARING AID FITTING SERVICES FIRST 60 MINS,58.0,58.0,,,0
CDM,47000071,HC HEARING AID FITTING SERVICES EA ADDL 15 MINS,14.5,14.5,,,0
CDM,47100002,HC TYMPANOMETRY/ REFLEX THRESHOLD,355.0,355.0,,,0
CDM,47100003,HC TONE TEST AIR ONLY,329.0,329.0,,,0
CDM,47100004,HC TONE TEST AIR & BONE,590.0,590.0,,,0
CDM,47100005,HC SPEECH AUDIOMETRY THRESHOLD,300.0,300.0,,,0
CDM,47100006,HC SRT W/SPEECH RECOGNITION,300.0,300.0,,,0
CDM,47100007,HC COMPREHENSIVE AUDIOMETRY,590.0,590.0,,,0
CDM,47100010,HC TONE DECAY TEST,300.0,300.0,,,0
CDM,47100012,HC STENGER PURETONE,300.0,300.0,,,0
CDM,47100013,HC TYMPANOMETRY,329.0,329.0,,,0
CDM,47100015,HC ACOUSTIC IMMITTANCE Z-ART ARDT,590.0,590.0,,,0
CDM,47100017,HC STAGGERED SPONDAIC WORD TEST,780.0,780.0,,,0
CDM,47100019,HC VISUAL REINFORCMENT AUDIOMETRY,590.0,590.0,,,0
CDM,47100020,HC CONDITION PLAY AUDIOMETRY,590.0,590.0,,,0
CDM,47100021,HC SELECT A PICTURE AUDIOMETRY,300.0,300.0,,,0
CDM,47100024,HC DPOAE SCREEN,434.0,434.0,,,0
CDM,47100025,HC COCHLEAR IMPLANT F/U < 7 YRS,780.0,780.0,,,0
CDM,47100026,HC COCHLEAR IMPLT REPROGRAM <7YRS,780.0,780.0,,,0
CDM,47100027,HC COCHLEAR IMPLANT F/U > 7 YRS,780.0,780.0,,,0
CDM,47100028,HC COCHLEAR IMPLT REPROGRAM >7YRS,780.0,780.0,,,0
CDM,47100029,HC AUD FUNC TESTS INITIAL 60 MIN,590.0,590.0,,,0
CDM,47100030,HC AUD FUNC TESTS ADD'L 15 MIN,300.0,300.0,,,0
CDM,47100036,HC BASIC VESTIBULAR EVAL,735.0,735.0,,,0
CDM,47100046,HC EVOKED OAE COMP 12 PT,434.0,434.0,,,0
CDM,47100047,HC ASSESSMENT FOR HEARING AID,525.0,525.0,,,0
CDM,47100050,HC FM FIT VERIFY BINAURAL,293.0,293.0,,,0
CDM,47100051,HC CALORIC TEST W RECORD BILAT BITHERMAL,745.0,745.0,,,0
CDM,47100052,HC DIGITIAL FM REPAIR,508.0,508.0,,,0
CDM,47100053,HC ASSESSMENT FOR TINNITUS,418.0,418.0,,,0
CDM,47100100,HC AUDITORY EVOKED POTENT HEAR STAT DETER W BBND STIMULI W I&R,600.0,600.0,,,0
CDM,47100101,HC AUDITORY EVOKED POTENT THRESHOLD EST MULTI FREQ W I&R,1137.0,1137.0,,,0
CDM,47100102,HC AUDITORY EVOKED POTENT NEURODIAGNOSTIC W I&R,1137.0,1137.0,,,0
CDM,47100105,HC DIAG ANALY PRGRM VERIF AUDIT OSSEOINT SOUND PROC ANY TYPE 1ST 60MINS,655.0,655.0,,,0
CDM,47100106,HC DIAG ANALY PRGRM VER AUDIT OSSEO SOUND PROC ANY TYPE EA ADDL 15MINS,273.0,273.0,,,0
CDM,47100108,HC EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALY,260.0,260.0,,,0
CDM,47200001,HC FIT/CHECK/ORIENT DISP HA,525.0,525.0,,,0
CDM,47200002,HC HA REPAIR 6 MONTHS,288.0,288.0,,,0
CDM,47200003,HC 1 YEAR HA REPAIR,439.0,439.0,,,0
CDM,47200004,HC OFFICE REPAIR,205.0,205.0,,,0
CDM,47200010,HC HA REPAIR 6 MONTHS EXTENSIVE,561.0,561.0,,,0
CDM,47200015,HC FIT/ORIENT/CHECK HEARING AID (FOLLOW UP),65.0,65.0,,,0
CDM,47200016,HC OFFICE REPAIR HEARING AID MINOR,54.0,54.0,,,0
CDM,48000004,HC CARDIOPULMONARY RESUSCITATION,1535.0,1535.0,,,0
CDM,48000005,HC CARDIOVERSION ELECTIVE,2709.0,2709.0,,,0
CDM,48000008,HC INTERNAL CARDIOVERSION,2678.0,2678.0,,,0
CDM,48000012,HC ENDO CORO VESSEL/GRAFT USING IVUS OR OCT INCL S&I RPT INI VESSEL,2651.0,2651.0,,,0
CDM,48000013,HC AORTIC VALVULOPLASTY,10182.0,10182.0,,,0
CDM,48000014,HC MITRAL VALVULOPLASTY,11993.0,11993.0,,,0
CDM,48000015,HC PEDI PERC PULM VALVULOPLASTY,11993.0,11993.0,,,0
CDM,48000018,HC PPM SYS PGM INTERR SINGLE,160.0,160.0,,,0
CDM,48000019,HC PPM SYS PGM INTERR DUAL,160.0,160.0,,,0
CDM,48000022,HC ICD SYS PGM INTERR DUAL,160.0,160.0,,,0
CDM,48000032,HC PM/ICD REMOTE TECH SERV F,160.0,160.0,,,0
CDM,48000037,HC COR FLOW RESERVE MEAS INIT VES,2651.0,2651.0,,,0
CDM,48000038,HC COR FLOW RESERVE EA ADD VES,2651.0,2651.0,,,0
CDM,48000040,HC EP BUNDLE OF HIS,4838.0,4838.0,,,0
CDM,48000041,HC EP ATRIAL RECORD,4838.0,4838.0,,,0
CDM,48000042,HC EP RT VENT RECORD,2990.0,2990.0,,,0
CDM,48000043,HC EP INTRA ATRIAL MAPPING,2651.0,2651.0,,,0
CDM,48000044,HC EP INTRA ART PACE,4838.0,4838.0,,,0
CDM,48000045,HC EP RT VENT PACE,4838.0,4838.0,,,0
CDM,48000046,HC EP 3D MAPPING,2540.0,2540.0,,,0
CDM,48000047,HC EP ARRHY INDUC,2990.0,2990.0,,,0
CDM,48000048,HC EP COMP W/ O ARRHY IND,10397.0,10397.0,,,0
CDM,48000049,HC EP COMP W/ARRHY IND,10304.0,10304.0,,,0
CDM,48000050,HC W/CS OR LA EVAL,2651.0,2651.0,,,0
CDM,48000051,HC W/LV PACE AND RECORD,2651.0,2651.0,,,0
CDM,48000052,HC EP STIM & PACE AFTER IV INF,2651.0,2651.0,,,0
CDM,48000053,HC EP FOLLOW UP STUDY,12661.0,12661.0,,,0
CDM,48000055,HC EP EVAL ICD AT IMPLANT,2239.0,2239.0,,,0
CDM,48000056,HC EP EVAL ICD LD/GEN AT IMPLANT,1613.0,1613.0,,,0
CDM,48000057,HC EP EVAL ICD POST IMPLANT W/DFT,2990.0,2990.0,,,0
CDM,48000059,HC EP ABLATION AV NODE,10181.0,10181.0,,,0
CDM,48000060,HC EP AND ABLATE SUPRAVENT ARRHYT,28326.0,28326.0,,,0
CDM,48000061,HC EP AND ABLATE VENTRIC TACHY,28326.0,28326.0,,,0
CDM,48000062,HC ABLATE ARRHYTHMIA ADD ON,2147.0,2147.0,,,0
CDM,48000063,HC TX ATRIAL FIB PUL VEIN ISOLAT,28250.0,28250.0,,,0
CDM,48000064,HC TX LT OR RIGHT ATRIAL FIB ADDL,2651.0,2651.0,,,0
CDM,48000065,HC EP TILT TABLE TESTING,1490.0,1490.0,,,0
CDM,48000073,HC PPM SYS PGM INTERR MULTI F,160.0,160.0,,,0
CDM,48000075,HC ICD SYS PGM INTERR MULTI F,160.0,160.0,,,0
CDM,48000076,HC PPM LOOP PGM INTERR F,160.0,160.0,,,0
CDM,48000077,HC PPM SYS INTERR ONLY INPERSON F,160.0,160.0,,,0
CDM,48000078,HC ICD SYS INTER ONLY IN PERSON F,160.0,160.0,,,0
CDM,48000079,HC ICM DEVICE EVAL IN PERSON F,160.0,160.0,,,0
CDM,48000080,HC PPM LOOP INTER ONLY INPERSON F,160.0,160.0,,,0
CDM,48000082,HC ENDO CORO VESSEL/GRAFT USING IVUS OR OCT INCL S&I RPT EA ADDL VESSE,2651.0,2651.0,,,0
CDM,48000085,HC ICD SYS PGM INTERR SINGLE F,160.0,160.0,,,0
CDM,48000103,HC INTERR DEVICE EVAL SICD W RPT,160.0,160.0,,,0
CDM,48000104,HC PROGRAM DEVICE EVAL W ADJ SICD,195.0,195.0,,,0
CDM,48000105,HC PERI PX EVAL & PROG IN PERSON PACEMAKER SYS,338.0,338.0,,,0
CDM,48000106,HC PERI PX DEV EVAL & PROG IN PERSON DEFIBRILLATOR SYS,338.0,338.0,,,0
CDM,48000110,HC TRNSCATH INSERT OR REPLAC PERM LEADLESS PACEMKR RT VENT,48175.0,48175.0,,,0
CDM,48000111,HC INSERT SUBCUT CARDIAC RHYTHM MONITOR INC PROGRAM,13075.0,13075.0,,,0
CDM,48000112,HC TRNSCTH IMPL WRLESS PULM ART PRESS SENSOR LNG TRM HEMODYN MNTR,45290.0,45290.0,,,0
CDM,48000113,HC INSERT WRLSS CARD STIM LV PACING PULS GEN COMPNT,25961.0,25961.0,,,0
CDM,48000114,HC REM ONLY PULS GEN COMPNT WRLSS CARD STIM LV PAC,10468.0,10468.0,,,0
CDM,48000115,HC REM & REPLAC WRLSS CARD STIM LV PAC PULS GEN COMPNT,10468.0,10468.0,,,0
CDM,48000116,HC REM & REPLAC WRLSS CARD STIM LV PAC PULS GEN COMPNT W PLC NW ELECTR,61490.0,61490.0,,,0
CDM,48000125,HC CARD FCL ABL RAD THER ARRHYTH NONINVASIVE LOCAL & MAPP,28326.0,28326.0,,,0
CDM,48000126,HC CARD FCL ABL RAD THER ARRHYTH CONVERSION LOCAL & MAPP,28326.0,28326.0,,,0
CDM,48000127,HC CARD FCL ABL RAD THER ARRHYTH DELIVERY RAD THER,28326.0,28326.0,,,0
CDM,48000128,HC CARDIAC ACOUSTIC WAVEFORM REC AUTO ANYS GEN CORO ART DIS RISK SCORE,1535.0,1535.0,,,0
CDM,48000130,HC BIOIMPEDANCE SPECTROSCPY EXTRACELL FLUID ALYS LYMPHEDEMA ASSESSMENT,670.0,670.0,,,0
CDM,48000131,HC TTVI/RPLCMT W PROSTHETIC VALVE PERCUT APP W RT HRT CATH ANGRPH,11677.0,11677.0,,,0
CDM,48000132,HC TRANSCATH REM/DEBULK INTRACARD MASS VIA SUCTION DEVICE PERCUT,19100.0,19100.0,,,0
CDM,48000135,HC INTERR DEVICE EVAL REMOTE UP TO 30 DAYS IMPLANTABLE CPMS BY PHY/QHP,160.0,160.0,,,0
CDM,48000136,HC INTERR DEVICE EVAL REMOTE UP TO 30 DAYS SUBCUT CRMS BY PHY/QHP,160.0,160.0,,,0
CDM,48000300,HC INTERROGATION DEV EVAL IN PERSON WEARABLE DEFIBRILLATOR,328.0,328.0,,,0
CDM,48000301,HC INTERR DEV EVAL W ANAL REV & RPT WIRELESS CARD STIM LT VENT PACING,338.0,338.0,,,0
CDM,48000302,HC PROG DEV EVAL W ITERATIVE ADJUST WIRELESS CARD STIM LT VENT PACING,338.0,338.0,,,0
CDM,48000303,HC PROG DEV EVAL IMPLANT CARD DEFIB SYS W ITERATIVE ADJUST IN PERSON,338.0,338.0,,,0
CDM,48000304,HC INTERR DEV EVAL IMPLANT CARD DEFIB SYS W SUBSTERNAL ELEC IN PERSON,338.0,338.0,,,0
CDM,48000305,HC PROG DEV EVAL REMOTE SUBCUT CARD RHY MON SYS,338.0,338.0,,,0
CDM,48000306,HC INI SET-UP & PRGRMG PHYS/QHP OF WEARABLE CVDFB,1510.0,1510.0,,,0
CDM,48000307,HC PERCUTANEOUS CLOSURE OF POST-INFARCTION VSD,31175.0,31175.0,,,0
CDM,48100007,HC REM IABP ASSIST DEVICE,12363.0,12363.0,,,0
CDM,48100008,HC INS VENTASSIST DEVICE SINGVENT,10879.0,10879.0,,,0
CDM,48100009,HC REM VENTASSIST DEVICE SINGVENT,10879.0,10879.0,,,0
CDM,48100010,HC INSERT VENT ASST DEVICE PERC,11407.0,11407.0,,,0
CDM,48100011,HC INSERT VAD W TRANSSEPTAL PUNC,10807.0,10807.0,,,0
CDM,48100012,HC REMOVAL OF VENT ASST DEVICE,10879.0,10879.0,,,0
CDM,48100013,HC REPOSITION OF VAD W IMAGE GUID,10807.0,10807.0,,,0
CDM,48100085,HC PTCA SINGLE MAJOR ARTERY/BRNCH,14300.0,14300.0,,,0
CDM,48100087,HC ATHERECTOMY W PTCA SINGLE,19232.0,19232.0,,,0
CDM,48100089,HC PLACEMNT INTRACOR STENT W PTCA,19482.0,19482.0,,,0
CDM,48100091,HC ATHERECTOMY W STENT AND PTCS,23650.0,23650.0,,,0
CDM,48100093,HC GRAFT REVASC STNT ATHERCT PTCA,19232.0,19232.0,,,0
CDM,48100095,HC AMI REVAS GRAFT/COR ANY COMB,17331.0,17331.0,,,0
CDM,48100096,HC CTO REVAS COR ART ANY COMB,19026.0,19026.0,,,0
CDM,48100098,HC CARDIOASSIST METHOD INTERNAL,12363.0,12363.0,,,0
CDM,48100099,HC THROMBECTOMY,10114.0,10114.0,,,0
CDM,48100103,HC RHC MEAS O2 SAT CARDIAC OUTPT,10079.0,10079.0,,,0
CDM,48100105,HC LHC INJ LV GRM,10079.0,10079.0,,,0
CDM,48100106,HC RLHC INJ LV GRM,10079.0,10079.0,,,0
CDM,48100107,HC CATH PLCMT COR INJ,10079.0,10079.0,,,0
CDM,48100108,HC CATH PLCMT COR INJ GRAFT,10079.0,10079.0,,,0
CDM,48100109,HC CATH PLCMT COR WITH RHC,10079.0,10079.0,,,0
CDM,48100110,HC CATH PLCMT COR GRAFTS WITH RHC,10079.0,10079.0,,,0
CDM,48100111,HC CATH PLCMT COR WITH LHC,10079.0,10079.0,,,0
CDM,48100112,HC CATH PLCMT COR GRAFTS WITH LHC,10079.0,10079.0,,,0
CDM,48100113,HC CATH PLCMT RLHC,10079.0,10079.0,,,0
CDM,48100114,HC CATH PLCMT COR GRAFTS RLHC,10079.0,10079.0,,,0
CDM,48100116,HC PHARM ADMIN HEMO MEAS,1166.0,1166.0,,,0
CDM,48100117,HC PHYSIO EXER HEMO MEAS,1535.0,1535.0,,,0
CDM,48100127,HC INJ PROC SEL COR CONGEN CATH,1535.0,1535.0,,,0
CDM,48100128,HC INJ COR GRAFTS CONGEN CATH,1462.0,1462.0,,,0
CDM,48100129,HC INJ LV OR LA ANGIO,152.0,152.0,,,0
CDM,48100130,HC INJ RV RA ANGIO,2651.0,2651.0,,,0
CDM,48100131,HC INJ SUPRAVALV AORTOGRAPHY,2651.0,2651.0,,,0
CDM,48100132,HC INJ PULMONARY ANGIO,1535.0,1535.0,,,0
CDM,48100133,HC REPAIR OF ASD WITH IMPLANT,28250.0,28250.0,,,0
CDM,48100134,HC CLOSURE OF CENTRICULAR SEPTAL,31175.0,31175.0,,,0
CDM,48100135,HC INTRACARDIAC ECHOCARDIOGRAPHY,2651.0,2651.0,,,0
CDM,48100137,HC UNLISTED CARDIAC PROCEDURE,5977.0,5977.0,,,0
CDM,48100147,HC DES STENT PLACE SINGLE,22069.0,22069.0,,,0
CDM,48100148,HC DES STENT PLACEMENT EACH ADDL,24276.0,24276.0,,,0
CDM,48100149,HC ATHERECTOMY DES STENT SINGLE,22069.0,22069.0,,,0
CDM,48100151,HC GRAFT DES ATHEREC PTA DP SINGL,22069.0,22069.0,,,0
CDM,48100166,HC TSP INTACT SEPTUM TRANSAPICAL,8187.0,8187.0,,,0
CDM,48100167,HC ENDOMYOCARDIAL BIOPSY,5425.0,5425.0,,,0
CDM,48100168,HC INTRAPROC CORONARY FFR W 3D FUNC MAPPING FOR CORO TREE,57.0,57.0,,,0
CDM,48100170,HC PERC TRNSCATH CLOSRE PARAVALVULAR LEAK INI OCCL DEV AORTIC VALVE,67787.0,67787.0,,,0
CDM,48100171,HC PERC TRNSCATH CLOSRE PARAVALVULAR LEAK EA ADDL OCCL DEVICE,1510.0,1510.0,,,0
CDM,48100172,HC PERC TRANSCATH CLOSURE PARAVALVULAR LEAK INI OCC DEV MITRAL VALVE,70064.0,70064.0,,,0
CDM,48100175,HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIPSY,21776.0,21776.0,,,0
CDM,48100176,HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIP & STENT PLAC,43555.0,43555.0,,,0
CDM,48100177,HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIP & ATHERECTOMY,43555.0,43555.0,,,0
CDM,48100178,HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIP STENT PLAC ATHER,70067.0,70067.0,,,0
CDM,48100180,HC REVASC ENDO OPN/PRC TBL/PERONEAL ARTERY W LITHO INC ANGIO SAME VESS,43185.0,43185.0,,,0
CDM,48100181,HC RVSC ENDO OPN/PRC TBL/PRN ART W LITHO TRNS STNT PLCMNT ANGIO SM VES,69075.0,69075.0,,,0
CDM,48100182,HC RVSC ENDO OPN/PRC TBL/PRNL ART W LITHO ATHERECTOMY ANGIO SAME VESS,69075.0,69075.0,,,0
CDM,48100183,HC RVSC ENDO OP/PC TBL/PRN ART LITHO TRNS STNT PLCMT ATHR ANGIO SM VES,69075.0,69075.0,,,0
CDM,48100200,HC RT HEART CATH CHD W IMG GUID ADV CATH TARGET ZNE NORMAL NATIVE CONN,12734.0,12734.0,,,0
CDM,48100201,HC RT HEART CATH CHD W IMG GUID ADV CATH TARGET ZNE ABNRML NATIVE CONN,12734.0,12734.0,,,0
CDM,48100202,HC LT HEART CATH CHD W IMG GUID ADV CATH TARGET ZNE NRL/ABNR NATV CONN,12734.0,12734.0,,,0
CDM,48100203,HC RT & LT HEART CATH CHD W IMG GUID ADV CATH TARGET ZNE NRML NTV CONN,12734.0,12734.0,,,0
CDM,48100204,HC RT & LT HEART CATH CHD W IMG GUID ADV CATH TRGT ZNE ABNRML NTV CONN,12734.0,12734.0,,,0
CDM,48100205,HC CARD OUTPT MEAS THERM/OTHR IND DIL METH PERF DUR CARD CATH EVL CHD,4202.0,4202.0,,,0
CDM,48100215,HC INJ PROC DUR CARD CATH SEL PULM ART ANGIO UNILAT,1535.0,1535.0,,,0
CDM,48100216,HC INJ PROC DUR CARD CATH SELECT PULM ART ANGIO BILAT,1535.0,1535.0,,,0
CDM,48100217,HC INJ PROC DUR CARD CATH SELECT PULM VENOUS ANGIO EA DIST VEIN,1535.0,1535.0,,,0
CDM,48100220,HC PERCUT TRANSLUM PULM ART BALLOON ANGIO SNGL VESSEL,16661.0,16661.0,,,0
CDM,48100221,HC PERCUT TRANSLUM PULM ART BALLOON ANGIO EA ADDL VESSEL,5553.0,5553.0,,,0
CDM,48100225,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY ADD ON CODE,1750.0,1750.0,,,0
CDM,48100227,HC PERCUT TRANCATH THERAPEUTIC DRUG DEL BY INTRACORON DRUG DEL BALLOON,18650.0,18650.0,,,0
CDM,48100228,HC PERC TRNCTH THER DRG DEL INTRCOR DRG DEL BALLOON PERF SEP TARGT LES,6200.0,6200.0,,,0
CDM,48100500,HC REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL,16022.0,16022.0,,,0
CDM,48100501,HC REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,14190.0,14190.0,,,0
CDM,48100502,HC REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL,16022.0,16022.0,,,0
CDM,48100503,HC REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,14190.0,14190.0,,,0
CDM,48100504,HC REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,28981.0,28981.0,,,0
CDM,48100505,HC REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,14190.0,14190.0,,,0
CDM,48100506,HC REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,28981.0,28981.0,,,0
CDM,48100507,HC REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,14190.0,14190.0,,,0
CDM,48100508,HC INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY,14190.0,14190.0,,,0
CDM,48100509,HC REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,16022.0,16022.0,,,0
CDM,48100510,HC REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL,5340.0,5340.0,,,0
CDM,48100511,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,16022.0,16022.0,,,0
CDM,48100512,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL,5340.0,5340.0,,,0
CDM,48100513,HC REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL,28981.0,28981.0,,,0
CDM,48100514,HC REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL,9659.0,9659.0,,,0
CDM,48100515,HC REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL,28981.0,28981.0,,,0
CDM,48100516,HC REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL,9659.0,9659.0,,,0
CDM,48100517,HC REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL,28981.0,28981.0,,,0
CDM,48100518,HC REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL,9659.0,9659.0,,,0
CDM,48100519,HC REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL,28981.0,28981.0,,,0
CDM,48100520,HC REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL,9659.0,9659.0,,,0
CDM,48100521,HC REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL,33521.0,33521.0,,,0
CDM,48100522,HC REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL,11173.0,11173.0,,,0
CDM,48100523,HC REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL,33521.0,33521.0,,,0
CDM,48100524,HC REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL,11173.0,11173.0,,,0
CDM,48100525,HC INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY,11173.0,11173.0,,,0
CDM,48100526,HC REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL,15894.0,15894.0,,,0
CDM,48100527,HC REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL,14190.0,14190.0,,,0
CDM,48100528,HC REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL,15894.0,15894.0,,,0
CDM,48100529,HC REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL,14190.0,14190.0,,,0
CDM,48100530,HC REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL,29853.0,29853.0,,,0
CDM,48100531,HC REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL,14190.0,14190.0,,,0
CDM,48100532,HC REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL,29853.0,29853.0,,,0
CDM,48100533,HC REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL,14190.0,14190.0,,,0
CDM,48100534,HC REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL,28981.0,28981.0,,,0
CDM,48100535,HC REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL,9659.0,9659.0,,,0
CDM,48100536,HC REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL,28981.0,28981.0,,,0
CDM,48100537,HC REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL,9659.0,9659.0,,,0
CDM,48100538,HC REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL,31788.0,31788.0,,,0
CDM,48100539,HC REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL,14190.0,14190.0,,,0
CDM,48100540,HC REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL,31788.0,31788.0,,,0
CDM,48100541,HC REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL,14190.0,14190.0,,,0
CDM,48100542,HC REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL,28981.0,28981.0,,,0
CDM,48100543,HC REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL,9659.0,9659.0,,,0
CDM,48100544,HC REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL,28981.0,28981.0,,,0
CDM,48100545,HC REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL,9659.0,9659.0,,,0
CDM,48100546,HC PERC TCAT PLMT INTRAC ST 2OR>LES 2OR>ST 2OR>COR SEGMENTS,31788.0,31788.0,,,0
CDM,48100547,HC PERC TRLUML REVSC CHRNC TOT OCCLS SNGL ANTGRD&RTRGR,28981.0,28981.0,,,0
CDM,48200002,HC STRESS TEST,1072.0,1072.0,,,0
CDM,48200012,HC STRESS TEST W ECHO,1072.0,1072.0,,,0
CDM,48300001,HC FOLLOWUP FETAL ECHO,973.0,973.0,,,0
CDM,48300003,HC CONGENITAL ECHO COMPLETE,2100.0,2100.0,,,0
CDM,48300005,HC ECHOCARDIOGRAMCONGENITAL F/U,2100.0,2100.0,,,0
CDM,48300006,HC ECHO 2D W DOPPLER/COLOR FLOW,2200.0,2200.0,,,0
CDM,48300011,HC 2D ECHO PEDI W/O DOPPLER,2100.0,2100.0,,,0
CDM,48300012,HC 2D ECHOCARDIOGRAM LTD,1120.0,1120.0,,,0
CDM,48300014,HC TRANSESOPHAGEAL ECHOCARD,1876.0,1876.0,,,0
CDM,48300017,HC TRANSESOPHAGEAL ECHOCONGENITAL,1705.0,1705.0,,,0
CDM,48300018,HC DOPPLER ECHOCARD PULSE WAVE W SPECTRAL DISPLAY COMPL ADD-ON CODE,366.0,366.0,,,0
CDM,48300021,HC LIMITED DOPPLER STUDY,118.0,118.0,,,0
CDM,48300023,HC DOPPLER COLOR FLOW,430.0,430.0,,,0
CDM,48300025,HC ECHO/ADULT PHARMACOLOGIC,2129.0,2129.0,,,0
CDM,48300026,HC STRESS ECHOCARDIOGRAPHY,2129.0,2129.0,,,0
CDM,48300032,HC ECHO WITH CONTRAST,2200.0,2200.0,,,0
CDM,48300033,HC STRESS ECHOS WITH CONTRAST,2129.0,2129.0,,,0
CDM,48300034,HC ECHO TEE GUID TRANCATH INTRACAR/VESSEL STRUCT INTERVENT,1161.0,1161.0,,,0
CDM,48300040,HC MYOCARDIAL STRAIN IMG USE SPECK TRACK DERIVED ASSESS MYOC MECH,138.0,138.0,,,0
CDM,48300050,HC 3D ECHO IMG & PST PROC TEE/TTE CONG CARDIAC ANOMALIES,585.0,585.0,,,0
CDM,48300051,HC TTE W CONTRAST OR WO FOLLW W CONTRAST 2D FOLLOWUP OR LMTD STUDY,1120.0,1120.0,,,0
CDM,48300052,HC TEE W CONT OR WO FOLLOW W CONT 2D INCL PROBE PLCMNT IMG ACQ INT&RPT,1876.0,1876.0,,,0
CDM,48300053,HC TTE W CONT OR WO FOLLOW W CONT 2D REST&CARDIO STRESS TEST W INT&RPT,2129.0,2129.0,,,0
CDM,48300060,HC TTE W OR WO FOLLOW W CONT CONG CARDIAC ANOMAL COMPL,2100.0,2100.0,,,0
CDM,48300061,HC TTE W OR WO FOLLOW W CONT REAL-TIME IMG DOC COMPL W DOPPLER,2200.0,2200.0,,,0
CDM,48300065,HC TTE W OR WO FOLLOW W CONT CONG CARDIAC ANOMAL F/U OR LMTD STDY,2100.0,2100.0,,,0
CDM,48300066,HC TTE W OR WO FOLLOW W CONT CONG CARD ANOM INCL PRB PLCMT IMG ACQ I&R,1821.0,1821.0,,,0
CDM,51000001,HC ACNE SURG OPEN/REM MULT MILIA,960.0,960.0,,,0
CDM,51000002,HC I & D ABSCESS SIMPLE/SINGLE,664.0,664.0,,,0
CDM,51000003,HC I&D ABSCESS MULTIPLE OR COMPLICATED,664.0,664.0,,,0
CDM,51000004,HC I & D PILONIDAL CYST,1709.0,1709.0,,,0
CDM,51000005,HC FOREIGN BODY REMOVAL SC,1490.0,1490.0,,,0
CDM,51000006,HC I&D HEMATOMA FLUID COLLECTION,3687.0,3687.0,,,0
CDM,51000007,HC PUNCTURE ASPIRATION,618.0,618.0,,,0
CDM,51000008,HC I&D POST OP WOUND,6462.0,6462.0,,,0
CDM,51000011,HC DEBRIDE SUBCU TISS 1ST 20SQ CM,1559.0,1559.0,,,0
CDM,51000012,HC CUT BENIGN HYPEK LESION SINGLE,455.0,455.0,,,0
CDM,51000013,HC CUT BENIGN HYPEK 2-4 LESIONS,455.0,455.0,,,0
CDM,51000014,HC CUT BENIGN HYPEK LESION > 4,613.0,613.0,,,0
CDM,51000017,HC REM SKIN TAGS UP TO 15 LESIONS,455.0,455.0,,,0
CDM,51000018,HC REM SKIN TAGS EA AD 10 LESIONS,174.0,174.0,,,0
CDM,51000019,HC SHAVE LESION TRUNK/LIMB TO.5CM,348.0,348.0,,,0
CDM,51000020,HC SHAVE LESION TRUNK/LIMB .6-1.0,455.0,455.0,,,0
CDM,51000021,HC SHAVE LESION TRUNK/LIMB 1.1-2,455.0,455.0,,,0
CDM,51000022,HC SHAVE LESION TRUNK/LIMB >2CM,613.0,613.0,,,0
CDM,51000023,HC SHAVE LESION HD/HND/FT TO .5CM,455.0,455.0,,,0
CDM,51000024,HC SHAVE LESION HD/HND/FT 0.6-1.0,455.0,455.0,,,0
CDM,51000025,HC SHAVE LESION HD/HND/FT 1.1-2.0,455.0,455.0,,,0
CDM,51000026,HC SHAVE LESION HD/HND/FT >2.0 CM,613.0,613.0,,,0
CDM,51000027,HC SHAVE LESION FACE TO 0.5CM,455.0,455.0,,,0
CDM,51000028,HC SHAVE LESION FACE 0.6-1.0CM,455.0,455.0,,,0
CDM,51000029,HC SHAVE LESION FACE 1.1-2.0CM,1033.0,1033.0,,,0
CDM,51000030,HC SHAVE LESION FACE >2.0CM,1033.0,1033.0,,,0
CDM,51000031,HC EXC BEN LESION TRNK LIMB TO .5,1600.0,1600.0,,,0
CDM,51000032,HC EXC BEN LESION TRNK/LIMB .6-1,1490.0,1490.0,,,0
CDM,51000033,HC EXC BEN LESION TRNK/LIMB 1.1-2,1600.0,1600.0,,,0
CDM,51000034,HC EXC BEN LESION TRNK/LIMB 2.1-3,2678.0,2678.0,,,0
CDM,51000035,HC EXC BEN LESION TRNK/LIMB 3.1-4,4325.0,4325.0,,,0
CDM,51000036,HC EXC BEN LESION TRNK/LIMB >4.0,8483.0,8483.0,,,0
CDM,51000037,HC EXC BEN LESION HD HND FT TO .5,3938.0,3938.0,,,0
CDM,51000038,HC EXC BEN LESION HD/HND/FT .6-1,2678.0,2678.0,,,0
CDM,51000039,HC EXC BEN LESION HD/HND/FT 1.1-2,3938.0,3938.0,,,0
CDM,51000040,HC EXC BEN LESION HD/HND/FT 2.1-3,4325.0,4325.0,,,0
CDM,51000041,HC EXC BEN LESION HD HND FT 3.1-4,4325.0,4325.0,,,0
CDM,51000042,HC EXC BEN LESION FACE TO 0.5CM,1600.0,1600.0,,,0
CDM,51000043,HC FNA WITHOUT IMAGING GUIDANCE,613.0,613.0,,,0
CDM,51000045,HC EXC BEN LESION FACE 2.1-3.0CM,3938.0,3938.0,,,0
CDM,51000046,HC EXC BEN LESION FACE 3.1-4.0CM,3938.0,3938.0,,,0
CDM,51000047,HC EXC BEN LESION FACE >4.0CM,8483.0,8483.0,,,0
CDM,51000048,HC EXC MAL LESION TRNK/LIMB TO .5,2678.0,2678.0,,,0
CDM,51000049,HC EXC MAL LESION TRNK/LIMB .6-1,1560.0,1560.0,,,0
CDM,51000050,HC EXC MAL LESION TRNK/LIMB 1.1-2,1510.0,1510.0,,,0
CDM,51000051,HC EXC MAL LESION TRNK LIMB 2.1-3,2678.0,2678.0,,,0
CDM,51000052,HC EXC MAL LESION TRNK/LIMB 3.1-4,2678.0,2678.0,,,0
CDM,51000053,HC EXC MAL LESION TRNK LIMB >4CM,4325.0,4325.0,,,0
CDM,51000054,HC EXC MAL LESION HD HND FT TO .5,3938.0,3938.0,,,0
CDM,51000055,HC EXC MAL LESION HD/HND/FT .6-1,2678.0,2678.0,,,0
CDM,51000056,HC EXC MAL LESION HD/HND/FT 1.1-2,2678.0,2678.0,,,0
CDM,51000057,HC EXC MAL LESION HD/HND/FT 2.1-3,3938.0,3938.0,,,0
CDM,51000058,HC EXC MAL LESION HD/HND/FT 3.1-4,4325.0,4325.0,,,0
CDM,51000059,HC EXC MAL LESION HD/HND/FT >4CM,8483.0,8483.0,,,0
CDM,51000060,HC EXC MAL LESION FACE TO 0.5CM,2678.0,2678.0,,,0
CDM,51000061,HC EXC MAL LESION FACE 0.6-1.0CM,2678.0,2678.0,,,0
CDM,51000062,HC EXC MAL LESION FACE 1.1-2.0CM,2678.0,2678.0,,,0
CDM,51000063,HC EXC MAL LESION FACE 2.1-3.0CM,3938.0,3938.0,,,0
CDM,51000064,HC EXC MAL LESION FACE 3.1-4.0CM,4325.0,4325.0,,,0
CDM,51000065,HC EXC MAL LESION FACE >4.0CM,8483.0,8483.0,,,0
CDM,51000066,HC TRIMMING NONDYSTROPHIC NAILS,283.0,283.0,,,0
CDM,51000067,HC DEBRIDE NAIL 1-5,283.0,283.0,,,0
CDM,51000068,HC DEBRIDE NAIL 6 OR MORE,283.0,283.0,,,0
CDM,51000069,HC AVULSION NAIL PLATE PART/COMP,613.0,613.0,,,0
CDM,51000071,HC EVACUATION SUBUNGUAL HEMATOMA,283.0,283.0,,,0
CDM,51000072,HC EXCISION OF NAIL PART/COMP,1525.0,1525.0,,,0
CDM,51000075,HC INJ INTRALESIONAL TO 7 LESIONS,455.0,455.0,,,0
CDM,51000076,HC INTRALESIONAL INJ >7 LESIONS,455.0,455.0,,,0
CDM,51000077,HC REMOVE IMPLANT CONTRACPT CAPS,1600.0,1600.0,,,0
CDM,51000078,HC SUBC HORMONE PELLETT IMPLANT,638.0,638.0,,,0
CDM,51000079,HC INSERT NONBIO DRUG DELV IMPLNT,425.0,425.0,,,0
CDM,51000080,HC REMOVE NONBIO DRUG DELV IMPLNT,425.0,425.0,,,0
CDM,51000081,HC REM&REINSERT DRUG DELV IMPLNT,425.0,425.0,,,0
CDM,51000082,HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR<,455.0,455.0,,,0
CDM,51000083,HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,455.0,455.0,,,0
CDM,51000084,HC SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,455.0,455.0,,,0
CDM,51000086,HC TO 2.5CM SUTURE INTER BODY,907.0,907.0,,,0
CDM,51000087,HC REPAIR INTERMED SCLP AXL TRNK &OR EXTRM 2.6-7.5CM,907.0,907.0,,,0
CDM,51000089,HC DRES/DEBRID PART BURNS 5%-10%,613.0,613.0,,,0
CDM,51000090,HC DRES/DEBRID PART BURNS >10%,613.0,613.0,,,0
CDM,51000091,HC DESTRUCTION BENIGN 1ST LESION,455.0,455.0,,,0
CDM,51000092,HC DESTRUCT 2 THRU 14 LESIONS EA,125.0,125.0,,,0
CDM,51000093,HC DESTRUCT 15 OR MORE LESIONS,1069.0,1069.0,,,0
CDM,51000095,HC DESTRUCTION OF UP TO 14 WARTS,455.0,455.0,,,0
CDM,51000096,HC DESTRUCT 15 OR MORE WARTS,613.0,613.0,,,0
CDM,51000097,HC CHEMICAL CAUTERIZATION TISSUE,613.0,613.0,,,0
CDM,51000100,HC DEST MALIG LES 1.1-2.0CM TRUNK,613.0,613.0,,,0
CDM,51000101,HC DEST MALIG LES 2.1-3.0CM TRUNK,613.0,613.0,,,0
CDM,51000113,HC BX BREAST PERC W/O IMAGE,4475.0,4475.0,,,0
CDM,51000118,HC TENDON SHEATH INJECTION,825.0,825.0,,,0
CDM,51000120,HC INJ TRIGGER PT ONE/TWO MUSCLE,1575.0,1575.0,,,0
CDM,51000121,HC INJ TRIGG PT THREE/MORE MUSCLE,1625.0,1625.0,,,0
CDM,51000122,HC INJ ASP SMALL JOINT,925.0,925.0,,,0
CDM,51000123,HC INJ ASP INTERMED JOINT,1480.0,1480.0,,,0
CDM,51000124,HC INJ ASP MAJOR JOINT,1510.0,1510.0,,,0
CDM,51000125,HC ASP/INJ GANG CYST(S) ANY LOC,1480.0,1480.0,,,0
CDM,51000126,HC REMOVAL TONGS OR HALO APPL BY ANOTHER INDIVIDUAL,425.0,425.0,,,0
CDM,51000127,HC REMOVAL IMPLANT SUPERFICIAL,4325.0,4325.0,,,0
CDM,51000136,HC CL TMT RAD HD SUBLUX CH W/MAN,721.0,721.0,,,0
CDM,51000142,HC CLOSED TX METACARPAL FX SINGLE WO MAN EACH BONE,536.0,536.0,,,0
CDM,51000151,HC TENOTOMY TOE SING TENDON,4758.0,4758.0,,,0
CDM,51000162,HC REM FB FOOT SUBCU,2678.0,2678.0,,,0
CDM,51000163,HC REM FB FOOT DEEP,2554.0,2554.0,,,0
CDM,51000176,HC APP LONG ARM CAST,611.0,611.0,,,0
CDM,51000178,HC SHORT ARM CAST ELBOW TO FINGER,611.0,611.0,,,0
CDM,51000181,HC APP LONG ARM SPLINT,490.0,490.0,,,0
CDM,51000182,HC APP SHORT ARM SPLINT,490.0,490.0,,,0
CDM,51000183,HC APP FINGER SPLINT STATIC,291.0,291.0,,,0
CDM,51000187,HC APP LONG LEG CAST,611.0,611.0,,,0
CDM,51000188,HC APP LONG LEG AMB TYPE CAST,611.0,611.0,,,0
CDM,51000189,HC APP LEG CAST BRACE,611.0,611.0,,,0
CDM,51000190,HC APP CYLINDER CAST,611.0,611.0,,,0
CDM,51000191,HC APP SHORT LEG CAST BELOW KNEE,611.0,611.0,,,0
CDM,51000192,HC APP SHORT LEG AMB TYPE CAST,611.0,611.0,,,0
CDM,51000193,HC APP PTB CAST,611.0,611.0,,,0
CDM,51000194,HC APPLICATION OF RIGID LEG CAST,611.0,611.0,,,0
CDM,51000195,HC APP CLUB FOOT CAST,416.0,416.0,,,0
CDM,51000197,HC APP SHORT LEG SPLINT CALF/FOOT,416.0,416.0,,,0
CDM,51000199,HC UNNA BOOT APPL,575.0,575.0,,,0
CDM,51000204,HC WEDGING OF A CAST,416.0,416.0,,,0
CDM,51000206,HC BIOPSY INTRANASAL,2084.0,2084.0,,,0
CDM,51000207,HC REMOVAL OF FOREIGN BODY NOSE,425.0,425.0,,,0
CDM,51000208,HC NASAL CAUTERY/PACKING LIMITED,351.0,351.0,,,0
CDM,51000209,HC NASAL CAUTERY/PACKING COMPLEX,351.0,351.0,,,0
CDM,51000210,HC CONTROL NASAL HEMORR POST W/NASAL PACKS AND/OR CAUTERY INITIAL,351.0,351.0,,,0
CDM,51000212,HC NASAL ENDOSCOPY UNI/BILAT,813.0,813.0,,,0
CDM,51000213,HC NASAL/SINUS ENDOSCOPY W/BX POLYPECT OR DEBRID,4636.0,4636.0,,,0
CDM,51000214,HC TRACH TUBE CHNG PRIOR FIS TRAC,575.0,575.0,,,0
CDM,51000215,HC LARYNGOSCOPY INDIRECT,626.0,626.0,,,0
CDM,51000218,HC LARYNGOSCOPY W/WO TRACHEOSCOPY DIAG EXC NEWBORN,5251.0,5251.0,,,0
CDM,51000219,HC LARYNGOSCOPY FLEX DIAG,1510.0,1510.0,,,0
CDM,51000220,HC LARYNGOSCOPY W/BX,5251.0,5251.0,,,0
CDM,51000223,HC BRONCH THROUGH EST TRACH INCISION,3090.0,3090.0,,,0
CDM,51000225,HC BRONCHOSCOPY DX W/WO CELL WASH,3469.0,3469.0,,,0
CDM,51000226,HC BRONCHOSCOPY DX W/BRUSHING,4460.0,4460.0,,,0
CDM,51000227,HC BRONCHOSCOPY ALVEOLAR LAVAGE,3578.0,3578.0,,,0
CDM,51000228,HC BRONCHOSCOPY DX W/BIOPSY,4460.0,4460.0,,,0
CDM,51000229,HC BRONCH W/REMOVAL FOREIGN BODY,3763.0,3763.0,,,0
CDM,51000230,HC BRONCH W/DRAIN ABCESS INITIAL,3763.0,3763.0,,,0
CDM,51000231,HC BRONCH W/DRAIN ABCESS SUBSEQ,3010.0,3010.0,,,0
CDM,51000232,HC UNLISTED PROC TRACHEA BRONCHI,2496.0,2496.0,,,0
CDM,51000233,HC THORACENTESIS WO US GUIDANCE,2678.0,2678.0,,,0
CDM,51000237,HC THERAPEUTIC APHERESIS RBC,4368.0,4368.0,,,0
CDM,51000238,HC BLOOD COL FROM IMPLANTED VAD,353.0,353.0,,,0
CDM,51000239,HC COLLECT BLOOD FROM PICC,336.0,336.0,,,0
CDM,51000240,HC DECLOTTING THROMBOLYTIC AGENT,860.0,860.0,,,0
CDM,51000243,HC DIAGNOSTIC BONE MARROW BIOPSY,2700.0,2700.0,,,0
CDM,51000244,HC BIOPSY OF LIP,935.0,935.0,,,0
CDM,51000246,HC BX VESTIBULE MOUTH,935.0,935.0,,,0
CDM,51000247,HC EXC OF MOUTH LESION W/O REPAIR,8020.0,8020.0,,,0
CDM,51000248,HC DESTRUC LESION VESTIBULE MOUTH,4564.0,4564.0,,,0
CDM,51000249,HC INCISION OF LINGUAL FRENUM,2084.0,2084.0,,,0
CDM,51000250,HC BX OF TONGUE ANT TWO THIRDS,1667.0,1667.0,,,0
CDM,51000251,HC BIOPSY FLOOR OF MOUTH,2710.0,2710.0,,,0
CDM,51000252,HC EX LESION TONGUE W/O CLOSURE,4564.0,4564.0,,,0
CDM,51000255,HC BX OF PALATE,2084.0,2084.0,,,0
CDM,51000257,HC I&D ABSCESS TONSIL,1088.0,1088.0,,,0
CDM,51000258,HC BIOPSY OROPHARYNX,3824.0,3824.0,,,0
CDM,51000261,HC RECTAL SUCTION BIOPSY,4660.0,4660.0,,,0
CDM,51000265,HC BLADDER IRRIG SIMP LAVAGE INS,879.0,879.0,,,0
CDM,51000266,HC CATHERIZATION RESIDUAL URINE,425.0,425.0,,,0
CDM,51000267,HC CATHERIZATION URETHRA SIMPLE,425.0,425.0,,,0
CDM,51000268,HC CATHERIZATION URETHRA COMPLEX,879.0,879.0,,,0
CDM,51000269,HC CHANGE OF BLADD TUBE SIMPLE,1480.0,1480.0,,,0
CDM,51000270,HC BLADD INSTILL ANTICARCIN AGENT,825.0,825.0,,,0
CDM,51000272,HC CYSTOSCOPY,2678.0,2678.0,,,0
CDM,51000275,HC CYSTOURETHROSCOPY W/STENT REM,4625.0,4625.0,,,0
CDM,51000280,HC DESTRUC OF LESION PENIS SIMPLE,1494.0,1494.0,,,0
CDM,51000284,HC FRENULOTOMY OF PENIS,4998.0,4998.0,,,0
CDM,51000290,HC VASECTOMY,4998.0,4998.0,,,0
CDM,51000295,HC LYSIS LABIAL ADHESIONS,4845.0,4845.0,,,0
CDM,51000296,HC DESTRUCT LESION VULVA SIMPLE,4996.0,4996.0,,,0
CDM,51000297,HC BIOPSY VULVA ONE LESION,1525.0,1525.0,,,0
CDM,51000298,HC BIOPSY VULVA EA SEPARATE ADDL LESION,441.0,441.0,,,0
CDM,51000306,HC IRRIGATION OF VAGINA,526.0,526.0,,,0
CDM,51000307,HC FITTING AND INSERTION PESSARY,526.0,526.0,,,0
CDM,51000308,HC DIAPHRAGM OR CERV CAP FITTING W INSTRUCTIONS,705.0,705.0,,,0
CDM,51000310,HC PELVIC EXAM UNDER ANESTHESIA,4845.0,4845.0,,,0
CDM,51000311,HC REMOVAL VAGINA FB W/ANESTHESIA,4845.0,4845.0,,,0
CDM,51000312,HC COLPOSCOPY ENTIRE VAGINA,866.0,866.0,,,0
CDM,51000314,HC COLPOSCOPY CERVIX,825.0,825.0,,,0
CDM,51000322,HC ENDOMETRIAL BIOPSY,825.0,825.0,,,0
CDM,51000324,HC INSERTION OF IUD,490.0,490.0,,,0
CDM,51000327,HC REMOVAL OF IUD,825.0,825.0,,,0
CDM,51000330,HC LUMB PUNCT SPINAL PUNC DIAG,1573.0,1573.0,,,0
CDM,51000334,HC INJECTION ILIOINGUINAL NERVE,2678.0,2678.0,,,0
CDM,51000335,HC INJECTION PERIPHERAL NERVE,2678.0,2678.0,,,0
CDM,51000336,HC CHEMODENERVATION FACE MUSCLE,1050.0,1050.0,,,0
CDM,51000363,HC INTRAVITERAL INJ OF AGENT,1008.0,1008.0,,,0
CDM,51000377,HC EXCISION OF CHALAZION SINGLE,1008.0,1008.0,,,0
CDM,51000378,HC EXCISION CHALZION MUL SAME LID,2586.0,2586.0,,,0
CDM,51000379,HC EXCISION CHALZION MUL DIF LIDS,1008.0,1008.0,,,0
CDM,51000380,HC BIOPSY OF EYELID,1510.0,1510.0,,,0
CDM,51000384,HC DESTRUC LESION LID MARGIN <1CM,2586.0,2586.0,,,0
CDM,51000387,HC REPAIR EYELID WOUND FULL THICK,4845.0,4845.0,,,0
CDM,51000391,HC EXCISION LESION CONJUNCTIVA UP TO 1CM,5589.0,5589.0,,,0
CDM,51000396,HC REMOVAL FB OR DACRYOLITH LACRIMAL PASSAGES,1490.0,1490.0,,,0
CDM,51000402,HC PROB NASOLACRIMAL DUCT W/WO IR,1008.0,1008.0,,,0
CDM,51000404,HC I&D EAR SIMPLE,1709.0,1709.0,,,0
CDM,51000405,HC I&D AUDITORY CANAL ABSCESS,1709.0,1709.0,,,0
CDM,51000406,HC BIOPSY EXTERNAL EAR,1510.0,1510.0,,,0
CDM,51000408,HC EXC SOFT TISS LESI EXTERNL EAR,4325.0,4325.0,,,0
CDM,51000409,HC REM/FB EXTERNL EAR W/O ANES,291.0,291.0,,,0
CDM,51000411,HC REM IMPACT CERUMEN W INSTR UNI,226.0,226.0,,,0
CDM,51000412,HC DEBRID MASTOID CAVITY SIMPLE,455.0,455.0,,,0
CDM,51000413,HC MYRINGOTOMY ASPIRATION/ENST,935.0,935.0,,,0
CDM,51000415,HC TYMPANOSTOMY W/VENT W/ANES,1667.0,1667.0,,,0
CDM,51000427,HC FUNDUS PHOTOGRAPHY W/INTER&REP,323.0,323.0,,,0
CDM,51000439,HC DEBRIDEMENT SKIN 1ST 20 SQ CM,625.0,625.0,,,0
CDM,51000441,HC DEBRIDE SKIN EACH ADDL 20 SQCM,706.0,706.0,,,0
CDM,51000442,HC NEG PRESS DME WOUND TX <50CM,500.0,500.0,,,0
CDM,51000443,HC NEG PRESS DME WOUND TX >50CM,441.0,441.0,,,0
CDM,51000445,HC EVE OR WE VST IN ADD TO VISIT,69.0,69.0,,,0
CDM,51000460,HC OPD NEW PT LEVEL II,228.0,228.0,,,0
CDM,51000475,HC OPD NEW PT LEVEL III,299.0,299.0,,,0
CDM,51000490,HC OPD NEW PT LEVEL IV,386.0,386.0,,,0
CDM,51000505,HC OPD NEW PT LEVEL V,507.0,507.0,,,0
CDM,51000521,HC OPD ESTAB PT LEVEL I,185.0,185.0,,,0
CDM,51000536,HC OPD ESTAB PT LEVEL II,238.0,238.0,,,0
CDM,51000551,HC OPD ESTAB PT LEVEL III,323.0,323.0,,,0
CDM,51000566,HC OPD ESTAB PT LEVEL IV,403.0,403.0,,,0
CDM,51000581,HC OPD ESTAB PT LEVEL V,484.0,484.0,,,0
CDM,51000617,HC LYSIS PENILE CIRCUMCISM LESION,4998.0,4998.0,,,0
CDM,51000627,HC CRITICAL CARE 30-74 MINS,4650.0,4650.0,,,0
CDM,51000628,HC CRITICAL CARE ADDL 30 MINS,968.0,968.0,,,0
CDM,51000633,HC TEAM CONF W/MD W/O PT 30MIN,381.0,381.0,,,0
CDM,51000634,HC PEDI NEW LESS THAN YR,396.0,396.0,,,0
CDM,51000635,HC PEDI NEW 1 TO 4 YRS,378.0,378.0,,,0
CDM,51000636,HC PEDI NEW 5 TO 11 YRS,378.0,378.0,,,0
CDM,51000638,HC NEW PT E&M 12 TO 17 YEARS,378.0,378.0,,,0
CDM,51000639,HC NEW PREV EXAM 18 TO 39 YRS,378.0,378.0,,,0
CDM,51000640,HC NEW PREV EXAM 40 TO 64 YRS,378.0,378.0,,,0
CDM,51000642,HC NEW PREV EXAM 65 & OVER,378.0,378.0,,,0
CDM,51000643,HC PEDI ESTAB LESS THAN 1 YR,302.0,302.0,,,0
CDM,51000644,HC PEDI ESTAB 1 TO 4 YRS,302.0,302.0,,,0
CDM,51000645,HC PEDI ESTAB 5 TO 11 YRS,302.0,302.0,,,0
CDM,51000648,HC ESTAB PREV EXAM 18 TO 39YRS,302.0,302.0,,,0
CDM,51000650,HC ESTAB PREV EXAM 40 TO 64YRS,332.0,332.0,,,0
CDM,51000651,HC ESTAB PREV MED 65 & OVER,302.0,302.0,,,0
CDM,51000652,HC PREV MED COUNSELING 15 MIN,67.0,67.0,,,0
CDM,51000654,HC PREV MED COUNSELING 30 MIN,133.0,133.0,,,0
CDM,51000656,HC PREV MED COUNSELING 60 MIN,254.0,254.0,,,0
CDM,51000659,HC TRANSITIONL CARE 14DAY DISC,339.0,339.0,,,0
CDM,51000660,HC TRANSITIONL CARE 7DAYS DISC,409.0,409.0,,,0
CDM,51000676,HC INTERPRETER,39.0,39.0,,,0
CDM,51000717,HC EXC BEN LESION HD HND FT >4.0,8483.0,8483.0,,,0
CDM,51000718,HC EXC BEN LESION FACE 0.6-1.0CM,1600.0,1600.0,,,0
CDM,51000719,HC EXC BEN LESION FACE 1.1-2.0CM,2678.0,2678.0,,,0
CDM,51000720,HC REPAIR SUP FACE TO 2.5CM,455.0,455.0,,,0
CDM,51000721,HC DRES/DEBRID PART BURNS <5%,613.0,613.0,,,0
CDM,51000722,HC INJ THERAPEUTIC CARPAL TUNNEL,1510.0,1510.0,,,0
CDM,51000735,HC CHEMODENR PAROTID SUBMAND G,840.0,840.0,,,0
CDM,51000736,HC CHEMONERV CHRONIC MIGRAINE,840.0,840.0,,,0
CDM,51000737,HC CHEMODENERVATION NECK MUS UNI,840.0,840.0,,,0
CDM,51000738,HC CHEMODENERV 1 EXT 1-4 MUSCLES,1573.0,1573.0,,,0
CDM,51000739,HC CHEMODENERV EA ADDL EXT 1-4 MS,425.0,425.0,,,0
CDM,51000740,HC CHEMODENERV 1 EXT 5 OR MORE MS,1573.0,1573.0,,,0
CDM,51000741,HC CHEMODENER EA ADDL EXT 5OR >MS,425.0,425.0,,,0
CDM,51000742,HC CHEMODENERV TRUNK 1-5 MUSCLES,1573.0,1573.0,,,0
CDM,51000743,HC CHEMODENER TRUNK 6OR> MUSCLES,1573.0,1573.0,,,0
CDM,51000801,HC REFRACTION,57.0,57.0,,,0
CDM,51000802,HC CHEMODENERVATION OF AXILLAE,1510.0,1510.0,,,0
CDM,51000803,HC CHEMODENERVATION EXTRAOCULAR MUSCLE,1490.0,1490.0,,,0
CDM,51000825,HC INJ SACROILIAC JT ARTHROGRAPHY,2184.0,2184.0,,,0
CDM,51000827,HC INJECTION OCCIPITAL NERVE,1490.0,1490.0,,,0
CDM,51000828,HC INJ INTERCOSTAL NERVE SINGLE,2700.0,2700.0,,,0
CDM,51001012,HC EXCISION LESION CONJUNCTIVA OVER 1CM,6441.0,6441.0,,,0
CDM,51001023,HC NEG PRESS NONDME WNDTX<=50SQCM,571.0,571.0,,,0
CDM,51001024,HC NEG PRESS NONDME WNDTX >50SQCM,571.0,571.0,,,0
CDM,51001025,HC REPROGRAMMING OF PROGRAMMABLE CEREBROSPINAL SHUNT,1510.0,1510.0,,,0
CDM,51001026,HC ELECTRONIC ANALYSIS W REPROGRAM AND REFILL,1490.0,1490.0,,,0
CDM,51001027,HC ELECTRONIC ANALYSIS W REPROGRAM AND REFILL (MD),1525.0,1525.0,,,0
CDM,51001028,HC INJ PARAVERT LS SNGL LEVEL,2700.0,2700.0,,,0
CDM,51001029,HC INJ LUMB OR SAC EA ADD LEVEL,817.0,817.0,,,0
CDM,51001030,HC INJ FACET NRV CER/THOR SINGLE LEVEL,2700.0,2700.0,,,0
CDM,51001033,HC INJ FACET JT LUM/SAC 1ST LEVEL,2700.0,2700.0,,,0
CDM,51001034,HC INJ FACET JT LUM/SAC 2ND LEVEL,1480.0,1480.0,,,0
CDM,51001035,HC INJ FACET JT 3RD LEV & ADD LEV,1480.0,1480.0,,,0
CDM,51001037,HC INJECTION OF BLOOD PATCH,2760.0,2760.0,,,0
CDM,51001039,HC PERC IMPL ELECTR ARRAY EPI,16929.0,16929.0,,,0
CDM,51001041,HC NEUROLYTIC FACT BLCK 1ST C/T,4773.0,4773.0,,,0
CDM,51001042,HC NEUROLYTIC FACT BLCK ADD C/T,1843.0,1843.0,,,0
CDM,51001043,HC NEUROLYTIC FACET BLK IST L/S,4773.0,4773.0,,,0
CDM,51001044,HC NEUROLYTIC FACET BLK ADD L/S,1843.0,1843.0,,,0
CDM,51001045,HC NEUROLYTIC PERIPHERAL NERVE,2700.0,2700.0,,,0
CDM,51001047,HC ADVANCED CARE PLAN 1ST 30 MINS,203.0,203.0,,,0
CDM,51001048,HC ADVANCED CARE PLAN ADDL 30MINS,125.0,125.0,,,0
CDM,51001049,HC COMPLEX CHRONIC CARE MGT SVCS W/O PT VISIT 1ST HR PER MTH,527.0,527.0,,,0
CDM,51001051,HC TCRANIAL MAGN STIM TX PLAN,764.0,764.0,,,0
CDM,51001052,HC TCRANIAL MAGN STIM TX DELIVERY/MGT,764.0,764.0,,,0
CDM,51001053,HC COLL & INTERP PHYSIOLOGIC DATA 30 MINS,144.0,144.0,,,0
CDM,51001054,HC PUNCTURE SHUNT ASPIRATION/INJ,2700.0,2700.0,,,0
CDM,51001057,HC INJECTION SUPRASCAPULAR NERVE,1560.0,1560.0,,,0
CDM,51001061,HC LABYRINTHOTOMY W PERF VESTIBULOACTIVE DRUG TRANSCANAL,4670.0,4670.0,,,0
CDM,51001062,HC REM IMPACT CERUMEN W IRRIGATION/LAVAGE UNI,255.0,255.0,,,0
CDM,51001063,HC SIALOLITHOTOMY SUBMAND SUBLINGUAL/PAROTID UNCOMPL INTRAORAL,7464.0,7464.0,,,0
CDM,51001065,HC EXC LESION VESTIBULE OF MOUTH SIMPLE REPAIR,4670.0,4670.0,,,0
CDM,51001070,HC PT-FOCUSED HLTH RISK ASSMNT W SCORE & DOC PER STND INSTRUM,82.0,82.0,,,0
CDM,51001071,HC CAREGIVER-FOCUSED HLTH RISK ASSMNT W SCORE & DOC PER STND INSTRUM,80.0,80.0,,,0
CDM,51001072,HC BIOPSY TONGUE POSTERIOR ONE-THIRD,4297.0,4297.0,,,0
CDM,51001074,HC SUBCUT RESERVOIR ASPIRATION,2678.0,2678.0,,,0
CDM,51001076,HC TRANSVERSE ABDOMINIS PLANE BLOCK UNILAT W IMG GUID,1954.0,1954.0,,,0
CDM,51001077,HC INJ ASP INTERMEDIATE JOINT WITH ULTRASOUND,841.0,841.0,,,0
CDM,51001078,HC INJ ASP SMALL JOINT WITH ULTRASOUND,1492.0,1492.0,,,0
CDM,51001079,HC INJ SINGLE TENDON ORIGIN/INSERTION,1510.0,1510.0,,,0
CDM,51001083,HC INJECTION FEMORAL NERVE SINGLE,1573.0,1573.0,,,0
CDM,51001085,HC DRAIN ABSCESS OR HEMATOMA NASAL SEPTUM,1088.0,1088.0,,,0
CDM,51001086,HC SLIT PREPUCE DORSAL/LATERAL EXC NEWBRN,6110.0,6110.0,,,0
CDM,51001087,HC DESTRUCTION PENIS LESION SIMPLE SURG EXC,4607.0,4607.0,,,0
CDM,51001088,HC DIAG BONE MARROW BIOPSIES & ASPIRATIONS,4755.0,4755.0,,,0
CDM,51001089,HC APPL ON-BODY INJECTOR FOR TIMED SUBCUT INJECTION,244.0,244.0,,,0
CDM,51001091,HC ASPIRATION BLADDER W INSERT SUPRAPUB CATH,4845.0,4845.0,,,0
CDM,51001092,HC CL TX INTERPHAL JOINT DISLOC SNGL W MANI WO ANES,536.0,536.0,,,0
CDM,51001096,HC REM FB FOOT COMPLICATED,2075.0,2075.0,,,0
CDM,51001102,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,639.0,639.0,,,0
CDM,51001103,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDL LESION,174.0,174.0,,,0
CDM,51001104,HC PUNCH BIOPSY SKIN INCL SMPL CLOSE WHEN PERF SINGLE LESION,639.0,639.0,,,0
CDM,51001105,HC PUNCH BIOPSY SKIN INCL SMPL CLOSE WHEN PERF EA SEP/ADDL LESION,174.0,174.0,,,0
CDM,51001106,HC INCISIONAL BIOPSY SKIN INCL SMPL CLOSE WHEN PERF SINGLE LESION,870.0,870.0,,,0
CDM,51001107,HC INCISIONAL BIOPSY SKIN INCL SMPL CLOSE WHEN PERF EA SEP/ADDL LESION,174.0,174.0,,,0
CDM,51001108,HC REPLAC GASTRO TUBE WO IMG OR GUID NOT REQ REV OF GASTRO TRACT,1510.0,1510.0,,,0
CDM,51001110,HC FNA BX WITHOUT IMG GUID EA ADDL LESION,341.0,341.0,,,0
CDM,51001112,HC BIOPSY EXTERNAL AUDITORY CANAL,5318.0,5318.0,,,0
CDM,51001113,HC DESTRUCT LESION VULVA EXTENSIVE,4996.0,4996.0,,,0
CDM,51001114,HC CYSTO W REM FB CALCULUS OR STENT COMPLICATED,10674.0,10674.0,,,0
CDM,51001115,HC RPR INTERMED WNDS FCE ERS LIDS NSE LIPS MUC MEMB 2.5CM OR<,907.0,907.0,,,0
CDM,51001116,HC VENIPUNCT <AGE 3 REQ SKILL OF PHY/QHP FEMORAL/JUGULAR,89.0,89.0,,,0
CDM,51001117,HC VENIPUNCT <AGE 3 REQ SKILL OF PHY/QHP SCALP VEIN,74.0,74.0,,,0
CDM,51001118,HC VENIPUNCT <AGE 3 REQ SKILL OF PHY/QHP OTHER VEIN,41.0,41.0,,,0
CDM,51001119,HC VENIPUNCT AGE 3YRS/> REQ SKILL OF PHY/QHP DIAG/THERA,42.0,42.0,,,0
CDM,51001121,HC CLOSED TX FX VERTEBRAL WO MANIP REQ & INC CAST/BRACE,705.0,705.0,,,0
CDM,51001122,HC CHANGE CYSTOSTOMY TUBE COMPLICATED,2678.0,2678.0,,,0
CDM,51001125,HC TENDON SHEATH INCISION,6046.0,6046.0,,,0
CDM,51001126,HC EXCISION AURAL POLYP,5039.0,5039.0,,,0
CDM,51001127,HC BIOPSY SALIVARY GLAND INCISIONAL,9850.0,9850.0,,,0
CDM,51001150,HC SPINAL PUNCTURE LUMBAR DIAG W FLUOROSCOPIC OR CT GUIDANCE,2858.0,2858.0,,,0
CDM,51001151,HC INJ ANESTH AGNT &OR STEROID NERVES INNERV SACROILIAC JNT W IMG GUI,2678.0,2678.0,,,0
CDM,51001152,HC INJ ANESTH AGNT &OR STEROID GENICULAR NRV BRNCH W IMG GUID WH PRF,2678.0,2678.0,,,0
CDM,51001153,HC INJ ANESTH AGENT &OR STEROID BRACHIAL PLEXUS,3492.0,3492.0,,,0
CDM,51001156,HC DESTRUCTION BY NEUROLYTIC AGENT GENICULAR NERVE W IMG GUID WH PERF,7591.0,7591.0,,,0
CDM,51001157,HC RADIOFEQ ABLATION NERVES INTERVATING SACROLILIAC JOINT W IMG GUID,7591.0,7591.0,,,0
CDM,51001163,HC EXCISION LINGUAL FRENUM (FRENECTOMY),5265.0,5265.0,,,0
CDM,51001165,HC IN ANES/STEROD PLANTAR COMMON DIGITAL NERVE(S),1490.0,1490.0,,,0
CDM,51001176,HC INI OR SUBSEQ PSYCH COLL CARE MGT FIRST 30 MINS,210.0,210.0,,,0
CDM,51001182,HC MICRONEEDLING FOR SCAR MANAGEMENT,501.0,501.0,,,0
CDM,51001190,HC BX OR EXC LYMPH NODE(S) NEEDLE SUPERFICIAL,4454.0,4454.0,,,0
CDM,51001197,HC DRAIN SPINAL FLUID BY NDLE CAT,2700.0,2700.0,,,0
CDM,51001198,HC DRAINAGE FINGER ABSCESS SIMPLE,664.0,664.0,,,0
CDM,51001200,HC DESTRUCTION LESION PENIS SIMPLE CRYOSURGERY,455.0,455.0,,,0
CDM,51001201,HC RPR COMPLEX SCALP/ARMS AND/OR LEGS 2.6-7.5CM,1510.0,1510.0,,,0
CDM,51001205,HC GANGLION IMPAR INJECTION,1490.0,1490.0,,,0
CDM,51001208,HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL WO IMG GUID,2700.0,2700.0,,,0
CDM,51001210,HC CNTRL NASAL HEMORR POSTR W NASAL PACKS &/ CAUTERY ANY METH SUBSEQ,369.0,369.0,,,0
CDM,51001211,HC CYSTOURETHRO W CALIBRATION DILAT URETH STRICT OR STENOSIS,4874.0,4874.0,,,0
CDM,51001213,HC APPLICATION TOPICAL FLUORIDE VARNISH BY PHY/QHCP,27.0,27.0,,,0
CDM,51001227,HC CHEMODENERV MUSC LARYNX UNILAT PERCUT W EMG WH PERF,2747.0,2747.0,,,0
CDM,51001228,HC EXC TUMOR SOFT TISS BACK OR FLANK SUBCUT 3CM OR>,7691.0,7691.0,,,0
CDM,51001229,HC EXCISION PILONIDAL CYST OR SINUS COMPLICATED,8483.0,8483.0,,,0
CDM,51001230,HC I&D ISCHIORECTAL &OR PERIRECTAL ABSCESS,4596.0,4596.0,,,0
CDM,51001231,HC BIOPSY SOFT TISSUE FOREARM &OR WRIST SUPERFICIAL,3675.0,3675.0,,,0
CDM,51001232,HC BIOPSY SOFT TISSUE NECK OR THORAX,4325.0,4325.0,,,0
CDM,51001233,HC DRESSING CHANGE UNDER ANESTHESIA,1510.0,1510.0,,,0
CDM,51001235,HC EXC TUMOR SOFT TISS THIGH/KNEE AREA SUBCUT 3CM OR>,8483.0,8483.0,,,0
CDM,51001236,HC ANORECTAL EXAM SURG REQ ANESTHESIA (GEN SPINAL OR EPI) DIAG,4990.0,4990.0,,,0
CDM,51001238,HC FINE NEEDLE ASPIR BX W US GUID 1ST LESION,2700.0,2700.0,,,0
CDM,51001240,HC REMOVAL FECAL IMPACT OR FOREIGN BODY UNDER ANESTHESIA,4629.0,4629.0,,,0
CDM,51001243,HC NASAL/SINUS ENDO W CONT NASAL HEMORRHAGE,4709.0,4709.0,,,0
CDM,51001245,HC DRAIN OF ABSC CYST HEMATOMA FROM DENTOALVEOLAR STRUCTURES,1480.0,1480.0,,,0
CDM,51001247,HC EXC TUMOR SOFT TISS NECK/ANT THORAX SUB 3 CM OR>,6881.0,6881.0,,,0
CDM,51001248,HC EXC TUMOR SOFT TISS NECK/ANT THORAX SUBCUT <3CM,4326.0,4326.0,,,0
CDM,51001249,HC EXC TUMOR SOFT TISS NECK/ANT THORAX SUBFASC <5CM,6881.0,6881.0,,,0
CDM,51001250,HC RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM,4326.0,4326.0,,,0
CDM,51001251,HC BIOPSY/EXC LYMPH NODE(S) OPEN DEEP CERVICAL,7017.0,7017.0,,,0
CDM,51001252,HC EXC LESION MUCOSA & SBMCSL VESTIBULE MOUTH CPLX EXC MUSC,8076.0,8076.0,,,0
CDM,51001253,HC EXC LESION TONGUE W CLOSURE ANT TWO THIRDS,4596.0,4596.0,,,0
CDM,51001254,HC EXC LESION TONGUE W CLOSURE POST ONE THIRD,4596.0,4596.0,,,0
CDM,51001255,HC EXC LESION TONGUE W CLOSURE W LOCAL TONGUE FLAP,7719.0,7719.0,,,0
CDM,51001256,HC EXCISION PILONIDAL CYST OR SINUS SIMPLE,8058.0,8058.0,,,0
CDM,51001257,HC EXCISION PILONIDAL CYST OR SINUS EXTENSIVE,8145.0,8145.0,,,0
CDM,51001300,HC PRGRMG DEVICE EVALUATION CARDIAC MODUL SYSTEM,213.0,213.0,,,0
CDM,51001301,HC INTERR DEVICE EVALUATION W ANAL REV & RPT IMPLANT CARD MODUL SYS,213.0,213.0,,,0
CDM,51050002,HC TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,1510.0,1510.0,,,0
CDM,51500037,HC DENTAL VARNISH APPLIC,131.0,131.0,,,0
CDM,61000001,HC MRI TMJ,2134.0,2134.0,,,0
CDM,61000002,HC MRI ORBIT FACE NECK W/O CONT,2134.0,2134.0,,,0
CDM,61000003,HC MRI ORBIT FACE NECK W/CONT,2294.0,2294.0,,,0
CDM,61000004,HC MRI ORBIT FACE NECK W/&W/O CON,4247.0,4247.0,,,0
CDM,61000005,HC MRA HEAD W/CONT,1937.0,1937.0,,,0
CDM,61000006,HC MRA HEAD W/&W/O CO & ADD SEQ,3804.0,3804.0,,,0
CDM,61000007,HC MRA NECK W/O CONT,1937.0,1937.0,,,0
CDM,61000008,HC MRA NECK W/CONT,1937.0,1937.0,,,0
CDM,61000009,HC MRA NECK WO&W CONTRAST MATERIAL & FURTHER SEQUENCES,3804.0,3804.0,,,0
CDM,61000010,HC MRI CHEST W/O CONT,2100.0,2100.0,,,0
CDM,61000011,HC MRI CHEST W/CONT,2200.0,2200.0,,,0
CDM,61000012,HC MRI CHEST W/&W/O CO & ADD SEQ,4200.0,4200.0,,,0
CDM,61000017,HC MRA SPINAL CANAL W&W/O CONT,2150.0,2150.0,,,0
CDM,61000019,HC MRI PELVIS W/O CONT,1900.0,1900.0,,,0
CDM,61000020,HC MRI PELVIS W/ CONT,2100.0,2100.0,,,0
CDM,61000021,HC MRI PELVIS W/&W/O CO & ADD SEQ,3125.0,3125.0,,,0
CDM,61000022,HC MRA PELVIS W&W/O CONTRAST,1937.0,1937.0,,,0
CDM,61000023,HC MRA PELVIS W/CONT,1937.0,1937.0,,,0
CDM,61000024,HC MRA PELVIS W/O CONT,1937.0,1937.0,,,0
CDM,61000027,HC MRA LOWER EXTR W/CONT,1937.0,1937.0,,,0
CDM,61000028,HC MRI ABDOMEN W/O CONT,2134.0,2134.0,,,0
CDM,61000030,HC MRI ABDOMEN W/CONT,2299.0,2299.0,,,0
CDM,61000031,HC MRI ABDOMEN W/&W/O CONT,3485.0,3485.0,,,0
CDM,61000032,HC MRA ABDOMINAL W&W/O CONTRAST,1937.0,1937.0,,,0
CDM,61000033,HC MRA ABDOMEN W/O CONT,1937.0,1937.0,,,0
CDM,61000034,HC MRA ABDOMEN W/CONT,1937.0,1937.0,,,0
CDM,61000035,HC MRI CARDIAC FOR MORPH W/O CO,999.0,999.0,,,0
CDM,61000036,HC CARD FOR MORPH W/O&W/CO,1680.0,1680.0,,,0
CDM,61000037,HC MRI CARD W/STRS IMAG W/O&W CO,1696.0,1696.0,,,0
CDM,61000038,HC MRI CARD FLOW MAPP ADD ON CODE,106.0,106.0,,,0
CDM,61000041,HC MRI SPECTROSCOPY,2134.0,2134.0,,,0
CDM,61000042,HC UNLISTED MRI PROC/DIAG/INTEV,830.0,830.0,,,0
CDM,61000044,HC MRI GUIDED NDL PLCMT/INJ S&I,731.0,731.0,,,0
CDM,61000051,HC MRI BONE MARROW BLOOD SUPPLY,935.0,935.0,,,0
CDM,61000055,HC MRI CARD W/STRESS IMAG W/O CO,999.0,999.0,,,0
CDM,61000057,HC MRI BREAST BX W IMG FIRST LESION,4454.0,4454.0,,,0
CDM,61000058,HC MRI BREAST BX W IMG EACH ADDL LESION,1480.0,1480.0,,,0
CDM,61000059,HC PLCMT BREAST LOC DEVICE FIRST LESION INCL MAG RES GUIDE,2700.0,2700.0,,,0
CDM,61000060,HC PLCMT BREAST LOC DEVICE EACH ADDL LESION INCL MAG RES GUIDE,1480.0,1480.0,,,0
CDM,61000062,HC MRI FETAL W PLACENT MATERN PELVIC IMG SING/1ST GEST,965.0,965.0,,,0
CDM,61000063,HC MRI FETAL W PLACENT MATERN PELVIC IMG EA ADDL GEST,463.0,463.0,,,0
CDM,61000105,HC MRI BREAST WO&W CONTRAST W CAD WHEN PERF UNILATERAL,2138.0,2138.0,,,0
CDM,61000106,HC MRI BREAST WO&W CONTRAST W CAD WHEN PERF BILATERAL,4225.0,4225.0,,,0
CDM,61000110,HC MAGNETIC RESONANCE ELASTOGRAPHY,1558.0,1558.0,,,0
CDM,61100001,HC MRI BRAIN W/O CONTRAST,2134.0,2134.0,,,0
CDM,61100002,HC MRI BRAIN W/ CONTRAST,2559.0,2559.0,,,0
CDM,61100003,HC MRI BRAIN W/W/O CONTRAST,3600.0,3600.0,,,0
CDM,61100005,HC MRI BRAIN MAP STIM BRAIN FUNC,1069.0,1069.0,,,0
CDM,61100006,HC MRI BRAIN MAP STIM W/PHYS TEST,1065.0,1065.0,,,0
CDM,61200001,HC MRI C SPINE W/O CONTRAST,2100.0,2100.0,,,0
CDM,61200005,HC MRI C SPINE W/ CONTRAST,2500.0,2500.0,,,0
CDM,61200006,HC MRI T SPINE W/O CONTRAST,2300.0,2300.0,,,0
CDM,61200008,HC MRI T SPINE W/ CONTRAST,2500.0,2500.0,,,0
CDM,61200009,HC MRI L SPINE W/O CONTRAST,2300.0,2300.0,,,0
CDM,61200010,HC MRI L SPINE W/ CONTRAST,2500.0,2500.0,,,0
CDM,61200011,HC MRI C SPINE W&W/O CONTRAST,3800.0,3800.0,,,0
CDM,61200013,HC MRI T SPINE W&W/O CONTRAST,3800.0,3800.0,,,0
CDM,61200014,HC MRI L SPINE W&W/O CONTRAST,3800.0,3800.0,,,0
CDM,61400017,HC MRI UPPER EXTREMITY WO CONT,1400.0,1400.0,,,0
CDM,61400021,HC MRI UPPER EXTREMITY W CONT,2200.0,2200.0,,,0
CDM,61400029,HC MRI UPPER EXTREMITY JOINT WO CONT,2100.0,2100.0,,,0
CDM,61400033,HC MRI UPPER EXTREMITY JOINT W CONT,2200.0,2200.0,,,0
CDM,61400038,HC MRI UPPER EXTREMITY JOINT W & WO CONT & ADDL SEQ,3100.0,3100.0,,,0
CDM,61400042,HC MRI LOWER EXTREMITY WO CONT,1400.0,1400.0,,,0
CDM,61400045,HC MRI LOWER EXTREMITY W CONT,2200.0,2200.0,,,0
CDM,61400048,HC MRI LOWER EXTREMITY W AND WO CONT AND ADDL SEQ,2100.0,2100.0,,,0
CDM,61400051,HC MRI LOWER EXTREMITY JOINT WO CONT,2100.0,2100.0,,,0
CDM,61400058,HC MRI LOWER EXTREMITY JOINT W WO CONT & ADDL SEQ,4100.0,4100.0,,,0
CDM,61400097,HC MRI LOWER EXTREMITY JOINT W CONT,2225.0,2225.0,,,0
CDM,61400110,HC MRI UPPER EXTREMITY W & WO CONT & ADDL SEQ,2100.0,2100.0,,,0
CDM,61400111,HC DIAG DIGITAL BREAST TOMOSYNTHESIS BILATERAL,44.0,44.0,,,0
CDM,61400112,HC DIAG DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,44.0,44.0,,,0
CDM,61400115,HC MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,1877.0,1877.0,,,0
CDM,61400116,HC MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,3755.0,3755.0,,,0
CDM,61400117,HC COMPUTER AIDED DETECT (CAD) BREAST MRI (ADD-ON),53.0,53.0,,,0
CDM,61400118,HC MRI BREAST WO & W CONTRAST UNILATERAL,1877.0,1877.0,,,0
CDM,61400119,HC MRI BREAST WO & W CONTRAST BILATERAL,3754.0,3754.0,,,0
CDM,61400130,HC QUAN MR ALYS TISSUE COMPOSITION WO MRI SAME ANTMY SAME SESS MLT ORG,2266.0,2266.0,,,0
CDM,61400131,HC QUAN MR ALYS TISSUE COMPOSITION W MRI SAME ANATOMY MULTI ORGANS,1011.0,1011.0,,,0
CDM,61500001,HC MRA HEAD W/O CONT,1937.0,1937.0,,,0
CDM,61500010,HC MRGFUS STEREOTACTIC ABLATION OF TARGET INTRACRANIAL,58761.91,58761.91,,,0
CDM,61600001,HC MRA LOWER EXTR WO CONT,1937.0,1937.0,,,0
CDM,61600003,HC MRA LOWER EXTR W&W/O CONT,1937.0,1937.0,,,0
CDM,61800002,HC MRA CHEST W&W/O CONT,1937.0,1937.0,,,0
CDM,61800003,HC MRA CHEST W/CONT,1937.0,1937.0,,,0
CDM,61800004,HC MRA CHEST W/O CONT,1937.0,1937.0,,,0
CDM,61800009,HC MRA UPPER EXTR W&W/O CONT,1937.0,1937.0,,,0
CDM,61800015,HC MRA UPPER EXTR W CONT,1937.0,1937.0,,,0
CDM,61800016,HC MRA UPPER EXTR W/O CONT,1937.0,1937.0,,,0
CDM,62400001,HC STUDY STENT NO CHARGE,0.01,0.01,,,0
CDM,62400012,HC 624 TRIAL STENT BSPUR,0.01,0.01,,,0
CDM,62400013,HC 624 G220300 (TRIAL SHOCKWAVE),0.01,0.01,,,0
CDM,62499999,HC FDA INVESTIGATIONAL DEVICE (TRIAL),0.01,0.01,,,0
CDM,62499999,RES ONLY-CABLE OR 8 CONTACT PUSH-BUTTON,0.01,0.01,,,0
CDM,62499999,RES ONLY-KIT EXTENSION 8 CONTACT LEAD 55CM,840.0,840.0,,,0
CDM,63612000,HC APPLICAT APLIGRAPF PER SQ CM,111.0,111.0,,,0
CDM,63612003,HC THERASKIN PER SQ CM,180.0,180.0,,,0
CDM,63612012,HC PRIMATRIX PER SQ CM,170.0,170.0,,,0
CDM,63612017,DRESSING BIO W2XL2IN BOV CLLGN AND GLYCOSAMINOGLYCAN SEMI,2133.24,2133.24,,,0
CDM,63612019,INACTIVE USE PS#103212 -  INTEGRA BILAYER MATRIX WOUND DRESS,234.0,234.0,,,0
CDM,63612023,405145 : CRYOPRESERVED SKIN MESHED 1.5:1 CRYO,1929.6,1929.6,,,0
CDM,63612023,DRESSING BIO 7.4CM X 0.1CM X 5.2CM BOV CLLGN ACELLULR DERM,5477.38,5477.38,,,0
CDM,63612031,413070 : GRAFT HUM TISS 1X4CM THK1+--0.2MM RECT THN REGEN TISS MTRX,147.6,147.6,,,0
CDM,63612031,413587 : GRAFT HUM TISS 1X4CM THK2.4+--0.4MM RECT THCK REGEN TISS,147.6,147.6,,,0
CDM,63612031,GRAFT HUM TISS 1X4CM THK1+/-0.2MM RECT THN REGEN TISS MTRX,147.6,147.6,,,0
CDM,63612032,2X4 ALLODERM SELECT MEDIUM,128.7,128.7,,,0
CDM,63612032,413423 : 2X4 ALLODERM SELECT MEDIUM,128.7,128.7,,,0
CDM,63612032,GRAFT HUM TISS 2X4CM THK1+/-0.2MM RECT THN REGEN TISS MTRX,128.7,128.7,,,0
CDM,63612034,413334 : GRAFT HUM TISS 4X7CM THK1.6+--0.4MM RECT MD THCK REGEN TISSS,101.91,101.91,,,0
CDM,63612034,ALLODERM IMPLANTABLE 4X7 CM .79-1.78 (MM),69.94,69.94,,,0
CDM,63612034,GRAFT HUM TISS 4X7CM THK1.6+/-0.4MM RECT MD THCK REGEN TISSS,66.69,66.69,,,0
CDM,63612036,377577 : GRAFT HUM TISS M W4XL12CM THK1.6MM +--0.4MM WHL ALLGRFT,66.4,66.4,,,0
CDM,63612036,GRAFT HUM TISS M W4XL12CM THK1.6MM +/-0.4MM WHL ALLGRFT,64.45,64.45,,,0
CDM,63612041,ALLODERM 8 X 16 EXTRA THICK READY TO USE,68.12,68.12,,,0
CDM,63612045,377614 : GRAFT HUM TISS W16XL20CM THK2-2.8MM THCK ACELLULR DERM REGEN,70.16,70.16,,,0
CDM,63612045,408069 : ALLODERM SELECT 16 X 20 PERF-THK 2.0-2.8,72.27,72.27,,,0
CDM,63612045,ALLODERM SELECT 16 X 20 PERF-THK 2.0-2.8,72.27,72.27,,,0
CDM,63612045,GRAFT HUM TISS W16XL20CM THK2-2.8MM THCK ACELLULR DERM REGEN,70.16,70.16,,,0
CDM,63612045,GRAFT HUMAN TISSUE W16XL20CM THK0.4-1.6MM REGENERATIVE TISSU,70.16,70.16,,,0
CDM,63612046,STRATTICE RECONSTRUCTIVE MATRIX 20CM X 20CM FIRM,350.18,350.18,,,0
CDM,63612060,150125 : GRAFT HUM TISS ACELLULR DERM MTRX 40MM X 70MM THCK 1.5MM,286.88,286.88,,,0
CDM,63612064,HC GRAFIX CORE PER SQ CM,433.0,433.0,,,0
CDM,63612065,HC GRAFIX PRIME PER SQ CM,404.0,404.0,,,0
CDM,63612069,IMPLANT BIO TISS 500MG PORCINE MTRX MICRONIZED PARTIC,6.04,6.04,,,0
CDM,63612073,108474 : DRESSING BIO W4XL5IN BOV CLLGN AND GLYCOSAMINOGLYCAN SEMI,143.52,143.52,,,0
CDM,63612073,DRESSING BIO W4XL5IN BOV CLLGN AND GLYCOSAMINOGLYCAN SEMI,794.17,794.17,,,0
CDM,63612079,DRESSING WND BIO W5XL5CM EPITHELIAL BASEMENT MEM NUMEROUS,69.59,69.59,,,0
CDM,63612090,HC EPIFIX PER SQ CM,456.0,456.0,,,0
CDM,63612091,HC EPICORD PER SQ CM,456.0,456.0,,,0
CDM,63612094,546582 : SKIN FISH 95CM2 KERECIS OMEGA3 SURGICLOSE MIC,147.42,147.42,,,0
CDM,63612122,HC PURAPLY PER SQ CM,258.0,258.0,,,0
CDM,63612123,HC PURAPLY AM PER SQ CM,630.0,630.0,,,0
CDM,63612125,HC NUSHIELD DEHYDRATED PLACENTAL ALLOGRAFT PER SQ CM,245.0,245.0,,,0
CDM,63612126,HC NUSHIELD PATCH PER SQ CM,371.0,371.0,,,0
CDM,63612127,HC NUSHIELD DISC PER SQ CM,553.0,553.0,,,0
CDM,63612128,HC NUSHIELD PLACENTAL DEHYDRATED BIORESORBABLE PER SQ CM,263.0,263.0,,,0
CDM,63612129,HC PURAPLY COLLAGEN MATRIX PER SQ CM,288.0,288.0,,,0
CDM,63612130,HC PURAPY COLLAGEN PER SQ CM,315.0,315.0,,,0
CDM,63612131,HC PURAPLY AM ANTIMICROBIAL PER SQ CM,266.0,266.0,,,0
CDM,63612132,HC PURAPLY AM PORCINE PHMB PER SQ CM,377.0,377.0,,,0
CDM,63612190,412462 : SET SPR L40CM 360DEG FIBRIN SEAL ENDOSCP GAS ASST FLX APPL,313.64,313.64,,,0
CDM,63612190,SET SPR L40CM 360DEG FIBRIN SEAL ENDOSCP GAS ASST FLX APPL,318.48,318.48,,,0
CDM,63612196,377597 : IMPLANT HUM TISS REGEN MTRX M 9.6CM X 19.3CM THCK 1.6MM,47.7,47.7,,,0
CDM,63612196,IMPLANT HUM TISS REGEN MTRX M 9.6CM X 19.3CM THCK 1.6MM,47.7,47.7,,,0
CDM,63612200,408513 : DRESSING BIO W20XL40CM MEL DRFU VLU SYN SEAL MEM BONDING,30.0,30.0,,,0
CDM,63612201,408512 : DRESSING BIO W10XL20CM MEL DRFU VLU SYN SEAL MEM BONDING,30.0,30.0,,,0
CDM,63612201,HC 636 SKIN SUBSTITUTE A2006 (200 SQCM),20.4,20.4,,,0
CDM,63612202,408511 : DRESSING BIO W10XL10CM MEL DRFU VLU SYN SEAL MEM BONDING,30.0,30.0,,,0
CDM,63612202,DRESSING BIO W10XL10CM MEL DRFU VLU SYN SEAL MEM BONDING,31.48,31.48,,,0
CDM,63612204,413348 : GRAFT SYN 7.1X9.1IN ALLOPLASTIC SKIN SUB 5 MEM SUPRATHEL,1.88,1.88,,,0
CDM,63612204,GRAFT SYN 7.1X9.1IN ALLOPLASTIC SKIN SUB 5 MEM SUPRATHEL,1.88,1.88,,,0
CDM,63612205,413347 : DRESSING BRN 18X10CM SYN MEM SUPRATHEL,2.47,2.47,,,0
CDM,63612205,DRESSING BRN 18X10CM SYN MEM SUPRATHEL,2.47,2.47,,,0
CDM,63612205,HC 636 SKIN SUBSTITUTE A2012 (180 SQCM),2.47,2.47,,,0
CDM,63613000,HC LISOCABTAGENE MARA CAR POS T CELLS PER THERA DOSE (BREYANZI),1062700.8,1062700.8,,,0
CDM,63613001,HC IDECABTAGENE VICLEUCEL CAR POS T CELLS PER THERA DOSE (ABECMA),1056624.86,1056624.86,,,0
CDM,63614000,HC INTEGRA BILAYER MATRIX WOUND DRESSING,2329.2,2329.2,,,0
CDM,63644444,HC CONTINUOUS INHALED NITRIC OXIDE PER HOUR,515.0,515.0,,,0
CDM,63699999,405144 : GRAFT HUM TISS 500SQ CM CRYOSKIN MESH BIO BARR READIGRAFT,4017.6,4017.6,,,0
CDM,63699999,ALLODERM (RTU) CONTOUR MEDIUM PERFORATED - THICK 2.4 - 0.4MM,57.88,57.88,,,0
CDM,63699999,GRAFT BIO TISS 15X25CM EXTRA THCK RECON STRATTICE,57.7,57.7,,,0
CDM,63699999,GRAFT HUM TISS W15XH5XL12.5MM ANT ADV CERV SPCR PARA FD,1240.8,1240.8,,,0
CDM,63699999,MAGTRACE,3710.0,3710.0,,,0
CDM,63699999,NOVOSORB,30.0,30.0,,,0
CDM,63699999,NOVOSORB BTM 10CMX10CM-100SQ/CM,20.4,20.4,,,0
CDM,63699999,STRATTICE RECONSTRUCTIVE TISSUE MATRIX 15 X 25 FIRM,56.03,56.03,,,0
CDM,68100001,HC TRAUMA ACTIVATION GRTR THAN 30 MINS,6250.0,6250.0,,,0
CDM,68100002,HC TRAUMA ACTIVATION LESS THAN 30 MINS,5850.0,5850.0,,,0
CDM,68100003,HC TRAUMA RESPONSE NO PREHOSPITAL NOTIFICATION,5850.0,5850.0,,,0
CDM,71020001,HC PACU SET UP BASE,240.0,240.0,,,0
CDM,71020004,HC PACU EA MIN,8.6,8.6,,,0
CDM,71020007,HC PACU POST EA MIN,8.6,8.6,,,0
CDM,71020010,HC RECOVERY EA MIN,8.6,8.6,,,0
CDM,71020011,HC RECOVERY SET UP BASE,240.0,240.0,,,0
CDM,71020014,HC RECOVERY SET UP BASE ALTERNATE SITE (TIMED),240.0,240.0,,,0
CDM,71020015,HC RECOVERY EA MIN ALTERNATE SITE (TIMED),8.6,8.6,,,0
CDM,72300001,HC CIRCUMCISION,475.0,475.0,,,0
CDM,73000001,HC EKG,428.0,428.0,,,0
CDM,73000005,HC RHYTHM ECG W/O INTERP&REPORT,415.0,415.0,,,0
CDM,73000050,HC EXT ECG RECORD >48 HRS UP TO 7DAYS INC ANALY W RPT R&I,462.0,462.0,,,0
CDM,73000051,HC EXT ECG RECORD >48HR UP TO 7 DAYS RECORDING,215.0,215.0,,,0
CDM,73000052,HC EXT ECG RECORD >48 HRS UP TO 7DAYS SCAN ANALY W RPT,415.0,415.0,,,0
CDM,73000053,HC EXT ECG RECORD >7 DAYS UP TO 15 DAYS SCAN ANALY RPT R&I,806.0,806.0,,,0
CDM,73000054,HC EXT ECG RECORD >7 DAYS UP TO 15 DAYS RECORDING,420.0,420.0,,,0
CDM,73000055,HC EXT ECG RECORD >7 DAYS UP TO 15 DAYS SCANNING ALYS W RPT,475.0,475.0,,,0
CDM,73100001,HC HOLTER RECORD UP TO 48 HRS,1125.0,1125.0,,,0
CDM,73100003,HC HOLTER ANALYSIS UP TO 48 HRS,1125.0,1125.0,,,0
CDM,73100004,HC CARDIAC EVENT RECORD DISCONN,385.0,385.0,,,0
CDM,73100005,HC CARDIAC EVENT ANALYSIS,575.0,575.0,,,0
CDM,73100012,HC EXTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,1371.0,1371.0,,,0
CDM,73200001,HC PM PHONE R-STRIP DEV EVAL F,338.0,338.0,,,0
CDM,74000002,HC EEG EXTENDED 41-60 MIN,1085.0,1085.0,,,0
CDM,74000003,HC EEG EXTENDED 61 TO 119 MINS,1234.0,1234.0,,,0
CDM,74000004,HC EEG AWAKE AND DROWSY,870.0,870.0,,,0
CDM,74000005,HC EEG AWAKE & ASLEEP,1273.0,1273.0,,,0
CDM,74000008,HC EEG SLEEP ONLY,706.0,706.0,,,0
CDM,74000011,HC ELECTROCORTICOGRAM AT SURGERY,776.0,776.0,,,0
CDM,74000021,HC DIGITAL ANALYSIS SPIKE/SEIZURE,370.0,370.0,,,0
CDM,74000022,HC WADA TESTING,2677.0,2677.0,,,0
CDM,74000023,HC FUNC CORTICAL MAPPING 1ST HOUR,840.0,840.0,,,0
CDM,74000024,HC FUNC CORTICAL MAPPING ADD HR,705.0,705.0,,,0
CDM,74000028,HC EMU,1580.0,1580.0,,,0
CDM,74000030,HC EEG W VIDEO REV DATA DESC BY TECH EA INC 12-26 HRS W INTR MON & MNT,3206.0,3206.0,,,0
CDM,74000031,HC EEG WO VIDEO REV DATA DESC BY TECH EA INC 12-26 HRS W INT MON & MNT,3206.0,3206.0,,,0
CDM,74000032,HC EEG W VIDEO REV DATA DESC BY TECH 2-12 HRS W INTERMITT MON & MNT,1480.0,1480.0,,,0
CDM,74000033,HC EEG WO VIDEO REV DATA DESC BY TECH 2-12 HRS W INTERMITT MON & MNT,1480.0,1480.0,,,0
CDM,74000034,HC EEG WO VIDEO BY TECH 2-12 HR UNMONITORED,1480.0,1480.0,,,0
CDM,74000035,HC EEG WO VIDEO BY TECH EA INCREMENT 12-26 HRS UNMONITORED,3206.0,3206.0,,,0
CDM,74000036,HC EEG CONT REC W VIDEO WH PERF BY TECH MIN 8 CHANNELS,2959.0,2959.0,,,0
CDM,74000037,HC EEG W VIDEO BY TECH 2-12 HR UNMONITORED,1480.0,1480.0,,,0
CDM,74000038,HC EEG W VIDEO BY TECH EA INCREMENT 12-26 HR UNMONITORED,3206.0,3206.0,,,0
CDM,74000050,HC EEG NONINTRACRANIAL SURGERY (PURC SRVS),350.0,350.0,,,0
CDM,75000001,HC LSCOPE W/O TRACH DIAG EX NB,5251.0,5251.0,,,0
CDM,75000002,HC LARYNGOSCOPY FLEX DIAG,1510.0,1510.0,,,0
CDM,75000005,HC VIDEOSTROBOSCOPY,1510.0,1510.0,,,0
CDM,75000007,HC BRONCHOSCOPY W FLUORO WHEN PERF DIAG W CELL WASH WHEN PERF,3860.0,3860.0,,,0
CDM,75000008,HC BRONCHOSCOPY W FLUORO WHEN PERF W BRUSH OR PROTECT BRUSH,4460.0,4460.0,,,0
CDM,75000009,HC BRONCHOSCOPY W FLUORO WHEN PERF W BRONCHIAL ALVEOLAR LAVAGE,3860.0,3860.0,,,0
CDM,75000010,HC BRONCHOSCOPY W FLUORO W PERF W BRONCHIAL/ENDOBRONCH BX SINGL/MULTI,4460.0,4460.0,,,0
CDM,75000011,HC BRONCHOSCOPY W FLUORO WHEN PERF W TRANSBRONCH LUNG BX SNGL LB,4460.0,4460.0,,,0
CDM,75000012,HC BRONCH W TRANSBRONCH NDLE ASPIR BIOPSY TRACHEA MAIN STEM &/ BRON,8517.0,8517.0,,,0
CDM,75000014,HC BRONCHOSCOPY W/DIL & STENT,15566.0,15566.0,,,0
CDM,75000015,HC BRONCH W TRANSBRONCH LUNG BX EA ADDL LOBE,2008.0,2008.0,,,0
CDM,75000018,HC BRONCH W/REMOVAL FOREIGN BODY,3763.0,3763.0,,,0
CDM,75000024,HC BRONCHOSCOPY W/CATH PLACEMENT,3763.0,3763.0,,,0
CDM,75000035,HC ESOPHAGOSCOPY FLEX W ABLAT TUMOR(S)/POLYP(S)/OTHR LESION(S),8710.0,8710.0,,,0
CDM,75000036,HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF,3153.0,3153.0,,,0
CDM,75000039,HC EGD W DIRECT SUBMUCOSAL INJ(S) ANY SUBSTANCE,3153.0,3153.0,,,0
CDM,75000040,HC EGD W TRANSENDO ULTRASOUND FNA/BIOPSY(S) ALTERED ANATOMY,5200.0,5200.0,,,0
CDM,75000041,HC EGD W BIOPSY SINGL/MULTI,3153.0,3153.0,,,0
CDM,75000042,HC EGD PERC PLCMNT GASTROSTOMY TUBE,4327.0,4327.0,,,0
CDM,75000043,HC UPPER GI W/ENDO ULTRASOUND W/B,2324.0,2324.0,,,0
CDM,75000044,HC EGD W BAND LIGATION ESOPHAGEAL/GASTRIC VARICES,4501.0,4501.0,,,0
CDM,75000045,HC EGD W DILATION GASTRIC/DUODENAL STRICTURE(S),4501.0,4501.0,,,0
CDM,75000046,HC EGD W INSERT INTRALUMINAL TUBE OR CATHETER,4327.0,4327.0,,,0
CDM,75000047,HC EGD W REM FOREIGN BODY(S),3153.0,3153.0,,,0
CDM,75000048,HC EGD INSERT GUIDE WIRE PASSAGE DILATOR(S) THR ESOPHAGUS,3153.0,3153.0,,,0
CDM,75000049,HC EGD W TRANSENDO BALLOON DIL ESOPHAGUS <30MM,4327.0,4327.0,,,0
CDM,75000050,HC EGD W REM TUMOR(S)/POLYP(S)/OTHR LESION(S) HOT BX FORCEPS,4501.0,4501.0,,,0
CDM,75000051,HC EGD W REM TUMOR(S)/POLYP(S)/OTHR LESION(S) SNARE TECH,4501.0,4501.0,,,0
CDM,75000052,HC EGD W CONTROL BLEEDING ANY METHOD,4501.0,4501.0,,,0
CDM,75000053,HC EGD W PLCMNT ENDOSCOPIC STNT INCL DILATION & GUIDE WIRE PASS W PERF,12961.0,12961.0,,,0
CDM,75000054,HC EGD W ABLATION TUMOR(S)/POLYP(S)/OTHR LESIONS(S) INC DIL WH PERF,6477.0,6477.0,,,0
CDM,75000055,HC EGD DIAG W ENDO ULTRASOUND EXAM,4327.0,4327.0,,,0
CDM,75000056,HC ERCP DIAG INCL COLL SPECIMEN BY BRUSH/WASH W PERF,8710.0,8710.0,,,0
CDM,75000057,HC ERCP W BIOPSY SINGLE OR MULTIPLE,8710.0,8710.0,,,0
CDM,75000058,HC ERCP W SPHINCTEROTOMY/PAPILLOTOMY,8710.0,8710.0,,,0
CDM,75000060,HC ERCP W REMOVAL CALCULI/DEBRIS BILIARY/PANCREATIC DUCT(S),8710.0,8710.0,,,0
CDM,75000061,HC ERCP W DESTRUCTION CALCULI ANY METHOD,12961.0,12961.0,,,0
CDM,75000062,HC ERCP W PLCMNT STENT OR NASO-BILIARY/NASO-PANCREATIC DRAIN TUBE,12961.0,12961.0,,,0
CDM,75000063,HC ERCP W REM & EXCHNG STENT(S) BIL/PAN DUCT SPHINCTEROTOMY WH PERF,12961.0,12961.0,,,0
CDM,75000064,HC ERCP W REM FB(S)/STENT(S) BILIARY/PANCREATIC DUCT(S),5984.0,5984.0,,,0
CDM,75000065,HC ERCP W BAL DIL BILI/PANCR DUCT(S) OR AMPULLA INCL SPHINC WH PERF EA,8710.0,8710.0,,,0
CDM,75000066,HC ERCP W ABLAT OF TUMOR(S)/POLYP(S)/OTH LESION(S) INC DIL WH PERF,8710.0,8710.0,,,0
CDM,75000067,HC ERCP W CANNULATION OF PAPILLA W PANCREATIC/COMMON BILE DUCT(S),2199.0,2199.0,,,0
CDM,75000070,HC DIL OF ESOPHAGUS W/BAL > 30MM,3227.0,3227.0,,,0
CDM,75000073,HC ENTEROSCOPY DIAG INC COLL SPECIMEN BY BRUSH/WASH WH PERF,4327.0,4327.0,,,0
CDM,75000074,HC ENTEROSCOPY INCLUDE ILEUM DIAG W/WO COLL SPECIMEN BY BRUSH/WASH,4327.0,4327.0,,,0
CDM,75000075,HC ENTEROSCOPY BEY 2ND PORT DUODENUM NOT INCL ILEUM W BIOPSY SINGL/MULTI,5281.0,5281.0,,,0
CDM,75000076,HC ENTEROSCOPY W/CTRL BLEEDING,5281.0,5281.0,,,0
CDM,75000077,HC ENTEROSCOPY W/ABLATION TUMOR(S)/POLYP(S)/OTHR LESION(S),4814.0,4814.0,,,0
CDM,75000078,HC ENDOS SM INTESTINAL ENTEROSCOPY W PLCMNT PERCUT JEJUNOSTOMY TUBE,4620.0,4620.0,,,0
CDM,75000079,HC ENDOS SM INTEST ENTEROSCOPY W CON PERCUT GASTRO TO JEJUNOSTOMY TUBE,5226.0,5226.0,,,0
CDM,75000080,HC ENTEROSCOPY INCLUDE ILEUM W BX SINGL/MULTI,4327.0,4327.0,,,0
CDM,75000081,HC ENTEROSCOPY ILEUM W/CTRL BLEED,4327.0,4327.0,,,0
CDM,75000082,HC ILEOSCOPY VIA STOMA DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,3604.0,3604.0,,,0
CDM,75000084,HC ILEOSCOPY VIA STOMA W BIOPSY SINGL/MULTI,3604.0,3604.0,,,0
CDM,75000085,HC POUCHOSCOPY DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,3604.0,3604.0,,,0
CDM,75000086,HC POUCHOSCOPY W BX SING/MULTI,3604.0,3604.0,,,0
CDM,75000087,HC COLONOSCOPY VIA STOMA DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,3338.0,3338.0,,,0
CDM,75000088,HC COLONOSCOPY VIA STOMA W BX SING/MULTI,3338.0,3338.0,,,0
CDM,75000089,HC PROCTOSIGMOIDOSCOPY RIGID DIAG W/WO COLL SPECIMEN(S) BRUSH/WASH,2678.0,2678.0,,,0
CDM,75000090,HC SIGMOIDOSCOPY FLEX DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WHN PERF,2678.0,2678.0,,,0
CDM,75000091,HC SIGMOIDOSCOPY W BIOPSY SINGLE OR MULTIPLE,2678.0,2678.0,,,0
CDM,75000092,HC SIGMOIDOSCOPY W REMOVAL OF FOREIGN BODY(S),2684.0,2684.0,,,0
CDM,75000093,HC SIGMOIDOSCOPY W/ CTRL BLEEDING,3498.0,3498.0,,,0
CDM,75000094,HC SIGMOIDOSCOPY W DIRECT SUBMUCOSAL INJ(S) ANY SUBSTANCE,2678.0,2678.0,,,0
CDM,75000095,HC SIGMOID FLEX W/REM TUMOR(S)/POLYP(S)/OTHR LESION(S) BY HOT BX FORCEPS,2798.0,2798.0,,,0
CDM,75000096,HC SIGMOIDOSCOPY W ABLATION TUMOR(S)/POLYP(S)/OTHR LESION(S),3498.0,3498.0,,,0
CDM,75000097,HC SIGMOIDOSCOPY W TRANSENDO BALLOON DILATION,4373.0,4373.0,,,0
CDM,75000098,HC COLONOSCOPY FLEX DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,3671.0,3671.0,,,0
CDM,75000099,HC COLONOSCOPY W REMOVAL OF FOREIGN BODY(S),4408.0,4408.0,,,0
CDM,75000100,HC COLONOSCOPY W BIOPSY SINGLE OR MULTIPLE,3671.0,3671.0,,,0
CDM,75000101,HC COLON W DIRECT SUBMUCOSAL INJECTION(S) ANY SUBSTANCE,3338.0,3338.0,,,0
CDM,75000102,HC COLONOSCOPY W CONTROL  BLEEDING ANY METHOD,3671.0,3671.0,,,0
CDM,75000103,HC COLONOSCOPY ABL OF TUMOR(S)/POLYP(S)/OTHR LESION(S) INC DIL W PERF,3338.0,3338.0,,,0
CDM,75000105,HC COLON W REM TUMORS(S)/POLYP(S)/OTH LESION(S) BY HOT BX FORCEPS,3671.0,3671.0,,,0
CDM,75000106,HC SM INTST ENDO ENTEROSC W REM TUMOR(S)/PLYP(S)/OTHR LSIONS(S) SNARE,5281.0,5281.0,,,0
CDM,75000109,HC COLONOSCOPY W STENT PLACMNT INCL DILATION & GUIDE WIRE PASS WH PERF,3671.0,3671.0,,,0
CDM,75000110,HC DILATION OF ANAL SPHINCTER UNDER ANESTHESIA OTHAN THAN LOCAL,4921.0,4921.0,,,0
CDM,75000112,HC HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND LIGATION(S),2678.0,2678.0,,,0
CDM,75000114,HC ANOSCOPY DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,730.0,730.0,,,0
CDM,75000115,HC ANOSCOPY W/DILATION,3158.0,3158.0,,,0
CDM,75000116,HC 24 HOUR PH MONITORING,1525.0,1525.0,,,0
CDM,75000117,HC 24HR PH MONITORING W/INTERP,1525.0,1525.0,,,0
CDM,75000119,HC BRAVO PH CAPSULE PROCEDURE,2522.0,2522.0,,,0
CDM,75000120,HC BREATH HYDROGEN TEST,1525.0,1525.0,,,0
CDM,75000123,HC COLORECTAL CANCER SCREEN COLONOSCOPY HIGH RISK,2678.0,2678.0,,,0
CDM,75000124,HC COLORECTAL CANCER SCREEN COLONOSCOPY NOT HIGH RISK,2678.0,2678.0,,,0
CDM,75000125,HC DESTRUCT OF LESION ANUS SIMPLE,1074.0,1074.0,,,0
CDM,75000126,HC EMG ANAL OR URETHRAL SPHINCTER OTHR THAN NEEDLE ANY TECHNIQUE,355.0,355.0,,,0
CDM,75000128,HC ESOPHAGEAL MOTILITY INTPR/RPT,1510.0,1510.0,,,0
CDM,75000129,HC IMPEDANCE TEST,1490.0,1490.0,,,0
CDM,75000131,HC IMPEDANCE PROLONG UP TO 24 HRS,1525.0,1525.0,,,0
CDM,75000133,HC M2A CAPSULE ENDOSCOPY W INTPR/RPT,4319.0,4319.0,,,0
CDM,75000136,HC BRONCH THRU EXIST TRACH,3090.0,3090.0,,,0
CDM,75000138,HC COLORECTAL CA SCREEN FLEX SIGMOID,2678.0,2678.0,,,0
CDM,75000140,HC COLONOSCOPY W BALLOON DILATION,3338.0,3338.0,,,0
CDM,75000142,HC COLONOSCOPY VIA STOMA W CONTROL BLEED ANY METHOD,3338.0,3338.0,,,0
CDM,75000143,HC COLON VIA STOMA W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECH,2710.0,2710.0,,,0
CDM,75000144,HC COLONOSCOPY W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECHNIQUE,3671.0,3671.0,,,0
CDM,75000148,HC SIGMOID W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECHNIQUE,5281.0,5281.0,,,0
CDM,75000152,HC SIGMOIDOSCOPY W ULTRASOUND,2575.0,2575.0,,,0
CDM,75000155,HC ERCP WITH REMOVAL FOREIGN BODY(S) OR STENT(S) BILI/PANCRTIC DUCT(S),5984.0,5984.0,,,0
CDM,75000156,HC ERCP REM&EXCHNG STNT(S) BILI/PANCR DUCT INCL DILATION/SPHINCT EA,12961.0,12961.0,,,0
CDM,75000157,HC ESOPHAGOSCOPY W DIL ESOPH W BALLOON 30MM OR> INCL FLUORO WH PERF,5189.0,5189.0,,,0
CDM,75000158,HC EGD W DIL ESOPH W BALLOON 30MM OR> INCL FLUORO WH PERF,4300.0,4300.0,,,0
CDM,75000160,HC NAVIGATION BRONCHOSCOPY ADD ON CODE,1012.0,1012.0,,,0
CDM,75000161,HC EGD W ENDOSCOPIC MUCOSAL RESECTION,4327.0,4327.0,,,0
CDM,75000162,HC EGD WITH BOTULINUM TOXIN INJ,4501.0,4501.0,,,0
CDM,75000163,HC EGD WITH STENT PLACEMENT INCL DILATION WH PERF,12961.0,12961.0,,,0
CDM,75000164,HC EGD WITH CLOSURE OF FISTULA,4881.0,4881.0,,,0
CDM,75000165,HC EGD WITH ROUX EN Y REVISION,5863.0,5863.0,,,0
CDM,75000166,HC EGD POSTBARIATRIC LEAK REPAIR,4724.0,4724.0,,,0
CDM,75000167,HC COLONOSCOPY W BAND LIGATION(S),4486.0,4486.0,,,0
CDM,75000168,HC COLONOSCOPY W ENDOSCOPIC MUCOSAL RESECTION,3145.0,3145.0,,,0
CDM,75000169,HC COLONOSCOPY W DECOMPRESSION,4294.0,4294.0,,,0
CDM,75000170,HC RETROGRADE EXAM SMALL INTESTINE VIA ANUS OR COLON STOMA,4838.0,4838.0,,,0
CDM,75000172,HC PREP FECAL MICROBIOTA INSTILLATION,339.0,339.0,,,0
CDM,75000173,HC FECAL TRANSPLANT,339.0,339.0,,,0
CDM,75000174,HC SIGMOIDOSCOPY W PLACEMENT OF ENDOSCOPIC STENT W DIL WH PERF,12961.0,12961.0,,,0
CDM,75000175,HC COLONOSCOPY VIA STOMA W SUBMUCOSAL INJ(S) ANY SUBSTANCE,4824.0,4824.0,,,0
CDM,75000176,HC ENDO AGILE PATENCY CAPSULE,589.0,589.0,,,0
CDM,75000177,HC COLONOSCOPY W CHROMOENDOSCOPY,3016.0,3016.0,,,0
CDM,75000178,HC ENTEROSCOPY INCLUDE ILEUM W SUBMUCOSAL INJ,5646.0,5646.0,,,0
CDM,75000179,HC COLON W EUS GUID FNA/BX INC EUS EXAM OF RECTUM/LG INTEST,4316.0,4316.0,,,0
CDM,75000180,HC COLON W EUS LIMITED RECTUM/LG INTEST,4316.0,4316.0,,,0
CDM,75000183,HC COLONOSCOPY THROU STOMA W TRANSENDO BALLOON DILATION,4454.0,4454.0,,,0
CDM,75000184,HC EGD TRANRL W TRNSMRL DRAIN PSDOCYST INC DRN CTH/STNTS(S) & EUS W PF,12961.0,12961.0,,,0
CDM,75000185,HC ENDOSCOPIC PANCREAS NECROSECOMY,7364.0,7364.0,,,0
CDM,75000186,HC REPLAC GASTRO TUBE WO IMG OR GUID NOT REQ REV OF GASTRO TRACT,1510.0,1510.0,,,0
CDM,75000189,HC SIGMOID FLEX W DECOMPRESSION,2086.0,2086.0,,,0
CDM,75000190,HC EGD FLEX TRNS W ENDO US EXAM LMTD ESOPH STOM OR DUOD & ADJ STRUCT,4327.0,4327.0,,,0
CDM,75000192,HC SMALL BOWEL ENTEROSCOPY WITH TATTOO,3604.0,3604.0,,,0
CDM,75000193,HC SIGMOIDOSCOPY FLEX W BAND LIGATION(S),4326.0,4326.0,,,0
CDM,75000194,HC ESOPHAGOSCOPY DIAG W COLL SPECIMEN(S) BY BRUSH/WASH WH PERF,4204.0,4204.0,,,0
CDM,75000195,HC ENTEROSCOPY W BALLOON DILATION,4204.0,4204.0,,,0
CDM,75000196,HC ESOPHAGOSCOPY FLEX TRNS W BX SINGL/MULTI,5189.0,5189.0,,,0
CDM,75000197,HC ESOPHAGOSCOPY FLEX TRNS W BALLOON DILATION <30MM DIAM,5189.0,5189.0,,,0
CDM,75000198,HC ESOPHAGOSCOPY TRANSORAL W PLACEMENT ENDO STENT,12961.0,12961.0,,,0
CDM,75000199,HC ESOPHAGOSCOPY TRANORAL W REMOVAL FB(S),5189.0,5189.0,,,0
CDM,75000200,HC ESOPHAGOSCOPY FLEX TRANSORAL W DIR SUBMUCOSAL INJ ANY SUB,5265.0,5265.0,,,0
CDM,75000205,HC EGD W TRANSENDO US GUIDE INTR/TRNSMURAL FNA/BIOPSY(S) ESOPHAGS,5265.0,5265.0,,,0
CDM,75000206,HC SIGMOID FL W TRANSENDO US GUIDE INTRA/TRNSMURL FNA/BIOPSY(S),5265.0,5265.0,,,0
CDM,75000207,HC SIGMOID FLEX W ENDOSCOPIC MUCOSAL RESECTION,6386.0,6386.0,,,0
CDM,75000209,HC ESOPHAGOSTOMY WITH ZENKERS MYOTOMY,8997.0,8997.0,,,0
CDM,75000210,HC REPLACEMENT TRACHEOSTOMY TUBE,2322.0,2322.0,,,0
CDM,75000213,HC RECTAL SENSATION TONE AND COMPLIANCE STUDY,1525.0,1525.0,,,0
CDM,75000214,HC ANORECTAL MANOMETRY W RECTL SENS RECTL BALL EXPUL TEST WH PERF,2429.0,2429.0,,,0
CDM,76100016,HC AVULSION NAIL PLATE EA ADDL,174.0,174.0,,,0
CDM,76100020,HC EPIGRAF TRK EXTRM 1ST 100SQ OR<,6990.0,6990.0,,,0
CDM,76100021,HC EPIAUTO TRK EXREM EAADD 100SQ,888.0,888.0,,,0
CDM,76100022,HC EPIAUT FACE SCLP LD HND FT 1ST 100CM<,5308.0,5308.0,,,0
CDM,76100023,HC EPIAUT FACE SCLP LD HND FT EA ADD 100SQ,888.0,888.0,,,0
CDM,76100024,HC SKIN SUB TRNKARMLEG 1ST 25 CM2,4527.0,4527.0,,,0
CDM,76100036,HC NON INPT/NON OBVS ROOM PER HR,181.0,181.0,,,0
CDM,76200003,HC OBV HOURLY RATE,199.0,199.0,,,0
CDM,76200004,HC OBV DIRECT ADMIT,199.0,199.0,,,0
CDM,77000013,HC PEDI ESTAB 12 TO 17 YRS,302.0,302.0,,,0
CDM,77000015,HC MEDI INITIAL PREVENT EXAM,314.0,314.0,,,0
CDM,77000016,HC MCR SCREEN PELVIC BREAST EXM,346.0,346.0,,,0
CDM,77000018,HC MEDICARE AWV PPS SUBS VISIT,220.0,220.0,,,0
CDM,77000023,HC INIT MEDICARE ANNUAL WELL VISI,326.0,326.0,,,0
CDM,77000024,HC ANNUAL DEPRESSION SCREEN 15 MINS,77.0,77.0,,,0
CDM,77000025,HC BEHAVIORAL COUNSELING OBESITY 15 MINS,203.0,203.0,,,0
CDM,77100002,HC VACCINE ADMINISTRATION,160.0,160.0,,,0
CDM,77100004,HC IMMUNIZATION ADMIN EA ADDL,106.0,106.0,,,0
CDM,77100005,HC ADMIN VACCINE ORAL/INTRANASAL,160.0,160.0,,,0
CDM,77100006,HC ADM VAC ORAL/INTRANASAL EA ADD,106.0,106.0,,,0
CDM,77100007,HC MEDICARE ADMIN HEPATITIS B,137.0,137.0,,,0
CDM,77100008,HC MEDICARE ADMIN FLU,160.0,160.0,,,0
CDM,77100009,HC MEDICARE ADMIN PNEUMOCOCCAL,160.0,160.0,,,0
CDM,77100012,HC MEDICAID ADMIN PNEUMO VAC,160.0,160.0,,,0
CDM,77100013,HC MEDICAID ADMIN FLU VAC,160.0,160.0,,,0
CDM,77100014,HC IMMUN ADMIN SINGLE INJ TO 18 YRS W COUNSELING,138.0,138.0,,,0
CDM,77100015,HC IMMUN ADMIN EACH ADDL TO 18 YRS W COUNSELING,136.0,136.0,,,0
CDM,77100023,HC IMM ADMIN SARSCOV2 (COVID-19) VACCINE SINGLE DOSE,137.0,137.0,,,0
CDM,77100025,HC ADMIN RSV MONOCL ANTIBODY SEASONAL DOSE IM W COUNSEL PHY/QHP,138.0,138.0,,,0
CDM,77100026,HC ADMIN RSV MONOCL ANTIBODY SEASONAL DOSE IM,130.0,130.0,,,0
CDM,80100002,HC ACUTE KIDNEY DIALYSIS BEDSIDE,1809.0,1809.0,,,0
CDM,80100010,HC ACUTE KIDNEY DIALYSIS,1809.0,1809.0,,,0
CDM,81100001,HC ORGAN ACQUISITION LIVING DONOR,55870.0,55870.0,,,0
CDM,81200003,HC CADAVER ORGAN ACQUISITION,85221.0,85221.0,,,0
CDM,81200005,HC CORNEAL HANDLING CHARGE,10094.0,10094.0,,,0
CDM,82000000,HC DIALYSIS PROC AKI WO ESRD,1809.0,1809.0,,,0
CDM,82000001,HC DIALYSIS PROC W SINGLE EVAL AKI WO ESRD,1809.0,1809.0,,,0
CDM,82100002,HC HEMODIALYSIS OUTPT SCHEDULED,1809.0,1809.0,,,0
CDM,82100003,HC HOME HEMODIALYSIS,1809.0,1809.0,,,0
CDM,82100004,HC HOME HEMODIALYSIS TRAINING,844.0,844.0,,,0
CDM,82900001,HC UNSCHED/EMERG DIALYSIS ESRD PT,1809.0,1809.0,,,0
CDM,83100001,HC URGENT START PERITONEAL DIALYSIS,2434.0,2434.0,,,0
CDM,84100001,HC CAPD,2434.0,2434.0,,,0
CDM,84100002,HC CAPD TRAINING,392.0,392.0,,,0
CDM,85100001,HC CCPD,2434.0,2434.0,,,0
CDM,85100002,HC CCPD TRAINING,392.0,392.0,,,0
CDM,90000002,HC PSYCH DIAGNOSTIC EVALUATION,402.0,402.0,,,0
CDM,90000004,HC PSYCH DIAG EVAL WITH MED SVCS,373.0,373.0,,,0
CDM,90000038,HC INTRP EXPLN PSYCH RESULT OTHR TO FAMILY,200.0,200.0,,,0
CDM,90000040,HC TCRAN MAGN STIM REDETEMINE W DELIVERY/MGT,414.0,414.0,,,0
CDM,90000041,HC UNLISTED PSYCHIATRIC SERVICE OR PROCEDURE,673.0,673.0,,,0
CDM,90000050,HC CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS,121.0,121.0,,,0
CDM,90000051,HC INI PSYCH COLLAB CARE MGMT 1ST 70 MINS 1ST CAL MNTH,262.0,262.0,,,0
CDM,90000052,HC SUBSEQ PSYCH COLLAB CARE MGMT 1ST 60 MINS SUBSEQ MNTH,363.0,363.0,,,0
CDM,90000053,HC INI/SUBSEQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS CAL MNTH,235.0,235.0,,,0
CDM,90000100,HC THER INTERVENT COGNITIVE FUNC DIRECT PT CONT INI 15MINS,148.0,148.0,,,0
CDM,90000101,HC THER INTERVENT COGNITIVE FUNC DIRECT PT CONT EA ADDL 15MINS,148.0,148.0,,,0
CDM,90000105,HC COMMUNITY BASED WRAP AROUND SVC PER 15 MINS,26.0,26.0,,,0
CDM,90100001,HC ELECTROSHOCK THERAPY,2924.0,2924.0,,,0
CDM,90376,PR RABIES IG HEAT-TREATED HUMAN IM/SUBQ,625.0,625.0,,,0
CDM,90400001,HC ACTIVITY THERAPY TRICARE,336.0,336.0,,,0
CDM,90611,PR SMALLPOX&MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE,385.0,385.0,,,0
CDM,90619,PR MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE,218.0,218.0,,,0
CDM,90620,PR MENB-4C RECOMBNT PRTN & OUTER MEMB VESIC VACC IM,612.25,612.25,,,0
CDM,90621,PR MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM,481.05,481.05,,,0
CDM,90632,PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE,238.25,238.25,,,0
CDM,90633,PR HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE,80.0,80.0,,,0
CDM,90644,PR HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM,110.3,110.3,,,0
CDM,90647,PR HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE,122.95,122.95,,,0
CDM,90648,PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE,21.9,21.9,,,0
CDM,90649,PR 4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE,809.54,809.54,,,0
CDM,90651,PR 9VHPV VACC 2/3 DOSE SCHED IM USE,404.0,404.0,,,0
CDM,90653,PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE,113.0,113.0,,,0
CDM,90656,PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE,75.37,75.37,,,0
CDM,90658,PR IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE,37.0,37.0,,,0
CDM,90660,PR LAIV3 VACCINE LIVE FOR INTRANASAL USE,50.0,50.0,,,0
CDM,90662,PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM,77.25,77.25,,,0
CDM,90670,PR PCV13 VACCINE FOR INTRAMUSCULAR USE,732.0,732.0,,,0
CDM,90671,PR PCV15 VACCINE FOR INTRAMUSCULAR USE,434.0,434.0,,,0
CDM,90674,PR CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,45.0,45.0,,,0
CDM,90675,PR RABIES VACCINE INTRAMUSCULAR,775.0,775.0,,,0
CDM,90677,PR PCV20 VACCINE FOR INTRAMUSCULAR USE,468.0,468.0,,,0
CDM,90681,PR RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE,486.65,486.65,,,0
CDM,90686,PR IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE,36.0,36.0,,,0
CDM,90696,PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE,193.65,193.65,,,0
CDM,90697,PR DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR,212.0,212.0,,,0
CDM,90700,PR DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM,59.0,59.0,,,0
CDM,90702,PR DT VACCINE YOUNGER THAN 7 YRS FOR IM USE,93.95,93.95,,,0
CDM,90707,PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ,263.79,263.79,,,0
CDM,90710,PR MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ,856.0,856.0,,,0
CDM,90713,PR POLIOVIRUS VACCINE INACTIVATED SUBQ/IM,140.95,140.95,,,0
CDM,90714,PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE,68.0,68.0,,,0
CDM,90715,PR TDAP VACCINE 7 YRS/> IM,117.92,117.92,,,0
CDM,90716,PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE,324.0,324.0,,,0
CDM,90723,PR DTAP-HEPB-IPV VACCINE INTRAMUSCULAR,338.1,338.1,,,0
CDM,90732,PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,297.51,297.51,,,0
CDM,90733,PR MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE,596.0,596.0,,,0
CDM,90734,PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE,472.0,472.0,,,0
CDM,90736,PR ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE,894.4,894.4,,,0
CDM,90739,PR HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE,270.0,270.0,,,0
CDM,90740,PR HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM,290.0,290.0,,,0
CDM,90744,PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM,78.0,78.0,,,0
CDM,90746,PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE,120.0,120.0,,,0
CDM,90750,PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX,299.0,299.0,,,0
CDM,91200005,HC ADOLESCENT REVERSE PARTIAL,1828.0,1828.0,,,0
CDM,91200017,HC HASBRO PARTIAL HOSP PROGRAM,1828.0,1828.0,,,0
CDM,91200022,HC PSYCH PARTIAL HOSPITAL,1398.0,1398.0,,,0
CDM,91400001,HC INTERACTIVE COMPLEXITY,14.0,14.0,,,0
CDM,91400003,HC PSYCHOTHER 30 MIN W PT,143.0,143.0,,,0
CDM,91400004,HC PSYCHOTHERAPY W E&M 30 MIN,78.0,78.0,,,0
CDM,91400006,HC PSYCHOTHER 45 MIN W PT,169.0,169.0,,,0
CDM,91400007,HC PSYCHOTHERAPY W E&M 45 MIN,128.0,128.0,,,0
CDM,91400008,HC PSYCHOTHERAPY 60 MIN,400.0,400.0,,,0
CDM,91400009,HC PSYCHOTHERAPY W E&M 60 MIN,343.0,343.0,,,0
CDM,91400010,HC CRISIS PSYTHERAPY ADDL 30MN F,105.0,105.0,,,0
CDM,91400028,HC PSYCHOTHERAPY CRISIS 60MIN F,212.0,212.0,,,0
CDM,91400045,HC HLTH BEHAV INTERVENT INDIV FACE TO FACE INI 30 MINS,260.0,260.0,,,0
CDM,91400046,HC HLTH BEHAV INTERVENT INDIV FACE TO FACE EA ADDL 15 MINS,130.0,130.0,,,0
CDM,91500003,HC GROUP PSYCHOTHERAPY,85.0,85.0,,,0
CDM,91500008,HC GRP PSYCH PARTIAL HOSP TRICARE,336.0,336.0,,,0
CDM,91500025,HC HLTH BEHAV INTERVENTION GROUP FACE TO FACE IN 30MINS,299.0,299.0,,,0
CDM,91500026,HC HLTH BEHAV INTERVENTION GROUP FACE TO FACE EA ADDL 15MINS,149.0,149.0,,,0
CDM,91600004,HC FAMILY PSYCHOTHERAPY WO PT 50MINS,250.0,250.0,,,0
CDM,91600006,HC FAMILY PSYTX WO PATIENT TRICARE 50MINS,363.0,363.0,,,0
CDM,91600012,HC FAMILY PSYCHOTHERAPY W PT 50MINS,414.0,414.0,,,0
CDM,91600013,HC PART HOS FAMILY THER OTH 50MINS,414.0,414.0,,,0
CDM,91600020,HC MULTI FAMILY GROUP PSYCHOTHERAPY,370.0,370.0,,,0
CDM,91600025,HC HLTH BEHAV INTERV FAMILY W PT FACE TO FACE INI 30MINS,260.0,260.0,,,0
CDM,91600026,HC HLTH BEHAV INTERV FAMILY W PT FACE TO FACE EA ADDL 15MINS,130.0,130.0,,,0
CDM,91600027,HC HLTH BEHAV INTERV FAMILY WO PT FACE TO FACE INI 30 MINS,210.0,210.0,,,0
CDM,91600028,HC HLTH BEHAV INTERV FAMILY WO PT FACE TO FACE EA ADDL 15 MINS,130.0,130.0,,,0
CDM,91700001,HC BIOFEEDBACK TRAINING,182.0,182.0,,,0
CDM,91700010,HC BIOFEEDBACK TRN PERI/ANOREC/URETH SPHINCT INI 15MINS 1TO1 PHY/QHCP,269.0,269.0,,,0
CDM,91700011,HC BIOFEEDBACK TRN PERI/ANOREC/URETH SPHN EA ADDL 15MINS 1TO1 PHY/QHCP,232.0,232.0,,,0
CDM,91800001,HC NEUROFUNCT TSTING SELECT ADMIN,131.0,131.0,,,0
CDM,91800009,HC DEVELOPMENTAL TESTING LIMITED,519.0,519.0,,,0
CDM,91800025,HC DEVELOPMENTAL TESTING LIMITED,519.0,519.0,,,0
CDM,91800026,HC NEUROBEHAVIORAL STATUS EXAM BY PSYCH/PHY,762.0,762.0,,,0
CDM,91800032,HC BEHAV ASSMT W SCORE & DOC PER STAND INSTRU,81.0,81.0,,,0
CDM,91800040,HC PSYCH TEST EVAL SVCS FIRST HOUR,455.0,455.0,,,0
CDM,91800041,HC PSYCH TEST EVAL SVCS FIRST HOUR EA ADDL HOUR,142.0,142.0,,,0
CDM,91800042,HC PSYCH/NEUROPSYCH TEST ADMIN & SCORE 2OR> TST 1ST 30MINS,74.0,74.0,,,0
CDM,91800043,HC PSYCH/NEUROPSYCH TEST ADMIN & SCORE 2OR> TST EA ADDL 30MINS,72.0,72.0,,,0
CDM,91800044,HC DEVELOP TEST ADMIN PHY/QHP W INTER & RPT IST HOUR,675.0,675.0,,,0
CDM,91800045,HC DEVELOP TEST ADMIN PHY/QHP W INTER & RPT EA ADDL 30 MINS,289.0,289.0,,,0
CDM,91800046,HC NEUROBEH STATUS EXAM PHYS/QHP EA ADDL HOUR,665.0,665.0,,,0
CDM,91800047,HC NEUROPSYCH TEST EVAL PHYS/OTHER QUAL HLTH PROF 1ST HOUR,1219.0,1219.0,,,0
CDM,91800048,HC NEUROPSYCH TEST EVAL PHYS/OTHER QUAL HLTH PROF EA ADDL HOUR,145.0,145.0,,,0
CDM,91800049,HC PSYCH/NEUROPSYCH TEST ADMIN & SCORE BY TECH 2OR>TSTS 1ST 30MINS,422.0,422.0,,,0
CDM,91800050,HC PSYCH/NEUROPSYCH TEST ADMIN & SCORE BY TECH 2OR>TSTS EA ADDL 30MINS,45.0,45.0,,,0
CDM,91800051,HC PSYCH/NEUROPSY TST ADM W SNG STAND INSTR ELECTR PLTFRM AUTO RESULT,68.0,68.0,,,0
CDM,91800055,HC HLTH BEHAV ASSESSMENT OR REASSESSMENT,520.0,520.0,,,0
CDM,91900002,HC COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,295.0,295.0,,,0
CDM,92000008,HC AMBULATORY BLOOD PRESS 24 HR,451.0,451.0,,,0
CDM,92000012,HC DUPLEX ABD PEL RETRO COMP,1012.0,1012.0,,,0
CDM,92000013,HC CGM STARTUP AND INSTRUCTIONS,533.0,533.0,,,0
CDM,92000021,HC NEUROSTIM VNS W/O REPROGRAM,532.0,532.0,,,0
CDM,92000030,HC VISUAL ACUITY SCREEN SNELLEN,70.0,70.0,,,0
CDM,92000037,HC POLYSOMNOGRAPHY < 6 YRS,3688.0,3688.0,,,0
CDM,92000038,HC POLYSOMNOGRAPHY W/THERAPY <6YR,3438.0,3438.0,,,0
CDM,92000040,HC MULTIPLE SLEEP LATENCY TEST,3546.0,3546.0,,,0
CDM,92000041,HC UNATTENDED HOME SLEEP TEST,869.0,869.0,,,0
CDM,92000042,HC PORTABLE SLEEP STUDY ATTENDED,2604.0,2604.0,,,0
CDM,92000043,HC POLYSOMNOGRAPHY FULL,4978.0,4978.0,,,0
CDM,92000044,HC POLYSOMNOGRAPHY FULL W/THERAPY,3795.0,3795.0,,,0
CDM,92000045,HC HOME SLEEP TEST MIN 4 CHANNELS,791.0,791.0,,,0
CDM,92000047,HC STIM SMPL SPINE W INTROP PROG,398.0,398.0,,,0
CDM,92000048,HC STIM CMPX SPNL INTROP PRG 1HR,743.0,743.0,,,0
CDM,92000051,HC INSTRUMENT BASED OCULAR SCREENING BILATERAL,162.0,162.0,,,0
CDM,92000053,HC TRANCRAN DOPPL INTRACRAN EMBOLI DETEC WO INJ,475.0,475.0,,,0
CDM,92000054,HC TRANCRAN DOPPL INTRACRAN EMBOLI DETEC W INJ,475.0,475.0,,,0
CDM,92000060,HC ELEC ANAL IMPLNT NEUROSTIM PUL GEN W SIMP CRAN NERV PUL GEN PROG,743.0,743.0,,,0
CDM,92000061,HC ELEC ANAL IMPLNT NEUROSTIM PUL GEN W COMPLEX CRAN NERV PUL GEN PROG,532.0,532.0,,,0
CDM,92000075,HC ELEC ANAL IMPL BRAIN NEUROSTIM PUL GEN/TRANM PROG 1ST 15 MINS,275.0,275.0,,,0
CDM,92000076,HC ELEC ANAL IMPL BRAIN NEUROSTIM PUL GEN/TRANM PROG EA ADDL 15 MINS,267.0,267.0,,,0
CDM,92000100,HC OPHTHALMOSCOPY EXT W RET DRAW & SCLERAL DEP W I&R UNI/BILAT,323.0,323.0,,,0
CDM,92000125,HC QUANTITATIVE US TISS CHARAC INCL I&R OBTAINED WO DX US SAME ANATOMY,355.0,355.0,,,0
CDM,92000126,HC QUANTITATIVE US TISS CHARAC INC I&R OBTAINED WITH DX US SAME ANATMY,355.0,355.0,,,0
CDM,92000127,HC AUTO ALYS EXIST CT VRTBRL FX ASSMNT BONE DEN WH PERF DATA PREP I&R,503.0,503.0,,,0
CDM,92000128,HC NONINVAS ARTERIAL PLAQUE ANALYSIS DATA PREPARATION & TRANSMISSION,1849.0,1849.0,,,0
CDM,92000129,HC NONINV ART PLAQ ALYS QUAN STR&COMP VESS WLL&ASMNT LPDRCH NEC CR PLQ,355.0,355.0,,,0
CDM,92100004,HC TRANSCRANIAL DOPPLER COMPLETE,1032.0,1032.0,,,0
CDM,92100008,HC PHYSIOLOGICAL ARTERIAL STUDY,625.0,625.0,,,0
CDM,92100012,HC PHYSIOLOGICAL ARTERIAL COMP,1018.0,1018.0,,,0
CDM,92100013,HC PHYSIOLOGIC ARTERIAL COMP R/S,1018.0,1018.0,,,0
CDM,92100014,HC DUPLEX ARTERIAL LE COMP,929.0,929.0,,,0
CDM,92100015,HC DUPLEX ARTERIAL LE LTD,931.0,931.0,,,0
CDM,92100016,HC DUPLEX ARTERIAL UE COMP,929.0,929.0,,,0
CDM,92100017,HC DUPLEX ARTERIAL UE LTD,745.0,745.0,,,0
CDM,92100019,HC DUPLEX OF EXT VEINS COMP BILAT,1115.0,1115.0,,,0
CDM,92100030,HC DUPLEX ABD PEL RETRO LTD,929.0,929.0,,,0
CDM,92100033,HC DUPLEX AORTA IVC COMP,929.0,929.0,,,0
CDM,92100034,HC DUPLEX AORTA IVC LTD,931.0,931.0,,,0
CDM,92100035,HC DUPLEX ART&VEN PENILE VES COMP,925.0,925.0,,,0
CDM,92100036,HC DUPLEX PENILE VES F/U LTD,929.0,929.0,,,0
CDM,92100037,HC DUPLEX DIALYSIS ACCESS,931.0,931.0,,,0
CDM,92100038,HC DUPLEX CAROTID BILATERAL,1103.0,1103.0,,,0
CDM,92100039,HC US CAROTID UNILAT,929.0,929.0,,,0
CDM,92100044,HC DUPLEX SCAN EXTREM VENOUS UNILAT OR LMTD STUDY,1024.0,1024.0,,,0
CDM,92200005,HC EMG I,665.0,665.0,,,0
CDM,92200006,HC EMG II,665.0,665.0,,,0
CDM,92200008,HC EMG IV,665.0,665.0,,,0
CDM,92200009,HC EMG FACIAL UNILATERAL,732.0,732.0,,,0
CDM,92200011,HC THORACIC PARASPINAL EMG,360.0,360.0,,,0
CDM,92200012,HC EMG LIMITED,360.0,360.0,,,0
CDM,92200013,HC EMG NEEDLE SNGL FBR 1 MUSCLE,665.0,665.0,,,0
CDM,92200014,HC ELEC STIM W CHEMODENERVATION,39.0,39.0,,,0
CDM,92200015,HC ISCHEMIC EXERCISE,532.0,532.0,,,0
CDM,92200016,HC NDLE EMG LMTD STUDY <5 MUSC PE,81.0,81.0,,,0
CDM,92200017,HC NDLE EMG COMPLETE >5 MUSCLS PE,480.0,480.0,,,0
CDM,92200018,HC NDLE EMG CRANIAL OR AXIAL,260.0,260.0,,,0
CDM,92200019,HC NERVE CONDUCTION STUDIES 1-2,504.0,504.0,,,0
CDM,92200020,HC NERVE CONDUCTION STUDIES 3-4,741.0,741.0,,,0
CDM,92200021,HC NERVE CONDUCTION STUDIES 5-6,734.0,734.0,,,0
CDM,92200022,HC NERVE CONDUCTION STUDIES 7-8,753.0,753.0,,,0
CDM,92200023,HC NERVE CONDUCTION STUDIES 9-10,753.0,753.0,,,0
CDM,92200024,HC NERVE CONDUCTION STUDIES 11-12,833.0,833.0,,,0
CDM,92200025,HC NERVE CONDUCT STUDIES 13 OR >,849.0,849.0,,,0
CDM,92200026,HC TESTING AN SYSTEM,532.0,532.0,,,0
CDM,92200034,HC SSEP UPPER EXTREMITIES,1226.0,1226.0,,,0
CDM,92200037,HC SSEP LOWER EXTREMITIES,1226.0,1226.0,,,0
CDM,92200038,HC VISUAL EVOKED POTENTIAL,1226.0,1226.0,,,0
CDM,92200039,HC BLINK REFLEX,288.0,288.0,,,0
CDM,92200040,HC REP STIMULATION EA NERVE,532.0,532.0,,,0
CDM,92200041,HC SSEP UPPER & LOWER LIMBS,1287.0,1287.0,,,0
CDM,92200042,HC CMEP UPPER & LOWER LIMBS,811.0,811.0,,,0
CDM,92200044,HC NDLE EMG W CHEMODENERVATION,42.0,42.0,,,0
CDM,92200045,HC SYMPATHETIC SKIN POTENTIAL,532.0,532.0,,,0
CDM,92200050,HC SHORT LATENCY SOMATOSENS EP STUDY UPPER & LOWER LIMBS (PURC SVCS),1287.0,1287.0,,,0
CDM,92200051,HC CENTRAL MOTOR EVOKED POT STUDY UPPER & LOWER LIMBS (PURC SVCS),811.0,811.0,,,0
CDM,92200052,HC NEEDLE EMG LMTD ONE EXTREMITY/NONLIMB CRNL NRV SUPP MUSC (PURC SRV),360.0,360.0,,,0
CDM,92400001,HC PERCUTANEOUS TESTS W/IMED REAC,141.0,141.0,,,0
CDM,92400002,HC EXHALED NITRIC OXIDE,300.0,300.0,,,0
CDM,92400003,HC PERCUTANEOUS TEST EA,164.0,164.0,,,0
CDM,92400004,HC INTRADERMAL TEST EA,164.0,164.0,,,0
CDM,92400005,HC TESTS W/ALLERGENIC REACT IMMED,164.0,164.0,,,0
CDM,92400006,HC AIRBORNE ALLERGENS IMMED REAC,164.0,164.0,,,0
CDM,92400007,HC TESTS W/ALLERGENIC REACT DELAY,164.0,164.0,,,0
CDM,92400008,HC PATCH TEST EACH,145.0,145.0,,,0
CDM,92400009,HC INHALATION BRONCHIAL CHALLENGE,1259.0,1259.0,,,0
CDM,92400010,HC INGEST CHALLENGE TEST 120MINS,1000.0,1000.0,,,0
CDM,92400011,HC INGEST CHALNG TEST EA ADD 60MN,118.0,118.0,,,0
CDM,92400013,HC SINGLE INJ W/O ALLERGEN EXTRAC,225.0,225.0,,,0
CDM,92400014,HC MULT INJ W/O ALLERGEN EXTRACT,225.0,225.0,,,0
CDM,92400015,HC SINGLE INJ W/ALLERGEN EXTRACT,243.0,243.0,,,0
CDM,92400016,HC MULT INJ W/ALLERGEN EXTRACT,441.0,441.0,,,0
CDM,92400017,HC PHOTO PATCH TESTS SPECIFY NUMBER OF TESTS,247.0,247.0,,,0
CDM,94000001,HC PREP SGL STING VENOM W/EXTRACT,240.0,240.0,,,0
CDM,94000002,HC PREP 2 STING VENOM W/EXTRACT,442.0,442.0,,,0
CDM,94000003,HC PREP 3 STING VENOM W/EXTRACT,442.0,442.0,,,0
CDM,94000004,HC PREP 4 STING VENOM W/EXTRACT,441.0,441.0,,,0
CDM,94000005,HC PREP 5 STING VENOM W/EXTRACT,441.0,441.0,,,0
CDM,94000006,HC PREP ANTIGEN SINGLE DOSE VIAL,326.0,326.0,,,0
CDM,94000007,HC PREPANTIGEN SNGL STING VENOM,225.0,225.0,,,0
CDM,94000008,HC PREP ANTIGEN 2 STINGING VENOMS,498.0,498.0,,,0
CDM,94000009,HC PREP ANTIGEN 3 STINGING VENOMS,498.0,498.0,,,0
CDM,94000010,HC PREP ANTIGEN 4 STINGING VENOMS,326.0,326.0,,,0
CDM,94000011,HC PREP ANTIGEN 5 STINGING VENOMS,326.0,326.0,,,0
CDM,94000012,HC PREP ANTIGEN SINGLE/MULTIPLE,225.0,225.0,,,0
CDM,94000013,HC EXTRACT/BITING INSECT EA DOSE,326.0,326.0,,,0
CDM,94000014,HC RAPID DESENSITIZATION PROC EA HOUR,634.0,634.0,,,0
CDM,94000016,HC UNLISTED ALLERGY/IMUN SVC/PROC,81.0,81.0,,,0
CDM,94000017,HC REFILL&MNT BACLOFEN PUMP NP/PA,1535.0,1535.0,,,0
CDM,94000018,HC REFILL&MNT BACLOFEN PUMP MD,1535.0,1535.0,,,0
CDM,94000019,HC IV INF. HYDRATION 1ST 31-60MIN,527.0,527.0,,,0
CDM,94000021,HC IV INFUSE HYDRATION EA ADD HR,244.0,244.0,,,0
CDM,94000022,HC IV INF THERAPY 1ST 16-60,564.0,564.0,,,0
CDM,94000023,HC IV INFUSE THERAPY EA ADD HOUR,225.0,225.0,,,0
CDM,94000024,HC IV INFUSION THERAPY PROPH ADDL SEQUENTIAL UP TO 1 HR,388.0,388.0,,,0
CDM,94000026,HC IV INF THER CONCURRENT,196.0,196.0,,,0
CDM,94000027,HC SC IF THER 1ST HR PUMP SET UP,562.0,562.0,,,0
CDM,94000028,HC SC IF THER EA ADD HR,294.0,294.0,,,0
CDM,94000029,HC SC IF THER ADD PUMP SET UP,294.0,294.0,,,0
CDM,94000030,HC THER/PROPH/DIAG INJ SC/IM,306.0,306.0,,,0
CDM,94000031,HC THERAPEUTIC SELF ADMIN,0.01,0.01,,,0
CDM,94000032,HC THER/DIAG INITIAL IV PUSH,505.0,505.0,,,0
CDM,94000033,HC BUBBLE ECHO SALINE,505.0,505.0,,,0
CDM,94000034,HC THER INJ IV EA ADD SEQUEN PUSH,363.0,363.0,,,0
CDM,94000035,HC THER IV EA AD SEQUEN SAME DRUG,169.0,169.0,,,0
CDM,94000036,HC REFILL/MNT PORTABLE PUMP,575.0,575.0,,,0
CDM,94000037,HC REFILL/MNT IMPLANT PUMP IV/IA,575.0,575.0,,,0
CDM,94000038,HC IRRIG DRUG DELIVERY DEVICE,451.0,451.0,,,0
CDM,94000041,HC NARROW BAND UVB,478.0,478.0,,,0
CDM,94000043,HC PSORALENS & ULTRAVIOLET A PUVA,395.0,395.0,,,0
CDM,94000055,HC THERAPEUTIC PHLEBOTOMY,504.0,504.0,,,0
CDM,94000079,HC MED NUTRIT THERAP FOR SEIZURE,2563.0,2563.0,,,0
CDM,94000080,HC NITROGEN BALANCE CALC,120.0,120.0,,,0
CDM,94000083,HC NUTR COUNSEL DM EA 30MIN,195.0,195.0,,,0
CDM,94000087,HC GROUP DIET INSTRUC DM EA 30MIN,161.0,161.0,,,0
CDM,94000093,HC ULTRAVIOLET LIGHT THERAPY,478.0,478.0,,,0
CDM,94000098,HC ACUPUNCTURE WO ELEC STIM INIT 15 MIN,308.0,308.0,,,0
CDM,94000099,HC ACUPUNCTURE WO ELEC STIM EA ADDL 15 MIN,255.0,255.0,,,0
CDM,94000107,HC UNLIST THERAP/PROPH/DIAG IV OR INTRA ART INJ,339.0,339.0,,,0
CDM,94000115,HC PROGRAM INTAKE ASSESSMENT PER ENCOUNTER,443.0,443.0,,,0
CDM,94200001,HC INITIAL NUTR COUNSEL EA 15MIN,123.0,123.0,,,0
CDM,94200003,HC NUTR COUNSEL F/U EA 15MIN,135.0,135.0,,,0
CDM,94200005,HC GROUP DIET INSTRUC EA 30MIN,115.0,115.0,,,0
CDM,94200007,HC ED SELF-MNGMT EA 30MINS 1 PT,108.0,108.0,,,0
CDM,94200008,HC ED SELF-MNGM EA 30MINS 2-4PTS,76.0,76.0,,,0
CDM,94200009,HC ED SELF-MNGM EA 30MINS 5-8 PTS,76.0,76.0,,,0
CDM,94200012,HC SMOKING CESSATION COUN 3-10MIN,65.0,65.0,,,0
CDM,94200013,HC SMOKING CESSATION COUN > 10MIN,65.0,65.0,,,0
CDM,94200014,HC ALCOHOL/SUBS INTERV<30MIN SCRN,115.0,115.0,,,0
CDM,94200015,HC ALCOHOL/SUBS INTERV>30MIN SCRN,115.0,115.0,,,0
CDM,94200037,HC EDUCATION TRAINING,335.0,335.0,,,0
CDM,94200110,HC PT CAREGIVER TRAIN TO SUPPORT CARE (PT NOT PRESENT) F2F INI 30MINS,80.0,80.0,,,0
CDM,94200111,HC OT CAREGIVER TRAIN TO SUPPORT CARE (PT NOT PRESENT) F2F INI 30MINS,80.0,80.0,,,0
CDM,94200112,HC ST CAREGIVER TRAIN TO SUPPORT CARE (PT NOT PRESENT) F2F INI 30MINS,80.0,80.0,,,0
CDM,94200113,HC PT CAREGIVER TRAIN TO SUPPORT CARE (PT NT PRES) F2F EA ADDL 15MINS,39.0,39.0,,,0
CDM,94200114,HC OT CAREGIVER TRAIN TO SUPPORT CARE (PT NT PRES) F2F EA ADDL 15MINS,39.0,39.0,,,0
CDM,94200115,HC ST CAREGIVER TRAIN TO SUPPORT CARE (PT NT PRES) F2F EA ADDL 15MINS,39.0,39.0,,,0
CDM,94200116,HC PT GROUP CAREGIVER TRAIN (PT NOT PRSNT) F2F W MULTI SETS CAREGVRS,34.0,34.0,,,0
CDM,94200117,HC OT GROUP CAREGIVER TRAIN (PT NOT PRSNT) F2F W MULTI SETS CAREGVRS,34.0,34.0,,,0
CDM,94200118,HC ST GROUP CAREGIVER TRAIN (PT NOT PRSNT) F2F W MULTI SETS CAREGVRS,34.0,34.0,,,0
CDM,96000008,HC PR CRITICAL CARE 30-74 MINS,624.0,624.0,,,0
CDM,96000037,HC PR ECHO 2D W DOPPLR/COLOR FLOW,321.0,321.0,,,0
CDM,96000039,HC PR 2D ECHOCARDIOGRAM LTD,75.0,75.0,,,0
CDM,96000042,HC PR DOPP ECHO PULSE WAVE ADD ON,53.0,53.0,,,0
CDM,96000043,HC PR LIMITED DOPPLER STUDY,22.0,22.0,,,0
CDM,96000044,HC PR DOPPLER COLOR FLOW,38.0,38.0,,,0
CDM,96000045,HC PR ECHO EXAM OF HEART/ECG MO,195.0,195.0,,,0
CDM,96000083,HC PR PHYSIOLOGICL ARTERIAL STUDY,72.0,72.0,,,0
CDM,96000087,HC PR DUPLEX ARTERIAL LE COMP,216.0,216.0,,,0
CDM,96000088,HC PR DUPLEX ARTERIAL LE LTD,108.0,108.0,,,0
CDM,96000150,HC PR MOD SED SAME PHYS PT 5 YRS OR> INI 15MINS,90.0,90.0,,,0
CDM,96000151,HC PR THER INTERVENT COGNITIVE FUNC DIRECT PT CONT INI 15MINS,80.0,80.0,,,0
CDM,96000152,HC PR THER INTERVENT COGNITIVE FUNC DIRECT PT CONT EA ADDL 15MINS,80.0,80.0,,,0
CDM,96000153,HC PR MOD SED SAME PHYS EA ADDL 15MINS,25.0,25.0,,,0
CDM,96000155,HC PR MYOCARDIAL STRAIN IMG USE SPECK TRACK DERIVED ASSESS MYOC MECH,105.0,105.0,,,0
CDM,96000160,HC PR POLYSOMNOGRAPHY FULL,336.0,336.0,,,0
CDM,96000161,HC PR UNATTENDED HOME SLEEP TEST,130.0,130.0,,,0
CDM,96000200,HC PR 3D ECHO IMG & PST PROC TEE/TTE CONG CARDIAC ANOMALIES,98.0,98.0,,,0
CDM,96010007,HC PR DUPLEX ABD PEL RETRO LTD,156.0,156.0,,,0
CDM,96055001,HC PR CYSTOURETHROSCOPY,346.0,346.0,,,0
CDM,96055002,HC PR CYSTO W REMOVAL FB STONE & STENT SIMPLE,434.0,434.0,,,0
CDM,96055003,HC PR I&D EPIDIDYMIS TESTIS &/SCROTAL SPACE,518.0,518.0,,,0
CDM,96055004,HC PR CHANGE CYSTOSTOMY TUBE SIMPLE,175.0,175.0,,,0
CDM,96055005,HC PR CHANGE CYSTOSTOMY TUBE COMPLICATED,228.0,228.0,,,0
CDM,96055006,HC PR INSERT NON INDWELL BLADDER CATHETER,131.0,131.0,,,0
CDM,96055007,HC PR INSERT TEMP INDWELL BLADDER CATHETER SIMPLE,178.0,178.0,,,0
CDM,96055008,HC PR INSERT TEMP INDWELL BLADDER CATHETER COMPLICATED,221.0,221.0,,,0
CDM,96055009,HC PR FORESKIN MANIPUL INCL LYSIS PREPUTIAL ADHES & STRETCH,166.0,166.0,,,0
CDM,96055014,HC PR INITIAL HOSP CARE PER DAY 30MINS,327.0,327.0,,,0
CDM,96055015,HC PR INITIAL HOSP CARE PER DAY 50MINS,343.0,343.0,,,0
CDM,96055016,HC PR INITIAL HOSP CARE PER DAY 70MINS,497.0,497.0,,,0
CDM,96055020,HC PR SUBSEQ OBSERV CARE PER DAY 15MINS,120.0,120.0,,,0
CDM,96055021,HC PR SUBSEQ OBSERV CARE PER DAY 25MINS,189.0,189.0,,,0
CDM,96055022,HC PR SUBSEQ OBSERV CARE PER DAY 35MINS,275.0,275.0,,,0
CDM,96055023,HC PR OBV/INPT HOSP CARE INC ADMISS & DISCH SAME DATE 40MINS,336.0,336.0,,,0
CDM,96055024,HC PR OBV/INPT HOSP CARE INC ADMISS & DISCH SAME DATE 50MINS,435.0,435.0,,,0
CDM,96055025,HC PR OBV/INPT HOSP CARE INC ADMISS & DISCH SAME DATE 55MINS,555.0,555.0,,,0
CDM,96055026,HC PR HOSPITAL DISCHARGE DAY MGMT 30MINS OR<,198.0,198.0,,,0
CDM,96055027,HC PR HOSPITAL DISCHARGE DAY MGMT > 30MINS,282.0,282.0,,,0
CDM,96055029,HC PR INI  INPATIENT CONSULT NEW/ESTABL PT 40MINS,198.0,198.0,,,0
CDM,96055030,HC PR INI  INPATIENT CONSULT NEW/ESTABL PT 55MINS,292.0,292.0,,,0
CDM,96055031,HC PR INI  INPATIENT CONSULT NEW/ESTABL PT 80MINS,426.0,426.0,,,0
CDM,96055032,HC PR INI  INPATIENT CONSULT NEW/ESTABL PT 100MINS,495.0,495.0,,,0
CDM,96055033,HC PR EMERGENCY DEPT VISIT LIMITED/MINOR,138.0,138.0,,,0
CDM,96055034,HC PR EMERGENCY DEPT VISIT LOW/MODERATE SEVERITY,205.0,205.0,,,0
CDM,96055035,HC PR EMERGENCY DEPT VISIT MODERATE SEVERITY,274.0,274.0,,,0
CDM,96055036,HC PR EMERGENCY DEPT VISIT HIGH SEVERITY/URGENT EVAL,428.0,428.0,,,0
CDM,96055037,HC PR EMERG DEPT VISIT HIGH SEVERITY & IMM THREAT TO LIFE/PHY FUNCT,513.0,513.0,,,0
CDM,96100001,HC PR PSYCHOTHER 45 MIN W PT,378.0,378.0,,,0
CDM,96100002,HC PR CRISIS PSYTHERAPY ADDL 30MN,198.0,198.0,,,0
CDM,96100003,HC PR FAMILY PSYCHOTHERAPY WO PT 50MINS,435.0,435.0,,,0
CDM,96100004,HC PR FAMILY PSYCHOTHERAPY W PT 50MINS,400.0,400.0,,,0
CDM,96100005,HC PR GROUP PSYCHOTHERAPY,207.0,207.0,,,0
CDM,96100007,HC PR INTERACTIVE COMPLEXITY,38.0,38.0,,,0
CDM,96100008,HC PR PSYCHOTHER 30 MIN W PT,288.0,288.0,,,0
CDM,96100009,HC PR PSYCHOTHERAPY W E&M 30 MIN,133.0,133.0,,,0
CDM,96100010,HC PR PSYCHOTHERAPY W E&M 45 MIN,154.0,154.0,,,0
CDM,96100011,HC PR PSYCHOTHERAPY 60 MIN,366.0,366.0,,,0
CDM,96100012,HC PR PSYCHOTHERAPY W E&M 60 MIN,309.0,309.0,,,0
CDM,96100013,HC PR PSYCHOTHERAPY CRISIS 60MIN,360.0,360.0,,,0
CDM,96100014,HC PR PSYCH DIAGNOSTIC EVALUATION,358.0,358.0,,,0
CDM,96100020,HC PR BIOFEEDBACK TRAINING,71.0,71.0,,,0
CDM,96100053,HC PR INI PSYCH COLLAB CARE MGMT 1ST 70 MINS 1ST CAL MNTH,378.0,378.0,,,0
CDM,96100054,HC PR SUBSEQ PSYCH COLLAB CARE MGMT 1ST 60 MINS SUBSEQ MNTH,302.0,302.0,,,0
CDM,96100055,HC PR INI/SUBSEQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS CAL MNTH,134.0,134.0,,,0
CDM,96100100,HC PR PSYCH TEST EVAL SVCS FIRST HOUR,371.0,371.0,,,0
CDM,96100101,HC PR PSYCH TEST EVAL SVCS FIRST HOUR EA ADDL HOUR,283.0,283.0,,,0
CDM,96100102,HC PR NEUROPSYCH TEST EVAL PHYS/OTHER QUAL HLTH PROF 1ST HOUR,363.0,363.0,,,0
CDM,96100103,HC PR NEUROPSYCH TEST EVAL PHYS/OTHER QUAL HLTH PROF EA ADDL HOUR,278.0,278.0,,,0
CDM,96100104,HC PR PSYCH/NEUROPSYCH TEST ADMIN & SCORE 2OR> TST 1ST 30MINS,92.0,92.0,,,0
CDM,96100105,HC PR PSYCH/NEUROPSYCH TEST ADMIN & SCORE 2OR> TST EA ADDL 30MINS,58.0,58.0,,,0
CDM,96100106,HC PR PSYCH/NEUROPSYCH TEST ADMIN & SCORE BY TECH 2OR>TSTS 1ST 30MINS,132.0,132.0,,,0
CDM,96100107,HC PR PSYCH/NEUROPSYCH TEST ADMIN & SCORE BY TECH 2OR>TSTS EA ADDL 30MINS,132.0,132.0,,,0
CDM,96100108,HC PR PSYCH/NEUROPSY TST ADM W SNG STAND INSTR ELEC PLTFRM AUTO RESULT,35.0,35.0,,,0
CDM,96100510,HC PR INI OR SUBSEQ PSYCH COLL CARE MGT FIRST 30 MINS,182.0,182.0,,,0
CDM,96101012,HC PR INDUCTION FEE TYPE 2,430.0,430.0,,,0
CDM,96101013,HC PR DAILY FEE ONGOING COE SERVICES,19.0,19.0,,,0
CDM,96101015,HC PR HLTH BEHAV ASSESSMENT OR REASSESSMENT,254.0,254.0,,,0
CDM,96101016,HC PR HLTH BEHAV INTERVENT INDIV FACE TO FACE INI 30 MINS,172.0,172.0,,,0
CDM,96101017,HC PR HLTH BEHAV INTERVENT INDIV FACE TO FACE EA ADDL 15 MINS,65.0,65.0,,,0
CDM,96101018,HC PR HLTH BEHAV INTERVENTION GROUP FACE TO FACE IN 30MINS,54.0,54.0,,,0
CDM,96101019,HC PR HLTH BEHAV INTERVENTION GROUP FACE TO FACE EA ADDL 15MINS,27.0,27.0,,,0
CDM,96101020,HC PR HLTH BEHAV INTERV FAMILY W PT FACE TO FACE INI 30MINS,156.0,156.0,,,0
CDM,96101021,HC PR HLTH BEHAV INTERV FAMILY W PT FACE TO FACE EA ADDL 15MINS,65.0,65.0,,,0
CDM,96101022,HC PR HLTH BEHAV INTERV FAMILY WO PT FACE TO FACE INI 30 MINS,285.0,285.0,,,0
CDM,96101023,HC PR HLTH BEHAV INTERV FAMILY WO PT FACE TO FACE EA ADDL 15 MINS,68.0,68.0,,,0
CDM,96101050,HC PR DEVELOP TEST ADMIN PHY/QHP W INTER & RPT IST HOUR,381.0,381.0,,,0
CDM,96101051,HC PR DEVELOP TEST ADMIN PHY/QHP W INTER & RPT EA ADDL 30 MINS,170.0,170.0,,,0
CDM,96101052,HC PR NEUROBEHAVIORAL STATUS EXAM BY PSYCH/PHY,268.0,268.0,,,0
CDM,96101053,HC PR NEUROBEH STATUS EXAM PHYS/QHP EA ADDL HOUR,230.0,230.0,,,0
CDM,96101105,HC PR MLT FAM GRP BHV MGT/MOD TRAIN 1ST 60 MINS,64.0,64.0,,,0
CDM,96101106,HC PR MLT FAM GRP BHV MGT/MOD TRAIN EA ADDL 15 MINS,18.0,18.0,,,0
CDM,96150276,HC PR MULTI FAMILY GROUP PSYCHOTHERAPY,226.0,226.0,,,0
CDM,96900002,HC PR BASIC VESTIBULAR EVAL,228.0,228.0,,,0
CDM,96900017,HC PR DPOAE LIMITED,54.0,54.0,,,0
CDM,96900018,HC PR EVOKED OAE COMP 12 PT,73.0,73.0,,,0
CDM,96900041,HC PR CALORIC TEST W RECORD BILAT BITHERMAL,81.0,81.0,,,0
CDM,96900155,HC PR ADMIN STAND EVID BASED SOCIAL DETERM HLTH RISK ASSESS 5-15 MINS,59.0,59.0,,,0
CDM,96910000,HC PR HOME VISIT EVAL MGT NEW PT 20 MINS FACE 2 FACE,239.0,239.0,,,0
CDM,96910001,HC PR HOME VISIT EVAL MGT NEW PT 30 MINS FACE 2 FACE,266.0,266.0,,,0
CDM,96910003,HC PR HOME VISIT EVAL MGT NEW PT 60 MINS FACE 2 FACE,460.0,460.0,,,0
CDM,96910004,HC PR HOME VISIT EVAL MGT NEW PT 75 MINS FACE 2 FACE,561.0,561.0,,,0
CDM,96910005,HC PR HOME VISIT EVAL MGT EST PT 15 MINS FACE 2 FACE,217.0,217.0,,,0
CDM,96910006,HC PR HOME VISIT EVAL MGT EST PT 25 MINS FACE 2 FACE,266.0,266.0,,,0
CDM,96910007,HC PR HOME VISIT EVAL MGT EST PT 40 MINS FACE 2 FACE,343.0,343.0,,,0
CDM,96910008,HC PR HOME VISIT EVAL MGT EST PT 60 MINS FACE 2 FACE,499.0,499.0,,,0
CDM,97100003,HC PR SERUM PROTEIN ELCTRO,69.0,69.0,,,0
CDM,97100004,HC PR PROTEIN URINE ELECT FRCT INTRP,69.0,69.0,,,0
CDM,97100005,HC PR BLD SMEAR/PATH REVIEW,60.0,60.0,,,0
CDM,97100006,HC PR BONE MRW SMEAR INTERP,209.0,209.0,,,0
CDM,97100007,HC PR EVAL OF IRREG AB/XM BY BB MD,128.0,128.0,,,0
CDM,97100008,HC PR INVESTIG OF TRANSF RXN BY BBMD,128.0,128.0,,,0
CDM,97100009,HC PR IMMUNOFIXATION ELECTROPHORESIS,69.0,69.0,,,0
CDM,97100010,HC PR CYTOLOGY SMEAR NON GYN,106.0,106.0,,,0
CDM,97100011,HC PR LIQUID BASED SLIDE PREP NONGYN,173.0,173.0,,,0
CDM,97100012,HC PR VAGINAL CERV CYTOL MD INTERP,73.0,73.0,,,0
CDM,97100014,HC PR FINE NEEDLE IMMED EVAL,84.0,84.0,,,0
CDM,97100015,HC PR FNA INTERP AND REPORT,428.0,428.0,,,0
CDM,97100016,HC PR CYTOGENETICS INTERP/REPORT,113.0,113.0,,,0
CDM,97100017,HC PR SURGICAL PATH LEVEL II,20.0,20.0,,,0
CDM,97100018,HC PR SURGICAL PATH LEVEL III,39.0,39.0,,,0
CDM,97100019,HC PR SURGICAL PATH LEVEL VI,586.0,586.0,,,0
CDM,97100020,HC PR SPECIAL STAIN GROUP I,62.0,62.0,,,0
CDM,97100021,HC PR SPECIAL STAIN GROUP II,74.0,74.0,,,0
CDM,97100022,HC PR CONSULT ON REFERRED CASE MINOR,71.0,71.0,,,0
CDM,97100024,HC PR PATHOLOGY CONSULT DURING SURGERY,138.0,138.0,,,0
CDM,97100025,HC PR INTRAOP FS ADD,84.0,84.0,,,0
CDM,97100027,HC PR HEMOGLOBIN ELECTROPHOR PC ONLY,73.0,73.0,,,0
CDM,97100028,HC PR COAG INTERP,62.0,62.0,,,0
CDM,97100030,HC PR BLOOD SMEAR PARASITE,47.0,47.0,,,0
CDM,97100031,HC PR CYTOLOGY CONC SMEAR NON GYN,111.0,111.0,,,0
CDM,97100032,HC PR CYTO PREP&INTERP SMEAR NO FLD,84.0,84.0,,,0
CDM,97100033,HC PR FISH CYTO INTERP AND REPORT,113.0,113.0,,,0
CDM,97100034,HC PR LUNG CYTO INTERP AND REPORT,113.0,113.0,,,0
CDM,97100035,HC PR SURGICAL PATH LEVEL I,13.0,13.0,,,0
CDM,97100036,HC PR CELL BLOCK ANY SOURCE,207.0,207.0,,,0
CDM,97100037,HC PR SURGICAL PATH LEVEL IV,207.0,207.0,,,0
CDM,97100038,HC PR SURGICAL PATH LEVEL V,387.0,387.0,,,0
CDM,97100039,HC PR DECALCIFICATION,52.0,52.0,,,0
CDM,97100040,HC PR HISTOCHEM STAIN FS,109.0,109.0,,,0
CDM,97100041,HC PR INTRAOP CONSULTATION FS,152.0,152.0,,,0
CDM,97100042,HC PR IMMUNOHISTOCHEMSTR EA STAIN,145.0,145.0,,,0
CDM,97100043,HC PR TUMOR HISTOCHEMISTRY,181.0,181.0,,,0
CDM,97100044,HC PR FISH/HER-2NEU EA PROBE,355.0,355.0,,,0
CDM,97100045,HC PR THIN PREP MD INTERP MED SCREEN,62.0,62.0,,,0
CDM,97100046,HC PR MOL PATH PHYSICIAN INTER & REP,52.0,52.0,,,0
CDM,97100050,HC PR IHC INITIAL,145.0,145.0,,,0
CDM,97100055,HC PR CYTOPATHOLOGY CONC BODY FLUID PATH REVIEW (BFPR),111.0,111.0,,,0
CDM,97100057,HC PR CONSULT COMPREHEN W REV RECORDS & SPECIMENS W RPT REF MAT,464.0,464.0,,,0
CDM,97101000,HC PR BLD SMEAR/PATH REVIEW,60.0,60.0,,,0
CDM,97101002,HC PR FINE NEEDLE IMMED EVAL,84.0,84.0,,,0
CDM,97101004,HC PR IHC ADDITIONAL STAIN,94.0,94.0,,,0
CDM,97101005,HC PR FLOW CYTOMETRY 2-8,144.0,144.0,,,0
CDM,97101006,HC PR FLOW CYTOMETRY 9-15,184.0,184.0,,,0
CDM,97101007,HC PR FLOW CYTOMETRY 16 OR MORE,224.0,224.0,,,0
CDM,97101008,HC PR IMMUNOFLUOR AB ADDITIONAL STAIN,153.0,153.0,,,0
CDM,97101009,HC PR MORPHOMETRIC ANALYSIS INITIAL SINGLE PROC,230.0,230.0,,,0
CDM,97101010,HC PR MORPHOMETRIC ANALYSIS INITIAL EA ADDL SINGLE PROC,102.0,102.0,,,0
CDM,97101011,HC PR MORPHOMETRIC ANALYSIS NERVE,384.0,384.0,,,0
CDM,97101012,HC PR CONSULT & RPT ON REFER MAT REQ SLIDE PREP,203.0,203.0,,,0
CDM,97101013,HC PR MORPHOMETRIC ANAL ISH EA MULTI STAIN PROC,285.0,285.0,,,0
CDM,97101025,HC PR COMPREHENSIVE SOLID TUMOR FUSION PANEL,52.0,52.0,,,0
CDM,97101026,HC PR SARCOMA FUSION PANEL,52.0,52.0,,,0
CDM,97101027,HC PR LUNG AND THYROID CANCER FUSION PANEL,52.0,52.0,,,0
CDM,97101028,HC PR NEURO-ONCOLOGY FUSION PANEL,52.0,52.0,,,0
CDM,97101030,HC PR COMPREHENSIVE HEMATOLYMPHOID MUTATION PANEL,52.0,52.0,,,0
CDM,97101040,HC PR HER2 MULTIPLEX,176.0,176.0,,,0
CDM,97101150,HC PR PATH CLINICAL CONSULT STRAIGTFORWARD MDM 5-20 MINS,105.0,105.0,,,0
CDM,97101151,HC PR PATH CLINICAL CONSULT MODERATE LEVEL MDM 21-40 MINS,120.0,120.0,,,0
CDM,97101152,HC PR PATH CLINICAL CONSULT HIGH LEVEL MDM 41-60 MINS,217.0,217.0,,,0
CDM,97101153,HC PR PATH CLINICAL CONSULT PROLONGED SVC EA ADDL 30 MINS,78.0,78.0,,,0
CDM,97101155,HC PR GROUP III FOR ENZYME CONSTITUENTS FOR EACH STAIN,71.0,71.0,,,0
CDM,97110000,HC PR CRYOGLOBULIN ISO TYPING,69.0,69.0,,,0
CDM,97110001,HC PR URINE IMMUNOFIXATION ELECTRO,69.0,69.0,,,0
CDM,97110002,HC PR EXTRAVAGINAL CYTOLOGY,111.0,111.0,,,0
CDM,97110003,HC PR ADDL ON SITE ADEQUACY FOR FNA,43.0,43.0,,,0
CDM,97110005,HC PR BONE MARROW NDL INTERP,207.0,207.0,,,0
CDM,97110006,HC PR PROSTATE 12 PART,402.0,402.0,,,0
CDM,97110008,HC PR SPECIAL STAIN SIDEROBLAST,74.0,74.0,,,0
CDM,97110009,HC PR ACID PHOSP TARTRATE RES,71.0,71.0,,,0
CDM,97110010,HC PR ALPHA NAPTHYL B ESTHERAS,71.0,71.0,,,0
CDM,97110011,HC PR CHLOROACETATE ESTERASE,71.0,71.0,,,0
CDM,97110012,HC PR LYMPHOCYTE ACID PHOSPH,71.0,71.0,,,0
CDM,97110013,HC PR PEROXIDASE,71.0,71.0,,,0
CDM,97110014,HC PR IOC WITH TOUCH PREP,124.0,124.0,,,0
CDM,97110015,HC PR ADDITIONAL TOUCH PREP,89.0,89.0,,,0
CDM,97110016,HC PR IMMUNOFLUOR EA AB INITIAL,183.0,183.0,,,0
CDM,97110018,HC PR EM DIAGNOSTIC,444.0,444.0,,,0
CDM,97110019,HC PR EM SCANNING,444.0,444.0,,,0
CDM,97110020,HC PR NERVE TEASING,564.0,564.0,,,0
CDM,97200501,HC PR FLOURO NDLE PLCMT BX ASP SI,143.0,143.0,,,0
CDM,97200502,HC PR FLUORO CATH OR NDL SPINE DX,161.0,161.0,,,0
CDM,97200519,HC PR NONVASCULAR SHUNTOGRAM,96.0,96.0,,,0
CDM,97200520,HC PR DISKOGRAPHY LUMBAR SI,181.0,181.0,,,0
CDM,97200522,HC PR US LMTD JOINT/OTH NONVASC EXTR STRU REAL TIME W/IMG,142.0,142.0,,,0
CDM,97200523,HC PR US GUIDANCE FOR NEEDLE PLCMNT SI,153.0,153.0,,,0
CDM,97200535,HC PR US COMPL JOINT REAL TIME W IMG DOC,87.0,87.0,,,0
CDM,97500001,HC PR FNA WITHOUT IMAGING GUIDANCE,354.0,354.0,,,0
CDM,97500003,HC PR PUNC ASP ABSCES HEMA BULL CYST,315.0,315.0,,,0
CDM,97500009,HC PR REM SKIN TAGS UP TO 15 LESIONS,218.0,218.0,,,0
CDM,97500010,HC PR REM SKIN TAGS EA AD 10 LESIONS,46.0,46.0,,,0
CDM,97500013,HC PR BX BREAST PERC W/O IMAGE,376.0,376.0,,,0
CDM,97500028,HC PR ESOPHAGOSCOPY DIAG W COLL SPECIMEN(S) BY BRUSH/WASH WH PERF,491.0,491.0,,,0
CDM,97500031,HC PR EGD FLEX TRANSORAL DIAGNOSTIC,673.0,673.0,,,0
CDM,97500033,HC PR EGD TRANSORAL BIOPSY SINGLE/MULTI,860.0,860.0,,,0
CDM,97500034,HC PR EGD W INJ SCLEROSIS ESOPHAGEAL/GASTRIC VARICES,628.0,628.0,,,0
CDM,97500035,HC PR EGD W BANDING LIGATION,705.0,705.0,,,0
CDM,97500036,HC PR EGD PERCUT PLCMNT GASTROSTOMY TUBE,627.0,627.0,,,0
CDM,97500037,HC PR EGD FLEX W FOREIGN BODY REMOVAL,834.0,834.0,,,0
CDM,97500039,HC PR EGD REM TUMOR POLYP/OTH LESION HOT BIOPSY FORCEPS,800.0,800.0,,,0
CDM,97500040,HC PR EGD REM TUMOR POLYP/OTHER LESION SNARE TECH,923.0,923.0,,,0
CDM,97500041,HC PR EGD TRANSORAL CONTROL BLEEDING ANY METHOD,1315.0,1315.0,,,0
CDM,97500053,HC PR ENDO UPPER SM INTESTINE ENTEROSCOPY DIAG,388.0,388.0,,,0
CDM,97500054,HC PR ENDO UPPER SM INTESTINE ENTEROSCOPY W BIOPSY,427.0,427.0,,,0
CDM,97500055,HC PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE,545.0,545.0,,,0
CDM,97500056,HC PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION W HOT BX OR CAUTERY,486.0,486.0,,,0
CDM,97500057,HC PR ENTEROSCOPY > 2ND PRTN W CTRL BLEEDING,641.0,641.0,,,0
CDM,97500058,HC PR POUCHOSCOPY DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,576.0,576.0,,,0
CDM,97500067,HC PR PROCTOSIGMOIDOSCOPY RIGID DIAG W/WO COLL SPECIMEN(S) BRUSH/WASH,223.0,223.0,,,0
CDM,97500068,HC PR PROCTOSIGMOIDOSCOPY W/ BIOPSY,429.0,429.0,,,0
CDM,97500069,HC PR SIGMOIDOSCOPY FLEX DIAGNOSTIC,334.0,334.0,,,0
CDM,97500070,HC PR SIGMOIDOSCOPY FLEX W BIOPSY SINGLE/MULTI,513.0,513.0,,,0
CDM,97500071,HC PR COLONOSCOPY FLEX DIAGNOSTIC,946.0,946.0,,,0
CDM,97500072,HC PR COLONOSCOPY FLEX W BIOPSY SINGLE/MULTI,944.0,944.0,,,0
CDM,97500074,HC PR COLON W SUBMUCOSAL INJ,1134.0,1134.0,,,0
CDM,97500075,HC PR COLONOSCOPY FLEX W CTRL BLEEDING ANY METHOD,993.0,993.0,,,0
CDM,97500076,HC PR COLONSCPY FLEX W REM TUMOR POLYP OR OTH LESION HOT BX FORCEPS,1126.0,1126.0,,,0
CDM,97500078,HC PR COLONOSCPY FLEX W REM TUMOR POLYP OR OTH LESION SNARE TECH,1271.0,1271.0,,,0
CDM,97500099,HC PR CATHERIZATION URETHRA SIMPLE,178.0,178.0,,,0
CDM,97500108,HC PR DESTRUCT LESION VULVA SIMPLE,420.0,420.0,,,0
CDM,97500145,HC PR IRRIGATION OF VAGINA,137.0,137.0,,,0
CDM,97500149,HC PR DIAPHRAGM OR CERV CAP FITTING W INSTRUCTIONS,180.0,180.0,,,0
CDM,97500156,HC PR PELVIC EXAM UNDER ANESTHESIA,264.0,264.0,,,0
CDM,97500160,HC PR COLPOSCOPY CERVIX,276.0,276.0,,,0
CDM,97500197,HC PR INSERTION OF IUD,210.0,210.0,,,0
CDM,97500198,HC PR REMOVAL OF IUD,268.0,268.0,,,0
CDM,97500253,HC PR COLONOSCOPY FLEX W REMOVAL OF FOREIGN BODY,1220.0,1220.0,,,0
CDM,97500254,HC PR COLORECTAL CANCER SCREEN COLON HIGH RISK IND,806.0,806.0,,,0
CDM,97500255,HC PR COLORECTAL CANCER SCREEN COLON NOT HIGH RISK,946.0,946.0,,,0
CDM,97500256,HC PR ILEOSCOPY VIA STOMA W BIOPSY SINGL/MULTI,262.0,262.0,,,0
CDM,97500261,HC PR SIGMOID W/REM TUMOR PLYP OR OTH LESION HOT BX FORCEPS,640.0,640.0,,,0
CDM,97500263,HC PR SIGMOID W/REM TUMOR PLYP OR OTH LESION SNARE TECH,565.0,565.0,,,0
CDM,97500265,HC PR THORACENTESIS WO US GUIDANCE,907.0,907.0,,,0
CDM,97500267,HC PR SKIN SUB TRUNK ARM LEG 1ST 25 CM2,349.0,349.0,,,0
CDM,97500269,HC PR SKIN SUB TRUNK ARM LEG ADD 25 CM2,53.0,53.0,,,0
CDM,97500275,HC PR SKIN SUB EXTR FACE SCALP (<100CM2) 1ST 25CM,357.0,357.0,,,0
CDM,97500277,HC PR SKIN SUB EXTR FACE SCALP EA ADD 25CM2,80.0,80.0,,,0
CDM,97500291,HC PR I&D POST OP WOUND,602.0,602.0,,,0
CDM,97500296,HC PR STSG TRNK/ARM/LEG 1ST 100SQ CM,2219.0,2219.0,,,0
CDM,97500297,HC PR STSG TRUNK ARM LEG EA ADD 100 SQ CM,436.0,436.0,,,0
CDM,97500298,HC PR I&D HEMATOMA FLUID COLLECTION,401.0,401.0,,,0
CDM,97500300,HC PR SUR PREP TRK ARM LG 1ST100SQCM,637.0,637.0,,,0
CDM,97500301,HC PR SUR PREP TRK ARM LEG EA ADD 100 SQ CM,142.0,142.0,,,0
CDM,97500302,HC PR PREP HAND FOOT HEAD 1ST 100 SQ CM,1005.0,1005.0,,,0
CDM,97500303,HC PR PREP HAND FOOT HEAD EA ADD 100 SQ CM,268.0,268.0,,,0
CDM,97500304,HC PR COMPLEX REPAIR TRUNK 1.1-2.5 CM,1295.0,1295.0,,,0
CDM,97500305,HC PR 2.6-7.5CM COMPLX REP TRUNK,1133.0,1133.0,,,0
CDM,97500306,HC PR EA ADD 5CM OR LESS COMPLX REP TRUNK,578.0,578.0,,,0
CDM,97500307,HC PR 1.1-2.5CM COMPLX REPAIR HEAD/FACE/HAND/FEET,993.0,993.0,,,0
CDM,97500308,HC PR 2.6-7.5CM COMPLX REPAIR HEAD/FACE/HAND/FEET,1443.0,1443.0,,,0
CDM,97500309,HC PR EA ADD 5CM OR LESS COMPLX REPAIR HEAD/FACE/HAND/FEET,429.0,429.0,,,0
CDM,97500325,HC PR EGD FLEX W INSERT INTRALUMINAL TUBE OR CATH,448.0,448.0,,,0
CDM,97500326,HC PR EGD ENDO US EXAM INCL ESOP STOM SURG ALTER STOM DUODENUM/JEJUNUM,706.0,706.0,,,0
CDM,97500327,HC PR EGD W ABLATION OF TUMOR PLOYP OR OTHER LESION,1443.0,1443.0,,,0
CDM,97500328,HC PR SM INTEST ENDO ENTEROSCOPY >2ND PRTN W ABL TUMOR POLYP OTH LES,656.0,656.0,,,0
CDM,97500329,HC PR SM INTEST ENDO ENTEROSCOPY >2ND PRTN W PLCMNT PER JEJUNOTMY TUBE,639.0,639.0,,,0
CDM,97500330,HC PR SM INTEST ENDO ENTEROSCOPY >2ND PRTN CONVERT G TUBE TO J TUBE,510.0,510.0,,,0
CDM,97500331,HC PR SM INTEST ENDO ENTEROSCOPY >2ND PRTN W ILEUM W/WO COLL SPEC,759.0,759.0,,,0
CDM,97500332,HC PR SM INTEST ENDO ENTEROSCOPY>2ND PRTN W ILEUM W BIOPSY SINGLE/MULTI,798.0,798.0,,,0
CDM,97500333,HC PR SM INTEST ENDO ENTEROSCOPY >2ND PRTN W ILEUM CONTROL BLEEDING,1026.0,1026.0,,,0
CDM,97500334,HC PR SIGMOIDOSCOPY FLEX W REMOVAL OF FOREIGN BODY,492.0,492.0,,,0
CDM,97500335,HC PR SIGMOIDOSCOPY FLEX W CONTROL OF BLEED ANY METHOD,1214.0,1214.0,,,0
CDM,97500336,HC PR SIGMOIDOSCOPY FLEX W ABLATION TUMOR POLYP OR OTH LESION,429.0,429.0,,,0
CDM,97500337,HC PR COLONOSCOPY FLEX W ABLATION TUMOR POLYP OR OTH LESION,775.0,775.0,,,0
CDM,97500338,HC PR EGD FLEX W DIRECT SUBMUCOSAL INJ ANY SUB,707.0,707.0,,,0
CDM,97500339,HC PR EGD FLEX TRANSENDOSC BALL DIL ESOPHAGUS <30MM DIAM,1915.0,1915.0,,,0
CDM,97500340,HC PR EGD FLEX W INSERT GUIDE WIRE DILATOR PASSAGE THROU ESOPHAGUS,748.0,748.0,,,0
CDM,97500345,HC PR ESOPHAGOSCOPY FLEX TRNS W BX SINGL/MULTI,658.0,658.0,,,0
CDM,97500346,HC PR ESOPHAGOSCOPY TRANSORAL W PLACEMENT ENDO STENT,476.0,476.0,,,0
CDM,97500347,HC PR ESOPHAGOSCOPY W DIL ESOPH W BALLOON 30MM OR> INCL FLUORO WH PERF,484.0,484.0,,,0
CDM,97500348,HC PR EGD W DIL ESOPH W BALLOON 30MM OR> INCL FLUORO WH PERF,573.0,573.0,,,0
CDM,97500349,HC PR EGD TRN W TRNSMRL DRAIN PSDOCYST INC DRN CTH/STNTS(S) & EUS W PF,1040.0,1040.0,,,0
CDM,97500350,HC PR EGD W TRANSENDO ULTRASOUND FNA/BIOPSY(S),696.0,696.0,,,0
CDM,97500351,HC PR EGD W DILATION GASTRIC/DUODENAL STRICTURE(S),1120.0,1120.0,,,0
CDM,97500352,HC PR EGD W ENDOSCOPIC MUCOSAL RESECTION,683.0,683.0,,,0
CDM,97500353,HC PR ERCP DIAG INCL COLL SPECIMEN BY BRUSH/WASH W PERF,854.0,854.0,,,0
CDM,97500354,HC PR ERCP W BIOPSY SINGLE OR MULTIPLE,898.0,898.0,,,0
CDM,97500355,HC PR ERCP W SPHINCTEROTOMY/PAPILLOTOMY,946.0,946.0,,,0
CDM,97500356,HC PR ERCP W PRESSURE MEASUREMENT SPHINCTER OF ODDI,948.0,948.0,,,0
CDM,97500357,HC PR ERCP W REMOVAL CALCULI/DEBRIS BILIARY/PANCREATIC DUCT(S),964.0,964.0,,,0
CDM,97500358,HC PR ERCP W DESTRUCTION CALCULI ANY METHOD,1148.0,1148.0,,,0
CDM,97500359,HC PR EGD W PLCMNT ENDOSCPIC STNT INC DILATION & GUIDE WIRE PASS W PRF,618.0,618.0,,,0
CDM,97500360,HC PR ENDOSCOPIC CANNULATION OF PAPILLA W PANCREATC/COMMN BILE DUCT(S),301.0,301.0,,,0
CDM,97500361,HC PR ERCP W PLCMNT STENT INTO BILIARY/PANCREAT DUCT EACH STENT,1167.0,1167.0,,,0
CDM,97500362,HC PR ERCP W REM & EXCHNG STENT(S) BIL/PAN DUCT SPHINCTEROTOMY WH PERF,1216.0,1216.0,,,0
CDM,97500363,HC PR ERCP W BAL DIL BILI/PANCR DUCT(S) OR AMPULLA INC SPHINC WH PR EA,955.0,955.0,,,0
CDM,97500364,HC PR ERCP W ABLAT OF TUMOR(S)/POLYP(S)/OTH LESION(S) INC DIL WH PERF,1092.0,1092.0,,,0
CDM,97500365,HC PR REPLC GASTRO TUBE WO IMG OR GUID NOT REQ REV OF GASTRO TRACT,600.0,600.0,,,0
CDM,97500366,HC PR ILEOSCOPY VIA STOMA DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PRF,168.0,168.0,,,0
CDM,97500367,HC PR POUCHOSCOPY W BX SING/MULTI,772.0,772.0,,,0
CDM,97500368,HC PR COLONOSCOPY VIA STOMA DIAG INC COLL SPECIMEN(S) BRUSH/WASH WH PR,769.0,769.0,,,0
CDM,97500369,HC PR COLONOSCOPY VIA STOMA W BX SING/MULTI,1056.0,1056.0,,,0
CDM,97500370,HC PR COLONOSCOPY THROU STOMA W TRANSENDO BALLOON DILATION,1105.0,1105.0,,,0
CDM,97500371,HC PR PREP FECAL MICROBIOTA INSTILLATION,261.0,261.0,,,0
CDM,97500382,HC PR SIGMOIDOSCOPY W DIRECT SUBMUCOSAL INJ(S) ANY SUBSTANCE,498.0,498.0,,,0
CDM,97500383,HC PR SIGMOID FLEX W DECOMPRESSION,310.0,310.0,,,0
CDM,97500384,HC PR SIGMOIDOSCOPY W TRANSENDO BALLOON DILATION,885.0,885.0,,,0
CDM,97500385,HC PR SIGMOIDOSCOPY W ULTRASOUND,339.0,339.0,,,0
CDM,97500386,HC PR SIGMOIDOSCOPY W PLACEMENT OF ENDOSCOPIC STENT W DIL WH PERF,389.0,389.0,,,0
CDM,97500387,HC PR SIGMOIDOSCOPY FLEX W BAND LIGATION(S),1060.0,1060.0,,,0
CDM,97500388,HC PR COLONOSCOPY W BALLOON DILATION,1205.0,1205.0,,,0
CDM,97500389,HC PR COLONOSCOPY W STENT PLCMNT INCL DILAT & GUIDE WIRE PASS WH PERF,731.0,731.0,,,0
CDM,97500390,HC PR COLONOSCOPY W ENDOSCOPIC MUCOSAL RESECTION,837.0,837.0,,,0
CDM,97500391,HC PR COLON W EUS LIMITED RECTUM/LG INTEST,715.0,715.0,,,0
CDM,97500392,HC PR COLONOSCOPY W DECOMPRESSION,635.0,635.0,,,0
CDM,97500393,HC PR COLONOSCOPY W BAND LIGATION(S),1321.0,1321.0,,,0
CDM,97500588,HC PR ESOPHAGOSCOPY FLEX TRNS W BALLOON DILATION <30MM DIAM,1833.0,1833.0,,,0
CDM,97500590,HC PR EGD FLEX TRNS W ENDO US EXAM LMTD ESOPH STOM OR DUOD & ADJ STRCT,568.0,568.0,,,0
CDM,97500591,HC PR ERCP W REMOVAL FOREIGN BODY(S) OR STENT(S) BILI/PANCRTIC DUCT(S),1093.0,1093.0,,,0
CDM,97500603,HC PR EXC BEN LES FACE/EARS/LIDS/MUC MEMB 0.5CM OR<,400.0,400.0,,,0
CDM,97500604,HC PR EXC BEN LES FACE/EARS/LIDS/MUC MEMB 0.6-1.0CM,491.0,491.0,,,0
CDM,97500606,HC PR RPR INTERM WNDS FCE/EAR/LIDS/NSE/LIPS/MUC MEMB 2.5CM OR<,636.0,636.0,,,0
CDM,97500607,HC PR RPR COMPLEX SCALP/ARMS AND/OR LEGS 2.6-7.5CM,1088.0,1088.0,,,0
CDM,97500623,HC PR REMOVAL IMPLANT SUPERFICIAL,1060.0,1060.0,,,0
CDM,97500635,HC PR EXC TUMOR SOFT TISS NECK/ANT THORAX SUBCUT <3CM,1105.0,1105.0,,,0
CDM,97500636,HC PR EXC TUMOR SOFT TISS NECK/ANT THORAX SUBFASC <5CM,1362.0,1362.0,,,0
CDM,97500644,HC PR NASAL/SINUS ENDO SURG W CNTRL NASAL HEMORRHAGE,729.0,729.0,,,0
CDM,97500655,HC PR LARYNGOSCOPY W/WO TRACHEOSCOPY DIAG EXC NEWBORN,620.0,620.0,,,0
CDM,97500666,HC PR BIOPSY/EXC LYMPH NODE(S) OPEN DEEP CERVICAL,1353.0,1353.0,,,0
CDM,97500670,HC PR EXC LESION MUCOSA & SUBMUC VEST MOUTH WO RPR,605.0,605.0,,,0
CDM,97500671,HC PR EXC LESION MUCOSA & SUBMUC VEST MOUTH W SMPL RPR,825.0,825.0,,,0
CDM,97500676,HC PR EXC LESION TONGUE W CLOSURE ANT TWO THIRDS,871.0,871.0,,,0
CDM,97500677,HC PR EXC LESION TONGUE W CLOSURE POST ONE THIRD,933.0,933.0,,,0
CDM,97500682,HC PR EXC LESION PALATE UVULA WO CLOSURE,559.0,559.0,,,0
CDM,97500685,HC PR SIALOLITHOTOMY SUBMAND SUBLINGUAL/PAROTID UNCOMPL INTRAORAL,601.0,601.0,,,0
CDM,97500699,HC PR ESOPHAGOSCOPY FLEX TRANSOR W REM FB,737.0,737.0,,,0
CDM,97500707,HC PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA,565.0,565.0,,,0
CDM,97500708,HC PR EGD WITH CLOSURE OF FISTULA,779.0,779.0,,,0
CDM,97500710,HC PR COLON VIA STOMA W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECH,1323.0,1323.0,,,0
CDM,97510002,HC PR DEBRIDE MUSC/FASC 1ST 20SQ CM,489.0,489.0,,,0
CDM,97510003,HC PR DEBRIDE BONE 1ST 20SQ CM,727.0,727.0,,,0
CDM,97510004,HC PR DEBRIDE SUBC TISS ADDL 20SQ CM,86.0,86.0,,,0
CDM,97510005,HC PR DEBRIDE MUSC/FASC ADDL 20SQ CM,174.0,174.0,,,0
CDM,97510006,HC PR DEBRIDE BONE ADDL 20SQ CM,307.0,307.0,,,0
CDM,97510008,HC PR CUT BENIGN HYPEK 2-4 LESIONS,145.0,145.0,,,0
CDM,97510015,HC PR EVACUATION SUBUNGUAL HEMATOMA,102.0,102.0,,,0
CDM,97510018,HC PR EPIGRAF TRK EXTRM 1ST100SQ OR<,2275.0,2275.0,,,0
CDM,97510019,HC PR EPIAUTO TRK EXTREM EAADD 100SQ,304.0,304.0,,,0
CDM,97510020,HC PR EPIAUT FACE SCLP LD HND FT 1ST 100CM<,2264.0,2264.0,,,0
CDM,97510021,HC PR EPIAUT FACE SCLP LD HND FT EA ADD 100SQ,400.0,400.0,,,0
CDM,97510022,HC PR DRES/DEBRID PART BURNS <5%,188.0,188.0,,,0
CDM,97510023,HC PR CHEMICAL CAUTERIZATION TISSUE,219.0,219.0,,,0
CDM,97510024,HC PR BONE BIOPSY OPEN SUPERFICIAL,473.0,473.0,,,0
CDM,97510025,HC PR REM FB FOOT SUBCU,615.0,615.0,,,0
CDM,97510026,HC PR APPLICATION OF RIGID LEG CAST,329.0,329.0,,,0
CDM,97510027,HC PR UNNA BOOT APPL,118.0,118.0,,,0
CDM,97510028,HC PR MULTI-LAYER COMPRESSION WRAP,112.0,112.0,,,0
CDM,97510029,HC PR DEBRIDEMENT SKIN 1ST 20 SQ CM,248.0,248.0,,,0
CDM,97510030,HC PR DEBRIDE SKIN EACH ADDL 20 SQCM,38.0,38.0,,,0
CDM,97510031,HC PR NEG PRESS DME WOUND TX <50CM,89.0,89.0,,,0
CDM,97600006,HC PR SPIROMETRY,24.0,24.0,,,0
CDM,97600008,HC PR BRONCHOSPASM EVALUATION,42.0,42.0,,,0
CDM,97600010,HC PR BRONCHOSPASM PROVOCATION,73.0,73.0,,,0
CDM,97600011,HC PR MAXIMAL VOLUNT VENTILATION,20.0,20.0,,,0
CDM,97600015,HC PR RESIDUAL AIR,33.0,33.0,,,0
CDM,97600017,HC PR THORAC GAS VOL WAIR RESIST,34.0,34.0,,,0
CDM,97600019,HC PR PULM STRESS TEST INCL MEAS HEART RATE OXIMETRY OX TITRAT IF PERF,80.0,80.0,,,0
CDM,97600300,HC PR FORCED EXP VOL TOT&TIMED,24.0,24.0,,,0
CDM,97600301,HC PR MAX INSP/EXP PRESSURE,20.0,20.0,,,0
CDM,97600302,HC PR FLOW VOLUME LOOP,40.0,40.0,,,0
CDM,97600303,HC PR HIGH ALTITUDE SIM TEST HAST,39.0,39.0,,,0
CDM,97600304,HC PR HIGH ALTITUDE SIM TEST WITH O2,51.0,51.0,,,0
CDM,97600305,HC PR METABOLIC STUDY,27.0,27.0,,,0
CDM,97600306,HC PR CARDIOPULMONARY EXERCISE TESTING,193.0,193.0,,,0
CDM,97600307,HC PR OXYGEN UPTK EXP GAS ALYS W CO2 OUTPUT PERCENT OXY EXTRACT,28.0,28.0,,,0
CDM,98100045,HC PR TO 2.5CM SUTURE INTER BODY,636.0,636.0,,,0
CDM,98190007,HC PR FOREIGN BODY REMOVAL SC COMP,767.0,767.0,,,0
CDM,98190009,HC PR SHAVE LESION DIAM .5CM OR LESS,288.0,288.0,,,0
CDM,98190010,HC PR EXC BEN LESION TRNK/LIMB TO .5,350.0,350.0,,,0
CDM,98190011,HC PR EXC BEN LESION TRNK/LIMB .6-1,427.0,427.0,,,0
CDM,98190012,HC PR EXC BEN LESION TRNK/LIMB 1.1-2,474.0,474.0,,,0
CDM,98190058,HC PR DESTRUCT ALL FACIAL LESIONS,184.0,184.0,,,0
CDM,98190161,HC PR FB REMOVAL NOSE,544.0,544.0,,,0
CDM,98190185,HC PR COL BLOOD FROM CEN VENOUS CATH,76.0,76.0,,,0
CDM,98190242,HC PR I&D PILONIDAL CYST COMPLICATED,881.0,881.0,,,0
CDM,98190269,HC PR CL TMT RAD HD SUBLUX CH W/MAN,299.0,299.0,,,0
CDM,98190292,HC PR REM/FB EXTERNL EAR W/O ANES,274.0,274.0,,,0
CDM,98190306,HC PR SHAVE LESION FACE TO 0.5CM,320.0,320.0,,,0
CDM,98190500,HC PR CRITICAL CARE EACH ADDL 30 MINS,278.0,278.0,,,0
CDM,98300001,HC PR I&D ABSCESS SIMPLE/SINGLE,292.0,292.0,,,0
CDM,98300003,HC PR INJ ASP SMALL JOINT,106.0,106.0,,,0
CDM,98300004,HC PR INJ ASP INTERMED JOINT,114.0,114.0,,,0
CDM,98300005,HC PR INJ ASP MAJOR JOINT,131.0,131.0,,,0
CDM,98300006,HC PR BRONCHOSCOPY DX W/WO CELL WASH,757.0,757.0,,,0
CDM,98300012,HC PR REMV IMPACTD CERUMEN 1/BOTH PF,85.0,85.0,,,0
CDM,98300020,HC PR MD SUPERVISION OF HBOT,446.0,446.0,,,0
CDM,98300022,HC PR OPD NEW PT LEVEL II,228.0,228.0,,,0
CDM,98300023,HC PR OPD NEW PT LEVEL III,299.0,299.0,,,0
CDM,98300024,HC PR OPD NEW PT LEVEL IV,386.0,386.0,,,0
CDM,98300025,HC PR OPD NEW PT LEVEL V,474.0,474.0,,,0
CDM,98300026,HC PR OPD ESTAB PT LEVEL I,158.0,158.0,,,0
CDM,98300027,HC PR OPD ESTAB PT LEVEL II,228.0,228.0,,,0
CDM,98300028,HC PR OPD ESTAB PT LEVEL III,280.0,280.0,,,0
CDM,98300029,HC PR OPD ESTAB PT LEVEL IV,326.0,326.0,,,0
CDM,98300030,HC PR OPD ESTAB PT LEVEL V,401.0,401.0,,,0
CDM,98300040,HC PR NEW PT E&M 12 TO 17 YEARS,330.0,330.0,,,0
CDM,98300041,HC PR NEW PREV EXAM 18 TO 39 YRS,319.0,319.0,,,0
CDM,98300042,HC PR NEW PREV EXAM 40 TO 64 YRS,429.0,429.0,,,0
CDM,98300043,HC PR NEW PREV EXAM 65 & OVER,464.0,464.0,,,0
CDM,98300045,HC PR ESTAB PREV EXAM 18 TO 39YRS,288.0,288.0,,,0
CDM,98300046,HC PR ESTAB PREV EXAM 40 TO 64YRS,355.0,355.0,,,0
CDM,98300047,HC PR ESTAB PREV MED 65 & OVER,382.0,382.0,,,0
CDM,98300049,HC PR PREV MED COUNSELING 30 MIN,161.0,161.0,,,0
CDM,98300051,HC PR PREV MED COUNSELING 60 MIN,287.0,287.0,,,0
CDM,98300052,HC PR SMOKING CESS COUN >10MIN,81.0,81.0,,,0
CDM,98300053,HC PR TRANSITIONL CARE 14 DAY DISC,402.0,402.0,,,0
CDM,98300054,HC PR TRANSITIONL CARE 7 DAYS DISC,548.0,548.0,,,0
CDM,98300055,HC PR PSYCH DIAG EVAL W MED SVCS,384.0,384.0,,,0
CDM,98300056,HC PR ESOPHAGL MOTILITY INTPR RPT,244.0,244.0,,,0
CDM,98300062,HC PR PPM SYS PGM INTERR SINGLE,92.0,92.0,,,0
CDM,98300063,HC PR PPM SYS PGM INTERR DUAL,96.0,96.0,,,0
CDM,98300064,HC PR PPM SYS PGM INTERR MULTI,111.0,111.0,,,0
CDM,98300065,HC PR ICD SYS PGM INTERR SINGLE,104.0,104.0,,,0
CDM,98300066,HC PR ICD SYS PGM INTERR DUAL,167.0,167.0,,,0
CDM,98300067,HC PR ICD SYS PGM INTERR MULTI,154.0,154.0,,,0
CDM,98300068,HC PR PPM LOOP PGM INTERR,70.0,70.0,,,0
CDM,98300070,HC PR PPM SYS INTERR ONLY IN PERSON,58.0,58.0,,,0
CDM,98300071,HC PR ICD SYS INTER ONLY IN PERSON,112.0,112.0,,,0
CDM,98300072,HC PR ICM DEVICE EVAL IN PERSON,51.0,51.0,,,0
CDM,98300073,HC PR PPM LOOP INTERR ONLY IN PERSON,54.0,54.0,,,0
CDM,98300074,HC PR PM PHONE R-STRIP DEV EVAL,33.0,33.0,,,0
CDM,98300083,HC PR MCR SCREEN PELVIC BREAST EXM,90.0,90.0,,,0
CDM,98300087,HC PR MCR INITIAL PREVENT EXAM,185.0,185.0,,,0
CDM,98300094,HC PR MCR ANNUAL DEPRESSION SCRN,32.0,32.0,,,0
CDM,98300105,HC PR DIAGNOSTIC BONE MARROW BIOPSY,311.0,311.0,,,0
CDM,98300106,HC PR LUMB SPINAL PUNCT DIAGNOST,400.0,400.0,,,0
CDM,98300118,HC PR DIAGNOSTIC BONE MARROW ASPIRATIONS,300.0,300.0,,,0
CDM,98300126,HC PR REM T-CV CATH W/O SUBC PORT,390.0,390.0,,,0
CDM,98300127,HC PR SUBCUT RESERVOIR ASPIRATION,518.0,518.0,,,0
CDM,98300128,HC PR SUBCUT RESERVOIR INJ THERAPY,518.0,518.0,,,0
CDM,98300129,HC PR DRAIN SPINAL FLUID BY NDLE CAT,518.0,518.0,,,0
CDM,98300130,HC PR PUNCTURE SHUNT ASPIRATION/INJ,269.0,269.0,,,0
CDM,98300131,HC PR INJ PARAVERT C OR T W CT OR FL,1266.0,1266.0,,,0
CDM,98300132,HC PR INJ DISKOGRAPHY LUMBAR,843.0,843.0,,,0
CDM,98300500,HC PR INJ INTRALESION TO 7 LESION,101.0,101.0,,,0
CDM,98300501,HC PR INJ TRIGGER PT ONE/TWO MUSC,135.0,135.0,,,0
CDM,98300502,HC PR INJ TRIGG PT THREE/MORE MUS,145.0,145.0,,,0
CDM,98300503,HC PR INJ SACROILIAC JT ARTHROGRA,525.0,525.0,,,0
CDM,98300507,HC PR INJECTION OF BLOOD PATCH,518.0,518.0,,,0
CDM,98300513,HC PR ELECTRONIC PROG WO ANALYSIS,100.0,100.0,,,0
CDM,98300514,HC PR ELECTRONIC PROG W ANALYSIS,134.0,134.0,,,0
CDM,98300515,HC PR PERC IMPL ELECTR ARRAY EPI,2189.0,2189.0,,,0
CDM,98300517,HC PR INJECTION OCCIPITAL NERVE,268.0,268.0,,,0
CDM,98300518,HC PR INJ INTERCOSTAL NERVE SINGL,232.0,232.0,,,0
CDM,98300519,HC PR INJECTION PERIPHERAL NERVE,411.0,411.0,,,0
CDM,98300520,HC PR INJ PARAVERT LS SNGL LEVEL,771.0,771.0,,,0
CDM,98300521,HC PR INJ PARAVERT NRV LUMB EA ADD,393.0,393.0,,,0
CDM,98300522,HC PR INJ FACET NRV CER/THOR SNG,770.0,770.0,,,0
CDM,98300523,HC PR INJ FACET CERV/THOR 2ND LEV,313.0,313.0,,,0
CDM,98300524,HC PR INJ FACET CERV/THOR 3RD LEV,313.0,313.0,,,0
CDM,98300525,HC PR INJ FACET JT LUM/SAC 1ST LEV,711.0,711.0,,,0
CDM,98300526,HC PR INJ FACET JT LUM/SAC 2ND LEV,340.0,340.0,,,0
CDM,98300527,HC PR INJ FACET JT 3RD & ADD LEV,268.0,268.0,,,0
CDM,98300530,HC PR CHEMONERV CHRONIC MIGRAINE,355.0,355.0,,,0
CDM,98300532,HC PR NEUROLYTIC FACT BLCK IST C/T,808.0,808.0,,,0
CDM,98300533,HC PR NEUROLYTIC FACT BLCK ADD C/T,718.0,718.0,,,0
CDM,98300534,HC PR NEUROLYTIC FACET BLK IST L/S,1205.0,1205.0,,,0
CDM,98300535,HC PR NEUROLYTIC FACET BLK ADD L/S,702.0,702.0,,,0
CDM,98300536,HC PR NEUROLYTIC PERIPHERAL NERVE,610.0,610.0,,,0
CDM,98300540,HC PR INTERCOST NERV MULT BI,682.0,682.0,,,0
CDM,98300542,HC PR STIM SMPL SPINE W INTROP PROG,120.0,120.0,,,0
CDM,98300543,HC PR STIM CMPX SPNL INTROP PRG 1HR,184.0,184.0,,,0
CDM,98300545,HC PR REPROGRAM OF PROG CEREBROSPINAL SHUNT,133.0,133.0,,,0
CDM,98300546,HC PR ELECTRONIC ANALYSIS W REPROGRAM AND REFILL,248.0,248.0,,,0
CDM,98300547,HC PR ELECTRONIC ANALYSIS W REPROGRAM AND REFILL (MD),337.0,337.0,,,0
CDM,98300548,HC PR UNLISTED NERVOUS SYSTEM VIR,283.0,283.0,,,0
CDM,98300552,HC PR TENOTOMY TOE SING TENDON,603.0,603.0,,,0
CDM,98300556,HC PR TENDON SHEATH INJECTION,135.0,135.0,,,0
CDM,98300559,HC PR EXC BEN LESION HD/HND/FT 1.1-2,467.0,467.0,,,0
CDM,98300560,HC PR INJ STELLATE GANGLION,252.0,252.0,,,0
CDM,98300561,HC PR INJ LUMBAR SYMPATHETIC,382.0,382.0,,,0
CDM,98300562,HC PR INJ CELIAC PLEXUS,377.0,377.0,,,0
CDM,98300563,HC PR INJECTION SUPRASCAPULAR NERVE,289.0,289.0,,,0
CDM,98300565,HC PR CHEMO ADMIN SUBCUTAN RESERVOIR,213.0,213.0,,,0
CDM,98300566,HC PR CHEMO ADM PERIT VIA PORT CATH,354.0,354.0,,,0
CDM,98300571,HC PR CHEMODENERVATION FACE MUSCLE,326.0,326.0,,,0
CDM,98300572,HC PR CHEMODENER EA ADDL EXT 5OR >MS,349.0,349.0,,,0
CDM,98300573,HC PR NDLE EMG W CHEMODENERVATION,52.0,52.0,,,0
CDM,98300574,HC PR CHEMODENERV TRUNK 1-5 MUSCLES,314.0,314.0,,,0
CDM,98300575,HC PR NEUROSTIM VNS W/O REPROGRAM,138.0,138.0,,,0
CDM,98300578,HC PR CHEMO CNS W/LP,326.0,326.0,,,0
CDM,98300579,HC PR REFILL/MNT PORTABLE PUMP,343.0,343.0,,,0
CDM,98300580,HC PR REFILL/MNT IMPLANT PUMP IV/IA,343.0,343.0,,,0
CDM,98300581,HC PR REFILL&MNT BACLOFEN PUMP MD,287.0,287.0,,,0
CDM,98300583,HC PR ELEC STIM W CHEMODENERVATION,44.0,44.0,,,0
CDM,98300586,HC PR CATHERIZATION URETHRA COMPLEX,221.0,221.0,,,0
CDM,98300587,HC PR REMOVE NONBIO DRUG DELV IMPLNT,291.0,291.0,,,0
CDM,98300588,HC PR PERI PX EVAL & PROG IN PERSON PACEMAKER SYS,37.0,37.0,,,0
CDM,98300589,HC PR PERI PX DEV EVAL & PROG IN PERSON DEFIBRILLATOR SYS,82.0,82.0,,,0
CDM,98300590,HC PR PROGRAM DEVICE EVAL W ADJ SICD,149.0,149.0,,,0
CDM,98300591,HC PR BEHAVIORAL COUNSELING OBESITY 15 MINS,68.0,68.0,,,0
CDM,98300598,HC PR INJ DIAG/THER EPI/SUBARACH CERV/THOR W IMG GUID,631.0,631.0,,,0
CDM,98300599,HC PR INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL W IMG GUID,659.0,659.0,,,0
CDM,98300603,HC PR VERTPLAST CERVTHOR PERC WWO BX UNILAT OR BILAT,1976.0,1976.0,,,0
CDM,98300604,HC PR VERTPLAST LS PERC W&WO BX UNILAT/BILAT INJ,1820.0,1820.0,,,0
CDM,98300608,HC PR REP WNDS SCALP/AXILLAE/TRNK/EXTREMETIES 12.6-20.0CM,997.0,997.0,,,0
CDM,98300609,HC PR ARTHROCENTESIS ASP INJ MAJOR JNT/BURSA W US PERM REC & RPT,190.0,190.0,,,0
CDM,98300610,HC PR TRANSVERSE ABDOMINIS PLANE BLOCK UNILAT W IMG GUID,331.0,331.0,,,0
CDM,98300611,HC PR INJ ASP INTERMEDIATE JOINT WITH ULTRASOUND,168.0,168.0,,,0
CDM,98300612,HC PR INJ ASP SMALL JOINT WITH ULTRASOUND,192.0,192.0,,,0
CDM,98300616,HC PR INJECTION FEMORAL NERVE SINGLE,172.0,172.0,,,0
CDM,98300618,HC PR DIAG BONE MARROW BIOPSIES & ASPIRATIONS,292.0,292.0,,,0
CDM,98300619,HC PR ADVANCED CARE PLAN 1ST 30 MINS,147.0,147.0,,,0
CDM,98300620,HC PR ADVANCED CARE PLAN ADDL 30MINS,116.0,116.0,,,0
CDM,98300628,HC PR TANGENTIAL BIOPSY SKIN SINGLE LESION,295.0,295.0,,,0
CDM,98300629,HC PR TANGENTIAL BIOPSY SKIN EA SEP/ADDL LESION,76.0,76.0,,,0
CDM,98300630,HC PR PUNCH BIOPSY SKIN INCL SMPL CLOSE WHEN PERF SINGLE LESION,188.0,188.0,,,0
CDM,98300631,HC PR PUNCH BIOPSY SKIN INCL SMPL CLOSE WHEN PERF EA SEP/ADDL LESION,114.0,114.0,,,0
CDM,98300632,HC PR INCISIONAL BIOPSY SKIN INCL SMPL CLOSE WHEN PERF SINGLE LESION,284.0,284.0,,,0
CDM,98300633,HC PR INCISIONAL BIOPSY SKIN INCL SMPL CLOSE WHEN PERF EA SEP/ADDL LES,136.0,136.0,,,0
CDM,98300634,HC PR REPLAC GASTRO TUBE WO IMG OR GUID NOT REQ REV OF GASTRO TRACT,600.0,600.0,,,0
CDM,98300636,HC PR ELEC ANAL IMPLNT NEUROSTIM PUL GEN W SIMP CRAN NERV PUL GEN PROG,164.0,164.0,,,0
CDM,98300637,HC PR ELEC ANAL IMPLNT NEUROSTIM PUL GEN W CMPLX CRAN NRV PUL GEN PROG,216.0,216.0,,,0
CDM,98300640,HC PR ELEC ANAL IMPL BRAIN NEUROSTIM PUL GEN/TRANM PROG 1ST 15 MINS,127.0,127.0,,,0
CDM,98300641,HC PR ELEC ANAL IMPL BRAIN NEUROSTIM PUL GEN/TRANM PROG EA ADDL 15 MINS,111.0,111.0,,,0
CDM,98300642,HC PR FNA BX WITHOUT IMG GUID EA ADDL LESION,149.0,149.0,,,0
CDM,98300643,HC PR INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB,100.0,100.0,,,0
CDM,98300644,HC PR DESTRUCTION OF UP TO 14 WARTS,274.0,274.0,,,0
CDM,98300646,HC PR AMPUTATION TOE METATARSOPHALANGEAL JOINT,1223.0,1223.0,,,0
CDM,98300650,HC PR DESTRUCT BY NEUROLYTIC AGENT GENICULAR NERVE W IMG GUID WH PERF,507.0,507.0,,,0
CDM,98300651,HC PR RADIOFEQ ABLATION NERVES INTERVATING SACROLILIAC JOINT W IMG GUID,938.0,938.0,,,0
CDM,98300667,HC PR REMOVAL SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,31.0,31.0,,,0
CDM,98300668,HC PR REMOVAL SUTURES AND STAPLES NOT REQUIRING ANESTHESIA,44.0,44.0,,,0
CDM,98300709,HC PR NASAL ENDOSCOPY UNI/BILAT,455.0,455.0,,,0
CDM,98300900,HC PR INTERROGATION DEV EVAL IN PERSON WEARABLE DEFIBRILLATOR,52.0,52.0,,,0
CDM,98300901,HC PR REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH,110.0,110.0,,,0
CDM,98300902,HC PR REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO,98.0,98.0,,,0
CDM,98300903,HC PR PRGRMG DEVICE EVALUATION CARDIAC MODUL SYSTEM,197.0,197.0,,,0
CDM,98300904,HC PR INTERR DEVICE EVALUATION W ANAL REV & RPT IMPLANT CARD MODUL SYS,137.0,137.0,,,0
CDM,98300905,HC PR INTERR DEV EVAL W ANAL REV & RPT WIRELESS CARD STIM LT VENT PACI,61.0,61.0,,,0
CDM,98300906,HC PR PROG DEV EVAL W ITERATIVE ADJUST WIRELESS CARD STIM LT VENT PACI,104.0,104.0,,,0
CDM,98300907,HC PR INTERR DEV EVAL REMOTE UP TO 90  DAYS ICDS PHYS/QHCP,88.0,88.0,,,0
CDM,98300908,HC PR INTERR DEV EVAL REMOTE SUBSTERN LD ICDS UP TO 90 DAYS TECHNICIAN,62.0,62.0,,,0
CDM,98300909,HC PR PROG DEV EVAL REMOTE SUBCUT CARD RHY MON SYS,93.0,93.0,,,0
CDM,98300910,HC PR INI SET-UP & PRGRMG PHYS/QHP OF WEARABLE CVDFB,160.0,160.0,,,0
CDM,98301002,HC PR FOREIGN BODY REMOVAL SC,510.0,510.0,,,0
CDM,98301017,HC PR LARYNGOSCOPY FLEX DIAG,219.0,219.0,,,0
CDM,98301018,HC PR NASAL/SINUS ENDOSCOPY W/BX POLYPECT OR DEBRID,612.0,612.0,,,0
CDM,98301019,HC PR BRONCH THROUGH EST TRACH INCISION,327.0,327.0,,,0
CDM,98301021,HC PR BIOPSY SALIVARY GLAND INCISIONAL,710.0,710.0,,,0
CDM,98301025,HC PR SPINAL PUNCTURE LUMBAR DIAG W FLUOROSCOPIC OR CT GUIDANCE,491.0,491.0,,,0
CDM,98301026,HC PR INJ ANES AGNT &OR STEROID NERVES INNERV SACROILIAC JNT W IMG GUI,300.0,300.0,,,0
CDM,98301027,HC PR INJ ANES AGNT &OR STEROID GENICULAR NRV BRNCH W IMG GUID WH PRF,367.0,367.0,,,0
CDM,98301028,HC PR INJ ANESTH AGENT &OR STEROID BRACHIAL PLEXUS,204.0,204.0,,,0
CDM,98301056,HC PR REMOTE EVAL RECORDED VIDEO &/ IMG SUBMITTED BY PT,50.0,50.0,,,0
CDM,98301057,HC PR ONLINE DIGITAL E&M EST PT TO 7 DAYS 5-10MINS,61.0,61.0,,,0
CDM,98301058,HC PR ONLINE DIGITAL E&M EST PT TO 7 DAYS 11-20MINS,199.0,199.0,,,0
CDM,98301059,HC PR ONLINE DIGITAL E&M EST PT TO 7 DAYS 21 OR>MINS,247.0,247.0,,,0
CDM,98301075,HC PR TEL ASSESS&MGT BY NONPHY EST PT 5-10MINS,54.0,54.0,,,0
CDM,98301076,HC PR TEL ASSESS&MGT BY NONPHY EST PT 11-20MINS,99.0,99.0,,,0
CDM,98301077,HC PR TEL ASSESS&MGT BY NONPHY EST PT 21-30 MINS,138.0,138.0,,,0
CDM,98301080,HC PR TENOTOMY PERCUT ACHILLES TENDON LOCAL ANESTH,990.0,990.0,,,0
CDM,98301085,HC PR TENDON SHEATH INCISION,1290.0,1290.0,,,0
CDM,98301086,HC PR IN ANES/STEROD PLANTAR COMMON DIGITAL  NERVE(S),139.0,139.0,,,0
CDM,98301100,HC PR REPAIR INTERMED SCLP AXL TRNK &OR EXTRM 2.6-7.5CM,865.0,865.0,,,0
CDM,98301102,HC PR PT-FOCUSED HLTH RISK ASSMNT W SCORE & DOC PER STND INSTRUM,12.0,12.0,,,0
CDM,98301103,HC PR CAREGIVER-FOCUSED HLTH RISK ASSMNT W SCORE & DOC PER STND INSTR,12.0,12.0,,,0
CDM,98301105,HC PR DESTRUCTION LESION PENIS SIMPLE CRYOSURGERY,402.0,402.0,,,0
CDM,98301110,HC PR BINOCULAR MICROSCOPY (SEP DIAG PROC),85.0,85.0,,,0
CDM,98301111,HC PR NASOPHARYNGOSCOPY W ENDOSCOPE,320.0,320.0,,,0
CDM,98301113,HC PR SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM SIMPLE,372.0,372.0,,,0
CDM,98301115,HC PR CONTR NASAL HEMMORRHAGE ANTERIOR SIMPLE ANY METHOD,412.0,412.0,,,0
CDM,98301116,HC PR CONTR NASAL HEMMORRHAGE ANTERIOR COMPLEX ANY METHOD,654.0,654.0,,,0
CDM,98301117,HC PR CNTR NASAL HEMRRG W PST NASAL PACKS &OR CAUTERY ANY METH INITIAL,971.0,971.0,,,0
CDM,98301118,HC PR TRACHEOTOMY TUBE CHANGE PRIOR TO EST OF FISTULA TRACT,102.0,102.0,,,0
CDM,98301119,HC PR LARYNGOSCOY INDIRECT DIAGNOSTIC,249.0,249.0,,,0
CDM,98301122,HC PR DRAIN EXTERNAL EAR ABSCESS OR HEMATOMA SIMPLE,538.0,538.0,,,0
CDM,98301123,HC PR DRAIN EXTERNAL AUDITORY CANAL ABSCESS,372.0,372.0,,,0
CDM,98301124,HC PR MYRINGTOMY INCL ASPIRATION &OR EUSTACHIAN TUBE INFLATION,534.0,534.0,,,0
CDM,98301125,HC PR EXC BENIGN LESION FACE EARS LIDS NOSE LIPS MC MEMB 1.1-2.0CM,547.0,547.0,,,0
CDM,98301126,HC PR SIMPL RPR WOUNDS FACE EARS LIDS NOSE LIPS &OR MUC MEMB 2.5CM OR<,317.0,317.0,,,0
CDM,98301127,HC PR LABYRINTHOTOMY W PEF VESTIBULOACTIVE DRUG TRANSCANAL,672.0,672.0,,,0
CDM,98301128,HC PR BIOPSY TONGUE POSTERIOR ONE-THIRD,508.0,508.0,,,0
CDM,98301129,HC PR DRAIN ABSCESS OR HEMATOMA NASAL SEPTUM,730.0,730.0,,,0
CDM,98301130,HC PR BIOPSY EXTERNAL AUDITORY CANAL,403.0,403.0,,,0
CDM,98301131,HC PR EXCISION AURAL POLYP,587.0,587.0,,,0
CDM,98301132,HC PR EXCISION LINGUAL FRENUM,730.0,730.0,,,0
CDM,98301133,HC PR TREAT SUPERFICIAL WOUND DEHISCENCE SIMPL CLOSURE,847.0,847.0,,,0
CDM,98301150,HC PR PROLONGED OFFICE/OUTPAT E&M EA 15MINS,72.0,72.0,,,0
CDM,98301151,HC PR CHRONIC CARE MGT SERVICES EACH ADDL 20MINS,92.0,92.0,,,0
CDM,98301152,HC PR MEDICARE PROLONGED OFFICE/OUTPAT E&M EA 15MINS,56.0,56.0,,,0
CDM,98301155,HC PR VISIT COMPLEX INHERENT TO E&M ADD ON,40.0,40.0,,,0
CDM,98301156,HC PR REMOTE ASSESS REC VIDEO &/IMG SUB BY EST PT NON E&M,39.0,39.0,,,0
CDM,98301157,HC PR BRIEF COMM TECH BASE SVC CHECKIN 5-10MINS NON E&M,45.0,45.0,,,0
CDM,98301158,HC PR BRIEF COMM TECH BASE SVC CHECKIN BY MD/QHP 11-20MINS,83.0,83.0,,,0
CDM,98301179,HC PR MIP/MEP,20.0,20.0,,,0
CDM,98301200,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW PT SF MDM 15 MIN,167.0,167.0,,,0
CDM,98301201,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW PT LOW MDM 30 MIN,238.0,238.0,,,0
CDM,98301202,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW PT MOD MDM 45 MIN,364.0,364.0,,,0
CDM,98301203,HC PR SYNCHRONOUS AUDIO-VIDEO VST NEW PT HIGH MDM 60 MIN,438.0,438.0,,,0
CDM,98301204,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT EST PT SF MDM 10 MIN,132.0,132.0,,,0
CDM,98301205,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT EST PT LOW MDM 20 MIN,170.0,170.0,,,0
CDM,98301206,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT EST PT MOD MDM 30 MIN,260.0,260.0,,,0
CDM,98301207,HC PR SYNCHRONOUS AUDIO-VIDEO VST EST PT HIGH MDM 40 MIN,350.0,350.0,,,0
CDM,98301208,HC PR SYNCHRONOUS AUDIO-ONLY VISIT NEW PT SF MDM 15 MIN,167.0,167.0,,,0
CDM,98301209,HC PR SYNCHRONOUS AUDIO-ONLY VISIT NEW PT LOW MDM 30 MIN,238.0,238.0,,,0
CDM,98301210,HC PR SYNCHRONOUS AUDIO-ONLY VISIT NEW PT MOD MDM 45 MIN,364.0,364.0,,,0
CDM,98301211,HC PR SYNCHRONOUS AUDIO-ONLY VISIT NEW PT HIGH MDM 60 MIN,438.0,438.0,,,0
CDM,98301212,HC PR SYNCHRONOUS AUDIO-ONLY VISIT EST PT SF MDM 10 MIN,132.0,132.0,,,0
CDM,98301213,HC PR SYNCHRONOUS AUDIO-ONLY VISIT EST PT LOW MDM 20 MIN,170.0,170.0,,,0
CDM,98301214,HC PR SYNCHRONOUS AUDIO-ONLY VISIT EST PT MOD MDM 30 MIN,260.0,260.0,,,0
CDM,98301215,HC PR SYNCHRONOUS AUDIO-ONLY VISIT EST PT HIGH MDM 40 MIN,350.0,350.0,,,0
CDM,98301216,HC PR BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN,52.0,52.0,,,0
CDM,98301220,HC PR CAR-T THERAPY HARVEST BLOOD DERIVED T LYMPHOCYTES PER DAY,252.0,252.0,,,0
CDM,98301503,HC PR APP LONG ARM CAST,240.0,240.0,,,0
CDM,98301504,HC PR SHORT ARM CAST ELBOW TO FINGER,217.0,217.0,,,0
CDM,98301505,HC PR APP LONG ARM SPLINT,242.0,242.0,,,0
CDM,98301506,HC PR APP SHORT ARM SPLINT,194.0,194.0,,,0
CDM,98301507,HC PR APP FINGER SPLINT STATIC,102.0,102.0,,,0
CDM,98301508,HC PR APP LONG LEG CAST,341.0,341.0,,,0
CDM,98301509,HC PR APP LONG LEG AMB TYPE CAST,352.0,352.0,,,0
CDM,98301510,HC PR APP LEG CAST BRACE,402.0,402.0,,,0
CDM,98301511,HC PR APP CYLINDER CAST,307.0,307.0,,,0
CDM,98301512,HC PR APP SHORT LEG CAST BELOW KNEE,205.0,205.0,,,0
CDM,98301513,HC PR APP SHORT LEG AMB TYPE CAST,197.0,197.0,,,0
CDM,98301514,HC PR APP PTB CAST,293.0,293.0,,,0
CDM,98301515,HC PR APP CLUB FOOT CAST,361.0,361.0,,,0
CDM,98301516,HC PR APP SHORT LEG SPLINT CALF/FOOT,208.0,208.0,,,0
CDM,98301517,HC PR WEDGING OF A CAST,248.0,248.0,,,0
CDM,98301519,HC PR CL TX INTERPHAL JOINT DISLOC SNGL W MANI WO ANES,682.0,682.0,,,0
CDM,98301521,HC PR CLOSED TX FX VERTEBRAL WO MANIP REQ & INC CAST/BRACE,765.0,765.0,,,0
CDM,98301530,HC PR CLOSED TX METACARPAL FX SINGLE WO MAN EACH BONE,743.0,743.0,,,0
CDM,98301531,HC PR BX OR EXC LYMPH NODE(S) NEEDLE SUPERFICIAL,291.0,291.0,,,0
CDM,98301532,HC PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,267.0,267.0,,,0
CDM,98301555,HC PR DRAINAGE FINGER ABSCESS SIMPLE,782.0,782.0,,,0
CDM,98301557,HC PR GANGLION IMPAR INJECTION,411.0,411.0,,,0
CDM,98301560,HC PR INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL WO IMG GUID,411.0,411.0,,,0
CDM,98301562,HC PR BLD-DERIVED HEMATOP PROGEN CELL HARVEST TRNPLNT PER COLLECT AUTO,214.0,214.0,,,0
CDM,98301570,HC PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR<,274.0,274.0,,,0
CDM,98301571,HC PR CNTRL NASAL HEMORR POST W NASAL PACKS &/ CAUTERY ANY METH SUBSEQ,892.0,892.0,,,0
CDM,98301573,HC PR APPLICATION TOPICAL FLUORIDE VARNISH BY PHY/QHCP,56.0,56.0,,,0
CDM,98301577,HC PR CHEMODENERV MUSC LARYNX UNILAT PERCUT W EMG WH PERF,425.0,425.0,,,0
CDM,98301578,HC PR BIOPSY SOFT TISSUE NECK OR THORAX,685.0,685.0,,,0
CDM,98301580,HC PR EXC TUMOR SOFT TISS THIGH/KNEE AREA SUBCUT 3CM OR>,1221.0,1221.0,,,0
CDM,98301581,HC PR FINE NEEDLE ASPIR BX W US GUID 1ST LESION,386.0,386.0,,,0
CDM,98301600,HC PR BIOIMPEDANCE SPECTROSCOPY EXTRACELL FLUID ALYS LYMPHEDEMA ASSMNT,364.0,364.0,,,0
CDM,98301601,HC PR DRAIN OF ABSC CYST HEMATOMA FROM DENTOALVEOLAR STRUCTURES,672.0,672.0,,,0
CDM,98301625,HC PR EXC BEN LESION HD HND FT TO .5,337.0,337.0,,,0
CDM,98301626,HC PR EXC TUMOR SOFT TISS NECK/ANT THORAX SUB 3 CM OR>,1300.0,1300.0,,,0
CDM,98301627,HC PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM,2612.0,2612.0,,,0
CDM,98301628,HC PR EXC LESION MUCOSA & SBMCSL VESTIBULE MOUTH CPLX EXC MUSC,1029.0,1029.0,,,0
CDM,98301629,HC PR EXC LESION TONGUE W CLOSURE W LOCAL TONGUE FLAP,1694.0,1694.0,,,0
CDM,98301635,HC PR INTERPROF PHONE/INTRNT/EHR ASSMNT & MGT CONSULT PHY 5 MINS OR>,79.0,79.0,,,0
CDM,98301705,HC PR FLEX ENDO SWALLOW EVAL CINE OR VIDEO RECORD,546.0,546.0,,,0
CDM,98301725,HC PR MECHANICAL SCALP COOL INCL INDIV CAP SUPPLY HEAD MEAS FIT & EDUC,5258.0,5258.0,,,0
CDM,98301726,HC PR MECHANICAL SCALP COOL HAIR PREP CAP PLCMNT THER INI PRECOOL PERIOD,31.0,31.0,,,0
CDM,98301727,HC PR MECHANICAL SCALP COOL PROVIDED AFTER DISCONT OF CHEMO EA 30 MINS,20.0,20.0,,,0
CDM,98310000,HC PR I&D ABSCESS MULTIPLE OR COMPLICATED,525.0,525.0,,,0
CDM,98310001,HC PR DEBRIDE SUBCU TISS 1ST 20SQ CM,219.0,219.0,,,0
CDM,98310002,HC PR CUT BENIGN HYPEK LESION SINGLE,77.0,77.0,,,0
CDM,98310004,HC PR CUT BENIGN HYPEK LESION > 4,123.0,123.0,,,0
CDM,98310005,HC PR TRIMMING NONDYSTROPHIC NAILS,26.0,26.0,,,0
CDM,98310006,HC PR DEBRIDE NAIL 1-5,61.0,61.0,,,0
CDM,98310007,HC PR DEBRIDE NAIL 6 OR MORE,84.0,84.0,,,0
CDM,98310008,HC PR AVULSION NAIL PLATE PART/COMP,294.0,294.0,,,0
CDM,98310009,HC PR AVULSION NAIL PLATE EA ADDL,66.0,66.0,,,0
CDM,98310010,HC PR EXCISION OF NAIL PART/COMP,411.0,411.0,,,0
CDM,98310101,HC PR ANOGENITAL EXAM W/COLPOSCOPY,445.0,445.0,,,0
CDM,98310103,HC PR CGM DATA INTERPRETATION &REPRT,106.0,106.0,,,0
CDM,98310105,HC PR DESTRUCT LESION VULVA EXTENSIVE,667.0,667.0,,,0
CDM,98310106,HC PR DECLOTTING THROMBOLYTIC AGENT,88.0,88.0,,,0
CDM,98310107,HC PR DESTRUCT 2 THRU 14 LESIONS EA,19.0,19.0,,,0
CDM,98310109,HC PR TCRANIAL MAGN STIM TX PLAN,822.0,822.0,,,0
CDM,98310110,HC PR TCRANIAL MAGN STIM TX DELIVERY/MGT,432.0,432.0,,,0
CDM,98310111,HC PR TCRAN MAGN STIM REDETEMINE W DELIVERY/MGT,799.0,799.0,,,0
CDM,98310112,HC PR INTRADERMAL TEST EA,60.0,60.0,,,0
CDM,98310113,HC PR PERCUTANEOUS TESTS W/IMED REAC,16.0,16.0,,,0
CDM,98310114,HC PR EXHALED NITRIC OXIDE,48.0,48.0,,,0
CDM,98310115,HC PR PERCUTANEOUS TEST EA,23.0,23.0,,,0
CDM,98310116,HC PR TESTS W/ALLERGENIC REACT IMMED,23.0,23.0,,,0
CDM,98310117,HC PR AIRBORNE ALLERGENS IMMED REAC,13.0,13.0,,,0
CDM,98310118,HC PR TESTS W/ALLERGENIC REACT DELAY,37.0,37.0,,,0
CDM,98310119,HC PR PATCH TEST EACH,14.0,14.0,,,0
CDM,98310121,HC PR INGEST CHALLENGE TEST 120MINS,253.0,253.0,,,0
CDM,98310122,HC PR INGEST CHALNG TEST EA ADD 60MN,203.0,203.0,,,0
CDM,98310123,HC PR SINGLE INJ W/O ALLERGEN EXTRAC,26.0,26.0,,,0
CDM,98310124,HC PR MULT INJ W/O ALLERGEN EXTRACT,30.0,30.0,,,0
CDM,98310125,HC PR SINGLE INJ W/ALLERGEN EXTRACT,39.0,39.0,,,0
CDM,98310126,HC PR MULT INJ W/ALLERGEN EXTRACT,58.0,58.0,,,0
CDM,98310127,HC PR PREP SGL STING VENOM W/EXTRACT,53.0,53.0,,,0
CDM,98310128,HC PR PREP 2 STING VENOM W/EXTRACT,57.0,57.0,,,0
CDM,98310129,HC PR PREP 3 STING VENOM W/EXTRACT,72.0,72.0,,,0
CDM,98310130,HC PR PREP 4 STING VENOM W/EXTRACT,89.0,89.0,,,0
CDM,98310131,HC PR PREP 5 STING VENOM W/EXTRACT,106.0,106.0,,,0
CDM,98310132,HC PR PREP ANTIGEN SINGLE DOSE VIAL,41.0,41.0,,,0
CDM,98310133,HC PR PREPANTIGEN SNGL STING VENOM,81.0,81.0,,,0
CDM,98310134,HC PR PREP ANTIGEN 2 STINGING VENOMS,148.0,148.0,,,0
CDM,98310135,HC PR PREP ANTIGEN 3 STINGING VENOMS,154.0,154.0,,,0
CDM,98310136,HC PR PREP ANTIGEN 4 STINGING VENOMS,221.0,221.0,,,0
CDM,98310137,HC PR PREP ANTIGEN 5 STINGING VENOMS,295.0,295.0,,,0
CDM,98310138,HC PR PREP ANTIGEN SINGLE/MULTIPLE,40.0,40.0,,,0
CDM,98310139,HC PR EXTRACT/BITING INSECT EA DOSE,30.0,30.0,,,0
CDM,98310140,HC PR RAPID DESENSITIZATION PROC EA HOUR,389.0,389.0,,,0
CDM,98330062,HC PR PERC VERT AGMNT W CAVITY CREAT THORACIC UNI/BI CANN,1376.0,1376.0,,,0
CDM,98330063,HC PR PERC VERT AGMNT W CAVITY CREAT LUMBAR UNI/BI CANN,1163.0,1163.0,,,0
CDM,98330064,HC PR PERC VERT AGMNT UNI/BI CANN EACH ADDL THORACIC/LUMBAR,569.0,569.0,,,0
CDM,98330065,HC PR INJ ANES & OR STEROID FORAMEN W IMG GUIDE CERV/THOR EA ADD LEVEL,181.0,181.0,,,0
CDM,98350001,HC PR ACNE SURG OPEN/REM MULT MILIA,276.0,276.0,,,0
CDM,98350005,HC PR SHAVE LESION TRUNK/LIMB .6-1.0,338.0,338.0,,,0
CDM,98350007,HC PR SHAVE LESION HD/HND/FT 0.6-1.0,342.0,342.0,,,0
CDM,98350008,HC PR SHAVE LESION HD/HND/FT 1.1-2.0,406.0,406.0,,,0
CDM,98350010,HC PR SHAVE LESION FACE 0.6-1.0CM,321.0,321.0,,,0
CDM,98350011,HC PR SHAVE LESION FACE 1.1-2.0CM,448.0,448.0,,,0
CDM,98350012,HC PR SHAVE LESION FACE >2.0CM,526.0,526.0,,,0
CDM,98350013,HC PR EXC BEN LESION TRNK/LIMB 2.1-3,487.0,487.0,,,0
CDM,98350014,HC PR EXC BEN LESION TRNK/LIMB 3.1-4,594.0,594.0,,,0
CDM,98350015,HC PR EXC BEN LESION HD/HND/FT 2.1-3,523.0,523.0,,,0
CDM,98350016,HC PR EXC BEN LESION HD HND FT 3.1-4,602.0,602.0,,,0
CDM,98350017,HC PR EXC BEN LESION FACE >4.0CM,976.0,976.0,,,0
CDM,98350018,HC PR EXC MAL LESION TRNK/LIMB .6-1,578.0,578.0,,,0
CDM,98350019,HC PR EXC MAL LESION TRNK/LIMB 1.1-2,622.0,622.0,,,0
CDM,98350021,HC PR EXC MAL LESION TRNK/LIMB 3.1-4,791.0,791.0,,,0
CDM,98350023,HC PR EXC MAL LESION HD/HND/FT .6-1,629.0,629.0,,,0
CDM,98350024,HC PR EXC MAL LESION HD/HND/FT 2.1-3,812.0,812.0,,,0
CDM,98350025,HC PR EXC MAL LESION HD/HND/FT 3.1-4,924.0,924.0,,,0
CDM,98350031,HC PR INTRALESIONAL INJ >7 LESIONS,194.0,194.0,,,0
CDM,98350032,HC PR REMOVE IMPLANT CONTRACPT CAPS,407.0,407.0,,,0
CDM,98350033,HC PR SUBC HORMONE PELLETT IMPLANT,510.0,510.0,,,0
CDM,98350034,HC PR INSERT NONBIO DRUG DELV IMPLNT,291.0,291.0,,,0
CDM,98350036,HC PR REM&REINSERT DRUG DELV IMPLNT,456.0,456.0,,,0
CDM,98350039,HC PR DESTRUCT 15 OR MORE LESIONS,398.0,398.0,,,0
CDM,98350042,HC PR DESTRUCT 15 OR MORE WARTS,368.0,368.0,,,0
CDM,98350045,HC PR DEST MALIG LES 1.1-2.0CM TRUNK,430.0,430.0,,,0
CDM,98350046,HC PR DEST MALIG LES 2.1-3.0CM TRUNK,430.0,430.0,,,0
CDM,98350051,HC PR ASP/INJ GANG CYST(S) ANY LOC,177.0,177.0,,,0
CDM,98350054,HC PR THERAPEUTIC APHERESIS RBC,309.0,309.0,,,0
CDM,98350056,HC PR BIOPSY OF LIP,221.0,221.0,,,0
CDM,98350057,HC PR BX VESTIBULE MOUTH,439.0,439.0,,,0
CDM,98350058,HC PR INCISION OF LINGUAL FRENUM,601.0,601.0,,,0
CDM,98350059,HC PR BX OF TONGUE ANT TWO THIRDS,415.0,415.0,,,0
CDM,98350060,HC PR BIOPSY FLOOR OF MOUTH,382.0,382.0,,,0
CDM,98350061,HC PR EX LESION TONGUE W/O CLOSURE,633.0,633.0,,,0
CDM,98350062,HC PR BX OF PALATE,343.0,343.0,,,0
CDM,98350063,HC PR I&D ABSCESS TONSIL,549.0,549.0,,,0
CDM,98350064,HC PR BIOPSY OROPHARYNX,453.0,453.0,,,0
CDM,98350065,HC PR DESTRUCT OF LESION ANUS SIMPLE,671.0,671.0,,,0
CDM,98350066,HC PR CATHERIZATION RESIDUAL URINE,131.0,131.0,,,0
CDM,98350068,HC PR MEASURE POST VOID BLD CAP,48.0,48.0,,,0
CDM,98350069,HC PR DESTRUC OF LESION PENIS SIMPLE,340.0,340.0,,,0
CDM,98350077,HC PR INJECTION ILIOINGUINAL NERVE,260.0,260.0,,,0
CDM,98350078,HC PR CHEMODENR PAROTID SUBMAND GLDS,719.0,719.0,,,0
CDM,98350080,HC PR CHEMODENERVATION NECK MUS UNI,256.0,256.0,,,0
CDM,98350081,HC PR CHEMODENERV 1 EXT 1-4 MUSCLES,289.0,289.0,,,0
CDM,98350082,HC PR CHEMODENERV EA ADDL EXT 1-4 MS,185.0,185.0,,,0
CDM,98350083,HC PR CHEMODENERV 1 EXT 5 OR MORE MS,317.0,317.0,,,0
CDM,98350085,HC PR CHEMODENERVATION OF AXILLAE,217.0,217.0,,,0
CDM,98350111,HC PR BIOPSY OF EYELID,457.0,457.0,,,0
CDM,98350125,HC PR BIOPSY EXTERNAL EAR,247.0,247.0,,,0
CDM,98350126,HC PR EXC SOFT TISS LESI EXTERNL EAR,1142.0,1142.0,,,0
CDM,98350127,HC PR DEBRID MASTOID CAVITY SIMPLE,307.0,307.0,,,0
CDM,98350131,HC PR ECHOCARDIOGRAMCONGENITAL F/U,100.0,100.0,,,0
CDM,98350135,HC PR VITAL CAPACITY,14.0,14.0,,,0
CDM,98350136,HC PR AIRWAY RESIST IMPULSE OSCILLOM,34.0,34.0,,,0
CDM,98350137,HC PR CARBON MONOXIDE DIFF CAP,29.0,29.0,,,0
CDM,98350139,HC PR PEDI NEW LESS THAN YR,311.0,311.0,,,0
CDM,98350140,HC PR PEDI NEW 1 TO 4 YRS,326.0,326.0,,,0
CDM,98350141,HC PR PEDI NEW 5 TO 11 YRS,339.0,339.0,,,0
CDM,98350142,HC PR PEDI ESTAB LESS THAN 1 YR,280.0,280.0,,,0
CDM,98350143,HC PR PEDI ESTAB 1 TO 4 YRS,299.0,299.0,,,0
CDM,98350144,HC PR PEDI ESTAB 5 TO 11 YRS,298.0,298.0,,,0
CDM,98350145,HC PR PEDI ESTAB 12 TO 17 YRS,327.0,327.0,,,0
CDM,98350147,HC PR EXC BEN LESION TRNK/LIMB >4.0 CM,814.0,814.0,,,0
CDM,98350148,HC PR EXC BEN LESION HD HND FT,864.0,864.0,,,0
CDM,98350151,HC PR EXC MAL LESION HD HND FT TO .5,542.0,542.0,,,0
CDM,98350152,HC PR EXC MAL LESION HD/HND/FT 1.1-2,693.0,693.0,,,0
CDM,98350153,HC PR EXC MAL LESION HD/HND/FT >4CM,1115.0,1115.0,,,0
CDM,98350155,HC PR EXC MAL LESION FACE 3.1-4.0CM,901.0,901.0,,,0
CDM,98350165,HC PR INJ THERAPEUTIC CARPAL TUNNEL,184.0,184.0,,,0
CDM,98350166,HC PR INJ SINGLE TENDON ORIGIN/INSERTION,134.0,134.0,,,0
CDM,98350171,HC PR BIOPSY INTRANASAL,406.0,406.0,,,0
CDM,98350173,HC PR LARYNGOSCOPY W/BX,769.0,769.0,,,0
CDM,98350180,HC PR BIOPSY ANORECTAL WALL,858.0,858.0,,,0
CDM,98350207,HC PR DEVELOPMENTAL TESTING LIMITED,28.0,28.0,,,0
CDM,98350209,HC PR SMOKING CESSATION COUN 3-10MIN,77.0,77.0,,,0
CDM,98500001,HC PR EKG INTERP REPORT,22.0,22.0,,,0
CDM,98500006,HC PR RHYTHM ECG REPORT,18.0,18.0,,,0
CDM,98500009,HC PR INTEROG EVAL REMOTE >90DAYS,98.0,98.0,,,0
CDM,98500010,HC PR CARDIOVERT DEFIB ANAL REMOT,183.0,183.0,,,0
CDM,98500011,HC PR ICM DEVICE INTERR REMOTE,135.0,135.0,,,0
CDM,98500012,HC PR ILR DEVICE INTERR/REMOTE,67.0,67.0,,,0
CDM,98700035,HC PR PROLONGED MD OUTPT 1ST HR,156.0,156.0,,,0
CDM,98700036,HC PR PROLONGED MD OUTPT EA AD 30MIN,56.0,56.0,,,0
CDM,99100001,HC SELF PAY GUEST TRAY,7.0,7.0,,,0
CDM,99100003,HC SELF PAY PARENT TRAY,7.0,7.0,,,0
CDM,99800120,HC SELF PAY OT OFF ROAD DRIVER ASSESSMENT,225.0,225.0,,,0
CDM,J1250,PR INJ DOBUTAMINE HCL/250 MG,18.8,18.8,,,0
CDM,J7040,PR NORMAL SALINE SOLUTION INFUS,1.0,1.0,,,0
CDM,Q0162,PR ONDANSETRON ORAL,0.27,0.27,,,0
CDM,Q2036,"PR FLULAVAL VACC, 3 YRS & >, IM",50.0,50.0,,,0
CDM,Q2037,"PR FLUVIRIN VACC, 3 YRS & >, IM",71.0,71.0,,,0
CDM,Q2038,"PR FLUZONE VACC, 3 YRS & >, IM",72.0,72.0,,,0
CDM,Q2039,"PR INFLUENZA VIRUS VACCINE, NOS",50.0,50.0,,,0
CDM,Q9957,"PR INJ PERFLUTREN LIP MICROS,ML",277.5,277.5,,,0
HCPCS,0001U,HC RBC ANT TYP DNA 35 ANTIGENS 11 BL GRPS WH BLD CMN ALLELES,870.0,870.0,,,0
HCPCS,0001U,Rbc dna hea 35 ag 11 bld grp,,,720.0,3332.67,7
HCPCS,0002M,Liver dis 10 assays w/ash,,,503.4,2277.55,5
HCPCS,0002U,Onc clrct 3 ur metab alg plp,,,25.0,115.7,7
HCPCS,0003M,Liver dis 10 assays w/nash,,,503.4,2277.55,5
HCPCS,0003U,Onc ovar 5 prtn ser alg scor,,,950.0,4397.24,8
HCPCS,0004M,Scoliosis dna alys,,,79.0,357.42,5
HCPCS,0005U,Onco prst8 3 gene ur alg,,,760.0,3517.82,8
HCPCS,0006M,Onc hep gene risk classifier,,,150.0,678.65,5
HCPCS,0006U,Rx mntr 120+ drugs & sbsts,,,983.39,1138.82,2
HCPCS,0007M,Onc gastro 51 gene nomogram,,,375.0,1696.61,5
HCPCS,0007U,Rx test prsmv ur w/def conf,,,114.43,529.64,8
HCPCS,0008U,Hpylori detcj abx rstnc dna,,,597.91,13549.5,8
HCPCS,0009U,Onc brst ca erbb2 amp/nonamp,,,107.0,495.27,7
HCPCS,0010U,Nfct ds strn typ whl gen seq,,,427.26,1977.65,7
HCPCS,0011M,Onc prst8 ca mrna 12 gen alg,,,546.14,3438.46,11
HCPCS,0011U,Rx mntr lc-ms/ms oral fluid,,,114.43,529.64,8
HCPCS,0012M,Onc mrna 5 gen rsk urthl ca,,,546.14,3438.46,11
HCPCS,0012U,Germln do gene reargmt detcj,,,11683.18,11683.18,1
HCPCS,0013M,Onc mrna 5 gen recr urthl ca,,,546.14,3438.46,11
HCPCS,0013U,Onc sld org neo gene reargmt,,,11683.18,11683.18,1
HCPCS,0014M,Liver ds alys 3 bmrk srm alg,,,176.19,176.19,1
HCPCS,0014U,Hem hmtlmf neo gene reargmt,,,11683.18,11683.18,1
HCPCS,0015M,Adrnl cortcl tum bchm asy 25,,,1305.37,5905.86,6
HCPCS,0016M,Onc bladder mrna 209 gen alg,,,3489.63,15788.16,6
HCPCS,0016U,Onc hmtlmf neo rna bcr/abl1,,,163.96,1012.87,8
HCPCS,0017M,Onc dlbcl mrna 20 genes alg,,,1803.84,11356.97,10
HCPCS,0017U,Onc hmtlmf neo jak2 mut dna,,,91.66,566.27,8
HCPCS,0018M,Trnsplj rnl meas cd154+cll,,,640.73,2898.85,7
HCPCS,0018U,Onc thyr 10 microrna seq alg,,,3002.09,13895.72,7
HCPCS,0019M,Cv ds plasma alys prtn bmrk,,,712.4,3223.14,7
HCPCS,0019U,Onc rna tiss predict alg,,,3675.0,17010.44,7
HCPCS,0021U,Onc prst8 detcj 8 autoantb,,,760.0,3517.82,7
HCPCS,0022U,Trgt gen seq dna&rna 23 gene,,,1950.0,9025.92,7
HCPCS,0023U,Onc aml dna detcj/nondetcj,,,248.51,1150.29,7
HCPCS,0024U,Glyca nuc mr spectrsc quan,,,34.19,196.33,8
HCPCS,0025U,Tenofovir liq chrom ur quan,,,114.43,481.01,8
HCPCS,0026U,Onc thyr dna&mrna 112 genes,,,3600.0,16663.26,8
HCPCS,0027U,Jak2 gene trgt seq alys,,,121.91,753.14,8
HCPCS,0029U,Rx metab advrs trgt seq alys,,,742.27,3435.73,7
HCPCS,0030U,Rx metab warf trgt seq alys,,,134.13,620.83,7
HCPCS,0031U,Cyp1a2 gene,,,174.81,809.16,8
HCPCS,0032U,Comt gene,,,174.81,809.16,8
HCPCS,0033U,Htr2a htr2c genes,,,490.24,1618.28,4
HCPCS,0034U,Tpmt nudt15 genes,,,466.17,2157.73,8
HCPCS,0035U,HC NEUROLOGY PRION DISEASE CEREBROSPINAL FLUID QUAL,2390.0,2390.0,,,0
HCPCS,0035U,Neuro csf prion prtn qual,,,540.99,2504.06,7
HCPCS,0036U,Xome tum & nml spec seq alys,,,4780.0,22125.12,8
HCPCS,0037U,Trgt gen seq dna 324 genes,,,3500.0,16200.38,8
HCPCS,0038U,Vitamin d srm microsamp quan,,,29.6,184.29,7
HCPCS,0039U,Dna antb 2strand hi avidity,,,13.74,85.49,8
HCPCS,0040U,Bcr/abl1 gene major bp quan,,,409.9,2532.19,8
HCPCS,0041U,B brgdrferi antb 5 prtn igm,,,17.21,79.67,7
HCPCS,0042T,Ct perfusion w/contrast cbf,,,731.5,731.5,1
HCPCS,0042U,B brgdrferi antb 12 prtn igg,,,17.21,79.67,7
HCPCS,0043U,Tbrf b grp antb 4 prtn igm,,,14.86,68.78,7
HCPCS,0044U,Tbrf b grp antb 4 prtn igg,,,14.86,68.78,7
HCPCS,0045U,Onc brst dux carc is 12 gene,,,3873.0,17926.92,8
HCPCS,0046U,Flt3 gene itd variants quan,,,232.08,1712.63,8
HCPCS,0047U,Onc prst8 mrna 17 gene alg,,,3873.0,17926.92,8
HCPCS,0048U,Onc sld org neo dna 468 gene,,,2919.6,13513.9,7
HCPCS,0049U,Npm1 gene analysis quan,,,345.67,1712.63,8
HCPCS,0050U,Trgt gen seq dna 194 genes,,,2916.6,13500.01,7
HCPCS,0051U,Rx mntr lc-ms/ms ur 31 pnl,,,246.92,1037.93,8
HCPCS,0052U,Lpoprtn bld w/5 maj classes,,,33.86,156.74,8
HCPCS,0053U,Onc prst8 ca fish alys 4 gen,,,9396.22,9396.22,1
HCPCS,0054T,Bone srgry cmptr fluor image,,,1473.0,1473.0,1
HCPCS,0054U,Rx mntr 14+ drugs & sbsts,,,198.74,835.4,8
HCPCS,0055T,Bone srgry cmptr ct/mri imag,,,1473.0,1473.0,1
HCPCS,0055U,Card hrt trnspl 96 dna seq,,,3240.0,14996.94,7
HCPCS,0056U,Hem aml dna gene reargmt,,,11683.18,11683.18,1
HCPCS,0058U,Onc merkel cll carc srm quan,,,322.96,1995.58,8
HCPCS,0059U,Onc merkel cll carc srm +/-,,,322.96,1995.58,8
HCPCS,0060U,Twn zyg gen seq alys chrms2,,,759.05,3599.76,8
HCPCS,0061U,Tc meas 5 bmrk sfdi m-s alys,,,25.1,156.22,8
HCPCS,0062U,Ai sle igg&igm alys 80 bmrk,,,380.72,1762.25,7
HCPCS,0063U,Neuro autism 32 amines alg,,,750.0,3471.53,7
HCPCS,0064U,Antb tp total&rpr ia qual,,,31.33,163.01,8
HCPCS,0065U,Syfls tst nontreponemal antb,,,18.09,83.75,8
HCPCS,0067U,Onc brst imhchem prfl 4 bmrk,,,1897.0,8780.64,7
HCPCS,0068U,Candida species pnl amp prb,,,142.63,660.17,8
HCPCS,0069U,Onc clrct microrna mir-31-3p,,,380.0,1758.89,8
HCPCS,0070U,Cyp2d6 gen com&slct rar vrnt,,,676.37,3130.72,8
HCPCS,0071T,Us leiomyomata ablate <200,,,3262.77,15299.13,9
HCPCS,0071U,Cyp2d6 full gene sequence,,,352.46,2777.22,8
HCPCS,0072T,Us leiomyomata ablate >200,,,3262.77,15299.13,9
HCPCS,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,450.91,2087.11,8
HCPCS,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,450.91,2087.11,8
HCPCS,0074U,Cyp2d6 nonduplicated gene,,,450.91,2087.11,8
HCPCS,0075T,HC TRNSCTH EXCR VE/INTTH STEN S&I,10879.0,10879.0,,,0
HCPCS,0075T,Perq Stent/Chest Vert Art,,,2073.0,9829.75,6
HCPCS,0075U,Cyp2d6 5' gene dup/mlt,,,450.91,2087.11,8
HCPCS,0076T,HC TRANSCATH PLCMT EA ADDL SI,10523.0,10523.0,,,0
HCPCS,0076T,S&I Stent/Chest Vert Art,,,2073.0,9829.75,6
HCPCS,0076U,Cyp2d6 3' gene dup/mlt,,,450.91,2087.11,8
HCPCS,0077U,Ig paraprotein qual bld/ur,,,43.43,201.01,6
HCPCS,0078U,Pain mgt opi use gnotyp pnl,,,2087.11,2087.11,1
HCPCS,0080U,Onc lng 5 clin rsk factr alg,,,3520.0,16721.51,8
HCPCS,0082U,Rx test def 90+ rx/sbsts ur,,,246.92,1142.9,8
HCPCS,0083U,Onc rspse chemo cntrst tomog,,,167.35,774.61,8
HCPCS,0084U,Rbc dna gnotyp 10 bld groups,,,720.0,3332.67,8
HCPCS,0086U,HC ACCELERATE PHENOTEST BC KIT,788.0,788.0,,,0
HCPCS,0086U,Nfct ds bact&fng org id 6+,,,200.0,925.75,8
HCPCS,0087U,Crd hrt trnspl mrna 1283 gen,,,2916.34,14623.95,8
HCPCS,0088U,Trnsplj kdn algrft rej 1494,,,2916.34,14623.95,8
HCPCS,0089U,Onc mlnma prame & linc00518,,,760.0,3517.82,8
HCPCS,0090U,Onc cutan mlnma mrna 23 gene,,,1950.0,9263.87,8
HCPCS,0092U,Onc lng 3 prtn bmrk plsm alg,,,2488.0,11516.18,8
HCPCS,0093U,Rx mntr 65 com drugs urine,,,62.14,287.63,8
HCPCS,0094U,Genome rapid sequence alys,,,7582.2,35095.62,8
HCPCS,0095T,Rmvl artific disc addl crvcl,,,6880.82,9829.75,4
HCPCS,0095U,Inflm ee elisa alys alg,,,771.98,3573.25,8
HCPCS,0096U,Hpv hi risk types male urine,,,35.09,162.43,8
HCPCS,0098T,Rev Artific Disc Addl,,,6880.82,9829.75,4
HCPCS,0100T,Prosth Retina Receive&Gen,,,4144.58,74092.0,5
HCPCS,0101T,Extracorp shockwv tx hi enrg,,,246.11,5391.0,8
HCPCS,0101U,Hered colon ca do 15 genes,,,1640.29,10759.8,8
HCPCS,0102T,Extracorp shockwv tx anesth,,,3378.06,15463.96,8
HCPCS,0102U,Hered brst ca rltd do 17 gen,,,1303.95,6035.59,8
HCPCS,0103U,Hered ova ca pnl 24 genes,,,1567.63,8072.21,8
HCPCS,0105U,Neph ckd mult eclia tum nec,,,950.0,4397.24,8
HCPCS,0106T,Touch Quant Sensory Test,,,41.86,176.53,7
HCPCS,0106U,Gstr emptg 7 timed brth spec,,,874.49,4047.73,8
HCPCS,0107T,Vibrate Quant Sensory Test,,,41.86,176.53,7
HCPCS,0107U,C diff tox ag detcj ia stool,,,16.0,74.07,8
HCPCS,0108T,Cool Quant Sensory Test,,,63.84,278.81,7
HCPCS,0108U,Gi barrett esoph 9 prtn bmrk,,,3524.08,20807.32,8
HCPCS,0109T,Heat Quant Sensory Test,,,41.86,176.53,7
HCPCS,0109U,Id aspergillus dna 4 species,,,142.63,660.17,8
HCPCS,0110T,Nos Quant Sensory Test,,,133.32,628.81,7
HCPCS,0110U,Rx mntr 1+oral onc rx&sbsts,,,27.11,125.47,8
HCPCS,0111U,Onc colon ca kras&nras alys,,,682.29,3158.09,8
HCPCS,0112U,Iadi 16s&18s rrna genes,,,356.13,1648.43,8
HCPCS,0113U,Onc prst8 pca3&tmprss2-erg,,,760.0,3517.82,8
HCPCS,0114U,Gi barretts esoph vim&ccna1,,,1938.01,8970.45,8
HCPCS,0115U,Respir iadna 18 viral&2 bact,,,275.35,1500.6,8
HCPCS,0116U,Rx mntr nzm ia 35+oral flu,,,246.92,1142.9,8
HCPCS,0117U,Pain mgmt 11 endogenous anal,,,840.65,3891.12,8
HCPCS,0118U,Trnsplj don-drv cll-fr dna,,,2753.25,12743.95,8
HCPCS,0119U,Crd ceramides liq chrom plsm,,,48.24,387.69,8
HCPCS,0120U,Onc b cll lymphm mrna 58 gen,,,2510.21,11618.97,8
HCPCS,0121A,Adm sarscv2 bvl 30mcg/.3ml 1,,,50.53,50.53,1
HCPCS,0121U,Sc dis vcam-1 whole blood,,,509.2,2356.91,8
HCPCS,0122U,Sc dis p-selectin whl blood,,,526.23,2435.77,8
HCPCS,0123U,Mchnl fragility rbc prflg,,,29.22,1655.38,8
HCPCS,0129U,Hered brst ca rltd do panel,,,1303.95,6035.59,8
HCPCS,0130U,Hered colon ca do mrna pnl,,,584.9,2707.31,8
HCPCS,0131U,Hered brst ca rltd do pnl 13,,,995.56,3286.38,4
HCPCS,0132U,Hered ova ca rltd do pnl 17,,,1039.93,3432.82,4
HCPCS,0133U,Hered prst8 ca rltd do 11,,,690.29,3195.15,8
HCPCS,0134U,Hered pan ca mrna pnl 18 gen,,,748.39,3464.05,8
HCPCS,0135U,Hered gyn ca mrna pnl 12 gen,,,982.33,3242.69,4
HCPCS,0136U,Atm mrna seq alys,,,407.43,1885.88,8
HCPCS,0137U,Palb2 mrna seq alys,,,282.88,1309.36,8
HCPCS,0138U,Brca1 brca2 mrna seq alys,,,468.33,2167.77,8
HCPCS,0140U,Nfct ds fungi dna 15 trgt,,,156.75,725.55,7
HCPCS,0141A,Adm srscv2 bvl 25mcg/.25ml 1,,,50.53,50.53,1
HCPCS,0141U,Nfct ds bact&fng gram pos,,,156.75,725.55,7
HCPCS,0142A,Adm srscv2 bvl 25mcg/.25ml 2,,,50.53,50.53,1
HCPCS,0142U,Nfct ds bact&fng gram neg,,,156.75,725.55,7
HCPCS,0143U,Drug assay 120+ rx/metablt,,,529.64,529.64,1
HCPCS,0144U,Drug assay 160+ rx/metablt,,,529.64,529.64,1
HCPCS,0145U,Drug assay 65+ rx/metablt,,,529.64,529.64,1
HCPCS,0146U,Drug assay 80+ rx/metablt,,,529.64,529.64,1
HCPCS,0147U,Drug assay 85+ rx/metablt,,,529.64,529.64,1
HCPCS,0148U,Drug assay 100+ rx/metablt,,,529.64,529.64,1
HCPCS,0149U,Drug assay 60+ rx/metablt,,,529.64,529.64,1
HCPCS,0150U,Drug assay 120+ rx/metablt,,,529.64,529.64,1
HCPCS,0151A,Adm sarscv2 bvl 10mcg/.2ml 1,,,50.53,50.53,1
HCPCS,0152U,Nfct bct fng prst dna >1000,,,2126.2,9841.49,7
HCPCS,0153U,Onc breast mrna 101 genes,,,3159.42,14623.95,7
HCPCS,0154U,Fgfr3 gene analysis,,,290.69,2231.67,8
HCPCS,0155U,Pik3ca gene analysis,,,274.83,1272.08,8
HCPCS,0156U,Copy number sequence alys,,,1740.0,8053.92,7
HCPCS,0157U,Apc mrna seq alys,,,282.88,1309.36,7
HCPCS,0158U,Mlh1 mrna seq alys,,,282.88,1309.36,7
HCPCS,0159U,Msh2 mrna seq alys,,,282.88,1309.36,7
HCPCS,0160U,Msh6 mrna seq alys,,,282.88,1309.36,7
HCPCS,0161U,Pms2 mrna seq alys,,,282.88,1309.36,7
HCPCS,0162U,Hered colon ca trgt mrna pnl,,,486.54,2252.06,7
HCPCS,0163U,Onc clrct scr 3 prtn alg,,,547.91,1808.67,3
HCPCS,0164T,Remove Lumb Artif Disc Addl,,,1473.0,9829.75,5
HCPCS,0164U,Gi ibs ia anti-cdtb&vinculin,,,112.02,518.48,7
HCPCS,0165T,Revise Lumb Artif Disc Addl,,,1473.0,9829.75,5
HCPCS,0165U,Peanut allg spec asmt 64 epi,,,463.76,2146.62,7
HCPCS,0166U,Liver ds 10 biochem asy srm,,,503.4,2330.07,8
HCPCS,0167U,Chornc gonadotropin hcg ia,,,34.82,34.82,1
HCPCS,0168U,Ftl aneuploidy dna seq alys,,,3525.26,3525.26,1
HCPCS,0169U,Nudt15&tpmt gene com vrnt,,,466.17,2157.73,8
HCPCS,0170U,Neuro asd rna next gen seq,,,1950.0,8829.6,8
HCPCS,0171A,Adm sarscv2 bvl 3mcg/0.2ml 1,,,50.53,50.53,1
HCPCS,0171U,Trgt gen seq alys pnl dna 23,,,1519.06,7031.25,7
HCPCS,0172A,Adm sarscv2 bvl 3mcg/0.2ml 2,,,50.53,50.53,1
HCPCS,0172U,Onc sld tum alys brca1 brca2,,,3030.0,14024.9,8
HCPCS,0173A,Adm sarscv2 bvl 3mcg/0.2ml 3,,,50.34,50.34,1
HCPCS,0173U,Psyc gen alys panel 14 genes,,,466.17,2157.73,7
HCPCS,0174A,Adm sarscv2 bvl 3mcg/0.2ml b,,,50.53,50.53,1
HCPCS,0174U,Onc solid tumor 30 prtn trgt,,,1305.37,6042.14,7
HCPCS,0175U,Psyc gen alys panel 15 genes,,,1336.09,6184.36,7
HCPCS,0176U,Cdtb&vinculin igg antb ia,,,64.19,297.13,8
HCPCS,0177U,Onc brst ca dna pik3ca 11,,,274.83,1272.08,8
HCPCS,0178U,Peanut allg asmt epi clin rx,,,459.86,2128.56,7
HCPCS,0179U,Onc nonsm cll lng ca alys 23,,,1943.21,8994.51,7
HCPCS,0180U,Abo gnotyp abo 7 exons,,,274.83,1272.08,7
HCPCS,0181U,Co gnotyp aqp1 exon 1,,,185.2,962.02,8
HCPCS,0182U,Crom gnotyp cd55 exons 1-10,,,301.35,1394.86,8
HCPCS,0183U,Di gnotyp slc4a1 exon 19,,,185.2,962.02,8
HCPCS,0184T,Exc rectal tumor endoscopic,,,5391.0,28691.96,9
HCPCS,0184U,Do gnotyp art4 exon 2,,,185.2,962.02,8
HCPCS,0185U,Fut1 gnotyp fut1 exon 4,,,185.2,962.02,8
HCPCS,0186U,Fut2 gnotyp fut2 exon 2,,,185.2,962.02,8
HCPCS,0187U,Fy gnotyp ackr1 exons 1-2,,,274.83,1272.08,8
HCPCS,0188U,Ge gnotyp gypc exons 1-4,,,274.83,1272.08,8
HCPCS,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,274.83,1272.08,8
HCPCS,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,274.83,1272.08,8
HCPCS,0191U,In gnotyp cd44 exons 2 3 6,,,274.83,1272.08,8
HCPCS,0192U,Jk gnotyp slc14a1 exon 9,,,274.83,1272.08,8
HCPCS,0193U,Jr gnotyp abcg2 exons 2-26,,,282.88,1309.36,8
HCPCS,0194U,Kel gnotyp kel exon 8,,,185.2,962.02,8
HCPCS,0195U,Klf1 targeted sequencing,,,375.25,1736.93,8
HCPCS,0196U,Lu gnotyp bcam exon 3,,,185.2,962.02,8
HCPCS,0197U,Lw gnotyp icam4 exon 1,,,185.2,962.02,8
HCPCS,0198T,Ocular blood flow measure,,,133.32,628.81,7
HCPCS,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,282.88,1309.36,8
HCPCS,0199U,Sc gnotyp ermap exons 4 12,,,274.83,1272.08,8
HCPCS,0200T,HC PERC SACRL AUG UNILAT INJ,17376.0,17376.0,,,0
HCPCS,0200T,Perq sacral augmt unilat inj,,,5391.0,34293.94,8
HCPCS,0200U,Xk gnotyp xk exons 1-3,,,274.83,1272.08,8
HCPCS,0201T,HC PERC SACRAL AUG BILAT INJ,17376.0,17376.0,,,0
HCPCS,0201T,Perq sacral augmt bilat inj,,,5391.0,34293.94,8
HCPCS,0201U,Yt gnotyp ache exon 2,,,185.2,962.02,8
HCPCS,0202T,Post vert arthrplst 1 lumbar,,,6880.82,60677.5,9
HCPCS,0202U,Nfct ds 22 trgt sars-cov-2,,,262.57,2673.37,12
HCPCS,0203U,Ai ibd mrna xprsn prfl 17,,,760.0,3517.82,8
HCPCS,0204U,Onc thyr mrna xprsn alys 593,,,13513.9,13513.9,1
HCPCS,0205U,Oph amd alys 3 gene variants,,,47.0,298.8,8
HCPCS,0206U,Neuro alzheimer cell aggregj,,,2215.4,10254.41,7
HCPCS,0207T,Clear eyelid gland w/heat,,,133.32,1473.0,8
HCPCS,0207U,Neuro alzheimer quan imaging,,,716.8,2312.83,2
HCPCS,0208T,Audiometry air only,,,41.86,176.53,7
HCPCS,0209T,Audiometry air & bone,,,41.86,176.53,7
HCPCS,0209U,Cytog const alys interrog,,,787.15,3643.46,7
HCPCS,0210T,Speech audiometry threshold,,,41.86,176.53,7
HCPCS,0210U,Syphilis tst antb ia quan,,,18.63,86.21,8
HCPCS,0211T,Speech audiom thresh & recog,,,41.86,176.53,7
HCPCS,0211U,Onc pan-tum dna&rna gnrj seq,,,5153.09,39135.55,8
HCPCS,0212T,Compre audiometry evaluation,,,144.67,608.13,7
HCPCS,0212U,Rare ds gen dna alys proband,,,5475.2,25342.98,7
HCPCS,0213T,Njx paravert w/us cer/thor,,,951.24,4180.15,8
HCPCS,0213U,Rare ds gen dna alys ea comp,,,2709.95,12543.52,7
HCPCS,0214T,Njx paravert w/us cer/thor,,,1473.0,1473.0,1
HCPCS,0214U,Rare ds xom dna alys proband,,,5224.6,24183.01,7
HCPCS,0215T,Njx paravert w/us cer/thor,,,1473.0,1473.0,1
HCPCS,0215U,Rare ds xom dna alys ea comp,,,2574.65,11917.22,7
HCPCS,0216T,Njx paravert w/us lumb/sac,,,951.24,4180.15,8
HCPCS,0216U,Neuro inh ataxia dna 12 com,,,1537.02,7114.37,7
HCPCS,0217T,Njx paravert w/us lumb/sac,,,1473.0,1473.0,1
HCPCS,0217U,Neuro inh ataxia dna 51 gene,,,2198.35,10175.45,7
HCPCS,0218T,Njx paravert w/us lumb/sac,,,1473.0,1473.0,1
HCPCS,0218U,Neuro musc dys dmd seq alys,,,2279.0,10548.76,8
HCPCS,0219T,Plmt post facet implt cerv,,,6880.82,60677.5,9
HCPCS,0219U,Nfct agt hiv gnrj seq alys,,,725.0,3355.79,7
HCPCS,0220T,Plmt post facet implt thor,,,6880.82,60677.5,9
HCPCS,0220U,Onc brst ca ai assmt 12 feat,,,706.25,3269.0,7
HCPCS,0221T,Plmt post facet implt lumb,,,5391.0,34293.94,8
HCPCS,0221U,Abo gnotyp next gnrj seq abo,,,274.83,1272.08,7
HCPCS,0222T,Plmt post facet implt addl,,,1473.0,1473.0,1
HCPCS,0222U,Rhd&rhce gntyp next gnrj seq,,,282.88,1309.36,7
HCPCS,0223U,Nfct ds 22 trgt sars-cov-2,,,262.57,2548.15,12
HCPCS,0224U,Antibody sars-cov-2 titer(s),,,32.4,257.58,12
HCPCS,0225U,Nfct ds dna&rna 21 sarscov2,,,262.57,2673.37,12
HCPCS,0226U,Svnt sarscov2 elisa plsm srm,,,26.64,270.78,12
HCPCS,0227U,Rx asy prsmv 30+rx/metablt,,,62.14,287.63,7
HCPCS,0228U,Onc prst8 ma molec prfl alg,,,173.03,782.83,7
HCPCS,0229U,Bcat1 promoter mthyltn alys,,,269.22,1614.14,7
HCPCS,0230U,Ar full sequence analysis,,,301.35,1394.86,7
HCPCS,0231U,Cacna1a full gene analysis,,,846.27,3917.11,7
HCPCS,0232T,Njx platelet plasma,,,415.82,2111.28,9
HCPCS,0232U,Cstb full gene analysis,,,274.83,1272.08,7
HCPCS,0233U,Fxn gene analysis,,,274.83,1272.08,7
HCPCS,0234T,HC TRNSL ATHER RENAL ART,28981.0,28981.0,,,0
HCPCS,0234T,Trluml perip athrc renal art,,,11481.13,54559.54,8
HCPCS,0234U,Mecp2 full gene analysis,,,527.87,2443.35,7
HCPCS,0235T,HC VISCERAL ART XRA W CONTR W SI,10879.0,10879.0,,,0
HCPCS,0235T,Trluml perip athrc visceral,,,2073.0,9829.75,5
HCPCS,0235U,Pten full gene analysis,,,600.0,2777.22,7
HCPCS,0236T,HC ABD AORTA XRA W CONTR W SI,28981.0,28981.0,,,0
HCPCS,0236T,Trluml perip athrc abd aorta,,,11481.13,54559.54,8
HCPCS,0236U,Smn1&smn2 full gene analysis,,,602.7,2789.72,7
HCPCS,0237T,HC ATHER BRACHCEPH AND BRANCH,28981.0,28981.0,,,0
HCPCS,0237T,Trluml perip athrc brchiocph,,,11481.13,54559.54,8
HCPCS,0237U,Car ion chnlpthy gen seq pnl,,,584.9,2707.31,7
HCPCS,0238T,HC TRNSL ATHER ILIAC ART,42589.0,42589.0,,,0
HCPCS,0238T,Trluml perip athrc iliac art,,,18300.17,86638.02,8
HCPCS,0238U,Onc lnch syn gen dna seq aly,,,584.9,2707.31,7
HCPCS,0239U,Trgt gen seq alys pnl 311+,,,3500.0,16200.38,6
HCPCS,0240U,Nfct ds vir resp rna 3 trgt,,,199.95,872.03,4
HCPCS,0241U,Nfct ds vir resp rna 4 trgt,,,199.95,872.03,4
HCPCS,0242U,Trgt gen seq alys pnl 55-74,,,5000.0,23143.45,7
HCPCS,0243U,Ob pe biochem assay pgf alg,,,64.41,400.91,8
HCPCS,0244U,Onc solid orgn dna 257 genes,,,3500.0,16200.38,8
HCPCS,0245U,Onc thyr mut alys 10 gen&37,,,1266.07,5728.07,7
HCPCS,0246U,Rbc dna gnotyp 16 bld groups,,,720.0,3332.67,8
HCPCS,0247U,Ob prtrm brth ibp4 shbg meas,,,750.0,3471.53,8
HCPCS,0248U,Onc brn sphrd cll 12 rx pnl,,,3033.86,13726.12,7
HCPCS,0249U,Onc brst alys 32 phsprtn alg,,,2219.13,10040.04,7
HCPCS,0250U,Onc sld org neo dna 505 gene,,,2919.6,13513.9,8
HCPCS,0251U,Hepcidin-25 elisa serum/plsm,,,17.27,80.6,8
HCPCS,0252U,Ftl aneuploidy str alys dna,,,759.05,3434.19,7
HCPCS,0253T,Insert aqueous drain device,,,4243.23,19535.16,8
HCPCS,0253U,Rprdtve med rna gen prfl 238,,,3159.42,14294.16,7
HCPCS,0254U,Reprdtve med alys 24 chrmsm,,,759.05,3434.19,7
HCPCS,0255U,Andrology infertility assmt,,,31.6,142.94,7
HCPCS,0256U,Tma/tmao prfl ms/ms ur alg,,,159.95,723.65,7
HCPCS,0257U,Vlcad leuk nzm actv whl bld,,,712.47,3223.44,7
HCPCS,0258U,Ai psor mrna 50-100 gen alg,,,3675.0,17010.44,8
HCPCS,0259U,Neph ckd nuc mrs meas gfr,,,52.71,267.02,8
HCPCS,0260U,Rare ds id opt genome mapg,,,1263.53,5716.58,7
HCPCS,0261U,Onc clrct ca img alys w/ai,,,2513.25,11633.04,8
HCPCS,0262U,Onc sld tum rt-pcr 7 gen,,,3200.0,14477.76,7
HCPCS,0263T,Im b1 mrw cel ther cmpl,,,4829.72,20584.75,8
HCPCS,0263U,Neuro asd meas 16 c metblt,,,750.0,3471.53,8
HCPCS,0264T,Im b1 mrw cel ther xcl hrvst,,,4829.72,20584.75,8
HCPCS,0264U,Rare ds id opt genome mapg,,,1263.53,5716.58,7
HCPCS,0265T,Im b1 mrw cel ther hrvst onl,,,4829.72,20584.75,8
HCPCS,0265U,Rar do whl gn&mtcdrl dna als,,,5475.8,24774.15,7
HCPCS,0266T,Implt/rpl crtd sns dev total,,,44503.0,97602.03,5
HCPCS,0266U,Unxpl cnst hrtbl do gn xprsn,,,3200.0,14477.76,7
HCPCS,0267T,Implt/rpl crtd sns dev lead,,,3550.97,7038.7,5
HCPCS,0267U,Rare do id opt gen mapg&seq,,,6739.33,30490.74,7
HCPCS,0268T,Implt/rpl crtd sns dev gen,,,32407.0,64236.76,5
HCPCS,0268U,Hem ahus gen seq alys 15 gen,,,608.17,2751.57,7
HCPCS,0269T,Rev/remvl crtd sns dev total,,,6952.08,13780.32,5
HCPCS,0269U,Hem aut dm cgen trmbctpna 14,,,608.17,2751.57,7
HCPCS,0270T,Rev/remvl crtd sns dev lead,,,3550.97,7038.7,5
HCPCS,0270U,Hem cgen coagj do 20 genes,,,608.17,2751.57,7
HCPCS,0271T,Rev/remvl crtd sns dev gen,,,3550.97,7038.7,5
HCPCS,0271U,Hem cgen neutropenia 23 gen,,,608.17,2751.57,7
HCPCS,0272T,Interrogate crtd sns dev,,,163.01,323.13,4
HCPCS,0272U,Hem genetic bld do 51 genes,,,608.17,2751.57,7
HCPCS,0273T,Interrogate crtd sns w/pgrmg,,,163.01,323.13,4
HCPCS,0273U,Hem gen hyprfibrnlysis 8 gen,,,608.17,2751.57,7
HCPCS,0274T,Perq lamot/lam crv/thrc,,,7466.19,34293.94,8
HCPCS,0274U,Hem gen pltlt do 43 genes,,,608.17,2751.57,7
HCPCS,0275T,Perq lamot/lam lumbar,,,7466.19,14799.38,5
HCPCS,0275U,Hem heprn nduc trmbctpna srm,,,18.37,114.33,8
HCPCS,0276U,Hem inh thrombocytopenia 23,,,2448.56,11087.08,8
HCPCS,0277U,Hem gen pltlt funcj do 31,,,608.17,2751.57,7
HCPCS,0278T,Tempr,,,144.67,1473.0,9
HCPCS,0278U,Hem gen thrombosis 12 genes,,,608.17,2751.57,7
HCPCS,0279U,Hem vw factor&clgn iii bndg,,,11.53,71.27,8
HCPCS,0280U,Hem vw factor&clgn iv bndg,,,17.27,80.6,8
HCPCS,0281U,Hem vwd propeptide ag lvl,,,17.27,80.6,8
HCPCS,0282U,Rbc dna gntyp 12 bld grp gen,,,720.0,3332.67,8
HCPCS,0283U,Vw factor type 2b eval plsm,,,18.4,85.18,8
HCPCS,0284U,Vw factor type 2n eval plsm,,,17.27,80.6,8
HCPCS,0285U,Onc rsps radj cll fr dna tox,,,443.31,2005.67,7
HCPCS,0286U,Cep72 nudt15&tpmt gene alys,,,134.13,607.34,8
HCPCS,0287U,Onc thyr dna&mrna 112 genes,,,3600.0,16300.8,8
HCPCS,0288U,Onc lung mrna quan pcr 11&3,,,3873.0,17536.94,8
HCPCS,0289U,Neuro alzheimer mrna 24 gen,,,760.0,3441.28,8
HCPCS,0290U,Pain mgmt mrna gen xprsn 36,,,760.0,3441.28,8
HCPCS,0291U,Psyc mood do mrna 144 genes,,,1755.0,7940.15,7
HCPCS,0292U,Psyc strs do mrna 72 genes,,,1755.0,7940.15,7
HCPCS,0293U,Psyc suicidal idea mrna 54,,,760.0,3438.46,8
HCPCS,0294U,Lngvty&mrtlty rsk mrna 18gen,,,833.87,3438.46,4
HCPCS,0295U,Onc brst dux carc 7 proteins,,,2659.97,22846.02,8
HCPCS,0296U,Onc orl&/orop ca 20 mlc feat,,,1925.59,8829.6,8
HCPCS,0297U,Onc pan tum whl gen seq dna,,,2919.6,13209.19,7
HCPCS,0298U,Onc pan tum whl trns seq rna,,,2919.6,20775.91,8
HCPCS,0299U,Onc pan tum whl gen opt mapg,,,1863.22,8429.74,7
HCPCS,0300U,Onc pan tum whl gen seq&opt,,,4183.13,18925.76,7
HCPCS,0301U,Iadna bartonella ddpcr,,,262.72,1188.61,7
HCPCS,0302U,Iadna brtnla ddpcr flwg liq,,,361.37,1634.92,7
HCPCS,0303U,Hem rbc ads whl bld hypoxic,,,2201.62,9960.8,7
HCPCS,0304U,Hem rbc ads whl bld normoxic,,,2075.8,9391.53,7
HCPCS,0305U,Hem rbc fnclty&dfrm shr strs,,,662.58,2997.71,7
HCPCS,0306U,Onc mrd nxt-gnrj alys 1st,,,3878.45,17547.32,7
HCPCS,0307U,Onc mrd nxt-gnrj alys sbsq,,,794.49,3594.5,7
HCPCS,0308T,Insj ocular telescope prosth,,,18106.38,77796.3,9
HCPCS,0308U,Crd cad alys 3 prtn plsm alg,,,390.75,1769.32,8
HCPCS,0309U,Crd cv ds aly 4 prtn plm alg,,,390.75,1769.32,8
HCPCS,0310U,Ped vsclts kd alys 3 bmrks,,,390.75,1769.32,8
HCPCS,0311U,Nfct ds bct quan antmcrb sc,,,8.08,36.57,8
HCPCS,0312U,Ai ds sle alys 8 igg autoant,,,840.65,3806.46,8
HCPCS,0313U,Onc pncrs dna&mrna seq 74,,,3600.0,16300.8,8
HCPCS,0314U,Onc cutan mlnma mrna 35 gene,,,1950.0,8822.39,7
HCPCS,0315U,Onc cutan sq cll ca mrna 40,,,8500.0,38456.62,7
HCPCS,0316U,B brgdrferi lyme ds ospa evl,,,18.66,112.84,8
HCPCS,0317U,Onc lung ca 4-prb fish assay,,,2030.0,9191.84,8
HCPCS,0318U,Ped whl gen mthyltn alys 50+,,,1770.48,8010.22,7
HCPCS,0319U,Neph rna pretrnspl perph bld,,,2650.0,11989.4,7
HCPCS,0320U,Neph rna psttrnspl perph bld,,,2650.0,11989.4,7
HCPCS,0321U,Iadna gu pthgn 20bct&fng org,,,634.84,2872.19,8
HCPCS,0322U,Neuro asd meas 14 acyl carn,,,750.0,3396.0,8
HCPCS,0323U,Iadna cns pthgn next gen seq,,,2126.2,9627.43,8
HCPCS,0326U,Trgt gen seq alys pnl 83+,,,5000.0,22640.0,8
HCPCS,0327U,Ftl aneuploidy trsmy dna seq,,,795.0,3599.76,8
HCPCS,0328U,Drug assay 120+ rx&metablt,,,114.43,518.14,8
HCPCS,0329U,Onc neo xome&trns seq alys,,,3437.98,15554.48,7
HCPCS,0330T,Tear film img uni/bi w/i&r,,,41.86,176.53,7
HCPCS,0330U,Iadna vag pthgn panel 27 org,,,416.78,1885.66,8
HCPCS,0331T,Heart symp image plnr,,,1455.62,6118.7,7
HCPCS,0331U,Onc hl neo opt gen mapping,,,1863.22,8429.74,7
HCPCS,0332T,Heart symp image plnr spect,,,1455.62,6118.7,7
HCPCS,0332U,Onc pan tum gen prflg 8 dna,,,1142.06,5167.06,7
HCPCS,0333U,Onc lvr surveilanc hcc cfdna,,,662.32,2996.56,7
HCPCS,0334U,Onc sld orgn tgsa dna 84/+,,,3203.39,20775.91,8
HCPCS,0335T,Extraosseous joint stblztion,,,4822.0,34293.94,8
HCPCS,0335U,Rare ds whl gen seq fetal,,,5224.6,23656.99,8
HCPCS,0336U,Rare ds whl gen seq bld/slv,,,2574.65,11658.02,8
HCPCS,0337U,Onc plsm cell do&myeloma id,,,2435.0,11016.67,7
HCPCS,0338T,Trnscth renal symp denrv unl,,,5391.0,26899.17,8
HCPCS,0338U,Onc sld tum crcg tum cl slct,,,2435.0,11016.67,7
HCPCS,0339T,Trnscth renal symp denrv bil,,,5391.0,26899.17,8
HCPCS,0339U,Onc prst8 mrna hoxc6 & dlx1,,,760.0,3441.28,8
HCPCS,0340U,Onc pan ca alys mrd plasma,,,3590.0,17749.76,8
HCPCS,0341U,Ftl aneup dna seq cmpr alys,,,1900.2,8597.09,7
HCPCS,0342T,Thxp apheresis w/hdl delip,,,4829.72,20584.75,9
HCPCS,0342U,Onc pncrtc ca mult ia eclia,,,984.19,4061.62,4
HCPCS,0343U,Onc prst8 xom aly 442 sncrna,,,760.0,3441.28,8
HCPCS,0344U,Hep nafld semiq evl 28 lipid,,,792.17,3584.04,7
HCPCS,0345T,Transcath mtral vlve repair,,,2073.0,9829.75,5
HCPCS,0345U,Psyc genom alys pnl 15 gen,,,1336.09,6049.82,8
HCPCS,0346U,Beta amyl a?40&a?42 lc-ms/ms,,,97.18,97.18,1
HCPCS,0347T,Ins bone device for rsa,,,63.84,1473.0,8
HCPCS,0347U,Rx metab/pcx dna 16 gen alys,,,1336.09,6049.82,8
HCPCS,0348T,RSA spine exam,,,114.75,494.1,7
HCPCS,0348U,Rx metab/pcx dna 25 gen alys,,,742.27,3361.0,8
HCPCS,0349T,RSA upper extr exam,,,114.75,494.1,7
HCPCS,0349U,Rx metab/pcx dna 27gen rx ia,,,742.27,3361.0,8
HCPCS,0350T,RSA lower extr exam,,,94.83,411.29,7
HCPCS,0350U,Rx metab/pcx dna 27 gen alys,,,1336.09,6049.82,8
HCPCS,0351U,Nfct ds bct/viral trail ip10,,,260.5,1179.54,8
HCPCS,0352U,Nfct ds bv&vaginitis amp prb,,,156.49,156.49,1
HCPCS,0353U,Iadna chlmyd&gonorr amp prb,,,77.0,77.0,1
HCPCS,0354U,Hpv hi rsk qual mrna e6/e7,,,38.5,38.5,1
HCPCS,0355U,Apol1 risk variants,,,137.0,619.83,8
HCPCS,0356U,Onc orop 17 dna ddpcr alg,,,1800.0,8150.4,8
HCPCS,0358T,BIA whole body,,,31.09,136.7,7
HCPCS,0358U,Neuro alys b-amyl 1-42&1-40,,,260.5,1179.54,8
HCPCS,0359U,Onc prst8 ca alys all psa,,,458.05,3438.46,8
HCPCS,0360U,Onc lung elisa 7 autoant alg,,,840.65,3806.46,8
HCPCS,0361U,Neurflmnt lt chn dig ia quan,,,116.23,525.86,3
HCPCS,0362T,Expose behav assessment,,,29.96,177.08,8
HCPCS,0362U,Onc pap thyr ca rna 82&10,,,3600.0,16300.8,8
HCPCS,0363U,Onc urthl mrna 5 gen alg,,,760.0,3441.28,8
HCPCS,0364U,Onc hl neo gen seq alys alg,,,2007.25,9081.43,7
HCPCS,0365U,Onc bldr 10 prb bldr ca,,,897.0,4061.62,8
HCPCS,0366U,Onc bldr 10 prb recr bldr ca,,,897.0,4061.62,8
HCPCS,0367U,Onc bldr 10 flwg trurl rescj,,,902.18,4085.07,8
HCPCS,0368U,Onc clrct ca mut&mthyltn mrk,,,416.78,1885.66,3
HCPCS,0369U,Iadna gi pthgn 31 org&21 arg,,,434.28,1887.18,4
HCPCS,0370U,Iadna surg wnd pthgn 34&21,,,434.28,1885.66,4
HCPCS,0371U,Iadna gu pthgn semiq dna16&1,,,416.78,1885.66,8
HCPCS,0372U,Nfct ds gu pthgn arg detcj,,,416.78,1885.66,8
HCPCS,0373T,Exposure behavior treatment,,,29.96,177.08,8
HCPCS,0373U,Iadna rsp tr nfct 17 8 13&16,,,434.28,1885.66,4
HCPCS,0374U,Iadna gu pthgn 21 org&21arg,,,434.28,1885.66,4
HCPCS,0375U,Onc ovrn bchm asy 7 prtn alg,,,897.0,4061.62,8
HCPCS,0376U,Onc prst8 ca img alys 128,,,706.25,3197.9,8
HCPCS,0377U,Cv ds quan advsrm/plsm lprtn,,,47.58,279.74,8
HCPCS,0378T,Visual field assmnt rev/rprt,,,32.96,65.33,4
HCPCS,0378U,Rfc1 repeat xpnsj vrnt alys,,,137.0,619.83,8
HCPCS,0379T,Vis field assmnt tech suppt,,,41.86,176.53,7
HCPCS,0379U,Tgsap sl or neo dna523&rna55,,,3288.51,14878.22,7
HCPCS,0380U,Rx metb advrs trgt sq aly 20,,,434.28,1323.53,2
HCPCS,0381U,Maple syrup ur ds mntr quan,,,44.12,199.62,7
HCPCS,0382U,Hyprphenylalninmia mntr quan,,,51.64,233.61,7
HCPCS,0383U,Tyrosinemia typ i mntr quan,,,52.05,235.5,7
HCPCS,0384U,Neph ckd rsk hi stg kdn ds,,,750.0,3396.0,8
HCPCS,0385U,Neph ckd alg rsk dbtc kdn ds,,,390.75,1769.32,8
HCPCS,0387U,Onc mlnma ambra1&amlo,,,948.5,4294.81,8
HCPCS,0388U,Onc nonsm cll lng ca 37 gen,,,3500.0,15835.05,7
HCPCS,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,70.2,317.62,7
HCPCS,0390U,Ob pe kdr eng&rbp4 ia alg,,,64.41,291.65,8
HCPCS,0391U,Onc sld tum dna&rna 437 gen,,,3600.0,16300.8,8
HCPCS,0392U,Rx metab genrx ia 16 genes,,,1336.09,6049.82,8
HCPCS,0393U,Neu prksn msfl ?-syncln prtn,,,540.99,2449.6,8
HCPCS,0394T,Hdr elctrnc skn surf brchytx,,,280.48,555.96,4
HCPCS,0394U,Pfas 16 pfas compnd lc ms/ms,,,198.74,899.18,8
HCPCS,0395T,Hdr elctr ntrst/ntrcv brchtx,,,748.26,3291.64,7
HCPCS,0395U,Onc lng multiomics plsm alg,,,797.45,3607.88,7
HCPCS,0397T,Ercp w/optical endomicroscpy,,,1473.0,1473.0,1
HCPCS,0398T,Mrgfus strtctc les abltj,,,14216.35,28179.48,4
HCPCS,0398U,Gi baret esph dna mthyln aly,,,1755.0,7940.15,7
HCPCS,0399U,Neuro cere folate defncy srm,,,300.0,1357.29,7
HCPCS,0400U,Ob xpnd car scr 145 genes,,,1456.88,6591.36,3
HCPCS,0401U,Crd c hrt ds 9 gen 12 vrnts,,,489.68,2215.44,7
HCPCS,0402T,Collagen crosslinking cornea,,,2438.75,11236.34,9
HCPCS,0402U,Nfct agt sti mult amp prb tq,,,142.63,645.32,8
HCPCS,0403T,Diabetes prev standard curr,,,88.14,88.14,1
HCPCS,0403U,Onc prst8 mrna 18 gen dre ur,,,760.0,3441.28,8
HCPCS,0404U,Onc brst semiq meas thym kn,,,322.96,1462.36,8
HCPCS,0405U,Onc pncrtc 59 mthltn blk mrk,,,1770.48,8016.73,8
HCPCS,0406U,Onc lung flow cytmtry 5 mrk,,,760.0,3441.28,8
HCPCS,0407U,Neph dbtc ckd mult eclia alg,,,950.0,4301.6,8
HCPCS,0408T,Insj/rplc cardiac modulj sys,,,34334.46,148348.4,9
HCPCS,0408U,Iaad blk ac wv bsnsr sarscv2,,,14.13,63.95,7
HCPCS,0409T,Insj/rplc car modulj pls gn,,,24599.84,105126.42,9
HCPCS,0409U,Onc sld tum dna 80 & rna 36,,,2919.6,13219.95,8
HCPCS,0410T,Insj/rplc car modulj atr elt,,,8866.34,39110.71,9
HCPCS,0410U,Onc pncrtc dna whl gn seq 5-,,,1160.0,5252.48,8
HCPCS,0411T,Insj/rplc car modulj vnt elt,,,8866.34,39110.71,9
HCPCS,0411U,Psyc genom alys pnl 15 gen,,,1336.09,6049.82,8
HCPCS,0412T,Rmvl cardiac modulj pls gen,,,4098.35,17661.42,9
HCPCS,0412U,Beta amyloid a?42/40 imprcip,,,750.0,3393.23,7
HCPCS,0413T,Rmvl car modulj tranvns elt,,,4098.35,17661.42,9
HCPCS,0413U,Onc hl neo opt gen mapg dna,,,1263.53,5721.26,8
HCPCS,0414T,Rmvl & rpl car modulj pls gn,,,24599.84,105126.42,9
HCPCS,0414U,Onc lng aug alg aly whl sld8,,,706.25,3197.9,8
HCPCS,0415T,Repos car modulj tranvns elt,,,655.61,3281.06,9
HCPCS,0415U,Cv ds acs bld alg 5 yr score,,,390.75,1769.32,8
HCPCS,0416T,Reloc skin pocket pls gen,,,1903.17,9751.37,9
HCPCS,0416U,Iadna gu pthgn 20bct&fng org,,,434.28,434.28,1
HCPCS,0417T,HC PR PRGRMG DEVICE EVALUATION CARDIAC MODUL SYSTEM,197.0,197.0,,,0
HCPCS,0417T,HC PRGRMG DEVICE EVALUATION CARDIAC MODUL SYSTEM,213.0,213.0,,,0
HCPCS,0417T,Prgrmg eval cardiac modulj,,,39.37,176.39,8
HCPCS,0417U,Rare ds alys 335 nuc genes,,,2842.53,12860.51,7
HCPCS,0418T,HC INTERR DEVICE EVALUATION W ANAL REV & RPT IMPLANT CARD MODUL SYS,213.0,213.0,,,0
HCPCS,0418T,HC PR INTERR DEVICE EVALUATION W ANAL REV & RPT IMPLANT CARD MODUL SYS,137.0,137.0,,,0
HCPCS,0418T,Interro eval cardiac modulj,,,39.37,176.39,8
HCPCS,0418U,Onc brst aug alg aly whl sl8,,,706.25,3197.9,8
HCPCS,0419T,Dstrj neurofibroma xtnsv,,,655.45,3492.96,10
HCPCS,0419U,Nrpsyc gen seq vrnt aly 13,,,1336.09,6049.82,8
HCPCS,0420T,Dstrj neurofibroma xtnsv,,,655.45,3492.96,10
HCPCS,0420U,Onc urthl mrna xprsn 6 snp,,,1328.32,5583.59,4
HCPCS,0421T,Waterjet prostate abltj cmpl,,,9174.0,19057.21,5
HCPCS,0421U,Onc clrct scr sgl amp 8 rna,,,508.87,2302.26,4
HCPCS,0422T,Tactile breast img uni/bi,,,94.83,411.29,8
HCPCS,0422U,Onc pan solid tum alys dna,,,1943.21,8168.28,4
HCPCS,0423U,Psyc genomic alys pnl 26 gen,,,416.78,1885.66,8
HCPCS,0424U,Onc prst8 xom alys 53 sncrna,,,760.0,3441.28,8
HCPCS,0425U,Genom rpd seq alys ea cmprtr,,,4094.39,17210.77,4
HCPCS,0426U,Genome ultra-rapid seq alys,,,7582.2,31871.78,4
HCPCS,0427U,Monocyte dstrbj wdth whl bld,,,4.48,27.85,8
HCPCS,0429U,Hpv orop swab 14 hi-risk typ,,,35.09,162.15,8
HCPCS,0430U,Gi malabs aat calpro pncrtc,,,61.54,344.04,8
HCPCS,0431U,Gly rcptr alpha1 igg srm/csf,,,36.57,227.62,8
HCPCS,0432U,Klhl11 antb sr/csf asy qual,,,36.57,227.62,8
HCPCS,0433U,Onc prst8 5 dna reg mrk pcr,,,760.0,3441.28,8
HCPCS,0434U,Rx metab advrs vrnt alys 25,,,416.78,1885.66,8
HCPCS,0435U,Onc chemo rx cytox csc 14 rx,,,3033.86,13737.32,8
HCPCS,0436U,Onc lng plsm alys 388 prtn,,,1504.24,6323.07,4
HCPCS,0437T,Impltj synth rnfcmt abdl wal,,,1473.0,11654.87,2
HCPCS,0437U,Psyc anxiety do mrna 15 bmrk,,,760.0,3438.46,8
HCPCS,0438U,Rx metab advrs vrnt alys 33,,,416.78,1885.66,8
HCPCS,0439U,Crd chd dna alys 5 snp 3 dna,,,854.0,3589.79,4
HCPCS,0440T,Abltj perc uxtr/perph nrv,,,2015.01,19912.23,9
HCPCS,0440T,HC ABL PERCUT CRYOBL W IMG GUID UPPER EXTR DIS/PERI NERVE,13066.0,13066.0,,,0
HCPCS,0440U,Crd chd dna alys 10 snp 6dna,,,854.0,3589.79,4
HCPCS,0441T,Abltj perc lxtr/perph nrv,,,2015.01,19912.23,9
HCPCS,0441T,HC ABL PERCUT CRYOBL W IMG GUID LOWER EXTR DIS/PERI NERVE,13066.0,13066.0,,,0
HCPCS,0441U,Nfct ds bct fngl/viral semiq,,,444.08,1866.69,4
HCPCS,0442T,Abltj perc plex/trncl nrv,,,6952.08,41475.96,9
HCPCS,0442T,HC ABL PERCUT CRYOBL W IMG GUID PLEXUS/OTHER TRUNCAL NERVE,13066.0,13066.0,,,0
HCPCS,0442U,Nfct ds respir nfctj mxa&crp,,,41.38,187.41,8
HCPCS,0443T,R-t spctrl alys prst8 tiss,,,1473.0,1473.0,1
HCPCS,0443U,Neurflmnt lt chn ultrsens ia,,,116.23,488.57,4
HCPCS,0444T,1st plmt drug elut oc ins,,,261.63,1473.0,2
HCPCS,0444U,Onc sld orgn neo tgsap 361,,,2919.6,20775.91,8
HCPCS,0445T,Sbsqt plmt drug elut oc ins,,,261.63,1473.0,2
HCPCS,0445U,Abeta42 & ptau181 eclia csf,,,260.5,1179.54,8
HCPCS,0446T,Insj impltbl glucose sensor,,,1473.0,19662.61,9
HCPCS,0446U,Ai ds sle alys 10 cytokine,,,840.65,3806.46,8
HCPCS,0447T,Rmvl impltbl glucose sensor,,,208.93,1473.0,9
HCPCS,0447U,Ai ds sle alys 11 cytokine,,,840.65,3806.46,8
HCPCS,0448T,Remvl insj impltbl gluc sens,,,1473.0,19662.61,9
HCPCS,0449T,Insj aqueous drain dev 1st,,,5454.57,25149.26,10
HCPCS,0449U,Car scr sev inh cond 5 genes,,,1824.88,11272.91,4
HCPCS,0450T,Insj aqueous drain dev each,,,1473.0,1473.0,1
HCPCS,0450U,Onc mm lc-ms/ms monoc p-prtn,,,43.43,196.65,4
HCPCS,0451U,Onc mm lc-ms/ms pep ion quan,,,43.43,196.65,4
HCPCS,0452U,Onc bldr mthyl penk lte-qmsp,,,192.0,868.66,8
HCPCS,0453U,Onc clrct ca cfdna qpcr asy,,,192.0,868.66,8
HCPCS,0454U,U rare ds id opt genome mapg,,,1263.53,5721.26,8
HCPCS,0455U,Nfct agt sti mult amp prb ur,,,142.63,645.32,8
HCPCS,0456U,Ai ra ngs 19 genes anti-ccp,,,3441.28,3441.28,1
HCPCS,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,198.74,899.89,8
HCPCS,0458U,Onc brst ca s100 a8&a9 elisa,,,260.5,1179.54,8
HCPCS,0459U,Abeta42 & ttau eclia csf,,,260.5,1179.54,8
HCPCS,0460U,Onc whl bld/bucc rtpcr 24gen,,,917.08,3854.95,4
HCPCS,0461U,Onc rxgenom alys rtpcr 24gen,,,917.08,3854.95,4
HCPCS,0462U,Melatonin lvl tst slp std7/9,,,17.27,80.6,8
HCPCS,0463U,Onc crvx mrna genxprsn 14bmk,,,760.0,3194.66,4
HCPCS,0464T,Visual ep test for glaucoma,,,144.67,608.13,7
HCPCS,0464U,Onc clrct scr qrtsa dna mrk,,,591.92,2682.43,8
HCPCS,0465U,Onc urthl carc dna qmsp 2gen,,,1938.01,8775.31,8
HCPCS,0466U,Crd cad dna gwas 564856 snp,,,345.43,1452.02,4
HCPCS,0467U,Onc bldr dna ngs 60gen&aneup,,,1519.06,6878.3,8
HCPCS,0468U,Hep nash mir34a5p ?2m ykl40,,,251.7,1139.7,8
HCPCS,0469U,Rare ds whl gen seq ftl samp,,,1197.94,5419.87,8
HCPCS,0470U,Onc orop detcj mrd 8 dna hpv,,,597.91,2513.31,4
HCPCS,0471U,Onc clrc ca 35 vrn kras&nras,,,760.0,3441.28,8
HCPCS,0472T,Prgrmg io rta eltrd ra,,,311.72,1451.58,8
HCPCS,0472U,Ca vi psp&sp1 antb sj?gren,,,27.9,117.28,4
HCPCS,0473T,Reprgrmg io rta eltrd ra,,,101.03,552.59,8
HCPCS,0473U,Onc sld tum bld/slv 648 gene,,,4500.0,20376.0,8
HCPCS,0474T,Insj aqueous drg dev io rsvr,,,9174.0,17323.18,2
HCPCS,0474U,Hered pan ca gsap 88gene ngs,,,1303.95,5899.45,8
HCPCS,0475U,Hered prst8 ca gsap 23 genes,,,1303.95,5899.45,8
HCPCS,0476U,Rx metab psyc 14gen&cyp2d6,,,416.78,1885.66,8
HCPCS,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,416.78,1885.66,8
HCPCS,0478U,Onc nsclc dna&rna dpcr 9 gen,,,552.99,2324.49,4
HCPCS,0479T,Fxjl abl lsr 1st 100 sq cm,,,655.45,3492.96,9
HCPCS,0479U,Tau phosphorylated ptau217,,,17.27,80.6,8
HCPCS,0480T,Fxjl abl lsr ea addl 100sqcm,,,1473.0,1473.0,1
HCPCS,0480U,Nfct ds csf metag ngs alys,,,2126.2,9627.43,8
HCPCS,0481T,Njx autol wbc concentrate,,,415.82,2111.28,9
HCPCS,0481U,Idh1 idh2&tert promoter ngs,,,674.24,3197.49,8
HCPCS,0482U,Ob pe biochem asy sfit1&pigf,,,128.82,801.82,8
HCPCS,0483T,HC TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH W TRNSSEP PUNC WH PRF,12045.0,12045.0,,,0
HCPCS,0483T,Tmvi percutaneous approach,,,2073.0,9829.75,5
HCPCS,0483U,Nfct ds ng gyra s91f pt mut,,,35.09,147.5,4
HCPCS,0484T,Tmvi transthoracic exposure,,,2073.0,9829.75,5
HCPCS,0484U,Nfct ds mgen 23s rrna pt mut,,,35.09,147.5,4
HCPCS,0485T,Oct mid ear i&r unilateral,,,41.86,176.53,8
HCPCS,0485U,Onc sol tum cfdna&rna ngs gm,,,3649.48,15340.59,4
HCPCS,0486T,Oct mid ear i&r bilateral,,,41.86,176.53,8
HCPCS,0486U,Onc pan sol tum ngs cfctdna,,,1644.25,6911.6,4
HCPCS,0487U,Onc sol tum cfcdna tgsap 84,,,2919.6,13219.95,8
HCPCS,0488U,Ob fetal ag nipt cfdna alys,,,759.05,3434.19,4
HCPCS,0489T,Regn cell tx scldr hands,,,2073.0,2073.0,1
HCPCS,0490T,Regn cell tx scldr h mlt inj,,,2073.0,2073.0,1
HCPCS,0490U,Onc cutan/uveal mlnma cd146,,,2435.0,11025.68,8
HCPCS,0491U,Onc sol tum ctc slct er prtn,,,2435.0,11025.68,8
HCPCS,0492U,Onc sol tum ctc slctn pd-l1,,,2435.0,11025.68,8
HCPCS,0493U,Trnspl med quan dd-cfdna ngs,,,2753.25,12466.72,8
HCPCS,0494T,Prep & cannulj cdvr don lung,,,2073.0,9829.75,5
HCPCS,0494U,Rbc ag ftl rhd gene alys ngs,,,759.05,3434.19,8
HCPCS,0495T,Mntr cdvr don lng 1st 2 hrs,,,2073.0,9829.75,5
HCPCS,0495U,Onc prst8 alys crcg plsm prt,,,458.05,3438.46,8
HCPCS,0496T,Mntr cdvr don lng ea addl hr,,,2073.0,9829.75,5
HCPCS,0496U,Onc clrct cfdna 8/7 genes,,,485.86,2042.31,4
HCPCS,0497U,Onc prst8 mrna rt-pcr 6 gene,,,3873.0,17536.94,8
HCPCS,0498U,Onc clrct ngs mut detc 43gen,,,1345.31,5655.01,4
HCPCS,0499U,Onc clrct&lng dna ngs 8gene,,,597.91,13549.5,8
HCPCS,0500T,Hpv 5+ hi risk hpv types,,,145.31,145.31,1
HCPCS,0500U,Autoinflam ds vexas synd dna,,,175.4,811.64,8
HCPCS,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,35.09,162.15,8
HCPCS,0503U,Neuro alz ds ?amyl&tau prtn,,,750.0,3396.0,8
HCPCS,0504U,Nfct ds uti id 17 path orgs,,,416.78,1885.66,8
HCPCS,0505T,Ev fempop artl revsc,,,11481.13,54559.54,9
HCPCS,0505T,HC ENDOVENOUS FEMPOP ART REVASC W TRNSCTH PLCMT IV STNT GRFT & CLOSE,41710.0,41710.0,,,0
HCPCS,0505U,Nfct ds vag infctj id 32orgs,,,679.77,3075.49,8
HCPCS,0506T,Mac pgmt opt dns meas hfp,,,66.33,278.81,4
HCPCS,0506U,Gi barretts esophgl cell 89,,,1938.01,8775.31,8
HCPCS,0507T,Near ifr 2img mibmn glnd i&r,,,63.84,278.81,8
HCPCS,0507U,Onc ovr dna whole gen w/5hmc,,,1160.0,5252.48,8
HCPCS,0509T,Pattern erg w/i&r,,,242.77,1020.48,9
HCPCS,0510T,Rmvl sinus tarsi implant,,,3378.06,15463.96,9
HCPCS,0510U,Onc pncrtc ca alg alys 16gen,,,473.91,1992.08,4
HCPCS,0511T,Rmvl&rinsj sinus tarsi implt,,,4822.0,34293.94,9
HCPCS,0511U,Onc sol tum 3dmicroenvir 36+,,,3033.86,13737.32,8
HCPCS,0512T,Esw integ wnd hlg 1st wnd,,,208.93,1506.96,9
HCPCS,0512U,Onc prst8 alys dgtz img msi,,,706.25,3197.9,8
HCPCS,0513T,Esw integ wnd hlg ea addl,,,1473.0,1473.0,1
HCPCS,0513U,Onc prst8 alg alys msi&hrd,,,706.25,3197.9,8
HCPCS,0514U,Gi ibd ia quan deter adl lvl,,,38.57,174.5,8
HCPCS,0515T,Insj wcs lv compl sys,,,24599.84,105126.42,9
HCPCS,0515U,Gi ibd ia quan deter ifx lvl,,,38.57,174.5,8
HCPCS,0516T,Insj wcs lv eltrd only,,,11144.15,49397.67,9
HCPCS,0516U,Rx metab rxgenomic gnotyp 40,,,416.78,1885.66,8
HCPCS,0517T,HC INSERT WRLSS CARD STIM LV PACING PULS GEN COMPNT,25961.0,25961.0,,,0
HCPCS,0517T,Insj wcs lv pg compnt,,,11144.15,49397.67,9
HCPCS,0517U,Ther rx mntr 80+ psyactiv rx,,,246.92,1117.14,8
HCPCS,0518T,HC REM ONLY PULS GEN COMPNT WRLSS CARD STIM LV PAC,10468.0,10468.0,,,0
HCPCS,0518T,Rmvl pg compnt wcs,,,4098.35,17661.42,9
HCPCS,0518U,Ther rx mntr 90+ pn&mtl hlth,,,246.92,1117.14,8
HCPCS,0519T,HC REM & REPLAC WRLSS CARD STIM LV PAC PULS GEN COMPNT,10468.0,10468.0,,,0
HCPCS,0519T,Rmvl & rplcmt pg compnt wcs,,,5391.0,49397.67,9
HCPCS,0519U,Ther rx mntr meds p/d/a 110+,,,246.92,1117.14,8
HCPCS,0520T,HC REM & REPLAC WRLSS CARD STIM LV PAC PULS GEN COMPNT W PLC NW ELECTR,61490.0,61490.0,,,0
HCPCS,0520T,Rmvl&rplcmt pg wcs new eltrd,,,11144.15,74092.0,9
HCPCS,0520U,Ther rx mntr 200+ rx/sbsts,,,246.92,1117.14,8
HCPCS,0521T,HC INTERR DEV EVAL W ANAL REV & RPT WIRELESS CARD STIM LT VENT PACING,338.0,338.0,,,0
HCPCS,0521T,HC PR INTERR DEV EVAL W ANAL REV & RPT WIRELESS CARD STIM LT VENT PACI,61.0,61.0,,,0
HCPCS,0521T,Interrog dev eval wcs ip,,,31.09,136.7,8
HCPCS,0521U,Rf iga&igm ccp antb sr-a ia,,,51.8,217.74,4
HCPCS,0522T,HC PR PROG DEV EVAL W ITERATIVE ADJUST WIRELESS CARD STIM LT VENT PACI,104.0,104.0,,,0
HCPCS,0522T,HC PROG DEV EVAL W ITERATIVE ADJUST WIRELESS CARD STIM LT VENT PACING,338.0,338.0,,,0
HCPCS,0522T,Prgrmg dev eval wcs ip,,,39.37,178.29,8
HCPCS,0522U,Ca vi psp&sp1 antb cl semiql,,,260.5,1095.01,4
HCPCS,0523T,HC INTRAPROC CORONARY FFR W 3D FUNC MAPPING FOR CORO TREE,57.0,57.0,,,0
HCPCS,0523T,Ntrapx c ffr w/3d funcjl map,,,1473.0,1473.0,1
HCPCS,0523U,Onc soltum dna ngs snv 22gen,,,1352.09,5683.51,4
HCPCS,0524T,Ev cath dir chem abltj w/img,,,3326.56,14922.72,9
HCPCS,0524U,Ob pe sflt-1/plgf ia srm/pls,,,128.82,541.49,4
HCPCS,0525T,Insj/rplcmt compl iims,,,11144.15,91033.6,9
HCPCS,0525U,Onc sphrd cell cul 11-rx pnl,,,3033.86,12752.83,4
HCPCS,0526T,Insj/rplcmt iims eltrd only,,,8866.34,39110.71,9
HCPCS,0527T,Insj/rplcmt iims implt mntr,,,8866.34,39110.71,9
HCPCS,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,142.63,599.55,4
HCPCS,0528T,Prgrmg dev eval iims ip,,,39.37,178.29,8
HCPCS,0528U,Lrt iad 18bct/8vir&7arg rna,,,634.84,2668.55,4
HCPCS,0529T,Interrog dev eval iims ip,,,39.37,178.29,8
HCPCS,0530T,Removal complete iims,,,4098.35,17661.42,9
HCPCS,0530U,Onc pan-sol tum ctdna 77 gen,,,2919.6,12272.54,4
HCPCS,0531T,Removal iims electrode only,,,4098.35,17661.42,9
HCPCS,0532T,Removal iims implt mntr only,,,4098.35,17661.42,9
HCPCS,0532U,Rare ds whlgen&mitochdrl dna,,,5031.2,21148.65,4
HCPCS,0533U,Rx metab advrs gnotyp 16gens,,,416.78,1751.93,4
HCPCS,0535U,Pfas lc-ms/ms plsm/srm quan,,,62.14,261.21,4
HCPCS,0536U,Rbcag ftl rhd pcr alys exon4,,,192.0,807.07,4
HCPCS,0537U,Onc clrct ca cfdna >2500 dmr,,,1495.0,6284.23,4
HCPCS,0538U,Onc sol tum ngts ffpe 600gen,,,2989.55,12566.57,4
HCPCS,0539U,Onc sol tumor cfctdna 152gen,,,3288.51,13823.25,4
HCPCS,0540T,Car-t cll admn autologous,,,353.45,1340.6,5
HCPCS,0540U,Trnsplj med quan dd-cfdna,,,2753.25,11573.29,4
HCPCS,0541T,Myocardial imaging mcg,,,419.55,1763.6,7
HCPCS,0543T,Ta mv rpr w/artif chord tend,,,2073.0,9829.75,5
HCPCS,0543U,Onc sol tum ngs dna 517 gens,,,2989.55,12566.57,4
HCPCS,0544T,HC TRNSCTH MITRL VALVE ANN RECON W IMPL ADJU ANN RECON DEVICE PERC APP,11813.0,11813.0,,,0
HCPCS,0544T,Tcat mv annulus rcnstj,,,2073.0,9829.75,5
HCPCS,0545T,Tcat tv annulus rcnstj,,,2073.0,9829.75,5
HCPCS,0545U,Achr antb id imfluor livecll,,,37.73,158.6,4
HCPCS,0546U,Ldns lrp4 antb imflr livecll,,,37.73,158.6,4
HCPCS,0547U,Neurflmnt lt chn cleia plsm,,,116.23,488.57,4
HCPCS,0548U,Gfap cleia plasma,,,116.23,488.57,4
HCPCS,0549U,Onc urthl dna mthyltd rt pcr,,,760.0,3194.66,4
HCPCS,0553U,Repr med pga embry te strux,,,759.05,3190.67,4
HCPCS,0554T,B1 str & fx rsk analysis,,,1228.24,1228.24,1
HCPCS,0554U,Repr med pga 24chrm te bx qc,,,759.05,3190.67,4
HCPCS,0555T,B1 str&fx rsk transmis data,,,31.09,136.7,8
HCPCS,0555U,Repr med pga embryonic te qc,,,759.05,3190.67,4
HCPCS,0556T,B1 str & fx rsk assessment,,,255.73,1127.67,8
HCPCS,0556U,Nfct ds p-s dna&rna 12 trgts,,,142.63,599.55,4
HCPCS,0557U,Nfct ds bv dna mrk vag fluid,,,262.99,1105.48,4
HCPCS,0558T,Ct scan f/biomchn ct alys,,,94.83,411.29,8
HCPCS,0558U,Onc clrct elisa bf7 ag serum,,,20.81,87.47,4
HCPCS,0559T,Antmc mdl 3d print 1st cmpnt,,,149.59,628.81,4
HCPCS,0559T,HC ANATOMIC MODEL 3D PRINTED 1ST INDIV COMPONENT ANATOMIC STRUCT,388.0,388.0,,,0
HCPCS,0559U,Onc brs quan elisa bf9ag srm,,,20.81,87.47,4
HCPCS,0560T,HC ANATOMIC MODEL 3D PRINTED EA ADDL INDIV COMPONENT ANATOMIC STRUCT,195.0,195.0,,,0
HCPCS,0560U,Onc mrd gsa cfdna baseline,,,3878.45,16303.06,4
HCPCS,0561T,Antmc guide 3d print 1st gd,,,149.59,628.81,4
HCPCS,0561T,HC ANATOMIC GUIDE 3D PRINT & DESIGN 1ST ANATOMIC GUIDE,388.0,388.0,,,0
HCPCS,0561U,Onc mrd gsa cfdna subsequent,,,794.49,3339.64,4
HCPCS,0562T,HC ANATOMIC GUIDE 3D PRINT & DESIGN EA ADDL ANATOMIC GUIDE,195.0,195.0,,,0
HCPCS,0562U,Onc sol tum tgsa 33gens snvs,,,597.91,2513.31,4
HCPCS,0563T,Evac meibomian glnd heat bi,,,63.84,1473.0,9
HCPCS,0563U,Nfct ds pthgn-sna 11vir&4bct,,,416.78,1751.93,4
HCPCS,0564T,Onc chemo rx cytotox csc 14,,,36.47,280.46,9
HCPCS,0564U,Nfct ds pthgn-sna 10vir&4bct,,,416.78,1751.93,4
HCPCS,0565T,Autol cell implt adps hrvg,,,74.5,1473.0,6
HCPCS,0565U,Onc hcc ngs detc 6626epigalt,,,1160.0,4876.06,4
HCPCS,0566T,Autol cell implt adps njx,,,354.52,1473.0,6
HCPCS,0566U,Onc lng qpcr-bsd alys 13dmrs,,,416.78,1751.93,4
HCPCS,0567U,Rare ds whl gen seq srs&lrs,,,5031.2,21148.65,4
HCPCS,0568U,Neurol dementia ?amyl ptau,,,897.0,3770.54,4
HCPCS,0569T,HC TRANSCATH TRICUSPID VALVE REPAIR PERCUT APPROACH INITIAL PROSTHESIS,11677.0,11677.0,,,0
HCPCS,0569T,Ttvr perq appr 1st prosth,,,2073.0,9829.75,5
HCPCS,0570T,HC TRANSCATH TRICUSPID VALVE REPAIR PERCUT APPROACH EA ADDL PROSTHESIS,11541.0,11541.0,,,0
HCPCS,0570T,Ttvr perq ea addl prosth,,,2073.0,9829.75,5
HCPCS,0570U,Neurol tbi alys gfap&uch-l1,,,260.5,1095.01,4
HCPCS,0571T,HC INSRT/RPL IMPL CARDIO-DEFIB SYS W SBSTN ELEC INC IMG GUID&EVL WH PR,69407.0,69407.0,,,0
HCPCS,0571T,Insj/rplcmt icds ss eltrd,,,34334.46,148348.4,9
HCPCS,0571U,Onc sol tum dna80&rna10g ngs,,,2919.6,12272.54,4
HCPCS,0572T,HC INSERT SUBSTERNAL IMPL DEFIBRILLATOR ELECTRODE,17915.0,17915.0,,,0
HCPCS,0572T,Insertion ss dfb electrode,,,8866.34,39110.71,9
HCPCS,0573T,Removal ss dfb electrode,,,4098.35,17661.42,9
HCPCS,0574T,HC REPOSITION PREV IMPL SUBSTERNAL IMPL DEFIB-PACING ELECTRODE,7562.0,7562.0,,,0
HCPCS,0574T,Repos prev ss impl dfb eltrd,,,4098.35,17661.42,9
HCPCS,0575T,HC PROG DEV EVAL IMPLANT CARD DEFIB SYS W ITERATIVE ADJUST IN PERSON,338.0,338.0,,,0
HCPCS,0575T,Prgrmg dev eval icds ss ip,,,39.37,176.39,8
HCPCS,0575U,Trnsplj med lar rtpcr 4genes,,,380.0,1597.33,4
HCPCS,0576T,HC INTERR DEV EVAL IMPLANT CARD DEFIB SYS W SUBSTERNAL ELEC IN PERSON,338.0,338.0,,,0
HCPCS,0576T,Interrog dev eval icds ss ip,,,39.37,176.39,8
HCPCS,0576U,Trnsplj med lar quan ddcfdna,,,3240.0,13619.34,4
HCPCS,0577T,Ephys eval icds ss,,,162.89,5754.27,9
HCPCS,0577U,Onc ovr serum alys 39 gps,,,246.92,1037.93,4
HCPCS,0578T,HC PR INTERR DEV EVAL REMOTE UP TO 90  DAYS ICDS PHYS/QHCP,88.0,88.0,,,0
HCPCS,0578T,Rem interrog dev icds phys,,,162.89,162.89,1
HCPCS,0578U,Onc cutan mln rna qpcr 10gen,,,3873.0,16280.16,4
HCPCS,0579T,HC PR INTERR DEV EVAL REMOTE SUBSTERN LD ICDS UP TO 90 DAYS TECHNICIAN,62.0,62.0,,,0
HCPCS,0579T,Rem interrog dev icds tech,,,39.37,176.39,8
HCPCS,0579U,Nfro dbtc ckd elisa apoa4,,,390.75,1642.52,4
HCPCS,0580T,HC REMOVAL SUBSTERN IMPL DEFIB PULSE GENERATOR ONLY,7562.0,7562.0,,,0
HCPCS,0580T,Rmvl ss impl dfb pg only,,,4098.35,17661.42,9
HCPCS,0580U,Bbrgdrferi antb detc 24rprtn,,,17.21,72.34,4
HCPCS,0581T,Abltj mal brst tum perq crtx,,,3978.03,18504.92,9
HCPCS,0581T,HC ABLATION MALIGNANT BREAST TUMOR(S) PERC CRYOTHERAPY UNILATERAL,4850.0,4850.0,,,0
HCPCS,0581U,Trnspl med antb nohla 39trgt,,,325.8,1369.5,4
HCPCS,0582T,Trurl abltj mal prst8 tiss,,,2073.0,62354.22,5
HCPCS,0582U,Rare ds rpd whlgen dna vrnts,,,7582.2,31871.78,4
HCPCS,0583T,Tmpst auto tube dlvr sys,,,1591.58,7333.01,9
HCPCS,0583U,Rare ds rpd whlgen cmptr dna,,,3791.1,15935.89,4
HCPCS,0584T,Perq islet cell transplant,,,2073.0,9829.75,5
HCPCS,0584U,Neuro csf prion prtn qual,,,540.99,2274.05,4
HCPCS,0585T,Laps islet cell transplant,,,2073.0,9829.75,5
HCPCS,0585U,Tgsap so neo cfdna 521 genes,,,2919.6,12272.54,4
HCPCS,0586T,Open islet cell transplant,,,2073.0,9829.75,5
HCPCS,0586U,Onc mrna gen xprsn 216 genes,,,2919.6,12272.54,4
HCPCS,0587T,Perq impltj/rplcmt isdns ptn,,,2651.0,30119.71,9
HCPCS,0587U,Ther rx mntr 60-150rx&metabl,,,114.43,481.01,4
HCPCS,0588T,Revision/removal isdns ptn,,,1255.83,16523.11,9
HCPCS,0588U,Nfct ds bct/vir 32genes mrna,,,760.0,3194.66,4
HCPCS,0589T,Elec alys smpl prgrmg iins,,,101.03,544.14,9
HCPCS,0589U,Pfas24cmpnd hi-perf lc-ms/ms,,,198.74,835.4,4
HCPCS,0590T,Elec alys cplx prgrmg iins,,,101.03,544.14,9
HCPCS,0591U,Onc prst8 ca 3prtns plsm srm,,,760.0,3194.66,4
HCPCS,0592U,Onc hl neo dna tgs 417 genes,,,2919.6,12272.54,4
HCPCS,0593U,Nfct ds gu pthgn dna 46trgt,,,634.84,2668.55,4
HCPCS,0594T,Osteot hum xtrnl lngth dev,,,7466.19,34293.94,9
HCPCS,0595U,Nfct ds tfp vctrbrn&zoonotic,,,262.99,1105.48,4
HCPCS,0596T,Temp fml iu vlv-pmp 1st insj,,,712.92,3295.53,9
HCPCS,0597T,Temp fml iu valve-pmp rplcmt,,,712.92,3295.53,9
HCPCS,0598T,Ncntc r-t fluor wnd img 1st,,,242.77,1268.83,9
HCPCS,0598U,Gi ibs igg antb 18food items,,,300.0,1261.05,4
HCPCS,0599U,Onc pncrtc ca mult ia serum,,,897.0,3770.54,4
HCPCS,0600T,Ire abltj 1+tum organ perq,,,9556.0,50238.16,9
HCPCS,0601T,Ire abltj 1+tumors open,,,9556.0,50238.16,9
HCPCS,0604T,Rem oct rta dev setup&educaj,,,137.96,569.71,5
HCPCS,0605T,Rem oct rta techl sprt min 8,,,39.37,178.25,5
HCPCS,0607T,Rem mntr pulm flu mntr setup,,,160.81,569.71,6
HCPCS,0608T,Rem mntr pulm flu mntr alys,,,50.32,178.25,6
HCPCS,0609T,Mrs disc pain acquisj data,,,255.73,1127.67,8
HCPCS,0611T,Mrs disc pain alg alys data,,,255.73,1127.67,8
HCPCS,0613T,Perq tcat intratrl septl sht,,,2073.0,2073.0,1
HCPCS,0614T,Rmvl&rplcmt ss impl dfb pg,,,24599.84,105126.42,10
HCPCS,0615T,Eye mvmt alys w/o calbrj i&r,,,133.32,628.81,8
HCPCS,0616T,Insertion of iris prosthesis,,,9812.66,35890.25,5
HCPCS,0617T,Insj iris prosth w/rmvl&insj,,,14015.34,35890.25,5
HCPCS,0618T,Insj iris prosth sec io lens,,,14015.34,35890.25,5
HCPCS,0619T,Cysto w/prst8 commissurotomy,,,4822.0,21177.89,6
HCPCS,0620T,Evasc ven artlz tibl/prnl vn,,,19010.0,208170.14,10
HCPCS,0620T,HC ENDOVASCULAR VENOUS ARTERIALIZATION TIBIAL/PERONEAL VEIN,72529.0,72529.0,,,0
HCPCS,0621T,Trabeculostomy interno laser,,,4647.36,19535.16,4
HCPCS,0622T,Trabeculostomy int lsr w/scp,,,2073.0,2073.0,1
HCPCS,0625T,Auto quan c plaq cptr alys,,,1040.04,2061.55,4
HCPCS,0627T,HC PERCUT INJ ALLO CELL &/ TISS PROD UNI/BI FLUOR LUMBAR 1ST LEVEL,52953.0,52953.0,,,0
HCPCS,0627T,Perq njx algc fluor lmbr 1st,,,9556.0,60677.5,10
HCPCS,0628T,HC PERC INJ ALLO CELL &/ TISS PROD UNI/BI FLUOR LUMBAR EA ADDL LEVEL,17649.23,17649.23,,,0
HCPCS,0628T,Perq njx algc fluor lmbr ea,,,1473.0,1473.0,1
HCPCS,0629T,HC PERC INJ ALLO CELL &/ TISS PROD UNI/BI W CT GUID LUMBAR 1ST LEVEL,52953.0,52953.0,,,0
HCPCS,0629T,Perq njx algc ct lmbr 1st,,,9556.0,60677.5,10
HCPCS,0630T,HC PERC INJ ALLO CELL&/TISS PROD UNI/BI W CT GUID LUMBAR EA ADDL LEVEL,17649.23,17649.23,,,0
HCPCS,0630T,Perq njx algc ct lmbr ea,,,1473.0,1473.0,1
HCPCS,0631T,Tc vis lit hyperspectral img,,,31.09,118.37,6
HCPCS,0632T,Perq tcat us abltj nrv p-art,,,18300.17,86638.02,8
HCPCS,0633T,Ct breast w/3d uni c-,,,114.75,522.84,9
HCPCS,0634T,Ct breast w/3d uni c+,,,191.75,856.68,9
HCPCS,0635T,Ct breast w/3d uni c-/c+,,,191.75,856.68,9
HCPCS,0636T,Ct breast w/3d bi c-,,,255.73,1127.67,9
HCPCS,0637T,Ct breast w/3d bi c+,,,392.25,1766.24,9
HCPCS,0638T,Ct breast w/3d bi c-/c+,,,392.25,1766.24,9
HCPCS,0640T,Ncntc nr ifr spctrsc wnd,,,42.0,176.53,3
HCPCS,0643T,Tcat l ventr rstrj dev implt,,,2073.0,9829.75,5
HCPCS,0644T,HC TRANSCATH REM/DEBULK INTRACARD MASS VIA SUCTION DEVICE PERCUT,19100.0,19100.0,,,0
HCPCS,0644T,Tcat rmvl/dblk icar mas perq,,,5965.04,26899.17,9
HCPCS,0645T,Tcat impltj c sins rdctj dev,,,18300.17,86638.02,8
HCPCS,0646T,HC TTVI/RPLCMT W PROSTHETIC VALVE PERCUT APP W RT HRT CATH ANGRPH,11677.0,11677.0,,,0
HCPCS,0646T,Ttvi/rplcmt w/prstc vlv perq,,,2073.0,9829.75,5
HCPCS,0647T,Insj gtube perq mag gastrpxy,,,1985.84,9069.04,9
HCPCS,0648T,Quan mr alys tiss w/o mri,,,1040.04,4558.1,9
HCPCS,0649T,Quan mr alys tiss w/mri,,,1040.04,4396.97,8
HCPCS,0650T,HC PR PROG DEV EVAL REMOTE SUBCUT CARD RHY MON SYS,93.0,93.0,,,0
HCPCS,0650T,HC PROG DEV EVAL REMOTE SUBCUT CARD RHY MON SYS,338.0,338.0,,,0
HCPCS,0650T,Prgrmg dev eval scrms remote,,,39.37,182.47,9
HCPCS,0651T,Mag ctrld capsule endoscopy,,,946.03,4286.55,9
HCPCS,0652T,Egd flx transnasal dx br/wa,,,1985.84,9069.04,9
HCPCS,0653T,Egd flx transnasal bx 1/ml,,,1985.84,9069.04,9
HCPCS,0654T,Egd flx transnasal tube/cath,,,3996.84,18221.53,9
HCPCS,0655T,Tprnl focal abltj mal prst8,,,3638.25,25340.64,9
HCPCS,0656T,Vrt bdy tethering ant,,,2073.0,82867.4,8
HCPCS,0657T,Vrt bdy tethering ant 8+ seg,,,2073.0,82867.4,8
HCPCS,0658T,Elec impd spectrsc 1+skn les,,,63.84,278.81,8
HCPCS,0659T,Tcat intra-c nfs supersat o2,,,2073.0,9829.75,5
HCPCS,0660T,Implt ant sgm io nbio rx sys,,,4647.36,19535.16,4
HCPCS,0661T,Rmvl&Rimpltj ant sgm implt,,,4647.36,19535.16,4
HCPCS,0662T,Scalp cool 1st meas&calbrj,,,1940.02,8876.3,2
HCPCS,0664T,Don hysterectomy open cdvr,,,2073.0,2073.0,1
HCPCS,0665T,Don hysterectomy open liv,,,2073.0,2073.0,1
HCPCS,0666T,Don hysterectomy laps liv,,,2073.0,2073.0,1
HCPCS,0667T,Don hysterectomy rcp uter,,,2073.0,2073.0,1
HCPCS,0668T,Bkbench prep don uter algrft,,,2073.0,2073.0,1
HCPCS,0669T,Bkbench rcnstj don uter ven,,,2073.0,2073.0,1
HCPCS,0670T,Bkbench rcnstj don uter artl,,,2073.0,2073.0,1
HCPCS,0671T,Insj ant sgm aq drg dev 1+,,,4822.0,25149.26,10
HCPCS,0672T,Ndovag cryg rf remdl tiss,,,2073.0,2073.0,1
HCPCS,0673T,Abltj b9 thyr ndul perq lasr,,,1692.02,7805.69,10
HCPCS,0674T,Laps insj nw/rpcmt prm isdss,,,34694.43,145838.03,4
HCPCS,0675T,Laps insj nw/rpcmt isdss 1ld,,,12528.14,52662.02,4
HCPCS,0676T,Laps insj nw/rpcmt isdss ea,,,1473.0,1473.0,1
HCPCS,0677T,Laps repos lead isdss 1st ld,,,9556.0,50238.16,4
HCPCS,0678T,Laps repos lead isdss ea add,,,1473.0,1473.0,1
HCPCS,0679T,Laps rmvl lead isdss,,,9556.0,50238.16,4
HCPCS,0680T,Insj/rplcmt pg only isdss,,,19010.0,91687.8,4
HCPCS,0681T,Rlcj pulse gen only isdss,,,3930.8,16523.11,4
HCPCS,0682T,Removal pulse gen only isdss,,,3930.8,16523.11,4
HCPCS,0683T,Prgrmg dev eval isdss ip,,,41.96,176.39,3
HCPCS,0685T,Interrog dev eval isdss ip,,,41.96,176.39,3
HCPCS,0686T,Histotripsy mal hepatcel tis,,,19149.05,161910.62,9
HCPCS,0689T,HC QUANTITATIVE US TISS CHARAC INCL I&R OBTAINED WO DX US SAME ANATOMY,355.0,355.0,,,0
HCPCS,0689T,Quan us tis charac w/o dx us,,,94.83,411.29,9
HCPCS,0690T,HC QUANTITATIVE US TISS CHARAC INC I&R OBTAINED WITH DX US SAME ANATMY,355.0,355.0,,,0
HCPCS,0691T,HC AUTO ALYS EXIST CT VRTBRL FX ASSMNT BONE DEN WH PERF DATA PREP I&R,503.0,503.0,,,0
HCPCS,0692T,Therapeutic ultrafiltration,,,453.04,7360.63,9
HCPCS,0693T,Compre ful bdy 3d mtn alys,,,383.52,1679.3,9
HCPCS,0696T,Bdy surf mapg pm/cvdfb f/up,,,39.37,182.47,9
HCPCS,0697T,HC QUAN MR ALYS TISSUE COMPOSITION WO MRI SAME ANTMY SAME SESS MLT ORG,2266.0,2266.0,,,0
HCPCS,0697T,Quan mr tis wo mri mlt orgn,,,943.3,4396.97,9
HCPCS,0698T,HC QUAN MR ALYS TISSUE COMPOSITION W MRI SAME ANATOMY MULTI ORGANS,1011.0,1011.0,,,0
HCPCS,0698T,Quan mr tiss w/mri mlt orgn,,,1046.03,5205.19,4
HCPCS,0699T,Njx pst chmbr eye medication,,,2594.77,10907.12,6
HCPCS,0707T,HC INJ BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT W IM GUID & AR JT V,12437.0,12437.0,,,0
HCPCS,0707T,Njx b1 sub mtrl sbchdrl dfct,,,3378.06,15463.96,10
HCPCS,0708T,Id ca immntx prep & 1st njx,,,2073.0,2073.0,1
HCPCS,0709T,Id ca immntx each addl njx,,,2073.0,2073.0,1
HCPCS,0711T,HC NONINVAS ARTERIAL PLAQUE ANALYSIS DATA PREPARATION & TRANSMISSION,1849.0,1849.0,,,0
HCPCS,0712T,HC NONINV ART PLAQ ALYS QUAN STR&COMP VESS WLL&ASMNT LPDRCH NEC CR PLQ,355.0,355.0,,,0
HCPCS,0712T,N-nvs artl plaq alys quan,,,94.83,1020.48,9
HCPCS,0714T,Tprnl lsr ablt b9 prst8 hypr,,,4822.0,25340.64,9
HCPCS,0716T,Car acous wavfrm rec cad rsk,,,63.84,1473.0,9
HCPCS,0716T,HC CARDIAC ACOUSTIC WAVEFORM REC AUTO ANYS GEN CORO ART DIS RISK SCORE,1535.0,1535.0,,,0
HCPCS,0717T,Adrc ther prtl rc tear,,,3744.16,16748.17,8
HCPCS,0718T,Adrc ther prtl rc tear njx,,,3744.16,16748.17,8
HCPCS,0719T,Pst vrt jt rplcmt lmbr 1 sgm,,,2073.0,2073.0,1
HCPCS,0720T,Prq elc nrv stim cn wo implt,,,1091.16,4483.16,6
HCPCS,0721T,Quan ct tiss charac w/o ct,,,711.78,3118.7,8
HCPCS,0722T,Quan ct tiss charac w/ct,,,711.78,3118.7,8
HCPCS,0723T,Qmrcp w/o dx mri sm anat ses,,,1040.04,4558.1,8
HCPCS,0724T,Qmrcp w/dx mri same anatomy,,,1040.04,4558.1,8
HCPCS,0725T,Vestibular dev impltj uni,,,2073.0,2073.0,1
HCPCS,0726T,Rmvl implt vstibular dev uni,,,2073.0,2073.0,1
HCPCS,0727T,Rmvl&rplcmt implt vstblr dev,,,2073.0,2073.0,1
HCPCS,0730T,Trabeculotomy lsr w/oct gdn,,,2073.0,2073.0,1
HCPCS,0731T,Augmnt ai-based fcl phnt a/r,,,63.84,278.81,8
HCPCS,0732T,Immntx admn electroporatn im,,,2073.0,2073.0,1
HCPCS,0733T,Rem bdy&lmb knmtc ther sply,,,39.37,1621.4,8
HCPCS,0735T,Prep tum cav iort prim crnot,,,1473.0,1473.0,1
HCPCS,0736T,Colonic lavage 35+l water,,,144.67,1473.0,6
HCPCS,0737T,Xenograft impltj artclr surf,,,9556.0,60677.5,4
HCPCS,0739T,Abltj mal prst8 mag fld ndct,,,2073.0,2073.0,1
HCPCS,0740T,Rem auton alg nsln cal setup,,,63.84,278.81,9
HCPCS,0741T,Rem auton alg nsln data coll,,,39.37,176.39,9
HCPCS,0742T,HC ABSOLU QUANT MYOCARD BLD FLW SPECT W EXERC OR PHARM STRESS & REST,1193.0,1193.0,,,0
HCPCS,0743T,B1 str & fx rsk vrt fx assmt,,,268.27,1127.67,3
HCPCS,0744T,Insj bioprostc vlv fem vn,,,5735.1,26298.58,10
HCPCS,0745T,Car ablt rad arr n-invas loc,,,2073.0,2073.0,1
HCPCS,0745T,HC CARD FCL ABL RAD THER ARRHYTH NONINVASIVE LOCAL & MAPP,28326.0,28326.0,,,0
HCPCS,0746T,Car ablt rad arr cnv loc map,,,2073.0,2073.0,1
HCPCS,0746T,HC CARD FCL ABL RAD THER ARRHYTH CONVERSION LOCAL & MAPP,28326.0,28326.0,,,0
HCPCS,0747T,Car ablt rad arrhyt dlvr rad,,,2073.0,2073.0,1
HCPCS,0747T,HC CARD FCL ABL RAD THER ARRHYTH DELIVERY RAD THER,28326.0,28326.0,,,0
HCPCS,0748T,Njx stm cl prdct anl sft tis,,,2073.0,2073.0,1
HCPCS,0764T,Asstv alg ecg rsk asmt cncrt,,,149.59,628.81,3
HCPCS,0765T,Asstv alg ecg rsk asmt prev,,,149.59,628.81,3
HCPCS,0766T,Tc mag stimj pn 1st tx 1nrv,,,163.01,1020.48,9
HCPCS,0778T,Smmg cncrnt appl imu snr,,,144.67,697.77,9
HCPCS,0779T,Gi myoelectrical actv study,,,419.55,2319.5,9
HCPCS,0780T,Instlj fecal microbiota ssp,,,133.32,1473.0,8
HCPCS,0781T,Brnchsc rf dstrj pulm nrv bi,,,2073.0,2073.0,1
HCPCS,0782T,Brnchsc rf dstrj plm nrv uni,,,2073.0,2073.0,1
HCPCS,0783T,Tc auriculr neurostimulation,,,144.67,697.77,9
HCPCS,0784T,Ins/rplmt eltrd ra spi nstim,,,12528.14,62337.82,9
HCPCS,0785T,Revj/rmvl nea spi w/nstim,,,3550.97,16523.11,9
HCPCS,0786T,Insj/rplcmt prq ra sac nstim,,,12528.14,62337.82,9
HCPCS,0787T,Revj/rmvl nea sac w/nstim,,,3550.97,16523.11,9
HCPCS,0788T,Elec aly smp iins sp/sac nrv,,,101.03,449.32,8
HCPCS,0789T,Elec aly cpx iins sp/sac nrv,,,101.03,449.32,8
HCPCS,0790T,Revj rplcmt/rmvl vrt tethrg,,,2073.0,82867.4,8
HCPCS,0791T,HC PT MOTOR COGN SEMI IMMERS VIRT REAL FACILIT GAIT TRAIN EA 15 MINS,196.0,196.0,,,0
HCPCS,0793T,Prq tcat thrm ablt nrv p-art,,,18300.17,86638.02,9
HCPCS,0794T,Pt spec alg rx-onc tx option,,,66.33,1473.0,5
HCPCS,0795T,Tcat ins 2chmbr ldls pm cmpl,,,19010.0,91033.6,9
HCPCS,0796T,Tcat ins 2chmbr ldls pm ra,,,19010.0,91033.6,9
HCPCS,0797T,Tcat ins 2chmbr ldls pm rv,,,19010.0,91033.6,9
HCPCS,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,3326.56,14922.72,9
HCPCS,0799T,Tcat rmvl 2chmbr ldls pm ra,,,3326.56,14922.72,9
HCPCS,0800T,Tcat rmvl 2chmbr ldls pm rv,,,3326.56,14922.72,9
HCPCS,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,19010.0,91033.6,9
HCPCS,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,19010.0,91033.6,9
HCPCS,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,19010.0,91033.6,9
HCPCS,0804T,Prgrmg evl ldls pm 2chmbr ip,,,39.37,176.39,8
HCPCS,0805T,Tcat s&ivc prstc vl impl prq,,,2073.0,9829.75,5
HCPCS,0806T,Tcat s&ivc prstc vl impl opn,,,2073.0,9829.75,5
HCPCS,0807T,Pulm tiss vntj alys prev ct,,,242.77,1436.38,8
HCPCS,0808T,Pulm tiss vntj alys w/ct,,,242.77,1436.38,8
HCPCS,0810T,Subrta njx rx agt w/vtrc,,,4650.9,20391.5,9
HCPCS,0811T,Rem mlt day uroflow setup,,,149.69,629.22,4
HCPCS,0812T,Rem mlt day uroflow dev sply,,,39.37,608.13,8
HCPCS,0813T,Egd vol adjmt bariatric balo,,,946.03,4286.55,9
HCPCS,0814T,Prq njx biod osteo matrl fem,,,2073.0,2073.0,1
HCPCS,0816T,Opn insj/rplcmt ins ptn subq,,,19010.0,91687.8,9
HCPCS,0817T,Opn insj/rplcmt ins ptn subf,,,19010.0,91687.8,9
HCPCS,0818T,Revj/rmvl ins ptn subq,,,3550.97,16523.11,9
HCPCS,0819T,Revj/rmvl ins ptn subf,,,3550.97,16523.11,9
HCPCS,0823T,Tcat ins 1chmbr ldls pm ra,,,19010.0,91033.6,9
HCPCS,0824T,Tcat rmv 1chmbr ldls pm ra,,,3326.56,14922.72,9
HCPCS,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,19010.0,91033.6,9
HCPCS,0826T,Prgrmg evl ldls pm 1chmbr ip,,,39.37,176.39,8
HCPCS,0857T,Opto-acoustic img breast uni,,,117.54,503.17,4
HCPCS,0861T,Rmvl pg wcs lv both compnt,,,4098.35,17971.0,9
HCPCS,0862T,Rlcj pg wcs lv battery only,,,1903.17,9751.37,9
HCPCS,0863T,Rlcj pg wcs lv trnsmtr only,,,1903.17,9751.37,9
HCPCS,0864T,Low ntsty eswt corpus cvrnsm,,,257.92,1180.82,8
HCPCS,0865T,Quan mri alys brn w/o dx mri,,,268.27,1127.67,4
HCPCS,0866T,Quan mri alys brn w/dx mri,,,268.27,1127.67,4
HCPCS,0867T,Tpla b9 prst8 hyprplsa>=50ml,,,4822.0,25340.64,5
HCPCS,0868T,Hi-res gastric ep mapping,,,419.55,2545.82,4
HCPCS,0869T,Njx b1 sub mtrl hw fixj aug,,,3678.83,15567.64,5
HCPCS,0870T,Imp subq prtl ascts pmp sys,,,2073.0,2073.0,1
HCPCS,0871T,Rplcmt subq prtl ascites pmp,,,2073.0,2073.0,1
HCPCS,0872T,Rplcmt ndwllg bldr&prtl cath,,,2073.0,2073.0,1
HCPCS,0873T,Revj subq prtl asct pmp sys,,,2073.0,2073.0,1
HCPCS,0874T,Rmvl pertl ascites pmp sys,,,2073.0,2073.0,1
HCPCS,0877T,Augmnt alys ch ct ild w/o ct,,,715.88,3118.7,4
HCPCS,0878T,Augmnt alys ch ct ild w/ct,,,715.88,3118.7,4
HCPCS,0881T,Cryotherapy oral cavity,,,502.27,2111.28,4
HCPCS,0882T,Intraop ther estim pn ue 1st,,,1473.0,1473.0,1
HCPCS,0883T,Intraop ther estim pn ue ea,,,1473.0,1473.0,1
HCPCS,0884T,Esphgsc flx 1st tndsc dilat,,,4822.0,28691.96,5
HCPCS,0885T,Colsc flx 1st tndsc dilat,,,4822.0,28691.96,5
HCPCS,0886T,Sgmdsc flx 1st tndsc dilat,,,4822.0,28691.96,5
HCPCS,0888T,Histotripsy mal renal tissue,,,19259.3,83967.4,4
HCPCS,0889T,Prsnlz trgt dvl arhfcmrigtbs,,,1046.03,4558.1,4
HCPCS,0890T,Arhfcmrigtbs 1st tx day,,,4127.43,17992.5,4
HCPCS,0891T,Arhfcmrigtbs sbsq tx day,,,4127.43,17994.9,4
HCPCS,0892T,Arhfcmrigtbs sbsq per tx day,,,4127.43,17994.9,4
HCPCS,0893T,N-invas assmt bld oxygnation,,,149.59,628.81,4
HCPCS,0894T,Cannulation liver allograft,,,2073.0,2073.0,1
HCPCS,0897T,N-invas augmnt arrhyt alys,,,965.51,4881.44,4
HCPCS,0898T,N-invas prst8 cancer est map,,,965.51,4881.44,4
HCPCS,0901T,Plmt bone marrow smplg port,,,2073.0,2073.0,1
HCPCS,0902T,Qtc ntrvl augmnt alg aly ecg,,,141.04,628.81,8
HCPCS,0904T,Ecg alg 12 ld rdcd trcg only,,,65.0,285.0,8
HCPCS,0906T,Coms ther 1st appl<=50 sq cm,,,217.42,953.36,8
HCPCS,0908T,Opn imp int nstm sys vgs nrv,,,2073.0,145838.03,4
HCPCS,0909T,Rplcmt int nstim sys vgs nrv,,,2073.0,145838.03,4
HCPCS,0910T,Rmvl int nstim sys vagus nrv,,,2073.0,16523.11,4
HCPCS,0911T,Elec aly nstm sys vgs nrv wo,,,66.33,278.81,3
HCPCS,0912T,Elec alys nstim sys vgs smpl,,,106.89,449.32,3
HCPCS,0913T,HC PERCUT TRANCATH THERAPEUTIC DRUG DEL BY INTRACORON DRUG DEL BALLOON,18650.0,18650.0,,,0
HCPCS,0913T,Prq tcat ther rx ntrac balo1,,,6238.6,54559.54,9
HCPCS,0914T,HC PERC TRNCTH THER DRG DEL INTRCOR DRG DEL BALLOON PERF SEP TARGT LES,6200.0,6200.0,,,0
HCPCS,0914T,Prq tcat thr rx ntrc bal sep,,,1473.0,1473.0,1
HCPCS,0915T,Insj perm ccm-d sys pg&eltrd,,,35081.78,148348.4,9
HCPCS,0916T,Insj perm ccm-d sys pg only,,,24560.62,105126.42,9
HCPCS,0917T,Insj perm ccm-d sys 1 lead,,,9055.58,39708.15,9
HCPCS,0918T,Insj perm ccm-d sys dual ld,,,9055.58,39708.15,9
HCPCS,0919T,Rmvl perm ccm-d sys pg only,,,3982.12,17661.42,9
HCPCS,0920T,Rmvl perm ccm-d sys 1 pac ld,,,3982.12,17661.42,9
HCPCS,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,3982.12,17661.42,9
HCPCS,0922T,Rmvl perm ccm-d sys dual ld,,,3982.12,17661.42,9
HCPCS,0923T,Rmvl&rplcmt perm ccm-d pg,,,24560.62,105126.42,9
HCPCS,0924T,Rpos prv ccm-d trnsvns eltrd,,,676.5,2966.41,9
HCPCS,0925T,Rlcj skin pocket ccm-d pg,,,2001.54,9751.37,9
HCPCS,0926T,Prgrmg dev eval ccm-d ip,,,40.8,178.92,8
HCPCS,0927T,Interrog dev eval ccm-d ip,,,40.8,178.92,8
HCPCS,0929T,Rem interrog dev ccm-d tech,,,40.8,178.92,8
HCPCS,0930T,Ephys eval ccm-d ld 1st impl,,,1328.35,5824.72,9
HCPCS,0931T,Ephys eval ccm-d ld separate,,,1328.35,5824.72,9
HCPCS,0932T,N-invs det hrt fail aug echo,,,328.16,1451.58,8
HCPCS,0933T,Tcat impl wrls l atr prs snr,,,3519.4,15432.34,9
HCPCS,0935T,Cysto w/rnl pel symp dnrvtj,,,2073.0,2073.0,1
HCPCS,0941T,Cysto flx ins&xpns urtl scaf,,,2073.0,2073.0,1
HCPCS,0942T,Cysto flx rmv&rplc urtl scaf,,,2073.0,2073.0,1
HCPCS,0943T,Cysto flx rmvl urtl scaffold,,,2073.0,2073.0,1
HCPCS,0944T,3d cntr simula trgt lvr les,,,268.27,1159.77,4
HCPCS,0945T,Intraop assmt abnl tum tiss,,,2073.0,2073.0,1
HCPCS,0946T,Ortho impl mvmt alys pair ct,,,117.54,510.22,4
HCPCS,0949T,Rem interrog dev ccm tech,,,41.96,176.39,3
HCPCS,0950T,Abltj b9 prst8 tissue hifu,,,10643.49,44739.89,3
HCPCS,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,1807.92,7599.61,3
HCPCS,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,3678.83,15463.96,3
HCPCS,0959T,Rmv/rplc magnet coil assem,,,1856.95,7805.69,3
HCPCS,0962T,Asstv alg alys acous&ecg rec,,,149.59,628.81,3
HCPCS,0963T,Anosc sbmcsl njx bulking agt,,,1345.43,5655.5,3
HCPCS,0964T,I&cust prep jaw xpnsj 1arch,,,3727.69,15669.35,3
HCPCS,0965T,I&cst prp jw xpn dl arch non,,,3727.69,15669.35,3
HCPCS,0966T,I&cst prp jw xpn dl arch fxd,,,3727.69,15669.35,3
HCPCS,0967T,Tranal ins tmp clrc anst dev,,,1345.43,5655.5,3
HCPCS,0970T,Ablt b9 brst tum perq lsr ea,,,4402.26,18504.92,3
HCPCS,0971T,Ablt mal brst tum pq lsr uni,,,4402.26,18504.92,3
HCPCS,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,457.06,1921.25,3
HCPCS,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,457.06,1921.25,3
HCPCS,0977T,Upr gi bld detcj snr capsule,,,1019.76,4286.55,3
HCPCS,0981T,Tcat impl wrls ivc snr,,,20610.92,86638.02,3
HCPCS,0982T,Rem mntr impl ivc snr set-up,,,149.69,629.22,3
HCPCS,0983T,Rem mntr impl ivc snr phys,,,41.96,176.39,3
HCPCS,0989T,Revj/rmvl ins ptn subq&subf,,,3930.8,16523.11,3
HCPCS,0991T,Cysto lo-nrg lithtrp&mcrsphr,,,10643.49,44739.89,3
HCPCS,0992T,N-invas assmt car rsk w/o ct,,,268.27,1127.67,3
HCPCS,0993T,N-invas assmt car rsk w/ct,,,268.27,1127.67,3
HCPCS,0996T,Ins&sclr fix caps bag prosth,,,2594.77,10907.12,3
HCPCS,10004,Fna bx w/o img gdn ea addl,,,1473.0,1473.0,1
HCPCS,10004,HC FNA BX WITHOUT IMG GUID EA ADDL LESION,341.0,341.0,,,0
HCPCS,10004,HC PR FNA BX WITHOUT IMG GUID EA ADDL LESION,149.0,149.0,,,0
HCPCS,10005,Fna bx w/us gdn 1st les,,,734.26,3346.74,10
HCPCS,10005,HC FINE NEEDLE ASPIR BX W US GUID 1ST LESION,2700.0,2700.0,,,0
HCPCS,10005,HC PR FINE NEEDLE ASPIR BX W US GUID 1ST LESION,386.0,386.0,,,0
HCPCS,10006,Fna bx w/us gdn ea addl,,,1473.0,1473.0,1
HCPCS,10006,HC FINE NEEDLE ASPIR BX W US GUID EA ADDL LESION,1480.0,1480.0,,,0
HCPCS,10007,Fna bx w/fluor gdn 1st les,,,734.26,3346.74,10
HCPCS,10007,HC FINE NEEDLE ASPIR BX W FLUORO GUID 1ST LESION,2678.0,2678.0,,,0
HCPCS,10008,Fna bx w/fluor gdn ea addl,,,1473.0,1473.0,1
HCPCS,10008,HC FINE NEEDLE ASPIR BX W FLUORO GUID EA ADDL LESION,1091.0,1091.0,,,0
HCPCS,10009,Fna bx w/ct gdn 1st les,,,734.26,3346.74,10
HCPCS,10009,HC FINE NEEDLE ASPIR BX W CT GUID 1ST LESION,2678.0,2678.0,,,0
HCPCS,10010,Fna bx w/ct gdn ea addl,,,1473.0,1473.0,1
HCPCS,10010,HC FINE NEEDLE ASPIR BX W CT GUID EA ADDL LESION,1107.0,1107.0,,,0
HCPCS,10011,Fna bx w/mr gdn 1st les,,,734.26,3346.74,10
HCPCS,10011,HC FINE NEEDLE ASPIR BX W MR GUID 1ST LESION,2678.0,2678.0,,,0
HCPCS,10012,Fna bx w/mr gdn ea addl,,,1473.0,1473.0,1
HCPCS,10012,HC FINE NEEDLE ASPIR BX W MR GUID EA ADDL LESION,1693.0,1693.0,,,0
HCPCS,10021,Fna w/o image,,,416.15,1921.25,10
HCPCS,10021,HC FNA WITHOUT IMAGING GUIDANCE,790.5,790.5,,,0
HCPCS,10021,HC PR FNA WITHOUT IMAGING GUIDANCE,354.0,354.0,,,0
HCPCS,1002T,Air displacmnt plethysmograp,,,32.52,136.7,3
HCPCS,10030,Guide cathet fluid drainage,,,601.91,3346.74,10
HCPCS,10030,HC FLUID DRN CATH SOFT TSS PRC SI,2700.0,2700.0,,,0
HCPCS,10035,HC PLCMNT SOFT TISSUE LOCAL DEVICE PERCUT W GUIDANCE 1ST LESION,2700.0,2700.0,,,0
HCPCS,10035,Perq dev soft tiss 1st imag,,,734.26,3346.74,10
HCPCS,10036,HC PLCMNT SOFT TISSUE LOCAL DEVICE PERCUT W GUIDANCE EA ADDL LESION,1480.0,1480.0,,,0
HCPCS,10036,Perq dev soft tiss add imag,,,1473.0,1473.0,1
HCPCS,1003T,Arthrp 1st crp/mtcrpl prostc,,,14434.99,60677.5,3
HCPCS,10040,Acne surgery,,,208.93,1473.0,10
HCPCS,10040,HC ACNE SURG OPEN/REM MULT MILIA,960.0,960.0,,,0
HCPCS,10040,HC PR ACNE SURG OPEN/REM MULT MILIA,276.0,276.0,,,0
HCPCS,1004T,Elec alys s-scl eeg wo prgrm,,,149.59,628.81,3
HCPCS,1005T,Elec alys s-scl eeg prgr 1st,,,106.89,449.32,3
HCPCS,10060,Drainage of skin abscess,,,208.93,1473.0,10
HCPCS,10060,HC I & D ABSCESS SIMPLE/SINGLE,664.0,664.0,,,0
HCPCS,10060,HC PR I&D ABSCESS SIMPLE/SINGLE,292.0,292.0,,,0
HCPCS,10061,Drainage of skin abscess,,,416.15,1921.25,10
HCPCS,10061,HC I&D ABSCESS CUT/SUB COMP/MUL,968.0,968.0,,,0
HCPCS,10061,HC I&D ABSCESS MULTIPLE OR COMPLICATED,664.0,664.0,,,0
HCPCS,10061,HC PR I&D ABSCESS MULTIPLE OR COMPLICATED,525.0,525.0,,,0
HCPCS,10080,Drainage of pilonidal cyst,,,601.91,3346.74,10
HCPCS,10080,HC I & D PILONIDAL CYST,1709.0,1709.0,,,0
HCPCS,10081,Drainage of pilonidal cyst,,,734.26,3481.33,10
HCPCS,10081,HC I&D PILONIDAL CYST COMPLICATED,2734.0,2734.0,,,0
HCPCS,10081,HC PR I&D PILONIDAL CYST COMPLICATED,881.0,881.0,,,0
HCPCS,1008T,Rem mntr s-scl eeg sys setup,,,149.69,629.22,3
HCPCS,1010T,Cptr oph alys monoc eye mvmt,,,149.59,628.81,3
HCPCS,10120,HC FOREIGN BODY REMOVAL SC,1490.0,1490.0,,,0
HCPCS,10120,HC PR FOREIGN BODY REMOVAL SC,510.0,510.0,,,0
HCPCS,10120,Remove foreign body,,,416.15,1921.25,10
HCPCS,10121,HC FOREIGN BODY REMOVAL SC COMP,4638.0,4638.0,,,0
HCPCS,10121,HC PR FOREIGN BODY REMOVAL SC COMP,767.0,767.0,,,0
HCPCS,10121,Remove foreign body,,,1692.02,7805.69,10
HCPCS,1012T,Mtrz ab ntrno trph scl/tr mw,,,4647.36,19535.16,3
HCPCS,1013T,Lap srg imp/rpl eso nea&pg/r,,,21812.25,91687.8,3
HCPCS,10140,Drainage of hematoma/fluid,,,1692.02,7805.69,10
HCPCS,10140,HC I&D HEMATOMA FLUID COLLECTION,3687.0,3687.0,,,0
HCPCS,10140,HC PR I&D HEMATOMA FLUID COLLECTION,401.0,401.0,,,0
HCPCS,1014T,Lap rv/rmv eso sph nstm eltr,,,12528.14,52662.02,3
HCPCS,1015T,Rev/rmv lw esoph sphnc npg/r,,,3930.8,16523.11,3
HCPCS,10160,HC PR PUNC ASP ABSCES HEMA BULL CYST,315.0,315.0,,,0
HCPCS,10160,HC PUNC ASP ABSCES HEMA BULL CYST,1480.0,1480.0,,,0
HCPCS,10160,HC PUNCTURE ASPIRATION,618.0,618.0,,,0
HCPCS,10160,Puncture drainage of lesion,,,416.15,1921.25,10
HCPCS,1017T,Elec aly npgs esoph sbsq w/o,,,66.33,278.81,3
HCPCS,10180,Complex drainage wound,,,2965.46,13728.11,10
HCPCS,10180,HC I&D COMPLEX POSTOP WOUND INFECTION,6462.0,6462.0,,,0
HCPCS,10180,HC I&D POST OP WOUND,6462.0,6462.0,,,0
HCPCS,10180,HC PR I&D POST OP WOUND,602.0,602.0,,,0
HCPCS,1018T,Elec alys npgs esoph sbsq w/,,,41.96,176.39,3
HCPCS,1019T,Lymphovenous bypass per xtr,,,7465.78,31382.41,3
HCPCS,1020T,Raman spectroscopy 1+skn les,,,66.33,278.81,3
HCPCS,1021T,Active thrc irrigation spx,,,705.3,2964.73,3
HCPCS,1025T,Alt elec fld dos&dlv sim mdl,,,151.12,635.24,3
HCPCS,11000,Debride infected skin,,,457.06,1921.25,10
HCPCS,11000,HC DEBRIDE INFECTED SKIN UP TO 10% BODY SURFACE,1490.0,1490.0,,,0
HCPCS,11001,Debride infected skin add-on,,,343.25,1473.0,2
HCPCS,11004,Debride genitalia & perineum,,,2073.0,9829.75,6
HCPCS,11005,Debride abdom wall,,,2073.0,9829.75,6
HCPCS,11006,Debride genit/per/abdom wall,,,2073.0,9829.75,6
HCPCS,11008,Remove mesh from abd wall,,,2630.44,9829.75,6
HCPCS,11010,Debride skin at fx site,,,734.26,3346.74,10
HCPCS,11010,HC DEBRIDE W REM FM OPEN FX/DISLOC SKIN & SUB TISS,2678.0,2678.0,,,0
HCPCS,11011,Debride skin musc at fx site,,,734.26,3346.74,10
HCPCS,11011,HC DEBRIDE INC REM FM SITE OPEN FX &OR DISLOC SKIN SUB TISS FSCIA MUSC,2678.0,2678.0,,,0
HCPCS,11012,Deb skin bone at fx site,,,1613.95,13728.11,10
HCPCS,11012,HC DEBRIDE OPEN FX AND/OR DISLOC SKIN/SUB TISS/MUSCLE/BONE,2678.0,2678.0,,,0
HCPCS,11042,Deb subq tissue 20 sq cm/<,,,416.15,1921.25,10
HCPCS,11042,HC DEBRIDE SUBCU TISS 1ST 20SQ CM,1559.0,1559.0,,,0
HCPCS,11042,HC PR DEBRIDE SUBCU TISS 1ST 20SQ CM,219.0,219.0,,,0
HCPCS,11043,Deb musc/fascia 20 sq cm/<,,,655.45,3492.96,10
HCPCS,11043,HC DEBRIDE MUSC/FASC 1ST 20SQ CM,1525.0,1525.0,,,0
HCPCS,11043,HC DEBRIDE MUSCLE &OR FASCIA 1ST 20SQCM OR<,1525.0,1525.0,,,0
HCPCS,11043,HC PR DEBRIDE MUSC/FASC 1ST 20SQ CM,489.0,489.0,,,0
HCPCS,11044,Deb bone 20 sq cm/<,,,1692.02,7805.69,10
HCPCS,11044,HC DEBRIDE BONE 1ST 20SQ CM,3938.0,3938.0,,,0
HCPCS,11044,HC DEBRIDE BONE 1ST 20SQ CM OR LESS,3938.0,3938.0,,,0
HCPCS,11044,HC PR DEBRIDE BONE 1ST 20SQ CM,727.0,727.0,,,0
HCPCS,11045,Deb subq tissue add-on,,,1005.9,1473.0,2
HCPCS,11045,HC DEBRIDE SUBC TISS ADDL 20SQ CM,1189.0,1189.0,,,0
HCPCS,11045,HC PR DEBRIDE SUBC TISS ADDL 20SQ CM,86.0,86.0,,,0
HCPCS,11046,Deb musc/fascia add-on,,,1005.9,1473.0,2
HCPCS,11046,HC DEBRIDE MUSC/FASC ADDL 20SQ CM,653.0,653.0,,,0
HCPCS,11046,HC PR DEBRIDE MUSC/FASC ADDL 20SQ CM,174.0,174.0,,,0
HCPCS,11047,Deb bone add-on,,,1473.0,1613.95,2
HCPCS,11047,HC DEBRIDE BONE ADDL 20SQ CM,1625.0,1625.0,,,0
HCPCS,11047,HC PR DEBRIDE BONE ADDL 20SQ CM,307.0,307.0,,,0
HCPCS,11055,HC CUT BENIGN HYPEK LESION SINGLE,455.0,455.0,,,0
HCPCS,11055,HC PR CUT BENIGN HYPEK LESION SINGLE,77.0,77.0,,,0
HCPCS,11055,Trim skin lesion,,,208.93,1473.0,10
HCPCS,11056,HC CUT BENIGN HYPEK 2-4 LESIONS,455.0,455.0,,,0
HCPCS,11056,HC PR CUT BENIGN HYPEK 2-4 LESIONS,145.0,145.0,,,0
HCPCS,11056,Trim skin lesions 2 to 4,,,208.93,1473.0,10
HCPCS,11057,HC CUT BENIGN HYPEK LESION > 4,613.0,613.0,,,0
HCPCS,11057,HC PR CUT BENIGN HYPEK LESION > 4,123.0,123.0,,,0
HCPCS,11057,Trim skin lesions over 4,,,208.93,1473.0,10
HCPCS,11102,HC PR TANGENTIAL BIOPSY SKIN SINGLE LESION,295.0,295.0,,,0
HCPCS,11102,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,639.0,639.0,,,0
HCPCS,11102,Tangntl bx skin single les,,,208.93,1921.25,10
HCPCS,11103,HC PR TANGENTIAL BIOPSY SKIN EA SEP/ADDL LESION,76.0,76.0,,,0
HCPCS,11103,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDL LESION,174.0,174.0,,,0
HCPCS,11103,Tangntl bx skin ea sep/addl,,,343.25,1473.0,2
HCPCS,11104,HC PR PUNCH BIOPSY SKIN INCL SMPL CLOSE WHEN PERF SINGLE LESION,188.0,188.0,,,0
HCPCS,11104,HC PUNCH BIOPSY SKIN INCL SMPL CLOSE WHEN PERF SINGLE LESION,639.0,639.0,,,0
HCPCS,11104,Punch bx skin single lesion,,,416.15,1921.25,10
HCPCS,11105,HC PR PUNCH BIOPSY SKIN INCL SMPL CLOSE WHEN PERF EA SEP/ADDL LESION,114.0,114.0,,,0
HCPCS,11105,HC PUNCH BIOPSY SKIN INCL SMPL CLOSE WHEN PERF EA SEP/ADDL LESION,174.0,174.0,,,0
HCPCS,11105,Punch bx skin ea sep/addl,,,343.25,1473.0,2
HCPCS,11106,HC INCISIONAL BIOPSY SKIN INCL SMPL CLOSE WHEN PERF SINGLE LESION,870.0,870.0,,,0
HCPCS,11106,HC PR INCISIONAL BIOPSY SKIN INCL SMPL CLOSE WHEN PERF SINGLE LESION,284.0,284.0,,,0
HCPCS,11106,Incal bx skn single les,,,513.19,3492.96,10
HCPCS,11107,HC INCISIONAL BIOPSY SKIN INCL SMPL CLOSE WHEN PERF EA SEP/ADDL LESION,174.0,174.0,,,0
HCPCS,11107,HC PR INCISIONAL BIOPSY SKIN INCL SMPL CLOSE WHEN PERF EA SEP/ADDL LES,136.0,136.0,,,0
HCPCS,11107,Incal bx skn ea sep/addl,,,343.25,1473.0,2
HCPCS,11200,HC PR REM SKIN TAGS UP TO 15 LESIONS,218.0,218.0,,,0
HCPCS,11200,HC REM SKIN TAGS UP TO 15 LESIONS,455.0,455.0,,,0
HCPCS,11200,Removal of skin tags <w/15,,,208.93,1473.0,10
HCPCS,11201,HC PR REM SKIN TAGS EA AD 10 LESIONS,46.0,46.0,,,0
HCPCS,11201,HC REM SKIN TAGS EA AD 10 LESIONS,174.0,174.0,,,0
HCPCS,11201,Remove skin tags add-on,,,343.25,1473.0,2
HCPCS,11300,HC SHAVE EPI OR DERMAL LESION SNGLE TRUNK/ARM/LEG 0.5CM OR<,348.0,348.0,,,0
HCPCS,11300,HC SHAVE LESION TRUNK/LIMB TO.5CM,348.0,348.0,,,0
HCPCS,11300,Shave skin lesion 0.5 cm/<,,,343.25,1921.25,10
HCPCS,11301,HC PR SHAVE LESION TRUNK/LIMB .6-1.0,338.0,338.0,,,0
HCPCS,11301,HC SHAVE LESION TRUNK/LIMB .6-1.0,455.0,455.0,,,0
HCPCS,11301,Shave skin lesion 0.6-1.0 cm,,,208.93,1473.0,10
HCPCS,11302,HC SHAVE LESION TRUNK/LIMB 1.1-2,455.0,455.0,,,0
HCPCS,11302,Shave skin lesion 1.1-2.0 cm,,,208.93,1473.0,10
HCPCS,11303,HC SHAVE LESION TRUNK/LIMB >2CM,613.0,613.0,,,0
HCPCS,11303,Shave skin lesion >2.0 cm,,,416.15,1921.25,10
HCPCS,11305,HC PR SHAVE LESION DIAM .5CM OR LESS,288.0,288.0,,,0
HCPCS,11305,HC SHAVE LESION HD/HND/FT TO .5CM,455.0,455.0,,,0
HCPCS,11305,Shave skin lesion 0.5 cm/<,,,208.93,1473.0,10
HCPCS,11306,HC PR SHAVE LESION HD/HND/FT 0.6-1.0,342.0,342.0,,,0
HCPCS,11306,HC SHAVE LESION HD/HND/FT 0.6-1.0,455.0,455.0,,,0
HCPCS,11306,Shave skin lesion 0.6-1.0 cm,,,208.93,1473.0,10
HCPCS,11307,HC PR SHAVE LESION HD/HND/FT 1.1-2.0,406.0,406.0,,,0
HCPCS,11307,HC SHAVE LESION HD/HND/FT 1.1-2.0,455.0,455.0,,,0
HCPCS,11307,Shave skin lesion 1.1-2.0 cm,,,208.93,1473.0,10
HCPCS,11308,HC SHAVE LESION HD/HND/FT >2.0 CM,613.0,613.0,,,0
HCPCS,11308,Shave skin lesion >2.0 cm,,,416.15,1921.25,10
HCPCS,11310,HC PR SHAVE LESION FACE TO 0.5CM,320.0,320.0,,,0
HCPCS,11310,HC SHAVE LESION FACE TO 0.5CM,455.0,455.0,,,0
HCPCS,11310,Shave skin lesion 0.5 cm/<,,,208.93,1473.0,10
HCPCS,11311,HC PR SHAVE LESION FACE 0.6-1.0CM,321.0,321.0,,,0
HCPCS,11311,HC SHAVE LESION FACE 0.6-1.0CM,455.0,455.0,,,0
HCPCS,11311,Shave skin lesion 0.6-1.0 cm,,,208.93,1473.0,10
HCPCS,11312,HC PR SHAVE LESION FACE 1.1-2.0CM,448.0,448.0,,,0
HCPCS,11312,HC SHAVE LESION FACE 1.1-2.0CM,1033.0,1033.0,,,0
HCPCS,11312,Shave skin lesion 1.1-2.0 cm,,,416.15,1921.25,10
HCPCS,11313,HC PR SHAVE LESION FACE >2.0CM,526.0,526.0,,,0
HCPCS,11313,HC SHAVE LESION FACE >2.0CM,1033.0,1033.0,,,0
HCPCS,11313,Shave skin lesion >2.0 cm,,,416.15,1921.25,10
HCPCS,1140,Anesth amputation at pelvis,,,6880.82,9829.75,4
HCPCS,11400,Exc tr-ext b9+marg 0.5 cm<,,,734.26,3346.74,10
HCPCS,11400,HC EXC BEN LESION TRNK LIMB TO .5,1600.0,1600.0,,,0
HCPCS,11400,HC PR EXC BEN LESION TRNK/LIMB TO .5,350.0,350.0,,,0
HCPCS,11401,Exc tr-ext b9+marg 0.6-1 cm,,,416.15,1921.25,10
HCPCS,11401,HC EXC BEN LESION TRNK/LIMB .6-1,1490.0,1490.0,,,0
HCPCS,11401,HC PR EXC BEN LESION TRNK/LIMB .6-1,427.0,427.0,,,0
HCPCS,11402,Exc tr-ext b9+marg 1.1-2 cm,,,734.26,3346.74,10
HCPCS,11402,HC EXC BEN LESION TRNK/LIMB 1.1-2,1600.0,1600.0,,,0
HCPCS,11402,HC PR EXC BEN LESION TRNK/LIMB 1.1-2,474.0,474.0,,,0
HCPCS,11403,Exc tr-ext b9+marg 2.1-3cm/<,,,734.26,3346.74,10
HCPCS,11403,HC EXC BEN LESION TRNK/LIMB 2.1-3,2678.0,2678.0,,,0
HCPCS,11403,HC EXC BEN LESION TRUNK/LIMB 2.1-3.0 CM,2678.0,2678.0,,,0
HCPCS,11403,HC PR EXC BEN LESION TRNK/LIMB 2.1-3,487.0,487.0,,,0
HCPCS,11404,Exc tr-ext b9+marg 3.1-4 cm,,,1692.02,7805.69,10
HCPCS,11404,HC EXC BEN LESION TRNK/LIMB 3.1-4,4325.0,4325.0,,,0
HCPCS,11404,HC PR EXC BEN LESION TRNK/LIMB 3.1-4,594.0,594.0,,,0
HCPCS,11406,Exc tr-ext b9+marg >4.0 cm,,,1692.02,7805.69,10
HCPCS,11406,HC EXC BEN LESION TRNK/LIMB >4.0,8483.0,8483.0,,,0
HCPCS,11406,HC PR EXC BEN LESION TRNK/LIMB >4.0 CM,814.0,814.0,,,0
HCPCS,11420,Exc h-f-nk-sp b9+marg 0.5/<,,,1692.02,7805.69,10
HCPCS,11420,HC EXC BEN LESION HD HND FT TO .5,3938.0,3938.0,,,0
HCPCS,11420,HC EXC BEN LESION INCL MRGN SCLP NCK HND FT GEN 0.5CM OR<,3938.0,3938.0,,,0
HCPCS,11420,HC PR EXC BEN LESION HD HND FT TO .5,337.0,337.0,,,0
HCPCS,11421,Exc h-f-nk-sp b9+marg 0.6-1,,,734.26,3346.74,10
HCPCS,11421,HC EXC BEN LESION HD/HND/FT .6-1,2678.0,2678.0,,,0
HCPCS,11422,Exc h-f-nk-sp b9+marg 1.1-2,,,1692.02,7805.69,10
HCPCS,11422,HC EXC BEN LESION HD/HND/FT 1.1-2,3938.0,3938.0,,,0
HCPCS,11422,HC PR EXC BEN LESION HD/HND/FT 1.1-2,467.0,467.0,,,0
HCPCS,11423,Exc h-f-nk-sp b9+marg 2.1-3,,,1692.02,7805.69,10
HCPCS,11423,HC EXC BEN LESION HD/HND/FT 2.1-3,4325.0,4325.0,,,0
HCPCS,11423,HC PR EXC BEN LESION HD/HND/FT 2.1-3,523.0,523.0,,,0
HCPCS,11424,Exc h-f-nk-sp b9+marg 3.1-4,,,1692.02,7805.69,10
HCPCS,11424,HC EXC BEN LESION HD HND FT 3.1-4,4325.0,4325.0,,,0
HCPCS,11424,HC PR EXC BEN LESION HD HND FT 3.1-4,602.0,602.0,,,0
HCPCS,11426,Exc h-f-nk-sp b9+marg >4 cm,,,2965.46,13728.11,10
HCPCS,11426,HC EXC BEN LESION HD HND FT >4.0,8483.0,8483.0,,,0
HCPCS,11426,HC PR EXC BEN LESION HD HND FT,864.0,864.0,,,0
HCPCS,11440,Exc face-mm b9+marg 0.5 cm/<,,,734.26,3346.74,10
HCPCS,11440,HC EXC BEN LES INC MRGN FACE EARS EYELIDS NOSE LIPS MUC MEM 0.5CM OR<,1600.0,1600.0,,,0
HCPCS,11440,HC EXC BEN LESION FACE TO 0.5CM,1600.0,1600.0,,,0
HCPCS,11440,HC PR EXC BEN LES FACE/EARS/LIDS/MUC MEMB 0.5CM OR<,400.0,400.0,,,0
HCPCS,11441,Exc face-mm b9+marg 0.6-1 cm,,,734.26,3346.74,10
HCPCS,11441,HC EXC BEN LESION FACE 0.6-1.0CM,1600.0,1600.0,,,0
HCPCS,11441,HC PR EXC BEN LES FACE/EARS/LIDS/MUC MEMB 0.6-1.0CM,491.0,491.0,,,0
HCPCS,11442,Exc face-mm b9+marg 1.1-2 cm,,,734.26,3346.74,10
HCPCS,11442,HC EXC BEN LESION FACE 1.1-2.0CM,2678.0,2678.0,,,0
HCPCS,11442,HC PR EXC BENIGN LESION FACE EARS LIDS NOSE LIPS MC MEMB 1.1-2.0CM,547.0,547.0,,,0
HCPCS,11443,Exc face-mm b9+marg 2.1-3 cm,,,1692.02,7805.69,10
HCPCS,11443,HC EXC BEN LESION FACE 2.1-3.0CM,3938.0,3938.0,,,0
HCPCS,11444,Exc face-mm b9+marg 3.1-4 cm,,,1692.02,7805.69,10
HCPCS,11444,HC EXC BEN LESION FACE 3.1-4.0CM,3938.0,3938.0,,,0
HCPCS,11446,Exc face-mm b9+marg >4 cm,,,2965.46,13728.11,10
HCPCS,11446,HC EXC BEN LESION FACE >4.0CM,8483.0,8483.0,,,0
HCPCS,11446,HC PR EXC BEN LESION FACE >4.0CM,976.0,976.0,,,0
HCPCS,11450,Removal sweat gland lesion,,,2965.46,13728.11,10
HCPCS,11451,Removal sweat gland lesion,,,2965.46,13728.11,10
HCPCS,11462,Removal sweat gland lesion,,,2965.46,13728.11,10
HCPCS,11463,Removal sweat gland lesion,,,2965.46,13728.11,10
HCPCS,11470,Removal sweat gland lesion,,,2965.46,13728.11,10
HCPCS,11471,Removal sweat gland lesion,,,2965.46,13728.11,10
HCPCS,1150,Anesth pelvic tumor surgery,,,6880.82,9829.75,4
HCPCS,11600,Exc tr-ext mal+marg 0.5 cm/<,,,734.26,3346.74,10
HCPCS,11600,HC EXC MAL LESION TRNK/LIMB TO .5,2678.0,2678.0,,,0
HCPCS,11601,Exc tr-ext mal+marg 0.6-1 cm,,,734.26,3346.74,10
HCPCS,11601,HC EXC MAL LESION TRNK/LIMB .6-1,1560.0,1560.0,,,0
HCPCS,11601,HC PR EXC MAL LESION TRNK/LIMB .6-1,578.0,578.0,,,0
HCPCS,11602,Exc tr-ext mal+marg 1.1-2 cm,,,416.15,1921.25,10
HCPCS,11602,HC EXC MAL LESION TRNK/LIMB 1.1-2,1510.0,1510.0,,,0
HCPCS,11602,HC PR EXC MAL LESION TRNK/LIMB 1.1-2,622.0,622.0,,,0
HCPCS,11603,Exc tr-ext mal+marg 2.1-3 cm,,,734.26,3346.74,10
HCPCS,11603,HC EXC MAL LESION TRNK LIMB 2.1-3,2678.0,2678.0,,,0
HCPCS,11604,Exc tr-ext mal+marg 3.1-4 cm,,,734.26,6270.01,10
HCPCS,11604,HC EXC MAL LESION TRNK/LIMB 3.1-4,2678.0,2678.0,,,0
HCPCS,11604,HC PR EXC MAL LESION TRNK/LIMB 3.1-4,791.0,791.0,,,0
HCPCS,11606,Exc tr-ext mal+marg >4 cm,,,1692.02,7805.69,10
HCPCS,11606,HC EXC MAL LESION TRNK LIMB >4CM,4325.0,4325.0,,,0
HCPCS,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,1692.02,7805.69,10
HCPCS,11620,HC EXC MAL LESION HD HND FT TO .5,3938.0,3938.0,,,0
HCPCS,11620,HC PR EXC MAL LESION HD HND FT TO .5,542.0,542.0,,,0
HCPCS,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,734.26,3346.74,10
HCPCS,11621,HC EXC MAL LESION HD/HND/FT .6-1,2678.0,2678.0,,,0
HCPCS,11621,HC PR EXC MAL LESION HD/HND/FT .6-1,629.0,629.0,,,0
HCPCS,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,734.26,3346.74,10
HCPCS,11622,HC EXC MAL LESION HD/HND/FT 1.1-2,2678.0,2678.0,,,0
HCPCS,11622,HC PR EXC MAL LESION HD/HND/FT 1.1-2,693.0,693.0,,,0
HCPCS,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,1692.02,7805.69,10
HCPCS,11623,HC EXC MAL LESION HD/HND/FT 2.1-3,3938.0,3938.0,,,0
HCPCS,11623,HC PR EXC MAL LESION HD/HND/FT 2.1-3,812.0,812.0,,,0
HCPCS,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,1692.02,7805.69,10
HCPCS,11624,HC EXC MAL LESION HD/HND/FT 3.1-4,4325.0,4325.0,,,0
HCPCS,11624,HC PR EXC MAL LESION HD/HND/FT 3.1-4,924.0,924.0,,,0
HCPCS,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,2965.46,13728.11,10
HCPCS,11626,HC EXC MAL LESION HD/HND/FT >4CM,8483.0,8483.0,,,0
HCPCS,11626,HC PR EXC MAL LESION HD/HND/FT >4CM,1115.0,1115.0,,,0
HCPCS,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,734.26,3346.74,10
HCPCS,11640,HC EXC MAL LESION FACE TO 0.5CM,2678.0,2678.0,,,0
HCPCS,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,734.26,3346.74,10
HCPCS,11641,HC EXC MAL LESION FACE 0.6-1.0CM,2678.0,2678.0,,,0
HCPCS,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,734.26,3346.74,10
HCPCS,11642,HC EXC MAL LESION FACE 1.1-2.0CM,2678.0,2678.0,,,0
HCPCS,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,1692.02,7805.69,10
HCPCS,11643,HC EXC MAL LESION FACE 2.1-3.0CM,3938.0,3938.0,,,0
HCPCS,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,1692.02,7805.69,10
HCPCS,11644,HC EXC MAL LESION FACE 3.1-4.0CM,4325.0,4325.0,,,0
HCPCS,11644,HC PR EXC MAL LESION FACE 3.1-4.0CM,901.0,901.0,,,0
HCPCS,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,2965.46,13728.11,10
HCPCS,11646,HC EXC MAL LESION FACE >4.0CM,8483.0,8483.0,,,0
HCPCS,11719,HC PR TRIMMING NONDYSTROPHIC NAILS,26.0,26.0,,,0
HCPCS,11719,HC TRIMMING NONDYSTROPHIC NAILS,283.0,283.0,,,0
HCPCS,11719,Trim nail(s) any number,,,66.33,1473.0,6
HCPCS,11720,Debride nail 1-5,,,66.33,1473.0,6
HCPCS,11720,HC DEBRIDE NAIL 1-5,283.0,283.0,,,0
HCPCS,11720,HC PR DEBRIDE NAIL 1-5,61.0,61.0,,,0
HCPCS,11721,Debride nail 6 or more,,,66.33,1473.0,6
HCPCS,11721,HC DEBRIDE NAIL 6 OR MORE,283.0,283.0,,,0
HCPCS,11721,HC PR DEBRIDE NAIL 6 OR MORE,84.0,84.0,,,0
HCPCS,11730,HC AVULSION NAIL PLATE PART/COMP,613.0,613.0,,,0
HCPCS,11730,HC PR AVULSION NAIL PLATE PART/COMP,294.0,294.0,,,0
HCPCS,11730,Removal of nail plate,,,208.93,1473.0,10
HCPCS,11732,HC AVULSION NAIL PLATE EA ADDL,174.0,174.0,,,0
HCPCS,11732,HC PR AVULSION NAIL PLATE EA ADDL,66.0,66.0,,,0
HCPCS,11732,Remove nail plate add-on,,,343.25,1473.0,2
HCPCS,11740,Drain blood from under nail,,,133.32,1473.0,10
HCPCS,11740,HC EVACUATION SUBUNGUAL HEMATOMA,283.0,283.0,,,0
HCPCS,11740,HC PR EVACUATION SUBUNGUAL HEMATOMA,102.0,102.0,,,0
HCPCS,11750,HC EXCISION OF NAIL PART/COMP,1525.0,1525.0,,,0
HCPCS,11750,HC PR EXCISION OF NAIL PART/COMP,411.0,411.0,,,0
HCPCS,11750,Removal of nail bed,,,416.15,1921.25,10
HCPCS,11755,Biopsy nail unit,,,734.26,3346.74,10
HCPCS,11760,HC REPAIR NAIL BED,828.0,828.0,,,0
HCPCS,11760,Repair of nail bed,,,411.43,3492.96,10
HCPCS,11762,Reconstruction of nail bed,,,1903.17,9751.37,10
HCPCS,11765,Excision of nail fold toe,,,343.25,1921.25,10
HCPCS,11765,HC WEDGE EXC SKIN NAIL TO FOLD,348.0,348.0,,,0
HCPCS,11770,HC EXCISION PILONIDAL CYST OR SINUS SIMPLE,8058.0,8058.0,,,0
HCPCS,11770,Remove pilonidal cyst simple,,,2965.46,13728.11,10
HCPCS,11771,HC EXCISION PILONIDAL CYST OR SINUS EXTENSIVE,8145.0,8145.0,,,0
HCPCS,11771,Remove pilonidal cyst exten,,,2965.46,13728.11,10
HCPCS,11772,HC EXCISION PILONIDAL CYST OR SINUS COMPLICATED,8483.0,8483.0,,,0
HCPCS,11772,Remove pilonidal cyst compl,,,2965.46,13728.11,10
HCPCS,11900,HC INJ INTRALESIONAL TO 7 LESIONS,455.0,455.0,,,0
HCPCS,11900,HC PR INJ INTRALESION TO 7 LESION,101.0,101.0,,,0
HCPCS,11900,Inject skin lesions <=w 7,,,208.93,1473.0,10
HCPCS,11901,HC INTRALESIONAL INJ >7 LESIONS,455.0,455.0,,,0
HCPCS,11901,HC PR INTRALESIONAL INJ >7 LESIONS,194.0,194.0,,,0
HCPCS,11901,Inject skin lesions >7,,,208.93,1473.0,10
HCPCS,11920,Correct skin color 6.0 cm/<,,,655.45,3492.96,10
HCPCS,11921,Correct skn color 6.1-20.0cm,,,655.45,3492.96,10
HCPCS,11922,Correct skin color ea 20.0cm,,,1206.6,1473.0,2
HCPCS,11950,Tx contour defects 1 cc/<,,,208.93,1678.32,10
HCPCS,11951,Tx contour defects 1.1-5.0cc,,,655.45,3492.96,10
HCPCS,11952,Tx contour defects 5.1-10cc,,,655.45,3492.96,10
HCPCS,11954,Tx contour defects >10.0 cc,,,411.43,3492.96,10
HCPCS,11960,Insert tissue expander(s),,,3744.16,16748.17,10
HCPCS,11970,Replace tissue expander,,,7466.19,34293.94,10
HCPCS,11971,Remove tissue expander(s),,,2630.44,13728.11,10
HCPCS,11976,HC PR REMOVE IMPLANT CONTRACPT CAPS,407.0,407.0,,,0
HCPCS,11976,HC REMOVE IMPLANT CONTRACPT CAPS,1600.0,1600.0,,,0
HCPCS,11976,Remove contraceptive capsule,,,734.26,3346.74,10
HCPCS,11980,HC PR SUBC HORMONE PELLETT IMPLANT,510.0,510.0,,,0
HCPCS,11980,HC SUBC HORMONE PELLETT IMPLANT,638.0,638.0,,,0
HCPCS,11980,Implant hormone pellet(s),,,238.17,2111.28,10
HCPCS,11981,HC INSERT NONBIO DRUG DELV IMPLNT,425.0,425.0,,,0
HCPCS,11981,HC PR INSERT NONBIO DRUG DELV IMPLNT,291.0,291.0,,,0
HCPCS,11981,Insert drug implant device,,,133.32,1473.0,10
HCPCS,11982,HC PR REMOVE NONBIO DRUG DELV IMPLNT,291.0,291.0,,,0
HCPCS,11982,HC REMOVE NONBIO DRUG DELV IMPLNT,425.0,425.0,,,0
HCPCS,11982,Remove drug implant device,,,238.17,2111.28,10
HCPCS,11983,HC PR REM&REINSERT DRUG DELV IMPLNT,456.0,456.0,,,0
HCPCS,11983,HC REM&REINSERT DRUG DELV IMPLNT,425.0,425.0,,,0
HCPCS,11983,Remove/insert drug implant,,,238.17,2111.28,10
HCPCS,12001,HC PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR<,274.0,274.0,,,0
HCPCS,12001,HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR<,455.0,455.0,,,0
HCPCS,12001,HC TO 2.5CM SUTURE BODY,455.0,455.0,,,0
HCPCS,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,208.93,1473.0,10
HCPCS,12002,HC 2.6-7.5CM SUTURE BODY,455.0,455.0,,,0
HCPCS,12002,HC PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,267.0,267.0,,,0
HCPCS,12002,HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,455.0,455.0,,,0
HCPCS,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,208.93,1473.0,10
HCPCS,12004,HC 7.6-12.5CM SUTURE BODY,455.0,455.0,,,0
HCPCS,12004,HC PR SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM SIMPLE,372.0,372.0,,,0
HCPCS,12004,HC SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,455.0,455.0,,,0
HCPCS,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,208.93,2630.44,10
HCPCS,12005,HC 12.6-20.0CM REP SIMP SCALP/AXILLAE/TRNK/EXTREMETIES/EXT GENETALIA,348.0,348.0,,,0
HCPCS,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,411.43,2630.44,10
HCPCS,12006,HC 20.1-30.0CM REP SIMP SCALP/AXILLAE/TRNK/EXTREMETIES/EXT GENETALIA,907.0,907.0,,,0
HCPCS,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,411.43,6270.01,10
HCPCS,12007,HC >30.0CM REP SIMP SCALP/AXILLAE/TRNK/EXTREMETIES/EXT GENETALIA,455.0,455.0,,,0
HCPCS,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,208.93,6270.01,10
HCPCS,12011,HC PR SIMPL RPR WOUNDS FACE EARS LIDS NOSE LIPS &OR MUC MEMB 2.5CM OR<,317.0,317.0,,,0
HCPCS,12011,HC REPAIR SUP FACE TO 2.5CM,455.0,455.0,,,0
HCPCS,12011,HC TO 2.5CM SIMPLE SUTURE FACE,455.0,455.0,,,0
HCPCS,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,208.93,2630.44,10
HCPCS,12013,HC 2.6-5.0CM SIMPLE SUTURE FACE,455.0,455.0,,,0
HCPCS,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,208.93,2630.44,10
HCPCS,12014,HC 5.1-7.5CM SIMPLE SUTURE FACE,455.0,455.0,,,0
HCPCS,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,208.93,2630.44,10
HCPCS,12015,HC 7.6-12.5CM SIMPLE SUTURE FACE,455.0,455.0,,,0
HCPCS,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,208.93,1473.0,10
HCPCS,12016,HC 12.6-20.0CM SIMPLE SUTURE FACE,348.0,348.0,,,0
HCPCS,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,411.43,6270.01,10
HCPCS,12017,HC 20.1-30.0CM SIMPLE SUTURE FACE,348.0,348.0,,,0
HCPCS,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,411.43,6270.01,10
HCPCS,12018,Rpr f/e/e/n/l/m >30.0 cm,,,208.93,6270.01,10
HCPCS,12020,Closure of split wound,,,655.45,3492.96,10
HCPCS,12020,HC PR TREAT SUPERFICIAL WOUND DEHISCENCE SIMPL CLOSURE,847.0,847.0,,,0
HCPCS,12020,HC TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,1510.0,1510.0,,,0
HCPCS,12021,Closure of split wound,,,416.15,1921.25,10
HCPCS,12021,HC TX SUPERFICIAL WOUND DEHISCENCE W PACKING,907.0,907.0,,,0
HCPCS,12031,HC PR TO 2.5CM SUTURE INTER BODY,636.0,636.0,,,0
HCPCS,12031,HC TO 2.5CM SUTURE INTER BODY,907.0,907.0,,,0
HCPCS,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,416.15,1921.25,10
HCPCS,12032,HC 2.6 TO 7.5CM SUT INTERMED BODY,907.0,907.0,,,0
HCPCS,12032,HC PR REPAIR INTERMED SCLP AXL TRNK &OR EXTRM 2.6-7.5CM,865.0,865.0,,,0
HCPCS,12032,HC REPAIR INTERMED SCLP AXL TRNK &OR EXTRM 2.6-7.5CM,907.0,907.0,,,0
HCPCS,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,416.15,1921.25,10
HCPCS,12034,HC 7.6-12.5CM SUT INTERMED BODY,907.0,907.0,,,0
HCPCS,12034,Intmd rpr s/tr/ext 7.6-12.5,,,416.15,1921.25,10
HCPCS,12035,HC 12.6-20.0 CM SUT INTER BODY,1510.0,1510.0,,,0
HCPCS,12035,HC PR REP WNDS SCALP/AXILLAE/TRNK/EXTREMETIES 12.6-20.0CM,997.0,997.0,,,0
HCPCS,12035,HC REP WNDS SCALP/AXILLAE/TRNK/EXTREMETIES 12.6-20.0CM,1510.0,1510.0,,,0
HCPCS,12035,Intmd rpr s/a/t/ext 12.6-20,,,416.15,1921.25,10
HCPCS,12036,HC >20.1-30.0CM REP INT SCALP/AXILLAE/TRNK/EXTREMETIES,1510.0,1510.0,,,0
HCPCS,12036,Intmd rpr s/a/t/ext 20.1-30,,,655.45,3492.96,10
HCPCS,12037,HC >30.0CM REP INT SCALP/AXILLAE/TRNK/EXTREMETIES,1656.0,1656.0,,,0
HCPCS,12037,Intmd rpr s/tr/ext >30.0 cm,,,1206.6,9751.37,10
HCPCS,12041,HC TO 2.5CM SUT INTER NK HDS FT,907.0,907.0,,,0
HCPCS,12041,Intmd rpr n-hf/genit 2.5cm/<,,,411.43,1921.25,10
HCPCS,12042,HC 2.6-7.5CM SUT INTER NK HDS FT,907.0,907.0,,,0
HCPCS,12042,Intmd rpr n-hf/genit2.6-7.5,,,416.15,1921.25,10
HCPCS,12044,HC 7.6-12.5CM SUT INTER NK HDS FT,828.0,828.0,,,0
HCPCS,12044,Intmd rpr n-hf/genit7.6-12.5,,,655.45,3492.96,10
HCPCS,12045,HC 12.6-20.0CM SUT INTER NK HDS FT,828.0,828.0,,,0
HCPCS,12045,Intmd rpr n-hf/genit12.6-20,,,655.45,3492.96,10
HCPCS,12046,HC 20.1-30.0CM SUT INTER NK HDS FT,1560.0,1560.0,,,0
HCPCS,12046,Intmd rpr n-hf/genit20.1-30,,,655.45,3492.96,10
HCPCS,12047,HC >30.0CM SUT INTER NK HDS FT,2095.0,2095.0,,,0
HCPCS,12047,Intmd rpr n-hf/genit >30.0cm,,,1206.6,9751.37,10
HCPCS,12051,HC PR RPR INTERM WNDS FCE/EAR/LIDS/NSE/LIPS/MUC MEMB 2.5CM OR<,636.0,636.0,,,0
HCPCS,12051,HC RPR INTERMED WNDS FCE ERS LIDS NSE LIPS MUC MEMB 2.5CM OR<,907.0,907.0,,,0
HCPCS,12051,HC TO 2.5CM SUTURE INTER FACE,907.0,907.0,,,0
HCPCS,12051,Intmd rpr face/mm 2.5 cm/<,,,416.15,1921.25,10
HCPCS,12052,HC 2.6 TO 5.0CM SUT INTER FACE,907.0,907.0,,,0
HCPCS,12052,Intmd rpr face/mm 2.6-5.0 cm,,,416.15,1921.25,10
HCPCS,12053,HC 5.1-7.5CM SUT INTERMED FACE,907.0,907.0,,,0
HCPCS,12053,Intmd rpr face/mm 5.1-7.5 cm,,,416.15,1921.25,10
HCPCS,12054,HC 7.6-12.5CM SUT INTERMED FACE,907.0,907.0,,,0
HCPCS,12054,Intmd rpr face/mm 7.6-12.5cm,,,411.43,1921.25,10
HCPCS,12055,HC 12.6-20.0 CM SUT INTER FACE,907.0,907.0,,,0
HCPCS,12055,Intmd rpr face/mm 12.6-20 cm,,,416.15,1921.25,10
HCPCS,12056,HC 20.1-30.0 CM SUT INTER FACE,1924.0,1924.0,,,0
HCPCS,12056,Intmd rpr face/mm 20.1-30.0,,,416.15,1921.25,10
HCPCS,12057,HC OVER 30.0 CM SUT INTER FACE,1812.0,1812.0,,,0
HCPCS,12057,Intmd rpr face/mm >30.0 cm,,,416.15,1921.25,10
HCPCS,1212,Anesth hip disarticulation,,,6880.82,9829.75,4
HCPCS,1232,Anesth amputation of femur,,,6880.82,9829.75,4
HCPCS,1234,Anesth radical femur surg,,,6880.82,9829.75,4
HCPCS,1272,Anesth femoral artery surg,,,6880.82,9829.75,4
HCPCS,1274,Anesth femoral embolectomy,,,6880.82,9829.75,4
HCPCS,13100,Cmplx rpr trunk 1.1-2.5 cm,,,655.45,3492.96,10
HCPCS,13100,HC COMPLEX REPAIR TRUNK 1.1-2.5 CM,1510.0,1510.0,,,0
HCPCS,13100,HC PR COMPLEX REPAIR TRUNK 1.1-2.5 CM,1295.0,1295.0,,,0
HCPCS,13101,Cmplx rpr trunk 2.6-7.5 cm,,,655.45,3492.96,10
HCPCS,13101,HC 2.6-7.5CM COMPLX REP TRUNK,1510.0,1510.0,,,0
HCPCS,13101,HC PR 2.6-7.5CM COMPLX REP TRUNK,1133.0,1133.0,,,0
HCPCS,13102,Cmplx rpr trunk addl 5cm/<,,,1206.6,1473.0,2
HCPCS,13102,HC EA ADD 5CM OR LESS COMPLX REP TRUNK,888.0,888.0,,,0
HCPCS,13102,HC PR EA ADD 5CM OR LESS COMPLX REP TRUNK,578.0,578.0,,,0
HCPCS,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,457.06,1921.25,10
HCPCS,13120,HC 1.1-2.5CM REP COMPL SCALP/ARM/LEG,828.0,828.0,,,0
HCPCS,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,457.06,1921.25,10
HCPCS,13121,HC 2.6-7.5CM COMPLX SCALP/ARM/LEG,1510.0,1510.0,,,0
HCPCS,13121,HC PR RPR COMPLEX SCALP/ARMS AND/OR LEGS 2.6-7.5CM,1088.0,1088.0,,,0
HCPCS,13121,HC RPR COMPLEX SCALP/ARMS AND/OR LEGS 2.6-7.5CM,1510.0,1510.0,,,0
HCPCS,13122,Cmplx rpr s/a/l addl 5 cm/>,,,411.43,1473.0,2
HCPCS,13122,HC LAC COMP SCALP/EXTREM EA <5CM,319.0,319.0,,,0
HCPCS,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,416.15,1921.25,10
HCPCS,13131,HC 1.1-2.5CM COMPLX FORHD/CHK/CHN,907.0,907.0,,,0
HCPCS,13131,HC 1.1-2.5CM COMPLX REPAIR HEAD/FACE/HAND/FEET,907.0,907.0,,,0
HCPCS,13131,HC PR 1.1-2.5CM COMPLX REPAIR HEAD/FACE/HAND/FEET,993.0,993.0,,,0
HCPCS,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,457.06,1921.25,10
HCPCS,13132,HC 2.6-7.5 COMPLX FORHD/CHK/CHN,1510.0,1510.0,,,0
HCPCS,13132,HC 2.6-7.5CM COMPLX REPAIR HEAD/FACE/HAND/FEET,1510.0,1510.0,,,0
HCPCS,13132,HC PR 2.6-7.5CM COMPLX REPAIR HEAD/FACE/HAND/FEET,1443.0,1443.0,,,0
HCPCS,13133,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,1206.6,1473.0,2
HCPCS,13133,HC EA ADD 5CM OR LESS COMPLX REPAIR HEAD/FACE/HAND/FEET,852.0,852.0,,,0
HCPCS,13133,HC PR EA ADD 5CM OR LESS COMPLX REPAIR HEAD/FACE/HAND/FEET,429.0,429.0,,,0
HCPCS,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,655.45,3492.96,10
HCPCS,13151,"HC REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM",1510.0,1510.0,,,0
HCPCS,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,655.45,3492.96,10
HCPCS,13152,HC 2.6-7.5CM COMPLX EYELID/NOSE/E,1510.0,1510.0,,,0
HCPCS,13153,Cmplx rpr e/n/e/l addl 5cm/<,,,1206.6,1473.0,2
HCPCS,13153,HC LAC COM EYELID/NOSE/LIP EA<5CM,756.0,756.0,,,0
HCPCS,13160,Late closure of wound,,,1903.17,16748.17,10
HCPCS,14000,Tis trnfr trunk 10 sq cm/<,,,1903.17,9751.37,10
HCPCS,14001,Tis trnfr trunk 10.1-30sqcm,,,1903.17,9812.66,10
HCPCS,14020,HC ADJ TISS TRANS/REARR SCALP/ARMS/LEGS 10SQ CM OR<,4660.0,4660.0,,,0
HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,1903.17,9812.66,10
HCPCS,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,1903.17,9812.66,10
HCPCS,1404,Anesth amputation at knee,,,6880.82,9829.75,4
HCPCS,14040,HC TISS TRANS OR REARR FRHD/CHEEK/CHN/NCK/AXILLAE/HND/FT 10SQCM OR<,4660.0,4660.0,,,0
HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,1903.17,9751.37,10
HCPCS,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,1903.17,9812.66,10
HCPCS,14060,HC ADJ TISS TRANS EYELIDS NOSE EARS LIPS 10SQCM OR<,4855.0,4855.0,,,0
HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,1903.17,9812.66,10
HCPCS,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,1903.17,9812.66,10
HCPCS,14301,Tis trnfr any 30.1-60 sq cm,,,3744.16,16748.17,10
HCPCS,14302,Tis trnfr addl 30 sq cm/<,,,1473.0,7245.32,2
HCPCS,14350,Filleted finger/toe flap,,,1903.17,9812.66,10
HCPCS,1442,Anesth knee artery surg,,,6880.82,9829.75,4
HCPCS,1444,Anesth knee artery repair,,,6880.82,9829.75,4
HCPCS,15002,HC PR SUR PREP TRK ARM LG 1ST100SQCM,637.0,637.0,,,0
HCPCS,15002,HC SUR PREP TRK ARM LG 1ST100SQCM,1613.0,1613.0,,,0
HCPCS,15002,Wound prep trk/arm/leg,,,830.97,4274.0,10
HCPCS,15003,HC PR SUR PREP TRK ARM LEG EA ADD 100 SQ CM,142.0,142.0,,,0
HCPCS,15003,HC SURG PREP WOUND ADDL 100SQ CM,888.0,888.0,,,0
HCPCS,15003,Wound prep addl 100 cm,,,1473.0,1887.44,2
HCPCS,15004,HC INCISION RELEASE SCAR CONTRACT,1510.0,1510.0,,,0
HCPCS,15004,HC PR PREP HAND FOOT HEAD 1ST 100 SQ CM,1005.0,1005.0,,,0
HCPCS,15004,Wound prep f/n/hf/g,,,457.06,1921.25,10
HCPCS,15005,HC PR PREP HAND FOOT HEAD EA ADD 100 SQ CM,268.0,268.0,,,0
HCPCS,15005,HC PREP HAND FOOT HEAD EA ADD 100 SQ CM,888.0,888.0,,,0
HCPCS,15005,Wnd prep f/n/hf/g addl cm,,,1473.0,1887.44,2
HCPCS,15011,Hrv skn cll ssp agrft 1st 25,,,2319.82,9751.37,6
HCPCS,15012,Hrv skn cll ssp agrft ea add,,,1473.0,1473.0,1
HCPCS,15013,Prepj skn cll ssp agrft 1st,,,7979.18,33540.46,6
HCPCS,15014,Prepj skn cll ssp agrft ea,,,1473.0,1473.0,1
HCPCS,15015,App skn cl ssp agrft t/a/l 1,,,2319.82,9751.37,6
HCPCS,15016,App skn cl ssp agrf t/a/l ea,,,1473.0,1473.0,1
HCPCS,15017,App skn cll ssp f/n/g/hf 1st,,,2319.82,9751.37,6
HCPCS,15018,App skn cll ssp f/n/g/hf ea,,,1473.0,1473.0,1
HCPCS,1502,Anesth lwr leg embolectomy,,,6880.82,9829.75,4
HCPCS,15040,Harvest cultured skin graft,,,1206.6,9751.37,10
HCPCS,15050,Skin pinch graft,,,655.45,3492.96,10
HCPCS,15100,HC PR STSG TRNK/ARM/LEG 1ST 100SQ CM,2219.0,2219.0,,,0
HCPCS,15100,HC STSG TRNK/ARM/LEG 1ST 100SQ CM,6988.0,6988.0,,,0
HCPCS,15100,Skin splt grft trnk/arm/leg,,,1903.17,9751.37,10
HCPCS,15101,HC PR STSG TRUNK ARM LEG EA ADD 100 SQ CM,436.0,436.0,,,0
HCPCS,15101,HC STSG TRNK/ARM/LEG EA 100SQ CM,4266.0,4266.0,,,0
HCPCS,15101,Skin splt grft t/a/l add-on,,,1473.0,7245.32,2
HCPCS,15110,Epidrm autogrft trnk/arm/leg,,,1678.32,9751.37,10
HCPCS,15110,HC EPIGRAF TRK EXTRM 1ST 100SQ OR<,6990.0,6990.0,,,0
HCPCS,15110,HC PR EPIGRAF TRK EXTRM 1ST100SQ OR<,2275.0,2275.0,,,0
HCPCS,15111,Epidrm autogrft t/a/l add-on,,,1473.0,1887.44,2
HCPCS,15111,HC EPIAUTO TRK EXREM EAADD 100SQ,888.0,888.0,,,0
HCPCS,15111,HC PR EPIAUTO TRK EXTREM EAADD 100SQ,304.0,304.0,,,0
HCPCS,15115,Epidrm a-grft face/nck/hf/g,,,1903.17,9812.66,10
HCPCS,15115,HC EPIAUT FACE SCLP LD HND FT 1ST 100CM<,5308.0,5308.0,,,0
HCPCS,15115,HC PR EPIAUT FACE SCLP LD HND FT 1ST 100CM<,2264.0,2264.0,,,0
HCPCS,15116,Epidrm a-grft f/n/hf/g addl,,,1206.6,1473.0,2
HCPCS,15116,HC EPIAUT FACE SCLP LD HND FT EA ADD 100SQ,888.0,888.0,,,0
HCPCS,15116,HC PR EPIAUT FACE SCLP LD HND FT EA ADD 100SQ,400.0,400.0,,,0
HCPCS,15120,Skn splt a-grft fac/nck/hf/g,,,3744.16,16748.17,10
HCPCS,15121,Skn splt a-grft f/n/hf/g add,,,1473.0,7245.32,2
HCPCS,15130,Derm autograft trnk/arm/leg,,,1903.17,9812.66,10
HCPCS,15131,Derm autograft t/a/l add-on,,,1473.0,5333.5,2
HCPCS,15135,Derm autograft face/nck/hf/g,,,3744.16,16748.17,10
HCPCS,15136,Derm autograft f/n/hf/g add,,,1473.0,5333.5,2
HCPCS,15150,Cult skin grft t/arm/leg,,,1206.6,9751.37,10
HCPCS,15151,Cult skin grft t/a/l addl,,,1206.6,1473.0,2
HCPCS,15152,Cult skin graft t/a/l +%,,,1206.6,1473.0,2
HCPCS,15155,Cult skin graft f/n/hf/g,,,1206.6,16748.17,10
HCPCS,15156,Cult skin grft f/n/hfg add,,,1206.6,1473.0,2
HCPCS,15157,Cult epiderm grft f/n/hfg +%,,,1206.6,1473.0,2
HCPCS,15200,Skin full graft trunk,,,1903.17,9812.66,10
HCPCS,15201,Skin full graft trunk add-on,,,1473.0,5333.5,2
HCPCS,15220,Skin full graft sclp/arm/leg,,,1903.17,9751.37,10
HCPCS,15221,Skin full graft add-on,,,1473.0,1887.44,2
HCPCS,15240,HC FULL THICK GRAFT HEAD FACE HAND 20SQCM OR<,4660.0,4660.0,,,0
HCPCS,15240,Skin full grft face/genit/hf,,,1903.17,9812.66,10
HCPCS,15241,Skin full graft add-on,,,1206.6,1473.0,2
HCPCS,15260,HC FULL THICK GRAFT INC CLOSURE NOSE EARS LIDS LIPS 20SQCM OR<,4531.0,4531.0,,,0
HCPCS,15260,Skin full graft een & lips,,,1903.17,9751.37,10
HCPCS,15261,Skin full graft add-on,,,1473.0,5333.5,2
HCPCS,15271,HC PR SKIN SUB TRUNK ARM LEG 1ST 25 CM2,349.0,349.0,,,0
HCPCS,15271,HC SKIN SUB TRNKARMLEG 1ST 25 CM2,4527.0,4527.0,,,0
HCPCS,15271,Skin sub graft trnk/arm/leg,,,830.97,4274.0,10
HCPCS,15272,HC PR SKIN SUB TRUNK ARM LEG ADD 25 CM2,53.0,53.0,,,0
HCPCS,15272,HC SKIN SUB TRNKARMLEG ADD 25 CM2,319.0,319.0,,,0
HCPCS,15272,Skin sub graft t/a/l add-on,,,411.43,1473.0,2
HCPCS,15273,Skin sub grft t/arm/lg child,,,1678.32,9751.37,10
HCPCS,15274,Skn sub grft t/a/l child add,,,1206.6,1473.0,2
HCPCS,15275,HC PR SKIN SUB EXTR FACE SCALP (<100CM2) 1ST 25CM,357.0,357.0,,,0
HCPCS,15275,HC SKIN SUB EXTR FACE SCALP (<100CM2) 1ST 25CM,4527.0,4527.0,,,0
HCPCS,15275,Skin sub graft face/nk/hf/g,,,830.97,4274.0,10
HCPCS,15276,HC PR SKIN SUB EXTR FACE SCALP EA ADD 25CM2,80.0,80.0,,,0
HCPCS,15276,HC SKIN SUB EXTR FACE SCALP EA ADD 25CM2,319.0,319.0,,,0
HCPCS,15276,Skin sub graft f/n/hf/g addl,,,411.43,1473.0,2
HCPCS,15277,Skn sub grft f/n/hf/g child,,,1678.32,9751.37,10
HCPCS,15278,Skn sub grft f/n/hf/g ch add,,,1206.6,1473.0,2
HCPCS,15570,Skin pedicle flap trunk,,,1903.17,9812.66,10
HCPCS,15572,Skin pedicle flap arms/legs,,,3744.16,16748.17,10
HCPCS,15574,Pedcle fh/ch/ch/m/n/ax/g/h/f,,,1903.17,9812.66,10
HCPCS,15576,Pedicle e/n/e/l/ntroral,,,1903.17,9812.66,10
HCPCS,15600,Delay flap trunk,,,3744.16,16748.17,10
HCPCS,15610,Delay flap arms/legs,,,1903.17,9812.66,10
HCPCS,15620,Delay flap f/c/c/n/ax/g/h/f,,,1903.17,9812.66,10
HCPCS,15630,Delay flap eye/nos/ear/lip,,,1903.17,9812.66,10
HCPCS,15650,Transfer skin pedicle flap,,,1903.17,12989.24,10
HCPCS,15730,Mdfc flap w/prsrv vasc pedcl,,,3744.16,16748.17,10
HCPCS,15731,Forehead Flap w/Vasc Pedicle,,,3744.16,16748.17,10
HCPCS,15733,Musc myoq/fscq flp h&n pedcl,,,3744.16,16748.17,10
HCPCS,15734,Muscle-skin graft trunk,,,3744.16,16748.17,10
HCPCS,15736,Muscle-skin graft arm,,,1903.17,9812.66,10
HCPCS,15738,Muscle-skin graft leg,,,3744.16,16748.17,10
HCPCS,15740,Island pedicle flap graft,,,1903.17,9751.37,10
HCPCS,15750,Neurovascular pedicle flap,,,3744.16,16748.17,10
HCPCS,15756,Free myo/skin flap microvasc,,,4822.0,9829.75,6
HCPCS,15757,Free skin flap microvasc,,,4822.0,9829.75,6
HCPCS,15758,Free fascial flap microvasc,,,4822.0,9829.75,6
HCPCS,15760,Composite skin graft,,,1903.17,9751.37,10
HCPCS,15760,HC GRAFT COMPOSITE W PRIMARY CLOSURE DONOR AREA,4660.0,4660.0,,,0
HCPCS,15769,Grfg autol soft tiss dir exc,,,3744.16,16748.17,10
HCPCS,15770,Derma-fat-fascia graft,,,3744.16,16748.17,10
HCPCS,15771,Grfg autol fat lipo 50 cc/<,,,3744.16,16748.17,10
HCPCS,15772,Grfg autol fat lipo ea addl,,,1473.0,1473.0,1
HCPCS,15773,Grfg autol fat lipo 25 cc/<,,,1903.17,9751.37,10
HCPCS,15774,Gfrg autol fat lipo ea addl,,,1473.0,1473.0,1
HCPCS,15775,Hair trnspl 1-15 punch grfts,,,411.43,1921.25,10
HCPCS,15776,Hair trnspl >15 punch grafts,,,411.43,1921.25,10
HCPCS,15777,Acellular derm matrix implt,,,1473.0,5333.5,2
HCPCS,15778,Impl absrb msh/prsth dly cls,,,2073.0,9829.75,5
HCPCS,15780,Dermabrasion total face,,,2630.44,13728.11,10
HCPCS,15781,Dermabrasion segmental face,,,734.26,3346.74,10
HCPCS,15782,Dermabrasion other than face,,,1613.95,13728.11,10
HCPCS,15783,Dermabrasion suprfl any site,,,416.15,1921.25,10
HCPCS,15786,Abrasion lesion single,,,208.93,1473.0,10
HCPCS,15787,Abrasion lesions add-on,,,343.25,1473.0,2
HCPCS,15788,Chemical peel face epiderm,,,343.25,1921.25,10
HCPCS,15789,Chemical peel face dermal,,,513.19,3492.96,10
HCPCS,15792,Chemical peel nonfacial,,,513.19,3492.96,10
HCPCS,15793,Chemical peel nonfacial,,,343.25,1921.25,10
HCPCS,15819,Plastic surgery neck,,,1678.32,3772.45,5
HCPCS,15820,Revision of lower eyelid,,,1903.17,9751.37,10
HCPCS,15821,Revision of lower eyelid,,,1903.17,9751.37,10
HCPCS,15822,Revision of upper eyelid,,,1903.17,9751.37,10
HCPCS,15823,Revision of upper eyelid,,,1903.17,9812.66,10
HCPCS,15824,Removal of forehead wrinkles,,,1903.17,9751.37,10
HCPCS,15825,Removal of neck wrinkles,,,3744.16,16748.17,10
HCPCS,15826,Removal of brow wrinkles,,,3744.16,16748.17,10
HCPCS,15828,Removal of face wrinkles,,,3744.16,16748.17,10
HCPCS,15829,Removal of skin wrinkles,,,3744.16,16748.17,10
HCPCS,15830,Exc Skin Abd,,,6805.6,31382.41,10
HCPCS,15832,Excise excessive skin thigh,,,2965.46,13728.11,10
HCPCS,15833,Excise excessive skin leg,,,2965.46,13728.11,10
HCPCS,15834,Excise excessive skin hip,,,2965.46,13728.11,10
HCPCS,15835,Excise excessive skin buttck,,,2965.46,13728.11,10
HCPCS,15836,Excise excessive skin arm,,,2965.46,13728.11,10
HCPCS,15837,Excise excess skin arm/hand,,,2965.46,13728.11,10
HCPCS,15838,Excise excess skin fat pad,,,2965.46,13728.11,10
HCPCS,15839,Excise excess skin & tissue,,,2630.44,13728.11,10
HCPCS,15840,Nerve palsy fascial graft,,,3744.16,16748.17,10
HCPCS,15841,Nerve palsy muscle graft,,,3744.16,16748.17,10
HCPCS,15842,Nerve palsy microsurg graft,,,1903.17,9812.66,10
HCPCS,15845,Skin and muscle repair face,,,3744.16,16748.17,10
HCPCS,15847,Exc Skin Abd Add-on,,,1473.0,7969.86,2
HCPCS,15851,Remove sutures diff surgeon,,,804.67,9751.37,10
HCPCS,15852,Dressing change not for burn,,,238.17,3492.96,10
HCPCS,15852,HC DRESSING CHANGE UNDER ANESTHESIA,1510.0,1510.0,,,0
HCPCS,15853,HC PR REMOVAL SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,31.0,31.0,,,0
HCPCS,15853,HC REM SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,125.0,125.0,,,0
HCPCS,15853,HC REMOVAL SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,80.0,80.0,,,0
HCPCS,15853,Removal sutr/stapl xreq anes,,,1473.0,1473.0,1
HCPCS,15854,HC PR REMOVAL SUTURES AND STAPLES NOT REQUIRING ANESTHESIA,44.0,44.0,,,0
HCPCS,15854,HC REM SUTURES AND STAPLES NOT REQUIRING ANESTHESIA,125.0,125.0,,,0
HCPCS,15854,HC REMOVAL SUTURES AND STAPLES NOT REQUIRING ANESTHESIA,80.0,80.0,,,0
HCPCS,15854,Removal sutr&stapl xreq anes,,,1473.0,1473.0,1
HCPCS,15860,Test for blood flow in graft,,,238.17,2111.28,10
HCPCS,15876,Suction lipectomy head&neck,,,2630.44,16748.17,10
HCPCS,15877,Suction lipectomy trunk,,,2630.44,16748.17,10
HCPCS,15878,Suction lipectomy upr extrem,,,1903.17,9751.37,10
HCPCS,15879,Suction lipectomy lwr extrem,,,2630.44,16748.17,10
HCPCS,15920,Removal of tail bone ulcer,,,1613.95,13728.11,10
HCPCS,15922,Removal of tail bone ulcer,,,3744.16,16748.17,10
HCPCS,15931,Remove sacrum pressure sore,,,2965.46,13728.11,10
HCPCS,15933,Remove sacrum pressure sore,,,2965.46,13728.11,10
HCPCS,15934,Remove sacrum pressure sore,,,3744.16,16748.17,10
HCPCS,15935,Remove sacrum pressure sore,,,3744.16,16748.17,10
HCPCS,15936,Remove sacrum pressure sore,,,1903.17,9812.66,10
HCPCS,15937,Remove sacrum pressure sore,,,1903.17,9812.66,10
HCPCS,15940,Remove hip pressure sore,,,2965.46,13728.11,10
HCPCS,15941,Remove hip pressure sore,,,2965.46,13728.11,10
HCPCS,15944,Remove hip pressure sore,,,3744.16,16748.17,10
HCPCS,15945,Remove hip pressure sore,,,1903.17,9812.66,10
HCPCS,15946,Remove hip pressure sore,,,1903.17,9812.66,10
HCPCS,15950,Remove thigh pressure sore,,,1692.02,9812.66,10
HCPCS,15951,Remove thigh pressure sore,,,2965.46,13728.11,10
HCPCS,15952,Remove thigh pressure sore,,,1903.17,9812.66,10
HCPCS,15953,Remove thigh pressure sore,,,3744.16,16748.17,10
HCPCS,15956,Remove thigh pressure sore,,,1903.17,9812.66,10
HCPCS,15958,Remove thigh pressure sore,,,3744.16,16748.17,10
HCPCS,15999,Removal of pressure sore,,,734.26,3346.74,9
HCPCS,16000,HC 1ST DEGREE LOCAL TREAT,455.0,455.0,,,0
HCPCS,16000,Initial treatment of burn(s),,,208.93,1473.0,10
HCPCS,16020,Dress/debrid p-thick burn s,,,208.93,1473.0,10
HCPCS,16020,HC DRES/DEBRID PART BURNS <5%,613.0,613.0,,,0
HCPCS,16020,HC PR DRES/DEBRID PART BURNS <5%,188.0,188.0,,,0
HCPCS,16020,HC SM BURN W/O ANESTH,613.0,613.0,,,0
HCPCS,16025,Dress/debrid p-thick burn m,,,208.93,1473.0,10
HCPCS,16025,HC DRES/DEBRID PART BURNS 5%-10%,613.0,613.0,,,0
HCPCS,16030,Dress/debrid p-thick burn l,,,416.15,1921.25,10
HCPCS,16030,HC DRES/DEBRID PART BURNS >10%,613.0,613.0,,,0
HCPCS,16035,Incision of burn scab initi,,,416.15,1921.25,10
HCPCS,16036,Escharotomy addl incision,,,4274.0,9829.75,5
HCPCS,1634,Anesth shoulder joint amput,,,6880.82,9829.75,4
HCPCS,1636,Anesth forequarter amput,,,6880.82,9829.75,4
HCPCS,1652,Anesth shoulder vessel surg,,,6880.82,9829.75,4
HCPCS,1654,Anesth shoulder vessel surg,,,6880.82,9829.75,4
HCPCS,1656,Anesth arm-leg vessel surg,,,6880.82,9829.75,4
HCPCS,17000,Destruct premalg lesion,,,208.93,1473.0,10
HCPCS,17000,HC DESTRUCTION BENIGN 1ST LESION,455.0,455.0,,,0
HCPCS,17000,HC PR DESTRUCT ALL FACIAL LESIONS,184.0,184.0,,,0
HCPCS,17003,Destruct premalg les 2-14,,,136.26,1473.0,2
HCPCS,17003,HC DESTRUCT 2 THRU 14 LESIONS EA,125.0,125.0,,,0
HCPCS,17003,HC PR DESTRUCT 2 THRU 14 LESIONS EA,19.0,19.0,,,0
HCPCS,17004,Destroy premal lesions 15/>,,,416.15,1921.25,10
HCPCS,17004,HC DESTRUCT 15 OR MORE LESIONS,1069.0,1069.0,,,0
HCPCS,17004,HC PR DESTRUCT 15 OR MORE LESIONS,398.0,398.0,,,0
HCPCS,17106,Destruction of skin lesions,,,416.15,1921.25,10
HCPCS,17106,HC DESTR CUT VASC LES<10SQ CM,1069.0,1069.0,,,0
HCPCS,17107,Destruction of skin lesions,,,655.45,3492.96,10
HCPCS,17107,HC DESTR CUT VASC LES 10-50SQ CM,1069.0,1069.0,,,0
HCPCS,17108,Destruction of skin lesions,,,804.67,9751.37,10
HCPCS,17108,HC DESTR CUT VASC LES >50SQ CM,3575.0,3575.0,,,0
HCPCS,17110,Destruct b9 lesion 1-14,,,208.93,1473.0,10
HCPCS,17110,HC DESTRUCTION OF UP TO 14 WARTS,455.0,455.0,,,0
HCPCS,17110,HC PR DESTRUCTION OF UP TO 14 WARTS,274.0,274.0,,,0
HCPCS,17111,Destruct lesion 15 or more,,,208.93,1473.0,10
HCPCS,17111,HC DESTRUCT 15 OR MORE WARTS,613.0,613.0,,,0
HCPCS,17111,HC PR DESTRUCT 15 OR MORE WARTS,368.0,368.0,,,0
HCPCS,17250,Chemical cautery tissue,,,208.93,1473.0,10
HCPCS,17250,HC CHEMICAL CAUTERIZATION TISSUE,613.0,613.0,,,0
HCPCS,17250,HC PR CHEMICAL CAUTERIZATION TISSUE,219.0,219.0,,,0
HCPCS,17260,Destruction of skin lesions,,,208.93,1473.0,10
HCPCS,17261,Destruction of skin lesions,,,208.93,1473.0,10
HCPCS,17262,Destruction of skin lesions,,,208.93,1473.0,10
HCPCS,17262,HC DEST MALIG LES 1.1-2.0CM TRUNK,613.0,613.0,,,0
HCPCS,17262,HC PR DEST MALIG LES 1.1-2.0CM TRUNK,430.0,430.0,,,0
HCPCS,17263,Destruction of skin lesions,,,208.93,1473.0,10
HCPCS,17263,HC DEST MALIG LES 2.1-3.0CM TRUNK,613.0,613.0,,,0
HCPCS,17263,HC PR DEST MALIG LES 2.1-3.0CM TRUNK,430.0,430.0,,,0
HCPCS,17264,Destruction of skin lesions,,,416.15,1921.25,10
HCPCS,17266,Destruction of skin lesions,,,416.15,1921.25,10
HCPCS,17270,Destruction of skin lesions,,,208.93,1473.0,10
HCPCS,17271,Destruction of skin lesions,,,208.93,1473.0,10
HCPCS,17272,Destruction of skin lesions,,,208.93,1473.0,10
HCPCS,17273,Destruction of skin lesions,,,416.15,1921.25,10
HCPCS,17274,Destruction of skin lesions,,,416.15,1921.25,10
HCPCS,17276,Destruction of skin lesions,,,416.15,1921.25,10
HCPCS,17280,Destruction of skin lesions,,,208.93,1473.0,10
HCPCS,17281,Destruction of skin lesions,,,225.58,1473.0,10
HCPCS,17282,Destruction of skin lesions,,,225.58,1473.0,10
HCPCS,17283,Destruction of skin lesions,,,416.15,1921.25,10
HCPCS,17284,Destruction of skin lesions,,,655.45,3492.96,10
HCPCS,17286,Destruction of skin lesions,,,655.45,3492.96,10
HCPCS,17311,Mohs 1 stage h/n/hf/g,,,655.45,3492.96,10
HCPCS,17312,Mohs Addl Stage,,,1473.0,1765.04,2
HCPCS,17313,Mohs 1 stage t/a/l,,,655.45,3492.96,10
HCPCS,17314,Mohs addl stage t/a/l,,,1473.0,1765.04,2
HCPCS,17315,Mohs surg addl block,,,1473.0,1765.04,2
HCPCS,17340,Cryotherapy of skin,,,63.84,1473.0,10
HCPCS,17360,Skin peel therapy,,,208.93,1473.0,10
HCPCS,17380,Hair removal by electrolysis,,,513.19,3492.96,10
HCPCS,1756,Anesth radical humerus surg,,,6880.82,9829.75,4
HCPCS,176,Anesth pharyngeal surgery,,,6880.82,9829.75,4
HCPCS,17999,HC MICRONEEDLING FOR SCAR MANAGEMENT,501.0,501.0,,,0
HCPCS,17999,Skin tissue procedure,,,208.93,1473.0,9
HCPCS,19000,Drainage of breast lesion,,,734.26,3346.74,10
HCPCS,19000,HC ASP OF CYST BREAST INITIAL,2700.0,2700.0,,,0
HCPCS,19000,HC ASPIR OF BREAST CYST,2700.0,2700.0,,,0
HCPCS,19001,Drain breast lesion add-on,,,588.33,1473.0,2
HCPCS,19020,HC MAST W EXPLOR/DRAIN ABCES DEEP,4845.0,4845.0,,,0
HCPCS,19020,Incision of breast lesion,,,1692.02,7805.69,10
HCPCS,19030,Injection for breast x-ray,,,1473.0,1473.0,1
HCPCS,19081,Bx breast 1st lesion strtctc,,,1692.02,7805.69,10
HCPCS,19081,HC STER BREAST BX AUT VC IMG FIRST LESION,4454.0,4454.0,,,0
HCPCS,19082,Bx breast add lesion strtctc,,,1473.0,1473.0,1
HCPCS,19082,HC STEREO BREAST BX AUT VC IMG EA ADDL LESION,1480.0,1480.0,,,0
HCPCS,19083,Bx breast 1st lesion us imag,,,1692.02,7805.69,10
HCPCS,19083,HC US BREAST BX W IMAGE FIRST LESION,4454.0,4454.0,,,0
HCPCS,19084,Bx breast add lesion us imag,,,1473.0,1473.0,1
HCPCS,19084,HC US BREAST BX W IMAGE EA ADDL LESION,1480.0,1480.0,,,0
HCPCS,19085,Bx breast 1st lesion mr imag,,,1692.02,7805.69,10
HCPCS,19085,HC MRI BREAST BX W IMG FIRST LESION,4454.0,4454.0,,,0
HCPCS,19086,Bx breast add lesion mr imag,,,1473.0,1473.0,1
HCPCS,19086,HC MRI BREAST BX W IMG EACH ADDL LESION,1480.0,1480.0,,,0
HCPCS,19100,Bx breast percut w/o image,,,1657.8,7805.69,10
HCPCS,19100,HC BX BREAST PERC W/O IMAGE,4475.0,4475.0,,,0
HCPCS,19100,HC PR BX BREAST PERC W/O IMAGE,376.0,376.0,,,0
HCPCS,19101,Biopsy of breast open,,,3978.03,18504.92,10
HCPCS,19105,Cryosurg ablate fa each,,,3978.03,18504.92,10
HCPCS,19105,HC CRYOBLA FIBRO EA INCL U/S GUID,10377.0,10377.0,,,0
HCPCS,19110,Nipple exploration,,,3978.03,18504.92,10
HCPCS,19112,Excise breast duct fistula,,,3978.03,18504.92,10
HCPCS,19120,Removal of breast lesion,,,3978.03,18504.92,10
HCPCS,19125,Excision breast lesion,,,3978.03,18504.92,10
HCPCS,19126,Excision addl breast lesion,,,1473.0,8937.57,2
HCPCS,192,Anesth facial bone surgery,,,6880.82,9829.75,4
HCPCS,19281,HC PLCMT OF BREAST LOC DEVICE FIRST LESION INC MAMMO GUIDE,3938.0,3938.0,,,0
HCPCS,19281,Perq device breast 1st imag,,,238.17,7805.69,10
HCPCS,19282,HC PLCMT OF BREAST LOC DEVICE EACH ADDL LESION INC MAMMO GUIDE,1480.0,1480.0,,,0
HCPCS,19282,Perq device breast ea imag,,,1473.0,1473.0,1
HCPCS,19283,HC PLCMT BREAST LOC DEV FIRST LESION INC STEREO GUIDE,2700.0,2700.0,,,0
HCPCS,19283,Perq dev breast 1st strtctc,,,238.17,3346.74,10
HCPCS,19284,HC PLCMT BREAST LOC DEV EACH ADDITIONAL LESION INC ST GUIDE,1480.0,1480.0,,,0
HCPCS,19284,Perq dev breast add strtctc,,,1473.0,1473.0,1
HCPCS,19285,HC US GUIDED PLCMT BREAST LOC DEVICE FIRST LESION,2700.0,2700.0,,,0
HCPCS,19285,Perq dev breast 1st us imag,,,238.17,3346.74,10
HCPCS,19286,HC US GUIDED PLCMT BREAST LOC DEVICE EA ADDL LESION,1480.0,1480.0,,,0
HCPCS,19286,Perq dev breast add us imag,,,1473.0,1473.0,1
HCPCS,19287,HC PLCMT BREAST LOC DEVICE FIRST LESION INCL MAG RES GUIDE,2700.0,2700.0,,,0
HCPCS,19287,Perq dev breast 1st mr guide,,,238.17,3346.74,10
HCPCS,19288,HC PLCMT BREAST LOC DEVICE EACH ADDL LESION INCL MAG RES GUIDE,1480.0,1480.0,,,0
HCPCS,19288,Perq dev breast add mr guide,,,1473.0,1473.0,1
HCPCS,19294,Prep tum cav iort prtl mast,,,236.9,2999.9,6
HCPCS,19296,Place po breast cath for rad,,,9189.64,48936.18,10
HCPCS,19297,Place breast cath for rad,,,9556.0,21888.48,2
HCPCS,19298,Place breast rad tube/caths,,,6805.6,65130.81,10
HCPCS,19300,Removal of Breast Tissue,,,3978.03,18504.92,10
HCPCS,19301,Partial Mastectomy,,,3978.03,18504.92,10
HCPCS,19302,P-Mastectomy w/LN Removal,,,6805.6,31382.41,10
HCPCS,19303,Mast simple complete,,,5391.0,31382.41,10
HCPCS,19305,Mast radical,,,2073.0,9829.75,5
HCPCS,19306,Mast rad urban type,,,2073.0,9829.75,5
HCPCS,19307,Mast mod rad,,,6805.6,31382.41,10
HCPCS,19316,Suspension of breast,,,5391.0,31382.41,10
HCPCS,19318,Reduction of large breast,,,6805.6,31382.41,10
HCPCS,19325,Enlarge breast with implant,,,9189.64,38628.64,10
HCPCS,19328,Removal of breast implant,,,2630.44,18504.92,10
HCPCS,19330,Removal of implant material,,,2630.44,18504.92,10
HCPCS,19340,Immediate breast prosthesis,,,6270.01,38628.64,10
HCPCS,19342,Delayed breast prosthesis,,,9189.64,38628.64,10
HCPCS,19350,Breast reconstruction,,,3978.03,18504.92,10
HCPCS,19355,Correct inverted nipple(s),,,3978.03,18504.92,10
HCPCS,19357,Breast reconstruction,,,9556.0,65130.81,10
HCPCS,19361,Breast reconstr w/lat flap,,,2073.0,12989.24,6
HCPCS,19364,Breast reconstruction,,,6880.82,12989.24,6
HCPCS,19367,Breast reconstruction,,,6880.82,12989.24,6
HCPCS,19368,Breast reconstruction,,,6880.82,12989.24,6
HCPCS,19369,Breast reconstruction,,,6880.82,12989.24,6
HCPCS,19370,Surgery of breast capsule,,,3978.03,18504.92,10
HCPCS,19371,Removal of breast capsule,,,3978.03,18504.92,10
HCPCS,19380,Revise breast reconstruction,,,6805.6,31382.41,10
HCPCS,19396,Design custom breast implant,,,4402.26,18504.92,6
HCPCS,19499,Breast surgery procedure,,,3978.03,18504.92,9
HCPCS,19499,HC CRYOABLATION FOR BIOPSY PROVEN BREAST CANCER,8359.0,8359.0,,,0
HCPCS,19499,HC UNLISTED PROCEDURE BREAST,8359.0,8359.0,,,0
HCPCS,1990,Support for organ donor,,,6880.82,9829.75,4
HCPCS,20100,Explore wound neck,,,574.2,2630.44,10
HCPCS,20101,Explore wound chest,,,1903.17,9751.37,10
HCPCS,20101,HC EXPLORATION PENETRATING WOUND CHEST,4660.0,4660.0,,,0
HCPCS,20102,Explore wound abdomen,,,1903.17,9751.37,10
HCPCS,20103,Explore wound extremity,,,1692.02,7805.69,10
HCPCS,20103,HC EXPLORE WOUND EXTREMITY,3856.0,3856.0,,,0
HCPCS,20150,Excise epiphyseal bar,,,3378.06,16493.56,10
HCPCS,20200,Muscle biopsy,,,1692.02,7805.69,10
HCPCS,20205,Deep muscle biopsy,,,2965.46,13728.11,10
HCPCS,20206,HC BIOPSY MUSCLE PERC,4454.0,4454.0,,,0
HCPCS,20206,Needle biopsy muscle,,,1692.02,7805.69,10
HCPCS,20220,Bone biopsy trocar/needle,,,1692.02,7805.69,10
HCPCS,20220,HC BIOPSY BONE SUPERFICIAL,3938.0,3938.0,,,0
HCPCS,20225,Bone biopsy trocar/needle,,,1692.02,7805.69,10
HCPCS,20225,HC BIOPSY BONE DEEP VERT/FEMUR,4325.0,4325.0,,,0
HCPCS,20240,Bone biopsy open superficial,,,2965.46,13728.11,10
HCPCS,20240,HC BONE BIOPSY OPEN SUPERFICIAL,6462.0,6462.0,,,0
HCPCS,20240,HC PR BONE BIOPSY OPEN SUPERFICIAL,473.0,473.0,,,0
HCPCS,20245,Bone biopsy open deep,,,2965.46,13728.11,10
HCPCS,20250,Open bone biopsy,,,3378.06,15463.96,10
HCPCS,20251,Open bone biopsy,,,5391.0,34293.94,10
HCPCS,20500,HC INJ SINUS TRACT THERAPUT,4454.0,4454.0,,,0
HCPCS,20500,Injection of sinus tract,,,1591.58,7333.01,10
HCPCS,20501,HC INJ SINUS TRACT DIAGNOSTIC,1480.0,1480.0,,,0
HCPCS,20501,Inject sinus tract for x-ray,,,1473.0,1473.0,1
HCPCS,20520,HC REM FB MUSCLE SIMPLE,1560.0,1560.0,,,0
HCPCS,20520,Removal of foreign body,,,1613.95,7805.69,10
HCPCS,20525,HC REM FB MUSCLE DEEP,5033.0,5033.0,,,0
HCPCS,20525,Removal of foreign body,,,2965.46,13728.11,10
HCPCS,20526,HC INJ THERAPEUTIC CARPAL TUNNEL,1510.0,1510.0,,,0
HCPCS,20526,HC PR INJ THERAPEUTIC CARPAL TUNNEL,184.0,184.0,,,0
HCPCS,20526,Ther injection carp tunnel,,,309.1,1473.0,10
HCPCS,20527,Inj dupuytren cord w/enzyme,,,309.1,1473.0,10
HCPCS,20550,HC PR TENDON SHEATH INJECTION,135.0,135.0,,,0
HCPCS,20550,HC TENDON SHEATH INJECTION,825.0,825.0,,,0
HCPCS,20550,Inj tendon sheath/ligament,,,309.1,1473.0,10
HCPCS,20551,HC INJ SINGLE TENDON ORIGIN/INSERTION,1510.0,1510.0,,,0
HCPCS,20551,HC PR INJ SINGLE TENDON ORIGIN/INSERTION,134.0,134.0,,,0
HCPCS,20551,Inj tendon origin/insertion,,,309.1,1473.0,10
HCPCS,20552,HC INJ TRIGGER PT ONE/TWO MUSCLE,1575.0,1575.0,,,0
HCPCS,20552,HC PR INJ TRIGGER PT ONE/TWO MUSC,135.0,135.0,,,0
HCPCS,20552,Inj trigger point 1/2 muscl,,,309.1,1473.0,10
HCPCS,20553,HC INJ TRIGG PT THREE/MORE MUSCLE,1625.0,1625.0,,,0
HCPCS,20553,HC PR INJ TRIGG PT THREE/MORE MUS,145.0,145.0,,,0
HCPCS,20553,Inject trigger points 3/>,,,309.1,1473.0,10
HCPCS,20555,Place ndl musc/tis for rt,,,3378.06,15463.96,10
HCPCS,20560,Ndl insj w/o njx 1 or 2 musc,,,31.09,1473.0,9
HCPCS,20561,Ndl insj w/o njx 3+ musc,,,31.09,1473.0,9
HCPCS,20600,Drain/inj joint/bursa w/o us,,,309.1,1473.0,10
HCPCS,20600,HC INJ ASP SMALL JOINT,925.0,925.0,,,0
HCPCS,20600,HC PR INJ ASP SMALL JOINT,106.0,106.0,,,0
HCPCS,20604,Drain/inj joint/bursa w/us,,,309.1,1473.0,10
HCPCS,20604,HC INJ ASP SMALL JOINT WITH ULTRASOUND,1492.0,1492.0,,,0
HCPCS,20604,HC PR INJ ASP SMALL JOINT WITH ULTRASOUND,192.0,192.0,,,0
HCPCS,20605,Drain/inj joint/bursa w/o us,,,309.1,1473.0,10
HCPCS,20605,HC INJ ASP INTERMED JOINT,1480.0,1480.0,,,0
HCPCS,20605,HC PR INJ ASP INTERMED JOINT,114.0,114.0,,,0
HCPCS,20606,Drain/inj joint/bursa w/us,,,721.71,3336.1,10
HCPCS,20606,HC ARTHROCENTEIS ASP &OR INJ INTERMED JNT/BURSA W ULTRASOUND W REC RPT,841.0,841.0,,,0
HCPCS,20606,HC INJ ASP INTERMEDIATE JOINT WITH ULTRASOUND,1260.5,1260.5,,,0
HCPCS,20606,HC PR INJ ASP INTERMEDIATE JOINT WITH ULTRASOUND,168.0,168.0,,,0
HCPCS,20610,Drain/inj joint/bursa w/o us,,,309.1,1473.0,10
HCPCS,20610,HC INJ ASP MAJOR JOINT,1510.0,1510.0,,,0
HCPCS,20610,HC INJ ASP SHLDR HIP KNEE,1510.0,1510.0,,,0
HCPCS,20610,HC PR INJ ASP MAJOR JOINT,131.0,131.0,,,0
HCPCS,20611,Drain/inj joint/bursa w/us,,,309.1,1473.0,10
HCPCS,20611,HC ARTHROCENTESIS ASP &OR INJ MAJOR JNT/BURSA W ULTRASOUND W REC RPT,1480.0,1480.0,,,0
HCPCS,20611,HC ARTHROCENTESIS ASP INJ MAJOR JNT/BURSA W US PERM REC & RPT,1480.0,1480.0,,,0
HCPCS,20611,HC INJ ASP MAJOR JOINT W US W PERMANENT RECORD & REPORT,1480.0,1480.0,,,0
HCPCS,20611,HC PR ARTHROCENTESIS ASP INJ MAJOR JNT/BURSA W US PERM REC & RPT,190.0,190.0,,,0
HCPCS,20612,Aspirate/inj ganglion cyst,,,309.1,1473.0,10
HCPCS,20612,HC ASP/INJ GANG CYST(S) ANY LOC,1480.0,1480.0,,,0
HCPCS,20612,HC PR ASP/INJ GANG CYST(S) ANY LOC,177.0,177.0,,,0
HCPCS,20615,HC INJ/ASP BONE CYST,2700.0,2700.0,,,0
HCPCS,20615,Treatment of bone cyst,,,734.26,3346.74,10
HCPCS,20650,HC INSERT PIN W/APP SKELETAL TRAC,8099.0,8099.0,,,0
HCPCS,20650,Insert and remove bone pin,,,3378.06,15463.96,10
HCPCS,20660,Apply rem fixation device,,,1677.32,7599.61,10
HCPCS,20661,Application of head brace,,,1473.0,9829.75,9
HCPCS,20661,HC HALO TRAC INSERTION CRANIAL,10523.0,10523.0,,,0
HCPCS,20662,Application of pelvis brace,,,1677.32,9812.66,10
HCPCS,20663,Application of thigh brace,,,3378.06,15463.96,10
HCPCS,20664,Application of halo,,,1807.92,9829.75,9
HCPCS,20665,HC REMOVAL TONGS OR HALO APPL BY ANOTHER IND,425.0,425.0,,,0
HCPCS,20665,HC REMOVAL TONGS OR HALO APPL BY ANOTHER INDIVIDUAL,425.0,425.0,,,0
HCPCS,20665,Removal of fixation device,,,238.17,2111.28,10
HCPCS,20670,HC PR REMOVAL IMPLANT SUPERFICIAL,1060.0,1060.0,,,0
HCPCS,20670,HC REMOVAL IMPLANT SUPERFICIAL,4325.0,4325.0,,,0
HCPCS,20670,Removal of support implant,,,1692.02,7805.69,10
HCPCS,20680,Removal of support implant,,,2965.46,13728.11,10
HCPCS,20690,Apply bone fixation device,,,5391.0,34293.94,10
HCPCS,20690,HC EXT FIXATION DEVICE ONE PLANE,8099.0,8099.0,,,0
HCPCS,20692,Apply bone fixation device,,,5391.0,60677.5,10
HCPCS,20693,Adjust bone fixation device,,,5391.0,34293.94,10
HCPCS,20694,Remove bone fixation device,,,1677.32,7599.61,10
HCPCS,20696,Comp multiplane ext fixation,,,5391.0,128239.39,10
HCPCS,20697,Comp ext fixate strut change,,,1677.32,7599.61,10
HCPCS,20700,Mnl prep&insj dp rx dlvr dev,,,1473.0,1473.0,1
HCPCS,20701,Rmvl deep rx delivery device,,,1473.0,1473.0,1
HCPCS,20702,Mnl prep&insj imed rx dev,,,1473.0,1473.0,1
HCPCS,20703,Rmvl imed rx delivery device,,,1473.0,1473.0,1
HCPCS,20704,Mnl prep&insj i-artic rx dev,,,1473.0,1473.0,1
HCPCS,20705,Rmvl i-artic rx delivery dev,,,1473.0,1473.0,1
HCPCS,20802,Replantation arm complete,,,6880.82,82867.4,9
HCPCS,20805,Replant forearm complete,,,6880.82,82867.4,9
HCPCS,20808,Replantation hand complete,,,6880.82,82867.4,9
HCPCS,20816,HC REPLANT DIGIT EXCLUD THUMB COMPL AMPUTATION,6571.0,6571.0,,,0
HCPCS,20816,Replantation digit complete,,,1807.92,14015.34,9
HCPCS,20822,HC REPLANT DIGIT EXCL THUMB COMPL AMPUTATION,6948.0,6948.0,,,0
HCPCS,20822,Replantation digit complete,,,1677.32,9913.24,10
HCPCS,20824,Replantation thumb complete,,,1807.92,14015.34,9
HCPCS,20827,Replantation thumb complete,,,1807.92,14015.34,9
HCPCS,20838,Replantation foot complete,,,6880.82,82867.4,9
HCPCS,20900,Removal of bone for graft,,,5391.0,34293.94,10
HCPCS,20902,Removal of bone for graft,,,5391.0,34293.94,10
HCPCS,20910,Remove cartilage for graft,,,655.45,7245.32,10
HCPCS,20912,Remove cartilage for graft,,,3744.16,16748.17,10
HCPCS,20920,Removal of fascia for graft,,,1903.17,9812.66,10
HCPCS,20922,Removal of fascia for graft,,,1903.17,9812.66,10
HCPCS,20924,Removal of tendon for graft,,,5391.0,34293.94,10
HCPCS,20930,Sp bone algrft morsel add-on,,,1473.0,1473.0,1
HCPCS,20931,Sp bone algrft struct add-on,,,1473.0,1473.0,1
HCPCS,20932,Osteoart algrft w/surf & b1,,,1473.0,1473.0,1
HCPCS,20933,Hemicrt intrclry algrft prtl,,,1473.0,1473.0,1
HCPCS,20934,Intercalary algrft compl,,,1473.0,1473.0,1
HCPCS,20936,Sp bone agrft local add-on,,,5391.0,5391.0,1
HCPCS,20937,Sp bone agrft morsel add-on,,,5391.0,5391.0,1
HCPCS,20938,Sp bone agrft struct add-on,,,5391.0,5391.0,1
HCPCS,20939,Bone marrow aspir bone grfg,,,97.54,1473.0,6
HCPCS,20950,Fluid pressure muscle,,,601.91,3346.74,10
HCPCS,20950,HC FLUID PRESSURE MUSCLE,960.0,960.0,,,0
HCPCS,20955,Fibula bone graft microvasc,,,6880.82,34293.94,9
HCPCS,20956,Iliac bone graft microvasc,,,6880.82,34293.94,9
HCPCS,20957,Mt bone graft microvasc,,,6880.82,34293.94,9
HCPCS,20962,Other bone graft microvasc,,,6880.82,34293.94,9
HCPCS,20969,Bone/skin graft microvasc,,,6880.82,34293.94,9
HCPCS,20970,Bone/skin graft iliac crest,,,6880.82,34293.94,9
HCPCS,20972,Bone/skin graft metatarsal,,,7466.19,34293.94,10
HCPCS,20973,Bone/skin graft great toe,,,7466.19,34293.94,10
HCPCS,20974,Electrical bone stimulation,,,51.41,1473.0,6
HCPCS,20975,Electrical bone stimulation,,,1473.0,1473.0,1
HCPCS,20979,Us bone stimulation,,,31.09,1473.0,10
HCPCS,20982,Ablate bone tumor(s) perq,,,6270.01,82867.4,10
HCPCS,20982,HC RF ABLATION BONE PERC,13066.0,13066.0,,,0
HCPCS,20983,Ablate bone tumor(s) perq,,,6270.01,34293.94,10
HCPCS,20983,HC CRYOABLATION BONE,16819.0,16819.0,,,0
HCPCS,20985,Cptr-asst dir ms px,,,1473.0,1473.0,1
HCPCS,20999,HC UNLISTED PROC MUSCULOSKEL SYS,1480.0,1480.0,,,0
HCPCS,20999,Musculoskeletal surgery,,,246.11,9812.66,9
HCPCS,21010,Incision of jaw joint,,,3360.08,15732.11,10
HCPCS,21011,Exc face les sc <2 cm,,,1692.02,7805.69,10
HCPCS,21012,Exc face les sbq 2 cm/>,,,1692.02,7805.69,10
HCPCS,21013,Exc face tum deep < 2 cm,,,1692.02,7805.69,10
HCPCS,21014,Exc face tum deep 2 cm/>,,,2630.44,13728.11,10
HCPCS,21015,Resect face/scalp tum < 2 cm,,,2965.46,13728.11,10
HCPCS,21016,Resect face/scalp tum 2 cm/>,,,2965.46,13728.11,10
HCPCS,21025,Excision of bone lower jaw,,,6111.67,27977.99,10
HCPCS,21026,Excision of facial bone(s),,,4822.0,27977.99,10
HCPCS,21029,Contour of face bone lesion,,,3360.08,15669.35,10
HCPCS,21030,Excise max/zygoma b9 tumor,,,4822.0,27977.99,10
HCPCS,21031,Remove exostosis mandible,,,3360.08,15669.35,10
HCPCS,21032,Remove exostosis maxilla,,,3360.08,15669.35,10
HCPCS,21034,Excise max/zygoma mal tumor,,,6111.67,27977.99,10
HCPCS,21040,Excise mandible lesion,,,3360.08,15669.35,10
HCPCS,21044,Removal of jaw bone lesion,,,6111.67,27977.99,10
HCPCS,21045,Extensive jaw surgery,,,6655.88,27977.99,9
HCPCS,21046,Remove mandible cyst complex,,,6111.67,27977.99,10
HCPCS,21047,Excise lwr jaw cyst w/repair,,,6111.67,27977.99,10
HCPCS,21048,Remove maxilla cyst complex,,,6111.67,27977.99,10
HCPCS,21049,Excis uppr jaw cyst w/repair,,,6111.67,27977.99,10
HCPCS,21050,Removal of jaw joint,,,6111.67,27977.99,10
HCPCS,21060,Remove jaw joint cartilage,,,6111.67,27977.99,10
HCPCS,21070,Remove coronoid process,,,6111.67,27977.99,10
HCPCS,21073,Mnpj of tmj w/anesth,,,1591.58,8635.34,10
HCPCS,21076,Prepare face/oral prosthesis,,,1744.5,14015.34,6
HCPCS,21077,Prepare face/oral prosthesis,,,6655.88,27977.99,6
HCPCS,21079,Prepare face/oral prosthesis,,,3727.69,15732.11,6
HCPCS,21080,Prepare face/oral prosthesis,,,3727.69,15732.11,6
HCPCS,21081,Prepare face/oral prosthesis,,,6655.88,27977.99,6
HCPCS,21082,Prepare face/oral prosthesis,,,3727.69,15732.11,6
HCPCS,21083,Prepare face/oral prosthesis,,,3727.69,15732.11,6
HCPCS,21084,Prepare face/oral prosthesis,,,3727.69,15732.11,6
HCPCS,21085,Prepare face/oral prosthesis,,,266.3,14015.34,6
HCPCS,21086,Prepare face/oral prosthesis,,,3727.69,15732.11,6
HCPCS,21087,Prepare face/oral prosthesis,,,6655.88,27977.99,6
HCPCS,21088,Prepare face/oral prosthesis,,,3727.69,15732.11,6
HCPCS,21089,Prepare face/oral prosthesis,,,254.93,1473.0,9
HCPCS,211,Anesth cran surg hemotoma,,,6880.82,9829.75,4
HCPCS,21100,Maxillofacial fixation,,,6111.67,27977.99,10
HCPCS,21110,HC APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLOC,2205.0,2205.0,,,0
HCPCS,21110,Interdental fixation,,,1591.58,7333.01,10
HCPCS,21116,HC ARTHRO TMJ JOINT INJ,1480.0,1480.0,,,0
HCPCS,21116,Injection jaw joint x-ray,,,1473.0,1473.0,1
HCPCS,21120,Reconstruction of chin,,,2630.44,27977.99,10
HCPCS,21121,Reconstruction of chin,,,3360.08,15669.35,10
HCPCS,21122,Reconstruction of chin,,,4822.0,27977.99,10
HCPCS,21123,Reconstruction of chin,,,3360.08,15669.35,10
HCPCS,21125,Augmentation lower jaw bone,,,2630.44,27977.99,10
HCPCS,21127,Augmentation lower jaw bone,,,6111.67,27977.99,10
HCPCS,21137,Reduction of forehead,,,2630.44,15669.35,10
HCPCS,21138,Reduction of forehead,,,6111.67,27977.99,10
HCPCS,21139,Reduction of forehead,,,6111.67,27977.99,10
HCPCS,21141,Lefort i-1 piece w/o graft,,,6111.67,27977.99,9
HCPCS,21142,Lefort i-2 piece w/o graft,,,6111.67,27977.99,9
HCPCS,21143,Lefort i-3/> piece w/o graft,,,6111.67,27977.99,9
HCPCS,21145,Lefort i-1 piece w/ graft,,,6655.88,27977.99,9
HCPCS,21146,Lefort i-2 piece w/ graft,,,6655.88,27977.99,9
HCPCS,21147,Lefort i-3/> piece w/ graft,,,6655.88,27977.99,9
HCPCS,21150,Lefort ii anterior intrusion,,,6111.67,27977.99,10
HCPCS,21151,Lefort ii w/bone grafts,,,6655.88,27977.99,9
HCPCS,21154,Lefort iii w/o lefort i,,,6655.88,27977.99,9
HCPCS,21155,Lefort iii w/ lefort i,,,6655.88,27977.99,9
HCPCS,21159,Lefort iii w/fhdw/o lefort i,,,6655.88,27977.99,9
HCPCS,21160,Lefort iii w/fhd w/ lefort i,,,6655.88,27977.99,9
HCPCS,21172,Reconstruct orbit/forehead,,,6111.67,27977.99,10
HCPCS,21175,Reconstruct orbit/forehead,,,6111.67,27977.99,10
HCPCS,21179,Reconstruct entire forehead,,,6655.88,27977.99,9
HCPCS,21180,Reconstruct entire forehead,,,6655.88,27977.99,9
HCPCS,21181,Contour cranial bone lesion,,,4822.0,27977.99,10
HCPCS,21182,Reconstruct cranial bone,,,6655.88,27977.99,9
HCPCS,21183,Reconstruct cranial bone,,,6655.88,27977.99,9
HCPCS,21184,Reconstruct cranial bone,,,6655.88,27977.99,9
HCPCS,21188,Reconstruction of midface,,,6655.88,27977.99,9
HCPCS,21193,Reconst lwr jaw w/o graft,,,6111.67,27977.99,10
HCPCS,21194,Reconst lwr jaw w/graft,,,6111.67,27977.99,9
HCPCS,21195,Reconst lwr jaw w/o fixation,,,6111.67,27977.99,10
HCPCS,21196,Reconst lwr jaw w/fixation,,,6111.67,27977.99,9
HCPCS,21198,Reconstr lwr jaw segment,,,4822.0,27977.99,10
HCPCS,21199,Reconstr Lwr Jaw W/Advance,,,6111.67,27977.99,10
HCPCS,21206,Reconstruct upper jaw bone,,,6111.67,27977.99,10
HCPCS,21208,Augmentation of facial bones,,,6111.67,27977.99,10
HCPCS,21209,Reduction of facial bones,,,6111.67,27977.99,10
HCPCS,21210,Face bone graft,,,6111.67,27977.99,10
HCPCS,21215,Lower jaw bone graft,,,6111.67,27977.99,10
HCPCS,21230,Rib cartilage graft,,,6111.67,27977.99,10
HCPCS,21235,Ear cartilage graft,,,4274.0,27977.99,10
HCPCS,21240,Reconstruction of jaw joint,,,6111.67,27977.99,10
HCPCS,21242,Reconstruction of jaw joint,,,6111.67,27977.99,10
HCPCS,21243,Reconstruction of jaw joint,,,9174.0,128239.39,10
HCPCS,21244,Reconstruction of lower jaw,,,6111.67,27977.99,10
HCPCS,21245,Reconstruction of jaw,,,6111.67,27977.99,10
HCPCS,21246,Reconstruction of jaw,,,6111.67,27977.99,10
HCPCS,21247,Reconstruct lower jaw bone,,,6655.88,27977.99,9
HCPCS,21248,Reconstruction of jaw,,,6111.67,27977.99,10
HCPCS,21249,Reconstruction of jaw,,,6111.67,27977.99,10
HCPCS,21255,Reconstruct lower jaw bone,,,6111.67,27977.99,9
HCPCS,21256,Reconstruction of orbit,,,6111.67,27977.99,10
HCPCS,21260,Revise eye sockets,,,6111.67,27977.99,10
HCPCS,21261,Revise eye sockets,,,6111.67,27977.99,10
HCPCS,21263,Revise eye sockets,,,6111.67,27977.99,10
HCPCS,21267,Revise eye sockets,,,6111.67,27977.99,10
HCPCS,21268,Revise eye sockets,,,6655.88,27977.99,9
HCPCS,21270,Augmentation cheek bone,,,6111.67,27977.99,10
HCPCS,21275,Revision orbitofacial bones,,,6111.67,27977.99,10
HCPCS,21280,Revision of eyelid,,,3360.08,15732.11,10
HCPCS,21282,Revision of eyelid,,,3360.08,15669.35,10
HCPCS,21295,Revision of jaw muscle/bone,,,1591.58,7333.01,10
HCPCS,21296,Revision of jaw muscle/bone,,,3360.08,15669.35,10
HCPCS,21299,Cranio/maxillofacial surgery,,,254.93,1473.0,9
HCPCS,21315,Closed tx nose fx w/o stablj,,,1591.58,7333.01,10
HCPCS,21315,HC CL TX NASAL BONE FX W MANIPULATION WO STABILIZATION,2205.0,2205.0,,,0
HCPCS,21320,Closed tx nose fx w/ stablj,,,3360.08,15669.35,10
HCPCS,21320,HC CL TX NASAL BONE FX W MANIPULATION W STABILIZATION,4928.0,4928.0,,,0
HCPCS,21325,HC OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED,8029.0,8029.0,,,0
HCPCS,21325,Open tx nose fx uncomplicatd,,,3360.08,15669.35,10
HCPCS,21330,Open tx nose fx w/skele fixj,,,4822.0,27977.99,10
HCPCS,21335,Open tx nose & septal fx,,,3360.08,15669.35,10
HCPCS,21336,Open tx septal fx w/wo stabj,,,3378.06,15463.96,10
HCPCS,21337,Closed tx septal&nose fx,,,3360.08,15669.35,10
HCPCS,21337,HC CLOSED TX NASAL SEPTAL FX,4928.0,4928.0,,,0
HCPCS,21338,Open nasoethmoid fx w/o fixj,,,4822.0,27977.99,10
HCPCS,21339,Open nasoethmoid fx w/ fixj,,,4822.0,27977.99,10
HCPCS,21340,Perq tx nasoethmoid fx,,,3360.08,15732.11,10
HCPCS,21343,Open tx dprsd front sinus fx,,,6655.88,27977.99,9
HCPCS,21344,Open tx compl front sinus fx,,,6655.88,27977.99,9
HCPCS,21345,Closed tx nose/jaw fx,,,1591.58,12989.24,10
HCPCS,21345,HC CLOSED TX NASAL MAXILLARY FX COMPLEX,5400.0,5400.0,,,0
HCPCS,21346,Opn tx nasomax fx w/fixj,,,4822.0,27977.99,10
HCPCS,21347,Opn tx nasomax fx multple,,,6111.67,27977.99,9
HCPCS,21348,Opn tx nasomax fx w/graft,,,6655.88,27977.99,9
HCPCS,21355,Perq tx malar fracture,,,3360.08,15732.11,10
HCPCS,21356,Opn tx dprsd zygomatic arch,,,4822.0,27977.99,10
HCPCS,21360,Opn tx dprsd malar fracture,,,4822.0,27977.99,10
HCPCS,21365,Opn tx complx malar fx,,,6111.67,27977.99,10
HCPCS,21366,Opn tx complx malar w/grft,,,6111.67,27977.99,9
HCPCS,21385,Opn tx orbit fx transantral,,,6111.67,27977.99,10
HCPCS,21386,Opn tx orbit fx periorbital,,,6111.67,27977.99,10
HCPCS,21387,Opn tx orbit fx combined,,,6111.67,27977.99,10
HCPCS,21390,Opn tx orbit periorbtl implt,,,6111.67,27977.99,10
HCPCS,21395,Opn tx orbit periorbt w/grft,,,6111.67,27977.99,10
HCPCS,214,Anesth skull drainage,,,6880.82,9829.75,4
HCPCS,21400,Closed tx orbit w/o manipulj,,,574.2,6270.01,10
HCPCS,21401,Closed tx orbit w/manipulj,,,1591.58,9812.66,10
HCPCS,21406,Opn tx orbit fx w/o implant,,,6111.67,27977.99,10
HCPCS,21407,Opn tx orbit fx w/implant,,,6111.67,27977.99,10
HCPCS,21408,Opn tx orbit fx w/bone grft,,,6111.67,27977.99,10
HCPCS,21421,Treat mouth roof fracture,,,3360.08,15732.11,10
HCPCS,21422,Treat mouth roof fracture,,,6111.67,27977.99,9
HCPCS,21423,Treat mouth roof fracture,,,6655.88,27977.99,9
HCPCS,21431,Treat craniofacial fracture,,,6655.88,27977.99,9
HCPCS,21432,Treat craniofacial fracture,,,6655.88,27977.99,9
HCPCS,21433,Treat craniofacial fracture,,,6655.88,27977.99,9
HCPCS,21435,Treat craniofacial fracture,,,6655.88,27977.99,9
HCPCS,21436,Treat craniofacial fracture,,,6655.88,27977.99,9
HCPCS,21440,HC CLOSED TX FX MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE,5846.0,5846.0,,,0
HCPCS,21440,Treat dental ridge fracture,,,3360.08,15669.35,10
HCPCS,21445,Treat dental ridge fracture,,,6111.67,27977.99,10
HCPCS,21450,HC CLOSED TX FX MANDIBULAR WO MANIP,2226.0,2226.0,,,0
HCPCS,21450,Treat lower jaw fracture,,,574.2,9812.66,10
HCPCS,21451,HC CLOSED TX FX MANDIBULAR W MANIP,4928.0,4928.0,,,0
HCPCS,21451,Treat lower jaw fracture,,,1591.58,9812.66,10
HCPCS,21452,Treat lower jaw fracture,,,4274.0,27977.99,10
HCPCS,21453,HC CL TX MANDIBULAR FX W/INT FIX,9693.0,9693.0,,,0
HCPCS,21453,Treat lower jaw fracture,,,6111.67,27977.99,10
HCPCS,21454,Treat lower jaw fracture,,,4822.0,27977.99,10
HCPCS,21461,Treat lower jaw fracture,,,6111.67,27977.99,10
HCPCS,21462,Treat lower jaw fracture,,,6111.67,27977.99,10
HCPCS,21465,Treat lower jaw fracture,,,6111.67,27977.99,10
HCPCS,21470,Treat lower jaw fracture,,,6111.67,27977.99,10
HCPCS,21480,HC I/C TM REDUCTION,351.0,351.0,,,0
HCPCS,21480,Reset dislocated jaw,,,246.11,2630.44,10
HCPCS,21485,Reset dislocated jaw,,,1591.58,8635.34,10
HCPCS,21490,Repair dislocated jaw,,,3360.08,15732.11,10
HCPCS,21497,Interdental wiring,,,1591.58,7333.01,10
HCPCS,21499,Head surgery procedure,,,254.93,1473.0,9
HCPCS,215,Anesth skull repair/fract,,,6880.82,9829.75,4
HCPCS,21501,Drain neck/chest lesion,,,2965.46,13728.11,10
HCPCS,21501,HC DRAIN DEEP ABSC NCK/THRX,7691.0,7691.0,,,0
HCPCS,21502,Drain chest lesion,,,3378.06,15463.96,10
HCPCS,21510,Drainage of bone lesion,,,3678.83,15463.96,9
HCPCS,21550,Biopsy of neck/chest,,,1692.02,7805.69,10
HCPCS,21550,HC BIOPSY SOFT TISSUE NECK OR THORAX,4325.0,4325.0,,,0
HCPCS,21550,HC BX SOFT TISS NECK OR CHEST,4325.0,4325.0,,,0
HCPCS,21550,HC PR BIOPSY SOFT TISSUE NECK OR THORAX,685.0,685.0,,,0
HCPCS,21552,Exc neck les sc 3 cm/>,,,2965.46,13728.11,10
HCPCS,21552,HC EXC TUMOR SOFT TISS NECK/ANT THORAX SUB 3 CM OR>,6881.0,6881.0,,,0
HCPCS,21552,HC PR EXC TUMOR SOFT TISS NECK/ANT THORAX SUB 3 CM OR>,1300.0,1300.0,,,0
HCPCS,21554,Exc neck tum deep 5 cm/>,,,2965.46,13728.11,10
HCPCS,21555,Exc neck les sc < 3 cm,,,1692.02,7805.69,10
HCPCS,21555,HC EXC TUMOR SOFT TISS NECK/ANT THORAX SUBCUT <3CM,4326.0,4326.0,,,0
HCPCS,21555,HC PR EXC TUMOR SOFT TISS NECK/ANT THORAX SUBCUT <3CM,1105.0,1105.0,,,0
HCPCS,21556,Exc neck tum deep < 5 cm,,,2965.46,13728.11,10
HCPCS,21556,HC EXC TUMOR SOFT TISS NECK/ANT THORAX SUBFASC <5CM,6881.0,6881.0,,,0
HCPCS,21556,HC PR EXC TUMOR SOFT TISS NECK/ANT THORAX SUBFASC <5CM,1362.0,1362.0,,,0
HCPCS,21557,HC PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM,2612.0,2612.0,,,0
HCPCS,21557,HC RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM,4326.0,4326.0,,,0
HCPCS,21557,Resect neck thorax tumor<5cm,,,2965.46,13728.11,10
HCPCS,21558,Resect neck tumor 5 cm/>,,,2965.46,13728.11,10
HCPCS,21600,Partial removal of rib,,,5391.0,34293.94,10
HCPCS,21601,Exc chest wall tumor w/ribs,,,2965.46,13728.11,10
HCPCS,21602,Exc ch wal tum w/o lymphadec,,,6880.82,34293.94,9
HCPCS,21603,Exc ch wal tum w/lymphadec,,,6880.82,34293.94,9
HCPCS,21610,Partial removal of rib,,,3378.06,15463.96,10
HCPCS,21615,Removal of rib,,,6270.01,34293.94,9
HCPCS,21616,Removal of rib and nerves,,,6880.82,34293.94,9
HCPCS,21620,Partial removal of sternum,,,3678.83,15463.96,9
HCPCS,21627,Sternal debridement,,,3678.83,15463.96,9
HCPCS,21630,Extensive sternum surgery,,,6880.82,34293.94,9
HCPCS,21632,Extensive sternum surgery,,,12989.24,12989.24,1
HCPCS,21685,Hyoid myotomy & suspension,,,4822.0,27977.99,10
HCPCS,21700,Revision of neck muscle,,,4822.0,34293.94,10
HCPCS,21705,Revision of neck muscle/rib,,,6880.82,34293.94,9
HCPCS,21720,Revision of neck muscle,,,3378.06,15463.96,10
HCPCS,21725,Revision of neck muscle,,,601.91,9812.66,10
HCPCS,21740,Reconstruction of sternum,,,6880.82,34293.94,9
HCPCS,21742,Repair stern/nuss w/o scope,,,3378.06,16493.56,10
HCPCS,21743,Repair sternum/nuss w/scope,,,3378.06,16493.56,10
HCPCS,21750,Repair of sternum separation,,,6880.82,34293.94,9
HCPCS,21811,Optx of rib fx w/fixj scope,,,4822.0,34293.94,10
HCPCS,21812,Treatment of rib fracture,,,4822.0,34293.94,10
HCPCS,21813,Treatment of rib fracture,,,1677.32,9158.61,10
HCPCS,21820,Treat sternum fracture,,,246.11,2630.44,10
HCPCS,21825,Treat sternum fracture,,,6880.82,34293.94,9
HCPCS,21899,HC UNLISTED PROC NECK OR THORAX,1480.0,1480.0,,,0
HCPCS,21899,Neck/chest surgery procedure,,,254.93,1473.0,9
HCPCS,21920,Biopsy soft tissue of back,,,1692.02,7805.69,10
HCPCS,21920,HC BX SFT TISS BACK SUPERFI,3938.0,3938.0,,,0
HCPCS,21925,Biopsy soft tissue of back,,,1692.02,7969.86,10
HCPCS,21925,HC BX SFT TISS BACK/FLNK DP,7691.0,7691.0,,,0
HCPCS,21930,Exc back les sc < 3 cm,,,1692.02,7805.69,10
HCPCS,21931,Exc back les sc 3 cm/>,,,1692.02,9812.66,10
HCPCS,21931,HC EXC TUMOR SOFT TISS BACK OR FLANK SUBCUT 3CM OR>,7691.0,7691.0,,,0
HCPCS,21932,Exc back tum deep < 5 cm,,,2965.46,13728.11,10
HCPCS,21933,Exc back tum deep 5 cm/>,,,2965.46,13728.11,10
HCPCS,21935,Resect back tum < 5 cm,,,2965.46,13728.11,10
HCPCS,21936,Resect back tum 5 cm/>,,,2965.46,13728.11,10
HCPCS,22010,I&d p-spine c/t/cerv-thor,,,6880.82,34293.94,9
HCPCS,22015,I&d abscess p-spine l/s/ls,,,6880.82,34293.94,9
HCPCS,22100,Remove part of neck vertebra,,,7466.19,34293.94,10
HCPCS,22101,Remove part thorax vertebra,,,7466.19,34293.94,10
HCPCS,22102,Remove part lumbar vertebra,,,7466.19,34293.94,10
HCPCS,22103,Remove extra spine segment,,,1473.0,18033.71,2
HCPCS,22110,Remove part of neck vertebra,,,6880.82,34293.94,9
HCPCS,22112,Remove part thorax vertebra,,,6880.82,34293.94,9
HCPCS,22114,Remove part lumbar vertebra,,,6880.82,34293.94,9
HCPCS,22116,Remove extra spine segment,,,1473.0,9829.75,5
HCPCS,22206,Incis spine 3 column thorac,,,6880.82,34293.94,9
HCPCS,22207,Incis spine 3 column lumbar,,,6880.82,34293.94,9
HCPCS,22208,Incis spine 3 column adl seg,,,1473.0,9829.75,5
HCPCS,22210,Incis 1 vertebral seg cerv,,,6880.82,34293.94,9
HCPCS,22212,Incis 1 vertebral seg thorac,,,6880.82,34293.94,9
HCPCS,22214,Incis 1 vertebral seg lumbar,,,6880.82,34293.94,9
HCPCS,22216,Incis addl spine segment,,,1473.0,9829.75,5
HCPCS,22220,Incis w/discectomy cervical,,,6880.82,34293.94,9
HCPCS,22222,Incis w/discectomy thoracic,,,6880.82,34293.94,10
HCPCS,22224,Incis w/discectomy lumbar,,,6880.82,34293.94,9
HCPCS,22226,Revise extra spine segment,,,1473.0,9829.75,5
HCPCS,22310,Closed tx vert fx w/o manj,,,246.11,2630.44,10
HCPCS,22310,HC CLOSED TX FX VERTEBRAL WO MANIP INCL CAST,705.0,705.0,,,0
HCPCS,22310,HC CLOSED TX FX VERTEBRAL WO MANIP REQ & INC CAST/BRACE,705.0,705.0,,,0
HCPCS,22310,HC PR CLOSED TX FX VERTEBRAL WO MANIP REQ & INC CAST/BRACE,765.0,765.0,,,0
HCPCS,22315,Closed tx vert fx w/manj,,,3378.06,15463.96,10
HCPCS,22318,Treat odontoid fx w/o graft,,,6880.82,60677.5,9
HCPCS,22319,Treat odontoid fx w/graft,,,6880.82,60677.5,9
HCPCS,22325,HC OPEN TMT VERT FX DISL VERT LUM,6988.0,6988.0,,,0
HCPCS,22325,Treat spine fracture,,,6880.82,60677.5,9
HCPCS,22326,Treat neck spine fracture,,,6880.82,60677.5,9
HCPCS,22327,Treat thorax spine fracture,,,6880.82,60677.5,9
HCPCS,22328,Treat each add spine fx,,,1473.0,9829.75,5
HCPCS,22505,Manipulation of spine,,,1677.32,7599.61,10
HCPCS,22510,HC PR VERTPLAST CERVTHOR PERC WWO BX UNILAT OR BILAT,1976.0,1976.0,,,0
HCPCS,22510,HC VERTPLAST CERVTHOR PERC WWO BX UNILAT OR BILAT,10377.0,10377.0,,,0
HCPCS,22510,Perq cervicothoracic inject,,,3378.06,15463.96,10
HCPCS,22511,HC PR VERTPLAST LS PERC W&WO BX UNILAT/BILAT INJ,1820.0,1820.0,,,0
HCPCS,22511,HC VERTPLAST LS PERC W&WO BX UNILAT/BILAT INJ,10377.0,10377.0,,,0
HCPCS,22511,Perq lumbosacral injection,,,3378.06,15463.96,10
HCPCS,22512,HC VERTPLAST EACH ADDL CERVICOTHOR/LUMBOSACRAL PERC W&WO BX,5555.0,5555.0,,,0
HCPCS,22512,Vertebroplasty addl inject,,,1473.0,11067.88,2
HCPCS,22513,HC PERC VERT AGMNT W CAVITY CREAT THORACIC UNI/BI CANN,19270.0,19270.0,,,0
HCPCS,22513,HC PERC VERT AGMNT W CAVITY CREATION THORACIC UNI/BI CANNULATION,19270.0,19270.0,,,0
HCPCS,22513,HC PR PERC VERT AGMNT W CAVITY CREAT THORACIC UNI/BI CANN,1376.0,1376.0,,,0
HCPCS,22513,Perq vertebral augmentation,,,7466.19,34293.94,10
HCPCS,22514,HC PERC VERT AGMNT W CAVITY CREAT LUMBAR UNI/BI CANN,18363.0,18363.0,,,0
HCPCS,22514,HC PERC VERT AGMNT W CAVITY CREATION LUMBAR UNI/BI CANNULATION,18363.0,18363.0,,,0
HCPCS,22514,HC PR PERC VERT AGMNT W CAVITY CREAT LUMBAR UNI/BI CANN,1163.0,1163.0,,,0
HCPCS,22514,Perq vertebral augmentation,,,7466.19,34293.94,10
HCPCS,22515,HC PERC VERT AGMNT UNI/BI CANN EACH ADDL THORACIC/LUMBAR,6418.0,6418.0,,,0
HCPCS,22515,HC PR PERC VERT AGMNT UNI/BI CANN EACH ADDL THORACIC/LUMBAR,569.0,569.0,,,0
HCPCS,22515,Perq vertebral augmentation,,,1473.0,28128.18,2
HCPCS,22526,Idet single level,,,3488.9,9812.66,6
HCPCS,22527,Idet 1 or more levels,,,3488.9,9812.66,6
HCPCS,22532,Lat thorax spine fusion,,,6880.82,60677.5,9
HCPCS,22533,Lat lumbar spine fusion,,,6880.82,82867.4,9
HCPCS,22534,Lat thor/lumb addl seg,,,1473.0,9829.75,5
HCPCS,22548,Neck spine fusion,,,6880.82,60677.5,9
HCPCS,22551,Neck spine fuse&remov bel c2,,,9556.0,60677.5,10
HCPCS,22552,Addl neck spine fusion,,,9174.0,9174.0,1
HCPCS,22554,Neck spine fusion,,,9556.0,60677.5,10
HCPCS,22556,Thorax spine fusion,,,6880.82,82867.4,9
HCPCS,22558,Lumbar spine fusion,,,6880.82,128239.39,9
HCPCS,22585,Additional spinal fusion,,,9556.0,9556.0,1
HCPCS,22586,Prescrl fuse w/ instr l5-s1,,,6880.82,82867.4,9
HCPCS,22590,Spine & skull spinal fusion,,,6880.82,60677.5,9
HCPCS,22595,Neck spinal fusion,,,6880.82,60677.5,9
HCPCS,22600,Neck spine fusion,,,6880.82,82867.4,9
HCPCS,22610,Thorax spine fusion,,,6880.82,82867.4,9
HCPCS,22612,Lumbar spine fusion,,,9556.0,82867.4,10
HCPCS,22614,Spine fusion extra segment,,,1473.0,18033.71,2
HCPCS,22630,Lumbar spine fusion,,,14015.34,128239.39,9
HCPCS,22632,Spine fusion extra segment,,,1473.0,1473.0,1
HCPCS,22633,Lumbar spine fusion combined,,,19449.14,128239.39,9
HCPCS,22634,Spine fusion extra segment,,,1473.0,1473.0,1
HCPCS,22800,Post fusion <=6 vert seg,,,6880.82,82867.4,9
HCPCS,22802,Post fusion 7-12 vert seg,,,6880.82,82867.4,9
HCPCS,22804,Post fusion 13/> vert seg,,,6880.82,82867.4,9
HCPCS,22808,Ant fusion 2-3 vert seg,,,6880.82,82867.4,9
HCPCS,22810,Ant fusion 4-7 vert seg,,,6880.82,82867.4,9
HCPCS,22812,Ant fusion 8/> vert seg,,,6880.82,82867.4,9
HCPCS,22818,Kyphectomy 1-2 segments,,,6880.82,82867.4,9
HCPCS,22819,Kyphectomy 3 or more,,,6880.82,82867.4,9
HCPCS,22830,Exploration of spinal fusion,,,6880.82,34293.94,9
HCPCS,22836,Ant thrc vrt body tethrg <7,,,2073.0,82867.4,8
HCPCS,22837,Ant thrc vrt body tethrg 8+,,,2073.0,82867.4,8
HCPCS,22838,Rev rplc/rmv thrc vrt tethrg,,,2073.0,82867.4,8
HCPCS,22840,Insert spine fixation device,,,1473.0,1473.0,1
HCPCS,22841,Insert spine fixation device,,,1473.0,1473.0,1
HCPCS,22842,Insert spine fixation device,,,1473.0,1473.0,1
HCPCS,22843,Insert spine fixation device,,,1473.0,9829.75,5
HCPCS,22844,Insert spine fixation device,,,1473.0,9829.75,5
HCPCS,22845,Insert spine fixation device,,,9556.0,9556.0,1
HCPCS,22846,Insert spine fixation device,,,6880.82,9829.75,5
HCPCS,22847,Insert spine fixation device,,,6880.82,9829.75,5
HCPCS,22848,Insert pelv fixation device,,,1473.0,9829.75,5
HCPCS,22849,Reinsert spinal fixation,,,6880.82,60677.5,9
HCPCS,22850,Remove spine fixation device,,,6880.82,34293.94,9
HCPCS,22852,Remove spine fixation device,,,6880.82,34293.94,9
HCPCS,22853,Insj biomechanical device,,,1473.0,11067.88,2
HCPCS,22854,Insj biomechanical device,,,1473.0,11067.88,2
HCPCS,22855,Remove spine fixation device,,,6880.82,34293.94,9
HCPCS,22856,Cerv artific diskectomy,,,9556.0,82867.4,10
HCPCS,22857,Lumbar Artif Diskectomy,,,6880.82,82867.4,9
HCPCS,22858,Second level cer diskectomy,,,1473.0,18033.71,2
HCPCS,22859,Insj biomechanical device,,,1473.0,11067.88,2
HCPCS,22860,Tot disc arthrp 2ntrspc lmbr,,,2073.0,9829.75,5
HCPCS,22861,Revise cerv artific disc,,,6880.82,82867.4,9
HCPCS,22862,Revise Lumbar Artif Disc,,,6880.82,82867.4,9
HCPCS,22864,Remove cerv artif disc,,,6880.82,34293.94,9
HCPCS,22865,Remove Lumb Artif Disc,,,6880.82,34293.94,9
HCPCS,22867,Insj stablj dev w/dcmprn,,,9556.0,82867.4,10
HCPCS,22868,Insj stablj dev w/dcmprn,,,1473.0,1473.0,1
HCPCS,22869,Insj stablj dev w/o dcmprn,,,9556.0,60677.5,10
HCPCS,22870,Insj stablj dev w/o dcmprn,,,1473.0,1473.0,1
HCPCS,22899,HC UNLISTED PROCEDURE SPINE,8063.0,8063.0,,,0
HCPCS,22899,Spine surgery procedure,,,246.11,12989.24,9
HCPCS,22900,Exc abdl tum deep < 5 cm,,,2965.46,13728.11,10
HCPCS,22901,Exc abdl tum deep 5 cm/>,,,2965.46,13728.11,10
HCPCS,22902,Exc abd les sc < 3 cm,,,1692.02,7805.69,10
HCPCS,22903,Exc abd les sc 3 cm/>,,,2965.46,13728.11,10
HCPCS,22904,Radical resect abd tumor<5cm,,,2965.46,13728.11,10
HCPCS,22905,Rad resect abd tumor 5 cm/>,,,2965.46,13728.11,10
HCPCS,22999,Abdomen surgery procedure,,,246.11,9812.66,9
HCPCS,22999,HC UNLISTED PROC ABD MUSCULOSKEL,8063.0,8063.0,,,0
HCPCS,23000,Removal of calcium deposits,,,2965.46,13728.11,10
HCPCS,23020,Release shoulder joint,,,3378.06,15463.96,10
HCPCS,23030,Drain shoulder lesion,,,2630.44,13728.11,10
HCPCS,23031,Drain shoulder bursa,,,2965.46,13728.11,10
HCPCS,23035,Drain shoulder bone lesion,,,1677.32,9812.66,10
HCPCS,23040,Exploratory shoulder surgery,,,3378.06,15463.96,10
HCPCS,23044,Exploratory shoulder surgery,,,3378.06,15463.96,10
HCPCS,23065,Biopsy shoulder tissues,,,1692.02,7805.69,10
HCPCS,23065,HC BX SFT TISS SHOULDER SUPERF,3938.0,3938.0,,,0
HCPCS,23066,Biopsy shoulder tissues,,,2965.46,13728.11,10
HCPCS,23066,HC BX SFT TISS SHOULDER DEEP,7691.0,7691.0,,,0
HCPCS,23071,Exc shoulder les sc 3 cm/>,,,1692.02,9812.66,10
HCPCS,23073,Exc shoulder tum deep 5 cm/>,,,2965.46,13728.11,10
HCPCS,23075,Exc shoulder les sc < 3 cm,,,1692.02,7805.69,10
HCPCS,23076,Exc shoulder tum deep < 5 cm,,,2965.46,13728.11,10
HCPCS,23077,Resect shoulder tumor < 5 cm,,,2965.46,13728.11,10
HCPCS,23078,Resect shoulder tumor 5 cm/>,,,2965.46,13728.11,10
HCPCS,23100,Biopsy of shoulder joint,,,3378.06,15463.96,10
HCPCS,23101,Shoulder joint surgery,,,3378.06,15463.96,10
HCPCS,23105,Remove shoulder joint lining,,,5391.0,34293.94,10
HCPCS,23106,Incision of collarbone joint,,,3378.06,15463.96,10
HCPCS,23107,Explore treat shoulder joint,,,5391.0,34293.94,10
HCPCS,23120,Partial removal collar bone,,,3378.06,15463.96,10
HCPCS,23125,Removal of collar bone,,,3378.06,15463.96,10
HCPCS,23130,Remove shoulder bone part,,,3378.06,16493.56,10
HCPCS,23140,Removal of bone lesion,,,3378.06,15463.96,10
HCPCS,23145,Removal of bone lesion,,,3378.06,15463.96,10
HCPCS,23146,Removal of bone lesion,,,5391.0,34293.94,10
HCPCS,23150,Removal of humerus lesion,,,3378.06,15463.96,10
HCPCS,23155,Removal of humerus lesion,,,5391.0,34293.94,10
HCPCS,23156,Removal of humerus lesion,,,5391.0,34293.94,10
HCPCS,23170,Remove collar bone lesion,,,3378.06,15463.96,10
HCPCS,23172,Remove shoulder blade lesion,,,3378.06,15463.96,10
HCPCS,23174,Remove humerus lesion,,,5391.0,34293.94,10
HCPCS,23180,Remove collar bone lesion,,,5391.0,34293.94,10
HCPCS,23182,Remove shoulder blade lesion,,,5391.0,34293.94,10
HCPCS,23184,Remove humerus lesion,,,5391.0,34293.94,10
HCPCS,23190,Partial removal of scapula,,,3378.06,15463.96,10
HCPCS,23195,Removal of head of humerus,,,5391.0,34293.94,10
HCPCS,23200,Resect clavicle tumor,,,6880.82,34293.94,9
HCPCS,23210,Resect scapula tumor,,,6880.82,34293.94,9
HCPCS,23220,Resect prox humerus tumor,,,6880.82,34293.94,9
HCPCS,23330,Remove shoulder foreign body,,,1692.02,7805.69,10
HCPCS,23333,Remove shoulder fb deep,,,2630.44,13728.11,10
HCPCS,23334,Shoulder prosthesis removal,,,2965.46,34293.94,10
HCPCS,23335,Shoulder prosthesis removal,,,4822.0,34293.94,9
HCPCS,23350,HC INJ SHOULDER ARTHRO,1480.0,1480.0,,,0
HCPCS,23350,Injection for shoulder x-ray,,,1473.0,1473.0,1
HCPCS,23395,Muscle transfer shoulder/arm,,,7466.19,34293.94,10
HCPCS,23397,Muscle transfers,,,7466.19,34293.94,10
HCPCS,23400,Fixation of shoulder blade,,,5391.0,34293.94,10
HCPCS,23405,Incision of tendon & muscle,,,5391.0,34293.94,10
HCPCS,23406,Incise tendon(s) & muscle(s),,,5391.0,34293.94,10
HCPCS,23410,Repair rotator cuff acute,,,7466.19,34293.94,10
HCPCS,23412,Repair rotator cuff chronic,,,7466.19,34293.94,10
HCPCS,23415,Release of shoulder ligament,,,7466.19,34293.94,10
HCPCS,23420,Repair of shoulder,,,7466.19,34293.94,10
HCPCS,23430,Repair biceps tendon,,,7466.19,34293.94,10
HCPCS,23440,Remove/transplant tendon,,,5391.0,34293.94,10
HCPCS,23450,Repair shoulder capsule,,,7466.19,34293.94,10
HCPCS,23455,Repair shoulder capsule,,,7466.19,34293.94,10
HCPCS,23460,Repair shoulder capsule,,,7466.19,34293.94,10
HCPCS,23462,Repair shoulder capsule,,,7466.19,34293.94,10
HCPCS,23465,Repair shoulder capsule,,,7466.19,34293.94,10
HCPCS,23466,Repair shoulder capsule,,,7466.19,34293.94,10
HCPCS,23470,Reconstruct shoulder joint,,,13735.35,60677.5,10
HCPCS,23472,Reconstruct shoulder joint,,,19010.0,82867.4,9
HCPCS,23473,Revis reconst shoulder joint,,,9174.0,60677.5,10
HCPCS,23474,Revis reconst shoulder joint,,,6880.82,60677.5,9
HCPCS,23480,Revision of collar bone,,,7466.19,34293.94,10
HCPCS,23485,Revision of collar bone,,,9556.0,60677.5,10
HCPCS,23490,Reinforce clavicle,,,7466.19,34293.94,10
HCPCS,23491,Reinforce shoulder bones,,,9556.0,60677.5,10
HCPCS,23500,HC CL TMT CLAV FRAC WO MANIP,536.0,536.0,,,0
HCPCS,23500,Treat clavicle fracture,,,246.11,2630.44,10
HCPCS,23505,Treat clavicle fracture,,,1677.32,7599.61,10
HCPCS,23515,Treat clavicle fracture,,,7466.19,34293.94,10
HCPCS,23520,Treat clavicle dislocation,,,1677.32,7599.61,10
HCPCS,23525,Treat clavicle dislocation,,,246.11,2630.44,10
HCPCS,23530,Treat clavicle dislocation,,,7466.19,34293.94,10
HCPCS,23532,Treat clavicle dislocation,,,4822.0,34293.94,10
HCPCS,23540,Treat clavicle dislocation,,,246.11,2630.44,10
HCPCS,23545,Treat clavicle dislocation,,,246.11,2630.44,10
HCPCS,23550,Treat clavicle dislocation,,,7466.19,34293.94,10
HCPCS,23552,Treat clavicle dislocation,,,7466.19,34293.94,10
HCPCS,23570,Treat shoulder blade fx,,,246.11,2630.44,10
HCPCS,23575,HC CL TMT SCAPULAR FRAC W MANIP,721.0,721.0,,,0
HCPCS,23575,Treat shoulder blade fx,,,1473.0,7599.61,10
HCPCS,23585,Treat scapula fracture,,,7466.19,34293.94,10
HCPCS,23600,Treat humerus fracture,,,246.11,2630.44,10
HCPCS,23605,HC CL TMT PROX HUM FRAC W MANIP,4845.0,4845.0,,,0
HCPCS,23605,Treat humerus fracture,,,1677.32,7599.61,10
HCPCS,23615,Treat humerus fracture,,,9556.0,60677.5,10
HCPCS,23616,Treat humerus fracture,,,9556.0,82867.4,10
HCPCS,23620,Treat humerus fracture,,,246.11,2630.44,10
HCPCS,23625,HC CL TMT GREAT HUM TUBEROSITY FRAC W MANIP,4985.0,4985.0,,,0
HCPCS,23625,Treat humerus fracture,,,1677.32,7599.61,10
HCPCS,23630,Treat humerus fracture,,,7466.19,34293.94,10
HCPCS,23650,HC SHOULDER DISLOCATE W/O ANES,721.0,721.0,,,0
HCPCS,23650,Treat shoulder dislocation,,,246.11,2630.44,10
HCPCS,23655,HC CL TX SHOULDER DISLOC W ANES,4093.0,4093.0,,,0
HCPCS,23655,Treat shoulder dislocation,,,1677.32,7599.61,10
HCPCS,23660,Treat shoulder dislocation,,,7466.19,34293.94,10
HCPCS,23665,HC CL TX SHOULDER DISLOC W MAN,2678.0,2678.0,,,0
HCPCS,23665,Treat dislocation/fracture,,,1677.32,7599.61,10
HCPCS,23670,Treat dislocation/fracture,,,7466.19,34293.94,10
HCPCS,23675,HC CL TMT SHOULDER DISLOCATION W NECK FRAC W MANIP,721.0,721.0,,,0
HCPCS,23675,Treat dislocation/fracture,,,641.25,7599.61,10
HCPCS,23680,Treat dislocation/fracture,,,9556.0,60677.5,10
HCPCS,23700,Fixation of shoulder,,,1677.32,7599.61,10
HCPCS,23800,Fusion of shoulder joint,,,7466.19,34293.94,10
HCPCS,23802,Fusion of shoulder joint,,,9556.0,60677.5,10
HCPCS,23900,Amputation of arm & girdle,,,6880.82,60677.5,9
HCPCS,23920,Amputation at shoulder joint,,,6880.82,60677.5,9
HCPCS,23921,Amputation follow-up surgery,,,1903.17,9812.66,10
HCPCS,23929,Shoulder surgery procedure,,,246.11,1473.0,9
HCPCS,23930,Drainage of arm lesion,,,2630.44,13728.11,10
HCPCS,23930,HC I&D DEEP ABSC UPPER ARM/ELBOW,4845.0,4845.0,,,0
HCPCS,23931,Drainage of arm bursa,,,1692.02,7805.69,10
HCPCS,23931,HC I&D UPPER ARM/ELBOW BURSA,3687.0,3687.0,,,0
HCPCS,23935,Drain arm/elbow bone lesion,,,3378.06,15463.96,10
HCPCS,24000,Exploratory elbow surgery,,,3378.06,15463.96,10
HCPCS,24006,Release elbow joint,,,3378.06,15463.96,10
HCPCS,24065,Biopsy arm/elbow soft tissue,,,1692.02,7805.69,10
HCPCS,24065,HC BX ARM/ELBW SOFT TISSUE,4325.0,4325.0,,,0
HCPCS,24066,Biopsy arm/elbow soft tissue,,,2965.46,13728.11,10
HCPCS,24071,Exc arm/elbow les sc 3 cm/>,,,2965.46,13728.11,10
HCPCS,24073,Ex arm/elbow tum deep 5 cm/>,,,2965.46,13728.11,10
HCPCS,24075,Exc arm/elbow les sc < 3 cm,,,1692.02,7805.69,10
HCPCS,24076,Ex arm/elbow tum deep < 5 cm,,,2965.46,13728.11,10
HCPCS,24077,Resect arm/elbow tum < 5 cm,,,2965.46,13728.11,10
HCPCS,24079,Resect arm/elbow tum 5 cm/>,,,2965.46,13728.11,10
HCPCS,24100,Biopsy elbow joint lining,,,2630.44,15463.96,10
HCPCS,24101,Explore/treat elbow joint,,,3378.06,15463.96,10
HCPCS,24102,Remove elbow joint lining,,,3378.06,15463.96,10
HCPCS,24105,Removal of elbow bursa,,,3378.06,15463.96,10
HCPCS,24110,Remove humerus lesion,,,3378.06,15463.96,10
HCPCS,24115,Remove/graft bone lesion,,,5391.0,34293.94,10
HCPCS,24116,Remove/graft bone lesion,,,5391.0,34293.94,10
HCPCS,24120,Remove elbow lesion,,,3378.06,15463.96,10
HCPCS,24125,Remove/graft bone lesion,,,3378.06,15463.96,10
HCPCS,24126,Remove/graft bone lesion,,,5391.0,34293.94,10
HCPCS,24130,Removal of head of radius,,,3378.06,15463.96,10
HCPCS,24134,Removal of arm bone lesion,,,5391.0,34293.94,10
HCPCS,24136,Remove radius bone lesion,,,3378.06,15463.96,10
HCPCS,24138,Remove elbow bone lesion,,,5391.0,34293.94,10
HCPCS,24140,Partial removal of arm bone,,,3378.06,15463.96,10
HCPCS,24145,Partial removal of radius,,,5391.0,34293.94,10
HCPCS,24147,Partial removal of elbow,,,3378.06,15463.96,10
HCPCS,24149,Radical resection of elbow,,,5391.0,34293.94,10
HCPCS,24150,Resect distal humerus tumor,,,7466.19,34293.94,10
HCPCS,24152,Resect radius tumor,,,7466.19,34293.94,10
HCPCS,24155,Removal of elbow joint,,,3378.06,15463.96,10
HCPCS,24160,Remove elbow joint implant,,,3378.06,15463.96,10
HCPCS,24164,Remove radius head implant,,,3378.06,15463.96,10
HCPCS,24200,HC REM FB SUBCUTANEOUS ARM/UPPER,4003.0,4003.0,,,0
HCPCS,24200,Removal of arm foreign body,,,1613.95,7805.69,10
HCPCS,24201,Removal of arm foreign body,,,2965.46,13728.11,10
HCPCS,24220,HC INJ ELBOW ARTHRO,1480.0,1480.0,,,0
HCPCS,24220,Injection for elbow x-ray,,,1473.0,1473.0,1
HCPCS,24300,Manipulate elbow w/anesth,,,1677.32,7599.61,10
HCPCS,24301,Muscle/tendon transfer,,,5391.0,34293.94,10
HCPCS,24305,Arm tendon lengthening,,,3378.06,15463.96,10
HCPCS,24310,Revision of arm tendon,,,3378.06,15463.96,10
HCPCS,24320,Repair of arm tendon,,,5391.0,34293.94,10
HCPCS,24330,Revision of arm muscles,,,7466.19,34293.94,10
HCPCS,24331,Revision of arm muscles,,,7466.19,34293.94,10
HCPCS,24332,Tenolysis triceps,,,3378.06,15463.96,10
HCPCS,24340,Repair of biceps tendon,,,7466.19,34293.94,10
HCPCS,24341,HC REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA PRIME/SECND,18602.0,18602.0,,,0
HCPCS,24341,Repair arm tendon/muscle,,,7466.19,34293.94,10
HCPCS,24342,Repair of ruptured tendon,,,7466.19,34293.94,10
HCPCS,24343,Repr elbow lat ligmnt w/tiss,,,3378.06,15463.96,10
HCPCS,24344,Reconstruct elbow lat ligmnt,,,7466.19,34293.94,10
HCPCS,24345,Repr elbw med ligmnt w/tissu,,,5391.0,34293.94,10
HCPCS,24346,Reconstruct elbow med ligmnt,,,9174.0,60677.5,10
HCPCS,24357,Repair elbow perc,,,3378.06,15463.96,10
HCPCS,24358,Repair elbow w/deb open,,,3378.06,15463.96,10
HCPCS,24359,Repair elbow deb/attch open,,,3378.06,15463.96,10
HCPCS,24360,Reconstruct elbow joint,,,7466.19,34293.94,10
HCPCS,24361,Reconstruct elbow joint,,,12989.24,82867.4,10
HCPCS,24362,Reconstruct elbow joint,,,9174.0,60677.5,10
HCPCS,24363,Replace elbow joint,,,12989.24,82867.4,10
HCPCS,24365,Reconstruct head of radius,,,9174.0,60677.5,10
HCPCS,24366,Reconstruct head of radius,,,12989.24,60677.5,10
HCPCS,24370,Revise reconst elbow joint,,,13735.35,60677.5,10
HCPCS,24371,Revise reconst elbow joint,,,19010.0,82867.4,10
HCPCS,24400,Revision of humerus,,,7466.19,34293.94,10
HCPCS,24410,Revision of humerus,,,9174.0,60677.5,10
HCPCS,24420,Revision of humerus,,,7466.19,34293.94,10
HCPCS,24430,Repair of humerus,,,9556.0,60677.5,10
HCPCS,24435,Repair humerus with graft,,,9556.0,60677.5,10
HCPCS,24470,Revision of elbow joint,,,3378.06,16493.56,10
HCPCS,24495,Decompression of forearm,,,5391.0,34293.94,10
HCPCS,24498,Reinforce humerus,,,9556.0,60677.5,10
HCPCS,24500,HC CL TMT HUM SHAFT FRAC WO MANIP,721.0,721.0,,,0
HCPCS,24500,Treat humerus fracture,,,246.11,2630.44,10
HCPCS,24505,HC CL TMT HUM SHAFT FRAC W MANIP,721.0,721.0,,,0
HCPCS,24505,Treat humerus fracture,,,641.25,7599.61,10
HCPCS,24515,Treat humerus fracture,,,9556.0,60677.5,10
HCPCS,24516,Treat humerus fracture,,,9556.0,60677.5,10
HCPCS,24530,HC CL TMT SUPER/TRANSCONDULAR FRAC WO MANIP,721.0,721.0,,,0
HCPCS,24530,Treat humerus fracture,,,246.11,2630.44,10
HCPCS,24535,HC CL TMT SUPER/TRANSCONDULAR FRAC W MANIP,721.0,721.0,,,0
HCPCS,24535,Treat humerus fracture,,,1473.0,7599.61,10
HCPCS,24538,Treat humerus fracture,,,4822.0,34293.94,10
HCPCS,24545,Treat humerus fracture,,,9556.0,60677.5,10
HCPCS,24546,Treat humerus fracture,,,9556.0,60677.5,10
HCPCS,24560,HC CL TMT HUMERAL EPICONDULAR FRAC WO MANIP,536.0,536.0,,,0
HCPCS,24560,Treat humerus fracture,,,246.11,2630.44,10
HCPCS,24565,HC CL TMT HUMERAL EPICONDULAR FRAC W MANIP,721.0,721.0,,,0
HCPCS,24565,Treat humerus fracture,,,641.25,7599.61,10
HCPCS,24566,Treat humerus fracture,,,1677.32,9158.61,10
HCPCS,24575,Treat humerus fracture,,,9556.0,60677.5,10
HCPCS,24576,HC CL TMT HUMERAL CONDULAR FRAC WO MANIP,705.0,705.0,,,0
HCPCS,24576,Treat humerus fracture,,,246.11,2630.44,10
HCPCS,24577,HC CL TMT HUMERAL CONDULAR FRAC W MANIP,721.0,721.0,,,0
HCPCS,24577,Treat humerus fracture,,,641.25,7599.61,10
HCPCS,24579,Treat humerus fracture,,,9556.0,60677.5,10
HCPCS,24582,Treat humerus fracture,,,4822.0,34293.94,10
HCPCS,24586,Treat elbow fracture,,,9556.0,60677.5,10
HCPCS,24587,Treat elbow fracture,,,9556.0,60677.5,10
HCPCS,24600,HC ELBOW DISLOCATE W/O ANES,721.0,721.0,,,0
HCPCS,24600,Treat elbow dislocation,,,246.11,2630.44,10
HCPCS,24605,HC TX CLOSED ELBOW DISLOCATION W ANES,5235.0,5235.0,,,0
HCPCS,24605,Treat elbow dislocation,,,1677.32,7599.61,10
HCPCS,24615,Treat elbow dislocation,,,7466.19,34293.94,10
HCPCS,24620,HC CL TMT MONTEGGIA FX W/MAN,5066.0,5066.0,,,0
HCPCS,24620,Treat elbow fracture,,,1677.32,7599.61,10
HCPCS,24635,Treat elbow fracture,,,7466.19,34293.94,10
HCPCS,24640,HC CL TMT RAD HD SUBLUX CH W/MAN,721.0,721.0,,,0
HCPCS,24640,HC PR CL TMT RAD HD SUBLUX CH W/MAN,299.0,299.0,,,0
HCPCS,24640,Treat elbow dislocation,,,246.11,1473.0,10
HCPCS,24650,HC CL TMT RADIAL HEAD FX W/O MAN,721.0,721.0,,,0
HCPCS,24650,Treat radius fracture,,,246.11,1473.0,10
HCPCS,24655,HC CL TMT RADIAL HEAD FX W MAN,721.0,721.0,,,0
HCPCS,24655,Treat radius fracture,,,1473.0,7599.61,10
HCPCS,24665,Treat radius fracture,,,7466.19,34293.94,10
HCPCS,24666,Treat radius fracture,,,9556.0,60677.5,10
HCPCS,24670,Treat ulnar fracture,,,246.11,2630.44,10
HCPCS,24675,HC CL TMT ULNAR FX PROXIMAL END W MAN,721.0,721.0,,,0
HCPCS,24675,Treat ulnar fracture,,,641.25,7599.61,10
HCPCS,24685,Treat ulnar fracture,,,7466.19,34293.94,10
HCPCS,24800,Fusion of elbow joint,,,7466.19,34293.94,10
HCPCS,24802,Fusion/graft of elbow joint,,,9556.0,60677.5,10
HCPCS,24900,Amputation of upper arm,,,6880.82,60677.5,9
HCPCS,24920,Amputation of upper arm,,,6880.82,60677.5,9
HCPCS,24925,Amputation follow-up surgery,,,3378.06,15463.96,10
HCPCS,24930,Amputation follow-up surgery,,,6880.82,34293.94,9
HCPCS,24931,Amputate upper arm & implant,,,6880.82,60677.5,9
HCPCS,24935,Revision of amputation,,,7466.19,34293.94,10
HCPCS,24940,Revision of upper arm,,,6880.82,60677.5,9
HCPCS,24999,Upper arm/elbow surgery,,,246.11,1473.0,9
HCPCS,25000,Incision of tendon sheath,,,1677.32,9812.66,10
HCPCS,25001,Incise flexor carpi radialis,,,3378.06,15463.96,10
HCPCS,25020,Decompress forearm 1 space,,,1677.32,11067.88,10
HCPCS,25023,Decompress forearm 1 space,,,3378.06,15463.96,10
HCPCS,25024,Decompress forearm 2 spaces,,,3378.06,15463.96,10
HCPCS,25025,Decompress forearm 2 spaces,,,1677.32,11067.88,10
HCPCS,25028,Drainage of forearm lesion,,,2630.44,15463.96,10
HCPCS,25028,HC I&D DEEP ABSC FOREARM/WRIST,5305.0,5305.0,,,0
HCPCS,25031,Drainage of forearm bursa,,,1677.32,7599.61,10
HCPCS,25035,Treat forearm bone lesion,,,4822.0,34293.94,10
HCPCS,25040,Explore/treat wrist joint,,,3378.06,15463.96,10
HCPCS,25065,Biopsy forearm soft tissues,,,1692.02,7805.69,10
HCPCS,25065,HC BIOPSY SOFT TISSUE FOREARM &OR WRIST SUPERFICIAL,3675.0,3675.0,,,0
HCPCS,25066,Biopsy forearm soft tissues,,,2965.46,13728.11,10
HCPCS,25071,Exc forearm les sc 3 cm/>,,,1692.02,9812.66,10
HCPCS,25073,Exc forearm tum deep 3 cm/>,,,2965.46,13728.11,10
HCPCS,25075,Exc forearm les sc < 3 cm,,,1692.02,7805.69,10
HCPCS,25076,Exc forearm tum deep < 3 cm,,,1692.02,9812.66,10
HCPCS,25077,Resect forearm/wrist tum<3cm,,,2965.46,13728.11,10
HCPCS,25078,Resect forarm/wrist tum 3cm>,,,2965.46,13728.11,10
HCPCS,25085,Incision of wrist capsule,,,3378.06,15463.96,10
HCPCS,25100,Biopsy of wrist joint,,,3378.06,15463.96,10
HCPCS,25101,Explore/treat wrist joint,,,3378.06,15463.96,10
HCPCS,25105,Remove wrist joint lining,,,3378.06,15463.96,10
HCPCS,25107,Remove wrist joint cartilage,,,3378.06,15463.96,10
HCPCS,25109,Excise tendon forearm/wrist,,,3378.06,15463.96,10
HCPCS,25110,Remove wrist tendon lesion,,,1677.32,9812.66,10
HCPCS,25111,Remove wrist tendon lesion,,,1677.32,9812.66,10
HCPCS,25112,Reremove wrist tendon lesion,,,1677.32,9812.66,10
HCPCS,25115,Remove wrist/forearm lesion,,,1677.32,9812.66,10
HCPCS,25116,Remove wrist/forearm lesion,,,3378.06,15463.96,10
HCPCS,25118,Excise wrist tendon sheath,,,1677.32,11067.88,10
HCPCS,25119,Partial removal of ulna,,,3378.06,15463.96,10
HCPCS,25120,Removal of forearm lesion,,,3378.06,15463.96,10
HCPCS,25125,Remove/graft forearm lesion,,,1677.32,11067.88,10
HCPCS,25126,Remove/graft forearm lesion,,,3378.06,15463.96,10
HCPCS,25130,Removal of wrist lesion,,,3378.06,15463.96,10
HCPCS,25135,Remove & graft wrist lesion,,,5391.0,34293.94,10
HCPCS,25136,Remove & graft wrist lesion,,,5391.0,34293.94,10
HCPCS,25145,Remove forearm bone lesion,,,3378.06,15463.96,10
HCPCS,25150,Partial removal of ulna,,,3378.06,15463.96,10
HCPCS,25151,Partial removal of radius,,,3378.06,15463.96,10
HCPCS,25170,Resect radius/ulnar tumor,,,5391.0,34293.94,10
HCPCS,25210,Removal of wrist bone,,,3378.06,15463.96,10
HCPCS,25215,Removal of wrist bones,,,3378.06,15463.96,10
HCPCS,25230,Partial removal of radius,,,3378.06,15463.96,10
HCPCS,25240,Partial removal of ulna,,,3378.06,15463.96,10
HCPCS,25246,HC INJ WRIST ARTHRO,1490.0,1490.0,,,0
HCPCS,25246,Injection for wrist x-ray,,,1473.0,1473.0,1
HCPCS,25248,HC EXPLORATION W/REM FB ARM/WRIST,5305.0,5305.0,,,0
HCPCS,25248,Remove forearm foreign body,,,1677.32,7599.61,10
HCPCS,25250,Removal of wrist prosthesis,,,1677.32,11067.88,10
HCPCS,25251,Removal of wrist prosthesis,,,2630.44,15463.96,10
HCPCS,25259,Manipulate wrist w/anesthes,,,1677.32,9812.66,10
HCPCS,25260,HC REPR TENDON/MUSC FLEX FOREARM/WRIST PRIMARY EA,8912.0,8912.0,,,0
HCPCS,25260,Repair forearm tendon/muscle,,,3378.06,15463.96,10
HCPCS,25263,Repair forearm tendon/muscle,,,5391.0,34293.94,10
HCPCS,25265,Repair forearm tendon/muscle,,,3378.06,15463.96,10
HCPCS,25270,HC REP TENDON/MUSC ENTEN FOREARM WRIST PRIM SNGL EA,8600.0,8600.0,,,0
HCPCS,25270,Repair forearm tendon/muscle,,,3378.06,15463.96,10
HCPCS,25272,Repair forearm tendon/muscle,,,3378.06,15463.96,10
HCPCS,25274,Repair forearm tendon/muscle,,,3378.06,15463.96,10
HCPCS,25275,Repair forearm tendon sheath,,,3378.06,15463.96,10
HCPCS,25280,Revise wrist/forearm tendon,,,3378.06,15463.96,10
HCPCS,25290,Incise wrist/forearm tendon,,,3378.06,15463.96,10
HCPCS,25295,Release wrist/forearm tendon,,,3378.06,15463.96,10
HCPCS,25300,Fusion of tendons at wrist,,,3378.06,15463.96,10
HCPCS,25301,Fusion of tendons at wrist,,,3378.06,15463.96,10
HCPCS,25310,Transplant forearm tendon,,,3378.06,15463.96,10
HCPCS,25312,Transplant forearm tendon,,,3378.06,16493.56,10
HCPCS,25315,Revise palsy hand tendon(s),,,5391.0,34293.94,10
HCPCS,25316,Revise palsy hand tendon(s),,,7466.19,34293.94,10
HCPCS,25320,Repair/revise wrist joint,,,7466.19,34293.94,10
HCPCS,25332,Revise wrist joint,,,3378.06,15463.96,10
HCPCS,25335,Realignment of hand,,,3378.06,16493.56,10
HCPCS,25337,Reconstruct ulna/radioulnar,,,7466.19,34293.94,10
HCPCS,25350,Revision of radius,,,7466.19,34293.94,10
HCPCS,25355,Revision of radius,,,3378.06,16493.56,10
HCPCS,25360,Revision of ulna,,,7466.19,34293.94,10
HCPCS,25365,Revise radius & ulna,,,9174.0,60677.5,10
HCPCS,25370,Revise radius or ulna,,,3378.06,16493.56,10
HCPCS,25375,Revise radius & ulna,,,3378.06,16493.56,10
HCPCS,25390,Shorten radius or ulna,,,7466.19,34293.94,10
HCPCS,25391,Lengthen radius or ulna,,,9174.0,60677.5,10
HCPCS,25392,Shorten radius & ulna,,,5391.0,34293.94,10
HCPCS,25393,Lengthen radius & ulna,,,7466.19,34293.94,10
HCPCS,25394,Repair carpal bone shorten,,,3378.06,16493.56,10
HCPCS,25400,Repair radius or ulna,,,7466.19,34293.94,10
HCPCS,25405,Repair/graft radius or ulna,,,7466.19,34293.94,10
HCPCS,25415,Repair radius & ulna,,,7466.19,34293.94,10
HCPCS,25420,Repair/graft radius & ulna,,,7466.19,34293.94,10
HCPCS,25425,Repair/graft radius or ulna,,,7466.19,34293.94,10
HCPCS,25426,Repair/graft radius & ulna,,,3378.06,16493.56,10
HCPCS,25430,Vasc graft into carpal bone,,,3378.06,16493.56,10
HCPCS,25431,Repair nonunion carpal bone,,,7466.19,34293.94,10
HCPCS,25440,Repair/graft wrist bone,,,7466.19,34293.94,10
HCPCS,25441,Reconstruct wrist joint,,,12989.24,60677.5,10
HCPCS,25442,Reconstruct wrist joint,,,12989.24,82867.4,10
HCPCS,25443,Reconstruct wrist joint,,,7466.19,34293.94,10
HCPCS,25444,Reconstruct wrist joint,,,9556.0,60677.5,10
HCPCS,25445,Reconstruct wrist joint,,,7466.19,34293.94,10
HCPCS,25446,Wrist replacement,,,12989.24,82867.4,10
HCPCS,25447,Repair wrist joints,,,3378.06,15463.96,10
HCPCS,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,3550.25,15567.64,10
HCPCS,25449,Remove wrist joint implant,,,7466.19,34293.94,10
HCPCS,25450,Revision of wrist joint,,,3378.06,16493.56,10
HCPCS,25455,Revision of wrist joint,,,3378.06,16493.56,10
HCPCS,25490,Reinforce radius,,,7466.19,34293.94,10
HCPCS,25491,Reinforce ulna,,,9174.0,60677.5,10
HCPCS,25492,Reinforce radius and ulna,,,3378.06,16493.56,10
HCPCS,25500,HC CL TMT RAD SHAFT FX W/O MAN,536.0,536.0,,,0
HCPCS,25500,Treat fracture of radius,,,246.11,1473.0,10
HCPCS,25505,HC CL TMT RADIAL SHAFT FX W MAN,2678.0,2678.0,,,0
HCPCS,25505,Treat fracture of radius,,,1677.32,7599.61,10
HCPCS,25515,Treat fracture of radius,,,7466.19,34293.94,10
HCPCS,25520,HC CL TMT GALEAZZI FX/DISLOCATION,705.0,705.0,,,0
HCPCS,25520,Treat fracture of radius,,,1473.0,7599.61,10
HCPCS,25525,Treat fracture of radius,,,7466.19,34293.94,10
HCPCS,25526,Treat fracture of radius,,,7466.19,34293.94,10
HCPCS,25530,HC CL TMT ULNAR SHAFT FX WO MAN,536.0,536.0,,,0
HCPCS,25530,Treat fracture of ulna,,,246.11,1473.0,10
HCPCS,25535,HC CL TMT ULNAR SHAFT FX W MAN,721.0,721.0,,,0
HCPCS,25535,Treat fracture of ulna,,,246.11,2630.44,10
HCPCS,25545,Treat fracture of ulna,,,7466.19,34293.94,10
HCPCS,25560,HC CL TMT RAD ULNAR FX WO MAN,536.0,536.0,,,0
HCPCS,25560,Treat fracture radius & ulna,,,246.11,1473.0,10
HCPCS,25565,HC CL TMT RAD ULNAR FX W/MAN,721.0,721.0,,,0
HCPCS,25565,Treat fracture radius & ulna,,,1473.0,7599.61,10
HCPCS,25574,Treat fracture radius & ulna,,,6270.01,34293.94,10
HCPCS,25575,Treat fracture radius/ulna,,,7466.19,34293.94,10
HCPCS,25600,HC TREAT FRAC RADIUS/ULN WO MANIP,721.0,721.0,,,0
HCPCS,25600,Treat fracture radius/ulna,,,246.11,1473.0,10
HCPCS,25605,HC RADIUS DISTAL FX W/MAN,2678.0,2678.0,,,0
HCPCS,25605,Treat fracture radius/ulna,,,1677.32,7599.61,10
HCPCS,25606,Treat Fx Distal Radial,,,3378.06,15463.96,10
HCPCS,25607,Treat Fx Rad Extra-Articul,,,7466.19,34293.94,10
HCPCS,25608,Treat Fx Rad Intra-Articul,,,7466.19,34293.94,10
HCPCS,25609,Treat Fx Radial 3+ Frag,,,7466.19,34293.94,10
HCPCS,25622,Treat wrist bone fracture,,,246.11,1473.0,10
HCPCS,25624,HC CL TX SCAPHOID FX W MAN,2678.0,2678.0,,,0
HCPCS,25624,Treat wrist bone fracture,,,1677.32,7599.61,10
HCPCS,25628,Treat wrist bone fracture,,,7466.19,34293.94,10
HCPCS,25630,HC CL TX CARPAL EACH BONE FX WO MAN,705.0,705.0,,,0
HCPCS,25630,Treat wrist bone fracture,,,246.11,1473.0,10
HCPCS,25635,HC CL TX CARPAL EACH BONE FX W MAN,705.0,705.0,,,0
HCPCS,25635,Treat wrist bone fracture,,,641.25,7599.61,10
HCPCS,25645,Treat wrist bone fracture,,,3378.06,18059.38,10
HCPCS,25650,HC CL TX ULNAR STYLOID FX,721.0,721.0,,,0
HCPCS,25650,Treat wrist bone fracture,,,246.11,1473.0,10
HCPCS,25651,Pin ulnar styloid fracture,,,3378.06,15463.96,10
HCPCS,25652,HC OPEN TX ULNAR STYLOID FRACTURE,13225.0,13225.0,,,0
HCPCS,25652,Treat fracture ulnar styloid,,,7466.19,34293.94,10
HCPCS,25660,HC RADIUS/INTERCARP DISLOC W/MAN,705.0,705.0,,,0
HCPCS,25660,Treat wrist dislocation,,,246.11,2630.44,10
HCPCS,25670,Treat wrist dislocation,,,4822.0,34293.94,10
HCPCS,25671,Pin radioulnar dislocation,,,2630.44,15463.96,10
HCPCS,25675,HC CL TMT RADIOULNAR DIS W MAN,721.0,721.0,,,0
HCPCS,25675,Treat wrist dislocation,,,246.11,2630.44,10
HCPCS,25676,Treat wrist dislocation,,,4822.0,34293.94,10
HCPCS,25680,HC CL TX TRANS-SCAPHOPERILUNAR FX W MAN,536.0,536.0,,,0
HCPCS,25680,Treat wrist fracture,,,246.11,6270.01,10
HCPCS,25685,Treat wrist fracture,,,4822.0,34293.94,10
HCPCS,25690,HC CL TREAT LUNATE DISLOC W MAN,5066.0,5066.0,,,0
HCPCS,25690,Treat wrist dislocation,,,1677.32,7599.61,10
HCPCS,25695,Treat wrist dislocation,,,4822.0,34293.94,10
HCPCS,25800,Fusion of wrist joint,,,7466.19,34293.94,10
HCPCS,25805,Fusion/graft of wrist joint,,,7466.19,34293.94,10
HCPCS,25810,Fusion/graft of wrist joint,,,9556.0,60677.5,10
HCPCS,25820,Fusion of hand bones,,,7466.19,34293.94,10
HCPCS,25825,Fuse hand bones with graft,,,7466.19,34293.94,10
HCPCS,25830,Fusion radioulnar jnt/ulna,,,7466.19,34293.94,10
HCPCS,25900,Amputation of forearm,,,6880.82,34293.94,9
HCPCS,25905,Amputation of forearm,,,6880.82,34293.94,9
HCPCS,25907,Amputation follow-up surgery,,,3378.06,15463.96,10
HCPCS,25909,Amputation follow-up surgery,,,4822.0,34293.94,10
HCPCS,25915,Amputation of forearm,,,6880.82,34293.94,9
HCPCS,25920,Amputate hand at wrist,,,3678.83,15463.96,9
HCPCS,25922,Amputate hand at wrist,,,1677.32,9812.66,10
HCPCS,25924,Amputation follow-up surgery,,,3678.83,15463.96,9
HCPCS,25927,Amputation of hand,,,3678.83,15463.96,9
HCPCS,25929,Amputation follow-up surgery,,,1903.17,9812.66,10
HCPCS,25931,Amputation follow-up surgery,,,3378.06,15463.96,10
HCPCS,25999,Forearm or wrist surgery,,,246.11,1473.0,9
HCPCS,26010,Drainage of finger abscess,,,208.93,1473.0,10
HCPCS,26010,HC DRAINAGE FINGER ABS SIMPLE,664.0,664.0,,,0
HCPCS,26010,HC DRAINAGE FINGER ABSCESS SIMPLE,664.0,664.0,,,0
HCPCS,26010,HC PR DRAINAGE FINGER ABSCESS SIMPLE,782.0,782.0,,,0
HCPCS,26011,Drainage of finger abscess,,,1692.02,7805.69,10
HCPCS,26011,HC I&D FELON,3687.0,3687.0,,,0
HCPCS,26020,Drain hand tendon sheath,,,3378.06,15463.96,10
HCPCS,26020,HC DRAINAGE TENDON SHEATH DIGIT &OR PALM EACH,5059.0,5059.0,,,0
HCPCS,26025,Drainage of palm bursa,,,2630.44,15463.96,10
HCPCS,26025,HC DRAINAGE OF PALM BURSA SINGLE,5059.0,5059.0,,,0
HCPCS,26030,Drainage of palm bursas,,,3378.06,15463.96,10
HCPCS,26034,Treat hand bone lesion,,,1677.32,7599.61,10
HCPCS,26035,Decompress fingers/hand,,,3378.06,15463.96,10
HCPCS,26037,Decompress fingers/hand,,,3378.06,15463.96,10
HCPCS,26040,Release palm contracture,,,1677.32,9812.66,10
HCPCS,26045,Release palm contracture,,,3378.06,15463.96,10
HCPCS,26055,HC PR TENDON SHEATH INCISION,1290.0,1290.0,,,0
HCPCS,26055,HC TENDON SHEATH INCISION,6046.0,6046.0,,,0
HCPCS,26055,Incise finger tendon sheath,,,1677.32,7599.61,10
HCPCS,26060,Incision of finger tendon,,,1677.32,7599.61,10
HCPCS,26070,Explore/treat hand joint,,,1677.32,7599.61,10
HCPCS,26070,HC ARTHROTOMY W/REM FB HAND JT,4519.0,4519.0,,,0
HCPCS,26075,Explore/treat finger joint,,,3378.06,15463.96,10
HCPCS,26080,Explore/treat finger joint,,,1677.32,9812.66,10
HCPCS,26100,Biopsy hand joint lining,,,3378.06,15463.96,10
HCPCS,26105,Biopsy finger joint lining,,,2630.44,15463.96,10
HCPCS,26110,Biopsy finger joint lining,,,1677.32,7599.61,10
HCPCS,26111,Exc hand les sc 1.5 cm/>,,,1692.02,9812.66,10
HCPCS,26113,Exc hand tum deep 1.5 cm/>,,,1692.02,9812.66,10
HCPCS,26115,Exc hand les sc < 1.5 cm,,,1692.02,7805.69,10
HCPCS,26116,Exc hand tum deep < 1.5 cm,,,1692.02,7805.69,10
HCPCS,26117,Rad resect hand tumor < 3 cm,,,2965.46,13728.11,10
HCPCS,26118,Rad resect hand tumor 3 cm/>,,,2965.46,13728.11,10
HCPCS,26121,Release palm contracture,,,3378.06,15463.96,10
HCPCS,26123,Release palm contracture,,,3378.06,15463.96,10
HCPCS,26125,Release palm contracture,,,1473.0,5687.74,2
HCPCS,26130,Remove wrist joint lining,,,3378.06,15463.96,10
HCPCS,26135,Revise finger joint each,,,3378.06,15463.96,10
HCPCS,26140,Revise finger joint each,,,1677.32,7599.61,10
HCPCS,26145,Tendon excision palm/finger,,,1677.32,9812.66,10
HCPCS,26160,Remove tendon sheath lesion,,,1677.32,9812.66,10
HCPCS,26170,Removal of palm tendon each,,,1677.32,9812.66,10
HCPCS,26180,Removal of finger tendon,,,1677.32,9812.66,10
HCPCS,26185,Remove finger bone,,,1677.32,9812.66,10
HCPCS,26200,Remove hand bone lesion,,,1677.32,7599.61,10
HCPCS,26205,Remove/graft bone lesion,,,5391.0,34293.94,10
HCPCS,26210,Removal of finger lesion,,,1677.32,7599.61,10
HCPCS,26215,Remove/graft finger lesion,,,3378.06,15463.96,10
HCPCS,26230,Partial removal of hand bone,,,3378.06,15463.96,10
HCPCS,26235,Partial removal finger bone,,,1677.32,9812.66,10
HCPCS,26236,HC PART EXC BONE DISTAL PHAL FINGER,6434.0,6434.0,,,0
HCPCS,26236,Partial removal finger bone,,,1677.32,9812.66,10
HCPCS,26250,Extensive hand surgery,,,3378.06,15463.96,10
HCPCS,26260,Resect prox finger tumor,,,3378.06,15463.96,10
HCPCS,26262,Resect distal finger tumor,,,1677.32,9812.66,10
HCPCS,26320,HC REM IMPLANT FROM FINGER OR HAND,5055.0,5055.0,,,0
HCPCS,26320,Removal of implant from hand,,,1692.02,7805.69,10
HCPCS,26340,Manipulate finger w/anesth,,,1473.0,7599.61,10
HCPCS,26341,Manipulat palm cord post inj,,,246.11,1913.73,10
HCPCS,26350,HC REPAIR ADVANCE FLEXOR TENDON NOT ZONE 2 WO FREE GRAFT EA TENDON,7609.0,7609.0,,,0
HCPCS,26350,Repair finger/hand tendon,,,2630.44,15463.96,10
HCPCS,26352,Repair/graft hand tendon,,,5391.0,34293.94,10
HCPCS,26356,HC REPAIR/ADVANCEMENT FLEXOR TENDON EACH,8256.0,8256.0,,,0
HCPCS,26356,Repair finger/hand tendon,,,3378.06,15463.96,10
HCPCS,26357,Repair finger/hand tendon,,,3378.06,15463.96,10
HCPCS,26358,Repair/graft hand tendon,,,5391.0,34293.94,10
HCPCS,26370,Repair finger/hand tendon,,,3378.06,15463.96,10
HCPCS,26372,Repair/graft hand tendon,,,5391.0,34293.94,10
HCPCS,26373,Repair finger/hand tendon,,,3378.06,15463.96,10
HCPCS,26390,Revise hand/finger tendon,,,5391.0,34293.94,10
HCPCS,26392,Repair/graft hand tendon,,,5391.0,34293.94,10
HCPCS,26410,HC REPAIR EXT TENDON HAND W/O GRAFT EACH,4623.0,4623.0,,,0
HCPCS,26410,Repair hand tendon,,,1677.32,9812.66,10
HCPCS,26412,Repair/graft hand tendon,,,3378.06,15463.96,10
HCPCS,26415,Excision hand/finger tendon,,,3378.06,15463.96,10
HCPCS,26416,Graft hand or finger tendon,,,3378.06,15463.96,10
HCPCS,26418,HC TENDON REPAIR DORSUM FINGERS,5059.0,5059.0,,,0
HCPCS,26418,Repair finger tendon,,,1677.32,9812.66,10
HCPCS,26420,Repair/graft finger tendon,,,3378.06,15463.96,10
HCPCS,26426,Repair finger/hand tendon,,,3378.06,15463.96,10
HCPCS,26428,Repair/graft finger tendon,,,3378.06,15463.96,10
HCPCS,26432,Repair finger tendon,,,1677.32,9812.66,10
HCPCS,26433,HC REPAIR EXTENSOR TENDON DISTAL INSERT WO GRAFT,5059.0,5059.0,,,0
HCPCS,26433,Repair finger tendon,,,3378.06,15463.96,10
HCPCS,26434,Repair/graft finger tendon,,,3378.06,15463.96,10
HCPCS,26437,Realignment of tendons,,,3378.06,15463.96,10
HCPCS,26440,Release palm/finger tendon,,,1677.32,9812.66,10
HCPCS,26442,Release palm & finger tendon,,,3378.06,15463.96,10
HCPCS,26445,Release hand/finger tendon,,,3378.06,15463.96,10
HCPCS,26449,Release forearm/hand tendon,,,3378.06,15463.96,10
HCPCS,26450,Incision of palm tendon,,,3378.06,15463.96,10
HCPCS,26455,Incision of finger tendon,,,1677.32,9812.66,10
HCPCS,26460,Incise hand/finger tendon,,,1677.32,9812.66,10
HCPCS,26471,Fusion of finger tendons,,,3378.06,15463.96,10
HCPCS,26474,Fusion of finger tendons,,,1677.32,7599.61,10
HCPCS,26476,Tendon lengthening,,,2630.44,15463.96,10
HCPCS,26477,Tendon shortening,,,2630.44,15463.96,10
HCPCS,26478,Lengthening of hand tendon,,,2630.44,15463.96,10
HCPCS,26479,Shortening of hand tendon,,,2630.44,15463.96,10
HCPCS,26480,Transplant hand tendon,,,3378.06,15463.96,10
HCPCS,26483,Transplant/graft hand tendon,,,3378.06,15463.96,10
HCPCS,26485,Transplant palm tendon,,,3378.06,15463.96,10
HCPCS,26489,Transplant/graft palm tendon,,,3378.06,15463.96,10
HCPCS,26490,Revise thumb tendon,,,3378.06,15463.96,10
HCPCS,26492,Tendon transfer with graft,,,3378.06,15463.96,10
HCPCS,26494,Hand tendon/muscle transfer,,,3378.06,15463.96,10
HCPCS,26496,Revise thumb tendon,,,3378.06,15463.96,10
HCPCS,26497,Finger tendon transfer,,,3378.06,15463.96,10
HCPCS,26498,Finger tendon transfer,,,3378.06,15463.96,10
HCPCS,26499,Revision of finger,,,3378.06,15463.96,10
HCPCS,26500,Hand tendon reconstruction,,,4274.0,34293.94,10
HCPCS,26502,Hand tendon reconstruction,,,3378.06,15463.96,10
HCPCS,26508,Release thumb contracture,,,3378.06,15463.96,10
HCPCS,26510,Thumb tendon transfer,,,3378.06,15463.96,10
HCPCS,26516,Fusion of knuckle joint,,,2630.44,15463.96,10
HCPCS,26517,Fusion of knuckle joints,,,3378.06,15463.96,10
HCPCS,26518,Fusion of knuckle joints,,,5391.0,34293.94,10
HCPCS,26520,Release knuckle contracture,,,3378.06,15463.96,10
HCPCS,26525,Release finger contracture,,,1677.32,9812.66,10
HCPCS,26530,Revise knuckle joint,,,7466.19,34293.94,10
HCPCS,26531,Revise knuckle with implant,,,7466.19,34293.94,10
HCPCS,26535,Revise finger joint,,,3378.06,15463.96,10
HCPCS,26536,Revise/implant finger joint,,,7466.19,34293.94,10
HCPCS,26540,Repair hand joint,,,3378.06,15463.96,10
HCPCS,26541,Repair hand joint with graft,,,3378.06,15463.96,10
HCPCS,26542,Repair hand joint with graft,,,3378.06,15463.96,10
HCPCS,26545,Reconstruct finger joint,,,3378.06,15463.96,10
HCPCS,26546,Repair nonunion hand,,,5391.0,34293.94,10
HCPCS,26548,Reconstruct finger joint,,,3378.06,15463.96,10
HCPCS,26550,Construct thumb replacement,,,3378.06,15463.96,10
HCPCS,26551,Great toe-hand transfer,,,6880.82,34293.94,9
HCPCS,26553,Single transfer toe-hand,,,6270.01,34293.94,9
HCPCS,26554,Double transfer toe-hand,,,6270.01,34293.94,9
HCPCS,26555,Positional change of finger,,,5391.0,34293.94,10
HCPCS,26556,Toe joint transfer,,,6880.82,34293.94,9
HCPCS,26560,Repair of web finger,,,1677.32,7599.61,10
HCPCS,26561,Repair of web finger,,,3378.06,15463.96,10
HCPCS,26562,Repair of web finger,,,3378.06,15463.96,10
HCPCS,26565,Correct metacarpal flaw,,,3378.06,15463.96,10
HCPCS,26567,Correct finger deformity,,,3378.06,15463.96,10
HCPCS,26568,Lengthen metacarpal/finger,,,5391.0,34293.94,10
HCPCS,26580,Repair hand deformity,,,3378.06,15463.96,10
HCPCS,26587,Reconstruct extra finger,,,3378.06,15463.96,10
HCPCS,26590,Repair finger deformity,,,1677.32,12989.24,10
HCPCS,26591,Repair muscles of hand,,,3378.06,15463.96,10
HCPCS,26593,Release muscles of hand,,,3378.06,15463.96,10
HCPCS,26596,Excision constricting tissue,,,3378.06,15463.96,10
HCPCS,26600,HC CLOSED TX METACARPAL FX SINGLE WO MAN EACH BONE,536.0,536.0,,,0
HCPCS,26600,HC FINGER FX WO MANIPULATION,536.0,536.0,,,0
HCPCS,26600,HC PR CLOSED TX METACARPAL FX SINGLE WO MAN EACH BONE,743.0,743.0,,,0
HCPCS,26600,Treat metacarpal fracture,,,246.11,1473.0,10
HCPCS,26605,HC FINGER FX W/MANIPULATION,721.0,721.0,,,0
HCPCS,26605,Treat metacarpal fracture,,,246.11,6270.01,10
HCPCS,26607,Treat metacarpal fracture,,,3378.06,15463.96,10
HCPCS,26608,Treat metacarpal fracture,,,3378.06,15463.96,10
HCPCS,26615,Treat metacarpal fracture,,,3378.06,18059.38,10
HCPCS,26641,HC CL TX CARPOMET DISLOC THUMB W MAN,721.0,721.0,,,0
HCPCS,26641,Treat thumb dislocation,,,246.11,1473.0,10
HCPCS,26645,HC CL TX CARPOMETACARPAL FX W MAN,721.0,721.0,,,0
HCPCS,26645,Treat thumb fracture,,,1473.0,7599.61,10
HCPCS,26650,Treat thumb fracture,,,3378.06,15463.96,10
HCPCS,26665,Treat thumb fracture,,,3378.06,18059.38,10
HCPCS,26670,HC CARPO DISLOC EXCL THUMB W/O AN,536.0,536.0,,,0
HCPCS,26670,Treat hand dislocation,,,246.11,1473.0,10
HCPCS,26675,Treat hand dislocation,,,641.25,7599.61,10
HCPCS,26676,Pin hand dislocation,,,3378.06,15463.96,10
HCPCS,26685,Treat hand dislocation,,,3378.06,15463.96,10
HCPCS,26686,Treat hand dislocation,,,3378.06,24183.36,10
HCPCS,26700,HC CL TMT METACAR W/MAN W/O ANES,721.0,721.0,,,0
HCPCS,26700,Treat knuckle dislocation,,,246.11,1473.0,10
HCPCS,26705,Treat knuckle dislocation,,,641.25,7599.61,10
HCPCS,26706,Pin knuckle dislocation,,,3378.06,15463.96,10
HCPCS,26715,Treat knuckle dislocation,,,3378.06,15463.96,10
HCPCS,26720,HC CLOSED TX PHALANGEAL SHAFT FX,536.0,536.0,,,0
HCPCS,26720,Treat finger fracture each,,,246.11,1473.0,10
HCPCS,26725,HC CL TMT PHAL SHT FX PROX W MAN,721.0,721.0,,,0
HCPCS,26725,Treat finger fracture each,,,246.11,2630.44,10
HCPCS,26727,HC PERC SKEL FIX PHAL SHAFT FX PROX/MIDD PHAL FNG/THUMB W MAN EA,7809.0,7809.0,,,0
HCPCS,26727,Treat finger fracture each,,,3378.06,15463.96,10
HCPCS,26735,HC OP TMT PHALAN SHAFT FX FINGER PROX/MIDDLE EACH,7361.0,7361.0,,,0
HCPCS,26735,Treat finger fracture each,,,3378.06,15463.96,10
HCPCS,26740,Treat finger fracture each,,,246.11,1473.0,10
HCPCS,26742,HC CL TX EACH ARTICULAR FX W MANIP,721.0,721.0,,,0
HCPCS,26742,Treat finger fracture each,,,641.25,7599.61,10
HCPCS,26746,Treat finger fracture each,,,3378.06,15463.96,10
HCPCS,26750,HC CLOSED TX DISTAL PHALANGEAL FX,536.0,536.0,,,0
HCPCS,26750,Treat finger fracture each,,,246.11,1473.0,10
HCPCS,26755,HC CL TX EACH DISTAL PHALANGEAL FX W MANIP,721.0,721.0,,,0
HCPCS,26755,Treat finger fracture each,,,246.11,1473.0,10
HCPCS,26756,Pin finger fracture each,,,3378.06,15463.96,10
HCPCS,26765,HC PHALANGEAL FRACTURE FINGER,7361.0,7361.0,,,0
HCPCS,26765,Treat finger fracture each,,,3378.06,15463.96,10
HCPCS,26770,HC CL TX INTERPHAL JOINT DISLOC SNGL W MANI WO ANES,536.0,536.0,,,0
HCPCS,26770,HC FINGER DISLOCATE W/O ANES,536.0,536.0,,,0
HCPCS,26770,HC PR CL TX INTERPHAL JOINT DISLOC SNGL W MANI WO ANES,682.0,682.0,,,0
HCPCS,26770,Treat finger dislocation,,,246.11,1473.0,10
HCPCS,26775,Treat finger dislocation,,,280.28,4985.46,10
HCPCS,26776,Pin finger dislocation,,,3378.06,15463.96,10
HCPCS,26785,HC FINGER DISLOCATE W/W/O FIX,7361.0,7361.0,,,0
HCPCS,26785,Treat finger dislocation,,,3378.06,15463.96,10
HCPCS,26820,Thumb fusion with graft,,,5391.0,34293.94,10
HCPCS,26841,Fusion of thumb,,,5391.0,34293.94,10
HCPCS,26842,Thumb fusion with graft,,,5391.0,34293.94,10
HCPCS,26843,Fusion of hand joint,,,5391.0,34293.94,10
HCPCS,26844,Fusion/graft of hand joint,,,5391.0,34293.94,10
HCPCS,26850,Fusion of knuckle,,,5391.0,34293.94,10
HCPCS,26852,Fusion of knuckle with graft,,,5391.0,34293.94,10
HCPCS,26860,Fusion of finger joint,,,3378.06,15463.96,10
HCPCS,26861,Fusion of finger jnt add-on,,,1473.0,9913.24,2
HCPCS,26862,Fusion/graft of finger joint,,,3378.06,15463.96,10
HCPCS,26863,Fuse/graft added joint,,,1473.0,9913.24,2
HCPCS,26910,Amputate metacarpal bone,,,3378.06,15463.96,10
HCPCS,26951,Amputation of finger/thumb,,,3378.06,15463.96,10
HCPCS,26952,Amputation of finger/thumb,,,3378.06,15463.96,10
HCPCS,26989,Hand/finger surgery,,,246.11,1473.0,9
HCPCS,26990,Drainage of pelvis lesion,,,2630.44,15463.96,10
HCPCS,26991,Drainage of pelvis bursa,,,1677.32,7599.61,10
HCPCS,26992,Drainage of bone lesion,,,3678.83,15463.96,9
HCPCS,27000,Incision of hip tendon,,,1677.32,7599.61,10
HCPCS,27001,Incision of hip tendon,,,3378.06,15463.96,10
HCPCS,27003,Incision of hip tendon,,,5391.0,34293.94,10
HCPCS,27005,Incision of hip tendon,,,3678.83,15463.96,9
HCPCS,27006,Incision of hip tendons,,,3378.06,15463.96,10
HCPCS,27025,Incision of hip/thigh fascia,,,3678.83,15463.96,9
HCPCS,27027,Buttock fasciotomy,,,5391.0,34293.94,10
HCPCS,27030,Drainage of hip joint,,,6880.82,34293.94,9
HCPCS,27033,Exploration of hip joint,,,7466.19,34293.94,10
HCPCS,27035,Denervation of hip joint,,,3378.06,15463.96,10
HCPCS,27036,Excision of hip joint/muscle,,,6880.82,34293.94,9
HCPCS,27040,Biopsy of soft tissues,,,1692.02,7805.69,10
HCPCS,27040,HC BX SFT TISS PELV/HIP SUP,3938.0,3938.0,,,0
HCPCS,27041,Biopsy of soft tissues,,,1692.02,7805.69,10
HCPCS,27041,HC BX SFT TISS PELV/HIP DP,3938.0,3938.0,,,0
HCPCS,27043,Exc hip pelvis les sc 3 cm/>,,,2965.46,13728.11,10
HCPCS,27045,Exc hip/pelv tum deep 5 cm/>,,,2965.46,13728.11,10
HCPCS,27047,Exc hip/pelvis les sc < 3 cm,,,2965.46,13728.11,10
HCPCS,27048,Exc hip/pelv tum deep < 5 cm,,,2965.46,13728.11,10
HCPCS,27049,Resect hip/pelv tum < 5 cm,,,2965.46,13728.11,10
HCPCS,27050,Biopsy of sacroiliac joint,,,1677.32,9812.66,10
HCPCS,27052,Biopsy of hip joint,,,1677.32,9812.66,10
HCPCS,27054,Removal of hip joint lining,,,3678.83,15463.96,9
HCPCS,27057,Buttock fasciotomy w/dbrdmt,,,1677.32,9812.66,10
HCPCS,27059,Resect hip/pelv tum 5 cm/>,,,2965.46,13728.11,10
HCPCS,27060,Removal of ischial bursa,,,4822.0,34293.94,10
HCPCS,27062,Remove femur lesion/bursa,,,3378.06,15463.96,10
HCPCS,27065,Remove hip bone les super,,,4822.0,34293.94,10
HCPCS,27066,Remove hip bone les deep,,,3378.06,15463.96,10
HCPCS,27067,Remove/graft hip bone lesion,,,5391.0,34293.94,10
HCPCS,27070,Part remove hip bone super,,,3678.83,15463.96,9
HCPCS,27071,Part removal hip bone deep,,,3678.83,15463.96,9
HCPCS,27075,Resect hip tumor,,,6880.82,34293.94,9
HCPCS,27076,Resect hip tum incl acetabul,,,6880.82,34293.94,9
HCPCS,27077,Resect hip tum w/innom bone,,,6880.82,34293.94,9
HCPCS,27078,Rsect hip tum incl femur,,,6880.82,34293.94,9
HCPCS,27080,Removal of tail bone,,,3378.06,15463.96,10
HCPCS,27086,HC REM FB SUBCUT,2238.0,2238.0,,,0
HCPCS,27086,Remove hip foreign body,,,2630.44,13728.11,10
HCPCS,27087,Remove hip foreign body,,,3378.06,15463.96,10
HCPCS,27090,Removal of hip prosthesis,,,4822.0,34293.94,9
HCPCS,27091,Removal of hip prosthesis,,,4822.0,60677.5,9
HCPCS,27093,HC INJ PROCEDURE HIP ARTHROGRAPHY,1480.0,1480.0,,,0
HCPCS,27093,Injection for hip x-ray,,,1473.0,1473.0,1
HCPCS,27095,HC INJ HIP ARTHRO W ANES,1693.0,1693.0,,,0
HCPCS,27095,Injection for hip x-ray,,,1473.0,1473.0,1
HCPCS,27096,HC INJ SACROILIAC JT ARTHROGRAPHY,2184.0,2184.0,,,0
HCPCS,27096,HC INJ SI JT W GUID ANESTH TX DX,2184.0,2184.0,,,0
HCPCS,27096,HC PR INJ SACROILIAC JT ARTHROGRA,525.0,525.0,,,0
HCPCS,27096,Inject sacroiliac joint,,,181.83,2714.47,6
HCPCS,27097,Revision of hip tendon,,,3378.06,15463.96,10
HCPCS,27098,Transfer tendon to pelvis,,,3378.06,15463.96,10
HCPCS,27100,Transfer of abdominal muscle,,,7466.19,34293.94,10
HCPCS,27105,Transfer of spinal muscle,,,3378.06,16493.56,10
HCPCS,27110,Transfer of iliopsoas muscle,,,7466.19,34293.94,10
HCPCS,27111,Transfer of iliopsoas muscle,,,3378.06,16493.56,10
HCPCS,27120,Reconstruction of hip socket,,,6880.82,60677.5,9
HCPCS,27122,Reconstruction of hip socket,,,6880.82,34293.94,9
HCPCS,27125,Partial hip replacement,,,6880.82,60677.5,9
HCPCS,27130,Total hip arthroplasty,,,13735.35,60677.5,9
HCPCS,27132,Total hip arthroplasty,,,6880.82,60677.5,9
HCPCS,27134,Revise hip joint replacement,,,6880.82,60677.5,9
HCPCS,27137,Revise hip joint replacement,,,6880.82,60677.5,9
HCPCS,27138,Revise hip joint replacement,,,6880.82,60677.5,9
HCPCS,27140,Transplant femur ridge,,,6880.82,34293.94,9
HCPCS,27146,Incision of hip bone,,,6880.82,34293.94,9
HCPCS,27147,Revision of hip bone,,,6880.82,34293.94,9
HCPCS,27151,Incision of hip bones,,,6880.82,34293.94,9
HCPCS,27156,Revision of hip bones,,,6880.82,34293.94,9
HCPCS,27158,Revision of pelvis,,,6880.82,34293.94,9
HCPCS,27161,Incision of neck of femur,,,6880.82,34293.94,9
HCPCS,27165,Incision/fixation of femur,,,6880.82,34293.94,9
HCPCS,27170,Repair/graft femur head/neck,,,6880.82,34293.94,9
HCPCS,27175,Treat slipped epiphysis,,,3678.83,15463.96,9
HCPCS,27176,Treat slipped epiphysis,,,3678.83,15463.96,9
HCPCS,27177,Treat slipped epiphysis,,,3678.83,15463.96,9
HCPCS,27178,Treat slipped epiphysis,,,3678.83,15463.96,9
HCPCS,27179,Revise head/neck of femur,,,7466.19,34293.94,10
HCPCS,27181,Treat slipped epiphysis,,,6880.82,34293.94,9
HCPCS,27185,Revision of femur epiphysis,,,3678.83,15463.96,9
HCPCS,27187,Reinforce hip bones,,,6880.82,34293.94,9
HCPCS,27197,Clsd tx pelvic ring fx,,,246.11,6270.01,10
HCPCS,27198,Clsd tx pelvic ring fx,,,246.11,6270.01,10
HCPCS,27200,Treat tail bone fracture,,,246.11,1473.0,10
HCPCS,27202,Treat tail bone fracture,,,3378.06,18059.38,10
HCPCS,27215,Treat pelvic fracture(s),,,2651.0,9812.66,2
HCPCS,27216,Treat pelvic ring fracture,,,3488.9,7474.59,6
HCPCS,27217,Treat pelvic ring fracture,,,4274.0,6270.01,2
HCPCS,27218,Treat pelvic ring fracture,,,4274.0,6270.01,2
HCPCS,27220,Treat hip socket fracture,,,246.11,1678.32,10
HCPCS,27222,Treat hip socket fracture,,,277.34,9829.75,9
HCPCS,27226,Treat hip wall fracture,,,6880.82,34293.94,9
HCPCS,27227,Treat hip fracture(s),,,6880.82,34293.94,9
HCPCS,27228,Treat hip fracture(s),,,6880.82,34293.94,9
HCPCS,27230,HC FEMUR NECK FX W/O MAN,721.0,721.0,,,0
HCPCS,27230,Treat thigh fracture,,,246.11,2630.44,10
HCPCS,27232,Treat thigh fracture,,,1807.92,9829.75,9
HCPCS,27235,Treat thigh fracture,,,5391.0,34293.94,10
HCPCS,27236,Treat thigh fracture,,,6880.82,34293.94,9
HCPCS,27238,Treat thigh fracture,,,1473.0,7599.61,10
HCPCS,27240,Treat thigh fracture,,,1807.92,9829.75,9
HCPCS,27244,Treat thigh fracture,,,6880.82,34293.94,9
HCPCS,27245,Treat thigh fracture,,,6880.82,34293.94,9
HCPCS,27246,Treat thigh fracture,,,246.11,2630.44,10
HCPCS,27248,Treat thigh fracture,,,6880.82,34293.94,9
HCPCS,27250,HC HIP DISLOCATE W/O ANES,721.0,721.0,,,0
HCPCS,27250,Treat hip dislocation,,,246.11,2630.44,10
HCPCS,27252,Treat hip dislocation,,,1677.32,7599.61,10
HCPCS,27253,Treat hip dislocation,,,3678.83,15463.96,9
HCPCS,27254,Treat hip dislocation,,,5391.0,34293.94,9
HCPCS,27256,HC TX SPONTANEOUS HIP DISLOC ABDCT SPLNT/TRC WO ANES WO MAN,536.0,536.0,,,0
HCPCS,27256,Treat hip dislocation,,,246.11,6270.01,10
HCPCS,27257,Treat hip dislocation,,,1677.32,7599.61,10
HCPCS,27258,Treat hip dislocation,,,3678.83,15463.96,9
HCPCS,27259,Treat hip dislocation,,,3678.83,15463.96,9
HCPCS,27265,HC CL TMT OF POST HIP WO ANES,721.0,721.0,,,0
HCPCS,27265,Treat hip dislocation,,,246.11,2630.44,10
HCPCS,27266,HC CL TX POST HIP ARTHROPLASTY DISLOC REQ ANES,4436.0,4436.0,,,0
HCPCS,27266,Treat hip dislocation,,,1677.32,7599.61,10
HCPCS,27267,Cltx thigh fx,,,641.25,15463.96,10
HCPCS,27268,Cltx thigh fx w/mnpj,,,1807.92,9829.75,9
HCPCS,27269,Optx thigh fx,,,2630.44,34293.94,9
HCPCS,27275,Manipulation of hip joint,,,1677.32,7599.61,10
HCPCS,27278,Arthrd si jt prq wo tfxj dev,,,19010.0,105064.83,10
HCPCS,27279,Arthrodesis sacroiliac joint,,,19010.0,82867.4,10
HCPCS,27280,Fusion of sacroiliac joint,,,6880.82,82867.4,9
HCPCS,27282,Fusion of pubic bones,,,3678.83,15463.96,9
HCPCS,27284,Fusion of hip joint,,,6880.82,60677.5,9
HCPCS,27286,Fusion of hip joint,,,6880.82,60677.5,9
HCPCS,27290,Amputation of leg at hip,,,6880.82,82867.4,9
HCPCS,27295,Amputation of leg at hip,,,6880.82,82867.4,9
HCPCS,27299,Pelvis/hip joint surgery,,,246.11,1473.0,9
HCPCS,27301,Drain thigh/knee lesion,,,2965.46,13728.11,10
HCPCS,27303,Drainage of bone lesion,,,3678.83,15463.96,9
HCPCS,27305,Incise thigh tendon & fascia,,,3378.06,15463.96,10
HCPCS,27306,Incision of thigh tendon,,,3378.06,15463.96,10
HCPCS,27307,Incision of thigh tendons,,,3378.06,15463.96,10
HCPCS,27310,Exploration of knee joint,,,3378.06,15463.96,10
HCPCS,27323,Biopsy thigh soft tissues,,,1692.02,7805.69,10
HCPCS,27324,Biopsy thigh soft tissues,,,2630.44,13728.11,10
HCPCS,27325,Neurectomy hamstring,,,2015.01,9228.87,10
HCPCS,27326,Neurectomy popliteal,,,2015.01,9228.87,10
HCPCS,27327,Exc thigh/knee les sc < 3 cm,,,1692.02,7969.86,10
HCPCS,27328,Exc thigh/knee tum deep <5cm,,,2965.46,13728.11,10
HCPCS,27329,Resect thigh/knee tum < 5 cm,,,2965.46,13728.11,10
HCPCS,27330,Biopsy knee joint lining,,,3378.06,15463.96,10
HCPCS,27331,Explore/treat knee joint,,,3378.06,15463.96,10
HCPCS,27332,Removal of knee cartilage,,,3378.06,15463.96,10
HCPCS,27333,Removal of knee cartilage,,,3378.06,15463.96,10
HCPCS,27334,Remove knee joint lining,,,3378.06,15463.96,10
HCPCS,27335,Remove knee joint lining,,,5391.0,34293.94,10
HCPCS,27337,Exc thigh/knee les sc 3 cm/>,,,2965.46,13728.11,10
HCPCS,27337,HC EXC TUMOR SOFT TISS THIGH/KNEE AREA SUBCUT 3CM OR>,8483.0,8483.0,,,0
HCPCS,27337,HC PR EXC TUMOR SOFT TISS THIGH/KNEE AREA SUBCUT 3CM OR>,1221.0,1221.0,,,0
HCPCS,27339,Exc thigh/knee tum dep 5cm/>,,,2965.46,13728.11,10
HCPCS,27340,Removal of kneecap bursa,,,3378.06,15463.96,10
HCPCS,27345,Removal of knee cyst,,,3378.06,15463.96,10
HCPCS,27347,Remove knee cyst,,,3378.06,15463.96,10
HCPCS,27350,Removal of kneecap,,,5391.0,34293.94,10
HCPCS,27355,Remove femur lesion,,,3378.06,15463.96,10
HCPCS,27356,Remove femur lesion/graft,,,5391.0,60677.5,10
HCPCS,27357,Remove femur lesion/graft,,,5391.0,34293.94,10
HCPCS,27358,Remove femur lesion/fixation,,,1473.0,11067.88,2
HCPCS,27360,Partial removal leg bone(s),,,3378.06,15463.96,10
HCPCS,27364,Resect thigh/knee tum 5 cm/>,,,2965.46,13728.11,10
HCPCS,27365,Resect femur/knee tumor,,,3678.83,15463.96,9
HCPCS,27369,HC INJ PROC CNTRST KNEE ARTHO OR CNTRST ENHAN CT/MRI KNEE ARTHO,845.0,845.0,,,0
HCPCS,27369,Njx cntrst kne arthg/ct/mri,,,1473.0,1473.0,1
HCPCS,27372,HC REM FB THIGH/KNEE,4845.0,4845.0,,,0
HCPCS,27372,Removal of foreign body,,,2965.46,13728.11,10
HCPCS,27380,Repair of kneecap tendon,,,2630.44,34293.94,10
HCPCS,27381,Repair/graft kneecap tendon,,,5391.0,34293.94,10
HCPCS,27385,Repair of thigh muscle,,,5391.0,34293.94,10
HCPCS,27386,Repair/graft of thigh muscle,,,5391.0,34293.94,10
HCPCS,27390,Incision of thigh tendon,,,2630.44,15463.96,10
HCPCS,27391,Incision of thigh tendons,,,3378.06,15463.96,10
HCPCS,27392,Incision of thigh tendons,,,3378.06,15463.96,10
HCPCS,27393,Lengthening of thigh tendon,,,5391.0,34293.94,10
HCPCS,27394,Lengthening of thigh tendons,,,5391.0,34293.94,10
HCPCS,27395,Lengthening of thigh tendons,,,3378.06,16493.56,10
HCPCS,27396,Transplant of thigh tendon,,,5391.0,34293.94,10
HCPCS,27397,Transplants of thigh tendons,,,7466.19,34293.94,10
HCPCS,27400,Revise thigh muscles/tendons,,,7466.19,34293.94,10
HCPCS,27403,Repair of knee cartilage,,,5391.0,34293.94,10
HCPCS,27405,Repair of knee ligament,,,7466.19,34293.94,10
HCPCS,27407,Repair of knee ligament,,,7466.19,34293.94,10
HCPCS,27409,Repair of knee ligaments,,,7466.19,34293.94,10
HCPCS,27412,Autochondrocyte implant knee,,,7466.19,34293.94,10
HCPCS,27415,Osteochondral knee allograft,,,9556.0,60677.5,10
HCPCS,27416,Osteochondral knee autograft,,,7466.19,34293.94,10
HCPCS,27418,Repair degenerated kneecap,,,7466.19,34293.94,10
HCPCS,27420,Revision of unstable kneecap,,,7466.19,34293.94,10
HCPCS,27422,Revision of unstable kneecap,,,7466.19,34293.94,10
HCPCS,27424,Revision/removal of kneecap,,,7466.19,34293.94,10
HCPCS,27425,Lat retinacular release open,,,3378.06,15463.96,10
HCPCS,27427,Reconstruction knee,,,7466.19,34293.94,10
HCPCS,27428,Reconstruction knee,,,9556.0,60677.5,10
HCPCS,27429,Reconstruction knee,,,9556.0,60677.5,10
HCPCS,27430,Revision of thigh muscles,,,7466.19,34293.94,10
HCPCS,27435,Incision of knee joint,,,3378.06,15463.96,10
HCPCS,27437,Revise kneecap,,,7466.19,34293.94,10
HCPCS,27438,Revise kneecap with implant,,,9556.0,60677.5,10
HCPCS,27440,Revision of knee joint,,,9174.0,60677.5,10
HCPCS,27441,Revision of knee joint,,,9174.0,60677.5,10
HCPCS,27442,Revision of knee joint,,,9174.0,60677.5,10
HCPCS,27443,Revision of knee joint,,,9174.0,60677.5,10
HCPCS,27445,Revision of knee joint,,,6880.82,28107.36,6
HCPCS,27446,Revision of knee joint,,,13735.35,60677.5,10
HCPCS,27447,Total knee arthroplasty,,,13735.35,60677.5,9
HCPCS,27448,Incision of thigh,,,6270.01,34293.94,9
HCPCS,27450,Incision of thigh,,,6880.82,34293.94,9
HCPCS,27454,Realignment of thigh bone,,,6270.01,34293.94,9
HCPCS,27455,Realignment of knee,,,6880.82,34293.94,9
HCPCS,27457,Realignment of knee,,,6880.82,34293.94,9
HCPCS,27458,Osteot femur imed lngth dev,,,8158.42,34293.94,3
HCPCS,27465,Shortening of thigh bone,,,6880.82,34293.94,9
HCPCS,27466,Lengthening of thigh bone,,,6880.82,34293.94,9
HCPCS,27468,Shorten/lengthen thighs,,,6880.82,12989.24,6
HCPCS,27470,Repair of thigh,,,6880.82,34293.94,9
HCPCS,27472,Repair/graft of thigh,,,6880.82,34293.94,9
HCPCS,27475,Surgery to stop leg growth,,,5391.0,34293.94,10
HCPCS,27477,Surgery to stop leg growth,,,5391.0,34293.94,9
HCPCS,27479,Surgery to stop leg growth,,,5391.0,34293.94,10
HCPCS,27485,Surgery to stop leg growth,,,5391.0,34293.94,9
HCPCS,27486,Revise/replace knee joint,,,6880.82,60677.5,9
HCPCS,27487,Revise/replace knee joint,,,6880.82,82867.4,9
HCPCS,27488,Removal of knee prosthesis,,,6270.01,60677.5,9
HCPCS,27495,Reinforce thigh,,,6270.01,34293.94,9
HCPCS,27496,Decompression of thigh/knee,,,3378.06,15463.96,10
HCPCS,27497,Decompression of thigh/knee,,,3378.06,15463.96,10
HCPCS,27498,Decompression of thigh/knee,,,1677.32,11067.88,10
HCPCS,27499,Decompression of thigh/knee,,,5391.0,34293.94,10
HCPCS,27500,HC CL TX FEM SHAFT FX WO MAN,721.0,721.0,,,0
HCPCS,27500,Treatment of thigh fracture,,,246.11,2630.44,10
HCPCS,27501,Treatment of thigh fracture,,,246.11,6270.01,10
HCPCS,27502,HC CL TX FEM SHAFT FX W MAN,5066.0,5066.0,,,0
HCPCS,27502,Treatment of thigh fracture,,,1677.32,7599.61,10
HCPCS,27503,HC CL TX TRANS/SUPRA-CONDULAR FEM FX W MAN,721.0,721.0,,,0
HCPCS,27503,Treatment of thigh fracture,,,641.25,7599.61,10
HCPCS,27506,Treatment of thigh fracture,,,6880.82,34293.94,9
HCPCS,27507,Treatment of thigh fracture,,,6880.82,34293.94,9
HCPCS,27508,HC CL TX FEM FX DISTAL END WO MANIP,705.0,705.0,,,0
HCPCS,27508,Treatment of thigh fracture,,,246.11,2630.44,10
HCPCS,27509,Treatment of thigh fracture,,,4822.0,34293.94,10
HCPCS,27510,HC CL TX FEM FX DISTAL END W MANIP,721.0,721.0,,,0
HCPCS,27510,Treatment of thigh fracture,,,1473.0,7599.61,10
HCPCS,27511,Treatment of thigh fracture,,,6880.82,60677.5,9
HCPCS,27513,Treatment of thigh fracture,,,6880.82,60677.5,9
HCPCS,27514,Treatment of thigh fracture,,,6880.82,60677.5,9
HCPCS,27516,Treat thigh fx growth plate,,,246.11,2630.44,10
HCPCS,27517,HC CL TX FEM FX DISTAL FEMORAL EPIPHYSEAL SEPARATION W MANIP,705.0,705.0,,,0
HCPCS,27517,Treat thigh fx growth plate,,,641.25,7599.61,10
HCPCS,27519,Treat thigh fx growth plate,,,6270.01,34293.94,9
HCPCS,27520,Treat kneecap fracture,,,246.11,2630.44,10
HCPCS,27524,Treat kneecap fracture,,,7466.19,34293.94,10
HCPCS,27530,Treat knee fracture,,,246.11,2630.44,10
HCPCS,27532,HC CL TX TIBIAL FX PROXIMAL W OR WO MANIP W SKELETAL TRAC,5066.0,5066.0,,,0
HCPCS,27532,Treat knee fracture,,,2630.44,15463.96,10
HCPCS,27535,Treat knee fracture,,,6880.82,34293.94,9
HCPCS,27536,Treat knee fracture,,,6880.82,34293.94,9
HCPCS,27538,HC CL TX INTRACONDULAR SPINE AND/OR TUB FX KNEE W OR WO MANIP,705.0,705.0,,,0
HCPCS,27538,Treat knee fracture(s),,,246.11,2630.44,10
HCPCS,27540,Treat knee fracture,,,6270.01,34293.94,9
HCPCS,27550,HC CL TMT KNEE DISLOC W/O ANEST,721.0,721.0,,,0
HCPCS,27550,Treat knee dislocation,,,246.11,2630.44,10
HCPCS,27552,Treat knee dislocation,,,1677.32,7599.61,10
HCPCS,27556,Treat knee dislocation,,,6880.82,34293.94,9
HCPCS,27557,Treat knee dislocation,,,6880.82,34293.94,9
HCPCS,27558,Treat knee dislocation,,,6880.82,34293.94,9
HCPCS,27560,HC PATELLA DISLOCATE WO ANE,536.0,536.0,,,0
HCPCS,27560,Treat kneecap dislocation,,,246.11,2630.44,10
HCPCS,27562,Treat kneecap dislocation,,,246.11,4985.46,10
HCPCS,27566,Treat kneecap dislocation,,,6270.01,34293.94,10
HCPCS,27570,Fixation of knee joint,,,1677.32,7599.61,10
HCPCS,27580,Fusion of knee,,,6880.82,60677.5,9
HCPCS,27590,Amputate leg at thigh,,,3678.83,30985.64,9
HCPCS,27591,Amputate leg at thigh,,,3678.83,30985.64,9
HCPCS,27592,Amputate leg at thigh,,,3678.83,30985.64,9
HCPCS,27594,Amputation follow-up surgery,,,3378.06,15463.96,10
HCPCS,27596,Amputation follow-up surgery,,,3678.83,15463.96,9
HCPCS,27598,Amputate lower leg at knee,,,3678.83,30985.64,9
HCPCS,27599,Leg surgery procedure,,,246.11,1473.0,9
HCPCS,27600,Decompression of lower leg,,,3378.06,15463.96,10
HCPCS,27601,Decompression of lower leg,,,3378.06,15463.96,10
HCPCS,27602,Decompression of lower leg,,,3378.06,15463.96,10
HCPCS,27603,Drain lower leg lesion,,,2965.46,13728.11,10
HCPCS,27604,Drain lower leg bursa,,,3378.06,15463.96,10
HCPCS,27605,HC PR TENOTOMY PERCUT ACHILLES TENDON LOCAL ANESTH,990.0,990.0,,,0
HCPCS,27605,HC TENOTOMY PERCUT ACHILLES TENDON LOCAL ANESTH,6046.0,6046.0,,,0
HCPCS,27605,Incision of achilles tendon,,,1677.32,7599.74,10
HCPCS,27606,Incision of achilles tendon,,,2630.44,15463.96,10
HCPCS,27607,Treat lower leg bone lesion,,,3378.06,15463.96,10
HCPCS,27610,Explore/treat ankle joint,,,3378.06,15463.96,10
HCPCS,27612,Exploration of ankle joint,,,3378.06,15463.96,10
HCPCS,27613,Biopsy lower leg soft tissue,,,1692.02,7805.69,10
HCPCS,27614,Biopsy lower leg soft tissue,,,2965.46,13728.11,10
HCPCS,27615,Resect leg/ankle tum < 5 cm,,,2965.46,13728.11,10
HCPCS,27616,Resect leg/ankle tum 5 cm/>,,,2965.46,13728.11,10
HCPCS,27618,Exc leg/ankle tum < 3 cm,,,1692.02,7805.69,10
HCPCS,27619,Exc leg/ankle tum deep <5 cm,,,2965.46,13728.11,10
HCPCS,27620,Explore/treat ankle joint,,,3378.06,15463.96,10
HCPCS,27625,Remove ankle joint lining,,,3378.06,15463.96,10
HCPCS,27626,Remove ankle joint lining,,,3378.06,15463.96,10
HCPCS,27630,Removal of tendon lesion,,,3378.06,15463.96,10
HCPCS,27632,Exc leg/ankle les sc 3 cm/>,,,2965.46,13728.11,10
HCPCS,27634,Exc leg/ankle tum dep 5 cm/>,,,2965.46,13728.11,10
HCPCS,27635,Remove lower leg bone lesion,,,3378.06,15463.96,10
HCPCS,27637,Remove/graft leg bone lesion,,,5391.0,34293.94,10
HCPCS,27638,Remove/graft leg bone lesion,,,5391.0,34293.94,10
HCPCS,27640,Partial removal of tibia,,,3378.06,15463.96,10
HCPCS,27641,Partial removal of fibula,,,3378.06,15463.96,10
HCPCS,27645,Resect tibia tumor,,,3678.83,15463.96,9
HCPCS,27646,Resect fibula tumor,,,3678.83,15463.96,9
HCPCS,27647,Resect talus/calcaneus tum,,,3378.06,15463.96,10
HCPCS,27648,HC INJ ANKLE ARTHRO,1480.0,1480.0,,,0
HCPCS,27648,Injection for ankle x-ray,,,1473.0,1473.0,1
HCPCS,27650,Repair achilles tendon,,,7466.19,34293.94,10
HCPCS,27652,Repair/graft achilles tendon,,,7466.19,34293.94,10
HCPCS,27654,Repair of achilles tendon,,,7466.19,34293.94,10
HCPCS,27656,Repair leg fascia defect,,,3378.06,15463.96,10
HCPCS,27658,Repair of leg tendon each,,,2630.44,15463.96,10
HCPCS,27659,Repair of leg tendon each,,,4822.0,34293.94,10
HCPCS,27664,Repair of leg tendon each,,,5391.0,34293.94,10
HCPCS,27665,Repair of leg tendon each,,,5391.0,34293.94,10
HCPCS,27675,Repair lower leg tendons,,,3378.06,15463.96,10
HCPCS,27676,Repair lower leg tendons,,,5391.0,34293.94,10
HCPCS,27680,Release of lower leg tendon,,,3378.06,15463.96,10
HCPCS,27681,Release of lower leg tendons,,,3378.06,15463.96,10
HCPCS,27685,Revision of lower leg tendon,,,3378.06,15463.96,10
HCPCS,27686,Revise lower leg tendons,,,3378.06,15463.96,10
HCPCS,27687,Revision of calf tendon,,,3378.06,15463.96,10
HCPCS,27690,Revise lower leg tendon,,,7466.19,34293.94,10
HCPCS,27691,Revise lower leg tendon,,,7466.19,34293.94,10
HCPCS,27692,Revise additional leg tendon,,,1473.0,16493.56,2
HCPCS,27695,Repair of ankle ligament,,,5391.0,34293.94,10
HCPCS,27696,Repair of ankle ligaments,,,5391.0,34293.94,10
HCPCS,27698,Repair of ankle ligament,,,5391.0,34293.94,10
HCPCS,27700,Revision of ankle joint,,,7466.19,34293.94,10
HCPCS,27702,Reconstruct ankle joint,,,9556.0,128239.39,9
HCPCS,27703,Reconstruction ankle joint,,,6880.82,82867.4,9
HCPCS,27704,Removal of ankle implant,,,3378.06,15463.96,10
HCPCS,27705,Incision of tibia,,,6270.01,34293.94,10
HCPCS,27707,Incision of fibula,,,3378.06,15463.96,10
HCPCS,27709,Incision of tibia & fibula,,,5391.0,60677.5,10
HCPCS,27712,Realignment of lower leg,,,6880.82,60677.5,9
HCPCS,27713,Osteot tibia imed lngth dev,,,8158.42,34293.94,3
HCPCS,27715,Revision of lower leg,,,6880.82,60677.5,9
HCPCS,27720,Repair of tibia,,,7466.19,34293.94,10
HCPCS,27722,Repair/graft of tibia,,,7466.19,34293.94,10
HCPCS,27724,Repair/graft of tibia,,,6880.82,34293.94,9
HCPCS,27725,Repair of lower leg,,,6880.82,34293.94,9
HCPCS,27726,Repair fibula nonunion,,,7466.19,34293.94,10
HCPCS,27727,Repair of lower leg,,,3678.83,15463.96,9
HCPCS,27730,Repair of tibia epiphysis,,,3378.06,15463.96,10
HCPCS,27732,Repair of fibula epiphysis,,,3378.06,15463.96,10
HCPCS,27734,Repair lower leg epiphyses,,,3378.06,15463.96,10
HCPCS,27740,Repair of leg epiphyses,,,3378.06,15463.96,10
HCPCS,27742,Repair of leg epiphyses,,,3378.06,16493.56,10
HCPCS,27745,Reinforce tibia,,,7466.19,34293.94,10
HCPCS,27750,HC CL TX TIBIAL SHAFT FX WO MANIP,705.0,705.0,,,0
HCPCS,27750,Treatment of tibia fracture,,,246.11,2630.44,10
HCPCS,27752,HC CL TX TIBIAL SHAFT FX W MANIP,5066.0,5066.0,,,0
HCPCS,27752,Treatment of tibia fracture,,,1677.32,7599.61,10
HCPCS,27756,Treatment of tibia fracture,,,4822.0,34293.94,10
HCPCS,27758,Treatment of tibia fracture,,,9556.0,60677.5,10
HCPCS,27759,Treatment of tibia fracture,,,9556.0,60677.5,10
HCPCS,27760,Cltx medial ankle fx,,,246.11,2630.44,10
HCPCS,27760,HC CL TX MEDIAL MALLEOLUS FX WO MANIP,705.0,705.0,,,0
HCPCS,27762,Cltx med ankle fx w/mnpj,,,1677.32,7599.61,10
HCPCS,27762,HC CL TX MEDIAL MALLEOLUS FX W MANIP,5066.0,5066.0,,,0
HCPCS,27766,Optx medial ankle fx,,,7466.19,34293.94,10
HCPCS,27767,Cltx post ankle fx,,,246.11,1473.0,10
HCPCS,27768,Cltx post ankle fx w/mnpj,,,641.25,7599.61,6
HCPCS,27768,HC CL TX POSTERIOR MALLEOLUS FX W MANIP,450.0,450.0,,,0
HCPCS,27769,Optx post ankle fx,,,7466.19,34293.94,10
HCPCS,27780,HC CL TX PROX FIBULA OR SHAFT FX WO MANIP,705.0,705.0,,,0
HCPCS,27780,Treatment of fibula fracture,,,246.11,2630.44,10
HCPCS,27781,HC CL TX PROX FIBULA OR SHAFT FX W MANIP,2678.0,2678.0,,,0
HCPCS,27781,Treatment of fibula fracture,,,1677.32,7599.61,10
HCPCS,27784,Treatment of fibula fracture,,,7466.19,34293.94,10
HCPCS,27786,HC CL TMT DISTAL FIB FX W/O MAN,721.0,721.0,,,0
HCPCS,27786,Treatment of ankle fracture,,,246.11,2630.44,10
HCPCS,27788,HC CL TMT DISTAL FIB FX WO MAN,721.0,721.0,,,0
HCPCS,27788,Treatment of ankle fracture,,,246.11,2630.44,10
HCPCS,27792,Treatment of ankle fracture,,,7466.19,34293.94,10
HCPCS,27808,HC CL TMT BIMALLEOLAR ANKLE FX WO MAN,721.0,721.0,,,0
HCPCS,27808,Treatment of ankle fracture,,,246.11,2630.44,10
HCPCS,27810,HC CL TMT BIMAL ANKLE FX W/MAN,2678.0,2678.0,,,0
HCPCS,27810,Treatment of ankle fracture,,,641.25,7599.61,10
HCPCS,27814,Treatment of ankle fracture,,,7466.19,34293.94,10
HCPCS,27816,HC CLSD REDUCT TRIMALLEOLAR FRAC WO MAN,705.0,705.0,,,0
HCPCS,27816,Treatment of ankle fracture,,,246.11,2630.44,10
HCPCS,27818,HC CLSD REDUCT TRIMALLEOLAR FRAC,2678.0,2678.0,,,0
HCPCS,27818,Treatment of ankle fracture,,,1677.32,7599.61,10
HCPCS,27822,Treatment of ankle fracture,,,7466.19,34293.94,10
HCPCS,27823,Treatment of ankle fracture,,,7466.19,34293.94,10
HCPCS,27824,HC CLSD TRT MET ARTICULAR PORTION OF DISTAL TIBIA WO MAN,721.0,721.0,,,0
HCPCS,27824,Treat lower leg fracture,,,246.11,2630.44,10
HCPCS,27825,HC CLSD TRT MET ARTICULAR PORTION OF DISTAL TIBIA W MAN,5066.0,5066.0,,,0
HCPCS,27825,Treat lower leg fracture,,,1677.32,7599.61,10
HCPCS,27826,Treat lower leg fracture,,,6270.01,34293.94,10
HCPCS,27827,Treat lower leg fracture,,,9556.0,60677.5,10
HCPCS,27828,Treat lower leg fracture,,,9556.0,60677.5,10
HCPCS,27829,Treat lower leg joint,,,6270.01,34293.94,10
HCPCS,27830,HC CLSD TRT MET PROXIMAL TIBIOFIBULAR WO ANES,536.0,536.0,,,0
HCPCS,27830,Treat lower leg dislocation,,,246.11,2630.44,10
HCPCS,27831,Treat lower leg dislocation,,,2630.44,15463.96,10
HCPCS,27832,Treat lower leg dislocation,,,6270.01,34293.94,10
HCPCS,27840,HC CL TREAT ANK DISLOC W/O ANEST,721.0,721.0,,,0
HCPCS,27840,Treat ankle dislocation,,,246.11,2630.44,10
HCPCS,27842,Treat ankle dislocation,,,1677.32,7599.61,10
HCPCS,27846,Treat ankle dislocation,,,7466.19,34293.94,10
HCPCS,27848,Treat ankle dislocation,,,7466.19,34293.94,10
HCPCS,27860,Fixation of ankle joint,,,2630.44,15463.96,10
HCPCS,27870,Fusion of ankle joint open,,,9556.0,60677.5,10
HCPCS,27871,Fusion of tibiofibular joint,,,9556.0,60677.5,10
HCPCS,27880,Amputation of lower leg,,,6270.01,34293.94,9
HCPCS,27881,Amputation of lower leg,,,3678.83,15463.96,9
HCPCS,27882,Amputation of lower leg,,,3678.83,15463.96,9
HCPCS,27884,Amputation follow-up surgery,,,3378.06,15463.96,10
HCPCS,27886,Amputation follow-up surgery,,,3678.83,15463.96,9
HCPCS,27888,Amputation of foot at ankle,,,3678.83,15463.96,9
HCPCS,27889,Amputation of foot at ankle,,,5391.0,34293.94,10
HCPCS,27892,Decompression of leg,,,3378.06,15463.96,10
HCPCS,27893,Decompression of leg,,,5391.0,34293.94,10
HCPCS,27894,Decompression of leg,,,3378.06,15463.96,10
HCPCS,27899,Leg/ankle surgery procedure,,,246.11,1473.0,9
HCPCS,28001,Drainage of bursa of foot,,,1692.02,7805.69,10
HCPCS,28002,Treatment of foot infection,,,1677.32,9812.66,10
HCPCS,28003,Treatment of foot infection,,,3378.06,15463.96,10
HCPCS,28005,Treat foot bone lesion,,,3378.06,15463.96,10
HCPCS,28008,Incision of foot fascia,,,3378.06,15463.96,10
HCPCS,28010,HC PR TENOTOMY TOE SING TENDON,603.0,603.0,,,0
HCPCS,28010,HC TENOTOMY TOE SING TENDON,4758.0,4758.0,,,0
HCPCS,28010,Incision of toe tendon,,,1677.32,7599.74,10
HCPCS,28011,Incision of toe tendons,,,1677.32,7599.74,10
HCPCS,28020,Exploration of foot joint,,,3378.06,15463.96,10
HCPCS,28022,Exploration of foot joint,,,3378.06,15463.96,10
HCPCS,28024,Exploration of toe joint,,,1677.32,7599.74,10
HCPCS,28035,Decompression of tibia nerve,,,2015.01,9812.66,10
HCPCS,28039,Exc foot/toe tum sc 1.5 cm/>,,,2965.46,13728.11,10
HCPCS,28041,Exc foot/toe tum dep 1.5cm/>,,,2965.46,13728.11,10
HCPCS,28043,Exc foot/toe tum sc < 1.5 cm,,,1692.02,7805.69,10
HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,2965.46,13728.11,10
HCPCS,28046,Resect foot/toe tumor < 3 cm,,,2965.46,13728.11,10
HCPCS,28047,Resect foot/toe tumor 3 cm/>,,,2965.46,13728.11,10
HCPCS,28050,Biopsy of foot joint lining,,,3378.06,15463.96,10
HCPCS,28052,Biopsy of foot joint lining,,,3378.06,15463.96,10
HCPCS,28054,Biopsy of toe joint lining,,,3378.06,15463.96,10
HCPCS,28055,Neurectomy foot,,,2015.01,9228.87,10
HCPCS,28060,Partial removal foot fascia,,,3378.06,15463.96,10
HCPCS,28062,Removal of foot fascia,,,3378.06,15463.96,10
HCPCS,28070,Removal of foot joint lining,,,4822.0,34293.94,10
HCPCS,28072,Removal of foot joint lining,,,3378.06,15463.96,10
HCPCS,28080,Removal of foot lesion,,,1677.32,9812.66,10
HCPCS,28086,Excise foot tendon sheath,,,3378.06,15463.96,10
HCPCS,28088,Excise foot tendon sheath,,,3378.06,15463.96,10
HCPCS,28090,Removal of foot lesion,,,1677.32,9812.66,10
HCPCS,28092,Removal of toe lesions,,,1677.32,9812.66,10
HCPCS,28100,Removal of ankle/heel lesion,,,3378.06,15463.96,10
HCPCS,28102,Remove/graft foot lesion,,,7466.19,34293.94,10
HCPCS,28103,Remove/graft foot lesion,,,7466.19,34293.94,10
HCPCS,28104,Removal of foot lesion,,,3378.06,15463.96,10
HCPCS,28106,Remove/graft foot lesion,,,7466.19,34293.94,10
HCPCS,28107,Remove/graft foot lesion,,,7466.19,34293.94,10
HCPCS,28108,Removal of toe lesions,,,1677.32,7599.74,10
HCPCS,28110,Part removal of metatarsal,,,3378.06,15463.96,10
HCPCS,28111,Part removal of metatarsal,,,3378.06,15463.96,10
HCPCS,28112,Part removal of metatarsal,,,3378.06,15463.96,10
HCPCS,28113,Part removal of metatarsal,,,3378.06,15463.96,10
HCPCS,28114,Removal of metatarsal heads,,,3378.06,15463.96,10
HCPCS,28116,Revision of foot,,,3378.06,15463.96,10
HCPCS,28118,Removal of heel bone,,,3378.06,15463.96,10
HCPCS,28119,Removal of heel spur,,,3378.06,15463.96,10
HCPCS,28120,Part removal of ankle/heel,,,3378.06,15463.96,10
HCPCS,28122,Partial removal of foot bone,,,3378.06,15463.96,10
HCPCS,28124,HC PART EXC BONE PHALANX OF TOE,7361.0,7361.0,,,0
HCPCS,28124,Partial removal of toe,,,2630.44,15463.96,10
HCPCS,28126,Partial removal of toe,,,3378.06,15463.96,10
HCPCS,28130,Removal of ankle bone,,,4822.0,34293.94,10
HCPCS,28140,Removal of metatarsal,,,3378.06,15463.96,10
HCPCS,28150,Removal of toe,,,3378.06,15463.96,10
HCPCS,28153,Partial removal of toe,,,3378.06,15463.96,10
HCPCS,28160,Partial removal of toe,,,3378.06,15463.96,10
HCPCS,28171,Resect tarsal tumor,,,3378.06,15463.96,10
HCPCS,28173,Resect metatarsal tumor,,,3378.06,15463.96,10
HCPCS,28175,Resect phalanx of toe tumor,,,1677.32,9812.66,10
HCPCS,28190,HC PR REM FB FOOT SUBCU,615.0,615.0,,,0
HCPCS,28190,HC REM FB FOOT SUBCU,2678.0,2678.0,,,0
HCPCS,28190,Removal of foot foreign body,,,734.26,3346.74,10
HCPCS,28192,HC REM FB FOOT DEEP,2554.0,2554.0,,,0
HCPCS,28192,Removal of foot foreign body,,,1692.02,7805.69,10
HCPCS,28193,HC REM FB FOOT COMPLICATED,3006.5,3006.5,,,0
HCPCS,28193,Removal of foot foreign body,,,1692.02,9812.66,10
HCPCS,28200,Repair of foot tendon,,,3378.06,15463.96,10
HCPCS,28202,Repair/graft of foot tendon,,,4822.0,34293.94,10
HCPCS,28208,HC REPAIR TENDON EXTENSOR FOOT EACH TENDON,10369.0,10369.0,,,0
HCPCS,28208,Repair of foot tendon,,,3378.06,15463.96,10
HCPCS,28210,Repair/graft of foot tendon,,,7466.19,34293.94,10
HCPCS,28220,Release of foot tendon,,,1677.32,7599.74,10
HCPCS,28222,Release of foot tendons,,,2630.44,15463.96,10
HCPCS,28225,Release of foot tendon,,,2630.44,15463.96,10
HCPCS,28226,Release of foot tendons,,,2630.44,15463.96,10
HCPCS,28230,Incision of foot tendon(s),,,1677.32,7599.74,10
HCPCS,28232,Incision of toe tendon,,,1677.32,7599.74,10
HCPCS,28234,Incision of foot tendon,,,1677.32,7599.74,10
HCPCS,28238,Revision of foot tendon,,,7466.19,34293.94,10
HCPCS,28240,Release of big toe,,,3378.06,15463.96,10
HCPCS,28250,Revision of foot fascia,,,3378.06,15463.96,10
HCPCS,28260,Release of midfoot joint,,,3378.06,15463.96,10
HCPCS,28261,Revision of foot tendon,,,1677.32,9812.66,10
HCPCS,28262,Revision of foot and ankle,,,4822.0,34293.94,10
HCPCS,28264,Release of midfoot joint,,,1677.32,20764.83,10
HCPCS,28270,Release of foot contracture,,,3378.06,15463.96,10
HCPCS,28272,Release of toe joint each,,,1677.32,7599.74,10
HCPCS,28280,Fusion of toes,,,3378.06,15463.96,10
HCPCS,28285,Repair of hammertoe,,,3378.06,15463.96,10
HCPCS,28286,Repair of hammertoe,,,3378.06,15463.96,10
HCPCS,28288,Partial removal of foot bone,,,3378.06,15463.96,10
HCPCS,28289,Corrj halux rigdus w/o implt,,,3378.06,15463.96,10
HCPCS,28291,Corrj halux rigdus w/implt,,,7466.19,34293.94,10
HCPCS,28292,Correction hallux valgus,,,3378.06,15463.96,10
HCPCS,28295,Correction hallux valgus,,,3378.06,15463.96,10
HCPCS,28296,Correction hallux valgus,,,3378.06,15463.96,10
HCPCS,28297,Correction hallux valgus,,,5391.0,60677.5,10
HCPCS,28298,Correction hallux valgus,,,5391.0,34293.94,10
HCPCS,28299,Correction hallux valgus,,,5391.0,34293.94,10
HCPCS,28300,Incision of heel bone,,,6270.01,34293.94,10
HCPCS,28302,Incision of ankle bone,,,4822.0,34293.94,10
HCPCS,28304,Incision of midfoot bones,,,6270.01,34293.94,10
HCPCS,28305,Incise/graft midfoot bones,,,7466.19,34293.94,10
HCPCS,28306,Incision of metatarsal,,,4822.0,34293.94,10
HCPCS,28307,Incision of metatarsal,,,4822.0,34293.94,10
HCPCS,28308,Incision of metatarsal,,,3378.06,15463.96,10
HCPCS,28309,Incision of metatarsals,,,7466.19,34293.94,10
HCPCS,28310,Revision of big toe,,,4822.0,34293.94,10
HCPCS,28312,Revision of toe,,,3378.06,15463.96,10
HCPCS,28313,Repair deformity of toe,,,3378.06,15463.96,10
HCPCS,28315,Removal of sesamoid bone,,,3378.06,15463.96,10
HCPCS,28320,Repair of foot bones,,,9556.0,60677.5,10
HCPCS,28322,Repair of metatarsals,,,4822.0,34293.94,10
HCPCS,28340,Resect enlarged toe tissue,,,3378.06,15463.96,10
HCPCS,28341,Resect enlarged toe,,,3378.06,15463.96,10
HCPCS,28344,Repair extra toe(s),,,3378.06,15463.96,10
HCPCS,28345,Repair webbed toe(s),,,1677.32,9812.66,10
HCPCS,28360,Reconstruct cleft foot,,,6270.01,34293.94,10
HCPCS,28400,Treatment of heel fracture,,,246.11,2630.44,10
HCPCS,28405,HC CLSD TRT MET CALCANEAL W MAN,1490.0,1490.0,,,0
HCPCS,28405,Treatment of heel fracture,,,246.11,6270.01,10
HCPCS,28406,Treatment of heel fracture,,,4822.0,34293.94,10
HCPCS,28415,Treat heel fracture,,,7466.19,34293.94,10
HCPCS,28420,Treat/graft heel fracture,,,9556.0,60677.5,10
HCPCS,28430,HC CLSD TRT MET TALUS FX WO MAN,536.0,536.0,,,0
HCPCS,28430,Treatment of ankle fracture,,,246.11,1678.32,10
HCPCS,28435,HC CLSD TRT MET TALUS FX W MAN,5066.0,5066.0,,,0
HCPCS,28435,Treatment of ankle fracture,,,641.25,7599.61,10
HCPCS,28436,Treatment of ankle fracture,,,4822.0,34293.94,10
HCPCS,28445,Treat ankle fracture,,,7466.19,34293.94,10
HCPCS,28446,Osteochondral talus autogrft,,,7466.19,34293.94,10
HCPCS,28450,HC CLSD TRT MET TARSAL FX WO MAN,536.0,536.0,,,0
HCPCS,28450,Treat midfoot fracture each,,,246.11,1473.0,10
HCPCS,28455,HC CLSD TRT MET TARSAL FX W MAN,450.0,450.0,,,0
HCPCS,28455,Treat midfoot fracture each,,,641.25,7599.61,10
HCPCS,28456,Treat midfoot fracture,,,4822.0,34293.94,10
HCPCS,28465,Treat midfoot fracture each,,,7466.19,34293.94,10
HCPCS,28470,HC METATARSAL FX WO,721.0,721.0,,,0
HCPCS,28470,Treat metatarsal fracture,,,246.11,1473.0,10
HCPCS,28475,HC METATARSAL FX W MAN,721.0,721.0,,,0
HCPCS,28475,Treat metatarsal fracture,,,246.11,1473.0,10
HCPCS,28476,Treat metatarsal fracture,,,3378.06,15463.96,10
HCPCS,28485,Treat metatarsal fracture,,,7466.19,34293.94,10
HCPCS,28490,Treat big toe fracture,,,246.11,1473.0,10
HCPCS,28495,HC CL TX FX GREAT TOE PHALANX OR PHALANGES W MAN,721.0,721.0,,,0
HCPCS,28495,Treat big toe fracture,,,246.11,1473.0,10
HCPCS,28496,Treat big toe fracture,,,3378.06,15463.96,10
HCPCS,28505,Treat big toe fracture,,,3378.06,15463.96,10
HCPCS,28510,Treatment of toe fracture,,,246.11,1473.0,10
HCPCS,28515,HC CL TX FX PHALANX OR PHALANGES OTHER THAN TOE W/MAN,721.0,721.0,,,0
HCPCS,28515,Treatment of toe fracture,,,246.11,1473.0,10
HCPCS,28525,Treat toe fracture,,,3378.06,15463.96,10
HCPCS,28530,Treat sesamoid bone fracture,,,246.11,1473.0,10
HCPCS,28531,Treat sesamoid bone fracture,,,4822.0,34293.94,10
HCPCS,28540,Treat foot dislocation,,,246.11,1678.32,10
HCPCS,28545,Treat foot dislocation,,,2630.44,15463.96,10
HCPCS,28546,Treat foot dislocation,,,1677.32,9158.61,10
HCPCS,28555,Repair foot dislocation,,,6270.01,34293.94,10
HCPCS,28570,HC CL TX TALOTARSAL JOINT DISLOC WO ANES,721.0,721.0,,,0
HCPCS,28570,Treat foot dislocation,,,246.11,2630.44,10
HCPCS,28575,Treat foot dislocation,,,2630.44,15463.96,10
HCPCS,28576,Treat foot dislocation,,,4822.0,34293.94,10
HCPCS,28585,Repair foot dislocation,,,4822.0,34293.94,10
HCPCS,28600,Treat foot dislocation,,,246.11,1473.0,10
HCPCS,28605,Treat foot dislocation,,,246.11,2630.44,10
HCPCS,28606,Treat foot dislocation,,,3378.06,15463.96,10
HCPCS,28615,Repair foot dislocation,,,7466.19,34293.94,10
HCPCS,28630,HC CLSD TRT MET JNT DIS W/O ANES,721.0,721.0,,,0
HCPCS,28630,Treat toe dislocation,,,246.11,1473.0,10
HCPCS,28635,Treat toe dislocation,,,1677.32,7599.61,10
HCPCS,28636,Treat toe dislocation,,,3378.06,15463.96,10
HCPCS,28645,Repair toe dislocation,,,3378.06,15463.96,10
HCPCS,28660,HC CLSD TRT INTERPHALANGEAL JNT DIS WO ANES,536.0,536.0,,,0
HCPCS,28660,Treat toe dislocation,,,246.11,1473.0,10
HCPCS,28665,Treat toe dislocation,,,280.28,4985.46,10
HCPCS,28666,Treat toe dislocation,,,3378.06,15463.96,10
HCPCS,28675,Repair of toe dislocation,,,3378.06,15463.96,10
HCPCS,28705,Fusion of foot bones,,,9556.0,82867.4,10
HCPCS,28715,Fusion of foot bones,,,9556.0,60677.5,10
HCPCS,28725,Fusion of foot bones,,,9556.0,60677.5,10
HCPCS,28730,Fusion of foot bones,,,9556.0,60677.5,10
HCPCS,28735,Fusion of foot bones,,,9556.0,60677.5,10
HCPCS,28737,Revision of foot bones,,,9556.0,60677.5,10
HCPCS,28740,Fusion of foot bones,,,7466.19,34293.94,10
HCPCS,28750,Fusion of big toe joint,,,7466.19,34293.94,10
HCPCS,28755,Fusion of big toe joint,,,4822.0,34293.94,10
HCPCS,28760,Fusion of big toe joint,,,7466.19,34293.94,10
HCPCS,28800,Amputation of midfoot,,,3678.83,15463.96,9
HCPCS,28805,Amputation thru metatarsal,,,3378.06,15463.96,10
HCPCS,28810,Amputation toe & metatarsal,,,3378.06,15463.96,10
HCPCS,28820,Amputation of toe,,,3378.06,15463.96,10
HCPCS,28820,HC AMPUTATION TOE METATARSOPHALANGEAL JNT,5293.0,5293.0,,,0
HCPCS,28820,HC AMPUTATION TOE METATARSOPHALANGEAL JOINT,5293.0,5293.0,,,0
HCPCS,28820,HC PR AMPUTATION TOE METATARSOPHALANGEAL JOINT,1223.0,1223.0,,,0
HCPCS,28825,Partial amputation of toe,,,3378.06,15463.96,10
HCPCS,28890,Hi enrgy eswt plantar fascia,,,1677.32,11067.88,10
HCPCS,28899,Foot/toes surgery procedure,,,246.11,1473.0,9
HCPCS,29000,Application of body cast,,,280.28,1473.0,10
HCPCS,29010,Application of body cast,,,280.28,1473.0,10
HCPCS,29015,Application of body cast,,,280.28,1473.0,10
HCPCS,29035,Application of body cast,,,280.28,1473.0,10
HCPCS,29040,Application of body cast,,,280.28,1473.0,10
HCPCS,29044,Application of body cast,,,164.45,1473.0,10
HCPCS,29046,Application of body cast,,,280.28,1473.0,10
HCPCS,29049,Application of figure eight,,,280.28,1473.0,10
HCPCS,29055,Application of shoulder cast,,,280.28,1473.0,10
HCPCS,29058,Application of shoulder cast,,,280.28,1473.0,10
HCPCS,29065,Application of long arm cast,,,280.28,1473.0,10
HCPCS,29065,HC APP LONG ARM CAST,611.0,611.0,,,0
HCPCS,29065,HC APP LONG ARM CAST SHOULDER/HND,611.0,611.0,,,0
HCPCS,29065,HC PR APP LONG ARM CAST,240.0,240.0,,,0
HCPCS,29075,Application of forearm cast,,,280.28,1473.0,10
HCPCS,29075,HC PR SHORT ARM CAST ELBOW TO FINGER,217.0,217.0,,,0
HCPCS,29075,HC SHORT ARM CAST ELBOW TO FINGER,611.0,611.0,,,0
HCPCS,29085,Apply hand/wrist cast,,,164.45,1473.0,10
HCPCS,29085,HC APP GAUNTLET CAST,416.0,416.0,,,0
HCPCS,29086,Apply finger cast,,,164.45,1473.0,10
HCPCS,29105,Apply long arm splint,,,164.45,1473.0,10
HCPCS,29105,HC APP LONG ARM SPLINT,490.0,490.0,,,0
HCPCS,29105,HC PR APP LONG ARM SPLINT,242.0,242.0,,,0
HCPCS,29105,HC PT APPL LONG ARM SPLINT (SHOULDER TO HAND),490.0,490.0,,,0
HCPCS,29125,Apply forearm splint,,,133.32,1473.0,10
HCPCS,29125,HC APP SHORT ARM SPLINT,490.0,490.0,,,0
HCPCS,29125,HC APP SHORT ARM SPLNT FORARM/HND,490.0,490.0,,,0
HCPCS,29125,HC PR APP SHORT ARM SPLINT,194.0,194.0,,,0
HCPCS,29126,Apply forearm splint,,,133.32,1473.0,10
HCPCS,29126,HC APP SHORT ARM SPLNT FORARM/HND DYNAMIC,490.0,490.0,,,0
HCPCS,29126,HC APPLIC SHT ARM SPLNT DYNAMIC,490.0,490.0,,,0
HCPCS,29130,Application of finger splint,,,133.32,1473.0,10
HCPCS,29130,HC APP FINGER SPLINT STATIC,291.0,291.0,,,0
HCPCS,29130,HC PR APP FINGER SPLINT STATIC,102.0,102.0,,,0
HCPCS,29131,Application of finger splint,,,63.84,1473.0,10
HCPCS,29131,HC APP FINGER SPLINT DYNAMIC,245.0,245.0,,,0
HCPCS,29131,HC APPLIC FINGER SPLNT DYNAMIC,245.0,245.0,,,0
HCPCS,29200,Strapping of chest,,,164.45,1473.0,10
HCPCS,29240,Strapping of shoulder,,,133.32,1473.0,10
HCPCS,29260,Strapping of elbow or wrist,,,63.84,1473.0,10
HCPCS,29280,Strapping of hand or finger,,,63.84,1473.0,10
HCPCS,29305,Application of hip cast,,,280.28,1473.0,10
HCPCS,29325,Application of hip casts,,,280.28,1473.0,10
HCPCS,29345,Application of long leg cast,,,280.28,1473.0,10
HCPCS,29345,HC APP LONG LEG CAST,611.0,611.0,,,0
HCPCS,29345,HC APP LONG LEG CAST THIGH/TOES,611.0,611.0,,,0
HCPCS,29345,HC PR APP LONG LEG CAST,341.0,341.0,,,0
HCPCS,29355,Application of long leg cast,,,280.28,1473.0,10
HCPCS,29355,HC APP LONG LEG AMB TYPE CAST,611.0,611.0,,,0
HCPCS,29355,HC PR APP LONG LEG AMB TYPE CAST,352.0,352.0,,,0
HCPCS,29358,Apply long leg cast brace,,,280.28,1473.0,10
HCPCS,29358,HC APP LEG CAST BRACE,611.0,611.0,,,0
HCPCS,29358,HC PR APP LEG CAST BRACE,402.0,402.0,,,0
HCPCS,29365,Application of long leg cast,,,280.28,1473.0,10
HCPCS,29365,HC APP CYLINDER CAST,611.0,611.0,,,0
HCPCS,29365,HC PR APP CYLINDER CAST,307.0,307.0,,,0
HCPCS,29365,HC PT APPLICATION CYLINDER CAST (THIGH TO ANKLE),611.0,611.0,,,0
HCPCS,29405,Apply short leg cast,,,280.28,1473.0,10
HCPCS,29405,HC APP SHORT LEG CAST BELOW KNEE,611.0,611.0,,,0
HCPCS,29405,HC PR APP SHORT LEG CAST BELOW KNEE,205.0,205.0,,,0
HCPCS,29425,Apply short leg cast,,,280.28,1473.0,10
HCPCS,29425,HC APP SHORT LEG AMB TYPE CAST,611.0,611.0,,,0
HCPCS,29425,HC PR APP SHORT LEG AMB TYPE CAST,197.0,197.0,,,0
HCPCS,29435,Apply short leg cast,,,280.28,1473.0,10
HCPCS,29435,HC APP PTB CAST,611.0,611.0,,,0
HCPCS,29435,HC PR APP PTB CAST,293.0,293.0,,,0
HCPCS,29440,Addition of walker to cast,,,164.45,1473.0,10
HCPCS,29445,Apply rigid leg cast,,,280.28,1473.0,10
HCPCS,29445,HC APPLICATION OF RIGID LEG CAST,611.0,611.0,,,0
HCPCS,29445,HC PR APPLICATION OF RIGID LEG CAST,329.0,329.0,,,0
HCPCS,29450,Application of leg cast,,,164.45,1473.0,10
HCPCS,29450,HC APP CLUB FOOT CAST,416.0,416.0,,,0
HCPCS,29450,HC PR APP CLUB FOOT CAST,361.0,361.0,,,0
HCPCS,29505,Application long leg splint,,,164.45,1473.0,10
HCPCS,29505,HC APP LONG LEG SPLINT THIGH/TOES,416.0,416.0,,,0
HCPCS,29515,Application lower leg splint,,,164.45,1473.0,10
HCPCS,29515,HC APP SHORT LEG SPLINT CALF/FOOT,416.0,416.0,,,0
HCPCS,29515,HC PR APP SHORT LEG SPLINT CALF/FOOT,208.0,208.0,,,0
HCPCS,29520,Strapping of hip,,,133.32,1473.0,10
HCPCS,29530,Strapping of knee,,,133.32,1473.0,10
HCPCS,29540,Strapping of ankle and/or ft,,,164.45,1473.0,10
HCPCS,29550,Strapping of toes,,,63.84,1473.0,10
HCPCS,29580,Application of paste boot,,,164.45,1473.0,10
HCPCS,29580,HC PR UNNA BOOT APPL,118.0,118.0,,,0
HCPCS,29580,HC UNNA BOOT APPL,575.0,575.0,,,0
HCPCS,29581,Apply multlay comprs lwr leg,,,164.45,1473.0,10
HCPCS,29581,HC MULTI-LAYER COMPRESSION WRAP,416.0,416.0,,,0
HCPCS,29581,HC PR MULTI-LAYER COMPRESSION WRAP,112.0,112.0,,,0
HCPCS,29584,Appl multlay comprs arm/hand,,,164.45,1473.0,10
HCPCS,29700,HC REMOV/REPAIR BIVALVE CAST,416.0,416.0,,,0
HCPCS,29700,Removal/revision of cast,,,280.28,1473.0,10
HCPCS,29705,HC REMOVAL REPAIR LEG OR ARM CAST,416.0,416.0,,,0
HCPCS,29705,Removal/revision of cast,,,280.28,1473.0,10
HCPCS,29710,Removal/revision of cast,,,280.28,1473.0,10
HCPCS,29720,Repair of body cast,,,164.45,1473.0,10
HCPCS,29730,Windowing of cast,,,164.45,1473.0,10
HCPCS,29740,HC PR WEDGING OF A CAST,248.0,248.0,,,0
HCPCS,29740,HC WEDGING OF A CAST,416.0,416.0,,,0
HCPCS,29740,Wedging of cast,,,280.28,1473.0,10
HCPCS,29750,Wedging of clubfoot cast,,,280.28,1473.0,10
HCPCS,29799,Casting/strapping procedure,,,164.45,1473.0,9
HCPCS,29800,Jaw arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29804,Jaw arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29805,Shoulder arthroscopy dx,,,3378.06,15463.96,10
HCPCS,29806,Shoulder arthroscopy/surgery,,,7466.19,34293.94,10
HCPCS,29807,Shoulder arthroscopy/surgery,,,7466.19,34293.94,10
HCPCS,29819,Shoulder arthroscopy/surgery,,,3378.06,18617.3,10
HCPCS,29820,Shoulder arthroscopy/surgery,,,7466.19,34293.94,10
HCPCS,29821,Shoulder arthroscopy/surgery,,,3378.06,18617.3,10
HCPCS,29822,Shoulder arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29823,Shoulder arthroscopy/surgery,,,3378.06,18617.3,10
HCPCS,29824,Shoulder arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29825,Shoulder arthroscopy/surgery,,,3378.06,18617.3,10
HCPCS,29826,Shoulder arthroscopy/surgery,,,1473.0,10131.55,2
HCPCS,29827,Arthroscop rotator cuff repr,,,7466.19,34293.94,10
HCPCS,29828,Arthroscopy biceps tenodesis,,,7466.19,34293.94,10
HCPCS,29830,Elbow arthroscopy,,,3378.06,15463.96,10
HCPCS,29834,Elbow arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29835,Elbow arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29836,Elbow arthroscopy/surgery,,,7466.19,34293.94,10
HCPCS,29837,Elbow arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29838,Elbow arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29840,Wrist arthroscopy,,,3378.06,15463.96,10
HCPCS,29843,Wrist arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29844,Wrist arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29845,Wrist arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29846,Wrist arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29847,Wrist arthroscopy/surgery,,,7466.19,34293.94,10
HCPCS,29848,Wrist endoscopy/surgery,,,1677.32,10131.55,10
HCPCS,29850,Knee arthroscopy/surgery,,,1677.32,10131.55,10
HCPCS,29851,Knee arthroscopy/surgery,,,1677.32,18617.3,10
HCPCS,29855,Tibial arthroscopy/surgery,,,7466.19,34293.94,10
HCPCS,29856,Tibial arthroscopy/surgery,,,9556.0,60677.5,10
HCPCS,29860,Hip arthroscopy dx,,,7466.19,34293.94,10
HCPCS,29861,Hip arthro w/fb removal,,,7466.19,34293.94,10
HCPCS,29862,Hip arthr0 w/debridement,,,7466.19,34293.94,10
HCPCS,29863,Hip arthr0 w/synovectomy,,,3378.06,18617.3,10
HCPCS,29866,Autgrft implnt knee w/scope,,,7466.19,34293.94,10
HCPCS,29867,Allgrft implnt knee w/scope,,,9556.0,60677.5,10
HCPCS,29868,Meniscal trnspl knee w/scpe,,,7466.19,34293.94,10
HCPCS,29870,Knee arthroscopy dx,,,3378.06,15463.96,10
HCPCS,29871,Knee arthroscopy/drainage,,,3378.06,15463.96,10
HCPCS,29873,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29874,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29875,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29876,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29877,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29879,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29880,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29881,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29882,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29883,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29884,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29885,Knee arthroscopy/surgery,,,7466.19,34293.94,10
HCPCS,29886,Knee arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29887,Knee arthroscopy/surgery,,,5391.0,34293.94,10
HCPCS,29888,Knee arthroscopy/surgery,,,7466.19,34293.94,10
HCPCS,29889,Knee arthroscopy/surgery,,,9556.0,60677.5,10
HCPCS,29891,Ankle arthroscopy/surgery,,,3378.06,18617.3,10
HCPCS,29892,Ankle arthroscopy/surgery,,,6270.01,34293.94,10
HCPCS,29893,Scope plantar fasciotomy,,,3378.06,15463.96,10
HCPCS,29894,Ankle arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29895,Ankle arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29897,Ankle arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29898,Ankle arthroscopy/surgery,,,3378.06,15463.96,10
HCPCS,29899,Ankle arthroscopy/surgery,,,7466.19,34293.94,10
HCPCS,29900,Mcp joint arthroscopy dx,,,3378.06,15463.96,10
HCPCS,29901,Mcp joint arthroscopy surg,,,3378.06,15463.96,10
HCPCS,29902,Mcp joint arthroscopy surg,,,1677.32,10131.55,10
HCPCS,29904,Subtalar arthro w/fb rmvl,,,3378.06,15463.96,10
HCPCS,29905,Subtalar arthro w/exc,,,5391.0,34293.94,10
HCPCS,29906,Subtalar arthro w/deb,,,3378.06,15463.96,10
HCPCS,29907,Subtalar arthro w/fusion,,,9556.0,60677.5,10
HCPCS,29914,Hip arthro w/femoroplasty,,,7466.19,34293.94,10
HCPCS,29915,Hip arthro acetabuloplasty,,,7466.19,34293.94,10
HCPCS,29916,Hip arthro w/labral repair,,,7466.19,34293.94,10
HCPCS,29999,Arthroscopy of joint,,,246.11,12989.24,9
HCPCS,30000,Drainage of nose lesion,,,254.93,1678.32,10
HCPCS,30020,Drainage of nose lesion,,,574.2,2548.95,10
HCPCS,30020,HC DRAIN ABSCESS OR HEMATOMA NASAL SEPTUM,1088.0,1088.0,,,0
HCPCS,30020,HC I & D HEMATOMA,1088.0,1088.0,,,0
HCPCS,30020,HC PR DRAIN ABSCESS OR HEMATOMA NASAL SEPTUM,730.0,730.0,,,0
HCPCS,30100,HC BIOPSY INTRANASAL,2084.0,2084.0,,,0
HCPCS,30100,HC PR BIOPSY INTRANASAL,406.0,406.0,,,0
HCPCS,30100,Intranasal biopsy,,,1591.58,7333.01,10
HCPCS,30110,Removal of nose polyp(s),,,1591.58,7333.01,10
HCPCS,30115,Removal of nose polyp(s),,,3360.08,15669.35,10
HCPCS,30117,Removal of intranasal lesion,,,3360.08,15669.35,10
HCPCS,30118,Removal of intranasal lesion,,,3360.08,15669.35,10
HCPCS,30120,Revision of nose,,,2630.44,15669.35,10
HCPCS,30124,Removal of nose lesion,,,1591.58,8635.34,10
HCPCS,30125,Removal of nose lesion,,,6111.67,27977.99,10
HCPCS,30130,Excise inferior turbinate,,,3360.08,15669.35,10
HCPCS,30140,Resect inferior turbinate,,,3360.08,15669.35,10
HCPCS,30150,Partial removal of nose,,,6111.67,27977.99,10
HCPCS,30160,Removal of nose,,,6111.67,27977.99,10
HCPCS,30200,Injection treatment of nose,,,574.2,2548.95,10
HCPCS,30210,Nasal sinus therapy,,,1591.58,7333.01,10
HCPCS,30220,Insert nasal septal button,,,1591.58,7333.01,10
HCPCS,30300,HC FB REMOVAL NOSE,425.0,425.0,,,0
HCPCS,30300,HC PR FB REMOVAL NOSE,544.0,544.0,,,0
HCPCS,30300,HC REMOVAL OF FOREIGN BODY NOSE,425.0,425.0,,,0
HCPCS,30300,Remove nasal foreign body,,,133.32,1473.0,10
HCPCS,30310,Remove nasal foreign body,,,2630.44,15669.35,10
HCPCS,30320,Remove nasal foreign body,,,1591.58,8635.34,10
HCPCS,30400,Reconstruction of nose,,,4822.0,27977.99,10
HCPCS,30410,Reconstruction of nose,,,6111.67,27977.99,10
HCPCS,30420,Reconstruction of nose,,,6111.67,27977.99,10
HCPCS,30430,Revision of nose,,,4822.0,27977.99,10
HCPCS,30435,Revision of nose,,,6111.67,27977.99,10
HCPCS,30450,Revision of nose,,,6111.67,27977.99,10
HCPCS,30460,Revision of nose,,,6111.67,27977.99,10
HCPCS,30462,Revision of nose,,,6111.67,27977.99,10
HCPCS,30465,Repair Nasal Stenosis,,,6111.67,27977.99,10
HCPCS,30468,Rpr nsl vlv collapse w/implt,,,6111.67,27977.99,10
HCPCS,30469,Rpr nsl vlv collapse w/rmdlg,,,6111.67,27977.99,10
HCPCS,30520,Repair of nasal septum,,,3360.08,15669.35,10
HCPCS,30540,Repair nasal defect,,,6111.67,27977.99,10
HCPCS,30545,Repair nasal defect,,,6111.67,27977.99,10
HCPCS,30560,Release of nasal adhesions,,,574.2,6270.01,10
HCPCS,30580,Repair upper jaw fistula,,,6111.67,27977.99,10
HCPCS,30600,Repair mouth/nose fistula,,,6111.67,27977.99,10
HCPCS,30620,Intranasal reconstruction,,,6111.67,27977.99,10
HCPCS,30630,Repair nasal septum defect,,,3360.08,15669.35,10
HCPCS,30801,Ablate inf turbinate superf,,,1591.58,7333.01,10
HCPCS,30802,Ablate inf turbinate submuc,,,1591.58,7333.01,10
HCPCS,30901,Control of nosebleed,,,133.32,1473.0,10
HCPCS,30901,HC NASAL CAUTERY,351.0,351.0,,,0
HCPCS,30901,HC NASAL CAUTERY/PACKING LIMITED,351.0,351.0,,,0
HCPCS,30901,HC PR CONTR NASAL HEMMORRHAGE ANTERIOR SIMPLE ANY METHOD,412.0,412.0,,,0
HCPCS,30903,Control of nosebleed,,,133.32,1473.0,10
HCPCS,30903,HC NASAL CAUTERY/PACKING COMPLEX,351.0,351.0,,,0
HCPCS,30903,HC PR CONTR NASAL HEMMORRHAGE ANTERIOR COMPLEX ANY METHOD,654.0,654.0,,,0
HCPCS,30905,Control of nosebleed,,,133.32,2630.44,10
HCPCS,30905,HC CONTROL NASAL HEMORR POST W/NASAL PACKS AND/OR CAUTERY INITIAL,351.0,351.0,,,0
HCPCS,30905,HC PR CNTR NASAL HEMRRG W PST NASAL PACKS &OR CAUTERY ANY METH INITIAL,971.0,971.0,,,0
HCPCS,30906,HC CNTRL NASAL HEMORR POSTR W NASAL PACKS &/ CAUTERY ANY METH SUBSEQ,369.0,369.0,,,0
HCPCS,30906,HC NASAL POSTER PACK SUBSEQUENT,369.0,369.0,,,0
HCPCS,30906,HC PR CNTRL NASAL HEMORR POST W NASAL PACKS &/ CAUTERY ANY METH SUBSEQ,892.0,892.0,,,0
HCPCS,30906,Repeat control of nosebleed,,,254.93,2630.44,10
HCPCS,30915,Ligation nasal sinus artery,,,3326.56,14922.72,10
HCPCS,30920,Ligation upper jaw artery,,,3326.56,14922.72,10
HCPCS,30930,Ther fx nasal inf turbinate,,,3360.08,15669.35,10
HCPCS,30999,Nasal surgery procedure,,,254.93,1473.0,9
HCPCS,31000,Irrigation maxillary sinus,,,254.93,1678.32,10
HCPCS,31002,Irrigation sphenoid sinus,,,1591.58,7333.01,10
HCPCS,31020,Exploration maxillary sinus,,,3360.08,15669.35,10
HCPCS,31030,Exploration maxillary sinus,,,6111.67,27977.99,10
HCPCS,31032,Explore sinus remove polyps,,,6111.67,27977.99,10
HCPCS,31040,Exploration behind upper jaw,,,4822.0,27977.99,10
HCPCS,31050,Exploration sphenoid sinus,,,6111.67,27977.99,10
HCPCS,31051,Sphenoid sinus surgery,,,6111.67,27977.99,10
HCPCS,31070,Exploration of frontal sinus,,,4822.0,27977.99,10
HCPCS,31075,Exploration of frontal sinus,,,6111.67,27977.99,10
HCPCS,31080,Removal of frontal sinus,,,6111.67,27977.99,10
HCPCS,31081,Removal of frontal sinus,,,6111.67,27977.99,10
HCPCS,31084,Removal of frontal sinus,,,6111.67,27977.99,10
HCPCS,31085,Removal of frontal sinus,,,6111.67,27977.99,10
HCPCS,31086,Removal of frontal sinus,,,6111.67,27977.99,10
HCPCS,31087,Removal of frontal sinus,,,6111.67,27977.99,10
HCPCS,31090,Exploration of sinuses,,,6111.67,27977.99,10
HCPCS,31200,Removal of ethmoid sinus,,,6111.67,27977.99,10
HCPCS,31201,Removal of ethmoid sinus,,,1591.58,12989.24,10
HCPCS,31205,Removal of ethmoid sinus,,,3360.08,15669.35,10
HCPCS,31225,Removal of upper jaw,,,2073.0,14015.34,6
HCPCS,31230,Removal of upper jaw,,,1678.32,9829.75,6
HCPCS,31231,HC NASAL ENDOSCOPY UNI/BILAT,813.0,813.0,,,0
HCPCS,31231,HC PR NASAL ENDOSCOPY UNI/BILAT,455.0,455.0,,,0
HCPCS,31231,Nasal endoscopy dx,,,206.72,1473.0,10
HCPCS,31233,Nasal/sinus endoscopy dx,,,426.15,1848.48,10
HCPCS,31235,Nasal/sinus endoscopy dx,,,1771.31,8412.06,10
HCPCS,31237,HC NASAL/SINUS ENDO W BX POLYPECT OR DEBRID,4636.0,4636.0,,,0
HCPCS,31237,HC NASAL/SINUS ENDOSCOPY W/BX POLYPECT OR DEBRID,4636.0,4636.0,,,0
HCPCS,31237,HC PR NASAL/SINUS ENDOSCOPY W/BX POLYPECT OR DEBRID,612.0,612.0,,,0
HCPCS,31237,Nasal/sinus endoscopy surg,,,1771.31,8412.06,10
HCPCS,31238,HC NASAL/SINUS ENDO W CONT NASAL HEMORRHAGE,4709.0,4709.0,,,0
HCPCS,31238,HC PR NASAL/SINUS ENDO SURG W CNTRL NASAL HEMORRHAGE,729.0,729.0,,,0
HCPCS,31238,Nasal/sinus endoscopy surg,,,1771.31,8412.06,10
HCPCS,31239,Nasal/sinus endoscopy surg,,,3908.23,17620.71,10
HCPCS,31240,Nasal/sinus endoscopy surg,,,1771.31,9724.68,10
HCPCS,31241,Nsl/sins ndsc w/artery lig,,,1771.31,23336.66,10
HCPCS,31242,Nsl/sinus ndsc rf abltj pnn,,,6111.67,27977.99,10
HCPCS,31243,Nsl/sinus ndsc cryoabltj pnn,,,6111.67,27977.99,10
HCPCS,31253,Nsl/sins ndsc total,,,5391.0,33354.59,10
HCPCS,31254,Revision of ethmoid sinus,,,4822.0,33354.59,10
HCPCS,31255,Removal of ethmoid sinus,,,5391.0,33354.59,10
HCPCS,31256,Exploration maxillary sinus,,,3908.23,17620.71,10
HCPCS,31257,Nsl/sins ndsc tot w/sphendt,,,5391.0,33354.59,10
HCPCS,31259,Nsl/sins ndsc sphn tiss rmvl,,,5391.0,33354.59,10
HCPCS,31267,Endoscopy maxillary sinus,,,4822.0,33354.59,10
HCPCS,31276,Sinus endoscopy surgical,,,5391.0,33354.59,10
HCPCS,31287,Nasal/sinus endoscopy surg,,,5391.0,33354.59,10
HCPCS,31288,Nasal/sinus endoscopy surg,,,5391.0,33354.59,10
HCPCS,31290,Nasal/sinus endoscopy surg,,,2073.0,9829.75,6
HCPCS,31291,Nasal/sinus endoscopy surg,,,2073.0,9829.75,6
HCPCS,31292,Nasal/sinus endoscopy surg,,,5391.0,33354.59,10
HCPCS,31293,Nasal/sinus endoscopy surg,,,5391.0,33354.59,10
HCPCS,31294,Nasal/sinus endoscopy surg,,,5391.0,33354.59,10
HCPCS,31295,Sinus endo w/balloon dil,,,5391.0,33354.59,10
HCPCS,31296,Sinus endo w/balloon dil,,,5391.0,33354.59,10
HCPCS,31297,Sinus endo w/balloon dil,,,4822.0,33354.59,10
HCPCS,31298,Nsl/sins ndsc w/sins dilat,,,5391.0,33354.59,10
HCPCS,31299,Sinus surgery procedure,,,254.93,1473.0,9
HCPCS,31300,Removal of larynx lesion,,,3360.08,15669.35,10
HCPCS,31360,Removal of larynx,,,2073.0,9829.75,5
HCPCS,31365,Removal of larynx,,,2073.0,9829.75,5
HCPCS,31367,Partial removal of larynx,,,2073.0,9829.75,5
HCPCS,31368,Partial removal of larynx,,,2073.0,9829.75,5
HCPCS,31370,Partial removal of larynx,,,2073.0,9829.75,5
HCPCS,31375,Partial removal of larynx,,,2073.0,9829.75,5
HCPCS,31380,Partial removal of larynx,,,2073.0,9829.75,5
HCPCS,31382,Partial removal of larynx,,,2073.0,9829.75,5
HCPCS,31390,Removal of larynx & pharynx,,,2073.0,9829.75,5
HCPCS,31395,Reconstruct larynx & pharynx,,,2073.0,12989.24,6
HCPCS,31400,Revision of larynx,,,6111.67,27977.99,10
HCPCS,31420,Removal of epiglottis,,,6111.67,27977.99,10
HCPCS,31500,HC INTUBATION ENDOTRACHEAL,664.0,664.0,,,0
HCPCS,31500,HC INTUBATION ENDOTRACHEAL EMERGENCY PROC,664.0,664.0,,,0
HCPCS,31500,Insert emergency airway,,,254.93,1473.0,10
HCPCS,31502,Change of windpipe airway,,,254.93,1473.0,10
HCPCS,31502,HC PR TRACHEOTOMY TUBE CHANGE PRIOR TO EST OF FISTULA TRACT,102.0,102.0,,,0
HCPCS,31502,HC TRACH TUBE CHNG PRIOR FIS TRAC,575.0,575.0,,,0
HCPCS,31505,Diagnostic laryngoscopy,,,206.72,1473.0,10
HCPCS,31505,HC LARYNGOSCOPY INDIRECT,626.0,626.0,,,0
HCPCS,31505,HC PR LARYNGOSCOY INDIRECT DIAGNOSTIC,249.0,249.0,,,0
HCPCS,31510,Laryngoscopy with biopsy,,,3908.23,17620.71,10
HCPCS,31511,Remove foreign body larynx,,,206.72,1678.32,10
HCPCS,31512,Removal of larynx lesion,,,3908.23,17620.71,10
HCPCS,31513,Injection into vocal cord,,,426.15,1848.48,10
HCPCS,31515,Laryngoscopy for aspiration,,,426.15,6487.14,10
HCPCS,31520,Dx laryngoscopy newborn,,,426.15,1848.48,10
HCPCS,31525,Dx laryngoscopy excl nb,,,1771.31,8412.06,10
HCPCS,31525,HC LARYNGOSCOPY W/WO TRACHEOSCOPY DIAG EXC NEWBORN,5251.0,5251.0,,,0
HCPCS,31525,HC LSCOPE W/O TRACH DIAG EX NB,5251.0,5251.0,,,0
HCPCS,31525,HC PR LARYNGOSCOPY W/WO TRACHEOSCOPY DIAG EXC NEWBORN,620.0,620.0,,,0
HCPCS,31526,Dx laryngoscopy w/oper scope,,,1771.31,8412.06,10
HCPCS,31527,Laryngoscopy for treatment,,,2630.44,17620.71,10
HCPCS,31528,Laryngoscopy and dilation,,,3908.23,17620.71,10
HCPCS,31529,Laryngoscopy and dilation,,,3908.23,17620.71,10
HCPCS,31530,HC LARYNGOSCOPY W FB REMOVAL,5776.0,5776.0,,,0
HCPCS,31530,Laryngoscopy w/fb removal,,,1771.31,8412.06,10
HCPCS,31531,Laryngoscopy w/fb & op scope,,,3908.23,17620.71,10
HCPCS,31535,Laryngoscopy w/biopsy,,,3908.23,17620.71,10
HCPCS,31536,Laryngoscopy w/bx & op scope,,,3908.23,17620.71,10
HCPCS,31540,Laryngoscopy w/exc of tumor,,,3908.23,17620.71,10
HCPCS,31541,Larynscop w/tumr exc + scope,,,3908.23,17620.71,10
HCPCS,31545,Remove vc lesion w/scope,,,3908.23,17620.71,10
HCPCS,31546,Remove vc lesion scope/graft,,,5391.0,33354.59,10
HCPCS,31551,Laryngoplasty laryngeal sten,,,6111.67,27977.99,10
HCPCS,31552,Laryngoplasty laryngeal sten,,,6111.67,27977.99,10
HCPCS,31553,Laryngoplasty laryngeal sten,,,6111.67,27977.99,10
HCPCS,31554,Laryngoplasty laryngeal sten,,,6111.67,27977.99,10
HCPCS,31560,Laryngoscop w/arytenoidectom,,,5391.0,33354.59,10
HCPCS,31561,Larynscop remve cart + scop,,,4822.0,33354.59,10
HCPCS,31570,Laryngoscope w/vc inj,,,3908.23,17620.71,10
HCPCS,31571,Laryngoscop w/vc inj + scope,,,3908.23,17620.71,10
HCPCS,31572,Largsc w/laser dstrj les,,,3908.23,17620.71,10
HCPCS,31573,Largsc w/ther injection,,,1771.31,8412.06,10
HCPCS,31574,Largsc w/njx augmentation,,,1771.31,8412.06,10
HCPCS,31575,Diagnostic laryngoscopy,,,206.72,1473.0,10
HCPCS,31575,HC LARYNGOSCOPY FLEX DIAG,1510.0,1510.0,,,0
HCPCS,31575,HC PR LARYNGOSCOPY FLEX DIAG,219.0,219.0,,,0
HCPCS,31576,HC LARYNGOSCOPY W/BX,5251.0,5251.0,,,0
HCPCS,31576,HC PR LARYNGOSCOPY W/BX,769.0,769.0,,,0
HCPCS,31576,Laryngoscopy with biopsy,,,1771.31,8412.06,10
HCPCS,31577,HC LARYNGOSCOPY FLEX DIAG W REM OF FB,1525.0,1525.0,,,0
HCPCS,31577,Largsc w/rmvl foreign bdy(s),,,426.15,1848.48,10
HCPCS,31578,Largsc w/removal lesion,,,3908.23,17620.71,10
HCPCS,31579,HC VIDEOSTROBOSCOPY,1510.0,1510.0,,,0
HCPCS,31579,Laryngoscopy telescopic,,,426.15,1848.48,10
HCPCS,31580,Laryngoplasty laryngeal web,,,6111.67,27977.99,10
HCPCS,31584,Laryngoplasty fx rdctj fixj,,,5391.0,27977.99,9
HCPCS,31587,Laryngoplasty cricoid split,,,6111.67,27977.99,9
HCPCS,31590,Reinnervate larynx,,,6111.67,27977.99,10
HCPCS,31591,Laryngoplasty medialization,,,6111.67,27977.99,10
HCPCS,31592,Cricotracheal resection,,,6111.67,27977.99,10
HCPCS,31599,Larynx surgery procedure,,,254.93,1473.0,9
HCPCS,31600,Incision of windpipe,,,3360.08,15669.35,10
HCPCS,31601,Incision of windpipe,,,2630.44,27977.99,10
HCPCS,31603,HC TRACHEOSTOMY EMERG PROC TRANSTRACH,3704.0,3704.0,,,0
HCPCS,31603,Incision of windpipe,,,1591.58,7333.01,10
HCPCS,31605,HC TRACH CRICOTHYROID,1764.0,1764.0,,,0
HCPCS,31605,Incision of windpipe,,,254.93,2630.44,10
HCPCS,31610,Incision of windpipe,,,2630.44,27977.99,10
HCPCS,31611,Surgery/speech prosthesis,,,3360.08,15669.35,10
HCPCS,31612,Puncture/clear windpipe,,,2630.44,15732.11,10
HCPCS,31613,Repair windpipe opening,,,3360.08,15669.35,10
HCPCS,31614,Repair windpipe opening,,,6111.67,27977.99,10
HCPCS,31615,HC BRONCH THROUGH EST TRACH INCISION,3090.0,3090.0,,,0
HCPCS,31615,HC BRONCH THRU EXIST TRACH,3090.0,3090.0,,,0
HCPCS,31615,HC PR BRONCH THROUGH EST TRACH INCISION,327.0,327.0,,,0
HCPCS,31615,HC TRACHEOBRONCHOSCOPY THR EST TRACHEOSTOMY INCISION,3090.0,3090.0,,,0
HCPCS,31615,Visualization of windpipe,,,574.2,2630.44,10
HCPCS,31622,Dx bronchoscope/wash,,,1771.31,8412.06,10
HCPCS,31622,HC BRONCHOSCOPY DX W/WO CELL WASH,3469.0,3469.0,,,0
HCPCS,31622,HC BRONCHOSCOPY W FLUORO WHEN PERF DIAG W CELL WASH WHEN PERF,3860.0,3860.0,,,0
HCPCS,31622,HC PERCUTANEOUS TRACH ASSIST,3469.0,3469.0,,,0
HCPCS,31622,HC PR BRONCHOSCOPY DX W/WO CELL WASH,757.0,757.0,,,0
HCPCS,31623,Dx bronchoscope/brush,,,1771.31,8412.06,10
HCPCS,31623,HC BRONCHOSCOPY DX W/BRUSHING,4460.0,4460.0,,,0
HCPCS,31623,HC BRONCHOSCOPY W FLUORO WHEN PERF W BRUSH OR PROTECT BRUSH,4460.0,4460.0,,,0
HCPCS,31624,Dx bronchoscope/lavage,,,1771.31,8412.06,10
HCPCS,31624,HC BRONCHOSCOPY ALVEOLAR LAVAGE,3578.0,3578.0,,,0
HCPCS,31624,HC BRONCHOSCOPY W FLUORO WHEN PERF W BRONCHIAL ALVEOLAR LAVAGE,3860.0,3860.0,,,0
HCPCS,31625,Bronchoscopy w/biopsy(s),,,1771.31,8412.06,10
HCPCS,31625,HC BRONCHOSCOPY DX W/BIOPSY,4460.0,4460.0,,,0
HCPCS,31625,HC BRONCHOSCOPY W FLUORO W PERF W BRONCHIAL/ENDOBRONCH BX SINGL/MULTI,4460.0,4460.0,,,0
HCPCS,31626,Bronchoscopy w/markers,,,5391.0,33354.59,10
HCPCS,31627,HC NAVIGATION BRONCHOSCOPY ADD ON CODE,1012.0,1012.0,,,0
HCPCS,31627,Navigational bronchoscopy,,,1473.0,1473.0,1
HCPCS,31628,Bronchoscopy/lung bx each,,,3665.1,17620.71,10
HCPCS,31628,HC BRONCHOSCOPY W FLUORO WHEN PERF W TRANSBRONCH LUNG BX SNGL LB,4460.0,4460.0,,,0
HCPCS,31628,HC ROBOTIC BRONCH W FLUORO WHEN PERF W TRNSBRN LUNG BX SNGL LB,4858.0,4858.0,,,0
HCPCS,31629,Bronchoscopy/needle bx each,,,3908.23,17620.71,10
HCPCS,31629,HC BRONCH W TRANSBRONCH NDLE ASPIR BIOPSY TRACHEA MAIN STEM &/ BRON,8517.0,8517.0,,,0
HCPCS,31630,Bronchoscopy dilate/fx repr,,,3908.23,17620.71,10
HCPCS,31631,Bronchoscopy dilate w/stent,,,5391.0,33354.59,10
HCPCS,31631,HC BRONCHOSCOPY W DIL W STENT,6029.0,6029.0,,,0
HCPCS,31631,HC BRONCHOSCOPY W/DIL & STENT,15566.0,15566.0,,,0
HCPCS,31632,Bronchoscopy/lung bx addl,,,1473.0,3665.1,2
HCPCS,31632,HC BRONCH W TRANSBRONCH LUNG BX EA ADDL LOBE,2008.0,2008.0,,,0
HCPCS,31633,Bronchoscopy/needle bx addl,,,1473.0,3665.1,2
HCPCS,31634,Bronch w/balloon occlusion,,,2630.44,33354.59,10
HCPCS,31635,Bronchoscopy w/fb removal,,,1771.31,8412.06,10
HCPCS,31635,HC BRONCH INCL FLUORO GUID WH PERF W REM FB,3763.0,3763.0,,,0
HCPCS,31635,HC BRONCH W/REMOVAL FOREIGN BODY,3763.0,3763.0,,,0
HCPCS,31636,Bronchoscopy bronch stents,,,5391.0,33354.59,10
HCPCS,31637,Bronchoscopy stent add-on,,,1473.0,3665.1,2
HCPCS,31638,Bronchoscopy revise stent,,,5391.0,33354.59,10
HCPCS,31640,Bronchoscopy w/tumor excise,,,3908.23,17620.71,10
HCPCS,31641,Bronchoscopy treat blockage,,,3908.23,17620.71,10
HCPCS,31643,Diag bronchoscope/catheter,,,1771.31,8412.06,10
HCPCS,31643,HC BRONCHOSCOPY W/CATH PLACEMENT,3763.0,3763.0,,,0
HCPCS,31645,Bronchoscopy clear airways,,,1771.31,8412.06,10
HCPCS,31645,HC BRONCH W/DRAIN ABCESS INITIAL,3763.0,3763.0,,,0
HCPCS,31646,Bronchoscopy reclear airway,,,426.15,3665.1,10
HCPCS,31646,HC BRONCH W/DRAIN ABCESS SUBSEQ,3010.0,3010.0,,,0
HCPCS,31647,Bronchial valve init insert,,,5391.0,33354.59,10
HCPCS,31648,Bronchial valve remov init,,,3908.23,17620.71,10
HCPCS,31649,Bronchial valve remov addl,,,1771.31,8412.06,10
HCPCS,31651,Bronchial valve addl insert,,,1473.0,7543.42,2
HCPCS,31652,Bronch ebus samplng 1/2 node,,,3908.23,17620.71,10
HCPCS,31652,HC ENDOBRONCHIAL US HILAR LYMPH 1-2,6160.0,6160.0,,,0
HCPCS,31653,Bronch ebus samplng 3/> node,,,3908.23,17620.71,10
HCPCS,31653,HC ENDOBRONCHIAL US HILAR LYMPH 3 OR MORE,5561.0,5561.0,,,0
HCPCS,31654,Bronch ebus ivntj perph les,,,1473.0,1473.0,1
HCPCS,31654,HC ENDOBRONCHIAL US PERIPHERAL LESION,2528.0,2528.0,,,0
HCPCS,31660,Bronch thermoplsty 1 lobe,,,5391.0,33354.59,10
HCPCS,31661,Bronch thermoplsty 2/> lobes,,,5391.0,33354.59,10
HCPCS,31717,Bronchial brush biopsy,,,426.15,1848.48,10
HCPCS,31720,Clearance of airways,,,168.36,2630.44,10
HCPCS,31720,HC CATH ASPIRATION NASOTRACHEAL,336.0,336.0,,,0
HCPCS,31725,Clearance of airways,,,2073.0,9829.75,6
HCPCS,31730,Intro windpipe wire/tube,,,1618.13,8412.06,10
HCPCS,31750,Repair of windpipe,,,6111.67,27977.99,10
HCPCS,31755,Repair of windpipe,,,6111.67,27977.99,10
HCPCS,31760,Repair of windpipe,,,2073.0,9829.75,6
HCPCS,31766,Reconstruction of windpipe,,,2073.0,9829.75,6
HCPCS,31770,Repair/graft of bronchus,,,2073.0,9829.75,6
HCPCS,31775,Reconstruct bronchus,,,2073.0,9829.75,6
HCPCS,31780,Reconstruct windpipe,,,2073.0,9829.75,6
HCPCS,31781,Reconstruct windpipe,,,2073.0,9829.75,6
HCPCS,31785,Remove windpipe lesion,,,4822.0,27977.99,10
HCPCS,31786,Remove windpipe lesion,,,2073.0,9829.75,6
HCPCS,31800,Repair of windpipe injury,,,4274.0,9829.75,6
HCPCS,31805,Repair of windpipe injury,,,2073.0,9829.75,6
HCPCS,31820,Closure of windpipe lesion,,,2630.44,15669.35,10
HCPCS,31825,Repair of windpipe defect,,,3360.08,15669.35,10
HCPCS,31830,Revise windpipe scar,,,3360.08,15669.35,10
HCPCS,31899,Airways surgical procedure,,,206.72,2630.44,9
HCPCS,31899,HC REPLACEMENT TRACHEOSTOMY TUBE,2322.0,2322.0,,,0
HCPCS,31899,HC UNLISTED PROC TRACHEA BRONCHI,2496.0,2496.0,,,0
HCPCS,32035,Thoracostomy w/rib resection,,,2073.0,9829.75,6
HCPCS,32036,Thoracostomy w/flap drainage,,,2073.0,9829.75,6
HCPCS,32096,Open wedge/bx lung infiltr,,,2073.0,9829.75,6
HCPCS,32097,Open wedge/bx lung nodule,,,2073.0,9829.75,6
HCPCS,32098,Open biopsy of lung pleura,,,2073.0,9829.75,6
HCPCS,32100,Exploration of chest,,,2073.0,9829.75,6
HCPCS,32110,Explore/repair chest,,,2073.0,9829.75,6
HCPCS,32120,Re-exploration of chest,,,2073.0,9829.75,6
HCPCS,32124,Explore chest free adhesions,,,2073.0,9829.75,6
HCPCS,32140,Removal of lung lesion(s),,,2073.0,9829.75,6
HCPCS,32141,Remove/treat lung lesions,,,2073.0,9829.75,6
HCPCS,32150,Removal of lung lesion(s),,,2073.0,9829.75,6
HCPCS,32151,Remove lung foreign body,,,2073.0,9829.75,6
HCPCS,32160,HC THORACOTOMY MAJ W/CARD MASSAGE,11186.0,11186.0,,,0
HCPCS,32160,Open chest heart massage,,,2073.0,9829.75,6
HCPCS,32200,Drain open lung lesion,,,2073.0,9829.75,6
HCPCS,32215,Treat chest lining,,,2073.0,9829.75,6
HCPCS,32220,Release of lung,,,2073.0,9829.75,6
HCPCS,32225,Partial release of lung,,,2073.0,9829.75,6
HCPCS,32310,Removal of chest lining,,,2073.0,9829.75,6
HCPCS,32320,Free/remove chest lining,,,2073.0,9829.75,6
HCPCS,32400,HC BIOPSY PLEURA PERC,4454.0,4454.0,,,0
HCPCS,32400,Needle biopsy chest lining,,,1692.02,7805.69,10
HCPCS,32408,Core ndl bx lng/med perq,,,1692.02,7805.69,10
HCPCS,32408,HC CORE NEEDLE BX LUNG/MEDIASTINUM PERCUT INC IMG GUID,6050.0,6050.0,,,0
HCPCS,32440,Remove lung pneumonectomy,,,2073.0,12989.24,6
HCPCS,32442,Sleeve pneumonectomy,,,2073.0,14015.34,6
HCPCS,32445,Removal of lung extrapleural,,,2073.0,9829.75,5
HCPCS,32480,Partial removal of lung,,,2073.0,9829.75,6
HCPCS,32482,Bilobectomy,,,2073.0,9829.75,6
HCPCS,32484,Segmentectomy,,,2073.0,9829.75,6
HCPCS,32486,Sleeve lobectomy,,,2073.0,9829.75,6
HCPCS,32488,Completion pneumonectomy,,,2073.0,14015.34,6
HCPCS,32491,Lung volume reduction,,,2073.0,9829.75,5
HCPCS,32501,Repair bronchus add-on,,,2073.0,12989.24,6
HCPCS,32503,Resect apical lung tumor,,,2073.0,9829.75,5
HCPCS,32504,Resect apical lung tum/chest,,,2073.0,9829.75,5
HCPCS,32505,Wedge resect of lung initial,,,2073.0,12989.24,6
HCPCS,32506,Wedge resect of lung add-on,,,2073.0,12989.24,6
HCPCS,32507,Wedge resect of lung diag,,,2073.0,12989.24,6
HCPCS,32540,Removal of lung lesion,,,2073.0,12989.24,6
HCPCS,32550,HC INS TUNNELED CUFF PLEURAL CATH,10377.0,10377.0,,,0
HCPCS,32550,Insert pleural cath,,,3610.61,16921.5,10
HCPCS,32551,HC TUBE THORACOSTOMY W/WATER SEAL,2678.0,2678.0,,,0
HCPCS,32551,Insertion of chest tube,,,1671.41,7439.69,10
HCPCS,32552,HC REMV TUN PLEUR CATH W/CUFF S&I,2700.0,2700.0,,,0
HCPCS,32552,Remove lung catheter,,,655.61,2964.73,10
HCPCS,32553,HC PLCMT INT DEV RAD THER SGL/MUL,4454.0,4454.0,,,0
HCPCS,32553,Ins mark thor for rt perq,,,1446.07,6541.6,10
HCPCS,32554,Aspirate pleura w/o imaging,,,655.61,2964.73,10
HCPCS,32554,HC PR THORACENTESIS WO US GUIDANCE,907.0,907.0,,,0
HCPCS,32554,HC THORACENTESIS WO US GUIDANCE,2678.0,2678.0,,,0
HCPCS,32555,Aspirate pleura w/ imaging,,,655.61,2964.73,10
HCPCS,32555,HC THORACENTESIS NEEDLE OR CATH ASP PLEURA SPACE W IMAGING GUID,2700.0,2700.0,,,0
HCPCS,32555,HC THORACENTESIS WITH US GUIDANCE,2700.0,2700.0,,,0
HCPCS,32556,HC PLEURAL DRAIN PERCUT W INSERT INDWELL CATH WO IMG GUID,1650.0,1650.0,,,0
HCPCS,32556,Insert cath pleura w/o image,,,1978.65,9069.04,10
HCPCS,32557,HC THORACENT W CATH INCL SI,2700.0,2700.0,,,0
HCPCS,32557,Insert cath pleura w/ image,,,1671.41,7439.69,10
HCPCS,32560,HC CHEMICAL PLEURODESIS PNEUMO,2700.0,2700.0,,,0
HCPCS,32560,Treat pleurodesis w/agent,,,655.61,2964.73,10
HCPCS,32561,HC FIBRINLYSIS VIA CH TUBE 1ST DY,2700.0,2700.0,,,0
HCPCS,32561,Lyse chest fibrin init day,,,655.61,2964.73,10
HCPCS,32562,HC FIBRINLYSIS VIA CH TUBE SUB DY,2700.0,2700.0,,,0
HCPCS,32562,Lyse chest fibrin subq day,,,655.61,2964.73,10
HCPCS,32601,Thoracoscopy diagnostic,,,2630.44,28572.05,10
HCPCS,32604,Thoracoscopy wbx sac,,,6270.01,50238.16,10
HCPCS,32606,Thoracoscopy w/bx med space,,,2630.44,28572.05,10
HCPCS,32607,Thoracoscopy w/bx infiltrate,,,9174.0,50238.16,10
HCPCS,32608,Thoracoscopy w/bx nodule,,,9174.0,50238.16,10
HCPCS,32609,Thoracoscopy w/bx pleura,,,6021.71,28572.05,10
HCPCS,32650,Thoracoscopy w/pleurodesis,,,6270.01,19010.0,6
HCPCS,32651,Thoracoscopy remove cortex,,,6880.82,19010.0,6
HCPCS,32652,Thoracoscopy rem totl cortex,,,6880.82,19010.0,6
HCPCS,32653,Thoracoscopy remov fb/fibrin,,,6270.01,9829.75,6
HCPCS,32654,Thoracoscopy contrl bleeding,,,2073.0,9829.75,6
HCPCS,32655,Thoracoscopy resect bullae,,,2630.44,19010.0,6
HCPCS,32656,Thoracoscopy w/pleurectomy,,,6880.82,19010.0,6
HCPCS,32658,Thoracoscopy w/sac fb remove,,,2073.0,9829.75,6
HCPCS,32659,Thoracoscopy w/sac drainage,,,2073.0,9829.75,6
HCPCS,32661,Thoracoscopy w/pericard exc,,,2073.0,9829.75,6
HCPCS,32662,Thoracoscopy w/mediast exc,,,2073.0,12989.24,6
HCPCS,32663,Thoracoscopy w/lobectomy,,,2073.0,9829.75,6
HCPCS,32664,Thoracoscopy w/ th nrv exc,,,5391.0,9829.75,6
HCPCS,32665,Thoracoscop w/esoph musc exc,,,2073.0,9829.75,6
HCPCS,32666,Thoracoscopy w/wedge resect,,,2073.0,9829.75,6
HCPCS,32667,Thoracoscopy w/w resect addl,,,2073.0,9829.75,6
HCPCS,32668,Thoracoscopy w/w resect diag,,,2073.0,9829.75,6
HCPCS,32669,Thoracoscopy remove segment,,,2073.0,9829.75,6
HCPCS,32670,Thoracoscopy bilobectomy,,,2073.0,9829.75,6
HCPCS,32671,Thoracoscopy pneumonectomy,,,2073.0,9829.75,6
HCPCS,32672,Thoracoscopy for lvrs,,,2073.0,9829.75,6
HCPCS,32673,Thoracoscopy w/thymus resect,,,2073.0,9829.75,6
HCPCS,32674,Thoracoscopy lymph node exc,,,2073.0,9829.75,6
HCPCS,32701,Thorax stereo rad targetw/tx,,,221.84,439.72,4
HCPCS,32800,Repair lung hernia,,,2073.0,9829.75,6
HCPCS,32810,Close chest after drainage,,,2073.0,9829.75,6
HCPCS,32815,Close bronchial fistula,,,2073.0,9829.75,6
HCPCS,32820,Reconstruct injured chest,,,2073.0,9829.75,6
HCPCS,32850,Donor pneumonectomy,,,2073.0,9829.75,5
HCPCS,32851,Lung transplant single,,,2073.0,9829.75,5
HCPCS,32852,Lung transplant with bypass,,,2073.0,9829.75,5
HCPCS,32853,Lung transplant double,,,2073.0,9829.75,5
HCPCS,32854,Lung transplant with bypass,,,2073.0,9829.75,5
HCPCS,32855,Prepare donor lung single,,,2073.0,9829.75,5
HCPCS,32856,Prepare donor lung double,,,2073.0,9829.75,5
HCPCS,32900,Removal of rib(s),,,2073.0,9829.75,5
HCPCS,32905,Revise & repair chest wall,,,2073.0,9829.75,6
HCPCS,32906,Revise & repair chest wall,,,2073.0,9829.75,5
HCPCS,32940,Revision of lung,,,2073.0,9829.75,6
HCPCS,32960,Therapeutic pneumothorax,,,655.61,2964.73,10
HCPCS,32994,Ablate pulm tumor perq crybl,,,9556.0,50238.16,10
HCPCS,32994,HC ABLATION THER 1 OR> PULM TUMORS PERC UNI CRYOABLATION,16022.0,16022.0,,,0
HCPCS,32997,Total lung lavage,,,4274.0,9829.75,5
HCPCS,32998,HC ABLATION THER 1 OR> PULM TUMORS PERC UNI RADIOFREQ,16022.0,16022.0,,,0
HCPCS,32998,Perq rf ablate tx pul tumor,,,6021.71,28572.05,10
HCPCS,32999,Chest surgery procedure,,,655.61,2964.73,9
HCPCS,32999,HC UNLISTED PROCEDURE LUNG/PLEURA,2678.0,2678.0,,,0
HCPCS,33016,HC PERICARDIOCENTESIS INCL IMG GUID WH PERF,2678.0,2678.0,,,0
HCPCS,33016,Pericardiocentesis w/imaging,,,1671.41,7439.69,10
HCPCS,33017,HC PERIC DRAIN INSRT INDW CATH PERC AGE 6 OR> WO CONG CARD ANOMALY,5786.0,5786.0,,,0
HCPCS,33017,Prcrd drg 6yr+ w/o cgen car,,,2073.0,9829.75,5
HCPCS,33018,HC PERIC DRAIN INS IND CATH PERC BRTH-AGE 5 OR ANY AGE W CON CARD ANOM,11524.0,11524.0,,,0
HCPCS,33018,Prcrd drg 0-5yr or w/anomly,,,2073.0,9829.75,5
HCPCS,33019,HC PERICARD DRAIN W INSERT INDWELL CATH PERCUT INCL CT GUIDANCE,7740.0,7740.0,,,0
HCPCS,33019,Perq prcrd drg insj cath ct,,,2073.0,9829.75,5
HCPCS,33020,Incision of heart sac,,,2073.0,9829.75,6
HCPCS,33025,Incision of heart sac,,,2073.0,9829.75,6
HCPCS,33030,Partial removal of heart sac,,,2073.0,9829.75,5
HCPCS,33031,Partial removal of heart sac,,,2073.0,9829.75,5
HCPCS,33050,Resect heart sac lesion,,,2073.0,9829.75,5
HCPCS,33120,Removal of heart lesion,,,2073.0,9829.75,5
HCPCS,33130,Removal of heart lesion,,,2073.0,9829.75,5
HCPCS,33140,Heart revascularize (tmr),,,2073.0,9829.75,5
HCPCS,33141,Heart Tmr W/Other Procedure,,,2073.0,9829.75,5
HCPCS,33202,Insert epicard eltrd open,,,2073.0,9829.75,5
HCPCS,33203,Insert epicard eltrd endo,,,2073.0,9829.75,5
HCPCS,33206,HC PPM W ATRIAL LEAD,21988.0,21988.0,,,0
HCPCS,33206,Insert heart pm atrial,,,11144.15,49397.67,10
HCPCS,33207,HC PPM W VENTRICULAR LEAD,21549.0,21549.0,,,0
HCPCS,33207,Insert heart pm ventricular,,,11144.15,49397.67,10
HCPCS,33208,HC PPM DUAL CHAMBER W 2 LEADS,21549.0,21549.0,,,0
HCPCS,33208,Insrt heart pm atrial & vent,,,11144.15,49397.67,10
HCPCS,33210,HC INSERT TEMP PACEMAKER SINGLE,13002.0,13002.0,,,0
HCPCS,33210,Insert electrd/pm cath sngl,,,8866.34,39110.71,10
HCPCS,33211,HC TEMP AV PACING WIRE W/FLURO,14190.0,14190.0,,,0
HCPCS,33211,Insert card electrodes dual,,,8866.34,39110.71,10
HCPCS,33212,HC PPM REPLACE GEN HAS 1 LEAD,18394.0,18394.0,,,0
HCPCS,33212,Insert pulse gen sngl lead,,,8866.34,39110.71,10
HCPCS,33213,HC PPM GEN ONLY HAS DUAL LEADS,20981.0,20981.0,,,0
HCPCS,33213,Insert pulse gen dual leads,,,11144.15,49397.67,10
HCPCS,33214,HC PPM UPGRD SINGLE TO DUAL CH,27090.0,27090.0,,,0
HCPCS,33214,Upgrade of pacemaker system,,,11144.15,49397.67,10
HCPCS,33215,HC PPM/ICD REPOSITION TV LEAD,5425.0,5425.0,,,0
HCPCS,33215,Reposition pacing-defib lead,,,2630.44,14922.72,10
HCPCS,33216,HC PPM REPOS AFTER INITIAL SINGLE,11885.0,11885.0,,,0
HCPCS,33216,Insert 1 electrode pm-defib,,,8866.34,39110.71,10
HCPCS,33217,HC PPM REPOS AFTER INITIAL DUAL,13347.0,13347.0,,,0
HCPCS,33217,Insert 2 electrode pm-defib,,,8866.34,39110.71,10
HCPCS,33218,HC RPR SINGLE TRANSVNS ELECTRO PPM/IMPLT DEFIB,12831.0,12831.0,,,0
HCPCS,33218,Repair lead pace-defib one,,,4098.35,17661.42,10
HCPCS,33220,HC RPR 2 TRANSVNS ELECTRO PPM/IMPLT DEFIB,6303.0,6303.0,,,0
HCPCS,33220,Repair lead pace-defib dual,,,4098.35,17661.42,10
HCPCS,33221,HC INSERT PPM GEN ONLY MULTIPLE,25531.0,25531.0,,,0
HCPCS,33221,Insert pulse gen mult leads,,,20335.35,91033.6,10
HCPCS,33222,HC PPM POCKET REVISION,5300.0,5300.0,,,0
HCPCS,33222,Relocation pocket pacemaker,,,1903.17,9751.37,10
HCPCS,33223,HC ICD POCKET REVISION,3946.0,3946.0,,,0
HCPCS,33223,Relocate pocket for defib,,,1903.17,9751.37,10
HCPCS,33224,HC INSERT PACING LEAD/CONNECT,21549.0,21549.0,,,0
HCPCS,33224,Insert pacing lead & connect,,,2630.44,49397.67,10
HCPCS,33225,HC INSERT LV LEAD ICD OR PPM,6321.0,6321.0,,,0
HCPCS,33225,L ventric pacing lead add-on,,,24205.0,31768.9,2
HCPCS,33226,HC REPOSITIONING OF LV LEAD,5425.0,5425.0,,,0
HCPCS,33226,Reposition l ventric lead,,,2630.44,14922.72,10
HCPCS,33227,HC REMOVE&REPLACE PPM GEN SINGLE,14528.0,14528.0,,,0
HCPCS,33227,Remove&replace pm gen singl,,,8866.34,48936.18,10
HCPCS,33228,HC REMOVE&REPLACE PPM GEN DUAL,19589.0,19589.0,,,0
HCPCS,33228,Remv&replc pm gen dual lead,,,11144.15,49397.67,10
HCPCS,33229,HC REMOVE&REPLACE PPM GEN MULTI,26875.0,26875.0,,,0
HCPCS,33229,Remv&replc pm gen mult leads,,,20335.35,91033.6,10
HCPCS,33230,HC ICD INSERT GEN ONLY DUAL SYS,57566.0,57566.0,,,0
HCPCS,33230,Insrt pulse gen w/dual leads,,,24599.84,105126.42,10
HCPCS,33231,HC ICD INSERT GEN ONLY MULTIPLE,54825.0,54825.0,,,0
HCPCS,33231,Insrt pulse gen w/mult leads,,,34334.46,148348.4,10
HCPCS,33233,HC PPM REMOVE GENERATOR ONLY,10805.0,10805.0,,,0
HCPCS,33233,Removal of pm generator,,,2630.44,39110.71,10
HCPCS,33234,HC OUT PPM REM SGL CH GEN&LEADS,5425.0,5425.0,,,0
HCPCS,33234,Removal of pacemaker system,,,2630.44,17661.42,10
HCPCS,33235,HC OUT PPM REM DUAL CH GEN&LEADS,6303.0,6303.0,,,0
HCPCS,33235,Removal pacemaker electrode,,,4098.35,17661.42,10
HCPCS,33236,Remove electrode/thoracotomy,,,2073.0,9829.75,5
HCPCS,33237,Remove electrode/thoracotomy,,,2073.0,9829.75,5
HCPCS,33238,Remove electrode/thoracotomy,,,2073.0,9829.75,5
HCPCS,33240,HC ICD INSERT GEN ONLY BIV,59125.0,59125.0,,,0
HCPCS,33240,Insrt pulse gen w/singl lead,,,24599.84,105126.42,10
HCPCS,33241,HC ICD REMOVE GEN ONLY,6842.0,6842.0,,,0
HCPCS,33241,Remove pulse generator,,,4098.35,17661.42,10
HCPCS,33243,Remove eltrd/thoracotomy,,,6880.82,9829.75,5
HCPCS,33244,HC ICD REMOVE GEN &/OR LEAD,7167.0,7167.0,,,0
HCPCS,33244,Remove elctrd transvenously,,,4098.35,17661.42,10
HCPCS,33249,HC ICD IMPLANT TV LEADS & GEN,53213.0,53213.0,,,0
HCPCS,33249,Insj/rplcmt defib w/lead(s),,,34334.46,148348.4,10
HCPCS,33250,Ablate heart dysrhythm focus,,,2073.0,9829.75,5
HCPCS,33251,Ablate heart dysrhythm focus,,,2073.0,9829.75,5
HCPCS,33254,Ablate atria lmtd,,,2073.0,9829.75,6
HCPCS,33255,Ablate atria w/o bypass ext,,,2073.0,9829.75,5
HCPCS,33256,Ablate atria w/bypass exten,,,2073.0,9829.75,5
HCPCS,33257,Ablate atria lmtd add-on,,,2073.0,9829.75,6
HCPCS,33258,Ablate atria x10sv add-on,,,2073.0,9829.75,6
HCPCS,33259,Ablate atria w/bypass add-on,,,2073.0,9829.75,6
HCPCS,33261,Ablate heart dysrhythm focus,,,2073.0,9829.75,5
HCPCS,33262,HC REMOVE&REPLACE ICD GEN SINGLE,47300.0,47300.0,,,0
HCPCS,33262,Rmvl& replc pulse gen 1 lead,,,24599.84,105126.42,10
HCPCS,33263,HC REMOVE&REPLACE ICD GEN DUAL,53331.0,53331.0,,,0
HCPCS,33263,Rmvl & rplcmt dfb gen 2 lead,,,24599.84,105126.42,10
HCPCS,33264,HC REMOVE&REPLACE ICD GEN MULTI,47300.0,47300.0,,,0
HCPCS,33264,Rmvl & rplcmt dfb gen mlt ld,,,34334.46,148348.4,10
HCPCS,33265,Ablate atria lmtd endo,,,2073.0,9829.75,6
HCPCS,33266,Ablate atria x10sv endo,,,2073.0,9829.75,5
HCPCS,33267,Excl laa open any method,,,2073.0,9829.75,5
HCPCS,33268,Excl laa opn oth px any meth,,,2073.0,9829.75,5
HCPCS,33269,Excl laa thrscp any method,,,2073.0,9829.75,5
HCPCS,33270,HC INST/REPL SICD W/SUB ELECTRODE,53213.0,53213.0,,,0
HCPCS,33270,Ins/rep subq defibrillator,,,34334.46,148348.4,10
HCPCS,33271,HC INSERT SICD ELECTRODE,15643.0,15643.0,,,0
HCPCS,33271,Insj subq impltbl dfb elctrd,,,8866.34,67081.0,10
HCPCS,33272,HC REMOVAL SICD ELECTRODE,16468.0,16468.0,,,0
HCPCS,33272,Rmvl of subq defibrillator,,,4098.35,67081.0,10
HCPCS,33273,HC REPOSITION SICD ELECTRODE,6335.0,6335.0,,,0
HCPCS,33273,Repos prev impltbl subq dfb,,,4098.35,17661.42,10
HCPCS,33274,HC TRNSCATH INSERT OR REPLAC PERM LEADLESS PACEMKR RT VENT,48175.0,48175.0,,,0
HCPCS,33274,Tcat insj/rpl perm ldls pm,,,20335.35,91033.6,10
HCPCS,33275,HC TRNSCATH REMOVAL PERM LEADLESS PACEMKR RT VENTRICULAR,8832.0,8832.0,,,0
HCPCS,33275,Tcat rmvl perm ldls pm,,,3326.56,14922.72,10
HCPCS,33276,Insj phrnc nrv stim sys,,,48936.18,208170.14,9
HCPCS,33277,Insj phrnc nrv stim transvns,,,1473.0,1473.0,1
HCPCS,33278,Rmvl phrnc nrv stim sys,,,3550.97,16523.11,10
HCPCS,33279,Rmvl phrnc nrv stim transvns,,,3550.97,16523.11,10
HCPCS,33280,Rmvl phrnc nrv stim pg only,,,3550.97,16523.11,10
HCPCS,33281,Reposg phrnc nrv stim trnsvn,,,3550.97,16523.11,10
HCPCS,33285,HC INSERT SUBCUT CARDIAC RHYTHM MONITOR INC PROGRAM,13075.0,13075.0,,,0
HCPCS,33285,Insj subq car rhythm mntr,,,8866.34,39110.71,10
HCPCS,33286,HC REMOVAL SUBCUT CARDIAC RHYTHM MONITOR,2678.0,2678.0,,,0
HCPCS,33286,Rmvl subq car rhythm mntr,,,734.26,3346.74,10
HCPCS,33287,Rmv&rplcmt phrnc nrv stim pg,,,32407.0,145838.03,10
HCPCS,33288,Rmv&rplcmt phrnc nrv stim ld,,,12528.14,62337.82,10
HCPCS,33289,HC TRNSCTH IMPL WRLESS PULM ART PRESS SENSOR LNG TRM HEMODYN MNTR,45290.0,45290.0,,,0
HCPCS,33289,Tcat impl wrls p-art prs snr,,,30332.62,135561.76,10
HCPCS,33300,Repair of heart wound,,,2073.0,9829.75,5
HCPCS,33305,Repair of heart wound,,,2073.0,9829.75,5
HCPCS,33310,Exploratory heart surgery,,,2073.0,9829.75,5
HCPCS,33315,Exploratory heart surgery,,,2073.0,9829.75,5
HCPCS,33320,Repair major blood vessel(s),,,2073.0,9829.75,5
HCPCS,33321,Repair major vessel,,,2073.0,9829.75,5
HCPCS,33322,Repair major blood vessel(s),,,2073.0,9829.75,5
HCPCS,33330,Insert major vessel graft,,,2073.0,9829.75,5
HCPCS,33335,Insert major vessel graft,,,2073.0,9829.75,5
HCPCS,33340,HC PERCUT TRNSCTH CLOSURE LAA W ENDOCARD IMPLANT,10514.0,10514.0,,,0
HCPCS,33340,Perq clsr tcat l atr apndge,,,9174.0,26233.2,5
HCPCS,33361,HC TRANSCATH AORTIC VALVE REPLCMNT (TAVR/TAVI) PERCUT FEMRL ARTERY APP,11677.0,11677.0,,,0
HCPCS,33361,Replace aortic valve perq,,,2073.0,9829.75,5
HCPCS,33362,Replace aortic valve open,,,2073.0,9829.75,5
HCPCS,33363,Replace aortic valve open,,,2073.0,9829.75,5
HCPCS,33364,Replace aortic valve open,,,2073.0,9829.75,5
HCPCS,33365,Replace aortic valve open,,,2073.0,9829.75,5
HCPCS,33366,Trcath replace aortic valve,,,2073.0,9829.75,5
HCPCS,33367,Replace aortic valve w/byp,,,2073.0,9829.75,5
HCPCS,33368,Replace aortic valve w/byp,,,2073.0,9829.75,5
HCPCS,33369,Replace aortic valve w/byp,,,2073.0,9829.75,5
HCPCS,33370,HC TRANSCATH PLMNT & SBSQ REM CEPD INCL ART ACC CATH IMG RAD S&I PRCUT,3892.0,3892.0,,,0
HCPCS,33370,Tcat plmt&rmvl cepd perq,,,1473.0,1473.0,1
HCPCS,33390,Valvuloplasty aortic valve,,,2073.0,9829.75,5
HCPCS,33391,Valvuloplasty aortic valve,,,2073.0,9829.75,5
HCPCS,33404,Prepare heart-aorta conduit,,,2073.0,9829.75,5
HCPCS,33405,Replacement aortic valve opn,,,2073.0,9829.75,5
HCPCS,33406,Replacement aortic valve opn,,,2073.0,9829.75,5
HCPCS,33410,Replacement aortic valve opn,,,2073.0,9829.75,5
HCPCS,33411,Replacement of aortic valve,,,2073.0,9829.75,5
HCPCS,33412,Replacement of aortic valve,,,2073.0,9829.75,5
HCPCS,33413,Replacement of aortic valve,,,2073.0,9829.75,5
HCPCS,33414,Repair of aortic valve,,,2073.0,9829.75,5
HCPCS,33415,Revision subvalvular tissue,,,1678.32,9829.75,6
HCPCS,33416,Revise ventricle muscle,,,2073.0,9829.75,5
HCPCS,33417,Repair of aortic valve,,,2073.0,9829.75,5
HCPCS,33418,HC TRANSCATH MVR PERCUT INCL TS PUNCT INITIAL PROSTHESIS,11407.0,11407.0,,,0
HCPCS,33418,Repair tcat mitral valve,,,2073.0,9829.75,5
HCPCS,33419,HC TRANSCATH MVR PERCUT INCL TS PUNCT ADDL PROSTHESIS(ES),1634.0,1634.0,,,0
HCPCS,33419,Repair tcat mitral valve,,,1473.0,1473.0,1
HCPCS,33420,Revision of mitral valve,,,2073.0,9829.75,5
HCPCS,33422,Revision of mitral valve,,,2073.0,9829.75,5
HCPCS,33425,Repair of mitral valve,,,2073.0,9829.75,5
HCPCS,33426,Repair of mitral valve,,,2073.0,9829.75,5
HCPCS,33427,Repair of mitral valve,,,2073.0,9829.75,5
HCPCS,33430,Replacement of mitral valve,,,2073.0,9829.75,5
HCPCS,33440,Rplcmt a-valve tlcj autol pv,,,2073.0,9829.75,5
HCPCS,33460,Revision of tricuspid valve,,,2073.0,9829.75,5
HCPCS,33463,HC VALVULOPLASTY TRICUSPID VALVE WO RING INSERTION,13115.0,13115.0,,,0
HCPCS,33463,Valvuloplasty tricuspid,,,2073.0,9829.75,5
HCPCS,33464,Valvuloplasty tricuspid,,,2073.0,9829.75,5
HCPCS,33465,Replace tricuspid valve,,,2073.0,9829.75,5
HCPCS,33468,Revision of tricuspid valve,,,2073.0,9829.75,5
HCPCS,33474,Revision of pulmonary valve,,,2073.0,9829.75,5
HCPCS,33475,Replacement pulmonary valve,,,2073.0,9829.75,5
HCPCS,33476,Revision of heart chamber,,,2073.0,9829.75,5
HCPCS,33477,HC TRANSCATH PULM VALVE IMPLANT PERCUT APPROACH,11813.0,11813.0,,,0
HCPCS,33477,Implant tcat pulm vlv perq,,,2073.0,9829.75,5
HCPCS,33478,Revision of heart chamber,,,2073.0,9829.75,5
HCPCS,33496,Repair prosth valve clot,,,2073.0,9829.75,5
HCPCS,33500,Repair heart vessel fistula,,,2073.0,9829.75,5
HCPCS,33501,Repair heart vessel fistula,,,2073.0,9829.75,5
HCPCS,33502,Coronary artery correction,,,2073.0,9829.75,5
HCPCS,33503,Coronary artery graft,,,2073.0,9829.75,5
HCPCS,33504,Coronary artery graft,,,2073.0,9829.75,5
HCPCS,33505,Repair artery w/tunnel,,,2073.0,9829.75,5
HCPCS,33506,Repair artery translocation,,,2073.0,9829.75,5
HCPCS,33507,Repair art intramural,,,2073.0,9829.75,5
HCPCS,33508,Endoscopic vein harvest,,,1473.0,1473.0,1
HCPCS,33509,Ndsc hrv uxtr art 1 sgm cab,,,2073.0,9829.75,5
HCPCS,33510,Cabg vein single,,,2073.0,9829.75,5
HCPCS,33511,Cabg vein two,,,2073.0,9829.75,5
HCPCS,33512,Cabg vein three,,,2073.0,9829.75,5
HCPCS,33513,Cabg vein four,,,2073.0,9829.75,5
HCPCS,33514,Cabg vein five,,,2073.0,9829.75,5
HCPCS,33516,Cabg vein six or more,,,2073.0,9829.75,5
HCPCS,33517,Cabg artery-vein single,,,2073.0,9829.75,5
HCPCS,33518,Cabg artery-vein two,,,2073.0,9829.75,5
HCPCS,33519,Cabg artery-vein three,,,2073.0,9829.75,5
HCPCS,33521,Cabg artery-vein four,,,2073.0,9829.75,5
HCPCS,33522,Cabg artery-vein five,,,2073.0,9829.75,5
HCPCS,33523,Cabg art-vein six or more,,,2073.0,9829.75,5
HCPCS,33530,Coronary artery bypass/reop,,,2073.0,9829.75,5
HCPCS,33533,Cabg arterial single,,,2073.0,9829.75,5
HCPCS,33534,Cabg arterial two,,,2073.0,9829.75,5
HCPCS,33535,Cabg arterial three,,,2073.0,9829.75,5
HCPCS,33536,Cabg arterial four or more,,,2073.0,9829.75,5
HCPCS,33542,Removal of heart lesion,,,2073.0,9829.75,5
HCPCS,33545,Repair of heart damage,,,2073.0,9829.75,5
HCPCS,33548,Restore/remodel ventricle,,,2073.0,9829.75,5
HCPCS,33572,Open coronary endarterectomy,,,2073.0,9829.75,6
HCPCS,33600,Closure of valve,,,2073.0,9829.75,5
HCPCS,33602,Closure of valve,,,2073.0,9829.75,5
HCPCS,33606,Anastomosis/artery-aorta,,,2073.0,9829.75,5
HCPCS,33608,Repair anomaly w/conduit,,,2073.0,9829.75,5
HCPCS,33610,Repair by enlargement,,,2073.0,9829.75,5
HCPCS,33611,Repair double ventricle,,,2073.0,9829.75,5
HCPCS,33612,Repair double ventricle,,,2073.0,9829.75,5
HCPCS,33615,Repair modified fontan,,,2073.0,9829.75,5
HCPCS,33617,Repair single ventricle,,,2073.0,9829.75,5
HCPCS,33619,Repair single ventricle,,,2073.0,9829.75,5
HCPCS,33620,Apply r&l pulm art bands,,,2073.0,9829.75,5
HCPCS,33621,Transthor cath for stent,,,2073.0,9829.75,5
HCPCS,33622,Redo compl cardiac anomaly,,,2073.0,9829.75,5
HCPCS,33641,Repair heart septum defect,,,2073.0,12989.24,6
HCPCS,33645,Revision of heart veins,,,2073.0,9829.75,5
HCPCS,33647,Repair heart septum defects,,,2073.0,9829.75,5
HCPCS,33660,Repair of heart defects,,,2073.0,9829.75,5
HCPCS,33665,Repair of heart defects,,,2073.0,9829.75,5
HCPCS,33670,Repair of heart chambers,,,2073.0,9829.75,5
HCPCS,33675,Close Mult Vsd,,,2073.0,9829.75,5
HCPCS,33676,Close mult vsd w/resection,,,2073.0,9829.75,5
HCPCS,33677,Cl mult vsd w/rem pul band,,,2073.0,9829.75,5
HCPCS,33681,Repair heart septum defect,,,2073.0,9829.75,5
HCPCS,33684,Repair heart septum defect,,,2073.0,9829.75,5
HCPCS,33688,Repair heart septum defect,,,2073.0,9829.75,5
HCPCS,33690,Reinforce pulmonary artery,,,2073.0,14015.34,6
HCPCS,33692,Repair of heart defects,,,2073.0,9829.75,5
HCPCS,33694,Repair of heart defects,,,2073.0,9829.75,5
HCPCS,33697,Repair of heart defects,,,2073.0,9829.75,5
HCPCS,33702,Repair of heart defects,,,2073.0,9829.75,5
HCPCS,33710,Repair of heart defects,,,2073.0,9829.75,5
HCPCS,33720,Repair of heart defect,,,2073.0,12989.24,6
HCPCS,33724,Repair Venous Anomaly,,,2073.0,9829.75,5
HCPCS,33726,Repair Pul Venous Stenosis,,,2073.0,9829.75,5
HCPCS,33730,Repair heart-vein defect(s),,,2073.0,9829.75,5
HCPCS,33732,Repair heart-vein defect,,,2073.0,9829.75,5
HCPCS,33735,Revision of heart chamber,,,2073.0,12989.24,6
HCPCS,33736,Revision of heart chamber,,,2073.0,9829.75,5
HCPCS,33741,HC TRANSCATH ATRIAL SEPTOSTOMY CONGENITAL CARDIAC ANOMALIES ANY METHOD,11813.0,11813.0,,,0
HCPCS,33741,Tas congenital car anomal,,,2073.0,9829.75,5
HCPCS,33745,Tis cgen car anomal 1st shnt,,,2073.0,9829.75,5
HCPCS,33746,Tis cgen car anomal ea addl,,,2073.0,9829.75,5
HCPCS,33750,Major vessel shunt,,,2073.0,9829.75,5
HCPCS,33755,Major vessel shunt,,,2073.0,9829.75,5
HCPCS,33762,Major vessel shunt,,,2073.0,9829.75,5
HCPCS,33764,Major vessel shunt & graft,,,2073.0,9829.75,5
HCPCS,33766,Major vessel shunt,,,2073.0,9829.75,5
HCPCS,33767,Major vessel shunt,,,2073.0,9829.75,5
HCPCS,33768,Cavopulmonary shunting,,,2073.0,9829.75,5
HCPCS,33770,Repair great vessels defect,,,2073.0,9829.75,5
HCPCS,33771,Repair great vessels defect,,,2073.0,9829.75,5
HCPCS,33774,Repair great vessels defect,,,2073.0,9829.75,5
HCPCS,33775,Repair great vessels defect,,,2073.0,9829.75,5
HCPCS,33776,Repair great vessels defect,,,2073.0,9829.75,5
HCPCS,33777,Repair great vessels defect,,,2073.0,9829.75,5
HCPCS,33778,Repair great vessels defect,,,2073.0,9829.75,5
HCPCS,33779,Repair great vessels defect,,,2073.0,9829.75,5
HCPCS,33780,Repair great vessels defect,,,2073.0,9829.75,5
HCPCS,33781,Repair great vessels defect,,,2073.0,9829.75,5
HCPCS,33782,Nikaidoh proc,,,2073.0,9829.75,5
HCPCS,33783,Nikaidoh proc w/ostia implt,,,2073.0,9829.75,5
HCPCS,33786,Repair arterial trunk,,,2073.0,9829.75,5
HCPCS,33788,Revision of pulmonary artery,,,2073.0,9829.75,5
HCPCS,33800,Aortic suspension,,,2073.0,9829.75,5
HCPCS,33802,Repair vessel defect,,,2073.0,9829.75,5
HCPCS,33803,Repair vessel defect,,,2073.0,9829.75,5
HCPCS,33814,Repair septal defect,,,2073.0,9829.75,5
HCPCS,33820,Revise major vessel,,,6880.82,27231.0,6
HCPCS,33822,Revise major vessel,,,6880.82,19010.0,5
HCPCS,33824,Revise major vessel,,,6880.82,27231.0,5
HCPCS,33840,Remove aorta constriction,,,2073.0,9829.75,5
HCPCS,33845,Remove aorta constriction,,,2073.0,9829.75,5
HCPCS,33851,Remove aorta constriction,,,2073.0,9829.75,5
HCPCS,33852,Repair septal defect,,,2073.0,9829.75,5
HCPCS,33853,Repair septal defect,,,2073.0,9829.75,5
HCPCS,33858,As-aort grf f/aortic dsj,,,2073.0,9829.75,5
HCPCS,33859,As-aort grf f/ds oth/thn dsj,,,2073.0,9829.75,5
HCPCS,33863,Ascending aortic graft,,,2073.0,9829.75,5
HCPCS,33864,Ascending aortic graft,,,2073.0,9829.75,5
HCPCS,33866,Aortic hemiarch graft,,,1473.0,1473.0,1
HCPCS,33871,Transvrs a-arch grf hypthrm,,,2073.0,9829.75,5
HCPCS,33875,Thoracic aortic graft,,,2073.0,9829.75,5
HCPCS,33877,Thoracoabdominal graft,,,2073.0,9829.75,5
HCPCS,33880,Endovasc taa repr incl subcl,,,2073.0,9829.75,5
HCPCS,33880,HC ENDO REPR TAA W COV SUBCL ART,10879.0,10879.0,,,0
HCPCS,33881,Endovasc taa repr w/o subcl,,,2073.0,9829.75,5
HCPCS,33881,HC ENDOVASC RPR TAA WO SUBCL ART,10879.0,10879.0,,,0
HCPCS,33882,Evasc rpr ta dplmt mltpc sys,,,6880.82,9829.75,4
HCPCS,33882,HC ENDOEVASC REPAIR TA DPLMNT BRNCHD ENDOGFT MULTIPIECE SYS,10879.0,10879.0,,,0
HCPCS,33883,HC PLCM PROST ENDVAS RPR INIT EXT,10879.0,10879.0,,,0
HCPCS,33883,Insert endovasc prosth taa,,,2073.0,9829.75,5
HCPCS,33884,Endovasc prosth taa add-on,,,2073.0,9829.75,5
HCPCS,33886,Endovasc prosth delayed,,,2073.0,9829.75,5
HCPCS,33886,HC ENDOVASC PROSTH DELAYED,10879.0,10879.0,,,0
HCPCS,33889,Artery transpose/endovas taa,,,2073.0,9829.75,5
HCPCS,33891,Car-car bp grft/endovas taa,,,2073.0,9829.75,5
HCPCS,33894,Evasc st rpr thrc/aa acrs br,,,2073.0,9829.75,5
HCPCS,33895,Evasc st rpr thrc/aa x crsg,,,2073.0,9829.75,5
HCPCS,33897,Perq trluml angp nt/recr coa,,,2073.0,9829.75,5
HCPCS,33900,Perq p-art revsc 1 nm nt uni,,,11481.13,54559.54,10
HCPCS,33901,Perq p-art revsc 1 nm nt bi,,,11481.13,54559.54,10
HCPCS,33902,Perq p-art revsc 1 abnor uni,,,18300.17,86638.02,10
HCPCS,33903,Perq p-art revsc 1 abnor bi,,,11481.13,54559.54,10
HCPCS,33904,Perq p-art revsc each addl,,,1473.0,1473.0,1
HCPCS,33910,Remove lung artery emboli,,,2073.0,9829.75,5
HCPCS,33915,HC PULM ARTERY WO BYPASS,10879.0,10879.0,,,0
HCPCS,33915,Remove lung artery emboli,,,2073.0,9829.75,5
HCPCS,33916,Surgery of great vessel,,,2073.0,9829.75,5
HCPCS,33917,Repair pulmonary artery,,,2073.0,9829.75,5
HCPCS,33920,Repair pulmonary atresia,,,2073.0,9829.75,5
HCPCS,33922,Transect pulmonary artery,,,2073.0,9829.75,5
HCPCS,33924,Remove pulmonary shunt,,,2073.0,9829.75,5
HCPCS,33925,Rpr pul art unifocal w/o cpb,,,2073.0,9829.75,5
HCPCS,33926,Repr pul art unifocal w/cpb,,,2073.0,9829.75,5
HCPCS,33927,Impltj tot rplcmt hrt sys,,,2073.0,9829.75,5
HCPCS,33928,Rmvl & rplcmt tot hrt sys,,,2073.0,9829.75,5
HCPCS,33929,Rmvl rplcmt hrt sys f/trnspl,,,2073.0,9829.75,5
HCPCS,33930,Removal of donor heart/lung,,,2073.0,9829.75,5
HCPCS,33933,Prepare donor heart/lung,,,2073.0,9829.75,5
HCPCS,33935,Transplantation heart/lung,,,2073.0,9829.75,5
HCPCS,33940,Removal of donor heart,,,2073.0,9829.75,5
HCPCS,33944,Prepare donor heart,,,2073.0,9829.75,5
HCPCS,33945,Transplantation of heart,,,2073.0,9829.75,5
HCPCS,33946,Ecmo/ecls initiation venous,,,2073.0,9829.75,5
HCPCS,33946,HC ECMO INITIATION VENO-VENOUS,11439.0,11439.0,,,0
HCPCS,33947,Ecmo/ecls initiation artery,,,2073.0,9829.75,5
HCPCS,33947,HC ECMO INITIATION VENO-ARTERIAL,11439.0,11439.0,,,0
HCPCS,33948,Ecmo/ecls daily mgmt-venous,,,2073.0,9829.75,5
HCPCS,33948,HC ECMO DAILY MGT EACH DAY VENO-VENOUS,11524.0,11524.0,,,0
HCPCS,33949,Ecmo/ecls daily mgmt artery,,,2073.0,9829.75,5
HCPCS,33949,HC ECMO DAILY MGT EACH DAY VENO-ARTERIAL,11524.0,11524.0,,,0
HCPCS,33951,Ecmo/ecls insj prph cannula,,,2073.0,9829.75,5
HCPCS,33952,Ecmo/ecls insj prph cannula,,,2073.0,9829.75,5
HCPCS,33952,HC ECMO/ECLS INSERT OF PERIPHERAL CANNULA PERCUT 6YRS&>,11407.0,11407.0,,,0
HCPCS,33953,Ecmo/ecls insj prph cannula,,,2073.0,9829.75,5
HCPCS,33954,Ecmo/ecls insj prph cannula,,,2073.0,9829.75,5
HCPCS,33955,Ecmo/ecls insj ctr cannula,,,2073.0,9829.75,5
HCPCS,33956,Ecmo/ecls insj ctr cannula,,,2073.0,9829.75,5
HCPCS,33957,Ecmo/ecls repos perph cnula,,,2073.0,9829.75,5
HCPCS,33958,Ecmo/ecls repos perph cnula,,,2073.0,9829.75,5
HCPCS,33958,HC ECMO/ECLS REPOSITION PERIPHERAL CANNULA PERCUT 6YRS&>,10995.0,10995.0,,,0
HCPCS,33959,Ecmo/ecls repos perph cnula,,,2073.0,9829.75,5
HCPCS,33962,Ecmo/ecls repos perph cnula,,,2073.0,9829.75,5
HCPCS,33963,Ecmo/ecls repos perph cnula,,,2073.0,9829.75,5
HCPCS,33964,Ecmo/ecls repos perph cnula,,,2073.0,9829.75,5
HCPCS,33965,Ecmo/ecls rmvl perph cannula,,,2073.0,9829.75,5
HCPCS,33966,Ecmo/ecls rmvl prph cannula,,,2073.0,9829.75,5
HCPCS,33967,HC INSERT INTRA AORTIC BAL DEVICE,16314.0,16314.0,,,0
HCPCS,33967,Insert i-aort percut device,,,6880.82,44503.0,5
HCPCS,33968,HC REM IABP ASSIST DEVICE,12363.0,12363.0,,,0
HCPCS,33968,Remove aortic assist device,,,6880.82,44503.0,5
HCPCS,33969,Ecmo/ecls rmvl perph cannula,,,2073.0,9829.75,5
HCPCS,33970,Aortic circulation assist,,,2073.0,9829.75,5
HCPCS,33971,Aortic circulation assist,,,2073.0,9829.75,5
HCPCS,33973,Insert balloon device,,,2073.0,9829.75,5
HCPCS,33974,Remove intra-aortic balloon,,,2073.0,9829.75,5
HCPCS,33975,HC INS VENTASSIST DEVICE SINGVENT,10879.0,10879.0,,,0
HCPCS,33975,Implant ventricular device,,,2073.0,9829.75,5
HCPCS,33976,Implant ventricular device,,,2073.0,9829.75,5
HCPCS,33977,HC REM VENTASSIST DEVICE SINGVENT,10879.0,10879.0,,,0
HCPCS,33977,Remove ventricular device,,,2073.0,9829.75,5
HCPCS,33978,Remove ventricular device,,,2073.0,9829.75,5
HCPCS,33979,Insert intracorporeal device,,,2073.0,9829.75,5
HCPCS,33980,Remove intracorporeal device,,,2073.0,9829.75,5
HCPCS,33981,Replace vad pump ext,,,2073.0,9829.75,5
HCPCS,33982,Replace vad intra w/o bp,,,2073.0,9829.75,5
HCPCS,33983,Replace vad intra w/bp,,,2073.0,9829.75,5
HCPCS,33984,Ecmo/ecls rmvl prph cannula,,,2073.0,9829.75,5
HCPCS,33985,Ecmo/ecls rmvl ctr cannula,,,2073.0,9829.75,5
HCPCS,33986,Ecmo/ecls rmvl ctr cannula,,,2073.0,9829.75,5
HCPCS,33987,Artery expos/graft artery,,,2073.0,9829.75,5
HCPCS,33988,Insertion of left heart vent,,,2073.0,9829.75,5
HCPCS,33989,Removal of left heart vent,,,2073.0,9829.75,5
HCPCS,33990,HC INSERT VENT ASST DEVICE PERC,11407.0,11407.0,,,0
HCPCS,33990,Insert vad artery access,,,2073.0,9829.75,5
HCPCS,33991,HC INSERT VAD W TRANSSEPTAL PUNC,10807.0,10807.0,,,0
HCPCS,33991,Insert vad art&vein access,,,2073.0,9829.75,5
HCPCS,33992,HC REMOVAL OF VENT ASST DEVICE,10879.0,10879.0,,,0
HCPCS,33992,Remove vad different session,,,2073.0,9829.75,5
HCPCS,33993,HC REPOSITION OF VAD W IMAGE GUID,10807.0,10807.0,,,0
HCPCS,33993,Reposition vad diff session,,,2073.0,9829.75,5
HCPCS,33995,HC INSERT VAD PERCUT INCL S&I RT HRT VENOUS ACCESS ONLY,11407.0,11407.0,,,0
HCPCS,33995,Insj perq vad r hrt venous,,,2073.0,9829.75,5
HCPCS,33997,HC REM PERCUT RT HEART VAD VENOUS CANNULA SEP FROM INSERT,11407.0,11407.0,,,0
HCPCS,33997,Rmvl perq right heart vad,,,2073.0,9829.75,5
HCPCS,33999,Cardiac surgery procedure,,,655.61,2964.73,9
HCPCS,33999,HC PERCUT TRANSCATH CLOSURE LEAK PREV IMPL WATCHMAN W ANES,22404.0,22404.0,,,0
HCPCS,33999,HC TAVR TRANSCAVAL PERCUTANEOUS,11677.0,11677.0,,,0
HCPCS,34001,Removal of artery clot,,,2073.0,9829.75,6
HCPCS,34051,Removal of artery clot,,,2073.0,9829.75,6
HCPCS,34101,HC EMBL THROMBEC UPPER ART,16022.0,16022.0,,,0
HCPCS,34101,Removal of artery clot,,,5735.1,26298.58,10
HCPCS,34111,HC EMBL RADIAL OR ULNAR EMBOL,16022.0,16022.0,,,0
HCPCS,34111,Removal of arm artery clot,,,5735.1,26298.58,10
HCPCS,34151,HC EMBL RENAL CEL AORTOIL EMBOL,10879.0,10879.0,,,0
HCPCS,34151,Removal of artery clot,,,2073.0,9829.75,6
HCPCS,34201,HC EMBL FEM POP AORTO IL,16022.0,16022.0,,,0
HCPCS,34201,Removal of artery clot,,,5735.1,26298.58,10
HCPCS,34203,HC EMBL POP TIB PERONEAL,16022.0,16022.0,,,0
HCPCS,34203,Removal of leg artery clot,,,5735.1,26298.58,10
HCPCS,34401,Removal of vein clot,,,2073.0,9829.75,6
HCPCS,34421,HC THRMBCTOMY VENA CAVA LEG,10377.0,10377.0,,,0
HCPCS,34421,Removal of vein clot,,,3326.56,14922.72,10
HCPCS,34451,Removal of vein clot,,,2073.0,9829.75,6
HCPCS,34471,Removal of vein clot,,,655.61,14874.9,10
HCPCS,34490,HC THROMBECTOMY AX SUB VEIN,10377.0,10377.0,,,0
HCPCS,34490,Removal of vein clot,,,3326.56,14922.72,10
HCPCS,34501,Repair valve femoral vein,,,5735.1,26298.58,10
HCPCS,34502,Reconstruct vena cava,,,2073.0,9829.75,6
HCPCS,34510,Transposition of vein valve,,,5735.1,26298.58,10
HCPCS,34520,Cross-over vein graft,,,5735.1,26298.58,10
HCPCS,34530,Leg vein fusion,,,3326.56,14922.72,10
HCPCS,34701,Evasc rpr a-ao ndgft,,,2073.0,9829.75,5
HCPCS,34701,HC ENDOVASC RPR INFRAR AORTA DPLMNT AORTA-AORTIC TUBE ENDOGFT NON RUPT,10879.0,10879.0,,,0
HCPCS,34702,Evasc rpr a-ao ndgft rpt,,,2073.0,9829.75,5
HCPCS,34702,HC ENDOVASC RPR INFRAR AORTA DPLMNT AORTA-AORTIC TUBE ENDOGFT RUPTURE,12363.0,12363.0,,,0
HCPCS,34703,Evasc rpr a-unilac ndgft,,,2073.0,9829.75,5
HCPCS,34703,HC ENDOVASC RPR INFRAR DPLMNT AORTA-UNI-ILIAC ENDOGFT FOR NON  RUPTURE,10700.0,10700.0,,,0
HCPCS,34704,Evasc rpr a-unilac ndgft rpt,,,2073.0,9829.75,5
HCPCS,34704,HC ENDOVASC RPR INFRAR DPLMNT AORTA-UNI-ILIAC ENDOGFT FOR RUPTURE,11825.0,11825.0,,,0
HCPCS,34705,Evac rpr a-biiliac ndgft,,,2073.0,9829.75,5
HCPCS,34705,HC ENDOVASC RPR INFRAR DPLMNT AORTA-BI-ILIAC ENDOGFT FOR NON RUPTURE,11391.0,11391.0,,,0
HCPCS,34706,Evasc rpr a-biiliac rpt,,,2073.0,9829.75,5
HCPCS,34706,HC ENDOVASC RPR INFRAR DPLMNT AORTA-BI-ILIAC ENDOGFT FOR RUPTURE,11825.0,11825.0,,,0
HCPCS,34707,Evasc rpr ilio-iliac ndgft,,,2073.0,9829.75,5
HCPCS,34707,HC ENDOVASC RPR INFRAR DPLMNT ILIO-ILIAC ENDOGFT FOR NON RUPTURE,10516.0,10516.0,,,0
HCPCS,34708,Evasc rpr ilio-iliac rpt,,,2073.0,9829.75,5
HCPCS,34708,HC ENDOVASC RPR INFRAR DPLMNT ILIO-ILIAC ENDOGFT FOR RUPTURE,11825.0,11825.0,,,0
HCPCS,34709,HC PLACEMENT EXT PROSTH DISTAL ENDOVASC RPR PER VESSEL,10516.0,10516.0,,,0
HCPCS,34709,Plmt xtn prosth evasc rpr,,,2073.0,9829.75,5
HCPCS,34710,Dlyd plmt xtn prosth 1st vsl,,,2073.0,9829.75,5
HCPCS,34710,HC DELAYED PLCMNT EXT PROSTH ENDOVASC RPR INI VESSEL,10516.0,10516.0,,,0
HCPCS,34711,Dlyd plmt xtn prosth ea addl,,,2073.0,9829.75,5
HCPCS,34711,HC DELAYED PLCMNT EXT PROSTH ENDOVASC RPR EA ADDL VESSEL,10516.0,10516.0,,,0
HCPCS,34712,Tcat dlvr enhncd fixj dev,,,2073.0,9829.75,5
HCPCS,34713,Perq access & clsr fem art,,,187.4,1473.0,5
HCPCS,34714,Opn fem art expos cndt crtj,,,393.44,1473.0,5
HCPCS,34715,Opn ax/subcla art expos,,,439.48,1473.0,5
HCPCS,34716,Opn ax/subcla art expos cndt,,,545.99,1473.0,5
HCPCS,34717,Evasc rpr a-iliac ndgft,,,2073.0,9829.75,5
HCPCS,34717,HC ENDOVASC RPR ILIAC ART TIME OF AORTOILIAC ART RUPT/OTH THN RUPT UNI,4784.0,4784.0,,,0
HCPCS,34718,Evasc rpr n/a a-iliac ndgft,,,2073.0,9829.75,5
HCPCS,34718,HC ENDOVSC RPR ILIAC ART NOT ASSOC PLCMNT AORTOILIAC OTHR THN RUPT UNI,10879.0,10879.0,,,0
HCPCS,34808,Endovas iliac a device addon,,,2073.0,9829.75,5
HCPCS,34812,Xpose for endoprosth femorl,,,2073.0,9829.75,5
HCPCS,34813,Femoral endovas graft add-on,,,2073.0,9829.75,5
HCPCS,34820,Xpose for endoprosth iliac,,,2073.0,9829.75,5
HCPCS,34830,Open Aortic Tube Prosth Repr,,,2073.0,9829.75,5
HCPCS,34831,Open Aortoiliac Prosth Repr,,,2073.0,9829.75,5
HCPCS,34832,Open Aortofemor Prosth Repr,,,2073.0,9829.75,5
HCPCS,34833,Xpose for endoprosth iliac,,,2073.0,9829.75,5
HCPCS,34834,Xpose endoprosth brachial,,,2073.0,9829.75,6
HCPCS,34841,Endovasc visc aorta 1 graft,,,2073.0,9829.75,5
HCPCS,34842,Endovasc visc aorta 2 graft,,,2073.0,9829.75,5
HCPCS,34843,Endovasc visc aorta 3 graft,,,2073.0,9829.75,5
HCPCS,34844,Endovasc visc aorta 4 graft,,,2073.0,9829.75,5
HCPCS,34845,Visc & infraren abd 1 prosth,,,2073.0,9829.75,5
HCPCS,34846,Visc & infraren abd 2 prosth,,,2073.0,9829.75,5
HCPCS,34847,Visc & infraren abd 3 prosth,,,2073.0,9829.75,5
HCPCS,34848,Visc & infraren abd 4+ prost,,,2073.0,9829.75,5
HCPCS,35001,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35002,Repair artery rupture neck,,,2073.0,12989.24,6
HCPCS,35005,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35011,Repair defect of artery,,,5735.1,26298.58,10
HCPCS,35013,Repair artery rupture arm,,,2073.0,12989.24,6
HCPCS,35021,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35022,Repair artery rupture chest,,,2073.0,12989.24,6
HCPCS,35045,Repair defect of arm artery,,,5735.1,26298.58,10
HCPCS,35081,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35082,Repair artery rupture aorta,,,2073.0,9829.75,5
HCPCS,35091,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35092,Repair artery rupture aorta,,,2073.0,12989.24,6
HCPCS,35102,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35103,Repair artery rupture aorta,,,2073.0,12989.24,6
HCPCS,35111,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35112,Repair artery rupture spleen,,,2073.0,12989.24,6
HCPCS,35121,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35122,Repair artery rupture belly,,,2073.0,12989.24,6
HCPCS,35131,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35132,Repair artery rupture groin,,,2073.0,12989.24,6
HCPCS,35141,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35142,Repair artery rupture thigh,,,2073.0,12989.24,6
HCPCS,35151,Repair defect of artery,,,2073.0,12989.24,6
HCPCS,35152,Repair ruptd popliteal art,,,2073.0,12989.24,6
HCPCS,35180,Repair blood vessel lesion,,,1671.41,10312.15,10
HCPCS,35182,Repair blood vessel lesion,,,2073.0,9829.75,6
HCPCS,35184,Repair blood vessel lesion,,,3326.56,14922.72,10
HCPCS,35188,Repair blood vessel lesion,,,5735.1,26298.58,10
HCPCS,35189,Repair blood vessel lesion,,,2073.0,9829.75,6
HCPCS,35190,Repair blood vessel lesion,,,5735.1,26298.58,10
HCPCS,35201,Repair blood vessel lesion,,,5735.1,26298.58,10
HCPCS,35206,HC REPR BLOOD VESS DIRECT UPPER EXTREMITY,9604.0,9604.0,,,0
HCPCS,35206,Repair blood vessel lesion,,,3326.56,14922.72,10
HCPCS,35207,HC REPAIR BLOOD VESSEL DIR HAND FINGER,9664.0,9664.0,,,0
HCPCS,35207,Repair blood vessel lesion,,,3326.56,14922.72,10
HCPCS,35211,Repair blood vessel lesion,,,2073.0,9829.75,6
HCPCS,35216,Repair blood vessel lesion,,,2073.0,9829.75,6
HCPCS,35221,Repair blood vessel lesion,,,2073.0,12989.24,6
HCPCS,35226,HC REPAIR BL VESSL DIR LOW EMTRM,2678.0,2678.0,,,0
HCPCS,35226,Repair blood vessel lesion,,,734.26,9812.66,10
HCPCS,35231,Repair blood vessel lesion,,,3326.56,14922.72,10
HCPCS,35236,Repair blood vessel lesion,,,5735.1,26298.58,10
HCPCS,35241,Repair blood vessel lesion,,,2073.0,9829.75,6
HCPCS,35246,Repair blood vessel lesion,,,2073.0,9829.75,6
HCPCS,35251,Repair blood vessel lesion,,,2073.0,9829.75,6
HCPCS,35256,Repair blood vessel lesion,,,5735.1,26298.58,10
HCPCS,35261,Repair blood vessel lesion,,,3326.56,14922.72,10
HCPCS,35266,Repair blood vessel lesion,,,5735.1,26298.58,10
HCPCS,35271,Repair blood vessel lesion,,,2073.0,9829.75,6
HCPCS,35276,Repair blood vessel lesion,,,2073.0,9829.75,6
HCPCS,35281,Repair blood vessel lesion,,,2073.0,9829.75,6
HCPCS,35286,Repair blood vessel lesion,,,5735.1,26298.58,10
HCPCS,35301,Rechanneling of artery,,,2073.0,14015.34,6
HCPCS,35302,Rechanneling of Artery,,,2073.0,9829.75,5
HCPCS,35303,Rechanneling of Artery,,,2073.0,9829.75,5
HCPCS,35304,Rechanneling of Artery,,,2073.0,9829.75,5
HCPCS,35305,Rechanneling of Artery,,,2073.0,9829.75,5
HCPCS,35306,Rechanneling of Artery,,,2073.0,9829.75,6
HCPCS,35311,Rechanneling of artery,,,2073.0,14015.34,6
HCPCS,35321,Rechanneling of artery,,,5735.1,26298.58,10
HCPCS,35331,Rechanneling of artery,,,2073.0,14015.34,6
HCPCS,35341,Rechanneling of artery,,,2073.0,9829.75,5
HCPCS,35351,Rechanneling of artery,,,2073.0,14015.34,6
HCPCS,35355,Rechanneling of artery,,,2073.0,14015.34,6
HCPCS,35361,Rechanneling of artery,,,2073.0,14015.34,6
HCPCS,35363,Rechanneling of artery,,,2073.0,9829.75,5
HCPCS,35371,HC THROMBOEND COMMON FEMORAL,13115.0,13115.0,,,0
HCPCS,35371,Rechanneling of artery,,,2073.0,9829.75,6
HCPCS,35372,Rechanneling of artery,,,6256.35,26298.58,9
HCPCS,35390,Reoperation carotid add-on,,,2073.0,14015.34,6
HCPCS,35400,Angioscopy,,,2073.0,9829.75,6
HCPCS,35500,Harvest vein for bypass,,,1473.0,5548.89,2
HCPCS,35501,Art byp grft ipsilat carotid,,,2073.0,9829.75,5
HCPCS,35506,Art byp grft subclav-carotid,,,2073.0,9829.75,5
HCPCS,35508,Art byp grft carotid-vertbrl,,,2073.0,9829.75,5
HCPCS,35509,Art byp grft contral carotid,,,2073.0,9829.75,5
HCPCS,35510,Art byp grft carotid-brchial,,,2073.0,12989.24,6
HCPCS,35511,Art byp grft subclav-subclav,,,2073.0,9829.75,5
HCPCS,35512,Art byp grft subclav-brchial,,,2073.0,12989.24,6
HCPCS,35515,Art byp grft subclav-vertbrl,,,2073.0,9829.75,5
HCPCS,35516,Art byp grft subclav-axilary,,,2073.0,9829.75,5
HCPCS,35518,Art byp grft axillary-axilry,,,2073.0,9829.75,5
HCPCS,35521,Art byp grft axill-femoral,,,2073.0,9829.75,5
HCPCS,35522,Art byp grft axill-brachial,,,2073.0,12989.24,6
HCPCS,35523,Art byp grft brchl-ulnr-rdl,,,2073.0,9829.75,5
HCPCS,35525,Art byp grft brachial-brchl,,,2073.0,12989.24,6
HCPCS,35526,Art byp grft aor/carot/innom,,,2073.0,9829.75,5
HCPCS,35531,Art byp grft aorcel/aormesen,,,2073.0,9829.75,5
HCPCS,35533,Art byp grft axill/fem/fem,,,2073.0,9829.75,5
HCPCS,35535,Art byp grft hepatorenal,,,2073.0,9829.75,5
HCPCS,35536,Art byp grft splenorenal,,,2073.0,9829.75,5
HCPCS,35537,Art byp grft aortoiliac,,,2073.0,9829.75,5
HCPCS,35538,Art byp grft aortobi-iliac,,,2073.0,9829.75,5
HCPCS,35539,Art byp grft aortofemoral,,,2073.0,9829.75,5
HCPCS,35540,Art byp grft aortbifemoral,,,2073.0,9829.75,5
HCPCS,35556,Art byp grft fem-popliteal,,,2073.0,9829.75,5
HCPCS,35558,Art byp grft fem-femoral,,,2073.0,9829.75,5
HCPCS,35560,Art byp grft aortorenal,,,2073.0,9829.75,5
HCPCS,35563,Art byp grft ilioiliac,,,2073.0,9829.75,5
HCPCS,35565,Art byp grft iliofemoral,,,2073.0,9829.75,5
HCPCS,35566,Art byp fem-ant-post tib/prl,,,2073.0,9829.75,5
HCPCS,35570,Art byp tibial-tib/peroneal,,,2073.0,12989.24,6
HCPCS,35571,Art byp pop-tibl-prl-other,,,2073.0,9829.75,5
HCPCS,35572,Harvest femoropopliteal vein,,,1473.0,1473.0,1
HCPCS,35583,Vein byp grft fem-popliteal,,,2073.0,9829.75,5
HCPCS,35585,Vein byp fem-tibial peroneal,,,2073.0,12989.24,6
HCPCS,35587,Vein byp pop-tibl peroneal,,,2073.0,9829.75,5
HCPCS,35600,Harvest art for cabg add-on,,,2073.0,9829.75,5
HCPCS,35601,Art byp common ipsi carotid,,,2073.0,9829.75,5
HCPCS,35602,Bpg crtd-clat crtd,,,6880.82,9829.75,4
HCPCS,35602,HC BYPASS GRAFT W OTHER THAN VEIN CAROTID-CONTRALATERAL CAROTID,10879.0,10879.0,,,0
HCPCS,35606,Art byp carotid-subclavian,,,2073.0,9829.75,5
HCPCS,35612,Art byp subclav-subclavian,,,2073.0,9829.75,5
HCPCS,35616,Art byp subclav-axillary,,,2073.0,9829.75,5
HCPCS,35621,Art byp axillary-femoral,,,2073.0,9829.75,5
HCPCS,35623,Art byp axillary-pop-tibial,,,2073.0,9829.75,5
HCPCS,35626,Art byp aorsubcl/carot/innom,,,2073.0,9829.75,5
HCPCS,35631,Art byp aor-celiac-msn-renal,,,2073.0,9829.75,5
HCPCS,35632,Art byp ilio-celiac,,,2073.0,9829.75,5
HCPCS,35633,Art byp ilio-mesenteric,,,2073.0,9829.75,5
HCPCS,35634,Art byp iliorenal,,,2073.0,9829.75,5
HCPCS,35636,Art byp spenorenal,,,2073.0,9829.75,5
HCPCS,35637,Art byp aortoiliac,,,2073.0,9829.75,5
HCPCS,35638,Art byp aortobi-iliac,,,2073.0,9829.75,5
HCPCS,35642,Art byp carotid-vertebral,,,2073.0,9829.75,5
HCPCS,35645,Art byp subclav-vertebrl,,,2073.0,9829.75,5
HCPCS,35646,Art byp aortobifemoral,,,2073.0,9829.75,5
HCPCS,35647,Art byp aortofemoral,,,2073.0,9829.75,5
HCPCS,35650,Art byp axillary-axillary,,,2073.0,9829.75,5
HCPCS,35654,Art byp axill-fem-femoral,,,2073.0,9829.75,5
HCPCS,35656,Art byp femoral-popliteal,,,2073.0,9829.75,5
HCPCS,35661,Art byp femoral-femoral,,,2073.0,9829.75,5
HCPCS,35663,Art byp ilioiliac,,,2073.0,9829.75,5
HCPCS,35665,Art byp iliofemoral,,,2073.0,9829.75,5
HCPCS,35666,Art byp fem-ant-post tib/prl,,,2073.0,9829.75,5
HCPCS,35671,Art byp pop-tibl-prl-other,,,2073.0,9829.75,5
HCPCS,35681,Composite byp grft pros&vein,,,2073.0,9829.75,5
HCPCS,35682,Composite byp grft 2 veins,,,2073.0,9829.75,6
HCPCS,35683,Composite byp grft 3/> segmt,,,2073.0,9829.75,6
HCPCS,35685,Bypass graft patency/patch,,,1473.0,10312.15,2
HCPCS,35686,Bypass graft/av fist patency,,,1473.0,10312.15,2
HCPCS,35691,Art trnsposj vertbrl carotid,,,2073.0,9829.75,5
HCPCS,35693,Art trnsposj subclavian,,,2073.0,9829.75,5
HCPCS,35694,Art trnsposj subclav carotid,,,2073.0,9829.75,5
HCPCS,35695,Art trnsposj carotid subclav,,,2073.0,9829.75,5
HCPCS,35697,Reimplant artery each,,,2073.0,9829.75,6
HCPCS,35700,Reoperation bypass graft,,,2073.0,9829.75,5
HCPCS,35701,Exploration carotid artery,,,2073.0,9829.75,5
HCPCS,35702,Expl n/flwd surg uxtr art,,,2073.0,9829.75,5
HCPCS,35703,Expl n/flwd surg lxtr art,,,2073.0,9829.75,5
HCPCS,35800,Explore neck vessels,,,6256.35,26298.58,9
HCPCS,35820,Explore chest vessels,,,2073.0,9829.75,6
HCPCS,35840,Explore abdominal vessels,,,2073.0,9829.75,6
HCPCS,35860,Explore limb vessels,,,2630.44,14922.72,10
HCPCS,35870,Repair vessel graft defect,,,2073.0,9829.75,5
HCPCS,35875,HC GRAFT THROMBECTOMY,16022.0,16022.0,,,0
HCPCS,35875,Removal of clot in graft,,,5735.1,26298.58,10
HCPCS,35876,Removal of clot in graft,,,5735.1,26298.58,10
HCPCS,35879,Revise graft w/vein,,,5735.1,26298.58,10
HCPCS,35881,Revise graft w/vein,,,5735.1,26298.58,10
HCPCS,35883,Revise Graft w/Nonauto Graft,,,5735.1,26298.58,10
HCPCS,35884,Revise graft w/vein,,,5735.1,26298.58,10
HCPCS,35901,Excision graft neck,,,2073.0,9829.75,5
HCPCS,35903,Excision graft extremity,,,3326.56,14922.72,10
HCPCS,35905,Excision graft thorax,,,2073.0,9829.75,5
HCPCS,35907,Excision graft abdomen,,,2073.0,9829.75,5
HCPCS,36000,HC INTRO NEEDLE OR CATH IN VEIN,1480.0,1480.0,,,0
HCPCS,36000,Place needle in vein,,,1473.0,1473.0,1
HCPCS,36002,HC INJ PERC EXTR PSEUDOANEURYSM,2700.0,2700.0,,,0
HCPCS,36002,Pseudoaneurysm injection trt,,,655.61,2964.73,10
HCPCS,36005,HC INJ VENO EXTR INCL NDL/INTRAC,1613.0,1613.0,,,0
HCPCS,36005,Injection ext venography,,,1473.0,1473.0,1
HCPCS,36010,HC INTRO CATH SUP INF VENA CAVA,6816.0,6816.0,,,0
HCPCS,36010,Place catheter in vein,,,1473.0,1473.0,1
HCPCS,36011,HC CATH IN VEIN 1ST RNL/JGL,6816.0,6816.0,,,0
HCPCS,36011,Place catheter in vein,,,1473.0,1473.0,1
HCPCS,36012,HC CATH LT ADRNL/PETROSAL SINUS,6816.0,6816.0,,,0
HCPCS,36012,Place catheter in vein,,,1473.0,1473.0,1
HCPCS,36013,HC CATH RT HEART OR MAIN PULM ART,1613.0,1613.0,,,0
HCPCS,36013,Place catheter in artery,,,1473.0,1473.0,1
HCPCS,36014,HC CATH PLCMNT L/R PULMONARY ART,1613.0,1613.0,,,0
HCPCS,36014,Place catheter in artery,,,1473.0,1473.0,1
HCPCS,36015,HC CATH SUB SEGMENTAL PULM ART,1613.0,1613.0,,,0
HCPCS,36015,Place catheter in artery,,,1473.0,1473.0,1
HCPCS,36100,Establish access to artery,,,1473.0,1473.0,1
HCPCS,36100,HC INTRO NDL CATH CAROTID/VER ART,1613.0,1613.0,,,0
HCPCS,36140,Establish access to artery,,,1473.0,1473.0,1
HCPCS,36140,HC INTRO NDLE UPPER OR LOWER EXTREMITY ART,6815.0,6815.0,,,0
HCPCS,36160,Establish access to aorta,,,1473.0,1473.0,1
HCPCS,36200,HC INTRO CATH AORTA,6815.0,6815.0,,,0
HCPCS,36200,Place catheter in aorta,,,1473.0,1473.0,1
HCPCS,36215,HC INTRO CATH EA 1ST ORD THOR/BRA,11662.0,11662.0,,,0
HCPCS,36215,Place catheter in artery,,,1473.0,1473.0,1
HCPCS,36216,HC CATH IN ART THOR/BRACH,11662.0,11662.0,,,0
HCPCS,36216,Place catheter in artery,,,1473.0,1473.0,1
HCPCS,36217,HC CATH IN ART SELECT THOR/BRACH,6816.0,6816.0,,,0
HCPCS,36217,Place catheter in artery,,,1473.0,1473.0,1
HCPCS,36218,HC CATH IN ART 2ND 3RD,1535.0,1535.0,,,0
HCPCS,36218,Place catheter in artery,,,1473.0,1473.0,1
HCPCS,36221,HC ANG NON SEL CEREB TO ARCH W SI,10377.0,10377.0,,,0
HCPCS,36221,Place cath thoracic aorta,,,3326.56,14922.72,10
HCPCS,36222,HC ANG SEL COM EXCRNL CAROT SI,10377.0,10377.0,,,0
HCPCS,36222,Place cath carotid/inom art,,,3326.56,14922.72,10
HCPCS,36223,HC ANG SEL COM INTCRN CAROT SI,9681.0,9681.0,,,0
HCPCS,36223,Place cath carotid/inom art,,,5735.1,26298.58,10
HCPCS,36224,HC ANG SEL INTERNAL CAROT SI,16022.0,16022.0,,,0
HCPCS,36224,Place cath carotd art,,,5735.1,26298.58,10
HCPCS,36225,HC ANG SEL SUBCLV VERT CIRC SI,10377.0,10377.0,,,0
HCPCS,36225,Place cath subclavian art,,,3326.56,14922.72,10
HCPCS,36226,HC ANG SEL VERTEB CIRCUL SI,16022.0,16022.0,,,0
HCPCS,36226,Place cath vertebral art,,,5735.1,26298.58,10
HCPCS,36227,HC AN SEL EXT CAROT EA ADDL SI,1666.0,1666.0,,,0
HCPCS,36227,Place cath xtrnl carotid,,,1473.0,1473.0,1
HCPCS,36228,HC AN SEL INCR OR VER EA AD SI,2107.0,2107.0,,,0
HCPCS,36228,Place cath intracranial art,,,1473.0,1473.0,1
HCPCS,36245,HC INTR CATH EA 1ST ORD AB/PEL/EX,1693.0,1693.0,,,0
HCPCS,36245,Ins cath abd/l-ext art 1st,,,1473.0,1473.0,1
HCPCS,36246,HC CATH IN ART ABD/PLV/L EX,1693.0,1693.0,,,0
HCPCS,36246,Ins cath abd/l-ext art 2nd,,,1473.0,1473.0,1
HCPCS,36247,HC CATH IN ART 3RD ABD/PLV,1693.0,1693.0,,,0
HCPCS,36247,Ins cath abd/l-ext art 3rd,,,1473.0,1473.0,1
HCPCS,36248,HC CATH IN ART 2ND & 3RD ABD,974.0,974.0,,,0
HCPCS,36248,Ins cath abd/l-ext art addl,,,1473.0,1473.0,1
HCPCS,36251,HC RENAL ARTERY SEL CATH PLACE,10377.0,10377.0,,,0
HCPCS,36251,Ins cath ren art 1st unilat,,,3326.56,14922.72,10
HCPCS,36252,HC REN ART 1ST ORD INC GUID BILAT,10377.0,10377.0,,,0
HCPCS,36252,Ins cath ren art 1st bilat,,,3326.56,14922.72,10
HCPCS,36253,HC SUPERSEL CATH RENAL ART,16022.0,16022.0,,,0
HCPCS,36253,Ins cath ren art 2nd+ unilat,,,5735.1,26298.58,10
HCPCS,36254,HC REN ART SUBS ORD INC GUID BILA,10377.0,10377.0,,,0
HCPCS,36254,Ins cath ren art 2nd+ bilat,,,3326.56,14922.72,10
HCPCS,36260,Insertion of infusion pump,,,5735.1,26298.58,10
HCPCS,36261,Revision of infusion pump,,,4098.35,17661.42,10
HCPCS,36262,Removal of infusion pump,,,2630.44,17661.42,10
HCPCS,36299,HC INJECTION INTO THE INTERNAL JUGULAR VEIN,6196.0,6196.0,,,0
HCPCS,36299,Vessel injection procedure,,,1473.0,1473.0,1
HCPCS,36400,HC VENIPUNCT <AGE 3 REQ SKILL OF PHY/QHP FEMORAL/JUGULAR,89.0,89.0,,,0
HCPCS,36405,HC VENIPUNCT <AGE 3 REQ SKILL OF PHY/QHP SCALP VEIN,74.0,74.0,,,0
HCPCS,36406,HC VENIPUNCT <AGE 3 REQ SKILL OF PHY/QHP OTHER VEIN,41.0,41.0,,,0
HCPCS,36410,HC VENIPUNCT AGE 3YRS/> REQ SKILL OF PHY/QHP DIAG/THERA,42.0,42.0,,,0
HCPCS,36415,HC VENOUS BLOOD BY VENIPUNCTURE,13.25,13.25,,,0
HCPCS,36415,Routine venipuncture,,,4.21,39.26,6
HCPCS,36416,Capillary blood draw,,,4.02,4.02,1
HCPCS,36420,Vein access cutdown < 1 yr,,,112.42,1473.0,10
HCPCS,36425,Vein access cutdown > 1 yr,,,112.42,2111.28,10
HCPCS,36430,Blood transfusion service,,,453.04,2085.06,10
HCPCS,36430,HC TRANSFUSION BLD/BLD COMPONENTS,1213.0,1213.0,,,0
HCPCS,36440,Bl push transfuse 2 yr/<,,,453.04,2085.06,10
HCPCS,36450,Bl exchange/transfuse nb,,,453.04,2085.06,10
HCPCS,36455,Bl exchange/transfuse non-nb,,,453.04,2085.06,10
HCPCS,36455,HC EXCH TRANSFUSION BLOOD OTHER THAN NEWBORN,2474.0,2474.0,,,0
HCPCS,36456,Prtl exchange transfuse nb,,,453.04,2085.06,10
HCPCS,36460,Transfusion service fetal,,,453.04,6270.01,10
HCPCS,36465,HC INJ NONCOMPND FOAM SCLEROSANT W US SINGLE INCOMPETENT TRUNCAL VEIN,8483.0,8483.0,,,0
HCPCS,36465,Njx noncmpnd sclrsnt 1 vein,,,1903.17,9751.37,10
HCPCS,36466,HC INJ NONCMPND FOAM SCLROSNT W US MULTI INCMPTNT TRNCL VEINS SAME LEG,8483.0,8483.0,,,0
HCPCS,36466,Njx noncmpnd sclrsnt mlt vn,,,1903.17,9751.37,10
HCPCS,36468,HC INJ(S) SCLEROSANT SPIDER VEINS LIMB OR TRUNK,613.0,613.0,,,0
HCPCS,36468,Injection(s) spider veins,,,343.25,1921.25,10
HCPCS,36470,HC INJ SCLEROSANT SGL INCOMPETENT VEIN,1494.0,1494.0,,,0
HCPCS,36470,Injection therapy of vein,,,416.15,1921.25,10
HCPCS,36471,HC INJ SCLEROSANT MULTP INCOMPTNT VEIN SAME LEG,1494.0,1494.0,,,0
HCPCS,36471,Injection therapy of veins,,,416.15,1921.25,10
HCPCS,36473,Endovenous mchnchem 1st vein,,,3326.56,14922.72,10
HCPCS,36473,HC ENDO ABL THER INCOMPETENT VEIN EXT PERC 1ST VEIN,10377.0,10377.0,,,0
HCPCS,36474,Endovenous mchnchem add-on,,,1473.0,1473.0,1
HCPCS,36474,HC ENDO ABL THER INCOMPETENT VEIN EXT PERC SUBSEQ VEIN,1480.0,1480.0,,,0
HCPCS,36475,Endovenous rf 1st vein,,,3326.56,14922.72,10
HCPCS,36475,HC ENDOVSC ABL VEIN EXT 1 VEIN IG,10377.0,10377.0,,,0
HCPCS,36476,Endovenous rf vein add-on,,,1473.0,9397.7,2
HCPCS,36476,HC SUBSEQ VEIN(S) THRU SEPARATE ACCESS,4620.0,4620.0,,,0
HCPCS,36478,Endovenous laser 1st vein,,,3326.56,14922.72,10
HCPCS,36478,HC ENDOVEN ABL INCM VEN 1 VEIN IG,10377.0,10377.0,,,0
HCPCS,36479,Endovenous laser vein addon,,,1473.0,9397.7,2
HCPCS,36479,HC SUBSEQUENT VEIN(S) SNGL SEP AC,4730.0,4730.0,,,0
HCPCS,36481,HC PORTAL ACCESS,1881.0,1881.0,,,0
HCPCS,36481,Insertion of catheter vein,,,1473.0,1473.0,1
HCPCS,36482,Endoven ther chem adhes 1st,,,5735.1,26298.58,10
HCPCS,36482,HC ENDOVEN ABL THER INCOMPET VEIN EXT CHEM ADHESIVE 1ST VEIN,20713.0,20713.0,,,0
HCPCS,36483,Endoven ther chem adhes sbsq,,,206.08,1473.0,5
HCPCS,36483,HC ENDOVEN ABL THER INCOMPET VEIN EXT CHEM ADHESIVE SUBSEQ VEIN,1763.0,1763.0,,,0
HCPCS,36500,HC VENOUS CATH FOR SAMPLING,1696.0,1696.0,,,0
HCPCS,36500,Insertion of catheter vein,,,1473.0,1473.0,1
HCPCS,36510,Insertion of catheter vein,,,1473.0,1473.0,1
HCPCS,36511,Apheresis wbc,,,1601.26,7360.63,10
HCPCS,36511,HC THERAPEUTIC APHERESIS WBC,4368.0,4368.0,,,0
HCPCS,36512,Apheresis rbc,,,1601.26,7360.63,10
HCPCS,36512,HC PR THERAPEUTIC APHERESIS RBC,309.0,309.0,,,0
HCPCS,36512,HC THERAPEUTIC APHERESIS RBC,4368.0,4368.0,,,0
HCPCS,36513,Apheresis platelets,,,453.04,4561.22,10
HCPCS,36513,HC THERAPEUTIC APHERESIS FOR PLTS,3494.0,3494.0,,,0
HCPCS,36514,Apheresis plasma,,,1601.26,7360.63,10
HCPCS,36514,HC THERAPEUTIC APHERESIS PLASMA,4368.0,4368.0,,,0
HCPCS,36514,HC THERAPEUTIC APHERESIS PLASMA POCT,4368.0,4368.0,,,0
HCPCS,36516,Apheresis selective,,,4829.72,20584.75,10
HCPCS,36522,Photopheresis,,,4829.72,20584.75,10
HCPCS,36555,HC INS NON TUN CVC < 5 YRS,3375.0,3375.0,,,0
HCPCS,36555,Insert non-tunnel cv cath,,,2630.44,14922.72,10
HCPCS,36556,HC INSERT NON-T CV CATH >5YR,3375.0,3375.0,,,0
HCPCS,36556,Insert non-tunnel cv cath,,,2630.44,14922.72,10
HCPCS,36557,HC INS TUN CVC W/O PORT/PMP <5 YR,10566.0,10566.0,,,0
HCPCS,36557,Insert tunneled cv cath,,,2630.44,26298.58,10
HCPCS,36558,HC INSERT CV-T CATH W/O PORT >5YR,7653.0,7653.0,,,0
HCPCS,36558,Insert tunneled cv cath,,,2630.44,14922.72,10
HCPCS,36560,HC INS TUN CVA W/PORT <5 YR,10377.0,10377.0,,,0
HCPCS,36560,Insert tunneled cv cath,,,3326.56,14922.72,10
HCPCS,36561,HC INSERT T-CV ACC W/SUB PORT>5YR,9568.0,9568.0,,,0
HCPCS,36561,Insert tunneled cv cath,,,3326.56,14922.72,10
HCPCS,36563,Insert tunneled cv cath,,,5735.1,26298.58,10
HCPCS,36565,HC INS TUN CVA2 CATH2 VEN W/O POR,10377.0,10377.0,,,0
HCPCS,36565,Insert tunneled cv cath,,,3326.56,14922.72,10
HCPCS,36566,HC INS TUN CVA2 CATH2 VEN W/ PORT,16022.0,16022.0,,,0
HCPCS,36566,Insert tunneled cv cath,,,5735.1,26298.58,10
HCPCS,36568,HC INS PERIP CVC < 5 YRS,2678.0,2678.0,,,0
HCPCS,36568,HC INSERT PICC W/O SUBC PORT <5YRÂ,2678.0,2678.0,,,0
HCPCS,36568,HC INSERT PICC W/O SUBC PORT/PUMP W/O IMG GDN < 5 YR,2678.0,2678.0,,,0
HCPCS,36568,Insert picc cath,,,1671.41,7439.69,10
HCPCS,36569,HC INSERT PICC W/O SUBC PORT >5YR,2678.0,2678.0,,,0
HCPCS,36569,HC INSERT PICC W/O SUBC PORT/PUMP W/O IMG GDN AGE 5 YR OR>,2678.0,2678.0,,,0
HCPCS,36569,HC MIDLINE PICC INSERTION,2678.0,2678.0,,,0
HCPCS,36569,Insert picc cath,,,1671.41,7439.69,10
HCPCS,36570,HC INS PERIP CVA W/PORT <5 YR,10377.0,10377.0,,,0
HCPCS,36570,Insert picvad cath,,,3326.56,14922.72,10
HCPCS,36571,HC INS PERIP CVA W/PORT >5 YR,10377.0,10377.0,,,0
HCPCS,36571,Insert picvad cath,,,3326.56,14922.72,10
HCPCS,36572,HC INSERT PICC WO SUBCUT PORT/PUMP INCL ALL IMG GUID DOC S&I < 5 YRS,2700.0,2700.0,,,0
HCPCS,36572,HC INSERT PICC WO SUBCUT PORT/PUMP INCL ALL IMG GUID DOC S&I < 5 YRS OF AGE,2700.0,2700.0,,,0
HCPCS,36572,Insj picc rs&i <5 yr,,,655.61,2974.81,10
HCPCS,36573,HC INSERT PICC WO SUBCUT PORT/PUMP INCL ALL IMG GUID DOC S&I AGE 5 OR OLDER,4454.0,4454.0,,,0
HCPCS,36573,HC INSERT PICC WO SUBCUT PORT/PUMP INCL ALL IMG GUID DOC S&I AGE 5 OR>,4454.0,4454.0,,,0
HCPCS,36573,Insj picc rs&i 5 yr+,,,1671.41,7439.69,10
HCPCS,36575,HC REPR TUN/NON CVA CATH W/O PORT/PMP,2700.0,2700.0,,,0
HCPCS,36575,HC REPR TUN/NON CVA W/O PORT/PMP,2700.0,2700.0,,,0
HCPCS,36575,Repair tunneled cv cath,,,655.61,2964.73,10
HCPCS,36576,HC REPAIR CV ACCESS DEVICE,2678.0,2678.0,,,0
HCPCS,36576,HC RPR CTR VAD W SUBCUT PORT/PUMP CENTRAL/PERIPHERAL INSERT SITE,2678.0,2678.0,,,0
HCPCS,36576,Repair tunneled cv cath,,,1671.41,7439.69,10
HCPCS,36578,HC REPLAC CATH W/SUBC PORT,10377.0,10377.0,,,0
HCPCS,36578,Replace tunneled cv cath,,,3326.56,14922.72,10
HCPCS,36580,HC REPL CVC NON TUN THRU SAME VEN,2678.0,2678.0,,,0
HCPCS,36580,Replace cvad cath,,,1671.41,7439.69,10
HCPCS,36581,HC REPL CMP TUN CVA W/O PMP,10377.0,10377.0,,,0
HCPCS,36581,Replace tunneled cv cath,,,3326.56,14922.72,10
HCPCS,36582,HC REPLAC COMP CVA TUNN CVA CATH,10377.0,10377.0,,,0
HCPCS,36582,Replace tunneled cv cath,,,3326.56,14922.72,10
HCPCS,36583,HC REPL CMP TUN CVA W/ PMP,16022.0,16022.0,,,0
HCPCS,36583,Replace tunneled cv cath,,,5735.1,26298.58,10
HCPCS,36584,HC REPL PERIP CVC THRU SAME VEN,3642.0,3642.0,,,0
HCPCS,36584,Replace picc cath,,,1671.41,7439.69,10
HCPCS,36585,HC REPL CMP PERIP CVA W/ PORT,10377.0,10377.0,,,0
HCPCS,36585,Replace picvad cath,,,3326.56,14922.72,10
HCPCS,36589,HC PR REM T-CV CATH W/O SUBC PORT,390.0,390.0,,,0
HCPCS,36589,HC REM T-CV CATH W/O SUBC PORT,2700.0,2700.0,,,0
HCPCS,36589,Removal tunneled cv cath,,,655.61,2964.73,10
HCPCS,36590,HC REM T-CV CATH W/SUBC PORT,3924.0,3924.0,,,0
HCPCS,36590,Removal tunneled cv cath,,,1671.41,7439.69,10
HCPCS,36591,Draw blood off venous device,,,149.59,1473.0,6
HCPCS,36591,HC BLOOD COL FROM IMPLANTED VAD,353.0,353.0,,,0
HCPCS,36592,Collect blood from picc,,,149.59,1473.0,6
HCPCS,36592,HC COLLECT BLOOD FROM PICC,336.0,336.0,,,0
HCPCS,36592,HC PR COL BLOOD FROM CEN VENOUS CATH,76.0,76.0,,,0
HCPCS,36593,Declot vascular device,,,353.45,1561.07,10
HCPCS,36593,HC DECLOTTING THROMBOLYTIC AGENT,860.0,860.0,,,0
HCPCS,36593,HC PR DECLOTTING THROMBOLYTIC AGENT,88.0,88.0,,,0
HCPCS,36595,HC REMOV PERICATH CENT VEN DEV,10377.0,10377.0,,,0
HCPCS,36595,Mech remov tunneled cv cath,,,3326.56,14922.72,10
HCPCS,36596,HC REMOV INTRAUL MAT FROM CUD,2678.0,2678.0,,,0
HCPCS,36596,Mech remov tunneled cv cath,,,1671.41,7439.69,10
HCPCS,36597,HC REPOS PREV PLCD CATH W/FLUOR,2678.0,2678.0,,,0
HCPCS,36597,Reposition venous catheter,,,1671.41,7439.69,10
HCPCS,36598,HC CONT INJ EVAL CVA DEV FLOURO,1480.0,1480.0,,,0
HCPCS,36598,Inj w/fluor eval cv device,,,223.69,1473.0,10
HCPCS,36600,HC ARTERIAL PUNCTURE,429.0,429.0,,,0
HCPCS,36600,HC ARTERIAL PUNCTURE WITHDRAWAL OF BLOOD FOR DIAGNOSIS,429.0,429.0,,,0
HCPCS,36600,HC CAPILLARY GAS,429.0,429.0,,,0
HCPCS,36600,Withdrawal of arterial blood,,,112.42,1473.0,6
HCPCS,36620,HC ARTERIAL CATH INSERT,1535.0,1535.0,,,0
HCPCS,36620,Insertion catheter artery,,,1473.0,1473.0,1
HCPCS,36625,HC ARTERIAL CUTDOWN,1535.0,1535.0,,,0
HCPCS,36625,Insertion catheter artery,,,1473.0,1473.0,1
HCPCS,36640,Insertion catheter artery,,,2630.44,14922.72,10
HCPCS,36660,Insertion catheter artery,,,2073.0,9829.75,5
HCPCS,36680,HC PLCMENT NEEDLE INTRAOS INFUS,530.0,530.0,,,0
HCPCS,36680,Insert needle bone cavity,,,415.82,2111.28,10
HCPCS,36800,HC INSERTION OF CANNULA,16022.0,16022.0,,,0
HCPCS,36800,Insertion of cannula,,,5735.1,26298.58,10
HCPCS,36810,Insertion of cannula,,,3326.56,14922.72,10
HCPCS,36815,Insertion of cannula,,,5735.1,26298.58,10
HCPCS,36818,Av fuse uppr arm cephalic,,,5735.1,26298.58,10
HCPCS,36819,Av fuse uppr arm basilic,,,5735.1,26298.58,10
HCPCS,36820,Av fusion/forearm vein,,,5735.1,26298.58,10
HCPCS,36821,Av fusion direct any site,,,3326.56,14922.72,10
HCPCS,36823,Insertion of cannula(s),,,2630.44,9829.75,6
HCPCS,36825,Artery-vein autograft,,,5735.1,26298.58,10
HCPCS,36830,Artery-vein nonautograft,,,5735.1,26298.58,10
HCPCS,36831,Open thrombect av fistula,,,5735.1,26298.58,10
HCPCS,36832,Av fistula revision open,,,5735.1,26298.58,10
HCPCS,36833,Av fistula revision,,,5735.1,26298.58,10
HCPCS,36835,Artery to vein shunt,,,3326.56,14922.72,10
HCPCS,36836,HC PERCUT ARTERIOVEN FISTULA CREAT UPPER EXTREM SINGL ACCESS,72025.0,72025.0,,,0
HCPCS,36836,Prq av fstl crtj uxtr 1 acs,,,18300.17,86638.02,10
HCPCS,36837,HC PERCUT ARTERIOVEN FISTULA CREAT UPPER EXTREM SEPARATE ACCESS SITES,72025.0,72025.0,,,0
HCPCS,36837,Prq av fstl crt uxtr sep acs,,,18300.17,86638.02,10
HCPCS,36838,Dist revas ligation hemo,,,5735.1,26298.58,10
HCPCS,36860,External cannula declotting,,,828.42,7439.69,10
HCPCS,36861,Cannula declotting,,,5735.1,26298.58,10
HCPCS,36901,HC INTRO NEEDLE &OR CATH DIAL CIRC W DIAG ANGIO S&I RPT,3040.0,3040.0,,,0
HCPCS,36901,Intro cath dialysis circuit,,,1671.41,7439.69,10
HCPCS,36902,HC INTRO NEEDLE &OR CATH DIAL CIRC W TRANS BALLOON ANGIO S&I,16022.0,16022.0,,,0
HCPCS,36902,Intro cath dialysis circuit,,,5965.04,40322.92,10
HCPCS,36903,HC INTRO NEEDLE &OR CATH DIAL CIRC W TRANS PLC INTRAV STENT S&I,28981.0,28981.0,,,0
HCPCS,36903,Intro cath dialysis circuit,,,9812.66,72207.07,10
HCPCS,36904,HC PERC TRANS MECH THROMB AND/OR INF THROMB DIALY S&I,16022.0,16022.0,,,0
HCPCS,36904,Thrmbc/nfs dialysis circuit,,,5965.04,26899.17,10
HCPCS,36905,HC PERC TRANS MECH THROMB W BALL ANGIO PERI DIAL SEG S&I,28981.0,28981.0,,,0
HCPCS,36905,Thrmbc/nfs dialysis circuit,,,9812.66,54559.54,10
HCPCS,36906,HC PERC TRANS MECH THROMB W TRANSCATH PLMT INTRA STENT(S) S&I,30099.0,30099.0,,,0
HCPCS,36906,Thrmbc/nfs dialysis circuit,,,18300.17,86638.02,10
HCPCS,36907,Balo angiop ctr dialysis seg,,,1473.0,9651.32,2
HCPCS,36907,HC TRANSLUM BALLOON ANGIO CENTRAL DIAL SEG THR DIAL CIRC S&I,4283.0,4283.0,,,0
HCPCS,36908,HC TRANSCATH PL INTRAVAS STENT(S) CEN DIAL SEG THR DIAL CIR S&I,6424.0,6424.0,,,0
HCPCS,36908,Stent plmt ctr dialysis seg,,,1473.0,20767.71,2
HCPCS,36909,Dialysis circuit embolj,,,1473.0,1473.0,1
HCPCS,36909,HC DIAL CIRC PERM VASC EMBOL/OCCL ENDOVAS S&I,5355.0,5355.0,,,0
HCPCS,37140,Revision of circulation,,,2073.0,9829.75,5
HCPCS,37145,Revision of circulation,,,2073.0,9829.75,5
HCPCS,37160,Revision of circulation,,,2073.0,9829.75,5
HCPCS,37180,Revision of circulation,,,2073.0,9829.75,5
HCPCS,37181,Splice spleen/kidney veins,,,2073.0,9829.75,5
HCPCS,37182,HC INSERT INTRAHEP SHUNT TIPS,12363.0,12363.0,,,0
HCPCS,37182,Insert hepatic shunt (tips),,,6880.82,86638.02,9
HCPCS,37183,HC REV TIPPS/CATH/STENT PLCMT,28981.0,28981.0,,,0
HCPCS,37183,Remove hepatic shunt (tips),,,5965.04,41535.42,10
HCPCS,37184,HC PERC THROMBEC NON COR ARTERIAL,16022.0,16022.0,,,0
HCPCS,37184,Prim art m-thrmbc 1st vsl,,,9556.0,86638.02,10
HCPCS,37185,HC 2ND/ALL SUB VES W/I VASC FAM,10785.0,10785.0,,,0
HCPCS,37185,Prim art m-thrmbc sbsq vsl,,,1473.0,14874.9,2
HCPCS,37186,HC SECONDARY THROMB NON COR ARTER,7187.0,7187.0,,,0
HCPCS,37186,Sec art thrombectomy add-on,,,1473.0,14874.9,2
HCPCS,37187,HC PERC TRANS THROMB VEINS,16022.0,16022.0,,,0
HCPCS,37187,Venous mech thrombectomy,,,9556.0,54559.54,10
HCPCS,37188,HC PERC TRANS THROM VEIN REPT TRT,10377.0,10377.0,,,0
HCPCS,37188,Venous m-thrombectomy add-on,,,3326.56,14922.72,10
HCPCS,37191,HC INSERT IVC FILTER W GUIDANCE,16022.0,16022.0,,,0
HCPCS,37191,Ins endovas vena cava filtr,,,5735.1,26298.58,10
HCPCS,37192,HC REPOSITION IVC FILTER W GUID,10377.0,10377.0,,,0
HCPCS,37192,Redo endovas vena cava filtr,,,3326.56,14922.72,10
HCPCS,37193,HC RETRIEVE IVC FILTER W GUIDANCE,10377.0,10377.0,,,0
HCPCS,37193,Rem endovas vena cava filter,,,3326.56,14922.72,10
HCPCS,37195,Thrombolytic therapy stroke,,,353.45,2630.44,10
HCPCS,37197,HC TRANSCATH RETRIEVAL FB,10377.0,10377.0,,,0
HCPCS,37197,Remove intrvas foreign body,,,2630.44,14922.72,10
HCPCS,37200,HC TRANSCATHETER BIOPSY,16022.0,16022.0,,,0
HCPCS,37200,Transcatheter biopsy,,,2630.44,26298.58,10
HCPCS,37211,HC ARTERIAL THROMBO INIT W SI,16022.0,16022.0,,,0
HCPCS,37211,Thrombolytic art therapy,,,2630.44,26298.58,10
HCPCS,37212,HC VENOUS THROMBO INIT W SI,10377.0,10377.0,,,0
HCPCS,37212,Thrombolytic venous therapy,,,2630.44,14922.72,10
HCPCS,37213,HC THROMBO SUBSQ W SI,5430.0,5430.0,,,0
HCPCS,37213,Thromblytic art/ven therapy,,,2630.44,14922.72,10
HCPCS,37214,Cessj therapy cath removal,,,2630.44,14922.72,10
HCPCS,37214,HC THROMBO SUBSQ DC TX W SI,5430.0,5430.0,,,0
HCPCS,37215,HC TRNSCATH INTRA STENT W/ DIS EM,11093.0,11093.0,,,0
HCPCS,37215,Transcath stent cca w/eps,,,2073.0,9829.75,6
HCPCS,37216,HC CAROTID STENT WO EMB PROT,2365.0,2365.0,,,0
HCPCS,37216,Transcath stent cca w/o eps,,,2073.0,6270.01,2
HCPCS,37217,Stent placemt retro carotid,,,2073.0,9829.75,5
HCPCS,37218,HC STENT COMMON CAROTID OR INNOMINATE AND PTA,4515.0,4515.0,,,0
HCPCS,37218,Stent placemt ante carotid,,,2073.0,9829.75,5
HCPCS,37220,Iliac revasc,,,5965.04,19302.59,7
HCPCS,37221,Iliac revasc w/stent,,,11481.13,41535.42,7
HCPCS,37222,Iliac revasc add-on,,,9556.0,19302.59,2
HCPCS,37223,Iliac revasc w/stent add-on,,,9556.0,19302.59,2
HCPCS,37224,Fem/popl revas w/tla,,,5965.04,19302.59,7
HCPCS,37225,Fem/popl revas w/ather,,,9812.66,41535.42,7
HCPCS,37226,Fem/popl revasc w/stent,,,9812.66,41535.42,7
HCPCS,37227,Fem/popl revasc stnt & ather,,,18300.17,70032.76,7
HCPCS,37228,Tib/per revasc w/tla,,,9556.0,30985.64,7
HCPCS,37229,Tib/per revasc w/ather,,,18300.17,48936.18,7
HCPCS,37230,Tib/per revasc w/stent,,,18300.17,48936.18,7
HCPCS,37231,Tib/per revasc stent & ather,,,18300.17,70032.76,7
HCPCS,37232,Tib/per revasc add-on,,,9556.0,19302.59,2
HCPCS,37233,Tibper revasc w/ather add-on,,,19010.0,41535.42,2
HCPCS,37234,Revsc opn/prq tib/pero stent,,,9556.0,19302.59,2
HCPCS,37235,Tib/per revasc stnt & ather,,,9556.0,19302.59,2
HCPCS,37236,HC T CATH STNT PLCM INIT ARTER SI,28981.0,28981.0,,,0
HCPCS,37236,Open/perq place stent 1st,,,6270.01,54559.54,10
HCPCS,37237,HC T CATH STNT PLCM EA ADDL ARTER,14190.0,14190.0,,,0
HCPCS,37237,Open/perq place stent ea add,,,9556.0,41535.42,2
HCPCS,37238,HC TRNSCATH STNT PLMT SI INITIAL VEIN,28981.0,28981.0,,,0
HCPCS,37238,Open/perq place stent same,,,6270.01,54559.54,10
HCPCS,37239,HC TRNSCAT STNT PLMT SI EA ADDITIONAL VEIN,14190.0,14190.0,,,0
HCPCS,37239,Open/perq place stent ea add,,,9556.0,41535.42,2
HCPCS,37241,HC TRANS CATH/EMBOL VENOUS SI,28981.0,28981.0,,,0
HCPCS,37241,Vasc embolize/occlude venous,,,6270.01,54559.54,10
HCPCS,37242,HC TRANS CATH/EMBOL ARTERIAL SI,28981.0,28981.0,,,0
HCPCS,37242,Vasc embolize/occlude artery,,,18300.17,86638.02,10
HCPCS,37243,HC TRANSCATH/EMBL FOR TMRS/UFE SI,19465.0,19465.0,,,0
HCPCS,37243,Vasc embolize/occlude organ,,,11481.13,54559.54,10
HCPCS,37244,HC TRANS CATH/EMBL ART/VEN HEM SI,28981.0,28981.0,,,0
HCPCS,37244,Vasc embolize/occlude bleed,,,11481.13,54559.54,10
HCPCS,37246,HC TRANS BALLOON ANGIO OPEN/PERCUT INC IMG & S&I INI ARTERY,16022.0,16022.0,,,0
HCPCS,37246,Trluml balo angiop 1st art,,,5965.04,38605.19,10
HCPCS,37247,HC TRANS BALLOON ANGIO OPEN/PERCUT INC IMG & S&I EA ADDL ARTERY,1851.0,1851.0,,,0
HCPCS,37247,Trluml balo angiop addl art,,,1473.0,1473.0,1
HCPCS,37248,HC TRANS BALLOON ANGIO OPEN/PERCUT INC IMG & S&I INI VEIN,16022.0,16022.0,,,0
HCPCS,37248,Trluml balo angiop 1st vein,,,5965.04,29614.74,10
HCPCS,37249,HC TRANS BALLOON ANGIO OPEN/PERCUT INC IMG & S&I EA ADDL VEIN,1851.0,1851.0,,,0
HCPCS,37249,Trluml balo angiop addl vein,,,1473.0,1473.0,1
HCPCS,37252,HC INTRAVASC ULT NONCOR VESSEL S&I EA INITIAL VESSEL,2160.0,2160.0,,,0
HCPCS,37252,Intrvasc us noncoronary 1st,,,742.44,1473.0,2
HCPCS,37253,HC INTRAVASC ULT NONCOR VESSEL S&I EA ADDL VESSEL,1613.0,1613.0,,,0
HCPCS,37253,Intrvasc us noncoronary addl,,,1473.0,1473.0,1
HCPCS,37254,HC REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL,16022.0,16022.0,,,0
HCPCS,37254,Revsc evasc ivt angio sf 1st,,,6399.23,26899.17,3
HCPCS,37255,HC REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,14190.0,14190.0,,,0
HCPCS,37256,HC REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL,16022.0,16022.0,,,0
HCPCS,37256,Revsc evasc ivt angio cplx 1,,,6399.23,26899.17,3
HCPCS,37257,HC REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,14190.0,14190.0,,,0
HCPCS,37258,HC REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,28981.0,28981.0,,,0
HCPCS,37258,Revsc evasc ivt stent sf 1st,,,12979.55,54559.54,3
HCPCS,37259,HC REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,14190.0,14190.0,,,0
HCPCS,37260,HC REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,28981.0,28981.0,,,0
HCPCS,37260,Revsc evasc ivt st cplx 1st,,,12979.55,54559.54,3
HCPCS,37261,HC REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,14190.0,14190.0,,,0
HCPCS,37262,HC INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY,14190.0,14190.0,,,0
HCPCS,37263,HC REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,16022.0,16022.0,,,0
HCPCS,37263,Revsc evasc fpvt angio sf 1,,,6399.23,26899.17,3
HCPCS,37264,HC REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL,5340.0,5340.0,,,0
HCPCS,37265,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,16022.0,16022.0,,,0
HCPCS,37265,Revsc evsc fpvt angio cplx 1,,,6399.23,26899.17,3
HCPCS,37266,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL,5340.0,5340.0,,,0
HCPCS,37267,HC REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL,28981.0,28981.0,,,0
HCPCS,37267,Revsc evsc fpvt stent sf 1st,,,12979.55,54559.54,3
HCPCS,37268,HC REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL,9659.0,9659.0,,,0
HCPCS,37269,HC REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL,28981.0,28981.0,,,0
HCPCS,37269,Revsc evasc fpvt st cplx 1st,,,12979.55,54559.54,3
HCPCS,37270,HC REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL,9659.0,9659.0,,,0
HCPCS,37271,HC REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL,28981.0,28981.0,,,0
HCPCS,37271,Revsc evsc fpvt athrc sf 1st,,,20610.92,86638.02,3
HCPCS,37272,HC REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL,9659.0,9659.0,,,0
HCPCS,37273,HC REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL,28981.0,28981.0,,,0
HCPCS,37273,Revsc evsc fpvt athrc cplx 1,,,20610.92,86638.02,3
HCPCS,37274,HC REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL,9659.0,9659.0,,,0
HCPCS,37275,HC REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL,33521.0,33521.0,,,0
HCPCS,37275,Rvsc evsc fpvt st athrc sf 1,,,20610.92,86638.02,3
HCPCS,37276,HC REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL,11173.0,11173.0,,,0
HCPCS,37277,HC REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL,33521.0,33521.0,,,0
HCPCS,37277,Rvsc evsc fpvt st athr cpx 1,,,20610.92,86638.02,3
HCPCS,37278,HC REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL,11173.0,11173.0,,,0
HCPCS,37279,HC INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY,11173.0,11173.0,,,0
HCPCS,37280,HC REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL,15894.0,15894.0,,,0
HCPCS,37280,Revsc evsc tpvt angio sf 1st,,,12979.55,54559.54,3
HCPCS,37281,HC REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL,14190.0,14190.0,,,0
HCPCS,37282,HC REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL,15894.0,15894.0,,,0
HCPCS,37282,Rvsc evsc tpvt angio cplx 1,,,12979.55,54559.54,3
HCPCS,37283,HC REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL,14190.0,14190.0,,,0
HCPCS,37284,HC REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL,29853.0,29853.0,,,0
HCPCS,37284,Revsc evasc tpvt st sf 1st,,,20610.92,86638.02,3
HCPCS,37285,HC REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL,14190.0,14190.0,,,0
HCPCS,37286,HC REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL,29853.0,29853.0,,,0
HCPCS,37286,Revsc evasc tpvt st cplx 1st,,,20610.92,86638.02,3
HCPCS,37287,HC REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL,14190.0,14190.0,,,0
HCPCS,37288,HC REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL,28981.0,28981.0,,,0
HCPCS,37288,Revsc evsc tpvt athrc sf 1st,,,20610.92,86638.02,3
HCPCS,37289,HC REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL,9659.0,9659.0,,,0
HCPCS,37290,HC REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL,28981.0,28981.0,,,0
HCPCS,37290,Revsc evsc tpvt athrc cplx 1,,,20610.92,86638.02,3
HCPCS,37291,HC REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL,9659.0,9659.0,,,0
HCPCS,37292,HC REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL,31788.0,31788.0,,,0
HCPCS,37292,Rvsc evsc tpvt st athrc sf 1,,,20610.92,86638.02,3
HCPCS,37293,HC REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL,14190.0,14190.0,,,0
HCPCS,37294,HC REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL,31788.0,31788.0,,,0
HCPCS,37294,Rvsc evsc tpvt st athr cpx 1,,,20610.92,86638.02,3
HCPCS,37295,HC REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL,14190.0,14190.0,,,0
HCPCS,37296,HC REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL,28981.0,28981.0,,,0
HCPCS,37296,Revsc evasc imvt angio sf 1,,,12979.55,54559.54,3
HCPCS,37297,HC REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL,9659.0,9659.0,,,0
HCPCS,37298,HC REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL,28981.0,28981.0,,,0
HCPCS,37298,Revsc evsc imvt angio cplx 1,,,12979.55,54559.54,3
HCPCS,37299,HC REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL,9659.0,9659.0,,,0
HCPCS,37500,Endoscopy ligate perf veins,,,5735.1,14512.27,7
HCPCS,37501,Vascular endoscopy procedure,,,655.61,9812.66,9
HCPCS,37565,Ligation of neck vein,,,2630.44,14922.72,10
HCPCS,37600,Ligation of neck artery,,,3326.56,14922.72,10
HCPCS,37605,Ligation of neck artery,,,3326.56,14922.72,10
HCPCS,37606,Ligation of neck artery,,,3326.56,14922.72,10
HCPCS,37607,Ligation of a-v fistula,,,3326.56,14922.72,10
HCPCS,37609,Temporal artery procedure,,,1692.02,7805.69,10
HCPCS,37615,Ligation of neck artery,,,2651.0,14922.72,10
HCPCS,37616,Ligation of chest artery,,,2073.0,9829.75,5
HCPCS,37617,Ligation of abdomen artery,,,5391.0,26298.58,9
HCPCS,37618,HC LIGATION MAJOR ARTERY EXTREMITY,11040.0,11040.0,,,0
HCPCS,37618,Ligation of extremity artery,,,2073.0,9829.75,6
HCPCS,37619,Ligation of inf vena cava,,,5735.1,26298.58,10
HCPCS,37650,Revision of major vein,,,2630.44,14922.72,10
HCPCS,37660,Revision of major vein,,,2073.0,9829.75,6
HCPCS,37700,Revise leg vein,,,3326.56,14922.72,10
HCPCS,37718,Ligate/strip short leg vein,,,3326.56,14922.72,10
HCPCS,37722,Ligate/strip long leg vein,,,3326.56,14922.72,10
HCPCS,37735,Removal of leg veins/lesion,,,3326.56,14922.72,10
HCPCS,37760,Ligate leg veins radical,,,3326.56,14922.72,10
HCPCS,37761,Ligate leg veins open,,,2651.0,14922.72,10
HCPCS,37765,Stab phleb veins xtr 10-20,,,3326.56,14922.72,10
HCPCS,37766,Phleb veins - extrem 20+,,,3326.56,14922.72,10
HCPCS,37780,Revision of leg vein,,,2651.0,14922.72,10
HCPCS,37785,Ligate/divide/excise vein,,,3326.56,14922.72,10
HCPCS,37788,Revascularization penis,,,2073.0,14015.34,6
HCPCS,37790,Penile venous occlusion,,,3638.25,16659.58,10
HCPCS,37799,HC UNLISTED PROC VASCULAR SURG,3478.0,3478.0,,,0
HCPCS,37799,Vascular surgery procedure,,,655.61,2964.73,9
HCPCS,38100,Removal of spleen total,,,2073.0,9829.75,5
HCPCS,38101,Removal of spleen partial,,,2073.0,9829.75,5
HCPCS,38102,Removal of spleen total,,,2073.0,9829.75,5
HCPCS,38115,Repair of ruptured spleen,,,2073.0,9829.75,5
HCPCS,38120,Laparoscopy splenectomy,,,9556.0,50238.16,10
HCPCS,38129,Laparoscope proc spleen,,,6021.71,28572.05,9
HCPCS,38200,HC INJECTION SPLEEN XRAY,1490.0,1490.0,,,0
HCPCS,38200,Injection for spleen x-ray,,,1473.0,1473.0,1
HCPCS,38205,Harvest allogeneic stem cell,,,91.26,4561.22,7
HCPCS,38206,HC BLD-DERIVED HEMATOP PROGEN CELL HARVEST TRANPLANT PER COLLECT AUTOL,4965.0,4965.0,,,0
HCPCS,38206,HC PR BLD-DERIVED HEMATOP PROGEN CELL HARVEST TRNPLNT PER COLLECT AUTO,214.0,214.0,,,0
HCPCS,38206,Harvest auto stem cells,,,1601.26,7360.63,10
HCPCS,38207,Cryopreserve stem cells,,,453.04,2085.06,10
HCPCS,38208,HC TRNSPL PREP HEMATOP PROGEN THAW PREV FROZ HRVST WO WASH PER DNR,2370.0,2370.0,,,0
HCPCS,38208,Thaw preserved stem cells,,,453.04,2085.06,10
HCPCS,38209,Wash harvest stem cells,,,453.04,2085.06,10
HCPCS,38210,T-cell depletion of harvest,,,453.04,2090.92,10
HCPCS,38211,Tumor cell deplete of harvst,,,453.04,2090.92,10
HCPCS,38212,Rbc depletion of harvest,,,453.04,2090.92,10
HCPCS,38213,Platelet deplete of harvest,,,453.04,2090.92,10
HCPCS,38214,Volume deplete of harvest,,,453.04,2090.92,10
HCPCS,38215,Harvest stem cell concentrte,,,453.04,2090.92,10
HCPCS,38220,Bone marrow aspiration,,,1297.38,7805.69,10
HCPCS,38220,HC DIAGNOSTIC BONE MARROW ASPIRATIONS,3938.0,3938.0,,,0
HCPCS,38220,HC PR DIAGNOSTIC BONE MARROW ASPIRATIONS,300.0,300.0,,,0
HCPCS,38221,Bone marrow biopsy,,,1297.38,7805.69,10
HCPCS,38221,HC DIAGNOSTIC BONE MARROW BIOPSY,2700.0,2700.0,,,0
HCPCS,38221,HC PR DIAGNOSTIC BONE MARROW BIOPSY,311.0,311.0,,,0
HCPCS,38222,Dx bone marrow bx & aspir,,,2630.44,13728.11,10
HCPCS,38222,HC DIAG BONE MARROW BIOPSIES & ASPIRATIONS,4755.0,4755.0,,,0
HCPCS,38222,HC DIAGNOSTIC BONE MARROW BIOPSY & ASPIRATION,4755.0,4755.0,,,0
HCPCS,38222,HC PR DIAG BONE MARROW BIOPSIES & ASPIRATIONS,292.0,292.0,,,0
HCPCS,38225,Car-t hrv bld-drv t lymphcyt,,,2073.0,2073.0,1
HCPCS,38225,HC CAR-T THERAPY HARVEST BLOOD DERIVED T LYMPHOCYTES PER DAY,3279.0,3279.0,,,0
HCPCS,38225,HC PR CAR-T THERAPY HARVEST BLOOD DERIVED T LYMPHOCYTES PER DAY,252.0,252.0,,,0
HCPCS,38226,Car-t prep t lymphcyt f/trns,,,2073.0,2073.0,1
HCPCS,38227,Car-t receipt&prepj admn,,,2073.0,2073.0,1
HCPCS,38227,HC CAR-T THERAPY RECEIPT & PREP CAR-T CELLS FOR ADMINISTRATION,1063.0,1063.0,,,0
HCPCS,38228,Car-t admn autologous,,,371.37,1678.32,6
HCPCS,38228,HC CAR-T THERAPY CAR-T CELL ADMINISTRATION AUTOLOGOUS,1490.0,1490.0,,,0
HCPCS,38230,Bone marrow harvest allogen,,,1601.26,13859.98,10
HCPCS,38232,Bone marrow harvest autolog,,,4829.72,20584.75,10
HCPCS,38240,Transplt allo hct/donor,,,9174.0,297279.94,10
HCPCS,38241,HC HEMATOPOIETIC PROGENITOR CELL AUTOLOGOUS TRANSPLANT,11040.0,11040.0,,,0
HCPCS,38241,Transplt autol hct/donor,,,1601.26,13859.98,10
HCPCS,38242,Transplt allo lymphocytes,,,1601.26,12989.24,10
HCPCS,38243,Transplj hematopoietic boost,,,1601.26,7360.63,10
HCPCS,38300,Drainage lymph node lesion,,,2630.44,13728.11,10
HCPCS,38305,Drainage lymph node lesion,,,2965.46,13728.11,10
HCPCS,38308,Incision of lymph channels,,,3978.03,18504.92,10
HCPCS,38380,Thoracic duct procedure,,,2073.0,9829.75,6
HCPCS,38381,Thoracic duct procedure,,,2073.0,9829.75,6
HCPCS,38382,Thoracic duct procedure,,,2073.0,9829.75,6
HCPCS,38500,Biopsy/removal lymph nodes,,,3978.03,18504.92,10
HCPCS,38505,HC BX OR EXC LYMPH NODE(S) NEEDLE SUPERFICIAL,4454.0,4454.0,,,0
HCPCS,38505,HC BX SUPERFICIAL LYMPH NODE,4454.0,4454.0,,,0
HCPCS,38505,HC PR BX OR EXC LYMPH NODE(S) NEEDLE SUPERFICIAL,291.0,291.0,,,0
HCPCS,38505,Needle biopsy lymph nodes,,,1692.02,7805.69,10
HCPCS,38510,Biopsy/removal lymph nodes,,,3978.03,18504.92,10
HCPCS,38510,HC BIOPSY/EXC LYMPH NODE(S) OPEN DEEP CERVICAL,7017.0,7017.0,,,0
HCPCS,38510,HC BX/REM LYMPH NODE CER,8460.0,8460.0,,,0
HCPCS,38510,HC PR BIOPSY/EXC LYMPH NODE(S) OPEN DEEP CERVICAL,1353.0,1353.0,,,0
HCPCS,38520,Biopsy/removal lymph nodes,,,3978.03,18504.92,10
HCPCS,38525,Biopsy/removal lymph nodes,,,3978.03,18504.92,10
HCPCS,38525,HC BX/REM LYMPH NODE AXIL,8460.0,8460.0,,,0
HCPCS,38530,Biopsy/removal lymph nodes,,,3978.03,18504.92,10
HCPCS,38531,Open bx/exc inguinofem nodes,,,3978.03,18504.92,10
HCPCS,38542,Explore deep node(s) neck,,,6021.71,28572.05,10
HCPCS,38550,Removal neck/armpit lesion,,,3978.03,18504.92,10
HCPCS,38555,Removal neck/armpit lesion,,,4822.0,31382.41,10
HCPCS,38562,Removal pelvic lymph nodes,,,6880.82,38628.64,9
HCPCS,38564,Removal abdomen lymph nodes,,,2073.0,9829.75,5
HCPCS,38570,Laparoscopy lymph node biop,,,6021.71,28572.05,10
HCPCS,38571,Laparoscopy lymphadenectomy,,,9556.0,50238.16,10
HCPCS,38572,Laparoscopy lymphadenectomy,,,9556.0,50238.16,10
HCPCS,38573,Laps pelvic lymphadec,,,9556.0,50238.16,10
HCPCS,38589,Laparoscope proc lymphatic,,,6021.71,28572.05,9
HCPCS,38700,Removal of lymph nodes neck,,,4822.0,31382.41,10
HCPCS,38720,Removal of lymph nodes neck,,,4822.0,31382.41,10
HCPCS,38724,Removal of lymph nodes neck,,,4822.0,9829.75,6
HCPCS,38740,Remove armpit lymph nodes,,,6021.71,28572.05,10
HCPCS,38745,Remove armpit lymph nodes,,,6021.71,28572.05,10
HCPCS,38746,Remove thoracic lymph nodes,,,2073.0,9829.75,6
HCPCS,38747,Remove abdominal lymph nodes,,,2073.0,9829.75,6
HCPCS,38760,Remove groin lymph nodes,,,4822.0,31382.41,10
HCPCS,38765,Remove groin lymph nodes,,,2073.0,9829.75,6
HCPCS,38770,Remove pelvis lymph nodes,,,2073.0,9829.75,5
HCPCS,38780,Remove abdomen lymph nodes,,,2073.0,9829.75,5
HCPCS,38790,HC INJ LYMPHANGIOGRAPHY UNI,1480.0,1480.0,,,0
HCPCS,38790,Inject for lymphatic x-ray,,,1473.0,1473.0,1
HCPCS,38792,Ra tracer id of sentinl node,,,430.44,1889.38,10
HCPCS,38794,Access thoracic lymph duct,,,1473.0,1473.0,1
HCPCS,38900,Io map of sent lymph node,,,1473.0,1473.0,1
HCPCS,38999,Blood/lymph system procedure,,,453.04,2085.06,9
HCPCS,39000,Exploration of chest,,,2073.0,9829.75,6
HCPCS,39010,Exploration of chest,,,2073.0,9829.75,6
HCPCS,39200,Resect mediastinal cyst,,,2073.0,9829.75,6
HCPCS,39220,Resect mediastinal tumor,,,2073.0,9829.75,5
HCPCS,39401,Mediastinoscpy w/medstnl bx,,,6021.71,28572.05,10
HCPCS,39402,Mediastinoscpy w/lmph nod bx,,,6021.71,28572.05,10
HCPCS,39499,Chest procedure,,,2073.0,9829.75,5
HCPCS,39501,Repair diaphragm laceration,,,2073.0,9829.75,5
HCPCS,39503,Repair of diaphragm hernia,,,2073.0,9829.75,5
HCPCS,39540,Repair of diaphragm hernia,,,2073.0,9829.75,5
HCPCS,39541,Repair of diaphragm hernia,,,2073.0,9829.75,5
HCPCS,39545,Revision of diaphragm,,,2073.0,9829.75,5
HCPCS,39560,Resect diaphragm simple,,,2073.0,9829.75,5
HCPCS,39561,Resect diaphragm complex,,,2073.0,9829.75,5
HCPCS,39599,Diaphragm surgery procedure,,,2073.0,9829.75,5
HCPCS,40490,Biopsy of lip,,,254.93,1678.32,10
HCPCS,40490,HC BIOPSY OF LIP,935.0,935.0,,,0
HCPCS,40490,HC PR BIOPSY OF LIP,221.0,221.0,,,0
HCPCS,40500,Partial excision of lip,,,3360.08,15669.35,10
HCPCS,40510,Partial excision of lip,,,3360.08,15669.35,10
HCPCS,40520,Partial excision of lip,,,3360.08,15669.35,10
HCPCS,40525,Reconstruct lip with flap,,,3360.08,15669.35,10
HCPCS,40527,Reconstruct lip with flap,,,4822.0,27977.99,10
HCPCS,40530,Partial removal of lip,,,3360.08,15669.35,10
HCPCS,40650,HC REPAIR LIP FULL THICK VERMIL,1764.0,1764.0,,,0
HCPCS,40650,Repair lip,,,574.2,9812.66,10
HCPCS,40652,HC REPAIR LIP FULL THICK UP TO HALF VERT HEIGHT,1764.0,1764.0,,,0
HCPCS,40652,Repair lip,,,574.2,9812.66,10
HCPCS,40654,HC REPAIR LIP FULL THICK OVER ONE-HALF VERT HEIGHT OR COMPLEX,2205.0,2205.0,,,0
HCPCS,40654,Repair lip,,,1591.58,9812.66,10
HCPCS,40700,Repair cleft lip/nasal,,,6111.67,27977.99,10
HCPCS,40701,Repair cleft lip/nasal,,,6111.67,27977.99,10
HCPCS,40702,Repair cleft lip/nasal,,,6111.67,27977.99,10
HCPCS,40720,Repair cleft lip/nasal,,,3360.08,15732.11,10
HCPCS,40761,Repair cleft lip/nasal,,,6111.67,27977.99,10
HCPCS,40799,Lip surgery procedure,,,254.93,1473.0,9
HCPCS,40800,Drainage of mouth lesion,,,601.91,3346.74,10
HCPCS,40800,HC DRA ABS CYS HEM VES OF MOUTH SIMPLE,1709.0,1709.0,,,0
HCPCS,40801,Drainage of mouth lesion,,,574.2,6270.01,10
HCPCS,40801,HC I & D MOUTH COMPLICATED,1764.0,1764.0,,,0
HCPCS,40804,"HC REMOVAL FOREIGN BODY, MOUTH",425.0,425.0,,,0
HCPCS,40804,Removal foreign body mouth,,,238.17,4286.55,10
HCPCS,40805,Removal foreign body mouth,,,574.2,8635.34,10
HCPCS,40806,Incision of lip fold,,,574.2,2548.95,10
HCPCS,40808,Biopsy of mouth lesion,,,574.2,2548.95,10
HCPCS,40808,HC BX VESTIBULE MOUTH,935.0,935.0,,,0
HCPCS,40808,HC PR BX VESTIBULE MOUTH,439.0,439.0,,,0
HCPCS,40810,Excision of mouth lesion,,,2630.44,15669.35,10
HCPCS,40810,HC EXC OF MOUTH LESION W/O REPAIR,8020.0,8020.0,,,0
HCPCS,40810,HC PR EXC LESION MUCOSA & SUBMUC VEST MOUTH WO RPR,605.0,605.0,,,0
HCPCS,40812,Excise/repair mouth lesion,,,1591.58,7333.01,10
HCPCS,40812,HC EXC LESION VESTIBULE OF MOUTH SIMPLE REPAIR,4670.0,4670.0,,,0
HCPCS,40812,HC PR EXC LESION MUCOSA & SUBMUC VEST MOUTH W SMPL RPR,825.0,825.0,,,0
HCPCS,40814,Excise/repair mouth lesion,,,3360.08,15669.35,10
HCPCS,40816,Excision of mouth lesion,,,3360.08,15669.35,10
HCPCS,40816,HC EXC LESION MUCOSA & SBMCSL VESTIBULE MOUTH CPLX EXC MUSC,8076.0,8076.0,,,0
HCPCS,40816,HC PR EXC LESION MUCOSA & SBMCSL VESTIBULE MOUTH CPLX EXC MUSC,1029.0,1029.0,,,0
HCPCS,40818,Excise oral mucosa for graft,,,574.2,2548.95,10
HCPCS,40819,Excise lip or cheek fold,,,1591.58,7333.01,10
HCPCS,40820,HC DESTRUC LESION VESTIBULE MOUTH,4564.0,4564.0,,,0
HCPCS,40820,Treatment of mouth lesion,,,2630.44,15669.35,10
HCPCS,40830,HC < OR = 2.5CM REP COMPL MOUTH VESTIBULE,1088.0,1088.0,,,0
HCPCS,40830,Repair mouth laceration,,,254.93,1678.32,10
HCPCS,40831,HC >2.5CM REP COMPL MOUTH VESTIBULE,1764.0,1764.0,,,0
HCPCS,40831,Repair mouth laceration,,,574.2,2630.44,10
HCPCS,40840,Reconstruction of mouth,,,4822.0,27977.99,10
HCPCS,40842,Reconstruction of mouth,,,4822.0,27977.99,10
HCPCS,40843,Reconstruction of mouth,,,4822.0,27977.99,10
HCPCS,40844,Reconstruction of mouth,,,6111.67,27977.99,10
HCPCS,40845,Reconstruction of mouth,,,6111.67,27977.99,10
HCPCS,40899,Mouth surgery procedure,,,254.93,1473.0,9
HCPCS,41000,Drainage of mouth lesion,,,574.2,2630.44,10
HCPCS,41000,HC I & D LINGUAL,3319.0,3319.0,,,0
HCPCS,41005,Drainage of mouth lesion,,,254.93,1678.32,10
HCPCS,41005,HC I & D SUBLINGUAL,935.0,935.0,,,0
HCPCS,41006,Drainage of mouth lesion,,,1591.58,8635.34,10
HCPCS,41007,Drainage of mouth lesion,,,1591.58,8635.34,10
HCPCS,41008,Drainage of mouth lesion,,,2630.44,15669.35,10
HCPCS,41008,HC I & D SUBMANDIBULAR SPACE,4928.0,4928.0,,,0
HCPCS,41009,Drainage of mouth lesion,,,574.2,2548.95,10
HCPCS,41010,HC INCISION OF LINGUAL FRENUM,2084.0,2084.0,,,0
HCPCS,41010,HC PR INCISION OF LINGUAL FRENUM,601.0,601.0,,,0
HCPCS,41010,Incision of tongue fold,,,1591.58,7333.01,10
HCPCS,41015,Drainage of mouth lesion,,,574.2,2548.95,10
HCPCS,41016,Drainage of mouth lesion,,,2630.44,27977.99,10
HCPCS,41017,Drainage of mouth lesion,,,2630.44,15669.35,10
HCPCS,41017,HC EXTRAORAL I&D ABSC CYST/HEMATOMA FL MOUTH SUBMANDIBULAR,5060.0,5060.0,,,0
HCPCS,41018,Drainage of mouth lesion,,,1591.58,7333.01,10
HCPCS,41019,Place needles h&n for rt,,,4822.0,27977.99,10
HCPCS,41100,Biopsy of tongue,,,574.2,2630.44,10
HCPCS,41100,HC BX OF TONGUE ANT TWO THIRDS,1667.0,1667.0,,,0
HCPCS,41100,HC PR BX OF TONGUE ANT TWO THIRDS,415.0,415.0,,,0
HCPCS,41105,Biopsy of tongue,,,3360.08,15669.35,10
HCPCS,41105,HC BIOPSY TONGUE POSTERIOR ONE-THIRD,4297.0,4297.0,,,0
HCPCS,41105,HC PR BIOPSY TONGUE POSTERIOR ONE-THIRD,508.0,508.0,,,0
HCPCS,41108,Biopsy of floor of mouth,,,1613.95,7805.69,10
HCPCS,41108,HC BIOPSY FLOOR OF MOUTH,2710.0,2710.0,,,0
HCPCS,41108,HC PR BIOPSY FLOOR OF MOUTH,382.0,382.0,,,0
HCPCS,41110,Excision of tongue lesion,,,2630.44,15669.35,10
HCPCS,41110,HC EX LESION TONGUE W/O CLOSURE,4564.0,4564.0,,,0
HCPCS,41110,HC PR EX LESION TONGUE W/O CLOSURE,633.0,633.0,,,0
HCPCS,41112,Excision of tongue lesion,,,3360.08,15669.35,10
HCPCS,41112,HC EXC LESION TONGUE W CLOSURE ANT TWO THIRDS,4596.0,4596.0,,,0
HCPCS,41112,HC PR EXC LESION TONGUE W CLOSURE ANT TWO THIRDS,871.0,871.0,,,0
HCPCS,41113,Excision of tongue lesion,,,3360.08,15669.35,10
HCPCS,41113,HC EXC LESION TONGUE W CLOSURE POST ONE THIRD,4596.0,4596.0,,,0
HCPCS,41113,HC PR EXC LESION TONGUE W CLOSURE POST ONE THIRD,933.0,933.0,,,0
HCPCS,41114,Excision of tongue lesion,,,3360.08,15669.35,10
HCPCS,41114,HC EXC LESION TONGUE W CLOSURE W LOCAL TONGUE FLAP,7719.0,7719.0,,,0
HCPCS,41114,HC PR EXC LESION TONGUE W CLOSURE W LOCAL TONGUE FLAP,1694.0,1694.0,,,0
HCPCS,41115,Excision of tongue fold,,,1591.58,7333.01,10
HCPCS,41115,HC EXCISION LINGUAL FRENUM (FRENECTOMY),5265.0,5265.0,,,0
HCPCS,41115,HC PR EXCISION LINGUAL FRENUM,730.0,730.0,,,0
HCPCS,41116,Excision of mouth lesion,,,2630.44,15669.35,10
HCPCS,41120,Partial removal of tongue,,,6111.67,27977.99,10
HCPCS,41130,Partial removal of tongue,,,2073.0,9829.75,6
HCPCS,41135,Tongue and neck surgery,,,4822.0,9829.75,6
HCPCS,41140,Removal of tongue,,,2073.0,9829.75,6
HCPCS,41145,Tongue removal neck surgery,,,2073.0,9829.75,6
HCPCS,41150,Tongue mouth jaw surgery,,,2073.0,9829.75,6
HCPCS,41153,Tongue mouth neck surgery,,,2073.0,9829.75,6
HCPCS,41155,Tongue jaw & neck surgery,,,2073.0,9829.75,5
HCPCS,41250,HC 2.5CM OR LESS REPAIR LAC TWO-THIRDS OF TONGUE/MOUTH,351.0,351.0,,,0
HCPCS,41250,Repair tongue laceration,,,374.68,6270.01,10
HCPCS,41251,HC 2.5CM OR < REP LAC TWO THIRDS ANT TONGUE/MOUTH & PST ONE THIRD,1088.0,1088.0,,,0
HCPCS,41251,Repair tongue laceration,,,254.93,1678.32,10
HCPCS,41252,HC >2.6CM COMPLX SUTURE TONGUE/MOUTH,1764.0,1764.0,,,0
HCPCS,41252,Repair tongue laceration,,,254.93,6270.01,10
HCPCS,41510,Tongue to lip surgery,,,2630.44,15669.35,10
HCPCS,41512,Tongue suspension,,,2630.44,27977.99,10
HCPCS,41520,Reconstruction tongue fold,,,3360.08,15669.35,10
HCPCS,41530,Tongue base vol reduction,,,3360.08,15669.35,10
HCPCS,41599,Tongue and mouth surgery,,,254.93,1473.0,9
HCPCS,41800,Drainage of gum lesion,,,133.32,2630.44,10
HCPCS,41800,HC DRAIN OF ABSC CYST HEMATOMA FROM DENTOALVEOLAR STRUCTURES,1480.0,1480.0,,,0
HCPCS,41800,HC DRAIN OF ABSC DENTAL OR GUMS,664.0,664.0,,,0
HCPCS,41800,HC PR DRAIN OF ABSC CYST HEMATOMA FROM DENTOALVEOLAR STRUCTURES,672.0,672.0,,,0
HCPCS,41805,Removal foreign body gum,,,1591.58,8635.34,10
HCPCS,41806,Removal foreign body jawbone,,,1591.58,7333.01,10
HCPCS,41820,Excision gum each quadrant,,,3360.08,15669.35,10
HCPCS,41821,Excision of gum flap,,,1591.58,7333.01,10
HCPCS,41822,Excision of gum lesion,,,1591.58,7333.01,10
HCPCS,41823,Excision of gum lesion,,,4822.0,27977.99,10
HCPCS,41825,Excision of gum lesion,,,2630.44,15669.35,10
HCPCS,41826,Excision of gum lesion,,,2630.44,15669.35,10
HCPCS,41827,Excision of gum lesion,,,6111.67,27977.99,10
HCPCS,41828,Excision of gum lesion,,,1591.58,8635.34,10
HCPCS,41830,Removal of gum tissue,,,2630.44,15669.35,10
HCPCS,41850,Treatment of gum lesion,,,1591.58,8635.34,10
HCPCS,41870,Gum graft,,,1591.58,15732.11,10
HCPCS,41872,Repair gum,,,2630.44,15669.35,10
HCPCS,41874,Repair tooth socket,,,3360.08,15669.35,10
HCPCS,41899,Dental surgery procedure,,,254.93,1473.0,9
HCPCS,41899,HC UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,1115.0,1115.0,,,0
HCPCS,42000,Drainage mouth roof lesion,,,254.93,1678.32,10
HCPCS,42000,HC I & D PALATE,1088.0,1088.0,,,0
HCPCS,42100,Biopsy roof of mouth,,,1591.58,7333.01,10
HCPCS,42100,HC BX OF PALATE,2084.0,2084.0,,,0
HCPCS,42100,HC PR BX OF PALATE,343.0,343.0,,,0
HCPCS,42104,Excision lesion mouth roof,,,3360.08,15669.35,10
HCPCS,42104,HC EXC LESION PALATE UVULA WO CLOSURE,8886.0,8886.0,,,0
HCPCS,42104,HC PR EXC LESION PALATE UVULA WO CLOSURE,559.0,559.0,,,0
HCPCS,42106,Excision lesion mouth roof,,,3360.08,15669.35,10
HCPCS,42107,Excision lesion mouth roof,,,4822.0,27977.99,10
HCPCS,42120,Remove palate/lesion,,,4822.0,27977.99,10
HCPCS,42140,Excision of uvula,,,3360.08,15669.35,10
HCPCS,42145,Repair palate pharynx/uvula,,,4822.0,27977.99,10
HCPCS,42160,Treatment mouth roof lesion,,,2630.44,15669.35,10
HCPCS,42180,Repair palate,,,574.2,2548.95,10
HCPCS,42182,Repair palate,,,4822.0,27977.99,10
HCPCS,42200,Reconstruct cleft palate,,,6111.67,27977.99,10
HCPCS,42205,Reconstruct cleft palate,,,3360.08,15732.11,10
HCPCS,42210,Reconstruct cleft palate,,,6111.67,27977.99,10
HCPCS,42215,Reconstruct cleft palate,,,6111.67,27977.99,10
HCPCS,42220,Reconstruct cleft palate,,,6111.67,27977.99,10
HCPCS,42225,Reconstruct cleft palate,,,6111.67,27977.99,10
HCPCS,42226,Lengthening of palate,,,6111.67,27977.99,10
HCPCS,42227,Lengthening of palate,,,6111.67,27977.99,10
HCPCS,42235,Repair palate,,,6111.67,27977.99,10
HCPCS,42260,Repair nose to lip fistula,,,4822.0,27977.99,10
HCPCS,42280,Preparation palate mold,,,574.2,2548.95,10
HCPCS,42281,Insertion palate prosthesis,,,4274.0,27977.99,10
HCPCS,42299,Palate/uvula surgery,,,254.93,1473.0,9
HCPCS,42300,Drainage of salivary gland,,,1591.58,7333.01,10
HCPCS,42300,HC DRAIN ABSCESS PAROTID SIMPLE,2205.0,2205.0,,,0
HCPCS,42305,Drainage of salivary gland,,,3360.08,15669.35,10
HCPCS,42310,Drainage of salivary gland,,,574.2,2548.95,10
HCPCS,42320,Drainage of salivary gland,,,574.2,2548.95,10
HCPCS,42330,HC PR SIALOLITHOTOMY SUBMAND SUBLINGUAL/PAROTID UNCOMPL INTRAORAL,601.0,601.0,,,0
HCPCS,42330,HC SIALOLITHOTOMY SUBMAND SUBLINGUAL/PAROTID UNCOMPL INTRAORAL,7464.0,7464.0,,,0
HCPCS,42330,Removal of salivary stone,,,3360.08,15669.35,10
HCPCS,42335,Removal of salivary stone,,,3360.08,15669.35,10
HCPCS,42340,Removal of salivary stone,,,3360.08,15669.35,10
HCPCS,42400,Biopsy of salivary gland,,,734.26,3346.74,10
HCPCS,42400,HC BIOPSY SALIVARY GLAND NEEDLE,3625.0,3625.0,,,0
HCPCS,42405,Biopsy of salivary gland,,,1591.58,8635.34,10
HCPCS,42405,HC BIOPSY SALIVARY GLAND INCISIONAL,9850.0,9850.0,,,0
HCPCS,42405,HC PR BIOPSY SALIVARY GLAND INCISIONAL,710.0,710.0,,,0
HCPCS,42408,Excision of salivary cyst,,,3360.08,15669.35,10
HCPCS,42409,Drainage of salivary cyst,,,3360.08,15669.35,10
HCPCS,42410,Excise parotid gland/lesion,,,6111.67,27977.99,10
HCPCS,42415,Excise parotid gland/lesion,,,6111.67,27977.99,10
HCPCS,42420,Excise parotid gland/lesion,,,6111.67,27977.99,10
HCPCS,42425,Excise parotid gland/lesion,,,6111.67,27977.99,10
HCPCS,42426,Excise parotid gland/lesion,,,4822.0,9829.75,5
HCPCS,42440,Excise submaxillary gland,,,6111.67,27977.99,10
HCPCS,42450,Excise sublingual gland,,,4822.0,27977.99,10
HCPCS,42500,Repair salivary duct,,,4822.0,27977.99,10
HCPCS,42505,Repair salivary duct,,,6111.67,27977.99,10
HCPCS,42507,Parotid duct diversion,,,6111.67,27977.99,10
HCPCS,42509,Parotid duct diversion,,,6111.67,27977.99,10
HCPCS,42510,Parotid duct diversion,,,3360.08,15732.11,10
HCPCS,42550,HC SIALOGRAPHY INJ,1988.0,1988.0,,,0
HCPCS,42550,Injection for salivary x-ray,,,1473.0,1473.0,1
HCPCS,42600,Closure of salivary fistula,,,2630.44,15669.35,10
HCPCS,42650,Dilation of salivary duct,,,1591.58,7333.01,10
HCPCS,42650,HC DILATION SALIVARY DUCT,4898.0,4898.0,,,0
HCPCS,42660,Dilation of salivary duct,,,574.2,2548.95,10
HCPCS,42660,HC DIL CATH OF SAL DUCT,1480.0,1480.0,,,0
HCPCS,42665,Ligation of salivary duct,,,2630.44,15732.11,10
HCPCS,42699,Salivary surgery procedure,,,254.93,1473.0,9
HCPCS,42700,Drainage of tonsil abscess,,,254.93,2630.44,10
HCPCS,42700,HC I&D ABSCESS TONSIL,1088.0,1088.0,,,0
HCPCS,42700,HC PR I&D ABSCESS TONSIL,549.0,549.0,,,0
HCPCS,42720,Drainage of throat abscess,,,2630.44,15669.35,10
HCPCS,42725,Drainage of throat abscess,,,6111.67,27977.99,10
HCPCS,42800,Biopsy of throat,,,1591.58,7333.01,10
HCPCS,42800,HC BIOPSY OROPHARYNX,3824.0,3824.0,,,0
HCPCS,42800,HC PR BIOPSY OROPHARYNX,453.0,453.0,,,0
HCPCS,42804,Biopsy of upper nose/throat,,,2630.44,15669.35,10
HCPCS,42806,Biopsy of upper nose/throat,,,3360.08,15669.35,10
HCPCS,42806,HC BIOPSY NASOPH SVY LESION,8076.0,8076.0,,,0
HCPCS,42808,Excise pharynx lesion,,,3360.08,15669.35,10
HCPCS,42809,HC REMOVAL FOREIGN BODY PHARANX,425.0,425.0,,,0
HCPCS,42809,Remove pharynx foreign body,,,238.17,2111.28,10
HCPCS,42810,Excision of neck cyst,,,3360.08,15669.35,10
HCPCS,42815,Excision of neck cyst,,,6111.67,27977.99,10
HCPCS,42820,Remove tonsils and adenoids,,,4822.0,27977.99,10
HCPCS,42821,Remove tonsils and adenoids,,,3360.08,15669.35,10
HCPCS,42825,Removal of tonsils,,,4822.0,27977.99,10
HCPCS,42826,Removal of tonsils,,,3360.08,15669.35,10
HCPCS,42830,Removal of adenoids,,,3360.08,15732.11,10
HCPCS,42831,Removal of adenoids,,,3360.08,15669.35,10
HCPCS,42835,Removal of adenoids,,,3360.08,15669.35,10
HCPCS,42836,Removal of adenoids,,,3360.08,15669.35,10
HCPCS,42842,Extensive surgery of throat,,,4822.0,27977.99,10
HCPCS,42844,Extensive surgery of throat,,,6111.67,27977.99,10
HCPCS,42845,Extensive surgery of throat,,,2073.0,9829.75,5
HCPCS,42860,Excision of tonsil tags,,,3360.08,15732.11,10
HCPCS,42870,Excision of lingual tonsil,,,4822.0,27977.99,10
HCPCS,42890,Partial removal of pharynx,,,6111.67,27977.99,10
HCPCS,42892,Revision of pharyngeal walls,,,6111.67,27977.99,10
HCPCS,42894,Revision of pharyngeal walls,,,2073.0,9829.75,5
HCPCS,42900,Repair throat wound,,,1591.58,8635.34,10
HCPCS,42950,Reconstruction of throat,,,4822.0,27977.99,10
HCPCS,42953,Repair throat esophagus,,,2073.0,9829.75,6
HCPCS,42955,Surgical opening of throat,,,1591.58,8635.34,10
HCPCS,42960,Control throat bleeding,,,374.68,2630.44,10
HCPCS,42960,HC CAUTERIZE TONSIL SIMPLE,351.0,351.0,,,0
HCPCS,42961,Control throat bleeding,,,2630.44,9829.75,6
HCPCS,42962,Control throat bleeding,,,3360.08,15669.35,10
HCPCS,42970,Control nose/throat bleeding,,,254.93,1473.0,10
HCPCS,42971,Control nose/throat bleeding,,,2073.0,9829.75,6
HCPCS,42972,Control nose/throat bleeding,,,3360.08,15669.35,10
HCPCS,42975,Dise eval slp do brth flx dx,,,804.67,8412.06,10
HCPCS,42999,Throat surgery procedure,,,254.93,1473.0,9
HCPCS,43020,Incision of esophagus,,,1591.58,9812.66,10
HCPCS,43030,Throat muscle surgery,,,6111.67,27977.99,10
HCPCS,43045,Incision of esophagus,,,2073.0,12989.24,6
HCPCS,43100,Excision of esophagus lesion,,,2073.0,9829.75,5
HCPCS,43101,Excision of esophagus lesion,,,2073.0,9829.75,5
HCPCS,43107,Removal of esophagus,,,2073.0,9829.75,5
HCPCS,43108,Removal of esophagus,,,2073.0,9829.75,5
HCPCS,43112,Removal of esophagus,,,2073.0,9829.75,5
HCPCS,43113,Removal of esophagus,,,2073.0,9829.75,5
HCPCS,43116,Partial removal of esophagus,,,2073.0,9829.75,5
HCPCS,43117,Partial removal of esophagus,,,2073.0,9829.75,5
HCPCS,43118,Partial removal of esophagus,,,2073.0,9829.75,5
HCPCS,43121,Partial removal of esophagus,,,2073.0,9829.75,5
HCPCS,43122,Partial removal of esophagus,,,2073.0,9829.75,5
HCPCS,43123,Partial removal of esophagus,,,2073.0,9829.75,5
HCPCS,43124,Removal of esophagus,,,2073.0,9829.75,5
HCPCS,43130,Removal of esophagus pouch,,,6111.67,27977.99,10
HCPCS,43135,Removal of esophagus pouch,,,2073.0,9829.75,5
HCPCS,43180,Esophagoscopy rigid trnso,,,4822.0,27977.99,10
HCPCS,43191,Esophagoscopy rigid trnso dx,,,1985.84,9069.04,10
HCPCS,43192,Esophagoscp rig trnso inject,,,1985.84,9069.04,10
HCPCS,43193,Esophagoscp rig trnso biopsy,,,1985.84,9069.04,10
HCPCS,43194,Esophagoscp rig trnso rem fb,,,1985.84,9069.04,10
HCPCS,43195,Esophagoscopy rigid balloon,,,3996.84,18221.53,10
HCPCS,43196,Esophagoscp guide wire dilat,,,1985.84,9069.04,10
HCPCS,43197,Esophagoscopy flex dx brush,,,946.03,4286.55,10
HCPCS,43198,Esophagosc flex trnsn biopsy,,,946.03,4286.55,10
HCPCS,43200,Esophagoscopy flexible brush,,,946.03,4286.55,10
HCPCS,43200,HC ESOPHAGOSCOPY DIAG W COLL SPECIMEN(S) BY BRUSH/WASH WH PERF,4204.0,4204.0,,,0
HCPCS,43200,HC PR ESOPHAGOSCOPY DIAG W COLL SPECIMEN(S) BY BRUSH/WASH WH PERF,491.0,491.0,,,0
HCPCS,43201,Esoph scope w/submucous inj,,,1985.84,9069.04,10
HCPCS,43201,HC ESOPHAGOSCOPY FLEX TRANSORAL W DIR SUBMUCOSAL INJ ANY SUB,5265.0,5265.0,,,0
HCPCS,43202,Esophagoscopy flex biopsy,,,1985.84,9069.04,10
HCPCS,43202,HC ESOPHAGOSCOPY FLEX TRNS W BX SINGL/MULTI,5189.0,5189.0,,,0
HCPCS,43202,HC PR ESOPHAGOSCOPY FLEX TRNS W BX SINGL/MULTI,658.0,658.0,,,0
HCPCS,43204,Esoph scope w/sclerosis inj,,,1985.84,9069.04,10
HCPCS,43205,Esophagus endoscopy/ligation,,,1985.84,9069.04,10
HCPCS,43206,Esoph optical endomicroscopy,,,1985.84,9069.04,10
HCPCS,43210,Egd esophagogastrc fndoplsty,,,2630.44,50238.16,10
HCPCS,43211,Esophagoscop mucosal resect,,,1985.84,9069.04,10
HCPCS,43212,Esophagoscop stent placement,,,2630.44,28691.96,10
HCPCS,43212,HC ESOPHAGOSCOPY TRANSORAL W PLACEMENT ENDO STENT,12961.0,12961.0,,,0
HCPCS,43212,HC PR ESOPHAGOSCOPY TRANSORAL W PLACEMENT ENDO STENT,476.0,476.0,,,0
HCPCS,43213,Esophagoscopy retro balloon,,,1985.84,9069.04,10
HCPCS,43214,Esophagosc dilate balloon 30,,,1985.84,9069.04,10
HCPCS,43214,HC ESOPHAGOSCOPY W DIL ESOPH W BALLOON 30MM OR> INCL FLUORO WH PERF,5189.0,5189.0,,,0
HCPCS,43214,HC PR ESOPHAGOSCOPY W DIL ESOPH W BALLOON 30MM OR> INCL FLUORO WH PERF,484.0,484.0,,,0
HCPCS,43215,Esophagoscopy flex remove fb,,,1985.84,9069.04,10
HCPCS,43215,HC ESOPHAGOSCOPY TRANORAL W REMOVAL FB(S),5189.0,5189.0,,,0
HCPCS,43215,HC PR ESOPHAGOSCOPY FLEX TRANSOR W REM FB,737.0,737.0,,,0
HCPCS,43216,Esophagoscopy lesion removal,,,1985.84,9069.04,10
HCPCS,43217,Esophagoscopy snare les remv,,,1985.84,9069.04,10
HCPCS,43220,Esophagoscopy balloon <30mm,,,1985.84,9069.04,10
HCPCS,43220,HC ESOPHAGOSCOPY FLEX TRNS W BALLOON DILATION <30MM DIAM,5189.0,5189.0,,,0
HCPCS,43220,HC PR ESOPHAGOSCOPY FLEX TRNS W BALLOON DILATION <30MM DIAM,1833.0,1833.0,,,0
HCPCS,43226,Esoph endoscopy dilation,,,1985.84,9069.04,10
HCPCS,43227,Esophagoscopy control bleed,,,1985.84,9069.04,10
HCPCS,43229,Esophagoscopy lesion ablate,,,3996.84,18221.53,10
HCPCS,43229,HC ESOPHAGOSCOPY FLEX W ABLAT TUMOR(S)/POLYP(S)/OTHR LESION(S),8710.0,8710.0,,,0
HCPCS,43231,Esophagoscop ultrasound exam,,,1985.84,9069.04,10
HCPCS,43232,Esophagoscopy w/us needle bx,,,1985.84,9069.04,10
HCPCS,43233,Egd balloon dil esoph30 mm/>,,,1985.84,9069.04,10
HCPCS,43233,HC EGD W DIL ESOPH W BALLOON 30MM OR> INCL FLUORO WH PERF,4300.0,4300.0,,,0
HCPCS,43233,HC PR EGD W DIL ESOPH W BALLOON 30MM OR> INCL FLUORO WH PERF,573.0,573.0,,,0
HCPCS,43235,Egd diagnostic brush wash,,,946.03,4286.55,10
HCPCS,43235,HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF,3153.0,3153.0,,,0
HCPCS,43235,HC PR EGD FLEX TRANSORAL DIAGNOSTIC,673.0,673.0,,,0
HCPCS,43236,HC EGD W DIRECT SUBMUCOSAL INJ(S) ANY SUBSTANCE,3153.0,3153.0,,,0
HCPCS,43236,HC PR EGD FLEX W DIRECT SUBMUCOSAL INJ ANY SUB,707.0,707.0,,,0
HCPCS,43236,Uppr gi scope w/submuc inj,,,946.03,4286.55,10
HCPCS,43237,Endoscopic us exam esoph,,,1985.84,9069.04,10
HCPCS,43237,HC EGD FLEX TRNS W ENDO US EXAM LMTD ESOPH STOM OR DUOD & ADJ STRUCT,4327.0,4327.0,,,0
HCPCS,43237,HC PR EGD FLEX TRNS W ENDO US EXAM LMTD ESOPH STOM OR DUOD & ADJ STRCT,568.0,568.0,,,0
HCPCS,43238,Egd us fine needle bx/aspir,,,1985.84,9069.04,10
HCPCS,43238,HC EGD W TRANSENDO US GUIDE INTR/TRNSMURAL FNA/BIOPSY(S) ESOPHAGS,5265.0,5265.0,,,0
HCPCS,43239,Egd biopsy single/multiple,,,946.03,4286.55,10
HCPCS,43239,HC EGD W BIOPSY SINGL/MULTI,3153.0,3153.0,,,0
HCPCS,43239,HC PR EGD TRANSORAL BIOPSY SINGLE/MULTI,860.0,860.0,,,0
HCPCS,43240,Egd w/transmural drain cyst,,,4446.69,28691.96,10
HCPCS,43240,HC EGD TRANRL W TRNSMRL DRAIN PSDOCYST INC DRN CTH/STNTS(S) & EUS W PF,12961.0,12961.0,,,0
HCPCS,43240,HC PR EGD TRN W TRNSMRL DRAIN PSDOCYST INC DRN CTH/STNTS(S) & EUS W PF,1040.0,1040.0,,,0
HCPCS,43241,Egd tube/cath insertion,,,1985.84,9069.04,10
HCPCS,43241,HC EGD W INSERT INTRALUMINAL TUBE OR CATHETER,4327.0,4327.0,,,0
HCPCS,43241,HC PR EGD FLEX W INSERT INTRALUMINAL TUBE OR CATH,448.0,448.0,,,0
HCPCS,43242,Egd us fine needle bx/aspir,,,1985.84,9069.04,10
HCPCS,43242,HC EGD W TRANSENDO ULTRASOUND FNA/BIOPSY(S) ALTERED ANATOMY,5200.0,5200.0,,,0
HCPCS,43242,HC PR EGD W TRANSENDO ULTRASOUND FNA/BIOPSY(S),696.0,696.0,,,0
HCPCS,43243,Egd injection varices,,,1985.84,9069.04,10
HCPCS,43243,HC EGD WITH BOTULINUM TOXIN INJ,4501.0,4501.0,,,0
HCPCS,43243,HC PR EGD W INJ SCLEROSIS ESOPHAGEAL/GASTRIC VARICES,628.0,628.0,,,0
HCPCS,43244,Egd varices ligation,,,1985.84,9069.04,10
HCPCS,43244,HC EGD W BAND LIGATION ESOPHAGEAL/GASTRIC VARICES,4501.0,4501.0,,,0
HCPCS,43244,HC PR EGD W BANDING LIGATION,705.0,705.0,,,0
HCPCS,43245,Egd dilate stricture,,,1985.84,9069.04,10
HCPCS,43245,HC EGD W DILATION GASTRIC/DUODENAL STRICTURE(S),4501.0,4501.0,,,0
HCPCS,43245,HC PR EGD W DILATION GASTRIC/DUODENAL STRICTURE(S),1120.0,1120.0,,,0
HCPCS,43246,Egd place gastrostomy tube,,,1985.84,9069.04,10
HCPCS,43246,HC EGD PERC PLCMNT GASTROSTOMY TUBE,4327.0,4327.0,,,0
HCPCS,43246,HC PR EGD PERCUT PLCMNT GASTROSTOMY TUBE,627.0,627.0,,,0
HCPCS,43247,Egd remove foreign body,,,946.03,6270.01,10
HCPCS,43247,HC EGD W REM FOREIGN BODY(S),3153.0,3153.0,,,0
HCPCS,43247,HC PR EGD FLEX W FOREIGN BODY REMOVAL,834.0,834.0,,,0
HCPCS,43248,Egd guide wire insertion,,,946.03,6270.01,10
HCPCS,43248,HC EGD INSERT GUIDE WIRE PASSAGE DILATOR(S) THR ESOPHAGUS,3153.0,3153.0,,,0
HCPCS,43248,HC PR EGD FLEX W INSERT GUIDE WIRE DILATOR PASSAGE THROU ESOPHAGUS,748.0,748.0,,,0
HCPCS,43249,Esoph egd dilation <30 mm,,,1985.84,9069.04,10
HCPCS,43249,HC EGD W TRANSENDO BALLOON DIL ESOPHAGUS <30MM,4327.0,4327.0,,,0
HCPCS,43249,HC PR EGD FLEX TRANSENDOSC BALL DIL ESOPHAGUS <30MM DIAM,1915.0,1915.0,,,0
HCPCS,43250,Egd cautery tumor polyp,,,1985.84,9069.04,10
HCPCS,43250,HC EGD W REM TUMOR(S)/POLYP(S)/OTHR LESION(S) HOT BX FORCEPS,4501.0,4501.0,,,0
HCPCS,43250,HC PR EGD REM TUMOR POLYP/OTH LESION HOT BIOPSY FORCEPS,800.0,800.0,,,0
HCPCS,43251,Egd remove lesion snare,,,1985.84,9069.04,10
HCPCS,43251,HC EGD W REM TUMOR(S)/POLYP(S)/OTHR LESION(S) SNARE TECH,4501.0,4501.0,,,0
HCPCS,43251,HC PR EGD REM TUMOR POLYP/OTHER LESION SNARE TECH,923.0,923.0,,,0
HCPCS,43252,Egd optical endomicroscopy,,,1985.84,9069.04,10
HCPCS,43253,Egd us transmural injxn/mark,,,1985.84,9069.04,10
HCPCS,43254,Egd endo mucosal resection,,,1985.84,9069.04,10
HCPCS,43254,HC EGD W ENDOSCOPIC MUCOSAL RESECTION,4327.0,4327.0,,,0
HCPCS,43254,HC PR EGD W ENDOSCOPIC MUCOSAL RESECTION,683.0,683.0,,,0
HCPCS,43255,Egd control bleeding any,,,1985.84,9069.04,10
HCPCS,43255,HC EGD W CONTROL BLEEDING ANY METHOD,4501.0,4501.0,,,0
HCPCS,43255,HC PR EGD TRANSORAL CONTROL BLEEDING ANY METHOD,1315.0,1315.0,,,0
HCPCS,43257,Egd w/thrml txmnt gerd,,,3996.84,18221.53,10
HCPCS,43259,Egd us exam duodenum/jejunum,,,1985.84,9069.04,10
HCPCS,43259,HC EGD DIAG W ENDO ULTRASOUND EXAM,4327.0,4327.0,,,0
HCPCS,43259,HC PR EGD ENDO US EXAM INCL ESOP STOM SURG ALTER STOM DUODENUM/JEJUNUM,706.0,706.0,,,0
HCPCS,43260,Ercp w/specimen collection,,,3996.84,18221.53,10
HCPCS,43260,HC ERCP DIAG INCL COLL SPECIMEN BY BRUSH/WASH W PERF,8710.0,8710.0,,,0
HCPCS,43260,HC PR ERCP DIAG INCL COLL SPECIMEN BY BRUSH/WASH W PERF,854.0,854.0,,,0
HCPCS,43261,Endo cholangiopancreatograph,,,3996.84,18221.53,10
HCPCS,43261,HC ERCP W BIOPSY SINGLE OR MULTIPLE,8710.0,8710.0,,,0
HCPCS,43261,HC PR ERCP W BIOPSY SINGLE OR MULTIPLE,898.0,898.0,,,0
HCPCS,43262,Endo cholangiopancreatograph,,,3996.84,18221.53,10
HCPCS,43262,HC ERCP W SPHINCTEROTOMY/PAPILLOTOMY,8710.0,8710.0,,,0
HCPCS,43262,HC PR ERCP W SPHINCTEROTOMY/PAPILLOTOMY,946.0,946.0,,,0
HCPCS,43263,Ercp sphincter pressure meas,,,1985.84,9069.04,10
HCPCS,43263,HC PR ERCP W PRESSURE MEASUREMENT SPHINCTER OF ODDI,948.0,948.0,,,0
HCPCS,43264,Ercp remove duct calculi,,,3996.84,18221.53,10
HCPCS,43264,HC ERCP W REMOVAL CALCULI/DEBRIS BILIARY/PANCREATIC DUCT(S),8710.0,8710.0,,,0
HCPCS,43264,HC PR ERCP W REMOVAL CALCULI/DEBRIS BILIARY/PANCREATIC DUCT(S),964.0,964.0,,,0
HCPCS,43265,Ercp lithotripsy calculi,,,4822.0,28691.96,10
HCPCS,43265,HC ERCP W DESTRUCTION CALCULI ANY METHOD,12961.0,12961.0,,,0
HCPCS,43265,HC PR ERCP W DESTRUCTION CALCULI ANY METHOD,1148.0,1148.0,,,0
HCPCS,43266,Egd endoscopic stent place,,,5391.0,28691.96,10
HCPCS,43266,HC EGD W PLCMNT ENDOSCOPIC STNT INCL DILATION & GUIDE WIRE PASS W PERF,12961.0,12961.0,,,0
HCPCS,43266,HC EGD WITH STENT PLACEMENT INCL DILATION WH PERF,12961.0,12961.0,,,0
HCPCS,43266,HC PR EGD W PLCMNT ENDOSCPIC STNT INC DILATION & GUIDE WIRE PASS W PRF,618.0,618.0,,,0
HCPCS,43270,Egd lesion ablation,,,1985.84,9812.66,10
HCPCS,43270,HC EGD W ABLATION TUMOR(S)/POLYP(S)/OTHR LESIONS(S) INC DIL WH PERF,6477.0,6477.0,,,0
HCPCS,43270,HC PR EGD W ABLATION OF TUMOR PLOYP OR OTHER LESION,1443.0,1443.0,,,0
HCPCS,43273,Endoscopic pancreatoscopy,,,1473.0,8287.59,2
HCPCS,43273,HC ERCP W CANNULATION OF PAPILLA W PANCREATIC/COMMON BILE DUCT(S),2199.0,2199.0,,,0
HCPCS,43273,HC PR ENDOSCOPIC CANNULATION OF PAPILLA W PANCREATC/COMMN BILE DUCT(S),301.0,301.0,,,0
HCPCS,43274,Ercp duct stent placement,,,4822.0,28691.96,10
HCPCS,43274,HC ERCP W PLCMNT STENT OR NASO-BILIARY/NASO-PANCREATIC DRAIN TUBE,12961.0,12961.0,,,0
HCPCS,43274,HC PR ERCP W PLCMNT STENT INTO BILIARY/PANCREAT DUCT EACH STENT,1167.0,1167.0,,,0
HCPCS,43275,Ercp remove forgn body duct,,,1985.84,10157.46,10
HCPCS,43275,HC ERCP W REM FB(S)/STENT(S) BILIARY/PANCREATIC DUCT(S),5984.0,5984.0,,,0
HCPCS,43275,HC ERCP WITH REMOVAL FOREIGN BODY(S) OR STENT(S) BILI/PANCRTIC DUCT(S),5984.0,5984.0,,,0
HCPCS,43275,HC PR ERCP W REMOVAL FOREIGN BODY(S) OR STENT(S) BILI/PANCRTIC DUCT(S),1093.0,1093.0,,,0
HCPCS,43276,Ercp stent exchange w/dilate,,,4822.0,28691.96,10
HCPCS,43276,HC ERCP REM&EXCHNG STNT(S) BILI/PANCR DUCT INCL DILATION/SPHINCT EA,12961.0,12961.0,,,0
HCPCS,43276,HC ERCP W REM & EXCHNG STENT(S) BIL/PAN DUCT SPHINCTEROTOMY WH PERF,12961.0,12961.0,,,0
HCPCS,43276,HC PR ERCP W REM & EXCHNG STENT(S) BIL/PAN DUCT SPHINCTEROTOMY WH PERF,1216.0,1216.0,,,0
HCPCS,43277,Ercp ea duct/ampulla dilate,,,3996.84,18221.53,10
HCPCS,43277,HC ERCP W BAL DIL BILI/PANCR DUCT(S) OR AMPULLA INCL SPHINC WH PERF EA,8710.0,8710.0,,,0
HCPCS,43277,HC PR ERCP W BAL DIL BILI/PANCR DUCT(S) OR AMPULLA INC SPHINC WH PR EA,955.0,955.0,,,0
HCPCS,43278,Ercp lesion ablate w/dilate,,,3996.84,18221.53,10
HCPCS,43278,HC ERCP W ABLAT OF TUMOR(S)/POLYP(S)/OTH LESION(S) INC DIL WH PERF,8710.0,8710.0,,,0
HCPCS,43278,HC PR ERCP W ABLAT OF TUMOR(S)/POLYP(S)/OTH LESION(S) INC DIL WH PERF,1092.0,1092.0,,,0
HCPCS,43279,Lap myotomy heller,,,6880.82,14015.34,6
HCPCS,43280,Laparoscopy fundoplasty,,,9556.0,50238.16,10
HCPCS,43281,Lap paraesophag hern repair,,,9556.0,50238.16,10
HCPCS,43282,Lap paraesoph her rpr w/mesh,,,9556.0,50238.16,9
HCPCS,43283,Lap esoph lengthening,,,2073.0,9829.75,5
HCPCS,43284,Laps esophgl sphnctr agmntj,,,9556.0,50238.16,10
HCPCS,43285,Rmvl esophgl sphnctr dev,,,6021.71,28572.05,10
HCPCS,43286,Esphg tot w/laps moblj,,,2073.0,9829.75,5
HCPCS,43287,Esphg dstl 2/3 w/laps moblj,,,2073.0,9829.75,5
HCPCS,43288,Esphg thrsc moblj,,,2073.0,9829.75,5
HCPCS,43289,Laparoscope proc esoph,,,6021.71,28572.05,9
HCPCS,43290,Egd flx trnsorl dplmnt balo,,,1985.84,9069.04,10
HCPCS,43291,Egd flx trnsorl rmvl balo,,,946.03,4286.55,10
HCPCS,43300,Repair of esophagus,,,2073.0,9829.75,5
HCPCS,43305,Repair esophagus and fistula,,,2073.0,9829.75,5
HCPCS,43310,Repair of esophagus,,,2073.0,12989.24,6
HCPCS,43312,Repair esophagus and fistula,,,2073.0,9829.75,5
HCPCS,43313,Esophagoplasty congenital,,,2073.0,9829.75,5
HCPCS,43314,Tracheo-esophagoplasty cong,,,2073.0,9829.75,5
HCPCS,43320,Fuse esophagus & stomach,,,2073.0,9829.75,6
HCPCS,43325,Revise esophagus & stomach,,,2073.0,9829.75,5
HCPCS,43327,Esoph fundoplasty lap,,,2073.0,9829.75,5
HCPCS,43328,Esoph fundoplasty thor,,,2073.0,9829.75,5
HCPCS,43330,Esophagomyotomy abdominal,,,2073.0,9829.75,5
HCPCS,43331,Esophagomyotomy thoracic,,,2073.0,12989.24,6
HCPCS,43332,Transab esoph hiat hern rpr,,,2073.0,9829.75,5
HCPCS,43333,Transab esoph hiat hern rpr,,,2073.0,9829.75,5
HCPCS,43334,Transthor diaphrag hern rpr,,,2073.0,9829.75,5
HCPCS,43335,Transthor diaphrag hern rpr,,,2073.0,9829.75,5
HCPCS,43336,Thorabd diaphr hern repair,,,2073.0,9829.75,5
HCPCS,43337,Thorabd diaphr hern repair,,,2073.0,9829.75,5
HCPCS,43338,Esoph lengthening,,,2073.0,9829.75,5
HCPCS,43340,Fuse esophagus & intestine,,,2073.0,9829.75,5
HCPCS,43341,Fuse esophagus & intestine,,,2073.0,9829.75,5
HCPCS,43351,Surgical opening esophagus,,,2073.0,9829.75,5
HCPCS,43352,Surgical opening esophagus,,,2073.0,9829.75,5
HCPCS,43360,Gastrointestinal repair,,,2073.0,9829.75,5
HCPCS,43361,Gastrointestinal repair,,,2073.0,9829.75,5
HCPCS,43400,Ligate esophagus veins,,,6880.82,9829.75,5
HCPCS,43405,Ligate/staple esophagus,,,2073.0,9829.75,6
HCPCS,43410,Repair esophagus wound,,,2073.0,9829.75,5
HCPCS,43415,Repair esophagus wound,,,2073.0,9829.75,5
HCPCS,43420,Repair esophagus opening,,,3360.08,15669.35,10
HCPCS,43425,Repair esophagus opening,,,2073.0,9829.75,5
HCPCS,43450,Dilate esophagus 1/mult pass,,,946.03,4286.55,10
HCPCS,43453,Dilate esophagus,,,1985.84,9069.04,10
HCPCS,43460,Pressure treatment esophagus,,,2073.0,9829.75,5
HCPCS,43496,Free jejunum flap microvasc,,,2073.0,9829.75,6
HCPCS,43497,Transorl lwr esophgl myotomy,,,4822.0,28691.96,10
HCPCS,43499,Esophagus surgery procedure,,,946.03,4286.55,9
HCPCS,43499,HC ESOPHAGOSTOMY WITH ZENKERS MYOTOMY,8997.0,8997.0,,,0
HCPCS,43500,Surgical opening of stomach,,,2073.0,9829.75,6
HCPCS,43501,Surgical repair of stomach,,,2073.0,9829.75,5
HCPCS,43502,Surgical repair of stomach,,,2073.0,9829.75,6
HCPCS,43510,Surgical opening of stomach,,,946.03,6270.01,10
HCPCS,43520,Incision of pyloric muscle,,,2073.0,9829.75,6
HCPCS,43605,Biopsy of stomach,,,4822.0,9829.75,5
HCPCS,43610,Excision of stomach lesion,,,2073.0,9829.75,5
HCPCS,43611,Excision of stomach lesion,,,2073.0,9829.75,5
HCPCS,43620,Removal of stomach,,,2073.0,9829.75,5
HCPCS,43621,Removal of stomach,,,2073.0,9829.75,5
HCPCS,43622,Removal of stomach,,,2073.0,9829.75,5
HCPCS,43631,Removal of stomach partial,,,2073.0,9829.75,5
HCPCS,43632,Removal of stomach partial,,,2073.0,9829.75,5
HCPCS,43633,Removal of stomach partial,,,2073.0,9829.75,5
HCPCS,43634,Removal of stomach partial,,,2073.0,9829.75,5
HCPCS,43635,Removal of stomach partial,,,2073.0,9829.75,5
HCPCS,43640,Vagotomy & pylorus repair,,,2073.0,9829.75,5
HCPCS,43641,Vagotomy & pylorus repair,,,2073.0,9829.75,5
HCPCS,43644,Lap gastric bypass/roux-en-y,,,6880.82,9829.75,5
HCPCS,43645,Lap gastr bypass incl smll i,,,6880.82,9829.75,5
HCPCS,43647,Lap impl electrode antrum,,,12528.14,52662.02,10
HCPCS,43648,Lap revise/remv eltrd antrum,,,9174.0,50238.16,10
HCPCS,43651,Laparoscopy vagus nerve,,,6021.71,48936.18,10
HCPCS,43652,Laparoscopy vagus nerve,,,6021.71,48936.18,10
HCPCS,43653,Laparoscopy gastrostomy,,,6021.71,28572.05,10
HCPCS,43659,Laparoscope proc stom,,,6021.71,28572.05,9
HCPCS,43752,HC INTRO NASO ORO GASTRIC TUBE REQ PHYS SKILL W FLUORO GUID,1480.0,1480.0,,,0
HCPCS,43752,Nasal/orogastric w/tube plmt,,,415.82,2111.28,10
HCPCS,43753,HC GASTRIC INTUB/THER ASP/LAVAGE,425.0,425.0,,,0
HCPCS,43753,Tx gastro intub w/asp,,,238.17,1473.0,6
HCPCS,43754,Dx gastr intub w/asp spec,,,238.17,1473.0,6
HCPCS,43755,Dx gastr intub w/asp specs,,,144.67,1473.0,10
HCPCS,43756,Dx duod intub w/asp spec,,,548.22,4286.55,10
HCPCS,43757,Dx duod intub w/asp specs,,,548.22,4286.55,10
HCPCS,43761,HC REPOSITION OF GASTROSTOMY TUBE,2081.0,2081.0,,,0
HCPCS,43761,Reposition gastrostomy tube,,,257.92,2991.31,10
HCPCS,43762,HC PR REPLAC GASTRO TUBE WO IMG OR GUID NOT REQ REV OF GASTRO TRACT,600.0,600.0,,,0
HCPCS,43762,HC PR REPLC GASTRO TUBE WO IMG OR GUID NOT REQ REV OF GASTRO TRACT,600.0,600.0,,,0
HCPCS,43762,HC REPLAC GASTRO TUBE WO IMG OR GUID NOT REQ REV OF GASTRO TRACT,1510.0,1510.0,,,0
HCPCS,43762,Rplc gtube no revj trc,,,257.92,2630.44,10
HCPCS,43763,Rplc gtube  revj gstrst trc,,,257.92,2630.44,10
HCPCS,43770,Lap place gastr adj device,,,6270.01,50238.16,10
HCPCS,43771,Lap revise gastr adj device,,,5391.0,9829.75,6
HCPCS,43772,Lap rmvl gastr adj device,,,3996.84,18221.53,9
HCPCS,43773,Lap replace gastr adj device,,,6021.71,28572.05,10
HCPCS,43774,Lap rmvl gastr adj all parts,,,3996.84,19010.0,9
HCPCS,43775,Lap sleeve gastrectomy,,,6880.82,25646.27,6
HCPCS,43800,Reconstruction of pylorus,,,2073.0,9829.75,5
HCPCS,43810,Fusion of stomach and bowel,,,2073.0,9829.75,6
HCPCS,43820,Fusion of stomach and bowel,,,2073.0,9829.75,6
HCPCS,43825,Fusion of stomach and bowel,,,2073.0,9829.75,5
HCPCS,43830,Place gastrostomy tube,,,1985.84,9069.04,10
HCPCS,43831,Place gastrostomy tube,,,946.03,4286.55,10
HCPCS,43832,Place gastrostomy tube,,,2073.0,9829.75,5
HCPCS,43840,Repair of stomach lesion,,,4334.85,18221.53,9
HCPCS,43842,V-band gastroplasty,,,2073.0,2073.0,1
HCPCS,43843,Gastroplasty w/o v-band,,,6880.82,9829.75,5
HCPCS,43845,Gastroplasty duodenal switch,,,2073.0,9829.75,5
HCPCS,43846,Gastric bypass for obesity,,,2073.0,9829.75,5
HCPCS,43847,Gastric bypass incl small i,,,2073.0,9829.75,5
HCPCS,43848,Revision gastroplasty,,,2073.0,14015.34,6
HCPCS,43860,Revise stomach-bowel fusion,,,2073.0,9829.75,5
HCPCS,43865,Revise stomach-bowel fusion,,,2073.0,9829.75,5
HCPCS,43870,Repair stomach opening,,,2630.44,18221.53,10
HCPCS,43880,Repair stomach-bowel fistula,,,2073.0,9829.75,6
HCPCS,43881,Impl/redo electrd antrum,,,2073.0,9829.75,5
HCPCS,43882,Revise/remove electrd antrum,,,2073.0,9829.75,5
HCPCS,43886,Revise gastric port open,,,3744.16,16748.17,10
HCPCS,43887,Remove gastric port open,,,1903.17,9751.37,10
HCPCS,43888,Change gastric port open,,,3744.16,16748.17,10
HCPCS,43889,Gstr rstcv px trnsorl esg,,,11951.51,50238.16,3
HCPCS,43999,HC EGD POSTBARIATRIC LEAK REPAIR,4724.0,4724.0,,,0
HCPCS,43999,HC EGD WITH CLOSURE OF FISTULA,4881.0,4881.0,,,0
HCPCS,43999,HC EGD WITH ROUX EN Y REVISION,5863.0,5863.0,,,0
HCPCS,43999,HC PR EGD WITH CLOSURE OF FISTULA,779.0,779.0,,,0
HCPCS,43999,Stomach surgery procedure,,,946.03,4286.55,9
HCPCS,44005,Freeing of bowel adhesion,,,2073.0,9829.75,6
HCPCS,44010,Incision of small bowel,,,2073.0,9829.75,6
HCPCS,44015,HC TUBE JEJUNOSTOMY,10523.0,10523.0,,,0
HCPCS,44015,Insert needle cath bowel,,,2073.0,9829.75,6
HCPCS,44020,Explore small intestine,,,2073.0,9829.75,5
HCPCS,44021,Decompress small bowel,,,2073.0,9829.75,5
HCPCS,44025,Incision of large bowel,,,2073.0,9829.75,5
HCPCS,44050,Reduce bowel obstruction,,,2073.0,9829.75,5
HCPCS,44055,Correct malrotation of bowel,,,2073.0,9829.75,5
HCPCS,44100,Biopsy of bowel,,,946.03,4446.69,10
HCPCS,44110,Excise intestine lesion(s),,,2073.0,9829.75,6
HCPCS,44111,Excision of bowel lesion(s),,,2073.0,9829.75,5
HCPCS,44120,Removal of small intestine,,,2073.0,9829.75,6
HCPCS,44121,Removal of small intestine,,,2073.0,9829.75,6
HCPCS,44125,Removal of small intestine,,,2073.0,9829.75,6
HCPCS,44126,Enterectomy w/o taper cong,,,2073.0,9829.75,5
HCPCS,44127,Enterectomy w/taper cong,,,2073.0,9829.75,5
HCPCS,44128,Enterectomy cong add-on,,,2073.0,9829.75,5
HCPCS,44130,Bowel to bowel fusion,,,2073.0,9829.75,6
HCPCS,44132,Enterectomy cadaver donor,,,2073.0,12989.24,6
HCPCS,44133,Enterectomy live donor,,,2073.0,9829.75,5
HCPCS,44135,Intestine transplnt cadaver,,,2073.0,9829.75,5
HCPCS,44136,Intestine transplant live,,,2073.0,9829.75,5
HCPCS,44137,Remove intestinal allograft,,,2073.0,12989.24,6
HCPCS,44139,Mobilization of colon,,,1678.32,9829.75,6
HCPCS,44140,Partial removal of colon,,,2073.0,9829.75,5
HCPCS,44141,Partial removal of colon,,,2073.0,9829.75,5
HCPCS,44143,Partial removal of colon,,,2073.0,9829.75,5
HCPCS,44144,Partial removal of colon,,,2073.0,9829.75,5
HCPCS,44145,Partial removal of colon,,,2073.0,9829.75,5
HCPCS,44146,Partial removal of colon,,,2073.0,9829.75,5
HCPCS,44147,Partial removal of colon,,,2073.0,9829.75,5
HCPCS,44150,Removal of colon,,,2073.0,9829.75,5
HCPCS,44151,Removal of colon/ileostomy,,,2073.0,9829.75,5
HCPCS,44155,Removal of colon/ileostomy,,,2073.0,9829.75,5
HCPCS,44156,Removal of colon/ileostomy,,,2073.0,9829.75,5
HCPCS,44157,Colectomy w/Ileoanal Anast,,,2073.0,9829.75,5
HCPCS,44158,Colectomy w/Neo-Rectum Pouch,,,2073.0,9829.75,5
HCPCS,44160,Removal of colon,,,2073.0,12989.24,6
HCPCS,44180,Lap enterolysis,,,6021.71,28572.05,10
HCPCS,44186,Lap jejunostomy,,,6021.71,28572.05,10
HCPCS,44187,Lap ileo/jejuno-stomy,,,2073.0,9829.75,5
HCPCS,44188,Lap colostomy,,,2073.0,9829.75,5
HCPCS,44202,Lap enterectomy,,,6880.82,9829.75,5
HCPCS,44203,Lap resect s/intestine addl,,,6880.82,9829.75,5
HCPCS,44204,Laparo partial colectomy,,,6880.82,9829.75,5
HCPCS,44205,Lap colectomy part w/ileum,,,2073.0,9829.75,5
HCPCS,44206,Lap part colectomy w/stoma,,,2073.0,24572.43,7
HCPCS,44207,L colectomy/coloproctostomy,,,2073.0,24572.43,7
HCPCS,44208,L colectomy/coloproctostomy,,,2073.0,24572.43,7
HCPCS,44210,Laparo total proctocolectomy,,,2073.0,12989.24,6
HCPCS,44211,Lap colectomy w/proctectomy,,,2073.0,12989.24,6
HCPCS,44212,Laparo total proctocolectomy,,,2073.0,12989.24,6
HCPCS,44213,Lap mobil splenic fl add-on,,,2073.0,14015.34,7
HCPCS,44227,Lap close enterostomy,,,2073.0,9829.75,5
HCPCS,44238,Laparoscope proc intestine,,,6021.71,28572.05,9
HCPCS,44300,Open bowel to skin,,,2157.5,9829.75,9
HCPCS,44310,Ileostomy/jejunostomy,,,2073.0,9829.75,6
HCPCS,44312,Revision of ileostomy,,,2630.44,16748.17,10
HCPCS,44314,Revision of ileostomy,,,3984.34,16748.17,9
HCPCS,44316,Devise bowel pouch,,,2073.0,9829.75,5
HCPCS,44320,Colostomy,,,2073.0,9829.75,5
HCPCS,44322,Colostomy with biopsies,,,2073.0,9829.75,5
HCPCS,44340,Revision of colostomy,,,3744.16,16748.17,10
HCPCS,44345,Revision of colostomy,,,3984.34,16748.17,9
HCPCS,44346,Revision of colostomy,,,3984.34,16748.17,9
HCPCS,44360,HC ENTEROSCOPY DIAG INC COLL SPECIMEN BY BRUSH/WASH WH PERF,4327.0,4327.0,,,0
HCPCS,44360,HC PR ENDO UPPER SM INTESTINE ENTEROSCOPY DIAG,388.0,388.0,,,0
HCPCS,44360,Small bowel endoscopy,,,1985.84,9069.04,10
HCPCS,44361,HC ENTEROSCOPY BEY 2ND PORT DUODENUM NOT INCL ILEUM W BIOPSY SINGL/MULTI,5281.0,5281.0,,,0
HCPCS,44361,HC PR ENDO UPPER SM INTESTINE ENTEROSCOPY W BIOPSY,427.0,427.0,,,0
HCPCS,44361,Small bowel endoscopy/biopsy,,,1985.84,9069.04,10
HCPCS,44363,Small bowel endoscopy,,,1985.84,9069.04,10
HCPCS,44364,HC PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE,545.0,545.0,,,0
HCPCS,44364,HC SM INTST ENDO ENTEROSC W REM TUMOR(S)/PLYP(S)/OTHR LSIONS(S) SNARE,5281.0,5281.0,,,0
HCPCS,44364,Small bowel endoscopy,,,1985.84,9069.04,10
HCPCS,44365,HC PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION W HOT BX OR CAUTERY,486.0,486.0,,,0
HCPCS,44365,Small bowel endoscopy,,,1985.84,9069.04,10
HCPCS,44366,HC ENTEROSCOPY W/CTRL BLEEDING,5281.0,5281.0,,,0
HCPCS,44366,HC PR ENTEROSCOPY > 2ND PRTN W CTRL BLEEDING,641.0,641.0,,,0
HCPCS,44366,Small bowel endoscopy,,,1985.84,9069.04,10
HCPCS,44369,HC ENTEROSCOPY W/ABLATION TUMOR(S)/POLYP(S)/OTHR LESION(S),4814.0,4814.0,,,0
HCPCS,44369,HC PR SM INTEST ENDO ENTEROSCOPY >2ND PRTN W ABL TUMOR POLYP OTH LES,656.0,656.0,,,0
HCPCS,44369,Small bowel endoscopy,,,1985.84,9069.04,10
HCPCS,44370,Small Bowel Endoscopy/Stent,,,5391.0,28691.96,10
HCPCS,44372,HC ENDOS SM INTESTINAL ENTEROSCOPY W PLCMNT PERCUT JEJUNOSTOMY TUBE,4620.0,4620.0,,,0
HCPCS,44372,HC PR SM INTEST ENDO ENTEROSCOPY >2ND PRTN W PLCMNT PER JEJUNOTMY TUBE,639.0,639.0,,,0
HCPCS,44372,Small bowel endoscopy,,,1985.84,9069.04,10
HCPCS,44373,HC ENDOS SM INTEST ENTEROSCOPY W CON PERCUT GASTRO TO JEJUNOSTOMY TUBE,5226.0,5226.0,,,0
HCPCS,44373,HC PR SM INTEST ENDO ENTEROSCOPY >2ND PRTN CONVERT G TUBE TO J TUBE,510.0,510.0,,,0
HCPCS,44373,Small bowel endoscopy,,,1985.84,9069.04,10
HCPCS,44376,HC ENTEROSCOPY INCLUDE ILEUM DIAG W/WO COLL SPECIMEN BY BRUSH/WASH,4327.0,4327.0,,,0
HCPCS,44376,HC PR SM INTEST ENDO ENTEROSCOPY >2ND PRTN W ILEUM W/WO COLL SPEC,759.0,759.0,,,0
HCPCS,44376,Small bowel endoscopy,,,1985.84,9069.04,10
HCPCS,44377,HC ENTEROSCOPY INCLUDE ILEUM W BX SINGL/MULTI,4327.0,4327.0,,,0
HCPCS,44377,HC PR SM INTEST ENDO ENTEROSCOPY>2ND PRTN W ILEUM W BIOPSY SINGLE/MULTI,798.0,798.0,,,0
HCPCS,44377,Small bowel endoscopy/biopsy,,,1985.84,9069.04,10
HCPCS,44378,HC ENTEROSCOPY ILEUM W/CTRL BLEED,4327.0,4327.0,,,0
HCPCS,44378,HC PR SM INTEST ENDO ENTEROSCOPY >2ND PRTN W ILEUM CONTROL BLEEDING,1026.0,1026.0,,,0
HCPCS,44378,Small bowel endoscopy,,,1985.84,9069.04,10
HCPCS,44379,S Bowel Endoscope W/Stent,,,5391.0,28691.96,10
HCPCS,44380,HC ILEOSCOPY VIA STOMA DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,3604.0,3604.0,,,0
HCPCS,44380,HC PR ILEOSCOPY VIA STOMA DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PRF,168.0,168.0,,,0
HCPCS,44380,Small bowel endoscopy br/wa,,,946.03,4286.55,10
HCPCS,44381,Small bowel endoscopy br/wa,,,1985.84,12989.24,10
HCPCS,44382,HC ILEOSCOPY VIA STOMA W BIOPSY SINGL/MULTI,3604.0,3604.0,,,0
HCPCS,44382,HC PR ILEOSCOPY VIA STOMA W BIOPSY SINGL/MULTI,262.0,262.0,,,0
HCPCS,44382,Small bowel endoscopy,,,946.03,4286.55,10
HCPCS,44384,Small bowel endoscopy,,,1985.84,12989.24,10
HCPCS,44385,Endoscopy of bowel pouch,,,953.83,4395.12,10
HCPCS,44385,HC POUCHOSCOPY DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,3604.0,3604.0,,,0
HCPCS,44385,HC PR POUCHOSCOPY DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,576.0,576.0,,,0
HCPCS,44386,Endoscopy bowel pouch/biop,,,953.83,4395.12,10
HCPCS,44386,HC POUCHOSCOPY W BX SING/MULTI,3604.0,3604.0,,,0
HCPCS,44386,HC PR POUCHOSCOPY W BX SING/MULTI,772.0,772.0,,,0
HCPCS,44388,Colonoscopy thru stoma spx,,,953.83,4395.12,10
HCPCS,44388,HC COLONOSCOPY VIA STOMA DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,3338.0,3338.0,,,0
HCPCS,44388,HC PR COLONOSCOPY VIA STOMA DIAG INC COLL SPECIMEN(S) BRUSH/WASH WH PR,769.0,769.0,,,0
HCPCS,44389,Colonoscopy with biopsy,,,1231.55,5655.5,10
HCPCS,44389,HC COLONOSCOPY VIA STOMA W BX SING/MULTI,3338.0,3338.0,,,0
HCPCS,44389,HC PR COLONOSCOPY VIA STOMA W BX SING/MULTI,1056.0,1056.0,,,0
HCPCS,44390,Colonoscopy for foreign body,,,953.83,4395.12,10
HCPCS,44391,Colonoscopy for bleeding,,,1231.55,5655.5,10
HCPCS,44391,HC COLONOSCOPY VIA STOMA W CONTROL BLEED ANY METHOD,3338.0,3338.0,,,0
HCPCS,44392,Colonoscopy & polypectomy,,,1231.55,5655.5,10
HCPCS,44394,Colonoscopy w/snare,,,1231.55,6270.01,10
HCPCS,44394,HC COLON VIA STOMA W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECH,2710.0,2710.0,,,0
HCPCS,44394,HC PR COLON VIA STOMA W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECH,1323.0,1323.0,,,0
HCPCS,44401,Colonoscopy with ablation,,,1231.55,5655.5,10
HCPCS,44402,Colonoscopy w/stent plcmt,,,4274.0,28691.96,10
HCPCS,44403,Colonoscopy w/resection,,,1231.55,5655.5,10
HCPCS,44404,Colonoscopy w/injection,,,1231.55,5655.5,10
HCPCS,44404,HC COLONOSCOPY VIA STOMA W SUBMUCOSAL INJ(S) ANY SUBSTANCE,4824.0,4824.0,,,0
HCPCS,44405,Colonoscopy w/dilation,,,1231.55,5655.5,10
HCPCS,44405,HC COLONOSCOPY THROU STOMA W TRANSENDO BALLOON DILATION,4454.0,4454.0,,,0
HCPCS,44405,HC PR COLONOSCOPY THROU STOMA W TRANSENDO BALLOON DILATION,1105.0,1105.0,,,0
HCPCS,44406,Colonoscopy w/ultrasound,,,1231.55,5655.5,10
HCPCS,44407,Colonoscopy w/ndl aspir/bx,,,1231.55,5655.5,10
HCPCS,44408,Colonoscopy w/decompression,,,953.83,4395.12,10
HCPCS,44500,HC INTRO LONG GI TUBE SEP PROC,4454.0,4454.0,,,0
HCPCS,44500,Intro gastrointestinal tube,,,946.03,4286.55,10
HCPCS,44602,Suture small intestine,,,4334.85,18221.53,9
HCPCS,44603,Suture small intestine,,,2073.0,9829.75,5
HCPCS,44604,Suture large intestine,,,2073.0,9829.75,5
HCPCS,44605,Repair of bowel lesion,,,2073.0,9829.75,5
HCPCS,44615,Intestinal stricturoplasty,,,2073.0,9829.75,6
HCPCS,44620,Repair bowel opening,,,2073.0,9829.75,6
HCPCS,44625,Repair bowel opening,,,2073.0,9829.75,5
HCPCS,44626,Repair bowel opening,,,2073.0,9829.75,5
HCPCS,44640,Repair bowel-skin fistula,,,2073.0,9829.75,6
HCPCS,44650,Repair bowel fistula,,,2073.0,9829.75,6
HCPCS,44660,Repair bowel-bladder fistula,,,2073.0,9829.75,5
HCPCS,44661,Repair bowel-bladder fistula,,,2073.0,9829.75,5
HCPCS,44680,Surgical revision intestine,,,2073.0,9829.75,5
HCPCS,44700,Suspend bowel w/prosthesis,,,2073.0,9829.75,5
HCPCS,44701,Intraop colon lavage add-on,,,1473.0,1473.0,1
HCPCS,44705,HC PR PREP FECAL MICROBIOTA INSTILLATION,261.0,261.0,,,0
HCPCS,44705,HC PREP FECAL MICROBIOTA INSTILLATION,339.0,339.0,,,0
HCPCS,44705,Prepare fecal microbiota,,,123.72,245.24,4
HCPCS,44715,Prepare donor intestine,,,2073.0,12989.24,6
HCPCS,44720,Prep donor intestine/venous,,,2073.0,12989.24,6
HCPCS,44721,Prep donor intestine/artery,,,2073.0,12989.24,6
HCPCS,44799,HC COLONOSCOPY W CHROMOENDOSCOPY,3016.0,3016.0,,,0
HCPCS,44799,HC ENTEROSCOPY INCLUDE ILEUM W SUBMUCOSAL INJ,5646.0,5646.0,,,0
HCPCS,44799,HC ENTEROSCOPY W BALLOON DILATION,4204.0,4204.0,,,0
HCPCS,44799,HC RETROGRADE EXAM SMALL INTESTINE VIA ANUS OR COLON STOMA,4838.0,4838.0,,,0
HCPCS,44799,HC SMALL BOWEL ENTEROSCOPY WITH TATTOO,3604.0,3604.0,,,0
HCPCS,44799,Unlisted px small intestine,,,946.03,9812.66,9
HCPCS,44800,Excision of bowel pouch,,,2073.0,9829.75,6
HCPCS,44820,Excision of mesentery lesion,,,2073.0,9829.75,6
HCPCS,44850,Repair of mesentery,,,2073.0,9829.75,5
HCPCS,44899,Bowel surgery procedure,,,2073.0,9829.75,5
HCPCS,44900,Drain appendix abscess open,,,2073.0,9829.75,6
HCPCS,44950,Appendectomy,,,5391.0,30596.23,10
HCPCS,44955,Appendectomy add-on,,,1473.0,8888.68,2
HCPCS,44960,Appendectomy,,,2073.0,9829.75,6
HCPCS,44970,Laparoscopy appendectomy,,,6021.71,28572.05,10
HCPCS,44979,Laparoscope proc app,,,6021.71,28572.05,9
HCPCS,45000,Drainage of pelvic abscess,,,1231.55,8777.61,10
HCPCS,45005,Drainage of rectal abscess,,,1231.55,6270.01,10
HCPCS,45005,HC I&D SUBMUCOSAL ABSCESS RECTUM,5145.0,5145.0,,,0
HCPCS,45020,Drainage of rectal abscess,,,2930.29,13118.18,10
HCPCS,45100,Biopsy of rectum,,,2630.44,13118.18,10
HCPCS,45100,HC PR BIOPSY ANORECTAL WALL,858.0,858.0,,,0
HCPCS,45100,HC RECTAL SUCTION BIOPSY,4660.0,4660.0,,,0
HCPCS,45108,Removal of anorectal lesion,,,2930.29,13118.18,10
HCPCS,45110,Removal of rectum,,,2073.0,9829.75,5
HCPCS,45111,Partial removal of rectum,,,2073.0,9829.75,5
HCPCS,45112,Removal of rectum,,,2073.0,9829.75,5
HCPCS,45113,Partial proctectomy,,,2073.0,12989.24,6
HCPCS,45114,Partial removal of rectum,,,2073.0,9829.75,5
HCPCS,45116,Partial removal of rectum,,,2073.0,9829.75,5
HCPCS,45119,Remove rectum w/reservoir,,,2073.0,9829.75,5
HCPCS,45120,Removal of rectum,,,2073.0,9829.75,5
HCPCS,45121,Removal of rectum and colon,,,2073.0,9829.75,5
HCPCS,45123,Partial proctectomy,,,6880.82,9829.75,6
HCPCS,45126,Pelvic exenteration,,,2073.0,12989.24,6
HCPCS,45130,Excision of rectal prolapse,,,2073.0,9829.75,6
HCPCS,45135,Excision of rectal prolapse,,,2073.0,9829.75,5
HCPCS,45136,Excise ileoanal reservior,,,2073.0,9829.75,5
HCPCS,45150,Excision of rectal stricture,,,1231.55,8777.61,10
HCPCS,45160,Excision of rectal lesion,,,2930.29,13118.18,10
HCPCS,45171,Exc rect tum transanal part,,,2930.29,13118.18,10
HCPCS,45172,Exc rect tum transanal full,,,2930.29,13118.18,10
HCPCS,45190,Destruction rectal tumor,,,2930.29,13118.18,10
HCPCS,45300,HC PR PROCTOSIGMOIDOSCOPY RIGID DIAG W/WO COLL SPECIMEN(S) BRUSH/WASH,223.0,223.0,,,0
HCPCS,45300,HC PROCTOSIGMOIDOSCOPY RIGID DIAG W/WO COLL SPECIMEN(S) BRUSH/WASH,2678.0,2678.0,,,0
HCPCS,45300,Proctosigmoidoscopy dx,,,953.83,4395.12,10
HCPCS,45303,Proctosigmoidoscopy dilate,,,1231.55,5655.5,10
HCPCS,45305,HC PR PROCTOSIGMOIDOSCOPY W/ BIOPSY,429.0,429.0,,,0
HCPCS,45305,Proctosigmoidoscopy w/bx,,,1231.55,5655.5,10
HCPCS,45307,HC PROCTOSIGMOIDOSCOPY W REM FB,6386.0,6386.0,,,0
HCPCS,45307,Proctosigmoidoscopy fb,,,2630.44,13118.18,10
HCPCS,45308,Proctosigmoidoscopy removal,,,2630.44,13118.18,10
HCPCS,45309,Proctosigmoidoscopy removal,,,1231.55,5655.5,10
HCPCS,45315,Proctosigmoidoscopy removal,,,1231.55,5655.5,10
HCPCS,45317,Proctosigmoidoscopy bleed,,,1231.55,5655.5,10
HCPCS,45320,Proctosigmoidoscopy ablate,,,2630.44,13118.18,10
HCPCS,45321,Proctosigmoidoscopy volvul,,,2630.44,13118.18,10
HCPCS,45327,Proctosigmoidoscopy W/Stent,,,2630.44,28691.96,10
HCPCS,45330,Diagnostic sigmoidoscopy,,,953.83,4395.12,10
HCPCS,45330,HC PR SIGMOIDOSCOPY FLEX DIAGNOSTIC,334.0,334.0,,,0
HCPCS,45330,HC SIGMOIDOSCOPY FLEX DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WHN PERF,2678.0,2678.0,,,0
HCPCS,45330,HC SIGMOIDOSCOPY FLEXIBLE,2678.0,2678.0,,,0
HCPCS,45331,HC PR SIGMOIDOSCOPY FLEX W BIOPSY SINGLE/MULTI,513.0,513.0,,,0
HCPCS,45331,HC SIGMOIDOSCOPY W BIOPSY SINGLE OR MULTIPLE,2678.0,2678.0,,,0
HCPCS,45331,Sigmoidoscopy and biopsy,,,953.83,4395.12,10
HCPCS,45332,HC PR SIGMOIDOSCOPY FLEX W REMOVAL OF FOREIGN BODY,492.0,492.0,,,0
HCPCS,45332,HC SIGMOIDOSCOPY FLEX W REMOVAL OF FOREIGN BODY,2124.0,2124.0,,,0
HCPCS,45332,HC SIGMOIDOSCOPY W REMOVAL OF FOREIGN BODY(S),2684.0,2684.0,,,0
HCPCS,45332,Sigmoidoscopy w/fb removal,,,1231.55,5655.5,10
HCPCS,45333,HC PR SIGMOID W/REM TUMOR PLYP OR OTH LESION HOT BX FORCEPS,640.0,640.0,,,0
HCPCS,45333,HC SIGMOID FLEX W/REM TUMOR(S)/POLYP(S)/OTHR LESION(S) BY HOT BX FORCEPS,2798.0,2798.0,,,0
HCPCS,45333,Sigmoidoscopy & polypectomy,,,953.83,4395.12,10
HCPCS,45334,HC PR SIGMOIDOSCOPY FLEX W CONTROL OF BLEED ANY METHOD,1214.0,1214.0,,,0
HCPCS,45334,HC SIGMOIDOSCOPY W/ CTRL BLEEDING,3498.0,3498.0,,,0
HCPCS,45334,Sigmoidoscopy for bleeding,,,1231.55,5655.5,10
HCPCS,45335,HC PR SIGMOIDOSCOPY W DIRECT SUBMUCOSAL INJ(S) ANY SUBSTANCE,498.0,498.0,,,0
HCPCS,45335,HC SIGMOIDOSCOPY W DIRECT SUBMUCOSAL INJ(S) ANY SUBSTANCE,2678.0,2678.0,,,0
HCPCS,45335,Sigmoidoscopy w/submuc inj,,,953.83,4395.12,10
HCPCS,45337,HC PR SIGMOID FLEX W DECOMPRESSION,310.0,310.0,,,0
HCPCS,45337,HC SIGMOID FLEX W DECOMPRESSION,2086.0,2086.0,,,0
HCPCS,45337,Sigmoidoscopy & decompress,,,953.83,4395.12,10
HCPCS,45338,HC PR SIGMOID W/REM TUMOR PLYP OR OTH LESION SNARE TECH,565.0,565.0,,,0
HCPCS,45338,HC SIGMOID W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECHNIQUE,5281.0,5281.0,,,0
HCPCS,45338,Sigmoidoscopy w/tumr remove,,,1231.55,5655.5,10
HCPCS,45340,HC PR SIGMOIDOSCOPY W TRANSENDO BALLOON DILATION,885.0,885.0,,,0
HCPCS,45340,HC SIGMOIDOSCOPY W TRANSENDO BALLOON DILATION,4373.0,4373.0,,,0
HCPCS,45340,Sig w/tndsc balloon dilation,,,1231.55,5655.5,10
HCPCS,45341,HC PR SIGMOIDOSCOPY W ULTRASOUND,339.0,339.0,,,0
HCPCS,45341,HC SIGMOIDOSCOPY W ULTRASOUND,2575.0,2575.0,,,0
HCPCS,45341,Sigmoidoscopy W/Ultrasound,,,953.83,4395.12,10
HCPCS,45342,HC SIGMOID FL W TRANSENDO US GUIDE INTRA/TRNSMURL FNA/BIOPSY(S),5265.0,5265.0,,,0
HCPCS,45342,Sigmoidoscopy W/Us Guide Bx,,,1231.55,5655.5,10
HCPCS,45346,HC PR SIGMOIDOSCOPY FLEX W ABLATION TUMOR POLYP OR OTH LESION,429.0,429.0,,,0
HCPCS,45346,HC SIGMOIDOSCOPY W ABLATION TUMOR(S)/POLYP(S)/OTHR LESION(S),3498.0,3498.0,,,0
HCPCS,45346,Sigmoidoscopy w/ablation,,,1231.55,5655.5,10
HCPCS,45347,HC PR SIGMOIDOSCOPY W PLACEMENT OF ENDOSCOPIC STENT W DIL WH PERF,389.0,389.0,,,0
HCPCS,45347,HC SIGMOIDOSCOPY W PLACEMENT OF ENDOSCOPIC STENT W DIL WH PERF,12961.0,12961.0,,,0
HCPCS,45347,Sigmoidoscopy w/plcmt stent,,,2630.44,28691.96,10
HCPCS,45349,HC SIGMOID FLEX W ENDOSCOPIC MUCOSAL RESECTION,6386.0,6386.0,,,0
HCPCS,45349,Sigmoidoscopy w/resection,,,2630.44,13118.18,10
HCPCS,45350,HC PR SIGMOIDOSCOPY FLEX W BAND LIGATION(S),1060.0,1060.0,,,0
HCPCS,45350,HC SIGMOIDOSCOPY FLEX W BAND LIGATION(S),4326.0,4326.0,,,0
HCPCS,45350,Sgmdsc w/band ligation,,,1231.55,5655.5,10
HCPCS,45378,Diagnostic colonoscopy,,,953.83,4395.12,10
HCPCS,45378,HC COLONOSCOPY FLEX DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,3671.0,3671.0,,,0
HCPCS,45378,HC PR COLONOSCOPY FLEX DIAGNOSTIC,946.0,946.0,,,0
HCPCS,45379,Colonoscopy w/fb removal,,,1231.55,5655.5,10
HCPCS,45379,HC COLONOSCOPY W REMOVAL OF FOREIGN BODY(S),4408.0,4408.0,,,0
HCPCS,45379,HC PR COLONOSCOPY FLEX W REMOVAL OF FOREIGN BODY,1220.0,1220.0,,,0
HCPCS,45380,Colonoscopy and biopsy,,,1231.55,5655.5,10
HCPCS,45380,HC COLONOSCOPY W BIOPSY SINGLE OR MULTIPLE,3671.0,3671.0,,,0
HCPCS,45380,HC PR COLONOSCOPY FLEX W BIOPSY SINGLE/MULTI,944.0,944.0,,,0
HCPCS,45381,Colonoscopy submucous njx,,,1231.55,5655.5,10
HCPCS,45381,HC COLON W DIRECT SUBMUCOSAL INJECTION(S) ANY SUBSTANCE,3338.0,3338.0,,,0
HCPCS,45381,HC PR COLON W SUBMUCOSAL INJ,1134.0,1134.0,,,0
HCPCS,45382,Colonoscopy w/control bleed,,,1231.55,5655.5,10
HCPCS,45382,HC COLONOSCOPY W CONTROL  BLEEDING ANY METHOD,3671.0,3671.0,,,0
HCPCS,45382,HC PR COLONOSCOPY FLEX W CTRL BLEEDING ANY METHOD,993.0,993.0,,,0
HCPCS,45384,Colonoscopy w/lesion removal,,,1231.55,5655.5,10
HCPCS,45384,HC COLON W REM TUMORS(S)/POLYP(S)/OTH LESION(S) BY HOT BX FORCEPS,3671.0,3671.0,,,0
HCPCS,45384,HC PR COLONSCPY FLEX W REM TUMOR POLYP OR OTH LESION HOT BX FORCEPS,1126.0,1126.0,,,0
HCPCS,45385,Colonoscopy w/lesion removal,,,1231.55,5655.5,10
HCPCS,45385,HC COLONOSCOPY W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECHNIQUE,3671.0,3671.0,,,0
HCPCS,45385,HC PR COLONOSCPY FLEX W REM TUMOR POLYP OR OTH LESION SNARE TECH,1271.0,1271.0,,,0
HCPCS,45386,Colonoscopy w/balloon dilat,,,1231.55,5655.5,10
HCPCS,45386,HC COLONOSCOPY W BALLOON DILATION,3338.0,3338.0,,,0
HCPCS,45386,HC PR COLONOSCOPY W BALLOON DILATION,1205.0,1205.0,,,0
HCPCS,45388,Colonoscopy w/ablation,,,1231.55,5655.5,10
HCPCS,45388,HC COLONOSCOPY ABL OF TUMOR(S)/POLYP(S)/OTHR LESION(S) INC DIL W PERF,3338.0,3338.0,,,0
HCPCS,45388,HC PR COLONOSCOPY FLEX W ABLATION TUMOR POLYP OR OTH LESION,775.0,775.0,,,0
HCPCS,45389,Colonoscopy w/stent plcmt,,,2630.44,28691.96,10
HCPCS,45389,HC COLONOSCOPY W STENT PLACMNT INCL DILATION & GUIDE WIRE PASS WH PERF,3671.0,3671.0,,,0
HCPCS,45389,HC PR COLONOSCOPY W STENT PLCMNT INCL DILAT & GUIDE WIRE PASS WH PERF,731.0,731.0,,,0
HCPCS,45390,Colonoscopy w/resection,,,2630.44,13118.18,10
HCPCS,45390,HC COLONOSCOPY W ENDOSCOPIC MUCOSAL RESECTION,3145.0,3145.0,,,0
HCPCS,45390,HC PR COLONOSCOPY W ENDOSCOPIC MUCOSAL RESECTION,837.0,837.0,,,0
HCPCS,45391,Colonoscopy w/endoscope us,,,1231.55,5655.5,10
HCPCS,45391,HC COLON W EUS LIMITED RECTUM/LG INTEST,4316.0,4316.0,,,0
HCPCS,45391,HC PR COLON W EUS LIMITED RECTUM/LG INTEST,715.0,715.0,,,0
HCPCS,45392,Colonoscopy w/endoscopic fnb,,,1231.55,5655.5,10
HCPCS,45392,HC COLON W EUS GUID FNA/BX INC EUS EXAM OF RECTUM/LG INTEST,4316.0,4316.0,,,0
HCPCS,45393,Colonoscopy w/decompression,,,1231.55,5655.5,10
HCPCS,45393,HC COLONOSCOPY W DECOMPRESSION,4294.0,4294.0,,,0
HCPCS,45393,HC PR COLONOSCOPY W DECOMPRESSION,635.0,635.0,,,0
HCPCS,45395,Lap removal of rectum,,,2073.0,9829.75,5
HCPCS,45397,Lap remove rectum w/pouch,,,2073.0,9829.75,5
HCPCS,45398,Colonoscopy w/band ligation,,,1231.55,5655.5,10
HCPCS,45398,HC COLONOSCOPY W BAND LIGATION(S),4486.0,4486.0,,,0
HCPCS,45398,HC PR COLONOSCOPY W BAND LIGATION(S),1321.0,1321.0,,,0
HCPCS,45399,Unlisted procedure colon,,,953.83,4395.12,9
HCPCS,45400,Laparoscopic proc,,,5391.0,9829.75,5
HCPCS,45402,Lap proctopexy w/sig resect,,,2073.0,9829.75,5
HCPCS,45499,Laparoscope proc rectum,,,6021.71,28572.05,9
HCPCS,45500,Repair of rectum,,,2930.29,13118.18,10
HCPCS,45505,Repair of rectum,,,2930.29,13118.18,10
HCPCS,45520,Treatment of rectal prolapse,,,513.19,4395.12,10
HCPCS,45540,Correct rectal prolapse,,,2073.0,9829.75,6
HCPCS,45541,Correct rectal prolapse,,,2930.29,13118.18,10
HCPCS,45550,Repair rectum/remove sigmoid,,,2073.0,12989.24,6
HCPCS,45560,Repair of rectocele,,,2930.29,13118.18,10
HCPCS,45562,Exploration/repair of rectum,,,2073.0,9829.75,6
HCPCS,45563,Exploration/repair of rectum,,,2073.0,9829.75,6
HCPCS,45800,Repair rect/bladder fistula,,,2073.0,9829.75,6
HCPCS,45805,Repair fistula w/colostomy,,,2073.0,9829.75,5
HCPCS,45820,Repair rectourethral fistula,,,2073.0,9829.75,5
HCPCS,45825,Repair fistula w/colostomy,,,2073.0,9829.75,5
HCPCS,45900,Reduction of rectal prolapse,,,953.83,4395.12,10
HCPCS,45905,Dilation of anal sphincter,,,1231.55,6135.92,10
HCPCS,45905,HC DILATION OF ANAL SPHINCTER UNDER ANESTHESIA OTHAN THAN LOCAL,4921.0,4921.0,,,0
HCPCS,45910,Dilation of rectal narrowing,,,1231.55,6135.92,10
HCPCS,45910,HC DILATION OF RECTAL STRICTURE UNDER ANESTHESIA,5359.0,5359.0,,,0
HCPCS,45915,HC REMOVAL FECAL IMPACT OR FOREIGN BODY UNDER ANESTHESIA,4629.0,4629.0,,,0
HCPCS,45915,Remove rectal obstruction,,,1231.55,6135.92,10
HCPCS,45990,HC ANORECTAL EXAM SURG REQ ANESTHESIA (GEN SPINAL OR EPI) DIAG,4990.0,4990.0,,,0
HCPCS,45990,Surg dx exam anorectal,,,2930.29,13118.18,10
HCPCS,45999,HC UNLISTED PROCEDURE RECTUM,2760.0,2760.0,,,0
HCPCS,45999,Rectum surgery procedure,,,953.83,4395.12,9
HCPCS,46020,Placement of seton,,,2930.29,13118.18,10
HCPCS,46030,Removal of rectal marker,,,1231.55,5655.5,10
HCPCS,46040,HC I&D ISCHIO/PERI/RECTAL ABSC,4596.0,4596.0,,,0
HCPCS,46040,HC I&D ISCHIORECTAL &OR PERIRECTAL ABSCESS,4596.0,4596.0,,,0
HCPCS,46040,Incision of rectal abscess,,,1231.55,9812.66,10
HCPCS,46045,Incision of rectal abscess,,,2930.29,13118.18,10
HCPCS,46050,HC I&D OF PERIANAL ABC(SPRF,2678.0,2678.0,,,0
HCPCS,46050,Incision of anal abscess,,,953.83,4395.12,10
HCPCS,46060,Incision of rectal abscess,,,2930.29,13118.18,10
HCPCS,46070,Incision of anal septum,,,2630.44,13118.18,10
HCPCS,46080,Incision of anal sphincter,,,2930.29,13118.18,10
HCPCS,46083,HC INCISION THROM HEMORROID EXT,879.0,879.0,,,0
HCPCS,46083,Incise external hemorrhoid,,,257.92,1473.0,10
HCPCS,46200,Removal of anal fissure,,,2930.29,13118.18,10
HCPCS,46220,Excise anal ext tag/papilla,,,1231.55,6135.92,10
HCPCS,46221,HC HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND LIGATION(S),2678.0,2678.0,,,0
HCPCS,46221,Ligation of hemorrhoid(s),,,953.83,4395.12,10
HCPCS,46230,Removal of anal tags,,,2630.44,13118.18,10
HCPCS,46250,Remove ext hem groups 2+,,,2930.29,13118.18,10
HCPCS,46255,Remove int/ext hem 1 group,,,2930.29,13118.18,10
HCPCS,46257,Remove in/ex hem grp & fiss,,,2930.29,13118.18,10
HCPCS,46258,Remove in/ex hem grp w/fistu,,,2930.29,13118.18,10
HCPCS,46260,Remove in/ex hem groups 2+,,,2930.29,13118.18,10
HCPCS,46261,Remove in/ex hem grps & fiss,,,2930.29,13118.18,10
HCPCS,46262,Remove in/ex hem grps w/fist,,,2930.29,13118.18,10
HCPCS,46270,Remove anal fist subq,,,2930.29,13118.18,10
HCPCS,46275,Remove anal fist inter,,,2930.29,13118.18,10
HCPCS,46280,Remove anal fist complex,,,2930.29,13118.18,10
HCPCS,46285,Remove anal fist 2 stage,,,2630.44,13118.18,10
HCPCS,46288,Repair anal fistula,,,2930.29,13118.18,10
HCPCS,46320,HC EXCISION OF EXTERNAL THROMBOSED HEMORRHOID,6555.0,6555.0,,,0
HCPCS,46320,Removal of hemorrhoid clot,,,1231.55,6270.01,10
HCPCS,46500,Injection into hemorrhoid(s),,,953.83,4395.12,10
HCPCS,46505,Chemodenervation anal musc,,,1231.55,6270.01,10
HCPCS,46505,HC CHEMODENERVATION INTERNAL ANAL SPHINCTER,3313.0,3313.0,,,0
HCPCS,46600,Diagnostic anoscopy spx,,,133.32,1473.0,10
HCPCS,46600,HC ANOSCOPY,425.0,425.0,,,0
HCPCS,46600,HC ANOSCOPY DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF,730.0,730.0,,,0
HCPCS,46601,Diagnostic anoscopy,,,133.32,2111.28,10
HCPCS,46604,Anoscopy and dilation,,,1231.55,5655.5,10
HCPCS,46604,HC ANOSCOPY W/DILATION,3158.0,3158.0,,,0
HCPCS,46606,Anoscopy and biopsy,,,1231.55,5655.5,10
HCPCS,46607,Diagnostic anoscopy & biopsy,,,1231.55,5655.5,10
HCPCS,46608,Anoscopy remove for body,,,953.83,4395.12,10
HCPCS,46608,HC ABDOSCOPY W FB REMOVAL,2275.0,2275.0,,,0
HCPCS,46610,Anoscopy remove lesion,,,2630.44,13118.18,10
HCPCS,46611,Anoscopy,,,953.83,4395.12,10
HCPCS,46612,Anoscopy remove lesions,,,2630.44,13118.18,10
HCPCS,46614,Anoscopy control bleeding,,,1231.55,5655.5,10
HCPCS,46615,Anoscopy,,,2630.44,13118.18,10
HCPCS,46700,Repair of anal stricture,,,2930.29,13118.18,10
HCPCS,46705,Repair of anal stricture,,,2073.0,9829.75,6
HCPCS,46706,Repr of anal fistula w/glue,,,2630.44,13118.18,10
HCPCS,46707,Repair anorectal fist w/plug,,,2930.29,14015.34,10
HCPCS,46710,Repr per/vag pouch sngl proc,,,2073.0,9829.75,5
HCPCS,46712,Repr per/vag pouch dbl proc,,,2073.0,9829.75,5
HCPCS,46715,Rep perf anoper fistu,,,2073.0,9829.75,5
HCPCS,46716,Rep perf anoper/vestib fistu,,,2073.0,9829.75,5
HCPCS,46730,Construction of absent anus,,,2073.0,9829.75,5
HCPCS,46735,Construction of absent anus,,,2073.0,9829.75,5
HCPCS,46740,Construction of absent anus,,,2073.0,9829.75,5
HCPCS,46742,Repair of imperforated anus,,,2073.0,9829.75,5
HCPCS,46744,Repair of cloacal anomaly,,,2073.0,9829.75,5
HCPCS,46746,Repair of cloacal anomaly,,,2073.0,9829.75,5
HCPCS,46748,Repair of cloacal anomaly,,,2073.0,9829.75,5
HCPCS,46750,Repair of anal sphincter,,,2930.29,13118.18,10
HCPCS,46751,Repair of anal sphincter,,,2073.0,9829.75,5
HCPCS,46753,Reconstruction of anus,,,2930.29,13118.18,10
HCPCS,46754,Removal of suture from anus,,,2930.29,13118.18,10
HCPCS,46760,Repair of anal sphincter,,,2930.29,13118.18,10
HCPCS,46761,Repair of anal sphincter,,,2930.29,13118.18,10
HCPCS,46900,Destruction anal lesion(s),,,416.15,1921.25,10
HCPCS,46900,HC DESTRUCT OF LESION ANUS SIMPLE,1074.0,1074.0,,,0
HCPCS,46900,HC PR DESTRUCT OF LESION ANUS SIMPLE,671.0,671.0,,,0
HCPCS,46910,Destruction anal lesion(s),,,1903.17,9751.37,10
HCPCS,46916,Cryosurgery anal lesion(s),,,208.93,1473.0,10
HCPCS,46917,Laser surgery anal lesions,,,2930.29,13118.18,10
HCPCS,46922,Excision of anal lesion(s),,,2630.44,13118.18,10
HCPCS,46924,Destruction anal lesion(s),,,2630.44,13118.18,10
HCPCS,46930,Destroy internal hemorrhoids,,,1231.55,5655.5,10
HCPCS,46940,Treatment of anal fissure,,,2630.44,13118.18,10
HCPCS,46942,Treatment of anal fissure,,,953.83,4395.12,10
HCPCS,46945,Remove by ligat int hem grp,,,2930.29,13118.18,10
HCPCS,46946,Remove by ligat int hem grps,,,2930.29,13118.18,10
HCPCS,46947,Hemorrhoidopexy by stapling,,,2930.29,13118.18,10
HCPCS,46948,Int hrhc tranal dartlzj 2+,,,2930.29,13118.18,10
HCPCS,46999,Anus surgery procedure,,,953.83,4395.12,9
HCPCS,47000,HC BIOPSY LIVER,4454.0,4454.0,,,0
HCPCS,47000,Needle biopsy of liver,,,1692.02,7805.69,10
HCPCS,47001,HC BIOPSY LIVER W OTHER MAJ PROC,1480.0,1480.0,,,0
HCPCS,47001,Needle biopsy liver add-on,,,1473.0,1473.0,1
HCPCS,47010,Open drainage liver lesion,,,2073.0,9829.75,6
HCPCS,47015,Inject/aspirate liver cyst,,,4274.0,9829.75,6
HCPCS,47100,Wedge biopsy of liver,,,4822.0,9829.75,6
HCPCS,47120,Partial removal of liver,,,2073.0,9829.75,5
HCPCS,47122,Extensive removal of liver,,,2073.0,9829.75,5
HCPCS,47125,Partial removal of liver,,,2073.0,9829.75,5
HCPCS,47130,Partial removal of liver,,,2073.0,9829.75,5
HCPCS,47133,Removal of donor liver,,,2073.0,9829.75,5
HCPCS,47135,Transplantation of liver,,,2073.0,9829.75,5
HCPCS,47140,Partial removal donor liver,,,2073.0,48936.18,6
HCPCS,47141,Partial removal donor liver,,,2073.0,48936.18,6
HCPCS,47142,Partial removal donor liver,,,2073.0,48936.18,6
HCPCS,47143,Prep donor liver whole,,,2073.0,9829.75,5
HCPCS,47144,Prep donor liver 3-segment,,,2073.0,48936.18,6
HCPCS,47145,Prep donor liver lobe split,,,2073.0,48936.18,6
HCPCS,47146,Prep donor liver/venous,,,2073.0,9829.75,5
HCPCS,47147,Prep donor liver/arterial,,,2073.0,9829.75,5
HCPCS,47300,Surgery for liver lesion,,,2073.0,9829.75,5
HCPCS,47350,Repair liver wound,,,2073.0,9829.75,5
HCPCS,47360,Repair liver wound,,,2073.0,9829.75,5
HCPCS,47361,Repair liver wound,,,2073.0,9829.75,5
HCPCS,47362,Repair liver wound,,,2073.0,9829.75,5
HCPCS,47370,Laparo ablate liver tumor rf,,,9812.66,50238.16,10
HCPCS,47371,Laparo ablate liver cryosurg,,,10742.82,50238.16,10
HCPCS,47379,Laparoscope procedure liver,,,6021.71,28572.05,9
HCPCS,47380,Open ablate liver tumor rf,,,2073.0,9829.75,5
HCPCS,47381,Open ablate liver tumor cryo,,,2073.0,9829.75,5
HCPCS,47382,HC ABLATION LIVER,16022.0,16022.0,,,0
HCPCS,47382,Percut ablate liver rf,,,6021.71,28572.05,10
HCPCS,47383,HC CRYOABLATION LIVER TUMORS PERCUTANEOUS,16022.0,16022.0,,,0
HCPCS,47383,Perq abltj lvr cryoablation,,,9556.0,50238.16,10
HCPCS,47384,Abltj ire liver 1+ tum perq,,,11951.51,50238.16,3
HCPCS,47384,HC ABLATION IRREVER ELECTRO LIVER 1OR> TUMORS W IMG GUID PERCUT,23865.0,23865.0,,,0
HCPCS,47399,Liver surgery procedure,,,734.26,3346.74,9
HCPCS,474,Anesth surgery of rib,,,6880.82,9829.75,4
HCPCS,47400,Incision of liver duct,,,2073.0,9829.75,5
HCPCS,47420,Incision of bile duct,,,2073.0,9829.75,5
HCPCS,47425,Incision of bile duct,,,2073.0,9829.75,5
HCPCS,47460,Incise bile duct sphincter,,,2073.0,9829.75,6
HCPCS,47480,Incision of gallbladder,,,2073.0,9829.75,5
HCPCS,47490,HC PERC CHOLE COMP W IMGE GUID,10377.0,10377.0,,,0
HCPCS,47490,Incision of gallbladder,,,3610.61,16921.5,10
HCPCS,47531,HC INJ PROC CHOLANGIO PERCUT W IMG GUIDANCE S&I EXIST ACCESS,9905.0,9905.0,,,0
HCPCS,47531,Injection for cholangiogram,,,1225.7,16921.5,10
HCPCS,47532,HC INJ PROC CHOLANGIO PERCUT W IMG GUIDANCE S&I NEW ACCESS,10377.0,10377.0,,,0
HCPCS,47532,Injection for cholangiogram,,,1545.15,16921.5,10
HCPCS,47533,HC PLCMNT BILI DRAIN CATH PERCUT IMAGE GUIDE S&I EXTERNAL,10377.0,10377.0,,,0
HCPCS,47533,Plmt biliary drainage cath,,,2630.44,16921.5,10
HCPCS,47534,HC PLCMT BILIARY DRAIN PERC W CHOLANGIOGRAPHY W S&I INT-EXT,10377.0,10377.0,,,0
HCPCS,47534,Plmt biliary drainage cath,,,2630.44,16921.5,10
HCPCS,47535,Conversion ext bil drg cath,,,2630.44,16921.5,10
HCPCS,47535,HC CONV EXT BILIARY DRAIN CATH TO INT-EXT BILI DRAIN CATH PERC W S&I,10377.0,10377.0,,,0
HCPCS,47536,Exchange biliary drg cath,,,2630.44,16921.5,10
HCPCS,47536,HC EXCHANGE BILI DRAIN CATH PERCUT IMAGE GUIDE S&I,10377.0,10377.0,,,0
HCPCS,47537,HC REMOVAL BILIARY DRAIN CATH PERC REQ FLUORO GUID W CHOLANGIO S&I,4454.0,4454.0,,,0
HCPCS,47537,Removal biliary drg cath,,,946.03,6990.97,10
HCPCS,47538,HC PLCMT BILE DUCT STENT PERC W CHOLANGIO S&I EA EXIST ACCESS,16022.0,16022.0,,,0
HCPCS,47538,Perq plmt bile duct stent,,,6021.71,28572.05,10
HCPCS,47539,HC PLACEMNT BILE DUCT STENT PERCUT NEW ACCESS WO SEP CATH,16022.0,16022.0,,,0
HCPCS,47539,Perq plmt bile duct stent,,,6021.71,28572.05,10
HCPCS,47540,HC PLACEMNT BILE DUCT STENT PERCUT NEW ACCESS W SEP CATH,16022.0,16022.0,,,0
HCPCS,47540,Perq plmt bile duct stent,,,6021.71,28572.05,10
HCPCS,47541,HC PLCMT ACCESS THRU BILIARY TREE INTO SMALL BOWEL PERC S&I NEW ACCESS,10377.0,10377.0,,,0
HCPCS,47541,Plmt access bil tree sm bwl,,,2630.44,30596.23,10
HCPCS,47542,Dilate biliary duct/ampulla,,,1473.0,11274.34,2
HCPCS,47542,HC BALLOON DILAT BILIARY DUCT / AMPULLA PERC S&I EACH DUCT,1534.0,1534.0,,,0
HCPCS,47543,Endoluminal bx biliary tree,,,1473.0,11274.34,2
HCPCS,47543,HC ENDOLUMINAL BX BILIARY TREE PERC ANY METHOD S&I SINGLE / MULTI,1737.0,1737.0,,,0
HCPCS,47544,HC REM CALCULI/DEBRIS BILI DUCT & OR GALLBLADDER PERCUT S&I,5762.0,5762.0,,,0
HCPCS,47544,Removal duct glbldr calculi,,,1473.0,9729.19,2
HCPCS,47550,Bile duct endoscopy add-on,,,1473.0,1473.0,1
HCPCS,47552,Biliary endo perq dx w/speci,,,5391.0,30596.23,10
HCPCS,47553,Biliary endoscopy thru skin,,,7278.75,30596.23,10
HCPCS,47553,HC BILIARY ENDOS FOR BIOPSY,17624.0,17624.0,,,0
HCPCS,47554,Biliary endoscopy thru skin,,,9556.0,50238.16,10
HCPCS,47554,HC BILIARY ENDOSCOPY PERCUT VIA T-TUBE W REMVL CALCULUS,10377.0,10377.0,,,0
HCPCS,47555,Biliary endoscopy thru skin,,,3610.61,30596.23,10
HCPCS,47555,HC BIL ENDOS/DIL W/O STENT,10377.0,10377.0,,,0
HCPCS,47556,Biliary endoscopy thru skin,,,9556.0,50238.16,10
HCPCS,47556,HC BIL ENDOS/DIL W/STENT,16022.0,16022.0,,,0
HCPCS,47562,Laparoscopic cholecystectomy,,,6021.71,28572.05,10
HCPCS,47563,Laparo cholecystectomy/graph,,,6021.71,28572.05,10
HCPCS,47564,Laparo cholecystectomy/explr,,,9556.0,50238.16,10
HCPCS,47570,Laparo cholecystoenterostomy,,,2073.0,9829.75,6
HCPCS,47579,Laparoscope proc biliary,,,6021.71,28572.05,9
HCPCS,47600,Removal of gallbladder,,,6880.82,9829.75,6
HCPCS,47605,Removal of gallbladder,,,2073.0,9829.75,6
HCPCS,47610,Removal of gallbladder,,,2073.0,9829.75,5
HCPCS,47612,Removal of gallbladder,,,2073.0,9829.75,6
HCPCS,47620,Removal of gallbladder,,,2073.0,9829.75,6
HCPCS,47700,Exploration of bile ducts,,,2073.0,9829.75,6
HCPCS,47701,Bile duct revision,,,2073.0,9829.75,5
HCPCS,47711,Excision of bile duct tumor,,,2073.0,9829.75,5
HCPCS,47712,Excision of bile duct tumor,,,2073.0,9829.75,5
HCPCS,47715,Excision of bile duct cyst,,,2073.0,9829.75,5
HCPCS,47720,Fuse gallbladder & bowel,,,2073.0,9829.75,5
HCPCS,47721,Fuse upper gi structures,,,2073.0,9829.75,5
HCPCS,47740,Fuse gallbladder & bowel,,,2073.0,9829.75,5
HCPCS,47741,Fuse gallbladder & bowel,,,2073.0,12989.24,6
HCPCS,47760,Fuse bile ducts and bowel,,,2073.0,9829.75,5
HCPCS,47765,Fuse liver ducts & bowel,,,2073.0,9829.75,5
HCPCS,47780,Fuse bile ducts and bowel,,,2073.0,9829.75,5
HCPCS,47785,Fuse bile ducts and bowel,,,2073.0,14015.34,6
HCPCS,47800,Reconstruction of bile ducts,,,2073.0,9829.75,5
HCPCS,47801,HC PLACEMENT BILE DUCT SUPP,11049.0,11049.0,,,0
HCPCS,47801,Placement bile duct support,,,2073.0,9829.75,6
HCPCS,47900,Suture bile duct injury,,,2073.0,9829.75,6
HCPCS,47999,Bile tract surgery procedure,,,946.03,9812.66,9
HCPCS,47999,HC UNLISTED PROCED BILIARY TRACK,4454.0,4454.0,,,0
HCPCS,48000,Drainage of abdomen,,,2073.0,9829.75,5
HCPCS,48001,Placement of drain pancreas,,,2073.0,9829.75,5
HCPCS,48020,Removal of pancreatic stone,,,2073.0,9829.75,5
HCPCS,48100,Biopsy of pancreas open,,,2073.0,9829.75,6
HCPCS,48102,HC BIOPSY PANCREAS,4454.0,4454.0,,,0
HCPCS,48102,Needle biopsy pancreas,,,1692.02,7805.69,10
HCPCS,48105,Resect/Debride Pancreas,,,2073.0,9829.75,5
HCPCS,48120,Removal of pancreas lesion,,,2073.0,9829.75,5
HCPCS,48140,Partial removal of pancreas,,,2073.0,9829.75,5
HCPCS,48145,Partial removal of pancreas,,,2073.0,9829.75,5
HCPCS,48146,Pancreatectomy,,,2073.0,9829.75,5
HCPCS,48148,Removal of pancreatic duct,,,2073.0,9829.75,6
HCPCS,48150,Partial removal of pancreas,,,2073.0,9829.75,5
HCPCS,48152,Pancreatectomy,,,2073.0,9829.75,5
HCPCS,48153,Pancreatectomy,,,2073.0,9829.75,5
HCPCS,48154,Pancreatectomy,,,2073.0,9829.75,5
HCPCS,48155,Removal of pancreas,,,2073.0,9829.75,5
HCPCS,48160,Pancreas removal/transplant,,,2073.0,2073.0,1
HCPCS,48400,Injection intraop add-on,,,804.67,9829.75,6
HCPCS,48500,HC MARSUPIAL OF PANCRE CYST,11049.0,11049.0,,,0
HCPCS,48500,Surgery of pancreatic cyst,,,2073.0,9829.75,6
HCPCS,48510,Drain pancreatic pseudocyst,,,2073.0,9829.75,5
HCPCS,48510,HC DRAIN PSEUDOCYST PANCREAS,10879.0,10879.0,,,0
HCPCS,48520,Fuse pancreas cyst and bowel,,,2073.0,9829.75,5
HCPCS,48540,Fuse pancreas cyst and bowel,,,2073.0,9829.75,5
HCPCS,48545,Pancreatorrhaphy,,,2073.0,9829.75,5
HCPCS,48547,Duodenal exclusion,,,2073.0,9829.75,5
HCPCS,48548,Fuse Pancreas and Bowel,,,2073.0,9829.75,5
HCPCS,48551,Prep donor pancreas,,,6880.82,9829.75,4
HCPCS,48552,Prep donor pancreas/venous,,,6880.82,9829.75,4
HCPCS,48554,Transpl allograft pancreas,,,6880.82,9829.75,4
HCPCS,48556,Removal allograft pancreas,,,6880.82,9829.75,4
HCPCS,48999,HC ENDOSCOPIC PANCREAS NECROSECOMY,7364.0,7364.0,,,0
HCPCS,48999,Pancreas surgery procedure,,,734.26,3346.74,9
HCPCS,49000,Exploration of abdomen,,,5391.0,9829.75,6
HCPCS,49002,Reopening of abdomen,,,2073.0,9829.75,6
HCPCS,49010,Exploration behind abdomen,,,5391.0,30596.23,9
HCPCS,49013,Prpertl pel pack hemrrg trma,,,2073.0,9829.75,5
HCPCS,49014,Reexploration pelvic wound,,,2073.0,9829.75,5
HCPCS,49020,Drainage abdom abscess open,,,2073.0,9829.75,6
HCPCS,49040,Drain open abdom abscess,,,2073.0,9829.75,6
HCPCS,49060,Drain open retroperi abscess,,,2073.0,9829.75,6
HCPCS,49062,Drain to peritoneal cavity,,,2073.0,9829.75,5
HCPCS,49082,Abd paracentesis,,,946.03,4286.55,10
HCPCS,49082,HC ABD PARACENTESIS WO IMAGING,2062.0,2062.0,,,0
HCPCS,49083,Abd paracentesis w/imaging,,,946.03,4286.55,10
HCPCS,49083,HC ABDOMINAL PARACENT W GUIDANCE,4473.0,4473.0,,,0
HCPCS,49084,HC PERITONEAL LAVAGE INCLUDING IMAGING GUIDANCE,3450.0,3450.0,,,0
HCPCS,49084,Peritoneal lavage,,,946.03,4286.55,10
HCPCS,49180,Biopsy abdominal mass,,,1692.02,7805.69,10
HCPCS,49180,HC BIOPSY ABD RETRO PERI,4454.0,4454.0,,,0
HCPCS,49185,HC SCLEROTHERAPY FLUID COLLECTION PERC W CONTRAST INJ W IMG GUID S&I,4037.0,4037.0,,,0
HCPCS,49185,Sclerotx fluid collection,,,1692.02,7805.69,10
HCPCS,49186,Opn exc/dstr ntra-abd 5 cm/<,,,4822.0,9829.75,5
HCPCS,49187,Opn exc/dstr ntra-abd 5.1-10,,,4822.0,9829.75,5
HCPCS,49188,Opn exc/dst ntra-abd 10.1-20,,,4822.0,9829.75,5
HCPCS,49189,Opn exc/dst ntra-abd 20.1-30,,,5391.0,9829.75,5
HCPCS,49190,Opn exc/dstr ntra-abd >30 cm,,,5391.0,9829.75,5
HCPCS,49203,Exc abd tum 5 cm or less,,,9812.66,9812.66,1
HCPCS,49204,Exc abd tum over 5 cm,,,9812.66,9812.66,1
HCPCS,49205,Exc abd tum over 10 cm,,,9812.66,9812.66,1
HCPCS,49215,Excise sacral spine tumor,,,2073.0,12989.24,6
HCPCS,49250,Excision of umbilicus,,,3610.61,16921.5,10
HCPCS,49255,Removal of omentum,,,4822.0,30596.23,9
HCPCS,49320,Diag laparo separate proc,,,6021.71,28572.05,10
HCPCS,49321,Laparoscopy biopsy,,,6021.71,28572.05,10
HCPCS,49322,Laparoscopy aspiration,,,6021.71,28572.05,10
HCPCS,49323,Laparo drain lymphocele,,,6021.71,28572.05,10
HCPCS,49324,Lap insert tunnel ip cath,,,6021.71,28572.05,10
HCPCS,49325,Lap Revision Perm IP Cath,,,6021.71,28572.05,10
HCPCS,49326,Lap w/Omentopexy Add-on,,,1473.0,13098.88,2
HCPCS,49327,Lap ins device for rt,,,1473.0,13098.88,2
HCPCS,49329,Laparo proc abdm/per/oment,,,6021.71,28572.05,9
HCPCS,49400,Air injection into abdomen,,,1473.0,1473.0,1
HCPCS,49400,HC INJ AIR CONTRST INTO PERIT CAV,1480.0,1480.0,,,0
HCPCS,49402,Remove foreign body adbomen,,,3610.61,16921.5,10
HCPCS,49405,HC IMAGE GUIDED FLUID COLL DRAIN BY CATH VISCERAL PERCUTANEOUS,4454.0,4454.0,,,0
HCPCS,49405,Image cath fluid colxn visc,,,1692.02,7805.69,10
HCPCS,49406,HC IMAGE GUIDE FLU COLL DRAIN CATH PERI/RETROPERI PERCUT,4454.0,4454.0,,,0
HCPCS,49406,Image cath fluid peri/retro,,,1692.02,7805.69,10
HCPCS,49407,HC DRAIN BY CATH PERI OR RETROPERI TRANSVAG/TRANSRECTL SI,4454.0,4454.0,,,0
HCPCS,49407,Image cath fluid trns/vgnl,,,1692.02,7805.69,10
HCPCS,49411,Ins mark abd/pel for rt perq,,,1446.07,6541.6,10
HCPCS,49412,Ins device for rt guide open,,,2073.0,9829.75,5
HCPCS,49418,HC INTRAPER CATH PLACE W SI,10377.0,10377.0,,,0
HCPCS,49418,Insert tun ip cath perc,,,2630.44,16921.5,10
HCPCS,49419,HC INSERT TUNNEL INTRAPERITONEAL CATH W SUBCUT PORT,16823.0,16823.0,,,0
HCPCS,49419,Insert tun ip cath w/port,,,2630.44,26298.58,10
HCPCS,49421,HC INSERT PERIT DRAIN/DIAL PERMA,10377.0,10377.0,,,0
HCPCS,49421,Ins tun ip cath for dial opn,,,2630.44,16921.5,10
HCPCS,49422,HC REMOV TUNNEL INTRAP CATHETER,10377.0,10377.0,,,0
HCPCS,49422,Remove tunneled ip cath,,,2630.44,14922.72,10
HCPCS,49423,Exchange drainage catheter,,,1985.84,9069.04,10
HCPCS,49423,HC EXCHANGE OF DRAINAGE CATHETER,5069.0,5069.0,,,0
HCPCS,49424,Assess cyst contrast inject,,,1473.0,1473.0,1
HCPCS,49424,HC CONTRAST INJ PREV PLACED CATH,1480.0,1480.0,,,0
HCPCS,49425,Insert abdomen-venous drain,,,4274.0,9829.75,6
HCPCS,49426,Revise abdomen-venous shunt,,,3610.61,16921.5,10
HCPCS,49427,HC INJ PERIT VENOUS SHT EVL,1613.0,1613.0,,,0
HCPCS,49427,Injection abdominal shunt,,,1473.0,1473.0,1
HCPCS,49428,Ligation of shunt,,,1678.32,9829.75,6
HCPCS,49429,Removal of shunt,,,2630.44,14922.72,10
HCPCS,49435,Insert Subq Exten to IP Cath,,,4274.0,5765.28,2
HCPCS,49436,Embedded IP Cath Exit-Site,,,1985.84,9069.04,10
HCPCS,49440,HC INS G-TUBE FLRO/CO/DOC/REPORT,4454.0,4454.0,,,0
HCPCS,49440,Place gastrostomy tube perc,,,1985.84,9069.04,10
HCPCS,49441,HC INS DUOD/J TUBE/FLRO CO/DOC,4454.0,4454.0,,,0
HCPCS,49441,Place duod/jej tube perc,,,1985.84,9069.04,10
HCPCS,49442,Place cecostomy tube perc,,,1231.55,6135.92,10
HCPCS,49446,Change g-tube to g-j perc,,,1985.84,9069.04,10
HCPCS,49446,HC CHNG G TO J TUBE/FLRO/CO/DOC,4454.0,4454.0,,,0
HCPCS,49450,HC REPLC G/C TUBE/FLRO/CO/DOC,4454.0,4454.0,,,0
HCPCS,49450,Replace g/c tube perc,,,946.03,4286.55,10
HCPCS,49451,HC REPLC DUO/J TUBE/FLRO/CO/DOC,4454.0,4454.0,,,0
HCPCS,49451,Replace duod/jej tube perc,,,946.03,4286.55,10
HCPCS,49452,HC REPLC G TO J TUBE/FLRO/CO DOC,4454.0,4454.0,,,0
HCPCS,49452,Replace g-j tube perc,,,946.03,4286.55,10
HCPCS,49460,Fix g/colon tube w/device,,,946.03,4286.55,10
HCPCS,49460,HC REMOV G/COL TUBE W/DEV/FLRO/CO,4454.0,4454.0,,,0
HCPCS,49465,Fluoro exam of g/colon tube,,,255.73,1473.0,10
HCPCS,49465,HC CO INJ EXT G/J/DUO/G-J DOC/RPT,1480.0,1480.0,,,0
HCPCS,49491,Rpr hern preemie reduc,,,5391.0,28572.05,10
HCPCS,49492,Rpr ing hern premie blocked,,,3610.61,16921.5,10
HCPCS,49495,Rpr ing hernia baby reduc,,,3610.61,16921.5,10
HCPCS,49496,Rpr ing hernia baby blocked,,,3610.61,16921.5,10
HCPCS,49500,Rpr ing hernia init reduce,,,5391.0,30596.23,10
HCPCS,49501,Rpr ing hernia init blocked,,,3610.61,16921.5,10
HCPCS,49505,Prp i/hern init reduc >5 yr,,,3610.61,16921.5,10
HCPCS,49507,Prp i/hern init block >5 yr,,,3610.61,16921.5,10
HCPCS,49520,Rerepair ing hernia reduce,,,3610.61,16921.5,10
HCPCS,49521,Rerepair ing hernia blocked,,,5391.0,30596.23,10
HCPCS,49525,Repair ing hernia sliding,,,3610.61,16921.5,10
HCPCS,49540,Repair lumbar hernia,,,5391.0,28572.05,10
HCPCS,49550,Rpr rem hernia init reduce,,,3610.61,16921.5,10
HCPCS,49553,Rpr fem hernia init blocked,,,3610.61,16921.5,10
HCPCS,49555,Rerepair fem hernia reduce,,,3610.61,16921.5,10
HCPCS,49557,Rerepair fem hernia blocked,,,3610.61,16921.5,10
HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,3610.61,23309.74,10
HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,6021.71,28572.05,10
HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,3610.61,30596.23,10
HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,6021.71,28572.05,10
HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,3610.61,30596.23,10
HCPCS,49596,Rpr aa hrn 1st > 10 ncr/strn,,,6880.82,9829.75,5
HCPCS,49600,Repair umbilical lesion,,,3610.61,16921.5,10
HCPCS,49605,Repair umbilical lesion,,,2073.0,12989.24,6
HCPCS,49606,Repair umbilical lesion,,,2073.0,9829.75,5
HCPCS,49610,Repair umbilical lesion,,,2073.0,9829.75,5
HCPCS,49611,Repair umbilical lesion,,,2073.0,9829.75,5
HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,3610.61,23309.74,10
HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,6021.71,28572.05,10
HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,3610.61,30596.23,10
HCPCS,49616,Rpr aa hrn rcr 3-10 ncr/strn,,,6880.82,9829.75,5
HCPCS,49617,Rpr aa hrn rcr > 10 rdc,,,6880.82,9829.75,5
HCPCS,49618,Rpr aa hrn rcr > 10 ncr/strn,,,6880.82,9829.75,5
HCPCS,49621,Rpr parastomal hernia rdc,,,6880.82,9829.75,5
HCPCS,49622,Rpr parastomal hrna ncr/strn,,,6880.82,9829.75,5
HCPCS,49623,Rmvl ninfct mesh hernia rpr,,,1473.0,1473.0,1
HCPCS,49650,Lap ing hernia repair init,,,6021.71,28572.05,10
HCPCS,49651,Lap ing hernia repair recur,,,6021.71,28572.05,10
HCPCS,49659,Laparo proc hernia repair,,,6021.71,28572.05,9
HCPCS,49900,Repair of abdominal wall,,,1678.32,9829.75,6
HCPCS,49904,Omental flap extra-abdom,,,2073.0,9829.75,6
HCPCS,49905,Omental flap intra-abdom,,,6880.82,9829.75,5
HCPCS,49906,Free omental flap microvasc,,,2073.0,9829.75,6
HCPCS,49999,Abdomen surgery procedure,,,946.03,9812.66,9
HCPCS,49999,HC UNLISTED PROC ABD PERITONEUM,6988.0,6988.0,,,0
HCPCS,50010,Exploration of kidney,,,2073.0,9829.75,5
HCPCS,50020,Renal abscess open drain,,,2125.69,9879.46,10
HCPCS,50040,Drainage of kidney,,,4822.0,9829.75,6
HCPCS,50045,Exploration of kidney,,,2073.0,9829.75,5
HCPCS,50060,Removal of kidney stone,,,2073.0,12989.24,6
HCPCS,50065,Incision of kidney,,,2073.0,9829.75,5
HCPCS,50070,Incision of kidney,,,2073.0,9829.75,5
HCPCS,50075,Removal of kidney stone,,,2073.0,9829.75,5
HCPCS,50080,HC PERC GU STONE <2CM,13066.0,13066.0,,,0
HCPCS,50080,Removal of kidney stone,,,9174.0,44739.89,10
HCPCS,50081,Removal of kidney stone,,,9174.0,44739.89,10
HCPCS,50100,Revise kidney blood vessels,,,2073.0,9829.75,5
HCPCS,50120,Exploration of kidney,,,2073.0,9829.75,5
HCPCS,50125,Explore and drain kidney,,,2073.0,9829.75,5
HCPCS,50130,Removal of kidney stone,,,2073.0,9829.75,5
HCPCS,50200,HC BIOPSY RENAL,4454.0,4454.0,,,0
HCPCS,50200,Renal biopsy perq,,,1692.02,7805.69,10
HCPCS,50205,Renal biopsy open,,,2073.0,9829.75,5
HCPCS,50220,Remove kidney open,,,2073.0,9829.75,6
HCPCS,50225,Removal kidney open complex,,,2073.0,9829.75,5
HCPCS,50230,Removal kidney open radical,,,2073.0,9829.75,5
HCPCS,50234,Removal of kidney & ureter,,,2073.0,9829.75,5
HCPCS,50236,Removal of kidney & ureter,,,2073.0,9829.75,5
HCPCS,50240,Partial removal of kidney,,,2073.0,9829.75,5
HCPCS,50250,Cryoablate renal mass open,,,2073.0,9829.75,5
HCPCS,50280,HC EXC UNROOF CYST KIDNEY,10879.0,10879.0,,,0
HCPCS,50280,Removal of kidney lesion,,,2073.0,9829.75,6
HCPCS,50290,Removal of kidney lesion,,,2073.0,9829.75,5
HCPCS,50300,Remove cadaver donor kidney,,,2073.0,9829.75,5
HCPCS,50320,Remove kidney living donor,,,2073.0,9829.75,5
HCPCS,50323,Prep cadaver renal allograft,,,2073.0,9829.75,5
HCPCS,50325,Prep donor renal graft,,,2073.0,9829.75,5
HCPCS,50327,Prep renal graft/venous,,,2073.0,9829.75,5
HCPCS,50328,Prep renal graft/arterial,,,2073.0,9829.75,5
HCPCS,50329,Prep renal graft/ureteral,,,2073.0,9829.75,5
HCPCS,50340,Removal of kidney,,,2073.0,9829.75,5
HCPCS,50360,Transplantation of kidney,,,2073.0,9829.75,5
HCPCS,50365,Transplantation of kidney,,,2073.0,9829.75,5
HCPCS,50370,Remove transplanted kidney,,,2073.0,9829.75,5
HCPCS,50380,Reimplantation of kidney,,,2073.0,9829.75,5
HCPCS,50382,Change ureter stent percut,,,2125.69,9879.46,10
HCPCS,50382,HC REMOV/REPLAC URET STENT S&I,7691.0,7691.0,,,0
HCPCS,50384,HC REM VIA SNARE/CAPT INDWELL URETERAL STENT VIA PERCUT APPROACH W S&I,8127.0,8127.0,,,0
HCPCS,50384,Remove ureter stent percut,,,2125.69,9879.46,10
HCPCS,50385,Change stent via transureth,,,2125.69,9879.46,10
HCPCS,50385,HC CHANGE STENT VIA TRANSURETH,7691.0,7691.0,,,0
HCPCS,50386,HC REMOVE STENT VIA TRANSURETH,7691.0,7691.0,,,0
HCPCS,50386,Remove stent via transureth,,,2125.69,9879.46,10
HCPCS,50387,Change nephroureteral cath,,,2125.69,9879.46,10
HCPCS,50387,HC CHANGE EXT/INT URETER STENT,4608.0,4608.0,,,0
HCPCS,50389,HC REMOV NEPHROST TUBE FLOUR GUID,2700.0,2700.0,,,0
HCPCS,50389,Remove renal tube w/fluoro,,,712.92,3295.53,10
HCPCS,50390,Drainage of kidney lesion,,,734.26,3423.66,10
HCPCS,50390,HC ASP RENAL CYST/PEL NDLE PERC,2700.0,2700.0,,,0
HCPCS,50391,HC INSTIL THER AGNT RNL PLV NEPHR,1480.0,1480.0,,,0
HCPCS,50391,Instll rx agnt into rnal tub,,,257.92,1473.0,10
HCPCS,50396,HC MANO STUDY THRU CATH,2700.0,2700.0,,,0
HCPCS,50396,Measure kidney pressure,,,712.92,3295.53,10
HCPCS,50400,Revision of kidney/ureter,,,5391.0,12989.24,6
HCPCS,50405,Revision of kidney/ureter,,,5391.0,9829.75,5
HCPCS,50430,HC INJ PROC ANTEGRADE NEPHR & OR URETERO W IMG GUIDE S&I NEW ACCESS,2700.0,2700.0,,,0
HCPCS,50430,Njx px nfrosgrm &/urtrgrm,,,712.92,3295.53,10
HCPCS,50431,HC INJ PROC ANTEGRD NEPHR & OR URETERO W IMG GUIDE S&I EXIST ACCESS,2700.0,2700.0,,,0
HCPCS,50431,Njx px nfrosgrm &/urtrgrm,,,712.92,3295.53,10
HCPCS,50432,HC PLACEMNT NEPHROSTOMY CATH PERCUT IMAGE GUIDE S&I,7691.0,7691.0,,,0
HCPCS,50432,Plmt nephrostomy catheter,,,2125.69,11861.09,10
HCPCS,50433,HC PLCMT NEPHROURETERAL CATH PERC S&I NEW ACCESS,8460.0,8460.0,,,0
HCPCS,50433,Plmt nephroureteral catheter,,,2630.44,16659.58,10
HCPCS,50434,Convert nephrostomy catheter,,,2125.69,9879.46,10
HCPCS,50434,HC CONVERT NEPHROSTMY CATH TO NEPHROURETRL CATH PERC S&I PREEXIST TRCT,2760.0,2760.0,,,0
HCPCS,50435,Exchange nephrostomy cath,,,2125.69,9879.46,10
HCPCS,50435,HC EXCHANGE NEPHROSTOMY CATH PERCUT IMAGE GUIDE S&I,3229.0,3229.0,,,0
HCPCS,50436,Dilat xst trc ndurlgc px,,,2630.44,16659.58,10
HCPCS,50437,Dilat xst trc new access rcs,,,2630.44,21814.35,10
HCPCS,50500,Repair of kidney wound,,,2073.0,9829.75,5
HCPCS,50520,Close kidney-skin fistula,,,2630.44,9829.75,6
HCPCS,50525,Close nephrovisceral fistula,,,2073.0,9829.75,5
HCPCS,50526,Close nephrovisceral fistula,,,2073.0,9829.75,5
HCPCS,50540,Revision of horseshoe kidney,,,2073.0,9829.75,5
HCPCS,50541,Laparo ablate renal cyst,,,9174.0,50238.16,10
HCPCS,50542,Laparo ablate renal mass,,,2630.44,50238.16,10
HCPCS,50543,Laparo partial nephrectomy,,,9556.0,50238.16,10
HCPCS,50544,Laparoscopy pyeloplasty,,,9556.0,50238.16,10
HCPCS,50545,Laparo Radical Nephrectomy,,,2073.0,9829.75,5
HCPCS,50546,Laparoscopic nephrectomy,,,2073.0,12989.24,6
HCPCS,50547,Laparo removal donor kidney,,,2073.0,9829.75,5
HCPCS,50548,Laparo remove w/ureter,,,2073.0,9829.75,5
HCPCS,50549,Laparoscope proc renal,,,6021.71,28572.05,9
HCPCS,50551,Kidney endoscopy,,,2445.83,25340.64,10
HCPCS,50553,Kidney endoscopy,,,2630.44,25340.64,10
HCPCS,50555,Kidney endoscopy & biopsy,,,2445.83,44739.89,10
HCPCS,50557,Kidney endoscopy & treatment,,,2630.44,44739.89,10
HCPCS,50561,Kidney endoscopy & treatment,,,2630.44,25340.64,10
HCPCS,50562,Renal scope w/tumor resect,,,2445.83,44739.89,10
HCPCS,50570,Kidney endoscopy,,,2445.83,16659.58,10
HCPCS,50572,Kidney endoscopy,,,712.92,3295.53,10
HCPCS,50574,Kidney endoscopy & biopsy,,,2445.83,16659.58,10
HCPCS,50575,Kidney endoscopy,,,5400.11,25340.64,10
HCPCS,50576,Kidney endoscopy & treatment,,,2630.44,44739.89,10
HCPCS,50580,Kidney endoscopy & treatment,,,2630.44,25340.64,10
HCPCS,50590,Fragmenting of kidney stone,,,3638.25,16659.58,10
HCPCS,50592,HC RF ABLATION RENAL,16022.0,16022.0,,,0
HCPCS,50592,Perc rf ablate renal tumor,,,6021.71,28572.05,10
HCPCS,50593,HC CRYOABLATION RENAL,16022.0,16022.0,,,0
HCPCS,50593,Perc cryo ablate renal tum,,,9556.0,50238.16,10
HCPCS,50600,Exploration of ureter,,,2073.0,9829.75,6
HCPCS,50605,Insert ureteral support,,,2073.0,9829.75,6
HCPCS,50606,Endoluminal bx urtr rnl plvs,,,1473.0,1473.0,1
HCPCS,50606,HC ENDOLUMINL BX URETR &OR RENL PELVS NONENDO INC IMG GUID & SI,1480.0,1480.0,,,0
HCPCS,50610,Removal of ureter stone,,,2073.0,9829.75,5
HCPCS,50620,Removal of ureter stone,,,2073.0,9829.75,5
HCPCS,50630,Removal of ureter stone,,,2073.0,9829.75,6
HCPCS,50650,Removal of ureter,,,2073.0,9829.75,5
HCPCS,50660,Removal of ureter,,,2073.0,9829.75,5
HCPCS,50684,HC INJ FOR URETEROGRAPHY,1480.0,1480.0,,,0
HCPCS,50684,Injection for ureter x-ray,,,1473.0,1473.0,1
HCPCS,50686,HC MEASURE URETER PRESSURE,355.0,355.0,,,0
HCPCS,50686,Measure ureter pressure,,,144.67,1473.0,10
HCPCS,50688,Change of ureter tube/stent,,,2125.69,9879.46,10
HCPCS,50688,HC CHANGE OF URETEROSTOMY TUBE,4608.0,4608.0,,,0
HCPCS,50690,HC INJ FOR URETEROPYELOGRAPHY,1480.0,1480.0,,,0
HCPCS,50690,Injection for ureter x-ray,,,1473.0,1473.0,1
HCPCS,50693,HC PLACEMNT URETERAL STENT PERCUT S&I PREEXIST NEPHRO TRACT,10377.0,10377.0,,,0
HCPCS,50693,Plmt ureteral stent prq,,,2630.44,16659.58,10
HCPCS,50694,HC PLCMT URETERAL STENT PERC S&I NEW ACCESS WO SEP NEPHRO CATH,10377.0,10377.0,,,0
HCPCS,50694,Plmt ureteral stent prq,,,2630.44,16659.58,10
HCPCS,50695,HC PLCMT URETERAL STENT PERC S&I NEW ACCESS W SEP NEPHRO CATH,10377.0,10377.0,,,0
HCPCS,50695,Plmt ureteral stent prq,,,2630.44,16659.58,10
HCPCS,50700,Revision of ureter,,,2073.0,9829.75,5
HCPCS,50705,HC URETERAL EMBOLIZATION / OCCLUSION W IMG GUIDE S&I,1534.0,1534.0,,,0
HCPCS,50705,Ureteral embolization/occl,,,1473.0,1473.0,1
HCPCS,50706,Balloon dilate urtrl strix,,,1473.0,1473.0,1
HCPCS,50706,HC BALLOON DILAT URETERAL STRICTURE W IMG GUIDE S&I I,1534.0,1534.0,,,0
HCPCS,50715,Release of ureter,,,2073.0,9829.75,5
HCPCS,50722,Release of ureter,,,2073.0,9829.75,5
HCPCS,50725,Release/revise ureter,,,2073.0,9829.75,5
HCPCS,50727,Revise ureter,,,3638.25,16659.58,10
HCPCS,50728,Revise ureter,,,2073.0,9829.75,5
HCPCS,50740,Fusion of ureter & kidney,,,2073.0,9829.75,5
HCPCS,50750,Fusion of ureter & kidney,,,2073.0,9829.75,5
HCPCS,50760,Fusion of ureters,,,2073.0,9829.75,5
HCPCS,50770,Splicing of ureters,,,2073.0,9829.75,5
HCPCS,50780,Reimplant ureter in bladder,,,4822.0,9829.75,6
HCPCS,50782,Reimplant ureter in bladder,,,2073.0,9829.75,6
HCPCS,50783,Reimplant ureter in bladder,,,2073.0,9829.75,6
HCPCS,50785,Reimplant ureter in bladder,,,2073.0,9829.75,5
HCPCS,50800,Implant ureter in bowel,,,2073.0,9829.75,6
HCPCS,50810,Fusion of ureter & bowel,,,2073.0,9829.75,6
HCPCS,50815,Urine shunt to intestine,,,2073.0,9829.75,6
HCPCS,50820,Construct bowel bladder,,,2073.0,9829.75,6
HCPCS,50825,Construct bowel bladder,,,2073.0,9829.75,6
HCPCS,50830,Revise urine flow,,,2073.0,9829.75,6
HCPCS,50840,Replace ureter by bowel,,,2073.0,9829.75,6
HCPCS,50845,Appendico-vesicostomy,,,2073.0,9829.75,6
HCPCS,50860,Transplant ureter to skin,,,2073.0,9829.75,6
HCPCS,50900,Repair of ureter,,,2073.0,9829.75,6
HCPCS,50920,Closure ureter/skin fistula,,,2073.0,9829.75,5
HCPCS,50930,Closure ureter/bowel fistula,,,2073.0,12989.24,6
HCPCS,50940,Release of ureter,,,2073.0,9829.75,6
HCPCS,50945,Laparoscopy ureterolithotomy,,,6021.71,28572.05,10
HCPCS,50947,Laparo New Ureter/Bladder,,,9556.0,50238.16,10
HCPCS,50948,Laparo New Ureter/Bladder,,,9556.0,50238.16,10
HCPCS,50949,Laparoscope proc ureter,,,6021.71,28572.05,9
HCPCS,50951,Endoscopy of ureter,,,2445.83,16659.58,10
HCPCS,50953,Endoscopy of ureter,,,2445.83,16659.58,10
HCPCS,50955,Ureter endoscopy & biopsy,,,2630.44,25340.64,10
HCPCS,50957,Ureter endoscopy & treatment,,,2630.44,25340.64,10
HCPCS,50961,Ureter endoscopy & treatment,,,2630.44,25340.64,10
HCPCS,50970,Ureter endoscopy,,,2445.83,16659.58,10
HCPCS,50972,Ureter endoscopy & catheter,,,2445.83,16659.58,10
HCPCS,50974,Ureter endoscopy & biopsy,,,2630.44,25340.64,10
HCPCS,50976,Ureter endoscopy & treatment,,,2630.44,25340.64,10
HCPCS,50980,Ureter endoscopy & treatment,,,2630.44,25340.64,10
HCPCS,51020,Incise & treat bladder,,,3638.25,16659.58,10
HCPCS,51030,Incise & treat bladder,,,3638.25,9812.66,5
HCPCS,51040,Incise & drain bladder,,,2125.69,9879.46,10
HCPCS,51045,Incise bladder/drain ureter,,,2125.69,9879.46,10
HCPCS,51050,Removal of bladder stone,,,4822.0,25340.64,10
HCPCS,51060,Removal of ureter stone,,,2125.69,13132.56,10
HCPCS,51065,Remove ureter calculus,,,3638.25,16659.58,10
HCPCS,51080,Drainage of bladder abscess,,,2630.44,13728.11,10
HCPCS,51080,HC DRAIN OF BLADD ABSCESS,4429.0,4429.0,,,0
HCPCS,51100,Drain bladder by needle,,,257.92,1473.0,10
HCPCS,51100,HC ASPIR OF BLADDER BY NEEDLE,879.0,879.0,,,0
HCPCS,51101,Drain bladder by trocar/cath,,,393.39,4274.0,10
HCPCS,51101,HC BLAD ASPIR BY INTRACATH,336.0,336.0,,,0
HCPCS,51102,Drain bl w/cath insertion,,,2125.69,9879.46,10
HCPCS,51102,HC ASPIRATION BLADDER W INSERT SUPRAPUB CATH,4845.0,4845.0,,,0
HCPCS,51102,HC BLAD DRAIN W/SUPRAPUB CA,4845.0,4845.0,,,0
HCPCS,51102,HC BLADDER DRAIN W SUPRAPUB CATH,7691.0,7691.0,,,0
HCPCS,51500,Removal of bladder cyst,,,5391.0,28572.05,10
HCPCS,51520,Removal of bladder lesion,,,3638.25,16659.58,10
HCPCS,51525,Removal of bladder lesion,,,5391.0,9829.75,5
HCPCS,51530,Removal of bladder lesion,,,5391.0,9829.75,5
HCPCS,51535,Repair of ureter lesion,,,3638.25,16659.58,10
HCPCS,51550,Partial removal of bladder,,,2073.0,9829.75,6
HCPCS,51555,Partial removal of bladder,,,2073.0,9829.75,6
HCPCS,51565,Revise bladder & ureter(s),,,2073.0,9829.75,6
HCPCS,51570,Removal of bladder,,,2073.0,9829.75,6
HCPCS,51575,Removal of bladder & nodes,,,2073.0,12989.24,6
HCPCS,51580,Remove bladder/revise tract,,,2073.0,12989.24,6
HCPCS,51585,Removal of bladder & nodes,,,2073.0,12989.24,6
HCPCS,51590,Remove bladder/revise tract,,,2073.0,9829.75,5
HCPCS,51595,Remove bladder/revise tract,,,2073.0,12989.24,6
HCPCS,51596,Remove bladder/create pouch,,,2073.0,12989.24,6
HCPCS,51597,Removal of pelvic structures,,,2073.0,9829.75,5
HCPCS,51600,HC INJ FOR CYSTOGRAPHY,1480.0,1480.0,,,0
HCPCS,51600,Injection for bladder x-ray,,,1473.0,1473.0,1
HCPCS,51605,Preparation for bladder xray,,,1473.0,1473.0,1
HCPCS,51610,HC INJ RETROGRADE URETER,1490.0,1490.0,,,0
HCPCS,51610,Injection for bladder x-ray,,,1473.0,1473.0,1
HCPCS,51700,HC BLADDER IRRIG SIMP LAVAGE INS,879.0,879.0,,,0
HCPCS,51700,Irrigation of bladder,,,257.92,1473.0,10
HCPCS,51701,HC CATHERIZATION RESIDUAL URINE,425.0,425.0,,,0
HCPCS,51701,HC PR CATHERIZATION RESIDUAL URINE,131.0,131.0,,,0
HCPCS,51701,HC PR INSERT NON INDWELL BLADDER CATHETER,131.0,131.0,,,0
HCPCS,51701,Insert bladder catheter,,,133.32,1473.0,10
HCPCS,51702,HC CATHERIZATION URETHRA SIMPLE,425.0,425.0,,,0
HCPCS,51702,HC PR CATHERIZATION URETHRA SIMPLE,178.0,178.0,,,0
HCPCS,51702,HC PR INSERT TEMP INDWELL BLADDER CATHETER SIMPLE,178.0,178.0,,,0
HCPCS,51702,Insert temp bladder cath,,,133.32,1473.0,10
HCPCS,51703,HC CATHERIZATION URETHRA COMPLEX,879.0,879.0,,,0
HCPCS,51703,HC PR CATHERIZATION URETHRA COMPLEX,221.0,221.0,,,0
HCPCS,51703,HC PR INSERT TEMP INDWELL BLADDER CATHETER COMPLICATED,221.0,221.0,,,0
HCPCS,51703,Insert bladder cath complex,,,144.67,1473.0,10
HCPCS,51705,Change of bladder tube,,,257.92,1473.0,10
HCPCS,51705,HC CHANGE OF BLADD TUBE SIMPLE,1480.0,1480.0,,,0
HCPCS,51705,HC PR CHANGE CYSTOSTOMY TUBE SIMPLE,175.0,175.0,,,0
HCPCS,51710,Change of bladder tube,,,712.92,3295.53,10
HCPCS,51710,HC CHANGE CYSTOSTOMY TUBE COMPLICATED,2678.0,2678.0,,,0
HCPCS,51710,HC PR CHANGE CYSTOSTOMY TUBE COMPLICATED,228.0,228.0,,,0
HCPCS,51715,Endoscopic injection/implant,,,3638.25,16659.58,10
HCPCS,51720,HC BLADD INSTILL ANTICARCIN AGENT,825.0,825.0,,,0
HCPCS,51720,Treatment of bladder lesion,,,712.92,3295.53,10
HCPCS,51721,Ins trurl ablt trnsdc thr us,,,2073.0,2073.0,1
HCPCS,51725,Simple cystometrogram,,,257.92,1473.0,10
HCPCS,51726,Complex cystometrogram,,,257.92,1473.0,10
HCPCS,51727,Cystometrogram w/up,,,712.92,3295.53,10
HCPCS,51728,Cystometrogram w/vp,,,712.92,3295.53,10
HCPCS,51729,Cystometrogram w/vp&up,,,712.92,3295.53,10
HCPCS,51736,Urine flow measurement,,,133.32,1473.0,10
HCPCS,51741,Electro-uroflowmetry first,,,242.77,1473.0,10
HCPCS,51784,Anal/urinary muscle study,,,144.67,1473.0,10
HCPCS,51784,HC EMG ANAL OR URETHRAL SPHINCTER OTHR THAN NEEDLE ANY TECHNIQUE,355.0,355.0,,,0
HCPCS,51785,Anal/urinary muscle study,,,257.92,1473.0,10
HCPCS,51792,Urinary reflex study,,,63.84,1473.0,10
HCPCS,51797,Intraabdominal pressure test,,,732.89,1473.0,2
HCPCS,51798,HC MEASURE POST VOID BLD CAP,1510.0,1510.0,,,0
HCPCS,51798,HC PR MEASURE POST VOID BLD CAP,48.0,48.0,,,0
HCPCS,51798,Us urine capacity measure,,,63.84,1473.0,10
HCPCS,51800,Revision of bladder/urethra,,,2073.0,9829.75,6
HCPCS,51820,Revision of urinary tract,,,2073.0,9829.75,6
HCPCS,51840,Attach bladder/urethra,,,4822.0,23642.31,9
HCPCS,51841,Attach bladder/urethra,,,4822.0,9829.75,6
HCPCS,51845,Repair bladder neck,,,5190.92,23642.31,10
HCPCS,51860,Repair of bladder wound,,,4822.0,44739.89,10
HCPCS,51865,Repair of bladder wound,,,5391.0,9829.75,6
HCPCS,51880,Repair of bladder opening,,,2630.44,16659.58,10
HCPCS,51900,Repair bladder/vagina lesion,,,5391.0,9829.75,6
HCPCS,51920,Close bladder-uterus fistula,,,4822.0,9829.75,6
HCPCS,51925,Hysterectomy/bladder repair,,,2073.0,9829.75,6
HCPCS,51940,Correction of bladder defect,,,2073.0,9829.75,6
HCPCS,51960,Revision of bladder & bowel,,,2073.0,9829.75,6
HCPCS,51980,Construct bladder opening,,,4822.0,9829.75,6
HCPCS,51990,Laparo urethral suspension,,,6021.71,28572.05,10
HCPCS,51992,Laparo sling operation,,,6021.71,28572.05,10
HCPCS,51999,Laparoscope proc bla,,,6021.71,28572.05,9
HCPCS,52000,Cystoscopy,,,712.92,3295.53,10
HCPCS,52000,HC CYSTOSCOPY,2678.0,2678.0,,,0
HCPCS,52000,HC CYSTOURETHOSCOPY,2678.0,2678.0,,,0
HCPCS,52000,HC PR CYSTOURETHROSCOPY,346.0,346.0,,,0
HCPCS,52001,Cystoscopy removal of clots,,,3638.25,16659.58,10
HCPCS,52005,Cystoscopy & ureter catheter,,,2125.69,9879.46,10
HCPCS,52005,HC CYSTOURETHROSCOPY CATH,6311.0,6311.0,,,0
HCPCS,52007,Cystoscopy and biopsy,,,3638.25,16659.58,10
HCPCS,52010,Cystoscopy & duct catheter,,,712.92,6270.01,10
HCPCS,52010,HC CYSTO & DUCT CATHETER,2700.0,2700.0,,,0
HCPCS,52204,Cystoscopy w/biopsy(s),,,2125.69,9879.46,10
HCPCS,52214,Cystoscopy and treatment,,,3638.25,16659.58,10
HCPCS,52224,Cystoscopy and treatment,,,3638.25,16659.58,10
HCPCS,52234,Cystoscopy and treatment,,,3638.25,16659.58,10
HCPCS,52235,Cystoscopy and treatment,,,3638.25,16659.58,10
HCPCS,52240,Cystoscopy and treatment,,,4822.0,25340.64,10
HCPCS,52250,Cystoscopy and radiotracer,,,3638.25,16659.58,10
HCPCS,52260,Cystoscopy and treatment,,,2125.69,9879.46,10
HCPCS,52265,Cystoscopy and treatment,,,2125.69,9879.46,10
HCPCS,52270,Cystoscopy & revise urethra,,,2125.69,9879.46,10
HCPCS,52275,Cystoscopy & revise urethra,,,2125.69,9879.46,10
HCPCS,52276,Cystoscopy and treatment,,,2125.69,9879.46,10
HCPCS,52277,Cystoscopy and treatment,,,3638.25,16659.58,10
HCPCS,52281,Cystoscopy and treatment,,,2125.69,9879.46,10
HCPCS,52281,HC CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,4874.0,4874.0,,,0
HCPCS,52281,HC CYSTOURETHRO W CALIBRATION DILAT URETH STRICT OR STENOSIS,4874.0,4874.0,,,0
HCPCS,52282,Cystoscopy implant stent,,,3638.25,16659.58,10
HCPCS,52283,Cystoscopy and treatment,,,2125.69,9879.46,10
HCPCS,52284,Cysto rx balo cath urtl strx,,,4822.0,25340.64,10
HCPCS,52285,Cystoscopy and treatment,,,712.92,6270.01,10
HCPCS,52287,Cystoscopy chemodenervation,,,2125.69,9879.46,10
HCPCS,52290,Cystoscopy and treatment,,,2125.69,9879.46,10
HCPCS,52300,Cystoscopy and treatment,,,3638.25,16659.58,10
HCPCS,52301,Cystoscopy and treatment,,,3638.25,16659.58,10
HCPCS,52305,Cystoscopy and treatment,,,4822.0,25340.64,10
HCPCS,52310,Cystoscopy and treatment,,,2125.69,9879.46,10
HCPCS,52310,"HC CYSTOURETHROSCOPY W REM FB, CALCULUS OR STENT SIMPLE",4625.0,4625.0,,,0
HCPCS,52310,HC CYSTOURETHROSCOPY W/STENT REM,4625.0,4625.0,,,0
HCPCS,52310,HC PR CYSTO W REMOVAL FB STONE & STENT SIMPLE,434.0,434.0,,,0
HCPCS,52315,Cystoscopy and treatment,,,2125.69,9879.46,10
HCPCS,52315,HC CYSTO W REM FB CALCULUS OR STENT COMPLICATED,10674.0,10674.0,,,0
HCPCS,52317,Remove bladder stone,,,2630.44,16659.58,10
HCPCS,52318,Remove bladder stone,,,3638.25,16659.58,10
HCPCS,52320,Cystoscopy and treatment,,,3638.25,16659.58,10
HCPCS,52325,Cystoscopy stone removal,,,4822.0,25340.64,10
HCPCS,52327,Cystoscopy inject material,,,2630.44,25340.64,10
HCPCS,52330,Cystoscopy and treatment,,,3638.25,16659.58,10
HCPCS,52332,Cystoscopy and treatment,,,3638.25,16659.58,10
HCPCS,52332,HC CYSTOURETHROSCOPY INS STENT,8460.0,8460.0,,,0
HCPCS,52334,Create passage to kidney,,,3638.25,16659.58,10
HCPCS,52334,HC RETRO CYST PUNCT & DILAT,8460.0,8460.0,,,0
HCPCS,52341,Cysto W/Ureter Stricture Tx,,,3638.25,16659.58,10
HCPCS,52342,Cysto W/Up Stricture Tx,,,3638.25,16659.58,10
HCPCS,52343,Cysto W/Renal Stricture Tx,,,3638.25,16659.58,10
HCPCS,52344,Cysto/uretero stricture tx,,,3638.25,16659.58,10
HCPCS,52345,Cysto/Uretero W/Up Stricture,,,3638.25,16659.58,10
HCPCS,52346,Cystouretero W/Renal Strict,,,4822.0,25340.64,10
HCPCS,52351,Cystouretero & or pyeloscope,,,3638.25,16659.58,10
HCPCS,52352,Cystouretero w/stone remove,,,3638.25,16659.58,10
HCPCS,52353,Cystouretero W/Lithotripsy,,,5400.11,25340.64,10
HCPCS,52354,Cystouretero W/Biopsy,,,4822.0,25340.64,10
HCPCS,52355,Cystouretero W/Excise Tumor,,,4822.0,25340.64,10
HCPCS,52356,Cysto/uretero w/lithotripsy,,,5400.11,25340.64,10
HCPCS,524,Anesth chest drainage,,,6880.82,9829.75,4
HCPCS,52400,Cystouretero W/Congen Repr,,,3638.25,16659.58,10
HCPCS,52402,Cystourethro cut ejacul duct,,,3638.25,16659.58,10
HCPCS,52441,Cystourethro w/implant,,,1398.89,9158.71,7
HCPCS,52442,Cystourethro w/addl implant,,,953.15,9158.71,7
HCPCS,52443,Cysto 1st trurl prst8 comis,,,10643.49,44739.89,3
HCPCS,52450,Incision of prostate,,,3638.25,16659.58,10
HCPCS,52500,Revision of bladder neck,,,3638.25,16659.58,10
HCPCS,52597,Trurl rbtc wtrjt rescj prst8,,,10643.49,44739.89,3
HCPCS,52601,Prostatectomy (TURP),,,5400.11,25340.64,10
HCPCS,52630,Remove prostate regrowth,,,5400.11,25340.64,10
HCPCS,52640,Relieve bladder contracture,,,3638.25,16659.58,10
HCPCS,52647,Laser surgery of prostate,,,5400.11,15646.47,7
HCPCS,52648,Laser surgery of prostate,,,5400.11,25340.64,10
HCPCS,52649,Prostate laser enucleation,,,5400.11,25340.64,10
HCPCS,52700,Drainage of prostate abscess,,,3638.25,16659.58,10
HCPCS,53000,Incision of urethra,,,2125.69,9879.46,10
HCPCS,53010,Incision of urethra,,,2630.44,25340.64,10
HCPCS,53020,Incision of urethra,,,2125.69,9879.46,10
HCPCS,53025,Incision of urethra,,,2125.69,9879.46,10
HCPCS,53040,Drainage of urethra abscess,,,3638.25,16659.58,10
HCPCS,53060,Drainage of urethra abscess,,,2125.69,9879.46,10
HCPCS,53080,Drainage of urinary leakage,,,712.92,7389.5,10
HCPCS,53085,Drainage of urinary leakage,,,2125.69,9879.46,10
HCPCS,53200,Biopsy of urethra,,,2125.69,9879.46,10
HCPCS,53210,Removal of urethra,,,3638.25,16659.58,10
HCPCS,53215,Removal of urethra,,,4822.0,25340.64,10
HCPCS,53220,Treatment of urethra lesion,,,3638.25,16659.58,10
HCPCS,53230,Removal of urethra lesion,,,5391.0,25340.64,10
HCPCS,53235,Removal of urethra lesion,,,4822.0,25340.64,10
HCPCS,53240,Surgery for urethra pouch,,,3638.25,16659.58,10
HCPCS,53250,Removal of urethra gland,,,3638.25,16659.58,10
HCPCS,53260,Treatment of urethra lesion,,,3638.25,16659.58,10
HCPCS,53265,Treatment of urethra lesion,,,2125.69,9879.46,10
HCPCS,53270,Removal of urethra gland,,,2630.44,16659.58,10
HCPCS,53275,Repair of urethra defect,,,3638.25,16659.58,10
HCPCS,53400,Revise urethra stage 1,,,5391.0,25340.64,10
HCPCS,53405,Revise urethra stage 2,,,5391.0,25340.64,10
HCPCS,53410,Reconstruction of urethra,,,5391.0,25340.64,10
HCPCS,53415,Reconstruction of urethra,,,6880.82,9829.75,6
HCPCS,53420,Reconstruct urethra stage 1,,,5391.0,25340.64,10
HCPCS,53425,Reconstruct urethra stage 2,,,5391.0,25340.64,10
HCPCS,53430,Reconstruction of urethra,,,5391.0,25340.64,10
HCPCS,53431,Reconstruct urethra/bladder,,,5391.0,25340.64,10
HCPCS,53440,Male sling procedure,,,6270.01,62354.22,10
HCPCS,53442,Remove/revise male sling,,,2630.44,25340.64,10
HCPCS,53444,Insert tandem cuff,,,6270.01,97954.71,10
HCPCS,53445,Insert uro/ves nck sphincter,,,21051.87,97954.71,10
HCPCS,53446,Remove uro sphincter,,,2630.44,25340.64,10
HCPCS,53447,Remove/replace ur sphincter,,,21051.87,97954.71,10
HCPCS,53448,Remov/replc ur sphinctr comp,,,2651.0,9829.75,5
HCPCS,53449,Repair uro sphincter,,,2630.44,44739.89,10
HCPCS,53450,Revision of urethra,,,2630.44,16659.58,10
HCPCS,53451,Tprnl balo cntnc dev bi,,,13396.9,62354.22,10
HCPCS,53452,Tprnl balo cntnc dev uni,,,4822.0,44739.89,10
HCPCS,53453,Tprnl balo cntnc dev rmvl ea,,,2630.44,16659.58,10
HCPCS,53454,Tprnl balo cntnc dev adjmt,,,257.92,1473.0,10
HCPCS,53460,Revision of urethra,,,2630.44,16659.58,10
HCPCS,53500,Urethrlys transvag w/ scope,,,3638.25,16659.58,10
HCPCS,53502,Repair of urethra injury,,,3638.25,16659.58,10
HCPCS,53505,Repair of urethra injury,,,5391.0,25340.64,10
HCPCS,53510,Repair of urethra injury,,,4822.0,25340.64,10
HCPCS,53515,Repair of urethra injury,,,5391.0,25340.64,10
HCPCS,53520,Repair of urethra defect,,,5391.0,25340.64,10
HCPCS,53600,Dilate urethra stricture,,,257.92,1678.32,10
HCPCS,53601,Dilate urethra stricture,,,133.32,1473.0,10
HCPCS,53605,Dilate urethra stricture,,,3638.25,16659.58,10
HCPCS,53620,Dilate urethra stricture,,,712.92,9812.66,10
HCPCS,53621,Dilate urethra stricture,,,257.92,1473.0,10
HCPCS,53660,Dilation of urethra,,,144.67,1473.0,10
HCPCS,53661,Dilation of urethra,,,133.32,1473.0,10
HCPCS,53665,Dilation of urethra,,,2125.69,9879.46,10
HCPCS,53850,Prostatic microwave thermotx,,,3638.25,16659.58,10
HCPCS,53852,Prostatic rf thermotx,,,3638.25,16659.58,10
HCPCS,53854,Trurl dstrj prst8 tiss rf wv,,,3638.25,16659.58,10
HCPCS,53855,Insert prost urethral stent,,,732.89,9879.46,10
HCPCS,53860,Transurethral rf treatment,,,2125.69,9879.46,10
HCPCS,53865,Cysto insj dev ischmc rmdlg,,,4822.0,44739.89,10
HCPCS,53866,Cathj rmvl dev ischmc rmdlg,,,266.12,1473.0,10
HCPCS,53899,Urology surgery procedure,,,257.92,1473.0,9
HCPCS,540,Anesth chest surgery,,,6880.82,9829.75,4
HCPCS,54000,Slitting of prepuce,,,2630.44,16659.58,10
HCPCS,54001,HC SLIT PREPUCE DORSAL/LATERAL EXC NEWBRN,6110.0,6110.0,,,0
HCPCS,54001,HC SLIT PREPUCE DORSAL/LATERAL EXCEPT NEWBORN,6110.0,6110.0,,,0
HCPCS,54001,Slitting of prepuce,,,2125.69,9879.46,10
HCPCS,54015,Drain penis lesion,,,1692.02,9812.66,10
HCPCS,54050,Destruction penis lesion(s),,,416.15,1921.25,10
HCPCS,54050,HC DESTRUC OF LESION PENIS SIMPLE,1494.0,1494.0,,,0
HCPCS,54050,HC PR DESTRUC OF LESION PENIS SIMPLE,340.0,340.0,,,0
HCPCS,54055,Destruction penis lesion(s),,,1903.17,9751.37,10
HCPCS,54056,Cryosurgery penis lesion(s),,,208.93,1473.0,10
HCPCS,54056,HC DESTRUCTION LESION PENIS SIMPLE CRYOSURGERY,455.0,455.0,,,0
HCPCS,54056,HC PR DESTRUCTION LESION PENIS SIMPLE CRYOSURGERY,402.0,402.0,,,0
HCPCS,54057,Laser surg penis lesion(s),,,1903.17,9751.37,10
HCPCS,54060,Excision of penis lesion(s),,,1903.17,9751.37,10
HCPCS,54060,HC DESTRUCTION PENIS LESION SIMPLE SURG EXC,4607.0,4607.0,,,0
HCPCS,54065,Destruction penis lesion(s),,,1903.17,9751.37,10
HCPCS,54100,Biopsy of penis,,,1692.02,7805.69,10
HCPCS,54105,Biopsy of penis,,,2630.44,13728.11,10
HCPCS,54110,Treatment of penis lesion,,,3638.25,16659.58,10
HCPCS,54111,Treat penis lesion graft,,,5400.11,25340.64,10
HCPCS,54112,Treat penis lesion graft,,,6270.01,44739.89,10
HCPCS,54115,Treatment of penis lesion,,,2630.44,13728.11,10
HCPCS,54120,Partial removal of penis,,,3638.25,16659.58,10
HCPCS,54125,Removal of penis,,,4274.0,9829.75,6
HCPCS,54130,Remove penis & nodes,,,2073.0,9829.75,6
HCPCS,54135,Remove penis & nodes,,,2073.0,12989.24,6
HCPCS,54150,Circumcision w/regionl block,,,2125.69,9879.46,10
HCPCS,54160,Circumcision neonate,,,712.92,8141.44,10
HCPCS,54161,Circum 28 days or older,,,2125.69,9879.46,10
HCPCS,54162,HC LYSIS PENILE CIRCUMCISM LESION,4998.0,4998.0,,,0
HCPCS,54162,Lysis penil circumic lesion,,,2125.69,9879.46,10
HCPCS,54163,Repair of circumcision,,,2125.69,9879.46,10
HCPCS,54164,Frenulotomy of penis,,,2125.69,9879.46,10
HCPCS,54164,HC FRENULOTOMY OF PENIS,4998.0,4998.0,,,0
HCPCS,542,Anesthesia removal pleura,,,6880.82,9829.75,4
HCPCS,54200,Treatment of penis lesion,,,257.92,1678.32,10
HCPCS,54205,Treatment of penis lesion,,,5391.0,25340.64,10
HCPCS,54220,HC IRRIGATION OF CORPORA CAVERNOSA FOR PRIAPISM,879.0,879.0,,,0
HCPCS,54220,Treatment of penis lesion,,,257.92,2630.44,10
HCPCS,54230,Prepare penis study,,,1473.0,1473.0,1
HCPCS,54231,Dynamic cavernosometry,,,257.92,9812.66,10
HCPCS,54235,HC CORPORA CAVERNOSA INJECT,1480.0,1480.0,,,0
HCPCS,54235,Penile injection,,,257.92,1473.0,10
HCPCS,54240,Penis study,,,242.77,1473.0,10
HCPCS,54250,Penis study,,,257.92,1473.0,10
HCPCS,54300,Revision of penis,,,3638.25,16659.58,10
HCPCS,54304,Revision of penis,,,3638.25,16659.58,10
HCPCS,54308,Reconstruction of urethra,,,5400.11,25340.64,10
HCPCS,54312,Reconstruction of urethra,,,3638.25,16659.58,10
HCPCS,54316,Reconstruction of urethra,,,5391.0,44739.89,10
HCPCS,54318,Reconstruction of urethra,,,3638.25,16659.58,10
HCPCS,54322,Reconstruction of urethra,,,3638.25,16659.58,10
HCPCS,54324,Reconstruction of urethra,,,3638.25,16659.58,10
HCPCS,54326,Reconstruction of urethra,,,3638.25,16659.58,10
HCPCS,54328,Revise penis/urethra,,,3638.25,16659.58,10
HCPCS,54332,Revise penis/urethra,,,3638.25,16659.58,10
HCPCS,54336,Revise penis/urethra,,,3638.25,16659.58,10
HCPCS,54340,Secondary urethral surgery,,,3638.25,16659.58,10
HCPCS,54344,Secondary urethral surgery,,,5391.0,44739.89,10
HCPCS,54348,Secondary urethral surgery,,,5391.0,25340.64,10
HCPCS,54352,Reconstruct urethra/penis,,,5400.11,25340.64,10
HCPCS,54360,Penis plastic surgery,,,3638.25,16659.58,10
HCPCS,54380,Repair penis,,,2125.69,13316.8,10
HCPCS,54385,Repair penis,,,2125.69,13316.8,10
HCPCS,54390,Repair penis and bladder,,,6880.82,9829.75,6
HCPCS,54400,Insert semi-rigid prosthesis,,,13396.9,62354.22,10
HCPCS,54401,Insert self-contd prosthesis,,,21051.87,97954.71,10
HCPCS,54405,Insert multi-comp penis pros,,,21051.87,97954.71,10
HCPCS,54406,Remove muti-comp penis pros,,,3638.25,16659.58,10
HCPCS,54408,Repair multi-comp penis pros,,,5400.11,25340.64,10
HCPCS,54410,Remove/replace penis prosth,,,21051.87,97954.71,10
HCPCS,54411,Remov/replc penis pros comp,,,1473.0,97954.71,9
HCPCS,54415,Remove self-contd penis pros,,,3638.25,16659.58,10
HCPCS,54416,Remv/repl penis contain pros,,,21051.87,97954.71,10
HCPCS,54417,Remv/replc penis pros compl,,,2651.0,97954.71,9
HCPCS,54420,HC CORPORA CAVERNOSA SAPHENOUS VEIN SHUNT UNI/BI,8415.0,8415.0,,,0
HCPCS,54420,Revision of penis,,,3638.25,16659.58,10
HCPCS,54430,Revision of penis,,,2073.0,9829.75,6
HCPCS,54435,Revision of penis,,,3638.25,16659.58,10
HCPCS,54437,Repair corporeal tear,,,3638.25,16659.58,10
HCPCS,54440,Repair of penis,,,3638.25,16659.58,10
HCPCS,54450,HC FORESKIN INFECTION MANIPULATIO,879.0,879.0,,,0
HCPCS,54450,HC FORESKIN MANIP W LYSIS PREPUTIAL ADH & STRETCHING,879.0,879.0,,,0
HCPCS,54450,HC PR FORESKIN MANIPUL INCL LYSIS PREPUTIAL ADHES & STRETCH,166.0,166.0,,,0
HCPCS,54450,Preputial stretching,,,257.92,2630.44,10
HCPCS,54500,Biopsy of testis,,,2630.44,13728.11,10
HCPCS,54505,Biopsy of testis,,,2630.44,16659.58,10
HCPCS,54512,Excise Lesion Testis,,,3638.25,16659.58,10
HCPCS,54520,Removal of testis,,,3638.25,16659.58,10
HCPCS,54522,Orchiectomy partial,,,3638.25,16659.58,10
HCPCS,54530,Removal of testis,,,3610.61,16921.5,10
HCPCS,54535,Extensive testis surgery,,,3638.25,16659.58,10
HCPCS,54550,Exploration for testis,,,3610.61,16921.5,10
HCPCS,54560,Exploration for testis,,,2125.69,9879.46,10
HCPCS,546,Anesth lung chest wall surg,,,6880.82,9829.75,4
HCPCS,54600,Reduce testis torsion,,,3638.25,16659.58,10
HCPCS,54620,Suspension of testis,,,3638.25,16659.58,10
HCPCS,54640,Suspension of testis,,,3610.61,16921.5,10
HCPCS,54650,Orchiopexy (Fowler-Stephens),,,3610.61,16921.5,10
HCPCS,54660,Revision of testis,,,4822.0,25340.64,10
HCPCS,54670,Repair testis injury,,,3638.25,16659.58,10
HCPCS,54680,Relocation of testis(es),,,3638.25,16659.58,10
HCPCS,54690,Laparoscopy orchiectomy,,,6021.71,28572.05,10
HCPCS,54692,Laparoscopy orchiopexy,,,6021.71,48936.18,10
HCPCS,54699,Laparoscope proc testis,,,6021.71,28572.05,9
HCPCS,54700,Drainage of scrotum,,,2125.69,9879.46,10
HCPCS,54700,HC I&D ABSCESS SCROTUM,5456.0,5456.0,,,0
HCPCS,54700,HC PR I&D EPIDIDYMIS TESTIS &/SCROTAL SPACE,518.0,518.0,,,0
HCPCS,54800,Biopsy of epididymis,,,1657.8,7805.69,10
HCPCS,54830,Remove epididymis lesion,,,3638.25,16659.58,10
HCPCS,54840,Remove epididymis lesion,,,2125.69,9879.46,10
HCPCS,54860,Removal of epididymis,,,3638.25,16659.58,10
HCPCS,54861,Removal of epididymis,,,3638.25,16659.58,10
HCPCS,54865,Explore Epididymis,,,3638.25,16659.58,10
HCPCS,54900,Fusion of spermatic ducts,,,2125.69,9879.46,10
HCPCS,54901,Fusion of spermatic ducts,,,3638.25,16659.58,10
HCPCS,55000,Drainage of hydrocele,,,734.26,3346.74,10
HCPCS,55040,Removal of hydrocele,,,3610.61,16921.5,10
HCPCS,55041,Removal of hydroceles,,,3610.61,16921.5,10
HCPCS,55060,Repair of hydrocele,,,3638.25,16659.58,10
HCPCS,55100,Drainage of scrotum abscess,,,1692.02,7805.69,10
HCPCS,55100,HC DRAINAGE OF SCROTUM ABCESS,3687.0,3687.0,,,0
HCPCS,55110,Explore scrotum,,,3638.25,16659.58,10
HCPCS,55120,Removal of scrotum lesion,,,2125.69,9879.46,10
HCPCS,55150,Removal of scrotum,,,2630.44,16659.58,10
HCPCS,55175,Revision of scrotum,,,2630.44,16659.58,10
HCPCS,55180,Revision of scrotum,,,4822.0,25340.64,10
HCPCS,55200,Incision of sperm duct,,,3638.25,16659.58,10
HCPCS,55250,HC VASECTOMY,4998.0,4998.0,,,0
HCPCS,55250,Removal of sperm duct(s),,,2125.69,9879.46,10
HCPCS,55300,Prepare sperm duct x-ray,,,1473.0,1473.0,1
HCPCS,55400,Repair of sperm duct,,,2630.44,16659.58,10
HCPCS,55500,Removal of hydrocele,,,3638.25,16659.58,10
HCPCS,55520,Removal of sperm cord lesion,,,3638.25,16659.58,10
HCPCS,55530,Revise spermatic cord veins,,,3638.25,16659.58,10
HCPCS,55535,Revise spermatic cord veins,,,5391.0,30596.23,10
HCPCS,55540,Revise hernia & sperm veins,,,3610.61,16921.5,10
HCPCS,55550,Laparo ligate spermatic vein,,,6021.71,28572.05,10
HCPCS,55559,Laparo proc spermatic cord,,,6021.71,28572.05,9
HCPCS,55600,Incise sperm duct pouch,,,2125.69,9879.46,10
HCPCS,55605,Incise sperm duct pouch,,,2630.44,9829.75,6
HCPCS,55650,Remove sperm duct pouch,,,2630.44,9829.75,6
HCPCS,55680,Remove sperm pouch lesion,,,2630.44,16659.58,10
HCPCS,55700,Biopsy of prostate,,,2125.69,4640.72,7
HCPCS,55705,Biopsy of prostate,,,3638.25,16659.58,10
HCPCS,55705,HC BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED,4632.0,4632.0,,,0
HCPCS,55706,Prostate saturation sampling,,,2630.44,16659.58,10
HCPCS,55707,Bx prst8 trct us guided,,,3963.26,16659.58,3
HCPCS,55707,HC BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED,4849.0,4849.0,,,0
HCPCS,55708,Bx prst8 trct us w/mri fus 1,,,3963.26,16659.58,3
HCPCS,55708,HC BIOPSY PROSTATE TRANSRECTAL US GID W MRI FUS GDN 1ST LES,5363.0,5363.0,,,0
HCPCS,55709,Bx prst8 tprnl us guided,,,3963.26,16659.58,3
HCPCS,55709,HC BIOPSY PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED,4849.0,4849.0,,,0
HCPCS,55710,Bx prst8 tprn us w/mri fus 1,,,3963.26,16659.58,3
HCPCS,55710,HC BIOPSY PROSTATE TRANSPERINEAL US GID W MRI FUS GDN 1ST LES,5363.0,5363.0,,,0
HCPCS,55711,Bx prst8 trct mri-us 1st,,,3963.26,16659.58,3
HCPCS,55711,HC BIOPSY PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST LES,5363.0,5363.0,,,0
HCPCS,55712,Bx prst8 tprnl mri-us 1st,,,3963.26,16659.58,3
HCPCS,55712,HC BIOPSY PROSTATE TRANSPERINEAL MRI-US GID TRGT LES 1ST LES,5363.0,5363.0,,,0
HCPCS,55713,Bx prst8 in-bore ct/mri bx 1,,,6028.46,25340.64,3
HCPCS,55714,Bx prst8 in-bore ct/mri 1,,,6028.46,25340.64,3
HCPCS,55714,HC BIOPSY PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST LES,5363.0,5363.0,,,0
HCPCS,55720,Drainage of prostate abscess,,,2630.44,16659.58,10
HCPCS,55725,Drainage of prostate abscess,,,3638.25,16659.58,10
HCPCS,55801,Removal of prostate,,,2073.0,12989.24,6
HCPCS,55810,Extensive prostate surgery,,,2073.0,9829.75,5
HCPCS,55812,Extensive prostate surgery,,,2073.0,9829.75,5
HCPCS,55815,Extensive prostate surgery,,,2073.0,12989.24,6
HCPCS,55821,Removal of prostate,,,2073.0,12989.24,6
HCPCS,55831,Removal of prostate,,,2073.0,12989.24,6
HCPCS,55840,Extensive prostate surgery,,,2073.0,12989.24,6
HCPCS,55842,Extensive prostate surgery,,,2073.0,12989.24,6
HCPCS,55845,Extensive prostate surgery,,,2073.0,9829.75,5
HCPCS,55860,Surgical exposure prostate,,,4822.0,25340.64,10
HCPCS,55862,Extensive prostate surgery,,,2073.0,9829.75,6
HCPCS,55865,Extensive prostate surgery,,,2073.0,12989.24,6
HCPCS,55866,Laparo radical prostatectomy,,,10742.82,50238.16,9
HCPCS,55867,Laps surg prst8ect smpl stot,,,9556.0,50238.16,10
HCPCS,55868,Lap srg prst8ct lymph nod bx,,,11951.51,50238.16,3
HCPCS,55869,Lap srg prst8ct bi pl lmphad,,,11951.51,50238.16,3
HCPCS,55870,Electroejaculation,,,839.0,4353.02,10
HCPCS,55873,Cryoablate Prostate,,,9614.23,44739.89,10
HCPCS,55874,HC TRANSPERINEAL PLCMNT BIODEGRAD MATR PERIPROS SNGL/MULT INJECTIONS,13066.0,13066.0,,,0
HCPCS,55874,Tprnl plmt biodegrdabl matrl,,,5400.11,25340.64,10
HCPCS,55875,Transperi needle place pros,,,5400.11,25340.64,10
HCPCS,55876,HC PLCMT DEVICE FOR RAD THERAPY GUID MARKERS PROSTATE,4486.0,4486.0,,,0
HCPCS,55876,Place rt device/marker pros,,,1446.07,6541.6,10
HCPCS,55877,Abltj ire prst8 1+ tum perq,,,11951.51,50238.16,3
HCPCS,55880,Abltj mal prst8 tiss hifu,,,4822.0,44739.89,10
HCPCS,55881,Ablt trurl prst8 tis thrm us,,,2073.0,2073.0,1
HCPCS,55882,Ablt trurl prst8 tis trnsdcr,,,14216.31,62354.22,10
HCPCS,55899,Genital surgery procedure,,,257.92,1473.0,9
HCPCS,55920,HC PLCMT NDLE/CATH PELVIS FOR RT,11415.0,11415.0,,,0
HCPCS,55920,Place needles pelvic for rt,,,5190.92,23642.31,10
HCPCS,55970,Sex transformation m to f,,,5190.92,23642.31,8
HCPCS,55980,Sex transformation f to m,,,3638.25,16659.58,8
HCPCS,560,Anesth heart surg w/o pump,,,6880.82,9829.75,4
HCPCS,561,Anesth heart surg <1 yr,,,6880.82,9829.75,4
HCPCS,562,Anesth hrt surg w/pmp age 1+,,,6880.82,9829.75,4
HCPCS,56405,HC I&D OF VULVA OR PERINEAL ABS,825.0,825.0,,,0
HCPCS,56405,I & D of vulva/perineum,,,334.8,2630.44,10
HCPCS,56420,Drainage of gland abscess,,,207.96,2630.44,10
HCPCS,56420,HC I&D BARTHOLIN ABS,526.0,526.0,,,0
HCPCS,56440,Surgery for vulva lesion,,,3262.77,15299.13,10
HCPCS,56441,HC LYSIS LABIAL ADHESIONS,4845.0,4845.0,,,0
HCPCS,56441,Lysis of labial lesion(s),,,2630.44,15299.13,10
HCPCS,56442,Hymenotomy,,,3262.77,15299.13,10
HCPCS,56501,Destroy vulva lesions sim,,,1903.17,9751.37,10
HCPCS,56501,HC DESTRUCT LESION VULVA SIMPLE,4996.0,4996.0,,,0
HCPCS,56501,HC PR DESTRUCT LESION VULVA SIMPLE,420.0,420.0,,,0
HCPCS,56515,Destroy vulva lesion/s compl,,,1903.17,9812.66,10
HCPCS,56515,HC DESTRUCT LESION VULVA EXTENSIVE,4996.0,4996.0,,,0
HCPCS,56515,HC PR DESTRUCT LESION VULVA EXTENSIVE,667.0,667.0,,,0
HCPCS,56605,Biopsy of vulva/perineum,,,839.0,4353.02,10
HCPCS,56605,HC BIOPSY VULVA ONE LESION,1525.0,1525.0,,,0
HCPCS,56606,Biopsy of vulva/perineum,,,568.85,1473.0,2
HCPCS,56606,HC BIOPSY VULVA EA SEPARATE ADDL LESION,441.0,441.0,,,0
HCPCS,56620,Partial removal of vulva,,,3262.77,15299.13,10
HCPCS,56625,Complete removal of vulva,,,3262.77,15299.13,10
HCPCS,56630,Extensive vulva surgery,,,5391.0,23642.31,9
HCPCS,56631,Extensive vulva surgery,,,6880.82,19010.0,6
HCPCS,56632,Extensive vulva surgery,,,6880.82,19010.0,6
HCPCS,56633,Extensive vulva surgery,,,6880.82,19010.0,6
HCPCS,56634,Extensive vulva surgery,,,6880.82,19010.0,6
HCPCS,56637,Extensive vulva surgery,,,6880.82,19010.0,6
HCPCS,56640,Extensive vulva surgery,,,2073.0,14015.34,6
HCPCS,567,Anesth cabg w/pump,,,6880.82,9829.75,4
HCPCS,56700,HC PARTIAL HYMENECTOMY OR REVISN HYMENAL RING,10213.0,10213.0,,,0
HCPCS,56700,Partial removal of hymen,,,2630.44,15299.13,10
HCPCS,56740,Remove vagina gland lesion,,,3262.77,15299.13,10
HCPCS,56800,Repair of vagina,,,3262.77,15299.13,10
HCPCS,56805,Repair clitoris,,,3262.77,15299.13,10
HCPCS,56810,Repair of perineum,,,3262.77,15299.13,10
HCPCS,56820,Exam of vulva w/scope,,,207.96,1473.0,10
HCPCS,56821,Exam/biopsy of vulva w/scope,,,334.8,1473.0,10
HCPCS,57000,Exploration of vagina,,,2630.44,15299.13,10
HCPCS,57010,Drainage of pelvic abscess,,,3262.77,15299.13,10
HCPCS,57020,Drainage of pelvic fluid,,,2389.93,23642.31,10
HCPCS,57022,I & d vaginal hematoma pp,,,2965.46,13728.11,10
HCPCS,57023,I & d vag hematoma non-ob,,,2965.46,13728.11,10
HCPCS,57061,Destroy vag lesions simple,,,2630.44,15299.13,10
HCPCS,57065,Destroy vag lesions complex,,,2630.44,15299.13,10
HCPCS,57100,Biopsy of vagina,,,839.0,4353.02,10
HCPCS,57100,HC BX VAGINA SIMPLE,2678.0,2678.0,,,0
HCPCS,57105,Biopsy of vagina,,,3262.77,15299.13,10
HCPCS,57106,Remove vagina wall partial,,,3262.77,15299.13,10
HCPCS,57107,Remove vagina tissue part,,,3262.77,15299.13,10
HCPCS,57109,Vaginectomy partial w/nodes,,,3262.77,15299.13,10
HCPCS,57110,Remove vagina wall complete,,,2073.0,9829.75,6
HCPCS,57111,Remove vagina tissue compl,,,5391.0,14015.34,6
HCPCS,57120,Closure of vagina,,,5190.92,23642.31,10
HCPCS,57130,HC EXCISION VAGINAL SEPTUM,8926.0,8926.0,,,0
HCPCS,57130,Remove vagina lesion,,,3262.77,15299.13,10
HCPCS,57135,Remove vagina lesion,,,3262.77,15299.13,10
HCPCS,57150,HC IRRIGATION OF VAGINA,526.0,526.0,,,0
HCPCS,57150,HC PR IRRIGATION OF VAGINA,137.0,137.0,,,0
HCPCS,57150,Treat vagina infection,,,63.84,1473.0,10
HCPCS,57155,Insert uteri tandem/ovoids,,,2389.93,23642.31,10
HCPCS,57156,HC INSERT VAG RADIATION APPARATUS,866.0,866.0,,,0
HCPCS,57156,Ins vag brachytx device,,,334.8,1678.32,10
HCPCS,57160,HC FITTING AND INSERTION PESSARY,526.0,526.0,,,0
HCPCS,57160,Insert pessary/other device,,,207.96,1473.0,10
HCPCS,57170,Fitting of diaphragm/cap,,,39.58,1473.0,10
HCPCS,57170,HC DIAPHRAGM OR CERV CAP FITTING W INSTRUCTIONS,705.0,705.0,,,0
HCPCS,57170,HC PR DIAPHRAGM OR CERV CAP FITTING W INSTRUCTIONS,180.0,180.0,,,0
HCPCS,57180,Treat vaginal bleeding,,,207.96,1473.0,10
HCPCS,57200,HC COLPORRHAPHY SUTURE OF VAGINA INJURY (NONOB),7931.0,7931.0,,,0
HCPCS,57200,Repair of vagina,,,2630.44,15299.13,10
HCPCS,57210,Repair vagina/perineum,,,3262.77,15299.13,10
HCPCS,57220,Revision of urethra,,,5190.92,23642.31,10
HCPCS,57230,Repair of urethral lesion,,,3262.77,15299.13,10
HCPCS,57240,Repair bladder & vagina,,,5190.92,23642.31,10
HCPCS,57250,Repair rectum & vagina,,,5190.92,23642.31,10
HCPCS,57260,Repair of vagina,,,5190.92,23642.31,10
HCPCS,57265,Extensive repair of vagina,,,5190.92,23642.31,10
HCPCS,57267,Insert mesh/pelvic flr addon,,,1473.0,12664.03,2
HCPCS,57268,Repair of bowel bulge,,,4822.0,23642.31,10
HCPCS,57270,Repair of bowel pouch,,,4822.0,9829.75,6
HCPCS,57280,Suspension of vagina,,,4822.0,9829.75,6
HCPCS,57282,Colpopexy extraperitoneal,,,6270.01,35046.44,10
HCPCS,57283,Colpopexy intraperitoneal,,,7886.21,35046.44,10
HCPCS,57284,Repair paravag defect open,,,5190.92,23642.31,10
HCPCS,57285,Repair paravag defect vag,,,7886.21,35046.44,10
HCPCS,57287,Revise/Remove Sling Repair,,,3262.77,15299.13,10
HCPCS,57288,Repair bladder defect,,,5190.92,23642.31,10
HCPCS,57289,Repair bladder & vagina,,,5391.0,35046.44,10
HCPCS,57291,Construction of vagina,,,4822.0,23642.31,10
HCPCS,57292,Construct vagina with graft,,,5190.92,23642.31,10
HCPCS,57295,Revise vag graft via vagina,,,3262.77,15299.13,10
HCPCS,57296,Revise vag graft open abd,,,2073.0,9829.75,5
HCPCS,57300,Repair rectum-vagina fistula,,,3262.77,15299.13,10
HCPCS,57305,Repair rectum-vagina fistula,,,2073.0,9829.75,6
HCPCS,57307,Fistula repair & colostomy,,,2073.0,9829.75,6
HCPCS,57308,Fistula repair transperine,,,4822.0,9829.75,6
HCPCS,57310,Repair urethrovaginal lesion,,,7886.21,35046.44,10
HCPCS,57311,Repair urethrovaginal lesion,,,5391.0,9829.75,6
HCPCS,57320,Repair bladder-vagina lesion,,,5190.92,23642.31,10
HCPCS,57330,Repair bladder-vagina lesion,,,5391.0,35046.44,10
HCPCS,57335,Repair vagina,,,4822.0,23642.31,10
HCPCS,57400,Dilation of vagina,,,3262.77,15299.13,10
HCPCS,57410,HC PELVIC EXAM UNDER ANESTHESIA,4845.0,4845.0,,,0
HCPCS,57410,HC PR PELVIC EXAM UNDER ANESTHESIA,264.0,264.0,,,0
HCPCS,57410,Pelvic examination,,,3262.77,15299.13,10
HCPCS,57415,HC REMOVAL VAGINA FB W/ANESTHESIA,4845.0,4845.0,,,0
HCPCS,57415,Remove vaginal foreign body,,,2630.44,15299.13,10
HCPCS,57420,Exam of vagina w/scope,,,334.8,1678.32,10
HCPCS,57420,HC COLPOSCOPY ENTIRE VAGINA,866.0,866.0,,,0
HCPCS,57421,Exam/biopsy of vag w/scope,,,839.0,4353.02,10
HCPCS,57423,Repair paravag defect lap,,,9556.0,50238.16,10
HCPCS,57425,Laparoscopy surg colpopexy,,,9556.0,50238.16,10
HCPCS,57426,Revise prosth vag graft lap,,,5391.0,35046.44,10
HCPCS,57452,Exam of cervix w/scope,,,207.96,1473.0,10
HCPCS,57452,HC COLPOSCOPY CERVIX,825.0,825.0,,,0
HCPCS,57452,HC PR COLPOSCOPY CERVIX,276.0,276.0,,,0
HCPCS,57454,Bx/curett of cervix w/scope,,,334.8,1678.32,10
HCPCS,57455,Biopsy of cervix w/scope,,,334.8,1678.32,10
HCPCS,57456,Endocerv curettage w/scope,,,334.8,1678.32,10
HCPCS,57460,Bx of cervix w/scope leep,,,2630.44,15299.13,10
HCPCS,57461,Conz of cervix w/scope leep,,,3262.77,15299.13,10
HCPCS,57465,Cam cervix uteri drg colp,,,1473.0,1473.0,1
HCPCS,57500,Biopsy of cervix,,,839.0,4353.02,10
HCPCS,57505,Endocervical curettage,,,839.0,4353.02,10
HCPCS,57510,Cauterization of cervix,,,2630.44,15299.13,10
HCPCS,57511,Cryocautery of cervix,,,334.8,1473.0,10
HCPCS,57513,Laser surgery of cervix,,,3262.77,15299.13,10
HCPCS,57520,Conization of cervix,,,3262.77,15299.13,10
HCPCS,57522,Conization of cervix,,,2630.44,15299.13,10
HCPCS,57530,Removal of cervix,,,4822.0,23642.31,10
HCPCS,57531,Removal of cervix radical,,,2073.0,9829.75,5
HCPCS,57540,Removal of residual cervix,,,2073.0,9829.75,6
HCPCS,57545,Remove cervix/repair pelvis,,,2073.0,9829.75,5
HCPCS,57550,Removal of residual cervix,,,4822.0,23642.31,10
HCPCS,57555,Remove cervix/repair vagina,,,5190.92,23642.31,10
HCPCS,57556,Remove cervix repair bowel,,,5190.92,23642.31,10
HCPCS,57558,D&C oF Cervical Stump,,,3262.77,15299.13,10
HCPCS,57700,Revision of cervix,,,2630.44,15299.13,10
HCPCS,57720,Revision of cervix,,,3262.77,15299.13,10
HCPCS,57800,Dilation of cervical canal,,,2630.44,15299.13,10
HCPCS,580,Anesth heart/lung transplnt,,,6880.82,9829.75,4
HCPCS,58100,Biopsy of uterus lining,,,207.96,1473.0,10
HCPCS,58100,HC ENDOMETRIAL BIOPSY,825.0,825.0,,,0
HCPCS,58110,Bx done w/colposcopy add-on,,,1473.0,1473.0,1
HCPCS,58120,Dilation and curettage,,,2630.44,15299.13,10
HCPCS,58140,Myomectomy abdom method,,,5391.0,12989.24,6
HCPCS,58145,Myomectomy vag method,,,3262.77,15299.13,10
HCPCS,58146,Myomectomy abdom complex,,,5391.0,12989.24,6
HCPCS,58150,Total hysterectomy,,,5391.0,9829.75,5
HCPCS,58152,Total hysterectomy,,,2073.0,9829.75,5
HCPCS,58180,Partial hysterectomy,,,5391.0,12989.24,6
HCPCS,58200,Extensive hysterectomy,,,2073.0,12989.24,6
HCPCS,58210,Extensive hysterectomy,,,2073.0,9829.75,5
HCPCS,58240,Removal of pelvis contents,,,2073.0,14015.34,6
HCPCS,58260,Vaginal hysterectomy,,,5190.92,23642.31,10
HCPCS,58262,Vag hyst including t/o,,,5190.92,23642.31,10
HCPCS,58263,Vag hyst w/t/o & vag repair,,,5190.92,23642.31,10
HCPCS,58267,Vag hyst w/urinary repair,,,5391.0,9829.75,6
HCPCS,58270,Vag hyst w/enterocele repair,,,5190.92,23642.31,10
HCPCS,58275,Hysterectomy/revise vagina,,,5391.0,12989.24,6
HCPCS,58280,Hysterectomy/revise vagina,,,5391.0,12989.24,6
HCPCS,58285,Extensive hysterectomy,,,2073.0,12989.24,6
HCPCS,58290,Vag hyst complex,,,7886.21,35046.44,10
HCPCS,58291,Vag hyst incl t/o complex,,,5190.92,23642.31,10
HCPCS,58292,Vag hyst t/o & repair compl,,,7886.21,35046.44,10
HCPCS,58294,Vag hyst w/enterocele compl,,,5190.92,23642.31,10
HCPCS,58300,HC INSERTION OF IUD,490.0,490.0,,,0
HCPCS,58300,HC PR INSERTION OF IUD,210.0,210.0,,,0
HCPCS,58300,Insert intrauterine device,,,112.51,1473.0,6
HCPCS,58301,HC PR REMOVAL OF IUD,268.0,268.0,,,0
HCPCS,58301,HC REMOVAL OF IUD,825.0,825.0,,,0
HCPCS,58301,Remove intrauterine device,,,334.8,1473.0,10
HCPCS,58321,Artificial insemination,,,334.8,1678.32,10
HCPCS,58322,Artificial insemination,,,207.96,1678.32,10
HCPCS,58323,Sperm washing,,,106.14,1678.32,11
HCPCS,58340,Catheter for hysterography,,,1473.0,1473.0,1
HCPCS,58345,Reopen fallopian tube,,,2630.44,15299.13,10
HCPCS,58346,Insert heyman uteri capsule,,,4822.0,23642.31,10
HCPCS,58350,Reopen fallopian tube,,,5190.92,23642.31,10
HCPCS,58353,Endometr ablate thermal,,,5190.92,23642.31,10
HCPCS,58356,Endometrial cryoablation,,,5190.92,23642.31,10
HCPCS,58400,Suspension of uterus,,,5391.0,9829.75,6
HCPCS,58410,Suspension of uterus,,,2073.0,9829.75,6
HCPCS,58520,Repair of ruptured uterus,,,2073.0,9829.75,6
HCPCS,58540,Revision of uterus,,,2073.0,9829.75,6
HCPCS,58541,Lsh uterus 250 g or less,,,9556.0,50238.16,10
HCPCS,58542,Lsh w/t/o ut 250 g or less,,,9556.0,50238.16,10
HCPCS,58543,LSH Uterus Above 250 g,,,9556.0,50238.16,10
HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,9556.0,50238.16,10
HCPCS,58545,Laparoscopic myomectomy,,,6021.71,28572.05,10
HCPCS,58546,Laparo-myomectomy complex,,,9556.0,50238.16,10
HCPCS,58548,Lap Radical Hyst,,,9174.0,9174.0,1
HCPCS,58550,Laparo-asst vag hysterectomy,,,6021.71,28572.05,10
HCPCS,58552,Laparo-vag hyst incl t/o,,,9556.0,50238.16,10
HCPCS,58553,Laparo-vag hyst complex,,,9556.0,50238.16,10
HCPCS,58554,Laparo-vag hyst w/t/o compl,,,9556.0,50238.16,10
HCPCS,58555,Hysteroscopy dx sep proc,,,2630.44,15299.13,10
HCPCS,58558,Hysteroscopy biopsy,,,3262.77,15299.13,10
HCPCS,58559,Hysteroscopy lysis,,,4822.0,23642.31,10
HCPCS,58560,Hysteroscopy resect septum,,,5190.92,23642.31,10
HCPCS,58561,Hysteroscopy remove myoma,,,5190.92,23642.31,10
HCPCS,58562,Hysteroscopy remove fb,,,3262.77,15299.13,10
HCPCS,58563,Hysteroscopy ablation,,,5190.92,23642.31,10
HCPCS,58565,Hysteroscopy sterilization,,,5190.92,23642.31,10
HCPCS,58570,Tlh uterus 250 g or less,,,9556.0,50238.16,10
HCPCS,58571,Tlh w/t/o 250 g or less,,,9556.0,50238.16,10
HCPCS,58572,Tlh uterus over 250 g,,,9556.0,50238.16,10
HCPCS,58573,Tlh w/t/o uterus over 250 g,,,9556.0,50238.16,10
HCPCS,58575,Laps tot hyst resj mal,,,5391.0,9829.75,5
HCPCS,58578,Laparo proc uterus,,,6021.71,28572.05,9
HCPCS,58579,Hysteroscope procedure,,,207.96,9812.66,9
HCPCS,58580,Transcrv abltj utrn fibrd rf,,,7886.21,35046.44,10
HCPCS,58600,Division of fallopian tube,,,3262.77,15299.13,10
HCPCS,58605,Division of fallopian tube,,,4274.0,9829.75,6
HCPCS,58611,Ligate oviduct(s) add-on,,,2073.0,9829.75,6
HCPCS,58615,Occlude fallopian tube(s),,,2630.44,15299.13,10
HCPCS,58660,Laparoscopy lysis,,,6021.71,28572.05,10
HCPCS,58661,Laparoscopy remove adnexa,,,6021.71,28572.05,10
HCPCS,58662,Laparoscopy excise lesions,,,6021.71,28572.05,10
HCPCS,58670,Laparoscopy tubal cautery,,,6021.71,28572.05,10
HCPCS,58671,Laparoscopy tubal block,,,6021.71,28572.05,10
HCPCS,58672,Laparoscopy fimbrioplasty,,,6021.71,28572.05,10
HCPCS,58673,Laparoscopy salpingostomy,,,9556.0,50238.16,10
HCPCS,58674,Laps abltj uterine fibroids,,,9556.0,50238.16,10
HCPCS,58679,Laparo proc oviduct-ovary,,,6021.71,28572.05,9
HCPCS,58700,Removal of fallopian tube,,,5391.0,12989.24,6
HCPCS,58720,Removal of ovary/tube(s),,,6880.82,12989.24,6
HCPCS,58740,Adhesiolysis tube ovary,,,4822.0,9829.75,6
HCPCS,58750,Repair oviduct,,,5391.0,9829.75,6
HCPCS,58752,Revise ovarian tube(s),,,5391.0,9829.75,6
HCPCS,58760,Fimbrioplasty,,,5391.0,9829.75,6
HCPCS,58770,Create new tubal opening,,,3262.77,15299.13,10
HCPCS,58800,Drainage of ovarian cyst(s),,,3262.77,15299.13,10
HCPCS,58805,Drainage of ovarian cyst(s),,,3262.77,15299.13,10
HCPCS,58820,Drain ovary abscess open,,,3262.77,15299.13,10
HCPCS,58822,Drain ovary abscess percut,,,5391.0,9829.75,6
HCPCS,58825,Transposition ovary(s),,,5391.0,9829.75,6
HCPCS,58900,Biopsy of ovary(s),,,3262.77,15299.13,10
HCPCS,58920,Partial removal of ovary(s),,,5391.0,35046.44,10
HCPCS,58925,Removal of ovarian cyst(s),,,5190.92,23642.31,10
HCPCS,58940,Removal of ovary(s),,,5391.0,12989.24,6
HCPCS,58943,Removal of ovary(s),,,5391.0,9829.75,5
HCPCS,58950,Resect ovarian malignancy,,,5391.0,12989.24,6
HCPCS,58951,Resect ovarian malignancy,,,2073.0,12989.24,6
HCPCS,58952,Resect ovarian malignancy,,,2073.0,9829.75,5
HCPCS,58953,Tah rad dissect for debulk,,,2073.0,9829.75,5
HCPCS,58954,Tah rad debulk/lymph remove,,,2073.0,9829.75,5
HCPCS,58956,Bso omentectomy w/tah,,,2073.0,12989.24,6
HCPCS,58957,Resect Recurrent Gyn Mal,,,9812.66,9812.66,1
HCPCS,58958,Resect Recur Gyn Mal w/Lym,,,2073.0,9829.75,6
HCPCS,58960,Exploration of abdomen,,,6880.82,12989.24,6
HCPCS,58970,Retrieval of oocyte,,,804.67,4353.02,10
HCPCS,58974,Transfer of embryo,,,839.0,4353.02,10
HCPCS,58976,Transfer of embryo,,,334.8,1473.0,10
HCPCS,58999,Genital surgery procedure,,,207.96,1473.0,9
HCPCS,59000,Amniocentesis diagnostic,,,839.0,4353.02,10
HCPCS,59001,Amniocentesis therapeutic,,,334.8,2630.44,10
HCPCS,59012,Fetal cord puncture prenatal,,,334.8,1678.32,10
HCPCS,59015,Chorion biopsy,,,839.0,4353.02,10
HCPCS,59020,Fetal contract stress test,,,207.96,1473.0,10
HCPCS,59025,Fetal non-stress test,,,207.96,1473.0,10
HCPCS,59030,Fetal scalp blood sample,,,334.8,1473.0,10
HCPCS,59050,Fetal monitor w/report,,,249.78,1473.0,2
HCPCS,59051,Fetal monitor/interpret only,,,2073.0,2073.0,1
HCPCS,59070,Transabdom amnioinfus w/us,,,334.8,1473.0,10
HCPCS,59072,Umbilical cord occlud w/us,,,334.8,1678.32,10
HCPCS,59074,Fetal fluid drainage w/us,,,334.8,1678.32,10
HCPCS,59076,Fetal shunt placement w/us,,,334.8,6270.01,10
HCPCS,59100,Remove uterus lesion,,,4822.0,23642.31,10
HCPCS,59120,Treat ectopic pregnancy,,,5391.0,9829.75,6
HCPCS,59121,Treat ectopic pregnancy,,,5391.0,9829.75,6
HCPCS,59130,Treat ectopic pregnancy,,,2073.0,9829.75,6
HCPCS,59136,Treat ectopic pregnancy,,,2073.0,9829.75,6
HCPCS,59140,Treat ectopic pregnancy,,,2073.0,9829.75,6
HCPCS,59150,Treat ectopic pregnancy,,,6021.71,28572.05,10
HCPCS,59151,Treat ectopic pregnancy,,,6021.71,28572.05,10
HCPCS,59160,D & c after delivery,,,3262.77,15299.13,10
HCPCS,59200,Insert cervical dilator,,,334.8,1473.0,10
HCPCS,59300,Episiotomy or vaginal repair,,,2630.44,15299.13,10
HCPCS,59320,Revision of cervix,,,2630.44,15299.13,10
HCPCS,59325,Revision of cervix,,,2073.0,9829.75,6
HCPCS,59350,Repair of uterus,,,6270.01,9829.75,5
HCPCS,59400,Obstetrical care,,,2629.5,7231.49,5
HCPCS,59409,HC VAGINAL DELIVERY ONLY,4845.0,4845.0,,,0
HCPCS,59409,Obstetrical care,,,3262.77,15299.13,10
HCPCS,59410,Obstetrical care,,,1165.75,3954.01,5
HCPCS,59412,Antepartum manipulation,,,3262.77,15299.13,10
HCPCS,59414,Deliver placenta,,,3262.77,15299.13,10
HCPCS,59425,Antepartum care only,,,88.14,1217.65,5
HCPCS,59426,Antepartum care only,,,88.14,2226.91,5
HCPCS,59430,Care after delivery,,,289.69,574.22,4
HCPCS,59510,Cesarean delivery,,,2916.02,9812.66,5
HCPCS,59514,Cesarean delivery only,,,6880.82,9829.75,5
HCPCS,59515,Cesarean delivery,,,1444.48,2863.22,4
HCPCS,59525,Remove uterus after cesarean,,,6880.82,12989.24,5
HCPCS,59610,Vbac delivery,,,2748.48,9812.66,5
HCPCS,59612,Vbac delivery only,,,3262.77,15299.13,10
HCPCS,59614,Vbac care after delivery,,,1255.54,2630.44,5
HCPCS,59618,Attempted vbac delivery,,,2946.18,9812.66,5
HCPCS,59620,Attempted vbac delivery only,,,6880.82,9829.75,4
HCPCS,59622,Attempted vbac after care,,,1497.4,9812.66,5
HCPCS,59812,Treatment of miscarriage,,,3262.77,15299.13,10
HCPCS,59820,Care of miscarriage,,,3262.77,15299.13,10
HCPCS,59821,Treatment of miscarriage,,,3262.77,15299.13,10
HCPCS,59830,Treat uterus infection,,,2073.0,9829.75,6
HCPCS,59840,Abortion,,,3262.77,15299.13,10
HCPCS,59841,Abortion,,,3262.77,15299.13,10
HCPCS,59850,Abortion,,,2073.0,9829.75,6
HCPCS,59851,Abortion,,,2073.0,9829.75,6
HCPCS,59852,Abortion,,,2073.0,9829.75,6
HCPCS,59855,Abortion,,,2073.0,9829.75,6
HCPCS,59856,Abortion,,,2630.44,9829.75,6
HCPCS,59857,Abortion,,,2073.0,9829.75,6
HCPCS,59866,Abortion (mpr),,,334.8,6270.01,10
HCPCS,59870,Evacuate mole of uterus,,,3262.77,15299.13,10
HCPCS,59871,Remove cerclage suture,,,3262.77,15299.13,10
HCPCS,59897,Fetal invas px w/us,,,207.96,1678.32,9
HCPCS,59897,HC UNLIST FETAL INVASIVE PROC W/WO US GUID,705.0,705.0,,,0
HCPCS,59898,Laparo proc ob care/deliver,,,6021.71,28572.05,9
HCPCS,59899,Maternity care procedure,,,207.96,1473.0,9
HCPCS,60000,Drain thyroid/tongue cyst,,,1591.58,7333.01,10
HCPCS,60100,Biopsy of thyroid,,,734.26,3346.74,10
HCPCS,60100,HC BIOPSY THYROID,2700.0,2700.0,,,0
HCPCS,60200,Remove thyroid lesion,,,6021.71,28572.05,10
HCPCS,60210,Partial thyroid excision,,,6021.71,28572.05,10
HCPCS,60212,Partial thyroid excision,,,6021.71,28572.05,10
HCPCS,60220,Partial removal of thyroid,,,6021.71,28572.05,10
HCPCS,60225,Partial removal of thyroid,,,6021.71,28572.05,10
HCPCS,60240,Removal of thyroid,,,6021.71,28572.05,10
HCPCS,60252,Removal of thyroid,,,6111.67,27977.99,10
HCPCS,60254,Extensive thyroid surgery,,,4822.0,12989.24,6
HCPCS,60260,Repeat thyroid surgery,,,6111.67,27977.99,10
HCPCS,60270,Removal of thyroid,,,4274.0,14015.34,6
HCPCS,60271,Removal of thyroid,,,6111.67,27977.99,10
HCPCS,60280,Remove thyroid duct lesion,,,6021.71,28572.05,10
HCPCS,60281,Remove thyroid duct lesion,,,6021.71,28572.05,10
HCPCS,60300,Aspir/inj thyroid cyst,,,734.26,3346.74,10
HCPCS,60300,HC ASPIRATION/OR INJ THYROID CYST,2700.0,2700.0,,,0
HCPCS,604,Anesth sitting procedure,,,6880.82,9829.75,4
HCPCS,60500,Explore parathyroid glands,,,6111.67,27977.99,10
HCPCS,60502,Re-explore parathyroids,,,6111.67,27977.99,10
HCPCS,60505,Explore parathyroid glands,,,2073.0,14015.34,6
HCPCS,60512,Autotransplant parathyroid,,,1473.0,7969.86,2
HCPCS,60520,Removal of thymus gland,,,6111.67,27977.99,10
HCPCS,60521,Removal of thymus gland,,,2073.0,12989.24,6
HCPCS,60522,Removal of thymus gland,,,2073.0,14015.34,6
HCPCS,60540,Explore adrenal gland,,,2073.0,12989.24,6
HCPCS,60545,Explore adrenal gland,,,2073.0,12989.24,6
HCPCS,60600,Remove carotid body lesion,,,2073.0,12989.24,6
HCPCS,60605,Remove carotid body lesion,,,2073.0,12989.24,6
HCPCS,60650,Laparoscopy adrenalectomy,,,6880.82,14015.34,6
HCPCS,60659,Laparo proc endocrine,,,6021.71,28572.05,9
HCPCS,60660,Abltj 1/+thyr ndul 1lobe prq,,,1772.87,7805.69,10
HCPCS,60660,HC ABLATION 1 OR> THYROID NODULE 1 LOBE/ISTHMUS PERCUT IMG GUID RF,7070.0,7070.0,,,0
HCPCS,60661,Abltj 1/+thyr ndul addl prq,,,1473.0,1473.0,1
HCPCS,60661,HC ABLATION 1 OR> THYROID NODULE ADDL LOBE PERCUT IMG GUID RADIOFREQ,2356.0,2356.0,,,0
HCPCS,60699,Endocrine surgery procedure,,,6021.71,28572.05,9
HCPCS,60699,HC UNLISTED PROC ENDOCRINE SYS,16022.0,16022.0,,,0
HCPCS,61000,Remove cranial cavity fluid,,,721.71,3336.1,10
HCPCS,61001,Remove cranial cavity fluid,,,721.71,3336.1,10
HCPCS,61020,HC PR SUBCUT RESERVOIR ASPIRATION,518.0,518.0,,,0
HCPCS,61020,HC SUBCUT RESERVOIR ASPIRATION,2678.0,2678.0,,,0
HCPCS,61020,Remove brain cavity fluid,,,951.24,4180.15,10
HCPCS,61026,HC PR SUBCUT RESERVOIR INJ THERAPY,518.0,518.0,,,0
HCPCS,61026,Injection into brain canal,,,721.71,3336.1,10
HCPCS,61050,HC CIST OR LAT CERV PUNCTURE,4778.0,4778.0,,,0
HCPCS,61050,Remove brain canal fluid,,,309.1,2714.47,10
HCPCS,61055,HC INJECTION FOR MYELO C1-C2,2080.0,2080.0,,,0
HCPCS,61055,Injection into brain canal,,,309.1,2714.47,10
HCPCS,61070,Brain canal shunt procedure,,,721.71,3336.1,10
HCPCS,61070,HC PR PUNCTURE SHUNT ASPIRATION/INJ,269.0,269.0,,,0
HCPCS,61070,HC PUNCTURE SHUNT ASPIRATION/INJ,2700.0,2700.0,,,0
HCPCS,61070,HC PUNCTURE SHUNT TUBE/RESERV ASP OR INJ PROC,2700.0,2700.0,,,0
HCPCS,61105,Twist drill hole,,,2073.0,9829.75,6
HCPCS,61107,Drill skull for implantation,,,2073.0,9829.75,6
HCPCS,61108,Drill skull for drainage,,,2073.0,9829.75,6
HCPCS,61120,Burr hole for puncture,,,2073.0,9829.75,6
HCPCS,61140,Pierce skull for biopsy,,,2073.0,14015.34,6
HCPCS,61150,Pierce skull for drainage,,,2073.0,9829.75,6
HCPCS,61151,Pierce skull for drainage,,,2073.0,9829.75,6
HCPCS,61154,Pierce skull & remove clot,,,2073.0,9829.75,5
HCPCS,61156,Pierce skull for drainage,,,2073.0,9829.75,6
HCPCS,61210,Pierce skull implant device,,,2073.0,9829.75,6
HCPCS,61215,Insert brain-fluid device,,,6952.08,41475.96,10
HCPCS,61250,Pierce skull & explore,,,2073.0,9829.75,6
HCPCS,61253,Pierce skull & explore,,,2073.0,9829.75,6
HCPCS,61304,Open skull for exploration,,,2073.0,9829.75,6
HCPCS,61305,Open skull for exploration,,,2073.0,9829.75,6
HCPCS,61312,Open skull for drainage,,,2073.0,9829.75,5
HCPCS,61313,Open skull for drainage,,,2073.0,9829.75,6
HCPCS,61314,Open skull for drainage,,,2073.0,9829.75,6
HCPCS,61315,Open skull for drainage,,,2073.0,9829.75,5
HCPCS,61316,Implt cran bone flap to abdo,,,2073.0,9829.75,6
HCPCS,61320,Open skull for drainage,,,2073.0,9829.75,5
HCPCS,61321,Open skull for drainage,,,2073.0,9829.75,5
HCPCS,61322,Decompressive craniotomy,,,2073.0,9829.75,6
HCPCS,61323,Decompressive lobectomy,,,2073.0,9829.75,6
HCPCS,61330,Decompress eye socket,,,3360.08,15732.11,10
HCPCS,61333,Explore orbit/remove lesion,,,2073.0,14015.34,6
HCPCS,61340,Subtemporal decompression,,,2073.0,9829.75,5
HCPCS,61343,Incise skull (press relief),,,2073.0,9829.75,5
HCPCS,61345,Relieve cranial pressure,,,2073.0,9829.75,5
HCPCS,61450,Incise skull for surgery,,,2073.0,9829.75,5
HCPCS,61458,Incise skull for brain wound,,,2073.0,9829.75,5
HCPCS,61460,Incise skull for surgery,,,2073.0,12989.24,6
HCPCS,61500,Removal of skull lesion,,,2630.44,9829.75,6
HCPCS,61501,Remove infected skull bone,,,2073.0,9829.75,5
HCPCS,61510,Removal of brain lesion,,,2073.0,9829.75,5
HCPCS,61512,Remove brain lining lesion,,,2073.0,9829.75,5
HCPCS,61514,Removal of brain abscess,,,2073.0,9829.75,5
HCPCS,61516,Removal of brain lesion,,,2073.0,9829.75,6
HCPCS,61517,Implt brain chemotx add-on,,,2073.0,9829.75,6
HCPCS,61518,Removal of brain lesion,,,2073.0,9829.75,6
HCPCS,61519,Remove brain lining lesion,,,2073.0,9829.75,6
HCPCS,61520,Removal of brain lesion,,,2073.0,12989.24,6
HCPCS,61521,Removal of brain lesion,,,2073.0,12989.24,6
HCPCS,61522,Removal of brain abscess,,,2073.0,9829.75,6
HCPCS,61524,Removal of brain lesion,,,2073.0,9829.75,6
HCPCS,61526,Removal of brain lesion,,,2073.0,12989.24,6
HCPCS,61530,Removal of brain lesion,,,2073.0,9829.75,5
HCPCS,61531,Implant brain electrodes,,,4274.0,12989.24,6
HCPCS,61533,Implant brain electrodes,,,2073.0,12989.24,6
HCPCS,61534,Removal of brain lesion,,,2073.0,9829.75,5
HCPCS,61535,Remove brain electrodes,,,2073.0,14015.34,6
HCPCS,61536,Removal of brain lesion,,,2073.0,9829.75,5
HCPCS,61537,Removal of brain tissue,,,2073.0,9829.75,6
HCPCS,61538,Removal of brain tissue,,,2073.0,9829.75,5
HCPCS,61539,Removal of brain tissue,,,2073.0,9829.75,5
HCPCS,61540,Removal of brain tissue,,,2073.0,9829.75,6
HCPCS,61541,Incision of brain tissue,,,2073.0,9829.75,5
HCPCS,61543,Removal of brain tissue,,,2073.0,9829.75,5
HCPCS,61544,Remove & treat brain lesion,,,2073.0,9829.75,5
HCPCS,61545,Excision of brain tumor,,,2073.0,9829.75,5
HCPCS,61546,Removal of pituitary gland,,,2073.0,9829.75,5
HCPCS,61548,Removal of pituitary gland,,,2073.0,12989.24,6
HCPCS,61550,Release of skull seams,,,2073.0,9829.75,5
HCPCS,61552,Release of skull seams,,,2073.0,9829.75,5
HCPCS,61556,Incise skull/sutures,,,2073.0,9829.75,5
HCPCS,61557,Incise skull/sutures,,,2073.0,9829.75,5
HCPCS,61558,Excision of skull/sutures,,,2073.0,9829.75,5
HCPCS,61559,Excision of skull/sutures,,,2073.0,9829.75,5
HCPCS,61563,Excision of skull tumor,,,2073.0,9829.75,5
HCPCS,61564,Excision of skull tumor,,,2073.0,9829.75,5
HCPCS,61566,Removal of brain tissue,,,2073.0,9829.75,6
HCPCS,61567,Incision of brain tissue,,,2073.0,9829.75,6
HCPCS,61570,Remove foreign body brain,,,2073.0,9829.75,5
HCPCS,61571,Incise skull for brain wound,,,2073.0,9829.75,5
HCPCS,61575,Skull base/brainstem surgery,,,2073.0,9829.75,5
HCPCS,61576,Skull base/brainstem surgery,,,2073.0,9829.75,5
HCPCS,61580,Craniofacial approach skull,,,2073.0,9829.75,5
HCPCS,61581,Craniofacial approach skull,,,2073.0,9829.75,5
HCPCS,61582,Craniofacial approach skull,,,2073.0,9829.75,5
HCPCS,61583,Craniofacial approach skull,,,2073.0,9829.75,5
HCPCS,61584,Orbitocranial approach/skull,,,2073.0,9829.75,5
HCPCS,61585,Orbitocranial approach/skull,,,2073.0,9829.75,5
HCPCS,61586,Resect nasopharynx skull,,,2073.0,9829.75,5
HCPCS,61590,Infratemporal approach/skull,,,2073.0,9829.75,5
HCPCS,61591,Infratemporal approach/skull,,,2073.0,9829.75,5
HCPCS,61592,Orbitocranial approach/skull,,,2073.0,9829.75,5
HCPCS,61595,Transtemporal approach/skull,,,2073.0,9829.75,5
HCPCS,61596,Transcochlear approach/skull,,,2073.0,9829.75,5
HCPCS,61597,Transcondylar approach/skull,,,2073.0,9829.75,5
HCPCS,61598,Transpetrosal approach/skull,,,2073.0,9829.75,5
HCPCS,61600,Resect/excise cranial lesion,,,2073.0,9829.75,5
HCPCS,61601,Resect/excise cranial lesion,,,2073.0,9829.75,5
HCPCS,61605,Resect/excise cranial lesion,,,2073.0,9829.75,5
HCPCS,61606,Resect/excise cranial lesion,,,2073.0,9829.75,5
HCPCS,61607,Resect/excise cranial lesion,,,2073.0,9829.75,5
HCPCS,61608,Resect/excise cranial lesion,,,2073.0,9829.75,5
HCPCS,61611,Transect artery sinus,,,2073.0,9829.75,5
HCPCS,61613,Remove aneurysm sinus,,,2073.0,9829.75,5
HCPCS,61615,Resect/excise lesion skull,,,2073.0,9829.75,5
HCPCS,61616,Resect/excise lesion skull,,,2073.0,9829.75,5
HCPCS,61618,Repair dura,,,2073.0,9829.75,5
HCPCS,61619,Repair dura,,,2073.0,9829.75,5
HCPCS,61623,Endovasc tempory vessel occl,,,9812.66,54559.54,10
HCPCS,61623,HC ENDOVAS BALL ART OCC HEAD/NCK,28981.0,28981.0,,,0
HCPCS,61624,HC EMBOLIZATION PERC CNS,13035.0,13035.0,,,0
HCPCS,61624,Transcath occlusion cns,,,6880.82,86638.02,9
HCPCS,61626,HC EMBOLIZATION NON CNS HEAD NECK,28981.0,28981.0,,,0
HCPCS,61626,Transcath occlusion non-cns,,,9812.66,54559.54,10
HCPCS,61630,HC PERC BALL ANGIOPLAST INTRACRAN,10879.0,10879.0,,,0
HCPCS,61630,Intracranial angioplasty,,,2073.0,9829.75,5
HCPCS,61635,HC TRANSCATH PLCM STENT INTRACRAN,10879.0,10879.0,,,0
HCPCS,61635,Intracran angioplsty w/stent,,,2073.0,9829.75,5
HCPCS,61640,Dilate ic vasospasm init,,,2073.0,2073.0,1
HCPCS,61640,HC PERC BALL INTRACRAN VASOSPASM,3154.0,3154.0,,,0
HCPCS,61641,Dilate ic vasospasm add-on,,,2073.0,2073.0,1
HCPCS,61641,HC EACH ADD VES IN SAME FAM,3154.0,3154.0,,,0
HCPCS,61642,Dilate ic vasospasm add-on,,,2073.0,2073.0,1
HCPCS,61642,HC EACH ADD VES DIFF VASC FAM,3154.0,3154.0,,,0
HCPCS,61645,HC PERC ARTERIAL TRANSLUMINAL M-THROMBECTOMY AND/OR INF INTRACRAN,11042.0,11042.0,,,0
HCPCS,61645,Perq art m-thrombect &/nfs,,,2073.0,12989.24,6
HCPCS,61650,Evasc prlng admn rx agnt 1st,,,2073.0,9829.75,5
HCPCS,61650,HC ENDOVASC INTRACRAN PROLONG ADMIN PHARM AGENT ARTERIAL INITIAL,11090.0,11090.0,,,0
HCPCS,61651,Evasc prlng admn rx agnt add,,,2073.0,9829.75,5
HCPCS,61651,HC ENDOVASC INTRACRAN PROLONG ADMIN PHARM AGENT ARTERIAL EA ADDL,3183.0,3183.0,,,0
HCPCS,61680,Intracranial vessel surgery,,,2073.0,9829.75,5
HCPCS,61682,Intracranial vessel surgery,,,2073.0,9829.75,5
HCPCS,61684,Intracranial vessel surgery,,,2073.0,9829.75,5
HCPCS,61686,Intracranial vessel surgery,,,2073.0,9829.75,5
HCPCS,61690,Intracranial vessel surgery,,,2073.0,9829.75,5
HCPCS,61692,Intracranial vessel surgery,,,2073.0,9829.75,5
HCPCS,61697,Brain aneurysm repr complx,,,2073.0,9829.75,5
HCPCS,61698,Brain aneurysm repr complx,,,2073.0,9829.75,5
HCPCS,61700,Brain aneurysm repr simple,,,2073.0,9829.75,5
HCPCS,61702,Inner skull vessel surgery,,,2073.0,9829.75,5
HCPCS,61703,Clamp neck artery,,,2073.0,9829.75,5
HCPCS,61705,Revise circulation to head,,,2073.0,9829.75,5
HCPCS,61708,Revise circulation to head,,,2073.0,9829.75,5
HCPCS,61710,Revise circulation to head,,,2073.0,9829.75,5
HCPCS,61711,Fusion of skull arteries,,,2073.0,9829.75,5
HCPCS,61715,HC MRGFUS STEREOTACTIC ABLATION OF TARGET INTRACRANIAL,58761.91,58761.91,,,0
HCPCS,61715,Mrgfus strtctc ablt trgt icr,,,12528.14,59832.55,10
HCPCS,61720,Incise skull/brain surgery,,,6952.08,41475.96,10
HCPCS,61735,Incise skull/brain surgery,,,2073.0,9829.75,6
HCPCS,61736,HC LITT LESION INTRCRNL INC BURR HOLE SINGL TRAJECTORY 1 SIMP LESION,49596.0,49596.0,,,0
HCPCS,61736,Litt icr 1 traj 1 smpl les,,,2073.0,9829.75,5
HCPCS,61737,HC LITT LESION INTRCRNL INC BURR HOLE MLTI TRAJECTORY MLT/COMPLX LES,16395.0,16395.0,,,0
HCPCS,61737,Litt icr mlt trj mlt/cplx ls,,,2073.0,9829.75,5
HCPCS,61750,Incise skull/brain biopsy,,,2073.0,12989.24,6
HCPCS,61751,Brain biopsy w/ct/mr guide,,,2073.0,12989.24,6
HCPCS,61751,HC STEREO BX ASP OR EXC INCL BURR HOLE INTRACRN LESION W CT &/ MR GUID,11813.0,11813.0,,,0
HCPCS,61760,Implant brain electrodes,,,4274.0,9829.75,6
HCPCS,61770,Incise skull for treatment,,,3840.9,16145.22,10
HCPCS,61781,Scan proc cranial intra,,,1473.0,1473.0,1
HCPCS,61782,Scan proc cranial extra,,,1473.0,1473.0,1
HCPCS,61783,Scan proc spinal,,,1473.0,1473.0,1
HCPCS,61790,Treat trigeminal nerve,,,2015.01,9812.66,10
HCPCS,61791,Treat trigeminal tract,,,2015.01,9812.66,10
HCPCS,61796,HC STEREOTACTIC RADIOSURG 1 SIMPLE CRANIAL LESION,10221.0,10221.0,,,0
HCPCS,61796,Srs cranial lesion simple,,,1113.52,17321.54,7
HCPCS,61797,HC STEREOTACTIC RADIOSURG EA ADDL CRANIAL LESION SIMPLE,5600.0,5600.0,,,0
HCPCS,61797,Srs cran les simple addl,,,234.07,4693.64,6
HCPCS,61798,HC STEREOTACTIC RADIOSURG 1 COMPLEX CRANIAL LESION,10221.0,10221.0,,,0
HCPCS,61798,Srs cranial lesion complex,,,1502.39,9556.0,6
HCPCS,61799,HC STEREOTACTIC RADIOSURG EA ADDL CRANIAL LESION COMPLEX,5600.0,5600.0,,,0
HCPCS,61799,Srs cran les complex addl,,,1324.99,4693.64,6
HCPCS,61800,Apply srs headframe add-on,,,161.55,17321.54,6
HCPCS,61800,HC APPL STEREOTACTIC HEADFRAME STEREOTACTIC RADIOSURG,1970.0,1970.0,,,0
HCPCS,61850,HC TWIST DRILL OR BURR HOLE IMPLANT NEUROSTIMULATOR ELECTRODES CORTICL,11813.0,11813.0,,,0
HCPCS,61850,Implant neuroelectrodes,,,2073.0,9829.75,5
HCPCS,61860,HC CRANIECTOMY OR CRANIOTOMY IMPL NEUROSTIM ELECTRODES CEREBRAL CORT,11813.0,11813.0,,,0
HCPCS,61860,Implant neuroelectrodes,,,2073.0,9829.75,5
HCPCS,61863,HC TWST DRLL BURR HL CRANIOTMY/ECTMY W ST IMPL NEURO WO REC 1ST ARRAY,11813.0,11813.0,,,0
HCPCS,61863,Implant neuroelectrode,,,2073.0,9829.75,6
HCPCS,61864,HC TWST DRLL BURR HL CRANIOTMY/ECTMY W ST IMPL NEU WO REC EA ADDL ARRY,3750.0,3750.0,,,0
HCPCS,61864,Implant neuroelectrde addl,,,2073.0,9829.75,6
HCPCS,61867,Implant neuroelectrode,,,2073.0,9829.75,6
HCPCS,61868,Implant neuroelectrde addl,,,2073.0,9829.75,6
HCPCS,61880,Revise/remove neuroelectrode,,,3550.97,16523.11,10
HCPCS,61885,Insrt/redo neurostim 1 array,,,22829.96,145838.03,10
HCPCS,61886,Implant neurostim arrays,,,32407.0,145838.03,10
HCPCS,61888,Revise/remove neuroreceiver,,,2630.44,52662.02,10
HCPCS,61889,Ins sk-mnt crnl nstm pg/rcvr,,,2073.0,9829.75,5
HCPCS,61891,Rev/rplcmt sk-mnt crnl nstm,,,19010.0,145838.03,10
HCPCS,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,3378.06,15463.96,10
HCPCS,62000,Treat skull fracture,,,3360.08,15669.35,10
HCPCS,62005,Treat skull fracture,,,2073.0,9829.75,5
HCPCS,62010,Treatment of head injury,,,2073.0,9829.75,5
HCPCS,62100,Repair brain fluid leakage,,,2073.0,9829.75,5
HCPCS,62115,Reduction of skull defect,,,2073.0,9829.75,5
HCPCS,62117,Reduction of skull defect,,,2073.0,9829.75,5
HCPCS,62120,Repair skull cavity lesion,,,2073.0,9829.75,6
HCPCS,62121,Incise skull repair,,,2073.0,9829.75,5
HCPCS,62140,Repair of skull defect,,,2073.0,12989.24,6
HCPCS,62141,Repair of skull defect,,,2073.0,14015.34,6
HCPCS,62142,Remove skull plate/flap,,,2073.0,9829.75,6
HCPCS,62143,Replace skull plate/flap,,,2073.0,9829.75,6
HCPCS,62145,Repair of skull & brain,,,2073.0,9829.75,5
HCPCS,62146,Repair of skull with graft,,,2073.0,9829.75,5
HCPCS,62147,Repair of skull with graft,,,2073.0,9829.75,5
HCPCS,62148,Retr bone flap to fix skull,,,804.67,9829.75,6
HCPCS,62160,Neuroendoscopy add-on,,,1473.0,1473.0,1
HCPCS,62161,Dissect brain w/scope,,,2073.0,12989.24,6
HCPCS,62162,Remove colloid cyst w/scope,,,2073.0,12989.24,6
HCPCS,62164,Remove brain tumor w/scope,,,2073.0,12989.24,6
HCPCS,62165,Remove pituit tumor w/scope,,,2073.0,12989.24,6
HCPCS,62180,Establish brain cavity shunt,,,2073.0,9829.75,5
HCPCS,62190,Establish brain cavity shunt,,,2073.0,9829.75,5
HCPCS,62192,Establish brain cavity shunt,,,2073.0,9829.75,5
HCPCS,62194,Replace/irrigate catheter,,,2015.01,9228.87,10
HCPCS,62200,Establish brain cavity shunt,,,2073.0,9829.75,5
HCPCS,62201,Brain cavity shunt w/scope,,,2073.0,9829.75,5
HCPCS,62220,Establish brain cavity shunt,,,2073.0,9829.75,5
HCPCS,62223,Establish brain cavity shunt,,,2073.0,9829.75,5
HCPCS,62225,Replace/irrigate catheter,,,2630.44,16145.22,10
HCPCS,62230,Replace/revise brain shunt,,,6270.01,41475.96,10
HCPCS,62252,Csf Shunt Reprogram,,,311.72,1473.0,10
HCPCS,62252,HC PR REPROGRAM OF PROG CEREBROSPINAL SHUNT,133.0,133.0,,,0
HCPCS,62252,HC REPROGRAMMING OF PROGRAMMABLE CEREBROSPINAL SHUNT,1510.0,1510.0,,,0
HCPCS,62256,Remove brain cavity shunt,,,4274.0,9829.75,6
HCPCS,62258,Replace brain cavity shunt,,,2073.0,9829.75,6
HCPCS,62263,Epidural lysis mult sessions,,,951.24,4180.15,10
HCPCS,62264,Epidural lysis on single day,,,951.24,4180.15,10
HCPCS,62267,HC PERC ASP INTERV DISC/PARVER DX,2700.0,2700.0,,,0
HCPCS,62267,Interdiscal perq aspir dx,,,734.26,3346.74,10
HCPCS,62268,Drain spinal cord cyst,,,951.24,4180.15,10
HCPCS,62268,HC DRAIN SPINAL CORD CYST,2700.0,2700.0,,,0
HCPCS,62269,HC SPINAL CORD BIOPSY NEED,4454.0,4454.0,,,0
HCPCS,62269,Needle biopsy spinal cord,,,1692.02,7805.69,10
HCPCS,62270,HC LUMB PUNCT SPINAL PUNC DIAG,1573.0,1573.0,,,0
HCPCS,62270,HC PR LUMB SPINAL PUNCT DIAGNOST,400.0,400.0,,,0
HCPCS,62270,Spinal fluid tap diagnostic,,,721.71,3336.1,10
HCPCS,62272,Drain cerebro spinal fluid,,,721.71,3336.1,10
HCPCS,62272,HC DRAIN SPINAL FLUID BY NDLE CAT,2700.0,2700.0,,,0
HCPCS,62272,HC PR DRAIN SPINAL FLUID BY NDLE CAT,518.0,518.0,,,0
HCPCS,62273,HC INJECTION OF BLOOD PATCH,2760.0,2760.0,,,0
HCPCS,62273,HC PR INJECTION OF BLOOD PATCH,518.0,518.0,,,0
HCPCS,62273,Inject epidural patch,,,721.71,3336.1,10
HCPCS,62280,Treat spinal cord lesion,,,951.24,4180.15,10
HCPCS,62281,Treat spinal cord lesion,,,951.24,4180.15,10
HCPCS,62282,HC INJ L SPINE NEUROL SUBSTN,4360.0,4360.0,,,0
HCPCS,62282,Treat spinal canal lesion,,,951.24,4180.15,10
HCPCS,62284,HC INJECTION FOR MYELO LP,1725.0,1725.0,,,0
HCPCS,62284,Injection for myelogram,,,1473.0,1473.0,1
HCPCS,62287,Percutaneous diskectomy,,,2015.01,12989.24,10
HCPCS,62290,HC INJ DISKOGRAPHY LUMBAR,6099.0,6099.0,,,0
HCPCS,62290,HC PR INJ DISKOGRAPHY LUMBAR,843.0,843.0,,,0
HCPCS,62290,Inject for spine disk x-ray,,,1473.0,1473.0,1
HCPCS,62291,HC INJ DISKOGRAPHY CERVICAL,1535.0,1535.0,,,0
HCPCS,62291,Inject for spine disk x-ray,,,1473.0,1473.0,1
HCPCS,62292,HC INJ INTO DISK LESION,7691.0,7691.0,,,0
HCPCS,62292,Injection into disk lesion,,,2015.01,9812.66,10
HCPCS,62294,HC OCCL AVM SPINE,2700.0,2700.0,,,0
HCPCS,62294,Injection into spinal artery,,,951.24,9812.66,10
HCPCS,62302,HC INJ FOR MYELO CERVICAL WITH S&I,2700.0,2700.0,,,0
HCPCS,62302,Myelography lumbar injection,,,835.61,3704.92,10
HCPCS,62303,HC INJ FOR MYELO THORACIC WITH S&I,2700.0,2700.0,,,0
HCPCS,62303,Myelography lumbar injection,,,835.61,3704.92,10
HCPCS,62304,HC INJ FOR MYELO LUMBOSACRAL WITH S&I,2700.0,2700.0,,,0
HCPCS,62304,Myelography lumbar injection,,,835.61,3704.92,10
HCPCS,62305,HC INJ FOR MYELO 2 OR MORE REGIONS WITH S&I,2700.0,2700.0,,,0
HCPCS,62305,Myelography lumbar injection,,,835.61,3704.92,10
HCPCS,62320,HC INJ DIAG/THER EPI/SUBARACH CERV/THOR WO IMG GUID,2700.0,2700.0,,,0
HCPCS,62320,Njx interlaminar crv/thrc,,,721.71,3336.1,10
HCPCS,62321,HC INJ DIAG/THER EPI/SUBARACH CERV/THOR W IMG GUID,2700.0,2700.0,,,0
HCPCS,62321,HC PR INJ DIAG/THER EPI/SUBARACH CERV/THOR W IMG GUID,631.0,631.0,,,0
HCPCS,62321,Njx interlaminar crv/thrc,,,721.71,3336.1,10
HCPCS,62322,HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL WO IMG GUID,2700.0,2700.0,,,0
HCPCS,62322,HC PR INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL WO IMG GUID,411.0,411.0,,,0
HCPCS,62322,Njx interlaminar lmbr/sac,,,951.24,4180.15,10
HCPCS,62323,HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL W IMG GUID,2678.0,2678.0,,,0
HCPCS,62323,HC PR INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL W IMG GUID,659.0,659.0,,,0
HCPCS,62323,Njx interlaminar lmbr/sac,,,721.71,3336.1,10
HCPCS,62324,HC INJ DIAG/THER INDW CATH PL EPI/SUBARAC CERV/THOR WO IMG GUID,2700.0,2700.0,,,0
HCPCS,62324,Njx interlaminar crv/thrc,,,951.24,4180.15,10
HCPCS,62325,HC INJ DIAG/THER INDW CATH PL EPI/SUBARAC CERV/THOR W IMG GUID,2700.0,2700.0,,,0
HCPCS,62325,Njx interlaminar crv/thrc,,,951.24,4180.15,10
HCPCS,62326,HC INJ DIAG/THER INDW CATH PL EPI/SUBARAC LUMB/SACR WO IMG GUID,2678.0,2678.0,,,0
HCPCS,62326,Njx interlaminar lmbr/sac,,,951.24,4180.15,10
HCPCS,62327,HC INJ DIAG/THER INDW CATH PL EPI/SUBARAC LUMB/SACR W IMG GUID,2678.0,2678.0,,,0
HCPCS,62327,Njx interlaminar lmbr/sac,,,951.24,4180.15,10
HCPCS,62328,Dx lmbr spi pnxr w/fluor/ct,,,721.71,3336.1,10
HCPCS,62328,HC PR SPINAL PUNCTURE LUMBAR DIAG W FLUOROSCOPIC OR CT GUIDANCE,491.0,491.0,,,0
HCPCS,62328,HC SPINAL PUNCTURE LUMBAR DIAG W FLUOROSCOPIC OR CT GUIDANCE,2858.0,2858.0,,,0
HCPCS,62329,HC SPINAL PUNC THERA DRAIN CEREBROSPINAL FLUID W FLUORO OR CT GUID,2858.0,2858.0,,,0
HCPCS,62329,Ther spi pnxr csf fluor/ct,,,721.71,3336.1,10
HCPCS,62330,Dcmprn prq rmv lig flv 1lmbr,,,8158.42,34293.94,3
HCPCS,62350,HC IMPLANT EPIDURAL CATH WO LAM,12499.0,12499.0,,,0
HCPCS,62350,Implant spinal canal cath,,,6270.01,41475.96,10
HCPCS,62351,Implant spinal canal cath,,,6270.01,34293.94,10
HCPCS,62355,Remove spinal canal catheter,,,2015.01,9228.87,10
HCPCS,62360,Insert spine infusion device,,,9174.0,85183.39,10
HCPCS,62361,Implant spine infusion pump,,,18612.41,85183.39,10
HCPCS,62362,Implant spine infusion pump,,,18612.41,85183.39,10
HCPCS,62365,Remove spine infusion device,,,2630.44,16145.22,10
HCPCS,62367,Analyze spine infus pump,,,311.72,2630.44,10
HCPCS,62367,HC ELECTRONIC PROGRAM WO ANALYSIS,1490.0,1490.0,,,0
HCPCS,62367,HC PR ELECTRONIC PROG WO ANALYSIS,100.0,100.0,,,0
HCPCS,62368,Analyze sp inf pump w/reprog,,,311.72,2630.44,10
HCPCS,62368,HC ELECTRONIC PROGRAM W ANALYSIS,1490.0,1490.0,,,0
HCPCS,62368,HC PR ELECTRONIC PROG W ANALYSIS,134.0,134.0,,,0
HCPCS,62369,Anal sp inf pmp w/reprg&fill,,,311.72,2630.44,10
HCPCS,62369,HC ELECTRONIC ANALYSIS W REPROGRAM AND REFILL,1490.0,1490.0,,,0
HCPCS,62369,HC PR ELECTRONIC ANALYSIS W REPROGRAM AND REFILL,248.0,248.0,,,0
HCPCS,62370,Anl sp inf pmp w/mdreprg&fil,,,311.72,2630.44,10
HCPCS,62370,HC ELECTRONIC ANALYSIS W REPROGRAM AND REFILL (MD),1525.0,1525.0,,,0
HCPCS,62370,HC PR ELECTRONIC ANALYSIS W REPROGRAM AND REFILL (MD),337.0,337.0,,,0
HCPCS,62380,Ndsc dcmprn 1 ntrspc lumbar,,,7466.19,34293.94,10
HCPCS,63001,Remove spine lamina 1/2 crvl,,,7466.19,34293.94,10
HCPCS,63003,Remove spine lamina 1/2 thrc,,,7466.19,34293.94,10
HCPCS,63005,Remove spine lamina 1/2 lmbr,,,7466.19,34293.94,10
HCPCS,63011,Remove spine lamina 1/2 scrl,,,7466.19,34293.94,10
HCPCS,63012,Remove lamina/facets lumbar,,,7466.19,34293.94,10
HCPCS,63015,Remove spine lamina >2 crvcl,,,7466.19,34293.94,10
HCPCS,63016,Remove spine lamina >2 thrc,,,7466.19,34293.94,10
HCPCS,63017,Remove spine lamina >2 lmbr,,,7466.19,34293.94,10
HCPCS,63020,Neck spine disk surgery,,,7466.19,34293.94,10
HCPCS,63030,Low back disk surgery,,,7466.19,34293.94,10
HCPCS,63035,Spinal disk surgery add-on,,,1473.0,18033.71,2
HCPCS,63040,Laminotomy single cervical,,,7466.19,34293.94,10
HCPCS,63042,Laminotomy single lumbar,,,7466.19,34293.94,10
HCPCS,63043,Laminotomy addl cervical,,,5391.0,5391.0,1
HCPCS,63044,Laminotomy addl lumbar,,,5391.0,5391.0,1
HCPCS,63045,Remove spine lamina 1 crvl,,,7466.19,34293.94,10
HCPCS,63046,Remove spine lamina 1 thrc,,,7466.19,34293.94,10
HCPCS,63047,Remove spine lamina 1 lmbr,,,7466.19,34293.94,10
HCPCS,63048,Remove spinal lamina add-on,,,1473.0,18033.71,2
HCPCS,63050,Cervical laminoplsty 2/> seg,,,2073.0,9829.75,6
HCPCS,63051,C-laminoplasty w/graft/plate,,,2073.0,9829.75,6
HCPCS,63052,Lam facetc/frmt arthrd lum 1,,,1473.0,1473.0,1
HCPCS,63053,Lam factc/frmt arthrd lum ea,,,1473.0,1473.0,1
HCPCS,63055,Decompress spinal cord thrc,,,7466.19,34293.94,10
HCPCS,63056,Decompress spinal cord lmbr,,,7466.19,34293.94,10
HCPCS,63057,Decompress spine cord add-on,,,1473.0,18033.71,2
HCPCS,63064,Decompress spinal cord thrc,,,7466.19,34293.94,10
HCPCS,63066,Decompress spine cord add-on,,,1473.0,18033.71,2
HCPCS,63075,Neck spine disk surgery,,,7466.19,34293.94,10
HCPCS,63076,Neck spine disk surgery,,,1473.0,18033.71,2
HCPCS,63077,Spine disk surgery thorax,,,2073.0,9829.75,5
HCPCS,63078,Spine disk surgery thorax,,,2073.0,9829.75,5
HCPCS,63081,Remove vert body dcmprn crvl,,,6880.82,12989.24,6
HCPCS,63082,Remove vertebral body add-on,,,2073.0,9829.75,5
HCPCS,63085,Remove vert body dcmprn thrc,,,2073.0,9829.75,5
HCPCS,63086,Remove vertebral body add-on,,,2073.0,9829.75,5
HCPCS,63087,Remov vertbr dcmprn thrclmbr,,,2073.0,9829.75,5
HCPCS,63088,Remove vertebral body add-on,,,2073.0,9829.75,5
HCPCS,63090,Remove vert body dcmprn lmbr,,,2073.0,12989.24,6
HCPCS,63091,Remove vertebral body add-on,,,2073.0,9829.75,5
HCPCS,63101,Remove vert body dcmprn thrc,,,2073.0,12989.24,6
HCPCS,63102,Remove vert body dcmprn lmbr,,,2073.0,12989.24,6
HCPCS,63103,Remove vertebral body add-on,,,2073.0,12989.24,6
HCPCS,63170,Incise spinal cord tract(s),,,2073.0,9829.75,6
HCPCS,63172,Drainage of spinal cyst,,,2073.0,9829.75,5
HCPCS,63173,Drainage of spinal cyst,,,2073.0,9829.75,5
HCPCS,63185,Incise spine nrv half segmnt,,,6880.82,19010.0,6
HCPCS,63190,Incise spine nrv >2 segmnts,,,6880.82,19010.0,6
HCPCS,63191,Incise spine accessory nerve,,,6880.82,19010.0,5
HCPCS,63197,Incise spine&cord 2 trx thrc,,,2073.0,9829.75,5
HCPCS,632,Anesth removal of nerves,,,6880.82,9829.75,4
HCPCS,63200,Release spinal cord lumbar,,,6880.82,19010.0,5
HCPCS,63250,Revise spinal cord vsls crvl,,,2073.0,9829.75,5
HCPCS,63251,Revise spinal cord vsls thrc,,,2073.0,9829.75,5
HCPCS,63252,Revise spine cord vsl thrlmb,,,6880.82,19010.0,5
HCPCS,63265,Excise intraspinl lesion crv,,,7466.19,34293.94,9
HCPCS,63266,Excise intrspinl lesion thrc,,,7466.19,34293.94,9
HCPCS,63267,Excise intrspinl lesion lmbr,,,4822.0,34293.94,9
HCPCS,63268,Excise intrspinl lesion scrl,,,7466.19,34293.94,9
HCPCS,63270,Excise intrspinl lesion crvl,,,2073.0,9829.75,5
HCPCS,63271,Excise intrspinl lesion thrc,,,2073.0,9829.75,5
HCPCS,63272,Excise intrspinl lesion lmbr,,,6880.82,19010.0,5
HCPCS,63273,Excise intrspinl lesion scrl,,,2073.0,14015.34,6
HCPCS,63275,Bx/exc xdrl spine lesn crvl,,,2073.0,9829.75,5
HCPCS,63276,Bx/exc xdrl spine lesn thrc,,,2073.0,9829.75,5
HCPCS,63277,Bx/exc xdrl spine lesn lmbr,,,6880.82,19010.0,5
HCPCS,63278,Bx/exc xdrl spine lesn scrl,,,2073.0,9829.75,5
HCPCS,63280,Bx/exc idrl spine lesn crvl,,,2073.0,9829.75,5
HCPCS,63281,Bx/exc idrl spine lesn thrc,,,2073.0,9829.75,5
HCPCS,63282,Bx/exc idrl spine lesn lmbr,,,6880.82,19010.0,5
HCPCS,63283,Bx/exc idrl spine lesn scrl,,,2073.0,14015.34,6
HCPCS,63285,Bx/exc idrl imed lesn cervl,,,2073.0,9829.75,5
HCPCS,63286,Bx/exc idrl imed lesn thrc,,,2073.0,9829.75,5
HCPCS,63287,Bx/exc idrl imed lesn thrlmb,,,6880.82,19010.0,5
HCPCS,63290,Bx/exc xdrl/idrl lsn any lvl,,,6880.82,19010.0,5
HCPCS,63295,Repair laminectomy defect,,,2073.0,9829.75,6
HCPCS,63300,Remove vert xdrl body crvcl,,,2073.0,14015.34,6
HCPCS,63301,Remove vert xdrl body thrc,,,2073.0,9829.75,5
HCPCS,63302,Remove vert xdrl body thrlmb,,,2073.0,9829.75,5
HCPCS,63303,Remov vert xdrl bdy lmbr/sac,,,2073.0,9829.75,5
HCPCS,63304,Remove vert idrl body crvcl,,,2073.0,14015.34,6
HCPCS,63305,Remove vert idrl body thrc,,,2073.0,9829.75,5
HCPCS,63306,Remov vert idrl bdy thrclmbr,,,2073.0,9829.75,5
HCPCS,63307,Remov vert idrl bdy lmbr/sac,,,2073.0,9829.75,5
HCPCS,63308,Remove vertebral body add-on,,,2073.0,9829.75,5
HCPCS,63600,Remove spinal cord lesion,,,2015.01,9228.87,10
HCPCS,63610,Stimulation of spinal cord,,,2015.01,9228.87,10
HCPCS,63620,Srs spinal lesion,,,1229.31,9556.0,6
HCPCS,63621,Srs spinal lesion addl,,,268.87,4693.64,6
HCPCS,63650,HC PERC IMPL ELECTR ARRAY EPI,16929.0,16929.0,,,0
HCPCS,63650,HC PR PERC IMPL ELECTR ARRAY EPI,2189.0,2189.0,,,0
HCPCS,63650,Implant neuroelectrodes,,,6270.01,30119.71,10
HCPCS,63655,Implant neuroelectrodes,,,19010.0,91687.8,10
HCPCS,63661,Remove spine eltrd perq aray,,,2015.01,9228.87,10
HCPCS,63662,Remove spine eltrd plate,,,2630.44,16523.11,10
HCPCS,63663,Revise spine eltrd perq aray,,,2630.44,30119.71,10
HCPCS,63664,Revise spine eltrd plate,,,2630.44,52662.02,10
HCPCS,63685,Insrt/redo spine n generator,,,32407.0,145838.03,10
HCPCS,63688,Revise/remove neuroreceiver,,,2630.44,16523.11,10
HCPCS,63700,Repair of spinal herniation,,,2073.0,9829.75,5
HCPCS,63702,Repair of spinal herniation,,,2073.0,9829.75,5
HCPCS,63704,Repair of spinal herniation,,,2073.0,9829.75,5
HCPCS,63706,Repair of spinal herniation,,,2073.0,9829.75,5
HCPCS,63707,Repair spinal fluid leakage,,,2073.0,9829.75,6
HCPCS,63709,Repair spinal fluid leakage,,,2073.0,9829.75,6
HCPCS,63710,Graft repair of spine defect,,,2073.0,9829.75,5
HCPCS,63740,Install spinal shunt,,,2073.0,9829.75,5
HCPCS,63741,Install spinal shunt,,,6952.08,41475.96,10
HCPCS,63744,Revision of spinal shunt,,,3840.9,16145.22,10
HCPCS,63746,Removal of spinal shunt,,,2015.01,9228.87,10
HCPCS,64400,HC INJ ANES AGENT &/STEROID TRIGEMINAL NERVE EACH BRANCH,841.0,841.0,,,0
HCPCS,64400,HC INJ TRIGEMINAL NERVE,841.0,841.0,,,0
HCPCS,64400,N block inj trigeminal,,,309.1,1678.32,10
HCPCS,64405,HC INJECTION OCCIPITAL NERVE,1490.0,1490.0,,,0
HCPCS,64405,HC PR INJECTION OCCIPITAL NERVE,268.0,268.0,,,0
HCPCS,64405,N block inj occipital,,,309.1,1678.32,10
HCPCS,64408,N block inj vagus,,,309.1,1678.32,10
HCPCS,64415,HC INJ ANESTH AGENT &OR STEROID BRACHIAL PLEXUS,3492.0,3492.0,,,0
HCPCS,64415,HC INJECTION BRACHIAL PLEXUS NERVE SINGLE,3492.0,3492.0,,,0
HCPCS,64415,HC PR INJ ANESTH AGENT &OR STEROID BRACHIAL PLEXUS,204.0,204.0,,,0
HCPCS,64415,N block inj brachial plexus,,,951.24,4180.15,10
HCPCS,64416,N block cont infuse b plex,,,951.24,4180.15,10
HCPCS,64417,N block inj axillary,,,951.24,4180.15,10
HCPCS,64418,HC INJECTION SUPRASCAPULAR NERVE,1560.0,1560.0,,,0
HCPCS,64418,HC PR INJECTION SUPRASCAPULAR NERVE,289.0,289.0,,,0
HCPCS,64418,N block inj suprascapular,,,721.71,3336.1,10
HCPCS,64420,HC INJ INTERCOSTAL NERVE SINGLE,2700.0,2700.0,,,0
HCPCS,64420,HC PR INJ INTERCOSTAL NERVE SINGL,232.0,232.0,,,0
HCPCS,64420,N block inj intercost sng,,,721.71,3336.1,10
HCPCS,64421,HC INJ INTERCOSTAL NERVE MULTI,2678.0,2678.0,,,0
HCPCS,64421,HC PR INTERCOST NERV MULT BI,682.0,682.0,,,0
HCPCS,64421,N block inj intercost mlt,,,951.24,4180.15,10
HCPCS,64425,HC INJECTION ILIOINGUINAL NERVE,2678.0,2678.0,,,0
HCPCS,64425,HC PR INJECTION ILIOINGUINAL NERVE,260.0,260.0,,,0
HCPCS,64425,N block inj ilio-ing/hypogi,,,721.71,3336.1,10
HCPCS,64430,HC INJ ANESTH AGENT PUDENDAL NERVE,2678.0,2678.0,,,0
HCPCS,64430,N block inj pudendal,,,951.24,4180.15,10
HCPCS,64435,N block inj paracervical,,,721.71,3336.1,10
HCPCS,64445,HC INJECTION SCIATIC NERVE SINGLE,2678.0,2678.0,,,0
HCPCS,64445,N block inj sciatic sng,,,721.71,3336.1,10
HCPCS,64446,N blk inj sciatic cont inf,,,951.24,4180.15,10
HCPCS,64447,HC INJ ANES AGENT FEMORAL NERVE SINGLE,1573.0,1573.0,,,0
HCPCS,64447,HC INJECTION FEMORAL NERVE SINGLE,1573.0,1573.0,,,0
HCPCS,64447,HC PR INJECTION FEMORAL NERVE SINGLE,172.0,172.0,,,0
HCPCS,64447,N block inj fem single,,,721.71,3336.1,10
HCPCS,64448,N block inj fem cont inf,,,951.24,4180.15,10
HCPCS,64449,N block inj lumbar plexus,,,951.24,4180.15,10
HCPCS,64450,HC INJ ANES AGENT &OR STEROID OTHER PERIPHERAL NERVE OR BRANCH,1573.0,1573.0,,,0
HCPCS,64450,HC INJECTION PERIPHERAL NERVE,2678.0,2678.0,,,0
HCPCS,64450,HC PR INJECTION PERIPHERAL NERVE,411.0,411.0,,,0
HCPCS,64450,N block other peripheral,,,721.71,3336.1,10
HCPCS,64451,HC INJ ANESTH AGNT &/OR STEROID NERVES INNERV SACROILIAC JNT W IMG GUI,2678.0,2678.0,,,0
HCPCS,64451,HC INJ ANESTH AGNT &OR STEROID NERVES INNERV SACROILIAC JNT W IMG GUI,2678.0,2678.0,,,0
HCPCS,64451,HC PR INJ ANES AGNT &OR STEROID NERVES INNERV SACROILIAC JNT W IMG GUI,300.0,300.0,,,0
HCPCS,64451,Njx aa&/strd nrv nrvtg si jt,,,721.71,3336.1,10
HCPCS,64454,HC INJ ANESTH AGNT &/OR STROID GENICULAR NRV BRNCH INC IMG GUID WH PRF,2678.0,2678.0,,,0
HCPCS,64454,HC INJ ANESTH AGNT &OR STEROID GENICULAR NRV BRNCH W IMG GUID WH PRF,2678.0,2678.0,,,0
HCPCS,64454,HC PR INJ ANES AGNT &OR STEROID GENICULAR NRV BRNCH W IMG GUID WH PRF,367.0,367.0,,,0
HCPCS,64454,Njx aa&/strd gnclr nrv brnch,,,721.71,3336.1,10
HCPCS,64455,HC IN ANES/STEROD PLANTAR COMMON DIGITAL NERVE(S),1490.0,1490.0,,,0
HCPCS,64455,HC PR IN ANES/STEROD PLANTAR COMMON DIGITAL  NERVE(S),139.0,139.0,,,0
HCPCS,64455,N block inj plantar digit,,,309.1,1473.0,10
HCPCS,64461,Pvb thoracic single inj site,,,721.71,3336.1,10
HCPCS,64462,Pvb thoracic 2nd+ inj site,,,1473.0,1473.0,1
HCPCS,64463,Pvb thoracic cont infusion,,,721.71,3336.1,10
HCPCS,64466,HC THORACIC FASCIAL PLANE BLOCK UNI INJECTION INCL IMG GUID WH PERF,1768.0,1768.0,,,0
HCPCS,64466,Thrc fascial pln blk uni njx,,,1473.0,1473.0,1
HCPCS,64467,HC THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION INCL IMG GUID W PERF,1768.0,1768.0,,,0
HCPCS,64467,Thrc fascial pln blk uni nfs,,,1473.0,1473.0,1
HCPCS,64468,HC THORACIC FASCIAL PLANE BLOCK BILAT INJECTION INCL IMG GUID WH PERF,3536.0,3536.0,,,0
HCPCS,64468,Thrc fascial pln blk bi njx,,,1473.0,1473.0,1
HCPCS,64469,HC THORACIC FASCIAL PLANE BLOCK BILAT CONT INFUSION INC IMG GUID W PER,3536.0,3536.0,,,0
HCPCS,64469,Thrc fascial pln blk bi nfs,,,1473.0,1473.0,1
HCPCS,64473,HC LOWER EXTR FASCIAL PLANE BLOCK UNI INJECTION INCL IMG GUID WH PERF,1768.0,1768.0,,,0
HCPCS,64473,Lwr xtr fscl pln blk uni njx,,,1473.0,1473.0,1
HCPCS,64474,HC LOWER EXTR FASCIAL PLANE BLOCK UNI CONT INFUSION INC IMG GUID W PER,1768.0,1768.0,,,0
HCPCS,64474,Lwr xtr fscl pln blk uni nfs,,,1473.0,1473.0,1
HCPCS,64479,HC INJ PARAVERT C OR T W CT OR FL,2678.0,2678.0,,,0
HCPCS,64479,HC PR INJ PARAVERT C OR T W CT OR FL,1266.0,1266.0,,,0
HCPCS,64479,Inj foramen epidural c/t,,,951.24,4180.15,10
HCPCS,64480,HC INJ ANES & OR STEROID FORAMEN W IMG GUIDE CERV/THOR EA ADD LEVEL,1480.0,1480.0,,,0
HCPCS,64480,HC INJ PARAVERT C OR T EA ADD LEV,1480.0,1480.0,,,0
HCPCS,64480,HC PR INJ ANES & OR STEROID FORAMEN W IMG GUIDE CERV/THOR EA ADD LEVEL,181.0,181.0,,,0
HCPCS,64480,Inj foramen epidural add-on,,,1399.77,1473.0,2
HCPCS,64483,HC INJ PARAVERT LS SNGL LEVEL,2700.0,2700.0,,,0
HCPCS,64483,HC INJ PARAVERT NRV LUMBAR/SAC,2700.0,2700.0,,,0
HCPCS,64483,HC PR INJ PARAVERT LS SNGL LEVEL,771.0,771.0,,,0
HCPCS,64483,Inj foramen epidural l/s,,,951.24,4180.15,10
HCPCS,64484,HC INJ LUMB OR SAC EA ADD LEVEL,817.0,817.0,,,0
HCPCS,64484,HC PR INJ PARAVERT NRV LUMB EA ADD,393.0,393.0,,,0
HCPCS,64484,Inj foramen epidural add-on,,,1399.77,1473.0,2
HCPCS,64486,HC PR TRANSVERSE ABDOMINIS PLANE BLOCK UNILAT W IMG GUID,331.0,331.0,,,0
HCPCS,64486,HC TRANSVERSE ABDOMINIS PLANE BLOCK UNILAT W IMG GUID,1954.0,1954.0,,,0
HCPCS,64486,Tap block unil by injection,,,1473.0,1473.0,1
HCPCS,64487,Tap block uni by infusion,,,1473.0,1473.0,1
HCPCS,64488,Tap block bi injection,,,1473.0,1473.0,1
HCPCS,64489,Tap block bi by infusion,,,1473.0,1473.0,1
HCPCS,64490,HC INJ FACET NRV CER/THOR SINGLE LEVEL,2700.0,2700.0,,,0
HCPCS,64490,HC INJ FACET NRV CER/THOR SNG,2700.0,2700.0,,,0
HCPCS,64490,HC PR INJ FACET NRV CER/THOR SNG,770.0,770.0,,,0
HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,951.24,4180.15,10
HCPCS,64491,HC INJ FACET NRV CER/THOR 2ND LEV,1480.0,1480.0,,,0
HCPCS,64491,HC PR INJ FACET CERV/THOR 2ND LEV,313.0,313.0,,,0
HCPCS,64491,Inj paravert f jnt c/t 2 lev,,,270.21,1473.0,6
HCPCS,64492,HC INJ FACET CERV/THORC 3RD LEVEL,1480.0,1480.0,,,0
HCPCS,64492,HC PR INJ FACET CERV/THOR 3RD LEV,313.0,313.0,,,0
HCPCS,64492,Inj paravert f jnt c/t 3 lev,,,270.21,1473.0,6
HCPCS,64493,HC INJ FACET JT LUM/SAC 1ST LEVEL,2700.0,2700.0,,,0
HCPCS,64493,HC PR INJ FACET JT LUM/SAC 1ST LEV,711.0,711.0,,,0
HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,951.24,4180.15,10
HCPCS,64494,HC INJ FACET JT LUM/SAC 2ND LEVEL,1480.0,1480.0,,,0
HCPCS,64494,HC PR INJ FACET JT LUM/SAC 2ND LEV,340.0,340.0,,,0
HCPCS,64494,Inj paravert f jnt l/s 2 lev,,,270.21,1473.0,6
HCPCS,64495,HC INJ FACET JT 3RD LEV & ADD LEV,1480.0,1480.0,,,0
HCPCS,64495,HC PR INJ FACET JT 3RD & ADD LEV,268.0,268.0,,,0
HCPCS,64495,Inj paravert f jnt l/s 3 lev,,,270.21,1473.0,6
HCPCS,64505,HC INJ ANES AGENT SPHENOPALATINE GANGLION,1490.0,1490.0,,,0
HCPCS,64505,HC INJ ANESTH AGENT SPHENOPALATINE GANGLION,1490.0,1490.0,,,0
HCPCS,64505,N block spenopalatine gangl,,,309.1,1473.0,10
HCPCS,64510,HC INJ STELLATE GANGLION,2678.0,2678.0,,,0
HCPCS,64510,HC PR INJ STELLATE GANGLION,252.0,252.0,,,0
HCPCS,64510,N block stellate ganglion,,,951.24,4180.15,10
HCPCS,64517,HC INJ ANES SUPERIOR HYPOGASTRIC PLEXUS,2985.0,2985.0,,,0
HCPCS,64517,N block inj hypogas plxs,,,951.24,6270.01,10
HCPCS,64520,HC INJ ANESTHETIC AGENT LUMBAR OR THORACIC,2700.0,2700.0,,,0
HCPCS,64520,HC INJ LUMBAR SYMPATHETIC,2700.0,2700.0,,,0
HCPCS,64520,HC PR INJ LUMBAR SYMPATHETIC,382.0,382.0,,,0
HCPCS,64520,N block lumbar/thoracic,,,951.24,4180.15,10
HCPCS,64530,HC INJ CELIAC PLEXUS,2678.0,2678.0,,,0
HCPCS,64530,HC PR INJ CELIAC PLEXUS,377.0,377.0,,,0
HCPCS,64530,N block inj celiac pelus,,,951.24,4180.15,10
HCPCS,64553,Implant neuroelectrodes,,,2630.44,52662.02,10
HCPCS,64555,Implant neuroelectrodes,,,2630.44,30119.71,10
HCPCS,64561,Implant neuroelectrodes,,,2630.44,30119.71,10
HCPCS,64566,Neuroeltrd stim post tibial,,,309.1,1473.0,10
HCPCS,64567,Perq elec nrv field stimj cn,,,1019.76,4286.55,3
HCPCS,64568,Inc for vagus n elect impl,,,32407.0,208170.14,10
HCPCS,64569,Revise/repl vagus n eltrd,,,6270.01,52662.02,10
HCPCS,64570,Remove vagus n eltrd,,,3840.9,16145.22,10
HCPCS,64575,Implant neuroelectrodes,,,2630.44,52662.02,10
HCPCS,64580,Implant neuroelectrodes,,,19010.0,91687.8,10
HCPCS,64581,Implant neuroelectrodes,,,6270.01,32588.21,10
HCPCS,64582,Opn mpltj hpglsl nstm ary pg,,,32407.0,145838.03,10
HCPCS,64583,Rev/rplct hpglsl nstm ary pg,,,12528.14,55097.26,10
HCPCS,64584,Rmvl hpglsl nstim ary pg,,,3840.9,27943.31,10
HCPCS,64585,Revise/remove neuroelectrode,,,2630.44,16523.11,10
HCPCS,64590,Insrt/redo pn/gastr stimul,,,21812.25,91687.8,10
HCPCS,64595,Revise/rmv pn/gastr stimul,,,2630.44,16523.11,10
HCPCS,64596,Ins/rplcmt prq eltrd ra pn 1,,,12528.14,62337.82,10
HCPCS,64597,Ins/rplcm prq eltrd ra pn ea,,,1473.0,1473.0,1
HCPCS,64598,Revj/rmvl nea pn w/int nstim,,,3550.97,16523.11,10
HCPCS,64600,Injection treatment of nerve,,,951.24,4180.15,10
HCPCS,64605,Injection treatment of nerve,,,2015.01,9228.87,10
HCPCS,64610,Injection treatment of nerve,,,2015.01,9228.87,10
HCPCS,64611,Chemodenerv saliv glands,,,309.1,1473.0,10
HCPCS,64611,HC CHEMODENR PAROTID SUBMAND G,840.0,840.0,,,0
HCPCS,64611,HC PR CHEMODENR PAROTID SUBMAND GLDS,719.0,719.0,,,0
HCPCS,64612,Destroy nerve face muscle,,,309.1,1678.32,10
HCPCS,64612,HC CHEMODENERVATION FACE MUSCLE,1050.0,1050.0,,,0
HCPCS,64612,HC PR CHEMODENERVATION FACE MUSCLE,326.0,326.0,,,0
HCPCS,64615,Chemodenerv musc migraine,,,309.1,1678.32,10
HCPCS,64615,HC CHEMONERV CHRONIC MIGRAINE,840.0,840.0,,,0
HCPCS,64615,HC PR CHEMONERV CHRONIC MIGRAINE,355.0,355.0,,,0
HCPCS,64616,Chemodenerv musc neck dyston,,,309.1,1678.32,10
HCPCS,64616,HC CHEMODENERVATION NECK MUS UNI,840.0,840.0,,,0
HCPCS,64616,HC PR CHEMODENERVATION NECK MUS UNI,256.0,256.0,,,0
HCPCS,64617,Chemodener muscle larynx emg,,,721.71,3336.1,10
HCPCS,64617,HC CHEMODENERV MUSC LARYNX UNILAT PERCUT W EMG WH PERF,2747.0,2747.0,,,0
HCPCS,64617,HC PR CHEMODENERV MUSC LARYNX UNILAT PERCUT W EMG WH PERF,425.0,425.0,,,0
HCPCS,64620,HC DEST NEUROLYTIC AGNT INTERCOSTAL NERVE,4797.0,4797.0,,,0
HCPCS,64620,Injection treatment of nerve,,,951.24,4180.15,10
HCPCS,64624,Dstrj nulyt agt gnclr nrv,,,2015.01,9228.87,10
HCPCS,64624,HC DESTRUCT NEUROLYTIC AGENT GENICULAR NRV BRANCH INC IMG GUID WH PERF,7591.0,7591.0,,,0
HCPCS,64624,HC DESTRUCTION BY NEUROLYTIC AGENT GENICULAR NERVE W IMG GUID WH PERF,7591.0,7591.0,,,0
HCPCS,64624,HC PR DESTRUCT BY NEUROLYTIC AGENT GENICULAR NERVE W IMG GUID WH PERF,507.0,507.0,,,0
HCPCS,64625,HC PR RADIOFEQ ABLATION NERVES INTERVATING SACROLILIAC JOINT W IMG GUID,938.0,938.0,,,0
HCPCS,64625,HC RADIOFEQ ABLATION NERVES INTERVATING SACROLILIAC JOINT W IMG GUID,7591.0,7591.0,,,0
HCPCS,64625,HC RADIOFREQ ABLATION NERVES INNERV SACROILIAC JOINT W IMG GUID,7591.0,7591.0,,,0
HCPCS,64625,Rf abltj nrv nrvtg si jt,,,2015.01,9228.87,10
HCPCS,64628,HC THRML DESTR INTRAOSSEOUS BASIVRTBRL NRV INC IMG GUID 1ST 2 LMBR/SAC,54151.0,54151.0,,,0
HCPCS,64628,Trml dstrj ios bvn 1st 2 l/s,,,9556.0,60677.5,10
HCPCS,64629,HC THRML DESTR INTRAOSSEOUS BASIVRTBRL NRV INC IMG GU EA ADDL LMBR/SAC,18048.0,18048.0,,,0
HCPCS,64629,Trml dstrj ios bvn ea addl,,,1473.0,1473.0,1
HCPCS,64630,Injection treatment of nerve,,,951.24,6270.01,10
HCPCS,64632,N block inj common digit,,,309.1,1473.0,10
HCPCS,64633,Destroy cerv/thor facet jnt,,,2015.01,9228.87,10
HCPCS,64633,HC NEUROLYTIC FACT BLCK 1ST C/T,4773.0,4773.0,,,0
HCPCS,64633,HC PR NEUROLYTIC FACT BLCK IST C/T,808.0,808.0,,,0
HCPCS,64634,Destroy c/th facet jnt addl,,,876.16,1473.0,2
HCPCS,64634,HC NEUROLYTIC FACT BLCK ADD C/T,1843.0,1843.0,,,0
HCPCS,64634,HC PR NEUROLYTIC FACT BLCK ADD C/T,718.0,718.0,,,0
HCPCS,64635,Destroy lumb/sac facet jnt,,,2015.01,9228.87,10
HCPCS,64635,HC NEUROLYTIC FACET BLK IST L/S,4773.0,4773.0,,,0
HCPCS,64635,HC PR NEUROLYTIC FACET BLK IST L/S,1205.0,1205.0,,,0
HCPCS,64636,Destroy l/s facet jnt addl,,,1473.0,2714.47,2
HCPCS,64636,HC NEUROLYTIC FACET BLK ADD L/S,1843.0,1843.0,,,0
HCPCS,64636,HC PR NEUROLYTIC FACET BLK ADD L/S,702.0,702.0,,,0
HCPCS,64640,HC DEST BY NEUROLYTIC AGENT OTHER PERIPHERAL NERVE OR BRANCH,2700.0,2700.0,,,0
HCPCS,64640,HC NEUROLYTIC PERIPHERAL NERVE,2700.0,2700.0,,,0
HCPCS,64640,HC PR NEUROLYTIC PERIPHERAL NERVE,610.0,610.0,,,0
HCPCS,64640,Injection treatment of nerve,,,951.24,4180.15,10
HCPCS,64642,Chemodenerv 1 extremity 1-4,,,721.71,3336.1,10
HCPCS,64642,HC CHEMODENERV 1 EXT 1-4 MUSCLES,1573.0,1573.0,,,0
HCPCS,64642,HC PR CHEMODENERV 1 EXT 1-4 MUSCLES,289.0,289.0,,,0
HCPCS,64643,Chemodenerv 1 extrem 1-4 ea,,,1473.0,1473.0,1
HCPCS,64643,HC CHEMODENERV EA ADDL EXT 1-4 MS,425.0,425.0,,,0
HCPCS,64643,HC PR CHEMODENERV EA ADDL EXT 1-4 MS,185.0,185.0,,,0
HCPCS,64644,Chemodenerv 1 extrem 5/> mus,,,721.71,3336.1,10
HCPCS,64644,HC CHEMODENERV 1 EXT 5 OR MORE MS,1573.0,1573.0,,,0
HCPCS,64644,HC PR CHEMODENERV 1 EXT 5 OR MORE MS,317.0,317.0,,,0
HCPCS,64645,Chemodenerv 1 extrem 5/> ea,,,1473.0,1473.0,1
HCPCS,64645,HC CHEMODENER EA ADDL EXT 5OR >MS,425.0,425.0,,,0
HCPCS,64645,HC PR CHEMODENER EA ADDL EXT 5OR >MS,349.0,349.0,,,0
HCPCS,64646,Chemodenerv trunk musc 1-5,,,721.71,3336.1,10
HCPCS,64646,HC CHEMODENERV TRUNK 1-5 MUSCLES,1573.0,1573.0,,,0
HCPCS,64646,HC PR CHEMODENERV TRUNK 1-5 MUSCLES,314.0,314.0,,,0
HCPCS,64647,Chemodenerv trunk musc 6/>,,,721.71,3336.1,10
HCPCS,64647,HC CHEMODENER TRUNK 6OR> MUSCLES,1573.0,1573.0,,,0
HCPCS,64650,Chemodenerv eccrine glands,,,309.1,1678.32,10
HCPCS,64650,HC CHEMODENERVATION OF AXILLAE,1510.0,1510.0,,,0
HCPCS,64650,HC PR CHEMODENERVATION OF AXILLAE,217.0,217.0,,,0
HCPCS,64653,Chemodenerv eccrine glands,,,309.1,1678.32,10
HCPCS,64655,Revj/rplcmt bat mod sys lead,,,3930.8,16523.11,3
HCPCS,64656,Revj/rplcmt bat mod sys pg,,,34694.43,145838.03,3
HCPCS,64657,Rmvl bat modulj sys tot sys,,,3840.9,16145.22,3
HCPCS,64658,Rmvl bat modul sys lead only,,,3930.8,16523.11,3
HCPCS,64659,Rmvl bat modulj sys pg only,,,3930.8,16523.11,3
HCPCS,64680,HC CT INJ NERV TRT CEL PLEXUS,4797.0,4797.0,,,0
HCPCS,64680,Injection treatment of nerve,,,951.24,6270.01,10
HCPCS,64681,Injection treatment of nerve,,,951.24,6270.01,10
HCPCS,64702,Revise finger/toe nerve,,,2015.01,9228.87,10
HCPCS,64704,Revise hand/foot nerve,,,2015.01,9228.87,10
HCPCS,64708,Revise arm/leg nerve,,,2015.01,9228.87,10
HCPCS,64712,Revision of sciatic nerve,,,2015.01,9228.87,10
HCPCS,64713,Revision of arm nerve(s),,,2015.01,9228.87,10
HCPCS,64714,Revise low back nerve(s),,,2015.01,9228.87,10
HCPCS,64716,Revision of cranial nerve,,,2015.01,9228.87,10
HCPCS,64718,Revise ulnar nerve at elbow,,,2015.01,9228.87,10
HCPCS,64719,Revise ulnar nerve at wrist,,,2015.01,9228.87,10
HCPCS,64721,Carpal tunnel surgery,,,2015.01,9228.87,10
HCPCS,64722,Relieve pressure on nerve(s),,,2015.01,9228.87,10
HCPCS,64726,Release foot/toe nerve,,,2015.01,9228.87,10
HCPCS,64727,Internal nerve revision,,,1473.0,6451.97,2
HCPCS,64728,Dcmprn median nrv carpl tunl,,,2195.52,9228.87,3
HCPCS,64732,Incision of brow nerve,,,2015.01,9228.87,10
HCPCS,64734,Incision of cheek nerve,,,2015.01,9228.87,10
HCPCS,64736,Incision of chin nerve,,,2015.01,9228.87,10
HCPCS,64738,Incision of jaw nerve,,,2015.01,9228.87,10
HCPCS,64740,Incision of tongue nerve,,,2015.01,9228.87,10
HCPCS,64742,Incision of facial nerve,,,2015.01,9228.87,10
HCPCS,64744,Incise nerve back of head,,,2015.01,9228.87,10
HCPCS,64746,Incise diaphragm nerve,,,2015.01,9228.87,10
HCPCS,64755,Incision of stomach nerves,,,2073.0,9829.75,6
HCPCS,64760,Incision of vagus nerve,,,2073.0,9829.75,6
HCPCS,64763,Incise hip/thigh nerve,,,2015.01,9812.66,10
HCPCS,64766,Incise hip/thigh nerve,,,2015.01,11906.62,10
HCPCS,64771,Sever cranial nerve,,,2015.01,9228.87,10
HCPCS,64772,Incision of spinal nerve,,,2015.01,9228.87,10
HCPCS,64774,Remove skin nerve lesion,,,2015.01,9228.87,10
HCPCS,64776,Remove digit nerve lesion,,,2015.01,9812.66,10
HCPCS,64778,Digit nerve surgery add-on,,,1473.0,6451.97,2
HCPCS,64782,Remove limb nerve lesion,,,2015.01,9812.66,10
HCPCS,64783,Limb nerve surgery add-on,,,1473.0,6451.97,2
HCPCS,64784,Remove nerve lesion,,,2015.01,9812.66,10
HCPCS,64786,Remove sciatic nerve lesion,,,3840.9,16145.22,10
HCPCS,64787,Implant nerve end,,,1473.0,6451.97,2
HCPCS,64788,Remove skin nerve lesion,,,2015.01,9812.66,10
HCPCS,64790,Removal of nerve lesion,,,2015.01,9812.66,10
HCPCS,64792,Removal of nerve lesion,,,3840.9,16145.22,10
HCPCS,64795,Biopsy of nerve,,,2015.01,9228.87,10
HCPCS,64802,Sympathectomy cervical,,,2015.01,9228.87,10
HCPCS,64804,Remove sympathetic nerves,,,2015.01,9812.66,10
HCPCS,64809,Remove sympathetic nerves,,,2073.0,9829.75,6
HCPCS,64818,Remove sympathetic nerves,,,2073.0,9829.75,6
HCPCS,64820,Sympathectomy digital artery,,,2015.01,9228.87,10
HCPCS,64821,Remove sympathetic nerves,,,3378.06,15463.96,10
HCPCS,64822,Remove sympathetic nerves,,,3378.06,15463.96,10
HCPCS,64823,Sympathectomy supfc palmar,,,3378.06,15463.96,10
HCPCS,64831,HC SUTURE DIGITAL NERVE HAND OR FOOT ONE NERVE,12547.0,12547.0,,,0
HCPCS,64831,Repair of digit nerve,,,2015.01,11906.62,10
HCPCS,64832,Repair nerve add-on,,,1473.0,11906.62,2
HCPCS,64834,Repair of hand or foot nerve,,,3840.9,16145.22,10
HCPCS,64835,Repair of hand or foot nerve,,,3840.9,16145.22,10
HCPCS,64836,Repair of hand or foot nerve,,,3840.9,16145.22,10
HCPCS,64837,Repair nerve add-on,,,1473.0,11906.62,2
HCPCS,64840,Repair of leg nerve,,,6270.01,41475.96,10
HCPCS,64856,Repair/transpose nerve,,,6270.01,41475.96,10
HCPCS,64857,Repair arm/leg nerve,,,3840.9,16145.22,10
HCPCS,64858,Repair sciatic nerve,,,2015.01,11906.62,10
HCPCS,64859,Nerve surgery,,,1473.0,11906.62,2
HCPCS,64861,Repair of arm nerves,,,2015.01,11906.62,10
HCPCS,64862,Repair of low back nerves,,,3840.9,16145.22,10
HCPCS,64864,Repair of facial nerve,,,6952.08,41475.96,10
HCPCS,64865,Repair of facial nerve,,,3840.9,16145.22,10
HCPCS,64866,Fusion of facial/other nerve,,,2073.0,9829.75,6
HCPCS,64868,Fusion of facial/other nerve,,,2073.0,9829.75,6
HCPCS,64872,Subsequent repair of nerve,,,1473.0,11906.62,2
HCPCS,64874,Repair & revise nerve add-on,,,1473.0,11906.62,2
HCPCS,64876,Repair nerve/shorten bone,,,1473.0,11906.62,2
HCPCS,64885,Nerve graft head/neck <=4 cm,,,6270.01,41475.96,10
HCPCS,64886,Nerve graft head/neck >4 cm,,,6270.01,41475.96,10
HCPCS,64890,Nerve graft hand/foot <=4 cm,,,6270.01,41475.96,10
HCPCS,64891,Nerve graft hand/foot >4 cm,,,6270.01,41475.96,10
HCPCS,64892,Nerve graft arm/leg <4 cm,,,6270.01,41475.96,10
HCPCS,64893,Nerve graft arm/leg >4 cm,,,3840.9,16145.22,10
HCPCS,64895,Nerve graft hand/foot <=4 cm,,,6952.08,41475.96,10
HCPCS,64896,Nerve graft hand/foot >4 cm,,,6952.08,41475.96,10
HCPCS,64897,Nerve graft arm/leg <=4 cm,,,6952.08,41475.96,10
HCPCS,64898,Nerve graft arm/leg >4 cm,,,6952.08,41475.96,10
HCPCS,64901,Nerve graft add-on,,,1473.0,11906.62,2
HCPCS,64902,Nerve graft add-on,,,1473.0,11906.62,2
HCPCS,64905,Nerve pedicle transfer,,,6270.01,41475.96,10
HCPCS,64907,Nerve pedicle transfer,,,2630.44,41475.96,10
HCPCS,64910,Nerve repair w/allograft,,,6270.01,41475.96,10
HCPCS,64911,Neurorraphy w/vein autograft,,,6270.01,41475.96,10
HCPCS,64912,Nrv rpr w/nrv algrft 1st,,,6270.01,41475.96,10
HCPCS,64913,Nrv rpr w/nrv algrft ea addl,,,227.92,1473.0,5
HCPCS,64999,HC GANGLION IMPAR INJECTION,1490.0,1490.0,,,0
HCPCS,64999,HC PR GANGLION IMPAR INJECTION,411.0,411.0,,,0
HCPCS,64999,HC PR UNLISTED NERVOUS SYSTEM VIR,283.0,283.0,,,0
HCPCS,64999,HC UNLISTED NERVOUS SYSTEM VIR,2700.0,2700.0,,,0
HCPCS,64999,Nervous system surgery,,,309.1,1473.0,9
HCPCS,65091,Revise eye,,,4035.07,18580.37,10
HCPCS,65093,Revise eye with implant,,,4035.07,18580.37,10
HCPCS,65101,Removal of eye,,,4035.07,18580.37,10
HCPCS,65103,Remove eye/insert implant,,,4035.07,18580.37,10
HCPCS,65105,Remove eye/attach implant,,,4035.07,18580.37,10
HCPCS,65110,Removal of eye,,,4035.07,18580.37,10
HCPCS,65112,Remove eye/revise socket,,,4035.07,18580.37,10
HCPCS,65114,Remove eye/revise socket,,,4035.07,18580.37,10
HCPCS,65125,Revise ocular implant,,,2438.75,11236.34,10
HCPCS,65130,Insert ocular implant,,,4035.07,18580.37,10
HCPCS,65135,Insert ocular implant,,,4035.07,18580.37,10
HCPCS,65140,Attach ocular implant,,,4035.07,18580.37,10
HCPCS,65150,Revise ocular implant,,,4035.07,18580.37,10
HCPCS,65155,Reinsert ocular implant,,,4035.07,18580.37,10
HCPCS,65175,Removal of ocular implant,,,2630.44,18580.37,10
HCPCS,65205,HC REMOVAL OF FB EXTERNAL EYE,336.0,336.0,,,0
HCPCS,65205,Remove foreign body from eye,,,133.32,1473.0,10
HCPCS,65210,HC REM FB CONJUNCTIVAL EMBEDDED,336.0,336.0,,,0
HCPCS,65210,Remove foreign body from eye,,,355.39,2111.28,10
HCPCS,65220,HC REM FB CORNEAL WO SLIT LAMP,336.0,336.0,,,0
HCPCS,65220,Remove foreign body from eye,,,355.39,2111.28,10
HCPCS,65222,HC REM FB CORNEAL W SLIT LAMP,336.0,336.0,,,0
HCPCS,65222,Remove foreign body from eye,,,133.32,1473.0,10
HCPCS,65235,Remove foreign body from eye,,,2432.05,10907.12,10
HCPCS,65260,Remove foreign body from eye,,,1473.0,10907.12,10
HCPCS,65265,Remove foreign body from eye,,,2432.05,10907.12,10
HCPCS,65270,Repair of eye wound,,,2438.75,11236.34,10
HCPCS,65272,Repair of eye wound,,,2438.75,11236.34,10
HCPCS,65273,Repair of eye wound,,,2073.0,9829.75,6
HCPCS,65275,Repair of eye wound,,,4035.07,18580.37,10
HCPCS,65280,Repair of eye wound,,,4822.0,25149.26,10
HCPCS,65285,Repair of eye wound,,,4822.0,25149.26,10
HCPCS,65286,Repair of eye wound,,,2432.05,10907.12,10
HCPCS,65290,Repair of eye socket wound,,,4035.07,18580.37,10
HCPCS,65400,Removal of eye lesion,,,1056.59,5419.15,10
HCPCS,65410,Biopsy of cornea,,,2438.75,11236.34,10
HCPCS,65420,Removal of eye lesion,,,2438.75,11236.34,10
HCPCS,65426,Removal of eye lesion,,,2438.75,12989.24,10
HCPCS,65430,Corneal smear,,,355.39,2111.28,10
HCPCS,65435,Curette/treat cornea,,,1056.59,4711.39,10
HCPCS,65436,Curette/treat cornea,,,2438.75,11236.34,10
HCPCS,65450,Treatment of corneal lesion,,,304.02,1678.32,10
HCPCS,65600,Revision of cornea,,,2438.75,11236.34,10
HCPCS,65710,Corneal transplant,,,5454.57,25149.26,10
HCPCS,65730,Corneal transplant,,,4243.23,19535.16,10
HCPCS,65750,Corneal transplant,,,5454.57,25149.26,10
HCPCS,65755,Corneal transplant,,,4243.23,19535.16,10
HCPCS,65756,Corneal trnspl endothelial,,,4243.23,19535.16,10
HCPCS,65757,Prep corneal endo allograft,,,1473.0,1473.0,1
HCPCS,65760,Revision of cornea,,,4822.0,9812.66,2
HCPCS,65765,Revision of cornea,,,4822.0,9812.66,2
HCPCS,65767,Corneal tissue transplant,,,4822.0,9812.66,2
HCPCS,65770,Revise cornea with implant,,,9556.0,68557.99,10
HCPCS,65771,Radial keratotomy,,,2630.44,4822.0,2
HCPCS,65772,Correction of astigmatism,,,1056.59,9812.66,10
HCPCS,65775,Correction of astigmatism,,,2438.75,11236.34,10
HCPCS,65778,Cover eye w/membrane,,,1056.59,5419.15,10
HCPCS,65779,Cover eye w/membrane suture,,,2630.44,18580.37,10
HCPCS,65780,Ocular reconst transplant,,,4035.07,18580.37,10
HCPCS,65781,Ocular reconst transplant,,,5454.57,25149.26,10
HCPCS,65782,Ocular reconst transplant,,,4035.07,18580.37,10
HCPCS,65785,Impltj ntrstrml crnl rng seg,,,4243.23,19535.16,10
HCPCS,65800,Drainage of eye,,,1473.0,10907.12,10
HCPCS,65810,Drainage of eye,,,2432.05,10907.12,10
HCPCS,65815,Drainage of eye,,,2432.05,10907.12,10
HCPCS,65820,Relieve inner eye pressure,,,4243.23,19535.16,10
HCPCS,65850,Incision of eye,,,2432.05,10907.12,10
HCPCS,65855,Trabeculoplasty laser surg,,,606.62,2651.0,10
HCPCS,65860,Incise inner eye adhesions,,,606.62,2651.0,10
HCPCS,65865,Incise inner eye adhesions,,,2432.05,10907.12,10
HCPCS,65870,Incise inner eye adhesions,,,2432.05,10907.12,10
HCPCS,65875,Incise inner eye adhesions,,,2432.05,10907.12,10
HCPCS,65880,Incise inner eye adhesions,,,4243.23,19535.16,10
HCPCS,65900,Remove eye lesion,,,694.7,10907.12,10
HCPCS,65920,Remove implant of eye,,,2432.05,12989.24,10
HCPCS,65930,Remove blood clot from eye,,,2432.05,14288.11,10
HCPCS,66020,Injection treatment of eye,,,2432.05,10907.12,10
HCPCS,66030,HC INJ ANTERIOR CHAMBER OF EYE MEDICATION,6111.0,6111.0,,,0
HCPCS,66030,Injection treatment of eye,,,2432.05,10907.12,10
HCPCS,66130,Remove eye lesion,,,2438.75,12989.24,10
HCPCS,66150,Glaucoma surgery,,,4243.23,19535.16,10
HCPCS,66155,Glaucoma surgery,,,4243.23,19535.16,10
HCPCS,66160,Glaucoma surgery,,,2432.05,10907.12,10
HCPCS,66170,Glaucoma surgery,,,2432.05,10907.12,10
HCPCS,66172,Incision of eye,,,2432.05,10907.12,10
HCPCS,66174,Translum dil eye canal,,,4243.23,19535.16,10
HCPCS,66175,Trnslum dil eye canal w/stnt,,,5454.57,25149.26,10
HCPCS,66179,Aqueous shunt eye w/o graft,,,5454.57,25149.26,10
HCPCS,66180,Aqueous shunt eye w/graft,,,4243.23,25149.26,10
HCPCS,66183,Insert ant drainage device,,,4243.23,19535.16,10
HCPCS,66184,Revision of aqueous shunt,,,2432.05,10907.12,10
HCPCS,66185,Revise aqueous shunt eye,,,2432.05,14288.11,10
HCPCS,66225,Repair/graft eye lesion,,,4822.0,25149.26,10
HCPCS,66250,Follow-up surgery of eye,,,2438.75,11236.34,10
HCPCS,66500,Incision of iris,,,694.7,10907.12,10
HCPCS,66505,Incision of iris,,,2432.05,10907.12,10
HCPCS,66600,Remove iris and lesion,,,4243.23,19535.16,10
HCPCS,66605,Removal of iris,,,2432.05,14288.11,10
HCPCS,66625,Removal of iris,,,2432.05,10907.12,10
HCPCS,66630,Removal of iris,,,2432.05,10907.12,10
HCPCS,66635,Removal of iris,,,2432.05,10907.12,10
HCPCS,66680,Repair iris & ciliary body,,,2432.05,10907.12,10
HCPCS,66682,Repair iris & ciliary body,,,2432.05,10907.12,10
HCPCS,66683,Implantation iris prosthesis,,,9174.0,78766.08,10
HCPCS,66700,Destruction ciliary body,,,2432.05,10907.12,10
HCPCS,66710,Ciliary transsleral therapy,,,2438.75,11236.34,10
HCPCS,66711,Ciliary endoscopic ablation,,,2432.05,10907.12,10
HCPCS,66720,Destruction ciliary body,,,2438.75,11236.34,10
HCPCS,66740,Destruction ciliary body,,,2438.75,11236.34,10
HCPCS,66761,Revision of iris,,,606.62,2651.0,10
HCPCS,66762,Revision of iris,,,606.62,2651.0,10
HCPCS,66770,Removal of inner eye lesion,,,606.62,2651.0,10
HCPCS,66820,Incision secondary cataract,,,1473.0,10907.12,10
HCPCS,66821,After cataract laser surgery,,,606.62,2651.0,10
HCPCS,66825,Reposition intraocular lens,,,2432.05,10907.12,10
HCPCS,66830,Removal of lens lesion,,,2432.05,10907.12,10
HCPCS,66840,Removal of lens material,,,2432.05,10907.12,10
HCPCS,66850,Removal of lens material,,,2432.05,12989.24,10
HCPCS,66852,Removal of lens material,,,4243.23,19535.16,10
HCPCS,66920,Extraction of lens,,,2432.05,10907.12,10
HCPCS,66930,Extraction of lens,,,4243.23,19535.16,10
HCPCS,66940,Extraction of lens,,,2432.05,12989.24,10
HCPCS,66982,Cataract surgery complex,,,2432.05,10907.12,10
HCPCS,66983,Cataract surg w/iol 1 stage,,,2432.05,10907.12,10
HCPCS,66984,Cataract surg w/iol 1 stage,,,2432.05,10907.12,10
HCPCS,66985,Insert lens prosthesis,,,2432.05,10907.12,10
HCPCS,66986,Exchange lens prosthesis,,,2432.05,10907.12,10
HCPCS,66987,Xcapsl ctrc rmvl cplx w/ecp,,,4243.23,19535.16,10
HCPCS,66988,Xcapsl ctrc rmvl w/ecp,,,4243.23,19535.16,10
HCPCS,66989,Xcpsl ctrc rmvl cplx insj 1+,,,5454.57,25149.26,10
HCPCS,66990,Ophthalmic endoscope add-on,,,1473.0,1473.0,1
HCPCS,66991,Xcapsl ctrc rmvl insj 1+,,,5454.57,25149.26,10
HCPCS,66999,Eye surgery procedure,,,804.67,10907.12,9
HCPCS,67005,Partial removal of eye fluid,,,2432.05,10907.12,10
HCPCS,67010,Partial removal of eye fluid,,,2432.05,13980.22,10
HCPCS,67015,Release of eye fluid,,,2432.05,13980.22,10
HCPCS,67025,Replace eye fluid,,,2432.05,13980.22,10
HCPCS,67027,Implant eye drug system,,,9174.0,65943.73,10
HCPCS,67028,HC INTRAVITERAL INJ OF AGENT,1008.0,1008.0,,,0
HCPCS,67028,Injection eye drug,,,353.45,1678.32,10
HCPCS,67030,Incise inner eye strands,,,2432.05,10907.12,10
HCPCS,67031,Laser surgery eye strands,,,606.62,2651.0,10
HCPCS,67036,Removal of inner eye fluid,,,4243.23,19535.16,10
HCPCS,67039,Laser treatment of retina,,,4243.23,19535.16,10
HCPCS,67040,Laser treatment of retina,,,4243.23,19535.16,10
HCPCS,67041,Vit for macular pucker,,,4243.23,19535.16,10
HCPCS,67042,Vit for macular hole,,,4243.23,19535.16,10
HCPCS,67043,Vit for membrane dissect,,,4243.23,19535.16,10
HCPCS,67101,Repair detached retina crtx,,,2432.05,10907.12,10
HCPCS,67105,Repair detached retina pc,,,606.62,2651.0,10
HCPCS,67107,Repair detached retina,,,4243.23,19535.16,10
HCPCS,67108,Repair detached retina,,,4243.23,19535.16,10
HCPCS,67110,Repair detached retina,,,2432.05,10907.12,10
HCPCS,67113,Repair retinal detach cplx,,,5454.57,25149.26,10
HCPCS,67115,Release encircling material,,,4243.23,19535.16,10
HCPCS,67120,Remove eye implant material,,,2432.05,10907.12,10
HCPCS,67121,Remove eye implant material,,,2432.05,13980.22,10
HCPCS,67141,Treatment of retina,,,304.02,1997.84,10
HCPCS,67145,Treatment of retina,,,606.62,2651.0,10
HCPCS,67208,Treatment of retinal lesion,,,304.02,1997.84,10
HCPCS,67210,Treatment of retinal lesion,,,606.62,2651.0,10
HCPCS,67218,Treatment of retinal lesion,,,4035.07,18580.37,10
HCPCS,67220,Treatment of choroid lesion,,,606.62,2651.0,10
HCPCS,67221,Ocular Photodynamic Ther,,,606.62,2651.0,10
HCPCS,67225,Eye photodynamic ther add-on,,,1473.0,1997.84,2
HCPCS,67227,Dstrj extensive retinopathy,,,2630.44,18580.37,10
HCPCS,67228,Treatment x10sv retinopathy,,,606.62,2651.0,10
HCPCS,67229,Tr retinal les preterm inf,,,606.62,2651.0,10
HCPCS,67250,Reinforce eye wall,,,2438.75,11236.34,10
HCPCS,67255,Reinforce/graft eye wall,,,4243.23,19535.16,10
HCPCS,67299,Eye surgery procedure,,,1678.32,10907.12,9
HCPCS,67311,Revise eye muscle,,,2438.75,11236.34,10
HCPCS,67312,Revise two eye muscles,,,4035.07,18580.37,10
HCPCS,67314,Revise eye muscle,,,2438.75,11236.34,10
HCPCS,67316,Revise two eye muscles,,,2438.75,11236.34,10
HCPCS,67318,Revise eye muscle(s),,,2438.75,11236.34,10
HCPCS,67320,Revise eye muscle(s) add-on,,,1473.0,8625.22,2
HCPCS,67331,Eye surgery follow-up add-on,,,1473.0,8625.22,2
HCPCS,67332,Rerevise eye muscles add-on,,,1473.0,8625.22,2
HCPCS,67334,Revise eye muscle w/suture,,,1473.0,8625.22,2
HCPCS,67335,Eye suture during surgery,,,1473.0,8625.22,2
HCPCS,67340,Revise eye muscle add-on,,,1473.0,8625.22,2
HCPCS,67343,Release eye tissue,,,2438.75,11236.34,10
HCPCS,67345,Destroy nerve of eye muscle,,,304.02,1678.32,10
HCPCS,67345,HC CHEMODENERVATION EXTRAOCULAR MUSCLE,1490.0,1490.0,,,0
HCPCS,67346,Biopsy eye muscle,,,4035.07,18580.37,10
HCPCS,67399,Unlisted px extraocular musc,,,304.02,9812.66,9
HCPCS,67400,Explore/biopsy eye socket,,,4035.07,18580.37,10
HCPCS,67405,Explore/drain eye socket,,,2438.75,11236.34,10
HCPCS,67412,Explore/treat eye socket,,,2438.75,12989.24,10
HCPCS,67413,Explore/treat eye socket,,,2438.75,12989.24,10
HCPCS,67414,Explr/decompress eye socket,,,4035.07,18580.37,10
HCPCS,67415,Aspiration orbital contents,,,2438.75,11236.34,10
HCPCS,67420,Explore/treat eye socket,,,4035.07,18580.37,10
HCPCS,67430,Explore/treat eye socket,,,4035.07,18580.37,10
HCPCS,67440,Explore/drain eye socket,,,4035.07,18580.37,10
HCPCS,67445,Explr/decompress eye socket,,,4035.07,18580.37,10
HCPCS,67450,Explore/biopsy eye socket,,,4035.07,18580.37,10
HCPCS,67500,Inject/treat eye socket,,,304.02,1500.1,10
HCPCS,67505,Inject/treat eye socket,,,304.02,1678.32,10
HCPCS,67515,Inject/treat eye socket,,,304.02,1678.32,10
HCPCS,67516,Sprchoroidal spc njx rx agt,,,353.45,1678.32,10
HCPCS,67550,Insert eye socket implant,,,4035.07,18580.37,10
HCPCS,67560,Revise eye socket implant,,,4035.07,18580.37,10
HCPCS,67570,Decompress optic nerve,,,4035.07,18580.37,10
HCPCS,67599,Orbit surgery procedure,,,304.02,1678.32,9
HCPCS,67700,Drainage of eyelid abscess,,,304.02,1678.32,10
HCPCS,67700,HC BLEPHAROTOMY DRAIN ABSC EYELID,1063.0,1063.0,,,0
HCPCS,67710,Incision of eyelid,,,1056.59,4711.39,10
HCPCS,67715,HC CANTHOTOMY,4845.0,4845.0,,,0
HCPCS,67715,Incision of eyelid fold,,,2438.75,11236.34,10
HCPCS,67800,HC EXCISION OF CHALAZION SINGLE,1008.0,1008.0,,,0
HCPCS,67800,Remove eyelid lesion,,,304.02,1678.32,10
HCPCS,67801,HC EXCISION CHALZION MUL SAME LID,2586.0,2586.0,,,0
HCPCS,67801,Remove eyelid lesions,,,1056.59,4711.39,10
HCPCS,67805,HC EXCISION CHALZION MUL DIF LIDS,1008.0,1008.0,,,0
HCPCS,67805,Remove eyelid lesions,,,304.02,1678.32,10
HCPCS,67808,Remove eyelid lesion(s),,,2438.75,11236.34,10
HCPCS,67810,Biopsy eyelid & lid margin,,,304.02,1678.32,10
HCPCS,67810,HC BIOPSY OF EYELID,1510.0,1510.0,,,0
HCPCS,67810,HC PR BIOPSY OF EYELID,457.0,457.0,,,0
HCPCS,67820,Revise eyelashes,,,133.32,1473.0,10
HCPCS,67825,Revise eyelashes,,,304.02,1678.32,10
HCPCS,67830,Revise eyelashes,,,1056.59,6270.01,10
HCPCS,67835,Revise eyelashes,,,2438.75,11236.34,10
HCPCS,67840,Remove eyelid lesion,,,1056.59,4711.39,10
HCPCS,67850,HC DESTRUC LESION LID MARGIN <1CM,2586.0,2586.0,,,0
HCPCS,67850,Treat eyelid lesion,,,1056.59,4711.39,10
HCPCS,67875,Closure of eyelid by suture,,,1056.59,4711.39,10
HCPCS,67880,Revision of eyelid,,,2438.75,11236.34,10
HCPCS,67882,Revision of eyelid,,,2438.75,11236.34,10
HCPCS,67900,Repair brow defect,,,2438.75,11236.34,10
HCPCS,67901,Repair eyelid defect,,,2438.75,12989.24,10
HCPCS,67902,Repair eyelid defect,,,4035.07,18580.37,10
HCPCS,67903,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67904,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67906,Repair eyelid defect,,,4035.07,18580.37,10
HCPCS,67908,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67909,Revise eyelid defect,,,2438.75,11236.34,10
HCPCS,67911,Revise eyelid defect,,,2438.75,11236.34,10
HCPCS,67912,Correction eyelid w/implant,,,2438.75,11236.34,10
HCPCS,67914,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67915,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67916,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67917,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67921,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67922,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67923,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67924,Repair eyelid defect,,,2438.75,11236.34,10
HCPCS,67930,Repair eyelid wound,,,2438.75,11236.34,10
HCPCS,67935,HC REPAIR EYELID WOUND FULL THICK,4845.0,4845.0,,,0
HCPCS,67935,HC REPAIR EYELID WOUND FULL THICKNESS,4845.0,4845.0,,,0
HCPCS,67935,Repair eyelid wound,,,2438.75,11236.34,10
HCPCS,67938,HC REMOVAL OF EMBEDDED FB EYELID,531.0,531.0,,,0
HCPCS,67938,Remove eyelid foreign body,,,304.02,1500.1,10
HCPCS,67950,HC CANTHOPLASTY (RECONSTRUCTION OF CANTHUS),4845.0,4845.0,,,0
HCPCS,67950,Revision of eyelid,,,2438.75,11236.34,10
HCPCS,67961,Revision of eyelid,,,2438.75,11236.34,10
HCPCS,67966,Revision of eyelid,,,2438.75,11236.34,10
HCPCS,67971,Reconstruction of eyelid,,,2438.75,11236.34,10
HCPCS,67973,Reconstruction of eyelid,,,2438.75,11236.34,10
HCPCS,67974,Reconstruction of eyelid,,,4035.07,18580.37,10
HCPCS,67975,Reconstruction of eyelid,,,2438.75,11236.34,10
HCPCS,67999,Revision of eyelid,,,304.02,1678.32,9
HCPCS,68020,Incise/drain eyelid lining,,,1056.59,4711.39,10
HCPCS,68040,Treatment of eyelid lesions,,,304.02,1500.1,10
HCPCS,68100,Biopsy of eyelid lining,,,2438.75,11236.34,10
HCPCS,68110,HC EXCISION LESION CONJUNCTIVA UP TO 1CM,5589.0,5589.0,,,0
HCPCS,68110,Remove eyelid lining lesion,,,2438.75,11236.34,10
HCPCS,68115,HC EXCISION LESION CONJUNCTIVA OVER 1CM,6441.0,6441.0,,,0
HCPCS,68115,Remove eyelid lining lesion,,,2438.75,11236.34,10
HCPCS,68130,Remove eyelid lining lesion,,,2438.75,11236.34,10
HCPCS,68135,Remove eyelid lining lesion,,,2438.75,11236.34,10
HCPCS,68200,Treat eyelid by injection,,,232.27,2111.28,10
HCPCS,68320,Revise/graft eyelid lining,,,2438.75,11236.34,10
HCPCS,68325,Revise/graft eyelid lining,,,4035.07,18580.37,10
HCPCS,68326,Revise/graft eyelid lining,,,4035.07,18580.37,10
HCPCS,68328,Revise/graft eyelid lining,,,2438.75,11236.34,10
HCPCS,68330,Revise eyelid lining,,,2432.05,10907.12,10
HCPCS,68335,Revise/graft eyelid lining,,,4035.07,18580.37,10
HCPCS,68340,Separate eyelid adhesions,,,2438.75,11236.34,10
HCPCS,68360,Revise eyelid lining,,,4035.07,18580.37,10
HCPCS,68362,Revise eyelid lining,,,2438.75,11236.34,10
HCPCS,68371,Harvest eye tissue alograft,,,2438.75,11236.34,10
HCPCS,68399,Eyelid lining surgery,,,304.02,1678.32,9
HCPCS,68400,Incise/drain tear gland,,,1056.59,4711.39,10
HCPCS,68420,Incise/drain tear sac,,,2438.75,11236.34,10
HCPCS,68440,Incise tear duct opening,,,304.02,1678.32,10
HCPCS,68500,Removal of tear gland,,,4035.07,18580.37,10
HCPCS,68505,Partial removal tear gland,,,4035.07,18580.37,10
HCPCS,68510,Biopsy of tear gland,,,2438.75,11236.34,10
HCPCS,68520,Removal of tear sac,,,4035.07,18580.37,10
HCPCS,68525,Biopsy of tear sac,,,2438.75,11236.34,10
HCPCS,68530,Clearance of tear duct,,,304.02,1678.32,10
HCPCS,68530,HC REMOVAL FB OR DACRYOLITH LACRIMAL PASSAGES,1490.0,1490.0,,,0
HCPCS,68540,Remove tear gland lesion,,,2438.75,11236.34,10
HCPCS,68550,Remove tear gland lesion,,,4035.07,18580.37,10
HCPCS,68700,Repair tear ducts,,,2438.75,11236.34,10
HCPCS,68705,Revise tear duct opening,,,304.02,1678.32,10
HCPCS,68720,Create tear sac drain,,,4035.07,18580.37,10
HCPCS,68745,Create tear duct drain,,,4035.07,18580.37,10
HCPCS,68750,Create tear duct drain,,,4035.07,18580.37,10
HCPCS,68760,Close tear duct opening,,,304.02,1678.32,10
HCPCS,68761,Close tear duct opening,,,304.02,1678.32,10
HCPCS,68770,Close tear system fistula,,,2438.75,11236.34,10
HCPCS,68801,Dilate tear duct opening,,,355.39,2111.28,10
HCPCS,68810,HC PROB NASOLACRIMAL DUCT W/WO IR,1008.0,1008.0,,,0
HCPCS,68810,Probe nasolacrimal duct,,,304.02,1678.32,10
HCPCS,68811,HC PROBE NASOLACRIMAL DUCT REQUIRING GEN ANES,5746.0,5746.0,,,0
HCPCS,68811,Probe nasolacrimal duct,,,2438.75,11236.34,10
HCPCS,68815,HC PROBE NASOLACRIMAL DUCT W INSERT TUBE/STENT,4845.0,4845.0,,,0
HCPCS,68815,Probe nasolacrimal duct,,,2438.75,11236.34,10
HCPCS,68816,Probe nl duct w/balloon,,,2438.75,11236.34,10
HCPCS,68840,Explore/irrigate tear ducts,,,304.02,1500.1,10
HCPCS,68841,Insj rx elut implt lac canal,,,804.67,11236.34,10
HCPCS,68850,HC INJ FOR TEAR SAC XRAY,1535.0,1535.0,,,0
HCPCS,68850,Injection for tear sac x-ray,,,1473.0,1473.0,1
HCPCS,68899,Tear duct system surgery,,,304.02,1678.32,9
HCPCS,69000,Drain external ear lesion,,,601.91,3346.74,10
HCPCS,69000,HC I&D EAR SIMPLE,1709.0,1709.0,,,0
HCPCS,69000,HC PR DRAIN EXTERNAL EAR ABSCESS OR HEMATOMA SIMPLE,538.0,538.0,,,0
HCPCS,69005,Drain external ear lesion,,,1692.02,7805.69,10
HCPCS,69005,HC I&D EAR COMPLICATED,3687.0,3687.0,,,0
HCPCS,69020,Drain outer ear canal lesion,,,601.91,3346.74,10
HCPCS,69020,HC I&D AUDITORY CANAL ABSCESS,1709.0,1709.0,,,0
HCPCS,69020,HC PR DRAIN EXTERNAL AUDITORY CANAL ABSCESS,372.0,372.0,,,0
HCPCS,69090,Pierce earlobes,,,804.67,2073.0,2
HCPCS,69100,Biopsy of external ear,,,254.93,1678.32,10
HCPCS,69100,HC BIOPSY EXTERNAL EAR,1510.0,1510.0,,,0
HCPCS,69100,HC PR BIOPSY EXTERNAL EAR,247.0,247.0,,,0
HCPCS,69105,Biopsy of external ear canal,,,1591.58,7333.01,10
HCPCS,69105,HC BIOPSY EXTERNAL AUDITORY CANAL,5318.0,5318.0,,,0
HCPCS,69105,HC PR BIOPSY EXTERNAL AUDITORY CANAL,403.0,403.0,,,0
HCPCS,69110,Remove external ear partial,,,2630.44,13728.11,10
HCPCS,69120,Removal of external ear,,,4822.0,27977.99,10
HCPCS,69140,Remove ear canal lesion(s),,,4822.0,27977.99,10
HCPCS,69145,HC EXC SOFT TISS LESI EXTERNL EAR,4325.0,4325.0,,,0
HCPCS,69145,HC PR EXC SOFT TISS LESI EXTERNL EAR,1142.0,1142.0,,,0
HCPCS,69145,Remove ear canal lesion(s),,,2965.46,13728.11,10
HCPCS,69150,Extensive ear canal surgery,,,4822.0,27977.99,10
HCPCS,69155,Extensive ear/neck surgery,,,2073.0,9829.75,5
HCPCS,69200,Clear outer ear canal,,,133.32,1473.0,10
HCPCS,69200,HC PR REM/FB EXTERNL EAR W/O ANES,274.0,274.0,,,0
HCPCS,69200,HC REM/FB EXTERNL EAR W/O ANES,291.0,291.0,,,0
HCPCS,69205,Clear outer ear canal,,,1692.02,7969.86,10
HCPCS,69209,HC REM IMPACT CERUMEN W IRRIGATION/LAVAGE UNI,255.0,255.0,,,0
HCPCS,69209,Remove impacted ear wax uni,,,66.33,1473.0,6
HCPCS,69210,HC PR REMV IMPACTD CERUMEN 1/BOTH PF,85.0,85.0,,,0
HCPCS,69210,HC REM IMPACT CERUMEN W INSTR UNI,226.0,226.0,,,0
HCPCS,69210,Remove impacted ear wax uni,,,66.33,1473.0,6
HCPCS,69220,Clean out mastoid cavity,,,208.93,1473.0,10
HCPCS,69220,HC DEBRID MASTOID CAVITY SIMPLE,455.0,455.0,,,0
HCPCS,69220,HC PR DEBRID MASTOID CAVITY SIMPLE,307.0,307.0,,,0
HCPCS,69222,Clean out mastoid cavity,,,574.2,2630.44,10
HCPCS,69300,Revise external ear,,,3360.08,15669.35,10
HCPCS,69310,Rebuild outer ear canal,,,6111.67,27977.99,10
HCPCS,69320,Rebuild outer ear canal,,,6111.67,27977.99,10
HCPCS,69399,Outer ear surgery procedure,,,254.93,1473.0,9
HCPCS,69420,HC MYRINGOTOMY ASPIRATION/ENST,935.0,935.0,,,0
HCPCS,69420,HC PR MYRINGTOMY INCL ASPIRATION &OR EUSTACHIAN TUBE INFLATION,534.0,534.0,,,0
HCPCS,69420,Incision of eardrum,,,254.93,1678.32,10
HCPCS,69421,Incision of eardrum,,,3360.08,15669.35,10
HCPCS,69424,Remove ventilating tube,,,2630.44,15669.35,10
HCPCS,69433,Create eardrum opening,,,574.2,2630.44,10
HCPCS,69433,HC PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA,565.0,565.0,,,0
HCPCS,69433,HC TYMPANOSTOMY W/VENT W/ANES,1667.0,1667.0,,,0
HCPCS,69436,Create eardrum opening,,,1591.58,7333.01,10
HCPCS,69440,Exploration of middle ear,,,3360.08,15732.11,10
HCPCS,69450,Eardrum revision,,,2630.44,15732.11,10
HCPCS,69501,Mastoidectomy,,,6111.67,27977.99,10
HCPCS,69502,Mastoidectomy,,,4822.0,27977.99,10
HCPCS,69505,Remove mastoid structures,,,6111.67,27977.99,10
HCPCS,69511,Extensive mastoid surgery,,,6111.67,27977.99,10
HCPCS,69530,Extensive mastoid surgery,,,6111.67,27977.99,10
HCPCS,69535,Remove part of temporal bone,,,2073.0,12989.24,6
HCPCS,69540,HC EXCISION AURAL POLYP,5039.0,5039.0,,,0
HCPCS,69540,HC PR EXCISION AURAL POLYP,587.0,587.0,,,0
HCPCS,69540,Remove ear lesion,,,1591.58,7333.01,10
HCPCS,69550,Remove ear lesion,,,6111.67,27977.99,10
HCPCS,69552,Remove ear lesion,,,6111.67,27977.99,10
HCPCS,69554,Remove ear lesion,,,2073.0,9829.75,6
HCPCS,69601,Mastoid surgery revision,,,6111.67,27977.99,10
HCPCS,69602,Mastoid surgery revision,,,6111.67,27977.99,10
HCPCS,69603,Mastoid surgery revision,,,6111.67,27977.99,10
HCPCS,69604,Mastoid surgery revision,,,6111.67,27977.99,10
HCPCS,69610,Repair of eardrum,,,1591.58,8635.34,10
HCPCS,69620,Repair of eardrum,,,3360.08,15669.35,10
HCPCS,69631,Repair eardrum structures,,,6111.67,27977.99,10
HCPCS,69632,Rebuild eardrum structures,,,6111.67,27977.99,10
HCPCS,69633,Rebuild eardrum structures,,,6111.67,27977.99,10
HCPCS,69635,Repair eardrum structures,,,6111.67,27977.99,10
HCPCS,69636,Rebuild eardrum structures,,,6111.67,27977.99,10
HCPCS,69637,Rebuild eardrum structures,,,6111.67,27977.99,10
HCPCS,69641,Revise middle ear & mastoid,,,6111.67,27977.99,10
HCPCS,69642,Revise middle ear & mastoid,,,6111.67,27977.99,10
HCPCS,69643,Revise middle ear & mastoid,,,6111.67,27977.99,10
HCPCS,69644,Revise middle ear & mastoid,,,6111.67,27977.99,10
HCPCS,69645,Revise middle ear & mastoid,,,6111.67,27977.99,10
HCPCS,69646,Revise middle ear & mastoid,,,6111.67,27977.99,10
HCPCS,69650,Release middle ear bone,,,3360.08,15732.11,10
HCPCS,69660,Revise middle ear bone,,,6111.67,27977.99,10
HCPCS,69661,Revise middle ear bone,,,6111.67,27977.99,10
HCPCS,69662,Revise middle ear bone,,,6111.67,27977.99,10
HCPCS,69666,Repair middle ear structures,,,3360.08,15669.35,10
HCPCS,69667,Repair middle ear structures,,,3360.08,15669.35,10
HCPCS,69670,Remove mastoid air cells,,,6111.67,27977.99,10
HCPCS,69676,Remove middle ear nerve,,,3360.08,15669.35,10
HCPCS,69700,Close mastoid fistula,,,1591.58,9812.66,10
HCPCS,69705,Nps surg dilat eust tube uni,,,6111.67,27977.99,10
HCPCS,69706,Nps surg dilat eust tube bi,,,6111.67,27977.99,10
HCPCS,69710,Implant/replace hearing aid,,,4828.15,10343.78,6
HCPCS,69711,Remove/repair hearing aid,,,2630.44,15732.11,10
HCPCS,69714,Implant Temple Bone W/Stimul,,,13735.35,60677.5,10
HCPCS,69716,Impltj oi implt skl tc esp,,,9556.0,60677.5,10
HCPCS,69717,Temple Bone Implant Revision,,,7466.19,46069.82,10
HCPCS,69719,Revj/rplcmt oi implt tc esp,,,9556.0,60677.5,10
HCPCS,69720,Release facial nerve,,,6111.67,27977.99,10
HCPCS,69725,Release facial nerve,,,6111.67,27977.99,10
HCPCS,69726,Rmvl oi implt skl perq esp,,,3378.06,15463.96,10
HCPCS,69727,Rmvl oi implt skl tc esp,,,3378.06,15463.96,10
HCPCS,69728,Rmv ntr oi imp sktc esp>=100,,,3378.06,15463.96,10
HCPCS,69729,Impl oi implt sk tc esp>=100,,,9556.0,62604.69,10
HCPCS,69730,Rplc oi implt sk tc esp>=100,,,9556.0,62604.69,10
HCPCS,69740,Repair facial nerve,,,6111.67,27977.99,10
HCPCS,69745,Repair facial nerve,,,6111.67,27977.99,10
HCPCS,69799,Middle ear surgery procedure,,,254.93,1473.0,9
HCPCS,69801,HC LABYRINTHOTOMY W PERF VESTIBULOACTIVE DRUG TRANSCANAL,4670.0,4670.0,,,0
HCPCS,69801,HC PR LABYRINTHOTOMY W PEF VESTIBULOACTIVE DRUG TRANSCANAL,672.0,672.0,,,0
HCPCS,69801,Incise inner ear,,,1591.58,12989.24,10
HCPCS,69805,Explore inner ear,,,6111.67,27977.99,10
HCPCS,69806,Explore inner ear,,,6111.67,27977.99,10
HCPCS,69905,Remove inner ear,,,6111.67,27977.99,10
HCPCS,69910,Remove inner ear & mastoid,,,6111.67,27977.99,10
HCPCS,69915,Incise inner ear nerve,,,3360.08,15732.11,10
HCPCS,69930,Implant cochlear device,,,34997.61,155831.11,10
HCPCS,69949,Inner ear surgery procedure,,,254.93,1473.0,9
HCPCS,69950,Incise inner ear nerve,,,2073.0,12989.24,6
HCPCS,69955,Release facial nerve,,,6111.67,27977.99,10
HCPCS,69960,Release inner ear canal,,,6111.67,27977.99,10
HCPCS,69970,Remove inner ear lesion,,,6111.67,27977.99,10
HCPCS,69979,Temporal bone surgery,,,254.93,1473.0,9
HCPCS,69990,Microsurgery add-on,,,1473.0,1473.0,1
HCPCS,70010,Contrast x-ray of brain,,,392.25,2435.46,6
HCPCS,70010,HC MYELOGRAM POST FOSSA SI,1908.0,1908.0,,,0
HCPCS,70015,Contrast x-ray of brain,,,186.86,4023.71,6
HCPCS,70015,HC CISTERNOGRAPHY SI,2003.0,2003.0,,,0
HCPCS,70030,HC EYE DETECTION FB,285.0,285.0,,,0
HCPCS,70030,X-ray eye for foreign body,,,57.97,466.69,10
HCPCS,70100,HC MANDIBLE PARTIAL < 4 VIEW,213.0,213.0,,,0
HCPCS,70100,X-ray exam of jaw <4views,,,70.78,466.69,10
HCPCS,70110,HC MANDIBLE COMP MIN 4 VIEW,290.0,290.0,,,0
HCPCS,70110,X-ray exam of jaw 4/> views,,,85.03,597.08,10
HCPCS,70120,X-ray exam of mastoids,,,85.03,597.08,10
HCPCS,70130,X-ray exam of mastoids,,,108.24,597.08,10
HCPCS,70134,X-ray exam of middle ear,,,101.87,2582.44,10
HCPCS,70140,HC FACIAL BONES < 3 VIEWS,213.0,213.0,,,0
HCPCS,70140,X-ray exam of facial bones,,,85.03,466.69,10
HCPCS,70150,HC FACIAL BONES MIN 3 VIEW,290.0,290.0,,,0
HCPCS,70150,X-ray exam of facial bones,,,108.24,597.08,10
HCPCS,70160,HC NASAL BONES MIN 3 VIEWS,213.0,213.0,,,0
HCPCS,70160,X-ray exam of nasal bones,,,70.78,466.69,10
HCPCS,70170,HC DACRO NASOLACRIMAL SI,988.0,988.0,,,0
HCPCS,70170,X-ray exam of tear duct,,,131.45,1304.66,6
HCPCS,70190,X-ray exam of eye sockets,,,85.03,478.65,10
HCPCS,70200,HC ORBITS COMPLETE MIN 4 VIEWS,266.0,266.0,,,0
HCPCS,70200,X-ray exam of eye sockets,,,108.24,597.08,10
HCPCS,70210,HC SINUSES PARANASAL < 3 VIEW,213.0,213.0,,,0
HCPCS,70210,X-ray exam of sinuses,,,85.03,466.69,10
HCPCS,70220,HC SINUSES PARA COMP MIN 3 VIEW,218.0,218.0,,,0
HCPCS,70220,X-ray exam of sinuses,,,94.83,478.43,10
HCPCS,70240,HC SELLA TURCICA,213.0,213.0,,,0
HCPCS,70240,X-ray exam pituitary saddle,,,57.97,466.69,10
HCPCS,70250,HC SKULL < 4 VIEW,261.0,261.0,,,0
HCPCS,70250,X-ray exam of skull,,,85.03,597.08,10
HCPCS,70260,HC SKULL COMP MIN 4 VIEW,288.0,288.0,,,0
HCPCS,70260,X-ray exam of skull,,,114.75,597.08,10
HCPCS,70300,X-ray exam of teeth,,,37.45,465.52,10
HCPCS,70310,X-ray exam of teeth,,,57.97,1304.66,10
HCPCS,70320,Full mouth x-ray of teeth,,,108.24,1260.48,10
HCPCS,70328,X-ray exam of jaw joint,,,68.24,466.69,10
HCPCS,70330,HC TM JOINT BILATERAL,231.0,231.0,,,0
HCPCS,70330,X-ray exam of jaw joints,,,94.83,466.69,10
HCPCS,70332,X-ray exam of jaw joint,,,268.27,1433.02,6
HCPCS,70336,HC MRI TMJ,2134.0,2134.0,,,0
HCPCS,70336,Magnetic image jaw joint,,,238.83,1624.08,10
HCPCS,70350,X-ray head for orthodontia,,,52.85,466.69,10
HCPCS,70355,HC ORTHOPANTOGRAM/PANOREX,221.0,221.0,,,0
HCPCS,70355,Panoramic x-ray of jaws,,,78.62,465.52,10
HCPCS,70360,HC NECK SOFT TISSUE,213.0,213.0,,,0
HCPCS,70360,X-ray exam of neck,,,57.97,466.69,10
HCPCS,70370,Throat x-ray & fluoroscopy,,,94.83,548.22,10
HCPCS,70371,HC PHARYNX SPEECH VIDEOFLUORO,603.0,603.0,,,0
HCPCS,70371,Speech evaluation complex,,,255.73,1304.66,10
HCPCS,70380,X-ray exam of salivary gland,,,91.44,478.69,10
HCPCS,70390,HC SIALOGRAPHY SI,988.0,988.0,,,0
HCPCS,70390,X-ray exam of salivary duct,,,246.12,1304.66,6
HCPCS,70450,Ct head/brain w/o dye,,,89.81,832.84,10
HCPCS,70450,HC CT BRAIN W/O CONTRAST,1100.0,1100.0,,,0
HCPCS,70460,Ct head/brain w/dye,,,124.33,1425.73,10
HCPCS,70460,HC CT BRAIN W/ CONTRAST,1881.0,1881.0,,,0
HCPCS,70470,Ct head/brain w/o & w/dye,,,129.67,1580.17,10
HCPCS,70470,HC CT BRAIN W/ & W/O CONTRAST,1975.0,1975.0,,,0
HCPCS,70471,Cta h&n c+ w/noncontrast img,,,392.25,1648.83,3
HCPCS,70473,Ct cere prfu aly c+wo ct/cta,,,197.21,828.97,3
HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,117.54,832.84,10
HCPCS,70480,HC CT PF ORB SELLA EAR W/O CONT,1041.0,1041.0,,,0
HCPCS,70481,Ct orbit/ear/fossa w/dye,,,197.21,1425.73,10
HCPCS,70481,HC CT PF ORBIT SELLA EAR W CONT,1782.0,1782.0,,,0
HCPCS,70482,Ct orbit/ear/fossa w/o&w/dye,,,197.21,1580.17,10
HCPCS,70482,HC CT PF ORB SELLA EAR W&W/O CONT,1975.0,1975.0,,,0
HCPCS,70486,Ct maxillofacial w/o dye,,,117.54,832.84,10
HCPCS,70486,HC CT TMJ W/O CONTRAST,1041.0,1041.0,,,0
HCPCS,70487,Ct maxillofacial w/dye,,,174.7,1425.73,10
HCPCS,70487,HC CT SINUS W/CONTRAST,1782.0,1782.0,,,0
HCPCS,70488,Ct maxillofacial w/o & w/dye,,,197.21,1580.17,10
HCPCS,70488,HC CT MAXILLOFACIAL W/&W/O CONT,1975.0,1975.0,,,0
HCPCS,70490,Ct soft tissue neck w/o dye,,,117.54,832.84,10
HCPCS,70490,HC CT SOFT TISSUE NECK W/O CONTRAST,1041.0,1041.0,,,0
HCPCS,70491,Ct soft tissue neck w/dye,,,165.7,1425.73,10
HCPCS,70491,HC CT SOFT TISSUE NECK W CONTRAST,1782.0,1782.0,,,0
HCPCS,70492,Ct sft tsue nck w/o & w/dye,,,197.21,1580.17,10
HCPCS,70492,HC CT SOFT TISSUE NECK W & W/O CONTRAST & ADDL SEC,1975.0,1975.0,,,0
HCPCS,70496,Ct angiography head,,,197.21,1627.67,10
HCPCS,70496,HC CTA BRAIN W/&W/O CO INC POST,2035.0,2035.0,,,0
HCPCS,70498,Ct angiography neck,,,197.21,1627.67,10
HCPCS,70498,HC CTA NECK W/&W/O CO INC POST,2035.0,2035.0,,,0
HCPCS,70540,HC MRI ORBIT FACE NECK W/O CONT,2134.0,2134.0,,,0
HCPCS,70540,Mri orbit/face/neck w/o dye,,,268.27,1624.08,10
HCPCS,70542,HC MRI ORBIT FACE NECK W/CONT,2294.0,2294.0,,,0
HCPCS,70542,Mri Orbit/Face/Neck W/Dye,,,313.34,2180.98,10
HCPCS,70543,HC MRI ORBIT FACE NECK W/&W/O CON,4247.0,4247.0,,,0
HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,379.12,3057.51,10
HCPCS,70544,HC MRA HEAD W/O CONT,1937.0,1937.0,,,0
HCPCS,70544,Mr Angiography Head W/O Dye,,,268.27,1624.08,10
HCPCS,70545,HC MRA HEAD W/CONT,1937.0,1937.0,,,0
HCPCS,70545,Mr Angiography Head W/Dye,,,324.26,2180.98,10
HCPCS,70546,HC MRA HEAD W/&W/O CO & ADD SEQ,3804.0,3804.0,,,0
HCPCS,70546,Mr angiograph head w/o&w/dye,,,392.25,2738.89,10
HCPCS,70547,HC MRA NECK W/O CONT,1937.0,1937.0,,,0
HCPCS,70547,Mr Angiography Neck W/O Dye,,,268.27,1624.08,10
HCPCS,70548,HC MRA NECK W/CONT,1937.0,1937.0,,,0
HCPCS,70548,Mr Angiography Neck W/Dye,,,352.37,2180.98,10
HCPCS,70549,HC MRA NECK WO&W CONTRAST MATERIAL & FURTHER SEQUENCES,3804.0,3804.0,,,0
HCPCS,70549,Mr angiograph neck w/o&w/dye,,,392.25,2738.89,10
HCPCS,70551,HC MRI BRAIN W/O CONTRAST,2134.0,2134.0,,,0
HCPCS,70551,Mri brain stem w/o dye,,,188.66,1624.08,10
HCPCS,70552,HC MRI BRAIN W/ CONTRAST,2559.0,2559.0,,,0
HCPCS,70552,Mri brain stem w/dye,,,268.7,2180.98,10
HCPCS,70553,HC MRI BRAIN W/W/O CONTRAST,3600.0,3600.0,,,0
HCPCS,70553,Mri brain stem w/o & w/dye,,,307.14,3413.05,10
HCPCS,70554,Fmri brain by tech,,,268.27,1624.08,10
HCPCS,70554,HC MRI BRAIN MAP STIM BRAIN FUNC,1069.0,1069.0,,,0
HCPCS,70555,Fmri brain by phys/psych,,,268.27,1624.08,10
HCPCS,70555,HC MRI BRAIN MAP STIM W/PHYS TEST,1065.0,1065.0,,,0
HCPCS,70557,Mri brain w/o dye,,,575.74,2582.44,10
HCPCS,70558,Mri brain w/dye,,,191.75,2180.98,10
HCPCS,70559,Mri brain w/o & w/dye,,,191.75,2636.36,10
HCPCS,71045,HC RADIOLOGIC EXAM CHEST SINGLE VIEW,227.0,227.0,,,0
HCPCS,71045,X-ray exam chest 1 view,,,82.38,466.69,10
HCPCS,71046,HC RADIOLOGIC EXAM CHEST 2 VIEWS,238.0,238.0,,,0
HCPCS,71046,X-ray exam chest 2 views,,,85.31,466.69,10
HCPCS,71047,HC RADIOLOGIC EXAM CHEST 3 VIEWS,214.0,214.0,,,0
HCPCS,71047,X-ray exam chest 3 views,,,94.83,466.69,10
HCPCS,71048,HC RADIOLOGIC EXAM CHEST 4 OR MORE VIEWS,366.0,366.0,,,0
HCPCS,71048,X-ray exam chest 4+ views,,,114.75,597.08,10
HCPCS,71100,HC RIBS UNILAT 2 VIEW,212.0,212.0,,,0
HCPCS,71100,X-ray exam ribs uni 2 views,,,78.62,466.69,10
HCPCS,71101,HC RIBS UNI W CHEST MIN 3 VW,305.0,305.0,,,0
HCPCS,71101,X-ray exam unilat ribs/chest,,,91.44,597.08,10
HCPCS,71110,HC RIBS BILATERAL 3 VIEW,349.0,349.0,,,0
HCPCS,71110,X-ray exam ribs bil 3 views,,,108.24,597.08,10
HCPCS,71111,HC RIBS BIL W/CHEST MIN 4 VIEW,302.0,302.0,,,0
HCPCS,71111,X-ray exam ribs/chest4/> vws,,,114.75,597.08,10
HCPCS,71120,HC STERNUM MIN 2 VIEW,221.0,221.0,,,0
HCPCS,71120,X-ray exam breastbone 2/>vws,,,88.9,466.69,10
HCPCS,71130,HC STERNO CLAVICULAR MIN 3 VIEW,207.0,207.0,,,0
HCPCS,71130,X-ray strenoclavic jt 3/>vws,,,94.83,466.69,10
HCPCS,71250,Ct thorax w/o dye,,,117.54,832.84,10
HCPCS,71250,HC CT THORAX WO CONT,1230.0,1230.0,,,0
HCPCS,71260,Ct thorax w/dye,,,166.79,1425.73,10
HCPCS,71260,HC CT THORAX W CONT,1466.0,1466.0,,,0
HCPCS,71270,Ct thorax w/o & w/dye,,,197.21,1580.17,10
HCPCS,71270,HC CT CHEST DEDICATED W WO CONT,2096.0,2096.0,,,0
HCPCS,71271,Ct thorax lung cancer scr c-,,,114.75,494.1,9
HCPCS,71271,HC CT THORAX LOW DOSE LUNG CANCER SCREEN WO CONTRAST,373.0,373.0,,,0
HCPCS,71275,Ct angiography chest,,,197.21,1627.67,10
HCPCS,71275,HC CTA CHEST W/WO CO W/REC RM,2042.0,2042.0,,,0
HCPCS,71550,HC MRI CHEST W/O CONT,2100.0,2100.0,,,0
HCPCS,71550,Mri chest w/o dye,,,268.27,1624.08,10
HCPCS,71551,HC MRI CHEST W/CONT,2200.0,2200.0,,,0
HCPCS,71551,Mri Chest W/Dye,,,361.1,4060.64,10
HCPCS,71552,HC MRI CHEST W/&W/O CO & ADD SEQ,4200.0,4200.0,,,0
HCPCS,71552,Mri chest w/o & w/dye,,,392.25,3042.83,10
HCPCS,71555,HC MRA CHEST W&W/O CONT,1937.0,1937.0,,,0
HCPCS,71555,HC MRA CHEST W/CONT,1937.0,1937.0,,,0
HCPCS,71555,HC MRA CHEST W/O CONT,1937.0,1937.0,,,0
HCPCS,71555,Mri angio chest w or w/o dye,,,309.53,2180.98,7
HCPCS,72020,HC SPINE 1 VIEW SPECIFY LEVEL,213.0,213.0,,,0
HCPCS,72020,X-ray exam of spine 1 view,,,57.97,466.69,10
HCPCS,72040,HC C SPINE 2 OR 3 VIEW,227.0,227.0,,,0
HCPCS,72040,X-ray exam neck spine 2-3 vw,,,82.47,466.69,10
HCPCS,72050,HC C SPINE MIN 4 VIEW,302.0,302.0,,,0
HCPCS,72050,X-ray exam neck spine 4/5vws,,,114.75,597.08,10
HCPCS,72052,HC C SPINE 6 OR MORE VIEWS,285.0,285.0,,,0
HCPCS,72052,X-ray exam neck spine 6/>vws,,,114.75,597.08,10
HCPCS,72070,HC T SPINE 2 VIEW,261.0,261.0,,,0
HCPCS,72070,X-ray exam thorac spine 2vws,,,88.9,597.08,10
HCPCS,72072,HC T SPINE 3 VIEW,305.0,305.0,,,0
HCPCS,72072,X-ray exam thorac spine 3vws,,,101.87,597.08,10
HCPCS,72074,HC T SPINE 4 VIEW,261.0,261.0,,,0
HCPCS,72074,X-ray exam thorac spine4/>vw,,,114.75,597.08,10
HCPCS,72080,HC THORACOLUMBAR 2 VIEW,213.0,213.0,,,0
HCPCS,72080,X-ray exam thoracolmb 2/> vw,,,91.44,466.69,10
HCPCS,72081,HC SPINE ENTIRE THORACIC AND LUMBAR 1 VIEW,218.0,218.0,,,0
HCPCS,72081,X-ray exam entire spi 1 vw,,,76.55,466.69,10
HCPCS,72082,HC SPINE ENTIRE THORACIC AND LUMBAR 2 OR 3 VIEWS,377.0,377.0,,,0
HCPCS,72082,X-ray exam entire spi 2/3 vw,,,114.75,597.08,10
HCPCS,72083,HC SPINE ENTIRE THORACIC AND LUMBAR 4 OR 5 VIEWS,596.0,596.0,,,0
HCPCS,72083,X-ray exam entire spi 4/5 vw,,,114.75,625.18,10
HCPCS,72084,HC SPINE ENTIRE THORACIC AND LUMBAR 6 OR MORE VIEWS,596.0,596.0,,,0
HCPCS,72084,X-ray exam entire spi 6/> vw,,,114.75,625.18,10
HCPCS,72100,HC L SPINE 2 OR 3 VIEW,274.0,274.0,,,0
HCPCS,72100,X-ray exam l-s spine 2/3 vws,,,91.44,597.08,10
HCPCS,72110,HC L SPINE MIN 4 VIEW,302.0,302.0,,,0
HCPCS,72110,X-ray exam l-2 spine 4/>vws,,,114.75,597.08,10
HCPCS,72114,HC L SPINE COMP W BEND MIN 6 VIEW,298.0,298.0,,,0
HCPCS,72114,X-ray exam l-s spine bending,,,114.75,597.08,10
HCPCS,72120,HC L SPINE BEND ONLY 2 OR 3 VIEW,290.0,290.0,,,0
HCPCS,72120,X-ray bend only l-s spine,,,114.75,597.08,10
HCPCS,72125,Ct neck spine w/o dye,,,117.54,832.84,10
HCPCS,72125,HC CT CERVICAL SPINE W/O CONTRAST,1230.0,1230.0,,,0
HCPCS,72126,Ct neck spine w/dye,,,167.61,2054.22,10
HCPCS,72126,HC CT CERVICAL SPINE W/ CONTRAST,1782.0,1782.0,,,0
HCPCS,72127,Ct neck spine w/o & w/dye,,,197.21,1580.17,10
HCPCS,72127,HC CT CERV SPINE W&W/O CONTRAST,2096.0,2096.0,,,0
HCPCS,72128,Ct chest spine w/o dye,,,117.54,832.84,10
HCPCS,72128,HC CT THORACIC SPINE W/O CONT,1230.0,1230.0,,,0
HCPCS,72129,Ct chest spine w/dye,,,168.42,1425.73,10
HCPCS,72129,HC CT THORACIC SPINE W/CONTRAST,1782.0,1782.0,,,0
HCPCS,72130,Ct chest spine w/o & w/dye,,,197.21,1580.17,10
HCPCS,72130,HC CT THORACIC SPINE W/&W/O CONT,2096.0,2096.0,,,0
HCPCS,72131,Ct lumbar spine w/o dye,,,117.54,832.84,10
HCPCS,72131,HC CT LUMBAR SPINE W/O CONTRAST,1230.0,1230.0,,,0
HCPCS,72132,Ct lumbar spine w/dye,,,167.88,2054.22,10
HCPCS,72132,HC CT LUMBAR SPINE W/CONTRAST,1782.0,1782.0,,,0
HCPCS,72133,Ct lumbar spine w/o & w/dye,,,197.21,1580.17,10
HCPCS,72133,HC CT LUMBAR SPINE W/&W/O CONT,2096.0,2096.0,,,0
HCPCS,72141,HC MRI C SPINE W/O CONTRAST,2100.0,2100.0,,,0
HCPCS,72141,Mri neck spine w/o dye,,,185.92,1624.08,10
HCPCS,72142,HC MRI C SPINE W/ CONTRAST,2500.0,2500.0,,,0
HCPCS,72142,Mri neck spine w/dye,,,270.27,2180.98,10
HCPCS,72146,HC MRI T SPINE W/O CONTRAST,2300.0,2300.0,,,0
HCPCS,72146,Mri chest spine w/o dye,,,185.92,1705.11,10
HCPCS,72147,HC MRI T SPINE W/ CONTRAST,2500.0,2500.0,,,0
HCPCS,72147,Mri chest spine w/dye,,,266.73,2180.98,10
HCPCS,72148,HC MRI L SPINE W/O CONTRAST,2300.0,2300.0,,,0
HCPCS,72148,Mri lumbar spine w/o dye,,,185.92,1705.11,10
HCPCS,72149,HC MRI L SPINE W/ CONTRAST,2500.0,2500.0,,,0
HCPCS,72149,Mri lumbar spine w/dye,,,265.17,2180.98,10
HCPCS,72156,HC MRI C SPINE W&W/O CONTRAST,3800.0,3800.0,,,0
HCPCS,72156,Mri neck spine w/o & w/dye,,,307.53,3413.05,10
HCPCS,72157,HC MRI T SPINE W&W/O CONTRAST,3800.0,3800.0,,,0
HCPCS,72157,Mri chest spine w/o & w/dye,,,307.93,3413.05,10
HCPCS,72158,HC MRI L SPINE W&W/O CONTRAST,3800.0,3800.0,,,0
HCPCS,72158,Mri lumbar spine w/o & w/dye,,,305.58,3413.05,10
HCPCS,72159,HC MRA SPINAL CANAL W&W/O CONT,2150.0,2150.0,,,0
HCPCS,72159,Mr angio spine w/o&w/dye,,,302.37,2180.98,7
HCPCS,72170,HC PELVIS 1 OR 2 VIEW,261.0,261.0,,,0
HCPCS,72170,X-ray exam of pelvis,,,70.78,597.08,10
HCPCS,72190,HC PELVIS COMP MIN 3 VIEW,273.0,273.0,,,0
HCPCS,72190,X-ray exam of pelvis,,,91.44,597.08,10
HCPCS,72191,Ct angiograph pelv w/o&w/dye,,,197.21,1627.67,10
HCPCS,72191,HC CTA PELVIS W/&W/O CO & ADD SEQ,2035.0,2035.0,,,0
HCPCS,72192,Ct pelvis w/o dye,,,100.47,832.84,10
HCPCS,72192,HC CT PELVIS W/O CONTRAST,1230.0,1230.0,,,0
HCPCS,72193,Ct pelvis w/dye,,,170.87,1425.73,10
HCPCS,72193,HC CT PELVIS W/CYSTOGRAM,1782.0,1782.0,,,0
HCPCS,72194,Ct pelvis w/o & w/dye,,,197.21,1580.17,10
HCPCS,72194,HC CT PELVIS W&W/O CONTRAST,2096.0,2096.0,,,0
HCPCS,72195,HC MRI PELVIS W/O CONT,1900.0,1900.0,,,0
HCPCS,72195,Mri Pelvis W/O Dye,,,268.27,1624.08,10
HCPCS,72196,HC MRI PELVIS W/ CONT,2100.0,2100.0,,,0
HCPCS,72196,Mri pelvis w/dye,,,320.44,2180.98,10
HCPCS,72197,HC MRI PELVIS W/&W/O CO & ADD SEQ,3125.0,3125.0,,,0
HCPCS,72197,Mri pelvis w/o & w/dye,,,385.94,3063.76,10
HCPCS,72198,HC MRA PELVIS W&W/O CONTRAST,1937.0,1937.0,,,0
HCPCS,72198,HC MRA PELVIS W/CONT,1937.0,1937.0,,,0
HCPCS,72198,HC MRA PELVIS W/O CONT,1937.0,1937.0,,,0
HCPCS,72198,Mr angio pelvis w/o & w/dye,,,314.16,2180.98,7
HCPCS,72200,X-ray exam si joints,,,70.78,597.08,10
HCPCS,72202,HC SI JOINTS MIN 3 VIEW,261.0,261.0,,,0
HCPCS,72202,X-ray exam si joints 3/> vws,,,85.03,597.08,10
HCPCS,72220,HC SACRUM & COCCYX MIN 2 VIEW,213.0,213.0,,,0
HCPCS,72220,X-ray exam sacrum tailbone,,,78.62,466.69,10
HCPCS,72240,HC C MYELOGRAPHY S&I,2003.0,2003.0,,,0
HCPCS,72240,Myelography neck spine,,,651.79,4080.53,6
HCPCS,72255,HC T MYELOGRAPHY S&I,2003.0,2003.0,,,0
HCPCS,72255,Myelography thoracic spine,,,593.67,4080.53,6
HCPCS,72265,HC L MYELOGRAPHY S&I,2003.0,2003.0,,,0
HCPCS,72265,Myelography l-s spine,,,559.05,4080.53,6
HCPCS,72270,HC SPINE MYELOGRAPHY SI,2003.0,2003.0,,,0
HCPCS,72270,Myelogphy 2/> spine regions,,,837.24,4080.53,6
HCPCS,72285,Discography cerv/thor spine,,,1148.74,10020.73,6
HCPCS,72285,HC DISKOGRAPHY CERV OR THORAC SI,8571.0,8571.0,,,0
HCPCS,72295,HC DISKOGRAPHY LUMBAR SI,8571.0,8571.0,,,0
HCPCS,72295,HC PR DISKOGRAPHY LUMBAR SI,181.0,181.0,,,0
HCPCS,72295,X-ray of lower spine disk,,,1076.52,10020.73,6
HCPCS,73000,HC CLAVICLE COMP,213.0,213.0,,,0
HCPCS,73000,X-ray exam of collar bone,,,70.78,466.69,10
HCPCS,73010,HC SCAPULA COMP,267.0,267.0,,,0
HCPCS,73010,X-ray exam of shoulder blade,,,70.78,597.08,10
HCPCS,73020,HC SHOULDER 1 VIEW,213.0,213.0,,,0
HCPCS,73020,X-ray exam of shoulder,,,65.66,466.69,10
HCPCS,73030,HC SHOULDER COMP MIN 2 VIEW,213.0,213.0,,,0
HCPCS,73030,X-ray exam of shoulder,,,78.62,466.69,10
HCPCS,73040,Contrast x-ray of shoulder,,,288.57,2054.22,6
HCPCS,73040,HC ARTHROGRAM SHOULDER SI,1059.0,1059.0,,,0
HCPCS,73050,HC A C JOINTS BIL W/W/O WEIGHTS,213.0,213.0,,,0
HCPCS,73050,X-ray exam of shoulders,,,91.44,466.69,10
HCPCS,73060,HC HUMERUS MIN 2 VIEW,213.0,213.0,,,0
HCPCS,73060,X-ray exam of humerus,,,78.62,466.69,10
HCPCS,73070,HC ELBOW 2 VIEW,225.0,225.0,,,0
HCPCS,73070,X-ray exam of elbow,,,70.78,466.69,10
HCPCS,73080,HC ELBOW COMP MIN 3 VIEW,213.0,213.0,,,0
HCPCS,73080,X-ray exam of elbow,,,78.62,478.43,10
HCPCS,73085,Contrast x-ray of elbow,,,288.57,2054.22,6
HCPCS,73085,HC ELBOW ARTHROGRAM SI,1059.0,1059.0,,,0
HCPCS,73090,HC FOREARM 2 VIEW,213.0,213.0,,,0
HCPCS,73090,X-ray exam of forearm,,,70.78,478.43,10
HCPCS,73092,HC UPR EXTR INFANT MIN 2 VW,290.0,290.0,,,0
HCPCS,73092,X-ray exam of arm infant,,,68.24,597.08,10
HCPCS,73100,HC WRIST 2 VIEW,213.0,213.0,,,0
HCPCS,73100,X-ray exam of wrist,,,68.24,466.69,10
HCPCS,73110,HC WRIST COMP MIN 3 VIEW,213.0,213.0,,,0
HCPCS,73110,X-ray exam of wrist,,,72.09,466.69,10
HCPCS,73115,Contrast x-ray of wrist,,,217.78,2054.22,6
HCPCS,73115,HC ARTHROGRAM WRIST SI,1059.0,1059.0,,,0
HCPCS,73120,HC HAND 2 VIEW,261.0,261.0,,,0
HCPCS,73120,X-ray exam of hand,,,68.24,597.08,10
HCPCS,73130,HC HAND MIN 3 VIEW,213.0,213.0,,,0
HCPCS,73130,X-ray exam of hand,,,72.09,478.43,10
HCPCS,73140,HC FINGER(S) MIN 2 VIEW,224.0,224.0,,,0
HCPCS,73140,X-ray exam of finger(s),,,57.97,466.69,10
HCPCS,73200,Ct upper extremity w/o dye,,,117.54,832.84,10
HCPCS,73200,HC CT UPPER EXTREMITY WO CONT,1041.0,1041.0,,,0
HCPCS,73201,Ct upper extremity w/dye,,,165.14,2054.22,10
HCPCS,73201,HC CT UPR EXTR POST ARTHROGRAM,1782.0,1782.0,,,0
HCPCS,73202,Ct uppr extremity w/o&w/dye,,,197.21,1580.17,10
HCPCS,73202,HC CT UPPER EXTREMITY W/O & W/ CONT,2096.0,2096.0,,,0
HCPCS,73206,Ct angio upr extrm w/o&w/dye,,,197.21,1627.67,10
HCPCS,73206,HC CTA UPPER EXTR W WO CONT,2035.0,2035.0,,,0
HCPCS,73218,HC MRI UPPER EXTREMITY WO CONT,1400.0,1400.0,,,0
HCPCS,73218,Mri Upper Extremity W/O Dye,,,268.27,1624.08,10
HCPCS,73219,HC MRI UPPER EXTREMITY W CONT,2200.0,2200.0,,,0
HCPCS,73219,Mri Upper Extremity W/Dye,,,317.44,2180.98,10
HCPCS,73220,HC MRI UPPER EXTREMITY W & WO CONT & ADDL SEQ,2100.0,2100.0,,,0
HCPCS,73220,Mri uppr extremity w/o&w/dye,,,385.67,2636.36,10
HCPCS,73221,HC MRI UPPER EXTREMITY JOINT WO CONT,2100.0,2100.0,,,0
HCPCS,73221,Mri joint upr extrem w/o dye,,,173.87,1624.08,10
HCPCS,73222,HC MRI UPPER EXTREMITY JOINT W CONT,2200.0,2200.0,,,0
HCPCS,73222,Mri joint upr extrem w/dye,,,294.24,4060.64,10
HCPCS,73223,HC MRI UPPER EXTREMITY JOINT W & WO CONT & ADDL SEQ,3100.0,3100.0,,,0
HCPCS,73223,Mri joint upr extr w/o&w/dye,,,358.65,3057.51,10
HCPCS,73225,HC MRA UPPER EXTR W CONT,1937.0,1937.0,,,0
HCPCS,73225,HC MRA UPPER EXTR W&W/O CONT,1937.0,1937.0,,,0
HCPCS,73225,HC MRA UPPER EXTR W/O CONT,1937.0,1937.0,,,0
HCPCS,73225,Mr angio upr extr w/o&w/dye,,,323.71,2180.98,7
HCPCS,73501,HC HIP UNILATERAL 1 VIEW,218.0,218.0,,,0
HCPCS,73501,X-ray exam hip uni 1 view,,,66.62,466.69,10
HCPCS,73502,HC HIP UNILATERAL 2-3 VIEWS,218.0,218.0,,,0
HCPCS,73502,X-ray exam hip uni 2-3 views,,,76.55,466.69,10
HCPCS,73503,HC HIP UNILATERAL MIN 4 VIEWS,312.0,312.0,,,0
HCPCS,73503,X-ray exam hip uni 4/> views,,,100.49,597.08,10
HCPCS,73521,HC HIPS BILATERAL 2 VIEWS,328.0,328.0,,,0
HCPCS,73521,X-ray exam hips bi 2 views,,,88.81,597.08,10
HCPCS,73522,HC HIPS BILAT W PELVIS 3-4 VIEWS,328.0,328.0,,,0
HCPCS,73522,X-ray exam hips bi 3-4 views,,,88.81,597.08,10
HCPCS,73523,HC HIPS BILAT W PELVIS MIN 5 VIEWS,626.0,626.0,,,0
HCPCS,73523,X-ray exam hips bi 5/> views,,,114.75,625.18,10
HCPCS,73525,Contrast x-ray of hip,,,288.57,2054.22,6
HCPCS,73525,HC ARTHROGRAM HIP SI,1059.0,1059.0,,,0
HCPCS,73551,HC FEMUR 1 VIEW,209.0,209.0,,,0
HCPCS,73551,X-ray exam of femur 1,,,60.77,466.69,10
HCPCS,73552,HC FEMUR MIN 2 VIEWS,218.0,218.0,,,0
HCPCS,73552,X-ray exam of femur 2/>,,,76.55,466.69,10
HCPCS,73560,HC KNEE 1-2 VWS,213.0,213.0,,,0
HCPCS,73560,X-ray exam of knee 1 or 2,,,70.78,466.69,10
HCPCS,73562,HC KNEE MIN 3 VIEW,213.0,213.0,,,0
HCPCS,73562,X-ray exam of knee 3,,,78.62,466.69,10
HCPCS,73564,HC KNEE COMP 4 VIEW,261.0,261.0,,,0
HCPCS,73564,X-ray exam knee 4 or more,,,85.03,597.08,10
HCPCS,73565,HC BILAT STANDING AP KNEES,213.0,213.0,,,0
HCPCS,73565,X-ray exam of knees,,,68.24,466.69,10
HCPCS,73580,Contrast x-ray of knee joint,,,359.38,2054.22,6
HCPCS,73580,HC ARTHROGRAM KNEE SI,1059.0,1059.0,,,0
HCPCS,73590,HC TIBIA & FIBULA 2 VIEWS,217.0,217.0,,,0
HCPCS,73590,X-ray exam of lower leg,,,70.78,466.69,10
HCPCS,73592,HC LOWER EXTR INF MIN 2 VW,213.0,213.0,,,0
HCPCS,73592,X-ray exam of leg infant,,,68.24,466.69,10
HCPCS,73600,HC ANKLE 2 VIEW,213.0,213.0,,,0
HCPCS,73600,X-ray exam of ankle,,,68.24,478.43,10
HCPCS,73610,HC ANKLE COMP MIN 3 VIEW,212.0,212.0,,,0
HCPCS,73610,X-ray exam of ankle,,,72.09,478.43,10
HCPCS,73615,Contrast x-ray of ankle,,,288.57,2054.22,6
HCPCS,73615,HC ARTHROGRAM ANKLE SI,1059.0,1059.0,,,0
HCPCS,73620,HC FOOT 2 VIEW,213.0,213.0,,,0
HCPCS,73620,X-ray exam of foot,,,68.24,466.69,10
HCPCS,73630,HC FOOT COMP MIN 3 VIEW,213.0,213.0,,,0
HCPCS,73630,X-ray exam of foot,,,72.09,466.69,10
HCPCS,73650,HC CALCANEUS MIN 2 VIEW,213.0,213.0,,,0
HCPCS,73650,X-ray exam of heel,,,65.66,466.69,10
HCPCS,73660,HC TOE/S MIN 2 VIEW,213.0,213.0,,,0
HCPCS,73660,X-ray exam of toe(s),,,57.97,466.69,10
HCPCS,73700,Ct lower extremity w/o dye,,,117.54,832.84,10
HCPCS,73700,HC CT LOWER EXTREMITY WO CONTRAST MATERIAL,1041.0,1041.0,,,0
HCPCS,73701,Ct lower extremity w/dye,,,168.15,1425.73,10
HCPCS,73701,HC CT LOWER EXTREMITY WITH CONTRAST MATERIAL,1782.0,1782.0,,,0
HCPCS,73702,Ct lwr extremity w/o&w/dye,,,197.21,1580.17,10
HCPCS,73702,HC CT LOWER EXTREMITY W WO CONTR & ADDL SEC,2096.0,2096.0,,,0
HCPCS,73706,Ct angio lwr extr w/o&w/dye,,,197.21,1627.67,10
HCPCS,73706,HC CTA LOWER EXTR W/&WO CONT,2035.0,2035.0,,,0
HCPCS,73718,HC MRI LOWER EXTREMITY WO CONT,1400.0,1400.0,,,0
HCPCS,73718,Mri Lower Extremity W/O Dye,,,268.27,1624.08,10
HCPCS,73719,HC MRI LOWER EXTREMITY W CONT,2200.0,2200.0,,,0
HCPCS,73719,Mri Lower Extremity W/Dye,,,323.99,2180.98,10
HCPCS,73720,HC MRI LOWER EXTREMITY W AND WO CONT AND ADDL SEQ,2100.0,2100.0,,,0
HCPCS,73720,Mri lwr extremity w/o&w/dye,,,389.48,2636.36,10
HCPCS,73721,HC MRI LOWER EXTREMITY JOINT WO CONT,2100.0,2100.0,,,0
HCPCS,73721,Mri jnt of lwr extre w/o dye,,,173.87,1624.08,10
HCPCS,73722,HC MRI LOWER EXTREMITY JOINT W CONT,2225.0,2225.0,,,0
HCPCS,73722,Mri Joint Of Lwr Extr W/Dye,,,298.6,4060.64,10
HCPCS,73723,HC MRI LOWER EXTREMITY JOINT W WO CONT & ADDL SEQ,4100.0,4100.0,,,0
HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,358.92,3057.51,10
HCPCS,73725,HC MRA LOWER EXTR W&W/O CONT,1937.0,1937.0,,,0
HCPCS,73725,HC MRA LOWER EXTR W/CONT,1937.0,1937.0,,,0
HCPCS,73725,HC MRA LOWER EXTR WO CONT,1937.0,1937.0,,,0
HCPCS,73725,Mr ang lwr ext w or w/o dye,,,315.8,2501.82,7
HCPCS,74018,HC RADIOLOGIC EXAM ABDOMEN 1 VIEW,222.0,222.0,,,0
HCPCS,74018,X-ray exam abdomen 1 view,,,82.38,466.69,10
HCPCS,74019,HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS,384.0,384.0,,,0
HCPCS,74019,X-ray exam abdomen 2 views,,,89.39,597.08,10
HCPCS,74021,HC RADIOLOGIC EXAM ABDOMEN 3 OR MORE VIEWS,366.0,366.0,,,0
HCPCS,74021,X-ray exam abdomen 3+ views,,,105.17,597.08,10
HCPCS,74022,HC ABDOMEN 2-3 VWS W/1 VW CXR,288.0,288.0,,,0
HCPCS,74022,X-ray exam series abdomen,,,101.87,597.08,10
HCPCS,74150,Ct abdomen w/o dye,,,99.11,832.84,10
HCPCS,74150,HC CT ABDOMEN W/O CONTRAST,1177.0,1177.0,,,0
HCPCS,74160,Ct abdomen w/dye,,,170.34,1425.73,10
HCPCS,74160,HC CT ABDOMEN W/ CONTRAST,1782.0,1782.0,,,0
HCPCS,74170,Ct abdomen w/o & w/dye,,,197.21,1580.17,10
HCPCS,74170,HC CT ABDOMEN W/&W/O CONTRAST,2096.0,2096.0,,,0
HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,323.98,2315.42,10
HCPCS,74174,HC CTA ABDOMEN AND PELVIS,2400.0,2400.0,,,0
HCPCS,74175,Ct angio abdom w/o & w/dye,,,197.21,1627.67,10
HCPCS,74175,HC CTA ABD W/&W/O CONT & ADD SEQ,2035.0,2035.0,,,0
HCPCS,74176,Ct abd & pelvis w/o contrast,,,120.12,1468.43,10
HCPCS,74176,HC CT ABD PELVIS WO CONTRAST,1835.0,1835.0,,,0
HCPCS,74177,Ct abd & pelv w/contrast,,,203.09,2315.42,10
HCPCS,74177,HC CT ABD PELVIS W CONTRAST,2900.0,2900.0,,,0
HCPCS,74178,Ct abd & pelv 1/> regns,,,243.75,2315.42,10
HCPCS,74178,HC CT ABD PELVIS W WO CONTR IV,2900.0,2900.0,,,0
HCPCS,74181,HC MRI ABDOMEN W/O CONT,2134.0,2134.0,,,0
HCPCS,74181,Mri abdomen w/o dye,,,252.48,1624.08,10
HCPCS,74182,HC MRI ABDOMEN W/CONT,2299.0,2299.0,,,0
HCPCS,74182,Mri Abdomen W/Dye,,,359.46,2180.98,10
HCPCS,74183,HC MRI ABDOMEN W/&W/O CONT,3485.0,3485.0,,,0
HCPCS,74183,Mri abdomen w/o & w/dye,,,387.58,3063.76,10
HCPCS,74185,HC MRA ABDOMEN W/CONT,1937.0,1937.0,,,0
HCPCS,74185,HC MRA ABDOMEN W/O CONT,1937.0,1937.0,,,0
HCPCS,74185,HC MRA ABDOMINAL W&W/O CONTRAST,1937.0,1937.0,,,0
HCPCS,74185,Mri angio abdom w orw/o dye,,,313.89,2180.98,7
HCPCS,74190,HC PERITONEOGRAM SI,2293.0,2293.0,,,0
HCPCS,74190,X-ray exam of peritoneum,,,179.05,2807.87,6
HCPCS,74210,Contrst x-ray exam of throat,,,163.52,1005.51,10
HCPCS,74220,Contrast x-ray esophagus,,,163.52,1005.51,10
HCPCS,74220,HC ESOPHAGUS,446.0,446.0,,,0
HCPCS,74221,HC RAD EXAM ESOPHAGUS DOUBLE CONTRAST STUDY,804.0,804.0,,,0
HCPCS,74221,X-ray xm esophagus 2cntrst,,,191.75,1005.51,9
HCPCS,74230,Cine/vid x-ray throat/esoph,,,179.05,961.24,10
HCPCS,74230,HC SWALLOWING FUNCT W/VIDEO/CINE,446.0,446.0,,,0
HCPCS,74235,HC REM FOREIGN BODY ESOPH SI,506.0,506.0,,,0
HCPCS,74235,Remove esophagus obstruction,,,359.38,359.38,1
HCPCS,74240,HC UGI INCL SCOUT ABD RADIO & DELAY IMG WH PERF SNGL CONTR STUDY,494.0,494.0,,,0
HCPCS,74240,X-ray upper gi delay w/o kub,,,191.75,1005.51,10
HCPCS,74246,Contrst x-ray uppr gi tract,,,191.75,1005.51,10
HCPCS,74246,HC UGI INC SCOUT ABD RADIO & DELAY IMG WH PRF DOUBLE CONTR STDY W GLUC,513.0,513.0,,,0
HCPCS,74248,HC SMALL INTESTINE FOLLOW-THR STUDY INCL MULTI SERIAL IMAGES,582.0,582.0,,,0
HCPCS,74250,HC SMALL BOWEL SERIES,446.0,446.0,,,0
HCPCS,74250,X-ray exam of small bowel,,,179.05,961.24,10
HCPCS,74251,X-ray exam of small bowel,,,179.05,1005.51,10
HCPCS,74261,Ct colonography dx,,,117.54,832.84,10
HCPCS,74261,HC CTS CT COLONOGRAPH DIAG W/O CO,1041.0,1041.0,,,0
HCPCS,74262,Ct colonography dx w/dye,,,197.21,1425.73,10
HCPCS,74262,HC CTS COLONOGRAPH W/WO CO W/IMAG,1782.0,1782.0,,,0
HCPCS,74263,Ct colonography screening,,,268.27,3484.62,10
HCPCS,74263,HC CTS COLONOGRAPH SCREEN W/IMAGE,1273.0,1273.0,,,0
HCPCS,74270,Contrast x-ray exam of colon,,,191.75,1005.51,10
HCPCS,74270,HC BARIUM ENEMA,497.0,497.0,,,0
HCPCS,74280,Contrast x-ray exam of colon,,,191.75,1005.51,10
HCPCS,74280,HC BARIUM ENEMA W/ AIR CONTRAST,562.0,562.0,,,0
HCPCS,74283,Contrast x-ray exam of colon,,,191.75,1005.51,10
HCPCS,74283,HC BARIUM ENEMA THERAPEUTIC,582.0,582.0,,,0
HCPCS,74290,Contrast x-ray gallbladder,,,101.87,1005.51,10
HCPCS,74300,X-ray bile ducts/pancreas,,,115.25,115.25,1
HCPCS,74301,X-rays at surgery add-on,,,65.54,65.54,1
HCPCS,74328,HC ENDOSCOPIC CATHETERIZATION BILIARY DUCTAL SYS RAD S&I,611.0,611.0,,,0
HCPCS,74328,X-ray bile duct endoscopy,,,432.72,432.72,1
HCPCS,74329,HC ERCP PANCREATIC DUCT S&I,611.0,611.0,,,0
HCPCS,74329,X-ray for pancreas endoscopy,,,432.72,432.72,1
HCPCS,74330,HC ERCP BILIARY PANC DUCT SI,611.0,611.0,,,0
HCPCS,74330,X-ray bile/panc endoscopy,,,432.72,432.72,1
HCPCS,74340,HC INTRO GI TUBE W/FLUORO S&I,506.0,506.0,,,0
HCPCS,74340,X-ray guide for GI tube,,,359.38,359.38,1
HCPCS,74355,HC PERC PLCMT ENTEROCLYS TUBE SI,506.0,506.0,,,0
HCPCS,74355,X-ray guide intestinal tube,,,359.38,359.38,1
HCPCS,74360,"HC LUMEN GI DIL, S&I",611.0,611.0,,,0
HCPCS,74360,X-ray guide gi dilation,,,432.72,432.72,1
HCPCS,74363,HC PERC TRANSHEPATIC BIL DCT S&I,1180.0,1180.0,,,0
HCPCS,74363,X-ray bile duct dilation,,,837.24,837.24,1
HCPCS,74400,Contrst x-ray urinary tract,,,191.75,1005.51,10
HCPCS,74410,Contrst x-ray urinary tract,,,191.75,1005.51,10
HCPCS,74415,Contrst x-ray urinary tract,,,191.75,1005.51,10
HCPCS,74420,Contrst x-ray urinary tract,,,359.38,2054.22,10
HCPCS,74420,HC UROGRAPHY RETROGRADE W/WO KUB,982.0,982.0,,,0
HCPCS,74425,Contrst x-ray urinary tract,,,179.05,2054.22,6
HCPCS,74425,HC PYELO NEPHROSTO & LOOP S&I,982.0,982.0,,,0
HCPCS,74430,Contrast x-ray bladder,,,145.57,2054.22,6
HCPCS,74430,HC CYSTOGRAPHY MIN 3 VIEW S&I,880.0,880.0,,,0
HCPCS,74440,HC VASO VESIC EPIDID SI,800.0,800.0,,,0
HCPCS,74440,X-ray male genital tract,,,155.84,1304.66,6
HCPCS,74445,HC CORPORA CAVERNOS SI,800.0,800.0,,,0
HCPCS,74445,X-ray exam of penis,,,117.54,1005.42,6
HCPCS,74450,HC URETHROCYSTOGRAPHY RETRO S&I,800.0,800.0,,,0
HCPCS,74450,X-ray urethra/bladder,,,200.98,1304.66,6
HCPCS,74455,HC URETHROCYSTOGRAM VCUG ID SI,800.0,800.0,,,0
HCPCS,74455,X-ray urethra/bladder,,,217.78,1304.66,6
HCPCS,74470,HC RENAL CYST TRANSLUMBAR SI,2293.0,2293.0,,,0
HCPCS,74470,X-ray exam of kidney lesion,,,171.34,2737.34,6
HCPCS,74485,HC URETERAL NEPH DIL SI,4947.0,4947.0,,,0
HCPCS,74485,X-ray guide gu dilation,,,432.72,10349.8,6
HCPCS,74712,HC MRI FETAL W PLACENT MATERN PELVIC IMG SING/1ST GEST,965.0,965.0,,,0
HCPCS,74712,Mri fetal sngl/1st gestation,,,255.73,1312.44,9
HCPCS,74713,HC MRI FETAL W PLACENT MATERN PELVIC IMG EA ADDL GEST,463.0,463.0,,,0
HCPCS,74740,HC HYSTEROSALPINGOGRAPHY S&I,988.0,988.0,,,0
HCPCS,74740,X-ray female genital tract,,,179.05,1304.66,6
HCPCS,74742,X-ray fallopian tube,,,432.72,432.72,1
HCPCS,74775,X-ray exam of perineum,,,200.98,1304.66,10
HCPCS,75557,Cardiac mri for morph,,,204.72,1624.08,10
HCPCS,75557,HC MRI CARDIAC FOR MORPH W/O CO,999.0,999.0,,,0
HCPCS,75559,Cardiac mri w/stress img,,,290.15,2807.87,10
HCPCS,75559,HC MRI CARD W/STRESS IMAG W/O CO,999.0,999.0,,,0
HCPCS,75561,Cardiac mri for morph w/dye,,,294.24,2636.36,10
HCPCS,75561,HC CARD FOR MORPH W/O&W/CO,1680.0,1680.0,,,0
HCPCS,75563,Card mri w/stress img & dye,,,349.92,4115.66,10
HCPCS,75563,HC MRI CARD W/STRS IMAG W/O&W CO,1696.0,1696.0,,,0
HCPCS,75565,Card mri veloc flow mapping,,,42.07,60.09,5
HCPCS,75565,HC MRI CARD FLOW MAPP ADD ON CODE,106.0,106.0,,,0
HCPCS,75571,Ct hrt w/o dye w/ca test,,,31.78,432.05,10
HCPCS,75571,HC CTS CALC SCOR HRT W/O CO,90.0,90.0,,,0
HCPCS,75572,Ct hrt w/3d image,,,185.89,1648.83,10
HCPCS,75572,HC CTS HRT PUL VNS W/CO QUAL CAL,1603.0,1603.0,,,0
HCPCS,75573,Ct hrt w/3d image congen,,,248.12,1648.83,10
HCPCS,75573,HC CCTA CHF W/WO CO STRXR,1603.0,1603.0,,,0
HCPCS,75574,Ct angio hrt w/3d image,,,280.87,1648.83,10
HCPCS,75574,HC CCTA W/CO INCL EVALUATION,759.0,759.0,,,0
HCPCS,75577,HC QUANTI & CHARACT CORONARY ATHEROSCLEROTIC PLAQUE,2751.0,2751.0,,,0
HCPCS,75580,HC NONINV EST CORON FFR DERIV AUG SFTWR ANALY CTA I&R PHY/QHP,6678.0,6678.0,,,0
HCPCS,75580,N-invas est c ffr sw aly cta,,,965.51,4784.66,9
HCPCS,75600,Contrast exam thoracic aorta,,,1727.03,16534.79,6
HCPCS,75600,HC AORTOGRAPHY W/O SERIALOG S&I,8708.0,8708.0,,,0
HCPCS,75605,Contrast exam thoracic aorta,,,1727.03,27985.64,6
HCPCS,75605,HC AORTOGRAPHY THORACIC S&I,13347.0,13347.0,,,0
HCPCS,75625,Contrast exam abdominl aorta,,,1727.03,16534.79,6
HCPCS,75625,HC AORTOGRAPHY ABDOMINAL S&I,8224.0,8224.0,,,0
HCPCS,75630,HC AORT ABD W/BIL FEM LEX S&I,8224.0,8224.0,,,0
HCPCS,75630,X-ray aorta leg arteries,,,1800.52,16534.79,6
HCPCS,75635,Ct Angio Abdominal Arteries,,,197.21,1627.67,10
HCPCS,75635,HC CTA ABD AORT BIL IL FEM W/WO,2035.0,2035.0,,,0
HCPCS,75705,Artery x-rays spine,,,1727.03,27985.64,6
HCPCS,75705,HC ANGIO SPINAL SEL EA VESSEL SI,13827.0,13827.0,,,0
HCPCS,75710,Artery x-rays arm/leg,,,1727.03,16534.79,6
HCPCS,75710,HC ANGIO EXT UNI S&I,7955.0,7955.0,,,0
HCPCS,75716,Artery x-rays arms/legs,,,1727.03,16534.79,6
HCPCS,75716,HC ANGIO EXT BIL S&I,8224.0,8224.0,,,0
HCPCS,75726,Artery x-rays abdomen,,,1727.03,27985.64,10
HCPCS,75726,HC ANGIO VISC SEL S&I,13827.0,13827.0,,,0
HCPCS,75731,Artery x-rays adrenal gland,,,1727.03,14922.72,6
HCPCS,75731,HC ANGIO ADRENAL UNI SEL SI,8224.0,8224.0,,,0
HCPCS,75733,Artery x-rays adrenals,,,1727.03,16534.79,6
HCPCS,75733,HC ANGIO ADRENAL BILAT SEL SI,8224.0,8224.0,,,0
HCPCS,75736,Artery x-rays pelvis,,,1727.03,27985.64,6
HCPCS,75736,HC ANGIO PELVIC S&I,13347.0,13347.0,,,0
HCPCS,75741,Artery x-rays lung,,,1727.03,16534.79,6
HCPCS,75741,HC ANGIO PULMON UNI SELEC SI,8224.0,8224.0,,,0
HCPCS,75743,Artery x-rays lungs,,,1727.03,16534.79,6
HCPCS,75743,HC ANGIO PULMONARY BIL SEL S&I,8224.0,8224.0,,,0
HCPCS,75746,Artery x-rays lung,,,1727.03,14922.72,6
HCPCS,75746,HC ANGIO PUL NON SEL CATH/INJ S&I,7742.0,7742.0,,,0
HCPCS,75756,Artery x-rays chest,,,1727.03,16395.52,6
HCPCS,75756,HC ANGIOGRAPHY INTERNAL MAMMARY SI,7742.0,7742.0,,,0
HCPCS,75774,Artery x-ray each vessel,,,1727.03,1727.03,1
HCPCS,75774,HC ANGIO SEL EA ADD VES S&I,2123.0,2123.0,,,0
HCPCS,75801,HC LYMPHANGIO EXTR UNILAT SI,1494.0,1494.0,,,0
HCPCS,75801,Lymph vessel x-ray arm/leg,,,705.3,3196.85,6
HCPCS,75803,HC LYMPHANGIO EXTR BILAT SI,3890.0,3890.0,,,0
HCPCS,75803,Lymph vessel x-ray arms/legs,,,743.25,7485.97,6
HCPCS,75805,HC LYMPHANGIO PEL ABD UNIL SI,7742.0,7742.0,,,0
HCPCS,75805,Lymph vessel x-ray trunk,,,837.24,14922.72,6
HCPCS,75807,HC LYMPHANGIO PEL ABD BILAT SI,7742.0,7742.0,,,0
HCPCS,75807,Lymph vessel x-ray trunk,,,837.24,15383.6,6
HCPCS,75809,HC NONVASCULAR SHUNTOGRAM,297.0,297.0,,,0
HCPCS,75809,HC PR NONVASCULAR SHUNTOGRAM,96.0,96.0,,,0
HCPCS,75809,Nonvascular shunt x-ray,,,108.24,597.08,6
HCPCS,75810,HC SPLENOPORTOGRAPHY SI,8224.0,8224.0,,,0
HCPCS,75810,Vein x-ray spleen/liver,,,1727.03,14922.72,10
HCPCS,75820,HC VENOGRAPHY EXTR UNILAT SI,3890.0,3890.0,,,0
HCPCS,75820,Vein x-ray arm/leg,,,131.45,7439.69,6
HCPCS,75822,HC VENOGRAPHY EXT BIL S&I,3890.0,3890.0,,,0
HCPCS,75822,Vein x-ray arms/legs,,,203.53,7861.69,6
HCPCS,75825,HC VENOGRAPHY CAVAL INF S&I,8224.0,8224.0,,,0
HCPCS,75825,Vein x-ray trunk,,,1727.03,16534.79,6
HCPCS,75827,HC VENOGRAPHY CAVAL SUP S&I,3890.0,3890.0,,,0
HCPCS,75827,Vein x-ray chest,,,1727.03,7439.69,6
HCPCS,75831,HC VENOGR RENAL UNILAT SI,8224.0,8224.0,,,0
HCPCS,75831,Vein x-ray kidney,,,1727.03,16534.79,6
HCPCS,75833,HC VENOGRAPHY RENAL BIL SEL S&I,8224.0,8224.0,,,0
HCPCS,75833,Vein x-ray kidneys,,,1727.03,16534.79,6
HCPCS,75840,HC VENOG ADRENAL UNI SEL SI,8224.0,8224.0,,,0
HCPCS,75840,Vein x-ray adrenal gland,,,1727.03,16534.79,6
HCPCS,75842,Vein x-ray adrenal glands,,,1727.03,27985.64,3
HCPCS,75860,HC VENOG VEN SINUS JUG CATH SI,7742.0,7742.0,,,0
HCPCS,75860,Vein x-ray neck,,,1727.03,16395.52,6
HCPCS,75870,HC VENOG SUP SAGITTAL SINUS SI LT,7742.0,7742.0,,,0
HCPCS,75870,Vein x-ray skull,,,1727.03,14922.72,6
HCPCS,75872,HC VENOGRAPHY EPIDURAL SI,3010.0,3010.0,,,0
HCPCS,75872,Vein x-ray skull epidural,,,705.3,3435.42,6
HCPCS,75880,HC VENOGRAPHY ORBITAL SI,2580.0,2580.0,,,0
HCPCS,75880,Vein x-ray eye socket,,,131.45,3435.42,6
HCPCS,75885,HC PERC TRANSHEP PORT W/HEMO S&I,8224.0,8224.0,,,0
HCPCS,75885,Vein x-ray liver w/hemodynam,,,1727.03,16534.79,6
HCPCS,75887,HC PERC TRANSHEP PORT W/O HEM S&I,7742.0,7742.0,,,0
HCPCS,75887,Vein x-ray liver w/o hemodyn,,,1727.03,14922.72,6
HCPCS,75889,HC HEPATIC VENOGRAPHY W/HEMO S&I,8224.0,8224.0,,,0
HCPCS,75889,Vein x-ray liver w/hemodynam,,,1727.03,16534.79,6
HCPCS,75891,HC HEPATIC VENO W/O HEMO S&I,8224.0,8224.0,,,0
HCPCS,75891,Vein x-ray liver,,,1727.03,16534.79,6
HCPCS,75893,HC VEN SAMPL CATH RENIN S&I,13347.0,13347.0,,,0
HCPCS,75893,Venous sampling by catheter,,,1727.03,27985.64,10
HCPCS,75894,HC TRANSCATH EMBOLIZATION S&I,4085.0,4085.0,,,0
HCPCS,75894,X-rays transcath therapy,,,3308.63,3308.63,1
HCPCS,75898,Follow-up angiography,,,145.57,14922.72,6
HCPCS,75898,HC ANGIO THRU EXISTCATH EMB/INFU,7742.0,7742.0,,,0
HCPCS,75901,HC REMOV CATH OBST MAT S&I,332.0,332.0,,,0
HCPCS,75901,Remove cva device obstruct,,,238.64,238.64,1
HCPCS,75902,HC REMOV INTRAUL MAT FROM CUD S&I,332.0,332.0,,,0
HCPCS,75902,Remove cva lumen obstruct,,,238.64,238.64,1
HCPCS,75956,Xray endovasc thor ao repr,,,791.41,791.41,1
HCPCS,75957,Xray endovasc thor ao repr,,,678.8,678.8,1
HCPCS,75958,Xray place prox ext thor ao,,,451.22,451.22,1
HCPCS,75959,Xray place dist ext thor ao,,,394.92,394.92,1
HCPCS,75970,HC TRANSCATHETER BX SI,2232.0,2232.0,,,0
HCPCS,75970,Vascular biopsy,,,1582.9,1582.9,1
HCPCS,75984,HC CHANGE PERC DRAIN CATH S&I,377.0,377.0,,,0
HCPCS,75984,Xray control catheter change,,,267.92,267.92,1
HCPCS,75989,Abscess drainage under x-ray,,,432.72,432.72,1
HCPCS,75989,HC CT ABSC DRAIN CATH PLCMT S&I,611.0,611.0,,,0
HCPCS,76000,Fluoroscope examination,,,179.05,1304.66,7
HCPCS,76000,HC FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,595.0,595.0,,,0
HCPCS,76010,HC FB SINGLE FILM CHILD,213.0,213.0,,,0
HCPCS,76010,X-ray nose to rectum,,,70.78,466.69,10
HCPCS,76014,HC MR SAFETY IMPLANT &OR FB ASSMT CLIN STAF INI 15MIN,106.0,106.0,,,0
HCPCS,76014,Mr sfty implt&/fb asmt stf 1,,,28.33,136.7,5
HCPCS,76015,HC MR SAFETY IMPLANT &OR FB ASSMT CLIN STAF EA ADDL 30MINS,35.0,35.0,,,0
HCPCS,76016,HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,381.0,381.0,,,0
HCPCS,76016,Mr safety deter phys/qhp,,,97.85,422.46,5
HCPCS,76017,HC MR SAFETY MED PHYSICS EXAM CUSTOMIZATION PLAN & PERF MONITOR,1047.0,1047.0,,,0
HCPCS,76017,Mr sfty med physics xm cstmz,,,268.27,1159.77,5
HCPCS,76018,HC MR SAFETY IMPLANT ELECTRONICS PREP UNDER SUPV PHYS/QHP,397.0,397.0,,,0
HCPCS,76018,Mr safety implant elec prepj,,,106.2,449.32,5
HCPCS,76019,HC MR SAFETY IMPLANT POSITION &OR IMMOBILIZATION UNDER SUPV PHYS/QHP,257.0,257.0,,,0
HCPCS,76019,Mr safety implt pos&/immoblj,,,66.33,285.0,5
HCPCS,76080,HC FISTULA/SINUS TRACT STUDY S&I,1340.0,1340.0,,,0
HCPCS,76080,X-ray exam of fistula,,,145.57,2807.87,6
HCPCS,76098,HC SURGICAL SPECIMEN,1284.0,1284.0,,,0
HCPCS,76098,X-ray exam breast specimen,,,57.97,2767.0,10
HCPCS,76100,X-ray exam of body section,,,114.75,597.08,10
HCPCS,76120,Cine/video x-rays,,,114.75,597.08,10
HCPCS,76125,Cine/video x-rays add-on,,,108.24,108.24,1
HCPCS,76145,HC MED PHYSICS DOSE EVAL RADIATION EXPOSURE EXC THRESHOLD INC REPORT,1302.0,1302.0,,,0
HCPCS,76145,Med physic dos eval rad exps,,,419.55,1763.6,5
HCPCS,76376,3d render w/intrp postproces,,,336.68,336.68,1
HCPCS,76376,HC CT 3D WO INDEPENDNT WK STATION,468.0,468.0,,,0
HCPCS,76377,3d render w/intrp postproces,,,433.15,433.15,1
HCPCS,76377,HC CT 3D W INDEPENDNT WK STATION,602.0,602.0,,,0
HCPCS,76380,CAT scan follow-up study,,,97.74,479.03,10
HCPCS,76380,HC CT LIMITED OR LOCALIZED F/U,727.0,727.0,,,0
HCPCS,76390,HC MRI SPECTROSCOPY,2134.0,2134.0,,,0
HCPCS,76390,Mr spectroscopy,,,53.76,1903.41,10
HCPCS,76391,HC MAGNETIC RESONANCE ELASTOGRAPHY,1558.0,1558.0,,,0
HCPCS,76391,Mr elastography,,,255.73,1304.66,9
HCPCS,76496,Fluoroscopic procedure,,,94.83,548.22,10
HCPCS,76497,Ct procedure,,,94.83,474.38,10
HCPCS,76497,HC UNLISTED CT PROC/DIAG/INTEV,593.0,593.0,,,0
HCPCS,76498,HC UNLISTED MRI PROC/DIAG/INTEV,830.0,830.0,,,0
HCPCS,76498,Mri procedure,,,94.83,1624.08,10
HCPCS,76499,HC LARYNGOGRAPHY,755.0,755.0,,,0
HCPCS,76499,Radiographic procedure,,,85.46,466.69,9
HCPCS,76506,Echo exam of head,,,114.75,597.08,10
HCPCS,76506,HC ECHOENCEPHAL REAL TIME COMP,454.0,454.0,,,0
HCPCS,76510,Ophth us b & quant a,,,133.32,694.7,10
HCPCS,76511,Ophth us quant a only,,,114.75,597.08,10
HCPCS,76512,HC ECHOENC B SCAN W/WO SIM A SCAN,419.0,419.0,,,0
HCPCS,76512,HC OPHTHALMIC US DIAG B SCAN W WO SPRIMP NONQUAN A SCAN,419.0,419.0,,,0
HCPCS,76512,Ophth us b w/non-quant a,,,114.75,597.08,10
HCPCS,76513,Echo exam of eye water bath,,,114.75,597.08,10
HCPCS,76514,Echo exam of eye thickness,,,31.09,171.34,10
HCPCS,76516,Echo exam of eye,,,114.75,597.08,10
HCPCS,76519,Echo exam of eye,,,114.75,597.08,10
HCPCS,76529,Echo exam of eye,,,94.83,472.06,10
HCPCS,76536,HC US SOFT TISSUES HEAD & NECK REAL TIME W IMG DOC,454.0,454.0,,,0
HCPCS,76536,HC US THYROID/PARATHYR/HEAD/NECK,454.0,454.0,,,0
HCPCS,76536,Us exam of head and neck,,,114.75,597.08,10
HCPCS,76604,HC US CHEST INCL MEDIASTINUM,432.0,432.0,,,0
HCPCS,76604,HC US CHEST INCL MEDIASTINUM REAL TIME W IMG DOC,432.0,432.0,,,0
HCPCS,76604,Us exam chest,,,114.75,597.08,10
HCPCS,76641,HC US BREAST UNILATERAL COMPLETE,342.0,342.0,,,0
HCPCS,76641,Ultrasound breast complete,,,114.75,597.08,10
HCPCS,76642,HC US BREAST UNI REAL TIME W IMG DOC LIMITED,342.0,342.0,,,0
HCPCS,76642,HC US BREAST UNILATERAL LIMITED,342.0,342.0,,,0
HCPCS,76642,Ultrasound breast limited,,,94.83,478.69,10
HCPCS,76700,HC US ABDOMEN REAL TIME COMPLETE,455.0,455.0,,,0
HCPCS,76700,Us exam abdom complete,,,114.75,598.38,10
HCPCS,76705,Echo exam of abdomen,,,114.75,597.08,10
HCPCS,76705,HC US RUQ GB LUQ LTD ABD,454.0,454.0,,,0
HCPCS,76706,HC US ABD AORTA W IMG DOC SCREEN STUDY FOR AAA,368.0,368.0,,,0
HCPCS,76706,Us abdl aorta screen aaa,,,114.75,597.08,9
HCPCS,76770,HC US RETRO/RENAL/AORTA/NODES COMPLETE,455.0,455.0,,,0
HCPCS,76770,Us exam abdo back wall comp,,,114.75,597.08,10
HCPCS,76775,HC US RETRO AORTA LTD,454.0,454.0,,,0
HCPCS,76775,Us exam abdo back wall lim,,,114.75,597.08,10
HCPCS,76776,HC US RENAL TRANS W DOPPLER,432.0,432.0,,,0
HCPCS,76776,Us exam k transpl w/doppler,,,114.75,597.08,10
HCPCS,76800,HC US SPINAL CANAL AND CONTENTS,330.0,330.0,,,0
HCPCS,76800,Us exam spinal canal,,,114.75,597.08,10
HCPCS,76801,HC US PREG TRANS ABD < 14 WEEKS,454.0,454.0,,,0
HCPCS,76801,Ob us < 14 wks single fetus,,,114.75,597.08,10
HCPCS,76802,HC US EA ADD GEST TRANSABD<14WKS,450.0,450.0,,,0
HCPCS,76802,Ob us < 14 wks addl fetus,,,139.3,309.81,2
HCPCS,76805,HC US PREG  > OR EQUAL TO 14 WKS,486.0,486.0,,,0
HCPCS,76805,Ob us >/= 14 wks sngl fetus,,,114.75,597.08,10
HCPCS,76810,HC EA ADD GEST>OR EQUAL TO 14 WKS,725.0,725.0,,,0
HCPCS,76810,Ob us >/= 14 wks addl fetus,,,476.54,575.72,2
HCPCS,76811,HC US DETAILED SNGL FETUS,622.0,622.0,,,0
HCPCS,76811,Ob us detailed sngl fetus,,,255.73,1304.66,10
HCPCS,76812,Ob us detailed addl fetus,,,192.06,309.81,2
HCPCS,76813,Ob us nuchal meas 1 gest,,,114.75,597.08,10
HCPCS,76814,Ob us nuchal meas add-on,,,192.06,309.81,2
HCPCS,76815,HC ECHO PREG UTERUS LIMITED,454.0,454.0,,,0
HCPCS,76815,Ob us limited fetus(s),,,114.75,597.08,10
HCPCS,76816,HC ECHO PREG UTERUS F/U,298.0,298.0,,,0
HCPCS,76816,Ob us follow-up per fetus,,,114.75,597.08,10
HCPCS,76817,HC US PREG UTER W/IMAGE DOC TRAN,454.0,454.0,,,0
HCPCS,76817,HC US TRANSVAGINAL / OB,454.0,454.0,,,0
HCPCS,76817,Transvaginal us obstetric,,,114.75,597.08,10
HCPCS,76818,Fetal biophys profile w/nst,,,114.75,597.08,10
HCPCS,76819,Fetal biophys profil w/o nst,,,114.75,597.08,10
HCPCS,76819,HC FETAL BIOPHYSICAL W/O NON STR,432.0,432.0,,,0
HCPCS,76820,Umbilical artery echo,,,114.75,597.08,10
HCPCS,76821,Middle cerebral artery echo,,,114.75,597.08,10
HCPCS,76825,Echo exam of fetal heart,,,270.49,2807.87,10
HCPCS,76825,HC FETAL ECHO,935.0,935.0,,,0
HCPCS,76826,Echo exam of fetal heart,,,97.99,1304.66,10
HCPCS,76826,HC FOLLOWUP FETAL ECHO,973.0,973.0,,,0
HCPCS,76827,Echo exam of fetal heart,,,114.75,597.08,10
HCPCS,76827,HC DOPPLER ECHO FETAL COMP,778.0,778.0,,,0
HCPCS,76828,Echo exam of fetal heart,,,114.75,597.08,10
HCPCS,76828,HC FOLLOWUP OR REPEAT FETAL ECHO,296.0,296.0,,,0
HCPCS,76830,HC US TRANSVAGINAL,449.0,449.0,,,0
HCPCS,76830,Transvaginal us non-ob,,,114.75,597.08,10
HCPCS,76831,Echo exam uterus,,,210.11,1304.66,10
HCPCS,76856,HC US PELVIS REAL TIME COMP,594.0,594.0,,,0
HCPCS,76856,Us exam pelvic complete,,,114.75,597.08,10
HCPCS,76857,HC ECHO PELVIC REAL TIME LTD F/U,311.0,311.0,,,0
HCPCS,76857,HC ECHO PELVIC REAL TIME LTD FU,311.0,311.0,,,0
HCPCS,76857,Us exam pelvic limited,,,114.75,597.08,10
HCPCS,76870,HC US SCROTUM & CONTENTS,442.0,442.0,,,0
HCPCS,76870,Us exam scrotum,,,114.75,597.08,10
HCPCS,76872,HC ULTRASOUND TRANSRECTAL,440.0,440.0,,,0
HCPCS,76872,Us transrectal,,,114.75,597.08,10
HCPCS,76873,Echograp trans r pros study,,,114.75,742.44,10
HCPCS,76881,HC PR US COMPL JOINT REAL TIME W IMG DOC,87.0,87.0,,,0
HCPCS,76881,HC US COMPL JOINT REAL TIME W IMG DOC,454.0,454.0,,,0
HCPCS,76881,Us xtr non-vasc complete,,,114.75,597.08,10
HCPCS,76882,HC PR US LMTD JOINT/OTH NONVASC EXTR STRU REAL TIME W/IMG,142.0,142.0,,,0
HCPCS,76882,HC US LMTD JOINT/OTH NONVASC EXTR STRU REAL TIME W/IMG,294.0,294.0,,,0
HCPCS,76882,Us xtr non-vasc lmtd,,,97.57,597.08,10
HCPCS,76883,HC US NERVE & ACCOMP STRCT ENT ANATOMIC 1 EXTR COMPRE W IMG PER EXTREM,598.0,598.0,,,0
HCPCS,76883,Us nrv&acc strux 1xtr compre,,,114.75,512.81,9
HCPCS,76885,HC US HIPS INFANT,354.0,354.0,,,0
HCPCS,76885,Us exam infant hips dynamic,,,94.83,472.06,10
HCPCS,76886,HC US HIPS INFANT LIMITED,330.0,330.0,,,0
HCPCS,76886,Us exam infant hips static,,,94.83,478.69,10
HCPCS,76932,Echo guide for heart biopsy,,,210.11,210.11,1
HCPCS,76936,Echo guide for artery repair,,,242.77,1562.13,10
HCPCS,76936,HC US COMPRESS PSEUDO ANEURYSM,1374.0,1374.0,,,0
HCPCS,76937,HC US GUIDE VASC ACCESS SI,118.0,118.0,,,0
HCPCS,76940,HC ABL MONT VISC TISS US GUID,191.0,191.0,,,0
HCPCS,76940,Us guide tissue ablation,,,186.89,186.89,1
HCPCS,76941,Echo guide for transfusion,,,209.97,209.97,1
HCPCS,76942,Echo guide for biopsy,,,210.11,210.11,1
HCPCS,76942,HC PR US GUIDANCE FOR NEEDLE PLCMNT SI,153.0,153.0,,,0
HCPCS,76942,HC US GUIDANCE FOR NEEDLE PLCMNT S&I,217.0,217.0,,,0
HCPCS,76942,HC US GUIDANCE FOR NEEDLE PLCMNT SI,217.0,217.0,,,0
HCPCS,76945,Echo guide villus sampling,,,209.97,209.97,1
HCPCS,76946,Echo guide for amniocentesis,,,210.11,210.11,1
HCPCS,76946,HC US AMNIOCENTESIS,239.0,239.0,,,0
HCPCS,76948,Echo guide ova aspiration,,,210.11,210.11,1
HCPCS,76965,Echo guidance radiotherapy,,,763.73,763.73,1
HCPCS,76965,HC US GUID FOR INTERST RADIO APP,790.0,790.0,,,0
HCPCS,76975,GI endoscopic ultrasound,,,210.11,1304.66,6
HCPCS,76977,Us bone density measure,,,112.12,596.59,10
HCPCS,76978,HC US TRGT DYN MICROBUBBLE SONO CONT CHAR INITIAL LESION,1408.0,1408.0,,,0
HCPCS,76978,Us trgt dyn mbubb 1st les,,,191.75,1648.83,9
HCPCS,76979,HC US TRGT DYN MICROBUBBLE SONO CONT CHAR EA ADDL LES W SEP INJ,1183.0,1183.0,,,0
HCPCS,76981,HC US ELASTOGRAPHY PARENCHYMA,785.0,785.0,,,0
HCPCS,76981,Use parenchyma,,,114.75,596.59,9
HCPCS,76982,Use 1st target lesion,,,114.75,596.59,9
HCPCS,76998,HC ECHO INTRAOPERATIVE,369.0,369.0,,,0
HCPCS,76998,Us guide intraop,,,145.57,145.57,1
HCPCS,76999,Echo examination procedure,,,94.83,472.06,9
HCPCS,76999,HC US OTHER BODY PARTS SOFT TISSUE W DIAG INJ,377.0,377.0,,,0
HCPCS,77001,Fluoroguide for Vein Device,,,0.01,0.01,1
HCPCS,77001,HC FLUORO GUIDE VEIN DEVICE SI,81.0,81.0,,,0
HCPCS,77002,HC FLOURO NDLE PLCMT BX ASP S&I,81.0,81.0,,,0
HCPCS,77002,HC PR FLOURO NDLE PLCMT BX ASP SI,143.0,143.0,,,0
HCPCS,77002,Needle localization by xray,,,0.01,0.01,1
HCPCS,77003,Fluoroguide for Spine Inject,,,0.01,0.01,1
HCPCS,77003,HC FLUORO CATH OR NDL SPINE DX TX,81.0,81.0,,,0
HCPCS,77003,HC PR FLUORO CATH OR NDL SPINE DX,161.0,161.0,,,0
HCPCS,77011,CT Scan for Localization,,,424.76,424.76,1
HCPCS,77011,HC CT VIEWING WAND,1656.0,1656.0,,,0
HCPCS,77012,Ct scan for needle biopsy,,,424.76,424.76,1
HCPCS,77012,HC CT NDLE PLCMT BX ASP LOC S&I,644.0,644.0,,,0
HCPCS,77013,CT Guide for Tissue Ablation,,,503.48,503.48,1
HCPCS,77013,HC CT ABLATION TISSUE,1072.0,1072.0,,,0
HCPCS,77014,CT Scan for Therapy Guide,,,160.02,160.02,1
HCPCS,77021,HC MRI GUIDED NDL PLCMT/INJ S&I,731.0,731.0,,,0
HCPCS,77021,MR Guidance for Needle Place,,,473.65,473.65,1
HCPCS,77022,MRI for Tissue Ablation,,,473.65,473.65,1
HCPCS,77046,HC MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,1877.0,1877.0,,,0
HCPCS,77046,Mri breast c- unilateral,,,255.73,2180.98,9
HCPCS,77047,HC MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,3755.0,3755.0,,,0
HCPCS,77047,Mri breast c- bilateral,,,255.73,2180.98,9
HCPCS,77048,HC MRI BREAST WO&W CONTRAST W CAD WHEN PERF UNILATERAL,2138.0,2138.0,,,0
HCPCS,77048,Mri breast c-+ w/cad uni,,,275.64,2180.98,6
HCPCS,77049,HC MRI BREAST WO&W CONTRAST W CAD WHEN PERF BILATERAL,4225.0,4225.0,,,0
HCPCS,77049,Mri breast c-+ w/cad bi,,,273.04,2180.98,6
HCPCS,77053,X-Ray of Mammary Duct,,,176.42,1225.7,6
HCPCS,77054,X-ray of mammary ducts,,,176.42,1304.66,6
HCPCS,77061,Breast tomosynthesis uni,,,174.12,505.37,3
HCPCS,77061,HC DIAG DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,44.0,44.0,,,0
HCPCS,77062,Breast tomosynthesis bi,,,226.7,615.05,3
HCPCS,77062,HC DIAG DIGITAL BREAST TOMOSYNTHESIS BILATERAL,44.0,44.0,,,0
HCPCS,77063,Breast tomosynthesis bi,,,24.15,106.64,6
HCPCS,77063,HC SCREEN DIGITAL BREAST TOMOSYNTHESIS BILAT,44.0,44.0,,,0
HCPCS,77065,Dx mammo incl cad uni,,,88.97,398.7,9
HCPCS,77065,HC DIAG MAMMO W WO CAD UNILAT,278.0,278.0,,,0
HCPCS,77066,Dx mammo incl cad bi,,,114.11,508.41,9
HCPCS,77066,HC DIAG MAMMO W WO CAD BILAT,403.0,403.0,,,0
HCPCS,77067,HC SCREEN MAMMO BILAT W WO CAD,403.0,403.0,,,0
HCPCS,77067,Scr mammo bi incl cad,,,94.15,420.02,9
HCPCS,77071,X-Ray Stress View,,,73.82,466.69,10
HCPCS,77072,HC BONE AGE STUDIES,261.0,261.0,,,0
HCPCS,77072,X-Rays for Bone Age,,,73.82,597.08,10
HCPCS,77073,HC BONE LENGTH STUDIES SCANOGRAM,267.0,267.0,,,0
HCPCS,77073,X-rays bone length studies,,,73.82,597.08,10
HCPCS,77074,HC BONE SURVEY LTD,288.0,288.0,,,0
HCPCS,77074,X-rays bone survey limited,,,114.75,597.08,10
HCPCS,77075,HC BONE SURVEY COMP,375.0,375.0,,,0
HCPCS,77075,X-rays bone survey complete,,,114.75,597.08,10
HCPCS,77076,HC BONE SURVEY PEDI,288.0,288.0,,,0
HCPCS,77076,X-rays bone survey infant,,,73.82,597.08,10
HCPCS,77077,Joint survey single view,,,73.82,597.08,10
HCPCS,77078,Ct bone density axial,,,94.83,466.69,10
HCPCS,77080,Dxa bone density axial,,,114.75,597.08,10
HCPCS,77080,HC BONE DENSITY DEXA SCAN MULTI,412.0,412.0,,,0
HCPCS,77081,Dxa bone density/peripheral,,,57.18,465.52,10
HCPCS,77084,HC MRI BONE MARROW BLOOD SUPPLY,935.0,935.0,,,0
HCPCS,77084,Magnetic image bone marrow,,,268.27,1624.08,10
HCPCS,77085,Dxa bone density study,,,114.75,597.08,9
HCPCS,77086,Fracture assessment via dxa,,,70.69,466.69,9
HCPCS,77089,Tbs dxa cal w/i&r fx risk,,,58.59,125.52,4
HCPCS,77090,Tbs techl prep&transmis data,,,97.85,482.77,5
HCPCS,77091,Tbs techl calculation only,,,97.85,482.77,5
HCPCS,77261,Radiation therapy planning,,,244.55,244.55,1
HCPCS,77262,Radiation therapy planning,,,367.33,367.33,1
HCPCS,77263,Radiation therapy planning,,,547.41,547.41,1
HCPCS,77280,HC SIMULATION SIMPLE,800.0,800.0,,,0
HCPCS,77280,Set radiation therapy field,,,141.6,743.69,10
HCPCS,77285,HC SIMULATION INTERMEDIATE,1288.0,1288.0,,,0
HCPCS,77285,Set radiation therapy field,,,385.61,1998.26,10
HCPCS,77290,HC SIMULATION COMPLEX,1506.0,1506.0,,,0
HCPCS,77290,Set radiation therapy field,,,385.61,1998.26,10
HCPCS,77293,HC RESPIRATORY MGMT SIMULATION,529.0,529.0,,,0
HCPCS,77293,Respirator motion mgmt simul,,,274.03,274.03,1
HCPCS,77295,3-d radiotherapy plan,,,1446.07,7459.8,10
HCPCS,77295,HC SIMULATION 3D RECONST,6452.0,6452.0,,,0
HCPCS,77299,Radiation therapy planning,,,141.6,743.69,9
HCPCS,77300,HC BASIC DOSIMETRY CALCULATION,376.0,376.0,,,0
HCPCS,77300,Radiation therapy dose plan,,,141.6,743.69,10
HCPCS,77301,HC IMRT PLANNING,5856.0,5856.0,,,0
HCPCS,77301,Radiotherapy dose plan imrt,,,1446.07,7459.8,10
HCPCS,77306,HC TELETHERAPY ISO PLAN SIMPLE,897.0,897.0,,,0
HCPCS,77306,Telethx isodose plan simple,,,279.87,1922.84,10
HCPCS,77307,HC TELETHERAPY ISO PLAN COMPLEX,857.0,857.0,,,0
HCPCS,77307,Telethx isodose plan cplx,,,366.92,1922.84,10
HCPCS,77316,Brachytx isodose plan simple,,,282.79,1770.54,10
HCPCS,77316,HC BRACHYTHER ISODOSE PLAN SIMPLE W DOSIMETRY CAL,897.0,897.0,,,0
HCPCS,77317,Brachytx isodose intermed,,,385.61,1998.26,10
HCPCS,77317,HC BRACHYTHER ISODOSE PLAN INTERMED W DOSIMETRY CAL,994.0,994.0,,,0
HCPCS,77318,Brachytx isodose complex,,,385.61,1998.26,10
HCPCS,77318,HC BRACHYTHER ISODOSE PLAN COMPLEX W DOSIMETRY CAL,1260.0,1260.0,,,0
HCPCS,77321,HC SPEC TELETHERAPY PORT PLAN,1283.0,1283.0,,,0
HCPCS,77321,Special teletx port plan,,,420.99,1998.26,6
HCPCS,77331,HC SPECIAL DOSIMETRY,360.0,360.0,,,0
HCPCS,77331,Special radiation dosimetry,,,69.5,743.69,6
HCPCS,77332,HC TX DEVICE DESIGN SIMPLE,665.0,665.0,,,0
HCPCS,77332,Radiation treatment aid(s),,,151.12,968.04,6
HCPCS,77333,HC TX DEVICE DESIGN INTERM,665.0,665.0,,,0
HCPCS,77333,Radiation treatment aid(s),,,151.12,968.04,6
HCPCS,77334,HC FRAMELESS SRS MASK SET CRANIAL (5PCS),3000.0,3000.0,,,0
HCPCS,77334,HC FRAMELESS SRS MASK SET EXTENDED (5PCS),3000.0,3000.0,,,0
HCPCS,77334,HC FREIBURG FLAP,7687.0,7687.0,,,0
HCPCS,77334,HC TX DEVICE DESIGN COMPLEX,897.0,897.0,,,0
HCPCS,77334,Radiation treatment aid(s),,,420.99,1998.26,6
HCPCS,77336,HC CONT MED PHYSICS SUPPORT,618.0,618.0,,,0
HCPCS,77336,Radiation physics consult,,,141.6,743.69,10
HCPCS,77338,Design mlc device for imrt,,,385.61,1998.26,10
HCPCS,77338,HC MLC DEV IMRT DESIGN/CONSTRUCT,3090.0,3090.0,,,0
HCPCS,77370,HC SPECIAL MED PHYSICS CONSULT,730.0,730.0,,,0
HCPCS,77370,Radiation physics consult,,,151.12,743.69,6
HCPCS,77371,HC GK SRS DELIVERY OF TREATMENT,22575.0,22575.0,,,0
HCPCS,77371,Srs multisource,,,8127.03,43158.82,10
HCPCS,77372,HC RAD TX DELVRY SRS CRANIAL LES ONE SESSION LINEAR ACC BASED,18914.0,18914.0,,,0
HCPCS,77372,Srs linear based,,,1829.79,43158.82,10
HCPCS,77373,HC ROBOT LIN SRS COM 1ST OR 1 SES,11271.0,11271.0,,,0
HCPCS,77373,HC ROBOT LIN SRS FRACTX 2-5 SESS,11271.0,11271.0,,,0
HCPCS,77373,SBRT Delivery,,,1862.21,9863.85,10
HCPCS,77385,Ntsty modul rad tx dlvr smpl,,,614.34,3193.99,7
HCPCS,77386,Ntsty modul rad tx dlvr cplx,,,614.34,3193.99,7
HCPCS,77387,Guidance for radiaj tx dlvr,,,465.66,465.66,1
HCPCS,77387,HC US GUIDE FOR PLACEMNT FIELDS,990.0,990.0,,,0
HCPCS,77399,External radiation dosimetry,,,141.6,743.69,9
HCPCS,77401,Radiation treatment delivery,,,125.14,677.38,7
HCPCS,77402,HC RADIATION TREATMENT DELIV =>1 MEV SIMPLE,465.0,465.0,,,0
HCPCS,77402,Radiation treatment delivery,,,114.72,677.38,10
HCPCS,77407,HC RADIATION TREATMENT DELIV =>1 MEV INTERMEDIATE,702.0,702.0,,,0
HCPCS,77407,Radiation treatment delivery,,,260.39,1822.86,10
HCPCS,77412,HC RADIATION TREATMENT DELIV =>1 MEV COMPLEX,649.0,649.0,,,0
HCPCS,77412,Radiation treatment delivery,,,280.48,2611.4,10
HCPCS,77417,HC THERAPUTIC PORT FILMS,138.0,138.0,,,0
HCPCS,77417,Radiology port images(s),,,73.84,73.84,1
HCPCS,77423,Neutron beam tx complex,,,210.63,3109.92,10
HCPCS,77424,Io rad tx delivery by x-ray,,,4693.64,43158.82,9
HCPCS,77425,Io rad tx deliver by elctrns,,,4693.64,43158.82,9
HCPCS,77427,Radiation tx management x5,,,208.73,563.94,5
HCPCS,77431,Radiation therapy management,,,117.94,317.7,5
HCPCS,77432,Stereotactic radiation trmt,,,463.39,1400.88,5
HCPCS,77435,SBRT Management,,,1468.76,1468.76,1
HCPCS,77436,HC SURF RAD THER SUPERF OR ORTHOVOLT TX PLAN & SIMUL-AIDED FIELD SET,800.0,800.0,,,0
HCPCS,77436,Surf radj ther tx planning,,,42.0,176.53,3
HCPCS,77437,HC SURF RAD THER SUPERFICIAL DELV<=150 KV PER FRACTION,465.0,465.0,,,0
HCPCS,77438,HC SURF RAD THER ORTHOVOLTAGE DLVR>150-500 KV PER FRACTION,465.0,465.0,,,0
HCPCS,77439,HC SURF RAD THER SUPFC/ORTHVLT IMG GDN US PLCMNT PER COURSE OF TX,439.0,439.0,,,0
HCPCS,77469,Io radiation tx management,,,348.82,691.43,4
HCPCS,77470,HC TOTAL/HEMI BODY PROCEDURE,2574.0,2574.0,,,0
HCPCS,77470,Special radiation treatment,,,614.34,3193.99,10
HCPCS,77520,Proton trmt simple w/o comp,,,614.34,5453.45,10
HCPCS,77522,Proton trmt simple w/comp,,,1405.13,7424.04,10
HCPCS,77523,Proton trmt intermediate,,,1405.13,7424.04,10
HCPCS,77525,Proton treatment complex,,,1405.13,7424.04,10
HCPCS,77600,HC HYPERTHEMIA SUPERF 4CM OR LESS,1290.0,1290.0,,,0
HCPCS,77600,Hyperthermia treatment,,,280.48,1882.78,10
HCPCS,77605,HC HYPERTHERMIA DEEP > 4CM,1741.0,1741.0,,,0
HCPCS,77605,Hyperthermia treatment,,,506.12,4007.49,10
HCPCS,77610,Hyperthermia treatment,,,378.44,3193.99,10
HCPCS,77615,Hyperthermia treatment,,,506.12,3193.99,10
HCPCS,77620,Hyperthermia treatment,,,378.44,3193.99,10
HCPCS,77750,Infuse radioactive materials,,,182.87,1822.86,10
HCPCS,77761,Apply intrcav radiat simple,,,345.28,3193.99,10
HCPCS,77762,Apply intrcav radiat interm,,,494.54,3186.5,10
HCPCS,77763,Apply intrcav radiat compl,,,615.62,4007.49,10
HCPCS,77767,HC HDR RADIONUC SKIN SURF BRACHYTH LESION UPTO 2.0CM OR 1 CHANNEL,637.0,637.0,,,0
HCPCS,77767,Hdr rdncl skn surf brachytx,,,280.48,1822.86,9
HCPCS,77768,HC HDR RADIONUC SKIN SURF BRACHYTH LESION >2.0CM & 2 CHANNELS OR MULTI,637.0,637.0,,,0
HCPCS,77768,Hdr rdncl skn surf brachytx,,,280.48,1822.86,9
HCPCS,77770,HC HDR RADIONUC INTERSTIT OR INTRACAV BRACHYTH 1 CHANNEL,3592.0,3592.0,,,0
HCPCS,77770,Hdr rdncl ntrstl/icav brchtx,,,748.26,4007.49,9
HCPCS,77771,HC HDR RADIONUC INTERSTIT OR INTRACAV BRACHYTH 2-12 CHANNELS,4295.0,4295.0,,,0
HCPCS,77771,Hdr rdncl ntrstl/icav brchtx,,,748.26,4007.49,9
HCPCS,77772,HC HDR RADIONUC INTERSTIT OR INTRACAV BRACHYTH > 12 CHANNELS,5913.0,5913.0,,,0
HCPCS,77772,Hdr rdncl ntrstl/icav brchtx,,,748.26,4007.49,9
HCPCS,77778,Apply interstit radiat compl,,,704.49,4200.74,10
HCPCS,77778,HC INTERSTITIAL TX COMPLEX W SUPERVISION HANDLING LOADING RAD SOURCE,3425.0,3425.0,,,0
HCPCS,77789,Apply surf ldr radionuclide,,,63.09,677.38,10
HCPCS,77790,HC HANDLING OF RADIOELEMENT,105.0,105.0,,,0
HCPCS,77790,Radiation handling,,,69.5,69.5,1
HCPCS,77799,Radium/radioisotope therapy,,,114.72,1134.71,9
HCPCS,78012,HC THYROID UPTAKE SINGLE OR MULTI,1002.0,1002.0,,,0
HCPCS,78012,Thyroid uptake measurement,,,171.19,2167.37,10
HCPCS,78013,HC THYROID SCAN 99M TC,1002.0,1002.0,,,0
HCPCS,78013,Thyroid imaging w/blood flow,,,225.53,2167.37,10
HCPCS,78014,HC THYROID UPTK SCAN SNGL OR MULT,979.0,979.0,,,0
HCPCS,78014,Thyroid imaging w/blood flow,,,373.35,2167.37,10
HCPCS,78015,HC THYROID IMAG CARC MET LTD,1189.0,1189.0,,,0
HCPCS,78015,Thyroid met imaging,,,352.95,2167.37,10
HCPCS,78016,Thyroid met imaging/studies,,,430.44,2167.37,10
HCPCS,78018,HC THYROID IMAG CARC MET WB MULTI,1358.0,1358.0,,,0
HCPCS,78018,Thyroid met imaging body,,,564.09,2810.11,10
HCPCS,78020,HC THYROID UPTAKE ADD ON CA MET,202.0,202.0,,,0
HCPCS,78020,Thyroid met uptake,,,19.21,19.21,1
HCPCS,78070,HC PARATHYROID PLANAR SCAN,979.0,979.0,,,0
HCPCS,78070,Parathyroid planar imaging,,,251.27,2167.37,10
HCPCS,78071,HC PARATHYROID SPECT IMAGING,2293.0,2293.0,,,0
HCPCS,78071,Parathyrd planar w/wo subtrj,,,430.44,2167.37,10
HCPCS,78072,HC PARATHYROID SPECT CT IMAGING,2293.0,2293.0,,,0
HCPCS,78072,Parathyrd planar w/spect&ct,,,564.09,2810.11,10
HCPCS,78075,Adrenal cortex & medulla img,,,744.52,7412.26,10
HCPCS,78075,HC ADRENAL IMAG,3593.0,3593.0,,,0
HCPCS,78099,Endocrine nuclear procedure,,,243.8,2167.37,9
HCPCS,78102,Bone marrow imaging ltd,,,280.86,2167.37,10
HCPCS,78102,HC BONE MARROW IMAG LTD,1075.0,1075.0,,,0
HCPCS,78103,Bone marrow imaging mult,,,430.44,2167.37,10
HCPCS,78104,Bone marrow imaging body,,,430.44,2167.37,10
HCPCS,78104,HC BONE MARROW IMAG WB,1102.0,1102.0,,,0
HCPCS,78110,Plasma volume single,,,131.45,7285.9,10
HCPCS,78111,Plasma volume multiple,,,352.95,7285.9,10
HCPCS,78120,Red cell mass single,,,239.74,2167.37,10
HCPCS,78121,Red cell mass multiple,,,397.84,2810.11,10
HCPCS,78122,Blood volume,,,564.09,2810.11,10
HCPCS,78130,Red cell survival study,,,390.11,2167.37,10
HCPCS,78140,HC LABEL RED CELL SEQUEST/SPLENIC,1758.0,1758.0,,,0
HCPCS,78140,Red cell sequestration,,,430.44,2167.37,10
HCPCS,78185,Spleen imaging,,,324.61,2167.37,10
HCPCS,78191,Platelet survival,,,430.44,2167.37,10
HCPCS,78195,HC LYMPH & GLAND IMAG,1233.0,1233.0,,,0
HCPCS,78195,Lymph system imaging,,,559.05,2810.11,10
HCPCS,78199,Blood/lymph nuclear exam,,,406.54,2167.37,9
HCPCS,78201,HC LIVER IMAG STATIC,1796.0,1796.0,,,0
HCPCS,78201,Liver imaging,,,324.61,3574.64,10
HCPCS,78202,HC LIVER IMAG W/VASC FLOW,1796.0,1796.0,,,0
HCPCS,78202,Liver imaging with flow,,,393.99,3574.64,10
HCPCS,78215,HC LIVER & SPLEEN IMAG STATIC,1157.0,1157.0,,,0
HCPCS,78215,Liver and spleen imaging,,,401.64,2167.37,10
HCPCS,78216,HC LIVER & SPLEEN W/VASC FLOW,1157.0,1157.0,,,0
HCPCS,78216,Liver & spleen image/flow,,,430.44,2167.37,10
HCPCS,78226,HC HEPATOBILIARY SCAN,1157.0,1157.0,,,0
HCPCS,78226,Hepatobiliary system imaging,,,430.44,2167.37,10
HCPCS,78227,HC HEPATOBILIARY SCAN W GB EF,1273.0,1273.0,,,0
HCPCS,78227,Hepatobil syst image w/drug,,,450.48,2810.11,10
HCPCS,78230,Salivary gland imaging,,,300.25,2167.37,10
HCPCS,78231,Serial salivary imaging,,,430.44,2167.37,10
HCPCS,78232,Salivary gland function exam,,,430.44,2167.37,10
HCPCS,78258,Esophageal motility study,,,393.99,2167.37,10
HCPCS,78261,Gastric mucosa imaging,,,430.44,2167.37,10
HCPCS,78262,Gastroesophageal reflux exam,,,430.44,2167.37,10
HCPCS,78262,HC GASTROESOPHAGEAL REFLUX STUDY,2226.0,2226.0,,,0
HCPCS,78264,Gastric emptying imag study,,,430.44,2167.37,10
HCPCS,78264,HC GASTRIC EMPTYING STUDY,1605.0,1605.0,,,0
HCPCS,78265,Gastric emptying imag study,,,430.44,2167.37,9
HCPCS,78266,Gastric emptying imag study,,,564.09,2810.11,9
HCPCS,78267,Breath tst attain/anal c-14,,,11.06,51.87,6
HCPCS,78268,Breath test analysis c-14,,,94.41,444.25,6
HCPCS,78278,Acute GI blood loss imaging,,,430.44,2167.37,10
HCPCS,78278,HC GI BLOOD LOSS IMAG,1219.0,1219.0,,,0
HCPCS,78282,GI protein loss exam,,,192.96,2167.37,10
HCPCS,78290,HC MECKELS,1055.0,1055.0,,,0
HCPCS,78290,Meckels divert exam,,,417.18,2167.37,10
HCPCS,78291,Leveen/shunt patency exam,,,419.77,2167.37,10
HCPCS,78299,GI nuclear procedure,,,430.44,2167.37,9
HCPCS,78300,Bone imaging limited area,,,342.7,2167.37,10
HCPCS,78300,HC BONE IMAGE LIMITED STUDY,1055.0,1055.0,,,0
HCPCS,78305,Bone imaging multiple areas,,,430.44,2167.37,10
HCPCS,78305,HC BONE IMAGE MULTI,1069.0,1069.0,,,0
HCPCS,78306,Bone imaging whole body,,,430.44,2167.37,10
HCPCS,78306,HC BONE IMAGE WHOLE BODY,1069.0,1069.0,,,0
HCPCS,78315,Bone imaging 3 phase,,,430.44,2167.37,10
HCPCS,78315,HC BONE 3 PHASE,1250.0,1250.0,,,0
HCPCS,78350,Bone mineral single photon,,,77.66,339.89,7
HCPCS,78351,Bone mineral dual photon,,,77.66,513.47,7
HCPCS,78399,Musculoskeletal nuclear exam,,,407.58,2167.37,9
HCPCS,78414,Non-imaging heart function,,,178.53,2810.11,10
HCPCS,78428,Cardiac shunt imaging,,,310.5,2167.37,10
HCPCS,78429,HC MYOCARD IMG PET METABOLIC EVAL SNGL STDY W CONCURRENT CT,8261.0,8261.0,,,0
HCPCS,78429,Myocrd img pet 1 std w/ct,,,1607.74,8274.52,9
HCPCS,78430,HC MYOCRD IMG PET PERF SNGL STDY REST/STRESS CNCRNT CT SCAN,5070.0,5070.0,,,0
HCPCS,78430,Myocrd img pet rst/strs w/ct,,,1607.74,8274.52,9
HCPCS,78431,HC MYOCRD IMG PET PERF MULTI STDY REST&STRESS CNCRNT CT SCAN,7910.0,7910.0,,,0
HCPCS,78431,Myocrd img pet rst&strs ct,,,2462.5,13471.11,9
HCPCS,78432,HC MYOCRD IMG PET COMB PERF W METAB EVAL STDY DUAL RADIOTRACER,9666.0,9666.0,,,0
HCPCS,78432,Myocrd img pet 2rtracer,,,1706.33,13194.5,9
HCPCS,78433,HC MYOCRD IMG PET COMB PERF W METAB EVAL STDY DUAL RDTRCR CNCRNT CT,9666.0,9666.0,,,0
HCPCS,78433,Myocrd img pet 2rtracer ct,,,2134.24,13402.46,9
HCPCS,78434,HC ABSOL QUANT MYOCARD BLD FLW (AQMBF) PET REST & PHARMACOLOGIC STRESS,2640.0,2640.0,,,0
HCPCS,78445,HC NON CARDIAC VASCULAR FLOW,1037.0,1037.0,,,0
HCPCS,78445,Vascular flow imaging,,,256.36,2167.37,10
HCPCS,78451,HC MYOCARD PERF IMAG W E/F WM SGL,3581.0,3581.0,,,0
HCPCS,78451,Ht muscle image spect sing,,,1291.83,7412.26,10
HCPCS,78452,HC MYOCARD PERF IMAG W E/F WM MUL,3581.0,3581.0,,,0
HCPCS,78452,Ht muscle image spect mult,,,1291.83,7412.26,10
HCPCS,78453,HC MYOCARD PERF PLNR W E/F WM SGL,3581.0,3581.0,,,0
HCPCS,78453,Ht muscle image planar sing,,,1291.83,7412.26,10
HCPCS,78454,HC MYOCARD PERF PLNR W E/F WM MUL,3581.0,3581.0,,,0
HCPCS,78454,Ht musc image planar mult,,,1291.83,7412.26,10
HCPCS,78456,Acute venous thrombus image,,,548.38,7389.68,10
HCPCS,78457,Venous thrombosis imaging,,,364.48,3596.68,10
HCPCS,78458,Ven thrombosis images bilat,,,430.44,2167.37,10
HCPCS,78459,HC PET MYOCARDIAL VIABILITY,5807.0,5807.0,,,0
HCPCS,78459,Heart muscle imaging (PET),,,1455.62,7412.26,10
HCPCS,78466,HC MYOCARD INFARCT AVID PLANAR,2163.0,2163.0,,,0
HCPCS,78466,Heart infarct image,,,359.38,2167.37,10
HCPCS,78468,Heart infarct image (ef),,,502.22,2810.11,10
HCPCS,78469,Heart infarct image (3D),,,564.09,3661.7,10
HCPCS,78472,Gated heart planar single,,,430.44,2167.37,10
HCPCS,78472,HC GATED BLOOD POOL-SINGLE STUDY,1478.0,1478.0,,,0
HCPCS,78473,Gated heart multiple,,,430.44,2167.37,10
HCPCS,78481,Heart first pass single,,,564.09,2810.11,10
HCPCS,78483,Heart first pass multiple,,,564.09,2810.11,10
HCPCS,78491,Heart image (pet) single,,,1607.74,8274.52,10
HCPCS,78492,HC MYOCARD IMAG PET PERFUS MULTI STUDIES REST/STRESS,6688.0,6688.0,,,0
HCPCS,78492,Heart image (pet) multiple,,,1607.74,8274.52,10
HCPCS,78494,Heart image spect,,,430.44,2167.37,10
HCPCS,78496,Heart first pass add-on,,,237.06,237.06,1
HCPCS,78499,Cardiovascular nuclear exam,,,429.35,2167.37,9
HCPCS,78579,HC LUNG VENTILATION IMAGING,996.0,996.0,,,0
HCPCS,78579,Lung ventilation imaging,,,334.78,2167.37,10
HCPCS,78580,HC LUNG PERFUSION IMAGING,991.0,991.0,,,0
HCPCS,78580,Lung perfusion imaging,,,430.44,2167.37,10
HCPCS,78582,HC VQ LUNG VENT AND PERF IMAG,1337.0,1337.0,,,0
HCPCS,78582,Lung ventilat&perfus imaging,,,543.97,2810.11,10
HCPCS,78597,HC QUANT DIFF LUNG PERF ONLY,996.0,996.0,,,0
HCPCS,78597,Lung perfusion differential,,,430.44,2167.37,9
HCPCS,78598,HC QUANT DIFF LUNG PERF AND VENT,1337.0,1337.0,,,0
HCPCS,78598,Lung perf&ventilat diferentl,,,543.97,2810.11,10
HCPCS,78599,Respiratory nuclear exam,,,330.87,2167.37,9
HCPCS,78600,Brain image < 4 views,,,393.99,2167.37,10
HCPCS,78601,Brain image w/flow < 4 views,,,430.44,2199.12,10
HCPCS,78601,HC BRAIN IMAGING LTD VAS FLOW,1959.0,1959.0,,,0
HCPCS,78605,Brain image 4+ views,,,466.2,2810.11,10
HCPCS,78606,Brain image w/flow 4 + views,,,530.57,2810.11,10
HCPCS,78608,Brain imaging (PET),,,1607.74,8274.52,10
HCPCS,78608,HC PET BRAIN MET EVAL,5807.0,5807.0,,,0
HCPCS,78609,Brain imaging (PET),,,698.97,9256.42,7
HCPCS,78610,Brain flow imaging only,,,217.78,2810.11,10
HCPCS,78630,Cerebrospinal fluid scan,,,564.09,2810.11,10
HCPCS,78630,HC CISTERNOGRAPHY,1959.0,1959.0,,,0
HCPCS,78635,CSF ventriculography,,,350.39,2810.11,10
HCPCS,78645,CSF shunt evaluation,,,470.06,2810.11,10
HCPCS,78645,HC SHUNT EVALUATION,1656.0,1656.0,,,0
HCPCS,78650,CSF leakage imaging,,,636.23,7341.95,10
HCPCS,78650,HC CISTERNOGRAPHY FOR LEAK,3449.0,3449.0,,,0
HCPCS,78660,Nuclear exam of tear flow,,,291.16,2167.37,10
HCPCS,78699,Nervous system nuclear exam,,,430.44,2167.37,9
HCPCS,78700,HC KIDNEY IMAGING STATIC ONLY,1295.0,1295.0,,,0
HCPCS,78700,Kidney imaging morphol,,,417.18,2167.37,10
HCPCS,78701,Kidney imaging with flow,,,430.44,2167.37,10
HCPCS,78707,HC KIDNEY W/VASC FLOW & FUNCT,1366.0,1366.0,,,0
HCPCS,78707,K flow/funct image w/o drug,,,564.09,2810.11,10
HCPCS,78708,K flow/funct image w/drug,,,564.09,2810.11,10
HCPCS,78709,HC KIDNEY IMAG MULT W&W/O PHARM,1431.0,1431.0,,,0
HCPCS,78709,K flow/funct image multiple,,,564.09,2810.11,10
HCPCS,78725,Kidney function study,,,246.12,2167.37,10
HCPCS,78730,Urinary bladder retention,,,200.98,547.12,2
HCPCS,78740,HC CYSTOGRAM,1295.0,1295.0,,,0
HCPCS,78740,Ureteral reflux study,,,291.16,2167.37,10
HCPCS,78761,Testicular imaging w/flow,,,430.44,2167.37,10
HCPCS,78799,Genitourinary nuclear exam,,,355.93,2167.37,9
HCPCS,78800,HC RADIOPHARM LOCAL TUMOR PLANAR SNGL AREA SNGL DAY IMG,1189.0,1189.0,,,0
HCPCS,78800,Tumor imaging limited area,,,430.44,2167.37,10
HCPCS,78801,HC RADIOPH LCL TUM PLNR 2 OR> ARE 1 OR>DY IMG OR SNGL ARE  IMG 2 OR>DY,1189.0,1189.0,,,0
HCPCS,78801,Tumor imaging mult areas,,,430.44,2411.19,10
HCPCS,78802,HC RADIOPHARM LOCAL TUMOR PLANAR WHOLE BODY SNGL DAY IMG,3449.0,3449.0,,,0
HCPCS,78802,Tumor imaging whole body,,,610.48,7384.43,10
HCPCS,78803,HC TUMOR LOCAL SPECT SNGL AREA SNGL DAY IMAGING,4103.0,4103.0,,,0
HCPCS,78803,Tumor imaging (3D),,,610.48,5001.67,10
HCPCS,78804,HC TUMOR LOC WB 2 OR MORE DYS,3593.0,3593.0,,,0
HCPCS,78804,Tumor imaging whole body,,,610.48,7412.26,10
HCPCS,78808,Iv inj ra drug dx study,,,430.44,2167.37,9
HCPCS,78811,Pet image ltd area,,,1455.62,7412.26,10
HCPCS,78812,HC PET IMAGING SKULL BASE TO MID-THIGH,5807.0,5807.0,,,0
HCPCS,78812,Pet image skull-thigh,,,1607.74,8274.52,10
HCPCS,78813,HC PET IMAGING WHOLE BODY,6534.0,6534.0,,,0
HCPCS,78813,Pet image full body,,,1607.74,8274.52,10
HCPCS,78814,HC PET W/CONACQ CT CH HD NCK,5807.0,5807.0,,,0
HCPCS,78814,Pet image w/ct lmtd,,,1607.74,8274.52,10
HCPCS,78815,HC PET W/CONACQ CT SKL TO THG,5807.0,5807.0,,,0
HCPCS,78815,Pet image w/ct skull-thigh,,,1607.74,8274.52,10
HCPCS,78816,HC PET WBDY W/CONACQ  WHOLEBODY,5807.0,5807.0,,,0
HCPCS,78816,Pet image w/ct full body,,,1607.74,8274.52,10
HCPCS,78830,HC RADIOPH LCL TUM SPECT W CONCURRENT CT SCAN SNGL AREA SNGL DAY IMG,4103.0,4103.0,,,0
HCPCS,78830,Rp loclzj tum spect w/ct 1,,,1455.62,7412.26,9
HCPCS,78831,HC RADIOPH LCL TUMR SPECT MN 2 ARE SNG DY IMG/SNGL ARE IMG OVR 2 OR>DY,4103.0,4103.0,,,0
HCPCS,78831,Rp loclzj tum spect 2 areas,,,1455.62,7412.26,9
HCPCS,78832,HC RPH LCL TUM SPECT W CNCUR CT MIN 2 AR SNG DY IMG/SNG AR IM OV 2OR>D,4654.0,4654.0,,,0
HCPCS,78832,Rp loclzj tum spect w/ct 2,,,1607.74,8274.52,9
HCPCS,78835,HC RADIOPHARM QUANTIFICATION MEASUREMENT SINGLE AREA ADD-ON CODE,670.0,670.0,,,0
HCPCS,78999,Nuclear diagnostic exam,,,143.09,2167.37,9
HCPCS,79005,HC RADIOPHARM THERAPY ORAL ADMIN,806.0,806.0,,,0
HCPCS,79005,Nuclear rx oral admin,,,259.64,1379.31,10
HCPCS,79101,HC LUTATHERA IV ADMIN RADIOPH THERAPY,806.0,806.0,,,0
HCPCS,79101,HC RADIOPHARM THERAPY IV ADMIN,806.0,806.0,,,0
HCPCS,79101,Nuclear rx iv admin,,,259.64,1379.31,10
HCPCS,792,Anesth hemorr/excise liver,,,6880.82,9829.75,4
HCPCS,79200,Nuclear rx intracav admin,,,259.64,1444.25,10
HCPCS,79300,Nuclr rx interstit colloid,,,191.05,1379.31,10
HCPCS,794,Anesth pancreas removal,,,6880.82,9829.75,4
HCPCS,79403,HC RADIOLBL MONO ANTIBDY INTR INF,1113.0,1113.0,,,0
HCPCS,79403,Hematopoietic nuclear tx,,,259.64,1444.25,10
HCPCS,79440,Nuclear rx intra-articular,,,259.64,1444.25,10
HCPCS,79445,HC RADIOPHARMECEUTICAL THERAPY,806.0,806.0,,,0
HCPCS,79445,Nuclear rx intra-arterial,,,259.64,1379.31,10
HCPCS,796,Anesth for liver transplant,,,6880.82,9829.75,4
HCPCS,79999,Nuclear medicine therapy,,,259.64,1379.31,9
HCPCS,80047,Metabolic panel ionized ca,,,9.87,63.54,12
HCPCS,80048,Metabolic panel total ca,,,6.08,53.96,12
HCPCS,80050,General health panel,,,32.82,301.47,8
HCPCS,80051,Electrolyte panel,,,5.04,44.73,12
HCPCS,80053,Comprehen metabolic panel,,,7.59,67.37,12
HCPCS,80055,Obstetric panel,,,34.36,286.44,12
HCPCS,80061,HC LDL LIPID PANEL SO,108.6,108.6,,,0
HCPCS,80061,Lipid panel,,,9.62,85.41,12
HCPCS,80069,Renal function panel,,,6.24,55.37,12
HCPCS,80074,Acute hepatitis panel,,,34.23,300.33,12
HCPCS,80074,HC ACUTE HEPATITIS PANEL,358.0,358.0,,,0
HCPCS,80076,Hepatic function panel,,,5.87,52.06,12
HCPCS,80081,Obstetric panel,,,53.79,537.75,12
HCPCS,80143,Drug assay acetaminophen,,,13.39,86.26,12
HCPCS,80143,HC DRUG ASSAY ACETAMINOPHEN,90.0,90.0,,,0
HCPCS,80145,Drug assay adalimumab,,,27.72,178.52,12
HCPCS,80145,HC DRUG ASSAY ADALIMUMAB,172.0,172.0,,,0
HCPCS,80150,Assay of amikacin,,,10.84,96.1,12
HCPCS,80150,HC AMIKACIN,120.0,120.0,,,0
HCPCS,80151,Drug assay amiodarone,,,13.39,86.26,12
HCPCS,80151,HC LAB TEST AMIODARONE SEND OUT,132.0,132.0,,,0
HCPCS,80155,Drug assay caffeine,,,27.06,178.52,12
HCPCS,80156,Assay carbamazepine total,,,10.47,92.84,12
HCPCS,80156,HC CARBAMAZEPINE/TEGRETOL,116.0,116.0,,,0
HCPCS,80157,Assay carbamazepine free,,,9.52,84.55,12
HCPCS,80157,HC FREE TEGRETOL,106.0,106.0,,,0
HCPCS,80158,Drug assay cyclosporine,,,12.97,115.09,12
HCPCS,80158,HC CYCLOSPORINE,144.0,144.0,,,0
HCPCS,80159,Drug assay clozapine,,,14.48,115.15,12
HCPCS,80159,HC CLOZAPINE,148.0,148.0,,,0
HCPCS,80161,"Asy carbamazepin 10,11-epxid",,,13.39,86.26,12
HCPCS,80162,Assay of digoxin total,,,9.54,84.69,12
HCPCS,80162,HC DIGOXIN,106.0,106.0,,,0
HCPCS,80163,Assay of digoxin free,,,9.54,82.64,12
HCPCS,80164,Assay dipropylacetic acd tot,,,9.73,86.36,12
HCPCS,80164,HC VALPROIC ACID TOTAL,108.6,108.6,,,0
HCPCS,80165,Dipropylacetic acid free,,,9.73,83.46,11
HCPCS,80165,HC VALPROIC ACID FREE,89.0,89.0,,,0
HCPCS,80167,Drug assay felbamate,,,13.39,86.26,12
HCPCS,80168,Assay of ethosuximide,,,11.74,104.21,12
HCPCS,80168,HC ETHOSUXIMIDE,131.0,131.0,,,0
HCPCS,80169,Drug assay everolimus,,,9.87,78.01,12
HCPCS,80169,HC DRUG ASSAY EVEROLIMUS,77.0,77.0,,,0
HCPCS,80170,Assay of gentamicin,,,11.77,104.54,12
HCPCS,80170,HC GENTAMICIN,131.0,131.0,,,0
HCPCS,80171,Drug screen quant gabapentin,,,15.57,100.28,12
HCPCS,80171,HC GABAPENTIN,106.0,106.0,,,0
HCPCS,80173,Assay Of Haloperidol,,,11.34,92.84,12
HCPCS,80173,HC HALDOL LEVEL,116.0,116.0,,,0
HCPCS,80175,Drug screen quan lamotrigine,,,9.52,82.5,12
HCPCS,80175,HC LAMOTRIGINE,106.0,106.0,,,0
HCPCS,80176,Assay of lidocaine,,,10.56,91.42,12
HCPCS,80176,HC LIDOCAINE,117.0,117.0,,,0
HCPCS,80177,Drug scrn quan levetiracetam,,,9.52,82.5,12
HCPCS,80177,HC KEPPRA,106.0,106.0,,,0
HCPCS,80178,Assay of lithium,,,4.75,42.14,12
HCPCS,80178,HC LITHIUM,62.0,62.0,,,0
HCPCS,80179,Drug assay salicylate,,,13.39,86.26,12
HCPCS,80179,HC DRUG ASSAY SALICYLATE,90.0,90.0,,,0
HCPCS,80180,Drug scrn quan mycophenolate,,,12.97,112.34,12
HCPCS,80180,HC MYCOPHENOLIC ACID,144.0,144.0,,,0
HCPCS,80181,Drug assay flecainide,,,13.39,86.26,12
HCPCS,80181,HC DRUG ASSAY FLECAINIDE SEND OUT,103.0,103.0,,,0
HCPCS,80183,Drug scrn quant oxcarbazepin,,,9.52,82.5,12
HCPCS,80183,HC OXCARBAZEPINE LEVEL,106.0,106.0,,,0
HCPCS,80184,Assay of phenobarbital,,,10.99,73.05,12
HCPCS,80184,HC FREE PHENOBARBITAL,91.0,91.0,,,0
HCPCS,80184,HC PHENOBARBITAL,91.0,91.0,,,0
HCPCS,80185,Assay of phenytoin total,,,9.52,84.55,12
HCPCS,80185,HC PHENYTOIN/DILANTIN,106.0,106.0,,,0
HCPCS,80186,Assay of phenytoin free,,,9.89,87.77,12
HCPCS,80186,HC PHENYTOIN/DILANTIN FREE,109.7,109.7,,,0
HCPCS,80187,Drug assay posaconazole,,,19.48,125.47,12
HCPCS,80188,Assay of primidone,,,11.92,105.8,12
HCPCS,80188,HC LAB TEST PRIMIDONE SEND OUT,132.0,132.0,,,0
HCPCS,80188,HC PRIMIDONE/MYSOLINE,132.0,132.0,,,0
HCPCS,80189,Drug assay itraconzaole,,,19.48,125.47,12
HCPCS,80190,Assay of procainamide,,,33.26,277.73,12
HCPCS,80192,Assay of procainamide,,,12.04,106.8,12
HCPCS,80192,HC PROCAINAMIDE WITH NAPA,134.0,134.0,,,0
HCPCS,80193,Drug assay leflunomide,,,27.72,178.52,12
HCPCS,80194,Assay of quinidine,,,10.49,93.06,12
HCPCS,80194,HC QUINIDINE SO,116.0,116.0,,,0
HCPCS,80195,Assay of sirolimus,,,9.87,80.56,12
HCPCS,80195,HC SIROLIMUS (IMX),79.2,79.2,,,0
HCPCS,80197,Assay of tacrolimus,,,9.87,80.56,12
HCPCS,80197,HC TACROLIMUS FK506,79.0,79.0,,,0
HCPCS,80198,Assay of theophylline,,,10.16,90.23,12
HCPCS,80198,HC THEOPHYLLINE,113.0,113.0,,,0
HCPCS,80198,HC TOBRAMYCIN,113.0,113.0,,,0
HCPCS,80199,Drug screen quant tiagabine,,,19.48,125.47,12
HCPCS,80200,Assay of tobramycin,,,11.59,100.34,12
HCPCS,80201,Assay of topiramate,,,8.57,76.03,12
HCPCS,80201,HC TOPIRAMATE,94.6,94.6,,,0
HCPCS,80202,Assay of vancomycin,,,9.73,86.36,12
HCPCS,80202,HC VANCOMYCIN,117.0,117.0,,,0
HCPCS,80203,Drug screen quant zonisamide,,,9.52,82.5,12
HCPCS,80203,HC ZONISAMIDE,106.0,106.0,,,0
HCPCS,80204,Drug assay methotrexate,,,27.72,178.52,12
HCPCS,80210,Drug assay rufinamide,,,19.48,125.47,12
HCPCS,80220,Drug asy hydroxychloroquine,,,13.39,86.26,12
HCPCS,80230,Drug assay infliximab,,,27.72,178.52,12
HCPCS,80230,HC DRUG ASSAY INFLIXIMAB,170.0,170.0,,,0
HCPCS,80235,Drug assay lacosamide,,,19.48,125.47,12
HCPCS,80235,HC LAB TEST LACOSAMIDE,153.7,153.7,,,0
HCPCS,80280,Drug assay vedolizumab,,,27.72,178.52,12
HCPCS,80285,Drug assay voriconazole,,,19.48,125.47,12
HCPCS,80285,HC DRUG ASSAY VORICONAZOLE SEND OUT,140.0,140.0,,,0
HCPCS,80299,HC DISOPYRAMIDE SO,178.0,178.0,,,0
HCPCS,80299,HC FELBAMATE,215.0,215.0,,,0
HCPCS,80299,HC FLUOXETINE SERUM,151.0,151.0,,,0
HCPCS,80299,HC KETOCONAZOLE LEVEL,215.0,215.0,,,0
HCPCS,80299,HC LOXAPINE (SO),86.0,86.0,,,0
HCPCS,80299,HC PHENSUXIMIDE (SO),258.0,258.0,,,0
HCPCS,80299,HC QUANTITATION DRUG APIXABAN,169.0,169.0,,,0
HCPCS,80299,HC QUANTITATION OF DRUG NOT ELSEWHERE SPECIFIED,258.0,258.0,,,0
HCPCS,80299,HC RITALIN METHYLPHENIDATE,102.0,102.0,,,0
HCPCS,80299,Quantitative assay drug,,,13.39,87.33,12
HCPCS,80305,Drug test prsmv dir opt obs,,,9.05,67.69,12
HCPCS,80305,HC DRUG TEST(S) PRESUMP READ DIR OPTICAL PER DOS,33.0,33.0,,,0
HCPCS,80306,Drug test prsmv instrmnt,,,12.32,90.24,12
HCPCS,80306,HC DRUG TEST(S) PRESUMP READ BY INSTRU ASSIST DIR OPTICAL PER DOS,49.0,49.0,,,0
HCPCS,80307,Drug test prsmv chem anlyzr,,,44.65,361.09,12
HCPCS,80307,HC DRUG TEST(S) PRESUMP INSTRU CHEM ANALY CHROMATO MASS SPECTR PER DOS,75.0,75.0,,,0
HCPCS,80320,Drug screen quantalcohols,,,0.01,67.24,4
HCPCS,80320,HC ETHANOL,88.0,88.0,,,0
HCPCS,80321,Alcohols biomarkers 1or 2,,,0.01,67.24,4
HCPCS,80321,HC ALCOHOL BIOMARKERS 1 OR 2,102.0,102.0,,,0
HCPCS,80322,Alcohols biomarkers 3/more,,,0.01,73.99,4
HCPCS,80323,Alkaloids nos,,,0.01,112.38,4
HCPCS,80323,HC ALKALOIDS NOT OTHERWISE SPECIFIED SEND OUTS,271.0,271.0,,,0
HCPCS,80324,Drug screen amphetamines 1/2,,,0.01,96.72,4
HCPCS,80324,HC AMPHETAMINES 1 OR 2,80.6,80.6,,,0
HCPCS,80325,Amphetamines 3or 4,,,0.01,106.41,4
HCPCS,80325,HC AMPHETAMINES 3 OR 4 AMPH,80.6,80.6,,,0
HCPCS,80325,HC AMPHETAMINES 3 OR 4 MAMPH,80.6,80.6,,,0
HCPCS,80325,HC AMPHETAMINES 3 OR 4 MDA,80.6,80.6,,,0
HCPCS,80325,HC AMPHETAMINES 3 OR 4 MDMA,80.6,80.6,,,0
HCPCS,80325,HC AMPHETAMINES 3 OR 4 PHENT,80.6,80.6,,,0
HCPCS,80325,HC DRUG SCREEN QUANT AMPHETAMINES 3 OR 4 SEND OUT,80.6,80.6,,,0
HCPCS,80326,Amphetamines 5 or more,,,0.01,116.05,4
HCPCS,80326,HC AMPHETAMINES 5 OR MORE AMPH,80.6,80.6,,,0
HCPCS,80326,HC AMPHETAMINES 5 OR MORE MAMPH,80.6,80.6,,,0
HCPCS,80326,HC AMPHETAMINES 5 OR MORE MDA,80.6,80.6,,,0
HCPCS,80326,HC AMPHETAMINES 5 OR MORE MDMA,80.6,80.6,,,0
HCPCS,80326,HC AMPHETAMINES 5 OR MORE PHENT,80.6,80.6,,,0
HCPCS,80327,Anabolic steroid 1 or 2,,,0.01,160.65,4
HCPCS,80327,HC DIHYDROTESTOSTERONE,206.0,206.0,,,0
HCPCS,80328,Anabolic steroid 3 or more,,,0.01,176.73,4
HCPCS,80329,Analgesics non-opioid 1 or 2,,,0.01,125.97,4
HCPCS,80329,HC ACETAMINOPHEN/TYLENOL,71.0,71.0,,,0
HCPCS,80329,HC ANALGESICS NON OPIOID 1 OR 2,71.0,71.0,,,0
HCPCS,80329,HC SALICYLATE,71.0,71.0,,,0
HCPCS,80330,Analgesics non-opioid 3-5,,,0.01,138.56,4
HCPCS,80331,Analgesics non-opioid 6/more,,,0.01,151.14,4
HCPCS,80332,Antidepressants class 1 or 2,,,0.01,112.38,4
HCPCS,80332,HC ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2,147.0,147.0,,,0
HCPCS,80332,HC ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2 SEND OUT,147.0,147.0,,,0
HCPCS,80333,Antidepressants class 3-5,,,0.01,123.61,4
HCPCS,80334,Antidepressants class 6/more,,,0.01,134.84,4
HCPCS,80335,Antidepressant tricyclic 1/2,,,0.01,111.43,4
HCPCS,80335,HC AMITRIPTYLINE,143.0,143.0,,,0
HCPCS,80335,HC ANTIDEPRESSANTS TRICYCLIC & OTHER CYCLICALS 1 OR 2,143.0,143.0,,,0
HCPCS,80335,HC DESIPRAMINE,143.0,143.0,,,0
HCPCS,80335,HC DOXEPIN,143.0,143.0,,,0
HCPCS,80335,HC IMIPRAMINE,143.0,143.0,,,0
HCPCS,80335,HC NORTRIPTYLINE,143.0,143.0,,,0
HCPCS,80336,Antidepressant tricyclic 3-5,,,0.01,122.57,4
HCPCS,80336,HC AMITRIPTYLINE 3-5,124.7,124.7,,,0
HCPCS,80336,HC DESIPRAMINE 3-5,124.7,124.7,,,0
HCPCS,80336,HC DOXEPIN 3-5,124.7,124.7,,,0
HCPCS,80336,HC IMIPRAMINE 3-5,124.7,124.7,,,0
HCPCS,80336,HC NORTRIPTYLINE 3-5,124.7,124.7,,,0
HCPCS,80337,Tricyclic & cyclicals 6/more,,,0.01,133.71,4
HCPCS,80338,Antidepressant not specified,,,0.01,112.38,4
HCPCS,80338,HC ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED,147.0,147.0,,,0
HCPCS,80339,Antiepileptics nos 1-3,,,0.01,90.65,4
HCPCS,80339,HC METHSUXIMIDE,118.0,118.0,,,0
HCPCS,80340,Antiepileptics nos 4-6,,,0.01,99.71,4
HCPCS,80341,Antiepileptics nos 7/more,,,0.01,108.76,4
HCPCS,80342,Antipsychotics nos 1-3,,,0.01,115.15,4
HCPCS,80342,HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3,80.6,80.6,,,0
HCPCS,80342,HC CHLORPROMAZINE,80.6,80.6,,,0
HCPCS,80342,HC THIORIDAZINE,80.6,80.6,,,0
HCPCS,80343,Antipsychotics nos 4-6,,,0.01,150.51,4
HCPCS,80344,Antipsychotics nos 7/more,,,0.01,138.19,4
HCPCS,80345,Drug screening barbiturates,,,0.01,71.27,4
HCPCS,80345,HC BARBITURATES,80.6,80.6,,,0
HCPCS,80346,Benzodiazepines1-12,,,0.01,115.15,4
HCPCS,80346,HC ALPRAZOLAM,148.0,148.0,,,0
HCPCS,80346,HC BENZODIAZEPINES 1-12,148.0,148.0,,,0
HCPCS,80346,HC CHLORDIAZEPOXIDE,148.0,148.0,,,0
HCPCS,80346,HC CLONAZEPAM,148.0,148.0,,,0
HCPCS,80346,HC DIAZEPAM,148.0,148.0,,,0
HCPCS,80346,HC DRUG SCREEN BENZODIAZEPINES 1-12 SEND OUT,148.0,148.0,,,0
HCPCS,80346,HC FLURAZEPAM,148.0,148.0,,,0
HCPCS,80346,HC LORAZEPAM,148.0,148.0,,,0
HCPCS,80346,HC MIDAZOLAM,148.0,148.0,,,0
HCPCS,80346,HC NITRAZEPAM,148.0,148.0,,,0
HCPCS,80346,HC OXAZEPAM,148.0,148.0,,,0
HCPCS,80346,HC TEMAZEPAM,148.0,148.0,,,0
HCPCS,80346,HC TRANXENE,148.0,148.0,,,0
HCPCS,80347,Benzodiazepines 13 or more,,,0.01,126.65,4
HCPCS,80348,Drug screening buprenorphine,,,0.01,121.08,4
HCPCS,80349,Cannabinoids natural,,,0.01,112.38,4
HCPCS,80350,Cannabinoids synthetic 1-3,,,0.01,112.38,4
HCPCS,80351,Cannabinoids synthetic 4-6,,,0.01,123.61,4
HCPCS,80352,Cannabinoid synthetic 7/more,,,0.01,134.84,4
HCPCS,80353,Drug screening cocaine,,,0.01,94.32,4
HCPCS,80354,Drug screening fentanyl,,,0.01,121.08,4
HCPCS,80355,Gabapentin non-blood,,,0.01,82.5,4
HCPCS,80356,Heroin metabolite,,,0.01,121.08,4
HCPCS,80357,Ketamine and norketamine,,,0.01,112.38,4
HCPCS,80358,Drug screening methadone,,,0.01,101.65,4
HCPCS,80359,HC DRUG SCREEN METHYLENEDIOXYAMPHETAMINES MDA MDEA MDMA SEND OUT,97.0,97.0,,,0
HCPCS,80359,Methylenedioxyamphetamines,,,0.01,96.72,4
HCPCS,80360,Methylphenidate,,,0.01,112.38,4
HCPCS,80361,Opiates 1 or more,,,0.01,121.08,4
HCPCS,80362,Opioids & opiate analogs 1/2,,,0.01,121.08,4
HCPCS,80363,Opioids & opiate analogs 3/4,,,0.01,133.17,4
HCPCS,80364,Opioid &opiate analog 5/more,,,0.01,145.3,4
HCPCS,80365,Drug screening oxycodone,,,0.01,121.08,4
HCPCS,80366,Drug screening pregabalin,,,0.01,112.38,4
HCPCS,80367,Drug screening propoxyphene,,,0.01,121.08,4
HCPCS,80368,Sedative hypnotics,,,0.01,112.38,4
HCPCS,80369,HC MEPROBAMATE,141.0,141.0,,,0
HCPCS,80369,HC SKELETAL MUSCLE RELAXANTS 1 OR 2,141.0,141.0,,,0
HCPCS,80369,Skeletal muscle relaxant 1/2,,,0.01,112.38,4
HCPCS,80370,Skel musc relaxant 3 or more,,,0.01,123.61,4
HCPCS,80371,Stimulants synthetic,,,0.01,112.38,4
HCPCS,80372,Drug screening tapentadol,,,0.01,121.08,4
HCPCS,80373,Drug screening tramadol,,,0.01,121.08,4
HCPCS,80374,Stereoisomer analysis,,,0.01,112.38,4
HCPCS,80375,Drug/substance nos 1-3,,,0.01,112.38,4
HCPCS,80375,HC DRUGS OR SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,80.6,80.6,,,0
HCPCS,80376,Drug/substance nos 4-6,,,0.01,123.61,4
HCPCS,80377,Drug/substance nos 7/more,,,0.01,134.84,4
HCPCS,80377,HC DRUG OR SUBSTANCE DEF QUAL/QUANT NOS 7 OR> SEND OUT,242.0,242.0,,,0
HCPCS,80400,Acth stimulation panel,,,23.44,207.99,12
HCPCS,80402,Acth stimulation panel,,,62.49,554.44,12
HCPCS,80406,Acth stimulation panel,,,56.24,472.54,12
HCPCS,80408,Aldosterone suppression eval,,,90.18,800.22,12
HCPCS,80410,Calcitonin stimul panel,,,57.75,512.34,12
HCPCS,80412,CRH stimulation panel,,,576.04,3710.45,12
HCPCS,80414,Testosterone response,,,37.11,329.23,12
HCPCS,80415,Estradiol response panel,,,40.16,356.34,12
HCPCS,80416,Renin stimulation panel,,,150.42,968.86,12
HCPCS,80417,Renin stimulation panel,,,31.61,280.49,12
HCPCS,80418,Pituitary evaluation panel,,,416.41,3695.46,12
HCPCS,80420,Dexamethasone panel,,,116.33,749.3,12
HCPCS,80422,Glucagon tolerance panel,,,33.11,293.76,12
HCPCS,80424,Glucagon tolerance panel,,,36.29,314.33,12
HCPCS,80426,Gonadotropin hormone panel,,,106.65,946.29,12
HCPCS,80428,Growth hormone panel,,,47.93,425.39,12
HCPCS,80430,Growth hormone panel,,,92.94,598.65,12
HCPCS,80432,Insulin suppression panel,,,119.01,861.33,12
HCPCS,80434,Insulin tolerance panel,,,200.94,1319.31,12
HCPCS,80435,Insulin tolerance panel,,,74.02,656.8,12
HCPCS,80436,Metyrapone panel,,,65.51,581.36,12
HCPCS,80438,TRH stimulation panel,,,36.22,321.35,12
HCPCS,80439,TRH stimulation panel,,,48.3,428.47,12
HCPCS,80503,HC PATH CLINICAL CONSULT STRAIGTFORWARD MDM 5-20 MINS,305.0,305.0,,,0
HCPCS,80503,HC PR PATH CLINICAL CONSULT STRAIGTFORWARD MDM 5-20 MINS,105.0,105.0,,,0
HCPCS,80503,Path clin consltj sf 5-20,,,36.47,280.46,11
HCPCS,80504,HC PATH CLINICAL CONSULT MODERATE LEVEL MDM 21-40 MINS,346.0,346.0,,,0
HCPCS,80504,HC PR PATH CLINICAL CONSULT MODERATE LEVEL MDM 21-40 MINS,120.0,120.0,,,0
HCPCS,80504,Path clin consltj mod 21-40,,,109.46,805.19,11
HCPCS,80505,HC PATH CLINICAL CONSULT HIGH LEVEL MDM 41-60 MINS,412.0,412.0,,,0
HCPCS,80505,HC PR PATH CLINICAL CONSULT HIGH LEVEL MDM 41-60 MINS,217.0,217.0,,,0
HCPCS,80505,Path clin consltj high 41-60,,,109.46,805.19,11
HCPCS,80506,HC PATH CLINICAL CONSULT PROLONGED SVC EA ADDL 30 MINS,197.0,197.0,,,0
HCPCS,80506,HC PR PATH CLINICAL CONSULT PROLONGED SVC EA ADDL 30 MINS,78.0,78.0,,,0
HCPCS,80506,Path clin consltj prolng svc,,,60.66,689.7,3
HCPCS,81000,Urinalysis nonauto w/scope,,,2.89,20.15,12
HCPCS,81001,HC URINALYSIS W/MICRO,25.0,25.0,,,0
HCPCS,81001,Urinalysis auto w/scope,,,2.28,20.15,12
HCPCS,81002,HC URINALYSIS BY DIPSTICK,20.0,20.0,,,0
HCPCS,81002,Urinalysis nonauto w/o scope,,,2.5,16.31,12
HCPCS,81003,HC ROUTINE URINALYSIS,27.0,27.0,,,0
HCPCS,81003,HC URINALYSIS DIP STICK/TABLET AUTO WO MICRO SEND OUT,27.0,27.0,,,0
HCPCS,81003,Urinalysis auto w/o scope,,,1.62,13.99,12
HCPCS,81005,Urinalysis,,,1.56,13.82,12
HCPCS,81007,Urine screen for bacteria,,,5.09,138.77,12
HCPCS,81015,HC DETECTION OF SPERM IN URINE,24.7,24.7,,,0
HCPCS,81015,Microscopic exam of urine,,,2.19,19.39,12
HCPCS,81020,Urinalysis glass test,,,3.38,23.51,12
HCPCS,81025,HC PREGNANCY TEST URINE,37.0,37.0,,,0
HCPCS,81025,HC URINE HCG POCT,37.0,37.0,,,0
HCPCS,81025,Urine pregnancy test,,,6.19,40.33,12
HCPCS,81050,HC URINE MEASUREMENT,23.7,23.7,,,0
HCPCS,81050,Urinalysis volume measure,,,2.62,19.13,12
HCPCS,81099,Urinalysis test procedure,,,34.68,34.68,1
HCPCS,81105,Hpa-1 genotyping,,,87.83,755.0,12
HCPCS,81106,Hpa-2 genotyping,,,87.83,755.0,12
HCPCS,81107,Hpa-3 genotyping,,,87.83,755.0,12
HCPCS,81108,Hpa-4 genotyping,,,87.83,755.0,12
HCPCS,81109,Hpa-5 genotyping,,,87.83,755.0,12
HCPCS,81110,Hpa-6 genotyping,,,87.83,755.0,12
HCPCS,81111,Hpa-9 genotyping,,,87.83,755.0,12
HCPCS,81112,Hpa-15 genotyping,,,87.83,755.0,12
HCPCS,81120,Idh1 common variants,,,138.87,894.48,12
HCPCS,81121,Idh2 common variants,,,212.55,1369.14,12
HCPCS,81161,DMD dup/delet analysis,,,196.5,3530.79,11
HCPCS,81162,Brca1&2 seq & full dup/del,,,1311.36,11272.91,12
HCPCS,81163,Brca1&2 gene full seq alys,,,336.3,3818.55,12
HCPCS,81164,Brca1&2 gen ful dup/del alys,,,419.83,2704.22,12
HCPCS,81165,Brca1 gene full seq alys,,,203.28,1309.36,12
HCPCS,81166,Brca1 gene full dup/del alys,,,216.55,1394.86,12
HCPCS,81167,Brca2 gene full dup/del alys,,,203.28,1309.36,12
HCPCS,81168,Ccnd1/igh translocation alys,,,148.97,1280.65,12
HCPCS,81170,Abl1 gene,,,215.58,1494.29,12
HCPCS,81171,Aff2 gene detc abnor alleles,,,98.45,634.14,12
HCPCS,81172,Aff2 gene charac alleles,,,197.49,1272.08,12
HCPCS,81173,Ar gene full gene sequence,,,216.55,1394.86,12
HCPCS,81174,Ar gene known famil variant,,,133.08,962.02,12
HCPCS,81175,Asxl1 full gene sequence,,,486.13,3537.68,12
HCPCS,81176,Asxl1 gene target seq alys,,,173.83,1494.29,12
HCPCS,81177,Atn1 gene detc abnor alleles,,,98.45,634.14,12
HCPCS,81178,Atxn1 gene detc abnor allele,,,98.45,634.14,12
HCPCS,81179,Atxn2 gene detc abnor allele,,,98.45,634.14,12
HCPCS,81180,Atxn3 gene detc abnor allele,,,98.45,634.14,12
HCPCS,81181,Atxn7 gene detc abnor allele,,,98.45,634.14,12
HCPCS,81182,Atxn8os gen detc abnor allel,,,98.45,634.14,12
HCPCS,81183,Atxn10 gene detc abnor allel,,,98.45,634.14,12
HCPCS,81184,Cacna1a gen detc abnor allel,,,98.45,634.14,12
HCPCS,81185,Cacna1a gene full gene seq,,,608.13,3917.11,12
HCPCS,81186,Cacna1a gen known famil vrnt,,,133.08,962.02,12
HCPCS,81187,Cnbp gene detc abnor allele,,,98.45,634.14,12
HCPCS,81188,Cstb gene detc abnor allele,,,98.45,634.14,12
HCPCS,81189,Cstb gene full gene sequence,,,197.49,1272.08,12
HCPCS,81190,Cstb gene known famil vrnt,,,133.08,962.02,12
HCPCS,81191,Ntrk1 translocation analysis,,,148.97,1280.65,12
HCPCS,81192,Ntrk2 translocation analysis,,,148.97,1280.65,12
HCPCS,81193,Ntrk3 translocation analysis,,,148.97,1280.65,12
HCPCS,81194,Ntrk translocation analysis,,,372.44,3201.66,12
HCPCS,81195,Cytog genom-wid alys hem mal,,,1263.53,7832.05,8
HCPCS,81200,Aspa gene,,,33.95,552.14,12
HCPCS,81201,Apc gene full sequence,,,560.51,3610.4,12
HCPCS,81202,Apc gene known fam variants,,,135.39,1296.01,12
HCPCS,81203,Apc gene dup/delet variants,,,143.72,1570.84,12
HCPCS,81204,Ar gene charac alleles,,,98.45,634.14,12
HCPCS,81205,Bckdhb gene,,,68.26,505.25,12
HCPCS,81206,Bcr/abl1 gene major bp,,,117.82,1012.87,12
HCPCS,81206,HC ABL QUANT BUNDLED,363.0,363.0,,,0
HCPCS,81206,HC BCR ABL,363.0,363.0,,,0
HCPCS,81206,HC BCR-ABL P210 QUANTITATIVE ASSAY,363.0,363.0,,,0
HCPCS,81207,Bcr/abl1 gene minor bp,,,104.08,894.69,12
HCPCS,81207,HC BCR/ABL1 TRNSLC ANALY MINOR BREAKPNT QUALITATIVE/QUANTITATIVE SO,955.0,955.0,,,0
HCPCS,81208,Bcr/abl1 gene other bp,,,154.23,993.58,12
HCPCS,81209,Blm gene,,,28.25,243.89,12
HCPCS,81210,Braf gene,,,126.04,811.85,12
HCPCS,81210,HC BRAF,362.0,362.0,,,0
HCPCS,81212,Brca1&2 185&5385&6174 var,,,247.77,2036.61,12
HCPCS,81215,Brca1 gene known fam variant,,,130.74,1736.93,12
HCPCS,81216,Brca2 gene full sequence,,,133.03,3845.29,12
HCPCS,81217,Brca2 gene known fam variant,,,130.74,1736.93,12
HCPCS,81218,Cebpa gene full sequence,,,173.83,1494.29,12
HCPCS,81219,Calr gene com variants,,,87.4,751.29,12
HCPCS,81219,HC CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9 SEND OUT,803.0,803.0,,,0
HCPCS,81220,Cftr gene com variants,,,399.97,2995.09,12
HCPCS,81220,HC CYSTIC FIBROSIS PCR BUNDLED,1790.0,1790.0,,,0
HCPCS,81221,Cftr gene known fam variants,,,69.86,450.02,12
HCPCS,81222,Cftr gene dup/delet variants,,,312.64,2064.06,12
HCPCS,81223,Cftr gene full sequence,,,358.58,4051.76,12
HCPCS,81224,Cftr gene intron poly t,,,121.26,781.11,12
HCPCS,81224,HC CYSTIC FIB POLY T BUNDLED,256.0,256.0,,,0
HCPCS,81225,Cyp2c19 gene com variants,,,209.37,1348.62,12
HCPCS,81226,Cyp2d6 gene com variants,,,324.02,2087.11,12
HCPCS,81227,Cyp2c9 gene com variants,,,125.62,809.16,12
HCPCS,81228,Cytogen micrarray copy nmbr,,,646.74,4165.8,12
HCPCS,81229,Cytogen m array copy no&snp,,,833.58,5369.28,12
HCPCS,81229,HC INTERROGATION OF GENOMIC REGIONS SNP SEND OUT,4988.0,4988.0,,,0
HCPCS,81230,Cyp3a4 gene common variants,,,125.62,809.16,12
HCPCS,81231,Cyp3a5 gene common variants,,,125.62,809.16,12
HCPCS,81232,Dpyd gene common variants,,,125.62,809.16,12
HCPCS,81233,Btk gene common variants,,,126.04,811.85,12
HCPCS,81234,Dmpk gene detc abnor allele,,,98.45,634.14,12
HCPCS,81235,Egfr gene com variants,,,233.24,1502.4,12
HCPCS,81235,HC EGFR BUNDLED,1060.0,1060.0,,,0
HCPCS,81235,HC EGFRA MUTATION BUNDLED,1060.0,1060.0,,,0
HCPCS,81236,Ezh2 gene full gene sequence,,,203.28,1309.36,12
HCPCS,81237,Ezh2 gene common variants,,,126.04,811.85,12
HCPCS,81238,F9 full gene sequence,,,431.16,2777.22,12
HCPCS,81239,Dmpk gene charac alleles,,,197.49,1272.08,12
HCPCS,81240,F2 gene,,,47.2,304.07,12
HCPCS,81240,HC PROTHROMBIN GENE MUTATION,241.0,241.0,,,0
HCPCS,81241,F5 gene,,,52.72,377.5,12
HCPCS,81241,HC FACTOR V DNA,352.0,352.0,,,0
HCPCS,81242,Fancc gene,,,26.32,305.58,12
HCPCS,81243,Fmr1 gene detection,,,40.99,323.12,12
HCPCS,81244,Fmr1 gene characterization,,,32.26,207.78,12
HCPCS,81245,Flt3 gene,,,118.94,766.1,12
HCPCS,81245,HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUPL VARIANTS,713.0,713.0,,,0
HCPCS,81245,HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUPL VARIANTS SEND OUT,810.0,810.0,,,0
HCPCS,81246,Flt3 gene analysis,,,59.64,751.29,12
HCPCS,81246,HC FLT3 GENE ANALYSIS TYROSINE KINASE DOMAIN VARIANTS,645.0,645.0,,,0
HCPCS,81246,HC FLT3 GENE ANALYSIS TYROSINE KINASE DOMAIN VARIANTS SEND OUT,707.0,707.0,,,0
HCPCS,81247,G6pd gene alys cmn variant,,,125.62,809.16,12
HCPCS,81248,G6pd known familial variant,,,269.65,1736.93,12
HCPCS,81249,G6pd full gene sequence,,,431.16,2777.22,12
HCPCS,81250,G6pc gene,,,42.03,382.0,12
HCPCS,81251,Gba gene,,,33.95,737.16,12
HCPCS,81252,Gjb2 gene full sequence,,,72.66,582.9,12
HCPCS,81253,Gjb2 gene known fam variants,,,44.21,284.76,12
HCPCS,81254,Gjb6 gene com variants,,,25.15,161.98,12
HCPCS,81255,Hexa gene,,,36.97,798.85,12
HCPCS,81256,HC HEMACHROMATOSIS DNA,407.0,407.0,,,0
HCPCS,81256,Hfe gene,,,46.97,403.76,12
HCPCS,81257,Hba1/hba2 gene,,,73.48,475.78,12
HCPCS,81258,Hba1/hba2 gene fam vrnt,,,269.65,1736.93,12
HCPCS,81259,Hba1/hba2 full gene sequence,,,431.16,2777.22,12
HCPCS,81260,Ikbkap gene,,,28.25,379.8,12
HCPCS,81261,HC IGH PCR,861.0,861.0,,,0
HCPCS,81261,Igh gene rearrange amp meth,,,142.28,1223.06,12
HCPCS,81262,Igh gene rearrang dir probe,,,49.26,317.29,12
HCPCS,81263,Igh vari regional mutation,,,211.64,1819.31,12
HCPCS,81264,Igk rearrangeabn clonal pop,,,124.12,922.44,12
HCPCS,81265,HC CHIMERISM GENOTYPING,1250.0,1250.0,,,0
HCPCS,81265,HC COMPARATIVE ANALYSIS USING STR SEND OUT,1250.0,1250.0,,,0
HCPCS,81265,Str markers specimen anal,,,167.48,1650.76,12
HCPCS,81266,Str markers spec anal addl,,,219.04,1410.86,11
HCPCS,81267,Chimerism anal no cell selec,,,149.08,2880.27,12
HCPCS,81267,HC CHIMERISM MONITORING,1250.0,1250.0,,,0
HCPCS,81268,Chimerism anal w/cell select,,,187.4,1610.97,12
HCPCS,81268,HC CHIMERISM SUB POP,941.0,941.0,,,0
HCPCS,81269,Hba1/hba2 gene dup/del vrnts,,,145.44,936.87,12
HCPCS,81270,HC JAK2 GENE ANALYSIS P.VAL617PHE VARIANT SEND OUT,424.0,424.0,,,0
HCPCS,81270,HC JAK2 MUTATION BY PCR,424.0,424.0,,,0
HCPCS,81270,Jak2 gene,,,65.87,566.27,12
HCPCS,81271,Htt gene detc abnor alleles,,,98.45,634.14,12
HCPCS,81272,Kit gene targeted seq analys,,,236.79,1525.21,12
HCPCS,81273,Kit gene analys d816 variant,,,89.73,577.99,12
HCPCS,81274,Htt gene charac alleles,,,197.49,1272.08,12
HCPCS,81275,HC KRAS,540.0,540.0,,,0
HCPCS,81275,Kras gene variants exon 2,,,138.87,894.48,12
HCPCS,81276,Kras gene addl variants,,,138.87,894.48,12
HCPCS,81277,Cytogenomic neo microra alys,,,833.58,5369.28,12
HCPCS,81278,HC BCL 2 PCR,915.0,915.0,,,0
HCPCS,81278,Igh@/bcl2 translocation alys,,,148.97,1280.65,12
HCPCS,81279,Jak2 gene trgt sequence alys,,,133.08,962.02,12
HCPCS,81283,Ifnl3 gene,,,52.72,377.5,12
HCPCS,81284,Fxn gene detc abnor alleles,,,98.45,634.14,12
HCPCS,81285,Fxn gene charac alleles,,,197.49,1272.08,12
HCPCS,81286,Fxn gene full gene sequence,,,197.49,1272.08,12
HCPCS,81287,HC MGMT METHYLATION ANALYSIS,1250.0,1250.0,,,0
HCPCS,81287,Mgmt gene methylation anal,,,89.57,2139.87,11
HCPCS,81288,Mlh1 gene,,,138.2,1975.53,12
HCPCS,81289,Fxn gene known famil variant,,,133.08,962.02,12
HCPCS,81290,Mcoln1 gene,,,28.25,305.58,12
HCPCS,81291,HC MTHFR,374.0,374.0,,,0
HCPCS,81291,HC MTHFR GENE ANALYSIS COMMON VARIANTS SEND OUT,374.0,374.0,,,0
HCPCS,81291,Mthfr gene,,,46.95,302.42,12
HCPCS,81292,Mlh1 gene full seq,,,485.34,3126.23,12
HCPCS,81293,Mlh1 gene known variants,,,237.86,1532.11,12
HCPCS,81294,Mlh1 gene dup/delete variant,,,145.44,1420.69,12
HCPCS,81295,Msh2 gene full seq,,,212.73,2201.01,12
HCPCS,81296,Msh2 gene known variants,,,181.63,1563.25,12
HCPCS,81297,Msh2 gene dup/delete variant,,,153.28,1259.9,12
HCPCS,81298,Msh6 gene full seq,,,403.6,3118.1,12
HCPCS,81299,Msh6 gene known variants,,,221.33,1425.64,12
HCPCS,81300,Msh6 gene dup/delete variant,,,171.03,1101.63,12
HCPCS,81301,HC MICROSATELLITE INSTABILITY BY PCR,1782.0,1782.0,,,0
HCPCS,81301,Microsatellite instability,,,250.48,1788.74,12
HCPCS,81302,Mecp2 gene full seq,,,370.98,2443.35,12
HCPCS,81303,Mecp2 gene known variant,,,86.23,555.45,11
HCPCS,81304,Mecp2 gene dup/delet variant,,,107.79,769.32,12
HCPCS,81305,Myd88 gene p.leu265pro vrnt,,,126.04,811.85,12
HCPCS,81306,Nudt15 gene common variants,,,209.37,1348.62,12
HCPCS,81307,Palb2 gene full gene seq,,,396.65,3537.68,12
HCPCS,81308,Palb2 gene known famil vrnt,,,216.55,1394.86,12
HCPCS,81309,Pik3ca gene trgt seq alys,,,197.49,1272.08,12
HCPCS,81310,Npm1 gene,,,152.78,1141.06,12
HCPCS,81311,Nras gene variants exon 2&3,,,212.55,1369.14,12
HCPCS,81312,Pabpn1 gene detc abnor allel,,,98.45,634.14,12
HCPCS,81313,Pca3/klk3 antigen,,,183.28,1280.65,12
HCPCS,81314,Pdgfra gene,,,236.79,1525.21,12
HCPCS,81315,Pml/raralpha com breakpoints,,,148.97,1280.65,12
HCPCS,81316,Pml/raralpha 1 breakpoint,,,148.97,1953.33,12
HCPCS,81317,Pms2 gene full seq analysis,,,486.13,3537.68,12
HCPCS,81318,Pms2 known familial variants,,,237.86,1532.11,12
HCPCS,81319,Pms2 gene dup/delet variants,,,146.24,1003.68,12
HCPCS,81320,Plcg2 gene common variants,,,209.37,1348.62,12
HCPCS,81321,Pten gene full sequence,,,431.16,2777.22,12
HCPCS,81322,Pten gene known fam variant,,,33.49,264.44,12
HCPCS,81323,Pten gene dup/delet variant,,,122.83,1388.59,12
HCPCS,81324,Pmp22 gene dup/delet,,,544.96,3510.2,12
HCPCS,81325,Pmp22 gene full sequence,,,553.02,3562.14,11
HCPCS,81326,Pmp22 gene known fam variant,,,33.49,509.29,11
HCPCS,81327,Sept9 methylation analysis,,,117.32,888.7,12
HCPCS,81328,Slco1b1 gene com variants,,,125.62,809.16,12
HCPCS,81329,HC SMN1 GENE ANALY DOSAGE/DELET ALYS INCL SMN2 ALYS IF PERF SENDOUT,605.0,605.0,,,0
HCPCS,81329,Smn1 gene dos/deletion alys,,,98.45,634.14,12
HCPCS,81330,Smpd1 gene common variants,,,33.77,490.52,12
HCPCS,81331,Snrpn/ube3a gene,,,36.7,236.37,12
HCPCS,81332,HC ANTITRYPSIN P1 TYPE BUNDLED,374.0,374.0,,,0
HCPCS,81332,Serpina1 gene,,,31.37,269.64,12
HCPCS,81333,Tgfbi gene common variants,,,98.45,634.14,12
HCPCS,81334,Runx1 gene targeted seq alys,,,236.79,1525.21,12
HCPCS,81335,Tpmt gene com variants,,,125.62,809.16,12
HCPCS,81336,Smn1 gene full gene sequence,,,216.55,1394.86,12
HCPCS,81337,Smn1 gen nown famil seq vrnt,,,133.08,962.02,12
HCPCS,81338,HC MPL GENE ANALYSIS COMMON VARIANTS SEND OUT,835.0,835.0,,,0
HCPCS,81338,Mpl gene common variants,,,108.03,695.84,12
HCPCS,81339,Mpl gene seq alys exon 10,,,133.08,962.02,12
HCPCS,81340,HC T CELL BETA CLONALITY,861.0,861.0,,,0
HCPCS,81340,Trb@ gene rearrange amplify,,,150.13,1290.57,12
HCPCS,81341,Trb@ gene rearrange dirprobe,,,35.64,306.32,12
HCPCS,81342,HC T CELL GAMMA CLONALITY,861.0,861.0,,,0
HCPCS,81342,Trg gene rearrangement anal,,,144.8,1244.75,12
HCPCS,81343,Ppp2r2b gen detc abnor allel,,,98.45,634.14,12
HCPCS,81344,Tbp gene detc abnor alleles,,,98.45,634.14,12
HCPCS,81345,Tert gene targeted seq alys,,,133.08,962.02,12
HCPCS,81346,Tyms gene com variants,,,125.62,809.16,12
HCPCS,81347,Sf3b1 gene common variants,,,138.87,894.48,12
HCPCS,81348,Srsf2 gene common variants,,,126.04,811.85,12
HCPCS,81349,Cytog alys chrml abnr lw-ps,,,1197.94,5248.18,7
HCPCS,81350,Ugt1a1 gene,,,135.43,1083.12,12
HCPCS,81351,Tp53 gene full gene sequence,,,461.23,2970.93,12
HCPCS,81352,Tp53 gene trgt sequence alys,,,236.79,1525.21,12
HCPCS,81353,Tp53 gene known famil vrnt,,,221.33,1425.64,12
HCPCS,81354,Cytog alys chrml abnor ogm,,,1263.53,5311.25,4
HCPCS,81355,Vkorc1 gene,,,63.38,408.25,12
HCPCS,81357,U2af1 gene common variants,,,138.87,894.48,12
HCPCS,81360,Zrsr2 gene common variants,,,138.87,894.48,12
HCPCS,81361,Hbb gene com variants,,,125.62,809.16,12
HCPCS,81362,Hbb gene known fam variant,,,269.65,1736.93,12
HCPCS,81363,Hbb gene dup/del variants,,,145.44,936.87,12
HCPCS,81364,Hbb full gene sequence,,,233.24,1502.4,12
HCPCS,81370,HC HLA TYPING LOW RESOLUTION,3212.0,3212.0,,,0
HCPCS,81370,Hla i & ii typing lr,,,288.96,2484.06,12
HCPCS,81371,HC VERI TYPING LOW RESOLUTION,1922.0,1922.0,,,0
HCPCS,81371,Hla i & ii type verify lr,,,290.69,1872.39,12
HCPCS,81372,Hla i typing complete lr,,,290.02,1868.09,12
HCPCS,81373,Hla i typing 1 locus lr,,,91.57,687.94,12
HCPCS,81374,Hla i typing 1 antigen lr,,,53.41,594.94,12
HCPCS,81375,Hla ii typing ag equiv lr,,,158.62,1363.61,12
HCPCS,81376,"HC HLA TYPING ONE LOCUS (DPA/B, DQA/B, DRB1, DRB3/4/5)",802.0,802.0,,,0
HCPCS,81376,Hla ii typing 1 locus lr,,,87.83,755.0,12
HCPCS,81377,Hla ii type 1 ag equiv lr,,,68.08,567.13,12
HCPCS,81378,HC HLA TYPING HR ABCDR,2760.0,2760.0,,,0
HCPCS,81378,Hla i & ii typing hr,,,248.33,2134.68,12
HCPCS,81379,Hla i typing complete hr,,,241.0,2071.74,12
HCPCS,81380,Hla i typing 1 locus hr,,,127.37,1094.92,12
HCPCS,81381,HC HLA B 5701 TYPING,425.0,425.0,,,0
HCPCS,81381,HC HLAB 1502 CARBAMAZEP BUNDLED,425.0,425.0,,,0
HCPCS,81381,Hla i typing 1 allele hr,,,122.09,786.4,12
HCPCS,81382,Hla ii typing 1 loc hr,,,88.88,764.01,12
HCPCS,81383,HC HLA TYPING DQ,872.0,872.0,,,0
HCPCS,81383,Hla ii typing 1 allele hr,,,78.42,674.13,12
HCPCS,81400,Mopath procedure level 1,,,45.96,296.05,12
HCPCS,81401,HC APOE BUNDLED,360.0,360.0,,,0
HCPCS,81401,HC SEND OUT LEVEL 2 MOLECULAR PATH PROC,360.0,360.0,,,0
HCPCS,81401,Mopath procedure level 2,,,98.45,634.14,12
HCPCS,81402,HC BCL 2 PCR,362.0,362.0,,,0
HCPCS,81402,Mopath procedure level 3,,,108.03,695.84,12
HCPCS,81403,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,797.0,797.0,,,0
HCPCS,81403,Mopath procedure level 4,,,133.08,962.02,12
HCPCS,81404,Mopath procedure level 5,,,197.49,1272.08,12
HCPCS,81405,Mopath procedure level 6,,,216.55,1394.86,12
HCPCS,81406,Mopath procedure level 7,,,203.28,1309.36,12
HCPCS,81407,Mopath procedure level 8,,,608.13,4402.02,12
HCPCS,81408,Mopath procedure level 9,,,1437.2,9257.36,11
HCPCS,81410,Aortic dysfunction/dilation,,,362.17,9033.0,12
HCPCS,81411,Aortic dysfunction/dilation,,,970.25,6249.6,12
HCPCS,81412,Ashkenazi jewish assoc dis,,,844.26,11333.63,11
HCPCS,81413,Car ion chnnlpath inc 10 gns,,,420.31,9033.0,12
HCPCS,81414,Car ion chnnlpath inc 2 gns,,,420.31,3629.96,12
HCPCS,81415,Exome sequence analysis,,,3434.91,22125.12,11
HCPCS,81416,Exome sequence analysis,,,6113.92,55544.21,11
HCPCS,81417,Exome re-evaluation,,,229.95,1481.16,11
HCPCS,81418,Rx metab gen seq alys pnl 6,,,917.08,4149.15,7
HCPCS,81419,Epilepsy gen seq alys panel,,,1759.54,11333.63,12
HCPCS,81420,Fetal chrmoml aneuploidy,,,545.45,3599.76,12
HCPCS,81422,Fetal chrmoml microdeltj,,,545.45,3629.96,12
HCPCS,81425,Genome sequence analysis,,,0.01,23287.82,11
HCPCS,81426,Genome sequence analysis,,,0.01,12543.52,11
HCPCS,81427,Genome re-evaluation,,,0.01,10820.25,11
HCPCS,81430,Hearing loss sequence analys,,,1167.73,18066.0,12
HCPCS,81431,Hearing loss dup/del analys,,,488.34,3145.5,12
HCPCS,81432,Hrdtry brst ca-rlatd dsordrs,,,487.97,5481.15,11
HCPCS,81433,Hrdtry brst ca-rlatd dsordrs,,,315.42,2031.68,5
HCPCS,81434,Hereditary retinal disorders,,,429.66,2767.54,11
HCPCS,81435,Hereditary colon ca dsordrs,,,420.31,9033.0,12
HCPCS,81436,Hereditary colon ca dsordrs,,,420.31,2707.31,5
HCPCS,81437,Heredtry nurondcrn tum dsrdr,,,315.42,5481.15,11
HCPCS,81438,Heredtry nurondcrn tum dsrdr,,,315.42,2031.68,5
HCPCS,81439,Inherited cardmypthy 5 gns,,,420.31,9033.0,12
HCPCS,81440,Mitochondrial gene,,,2388.63,20775.91,12
HCPCS,81441,Ibmfs seq alys pnl 30 genes,,,1759.54,11087.08,12
HCPCS,81442,HC NOONAN SPECTRUM DISORDERS SEND OUT,3100.0,3100.0,,,0
HCPCS,81442,Noonan spectrum disorders,,,844.26,9922.06,11
HCPCS,81443,Genetic tstg severe inh cond,,,1759.54,11333.63,12
HCPCS,81445,HC LUNG AND THYROID CANCER FUSION PANEL,1375.0,1375.0,,,0
HCPCS,81445,HC NEURO-ONCOLOGY FUSION PANEL,1375.0,1375.0,,,0
HCPCS,81445,HC SARCOMA FUSION PANEL,1375.0,1375.0,,,0
HCPCS,81445,HC TARGETED GENOMIC SEQ ANALY PNL SOLID ORG NEO 5-50 GENES,1375.0,1375.0,,,0
HCPCS,81445,Targeted genomic seq analys,,,125.96,13549.5,12
HCPCS,81448,Hrdtry perph neurphy panel,,,420.31,9033.0,12
HCPCS,81449,HC FUSION PANEL LUNG THYROID SALIVARY GLAND TISSUE NGS,1375.0,1375.0,,,0
HCPCS,81449,HC FUSION PANEL NEURO ONCOLOGY TISSUE NGS,1375.0,1375.0,,,0
HCPCS,81449,HC FUSION PANEL SARCOMA TISSUE NGS,1375.0,1375.0,,,0
HCPCS,81449,Tgsap so neo 5-50 rna alys,,,429.66,13549.5,12
HCPCS,81450,HC TARGET GENOMIC SEQ ANALY PNL HEMATOLYMPHD NEO 5-50 GENES,1375.0,1375.0,,,0
HCPCS,81450,Targeted genomic seq analys,,,125.96,13549.5,12
HCPCS,81451,HC ACTIONABLE MUTATION PANEL BLOOD NGS,1375.0,1375.0,,,0
HCPCS,81451,HC ACTIONABLE MUTATION PANEL BMA NGS,1375.0,1375.0,,,0
HCPCS,81451,Tgsap hl neo 5-50 rna alys,,,545.8,13549.5,12
HCPCS,81455,HC COMPREHENSIVE HEMATOLYMPHOID MUTATION PANEL,5696.0,5696.0,,,0
HCPCS,81455,HC COMPREHENSIVE SOLID TUMOR FUSION PANEL,5696.0,5696.0,,,0
HCPCS,81455,HC SOLID ORGAN/HEMATOLYMPHOID NEO/DO 51/>GSAP DNA/DNA&RNA SEND OUT,5696.0,5696.0,,,0
HCPCS,81455,Targeted genomic seq analys,,,2098.02,20775.91,12
HCPCS,81456,HC FUSION PANEL COMPREHENSIVE SOLID TUMOR TISSUE NGS,5720.0,5720.0,,,0
HCPCS,81456,Tgsap so/hl 51/< rna alys,,,2098.02,13549.5,12
HCPCS,81457,So neo gsap dna mcrstl ins,,,896.87,4057.69,7
HCPCS,81458,So gsap dna cpy nmbr&mcrstl,,,1046.35,4734.01,7
HCPCS,81459,So neo gsap dna/dna&rna,,,2989.55,13525.64,7
HCPCS,81460,Whole mitochondrial genome,,,924.84,16259.41,12
HCPCS,81462,So gsap cll fr dna/dna&rna,,,1195.83,5410.33,7
HCPCS,81463,So gsap cl fr cpy nmbr&mcrst,,,1345.31,6086.59,7
HCPCS,81464,So gsap cll fr mcrstl ins,,,3288.51,14878.22,7
HCPCS,81465,Whole mitochondrial genome,,,672.61,7031.01,12
HCPCS,81470,X-linked intellectual dblt,,,656.8,18066.0,12
HCPCS,81471,X-linked intellectual dblt,,,0.01,4230.6,12
HCPCS,81479,Unlisted molecular pathology,,,275.13,275.13,1
HCPCS,81490,Autoimmune rheumatoid arthr,,,604.09,3891.12,11
HCPCS,81493,Cor artery disease mrna,,,754.53,4860.12,11
HCPCS,81500,Onco (ovar) two proteins,,,187.2,1205.77,11
HCPCS,81503,Onco (ovar) five proteins,,,644.58,4151.91,11
HCPCS,81504,Oncology tissue of origin,,,373.67,2406.92,11
HCPCS,81506,Endo assay seven anal,,,49.53,319.0,11
HCPCS,81507,Fetal aneuploidy trisom risk,,,571.29,3679.8,12
HCPCS,81508,Ftl cgen abnor two proteins,,,39.02,534.97,11
HCPCS,81508,HC FETAL CONGENITAL ABNOR ASSAY TWO PROTEINS UTIL MATRNL SERUM,95.0,95.0,,,0
HCPCS,81509,Ftl cgen abnor 3 proteins,,,354.61,6884.59,11
HCPCS,81510,Ftl cgen abnor three anal,,,39.91,577.77,11
HCPCS,81511,Ftl cgen abnor four anal,,,110.31,748.96,11
HCPCS,81511,HC FETAL CONGENITAL ABNOR ASSAY FOUR ANAL UTIL MATERN SERUM,245.0,245.0,,,0
HCPCS,81512,Ftl cgen abnor five anal,,,49.96,1497.91,11
HCPCS,81513,HC INFCT DIS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG,776.0,776.0,,,0
HCPCS,81513,Nfct ds bv rna vag flu alg,,,102.49,660.17,12
HCPCS,81514,HC INFCT DS BACT VAGINOSIS&VAGINITIS DNA VAG FLU ALG,625.0,625.0,,,0
HCPCS,81514,Nfct ds bv&vaginitis dna alg,,,188.98,1217.28,12
HCPCS,81515,Nfct ds bv&vaginitis dna alg,,,262.99,1189.83,8
HCPCS,81517,HC LIVER DISEASE ANALY 3 BIOMARKERS USING IMMUNOASSAY SERUM PROG ALGO,705.0,705.0,,,0
HCPCS,81517,Liver ds alys 3 bmrk srm alg,,,126.61,797.79,11
HCPCS,81518,Onc brst mrna 11 genes,,,2783.14,17926.92,12
HCPCS,81519,Oncology breast mrna,,,2783.14,17926.92,11
HCPCS,81520,Onc breast mrna 58 genes,,,1803.84,14032.36,12
HCPCS,81521,Onc breast mrna 70 genes,,,2783.14,17926.92,12
HCPCS,81522,Onc breast mrna 12 genes,,,2783.14,17926.92,12
HCPCS,81523,Onc brst mrna 70 cnt 31 gene,,,2783.14,17926.92,12
HCPCS,81525,Oncology colon mrna,,,1960.06,14422.99,11
HCPCS,81528,Oncology colorectal scr,,,365.67,2355.39,12
HCPCS,81529,Onc cutan mlnma mrna 31 gene,,,5168.89,33294.12,11
HCPCS,81535,Oncology gynecologic,,,416.4,2682.13,12
HCPCS,81536,Oncology gynecologic,,,127.59,821.89,12
HCPCS,81538,Oncology lung,,,2063.1,13288.96,11
HCPCS,81539,Oncology prostate prob score,,,458.05,3517.82,12
HCPCS,81540,Oncology tum unknown origin,,,2694.75,17357.57,11
HCPCS,81541,Onc prostate mrna 46 genes,,,2783.14,17926.92,12
HCPCS,81542,Onc prostate mrna 22 cnt gen,,,2783.14,17926.92,11
HCPCS,81546,"Onc thyr mrna 10,196 gen alg",,,2586.96,16663.26,12
HCPCS,81551,Onc prostate 3 genes,,,1458.76,9396.22,11
HCPCS,81552,Onc uveal mlnma mrna 15 gene,,,5587.83,35992.65,11
HCPCS,81554,Pulm ds ipf mrna 190 gen alg,,,3952.3,25457.79,11
HCPCS,81558,Trnspl rej kdn mrna qpcr 139,,,3240.0,14670.72,8
HCPCS,81560,Trnsplj pd lvr&bwl cd154+cll,,,640.73,2898.85,7
HCPCS,81595,Cardiology hrt trnspl mrna,,,2328.26,14996.94,11
HCPCS,81596,Nfct ds chrnc hcv 6 assays,,,51.88,334.14,12
HCPCS,82009,Test for acetone/ketones,,,3.25,28.81,12
HCPCS,82010,Acetone assay,,,5.87,52.11,12
HCPCS,82010,HC ACETONE QUANT,65.6,65.6,,,0
HCPCS,82010,HC BETA HYDROXYBUTYRATE,65.6,65.6,,,0
HCPCS,82013,Acetylcholinesterase assay,,,8.83,71.23,12
HCPCS,82016,Acylcarnitines qual,,,11.85,88.4,12
HCPCS,82017,Acylcarnitines quant,,,12.12,107.57,12
HCPCS,82017,HC ACYLCARNITINE QUANT SO,107.0,107.0,,,0
HCPCS,82024,Assay of acth,,,27.75,246.26,12
HCPCS,82024,HC ACTH SO,308.5,308.5,,,0
HCPCS,82030,Assay of adp & amp,,,18.54,164.47,12
HCPCS,82030,HC CYCLIC AMP BLOOD/URINE,206.0,206.0,,,0
HCPCS,82040,Assay of serum albumin,,,3.56,30.79,12
HCPCS,82040,HC ALBUMIN,23.5,23.5,,,0
HCPCS,82040,HC ALBUMIN SO,23.5,23.5,,,0
HCPCS,82040,HC B BURGDOFERI ALBUMIN SERUM,23.5,23.5,,,0
HCPCS,82042,Assay of urine albumin,,,5.59,36.03,12
HCPCS,82042,HC B BURGDOFERI ALBUMIN CSF,41.9,41.9,,,0
HCPCS,82042,HC BODY FLUID ALBUMIN,41.9,41.9,,,0
HCPCS,82042,HC CSF ALBUMIN,41.9,41.9,,,0
HCPCS,82043,HC URINE MICROALBUMIN 24 HR,56.2,56.2,,,0
HCPCS,82043,HC URINE MICROALBUMIN RANDOM,56.2,56.2,,,0
HCPCS,82043,Microalbumin quantitative,,,4.15,36.88,12
HCPCS,82044,Microalbumin semiquant,,,4.48,29.18,12
HCPCS,82045,Albumin ischemia modified,,,24.39,216.47,12
HCPCS,82075,Assay of breath ethanol,,,21.56,138.86,12
HCPCS,82077,Assay spec xcp ur&breath ia,,,0.07,80.6,12
HCPCS,82085,Assay of aldolase,,,6.98,61.9,12
HCPCS,82085,HC ALDOLASE,77.0,77.0,,,0
HCPCS,82088,Assay of aldosterone,,,29.28,259.87,12
HCPCS,82088,HC ALDOSTERONE,325.0,325.0,,,0
HCPCS,82088,HC ALDOSTERONE SERUM,325.0,325.0,,,0
HCPCS,82103,Alpha-1-antitrypsin total,,,9.66,85.69,12
HCPCS,82103,HC ALPHA 1 ANTITRYPSIN,107.5,107.5,,,0
HCPCS,82103,HC ALPHA-1-ANTITRYPSIN TOTAL SEND OUTS,107.5,107.5,,,0
HCPCS,82104,Alpha-1-antitrypsin pheno,,,10.39,92.21,12
HCPCS,82104,HC ALPHA-1-ANTITRYPSIN PHENOTYPE SEND OUTS,113.0,113.0,,,0
HCPCS,82105,Alpha-fetoprotein serum,,,12.05,106.98,12
HCPCS,82105,HC AFP FOR NEUTRAL T,134.0,134.0,,,0
HCPCS,82105,HC AFP SENDOUT,134.0,134.0,,,0
HCPCS,82105,HC ALPHA FETOPROTEIN,134.0,134.0,,,0
HCPCS,82105,HC INTEGRATED SCR ALPHA FETO SO,134.0,134.0,,,0
HCPCS,82106,Alpha-fetoprotein amniotic,,,12.22,106.98,12
HCPCS,82106,HC ALPHA FETO PROTEIN AMINO,134.0,134.0,,,0
HCPCS,82107,Alpha-Fetoprotein L3,,,46.29,410.7,12
HCPCS,82108,Assay of aluminum,,,18.31,162.44,12
HCPCS,82108,HC ALUMINUM,203.0,203.0,,,0
HCPCS,82120,Amines vaginal fluid qual,,,4.3,27.74,12
HCPCS,82127,Amino acid single qual,,,10.19,88.4,12
HCPCS,82128,Amino acids mult qual,,,9.97,88.4,12
HCPCS,82131,Amino acids single quant,,,16.51,107.57,12
HCPCS,82131,HC AMINO ACID SINGLE ANALYTE,134.0,134.0,,,0
HCPCS,82131,HC TRYPTOPHAN SENDOUT,134.0,134.0,,,0
HCPCS,82135,Assay aminolevulinic acid,,,11.82,103.27,12
HCPCS,82135,HC AMINOLEVULINIC ACID DELTA SEND OUT,131.0,131.0,,,0
HCPCS,82135,HC DELTA AMINOLEVULINIC,131.0,131.0,,,0
HCPCS,82136,Amino acids quant 2-5,,,14.09,107.57,12
HCPCS,82136,HC AMINO ACIDS 2-5 SERUM ANALYTES,105.0,105.0,,,0
HCPCS,82136,HC AMINO ACIDS 2-5 URINE ANALYTES,105.0,105.0,,,0
HCPCS,82136,HC ASYMMETTRIC DIMETHYL ARGININE,105.0,105.0,,,0
HCPCS,82139,Amino acids quan 6 or more,,,12.12,107.57,12
HCPCS,82139,HC AMINO ACIDS OVER 5 CSF QUANT,107.0,107.0,,,0
HCPCS,82139,HC AMINO ACIDS OVER 5 SERUM QUANT,107.0,107.0,,,0
HCPCS,82139,HC AMINO ACIDS OVER 5 URINE QUANT,107.0,107.0,,,0
HCPCS,82140,Assay of ammonia,,,10.47,92.94,12
HCPCS,82140,HC AMMONIA,116.0,116.0,,,0
HCPCS,82140,HC STONERISK AMMONIA,116.0,116.0,,,0
HCPCS,82143,Amniotic fluid scan,,,6.72,43.29,12
HCPCS,82150,Assay of amylase,,,4.66,41.31,12
HCPCS,82150,HC AMYLASE,75.0,75.0,,,0
HCPCS,82150,HC AMYLASE PANCREATIC SO,75.0,75.0,,,0
HCPCS,82150,HC AMYLASE SALIVARY SO,75.0,75.0,,,0
HCPCS,82150,HC AMYLASE TOTAL SO,75.0,75.0,,,0
HCPCS,82150,HC AMYLASE URINE,75.0,75.0,,,0
HCPCS,82154,Androstanediol glucuronide,,,20.72,183.82,12
HCPCS,82154,HC ANDROSTANEDIOL,230.0,230.0,,,0
HCPCS,82157,Assay of androstenedione,,,21.04,186.68,12
HCPCS,82157,HC ANDROSTENEDIONE,233.0,233.0,,,0
HCPCS,82157,HC ANDROSTENEDIONE (ESOTERIX),233.0,233.0,,,0
HCPCS,82160,Assay of androsterone,,,18.36,159.45,12
HCPCS,82163,Assay of angiotensin II,,,14.75,130.86,12
HCPCS,82164,Angiotensin I enzyme test,,,10.49,93.06,12
HCPCS,82164,HC ACE,116.0,116.0,,,0
HCPCS,82164,HC CSF ANGIOTENSIN CONVERTING ENZ,116.0,116.0,,,0
HCPCS,82166,Assay anti-mullerian horm,,,27.75,240.44,11
HCPCS,82166,HC ASSAY OF ANTI-MULLERIAN HORMONE SEND OUT,154.0,154.0,,,0
HCPCS,82172,Assay of apolipoprotein,,,15.16,98.82,12
HCPCS,82172,HC APOLIPOPROTEIN A1,124.7,124.7,,,0
HCPCS,82172,HC APOLIPOPROTEIN B 100,124.7,124.7,,,0
HCPCS,82175,Assay of arsenic,,,13.63,120.98,12
HCPCS,82175,HC ARSENIC BLOOD,151.6,151.6,,,0
HCPCS,82175,HC ARSENIC URINE,151.6,151.6,,,0
HCPCS,82175,HC ASSAY OF ARSENIC SEND OUTS,151.6,151.6,,,0
HCPCS,82180,Assay of ascorbic acid,,,7.11,63.03,12
HCPCS,82180,HC ASCORBIC ACID,79.6,79.6,,,0
HCPCS,82190,Atomic absorption,,,11.43,95.07,12
HCPCS,82190,HC METAL ANALYSIS BY ATOMIC ABSOR,94.0,94.0,,,0
HCPCS,82232,Assay of beta-2 protein,,,11.63,103.12,12
HCPCS,82232,HC BETA 2 MICROGLOBULIN,129.0,129.0,,,0
HCPCS,82233,Beta-amyloid 1-40 (abeta 40),,,128.92,541.92,4
HCPCS,82234,Beta-amyloid 1-42 (abeta 42),,,128.92,541.92,4
HCPCS,82239,Bile acids total,,,12.3,109.25,12
HCPCS,82239,HC TOTAL BILE ACIDS,136.5,136.5,,,0
HCPCS,82240,Bile acids cholylglycine,,,19.1,165.41,12
HCPCS,82247,Bilirubin total,,,3.61,31.99,12
HCPCS,82247,HC BILIRUBIN TOTAL,31.0,31.0,,,0
HCPCS,82247,HC BILIRUBIN TOTAL SEND OUT,31.0,31.0,,,0
HCPCS,82248,Bilirubin direct,,,3.61,31.99,12
HCPCS,82248,HC BILIRUBIN DIRECT,40.9,40.9,,,0
HCPCS,82252,Fecal bilirubin test,,,3.28,29.0,12
HCPCS,82261,Assay of biotinidase,,,12.12,107.57,12
HCPCS,82261,HC BIOTINIDASE,105.0,105.0,,,0
HCPCS,82270,HC BLOOD OCCULT SCREEN CONSEC,28.0,28.0,,,0
HCPCS,82270,HC OCCULT BLOOD,28.0,28.0,,,0
HCPCS,82270,Occult blood feces,,,3.15,20.76,12
HCPCS,82271,HC OCCULT BLOOD-NON FECAL,25.8,25.8,,,0
HCPCS,82271,Occult blood other sources,,,3.82,24.64,12
HCPCS,82272,HC BLOOD OCCULT DIAGNOSTIC CONSEC,27.5,27.5,,,0
HCPCS,82272,HC OCCULT,27.5,27.5,,,0
HCPCS,82272,HC OCCULT POCT,27.5,27.5,,,0
HCPCS,82272,Occult bld feces 1-3 tests,,,3.04,20.76,12
HCPCS,82274,Assay test for blood fecal,,,11.44,100.28,12
HCPCS,82274,HC BLOOD OCCULT FECAL HGB DETER IA 1-3 SIMULT DETER,105.0,105.0,,,0
HCPCS,82286,Assay of bradykinin,,,3.71,43.91,12
HCPCS,82300,Assay of cadmium,,,16.99,146.0,12
HCPCS,82300,HC CADMIUM BLOOD,185.0,185.0,,,0
HCPCS,82300,HC CADMIUM URINE,185.0,185.0,,,0
HCPCS,82306,HC VITAMIN D25 OH TOTAL,145.0,145.0,,,0
HCPCS,82306,Vitamin d 25 hydroxy,,,21.27,188.77,12
HCPCS,82308,Assay of calcitonin,,,19.25,170.78,12
HCPCS,82308,HC CALCITONIN,215.0,215.0,,,0
HCPCS,82310,Assay of calcium,,,3.71,32.9,12
HCPCS,82310,HC CALCIUM,35.0,35.0,,,0
HCPCS,82330,Assay of calcium,,,9.83,85.08,12
HCPCS,82330,HC CALCIUM IONIZED,109.7,109.7,,,0
HCPCS,82331,Calcium infusion test,,,9.59,61.75,12
HCPCS,82340,Assay of calcium in urine,,,4.33,38.48,12
HCPCS,82340,HC CALCIUM URINE,48.0,48.0,,,0
HCPCS,82340,HC STONERISK CALCIUM,48.0,48.0,,,0
HCPCS,82355,Calculus analysis qual,,,8.32,73.81,12
HCPCS,82360,Calculus assay quant,,,9.25,82.1,12
HCPCS,82365,Calculus spectroscopy,,,9.27,82.2,12
HCPCS,82365,HC CALCULUS QUAL,103.0,103.0,,,0
HCPCS,82370,X-ray assay calculus,,,9.0,79.89,12
HCPCS,82373,Assay c-d transfer measure,,,12.98,115.13,12
HCPCS,82374,Assay blood carbon dioxide,,,3.51,31.17,12
HCPCS,82374,HC CARBON DIOXIDE,29.5,29.5,,,0
HCPCS,82375,Assay carboxyhb quant,,,8.85,78.63,12
HCPCS,82375,HC CARBOXY HEMOGLOBIN,97.8,97.8,,,0
HCPCS,82376,Assay carboxyhb qual,,,10.11,65.11,12
HCPCS,82378,Carcinoembryonic antigen,,,13.62,120.98,12
HCPCS,82378,HC BODY FLUID CEA,151.6,151.6,,,0
HCPCS,82378,HC CEA,151.6,151.6,,,0
HCPCS,82379,Assay of carnitine,,,12.12,107.57,12
HCPCS,82379,HC CARNITINE TOTAL AND FREE,105.0,105.0,,,0
HCPCS,82380,Assay of carotene,,,6.63,58.82,12
HCPCS,82380,HC CAROTENE,73.0,73.0,,,0
HCPCS,82382,Assay urine catecholamines,,,19.62,126.36,12
HCPCS,82383,Assay blood catecholamines,,,20.9,155.99,12
HCPCS,82384,Assay three catecholamines,,,18.14,157.17,12
HCPCS,82384,HC CATECHELAMINES PLASMA PDAC,202.0,202.0,,,0
HCPCS,82384,HC CATECHOL FRACT URINE,202.0,202.0,,,0
HCPCS,82384,HC DOPAMINE ESOTERIX,202.0,202.0,,,0
HCPCS,82384,HC EPINEPHRINE (SEND-OUT),202.0,202.0,,,0
HCPCS,82384,HC NOREPINEPHRINE (SEND-OUT),202.0,202.0,,,0
HCPCS,82387,Assay of cathepsin-d,,,12.98,132.67,12
HCPCS,82390,Assay of ceruloplasmin,,,7.72,68.51,12
HCPCS,82390,HC CERULOPLASMIN,86.0,86.0,,,0
HCPCS,82397,Chemiluminescent assay,,,10.15,90.08,12
HCPCS,82397,HC CHMILUMINESCNT ASSAY (VIRACOR),87.0,87.0,,,0
HCPCS,82415,Assay of chloramphenicol,,,9.1,80.79,12
HCPCS,82415,HC CHLORAMPHENICOL SENDOUT,102.0,102.0,,,0
HCPCS,82435,Assay of blood chloride,,,3.31,29.31,12
HCPCS,82435,HC CHLORIDE,28.0,28.0,,,0
HCPCS,82436,Assay of urine chloride,,,4.13,32.04,12
HCPCS,82436,HC CHLORIDE URINE,45.0,45.0,,,0
HCPCS,82436,HC CHLORIDE URINE SEND OUTS,45.0,45.0,,,0
HCPCS,82438,Assay other fluid chlorides,,,3.59,31.17,12
HCPCS,82438,HC CHLORIDE CSF,39.8,39.8,,,0
HCPCS,82438,HC FECAL CL,39.8,39.8,,,0
HCPCS,82438,HC IONTOPHORESIS CHLORIDE,39.8,39.8,,,0
HCPCS,82441,Test for chlorohydrocarbons,,,4.32,38.3,12
HCPCS,82465,Assay bld/serum cholesterol,,,3.13,27.79,12
HCPCS,82465,HC CHOLESTEROL,29.0,29.0,,,0
HCPCS,82480,Assay serum cholinesterase,,,5.66,50.25,12
HCPCS,82480,HC CHOLINESTERASE SO,63.0,63.0,,,0
HCPCS,82482,Assay rbc cholinesterase,,,7.05,48.99,12
HCPCS,82485,Assay chondroitin sulfate,,,14.84,131.67,12
HCPCS,82495,Assay of chromium,,,14.57,129.32,12
HCPCS,82495,HC CHROMIUM WHOLE BLOOD,162.0,162.0,,,0
HCPCS,82495,HC PLASMA CHROMIUM,162.0,162.0,,,0
HCPCS,82507,Assay of citrate,,,19.98,177.3,12
HCPCS,82507,HC CITRIC ACID,223.0,223.0,,,0
HCPCS,82507,HC STONERISK CITRATE,223.0,223.0,,,0
HCPCS,82523,Collagen crosslinks,,,13.42,86.48,12
HCPCS,82523,HC C TELOPEPTIDE,102.0,102.0,,,0
HCPCS,82523,HC COLLAGEN CROSS LINKS ANY METHOD,102.0,102.0,,,0
HCPCS,82523,HC N-TELEOPEPTIDES SO,102.0,102.0,,,0
HCPCS,82525,Assay of copper,,,8.92,79.11,12
HCPCS,82525,HC ASSAY OF COPPER SEND OUTS,99.0,99.0,,,0
HCPCS,82525,HC COPPER SERUM,99.0,99.0,,,0
HCPCS,82525,HC COPPER URINE,99.0,99.0,,,0
HCPCS,82528,Assay of corticosterone,,,16.18,143.56,12
HCPCS,82528,HC CORTICOSTERONE,179.5,179.5,,,0
HCPCS,82530,Cortisol free,,,12.01,106.57,12
HCPCS,82530,HC CORTISOL FREE,133.0,133.0,,,0
HCPCS,82530,HC CORTISOL FREE URINE HPLC,133.0,133.0,,,0
HCPCS,82533,HC CORTISOL (ESOTERIX),143.0,143.0,,,0
HCPCS,82533,HC CORTISOL SALIVA,143.0,143.0,,,0
HCPCS,82533,HC CORTISOL TOTAL,143.0,143.0,,,0
HCPCS,82533,Total cortisol,,,11.71,103.99,12
HCPCS,82540,Assay of creatine,,,3.33,29.53,12
HCPCS,82542,Col chromotography qual/quan,,,17.31,115.13,12
HCPCS,82542,HC QUANTITATIVE EA SPECIMEN NON DRUG ANALYTE NOT SPECIFIED,144.0,144.0,,,0
HCPCS,82542,HC SULFONYUREA,144.0,144.0,,,0
HCPCS,82550,Assay of ck (cpk),,,4.68,41.55,12
HCPCS,82550,HC CK,46.0,46.0,,,0
HCPCS,82552,Assay of cpk in blood,,,9.62,85.45,12
HCPCS,82553,Creatine mb fraction,,,8.3,68.16,12
HCPCS,82554,Creatine isoforms,,,8.53,75.66,12
HCPCS,82565,Assay of creatinine,,,3.68,32.72,12
HCPCS,82565,HC CREATININE,38.0,38.0,,,0
HCPCS,82570,Assay of urine creatinine,,,3.72,32.98,12
HCPCS,82570,HC BODY FLUID CREATININE,54.0,54.0,,,0
HCPCS,82570,HC CREATININE OTHER SOURCE,54.0,54.0,,,0
HCPCS,82570,HC CREATININE SENDOUTS,54.0,54.0,,,0
HCPCS,82570,HC CREATININE URINE,54.0,54.0,,,0
HCPCS,82570,HC STONERISK CREATINE,54.0,54.0,,,0
HCPCS,82575,Creatinine clearance test,,,6.8,60.26,12
HCPCS,82585,Assay of cryofibrinogen,,,10.16,65.47,12
HCPCS,82595,Assay of cryoglobulin,,,4.65,40.91,12
HCPCS,82595,HC CRYOGLOBULIN,51.6,51.6,,,0
HCPCS,82600,Assay of cyanide,,,13.94,120.72,12
HCPCS,82600,HC CYANIDE,155.0,155.0,,,0
HCPCS,82607,HC VITAMIN B12,119.0,119.0,,,0
HCPCS,82607,Vitamin B-12,,,10.84,96.1,12
HCPCS,82608,B-12 binding capacity,,,10.29,91.3,12
HCPCS,82608,HC VIT B12 UBC,114.0,114.0,,,0
HCPCS,82610,Cystatin c,,,13.31,86.68,12
HCPCS,82610,HC LAB CYSTATIN C SEND OUT,103.0,103.0,,,0
HCPCS,82615,Test for urine cystines,,,6.86,52.02,12
HCPCS,82626,Dehydroepiandrosterone,,,18.16,157.3,12
HCPCS,82626,HC DHEA,202.0,202.0,,,0
HCPCS,82626,HC DHEA (ESOTERIX),202.0,202.0,,,0
HCPCS,82627,Dehydroepiandrosterone,,,15.97,141.79,12
HCPCS,82627,HC DHEA SULFATE,177.0,177.0,,,0
HCPCS,82627,HC DHEA-S (ESOTERIX),177.0,177.0,,,0
HCPCS,82633,Desoxycorticosterone,,,22.26,197.52,12
HCPCS,82633,HC DEOXYCORTICOSTERONE,247.0,247.0,,,0
HCPCS,82633,HC DEOXYCORTICOSTERONE (ESO),247.0,247.0,,,0
HCPCS,82634,Deoxycortisol,,,21.04,186.68,12
HCPCS,82634,HC 11-DESOXYCORTISOL (ESOTERIX),233.0,233.0,,,0
HCPCS,82634,HC DEOXYCORTISOL 11,233.0,233.0,,,0
HCPCS,82638,Assay of dibucaine number,,,8.8,78.08,12
HCPCS,82638,HC DIBUCAINE INHIBITION,97.8,97.8,,,0
HCPCS,82642,Dihydrotestosterone,,,21.04,182.21,12
HCPCS,82642,HC DIHYDROTESTOSTERONE SEND OUT,145.0,145.0,,,0
HCPCS,82652,HC VITAMIN D 125 LCMS,307.0,307.0,,,0
HCPCS,82652,Vit d 1 25-dihydroxy,,,27.67,245.5,12
HCPCS,82653,El-1 fecal quantitative,,,16.51,106.33,12
HCPCS,82653,HC PANCREATIC ELASTASE FECAL BY IMMUNOASSAY QUAN SEND OUTS,252.6,252.6,,,0
HCPCS,82656,HC PANCREATIC ELASTASE-1,91.0,91.0,,,0
HCPCS,82656,Pancreatic elastase fecal,,,8.29,73.59,12
HCPCS,82657,Enzyme cell activity,,,15.93,115.13,12
HCPCS,82657,HC CLO TEST,144.0,144.0,,,0
HCPCS,82657,HC DISACCHARDIASES EACH SPECIMEN SEND OUT,144.0,144.0,,,0
HCPCS,82657,HC ENZYME ACTIVITY CELLS/TISSUE NOS NONRAD SUB EA SPEC,144.0,144.0,,,0
HCPCS,82657,HC NEUTROPHIL OXID BURST TEST,144.0,144.0,,,0
HCPCS,82658,Enzyme cell activity ra,,,31.64,203.79,12
HCPCS,82664,Electrophoretic test,,,44.19,284.67,12
HCPCS,82664,HC GALACT-1-PHOS URIDYLTR PHENO,274.0,274.0,,,0
HCPCS,82664,HC LIPO ELECTROPHORESIS TECHNIQUE,274.0,274.0,,,0
HCPCS,82668,Assay of erythropoietin,,,13.5,117.0,12
HCPCS,82668,HC EPO SO,150.5,150.5,,,0
HCPCS,82670,Assay of estradiol,,,20.08,178.17,12
HCPCS,82670,HC ESTRADIOL,223.6,223.6,,,0
HCPCS,82670,HC ESTRADIOL (SEND-OUT),223.6,223.6,,,0
HCPCS,82670,HC ESTRADIOL ULTRA SENSITIVE,223.6,223.6,,,0
HCPCS,82671,Assay of estrogens,,,23.21,205.93,12
HCPCS,82671,HC ASSAY OF ESTROGENS FRACTIONATED SEND OUTS,252.6,252.6,,,0
HCPCS,82672,Assay of estrogen,,,15.59,138.34,12
HCPCS,82672,HC ESTROGEN ESOTERIX,174.0,174.0,,,0
HCPCS,82672,HC ESTROGENS TOTAL,174.0,174.0,,,0
HCPCS,82677,Assay of estriol,,,17.38,142.37,12
HCPCS,82677,HC ESTRIOL,148.0,148.0,,,0
HCPCS,82677,HC ESTRIOL (SO),148.0,148.0,,,0
HCPCS,82677,HC INTEGRATED SCREEN ESTRIOL SO,148.0,148.0,,,0
HCPCS,82679,Assay of estrone,,,17.93,155.36,12
HCPCS,82679,HC ESTRONE,200.0,200.0,,,0
HCPCS,82681,Assay dir meas fr estradiol,,,20.08,173.92,12
HCPCS,82693,Assay of ethylene glycol,,,10.71,94.98,12
HCPCS,82693,HC ETHYLENE GLYCOL,118.0,118.0,,,0
HCPCS,82696,Assay of etiocholanolone,,,18.86,146.8,12
HCPCS,82705,Fats/lipids feces qual,,,3.66,32.43,12
HCPCS,82705,HC FECAL FAT STAIN,40.9,40.9,,,0
HCPCS,82710,Fats/lipids feces quant,,,12.07,107.11,12
HCPCS,82710,HC FECAL LIPIDS QUANT,134.0,134.0,,,0
HCPCS,82715,Assay of fecal fat,,,16.51,109.75,12
HCPCS,82725,Assay of blood fatty acids,,,13.49,86.88,12
HCPCS,82725,HC FREE FATTY ACID (SO),106.0,106.0,,,0
HCPCS,82726,HC VERY LONG CHAIN FATTY ACIDS,144.0,144.0,,,0
HCPCS,82726,Long chain fatty acids,,,14.19,115.13,12
HCPCS,82728,Assay of ferritin,,,9.79,86.85,12
HCPCS,82728,HC FERRITIN,92.0,92.0,,,0
HCPCS,82731,Assay of fetal fibronectin,,,46.29,410.7,12
HCPCS,82735,Assay of fluoride,,,13.32,118.22,12
HCPCS,82746,Assay of folic acid serum,,,10.56,91.51,12
HCPCS,82746,HC FOLIC ACID SERUM,82.0,82.0,,,0
HCPCS,82746,HC FOLIC ACID SERUM SEND OUT,82.0,82.0,,,0
HCPCS,82747,Assay of folic acid rbc,,,12.68,110.47,12
HCPCS,82747,HC FOLIC ACID RBC,125.8,125.8,,,0
HCPCS,82747,HC FOLIC ACID RBC SEND OUT,125.8,125.8,,,0
HCPCS,82757,Assay of semen fructose,,,12.46,110.6,12
HCPCS,82759,Assay of rbc galactokinase,,,15.44,136.97,12
HCPCS,82759,HC GALACTOKINASE,172.0,172.0,,,0
HCPCS,82760,Assay of galactose,,,8.05,69.69,12
HCPCS,82775,Assay galactose transferase,,,15.14,134.3,12
HCPCS,82775,HC GALACTOSE-1-PHOS URIDYLTRANS,167.7,167.7,,,0
HCPCS,82776,Galactose transferase test,,,8.44,54.35,12
HCPCS,82777,Galectin-3,,,24.96,204.82,12
HCPCS,82784,Assay iga/igd/igg/igm each,,,6.68,59.32,12
HCPCS,82784,HC B BURGDOFERI GAMMA GLOBULIN EA,60.0,60.0,,,0
HCPCS,82784,HC IMMUNOGLOBULIN D,60.0,60.0,,,0
HCPCS,82784,HC IMMUNOGLOBULIN IGA,60.0,60.0,,,0
HCPCS,82784,HC IMMUNOGLOBULIN IGG,60.0,60.0,,,0
HCPCS,82784,HC IMMUNOGLOBULIN IGG CSF,60.0,60.0,,,0
HCPCS,82784,HC IMMUNOGLOBULIN IGG CSF SO,60.0,60.0,,,0
HCPCS,82784,HC IMMUNOGLOBULIN IGG SO,60.0,60.0,,,0
HCPCS,82784,HC IMMUNOGLOBULIN IGM,60.0,60.0,,,0
HCPCS,82785,Assay of ige,,,11.83,105.04,12
HCPCS,82785,HC IGE,132.0,132.0,,,0
HCPCS,82785,HC QUEST IGE TOTAL,132.0,132.0,,,0
HCPCS,82787,HC IGG SUBCLASS EA OF 4,59.0,59.0,,,0
HCPCS,82787,Igg 1 2 3 or 4 each,,,5.76,51.15,12
HCPCS,82800,Blood pH,,,7.9,52.66,12
HCPCS,82800,HC GASES BLOOD PH,67.7,67.7,,,0
HCPCS,82803,Blood gases any combination,,,18.73,123.34,12
HCPCS,82803,HC BLOOD GASES,141.0,141.0,,,0
HCPCS,82805,Blood gases w/o2 saturation,,,56.37,364.61,12
HCPCS,82805,HC ARTERIAL BLOOD STUDY,178.0,178.0,,,0
HCPCS,82805,HC DISTAL BLOOD STUDY,178.0,178.0,,,0
HCPCS,82805,HC MIXED BLOOD STUDY,178.0,178.0,,,0
HCPCS,82805,HC PROXIMAL BLOOD STUDY,178.0,178.0,,,0
HCPCS,82805,HC VENOUS BLOOD GAS STUDY,178.0,178.0,,,0
HCPCS,82810,Blood gases o2 sat only,,,7.02,55.66,12
HCPCS,82810,HC O2 SATURATION,69.9,69.9,,,0
HCPCS,82820,Hemoglobin-oxygen affinity,,,9.59,63.75,12
HCPCS,82930,Gastric analy w/ph ea spec,,,4.82,34.75,12
HCPCS,82938,Gastrin test,,,12.71,112.83,12
HCPCS,82941,Assay of gastrin,,,12.67,112.46,12
HCPCS,82941,HC GASTRIN SO,141.0,141.0,,,0
HCPCS,82943,Assay of glucagon,,,10.27,88.93,12
HCPCS,82943,HC GLUCAGON EA,114.0,114.0,,,0
HCPCS,82945,Glucose Other Fluid,,,2.82,25.01,12
HCPCS,82945,HC CSF GLUCOSE,31.0,31.0,,,0
HCPCS,82945,HC GLUCOSE BODY FLUID,31.0,31.0,,,0
HCPCS,82945,HC GLUCOSE BODY FLUID SENDOUT,31.0,31.0,,,0
HCPCS,82946,Glucagon tolerance test,,,12.77,96.1,12
HCPCS,82947,Assay glucose blood quant,,,2.82,25.01,12
HCPCS,82947,HC GLUCOSE,27.0,27.0,,,0
HCPCS,82948,HC FINGERSTICK GLUCOSE,19.0,19.0,,,0
HCPCS,82948,Reagent strip/blood glucose,,,3.62,23.35,12
HCPCS,82950,Glucose test,,,3.41,30.27,12
HCPCS,82950,HC GLUCOSE WITH DOSE,42.0,42.0,,,0
HCPCS,82951,Glucose tolerance test (GTT),,,9.25,82.1,12
HCPCS,82951,HC GLUCOSE TOLERANCE 3 SPECIMENS,120.0,120.0,,,0
HCPCS,82951,HC LACTOSE TOLERANCE TEST,120.0,120.0,,,0
HCPCS,82952,GTT-added samples,,,2.82,24.97,12
HCPCS,82952,HC GLUCOSE TOL EACH SPEC BEY 3,38.0,38.0,,,0
HCPCS,82952,HC LACTOSE TOL EACH SPEC BEY 3,38.0,38.0,,,0
HCPCS,82955,Assay of g6pd enzyme,,,6.97,55.56,12
HCPCS,82955,HC G 6 PD QUANT,71.0,71.0,,,0
HCPCS,82960,Test for G6PD enzyme,,,4.35,38.6,12
HCPCS,82962,Glucose blood test,,,2.36,15.19,12
HCPCS,82963,Assay of glucosidase,,,15.44,136.97,12
HCPCS,82965,Assay of gdh enzyme,,,9.45,60.85,12
HCPCS,82977,Assay of GGT,,,5.17,45.91,12
HCPCS,82977,HC GLUTAMYL TRANSFERASE,58.0,58.0,,,0
HCPCS,82978,Assay of glutathione,,,11.1,90.9,12
HCPCS,82979,Assay rbc glutathione,,,6.78,43.91,12
HCPCS,82985,Assay of glycated protein,,,12.04,96.1,12
HCPCS,82985,HC FRUCTOSAMINE,120.0,120.0,,,0
HCPCS,83001,Assay of gonadotropin (fsh),,,13.35,118.49,12
HCPCS,83001,HC FOLLICLE STIMULATING HORMONE,148.0,148.0,,,0
HCPCS,83001,HC FSH,148.0,148.0,,,0
HCPCS,83001,HC FSH 3RD GENERATION,148.0,148.0,,,0
HCPCS,83002,Assay of gonadotropin (lh),,,13.31,118.08,12
HCPCS,83002,HC LEUTEINIZING HORMONE(SEND-OUT),149.0,149.0,,,0
HCPCS,83002,HC LH,149.0,149.0,,,0
HCPCS,83002,HC LH 3RD GENERATION,149.0,149.0,,,0
HCPCS,83003,Assay growth hormone (hgh),,,11.98,106.35,12
HCPCS,83003,HC GROWTH HORMONE HUMAN,133.0,133.0,,,0
HCPCS,83003,HC HGH STIMULATION,133.0,133.0,,,0
HCPCS,83006,Growth stimulation gene 2,,,41.97,349.91,12
HCPCS,83009,H pylori (c-13) blood,,,48.4,429.51,12
HCPCS,83010,Assay of haptoglobin quant,,,9.04,80.2,12
HCPCS,83010,HC HAPTOGLOBIN,100.0,100.0,,,0
HCPCS,83012,Assay of haptoglobins,,,19.32,124.48,12
HCPCS,83013,H pylori (c-13) breath,,,48.4,429.51,12
HCPCS,83013,HC H PYLORI UREA BREATH TEST,539.0,539.0,,,0
HCPCS,83014,H pylori drug admin,,,5.65,50.12,12
HCPCS,83015,Heavy metal qual any anal,,,15.05,120.07,12
HCPCS,83018,HC ANTIMONY,175.0,175.0,,,0
HCPCS,83018,HC ANTIMONY URINE EA (SO),175.0,175.0,,,0
HCPCS,83018,HC BROMIDE SENDOUT,175.0,175.0,,,0
HCPCS,83018,HC COBALT 24HR URINE,175.0,175.0,,,0
HCPCS,83018,HC COBALT BLOOD,175.0,175.0,,,0
HCPCS,83018,HC HEAVY METAL QUANTITATIVE EA NOS SEND OUT,175.0,175.0,,,0
HCPCS,83018,HC THALLIUM EA,175.0,175.0,,,0
HCPCS,83018,Heavy metal quant each nes,,,15.78,140.06,12
HCPCS,83020,HC ACID CITRATE ELECTROPHORESIS,99.0,99.0,,,0
HCPCS,83020,HC HEMOGLOBIN ELECTROPHORESIS,99.0,99.0,,,0
HCPCS,83020,HC PR HEMOGLOBIN ELECTROPHOR PC ONLY,73.0,73.0,,,0
HCPCS,83020,Hemoglobin electrophoresis,,,9.25,82.1,12
HCPCS,83021,HC HEMOGLOBIN A2,144.0,144.0,,,0
HCPCS,83021,HC HEMOGLOBIN S,144.0,144.0,,,0
HCPCS,83021,Hemoglobin chromotography,,,12.98,115.13,12
HCPCS,83026,Hemoglobin copper sulfate,,,2.88,18.55,12
HCPCS,83030,Fetal hemoglobin chemical,,,7.72,52.76,12
HCPCS,83030,HC HEMOGLOBIN F,66.7,66.7,,,0
HCPCS,83033,Fetal hemoglobin assay qual,,,5.75,38.01,12
HCPCS,83036,Glycosylated hemoglobin test,,,6.98,60.4,12
HCPCS,83036,HC GLYCOHEMOGLOBIN,62.0,62.0,,,0
HCPCS,83036,HC HEMOGLOBIN A1C,62.0,62.0,,,0
HCPCS,83037,Glycosylated hb home device,,,6.98,60.4,12
HCPCS,83045,Blood methemoglobin test,,,4.66,31.59,12
HCPCS,83050,Blood methemoglobin assay,,,5.89,46.71,12
HCPCS,83050,HC METHEMOGLOBIN,59.0,59.0,,,0
HCPCS,83051,Assay of plasma hemoglobin,,,5.25,45.51,12
HCPCS,83051,HC HEMOGLOBIN FREE PLASMA,59.0,59.0,,,0
HCPCS,83060,Blood sulfhemoglobin assay,,,6.32,51.48,12
HCPCS,83065,Assay of hemoglobin heat,,,6.47,42.88,12
HCPCS,83068,HC HEMOGLOBIN UNSTABLE SCREEN,67.7,67.7,,,0
HCPCS,83068,Hemoglobin stability screen,,,6.81,52.66,12
HCPCS,83069,Assay of urine hemoglobin,,,2.84,25.19,12
HCPCS,83069,HC HEMOGLOBIN URINE,31.0,31.0,,,0
HCPCS,83070,Assay of hemosiderin qual,,,3.41,29.57,12
HCPCS,83070,HC HEMOSIDERIN,38.7,38.7,,,0
HCPCS,83080,Assay of b hexosaminidase,,,12.12,107.57,12
HCPCS,83088,Assay of histamine,,,21.22,183.84,12
HCPCS,83088,HC HISTAMINE,235.0,235.0,,,0
HCPCS,83090,Assay Of Homocystine,,,12.88,107.57,12
HCPCS,83090,HC HOMOCYSTEINE,134.0,134.0,,,0
HCPCS,83150,Assay of homovanillic acid,,,16.1,123.34,12
HCPCS,83150,HC ASSAY OF HOMOVANILLIC ACID SEND OUT,155.0,155.0,,,0
HCPCS,83150,HC URINE HVA,155.0,155.0,,,0
HCPCS,83491,Assay of corticosteroids 17,,,12.86,111.69,12
HCPCS,83491,HC HYDROXYCORTICOSTEROIDS 17,139.8,139.8,,,0
HCPCS,83497,Assay of 5-hiaa,,,9.27,82.2,12
HCPCS,83497,HC HYDROXYINDOLACETIC ACID 5 HIAA,103.0,103.0,,,0
HCPCS,83497,HC HYDROXYINDOLACETIC ACID 5 HIAA SEND OUT,103.0,103.0,,,0
HCPCS,83498,Assay of progesterone 17-d,,,19.52,173.24,12
HCPCS,83498,HC HYDROXYPROGESTERONE 17,217.0,217.0,,,0
HCPCS,83500,Assay free hydroxyproline,,,16.28,144.4,12
HCPCS,83500,HC HYDROXYPROLINE FREE,180.6,180.6,,,0
HCPCS,83505,Assay total hydroxyproline,,,17.46,155.01,12
HCPCS,83505,HC HYDROXYPROLINE TOTAL,194.6,194.6,,,0
HCPCS,83516,HC ANTI MITOCHONDRIAL AB EIA,82.8,82.8,,,0
HCPCS,83516,HC ANTI SMOOTH MUSCLE EIA,82.8,82.8,,,0
HCPCS,83516,HC GLIADIN IGA,82.8,82.8,,,0
HCPCS,83516,HC GLIADIN IGG,82.8,82.8,,,0
HCPCS,83516,HC HISTONE AB,82.8,82.8,,,0
HCPCS,83516,HC IMMUNO ANTI GLOMERULAR BASE MEMB AB,82.8,82.8,,,0
HCPCS,83516,HC IMMUNOASSAY FOR ANALYTE OTHER THAN INFECT AGENT,82.8,82.8,,,0
HCPCS,83516,HC IMMUNOASSAY NONANTIBODY SEND OUT,82.8,82.8,,,0
HCPCS,83516,HC PROTEINASE 3 AB IMM INHOUSE,82.8,82.8,,,0
HCPCS,83516,HC RIBOSOMAL P PROTEIN AB SO,82.8,82.8,,,0
HCPCS,83516,HC TISSUE TRANSGLUTAMINASE IGA,82.8,82.8,,,0
HCPCS,83516,HC TISSUE TRANSGLUTAMINASE IGG,82.8,82.8,,,0
HCPCS,83516,Immunoassay nonantibody,,,8.29,73.59,12
HCPCS,83518,Immunoassay dipstick,,,6.93,54.05,12
HCPCS,83519,HC ACETYLCHOLINE RECEP AB,108.6,108.6,,,0
HCPCS,83519,HC ACETYLCHOLINE RECEPTOR BLOCK,108.6,108.6,,,0
HCPCS,83519,HC ACETYLCHOLINE RECEPTOR MODULAT,108.6,108.6,,,0
HCPCS,83519,HC ALPHA SUBUNIT,108.6,108.6,,,0
HCPCS,83519,HC ANTI GAD AB ESOTERIX,108.6,108.6,,,0
HCPCS,83519,HC CORTICOTROPIN CRH,108.6,108.6,,,0
HCPCS,83519,HC GLUTAMIC ACID DECARBOXYLASE,108.6,108.6,,,0
HCPCS,83519,HC HYDROXYCORTICOSTEROIDS 18,108.6,108.6,,,0
HCPCS,83519,HC IGF BINDING 3 ESOTERIX,108.6,108.6,,,0
HCPCS,83519,HC IGF BINDING PROTEIN 2,108.6,108.6,,,0
HCPCS,83519,HC IGF BINDING PROTEIN III,108.6,108.6,,,0
HCPCS,83519,HC MUSK ANTIBODY,108.6,108.6,,,0
HCPCS,83519,HC PANCREATIC POLYPEPTIDE,108.6,108.6,,,0
HCPCS,83519,HC PTH RELATED PROTEIN,108.6,108.6,,,0
HCPCS,83519,HC THYROTROPIN BINDING INHIB IMMU,108.6,108.6,,,0
HCPCS,83519,HC TRYPSIN,108.6,108.6,,,0
HCPCS,83519,HC TRYPSINOGEN,108.6,108.6,,,0
HCPCS,83519,HC U CORTISOL TETRAHYDRO,108.6,108.6,,,0
HCPCS,83519,HC U CORTISOL TETRAHYDRO AUO,108.6,108.6,,,0
HCPCS,83519,HC U CORTISONE TETRAHYDRO,108.6,108.6,,,0
HCPCS,83519,HC VOLTAGE GATED CALCIUM IGG,108.6,108.6,,,0
HCPCS,83519,Ria nonantibody,,,13.22,86.13,12
HCPCS,83520,HC COLLAGEN BIND ASSAY,104.0,104.0,,,0
HCPCS,83520,HC GANGLIDSIDE GQ1B AB,104.0,104.0,,,0
HCPCS,83520,HC GANGLIOSIDE IGG,104.0,104.0,,,0
HCPCS,83520,HC GANGLIOSIDE IGM,104.0,104.0,,,0
HCPCS,83520,HC GM1 IGM ELISA,104.0,104.0,,,0
HCPCS,83520,HC IMMUNOASSAY ANALYTE SEND OUT,104.0,104.0,,,0
HCPCS,83520,HC INTERLEUKIN 6,104.0,104.0,,,0
HCPCS,83520,HC MAG AB IGM EIA,104.0,104.0,,,0
HCPCS,83520,HC MAG SGPG AB IGM,104.0,104.0,,,0
HCPCS,83520,HC METHOTREXATE,104.0,104.0,,,0
HCPCS,83520,HC NEUROLOGY (PRION DISEASE) CEREBRAL SPINAL FLUID,104.0,104.0,,,0
HCPCS,83520,HC SOLUBLE LIVER AUTOANTIBODY,104.0,104.0,,,0
HCPCS,83520,HC SUBSTANCE P SO,104.0,104.0,,,0
HCPCS,83520,HC SULFATIDE AB EACH OF 2 COMP,104.0,104.0,,,0
HCPCS,83520,HC TOTAL NITROGEN URINE,104.0,104.0,,,0
HCPCS,83520,HC TRYPTASE,104.0,104.0,,,0
HCPCS,83520,Immunoassay quant nos nonab,,,12.41,82.55,12
HCPCS,83521,HC FREE KAPPA AND LAMBDA IMMUNOGLOB LIGHT CHAINS EACH SEND OUTS,129.0,129.0,,,0
HCPCS,83521,Ig light chains free each,,,12.41,79.94,12
HCPCS,83525,Assay of insulin,,,8.21,72.91,12
HCPCS,83525,HC INSULIN,91.0,91.0,,,0
HCPCS,83525,HC INSULIN SERUM,91.0,91.0,,,0
HCPCS,83527,Assay of insulin,,,9.31,82.6,12
HCPCS,83527,HC INSULIN FREE,102.0,102.0,,,0
HCPCS,83528,Assay of intrinsic factor,,,14.24,101.42,12
HCPCS,83529,Asay of interleukin-6 (il-6),,,12.41,79.94,12
HCPCS,83529,HC INTERLEUKIN-6 (IL-6) SERUM SEND OUTS,129.0,129.0,,,0
HCPCS,83540,Assay of iron,,,4.65,41.31,12
HCPCS,83540,HC IRON,44.0,44.0,,,0
HCPCS,83540,HC IRON URINE,44.0,44.0,,,0
HCPCS,83550,HC IRON BINDING CAPACITY,66.0,66.0,,,0
HCPCS,83550,Iron binding test,,,6.28,55.73,12
HCPCS,83570,Assay of idh enzyme,,,6.36,56.42,12
HCPCS,83582,Assay of ketogenic steroids,,,11.12,90.34,12
HCPCS,83586,Assay 17- ketosteroids,,,9.2,81.65,12
HCPCS,83586,HC KETOSTEROIDS 17,103.0,103.0,,,0
HCPCS,83593,Fractionation ketosteroids,,,20.48,163.69,12
HCPCS,83605,Assay of lactic acid,,,8.31,68.09,12
HCPCS,83605,HC LACTIC ACID,83.9,83.9,,,0
HCPCS,83615,HC CSF LDH,48.0,48.0,,,0
HCPCS,83615,HC LDH,48.0,48.0,,,0
HCPCS,83615,HC LDH (SEND OUT),48.0,48.0,,,0
HCPCS,83615,Lactate (LD) (LDH) enzyme,,,4.34,38.52,12
HCPCS,83625,Assay of ldh enzymes,,,9.19,81.61,12
HCPCS,83625,HC LDH ISO (SEND OUT),103.0,103.0,,,0
HCPCS,83630,Lactoferrin fecal (qual),,,14.16,125.15,12
HCPCS,83631,Lactoferrin fecal (quant),,,14.11,125.15,12
HCPCS,83632,Placental lactogen,,,14.53,125.83,12
HCPCS,83633,Test urine for lactose,,,8.08,52.07,12
HCPCS,83655,Assay of lead,,,8.7,75.35,12
HCPCS,83655,HC 24 HR URIN LE,72.0,72.0,,,0
HCPCS,83655,HC LEAD,72.0,72.0,,,0
HCPCS,83655,HC LEAD RANDOM URINE,72.0,72.0,,,0
HCPCS,83661,L/s ratio fetal lung,,,15.8,140.2,12
HCPCS,83662,Foam stability fetal lung,,,13.59,120.66,12
HCPCS,83663,Fluoro polarize fetal lung,,,13.59,120.66,12
HCPCS,83664,Lamellar bdy fetal lung,,,13.88,120.66,12
HCPCS,83670,Assay of lap enzyme,,,7.05,58.45,12
HCPCS,83690,Assay of lipase,,,4.95,43.91,12
HCPCS,83690,HC LIPASE,53.0,53.0,,,0
HCPCS,83690,HC LIPASE SEND OUT,53.0,53.0,,,0
HCPCS,83695,Assay of lipoprotein(a),,,10.29,82.55,12
HCPCS,83695,HC LIPOPROTEIN A SO,104.0,104.0,,,0
HCPCS,83698,Assay Lipoprotein Pla2,,,33.28,216.47,12
HCPCS,83700,Lipopro bld electrophoretic,,,8.09,71.78,12
HCPCS,83701,HC LIPOPROTEIN HIGH RESOL FRAC,199.0,199.0,,,0
HCPCS,83701,Lipoprotein bld hr fraction,,,24.33,156.74,12
HCPCS,83704,HC LIPOPROTEIN PARTICLE NUMBER(S),251.6,251.6,,,0
HCPCS,83704,Lipoprotein bld quan part,,,24.57,196.33,12
HCPCS,83718,Assay of lipoprotein,,,5.89,52.2,12
HCPCS,83718,HC HDL CHOLESTEROL,54.0,54.0,,,0
HCPCS,83719,Assay of blood lipoprotein,,,9.16,74.22,12
HCPCS,83721,Assay of blood lipoprotein,,,7.55,57.1,12
HCPCS,83721,HC LDL CHOLESTEROL,48.0,48.0,,,0
HCPCS,83722,Lipoprtn dir meas sd ldl chl,,,24.57,196.33,12
HCPCS,83727,Assay of lrh hormone,,,12.35,109.66,12
HCPCS,83735,Assay of magnesium,,,4.81,42.73,12
HCPCS,83735,HC ASSAY OF MAGNESIUM SEND OUTS,52.7,52.7,,,0
HCPCS,83735,HC MAGNESIUM,52.7,52.7,,,0
HCPCS,83735,HC RBC MAGNESIUM SO,52.7,52.7,,,0
HCPCS,83735,HC STONERISK MAGNESIUM,52.7,52.7,,,0
HCPCS,83735,HC URINE MAGNESIUM,52.7,52.7,,,0
HCPCS,83775,Assay malate dehydrogenase,,,5.3,47.0,12
HCPCS,83785,Assay of manganese,,,19.15,153.05,12
HCPCS,83785,HC MANGANESE,196.7,196.7,,,0
HCPCS,83789,HC MASS SPECTROMETRY QUANT,144.0,144.0,,,0
HCPCS,83789,HC URINE IODINE,144.0,144.0,,,0
HCPCS,83789,Mass spectrometry qual/quan,,,17.33,115.13,12
HCPCS,83825,Assay of mercury,,,11.68,103.67,12
HCPCS,83825,HC MERCURY,130.0,130.0,,,0
HCPCS,83825,HC MERCURY BLOOD,130.0,130.0,,,0
HCPCS,83825,HC MERCURY URINE,130.0,130.0,,,0
HCPCS,83835,Assay of metanephrines,,,12.17,108.02,12
HCPCS,83835,HC ASSAY OF METANPEPHRINES SEND OUTS,149.0,149.0,,,0
HCPCS,83835,HC METANEPHRINES PLASMA,149.0,149.0,,,0
HCPCS,83835,HC METANEPHRINES TOTAL,149.0,149.0,,,0
HCPCS,83857,Assay of methemalbumin,,,7.72,68.51,12
HCPCS,83861,Microfluid analy tears,,,16.15,106.85,12
HCPCS,83864,HC MUCOPOLYSACCHARIDES QUANT,125.0,125.0,,,0
HCPCS,83864,Mucopolysaccharides,,,20.48,131.92,12
HCPCS,83872,Assay synovial fluid mucin,,,4.21,37.39,12
HCPCS,83873,Assay of csf protein,,,12.36,107.09,12
HCPCS,83873,HC MYELIN BASIC PROTEIN,137.6,137.6,,,0
HCPCS,83874,Assay of myoglobin,,,9.28,82.33,12
HCPCS,83874,HC MYOGLOBIN,103.0,103.0,,,0
HCPCS,83874,HC URINE MYOGLOBIN SEND OUT,103.0,103.0,,,0
HCPCS,83876,Assay myeloperoxidase,,,36.55,235.43,12
HCPCS,83876,HC MYELOPEROXIDASE,271.0,271.0,,,0
HCPCS,83880,Assay of natriuretic peptide,,,39.26,216.47,8
HCPCS,83880,HC NATRIURETIC PEPTIDE,284.0,284.0,,,0
HCPCS,83883,Assay nephelometry not spec,,,9.77,86.68,12
HCPCS,83883,HC FREE KAPPA LIGHT CHAIN,88.0,88.0,,,0
HCPCS,83883,HC FREE LAMBDA LIGHT CHAIN,88.0,88.0,,,0
HCPCS,83883,HC NEPHELOMETRY EACH ANALYTE NOT ELSEWHERE SPEC SEND OUT,88.0,88.0,,,0
HCPCS,83883,HC RETINOL BINDING PROTEIN,88.0,88.0,,,0
HCPCS,83884,Assay neurflmnt light chain,,,116.23,488.57,4
HCPCS,83885,Assay of nickel,,,17.61,156.25,12
HCPCS,83915,Assay of nucleotidase,,,8.01,71.14,12
HCPCS,83915,HC NUCLEOTIDASE 5,89.0,89.0,,,0
HCPCS,83916,HC OLIGOCLONAL BANDS,160.0,160.0,,,0
HCPCS,83916,Oligoclonal bands,,,19.68,128.23,12
HCPCS,83918,HC ORGANIC ACID BY GC/MS,131.0,131.0,,,0
HCPCS,83918,Organic acids total quant,,,16.96,109.24,12
HCPCS,83919,Organic acids qual each,,,11.82,104.95,12
HCPCS,83921,HC METHYLMALONIC ACID/QUANT,144.0,144.0,,,0
HCPCS,83921,HC U TRICHLOROACETIC ACID SENDOUT,144.0,144.0,,,0
HCPCS,83921,HC URINE METHYMALONIC ACID/QUANT,144.0,144.0,,,0
HCPCS,83921,HC URINE OROTIC ACID,144.0,144.0,,,0
HCPCS,83921,Organic acid single quant,,,15.24,104.95,12
HCPCS,83930,Assay of blood osmolality,,,4.75,42.14,12
HCPCS,83930,HC OSMOLALITY BLOOD,52.7,52.7,,,0
HCPCS,83935,Assay of urine osmolality,,,4.9,43.45,12
HCPCS,83935,HC OSMOLALITY URINE,67.7,67.7,,,0
HCPCS,83935,HC OSMOLALITY URINE SEND OUT,67.7,67.7,,,0
HCPCS,83937,Assay of osteocalcin,,,21.45,185.78,12
HCPCS,83937,HC OSTEOCALCIN,238.7,238.7,,,0
HCPCS,83945,Assay of oxalate,,,10.38,82.1,12
HCPCS,83945,HC OXALATE,103.0,103.0,,,0
HCPCS,83945,HC STONERISK OXALATE,103.0,103.0,,,0
HCPCS,83950,Oncoprotein her-2/neu,,,46.29,410.7,12
HCPCS,83951,Oncoprotein dcp,,,46.29,410.7,12
HCPCS,83970,Assay of parathormone,,,29.66,263.17,12
HCPCS,83970,HC PARATHYROID HORMONE DETAIL,330.0,330.0,,,0
HCPCS,83986,Assay ph body fluid nos,,,2.57,22.83,12
HCPCS,83986,HC PH BODY FLUID,28.0,28.0,,,0
HCPCS,83986,HC PH STOOL,28.0,28.0,,,0
HCPCS,83986,HC STONERISK PH,28.0,28.0,,,0
HCPCS,83986,HC URINE PH,28.0,28.0,,,0
HCPCS,83987,Exhaled breath condensate,,,2.57,101.27,12
HCPCS,83992,Assay for phencyclidine,,,29.19,93.7,4
HCPCS,83993,Assay for calprotectin fecal,,,14.11,125.15,12
HCPCS,83993,HC CALPROTECTIN FECAL,157.0,157.0,,,0
HCPCS,84030,Assay of blood pku,,,3.95,35.07,12
HCPCS,84030,HC PHENYLALANINE AMINO,44.0,44.0,,,0
HCPCS,84030,HC PNENYLALANINE (PKU),44.0,44.0,,,0
HCPCS,84035,Assay of phenylketones,,,2.86,23.34,12
HCPCS,84060,Assay acid phosphatase,,,5.49,47.07,12
HCPCS,84066,Assay prostate phosphatase,,,6.94,61.57,12
HCPCS,84066,HC PROSTATIC ACID PHOSPHATASE,76.0,76.0,,,0
HCPCS,84075,Assay alkaline phosphatase,,,3.72,32.98,12
HCPCS,84075,HC ALKALINE PHOS BONE,33.0,33.0,,,0
HCPCS,84075,HC ALKALINE PHOS TOTAL SO,33.0,33.0,,,0
HCPCS,84075,HC ALKALINE PHOSPHATASE,33.0,33.0,,,0
HCPCS,84078,Assay alkaline phosphatase,,,5.94,46.54,12
HCPCS,84080,Assay alkaline phosphatases,,,10.62,94.35,12
HCPCS,84080,HC ALKALINE ISOENZYME (SO),118.0,118.0,,,0
HCPCS,84081,Assay phosphatidylglycerol,,,11.87,105.34,12
HCPCS,84085,Assay of rbc pg6d enzyme,,,6.78,43.69,12
HCPCS,84087,Assay phosphohexose enzymes,,,7.71,65.84,12
HCPCS,84100,Assay of phosphorus,,,3.41,30.23,12
HCPCS,84100,HC PHOSPHORUS,38.7,38.7,,,0
HCPCS,84105,Assay of urine phosphorus,,,4.15,32.98,12
HCPCS,84105,HC PHOSPHORUS URINE,41.9,41.9,,,0
HCPCS,84105,HC STONERISK PHOSPHORUS,41.9,41.9,,,0
HCPCS,84106,HC PORPHOBILINOGEN,34.0,34.0,,,0
HCPCS,84106,Test for porphobilinogen,,,4.18,27.28,12
HCPCS,84110,Assay of porphobilinogen,,,6.06,53.83,12
HCPCS,84110,HC PORPHOBILINOGEN URINE QUANTITIATIVE SEND OUTS,67.7,67.7,,,0
HCPCS,84112,Eval amniotic fluid protein,,,70.5,454.14,12
HCPCS,84119,Test urine for porphyrins,,,9.6,61.84,12
HCPCS,84120,Assay of urine porphyrins,,,10.57,93.81,12
HCPCS,84120,HC PORPHYRINS 24 HRS,117.0,117.0,,,0
HCPCS,84120,HC PORPHYRINS URINE QUANTITATION AND FRACTIONATION SENDOUT,117.0,117.0,,,0
HCPCS,84120,HC U PORHYRIN RANDOM SO,117.0,117.0,,,0
HCPCS,84126,Assay of feces porphyrins,,,28.1,181.03,12
HCPCS,84132,Assay of serum potassium,,,3.42,29.31,12
HCPCS,84132,HC POTASSIUM SERUM,29.5,29.5,,,0
HCPCS,84133,Assay of urine potassium,,,3.4,27.42,12
HCPCS,84133,HC POTASSIUM URINE,34.0,34.0,,,0
HCPCS,84133,HC STONERISK POTASSIUM,34.0,34.0,,,0
HCPCS,84134,Assay of prealbumin,,,10.48,92.98,12
HCPCS,84134,HC PRE ALBUMIN,116.0,116.0,,,0
HCPCS,84135,Assay of pregnanediol,,,15.28,121.98,12
HCPCS,84138,Assay of pregnanetriol,,,15.13,120.76,12
HCPCS,84138,HC PREGNANETRIOL URINE,120.0,120.0,,,0
HCPCS,84140,Assay of pregnenolone,,,14.85,128.69,12
HCPCS,84140,HC PREGNENOLONE,164.0,164.0,,,0
HCPCS,84143,Assay of 17-hydroxypregneno,,,16.39,134.8,12
HCPCS,84143,HC 17-OH PREGNENOLONE (ESOTERIX),173.0,173.0,,,0
HCPCS,84144,Assay of progesterone,,,14.99,133.02,12
HCPCS,84144,HC PROGESTERONE,166.6,166.6,,,0
HCPCS,84144,HC PROGESTERONE (ESOTERIX),166.6,166.6,,,0
HCPCS,84145,HC PROCALCITONIN,169.0,169.0,,,0
HCPCS,84145,Procalcitonin (PCT),,,19.56,170.78,12
HCPCS,84146,Assay of prolactin,,,13.93,123.56,12
HCPCS,84146,HC PROLACTIN,155.0,155.0,,,0
HCPCS,84146,HC PROLACTIN (SEND-OUT),155.0,155.0,,,0
HCPCS,84150,Assay of prostaglandin,,,30.02,193.35,12
HCPCS,84150,HC PROSTAGLANDIN EA,200.0,200.0,,,0
HCPCS,84152,Assay of psa complexed,,,13.22,116.9,12
HCPCS,84153,Assay of psa total,,,13.22,116.9,12
HCPCS,84153,HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL SEND OUT,115.0,115.0,,,0
HCPCS,84153,HC PROSTATIC SPECIFIC ANTIGEN,115.0,115.0,,,0
HCPCS,84153,HC PSA POST PROSTATECTOMY,115.0,115.0,,,0
HCPCS,84154,Assay of psa free,,,13.22,116.9,12
HCPCS,84154,HC PSA FREE,147.0,147.0,,,0
HCPCS,84155,Assay of protein serum,,,2.64,23.38,12
HCPCS,84155,HC PROTEIN TOTAL SERUM,24.7,24.7,,,0
HCPCS,84156,Assay of protein urine,,,2.64,23.38,12
HCPCS,84156,HC PROTEIN TOTAL URINE,35.0,35.0,,,0
HCPCS,84156,HC PROTEIN TOTAL URINE SENDOUTS,35.0,35.0,,,0
HCPCS,84157,Assay of protein other,,,2.87,23.38,12
HCPCS,84157,HC PROTEIN TOTAL BODY FLUID,32.0,32.0,,,0
HCPCS,84157,HC PROTEIN TOTAL CSF,32.0,32.0,,,0
HCPCS,84160,Assay of protein any source,,,4.03,32.98,12
HCPCS,84163,HC INTEGRATED SCR PROTEIN A SO,95.0,95.0,,,0
HCPCS,84163,HC PREGNANCY ASSOC PLASMA PROTEIN A (PAPP-A),95.0,95.0,,,0
HCPCS,84163,Pappa serum,,,10.81,96.03,12
HCPCS,84165,HC ELECTROPHORESIS SERUM,83.9,83.9,,,0
HCPCS,84165,HC PR SERUM PROTEIN ELCTRO,69.0,69.0,,,0
HCPCS,84165,Protein e-phoresis serum,,,7.72,68.51,12
HCPCS,84166,HC ELECTROPHORESIS URINE,143.0,143.0,,,0
HCPCS,84166,HC ELECTROPHORESIS URINE SENDOUTS (QUEST READS),143.0,143.0,,,0
HCPCS,84166,HC PR PROTEIN URINE ELECT FRCT INTRP,69.0,69.0,,,0
HCPCS,84166,Protein e-phoresis/urine/csf,,,12.81,113.68,12
HCPCS,84181,HC CSF HU ANTIBODY WESTERN BLOT,136.5,136.5,,,0
HCPCS,84181,HC HU AB WB,136.5,136.5,,,0
HCPCS,84181,HC NEURONAL NUC AB RI WB,136.5,136.5,,,0
HCPCS,84181,HC YO AB WB,136.5,136.5,,,0
HCPCS,84181,Western blot test,,,12.24,108.61,12
HCPCS,84182,HC MYELIN ASS GLYCOPROTEIN,143.0,143.0,,,0
HCPCS,84182,HC PROTEIN WESTERN BLOT W I&R BLOOD/OTH FLUID IMMUNOLOGICAL EA,143.0,143.0,,,0
HCPCS,84182,Protein western blot test,,,20.99,135.19,12
HCPCS,84202,Assay RBC protoporphyrin,,,10.31,91.49,12
HCPCS,84202,HC FEP RBC PROTOPORPHYRIN,115.0,115.0,,,0
HCPCS,84202,HC FEP SO,115.0,115.0,,,0
HCPCS,84203,Test RBC protoporphyrin,,,7.0,54.87,12
HCPCS,84206,Assay of proinsulin,,,19.18,123.54,12
HCPCS,84206,HC PROINSULIN,142.0,142.0,,,0
HCPCS,84207,Assay of vitamin b-6,,,20.19,169.12,12
HCPCS,84207,HC VITAMIN B6,239.0,239.0,,,0
HCPCS,84210,Assay of pyruvate,,,10.41,69.18,12
HCPCS,84210,HC ASSAY OF PYRUVATE SEND OUTS,87.0,87.0,,,0
HCPCS,84210,HC PYRUVATE,87.0,87.0,,,0
HCPCS,84220,Assay of pyruvate kinase,,,6.78,60.18,12
HCPCS,84220,HC PYRUVATE KINASE,75.0,75.0,,,0
HCPCS,84228,Assay of quinine,,,8.36,74.22,12
HCPCS,84233,Assay of estrogen,,,63.15,410.7,12
HCPCS,84234,Assay of progesterone,,,46.62,403.81,12
HCPCS,84235,Assay of endocrine hormone,,,51.19,333.72,12
HCPCS,84238,Assay nonendocrine receptor,,,26.28,233.17,12
HCPCS,84238,HC SOLUBLE IL2 RECEPTOR,292.0,292.0,,,0
HCPCS,84244,Assay of renin,,,15.8,140.24,12
HCPCS,84244,HC RENIN ACTIVITY,176.0,176.0,,,0
HCPCS,84252,Assay of vitamin b-2,,,14.54,129.05,12
HCPCS,84252,HC VITAMIN B2,177.0,177.0,,,0
HCPCS,84255,Assay of selenium,,,18.35,162.81,12
HCPCS,84255,HC SELENIUM,204.0,204.0,,,0
HCPCS,84260,Assay of serotonin,,,22.26,197.52,12
HCPCS,84260,HC SEROTONIN,247.0,247.0,,,0
HCPCS,84270,Assay of sex hormone globul,,,15.62,138.56,12
HCPCS,84270,HC SEX BINDING GLOBULIN (SO),174.0,174.0,,,0
HCPCS,84270,HC SEX HORM BIND GLOBULIN,174.0,174.0,,,0
HCPCS,84275,Assay of sialic acid,,,9.66,85.69,12
HCPCS,84275,HC LASA P,107.5,107.5,,,0
HCPCS,84285,Assay of silica,,,18.12,150.16,12
HCPCS,84295,Assay of serum sodium,,,3.46,30.69,12
HCPCS,84295,HC SODIUM,32.0,32.0,,,0
HCPCS,84300,Assay of urine sodium,,,3.64,31.04,12
HCPCS,84300,HC SODIUM URINE,38.7,38.7,,,0
HCPCS,84300,HC STONERISK SODIUM,38.7,38.7,,,0
HCPCS,84302,Assay of sweat sodium,,,3.49,31.04,12
HCPCS,84302,HC CSF SODIUM,38.7,38.7,,,0
HCPCS,84302,HC SODIUM FECAL,38.7,38.7,,,0
HCPCS,84305,Assay of somatomedin,,,15.28,116.49,12
HCPCS,84305,HC IGF I ESOTERIX,135.0,135.0,,,0
HCPCS,84305,HC SOMATOMEDIN C ELECTROCHEMILUM,135.0,135.0,,,0
HCPCS,84307,Assay of somatostatin,,,13.14,116.6,12
HCPCS,84307,HC SOMATOSTATIN,135.0,135.0,,,0
HCPCS,84311,HC FECAL CHYMOTRYPSIN,51.6,51.6,,,0
HCPCS,84311,HC FECAL POTASSIUM,51.6,51.6,,,0
HCPCS,84311,HC LACTASE BIOPSY,51.6,51.6,,,0
HCPCS,84311,HC MALTASE BIOPSY,51.6,51.6,,,0
HCPCS,84311,HC PALATINASE BIOPSY,51.6,51.6,,,0
HCPCS,84311,HC SUCRASE BIOPSY,51.6,51.6,,,0
HCPCS,84311,HC SULFONAMIDES,51.6,51.6,,,0
HCPCS,84311,HC U KETOGENIC STERIOD,51.6,51.6,,,0
HCPCS,84311,Spectrophotometry,,,5.82,43.86,12
HCPCS,84315,Body fluid specific gravity,,,2.36,15.99,12
HCPCS,84375,Chromatogram assay sugars,,,28.03,180.54,12
HCPCS,84376,HC FECAL REDUCING SUBSTANCE,44.0,44.0,,,0
HCPCS,84376,Sugars single qual,,,3.95,35.07,12
HCPCS,84377,Sugars multiple qual,,,3.95,35.07,12
HCPCS,84378,HC GALACTOSE-1-PHOSPHATE,92.0,92.0,,,0
HCPCS,84378,Sugars single quant,,,8.29,73.5,12
HCPCS,84379,Sugars multiple quant,,,8.29,73.5,12
HCPCS,84392,Assay of urine sulfate,,,3.95,30.27,12
HCPCS,84392,HC STONERISK SULFATE,38.7,38.7,,,0
HCPCS,84393,HC TAU PHOSPHORYLATED EACH SEND OUT,656.25,656.25,,,0
HCPCS,84393,Tau phosphorylated ea,,,128.92,541.92,4
HCPCS,84394,Total tau,,,128.92,541.92,4
HCPCS,844,Anesth pelvis surgery,,,6880.82,9829.75,4
HCPCS,84402,Assay of free testosterone,,,18.3,162.4,12
HCPCS,84402,HC TESTOSTERONE FREE SENDOUT,203.0,203.0,,,0
HCPCS,84403,Assay of total testosterone,,,18.55,164.62,12
HCPCS,84403,HC TESTOSTERONE (ESOTERIX),206.0,206.0,,,0
HCPCS,84403,HC TESTOSTERONE TOTAL,206.0,206.0,,,0
HCPCS,84403,HC TESTOSTERONE TOTAL SENDOUT,206.0,206.0,,,0
HCPCS,84410,Testosterone bioavailable,,,36.85,328.26,12
HCPCS,84425,Assay of vitamin b-1,,,15.26,132.17,12
HCPCS,84425,HC VITAMIN B1,189.0,189.0,,,0
HCPCS,84430,Assay of thiocyanate,,,8.36,72.4,12
HCPCS,84430,HC THIOCYANATE,92.0,92.0,,,0
HCPCS,84431,Thromboxane urine,,,25.23,162.52,12
HCPCS,84432,Assay of thyroglobulin,,,11.54,100.45,12
HCPCS,84432,HC THYROGLOBULIN,129.0,129.0,,,0
HCPCS,84433,Asy thiopurin s-mthyltrnsfrs,,,15.93,112.38,12
HCPCS,84433,HC THIOPURINE S-METHYLTRANSFERASE (TPMT) LEVELS IN BLOOD SENDOUT,144.0,144.0,,,0
HCPCS,84436,Assay of total thyroxine,,,4.94,43.81,12
HCPCS,84436,HC T4 TOTAL,47.0,47.0,,,0
HCPCS,84436,HC TOTAL T4 (SENDOUT),47.0,47.0,,,0
HCPCS,84437,Assay of neonatal thyroxine,,,4.65,41.28,12
HCPCS,84439,Assay of free thyroxine,,,6.48,57.5,12
HCPCS,84439,HC FREE T4 BY DIALYSIS,72.0,72.0,,,0
HCPCS,84439,HC T4 FREE,72.0,72.0,,,0
HCPCS,84442,Assay of thyroid activity,,,10.62,94.35,12
HCPCS,84442,HC THYROXINE BINDING GLOBULIN,118.0,118.0,,,0
HCPCS,84443,Assay thyroid stim hormone,,,12.07,107.11,12
HCPCS,84443,HC TSH 3RD GENERATION,107.0,107.0,,,0
HCPCS,84445,Assay of tsi globulin,,,36.55,324.25,12
HCPCS,84445,HC TSI,406.0,406.0,,,0
HCPCS,84446,Assay of vitamin e,,,10.19,88.25,12
HCPCS,84446,HC VITAMIN E,113.0,113.0,,,0
HCPCS,84449,Assay of transcortin,,,12.93,109.49,12
HCPCS,84449,HC CORTISOL BINDING GLOBULIN,139.8,139.8,,,0
HCPCS,84450,HC AST,34.0,34.0,,,0
HCPCS,84450,Transferase (AST) (SGOT),,,3.72,32.98,12
HCPCS,84460,Alanine amino (ALT) (SGPT),,,3.81,33.71,12
HCPCS,84460,HC ALT,32.0,32.0,,,0
HCPCS,84466,Assay of transferrin,,,9.17,81.42,12
HCPCS,84466,HC TRANSFERRIN,102.0,102.0,,,0
HCPCS,84478,Assay of triglycerides,,,4.12,36.71,12
HCPCS,84478,HC TRIGLYCERIDE FOR VAP,37.0,37.0,,,0
HCPCS,84478,HC TRIGLYCERIDES,37.0,37.0,,,0
HCPCS,84479,Assay of thyroid (t3 or t4),,,4.65,41.28,12
HCPCS,84479,HC T3 UPTAKE SO,57.0,57.0,,,0
HCPCS,84480,Assay triiodothyronine (t3),,,10.19,90.4,12
HCPCS,84480,HC T3 TOTAL,99.0,99.0,,,0
HCPCS,84481,Free assay (FT-3),,,12.17,105.46,12
HCPCS,84481,HC T3 FREE,95.0,95.0,,,0
HCPCS,84482,HC T3 REVERSE,121.0,121.0,,,0
HCPCS,84482,T3 reverse,,,11.33,100.51,12
HCPCS,84484,Assay of troponin quant,,,8.96,61.26,12
HCPCS,84484,HC TROPONIN QUANT,79.6,79.6,,,0
HCPCS,84485,Assay duodenal fluid trypsin,,,5.17,46.73,12
HCPCS,84488,Test feces for trypsin,,,5.25,43.86,12
HCPCS,84490,Assay of feces for trypsin,,,7.14,47.36,12
HCPCS,84510,Assay of tyrosine,,,7.64,66.33,12
HCPCS,84510,HC TYROSINE AMINO,83.9,83.9,,,0
HCPCS,84512,Assay of troponin qual,,,7.25,46.69,12
HCPCS,84520,Assay of urea nitrogen,,,2.84,25.19,12
HCPCS,84520,HC BODY FLUID UREA NITROGEN,23.9,23.9,,,0
HCPCS,84520,HC BUN,23.9,23.9,,,0
HCPCS,84525,Urea nitrogen semi-quant,,,3.69,23.98,12
HCPCS,84540,Assay of urine/urea-n,,,4.0,30.27,12
HCPCS,84540,HC UREA URINE,38.7,38.7,,,0
HCPCS,84545,Urea-N clearance test,,,5.17,42.1,12
HCPCS,84550,Assay of blood/uric acid,,,3.25,28.81,12
HCPCS,84550,HC URIC ACID,36.6,36.6,,,0
HCPCS,84560,Assay of urine/uric acid,,,3.65,30.27,12
HCPCS,84560,HC STONERISK URIC ACID,38.7,38.7,,,0
HCPCS,84560,HC URIC ACID URINE,38.7,38.7,,,0
HCPCS,84577,Assay of feces/urobilinogen,,,12.07,77.74,12
HCPCS,84578,Test urine urobilinogen,,,3.21,20.7,12
HCPCS,84580,Assay of urine urobilinogen,,,6.86,44.18,12
HCPCS,84583,Assay of urine urobilinogen,,,4.35,32.04,12
HCPCS,84585,Assay of urine vma,,,11.14,98.87,12
HCPCS,84585,HC VANILLYLMANDELIC ACID (VMA) URINE SEND OUT,124.7,124.7,,,0
HCPCS,84585,HC VMA ACID,124.7,124.7,,,0
HCPCS,84586,Assay of vip,,,25.39,163.55,12
HCPCS,84586,HC VASO INTESTINAL POLYPEP,152.7,152.7,,,0
HCPCS,84588,Assay of vasopressin,,,24.39,216.47,12
HCPCS,84588,HC ARGININE VASOPRESSIN,271.0,271.0,,,0
HCPCS,84590,Assay of vitamin a,,,8.34,72.22,12
HCPCS,84590,HC VITAMIN A,92.0,92.0,,,0
HCPCS,84591,Assay Of Nos Vitamin,,,12.26,78.95,12
HCPCS,84591,HC BIOTIN,92.0,92.0,,,0
HCPCS,84591,HC NIACIN,92.0,92.0,,,0
HCPCS,84597,Assay of vitamin k,,,9.86,87.41,12
HCPCS,84597,HC VITAMIN K,109.7,109.7,,,0
HCPCS,846,Anesth hysterectomy,,,6880.82,9829.75,4
HCPCS,84600,Assay of volatiles,,,12.3,102.51,12
HCPCS,84600,HC ISOPROPYLALCOHOL,129.0,129.0,,,0
HCPCS,84600,HC METHANOL,129.0,129.0,,,0
HCPCS,84600,HC TRICHLOROETHANOL SENDOUT,129.0,129.0,,,0
HCPCS,84600,HC VOLATILE ANALYSIS,129.0,129.0,,,0
HCPCS,84620,HC URINE XYLOSE (SEND-OUT),94.6,94.6,,,0
HCPCS,84620,HC XYLOSE (SEND-OUT),94.6,94.6,,,0
HCPCS,84620,Xylose tolerance test,,,9.28,75.54,12
HCPCS,84630,Assay of zinc,,,8.18,72.58,12
HCPCS,84630,HC ASSAY OF ZINC SEND OUTS,91.0,91.0,,,0
HCPCS,84630,HC ZINC SERUM,91.0,91.0,,,0
HCPCS,84630,HC ZINC URINE,91.0,91.0,,,0
HCPCS,84681,Assay of c-peptide,,,14.95,132.67,12
HCPCS,84681,HC C PEPTIDE SERUM,165.6,165.6,,,0
HCPCS,84681,HC URINE CPEPTIDE,165.6,165.6,,,0
HCPCS,84702,Chorionic gonadotropin test,,,10.81,96.03,12
HCPCS,84702,HC CSF BETA HCG,132.0,132.0,,,0
HCPCS,84702,HC GONADOTROPHIN CHORIONIC,132.0,132.0,,,0
HCPCS,84702,HC INTEGRATED SCR GONADOTROPIN SO,132.0,132.0,,,0
HCPCS,84702,HC QUANTITATIVE BETA HCG,132.0,132.0,,,0
HCPCS,84703,Chorionic gonadotropin assay,,,5.4,47.9,12
HCPCS,84703,HC PREGNANCY SERUM,46.0,46.0,,,0
HCPCS,84704,Hcg free betachain test,,,10.99,96.03,12
HCPCS,848,Anesth pelvic organ surg,,,6880.82,9829.75,4
HCPCS,84830,Ovulation tests,,,9.13,63.99,12
HCPCS,84999,Clinical chemistry test,,,34.68,34.68,1
HCPCS,84999,HC POTASSIUM CSF,25.8,25.8,,,0
HCPCS,85002,Bleeding time test,,,3.46,28.69,12
HCPCS,85002,HC BLEEDING TIME,36.6,36.6,,,0
HCPCS,85004,Automated diff wbc count,,,4.65,41.28,12
HCPCS,85007,Bl smear w/diff wbc count,,,2.73,21.92,12
HCPCS,85007,HC BLOOD COUNT MANUAL DIF,30.0,30.0,,,0
HCPCS,85008,Bl smear w/o diff wbc count,,,2.46,21.42,12
HCPCS,85009,Manual diff wbc count b-coat,,,3.64,23.69,12
HCPCS,85013,HC BE HEMATOCRIT,19.0,19.0,,,0
HCPCS,85013,Spun microhematocrit,,,4.7,32.4,12
HCPCS,85014,HC MICRO HCT,21.0,21.0,,,0
HCPCS,85014,Hematocrit,,,1.7,15.09,12
HCPCS,85018,HC HEMOGLOBIN,21.0,21.0,,,0
HCPCS,85018,HC HEMOGLOBIN POCT,17.0,17.0,,,0
HCPCS,85018,Hemoglobin,,,1.7,15.09,12
HCPCS,85025,Complete cbc w/auto diff wbc,,,5.58,49.57,12
HCPCS,85025,HC AUTO CBC WITH DIFF,52.0,52.0,,,0
HCPCS,85027,Complete cbc automated,,,4.65,41.28,12
HCPCS,85027,HC AUTO CBC NO DIFF,48.0,48.0,,,0
HCPCS,85032,Manual cell count each,,,3.1,27.42,12
HCPCS,85041,Automated rbc count,,,2.17,18.34,12
HCPCS,85044,Manual reticulocyte count,,,3.1,27.42,12
HCPCS,85045,Automated reticulocyte count,,,2.87,25.51,12
HCPCS,85045,HC RETIC COUNT AUTO,34.0,34.0,,,0
HCPCS,85046,Reticyte/hgb concentrate,,,4.0,35.58,12
HCPCS,85048,Automated leukocyte count,,,1.83,16.18,12
HCPCS,85049,Automated platelet count,,,3.22,28.51,12
HCPCS,85049,HC PLATELET AUTOMATED COUNT,36.6,36.6,,,0
HCPCS,85055,Reticulated platelet assay,,,25.68,165.43,12
HCPCS,85060,Blood smear interpretation,,,32.46,108.16,3
HCPCS,85060,HC PR BLD SMEAR/PATH REVIEW,60.0,60.0,,,0
HCPCS,85097,Bone marrow interpretation,,,51.61,3807.76,11
HCPCS,85097,HC BM BX TOUCH PREP DIFFERENTIAL,1241.0,1241.0,,,0
HCPCS,85097,HC BONE MRW ASPIRATE INTERP PC,1241.0,1241.0,,,0
HCPCS,85097,HC PR BONE MRW SMEAR INTERP,209.0,209.0,,,0
HCPCS,85130,Chromogenic substrate assay,,,8.54,75.85,12
HCPCS,85130,HC PROTHROMBIN FRAGMENT 1 2,75.0,75.0,,,0
HCPCS,85170,Blood clot retraction,,,7.18,75.46,12
HCPCS,85175,Blood clot lysis time,,,9.04,94.28,12
HCPCS,85210,Clot factor ii prothrom spec,,,9.33,80.82,12
HCPCS,85210,HC ASSAY FACTOR II,65.6,65.6,,,0
HCPCS,85220,Blooc clot factor v test,,,12.68,112.5,12
HCPCS,85220,HC ASSAY FACTOR V,141.0,141.0,,,0
HCPCS,85230,Clot factor vii proconvertin,,,12.86,114.18,12
HCPCS,85230,HC ASSAY FACTOR VII,143.0,143.0,,,0
HCPCS,85240,Clot factor viii ahg 1 stage,,,12.86,114.18,12
HCPCS,85240,HC ASSAY FACTOR VIII,143.0,143.0,,,0
HCPCS,85240,HC CHROMOGENIC FACTOR VIII ASSAY,143.0,143.0,,,0
HCPCS,85244,Clot factor viii reltd antgn,,,14.67,130.19,12
HCPCS,85245,Clot factor viii vw ristoctn,,,16.48,146.31,12
HCPCS,85245,HC RISTOCETIN COFACTOR,183.0,183.0,,,0
HCPCS,85246,Clot factor viii vw antigen,,,16.48,146.31,12
HCPCS,85246,HC VW FACTOR ANTIGEN,183.0,183.0,,,0
HCPCS,85247,Clot factor viii multimetric,,,16.48,146.31,12
HCPCS,85247,HC VW FACTOR MULTIMETRIC ANALYS,183.0,183.0,,,0
HCPCS,85250,Clot factor ix ptc/chrstmas,,,13.68,121.43,12
HCPCS,85250,HC ASSAY FACTOR IX,152.7,152.7,,,0
HCPCS,85260,Clot factor x stuart-power,,,12.86,114.18,12
HCPCS,85260,HC ASSAY FACTOR X,143.0,143.0,,,0
HCPCS,85270,Clot factor xi pta,,,12.86,114.18,12
HCPCS,85270,HC ASSAY FACTOR XI,143.0,143.0,,,0
HCPCS,85280,Clot factor xii hageman,,,13.9,123.34,12
HCPCS,85280,HC ASSAY FACTOR XII,155.0,155.0,,,0
HCPCS,85290,Clot factor xiii fibrin stab,,,11.74,104.21,12
HCPCS,85290,HC CLOTTING FACTOR XIII FIBRIN STABILIZING TEST,132.0,132.0,,,0
HCPCS,85291,Clot factor xiii fibrin scrn,,,6.55,56.68,12
HCPCS,85291,HC SCREEN FACTOR XIII,71.0,71.0,,,0
HCPCS,85292,Clot factor fletcher fact,,,13.6,120.76,12
HCPCS,85293,Clot factor wght kininogen,,,13.6,120.76,12
HCPCS,85300,Antithrombin iii activity,,,8.52,75.58,12
HCPCS,85300,HC ANTITHROMBIN III FUNCTIONAL,94.6,94.6,,,0
HCPCS,85301,Antithrombin iii antigen,,,7.77,68.92,12
HCPCS,85302,Clot inhibit prot c antigen,,,8.63,76.67,12
HCPCS,85303,Clot inhibit prot c activity,,,9.95,88.17,12
HCPCS,85303,HC PROTEIN C FUNCTIONAL,102.0,102.0,,,0
HCPCS,85305,Clot inhibit prot s total,,,8.34,73.96,12
HCPCS,85305,HC PROTEIN S TOTAL,92.0,92.0,,,0
HCPCS,85306,Clot inhibit prot s free,,,11.01,91.07,12
HCPCS,85306,HC PROTEIN S FREE,114.0,114.0,,,0
HCPCS,85307,Assay Activated Protein C,,,11.01,91.07,12
HCPCS,85307,HC APC RATIO,114.0,114.0,,,0
HCPCS,85335,Factor inhibitor test,,,9.25,82.1,12
HCPCS,85335,HC FACTOR VIII INHIBITOR SCREEN,103.0,103.0,,,0
HCPCS,85335,HC INHIBITOR FACTOR IX,103.0,103.0,,,0
HCPCS,85335,HC INHIBITOR FACTOR XI,103.0,103.0,,,0
HCPCS,85335,HC INHIBITOR PORCINE FACTOR VIII,103.0,103.0,,,0
HCPCS,85335,HC VW PROTEASE INHIBITOR,103.0,103.0,,,0
HCPCS,85337,Thrombomodulin,,,12.41,79.94,12
HCPCS,85345,Coagulation time lee & white,,,3.37,27.42,12
HCPCS,85347,Coagulation time activated,,,3.08,27.15,12
HCPCS,85347,HC ACT NON OPEN HEART,31.0,31.0,,,0
HCPCS,85347,HC COAGULATION TIME ACTIVATED POCT,31.0,31.0,,,0
HCPCS,85347,HC TEG ACTIVATED CLOTTING TIME,31.0,31.0,,,0
HCPCS,85347,HC TEG RAPID REACTION TIME,31.0,31.0,,,0
HCPCS,85347,HC TEG REACTION TIME,31.0,31.0,,,0
HCPCS,85347,HC TEG REACTION TIME WITH HEPARINASE,31.0,31.0,,,0
HCPCS,85348,Coagulation time otr method,,,3.23,23.73,12
HCPCS,85360,Euglobulin lysis,,,6.04,52.3,12
HCPCS,85362,Fibrin degradation products,,,4.95,43.91,12
HCPCS,85362,HC FDP,54.8,54.8,,,0
HCPCS,85366,Fibrinogen test,,,17.11,372.41,12
HCPCS,85370,Fibrinogen test,,,8.93,72.41,12
HCPCS,85378,Fibrin degrade semiquant,,,6.98,45.45,12
HCPCS,85379,Fibrin degradation quant,,,7.32,64.89,12
HCPCS,85379,HC D DIMER DEEP VEIN THROMBOSIS,90.0,90.0,,,0
HCPCS,85379,HC D DIMER QUANT,90.0,90.0,,,0
HCPCS,85380,Fibrin degradj d-dimer,,,7.32,64.89,12
HCPCS,85384,Fibrinogen activity,,,6.98,54.15,12
HCPCS,85384,HC FIBRINGEN ACTIVITY,57.0,57.0,,,0
HCPCS,85384,HC TEG ANGLE,57.0,57.0,,,0
HCPCS,85384,HC TEG ANGLE W HEPARINASE,57.0,57.0,,,0
HCPCS,85384,HC TEG CLOT FIRMNESS,57.0,57.0,,,0
HCPCS,85384,HC TEG CLOT FIRMNESS W LOT FIRMNESS W HEPARINASE,57.0,57.0,,,0
HCPCS,85384,HC TEG RAPID ANGLE,57.0,57.0,,,0
HCPCS,85384,HC TEG RAPID CLOT FIRMNESS,57.0,57.0,,,0
HCPCS,85385,Fibrinogen antigen,,,10.39,66.94,12
HCPCS,85390,Fibrinolysins screen i&r,,,10.26,71.65,12
HCPCS,85390,HC PR COAG INTERP,62.0,62.0,,,0
HCPCS,85390,HC TEG LYSIS AT 30 MINS W HEPARINASE,34.1,34.1,,,0
HCPCS,85390,HC TEG LYSIS AT 30 MINUTES,34.1,34.1,,,0
HCPCS,85396,Clotting assay whole blood,,,14.57,89.08,6
HCPCS,85397,Clotting funct activity,,,22.18,146.31,12
HCPCS,85397,HC VW PROTEASE ACTIVITY,183.0,183.0,,,0
HCPCS,85400,Fibrinolytic plasmin,,,5.54,56.42,12
HCPCS,85410,Fibrinolytic antiplasmin,,,5.54,49.21,12
HCPCS,85415,Fibrinolytic plasminogen,,,12.35,109.66,12
HCPCS,85420,Fibrinolytic plasminogen,,,4.69,41.68,12
HCPCS,85421,Fibrinolytic plasminogen,,,7.32,64.93,12
HCPCS,85441,Heinz bodies direct,,,3.02,26.82,12
HCPCS,85445,Heinz bodies induced,,,4.9,43.45,12
HCPCS,85460,Hemoglobin fetal,,,5.55,49.34,12
HCPCS,85461,Hemoglobin fetal,,,6.73,43.33,12
HCPCS,85475,Hemolysin acid,,,6.37,56.56,12
HCPCS,85520,HC ANTI XA LEVEL,105.0,105.0,,,0
HCPCS,85520,Heparin assay,,,9.41,83.51,12
HCPCS,85525,Heparin neutralization,,,8.51,75.54,12
HCPCS,85530,Heparin-protamine tolerance,,,9.41,90.4,12
HCPCS,85536,Iron Stain Peripheral Blood,,,4.94,41.28,12
HCPCS,85540,HC LAP W/COUNT,68.8,68.8,,,0
HCPCS,85540,Wbc alkaline phosphatase,,,6.18,54.87,12
HCPCS,85547,RBC mechanical fragility,,,6.18,39.79,12
HCPCS,85549,HC MURAMIDASE SERUM,150.5,150.5,,,0
HCPCS,85549,Muramidase,,,13.47,119.62,12
HCPCS,85555,HC OSMOTIC FRAGILITY RBC UNINCUBATED SEND OUT,80.6,80.6,,,0
HCPCS,85555,RBC osmotic fragility,,,5.37,42.64,12
HCPCS,85557,HC OSMOTIC FRAGILITY SO,83.0,83.0,,,0
HCPCS,85557,RBC osmotic fragility,,,9.6,85.19,12
HCPCS,85576,Blood platelet aggregation,,,17.9,136.97,12
HCPCS,85576,HC COLLAGEN ADP,135.0,135.0,,,0
HCPCS,85576,HC COLLAGEN EPINEPRINE,135.0,135.0,,,0
HCPCS,85576,HC DETECT ASPIRIN EFFECT,135.0,135.0,,,0
HCPCS,85576,HC DETECT CLOPIDOGREL EFFECT,135.0,135.0,,,0
HCPCS,85576,HC PLT AGGRE/ADP,135.0,135.0,,,0
HCPCS,85576,HC PLT AGGRE/ARACHID ACID,135.0,135.0,,,0
HCPCS,85576,HC PLT AGGRE/COLLAGEN,135.0,135.0,,,0
HCPCS,85576,HC PLT AGGRE/EPINEPHRINE,135.0,135.0,,,0
HCPCS,85576,HC PLT AGGRE/RISTOCETIN,135.0,135.0,,,0
HCPCS,85576,HC PLT AGGRE/THROMBIN,135.0,135.0,,,0
HCPCS,85576,HC TEG MAX AMPLITUDE W HEPARINASE,135.0,135.0,,,0
HCPCS,85576,HC TEG MAXIMUM AMPLITUDE,135.0,135.0,,,0
HCPCS,85576,HC TEG RAPID MAXIMUM AMPLITUDE,135.0,135.0,,,0
HCPCS,85597,Phospholipid pltlt neutraliz,,,12.92,114.64,12
HCPCS,85598,Hexagnal phosph pltlt neutrl,,,12.92,114.64,12
HCPCS,85610,HC PROTHROMBIN TIME,37.0,37.0,,,0
HCPCS,85610,Prothrombin time,,,3.08,25.06,12
HCPCS,85611,Prothrombin test,,,2.83,25.11,12
HCPCS,85612,HC LUPUS ANTICOAGULANT,47.0,47.0,,,0
HCPCS,85612,Viper venom prothrombin time,,,12.57,80.97,12
HCPCS,85613,HC DRVVT,47.0,47.0,,,0
HCPCS,85613,Russell viper venom diluted,,,6.88,44.36,12
HCPCS,85635,Reptilase test,,,7.08,62.81,12
HCPCS,85651,HC SED RATE,30.0,30.0,,,0
HCPCS,85651,Rbc sed rate nonautomated,,,3.07,22.66,12
HCPCS,85652,Rbc sed rate automated,,,1.94,17.21,12
HCPCS,85660,HC HGB S DONOR SCREEN,48.0,48.0,,,0
HCPCS,85660,HC SICKLE CELL,48.0,48.0,,,0
HCPCS,85660,RBC sickle cell test,,,3.96,34.37,12
HCPCS,85670,HC THROMBIN TIME,46.0,46.0,,,0
HCPCS,85670,Thrombin time plasma,,,4.15,36.84,12
HCPCS,85675,Thrombin time titer,,,4.92,43.68,12
HCPCS,85705,Thromboplastin inhibition,,,6.92,61.39,12
HCPCS,85730,HC APTT,47.0,47.0,,,0
HCPCS,85730,HC SILICA CLOTTING TIME RATIO,47.0,47.0,,,0
HCPCS,85730,Thromboplastin time partial,,,4.32,38.3,12
HCPCS,85732,Thromboplastin time partial,,,4.65,41.28,12
HCPCS,85810,Blood viscosity examination,,,8.39,74.46,12
HCPCS,85810,HC VISCOSITY,93.5,93.5,,,0
HCPCS,85999,Hematology procedure,,,34.68,34.68,1
HCPCS,86000,Agglutinins febrile antigen,,,5.02,44.5,12
HCPCS,86000,HC AGGLUTININS FEBRILE EA,54.8,54.8,,,0
HCPCS,86001,Allergen Specific Igg,,,5.62,36.21,12
HCPCS,86003,Allergen specific IgE,,,3.75,33.26,12
HCPCS,86003,HC ALLERGEN SPECIFIC IGE,46.0,46.0,,,0
HCPCS,86003,HC ASPERGILLUS FUMIGATUS IGE,46.0,46.0,,,0
HCPCS,86003,HC AUREOBASIDIUM PULLANS,46.0,46.0,,,0
HCPCS,86003,HC PEANUT COMPONENT VIRACOR,46.0,46.0,,,0
HCPCS,86003,HC PEANUT SPECIFIC IGE EACH OF 7,46.0,46.0,,,0
HCPCS,86005,Allergen specific IgE,,,5.73,49.63,12
HCPCS,86008,Allg spec ige recomb ea,,,12.88,111.62,12
HCPCS,86008,HC ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA SO,139.8,139.8,,,0
HCPCS,86015,Actin antibody each,,,8.29,53.37,12
HCPCS,86015,HC ACTIN (SMOOTH MUSCLE) ANTIBODY (ASMA) EACH,82.8,82.8,,,0
HCPCS,86021,WBC antibody identification,,,10.81,96.03,12
HCPCS,86022,HC ANTI PLATELET AB DIR,162.0,162.0,,,0
HCPCS,86022,HC ANTIBODY ID PLATELET ANTIBODIES SRA SO,162.0,162.0,,,0
HCPCS,86022,HC ELISA IGG HITA,162.0,162.0,,,0
HCPCS,86022,HC HIT ANTIBODY,162.0,162.0,,,0
HCPCS,86022,HC PLATELET AB GP IA IIA,162.0,162.0,,,0
HCPCS,86022,HC PLATELET AB GP IB IX,162.0,162.0,,,0
HCPCS,86022,HC PLATELET AB GP IIB IIIA,162.0,162.0,,,0
HCPCS,86022,HC PLATELET AB HLA CLASS I,162.0,162.0,,,0
HCPCS,86022,Platelet antibodies,,,13.2,117.14,12
HCPCS,86023,HC PLATELET ASSOCIATED IMMUNOGLOBULIN ASSAY SENDOUT,104.0,104.0,,,0
HCPCS,86023,Immunoglobulin assay,,,8.95,77.52,12
HCPCS,86036,Anca screen each antibody,,,8.66,55.79,12
HCPCS,86036,HC ANTINEUTROPHIL CYTOPLASMIC ANTIBODY (ANCA) SCREEN EACH ANTIBODY,69.9,69.9,,,0
HCPCS,86037,Anca titer each antibody,,,8.66,55.79,12
HCPCS,86037,HC ANTINEUTROPHIL CYTOPLASMIC ANTIBODY (ANCA) TITER EACH ANTIBODY,95.7,95.7,,,0
HCPCS,86038,Antinuclear antibodies,,,8.69,77.08,12
HCPCS,86038,HC ANTINUCLEAR ANTIBODIES/ANA,96.8,96.8,,,0
HCPCS,86039,Antinuclear antibodies (ANA),,,8.02,71.19,12
HCPCS,86039,HC ANA TITER,98.0,98.0,,,0
HCPCS,86041,Acetylcholn rcptr bndng antb,,,13.22,84.08,11
HCPCS,86041,HC ACETYLCHOLINE RECEPTOR BINDING ANTIBODY SEND OUT,108.6,108.6,,,0
HCPCS,86042,Acetylcholn rcptr blckg antb,,,13.22,84.08,11
HCPCS,86042,HC ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY SEND OUT,108.6,108.6,,,0
HCPCS,86043,Acetylcholn rcptr modlg antb,,,8.66,54.2,11
HCPCS,86043,HC ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY SEND OUT,104.0,104.0,,,0
HCPCS,86051,Aquaporin-4 antb elisa,,,8.29,53.37,12
HCPCS,86052,Aquaporin-4 antb cba each,,,8.66,55.79,12
HCPCS,86052,HC AQUAPORIN-4 ANTIBODY CELL-BASED IMMUNOFLUORESC ASSAY EA SENDOUT,134.0,134.0,,,0
HCPCS,86053,Aqaprn-4 antb flo cytmtry ea,,,8.66,158.6,12
HCPCS,86060,Antistreptolysin o titer,,,5.25,46.54,12
HCPCS,86060,HC ASO TITER,65.0,65.0,,,0
HCPCS,86063,Antistreptolysin o screen,,,4.15,36.84,12
HCPCS,86077,HC PR EVAL OF IRREG AB/XM BY BB MD,128.0,128.0,,,0
HCPCS,86077,Phys blood bank serv xmatch,,,15.65,224.19,11
HCPCS,86078,HC PR INVESTIG OF TRANSF RXN BY BBMD,128.0,128.0,,,0
HCPCS,86078,Phys blood bank serv reactj,,,51.61,825.83,11
HCPCS,86079,Phys blood bank serv authrj,,,15.65,280.46,11
HCPCS,86140,C-reactive protein,,,3.72,32.98,12
HCPCS,86140,HC C REACTIVE PROTEIN,41.9,41.9,,,0
HCPCS,86141,C-reactive protein hs,,,9.31,82.55,12
HCPCS,86141,HC HIGHLY SENSITIVE C-REACT,104.0,104.0,,,0
HCPCS,86146,Beta-2 glycoprotein antibody,,,18.29,162.22,12
HCPCS,86146,HC BETA 2 GLYCO PRO INHIBITOR,160.0,160.0,,,0
HCPCS,86146,HC BETA2 GLYCOPROTEIN IGA,160.0,160.0,,,0
HCPCS,86146,HC BETA2 GLYCOPROTEIN IGG,160.0,160.0,,,0
HCPCS,86146,HC BETA2 GLYCOPROTEIN IGM,160.0,160.0,,,0
HCPCS,86147,Cardiolipin antibody ea ig,,,18.29,162.22,12
HCPCS,86147,HC ANTICARDIOLIPIN AB,172.0,172.0,,,0
HCPCS,86147,HC CARDIOLIPIN AB IGA,172.0,172.0,,,0
HCPCS,86147,HC CARDIOLIPIN AB IGG,172.0,172.0,,,0
HCPCS,86147,HC CARDIOLIPIN AB IGM,172.0,172.0,,,0
HCPCS,86148,Anti-phospholipid antibody,,,11.55,102.44,12
HCPCS,86152,Cell enumeration & id,,,17.82,4242.81,12
HCPCS,86153,Cell enumeration phys interp,,,17.82,917.09,4
HCPCS,86155,Chemotaxis assay,,,11.49,101.9,12
HCPCS,86156,Cold agglutinin screen,,,5.8,42.73,12
HCPCS,86157,Cold agglutinin titer,,,5.79,51.43,12
HCPCS,86157,HC COLD AGGLUTININS TITER,64.5,64.5,,,0
HCPCS,86160,Complement antigen,,,8.62,76.53,12
HCPCS,86160,HC C1 ESTERASE INHIBITOR SO,105.0,105.0,,,0
HCPCS,86160,HC C1Q COMPLEMENT COMPONENT,105.0,105.0,,,0
HCPCS,86160,HC C2 COMPLEMENT COMPONENT,105.0,105.0,,,0
HCPCS,86160,HC C3 COMPLEMENT,105.0,105.0,,,0
HCPCS,86160,HC C4 COMPLEMENT,105.0,105.0,,,0
HCPCS,86160,HC C5 COMPLEMENT,105.0,105.0,,,0
HCPCS,86161,Complement/function activity,,,8.62,76.53,12
HCPCS,86161,HC C1 ESTERASE INHIB FUNCTNL SO,95.7,95.7,,,0
HCPCS,86162,Complement total (ch50),,,14.6,129.55,12
HCPCS,86162,HC COMPLEMENT CH 50,162.0,162.0,,,0
HCPCS,86171,Complement fixation each,,,7.19,63.88,12
HCPCS,86200,Ccp antibody,,,9.31,82.55,12
HCPCS,86200,HC CYCLIC CITRULLINATED PEPTIDE,114.0,114.0,,,0
HCPCS,86215,Deoxyribonuclease antibody,,,9.52,84.51,12
HCPCS,86215,HC DEOXYRIBONUCLEASE ANTIBODY SEND OUTS,117.0,117.0,,,0
HCPCS,86215,HC DNASE B ANTIBODY,117.0,117.0,,,0
HCPCS,86225,Dna antibody native,,,9.87,87.59,12
HCPCS,86225,HC DNA AB DOUBLE STRANDED,109.7,109.7,,,0
HCPCS,86226,Dna antibody single strand,,,8.7,75.39,12
HCPCS,86226,HC SINGLE STRAND DNA ANTIBODY,96.8,96.8,,,0
HCPCS,86231,Ema each ig class,,,8.69,55.97,12
HCPCS,86231,HC ENDOMYSIAL ANTIBODY (EMA) EACH IMMUNOGLOBULIN (IG) CLASS,95.7,95.7,,,0
HCPCS,86235,HC CHROMATIN NUCLEOSOMAL AB,143.0,143.0,,,0
HCPCS,86235,HC ENA JO 1,143.0,143.0,,,0
HCPCS,86235,HC ENA RNP,143.0,143.0,,,0
HCPCS,86235,HC ENA SCLERODERMA/SCL,143.0,143.0,,,0
HCPCS,86235,HC ENA SM,143.0,143.0,,,0
HCPCS,86235,HC EXTRACT NUCLEAR ANTIGEN ANTIBODY CENTROMERE B ANTIBODY,143.0,143.0,,,0
HCPCS,86235,HC EXTRACT NUCLEAR ANTIGEN ANTIBODY SEND OUT,143.0,143.0,,,0
HCPCS,86235,HC SJORGENS/SSA,143.0,143.0,,,0
HCPCS,86235,HC SJORGENS/SSB,143.0,143.0,,,0
HCPCS,86235,Nuclear antigen antibody,,,12.88,111.62,12
HCPCS,86255,Fluorescent antibody screen,,,8.66,76.86,12
HCPCS,86255,HC ANCA SCREEN,180.0,180.0,,,0
HCPCS,86255,HC ANTI ADRENAL SCREEN,180.0,180.0,,,0
HCPCS,86255,HC ANTI EPIDERMAL AB,180.0,180.0,,,0
HCPCS,86255,HC FLUORESCENT NONINFCT AGENT ANTB SCREEN EA ANTIBODY SEND OUT,338.0,338.0,,,0
HCPCS,86255,HC HU AB IFA,180.0,180.0,,,0
HCPCS,86255,HC NEURONAL AB IFA,180.0,180.0,,,0
HCPCS,86255,HC NEURONAL NUC AB RI IFA,180.0,180.0,,,0
HCPCS,86255,HC OVARIAN AB,180.0,180.0,,,0
HCPCS,86255,HC RETICULIN ANTIBODY IGA,180.0,180.0,,,0
HCPCS,86255,HC RETICULIN ANTIBODY IGG,180.0,180.0,,,0
HCPCS,86255,HC YO AB IFA,180.0,180.0,,,0
HCPCS,86256,Fluorescent antibody titer,,,8.66,76.86,12
HCPCS,86256,HC ANCA FLUORESCENT,157.0,157.0,,,0
HCPCS,86256,HC ANTI ENDOMYSIAL AB,157.0,157.0,,,0
HCPCS,86256,HC ANTI STRIATED MUSCLE,157.0,157.0,,,0
HCPCS,86256,HC ANTIADRENAL,157.0,157.0,,,0
HCPCS,86256,HC CSF HU ANTIBODY TITER,157.0,157.0,,,0
HCPCS,86256,HC FLUORESCENT NONINFECTIOUS AGENT ANTIBODY TITER EACH ANTIBODY,157.0,157.0,,,0
HCPCS,86256,HC HU AB TITER,157.0,157.0,,,0
HCPCS,86256,HC NEURONAL NUC AB RI TITER,157.0,157.0,,,0
HCPCS,86256,HC OVARIAN ANTIBODY TITER,157.0,157.0,,,0
HCPCS,86256,HC PARIETAL AB,157.0,157.0,,,0
HCPCS,86256,HC SMOOTH MUSCLE AB,157.0,157.0,,,0
HCPCS,86256,HC YO AB TITER,157.0,157.0,,,0
HCPCS,86258,Dgp antibody each ig class,,,8.29,53.37,12
HCPCS,86258,HC GLIADIN (DEAMIDATED) (DGP) ANTIBODY EACH IMMUNOGLOBULIN (IG) CLASS,82.8,82.8,,,0
HCPCS,86277,Growth hormone antibody,,,11.31,100.37,12
HCPCS,86280,Hemagglutination inhibition,,,5.89,52.2,12
HCPCS,86294,Immunoassay tumor qual,,,18.37,122.12,12
HCPCS,86300,HC CA 27 29,165.6,165.6,,,0
HCPCS,86300,HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3 (27.29),165.6,165.6,,,0
HCPCS,86300,Immunoassay tumor ca 15-3,,,14.95,132.72,12
HCPCS,86301,HC CA 19 9,165.6,165.6,,,0
HCPCS,86301,Immunoassay tumor ca 19-9,,,14.95,132.72,12
HCPCS,86304,HC CA 125,165.6,165.6,,,0
HCPCS,86304,Immunoassay tumor ca 125,,,14.95,132.72,12
HCPCS,86305,HC HUMAN EPIDIDMIS PROTEIN 4 SEND OUT,130.0,130.0,,,0
HCPCS,86305,Human epididymis protein 4,,,14.95,132.72,12
HCPCS,86308,HC MONO TEST SCREEN,46.0,46.0,,,0
HCPCS,86308,Heterophile antibody screen,,,3.72,32.98,12
HCPCS,86309,Heterophile antibody titer,,,4.65,41.28,12
HCPCS,86310,Heterophile antibody absrbj,,,5.3,47.0,12
HCPCS,86316,HC CHROMOGRANIN A,165.6,165.6,,,0
HCPCS,86316,HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE EACH,165.6,165.6,,,0
HCPCS,86316,HC NUCLEAR MATRIX PROTEINS,165.6,165.6,,,0
HCPCS,86316,Immunoassay tumor other,,,14.95,132.72,12
HCPCS,86317,HC IMMUNOASSAY INFECT AGENT ANTIBODY QUAN NOS SEND OUT,119.0,119.0,,,0
HCPCS,86317,HC PNEUMOCCAL AB EA OF 14,119.0,119.0,,,0
HCPCS,86317,HC RABIES TITER,119.0,119.0,,,0
HCPCS,86317,Immunoassay infectious agent,,,10.77,95.62,12
HCPCS,86318,HC SARS COV-2 IGG IGM TOTAL ANTIBODIES,199.0,199.0,,,0
HCPCS,86318,Immunoassay infectious agent,,,13.0,83.75,12
HCPCS,86320,Serum immunoelectrophoresis,,,21.5,142.92,12
HCPCS,86325,Other immunoelectrophoresis,,,16.62,142.55,12
HCPCS,86327,Immunoelectrophoresis assay,,,21.5,138.5,5
HCPCS,86328,HC SARS COV-2 IGG TOTAL ANTIBODY ELISA,214.0,214.0,,,0
HCPCS,86328,Ia nfct ab sarscov2 covid19,,,28.53,276.5,12
HCPCS,86329,Immunodiffusion nes,,,10.1,89.58,12
HCPCS,86331,HC IMMUNODIF OUCHTERLONY,95.7,95.7,,,0
HCPCS,86331,HC TEICHOIC ACID,95.7,95.7,,,0
HCPCS,86331,Immunodiffusion ouchterlony,,,8.61,76.4,12
HCPCS,86332,HC IMMUNE COMPLEX BY CIQ BN,194.6,194.6,,,0
HCPCS,86332,HC IMMUNE COMPLEX BY RAJI,194.6,194.6,,,0
HCPCS,86332,Immune complex assay,,,17.51,155.42,12
HCPCS,86334,HC CRYOGLOBULIN ISO TYPING,178.0,178.0,,,0
HCPCS,86334,HC IMMUNOFIXATION ELECTROPHORESIS,178.0,178.0,,,0
HCPCS,86334,HC PR CRYOGLOBULIN ISO TYPING,69.0,69.0,,,0
HCPCS,86334,HC PR IMMUNOFIXATION ELECTROPHORESIS,69.0,69.0,,,0
HCPCS,86334,Immunofix e-phoresis serum,,,16.05,142.47,12
HCPCS,86335,HC IMMUNOFIXATION URINE SENDOUTS (QUEST READS),208.6,208.6,,,0
HCPCS,86335,HC PR URINE IMMUNOFIXATION ELECTRO,69.0,69.0,,,0
HCPCS,86335,HC URINE IMMUNOFIXATION ELECTRO,208.6,208.6,,,0
HCPCS,86335,Immunfix e-phorsis/urine/csf,,,21.09,187.14,12
HCPCS,86336,HC INHIBIN A,124.7,124.7,,,0
HCPCS,86336,HC INTEGRATED SCREEN INHIBIN A SO,124.7,124.7,,,0
HCPCS,86336,Inhibin A,,,11.2,96.99,12
HCPCS,86337,HC INSULIN ANTIBODY(SEND-OUT),172.0,172.0,,,0
HCPCS,86337,Insulin antibodies,,,15.39,136.53,12
HCPCS,86340,HC INTRINSIC FACTOR AB,120.0,120.0,,,0
HCPCS,86340,Intrinsic factor antibody,,,10.84,96.1,12
HCPCS,86341,HC ICA 512 AB (SEND-OUT),158.0,158.0,,,0
HCPCS,86341,HC ISLET CELL AB SCREEN,158.0,158.0,,,0
HCPCS,86341,HC ISLET CELL AB TITER,158.0,158.0,,,0
HCPCS,86341,Islet cell antibody,,,16.94,126.2,12
HCPCS,86343,Leukocyte histamine release,,,8.95,79.47,12
HCPCS,86344,Leukocyte phagocytosis,,,7.47,50.93,12
HCPCS,86352,Cell function assay w/stim,,,97.63,757.49,12
HCPCS,86352,HC CELLULAR FUNCT ASSAY STIM & DETECT BIOMARKER SEND OUT,360.0,360.0,,,0
HCPCS,86353,HC LYMPHOCYTIC TRANFORM (VIRACOR),391.0,391.0,,,0
HCPCS,86353,Lymphocyte transformation,,,35.23,305.14,12
HCPCS,86355,B cells total count,,,27.11,174.62,12
HCPCS,86355,HC T CELL CD19,120.0,120.0,,,0
HCPCS,86356,Mononuclear cell antigen,,,19.24,123.94,12
HCPCS,86357,HC T CELL CD16/56,120.0,120.0,,,0
HCPCS,86357,Nk cells total count,,,27.11,174.62,12
HCPCS,86359,HC T CELL CD3,120.0,120.0,,,0
HCPCS,86359,T cells total count,,,27.11,174.62,12
HCPCS,86360,HC T CELL CD4/CD8,150.0,150.0,,,0
HCPCS,86360,T cell absolute count/ratio,,,33.76,243.55,12
HCPCS,86361,T cell absolute count,,,19.24,123.94,12
HCPCS,86362,HC MYELIN OLIGODENDROCYTE GLYCOPRTN ANTIBDY IMMFLUOR ASSAY EA SENDOUT,177.0,177.0,,,0
HCPCS,86362,Mog-igg1 antb cba each,,,8.66,55.79,12
HCPCS,86363,Mog-igg1 antb flo cytmtry ea,,,8.66,158.6,12
HCPCS,86364,HC TISSUE TRANSGLUTAMINASE ANTIBODY IGG SEND OUTS,82.8,82.8,,,0
HCPCS,86364,HC TISSUE TRANSGLUTAMINASE EACH IMMUNOGLOBULIN (IG) CLASS,82.8,82.8,,,0
HCPCS,86364,Tiss trnsgltmnase ea ig clas,,,8.29,53.37,12
HCPCS,86366,HC MUSCLE-SPECIFIC KINASE ANTIBODY SEND OUT,108.6,108.6,,,0
HCPCS,86366,Muscle-specific kinase antb,,,13.22,84.08,11
HCPCS,86367,HC STEM CELLS TOTAL COUNT,380.0,380.0,,,0
HCPCS,86367,Stem cells total count,,,55.89,360.04,12
HCPCS,86376,HC ANTITHYROID PEROXIDASE AB,128.0,128.0,,,0
HCPCS,86376,HC LIVER KIDNEY AB,128.0,128.0,,,0
HCPCS,86376,Microsomal antibody each,,,10.46,92.8,12
HCPCS,86381,HC MITOCHONDRIAL ANTIBODY EACH,115.0,115.0,,,0
HCPCS,86381,Mitochondrial antibody each,,,18.29,117.8,12
HCPCS,86382,HC NEUTRALIZATION TEST VIRAL,135.0,135.0,,,0
HCPCS,86382,HC POLIOVIRUS AB BILL,135.0,135.0,,,0
HCPCS,86382,HC POLIOVIRUS AB NEUTRALIZATION,135.0,135.0,,,0
HCPCS,86382,Neutralization test viral,,,12.15,105.28,12
HCPCS,86384,HC SPONTANEOUS N B T,91.0,91.0,,,0
HCPCS,86384,Nitroblue tetrazolium dye,,,9.78,72.58,12
HCPCS,86386,Nuclear matrix protein 22,,,15.65,102.28,12
HCPCS,864,Anesth removal of bladder,,,6880.82,9829.75,4
HCPCS,86403,HC PARTICLE AGGLUTINATION SCREEN EA ANTIBODY,65.0,65.0,,,0
HCPCS,86403,Particle agglut antbdy scrn,,,8.29,64.97,12
HCPCS,86406,Particle agglut antbdy titr,,,7.65,67.83,12
HCPCS,86408,HC NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN,265.0,265.0,,,0
HCPCS,86408,Neutrlzg antb sarscov2 scr,,,26.54,270.78,12
HCPCS,86409,Neutrlzg antb sarscov2 titer,,,50.15,675.89,12
HCPCS,86413,Sars-cov-2 antb quantitative,,,32.4,270.78,12
HCPCS,86430,Rheumatoid factor test qual,,,4.41,36.16,12
HCPCS,86431,HC RHEUMATOID FACTOR QUANT,45.0,45.0,,,0
HCPCS,86431,Rheumatoid factor quant,,,4.07,36.16,12
HCPCS,86480,HC QUANTIFERON TB GOLD,496.0,496.0,,,0
HCPCS,86480,Tb test cell immun measure,,,44.54,385.79,12
HCPCS,86481,HC QUANTIFERON TB GOLD PLUS,554.0,554.0,,,0
HCPCS,86481,Tb ag response t-cell susp,,,71.86,466.34,12
HCPCS,86485,Skin test candida,,,7.99,136.7,11
HCPCS,86486,Skin test nos antigen,,,7.99,136.7,11
HCPCS,86490,Coccidioidomycosis skin test,,,40.85,320.38,5
HCPCS,86510,Histoplasmosis skin test,,,7.99,320.38,11
HCPCS,86580,HC PPD,44.0,44.0,,,0
HCPCS,86580,TB intradermal test,,,7.99,136.7,11
HCPCS,86581,Strptcs pneum antb serot ia,,,92.03,386.85,4
HCPCS,86590,Streptokinase antibody,,,9.1,70.38,12
HCPCS,86592,HC RPR,37.0,37.0,,,0
HCPCS,86592,HC VDRL CSF,37.0,37.0,,,0
HCPCS,86592,Syphilis test non-trep qual,,,3.07,27.24,12
HCPCS,86593,HC RPR/VDRL QUANT,35.0,35.0,,,0
HCPCS,86593,Syphilis test non-trep quant,,,3.16,28.05,12
HCPCS,86596,HC VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EA SEND OUT,188.0,188.0,,,0
HCPCS,86596,Voltage-gtd ca chnl antb ea,,,12.05,85.18,12
HCPCS,866,Anesth removal of adrenal,,,6880.82,9829.75,4
HCPCS,86602,Antinomyces antibody,,,7.32,64.89,12
HCPCS,86603,Adenovirus antibody,,,9.25,82.07,12
HCPCS,86603,HC ADENOVIRUS CF,83.9,83.9,,,0
HCPCS,86606,Aspergillus antibody,,,10.81,96.03,12
HCPCS,86606,HC ASPERGILLUS AB,117.0,117.0,,,0
HCPCS,86606,HC ASPERGILLUS FLAVUS AB,117.0,117.0,,,0
HCPCS,86606,HC ASPERGILLUS FUMIGATUS AB,117.0,117.0,,,0
HCPCS,86606,HC ASPERGILLUS NIGER AB,117.0,117.0,,,0
HCPCS,86609,Bacterium antibody,,,9.26,82.14,12
HCPCS,86609,HC THERMOPHILE BACTERIUM AB,82.0,82.0,,,0
HCPCS,86611,Bartonella Antibody,,,7.32,64.89,12
HCPCS,86611,HC BARTONELLA SPECIES EACH AB,77.0,77.0,,,0
HCPCS,86612,Blastomyces antibody,,,9.27,82.29,12
HCPCS,86612,HC BLASTOMYCES AB SO,103.0,103.0,,,0
HCPCS,86615,Bordetella antibody,,,9.48,84.1,12
HCPCS,86615,HC BORD PERT IGA FHA,105.0,105.0,,,0
HCPCS,86615,HC BORD PERT IGA PT,105.0,105.0,,,0
HCPCS,86615,HC BORD PERT IGG FHA,105.0,105.0,,,0
HCPCS,86615,HC BORD PERT IGG PT,105.0,105.0,,,0
HCPCS,86615,HC BORDETELLA AB,105.0,105.0,,,0
HCPCS,86617,HC CSF LYME IGG WB,137.0,137.0,,,0
HCPCS,86617,HC CSF LYME IGM WB,137.0,137.0,,,0
HCPCS,86617,HC LYME WESTERN BLOT IGG,137.0,137.0,,,0
HCPCS,86617,HC LYME WESTERN BLOT IGM,137.0,137.0,,,0
HCPCS,86617,Lyme disease antibody,,,11.13,98.78,12
HCPCS,86618,HC B BURGDOFERI ANTIBODY EA,113.0,113.0,,,0
HCPCS,86618,HC LYME DISEASE AB,113.0,113.0,,,0
HCPCS,86618,Lyme disease antibody,,,12.24,107.22,12
HCPCS,86619,Borrelia antibody,,,9.61,85.33,12
HCPCS,86622,Brucella antibody,,,6.42,56.95,12
HCPCS,86622,HC BRUCELLA AB AGGLUTINATION,69.9,69.9,,,0
HCPCS,86622,HC BRUCELLA IGG,69.9,69.9,,,0
HCPCS,86622,HC BRUCELLA IGM,69.9,69.9,,,0
HCPCS,86625,Campylobacter antibody,,,9.43,83.64,12
HCPCS,86628,Candida antibody,,,8.63,74.71,12
HCPCS,86628,HC CANDIDA ALBICANS AB SO,95.7,95.7,,,0
HCPCS,86631,Chlamydia antibody,,,8.49,75.4,12
HCPCS,86631,"HC CHLAM SPEC EACH OF 6 IGG, IGA",94.6,94.6,,,0
HCPCS,86631,HC CHLAMYDIA IGA (SEND-OUT),94.6,94.6,,,0
HCPCS,86631,HC CHLAMYDIA IGG (SEND-OUT),94.6,94.6,,,0
HCPCS,86632,Chlamydia igm antibody,,,9.11,80.92,12
HCPCS,86632,HC CHLAM SPEC EACH OF 3 IGM,102.0,102.0,,,0
HCPCS,86632,HC CHLAMYDIA IGM (SEND-OUT),102.0,102.0,,,0
HCPCS,86635,Coccidioides antibody,,,8.24,73.18,12
HCPCS,86635,HC COCCIDIOIDES,91.0,91.0,,,0
HCPCS,86635,HC CSF COCCIDIOIDES IMMITIS AB SO,91.0,91.0,,,0
HCPCS,86638,HC Q FEVER I AND II IGG TITER,77.0,77.0,,,0
HCPCS,86638,HC Q FEVER I IGM TITER,77.0,77.0,,,0
HCPCS,86638,HC Q FEVER IGG AND IGM SCREEN,77.0,77.0,,,0
HCPCS,86638,HC Q FEVER II IGM TITER,77.0,77.0,,,0
HCPCS,86638,Q fever antibody,,,8.71,77.3,12
HCPCS,86641,Cryptococcus antibody,,,10.36,91.89,12
HCPCS,86641,HC CRYPTOCOCCUS AB,92.0,92.0,,,0
HCPCS,86644,CMV antibody,,,10.34,91.75,12
HCPCS,86644,HC CSF CMV IGG (SO),115.0,115.0,,,0
HCPCS,86644,HC CYTOMEGALOVIRUS AB DONOR,115.0,115.0,,,0
HCPCS,86644,HC CYTOMEGALOVIRUS IGG EIA,115.0,115.0,,,0
HCPCS,86645,Cmv antibody igm,,,12.11,107.4,12
HCPCS,86645,HC CSF CMV IGM (SO),114.0,114.0,,,0
HCPCS,86645,HC CYTOMEGALOVIRUS IGM EIA,114.0,114.0,,,0
HCPCS,86648,Diphtheria antibody,,,10.93,97.01,12
HCPCS,86648,HC DIPHTHERIA AB,96.0,96.0,,,0
HCPCS,86651,Encephalitis californ antbdy,,,9.48,84.1,12
HCPCS,86651,HC CALIFORNIA IGG,105.0,105.0,,,0
HCPCS,86651,HC CALIFORNIA IGM,105.0,105.0,,,0
HCPCS,86652,Encephaltis east eqne anbdy,,,9.48,84.1,12
HCPCS,86652,HC EASTERN EQUINE IGG,83.0,83.0,,,0
HCPCS,86652,HC EASTERN EQUINE IGM,83.0,83.0,,,0
HCPCS,86653,Encephaltis st louis antbody,,,9.48,84.1,12
HCPCS,86653,HC ST LOUIS IGG,83.0,83.0,,,0
HCPCS,86653,HC ST LOUIS IGM,83.0,83.0,,,0
HCPCS,86654,Encephaltis west eqne antbdy,,,9.48,84.1,12
HCPCS,86654,HC WESTERN EQUINE IGG,83.0,83.0,,,0
HCPCS,86654,HC WESTERN EQUINE IGM,83.0,83.0,,,0
HCPCS,86658,Enterovirus antibody,,,9.36,83.1,12
HCPCS,86658,HC COX A EACH COMPONENT,83.9,83.9,,,0
HCPCS,86658,HC COXSACKIE B 1 6,83.9,83.9,,,0
HCPCS,86658,HC CSF COXSACKIE A 1 OF 6,83.9,83.9,,,0
HCPCS,86658,HC CSF COXSACKIE B 1 OF 6,83.9,83.9,,,0
HCPCS,86658,HC ECHOVIRUS AB EA OF 7 COMP,83.9,83.9,,,0
HCPCS,86663,Epstein-barr antibody,,,9.43,83.64,12
HCPCS,86663,HC ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN SEND OUT,105.0,105.0,,,0
HCPCS,86663,HC EB VIRUS EARLY AG,105.0,105.0,,,0
HCPCS,86664,Epstein-barr nuclear antigen,,,10.99,97.55,12
HCPCS,86664,HC ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA SEND OUT,114.0,114.0,,,0
HCPCS,86664,HC EB VIRUS NUCLEAR AG,114.0,114.0,,,0
HCPCS,86665,Epstein-barr capsid vca,,,13.04,115.68,12
HCPCS,86665,HC EB VCA IGG,114.0,114.0,,,0
HCPCS,86665,HC EB VCA IGM,114.0,114.0,,,0
HCPCS,86665,HC EPSTEIN BARR CAPSID ANTIGEN,114.0,114.0,,,0
HCPCS,86665,HC EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA SEND OUT,114.0,114.0,,,0
HCPCS,86666,Ehrlichia Antibody,,,7.32,64.89,12
HCPCS,86666,HC EHRLICHIA GRAN IGG,77.0,77.0,,,0
HCPCS,86666,HC EHRLICHIA GRAN IGM,77.0,77.0,,,0
HCPCS,86666,HC EHRLICHIA MONO IGG,77.0,77.0,,,0
HCPCS,86666,HC EHRLICHIA MONO IGM,77.0,77.0,,,0
HCPCS,86668,Francisella tularensis,,,10.18,66.33,12
HCPCS,86668,HC ANTIBODY FRANCISELLA TULARENSIS SENDOUT,76.0,76.0,,,0
HCPCS,86671,Fungus nes antibody,,,8.8,78.16,12
HCPCS,86671,HC SACCHAROMYCES IGA,77.0,77.0,,,0
HCPCS,86671,HC SACCHAROMYCES IGG,77.0,77.0,,,0
HCPCS,86671,HC THERMOPHILE FUNGUS AB,77.0,77.0,,,0
HCPCS,86674,Giardia lamblia antibody,,,10.58,93.89,12
HCPCS,86674,HC GIARDIA LAMBLIA IGG ANTIBODY,114.0,114.0,,,0
HCPCS,86677,HC HELICOBACTER IGA,128.0,128.0,,,0
HCPCS,86677,HC HELICOBACTER PYLORI,128.0,128.0,,,0
HCPCS,86677,HC HELICOBACTER PYLORI IGM SO,128.0,128.0,,,0
HCPCS,86677,Helicobacter pylori antibody,,,12.11,92.52,12
HCPCS,86682,HC CYSTICERCOSIS AB,83.0,83.0,,,0
HCPCS,86682,HC ECHINOCOCCUS IGG EIA,83.0,83.0,,,0
HCPCS,86682,HC ECHINOCOCCUS IGG WB,83.0,83.0,,,0
HCPCS,86682,HC SCHISTOSOMIASIS IGG AB,83.0,83.0,,,0
HCPCS,86682,HC STRONGYLODIASIS AB,83.0,83.0,,,0
HCPCS,86682,HC TOXOCARA AB,83.0,83.0,,,0
HCPCS,86682,Helminth antibody,,,9.35,82.97,12
HCPCS,86684,Hemophilus influenza antibdy,,,11.38,101.05,12
HCPCS,86687,Htlv-i antibody,,,6.53,53.52,12
HCPCS,86688,Htlv-ii antibody,,,10.06,89.31,12
HCPCS,86689,HC HIV 2 AB WESTERN BLOT,155.0,155.0,,,0
HCPCS,86689,HC HTLV I/II AB WESTERN BLOT,155.0,155.0,,,0
HCPCS,86689,Htlv/hiv confirmj antibody,,,13.9,123.38,12
HCPCS,86692,HC HEPATITIS DELTA,135.0,135.0,,,0
HCPCS,86692,Hepatitis delta agent antbdy,,,12.33,108.7,12
HCPCS,86694,HC HSV IGM SCREEN (SO),128.0,128.0,,,0
HCPCS,86694,Herpes simplex nes antbdy,,,10.34,91.75,12
HCPCS,86695,HC CSF HSV 1 IGG (SO),105.0,105.0,,,0
HCPCS,86695,HC CSF HSV 1 IGM (SO),105.0,105.0,,,0
HCPCS,86695,HC CSF HSV IGG TYPE 1 SPECIFIC,105.0,105.0,,,0
HCPCS,86695,HC HSV 1 IGG HERPES SIMPLEX,105.0,105.0,,,0
HCPCS,86695,HC HSV 1 IGM TITER SO,105.0,105.0,,,0
HCPCS,86695,HC HSV 2 IGM TITER SO,105.0,105.0,,,0
HCPCS,86695,HC HSV1 IGM SCREEN,105.0,105.0,,,0
HCPCS,86695,HC HSV1 IGM TITER,105.0,105.0,,,0
HCPCS,86695,Herpes simplex type 1 test,,,9.48,84.1,12
HCPCS,86696,HC CSF HSV 2 IGG (SO),155.0,155.0,,,0
HCPCS,86696,HC CSF HSV 2 IGM (SO),155.0,155.0,,,0
HCPCS,86696,HC CSF HSV IGG TYPE 2 SPECIFIC,155.0,155.0,,,0
HCPCS,86696,HC HSV 2 IGG HERPES SIMPLEX,155.0,155.0,,,0
HCPCS,86696,HC HSV2 IGM SCREEN,155.0,155.0,,,0
HCPCS,86696,HC HSV2 IGM TITER,155.0,155.0,,,0
HCPCS,86696,Herpes simplex type 2 test,,,13.9,123.38,12
HCPCS,86698,HC HISTOPLASMA ANTIBODY,99.0,99.0,,,0
HCPCS,86698,Histoplasma antibody,,,9.91,79.7,12
HCPCS,86701,Hiv-1antibody,,,6.39,56.64,12
HCPCS,86702,Hiv-2 antibody,,,9.72,67.33,12
HCPCS,86703,HC ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT POCT,88.0,88.0,,,0
HCPCS,86703,HC DONOR HIV 1 2 ANTIBODY,88.0,88.0,,,0
HCPCS,86703,HC HIV,88.0,88.0,,,0
HCPCS,86703,HC HIV DOH ELISA,88.0,88.0,,,0
HCPCS,86703,Hiv-1/hiv-2 1 result antbdy,,,9.85,87.44,12
HCPCS,86704,HC HEPATITIS B CORE AB,105.0,105.0,,,0
HCPCS,86704,HC HEPATITIS CORE AB DONOR,105.0,105.0,,,0
HCPCS,86704,Hep b core antibody total,,,8.66,76.86,12
HCPCS,86705,HC HEPATITIS B CORE IGM AB,103.0,103.0,,,0
HCPCS,86705,Hep b core antibody igm,,,8.46,75.03,12
HCPCS,86706,HC HEPATITIS B SURFACE AB,83.9,83.9,,,0
HCPCS,86706,Hep b surface antibody,,,7.72,68.51,12
HCPCS,86707,HC HBE AB,92.0,92.0,,,0
HCPCS,86707,Hepatitis be antibody,,,8.31,73.77,12
HCPCS,86708,HC HA AB,92.0,92.0,,,0
HCPCS,86708,Hepatitis a antibody,,,8.9,78.98,12
HCPCS,86709,HC HA AB IGM,99.0,99.0,,,0
HCPCS,86709,Hepatitis a igm antibody,,,8.09,71.78,12
HCPCS,86710,HC INFLUENZA AB,83.9,83.9,,,0
HCPCS,86710,Influenza virus antibody,,,9.74,86.46,12
HCPCS,86711,John cunningham antibody,,,12.14,89.61,12
HCPCS,86713,HC LEGIONELLA  PNEUMONIA IFA SO,121.0,121.0,,,0
HCPCS,86713,HC LEGIONELLA  SEROGROUP 1,121.0,121.0,,,0
HCPCS,86713,HC LEGIONELLA NON PNEUMONIA SO,121.0,121.0,,,0
HCPCS,86713,HC LEGIONELLA SEROGR 2 TO 6 AND 8,121.0,121.0,,,0
HCPCS,86713,Legionella antibody,,,10.99,97.55,12
HCPCS,86717,HC LEISHMANIA ANTIBODY IFA,78.0,78.0,,,0
HCPCS,86717,Leishmania antibody,,,8.8,78.12,12
HCPCS,86720,HC LEPTOSPIRA,83.0,83.0,,,0
HCPCS,86720,Leptospira antibody,,,11.64,84.1,12
HCPCS,86723,Listeria monocytogenes,,,9.48,84.1,12
HCPCS,86727,HC CSF LCM,83.9,83.9,,,0
HCPCS,86727,HC LCM,83.9,83.9,,,0
HCPCS,86727,Lymph choriomeningitis ab,,,9.25,82.07,12
HCPCS,86732,Mucormycosis antibody,,,10.78,84.1,12
HCPCS,86735,HC MUMP IGG EIA,114.0,114.0,,,0
HCPCS,86735,HC MUMPS IGM (SO),114.0,114.0,,,0
HCPCS,86735,Mumps antibody,,,9.38,83.23,12
HCPCS,86738,HC MYCOPLASMA PNEUMON IGG EIA,83.9,83.9,,,0
HCPCS,86738,HC MYCOPLASMA PNEUMON IGM EIA,83.9,83.9,,,0
HCPCS,86738,Mycoplasma antibody,,,9.51,84.47,12
HCPCS,86741,Neisseria meningitidis,,,9.48,84.1,12
HCPCS,86744,HC HYPER PNEUMO NOCARDIA,83.0,83.0,,,0
HCPCS,86744,Nocardia antibody,,,11.49,84.1,12
HCPCS,86747,HC PARVOVIRUS B19 EA OF 2 COMP,95.0,95.0,,,0
HCPCS,86747,Parvovirus antibody,,,10.8,95.88,12
HCPCS,86750,Malaria antibody,,,9.48,84.1,12
HCPCS,86753,HC BABESIA IGG,83.0,83.0,,,0
HCPCS,86753,HC BABESIA IGM,83.0,83.0,,,0
HCPCS,86753,HC E HISTOLYTIOA ANTIB,83.0,83.0,,,0
HCPCS,86753,HC TRYPANOSOMA CRUZI AB,83.0,83.0,,,0
HCPCS,86753,Protozoa antibody nos,,,8.9,78.98,12
HCPCS,86756,HC RESPIRATORY SYNCYTIAL VIRUS,103.0,103.0,,,0
HCPCS,86756,Respiratory virus antibody,,,11.42,82.2,12
HCPCS,86757,HC R TYPHI IGG TITER,155.0,155.0,,,0
HCPCS,86757,HC R TYPHI IGM TITER,155.0,155.0,,,0
HCPCS,86757,HC RICKETTSIA AB,155.0,155.0,,,0
HCPCS,86757,HC RMSF IGG TITER,155.0,155.0,,,0
HCPCS,86757,HC RMSF IGM TITER,155.0,155.0,,,0
HCPCS,86757,Rickettsia Antibody,,,13.9,123.38,12
HCPCS,86759,Rotavirus antibody,,,13.1,84.38,12
HCPCS,86762,HC RUBELLA IGG,115.0,115.0,,,0
HCPCS,86762,HC RUBELLA IGM ANTIBODY SENDOUT,115.0,115.0,,,0
HCPCS,86762,Rubella antibody,,,10.34,91.75,12
HCPCS,86765,HC RUBEOLA IGG,113.0,113.0,,,0
HCPCS,86765,HC RUBEOLA IGM,113.0,113.0,,,0
HCPCS,86765,Rubeola antibody,,,9.26,82.14,12
HCPCS,86768,HC SALMONELLA H TYPE A,83.0,83.0,,,0
HCPCS,86768,HC SALMONELLA H TYPE B,83.0,83.0,,,0
HCPCS,86768,HC SALMONELLA H TYPE D,83.0,83.0,,,0
HCPCS,86768,HC SALMONELLA O TYPE D,83.0,83.0,,,0
HCPCS,86768,HC SALMONELLA O TYPE VI,83.0,83.0,,,0
HCPCS,86768,Salmonella antibody,,,9.48,84.1,12
HCPCS,86769,HC ANTIBODY SEVERE ACUTE RESP SYN SARS-COV-2 COVID-19 SEND OUT,214.0,214.0,,,0
HCPCS,86769,HC SARS COV-2 IGG OR IGM ANTIBODY ELISA,214.0,214.0,,,0
HCPCS,86769,Sars-cov-2 covid-19 antibody,,,26.54,257.6,12
HCPCS,86771,Shigella antibody,,,17.59,113.32,12
HCPCS,86774,HC TETANUS,93.0,93.0,,,0
HCPCS,86774,Tetanus antibody,,,10.64,94.35,12
HCPCS,86777,HC CSF TOXOPLASMA IGG (SO),115.0,115.0,,,0
HCPCS,86777,HC TOXOPLASMA IGG,115.0,115.0,,,0
HCPCS,86777,Toxoplasma antibody,,,10.34,91.75,12
HCPCS,86778,HC CSF TOXOPLASMA IGM (SO),127.0,127.0,,,0
HCPCS,86778,HC TOXOPLASMA IGM,127.0,127.0,,,0
HCPCS,86778,Toxoplasma antibody igm,,,10.36,91.85,12
HCPCS,86780,HC FTA ABS,106.0,106.0,,,0
HCPCS,86780,HC FTA CSF,106.0,106.0,,,0
HCPCS,86780,HC TREPONEMA PALLIDUM AB SENDOUT,106.0,106.0,,,0
HCPCS,86780,Treponema pallidum,,,9.51,84.43,12
HCPCS,86784,HC TRICHINELLA ANTIBODY,100.0,100.0,,,0
HCPCS,86784,Trichinella antibody,,,9.03,80.11,12
HCPCS,86787,HC CSF VARICELLA ZOSTER IGM (SO),117.0,117.0,,,0
HCPCS,86787,HC VARICELLA IGG EIA,117.0,117.0,,,0
HCPCS,86787,HC VARICELLA ZOSTER IGM SO,117.0,117.0,,,0
HCPCS,86787,Varicella-zoster antibody,,,9.26,82.14,12
HCPCS,86788,HC CSF WEST NILE IGM,114.0,114.0,,,0
HCPCS,86788,HC WEST NILE IGM,114.0,114.0,,,0
HCPCS,86788,West nile virus ab igm,,,12.11,107.4,12
HCPCS,86789,HC CSF WEST NILE IGG,115.0,115.0,,,0
HCPCS,86789,HC WEST NILE IGG,115.0,115.0,,,0
HCPCS,86789,West Nile Virus Antibody,,,10.34,91.75,12
HCPCS,86790,HC ANTIBODY VIRUS NOT SPECIFIED SEND OUT,83.0,83.0,,,0
HCPCS,86790,HC DENGUE IGG,83.0,83.0,,,0
HCPCS,86790,HC DENGUE IGM,83.0,83.0,,,0
HCPCS,86790,HC HANTAVIRUS IGG,83.0,83.0,,,0
HCPCS,86790,HC HANTAVIRUS IGM,83.0,83.0,,,0
HCPCS,86790,HC HEPATITIS E AB IGG,83.0,83.0,,,0
HCPCS,86790,HC HEPATITIS E AB IGM,83.0,83.0,,,0
HCPCS,86790,HC HERPES VIRUS 6 IGG,83.0,83.0,,,0
HCPCS,86790,HC HERPES VIRUS 6 IGM,83.0,83.0,,,0
HCPCS,86790,HC HTLV I/II ANTIBODY EIA,83.0,83.0,,,0
HCPCS,86790,HC HTLV I/II DONOR,83.0,83.0,,,0
HCPCS,86790,HC PARAINFLUENZA EACH OF 3 COMP,83.0,83.0,,,0
HCPCS,86790,HC VIRACOR BK IGG AB,83.0,83.0,,,0
HCPCS,86790,Virus antibody nos,,,9.26,82.14,12
HCPCS,86793,HC YERSINIA EACH OF 3 COMP,83.0,83.0,,,0
HCPCS,86793,Yersinia antibody,,,9.48,84.1,12
HCPCS,86794,Zika virus igm antibody,,,12.11,94.1,12
HCPCS,868,Anesth kidney transplant,,,6880.82,9829.75,4
HCPCS,86800,HC THYROGLOBULIN AUTOANTIBODIES,118.0,118.0,,,0
HCPCS,86800,Thyroglobulin antibody,,,11.43,100.28,12
HCPCS,86803,HC HEPATITIS C AB,100.0,100.0,,,0
HCPCS,86803,HC HEPATITIS C ANTIBODY DONOR,100.0,100.0,,,0
HCPCS,86803,Hepatitis c ab test,,,10.25,87.68,12
HCPCS,86804,HC HEPATITIS C AB CONFIRM,124.7,124.7,,,0
HCPCS,86804,Hep c ab test confirm,,,11.13,98.78,12
HCPCS,86805,HC LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH W TITRAT,250.0,250.0,,,0
HCPCS,86805,Lymphocytotoxicity assay,,,103.85,877.18,12
HCPCS,86806,Lymphocytotoxicity assay,,,34.2,303.47,12
HCPCS,86807,Cytotoxic antibody screening,,,56.52,364.03,12
HCPCS,86807,HC HLA AB SCREEN,316.0,316.0,,,0
HCPCS,86808,Cytotoxic antibody screening,,,21.33,189.27,12
HCPCS,86812,HC HLA B27,206.0,206.0,,,0
HCPCS,86812,Hla typing a b or c,,,18.55,164.58,12
HCPCS,86813,HC HLA ABC TYPING AG,463.0,463.0,,,0
HCPCS,86813,HC HLA COMPATIBILITY FEE,463.0,463.0,,,0
HCPCS,86813,Hla typing a b or c,,,41.68,360.97,12
HCPCS,86816,Hla typing dr/dq,,,21.68,177.67,12
HCPCS,86817,HC HLA DR TYPING AG,515.0,515.0,,,0
HCPCS,86817,Hla typing dr/dq,,,76.27,491.29,12
HCPCS,86821,Lymphocyte culture mixed,,,26.27,360.0,12
HCPCS,86825,HC HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM OR DILUTION,325.0,325.0,,,0
HCPCS,86825,Hla x-math non-cytotoxic,,,78.68,506.79,12
HCPCS,86826,Hla x-match noncytotoxc addl,,,26.25,169.06,12
HCPCS,86828,HC ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL,95.0,95.0,,,0
HCPCS,86828,Hla class i&ii antibody qual,,,46.13,297.13,12
HCPCS,86829,Hla class i/ii antibody qual,,,46.13,297.13,12
HCPCS,86830,HC HLA ANTB ID PHENO BEADS CL 1,640.0,640.0,,,0
HCPCS,86830,Hla class i phenotype qual,,,68.64,502.14,12
HCPCS,86831,HC HLA ANTB ID PHENO BEADS CL 2,548.0,548.0,,,0
HCPCS,86831,Hla class ii phenotype qual,,,58.84,430.41,12
HCPCS,86832,HC HLA ANTB ID SING ANT BDS CL 1,1006.0,1006.0,,,0
HCPCS,86832,Hla class i high defin qual,,,232.65,1498.55,12
HCPCS,86833,HC HLA ANTB ID SING ANT BDS CL 2,915.0,915.0,,,0
HCPCS,86833,Hla class ii high defin qual,,,222.32,1508.05,12
HCPCS,86834,HC HLA ANTIBODY TITER CLASS 1,2836.0,2836.0,,,0
HCPCS,86834,Hla class i semiquant panel,,,256.94,2223.63,12
HCPCS,86835,HC HLA ANTIBODY TITER CLASS 2,2561.0,2561.0,,,0
HCPCS,86835,Hla class ii semiquant panel,,,232.08,2008.49,12
HCPCS,86849,HC UNLISTED IMMUNOLOGY PROC,37.6,37.6,,,0
HCPCS,86850,HC AB SCREEN,104.0,104.0,,,0
HCPCS,86850,RBC antibody screen,,,20.93,280.46,11
HCPCS,86860,HC ELUTION,269.0,269.0,,,0
HCPCS,86860,HC RIBC REF ELUTION,269.0,269.0,,,0
HCPCS,86860,RBC antibody elution,,,34.87,829.91,11
HCPCS,86870,HC AB IDENTIFICATION,526.0,526.0,,,0
HCPCS,86870,HC RIBC REF AB IDENTIFICATION,526.0,526.0,,,0
HCPCS,86870,RBC antibody identification,,,34.87,1694.07,11
HCPCS,86880,Coombs test direct,,,10.67,278.81,11
HCPCS,86880,HC COOMBS TEST DIRECT,100.0,100.0,,,0
HCPCS,86880,HC DIRECT AHG ANTI-C3,100.0,100.0,,,0
HCPCS,86880,HC DIRECT AHG ANTI-IGG,100.0,100.0,,,0
HCPCS,86880,HC RIBC REF DAT-C3,100.0,100.0,,,0
HCPCS,86880,HC RIBC REF DAT-IGG,100.0,100.0,,,0
HCPCS,86880,HC RIBC REF DAT-POLY,100.0,100.0,,,0
HCPCS,86885,Coombs test indirect qual,,,11.37,811.31,11
HCPCS,86886,Coombs test indirect titer,,,10.28,809.12,11
HCPCS,86886,HC AB TITRATION,273.0,273.0,,,0
HCPCS,86886,HC TITER AND ANTIGEN TYPING,273.0,273.0,,,0
HCPCS,86890,Autologous blood process,,,66.0,878.61,11
HCPCS,86891,Autologous blood op salvage,,,20.93,3807.76,7
HCPCS,86900,Blood typing serologic abo,,,5.93,628.81,11
HCPCS,86900,HC ABO TYPE,200.0,200.0,,,0
HCPCS,86900,HC BLOOD TYPING SEROLOGIC ABO,200.0,200.0,,,0
HCPCS,86900,HC RIBC REF ABO TYPE,200.0,200.0,,,0
HCPCS,86901,Blood typing serologic rh(d),,,5.93,189.54,11
HCPCS,86901,HC RH TYPE,63.0,63.0,,,0
HCPCS,86901,HC RIBC REF RH TYPE,63.0,63.0,,,0
HCPCS,86902,Blood type antigen donor ea,,,7.6,1694.07,11
HCPCS,86902,HC AG SCREEN DONOR,502.0,502.0,,,0
HCPCS,86902,HC RIBC AG SCREEN,502.0,502.0,,,0
HCPCS,86904,Blood typing patient serum,,,18.89,278.81,11
HCPCS,86905,Blood typing rbc antigens,,,7.6,1694.07,11
HCPCS,86905,HC AG SCREEN PATIENT,483.0,483.0,,,0
HCPCS,86905,HC RIBC REF AG SCREEN PT (NOT RH),483.0,483.0,,,0
HCPCS,86906,Bld typing serologic rh phnt,,,15.4,189.54,11
HCPCS,86906,HC RIBC REF RH PHENOTYPE,104.0,104.0,,,0
HCPCS,86910,Blood typing paternity test,,,24.34,83.94,2
HCPCS,86911,Blood typing antigen system,,,21.0,72.45,2
HCPCS,86920,Compatibility test spin,,,20.93,821.39,11
HCPCS,86920,HC CROSSMATCH IS,257.0,257.0,,,0
HCPCS,86921,Compatibility test incubate,,,20.93,811.36,11
HCPCS,86922,Compatibility test antiglob,,,34.87,829.91,11
HCPCS,86922,HC CROSSMATCH AHG,274.0,274.0,,,0
HCPCS,86923,Compatibility test electric,,,20.93,821.39,7
HCPCS,86923,HC CROSSMATCH  ELECTRONIC,257.0,257.0,,,0
HCPCS,86927,HC THAWING FFP,282.0,282.0,,,0
HCPCS,86927,Plasma fresh frozen,,,20.93,874.58,11
HCPCS,86930,Frozen blood prep,,,66.0,1570.91,11
HCPCS,86931,Frozen blood thaw,,,66.0,1557.47,11
HCPCS,86932,Frozen blood freeze/thaw,,,24.84,322.69,11
HCPCS,86940,Hemolysins/agglutinins auto,,,6.3,52.28,12
HCPCS,86941,Hemolysins/agglutinins,,,8.7,75.39,12
HCPCS,86945,Blood product/irradiation,,,20.93,189.54,11
HCPCS,86945,HC IRRAD OF BLOOD COMPONENT,104.0,104.0,,,0
HCPCS,86950,Leukacyte transfusion,,,20.93,811.36,11
HCPCS,86960,HC VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT,428.0,428.0,,,0
HCPCS,86960,Vol reduction of blood/prod,,,20.93,821.39,11
HCPCS,86965,HC POOLING PLTS OR CRYO PER POOL,282.0,282.0,,,0
HCPCS,86965,Pooling blood platelets,,,34.87,829.91,11
HCPCS,86970,Rbc pretx incubatj w/chemicl,,,20.93,278.81,11
HCPCS,86971,Rbc pretx incubatj w/enzymes,,,20.93,1551.06,11
HCPCS,86972,HC RIBC REF RETIC SEPARATION,282.0,282.0,,,0
HCPCS,86972,Rbc pretx incubatj w/density,,,20.93,821.39,11
HCPCS,86975,HC RIBC REF DRUG TREATMENT-SERUM,515.0,515.0,,,0
HCPCS,86975,Rbc serum pretx incubj drugs,,,34.87,2111.28,11
HCPCS,86976,Rbc serum pretx id dilution,,,18.13,136.7,11
HCPCS,86977,HC RIBC REF NEUTRALIZATION,282.0,282.0,,,0
HCPCS,86977,Rbc serum pretx incubj/inhib,,,66.0,841.24,11
HCPCS,86978,HC RIBC REF ABSORPTION W/CELLS,145.0,145.0,,,0
HCPCS,86978,HC RIBC REF ENZYME TREAT,145.0,145.0,,,0
HCPCS,86978,HC RIBC REF REST/HPC ABSORPTION,145.0,145.0,,,0
HCPCS,86978,Rbc pretreatment serum,,,24.84,278.81,11
HCPCS,86985,HC SPLITTING OF BLOOD COMPONENTS,282.0,282.0,,,0
HCPCS,86985,Split blood or products,,,20.93,818.26,11
HCPCS,86999,Transfusion procedure,,,18.13,136.7,10
HCPCS,87003,Small animal inoculation,,,12.1,104.78,12
HCPCS,87015,HC CONCENTRATION FOR INFECTIOUS AGENTS SEND OUTS,58.0,58.0,,,0
HCPCS,87015,HC CONCENTRATION STEP,58.0,58.0,,,0
HCPCS,87015,HC CYCLOSPORA ISOSPORA CONC,58.0,58.0,,,0
HCPCS,87015,HC F CRYPTOSPORIDIUM CONCENTRAT,58.0,58.0,,,0
HCPCS,87015,HC MICROSPORIDIA CONCENTRATION,58.0,58.0,,,0
HCPCS,87015,HC THICK SMEAR FOR PARASITE TC,58.0,58.0,,,0
HCPCS,87015,Specimen infect agnt concntj,,,4.8,42.59,12
HCPCS,87040,Blood culture for bacteria,,,7.42,65.84,12
HCPCS,87040,HC CULTURE BLOOD,82.8,82.8,,,0
HCPCS,87045,Feces culture aerobic bact,,,6.78,58.73,12
HCPCS,87045,HC CULTURE STOOL,83.0,83.0,,,0
HCPCS,87046,HC CULTURE STOOL ADD PATHOGENS,75.0,75.0,,,0
HCPCS,87046,Stool cultr aerobic bact ea,,,6.78,58.73,12
HCPCS,87070,Culture othr specimn aerobic,,,6.19,54.92,12
HCPCS,87070,HC BORDETELLA CULTURE DOH,68.8,68.8,,,0
HCPCS,87070,HC CULTURE BACT,68.8,68.8,,,0
HCPCS,87070,HC CULTURE CSF,68.8,68.8,,,0
HCPCS,87070,HC CULTURE RESPIRATORY,68.8,68.8,,,0
HCPCS,87070,HC CULTURE THROAT,68.8,68.8,,,0
HCPCS,87070,HC CULTURE WOUND,68.8,68.8,,,0
HCPCS,87071,Culture aerobic quant other,,,7.11,58.73,12
HCPCS,87073,Culture Bacteria Anaerobic,,,6.94,58.73,12
HCPCS,87075,Cultr bacteria except blood,,,6.81,58.91,12
HCPCS,87075,HC CULTURE ANAEROBIC,81.7,81.7,,,0
HCPCS,87076,Culture anaerobe ident each,,,5.81,39.69,12
HCPCS,87077,Culture Aerobic Identify,,,5.81,39.69,12
HCPCS,87077,HC CULTURE ROUTINE ADD ID MAJOR,41.9,41.9,,,0
HCPCS,87081,Culture screen only,,,4.76,42.29,12
HCPCS,87081,HC CULTURE BACTERIAL SCREEN,68.0,68.0,,,0
HCPCS,87081,HC CULTURE GROUP B SCREEN,68.0,68.0,,,0
HCPCS,87081,HC CULTURE LEGIONELLA,68.0,68.0,,,0
HCPCS,87081,HC CULTURE MRSA SCREEN,68.0,68.0,,,0
HCPCS,87081,HC CULTURE VRE SCREEN,68.0,68.0,,,0
HCPCS,87081,HC GENITAL GROUP A STREP SCREEN,68.0,68.0,,,0
HCPCS,87081,HC MRSA SCREEN WOUND,68.0,68.0,,,0
HCPCS,87081,HC RECTAL CPE SCREEN,68.0,68.0,,,0
HCPCS,87081,HC RECTAL GROUP A STREP SCREEN,68.0,68.0,,,0
HCPCS,87084,Culture of specimen by kit,,,17.11,125.29,12
HCPCS,87086,HC CULTURE URINE COLONY COUNT,51.6,51.6,,,0
HCPCS,87086,Urine culture/colony count,,,5.8,50.26,12
HCPCS,87088,HC CULTURE URINE ADD ID MAJOR,51.6,51.6,,,0
HCPCS,87088,Urine bacteria culture,,,5.81,51.67,12
HCPCS,87101,HC CULTURE FUNGUS SKIN,62.0,62.0,,,0
HCPCS,87101,Skin fungi culture,,,5.54,49.21,12
HCPCS,87102,Fungus isolation culture,,,6.04,53.6,12
HCPCS,87102,HC CULTURE FUNGUS,66.7,66.7,,,0
HCPCS,87103,Blood fungus culture,,,14.7,94.68,12
HCPCS,87103,HC CULTURE FUNGI ISOLATION W PRESUMPTIVE ID ISOL BLOOD SEND OUT,72.0,72.0,,,0
HCPCS,87103,HC CULTURE FUNGUS BLOOD,72.0,72.0,,,0
HCPCS,87106,Fungi identification yeast,,,7.42,65.84,12
HCPCS,87106,HC CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST SENDOUT,93.25,93.25,,,0
HCPCS,87107,Fungi identification mold,,,7.42,65.84,12
HCPCS,87107,HC CULT FUNGI DEFINITIVE ID EA ORGANISM MOLD,66.0,66.0,,,0
HCPCS,87109,HC MYCOPLASMA HOMINIS CULT (SO),122.6,122.6,,,0
HCPCS,87109,Mycoplasma,,,11.06,95.77,12
HCPCS,87110,Chlamydia culture,,,14.08,124.93,12
HCPCS,87116,HC CULTURE AFB,60.0,60.0,,,0
HCPCS,87116,HC CULTURE TUBERCLE/OTHER ACID FAST BACILLI ANY SOURCE W ISOL SEND OUT,60.0,60.0,,,0
HCPCS,87116,Mycobacteria culture,,,7.76,67.24,12
HCPCS,87118,Mycobacteric identification,,,10.5,69.79,12
HCPCS,87140,Culture type immunofluoresc,,,4.0,35.52,12
HCPCS,87140,HC BORDETELLA PCR DOH,48.0,48.0,,,0
HCPCS,87143,Culture typing glc/hplc,,,9.0,77.97,12
HCPCS,87147,Culture type immunologic,,,3.72,32.98,12
HCPCS,87147,HC CULT TYPING AGGLUTINATION GRP,41.9,41.9,,,0
HCPCS,87149,Dna/rna direct probe,,,14.41,127.87,12
HCPCS,87149,HC CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANISM SENDOUT,160.0,160.0,,,0
HCPCS,87149,HC PEPTIDE NUCLEIC ACID FLUORES,160.0,160.0,,,0
HCPCS,87150,Dna/rna amplified probe,,,25.22,223.79,12
HCPCS,87150,HC BLOOD FUNGAL PCR PANEL,110.0,110.0,,,0
HCPCS,87150,HC CULTURE TYP ID BY NUCL ACID AMPL PROBE TECH EA ORG PROBED SENDOUT,229.75,229.75,,,0
HCPCS,87150,HC ID BY NUCLEIC ACID (DNA OR RNA) PROBE CULT/ISOLATE EACH,110.0,110.0,,,0
HCPCS,87152,Culture Type Pulse Field Gel,,,5.56,35.85,12
HCPCS,87153,Dna/rna sequencing,,,82.9,735.55,12
HCPCS,87153,HC CULTURE TYPING NUCLEIC ACID SEQUENCING METH EA ISOLATE SENDOUT,702.0,702.0,,,0
HCPCS,87154,Cul typ id bld pthgn 6+ trgt,,,156.7,1009.32,12
HCPCS,87154,HC CULTYPE TYPING ID BLD PATHOGEN & RESIST TYPE 6 OR> TARGETS,1358.0,1358.0,,,0
HCPCS,87158,Culture typing added method,,,5.56,35.85,12
HCPCS,87158,HC CULTURE TYPING OTHER METHODS SENDOUT,85.25,85.25,,,0
HCPCS,87164,Dark field examination,,,7.72,55.77,12
HCPCS,87166,Dark field examination,,,8.12,55.77,12
HCPCS,87168,Macroscopic Exam Arthropod,,,3.07,27.24,12
HCPCS,87169,Macroscopic exam parasite,,,3.1,27.24,12
HCPCS,87172,HC PINWORM EXAM,34.0,34.0,,,0
HCPCS,87172,Pinworm Exam,,,3.07,27.24,12
HCPCS,87176,HC HOMOGENIZATION TISSUE,47.0,47.0,,,0
HCPCS,87176,HC TISSUE PREPARATION,47.0,47.0,,,0
HCPCS,87176,Tissue homogenization cultr,,,4.23,37.51,12
HCPCS,87177,HC OVA AND PARASITES (SEND OUT),71.0,71.0,,,0
HCPCS,87177,Ova and parasites smears,,,6.4,55.38,12
HCPCS,87181,HC SUSCEPTIBILITY E TEST,45.0,45.0,,,0
HCPCS,87181,Microbe susceptible diffuse,,,3.41,30.27,12
HCPCS,87183,Sc std carbapenem resist gen,,,35.09,147.5,4
HCPCS,87184,HC SENSITIVITY DISKS,54.8,54.8,,,0
HCPCS,87184,Microbe susceptible disk,,,5.38,43.99,12
HCPCS,87185,Microbe susceptible enzyme,,,3.41,30.27,12
HCPCS,87186,HC SENSITIVITY MIC,68.8,68.8,,,0
HCPCS,87186,HC SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUT PER PLATE SENDOUT,131.25,131.25,,,0
HCPCS,87186,Microbe susceptible mic,,,6.22,55.14,12
HCPCS,87187,Microbe susceptible mlc,,,20.58,185.91,12
HCPCS,87188,HC SUSCEPT STUDIES ANTIMICRBL AGNT MACROBROTH DIL METH EA AGNT SENDOUT,131.25,131.25,,,0
HCPCS,87188,Microbe suscept macrobroth,,,4.77,42.33,12
HCPCS,87190,Microbe suscept mycobacteri,,,5.25,36.07,12
HCPCS,87197,Bactericidal level serum,,,10.79,95.8,12
HCPCS,87205,HC SMEAR PRIMARY SOURCE,37.0,37.0,,,0
HCPCS,87205,Smear gram stain,,,3.07,27.24,12
HCPCS,87206,HC F CRYPTOSPORIDIUM SMEAR,43.0,43.0,,,0
HCPCS,87206,HC SMEAR AFB FLUORESCENT,43.0,43.0,,,0
HCPCS,87206,HC SMEAR FUNGUS FLUORESCENT,43.0,43.0,,,0
HCPCS,87206,Smear fluorescent/acid stai,,,3.87,34.26,12
HCPCS,87207,HC BLOOD SMEAR PARASITE PC,47.0,47.0,,,0
HCPCS,87207,HC CYCLOSPOSRA ISOSPORA STAIN,47.0,47.0,,,0
HCPCS,87207,HC DEGREE OF PARASITEMIA TC,47.0,47.0,,,0
HCPCS,87207,HC MICROSPORIDIA SMEAR SPEC STAIN,47.0,47.0,,,0
HCPCS,87207,HC PR BLOOD SMEAR PARASITE,47.0,47.0,,,0
HCPCS,87207,HC SMEAR PRIM SRC W INTER SPEC STAIN BODIES/PARASITS SEND OUTS,47.0,47.0,,,0
HCPCS,87207,HC THIN SMEAR FOR PARASITE TC,47.0,47.0,,,0
HCPCS,87207,Smear special stain,,,4.3,38.23,12
HCPCS,87209,HC COMPLEX STAIN OVA & PARASITES,143.0,143.0,,,0
HCPCS,87209,Smear complex stain,,,12.92,114.59,12
HCPCS,87210,HC SMEAR INDIA INK,34.0,34.0,,,0
HCPCS,87210,HC SMEAR WET MOUNT,34.0,34.0,,,0
HCPCS,87210,Smear wet mount saline/ink,,,4.18,27.24,12
HCPCS,87220,HC KOH SLIDE,34.0,34.0,,,0
HCPCS,87220,Tissue exam for fungi,,,3.07,27.24,12
HCPCS,87230,Assay toxin or antitoxin,,,14.19,125.93,12
HCPCS,87250,Virus inoculate eggs/animal,,,14.06,124.69,12
HCPCS,87252,Virus inoculation tissue,,,18.73,166.2,12
HCPCS,87253,HC TISS CULT ADD STUDIES EA ISOL,161.0,161.0,,,0
HCPCS,87253,Virus inoculate tissue addl,,,14.52,128.77,12
HCPCS,87254,HC VIRUS INOCULATION SHELL VIAL,156.0,156.0,,,0
HCPCS,87254,Virus inoculation shell via,,,14.06,124.69,12
HCPCS,87255,Genet virus isolate hsv,,,24.33,215.96,12
HCPCS,87260,Adenovirus ag if,,,10.37,76.49,12
HCPCS,87265,Pertussis ag if,,,8.61,76.49,12
HCPCS,87267,Enterovirus antibody dfa,,,9.64,76.49,12
HCPCS,87269,Giardia ag if,,,9.78,76.49,12
HCPCS,87270,Chlamydia trachomatis ag if,,,8.61,76.49,12
HCPCS,87271,Cytomegalovirus dfa,,,9.64,76.49,12
HCPCS,87272,Cryptosporidium ag if,,,8.61,76.49,12
HCPCS,87273,Herpes simplex 2 ag if,,,8.61,76.49,12
HCPCS,87274,Herpes simplex 1 ag if,,,8.61,76.49,12
HCPCS,87275,Influenza b ag if,,,8.8,76.49,12
HCPCS,87276,Influenza a ag if,,,11.55,76.49,12
HCPCS,87278,Legion pneumophilia ag if,,,11.21,76.49,12
HCPCS,87279,Parainfluenza ag if,,,11.81,76.49,12
HCPCS,87280,Respiratory syncytial ag if,,,9.64,76.49,12
HCPCS,87281,HC SMEAR PNEUMO CARINII DFA,91.0,91.0,,,0
HCPCS,87281,Pneumocystis carinii ag if,,,8.61,76.49,12
HCPCS,87283,Rubeola ag if,,,23.82,281.45,12
HCPCS,87285,Treponema pallidum ag if,,,8.75,76.49,12
HCPCS,87290,Varicella zoster ag if,,,9.64,76.49,12
HCPCS,87299,Antibody detection nos if,,,11.57,76.49,12
HCPCS,87300,Ag detection polyval if,,,8.61,76.49,12
HCPCS,87301,Adenovirus ag ia,,,8.61,76.49,12
HCPCS,87305,Aspergillus ag ia,,,8.61,76.49,12
HCPCS,87305,HC ASPERGILLUS ANTIGEN,91.0,91.0,,,0
HCPCS,87305,HC VIRACOR ASPERGILLUS GALACTO,91.0,91.0,,,0
HCPCS,87320,Chylmd trach ag ia,,,10.78,76.49,12
HCPCS,87324,Clostridium ag ia,,,8.61,76.49,12
HCPCS,87324,HC INFECT AGENT ANTIGEN DET IA CLOSTRIDIUM DIFFICILE TOXIN,104.0,104.0,,,0
HCPCS,87327,Cryptococcus neoform ag ia,,,9.64,76.49,12
HCPCS,87328,Cryptosporidium ag ia,,,9.93,76.49,12
HCPCS,87329,Giardia ag ia,,,8.61,76.49,12
HCPCS,87332,Cytomegalovirus ag ia,,,8.61,76.49,12
HCPCS,87335,E coli 0157 ag ia,,,9.1,76.49,12
HCPCS,87336,Entamoeb hist dispr ag ia,,,11.5,76.49,12
HCPCS,87337,Entamoeb hist group ag ia,,,8.61,76.49,12
HCPCS,87338,HC FECAL HELICOBACTER,100.0,100.0,,,0
HCPCS,87338,Hpylori stool ia,,,10.33,87.68,12
HCPCS,87339,H pylori ag ia,,,11.5,76.49,12
HCPCS,87340,HC HEPATITIS B SURFACE AG,91.0,91.0,,,0
HCPCS,87340,HC HEPATITIS SURFACE AG DONOR,91.0,91.0,,,0
HCPCS,87340,Hepatitis b surface ag ia,,,7.42,65.84,12
HCPCS,87341,Hepatitis b surface ag ia,,,7.42,65.84,12
HCPCS,87350,HC HBE AG,92.0,92.0,,,0
HCPCS,87350,Hepatitis be ag ia,,,8.29,73.5,12
HCPCS,87380,Hepatitis delta ag ia,,,13.19,87.68,12
HCPCS,87385,HC HISTOPLASMA ANTIGEN,91.0,91.0,,,0
HCPCS,87385,Histoplasma capsul ag ia,,,9.52,76.49,12
HCPCS,87389,HC HIV-1 ANTIGENS W HIV-1 & HIV-2 ANTBDY SINGLE,95.0,95.0,,,0
HCPCS,87389,Hiv-1 ag w/hiv-1 & hiv-2 ab,,,17.3,154.38,12
HCPCS,87390,Hiv-1 ag ia,,,17.29,112.5,12
HCPCS,87391,Hiv-2 ag ia,,,15.74,112.5,12
HCPCS,87400,Influenza a/b ag ia,,,10.15,76.49,12
HCPCS,87420,Resp syncytial ag ia,,,10.0,76.49,12
HCPCS,87425,Rotavirus ag ia,,,8.61,76.49,12
HCPCS,87426,Coronavirus ag ia,,,22.26,276.53,12
HCPCS,87427,Shiga-like toxin ag ia,,,8.61,76.49,12
HCPCS,87428,Sarscov & inf vir a&b ag ia,,,44.28,449.31,12
HCPCS,87430,HC STREPTOCOCCUS GROUP A EIA,101.0,101.0,,,0
HCPCS,87430,Strep a ag ia,,,12.08,77.79,12
HCPCS,87449,Ag detect nos ia mult,,,8.61,76.49,12
HCPCS,87449,HC LEGIONELLA ANTIGEN URINE,91.0,91.0,,,0
HCPCS,87449,HC NOROVIRUS EIA SO,91.0,91.0,,,0
HCPCS,87449,HC VIRACOR FUNGITELL,91.0,91.0,,,0
HCPCS,87451,Ag detect polyval ia mult,,,7.55,61.13,12
HCPCS,87467,Hepatitis b surface ag quan,,,10.81,106.43,12
HCPCS,87468,Anaplsma phgcytophlm amp prb,,,25.22,162.15,12
HCPCS,87468,HC INF AGNT DET NUCL ACID ANAPLASMA PHAGOCYTOPHILUM PCR,156.0,156.0,,,0
HCPCS,87469,Babesia microti amp prb,,,25.22,162.15,12
HCPCS,87469,HC INFECT AGNT DET NUC ACID BABESIA SPP PCR,156.0,156.0,,,0
HCPCS,87471,Bartonella dna amp probe,,,25.22,223.79,12
HCPCS,87472,Bartonella dna quant,,,30.78,273.15,12
HCPCS,87475,Lyme dis dna dir probe,,,14.41,127.87,12
HCPCS,87476,HC LYME DNA BY PCR,285.0,285.0,,,0
HCPCS,87476,Lyme dis dna amp probe,,,25.22,223.79,12
HCPCS,87478,Borrelia miyamotoi amp prb,,,25.22,162.15,12
HCPCS,87480,Candida dna dir probe,,,14.41,127.87,12
HCPCS,87480,HC CANDIDA DNA DIRECT PROBE TECHNIQ,160.0,160.0,,,0
HCPCS,87480,HC CANDIDA PROBE VAGINAL,149.0,149.0,,,0
HCPCS,87481,Candida dna amp probe,,,25.22,223.79,12
HCPCS,87481,HC CANDIDA SPECIES AMPLIFIED PROBE TECHNIQUE,218.0,218.0,,,0
HCPCS,87482,Candida dna quant,,,40.05,266.22,12
HCPCS,87483,Cns dna amp probe type 12-25,,,299.5,2586.62,12
HCPCS,87483,HC CNS PATHOGEN MULTIPLEX AMPLIFIED PROBE 12-25 TARGETS,1675.0,1675.0,,,0
HCPCS,87484,Ehrlicha chaffeensis amp prb,,,25.22,162.15,12
HCPCS,87484,HC INF AGNT DET NUC ACID EHRLICHIA SPP PCR,156.0,156.0,,,0
HCPCS,87485,Chylmd pneum dna dir probe,,,14.41,127.87,12
HCPCS,87486,Chylmd pneum dna amp probe,,,25.22,223.79,12
HCPCS,87487,Chylmd pneum dna quant,,,30.78,273.15,12
HCPCS,87490,Chylmd trach dna dir probe,,,16.35,127.87,12
HCPCS,87491,Chylmd trach dna amp probe,,,25.22,223.79,12
HCPCS,87491,HC C TRACHOMATIS AMPLIFIED PROBE,202.0,202.0,,,0
HCPCS,87491,HC CHLAMYDIA DNA PROBE,202.0,202.0,,,0
HCPCS,87492,Chylmd trach dna quant,,,38.42,247.48,12
HCPCS,87493,C diff amplified probe,,,26.78,223.79,12
HCPCS,87493,HC C. DIFFICILE TOXIN PCR,220.0,220.0,,,0
HCPCS,87494,Chlmy trch&neisra gonor mult,,,70.18,295.0,4
HCPCS,87495,Cytomeg dna dir probe,,,21.58,139.0,12
HCPCS,87496,Cytomeg dna amp probe,,,25.22,223.79,12
HCPCS,87496,HC CYTOMEGALOVIRUS PCR,225.0,225.0,,,0
HCPCS,87497,Cytomeg dna quant,,,30.78,273.15,12
HCPCS,87497,HC INFECT AGENT DETECT NUCL ACID CYTOMEGALOVIRUS QUANTIFICATION,342.0,342.0,,,0
HCPCS,87497,HC VIRACOR CMV PCR,342.0,342.0,,,0
HCPCS,87498,Enterovirus probe&revrs trns,,,25.22,223.79,12
HCPCS,87498,HC ENTEROVIRUS  PCR,219.0,219.0,,,0
HCPCS,87500,Vanomycin dna amp probe,,,25.22,223.79,12
HCPCS,87501,Influenza dna amp prob 1+,,,36.87,327.24,12
HCPCS,87502,Influenza dna amp probe,,,68.84,542.62,12
HCPCS,87503,HC VIRACOR FLU ADDITIONAL TYPES,129.0,129.0,,,0
HCPCS,87503,Influenza dna amp prob addl,,,21.0,135.23,12
HCPCS,87505,HC GASTROINTESTINAL PATHOGEN PANEL 3-5 TARGETS,475.0,475.0,,,0
HCPCS,87505,Nfct agent detection gi,,,92.19,789.86,12
HCPCS,87506,HC GI PATHOGEN 6-11 TARGETS,625.0,625.0,,,0
HCPCS,87506,Iadna-dna/rna probe tq 6-11,,,188.98,1314.06,12
HCPCS,87507,HC GASTROINTESTINAL PATHOGEN PANEL,1250.0,1250.0,,,0
HCPCS,87507,Iadna-dna/rna probe tq 12-25,,,299.5,2566.08,12
HCPCS,87510,Gardner vag dna dir probe,,,14.41,127.87,12
HCPCS,87510,HC GARDNERELLA VAG DNA DIRECT PROBE TECHNIQ,160.0,160.0,,,0
HCPCS,87510,HC GARDNERELLA VAGINALIS PROBE,149.0,149.0,,,0
HCPCS,87511,Gardner vag dna amp probe,,,25.22,223.79,12
HCPCS,87512,Gardner vag dna quant,,,30.01,266.22,12
HCPCS,87513,H pylri clrthmcn rst amp prb,,,35.09,162.15,8
HCPCS,87516,HC NAT HBV AMPLIFIED PROBE TECH,231.0,231.0,,,0
HCPCS,87516,Hepatitis b dna amp probe,,,25.22,223.79,12
HCPCS,87517,HC HEPATITIS B VIRAL LOAD,342.0,342.0,,,0
HCPCS,87517,HC VIRACOR HBV PCR,342.0,342.0,,,0
HCPCS,87517,Hepatitis b dna quant,,,30.78,273.15,12
HCPCS,87520,Hepatitis c rna dir probe,,,22.43,144.51,12
HCPCS,87521,HC HCV QUALITATIVE,219.0,219.0,,,0
HCPCS,87521,HC NAT HCV AMPLIFIED PROBE & REV TRANSCRIPT,219.0,219.0,,,0
HCPCS,87521,Hepatitis c probe&rvrs trnsc,,,25.22,223.79,12
HCPCS,87522,HC HCV QUANTITATIVE,342.0,342.0,,,0
HCPCS,87522,HC VIRACOR HCV RNA PCR,342.0,342.0,,,0
HCPCS,87522,Hepatitis c revrs trnscrpj,,,30.78,273.15,12
HCPCS,87523,HC INF AGNT DETCT NUC ACID HEPATITIS D DELTA QUAN W REV TRNSCRPT W PRF,128.5,128.5,,,0
HCPCS,87523,Hepatitis d quantification,,,30.78,266.61,11
HCPCS,87525,Hepatitis g dna dir probe,,,21.41,137.92,12
HCPCS,87526,Hepatitis g dna amp probe,,,28.21,223.79,12
HCPCS,87527,Hepatitis g dna quant,,,30.01,266.22,12
HCPCS,87528,Hsv dna dir probe,,,14.41,127.87,12
HCPCS,87529,HC HSV 1 PCR CHARGE,220.0,220.0,,,0
HCPCS,87529,HC HSV 2 PCR CHARGE,220.0,220.0,,,0
HCPCS,87529,Hsv dna amp probe,,,25.22,223.79,12
HCPCS,87530,HC VIRACOR HSV 1 PCR,342.0,342.0,,,0
HCPCS,87530,HC VIRACOR HSV 2 PCR,342.0,342.0,,,0
HCPCS,87530,Hsv dna quant,,,30.78,273.15,12
HCPCS,87531,Hhv-6 dna dir probe,,,39.82,268.45,12
HCPCS,87532,Hhv-6 dna amp probe,,,25.22,223.79,12
HCPCS,87533,HC VIRACOR HHV 6 PCR,333.0,333.0,,,0
HCPCS,87533,Hhv-6 dna quant,,,30.01,266.22,12
HCPCS,87534,Hiv-1 dna dir probe,,,15.75,127.87,12
HCPCS,87535,HC NAT HIV-1 AMPLIFIED PROBE & REV TRANSCRIPT,231.0,231.0,,,0
HCPCS,87535,Hiv-1 probe&reverse trnscrpj,,,25.22,223.79,12
HCPCS,87536,HC HIV VIRAL LOAD,375.0,375.0,,,0
HCPCS,87536,Hiv-1 quant&revrse trnscrpj,,,61.15,542.62,12
HCPCS,87537,Hiv-2 dna dir probe,,,15.75,127.87,12
HCPCS,87538,Hiv-2 probe&revrse trnscripj,,,25.22,223.79,12
HCPCS,87539,Hiv-2 quant&revrse trnscripj,,,42.12,273.15,12
HCPCS,87540,Legion pneumo dna dir prob,,,14.41,127.87,12
HCPCS,87541,Legion pneumo dna amp prob,,,25.22,223.79,12
HCPCS,87542,Legion pneumo dna quant,,,30.01,266.22,12
HCPCS,87550,Mycobacteria dna dir probe,,,14.41,127.87,12
HCPCS,87551,Mycobacteria dna amp probe,,,34.67,223.79,12
HCPCS,87552,Mycobacteria dna quant,,,30.78,273.15,12
HCPCS,87555,M.tuberculo dna dir probe,,,19.32,127.87,12
HCPCS,87556,HC MYCOBACTERIA TUBERCULOSIS AMPLIFIED PROBE,175.0,175.0,,,0
HCPCS,87556,M.tuberculo dna amp probe,,,29.95,223.79,12
HCPCS,87557,M.tuberculo dna quant,,,30.78,273.15,12
HCPCS,87560,M.avium-intra dna dir prob,,,19.61,127.87,12
HCPCS,87561,M.avium-intra dna amp prob,,,25.22,223.79,12
HCPCS,87562,M.avium-intra dna quant,,,30.78,273.15,12
HCPCS,87563,HC INF AGNT DET NUC ACD MYCOPLASMA GENITALIUM AMPL PROBE TECH SEND OUT,161.0,161.0,,,0
HCPCS,87563,M. genitalium amp probe,,,25.22,162.43,12
HCPCS,87564,Mtb rifampin rst amp prb tq,,,76.77,347.33,8
HCPCS,87580,M.pneumon dna dir probe,,,14.41,127.87,12
HCPCS,87581,M.pneumon dna amp probe,,,25.22,223.79,12
HCPCS,87582,M.pneumon dna quant,,,82.91,1400.73,12
HCPCS,87590,N.gonorrhoeae dna dir prob,,,19.32,127.87,12
HCPCS,87591,HC GC DNA PROBE,202.0,202.0,,,0
HCPCS,87591,HC N GONORRHOEAE AMPLIFIED PROBE,202.0,202.0,,,0
HCPCS,87591,N.gonorrhoeae dna amp prob,,,25.22,223.79,12
HCPCS,87592,N.gonorrhoeae dna quant,,,30.78,273.15,12
HCPCS,87593,HC INFECT AGENT DETECT NUCL ACID ORTHOPOXVIRUS AMPLIFIED PROBE TECH EA,235.0,235.0,,,0
HCPCS,87593,Orthopoxvirus amp prb each,,,51.31,313.7,8
HCPCS,87594,Pneumcysts jirovecii amp prb,,,35.09,162.15,8
HCPCS,87623,Hpv low-risk types,,,25.22,216.06,12
HCPCS,87624,HC HPV AMPLIFIED PROBE,213.0,213.0,,,0
HCPCS,87624,HC HUMAN PAP VIRUS,213.0,213.0,,,0
HCPCS,87624,Hpv high-risk types,,,25.22,216.06,12
HCPCS,87625,HC HPV GENOTYPE,215.0,215.0,,,0
HCPCS,87625,Hpv types 16 & 18 only,,,29.14,216.06,12
HCPCS,87626,HC HUMAN PAPILLOMAVIRUS (HPV) HI-RISK TYPES & HI-RISK POOLED RESULTS,303.0,303.0,,,0
HCPCS,87626,Hpv sep hi-rsk typ&pool rslt,,,70.2,324.2,8
HCPCS,87627,Jt spc pthgn&rx rsist gen26+,,,679.77,2857.41,4
HCPCS,87631,HC RESPIRATORY VIRUS 3-5 TARGETS,400.0,400.0,,,0
HCPCS,87631,HC RESPIRATORY VIRUS 3-5 TARGETS INCL SARS-COV-2,614.0,614.0,,,0
HCPCS,87631,Resp virus 3-5 targets,,,102.49,797.8,12
HCPCS,87632,Resp virus 6-11 targets,,,156.7,1327.27,12
HCPCS,87633,HC BUNDLED RESP VIRAL PANEL,960.0,960.0,,,0
HCPCS,87633,Resp virus 12-25 targets,,,299.5,2592.0,12
HCPCS,87634,HC INFECT AGENT DETECT NUCLEIC ACID RESPIR SYNCVTIAL VIRUS AMPL PROBE,202.0,202.0,,,0
HCPCS,87634,Rsv dna/rna amp probe,,,50.45,392.09,12
HCPCS,87635,HC INFECT AGNT DET DNA/RNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TECH,214.0,214.0,,,0
HCPCS,87635,Sars-cov-2 covid-19 amp prb,,,32.33,313.7,12
HCPCS,87636,HC INFECT AGNT DETEC SARS-COV-2 & INFLU A & B MULTI AMPL PROBE TECH,700.0,700.0,,,0
HCPCS,87636,Sarscov2 & inf a&b amp prb,,,89.86,872.03,12
HCPCS,87637,HC INF AGNT DETECT NUC ACID SARSCOV2 & INFLU A&B & RSV MULTI AMPL PROBE TECH,710.0,710.0,,,0
HCPCS,87637,Sarscov2&inf a&b&rsv amp prb,,,89.86,872.03,12
HCPCS,87640,HC STAPHYLOCOCCUS AUREUS AMPLIFIED PROBE TECH,175.0,175.0,,,0
HCPCS,87640,Staph a dna amp probe,,,25.22,223.79,12
HCPCS,87641,HC STAPHYLOCOCCUS AUREUS METHICILLIN RESISTANT AMPLI PROBE TECH,125.0,125.0,,,0
HCPCS,87641,Mr-staph dna amp probe,,,25.22,223.79,12
HCPCS,87650,Strep a dna dir probe,,,14.41,127.87,12
HCPCS,87651,HC STREPTOCOCCUS GROUP A AMPLIFIED PROBE TECH,110.0,110.0,,,0
HCPCS,87651,Strep a dna amp probe,,,25.22,223.79,12
HCPCS,87652,Strep a dna quant,,,30.01,266.22,12
HCPCS,87653,HC STREP B AMPLIFIED PROBE TECHNIQUE,220.0,220.0,,,0
HCPCS,87653,Strep b dna amp probe,,,25.22,223.79,12
HCPCS,87660,HC TRICHOMONAS VAGINALIS DIRECT PROBE TECHNIQ,160.0,160.0,,,0
HCPCS,87660,HC TRICHOMONAS VAGINALIS PROBE,149.0,149.0,,,0
HCPCS,87660,Trichomonas vagin dir probe,,,14.41,127.87,12
HCPCS,87661,HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID,212.0,212.0,,,0
HCPCS,87661,HC TRICHOMONAS AMPLIFIED PROBE,212.0,212.0,,,0
HCPCS,87661,Trichomonas vaginalis amplif,,,25.22,216.56,12
HCPCS,87662,Zika virus dna/rna amp probe,,,36.87,286.62,12
HCPCS,87797,Detect agent nos dna dir,,,21.58,139.0,12
HCPCS,87798,Detect agent nos dna amp,,,25.22,223.79,12
HCPCS,87798,HC AMPLIFIED PROBE TECHNIQUE EACH ORGANISM,175.0,175.0,,,0
HCPCS,87798,HC BORDETELLA PCR,175.0,175.0,,,0
HCPCS,87798,HC CSF WEST NILE RNA,175.0,175.0,,,0
HCPCS,87798,HC DETECT AGENT APT PCR SEND OUT,175.0,175.0,,,0
HCPCS,87798,HC HTLV I/II DNA DETECTION,175.0,175.0,,,0
HCPCS,87798,HC HTLV I/II DNA DIFFERENTIATION,175.0,175.0,,,0
HCPCS,87798,HC PARVO PCR,175.0,175.0,,,0
HCPCS,87798,HC VIRACOR RESP VIRAL PANEL,175.0,175.0,,,0
HCPCS,87798,HC VZV PCR,175.0,175.0,,,0
HCPCS,87798,HC WEST NILE PCR,175.0,175.0,,,0
HCPCS,87798,HC WHIPPLE'S DISEASE PCR,175.0,175.0,,,0
HCPCS,87799,Detect agent nos dna quant,,,30.78,273.15,12
HCPCS,87799,HC BKV QPCR URINE,645.0,645.0,,,0
HCPCS,87799,HC IADNA QUANTIFICATION EACH ORGANISM SENDOUT,645.0,645.0,,,0
HCPCS,87799,HC INFECT AGENT DETECT NUCL ACID NOS QUANTIFICATION EA ORGANISM,645.0,645.0,,,0
HCPCS,87799,HC PARVO B19 PCR,645.0,645.0,,,0
HCPCS,87799,HC PLASMA BKV QPCR,645.0,645.0,,,0
HCPCS,87799,HC VIRACOR ADENOVIRUS PCR,645.0,645.0,,,0
HCPCS,87799,HC VIRACOR CSF JCV PCR,645.0,645.0,,,0
HCPCS,87799,HC VIRACOR EBV PCR,645.0,645.0,,,0
HCPCS,87799,HC VIRACOR ENTEROVIRUS PCR,645.0,645.0,,,0
HCPCS,87799,HC VIRACOR HHV 7 PCR,645.0,645.0,,,0
HCPCS,87799,HC VIRACOR HHV 8 PCR,645.0,645.0,,,0
HCPCS,87799,HC VIRACOR JCK PCR,645.0,645.0,,,0
HCPCS,87799,HC VIRACOR PNEU CARINII PCR,645.0,645.0,,,0
HCPCS,87799,HC VIRACOR TOXO GONDII PCR,645.0,645.0,,,0
HCPCS,87799,HC VIRACOR VZV PCR,645.0,645.0,,,0
HCPCS,87800,Detect agnt mult dna direc,,,31.38,255.75,12
HCPCS,87801,Detect agnt mult dna ampli,,,50.45,447.59,12
HCPCS,87801,HC DETECT AGENT NUCLEIC ACID MULTI ORGANISM AMPLIFIED PROBE TECH,437.0,437.0,,,0
HCPCS,87802,Strep b assay w/optic,,,9.15,76.49,12
HCPCS,87803,Clostridium toxin a w/optic,,,11.5,76.49,12
HCPCS,87804,HC INFLUENZA EIA,100.0,100.0,,,0
HCPCS,87804,Influenza assay w/optic,,,11.89,76.62,12
HCPCS,87806,Hiv antigen w/hiv antibodies,,,23.55,151.68,12
HCPCS,87807,Rsv assay w/optic,,,9.41,76.49,12
HCPCS,87808,Trichomonas assay w/optic,,,10.99,76.49,12
HCPCS,87809,Adenovirus assay w/optic,,,15.64,100.73,12
HCPCS,87810,Chylmd trach assay w/optic,,,23.82,163.33,12
HCPCS,87811,Sars-cov-2 covid19 w/optic,,,26.07,252.99,12
HCPCS,87812,Sarscov2&inf typ a&b w/optic,,,74.48,313.08,4
HCPCS,87850,N. gonorrhoeae assay w/optic,,,17.65,113.68,12
HCPCS,87880,HC STREP A ASSAY WITH OPTIC POCT,87.0,87.0,,,0
HCPCS,87880,Strep a assay w/optic,,,11.88,76.53,12
HCPCS,87899,Agent nos assay w/optic,,,11.55,76.49,12
HCPCS,87899,HC INFECT AGENT NOS ASSAY W OPTICAL OBSV,35.0,35.0,,,0
HCPCS,87900,HC INFECT AGT DRUG SUSCEPT PHENOTYPE PREDICTION SEND OUTS,1018.0,1018.0,,,0
HCPCS,87900,Phenotype infect agent drug,,,93.67,831.1,12
HCPCS,87901,Genotype dna hiv reverse t,,,185.0,1641.56,12
HCPCS,87901,HC HIV GENOTYPE,735.0,735.0,,,0
HCPCS,87902,Genotype dna/rna hep c,,,185.0,1641.56,12
HCPCS,87902,HC HCV GENOTYPING (INHOUSE),735.0,735.0,,,0
HCPCS,87902,HC VIRACOR HCV GENOTYPE,735.0,735.0,,,0
HCPCS,87903,HC HIV PHENOTYPE NUCLEIC FIRST,3903.0,3903.0,,,0
HCPCS,87903,Phenotype dna hiv w/culture,,,351.15,3115.78,12
HCPCS,87904,HC HIV PHENOSENSE EACH ADDITIONAL,207.0,207.0,,,0
HCPCS,87904,Phenotype dna hiv w/clt add,,,18.73,166.2,12
HCPCS,87905,Sialidase enzyme assay,,,8.78,77.93,12
HCPCS,87906,Genotype dna/rna hiv,,,92.51,820.77,12
HCPCS,87906,HC GENOTYPE DNA HIV REVERSE,735.0,735.0,,,0
HCPCS,87910,Genotype cytomegalovirus,,,185.0,1601.05,12
HCPCS,87910,HC VIRACOR CMV DNA,735.0,735.0,,,0
HCPCS,87912,Genotype dna hepatitis b,,,185.0,1601.05,12
HCPCS,87913,Nfct agt gntyp alys sarscov2,,,0.07,1082.19,11
HCPCS,87999,HC QUANTIFICATION EACH ORGANISM SENDOUT,437.5,437.5,,,0
HCPCS,88000,Autopsy (necropsy) gross,,,274.92,941.73,2
HCPCS,88005,Autopsy (necropsy) gross,,,320.73,1099.77,2
HCPCS,88007,Autopsy (necropsy) gross,,,336.0,1152.41,2
HCPCS,88012,Autopsy (necropsy) gross,,,274.92,941.73,2
HCPCS,88014,Autopsy (necropsy) gross,,,252.0,864.32,2
HCPCS,88016,Autopsy (necropsy) gross,,,351.28,1203.46,2
HCPCS,88020,Autopsy (necropsy) complete,,,473.45,1623.31,2
HCPCS,88025,Autopsy (necropsy) complete,,,458.18,1570.61,2
HCPCS,88027,Autopsy (necropsy) complete,,,488.74,1675.95,2
HCPCS,88028,Autopsy (necropsy) complete,,,274.92,941.73,2
HCPCS,88029,Autopsy (necropsy) complete,,,274.92,941.73,2
HCPCS,88036,Limited autopsy,,,137.46,470.84,2
HCPCS,88037,Limited autopsy,,,122.19,418.19,2
HCPCS,88040,Forensic autopsy (necropsy),,,763.64,2617.68,2
HCPCS,88045,Coroners autopsy (necropsy),,,76.36,261.73,2
HCPCS,88104,Cytopath fl nongyn smears,,,23.95,189.54,11
HCPCS,88104,HC CYTOLOGY SMEAR NON GYN,179.0,179.0,,,0
HCPCS,88104,HC PR CYTOLOGY SMEAR NON GYN,106.0,106.0,,,0
HCPCS,88106,Cytopath fl nongyn filter,,,18.13,255.2,11
HCPCS,88108,Cytopath concentrate tech,,,23.95,233.8,11
HCPCS,88108,HC CYTOLOGY CONC SMEAR NON GYN,145.0,145.0,,,0
HCPCS,88108,HC CYTOPATHOLOGY CONC BODY FLUID PATH REVIEW (BFPR),145.0,145.0,,,0
HCPCS,88108,HC PR CYTOLOGY CONC SMEAR NON GYN,111.0,111.0,,,0
HCPCS,88108,HC PR CYTOPATHOLOGY CONC BODY FLUID PATH REVIEW (BFPR),111.0,111.0,,,0
HCPCS,88112,Cytopath cell enhance tech,,,36.47,280.46,11
HCPCS,88112,HC LIQUID BASED SLIDE PREP NONGYN,195.0,195.0,,,0
HCPCS,88112,HC PR LIQUID BASED SLIDE PREP NONGYN,173.0,173.0,,,0
HCPCS,88112,HC PREP SMEAR NON GYN TECH,195.0,195.0,,,0
HCPCS,88120,Cytp urne 3-5 probes ea spec,,,80.85,1957.56,11
HCPCS,88121,Cytp urine 3-5 probes cmptr,,,80.85,1641.4,11
HCPCS,88125,Forensic cytopathology,,,23.95,280.46,11
HCPCS,88130,Sex chromatin identification,,,12.92,95.97,12
HCPCS,88140,Sex chromatin identification,,,5.74,49.76,12
HCPCS,88141,Cytopath c/v interpret,,,44.7,136.4,2
HCPCS,88141,HC PR VAGINAL CERV CYTOL MD INTERP,73.0,73.0,,,0
HCPCS,88141,HC THIN PREP MD INTERP MED SCREEN,85.0,85.0,,,0
HCPCS,88141,HC VAGINAL CERV CYTOL MD INTERP,85.0,85.0,,,0
HCPCS,88142,Cytopath c/v thin layer,,,14.56,126.28,12
HCPCS,88142,HC THIN PREP PAP SMEAR DIAGNOSTIC,161.0,161.0,,,0
HCPCS,88142,HC THIN PREP PAP SMEAR SCREENING,161.0,161.0,,,0
HCPCS,88143,Cytopath c/v thin layer redo,,,16.56,126.28,12
HCPCS,88147,Cytopath c/v automated,,,22.6,234.04,12
HCPCS,88148,Cytopath c/v auto rescreen,,,11.5,94.59,12
HCPCS,88150,Cytopath c/v manual,,,11.44,77.93,12
HCPCS,88152,Cytopath c/v auto redo,,,19.86,127.93,12
HCPCS,88153,Cytopath c/v redo,,,17.27,111.22,12
HCPCS,88155,Cytopath c/v index add-on,,,10.53,67.8,12
HCPCS,88160,Cytopath smear other source,,,18.13,144.9,11
HCPCS,88160,HC EXTRAVAGINAL CYTOLOGY,145.0,145.0,,,0
HCPCS,88160,HC PR EXTRAVAGINAL CYTOLOGY,111.0,111.0,,,0
HCPCS,88161,Cytopath smear other source,,,18.13,148.2,11
HCPCS,88161,HC CYTOL SMEAR PREP/SCREEN/INTERP,125.0,125.0,,,0
HCPCS,88161,HC PR CYTO PREP&INTERP SMEAR NO FLD,84.0,84.0,,,0
HCPCS,88162,Cytopath smear other source,,,36.47,280.46,11
HCPCS,88164,Cytopath tbs c/v manual,,,11.44,77.93,12
HCPCS,88164,HC VAGINAL CERV CYTOLOGY,85.0,85.0,,,0
HCPCS,88165,Cytopath tbs c/v redo,,,20.99,195.41,12
HCPCS,88166,Cytopath tbs c/v auto redo,,,11.44,77.93,12
HCPCS,88167,Cytopath tbs c/v select,,,11.44,77.93,12
HCPCS,88172,Cytp dx eval fna 1st ea site,,,23.95,840.08,11
HCPCS,88172,HC FNA INTERP ON SITE,285.0,285.0,,,0
HCPCS,88172,HC PR FINE NEEDLE IMMED EVAL,84.0,84.0,,,0
HCPCS,88173,Cytopath eval fna report,,,36.47,335.9,11
HCPCS,88173,HC FNA PREP AND MD INTERP,250.0,250.0,,,0
HCPCS,88173,HC PR FNA INTERP AND REPORT,428.0,428.0,,,0
HCPCS,88174,Cytopath c/v auto in fluid,,,18.23,132.99,12
HCPCS,88175,Cytopath c/v auto fluid redo,,,19.12,164.86,12
HCPCS,88175,HC THIN PREP AUTOMATED SCREEN,211.0,211.0,,,0
HCPCS,88177,Cytp fna eval ea addl,,,15.65,57.55,7
HCPCS,88177,HC ADDL ON SITE ADEQUACY FOR FNA,74.0,74.0,,,0
HCPCS,88177,HC PR ADDL ON SITE ADEQUACY FOR FNA,43.0,43.0,,,0
HCPCS,88182,Cell marker study,,,36.47,335.96,11
HCPCS,88184,Flowcytometry/ tc 1 marker,,,23.95,1694.07,11
HCPCS,88184,HC FLOW CYTOMETRY FIRST MARKER,526.0,526.0,,,0
HCPCS,88184,HC NATURAL KILLER CELL 1ST MARKER,526.0,526.0,,,0
HCPCS,88185,Flowcytometry/tc add-on,,,16.68,243.7,7
HCPCS,88185,HC FLOW CYTOMETRY EACH ADD,175.0,175.0,,,0
HCPCS,88185,HC NATURAL KILLER EA ADDL MARKER,175.0,175.0,,,0
HCPCS,88187,Flowcytometry/read 2-8,,,15.65,316.15,8
HCPCS,88187,HC PR FLOW CYTOMETRY 2-8,144.0,144.0,,,0
HCPCS,88188,Flowcytometry/read 9-15,,,46.49,392.39,8
HCPCS,88188,HC PR FLOW CYTOMETRY 9-15,184.0,184.0,,,0
HCPCS,88189,Flowcytometry/read 16 & >,,,51.61,481.6,8
HCPCS,88189,HC PR FLOW CYTOMETRY 16 OR MORE,224.0,224.0,,,0
HCPCS,88199,Cytopathology procedure,,,15.65,280.46,9
HCPCS,882,Anesth major vein ligation,,,6880.82,9829.75,4
HCPCS,88230,HC TISS CULT UNSP CHROMO AN,335.0,335.0,,,0
HCPCS,88230,Tissue culture lymphocyte,,,83.71,742.84,12
HCPCS,88233,Tissue culture skin/biopsy,,,101.13,897.36,12
HCPCS,88235,HC AMNIOTIC FLUID ANALYSIS SEND OUT,915.0,915.0,,,0
HCPCS,88235,HC AMNIOTIC TISS CULTURE PLACENTA,915.0,915.0,,,0
HCPCS,88235,Tissue culture placenta,,,108.01,938.96,12
HCPCS,88237,HC BONE MARR CHROM TISS,375.0,375.0,,,0
HCPCS,88237,Tissue culture bone marrow,,,103.3,805.37,12
HCPCS,88239,Tissue culture tumor,,,106.01,940.68,12
HCPCS,88240,Cell cryopreserve/storage,,,9.39,64.43,12
HCPCS,88241,Frozen cell preparation,,,8.69,64.43,12
HCPCS,88245,Chromosome analysis 20-25,,,124.44,949.23,12
HCPCS,88248,Chromosome analysis 50-100,,,124.44,1104.24,12
HCPCS,88249,Chromosome analysis 100,,,124.44,1104.24,12
HCPCS,88261,Chromosome analysis 5,,,189.95,1223.55,12
HCPCS,88262,Chromosome analysis 15-20,,,90.18,794.77,12
HCPCS,88262,HC CHROM ANAL BLD CT 15 TO 2K,995.0,995.0,,,0
HCPCS,88263,Chromosome analysis 45,,,108.0,958.25,12
HCPCS,88264,Chromosome analysis 20-25,,,103.92,794.77,12
HCPCS,88264,HC CHROM ANAL 20-25 CELLS,995.0,995.0,,,0
HCPCS,88267,Chromosome analys placenta,,,135.51,1146.29,12
HCPCS,88269,Chromosome analys amniotic,,,124.79,1060.53,12
HCPCS,88269,HC CHROMOSOME ANALY AMNIOTIC,1329.0,1329.0,,,0
HCPCS,88271,Cytogenetics dna probe,,,15.39,136.57,12
HCPCS,88271,HC FISH CYTO EACH DNA PROBE,172.0,172.0,,,0
HCPCS,88271,HC LUNG CANCER ROS1 6Q23,172.0,172.0,,,0
HCPCS,88272,Cytogenetics 3-5,,,29.25,188.38,12
HCPCS,88273,Cytogenetics 10-30,,,25.01,200.0,12
HCPCS,88274,Cytogenetics 25-99,,,30.45,216.66,12
HCPCS,88274,HC LUNG CANCER ROS1 CYTP 25-99,277.0,277.0,,,0
HCPCS,88275,Cytogenetics 100-300,,,36.79,249.95,12
HCPCS,88275,HC FISH CYTO CELLS 100-300,320.0,320.0,,,0
HCPCS,88280,Chromosome karyotype study,,,24.05,160.05,12
HCPCS,88280,HC CHROM ANALY SITE,201.0,201.0,,,0
HCPCS,88280,HC CHROMO ANALY ADDL KARYOT,201.0,201.0,,,0
HCPCS,88283,Chromosome banding study,,,49.3,426.99,12
HCPCS,88285,Chromosome count additional,,,19.34,124.57,12
HCPCS,88289,Chromosome study additional,,,24.74,214.36,12
HCPCS,88289,HC HI RESOLU BAND ANAL,275.0,275.0,,,0
HCPCS,88291,Cyto/molecular report,,,24.86,137.2,6
HCPCS,88291,HC AMNIOTIC CYTO/MOL REPORT,75.0,75.0,,,0
HCPCS,88291,HC PR CYTOGENETICS INTERP/REPORT,113.0,113.0,,,0
HCPCS,88291,HC PR FISH CYTO INTERP AND REPORT,113.0,113.0,,,0
HCPCS,88291,HC PR LUNG CYTO INTERP AND REPORT,113.0,113.0,,,0
HCPCS,88299,Cytogenetic study,,,15.65,280.46,9
HCPCS,88300,HC PR SURGICAL PATH LEVEL I,13.0,13.0,,,0
HCPCS,88300,HC SURGICAL PATH LEVEL I,149.0,149.0,,,0
HCPCS,88300,Surgical path gross,,,15.65,136.7,11
HCPCS,88302,HC PR SURGICAL PATH LEVEL II,20.0,20.0,,,0
HCPCS,88302,HC SURGICAL PATH LEVEL II,237.0,237.0,,,0
HCPCS,88302,Tissue exam by pathologist,,,18.13,227.2,11
HCPCS,88304,HC PR SURGICAL PATH LEVEL III,39.0,39.0,,,0
HCPCS,88304,HC SURGICAL PATH LEVEL III,296.0,296.0,,,0
HCPCS,88304,Tissue exam by pathologist,,,36.47,280.46,11
HCPCS,88305,HC BM CELL BLOCK AND INTERP,363.0,363.0,,,0
HCPCS,88305,HC BONE MARROW NDL INTERP,363.0,363.0,,,0
HCPCS,88305,HC PR BONE MARROW NDL INTERP,207.0,207.0,,,0
HCPCS,88305,HC PR CELL BLOCK ANY SOURCE,207.0,207.0,,,0
HCPCS,88305,HC PR SURGICAL PATH LEVEL IV,207.0,207.0,,,0
HCPCS,88305,HC SURGICAL PATH LEVEL IV,363.0,363.0,,,0
HCPCS,88305,Tissue exam by pathologist,,,36.47,337.55,11
HCPCS,88307,HC PR SURGICAL PATH LEVEL V,387.0,387.0,,,0
HCPCS,88307,HC SURGICAL PATH LEVEL V,860.0,860.0,,,0
HCPCS,88307,Tissue exam by pathologist,,,80.85,1694.07,11
HCPCS,88309,HC PR SURGICAL PATH LEVEL VI,586.0,586.0,,,0
HCPCS,88309,HC SURGICAL PATH LEVEL VI,1241.0,1241.0,,,0
HCPCS,88309,Tissue exam by pathologist,,,80.85,3807.76,11
HCPCS,88311,Decalcify tissue,,,15.65,57.55,7
HCPCS,88311,HC DECALCIFICATION,80.0,80.0,,,0
HCPCS,88311,HC PR DECALCIFICATION,52.0,52.0,,,0
HCPCS,88312,HC PR SPECIAL STAIN GROUP I,62.0,62.0,,,0
HCPCS,88312,HC SPECIAL STAIN GROUP I,225.0,225.0,,,0
HCPCS,88312,Special stains group 1,,,23.95,390.19,11
HCPCS,88313,HC PR SPECIAL STAIN GROUP II,74.0,74.0,,,0
HCPCS,88313,HC PR SPECIAL STAIN SIDEROBLAST,74.0,74.0,,,0
HCPCS,88313,HC SPECIAL STAIN GROUP II,175.0,175.0,,,0
HCPCS,88313,HC SPECIAL STAIN PAS,175.0,175.0,,,0
HCPCS,88313,HC SPECIAL STAIN SIDEROBLAST,175.0,175.0,,,0
HCPCS,88313,Special stains group 2,,,23.95,628.81,11
HCPCS,88314,HC HISTOCHEM STAIN FS,175.0,175.0,,,0
HCPCS,88314,HC PR HISTOCHEM STAIN FS,109.0,109.0,,,0
HCPCS,88314,Histochemical stains add-on,,,23.95,327.65,7
HCPCS,88319,Enzyme histochemistry,,,23.95,3807.76,11
HCPCS,88319,HC ACID PHOSP TARTRATE RES,1134.0,1134.0,,,0
HCPCS,88319,HC ALPHA NAPTHYL B ESTHERAS,1134.0,1134.0,,,0
HCPCS,88319,HC CHLOROACETATE ESTERASE,1134.0,1134.0,,,0
HCPCS,88319,HC GROUP III FOR ENZYME CONSTITUENTS FOR EACH STAIN,1134.0,1134.0,,,0
HCPCS,88319,HC LYMPHOCYTE ACID PHOSPH,1134.0,1134.0,,,0
HCPCS,88319,HC PEROXIDASE,1134.0,1134.0,,,0
HCPCS,88319,HC PR ACID PHOSP TARTRATE RES,71.0,71.0,,,0
HCPCS,88319,HC PR ALPHA NAPTHYL B ESTHERAS,71.0,71.0,,,0
HCPCS,88319,HC PR CHLOROACETATE ESTERASE,71.0,71.0,,,0
HCPCS,88319,HC PR GROUP III FOR ENZYME CONSTITUENTS FOR EACH STAIN,71.0,71.0,,,0
HCPCS,88319,HC PR LYMPHOCYTE ACID PHOSPH,71.0,71.0,,,0
HCPCS,88319,HC PR PEROXIDASE,71.0,71.0,,,0
HCPCS,88321,HC CONSULT REF SLIDES,175.0,175.0,,,0
HCPCS,88321,HC PR CONSULT ON REFERRED CASE MINOR,71.0,71.0,,,0
HCPCS,88321,Microslide consultation,,,23.95,379.73,11
HCPCS,88323,HC CONSULT & RPT ON REFER MAT REQ SLIDE PREP,349.0,349.0,,,0
HCPCS,88323,HC PR CONSULT & RPT ON REFER MAT REQ SLIDE PREP,203.0,203.0,,,0
HCPCS,88323,Microslide consultation,,,36.47,284.85,11
HCPCS,88325,Comprehensive review of data,,,80.85,805.19,11
HCPCS,88325,HC CONSULT COMPREHEN W REV RECORDS & SPECIMENS W RPT REF MAT,728.0,728.0,,,0
HCPCS,88325,HC PR CONSULT COMPREHEN W REV RECORDS & SPECIMENS W RPT REF MAT,464.0,464.0,,,0
HCPCS,88329,HC INTRAOP CONSULTATION W/O FS,102.0,102.0,,,0
HCPCS,88329,HC PR PATHOLOGY CONSULT DURING SURGERY,138.0,138.0,,,0
HCPCS,88329,Path consult introp,,,23.95,278.81,11
HCPCS,88331,HC INTRAOP CONSULTATION FS,450.0,450.0,,,0
HCPCS,88331,HC PR INTRAOP CONSULTATION FS,152.0,152.0,,,0
HCPCS,88331,Path consult intraop 1 bloc,,,51.61,832.86,11
HCPCS,88332,HC INTRAOP FS ADD,87.0,87.0,,,0
HCPCS,88332,HC PR INTRAOP FS ADD,84.0,84.0,,,0
HCPCS,88332,Path consult intraop addl,,,15.65,65.71,7
HCPCS,88333,HC IOC WITH TOUCH PREP,1134.0,1134.0,,,0
HCPCS,88333,HC PR IOC WITH TOUCH PREP,124.0,124.0,,,0
HCPCS,88333,Intraop cyto path consult 1,,,23.95,3807.76,11
HCPCS,88334,HC ADDITIONAL TOUCH PREP,76.0,76.0,,,0
HCPCS,88334,HC PR ADDITIONAL TOUCH PREP,89.0,89.0,,,0
HCPCS,88334,Intraop cyto path consult 2,,,23.95,107.06,7
HCPCS,88341,HC IHC ADDITIONAL STAIN,124.0,124.0,,,0
HCPCS,88341,HC PR IHC ADDITIONAL STAIN,94.0,94.0,,,0
HCPCS,88341,Immunohisto antb addl slide,,,63.76,217.53,7
HCPCS,88342,HC IHC INITIAL,297.0,297.0,,,0
HCPCS,88342,HC IMMUNOHISTOCHEMISTRY TECH,297.0,297.0,,,0
HCPCS,88342,HC IMMUNOPEROXIDASE EA AB,297.0,297.0,,,0
HCPCS,88342,HC PR IHC INITIAL,145.0,145.0,,,0
HCPCS,88342,HC PR IMMUNOHISTOCHEMSTR EA STAIN,145.0,145.0,,,0
HCPCS,88342,Immunohisto antb 1st stain,,,51.61,878.61,11
HCPCS,88344,Immunohisto antibody slide,,,107.93,1694.07,11
HCPCS,88346,HC IMMUNOFLUOR EA AB INITIAL,509.0,509.0,,,0
HCPCS,88346,HC PR IMMUNOFLUOR EA AB INITIAL,183.0,183.0,,,0
HCPCS,88346,Immunofluor antb 1st stain,,,51.61,1594.35,11
HCPCS,88348,Electron microscopy,,,230.47,3807.76,11
HCPCS,88348,HC EM DIAGNOSTIC,1250.0,1250.0,,,0
HCPCS,88348,HC EM SCANNING,1250.0,1250.0,,,0
HCPCS,88348,HC PR EM DIAGNOSTIC,444.0,444.0,,,0
HCPCS,88348,HC PR EM SCANNING,444.0,444.0,,,0
HCPCS,88350,HC IMMUNOFLUOR AB ADDITIONAL STAIN,204.0,204.0,,,0
HCPCS,88350,HC PR IMMUNOFLUOR AB ADDITIONAL STAIN,153.0,153.0,,,0
HCPCS,88350,Immunofluor antb addl stain,,,61.29,208.12,7
HCPCS,88355,Analysis skeletal muscle,,,51.61,843.62,11
HCPCS,88356,Analysis nerve,,,36.47,735.99,11
HCPCS,88356,HC PR MORPHOMETRIC ANALYSIS NERVE,384.0,384.0,,,0
HCPCS,88358,Analysis tumor,,,51.61,878.61,11
HCPCS,88360,HC PR TUMOR HISTOCHEMISTRY,181.0,181.0,,,0
HCPCS,88360,HC TUMOR HISTOCHEMISTRY,292.5,292.5,,,0
HCPCS,88360,Tumor immunohistochem/manual,,,51.61,878.61,11
HCPCS,88361,Tumor immunohistochem/comput,,,80.85,1694.07,11
HCPCS,88362,HC NERVE TEASING,1129.0,1129.0,,,0
HCPCS,88362,HC PR NERVE TEASING,564.0,564.0,,,0
HCPCS,88362,Nerve teasing preparations,,,80.85,3807.76,11
HCPCS,88363,HC EXAM & SELECTION OF RETRIEVED ARCHIVAL TISS MOLEC ANALY,106.0,106.0,,,0
HCPCS,88363,Xm archive tissue molec anal,,,15.65,136.7,11
HCPCS,88364,Insitu hybridization (fish),,,98.39,333.39,3
HCPCS,88365,HC EBER FISH EACH PROBE,311.0,311.0,,,0
HCPCS,88365,HC PR FISH/HER-2NEU EA PROBE,355.0,355.0,,,0
HCPCS,88365,Insitu hybridization (fish),,,80.85,832.86,11
HCPCS,88366,Insitu hybridization (fish),,,120.98,1554.6,11
HCPCS,88367,Insitu hybridization auto,,,51.61,1694.07,11
HCPCS,88368,HC MORPHOMETRIC ANALYSIS INITIAL SINGLE PROC,520.0,520.0,,,0
HCPCS,88368,HC PR MORPHOMETRIC ANALYSIS INITIAL SINGLE PROC,230.0,230.0,,,0
HCPCS,88368,Insitu hybridization manual,,,80.85,1694.07,11
HCPCS,88369,HC MORPHOMETRIC ANALYSIS INITIAL EA ADDL SINGLE PROC,226.0,226.0,,,0
HCPCS,88369,HC PR MORPHOMETRIC ANALYSIS INITIAL EA ADDL SINGLE PROC,102.0,102.0,,,0
HCPCS,88369,M/phmtrc alysishquant/semiq,,,68.27,231.16,3
HCPCS,88371,Protein western blot tissue,,,15.97,141.68,7
HCPCS,88372,Protein analysis w/probe,,,18.84,145.04,7
HCPCS,88373,M/phmtrc alys ishquant/semiq,,,54.71,186.91,3
HCPCS,88374,HC 1P19Q FISH DEL MULTIPLEX,475.0,475.0,,,0
HCPCS,88374,HC ALK FISH MULTIPLEX,475.0,475.0,,,0
HCPCS,88374,HC MORPHOMETRIC ANAL ISH EA MULTI STAIN PROC,475.0,475.0,,,0
HCPCS,88374,HC PR MORPHOMETRIC ANAL ISH EA MULTI STAIN PROC,285.0,285.0,,,0
HCPCS,88374,M/phmtrc alys ishquant/semiq,,,106.09,878.61,11
HCPCS,88375,Optical endomicroscpy interp,,,17.82,246.51,8
HCPCS,88377,HC HER2 MULTIPLEX,475.0,475.0,,,0
HCPCS,88377,HC PR HER2 MULTIPLEX,176.0,176.0,,,0
HCPCS,88377,M/phmtrc alys ishquant/semiq,,,106.09,878.61,11
HCPCS,88380,Microdissection laser,,,96.38,497.25,6
HCPCS,88381,Microdissection manual,,,148.18,633.89,6
HCPCS,88387,HC MACROSCOPIC EXAM DISSECT PREP TISS NON-MICRO EA,84.0,84.0,,,0
HCPCS,88387,Tiss exam molecular study,,,9.04,42.86,6
HCPCS,88388,Tiss ex molecul study add-on,,,28.33,45.4,4
HCPCS,88399,Surgical pathology procedure,,,15.65,280.46,9
HCPCS,88720,Bilirubin total transcut,,,3.61,31.99,12
HCPCS,88738,Hgb quant transcutaneous,,,3.61,31.99,12
HCPCS,88740,Transcutaneous carboxyhb,,,6.73,43.38,12
HCPCS,88741,Transcutaneous methb,,,6.73,43.38,12
HCPCS,89049,Chct for mal hyperthermia,,,15.65,812.79,11
HCPCS,89050,Body fluid cell count,,,3.39,30.14,12
HCPCS,89050,HC CELL CT FLUID,37.6,37.6,,,0
HCPCS,89050,HC CSF CELL COUNT,37.6,37.6,,,0
HCPCS,89050,HC PLEURAL CELL COUNT,37.6,37.6,,,0
HCPCS,89050,HC SYNOVIAL CELL COUNT,37.6,37.6,,,0
HCPCS,89051,Body fluid cell count,,,4.02,35.11,12
HCPCS,89051,HC CELL CT W/DIF,147.0,147.0,,,0
HCPCS,89051,HC CSF DIFF,147.0,147.0,,,0
HCPCS,89051,HC PLEURAL DIFF,147.0,147.0,,,0
HCPCS,89051,HC SYNOVIAL DIFF,147.0,147.0,,,0
HCPCS,89055,HC FEC LEUKOCYTE EOSINOPHIL SMEAR,34.0,34.0,,,0
HCPCS,89055,Leukocyte assessment fecal,,,3.07,27.24,12
HCPCS,89060,Exam synovial fluid crystals,,,5.27,45.58,12
HCPCS,89060,HC SYNOVIAL FLUID CRYSTAL,110.0,110.0,,,0
HCPCS,89125,Specimen fat stain,,,4.23,27.55,12
HCPCS,89160,Exam feces for meat fibers,,,3.49,23.51,12
HCPCS,89190,HC NASAL SMEAR EOSINOPHILS,38.7,38.7,,,0
HCPCS,89190,HC URINE EOSINOPHIL SMEAR,38.7,38.7,,,0
HCPCS,89190,Nasal smear for eosinophils,,,4.16,30.27,12
HCPCS,89220,HC SPUTUM OBTAIN SPECIMEN AEROSOL IND TECH,336.0,336.0,,,0
HCPCS,89220,Sputum specimen collection,,,23.95,825.83,11
HCPCS,89230,Collect sweat for test,,,14.85,280.46,11
HCPCS,89230,HC SWEAT COLLECTION BY IONTOPHORESIS,279.0,279.0,,,0
HCPCS,89240,Pathology lab procedure,,,15.65,280.46,9
HCPCS,89250,Cultr oocyte/embryo <4 days,,,80.85,4752.96,11
HCPCS,89251,Cultr oocyte/embryo <4 days,,,80.85,4943.96,11
HCPCS,89253,Embryo hatching,,,80.85,1987.02,11
HCPCS,89254,Oocyte identification,,,80.85,2384.43,11
HCPCS,89255,Prepare embryo for transfer,,,36.47,1552.94,11
HCPCS,89257,Sperm identification,,,36.47,1947.28,11
HCPCS,89258,Cryopreservation embryo(s),,,80.85,3807.76,11
HCPCS,89259,Cryopreservation sperm,,,23.95,825.83,11
HCPCS,89260,Sperm isolation simple,,,36.47,280.46,11
HCPCS,89261,Sperm isolation complex,,,36.47,280.46,11
HCPCS,89264,Identify sperm tissue,,,36.47,3056.96,11
HCPCS,89268,Insemination of oocytes,,,80.85,2319.8,11
HCPCS,89272,Extended culture of oocytes,,,80.85,3807.76,11
HCPCS,89280,Assist oocyte fertilization,,,80.85,3807.76,11
HCPCS,89281,Assist oocyte fertilization,,,80.85,3056.96,11
HCPCS,89290,Biopsy oocyte polar body,,,80.85,3056.96,11
HCPCS,89291,Biopsy oocyte polar body,,,80.85,3056.96,11
HCPCS,89300,Semen analysis w/huhner,,,7.07,56.86,12
HCPCS,89310,Semen analysis w/count,,,6.19,54.87,12
HCPCS,89320,Semen anal vol/count/mot,,,8.85,76.86,12
HCPCS,89321,Semen anal sperm detection,,,8.66,76.86,12
HCPCS,89322,Semen anal strict criteria,,,11.14,98.87,12
HCPCS,89325,Sperm antibody test,,,7.67,68.05,12
HCPCS,89329,Sperm evaluation test,,,14.08,133.67,12
HCPCS,89330,Evaluation cervical mucus,,,7.46,63.12,12
HCPCS,89331,Retrograde ejaculation anal,,,14.08,124.93,12
HCPCS,89335,Cryopreserve testicular tiss,,,36.47,1048.54,11
HCPCS,89337,Cryopreservation oocyte(s),,,109.46,2521.99,11
HCPCS,89342,Storage/year embryo(s),,,80.85,857.11,11
HCPCS,89343,Storage/year sperm/semen,,,80.85,832.86,11
HCPCS,89344,Storage/year reprod tissue,,,80.85,857.11,11
HCPCS,89346,Storage/year oocyte(s),,,80.85,1632.26,11
HCPCS,89352,Thawing cryopresrved embryo,,,30.57,869.52,11
HCPCS,89353,Thawing cryopresrved sperm,,,21.4,280.46,11
HCPCS,89354,Thaw cryoprsvrd reprod tiss,,,45.3,869.52,11
HCPCS,89356,Thawing cryopresrved oocyte,,,40.36,869.52,11
HCPCS,89398,Unlisted reprod med lab proc,,,15.65,280.46,9
HCPCS,90281,Human ig im,,,0.32,108.39,10
HCPCS,90283,Human ig iv,,,0.32,84.78,10
HCPCS,90284,Human ig sc,,,0.32,16.96,10
HCPCS,90287,Botulinum antitoxin,,,3.72,3.72,1
HCPCS,90288,Botulism ig iv,,,0.32,65835.0,9
HCPCS,90291,Cmv ig iv,,,0.32,2002.81,10
HCPCS,90296,Diphtheria antitoxin,,,14.21,14.21,1
HCPCS,90371,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE [126644],425.85,425.85,,,0
HCPCS,90371,Hep b ig im,,,0.32,564.08,15
HCPCS,90375,RABIES IMMUNE GLOBULIN (PF) (RIG) (HYPERRAB) 300 UNIT/ML INJECTION [190414],13936.265,13936.265,,,0
HCPCS,90375,Rabies ig im/sc,,,0.32,1176.37,15
HCPCS,90376,PR RABIES IG HEAT-TREATED HUMAN IM/SUBQ,625.0,625.0,,,0
HCPCS,90376,Rabies ig heat treated,,,0.32,1481.48,14
HCPCS,90377,Rabies ig ht&sol human im/sc,,,0.32,934.21,15
HCPCS,90378,PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION [41675],154039.97,154039.97,,,0
HCPCS,90378,PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION [108060],163153.66,163153.66,,,0
HCPCS,90378,Rsv mab im 50mg,,,0.32,2075.55,14
HCPCS,90380,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [208415],0.5,0.5,,,0
HCPCS,90380,Rsv monoc antb seasn .5ml im,,,0.32,633.99,10
HCPCS,90381,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [208416],0.75,0.75,,,0
HCPCS,90381,Rsv monoc antb seasnl 1ml im,,,0.32,633.99,10
HCPCS,90382,Rsv monoc antb seasn .7ml im,,,0.32,633.84,9
HCPCS,90384,Rh ig full-dose im,,,0.32,94.43,10
HCPCS,90385,Rh ig minidose im,,,0.32,336.28,11
HCPCS,90386,Rh ig iv,,,0.32,11.75,10
HCPCS,90389,Tetanus ig im,,,0.32,740.05,10
HCPCS,90393,Vaccina ig im,,,14.21,14.21,1
HCPCS,90396,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION [178540],20672.255,20672.255,,,0
HCPCS,90396,Varicella-zoster ig im,,,0.32,9927.92,14
HCPCS,90399,Immune globulin,,,111.4,111.4,1
HCPCS,904,Anesth perineal surgery,,,6880.82,9829.75,4
HCPCS,90460,HC IMMUN ADMIN SINGLE INJ TO 18 YRS W COUNSELING,138.0,138.0,,,0
HCPCS,90460,Im admin 1st/only component,,,25.43,187.75,6
HCPCS,90461,HC IMMUN ADMIN EACH ADDL TO 18 YRS W COUNSELING,136.0,136.0,,,0
HCPCS,90461,Im admin each addl component,,,9.52,93.9,6
HCPCS,90471,HC VACCINE ADMINISTRATION,160.0,160.0,,,0
HCPCS,90471,Immunization admin,,,73.52,340.29,9
HCPCS,90472,HC IMMUNIZATION ADMIN EA ADDL,106.0,106.0,,,0
HCPCS,90472,Immunization admin each add,,,129.59,129.59,1
HCPCS,90473,HC ADMIN VACCINE ORAL/INTRANASAL,160.0,160.0,,,0
HCPCS,90473,Immune admin oral/nasal,,,73.52,340.29,9
HCPCS,90474,HC ADM VAC ORAL/INTRANASAL EA ADD,106.0,106.0,,,0
HCPCS,90474,Immune admin oral/nasal addl,,,129.59,129.59,1
HCPCS,90476,Adenovirus vaccine type 4,,,391.7,776.43,5
HCPCS,90480,Admn sarscov2 vacc 1 dose,,,44.47,220.95,6
HCPCS,90480,HC IMM ADMIN SARSCOV2 (COVID-19) VACCINE SINGLE DOSE,137.0,137.0,,,0
HCPCS,90581,Anthrax vaccine sc or im,,,0.32,112.86,10
HCPCS,90585,Bcg vaccine percut,,,0.32,207.44,10
HCPCS,90586,Bcg vaccine intravesical,,,0.32,207.44,10
HCPCS,90587,Dengue vacc quad 3 dose subq,,,0.32,75.24,9
HCPCS,90589,Chikungunya vaccine live im,,,0.32,313.5,9
HCPCS,90593,Chikungunya vacc recomb im,,,0.32,313.5,9
HCPCS,90611,PR SMALLPOX&MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE,385.0,385.0,,,0
HCPCS,90611,"SMALLPOX,MONKEYPOX VAC (EUA) LIVE (PF), 0.5X TO 3.95X 10EXP8/0.5ML INTRADERMAL SUSP [40818041]",0.5,0.5,,,0
HCPCS,90611,Smallpox&monkeypox vac 0.5ml,,,0.01,307.8,14
HCPCS,90619,"MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION [198011]",0.5,0.5,,,0
HCPCS,90619,Menacwy-tt vaccine im,,,0.32,201.76,9
HCPCS,90619,PR MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE,218.0,218.0,,,0
HCPCS,90620,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [176630]",0.5,0.5,,,0
HCPCS,90620,MENINGOCOCCAL GROUP B VACCINE (BEXSERO) 0.5ML IM SYRINGE [408630],317.73,317.73,,,0
HCPCS,90620,Menb rp w/omv vaccine im,,,0.32,270.18,10
HCPCS,90620,PR MENB-4C RECOMBNT PRTN & OUTER MEMB VESIC VACC IM,612.25,612.25,,,0
HCPCS,90621,Menb rlp vaccine im,,,0.32,236.2,10
HCPCS,90621,"N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE [176752]",312.98,312.98,,,0
HCPCS,90621,PR MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM,481.05,481.05,,,0
HCPCS,90622,Vaccinia vrs vac 0.3 ml perq,,,0.01,0.04,9
HCPCS,90623,Menacwy-tt menb-fhbp vacc im,,,0.32,270.07,9
HCPCS,90624,Menb-4c&menacwy vacc im,,,0.32,285.71,9
HCPCS,90625,Cholera vaccine live oral,,,0.32,332.31,9
HCPCS,90626,Tic-brn enceph vac 0.25ml im,,,0.32,346.45,9
HCPCS,90627,Tic-brn enceph vac 0.5ml im,,,0.32,346.45,9
HCPCS,90630,Flu vacc iiv4 no preserv id,,,22.32,22.32,1
HCPCS,90632,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [126862]",303.89,303.89,,,0
HCPCS,90632,Hepa vaccine adult im,,,0.32,95.31,8
HCPCS,90632,PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE,238.25,238.25,,,0
HCPCS,90633,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE [91033],0.5,0.5,,,0
HCPCS,90633,Hepa vacc ped/adol 2 dose im,,,0.32,44.46,8
HCPCS,90633,PR HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE,80.0,80.0,,,0
HCPCS,90636,Hep a/hep b vacc adult im,,,0.32,150.69,8
HCPCS,90644,Hib-mency vacc 6wk-18m0 im,,,23.51,23.51,1
HCPCS,90644,PR HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM,110.3,110.3,,,0
HCPCS,90645,HEPAT B-HIB/OMPC CONJ-VAC (PF) 5 MCG-7.5 MCG-125 MCG/0.5 ML IM SUSP [127623],0.5,0.5,,,0
HCPCS,90647,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INJECTION [408509],104.46,104.46,,,0
HCPCS,90647,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN [10153],0.5,0.5,,,0
HCPCS,90647,Hib prp-omp vacc 3 dose im,,,0.32,35.74,8
HCPCS,90647,PR HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE,122.95,122.95,,,0
HCPCS,90648,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],90.33,90.33,,,0
HCPCS,90648,Hib prp-t vaccine 4 dose im,,,0.32,14.87,8
HCPCS,90648,PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE,21.9,21.9,,,0
HCPCS,90649,4vhpv vaccine 3 dose im,,,153.83,163.24,2
HCPCS,90649,PR 4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE,809.54,809.54,,,0
HCPCS,90650,2vhpv vaccine 3 dose im,,,123.63,135.12,2
HCPCS,90651,9vhpv vaccine 3 dose im,,,0.32,375.02,10
HCPCS,90651,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) (STATE SUPPLIED) 0.5 ML INTRAMUSCULAR SYRINGE [40817053]",419.025,419.025,,,0
HCPCS,90651,PR 9VHPV VACC 2/3 DOSE SCHED IM USE,404.0,404.0,,,0
HCPCS,90653,FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [216246],0.5,0.5,,,0
HCPCS,90653,Iiv adjuvant vaccine im,,,0.32,160.98,11
HCPCS,90653,PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE,113.0,113.0,,,0
HCPCS,90654,Flu vacc iiv3 no preserv id,,,15.94,15.94,1
HCPCS,90655,Iiv3 vacc no prsv 0.25 ml im,,,11.88,25.8,3
HCPCS,90656,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [216251],0.5,0.5,,,0
HCPCS,90656,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [40816193],0.5,0.5,,,0
HCPCS,90656,Iiv3 vacc no prsv 0.5 ml im,,,0.32,43.09,11
HCPCS,90656,PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE,75.37,75.37,,,0
HCPCS,90657,Iiv3 vaccine splt 0.25 ml im,,,0.32,21.07,11
HCPCS,90658,Iiv3 vaccine splt 0.5 ml im,,,0.32,42.15,11
HCPCS,90658,PR IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE,37.0,37.0,,,0
HCPCS,90660,Laiv3 vaccine intranasal,,,0.32,55.66,11
HCPCS,90660,PR LAIV3 VACCINE LIVE FOR INTRANASAL USE,50.0,50.0,,,0
HCPCS,90661,Cciiv3 vac no prsv 0.5 ml im,,,0.32,71.05,11
HCPCS,90661,FLU VAC TS 2025(6 MOS UP)C.DER.(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [216250],0.5,0.5,,,0
HCPCS,90662,FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE [216247],0.5,0.5,,,0
HCPCS,90662,Iiv no prsv increased ag im,,,0.32,160.98,11
HCPCS,90662,PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM,77.25,77.25,,,0
HCPCS,90670,PR PCV13 VACCINE FOR INTRAMUSCULAR USE,732.0,732.0,,,0
HCPCS,90670,Pcv13 vaccine im,,,0.32,497.43,11
HCPCS,90671,PR PCV15 VACCINE FOR INTRAMUSCULAR USE,434.0,434.0,,,0
HCPCS,90671,Pcv15 vaccine im,,,0.32,503.52,11
HCPCS,90672,Laiv4 vaccine intranasal,,,0.32,29.49,10
HCPCS,90673,Riv3 vaccine no preserv im,,,0.32,160.98,11
HCPCS,90674,Cciiv4 vac no prsv 0.5 ml im,,,0.32,35.42,10
HCPCS,90674,PR CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,45.0,45.0,,,0
HCPCS,90675,PR RABIES VACCINE INTRAMUSCULAR,775.0,775.0,,,0
HCPCS,90675,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]",1432.1,1432.1,,,0
HCPCS,90675,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION [127693]",1293.1,1293.1,,,0
HCPCS,90675,Rabies vaccine im,,,0.32,1318.55,15
HCPCS,90676,Rabies vaccine id,,,119.86,995.64,10
HCPCS,90677,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [201024],0.5,0.5,,,0
HCPCS,90677,PR PCV20 VACCINE FOR INTRAMUSCULAR USE,468.0,468.0,,,0
HCPCS,90677,Pcv20 vaccine im,,,0.32,603.3,11
HCPCS,90678,Rsv vacc pref bivalent im,,,0.32,349.75,10
HCPCS,90679,Rsv vacc pref recomb adjt im,,,0.32,349.24,10
HCPCS,90680,Rv5 vacc 3 dose live oral,,,0.32,116.98,8
HCPCS,90681,PR RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE,486.65,486.65,,,0
HCPCS,90681,"ROTAVIRUS VACCINE, LIVE, 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP [206519]",0.5,0.5,,,0
HCPCS,90681,Rv1 vacc 2 dose live oral,,,0.32,167.46,10
HCPCS,90682,Riv4 vacc recombinant dna im,,,0.32,76.74,10
HCPCS,90683,Rsv vacc mrna lipid nano im,,,0.32,330.6,9
HCPCS,90684,Pcv21 vaccine im,,,0.32,632.2,11
HCPCS,90685,Iiv4 vacc no prsv 0.25 ml im,,,21.64,23.74,2
HCPCS,90686,Iiv4 vacc no prsv 0.5 ml im,,,0.32,23.61,10
HCPCS,90686,PR IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE,36.0,36.0,,,0
HCPCS,90687,Iiv4 vaccine splt 0.25 ml im,,,0.32,11.24,10
HCPCS,90688,Iiv4 vaccine splt 0.5 ml im,,,0.32,22.47,10
HCPCS,90690,Typhoid vaccine oral,,,0.32,133.68,8
HCPCS,90691,Typhoid vaccine im,,,0.32,184.22,8
HCPCS,90694,Vacc aiiv4 no prsrv 0.5ml im,,,0.32,78.65,10
HCPCS,90696,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE [92788]",0.5,0.5,,,0
HCPCS,90696,Dtap-ipv vaccine 4-6 yrs im,,,0.32,71.05,8
HCPCS,90696,PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE,193.65,193.65,,,0
HCPCS,90697,"DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG [198841]",0.5,0.5,,,0
HCPCS,90697,Dtap-ipv-hib-hepb vaccine im,,,0.32,177.69,9
HCPCS,90697,PR DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR,212.0,212.0,,,0
HCPCS,90698,Dtap-ipv/hib vaccine im,,,0.32,136.15,8
HCPCS,90700,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [19451]",0.5,0.5,,,0
HCPCS,90700,"DIPH,PERTUS(ACEL),TET PEDI (PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SUSP [119782]",0.5,0.5,,,0
HCPCS,90700,DTAP FOR ADULTS [400810],0.5,0.5,,,0
HCPCS,90700,Dtap vaccine < 7 yrs im,,,0.32,33.31,8
HCPCS,90700,PR DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM,59.0,59.0,,,0
HCPCS,90702,PR DT VACCINE YOUNGER THAN 7 YRS FOR IM USE,93.95,93.95,,,0
HCPCS,90703,"Tetanus vaccine, im",,,0.32,45.86,8
HCPCS,90704,"Mumps vaccine, sc",,,0.32,25.21,8
HCPCS,90706,"Rubella vaccine, sc",,,0.32,21.69,8
HCPCS,90707,"MEASLES-M-R VACCINE LIVE(PF) RI-DOH 1,000-12,500TCID50/0.5 ML SUB-Q [500773]",14.0,14.0,,,0
HCPCS,90707,Mmr vaccine sc,,,0.32,108.1,8
HCPCS,90707,PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ,263.79,263.79,,,0
HCPCS,90710,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT [42622]",0.5,0.5,,,0
HCPCS,90710,Mmrv vaccine sc,,,0.32,329.08,9
HCPCS,90710,PR MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ,856.0,856.0,,,0
HCPCS,90713,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [108127],138.66,138.66,,,0
HCPCS,90713,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SYRINGE [11042],138.66,138.66,,,0
HCPCS,90713,PR POLIOVIRUS VACCINE INACTIVATED SUBQ/IM,140.95,140.95,,,0
HCPCS,90713,Poliovirus ipv sc/im,,,0.32,54.36,8
HCPCS,90714,PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE,68.0,68.0,,,0
HCPCS,90714,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [127646],102.79,102.79,,,0
HCPCS,90714,Td vacc no presv 7 yrs+ im,,,0.32,52.06,8
HCPCS,90715,"DIPHTH,PERTUS(AC)TETANUS(PF) 2 LF-(2.5-5-3-5 MCG)5 LF/0.5 ML IM SYRINGE [500883]",156.85,156.85,,,0
HCPCS,90715,"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE [127739]",0.5,0.5,,,0
HCPCS,90715,"DIPHTH,PERTUSSIS(ACEL),TETANUS (RI-DOH) 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [500343]",90.01,90.01,,,0
HCPCS,90715,"DIPHTH,PERTUSSIS(ACELL),TETANUS (RI-DOH) 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [500882]",87.485,87.485,,,0
HCPCS,90715,PR TDAP VACCINE 7 YRS/> IM,117.92,117.92,,,0
HCPCS,90715,Tdap vaccine 7 yrs/> im,,,0.32,55.15,8
HCPCS,90716,PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE,324.0,324.0,,,0
HCPCS,90716,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [113088]",0.5,0.5,,,0
HCPCS,90716,Var vaccine live subq,,,0.32,218.87,10
HCPCS,90717,Yellow fever vaccine subq,,,0.32,292.21,8
HCPCS,90721,"Dtap/hib vaccine, im",,,0.32,53.75,8
HCPCS,90723,Dtap-hep b-ipv vaccine im,,,0.32,117.41,9
HCPCS,90723,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [34550],0.5,0.5,,,0
HCPCS,90723,PR DTAP-HEPB-IPV VACCINE INTRAMUSCULAR,338.1,338.1,,,0
HCPCS,90732,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037],0.5,0.5,,,0
HCPCS,90732,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [122585],0.5,0.5,,,0
HCPCS,90732,PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,297.51,297.51,,,0
HCPCS,90732,Ppsv23 vacc 2 yrs+ subq/im,,,0.32,257.34,11
HCPCS,90733,Mpsv4 vaccine subq,,,118.26,125.5,2
HCPCS,90733,PR MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE,596.0,596.0,,,0
HCPCS,90734,"MENINGOC VAC A,C,Y,W (MENVEO) 10 MCG-5 MCG/0.5 ML WRAPPER [40818150]",518.13,518.13,,,0
HCPCS,90734,Mcv4 menacwy vaccine im,,,0.32,189.95,9
HCPCS,90734,PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE,472.0,472.0,,,0
HCPCS,90735,"Encephalitis vaccine, sc",,,0.32,109.78,8
HCPCS,90736,Hzv vaccine live subq,,,189.27,216.92,2
HCPCS,90736,PR ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE,894.4,894.4,,,0
HCPCS,90738,Inactivated je vacc im,,,0.32,336.4,10
HCPCS,90739,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE [191067],0.5,0.5,,,0
HCPCS,90739,Hepb vacc 2 dose adult im,,,0.32,342.35,11
HCPCS,90739,PR HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE,270.0,270.0,,,0
HCPCS,90740,Hepb vacc 3 dose immunsup im,,,0.32,317.02,11
HCPCS,90740,PR HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM,290.0,290.0,,,0
HCPCS,90743,Hepb vacc 2 dose adolesc im,,,0.32,144.9,11
HCPCS,90744,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [126804],144.52,144.52,,,0
HCPCS,90744,HEPATITIS B VIRUS VACCINE RECOMB (PF) RI-DOH 10 MCG/0.5 ML IM SYRINGE [500810],144.52,144.52,,,0
HCPCS,90744,Hepb vacc 3 dose ped/adol im,,,0.32,61.06,11
HCPCS,90744,PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM,78.0,78.0,,,0
HCPCS,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP [126808],230.61,230.61,,,0
HCPCS,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) RI-DOH 10 MCG/0.5 ML IM SYRINGE [500810],0.5,0.5,,,0
HCPCS,90746,Hepb vaccine 3 dose adult im,,,0.32,135.7,11
HCPCS,90746,PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE,120.0,120.0,,,0
HCPCS,90747,Hepb vacc 4 dose immunsup im,,,0.32,271.38,11
HCPCS,90748,Hib-hepb vaccine im,,,40.42,47.95,2
HCPCS,90750,Hzv vacc recombinant im njx,,,0.32,245.68,10
HCPCS,90750,PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX,299.0,299.0,,,0
HCPCS,90750,VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSPENSION [191997],152.0,152.0,,,0
HCPCS,90756,Cciiv4 vacc abx free im,,,0.32,33.55,10
HCPCS,90759,Hep b vac 3ag 10mcg 3 dos im,,,0.32,142.33,11
HCPCS,90785,HC INTERACTIVE COMPLEXITY,14.0,14.0,,,0
HCPCS,90785,HC PR INTERACTIVE COMPLEXITY,38.0,38.0,,,0
HCPCS,90785,Psytx complex interactive,,,16.15,32.0,4
HCPCS,90791,HC PR PSYCH DIAGNOSTIC EVALUATION,358.0,358.0,,,0
HCPCS,90791,HC PSYCH DIAGNOSTIC EVALUATION,402.0,402.0,,,0
HCPCS,90791,Psych diagnostic evaluation,,,104.55,838.87,8
HCPCS,90792,HC PR PSYCH DIAG EVAL W MED SVCS,384.0,384.0,,,0
HCPCS,90792,HC PSYCH DIAG EVAL WITH MED SVCS,373.0,373.0,,,0
HCPCS,90792,Psych diag eval w/med srvcs,,,104.55,838.87,8
HCPCS,908,Anesth removal of prostate,,,6880.82,9829.75,4
HCPCS,90832,HC PR PSYCHOTHER 30 MIN W PT,288.0,288.0,,,0
HCPCS,90832,HC PSYCHOTHER 30 MIN W PT,143.0,143.0,,,0
HCPCS,90832,Psytx w pt 30 minutes,,,82.51,838.87,8
HCPCS,90833,HC PR PSYCHOTHERAPY W E&M 30 MIN,133.0,133.0,,,0
HCPCS,90833,HC PSYCHOTHERAPY W E&M 30 MIN,78.0,78.0,,,0
HCPCS,90833,Psytx w pt w e/m 30 min,,,79.14,156.88,4
HCPCS,90834,HC PR PSYCHOTHER 45 MIN W PT,378.0,378.0,,,0
HCPCS,90834,HC PSYCHOTHER 45 MIN W PT,169.0,169.0,,,0
HCPCS,90834,Psytx w pt 45 minutes,,,104.55,838.87,8
HCPCS,90836,HC PR PSYCHOTHERAPY W E&M 45 MIN,154.0,154.0,,,0
HCPCS,90836,HC PSYCHOTHERAPY W E&M 45 MIN,128.0,128.0,,,0
HCPCS,90836,Psytx w pt w e/m 45 min,,,100.08,198.39,4
HCPCS,90837,HC PR PSYCHOTHERAPY 60 MIN,366.0,366.0,,,0
HCPCS,90837,HC PSYCHOTHERAPY 60 MIN,400.0,400.0,,,0
HCPCS,90837,Psytx w pt 60 minutes,,,104.55,838.87,8
HCPCS,90838,HC PR PSYCHOTHERAPY W E&M 60 MIN,309.0,309.0,,,0
HCPCS,90838,HC PSYCHOTHERAPY W E&M 60 MIN,343.0,343.0,,,0
HCPCS,90838,Psytx w pt w e/m 60 min,,,132.7,263.03,4
HCPCS,90839,HC PR PSYCHOTHERAPY CRISIS 60MIN,360.0,360.0,,,0
HCPCS,90839,HC PSYCHOTHERAPY CRISIS 60MIN F,212.0,212.0,,,0
HCPCS,90839,Psytx crisis initial 60 min,,,104.55,838.87,8
HCPCS,90840,HC CRISIS PSYTHERAPY ADDL 30MN F,105.0,105.0,,,0
HCPCS,90840,HC PR CRISIS PSYTHERAPY ADDL 30MN,198.0,198.0,,,0
HCPCS,90845,Psychoanalysis,,,104.55,838.87,8
HCPCS,90846,Family psytx w/o pt 50 min,,,116.04,838.87,8
HCPCS,90846,HC FAMILY PSYCHOTHERAPY WO PT 50MINS,250.0,250.0,,,0
HCPCS,90846,HC FAMILY PSYTX WO PATIENT TRICARE 50MINS,363.0,363.0,,,0
HCPCS,90846,HC PR FAMILY PSYCHOTHERAPY WO PT 50MINS,435.0,435.0,,,0
HCPCS,90847,Family psytx w/pt 50 min,,,116.04,838.87,8
HCPCS,90847,HC FAMILY PSYCHOTHERAPY W PT 50MINS,414.0,414.0,,,0
HCPCS,90847,HC PART HOS FAMILY THER OTH 50MINS,414.0,414.0,,,0
HCPCS,90847,HC PR FAMILY PSYCHOTHERAPY W PT 50MINS,400.0,400.0,,,0
HCPCS,90849,HC MULTI FAMILY GROUP PSYCHOTHERAPY,370.0,370.0,,,0
HCPCS,90849,HC PR MULTI FAMILY GROUP PSYCHOTHERAPY,226.0,226.0,,,0
HCPCS,90849,Multiple family group psytx,,,58.7,838.87,8
HCPCS,90853,Group psychotherapy,,,58.7,480.13,8
HCPCS,90853,HC GROUP PSYCHOTHERAPY,85.0,85.0,,,0
HCPCS,90853,HC PR GROUP PSYCHOTHERAPY,207.0,207.0,,,0
HCPCS,90863,Pharmacologic mgmt w/psytx,,,65.53,65.53,1
HCPCS,90865,Narcosynthesis,,,104.55,838.87,8
HCPCS,90867,HC PR TCRANIAL MAGN STIM TX PLAN,822.0,822.0,,,0
HCPCS,90867,HC TCRANIAL MAGN STIM TX PLAN,764.0,764.0,,,0
HCPCS,90867,Tcranial magn stim tx plan,,,242.77,1129.46,9
HCPCS,90868,HC PR TCRANIAL MAGN STIM TX DELIVERY/MGT,432.0,432.0,,,0
HCPCS,90868,HC TCRANIAL MAGN STIM TX DELIVERY/MGT,764.0,764.0,,,0
HCPCS,90868,Tcranial magn stim tx deli,,,242.77,1020.48,9
HCPCS,90869,HC PR TCRAN MAGN STIM REDETEMINE W DELIVERY/MGT,799.0,799.0,,,0
HCPCS,90869,HC TCRAN MAGN STIM REDETEMINE W DELIVERY/MGT,414.0,414.0,,,0
HCPCS,90869,Tcran magn stim redetemine,,,242.77,1020.48,9
HCPCS,90870,Electroconvulsive therapy,,,559.36,4058.53,9
HCPCS,90870,HC ELECTROSHOCK THERAPY,2924.0,2924.0,,,0
HCPCS,90880,Hypnotherapy,,,93.02,480.13,8
HCPCS,90882,Environmental manipulation,,,354.01,354.01,1
HCPCS,90887,HC INTRP EXPLN PSYCH RESULT OTHR TO FAMILY,200.0,200.0,,,0
HCPCS,90899,HC UNLISTED PSYCHIATRIC SERVICE OR PROCEDURE,673.0,673.0,,,0
HCPCS,90899,Psychiatric service/therapy,,,29.96,177.08,8
HCPCS,90901,Biofeedback train any meth,,,16.67,192.22,9
HCPCS,90901,HC BIOFEEDBACK TRAINING,182.0,182.0,,,0
HCPCS,90901,HC PR BIOFEEDBACK TRAINING,71.0,71.0,,,0
HCPCS,90912,Bfb training 1st 15 min,,,37.99,542.25,9
HCPCS,90912,HC BIOFEEDBACK TRN PERI/ANOREC/URETH SPHINCT INI 15MINS 1TO1 PHY/QHCP,269.0,269.0,,,0
HCPCS,90913,Bfb training ea addl 15 min,,,21.36,542.25,8
HCPCS,90913,HC BIOFEEDBACK TRN PERI/ANOREC/URETH SPHN EA ADDL 15MINS 1TO1 PHY/QHCP,232.0,232.0,,,0
HCPCS,90935,Hemodialysis one evaluation,,,340.4,3243.62,8
HCPCS,90937,Hemodialysis repeated eval,,,360.22,762.64,5
HCPCS,90945,Dialysis one evaluation,,,462.23,1972.04,8
HCPCS,90945,HC CAPD,2434.0,2434.0,,,0
HCPCS,90945,HC CCPD,2434.0,2434.0,,,0
HCPCS,90945,HC URGENT START PERITONEAL DIALYSIS,2434.0,2434.0,,,0
HCPCS,90947,Dialysis repeated eval,,,132.27,321.52,5
HCPCS,90993,Dialysis training incompl,,,81.97,81.97,1
HCPCS,90993,HC CAPD TRAINING,392.0,392.0,,,0
HCPCS,90993,HC CCPD TRAINING,392.0,392.0,,,0
HCPCS,90997,Hemoperfusion,,,95.12,188.54,4
HCPCS,90999,Dialysis procedure,,,321.52,762.64,5
HCPCS,90999,HC HEMODIALYSIS OUTPT SCHEDULED,1809.0,1809.0,,,0
HCPCS,90999,HC HOME HEMODIALYSIS,1809.0,1809.0,,,0
HCPCS,90999,HC HOME HEMODIALYSIS TRAINING,844.0,844.0,,,0
HCPCS,91010,Esophagus motility study,,,419.55,1953.18,10
HCPCS,91010,HC ESOPHAGEAL MOTILITY INTPR/RPT,1510.0,1510.0,,,0
HCPCS,91010,HC PR ESOPHAGL MOTILITY INTPR RPT,244.0,244.0,,,0
HCPCS,91013,Esophgl motil w/stim/perfus,,,1451.87,1473.0,2
HCPCS,91020,Gastric motility studies,,,419.55,1953.18,10
HCPCS,91022,Duodenal motility study,,,419.55,1953.18,10
HCPCS,91030,Acid perfusion of esophagus,,,419.55,1953.18,10
HCPCS,91034,Gastroesophageal reflux test,,,419.55,1953.18,10
HCPCS,91034,HC 24 HOUR PH MONITORING,1525.0,1525.0,,,0
HCPCS,91035,G-esoph reflx tst w/electrod,,,559.36,4058.53,10
HCPCS,91035,HC BRAVO PH CAPSULE PROCEDURE,2522.0,2522.0,,,0
HCPCS,91037,Esoph imped function test,,,242.77,1473.0,10
HCPCS,91037,HC IMPEDANCE TEST,1490.0,1490.0,,,0
HCPCS,91038,Esoph imped funct test > 1hr,,,419.55,1953.18,10
HCPCS,91038,HC 24HR PH MONITORING W/INTERP,1525.0,1525.0,,,0
HCPCS,91038,HC IMPEDANCE PROLONG UP TO 24 HRS,1525.0,1525.0,,,0
HCPCS,91040,Esoph balloon distension tst,,,419.55,1953.18,10
HCPCS,91065,Breath hydrogen/methane test,,,163.01,1473.0,10
HCPCS,91065,HC BREATH HYDROGEN TEST,1525.0,1525.0,,,0
HCPCS,91110,Gi tract capsule endoscopy,,,946.03,4286.55,10
HCPCS,91110,HC M2A CAPSULE ENDOSCOPY W INTPR/RPT,4319.0,4319.0,,,0
HCPCS,91111,Esophageal Capsule Endoscopy,,,946.03,4446.69,10
HCPCS,91112,Gi wireless capsule measure,,,946.03,4286.55,10
HCPCS,91113,Gi trc img intral colon i&r,,,953.83,4395.12,9
HCPCS,91117,Colon motility 6 hr study,,,242.77,1473.0,10
HCPCS,91120,Rectal sensation test,,,327.57,1473.0,7
HCPCS,91122,Anal pressure record,,,327.57,1473.0,7
HCPCS,91124,HC RECTAL SENSATION TONE AND COMPLIANCE STUDY,1525.0,1525.0,,,0
HCPCS,91124,Rct snsatn tone&cmplianc std,,,242.77,1020.48,3
HCPCS,91125,Anrct mano rct snsatn&balo,,,419.55,1763.6,3
HCPCS,91125,HC ANORECTAL MANOMETRY W RECTL SENS RECTL BALL EXPUL TEST WH PERF,2429.0,2429.0,,,0
HCPCS,91132,Electrogastrography,,,242.77,1473.0,10
HCPCS,91133,Electrogastrography W/Test,,,133.32,1473.0,10
HCPCS,91200,HC LIVER ELASTOGRAPHY WO IMG W INTER & RPT,475.0,475.0,,,0
HCPCS,91200,Liver elastography,,,144.67,608.13,9
HCPCS,91299,Gastroenterology procedure,,,144.67,1473.0,9
HCPCS,91299,HC ENDO AGILE PATENCY CAPSULE,589.0,589.0,,,0
HCPCS,91304,Coronavirus vaccine 5,,,0.01,311.47,11
HCPCS,91318,Sarscov2 vac 3mcg trs-suc im,,,0.32,126.39,11
HCPCS,91319,Sarscv2 vac 10mcg trs-suc im,,,0.32,169.25,11
HCPCS,91320,Sarscv2 vac 30mcg trs-suc im,,,0.32,300.59,11
HCPCS,91321,COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYRINGE [216811],0.5,0.5,,,0
HCPCS,91321,Sarscov2 vac 25 mcg/.25ml im,,,0.32,283.55,11
HCPCS,91322,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE [216673],0.5,0.5,,,0
HCPCS,91322,Sarscov2 vac 50 mcg/0.5ml im,,,0.32,311.68,11
HCPCS,91323,Sarscov2 vac 10 mcg/0.2ml im,,,0.32,201.91,9
HCPCS,92002,Eye exam new patient,,,96.18,629.22,8
HCPCS,92004,Eye exam new patient,,,96.18,629.22,8
HCPCS,92012,Eye exam establish patient,,,82.06,629.22,8
HCPCS,92014,Eye exam&tx estab pt 1/>vst,,,82.06,629.22,8
HCPCS,92015,Determine refractive state,,,94.66,94.66,1
HCPCS,92015,HC REFRACTION,57.0,57.0,,,0
HCPCS,92018,HC EYE EXAM UNDER GENERAL ANESTHESIA COMPLETE,4845.0,4845.0,,,0
HCPCS,92018,New eye exam & treatment,,,1259.97,11236.34,10
HCPCS,92019,Eye exam & treatment,,,1259.97,11236.34,10
HCPCS,92019,HC EYE EXAM & EVAL UNDER GENERAL ANESTHESIA W/WO MANI LIMITED,6450.0,6450.0,,,0
HCPCS,92020,Special eye evaluation,,,133.32,628.81,9
HCPCS,92025,Corneal Topography,,,63.84,278.81,9
HCPCS,92060,Special eye evaluation,,,63.84,278.81,9
HCPCS,92065,Orthoptic/pleoptic training,,,69.81,232.27,6
HCPCS,92066,Orthop traing supvj phys/qhp,,,63.84,278.81,8
HCPCS,92071,Contact lens fitting for tx,,,232.27,232.27,1
HCPCS,92072,Fit contac lens for managmnt,,,355.39,355.39,1
HCPCS,92081,Visual field examination(s),,,66.33,278.81,5
HCPCS,92082,Visual field examination(s),,,63.84,278.81,9
HCPCS,92083,Visual field examination(s),,,133.32,628.81,9
HCPCS,92132,Cmptr ophth dx img ant segmt,,,63.84,278.81,9
HCPCS,92133,Cmptr ophth img optic nerve,,,63.84,278.81,9
HCPCS,92134,Cptr ophth dx img post segmt,,,63.84,278.81,9
HCPCS,92136,Ophthalmic biometry,,,133.32,628.81,9
HCPCS,92137,Cptrz oph img pst sg rta oct,,,242.77,1494.1,9
HCPCS,92145,Corneal hysteresis deter,,,63.84,278.81,9
HCPCS,92201,HC OPHTHALMOSCOPY EXT W RET DRAW & SCLERAL DEP W I&R UNI/BILAT,323.0,323.0,,,0
HCPCS,92201,Opscpy extnd rta draw uni/bi,,,63.84,278.81,9
HCPCS,92202,Opscpy extnd on/mac draw,,,63.84,278.81,9
HCPCS,92227,Remote dx retinal imaging,,,66.33,278.81,5
HCPCS,92228,Remote retinal imaging mgmt,,,41.86,295.89,9
HCPCS,92229,Img rta detc/mntr ds poc aly,,,63.84,278.81,9
HCPCS,92230,Eye exam with photos,,,355.39,1809.23,9
HCPCS,92235,Fluorescein angrph uni/bi,,,242.77,1129.46,9
HCPCS,92240,Icg angiography uni/bi,,,242.77,1129.46,9
HCPCS,92242,Fluorescein icg angiography,,,242.77,1129.46,9
HCPCS,92250,Eye exam with photos,,,133.32,628.81,9
HCPCS,92250,HC FUNDUS PHOTOGRAPHY W/INTER&REP,323.0,323.0,,,0
HCPCS,92260,Ophthalmoscopy/dynamometry,,,41.86,232.27,9
HCPCS,92265,Eye muscle evaluation,,,63.84,278.81,9
HCPCS,92270,Electro-oculography,,,133.32,628.81,9
HCPCS,92273,Full field erg w/i&r,,,242.77,1129.46,9
HCPCS,92274,Multifocal erg w/i&r,,,144.67,695.18,9
HCPCS,92283,Color vision examination,,,63.84,278.81,9
HCPCS,92284,Dark adaptation eye exam,,,232.27,2111.28,9
HCPCS,92285,Eye photography,,,42.0,232.27,5
HCPCS,92286,Internal eye photography,,,133.32,628.81,9
HCPCS,92287,Internal eye photography,,,133.32,628.81,9
HCPCS,92310,Contact lens fitting,,,129.62,129.62,1
HCPCS,92311,Contact lens fitting,,,355.39,2111.28,9
HCPCS,92312,Contact lens fitting,,,133.32,628.81,9
HCPCS,92313,Contact lens fitting,,,133.32,628.81,9
HCPCS,92315,Rx cntact lens aphakia 1 eye,,,133.32,628.81,9
HCPCS,92316,Rx cntact lens aphakia 2 eye,,,133.32,628.81,9
HCPCS,92317,Rx corneoscleral cntact lens,,,41.86,232.27,9
HCPCS,92325,Modification of contact lens,,,133.32,628.81,9
HCPCS,92326,Replacement of contact lens,,,63.84,278.81,9
HCPCS,92352,Fit aphakia spectcl monofocl,,,66.33,355.39,5
HCPCS,92353,Fit aphakia spectcl multifoc,,,66.33,355.39,8
HCPCS,92354,Fit spectacles single system,,,42.0,232.27,8
HCPCS,92355,Fit spectacles compound lens,,,42.0,232.27,8
HCPCS,92358,Aphakia prosth service temp,,,66.33,278.81,5
HCPCS,92371,Repair & adjust spectacles,,,66.33,355.39,5
HCPCS,92499,Eye service or procedure,,,31.09,136.7,8
HCPCS,92502,Ear and throat examination,,,574.2,2548.95,10
HCPCS,92504,HC BINOCULAR MICROSCOPY (SEP DIAG PROC),35.0,35.0,,,0
HCPCS,92504,HC PR BINOCULAR MICROSCOPY (SEP DIAG PROC),85.0,85.0,,,0
HCPCS,92507,HC SPEECH THERAPY,324.0,324.0,,,0
HCPCS,92507,Speech/hearing therapy,,,78.01,327.92,8
HCPCS,92508,HC SPEECH THERAPY GROUP,140.0,140.0,,,0
HCPCS,92508,Speech/hearing therapy,,,24.64,103.57,8
HCPCS,92511,HC NASOPHARYNGOSCOPY,515.0,515.0,,,0
HCPCS,92511,HC PR NASOPHARYNGOSCOPY W ENDOSCOPE,320.0,320.0,,,0
HCPCS,92511,Nasopharyngoscopy,,,206.72,943.37,9
HCPCS,92512,Nasal function studies,,,242.77,1109.11,9
HCPCS,92516,Facial nerve function test,,,242.77,1020.48,9
HCPCS,92517,HC VEMP TESTING CERVICAL W I&R,600.0,600.0,,,0
HCPCS,92517,Vemp test i&r cervical,,,144.67,669.56,9
HCPCS,92518,HC VEMP TESTING OCULAR W I&R,600.0,600.0,,,0
HCPCS,92518,Vemp test i&r ocular,,,144.67,669.56,9
HCPCS,92519,HC VEMP TESTING CERVICAL & OCULAR W I&R,1137.0,1137.0,,,0
HCPCS,92519,Vemp tst i&r cervical&ocular,,,242.77,1268.83,9
HCPCS,92520,Laryngeal function studies,,,133.32,633.62,9
HCPCS,92521,Evaluation of speech fluency,,,136.57,574.07,8
HCPCS,92521,HC EVALUATION OF SPEECH FLUENCY,532.0,532.0,,,0
HCPCS,92522,Evaluate speech production,,,114.5,481.3,8
HCPCS,92522,HC EVALUATION SPEECH SOUND PROD,559.0,559.0,,,0
HCPCS,92523,HC EVAL SP SOUND W LANG COMP &EXP,693.0,693.0,,,0
HCPCS,92523,Speech sound lang comprehen,,,232.09,975.59,8
HCPCS,92524,Behavral qualit analys voice,,,112.13,471.34,8
HCPCS,92524,HC BEHV QUAL ANAL VOICE RESONANCE,559.0,559.0,,,0
HCPCS,92526,HC SWALLOWING TREATMENT,490.0,490.0,,,0
HCPCS,92526,Oral function therapy,,,86.27,405.59,8
HCPCS,92537,Caloric vstblr test w/rec,,,144.67,633.62,9
HCPCS,92537,HC CALORIC TEST W RECORD BILAT BITHERMAL,745.0,745.0,,,0
HCPCS,92537,HC PR CALORIC TEST W RECORD BILAT BITHERMAL,81.0,81.0,,,0
HCPCS,92538,Caloric vstblr test w/rec,,,163.01,1020.48,9
HCPCS,92540,Basic vestibular evaluation,,,163.01,1020.48,9
HCPCS,92540,HC BASIC VESTIBULAR EVAL,735.0,735.0,,,0
HCPCS,92540,HC PR BASIC VESTIBULAR EVAL,228.0,228.0,,,0
HCPCS,92541,Spontaneous nystagmus test,,,133.32,628.81,9
HCPCS,92542,Positional nystagmus test,,,133.32,628.81,9
HCPCS,92544,Optokinetic nystagmus test,,,144.67,608.13,9
HCPCS,92545,Oscillating tracking test,,,242.77,1020.48,9
HCPCS,92546,Sinusoidal rotational test,,,144.67,633.62,9
HCPCS,92547,HC VERTICAL ELECTRODES TEST,50.0,50.0,,,0
HCPCS,92548,Posturography,,,133.32,633.62,9
HCPCS,92549,Cdp-sot 6 cond w/i&r mct&adt,,,133.32,628.81,9
HCPCS,92550,HC TYMPANOMETRY/ REFLEX THRESHOLD,355.0,355.0,,,0
HCPCS,92550,Tympanometry & reflex thresh,,,163.01,1020.48,9
HCPCS,92551,HC BASIC HEARING SCREEN,133.0,133.0,,,0
HCPCS,92551,Pure tone hearing test air,,,36.61,95.54,6
HCPCS,92552,HC TONE TEST AIR ONLY,329.0,329.0,,,0
HCPCS,92552,Pure tone audiometry air,,,133.32,628.81,9
HCPCS,92553,Audiometry air & bone,,,144.67,608.13,9
HCPCS,92553,HC TONE TEST AIR & BONE,590.0,590.0,,,0
HCPCS,92555,HC SPEECH AUDIOMETRY THRESHOLD,300.0,300.0,,,0
HCPCS,92555,Speech threshold audiometry,,,63.84,278.81,9
HCPCS,92556,HC SRT W/SPEECH RECOGNITION,300.0,300.0,,,0
HCPCS,92556,Speech audiometry complete,,,63.84,278.81,9
HCPCS,92557,Comprehensive hearing test,,,144.67,608.13,9
HCPCS,92557,HC COMPREHENSIVE AUDIOMETRY,590.0,590.0,,,0
HCPCS,92558,Evoked auditory test qual,,,317.76,317.76,1
HCPCS,92558,HC EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALY,260.0,260.0,,,0
HCPCS,92562,Loudness balance test,,,172.15,1020.48,9
HCPCS,92563,HC TONE DECAY TEST,300.0,300.0,,,0
HCPCS,92563,Tone decay hearing test,,,41.86,176.53,9
HCPCS,92565,HC STENGER PURETONE,300.0,300.0,,,0
HCPCS,92565,Stenger test pure tone,,,63.84,278.81,9
HCPCS,92567,HC TYMPANOMETRY,329.0,329.0,,,0
HCPCS,92567,Tympanometry,,,41.86,176.53,9
HCPCS,92568,Acoustic refl threshold tst,,,41.86,176.53,9
HCPCS,92570,Acoustic immitance testing,,,144.67,608.13,9
HCPCS,92570,HC ACOUSTIC IMMITTANCE Z-ART ARDT,590.0,590.0,,,0
HCPCS,92571,Filtered speech hearing test,,,41.86,176.53,9
HCPCS,92572,HC STAGGERED SPONDAIC WORD TEST,780.0,780.0,,,0
HCPCS,92572,Staggered spondaic word test,,,144.67,608.13,9
HCPCS,92575,Sensorineural acuity test,,,41.86,176.53,9
HCPCS,92576,Synthetic sentence test,,,41.86,176.53,9
HCPCS,92577,Stenger test speech,,,419.55,1914.53,9
HCPCS,92579,HC VISUAL REINFORCMENT AUDIOMETRY,590.0,590.0,,,0
HCPCS,92579,Visual audiometry (vra),,,163.01,1020.48,9
HCPCS,92582,Conditioning play audiometry,,,144.67,608.13,9
HCPCS,92582,HC CONDITION PLAY AUDIOMETRY,590.0,590.0,,,0
HCPCS,92583,HC SELECT A PICTURE AUDIOMETRY,300.0,300.0,,,0
HCPCS,92583,Select picture audiometry,,,63.84,278.81,9
HCPCS,92584,Electrocochleography,,,144.67,882.93,9
HCPCS,92584,HC ELECTROCOCHLEOGRAPHY,1226.0,1226.0,,,0
HCPCS,92587,Evoked auditory test limited,,,242.77,1109.11,9
HCPCS,92587,HC DPOAE SCREEN,434.0,434.0,,,0
HCPCS,92587,HC PR DPOAE LIMITED,54.0,54.0,,,0
HCPCS,92588,Evoked auditory tst complete,,,313.26,1763.6,9
HCPCS,92588,HC EVOKED OAE COMP 12 PT,434.0,434.0,,,0
HCPCS,92588,HC PR EVOKED OAE COMP 12 PT,73.0,73.0,,,0
HCPCS,92590,Hearing aid exam one ear,,,122.04,122.04,1
HCPCS,92591,Hearing aid exam both ears,,,89.06,89.06,1
HCPCS,92592,Hearing aid check one ear,,,54.91,54.91,1
HCPCS,92593,Hearing aid check both ears,,,87.86,87.86,1
HCPCS,92594,Electro hearng aid test one,,,54.91,54.91,1
HCPCS,92595,Electro hearng aid tst both,,,87.86,87.86,1
HCPCS,92596,Ear protector evaluation,,,41.86,176.53,9
HCPCS,92597,HC EVAL USE/FITING PROSTHETIC DEV,297.0,297.0,,,0
HCPCS,92597,Oral speech device eval,,,72.82,464.91,8
HCPCS,92601,Cochlear implt f/up exam <7,,,144.67,608.13,9
HCPCS,92601,HC COCHLEAR IMPLANT F/U < 7 YRS,780.0,780.0,,,0
HCPCS,92602,HC COCHLEAR IMPLT REPROGRAM <7YRS,780.0,780.0,,,0
HCPCS,92602,Reprogram cochlear implt 7/>,,,144.67,608.13,9
HCPCS,92603,Cochlear implt f/up exam 7/>,,,144.67,608.13,9
HCPCS,92603,HC COCHLEAR IMPLANT F/U > 7 YRS,780.0,780.0,,,0
HCPCS,92604,HC COCHLEAR IMPLT REPROGRAM >7YRS,780.0,780.0,,,0
HCPCS,92604,Reprogram cochlear implt 7/>,,,144.67,608.13,9
HCPCS,92605,Ex for nonspeech device rx,,,341.77,341.77,1
HCPCS,92605,HC AAC EVAL NON SPEECH 1ST HOUR,559.0,559.0,,,0
HCPCS,92606,HC THERAPY/AAC/NON-SPEECH GEN,235.0,235.0,,,0
HCPCS,92607,Ex for speech device rx 1hr,,,125.37,526.99,8
HCPCS,92607,HC AAC/EVAL/SPEECH GEN 1ST HOUR,532.0,532.0,,,0
HCPCS,92608,Ex for speech device rx addl,,,49.01,206.01,7
HCPCS,92608,HC AAC EVAL/SPEECH ADDTL 30 MINS,172.0,172.0,,,0
HCPCS,92609,HC THERAPY/AAC/SPEECH GEN,490.0,490.0,,,0
HCPCS,92609,Use of speech device service,,,105.18,442.12,8
HCPCS,92610,Evaluate swallowing function,,,59.04,673.46,8
HCPCS,92610,HC CLINICAL SWALLOW EVALUATION,618.0,618.0,,,0
HCPCS,92611,HC MODIFIED BARIUM SWALLOW (MBS),416.0,416.0,,,0
HCPCS,92611,Motion fluoroscopy/swallow,,,93.69,673.46,8
HCPCS,92612,Endoscopy swallow (fees) vid,,,55.08,437.71,8
HCPCS,92612,HC FLEX ENDO SWALLOW EVAL,564.0,564.0,,,0
HCPCS,92612,HC PR FLEX ENDO SWALLOW EVAL CINE OR VIDEO RECORD,546.0,546.0,,,0
HCPCS,92613,Endoscopy swallow (fees) i&r,,,39.58,78.45,4
HCPCS,92614,Laryngoscopic sensory vid,,,55.03,328.37,7
HCPCS,92615,Laryngoscopic sensory i&r,,,46.57,99.8,4
HCPCS,92616,Fees w/laryngeal sense test,,,81.28,956.65,8
HCPCS,92618,Ex for nonspeech dev rx add,,,34.76,170.9,5
HCPCS,92618,HC AAC EVAL NON SPEECH ADDL 30MIN,190.0,190.0,,,0
HCPCS,92620,Auditory function 60 min,,,144.67,608.13,9
HCPCS,92620,HC AUD FUNC TESTS INITIAL 60 MIN,590.0,590.0,,,0
HCPCS,92621,Auditory function + 15 min,,,23.95,47.48,4
HCPCS,92621,HC AUD FUNC TESTS ADD'L 15 MIN,300.0,300.0,,,0
HCPCS,92622,Dx aly aud oi snd prcsr 1st,,,144.67,714.81,5
HCPCS,92622,HC DIAG ANALY PRGRM VERIF AUDIT OSSEOINT SOUND PROC ANY TYPE 1ST 60MINS,655.0,655.0,,,0
HCPCS,92623,HC DIAG ANALY PRGRM VER AUDIT OSSEO SOUND PROC ANY TYPE EA ADDL 15MINS,273.0,273.0,,,0
HCPCS,92625,HC ASSESSMENT FOR TINNITUS,418.0,418.0,,,0
HCPCS,92625,Tinnitus assessment,,,144.67,608.13,9
HCPCS,92626,Eval aud rehab status,,,144.67,608.13,9
HCPCS,92626,HC AUDIOLOGY REHAB EVAL 1 HOUR,780.0,780.0,,,0
HCPCS,92627,Eval aud status rehab add-on,,,22.47,44.55,4
HCPCS,92627,HC AUD REHAB EVAL ADDTL 15 MINS,35.0,35.0,,,0
HCPCS,92628,HC EVAL FOR HEARING AID CANDIDACY FIRST 30 MINS,58.0,58.0,,,0
HCPCS,92629,HC EVAL FOR HEARING AID CANDIDACY EA ADDL 15 MINS,29.0,29.0,,,0
HCPCS,92631,HC HEARING AID SELECTION SERVICES FIRST 30 MINS,58.0,58.0,,,0
HCPCS,92632,HC HEARING AID SELECTION SERVICES FIRST EA ADDL 15 MINS,29.0,29.0,,,0
HCPCS,92634,HC HEARING AID FITTING SERVICES FIRST 60 MINS,58.0,58.0,,,0
HCPCS,92635,HC HEARING AID FITTING SERVICES EA ADDL 15 MINS,14.5,14.5,,,0
HCPCS,92636,HC HEARING AID POST-FITTING F/U FIRST 30 MINS,58.0,58.0,,,0
HCPCS,92637,HC HEARING AID POST-FITTING F/U EA ADDL 15 MINS,29.0,29.0,,,0
HCPCS,92638,HC BEHAVIORAL AIDED TESTING,20.0,20.0,,,0
HCPCS,92639,HC ON EAR HEARING AID PROBE-MICROPHONE TESTING,20.0,20.0,,,0
HCPCS,92640,Aud brainstem implt programg,,,144.67,608.13,9
HCPCS,92641,HC HEARING AID TEST BOX MEASURES,58.0,58.0,,,0
HCPCS,92642,HC ALD SUPPLEMENTAL TECH FITTING,58.0,58.0,,,0
HCPCS,92650,Aep scr auditory potential,,,383.02,558.8,2
HCPCS,92651,Aep hearing status deter i&r,,,242.77,1020.48,9
HCPCS,92651,HC AUDITORY EVOKED POTENT HEAR STAT DETER W BBND STIMULI W I&R,600.0,600.0,,,0
HCPCS,92652,Aep thrshld est mlt freq i&r,,,242.77,1124.5,9
HCPCS,92652,HC AUDITORY EVOKED POTENT THRESHOLD EST MULTI FREQ W I&R,1137.0,1137.0,,,0
HCPCS,92653,Aep neurodiagnostic i&r,,,242.77,1124.5,9
HCPCS,92653,HC AUDITORY EVOKED POTENT NEURODIAGNOSTIC W I&R,1137.0,1137.0,,,0
HCPCS,92700,Ent procedure/service,,,31.09,136.7,8
HCPCS,92700,HC UNLISTED OTORHINOLARYNGOLOGICAL SERVICE OR PROCEDURE,135.0,135.0,,,0
HCPCS,92920,HC PTCA SINGLE MAJOR ARTERY/BRNCH,14300.0,14300.0,,,0
HCPCS,92920,Prq cardiac angioplast 1 art,,,5965.04,26899.17,10
HCPCS,92921,Prq cardiac angio addl art,,,14227.0,19302.59,2
HCPCS,92924,HC ATHERECTOMY W PTCA SINGLE,19232.0,19232.0,,,0
HCPCS,92924,Prq card angio/athrect 1 art,,,11481.13,54559.54,10
HCPCS,92925,Prq card angio/athrect addl,,,14227.0,36806.32,2
HCPCS,92928,HC PLACEMNT INTRACOR STENT W PTCA,19482.0,19482.0,,,0
HCPCS,92928,Prq card stent w/angio 1 vsl,,,11481.13,54559.54,10
HCPCS,92929,Prq card stent w/angio addl,,,14227.0,29317.89,2
HCPCS,92930,HC PERC TCAT PLMT INTRAC ST 2OR>LES 2OR>ST 2OR>COR SEGMENTS,31788.0,31788.0,,,0
HCPCS,92930,Prq tcat plmt ntrac st 2+les,,,20610.92,86638.02,3
HCPCS,92933,HC ATHERECTOMY W STENT AND PTCS,23650.0,23650.0,,,0
HCPCS,92933,Prq card stent/ath/angio,,,14227.0,86638.02,10
HCPCS,92934,Prq card stent/ath/angio,,,8618.37,29317.89,6
HCPCS,92937,HC GRAFT REVASC STNT ATHERCT PTCA,19232.0,19232.0,,,0
HCPCS,92937,Prq revasc byp graft 1 vsl,,,11481.13,54559.54,10
HCPCS,92938,Prq revasc byp graft addl,,,14227.0,29317.89,2
HCPCS,92941,HC AMI REVAS GRAFT/COR ANY COMB,17331.0,17331.0,,,0
HCPCS,92941,Prq card revasc mi 1 vsl,,,6880.82,30985.64,7
HCPCS,92943,HC CTO REVAS COR ART ANY COMB,19026.0,19026.0,,,0
HCPCS,92943,Prq card revasc chronic 1vsl,,,11481.13,54559.54,10
HCPCS,92944,Prq card revasc chronic addl,,,14227.0,29317.89,2
HCPCS,92945,HC PERC TRLUML REVSC CHRNC TOT OCCLS SNGL ANTGRD&RTRGR,28981.0,28981.0,,,0
HCPCS,92945,Prq trl rvs ch occ ant&rtrgr,,,12979.55,54559.54,3
HCPCS,92950,HC CARDIOPULMONARY RESUSCITATION,1535.0,1535.0,,,0
HCPCS,92950,Heart/lung resuscitation cpr,,,242.77,1473.0,6
HCPCS,92953,HC TEMP TRANSCUTANEOUS PACING,825.0,825.0,,,0
HCPCS,92953,Temporary external pacing,,,679.21,3123.72,10
HCPCS,92960,Cardioversion electric ext,,,679.21,3123.72,10
HCPCS,92960,HC CARDIOVERSION ELECTIVE,2709.0,2709.0,,,0
HCPCS,92961,Cardioversion electric int,,,679.21,3123.72,10
HCPCS,92961,HC INTERNAL CARDIOVERSION,2678.0,2678.0,,,0
HCPCS,92970,Cardioassist internal,,,2073.0,9829.75,5
HCPCS,92970,HC CARDIOASSIST METHOD INTERNAL,12363.0,12363.0,,,0
HCPCS,92971,Cardioassist external,,,2073.0,9829.75,5
HCPCS,92972,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY ADD ON CODE,1750.0,1750.0,,,0
HCPCS,92973,HC THROMBECTOMY,10114.0,10114.0,,,0
HCPCS,92973,Prq coronary mech thrombect,,,1473.0,14874.9,2
HCPCS,92974,Cath place cardio brachytx,,,1473.0,5548.89,2
HCPCS,92975,Dissolve clot heart vessel,,,2073.0,9829.75,5
HCPCS,92977,Dissolve clot heart vessel,,,828.42,1473.0,3
HCPCS,92978,Endoluminl ivus oct c 1st,,,1473.0,1473.0,1
HCPCS,92978,HC ENDO CORO VESSEL/GRAFT USING IVUS OR OCT INCL S&I RPT INI VESSEL,2651.0,2651.0,,,0
HCPCS,92979,Endoluminl ivus oct c ea,,,1473.0,1473.0,1
HCPCS,92979,HC ENDO CORO VESSEL/GRAFT USING IVUS OR OCT INCL S&I RPT EA ADDL VESSE,2651.0,2651.0,,,0
HCPCS,92986,HC AORTIC VALVULOPLASTY,10182.0,10182.0,,,0
HCPCS,92986,Revision of aortic valve,,,5965.04,26899.17,10
HCPCS,92987,HC MITRAL VALVULOPLASTY,11993.0,11993.0,,,0
HCPCS,92987,Revision of mitral valve,,,9556.0,54559.54,10
HCPCS,92990,HC PEDI PERC PULM VALVULOPLASTY,11993.0,11993.0,,,0
HCPCS,92990,Revision of pulmonary valve,,,9556.0,54559.54,10
HCPCS,92997,HC PERCUT TRANSLUM PULM ART BALLOON ANGIO SNGL VESSEL,16661.0,16661.0,,,0
HCPCS,92997,Pul art balloon repr percut,,,9556.0,54559.54,10
HCPCS,92998,HC PERCUT TRANSLUM PULM ART BALLOON ANGIO EA ADDL VESSEL,5553.0,5553.0,,,0
HCPCS,92998,Pul art balloon repr percut,,,5972.98,19302.59,6
HCPCS,93000,Electrocardiogram complete,,,36.75,127.96,6
HCPCS,93005,Electrocardiogram tracing,,,63.84,278.81,9
HCPCS,93005,HC EKG,428.0,428.0,,,0
HCPCS,93010,HC PR EKG INTERP REPORT,22.0,22.0,,,0
HCPCS,93015,Cardiovascular stress test,,,79.76,848.38,5
HCPCS,93017,Cardiovascular stress test,,,242.77,1129.46,9
HCPCS,93017,HC STRESS TEST,1072.0,1072.0,,,0
HCPCS,93017,HC STRESS TEST W ECHO,1072.0,1072.0,,,0
HCPCS,93024,Cardiac drug stress test,,,415.82,2111.28,9
HCPCS,93025,Microvolt t-wave assess,,,144.67,848.38,9
HCPCS,93040,Rhythm ECG with report,,,14.31,112.42,6
HCPCS,93041,HC RHYTHM ECG W/O INTERP&REPORT,415.0,415.0,,,0
HCPCS,93041,Rhythm ecg tracing,,,63.84,278.81,9
HCPCS,93042,HC PR RHYTHM ECG REPORT,18.0,18.0,,,0
HCPCS,93050,Art pressure waveform analys,,,31.09,136.7,9
HCPCS,93145,Interrog crtd sins bat ip wo,,,144.67,608.13,3
HCPCS,93146,Interrog crtd sins bat ip w/,,,144.67,608.13,3
HCPCS,93150,Therapy activation ipnss,,,101.03,449.32,9
HCPCS,93151,Interrog&prgrmg ipnss,,,101.03,449.32,9
HCPCS,93152,Interrog&prgrmg ipnss polysm,,,311.72,1451.58,9
HCPCS,93153,Interrog w/o prgrmg ipnss,,,101.03,523.8,9
HCPCS,932,Anesth amputation of penis,,,6880.82,9829.75,4
HCPCS,93224,Ecg monit/reprt up to 48 hrs,,,95.07,772.6,6
HCPCS,93225,Ecg monit/reprt up to 48 hrs,,,133.32,628.81,9
HCPCS,93225,HC HOLTER RECORD UP TO 48 HRS,1125.0,1125.0,,,0
HCPCS,93226,Ecg monit/reprt up to 48 hrs,,,63.84,468.48,9
HCPCS,93226,HC HOLTER ANALYSIS UP TO 48 HRS,1125.0,1125.0,,,0
HCPCS,93227,Ecg monit/reprt up to 48 hrs,,,114.95,114.95,1
HCPCS,93229,HC EXTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,1371.0,1371.0,,,0
HCPCS,93229,Remote 30 day ecg tech supp,,,327.57,1763.6,9
HCPCS,93241,Ext ecg>48hr<7d rec scan a/r,,,187.88,187.88,1
HCPCS,93241,HC EXT ECG RECORD >48 HRS UP TO 7DAYS INC ANALY W RPT R&I,462.0,462.0,,,0
HCPCS,93242,Ext ecg>48hr<7d recording,,,41.86,176.53,9
HCPCS,93242,HC EXT ECG RECORD >48HR UP TO 7 DAYS RECORDING,215.0,215.0,,,0
HCPCS,93243,Ext ecg>48hr<7d scan a/r,,,133.32,628.81,9
HCPCS,93243,HC EXT ECG RECORD >48 HRS UP TO 7DAYS SCAN ANALY W RPT,415.0,415.0,,,0
HCPCS,93244,Ext ecg>48hr<7d rev&interpj,,,342.12,342.12,1
HCPCS,93245,Ext ecg>7d<15d rec scan a/r,,,342.12,342.12,1
HCPCS,93245,HC EXT ECG RECORD >7 DAYS UP TO 15 DAYS SCAN ANALY RPT R&I,806.0,806.0,,,0
HCPCS,93246,Ext ecg>7d<15d recording,,,41.86,270.88,9
HCPCS,93246,HC EXT ECG RECORD >7 DAYS UP TO 15 DAYS RECORDING,420.0,420.0,,,0
HCPCS,93247,Ext ecg>7d<15d scan a/r,,,133.32,628.81,9
HCPCS,93247,HC EXT ECG RECORD >7 DAYS UP TO 15 DAYS SCANNING ALYS W RPT,475.0,475.0,,,0
HCPCS,93248,Ext ecg>7d<15d rev&interpj,,,437.96,437.96,1
HCPCS,93260,HC PR PROGRAM DEVICE EVAL W ADJ SICD,149.0,149.0,,,0
HCPCS,93260,HC PROGRAM DEVICE EVAL W ADJ SICD,195.0,195.0,,,0
HCPCS,93260,Prgrmg dev eval impltbl sys,,,39.37,176.39,9
HCPCS,93261,HC INTERR DEVICE EVAL SICD W RPT,160.0,160.0,,,0
HCPCS,93261,HC PR INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB,100.0,100.0,,,0
HCPCS,93261,Interrogate subq defib,,,39.37,176.39,9
HCPCS,93264,Rem mntr wrls p-art prs snr,,,41.96,176.39,8
HCPCS,93268,ECG record/review,,,48.99,1555.1,6
HCPCS,93270,HC CARDIAC EVENT RECORD DISCONN,385.0,385.0,,,0
HCPCS,93270,Remote 30 day ecg rev/report,,,39.37,319.16,9
HCPCS,93271,Ecg/monitoring and analysis,,,101.03,534.83,9
HCPCS,93271,HC CARDIAC EVENT ANALYSIS,575.0,575.0,,,0
HCPCS,93272,Ecg/review interpret only,,,114.95,114.95,1
HCPCS,93278,ECG/signal-averaged,,,63.84,278.81,9
HCPCS,93279,HC PPM SYS PGM INTERR SINGLE,160.0,160.0,,,0
HCPCS,93279,HC PR PPM SYS PGM INTERR SINGLE,92.0,92.0,,,0
HCPCS,93279,Pm device progr eval sngl,,,39.37,176.39,9
HCPCS,93280,HC PPM SYS PGM INTERR DUAL,160.0,160.0,,,0
HCPCS,93280,HC PR PPM SYS PGM INTERR DUAL,96.0,96.0,,,0
HCPCS,93280,Pm device progr eval dual,,,39.37,176.39,9
HCPCS,93281,HC PPM SYS PGM INTERR MULTI F,160.0,160.0,,,0
HCPCS,93281,HC PR PPM SYS PGM INTERR MULTI,111.0,111.0,,,0
HCPCS,93281,Pm device progr eval multi,,,39.37,176.39,9
HCPCS,93282,HC ICD SYS PGM INTERR SINGLE F,160.0,160.0,,,0
HCPCS,93282,HC PR ICD SYS PGM INTERR SINGLE,104.0,104.0,,,0
HCPCS,93282,Prgrmg eval implantable dfb,,,39.37,176.39,9
HCPCS,93283,HC ICD SYS PGM INTERR DUAL,160.0,160.0,,,0
HCPCS,93283,HC PR ICD SYS PGM INTERR DUAL,167.0,167.0,,,0
HCPCS,93283,Prgrmg eval implantable dfb,,,39.37,176.39,9
HCPCS,93284,HC ICD SYS PGM INTERR MULTI F,160.0,160.0,,,0
HCPCS,93284,HC PR ICD SYS PGM INTERR MULTI,154.0,154.0,,,0
HCPCS,93284,Prgrmg eval implantable dfb,,,39.37,176.39,9
HCPCS,93285,HC PPM LOOP PGM INTERR F,160.0,160.0,,,0
HCPCS,93285,HC PR PPM LOOP PGM INTERR,70.0,70.0,,,0
HCPCS,93285,Ilr device eval progr,,,39.37,176.39,9
HCPCS,93286,HC PERI PX EVAL & PROG IN PERSON PACEMAKER SYS,338.0,338.0,,,0
HCPCS,93286,HC PR PERI PX EVAL & PROG IN PERSON PACEMAKER SYS,37.0,37.0,,,0
HCPCS,93287,HC PERI PX DEV EVAL & PROG IN PERSON DEFIBRILLATOR SYS,338.0,338.0,,,0
HCPCS,93287,HC PR PERI PX DEV EVAL & PROG IN PERSON DEFIBRILLATOR SYS,82.0,82.0,,,0
HCPCS,93288,HC PPM SYS INTERR ONLY INPERSON F,160.0,160.0,,,0
HCPCS,93288,HC PR PPM SYS INTERR ONLY IN PERSON,58.0,58.0,,,0
HCPCS,93288,Pm device eval in person,,,39.37,176.39,9
HCPCS,93289,HC ICD SYS INTER ONLY IN PERSON F,160.0,160.0,,,0
HCPCS,93289,HC PR ICD SYS INTER ONLY IN PERSON,112.0,112.0,,,0
HCPCS,93289,Interrog device eval heart,,,39.37,176.39,9
HCPCS,93290,HC ICM DEVICE EVAL IN PERSON F,160.0,160.0,,,0
HCPCS,93290,HC PR ICM DEVICE EVAL IN PERSON,51.0,51.0,,,0
HCPCS,93290,Icm device eval,,,39.37,176.39,9
HCPCS,93291,HC PPM LOOP INTER ONLY INPERSON F,160.0,160.0,,,0
HCPCS,93291,HC PR PPM LOOP INTERR ONLY IN PERSON,54.0,54.0,,,0
HCPCS,93291,Ilr device interrogate,,,31.09,162.89,9
HCPCS,93292,HC INTERROGATION DEV EVAL IN PERSON WEARABLE DEFIBRILLATOR,328.0,328.0,,,0
HCPCS,93292,HC PR INTERROGATION DEV EVAL IN PERSON WEARABLE DEFIBRILLATOR,52.0,52.0,,,0
HCPCS,93292,Wcd device interrogate,,,39.37,176.39,9
HCPCS,93293,HC PM PHONE R-STRIP DEV EVAL F,338.0,338.0,,,0
HCPCS,93293,HC PR PM PHONE R-STRIP DEV EVAL,33.0,33.0,,,0
HCPCS,93293,Pm phone r-strip device eval,,,39.37,176.39,9
HCPCS,93294,HC PR INTEROG EVAL REMOTE >90DAYS,98.0,98.0,,,0
HCPCS,93294,Pm device interrogate remote,,,105.49,105.49,1
HCPCS,93295,Dev interrog remote 1/2/mlt,,,177.18,177.18,1
HCPCS,93295,HC PR CARDIOVERT DEFIB ANAL REMOT,183.0,183.0,,,0
HCPCS,93296,HC PM/ICD REMOTE TECH SERV F,160.0,160.0,,,0
HCPCS,93296,Pm/icd remote tech serv,,,39.37,176.39,9
HCPCS,93297,HC INTERR DEVICE EVAL REMOTE UP TO 30 DAYS IMPLANTABLE CPMS BY PHY/QHP,160.0,160.0,,,0
HCPCS,93297,HC PR ICM DEVICE INTERR REMOTE,135.0,135.0,,,0
HCPCS,93297,Icm device interrogat remote,,,41.96,176.39,4
HCPCS,93298,HC INTERR DEVICE EVAL REMOTE UP TO 30 DAYS SUBCUT CRMS BY PHY/QHP,160.0,160.0,,,0
HCPCS,93298,HC PR ILR DEVICE INTERR/REMOTE,67.0,67.0,,,0
HCPCS,93298,Ilr device interrogat remote,,,41.96,176.39,4
HCPCS,93303,Echo transthoracic,,,575.74,2680.45,9
HCPCS,93303,HC CONGENITAL ECHO COMPLETE,2100.0,2100.0,,,0
HCPCS,93304,Echo transthoracic,,,575.74,2582.44,9
HCPCS,93304,HC ECHOCARDIOGRAMCONGENITAL F/U,2100.0,2100.0,,,0
HCPCS,93304,HC PR ECHOCARDIOGRAMCONGENITAL F/U,100.0,100.0,,,0
HCPCS,93306,HC ECHO 2D W DOPPLER/COLOR FLOW,2200.0,2200.0,,,0
HCPCS,93306,HC PR ECHO 2D W DOPPLR/COLOR FLOW,321.0,321.0,,,0
HCPCS,93306,Tte w/doppler complete,,,575.74,2582.44,9
HCPCS,93307,HC 2D ECHO PEDI W/O DOPPLER,2100.0,2100.0,,,0
HCPCS,93307,Tte w/o doppler complete,,,255.73,1873.57,9
HCPCS,93308,HC 2D ECHO TRANSTHOR W M-MODE WH PERF F/U OR LMTD,1120.0,1120.0,,,0
HCPCS,93308,HC 2D ECHOCARDIOGRAM LTD,1120.0,1120.0,,,0
HCPCS,93308,HC PR 2D ECHOCARDIOGRAM LTD,75.0,75.0,,,0
HCPCS,93308,Tte f-up or lmtd,,,255.73,1127.67,9
HCPCS,93312,Echo transesophageal,,,575.74,2680.45,9
HCPCS,93312,HC TRANSESOPHAGEAL ECHOCARD,1876.0,1876.0,,,0
HCPCS,93313,Echo transesophageal,,,575.74,2582.44,9
HCPCS,93315,Echo transesophageal,,,575.74,2582.44,9
HCPCS,93315,HC TRANSESOPHAGEAL ECHOCONGENITAL,1705.0,1705.0,,,0
HCPCS,93316,Echo transesophageal,,,575.74,2680.45,9
HCPCS,93318,Echo Transesophageal Intraop,,,575.74,2680.45,9
HCPCS,93319,HC 3D ECHO IMG & PST PROC TEE/TTE CONG CARDIAC ANOMALIES,585.0,585.0,,,0
HCPCS,93319,HC PR 3D ECHO IMG & PST PROC TEE/TTE CONG CARDIAC ANOMALIES,98.0,98.0,,,0
HCPCS,93320,HC DOPPLER ECHOCARD PULSE WAVE W SPECTRAL DISPLAY COMPL ADD-ON CODE,366.0,366.0,,,0
HCPCS,93320,HC PR DOPP ECHO PULSE WAVE ADD ON,53.0,53.0,,,0
HCPCS,93321,HC LIMITED DOPPLER STUDY,118.0,118.0,,,0
HCPCS,93321,HC PR LIMITED DOPPLER STUDY,22.0,22.0,,,0
HCPCS,93325,HC DOPPLER COLOR FLOW,430.0,430.0,,,0
HCPCS,93325,HC PR DOPPLER COLOR FLOW,38.0,38.0,,,0
HCPCS,93350,HC ECHO/ADULT PHARMACOLOGIC,2129.0,2129.0,,,0
HCPCS,93350,HC PR ECHO EXAM OF HEART/ECG MO,195.0,195.0,,,0
HCPCS,93350,HC STRESS ECHOCARDIOGRAPHY,2129.0,2129.0,,,0
HCPCS,93350,Stress tte only,,,575.74,2582.44,9
HCPCS,93351,Stress tte complete,,,575.74,2680.45,9
HCPCS,93355,Echo transesophageal (tee),,,1873.57,1873.57,1
HCPCS,93355,HC ECHO TEE GUID TRANCATH INTRACAR/VESSEL STRUCT INTERVENT,1161.0,1161.0,,,0
HCPCS,93356,HC MYOCARDIAL STRAIN IMG USE SPECK TRACK DERIVED ASSESS MYOC MECH,138.0,138.0,,,0
HCPCS,93356,HC PR MYOCARDIAL STRAIN IMG USE SPECK TRACK DERIVED ASSESS MYOC MECH,105.0,105.0,,,0
HCPCS,934,Anesth penis nodes removal,,,6880.82,9829.75,4
HCPCS,93451,HC RHC MEAS O2 SAT CARDIAC OUTPT,10079.0,10079.0,,,0
HCPCS,93451,Right heart cath,,,3400.73,15321.85,10
HCPCS,93452,HC LHC INJ LV GRM,10079.0,10079.0,,,0
HCPCS,93452,Left hrt cath w/ventrclgrphy,,,3400.73,15321.85,10
HCPCS,93453,HC RLHC INJ LV GRM,10079.0,10079.0,,,0
HCPCS,93453,R&l hrt cath w/ventriclgrphy,,,3400.73,15321.85,10
HCPCS,93454,Coronary artery angio s&i,,,3400.73,15321.85,10
HCPCS,93454,HC CATH PLCMT COR INJ,10079.0,10079.0,,,0
HCPCS,93455,Coronary art/grft angio s&i,,,3400.73,15321.85,10
HCPCS,93455,HC CATH PLCMT COR INJ GRAFT,10079.0,10079.0,,,0
HCPCS,93456,HC CATH PLCMT COR WITH RHC,10079.0,10079.0,,,0
HCPCS,93456,R hrt coronary artery angio,,,3400.73,15321.85,10
HCPCS,93457,HC CATH PLCMT COR GRAFTS WITH RHC,10079.0,10079.0,,,0
HCPCS,93457,R hrt art/grft angio,,,3400.73,15321.85,10
HCPCS,93458,HC CATH PLCMT COR WITH LHC,10079.0,10079.0,,,0
HCPCS,93458,L hrt artery/ventricle angio,,,3400.73,15321.85,10
HCPCS,93459,HC CATH PLCMT COR GRAFTS WITH LHC,10079.0,10079.0,,,0
HCPCS,93459,L hrt art/grft angio,,,3400.73,15321.85,10
HCPCS,93460,HC CATH PLCMT RLHC,10079.0,10079.0,,,0
HCPCS,93460,R&l hrt art/ventricle angio,,,3400.73,15321.85,10
HCPCS,93461,HC CATH PLCMT COR GRAFTS RLHC,10079.0,10079.0,,,0
HCPCS,93461,R&l hrt art/ventricle angio,,,3400.73,15321.85,10
HCPCS,93462,HC TSP INTACT SEPTUM TRANSAPICAL,8187.0,8187.0,,,0
HCPCS,93462,L hrt cath trnsptl puncture,,,1473.0,12712.4,2
HCPCS,93463,Drug admin & hemodynmic meas,,,1473.0,1473.0,1
HCPCS,93463,HC NITRIC OXIDE THERAPY (CATH LAB),1166.0,1166.0,,,0
HCPCS,93463,HC PHARM ADMIN HEMO MEAS,1166.0,1166.0,,,0
HCPCS,93464,Exercise w/hemodynamic meas,,,1473.0,1473.0,1
HCPCS,93464,HC PHYSIO EXER HEMO MEAS,1535.0,1535.0,,,0
HCPCS,93503,HC SWAN GANZ PLACEMENT,4731.0,4731.0,,,0
HCPCS,93503,Insert/place heart catheter,,,1671.41,7439.69,10
HCPCS,93505,Biopsy of heart lining,,,2630.44,14922.72,10
HCPCS,93505,HC ENDOMYOCARDIAL BIOPSY,5425.0,5425.0,,,0
HCPCS,93563,HC INJ PROC SEL COR CONGEN CATH,1535.0,1535.0,,,0
HCPCS,93563,Inject congenital card cath,,,1473.0,1473.0,1
HCPCS,93564,HC INJ COR GRAFTS CONGEN CATH,1462.0,1462.0,,,0
HCPCS,93564,Inject hrt congntl art/grft,,,1473.0,1473.0,1
HCPCS,93565,HC INJ LV OR LA ANGIO,152.0,152.0,,,0
HCPCS,93565,Inject l ventr/atrial angio,,,1473.0,1473.0,1
HCPCS,93566,HC INJ RV RA ANGIO,2651.0,2651.0,,,0
HCPCS,93566,Inject r ventr/atrial angio,,,1473.0,1473.0,1
HCPCS,93567,HC INJ SUPRAVALV AORTOGRAPHY,2651.0,2651.0,,,0
HCPCS,93567,Inject suprvlv aortography,,,1473.0,1473.0,1
HCPCS,93568,HC INJ PULMONARY ANGIO,1535.0,1535.0,,,0
HCPCS,93568,Inject pulm art hrt cath,,,1473.0,1473.0,1
HCPCS,93569,HC INJ PROC DUR CARD CATH SEL PULM ART ANGIO UNILAT,1535.0,1535.0,,,0
HCPCS,93569,Njx cth slct p-art angrp uni,,,1473.0,1473.0,1
HCPCS,93571,HC COR FLOW RESERVE MEAS INIT VES,2651.0,2651.0,,,0
HCPCS,93571,Heart flow reserve measure,,,1473.0,1473.0,1
HCPCS,93572,HC COR FLOW RESERVE EA ADD VES,2651.0,2651.0,,,0
HCPCS,93572,Heart flow reserve measure,,,1473.0,1473.0,1
HCPCS,93573,HC INJ PROC DUR CARD CATH SELECT PULM ART ANGIO BILAT,1535.0,1535.0,,,0
HCPCS,93573,Njx cath slct p-art angrp bi,,,1473.0,1473.0,1
HCPCS,93574,HC INJ PROC DUR CARD CATH SELECT PULM VENOUS ANGIO EA DIST VEIN,1535.0,1535.0,,,0
HCPCS,93574,Njx cath slct pulm vn angrph,,,1473.0,1473.0,1
HCPCS,93575,Njx cath slct p angrph mapca,,,1473.0,1473.0,1
HCPCS,93580,HC REPAIR OF ASD WITH IMPLANT,28250.0,28250.0,,,0
HCPCS,93580,Transcath closure of asd,,,18300.17,86638.02,10
HCPCS,93581,HC CLOSURE OF CENTRICULAR SEPTAL,31175.0,31175.0,,,0
HCPCS,93581,Transcath closure of vsd,,,18300.17,86638.02,10
HCPCS,93582,Perq transcath closure pda,,,18300.17,86638.02,10
HCPCS,93583,HC PERCUT TRANSCATH SEPTAL REDUCTION THERAPY (ALCOHOL SEPTAL ABLATION),11040.0,11040.0,,,0
HCPCS,93583,Perq transcath septal reduxn,,,2073.0,9829.75,5
HCPCS,93590,HC PERC TRANSCATH CLOSURE PARAVALVULAR LEAK INI OCC DEV MITRAL VALVE,70064.0,70064.0,,,0
HCPCS,93590,Perq transcath cls mitral,,,18300.17,86638.02,10
HCPCS,93591,HC PERC TRNSCATH CLOSRE PARAVALVULAR LEAK INI OCCL DEV AORTIC VALVE,67787.0,67787.0,,,0
HCPCS,93591,Perq transcath cls aortic,,,18300.17,86638.02,10
HCPCS,93592,HC PERC TRNSCATH CLOSRE PARAVALVULAR LEAK EA ADDL OCCL DEVICE,1510.0,1510.0,,,0
HCPCS,93592,Perq transcath closure each,,,1473.0,1473.0,1
HCPCS,93593,HC RT HEART CATH CHD W IMG GUID ADV CATH TARGET ZNE NORMAL NATIVE CONN,12734.0,12734.0,,,0
HCPCS,93593,R hrt cath chd nml nt cnj,,,3400.73,15321.85,10
HCPCS,93594,HC RT HEART CATH CHD W IMG GUID ADV CATH TARGET ZNE ABNRML NATIVE CONN,12734.0,12734.0,,,0
HCPCS,93594,R hrt cath chd abnl nt cnj,,,3400.73,15321.85,10
HCPCS,93595,HC LT HEART CATH CHD W IMG GUID ADV CATH TARGET ZNE NRL/ABNR NATV CONN,12734.0,12734.0,,,0
HCPCS,93595,L hrt cath chd nm/abn nt cnj,,,3400.73,15321.85,10
HCPCS,93596,HC RT & LT HEART CATH CHD W IMG GUID ADV CATH TARGET ZNE NRML NTV CONN,12734.0,12734.0,,,0
HCPCS,93596,R&l hrt cath chd nml nt cnj,,,3400.73,15321.85,10
HCPCS,93597,HC RT & LT HEART CATH CHD W IMG GUID ADV CATH TRGT ZNE ABNRML NTV CONN,12734.0,12734.0,,,0
HCPCS,93597,R&l hrt cath chd abnl nt cnj,,,3400.73,15321.85,10
HCPCS,93598,Car outp meas drg cath chd,,,1473.0,1473.0,1
HCPCS,93598,HC CARD OUTPT MEAS THERM/OTHR IND DIL METH PERF DUR CARD CATH EVL CHD,4202.0,4202.0,,,0
HCPCS,936,Anesth penis nodes removal,,,6880.82,9829.75,4
HCPCS,93600,Bundle of His recording,,,3384.32,36862.36,10
HCPCS,93600,HC EP BUNDLE OF HIS,4838.0,4838.0,,,0
HCPCS,93602,HC EP ATRIAL RECORD,4838.0,4838.0,,,0
HCPCS,93602,Intra-atrial recording,,,3384.32,36862.36,10
HCPCS,93603,HC EP RT VENT RECORD,2990.0,2990.0,,,0
HCPCS,93603,Right ventricular recording,,,1242.06,5754.27,10
HCPCS,93609,HC EP INTRA ATRIAL MAPPING,2651.0,2651.0,,,0
HCPCS,93609,Map tachycardia add-on,,,1473.0,1473.0,1
HCPCS,93610,HC EP INTRA ART PACE,4838.0,4838.0,,,0
HCPCS,93610,Intra-atrial pacing,,,3384.32,36862.36,10
HCPCS,93612,HC EP RT VENT PACE,4838.0,4838.0,,,0
HCPCS,93612,Intraventricular pacing,,,3384.32,36862.36,10
HCPCS,93613,Electrophys map 3d add-on,,,1473.0,1473.0,1
HCPCS,93613,HC EP 3D MAPPING,2540.0,2540.0,,,0
HCPCS,93615,Esophageal recording,,,1242.06,5754.27,10
HCPCS,93616,Esophageal recording,,,1242.06,5754.27,10
HCPCS,93618,HC EP ARRHY INDUC,2990.0,2990.0,,,0
HCPCS,93618,Heart rhythm pacing,,,1242.06,5754.27,10
HCPCS,93619,Electrophysiology evaluation,,,6270.01,36862.36,10
HCPCS,93619,HC EP COMP W/ O ARRHY IND,10397.0,10397.0,,,0
HCPCS,93620,Electrophysiology evaluation,,,6270.01,36862.36,10
HCPCS,93620,HC EP COMP W/ARRHY IND,10304.0,10304.0,,,0
HCPCS,93621,Electrophysiology evaluation,,,1473.0,1473.0,1
HCPCS,93621,HC W/CS OR LA EVAL,2651.0,2651.0,,,0
HCPCS,93622,Electrophysiology evaluation,,,1473.0,1473.0,1
HCPCS,93622,HC W/LV PACE AND RECORD,2651.0,2651.0,,,0
HCPCS,93623,HC EP STIM & PACE AFTER IV INF,2651.0,2651.0,,,0
HCPCS,93623,Stimulation pacing heart,,,1473.0,1473.0,1
HCPCS,93624,Electrophysiologic study,,,7794.01,36862.36,10
HCPCS,93624,HC EP FOLLOW UP STUDY,12661.0,12661.0,,,0
HCPCS,93631,Heart pacing mapping,,,1473.0,1473.0,1
HCPCS,93640,Evaluation heart device,,,1473.0,1473.0,1
HCPCS,93640,HC EP EVAL ICD AT IMPLANT,2239.0,2239.0,,,0
HCPCS,93641,Electrophysiology evaluation,,,1473.0,1473.0,1
HCPCS,93641,HC EP EVAL ICD LD/GEN AT IMPLANT,1613.0,1613.0,,,0
HCPCS,93642,Electrophysiology evaluation,,,1242.06,5754.27,10
HCPCS,93642,HC EP EVAL ICD POST IMPLANT W/DFT,2990.0,2990.0,,,0
HCPCS,93644,Electrophysiology evaluation,,,1473.0,3384.32,2
HCPCS,93650,Ablate heart dysrhythm focus,,,7794.01,36862.36,10
HCPCS,93650,HC EP ABLATION AV NODE,10181.0,10181.0,,,0
HCPCS,93653,Ep & ablate supravent arrhyt,,,24786.63,123531.37,10
HCPCS,93653,HC EP AND ABLATE SUPRAVENT ARRHYT,28326.0,28326.0,,,0
HCPCS,93654,Ep & ablate ventric tachy,,,24786.63,123531.37,10
HCPCS,93654,HC EP AND ABLATE VENTRIC TACHY,28326.0,28326.0,,,0
HCPCS,93655,Ablate arrhythmia add on,,,1473.0,1473.0,1
HCPCS,93655,HC ABLATE ARRHYTHMIA ADD ON,2147.0,2147.0,,,0
HCPCS,93656,HC TX ATRIAL FIB PUL VEIN ISOLAT,28250.0,28250.0,,,0
HCPCS,93656,Tx atrial fib pulm vein isol,,,24786.63,123531.37,10
HCPCS,93657,HC TX LT OR RIGHT ATRIAL FIB ADDL,2651.0,2651.0,,,0
HCPCS,93657,Tx l/r atrial fib addl,,,1473.0,1473.0,1
HCPCS,93660,HC EP TILT TABLE TESTING,1490.0,1490.0,,,0
HCPCS,93660,Tilt table evaluation,,,419.55,1953.18,10
HCPCS,93662,HC INTRACARDIAC ECHOCARDIOGRAPHY,2651.0,2651.0,,,0
HCPCS,93662,Intracardiac Ecg (Ice),,,1473.0,1473.0,1
HCPCS,93668,Peripheral Vascular Rehab,,,63.84,278.81,8
HCPCS,93701,Bioimpedance cv analysis,,,127.96,628.81,9
HCPCS,93702,Bis xtracell fluid analysis,,,144.67,608.13,9
HCPCS,93702,HC BIOIMPEDANCE SPECTROSCPY EXTRACELL FLUID ALYS LYMPHEDEMA ASSESSMENT,670.0,670.0,,,0
HCPCS,93702,HC OT BIOIMPEDANCE SPECTROSCPY EXTRACELL FLUID ALYS LYMPHEDEMA ASSESS,670.0,670.0,,,0
HCPCS,93702,HC PR BIOIMPEDANCE SPECTROSCOPY EXTRACELL FLUID ALYS LYMPHEDEMA ASSMNT,364.0,364.0,,,0
HCPCS,93702,HC PT BIOIMPEDANCE SPECTROSCPY EXTRACELL FLUID ALYS LYMPHEDEMA ASSESS,670.0,670.0,,,0
HCPCS,93724,Analyze pacemaker system,,,162.89,1451.58,9
HCPCS,93740,Temperature gradient studies,,,144.67,608.13,5
HCPCS,93745,HC INI SET-UP & PRGRMG PHYS/QHP OF WEARABLE CVDFB,1510.0,1510.0,,,0
HCPCS,93745,HC PR INI SET-UP & PRGRMG PHYS/QHP OF WEARABLE CVDFB,160.0,160.0,,,0
HCPCS,93745,Set-up cardiovert-defibrill,,,162.89,1473.0,10
HCPCS,93750,Interrogation vad in person,,,101.03,1473.0,10
HCPCS,93784,Ambulatory BP monitoring,,,50.98,319.16,5
HCPCS,93784,HC AMBULATORY BLOOD PRESS 24 HR,451.0,451.0,,,0
HCPCS,93786,Ambulatory BP recording,,,133.32,628.81,9
HCPCS,93788,Ambulatory BP analysis,,,133.32,628.81,9
HCPCS,93792,Pt/caregiver trainj home inr,,,78.34,155.3,5
HCPCS,93793,Anticoag mgmt pt warfarin,,,12.5,88.14,5
HCPCS,93797,Cardiac rehab,,,137.9,609.24,9
HCPCS,93798,Cardiac rehab/monitor,,,137.9,609.24,9
HCPCS,93799,Cardiovascular procedure,,,144.67,1473.0,9
HCPCS,93799,HC PERCUTANEOUS CLOSURE OF POST-INFARCTION VSD,31175.0,31175.0,,,0
HCPCS,93799,HC UNLISTED CARDIAC PROCEDURE,5977.0,5977.0,,,0
HCPCS,93880,Extracranial bilat study,,,255.73,1127.67,10
HCPCS,93880,HC DUPLEX CAROTID BILATERAL,1103.0,1103.0,,,0
HCPCS,93882,Extracranial uni/ltd study,,,114.75,742.44,10
HCPCS,93882,HC US CAROTID UNILAT,929.0,929.0,,,0
HCPCS,93886,HC TRANSCRANIAL DOPPLER COMPLETE,1032.0,1032.0,,,0
HCPCS,93886,Intracranial complete study,,,255.73,1127.67,10
HCPCS,93888,Intracranial limited study,,,114.75,494.1,10
HCPCS,93890,Tcd vasoreactivity study,,,255.73,943.3,5
HCPCS,93892,HC TRANCRAN DOPPL INTRACRAN EMBOLI DETEC WO INJ,475.0,475.0,,,0
HCPCS,93892,Tcd emboli detect w/o inj,,,114.75,494.1,9
HCPCS,93893,HC TRANCRAN DOPPL INTRACRAN EMBOLI DETEC W INJ,475.0,475.0,,,0
HCPCS,93893,Tcd emboli detect w/inj,,,114.75,494.1,9
HCPCS,93895,Carotid intima atheroma eval,,,72.38,238.17,5
HCPCS,93922,HC PHYSIOLOGICAL ARTERIAL STUDY,625.0,625.0,,,0
HCPCS,93922,HC PR PHYSIOLOGICL ARTERIAL STUDY,72.0,72.0,,,0
HCPCS,93922,Upr/l xtremity art 2 levels,,,133.32,628.81,10
HCPCS,93923,HC PHYSIOLOGICAL ARTERIAL COMP,1018.0,1018.0,,,0
HCPCS,93923,Upr/lxtr art stdy 3+ lvls,,,163.01,1020.48,10
HCPCS,93924,HC PHYSIOLOGIC ARTERIAL COMP R/S,1018.0,1018.0,,,0
HCPCS,93924,Lwr xtr vasc stdy bilat,,,163.01,1020.48,10
HCPCS,93925,HC DUPLEX ARTERIAL LE COMP,929.0,929.0,,,0
HCPCS,93925,HC PR DUPLEX ARTERIAL LE COMP,216.0,216.0,,,0
HCPCS,93925,Lower extremity study,,,255.73,1127.67,10
HCPCS,93926,HC DUPLEX ARTERIAL LE LTD,931.0,931.0,,,0
HCPCS,93926,HC PR DUPLEX ARTERIAL LE LTD,108.0,108.0,,,0
HCPCS,93926,Lower extremity study,,,114.75,494.1,10
HCPCS,93930,HC DUPLEX ARTERIAL UE COMP,929.0,929.0,,,0
HCPCS,93930,Upper extremity study,,,255.73,1127.67,10
HCPCS,93931,HC DUPLEX ARTERIAL UE LTD,745.0,745.0,,,0
HCPCS,93931,Upper extremity study,,,114.75,494.1,10
HCPCS,93970,Extremity study,,,255.73,1127.67,10
HCPCS,93970,HC DUPLEX OF EXT VEINS COMP BILAT,1115.0,1115.0,,,0
HCPCS,93971,Extremity study,,,114.75,494.1,10
HCPCS,93971,HC DUPLEX SCAN EXTREM VENOUS UNILAT OR LMTD STUDY,1024.0,1024.0,,,0
HCPCS,93975,HC DUPLEX ABD PEL RETRO COMP,1012.0,1012.0,,,0
HCPCS,93975,Vascular study,,,255.73,1127.67,10
HCPCS,93976,HC DUPLEX ABD PEL RETRO LTD,929.0,929.0,,,0
HCPCS,93976,HC PR DUPLEX ABD PEL RETRO LTD,156.0,156.0,,,0
HCPCS,93976,Vascular study,,,114.75,742.44,10
HCPCS,93978,HC DUPLEX AORTA IVC COMP,929.0,929.0,,,0
HCPCS,93978,Vascular study,,,255.73,1127.67,10
HCPCS,93979,HC DUPLEX AORTA IVC LTD,931.0,931.0,,,0
HCPCS,93979,HC DUPLEX SCAN AORTA IVC ILIAC VASCL/BP GRFT UNI/LMTD,931.0,931.0,,,0
HCPCS,93979,Vascular study,,,114.75,494.1,10
HCPCS,93980,HC DUPLEX ART&VEN PENILE VES COMP,925.0,925.0,,,0
HCPCS,93980,Penile vascular study,,,114.75,742.44,10
HCPCS,93981,HC DUPLEX PENILE VES F/U LTD,929.0,929.0,,,0
HCPCS,93981,Penile vascular study,,,114.75,742.44,10
HCPCS,93985,Dup-scan hemo compl bi std,,,255.73,1127.67,9
HCPCS,93986,Dup-scan hemo compl uni std,,,114.75,537.71,9
HCPCS,93990,Doppler flow testing,,,114.75,494.1,10
HCPCS,93990,HC DUPLEX DIALYSIS ACCESS,931.0,931.0,,,0
HCPCS,93998,Noninvas vasc dx study proc,,,31.09,136.7,9
HCPCS,94002,HC VENTILATOR MGMT 1ST DAY,1750.0,1750.0,,,0
HCPCS,94002,Vent mgmt inpat init day,,,654.0,2919.76,9
HCPCS,94003,HC VENTILATOR MGMT SUBSEQUENT,1750.0,1750.0,,,0
HCPCS,94003,Vent mgmt inpat subq day,,,654.0,2919.76,9
HCPCS,94004,Vent Mgmt NF per day,,,51.44,101.96,4
HCPCS,94010,Breathing capacity test,,,163.01,1020.48,9
HCPCS,94010,HC BEDSIDE PFT,568.0,568.0,,,0
HCPCS,94010,HC FORCED EXP VOL TOT&TIMED,568.0,568.0,,,0
HCPCS,94010,HC PR FORCED EXP VOL TOT&TIMED,24.0,24.0,,,0
HCPCS,94010,HC PR SPIROMETRY,24.0,24.0,,,0
HCPCS,94010,HC SPIROMETRY,568.0,568.0,,,0
HCPCS,94011,Spirometry up to 2 yrs old,,,144.67,608.13,9
HCPCS,94012,Spirmtry w/brnchdil inf-2 yr,,,216.2,1091.33,9
HCPCS,94013,Meas lung vol thru 2 yrs,,,419.55,1953.18,9
HCPCS,94014,Patient recorded spirometry,,,301.65,2111.28,9
HCPCS,94015,Patient recorded spirometry,,,242.77,1106.97,9
HCPCS,94016,Review patient spirometry,,,25.2,116.5,9
HCPCS,94060,Evaluation of wheezing,,,327.57,1763.6,9
HCPCS,94060,HC BRONCHOSPASM EVALUATION,714.0,714.0,,,0
HCPCS,94060,HC PR BRONCHOSPASM EVALUATION,42.0,42.0,,,0
HCPCS,94070,Evaluation of wheezing,,,327.57,1763.6,9
HCPCS,94070,HC BRONCHOSPASM PROVOCATION,800.0,800.0,,,0
HCPCS,94070,HC PR BRONCHOSPASM PROVOCATION,73.0,73.0,,,0
HCPCS,94150,HC PEAK FLOW RATE,183.0,183.0,,,0
HCPCS,94150,HC PR VITAL CAPACITY,14.0,14.0,,,0
HCPCS,94150,HC VITAL CAPACITY,183.0,183.0,,,0
HCPCS,94150,Vital capacity test,,,144.67,608.13,5
HCPCS,94200,HC MAX INSP/EXP PRESSURE,183.0,183.0,,,0
HCPCS,94200,HC MAXIMAL VOLUNTARY VENTILATION,183.0,183.0,,,0
HCPCS,94200,HC PR MAX INSP/EXP PRESSURE,20.0,20.0,,,0
HCPCS,94200,HC PR MAXIMAL VOLUNT VENTILATION,20.0,20.0,,,0
HCPCS,94200,Lung function test (MBC/MVV),,,63.84,278.81,9
HCPCS,94375,HC FLOW VOLUME LOOP,280.0,280.0,,,0
HCPCS,94375,HC PR FLOW VOLUME LOOP,40.0,40.0,,,0
HCPCS,94375,Respiratory flow volume loop,,,216.2,1114.1,9
HCPCS,94450,Hypoxia response curve,,,144.67,931.44,9
HCPCS,94452,HC HIGH ALTITUDE SIM TEST  HAST,308.0,308.0,,,0
HCPCS,94452,HC PR HIGH ALTITUDE SIM TEST HAST,39.0,39.0,,,0
HCPCS,94452,Hast w/report,,,133.32,628.81,9
HCPCS,94453,HC HIGH ALTITUDE SIM TEST WITH O2,308.0,308.0,,,0
HCPCS,94453,HC PR HIGH ALTITUDE SIM TEST WITH O2,51.0,51.0,,,0
HCPCS,94453,Hast w/oxygen titrate,,,133.32,628.81,9
HCPCS,94610,Surfactant Admin Thru Tube,,,168.36,1034.92,9
HCPCS,94617,Exercise tst brncspsm,,,133.32,628.81,9
HCPCS,94618,HC PR PULM STRESS TEST INCL MEAS HEART RATE OXIMETRY OX TITRAT IF PERF,80.0,80.0,,,0
HCPCS,94618,HC PULM STRESS TEST INCL MEAS HEART RATE OXIMETRY OX TITRATION IF PERF,464.0,464.0,,,0
HCPCS,94618,Pulmonary stress testing,,,133.32,628.81,9
HCPCS,94619,Exercise tst brncspsm wo ecg,,,63.84,278.81,9
HCPCS,94621,HC CARDIOPULMONARY EXERCISE TESTING,832.0,832.0,,,0
HCPCS,94621,HC PR CARDIOPULMONARY EXERCISE TESTING,193.0,193.0,,,0
HCPCS,94621,Pulm stress test/complex,,,327.57,1763.6,9
HCPCS,94625,Phy/qhp op pulm rhb w/o mntr,,,63.84,278.81,9
HCPCS,94626,Phy/qhp op pulm rhb w/mntr,,,63.84,278.81,9
HCPCS,94640,Airway inhalation treatment,,,168.36,1034.92,9
HCPCS,94640,HC AIRWAY INHALATION TREATMENT,219.0,219.0,,,0
HCPCS,94642,Aerosol inhalation treatment,,,222.59,1034.92,9
HCPCS,94642,HC PENTAMADINE TREATMENT,533.0,533.0,,,0
HCPCS,94644,Cbt 1st hour,,,133.32,628.81,9
HCPCS,94644,HC CONT INH TX WAERO MED 1ST HR,436.0,436.0,,,0
HCPCS,94645,Cbt each addl hour,,,238.17,238.17,1
HCPCS,94645,HC CONT INH TX WAERO MED ADDL HRS,136.0,136.0,,,0
HCPCS,94660,HC BILEVEL PRESSURE VENTILATION,383.0,383.0,,,0
HCPCS,94660,HC CONTINUOUS POSITIVE AIRWAY P.,383.0,383.0,,,0
HCPCS,94660,HC CPAP INITIATION & MGT PATIENT OWN MACHINE,188.0,188.0,,,0
HCPCS,94660,Pos airway pressure cpap,,,246.2,1034.92,5
HCPCS,94662,Neg press ventilation cnp,,,654.0,2135.68,6
HCPCS,94664,Evaluate pt use of inhaler,,,168.36,1034.92,9
HCPCS,94664,HC DEMONSTRATION OF AEROSOL/MDI,333.0,333.0,,,0
HCPCS,94667,Chest wall manipulation,,,133.32,628.81,9
HCPCS,94667,HC CHEST PHYSIOTHERAPY INITIAL,316.0,316.0,,,0
HCPCS,94667,HC POSITIVE EXP PRESS TX INITIAL,316.0,316.0,,,0
HCPCS,94667,HC VIBRATORY DEVICE TX INITIAL,316.0,316.0,,,0
HCPCS,94668,Chest wall manipulation,,,133.32,628.81,9
HCPCS,94668,HC CHEST PHYSIOTHERAPY SUBSEQUENT,155.0,155.0,,,0
HCPCS,94668,HC POSITIVE EXP PRESS TX SUBSEQ,155.0,155.0,,,0
HCPCS,94668,HC VIBRATORY DEVICE TX SUBSEQUENT,155.0,155.0,,,0
HCPCS,94669,HC MECHANICAL CHEST WALL OSCILLAT,155.0,155.0,,,0
HCPCS,94669,Mechanical chest wall oscill,,,168.36,1034.92,9
HCPCS,94680,Exhaled air analysis o2,,,144.67,862.97,9
HCPCS,94681,Exhaled air analysis o2/co2,,,327.57,1763.6,9
HCPCS,94681,HC OXYGEN UPTK EXP GAS ALYS W CO2 OUTPUT PERCENT OXY EXTRACT,1120.0,1120.0,,,0
HCPCS,94681,HC PR OXYGEN UPTK EXP GAS ALYS W CO2 OUTPUT PERCENT OXY EXTRACT,28.0,28.0,,,0
HCPCS,94690,Exhaled air analysis,,,63.84,278.81,9
HCPCS,94690,HC METABOLIC STUDY,139.0,139.0,,,0
HCPCS,94690,HC PR METABOLIC STUDY,27.0,27.0,,,0
HCPCS,94726,HC PR THORAC GAS VOL WAIR RESIST,34.0,34.0,,,0
HCPCS,94726,HC THORACIC GAS VOL W AIR RESIST,694.0,694.0,,,0
HCPCS,94726,HC THORACIC GAS VOLUME,714.0,714.0,,,0
HCPCS,94726,Pulm funct tst plethysmograp,,,216.2,1763.6,9
HCPCS,94727,HC PR RESIDUAL AIR,33.0,33.0,,,0
HCPCS,94727,HC RESIDUAL AIR,355.0,355.0,,,0
HCPCS,94727,Pulm function test by gas,,,163.01,1020.48,9
HCPCS,94728,HC AIRWAY RESIST IMPULSE OSCILLOM,355.0,355.0,,,0
HCPCS,94728,HC PR AIRWAY RESIST IMPULSE OSCILLOM,34.0,34.0,,,0
HCPCS,94728,Pulm funct test oscillometry,,,144.67,1114.1,9
HCPCS,94729,Co/membane diffuse capacity,,,53.54,301.65,5
HCPCS,94729,HC CARBON MONOXIDE DIFF CAP,181.0,181.0,,,0
HCPCS,94729,HC PR CARBON MONOXIDE DIFF CAP,29.0,29.0,,,0
HCPCS,94760,HC PULSE OXIMETRY SINGLE,12.0,12.0,,,0
HCPCS,94761,HC PULSE OXIMETRY MULTI DETER,15.0,15.0,,,0
HCPCS,94762,HC PULSE OXIMETRY CONTINUOUS,255.0,255.0,,,0
HCPCS,94762,Measure blood oxygen level,,,144.67,608.13,9
HCPCS,94772,Breath recording infant,,,419.55,1953.18,9
HCPCS,94774,Ped home apnea rec compl,,,95.07,319.16,5
HCPCS,94775,Ped home apnea rec hk-up,,,144.67,608.13,9
HCPCS,94776,Ped home apnea rec downld,,,144.67,608.13,9
HCPCS,94780,Car seat/bed test 60 min,,,41.86,238.17,9
HCPCS,94781,Car seat/bed test + 30 min,,,238.17,238.17,1
HCPCS,94799,HC AIRWAY MANAGEMENT,74.0,74.0,,,0
HCPCS,94799,HC EXTUBATE PATIENT,185.0,185.0,,,0
HCPCS,94799,HC IN/EXSUFFOLATOR TX,177.0,177.0,,,0
HCPCS,94799,HC MIP/MEP,219.0,219.0,,,0
HCPCS,94799,HC NASOTRACHEAL SUCTIONING,74.0,74.0,,,0
HCPCS,94799,HC OTHER TX/PROCEDURE,74.0,74.0,,,0
HCPCS,94799,HC PATIENT TEACHING,100.0,100.0,,,0
HCPCS,94799,HC PR MIP/MEP,20.0,20.0,,,0
HCPCS,94799,HC SPUTUM INDUCTION,53.0,53.0,,,0
HCPCS,94799,HC TRANSCUT MONITORING CO2/O2,76.0,76.0,,,0
HCPCS,94799,Pulmonary service/procedure,,,144.67,608.13,8
HCPCS,95004,HC PERCUTANEOUS TESTS W/IMED REAC,141.0,141.0,,,0
HCPCS,95004,HC PR PERCUTANEOUS TESTS W/IMED REAC,16.0,16.0,,,0
HCPCS,95004,Percut allergy skin tests,,,55.97,4058.53,9
HCPCS,95012,Exhaled Nitric Oxide Meas,,,41.86,216.2,9
HCPCS,95012,HC EXHALED NITRIC OXIDE,300.0,300.0,,,0
HCPCS,95012,HC PR EXHALED NITRIC OXIDE,48.0,48.0,,,0
HCPCS,95017,HC PERCUTANEOUS TEST EA,164.0,164.0,,,0
HCPCS,95017,HC PR PERCUTANEOUS TEST EA,23.0,23.0,,,0
HCPCS,95017,Perq & icut allg test venoms,,,31.09,136.7,9
HCPCS,95018,HC INTRADERMAL TEST EA,164.0,164.0,,,0
HCPCS,95018,HC PR INTRADERMAL TEST EA,60.0,60.0,,,0
HCPCS,95018,Perq&ic allg test drugs/biol,,,41.86,176.53,9
HCPCS,95024,HC PR TESTS W/ALLERGENIC REACT IMMED,23.0,23.0,,,0
HCPCS,95024,HC TESTS W/ALLERGENIC REACT IMMED,164.0,164.0,,,0
HCPCS,95024,Icut allergy test drug/bug,,,63.84,278.81,9
HCPCS,95027,HC AIRBORNE ALLERGENS IMMED REAC,164.0,164.0,,,0
HCPCS,95027,HC PR AIRBORNE ALLERGENS IMMED REAC,13.0,13.0,,,0
HCPCS,95027,Icut allergy titrate-airborn,,,31.09,136.7,9
HCPCS,95028,HC PR TESTS W/ALLERGENIC REACT DELAY,37.0,37.0,,,0
HCPCS,95028,HC TESTS W/ALLERGENIC REACT DELAY,164.0,164.0,,,0
HCPCS,95028,Icut allergy test-delayed,,,41.86,176.53,9
HCPCS,95044,Allergy patch tests,,,118.99,4058.53,9
HCPCS,95044,HC PATCH TEST EACH,145.0,145.0,,,0
HCPCS,95044,HC PR PATCH TEST EACH,14.0,14.0,,,0
HCPCS,95052,HC PHOTO PATCH TESTS SPECIFY NUMBER OF TESTS,247.0,247.0,,,0
HCPCS,95052,Photo patch test,,,63.84,278.81,9
HCPCS,95056,Photosensitivity tests,,,133.32,628.81,9
HCPCS,95060,Eye allergy tests,,,133.32,628.81,9
HCPCS,95065,Nose allergy test,,,41.86,176.53,9
HCPCS,95070,Bronchial allergy tests,,,419.55,1953.18,9
HCPCS,95070,HC INHALATION BRONCHIAL CHALLENGE,1259.0,1259.0,,,0
HCPCS,95076,HC INGEST CHALLENGE TEST 120MINS,1000.0,1000.0,,,0
HCPCS,95076,HC PR INGEST CHALLENGE TEST 120MINS,253.0,253.0,,,0
HCPCS,95076,Ingest challenge ini 120 min,,,419.55,1953.18,9
HCPCS,95079,HC INGEST CHALNG TEST EA ADD 60MN,118.0,118.0,,,0
HCPCS,95079,HC PR INGEST CHALNG TEST EA ADD 60MN,203.0,203.0,,,0
HCPCS,95079,Ingest challenge addl 60 min,,,658.62,658.62,1
HCPCS,95115,HC PR SINGLE INJ W/O ALLERGEN EXTRAC,26.0,26.0,,,0
HCPCS,95115,HC SINGLE INJ W/O ALLERGEN EXTRAC,225.0,225.0,,,0
HCPCS,95115,Immunotherapy one injection,,,49.57,221.31,9
HCPCS,95117,HC MULT INJ W/O ALLERGEN EXTRACT,225.0,225.0,,,0
HCPCS,95117,HC PR MULT INJ W/O ALLERGEN EXTRACT,30.0,30.0,,,0
HCPCS,95117,Immunotherapy injections,,,49.57,221.31,9
HCPCS,95120,HC PR SINGLE INJ W/ALLERGEN EXTRACT,39.0,39.0,,,0
HCPCS,95120,HC SINGLE INJ W/ALLERGEN EXTRACT,243.0,243.0,,,0
HCPCS,95120,Immunotherapy one injection,,,40.3,317.34,6
HCPCS,95125,HC MULT INJ W/ALLERGEN EXTRACT,441.0,441.0,,,0
HCPCS,95125,HC PR MULT INJ W/ALLERGEN EXTRACT,58.0,58.0,,,0
HCPCS,95125,Immunotherapy 2/> injections,,,99.25,317.34,5
HCPCS,95130,HC PR PREP SGL STING VENOM W/EXTRACT,53.0,53.0,,,0
HCPCS,95130,HC PREP SGL STING VENOM W/EXTRACT,240.0,240.0,,,0
HCPCS,95130,Immntx 1 sting insect,,,62.3,259.19,6
HCPCS,95131,HC PR PREP 2 STING VENOM W/EXTRACT,57.0,57.0,,,0
HCPCS,95131,HC PREP 2 STING VENOM W/EXTRACT,442.0,442.0,,,0
HCPCS,95131,Immntx 2 sting insects,,,73.32,487.96,6
HCPCS,95132,HC PR PREP 3 STING VENOM W/EXTRACT,72.0,72.0,,,0
HCPCS,95132,HC PREP 3 STING VENOM W/EXTRACT,442.0,442.0,,,0
HCPCS,95132,Immntx 3 sting insects,,,183.4,487.96,5
HCPCS,95133,HC PR PREP 4 STING VENOM W/EXTRACT,89.0,89.0,,,0
HCPCS,95133,HC PREP 4 STING VENOM W/EXTRACT,441.0,441.0,,,0
HCPCS,95133,Immntx 4 sting insects,,,99.25,317.34,6
HCPCS,95134,HC PR PREP 5 STING VENOM W/EXTRACT,106.0,106.0,,,0
HCPCS,95134,HC PREP 5 STING VENOM W/EXTRACT,441.0,441.0,,,0
HCPCS,95134,Immntx 5 sting insects,,,99.25,317.34,5
HCPCS,95144,Antigen therapy services,,,49.57,221.31,9
HCPCS,95144,HC PR PREP ANTIGEN SINGLE DOSE VIAL,41.0,41.0,,,0
HCPCS,95144,HC PREP ANTIGEN SINGLE DOSE VIAL,326.0,326.0,,,0
HCPCS,95145,Antigen therapy services,,,49.57,221.31,9
HCPCS,95145,HC PR PREPANTIGEN SNGL STING VENOM,81.0,81.0,,,0
HCPCS,95145,HC PREPANTIGEN SNGL STING VENOM,225.0,225.0,,,0
HCPCS,95146,Antigen therapy services,,,49.57,358.36,9
HCPCS,95146,HC PR PREP ANTIGEN 2 STINGING VENOMS,148.0,148.0,,,0
HCPCS,95146,HC PREP ANTIGEN 2 STINGING VENOMS,498.0,498.0,,,0
HCPCS,95147,Antigen therapy services,,,73.52,358.36,9
HCPCS,95147,HC PR PREP ANTIGEN 3 STINGING VENOMS,154.0,154.0,,,0
HCPCS,95147,HC PREP ANTIGEN 3 STINGING VENOMS,498.0,498.0,,,0
HCPCS,95148,Antigen therapy services,,,73.52,340.29,9
HCPCS,95148,HC PR PREP ANTIGEN 4 STINGING VENOMS,221.0,221.0,,,0
HCPCS,95148,HC PREP ANTIGEN 4 STINGING VENOMS,326.0,326.0,,,0
HCPCS,95149,Antigen therapy services,,,73.52,340.29,9
HCPCS,95149,HC PR PREP ANTIGEN 5 STINGING VENOMS,295.0,295.0,,,0
HCPCS,95149,HC PREP ANTIGEN 5 STINGING VENOMS,326.0,326.0,,,0
HCPCS,95165,Antigen therapy services,,,49.57,221.31,9
HCPCS,95165,HC PR PREP ANTIGEN SINGLE/MULTIPLE,40.0,40.0,,,0
HCPCS,95165,HC PREP ANTIGEN SINGLE/MULTIPLE,225.0,225.0,,,0
HCPCS,95170,Antigen therapy services,,,49.57,221.31,9
HCPCS,95170,HC EXTRACT/BITING INSECT EA DOSE,326.0,326.0,,,0
HCPCS,95170,HC PR EXTRACT/BITING INSECT EA DOSE,30.0,30.0,,,0
HCPCS,95180,HC PR RAPID DESENSITIZATION PROC EA HOUR,389.0,389.0,,,0
HCPCS,95180,HC RAPID DESENSITIZATION PROC EA HOUR,634.0,634.0,,,0
HCPCS,95180,Rapid desensitization,,,415.82,2111.28,9
HCPCS,95199,Allergy immunology services,,,31.09,136.7,8
HCPCS,95199,HC UNLISTED ALLERGY/IMUN SVC/PROC,81.0,81.0,,,0
HCPCS,95249,Cont gluc mntr pt prov eqp,,,63.84,278.81,9
HCPCS,95250,Glucose monitoring cont,,,137.96,629.22,9
HCPCS,95250,HC CGM STARTUP AND INSTRUCTIONS,533.0,533.0,,,0
HCPCS,95251,Gluc monitor cont phys i&r,,,37.72,74.76,4
HCPCS,95251,HC PR CGM DATA INTERPRETATION &REPRT,106.0,106.0,,,0
HCPCS,95700,Eeg cont rec w/vid eeg tech,,,163.01,1020.48,8
HCPCS,95700,HC EEG CONT REC W VIDEO WH PERF BY TECH MIN 8 CHANNELS,2959.0,2959.0,,,0
HCPCS,95705,Eeg w/o vid 2-12 hr unmntr,,,242.77,1933.93,9
HCPCS,95705,HC EEG WO VIDEO BY TECH 2-12 HR UNMONITORED,1480.0,1480.0,,,0
HCPCS,95706,Eeg wo vid 2-12hr intmt mntr,,,242.77,1933.93,9
HCPCS,95706,HC EEG WO VIDEO REV DATA DESC BY TECH 2-12 HRS W INTERMITT MON & MNT,1480.0,1480.0,,,0
HCPCS,95707,Eeg w/o vid 2-12hr cont mntr,,,242.77,1933.93,9
HCPCS,95708,Eeg wo vid ea 12-26hr unmntr,,,419.55,3867.81,9
HCPCS,95708,HC EEG WO VIDEO BY TECH EA INCREMENT 12-26 HRS UNMONITORED,3206.0,3206.0,,,0
HCPCS,95709,Eeg w/o vid ea 12-26hr intmt,,,419.55,3867.81,9
HCPCS,95709,HC EEG WO VIDEO REV DATA DESC BY TECH EA INC 12-26 HRS W INT MON & MNT,3206.0,3206.0,,,0
HCPCS,95710,Eeg w/o vid ea 12-26hr cont,,,419.55,3867.81,9
HCPCS,95711,HC EEG W VIDEO BY TECH 2-12 HR UNMONITORED,1480.0,1480.0,,,0
HCPCS,95711,Veeg 2-12 hr unmonitored,,,242.77,1933.93,9
HCPCS,95712,HC EEG W VIDEO REV DATA DESC BY TECH 2-12 HRS W INTERMITT MON & MNT,1480.0,1480.0,,,0
HCPCS,95712,Veeg 2-12 hr intmt mntr,,,327.57,1933.93,9
HCPCS,95713,Veeg 2-12 hr cont mntr,,,419.55,1953.18,9
HCPCS,95714,HC EEG W VIDEO BY TECH EA INCREMENT 12-26 HR UNMONITORED,3206.0,3206.0,,,0
HCPCS,95714,Veeg ea 12-26 hr unmntr,,,419.55,3867.81,9
HCPCS,95715,HC EEG W VIDEO REV DATA DESC BY TECH EA INC 12-26 HRS W INTR MON & MNT,3206.0,3206.0,,,0
HCPCS,95715,Veeg ea 12-26hr intmt mntr,,,419.55,3867.81,9
HCPCS,95716,Veeg ea 12-26hr cont mntr,,,965.51,4058.53,9
HCPCS,95717,Eeg phys/qhp 2-12 hr w/o vid,,,147.93,316.94,4
HCPCS,95718,Eeg phys/qhp 2-12 hr w/veeg,,,194.82,417.41,4
HCPCS,95719,Eeg phys/qhp ea incr w/o vid,,,228.99,490.61,4
HCPCS,95720,Eeg phy/qhp ea incr w/veeg,,,301.56,646.07,4
HCPCS,95721,Eeg phy/qhp>36<60 hr w/o vid,,,304.12,651.57,4
HCPCS,95722,Eeg phy/qhp>36<60 hr w/veeg,,,369.05,790.61,4
HCPCS,95723,Eeg phy/qhp>60<84 hr w/o vid,,,377.11,807.96,4
HCPCS,95724,Eeg phy/qhp>60<84 hr w/veeg,,,471.26,1009.62,4
HCPCS,95725,Eeg phy/qhp>84 hr w/o vid,,,430.52,922.35,4
HCPCS,95726,Eeg phy/qhp>84 hr w/veeg,,,595.61,1276.06,4
HCPCS,95782,HC POLYSOMNOGRAPHY < 6 YRS,3688.0,3688.0,,,0
HCPCS,95782,Polysom <6 yrs 4/> paramtrs,,,965.51,4058.53,9
HCPCS,95783,HC POLYSOMNOGRAPHY W/THERAPY <6YR,3438.0,3438.0,,,0
HCPCS,95783,Polysom <6 yrs cpap/bilvl,,,965.51,4058.53,9
HCPCS,95800,Slp stdy unattended,,,163.01,1020.48,9
HCPCS,95801,Slp stdy unatnd w/anal,,,63.84,828.18,9
HCPCS,95803,Actigraphy testing,,,63.84,383.02,9
HCPCS,95805,HC MULTIPLE SLEEP LATENCY TEST,3546.0,3546.0,,,0
HCPCS,95805,Multiple sleep latency test,,,559.36,4058.53,9
HCPCS,95806,HC PR UNATTENDED HOME SLEEP TEST,130.0,130.0,,,0
HCPCS,95806,HC UNATTENDED HOME SLEEP TEST,869.0,869.0,,,0
HCPCS,95806,Sleep study unatt&resp efft,,,163.01,1020.48,9
HCPCS,95807,HC PORTABLE SLEEP STUDY ATTENDED,2604.0,2604.0,,,0
HCPCS,95807,Sleep study attended,,,419.55,3867.81,9
HCPCS,95808,Polysom any age 1-3> param,,,965.51,4058.53,9
HCPCS,95810,HC POLYSOMNOGRAPHY FULL,4978.0,4978.0,,,0
HCPCS,95810,HC PR POLYSOMNOGRAPHY FULL,336.0,336.0,,,0
HCPCS,95810,Polysom 6/> yrs 4/> param,,,965.51,4058.53,9
HCPCS,95811,HC POLYSOMNOGRAPHY FULL W/THERAPY,3795.0,3795.0,,,0
HCPCS,95811,Polysom 6/>yrs cpap 4/> parm,,,965.51,4058.53,9
HCPCS,95812,Eeg 41-60 minutes,,,242.77,1129.46,9
HCPCS,95812,HC EEG EXTENDED 41-60 MIN,1085.0,1085.0,,,0
HCPCS,95813,Eeg over 1 hour,,,242.77,1129.46,9
HCPCS,95813,HC EEG EXTENDED 61 TO 119 MINS,1234.0,1234.0,,,0
HCPCS,95816,Eeg awake and drowsy,,,242.77,1129.46,9
HCPCS,95816,HC EEG AWAKE AND DROWSY,870.0,870.0,,,0
HCPCS,95819,Eeg awake and asleep,,,242.77,1129.46,9
HCPCS,95819,HC EEG AWAKE & ASLEEP,1273.0,1273.0,,,0
HCPCS,95822,Eeg coma or sleep only,,,242.77,1129.46,9
HCPCS,95822,HC EEG SLEEP ONLY,706.0,706.0,,,0
HCPCS,95824,Eeg cerebral death only,,,419.55,1953.18,9
HCPCS,95829,HC ELECTROCORTICOGRAM AT SURGERY,776.0,776.0,,,0
HCPCS,95830,Insert electrodes for EEG,,,495.2,1517.96,5
HCPCS,95836,Ecog impltd brn npgt <=30 d,,,39.37,178.29,9
HCPCS,95851,Range of motion measurements,,,6.78,88.14,5
HCPCS,95852,Range of motion measurements,,,5.08,81.61,5
HCPCS,95857,Cholinesterase challenge,,,242.77,1121.88,9
HCPCS,95860,HC EMG I,665.0,665.0,,,0
HCPCS,95860,Muscle test one limb,,,133.32,628.81,9
HCPCS,95861,HC EMG II,665.0,665.0,,,0
HCPCS,95861,Muscle test 2 limbs,,,133.32,628.81,9
HCPCS,95863,Muscle test 3 limbs,,,144.67,608.13,9
HCPCS,95864,HC EMG IV,665.0,665.0,,,0
HCPCS,95864,Muscle test 4 limbs,,,144.67,608.13,9
HCPCS,95865,Muscle test larynx,,,133.32,628.81,9
HCPCS,95866,Muscle test hemidiaphragm,,,144.67,608.13,9
HCPCS,95867,HC EMG FACIAL UNILATERAL,732.0,732.0,,,0
HCPCS,95867,Muscle test cran nerv unilat,,,242.77,1020.48,9
HCPCS,95868,Muscle test cran nerve bilat,,,242.77,1020.48,9
HCPCS,95869,HC THORACIC PARASPINAL EMG,360.0,360.0,,,0
HCPCS,95869,Muscle test thor paraspinal,,,206.84,1020.48,9
HCPCS,95870,HC EMG LIMITED,360.0,360.0,,,0
HCPCS,95870,HC NEEDLE EMG LMTD ONE EXTREMITY/NONLIMB CRNL NRV SUPP MUSC (PURC SRV),360.0,360.0,,,0
HCPCS,95870,Muscle test nonparaspinal,,,133.32,628.81,9
HCPCS,95872,HC EMG NEEDLE SNGL FBR 1 MUSCLE,665.0,665.0,,,0
HCPCS,95872,Muscle test one fiber,,,163.01,1020.48,9
HCPCS,95873,HC ELEC STIM W CHEMODENERVATION,39.0,39.0,,,0
HCPCS,95873,HC PR ELEC STIM W CHEMODENERVATION,44.0,44.0,,,0
HCPCS,95874,HC NDLE EMG W CHEMODENERVATION,42.0,42.0,,,0
HCPCS,95874,HC PR NDLE EMG W CHEMODENERVATION,52.0,52.0,,,0
HCPCS,95875,HC ISCHEMIC EXERCISE,532.0,532.0,,,0
HCPCS,95875,Limb exercise test,,,144.67,608.13,9
HCPCS,95885,HC NDLE EMG LMTD STUDY <5 MUSC PE,81.0,81.0,,,0
HCPCS,95885,Musc tst done w/nerv tst lim,,,48.77,383.02,5
HCPCS,95886,HC NDLE EMG COMPLETE >5 MUSCLS PE,480.0,480.0,,,0
HCPCS,95886,Musc test done w/n test comp,,,58.07,383.02,5
HCPCS,95887,HC NDLE EMG CRANIAL OR AXIAL,260.0,260.0,,,0
HCPCS,95887,Musc tst done w/n tst nonext,,,52.12,206.84,5
HCPCS,95905,Motor &/ sens nrve cndj test,,,206.84,2111.28,9
HCPCS,95907,HC NERVE CONDUCTION STUDIES 1-2,504.0,504.0,,,0
HCPCS,95907,Nvr cndj tst 1-2 studies,,,163.01,1020.48,9
HCPCS,95908,HC NERVE CONDUCTION STUDIES 3-4,741.0,741.0,,,0
HCPCS,95908,Nrv cndj tst 3-4 studies,,,206.84,1129.46,9
HCPCS,95909,HC NERVE CONDUCTION STUDIES 5-6,734.0,734.0,,,0
HCPCS,95909,Nrv cndj tst 5-6 studies,,,206.84,1129.46,9
HCPCS,95910,HC NERVE CONDUCTION STUDIES 7-8,753.0,753.0,,,0
HCPCS,95910,Nrv cndj test 7-8 studies,,,206.84,1763.6,9
HCPCS,95911,HC NERVE CONDUCTION STUDIES 9-10,753.0,753.0,,,0
HCPCS,95911,Nrv cndj test 9-10 studies,,,383.02,1953.18,9
HCPCS,95912,HC NERVE CONDUCTION STUDIES 11-12,833.0,833.0,,,0
HCPCS,95912,Nrv cndj test 11-12 studies,,,383.02,1953.18,9
HCPCS,95913,HC NERVE CONDUCT STUDIES 13 OR >,849.0,849.0,,,0
HCPCS,95913,Nrv cndj test 13/> studies,,,383.02,1953.18,9
HCPCS,95919,Quan puplmtry phy/qhp uni/bi,,,133.32,628.81,9
HCPCS,95921,Autonomic nrv parasym inervj,,,144.67,608.13,9
HCPCS,95921,HC TESTING AN SYSTEM,532.0,532.0,,,0
HCPCS,95922,Autonomic nrv adrenrg inervj,,,133.32,628.81,9
HCPCS,95923,Autonomic nrv syst funj test,,,133.32,628.81,9
HCPCS,95923,HC SYMPATHETIC SKIN POTENTIAL,532.0,532.0,,,0
HCPCS,95924,Ans parasymp & symp w/tilt,,,242.77,1020.48,9
HCPCS,95925,HC SSEP UPPER EXTREMITIES,1226.0,1226.0,,,0
HCPCS,95925,Somatosensory testing,,,242.77,1129.46,9
HCPCS,95926,HC SSEP LOWER EXTREMITIES,1226.0,1226.0,,,0
HCPCS,95926,Somatosensory testing,,,242.77,1129.46,9
HCPCS,95927,Somatosensory testing,,,242.77,1020.48,9
HCPCS,95928,C motor evoked uppr limbs,,,383.02,4058.53,9
HCPCS,95929,C motor evoked lwr limbs,,,383.02,1953.18,9
HCPCS,95930,HC VISUAL EVOKED POTENTIAL,1226.0,1226.0,,,0
HCPCS,95930,Visual evoked potential test,,,242.77,1020.48,9
HCPCS,95933,Blink reflex test,,,63.84,278.81,9
HCPCS,95933,HC BLINK REFLEX,288.0,288.0,,,0
HCPCS,95937,HC REP STIMULATION EA NERVE,532.0,532.0,,,0
HCPCS,95937,Neuromuscular junction test,,,144.67,608.13,9
HCPCS,95938,HC SHORT LATENCY SOMATOSENS EP STUDY UPPER & LOWER LIMBS (PURC SVCS),1287.0,1287.0,,,0
HCPCS,95938,HC SSEP UPPER & LOWER LIMBS,1287.0,1287.0,,,0
HCPCS,95938,Somatosensory testing,,,559.36,4058.53,9
HCPCS,95939,C motor evoked upr&lwr limbs,,,383.02,4058.53,9
HCPCS,95939,HC CENTRAL MOTOR EVOKED POT STUDY UPPER & LOWER LIMBS (PURC SVCS),811.0,811.0,,,0
HCPCS,95939,HC CMEP UPPER & LOWER LIMBS,811.0,811.0,,,0
HCPCS,95954,EEG monitoring/giving drugs,,,383.02,1953.18,9
HCPCS,95955,HC EEG NONINTRACRANIAL SURGERY (PURC SRVS),350.0,350.0,,,0
HCPCS,95957,HC DIGITAL ANALYSIS SPIKE/SEIZURE,370.0,370.0,,,0
HCPCS,95958,EEG monitoring/function test,,,828.18,4058.53,9
HCPCS,95958,HC WADA TESTING,2677.0,2677.0,,,0
HCPCS,95961,Electrode stimulation brain,,,882.93,4058.53,9
HCPCS,95961,HC FUNC CORTICAL MAPPING 1ST HOUR,840.0,840.0,,,0
HCPCS,95962,Electrode stim brain add-on,,,882.93,882.93,1
HCPCS,95962,HC FUNC CORTICAL MAPPING ADD HR,705.0,705.0,,,0
HCPCS,95965,Meg spontaneous,,,965.51,11298.28,9
HCPCS,95966,Meg evoked single,,,965.51,4693.64,9
HCPCS,95967,Meg evoked each addl,,,4693.64,4693.64,1
HCPCS,95970,Analyze neurostim no prog,,,133.32,628.81,9
HCPCS,95970,HC NEUROSTIM VNS W/O REPROGRAM,532.0,532.0,,,0
HCPCS,95970,HC PR NEUROSTIM VNS W/O REPROGRAM,138.0,138.0,,,0
HCPCS,95971,Analyze neurostim simple,,,101.03,534.83,9
HCPCS,95971,HC PR STIM SMPL SPINE W INTROP PROG,120.0,120.0,,,0
HCPCS,95971,HC STIM SMPL SPINE W INTROP PROG,398.0,398.0,,,0
HCPCS,95972,Analyze neurostim complex,,,101.03,534.83,9
HCPCS,95972,HC PR STIM CMPX SPNL INTROP PRG 1HR,184.0,184.0,,,0
HCPCS,95972,HC STIM CMPX SPNL INTROP PRG 1HR,743.0,743.0,,,0
HCPCS,95976,Alys smpl cn npgt prgrmg,,,39.37,534.83,9
HCPCS,95976,HC ELEC ANAL IMPLNT NEUROSTIM PUL GEN W SIMP CRAN NERV PUL GEN PROG,743.0,743.0,,,0
HCPCS,95976,HC PR ELEC ANAL IMPLNT NEUROSTIM PUL GEN W SIMP CRAN NERV PUL GEN PROG,164.0,164.0,,,0
HCPCS,95977,Alys cplx cn npgt prgrmg,,,101.03,534.83,9
HCPCS,95977,HC ELEC ANAL IMPLNT NEUROSTIM PUL GEN W COMPLEX CRAN NERV PUL GEN PROG,532.0,532.0,,,0
HCPCS,95977,HC PR ELEC ANAL IMPLNT NEUROSTIM PUL GEN W CMPLX CRAN NRV PUL GEN PROG,216.0,216.0,,,0
HCPCS,95981,Io anal gast n-stim subsq,,,63.84,452.86,9
HCPCS,95982,Io ga n-stim subsq w/reprog,,,39.37,534.83,9
HCPCS,95983,Alys brn npgt prgrmg 15 min,,,101.03,449.32,9
HCPCS,95983,HC ELEC ANAL IMPL BRAIN NEUROSTIM PUL GEN/TRANM PROG 1ST 15 MINS,275.0,275.0,,,0
HCPCS,95983,HC PR ELEC ANAL IMPL BRAIN NEUROSTIM PUL GEN/TRANM PROG 1ST 15 MINS,127.0,127.0,,,0
HCPCS,95984,Alys brn npgt prgrmg addl 15,,,267.44,267.44,1
HCPCS,95984,HC ELEC ANAL IMPL BRAIN NEUROSTIM PUL GEN/TRANM PROG EA ADDL 15 MINS,267.0,267.0,,,0
HCPCS,95984,HC PR ELEC ANAL IMPL BRAIN NEUROSTIM PUL GEN/TRANM PROG EA ADDL 15 MINS,111.0,111.0,,,0
HCPCS,95990,HC REFILL&MNT BACLOFEN PUMP NP/PA,1535.0,1535.0,,,0
HCPCS,95990,Spin/brain pump refil & main,,,353.45,1561.07,10
HCPCS,95991,HC PR REFILL&MNT BACLOFEN PUMP MD,287.0,287.0,,,0
HCPCS,95991,HC REFILL&MNT BACLOFEN PUMP MD,1535.0,1535.0,,,0
HCPCS,95991,Spin/brain pump refil & main,,,309.1,1473.0,10
HCPCS,95992,Canalith repositioning proc,,,30.27,180.07,8
HCPCS,95992,HC PT CANALITH REPOS PROC PER DAY,145.0,145.0,,,0
HCPCS,95999,Neurological procedure,,,144.67,608.13,8
HCPCS,96000,Motion analysis video/3d,,,419.55,1953.18,9
HCPCS,96001,Motion test w/ft press meas,,,882.93,4058.53,9
HCPCS,96002,Dynamic surface emg,,,242.77,1020.48,9
HCPCS,96003,Dynamic fine wire emg,,,327.57,1087.11,5
HCPCS,96004,Phys review of motion tests,,,116.59,231.09,4
HCPCS,96020,HC NEUROFUNCT TSTING SELECT ADMIN,131.0,131.0,,,0
HCPCS,96040,Genetic counseling 30 min,,,57.42,113.82,5
HCPCS,96105,Assessment of aphasia,,,99.35,452.16,9
HCPCS,96105,HC ASSESSMENT OF APHASIA PER HR,324.0,324.0,,,0
HCPCS,96110,Developmental screen w/score,,,12.96,452.05,5
HCPCS,96110,HC DEVELOPMENTAL TESTING LIMITED,519.0,519.0,,,0
HCPCS,96110,HC PR DEVELOPMENTAL TESTING LIMITED,28.0,28.0,,,0
HCPCS,96112,Devel tst phys/qhp 1st hr,,,144.67,870.63,9
HCPCS,96112,HC DEVELOP TEST ADMIN PHY/QHP W INTER & RPT IST HOUR,675.0,675.0,,,0
HCPCS,96112,HC PR DEVELOP TEST ADMIN PHY/QHP W INTER & RPT IST HOUR,381.0,381.0,,,0
HCPCS,96113,HC DEVELOP TEST ADMIN PHY/QHP W INTER & RPT EA ADDL 30 MINS,289.0,289.0,,,0
HCPCS,96113,HC PR DEVELOP TEST ADMIN PHY/QHP W INTER & RPT EA ADDL 30 MINS,170.0,170.0,,,0
HCPCS,96116,HC NEUROBEHAVIORAL STATUS EXAM BY PSYCH/PHY,762.0,762.0,,,0
HCPCS,96116,HC PR NEUROBEHAVIORAL STATUS EXAM BY PSYCH/PHY,268.0,268.0,,,0
HCPCS,96116,Neurobehavioral status exam,,,242.77,1129.46,9
HCPCS,96121,HC NEUROBEH STATUS EXAM PHYS/QHP EA ADDL HOUR,665.0,665.0,,,0
HCPCS,96121,HC PR NEUROBEH STATUS EXAM PHYS/QHP EA ADDL HOUR,230.0,230.0,,,0
HCPCS,96125,Cognitive test by hc pro,,,105.29,442.59,7
HCPCS,96125,HC STAND COG/SLP TESTING PER HOUR,559.0,559.0,,,0
HCPCS,96127,Brief emotional/behav assmt,,,41.86,176.53,9
HCPCS,96127,HC BEHAV ASSMT W SCORE & DOC PER STAND INSTRU,81.0,81.0,,,0
HCPCS,96130,HC PR PSYCH TEST EVAL SVCS FIRST HOUR,371.0,371.0,,,0
HCPCS,96130,HC PSYCH TEST EVAL SVCS FIRST HOUR,455.0,455.0,,,0
HCPCS,96130,Psycl tst eval phys/qhp 1st,,,184.96,1020.48,9
HCPCS,96131,HC PR PSYCH TEST EVAL SVCS FIRST HOUR EA ADDL HOUR,283.0,283.0,,,0
HCPCS,96131,HC PSYCH TEST EVAL SVCS FIRST HOUR EA ADDL HOUR,142.0,142.0,,,0
HCPCS,96131,Psycl tst eval phys/qhp ea,,,94.35,850.73,5
HCPCS,96132,HC NEUROPSYCH TEST EVAL PHYS/OTHER QUAL HLTH PROF 1ST HOUR,1219.0,1219.0,,,0
HCPCS,96132,HC PR NEUROPSYCH TEST EVAL PHYS/OTHER QUAL HLTH PROF 1ST HOUR,363.0,363.0,,,0
HCPCS,96132,Nrpsyc tst eval phys/qhp 1st,,,184.96,1763.6,9
HCPCS,96133,HC NEUROPSYCH TEST EVAL PHYS/OTHER QUAL HLTH PROF EA ADDL HOUR,145.0,145.0,,,0
HCPCS,96133,HC PR NEUROPSYCH TEST EVAL PHYS/OTHER QUAL HLTH PROF EA ADDL HOUR,278.0,278.0,,,0
HCPCS,96133,Nrpsyc tst eval phys/qhp ea,,,850.73,850.73,1
HCPCS,96136,HC PR PSYCH/NEUROPSYCH TEST ADMIN & SCORE 2OR> TST 1ST 30MINS,92.0,92.0,,,0
HCPCS,96136,HC PSYCH/NEUROPSYCH TEST ADMIN & SCORE 2OR> TST 1ST 30MINS,74.0,74.0,,,0
HCPCS,96136,Psycl/nrpsyc tst phy/qhp 1st,,,133.32,628.81,9
HCPCS,96137,HC PR PSYCH/NEUROPSYCH TEST ADMIN & SCORE 2OR> TST EA ADDL 30MINS,58.0,58.0,,,0
HCPCS,96137,HC PSYCH/NEUROPSYCH TEST ADMIN & SCORE 2OR> TST EA ADDL 30MINS,72.0,72.0,,,0
HCPCS,96137,Psycl/nrpsyc tst phy/qhp ea,,,41.77,425.39,5
HCPCS,96138,HC PR PSYCH/NEUROPSYCH TEST ADMIN & SCORE BY TECH 2OR>TSTS 1ST 30MINS,132.0,132.0,,,0
HCPCS,96138,HC PSYCH/NEUROPSYCH TEST ADMIN & SCORE BY TECH 2OR>TSTS 1ST 30MINS,422.0,422.0,,,0
HCPCS,96138,Psycl/nrpsyc tech 1st,,,184.96,2111.28,9
HCPCS,96139,HC PR PSYCH/NEUROPSYCH TEST ADMIN & SCORE BY TECH 2OR>TSTS EA ADDL 30MINS,132.0,132.0,,,0
HCPCS,96139,HC PSYCH/NEUROPSYCH TEST ADMIN & SCORE BY TECH 2OR>TSTS EA ADDL 30MINS,45.0,45.0,,,0
HCPCS,96139,Psycl/nrpsyc tst tech ea,,,425.39,425.39,1
HCPCS,96146,HC PR PSYCH/NEUROPSY TST ADM W SNG STAND INSTR ELEC PLTFRM AUTO RESULT,35.0,35.0,,,0
HCPCS,96146,HC PSYCH/NEUROPSY TST ADM W SNG STAND INSTR ELECTR PLTFRM AUTO RESULT,68.0,68.0,,,0
HCPCS,96146,Psycl/nrpsyc tst auto result,,,31.09,184.96,9
HCPCS,96156,HC HLTH BEHAV ASSESSMENT OR REASSESSMENT,520.0,520.0,,,0
HCPCS,96156,HC PR HLTH BEHAV ASSESSMENT OR REASSESSMENT,254.0,254.0,,,0
HCPCS,96156,Hlth bhv assmt/reassessment,,,82.51,480.13,8
HCPCS,96158,HC HLTH BEHAV INTERVENT INDIV FACE TO FACE INI 30 MINS,260.0,260.0,,,0
HCPCS,96158,HC PR HLTH BEHAV INTERVENT INDIV FACE TO FACE INI 30 MINS,172.0,172.0,,,0
HCPCS,96158,Hlth bhv ivntj indiv 1st 30,,,82.51,838.87,8
HCPCS,96159,HC HLTH BEHAV INTERVENT INDIV FACE TO FACE EA ADDL 15 MINS,130.0,130.0,,,0
HCPCS,96159,HC PR HLTH BEHAV INTERVENT INDIV FACE TO FACE EA ADDL 15 MINS,65.0,65.0,,,0
HCPCS,96159,Hlth bhv ivntj indiv ea addl,,,24.98,49.53,4
HCPCS,96160,HC PR PT-FOCUSED HLTH RISK ASSMNT W SCORE & DOC PER STND INSTRUM,12.0,12.0,,,0
HCPCS,96160,HC PT-FOCUSED HLTH RISK ASSMNT W SCORE & DOC PER STND INSTRUM,82.0,82.0,,,0
HCPCS,96160,Pt-focused hlth risk assmt,,,42.13,177.08,5
HCPCS,96161,Caregiver health risk assmt,,,42.13,177.08,5
HCPCS,96161,HC CAREGIVER-FOCUSED HLTH RISK ASSMNT W SCORE & DOC PER STND INSTRUM,80.0,80.0,,,0
HCPCS,96161,HC PR CAREGIVER-FOCUSED HLTH RISK ASSMNT W SCORE & DOC PER STND INSTR,12.0,12.0,,,0
HCPCS,96164,HC HLTH BEHAV INTERVENTION GROUP FACE TO FACE IN 30MINS,299.0,299.0,,,0
HCPCS,96164,HC PR HLTH BEHAV INTERVENTION GROUP FACE TO FACE IN 30MINS,54.0,54.0,,,0
HCPCS,96164,Hlth bhv ivntj grp 1st 30,,,29.96,184.96,8
HCPCS,96165,HC HLTH BEHAV INTERVENTION GROUP FACE TO FACE EA ADDL 15MINS,149.0,149.0,,,0
HCPCS,96165,HC PR HLTH BEHAV INTERVENTION GROUP FACE TO FACE EA ADDL 15MINS,27.0,27.0,,,0
HCPCS,96167,HC HLTH BEHAV INTERV FAMILY W PT FACE TO FACE INI 30MINS,260.0,260.0,,,0
HCPCS,96167,HC PR HLTH BEHAV INTERV FAMILY W PT FACE TO FACE INI 30MINS,156.0,156.0,,,0
HCPCS,96167,Hlth bhv ivntj fam 1st 30,,,29.96,184.96,8
HCPCS,96168,HC HLTH BEHAV INTERV FAMILY W PT FACE TO FACE EA ADDL 15MINS,130.0,130.0,,,0
HCPCS,96168,HC PR HLTH BEHAV INTERV FAMILY W PT FACE TO FACE EA ADDL 15MINS,65.0,65.0,,,0
HCPCS,96170,HC HLTH BEHAV INTERV FAMILY WO PT FACE TO FACE INI 30 MINS,210.0,210.0,,,0
HCPCS,96170,HC PR HLTH BEHAV INTERV FAMILY WO PT FACE TO FACE INI 30 MINS,285.0,285.0,,,0
HCPCS,96170,Hlth bhv ivntj fam wo pt 1st,,,115.76,248.03,4
HCPCS,96171,HC HLTH BEHAV INTERV FAMILY WO PT FACE TO FACE EA ADDL 15 MINS,130.0,130.0,,,0
HCPCS,96171,HC PR HLTH BEHAV INTERV FAMILY WO PT FACE TO FACE EA ADDL 15 MINS,68.0,68.0,,,0
HCPCS,96171,Hlth bhv ivntj fam w/o pt ea,,,42.26,90.52,4
HCPCS,96202,HC PR MLT FAM GRP BHV MGT/MOD TRAIN 1ST 60 MINS,64.0,64.0,,,0
HCPCS,96202,Mlt fam grp bhv train 1st 60,,,17.69,74.36,3
HCPCS,96203,HC PR MLT FAM GRP BHV MGT/MOD TRAIN EA ADDL 15 MINS,18.0,18.0,,,0
HCPCS,96203,Mlt fam grp bhv train ea add,,,5.07,21.31,3
HCPCS,96360,HC IV INF. HYDRATION 1ST 31-60MIN,527.0,527.0,,,0
HCPCS,96360,Hydration iv infusion init,,,223.69,1005.27,9
HCPCS,96361,HC IV INFUSE HYDRATION EA ADD HR,244.0,244.0,,,0
HCPCS,96361,Hydrate iv infusion add-on,,,49.57,221.31,9
HCPCS,96365,HC IV INF THERAPY 1ST 16-60,564.0,564.0,,,0
HCPCS,96365,Ther/proph/diag iv inf init,,,223.69,1005.27,9
HCPCS,96366,HC IV INFUSE THERAPY EA ADD HOUR,225.0,225.0,,,0
HCPCS,96366,Ther/proph/diag iv inf addon,,,49.57,221.31,9
HCPCS,96367,HC IV INFUSION THERAPY PROPH ADDL SEQUENTIAL UP TO 1 HR,388.0,388.0,,,0
HCPCS,96367,Tx/proph/dg addl seq iv inf,,,73.52,340.29,9
HCPCS,96368,HC IV INF THER CONCURRENT,196.0,196.0,,,0
HCPCS,96369,HC SC IF THER 1ST HR PUMP SET UP,562.0,562.0,,,0
HCPCS,96369,Sc ther infusion up to 1 hr,,,223.69,1005.27,9
HCPCS,96370,HC SC IF THER EA ADD HR,294.0,294.0,,,0
HCPCS,96370,Sc ther infusion addl hr,,,49.57,221.31,9
HCPCS,96371,HC SC IF THER ADD PUMP SET UP,294.0,294.0,,,0
HCPCS,96371,Sc ther infusion reset pump,,,80.95,340.29,5
HCPCS,96372,HC THER/PROPH/DIAG INJ SC/IM,306.0,306.0,,,0
HCPCS,96372,HC THERAPEUTIC SELF ADMIN,0.01,0.01,,,0
HCPCS,96372,Ther/proph/diag inj sc/im,,,73.52,340.29,9
HCPCS,96373,HC THER/PROPH/DIAG INJ INTRA-ARTERIAL,505.0,505.0,,,0
HCPCS,96373,Ther/proph/diag inj ia,,,187.75,1005.27,9
HCPCS,96374,HC BUBBLE ECHO SALINE,505.0,505.0,,,0
HCPCS,96374,HC THER/DIAG INITIAL IV PUSH,505.0,505.0,,,0
HCPCS,96374,Ther/proph/diag inj iv push,,,187.75,1005.27,9
HCPCS,96375,HC THER INJ IV EA ADD SEQUEN PUSH,363.0,363.0,,,0
HCPCS,96375,Tx/pro/dx inj new drug addon,,,49.57,221.31,9
HCPCS,96376,HC THER IV EA AD SEQUEN SAME DRUG,169.0,169.0,,,0
HCPCS,96377,Applicaton on-body injector,,,49.57,221.31,9
HCPCS,96377,HC APPL ON-BODY INJECTOR FOR TIMED SUBCUT INJECTION,244.0,244.0,,,0
HCPCS,96379,HC UNLIST THERAP/PROPH/DIAG IV OR INTRA ART INJ,339.0,339.0,,,0
HCPCS,96379,Ther/prop/diag inj/inf proc,,,49.57,221.31,9
HCPCS,96380,Admn rsv monoc antb im cnsl,,,137.61,137.61,1
HCPCS,96380,HC ADMIN RSV MONOCL ANTIBODY SEASONAL DOSE IM W COUNSEL PHY/QHP,138.0,138.0,,,0
HCPCS,96381,1 admn rsv monoc antb im njx,,,119.42,119.42,1
HCPCS,96381,HC ADMIN RSV MONOCL ANTIBODY SEASONAL DOSE IM,130.0,130.0,,,0
HCPCS,96401,Chemo anti-neopl sq/im,,,73.52,340.29,9
HCPCS,96401,HC CHEMO ADMIN SC/IM NON-HORMONAL,416.0,416.0,,,0
HCPCS,96402,Chemo hormon antineopl sq/im,,,73.52,340.29,9
HCPCS,96402,HC CHEMO SC/IM HORMON ANTI NEOPL,225.0,225.0,,,0
HCPCS,96405,Chemo intralesional up to 7,,,73.52,340.29,9
HCPCS,96405,HC CHEMO INTRALESIONAL MAX 7 LES,414.0,414.0,,,0
HCPCS,96406,Chemo intralesional over 7,,,223.69,1005.27,9
HCPCS,96406,HC CHEMO INTRALESIONAL OVER 7 LES,1115.0,1115.0,,,0
HCPCS,96409,Chemo iv push sngl drug,,,353.45,1561.07,9
HCPCS,96409,HC CHEMO ADMIN IV PUSH SNGL DRUG,852.0,852.0,,,0
HCPCS,96411,Chemo iv push addl drug,,,73.52,358.36,9
HCPCS,96411,HC CHEMO ADMIN IV/PUSH EA AD DRUG,290.0,290.0,,,0
HCPCS,96413,Chemo iv infusion 1 hr,,,353.45,1561.07,9
HCPCS,96413,HC CHEMO IV INF 1ST 16-60MIN,1221.0,1221.0,,,0
HCPCS,96413,HC STUDY CHEMO 1ST HOUR ADMIN RESEARCH ONLY,0.01,0.01,,,0
HCPCS,96415,Chemo iv infusion addl hr,,,73.52,340.29,9
HCPCS,96415,HC CHEMO IV INFUSE EA ADD HOUR,291.0,291.0,,,0
HCPCS,96416,Chemo prolong infuse w/pump,,,353.45,1561.07,9
HCPCS,96416,HC CHEMO ADMIN IV INFUSION >8 HRS,1221.0,1221.0,,,0
HCPCS,96417,Chemo iv infus each addl seq,,,73.52,358.36,9
HCPCS,96417,HC CHEMO IV INF SEQ HR 16-60MIN,331.0,331.0,,,0
HCPCS,96420,Chemo ia push tecnique,,,353.45,1561.07,9
HCPCS,96420,HC CHEMO ADM INTRA ART PUSH,823.0,823.0,,,0
HCPCS,96422,Chemo ia infusion up to 1 hr,,,353.45,1561.07,9
HCPCS,96423,Chemo ia infuse each addl hr,,,49.57,358.36,9
HCPCS,96425,Chemotherapy infusion method,,,353.45,1561.07,9
HCPCS,96440,Chemotherapy intracavitary,,,353.45,1561.07,9
HCPCS,96446,Chemotx admn prtl cavity,,,353.45,1561.07,9
HCPCS,96446,HC CHEMO ADM PERIT VIA PORT CATH,823.0,823.0,,,0
HCPCS,96446,HC PR CHEMO ADM PERIT VIA PORT CATH,354.0,354.0,,,0
HCPCS,96450,Chemotherapy into cns,,,353.45,1561.07,9
HCPCS,96450,HC CHEMO CNS W/LP,1221.0,1221.0,,,0
HCPCS,96450,HC PR CHEMO CNS W/LP,326.0,326.0,,,0
HCPCS,96521,HC PR REFILL/MNT PORTABLE PUMP,343.0,343.0,,,0
HCPCS,96521,HC REFILL/MNT PORTABLE PUMP,575.0,575.0,,,0
HCPCS,96521,Refill/maint portable pump,,,223.69,1005.27,9
HCPCS,96522,HC PR REFILL/MNT IMPLANT PUMP IV/IA,343.0,343.0,,,0
HCPCS,96522,HC REFILL/MNT IMPLANT PUMP IV/IA,575.0,575.0,,,0
HCPCS,96522,Refill/maint pump/resvr syst,,,223.69,1005.27,9
HCPCS,96523,HC IRRIG DRUG DELIVERY DEVICE,451.0,451.0,,,0
HCPCS,96523,Irrig drug delivery device,,,63.84,278.81,9
HCPCS,96542,Chemotherapy injection,,,353.45,1561.07,9
HCPCS,96542,HC CHEMO ADMIN SUBCUTAN RESERVOIR,823.0,823.0,,,0
HCPCS,96542,HC PR CHEMO ADMIN SUBCUTAN RESERVOIR,213.0,213.0,,,0
HCPCS,96547,Intraop hipec px 1st 60 min,,,1473.0,1473.0,1
HCPCS,96548,Ntraop hipec px ea add 30min,,,1473.0,1473.0,1
HCPCS,96549,Chemotherapy unspecified,,,49.57,221.31,9
HCPCS,96549,HC CHEMOTHERAPY INJECTION INTRATUMORAL,469.0,469.0,,,0
HCPCS,96549,HC CONCURRENT CHEMO INFUSION,469.0,469.0,,,0
HCPCS,96567,Photodynamic tx skin,,,208.93,1473.0,10
HCPCS,96570,Photodynmc tx 30 min add-on,,,513.19,1473.0,2
HCPCS,96571,Photodynamic tx addl 15 min,,,513.19,1473.0,2
HCPCS,96573,Pdt dstr prmlg les phys/qhp,,,208.93,1473.0,10
HCPCS,96574,Dbrdmt prmlg les w/pdt,,,208.93,1473.0,10
HCPCS,96900,HC ULTRAVIOLET LIGHT THERAPY,478.0,478.0,,,0
HCPCS,96900,Ultraviolet light therapy,,,41.86,178.25,9
HCPCS,96902,Trichogram,,,159.95,159.95,1
HCPCS,96910,HC NARROW BAND UVB,478.0,478.0,,,0
HCPCS,96910,Photochemotherapy with UV-B,,,63.84,278.81,9
HCPCS,96912,HC PSORALENS & ULTRAVIOLET A PUVA,395.0,395.0,,,0
HCPCS,96912,Photochemotherapy with UV-A,,,63.84,278.81,9
HCPCS,96913,Photochemotherapy uv-a or b,,,416.15,1921.25,9
HCPCS,96920,Laser tx skin < 250 sq cm,,,208.93,948.23,9
HCPCS,96921,Laser tx skin 250-500 sq cm,,,208.93,948.23,9
HCPCS,96922,Laser tx skin >500 sq cm,,,416.15,1921.25,9
HCPCS,96931,Rcm celulr subcelulr img skn,,,146.39,146.39,1
HCPCS,96932,Rcm celulr subcelulr img skn,,,41.31,146.39,5
HCPCS,96933,Rcm celulr subcelulr img skn,,,47.04,93.24,4
HCPCS,96999,Dermatological procedure,,,208.93,948.23,8
HCPCS,97007,HC MECHANICAL SCALP COOL INCL INDIV CAP SUPPLY HEAD MEAS FIT & EDUC,6330.0,6330.0,,,0
HCPCS,97007,HC PR MECHANICAL SCALP COOL INCL INDIV CAP SUPPLY HEAD MEAS FIT & EDUC,5258.0,5258.0,,,0
HCPCS,97008,HC PR MECHANICAL SCALP COOL HAIR PREP CAP PLCMNT THER INI PRECOOL PERIOD,31.0,31.0,,,0
HCPCS,97009,HC PR MECHANICAL SCALP COOL PROVIDED AFTER DISCONT OF CHEMO EA 30 MINS,20.0,20.0,,,0
HCPCS,97010,HC OT HOT/COLD PACKS,27.0,27.0,,,0
HCPCS,97010,HC PT HOT/COLD PACKS,27.0,27.0,,,0
HCPCS,97010,Hot or cold packs therapy,,,6.97,25.79,5
HCPCS,97012,HC PT TRACTION MECHANICAL,175.0,175.0,,,0
HCPCS,97012,Mechanical traction therapy,,,14.68,61.71,8
HCPCS,97014,Electric stimulation therapy,,,17.44,25.29,4
HCPCS,97016,HC OT VASOPNEUMATIC DEVICE,210.0,210.0,,,0
HCPCS,97016,HC PT VASOPNEUMATIC DEVICE,210.0,210.0,,,0
HCPCS,97016,Vasopneumatic device therapy,,,12.29,51.66,8
HCPCS,97018,HC OT PARAFFIN BATH,52.0,52.0,,,0
HCPCS,97018,Paraffin bath therapy,,,6.14,26.0,8
HCPCS,97022,HC OT WHIRLPOOL,160.0,160.0,,,0
HCPCS,97022,HC PT WHIRLPOOL,160.0,160.0,,,0
HCPCS,97022,Whirlpool therapy,,,16.09,73.94,8
HCPCS,97024,Diathermy eg microwave,,,7.52,31.61,8
HCPCS,97026,Infrared therapy,,,6.83,28.71,8
HCPCS,97028,Ultraviolet therapy,,,8.54,35.9,8
HCPCS,97032,Electrical stimulation,,,15.02,63.14,8
HCPCS,97032,HC OT ELECTRICAL STIM EA 15 MIN,160.0,160.0,,,0
HCPCS,97032,HC PT ELECTRICAL STIM EA 15 MIN,160.0,160.0,,,0
HCPCS,97033,Electric current therapy,,,19.5,82.83,8
HCPCS,97033,HC OT IONTOPHORESIS EA 15 MIN,150.0,150.0,,,0
HCPCS,97034,Contrast bath therapy,,,14.35,60.97,8
HCPCS,97035,HC OT ULTRASOUND EA 15 MIN,148.0,148.0,,,0
HCPCS,97035,HC PT ULTRASOUND EA 15 MIN,148.0,148.0,,,0
HCPCS,97035,Ultrasound therapy,,,14.69,61.75,8
HCPCS,97036,Hydrotherapy,,,35.71,150.11,8
HCPCS,97037,Appl modality 1+lllt po pain,,,41.86,183.57,9
HCPCS,97039,Physical therapy treatment,,,68.52,68.52,1
HCPCS,97110,HC OT THER EX EA 15 MIN,185.0,185.0,,,0
HCPCS,97110,HC THER EX EA 15 MIN,185.0,185.0,,,0
HCPCS,97110,Therapeutic exercises,,,29.76,125.1,8
HCPCS,97112,HC OT NEUROMUSCULR RE ED EA 15MIN,165.0,165.0,,,0
HCPCS,97112,HC PT NEUROMUSCULR RE ED EA 15MIN,165.0,165.0,,,0
HCPCS,97112,Neuromuscular reeducation,,,33.53,143.2,8
HCPCS,97113,Aquatic therapy/exercises,,,38.03,159.86,8
HCPCS,97113,HC OT AQUATIC THERAPY EA 15 MIN,155.0,155.0,,,0
HCPCS,97113,HC PT AQUATIC THERAPY EA 15 MIN,155.0,155.0,,,0
HCPCS,97116,Gait training therapy,,,29.76,125.1,4
HCPCS,97116,HC GAIT TRAINING EA 15 MIN,165.0,165.0,,,0
HCPCS,97124,Massage therapy,,,30.5,128.21,8
HCPCS,97129,HC OT THER COGNITIVE FUNC THER DIR PT CONT INI 15MINS,123.0,123.0,,,0
HCPCS,97129,HC PR THER INTERVENT COGNITIVE FUNC DIRECT PT CONT INI 15MINS,80.0,80.0,,,0
HCPCS,97129,HC ST THER COGNITIVE FUNC THER DIR PT CONT INI 15MINS,118.0,118.0,,,0
HCPCS,97129,HC THER INTERVENT COGNITIVE FUNC DIRECT PT CONT INI 15MINS,148.0,148.0,,,0
HCPCS,97129,Ther ivntj 1st 15 min,,,20.08,88.11,8
HCPCS,97130,HC OT THER COGNITIVE FUNC THER DIR PT CONT EA ADDL 15MINS,125.0,125.0,,,0
HCPCS,97130,HC PR THER INTERVENT COGNITIVE FUNC DIRECT PT CONT EA ADDL 15MINS,80.0,80.0,,,0
HCPCS,97130,HC ST THER COGNITIVE FUNC THER DIR PT CONT EA ADDL 15MINS,118.0,118.0,,,0
HCPCS,97130,HC THER INTERVENT COGNITIVE FUNC DIRECT PT CONT EA ADDL 15MINS,148.0,148.0,,,0
HCPCS,97130,Ther ivntj ea addl 15 min,,,18.75,88.11,8
HCPCS,97139,Physical medicine procedure,,,96.11,96.11,1
HCPCS,97140,HC OT MANUAL THERAPY EA 15 MIN,190.0,190.0,,,0
HCPCS,97140,HC PT MANUAL THERAPY EA 15 MIN,190.0,190.0,,,0
HCPCS,97140,Manual therapy 1/> regions,,,28.39,119.34,8
HCPCS,97150,Group therapeutic procedures,,,18.45,77.55,8
HCPCS,97150,HC OT GROUP THERAPY,63.0,63.0,,,0
HCPCS,97150,HC PT GROUP THERAPY,63.0,63.0,,,0
HCPCS,97151,Bhv id assmt by phys/qhp,,,93.02,480.13,9
HCPCS,97152,Bhv id suprt assmt by 1 tech,,,93.02,480.13,9
HCPCS,97153,Adaptive behavior tx by tech,,,93.02,480.13,9
HCPCS,97154,Grp adapt bhv tx by tech,,,29.96,184.96,9
HCPCS,97155,Adapt behavior tx phys/qhp,,,160.16,838.87,9
HCPCS,97156,Fam adapt bhv tx gdn phy/qhp,,,29.96,184.96,9
HCPCS,97157,Mult fam adapt bhv tx gdn,,,29.96,184.96,9
HCPCS,97158,Grp adapt bhv tx by phy/qhp,,,29.96,184.96,9
HCPCS,97161,HC PT EVAL LOW COMPLEX 20 MINS W/PT AND/OR FAM,518.0,518.0,,,0
HCPCS,97161,Pt eval low complex 20 min,,,100.33,421.74,8
HCPCS,97162,HC PT EVAL MOD COMPLEX 30 MINS W/PT AND/OR FAM,558.0,558.0,,,0
HCPCS,97162,Pt eval mod complex 30 min,,,100.33,421.74,8
HCPCS,97163,HC PT EVAL HIGH COMPLEX 45 MINS W/PT AND/OR FAM,575.0,575.0,,,0
HCPCS,97163,Pt eval high complex 45 min,,,100.33,421.74,8
HCPCS,97164,HC PT RE-EVAL 20 MINS W/PT AND/OR FAM,547.0,547.0,,,0
HCPCS,97164,Pt re-eval est plan care,,,69.2,290.88,4
HCPCS,97165,HC OT EVAL LOW COMPLEX 30 MINS W/PT AND/OR FAM,526.0,526.0,,,0
HCPCS,97165,Ot eval low complex 30 min,,,103.09,433.34,8
HCPCS,97166,HC OT EVAL MOD COMPLEX 45 MINS W/PT AND/OR FAM,560.0,560.0,,,0
HCPCS,97166,Ot eval mod complex 45 min,,,103.09,433.34,8
HCPCS,97167,HC OT EVAL HIGH COMPLEX 60 MINS W/PT AND/OR FAM,590.0,590.0,,,0
HCPCS,97167,Ot eval high complex 60 min,,,103.09,433.34,8
HCPCS,97168,HC OT RE-EVAL 30 MINS W/PT AND/OR FAM,559.0,559.0,,,0
HCPCS,97168,Ot re-eval est plan care,,,70.24,295.25,4
HCPCS,97530,HC OT THER ACTIVITIES EA 15 MIN,132.0,132.0,,,0
HCPCS,97530,HC PT THER ACTIVITIES EA 15 MIN,132.0,132.0,,,0
HCPCS,97530,Therapeutic activities,,,35.98,158.08,8
HCPCS,97533,HC OT SENSORY INTEG TECH EA 15MIN,151.0,151.0,,,0
HCPCS,97533,HC PT SENSORY INTEG TECH EA 15MIN,151.0,151.0,,,0
HCPCS,97533,Sensory Integration,,,62.52,262.8,8
HCPCS,97535,HC OT SELF CARE EA 15 MIN,143.0,143.0,,,0
HCPCS,97535,HC PT SELF CARE EA 15 MIN,143.0,143.0,,,0
HCPCS,97535,Self care mngment training,,,33.21,139.6,8
HCPCS,97537,Community/work reintegration,,,32.85,138.08,8
HCPCS,97537,HC COMMUNITY RE-INTEG EA 15 MIN,95.0,95.0,,,0
HCPCS,97542,HC OT WHEELCHAIR MNGMNT EA 15 MIN,97.0,97.0,,,0
HCPCS,97542,HC PT WHEELCHAIR MNGMNT EA 15 MIN,97.0,97.0,,,0
HCPCS,97542,Wheelchair mngment training,,,31.82,133.76,8
HCPCS,97545,HC OT WORK CONDITIONING FIRST 2HR,401.0,401.0,,,0
HCPCS,97545,HC PT WORK CONDITIONING FIRST 2HR,401.0,401.0,,,0
HCPCS,97550,Caregiver traing 1st 30 min,,,40.54,170.41,3
HCPCS,97550,HC OT CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT INITIAL 30 MINS,160.0,160.0,,,0
HCPCS,97550,HC PT CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT INITIAL 30 MINS,160.0,160.0,,,0
HCPCS,97550,HC ST CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT INITIAL 30 MINS,160.0,160.0,,,0
HCPCS,97551,Caregiver traing ea addl 15,,,21.48,90.29,3
HCPCS,97551,HC OT CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT EA ADDL 15 MINS,80.0,80.0,,,0
HCPCS,97551,HC PT CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT EA ADDL 15 MINS,80.0,80.0,,,0
HCPCS,97551,HC ST CAREGIVER TRAIN STRATEGIES & TECHN WO PT PRESENT EA ADDL 15 MINS,80.0,80.0,,,0
HCPCS,97552,Group caregiver training,,,9.51,39.98,3
HCPCS,97552,HC OT GROUP CAREGIVER TRAIN STRATEGIES & TECHN W MULTI SETS CAREGIVERS,68.0,68.0,,,0
HCPCS,97552,HC PT GROUP CAREGIVER TRAIN STRATEGIES & TECHN W MULTI SETS CAREGIVERS,68.0,68.0,,,0
HCPCS,97552,HC ST GROUP CAREGIVER TRAIN STRATEGIES & TECHN W MULTI SETS CAREGIVERS,68.0,68.0,,,0
HCPCS,97597,HC DEBRIDEMENT SKIN 1ST 20 SQ CM,625.0,625.0,,,0
HCPCS,97597,HC PR DEBRIDEMENT SKIN 1ST 20 SQ CM,248.0,248.0,,,0
HCPCS,97597,Rmvl devital tis 20 cm/<,,,208.93,1473.0,10
HCPCS,97598,HC DEBRIDE SKIN EACH ADDL 20 SQCM,706.0,706.0,,,0
HCPCS,97598,HC DEBRIDEMENTOPEN WOUND EA ADDL 20 SQ CM,706.0,706.0,,,0
HCPCS,97598,HC PR DEBRIDE SKIN EACH ADDL 20 SQCM,38.0,38.0,,,0
HCPCS,97598,Rmvl devital tis addl 20cm/<,,,513.19,1473.0,2
HCPCS,97602,HC OT NON SEL DEBRIDE PER SESSION,271.0,271.0,,,0
HCPCS,97602,HC PT NON SEL DEBRIDE PER SESSION,271.0,271.0,,,0
HCPCS,97602,Wound(s) care non-selective,,,208.93,948.23,9
HCPCS,97605,HC NEG PRESS DME WOUND TX <50CM,500.0,500.0,,,0
HCPCS,97605,HC PR NEG PRESS DME WOUND TX <50CM,89.0,89.0,,,0
HCPCS,97605,Neg press wound tx <=50 cm,,,208.93,948.23,9
HCPCS,97606,HC NEG PRESS DME WOUND TX >50CM,441.0,441.0,,,0
HCPCS,97606,Neg press wound tx >50 cm,,,416.15,1921.25,9
HCPCS,97607,HC NEG PRESS NONDME WNDTX<=50SQCM,571.0,571.0,,,0
HCPCS,97607,HC NEG PRESSURE WOUND THERAPY NON DME <= 50 SQ CM,571.0,571.0,,,0
HCPCS,97607,Neg press wnd tx <=50 sq cm,,,416.15,1921.25,9
HCPCS,97608,HC NEG PRESS NONDME WNDTX >50SQCM,571.0,571.0,,,0
HCPCS,97608,Neg press wound tx >50 cm,,,416.15,1921.25,9
HCPCS,97610,Low frequency non-thermal us,,,208.93,948.23,9
HCPCS,97750,HC OT PHYSICAL PERF TEST OR MEAS W RPT EA 15 MINS,153.0,153.0,,,0
HCPCS,97750,HC PT PHYSICAL PERF TEST OR MEAS W RPT EA 15 MINS,153.0,153.0,,,0
HCPCS,97750,Physical performance test,,,34.59,145.4,8
HCPCS,97755,Assistive technology assess,,,38.65,162.47,8
HCPCS,97755,HC OT ASSIST TECH ASSESS EA 15MIN,140.0,140.0,,,0
HCPCS,97755,HC PT ASSIST TECH ASSESS EA 15MIN,140.0,140.0,,,0
HCPCS,97760,HC OT ORTHOTIC MGMT/TRNG INITIAL ENC EA 15 MIN,132.0,132.0,,,0
HCPCS,97760,HC PT ORTHOTIC MGMT/TRNG INITIAL ENC EA 15 MIN,132.0,132.0,,,0
HCPCS,97760,Orthotic mgmt and training,,,47.33,208.74,8
HCPCS,97761,HC OT PROSTHETIC TRAINING INITIAL ENC EA 15 MIN,134.0,134.0,,,0
HCPCS,97761,HC PT PROSTHETIC TRAINING INITIAL ENC EA 15 MIN,134.0,134.0,,,0
HCPCS,97761,Prosthetic training,,,41.47,176.71,8
HCPCS,97763,HC OT ORTH/PROS MGT/TRAIN UP/LOW EXT SUBSEQ ENC EA 15 MINS,171.0,171.0,,,0
HCPCS,97763,HC PT ORTH/PROS MGT/TRAIN UP/LOW EXT SUBSEQ ENC EA 15 MINS,171.0,171.0,,,0
HCPCS,97763,Orthc/prostc mgmt sbsq enc,,,51.48,233.5,8
HCPCS,97802,HC INITIAL NUTR COUNSEL EA 15MIN,123.0,123.0,,,0
HCPCS,97802,Medical nutrition indiv in,,,26.96,169.75,9
HCPCS,97803,HC NUTR COUNSEL F/U EA 15MIN,135.0,135.0,,,0
HCPCS,97803,Med nutrition indiv subseq,,,22.51,146.91,9
HCPCS,97804,HC GROUP DIET INSTRUC EA 30MIN,115.0,115.0,,,0
HCPCS,97804,Medical nutrition group,,,12.6,75.09,9
HCPCS,97810,Acupunct w/o stimul 15 min,,,31.09,136.7,8
HCPCS,97810,HC ACUPUNCTURE WO ELEC STIM INIT 15 MIN,308.0,308.0,,,0
HCPCS,97811,HC ACUPUNCTURE WO ELEC STIM EA ADDL 15 MIN,255.0,255.0,,,0
HCPCS,97813,Acupunct w/stimul 15 min,,,31.09,136.7,8
HCPCS,98000,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW PT SF MDM 15 MIN,167.0,167.0,,,0
HCPCS,98001,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW PT LOW MDM 30 MIN,238.0,238.0,,,0
HCPCS,98002,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW PT MOD MDM 45 MIN,364.0,364.0,,,0
HCPCS,98003,HC PR SYNCHRONOUS AUDIO-VIDEO VST NEW PT HIGH MDM 60 MIN,438.0,438.0,,,0
HCPCS,98004,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT EST PT SF MDM 10 MIN,132.0,132.0,,,0
HCPCS,98005,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT EST PT LOW MDM 20 MIN,170.0,170.0,,,0
HCPCS,98006,HC PR SYNCHRONOUS AUDIO-VIDEO VISIT EST PT MOD MDM 30 MIN,260.0,260.0,,,0
HCPCS,98007,HC PR SYNCHRONOUS AUDIO-VIDEO VST EST PT HIGH MDM 40 MIN,350.0,350.0,,,0
HCPCS,98008,HC PR SYNCHRONOUS AUDIO-ONLY VISIT NEW PT SF MDM 15 MIN,167.0,167.0,,,0
HCPCS,98009,HC PR SYNCHRONOUS AUDIO-ONLY VISIT NEW PT LOW MDM 30 MIN,238.0,238.0,,,0
HCPCS,98010,HC PR SYNCHRONOUS AUDIO-ONLY VISIT NEW PT MOD MDM 45 MIN,364.0,364.0,,,0
HCPCS,98011,HC PR SYNCHRONOUS AUDIO-ONLY VISIT NEW PT HIGH MDM 60 MIN,438.0,438.0,,,0
HCPCS,98012,HC PR SYNCHRONOUS AUDIO-ONLY VISIT EST PT SF MDM 10 MIN,132.0,132.0,,,0
HCPCS,98013,HC PR SYNCHRONOUS AUDIO-ONLY VISIT EST PT LOW MDM 20 MIN,170.0,170.0,,,0
HCPCS,98014,HC PR SYNCHRONOUS AUDIO-ONLY VISIT EST PT MOD MDM 30 MIN,260.0,260.0,,,0
HCPCS,98015,HC PR SYNCHRONOUS AUDIO-ONLY VISIT EST PT HIGH MDM 40 MIN,350.0,350.0,,,0
HCPCS,98016,HC PR BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN,52.0,52.0,,,0
HCPCS,98925,Osteopath manj 1-2 regions,,,24.28,102.64,9
HCPCS,98926,Osteopath manj 3-4 regions,,,24.28,102.64,9
HCPCS,98927,Osteopath manj 5-6 regions,,,24.28,102.64,9
HCPCS,98928,Osteopath manj 7-8 regions,,,24.28,102.64,9
HCPCS,98929,Osteopath manj 9-10 regions,,,24.28,102.64,9
HCPCS,98940,Chiropract manj 1-2 regions,,,24.28,102.64,9
HCPCS,98941,Chiropract manj 3-4 regions,,,24.28,102.64,9
HCPCS,98942,Chiropractic manj 5 regions,,,24.28,102.64,9
HCPCS,98943,Chiropract manj xtrspinl 1/>,,,23.83,51.07,4
HCPCS,98960,HC ED SELF-MNGMT EA 30MINS 1 PT,108.0,108.0,,,0
HCPCS,98961,HC ED SELF-MNGM EA 30MINS 2-4PTS,76.0,76.0,,,0
HCPCS,98962,HC ED SELF-MNGM EA 30MINS 5-8 PTS,76.0,76.0,,,0
HCPCS,98966,HC PR TEL ASSESS&MGT BY NONPHY EST PT 5-10MINS,54.0,54.0,,,0
HCPCS,98966,Hc pro phone call 5-10 min,,,10.53,87.39,4
HCPCS,98967,HC PR TEL ASSESS&MGT BY NONPHY EST PT 11-20MINS,99.0,99.0,,,0
HCPCS,98967,Hc pro phone call 11-20 min,,,20.37,87.39,4
HCPCS,98968,HC PR TEL ASSESS&MGT BY NONPHY EST PT 21-30 MINS,138.0,138.0,,,0
HCPCS,98968,Hc pro phone call 21-30 min,,,29.57,124.3,4
HCPCS,98970,Qnhp ol dig e/m svc 5-10min,,,10.53,44.26,3
HCPCS,98971,Qnhp ol dig em svc 11-20min,,,19.37,81.42,3
HCPCS,98972,Qnhp ol dig e/m svc 21+ min,,,29.55,124.21,3
HCPCS,98975,Rem ther mntr 1st setup&edu,,,149.69,629.22,5
HCPCS,98976,Rem ther mntr dev sply resp,,,41.96,182.47,5
HCPCS,98977,Rem ther mntr dv sply mscskl,,,41.96,182.47,5
HCPCS,98978,Rem ther mntr dev sply cbt,,,39.37,182.47,9
HCPCS,98979,Rtm tx mgmt 1st 10 min,,,11.54,48.51,3
HCPCS,98980,Rem ther mntr 1st 20 min,,,26.14,109.88,3
HCPCS,98981,Rem ther mntr ea addl 20 min,,,25.8,108.45,3
HCPCS,98984,Rtm dev sply resp sys 2-15 d,,,41.96,176.39,3
HCPCS,98985,Rtm dev sply mscsk sys 2-15d,,,41.96,176.39,3
HCPCS,98986,Rtm dev sply cbt 2-15 d,,,41.96,176.39,3
HCPCS,99000,Specimen handling office-lab,,,9.55,52.6,2
HCPCS,99001,HC H HANDLING/PREP,13.5,13.5,,,0
HCPCS,99001,HC HANDLING/PROCESSING FEE,13.5,13.5,,,0
HCPCS,99001,HC SENDOUT SHIPPING/HANDLING,13.5,13.5,,,0
HCPCS,99001,Specimen handling pt-lab,,,10.98,79.5,2
HCPCS,99050,HC EVE OR WE VST IN ADD TO VISIT,69.0,69.0,,,0
HCPCS,99091,HC COLL & INTERP PHYSIOLOGIC DATA 30 MINS,144.0,144.0,,,0
HCPCS,99151,HC MOD SED SAME PHYS PT <5 YRS INI 15MINS,130.0,130.0,,,0
HCPCS,99152,HC MOD SED SAME PHYS PT 5 YRS OR> INI 15MINS,130.0,130.0,,,0
HCPCS,99152,HC PR MOD SED SAME PHYS PT 5 YRS OR> INI 15MINS,90.0,90.0,,,0
HCPCS,99153,HC MOD SED EA ADDL 15MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 105 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 120 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 135 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 150 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 165 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 180 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 195 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 210 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 225 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 240 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 255 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 270 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 285 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 30 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 45 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 60 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 75 MINS,28.0,28.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QUAL HLTH PRO EACH ADDL 90 MINS,28.0,28.0,,,0
HCPCS,99153,HC PR MOD SED SAME PHYS EA ADDL 15MINS,25.0,25.0,,,0
HCPCS,99155,HC MOD SED OTHER PHY/QUAL HLTH CARE PROF PT <5 YRS INI 15MINS,222.0,222.0,,,0
HCPCS,99156,HC MOD SED OTHER PHY/QUAL HLTH CARE PROF PT 5 YRS OR> INI 15MINS,125.0,125.0,,,0
HCPCS,99157,HC MOD SED OTHER PHY/QUAL HLTH CARE PROF EA ADDL 15MINS,110.0,110.0,,,0
HCPCS,99170,Anogenital exam child w imag,,,39.58,955.49,9
HCPCS,99170,HC ANOGENITAL EXAM W/COLPOSCOPY,498.0,498.0,,,0
HCPCS,99170,HC PR ANOGENITAL EXAM W/COLPOSCOPY,445.0,445.0,,,0
HCPCS,99173,HC VISUAL ACUITY SCREEN SNELLEN,70.0,70.0,,,0
HCPCS,99173,Visual acuity screen,,,3.65,48.86,5
HCPCS,99174,HC INSTRUMENT BASED OCULAR SCREENING BILATERAL,162.0,162.0,,,0
HCPCS,99174,Ocular instrumnt screen bil,,,7.0,804.67,5
HCPCS,99177,Ocular instrumnt screen bil,,,540.04,540.04,1
HCPCS,99183,HC PR MD SUPERVISION OF HBOT,446.0,446.0,,,0
HCPCS,99183,Hyperbaric oxygen therapy,,,114.06,487.49,5
HCPCS,99184,Hypothermia ill neonate,,,6880.82,9829.75,4
HCPCS,99188,HC APPLICATION TOPICAL FLUORIDE VARNISH BY PHY/QHCP,27.0,27.0,,,0
HCPCS,99188,HC PR APPLICATION TOPICAL FLUORIDE VARNISH BY PHY/QHCP,56.0,56.0,,,0
HCPCS,99195,HC THERAPEUTIC PHLEBOTOMY,504.0,504.0,,,0
HCPCS,99195,Phlebotomy,,,133.32,628.81,9
HCPCS,99202,HC OPD NEW PT LEVEL II,228.0,228.0,,,0
HCPCS,99202,HC PR OPD NEW PT LEVEL II,228.0,228.0,,,0
HCPCS,99202,Office/outpatient visit new,,,77.44,112.28,5
HCPCS,99203,HC OPD NEW PT LEVEL III,299.0,299.0,,,0
HCPCS,99203,HC PR OPD NEW PT LEVEL III,299.0,299.0,,,0
HCPCS,99203,Office/outpatient visit new,,,87.39,172.88,5
HCPCS,99204,HC OPD NEW PT LEVEL IV,386.0,386.0,,,0
HCPCS,99204,HC PR OPD NEW PT LEVEL IV,386.0,386.0,,,0
HCPCS,99204,Office/outpatient visit new,,,87.39,258.92,5
HCPCS,99205,HC OPD NEW PT LEVEL V,507.0,507.0,,,0
HCPCS,99205,HC PR OPD NEW PT LEVEL V,474.0,474.0,,,0
HCPCS,99205,Office/outpatient visit new,,,87.39,341.26,5
HCPCS,99211,HC OPD ESTAB PT LEVEL I,185.0,185.0,,,0
HCPCS,99211,HC PR OPD ESTAB PT LEVEL I,158.0,158.0,,,0
HCPCS,99211,Office/outpatient visit est,,,25.14,87.39,5
HCPCS,99212,HC OPD ESTAB PT LEVEL II,238.0,238.0,,,0
HCPCS,99212,HC PR OPD ESTAB PT LEVEL II,228.0,228.0,,,0
HCPCS,99212,Office/outpatient visit est,,,60.7,88.01,5
HCPCS,99213,HC OPD ESTAB PT LEVEL III,323.0,323.0,,,0
HCPCS,99213,HC PR OPD ESTAB PT LEVEL III,280.0,280.0,,,0
HCPCS,99213,Office/outpatient visit est,,,87.39,141.18,5
HCPCS,99214,HC OPD ESTAB PT LEVEL IV,403.0,403.0,,,0
HCPCS,99214,HC PR OPD ESTAB PT LEVEL IV,326.0,326.0,,,0
HCPCS,99214,Office/outpatient visit est,,,87.39,199.05,5
HCPCS,99215,HC OPD ESTAB PT LEVEL V,484.0,484.0,,,0
HCPCS,99215,HC PR OPD ESTAB PT LEVEL V,401.0,401.0,,,0
HCPCS,99215,Office/outpatient visit est,,,87.39,279.93,5
HCPCS,99221,HC PR INITIAL HOSP CARE PER DAY 30MINS,327.0,327.0,,,0
HCPCS,99221,Initial hospital care,,,89.54,5088.77,5
HCPCS,99222,HC PR INITIAL HOSP CARE PER DAY 50MINS,343.0,343.0,,,0
HCPCS,99222,Initial hospital care,,,141.57,5088.77,5
HCPCS,99223,HC PR INITIAL HOSP CARE PER DAY 70MINS,497.0,497.0,,,0
HCPCS,99223,Initial hospital care,,,187.82,5088.77,5
HCPCS,99231,HC PR SUBSEQ OBSERV CARE PER DAY 15MINS,120.0,120.0,,,0
HCPCS,99231,Subsequent hospital care,,,53.6,5088.77,5
HCPCS,99232,HC PR SUBSEQ OBSERV CARE PER DAY 25MINS,189.0,189.0,,,0
HCPCS,99232,Subsequent hospital care,,,85.49,169.46,4
HCPCS,99233,HC PR SUBSEQ OBSERV CARE PER DAY 35MINS,275.0,275.0,,,0
HCPCS,99233,Subsequent hospital care,,,128.6,254.92,4
HCPCS,99234,HC PR OBV/INPT HOSP CARE INC ADMISS & DISCH SAME DATE 40MINS,336.0,336.0,,,0
HCPCS,99234,Observ/hosp same date,,,105.8,5088.77,5
HCPCS,99235,HC PR OBV/INPT HOSP CARE INC ADMISS & DISCH SAME DATE 50MINS,435.0,435.0,,,0
HCPCS,99235,Observ/hosp same date,,,172.82,5088.77,5
HCPCS,99236,HC PR OBV/INPT HOSP CARE INC ADMISS & DISCH SAME DATE 55MINS,555.0,555.0,,,0
HCPCS,99236,Observ/hosp same date,,,225.72,5088.77,5
HCPCS,99238,HC PR HOSPITAL DISCHARGE DAY MGMT 30MINS OR<,198.0,198.0,,,0
HCPCS,99238,Hospital discharge day,,,88.21,174.86,4
HCPCS,99239,HC PR HOSPITAL DISCHARGE DAY MGMT > 30MINS,282.0,282.0,,,0
HCPCS,99239,Hospital discharge day,,,124.47,246.72,4
HCPCS,99252,HC PR INI  INPATIENT CONSULT NEW/ESTABL PT 40MINS,198.0,198.0,,,0
HCPCS,99253,HC PR INI  INPATIENT CONSULT NEW/ESTABL PT 55MINS,292.0,292.0,,,0
HCPCS,99254,HC PR INI  INPATIENT CONSULT NEW/ESTABL PT 80MINS,426.0,426.0,,,0
HCPCS,99255,HC PR INI  INPATIENT CONSULT NEW/ESTABL PT 100MINS,495.0,495.0,,,0
HCPCS,99281,Emergency dept visit,,,92.66,960.19,8
HCPCS,99281,HC ED LEVEL I,630.0,630.0,,,0
HCPCS,99281,HC PR EMERGENCY DEPT VISIT LIMITED/MINOR,138.0,138.0,,,0
HCPCS,99282,Emergency dept visit,,,170.68,1153.97,8
HCPCS,99282,HC ED LEVEL II,1040.0,1040.0,,,0
HCPCS,99282,HC PR EMERGENCY DEPT VISIT LOW/MODERATE SEVERITY,205.0,205.0,,,0
HCPCS,99283,Emergency dept visit,,,297.78,1470.33,8
HCPCS,99283,HC ED LEVEL III,1494.0,1494.0,,,0
HCPCS,99283,HC PR EMERGENCY DEPT VISIT MODERATE SEVERITY,274.0,274.0,,,0
HCPCS,99284,Emergency dept visit,,,462.23,1972.04,8
HCPCS,99284,HC ED LEVEL IV,3500.0,3500.0,,,0
HCPCS,99284,HC PR EMERGENCY DEPT VISIT HIGH SEVERITY/URGENT EVAL,428.0,428.0,,,0
HCPCS,99285,Emergency dept visit,,,669.58,2814.57,8
HCPCS,99285,HC ED LEVEL V,4500.0,4500.0,,,0
HCPCS,99285,HC PR EMERG DEPT VISIT HIGH SEVERITY & IMM THREAT TO LIFE/PHY FUNCT,513.0,513.0,,,0
HCPCS,99291,Critical care first hour,,,926.09,3903.93,8
HCPCS,99291,HC CRITICAL CARE 30-74 MINS,4650.0,4650.0,,,0
HCPCS,99291,HC ED LEVEL VI,4650.0,4650.0,,,0
HCPCS,99291,HC PR CRITICAL CARE 30-74 MINS,624.0,624.0,,,0
HCPCS,99292,HC CRITICAL CARE ADDL 30 MINS,968.0,968.0,,,0
HCPCS,99292,HC ED LEVEL VI EA 30 MIN,968.0,968.0,,,0
HCPCS,99292,HC PR CRITICAL CARE EACH ADDL 30 MINS,278.0,278.0,,,0
HCPCS,99304,Nursing facility care init,,,87.47,173.39,4
HCPCS,99305,Nursing facility care init,,,145.38,288.16,4
HCPCS,99306,Nursing facility care init,,,198.44,393.35,4
HCPCS,99307,Nursing fac care subseq,,,43.98,87.17,4
HCPCS,99308,Nursing fac care subseq,,,81.38,161.3,4
HCPCS,99309,Nursing fac care subseq,,,117.65,233.2,4
HCPCS,99310,Nursing fac care subseq,,,167.73,332.47,4
HCPCS,99315,Nursing fac discharge day,,,89.02,176.46,4
HCPCS,99316,Nursing fac discharge day,,,142.77,283.0,4
HCPCS,99341,HC PR HOME VISIT EVAL MGT NEW PT 20 MINS FACE 2 FACE,239.0,239.0,,,0
HCPCS,99341,Home visit new patient,,,53.88,106.79,4
HCPCS,99342,HC PR HOME VISIT EVAL MGT NEW PT 30 MINS FACE 2 FACE,266.0,266.0,,,0
HCPCS,99342,Home visit new patient,,,85.37,169.22,4
HCPCS,99344,HC PR HOME VISIT EVAL MGT NEW PT 60 MINS FACE 2 FACE,460.0,460.0,,,0
HCPCS,99344,Home visit new patient,,,154.94,307.12,4
HCPCS,99345,HC PR HOME VISIT EVAL MGT NEW PT 75 MINS FACE 2 FACE,561.0,561.0,,,0
HCPCS,99345,Home visit new patient,,,220.08,886.44,5
HCPCS,99347,HC PR HOME VISIT EVAL MGT EST PT 15 MINS FACE 2 FACE,217.0,217.0,,,0
HCPCS,99347,Home visit est patient,,,49.47,98.06,4
HCPCS,99348,HC PR HOME VISIT EVAL MGT EST PT 25 MINS FACE 2 FACE,266.0,266.0,,,0
HCPCS,99348,Home visit est patient,,,83.57,165.66,4
HCPCS,99349,HC PR HOME VISIT EVAL MGT EST PT 40 MINS FACE 2 FACE,343.0,343.0,,,0
HCPCS,99349,Home visit est patient,,,138.78,275.09,4
HCPCS,99350,HC PR HOME VISIT EVAL MGT EST PT 60 MINS FACE 2 FACE,499.0,499.0,,,0
HCPCS,99350,Home visit est patient,,,202.04,400.49,4
HCPCS,99358,HC PR PROLONGED MD OUTPT 1ST HR,156.0,156.0,,,0
HCPCS,99359,HC PR PROLONGED MD OUTPT EA AD 30MIN,56.0,56.0,,,0
HCPCS,99360,Physician standby services,,,63.69,126.25,4
HCPCS,99367,HC TEAM CONF W/MD W/O PT 30MIN,381.0,381.0,,,0
HCPCS,99381,HC PEDI NEW LESS THAN YR,396.0,396.0,,,0
HCPCS,99381,HC PR PEDI NEW LESS THAN YR,311.0,311.0,,,0
HCPCS,99381,Init pm e/m new pat infant,,,87.39,169.43,5
HCPCS,99382,HC PEDI NEW 1 TO 4 YRS,378.0,378.0,,,0
HCPCS,99382,HC PR PEDI NEW 1 TO 4 YRS,326.0,326.0,,,0
HCPCS,99382,Init pm e/m new pat 1-4 yrs,,,87.39,177.13,5
HCPCS,99383,HC PEDI NEW 5 TO 11 YRS,378.0,378.0,,,0
HCPCS,99383,HC PR PEDI NEW 5 TO 11 YRS,339.0,339.0,,,0
HCPCS,99383,Prev visit new age 5-11,,,87.39,183.87,5
HCPCS,99384,HC NEW PT E&M 12 TO 17 YEARS,378.0,378.0,,,0
HCPCS,99384,HC PR NEW PT E&M 12 TO 17 YEARS,330.0,330.0,,,0
HCPCS,99384,Prev visit new age 12-17,,,87.39,205.99,5
HCPCS,99385,HC NEW PREV EXAM 18 TO 39 YRS,378.0,378.0,,,0
HCPCS,99385,HC PR NEW PREV EXAM 18 TO 39 YRS,319.0,319.0,,,0
HCPCS,99385,Prev visit new age 18-39,,,87.39,200.29,5
HCPCS,99386,HC NEW PREV EXAM 40 TO 64 YRS,378.0,378.0,,,0
HCPCS,99386,HC PR NEW PREV EXAM 40 TO 64 YRS,429.0,429.0,,,0
HCPCS,99386,Prev visit new age 40-64,,,87.39,230.72,5
HCPCS,99387,HC NEW PREV EXAM 65 & OVER,378.0,378.0,,,0
HCPCS,99387,HC PR NEW PREV EXAM 65 & OVER,464.0,464.0,,,0
HCPCS,99387,Init pm e/m new pat 65+ yrs,,,87.39,250.43,5
HCPCS,99391,HC PEDI ESTAB LESS THAN 1 YR,302.0,302.0,,,0
HCPCS,99391,HC PR PEDI ESTAB LESS THAN 1 YR,280.0,280.0,,,0
HCPCS,99391,Per pm reeval est pat infant,,,87.39,152.33,5
HCPCS,99392,HC PEDI ESTAB 1 TO 4 YRS,302.0,302.0,,,0
HCPCS,99392,HC PR PEDI ESTAB 1 TO 4 YRS,299.0,299.0,,,0
HCPCS,99392,Prev visit est age 1-4,,,87.39,162.1,5
HCPCS,99393,HC PEDI ESTAB 5 TO 11 YRS,302.0,302.0,,,0
HCPCS,99393,HC PR PEDI ESTAB 5 TO 11 YRS,298.0,298.0,,,0
HCPCS,99393,Prev visit est age 5-11,,,87.39,161.57,5
HCPCS,99394,HC PEDI ESTAB 12 TO 17 YRS,302.0,302.0,,,0
HCPCS,99394,HC PR PEDI ESTAB 12 TO 17 YRS,327.0,327.0,,,0
HCPCS,99394,Prev visit est age 12-17,,,87.39,176.54,5
HCPCS,99395,HC ESTAB PREV EXAM 18 TO 39YRS,302.0,302.0,,,0
HCPCS,99395,HC PR ESTAB PREV EXAM 18 TO 39YRS,288.0,288.0,,,0
HCPCS,99395,Prev visit est age 18-39,,,87.39,180.59,5
HCPCS,99396,HC ESTAB PREV EXAM 40 TO 64YRS,332.0,332.0,,,0
HCPCS,99396,HC PR ESTAB PREV EXAM 40 TO 64YRS,355.0,355.0,,,0
HCPCS,99396,Prev visit est age 40-64,,,87.39,191.92,5
HCPCS,99397,HC ESTAB PREV MED 65 & OVER,302.0,302.0,,,0
HCPCS,99397,HC PR ESTAB PREV MED 65 & OVER,382.0,382.0,,,0
HCPCS,99397,Per pm reeval est pat 65+ yr,,,87.39,206.52,5
HCPCS,99401,HC PREV MED COUNSELING 15 MIN,67.0,67.0,,,0
HCPCS,99401,Preventive counseling indiv,,,88.14,88.14,1
HCPCS,99402,HC PR PREV MED COUNSELING 30 MIN,161.0,161.0,,,0
HCPCS,99402,HC PREV MED COUNSELING 30 MIN,133.0,133.0,,,0
HCPCS,99402,Preventive counseling indiv,,,88.14,88.14,1
HCPCS,99403,Preventive counseling indiv,,,88.14,88.14,1
HCPCS,99404,HC PR PREV MED COUNSELING 60 MIN,287.0,287.0,,,0
HCPCS,99404,HC PREV MED COUNSELING 60 MIN,254.0,254.0,,,0
HCPCS,99404,Preventive counseling indiv,,,88.14,88.14,1
HCPCS,99406,Behav chng smoking 3-10 min,,,42.13,177.08,4
HCPCS,99406,HC PR SMOKING CESSATION COUN 3-10MIN,77.0,77.0,,,0
HCPCS,99406,HC SMOKING CESSATION COUN 3-10MIN,65.0,65.0,,,0
HCPCS,99407,Behav chng smoking > 10 min,,,29.96,177.08,8
HCPCS,99407,HC PR SMOKING CESS COUN >10MIN,81.0,81.0,,,0
HCPCS,99407,HC SMOKING CESSATION COUN > 10MIN,65.0,65.0,,,0
HCPCS,99408,Audit/dast 15-30 min,,,275.48,275.48,1
HCPCS,99408,HC ALCOHOL/SUBS INTERV<30MIN SCRN,115.0,115.0,,,0
HCPCS,99409,Audit/dast over 30 min,,,338.36,338.36,1
HCPCS,99409,HC ALCOHOL/SUBS INTERV>30MIN SCRN,115.0,115.0,,,0
HCPCS,99411,Preventive counseling group,,,88.14,88.14,1
HCPCS,99412,Preventive counseling group,,,88.14,88.14,1
HCPCS,99417,HC PR PROLONGED OFFICE/OUTPAT E&M EA 15MINS,72.0,72.0,,,0
HCPCS,99417,Prolng off/op e/m ea 15 min,,,33.67,66.74,4
HCPCS,99418,Prolng ip/obs e/m ea 15 min,,,6880.82,9829.75,4
HCPCS,99421,HC PR ONLINE DIGITAL E&M EST PT TO 7 DAYS 5-10MINS,61.0,61.0,,,0
HCPCS,99422,HC PR ONLINE DIGITAL E&M EST PT TO 7 DAYS 11-20MINS,199.0,199.0,,,0
HCPCS,99423,HC PR ONLINE DIGITAL E&M EST PT TO 7 DAYS 21 OR>MINS,247.0,247.0,,,0
HCPCS,99426,Prin care mgmt staff 1st 30,,,114.22,480.13,4
HCPCS,99439,HC PR CHRONIC CARE MGT SERVICES EACH ADDL 20MINS,92.0,92.0,,,0
HCPCS,99441,Phone e/m phys/qhp 5-10 min,,,62.22,123.33,5
HCPCS,99442,Phone e/m phys/qhp 11-20 min,,,87.39,198.2,5
HCPCS,99443,Phone e/m phys/qhp 21-30 min,,,87.39,280.29,5
HCPCS,99445,Rem mntr physiol param 2-15,,,41.96,176.39,3
HCPCS,99451,HC PR INTERPROF PHONE/INTRNT/EHR ASSMNT & MGT CONSULT PHY 5 MINS OR>,79.0,79.0,,,0
HCPCS,99453,Rem mntr physiol param setup,,,115.85,629.22,5
HCPCS,99454,Rem mntr physiol param dev,,,37.16,176.39,5
HCPCS,99457,HC PR REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH,110.0,110.0,,,0
HCPCS,99458,HC PR REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO,98.0,98.0,,,0
HCPCS,99460,Init nb em per day hosp,,,82.06,629.22,8
HCPCS,99462,Sbsq nb em per day hosp,,,6880.82,9829.75,4
HCPCS,99463,Same day nb discharge,,,137.96,629.22,8
HCPCS,99465,Nb resuscitation,,,679.21,3123.72,8
HCPCS,99468,Neonate crit care initial,,,6880.82,9829.75,4
HCPCS,99469,Neonate crit care subsq,,,6880.82,9829.75,4
HCPCS,99471,Ped critical care initial,,,6880.82,9829.75,4
HCPCS,99472,Ped critical care subsq,,,6880.82,9829.75,4
HCPCS,99473,Self-meas bp pt educaj/train,,,32.52,184.96,4
HCPCS,99475,Ped crit care age 2-5 init,,,6880.82,9829.75,4
HCPCS,99476,Ped crit care age 2-5 subsq,,,6880.82,9829.75,4
HCPCS,99477,Init day hosp neonate care,,,6880.82,9829.75,4
HCPCS,99478,Ic lbw inf < 1500 gm subsq,,,6880.82,9829.75,4
HCPCS,99479,Ic lbw inf 1500-2500 g subsq,,,6880.82,9829.75,4
HCPCS,99480,Ic inf pbw 2501-5000 g subsq,,,455.84,9829.75,5
HCPCS,99483,Assmt & care pln pt cog imp,,,82.51,480.13,4
HCPCS,99484,Care mgmt svc bhvl hlth cond,,,42.13,177.08,4
HCPCS,99484,HC CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS,121.0,121.0,,,0
HCPCS,99487,Cmplx chron care w/o pt vsit,,,166.39,838.87,8
HCPCS,99487,HC COMPLEX CHRONIC CARE MGT SVCS W/O PT VISIT 1ST HR PER MTH,527.0,527.0,,,0
HCPCS,99490,Chron care mgmt srvc 20 min,,,114.22,480.13,4
HCPCS,99491,Chrnc care mgmt svc 30 min,,,225.36,225.36,1
HCPCS,99492,1st psyc collab care mgmt,,,93.02,480.13,8
HCPCS,99492,HC INI PSYCH COLLAB CARE MGMT 1ST 70 MINS 1ST CAL MNTH,262.0,262.0,,,0
HCPCS,99492,HC PR INI PSYCH COLLAB CARE MGMT 1ST 70 MINS 1ST CAL MNTH,378.0,378.0,,,0
HCPCS,99493,HC PR SUBSEQ PSYCH COLLAB CARE MGMT 1ST 60 MINS SUBSEQ MNTH,302.0,302.0,,,0
HCPCS,99493,HC SUBSEQ PSYCH COLLAB CARE MGMT 1ST 60 MINS SUBSEQ MNTH,363.0,363.0,,,0
HCPCS,99493,Sbsq psyc collab care mgmt,,,114.22,480.13,8
HCPCS,99494,1st/sbsq psyc collab care,,,93.69,200.68,4
HCPCS,99494,HC INI/SUBSEQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS CAL MNTH,235.0,235.0,,,0
HCPCS,99494,HC PR INI/SUBSEQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS CAL MNTH,134.0,134.0,,,0
HCPCS,99495,HC PR TRANSITIONL CARE 14 DAY DISC,402.0,402.0,,,0
HCPCS,99495,HC TRANSITIONL CARE 14DAY DISC,339.0,339.0,,,0
HCPCS,99495,Trans care mgmt 14 day disch,,,149.69,629.22,4
HCPCS,99496,HC PR TRANSITIONL CARE 7 DAYS DISC,548.0,548.0,,,0
HCPCS,99496,HC TRANSITIONL CARE 7DAYS DISC,409.0,409.0,,,0
HCPCS,99496,Trans care mgmt 7 day disch,,,149.69,629.22,4
HCPCS,99497,Advncd care plan 30 min,,,93.02,480.13,8
HCPCS,99497,HC ADVANCED CARE PLAN 1ST 30 MINS,203.0,203.0,,,0
HCPCS,99497,HC PR ADVANCED CARE PLAN 1ST 30 MINS,147.0,147.0,,,0
HCPCS,99498,HC ADVANCED CARE PLAN ADDL 30MINS,125.0,125.0,,,0
HCPCS,99498,HC PR ADVANCED CARE PLAN ADDL 30MINS,116.0,116.0,,,0
HCPCS,A0130,Noner transport wheelch van,,,46.92,46.92,1
HCPCS,A0160,Noner transport case worker,,,5.2,5.2,1
HCPCS,A0225,Neonatal emergency transport,,,344.45,344.45,1
HCPCS,A0384,Bls defibrillation supplies,,,71.5,71.5,1
HCPCS,A0390,Advanced life support mileag,,,7.88,7.88,1
HCPCS,A0392,Als defibrillation supplies,,,86.51,86.51,1
HCPCS,A0394,Als IV drug therapy supplies,,,108.16,108.16,1
HCPCS,A0396,Als esophageal intub suppls,,,122.57,122.57,1
HCPCS,A0422,Ambulance 02 life sustaining,,,50.47,50.47,1
HCPCS,A0425,Ground mileage,,,7.09,39.22,6
HCPCS,A0426,Als 1,,,292.22,1497.92,6
HCPCS,A0427,ALS1-emergency,,,462.68,2371.7,6
HCPCS,A0428,bls,,,243.51,1248.27,6
HCPCS,A0429,BLS-emergency,,,389.62,1997.21,6
HCPCS,A0430,Fixed wing air transport,,,3152.35,16500.12,6
HCPCS,A0431,Rotary wing air transport,,,3665.08,19183.89,6
HCPCS,A0432,PI volunteer ambulance co,,,519.67,2184.43,5
HCPCS,A0433,als 2,,,669.66,3432.7,6
HCPCS,A0434,Specialty care transport,,,791.42,4056.84,6
HCPCS,A0435,Fixed wing air mileage,,,8.32,46.07,6
HCPCS,A0436,Rotary wing air mileage,,,22.21,122.87,6
HCPCS,A2006,408511 : DRESSING BIO W10XL10CM MEL DRFU VLU SYN SEAL MEM BONDING,30.0,30.0,,,0
HCPCS,A2006,408512 : DRESSING BIO W10XL20CM MEL DRFU VLU SYN SEAL MEM BONDING,30.0,30.0,,,0
HCPCS,A2006,408513 : DRESSING BIO W20XL40CM MEL DRFU VLU SYN SEAL MEM BONDING,30.0,30.0,,,0
HCPCS,A2006,DRESSING BIO W10XL10CM MEL DRFU VLU SYN SEAL MEM BONDING,31.48,31.48,,,0
HCPCS,A2006,HC 636 SKIN SUBSTITUTE A2006 (200 SQCM),20.4,20.4,,,0
HCPCS,A2006,NOVOSORB,30.0,30.0,,,0
HCPCS,A2006,NOVOSORB BTM 10CMX10CM-100SQ/CM,20.4,20.4,,,0
HCPCS,A2012,413347 : DRESSING BRN 18X10CM SYN MEM SUPRATHEL,2.47,2.47,,,0
HCPCS,A2012,413348 : GRAFT SYN 7.1X9.1IN ALLOPLASTIC SKIN SUB 5 MEM SUPRATHEL,1.88,1.88,,,0
HCPCS,A2012,DRESSING BRN 18X10CM SYN MEM SUPRATHEL,2.47,2.47,,,0
HCPCS,A2012,GRAFT SYN 7.1X9.1IN ALLOPLASTIC SKIN SUB 5 MEM SUPRATHEL,1.88,1.88,,,0
HCPCS,A2012,HC 636 SKIN SUBSTITUTE A2012 (180 SQCM),2.47,2.47,,,0
HCPCS,A2013,"Innovamatrix fs, per sq cm",,,139.92,1377.0,4
HCPCS,A2014,Omeza collag per 100 mg,,,130.69,130.69,1
HCPCS,A2019,Kerecis marigen shld sq cm,,,139.92,607.31,4
HCPCS,A2021,Neomatrix per sq cm,,,139.92,1758.71,4
HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,139.92,1453.5,4
HCPCS,A2023,"Innovamatrix pd, 1 mg",,,16.58,16.58,1
HCPCS,A2025,Miro3d per cubic cm,,,212.5,212.5,1
HCPCS,A2027,MATRIDERM,4821.86,4821.86,,,0
HCPCS,A2028,Micromatrix flex per mg,,,798.05,798.05,1
HCPCS,A2029,Mirotract matrix sheet,,,425.0,425.0,1
HCPCS,A2030,"Miro3d fibers, per mg",,,4.68,4.68,1
HCPCS,A2031,"Mirodry, per sq cm",,,510.0,510.0,1
HCPCS,A2032,"Myriad matrix, per sq cm",,,17.6,17.6,1
HCPCS,A2033,"Myriad morcells, 4 mg",,,11.22,11.22,1
HCPCS,A4210,Nonneedle injection device,,,1053.23,1053.23,1
HCPCS,A4215,107831 : NEEDLE BX ASPIR 22GA X 20CM CHIBA,29.98,29.98,,,0
HCPCS,A4215,107896 : NEEDLE BX 18GA L15CM ASPIR DISP CHIBA,27.58,27.58,,,0
HCPCS,A4215,14338 : NEEDLE BX 20GA L20CM CHIBA DISP FOR ASPIR,27.58,27.58,,,0
HCPCS,A4215,18110 : NEEDLE BX 22GA L15CM STD CANN ASPIR CHIBA,29.98,29.98,,,0
HCPCS,A4215,29402 : NEEDLE BX 20GA L15CM FOR ASPIR CHIBA,27.58,27.58,,,0
HCPCS,A4215,381936 : NEEDLE BX 21GA L20CM DISP FOR ASPIR CHIBA,27.58,27.58,,,0
HCPCS,A4215,88329 : NEEDLE BX CHIBA DISP 18GA 20CM,27.58,27.58,,,0
HCPCS,A4215,NEEDLE BX 18GA L15CM ASPIR DISP CHIBA,27.58,27.58,,,0
HCPCS,A4215,NEEDLE BX 20GA L15CM FOR ASPIR CHIBA,27.58,27.58,,,0
HCPCS,A4215,NEEDLE BX 20GA L20CM CHIBA DISP FOR ASPIR,27.58,27.58,,,0
HCPCS,A4215,NEEDLE BX 21GA L20CM DISP FOR ASPIR CHIBA,27.58,27.58,,,0
HCPCS,A4215,NEEDLE BX 22GA L15CM STD CANN ASPIR CHIBA,29.98,29.98,,,0
HCPCS,A4215,NEEDLE BX ASPIR 22GA X 20CM CHIBA,29.98,29.98,,,0
HCPCS,A4215,NEEDLE BX CHIBA DISP 18GA 20CM,27.58,27.58,,,0
HCPCS,A4216,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],1.0,1.0,,,0
HCPCS,A4220,HC REFILL KIT FOR IMPLANTABLE INF PUMP,29.0,29.0,,,0
HCPCS,A4232,Syringe w/needle insulin 3cc,,,10.72,10.72,1
HCPCS,A4233,Alkalin batt for glucose mon,,,0.58,0.58,1
HCPCS,A4234,J-cell batt for glucose mon,,,2.68,2.68,1
HCPCS,A4235,Lithium batt for glucose mon,,,1.13,1.13,1
HCPCS,A4236,Silvr oxide batt glucose mon,,,1.32,1.32,1
HCPCS,A4238,Adju cgm supply allowance,,,275.21,275.21,1
HCPCS,A4239,Non-adju cgm supply allow,,,311.74,311.74,1
HCPCS,A4250,Urine reagent strips/tablets,,,161.8,161.8,1
HCPCS,A4257,Replace lensshield cartridge,,,17.69,17.69,1
HCPCS,A4262,37615 : INTUBATION SET COLLARETTE SELF THREADING MONOKA M,264.0,264.0,,,0
HCPCS,A4262,INTUBATION SET COLLARETTE SELF THREADING MONOKA M,264.0,264.0,,,0
HCPCS,A4262,STENT LACR 40X2MM DIA0.64MM SIL FOR CANALICULAR LAC,576.0,576.0,,,0
HCPCS,A4363,"Ostomy clamp, replacement",,,3.29,3.29,1
HCPCS,A4541,Monthly supp use with e0733,,,40.97,40.97,1
HCPCS,A4542,Supp ext up limb tremor stim,,,525.6,525.6,1
HCPCS,A4544,Electro nerve stimulator rls,,,6.22,6.22,1
HCPCS,A4545,Suppl accessor tibial stim,,,37.78,37.78,1
HCPCS,A4550,HC MEDLINE EPIDURAL TRAY,17.01,17.01,,,0
HCPCS,A4563,Vag inser rectal control sys,,,1595.97,6895.0,8
HCPCS,A4570,Splint,,,42.47,42.47,1
HCPCS,A4593,Neuromod sti sys adj rehab,,,52.81,221.99,3
HCPCS,A4611,Heavy duty battery,,,290.42,290.42,1
HCPCS,A4612,Battery cables,,,118.18,118.18,1
HCPCS,A4613,Battery charger,,,181.21,181.21,1
HCPCS,A4630,Repl bat t.e.n.s. own by pt,,,8.65,8.65,1
HCPCS,A4633,Uvl replacement bulb,,,56.91,56.91,1
HCPCS,A4635,Underarm crutch pad,,,7.09,7.09,1
HCPCS,A4636,Handgrip for cane etc,,,4.27,4.27,1
HCPCS,A4637,Repl tip cane/crutch/walker,,,2.32,2.32,1
HCPCS,A4639,Infrared ht sys replcmnt pad,,,39.84,39.84,1
HCPCS,A4640,Alternating pressure pad,,,73.78,73.78,1
HCPCS,A4641,HC RADIOPHARM DIAG NOT CLASSIFIED,2481.0,2481.0,,,0
HCPCS,A4648,117422 : APPLIER LIG CLP MD L11.5IN AUTO W- SUP INTLOK 30 TI CLP PREM,289.5,289.5,,,0
HCPCS,A4648,117423 : APPLIER CLP LG L13IN GRN TI CLP AUTO ATTCH HNDL INTEGR CART,125.67,125.67,,,0
HCPCS,A4648,117424 : APPLIER LIG CLP L9IN SM TI CLP SUP INTLOK SURGCLP III,271.84,271.84,,,0
HCPCS,A4648,117694 : NEEDLE LOC L15CM DIA21GA BRST LESION MOD NONPALPABLE DISP QK,61.28,61.28,,,0
HCPCS,A4648,122560 : MARKER BX SITE TI HR GLS SHP W- INTRO DEPLOYMENT METHD,210.24,210.24,,,0
HCPCS,A4648,122561 : BIOPSY SITE IDENTIFIER FOR USE W- EVIVA 13CM 1ST SHP,197.88,197.88,,,0
HCPCS,A4648,122562 : TRIMARK EVIVA 2S-13 PETITE,185.52,185.52,,,0
HCPCS,A4648,145530 : SECURMARK FOR MRI SS SHP 1,197.88,197.88,,,0
HCPCS,A4648,145531 : MARKER BRST BX SITE SS INFIN BIOABSRB W- INTRO FOR ATEC MRI,197.88,197.88,,,0
HCPCS,A4648,405441 : FIDUCIAL MARKER KIT 17G,676.8,676.8,,,0
HCPCS,A4648,413487 : TUMARK PROFESSIONALXSHAPE 10CM,197.88,197.88,,,0
HCPCS,A4648,413488 : TUMARK PROF Q SHP 10CM,197.88,197.88,,,0
HCPCS,A4648,413755 : MARKER RAD 18GA L7CM NDL CANN MAG MAGSEED,1380.0,1380.0,,,0
HCPCS,A4648,413756 : MARKER RAD 18GA L12CM NDL CANN MAG MAGSEED,1380.0,1380.0,,,0
HCPCS,A4648,57973 : NEEDLE LOC L9CM DIA20GA BRST REPOSITIONAL MRK SYS SPR HK,61.95,61.95,,,0
HCPCS,A4648,84489 : NEEDLE LOC 21GA L7CM FOR PREOPERATIVE MRK OF NONPALPABLE,61.94,61.94,,,0
HCPCS,A4648,84490 : NEEDLE LOC L5CM DIA21GA BRST LESION MOD NONPALPABLE DISP QK,61.95,61.95,,,0
HCPCS,A4648,APPLIER CLP LG L13IN GRN TI CLP AUTO ATTCH HNDL INTEGR CART,118.82,118.82,,,0
HCPCS,A4648,APPLIER LIG CLP L9IN SM TI CLP SUP INTLOK SURGCLP III,142.96,142.96,,,0
HCPCS,A4648,APPLIER LIG CLP MD L11.5IN AUTO W/ SUP INTLOK 30 TI CLP PREM,163.94,163.94,,,0
HCPCS,A4648,BIOPSY SITE IDENTIFIER FOR USE W/ EVIVA 13CM 1ST SHP,197.88,197.88,,,0
HCPCS,A4648,BREAST TISSUE MARKER,192.94,192.94,,,0
HCPCS,A4648,FIDUCIAL MARKER KIT 17G,676.8,676.8,,,0
HCPCS,A4648,FIDUCIAL PLACEMENT TEMPLATE 66-DA-FT-02,96.77,96.77,,,0
HCPCS,A4648,LUMICOIL PLAINUM MARKER,520.56,520.56,,,0
HCPCS,A4648,MARKER BRST BX SITE SS INFIN BIOABSRB W/ INTRO FOR ATEC MRI,197.88,197.88,,,0
HCPCS,A4648,MARKER BX SITE TI HR GLS SHP W/ INTRO DEPLOYMENT METHD,210.24,210.24,,,0
HCPCS,A4648,MARKER RAD 18GA L12CM NDL CANN MAG MAGSEED,1380.0,1380.0,,,0
HCPCS,A4648,NEEDLE LOC 20GA L7CM FOR PREOP MRK OF NONPALPABLE BRST,59.28,59.28,,,0
HCPCS,A4648,NEEDLE LOC 21GA L7CM FOR PREOPERATIVE MRK OF NONPALPABLE,59.57,59.57,,,0
HCPCS,A4648,NEEDLE LOC L15CM DIA21GA BRST LESION MOD NONPALPABLE DISP QK,59.28,59.28,,,0
HCPCS,A4648,NEEDLE LOC L5CM DIA21GA BRST LESION MOD NONPALPABLE DISP QK,59.71,59.71,,,0
HCPCS,A4648,NEEDLE LOC L9CM DIA20GA BRST REPOSITIONAL MRK SYS SPR HK,59.39,59.39,,,0
HCPCS,A4648,SECURMARK FOR MRI SS SHP 1,197.88,197.88,,,0
HCPCS,A4648,TRIMARK EVIVA 2S-13 MARKER,180.0,180.0,,,0
HCPCS,A4648,TRIMARK EVIVA 2S-13 PETITE,182.01,182.01,,,0
HCPCS,A4648,TUMARK PROF Q SHP 10CM,197.88,197.88,,,0
HCPCS,A4649,"1305225 - MODULUS ALIF BLADE, Ã5.0X22.5MM",1440.0,1440.0,,,0
HCPCS,A4649,"1910110P2 - XLIF AMS PLATE, 10MM SINGLE-SIDED",5760.0,5760.0,,,0
HCPCS,A4649,"2.0 KWIRE, 150MM",108.24,108.24,,,0
HCPCS,A4649,300MM ROD,456.0,456.0,,,0
HCPCS,A4649,30MM MEDTRONIC SIMUPLUS FLEXIBLE ANNULOPLASTY BAND,5892.0,5892.0,,,0
HCPCS,A4649,40MM ROD,324.0,324.0,,,0
HCPCS,A4649,48630W - STAPLER 30 RELOAD WHITE,430.61,430.61,,,0
HCPCS,A4649,5.5 PRE BENT ROD,1710.0,1710.0,,,0
HCPCS,A4649,50 ROD,324.0,324.0,,,0
HCPCS,A4649,7B3050 - BBRAUN MEDICAL 21G X 4.4CM WINGED INF,96.48,96.48,,,0
HCPCS,A4649,"AFFIXUS 10MM, LENGTH 350MM TIBIAL NAIL",4992.0,4992.0,,,0
HCPCS,A4649,BARD PTFE FELT,50.16,50.16,,,0
HCPCS,A4649,BONE VOID FILLER KIT,3780.0,3780.0,,,0
HCPCS,A4649,BUCKLE COMPONENT TYPE 240,48.0,48.0,,,0
HCPCS,A4649,BUCKLE COMPONENT TYPE 276,64.01,64.01,,,0
HCPCS,A4649,"BUTTON POLYESTER 9/16"" - 14MM",0.81,0.81,,,0
HCPCS,A4649,CERCLAGE CABLE WITH CRIMP,710.4,710.4,,,0
HCPCS,A4649,CG FUTURE ANNULOPLASTY BAND,5760.0,5760.0,,,0
HCPCS,A4649,CONNECTOR SPNL BND TI TIP FLAT TBLR LIGAPASS 2.0,1920.0,1920.0,,,0
HCPCS,A4649,CRAWFORD LACRIMAL INTUBATION SET,235.2,235.2,,,0
HCPCS,A4649,EDWARDS MC3 TRICUSPID ANNULOPLASTY RING,3948.0,3948.0,,,0
HCPCS,A4649,IMPLANT ACE PASCAL PRECISION SYSTEM,58752.0,58752.0,,,0
HCPCS,A4649,IMPLANT PASCAL PRECISION SYSTEM,7344.0,7344.0,,,0
HCPCS,A4649,JONES TUBE,336.0,336.0,,,0
HCPCS,A4649,LARGE LATERAL OFF SET CONNECTOR SPINAL ROD,1118.4,1118.4,,,0
HCPCS,A4649,LATERAL TI TALAR NECK PLATE BUTTERFLY,6190.2,6190.2,,,0
HCPCS,A4649,"M1-5-1410 - 14FR X 1.0CM MINIONE BALLOON BUTTON - LOW PROFILE FEEDING DEVICE, MDR",981.89,981.89,,,0
HCPCS,A4649,MEDIUM EXT BODY TRANSVERSE PROCESS HOOK,900.0,900.0,,,0
HCPCS,A4649,MEDIUM GOLD COVER,300.67,300.67,,,0
HCPCS,A4649,MICRODEEP DEPTH ELECTRODE 12 CONTACT,1968.0,1968.0,,,0
HCPCS,A4649,MICRODEEP DEPTH ELECTRODE 15 (3X5) CONTACT,2160.0,2160.0,,,0
HCPCS,A4649,MICRODEEP DEPTH ELECTRODE 15 CONTACT,2064.0,2064.0,,,0
HCPCS,A4649,MULTIPLE CLIP APPLIER LIGACLIP MCA 9 38IN LENGTH MEDIUM CLIP,72.0,72.0,,,0
HCPCS,A4649,PROTECTOR PIN L0.42IN DIA1.1MM WHT FOR K-WIRE,1.1,1.1,,,0
HCPCS,A4649,RETENTIA HEMO CLIP,360.0,360.0,,,0
HCPCS,A4649,"S5.1025U - BAND (4.0 X 1.25 MM) TYPE 42 - A STERILE, NON-BIOABSORBABLE DEVICE INTENDED TO BE IMPLANTED FOR INTRASCLERAL AND EPISCLERAL BUCKLING FOR THE SURGICAL TREATMENT OF RETINAL DETACHMENT",48.0,48.0,,,0
HCPCS,A4649,SIZER BRST 425CC DIA13.5CM P4.1CM SIL GEL SMOOTH RND MOD +,552.0,552.0,,,0
HCPCS,A4649,STABILIZER RAIL SYSTEM,7344.0,7344.0,,,0
HCPCS,A4649,T1027070 - VENT TUBE 1027070 5PK REUTER BOBB TITAN,82.44,82.44,,,0
HCPCS,A4649,TIGER STICK,130.27,130.27,,,0
HCPCS,A4649,TSB081506A - TAG TBE THORACIC SIDE BRANCH 15MMX6CM 8MM HEPARIN,18720.0,18720.0,,,0
HCPCS,A4649,VASCULAR REPAIR PATCH,359.83,359.83,,,0
HCPCS,A4649,VOLK OPTICAL DISPOSABLE FLAT LENS,113.76,113.76,,,0
HCPCS,A4649,WAYPOINT ANCHORS,194.4,194.4,,,0
HCPCS,A4649,"Z402-185-45 - ORTHEX, DRILL 4.5X185MM SOLID",959.4,959.4,,,0
HCPCS,A4649,ZENITH DISSECTION ENDOVASCULAR STENT,40785.6,40785.6,,,0
HCPCS,A5113,Latex leg strap,,,6.2,6.2,1
HCPCS,A5114,Foam/fabric leg strap,,,10.56,10.56,1
HCPCS,A5500,Diab shoe for density insert,,,88.18,88.18,1
HCPCS,A5501,Diabetic custom molded shoe,,,264.46,264.46,1
HCPCS,A5503,Diabetic shoe w/roller/rockr,,,44.85,44.85,1
HCPCS,A5504,Diabetic shoe with wedge,,,44.85,44.85,1
HCPCS,A5505,Diab shoe w/metatarsal bar,,,44.85,44.85,1
HCPCS,A5506,Diabetic shoe w/off set heel,,,44.85,44.85,1
HCPCS,A5507,Modification diabetic shoe,,,44.85,44.85,1
HCPCS,A5512,Multi den insert direct form,,,35.97,35.97,1
HCPCS,A5513,Multi den insert custom mold,,,53.66,53.66,1
HCPCS,A5514,Mult den insert dir carv/cam,,,53.66,53.66,1
HCPCS,A6250,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE [190103],1199.0,1199.0,,,0
HCPCS,A6250,THROMBIN-FIBRINOGN-APROTIN-CAL (TISSEEL) SYRINGE,599.5,599.5,,,0
HCPCS,A6250,TISSEEL FIBRIN SEALANT KIT WITH PREFILLED DUPLOJECT APPLICAT,1451.5,1451.5,,,0
HCPCS,A6520,G com garmnt glove nghttime,,,124.56,531.53,4
HCPCS,A6521,G com garmnt glove nght cust,,,494.25,2109.11,4
HCPCS,A6522,G com garment arm nighttime,,,302.67,1291.57,4
HCPCS,A6523,G com garment arm nght custm,,,718.12,3064.44,4
HCPCS,A6524,G com garmnt lwr leg/ft nght,,,377.61,1611.37,4
HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,762.33,3253.09,4
HCPCS,A6526,G com garmt full leg/ft nght,,,682.7,2913.28,4
HCPCS,A6527,G garmt full leg/ft nght cus,,,1255.4,5357.15,4
HCPCS,A6528,G com garment bra nighttime,,,656.46,2801.3,4
HCPCS,A6529,G com garmt bra night custm,,,1037.31,4426.45,4
HCPCS,A6530,Compression stocking bk18-30,,,39.07,164.23,3
HCPCS,A6531,Compression stocking bk30-40,,,61.66,259.19,3
HCPCS,A6532,Compression stocking bk40-50,,,86.88,365.2,3
HCPCS,A6533,Gc stocking thighlngth 18-30,,,54.86,230.6,3
HCPCS,A6534,Gc stocking thighlngth 30-40,,,62.65,263.35,3
HCPCS,A6535,Gc stocking thighlngth 40-50,,,72.13,303.2,3
HCPCS,A6536,Gc stocking full lngth 18-30,,,73.95,310.85,3
HCPCS,A6537,Gc stocking full lngth 30-40,,,87.67,368.52,3
HCPCS,A6538,Gc stocking full lngth 40-50,,,102.65,431.49,3
HCPCS,A6539,Gc stocking waistlngth 18-30,,,97.86,411.35,3
HCPCS,A6540,Gc stocking waistlngth 30-40,,,116.68,490.46,3
HCPCS,A6541,Gc stocking waistlngth 40-50,,,138.21,580.97,3
HCPCS,A6545,Grad comp non-elastic BK,,,121.41,510.35,3
HCPCS,A6552,Grad com stocking bk 30-40,,,57.11,243.68,4
HCPCS,A6553,G com stcking bk 30-40 custm,,,223.0,951.59,4
HCPCS,A6554,Grad com stocking bk 40+,,,78.53,335.1,4
HCPCS,A6555,G com stcking bk 40+ custm,,,223.0,951.59,4
HCPCS,A6556,G com stcking thgh18-30 cust,,,305.61,1304.14,4
HCPCS,A6557,G com stcking thgh30-40 cust,,,305.61,1304.14,4
HCPCS,A6558,G com stcking thgh 40+ cust,,,315.38,1345.83,4
HCPCS,A6562,G com stckng waist18-30 cust,,,1000.19,4268.11,4
HCPCS,A6563,G com stckng waist30-40 cust,,,1000.19,4268.11,4
HCPCS,A6564,G com stckng waist 40+ cust,,,1077.43,4597.7,4
HCPCS,A6565,Grad comp gauntlet custom,,,172.83,737.5,4
HCPCS,A6566,Grad com garment neck/head,,,250.94,1070.84,4
HCPCS,A6567,G com garment neck/head cust,,,788.46,3364.57,4
HCPCS,A6568,G com garment torso/shldr,,,163.77,698.87,4
HCPCS,A6569,G com garmnt torso/shdr cust,,,932.59,3979.62,4
HCPCS,A6570,Grad com garment genital,,,111.59,476.17,4
HCPCS,A6571,G com garment genital custm,,,670.66,2861.91,4
HCPCS,A6572,Grad com garment toe caps,,,103.54,441.83,4
HCPCS,A6573,Grad com garmnt toe cap cust,,,245.7,1048.48,4
HCPCS,A6574,Custom gradient sleev/glov,,,313.24,1336.67,4
HCPCS,A6575,Gradient comp sleev/glov,,,101.51,433.17,4
HCPCS,A6576,Custom grad com sleeve med,,,192.25,820.36,4
HCPCS,A6577,Custom grad cm sleeve heavy,,,159.11,678.99,4
HCPCS,A6578,Gradient comp sleeve,,,78.36,334.39,4
HCPCS,A6579,Custom grad com glove med,,,308.58,1316.79,4
HCPCS,A6580,Custom grad com glove heavy,,,306.31,1307.12,4
HCPCS,A6581,Gradient comp glove,,,71.9,306.81,4
HCPCS,A6582,Gradient comp gauntlet,,,47.95,204.63,4
HCPCS,A6583,Grad com wrap w straps bk,,,157.74,673.11,4
HCPCS,A6585,Grad com wrap w straps ak,,,186.77,796.98,4
HCPCS,A6586,Grad com wrap w straps leg,,,550.24,2348.03,4
HCPCS,A6587,Grad com wrap w straps foot,,,72.08,307.57,4
HCPCS,A6588,Grad com wrap w straps arm,,,240.22,1025.11,4
HCPCS,A6589,Grad com wrap w straps bra,,,94.83,404.67,4
HCPCS,A6594,G comp bandge liner lwr extr,,,34.53,147.33,4
HCPCS,A6595,G comp bandge liner upr extr,,,33.96,144.94,4
HCPCS,A6596,G comp bandge conform gauze,,,0.18,0.76,4
HCPCS,A6597,G comp bandage long stretch,,,1.53,6.52,4
HCPCS,A6598,G comp bandage med stretch,,,0.74,3.15,4
HCPCS,A6599,G comp bandage short stretch,,,1.68,7.15,4
HCPCS,A6600,G com bandge hgh dn foam sht,,,3.02,12.9,4
HCPCS,A6601,G com bandge hgh dn foam pad,,,3.4,14.5,4
HCPCS,A6602,G com bandge hgh dn foamroll,,,4.96,21.14,4
HCPCS,A6603,G com bandge low dn foamchnl,,,2.32,9.92,4
HCPCS,A6604,G com bandge low dn foam flt,,,1.35,5.8,4
HCPCS,A6605,G com bandage padded foam,,,1.55,6.6,4
HCPCS,A6606,G com bandage padded textile,,,4.61,19.63,4
HCPCS,A6607,G com bandage tub protct lyr,,,1.23,5.25,4
HCPCS,A6608,G com bandage tub protct pad,,,5.13,21.9,4
HCPCS,A6610,G com stcking bk 18-30 custm,,,223.0,951.59,4
HCPCS,A7000,Disposable canister for pump,,,10.2,10.2,1
HCPCS,A7001,Nondisposable pump canister,,,43.39,43.39,1
HCPCS,A7002,Tubing used w suction pump,,,5.04,5.04,1
HCPCS,A7003,Nebulizer administration set,,,2.3,2.3,1
HCPCS,A7004,Disposable nebulizer sml vol,,,1.66,1.66,1
HCPCS,A7005,Nondisposable nebulizer set,,,20.33,20.33,1
HCPCS,A7006,Filtered nebulizer admin set,,,9.46,9.46,1
HCPCS,A7007,Lg vol nebulizer disposable,,,4.32,4.32,1
HCPCS,A7008,Disposable nebulizer prefill,,,15.24,15.24,1
HCPCS,A7009,Nebulizer reservoir bottle,,,55.17,55.17,1
HCPCS,A7010,Disposable corrugated tubing,,,21.57,21.57,1
HCPCS,A7012,Nebulizer water collec devic,,,3.81,3.81,1
HCPCS,A7013,Disposable compressor filter,,,0.76,0.76,1
HCPCS,A7014,Compressor nondispos filter,,,4.39,4.39,1
HCPCS,A7015,Aerosol mask used w nebulize,,,1.7,1.7,1
HCPCS,A7016,Nebulizer dome & mouthpiece,,,9.49,9.49,1
HCPCS,A7017,Nebulizer not used w oxygen,,,147.79,147.79,1
HCPCS,A7018,Water distilled w/nebulizer,,,0.44,0.44,1
HCPCS,A7020,"Interface, cough stim device",,,19.33,19.33,1
HCPCS,A7021,Suppl and access lung expan,,,140.9,140.9,1
HCPCS,A7026,Replace chst cmprss sys hose,,,39.86,39.86,1
HCPCS,A7027,Combination oral/nasal mask,,,165.49,165.49,1
HCPCS,A7028,Repl oral cushion combo mask,,,46.99,46.99,1
HCPCS,A7029,Repl nasal pillow comb mask,,,21.6,21.6,1
HCPCS,A7030,CPAP full face mask,,,141.08,141.08,1
HCPCS,A7031,Replacement facemask interfa,,,52.1,52.1,1
HCPCS,A7032,Replacement nasal cushion,,,29.87,29.87,1
HCPCS,A7033,Replacement nasal pillows,,,22.87,22.87,1
HCPCS,A7034,Nasal application device,,,85.61,85.61,1
HCPCS,A7035,Pos airway press headgear,,,28.61,28.61,1
HCPCS,A7036,Pos airway press chinstrap,,,15.33,15.33,1
HCPCS,A7037,Pos airway pressure tubing,,,23.36,23.36,1
HCPCS,A7038,Pos airway pressure filter,,,3.41,3.41,1
HCPCS,A7039,"Filter, non disposable w pap",,,10.08,10.08,1
HCPCS,A7044,PAP oral interface,,,110.28,110.28,1
HCPCS,A7045,Repl exhalation port for PAP,,,17.77,17.77,1
HCPCS,A7046,"Repl water chamber, PAP dev",,,17.76,17.76,1
HCPCS,A8000,Soft protect helmet prefab,,,212.67,212.67,1
HCPCS,A8001,Hard protect helmet prefab,,,212.67,212.67,1
HCPCS,A9154,"Artificial saliva, 1 ml",,,0.14,0.28,5
HCPCS,A9155,Artificial saliva,,,5.55,8.81,4
HCPCS,A9156,Oral mucoadhesive per 1 ml,,,1.71,2.71,5
HCPCS,A9180,"Lice treatment, topical",,,0.63,14.71,5
HCPCS,A9272,138196 : KIT NEG PRSS W10XL30CM W- 2 DSG PMP CLP PICO 7,663.3,663.3,,,0
HCPCS,A9272,KIT NEG PRSS W10XL30CM W/ 2 DSG PMP CLP PICO 7,685.01,685.01,,,0
HCPCS,A9500,HC SESTAMIBI INJ UP TO 40MCI,576.0,576.0,,,0
HCPCS,A9502,HC TC-99M MYOVW DIAG UP TO 40MCI,494.0,494.0,,,0
HCPCS,A9503,HC INJ 99M-TC MDP UP TO 30 MCI,107.0,107.0,,,0
HCPCS,A9505,HC THALLOUS CHLORIDE INJ PER MCI,205.0,205.0,,,0
HCPCS,A9506,Tc-99m graphite crucible,,,316.2,1381.27,5
HCPCS,A9507,HC IN-111CEPROMENDET UP TO 10 MCI,5908.0,5908.0,,,0
HCPCS,A9508,HC I-131 MIBG 0.5MCI,952.0,952.0,,,0
HCPCS,A9509,HC I -123 SOD IODIDE DIAG PER MCI,2228.0,2228.0,,,0
HCPCS,A9510,HC TC-99M HEPATOLITE UP TO 15MCI,497.0,497.0,,,0
HCPCS,A9512,HC 99M-TCM PERTECHNETAT PER MCI,2.5,2.5,,,0
HCPCS,A9513,HC LUTETIUM LU 177 DOTATATE THERA 1 MCI (LUTATHERA),530.0,530.0,,,0
HCPCS,A9513,Lutetium lu 177 dotatat ther,,,309.72,1332.45,6
HCPCS,A9515,Choline c-11,,,2516.43,10577.81,5
HCPCS,A9516,HC I-123 SODIUM IODIDE CAP/100UCI,222.8,222.8,,,0
HCPCS,A9517,HC I-131 SODIUM IODIDE CAP THERAPEUTIC PER MCI,60.0,60.0,,,0
HCPCS,A9517,"I131 iodide cap, rx",,,22.08,101.18,6
HCPCS,A9520,HC TECHNETIUM TC-99M TILMANOCEPT TO 0.5 MCI (LYMPHOSEEK),1252.0,1252.0,,,0
HCPCS,A9520,TC-99 TILMANOCEPT PER 0.5 MCI,1126.8,1126.8,,,0
HCPCS,A9520,Tc99 tilmanocept diag 0.5mci,,,674.81,674.81,1
HCPCS,A9521,HC TC-99M CERETEC UP TO 25MCI,3163.0,3163.0,,,0
HCPCS,A9521,Tc99m exametazime,,,927.71,3899.63,4
HCPCS,A9527,Iodine I-125 sodium iodide,,,48.23,1665.93,6
HCPCS,A9528,HC I-131 SODIUM IODIDE CAP DIAGNOSTIC PER MCI,44.0,44.0,,,0
HCPCS,A9530,HC I-131 SODIUM IODID SOL PER MCI,58.0,58.0,,,0
HCPCS,A9530,"I131 iodide sol, rx",,,14.64,87.31,6
HCPCS,A9537,HC TC-99M MEBROFENIN DIAG PER STUDY DOSE UP TO 15MCI,513.0,513.0,,,0
HCPCS,A9538,HC TC-99M PYROPHOSPHATE DIAG PER STUDY DOSE UP TO 25MCI,74.0,74.0,,,0
HCPCS,A9539,HC INJ 99M-TC DTPA UP TO 25 MCI,473.0,473.0,,,0
HCPCS,A9540,HC INJ 99M-TC MAA UP TO 10MCI,309.0,309.0,,,0
HCPCS,A9541,HC INJ 99M-TC SUL COL UP TO 20MCI,359.0,359.0,,,0
HCPCS,A9542,"In111 ibritumomab, dx",,,1538.66,1538.66,1
HCPCS,A9543,HC YITRIUM-90 THERAP UP TO 40 MCI,84210.0,84210.0,,,0
HCPCS,A9543,"Y90 ibritumomab, rx",,,56824.55,238861.99,6
HCPCS,A9544,"I-131 tositumomab, dx, per dose",,,2125.8,3374.28,4
HCPCS,A9545,"I-131 tositumomab, rx, per dose",,,20505.44,32548.31,4
HCPCS,A9547,In111 oxyquinoline,,,831.46,3495.04,4
HCPCS,A9548,HC 111 IN DTPA PER 0.5MCI,555.0,555.0,,,0
HCPCS,A9548,In111 pentetate,,,745.62,3134.21,4
HCPCS,A9551,HC TC-99M SUCCIM DMSA UP TO 10MCI,806.0,806.0,,,0
HCPCS,A9552,HC INJ FDG DIAG UP TO 45 MCI,1682.0,1682.0,,,0
HCPCS,A9556,HC 67 GA PER MCI,162.0,162.0,,,0
HCPCS,A9557,HC NEUROLITE PER DOSE UP TO 25MCI,1368.0,1368.0,,,0
HCPCS,A9557,Tc99m bicisate,,,775.52,3259.9,4
HCPCS,A9558,HC XENON 133 PER 10 MCI,310.0,310.0,,,0
HCPCS,A9560,HC ULTRA TAG PER DOSE UP TO 30MCI,134.0,134.0,,,0
HCPCS,A9561,HC 99M-TC OXIDRN HDP PER DOSE UP TO 30MCI,59.0,59.0,,,0
HCPCS,A9562,HC TC-99M MERTIATIDE PER DOSE UP TO15MCI,955.0,955.0,,,0
HCPCS,A9563,P32 na phosphate,,,278.24,1169.58,5
HCPCS,A9564,P32 chromic phosphate,,,296.28,296.28,1
HCPCS,A9567,HC TC99M PENTETATE PER DOSE UP TO 75MCI,552.0,552.0,,,0
HCPCS,A9568,Technetium tc99m arcitumomab,,,1560.82,1560.82,1
HCPCS,A9569,HC TC-99M LBLD WBC DIAG PER DOSE,2693.0,2693.0,,,0
HCPCS,A9569,Technetium TC-99m auto WBC,,,934.13,3926.62,4
HCPCS,A9570,HC IN-111 LBLD WBC DIAG PER DOSE,5047.0,5047.0,,,0
HCPCS,A9570,Indium In-111 auto WBC,,,1103.19,4637.26,4
HCPCS,A9572,HC IN-111 PENTETETIDE PER DOSE UP TO 6MCI,7500.0,7500.0,,,0
HCPCS,A9572,Indium In-111 pentetreotide,,,2000.94,8410.95,4
HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,3.36,3.36,1
HCPCS,A9575,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION [164053],189.615,189.615,,,0
HCPCS,A9575,GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE [164052],196.1,196.1,,,0
HCPCS,A9579,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN [127826],117.11,117.11,,,0
HCPCS,A9579,GADOPENTETATE DIMEGLUMINE 2.5 MMOL/5 ML(469.01 MG/ML) INTRAVENOUS SOLN [127823],113.83,113.83,,,0
HCPCS,A9579,GADOPENTETATE DIMEGLUMINE 469.01 MG/ML (46.9 %) INTRAVENOUS SOLUTION [10099],426.0,426.0,,,0
HCPCS,A9579,GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLN [127824],113.83,113.83,,,0
HCPCS,A9580,HC F18 SOD FLUORIDE UP TO 30 MCI,1013.0,1013.0,,,0
HCPCS,A9581,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [93574],230.95,230.95,,,0
HCPCS,A9582,HC IOBENGUANE 1-123 PER DOSE UP TO 15 MCI,7935.0,7935.0,,,0
HCPCS,A9582,Iodine I-123 iobenguane,,,2317.5,9741.61,4
HCPCS,A9583,GADOFOSVESET TRISODIUM 2.5 MMOL/10 ML (0.25 MMOL/ML) INTRAVENOUS SOLN [129555],375.2,375.2,,,0
HCPCS,A9583,GADOFOSVESET TRISODIUM 3.75 MMOL/15 ML(0.25 MMOL/ML) INTRAVENOUS SOLN [112473],893.63,893.63,,,0
HCPCS,A9584,HC I 123 DATSCAN 2.5ML,3317.0,3317.0,,,0
HCPCS,A9584,Iodine i-123 ioflupane,,,1387.74,5833.37,9
HCPCS,A9585,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION [109395],167.0,167.0,,,0
HCPCS,A9585,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [129617],250.0,250.0,,,0
HCPCS,A9586,Florbetapir F18,,,1825.64,7674.08,9
HCPCS,A9586,HC FLORBETAPIR F18 UP TO 10MCI,5997.0,5997.0,,,0
HCPCS,A9587,GALLIUM (GA-68),141.0,141.0,,,0
HCPCS,A9587,GALLIUM (GA-68) DOTATATE 40 MCG SOLR,86.55,86.55,,,0
HCPCS,A9587,Gallium ga-68,,,49.63,208.62,5
HCPCS,A9587,HC GALLIUM GA-68 DOTATATE 0.1 MCI (NETSPOT),141.0,141.0,,,0
HCPCS,A9588,Fluciclovine f-18,,,322.27,1354.66,5
HCPCS,A9588,HC FLUCICLOVINE F-18 1 MCI (AXUMIN),646.0,646.0,,,0
HCPCS,A9589,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION [106120],4160.0,4160.0,,,0
HCPCS,A9589,Insti hexaminolevulinate hcl,,,1426.24,1426.24,1
HCPCS,A9590,Iodine i-131 iobenguane 1mci,,,326.8,351.24,2
HCPCS,A9591,Fluoroestradiol f 18,,,460.42,1935.38,5
HCPCS,A9592,Copper cu 64 dotatate diag,,,594.28,2498.06,5
HCPCS,A9593,Gallium ga-68 psma-11 ucsf,,,550.13,2312.47,6
HCPCS,A9594,"Gallium ga-68 psma-11, ucla",,,363.5,1527.97,6
HCPCS,A9595,"Piflu f-18, dia 1 millicurie",,,346.49,1456.47,6
HCPCS,A9596,Gallium illuccix 1 millicure,,,478.52,2011.46,6
HCPCS,A9597,HC PET RADIOPHARM DIAG FOR TUMOR ID NOC,7350.0,7350.0,,,0
HCPCS,A9598,HC PET RADIOPHARM DIAG FOR NON-TUMOR ID NOC,7350.0,7350.0,,,0
HCPCS,A9599,Radioph dx b amyloid pet nos,,,1940.4,3080.0,4
HCPCS,A9600,HC STRONTIUM 89 PER MCI,7871.0,7871.0,,,0
HCPCS,A9600,Sr89 strontium,,,3825.0,17429.12,6
HCPCS,A9601,Flortaucipir inj 1 millicuri,,,357.0,15594.98,6
HCPCS,A9602,Fluorodopa f-18 diag per mci,,,508.84,3596.3,6
HCPCS,A9603,"Inj, pafolacianine, 0.1 mg",,,135.47,135.47,1
HCPCS,A9604,HC SAMARIUM SM153 LEXIDRON PER DOSE UP TO 150MCI,26590.0,26590.0,,,0
HCPCS,A9604,Sm 153 lexidronam,,,3159.8,18937.51,6
HCPCS,A9606,Radium ra223 dichloride ther,,,166.31,723.93,7
HCPCS,A9607,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN [203127]",547.2,547.2,,,0
HCPCS,A9607,Lutetium lu 177 vipivotide,,,240.16,1075.42,6
HCPCS,A9608,Flotufolastat f18 diag 1 mci,,,645.89,2821.47,6
HCPCS,A9610,"Xe129 xenon, diagnostic",,,1060.8,1060.8,1
HCPCS,A9611,"Flurpiridaz f18, diag, 1 mci",,,510.0,2227.86,6
HCPCS,A9612,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],1420.6750000000002,1420.6750000000002,,,0
HCPCS,A9612,"Inj, fluorescein, 1 mg",,,0.38,0.38,1
HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,24.97,157.66,10
HCPCS,A9616,GA-68 GOZELLIX [40817160],35139.0,35139.0,,,0
HCPCS,A9616,Gallium gozellix 1 millicuri,,,668.3,4381.95,8
HCPCS,A9697,413757 : MAGTRACE 10 VIAL,1782.0,1782.0,,,0
HCPCS,A9697,"Inj, magtrace per study dose",,,1137.96,5271.19,5
HCPCS,A9697,MAGTRACE,3710.0,3710.0,,,0
HCPCS,A9697,MAGTRACE 10 VIAL,2574.0,2574.0,,,0
HCPCS,A9700,Echocardiography contrast,,,160.06,160.06,1
HCPCS,A9800,Gallium locametz 1 millicuri,,,362.5,1684.08,6
HCPCS,B4034,Enter feed supkit syr by day,,,23.88,23.88,1
HCPCS,B4035,Enteral feed supp pump per d,,,45.49,45.49,1
HCPCS,B4036,Enteral feed sup kit grav by,,,31.23,31.23,1
HCPCS,B4081,Enteral ng tubing w/ stylet,,,84.4,84.4,1
HCPCS,B4082,Enteral ng tubing w/o stylet,,,62.79,62.79,1
HCPCS,B4083,Enteral stomach tube levine,,,9.62,9.62,1
HCPCS,B4087,"8140-14-1.0 - 42725 - MIC-KEY* GASTROSTOMY FEEDING TUBE KIT, SECUR-LOK",260.62,260.62,,,0
HCPCS,B4087,"Gastro/jejuno tube, std",,,139.28,139.28,1
HCPCS,B4088,"Gastro/jejuno tube, low-pro",,,139.28,139.28,1
HCPCS,B4149,EF blenderized foods,,,6.12,6.12,1
HCPCS,B4150,Ef complet w/intact nutrient,,,2.62,2.62,1
HCPCS,B4152,Ef calorie dense>/=1.5kcal,,,2.17,2.17,1
HCPCS,B4153,Ef hydrolyzed/amino acids,,,7.45,7.45,1
HCPCS,B4154,Ef spec metabolic noninherit,,,4.76,4.76,1
HCPCS,B4155,Ef incomplete/modular,,,3.69,3.69,1
HCPCS,B4161,EF ped hydrolyzed/amino acid,,,9.98,9.98,1
HCPCS,B4164,Parenteral 50% dextrose solu,,,74.61,74.61,1
HCPCS,B4168,Parenteral sol amino acid 3.,,,108.76,108.76,1
HCPCS,B4176,Parenteral sol amino acid 7-,,,210.43,210.43,1
HCPCS,B4178,Parenteral sol amino acid >,,,252.64,252.64,1
HCPCS,B4180,Parenteral sol carb > 50%,,,107.08,107.08,1
HCPCS,B4185,Parenteral sol 10 gm lipids,,,17.41,49.34,5
HCPCS,B4187,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [192030],252.625,252.625,,,0
HCPCS,B4187,"Omegaven, 10 grams lipids",,,17.41,34.51,4
HCPCS,B4189,Parenteral sol amino acid &,,,780.37,780.37,1
HCPCS,B4193,Parenteral sol 52-73 gm prot,,,1008.45,1008.45,1
HCPCS,B4197,Parenteral sol 74-100 gm pro,,,1227.69,1227.69,1
HCPCS,B4199,Parenteral sol > 100gm prote,,,1402.9,1402.9,1
HCPCS,B4216,Parenteral nutrition additiv,,,33.92,33.92,1
HCPCS,B4220,Parenteral supply kit premix,,,35.15,35.15,1
HCPCS,B4222,Parenteral supply kit homemi,,,43.32,43.32,1
HCPCS,B4224,Parenteral administration ki,,,109.8,109.8,1
HCPCS,B5000,Parenteral sol renal-amirosy,,,52.19,52.19,1
HCPCS,B5100,Parenteral solution hepatic,,,20.41,20.41,1
HCPCS,B9002,Enter nutr inf pump any type,,,4786.71,4786.71,1
HCPCS,B9004,Parenteral infus pump portab,,,11077.88,11077.88,1
HCPCS,B9006,Parenteral infus pump statio,,,11077.88,11077.88,1
HCPCS,C1052,414653 : KIT HEMSTAT AGNT FLOSEAL MTRX 5ML BOV DERIVD GEL RECOMB HUM,383.12,383.12,,,0
HCPCS,C1052,KIT HEMSTAT AGNT FLOSEAL MTRX 5ML BOV DERIVD GEL RECOMB HUM,395.71,395.71,,,0
HCPCS,C1204,Osteoarthritis M <49.50 and A <74.50,,,159.76,253.59,4
HCPCS,C1713,"""""""KWIRE 4"""""""" .035 NS""""""",4.5,4.5,,,0
HCPCS,C1713,"""""""KWIRE 4"""""""" .054 N""""""",4.52,4.52,,,0
HCPCS,C1713,".045"" X 4"" K-WIRE DOUBLE TROCAR",122.4,122.4,,,0
HCPCS,C1713,1.1MM K-WIRE,216.0,216.0,,,0
HCPCS,C1713,1.2MM L PLATE RIGHT,1053.6,1053.6,,,0
HCPCS,C1713,1.2MM X 12MM FULLY THREADED SCREW,254.4,254.4,,,0
HCPCS,C1713,1.5MM STAINLESS STEEL FLEXINAIL,1048.8,1048.8,,,0
HCPCS,C1713,1.5X4 THREADED K-WIRE,156.0,156.0,,,0
HCPCS,C1713,1.6MM 3 X 8 HOLE T PLATE LOCKING,1185.6,1185.6,,,0
HCPCS,C1713,1.6MM X 12MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
HCPCS,C1713,1.6MM X 12MM LAG SCREW,300.0,300.0,,,0
HCPCS,C1713,1.6MM X 14MM FULLY THREADED SCREW,254.4,254.4,,,0
HCPCS,C1713,1.6MM X 16MM LAG SCREW,300.0,300.0,,,0
HCPCS,C1713,1.6MM X 6MM FULLY THREADED SCREW,254.4,254.4,,,0
HCPCS,C1713,1.6MM Y PLATE LOCKING,1185.6,1185.6,,,0
HCPCS,C1713,1.7X4MM CROSS-PIN SELF TAPPING SCREW,139.54,139.54,,,0
HCPCS,C1713,1.7X6MM CROSS-PIN SELF TAPPING SCREW,139.54,139.54,,,0
HCPCS,C1713,1.8MM SMOOTH WIRE,331.42,331.42,,,0
HCPCS,C1713,1/3 LCK TUBULAR PLATE 8H,294.0,294.0,,,0
HCPCS,C1713,1/3 TUBULAR PLATE 10H,547.63,547.63,,,0
HCPCS,C1713,1/3 TUBULAR PLATE 6H,497.83,497.83,,,0
HCPCS,C1713,10 MM TPAL,6244.39,6244.39,,,0
HCPCS,C1713,10.5 X 35MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,10.5 X 40MM SCREW MODULAR CREO AMP,660.0,660.0,,,0
HCPCS,C1713,10.5 X 40MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,10.5 X 45MM SCREW MODULAR CREO AMP,660.0,660.0,,,0
HCPCS,C1713,10.5 X 50MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,100DEG  CANNULATED CHILD BLADE PLATE 40MM X 6MM X 3 HOLE,2407.1,2407.1,,,0
HCPCS,C1713,101822 : ANCHOR SUT L24MM DIA4.5MM PEEK PSHLCK,936.0,936.0,,,0
HCPCS,C1713,102291 : 2.0X10MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,102868 : 6.5MM X 70 CANNULATED SCREW,445.82,445.82,,,0
HCPCS,C1713,10292 : K WIRE 1.6X150MM TRCR PT SS,32.04,32.04,,,0
HCPCS,C1713,103423 : 3.5MM VLP SCREW 26MM,41.18,41.18,,,0
HCPCS,C1713,103429 : 3.5MM VLP SCREW 28MM,41.18,41.18,,,0
HCPCS,C1713,103678 : KWIRE 4 .035 NS,4.5,4.5,,,0
HCPCS,C1713,103680 : KWIRE 4 .054 N,4.81,4.81,,,0
HCPCS,C1713,103823 : GUIDEPIN ORTH 3.2MM X 300MM FT CANN FOR CANN SCR,168.05,168.05,,,0
HCPCS,C1713,103845 : WASHER ORTH DIA12.7MM SS RND FOR FIX,214.8,214.8,,,0
HCPCS,C1713,103887 : SCREW CANNULATED 6.5 X 85MM,445.82,445.82,,,0
HCPCS,C1713,104191 : VIP ANTERIOR CERVICAL PLATE 1-LEVEL 21MM,1680.0,1680.0,,,0
HCPCS,C1713,104203 : VIP CERVICAL PLATE 2-LEVEL 36MM,1680.0,1680.0,,,0
HCPCS,C1713,104236 : 6.5MM CANN SCREW PART THREADED 7110-6575S,445.82,445.82,,,0
HCPCS,C1713,104292 : ANCHOR SUT 14X4.5MM TI W- TWO NO2 FBRWR CRKSCR FT II,599.04,599.04,,,0
HCPCS,C1713,104415 : 3.5 VLP SCREW 30MM,41.18,41.18,,,0
HCPCS,C1713,104608 : 6.5 X 90MM CANNULATED SCREW,445.82,445.82,,,0
HCPCS,C1713,1067 : WASHER ORTH 13MM SS FOR 4.5MM CORT AND 6.5MM CANC BNE SCR,99.0,99.0,,,0
HCPCS,C1713,106933 : SCREW BNE 2.7X32MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
HCPCS,C1713,106934 : SCREW BNE 2.7X36MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
HCPCS,C1713,106949 : SCREW BNE 4X54MM CANC CANN LNG THRD ST SLF DRL SS,372.36,372.36,,,0
HCPCS,C1713,107044 : SCREW BNE 2.7X28MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
HCPCS,C1713,107119 : FILLER BNE VOID 3.45CC 5GM CA PHSPTE MIMIX QS,2064.0,2064.0,,,0
HCPCS,C1713,108326 : SCREW SPNL ANT CERV 4.6X14MM SLF DRL VA VIP,180.0,180.0,,,0
HCPCS,C1713,108329 : SCREW SPNL ANT CERV 4.6X16MM SLF DRL VA VIP,180.0,180.0,,,0
HCPCS,C1713,108407 : SCREW BNE 2.7X16MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,108602 : PLATE BNE CMF 2X2 H STR TI DCP MAND PLATING SYS,692.16,692.16,,,0
HCPCS,C1713,108605 : 12 HOLE PLATE,1576.32,1576.32,,,0
HCPCS,C1713,108606 : PLATE BNE CMF 2 X 2 H DCP PLT THCK 1.5MM TI MATRIXMANDIBLE,1227.84,1227.84,,,0
HCPCS,C1713,108608 : PLATE BNE CMF MINI 2X2 H BROAD MAL TI MAND PLATING SYS,890.88,890.88,,,0
HCPCS,C1713,108720 : SCREW 1.5 X 4MM,180.0,180.0,,,0
HCPCS,C1713,109064 : 4 HOLE MINI PLATE LONG BAR,345.0,345.0,,,0
HCPCS,C1713,109464 : OPUSMAGNUM IMPLANT,1436.4,1436.4,,,0
HCPCS,C1713,109654 : SCREW BNE 3.5X14MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,109680 : WASHER ORTH 7MM SS FOR 3.5MM CORT AND 4MM CANC BNE SCR,49.56,49.56,,,0
HCPCS,C1713,10CC ANTIBIOTIC CASO4 IMPLANT,3780.0,3780.0,,,0
HCPCS,C1713,10CC HYDROSET INJECTABLE CEMENT,7322.26,7322.26,,,0
HCPCS,C1713,10MM SCREW,304.32,304.32,,,0
HCPCS,C1713,10MM THICK BOLTS,59.04,59.04,,,0
HCPCS,C1713,112265 : SCREW SPNL 3.6X14MM ANT CERV VA ST TI TOP LD COALITION,180.0,180.0,,,0
HCPCS,C1713,112298 : SCREW BNE 2.4X11MM CORT T8 STARDRV RECESS ST SS,129.58,129.58,,,0
HCPCS,C1713,112591 : 5.0MM CANNULATED SCREW 105MM,736.2,736.2,,,0
HCPCS,C1713,112669 : CANNULATED LOCKING SCREW 7.3MM  100MM,981.0,981.0,,,0
HCPCS,C1713,112677 : 3.5MM EXTRA-ARTICLR 10HRIGHT,3260.16,3260.16,,,0
HCPCS,C1713,112853 : PLATE BNE CNTR H O SHP 24MM PEDIPLATES FOR 4.5MM SCR,1178.22,1178.22,,,0
HCPCS,C1713,113500 : TRAY KYPHOPLASTY 15-3 IBT 11GA BNE ACCS NDL OSTEO INTRO SYS,6155.74,6155.74,,,0
HCPCS,C1713,113502 : SCREW SPNL 3.6X14MM VA SLF DRL COALITION,180.0,180.0,,,0
HCPCS,C1713,11373 : SCREW INTFR L20MM DIA7MM CANN W- SHTH,299.52,299.52,,,0
HCPCS,C1713,11380 : SCREW INTFR L20MM DIA8MM CANN CLR PLAS SHTH W- DAM,299.52,299.52,,,0
HCPCS,C1713,11382 : SCREW INTFR L25MM DIA8MM CANN CLR PLAS SHTH W- DAM,299.52,299.52,,,0
HCPCS,C1713,11386 : SCREW CANNULATED INTERFERENCE WITH DISPOSABLE SHEATH 9 X 20,299.52,299.52,,,0
HCPCS,C1713,113903 : PLATE RECON 12 HOLE 2.5MM THICK,1944.96,1944.96,,,0
HCPCS,C1713,114021 : SCREW BNE 7.3X90MM HEX DRV RECESS CANN LOK SS LCP PERIARTC,963.0,963.0,,,0
HCPCS,C1713,114748 : SCREW BNE 3.5X46MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
HCPCS,C1713,114932 : CANNULATED SCREW 7100-6290S,461.57,461.57,,,0
HCPCS,C1713,114933 : 3.2 X 450MM GUIDEPIN 7193-3167,966.6,966.6,,,0
HCPCS,C1713,116919 : SCREW CANNULATED 6.5 X 80MM,461.57,461.57,,,0
HCPCS,C1713,"1172.4121S - SABLE SPACER, 12X26, 7-14MM, 15°",13200.0,13200.0,,,0
HCPCS,C1713,117559 : PLATE ABRASIVE BURR 42MM STRYKER,948.5,948.5,,,0
HCPCS,C1713,119282 : SCREW BNE 2.4X10MM MAND CORT FT ST TI MATRIXMANDIBLE,191.04,191.04,,,0
HCPCS,C1713,119284 : SCREW BNE 1.5X4MM CRSS CORT CROSSED HD FT SLF DRL TI,163.25,163.25,,,0
HCPCS,C1713,119399 : PLATE BNE SUP MIDSHAFT CLAV L 8 H STR NAR PROF ACU-SINCH,4332.0,4332.0,,,0
HCPCS,C1713,119901 : SCREW BNE 2.1X6MM EMGCY CMF CORT FT ST TI MATRIXORTHOGNATHIC,163.25,163.25,,,0
HCPCS,C1713,119972 : SCREW BNE 1.85X5MM CMF SLF DRL TI MATRIXORTHOGNATHIC,163.25,163.25,,,0
HCPCS,C1713,11MM/130 DEG CANN TFNA 400MM RIGHT FEMUR NAIL,7889.4,7889.4,,,0
HCPCS,C1713,12 HOLE 1/3 TUBULAR PLATE 142MM,124.32,124.32,,,0
HCPCS,C1713,12 HOLE 70MM,5691.6,5691.6,,,0
HCPCS,C1713,12 HOLE POSTEROLATERAL DISTAL HUMERUS PLATE,2798.4,2798.4,,,0
HCPCS,C1713,120641 : SCREW 6.5 X 55MM 71106755S,445.82,445.82,,,0
HCPCS,C1713,120858 : SCREW SPNL 4.2X14MM VA SLF DRL TI XTEND ANT CERV PLT SYS,180.0,180.0,,,0
HCPCS,C1713,120859 : PLATE SPNL L28MM ANT CERV TI ALLY LEV 2 XTEND,1200.0,1200.0,,,0
HCPCS,C1713,120873 : PLATE BNE 8 H 1-3 TBLR W- CLLR 97MM SS SM FRAG SYS FOR 3.5MM,637.2,637.2,,,0
HCPCS,C1713,121094 : PLATE SPNL L30MM ANT CERV TI ALLY LEV 2 XTEND,1200.0,1200.0,,,0
HCPCS,C1713,121163 : PLATE SPNL L16MM ANT CERV TI ALLY LEV 1 XTEND,1200.0,1200.0,,,0
HCPCS,C1713,121164 : SCREW SPNL L16MM DIA4.2MM ANT CERV TI ALLY SLF DRL VA XTEND,180.0,180.0,,,0
HCPCS,C1713,121451 : SCREW BNE 2X12MM MAND CORT FT ST TI MATRIXMANDIBLE 1-PK,132.48,132.48,,,0
HCPCS,C1713,121453 : SCREW BNE 2.4X6MM MAND CORT FT NONLOCKING ST TI ALLY SELF,191.04,191.04,,,0
HCPCS,C1713,121512 : SCREW BNE 3.5X44MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
HCPCS,C1713,121566 : PLATE BNE TIB MED PROX R 6 H 119MM SS SM FRAG LCP SYS,3224.06,3224.06,,,0
HCPCS,C1713,122705 : SCREW BNE 3.5X35MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
HCPCS,C1713,1229 : SCREW BNE 4X40MM CANC HEX DRV RECESS PRTLY THRD SS SM FRAG,94.18,94.18,,,0
HCPCS,C1713,1230 : SCREW 4.0MM CANCELLOUS BONE PARTIALLY THREADED 45MM 207.045,94.18,94.18,,,0
HCPCS,C1713,123094 : SCREW BNE MIC 2.5X2.8X20MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
HCPCS,C1713,123244 : SCREW BNE 3.5MM X 10MM DST VOLAR RAD CORT FT FOR DVR ANAT,151.2,151.2,,,0
HCPCS,C1713,124013 : SCREW BNE 2.7X14MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,285.12,285.12,,,0
HCPCS,C1713,124045 : PIN DSTRCTR 14MM YEL TI 3 FLUT SLF DRL LSR ENGRAVED FOR ACF,57.6,57.6,,,0
HCPCS,C1713,124047 : COUPLER ANAS 1MM VES 0.8-1.2MM POLYETH SS PIN DISP GEM,838.0,838.0,,,0
HCPCS,C1713,125436 : PLATE SPNL L34MM ANT CERV TI ALLY LEV 2 XTEND,1200.0,1200.0,,,0
HCPCS,C1713,125462 : PLATE BNE HUM X-ARTC DST R 8 H 194MM SS LCP FOR 3.5MM SCR,3081.22,3081.22,,,0
HCPCS,C1713,126270 : ARTHREX PASSPORT BUTTON CANNULA  8 MM ID X 4 CM,83.47,83.47,,,0
HCPCS,C1713,126336 : PLATE BNE CMF MAX L PREBENT 4MM THCK 0.8MM TI,822.62,822.62,,,0
HCPCS,C1713,126342 : PLATE BNE MAXILLOFACIAL R PREBENT 6MM THCK 0.8MM OFFSET TI,822.62,822.62,,,0
HCPCS,C1713,126364 : SCREW BNE 1.85X6MM MAND FT SLF DRL TI MATRIXORTHOGNATHIC,163.25,163.25,,,0
HCPCS,C1713,127785 : PLATE BNE CLAV SUP R 7 H 100MM SS LCP FOR 3.5MM SCR,3794.4,3794.4,,,0
HCPCS,C1713,128252 : 3.0MM X 10MM NON-LOCKING HEXALOBE SCREW,249.6,249.6,,,0
HCPCS,C1713,128254 : 3.0MM X 12MM NON-LOCKING HEXALOBE SCREW,249.6,249.6,,,0
HCPCS,C1713,128256 : 3.0MM X 14MM NON-LOCKING HEXALOBE SCREW,249.6,249.6,,,0
HCPCS,C1713,128258 : 3.0MM X 16MM NON-LOCKING HEXALOBE SCREW,249.6,249.6,,,0
HCPCS,C1713,128260 : 3.0MM X 18MM NON-LOCKING HEXALOBE SCREW,249.6,249.6,,,0
HCPCS,C1713,128297 : SCREW BNE 3.5X12MM HEXALOBE WRST LOK TI ACU-LOC,494.4,494.4,,,0
HCPCS,C1713,128298 : SCREW BNE L12MM DIA3.5MM NONLOCKING HEXALOBE EL PLATING SYS,249.6,249.6,,,0
HCPCS,C1713,128300 : 3.5MM X 14MM LOCKING HEXALOBE SCREW,494.4,494.4,,,0
HCPCS,C1713,128834 : ENDOBUTTON 10MM CL 72203331,766.8,766.8,,,0
HCPCS,C1713,129228 : FORTIFY-R 14MM UPPER ENDPLATE 14X16MM FOOTPRINT 0,840.0,840.0,,,0
HCPCS,C1713,129231 : FORTIFY-R 14MM LOWER ENDPLATE 14X16MM FOOTPRINT 0,840.0,840.0,,,0
HCPCS,C1713,129863 : PLATE BNE CMF 2 H STR 12MM TI CRAN PLATING SYS MATRIXNEURO,74.3,74.3,,,0
HCPCS,C1713,129865 : PLATE BNE CMF 4 H BX 14X14MM TI CRAN PLATING SYS MATRIXNEURO,269.57,269.57,,,0
HCPCS,C1713,129867 : PLATE BNE CMF 6 H DBL Y PLT 18MM TI CRAN PLATING SYS,269.57,269.57,,,0
HCPCS,C1713,129868 : PLATE BNE CMF 6 H DBL Y PLT 21MM TI CRAN PLATING SYS,269.57,269.57,,,0
HCPCS,C1713,129870 : PLATE BNE CMF 4 H 10X16MM TI CRAN PLATING SYS MATRIXNEURO,257.47,257.47,,,0
HCPCS,C1713,129871 : PLATE BNE CRAN 2 X 3 H STRUT 14MM X 24MM THCK 0.4MM TI,467.14,467.14,,,0
HCPCS,C1713,129884 : ANCHOR FOOTPRINT 4.5 ULTRA PK,766.8,766.8,,,0
HCPCS,C1713,13.0MM O.D. WASHER,44.93,44.93,,,0
HCPCS,C1713,130 DEG DHS PLATESTD BARREL 3 HOLES62MMSTERILE,2311.2,2311.2,,,0
HCPCS,C1713,130459 : GRAFT BNE SUB DBM 2.5MM X 5CM ALLGRFT GRFT,2640.0,2640.0,,,0
HCPCS,C1713,130532 : SCREW BNE L14.5MM DIA8MM CORT TI CANN NONLOCKING COMPR,514.8,514.8,,,0
HCPCS,C1713,1306 : SCREW BNE 4X12MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
HCPCS,C1713,130668 : CONNECTOR SPNL TI INLINE FOR 5.5X5.5-6.35MM INTEGR ROD,1860.0,1860.0,,,0
HCPCS,C1713,1307 : SCREW BNE 4X14MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
HCPCS,C1713,130754 : SMARTLOCK HMMF PLATE,878.16,878.16,,,0
HCPCS,C1713,1309 : SCREW BNE 4X18MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
HCPCS,C1713,131934 : SMARTLOCK HMMF SCR2.0X8MM,379.49,379.49,,,0
HCPCS,C1713,1348 : K-WIRE .045 IN. (1.1 MM) DIAMETER 4 IN. (102 MM) LENGTH STYL,16.72,16.72,,,0
HCPCS,C1713,135 DEG DHS PLATESTD BARREL 3 HOLES62MMSTERILE,1776.19,1776.19,,,0
HCPCS,C1713,135248 : WASHER ORTH DIA3.5MM CORT DST FBLR EL LP FOR FRAC SYS ALPS,117.6,117.6,,,0
HCPCS,C1713,135275 : OLECRANON PLATE SMALL  10 HOLE   79MM  10 HOLE   79MM,1504.8,1504.8,,,0
HCPCS,C1713,135277 : OLECRANON PLATE - RIGHT  17 HOLE   154MM  17 HOLE   154MM  A,1738.8,1738.8,,,0
HCPCS,C1713,135305 : SCREW BNE L20MM DIA3.5MM CORT DST TIB TIM ST NONLOCKING FT,109.2,109.2,,,0
HCPCS,C1713,135306 : SCREW BNE 3.5X22MM DST TIB CORT LOK ST T15 DRV ALPS,109.2,109.2,,,0
HCPCS,C1713,135307 : SCREW BNE 3.5X24MM DST TIB CORT LOK ST T15 DRV ALPS,109.2,109.2,,,0
HCPCS,C1713,135311 : SCREW BNE L32MM DIA3.5MM CORT DST TIB TIM ST NONLOCKING FT,109.2,109.2,,,0
HCPCS,C1713,135312 : LOW PROFILE CORTICAL SCREW  3.5MM X 34MM  3.5MM X 34MM,109.44,109.44,,,0
HCPCS,C1713,135313 : LOW PROFILE CORTICAL SCREW  3.5MM X 36MM  3.5MM X 36MM,109.44,109.44,,,0
HCPCS,C1713,135314 : SCREW BNE L38MM OD3.5MM ST NONLOCKING THRD SQ DRV LP TAPR,109.2,109.2,,,0
HCPCS,C1713,135316 : LOW PROFILE CORTICAL SCREW  3.5MM X 42MM  3.5MM X 42MM,109.2,109.2,,,0
HCPCS,C1713,135317 : LOW PROFILE CORTICAL SCREW  3.5MM X 44MM  3.5MM X 44MM,109.2,109.2,,,0
HCPCS,C1713,135323 : LOW PROFILE CORTICAL SCREW  3.5MM X 65MM  3.5MM X 65MM,109.2,109.2,,,0
HCPCS,C1713,135324 : LOW PROFILE CORTICAL SCREW  3.5MM X 70MM  3.5MM X 70MM,109.2,109.2,,,0
HCPCS,C1713,135325 : LOW PROFILE CORTICAL SCREW  3.5MM X 75MM  3.5MM X 75MM,109.44,109.44,,,0
HCPCS,C1713,135328 : SCREW BNE L14MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,218.88,218.88,,,0
HCPCS,C1713,135329 : SCREW BNE L16MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,218.88,218.88,,,0
HCPCS,C1713,135330 : SCREW BNE L18MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,218.88,218.88,,,0
HCPCS,C1713,135331 : SCREW BNE L20MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,218.88,218.88,,,0
HCPCS,C1713,135333 : SCREW BNE 3.5X24MM DST TIB CORT FT LOK ALPS,226.8,226.8,,,0
HCPCS,C1713,135334 : SCREW BNE L26MM DIA3.5MM STD CORT TI ST NONCANN FT LOK SM,226.8,226.8,,,0
HCPCS,C1713,135335 : SCREW BNE 3.5MM X 28MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
HCPCS,C1713,135336 : SCREW BNE 3.5MM X 30MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
HCPCS,C1713,135338 : SCREW BNE L34MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,135339 : SCREW BNE L36MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,135340 : SCREW BNE L38MM DIA3.5MM CORT DST TIB ST LOK FT TAPR HD T15,226.8,226.8,,,0
HCPCS,C1713,135341 : SCREW BNE L40MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,226.8,226.8,,,0
HCPCS,C1713,135342 : SCREW BNE L42MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,135343 : SCREW BNE L44MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,135344 : SCREW BNE 3.5MM X 46MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
HCPCS,C1713,135345 : SCREW BNE L48MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,135347 : SCREW BNE L52MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,135351 : LOCKING CORTICAL SCREW  3.5MM X 60MM  3.5MM X 60MM,226.8,226.8,,,0
HCPCS,C1713,135353 : LOCKING CORTICAL SCREW  3.5MM X 70MM  3.5MM X 70MM,226.8,226.8,,,0
HCPCS,C1713,135401 : IMPLANT VBR 12MM LO ENDPLATE 12X14MM  3.5DEG FORTIFY,840.0,840.0,,,0
HCPCS,C1713,135491 : SCREW BNE 1.5X3MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
HCPCS,C1713,135551 : SET SCR SPNL 5.5X6MM TI BRK OFF FOR CDH SOLERA SYS,108.0,108.0,,,0
HCPCS,C1713,135645 : ENDPLATE SPNL DISK L12MM 15X18MM  7DEG VERT BODY REPL LORD,840.0,840.0,,,0
HCPCS,C1713,135678 : EXTRACTOR SUR FOR BNE SCR REM INBONE II,295.2,295.2,,,0
HCPCS,C1713,135781 : SCREW 3.5MM CANNULATED PARTIALLY THREADED 28MM 205.028,352.87,352.87,,,0
HCPCS,C1713,135834 : SCREW SPNL 6.5X40MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,135961 : SCREW BNE PED 3.5X16MM PROX DST FEM TIB CORT T15 HEXALOBE ST,118.57,118.57,,,0
HCPCS,C1713,135991 : FORTIFY 12MM UPPER ENDPLATE 14X16MM 3.5,840.0,840.0,,,0
HCPCS,C1713,135993 : ENDPLATE SPNL DISK L12MM 14X16MM  3.5DEG VERT BODY REPL LORD,840.0,840.0,,,0
HCPCS,C1713,136161 : SCREW SPNL 6X45MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
HCPCS,C1713,136992 : PLATE BNE WRST 11 H STR 170MM SS LP LCP FOR 2.4MM SCR,3870.72,3870.72,,,0
HCPCS,C1713,137214 : SCREW BNE 4.5X24MM CANN FT SS LP PEDIPLATES,577.71,577.71,,,0
HCPCS,C1713,137229 : SCREW BNE 2.7X40MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,285.12,285.12,,,0
HCPCS,C1713,137337 : NAIL IM L380MM OD11MM 120DEG LNG TI R FEM R1.5 GAM3,3460.8,3460.8,,,0
HCPCS,C1713,137378 : SCREW 3.5MM CANNULATED FULLY THREADED 46MM 205.246,364.7,364.7,,,0
HCPCS,C1713,137389 : SCREW BNE 1.5X5MM CORT FT SLF DRL TI MATRIXMIDFACE,163.25,163.25,,,0
HCPCS,C1713,137415 : NAIL IM L400MM OD11MM 120DEG LNG TI R FEM R1.5 GAM3,3460.8,3460.8,,,0
HCPCS,C1713,137548 : PLATE HUMEROUS 3.5 6 HOLE RGT 158MM,2902.27,2902.27,,,0
HCPCS,C1713,137692 : SCREW BNE MIC 2.5X2.8X24MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
HCPCS,C1713,137694 : SCREW BNE MIC 2.5X2.8X28MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
HCPCS,C1713,137695 : SCREW BNE MIC 2.5X2.8X30MM COMPR HDLSS FT ST TAPR END ACUTRK,1569.6,1569.6,,,0
HCPCS,C1713,138032 : SCREW SPNL 5.5X40MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,138111 : ENDPLATE SPNL 12MM UP 14X16MM  0DEG NO SPIK ADJ CRPCTMY,840.0,840.0,,,0
HCPCS,C1713,138132 : ANCHOR SUT W- 2 SZ 0 ULTRABRAID SUT AND NDL,604.8,604.8,,,0
HCPCS,C1713,138133 : GUIDE DRL DIA2.6MM FOR RAPTORMITE 3MM SUT ANCHR,194.4,194.4,,,0
HCPCS,C1713,138208 : ENDPLATE SPNL  15MM X 18MM X 12MM 0 DEG UP FORTIFY,840.0,840.0,,,0
HCPCS,C1713,138283 : SCREW BNE 2.7X22MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,285.12,285.12,,,0
HCPCS,C1713,138387 : 5.5 TI CORT FIX 5X45MM,2337.0,2337.0,,,0
HCPCS,C1713,138536 : SCREW BNE 2.7X18MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,138538 : WIRE COMPR 1.6MM THRD 15MM FOREFOOT MIDFOOT SYS,165.6,165.6,,,0
HCPCS,C1713,138860 : SET SCR SPNL 6 35MM THRD 1-4-32IN TI BRK OFF CDH SOLERA,108.0,108.0,,,0
HCPCS,C1713,138896 : SCREW 3.0MM HEADLESS COMPRESSION SHORT THREAD 40MM,636.14,636.14,,,0
HCPCS,C1713,138907 : CANNULA ENDOSCP L2CM DIA10MM PASSPRT BTTN,83.47,83.47,,,0
HCPCS,C1713,138974 : ANCHOR SUT L19.1MM DIA4.75MM PEEK TWST IN KNTLSS W- FOR RCR,975.0,975.0,,,0
HCPCS,C1713,139012 : SCREW BNE 2.7X20MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,285.12,285.12,,,0
HCPCS,C1713,139047 : SCREW BNE 2.7X16MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,139275 : SCREW BNE 2X12MM MAND CORT FT LOK ST TI MATRIXMANDIBLE 1-PK,246.72,246.72,,,0
HCPCS,C1713,139326 : PLATE BNE TIB MED PROX L 6 H 119MM SS SM FRAG LCP SYS,3224.06,3224.06,,,0
HCPCS,C1713,139495 : SCREW VA 3.5 LOCK  02.127.165,368.76,368.76,,,0
HCPCS,C1713,139496 : SCREW VA 3.5 LOCK  02.127.170,368.76,368.76,,,0
HCPCS,C1713,139597 : GRAFT BNE PTTY 1CC ALLGRFT FD DBM GRFT,352.8,352.8,,,0
HCPCS,C1713,139603 : GRAFT BNE PTTY 5CC ALLGRFT FD DBM GRFT,1200.0,1200.0,,,0
HCPCS,C1713,139608 : GRAFT BNE PTTY 10CC ALLGRFT FD DBM GRFT,1896.0,1896.0,,,0
HCPCS,C1713,139810 : ENDPLATE SPNL DISK L12MM 14X16MM  7DEG VERT BODY REPL LORD,840.0,840.0,,,0
HCPCS,C1713,139964 : SCREW BNE 2.7X16MM CORT ST SELF RET T8 MINI PLATING SYS EVOS,84.0,84.0,,,0
HCPCS,C1713,139974 : SCREW BNE 2.7X14MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,139980 : SCREW BNE 2.7X20MM CORT ST T8 SELF RET FOR MINI PLATING SYS,84.0,84.0,,,0
HCPCS,C1713,139992 : SCREW BNE 2.7X28MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,139999 : SCREW BNE L11MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,14.0MM MICRO ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
HCPCS,C1713,140466 : SCREW BNE 2.7X12MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,140467 : SCREW BNE 2.7X14MM COR DIA2MM PITCH 1MM HD 4.3MM LOK ST T8,260.4,260.4,,,0
HCPCS,C1713,140472 : SCREW BNE L26MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,140474 : SCREW BNE L38MM THRD DIA2.4MM HD DIA3.8MM COR DIA1.6MM PITCH,79.8,79.8,,,0
HCPCS,C1713,140479 : SCREW EVOS 2.4 X 12MM CTX T7 S-T,79.8,79.8,,,0
HCPCS,C1713,140480 : SCREW BNE L16MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,142430 : EVOS 2.0MM X 22MM CTX SCR T6 S-T,75.6,75.6,,,0
HCPCS,C1713,142449 : SCREW BNE L14MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,142453 : SCREW BNE L18MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,142461 : SCREW BNE L28MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,142464 : SCREW BNE L34MM DIA2.4MM CORT ST T7 SELF RET FOR MINI,79.8,79.8,,,0
HCPCS,C1713,142467 : EVOS 2.4MM X 40MM CTX SCR T7 S-T,79.8,79.8,,,0
HCPCS,C1713,142476 : EVOS 2.4MM X 70MM CTX SCR T7 S-T,109.2,109.2,,,0
HCPCS,C1713,142483 : SCREW BNE 2.7X10MM CORT FT ST T8 DRV EVOS MINI PLATING SYS,84.0,84.0,,,0
HCPCS,C1713,142486 : SCREW BNE 2.7X13MM COR DIA2MM PITCH 1MM HD 4.5MM FT LOK ST,84.0,84.0,,,0
HCPCS,C1713,142488 : SCREW BNE L15MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,142491 : SCREW BNE 2.7X18MM ST CORT ST EVOS MINI PLATING SYS,84.0,84.0,,,0
HCPCS,C1713,142492 : SCREW BNE 2.7X19MM ST CORT ST EVOS MINI PLATING SYS,84.0,84.0,,,0
HCPCS,C1713,142495 : SCREW BNE 2.7X22MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,142497 : SCREW BNE 2.7X24MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,142498 : SCREW BNE 2.7X26MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,142500 : SCREW BNE L30MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,142501 : SCREW BNE 2.7X32MM CORT ST SELF RET T8 MINI PLATING SYS EVOS,84.0,84.0,,,0
HCPCS,C1713,142502 : SCREW BNE L34MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,142503 : SCREW BNE L36MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,142504 : SCREW BNE L38MM DIA2.7MM ST CORT ST T8 SELF RET FOR MINI,84.0,84.0,,,0
HCPCS,C1713,142505 : SCREW BNE L40MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,142506 : SCREW BNE L42MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,142507 : SCREW BNE 2.7X44MM CORT ST MINI PLATING SYS EVOS,84.0,84.0,,,0
HCPCS,C1713,142508 : SCREW BNE L46MM DIA2.7MM CORT ST T8 SELF RET FOR MINI,84.0,84.0,,,0
HCPCS,C1713,142509 : SCREW BNE 2.7X48MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,142510 : SCREW BNE L50MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,142511 : SCREW BNE L55MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,142512 : SCREW BNE L60MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,142544 : EVOS 2.4MM X 6MM LCK SCR T7 S-T,256.2,256.2,,,0
HCPCS,C1713,142552 : EVOS 2.4MM X 14MM LCK SCR T7 S-T,256.2,256.2,,,0
HCPCS,C1713,142555 : EVOS 2.4MM X 17MM LCK SCR T7 S-T,256.2,256.2,,,0
HCPCS,C1713,142556 : EVOS 2.4MM X 18MM LCK SCR T7 S-T,256.2,256.2,,,0
HCPCS,C1713,142563 : SCREW BNE L26MM DIA2.4MM ST WRST SS ST LOK T7 EVOS,256.2,256.2,,,0
HCPCS,C1713,142585 : EVOS 2.7MM X 9MM LCK SCR T8 S-T,260.4,260.4,,,0
HCPCS,C1713,142586 : SCREW BNE 2.7X10MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
HCPCS,C1713,142587 : EVOS 2.7MM X 11MM LCK SCR T8 S-T,260.4,260.4,,,0
HCPCS,C1713,142588 : SCREW BNE 2.7X12MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
HCPCS,C1713,142589 : SCREW BNE 2.7X13MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
HCPCS,C1713,142591 : SCREW BNE 2.7X15MM LOK ST T8 DRV SM PLATING SYS EVOS,260.4,260.4,,,0
HCPCS,C1713,142592 : SCREW BNE 2.7X16MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
HCPCS,C1713,142594 : SCREW BNE 2.7X18MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
HCPCS,C1713,142595 : EVOS 2.7MM X 19MM LCK SCR T8 S-T,260.4,260.4,,,0
HCPCS,C1713,142596 : SCREW BNE 2.7X20MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
HCPCS,C1713,142598 : SCREW BNE 2.7MM X 22MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
HCPCS,C1713,142600 : SCREW BNE 2.7MM X 24MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
HCPCS,C1713,142601 : SCREW BNE 2.7MM X 26MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
HCPCS,C1713,142603 : SCREW BNE 2.7MM X 30MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
HCPCS,C1713,142605 : SCREW BNE 2.7MM X 34MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
HCPCS,C1713,142607 : SCREW BNE 2.7MM X 38MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
HCPCS,C1713,142608 : SCREW BNE 2.7X40MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
HCPCS,C1713,142609 : SCREW BNE 2.7X42MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
HCPCS,C1713,142611 : SCREW BNE 2.7MM X 46MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
HCPCS,C1713,142614 : EVOS 2.7MM X 55MM LCK SCR T8 S-T,260.4,260.4,,,0
HCPCS,C1713,142615 : EVOS 2.7MM X 60MM LCK SCR T8 S-T,260.4,260.4,,,0
HCPCS,C1713,142648 : EVOS 4.0MM X 12MM OST SCR T8 FT,193.2,193.2,,,0
HCPCS,C1713,142649 : EVOS 4.0MM X 14MM OST SCR T8 FT,193.2,193.2,,,0
HCPCS,C1713,142676 : SCREW BNE L30MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
HCPCS,C1713,142677 : SCREW BNE L32MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
HCPCS,C1713,142678 : SCREW BNE L34MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
HCPCS,C1713,142679 : SCREW BNE L36MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
HCPCS,C1713,142688 : EVOS 4.0MM X 60MM OST SCR T8 PT,193.2,193.2,,,0
HCPCS,C1713,142711 : WASHER ORTH DIA7MM FOR 2.7MM SCR,75.6,75.6,,,0
HCPCS,C1713,142713 : EVOS 2.4MM T-PLATE 2 HOLE HD 8 HOLE SFT,1596.0,1596.0,,,0
HCPCS,C1713,142721 : EVOS 2.4MM STRENGTH PLATE 4 HOLE,1638.0,1638.0,,,0
HCPCS,C1713,142725 : EVOS 2.4MM STRENGTH PLATE 20 HOLE,1638.0,1638.0,,,0
HCPCS,C1713,142735 : PLATE BNE 3 X 5 H T 42MM THCK 1.4MM EVOS MINI PLATING SYS,1764.0,1764.0,,,0
HCPCS,C1713,142739 : EVOS 2.7MM FLEX PLATE 8 HOLE,1806.0,1806.0,,,0
HCPCS,C1713,142751 : PLATE BNE MINI 5 H Y TINE ST 7.5X52MM VA LOK SS LP FOR 2.7MM,2268.0,2268.0,,,0
HCPCS,C1713,142798 : SCREW SPNL 6.5X45MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,142799 : SCREW SPNL 6.5X50MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,143777 : SCREW BNE 3.5X50MM HEX DRV RECESS CANN FT SS,364.7,364.7,,,0
HCPCS,C1713,143811 : SCREW VA LOCK 3.5 X 80,368.76,368.76,,,0
HCPCS,C1713,143960 : PEG BNE FIX L16MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
HCPCS,C1713,143970 : PEG BNE FIX L18MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
HCPCS,C1713,144543 : ANCHOR SUT L19.1MM DIA5.5MM PEEK TWST IN KNTLSS FOR RCR,975.0,975.0,,,0
HCPCS,C1713,144647 : PLATE BNE MAXILLOMANDIBULAR 10 H SHT TI MAND PLATING SYS,568.32,568.32,,,0
HCPCS,C1713,144690 : SUBSTITUTE BNE GRFT 5ML CRUNCH BIOACTIVE SIGNIFY,1404.0,1404.0,,,0
HCPCS,C1713,144691 : SUBSTITUTE BNE GRFT 10ML SIGNIFY CRUNCH BIOACTIVE,2676.0,2676.0,,,0
HCPCS,C1713,144692 : GRAFT BNE SUB W25XH8XL50MM 10CC STRP BIOACTIVE BIOLOGIC,3120.0,3120.0,,,0
HCPCS,C1713,144695 : GRAFT BNE SUB 5ML PTTY BIOLOGIC SPINE SURG BIOACTIVE KINEX,1680.0,1680.0,,,0
HCPCS,C1713,145026 : WIRE COMPR 1.6MM THRD 20MM FOREFOOT MIDFOOT SYS,93.6,93.6,,,0
HCPCS,C1713,145542 : K WRE FIX L150MM DIA1.6MM THRD L25MM TI PARTIALLY THRD,93.6,93.6,,,0
HCPCS,C1713,145543 : SCREW BNE 2.7X44MM CORT T8 STARDRV RECESS FT ST SS,94.18,94.18,,,0
HCPCS,C1713,145552 : SCREW BNE 2X14MM ST TI MATRIXMANDIBLE,132.48,132.48,,,0
HCPCS,C1713,145558 : 5.5 TI CORT FIX 7X55MM,2337.0,2337.0,,,0
HCPCS,C1713,145559 : SCREW SPNL 7X50MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
HCPCS,C1713,145758 : SCREW MATRX MAND  2 X 5MM,246.72,246.72,,,0
HCPCS,C1713,145761 : ENDPLATE SPNL  12MM X 14MM X 12MM 0 DEG UP FORTIFY,840.0,840.0,,,0
HCPCS,C1713,146115 : SCREW  CORT S-T 3.5 X 30MM,118.57,118.57,,,0
HCPCS,C1713,147239 : PLATE BNE RAD DST L MINI 24X43MM CROSSLOCK TI LP DVR ANAT,1503.6,1503.6,,,0
HCPCS,C1713,147241 : PLATE BNE W22XL51MM 12 H L DST RAD TI LOK COMPR LP NAR RIG,1503.6,1503.6,,,0
HCPCS,C1713,147242 : PLATE BNE W24XL51MM 12 H R DST VOLAR RAD WRST STD LOK,1503.6,1503.6,,,0
HCPCS,C1713,147246 : PLATE BNE W24XL62MM 12 H R DST RAD TI LOK COMPR LP NAR RIG,1688.4,1688.4,,,0
HCPCS,C1713,147247 : PLATE BNE RAD DST L MD 24X62MM CROSSLOCK TI LP DVR ANAT,1688.4,1688.4,,,0
HCPCS,C1713,147248 : PLATE BNE R DST RAD LNG 12 H 24X85MM COMPR LOK TI LP,1814.4,1814.4,,,0
HCPCS,C1713,147254 : SMOOTH PEG  2.2MM X 20MM  2.2MM X 20MM,184.8,184.8,,,0
HCPCS,C1713,147409 : SCREW BNE L13MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
HCPCS,C1713,147411 : SCREW BNE L15MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
HCPCS,C1713,147412 : SCREW BNE L16MM DIA2.7MM DST VOLAR RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,147413 : SCREW BNE L18MM DIA2.7MM DST VOLAR RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,147414 : SCREW BNE L20MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,147415 : SCREW BNE L22MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,147418 : SCREW BNE L28MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,147424 : SCREW BNE L12MM DIA2.7MM DST VOLAR RAD LOK FT SQ DRV HD LP,184.8,184.8,,,0
HCPCS,C1713,147427 : SCREW BNE L15MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,147430 : SCREW BNE L20MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,147431 : SCREW BNE L22MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,147443 : MULTI-DIRECTIONAL SCREW  2.7MM X 15MM  2.7MM X 15MM,235.2,235.2,,,0
HCPCS,C1713,147444 : MULTI-DIRECTIONAL SCREW  2.7MM X 16MM  2.7MM X 16MM,235.2,235.2,,,0
HCPCS,C1713,147445 : SCREW BNE L18MM DIA2.7MM DST VOLAR RAD MULTDIR FT SQ DRV HD,264.48,264.48,,,0
HCPCS,C1713,147446 : SCREW BNE L20MM DIA2.7MM DST VOLAR RAD MULTDIR FT SQ DRV HD,235.2,235.2,,,0
HCPCS,C1713,147641 : SCREW SPNL 3.6X16MM VA SLF DRL COALITION,180.0,180.0,,,0
HCPCS,C1713,147993 : ANCHOR SUT PSHLCK L12.5MM DIA2.9MM SHT SHLDR BIOCOMPOSITE,1040.52,1040.52,,,0
HCPCS,C1713,149013 : SCREW BNE 2.4X12MM MAND FT LOK ST SELF RET TI ALLY DRV,304.32,304.32,,,0
HCPCS,C1713,149044 : PLATE BNE 3 H R DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,1994.4,1994.4,,,0
HCPCS,C1713,149045 : PLATE BNE 3 H L DST VOLAR RAD TI NAR GEMINUS,1994.4,1994.4,,,0
HCPCS,C1713,149046 : PEG BNE FIX L16MM DIA2MM DST RAD TI SMTH FOR VOLAR PLATING,220.8,220.8,,,0
HCPCS,C1713,149047 : PEG BNE FIX L18MM DIA2MM DST RAD TI OPT 2 LOK SMTH GEMINUS,220.8,220.8,,,0
HCPCS,C1713,149053 : THREADED PEG NON-LOCKING 2.7MM X 12MM,216.0,216.0,,,0
HCPCS,C1713,149054 : THREADED PEG NON-LOCKING 2.7MM X 14MM,216.0,216.0,,,0
HCPCS,C1713,149056 : SCREW BNE 2.5X20MM DST RAD VOLAR POLYAX CANN LOK COCR,362.4,362.4,,,0
HCPCS,C1713,149058 : SCREW BNE L10MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,149059 : SCREW BNE L11MM DIA3.5MM CORT DST VOLAR RAD TI NONLOCKING FT,216.0,216.0,,,0
HCPCS,C1713,149060 : SCREW BNE L12MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,149061 : SCREW BNE L13MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,149062 : SCREW BNE L14MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,149085 : PLATE BNE 3 H R DST VOLAR RAD TI NAR GEMINUS,1994.4,1994.4,,,0
HCPCS,C1713,149114 : SCREW BNE 3.5X10MM DST RAD CORT LOK TI GEMINUS,218.4,218.4,,,0
HCPCS,C1713,149116 : PLATE BNE 3 H L DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,1994.4,1994.4,,,0
HCPCS,C1713,149117 : PEG BNE FIX L20MM DIA2MM DST RAD TI SMTH FOR VOLAR PLATING,220.8,220.8,,,0
HCPCS,C1713,150055 : GRAFT BNE SUB 25X50X4MM 5ML STRP BIOLOGIC SPINE SURG,1680.0,1680.0,,,0
HCPCS,C1713,150095 : SCREW SLF -DRL 4MM,91.01,91.01,,,0
HCPCS,C1713,150097 : SCREW BNE 2X16MM MAND CORT FT NONLOCKING ST SELF RET TI ALLY,132.48,132.48,,,0
HCPCS,C1713,150209 : SCREW SPNL 6X40MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
HCPCS,C1713,150219 : SCREW BNE 2X14MM MAND CORT FT LOK ST TI MATRIXMANDIBLE 1-PK,246.72,246.72,,,0
HCPCS,C1713,150230 : SCREW LCKCORT HEX 3.5MM,447.72,447.72,,,0
HCPCS,C1713,150235 : SCREW LCK CORT HEX 3.5X36MM,447.72,447.72,,,0
HCPCS,C1713,150238 : SCREW S-T CORT  HEX 3.5X26MM,118.57,118.57,,,0
HCPCS,C1713,150346 : SCREW CORTICAL LOCKING 3.5MM X 11MM,218.4,218.4,,,0
HCPCS,C1713,150347 : SCREW CORTICAL LOCKING 3.5MM X 14MM,218.4,218.4,,,0
HCPCS,C1713,150420 : FORTIFY 12MM UPPER ENDPLATE 15X18MM FOOTPRINT 3.5,840.0,840.0,,,0
HCPCS,C1713,150589 : SCREW SPNL 6X50MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
HCPCS,C1713,150599 : SCREW BNE L20MM DIA4.3MM DST PUR AEQUALIS,475.2,475.2,,,0
HCPCS,C1713,150602 : SCREW BNE L36MM DIA5MM PROX G CANN AEQUALIS,616.8,616.8,,,0
HCPCS,C1713,151036 : WAY POINT ANCHORS,194.4,194.4,,,0
HCPCS,C1713,151108 : PLATE BNE DST VOLAR RAD R 4 H NAR TI GEMINUS,2020.8,2020.8,,,0
HCPCS,C1713,151282 : ANCHOR SUT HIP KNTLSS FIX SPEEDLOCK,972.0,972.0,,,0
HCPCS,C1713,1554300500 - ROD 1554300500 5.5 TIAL STRT LN 500MM S,432.0,432.0,,,0
HCPCS,C1713,156296 : PLATE BNE CRAN 2 H STR 12MM THCK 0.3MM TI ULT LP MATRIXNEURO,79.49,79.49,,,0
HCPCS,C1713,156298 : PLATE BNE CRAN BX 10MM X 16MM THCK 0.3MM TI ULT LP,277.63,277.63,,,0
HCPCS,C1713,15717 : PLATE BNE 6 H 1-3 TBLR W- CLLR 73MM SS SM FRAG SYS FOR 3.5MM,347.64,347.64,,,0
HCPCS,C1713,15718 : PLATE BNE 7 H 1-3 TBLR W- CLLR 85MM SS SM FRAG SYS FOR 3.5MM,613.8,613.8,,,0
HCPCS,C1713,15753 : SCREW BNE 36MM COMPR SS DH-DC SYS,162.0,162.0,,,0
HCPCS,C1713,159025 : SCREW BNE 2X9MM NONLOCKING TI MAXDRIVE,96.0,96.0,,,0
HCPCS,C1713,159028 : THREADED PEG LOCKING 2.3MM X 10MM,237.6,237.6,,,0
HCPCS,C1713,159030 : PEG BNE FIX L20MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
HCPCS,C1713,159033 : THREADED PEG LOCKING 2.3MM X 22MM,237.6,237.6,,,0
HCPCS,C1713,159060 : SCREW SPNL 7X45MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
HCPCS,C1713,159067 : CONNECTOR SPNL L48-60MM DIA5.5MM THORLUM SNAP,960.0,960.0,,,0
HCPCS,C1713,159159 : 2.7MM LCP PLATE 5 HOLES49MM,1445.4,1445.4,,,0
HCPCS,C1713,159312 : SCREW BNE L12MM DIA3.5MM CORT DST VOLAR RAD TI LOK FT,218.4,218.4,,,0
HCPCS,C1713,159463 : ANCHOR SUT L19.1MM DIA6.25MM SHLDR BIOCOMPOSITE SWIVELOCK,1067.04,1067.04,,,0
HCPCS,C1713,159779 : 1.2X4MM CROSS-PIN SELF DRILLING SCREW,176.93,176.93,,,0
HCPCS,C1713,15MM CONTINUOUS LOOP SUTUTRE ENDOBUTTON,624.24,624.24,,,0
HCPCS,C1713,16 HOLE STRAIGHT MINI PLATE,401.69,401.69,,,0
HCPCS,C1713,160247 : CONNECTOR SPNL L58-70MM DIA5.5MM LNG CRSS THORLUM CREO,960.0,960.0,,,0
HCPCS,C1713,160248 : ROD SPNL L65MM DIA5.5MM TI ALLY CRV CREO,240.0,240.0,,,0
HCPCS,C1713,160296 : GUN BNE CEM DEL SZ 2 W- BNE FILL DEV FOR KYPHOPAK TY KYPHO,776.95,776.95,,,0
HCPCS,C1713,160297 : CARTRIDGE KYPHOPLASTY C8CC FOR CEM DEL SYS KYPHO,156.82,156.82,,,0
HCPCS,C1713,160298 : KIT KYPHOPLASTY FULL DOSE PMMA RADPQ HI VISC W-O ANTIBIO BNE,526.06,526.06,,,0
HCPCS,C1713,160322 : K WIRE FIX L229MM DIA1.1MM,2.63,2.63,,,0
HCPCS,C1713,160407 : SCREW SPNL 3.6X16MM ANT CERV VA ST TI TOP LD COALITION,180.0,180.0,,,0
HCPCS,C1713,161586 : SCRUNIII AXS SD1.5X5MM,143.52,143.52,,,0
HCPCS,C1713,161853 : PLATE BNE MIDFACE L MIC 4 H STR 17MM THCK 0.6MM TI LEVELONE,191.52,191.52,,,0
HCPCS,C1713,161856 : LEVEL ONE CMFPLATE MINI L SHP LEFT 2.0 MM SCREW2 X 2 HOLES 2,287.04,287.04,,,0
HCPCS,C1713,161864 : SCREW BNE 2X5MM NONLOCKING TI MAXDRIVE,96.0,96.0,,,0
HCPCS,C1713,161865 : SCREW BNE 2X11MM CMF TI-6AL-4V LEV 1 MAXDRIVE,96.0,96.0,,,0
HCPCS,C1713,161869 : LEVEL ONE CMFSCREW MAXDRIVE MMF DRILL FREE2.0 X 8 MM THD TTL,240.0,240.0,,,0
HCPCS,C1713,161870 : SCREW BNE 2X13MM CMF TI-6AL-4V LEV 1 MAXDRIVE,96.0,96.0,,,0
HCPCS,C1713,162444 : SPACER SPNL W50XH8-15MM D20MM 6DEG ELSA,20160.0,20160.0,,,0
HCPCS,C1713,162445 : SCREW SPNL 5.5X40MM ALIF VA SLF DRL TI INDPNDNC,336.0,336.0,,,0
HCPCS,C1713,162450 : PIN FIX 2.1X4MM PDLLA SONICPINS SONICWELD RX 5 PER PK,256.32,256.32,,,0
HCPCS,C1713,164402 : PLATE SPNL L51MM ANT CERV TI ALLY LEV 3 XTEND,1320.0,1320.0,,,0
HCPCS,C1713,164502 : SCREW SPNL 5.5X35MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,164504 : SCREW SPNL 6.5X40MM THORLUM CANN CREO AMP,840.0,840.0,,,0
HCPCS,C1713,164505 : SCREW SPNL 6.5X45MM THORLUM CANN CREO AMP,840.0,840.0,,,0
HCPCS,C1713,164506 : SCREW SPNL L50MM DIA6.5MM CANN MOD CREO,840.0,840.0,,,0
HCPCS,C1713,164627 : SCREW SPNL 4.2X18MM VA ST TI XTEND ANT CERV PLT SYS,180.0,180.0,,,0
HCPCS,C1713,164667 : RISE-L SPACER 18 X 45MM 7MM 3-15,10800.0,10800.0,,,0
HCPCS,C1713,164668 : SPACER SPNL W18XH7-14XL55MM 3-15DEG LAT LUM IF TI SELF EXPND,10800.0,10800.0,,,0
HCPCS,C1713,164671 : SPACER SPNL W18XH8-15XL45MM 6DEG LAT LUM IF TI SELF EXPND,10800.0,10800.0,,,0
HCPCS,C1713,164673 : SPACER SPNL W18XH8-15XL50MM 6DEG LAT LUM IF TI SELF EXPND,10800.0,10800.0,,,0
HCPCS,C1713,164890 : GRAFT BNE SUB PSTE 10CC BEAD 25CC W- MIX BWL SPAT MATE APPL,3480.0,3480.0,,,0
HCPCS,C1713,164897 : SCREW BNE L165MM DIA7MM COMPR CANC FT CANN ST SLF DRL,411.6,411.6,,,0
HCPCS,C1713,164900 : WASHER ORTH SS FOR 5.5-7.5MM CANN SCR,92.4,92.4,,,0
HCPCS,C1713,164917 : PLATE BNE CRAN 4 H SQ FRME 14MM X 14MM THCK 0.3MM TI ULT LP,292.03,292.03,,,0
HCPCS,C1713,165 MM FULLY THREADED,411.6,411.6,,,0
HCPCS,C1713,17594 : RESTRICTOR CEM MD DIA24MM UNIV,120.0,120.0,,,0
HCPCS,C1713,18.0MM MICRO ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
HCPCS,C1713,1ST MTP TI FUSION PLATE SMALL 0 DEG RIGHT,7666.2,7666.2,,,0
HCPCS,C1713,2 PT 7MM CORTICAL SCREW T10 12MM,120.17,120.17,,,0
HCPCS,C1713,2 PT 7MM LOCKING COMPRESSION PLATE 8 HOLE,1326.67,1326.67,,,0
HCPCS,C1713,2.0 LCP 7 HOLE PLATE,896.4,896.4,,,0
HCPCS,C1713,2.0 T-SHAPE TI PLATE 6 HOLE,2809.8,2809.8,,,0
HCPCS,C1713,2.0 TRILOCK CORONOID PLATE LEFT,4426.66,4426.66,,,0
HCPCS,C1713,2.0MM 12 HOLE STRAIGHT PLATE LOCKING,1185.6,1185.6,,,0
HCPCS,C1713,2.0MM CORTICAL SCREWS:10,248.93,248.93,,,0
HCPCS,C1713,2.0MM COUNTERSINK,328.58,328.58,,,0
HCPCS,C1713,2.0MM HAND FUSION PLATE,2726.4,2726.4,,,0
HCPCS,C1713,2.0MM LCP PLATE 5 HOLES,896.4,896.4,,,0
HCPCS,C1713,2.0MM LOCKING SCREWS10,293.74,293.74,,,0
HCPCS,C1713,2.0MM PLATES:Y PLATE 5H,1145.04,1145.04,,,0
HCPCS,C1713,2.0MM TI CRTX SCR LGTH16MM BLUE TRILEAP,268.2,268.2,,,0
HCPCS,C1713,2.0MM TI VARIABLE ANGL SCR LGTH26MM BLUE TRILEAP,772.2,772.2,,,0
HCPCS,C1713,2.0MM X 10MM CANNULATED LAG SCREW,492.0,492.0,,,0
HCPCS,C1713,2.0MM X 10MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
HCPCS,C1713,2.0MM X 10MM FULLY THREADED SCREW,254.4,254.4,,,0
HCPCS,C1713,2.0MM X 11MM CANNULATED LAG SCREW,492.0,492.0,,,0
HCPCS,C1713,2.0MM X 11MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
HCPCS,C1713,2.0MM X 11MM FULLY THREADED SCREW,254.4,254.4,,,0
HCPCS,C1713,2.0MM X 12MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
HCPCS,C1713,2.0MM X 13MM CANNULATED LAG SCREW,492.0,492.0,,,0
HCPCS,C1713,2.0MM X 13MM FULLY THREADED SCREW,254.4,254.4,,,0
HCPCS,C1713,2.0MM X 14MM CANNULATED LAG SCREW,492.0,492.0,,,0
HCPCS,C1713,2.0MM X 14MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
HCPCS,C1713,2.0MM X 14MM FULLY THREADED SCREW,254.4,254.4,,,0
HCPCS,C1713,2.0MM X 16MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
HCPCS,C1713,2.0MM X 16MM FULLY THREADED SCREW,254.4,254.4,,,0
HCPCS,C1713,2.0MM X 18MM CANNULATED LAG SCREW,492.0,492.0,,,0
HCPCS,C1713,2.0MM X 8MM FULLY THREADED SCREWLOCKING,468.0,468.0,,,0
HCPCS,C1713,2.0MM X 9MM CANNULATED LAG SCREW,492.0,492.0,,,0
HCPCS,C1713,2.0MM X 9MM FULLY THREADED SCREW,254.4,254.4,,,0
HCPCS,C1713,2.0MM Y PLATE LOCKING,1185.6,1185.6,,,0
HCPCS,C1713,2.0X10MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,2.0X5MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,2.0X6MM CROSS-PIN SELF TAPPING LOCKING SCREW,246.41,246.41,,,0
HCPCS,C1713,2.0X6MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,2.0X8MM CROSS-PIN SELF TAPPING LOCKING SCREW,246.41,246.41,,,0
HCPCS,C1713,2.0X8MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,2.0X8MM SELF DRILLING MMF SCREW,281.78,281.78,,,0
HCPCS,C1713,2.3MM X 18MM LOCKING CORTICAL SCREW,441.6,441.6,,,0
HCPCS,C1713,2.3X6MM CROSS-PIN SELF TAPPING SCREW,163.9,163.9,,,0
HCPCS,C1713,2.4/2.7 VA 1ST MTP FUSN PL/REV/0 DEG/LFT,4883.4,4883.4,,,0
HCPCS,C1713,2.4MM CORTICAL SCREWS:10,248.93,248.93,,,0
HCPCS,C1713,2.4MM CORTICAL SCREWS:12,248.93,248.93,,,0
HCPCS,C1713,2.4MM CORTICAL SCREWS:14,248.93,248.93,,,0
HCPCS,C1713,2.4MM COUNTERSINK,328.58,328.58,,,0
HCPCS,C1713,2.4MM LOCKING SCREWS:10,313.63,313.63,,,0
HCPCS,C1713,2.4MM LOCKING SCREWS:12,313.63,313.63,,,0
HCPCS,C1713,2.4MM PLATES:4H T PLATE 5H,1563.22,1563.22,,,0
HCPCS,C1713,2.4MM PLATES:HIGH STRENGTH PLATE 20H,2489.21,2489.21,,,0
HCPCS,C1713,2.4MM PLATES:STRAIGHT PLATE 10H,1483.56,1483.56,,,0
HCPCS,C1713,2.4MM PLATES:STRAIGHT PLATE 20H,1991.38,1991.38,,,0
HCPCS,C1713,2.4MM PLATES:STRAIGHT PLATE 6H,1463.66,1463.66,,,0
HCPCS,C1713,2.4MM PLATES:TRIANGLE PLATE 3-2 9H,1613.02,1613.02,,,0
HCPCS,C1713,2.4MM PLATES:Y PLATE 7H,1593.1,1593.1,,,0
HCPCS,C1713,2.4MM PLATES:Y PLATE 9H,1622.98,1622.98,,,0
HCPCS,C1713,2.4MM X 36MM FUSION SCREW,1173.6,1173.6,,,0
HCPCS,C1713,2.4MM/2.7MM VA-LOCKING CUBOID PLATE/LEFT,4401.0,4401.0,,,0
HCPCS,C1713,2.5 MM TI CORTEX SCREW LENGTH 20 MM MAGENTA,268.2,268.2,,,0
HCPCS,C1713,2.5 MM TI VARIABLE ANGLE SCREW LENGTH 26 MM MAGENTA,772.2,772.2,,,0
HCPCS,C1713,2.5 X 38 MICRO ACUTRAK 3,1850.4,1850.4,,,0
HCPCS,C1713,2.5MM FLEX NAIL TI - ROUND TIP,1048.8,1048.8,,,0
HCPCS,C1713,2.7 HK PLT 2.7MM 72MM/7 H,4389.6,4389.6,,,0
HCPCS,C1713,2.7 MM VA LCP CLAVICLE SYSTEM,2808.0,2808.0,,,0
HCPCS,C1713,2.7 STR BROAD PLT 2.7MM 62MM/6 H,3984.0,3984.0,,,0
HCPCS,C1713,2.7 STR NAR PLT 2.7MM 61MM/8 H,2841.6,2841.6,,,0
HCPCS,C1713,2.7 VA LCP CLAVICLE PL LATERAL/ CS1/ RT,3690.0,3690.0,,,0
HCPCS,C1713,2.7/3.5 LCP LAT DSTL FIB PL 9H/LFT/151,2307.6,2307.6,,,0
HCPCS,C1713,2.7/3.5 VA PSTLT DHP-LAT SUP 4H/R/88-MED,4347.0,4347.0,,,0
HCPCS,C1713,2.7MM CANN RMR FOR 4.0MM CANN,639.24,639.24,,,0
HCPCS,C1713,2.7MM CORTICAL SCREW SELFTAP SMALL HEX 26MM,67.2,67.2,,,0
HCPCS,C1713,2.7MM CORTICAL SCREW T10 16MM,120.17,120.17,,,0
HCPCS,C1713,2.7MM CORTICAL SCREWS:10,330.0,330.0,,,0
HCPCS,C1713,2.7MM CORTICAL SCREWS:11,289.46,289.46,,,0
HCPCS,C1713,2.7MM CORTICAL SCREWS:12,281.36,281.36,,,0
HCPCS,C1713,2.7MM CORTICAL SCREWS:14,248.93,248.93,,,0
HCPCS,C1713,2.7MM CORTICAL SCREWS:15,248.93,248.93,,,0
HCPCS,C1713,2.7MM CORTICAL SCREWS:16,248.93,248.93,,,0
HCPCS,C1713,2.7MM CORTICAL SCREWS:17,248.93,248.93,,,0
HCPCS,C1713,2.7MM LOCKING SCREWS:10,338.54,338.54,,,0
HCPCS,C1713,2.7MM LOCKING SCREWS:16,338.54,338.54,,,0
HCPCS,C1713,2.7MM LOCKING SCREWS:18,338.54,338.54,,,0
HCPCS,C1713,2.7MM LOCKING SCREWS:8,338.54,338.54,,,0
HCPCS,C1713,2.7MM PLATES:3H T PLATE 12H,1991.38,1991.38,,,0
HCPCS,C1713,2.7MM PLATES:3H T PLATE 7H,1891.8,1891.8,,,0
HCPCS,C1713,2.7MM PLATES:3H T PLATE 9H,1941.58,1941.58,,,0
HCPCS,C1713,2.7MM PLATES:4H T PLATE 7H,1891.8,1891.8,,,0
HCPCS,C1713,2.7MM PLATES:HIGH STRENGTH PLATE 20H,3696.0,3696.0,,,0
HCPCS,C1713,2.7MM PLATES:STRAIGHT PLATE 10H,1792.22,1792.22,,,0
HCPCS,C1713,2.7MM PLATES:STRAIGHT PLATE 6H,1742.45,1742.45,,,0
HCPCS,C1713,2.7MM PLATES:STRAIGHT TINE PLATE 10H,1792.22,1792.22,,,0
HCPCS,C1713,2.7MM PLATES:STRAIGHT TINE PLATE 6H,1742.45,1742.45,,,0
HCPCS,C1713,2.7MM PLATES:Y PLATE 7H,1891.8,1891.8,,,0
HCPCS,C1713,2.7MM PLATES:Y PLATE 9H,1941.58,1941.58,,,0
HCPCS,C1713,2.7MM ST CRT SCR 34MM 71823034,34.73,34.73,,,0
HCPCS,C1713,2.7MM VA LCP HOOK PLATE SHORT/ 9MM/ LEFT,3810.6,3810.6,,,0
HCPCS,C1713,2.8MM  Q-FIX ALL SUTURE ANCHOR,820.8,820.8,,,0
HCPCS,C1713,2.8MM Q-FIX ALL-SUTURE ANCHOR,1152.0,1152.0,,,0
HCPCS,C1713,20.0MM MINI ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
HCPCS,C1713,20412 : K WIRE 1.25X150MM TRCR PT SS,32.04,32.04,,,0
HCPCS,C1713,20503 : SCREW BNE 4X40MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
HCPCS,C1713,206448 : SPINAL SCREW MONOAXIAL 4X40,1230.0,1230.0,,,0
HCPCS,C1713,20711 : SCREW CANNULATED  75MM 208075,641.71,641.71,,,0
HCPCS,C1713,20MM ANCHOR BOLT,340.8,340.8,,,0
HCPCS,C1713,21169 : PLATE BNE HIP 4 H 78MM 130DEG STD BRL SS DH-DC SYS FOR 4.5MM,2100.6,2100.6,,,0
HCPCS,C1713,211989 : SCREW SPNL 5.5MM LOK OPN TULIP RELINE,114.0,114.0,,,0
HCPCS,C1713,215788 : XTEND 4.2MM VARIABLE ANGLE SCREW SELF-TAPPING 20MM,180.0,180.0,,,0
HCPCS,C1713,215799 : XTEND 4.2MM FIXED ANGLE SCREW SELF-TAPPING 16MM,180.0,180.0,,,0
HCPCS,C1713,215800 : XTEND 4.2MM FIXED ANGLE SCREW SELF-TAPPING 18MM,180.0,180.0,,,0
HCPCS,C1713,216277 : SELF DRILLING SCREW VARIABLE ANGLE 5.5MM 30MM,336.0,336.0,,,0
HCPCS,C1713,216280 : SELF DRILLING SCREW VARIABLE ANGLE 5.5MM 45MM,336.0,336.0,,,0
HCPCS,C1713,216312 : ANCHOR LUM 25MM MIS,384.0,384.0,,,0
HCPCS,C1713,216313 : ANCHOR LUM 27MM MIS,384.0,384.0,,,0
HCPCS,C1713,21772 : SCREW BNE 4X40MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,372.36,372.36,,,0
HCPCS,C1713,217978 : SPACER SPNL LUM 20X8-15X55MM 6DEG LORD SELF EXPND ELSA,20160.0,20160.0,,,0
HCPCS,C1713,218556 : SCREW SPNL THORLUM 5X35MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218557 : SCREW SPNL THORLUM 5X40MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218558 : SCREW SPNL THORLUM 5X45MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218559 : CREO THREADED 5.0 X 50MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,218562 : SCREW SPNL THORLUM 5.5X30MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218564 : SCREW SPNL THORLUM 5.5X40MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218565 : SCREW SPNL THORLUM 5.5X45MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218566 : SCREW SPNL THORLUM 5.5X50MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218567 : CREO THREADED 5.5 X 55MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,218570 : CREO THREADED 6.5 X 35MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,218571 : SCREW SPNL THORLUM 6.5X40MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218572 : SCREW SPNL THORLUM 6.5X45MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218573 : SCREW SPNL THORLUM 6.5X50MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218574 : SCREW SPNL THORLUM 6.5X55MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218576 : CREO THREADED 6.5 X 65MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,218579 : SCREW SPNL THORLUM 7.5X35MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218580 : SCREW SPNL THORLUM 7.5X40MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218581 : SCREW SPNL THORLUM 7.5X45MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218582 : SCREW SPNL THORLUM 7.5X50MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218583 : SCREW SPNL THORLUM 7.5X55MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,218589 : CREO THREADED 8.5 X 40MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,218590 : CREO THREADED 8.5 X 45MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,218591 : CREO THREADED 8.5 X 50MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,218592 : CREO THREADED 8.5 X 55MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,218885 : SHAFT,122.4,122.4,,,0
HCPCS,C1713,218889 : CAP SPNL 5.5MM LOK THRD CREO,108.0,108.0,,,0
HCPCS,C1713,219003 : PLATE SPNL L26MM ANT CERV TI ALLY LEV 1 XTEND,1200.0,1200.0,,,0
HCPCS,C1713,22.0MM MINI ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
HCPCS,C1713,222353 : 10.5 X 45MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,222409 : 4.5 X 35MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,222411 : SCREW SPNL THORLUM 4.5X40MM POLYAX THRD LOK LP PREASSEMBELED,1200.0,1200.0,,,0
HCPCS,C1713,222413 : 4.5 X 45MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,222594 : 9.5 X 40MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,222596 : 9.5 X 45MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,222598 : 9.5 X 50MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,222600 : 9.5 X 55MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,223204 : SCREW BNE 1.5X5MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
HCPCS,C1713,223211 : PLATE BNE CMF 4 H STR 24MM TI CRAN PLATING SYS MATRIXNEURO,83.52,83.52,,,0
HCPCS,C1713,223216 : PLATE STRAIGHT ULTRA LOW PROFILE 24MM 4 HOLES,91.58,91.58,,,0
HCPCS,C1713,223454 : SCREW SPNL L15MM DIA3.5MM TI ALLY VA SLF DRL FOR ANT CERV,240.0,240.0,,,0
HCPCS,C1713,223456 : SCREW SPNL L17MM DIA3.5MM ANT CERV TI SLF DRL VA FOR PLATING,240.0,240.0,,,0
HCPCS,C1713,223476 : SCREW SPNL ANT CERV 3.5X13MM VA 2 THRD LOK ST TI ALLY,240.0,240.0,,,0
HCPCS,C1713,223478 : SCREW SPNL L15MM DIA3.5MM ANT CERV TI ST VA FOR PLATING SYS,240.0,240.0,,,0
HCPCS,C1713,223480 : SCREW SPNL L17MM DIA3.5MM ANT CERV TI ST VA FOR PLATING SYS,240.0,240.0,,,0
HCPCS,C1713,223482 : SCREW 7723519 ZEVO VAR ST 3.5MM X 19MM,240.0,240.0,,,0
HCPCS,C1713,223484 : SCREW 7723521 ZEVO VAR ST 3.5MM X 21MM,240.0,240.0,,,0
HCPCS,C1713,223492 : SCREW SPNL 4X15MM ST VA FOR ZEVO ANT CERV PLT SYS,240.0,240.0,,,0
HCPCS,C1713,223494 : SCREW SPNL 4X17MM ST VA FOR ZEVO ANT CERV PLT SYS,240.0,240.0,,,0
HCPCS,C1713,223496 : SCREW 7724021 ZEVO VAR ST 4.0MM X 21MM,240.0,240.0,,,0
HCPCS,C1713,223564 : SCREW PK2 G6633511 SA S-T 3.5MM X 11MM,240.0,240.0,,,0
HCPCS,C1713,223828 : GRAFT BNE SUB W1.75XL10CM POSTEROLATERAL MAGNIFUSE,6429.6,6429.6,,,0
HCPCS,C1713,223830 : GRAFT BNE SUB W1XL10CM SPNL DEFORMITY MAGNIFUSE SC,3612.0,3612.0,,,0
HCPCS,C1713,223832 : GRAFT BNE SUB 1X5CM ALLGRFT DBM FD MAGNIFUSE OSTEOTECH,2532.0,2532.0,,,0
HCPCS,C1713,223997 : GRAFT BNE SUB CHIP 15CC 1-10MM CANC FD CTS,484.8,484.8,,,0
HCPCS,C1713,223998 : GRAFT BNE SUB CHIP 30CC 1-10MM CANC FD CTS,794.4,794.4,,,0
HCPCS,C1713,22803 : SCREW BNE 4.5X40MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,22804 : SCREW BNE 4.5X38MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,22805 : SCREW BNE 4.5X36MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,72.94,72.94,,,0
HCPCS,C1713,23 MM ACT ARM,3508.8,3508.8,,,0
HCPCS,C1713,231294 : PLATE SPNL L17MM THK1.9MM ANT CERV TI 1 LEV ZEVO,1740.0,1740.0,,,0
HCPCS,C1713,231295 : PLATE SPNL L19MM THK1.9MM ANT CERV TI 1 LEV ZEVO,1740.0,1740.0,,,0
HCPCS,C1713,231296 : PLATE SPNL L21MM THK1.9MM ANT CERV TI ALLY LEV 1 ZEVO,1740.0,1740.0,,,0
HCPCS,C1713,231332 : PLATE SPNL L33MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
HCPCS,C1713,231333 : PLATE SPNL L35MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
HCPCS,C1713,231334 : PLATE SPNL L37MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
HCPCS,C1713,23136 : PLATE BNE 10 H 1-3 TBLR W- CLLR 121MM SS SM FRAG SYS,662.4,662.4,,,0
HCPCS,C1713,23137 : SCREW BNE 4.5X34MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,231380 : PLATE 3003048 ZEVO 48MM 3 LVL,1860.0,1860.0,,,0
HCPCS,C1713,233978 : SCREW SPNL 5.5X45MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,233999 : SCREW SPNL 6.5X55MM FOR 5.5-6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
HCPCS,C1713,234000 : SCREW SPNL 6.5X60MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,234010 : SCREW SPNL 7.5X45MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,234011 : SCREW SPNL 7.5X50MM MULTIAXIAL OSTEOGRIP THRD TI-CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,234248 : SCREW SPNL 5.5X40MM FOR 5.5-6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,234249 : SCREW SPNL 5.5X45MM FOR 5.5-6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,234250 : SCREW SPNL 5.5X50MM FOR 5.5-6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,234254 : SCREW SPNL 6.5X40MM FOR 5.5-6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,23887 : SCREW BNE 4.5X32MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,72.94,72.94,,,0
HCPCS,C1713,240663 : 4.5 X 120MM UNIPLANAR SCREW PREASSEMBLED CREO 4.75,1560.0,1560.0,,,0
HCPCS,C1713,24621 : COIL CERCLAGE WIRE 1.25MM,252.0,252.0,,,0
HCPCS,C1713,24760 : SCREW BNE 4.5X40MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
HCPCS,C1713,24MM CORTEX SCREW SLFTPNG WITH T8 STARDRIVE RECESS40MM,217.8,217.8,,,0
HCPCS,C1713,25310 : SCREW BNE 4.5X30MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,72.94,72.94,,,0
HCPCS,C1713,2560 : CEMENT BNE FULL DOSE RADPQ SIMPLEX P,135.12,135.12,,,0
HCPCS,C1713,25MM ANCHOR BOLT,340.8,340.8,,,0
HCPCS,C1713,26277 : SCREW CANN 4.5 72MM 214.772,743.4,743.4,,,0
HCPCS,C1713,27785 : SCREW BNE 7.3X85MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,907.2,907.2,,,0
HCPCS,C1713,27MM CORTEX SCREW SLFTPNG WITH T8 STARDRIVE RECESS50MM,158.4,158.4,,,0
HCPCS,C1713,27MM METAPHYSEAL SCR SLFTPNG WT8 STRDRV RECESS58MM,286.2,286.2,,,0
HCPCS,C1713,28.0MM MINI ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
HCPCS,C1713,29627 : SCREW BNE 2.7X18MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,29628 : PLATE BNE 6 H 1-4 TBLR 47MM SS MINI FRAG SYS FOR 2.7MM SCR,336.31,336.31,,,0
HCPCS,C1713,29639 : SCREW BNE 4.5X26MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,72.94,72.94,,,0
HCPCS,C1713,29696 : SCREW BNE 2.7X22MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
HCPCS,C1713,29697 : SCREW BNE 2.7X24MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
HCPCS,C1713,29721 : SCREW BNE 2.7X26MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
HCPCS,C1713,29725 : SCREW BNE 2.7X34MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
HCPCS,C1713,29727 : SCREW BNE 2.7X40MM CORT HEX DRV RECESS FT ST SS,102.67,102.67,,,0
HCPCS,C1713,29728 : SCREW BNE 2.7X45MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,29730 : SCREW BNE 3.5X10MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29731 : SCREW BNE 3.5X12MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29733 : SCREW BNE 3.5X16MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29734 : SCREW BNE 3.5X20MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29735 : SCREW BNE 3.5X22MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29736 : SCREW BNE 3.5X24MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29737 : SCREW BNE 3.5X26MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
HCPCS,C1713,29738 : SCREW BNE 3.5X28MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29739 : SCREW BNE 3.5X30MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29740 : SCREW BNE 3.5X32MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
HCPCS,C1713,29741 : SCREW BNE 3.5X34MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29742 : SCREW BNE 3.5X38MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29743 : SCREW BNE 3.5X40MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29744 : SCREW BNE 3.5X45MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
HCPCS,C1713,29745 : SCREW BNE 3.5X50MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29746 : SCREW BNE 3.5X55MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29747 : SCREW BNE 3.5X60MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29748 : SCREW BNE 3.5X65MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
HCPCS,C1713,29749 : SCREW BNE 3.5X70MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
HCPCS,C1713,29750 : SCREW BNE 3.5X75MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
HCPCS,C1713,29751 : SCREW BNE 3.5X80MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29752 : SCREW BNE 3.5X85MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29753 : SCREW BNE 3.5X90MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29755 : SCREW BNE 3.5X100MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29758 : SCREW BNE 3.5X18MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,29978 : WIRE FIX 1MM X 10MM CERCLAGE SS PRECUT SMTH W- EYELT,139.49,139.49,,,0
HCPCS,C1713,3 5MM VARIABLE ANGLE LOCKING SCREW SLF TPNG STRDRV 75MM,547.2,547.2,,,0
HCPCS,C1713,3 X 3 HOLE DCP PLATE  1.5MM,1298.88,1298.88,,,0
HCPCS,C1713,3.0 MM TI CORTEX SCREW LENGTH 22 MM GOLD,268.2,268.2,,,0
HCPCS,C1713,3.0 MM TI VARIABLE ANGLE SCREW LENGTH 12 MM ROSE RED,772.2,772.2,,,0
HCPCS,C1713,3.0MM FLEX NAIL TI - ROUND TIP,1048.8,1048.8,,,0
HCPCS,C1713,3.2 X 358MM GUIDE PIN,101.23,101.23,,,0
HCPCS,C1713,3.2 X 450MM GUIDEPIN 7193-3167,966.6,966.6,,,0
HCPCS,C1713,3.5 1/3 TBLR PLT 3.5MM 74MM/6 H,1800.0,1800.0,,,0
HCPCS,C1713,3.5 1/3 TBLR PLT 3.5MM 86MM/7 H,1404.0,1404.0,,,0
HCPCS,C1713,3.5 100 DEGREE LOCKING PROXIMAL FEMUR PLATE,4560.84,4560.84,,,0
HCPCS,C1713,3.5 LCK CONT DUAL COMP PLT 8H,546.0,546.0,,,0
HCPCS,C1713,3.5 LCP DISTAL TIBIA T-PLATE 3 HOLE/64,2613.6,2613.6,,,0
HCPCS,C1713,3.5 LCP PERIARTIC PRX HUM PL 12 H/271/RT,7885.8,7885.8,,,0
HCPCS,C1713,3.5 LCP PROX TIB PL LOW BEND 14 H/206/RT,6105.6,6105.6,,,0
HCPCS,C1713,3.5 LOW PRO CRVD RECON PL 88 RAD 14 H,3121.2,3121.2,,,0
HCPCS,C1713,3.5 LOW PRO RECONSTRUCTION PL 10 HOLES,2032.2,2032.2,,,0
HCPCS,C1713,3.5 LOW PRO RECONSTRUCTION PL 13 HOLES,2338.2,2338.2,,,0
HCPCS,C1713,3.5 LOW PRO RECONSTRUCTION PL 6 HOLES,1807.2,1807.2,,,0
HCPCS,C1713,3.5 MM LOCKING SCREW 14 MM LONG,176.4,176.4,,,0
HCPCS,C1713,3.5 MM LOCKING SCREW 18 MM LENGTH  MM  3.5 MM LOCKING SCREW,184.8,184.8,,,0
HCPCS,C1713,3.5 MM LOCKING SCREW 18 MM LONG,176.4,176.4,,,0
HCPCS,C1713,3.5 MM TI VARIABLE ANGLE SCREW LENGTH 16 MM DARK PURPLE,772.2,772.2,,,0
HCPCS,C1713,3.5 SD CORTEX SCREW SELF-TAPPING 32,117.0,117.0,,,0
HCPCS,C1713,3.5 STR BROAD PLT 3.5MM 113MM/7 H,2508.0,2508.0,,,0
HCPCS,C1713,3.5 STR NAR PLT 3.5MM 104MM/7 H,2193.6,2193.6,,,0
HCPCS,C1713,3.5 VAL DSTL FEM SPAN ATCH PL/6H/STD/RT,4901.4,4901.4,,,0
HCPCS,C1713,3.5 VLP SCREW 30MM,41.18,41.18,,,0
HCPCS,C1713,3.5 X 26MM SCREW MULTI AXIAL,1308.0,1308.0,,,0
HCPCS,C1713,3.5 X 30MM LOCKING SELF TAPPING SCREW,243.43,243.43,,,0
HCPCS,C1713,3.5 X 32MM VLP SCREW 7182-1332,41.18,41.18,,,0
HCPCS,C1713,3.5MM 1/3 TUBULAR PLATES:10 HOLE,168.0,168.0,,,0
HCPCS,C1713,3.5MM 1/3 TUBULAR PLATES:2 HOLE,134.4,134.4,,,0
HCPCS,C1713,3.5MM 1/3 TUBULAR PLATES:6 HOLE,159.6,159.6,,,0
HCPCS,C1713,3.5MM CORT LOCK SCREW 75MM,226.8,226.8,,,0
HCPCS,C1713,3.5MM CORTICAL SCREW SELFTAP SMALL HEX 100MM,75.6,75.6,,,0
HCPCS,C1713,3.5MM CORTICAL SCREWS:12,109.2,109.2,,,0
HCPCS,C1713,3.5MM EXTRA-ARTICLR 10HRIGHT,5452.2,5452.2,,,0
HCPCS,C1713,3.5MM LOCKING COMPRESSION PLATE 4 HOLE,876.6,876.6,,,0
HCPCS,C1713,3.5MM LOCKING COMPRESSION PLATES: 10 HOLE,428.4,428.4,,,0
HCPCS,C1713,3.5MM LOCKING COMPRESSION PLATES: 7 HOLE,369.6,369.6,,,0
HCPCS,C1713,3.5MM LOCKING COMPRESSION PLATES: 8 HOLE,403.2,403.2,,,0
HCPCS,C1713,3.5MM LOCKING CORTICAL FULL THREAD 22MM WITH T15 HEXALOBE,447.72,447.72,,,0
HCPCS,C1713,3.5MM MULTIDIRECT SCREW 55MM,277.2,277.2,,,0
HCPCS,C1713,3.5MM NON LOCKING CORT FULL THREAD 16MM,70.94,70.94,,,0
HCPCS,C1713,3.5MM NON LOCKING CORT FULL THREAD 18MM,70.94,70.94,,,0
HCPCS,C1713,3.5MM NON-LOCKING SCREW 100MM,248.93,248.93,,,0
HCPCS,C1713,3.5MM NON-LOCKING SCREW 10MM,248.93,248.93,,,0
HCPCS,C1713,3.5MM NON-LOCKING SCREW 12MM,248.93,248.93,,,0
HCPCS,C1713,3.5MM NON-LOCKING SCREW 14MM,248.93,248.93,,,0
HCPCS,C1713,3.5MM NON-LOCKING SCREW 16MM,248.93,248.93,,,0
HCPCS,C1713,3.5MM NON-LOCKING SCREW 22MM,248.93,248.93,,,0
HCPCS,C1713,3.5MM NON-LOCKING SCREW 24MM,248.93,248.93,,,0
HCPCS,C1713,3.5MM NON-LOCKING SCREW 50MM,248.93,248.93,,,0
HCPCS,C1713,3.5MM NON-LOCKING SCREW 55MM,248.93,248.93,,,0
HCPCS,C1713,3.5MM SELF TAPPING CORTICAL SCREW WITH T15 HEXALOBE SIZE 34M,118.58,118.58,,,0
HCPCS,C1713,3.5MM T15 LOW PROFILE NON-LOCKING SCREWS 38,100.8,100.8,,,0
HCPCS,C1713,3.5MM VA-LCP PROX TIBIA PLATE SMALL BEND4H87MMRIGHT,5643.0,5643.0,,,0
HCPCS,C1713,3.5MM VLP SCREW 26MM,41.18,41.18,,,0
HCPCS,C1713,3.5MM X 14MM LOCKING HEXALOBE SCREW,494.4,494.4,,,0
HCPCS,C1713,3.5MM X 16MM TITANIUM LOCKING SCREW,176.4,176.4,,,0
HCPCS,C1713,3.5MM X 85 MM LOCKING SCREW,190.8,190.8,,,0
HCPCS,C1713,3.5X42MM POLYAXIAL SCREW,2140.2,2140.2,,,0
HCPCS,C1713,3.6MM BONE SCREW FIXED SELF-DRILLING 16MM,180.0,180.0,,,0
HCPCS,C1713,30056 : SCREW BNE 3.5X42MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,30057 : SCREW BNE 3.5X44MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,3013,480.0,480.0,,,0
HCPCS,C1713,30248 : SCREW BNE 3.5X36MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,"3050-20013 - 13MM, 2.0 NANO ACUTRAK 3® BONE SCREW",1850.4,1850.4,,,0
HCPCS,C1713,30MM ANCHOR BOLT,340.8,340.8,,,0
HCPCS,C1713,32-8105-027-04 - 32-8105-27-04,13101.6,13101.6,,,0
HCPCS,C1713,3240664 - ANATOMIC PEEK W/ NANO 16 X 14 X 6 X 4.6°,3760.8,3760.8,,,0
HCPCS,C1713,33680033,13922.4,13922.4,,,0
HCPCS,C1713,351047 : SPEED COMPRESSION IMPLANT KIT 13X10X10MM,2682.0,2682.0,,,0
HCPCS,C1713,351050 : SPEED COMPRESSION IMPLANT KIT 15X10X10MM,3713.4,3713.4,,,0
HCPCS,C1713,351120 : SCREW BNE 1.5X4MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
HCPCS,C1713,351259 : SCREW CORTICAL LOCKING 3.5MM X 15MM,218.4,218.4,,,0
HCPCS,C1713,351262 : BIT DRL 2MM X 40MM CANN FOR GEMINUS VOLAR RAD PLATING SYS,345.6,345.6,,,0
HCPCS,C1713,351264 : GEMINUS HOOK PLATE,1204.8,1204.8,,,0
HCPCS,C1713,351265 : GEMINUS HOOK PLATE SCREW,216.0,216.0,,,0
HCPCS,C1713,351266 : PLATE BNE 4 H L DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,2020.8,2020.8,,,0
HCPCS,C1713,351269 : GEMINUS VOLAR DISTAL RADIUS PLATE STANDARD 4 HOLE RIGHT,2020.8,2020.8,,,0
HCPCS,C1713,351296 : SCREW POLYAXIAL LOCKING 2.5MM X 12MM CANNULATED COCR,362.4,362.4,,,0
HCPCS,C1713,351319 : PROTEAN FRAGMENT PLATE DOUBLE HOCKEY STICK,2083.2,2083.2,,,0
HCPCS,C1713,351322 : SMOOTH PEG LOCKING 2.0MM X 14MM,220.8,220.8,,,0
HCPCS,C1713,351329 : THREADED PEG LOCKING 2.3MM X 14MM,237.6,237.6,,,0
HCPCS,C1713,351331 : THREADED PEG LOCKING 2.3MM X 19MM,237.6,237.6,,,0
HCPCS,C1713,351332 : THREADED PEG LOCKING 2.3MM X 21MM,237.6,237.6,,,0
HCPCS,C1713,351336 : THREADED PEG NON-LOCKING 2.7MM X 16MM,216.0,216.0,,,0
HCPCS,C1713,351337 : PEG BNE FIX L18MM DIA2.7MM DST RAD TI THRD NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,351338 : THREADED PEG NON-LOCKING 2.7MM X 20MM,216.0,216.0,,,0
HCPCS,C1713,351339 : THREADED PEG NON-LOCKING 2.7MM X 22MM,216.0,216.0,,,0
HCPCS,C1713,353026 : 2.0X12MM SELF DRILLING MMF SCREW,281.78,281.78,,,0
HCPCS,C1713,353031 : 2.0X12MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,353038 : 2.0X12MM CROSS-PIN SELF TAPPING LOCKING SCREW,246.41,246.41,,,0
HCPCS,C1713,353197 : 6 HOLE FRACTURE PLATE,1213.42,1213.42,,,0
HCPCS,C1713,353212 : SCRUNIII AXSSD 1.5X4MM,143.52,143.52,,,0
HCPCS,C1713,353440 : LEVEL ONE CMFPLATE ORTHOG LEFORT LINDORF LEFT 2.0 MM SCREW3.,471.12,471.12,,,0
HCPCS,C1713,353441 : LEVEL ONE CMFPLATE ORTHOG LEFORT LINDORF RIGHT 2.0 MM SCREW5,471.12,471.12,,,0
HCPCS,C1713,353444 : LEVEL ONE CMFPLATE ORTHOG LEFORT LINDORF LEFT 2.0 MM SCREW7.,471.12,471.12,,,0
HCPCS,C1713,353849 : LEVEL ONE NEUROMESH 3D NEURO SCREW80 X 80 MM T=0.6 MMCP TITA,3567.6,3567.6,,,0
HCPCS,C1713,353978 : LEVEL ONE CMF STERILEPLATE ORBITAL FLOOR SMART RIGHT GRID 1.,3753.0,3753.0,,,0
HCPCS,C1713,353990 : SCREW BNE 2X14MM CMF THRD 10MM DRL FREE SS MAXDRIVE MMF,240.0,240.0,,,0
HCPCS,C1713,354045 : LEVEL ONE NEUROPLATE ULTRAONE STR WTAB NEURO SCREW2 HOLE 17,252.0,252.0,,,0
HCPCS,C1713,354047 : LEVEL ONE NEUROPLATE ULTRAONE STR WTAB NEURO SCREW4 HOLE 22,376.2,376.2,,,0
HCPCS,C1713,354055 : PLATE BNE CRAN 2 X 2 H GRID 14MM THCK 0.35MM TI ALLY W- TAB,648.0,648.0,,,0
HCPCS,C1713,354102 : PLATE BNE THK0.6MM 4 H MIDFACE TI STR PROF LEV 1 FOR 1.5MM,324.24,324.24,,,0
HCPCS,C1713,354106 : PLATE BNE THK0.6MM 7 H MIDFACE TI L SHP PROF LEV 1 FOR 1.5MM,608.16,608.16,,,0
HCPCS,C1713,354116 : PLATE BNE THK0.6MM 8 H MIDFACE TI T SHP LEV 1 FOR 1.5MM SCR,489.6,489.6,,,0
HCPCS,C1713,354118 : PLATE BNE THK0.6MM 6X2 H MIDFACE TI PROF LEV 1 FOR 1.5MM SCR,869.4,869.4,,,0
HCPCS,C1713,354159 : LEVEL ONE CMFPLATE MIDFACE CVD WTAB 1.5 MM SCREW12 HOLE T=0.,534.6,534.6,,,0
HCPCS,C1713,354442 : LEVEL ONE CMFPLATE MINI STR 2.0 MM SCREW4 HOLE 24 MM T=1.0 M,124.94,124.94,,,0
HCPCS,C1713,354608 : SCREW BNE 2X5MM DRL FREE TI MAXDRIVE LEV 1 CMF,96.0,96.0,,,0
HCPCS,C1713,354904 : PLATE BNE R MAND 2X2 H L SHP 20MM TI LP OSTEOSYN 2.0 MINI,287.04,287.04,,,0
HCPCS,C1713,354909 : PLATE BNE CMF L 2 X 2 H L 24MM THCK 0.6MM TI MINI SAG,287.04,287.04,,,0
HCPCS,C1713,35MM CRTX SCREWLOW PROF HD SELFTAPPINGSTAR DRIVE30MM,110.11,110.11,,,0
HCPCS,C1713,35MM LCP PROXIMAL TIBIA PLATE LOW BEND 14 HOLES206MMLEFT,6105.6,6105.6,,,0
HCPCS,C1713,35MM LCP PROXIMAL TIBIA PLATE LOW BEND 8 HOLES128MMRIGHT,3580.42,3580.42,,,0
HCPCS,C1713,35MM LCP SUP ANT CLAVICLE PLATE 7HLT110MM,3794.4,3794.4,,,0
HCPCS,C1713,360611 : EVOS 3.5MM X 8MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,360612 : SCREW BNE L10MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,360613 : SCREW BNE L11MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,360614 : SCREW BNE L12MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,360615 : SCREW BNE L13MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,360616 : SCREW BNE L14MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,360617 : EVOS 3.5MM X 15MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,360618 : SCREW BNE L16MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,360620 : SCREW BNE L18MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,360622 : SCREW BNE L20MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,360623 : SCREW BNE 3.5X22MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360624 : SCREW BNE 3.5X24MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360625 : SCREW BNE 3.5X26MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360626 : SCREW BNE 3.5X28MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360627 : EVOS 3.5MM X 30MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,360628 : SCREW BNE 3.5MMX32MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360629 : EVOS 3.5MM X 34MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,360630 : EVOS 3.5MM X 36MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,360631 : SCREW BNE 3.5X38MM CORT SS ST SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360632 : EVOS 3.5MM X 40MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,360633 : EVOS 3.5MM X 42MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,360634 : SCREW BNE 3.5X44MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360635 : SCREW BNE 3.5X46MM CORT ST SS EVOS SM PLATING SYS,32.35,32.35,,,0
HCPCS,C1713,360636 : EVOS 3.5MM X 48MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,360637 : SCREW BNE 3.5X50MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360638 : SCREW BNE 3.5X55MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360639 : SCREW BNE 3.5X60MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360640 : SCREW BNE 3.5X65MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,360641 : EVOS 3.5MM X 70MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,360642 : SCREW BNE L75MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
HCPCS,C1713,360643 : EVOS 3.5MM X 80MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,360646 : EVOS 3.5MM X 11MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360647 : EVOS 3.5MM X 12MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360648 : SCREW BNE L13MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
HCPCS,C1713,360649 : EVOS 3.5MM X 14MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360651 : SCREW BNE L16MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
HCPCS,C1713,360652 : EVOS 3.5MM X 17MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360653 : SCREW BNE L18MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
HCPCS,C1713,360655 : SCREW BNE L20MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
HCPCS,C1713,360656 : SCREW BNE 3.5X22MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,360657 : EVOS 3.5MM X 24MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360658 : SCREW BNE L26MM DIA3.5MM SS ST LOK FOR SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,360659 : SCREW BNE 3.5X28MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,360660 : SCREW BNE L30MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
HCPCS,C1713,360661 : EVOS 3.5MM X 32MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360662 : SCREW BNE L34MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
HCPCS,C1713,360663 : EVOS 3.5MM X 36MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360664 : EVOS 3.5MM X 38MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360665 : SCREW BNE L40MM DIA3.5MM SS ST LOK FOR EVOS SM PLATING SYS,179.35,179.35,,,0
HCPCS,C1713,360666 : SCREW BNE L42MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
HCPCS,C1713,360667 : SCREW BNE 3.5X44MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,360668 : EVOS 3.5MM X 46MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360669 : SCREW BNE L48MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
HCPCS,C1713,360672 : SCREW BNE 3.5X60MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,360673 : SCREW BNE 3.5X65MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,360674 : EVOS 3.5MM X 70MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360676 : EVOS 3.5MM X 80MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,360678 : SCREW BNE L12MM DIA4.7MM SS OSTEOPENIA FT FOR EVOS SM,110.88,110.88,,,0
HCPCS,C1713,360679 : EVOS 4.7MM X 14MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
HCPCS,C1713,360680 : EVOS 4.7MM X 16MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
HCPCS,C1713,360681 : EVOS 4.7MM X 18MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
HCPCS,C1713,360682 : EVOS 4.7MM X 20MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
HCPCS,C1713,360685 : EVOS 4.7MM X 26MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
HCPCS,C1713,360738 : EVOS 3.5MM PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA PLATE 4H,1446.98,1446.98,,,0
HCPCS,C1713,360739 : EVOS 3.5MM PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA PLATE 6H,2322.55,2322.55,,,0
HCPCS,C1713,360741 : EVOS 3.5MM PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA PLATE 6H,2322.55,2322.55,,,0
HCPCS,C1713,360747 : EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 16H L 200MM,3944.16,3944.16,,,0
HCPCS,C1713,360751 : EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 10H R 134MM,3701.28,3701.28,,,0
HCPCS,C1713,360756 : EVOS 3.5MM PARTIAL ARTICULAR MEDIAL PROXIMAL TIBIA PLATE 4H,2244.0,2244.0,,,0
HCPCS,C1713,360757 : EVOS 3.5MM PARTIAL ARTICULAR MEDIAL PROXIMAL TIBIA PLATE 8H,2333.76,2333.76,,,0
HCPCS,C1713,360760 : EVOS 3.5MM MEDIAL PROXIMAL TIBIA PLATE 13H L 170MM,3136.32,3136.32,,,0
HCPCS,C1713,360770 : EVOS 3.5MM PARTIAL ARTICULAR POSTEROMEDIAL PROXIMAL TIBIA I,2244.0,2244.0,,,0
HCPCS,C1713,360777 : EVOS 2.7-3.5MM LATERAL DISTAL FIBULA PLATE 5H L 81MM,1552.32,1552.32,,,0
HCPCS,C1713,360778 : EVOS 2.7-3.5MM LATERAL DISTAL FIBULA PLATE 7H L 103MM,1668.48,1668.48,,,0
HCPCS,C1713,360805 : EVOS 2.7MM-3.5MM POSTEROLATERAL DISTAL FIBULA PLATE 7H R 115,2370.72,2370.72,,,0
HCPCS,C1713,360825 : EVOS 2.7MM-3.5MM MEDIAL DISTAL TIBIA PLATE 15H R 195MM,4239.84,4239.84,,,0
HCPCS,C1713,360827 : EVOS 2.7MM-3.5MM PARTIAL ARTICULAR ANTEROLATERAL DISTAL TIBI,2333.76,2333.76,,,0
HCPCS,C1713,360829 : EVOS 2.7MM-3.5MM PARTIAL ARTICULAR ANTEROLATERAL DISTAL TIBI,2333.76,2333.76,,,0
HCPCS,C1713,360831 : EVOS 2.7MM-3.5MM ANTEROLATERAL DISTAL TIBIA PLATE 11H L 153M,4181.76,4181.76,,,0
HCPCS,C1713,360832 : EVOS 2.7MM-3.5MM ANTEROLATERAL DISTAL TIBIA PLATE 14H L 186M,4218.72,4218.72,,,0
HCPCS,C1713,360852 : EVOS 2.7MM LOCKING COMPRESSION PLATE 10H 76MM,786.72,786.72,,,0
HCPCS,C1713,360863 : PLATE BNE 8 H 67MM COMPR EVOS,543.84,543.84,,,0
HCPCS,C1713,360864 : EVOS 2.7MM COMPRESSION PLATE 10H 84MM,749.76,749.76,,,0
HCPCS,C1713,360871 : EVOS 3.5MM LOCKING 1-3 TUBULAR PLATE 10H 118MM,654.72,654.72,,,0
HCPCS,C1713,360894 : PLATE BNE L70MM 6 H ST SS 1-3 TBLR FOR 3.5MM SCR EVOS,117.6,117.6,,,0
HCPCS,C1713,360895 : PLATE BNE L94MM 8 H ST SS 1-3 TBLR FOR 3.5MM SCR EVOS,120.96,120.96,,,0
HCPCS,C1713,360896 : PLATE BNE 10 H 1-3 TBLR 118MM SS EVOS SM PLATING SYS,120.96,120.96,,,0
HCPCS,C1713,360899 : EVOS 3.5MM COMPRESSION PLATE 8H 102MM,241.92,241.92,,,0
HCPCS,C1713,364365 : PTN PERITROCHANTERIC NAIL  TELESCOPING LAG SCREW KEYLESS  TI,1134.0,1134.0,,,0
HCPCS,C1713,365210 : PIN FIX L305MM DIA3MM TEMP THRD,159.6,159.6,,,0
HCPCS,C1713,365248 : GUIDEPIN FIX DIA2MM FOR CEPHALOMEDULLARY NAIL INSTR SET NAT,159.6,159.6,,,0
HCPCS,C1713,365249 : PIN DIA3MM THRD TIB FOR NAT NAIL SYS,159.6,159.6,,,0
HCPCS,C1713,365376 : NAIL IM L400MM DIA9MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,365384 : NAIL IM L320MM DIA11MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,365386 : NAIL IM L360MM OD11MM 125DEG LNG TIM R HIP AG CANN LOK,3687.6,3687.6,,,0
HCPCS,C1713,365387 : NAIL IM L380MM DIA11MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,365388 : NAIL IM L400MM DIA11MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,365400 : NAIL IM L400MM DIA13MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,365401 : NAIL IM L420MM DIA15.6X13MM NK 125DEG LNG R DST LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,365411 : HIP FRACTURE NAIL - LEFT  125    9MM X 400MM  125    9MM X,3687.6,3687.6,,,0
HCPCS,C1713,365420 : NAIL IM L360MM DIA11MM 125DEG LNG L HIP TIM CANN LOK FOR AG,3687.6,3687.6,,,0
HCPCS,C1713,365422 : NAIL IM L400MM DIA11MM 125DEG LNG L HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,365468 : SCREW BNE L85MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
HCPCS,C1713,365469 : SCREW BNE L90MM DIA10.5MM ST LAG SQ DRVR SOCK FOR AFFIXUS,1041.6,1041.6,,,0
HCPCS,C1713,365470 : SCREW BNE L95MM DIA10.5MM ST LAG SQ DRVR SOCK FOR AFFIXUS,1041.6,1041.6,,,0
HCPCS,C1713,365471 : SCREW BNE L100MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
HCPCS,C1713,365472 : SCREW BNE L105MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
HCPCS,C1713,365512 : SCREW BNE 5X32MM DST CORT AFFIXUS HIP FRAC NAIL SYS,310.8,310.8,,,0
HCPCS,C1713,365513 : SCREW BNE L34MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,365514 : SCREW BNE L36MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,576.0,576.0,,,0
HCPCS,C1713,365515 : SCREW BNE L38MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,365516 : SCREW BNE L40MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,365517 : SCREW BNE L42MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,365518 : SCREW BNE L44MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,365526 : SCREW BNE DIA5.0MM L60MM CORT DST SCR AFFIMM LUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,365528 : CORTICAL BONE SCREW  5.0MM X 70MM  5.0MM X 70MM  AFFIXUS,310.8,310.8,,,0
HCPCS,C1713,365677 : 4.0 MM DIAMETER CORTICAL SCREW - WHITE FIXED ANGLE 3.5 MM HE,310.8,310.8,,,0
HCPCS,C1713,365678 : SCREW BNE 5X25MM FIX ANG CORT HEX HD 3.5MM FT NONLOCKING TI,267.29,267.29,,,0
HCPCS,C1713,365680 : SCREW BNE L27.5MM DIA5MM HD DIA3.5MM CORT TI NONCANN,267.29,267.29,,,0
HCPCS,C1713,365682 : SCREW BNE L30MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,267.29,267.29,,,0
HCPCS,C1713,365684 : 4.0 MM DIAMETER CORTICAL SCREW - WHITE FIXED ANGLE 3.5 MM HE,310.8,310.8,,,0
HCPCS,C1713,365687 : SCREW BNE L35MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,267.29,267.29,,,0
HCPCS,C1713,365693 : SCREW BNE L40MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,276.17,276.17,,,0
HCPCS,C1713,365695 : SCREW BNE L42MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,267.29,267.29,,,0
HCPCS,C1713,365713 : SCREW BNE L60MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,276.17,276.17,,,0
HCPCS,C1713,365716 : SCREW BNE L65MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,276.17,276.17,,,0
HCPCS,C1713,365719 : SCREW BNE L70MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,276.17,276.17,,,0
HCPCS,C1713,365722 : SCREW BNE 6X75MM FIX ANG FEM CORT HEX HD 3.5MM FT NONLOCKING,276.17,276.17,,,0
HCPCS,C1713,365725 : SCREW BNE L80MM DIA6MM TI CANC FEM FIX ANG 3.5MM HEX HD AG,276.17,276.17,,,0
HCPCS,C1713,365731 : SCREW BNE L90MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,276.17,276.17,,,0
HCPCS,C1713,365734 : SCREW BNE L95MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,276.17,276.17,,,0
HCPCS,C1713,365780 : GUIDEWIRE ORTH L100CM DIA3MM FEM NAIL TEAR GTT RG NAT NAIL,260.4,260.4,,,0
HCPCS,C1713,365941 : GREATER TROCHANTER FEMORAL NAIL - GREEN LEFT   11 MM DIAMETE,2124.0,2124.0,,,0
HCPCS,C1713,366068 : RETROGRADE FEMORAL NAIL - PURPLE 10 MM DIAMETER  34 CM LENGT,2937.6,2937.6,,,0
HCPCS,C1713,366069 : NAIL IM L340MM DIA11.5MM LNG UNIV FEM TI ALLY RG,2937.6,2937.6,,,0
HCPCS,C1713,366072 : NAIL IM L36CM DIA11.5MM LNG TI ALLY RG FOR RED PROX AND BLK,2937.6,2937.6,,,0
HCPCS,C1713,366107 : TIBIAL NAIL - YELLOW 8.3 MM DIAMETER  30 CM LENGTH USE RED P,1932.0,1932.0,,,0
HCPCS,C1713,366186 : SCREW BNE L70MM DIA4.5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
HCPCS,C1713,366198 : SCREW BNE L50MM DIA5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
HCPCS,C1713,366205 : SCREW BNE 5X65MM IM NAIL TIB DBL LD THRD ST TI ALLY PHOENIX,369.6,369.6,,,0
HCPCS,C1713,366544 : PHOENIX RETROGRADE NAIL SYSTEM  RETROGRADE FEMORAL NAIL  TI-,3192.0,3192.0,,,0
HCPCS,C1713,36656 : IMPLANT FING JOIN WGROMME SZ4,3276.67,3276.67,,,0
HCPCS,C1713,36657 : IMPLANT FING JOIN WGROMME SZ3,3276.67,3276.67,,,0
HCPCS,C1713,368042 : PLATE BNE HIP 2 H ST 46MM 130DEG STD BRL SS DH-DC SYS,1404.0,1404.0,,,0
HCPCS,C1713,368063 : 24MM CORTEX SCREW SLFTPNG WITH T8 STARDRIVE RECESS40MM,217.8,217.8,,,0
HCPCS,C1713,368089 : PLATE BNE OLECRANON L 4 H 116MM SS VA-LCP EL SYS,3879.0,3879.0,,,0
HCPCS,C1713,368118 : PLATE BNE TIB MED PROX L 10 H 171MM SS SM FRAG LCP SYS,3402.24,3402.24,,,0
HCPCS,C1713,368120 : 35MM LCP MEDIAL PROXIMAL TIBIA PLATE 14HRIGHT 223MM,5877.0,5877.0,,,0
HCPCS,C1713,368127 : PLATE BNE TIB PROX R 10 H LO BEND 154MM SS LCP FOR 3.5MM SCR,5679.0,5679.0,,,0
HCPCS,C1713,368129 : 35MM LCP PROXIMAL TIBIA PLATE LOW BEND 14 HOLES206MMLEFT,3365.14,3365.14,,,0
HCPCS,C1713,368135 : 35MM LCP PROXIMAL TIBIA PLATE LOW BEND 8 HOLES128MMRIGHT,3055.03,3055.03,,,0
HCPCS,C1713,368140 : PLATE BNE 6 H CRV 78MM RAD 88MM RECON SS LP PELV SYS,2746.8,2746.8,,,0
HCPCS,C1713,368141 : PLATE BNE 8 H CRV 104MM RAD 88MM RECON SS LP PELV SYS,1644.7,1644.7,,,0
HCPCS,C1713,368163 : 50MM VARIABLE ANGLE LOCKNG SCREWSLFTPNGSTRDRV42MM,631.8,631.8,,,0
HCPCS,C1713,369535 : PLATE BNE TIB PROX R 12 H LO BEND 180MM SS LCP FOR 3.5MM SCR,6012.0,6012.0,,,0
HCPCS,C1713,369546 : 5 0MM VARIABLE ANGLE LOCKNG SCREW SLF TPNG STRDRV 32MM,631.8,631.8,,,0
HCPCS,C1713,369575 : SCREW BNE 6.5X85MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,604.8,604.8,,,0
HCPCS,C1713,369576 : SCREW BNE 6.5X90MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,532.8,532.8,,,0
HCPCS,C1713,369767 : GRAFT BNE SUB 10CC CA PHSPTE HYALURONIC ACID CEM VOID FILL,5642.4,5642.4,,,0
HCPCS,C1713,369789 : SCREW BNE L14MM DIA2.7MM DST VOLAR RAD LOK FT SQ DRV HD LP,184.8,184.8,,,0
HCPCS,C1713,369790 : SCREW BNE L16MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,369799 : SCREW BNE L12MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
HCPCS,C1713,370294 : SCREW BNE L18MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,370543 : SCREW BNE L35MM DIA6.5MM CNTRL THRD GLEN REV AEQUALIS,900.0,900.0,,,0
HCPCS,C1713,370545 : SCREW BNE 5X34MM PERIPH GLEN REV AEQUALIS PERFORM,120.0,120.0,,,0
HCPCS,C1713,370546 : SCREW BNE 5X38MM PERIPH GLEN PERFORM,120.0,120.0,,,0
HCPCS,C1713,370547 : BASEPLATE GLEN DIA25MM 15DEG TI POR FULL WDG AUG PERFORM,4860.0,4860.0,,,0
HCPCS,C1713,372900 : BIT DRL 4MM FOR TALAR PEG INBONE II,199.2,199.2,,,0
HCPCS,C1713,37323 : SCREW BNE 3.5X46MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,37324 : SCREW BNE 3.5X48MM CORT HEX DRV RECESS FT ST SS,80.71,80.71,,,0
HCPCS,C1713,373302 : 2.0X8MM SELF DRILLING MMF SCREW,281.78,281.78,,,0
HCPCS,C1713,373303 : 2.0X12MM SELF DRILLING MMF SCREW,281.78,281.78,,,0
HCPCS,C1713,373555 : 2.0X8MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,373556 : 2.0X10MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,373557 : 2.0X12MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,373563 : 2.0X10MM CROSS-PIN SELF TAPPING LOCKING SCREW,246.41,246.41,,,0
HCPCS,C1713,373564 : 2.0X12MM CROSS-PIN SELF TAPPING LOCKING SCREW,246.41,246.41,,,0
HCPCS,C1713,373636 : PLATE BNE CRAN 2 H 16MM BAR DOG BNE LP UNIV NEURO III,330.72,330.72,,,0
HCPCS,C1713,373653 : PLATE BNE CRAN 2 H 12MM BAR DOG BNE RIG 0.6MM LP UNIV NEURO,234.62,234.62,,,0
HCPCS,C1713,373761 : 6 HOLE MINI PLATE,282.72,282.72,,,0
HCPCS,C1713,373804 : 11 HOLE RECON PLATE,2093.33,2093.33,,,0
HCPCS,C1713,373834 : SCRUN3SD1.5X4MM,143.52,143.52,,,0
HCPCS,C1713,373837 : SCREW BNE 1.5X4MM UNIV NEURO 3 SLF DRL TI AXS,143.52,143.52,,,0
HCPCS,C1713,373993 : GRAFT BNE SUB 15CC CA PHSPTE HA INJ HYDROSET,10505.98,10505.98,,,0
HCPCS,C1713,373994 : CEMENT BNE 3ML INJ HYDROSET DIRECTINJECT,3121.49,3121.49,,,0
HCPCS,C1713,374015 : PLTMINI 6 HOLE1.5MM,2044.78,2044.78,,,0
HCPCS,C1713,374085 : PLTPRIMARY HEMI 2.0MMRIGHT,4065.22,4065.22,,,0
HCPCS,C1713,374228 : 2.8MM  Q-FIX ALL SUTURE ANCHOR,820.8,820.8,,,0
HCPCS,C1713,374300 : PIN EXT FIX L150MM DIA4MM FOR TM TOT ANK SYS,270.0,270.0,,,0
HCPCS,C1713,377775 : LOCKING SCREW D4X22.5,476.4,476.4,,,0
HCPCS,C1713,377776 : LOCKING SCREW D4X25,476.4,476.4,,,0
HCPCS,C1713,377777 : LOCKING SCREW D4X27.5,396.0,396.0,,,0
HCPCS,C1713,377779 : LOCKING SCREW D4X32.5,476.4,476.4,,,0
HCPCS,C1713,377780 : LOCKING SCREW D4X35,476.4,476.4,,,0
HCPCS,C1713,377782 : LOCKING SCREW D4X40,476.4,476.4,,,0
HCPCS,C1713,377790 : LOCKING SCREW D4XL60,476.4,476.4,,,0
HCPCS,C1713,377792 : LOCKING SCREW D5X27.5,476.4,476.4,,,0
HCPCS,C1713,377793 : LOCKING SCREW D5X30,476.4,476.4,,,0
HCPCS,C1713,377794 : LOCKING SCREW D5X32.5,475.2,475.2,,,0
HCPCS,C1713,377795 : LOCKING SCREW D5X35,475.2,475.2,,,0
HCPCS,C1713,377796 : LOCKING SCREW D5X37.5,475.2,475.2,,,0
HCPCS,C1713,377797 : LOCKING SCREW D5X40,476.4,476.4,,,0
HCPCS,C1713,377798 : LOCKING SCREW D5XL42.5,476.4,476.4,,,0
HCPCS,C1713,377799 : LOCKING SCREW D5XL45,476.4,476.4,,,0
HCPCS,C1713,377800 : LOCKING SCREW D5XL47.5,476.4,476.4,,,0
HCPCS,C1713,377801 : LOCKING SCREW D5XL50,475.2,475.2,,,0
HCPCS,C1713,377802 : LOCKING SCREW D5XL52.5,475.2,475.2,,,0
HCPCS,C1713,377803 : LOCKING SCREW D5XL55,475.2,475.2,,,0
HCPCS,C1713,377804 : LOCKING SCREW D5XL57.5,476.4,476.4,,,0
HCPCS,C1713,377805 : LOCKING SCREW D5XL60,475.2,475.2,,,0
HCPCS,C1713,377806 : LOCKING SCREW D5XL65,475.2,475.2,,,0
HCPCS,C1713,377807 : LOCKING SCREW D5XL70,475.2,475.2,,,0
HCPCS,C1713,377808 : LOCKING SCREW D5XL75,475.2,475.2,,,0
HCPCS,C1713,377809 : LOCKING SCREW D5XL80,476.4,476.4,,,0
HCPCS,C1713,377810 : LOCKING SCREW D5XL85,475.2,475.2,,,0
HCPCS,C1713,377811 : LOCKING SCREW D5XL90,476.4,476.4,,,0
HCPCS,C1713,377812 : LOCKING SCREW D5XL95,476.4,476.4,,,0
HCPCS,C1713,377819 : ADVANCED LOCKING SCREW 5X32.5MM,564.0,564.0,,,0
HCPCS,C1713,377820 : ADVANCED LOCKING SCREW 5X35MM,619.2,619.2,,,0
HCPCS,C1713,377821 : ADVANCED LOCKING SCREW 5X37.5MM,619.2,619.2,,,0
HCPCS,C1713,377822 : ADVANCED LOCKING SCREW 5X40MM,619.2,619.2,,,0
HCPCS,C1713,377824 : ADVANCED LOCKING SCREW 5X45MM,619.2,619.2,,,0
HCPCS,C1713,377825 : ADVANCED LOCKING SCREW 5X47.5MM,564.0,564.0,,,0
HCPCS,C1713,377826 : ADVANCED LOCKING SCREW 5X50MM,564.0,564.0,,,0
HCPCS,C1713,377827 : ADVANCED LOCKING SCREW 5X52.5MM,564.0,564.0,,,0
HCPCS,C1713,377828 : ADVANCED LOCKING SCREW 5X55MM,564.0,564.0,,,0
HCPCS,C1713,377829 : ADVANCED LOCKING SCREW 5X57.5MM,564.0,564.0,,,0
HCPCS,C1713,377830 : ADVANCED LOCKING SCREW 5X60MM,564.0,564.0,,,0
HCPCS,C1713,377831 : ADVANCED LOCKING SCREW 5X65MM,619.2,619.2,,,0
HCPCS,C1713,377832 : ADVANCED LOCKING SCREW 5X70MM,564.0,564.0,,,0
HCPCS,C1713,377833 : ADVANCED LOCKING SCREW 5X75MM,564.0,564.0,,,0
HCPCS,C1713,377834 : ADVANCED LOCKING SCREW 5X80MM,619.2,619.2,,,0
HCPCS,C1713,377835 : ADVANCED LOCKING SCREW 5X85MM,619.2,619.2,,,0
HCPCS,C1713,377836 : ADVANCED LOCKING SCREW 5X90MM,619.2,619.2,,,0
HCPCS,C1713,377837 : ADVANCED LOCKING SCREW 5X95MM,619.2,619.2,,,0
HCPCS,C1713,377838 : ADVANCED LOCKING SCREW 5X100MM,564.0,564.0,,,0
HCPCS,C1713,377840 : COMPRESSION SCREW FEMUR D8,501.6,501.6,,,0
HCPCS,C1713,377865 : FEMORAL NAIL GT LEFT D9XL380,4647.6,4647.6,,,0
HCPCS,C1713,377877 : FEMORAL NAIL GT LEFT D10XL360,4647.6,4647.6,,,0
HCPCS,C1713,377970 : FEMORAL NAIL GT RIGHT D9XL400,4264.8,4264.8,,,0
HCPCS,C1713,377980 : FEMORAL NAIL GT RIGHT D10XL340,4647.6,4647.6,,,0
HCPCS,C1713,377982 : FEMORAL NAIL GT RIGHT D10XL380,4264.8,4264.8,,,0
HCPCS,C1713,377984 : FEMORAL NAIL GT RIGHT D10XL420,4264.8,4264.8,,,0
HCPCS,C1713,377985 : FEMORAL NAIL GT RIGHT D10XL440,4264.8,4264.8,,,0
HCPCS,C1713,378008 : FEMORAL NAIL GT RIGHT D12XL380,4818.0,4818.0,,,0
HCPCS,C1713,378262 : COMPRESSION SCREW TIBIA D8,483.6,483.6,,,0
HCPCS,C1713,378264 : END CAP TIBIA D11.5 +10MM,475.2,475.2,,,0
HCPCS,C1713,378265 : END CAP TIBIA D11.5 +15MM,471.6,471.6,,,0
HCPCS,C1713,378269 : TIBIAL NAIL D8XL255,3848.4,3848.4,,,0
HCPCS,C1713,378275 : TIBIAL NAIL D8XL345,3848.4,3848.4,,,0
HCPCS,C1713,378283 : TIBIAL NAIL D9XL270,3848.4,3848.4,,,0
HCPCS,C1713,378285 : TIBIAL NAIL D9XL300,3848.4,3848.4,,,0
HCPCS,C1713,378286 : TIBIAL NAIL D9XL315,3848.4,3848.4,,,0
HCPCS,C1713,378287 : TIBIAL NAIL D9XL330,3848.4,3848.4,,,0
HCPCS,C1713,378288 : TIBIAL NAIL D9XL345,3848.4,3848.4,,,0
HCPCS,C1713,378290 : TIBIAL NAIL D9XL375,3338.4,3338.4,,,0
HCPCS,C1713,378300 : TIBIAL NAIL D10XL330,3848.4,3848.4,,,0
HCPCS,C1713,378302 : TIBIAL NAIL D10XL360,3848.4,3848.4,,,0
HCPCS,C1713,378319 : TIBIAL NAIL D11XL420,3338.4,3338.4,,,0
HCPCS,C1713,383045 : 8X30MM INTERFERENCE SCREW,767.52,767.52,,,0
HCPCS,C1713,383048 : SCREW INTFR L30MM DIA9MM BIOCOMPOSITE VENT FASTTHREAD,767.52,767.52,,,0
HCPCS,C1713,383049 : SCREW INTFR 8X20MM BIOCOMPOSITE FAST THRD,767.52,767.52,,,0
HCPCS,C1713,387527 : CREO AMP 10.5 X 40MM MODULAR CANNULATED SCREW,840.0,840.0,,,0
HCPCS,C1713,387543 : SCREW SPNL 4.5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387548 : SCREW SPNL 5X30MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387556 : SCREW SPNL 5.5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387557 : SCREW SPNL 5.5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387558 : SCREW SPNL 5.5X50MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387567 : SCREW BNE 6.5X55MM SPNL MOD CANN CREO,840.0,840.0,,,0
HCPCS,C1713,387569 : 6.5 X 65MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387583 : SCREW SPNL L40MM OD7.5MM CANN MOD CREO,840.0,840.0,,,0
HCPCS,C1713,387584 : SCREW SPNL L45MM DIA7.5MM CANN MOD CREO,840.0,840.0,,,0
HCPCS,C1713,387585 : SCREW SPNL 7.5X50MM CANN CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387586 : SCREW SPNL L55MM DIA7.5MM MOD CANN CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387603 : SCREW SPNL 8.5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387604 : SCREW SPNL 8.5X50MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387605 : 8.5 X 55MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387613 : 8.5 X 95MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
HCPCS,C1713,387621 : CREO AMP 9.5 X 55MM MODULAR CANNULATED SCREW,840.0,840.0,,,0
HCPCS,C1713,387696 : SCREW SPNL 5.5MM POLYAX TULIP HD THRD CREO AMP,660.0,660.0,,,0
HCPCS,C1713,387826 : SPACER SPNL TLIF 10X9-13X26MM 15DEG LORD ALTERA SELF EXPND,10080.0,10080.0,,,0
HCPCS,C1713,387827 : ALTERA SPACER 10 X 26 10-14MM 15DEG,10080.0,10080.0,,,0
HCPCS,C1713,387828 : ALTERA SPACER 10 X 26 12-16MM 15DEG,10080.0,10080.0,,,0
HCPCS,C1713,387833 : SPACER SPNL W10XH9-13XL31MM 15DEG THORLUM IF LORD SAG BAL,10080.0,10080.0,,,0
HCPCS,C1713,387835 : ALTERA SPACER 10 X 31 12-16MM 15DEG,10080.0,10080.0,,,0
HCPCS,C1713,387978 : ANCHOR SPNL 12MM FOR INLINE INTEGR FIX TI COALITION MIS ACDF,180.0,180.0,,,0
HCPCS,C1713,388014 : COALITION MIS SPACER TI 14 X 16 7 7MM,4320.0,4320.0,,,0
HCPCS,C1713,388051 : CAP SPNL THRD LOK FOR HD TO HD T CONN QUARTEX,108.0,108.0,,,0
HCPCS,C1713,388052 : NUT SPNL LOK FOR HD TO HD T CONN QUARTEX,108.0,108.0,,,0
HCPCS,C1713,388058 : SCREW SPNL 3.5X12MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388059 : SCREW SPNL 3.5X14MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388060 : SCREW SPNL 3.5X16MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388061 : SCREW SPNL 3.5X18MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388062 : SCREW SPNL 3.5X20MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388063 : SCREW SPNL 3.5X22MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388064 : SCREW SPNL 3.5X24MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388065 : SCREW SPNL 3.5X26MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388103 : SCREW SPNL 3.5X28MM FOR 3.5-4MM ROD POST POLYAX SHLDR,1200.0,1200.0,,,0
HCPCS,C1713,388105 : SCREW SPNL OCT 3.5X32MM POLYAX SHLDR QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,388107 : SCREW SPNL OCT 3.5X36MM POLYAX SHLDR QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,388117 : SCREW SPNL 4X14MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388118 : SCREW SPNL 4X16MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388122 : SCREW SPNL 4X24MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388123 : SCREW SPNL 4X26MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388124 : SCREW SPNL 4X28MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388125 : SCREW SPNL L30MM DIA4MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,388160 : QUARTEX 4.0MM POLYAXIAL SHOULDER SCREW 28MM,1200.0,1200.0,,,0
HCPCS,C1713,388179 : SCREW SPNL 4.5X24MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388180 : SCREW SPNL 4.5X26MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388181 : SCREW SPNL 4.5X28MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388182 : SCREW SPNL L30MM DIA4.5MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,388183 : SCREW SPNL 4.5X32MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388184 : SCREW SPNL 4.5X34MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388218 : QUARTEX 5.0MM POLYAXIAL SCREW 28MM,1200.0,1200.0,,,0
HCPCS,C1713,388219 : SCREW SPNL L30MM DIA5MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,388220 : QUARTEX 5.0MM POLYAXIAL SCREW 32MM,1200.0,1200.0,,,0
HCPCS,C1713,388221 : SCREW SPNL 5X34MM FOR 3.5-4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,388222 : QUARTEX 5.0MM POLYAXIAL SCREW 36MM,1200.0,1200.0,,,0
HCPCS,C1713,388224 : QUARTEX 5.0MM POLYAXIAL SCREW 40MM,1200.0,1200.0,,,0
HCPCS,C1713,388235 : SCREW SPNL OCT 5.5X30MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,388236 : SCREW SPNL OCT 5.5X32MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,388237 : SCREW SPNL OCT 5.5X34MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,388238 : SCREW SPNL OCT 5.5X36MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,388320 : CONNECTOR SPNL 27-33MM T HD TO HD QUARTEX,960.0,960.0,,,0
HCPCS,C1713,388321 : CONNECTOR SPNL 33-39MM T HD TO HD QUARTEX,960.0,960.0,,,0
HCPCS,C1713,388323 : QUARTEX HEAD TO HEAD T-CONNECTOR 45-51MM,960.0,960.0,,,0
HCPCS,C1713,388326 : QUARTEX 4.2MM OCCIPITAL SCREW 6MM,300.0,300.0,,,0
HCPCS,C1713,388327 : QUARTEX 4.2MM OCCIPITAL SCREW 8MM,300.0,300.0,,,0
HCPCS,C1713,388329 : QUARTEX 4.2MM OCCIPITAL SCREW 12MM,300.0,300.0,,,0
HCPCS,C1713,388941 : SCREW SPNL L16MM DIA4.2MM SLF DRL VA COALITION,180.0,180.0,,,0
HCPCS,C1713,388949 : SCREW SPNL L18MM DIA3.6MM ST VA COALITION,180.0,180.0,,,0
HCPCS,C1713,388958 : 3.6MM BONE SCREW FIXED SELF-DRILLING 16MM,180.0,180.0,,,0
HCPCS,C1713,389134 : COALITION MIS SPACER 12 X 14 0 5MM,4260.0,4260.0,,,0
HCPCS,C1713,389142 : COALITION MIS SPACER 12 X 14 7 5MM,4260.0,4260.0,,,0
HCPCS,C1713,389143 : COALITION MIS SPACER 12 X 14 7 6MM,4260.0,4260.0,,,0
HCPCS,C1713,389144 : COALITION MIS SPACER 12 X 14 7 7MM,4260.0,4260.0,,,0
HCPCS,C1713,389151 : COALITION MIS SPACER 12 X 14 12 7MM,4260.0,4260.0,,,0
HCPCS,C1713,389152 : COALITION MIS SPACER 12 X 14 12 8MM,4260.0,4260.0,,,0
HCPCS,C1713,389166 : COALITION MIS SPACER 14 X 16 7 7MM,4260.0,4260.0,,,0
HCPCS,C1713,389189 : COALITION MIS SPACER 15 X 18 7 8MM,4260.0,4260.0,,,0
HCPCS,C1713,389350 : CEMENT BNE 20GM RADPQ FOR KYPHOPLASTY ST CONCORD HP,324.0,324.0,,,0
HCPCS,C1713,390015 : CREO THREADED 9.5 X 95MM POLYAXIAL SCREW COCR HEAD TI SHANK,1320.0,1320.0,,,0
HCPCS,C1713,390434 : AFFIRM VCF KIT PREMIER 15P,5280.0,5280.0,,,0
HCPCS,C1713,390437 : KIT SPNL VERT COMPR SYS 15U ULT AFFIRM,5280.0,5280.0,,,0
HCPCS,C1713,390446 : MIXER CEM AND TRNSF PK FORTRESS-+,612.0,612.0,,,0
HCPCS,C1713,390711 : SCREW SPNL POLYAX COCR TULIP HD THRD AMP,660.0,660.0,,,0
HCPCS,C1713,392291 : CURE ACP 12MM FIXED 04.5 SELF DRILLING SCREW,180.0,180.0,,,0
HCPCS,C1713,394545 : RELINE MAS MOD SHANK 6.5X55MM TRACTION,1020.0,1020.0,,,0
HCPCS,C1713,394555 : RELINE MAS MOD REDUCTION EXTENSION,1020.0,1020.0,,,0
HCPCS,C1713,394645 : RELINE MAS RED SCREW 6.5X50MM POLY 2C,2040.0,2040.0,,,0
HCPCS,C1713,394646 : RELINE MAS RED SCREW 6.5X55MM POLY 2C,2040.0,2040.0,,,0
HCPCS,C1713,394662 : RELINE MAS RED SCREW 7.5X55MM POLY 2C,2040.0,2040.0,,,0
HCPCS,C1713,"3949303 - RELINE C TI ROD, Ã4.0X200MM HINGE",2859.12,2859.12,,,0
HCPCS,C1713,396587 : VUEPOINT II TEMPLATE 240MM ROD,326.4,326.4,,,0
HCPCS,C1713,4 HOLE C SHAPE FRACTURE PLATE,968.42,968.42,,,0
HCPCS,C1713,4 HOLE FRACTURE PLATE WITH BAR,874.66,874.66,,,0
HCPCS,C1713,4 HOLE MINI PLATE,222.29,222.29,,,0
HCPCS,C1713,4 HOLE MINI PLATE LONG BAR,345.0,345.0,,,0
HCPCS,C1713,4 HOLE MINI PLATE SHORT BAR,258.74,258.74,,,0
HCPCS,C1713,4 HOLE RANCHO CUBE,480.05,480.05,,,0
HCPCS,C1713,4.0 MM CANCELLOUS LOCKING SCREWS 32,226.8,226.8,,,0
HCPCS,C1713,4.0 MM TI CORTEX SCREW LENGTH 18 MM GREEN,268.2,268.2,,,0
HCPCS,C1713,4.0 MM TI VARIABLE ANGLE SCREW LENGTH 16 MM GREEN,772.2,772.2,,,0
HCPCS,C1713,4.0 X 250/100,662.81,662.81,,,0
HCPCS,C1713,4.0 X 30MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,4.0MM CANCELLOUS SCREW SMALL HEX 14MM FULLY THD,67.2,67.2,,,0
HCPCS,C1713,4.0MM FL THRDED CAN SCR 40MM,355.99,355.99,,,0
HCPCS,C1713,4.0MM PART THRDED CAN SCR 54MM,371.74,371.74,,,0
HCPCS,C1713,4.0MM PT CANC SCR 16MM 7180531,55.08,55.08,,,0
HCPCS,C1713,4.0MM X 46MM CANNULATED SCREW,336.0,336.0,,,0
HCPCS,C1713,4.2MM BONE SCREW FIXED SELF-DRILLING 16MM,180.0,180.0,,,0
HCPCS,C1713,4.5 VA-LCP CRVD COND PL/16 HOLE/336/LFT,8053.2,8053.2,,,0
HCPCS,C1713,4.5 VA-LCP CRVD COND PL/18 HOLE/370/LFT,8904.6,8904.6,,,0
HCPCS,C1713,4.5 VA-LCP CURVED COND PL/12 HOLE/266/RT,7214.4,7214.4,,,0
HCPCS,C1713,4.5 VA-LCP CURVED COND PL/18 HOLE/370/RT,8904.6,8904.6,,,0
HCPCS,C1713,4.5 X 30MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
HCPCS,C1713,4.5 X 30MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,4.5MM  BOWED LOCKING COMP FEMUR 10  HOLE PLATE,3734.83,3734.83,,,0
HCPCS,C1713,4.5MM CORTICAL SCREW LARGE HEX 100MM,92.4,92.4,,,0
HCPCS,C1713,4.5MM CORTICAL SCREW SELFTAP LARGE HEX 120MM,84.0,84.0,,,0
HCPCS,C1713,4.5MM ELLIPSE POLYAXIAL SCREW 10MM,1200.0,1200.0,,,0
HCPCS,C1713,4.5MM L-D FEM LK PL 8H L 193MM,2704.51,2704.51,,,0
HCPCS,C1713,4.5MM L-D FEM LK PL10H L 230MM,2556.0,2556.0,,,0
HCPCS,C1713,4.5MM LCK CMP PL 10H 193MM 293,883.01,883.01,,,0
HCPCS,C1713,4.5MM LP ST CRT SCR 24MM 71806,31.99,31.99,,,0
HCPCS,C1713,4.5MM NARROW LCP PLATES - 260 MM,2475.0,2475.0,,,0
HCPCS,C1713,4.5MM NON LOCKING CORT FULL THREAD 32MM,81.07,81.07,,,0
HCPCS,C1713,4.5MMLD FEM LK PL13H L 286MM 0,2999.81,2999.81,,,0
HCPCS,C1713,4.5MMLP TIB LK PL8H R 165MM 20,2389.8,2389.8,,,0
HCPCS,C1713,4.5MMST CRT LCK SCR 20MM 07020,241.94,241.94,,,0
HCPCS,C1713,4.5MMST CRT LCK SCR 22MM 07022,241.94,241.94,,,0
HCPCS,C1713,4.5MMST CRT LCK SCR 24MM 07024,241.94,241.94,,,0
HCPCS,C1713,4.5MMST CRT LCK SCR 70MM 07070,241.94,241.94,,,0
HCPCS,C1713,4.5MMST CRT LCK SCR 72MM 27072,241.94,241.94,,,0
HCPCS,C1713,4.5MMST CRT LCK SCR 90MM 27090,247.85,247.85,,,0
HCPCS,C1713,4.5X 80 CORTEX,292.8,292.8,,,0
HCPCS,C1713,4.7 X 50 SCREW,1586.4,1586.4,,,0
HCPCS,C1713,400620 : SET SCR SPNL POLYAX ATR EVEREST,246.0,246.0,,,0
HCPCS,C1713,401661 : MESA 2 SCREWS DEFORMITY POLYAXIAL 05.5X25 MM,2275.51,2275.51,,,0
HCPCS,C1713,401662 : SCREW SPNL L30MM DIA5.5MM POLYAX 2 LD THRD LP TOP LD 0 TORQ,2275.51,2275.51,,,0
HCPCS,C1713,401663 : SCREW SPNL L35MM DIA5.5MM POLYAX 2 LD THRD LP TOP LD 0 TORQ,2275.51,2275.51,,,0
HCPCS,C1713,401664 : MESA 2 SCREWS DEFORMITY POLYAXIAL 05.5X40 MM,2275.51,2275.51,,,0
HCPCS,C1713,401669 : MESA 2 SCREWS DEFORMITY POLYAXIAL 06.5X30 MM,2275.51,2275.51,,,0
HCPCS,C1713,401670 : SCREW SPNL L35MM DIA6.5MM POLYAX 2 LD THRD LP TOP LD 0 TORQ,2275.51,2275.51,,,0
HCPCS,C1713,401671 : MESA 2 SCREWS DEFORMITY POLYAXIAL 06.5X40 MM,2275.51,2275.51,,,0
HCPCS,C1713,401686 : MESA 2 SCREWS DEFORMITY POLYAXIAL 07.5X60 MM,2275.51,2275.51,,,0
HCPCS,C1713,401689 : MESA 2 SCREWS DEFORMITY POLYAXIAL 07.5X80 MM,2275.51,2275.51,,,0
HCPCS,C1713,401697 : MESA 2 SCREWS DEFORMITY POLYAXIAL 08.5X60 MM,2275.51,2275.51,,,0
HCPCS,C1713,401728 : SCREW SPNL L25MM DIA5.5MM UNIPLANAR 0 TORQ TECH TOP LD 2 LD,2275.51,2275.51,,,0
HCPCS,C1713,401729 : SCREW SPNL 5.5X30MM UNIPLANAR 2 LD 0-TORQ LOK LP TOP LD MESA,2275.51,2275.51,,,0
HCPCS,C1713,401735 : MESA 2 SCREWS DEFORMITY UNIPLANAR 06.5X35 MM,2275.51,2275.51,,,0
HCPCS,C1713,401736 : SCREW SPNL L40MM DIA6.5MM UNIPLANAR 0 TORQ TECH TOP LD 2 LD,2275.51,2275.51,,,0
HCPCS,C1713,401869 : MESA SMALL STATURE SINGLE USE ROD TEMPLATE 500 MM,135.31,135.31,,,0
HCPCS,C1713,401937 : SET SCR SPNL OCT YUKON,295.2,295.2,,,0
HCPCS,C1713,401940 : SCREW SPNL 3.5X14MM FOR 3.5-4MM ROD POLYAX HI ANGULATION SQ,2423.11,2423.11,,,0
HCPCS,C1713,401941 : SCREW SPNL 3.5X16MM POLYAX HI ANGULATION SQ THRD TOP LD,2423.11,2423.11,,,0
HCPCS,C1713,401948 : YUKON SCREW POLYAXIAL SCREW 03.5X30 MM,2423.11,2423.11,,,0
HCPCS,C1713,402056 : YUKON SCREW MEDIAL LATERAL SCREW 04.5X34 MM,2423.11,2423.11,,,0
HCPCS,C1713,403889 : CASPIAN RODS (SPECIALTY) TRANSITION 03.5-5.5 MM X 500 MM TI,698.64,698.64,,,0
HCPCS,C1713,404002 : ROD SPNL L500MM DIA5.5MM TI STR HEX FOR DEFORMITY SYS DENALI,698.64,698.64,,,0
HCPCS,C1713,404026 : DENALI RODS STRAIGHT DEFORMITY 05.5X500 MM DUAL HEX COCR,698.64,698.64,,,0
HCPCS,C1713,404036 : DENALI RODS (SPECIALTY) PRE CONTOURED DEFORMITY 05.5X500 MM,698.64,698.64,,,0
HCPCS,C1713,404215 : DENALI DEFORMITY ROD CONNECTOR (WEDDING BAND) 05.5 MM CLOSED,1943.4,1943.4,,,0
HCPCS,C1713,404322 : EVEREST CONNECTORS ROD EXTRA WIDE 05.5-6.0 OPEN TO 05.5-6.0,1943.4,1943.4,,,0
HCPCS,C1713,404381 : MESA HOOKS TRANSVERSE PROCESS 6 MM,1549.8,1549.8,,,0
HCPCS,C1713,404530 : CASPIAN NATURAL BRIDGE MINI CONNECTORS TRANSVERSE (L) ADJUST,2066.4,2066.4,,,0
HCPCS,C1713,405513 : SCREW BNE CORT 3.5X20MM,84.0,84.0,,,0
HCPCS,C1713,405514 : SCREW BNE L22MM DIA3.5MM CORT,84.0,84.0,,,0
HCPCS,C1713,405563 : SCREW BNE L12MM DIA2.7MM CORT,180.0,180.0,,,0
HCPCS,C1713,405571 : SCREW BNE L28MM DIA2.7MM CORT,180.0,180.0,,,0
HCPCS,C1713,405573 : CORTICAL SCREW02.7 X 32MM,180.0,180.0,,,0
HCPCS,C1713,405577 : CORTICAL SCREW02.7 X 40MM,237.6,237.6,,,0
HCPCS,C1713,405580 : SCREW BNE L46MM DIA2.7MM CORT,237.6,237.6,,,0
HCPCS,C1713,405582 : CORTICAL SCREW02.7 X 50MM,237.6,237.6,,,0
HCPCS,C1713,406788 : SCREW BNE 6.5X30MM CNTRL GLEN THRD PERFORM,900.0,900.0,,,0
HCPCS,C1713,406792 : SCREW BNE 5X14MM PERIPH GLEN PERFORM,120.0,120.0,,,0
HCPCS,C1713,406795 : SCREW BNE 5X26MM PERIPH GLEN PERFORM,120.0,120.0,,,0
HCPCS,C1713,406821 : SYSTEM FIX HND-WRST W- SUT ANCHR FBR WIRE FBR LOOP 3MM 3.5MM,3887.52,3887.52,,,0
HCPCS,C1713,406994 : SCREW BNE L14MM DIA3.5MM CORT VOLAR TI NONCANN LOK FOR DVR,151.2,151.2,,,0
HCPCS,C1713,407026 : PLATE BNE 7 H 1-3 TBLR 82MM SS EVOS SM PLATING SYS FOR 3.5MM,110.88,110.88,,,0
HCPCS,C1713,407063 : SCREW BNE 1.85X6MM MAND SLF DRL TI MATRIXWAVE,248.64,248.64,,,0
HCPCS,C1713,407064 : SCREW BNE 1.85MM X 8MM TI SLF DRL FOR MMF SYS SET MATRIXWAVE,248.64,248.64,,,0
HCPCS,C1713,407114 : HYDROSET XT 15 CC,8097.6,8097.6,,,0
HCPCS,C1713,407120 : SCREW BNE 6.5X30MM CANC ST TI TRIL ACET SYS,59.95,59.95,,,0
HCPCS,C1713,407380 : SCREW BNE 2X5MM EMGCY MAND CORT FT NONLOCKING ST TI,146.88,146.88,,,0
HCPCS,C1713,407917 : SCREW BNE L85MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
HCPCS,C1713,407919 : SCREW BNE 2.7X48MM CORT T8 STARDRV RECESS FT ST SS,94.18,94.18,,,0
HCPCS,C1713,407990 : 5.0 VA LOCKING SCREW 38MM,631.8,631.8,,,0
HCPCS,C1713,407993 : SCREW BNE L90MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
HCPCS,C1713,407998 : 7.0 X 150 PELVIC SCREW,411.6,411.6,,,0
HCPCS,C1713,408106 : 95MM LAG SCREW,700.56,700.56,,,0
HCPCS,C1713,40894 : SCREW BNE 2X8MM ST SLF DRL SS T8 STARDRV RECESS,230.4,230.4,,,0
HCPCS,C1713,40895 : SCREW BNE 2X12MM ST SLF DRL SS T8 STARDRV RECESS,230.4,230.4,,,0
HCPCS,C1713,409429 : PLATE BNE 7 H 90MM COMPR LOK EVOS FOR 3.5MM SCR,359.52,359.52,,,0
HCPCS,C1713,409505 : BASEPLATE GLEN DIA25MM +3MM TI POR LAT AUGMENTED PERFORM,4860.0,4860.0,,,0
HCPCS,C1713,409753 : PLATE BNE CLAV MIDSHAFT SUP L 6 H DECREASED CURVATURE BRDG,3373.2,3373.2,,,0
HCPCS,C1713,409767 : SCREW BNE L24MM DIA3.5MM PROX HUM NONLOCKING T15 LP FOR ALPS,100.8,100.8,,,0
HCPCS,C1713,409777 : SCREW CORTICAL SELF-TAP SMALL HEX 3.5MM X 60MM  00483506001,75.6,75.6,,,0
HCPCS,C1713,409789 : PLATE BNE L83MM 5 H R OLECRANON FOR 2.7-3.5MM SCR EVOS,2505.6,2505.6,,,0
HCPCS,C1713,409805 : SCREW T15 LP CORT 3.5X16MM NS,92.4,92.4,,,0
HCPCS,C1713,409806 : SCREW T15 LP CORT 3.5X18MM NS,92.4,92.4,,,0
HCPCS,C1713,409807 : SCREW BNE L20MM DIA3.5MM CANC NONCANN NONLOCKING LP T15,100.8,100.8,,,0
HCPCS,C1713,409835 : SCREW BNE 5X28MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
HCPCS,C1713,409836 : SCREW BNE 5X38MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
HCPCS,C1713,409843 : SCREW BNE 5X36MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
HCPCS,C1713,409844 : SCREW CORT SELF TAPPING NCB 5.0 X 32MM  02.03150.032,277.2,277.2,,,0
HCPCS,C1713,409845 : SCREW BNE 5X70MM DST FEM FT ST TI ALLY NCB,277.2,277.2,,,0
HCPCS,C1713,409847 : SCREW BNE L44MM DIA5MM STD CORT DST FEM TI ST CANN,277.2,277.2,,,0
HCPCS,C1713,409848 : SCREW BNE 5X65MM DST FEM FT ST TI ALLY NCB,277.2,277.2,,,0
HCPCS,C1713,409849 : SCREW UNICORTICAL NCB 5.0 X 18MM  02.03151.018,260.4,260.4,,,0
HCPCS,C1713,409850 : SCREW BNE 5X14MM UNICORTICAL BLNT TIP FT TI ALLY NCB,260.4,260.4,,,0
HCPCS,C1713,409851 : SCREW BNE 5X12MM UNICORTICAL L FRAG SYS NCB,260.4,260.4,,,0
HCPCS,C1713,409852 : SCREW BNE L10MM DIA5MM STD UNICORTICAL FEM TI ALLY LOK,260.4,260.4,,,0
HCPCS,C1713,409853 : CAP SCR DIA8MM HEX DIA3.5MM TI LOK NCB,243.6,243.6,,,0
HCPCS,C1713,409857 : SCREW CORTICAL SELF TAPPING SMALL HEX 3.5MM X 50MM  00-4835-,75.6,75.6,,,0
HCPCS,C1713,409859 : SCREW CORTICAL SELF TAPPING SMALL HEX 3.5MM X 34MM  00-4835-,75.6,75.6,,,0
HCPCS,C1713,409860 : SCREW BNE SM 3.5X36MM CORT HEX ST,75.6,75.6,,,0
HCPCS,C1713,409871 : SCREW T15 LP CORT 3.5X12MM NS,92.4,92.4,,,0
HCPCS,C1713,409872 : SCREW T15 LP CORT 3.5X14MM NS,92.4,92.4,,,0
HCPCS,C1713,409878 : SCREW LOCKING CORTICAL PEG 2.3MM X 18MM  COS2318,415.2,415.2,,,0
HCPCS,C1713,409879 : SCREW LOCKING CORTICAL PEG 2.3MM X 20MM  COS2320,415.2,415.2,,,0
HCPCS,C1713,409881 : NAIL IM 2X300MM RND TIP SS PEDIFLEX,1048.8,1048.8,,,0
HCPCS,C1713,409892 : PLATE EVOS EA-D HUM 16H 2.7-3.5MM 16H R 195MM  72469216,2851.2,2851.2,,,0
HCPCS,C1713,409911 : DRIVER SUR CANN SHFT FEN CREO,480.0,480.0,,,0
HCPCS,C1713,409921 : GUIDEPIN ORTH L444MM THRD REDUC FOR HIP FRAC NAIL AFFIXUS,495.53,495.53,,,0
HCPCS,C1713,409923 : SCREW CORTICAL SELF-TAP SMALL HEX 3.5MM X 38MM  00-4835-038-,75.6,75.6,,,0
HCPCS,C1713,409924 : SCREW CORTICAL SELF-TAP SMALL HEX 3.5MM X 30MM  00-4835-030-,75.6,75.6,,,0
HCPCS,C1713,409929 : SCREW SPNL 4.5X35MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,409930 : SCREW SPNL 4.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,409935 : SCREW BNE L75MM DIA5MM DST FEM TI ALLY ST FT NCB,277.2,277.2,,,0
HCPCS,C1713,409936 : SCREW SELF-TAPPING CORT NCB 5.0 X 80MM  02.03150.080,277.2,277.2,,,0
HCPCS,C1713,409951 : PLATE EVOS HUM M-D 7-HOLE 2.7-3.5MM  72465607,2481.6,2481.6,,,0
HCPCS,C1713,409965 : SCREW CORTICAL SMALL HEX SELF TAP 3.5MM X 5MM  00-4835-055-0,75.6,75.6,,,0
HCPCS,C1713,409971 : PLATE BNE 8 H CRV 104MM RAD 108MM RECON SS LP PELV SYS,1644.7,1644.7,,,0
HCPCS,C1713,410251 : SCREW BNE 6.5X95MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,532.8,532.8,,,0
HCPCS,C1713,410998 : SCREW BNE 3.5X22MM T10 DRV FT LOK TI VARIAX,260.4,260.4,,,0
HCPCS,C1713,411003 : SCREW BNE 3.5X20MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
HCPCS,C1713,411009 : SCREW BNE 3.5X12MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
HCPCS,C1713,411011 : SCREW BNE 3.5X14MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
HCPCS,C1713,411013 : SCREW BNE 3.5X16MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
HCPCS,C1713,411016 : SCREW BNE 3.5X24MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
HCPCS,C1713,411040 : COHERE XLIF AMS PLATE 8MM DUAL- SIDED,7680.0,7680.0,,,0
HCPCS,C1713,411041 : PLATE SPNL 10MM 2 SIDE XLIF AMS,7680.0,7680.0,,,0
HCPCS,C1713,411057 : HEDRON C SPACER 12X14 8MM 7,1800.0,1800.0,,,0
HCPCS,C1713,411064 : HEDRON C SPACER 12X14 8MM 12,1800.0,1800.0,,,0
HCPCS,C1713,411093 : HEDRON C SPACER 14X16 8MM 7,1800.0,1800.0,,,0
HCPCS,C1713,411154 : HEDRON IA SPACER 24X30 11MM 15,10440.0,10440.0,,,0
HCPCS,C1713,411155 : SPACER SPNL 24X30X13MM 15DEG HEDRON IA,10440.0,10440.0,,,0
HCPCS,C1713,411156 : HEDRON IA SPACER 24X30 15MM 15,10440.0,10440.0,,,0
HCPCS,C1713,411158 : HEDRON IA SPACER 24X30 13MM 20,10440.0,10440.0,,,0
HCPCS,C1713,411159 : HEDRON IA SPACER 24X30 15MM 20,10440.0,10440.0,,,0
HCPCS,C1713,411175 : SPACER SPNL 26X34X11MM 15DEG HEDRON IA,10440.0,10440.0,,,0
HCPCS,C1713,411176 : SPACER SPNL 26X34X13MM 15DEG HEDRON IA,10440.0,10440.0,,,0
HCPCS,C1713,411181 : HEDRON IA SPACER 26X34 13MM 20,10440.0,10440.0,,,0
HCPCS,C1713,411182 : SPACER SPNL 26X34X15MM 20DEG HEDRON IA,10440.0,10440.0,,,0
HCPCS,C1713,411207 : HEDRON IA SPACER 29X39 19MM 20,10440.0,10440.0,,,0
HCPCS,C1713,411210 : HEDRON IA SPACER 29X39 17MM 25,10440.0,10440.0,,,0
HCPCS,C1713,411214 : HEDRON IA SPACER 29X39 17MM 30,10440.0,10440.0,,,0
HCPCS,C1713,411420 : SABLE SPACER 10X22 9-15MM 0 SINGLE STERILE,13200.0,13200.0,,,0
HCPCS,C1713,411422 : SABLE SPACER 10X22 6-12MM 8  SINGLE STERILE,13200.0,13200.0,,,0
HCPCS,C1713,411426 : SPACER SPNL W10XH7XL22MM 15DEG SABLE,13200.0,13200.0,,,0
HCPCS,C1713,411438 : SPACER SPNL W10XH6XL26MM 8DEG SABLE,13200.0,13200.0,,,0
HCPCS,C1713,411440 : SABLE SPACER 10X26 9-16MM 8 SINGLE STERILE,13200.0,13200.0,,,0
HCPCS,C1713,411442 : SPACER SPNL W10XH7XL26MM 15DEG SABLE,13200.0,13200.0,,,0
HCPCS,C1713,411444 : SABLE SPACER 10X26 10-17MM 15  SINGLE STERILE,13200.0,13200.0,,,0
HCPCS,C1713,411446 : SPACER SPNL W10XH9XL26MM 22DEG SABLE,13200.0,13200.0,,,0
HCPCS,C1713,411452 : SABLE SPACER 10X30 7-14MM 15 SINGLE STERILE,13200.0,13200.0,,,0
HCPCS,C1713,411466 : SABLE SPACER 12X26 9-17MM 22  SINGLE STERILE,13200.0,13200.0,,,0
HCPCS,C1713,411491 : SCREW INTFR 11X30MM BIOCOMPOSITE RND HD L THRD PITCH,767.52,767.52,,,0
HCPCS,C1713,412085 : PLATE BNE L140MM 7 H L PROX HUM HI ALPS,2965.2,2965.2,,,0
HCPCS,C1713,412235 : SCREW SPNL L14MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,412236 : SCREW SPNL L16MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,412238 : SCREW SPNL L14MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,412245 : SCREW BNE 5X46MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
HCPCS,C1713,412246 : NCM CORT SCREW 5.0 X 48MM SELF TAPPING,277.2,277.2,,,0
HCPCS,C1713,412248 : PLATE BNE PUBIC SYMPHYSIS 6 H 78MM SS LP PELV SYS FOR 3.5MM,2063.83,2063.83,,,0
HCPCS,C1713,412395 : SCREW BNE L145MM DIA7MM BIODUR ALLY CANN NONLOCKING FT,411.6,411.6,,,0
HCPCS,C1713,412402 : SCREW BNE 5X42MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
HCPCS,C1713,412407 : SCREW BNE 3.5X26MM CORT NONLOCKING TI LP T15 PROX HUM,100.8,100.8,,,0
HCPCS,C1713,412416 : EVOS 2.7-3.5MM PL-D HUMERUS PL 6H R 85MM,2131.2,2131.2,,,0
HCPCS,C1713,412441 : 10CC CRANIOSCULPT-C CRANIAL BONE VOID FILLER,10828.8,10828.8,,,0
HCPCS,C1713,412541 : SCREW BNE L24MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,412838 : SCREW BNE L16MM DIA3.5MM STD CORT SS ST NONCANN LOK FT HEX,75.6,75.6,,,0
HCPCS,C1713,"4129.2020S - FORTRESS-PLUS RADIOPAQUE BONE CEMENT, 20G",324.0,324.0,,,0
HCPCS,C1713,413097 : PLATE BNE L83MM 5 H L OLECRANON FOR 2.7-3.5MM SCR EVOS,2505.6,2505.6,,,0
HCPCS,C1713,413123 : EVOS 2.7-3.5 AL-D TIBIA PL 17H L 219MM,4461.6,4461.6,,,0
HCPCS,C1713,413316 : NCB 5.0 UNICORTICAL SCR L=20MM,260.4,260.4,,,0
HCPCS,C1713,413317 : SCREW BNE 5X26MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
HCPCS,C1713,413381 : SCREW T15 LP CORT 3.5X34MM NS,100.8,100.8,,,0
HCPCS,C1713,413382 : SCREW BNE L30MM DIA3.5MM PROX HUM NONLOCKING T15 LP FOR ALPS,100.8,100.8,,,0
HCPCS,C1713,413387 : NAIL IM 3X400MM RND TIP SS PEDIFLEX,1048.8,1048.8,,,0
HCPCS,C1713,413396 : EVOS 2.7-3.5MM M-D HUMERUS PL 3H R 80MM,2073.6,2073.6,,,0
HCPCS,C1713,413421 : SCREW BNE L40MM DIA4MM HEX HD DIA6.2MM CORT DST FEM TI ST,201.6,201.6,,,0
HCPCS,C1713,413422 : NCB CORT SCREW 4.0X38MM SELF TAPPING,201.6,201.6,,,0
HCPCS,C1713,413447 : SCREW BNE 3.5X22MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
HCPCS,C1713,413603 : SCREW 3.5MM CORTICAL SELF-TAP SMALL HEX 32MM 00-4835-032-01,75.6,75.6,,,0
HCPCS,C1713,413613 : SCREW BNE 2MM X 6MM MAND SLF DRL TI ALLY MATRIXMANDIBLE,146.88,146.88,,,0
HCPCS,C1713,413622 : PLATE BNE 8 H STR 104MM RECON SS LP PELV SYS FOR 3.5MM SCR,1088.9,1088.9,,,0
HCPCS,C1713,413680 : SCREW BNE 5X34MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
HCPCS,C1713,413692 : CREO FENESTRATED 4.5 X 30MM MODULAR SCREW,1320.0,1320.0,,,0
HCPCS,C1713,413695 : ROD SPNL 5.5X200MM POST STR TI ALLY CREO MIS,420.0,420.0,,,0
HCPCS,C1713,413696 : SCREW SPNL 5.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,413697 : SCREW SPNL 5.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,413698 : SCREW SPNL 5.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,413699 : SCREW BNE 2.7X12MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
HCPCS,C1713,413806 : SCREW BNE 3.5X16MM T10 DRV FT LOK TI VARIAX,260.4,260.4,,,0
HCPCS,C1713,413809 : GRAFT EVAR STNT L12CM DIA26X14.5MM RECOMMENDED INTRO SHTH,30290.4,30290.4,,,0
HCPCS,C1713,413826 : 2.0MM TI MATRIXMANDIBLE SCREW SELF-DRILLING-LOCKING-6MM 04.5,254.4,254.4,,,0
HCPCS,C1713,413830 : 2.7MM CORTEX SCREW SLF-TPNG 202.965,94.18,94.18,,,0
HCPCS,C1713,413838 : SCREW SPNL L12MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,413839 : SCREW SPNL L34MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,413840 : MULTI AXIAL SCREW 3604532 4.5 X 32MM 3604532,1308.0,1308.0,,,0
HCPCS,C1713,413841 : ROD SPNL L240MM DIA3.5MM STD OCCIPITOCERVICAL UP THOR INFIN,328.8,328.8,,,0
HCPCS,C1713,414251 : SET BNE GRFT DEL SYS W- 9CC DBF 2 CANN GRFT ACCELERATE,3024.0,3024.0,,,0
HCPCS,C1713,414401 : SCREW SPNL DIA5.0MM L35MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414403 : SCREW SPNL DIA5.0MM L45MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414404 : SCREW SPNL MOD HA COAT 5.5 MM X 30MM CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414405 : SCREW SPNL DIA5.5MM L35MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414406 : SCREW SPNL DIA5.5MM L40MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414407 : SCREW SPNL DIA5.5MM L45MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414408 : SCREW SPNL DIA5.5MM L50MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414409 : SCREW SPNL MOD HA COAT 5.5 MM X 55MM CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414412 : SCREW SPNL 6.5X40MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414413 : SCREW SPNL 6.5X45MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414414 : SCREW SPNL 6.5X50MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414415 : SCREW SPNL 6.5X55MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414416 : SCREW SPNL 6.5X60MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414417 : CREO AMP 6.5 X 65MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
HCPCS,C1713,414418 : SCREW SPNL MOD HA COAT 7.5 MM X 30MM CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414419 : CREO AMP 7.5 X 35MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
HCPCS,C1713,414420 : SCREW SPNL DIA7.5MM L40MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414421 : SCREW SPNL DIA7.5MM L45MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414422 : SCREW SPNL DIA7.5MM L50MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414423 : SCREW SPNL MOD HA COAT 7.5 MM X 55MM CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414424 : SCREW SPNL MOD HA COAT 7.5 MM X 60MM CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414425 : CREO AMP 7.5 X 65MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
HCPCS,C1713,414427 : CREO AMP 8.5 X 35MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
HCPCS,C1713,414428 : CREO AMP 8.5 X 40MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
HCPCS,C1713,414429 : SCREW SPNL MOD HA COAT 8.5 MM X 45MM CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414430 : SCREW SPNL MOD HA COAT 8.5 MM X 50MM CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,414431 : CREO AMP 8.5 X 55MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
HCPCS,C1713,414432 : CREO AMP 8.5 X 60MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
HCPCS,C1713,414454 : CREO FENESTRATED 4.5 X 35MM POLYAXIAL SCREW THREADED,2160.0,2160.0,,,0
HCPCS,C1713,414458 : CREO FENESTRATED 5.0 X 30MM POLYAXIAL SCREW THREADED,2160.0,2160.0,,,0
HCPCS,C1713,414460 : CREO FENESTRATED 5.0 X 35MM POLYAXIAL SCREW THREADED,2160.0,2160.0,,,0
HCPCS,C1713,414462 : SCREW SPNL L40MM DIA5MM THORLUM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,414478 : SCREW SPNL L40MM DIA5.5MM POLYAX THRD FEN CREO,2160.0,2160.0,,,0
HCPCS,C1713,414480 : SCREW SPNL L45MM DIA5.5MM FEN POLYAX THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,414481 : SCREW SPNL 5.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,414820 : SET BNE GRFT DEL SYS W- 6CC DBF 2 CANN GRFT ACCELERATE,2280.0,2280.0,,,0
HCPCS,C1713,414821 : SET BNE GRFT DEL SYS W- 12CC DBF 2 CANN GRFT ACCELERATE,3528.0,3528.0,,,0
HCPCS,C1713,414823 : SHANK SPNL SCR 6.5X45MM ATS THRD CDH MODULEX,1252.8,1252.8,,,0
HCPCS,C1713,414824 : SHANK SPNL SCR 6.5X50MM ATS THRD CDH MODULEX,1252.8,1252.8,,,0
HCPCS,C1713,414832 : SET SCR SPNL OCCIPITOCERVICAL UP THOR M6 INFIN,115.2,115.2,,,0
HCPCS,C1713,414953 : SYSTEM GRFT DEL W- 3CC GRFT DEMIN BNE FBR 2 CANN ACCELERATE,1320.0,1320.0,,,0
HCPCS,C1713,415004 : SCREW MULTI AXIAL 3.5 X 18MM,1308.0,1308.0,,,0
HCPCS,C1713,415032 : PIN DRL 75MM HDLSS TRCR NXGN,177.6,177.6,,,0
HCPCS,C1713,415133 : SCREW SPNL L20MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,415238 : SCREW MULTI AXIAL 3.5 X 24MM,1308.0,1308.0,,,0
HCPCS,C1713,41847 : SCREW BNE 3.5X18MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
HCPCS,C1713,41848 : SCREW BNE 3.5X16MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
HCPCS,C1713,41849 : SCREW BNE 3.5X20MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,41852 : PLATE 3.5MM LCP 7H 98MM 223.571,1139.4,1139.4,,,0
HCPCS,C1713,419256 : PIN FIX POLYETH BUMPER LOK OSS,1020.0,1020.0,,,0
HCPCS,C1713,41931 : PLATE ONE-THIRD TUBULAR LCP WITH COLLAR 10H 117MM 241.401,396.48,396.48,,,0
HCPCS,C1713,419435 : SCREW SPNL OCCIPITOCERVICAL UP THOR 3.5X28MM MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,419694 : SCREW BNE 2.7X14MM T10 DRV FT NONLOCKING TI VARIAX,141.6,141.6,,,0
HCPCS,C1713,419706 : SCREW BNE 3.5X48MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,419715 : SCREW BNE 10.5X110MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
HCPCS,C1713,42-5402-000-38,960.0,960.0,,,0
HCPCS,C1713,420117 : SCREW SPNL L10MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
HCPCS,C1713,420120 : PLATE SPNL SM OCCIPITOCERVICAL UP THOR ADJ INFIN,3600.0,3600.0,,,0
HCPCS,C1713,420131 : SCREW SPNL L30MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,420132 : SCREW SPNL L34MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,420134 : SCREW SPNL L16MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,420140 : SCREW SPNL L30MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,420141 : SCREW SPNL L32MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,420142 : SCREW SPNL L34MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,420143 : SCREW SPNL L22MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,420144 : SCREW SPNL L24MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,420145 : SCREW SPNL L26MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,420146 : SCREW SPNL L28MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,420147 : SCREW SPNL L30MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,420182 : SHANK SPNL SCR 6.5X40MM ATS THRD CDH MODULEX,1252.8,1252.8,,,0
HCPCS,C1713,420187 : SCREW SPNL SHNK MDX OSTEOGRIP 6.5MM X 50MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,420188 : SCREW SPNL SHNK 6.5MM X 40MM NANOLOCK CDH MODULEX,1608.0,1608.0,,,0
HCPCS,C1713,420209 : PLATE SPNL 8MM LAT H OPN DOOR CNTRPC,636.0,636.0,,,0
HCPCS,C1713,420211 : PLATE SPNL L12MM TI POST CERV OPN DOOR LAT H BILAT CNTRPC,636.0,636.0,,,0
HCPCS,C1713,420215 : SCREW SPNL 2X5MM FOR OPN DOOR LAMINOPLASTY CNTRPC PLT FIX,96.0,96.0,,,0
HCPCS,C1713,420216 : SCREW SPNL 2X7MM FOR OPN DOOR LAMINOPLASTY CNTRPC PLT FIX,96.0,96.0,,,0
HCPCS,C1713,420237 : CROSSLINK 5.5MM ROD M 40-72MM,1176.0,1176.0,,,0
HCPCS,C1713,420259 : SCREW SPNL 5.5X35MM FOR 3.2-3.5MM ROD POST MULTIAXIAL,1344.0,1344.0,,,0
HCPCS,C1713,420366 : CABLE SUR L635MM DIA1.8MM COCR ASSEMB W- CERCLAGE CRMP CBL,710.4,710.4,,,0
HCPCS,C1713,42065 : SCREW BNE 3.5X22MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
HCPCS,C1713,42066 : SCREW BNE 3.5X24MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
HCPCS,C1713,42067 : SCREW BNE 3.5X26MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,42068 : SCREW BNE 3.5X28MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,42069 : SCREW BNE 3.5X30MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,42070 : SCREW BNE 3.5X32MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,42072 : SCREW BNE 3.5X36MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,42073 : SCREW BNE 3.5X38MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,42074 : SCREW BNE 3.5X40MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
HCPCS,C1713,42075 : SCREW BNE 3.5X45MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
HCPCS,C1713,42076 : SCREW BNE 3.5X50MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,267.62,267.62,,,0
HCPCS,C1713,42077 : PLATE 3.5MM LCP 9H 124MM 223.591,717.91,717.91,,,0
HCPCS,C1713,42079 : PLATE 3.5MM LCP RECONSTRUCTION 10H 140MM 245.101,1120.78,1120.78,,,0
HCPCS,C1713,421122 : NAIL IM L360MM DIA8MM FEM TI CANN LOK AG RG BENT FLUT T2,4338.0,4338.0,,,0
HCPCS,C1713,421235 : PLATE BNE L117MM 6 H NS L PROX TIB SS VA LOK COMPR SM BEND,3799.32,3799.32,,,0
HCPCS,C1713,421237 : PLATE BNE L177MM 10 H NS R PROX TIB SS VA LOK COMPR SM BEND,4525.08,4525.08,,,0
HCPCS,C1713,421281 : PLATE SPNL SM L20MM OCCIPITAL QUARTEX,3600.0,3600.0,,,0
HCPCS,C1713,421289 : SCREW SPNL 30MM FEN REDUC TULIP MIS,1080.0,1080.0,,,0
HCPCS,C1713,421291 : SCREW SPNL 4.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,421294 : SCREW SPNL 5X40MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,421298 : SCREW SPNL 5.5X35MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,421303 : SCREW SPNL 6.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,421304 : SCREW SPNL 6.5X55MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,421307 : SCREW SPNL 7.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,421309 : SCREW SPNL 7.5X55MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,421311 : SCREW SPNL 8.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,421352 : SCREW SPNL 6.5X40MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,421354 : SCREW SPNL 6.5X45MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,421355 : SCREW SPNL 6.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,421360 : SCREW SPNL 7.5X45MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,421361 : SCREW SPNL 7.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,421390 : SCREW SPNL 8.5X100MM POST PREFERRED ANG CANN TI-CO CHROM,2400.0,2400.0,,,0
HCPCS,C1713,421391 : SCREW SPNL 8.5X70MM POST PREFERRED ANG CANN TI-CO CHROM CREO,2400.0,2400.0,,,0
HCPCS,C1713,421393 : SCREW SPNL 8.5X80MM POST PREFERRED ANG CANN TI-CO CHROM CREO,2400.0,2400.0,,,0
HCPCS,C1713,421394 : SCREW SPNL 8.5X85MM POST PREFERRED ANG CANN TI-CO CHROM CREO,2400.0,2400.0,,,0
HCPCS,C1713,421397 : SCREW SPNL L100MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
HCPCS,C1713,421400 : SCREW SPNL L80MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
HCPCS,C1713,421402 : SCREW SPNL L90MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
HCPCS,C1713,421403 : SCREW SPNL L95MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
HCPCS,C1713,421624 : WASHER ORTH FOR 2.4-2.7-3.5MM SCR VARIAX,76.8,76.8,,,0
HCPCS,C1713,421626 : PLATE BNE CLAV MIDSHAFT SUP L 6 H DECREASED CURVATURE STD,2761.2,2761.2,,,0
HCPCS,C1713,421634 : SCREW BNE 3.5X40MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,421636 : SCREW BNE 3.5X50MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,421642 : SCREW BNE 3.5X30MM CORT T15 DRV TI AXSOS 3,85.2,85.2,,,0
HCPCS,C1713,421644 : SCREW BNE 4.5X36MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
HCPCS,C1713,421645 : SCREW BNE 4.5X38MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
HCPCS,C1713,421646 : SCREW BNE 4.5X40MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
HCPCS,C1713,421681 : SCREW BNE 10.5X85MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
HCPCS,C1713,42169 : PLATE BNE 8 H 111MM SS LCP FOR 3.5-4MM SCR,1189.8,1189.8,,,0
HCPCS,C1713,422022 : PIN FIX L229MM DIA2MM SS SGL TRCR PT N THRD STNMN,4.72,4.72,,,0
HCPCS,C1713,422033 : ANCHOR SUT 1.8 FIBERTAK GEN2 SFT KNTLSS SZ 2 SUT SLF,1145.04,1145.04,,,0
HCPCS,C1713,422037 : ANCHOR SUT FIBERSTITCH TWO POLY IMPL AND 2-0 FBRWR SUT 1.5MM,1430.52,1430.52,,,0
HCPCS,C1713,422040 : ANCHOR SUT 2.6 FIBERTAK KNTLSS SLF PUNCHING 1.7MM WHT BLK,1379.04,1379.04,,,0
HCPCS,C1713,422041 : ANCHOR SUT 2.6 FIBERTAK KNTLSS SLF PUNCHING 1.7MM BLU,1379.04,1379.04,,,0
HCPCS,C1713,422042 : ANCHOR SUT 2.6 FIBERTAK KNTLSS SLF PUNCHING 1.7MM BLK BLU,1379.04,1379.04,,,0
HCPCS,C1713,422044 : ANCHOR SUT 1.8 FIBERTAK KNTLSS MACH TAPR SUT SLF BUNCHING,1235.52,1235.52,,,0
HCPCS,C1713,422084 : ANCHOR SUT W- SLT GUID 1.9MM DRL FIBERTAK,1625.52,1625.52,,,0
HCPCS,C1713,422141 : ANCHOR SUT DBL LD FIBERTAK DX,1365.0,1365.0,,,0
HCPCS,C1713,422192 : GUIDEPIN ORTH 1.3MM X 140MM BAYNT PNT,35.14,35.14,,,0
HCPCS,C1713,422193 : GUIDEPIN ORTH L140MM DIA1.3MM TRCR PT,35.14,35.14,,,0
HCPCS,C1713,422205 : WASHER ORTH OD8MM ID4MM THK1MM SS,49.1,49.1,,,0
HCPCS,C1713,422959 : SCREW SPNL L6MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
HCPCS,C1713,422972 : SCREW SPNL SHNK MDX OSTEOGRIP 4.5MM X 25MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,422973 : SCREW SPNL SHNK MDX OSTEOGRIP 4.5MM X 30MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,422974 : SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 40MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,422992 : FIBER FLOWABLE DEMIN 1CC OSSIFUSE HSA,240.0,240.0,,,0
HCPCS,C1713,422993 : FIBER FLOWABLE DEMIN 5CC OSSIFUSE HSA,1200.0,1200.0,,,0
HCPCS,C1713,422994 : FIBER FLOWABLE DEMIN 10CC OSSIFUSE HSA,2400.0,2400.0,,,0
HCPCS,C1713,423242 : SCREW SPNL L45MM DIA5.5MM HA CANN MOD CREO AMP,1080.0,1080.0,,,0
HCPCS,C1713,424329 : SCREW SPNL SACROILIAC 10X35MM SL ET WSHR SI LOK SEL,6000.0,6000.0,,,0
HCPCS,C1713,424330 : SCREW SPNL SACROILIAC 10X40MM SL ET WSHR SI LOK SEL,6000.0,6000.0,,,0
HCPCS,C1713,424569 : SCREW SPNL L30MM DIA3.5MM CORRIDOR,960.0,960.0,,,0
HCPCS,C1713,426953 : SCREW SPNL L40MM DIA4.5MM POLYAX THRD FEN CREO,2160.0,2160.0,,,0
HCPCS,C1713,426996 : CREO FEN 8.5 X 45MM POLYAX SCR THRD,2160.0,2160.0,,,0
HCPCS,C1713,429982 : OSSIFUSE HSA BOAT 50X25X7MM X2,2872.8,2872.8,,,0
HCPCS,C1713,431687 : SCREW SPNL L32MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,432956 : SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 30MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,432958 : SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 35MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,432959 : SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 45MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,432960 : SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 50MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,432965 : SCREW SPNL SHNK MDX OSTEOGRIP 6.5MM X 30MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,432966 : SCREW SPNL SHNK MDX OSTEOGRIP 6.5MM X 35MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,432967 : SCREW SPNL SHNK MDX OSTEOGRIP 6.5MM X 40MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,432968 : SCREW SPNL SHNK MDX OSTEOGRIP 6.5MM X 45MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,433120 : SCREW SPNL SET MAS SS ST 5.5-6MM CDH MODULEX,1380.0,1380.0,,,0
HCPCS,C1713,433121 : SCREW SPNL SET MAS SS ST 5.5-6MM CDH MODULEX,1380.0,1380.0,,,0
HCPCS,C1713,433122 : SCREW SPNL SET MAS SS ST 5.5-6MM CDH MODULEX,1380.0,1380.0,,,0
HCPCS,C1713,433127 : HEAD SCR SPNL RMAS SS ST 5.5-6MM CDH MODULEX,1432.8,1432.8,,,0
HCPCS,C1713,433129 : HEAD SCR SPNL RUAS SS ST 5.5-6MM CDH MODULEX,1552.8,1552.8,,,0
HCPCS,C1713,434098 : SCREW SPNL 2.4X5MM FOR OPN DOOR LAMINOPLASTY CNTRPC PLT FIX,96.0,96.0,,,0
HCPCS,C1713,43459 : SCREW BNE 3.5X55MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,43460 : SCREW BNE 3.5X60MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,43858 : WASHER ORTH DIA13MM THK1.5MM SS FOR ASNS III 6.5-8MM CANN,79.2,79.2,,,0
HCPCS,C1713,439715 : 2.4-2.7 VA 1ST MTP FUSN PL-SM-5 DEG-LFT,2170.08,2170.08,,,0
HCPCS,C1713,439993 : 2.7 VA LCP HOOK PLATE SHORT- 15- RIGHT,3810.6,3810.6,,,0
HCPCS,C1713,439996 : 2.7 VA LCP HOOK PLATE SHORT- 12- LEFT,2628.86,2628.86,,,0
HCPCS,C1713,440000 : 2.7MM VA LCP HOOK PLATE LONG- 15MM- LEFT,2648.83,2648.83,,,0
HCPCS,C1713,440418 : 2.7 CORTEX SCREW SLF-TPNG  T8 SD REC-42,94.18,94.18,,,0
HCPCS,C1713,440422 : 3.5 CANNULATED SCREW PARTIALLY THRD-32,352.87,352.87,,,0
HCPCS,C1713,440482 : 3.5 LOW PRO RECONSTRUCTION PL 18 HOLES,2770.2,2770.2,,,0
HCPCS,C1713,440492 : DHS-DCS ONE-STEP LAG SCR 12.7 THRD-85,1249.2,1249.2,,,0
HCPCS,C1713,440539 : 3.5 SELF TAPPING CORTICAL SCREWS130MM,430.2,430.2,,,0
HCPCS,C1713,440594 : ANCHOR SUTURE FIBERTAG TIGHTROPE II,1547.52,1547.52,,,0
HCPCS,C1713,440596 : KIT MENISCAL ROOT REPAIR WITH BIOCOMPOSITE SWIVELOCK ANCHOR,4421.04,4421.04,,,0
HCPCS,C1713,444193 : 6.5MMX100MM CAN SCR FT SS,461.57,461.57,,,0
HCPCS,C1713,444324 : EVOS 2.7-3.5 AL-D TIBIA PL 11H R 153MM,4181.76,4181.76,,,0
HCPCS,C1713,444393 : EVOS 2.7-3.5MM L-D HUM PL 7H R 90MM,2342.4,2342.4,,,0
HCPCS,C1713,444409 : EVOS 2.7-3.5MM OLECRANON PL 3H L 61MM,2299.2,2299.2,,,0
HCPCS,C1713,444413 : EVOS 2.7-3.5MM OLECRANON PL 8H R 114MM,2697.6,2697.6,,,0
HCPCS,C1713,444468 : EVOS 3.5MM CVD PROX HUM PL 12H L 180MM,2976.0,2976.0,,,0
HCPCS,C1713,444472 : EVOS 3.5MM CVD PROX HUM PL 15H L 213MM,3062.4,3062.4,,,0
HCPCS,C1713,444482 : EVOS 3.5MM CVD PROX HUM PL 4H R 92MM,2635.2,2635.2,,,0
HCPCS,C1713,444504 : EVOS 3.5MM STR PROX HUM PL 3H 92MM,2563.2,2563.2,,,0
HCPCS,C1713,444518 : EVOS 3.5MM SUP MS CLAV PL 8H L 86MM,1372.8,1372.8,,,0
HCPCS,C1713,444526 : EVOS 3.5MM X 100MM CTX SCR S-T,35.98,35.98,,,0
HCPCS,C1713,444528 : EVOS 3.5MM X 105MM CTX SCR S-T,35.98,35.98,,,0
HCPCS,C1713,444564 : EVOS PROXIMAL RADIAL SHAFT PL 5H R 95MM,1272.0,1272.0,,,0
HCPCS,C1713,444574 : EVOS VOLAR PLATE 10H L STD 138MM,2745.6,2745.6,,,0
HCPCS,C1713,444828 : VLP 3.5MM CALCANEUS PLATE MD LEFT STER,2012.4,2012.4,,,0
HCPCS,C1713,445004 : 18.0MM MINI ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
HCPCS,C1713,445056 : ACU-LOC 2 VDR PLT NARROW L,4538.4,4538.4,,,0
HCPCS,C1713,445118 : 2.3MM X 16MM LOCKING CORTICAL PEG,415.2,415.2,,,0
HCPCS,C1713,445231 : 2.0MM X 8MM FULLY THREADED SCREWLOCKING,468.0,468.0,,,0
HCPCS,C1713,445232 : 2.0MM X 9MM FULLY THREADED SCREWLOCKING,468.0,468.0,,,0
HCPCS,C1713,445233 : 2.0MM X 10MM FULL THREADED SCREWLOCKING,468.0,468.0,,,0
HCPCS,C1713,445252 : 2.0MM X 9MM FULLY THREADED SCREW,254.4,254.4,,,0
HCPCS,C1713,445282 : 2.0MM 12 HOLE STRAIGHT PLATE LOCKING,1185.6,1185.6,,,0
HCPCS,C1713,445552 : .045 X 4 K-WIRE DOUBLE TROCAR,122.4,122.4,,,0
HCPCS,C1713,455817 : 2.5MM FLEX NAIL TI - ROUND TIP,1048.8,1048.8,,,0
HCPCS,C1713,455818 : 3.0MM FLEX NAIL TI - ROUND TIP,1048.8,1048.8,,,0
HCPCS,C1713,455823 : SS FLEX NAIL 4.0 - ROUND TIP,1048.8,1048.8,,,0
HCPCS,C1713,455833 : 3.5MM LOCKING CORTICAL SCREW WITH T15 HEXALOBE SIZE 60MM,447.72,447.72,,,0
HCPCS,C1713,455843 : 3.5MM LOCKING CORTICAL SCREW WITH T15 HEXALOBE SIZE 38MM,447.72,447.72,,,0
HCPCS,C1713,457232 : NAIL IM L300MM DIA12MM L ANK TI ALLY CANN LOK LAT BEND,4440.24,4440.24,,,0
HCPCS,C1713,457235 : NAIL IM L300MM DIA11MM R ANK TI ALLY CANN LOK LAT BEND,8023.68,8023.68,,,0
HCPCS,C1713,457369 : NAIL IM L320MM OD8MM TI L FEM GREATER TROC ENTRY CANN T2,4869.6,4869.6,,,0
HCPCS,C1713,457590 : T2 FE RETRO NAIL LNG D9XL320,5271.6,5271.6,,,0
HCPCS,C1713,457599 : T2 FE RETRO NAIL SHT D10XL170,5271.6,5271.6,,,0
HCPCS,C1713,457605 : T2 FE RETRO NAIL LNG D10XL300,4586.4,4586.4,,,0
HCPCS,C1713,457606 : T2 FE RETRO NAIL LNG D10XL320,5271.6,5271.6,,,0
HCPCS,C1713,457607 : T2 FE RETRO NAIL LNG D10XL340,5271.6,5271.6,,,0
HCPCS,C1713,457608 : NAIL IM FEM 10MM X 360MM RG T2 ALPHA,5271.6,5271.6,,,0
HCPCS,C1713,457609 : T2 FE RETRO NAIL LNG D10XL380,5271.6,5271.6,,,0
HCPCS,C1713,457610 : T2 FE RETRO NAIL LNG D10XL400,4586.4,4586.4,,,0
HCPCS,C1713,457619 : T2 FE RETRO NAIL LNG D11XL260,5271.6,5271.6,,,0
HCPCS,C1713,457622 : T2 FE RETRO NAIL LNG D11XL320,4586.4,4586.4,,,0
HCPCS,C1713,457624 : T2 FE RETRO NAIL LNG D11XL360,4586.4,4586.4,,,0
HCPCS,C1713,457625 : NAIL IM FEM 11X380MM RG TI T2 ALPHA,5271.6,5271.6,,,0
HCPCS,C1713,457626 : T2 FE RETRO NAIL LNG D11XL400,5271.6,5271.6,,,0
HCPCS,C1713,457632 : T2 FE RETRO NAIL SHT D12XL200,5467.2,5467.2,,,0
HCPCS,C1713,457640 : T2 FE RETRO NAIL LNG D12XL360,4586.4,4586.4,,,0
HCPCS,C1713,457657 : T2 FE RETRO NAIL LNG D13XL400,4586.4,4586.4,,,0
HCPCS,C1713,458128 : SCREW BNE 6.5X60MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,532.8,532.8,,,0
HCPCS,C1713,458130 : SCREW BNE 6.5X70MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,532.8,532.8,,,0
HCPCS,C1713,458135 : SCREW BNE 6.5X95MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,604.8,604.8,,,0
HCPCS,C1713,460669 : PROXIMAL HUM PLT L 3.5MM  86MM-3 H,5956.8,5956.8,,,0
HCPCS,C1713,460713 : 3.5 DST MED FEM PLT L 3.5MM 124MM-4 H,10920.0,10920.0,,,0
HCPCS,C1713,460714 : 3.5 DST MED FEM PLT L 3.5MM 152MM-6 H,10920.0,10920.0,,,0
HCPCS,C1713,460743 : PROXIMAL LAT TIB PLT L 3.5MM  207MM-10 H,8476.8,8476.8,,,0
HCPCS,C1713,460744 : PROXIMAL LAT TIB PLT L 3.5MM  235MM-12 H,6415.2,6415.2,,,0
HCPCS,C1713,460790 : PROXIMAL POSTEROMEDIAL TIB PLT L 3.5MM  82MM-5 H,5793.6,5793.6,,,0
HCPCS,C1713,460791 : PROXIMAL POSTEROMEDIAL TIB PLT L 3.5MM  96MM-6 H,5793.6,5793.6,,,0
HCPCS,C1713,460907 : PROXIMAL HUM PLT R 3.5MM 86MM-3 H,7872.0,7872.0,,,0
HCPCS,C1713,460964 : 2.7 STR BROAD PLT 2.7MM 86MM-8 H,2841.6,2841.6,,,0
HCPCS,C1713,461001 : PLATE BNE 8 H CRV NAR 3.5MM X 115MM,4075.2,4075.2,,,0
HCPCS,C1713,461036 : PLATE BNE T SHP 2.7MM 5TX10,3544.8,3544.8,,,0
HCPCS,C1713,461061 : SCREW BNE 2.7MM X 12MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
HCPCS,C1713,461067 : SCREW BNE 2.7MM X 18MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
HCPCS,C1713,461078 : SCREW BNE 2.7MM X 40MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
HCPCS,C1713,461082 : SCREW BNE 2.7MM X 48MM NS LOK COCR T8 DRV PANGEA,511.2,511.2,,,0
HCPCS,C1713,461083 : SCREW BNE 2.7MM X 50MM NS LOK COCR T8 DRV PANGEA,511.2,511.2,,,0
HCPCS,C1713,461102 : SCREW BNE 3.5MM X 30MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461105 : SCREW BNE 3.5MM X 36MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461106 : SCREW BNE 3.5MM X 38MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461107 : SCREW BNE 3.5MM X 40MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461108 : SCREW BNE 3.5MM X 42MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461109 : SCREW BNE 3.5MM X 44MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461110 : SCREW BNE 3.5MM X 46MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461111 : SCREW BNE 3.5MM X 48MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461112 : SCREW BNE 3.5MM X 50MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461114 : SCREW BNE 3.5MM X 60MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461115 : SCREW BNE 3.5MM X 65MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461116 : SCREW BNE 3.5MM X 70MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461118 : SCREW BNE 3.5MM X 80MM LOK COCR T15 DRV PANGEA,674.4,674.4,,,0
HCPCS,C1713,461133 : CORTEX SCR 2.7MM - T8 - L12MM,136.8,136.8,,,0
HCPCS,C1713,461137 : CORTEX SCR 2.7MM - T8 - L16MM,136.8,136.8,,,0
HCPCS,C1713,461144 : CORTEX SCR 2.7MM - T8 - L28MM,175.2,175.2,,,0
HCPCS,C1713,461145 : CORTEX SCR 2.7MM - T8 - L30MM,175.2,175.2,,,0
HCPCS,C1713,461148 : CORTEX SCR 2.7MM - T8 - L36MM,175.2,175.2,,,0
HCPCS,C1713,462400 : SCREW BNE 6.5X80MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,523.2,523.2,,,0
HCPCS,C1713,462449 : SCREW BNE 4X40MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,336.0,336.0,,,0
HCPCS,C1713,462452 : SCREW BNE 4X60MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,516.0,516.0,,,0
HCPCS,C1713,462454 : SCREW BNE 4X70MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,516.0,516.0,,,0
HCPCS,C1713,462474 : SCREW BNE 4X50MM CANC HEX DRV RECESS CANN FT ST SLF DRL TI,516.0,516.0,,,0
HCPCS,C1713,462552 : SCREW BNE 4X65MM CANC T15 DRV FT TI LP AXSOS 3,85.2,85.2,,,0
HCPCS,C1713,462584 : SCREW BNE 4X70MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,85.2,85.2,,,0
HCPCS,C1713,462585 : SCREW BNE 4X75MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,85.2,85.2,,,0
HCPCS,C1713,463376 : PROXIMAL FEM PLT L,9691.2,9691.2,,,0
HCPCS,C1713,463386 : INTERPROSTHETIC FEM PLT L,13771.2,13771.2,,,0
HCPCS,C1713,463387 : INTERPROSTHETIC FEM PLT L,13771.2,13771.2,,,0
HCPCS,C1713,463391 : INTERPROSTHETIC FEM PLT R,13771.2,13771.2,,,0
HCPCS,C1713,463454 : PLATE BNE L97MM 8 H STD ANT CLAV TI MIDSHAFT LOK COMPR,3182.4,3182.4,,,0
HCPCS,C1713,463967 : SCREW BNE 3.5X60MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,464162 : LOCKING SCR FLAT TIP,912.0,912.0,,,0
HCPCS,C1713,464176 : SCREW BNE 3.5X14MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464177 : SCREW BNE 3.5X16MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464178 : SCREW BNE 3.5X18MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464181 : SCREW BNE 3.5X24MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464182 : SCREW BNE 3.5X26MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464183 : SCREW BNE 3.5X28MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464184 : SCREW BNE 3.5X32MM CORT T15 DRV TI AXSOS 3,85.2,85.2,,,0
HCPCS,C1713,464185 : SCREW BNE 3.5X34MM CORT T15 DRV TI AXSOS 3,85.2,85.2,,,0
HCPCS,C1713,464186 : SCREW BNE 3.5X36MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464188 : SCREW BNE 3.5X40MM CORT T15 DRV TI AXSOS 3,85.2,85.2,,,0
HCPCS,C1713,464189 : SCREW BNE 3.5X42MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464190 : SCREW BNE 3.5X44MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464191 : SCREW BNE 3.5X46MM CORT T15 DRV TI AXSOS 3,85.2,85.2,,,0
HCPCS,C1713,464193 : SCREW BNE 3.5X50MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464194 : SCREW BNE 3.5X55MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464195 : SCREW BNE 3.5X60MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464196 : SCREW BNE 3.5X65MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464197 : SCREW BNE 3.5X70MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464198 : SCREW BNE 3.5X75MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464199 : SCREW BNE 3.5X80MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,464231 : SCREW BNE 4.5X20MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
HCPCS,C1713,464235 : SCREW BNE 4.5X28MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
HCPCS,C1713,464236 : SCREW BNE 4.5X32MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
HCPCS,C1713,464237 : SCREW BNE 4.5X34MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
HCPCS,C1713,464238 : SCREW BNE 4.5X42MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
HCPCS,C1713,464239 : SCREW BNE 4.5X44MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
HCPCS,C1713,464242 : SCREW BNE 4.5X50MM CORT T20 DRV TI AXSOS 3,92.4,92.4,,,0
HCPCS,C1713,464280 : PLUG ORTH 5MM TI ALLY CBL T15 FOR PANGEA SYS,782.4,782.4,,,0
HCPCS,C1713,464291 : PANGEA LOK SCR L34MM DIA4MM,729.6,729.6,,,0
HCPCS,C1713,464292 : LOCKING SCR 4 0MM - T20 - L36MM,729.6,729.6,,,0
HCPCS,C1713,464293 : LOCKING SCR 4 0MM - T20 - L38MM,729.6,729.6,,,0
HCPCS,C1713,464294 : LOCKING SCR 4 0MM - T20 - L40MM,729.6,729.6,,,0
HCPCS,C1713,464301 : LOCKING SCR 4 0MM - T20 - L60MM,729.6,729.6,,,0
HCPCS,C1713,464302 : LOCKING SCR 4 0MM - T20 - L65MM,729.6,729.6,,,0
HCPCS,C1713,464304 : LOCKING SCR 4 0MM - T20 - L75MM,729.6,729.6,,,0
HCPCS,C1713,464305 : LOCKING SCR 4 0MM - T20 - L80MM,729.6,729.6,,,0
HCPCS,C1713,464312 : SCREW BNE 5MM X 20MM LOK COCR T20 DRV PANGEA,787.2,787.2,,,0
HCPCS,C1713,464315 : LOCKING SCR 5 0MM - T20 - L26MM,794.4,794.4,,,0
HCPCS,C1713,464316 : LOCKING SCR 5 0MM - T20 - L28MM,794.4,794.4,,,0
HCPCS,C1713,464317 : LOCKING SCR 5 0MM - T20 - L30MM,794.4,794.4,,,0
HCPCS,C1713,464319 : LOCKING SCR 5 0MM - T20 - L34MM,794.4,794.4,,,0
HCPCS,C1713,464320 : LOCKING SCR 5 0MM - T20 - L36MM,794.4,794.4,,,0
HCPCS,C1713,464321 : LOCKING SCR 5 0MM - T20 - L38MM,794.4,794.4,,,0
HCPCS,C1713,464322 : LOCKING SCR 5 0MM - T20 - L40MM,794.4,794.4,,,0
HCPCS,C1713,464324 : LOCKING SCR 5 0MM - T20 - L44MM,794.4,794.4,,,0
HCPCS,C1713,464325 : LOCKING SCR 5 0MM - T20 - L46MM,794.4,794.4,,,0
HCPCS,C1713,464327 : LOCKING SCR 5 0MM - T20 - L50MM,794.4,794.4,,,0
HCPCS,C1713,464328 : LOCKING SCR 5 0MM - T20 - L55MM,794.4,794.4,,,0
HCPCS,C1713,464329 : LOCKING SCR 5 0MM - T20 - L60MM,794.4,794.4,,,0
HCPCS,C1713,464330 : LOCKING SCR 5 0MM - T20 - L65MM,794.4,794.4,,,0
HCPCS,C1713,464331 : PANGEA LOK SCR L70MM DIA5MM,794.4,794.4,,,0
HCPCS,C1713,464332 : PANGEA LOK SCR L75MM DIA5MM,794.4,794.4,,,0
HCPCS,C1713,464333 : PANGEA LOK SCR L80MM DIA5MM,794.4,794.4,,,0
HCPCS,C1713,464334 : LOCKING SCR DIA5MM L85MM SCR HD 20.0 TORX PANGEA,794.4,794.4,,,0
HCPCS,C1713,464335 : LOCKING SCR DIA5MM L90MM SCR HD 20.0 TORX PANGEA,794.4,794.4,,,0
HCPCS,C1713,464336 : SCREW BNE 5MM X 95MM LOK COCR T20 DRV PANGEA,794.4,794.4,,,0
HCPCS,C1713,464378 : WASHER ORTH DIA8MM FOR 4MM SCR JFX ASNS,176.4,176.4,,,0
HCPCS,C1713,464853 : K WIRE FIX L315MM DIA2MM W- DRL TIP,105.6,105.6,,,0
HCPCS,C1713,465131 : FIXATOR BNE PLT ORTH AO FIT TEMP,463.2,463.2,,,0
HCPCS,C1713,465755 : ENDCAP SPNL 15.5MM X 15MM GAM,696.19,696.19,,,0
HCPCS,C1713,465760 : TROCHANTERIC NAIL D9X170MM 120DEG,3050.4,3050.4,,,0
HCPCS,C1713,465772 : SCREW BNE 10.5X75MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
HCPCS,C1713,465773 : SCREW BNE 10.5X80MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
HCPCS,C1713,465774 : SCREW BNE 10.5X90MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
HCPCS,C1713,465775 : SCREW BNE 10.5X95MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
HCPCS,C1713,465776 : SCREW BNE 10.5X100MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
HCPCS,C1713,465777 : SCREW BNE 10.5X105MM LAG GAM4 HIP FRAC NAIL SYS,1536.0,1536.0,,,0
HCPCS,C1713,465830 : LONG NAIL R D10X340MM X 120DEG,6445.2,6445.2,,,0
HCPCS,C1713,465842 : LONG NAIL R D11X320MM X 120DEG,6445.2,6445.2,,,0
HCPCS,C1713,465843 : LONG NAIL R D11X340MM X 120DEG,4673.4,4673.4,,,0
HCPCS,C1713,465844 : LONG NAIL R D11X360MM X 120DEG,6445.2,6445.2,,,0
HCPCS,C1713,465845 : LONG NAIL R D11X380MM X 120DEG,6445.2,6445.2,,,0
HCPCS,C1713,465846 : LONG NAIL R D11X400MM X 120DEG,6445.2,6445.2,,,0
HCPCS,C1713,465848 : LONG NAIL R D11X440MM X 120DEG,4673.4,4673.4,,,0
HCPCS,C1713,465857 : LONG NAIL R D12X360MM X 120DEG,6684.0,6684.0,,,0
HCPCS,C1713,465923 : LONG NAIL R D11X380MM X 125DEG,4673.4,4673.4,,,0
HCPCS,C1713,466063 : NAIL IM LNG 120 DEG L 10MM X 340MM,6445.2,6445.2,,,0
HCPCS,C1713,466064 : NAIL IM LNG 120 DEG L 10MM X 360MM,6445.2,6445.2,,,0
HCPCS,C1713,466066 : NAIL IM LNG 120 DEG L 10MM X 400MM,6445.2,6445.2,,,0
HCPCS,C1713,466077 : NAIL IM LNG 120 DEG L 11MM X 360MM,6445.2,6445.2,,,0
HCPCS,C1713,466078 : NAIL IM LNG 120 DEG L 11MM X 380MM,6445.2,6445.2,,,0
HCPCS,C1713,466079 : NAIL IM LNG 120 DEG L 11MM X 400MM,6445.2,6445.2,,,0
HCPCS,C1713,466080 : NAIL IM LNG 120 DEG L 11MM X 420MM,6445.2,6445.2,,,0
HCPCS,C1713,466082 : NAIL IM LNG 120 DEG L 11MM X 460MM,6445.2,6445.2,,,0
HCPCS,C1713,466091 : NAIL IM LNG 120 DEG L 12MM X 380MM,4673.4,4673.4,,,0
HCPCS,C1713,466130 : NAIL IM LNG 120 DEG L 9MM X 380MM,6445.2,6445.2,,,0
HCPCS,C1713,466155 : NAIL IM LNG 125 DEG L 11MM X 380MM,4673.4,4673.4,,,0
HCPCS,C1713,466158 : NAIL IM LNG 125 DEG L 11MM X 440MM,6445.2,6445.2,,,0
HCPCS,C1713,466232 : NAIL IM LNG 130 DEG L 11MM X 360MM,6445.2,6445.2,,,0
HCPCS,C1713,466235 : NAIL IM LNG 130 DEG L 11MM X 420MM,6445.2,6445.2,,,0
HCPCS,C1713,467891 : NAIL IM L230MM DIA8MM R HUM AEQUALIS,5265.6,5265.6,,,0
HCPCS,C1713,46837 : PEG BNE FIX L14MM DIA2.5MM VOLAR PRTLY THRD FOR ANAT PLT SYS,151.2,151.2,,,0
HCPCS,C1713,46838 : PEG BNE FIX L16MM DIA2.5MM DST VOLAR RAD PRTLY THRD FOR ANAT,151.2,151.2,,,0
HCPCS,C1713,46839 : PEG BNE 2.5MM X 18MM DST VOLAR RAD PRTLY THRD FOR DVR ANAT,151.2,151.2,,,0
HCPCS,C1713,46846 : SCREW BNE 3.5MM X 12MM DST VOLAR RAD CORT FT FOR DVR ANAT,151.2,151.2,,,0
HCPCS,C1713,46910 : PEG BNE 2.5X24MM COCR ALPS HND FRAC SYS,145.92,145.92,,,0
HCPCS,C1713,46973 : PLATE LCP 12 HOLE 224.621,1217.76,1217.76,,,0
HCPCS,C1713,470019 : SCREW T15 LP CORT 3.5X28MM NS,100.8,100.8,,,0
HCPCS,C1713,470025 : 3.5MM T15 LOW PROFILE NON-LOCKING SCREWS 48,100.8,100.8,,,0
HCPCS,C1713,470254 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 10MM,75.6,75.6,,,0
HCPCS,C1713,470255 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 12MM,75.6,75.6,,,0
HCPCS,C1713,470256 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 14MM,75.6,75.6,,,0
HCPCS,C1713,470258 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 18MM,75.6,75.6,,,0
HCPCS,C1713,470260 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 20MM,75.6,75.6,,,0
HCPCS,C1713,470262 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 22MM,75.6,75.6,,,0
HCPCS,C1713,470264 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 24MM,75.6,75.6,,,0
HCPCS,C1713,470266 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 26MM,75.6,75.6,,,0
HCPCS,C1713,470268 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 28MM,75.6,75.6,,,0
HCPCS,C1713,470276 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 40MM,75.6,75.6,,,0
HCPCS,C1713,470278 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 45MM,75.6,75.6,,,0
HCPCS,C1713,470280 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 50MM,75.6,75.6,,,0
HCPCS,C1713,470281 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 55MM,75.6,75.6,,,0
HCPCS,C1713,470282 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 60MM,75.6,75.6,,,0
HCPCS,C1713,470284 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 65MM,75.6,75.6,,,0
HCPCS,C1713,470285 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 70MM,75.6,75.6,,,0
HCPCS,C1713,470286 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 70MM,75.6,75.6,,,0
HCPCS,C1713,470291 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 85MM,75.6,75.6,,,0
HCPCS,C1713,470293 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 90MM,75.6,75.6,,,0
HCPCS,C1713,470297 : 3.5MM CORTICAL PLVC SCREW SELFTAP SM HEX 100MM,75.6,75.6,,,0
HCPCS,C1713,470298 : 3.5MM CORTICAL SCREW SELFTAP SMALL HEX 105MM,75.6,75.6,,,0
HCPCS,C1713,470396 : 4.5MM CORTICAL SCREW SELFTAP LARGE HEX 105MM,84.0,84.0,,,0
HCPCS,C1713,470404 : 4.5MM CORTICAL SCREW LARGE HEX 130MM,92.4,92.4,,,0
HCPCS,C1713,470416 : 4.5MM CORTICAL SCREW LARGE HEX 160MM,92.4,92.4,,,0
HCPCS,C1713,470482 : 2.0MM CORTICAL SCREWS:12,248.93,248.93,,,0
HCPCS,C1713,470538 : 2.4MM CORTICAL SCREWS:14,248.93,248.93,,,0
HCPCS,C1713,470540 : 2.4MM CORTICAL SCREWS:16,248.93,248.93,,,0
HCPCS,C1713,470542 : 2.4MM CORTICAL SCREWS:18,248.93,248.93,,,0
HCPCS,C1713,470546 : 2.4MM CORTICAL SCREWS:22,248.93,248.93,,,0
HCPCS,C1713,470548 : 2.4MM CORTICAL SCREWS:24,248.93,248.93,,,0
HCPCS,C1713,470549 : 2.4MM CORTICAL SCREWS:26,248.93,248.93,,,0
HCPCS,C1713,470550 : 2.4MM CORTICAL SCREWS:28,248.93,248.93,,,0
HCPCS,C1713,470551 : 2.4MM CORTICAL SCREWS:30,248.93,248.93,,,0
HCPCS,C1713,470552 : 2.4MM CORTICAL SCREWS:32,248.93,248.93,,,0
HCPCS,C1713,470576 : 2.4MM LOCKING SCREWS:14,313.63,313.63,,,0
HCPCS,C1713,470586 : 2.4MM LOCKING SCREWS:24,313.63,313.63,,,0
HCPCS,C1713,470587 : 2.4MM LOCKING SCREWS:26,313.63,313.63,,,0
HCPCS,C1713,470612 : 2.7MM CORTICAL SCREWS:12,248.93,248.93,,,0
HCPCS,C1713,470614 : 2.7MM CORTICAL SCREWS:14,248.93,248.93,,,0
HCPCS,C1713,470616 : 2.7MM CORTICAL SCREWS:16,248.93,248.93,,,0
HCPCS,C1713,470618 : 2.7MM CORTICAL SCREWS:18,248.93,248.93,,,0
HCPCS,C1713,470622 : 2.7MM CORTICAL SCREWS:22,248.93,248.93,,,0
HCPCS,C1713,470624 : 2.7MM CORTICAL SCREWS:24,248.93,248.93,,,0
HCPCS,C1713,470625 : 2.7MM CORTICAL SCREWS:26,248.93,248.93,,,0
HCPCS,C1713,470626 : 2.7MM CORTICAL SCREWS:28,248.93,248.93,,,0
HCPCS,C1713,470627 : 2.7MM CORTICAL SCREWS:30,248.93,248.93,,,0
HCPCS,C1713,470628 : 2.7MM CORTICAL SCREWS:32,248.93,248.93,,,0
HCPCS,C1713,470630 : 2.7MM CORTICAL SCREWS:36,248.93,248.93,,,0
HCPCS,C1713,470631 : 2.7MM CORTICAL SCREWS:38,248.93,248.93,,,0
HCPCS,C1713,470632 : 2.7MM CORTICAL SCREWS:40,248.93,248.93,,,0
HCPCS,C1713,470634 : 2.7MM CORTICAL SCREWS:44,248.93,248.93,,,0
HCPCS,C1713,470638 : 2.7MM CORTICAL SCREWS:55,248.93,248.93,,,0
HCPCS,C1713,470650 : 2.7MM LOCKING SCREWS:8,338.54,338.54,,,0
HCPCS,C1713,470652 : 2.7MM LOCKING SCREWS:10,338.54,338.54,,,0
HCPCS,C1713,470653 : 2.7MM LOCKING SCREWS:11,338.54,338.54,,,0
HCPCS,C1713,470654 : 2.7MM LOCKING SCREWS:12,338.54,338.54,,,0
HCPCS,C1713,470656 : 2.7MM LOCKING SCREWS:14,338.54,338.54,,,0
HCPCS,C1713,470657 : 2.7MM LOCKING SCREWS:15,338.54,338.54,,,0
HCPCS,C1713,470660 : 2.7MM LOCKING SCREWS:18,338.54,338.54,,,0
HCPCS,C1713,470662 : 2.7MM LOCKING SCREWS:20,338.54,338.54,,,0
HCPCS,C1713,470679 : 2.7MM LOCKING SCREWS:50,338.54,338.54,,,0
HCPCS,C1713,470680 : 2.7MM LOCKING SCREWS:55,338.54,338.54,,,0
HCPCS,C1713,470681 : 2.7MM LOCKING SCREWS:60,338.54,338.54,,,0
HCPCS,C1713,470690 : 3.5MM NON-LOCKING SCREW 10MM,248.93,248.93,,,0
HCPCS,C1713,470691 : 3.5MM NON-LOCKING SCREW 12MM,248.93,248.93,,,0
HCPCS,C1713,470692 : 3.5MM NON-LOCKING SCREW 14MM,248.93,248.93,,,0
HCPCS,C1713,470693 : 3.5MM NON-LOCKING SCREW 16MM,248.93,248.93,,,0
HCPCS,C1713,470695 : 3.5MM NON-LOCKING SCREW 20MM,248.93,248.93,,,0
HCPCS,C1713,470696 : 3.5MM NON-LOCKING SCREW 22MM,248.93,248.93,,,0
HCPCS,C1713,470697 : 3.5MM NON-LOCKING SCREW 24MM,248.93,248.93,,,0
HCPCS,C1713,470698 : 3.5MM NON-LOCKING SCREW 26MM,248.93,248.93,,,0
HCPCS,C1713,470699 : 3.5MM NON-LOCKING SCREW 28MM,248.93,248.93,,,0
HCPCS,C1713,470700 : 3.5MM NON-LOCKING SCREW 30MM,248.93,248.93,,,0
HCPCS,C1713,470701 : 3.5MM NON-LOCKING SCREW 32MM,248.93,248.93,,,0
HCPCS,C1713,470703 : 3.5MM NON-LOCKING SCREW 36MM,248.93,248.93,,,0
HCPCS,C1713,470704 : 3.5MM NON-LOCKING SCREW 38MM,248.93,248.93,,,0
HCPCS,C1713,470705 : 3.5MM NON-LOCKING SCREW 40MM,248.93,248.93,,,0
HCPCS,C1713,470706 : 3.5MM NON-LOCKING SCREW 42MM,248.93,248.93,,,0
HCPCS,C1713,470708 : 3.5MM NON-LOCKING SCREW 46MM,248.93,248.93,,,0
HCPCS,C1713,470709 : 3.5MM NON-LOCKING SCREW 48MM,248.93,248.93,,,0
HCPCS,C1713,470710 : 3.5MM NON-LOCKING SCREW 50MM,248.93,248.93,,,0
HCPCS,C1713,470711 : 3.5MM NON-LOCKING SCREW 55MM,248.93,248.93,,,0
HCPCS,C1713,470712 : 3.5MM NON-LOCKING SCREW 60MM,248.93,248.93,,,0
HCPCS,C1713,470714 : 3.5MM NON-LOCKING SCREW 70MM,248.93,248.93,,,0
HCPCS,C1713,470715 : 3.5MM NON-LOCKING SCREW 75MM,248.93,248.93,,,0
HCPCS,C1713,470720 : 3.5MM NON-LOCKING SCREW 100MM,248.93,248.93,,,0
HCPCS,C1713,470777 : 3.5MM CORTICAL SCREWS:12,109.2,109.2,,,0
HCPCS,C1713,470778 : 3.5MM CORTICAL SCREWS:14,109.2,109.2,,,0
HCPCS,C1713,470779 : 3.5MM CORTICAL SCREWS:16,109.2,109.2,,,0
HCPCS,C1713,470780 : 3.5MM CORTICAL SCREWS:18,109.2,109.2,,,0
HCPCS,C1713,470781 : 3.5MM CORTICAL SCREWS:20,109.2,109.2,,,0
HCPCS,C1713,470782 : 3.5MM CORTICAL SCREWS:22,109.2,109.2,,,0
HCPCS,C1713,470783 : 3.5MM CORTICAL SCREWS:24,109.2,109.2,,,0
HCPCS,C1713,470787 : 3.5MM CORTICAL SCREWS:32,109.2,109.2,,,0
HCPCS,C1713,470788 : 3.5MM CORTICAL SCREWS:34,109.2,109.2,,,0
HCPCS,C1713,470790 : 3.5MM CORTICAL SCREWS:38,109.2,109.2,,,0
HCPCS,C1713,470792 : 3.5MM CORTICAL SCREWS:42,109.2,109.2,,,0
HCPCS,C1713,470793 : 3.5MM CORTICAL SCREWS:44,109.2,109.2,,,0
HCPCS,C1713,470795 : 3.5MM CORTICAL SCREWS:48,109.2,109.2,,,0
HCPCS,C1713,470796 : 3.5MM CORTICAL SCREWS:50,109.2,109.2,,,0
HCPCS,C1713,470799 : 3.5MM CORTICAL SCREWS:65,109.2,109.2,,,0
HCPCS,C1713,470982 : 7.0X32MM THREAD CANNULATED SCREW 70,411.6,411.6,,,0
HCPCS,C1713,470988 : 7.0X32MM THREAD CANNULATED SCREW 75,411.6,411.6,,,0
HCPCS,C1713,470994 : 7.0X32MM THREAD CANNULATED SCREW 80,411.6,411.6,,,0
HCPCS,C1713,471060 : 7.0X32MM THREAD CANNULATED SCREW 140,411.6,411.6,,,0
HCPCS,C1713,471068 : CANNULATED SCREW 6.5MM X 150MM FULL THREAD,403.2,403.2,,,0
HCPCS,C1713,471077 : 7.0X32MM THREAD CANNULATED SCREW 170,411.6,411.6,,,0
HCPCS,C1713,471081 : 7.0MM FULLY THREADED CANNULATED SCREWS 175,411.6,411.6,,,0
HCPCS,C1713,471171 : NCB SCREWS SELF-TAPPING4.0 SELF-TAPPING L. 34MM,201.6,201.6,,,0
HCPCS,C1713,471176 : NCB SCREWS SELF-TAPPING4.0 SELF-TAPPING L. 44MM,201.6,201.6,,,0
HCPCS,C1713,471297 : PROXIMAL HUMERUS LOW PLATE LEFT 7 HOLE,2982.0,2982.0,,,0
HCPCS,C1713,471317 : 3.5MM RECON PLATE STRAIGHT 6 HOLES 70MM,529.2,529.2,,,0
HCPCS,C1713,471318 : 3.5MM RECON PLATE STRAIGHT 7 HOLES 82MM,571.2,571.2,,,0
HCPCS,C1713,471319 : 3.5MM RECON PLATE STRAIGHT 8 HOLES 94MM,588.0,588.0,,,0
HCPCS,C1713,471320 : 3.5MM RECON PLATE STRAIGHE 9 HOLES 106MM,613.2,613.2,,,0
HCPCS,C1713,471322 : 3.5MM RECON PLATE STRAIGHT 11 HOLES 130MM,630.0,630.0,,,0
HCPCS,C1713,471332 : 3.5MM RECON PLATE CURVED 8 HOLES,630.0,630.0,,,0
HCPCS,C1713,471388 : ONETHIRD TUBULAR PLATE W-COLLAR 7 HOLES 85MM,126.0,126.0,,,0
HCPCS,C1713,471390 : ONETHIRD TUBULAR PLATE W-COLLAR 8 HOLES 97MM,134.4,134.4,,,0
HCPCS,C1713,471447 : 2.4MM PLATES:STRAIGHT PLATE 6H,1463.66,1463.66,,,0
HCPCS,C1713,471450 : 2.4MM PLATES:3H T PLATE 5H,1563.22,1563.22,,,0
HCPCS,C1713,471453 : 2.4MM PLATES:Y PLATE 5H,1563.22,1563.22,,,0
HCPCS,C1713,471464 : 2.4MM PLATES:4H T PLATE 7H,1593.1,1593.1,,,0
HCPCS,C1713,471478 : 2.7MM PLATES:3H T PLATE 7H,1891.8,1891.8,,,0
HCPCS,C1713,471479 : 2.7MM PLATES:3H T PLATE 9H,1941.58,1941.58,,,0
HCPCS,C1713,471492 : 2.7MM PLATES:4H T PLATE 9H,1941.58,1941.58,,,0
HCPCS,C1713,471510 : POSTERIOR FIBULA PLATE 10H RT,2409.55,2409.55,,,0
HCPCS,C1713,471515 : 1-3 TUBULAR PLATE 6H,497.83,497.83,,,0
HCPCS,C1713,471516 : 1-3 TUBULAR PLATE 8H,497.83,497.83,,,0
HCPCS,C1713,471518 : 1-3 TUBULAR PLATE 12H,547.63,547.63,,,0
HCPCS,C1713,471522 : MEDIAL TIBIA PLATE 6H LT,5326.92,5326.92,,,0
HCPCS,C1713,471524 : MEDIAL TIBIA PLATE 10H LT,5376.7,5376.7,,,0
HCPCS,C1713,471526 : MEDIAL TIBIA PLATE 12H LT,5426.5,5426.5,,,0
HCPCS,C1713,471527 : MEDIAL TIBIA PLATE 12H RT,5426.5,5426.5,,,0
HCPCS,C1713,471529 : MEDIAL TIBIA PLATE 16H RT,5476.27,5476.27,,,0
HCPCS,C1713,471549 : MEDIAL MALLELOUS HOOK PLATE 5H,3684.05,3684.05,,,0
HCPCS,C1713,471550 : 2.7MM PLATES:HIGH STRENGTH PLATE 20H,2787.91,2787.91,,,0
HCPCS,C1713,471552 : 3.5MM LOCKING COMPRESSION PLATES: 6 HOLE,352.8,352.8,,,0
HCPCS,C1713,471553 : 3.5MM LOCKING COMPRESSION PLATES: 7 HOLE,369.6,369.6,,,0
HCPCS,C1713,471575 : PROX TIB LOCK PLATE LT 7H STD,2116.8,2116.8,,,0
HCPCS,C1713,471580 : PROX TIB LOCK PLATE RT 3H STD,2074.8,2074.8,,,0
HCPCS,C1713,471583 : PROX TIB LOCK PLATE RT 9H STD,2142.0,2142.0,,,0
HCPCS,C1713,471642 : 1-3 LCK TUBULAR PLATE 7H,277.2,277.2,,,0
HCPCS,C1713,471660 : NCB PERIPROSTHETIC PROXIMAL FEMUR PLATESLEFT 18 HOLES L. 363,2503.2,2503.2,,,0
HCPCS,C1713,471661 : NCB PERIPROSTHETIC DISTAL FEMUR PLATESRIGHT12 HOLES L. 278MM,2251.2,2251.2,,,0
HCPCS,C1713,471662 : NCB PERIPROSTHETIC DISTAL FEMUR PLATESRIGHT 15 HOLES L. 317M,2377.2,2377.2,,,0
HCPCS,C1713,471663 : NCB PERIPROSTHETIC DISTAL FEMUR PLATESLEFT 12 HOLES L. 278MM,2251.2,2251.2,,,0
HCPCS,C1713,471742 : ANTLATERAL TIB PLT 12H RT NRW,4729.51,4729.51,,,0
HCPCS,C1713,471749 : ANTLATERAL TIB PLT 12H LT WIDE,4779.29,4779.29,,,0
HCPCS,C1713,47303 : DEVICE BNE FILL SZ 3 1ML 10GA RADPQ FOR INTVENT THER DEL SYS,194.76,194.76,,,0
HCPCS,C1713,47360 : PLATE BNE W24.4XL89MM 7 H R DST VOLAR RAD EXT ANAT,1212.96,1212.96,,,0
HCPCS,C1713,484307 : SCREW BNE L100MM DIA3.5MM STD CORT SS NONCANN FT BLNT,98.42,98.42,,,0
HCPCS,C1713,484496 : SCREW BNE 5X46MM CONDYLE VA FT LOK ST SS LP T25 STARDRV,631.8,631.8,,,0
HCPCS,C1713,484501 : PLATE BNE L147MM 8 H NS L PROX TIB SS VA LOK COMPR SM BEND,4446.12,4446.12,,,0
HCPCS,C1713,484508 : SCREW BNE 5X10MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,907.2,907.2,,,0
HCPCS,C1713,484510 : SCREW BNE 5X14MM VA PERIPROSTHETIC T25 STARDRV RECESS LOK ST,907.2,907.2,,,0
HCPCS,C1713,484511 : SCREW BNE 5X16MM VA PERIPROSTHETIC T25 STARDRV RECESS LOK ST,907.2,907.2,,,0
HCPCS,C1713,484545 : SCREW BNE 3.5X80MM CORT STARDRV RECESS ST SS LCP,117.0,117.0,,,0
HCPCS,C1713,49382 : SCREW BNE 6.5X60MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,495.55,495.55,,,0
HCPCS,C1713,49386 : SCREW BNE 6.5X80MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,49416 : SCREW BNE L40MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,77.88,77.88,,,0
HCPCS,C1713,49417 : SCREW BNE L42MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,77.88,77.88,,,0
HCPCS,C1713,49419 : SCREW BNE L46MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,49421 : SCREW BNE 4X50MM VA FT CORT HEX HD FT ST SS ANK TRAUM SYS,77.88,77.88,,,0
HCPCS,C1713,497134 : SCREW BONE LOCKING MDS 3.5MM X 70MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497135 : SCREW BONE LOCKING MDS 3.5MM X 65MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497138 : SCREW BONE LOCKING MDS 3.5MM X 50MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497139 : SCREW BONE LOCKING MDS 3.5MM X 48MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497140 : SCREW BONE LOCKING MDS 3.5MM X 46MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497141 : SCREW BONE LOCKING MDS 3.5MM X 44MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497142 : SCREW BONE LOCKING MDS 3.5MM X 42MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497143 : SCREW BONE LOCKING MDS 3.5MM X 40MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497144 : SCREW BONE LOCKING MDS 3.5MM X 38MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497145 : SCREW BONE LOCKING MDS 3.5MM X 36MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497147 : SCREW BONE LOCKING MDS 3.5MM X 32MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497148 : SCREW BONE LOCKING MDS 3.5MM X 30MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497149 : SCREW BONE LOCKING MDS 3.5MM X 28MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497150 : SCREW BONE LOCKING MDS 3.5MM X 26MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497151 : SCREW BONE LOCKING MDS 3.5MM X 24MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497152 : SCREW BONE LOCKING MDS 3.5MM X 22MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497154 : SCREW BONE LOCKING MDS 3.5MM X 18MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497155 : SCREW BONE LOCKING MDS 3.5MM X 16MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497156 : SCREW BONE LOCKING MDS 3.5MM X 14MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497157 : SCREW BONE LOCKING MDS 3.5MM X 12MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497158 : SCREW BONE LOCKING MDS 3.5MM X 10MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,497161 : PLATE BONE DISTAL SUPERIOR LEFT 13 HOLE 120MM CLAVICULAR PLA,2452.8,2452.8,,,0
HCPCS,C1713,497170 : PLATE BONE SUPERIOR RIGHT 10 HOLE 2.7MM NARROW 100MM CLAVICU,2200.8,2200.8,,,0
HCPCS,C1713,497172 : PLATE BONE ANTERIOR 9 HOLE 3.5MM STANDARD 100MM CLAVICULAR P,2268.0,2268.0,,,0
HCPCS,C1713,497184 : SCREW BONE 3.5X85MM DISTAL TIBIAL CORTICAL LOCKING SELF TAPP,109.2,109.2,,,0
HCPCS,C1713,497185 : SCREW BONE L80MM DIA3.5MM PROXIMAL CORTICAL TIBIAL TYPE II A,109.2,109.2,,,0
HCPCS,C1713,497223 : SCREW BONE 5X55MM DISTAL FEMORAL HEX HEAD SELF TAPPING PROTA,277.2,277.2,,,0
HCPCS,C1713,497224 : SCREW BONE L22MM DIA5MM STANDARD CORTICAL DISTAL FEMORAL TIT,277.2,277.2,,,0
HCPCS,C1713,497299 : PLATE BONE LOCKING COMPRESSION RADIAL RIGHT VOLAR RIM 2.7 MM,1663.2,1663.2,,,0
HCPCS,C1713,497333 : 4.5MM BROAD LCP PLATES - 206 MM,2349.0,2349.0,,,0
HCPCS,C1713,49752 : SCREW BNE 6.5X90MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,574.56,574.56,,,0
HCPCS,C1713,4H PLATE LEFT,1512.0,1512.0,,,0
HCPCS,C1713,5 0MM VARIABLE ANGLE LOCKNG SCREW SLF TPNG STRDRV 32MM,631.8,631.8,,,0
HCPCS,C1713,5.0 DST MED FEM PLT R 5.0MM 189MM/6 H,11584.8,11584.8,,,0
HCPCS,C1713,5.0 LOCKING SCREW CANN 55MM,712.8,712.8,,,0
HCPCS,C1713,5.0 MM DIAMETER CORTICAL SCREW - RED FIXED ANGLE 3.5 MM HEX,267.29,267.29,,,0
HCPCS,C1713,5.0 PIN,190.94,190.94,,,0
HCPCS,C1713,5.0 STR BROAD PLT 5.0MM 188MM/9 H,5344.8,5344.8,,,0
HCPCS,C1713,5.0 STR NAR PLT 5.0MM 160MM/8 H,6480.0,6480.0,,,0
HCPCS,C1713,5.0 STR NAR PLT 5.0MM 188MM/9 H,6840.0,6840.0,,,0
HCPCS,C1713,5.0 VA LOCKING SCREW 38MM,631.8,631.8,,,0
HCPCS,C1713,5.0 X 20MM ANCHOR,1440.0,1440.0,,,0
HCPCS,C1713,5.0 X 20MM UNIPLANAR SCREW PREASSEMBLED CREO 4.75,1560.0,1560.0,,,0
HCPCS,C1713,5.0 X 25,720.0,720.0,,,0
HCPCS,C1713,5.0 X 35MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
HCPCS,C1713,5.0 X 40MM SCREW MODULAR CREO AMP,660.0,660.0,,,0
HCPCS,C1713,5.0 X 55MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
HCPCS,C1713,5.0MM CANNULATED SCREW 105MM,736.2,736.2,,,0
HCPCS,C1713,5.0MM CANNULATED VA LOCKING SCREW/80MM,851.4,851.4,,,0
HCPCS,C1713,5.0MM TI LOCKING SCREW W/T25 STARDRIVE 64 MM F/IM NAIL-STER,792.0,792.0,,,0
HCPCS,C1713,5.0MM VARIABLE ANGLE LOCKNG  34MM,631.8,631.8,,,0
HCPCS,C1713,5.5 PEEK ZIP ANCHOR,546.31,546.31,,,0
HCPCS,C1713,5.5 TI CORT FIX 4.35X30MM,2337.0,2337.0,,,0
HCPCS,C1713,5.5 TI CORT FIX 5X45MM,2460.0,2460.0,,,0
HCPCS,C1713,5.5 TI OPN ILIAC CN 40MM,1860.0,1860.0,,,0
HCPCS,C1713,5.5 X 40 RMAS,1476.0,1476.0,,,0
HCPCS,C1713,5.5 X 40 RUS,2040.0,2040.0,,,0
HCPCS,C1713,5.5 X 55MM SCREW MODULAR CREO AMP,660.0,660.0,,,0
HCPCS,C1713,5.5MM TI CANCELLOUS LOCKING,828.0,828.0,,,0
HCPCS,C1713,5.5MM VARIABLE ANGLE SCREW 22MM,360.0,360.0,,,0
HCPCS,C1713,5.5MMX48MM CAN SCR 32MM THRD S,390.1,390.1,,,0
HCPCS,C1713,5.5MMX50MM CAN SCR 32MM THRD S,390.1,390.1,,,0
HCPCS,C1713,5.5MMX70MM CAN SCR 16MM THRD S,605.28,605.28,,,0
HCPCS,C1713,5.5X40MM CANN SC SS 16THD,605.28,605.28,,,0
HCPCS,C1713,500367 : CANN SCRW 3.75X 36MMFULLY THRDED,521.04,521.04,,,0
HCPCS,C1713,50117 : SCREW BNE 6.5X55MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,504123 : PLATE BONE RIGHT 24X175MM DISTAL RADIAL 2XLONG CROSSLOCK DVR,2486.4,2486.4,,,0
HCPCS,C1713,505467 : BUTTON CABLE 2.5MM TITANIUM HEX DRIVE FOR NCB POLYAXIAL LOCK,326.4,326.4,,,0
HCPCS,C1713,508719 : SCREW BONE 3.5X135MM CORTICAL STAINLESS STEEL HEXAGONAL RECE,75.6,75.6,,,0
HCPCS,C1713,508720 : SCREW BONE L140MM DIA3.5MM CORTICAL,75.6,75.6,,,0
HCPCS,C1713,508888 : SCREW BONE CONNECTION FOR 02.00024.220 NCB-PH,277.2,277.2,,,0
HCPCS,C1713,508937 : SCREW BONE L95MM DIA5MM PARTIALLY THREADED PERIPROSTHETIC FE,268.8,268.8,,,0
HCPCS,C1713,509457 : WASHER ORTHOPEDIC DIA3MM FLAT FOR CANNULATED SCREW SYSTEM,140.4,140.4,,,0
HCPCS,C1713,509862 : SCREW BONE 3.5X12MM LOCKING SQUARE DRIVE,277.2,277.2,,,0
HCPCS,C1713,509863 : SCREW BONE 3.5X14MM DISTAL RADIAL CORTICAL FULLY THREADED LO,277.2,277.2,,,0
HCPCS,C1713,509864 : SCREW BONE 3.5X16MM DISTAL RADIAL CORTICAL FULLY THREADED LO,277.2,277.2,,,0
HCPCS,C1713,50MM VARIABLE ANGLE LOCKNG SCREWSLFTPNGSTRDRV30MM,631.8,631.8,,,0
HCPCS,C1713,510262 : WASHER ORTHOPEDIC FLAT FOR 3.5-4MM CANNULATED SCREW TIMAX,100.92,100.92,,,0
HCPCS,C1713,514812 : SCREW BONE 2.5X14MM COMPRESSION HEADLESS CANNULATED SHORT TH,847.06,847.06,,,0
HCPCS,C1713,517144 : 2ND & 3RD TI LISFRANC JOINT FUSION PLATE LARGE RIGHT,7581.6,7581.6,,,0
HCPCS,C1713,517146 : NC TI FUSION 5 HOLE SHORT RIGHT,4480.75,4480.75,,,0
HCPCS,C1713,517349 : 3.5 MM TI CORTEX SCREW LENGTH 20 MM DARK PURPLE,166.3,166.3,,,0
HCPCS,C1713,517351 : 3.5 MM TI CORTEX SCREW LENGTH 24 MM DARK PURPLE,166.3,166.3,,,0
HCPCS,C1713,517353 : 3.5 MM TI CORTEX SCREW LENGTH 28 MM DARK PURPLE,166.3,166.3,,,0
HCPCS,C1713,517356 : 3.5 MM TI CORTEX SCREW LENGTH 34 MM DARK PURPLE,166.3,166.3,,,0
HCPCS,C1713,517357 : 3.5 MM TI CORTEX SCREW LENGTH 36 MM DARK PURPLE,166.3,166.3,,,0
HCPCS,C1713,517374 : 3.5 MM TI VARIABLE ANGLE SCREW LENGTH 18 MM DARK PURPLE,478.78,478.78,,,0
HCPCS,C1713,517378 : 3.5 MM TI VARIABLE ANGLE SCREW LENGTH 26 MM DARK PURPLE,478.78,478.78,,,0
HCPCS,C1713,517384 : 3.5 MM TI VARIABLE ANGLE SCREW LENGTH 38 MM DARK PURPLE,478.78,478.78,,,0
HCPCS,C1713,517386 : 3.5 MM TI VARIABLE ANGLE SCREW LENGTH 42 MM DARK PURPLE,478.78,478.78,,,0
HCPCS,C1713,517407 : 4.0 MM TI CORTEX SCREW LENGTH 34 MM GREEN,166.3,166.3,,,0
HCPCS,C1713,521539 : SP FBRTAK RC TGRTPE WH-BLK & STTPE WH-BL,1223.04,1223.04,,,0
HCPCS,C1713,521540 : SP FBRTAK RC FBRTPE BLU & STTPE WH-BLK,1223.04,1223.04,,,0
HCPCS,C1713,521541 : SP FBRTAK RC FBRTPE BLK-BLU & STTPE BLU,1223.04,1223.04,,,0
HCPCS,C1713,521917 : NANO SWIVELOCK 2.5 X 7MM W- FORK EYELET,1365.0,1365.0,,,0
HCPCS,C1713,522579 : FIBERTAK BICEPS IMPLANT,1040.52,1040.52,,,0
HCPCS,C1713,522582 : IMPLANT SYSTEM FIBERTAK BUTTON,2051.4,2051.4,,,0
HCPCS,C1713,522601 : A 7X 20MM BC IF SCRW VENTED,767.52,767.52,,,0
HCPCS,C1713,52814 : BIT DRL 2.7MM CANN ADD ON CPL FOR 4MM SCR ASNS III,450.0,450.0,,,0
HCPCS,C1713,534358 : KIRSCHNER WIRES .028-.7MM  NON-THREADED DOUBLE TROCAR POINT,52.2,52.2,,,0
HCPCS,C1713,534359 : K WRE FIX L4IN DIA0.054IN SMOOTH DBL TRCR PT,52.2,52.2,,,0
HCPCS,C1713,534360 : K-WIRE .045 (1.1MM) X 9IN DOUBLE TROCAR SMOOTH,42.6,42.6,,,0
HCPCS,C1713,534361 : WIRE 1.4MM (.054) X 9IN KIRSCHNER SINGLE ENDED TROCAR SMOOTH,3.89,3.89,,,0
HCPCS,C1713,534373 : K-WIRE .035 X 4IN NON-THREADED DOUBLE TROCAR,52.2,52.2,,,0
HCPCS,C1713,534374 : K-WIRE.045 X4INDBL TROCAR NON-THREADED,73.8,73.8,,,0
HCPCS,C1713,534375 : K-WIRE.062 X4IN DBL TROCAR NON-THREADED,52.2,52.2,,,0
HCPCS,C1713,534376 : K-WIRE  .062 (1.6 MM) X 9IN SINGLE TROCAR POINT,42.6,42.6,,,0
HCPCS,C1713,534379 : STEINMANN PIN 5-64IN (2.0MM) X 9IN SINGLE TROCAR PT NON-THRE,52.2,52.2,,,0
HCPCS,C1713,534513 : INFRMAE IMPLANT 2.0MM X 24MM,3600.0,3600.0,,,0
HCPCS,C1713,534517 : NANOPHIX IMPLANT 1.5MM X 13MM,3600.0,3600.0,,,0
HCPCS,C1713,534530 : SCREW BNE LOK ST EVOS 4.5MM X 26MM,1648.8,1648.8,,,0
HCPCS,C1713,534563 : KIT INSTR 1.5MM NANOPHIX,948.0,948.0,,,0
HCPCS,C1713,535308 : SCREW LAG CANN 1.5MM X 8MM NANOPHIX,2388.0,2388.0,,,0
HCPCS,C1713,535831 : SCREW LOCKING F1X,480.0,480.0,,,0
HCPCS,C1713,535837 : SCREW BNE 4.5X16MM LOK R1 REV SHLDR SYS,240.0,240.0,,,0
HCPCS,C1713,538422 : SCREW BNE CORT 5MM X 40MM ST AFFIXUS,504.0,504.0,,,0
HCPCS,C1713,538424 : SCREW BNE CORT 5MM X 32MM ST AFFIXUS,576.0,576.0,,,0
HCPCS,C1713,538429 : SCREW BNE CORT 5MM X 38MM ST AFFIXUS,576.0,576.0,,,0
HCPCS,C1713,538430 : SCREW BNE CORT 5MM X 54MM ST AFFIXUS,504.0,504.0,,,0
HCPCS,C1713,540235 : NAIL IM L40MM DIA4.5MM MTCRPL SS THRD INNATE,3600.0,3600.0,,,0
HCPCS,C1713,540469 : ANCHOR SUT 4.5X11MM KNTLSS DEPLOYED POPLOK,1243.66,1243.66,,,0
HCPCS,C1713,540470 : ANCHOR SUT ARGO KNTLSS 4.75MM W- 1 1MM HI-FI RBBN,1901.16,1901.16,,,0
HCPCS,C1713,540471 : ANCHOR SUT 5MM W- 2 NO 2 SUT AND W-O NDL SUP REVO FT,996.26,996.26,,,0
HCPCS,C1713,540823 : DISTAL HUM PLT LAT L 3 H,4500.0,4500.0,,,0
HCPCS,C1713,541278 : SCREW SPNL 5.5X35MM FOR 6MM ROD PEDCL ST POLYAX FEN CANN,9840.0,9840.0,,,0
HCPCS,C1713,541279 : SCREW SPNL 5.5X40MM FOR 6MM ROD PEDCL ST POLYAX FEN CANN,9840.0,9840.0,,,0
HCPCS,C1713,541309 : PLATE STRNL LADDER SM 10 H MTRX STRNM,2584.8,2584.8,,,0
HCPCS,C1713,541410 : NAIL IM L26MM DIA2MM MIC PHALANX SS CANN FT INFRAME,3600.0,3600.0,,,0
HCPCS,C1713,541411 : NAIL IM L28MM DIA2MM MIC PHALANX SS CANN FT INFRAME,3600.0,3600.0,,,0
HCPCS,C1713,541412 : NAIL IM L30MM DIA2MM MIC PHALANX SS CANN FT INFRAME,3600.0,3600.0,,,0
HCPCS,C1713,541480 : SCREW SPNL TI NUT FOR DIA5.5-5.7MM ROD C-PEEK PEDCL SYS,1176.0,1176.0,,,0
HCPCS,C1713,541618 : ANCHOR BNE W/ ARTHSCP DEL SYS ADV 541618,720.0,720.0,,,0
HCPCS,C1713,541619 : ANCHOR TEND 8 FOR REGENETEN BIOINDUCTIVE IMPL SYS 541619,240.0,240.0,,,0
HCPCS,C1713,546342 : SCREW BNE LOK ST EVOS 4.5MM X 24MM 546342,1648.8,1648.8,,,0
HCPCS,C1713,546780 : PLATE STRNL H-PLT SM 8 H MTRX STRNM,1828.8,1828.8,,,0
HCPCS,C1713,546791 : SCREW STRNL LOK 2.7MM X 13MM SLF DRL MTRX STRNM,504.0,504.0,,,0
HCPCS,C1713,546793 : SCREW STRNL LOK 2.7MM X 15MM SLF DRL MTRX STRNM,504.0,504.0,,,0
HCPCS,C1713,546795 : SCREW STRNL LOK 2.7MM X 17MM SLF DRL MTRX STRNM,504.0,504.0,,,0
HCPCS,C1713,546990 : PLATE BNE TIB MED L SZ 1 OPN WDG ACTIVMOTION S FOR HTO,4680.0,4680.0,,,0
HCPCS,C1713,546992 : SCREW BNE 4.5X40MM ST TI ALLY HI TIB DST FEM OSTEOTMY PLT,660.0,660.0,,,0
HCPCS,C1713,546994 : SCREW BNE 4.5X35MM ST TI ALLY HI TIB DST FEM OSTEOTMY PLT,660.0,660.0,,,0
HCPCS,C1713,546997 : SCREW BNE 4.5X55MM ST TI ALLY HI TIB DST FEM OSTEOTMY PLT,660.0,660.0,,,0
HCPCS,C1713,547008 : PLATE CRPL MD WRISTMOTION,1360.8,1360.8,,,0
HCPCS,C1713,547010 : SCREW BNE 4.5X10MM,681.6,681.6,,,0
HCPCS,C1713,547014 : SCREW BNE 4.5X30MM,681.6,681.6,,,0
HCPCS,C1713,547305 : GRAFT BNE SUB DWL L25-29MM DIA16MM CANN DIA2.49MM STD CANC,2346.0,2346.0,,,0
HCPCS,C1713,55 MM SHORT THREAD 6.5 CANN,445.82,445.82,,,0
HCPCS,C1713,56652 : KIT BNE CEM 180GM MIX UNIV W- BWL CART TWR HI VAC ROTOR,173.31,173.31,,,0
HCPCS,C1713,5X 160X 55MM HALF PINS,324.0,324.0,,,0
HCPCS,C1713,5X160X35MM HALF PINS,324.0,324.0,,,0
HCPCS,C1713,5X180 APEX SD HALF PIN 50 THR,206.4,206.4,,,0
HCPCS,C1713,5X200X65MM HALF PINS,324.0,324.0,,,0
HCPCS,C1713,6 HOLE MINI PLATE,282.72,282.72,,,0
HCPCS,C1713,6 X 35 X 150 HA COATED HALF PIN 71070806,409.97,409.97,,,0
HCPCS,C1713,6.0 MM DIAMETER CANCELLOUS SCREW - BLACK FIXED ANGLE 3.5 MM,319.2,319.2,,,0
HCPCS,C1713,6.4MM X 240MM SLIM NAIL,4140.0,4140.0,,,0
HCPCS,C1713,6.5 X 100MM PART THREADED CANN SCREW,445.82,445.82,,,0
HCPCS,C1713,6.5 X 35 RMAS,1476.0,1476.0,,,0
HCPCS,C1713,6.5 X 35MM SCREW PREASSEMBLED CREO 5.5MM,1200.0,1200.0,,,0
HCPCS,C1713,6.5 X 40 RMAS,1476.0,1476.0,,,0
HCPCS,C1713,6.5 X 45 RUS,2040.0,2040.0,,,0
HCPCS,C1713,6.5 X 65MM PARTIALLY THREADED SCREW,445.82,445.82,,,0
HCPCS,C1713,6.5 X 90MM CANNULATED SCREW,445.82,445.82,,,0
HCPCS,C1713,6.5 X 90MM PART THREADED CANN SCREW,445.82,445.82,,,0
HCPCS,C1713,6.5MM LP PT CANC SCR 75MM 2817,55.08,55.08,,,0
HCPCS,C1713,6.5MM REVERE PEDICLE SCREW 50MM,1200.0,1200.0,,,0
HCPCS,C1713,6.5MMX110MM CAN SCR FT SS,461.57,461.57,,,0
HCPCS,C1713,6.5MMX130MM CAN SCR FT SS,445.82,445.82,,,0
HCPCS,C1713,6.5X 40RMAS,1476.0,1476.0,,,0
HCPCS,C1713,6.5X85MM CANNULATED SCREW 7110-6285S,461.57,461.57,,,0
HCPCS,C1713,60 MM SMALL BONE FIXATOR SHAFT,396.0,396.0,,,0
HCPCS,C1713,60MM SMALL BONE FIXATOR SHAFT,396.0,396.0,,,0
HCPCS,C1713,61620 : KIT KYPHOPLASTY BNE CEM FULL DOSE RADPQ W- MIX KYPHON HV-R,329.3,329.3,,,0
HCPCS,C1713,61969 : K WIRE FIX L310MM DIA1.8MM FOR CONDYLE SCR S2 FEM NAIL SYS,184.8,184.8,,,0
HCPCS,C1713,62259 : PIN CERCLAGE 4.5MM SS THRD FOR POS,649.8,649.8,,,0
HCPCS,C1713,62993 : SCREW BNE 2.7X18MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,62994 : SCREW BNE 2.7X22MM CORT T8 STARDRV RECESS FT ST SS,94.18,94.18,,,0
HCPCS,C1713,62995 : SCREW BNE 2.7X20MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,62996 : SCREW BNE 2.7X24MM CORT T8 STARDRV RECESS FT ST SS,94.18,94.18,,,0
HCPCS,C1713,63041 : SCREW BNE 6.5X75MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,495.55,495.55,,,0
HCPCS,C1713,63042 : SCREW BNE 6.5X80MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,63043 : SCREW BNE 6.5X85MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,574.56,574.56,,,0
HCPCS,C1713,63052 : SCREW BNE 6.5X85MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,495.55,495.55,,,0
HCPCS,C1713,63054 : SCREW BNE 6.5X95MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,495.55,495.55,,,0
HCPCS,C1713,63097 : SCREW BNE 3.5X65MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,267.62,267.62,,,0
HCPCS,C1713,63098 : SCREW BNE 3.5X70MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,267.62,267.62,,,0
HCPCS,C1713,63099 : SCREW BNE 3.5X75MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
HCPCS,C1713,63100 : SCREW BNE 3.5X80MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
HCPCS,C1713,63101 : SCREW BNE 3.5X85MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,267.62,267.62,,,0
HCPCS,C1713,64192 : K WIRE 0.028X4IN SMTH DBL TRCR PT ST,2.63,2.63,,,0
HCPCS,C1713,64204 : CEMENT C1A KYPHX HV-R BONE CEMENT US,203.86,203.86,,,0
HCPCS,C1713,64504 : LEVEL ONE CMFSCREW CROSSDRIVE DRILL FREE1.5 X 5 MMTI-6AL-4VQ,180.0,180.0,,,0
HCPCS,C1713,64657 : ASNIS III SS CANNULATED SCR 4X42MM,336.0,336.0,,,0
HCPCS,C1713,66225 : SCREW BNE L30MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,66226 : SCREW BNE L52MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,66227 : SCREW 4.0MM CORTEX SELF TAPPING 70MM 206.470,77.88,77.88,,,0
HCPCS,C1713,66992 : SCREW BNE 10.5X90MM ST LAG ST TI GAM3 LOK NAIL SYS,856.8,856.8,,,0
HCPCS,C1713,67309 : SCREW BNE L56MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,77.88,77.88,,,0
HCPCS,C1713,67311 : SCREW BNE 4X58MM FT CORT HEX HD FT ST SS,77.88,77.88,,,0
HCPCS,C1713,67312 : SCREW BNE 4X60MM FT CORT HEX HD FT ST SS,77.88,77.88,,,0
HCPCS,C1713,67430 : SCREW BNE 2.4X12MM T8 STARDRV RECESS LOK ST SS LCP DST RAD,250.63,250.63,,,0
HCPCS,C1713,67497 : SCREW BNE 2.7X12MM CORT T8 STARDRV RECESS FT ST SS,94.18,94.18,,,0
HCPCS,C1713,67498 : SCREW BNE 2.7X14MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,67525 : ROD SPNL 5.5MM X 300MM TI EXPEDIUM,667.63,667.63,,,0
HCPCS,C1713,67878 : SCREW BNE 2.4X16MM CORT T8 STARDRV RECESS ST SS,129.58,129.58,,,0
HCPCS,C1713,67896 : SCREW BNE 2.4X14MM T8 STARDRV RECESS LOK ST SS LCP DST RAD,250.63,250.63,,,0
HCPCS,C1713,67902 : SCREW BNE 2.4X12MM CORT T8 STARDRV RECESS ST SS,129.58,129.58,,,0
HCPCS,C1713,68035 : SCREW BNE 2.4X32MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
HCPCS,C1713,68299 : SCREW BNE 2.4X14MM CORT T8 STARDRV RECESS ST SS,129.58,129.58,,,0
HCPCS,C1713,69208 : SCREW FIX L190MM DIA6MM SS SPADE PNT MR COND FOR ADJ SM LG,347.4,347.4,,,0
HCPCS,C1713,69732 : TOOL SMOOTHER 9.5MM,702.0,702.0,,,0
HCPCS,C1713,69789 : SCREW BNE 6.5X45MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,495.55,495.55,,,0
HCPCS,C1713,69793 : SCREW BNE 6.5X65MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,912.6,912.6,,,0
HCPCS,C1713,69796 : SCREW BNE 6.5X80MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,495.55,495.55,,,0
HCPCS,C1713,69797 : SCREW BNE 6.5X85MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,912.6,912.6,,,0
HCPCS,C1713,69800 : SCREW BNE 6.5X100MM CANC HEX DRV RECESS CANN FT ST SLF DRL,495.55,495.55,,,0
HCPCS,C1713,6H PLATE RIGHT,1620.0,1620.0,,,0
HCPCS,C1713,7 X 25 X 150 COATED HALF PIN 7107-0802,409.97,409.97,,,0
HCPCS,C1713,7.0 X 150 PELVIC SCREW,411.6,411.6,,,0
HCPCS,C1713,7.0MM CANNULATED SCREW 32MM THD 155MM,411.6,411.6,,,0
HCPCS,C1713,7.0MMX75MM CAN SCR 32MM THRD S,501.98,501.98,,,0
HCPCS,C1713,7.0X16MM THREAD CANNULATED SCREWS 75,411.6,411.6,,,0
HCPCS,C1713,7.0X32MM THREAD CANNULATED SCREW 100,411.6,411.6,,,0
HCPCS,C1713,7.3MM TITANIUM CANNULATED SCREW/32MM THREAD/60MM,997.2,997.2,,,0
HCPCS,C1713,7.5 X 30MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
HCPCS,C1713,71075310 - SMART TSF SHOULDER BOLT,384.0,384.0,,,0
HCPCS,C1713,71184 : PLATE 3.5MM LCP PROXIMAL HUMERUS LONG 6H  160MM 241.919,4570.37,4570.37,,,0
HCPCS,C1713,72049 : PLATE 10HOLE LCP 242.110,6080.4,6080.4,,,0
HCPCS,C1713,72125 : PLATE BNE DST VOLAR RAD L NAR SHT 3 H 21.6MM X 48.9MM,1234.8,1234.8,,,0
HCPCS,C1713,72168 : SCREW BNE 6.5X25MM CANC ST TI TRIL ACET SYS,59.95,59.95,,,0
HCPCS,C1713,72512 : 6 HOLE FRACTURE PLATE,1213.42,1213.42,,,0
HCPCS,C1713,72525 : 2.0X12MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,72704 : 2.7MM ST CRT SCR 26MM 71823026,34.73,34.73,,,0
HCPCS,C1713,72706 : 2.7MM ST CRT SCR 30MM 71823030,34.73,34.73,,,0
HCPCS,C1713,73686 : 3.5MM PF PIN 40MM,198.65,198.65,,,0
HCPCS,C1713,73867 : 4.5MMST CRT LCK SCR 24MM 07024,241.94,241.94,,,0
HCPCS,C1713,73868 : 4.5MMST CRT LCK SCR 26MM 07026,241.94,241.94,,,0
HCPCS,C1713,73870 : 4.5MMST CRT LCK SCR 30MM 07030,241.94,241.94,,,0
HCPCS,C1713,73874 : 4.5MMST CRT LCK SCR 38MM 07038,241.94,241.94,,,0
HCPCS,C1713,73879 : 4.5MMST CRT LCK SCR 48MM 07048,241.94,241.94,,,0
HCPCS,C1713,73893 : 4.5MMST CRT LCK SCR 76MM 07076,241.94,241.94,,,0
HCPCS,C1713,73895 : 4.5MMST CRT LCK SCR 80MM 07080,241.94,241.94,,,0
HCPCS,C1713,74080 : 4.0MM PART THRDED CAN SCR 44MM,355.99,355.99,,,0
HCPCS,C1713,74125 : 4.0MM PART THRDED CAN SCR 65MM,371.74,371.74,,,0
HCPCS,C1713,74126 : 4.0MM PART THRDED CAN SCR 70MM,371.74,371.74,,,0
HCPCS,C1713,74181 : 5.5MMX120MM CAN SCR 32MM TRD S,605.28,605.28,,,0
HCPCS,C1713,74253 : 5.5MMX65MM CAN SCR 32MM THRD T,630.24,630.24,,,0
HCPCS,C1713,74255 : 5.5MMX75MM CAN SCR 32MM THRD T,630.24,630.24,,,0
HCPCS,C1713,75 MM ACUTRACT 7.5 SCREW,1744.8,1744.8,,,0
HCPCS,C1713,75087 : 4.5MMLP TIB LK PL13H L 255MM 0,2389.8,2389.8,,,0
HCPCS,C1713,75186 : K WIRE 2MM X 150MM TRCR PT FOR PERI-LOC,43.34,43.34,,,0
HCPCS,C1713,75943 : 2.0X14MM CROSS-PIN SELF TAPPING SCREW,138.02,138.02,,,0
HCPCS,C1713,79798 : PLATE BNE L145MM 8 H NONSTERILE R PROX MED TIB LOK COMPR LP,3326.98,3326.98,,,0
HCPCS,C1713,8.0MMX110MM CAN SCR 46MM PT SS,445.82,445.82,,,0
HCPCS,C1713,8.5 X 35MM UNIPLANAR SCREW PREASSEMBLED CREO 5.5,1560.0,1560.0,,,0
HCPCS,C1713,8.5 X 55MM CANNULATED SCREW MODULAR CREO AMP,840.0,840.0,,,0
HCPCS,C1713,80 FULL THREAD,743.4,743.4,,,0
HCPCS,C1713,80327 : 202 MINI DEVICE WADJ NUT,3181.08,3181.08,,,0
HCPCS,C1713,80339 : 2X45 APEX SD HALF PIN 12 THR,127.2,127.2,,,0
HCPCS,C1713,80340 : 2X45 APEX SD HALF PIN 20 THR,141.6,141.6,,,0
HCPCS,C1713,80841 : WASHER ORTH DIA7MM TI FOR ASNS III 4MM CANN SCR SYS,61.2,61.2,,,0
HCPCS,C1713,80957 : SCREW BNE 6.5X80MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,604.8,604.8,,,0
HCPCS,C1713,80960 : SCREW BNE 6.5X85MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,604.8,604.8,,,0
HCPCS,C1713,80963 : SCREW BNE 6.5X90MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,604.8,604.8,,,0
HCPCS,C1713,80966 : SCREW BNE 6.5X95MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,604.8,604.8,,,0
HCPCS,C1713,80MM LOCKING,1855.2,1855.2,,,0
HCPCS,C1713,814411360 - 8144-11-360,3687.6,3687.6,,,0
HCPCS,C1713,814650034,504.0,504.0,,,0
HCPCS,C1713,814650040,576.0,576.0,,,0
HCPCS,C1713,814650046,504.0,504.0,,,0
HCPCS,C1713,815409340,4368.0,4368.0,,,0
HCPCS,C1713,815409350,4992.0,4992.0,,,0
HCPCS,C1713,815410320,4368.0,4368.0,,,0
HCPCS,C1713,81631 : HII MICRO MULTI-PIN CLAMP,1551.6,1551.6,,,0
HCPCS,C1713,81724 : K WIRE 1.6X150MM SGL END SMTH SHRP TRCR TIP SS,14.4,14.4,,,0
HCPCS,C1713,81772 : APEX HALF PIN 3X80 20 CONT THR,122.4,122.4,,,0
HCPCS,C1713,82828 : T2 CONDYLE SCREW 5MMX55MM,321.6,321.6,,,0
HCPCS,C1713,82831 : SCREW BNE 5X70MM ST CONDYLE PRTLY THRD TI T2 NAIL SYS,513.6,513.6,,,0
HCPCS,C1713,82832 : T2 CONDYLE SCREW 5MMX75MM,513.6,513.6,,,0
HCPCS,C1713,82833 : T2 CONDYLE SCREW 5MMX80MM,321.6,321.6,,,0
HCPCS,C1713,83076 : T2 HUMERAL ROUND WASHER,447.6,447.6,,,0
HCPCS,C1713,83081 : T2 LONG PROXIMAL HUMERAL NAIL LEFT 260MM,2892.0,2892.0,,,0
HCPCS,C1713,83089 : NUT ORTH L17MM DIA5MM TI FOR CNDYL SCR T2-GAM3 NAIL SYS,513.6,513.6,,,0
HCPCS,C1713,83199 : SCREW BNE 6.5X100MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,600.0,600.0,,,0
HCPCS,C1713,83212 : SCREW BNE 6.5X95MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,600.0,600.0,,,0
HCPCS,C1713,83293 : ENDCAP ORTH FOR T2 SUPCNDYL NAIL SYS,481.2,481.2,,,0
HCPCS,C1713,83319 : SCREW BNE 5X40MM ST SHFT PRTLY THRD LOK TI T2 NAIL SYS,321.6,321.6,,,0
HCPCS,C1713,83320 : SCREW BNE 5X45MM ST SHFT PRTLY THRD LOK TI T2 NAIL SYS,513.6,513.6,,,0
HCPCS,C1713,83321 : SCREW BNE 5X50MM ST SHFT PRTLY THRD LOK TI T2 NAIL SYS,513.6,513.6,,,0
HCPCS,C1713,83993 : K WIRE FIX 1.6MM SS FOR DVR ANAT VOLAR PLATING SYS,67.2,67.2,,,0
HCPCS,C1713,856 : IMPLANT FNGR JT SZ 2 IM STEM FLX SWNSN,2643.46,2643.46,,,0
HCPCS,C1713,86345 : SET SCR SPNL TI SGL INNR FOR DIA5.5MM ROD VIPER,259.2,259.2,,,0
HCPCS,C1713,87031 : SCREW BNE MINI 3.5X3.6X18MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
HCPCS,C1713,87032 : SCREW BNE MINI 3.5X3.6X20MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
HCPCS,C1713,87033 : SCREW BNE MINI 3.5X3.6X22MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
HCPCS,C1713,87037 : SCREW BNE MINI 3.5X3.6X30MM COMPR HDLSS THRD ST ACUTRK 2,1569.6,1569.6,,,0
HCPCS,C1713,87710 : PLATE SPNL HNG CNTRPC,636.0,636.0,,,0
HCPCS,C1713,87890 : K WIRE 1.6X150MM DBL END TRCR PT SS,24.42,24.42,,,0
HCPCS,C1713,87939 : T2 ANKLE ARTHRODESIS NAIL LEFT 12MM X 200MM,8023.68,8023.68,,,0
HCPCS,C1713,88343 : ANCHOR SUT L16MM DIA5.5MM TI CRKSCR FT W- TWO SZ 2 FBRWR,599.04,599.04,,,0
HCPCS,C1713,8X30MM INTERFERENCE SCREW,767.52,767.52,,,0
HCPCS,C1713,9.0MM MICRO ACUTRAK 2 BONE SCREW,1569.6,1569.6,,,0
HCPCS,C1713,9.5 X 30MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,9.5 X 45MM SCREW MODULAR CREO AMP,660.0,660.0,,,0
HCPCS,C1713,9.5 X 45MM SCREW PREASSEMBLED CREO THREADED,1200.0,1200.0,,,0
HCPCS,C1713,9.5MM X 90MM SCREW,7440.0,7440.0,,,0
HCPCS,C1713,90DEG  CANNULATED CHILD BLADE PLATE 45MM X 6MM X 3 HOLE,2407.1,2407.1,,,0
HCPCS,C1713,95MM LAG SCREW,1249.2,1249.2,,,0
HCPCS,C1713,9MM X 340MM ADOL LEFT NAIL,8154.91,8154.91,,,0
HCPCS,C1713,A 7X 20MM BC IF SCRW VENTED,767.52,767.52,,,0
HCPCS,C1713,A 7X 30MM BC IF SCRW VENTED,767.52,767.52,,,0
HCPCS,C1713,ABBOTT CINCH ANCHOR,192.0,192.0,,,0
HCPCS,C1713,ACU-LOC 2 VDR PLT NARROW L,4538.4,4538.4,,,0
HCPCS,C1713,ACUMED OS-PER-1001,5877.6,5877.6,,,0
HCPCS,C1713,ADOLESCENT NAIL RIGHT 11MM X 400MM,8154.91,8154.91,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X100MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X32.5MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X37.5MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X40MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X42.5MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X45MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X47.5MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X50MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X52.5MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X55MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X57.5MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X65MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X70MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X75MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X80MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X85MM,981.53,981.53,,,0
HCPCS,C1713,ADVANCED LOCKING SCREW 5X90MM,981.53,981.53,,,0
HCPCS,C1713,AFFIXUS 5 MM LENGTH 60 MM CORTICAL BONE SCREW,504.0,504.0,,,0
HCPCS,C1713,AFFIXUS CORTICAL BONE SCREW 34MM,504.0,504.0,,,0
HCPCS,C1713,ALTERA SPACER 10 X 26 8-12MM 8DEG,10080.0,10080.0,,,0
HCPCS,C1713,ANATOMIC LAT FIB PLATE 10H LT,2220.38,2220.38,,,0
HCPCS,C1713,ANATOMIC LAT FIB PLATE 12H LT,2240.3,2240.3,,,0
HCPCS,C1713,ANATOMIC LAT FIB PLATE 4H LT,1891.8,1891.8,,,0
HCPCS,C1713,ANATOMIC LAT FIB PLATE 6H LT,2090.93,2090.93,,,0
HCPCS,C1713,ANATOMIC LAT FIB PLATE 8H LT,2190.5,2190.5,,,0
HCPCS,C1713,ANCHOR,384.0,384.0,,,0
HCPCS,C1713,ANCHOR BOLT,379.22,379.22,,,0
HCPCS,C1713,ANCHOR BOLT 20MM,340.8,340.8,,,0
HCPCS,C1713,ANCHOR BOLTS LENGTH 15MM,351.6,351.6,,,0
HCPCS,C1713,ANCHOR BOLTS LENGTH 30MM,351.6,351.6,,,0
HCPCS,C1713,ANCHOR FOOTPRINT 4.5 ULTRA PK,766.8,766.8,,,0
HCPCS,C1713,ANCHOR LUM 25MM MIS,384.0,384.0,,,0
HCPCS,C1713,ANCHOR SFT TISS L18MM DIA1.3MM PLLA CHONDRAL DART BIOABSRB,315.12,315.12,,,0
HCPCS,C1713,ANCHOR SPNL 12MM FOR INLINE INTEGR FIX TI COALITION MIS ACDF,180.0,180.0,,,0
HCPCS,C1713,ANCHOR SUT 1.8 FIBERTAK GEN2 SFT KNTLSS SZ 2 SUT SLF,1145.04,1145.04,,,0
HCPCS,C1713,ANCHOR SUT 1.8 FIBERTAK KNTLSS MACH TAPR SUT SLF BUNCHING,1235.52,1235.52,,,0
HCPCS,C1713,ANCHOR SUT 14X4.5MM TI W/ TWO NO2 FBRWR CRKSCR FT II,599.04,599.04,,,0
HCPCS,C1713,ANCHOR SUT 2.6 FIBERTAK KNTLSS SLF PUNCHING 1.7MM BLK BLU,1379.04,1379.04,,,0
HCPCS,C1713,ANCHOR SUT 3.5X19.5MM PEEK PSHLCK,936.0,936.0,,,0
HCPCS,C1713,ANCHOR SUT 4.5X11MM KNTLSS DEPLOYED POPLOK,1243.66,1243.66,,,0
HCPCS,C1713,ANCHOR SUT 5MM W/ 2 NO 2 SUT AND W/O NDL SUP REVO FT,996.26,996.26,,,0
HCPCS,C1713,ANCHOR SUT ANT CRUCE LIG W/ FIBERTAG TGHTRP ABS,872.04,872.04,,,0
HCPCS,C1713,ANCHOR SUT ARGO KNTLSS 4.75MM W/ 1 1MM HI-FI RBBN,1901.16,1901.16,,,0
HCPCS,C1713,ANCHOR SUT DIA4.5MM TWO ULTRABRAID FOR RC SFT TISS FIX,734.4,734.4,,,0
HCPCS,C1713,ANCHOR SUT ETHBND SZ 2 L36IN GRN POLY BRD CP-2 DA NDL,1744.8,1744.8,,,0
HCPCS,C1713,ANCHOR SUT FIBERSTITCH TWO POLY IMPL AND 2-0 FBRWR SUT 1.5MM,1430.52,1430.52,,,0
HCPCS,C1713,ANCHOR SUT HIP KNTLSS FIX SPEEDLOCK,972.0,972.0,,,0
HCPCS,C1713,ANCHOR SUT L12.5MM DIA2.9MM SHT HIP BIOCOMPOSITE PSHLCK,1092.0,1092.0,,,0
HCPCS,C1713,ANCHOR SUT L12.5MM DIA2.9MM SHT PEEK PSHLCK,936.0,936.0,,,0
HCPCS,C1713,ANCHOR SUT L12MM DIA2.4MM BIOCOMPOSITE W/ 2-0 FBRWR,833.04,833.04,,,0
HCPCS,C1713,ANCHOR SUT L16MM DIA5.5MM TI CRKSCR FT W/ TWO SZ 2 FBRWR,599.04,599.04,,,0
HCPCS,C1713,ANCHOR SUT L19.1MM DIA4.75MM BIOCOMPOSITE SWIVELOCK,1040.52,1040.52,,,0
HCPCS,C1713,ANCHOR SUT L19.1MM DIA4.75MM PEEK TWST IN KNTLSS W/ FOR RCR,975.0,975.0,,,0
HCPCS,C1713,ANCHOR SUT L19.1MM DIA6.25MM SHLDR BIOCOMPOSITE SWIVELOCK,1067.04,1067.04,,,0
HCPCS,C1713,ANCHOR SUT L24MM DIA4.5MM PEEK PSHLCK,936.0,936.0,,,0
HCPCS,C1713,ANCHOR SUT QANCHR ORTHOCORD MINI SZ 2-0 BRD COMP SUT W/ V5,1987.2,1987.2,,,0
HCPCS,C1713,ANCHOR SUT SZ 3-0 BRD ORTHOCORD V-4 NDL 1.3X5MM DRLBT MIC,1056.0,1056.0,,,0
HCPCS,C1713,ANCHOR SUT W/ 2 SZ 0 ULTRABRAID SUT AND NDL,604.8,604.8,,,0
HCPCS,C1713,ANCHOR SUT W/ ETHBND SZ 0 L36IN GRN POLY BRD OS-2 DA NDL,1200.0,1200.0,,,0
HCPCS,C1713,ANCHOR SUT W/ ETHBND SZ 2-0 L18IN GRN POLY BRD V5 DA NDL,1056.0,1056.0,,,0
HCPCS,C1713,ANCHOR SUT W/ SLT GUID 1.9MM DRL FIBERTAK,1625.52,1625.52,,,0
HCPCS,C1713,ANCHOR SUTURE FIBERTAG TIGHTROPE II,1547.52,1547.52,,,0
HCPCS,C1713,ANCHOR SUTURE FIBERTAG TIGHTROPE II ABS,1053.0,1053.0,,,0
HCPCS,C1713,ANCHOR SUTURE TIGHTROPE II BTB ADDITIONAL FLIPPING SUTURE,1418.04,1418.04,,,0
HCPCS,C1713,ANKLE ARTHRODESIS NAIL RIGHT 10X300MM,4440.24,4440.24,,,0
HCPCS,C1713,ANKLE DISTRACTION STRAP ADJUSTABLE TO ALL SIZES,159.12,159.12,,,0
HCPCS,C1713,"ANTEGRADE FEMURNAIL 8.5X245MM,GT,TI",63463.2,63463.2,,,0
HCPCS,C1713,ANTERIOR TIB PLATE 8H WIDE,3833.4,3833.4,,,0
HCPCS,C1713,ANTLATERAL TIB PLT 10H RT NRW,4580.16,4580.16,,,0
HCPCS,C1713,ANTLATERAL TIB PLT 10H RT WIDE,4629.94,4629.94,,,0
HCPCS,C1713,ANTLATERAL TIB PLT 6H LT WIDE,4480.58,4480.58,,,0
HCPCS,C1713,ANTLATERAL TIB PLT 6H RT NRW,4430.81,4430.81,,,0
HCPCS,C1713,"AS-17 - ORTHEX, BOLT, SHOULDER MS STRUT",140.23,140.23,,,0
HCPCS,C1713,ATRICURE ATRICLIP FLEX V 50,2880.0,2880.0,,,0
HCPCS,C1713,ATTRAX PUTTY,285.0,285.0,,,0
HCPCS,C1713,ATTRAX PUTTY 10CC US,2280.0,2280.0,,,0
HCPCS,C1713,ATTRAX PUTTY 1CC,285.0,285.0,,,0
HCPCS,C1713,ATTRAX PUTTY 5CC US,1425.0,1425.0,,,0
HCPCS,C1713,ATTRAX PUTTY 6CC US,1596.0,1596.0,,,0
HCPCS,C1713,BASEPLATE 6.5MM WEDGE,4416.0,4416.0,,,0
HCPCS,C1713,BASEPLATE GLEN 30MM ALTIVATE,2856.0,2856.0,,,0
HCPCS,C1713,BASEPLATE GLEN DIA25MM +3MM TI POR LAT AUGMENTED PERFORM,4860.0,4860.0,,,0
HCPCS,C1713,BICEPSBUTTON,767.52,767.52,,,0
HCPCS,C1713,BIOCOMPOSITE,3480.0,3480.0,,,0
HCPCS,C1713,BIT DRL 2.7MM CANN ADD ON CPL FOR 4MM SCR ASNS III,619.1,619.1,,,0
HCPCS,C1713,BIT DRL 4MM FOR TALAR PEG INBONE II,199.2,199.2,,,0
HCPCS,C1713,BOLT EXTR FOR 2.7MM SCR,408.6,408.6,,,0
HCPCS,C1713,BONE ANCHORS,720.0,720.0,,,0
HCPCS,C1713,"BONE GRAFT SUBSTITUTE, PUTTY, 8X20MM",285.0,285.0,,,0
HCPCS,C1713,BOWED IM STEM WITH SCREW,3909.6,3909.6,,,0
HCPCS,C1713,BROAD PLATE 3.5T 12 HOLE,2728.8,2728.8,,,0
HCPCS,C1713,BURRHOLE DEFLECTOR,309.22,309.22,,,0
HCPCS,C1713,BUTTON CABLE 2.5MM TITANIUM HEX DRIVE FOR NCB POLYAXIAL LOCK,326.4,326.4,,,0
HCPCS,C1713,BUTTON FIX L20MM RND CONCAVE W/ 9MM CLLR TGHTRP ABS,583.44,583.44,,,0
HCPCS,C1713,C01A - BONE CEMENT C01A HV-R US,203.86,203.86,,,0
HCPCS,C1713,CABLE SUR L635MM DIA1.8MM COCR ASSEMB W/ CERCLAGE CRMP CBL,710.4,710.4,,,0
HCPCS,C1713,CANNULA ENDOSCP L2CM DIA10MM PASSPRT BTTN,83.47,83.47,,,0
HCPCS,C1713,CANNULATED PROXIMAL SCREW 5 MM X 48 MM,616.8,616.8,,,0
HCPCS,C1713,CANNULATED SCREW 6.5MM X 125MM X 32MM THREAD,403.2,403.2,,,0
HCPCS,C1713,CAP 2.5MM FLEX NAIL END,382.08,382.08,,,0
HCPCS,C1713,CAP SCR DIA8MM HEX DIA3.5MM TI LOK NCB,243.6,243.6,,,0
HCPCS,C1713,CAP SPNL 5.5MM LOK THRD CREO,108.0,108.0,,,0
HCPCS,C1713,CAP SPNL COCR FLAT 1 STP LOK FOR DIA5.5MM ROD MTRX,263.47,263.47,,,0
HCPCS,C1713,CAP SPNL THRD LOK FOR HD TO HD T CONN QUARTEX,108.0,108.0,,,0
HCPCS,C1713,CARDANIC EXTENSION,2640.0,2640.0,,,0
HCPCS,C1713,CARTRIDGE KYPHOPLASTY C8CC FOR CEM DEL SYS KYPHO,156.82,156.82,,,0
HCPCS,C1713,CEMENT BNE 10CC CA PHSPTE HA INJ FAST SET ISOTHERMIC RADPQ,8458.66,8458.66,,,0
HCPCS,C1713,CEMENT BNE 20GM RADPQ FOR KYPHOPLASTY ST CONCORD HP,324.0,324.0,,,0
HCPCS,C1713,CEMENT BNE 20ML 40GM FULL DOSE PMMA W/O ANTIBIO M VISC RADPQ,134.4,134.4,,,0
HCPCS,C1713,CEMENT BNE 3ML INJ HYDROSET DIRECTINJECT,3121.49,3121.49,,,0
HCPCS,C1713,CEMENT BNE 5CC CA PHSPTE HA INJ FAST SET ISOTHERMIC RADPQ,4484.93,4484.93,,,0
HCPCS,C1713,CEMENT BNE FULL DOSE RADPQ SIMPLEX P,135.12,135.12,,,0
HCPCS,C1713,CEMENT C1A KYPHX HV-R BONE CEMENT US,203.86,203.86,,,0
HCPCS,C1713,CEMENT MIXING KIT,1680.0,1680.0,,,0
HCPCS,C1713,COALITION MIS SPACER 12 X 14 12 6MM,4260.0,4260.0,,,0
HCPCS,C1713,COALITION MIS SPACER TI 12 X 14 12 8MM,4320.0,4320.0,,,0
HCPCS,C1713,COCR STABILIZATION TULIP,660.0,660.0,,,0
HCPCS,C1713,COHERE XLIF AMS PLATE 8MM DUAL- SIDED,7680.0,7680.0,,,0
HCPCS,C1713,COIL CERCLAGE WIRE 1.25MM,252.0,252.0,,,0
HCPCS,C1713,COMPRESSION SCREW FEMUR D8,501.6,501.6,,,0
HCPCS,C1713,CONNECTOR SPNL 27-33MM T HD TO HD QUARTEX,960.0,960.0,,,0
HCPCS,C1713,CONNECTOR SPNL 5.5-6MM HD TO 5.5-6MM IN LN DBL CREO,2160.0,2160.0,,,0
HCPCS,C1713,CONNECTOR SPNL DIA6.35MM TI OPN CLS AX CDH LEG,960.0,960.0,,,0
HCPCS,C1713,CONNECTOR SPNL L20MM SACR PELV TI OPN POLYAX LAT FOR 5.5MM,1860.0,1860.0,,,0
HCPCS,C1713,COROENT XLF SCREW 5.5X25MM VARIABLE,1560.0,1560.0,,,0
HCPCS,C1713,CORTEX BONE SCREW 2.0MM HD6  2.0 X 06 MM,248.28,248.28,,,0
HCPCS,C1713,CORTEX SCR 2.7MM / T8 / L12MM,136.8,136.8,,,0
HCPCS,C1713,CORTEX SCR 2.7MM / T8 / L14MM,218.4,218.4,,,0
HCPCS,C1713,CORTEX SCR 2.7MM / T8 / L16MM,218.4,218.4,,,0
HCPCS,C1713,CORTEX SCR 2.7MM / T8 / L22MM,175.2,175.2,,,0
HCPCS,C1713,CORTEX SCR 2.7MM / T8 / L55MM,194.4,194.4,,,0
HCPCS,C1713,CORTICAL BONE SCREW  5.0MM X 54MM  5.0MM X 54MM  AFFIXUS,310.8,310.8,,,0
HCPCS,C1713,CORTICAL BONE SCREW SELF-TAPPING HEX HEAD 3.5 MM DIAMETER,84.0,84.0,,,0
HCPCS,C1713,CORTICAL LOCK SCREW  2.7MM X 14MM  2.7MM X 14MM,184.8,184.8,,,0
HCPCS,C1713,CORTICAL SCREW,1.58,1.58,,,0
HCPCS,C1713,CORTICAL SCREW  3.5MM X 14MM  3.5MM X 14MM,145.92,145.92,,,0
HCPCS,C1713,CORTICAL SCREW  3.5MM X 18MM  3.5MM X 18MM,151.2,151.2,,,0
HCPCS,C1713,CORTICAL SCREW 24MM,264.0,264.0,,,0
HCPCS,C1713,CORTICAL SCREW03.5 X 16MM,84.0,84.0,,,0
HCPCS,C1713,COUPLER ANAS 1MM VES 0.8-1.2MM POLYETH SS PIN DISP GEM,838.01,838.01,,,0
HCPCS,C1713,CREO 5.5 5.0 X 30MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,CREO AMP 10.5 X 50MM MODULAR CANNULATED SCREW,840.0,840.0,,,0
HCPCS,C1713,CREO AMP 4.0 X 30MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
HCPCS,C1713,CREO AMP 4.75 THREADED TULIP COCR,780.0,780.0,,,0
HCPCS,C1713,CREO AMP 6.5 X 30MM HA COATED MODULAR SCREW,1620.0,1620.0,,,0
HCPCS,C1713,CREO FENESTRATED 4.5 X 35MM POLYAXIAL SCREW THREADED,2160.0,2160.0,,,0
HCPCS,C1713,CREO THREADED 5.0 X 30MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,CREO THREADED 5.5 X 60MM POLYAXIAL SCREW COCR HEAD TI SHANK,1200.0,1200.0,,,0
HCPCS,C1713,CREO THREADED 6.5 X 35MM CANNULATED SCREW,1800.0,1800.0,,,0
HCPCS,C1713,CROSS LINKED POLY INSERT,4668.0,4668.0,,,0
HCPCS,C1713,CROSSCONNECTOR SPNL 40-49MM NS OCT ROD TO ROD SYM,2423.93,2423.93,,,0
HCPCS,C1713,CROSSLINK 5.5MM ROD M 40-72MM,1176.0,1176.0,,,0
HCPCS,C1713,CT4.5L35D-ST,660.0,660.0,,,0
HCPCS,C1713,CUBOID W TI PLATE STANDARD,6190.2,6190.2,,,0
HCPCS,C1713,DENALI LUMBAR RODS CONTOURED 05.5X45 MM TI,410.83,410.83,,,0
HCPCS,C1713,DENALI RODS STRAIGHT DEFORMITY 05.5X500 MM DUAL HEX COCR,698.64,698.64,,,0
HCPCS,C1713,DEPUY  02.112.620 CLAVICLE PLATE SYSTEM,2808.0,2808.0,,,0
HCPCS,C1713,DEPUY  N335277,1860.0,1860.0,,,0
HCPCS,C1713,DEVICE BNE FILL SZ 3 1ML 10GA RADPQ FOR INTVENT THER DEL SYS,194.76,194.76,,,0
HCPCS,C1713,DHS/DCS ONE-STEP LAG SCR 12.7 THRD/85,1249.2,1249.2,,,0
HCPCS,C1713,DHSDCS LAG SCREW 12.7MM THREAD85MM,1249.2,1249.2,,,0
HCPCS,C1713,DISTAL CLAVICLE PLATE SHORT LEFT SS,2210.52,2210.52,,,0
HCPCS,C1713,DISTAL LATERAL FIBULA LOCKING PLATE 8H 132MM RT,1749.6,1749.6,,,0
HCPCS,C1713,DISTRACTION INTERNAL STERILEDIST MANDIBLE HYPERDRIVE MICRO R,21804.0,21804.0,,,0
HCPCS,C1713,DISTRACTION INTERNALDIST MANDIBLE HYPERDRIVE MICRO RTCH 1.0-,21422.4,21422.4,,,0
HCPCS,C1713,DISTRACTION INTERNALSCREW MAXDRIVEHEX ZURICH DRILL FREE 2.0,506.4,506.4,,,0
HCPCS,C1713,DISTRACTOR PIN 14MM,120.0,120.0,,,0
HCPCS,C1713,DOMINO CONNECTOR TOP/TOP 5.5MM/6.0MM X 5.5MM/6.0MM,2006.4,2006.4,,,0
HCPCS,C1713,DORSAL SPANNING PLATE LONG 210 MM TI,2908.8,2908.8,,,0
HCPCS,C1713,DRILL BIT-MINI QUICK COUPLING 1.8MM X 80MM 317.861,279.0,279.0,,,0
HCPCS,C1713,DRIVER SUR CANN SHFT FEN CREO,480.0,480.0,,,0
HCPCS,C1713,DUAL DIAMETER ROD 03.5 TO 4.0 X 420MM,1260.0,1260.0,,,0
HCPCS,C1713,DUAL MOBILITY VIVACIT-E VITAMIN E HIGHLY ROSSLINKED POLYETHYLENE BEARING 28MM I.D 38MM O.D. SIZE C,2109.6,2109.6,,,0
HCPCS,C1713,DVR CROSSLOCK WRIST SPANNING PLATE 180MM,3696.0,3696.0,,,0
HCPCS,C1713,DVR VOLAR RIM PLATE RIGHT,1663.2,1663.2,,,0
HCPCS,C1713,DWJ013,3060.0,3060.0,,,0
HCPCS,C1713,DWP4366,3360.0,3360.0,,,0
HCPCS,C1713,EBO101 - CEMENT RESTRICTOR,448.8,448.8,,,0
HCPCS,C1713,END CAP,382.08,382.08,,,0
HCPCS,C1713,ENDCAP ORTH FOR T2 SUPCNDYL NAIL SYS,716.88,716.88,,,0
HCPCS,C1713,ENDPLATE SPNL  12MM X 14MM X 12MM 0 DEG UP FORTIFY,840.0,840.0,,,0
HCPCS,C1713,ENDPLATE SPNL  15MM X 18MM X 12MM 0 DEG UP FORTIFY,840.0,840.0,,,0
HCPCS,C1713,ENDPLATE SPNL DISK L12MM 14X16MM  3.5DEG VERT BODY REPL LORD,840.0,840.0,,,0
HCPCS,C1713,EVEREST SCREWS POLYAXIAL 06.5X45 MM,2029.51,2029.51,,,0
HCPCS,C1713,EVOS 2.0MM STRAIGHT TINE PLATE 5 HOLE,1554.0,1554.0,,,0
HCPCS,C1713,EVOS 2.0MM T-PLATE 3 HOLE HD 9 HOLE SFT,1260.0,1260.0,,,0
HCPCS,C1713,EVOS 2.0MM X 14MM CTX SCR T6 S-T,75.6,75.6,,,0
HCPCS,C1713,EVOS 2.0MM X 14MM LCK SCR T6 S-T,252.0,252.0,,,0
HCPCS,C1713,EVOS 2.0MM X 20MM CTX SCR T6 S-T,75.6,75.6,,,0
HCPCS,C1713,EVOS 2.0MM X 20MM LCK SCR T6 S-T,252.0,252.0,,,0
HCPCS,C1713,EVOS 2.0MM X 22MM CTX SCR T6 S-T,75.6,75.6,,,0
HCPCS,C1713,EVOS 2.0MM X 7MM LCK SCR T6 S-T,252.0,252.0,,,0
HCPCS,C1713,EVOS 2.4MM T-PLATE 3 HOLE HD 9 HOLE SFT,1596.0,1596.0,,,0
HCPCS,C1713,EVOS 2.4MM TRAPEZOID PLATE,2058.0,2058.0,,,0
HCPCS,C1713,EVOS 2.4MM X 10MM LCK SCR T7 S-T,256.2,256.2,,,0
HCPCS,C1713,EVOS 2.4MM X 20MM CTX SCR T7 S-T,79.8,79.8,,,0
HCPCS,C1713,EVOS 2.4MM X 24MM LCK SCR T7 S-T,256.2,256.2,,,0
HCPCS,C1713,EVOS 2.4MM X 46MM CTX SCR T7 S-T,79.8,79.8,,,0
HCPCS,C1713,EVOS 2.4MM X 50MM LCK SCR T7 S-T,256.2,256.2,,,0
HCPCS,C1713,EVOS 2.7/3.5 AL-D TIBIA PL 20H L 252MM,4720.32,4720.32,,,0
HCPCS,C1713,EVOS 2.7/3.5 OLCRNN PL W/TNS 4H L 82MM,2505.6,2505.6,,,0
HCPCS,C1713,EVOS 2.7/3.5MM EA-D HUM PL 20H L 239MM,2952.0,2952.0,,,0
HCPCS,C1713,EVOS 2.7/3.5MM L-D HUM PL 11H R 134MM,2611.2,2611.2,,,0
HCPCS,C1713,EVOS 2.7/3.5MM L-D HUM PL 7H R 90MM,2342.4,2342.4,,,0
HCPCS,C1713,EVOS 2.7/3.5MM L-D HUM PL 9H R 112MM,2534.4,2534.4,,,0
HCPCS,C1713,EVOS 2.7/3.5MM LATERAL DISTAL FIBULA PLATE 5H R 81MM,1552.32,1552.32,,,0
HCPCS,C1713,EVOS 2.7/3.5MM LATERAL DISTAL FIBULA PLATE 7H L 103MM,1668.48,1668.48,,,0
HCPCS,C1713,EVOS 2.7/3.5MM LATERAL DISTAL FIBULA PLATE 9H L 125MM,1742.4,1742.4,,,0
HCPCS,C1713,EVOS 2.7/3.5MM M-D HUMERUS PL 3H R 80MM,2073.6,2073.6,,,0
HCPCS,C1713,EVOS 2.7/3.5MM M-D HUMERUS PL 7H L 124MM,2481.6,2481.6,,,0
HCPCS,C1713,EVOS 2.7/3.5MM M-D HUMERUS PL 9H R 146MM,2611.2,2611.2,,,0
HCPCS,C1713,EVOS 2.7/3.5MM OLECRANON PL 3H L 61MM,2299.2,2299.2,,,0
HCPCS,C1713,EVOS 2.7/3.5MM OLECRANON PL 8H R 114MM,2697.6,2697.6,,,0
HCPCS,C1713,EVOS 2.7/3.5MM PL-D HUM PL 10H L 129MM,2534.4,2534.4,,,0
HCPCS,C1713,EVOS 2.7/3.5MM PL-D HUM PL 8H R 107MM,2342.4,2342.4,,,0
HCPCS,C1713,EVOS 2.7/3.5MM PL-D HUMERUS PL 6H L 85MM,2131.2,2131.2,,,0
HCPCS,C1713,EVOS 2.7MM COMPRESSION PLATE 10H 84MM,749.76,749.76,,,0
HCPCS,C1713,EVOS 2.7MM COMPRESSION PLATE 6H 50MM,443.52,443.52,,,0
HCPCS,C1713,EVOS 2.7MM FLEX PLATE 8 HOLE,1806.0,1806.0,,,0
HCPCS,C1713,EVOS 2.7MM L-D FIBULA PL 11H L 103MM,1457.28,1457.28,,,0
HCPCS,C1713,EVOS 2.7MM RECON PLATE 10H 81MM,918.72,918.72,,,0
HCPCS,C1713,EVOS 2.7MM STRAIGHT TINE PLATE 7 HL,1890.0,1890.0,,,0
HCPCS,C1713,EVOS 2.7MM STRENGTH PLATE 20 HL,1806.0,1806.0,,,0
HCPCS,C1713,EVOS 2.7MM SUP MS CLAV PL 14H L 93MM,1219.2,1219.2,,,0
HCPCS,C1713,EVOS 2.7MM TRIANGLE PLATE 8 HL SFT,1974.0,1974.0,,,0
HCPCS,C1713,EVOS 2.7MM X 11MM LCK SCR T8 S-T,260.4,260.4,,,0
HCPCS,C1713,EVOS 2.7MM X 65MM LCK SCR T8 S-T,294.0,294.0,,,0
HCPCS,C1713,EVOS 2.7MM X 6MM LCK SCR T8 S-T,260.4,260.4,,,0
HCPCS,C1713,EVOS 2.7MM X 70MM LCK SCR T8 S-T,294.0,294.0,,,0
HCPCS,C1713,EVOS 2.7MM X 75MM CTX SCR T8 S-T,113.4,113.4,,,0
HCPCS,C1713,EVOS 2.7MM X 7MM LCK SCR T8 S-T,260.4,260.4,,,0
HCPCS,C1713,EVOS 2.7MM X 80MM LCK SCR T8 S-T,294.0,294.0,,,0
HCPCS,C1713,EVOS 2.7MM X 8MM CTX SCR T8 S-T,84.0,84.0,,,0
HCPCS,C1713,EVOS 2.7MM Y-PLATE 5 HL HD 5 HL SFT,1974.0,1974.0,,,0
HCPCS,C1713,EVOS 2.7MM/3.5MM ANTEROLATERAL DISTAL TIBIA PLATE 11H L 153M,4181.76,4181.76,,,0
HCPCS,C1713,EVOS 2.7MM/3.5MM ANTEROLATERAL DISTAL TIBIA PLATE 14H L 186M,4218.72,4218.72,,,0
HCPCS,C1713,EVOS 2.7MM/3.5MM ANTEROLATERAL DISTAL TIBIA PLATE 8H L 120MM,4128.96,4128.96,,,0
HCPCS,C1713,EVOS 2.7MM/3.5MM MEDIAL DISTAL TIBIA PLATE 12H L 162MM,4181.76,4181.76,,,0
HCPCS,C1713,EVOS 2.7MM/3.5MM MEDIAL DISTAL TIBIA PLATE 15H R 195MM,4239.84,4239.84,,,0
HCPCS,C1713,EVOS 2.7MM/3.5MM MEDIAL DISTAL TIBIA PLATE 9H L 130MM,4092.0,4092.0,,,0
HCPCS,C1713,EVOS 2.7MM/3.5MM PARTIAL ARTICULAR ANTEROLATERAL DISTAL TIBI,2333.76,2333.76,,,0
HCPCS,C1713,EVOS 2.7MM/3.5MM PARTIAL ARTICULAR MEDIAL DISTAL TIBIA PLATE,2465.76,2465.76,,,0
HCPCS,C1713,EVOS 2.7MM/3.5MM POSTEROLATERAL DISTAL FIBULA PLATE 5H R 93M,2212.32,2212.32,,,0
HCPCS,C1713,EVOS 2.7MM/3.5MM POSTEROLATERAL DISTAL FIBULA PLATE 7H L 115,2370.72,2370.72,,,0
HCPCS,C1713,EVOS 3.5MM  PARTIAL ARTICULAR POSTEROMEDIAL PROXIMAL TIBIA T,2333.76,2333.76,,,0
HCPCS,C1713,EVOS 3.5MM 1/3 TUBULAR PLATE 2H 22MM,93.84,93.84,,,0
HCPCS,C1713,EVOS 3.5MM 1/3 TUBULAR PLATE 4H 46MM,110.16,110.16,,,0
HCPCS,C1713,EVOS 3.5MM COMPRESSION PLATE 10H 127MM,252.0,252.0,,,0
HCPCS,C1713,EVOS 3.5MM COMPRESSION PLATE 6H 77MM,221.76,221.76,,,0
HCPCS,C1713,EVOS 3.5MM COMPRESSION PLATE 8H 102MM,241.92,241.92,,,0
HCPCS,C1713,EVOS 3.5MM CVD PROX HUM PL 15H L 213MM,3062.4,3062.4,,,0
HCPCS,C1713,EVOS 3.5MM CVD PROX HUM PL 18H R 246MM,3504.0,3504.0,,,0
HCPCS,C1713,EVOS 3.5MM CVD PROX HUM PL 4H L 92MM,2635.2,2635.2,,,0
HCPCS,C1713,EVOS 3.5MM CVD PROX HUM PL 6H R 114MM,2712.0,2712.0,,,0
HCPCS,C1713,EVOS 3.5MM CVD PROX HUM PL 9H R 147MM,2793.6,2793.6,,,0
HCPCS,C1713,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 10H L 134MM,3701.28,3701.28,,,0
HCPCS,C1713,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 13H L 167MM,3754.08,3754.08,,,0
HCPCS,C1713,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 16H R 200MM,3944.16,3944.16,,,0
HCPCS,C1713,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 4H R 70MM,3574.56,3574.56,,,0
HCPCS,C1713,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 6H L 91MM,3622.08,3622.08,,,0
HCPCS,C1713,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 8H R 113MM,3659.04,3659.04,,,0
HCPCS,C1713,EVOS 3.5MM LOCKING 1/3 TUBULAR PLATE 10H 118MM,654.72,654.72,,,0
HCPCS,C1713,EVOS 3.5MM LOCKING 1/3 TUBULAR PLATE 8H 94MM,601.92,601.92,,,0
HCPCS,C1713,EVOS 3.5MM LOCKING COMPRESSION PLATE 10H 116MM,844.8,844.8,,,0
HCPCS,C1713,EVOS 3.5MM LOCKING COMPRESSION PLATE 12H 139MM,934.56,934.56,,,0
HCPCS,C1713,EVOS 3.5MM LOCKING COMPRESSION PLATE 14H 162MM,1441.44,1441.44,,,0
HCPCS,C1713,EVOS 3.5MM LOCKING COMPRESSION PLATE 20H 231MM,1943.04,1943.04,,,0
HCPCS,C1713,EVOS 3.5MM LOCKING COMPRESSION PLATE 8H 93MM,797.28,797.28,,,0
HCPCS,C1713,EVOS 3.5MM MEDIAL PROXIMAL TIBIA PLATE 13H L 170MM,3136.32,3136.32,,,0
HCPCS,C1713,EVOS 3.5MM MEDIAL PROXIMAL TIBIA PLATE 16H L 201MM,3231.36,3231.36,,,0
HCPCS,C1713,EVOS 3.5MM MEDIAL PROXIMAL TIBIA PLATE 8H L 117MM,2877.6,2877.6,,,0
HCPCS,C1713,EVOS 3.5MM PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA PLATE 4H,1446.98,1446.98,,,0
HCPCS,C1713,EVOS 3.5MM PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA PLATE 6H,2322.55,2322.55,,,0
HCPCS,C1713,EVOS 3.5MM PARTIAL ARTICULAR MEDIAL PROXIMAL TIBIA PLATE 4H,2244.0,2244.0,,,0
HCPCS,C1713,EVOS 3.5MM PARTIAL ARTICULAR MEDIAL PROXIMAL TIBIA PLATE 8H,2333.76,2333.76,,,0
HCPCS,C1713,EVOS 3.5MM PARTIAL ARTICULAR POSTERIOR DISTAL TIBIA PLATE 3H,1436.16,1436.16,,,0
HCPCS,C1713,EVOS 3.5MM PARTIAL ARTICULAR POSTEROMEDIAL PROXIMAL TIBIA I,2244.0,2244.0,,,0
HCPCS,C1713,EVOS 3.5MM PM-P TIBIA T-PL 10H L 137MM,2904.0,2904.0,,,0
HCPCS,C1713,EVOS 3.5MM RECON PLATE 18H 198MM,782.88,782.88,,,0
HCPCS,C1713,EVOS 3.5MM STR PROX HUM PL 3H 92MM,2563.2,2563.2,,,0
HCPCS,C1713,EVOS 3.5MM X 100MM CTX SCR S-T,35.98,35.98,,,0
HCPCS,C1713,EVOS 3.5MM X 10MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 110MM CTX SCR S-T,35.98,35.98,,,0
HCPCS,C1713,EVOS 3.5MM X 11MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 12MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 15MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,EVOS 3.5MM X 15MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 17MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,EVOS 3.5MM X 17MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 19MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,EVOS 3.5MM X 24MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 30MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,EVOS 3.5MM X 32MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 34MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,EVOS 3.5MM X 36MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 40MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,EVOS 3.5MM X 46MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 48MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,EVOS 3.5MM X 70MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 80MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,EVOS 3.5MM X 80MM LOCKING SCREW SELF-TAPPING,179.35,179.35,,,0
HCPCS,C1713,EVOS 3.5MM X 8MM CORTEX SCREW SELF-TAPPING,32.35,32.35,,,0
HCPCS,C1713,EVOS 4.0MM X 12MM OST SCR T8 FT,193.2,193.2,,,0
HCPCS,C1713,EVOS 4.7MM X 10MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
HCPCS,C1713,EVOS 4.7MM X 28MM OSTEOPENIA SCREW PARTIALLY THREADED,123.0,123.0,,,0
HCPCS,C1713,EVOS 4.7MM X 30MM OSTEOPENIA SCREW FULLY THREADED,110.88,110.88,,,0
HCPCS,C1713,EVOS DBL WASHER - 3.5MM SCREWS,138.0,138.0,,,0
HCPCS,C1713,EXINF922016 - INFRAME IS A STAINLESS STEEL BONE SCREW,3600.0,3600.0,,,0
HCPCS,C1713,EXINN921509 - NANOPHIX¢ IMPLANT 1.5MM X 9MM,2388.0,2388.0,,,0
HCPCS,C1713,EXINN923650 - INNATE IS A STAINLESS STEEL BONE SCREW,3600.0,3600.0,,,0
HCPCS,C1713,EXTRA ARTC DST HUM PLT L 3.5MM  164MM/6 H,4622.4,4622.4,,,0
HCPCS,C1713,EXTRA ARTC DST HUM PLT L 3.5MM 198MM/8 H,5239.2,5239.2,,,0
HCPCS,C1713,EXTRA ARTC DST HUM PLT L 3.5MM 266MM/12 H,6787.2,6787.2,,,0
HCPCS,C1713,EXTRA ARTC DST HUM PLT R 3.5MM  198MM/8 H,5239.2,5239.2,,,0
HCPCS,C1713,EXTRACTOR SUR FOR BNE SCR REM INBONE II,295.2,295.2,,,0
HCPCS,C1713,F.A.S.T. PEG DRIVER  2.0MM  2.0MM,92.4,92.4,,,0
HCPCS,C1713,FEMORAL NAIL GT LEFT D10XL380,4264.8,4264.8,,,0
HCPCS,C1713,FEMORAL NAIL GT LEFT D11XL380,7736.59,7736.59,,,0
HCPCS,C1713,FEMORAL NAIL GT LEFT D13XL420,7736.59,7736.59,,,0
HCPCS,C1713,FEMORAL NAIL GT RIGHT D10XL360,4264.8,4264.8,,,0
HCPCS,C1713,FEMORAL NAIL GT RIGHT D10XL380,7736.59,7736.59,,,0
HCPCS,C1713,FEMORAL NAIL GT RIGHT D10XL400,7736.59,7736.59,,,0
HCPCS,C1713,FEMORAL NAIL GT RIGHT D11XL380,4264.8,4264.8,,,0
HCPCS,C1713,FEMORAL NAIL GT RIGHT D11XL400,7736.59,7736.59,,,0
HCPCS,C1713,FEMORAL NAIL GT RIGHT D12XL380,7736.59,7736.59,,,0
HCPCS,C1713,FEMORAL NAIL GT RIGHT D12XL440,4264.8,4264.8,,,0
HCPCS,C1713,FEMORAL NAIL GT RIGHT D13XL380,7736.59,7736.59,,,0
HCPCS,C1713,FEMORAL NAIL GT RIGHT D9XL320,4264.8,4264.8,,,0
HCPCS,C1713,FEMORAL NAIL GT RIGHT D9XL400,7736.59,7736.59,,,0
HCPCS,C1713,FIBER FLOWABLE DEMIN 10CC OSSIFUSE HSA,2400.0,2400.0,,,0
HCPCS,C1713,FIBER FLOWABLE DEMIN 1CC OSSIFUSE HSA,240.0,240.0,,,0
HCPCS,C1713,FIBER FLOWABLE DEMIN 5CC OSSIFUSE HSA,1200.0,1200.0,,,0
HCPCS,C1713,FIBERTAG TIGHTROPE II IMPLANT WITH NEEDLE,1547.52,1547.52,,,0
HCPCS,C1713,FIBERTAK BICEPS IMPLANT,1040.52,1040.52,,,0
HCPCS,C1713,FIBULA HOOK PLATE 4H,2389.66,2389.66,,,0
HCPCS,C1713,FILLER BNE VOID 3.45CC 5GM CA PHSPTE MIMIX QS,2064.0,2064.0,,,0
HCPCS,C1713,FIXATOR BNE PLT ORTH AO FIT TEMP,420.0,420.0,,,0
HCPCS,C1713,FORTIFY-R 14MM LOWER ENDPLATE 14MM FOOTPRINT 3.5,840.0,840.0,,,0
HCPCS,C1713,FREEZE DRIED BONE 30CC READIGRAFT CRUSHED,792.14,792.14,,,0
HCPCS,C1713,FRONTALIS SUSPENSION SET,260.3,260.3,,,0
HCPCS,C1713,FULLY THREADED SCREW 12MM,254.4,254.4,,,0
HCPCS,C1713,GEMINUS VOLAR DISTAL RADIUS PLATE STANDARD 4 HOLE RIGHT,2020.8,2020.8,,,0
HCPCS,C1713,GEMINUS VOLAR DISTAL RADIUS PLATE STANDARD 7 HOLE LEFT,2265.6,2265.6,,,0
HCPCS,C1713,GLOBUS  7146.0110,660.0,660.0,,,0
HCPCS,C1713,GRAFT BNE PSTE 5CC BEAD 12CC CANC CA SULF STIMULAN RAP CURE,2388.0,2388.0,,,0
HCPCS,C1713,GRAFT BNE PTTY 10CC ALLGRFT FD DBM GRFT,1896.0,1896.0,,,0
HCPCS,C1713,GRAFT BNE PTTY 1CC ALLGRFT FD DBM GRFT,352.8,352.8,,,0
HCPCS,C1713,GRAFT BNE PTTY 5CC ALLGRFT FD DBM GRFT,1200.0,1200.0,,,0
HCPCS,C1713,GRAFT BNE SUB 10CC CA PHSPTE HYALURONIC ACID CEM VOID FILL,5642.4,5642.4,,,0
HCPCS,C1713,GRAFT BNE SUB 10CC PTTY BIOACTIVE SIGNIFY,2676.0,2676.0,,,0
HCPCS,C1713,GRAFT BNE SUB 15CC CA PHSPTE HA INJ HYDROSET,10505.98,10505.98,,,0
HCPCS,C1713,GRAFT BNE SUB 25X50X4MM 5ML STRP BIOLOGIC SPINE SURG,1680.0,1680.0,,,0
HCPCS,C1713,GRAFT BNE SUB CHIP 30CC 4-10MM CORT CANC FD CTS,751.2,751.2,,,0
HCPCS,C1713,GRAFT BNE SUB DBM 2.5MM X 5CM ALLGRFT GRFT,2640.0,2640.0,,,0
HCPCS,C1713,GRAFT BNE SUB POR GRAN 5CC VI 85% B-TCP 15% HA CERAMIC RESRB,532.8,532.8,,,0
HCPCS,C1713,GRAFT BNE SUB PSTE 10CC BEAD 25CC W/ MIX BWL SPAT MATE APPL,3480.0,3480.0,,,0
HCPCS,C1713,GRAFT BNE SUB VOID FILL GRAN 10CC 15% HA 85% B-TCP,1005.6,1005.6,,,0
HCPCS,C1713,GRAFT BNE SUB W25XH8XL50MM 10CC STRP BIOACTIVE BIOLOGIC,3120.0,3120.0,,,0
HCPCS,C1713,GREATER TROCHANTER FEMORAL NAIL - GREEN LEFT   10 MM DIAMETE,2604.0,2604.0,,,0
HCPCS,C1713,GREATER TROCHANTER FEMORAL NAIL - GREEN LEFT   11 MM DIAMETE,2124.0,2124.0,,,0
HCPCS,C1713,GREATER TROCHANTER FEMORAL NAIL - GREEN RIGHT   10 MM DIAMET,2604.0,2604.0,,,0
HCPCS,C1713,GREATER TROCHANTER FEMORAL NAIL - GREEN RIGHT   13 MM DIAMET,2604.0,2604.0,,,0
HCPCS,C1713,GUIDE DRL DIA2.6MM FOR RAPTORMITE 3MM SUT ANCHR,194.4,194.4,,,0
HCPCS,C1713,GUIDE PIN 3.2MM X 330MM,365.04,365.04,,,0
HCPCS,C1713,GUIDE PIN TIP THRD 3.2 X 300MM,66.1,66.1,,,0
HCPCS,C1713,GUIDEPIN FIX DIA2MM FOR CEPHALOMEDULLARY NAIL INSTR SET NAT,159.6,159.6,,,0
HCPCS,C1713,GUIDEPIN ORTH 1.3MM X 140MM BAYNT PNT,35.14,35.14,,,0
HCPCS,C1713,GUIDEPIN ORTH 3.2MM X 300MM FT CANN FOR CANN SCR,168.05,168.05,,,0
HCPCS,C1713,GUIDEPIN ORTH L140MM DIA1.3MM TRCR PT,35.14,35.14,,,0
HCPCS,C1713,GUIDEPIN ORTH L300MM DIA1.9MM COCR FT,66.1,66.1,,,0
HCPCS,C1713,GUIDEPIN ORTH L444MM THRD REDUC FOR HIP FRAC NAIL AFFIXUS,427.72,427.72,,,0
HCPCS,C1713,GUIDEWIRE ORTH L100CM DIA3MM FEM NAIL TEAR GTT RG NAT NAIL,260.4,260.4,,,0
HCPCS,C1713,GUN BNE CEM DEL SZ 2 W/ BNE FILL DEV FOR KYPHOPAK TY KYPHO,776.95,776.95,,,0
HCPCS,C1713,HALF PINCOATED SS 6 X 45 X 200,409.97,409.97,,,0
HCPCS,C1713,HC 278 C1713 ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE,42504.0,42504.0,,,0
HCPCS,C1713,HC CDS CEMENT GUN/BONE FILLER,785.0,785.0,,,0
HCPCS,C1713,HEAD SCR SPNL MAS ST 5.5/6MM CDH MODULEX,1272.0,1272.0,,,0
HCPCS,C1713,HEAD SCR SPNL RMAS SS ST 5.5/6MM CDH MODULEX,1432.8,1432.8,,,0
HCPCS,C1713,HEAD SCR SPNL RUAS SS ST 5.5/6MM CDH MODULEX,1552.8,1552.8,,,0
HCPCS,C1713,HEAD SCR SPNL RUAS ST 5.5/6MM CDH MODULEX,1444.8,1444.8,,,0
HCPCS,C1713,HEDRON C SPACER,1800.0,1800.0,,,0
HCPCS,C1713,HEDRON IA SPACER 24X30 11MM 15,10440.0,10440.0,,,0
HCPCS,C1713,HEDRON P SPACER 10X26 10MM 15,6960.0,6960.0,,,0
HCPCS,C1713,HELIX R PLATE 42MM 2-LEVEL,1596.0,1596.0,,,0
HCPCS,C1713,HELIX R PLATE 54MM 3-LEVEL,1824.0,1824.0,,,0
HCPCS,C1713,HIGH COMPRESSION LOCKING PEG 2.7MM X 18MM,237.6,237.6,,,0
HCPCS,C1713,HIP FRACTURE NAIL  125    9MM X 180MM  125    9MM X 180MM,2604.0,2604.0,,,0
HCPCS,C1713,HIP FRACTURE NAIL - LEFT  125    11MM X 440MM  125    11MM,3687.6,3687.6,,,0
HCPCS,C1713,HOFFMANN3 5 HOLE PIN CLAMP DIA 456MM,1204.8,1204.8,,,0
HCPCS,C1713,"HP60-200-20B - HALF PIN, ORTHEX 6.0X200X20 BUTTON, HA",707.11,707.11,,,0
HCPCS,C1713,HUMERAL NAIL,3110.4,3110.4,,,0
HCPCS,C1713,HUMERAL SACER IMPLANT +12MM,4560.0,4560.0,,,0
HCPCS,C1713,HYDROSET XT 15 CC,8097.6,8097.6,,,0
HCPCS,C1713,HYDROSET XT 5 CC,2992.8,2992.8,,,0
HCPCS,C1713,"HYDROSET, 15CC",10505.98,10505.98,,,0
HCPCS,C1713,IMPLANT FING JOIN WGROMME SZ3,3276.67,3276.67,,,0
HCPCS,C1713,IMPLANT FIXATION ATTACHABLE BUTTON SYSTEM TIGHTROPE II,741.0,741.0,,,0
HCPCS,C1713,IMPLANT FNGR JT SZ 2 IM STEM FLX SWNSN,2643.46,2643.46,,,0
HCPCS,C1713,IMPLANT IM 2X14MM INFRAME,3600.0,3600.0,,,0
HCPCS,C1713,IMPLANT VBR 12MM LO ENDPLATE 12X14MM  3.5DEG FORTIFY,840.0,840.0,,,0
HCPCS,C1713,IN LINE CONNECTOR,1200.0,1200.0,,,0
HCPCS,C1713,INACTIVE -  ANCHOR SUT ANT CRUCE LIG TI UHMWPE TGHTRP RT,911.04,911.04,,,0
HCPCS,C1713,INACTIVE - ANCHOR SUT ANT CRUCE LIG W/ FIBERTAG TGHTRP ABS,872.04,872.04,,,0
HCPCS,C1713,INACTIVE USE - 217767 CALIBER-L SPACER 22 X 50MM 7-10MM,13200.0,13200.0,,,0
HCPCS,C1713,INACTIVE USE 440463 PLATE CALCANEAL,2492.62,2492.62,,,0
HCPCS,C1713,INACTIVE USE PS#113291 -  SCREW 4.5 X 34MM CORT,81.07,81.07,,,0
HCPCS,C1713,INACTIVE USE PS#12296 -  BOLT EXT FIX 16MM FOR ILIZ,4.6,4.6,,,0
HCPCS,C1713,INACTIVE USE PS#128428 -  PIN EXT FIX L200MM DIA6MM THRD L30,409.97,409.97,,,0
HCPCS,C1713,INACTIVE USE PS#129884 -  ANCHOR SUT DIA4.5MM TAP IN DSGN FO,766.8,766.8,,,0
HCPCS,C1713,INATE IMPLANT,3600.0,3600.0,,,0
HCPCS,C1713,INBONE EVERLAST CROSS-LINKED POLY INSERT,4668.0,4668.0,,,0
HCPCS,C1713,"INBONE TIBIAL MID STEM TI6AI4V, CPTI",1428.0,1428.0,,,0
HCPCS,C1713,INBONE TIBIAL TRAY LEFT TI6AI4V CPTI,3957.6,3957.6,,,0
HCPCS,C1713,"INBONE TIBIAL TRAY, LEFT TI6AI4V, CPTI, SIZE 4 LONG",3775.2,3775.2,,,0
HCPCS,C1713,INNATE IMPLANT 4.5MMX40MM,3600.0,3600.0,,,0
HCPCS,C1713,"INNATE IMPLANT, 4.5MM X 55MM",3600.0,3600.0,,,0
HCPCS,C1713,INSCREW STERNAL TITANIUM 18INININ,196.68,196.68,,,0
HCPCS,C1713,INSERT HUMERAL REVERSE RING POLY PLUS 0MM OFFSET 32MM SPECIA,2640.0,2640.0,,,0
HCPCS,C1713,INTERPROSTHETIC FEM PLT R,10327.2,10327.2,,,0
HCPCS,C1713,INTERTAN 1.5 11.5MMX40CM 125D LT,3217.68,3217.68,,,0
HCPCS,C1713,INTERTAN SUBTROC LAG 11 X 100,825.58,825.58,,,0
HCPCS,C1713,K WIRE 0.028X4IN SMTH DBL TRCR PT ST,2.62,2.62,,,0
HCPCS,C1713,K WIRE 0.035X9IN TROCAR POINT DOUBLE END,16.73,16.73,,,0
HCPCS,C1713,K WIRE 0.054X9IN BAYONET POINT DOUBLE ENDED THREADED STAINLE,41.4,41.4,,,0
HCPCS,C1713,K WIRE 0.062X9IN SMTH SGL TRCR PT NS,4.5,4.5,,,0
HCPCS,C1713,K WIRE 0.062X9IN SMTH SGL TRCR PT ST,15.29,15.29,,,0
HCPCS,C1713,K WIRE 0.45X5IN SS SGL TRCR PT,81.6,81.6,,,0
HCPCS,C1713,K WIRE 1.25X150MM DBL END TRCR PT SS,37.8,37.8,,,0
HCPCS,C1713,K WIRE 1.25X150MM TRCR PT SS,32.04,32.04,,,0
HCPCS,C1713,K WIRE 1.6X150MM SGL END SMTH SHRP TRCR TIP SS,5.0,5.0,,,0
HCPCS,C1713,K WIRE 1.6X150MM TRCR PT SS,32.04,32.04,,,0
HCPCS,C1713,K WIRE 2MM X 150MM TRCR PT FOR PERI-LOC,43.34,43.34,,,0
HCPCS,C1713,K WIRE 2X150MM TRCR PT SS,32.04,32.04,,,0
HCPCS,C1713,K WIRE FIX L229MM DIA1.1MM,2.62,2.62,,,0
HCPCS,C1713,K WIRE FIX L229MM DIA1.1MM SS THRD TRCR PT TWO END SHRP TIP,15.22,15.22,,,0
HCPCS,C1713,K WIRE FIX L310MM DIA1.8MM FOR CONDYLE SCR S2 FEM NAIL SYS,168.0,168.0,,,0
HCPCS,C1713,K WIRE FIX L6IN DIA1.6MM FEM TIB SMTH BAYNT TOT FT FOR ALPS,97.2,97.2,,,0
HCPCS,C1713,K WIRE FIX L9IN DIA.035IN 2 TRCR PNT SS ST,2.62,2.62,,,0
HCPCS,C1713,K WIRE FIXATION 2MM X 15.2CM STAINLESS STEEL SMOOTH DOUBLE S,75.6,75.6,,,0
HCPCS,C1713,K WIRE FIXATION L4IN DIA0.045IN DOUBLE END BAYONET TIP SMOOT,25.2,25.2,,,0
HCPCS,C1713,K WIRE TROCAR POINT BOTH ENDS 2.0MM X 150MM 292.58,37.8,37.8,,,0
HCPCS,C1713,K WRE FIX L150MM DIA1.6MM THRD L25MM TI PARTIALLY THRD,165.6,165.6,,,0
HCPCS,C1713,K WRE FIX L4IN DIA0.035IN SMOOTH DBL TRCR PT,15.29,15.29,,,0
HCPCS,C1713,K WRE FIX L4IN DIA0.054IN SMOOTH DBL TRCR PT,52.2,52.2,,,0
HCPCS,C1713,K-WIRE  .062 (1.6 MM) X 9IN SINGLE TROCAR POINT,42.6,42.6,,,0
HCPCS,C1713,K-WIRE .035 IN. (0.9 MM) DIAMETER 4 IN. (102 MM) LENGTH STYL,16.73,16.73,,,0
HCPCS,C1713,K-WIRE .035 X 4IN NON-THREADED DOUBLE TROCAR,52.2,52.2,,,0
HCPCS,C1713,K-WIRE .045 (1.1MM) X 9IN DOUBLE TROCAR SMOOTH,42.6,42.6,,,0
HCPCS,C1713,K-WIRE .045X4 1PT TR,53.45,53.45,,,0
HCPCS,C1713,K-WIRE 045X4 2PT TR,53.45,53.45,,,0
HCPCS,C1713,K-WIRE 1.1MM X 6IN,129.43,129.43,,,0
HCPCS,C1713,K-WIRE 1.6MM X 6IN ALPS MVX,149.35,149.35,,,0
HCPCS,C1713,K-WIRE 1.6MMX229MM,15.25,15.25,,,0
HCPCS,C1713,K-WIRE.045 X4INDBL TROCAR NON-THREADED,73.8,73.8,,,0
HCPCS,C1713,"K400-18BNA - WIRE, SHARP BAYONET, 400MM X 1.8MM, HA COATED (STERILE)",1215.86,1215.86,,,0
HCPCS,C1713,KINEX BIOACTIVE STRIP 10CC 25X100X4MM,3120.0,3120.0,,,0
HCPCS,C1713,KIT BNE CEM 180GM MIX UNIV W/ BWL CART TWR HI VAC ROTOR,168.41,168.41,,,0
HCPCS,C1713,KIT IMPL 4.75X19.1MM PEEK SWIVELOCK C W/ 1 PRELD FIBERTAPE,4160.52,4160.52,,,0
HCPCS,C1713,KIT INSTR 1.5MM NANOPHIX,948.0,948.0,,,0
HCPCS,C1713,KIT KYPHOPLASTY BNE CEM FULL DOSE RADPQ W/ MIX KYPHON HV-R,329.3,329.3,,,0
HCPCS,C1713,KIT KYPHOPLASTY FULL DOSE PMMA RADPQ HI VISC W/O ANTIBIO BNE,526.06,526.06,,,0
HCPCS,C1713,KIT MENISCAL ROOT REPAIR WITH BIOCOMPOSITE SWIVELOCK ANCHOR,4421.04,4421.04,,,0
HCPCS,C1713,KIT SPNL VERT COMPR SYS 15U ULT AFFIRM,5280.0,5280.0,,,0
HCPCS,C1713,KLS MARTIN SCREW,180.0,180.0,,,0
HCPCS,C1713,KNOTLESS DIS CLAV PLATE BUTTON TIGHTROP,2561.52,2561.52,,,0
HCPCS,C1713,KREULOCK COMPRESSION SCREW SS 2.7X12MM,767.52,767.52,,,0
HCPCS,C1713,KYPHON XPEDE BONE CEMENT,400.58,400.58,,,0
HCPCS,C1713,LATERAL OFF SET LONG,1292.76,1292.76,,,0
HCPCS,C1713,LCP PLATE 16HOLE  02.001.306,6503.4,6503.4,,,0
HCPCS,C1713,LCP WRIST FUSION STRAIGHT PLATE,6156.0,6156.0,,,0
HCPCS,C1713,LEVEL ONE CMF STERILEPLATE ORBITAL FLOOR SMART LEFT GRID 1.5,3870.0,3870.0,,,0
HCPCS,C1713,LEVEL ONE CMF STERILEPLATE ORBITAL FLOOR SMART RIGHT GRID 1.,3753.0,3753.0,,,0
HCPCS,C1713,LEVEL ONE CMFPLATE FRACTURE TLTS STR 2.0-2.5 MM SCREW4 HOLE,717.6,717.6,,,0
HCPCS,C1713,LEVEL ONE CMFPLATE MIDFACE X SHP WTAB 1.5 MM SCREW4 HOLE T=0,511.2,511.2,,,0
HCPCS,C1713,LEVEL ONE CMFPLATE MINI L SHP LEFT 2.0 MM SCREW2 X 2 HOLES 2,287.04,287.04,,,0
HCPCS,C1713,LEVEL ONE CMFPLATE MINI TLTS CONDYLAR RHOMBIC 2.0-2.5 MM SCR,1183.68,1183.68,,,0
HCPCS,C1713,LEVEL ONE CMFPLATE MINI TLTS LADDER CVD 2.0-2.5 MM SCREW6 X,848.64,848.64,,,0
HCPCS,C1713,LEVEL ONE CMFPLATE ORTHOG LEFORT LINDORF LEFT 2.0 MM SCREW7.,471.12,471.12,,,0
HCPCS,C1713,LEVEL ONE CMFSCREW CROSSDRIVE DRILL FREE1.5 X 5 MMTI-6AL-4VQ,180.0,180.0,,,0
HCPCS,C1713,LEVEL ONE CMFSCREW MAXDRIVE DRILL FREE2.0 X 7 MMTI-6AL-4VQTY,96.0,96.0,,,0
HCPCS,C1713,LEVEL ONE CMFSCREW MAXDRIVE TLTS2.0 X 7 MMTI-6AL-4VQTY:001 E,180.0,180.0,,,0
HCPCS,C1713,LEVEL ONE CMFSCREW MAXDRIVE2.0 X 15 MMTI-6AL-4VQTY:001 EA,96.0,96.0,,,0
HCPCS,C1713,LEVEL ONE NEUROBURR HOLE COVER ULTRAONE CONTOURED WTAB NEURO,727.2,727.2,,,0
HCPCS,C1713,LEVEL ONE NEUROPLATE ULTRAONE STR WTAB NEURO SCREW2 HOLE 17,252.0,252.0,,,0
HCPCS,C1713,LEVEL ONE NEUROPLATE ULTRAONE Y SHP WTAB NEURO SCREW5 HOLE 1,685.8,685.8,,,0
HCPCS,C1713,LEVEL ONE NEUROSCREW ONEDRIVE DRILL FREE1.5 X 4 MMTI-6AL-4VQ,96.0,96.0,,,0
HCPCS,C1713,LOCKING CORTICAL SCREW  3.5MM X 60MM  3.5MM X 60MM,226.8,226.8,,,0
HCPCS,C1713,LOCKING SCR 4 0MM / T20 / L26MM,547.2,547.2,,,0
HCPCS,C1713,LOCKING SCR 5 0MM / T20 / L24MM,595.2,595.2,,,0
HCPCS,C1713,LOCKING SCR FLAT TIP,684.0,684.0,,,0
HCPCS,C1713,LOCKING SCREW 2.0MM HD6  2.0 X 12 MM,406.51,406.51,,,0
HCPCS,C1713,LOCKING SCREW 5.0X56MM,612.0,612.0,,,0
HCPCS,C1713,LOCKING SCREW D4X25,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D4X27.5,396.0,396.0,,,0
HCPCS,C1713,LOCKING SCREW D5X27.5,475.2,475.2,,,0
HCPCS,C1713,LOCKING SCREW D5X30,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5X32.5,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5X35,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5X37.5,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5X40,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL42.5,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL45,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL47.5,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL50,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL52.5,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL55,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL57.5,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL60,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL65,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL70,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL75,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL80,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL85,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL90,778.54,778.54,,,0
HCPCS,C1713,LOCKING SCREW D5XL95,778.54,778.54,,,0
HCPCS,C1713,LONG NAIL R D10X340MM X 120DEG,4673.4,4673.4,,,0
HCPCS,C1713,LONG NAIL R D11X320MM X 120DEG,9021.02,9021.02,,,0
HCPCS,C1713,LONG NAIL R D11X360MM X 120DEG,9021.02,9021.02,,,0
HCPCS,C1713,LONG NAIL R D11X420MM X 120DEG,9021.02,9021.02,,,0
HCPCS,C1713,LOW PROF CLAVICLE PLATE 8-HOLE STR LEFT,4332.0,4332.0,,,0
HCPCS,C1713,LOW PROFILE CORTICAL SCREW  3.5MM X 16MM  3.5MM X 16MM,109.2,109.2,,,0
HCPCS,C1713,LOW PROFILE FEMALE HINGE,252.29,252.29,,,0
HCPCS,C1713,LOW PROFILE HEAD SCREWS02.7X 20MM,180.0,180.0,,,0
HCPCS,C1713,LOW PROFILE NON-LOCK SCREW  2.7MM X 11MM  2.7MM X 11MM,117.6,117.6,,,0
HCPCS,C1713,LUMBAR MIS ANCHOR 30MM,384.0,384.0,,,0
HCPCS,C1713,M3640 : CEMENT BNE 20ML 40GM FULL DOSE PMMA W-O ANTIBIO M VISC RADPQ,165.62,165.62,,,0
HCPCS,C1713,MAS 558424535T 5.5/6. FENSTRTD 4.5X35,2040.0,2040.0,,,0
HCPCS,C1713,MATRIX MANDIBLE TITANIUM NON LOCKING SCREW,191.04,191.04,,,0
HCPCS,C1713,"MATRIX STERNUM SQUARE PLATE, LARGE 4 HOLES",1710.0,1710.0,,,0
HCPCS,C1713,MEDIAL MALLELOUS HOOK PLATE 3H,3684.05,3684.05,,,0
HCPCS,C1713,MEDIAL TIBIA PLATE 10H RT,5376.7,5376.7,,,0
HCPCS,C1713,MEDIAL TIBIA PLATE 6H RT,5326.92,5326.92,,,0
HCPCS,C1713,MEDPOR TITAN POSTERIOR IMPLANT - 96MMMM X 61MM X 1,7638.74,7638.74,,,0
HCPCS,C1713,MESA 2 SCREWS DEFORMITY POLYAXIAL 05.5X40 MM,2275.51,2275.51,,,0
HCPCS,C1713,"MICRO ACUTRAK 3, 2.5 X 42",1850.4,1850.4,,,0
HCPCS,C1713,MIDFACE 8 HOLE STRAIGHT PLATE,610.18,610.18,,,0
HCPCS,C1713,MINI QUICKANCHOR PLUS 0 SUTURE,1732.8,1732.8,,,0
HCPCS,C1713,MIXER CEM AND TRNSF PK FORTRESS-+,612.0,612.0,,,0
HCPCS,C1713,MNTR OC INNER SCREW,221.06,221.06,,,0
HCPCS,C1713,MNTR OC PLATE MEDIUM,5716.73,5716.73,,,0
HCPCS,C1713,MNTR OC PREBENT ROD 3.5X120,1644.0,1644.0,,,0
HCPCS,C1713,MNTR OC SCREW 4.5X14,528.0,528.0,,,0
HCPCS,C1713,MODULAS ALIF 6X42X32MM,15696.0,15696.0,,,0
HCPCS,C1713,MODULUS ALIF 8X34X24MM,15120.0,15120.0,,,0
HCPCS,C1713,MONOAXIAL SCREW DIA.4.5X30MM,2029.51,2029.51,,,0
HCPCS,C1713,MONTAGE,1677.6,1677.6,,,0
HCPCS,C1713,MONTAGE 2CC/ 4G - SETTABLE BONE PUTTY,2337.6,2337.6,,,0
HCPCS,C1713,MULTI AXIAL SCREW 3604532 4.5 X 32MM 3604532,1308.0,1308.0,,,0
HCPCS,C1713,MULTI-DIRECTIONAL SCREW  2.7MM X 13MM  2.7MM X 13MM,235.2,235.2,,,0
HCPCS,C1713,MULTIDIRECTIONAL SCREW  3.5MM X 20MM  3.5MM X 20MM,277.2,277.2,,,0
HCPCS,C1713,MULTIUSE SCR 3.5MM X L36MM,204.0,204.0,,,0
HCPCS,C1713,NAIL IM 11X420MM 125DEG R LNG FOR HIP FRAC AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,NAIL IM 2X300MM RND TIP SS PEDIFLEX,1048.8,1048.8,,,0
HCPCS,C1713,NAIL IM FEM 10MM X 360MM RG T2 ALPHA,4586.4,4586.4,,,0
HCPCS,C1713,NAIL IM L130MM DIA8MM L HUM BLU AEQUALIS,5700.0,5700.0,,,0
HCPCS,C1713,NAIL IM L150MM OD8MM R PROX HUM T2,3184.8,3184.8,,,0
HCPCS,C1713,NAIL IM L180MM DIA11MM 125DEG SHT FOR HIP FRAC AFFIXUS,2604.0,2604.0,,,0
HCPCS,C1713,NAIL IM L200MM DIA11MM 130DEG R ANK GRN TI CANN LOK FLUT LAT,4440.24,4440.24,,,0
HCPCS,C1713,NAIL IM L26MM DIA2MM MIC PHALANX SS CANN FT INFRAME,3600.0,3600.0,,,0
HCPCS,C1713,NAIL IM L28CM DIA11MM UNIV TIB YEL TI ALLY NAT NAIL,2469.6,2469.6,,,0
HCPCS,C1713,NAIL IM L300MM DIA12MM L ANK TI ALLY CANN LOK LAT BEND,4440.24,4440.24,,,0
HCPCS,C1713,NAIL IM L300MM DIA8MM FEM TI CANN LOK AG RG BENT FLUT T2,2224.8,2224.8,,,0
HCPCS,C1713,NAIL IM L30CM DIA10MM UNIV TIB YEL TI ALLY NAT NAIL,2469.6,2469.6,,,0
HCPCS,C1713,NAIL IM L30CM DIA9.3MM UNIV TIB YEL TI ALLY NAT NAIL,1932.0,1932.0,,,0
HCPCS,C1713,NAIL IM L310MM DIA9MM UNIV TIB TI ALLY CANN LOK CORELOCK,2746.8,2746.8,,,0
HCPCS,C1713,NAIL IM L320MM DIA11MM 125DEG LNG R HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,NAIL IM L320MM OD10MM LNG TI SUPCNDYL CANN LOK RG BENT T2,3098.4,3098.4,,,0
HCPCS,C1713,NAIL IM L32CM DIA10MM LNG RG UNIV FEM PUR TI ALLY FOR RED,2937.6,2937.6,,,0
HCPCS,C1713,NAIL IM L32CM DIA10MM UNIV TIB YEL TI ALLY NAT NAIL,2272.32,2272.32,,,0
HCPCS,C1713,NAIL IM L32CM DIA11.5MM LNG RG UNIV FEM PUR TI ALLY FOR RED,3200.4,3200.4,,,0
HCPCS,C1713,NAIL IM L330MM DIA9MM STD TIB CANN TI T2,5632.22,5632.22,,,0
HCPCS,C1713,NAIL IM L340MM DIA10.5MM TI ALLY RG CORELOCK TECH PHOENIX,3334.8,3334.8,,,0
HCPCS,C1713,NAIL IM L340MM DIA11.5MM LNG UNIV FEM TI ALLY RG,3200.4,3200.4,,,0
HCPCS,C1713,NAIL IM L340MM DIA11MM 125DEG LNG R HIP TIM CANN LOK FOR AG,3687.6,3687.6,,,0
HCPCS,C1713,NAIL IM L34CM DIA10MM 10DEG UNIV TIB YEL TI ALLY AG CANN LOK,2469.6,2469.6,,,0
HCPCS,C1713,NAIL IM L34CM DIA13MM LNG RG UNIV FEM PUR TI ALLY FOR RED,3200.4,3200.4,,,0
HCPCS,C1713,NAIL IM L360MM DIA10MM STD TIB TI CANN LOK CEPHALOMEDULLARY,2102.4,2102.4,,,0
HCPCS,C1713,NAIL IM L360MM DIA11MM 125DEG LNG L HIP TIM CANN LOK FOR AG,3687.6,3687.6,,,0
HCPCS,C1713,NAIL IM L360MM DIA11MM 125DEG LNG R SUPCNDYL TI CANN LOK RG,7394.86,7394.86,,,0
HCPCS,C1713,NAIL IM L360MM DIA13MM 125DEG LNG R HIP TIM CANN LOK FOR AG,3687.6,3687.6,,,0
HCPCS,C1713,NAIL IM L360MM OD10MM TI L FEM RECON AG FLUT T2 R1.5,3240.0,3240.0,,,0
HCPCS,C1713,NAIL IM L360MM OD11MM 125DEG LNG TIM R HIP AG CANN LOK,3687.6,3687.6,,,0
HCPCS,C1713,NAIL IM L36CM DIA10MM LNG RG UNIV FEM PUR TI ALLY FOR RED,2937.6,2937.6,,,0
HCPCS,C1713,NAIL IM L36CM DIA11.5MM LNG TI ALLY RG FOR RED PROX AND BLK,3200.4,3200.4,,,0
HCPCS,C1713,NAIL IM L36CM DIA11MM UNIV TIB YEL TI ALLY NAT NAIL,2272.32,2272.32,,,0
HCPCS,C1713,NAIL IM L36CM DIA9.3MM R GTR TROCH FEM GRN TI ALLY FOR BLK,2124.0,2124.0,,,0
HCPCS,C1713,NAIL IM L380MM DIA11MM 125DEG LNG L HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,NAIL IM L380MM OD11MM 120DEG LNG TI L FEM R1.5 GAM3,3460.8,3460.8,,,0
HCPCS,C1713,NAIL IM L380MM OD11MM 120DEG LNG TI R FEM R1.5 GAM3,8635.9,8635.9,,,0
HCPCS,C1713,NAIL IM L380MM OD9MM TI L FEM RECON AG FLUT T2 R1.5,7728.86,7728.86,,,0
HCPCS,C1713,NAIL IM L38CM DIA10MM L GTR TROCH FEM GRN TI ALLY FOR BLK,2604.0,2604.0,,,0
HCPCS,C1713,NAIL IM L38CM DIA10MM LNG RG UNIV FEM PUR TI ALLY FOR RED,2937.6,2937.6,,,0
HCPCS,C1713,NAIL IM L38CM DIA11.5MM LNG RG UNIV FEM PUR TI ALLY FOR RED,3200.4,3200.4,,,0
HCPCS,C1713,NAIL IM L400MM DIA11MM 125DEG LNG L HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,NAIL IM L400MM OD11MM 120DEG LNG TI L FEM R1.5 GAM3,3460.8,3460.8,,,0
HCPCS,C1713,NAIL IM L40CM DIA11.5MM LNG RG UNIV FEM PUR TI ALLY FOR RED,2937.6,2937.6,,,0
HCPCS,C1713,NAIL IM L40CM DIA11MM AG UNIV PIRIFORMIS FOSSA FEM GRN TI,2124.0,2124.0,,,0
HCPCS,C1713,NAIL IM L40MM DIA3.6MM MTCRPL SS THRD INNATE,3600.0,3600.0,,,0
HCPCS,C1713,NAIL IM L420MM DIA11MM 125DEG LNG L HIP CANN LOK AFFIXUS,3687.6,3687.6,,,0
HCPCS,C1713,NAIL IM L420MM OD10MM TI L FEM RECON AG FLUT T2 R1.5,7728.86,7728.86,,,0
HCPCS,C1713,NAIL IM L420MM OD11MM 120DEG LNG TI R FEM R1.5 GAM3,3460.8,3460.8,,,0
HCPCS,C1713,NAIL IM L42CM DIA10MM LNG RG UNIV FEM PUR TI ALLY FOR RED,2937.6,2937.6,,,0
HCPCS,C1713,NAIL IM LNG 120 DEG L 10MM X 320MM,9021.02,9021.02,,,0
HCPCS,C1713,NAIL IM LNG 120 DEG L 10MM X 340MM,4673.4,4673.4,,,0
HCPCS,C1713,NAIL IM LNG 120 DEG L 10MM X 380MM,9021.02,9021.02,,,0
HCPCS,C1713,NAIL IM LNG 120 DEG L 11MM X 340MM,9021.02,9021.02,,,0
HCPCS,C1713,NAIL IM LNG 120 DEG L 11MM X 360MM,6847.21,6847.21,,,0
HCPCS,C1713,NAIL IM LNG 120 DEG L 11MM X 380MM,9021.02,9021.02,,,0
HCPCS,C1713,NAIL IM LNG 120 DEG L 11MM X 400MM,9021.02,9021.02,,,0
HCPCS,C1713,NAIL IM LNG 120 DEG L 11MM X 440MM,9021.02,9021.02,,,0
HCPCS,C1713,NAIL IM PROX HUM 8X150MM L CANN TYP II ANODIZED TI ALLY T2,3184.8,3184.8,,,0
HCPCS,C1713,NAIL INTRAMEDULLARY HAND 3.0MM X 45MM ALPS MVX,3932.95,3932.95,,,0
HCPCS,C1713,NAIL INTRAMEDULLARY HAND 3.5MM X 60MM ALPS MVX,3982.75,3982.75,,,0
HCPCS,C1713,NAIL INTRAMEDULLARY HAND 4.0MM X 45MM ALPS MVX,4032.53,4032.53,,,0
HCPCS,C1713,NAIL INTRAMEDULLARY L160MM DIA9MM LEFT PROXIMAL HUMERAL AFFI,2830.8,2830.8,,,0
HCPCS,C1713,NAIL INTRAMEDULLARY L45MM DIA4.5MM METACARPAL STAINLESS STEE,3600.0,3600.0,,,0
HCPCS,C1713,NANOPHIX IMPLANT 1.5MM X 13MM,3600.0,3600.0,,,0
HCPCS,C1713,NANOVIS SPACER 6MM X 16MM X 14MM X 4.6 DEGREES,3760.8,3760.8,,,0
HCPCS,C1713,NARROW MINI PLATE LEFT (HEAD WIDTH X OVERALL LENGTH)  22MM X,1503.6,1503.6,,,0
HCPCS,C1713,NC TI FUSION 5 HOLE LONG LEFT,7227.0,7227.0,,,0
HCPCS,C1713,NCB 5.0 UNICORTICAL SCR L=16MM,260.4,260.4,,,0
HCPCS,C1713,NCB CORT SCREW 4.0 X 32MM SELF-TAPPING,201.6,201.6,,,0
HCPCS,C1713,NCB CURVED FEMUR SHAFT PLATES14 HOLES L. 289MM,1083.6,1083.6,,,0
HCPCS,C1713,NCB PERIPROSTHETIC DISTAL FEMUR PLATESLEFT 9 HOLES L. 238MM,2133.6,2133.6,,,0
HCPCS,C1713,NCB PERIPROSTHETIC DISTAL FEMUR PLATESRIGHT 15 HOLES L. 317M,2377.2,2377.2,,,0
HCPCS,C1713,NCB PERIPROSTHETIC DISTAL FEMUR PLATESRIGHT12 HOLES L. 278MM,2251.2,2251.2,,,0
HCPCS,C1713,NCB PERIPROSTHETIC PROXIMAL FEMUR PLATESLEFT 15 HOLES L. 324,2377.2,2377.2,,,0
HCPCS,C1713,NCB PERIPROSTHETIC PROXIMAL FEMUR PLATESRIGHT 12 HOLES L. 28,2251.2,2251.2,,,0
HCPCS,C1713,NCB PERIPROSTHETIC PROXIMAL FEMUR PLATESRIGHT 9 HOLES L. 245,2133.6,2133.6,,,0
HCPCS,C1713,NCB PP DIST FEM PLATE R L 355MM,2503.2,2503.2,,,0
HCPCS,C1713,NCB SCREWS DEEP THREAD4.0 DEEP THREAD L. 36MM,226.8,226.8,,,0
HCPCS,C1713,NCB SCREWS SELF-TAPPING4.0 SELF-TAPPING L. 26MM,201.6,201.6,,,0
HCPCS,C1713,NCM CORT SCREW 5.0 X 48MM SELF TAPPING,277.2,277.2,,,0
HCPCS,C1713,NUT ORTH L17MM DIA5MM TI FOR CNDYL SCR T2/GAM3 NAIL SYS,321.6,321.6,,,0
HCPCS,C1713,NUT SPNL LOK FOR HD TO HD T CONN QUARTEX,108.0,108.0,,,0
HCPCS,C1713,OASYS BONE SCREW 4.5 X 14MM,479.71,479.71,,,0
HCPCS,C1713,OLECRANON PLATE LARGE  13 HOLE   104MM  13 HOLE   104MM,1621.2,1621.2,,,0
HCPCS,C1713,ONETHIRD TUBULAR PLATE W/COLLAR 10 HOLES121MM,134.4,134.4,,,0
HCPCS,C1713,ONETHIRD TUBULAR PLATE W/COLLAR 6 HOLES 73MM,126.0,126.0,,,0
HCPCS,C1713,ONETHIRD TUBULAR PLATE W/COLLAR 8 HOLES 97MM,134.4,134.4,,,0
HCPCS,C1713,OPEN REVISION CONNECTOR,1860.0,1860.0,,,0
HCPCS,C1713,OPUSMAGNUM IMPLANT,1436.4,1436.4,,,0
HCPCS,C1713,OSSIFUSE FLOWABLE BONR GRAFT PUTTY 10CC,2400.0,2400.0,,,0
HCPCS,C1713,OSSIFUSE FLOWABLE FIBER BONE GRAFT PUTTY,240.0,240.0,,,0
HCPCS,C1713,OSSIFUSE HSA BOAT 50X25X7MM X2,2872.8,2872.8,,,0
HCPCS,C1713,OSSIFUSE HSA STRP 100X10X5MM 5CC X2,5280.0,5280.0,,,0
HCPCS,C1713,OSSIFUSE HSA STRP 50X10X5MM 2.5CC X2,2868.0,2868.0,,,0
HCPCS,C1713,P1772248,11182.66,11182.66,,,0
HCPCS,C1713,PACK NASAL RHINO GOODMAN 5.5CM,75.24,75.24,,,0
HCPCS,C1713,PANGEA LOK SCR L32MM DIA4MM,547.2,547.2,,,0
HCPCS,C1713,PANGEA LOK SCR L70MM DIA5MM,595.2,595.2,,,0
HCPCS,C1713,PARTIAL ARTC PROX TIB PLT L 3.5MM  85MM/3 H,6108.0,6108.0,,,0
HCPCS,C1713,PECTUS BLU PREBENT TITANIUM BAR 11 .5 INCH,11952.0,11952.0,,,0
HCPCS,C1713,PECTUS BLU TRULINK STABILIZER,13197.6,13197.6,,,0
HCPCS,C1713,PEDIATRIC LOCKING NAIL SYSTEM  PEDIATRIC FEMORAL NAIL  TI-6A,1806.0,1806.0,,,0
HCPCS,C1713,PEG BNE 2X21MM SMTH DST RAD LOK TI VOLAR PLATING SYS GEMINUS,220.8,220.8,,,0
HCPCS,C1713,PEG BNE FIX L14MM DIA2.5MM VOLAR PRTLY THRD FOR ANAT PLT SYS,151.2,151.2,,,0
HCPCS,C1713,PEG BNE FIX L16MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
HCPCS,C1713,PEG BNE FIX L16MM DIA2.5MM DST VOLAR CORT RAD COCR MULTDIR,235.2,235.2,,,0
HCPCS,C1713,PEG BNE FIX L16MM DIA2.5MM DST VOLAR RAD PRTLY THRD FOR ANAT,151.2,151.2,,,0
HCPCS,C1713,PEG BNE FIX L16MM DIA2MM DST RAD TI SMTH FOR VOLAR PLATING,220.8,220.8,,,0
HCPCS,C1713,PEG BNE FIX L18MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
HCPCS,C1713,PEG BNE FIX L18MM DIA2.7MM DST RAD TI THRD NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,PEG BNE FIX L18MM DIA2MM DST RAD TI OPT 2 LOK SMTH GEMINUS,220.8,220.8,,,0
HCPCS,C1713,PEG BNE FIX L20MM DIA2.3MM DST RAD TI THRD LOK FOR VOLAR,237.6,237.6,,,0
HCPCS,C1713,PEG BNE FIX L20MM DIA2MM DST RAD TI SMTH FOR VOLAR PLATING,220.8,220.8,,,0
HCPCS,C1713,PEG PARTIAL THREAD  2.5MM X 12MM  2.5MM X 12MM,151.2,151.2,,,0
HCPCS,C1713,PERI SCREW 3.5MM X 80MM W/2.7MM HEAD SELFTAP,84.0,84.0,,,0
HCPCS,C1713,PERMATAGE,5877.6,5877.6,,,0
HCPCS,C1713,PHOENIX ANKLE NAIL SYSTEM  OFFSET END CAP  TI-6AL-4V ELI  12,259.2,259.2,,,0
HCPCS,C1713,PHOENIX NAIL SYSTEM  TI-DOUBLE LEAD CORTICAL SCREW  TI-6AL-4,369.6,369.6,,,0
HCPCS,C1713,PHOENIX RETROGRADE NAIL SYSTEM  RETROGRADE FEMORAL NAIL  TI-,3334.8,3334.8,,,0
HCPCS,C1713,PHOENIX TIBIAL NAIL SYSTEM  TIBIAL NAIL  TI-6AL-4V ELI  10.5,2746.8,2746.8,,,0
HCPCS,C1713,PIN ALIGN L200MM DIA2.5MM DISP FOR BIO RSA REV SHLDR,240.0,240.0,,,0
HCPCS,C1713,PIN CERCLAGE 4.5MM SS THRD FOR POS,649.8,649.8,,,0
HCPCS,C1713,PIN DIA3MM THRD TIB FOR NAT NAIL SYS,159.6,159.6,,,0
HCPCS,C1713,PIN DSTRCTR 14MM YEL TI 3 FLUT SLF DRL LSR ENGRAVED FOR ACF,57.6,57.6,,,0
HCPCS,C1713,PIN EXT FIX L150MM DIA4MM FOR TM TOT ANK SYS,270.0,270.0,,,0
HCPCS,C1713,PIN FIX 1.5MM PROV DISP FOR EVOS MINI PLATING SYS,352.8,352.8,,,0
HCPCS,C1713,PIN FIX 2.1X4MM PDLLA SONICPINS SONICWELD RX 5 PER PK,256.32,256.32,,,0
HCPCS,C1713,PIN FIX L229MM DIA2MM SS SGL TRCR PT N THRD STNMN,4.72,4.72,,,0
HCPCS,C1713,PIN FIX POLYETH BUMPER LOK OSS,1020.0,1020.0,,,0
HCPCS,C1713,PIN FIX POLYETH LOK COMPR MOLD OSS,552.0,552.0,,,0
HCPCS,C1713,PIN ORTH SMOOTH SGL SHRP TIP DMND PLN SS 2.4MM DIA 229MM,4.72,4.72,,,0
HCPCS,C1713,PIN ORTH SMOOTH SGL SHRP TIP DMND PLN SS ST 2.0MM DIA 229MM,22.08,22.08,,,0
HCPCS,C1713,PIRIFORMIS FOSSA FEMORAL NAIL - GREEN 11 MM DIAMETER  36 CM,2604.0,2604.0,,,0
HCPCS,C1713,PIRIFORMIS FOSSA FEMORAL NAIL - GREEN 12 MM DIAMETER  38 CM,2124.0,2124.0,,,0
HCPCS,C1713,PLATE 10HOLE LCP 242.110,6080.4,6080.4,,,0
HCPCS,C1713,PLATE 2.42.7MM VA-LOCKING STRAIGHT FUSION 4-HOLE,3166.2,3166.2,,,0
HCPCS,C1713,PLATE 2.4MM SD241.003,2464.8,2464.8,,,0
HCPCS,C1713,PLATE 2.7MM LC-DCP 4H 41MM 242.204,1445.4,1445.4,,,0
HCPCS,C1713,PLATE 226.58,1895.4,1895.4,,,0
HCPCS,C1713,PLATE 3 X 4,570.0,570.0,,,0
HCPCS,C1713,PLATE 3.5 POST PROX  2 HOLES,4149.0,4149.0,,,0
HCPCS,C1713,PLATE 3.5MM LC-DCP 10H 129MM 223.60,1368.0,1368.0,,,0
HCPCS,C1713,PLATE 3.5MM LC-DCP 12H 155MM 223.62,1506.6,1506.6,,,0
HCPCS,C1713,PLATE 3.5MM LCP 7H 98MM 223.571,1139.4,1139.4,,,0
HCPCS,C1713,PLATE 3.5MM LCP 9H 124MM 223.591,1265.4,1265.4,,,0
HCPCS,C1713,PLATE 3.5MM LCP T  4H HEAD X 6H SHAFT 78MM R ANGLE 241.161,1459.8,1459.8,,,0
HCPCS,C1713,PLATE 3001029 ZEVO 29MM 1 LVL,1740.0,1740.0,,,0
HCPCS,C1713,PLATE 4.5 12H LT,5952.6,5952.6,,,0
HCPCS,C1713,PLATE 5 HOLE FIBULA RT DISTAL,2109.6,2109.6,,,0
HCPCS,C1713,PLATE 8 HL UNI,3036.96,3036.96,,,0
HCPCS,C1713,PLATE AO DCP 10H 3.5MM 248.10,1485.0,1485.0,,,0
HCPCS,C1713,PLATE AO DCP 12H 2.7MM 244.12,533.74,533.74,,,0
HCPCS,C1713,PLATE AO DCP 5H 4.5MM 224.05,1504.8,1504.8,,,0
HCPCS,C1713,PLATE BNE 10 H 1/3 TBLR 118MM SS EVOS SM PLATING SYS,120.96,120.96,,,0
HCPCS,C1713,PLATE BNE 10 H 1/3 TBLR W/ CLLR 121MM SS SM FRAG SYS,662.4,662.4,,,0
HCPCS,C1713,PLATE BNE 10 H STR NAR 5MM X 205MM,6840.0,6840.0,,,0
HCPCS,C1713,PLATE BNE 11 H STR 143MM RECON SS LP PELV SYS FOR 3.5MM SCR,2145.6,2145.6,,,0
HCPCS,C1713,PLATE BNE 12 H 1/3 TBLR 3.5MM X 146MM,1886.4,1886.4,,,0
HCPCS,C1713,PLATE BNE 12 H 1/3 TBLR W/ CLLR 145MM SS SM FRAG SYS,691.2,691.2,,,0
HCPCS,C1713,PLATE BNE 12 H ADPT 97MM SS MOD MINI FRAG LCP SYS FOR 2.7MM,1594.8,1594.8,,,0
HCPCS,C1713,PLATE BNE 12 H STR NAR 3.5MM X 183MM,3760.8,3760.8,,,0
HCPCS,C1713,PLATE BNE 12 H STR NAR 5MM X 249MM,7927.2,7927.2,,,0
HCPCS,C1713,PLATE BNE 13 H STR BROAD 5MM X 277MM,6108.0,6108.0,,,0
HCPCS,C1713,PLATE BNE 14 H 189MM SS LCP FOR 3.5/4MM SCR,2169.0,2169.0,,,0
HCPCS,C1713,PLATE BNE 16 H 215MM SS LCP FOR 3.5/4MM SCR,2440.8,2440.8,,,0
HCPCS,C1713,PLATE BNE 2 H 1/3 TBLR W/ CLLR 25MM SS SM FRAG SYS FOR 3.5MM,504.0,504.0,,,0
HCPCS,C1713,PLATE BNE 2 H STR FUS 27MM SS VA-LCP FOREFOOT/MIDFOOT SYS,2993.4,2993.4,,,0
HCPCS,C1713,PLATE BNE 2 H W/ TAB DOGBONE UN3,265.82,265.82,,,0
HCPCS,C1713,PLATE BNE 24.4X89.5MM 7 H L ANAT EXT DVR,1234.8,1234.8,,,0
HCPCS,C1713,PLATE BNE 3 H 1/3 TBLR W/ CLLR 37MM SS SM FRAG SYS FOR 3.5MM,516.6,516.6,,,0
HCPCS,C1713,PLATE BNE 3 H L DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,1994.4,1994.4,,,0
HCPCS,C1713,PLATE BNE 3 H L PROX HUM,3592.8,3592.8,,,0
HCPCS,C1713,PLATE BNE 3 H R DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,1994.4,1994.4,,,0
HCPCS,C1713,PLATE BNE 3 H R PROX HUM,3592.8,3592.8,,,0
HCPCS,C1713,PLATE BNE 3 X 5 H T 42MM THCK 1.4MM EVOS MINI PLATING SYS,1764.0,1764.0,,,0
HCPCS,C1713,PLATE BNE 3X10 H T PLT 66MM SS MOD FT SYS FOR 2.4MM SCR,1830.6,1830.6,,,0
HCPCS,C1713,PLATE BNE 3X7 H T PLT 58MM SS MOD MINI FRAG LCP SYS,2512.8,2512.8,,,0
HCPCS,C1713,PLATE BNE 4 H 1/3 TBLR W/ CLLR 49MM SS SM FRAG SYS FOR 3.5MM,597.6,597.6,,,0
HCPCS,C1713,PLATE BNE 4 H 27MM SS LC-DCP FOR 2MM SCR,1533.6,1533.6,,,0
HCPCS,C1713,PLATE BNE 4 H L DST RAD VOLAR TI STD FOR 3.5MM SCR GEMINUS,2020.8,2020.8,,,0
HCPCS,C1713,PLATE BNE 5 H 1/3 TBLR W/ CLLR 57MM SS SM FRAG LCP SYS,601.2,601.2,,,0
HCPCS,C1713,PLATE BNE 5 H 1/3 TBLR W/ CLLR 61MM SS SM FRAG SYS FOR 3.5MM,597.6,597.6,,,0
HCPCS,C1713,PLATE BNE 6 H 1/3 TBLR W/ CLLR 73MM SS SM FRAG SYS FOR 3.5MM,613.8,613.8,,,0
HCPCS,C1713,PLATE BNE 6 H 77MM SS LC-DCP FOR 3.5MM SCR,1168.2,1168.2,,,0
HCPCS,C1713,PLATE BNE 6 H 85MM SS LCP FOR 3.5/4MM SCR,1092.6,1092.6,,,0
HCPCS,C1713,PLATE BNE 6 H CRV 78MM RAD 88MM RECON SS LP PELV SYS,2746.8,2746.8,,,0
HCPCS,C1713,PLATE BNE 6 H STR 51MM SS LC-DCP FOR 2.4MM SCR,2388.6,2388.6,,,0
HCPCS,C1713,PLATE BNE 7 H 1/3 TBLR 82MM SS EVOS SM PLATING SYS FOR 3.5MM,110.88,110.88,,,0
HCPCS,C1713,PLATE BNE 7 H 1/3 TBLR W/ CLLR 81MM SS SM FRAG LCP SYS,601.2,601.2,,,0
HCPCS,C1713,PLATE BNE 7 H 1/3 TBLR W/ CLLR 85MM SS SM FRAG SYS FOR 3.5MM,613.8,613.8,,,0
HCPCS,C1713,PLATE BNE 7 H 67MM SS MOD MINI FRAG LCP SYS FOR 2.7MM SCR,1445.4,1445.4,,,0
HCPCS,C1713,PLATE BNE 7 H 90MM COMPR LOK EVOS FOR 3.5MM SCR,359.52,359.52,,,0
HCPCS,C1713,PLATE BNE 7 H 90MM SS LC-DCP FOR 3.5MM SCR,1213.2,1213.2,,,0
HCPCS,C1713,PLATE BNE 8 H 1/3 TBLR W/ CLLR 93MM SS SM FRAG LCP SYS,642.6,642.6,,,0
HCPCS,C1713,PLATE BNE 8 H 1/3 TBLR W/ CLLR 97MM SS SM FRAG SYS FOR 3.5MM,637.2,637.2,,,0
HCPCS,C1713,PLATE BNE 8 H 103MM SS LC-DCP FOR 3.5MM SCR,1274.4,1274.4,,,0
HCPCS,C1713,PLATE BNE 8 H 111MM SS LCP FOR 3.5/4MM SCR,1189.8,1189.8,,,0
HCPCS,C1713,PLATE BNE 8 H 67MM COMPR EVOS,543.84,543.84,,,0
HCPCS,C1713,PLATE BNE 8 H CRV 104MM RAD 108MM RECON SS LP PELV SYS,2982.6,2982.6,,,0
HCPCS,C1713,PLATE BNE 8 H CRV 104MM RAD 88MM RECON SS LP PELV SYS,1807.2,1807.2,,,0
HCPCS,C1713,PLATE BNE 8 H CRV NAR 3.5MM X 115MM,4075.2,4075.2,,,0
HCPCS,C1713,PLATE BNE 8 H NAR 152MM SS LCP FOR 4.5MM SCR,1677.6,1677.6,,,0
HCPCS,C1713,PLATE BNE 8 H R POST LAT HUM,1600.8,1600.8,,,0
HCPCS,C1713,PLATE BNE 8 H STR 104MM RECON SS LP PELV SYS FOR 3.5MM SCR,1974.6,1974.6,,,0
HCPCS,C1713,PLATE BNE 80MM DP LAT HUM FOR R HUM 3 H,1927.2,1927.2,,,0
HCPCS,C1713,PLATE BNE 9 H 1/3 TBLR 3.5MM 110MM PANGEA,1886.4,1886.4,,,0
HCPCS,C1713,PLATE BNE 9 H 1/3 TBLR W/ CLLR 109MM SS SM FRAG SYS,662.4,662.4,,,0
HCPCS,C1713,PLATE BNE 9 H NAR 170MM SS LCP FOR 4.5MM SCR,1755.0,1755.0,,,0
HCPCS,C1713,PLATE BNE CALCANEUS 8 H 64MM RECON SS MOD FT SYS FOR 2.7MM,1321.2,1321.2,,,0
HCPCS,C1713,PLATE BNE CENTRE H 16MM O SHP SS FOR 4.5MM SCR PEDIPLATES,1178.21,1178.21,,,0
HCPCS,C1713,PLATE BNE CLAV MIDSHAFT ANT 7 H 86MM LOK TI VARIAX CLAV SYS,4388.59,4388.59,,,0
HCPCS,C1713,PLATE BNE CLAV MIDSHAFT SUP L 6 H DECREASED CURVATURE BRDG,2558.4,2558.4,,,0
HCPCS,C1713,PLATE BNE CLAV MIDSHAFT SUP L 7 H DECREASED CURVATURE STD,2092.8,2092.8,,,0
HCPCS,C1713,PLATE BNE CLAV MIDSHAFT SUP L 8 H DECREASED CURVATURE BRDG,2558.4,2558.4,,,0
HCPCS,C1713,PLATE BNE CLAV MIDSHAFT SUP L 8 H DECREASED CURVATURE STD,2325.6,2325.6,,,0
HCPCS,C1713,PLATE BNE CLAV MIDSHAFT SUP R 6 H DECREASED CURVATURE BRDG,2558.4,2558.4,,,0
HCPCS,C1713,PLATE BNE CLAV MIDSHAFT SUP R 6 H DECREASED CURVATURE STD,3949.22,3949.22,,,0
HCPCS,C1713,PLATE BNE CLAV MIDSHAFT SUP R 7 H DECREASED CURVATURE STD,3949.22,3949.22,,,0
HCPCS,C1713,PLATE BNE CLAV SUP R 7 H 100MM SS LCP FOR 3.5MM SCR,3794.4,3794.4,,,0
HCPCS,C1713,PLATE BNE CMF 2 H STR 12MM TI CRAN PLATING SYS MATRIXNEURO,74.3,74.3,,,0
HCPCS,C1713,PLATE BNE CMF 2 X 2 H CRESC THCK 1.25MM TI MATRIXMANDIBLE,917.76,917.76,,,0
HCPCS,C1713,PLATE BNE CMF 20 H ADPT TI CRAN PLATING SYS MATRIXNEURO,597.31,597.31,,,0
HCPCS,C1713,PLATE BNE CMF 20 H STR TI MATRIXMIDFACE,1232.11,1232.11,,,0
HCPCS,C1713,PLATE BNE CMF 3 X 3 H ANG THCK 1.25MM DCP TI MATRIXMANDIBLE,1021.44,1021.44,,,0
HCPCS,C1713,PLATE BNE CMF 4 H 10X16MM TI CRAN PLATING SYS MATRIXNEURO,257.47,257.47,,,0
HCPCS,C1713,PLATE BNE CMF 4 H BX 14X14MM TI CRAN PLATING SYS MATRIXNEURO,269.57,269.57,,,0
HCPCS,C1713,PLATE BNE CMF 4 H STR 24MM TI CRAN PLATING SYS MATRIXNEURO,83.52,83.52,,,0
HCPCS,C1713,PLATE BNE CMF 5 H Y PLT TI CRAN PLATING SYS MATRIXNEURO,269.57,269.57,,,0
HCPCS,C1713,PLATE BNE CMF 6 H DBL Y PLT 18MM TI CRAN PLATING SYS,269.57,269.57,,,0
HCPCS,C1713,PLATE BNE CMF MINI 2X2 H BROAD MAL TI MAND PLATING SYS,890.88,890.88,,,0
HCPCS,C1713,PLATE BNE CNDYL L 6 H 170MM SS LCP FOR 4.5MM SCR,5740.2,5740.2,,,0
HCPCS,C1713,PLATE BNE CNDYL L 8 H 57MM SS MOD HND SYS FOR 2.4MM SCR,2496.6,2496.6,,,0
HCPCS,C1713,PLATE BNE CNDYL R 12 H CRV 278MM SS LCP PERIARTC PLATING SYS,6253.2,6253.2,,,0
HCPCS,C1713,PLATE BNE CNTR H O PLT 20MM THK1.5MM PEDIPLATES,1178.21,1178.21,,,0
HCPCS,C1713,PLATE BNE CRAN 2 H 16MM BAR DOG BNE LP UNIV NEURO III,330.72,330.72,,,0
HCPCS,C1713,PLATE BNE CRAN 2 H STR 12MM THCK 0.3MM TI ULT LP MATRIXNEURO,79.49,79.49,,,0
HCPCS,C1713,PLATE BNE CRAN 2 X 2 H GRID 14MM THCK 0.35MM TI ALLY W/ TAB,648.0,648.0,,,0
HCPCS,C1713,PLATE BNE CRAN 2 X 3 H STRUT 14MM X 24MM THCK 0.4MM TI,467.14,467.14,,,0
HCPCS,C1713,PLATE BNE CRAN 2X2 H RECT LP UNIV NEURO III FOR 1.5MM SCR,645.22,645.22,,,0
HCPCS,C1713,PLATE BNE CRAN 3 X 2 H GRID 15MM THCK 0.35MM TI ALLY W/ TAB,838.8,838.8,,,0
HCPCS,C1713,PLATE BNE CRAN 4 H SQ FRME 14MM X 14MM THCK 0.3MM TI ULT LP,292.03,292.03,,,0
HCPCS,C1713,PLATE BNE CRAN 6 H STR 27MM THCK 0.35MM TI ALLY W/ TAB,588.6,588.6,,,0
HCPCS,C1713,PLATE BNE CRAN BX 10MM X 16MM THCK 0.3MM TI ULT LP,277.63,277.63,,,0
HCPCS,C1713,PLATE BNE CRAN LG 2X2 H BX LP UNIV NEURO III FOR 1.5MM SCR,658.94,658.94,,,0
HCPCS,C1713,PLATE BNE CRAN SM 2X2 H BX LP UNIV NEURO III FOR 1.5MM SCR,416.83,416.83,,,0
HCPCS,C1713,PLATE BNE DST VOLAR RAD L NAR 4 H 21.6MM X 57.2MM FOR DVR,1234.8,1234.8,,,0
HCPCS,C1713,PLATE BNE DST VOLAR RAD R 4 H NAR TI GEMINUS,2020.8,2020.8,,,0
HCPCS,C1713,PLATE BNE DST VOLAR RAD R NAR SHT 3 H 21.6MM X 48.9MM,1234.8,1234.8,,,0
HCPCS,C1713,PLATE BNE FEM DST R 355MM PANGEA,7996.8,7996.8,,,0
HCPCS,C1713,PLATE BNE FEM PERIPROSTHETIC TROC R NAR TI ALLY W/ 2 CONN,1579.2,1579.2,,,0
HCPCS,C1713,PLATE BNE FEM PROX L 10 H SS VA-LCP PPFX FOR 3.5/4.5MM SCR,9547.2,9547.2,,,0
HCPCS,C1713,PLATE BNE FEM PROX L 11 H SS VA-LCP PPFX FOR 3.5/4.5MM SCR,10060.2,10060.2,,,0
HCPCS,C1713,PLATE BNE FIB LAT DST R 6 H 112MM SS LCP FOR 2.7/3.5MM SCR,2156.4,2156.4,,,0
HCPCS,C1713,PLATE BNE HIP 2 H ST 46MM 130DEG STD BRL SS DH-DC SYS,2311.2,2311.2,,,0
HCPCS,C1713,PLATE BNE HIP 4 H ST 78MM 130DEG STD BRL SS DH-DC SYS,1776.19,1776.19,,,0
HCPCS,C1713,PLATE BNE HUM DST MED L OR R 8 H 139MM TI VARIAX EL,2712.0,2712.0,,,0
HCPCS,C1713,PLATE BNE HUM X-ARTC DST L 8 H 194MM SS LCP FOR 3.5MM SCR,5151.6,5151.6,,,0
HCPCS,C1713,PLATE BNE INF 3 H 35MM BLDE 5MM OFFSET 90DEG LOK CANN,2407.1,2407.1,,,0
HCPCS,C1713,PLATE BNE L107MM 6 H ST L ANT DST TIB SS PART ARTC,2333.76,2333.76,,,0
HCPCS,C1713,PLATE BNE L113MM 8 H ST L LAT PROX TIB SS FOR 3.5MM SCR EVOS,3659.04,3659.04,,,0
HCPCS,C1713,PLATE BNE L114MM 8 H L OLECRANON FOR 2.7/3.5MM SCR EVOS,2697.6,2697.6,,,0
HCPCS,C1713,PLATE BNE L116MM 4 H NS R OLECRANON VA LOK COMPR LP,3879.0,3879.0,,,0
HCPCS,C1713,PLATE BNE L120MM 10 H R SUP MIDSHAFT ANK FT TI LOK INCREASED,2325.6,2325.6,,,0
HCPCS,C1713,PLATE BNE L129MM 10 H R POSTEROLATERAL DST HUM FOR 2.7/3.5MM,2534.4,2534.4,,,0
HCPCS,C1713,PLATE BNE L145MM 8 H NONSTERILE L PROX MED TIB LOK COMPR LP,5563.8,5563.8,,,0
HCPCS,C1713,PLATE BNE L171MM 10 H NONSTERILE R PROX MED TIB LOK COMPR LP,5689.8,5689.8,,,0
HCPCS,C1713,PLATE BNE L28MM THK1.4MM SHFT W7.5MM 4 H ST FLX FOR 2.7MM,1806.0,1806.0,,,0
HCPCS,C1713,PLATE BNE L317MM 15 H L DST PERIPROSTHETIC FEM TI NCB,2377.2,2377.2,,,0
HCPCS,C1713,PLATE BNE L350MM 16 H NS R PERIARTC CNDYL KNEE CRV LOK COMPR,6503.4,6503.4,,,0
HCPCS,C1713,PLATE BNE L355MM 18 H NS PERIPROSTHETIC L DST FEM TI NCB,2503.2,2503.2,,,0
HCPCS,C1713,PLATE BNE L35MM THK1.3MM 2X4 H L HND TI L SHP LOK TRILOK,1903.56,1903.56,,,0
HCPCS,C1713,PLATE BNE L41MM 3X5 H T SHP NAR LOK VARIAX 2.4,2047.2,2047.2,,,0
HCPCS,C1713,PLATE BNE L49MM THK1.9MM SHFT W6MM 8 H ST STRENGTH FOR 2.4MM,1638.0,1638.0,,,0
HCPCS,C1713,PLATE BNE L56MM THK1.3MM 2X8 H HND TI T SHP LOK TRILOK,2012.42,2012.42,,,0
HCPCS,C1713,PLATE BNE L56MM THK2.2MM SHFT W7.5MM 8 H ST STRENGTH,1806.0,1806.0,,,0
HCPCS,C1713,PLATE BNE L70MM 6 H ST SS 1/3 TBLR FOR 3.5MM SCR EVOS,117.6,117.6,,,0
HCPCS,C1713,PLATE BNE L70MM THK2.2MM SHFT W7.5MM 10 H ST STRENGTH,1806.0,1806.0,,,0
HCPCS,C1713,PLATE BNE L81MM THK3.5MM XLN R CALCNL SS LOK COMPR FOR 3.5MM,3421.68,3421.68,,,0
HCPCS,C1713,PLATE BNE L82MM 7 H ST SS 1/3 TBLR LOK FOR 3.5MM SCR EVOS,337.92,337.92,,,0
HCPCS,C1713,PLATE BNE L83MM 5 H L OLECRANON FOR 2.7/3.5MM SCR EVOS,2505.6,2505.6,,,0
HCPCS,C1713,PLATE BNE L87MM 2X10 H T SHP NAR LOK VARIAX 2.7,2342.4,2342.4,,,0
HCPCS,C1713,PLATE BNE L90MM 10 H BROAD LOK VARIAX 2.7,2342.4,2342.4,,,0
HCPCS,C1713,PLATE BNE L90MM 4 H L PROX HUM HI ALPS,2536.8,2536.8,,,0
HCPCS,C1713,PLATE BNE L94MM 8 H ST SS 1/3 TBLR FOR 3.5MM SCR EVOS,120.96,120.96,,,0
HCPCS,C1713,PLATE BNE M L150MM THK4MM VIT TROC GRP LP W/ 2 2MM CBL,3456.0,3456.0,,,0
HCPCS,C1713,PLATE BNE MANUBRIUM STRNM 12 H STAR LOK TI,2151.6,2151.6,,,0
HCPCS,C1713,PLATE BNE MAXILLOMANDIBULAR 10 H SHT TI MAND PLATING SYS,568.32,568.32,,,0
HCPCS,C1713,PLATE BNE MIDFACE L MIC 4 H STR 17MM THCK 0.6MM TI LEVELONE,191.52,191.52,,,0
HCPCS,C1713,PLATE BNE MINI 5 H Y TINE ST 7.5X52MM VA LOK SS LP FOR 2.7MM,2268.0,2268.0,,,0
HCPCS,C1713,PLATE BNE NONSTERILE L VOLAR RIM CROSSLOCK DVR,1663.2,1663.2,,,0
HCPCS,C1713,PLATE BNE OLECRANON L 3 H 65MM TI VARIAX EL FOR 2.7/3.5MM,1927.2,1927.2,,,0
HCPCS,C1713,PLATE BNE OLECRANON R 2 H 90MM SS VA-LCP EL SYS,3778.2,3778.2,,,0
HCPCS,C1713,PLATE BNE OLECRANON R 4 H 89MM TI VARIAX EL FOR 2.7/3.5MM,2126.4,2126.4,,,0
HCPCS,C1713,PLATE BNE ORBIT 12 H CRV TI MATRIXMIDFACE,677.62,677.62,,,0
HCPCS,C1713,PLATE BNE PUBIC SYMPHYSIS 6 H 78MM SS LP PELV SYS FOR 3.5MM,3744.0,3744.0,,,0
HCPCS,C1713,PLATE BNE R ANT TIBIOTALAR STD COMPR TI FOR 3.5/4MM SCR ANK,4531.2,4531.2,,,0
HCPCS,C1713,PLATE BNE R DST RAD LNG 12 H 24X85MM COMPR LOK TI LP,1814.4,1814.4,,,0
HCPCS,C1713,PLATE BNE R MAND 2X2 H L SHP 20MM TI LP OSTEOSYN 2.0 MINI,287.04,287.04,,,0
HCPCS,C1713,PLATE BNE RAD DST ANAT VOLAR R 2XL 15 H ST STD 189MM TI,3576.0,3576.0,,,0
HCPCS,C1713,PLATE BNE RAD DST L MD 24X62MM CROSSLOCK TI LP DVR ANAT,1688.4,1688.4,,,0
HCPCS,C1713,PLATE BNE RAD DST L MD 24X85MM CROSSLOCK TI LP DVR ANAT,1814.4,1814.4,,,0
HCPCS,C1713,PLATE BNE RAD DST L MINI 24X43MM CROSSLOCK TI LP DVR ANAT,1503.6,1503.6,,,0
HCPCS,C1713,PLATE BNE RAD DST VOLAR L STD SHT 24.4X51.3MM DVR ANAT VOLAR,1234.8,1234.8,,,0
HCPCS,C1713,PLATE BNE STRNM 8 H ST X-PLT LOK LP STERNALPLATE,2059.2,2059.2,,,0
HCPCS,C1713,PLATE BNE SZ 3.5 18 H T SHP BROAD,3592.8,3592.8,,,0
HCPCS,C1713,PLATE BNE T SHP 2.7MM 3TX10,3204.0,3204.0,,,0
HCPCS,C1713,PLATE BNE T SHP 2.7MM 5TX10,3544.8,3544.8,,,0
HCPCS,C1713,PLATE BNE T SHP 3.5MM 3TX5,3204.0,3204.0,,,0
HCPCS,C1713,PLATE BNE TARSOMETATARSAL FUS 2X2 H 43MM SS VA-LCP,3515.4,3515.4,,,0
HCPCS,C1713,PLATE BNE THK.6MM L 3D ORBIT FLR RESORB XG,2870.4,2870.4,,,0
HCPCS,C1713,PLATE BNE THK0.6MM 12 H CMF TI ORBIT LEV 1 FOR 1.5MM SCR,638.4,638.4,,,0
HCPCS,C1713,PLATE BNE THK0.6MM 4 H MIDFACE TI STR PROF LEV 1 FOR 1.5MM,324.24,324.24,,,0
HCPCS,C1713,PLATE BNE THK0.6MM 6 H MIDFACE TI STR PROF LEV 1 FOR 1.5MM,378.0,378.0,,,0
HCPCS,C1713,PLATE BNE THK0.6MM 6X2 H MIDFACE TI PROF LEV 1 FOR 1.5MM SCR,869.4,869.4,,,0
HCPCS,C1713,PLATE BNE THK0.6MM 7 H MIDFACE TI L SHP PROF LEV 1 FOR 1.5MM,608.16,608.16,,,0
HCPCS,C1713,PLATE BNE THK0.8MM 6 H MIDFACE TI STR PROF LEV 1 G FOR 1.5MM,378.0,378.0,,,0
HCPCS,C1713,PLATE BNE TIB POSTEROMEDIAL PROX 4 H 105MM SS LCP FOR 3.5MM,4194.0,4194.0,,,0
HCPCS,C1713,PLATE BNE TIB PROX L 10 H LO BEND 154MM SS LCP FOR 3.5MM SCR,5679.0,5679.0,,,0
HCPCS,C1713,PLATE BNE TIB PROX L 16 H LO BEND 232MM SS LCP FOR 3.5MM SCR,6318.0,6318.0,,,0
HCPCS,C1713,PLATE BNE TIB PROX L 4 H LO BEND 76MM SS LCP FOR 3.5MM SCR,5299.2,5299.2,,,0
HCPCS,C1713,PLATE BNE TIB PROX L 8 H LO BEND 128MM SS LCP FOR 3.5MM SCR,5542.2,5542.2,,,0
HCPCS,C1713,PLATE BNE TIB PROX R 12 H 226MM SS LCP PERIARTC PLATING SYS,5979.6,5979.6,,,0
HCPCS,C1713,PLATE BNE TIB PROX R 12 H LO BEND 180MM SS LCP FOR 3.5MM SCR,6012.0,6012.0,,,0
HCPCS,C1713,PLATE BNE W22XL51MM 12 H L DST RAD TI LOK COMPR LP NAR RIG,1503.6,1503.6,,,0
HCPCS,C1713,PLATE BNE W24.4XL89MM 7 H R DST VOLAR RAD EXT ANAT,1234.8,1234.8,,,0
HCPCS,C1713,PLATE BNE W24XL51MM 12 H R DST VOLAR RAD WRST STD LOK,1503.6,1503.6,,,0
HCPCS,C1713,PLATE BNE W24XL62MM 12 H R DST RAD TI LOK COMPR LP NAR RIG,1688.4,1688.4,,,0
HCPCS,C1713,PLATE BNE WRST 11 H STR 170MM SS LP LCP FOR 2.4MM SCR,5178.6,5178.6,,,0
HCPCS,C1713,PLATE BONE 10 HOLE 4.5MM TIMAX COMPRESSION NARROW HYBRID LG,487.2,487.2,,,0
HCPCS,C1713,PLATE BONE ANTERIOR 11 HOLE 2.7MM NARROW 90MM CLAVICULAR PLA,2200.8,2200.8,,,0
HCPCS,C1713,PLATE BONE ANTERIOR 9 HOLE 3.5MM STANDARD 100MM CLAVICULAR P,2268.0,2268.0,,,0
HCPCS,C1713,PLATE BONE CLAVICULAR SUPERIOR LEFT 10 HOLE 110MM ALPS,2326.8,2326.8,,,0
HCPCS,C1713,PLATE BONE FEMORAL DISTAL RIGHT 13 HOLE 324MM COMPRESSION LO,2268.0,2268.0,,,0
HCPCS,C1713,PLATE BONE LEFT 24X175MM DISTAL RADIAL 2XLONG CROSSLOCK DVR,2486.4,2486.4,,,0
HCPCS,C1713,PLATE BONE LEFT STRAIGHT NARROW 10 HOLE 146MM NCB,966.0,966.0,,,0
HCPCS,C1713,PLATE BONE LOCKING COMPRESSION ULNAR BILATERAL 2.7 MM SCREW,1444.8,1444.8,,,0
HCPCS,C1713,PLATE BONE NARROW Y 1.5MM/2.0MM 5 HOLE ALPS MVX,1294.39,1294.39,,,0
HCPCS,C1713,PLATE BONE PERIPROSTHETIC TROCHANTER LEFT NARROW TITANIUM NC,1579.2,1579.2,,,0
HCPCS,C1713,PLATE BONE RADIAL DISTAL LEFT EXTRA LONG STERILE 24X125MM CR,2268.0,2268.0,,,0
HCPCS,C1713,PLATE BONE T CURVED 1.5MM/2.0MM 53 HOLE ALPS MVX,1393.97,1393.97,,,0
HCPCS,C1713,PLATE BONE WRIST DORSAL RIGHT DVR CROSSLOCK,1587.6,1587.6,,,0
HCPCS,C1713,PLATE BONE WRIST RIGHT 7 HOLE 13X42.7MM COMPRESSION ANGLED L,890.4,890.4,,,0
HCPCS,C1713,PLATE CALCANEAL LONGLEFT,3307.25,3307.25,,,0
HCPCS,C1713,PLATE CALCANEAL LONGRIGHT,1713.84,1713.84,,,0
HCPCS,C1713,PLATE CALCANEAL SHORTLEFT,1607.28,1607.28,,,0
HCPCS,C1713,PLATE CALCANEAL SHORTRIGHT,3100.82,3100.82,,,0
HCPCS,C1713,PLATE CLAVICLE SUP LT 8-HOLE NS 90MM  133525090,2268.0,2268.0,,,0
HCPCS,C1713,PLATE COND 4.5159 LEFT,6831.0,6831.0,,,0
HCPCS,C1713,PLATE DISTAL HUMEROUS 02.107.002,3380.4,3380.4,,,0
HCPCS,C1713,PLATE EVOS 2.4MM STRENGTH 6 HOLE,1638.0,1638.0,,,0
HCPCS,C1713,PLATE EVOS EA-D HUM 16H 2.7/3.5MM 16H R 195MM  72469216,2851.2,2851.2,,,0
HCPCS,C1713,PLATE EVOS HUM M-D 7-HOLE 2.7/3.5MM  72465607,2481.6,2481.6,,,0
HCPCS,C1713,PLATE EVOS HUMERUS M-D 3-HOLE 2.7/3.5MM 80MM  7246-5503,2073.6,2073.6,,,0
HCPCS,C1713,PLATE EVOS HUMERUS M-D 5-HOLE R 2.7 X 3.5MM  7246-5605,2308.8,2308.8,,,0
HCPCS,C1713,PLATE EVOS OLCRNN W/ TNS 2-HOLE 2.7/3.5 61.MM  72466402,2299.2,2299.2,,,0
HCPCS,C1713,PLATE EVOS RADIAL SHAFT 12-HOLE 146MM  7246-8612,1526.4,1526.4,,,0
HCPCS,C1713,PLATE EVOS RADIAL SHAFT 8-HOLE 98MM  7246-8608,1118.4,1118.4,,,0
HCPCS,C1713,PLATE FOOT 155 71070144,3507.6,3507.6,,,0
HCPCS,C1713,PLATE INFANT BLADE 3.5 X 35 X 5MM,2407.1,2407.1,,,0
HCPCS,C1713,PLATE LCP 12 HOLE 224.621,2206.8,2206.8,,,0
HCPCS,C1713,PLATE LEFT 2MM THICK TI MATMAN 7X23,3764.16,3764.16,,,0
HCPCS,C1713,PLATE NARROW 4.510H188MM,1906.2,1906.2,,,0
HCPCS,C1713,PLATE PROXIMAL TIBIA 10H LEFT,5909.4,5909.4,,,0
HCPCS,C1713,PLATE RECONSTRUCTION LOW PROFILE CURVED 10H 88MM RADIUS 245.,3121.2,3121.2,,,0
HCPCS,C1713,PLATE SPNL 10MM 2 SIDE XLIF AMS,7680.0,7680.0,,,0
HCPCS,C1713,PLATE SPNL 8MM OPN DOOR CNTRPC,636.0,636.0,,,0
HCPCS,C1713,PLATE SPNL ANT CERV 10MM 1 LEV XTEND,1200.0,1200.0,,,0
HCPCS,C1713,PLATE SPNL ANT CERV 13MM 1 LEV VIP,1680.0,1680.0,,,0
HCPCS,C1713,PLATE SPNL ANT CERV 14MM 1 LEV XTEND,1200.0,1200.0,,,0
HCPCS,C1713,PLATE SPNL ANT CERV 17MM 1 LEV VIP,1680.0,1680.0,,,0
HCPCS,C1713,PLATE SPNL L10MM TI POST CERV OPN DOOR WIDE MOUTH H BILAT,636.0,636.0,,,0
HCPCS,C1713,PLATE SPNL L12MM ANT CERV TI ALLY LEV 1 XTEND,1200.0,1200.0,,,0
HCPCS,C1713,PLATE SPNL L12MM TI POST CERV OPN DOOR LAT H BILAT CNTRPC,636.0,636.0,,,0
HCPCS,C1713,PLATE SPNL L16MM ANT CERV TI ALLY LEV 1 XTEND,1200.0,1200.0,,,0
HCPCS,C1713,PLATE SPNL L17MM THK1.9MM ANT CERV TI 1 LEV ZEVO,1740.0,1740.0,,,0
HCPCS,C1713,PLATE SPNL L24MM ANT CERV TI ALLY LEV 1 XTEND,1200.0,1200.0,,,0
HCPCS,C1713,PLATE SPNL L33MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
HCPCS,C1713,PLATE SPNL L34MM ANT CERV TI ALLY LEV 2 XTEND,1200.0,1200.0,,,0
HCPCS,C1713,PLATE SPNL L35MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
HCPCS,C1713,PLATE SPNL L36MM ANT CERV TI ALLY LEV 2 XTEND,1200.0,1200.0,,,0
HCPCS,C1713,PLATE SPNL L37MM THK1.9MM ANT CERV TI 2 LEV ZEVO,1800.0,1800.0,,,0
HCPCS,C1713,PLATE SPNL L45MM ANT CERV TI ALLY LEV 3 XTEND,1320.0,1320.0,,,0
HCPCS,C1713,PLATE SPNL L7MM POST DCOMPR SHLF ADJACENT CNPY,960.0,960.0,,,0
HCPCS,C1713,PLATE SPNL OCCIPITOCERVICAL UP THOR ADJ INFIN,3600.0,3600.0,,,0
HCPCS,C1713,PLATE SPNL POST CERV 10MM TI LP CNTRPC,636.0,636.0,,,0
HCPCS,C1713,PLATE SPNL SM L20MM OCCIPITAL QUARTEX,3600.0,3600.0,,,0
HCPCS,C1713,PLATE STRAIGHT ULTRA LOW PROFILE 24MM 4 HOLES,91.58,91.58,,,0
HCPCS,C1713,PLATE SUPERIOR INCREASED 6-HOLE LEFT 97MM  628146,4822.85,4822.85,,,0
HCPCS,C1713,PLATE SUPERIOR LATERAL RIGHT  628224,4388.59,4388.59,,,0
HCPCS,C1713,PLATE TIBIA  RIGHT 93MM,5236.2,5236.2,,,0
HCPCS,C1713,PLATE TIT LC-DCP 2.4MM 8H48MM,2604.6,2604.6,,,0
HCPCS,C1713,PLATE XLIF AMS 12MM SINGLE SIDED,7680.0,7680.0,,,0
HCPCS,C1713,PLTMINI 4 HOLE W BAR1.5MM,1689.34,1689.34,,,0
HCPCS,C1713,PLTMINI 6 HOLE1.5MM,2044.78,2044.78,,,0
HCPCS,C1713,PLTRETROSIGMOID MALLEABLE LRG,2755.56,2755.56,,,0
HCPCS,C1713,PLTSUBOCCIPTAL MALLEABLE SML,1809.6,1809.6,,,0
HCPCS,C1713,PLUG ORTH 5MM TI ALLY CBL T15 FOR PANGEA SYS,588.0,588.0,,,0
HCPCS,C1713,PMF THREADED WIRES D 1.6 MM LENGTH 70/15 MM,183.6,183.6,,,0
HCPCS,C1713,POLYAXIAL SCREW MEDIAL 3.5X22,2140.2,2140.2,,,0
HCPCS,C1713,POSTERIOR FIBULA PLATE 10H RT,2409.55,2409.55,,,0
HCPCS,C1713,POSTERIOR FIBULA PLATE 14H RT,2489.21,2489.21,,,0
HCPCS,C1713,POSTERIOR FIBULA PLATE 8H RT,2389.66,2389.66,,,0
HCPCS,C1713,POSTLAT TIBIA PLATE 4-5H RT,3903.1,3903.1,,,0
HCPCS,C1713,POSTLAT TIBIA PLATE 6-4H LT,3942.91,3942.91,,,0
HCPCS,C1713,PRE-LORDOSED ROD WLINE 85MM,529.8,529.8,,,0
HCPCS,C1713,PROBE PEDICLE SCREW  DISPOSABLE 3MM  10004986,207.0,207.0,,,0
HCPCS,C1713,PROSTHESIS SPACER SM 12MM SHOULDER ALTIVATE REVERSE,3348.0,3348.0,,,0
HCPCS,C1713,PROTEAN FRAGMENT PLATE DOUBLE HOCKEY STICK,2083.2,2083.2,,,0
HCPCS,C1713,PROTECTOR PIN L0.42IN DIA1.6MM GRN FOR K-WIRE,5.0,5.0,,,0
HCPCS,C1713,PROVIDENCE ANTERIOR CERVICAL PLATE 3-LEVEL 57MM,1320.0,1320.0,,,0
HCPCS,C1713,PROX TIB LOCK PLATE LT 5H STD,2100.0,2100.0,,,0
HCPCS,C1713,PROX TIB LOCK PLATE LT 7H STD,2116.8,2116.8,,,0
HCPCS,C1713,PROX TIB LOCK PLATE LT 9H STD,2142.0,2142.0,,,0
HCPCS,C1713,PROX TIB LOCK PLATE RT 13H STD,2175.6,2175.6,,,0
HCPCS,C1713,PROX TIB LOCK PLATE RT 9H STD,2142.0,2142.0,,,0
HCPCS,C1713,PROXIMAL HUM PLT 8 H R,4168.8,4168.8,,,0
HCPCS,C1713,PROXIMAL HUM PLT L 3.5MM  105MM/4 H,5956.8,5956.8,,,0
HCPCS,C1713,PROXIMAL HUM PLT L 3.5MM 245MM/14 H,11181.6,11181.6,,,0
HCPCS,C1713,PROXIMAL HUM PLT R 3.5MM  189MM/10 H,7034.4,7034.4,,,0
HCPCS,C1713,PROXIMAL HUM PLT R 3.5MM  217MM/12 H,7332.0,7332.0,,,0
HCPCS,C1713,PROXIMAL HUM PLT R 3.5MM 105MM/4 H,5956.8,5956.8,,,0
HCPCS,C1713,PROXIMAL HUMERUS HI PLATE LEFT 3 HOLE,2444.4,2444.4,,,0
HCPCS,C1713,PROXIMAL HUMERUS HI PLATE RIGHT 7 HOLE,2965.2,2965.2,,,0
HCPCS,C1713,PROXIMAL HUMERUS LOW PLATE LEFT 11 HOLE,3334.8,3334.8,,,0
HCPCS,C1713,PROXIMAL LAT TIB PLT L 3.5MM 123MM/4 H,5498.4,5498.4,,,0
HCPCS,C1713,PROXIMAL LAT TIB PLT L 3.5MM 151MM/6 H,5652.0,5652.0,,,0
HCPCS,C1713,PROXIMAL LAT TIB PLT R 3.5MM  235MM/12 H,6415.2,6415.2,,,0
HCPCS,C1713,PROXIMAL LAT TIB PLT R 3.5MM 151MM/6 H,5652.0,5652.0,,,0
HCPCS,C1713,PROXIMAL MED TIB PLT L 3.5MM 100MM/6 H,5856.0,5856.0,,,0
HCPCS,C1713,PROXIMAL MED TIB PLT L 3.5MM 72MM/4 H,5239.2,5239.2,,,0
HCPCS,C1713,PROXIMAL MED TIB PLT R 3.5MM  184MM/12 H,6787.2,6787.2,,,0
HCPCS,C1713,PROXIMAL MED TIB PLT R 3.5MM 100MM/6 H,5546.4,5546.4,,,0
HCPCS,C1713,PROXIMAL MED TIB PLT R 3.5MM 128MM/8 H,6163.2,6163.2,,,0
HCPCS,C1713,PROXIMAL POSTEROMEDIAL TIB PLT R 3.5MM  96MM/6 H,5793.6,5793.6,,,0
HCPCS,C1713,PTN PERITROCHANTERIC NAIL  TELESCOPING LAG SCREW KEYLESS  TI,1134.0,1134.0,,,0
HCPCS,C1713,QUARTEX 3.5MM POLYAXIAL SHOULDER SCREW 26MM,1200.0,1200.0,,,0
HCPCS,C1713,QUARTEX 4.0MM POLYAXIAL SCREW 20MM,1200.0,1200.0,,,0
HCPCS,C1713,QUARTEX 4.2MM OCCIPITAL SCREW 12MM,300.0,300.0,,,0
HCPCS,C1713,QUARTEX 4.5MM POLYAXIAL SCREW 14MM,1200.0,1200.0,,,0
HCPCS,C1713,QUARTEX 4.6MM OCCIPITAL SCREW 10MM,300.0,300.0,,,0
HCPCS,C1713,QUARTEX 5.0MM POLYAXIAL SCREW 24MM,1200.0,1200.0,,,0
HCPCS,C1713,QUARTEX HEAD TO HEAD T-CONNECTOR 45-51MM,960.0,960.0,,,0
HCPCS,C1713,REDUCTION SCREW 6.5 X 45MM,2878.2,2878.2,,,0
HCPCS,C1713,RELINE MAS MOD REDUCTION EXTENSION,1020.0,1020.0,,,0
HCPCS,C1713,RELINE MAS SCREW 5.5X40MM 2C POLYAXIAL,2040.0,2040.0,,,0
HCPCS,C1713,RELINE-O X-CONN 35-42MM 5.5 LP ADJ,1440.0,1440.0,,,0
HCPCS,C1713,RESTRICTOR CEM MD DIA24MM UNIV,120.0,120.0,,,0
HCPCS,C1713,RETROGRADE FEMORAL NAIL - PURPLE 10 MM DIAMETER  34 CM LENGT,2937.6,2937.6,,,0
HCPCS,C1713,RETROGRADE FEMORAL NAIL - PURPLE 13 MM DIAMETER  36 CM LENGT,3200.4,3200.4,,,0
HCPCS,C1713,RIGHT SHORT 12MM HOOK PLT,1632.58,1632.58,,,0
HCPCS,C1713,RISE-L SPACER 18 X 40MM 7-14MM,10800.0,10800.0,,,0
HCPCS,C1713,RMAS,1476.0,1476.0,,,0
HCPCS,C1713,RMAS 6.5 X 35,1476.0,1476.0,,,0
HCPCS,C1713,ROD SPNL 5.5MM X 300MM TI EXPEDIUM,283.2,283.2,,,0
HCPCS,C1713,ROD SPNL 5.5X480MM HEX END EXPEDIUM,667.63,667.63,,,0
HCPCS,C1713,ROD SPNL L QUAD THRD DBL SCR HD CREO AMP,2880.0,2880.0,,,0
HCPCS,C1713,ROD SPNL L240MM DIA3.5MM STD OCCIPITOCERVICAL UP THOR INFIN,328.8,328.8,,,0
HCPCS,C1713,ROD SPNL L300MM DIA5.5MM POST THORLUM COCR SMTH STR,1500.0,1500.0,,,0
HCPCS,C1713,ROD SPNL L65MM DIA5.5MM TI ALLY CRV CREO,240.0,240.0,,,0
HCPCS,C1713,ROD SPNL THORACOLUMBOSACRAL 5.5X45MM PRELORDOSED TI EXPEDIUM,503.3,503.3,,,0
HCPCS,C1713,ROD SPNL THORACOLUMBOSACRAL 5.5X55MM PRELORDOSED TI EXPEDIUM,503.3,503.3,,,0
HCPCS,C1713,ROD SPNL THORACOLUMBOSACRAL 5.5X95MM PRELORDOSED TI EXPEDIUM,529.8,529.8,,,0
HCPCS,C1713,ROD THREADED 120MM,73.58,73.58,,,0
HCPCS,C1713,RUS 5.5 X 25,7761.6,7761.6,,,0
HCPCS,C1713,RUSSIAN LONG NUT,110.38,110.38,,,0
HCPCS,C1713,RUSSIAN WIRE FIXATION BOLT,99.5,99.5,,,0
HCPCS,C1713,SABLE SPACER 10X22 6-12MM 8  SINGLE STERILE,13200.0,13200.0,,,0
HCPCS,C1713,SCREW,1560.0,1560.0,,,0
HCPCS,C1713,SCREW  5.0X30 55840005030,1156.8,1156.8,,,0
HCPCS,C1713,SCREW  CANNULATED 56MM 19MM,723.6,723.6,,,0
HCPCS,C1713,SCREW  SYNTHES MODULAR 2.4X10,327.6,327.6,,,0
HCPCS,C1713,SCREW 1.5 X 4MM,180.0,180.0,,,0
HCPCS,C1713,SCREW 1.5X6MM 805.606.04S,986.4,986.4,,,0
HCPCS,C1713,SCREW 2.0MM 401.061,146.88,146.88,,,0
HCPCS,C1713,SCREW 2.0MM CORTEX SELF TAPPING 28MM 201.828,183.6,183.6,,,0
HCPCS,C1713,SCREW 2.4 MATRIX MAN 04.503.446.01,191.04,191.04,,,0
HCPCS,C1713,SCREW 2.4MM 212.824,441.0,441.0,,,0
HCPCS,C1713,SCREW 2.4MM CORTEX SELF TAPPING 14MM 201.644,190.8,190.8,,,0
HCPCS,C1713,SCREW 2.7 CORT META 60MM,286.2,286.2,,,0
HCPCS,C1713,SCREW 2.7MM NON-LOCKING SELF-TPNG 34MM,158.4,158.4,,,0
HCPCS,C1713,SCREW 214.760,743.4,743.4,,,0
HCPCS,C1713,SCREW 3.5 LP SLF TP CORT  26MM,110.11,110.11,,,0
HCPCS,C1713,SCREW 3.5MM CANNULATED PARTIALLY THREADED 26MM 205.026,649.8,649.8,,,0
HCPCS,C1713,SCREW 3.5MM CORTEX 12MM 204.012,115.2,115.2,,,0
HCPCS,C1713,SCREW 3.5MM PELVIC CORTEX SELF-TAPPING 65MM 204.665,140.4,140.4,,,0
HCPCS,C1713,SCREW 4.0MM CANCELLOUS BONE FULLY THREADED 22MM 206.022,133.2,133.2,,,0
HCPCS,C1713,SCREW 4.0MM CANNULATED LONG THREAD 64MM 207.764,687.6,687.6,,,0
HCPCS,C1713,SCREW 4.0MM CORTEX SELF TAPPING 24MM 206.424,135.0,135.0,,,0
HCPCS,C1713,SCREW 4.5 32MM,743.4,743.4,,,0
HCPCS,C1713,SCREW 4.5 CORTEX 22MM,131.4,131.4,,,0
HCPCS,C1713,SCREW 5.5 X 25MM 55840005525,1156.8,1156.8,,,0
HCPCS,C1713,SCREW 54740107055 4.75 HA MAS 7.0X55 CC,4358.88,4358.88,,,0
HCPCS,C1713,SCREW 55890005525 5.5/6.0 RMAS 5.5X25,1476.0,1476.0,,,0
HCPCS,C1713,SCREW 6.5 CANNULATED 71106270S,461.57,461.57,,,0
HCPCS,C1713,SCREW 6.5 X 155MM CANN PART THREADED,445.82,445.82,,,0
HCPCS,C1713,SCREW 6958736PT 3.5MM X 36 PT MAS,900.0,900.0,,,0
HCPCS,C1713,SCREW 7.3 32MM CAMM,907.2,907.2,,,0
HCPCS,C1713,SCREW 7.3MM 02.207.095,963.0,963.0,,,0
HCPCS,C1713,SCREW 7723514 ZEVO VAR ST 3.5MM X 14MM,240.0,240.0,,,0
HCPCS,C1713,SCREW 837-645 TSR3D 6.5X45MM TI,883.9,883.9,,,0
HCPCS,C1713,SCREW AFFIXUS BLUNT TIP 4 X 34MM  47-2486-034-40,294.0,294.0,,,0
HCPCS,C1713,SCREW ANN CORT BONE 4 X 26MM  47-2486-126-40,285.6,285.6,,,0
HCPCS,C1713,SCREW ASNIS III 6.5X90,388.46,388.46,,,0
HCPCS,C1713,SCREW BNE 1.2X4MM SLF DRL LP HD HT AXS,181.2,181.2,,,0
HCPCS,C1713,SCREW BNE 1.55X8MM CORT FT NONLOCKING SLF DRL SIL TI ALLY,163.25,163.25,,,0
HCPCS,C1713,SCREW BNE 1.5X3MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
HCPCS,C1713,SCREW BNE 1.5X4MM CRSS CORT CROSSED HD FT SLF DRL TI,163.25,163.25,,,0
HCPCS,C1713,SCREW BNE 1.5X4MM NEURO DRL FREE TI-6AL-4V LEV 1 ONEDRIVE,96.0,96.0,,,0
HCPCS,C1713,SCREW BNE 1.5X4MM UNIV NEURO 3 SLF DRL TI AXS,143.52,143.52,,,0
HCPCS,C1713,SCREW BNE 1.5X5MM CMF FT SLF DRL TI CRAN PLATING SYS,1815.55,1815.55,,,0
HCPCS,C1713,SCREW BNE 1.5X5MM CORT FT SLF DRL TI MATRIXMIDFACE,163.25,163.25,,,0
HCPCS,C1713,SCREW BNE 1.5X6MM CRSS CORT CROSSED HD FT SLF DRL TI,163.25,163.25,,,0
HCPCS,C1713,SCREW BNE 1.85MM X 8MM TI SLF DRL FOR MMF SYS SET MATRIXWAVE,248.64,248.64,,,0
HCPCS,C1713,SCREW BNE 1.85X6MM MAND FT SLF DRL TI MATRIXORTHOGNATHIC,163.25,163.25,,,0
HCPCS,C1713,SCREW BNE 1.85X6MM MAND SLF DRL TI MATRIXWAVE,248.64,248.64,,,0
HCPCS,C1713,SCREW BNE 1.8X4MM CMF ST TI MATRIXMIDFACE PLATING SYS,163.25,163.25,,,0
HCPCS,C1713,SCREW BNE 1.8X4MM EMGCY FT ST TI MATRIXNEURO,91.01,91.01,,,0
HCPCS,C1713,SCREW BNE 1.8X4MM EMGCY NEURO DRL FREE TI-6AL-4V LEV 1,96.0,96.0,,,0
HCPCS,C1713,SCREW BNE 1.8X5MM CMF FT SLF DRL TI CRAN PLATING SYS,91.01,91.01,,,0
HCPCS,C1713,SCREW BNE 1.8X5MM EMGCY NEURO DRL FREE TI-6AL-4V LEV 1,96.0,96.0,,,0
HCPCS,C1713,SCREW BNE 10.5X100MM LAG GAM4 HIP FRAC NAIL SYS,1151.78,1151.78,,,0
HCPCS,C1713,SCREW BNE 10.5X100MM ST LAG ST TI GAM3 LOK NAIL SYS,856.8,856.8,,,0
HCPCS,C1713,SCREW BNE 10.5X105MM LAG GAM4 HIP FRAC NAIL SYS,2149.68,2149.68,,,0
HCPCS,C1713,SCREW BNE 10.5X110MM LAG GAM4 HIP FRAC NAIL SYS,2149.68,2149.68,,,0
HCPCS,C1713,SCREW BNE 10.5X75MM LAG GAM4 HIP FRAC NAIL SYS,2149.68,2149.68,,,0
HCPCS,C1713,SCREW BNE 10.5X75MM ST LAG ST TI GAM3 LOK NAIL SYS,2052.98,2052.98,,,0
HCPCS,C1713,SCREW BNE 10.5X80MM LAG GAM4 HIP FRAC NAIL SYS,1151.78,1151.78,,,0
HCPCS,C1713,SCREW BNE 10.5X85MM LAG GAM4 HIP FRAC NAIL SYS,2149.68,2149.68,,,0
HCPCS,C1713,SCREW BNE 10.5X85MM ST LAG ST TI GAM3 LOK NAIL SYS,856.8,856.8,,,0
HCPCS,C1713,SCREW BNE 10.5X90MM LAG GAM4 HIP FRAC NAIL SYS,1484.41,1484.41,,,0
HCPCS,C1713,SCREW BNE 10.5X90MM ST LAG ST TI GAM3 LOK NAIL SYS,2052.98,2052.98,,,0
HCPCS,C1713,SCREW BNE 10.5X95MM LAG GAM4 HIP FRAC NAIL SYS,2149.68,2149.68,,,0
HCPCS,C1713,SCREW BNE 13X80MM LAG CANC STD RECESS CANN SS DH-DC SYS,1249.2,1249.2,,,0
HCPCS,C1713,SCREW BNE 13X90MM LAG CANC OCTAGONAL RECESS CANN SS DH-DC,807.19,807.19,,,0
HCPCS,C1713,SCREW BNE 2.3X16MM CORT THRD LOK WRST PLATING SYS ACU-LOC 2,441.6,441.6,,,0
HCPCS,C1713,SCREW BNE 2.3X7MM TI MAXDRIVE,96.0,96.0,,,0
HCPCS,C1713,SCREW BNE 2.4X10MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
HCPCS,C1713,SCREW BNE 2.4X10MM VA T8 STARDRV RECESS LOK ST SS PRO-PK,529.2,529.2,,,0
HCPCS,C1713,SCREW BNE 2.4X12MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
HCPCS,C1713,SCREW BNE 2.4X12MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
HCPCS,C1713,SCREW BNE 2.4X12MM MAND CORT FT ST TI MATRIXMANDIBLE,191.04,191.04,,,0
HCPCS,C1713,SCREW BNE 2.4X12MM MAND FT LOK ST SELF RET TI ALLY DRV,304.32,304.32,,,0
HCPCS,C1713,SCREW BNE 2.4X12MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.4X12MM T8 STARDRV RECESS LOK ST SS LCP DST RAD,441.0,441.0,,,0
HCPCS,C1713,SCREW BNE 2.4X12MM VA T8 STARDRV RECESS LOK ST SS PRO-PK,529.2,529.2,,,0
HCPCS,C1713,SCREW BNE 2.4X14MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
HCPCS,C1713,SCREW BNE 2.4X14MM MAND FT LOK ST TI MATRIXMANDIBLE,304.32,304.32,,,0
HCPCS,C1713,SCREW BNE 2.4X14MM T8 STARDRV RECESS LOK ST SS LCP DST RAD,441.0,441.0,,,0
HCPCS,C1713,SCREW BNE 2.4X14MM VA T8 STARDRV RECESS LOK ST SS PRO-PK,529.2,529.2,,,0
HCPCS,C1713,SCREW BNE 2.4X16MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
HCPCS,C1713,SCREW BNE 2.4X16MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
HCPCS,C1713,SCREW BNE 2.4X16MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.4X16MM T8 STARDRV RECESS LOK ST SS LCP DST RAD,441.0,441.0,,,0
HCPCS,C1713,SCREW BNE 2.4X16MM VA T8 STARDRV RECESS LOK ST SS PRO-PK,529.2,529.2,,,0
HCPCS,C1713,SCREW BNE 2.4X18MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
HCPCS,C1713,SCREW BNE 2.4X18MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
HCPCS,C1713,SCREW BNE 2.4X18MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 2.4X18MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.4X18MM VA T8 STARDRV RECESS LOK ST SS PRO-PK,529.2,529.2,,,0
HCPCS,C1713,SCREW BNE 2.4X22MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 2.4X22MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.4X24MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
HCPCS,C1713,SCREW BNE 2.4X24MM CORT T8 STARDRV RECESS ST SS,217.8,217.8,,,0
HCPCS,C1713,SCREW BNE 2.4X26MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
HCPCS,C1713,SCREW BNE 2.4X28MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.4X30MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
HCPCS,C1713,SCREW BNE 2.4X30MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.4X32MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
HCPCS,C1713,SCREW BNE 2.4X32MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.4X36MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
HCPCS,C1713,SCREW BNE 2.4X36MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.4X38MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
HCPCS,C1713,SCREW BNE 2.4X38MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.4X40MM CORT CRUCFRM RECESS ST SS,190.8,190.8,,,0
HCPCS,C1713,SCREW BNE 2.4X40MM T8 DRV FT NONLOCKING TI VARIAX,273.6,273.6,,,0
HCPCS,C1713,SCREW BNE 2.5MM X 14MM CANN LOK POLYAX GEMINUS VOLAR PLATING,362.4,362.4,,,0
HCPCS,C1713,SCREW BNE 2.5MM X 18MM HND MULT DIR LOK ALPS,235.2,235.2,,,0
HCPCS,C1713,SCREW BNE 2.7MM X 10MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
HCPCS,C1713,SCREW BNE 2.7MM X 12MM NS LOK COCR T8 DRV PANGEA,703.2,703.2,,,0
HCPCS,C1713,SCREW BNE 2.7MM X 14MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
HCPCS,C1713,SCREW BNE 2.7MM X 17MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7MM X 18MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
HCPCS,C1713,SCREW BNE 2.7MM X 22MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7MM X 38MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
HCPCS,C1713,SCREW BNE 2.7MM X 46MM LOK ST T8 SS LP EVOS,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7MM X 50MM NS LOK COCR T8 DRV PANGEA,511.2,511.2,,,0
HCPCS,C1713,SCREW BNE 2.7MM X 8MM NS LOK COCR T8 DRV PANGEA,504.0,504.0,,,0
HCPCS,C1713,SCREW BNE 2.7X10MM CORT FT ST T8 DRV EVOS MINI PLATING SYS,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X10MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X12MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X12MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X12MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X12MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
HCPCS,C1713,SCREW BNE 2.7X12MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X12MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X13MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X13MM COR DIA2MM PITCH 1MM HD 4.5MM FT LOK ST,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X14MM COR DIA2MM PITCH 1MM HD 4.3MM LOK ST T8,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X14MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X14MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X14MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
HCPCS,C1713,SCREW BNE 2.7X14MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.7X14MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X15MM LOK ST T8 DRV SM PLATING SYS EVOS,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X16MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X16MM CORT ST SELF RET T8 MINI PLATING SYS EVOS,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X16MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X16MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
HCPCS,C1713,SCREW BNE 2.7X16MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X16MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE 2.7X16MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 2.7X16MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.7X16MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X17MM ST CORT ST EVOS MINI PLATING SYS,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X18MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X18MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X18MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
HCPCS,C1713,SCREW BNE 2.7X18MM ST CORT ST EVOS MINI PLATING SYS,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X18MM ST LOK EVOS MINI PLATING SYS,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X18MM T10 DRV FT LOK TI VARIAX,374.4,374.4,,,0
HCPCS,C1713,SCREW BNE 2.7X18MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 2.7X18MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.7X18MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X20MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X20MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X20MM CORT ST T8 SELF RET FOR MINI PLATING SYS,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X20MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X20MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 2.7X20MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.7X20MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X22MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X22MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X22MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
HCPCS,C1713,SCREW BNE 2.7X22MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 2.7X22MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X24MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X24MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X24MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X24MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
HCPCS,C1713,SCREW BNE 2.7X24MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 2.7X24MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X26MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X26MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X26MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
HCPCS,C1713,SCREW BNE 2.7X26MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 2.7X26MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.7X26MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X28MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X28MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X28MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X28MM T8 DRV FT LOK TI VARIAX,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 2.7X28MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.7X28MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X30MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X30MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.7X30MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X32MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X32MM CORT ST SELF RET T8 MINI PLATING SYS EVOS,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X32MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X32MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
HCPCS,C1713,SCREW BNE 2.7X32MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X34MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X36MM CORT T8 STARDRV RECESS LOK ST SS,410.4,410.4,,,0
HCPCS,C1713,SCREW BNE 2.7X36MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.7X36MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X38MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X38MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X40MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X40MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X40MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X40MM T8 DRV FT NONLOCKING TI VARIAX,194.4,194.4,,,0
HCPCS,C1713,SCREW BNE 2.7X40MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X42MM COR DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X42MM MTPHSEAL LOK ST SS VA-LCP ANK TRAUM SYS,190.92,190.92,,,0
HCPCS,C1713,SCREW BNE 2.7X42MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X44MM CORT ST MINI PLATING SYS EVOS,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X44MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X44MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X44MMCORE DIA2MM PITCH 1MM HD 4.3MM FT LOK ST,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2.7X45MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X46MM MTPHSEAL LOK ST SS VA-LCP ANK TRAUM SYS,286.2,286.2,,,0
HCPCS,C1713,SCREW BNE 2.7X46MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X48MM COR DIA2MM PITCH 1MM CORT HD 4.5MM FT ST,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE 2.7X48MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X50MM CORT HEX DRV RECESS FT ST SS,171.0,171.0,,,0
HCPCS,C1713,SCREW BNE 2.7X50MM MTPHSEAL LOK ST SS VA-LCP ANK TRAUM SYS,190.92,190.92,,,0
HCPCS,C1713,SCREW BNE 2.7X60MM CORT T8 STARDRV RECESS FT ST SS,158.4,158.4,,,0
HCPCS,C1713,SCREW BNE 2.7X60MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE 2.7X60MM VA T8 STARDRV RECESS LOK ST SS VA-LCP,493.2,493.2,,,0
HCPCS,C1713,SCREW BNE 2.7X8MM LOK ST SS T8 DRV EVOS MINI PLATING SYS,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 2MM X 6MM MAND SLF DRL TI ALLY MATRIXMANDIBLE,146.88,146.88,,,0
HCPCS,C1713,SCREW BNE 2X10MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
HCPCS,C1713,SCREW BNE 2X10MM MAND CORT FT ST TI MATRIXMANDIBLE 1/PK,132.48,132.48,,,0
HCPCS,C1713,SCREW BNE 2X11MM CMF THRD LOK TAPR TI-6AL-4V LEV 1 MAXDRIVE,180.0,180.0,,,0
HCPCS,C1713,SCREW BNE 2X11MM CMF TI-6AL-4V LEV 1 MAXDRIVE,96.0,96.0,,,0
HCPCS,C1713,SCREW BNE 2X12MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
HCPCS,C1713,SCREW BNE 2X12MM MAND CORT FT LOK ST TI MATRIXMANDIBLE 1/PK,246.72,246.72,,,0
HCPCS,C1713,SCREW BNE 2X12MM MAND CORT FT ST TI MATRIXMANDIBLE 1/PK,132.48,132.48,,,0
HCPCS,C1713,SCREW BNE 2X12MM ST SLF DRL SS T8 STARDRV RECESS,230.4,230.4,,,0
HCPCS,C1713,SCREW BNE 2X13MM CMF TI-6AL-4V LEV 1 MAXDRIVE,96.0,96.0,,,0
HCPCS,C1713,SCREW BNE 2X14MM CMF THRD 10MM DRL FREE SS MAXDRIVE MMF,240.0,240.0,,,0
HCPCS,C1713,SCREW BNE 2X14MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
HCPCS,C1713,SCREW BNE 2X14MM ST TI MATRIXMANDIBLE,132.48,132.48,,,0
HCPCS,C1713,SCREW BNE 2X16MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
HCPCS,C1713,SCREW BNE 2X16MM MAND CORT FT NONLOCKING ST SELF RET TI ALLY,132.48,132.48,,,0
HCPCS,C1713,SCREW BNE 2X22MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
HCPCS,C1713,SCREW BNE 2X32MM T6 DRV TI VARIAX,273.6,273.6,,,0
HCPCS,C1713,SCREW BNE 2X34MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
HCPCS,C1713,SCREW BNE 2X34MM T6 DRV TI VARIAX,273.6,273.6,,,0
HCPCS,C1713,SCREW BNE 2X40MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
HCPCS,C1713,SCREW BNE 2X5MM CMF THRD LOK TAPR TI-6AL-4V LEV 1 MAXDRIVE,180.0,180.0,,,0
HCPCS,C1713,SCREW BNE 2X5MM DRL FREE TI MAXDRIVE LEV 1 CMF,96.0,96.0,,,0
HCPCS,C1713,SCREW BNE 2X8MM CORT CRUCFRM RECESS ST SS,183.6,183.6,,,0
HCPCS,C1713,SCREW BNE 2X8MM MAND CORT FT ST TI MATRIXMANDIBLE 1/PK,132.48,132.48,,,0
HCPCS,C1713,SCREW BNE 2X8MM ST SLF DRL SS T8 STARDRV RECESS,230.4,230.4,,,0
HCPCS,C1713,SCREW BNE 2X9MM CMF THRD LOK TAPR TI-6AL-4V LEV 1 MAXDRIVE,180.0,180.0,,,0
HCPCS,C1713,SCREW BNE 2X9MM NONLOCKING TI MAXDRIVE,96.0,96.0,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 10MM DST VOLAR RAD CORT FT FOR DVR ANAT,151.2,151.2,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 12MM DST VOLAR RAD CORT FT FOR DVR ANAT,151.2,151.2,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 12MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 16MM DST VOLAR RAD CORT FT FOR DVR ANAT,151.2,151.2,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 16MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 28MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 28MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 30MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 30MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 46MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 46MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 56MM CORT TAPR HD FT LOK ST COCR T15 DRV,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE 3.5MM X 60MM LOK COCR T15 DRV PANGEA,556.8,556.8,,,0
HCPCS,C1713,SCREW BNE 3.5MMX32MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X100MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X10MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
HCPCS,C1713,SCREW BNE 3.5X10MM DST RAD CORT LOK TI GEMINUS,218.4,218.4,,,0
HCPCS,C1713,SCREW BNE 3.5X10MM HEXALOBE WRST LOK TI ACU-LOC,494.4,494.4,,,0
HCPCS,C1713,SCREW BNE 3.5X10MM HEXALOBE WRST TI ACU-LOC,249.6,249.6,,,0
HCPCS,C1713,SCREW BNE 3.5X10MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X10MM T10 DRV FT LOK TI VARIAX,706.61,706.61,,,0
HCPCS,C1713,SCREW BNE 3.5X12MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X12MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
HCPCS,C1713,SCREW BNE 3.5X12MM HEXALOBE WRST LOK TI ACU-LOC,494.4,494.4,,,0
HCPCS,C1713,SCREW BNE 3.5X12MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X12MM T10 DRV FT LOK TI VARIAX,706.61,706.61,,,0
HCPCS,C1713,SCREW BNE 3.5X12MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
HCPCS,C1713,SCREW BNE 3.5X14MM ANK CORT FT SS LP FRAC MGMT SYS,91.27,91.27,,,0
HCPCS,C1713,SCREW BNE 3.5X14MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X14MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
HCPCS,C1713,SCREW BNE 3.5X14MM HEXALOBE WRST TI ACU-LOC,249.6,249.6,,,0
HCPCS,C1713,SCREW BNE 3.5X14MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X14MM T10 DRV FT LOK TI VARIAX,706.61,706.61,,,0
HCPCS,C1713,SCREW BNE 3.5X14MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
HCPCS,C1713,SCREW BNE 3.5X16MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X16MM CORT STARDRV RECESS ST SS LCP,117.0,117.0,,,0
HCPCS,C1713,SCREW BNE 3.5X16MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
HCPCS,C1713,SCREW BNE 3.5X16MM DST LAT PERIARTC HEX HD 2.7MM FT LOK ST,176.4,176.4,,,0
HCPCS,C1713,SCREW BNE 3.5X16MM HEXALOBE WRST LOK TI ACU-LOC,494.4,494.4,,,0
HCPCS,C1713,SCREW BNE 3.5X16MM HEXALOBE WRST TI ACU-LOC,249.6,249.6,,,0
HCPCS,C1713,SCREW BNE 3.5X16MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X16MM T10 DRV FT LOK TI VARIAX,706.61,706.61,,,0
HCPCS,C1713,SCREW BNE 3.5X16MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
HCPCS,C1713,SCREW BNE 3.5X18MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X18MM CORT STARDRV RECESS ST SS LCP,117.0,117.0,,,0
HCPCS,C1713,SCREW BNE 3.5X18MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X18MM HEXALOBE WRST LOK TI ACU-LOC,494.4,494.4,,,0
HCPCS,C1713,SCREW BNE 3.5X18MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X18MM T10 DRV FT LOK TI VARIAX,706.61,706.61,,,0
HCPCS,C1713,SCREW BNE 3.5X18MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
HCPCS,C1713,SCREW BNE 3.5X20MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X20MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X20MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X20MM T10 DRV FT LOK TI VARIAX,374.4,374.4,,,0
HCPCS,C1713,SCREW BNE 3.5X20MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
HCPCS,C1713,SCREW BNE 3.5X22MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X22MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X22MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X22MM DST TIB CORT LOK ST T15 DRV ALPS,109.2,109.2,,,0
HCPCS,C1713,SCREW BNE 3.5X22MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE 3.5X22MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X22MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
HCPCS,C1713,SCREW BNE 3.5X24MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X24MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X24MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X24MM DST TIB CORT FT LOK ALPS,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE 3.5X24MM DST TIB CORT LOK ST T15 DRV ALPS,109.2,109.2,,,0
HCPCS,C1713,SCREW BNE 3.5X24MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X24MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE 3.5X24MM VA TIB FT LOK ST SS T15 STARDRV RECESS,547.2,547.2,,,0
HCPCS,C1713,SCREW BNE 3.5X26MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X26MM CORT NONLOCKING TI LP T15 PROX HUM,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE 3.5X26MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X26MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X26MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X28MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X28MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X28MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X28MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE 3.5X28MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X28MM T10 DRV FT LOK TI VARIAX,374.4,374.4,,,0
HCPCS,C1713,SCREW BNE 3.5X28MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE 3.5X30MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X30MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
HCPCS,C1713,SCREW BNE 3.5X30MM HEX DRV RECESS CANN PRTLY THRD SS,649.8,649.8,,,0
HCPCS,C1713,SCREW BNE 3.5X30MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X30MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
HCPCS,C1713,SCREW BNE 3.5X30MM VA TIB FT LOK ST SS T15 STARDRV RECESS,547.2,547.2,,,0
HCPCS,C1713,SCREW BNE 3.5X32MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X32MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X32MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X34MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X34MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X34MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X34MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE 3.5X35MM CORT,129.6,129.6,,,0
HCPCS,C1713,SCREW BNE 3.5X35MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X36MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X36MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X36MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X36MM VA T15 STARDRV RECESS LOK ST SS VA-LCP,547.2,547.2,,,0
HCPCS,C1713,SCREW BNE 3.5X38MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X38MM CORT SS ST SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X38MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X38MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X38MM VA T15 STARDRV RECESS LOK ST SS VA-LCP,547.2,547.2,,,0
HCPCS,C1713,SCREW BNE 3.5X40MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X40MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X40MM HEX DRV RECESS CANN PRTLY THRD SS,649.8,649.8,,,0
HCPCS,C1713,SCREW BNE 3.5X40MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X40MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE 3.5X40MM VA TIB FT LOK ST SS T15 STARDRV RECESS,547.2,547.2,,,0
HCPCS,C1713,SCREW BNE 3.5X42MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X42MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X42MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
HCPCS,C1713,SCREW BNE 3.5X42MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X44MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X44MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X44MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X44MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE 3.5X44MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X44MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
HCPCS,C1713,SCREW BNE 3.5X45MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X45MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X46MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X46MM CORT ST SS EVOS SM PLATING SYS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X46MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X46MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X48MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X48MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X48MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X48MM T10 DRV FT NONLOCKING TI VARIAX,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE 3.5X50MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X50MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X50MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X50MM DST TIB CORT FT LOK ALPS,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE 3.5X50MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE 3.5X50MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X50MM VA T15 STARDRV RECESS LOK ST SS VA-LCP,547.2,547.2,,,0
HCPCS,C1713,SCREW BNE 3.5X55MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X55MM CORT ST SS FOR SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X55MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X55MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE 3.5X55MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X55MM T10 DRV FT NONLOCKING TI VARIAX,382.85,382.85,,,0
HCPCS,C1713,SCREW BNE 3.5X60MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X60MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X60MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X60MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE 3.5X60MM STARDRV RECESS FT LOK ST SS SM FRAG LCP,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X65MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X65MM CORT ST SS SM PLATING SYS EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE 3.5X65MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X65MM LOK ST SS SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE 3.5X65MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X70MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X70MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X70MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X75MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X75MM CORT T15 DRV TI AXSOS 3,128.47,128.47,,,0
HCPCS,C1713,SCREW BNE 3.5X75MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X80MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X80MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X80MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X85MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X85MM CORT T15 DRV TI AXSOS 3,91.2,91.2,,,0
HCPCS,C1713,SCREW BNE 3.5X85MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X8MM DST RAD VOLAR CORT HEXALOBE HD LOK TI ACU,494.4,494.4,,,0
HCPCS,C1713,SCREW BNE 3.5X90MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 3.5X90MM T15 STARDRV RECESS FT LOK ST SS SM FRAG,473.4,473.4,,,0
HCPCS,C1713,SCREW BNE 3.5X95MM CORT HEX DRV RECESS FT ST SS,115.2,115.2,,,0
HCPCS,C1713,SCREW BNE 36MM COMPR SS DH-DC SYS,162.0,162.0,,,0
HCPCS,C1713,SCREW BNE 3MM X 14MM STRNM LOK SLF DRL TI FOR STBL INT FIX,439.56,439.56,,,0
HCPCS,C1713,SCREW BNE 4.3X26MM PROX HUM FT TI AEQUALIS IM NAIL,475.2,475.2,,,0
HCPCS,C1713,SCREW BNE 4.5MM X 26MM FEM CORT ST SS PERI-LOC,31.99,31.99,,,0
HCPCS,C1713,SCREW BNE 4.5MM X 36MM FEM LOK ST SS PERI-LOC,241.94,241.94,,,0
HCPCS,C1713,SCREW BNE 4.5MM X 40MM FEM LOK ST SS PERI-LOC,241.94,241.94,,,0
HCPCS,C1713,SCREW BNE 4.5X16MM LOK R1 REV SHLDR SYS,240.0,240.0,,,0
HCPCS,C1713,SCREW BNE 4.5X20MM CANN FT SS LP PEDIPLATES,577.7,577.7,,,0
HCPCS,C1713,SCREW BNE 4.5X22MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X24MM CANN FT SS LP PEDIPLATES,577.7,577.7,,,0
HCPCS,C1713,SCREW BNE 4.5X24MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X24MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X26MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X26MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X28MM CANN FT SS LP PEDIPLATES,577.7,577.7,,,0
HCPCS,C1713,SCREW BNE 4.5X28MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X28MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X30MM CORT FT NONLOCKING ST SS LP SM FRAG SYS,31.99,31.99,,,0
HCPCS,C1713,SCREW BNE 4.5X30MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X30MM CORT T20 DRV TI AXSOS 3,146.45,146.45,,,0
HCPCS,C1713,SCREW BNE 4.5X32MM CANN FT SS LP PEDIPLATES,577.7,577.7,,,0
HCPCS,C1713,SCREW BNE 4.5X32MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X32MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X34MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X34MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X36MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X36MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X38MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,743.4,743.4,,,0
HCPCS,C1713,SCREW BNE 4.5X38MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X38MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X40MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X42MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X42MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X44MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
HCPCS,C1713,SCREW BNE 4.5X44MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X44MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X46MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X46MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X48MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
HCPCS,C1713,SCREW BNE 4.5X48MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X50MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,85.25,85.25,,,0
HCPCS,C1713,SCREW BNE 4.5X50MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4.5X52MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
HCPCS,C1713,SCREW BNE 4.5X52MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X54MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
HCPCS,C1713,SCREW BNE 4.5X54MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X60MM CANC HEX DRV RECESS CANN PRTLY THRD ST,723.6,723.6,,,0
HCPCS,C1713,SCREW BNE 4.5X60MM CORT HEX DRV RECESS ST SS L FRAG LCP SYS,131.4,131.4,,,0
HCPCS,C1713,SCREW BNE 4.5X60MM CORT T20 DRV TI AXSOS 3,103.2,103.2,,,0
HCPCS,C1713,SCREW BNE 4MM X 14MM LOK COCR T20 DRV PANGEA,535.2,535.2,,,0
HCPCS,C1713,SCREW BNE 4X10MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X10MM CANC T15 DRV FT TI LP AXSOS 3,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE 4X14MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
HCPCS,C1713,SCREW BNE 4X14MM CANC T15 DRV FT TI LP AXSOS 3,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE 4X16MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
HCPCS,C1713,SCREW BNE 4X16MM CANC T15 DRV FT TI LP AXSOS 3,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE 4X18MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
HCPCS,C1713,SCREW BNE 4X18MM CANC T15 DRV FT TI LP AXSOS 3,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE 4X20MM CANC HEX DRV RECESS FT SS,133.2,133.2,,,0
HCPCS,C1713,SCREW BNE 4X26MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X32MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 4X32MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X34MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,432.0,432.0,,,0
HCPCS,C1713,SCREW BNE 4X34MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE 4X36MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X36MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE 4X38MM CANC CANN LNG THRD ST SLF DRL SS,432.0,432.0,,,0
HCPCS,C1713,SCREW BNE 4X38MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 4X38MM CORT T15 DRV TI AXSOS 3,124.8,124.8,,,0
HCPCS,C1713,SCREW BNE 4X38MM STD CANC PRTLY THRD SPHR HD CANN THRD L14MM,355.99,355.99,,,0
HCPCS,C1713,SCREW BNE 4X40MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X40MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,693.74,693.74,,,0
HCPCS,C1713,SCREW BNE 4X40MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X40MM CANC HEX DRV RECESS PRTLY THRD SS SM FRAG,133.2,133.2,,,0
HCPCS,C1713,SCREW BNE 4X40MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE 4X40MM CORT T15 DRV TI AXSOS 3,124.8,124.8,,,0
HCPCS,C1713,SCREW BNE 4X40MM HEX DRV RECESS CANN FT ST SLF DRL SS LP,403.2,403.2,,,0
HCPCS,C1713,SCREW BNE 4X40MM STD CANC SPHR HD CANN PRTLY THRD L14MM ST,355.99,355.99,,,0
HCPCS,C1713,SCREW BNE 4X42MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 4X42MM CANC HEX DRV RECESS CANN SHT THRD ST SLF,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X42MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE 4X42MM CORT T15 DRV TI AXSOS 3,124.8,124.8,,,0
HCPCS,C1713,SCREW BNE 4X44MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X46MM CANC T15 DRV PRTLY THRD TI LP AXSOS 3,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE 4X46MM T15 DRV FT LOK TI AXSOS 3,439.2,439.2,,,0
HCPCS,C1713,SCREW BNE 4X48MM CANC HEX DRV RECESS CANN PRTLY THRD ST SLF,336.0,336.0,,,0
HCPCS,C1713,SCREW BNE 4X48MM HEX DRV RECESS CANN FT ST SLF DRL SS LP,403.2,403.2,,,0
HCPCS,C1713,SCREW BNE 4X50MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X50MM CANC SPHR HD SLF CANN PRTLY THRD 15MM,355.99,355.99,,,0
HCPCS,C1713,SCREW BNE 4X50MM VA FT CORT HEX HD FT ST SS ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE 4X52MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X54MM VA FT CORT HEX HD FT ST SS ANK TRAUM SYS,112.79,112.79,,,0
HCPCS,C1713,SCREW BNE 4X58MM FT CORT HEX HD FT ST SS,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE 4X60MM CANC CANN LNG THRD ST SLF DRL SS,687.6,687.6,,,0
HCPCS,C1713,SCREW BNE 4X60MM FT CORT HEX HD FT ST SS,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE 4X80MM T15 DRV FT LOK TI AXSOS 3,439.2,439.2,,,0
HCPCS,C1713,SCREW BNE 5MM X 16MM LOK COCR T20 DRV PANGEA,595.2,595.2,,,0
HCPCS,C1713,SCREW BNE 5MM X 22MM GLEN BASEPLT LOK TI RSP ALTIVATE REV,180.0,180.0,,,0
HCPCS,C1713,SCREW BNE 5MM X 32MM ANK CORT TI CORELOCK ARTH NAIL SYS,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE 5MM X 34MM GLEN BASEPLT LOK TI RSP ALTIVATE REV,180.0,180.0,,,0
HCPCS,C1713,SCREW BNE 5MM X 56MM ANK CORT TI CORELOCK ARTH NAIL SYS,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE 5X10MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,907.2,907.2,,,0
HCPCS,C1713,SCREW BNE 5X12MM UNICORTICAL L FRAG SYS NCB,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 5X14MM PERIPH GLEN PERFORM,120.0,120.0,,,0
HCPCS,C1713,SCREW BNE 5X14MM UNICORTICAL BLNT TIP FT TI ALLY NCB,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE 5X14MM VA PERIPROSTHETIC T25 STARDRV RECESS LOK ST,907.2,907.2,,,0
HCPCS,C1713,SCREW BNE 5X20MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X25MM FIX ANG CORT HEX HD 3.5MM FT NONLOCKING TI,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE 5X26MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X26MM PERIPH GLEN PERFORM,120.0,120.0,,,0
HCPCS,C1713,SCREW BNE 5X26MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X28MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X28MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X30MM DST HIP CORT FT ST FRAC NAIL SYS AFFIXUS,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE 5X30MM PERIPH GLEN PERFORM,120.0,120.0,,,0
HCPCS,C1713,SCREW BNE 5X30MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X32MM FIX ANG TIB CORT HEX HD 3.5MM FT TI ALLY,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE 5X32MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X34MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X34MM PERIPH GLEN REV AEQUALIS PERFORM,120.0,120.0,,,0
HCPCS,C1713,SCREW BNE 5X34MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X35MM CANN LOK SS LCP PERIARTC PLATING SYS,712.8,712.8,,,0
HCPCS,C1713,SCREW BNE 5X36MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X36MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X37.5MM TIB CORT HEX HD 3.5MM FT FIX ANG TI ALLY,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE 5X38MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X38MM PERIPH GLEN PERFORM,120.0,120.0,,,0
HCPCS,C1713,SCREW BNE 5X38MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X40MM IM NAIL TIB DBL LD THRD ST TI ALLY PHOENIX,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE 5X40MM PROX HUM CANN FT TI AEQUALIS IM NAIL,616.8,616.8,,,0
HCPCS,C1713,SCREW BNE 5X40MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X42MM DST FEM CORT HEX THRD ST TI NCB SYS,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X42MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X44MM PROX HUM CANN FT TI AEQUALIS IM NAIL,616.8,616.8,,,0
HCPCS,C1713,SCREW BNE 5X44MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X45MM FIX ANG FEM CORT HEX HD 3.5MM FT NONLOCKING,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE 5X45MM ST SHFT PRTLY THRD LOK TI T2 NAIL SYS,321.6,321.6,,,0
HCPCS,C1713,SCREW BNE 5X46MM CONDYLE VA FT LOK ST SS LP T25 STARDRV,631.8,631.8,,,0
HCPCS,C1713,SCREW BNE 5X46MM DST CORT AFFIXUS HIP FRAC NAIL SYS,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE 5X46MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X46MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X48MM CORT DBL LD THRD ST TI PHOENIX TIB NAIL SYS,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE 5X48MM DST CORT AFFIXUS HIP FRAC NAIL SYS,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE 5X48MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,631.8,631.8,,,0
HCPCS,C1713,SCREW BNE 5X50MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X50MM DST HIP CORT FT ST FRAC NAIL SYS AFFIXUS,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE 5X50MM ST SHFT PRTLY THRD LOK TI T2 NAIL SYS,321.6,321.6,,,0
HCPCS,C1713,SCREW BNE 5X50MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,631.8,631.8,,,0
HCPCS,C1713,SCREW BNE 5X52MM DST CORT AFFIXUS HIP FRAC NAIL SYS,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE 5X55MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,631.8,631.8,,,0
HCPCS,C1713,SCREW BNE 5X60MM DST FEM HEX HD ST PROTASUL 64 NCB,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X60MM FIX ANG FEM CORT HEX HD 3.5MM FT NONLOCKING,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE 5X60MM VA T25 STARDRV RECESS LOK ST SS VA-LCP,631.8,631.8,,,0
HCPCS,C1713,SCREW BNE 5X65MM CANN LOK SS LCP PERIARTC PLATING SYS,712.8,712.8,,,0
HCPCS,C1713,SCREW BNE 5X65MM DST FEM FT ST TI ALLY NCB,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X65MM IM NAIL TIB DBL LD THRD ST TI ALLY PHOENIX,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE 5X70MM CANN LOK SS LCP PERIARTC PLATING SYS,712.8,712.8,,,0
HCPCS,C1713,SCREW BNE 5X70MM DST FEM FT ST TI ALLY NCB,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE 5X70MM ST CONDYLE PRTLY THRD TI T2 NAIL SYS,321.6,321.6,,,0
HCPCS,C1713,SCREW BNE 5X70MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X75MM CANN LOK SS LCP PERIARTC PLATING SYS,712.8,712.8,,,0
HCPCS,C1713,SCREW BNE 5X75MM THRD CONIC HD FT LOK ST SS LCP PERIARTC,491.4,491.4,,,0
HCPCS,C1713,SCREW BNE 5X80MM CANN LOK SS LCP PERIARTC PLATING SYS,712.8,712.8,,,0
HCPCS,C1713,SCREW BNE 6.5MM X 80MM CANN PRTLY THRD 46MM SS,445.82,445.82,,,0
HCPCS,C1713,SCREW BNE 6.5X100MM CANC HEX DRV RECESS CANN 16MM THRD ST,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X100MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,532.8,532.8,,,0
HCPCS,C1713,SCREW BNE 6.5X100MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,376.8,376.8,,,0
HCPCS,C1713,SCREW BNE 6.5X110MM CANC HEX DRV RECESS CANN 32MM THRD ST,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X140MM CANC HEX DRV RECESS CANN FT ST SLF DRL,937.8,937.8,,,0
HCPCS,C1713,SCREW BNE 6.5X15MM ACET ST TI HGP II,59.95,59.95,,,0
HCPCS,C1713,SCREW BNE 6.5X160MM CANC HEX DRV RECESS CANN FT ST SLF DRL,937.8,937.8,,,0
HCPCS,C1713,SCREW BNE 6.5X20MM CANC ST TI TRIL ACET SYS,59.95,59.95,,,0
HCPCS,C1713,SCREW BNE 6.5X30MM CNTRL GLEN THRD PERFORM,900.0,900.0,,,0
HCPCS,C1713,SCREW BNE 6.5X35MM ACET ST TI HGP II,59.95,59.95,,,0
HCPCS,C1713,SCREW BNE 6.5X40MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,532.8,532.8,,,0
HCPCS,C1713,SCREW BNE 6.5X45MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X45MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,532.8,532.8,,,0
HCPCS,C1713,SCREW BNE 6.5X50MM CANC HEX DRV RECESS 32MM THRD SS L FRAG,253.8,253.8,,,0
HCPCS,C1713,SCREW BNE 6.5X50MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X50MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,532.8,532.8,,,0
HCPCS,C1713,SCREW BNE 6.5X55MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,523.2,523.2,,,0
HCPCS,C1713,SCREW BNE 6.5X55MM SPNL MOD CANN CREO,840.0,840.0,,,0
HCPCS,C1713,SCREW BNE 6.5X60MM CANC HEX DRV RECESS 32MM THRD SS L FRAG,253.8,253.8,,,0
HCPCS,C1713,SCREW BNE 6.5X60MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X65MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,574.56,574.56,,,0
HCPCS,C1713,SCREW BNE 6.5X65MM CORT CANN THRD 22MM ST SLF DRL SS LP,445.82,445.82,,,0
HCPCS,C1713,SCREW BNE 6.5X65MM HEX DRV RECESS CANN 20MM THRD ST SLF DRL,523.2,523.2,,,0
HCPCS,C1713,SCREW BNE 6.5X70MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X70MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X70MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,523.2,523.2,,,0
HCPCS,C1713,SCREW BNE 6.5X75MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,1002.6,1002.6,,,0
HCPCS,C1713,SCREW BNE 6.5X75MM CANC HEX DRV RECESS CANN FT ST SLF DRL SS,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X75MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,532.8,532.8,,,0
HCPCS,C1713,SCREW BNE 6.5X80MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X80MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,574.56,574.56,,,0
HCPCS,C1713,SCREW BNE 6.5X80MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,1104.86,1104.86,,,0
HCPCS,C1713,SCREW BNE 6.5X80MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,901.87,901.87,,,0
HCPCS,C1713,SCREW BNE 6.5X85MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X85MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,574.56,574.56,,,0
HCPCS,C1713,SCREW BNE 6.5X85MM CANN PRTLY THRD 16MM BIODUR 108 ALLY,403.2,403.2,,,0
HCPCS,C1713,SCREW BNE 6.5X85MM HEX DRV RECESS CANN 40MM THRD ST SLF DRL,532.8,532.8,,,0
HCPCS,C1713,SCREW BNE 6.5X85MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,1104.86,1104.86,,,0
HCPCS,C1713,SCREW BNE 6.5X85MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,376.8,376.8,,,0
HCPCS,C1713,SCREW BNE 6.5X90MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X90MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X90MM CANN PRTLY THRD 16MM BIODUR 108 ALLY,403.2,403.2,,,0
HCPCS,C1713,SCREW BNE 6.5X90MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,532.8,532.8,,,0
HCPCS,C1713,SCREW BNE 6.5X90MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,901.87,901.87,,,0
HCPCS,C1713,SCREW BNE 6.5X95MM CANC HEX DRV RECESS CANN 16MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X95MM CANC HEX DRV RECESS CANN 32MM THRD ST SLF,912.6,912.6,,,0
HCPCS,C1713,SCREW BNE 6.5X95MM CANN PRTLY THRD 16MM BIODUR 108 ALLY,403.2,403.2,,,0
HCPCS,C1713,SCREW BNE 6.5X95MM ST HEX DRV RECESS CANN 20MM THRD ST SLF,532.8,532.8,,,0
HCPCS,C1713,SCREW BNE 6.5X95MM ST LAG CANN PRTLY THRD TI T2 RECON NAIL,901.87,901.87,,,0
HCPCS,C1713,SCREW BNE 6X75MM FIX ANG FEM CORT HEX HD 3.5MM FT NONLOCKING,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE 7.3X70MM HEX DRV RECESS CANN LOK SS LCP PERIARTC,963.0,963.0,,,0
HCPCS,C1713,SCREW BNE 7X150MM CANN PRTLY THRD 32MM BIODUR 108 ALLY,411.6,411.6,,,0
HCPCS,C1713,SCREW BNE 8X105MM HEX DRV RECESS CANN PRTLY THRD ST SLF DRL,1104.86,1104.86,,,0
HCPCS,C1713,SCREW BNE 8X70MM HEX DRV RECESS CANN PRTLY THRD ST SLF DRL,532.8,532.8,,,0
HCPCS,C1713,SCREW BNE CORT 3.5X20MM,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE CORT 5MM X 28MM ST AFFIXUS,504.0,504.0,,,0
HCPCS,C1713,SCREW BNE CORT HND EL FT TI L10MM OD2MM APTUS HEXADRIVE 6,248.28,248.28,,,0
HCPCS,C1713,SCREW BNE DIA5.0MM L60MM CORT DST SCR AFFIMM LUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L100MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
HCPCS,C1713,SCREW BNE L100MM DIA6MM HEX HD FT FIX ANG FEM CANC NONCANN,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L105MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
HCPCS,C1713,SCREW BNE L10MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L10MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,SCREW BNE L10MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L10MM DIA5MM STD UNICORTICAL FEM TI ALLY LOK,260.4,260.4,,,0
HCPCS,C1713,SCREW BNE L110MM DIA10.5MM HIP LAG FOR AFFIXUS FRAC NAIL SYS,1041.6,1041.6,,,0
HCPCS,C1713,SCREW BNE L11MM DIA2.7MM DST VOLAR RAD GRN TI SQ LOK DVR,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L11MM DIA2.7MM TI LOK SLF DRL MATRIXRIB,581.76,581.76,,,0
HCPCS,C1713,SCREW BNE L11MM DIA3.5MM CORT DST VOLAR RAD TI NONLOCKING FT,216.0,216.0,,,0
HCPCS,C1713,SCREW BNE L11MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L11MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L12MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
HCPCS,C1713,SCREW BNE L12MM DIA2.7MM DST VOLAR RAD LOK FT SQ DRV HD LP,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L12MM DIA2MM TI EL HND CORT 6 HEXADRIVE APTUS,248.28,248.28,,,0
HCPCS,C1713,SCREW BNE L12MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,SCREW BNE L12MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L12MM DIA3.5MM CORT DST VOLAR RAD TI LOK FT,218.4,218.4,,,0
HCPCS,C1713,SCREW BNE L12MM DIA3.5MM NONLOCKING HEXALOBE EL PLATING SYS,249.6,249.6,,,0
HCPCS,C1713,SCREW BNE L12MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L12MM DIA4.7MM SS OSTEOPENIA FT FOR EVOS SM,110.88,110.88,,,0
HCPCS,C1713,SCREW BNE L13MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L13MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
HCPCS,C1713,SCREW BNE L13MM DIA3.5MM CORT DST RAD TI LOK FOR VOLAR,218.4,218.4,,,0
HCPCS,C1713,SCREW BNE L13MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,SCREW BNE L13MM DIA3.5MM CORT ST NONLOCKING FT FOR ANAT,145.92,145.92,,,0
HCPCS,C1713,SCREW BNE L13MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L13MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE L14.5MM DIA8MM CORT TI CANN NONLOCKING COMPR,711.74,711.74,,,0
HCPCS,C1713,SCREW BNE L140MM DIA6.5MM STD SS CORT ST SLF DRL CANN,445.82,445.82,,,0
HCPCS,C1713,SCREW BNE L145MM DIA7MM BIODUR ALLY CANN NONLOCKING FT,411.6,411.6,,,0
HCPCS,C1713,SCREW BNE L14MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L14MM DIA2.7MM DST VOLAR RAD LOK FT SQ DRV HD LP,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L14MM DIA2MM TI EL HND FT 6 HEXADRIVE TRILOK APTUS,406.51,406.51,,,0
HCPCS,C1713,SCREW BNE L14MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,SCREW BNE L14MM DIA3.5MM CORT VOLAR TI NONCANN LOK FOR DVR,151.2,151.2,,,0
HCPCS,C1713,SCREW BNE L14MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L14MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L14MM DIA5MM TI NONLOCKING FOR GLEN BASEPLT FIX,180.0,180.0,,,0
HCPCS,C1713,SCREW BNE L15MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L15MM DIA2.7MM DST RAD NONLOCKING FT SQ DRV HD LP,117.6,117.6,,,0
HCPCS,C1713,SCREW BNE L15MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,SCREW BNE L15MM DIA3.5MM CORT ST NONLOCKING FT FOR ANAT,151.2,151.2,,,0
HCPCS,C1713,SCREW BNE L15MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L165MM DIA7MM COMPR CANC FT CANN ST SLF DRL,411.6,411.6,,,0
HCPCS,C1713,SCREW BNE L16MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L16MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L16MM DIA2.7MM DST VOLAR RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,SCREW BNE L16MM DIA2MM CORT EL G TI ST SELF DRL FT HEXADRIVE,248.28,248.28,,,0
HCPCS,C1713,SCREW BNE L16MM DIA2MM CORT HND EL FT TI TRILOK APTUS,406.51,406.51,,,0
HCPCS,C1713,SCREW BNE L16MM DIA3.5MM CORT DST RAD VOLAR TI NONLOCKING,216.0,216.0,,,0
HCPCS,C1713,SCREW BNE L16MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L16MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE L16MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L16MM DIA3.5MM STD CORT SS ST NONCANN LOK FT HEX,75.6,75.6,,,0
HCPCS,C1713,SCREW BNE L17MM DIA2MM CORT HND TI APTUS HEXADRIVE 6,248.28,248.28,,,0
HCPCS,C1713,SCREW BNE L18MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L18MM DIA2.5MM DST RAD VOLAR COCR POLYAX LOK CANN,362.4,362.4,,,0
HCPCS,C1713,SCREW BNE L18MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L18MM DIA2.7MM DST VOLAR RAD MULTDIR FT SQ DRV HD,235.2,235.2,,,0
HCPCS,C1713,SCREW BNE L18MM DIA2.7MM DST VOLAR RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,SCREW BNE L18MM DIA2MM CORT HND EL FT TI TRILOK APTUS,406.51,406.51,,,0
HCPCS,C1713,SCREW BNE L18MM DIA2MM CORT HND EL TI APTUS HEXADRIVE 6,248.28,248.28,,,0
HCPCS,C1713,SCREW BNE L18MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L18MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE L18MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L18MM DIA5MM PERIPH THRD GLEN REV AEQUALIS PERFORM,120.0,120.0,,,0
HCPCS,C1713,SCREW BNE L18MM DIA5MM TI NONLOCKING FOR GLEN BASEPLT FIX,180.0,180.0,,,0
HCPCS,C1713,SCREW BNE L20MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,SCREW BNE L20MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L20MM DIA2.7MM DST VOLAR RAD MULTDIR FT SQ DRV HD,235.2,235.2,,,0
HCPCS,C1713,SCREW BNE L20MM DIA2MM CORT HND EL TI APTUS HEXADRIVE 6,248.28,248.28,,,0
HCPCS,C1713,SCREW BNE L20MM DIA3.5MM CANC NONCANN NONLOCKING LP T15,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE L20MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L20MM DIA3.5MM CORT DST TIB TIM ST NONLOCKING FT,109.2,109.2,,,0
HCPCS,C1713,SCREW BNE L20MM DIA3.5MM CORT ST NONLOCKING FT FOR ANAT,151.2,151.2,,,0
HCPCS,C1713,SCREW BNE L20MM DIA3.5MM ST CORT WRST SS ST T7 EVOS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L20MM DIA3.5MM ST WRST SS ST LOK T7 EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE L20MM SHLDR ASSEMB FOR ARTHROPLASTY AEQUALIS FLX,1920.0,1920.0,,,0
HCPCS,C1713,SCREW BNE L22MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L22MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,SCREW BNE L22MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L22MM DIA2.7MM DST VOLAR RAD MULTDIR FT SQ DRV HD,235.2,235.2,,,0
HCPCS,C1713,SCREW BNE L22MM DIA3.5MM CORT,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L22MM DIA3.5MM PROX HUM NONLOCKING T15 LP FOR ALPS,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE L22MM DIA3.5MM STD DST CORT TIB TI ST NONCANN LOK,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L22MM DIA5MM PERIPH THRD GLEN REV AEQUALIS PERFORM,120.0,120.0,,,0
HCPCS,C1713,SCREW BNE L24MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L24MM DIA2.7MM DST RAD LOK FT SQ DRV HD LP BLNT,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE L24MM DIA3.5MM CORT,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L24MM DIA3.5MM PROX HUM NONLOCKING T15 LP FOR ALPS,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE L25MM DIA6.5MM CNTRL THRD GLEN REV AEQUALIS,900.0,900.0,,,0
HCPCS,C1713,SCREW BNE L26MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L26MM DIA2.4MM ST WRST SS ST LOK T7 EVOS,256.2,256.2,,,0
HCPCS,C1713,SCREW BNE L26MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,SCREW BNE L26MM DIA3.5MM CORT,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L26MM DIA3.5MM SS ST LOK FOR SM PLATING SYS EVOS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE L26MM DIA3.5MM STD CORT TI ST NONCANN FT LOK SM,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L27.5MM DIA5MM HD DIA3.5MM CORT TI NONCANN,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L28MM DIA2.2MM DST VOLAR RAD NONLOCKING FT FOR DVR,117.6,117.6,,,0
HCPCS,C1713,SCREW BNE L28MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L28MM DIA2.4MM ST WRST SS ST LOK T7 EVOS,256.2,256.2,,,0
HCPCS,C1713,SCREW BNE L28MM DIA2.7MM CORT DST RAD NONLOCKING FT SQ DRV,117.6,117.6,,,0
HCPCS,C1713,SCREW BNE L28MM DIA3.5MM CORT DST TIB TIM ST NONLOCKING FT,109.2,109.2,,,0
HCPCS,C1713,SCREW BNE L28MM DIA4.5MM SS CORT FEM ST NONLOCKING FT HEX HD,31.99,31.99,,,0
HCPCS,C1713,SCREW BNE L28MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE L28MM DIA5MM PROX G CANN AEQUALIS,616.8,616.8,,,0
HCPCS,C1713,SCREW BNE L30MM DIA2.4MM ST CORT WRST SS ST T7 EVOS,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L30MM DIA3.5MM CORT,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L30MM DIA3.5MM CORT DST TIB TIM ST NONLOCKING FT,109.2,109.2,,,0
HCPCS,C1713,SCREW BNE L30MM DIA3.5MM MULTIUSE,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE L30MM DIA3.5MM PROX HUM NONLOCKING T15 LP FOR ALPS,100.8,100.8,,,0
HCPCS,C1713,SCREW BNE L30MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE L30MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE L30MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L30MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L30MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
HCPCS,C1713,SCREW BNE L32MM DIA3.5MM CORT,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L32MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L32MM DIA4.5MM SS CORT FEM ST NONLOCKING FT LP HEX,31.99,31.99,,,0
HCPCS,C1713,SCREW BNE L32MM THRD DIA2.4MM HD DIA3.8MM COR DIA1.6MM PITCH,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L33MM DIA3.5MM MULTIUSE,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE L34MM DIA2.4MM CORT ST T7 SELF RET FOR MINI,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L34MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L34MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE L34MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L34MM DIA5MM TIB TI DBL LD FOR PHOENIX NAIL SYS,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE L34MM THRD DIA2.4MM HD DIA3.8MM COR DIA1.6MM PITCH,256.2,256.2,,,0
HCPCS,C1713,SCREW BNE L34MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L34MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
HCPCS,C1713,SCREW BNE L35MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L36MM DIA2.4MM CORT ST T7 SELF RET FOR MINI,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L36MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L36MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L36MM DIA5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE L36MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L36MM THRD DIA4MM HD DIA4.5MM COR DIA2MM PITCH,193.2,193.2,,,0
HCPCS,C1713,SCREW BNE L38MM DIA2.7MM ST CORT ST T8 SELF RET FOR MINI,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L38MM DIA3.5MM CORT DST TIB ST LOK FT TAPR HD T15,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L38MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L38MM DIA5MM TIB TI DBL LD FOR PHOENIX NAIL SYS,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE L38MM OD3.5MM ST NONLOCKING THRD SQ DRV LP TAPR,109.2,109.2,,,0
HCPCS,C1713,SCREW BNE L38MM THRD DIA2.4MM HD DIA3.8MM COR DIA1.6MM PITCH,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L40MM DIA3.5MM SS ST LOK FOR EVOS SM PLATING SYS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE L40MM DIA3.5MM STD CORT DST TIB TI ST LOK FT T15,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L40MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE L40MM DIA4MM HEX HD DIA6.2MM CORT DST FEM TI ST,201.6,201.6,,,0
HCPCS,C1713,SCREW BNE L40MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L40MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,267.29,267.29,,,0
HCPCS,C1713,SCREW BNE L40MM DIA6.5MM CNTRL THRD GLEN REV AEQUALIS,900.0,900.0,,,0
HCPCS,C1713,SCREW BNE L40MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L40MM OD5MM STD TI CORT DST FEM ST NONCANNULATED,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE L40MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L42MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L42MM DIA3.5MM MULTIUSE,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE L42MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE L42MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L42MM DIA5MM HEX HD DIA3.5MM CORT TIB TI ALLY FIX,267.29,267.29,,,0
HCPCS,C1713,SCREW BNE L42MM THRD DIA2.4MM HD DIA3.8MM COR DIA1.6MM PITCH,79.8,79.8,,,0
HCPCS,C1713,SCREW BNE L42MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L44MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L44MM DIA3.5MM PROX HUM NONLOCKING LP T15 MULT DIR,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE L44MM DIA3.5MM PROX TIB SS ST FT W/ T15 STARDRV,547.2,547.2,,,0
HCPCS,C1713,SCREW BNE L44MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE L44MM DIA5MM CORT DST ST FT FOR AFFIXUS HIP FRAC,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L44MM DIA5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE L44MM DIA5MM STD CORT DST FEM TI ST CANN,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE L45MM DIA3.5MM MULTIUSE,204.0,204.0,,,0
HCPCS,C1713,SCREW BNE L45MM DIA6MM HD DIA3.5MM CANC TI ALLY FIX ANG,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L46MM DIA2.7MM CORT ST T8 SELF RET FOR MINI,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L46MM DIA3.5MM PROX TIB SS ST FT W/ T15 STARDRV,547.2,547.2,,,0
HCPCS,C1713,SCREW BNE L46MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE L47.5MM DIA5MM HD DIA3.5MM CORT TI ALLY FIX ANG,267.29,267.29,,,0
HCPCS,C1713,SCREW BNE L48MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L48MM DIA3.5MM ST SS LOK ST FOR SM PLATING SYS,179.35,179.35,,,0
HCPCS,C1713,SCREW BNE L50MM DIA5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE L50MM DIA5MM HEX HD 3.5MM CORT TIB FIX ANG FT NAT,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L50MM DIA6MM HD DIA3.5MM CANC TI ALLY FIX ANG,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L50MM SHLDR ASSEMB FOR ARTHROPLASTY AEQUALIS FLX,1920.0,1920.0,,,0
HCPCS,C1713,SCREW BNE L50MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L52.5MM DIA5MM CORT TIB FIX ANG 3.5MM HEX HD FT,267.29,267.29,,,0
HCPCS,C1713,SCREW BNE L52MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L52MM DIA3.5MM PROX TIB SS ST FT T15 STARDRV,547.2,547.2,,,0
HCPCS,C1713,SCREW BNE L52MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE L54MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L54MM DIA4.5MM SS CORT ST NONLOCKING FT LP FOR SM,31.99,31.99,,,0
HCPCS,C1713,SCREW BNE L55MM DIA6MM TI CANC FEM FIX ANG 3.5MM HEX HD AG,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L55MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L56MM DIA4MM CORT SS ST FOR VA LCP ANK TRAUM SYS,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE L57.5MM DIA5MM HEX HD 3.5MM CORT TIB FIX ANG FT,310.8,310.8,,,0
HCPCS,C1713,SCREW BNE L58MM DIA3.5MM CORT DST TIB TI ST LOK FT TAPR HD,226.8,226.8,,,0
HCPCS,C1713,SCREW BNE L60MM DIA3.5MM MULTDIR DST TIB COCR ST LOK FT TAPR,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE L60MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L60MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,84.0,84.0,,,0
HCPCS,C1713,SCREW BNE L65MM DIA4MM CORT SS ST NONCANN NONLOCKING FT SM,135.0,135.0,,,0
HCPCS,C1713,SCREW BNE L65MM DIA5MM HEX HD 3.5MM CORT TIB FIX ANG FT NAT,267.29,267.29,,,0
HCPCS,C1713,SCREW BNE L65MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L65MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,113.4,113.4,,,0
HCPCS,C1713,SCREW BNE L70MM DIA4.5MM CORT TI ST DBL LD THRD FOR PHOENIX,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE L70MM DIA6MM HEX HD DIA3.5MM CANC FEM TI ALLY FIX,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L70MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,113.4,113.4,,,0
HCPCS,C1713,SCREW BNE L74MM DIA4.5MM SS CORT ST LOK FT FOR L FRAG SYS,241.94,241.94,,,0
HCPCS,C1713,SCREW BNE L75MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L75MM DIA5MM DST FEM TI ALLY ST FT NCB,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE L78MM DIA4.5MM ST CORT LOK L FRAG SET,241.94,241.94,,,0
HCPCS,C1713,SCREW BNE L80MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
HCPCS,C1713,SCREW BNE L80MM DIA5MM TI RG FEM NAIL THRD DBL LD PHOENIX,369.6,369.6,,,0
HCPCS,C1713,SCREW BNE L80MM DIA6MM TI CANC FEM FIX ANG 3.5MM HEX HD AG,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L80MM THRD DIA2.7MM HD DIA4.5MM COR DIA2MM PITCH,113.4,113.4,,,0
HCPCS,C1713,SCREW BNE L85MM DIA10.5MM LAG FOR AFFIXUS HIP FRAC NAIL SYS,1041.6,1041.6,,,0
HCPCS,C1713,SCREW BNE L85MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L85MM DIA4.5MM STD CORT CORT CANN FT SS ST LOK L,241.94,241.94,,,0
HCPCS,C1713,SCREW BNE L85MM DIA5MM DST FEM TI ALLY ST FT NCB,277.2,277.2,,,0
HCPCS,C1713,SCREW BNE L85MM DIA6MM TI CANC FEM FIX ANG 3.5MM HEX HD AG,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L90MM DIA10.5MM ST LAG SQ DRVR SOCK FOR AFFIXUS,1041.6,1041.6,,,0
HCPCS,C1713,SCREW BNE L90MM DIA3.5MM ST CORT SS ST FOR SM PLATING SYS,32.35,32.35,,,0
HCPCS,C1713,SCREW BNE L90MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE L95MM DIA10.5MM ST LAG SQ DRVR SOCK FOR AFFIXUS,1041.6,1041.6,,,0
HCPCS,C1713,SCREW BNE L95MM DIA6MM HEX HD 3.5MM TI CANC FEM FIX ANG AG,319.2,319.2,,,0
HCPCS,C1713,SCREW BNE LNG 3.5X14MM LOK SS PERIARTC PLATING SYS,184.8,184.8,,,0
HCPCS,C1713,SCREW BNE LOK ST EVOS 4.5MM X 26MM,1648.8,1648.8,,,0
HCPCS,C1713,SCREW BNE MIC 2.5X2.8X12MM COMPR HDLSS FT ST TAPR END ACUTRK,1569.6,1569.6,,,0
HCPCS,C1713,SCREW BNE PED 3.5X12MM PROX DST FEM TIB CORT T15 HEXALOBE ST,118.58,118.58,,,0
HCPCS,C1713,SCREW BNE PED 3.5X14MM PROX DST FEM TIB CORT T15 HEXALOBE ST,118.58,118.58,,,0
HCPCS,C1713,SCREW BNE PED 3.5X18MM PROX DST FEM TIB CORT T15 HEXALOBE ST,118.58,118.58,,,0
HCPCS,C1713,SCREW BNE SM 3.5X36MM CORT HEX ST,75.6,75.6,,,0
HCPCS,C1713,SCREW BNE STD 6.5X85MM CORT CANN PRTLY THRD 46MM NONLOCKING,445.82,445.82,,,0
HCPCS,C1713,SCREW BONE 13X80MM LAG CANCELLOUS OCTAGONAL RECESS CANNULATE,1249.2,1249.2,,,0
HCPCS,C1713,SCREW BONE 13X95MM STERILE LAG CANCELLOUS OCTAGONAL RECESS C,921.74,921.74,,,0
HCPCS,C1713,SCREW BONE 2.5X32MM COMPRESSION HEADLESS CANNULATED SHORT TH,1314.0,1314.0,,,0
HCPCS,C1713,SCREW BONE 2.7X65MM CORTICAL SELF TAPPING T8 STARDRIVE RECES,180.0,180.0,,,0
HCPCS,C1713,SCREW BONE 3.5X14MM DISTAL RADIAL CORTICAL FULLY THREADED LO,277.2,277.2,,,0
HCPCS,C1713,SCREW BONE 3.5X16MM STAINLESS STEEL PERIARTICULAR PLATING UN,184.8,184.8,,,0
HCPCS,C1713,SCREW BONE 3.5X18MM DISTAL RADIAL CORTICAL FULLY THREADED LO,277.2,277.2,,,0
HCPCS,C1713,SCREW BONE 3.5X20MM CORTICAL HEX HEAD FULLY THREADED SELF TA,176.4,176.4,,,0
HCPCS,C1713,SCREW BONE 3.5X56MM CORTICAL SELF TAPPING PERIARTICULAR PLAT,92.4,92.4,,,0
HCPCS,C1713,SCREW BONE 3.5X85MM DISTAL TIBIAL CORTICAL LOCKING SELF TAPP,109.2,109.2,,,0
HCPCS,C1713,SCREW BONE 3X30MM COMPRESSION HEADLESS CANNULATED LONG THREA,1314.0,1314.0,,,0
HCPCS,C1713,SCREW BONE 4.5X28MM POLYAXIAL PROXIMAL TIBIAL CORTICAL FULLY,92.4,92.4,,,0
HCPCS,C1713,SCREW BONE 4MM X 16MM CANCELLOUS FULLY THREADED NONLOCKING F,100.8,100.8,,,0
HCPCS,C1713,SCREW BONE 4MM X 16MM CANCELLOUS TAPER HEAD FULLY THREADED L,226.8,226.8,,,0
HCPCS,C1713,SCREW BONE 4MM X 18MM CANCELLOUS FULLY THREADED NONLOCKING F,100.8,100.8,,,0
HCPCS,C1713,SCREW BONE 4X12MM DISTAL TIBIAL CANCELLOUS FULLY THREADED LO,226.8,226.8,,,0
HCPCS,C1713,SCREW BONE 5X55MM DISTAL FEMORAL HEX HEAD SELF TAPPING PROTA,277.2,277.2,,,0
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS TITANIUM 5.5MM X,2435.4,2435.4,,,0
HCPCS,C1713,SCREW BONE L20MM DIA4.5MM STANDARD CORTICAL TITANIUM SELF TA,218.4,218.4,,,0
HCPCS,C1713,SCREW BONE L22MM DIA5MM STANDARD CORTICAL DISTAL FEMORAL TIT,277.2,277.2,,,0
HCPCS,C1713,SCREW BONE L24MM DIA4.5MM STANDARD CORTICAL TITANIUM SELF TA,218.4,218.4,,,0
HCPCS,C1713,SCREW BONE L24MM DIA4MM CORTICAL HUMERAL FOR ANTEGRADE RETRO,285.6,285.6,,,0
HCPCS,C1713,SCREW BONE L34MM DIA4.5MM CORTICAL DISTAL FEMORAL TITANIUM S,92.4,92.4,,,0
HCPCS,C1713,SCREW BONE L42MM DIA4MM HUMERAL BLUNT TIP FOR ANTEGRADE RETR,294.0,294.0,,,0
HCPCS,C1713,SCREW BONE L6MM DIA2.7MM CORTICAL PERIARTICULAR SELF TAPPING,67.2,67.2,,,0
HCPCS,C1713,SCREW BONE L80MM DIA3.5MM PROXIMAL CORTICAL TIBIAL TYPE II A,109.2,109.2,,,0
HCPCS,C1713,SCREW BONE L90MM DIA5MM LOCKING FOR POLYAXIAL PLACEMENT NCB,268.8,268.8,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 1.5MM X 6MM ALPS MVX,293.74,293.74,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 3.5MM X 100MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 3.5MM X 10MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 3.5MM X 12MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 3.5MM X 14MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 3.5MM X 36MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 3.5MM X 38MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 3.5MM X 40MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 3.5MM X 42MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 3.5MM X 44MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,SCREW BONE LOCKING MDS 3.5MM X 46MM ALPS MVX,448.06,448.06,,,0
HCPCS,C1713,SCREW BONE NON-LOCKING 1.5MM X 6MM ALPS MVX,248.93,248.93,,,0
HCPCS,C1713,SCREW CAN FT SS 6.5MM X 135MM  71106335S,445.82,445.82,,,0
HCPCS,C1713,SCREW CANCEL 6.5MM 217.065,253.8,253.8,,,0
HCPCS,C1713,SCREW CANN  7.3 3260,907.2,907.2,,,0
HCPCS,C1713,SCREW CANN 48MM,743.4,743.4,,,0
HCPCS,C1713,SCREW CANN 6.5MM X 95MM SS FT,461.57,461.57,,,0
HCPCS,C1713,SCREW CANN 6.5X115MM 208.446,912.6,912.6,,,0
HCPCS,C1713,SCREW CANN 6.5X70 208.470,912.6,912.6,,,0
HCPCS,C1713,SCREW CANN 64MM,723.6,723.6,,,0
HCPCS,C1713,SCREW CANN 7 X 140MM,411.6,411.6,,,0
HCPCS,C1713,SCREW CANN 7.3 55MM,907.2,907.2,,,0
HCPCS,C1713,SCREW CANN 7.3 75MM 208.875,570.24,570.24,,,0
HCPCS,C1713,SCREW CANN 7.3 80MM,907.2,907.2,,,0
HCPCS,C1713,SCREW CANN 71106850,445.82,445.82,,,0
HCPCS,C1713,SCREW CANN LP 4.5X36,577.7,577.7,,,0
HCPCS,C1713,SCREW CANN THR 4.528MM,743.4,743.4,,,0
HCPCS,C1713,SCREW CANN THR 4.542MM,723.6,723.6,,,0
HCPCS,C1713,SCREW CANN THR 4.556MM,743.4,743.4,,,0
HCPCS,C1713,SCREW CANNCELLOUS 2.5MMX14MM,151.2,151.2,,,0
HCPCS,C1713,SCREW CANNULATED 50MM16MM,723.6,723.6,,,0
HCPCS,C1713,SCREW CANNULATED 6.5MM X 160MM,445.82,445.82,,,0
HCPCS,C1713,SCREW CANNULATED FULL THD 7.0MM X 135MM  00-1147-135-72,411.6,411.6,,,0
HCPCS,C1713,SCREW CANNULATED INTERFERENCE WITH DISPOSABLE SHEATH 9 X 20,299.52,299.52,,,0
HCPCS,C1713,SCREW CANNULATED THD 7.0MM X 32MM X 125MM  00-1147-125-71,411.6,411.6,,,0
HCPCS,C1713,SCREW CORT 4.5 90MM,232.2,232.2,,,0
HCPCS,C1713,SCREW CORT SELF TAPPING NCB 5.0 X 24MM  02.03150.024,277.2,277.2,,,0
HCPCS,C1713,SCREW CORTEX 2.4X8MM,327.6,327.6,,,0
HCPCS,C1713,SCREW CORTEX 4.5X58MM,131.4,131.4,,,0
HCPCS,C1713,SCREW CORTICAL LOCKING 3.5MM X 11MM,218.4,218.4,,,0
HCPCS,C1713,SCREW CORTICAL SELF TAPPING SMALL HEX 3.5MM X 34MM  00-4835-,75.6,75.6,,,0
HCPCS,C1713,SCREW DP THD NCB 4.0 X 26MM  02.03154.026,226.8,226.8,,,0
HCPCS,C1713,SCREW EVOS 2.4 X 16MM LOCK T7 S-T,256.2,256.2,,,0
HCPCS,C1713,SCREW EVOS 2.4 X 50MM CTX T7 S-T,79.8,79.8,,,0
HCPCS,C1713,SCREW GUID L20MM ST FOR MICRODEEP ELECTRD IMPLANTATION,351.6,351.6,,,0
HCPCS,C1713,SCREW GUID L25MM ST FOR MICRODEEP ELECTRD IMPLANTATION,351.6,351.6,,,0
HCPCS,C1713,SCREW IMPL 40 MM THRD CANN 6.5 MM X 125 MM ASNS III SS SPEC,575.71,575.71,,,0
HCPCS,C1713,SCREW INTFR 10X30MM BIOCOMPOSITE RND HD L THRD PITCH,767.52,767.52,,,0
HCPCS,C1713,SCREW INTFR L15MM DIA4.75MM PEEK VENT BIO-TENODESIS,819.0,819.0,,,0
HCPCS,C1713,SCREW INTFR L20MM DIA7MM CANN W/ SHTH,299.52,299.52,,,0
HCPCS,C1713,SCREW INTFR L30MM DIA9MM BIOCOMPOSITE VENT FASTTHREAD,767.52,767.52,,,0
HCPCS,C1713,SCREW LAG 2.0MM X 10MM,300.0,300.0,,,0
HCPCS,C1713,SCREW LAG CANN 1.5MM X 8MM NANOPHIX,2388.0,2388.0,,,0
HCPCS,C1713,SCREW LCK CORT HEX 3.5X50MM,447.72,447.72,,,0
HCPCS,C1713,SCREW LOCKING 2.7MM X 12MM  00-4828-012-02,184.8,184.8,,,0
HCPCS,C1713,SCREW LOCKING 3.5 X 44MM,447.72,447.72,,,0
HCPCS,C1713,SCREW LOCKING 5.0MM 212.218,491.4,491.4,,,0
HCPCS,C1713,SCREW LOCKING F1X,480.0,480.0,,,0
HCPCS,C1713,SCREW LOCKING W/ 2.7MM HEAD 3.5MM X 12MM  00-2359-012-38,176.4,176.4,,,0
HCPCS,C1713,SCREW MULTI AXIAL 3.5 X 18MM,1308.0,1308.0,,,0
HCPCS,C1713,SCREW MULTI-THREAD COMPRESSION 3.0MM X 10MM TI,280.8,280.8,,,0
HCPCS,C1713,SCREW MULTIUSE L48MM DIA3.5MM FIX BNE,204.0,204.0,,,0
HCPCS,C1713,SCREW PK2 G6623515 SA S-D 3.5MM X 15MM,240.0,240.0,,,0
HCPCS,C1713,SCREW PK2 G7733515 MINIP S-D 3.5MM X15MM,216.0,216.0,,,0
HCPCS,C1713,SCREW POLYAXIAL LOCKING 2.5MM X 16MM CANNULATED COCR,362.4,362.4,,,0
HCPCS,C1713,SCREW S-T CORT  HEX 3.5X26MM,118.58,118.58,,,0
HCPCS,C1713,SCREW SELF TAPPING CORTEX 72MM,131.4,131.4,,,0
HCPCS,C1713,SCREW SELF TAPPING CORTICAL 3.5MM X 20,118.58,118.58,,,0
HCPCS,C1713,SCREW SELF-TAPPING CORT NCB 5.0 X 80MM  02.03150.080,277.2,277.2,,,0
HCPCS,C1713,SCREW SLF -DRL 4MM,91.01,91.01,,,0
HCPCS,C1713,SCREW SPINAL 5.5X25MM FOR 5.5/6MM ROD UNIAXIAL REDUCTION CD,7761.6,7761.6,,,0
HCPCS,C1713,SCREW SPNL 2.6X6MM VA SLF DRL TI CNPY LAMINOPLASTY PLT,120.0,120.0,,,0
HCPCS,C1713,SCREW SPNL 2X5MM FOR OPN DOOR LAMINOPLASTY CNTRPC PLT FIX,96.0,96.0,,,0
HCPCS,C1713,SCREW SPNL 3.5X12MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 3.5X13MM FOR STD ALONE INTBDY CAGE SLF DRL,240.0,240.0,,,0
HCPCS,C1713,SCREW SPNL 3.5X14MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 3.5X22MM FOR 4MM ROD POST OCT POLYAX TI SYM,2460.0,2460.0,,,0
HCPCS,C1713,SCREW SPNL 3.5X24MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 3.5X30MM MULTIAXIAL PT INFIN OCCIPITOCERVICAL,1344.0,1344.0,,,0
HCPCS,C1713,SCREW SPNL 3.5X32MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 3.6X12MM ANT CERV VA ST TI TOP LD COALITION,180.0,180.0,,,0
HCPCS,C1713,SCREW SPNL 30MM FEN REDUC TULIP MIS,1080.0,1080.0,,,0
HCPCS,C1713,SCREW SPNL 4.2X14MM ST VA COALITION,180.0,180.0,,,0
HCPCS,C1713,SCREW SPNL 4.35X35MM FOR 5.5MM ROD PEDCL POLYAX CORT CANN TI,2337.0,2337.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X12MM POST OCCIPITOCERVICAL TI MOUNTAINEER OCT,528.0,528.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X24MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X30MM FOR 4MM ROD POST OCT POLYAX CORT TI SYM,2639.38,2639.38,,,0
HCPCS,C1713,SCREW SPNL 4.5X32MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X32MM FOR 4MM ROD POST OCT POLYAX CORT TI SYM,2639.38,2639.38,,,0
HCPCS,C1713,SCREW SPNL 4.5X34MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X34MM FOR 4MM ROD POST OCT POLYAX CORT TI SYM,2639.38,2639.38,,,0
HCPCS,C1713,SCREW SPNL 4.5X35MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X35MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X40MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X45MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL 4.5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 4X12MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 4X15MM ST VA FOR ZEVO ANT CERV PLT SYS,240.0,240.0,,,0
HCPCS,C1713,SCREW SPNL 4X16MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 4X17MM ST VA FOR ZEVO ANT CERV PLT SYS,240.0,240.0,,,0
HCPCS,C1713,SCREW SPNL 4X24MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 5.5MM LOK OPN TULIP RELINE,114.0,114.0,,,0
HCPCS,C1713,SCREW SPNL 5.5MM POLYAX TULIP HD THRD CREO AMP,660.0,660.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X20MM ALIF VA TI INDPNDNC,336.0,336.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X30MM FOR 3.2/3.5MM ROD POST MULTIAXIAL,1344.0,1344.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X30MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X30MM FOR 6MM ROD PEDCL ST POLYAX FEN CANN,9840.0,9840.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X30MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 5.5X30MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X35MM ALIF VA TI INDPNDNC,336.0,336.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X35MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X35MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X35MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 5.5X35MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X40MM ALIF VA TI INDPNDNC,336.0,336.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X40MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X40MM FOR 6MM ROD PEDCL ST POLYAX FEN CANN,9840.0,9840.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X40MM LUM VA PEEK-OPTMA COROENT XL-F,1560.0,1560.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X40MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 5.5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X42MM ANT THORLUM CANC 2 COR LOK ST TI BLNT,828.0,828.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X45MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X45MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 5.5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X45MM THORLUM MOD CREO AMP,660.0,660.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X50MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 5.5X50MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X50MM THORLUM MOD CREO AMP,660.0,660.0,,,0
HCPCS,C1713,SCREW SPNL 5.5X55MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 5X34MM FOR 3.5/4MM ROD POLYAX QUARTEX OCT STBL,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 5X35MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 5X45MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 5X50MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 5X50MM FOR 5.5MM ROD POLYAX CORT CANN TI VIPER,2460.0,2460.0,,,0
HCPCS,C1713,SCREW SPNL 5X50MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 6.5MM X 60MM FOR 5.5MM ROD MULTIAXIAL FEN COCR,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X35MM FOR 5.5/6MM ROD EXT TAB REDUC MULTIAXIAL,1476.0,1476.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X35MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X35MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 6.5X35MM THORLUM CANN CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X35MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X40MM FOR 5.5/6MM ROD MULTIAXIAL CANN TI/CO,1879.2,1879.2,,,0
HCPCS,C1713,SCREW SPNL 6.5X40MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X40MM FOR 5.5MM ROD POLYAX THRD TI/CO CHROM,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X40MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 6.5X40MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X40MM THORLUM CANN CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X40MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X45MM FOR 5.5/6MM ROD MULTIAXIAL CANN TI/CO,1879.2,1879.2,,,0
HCPCS,C1713,SCREW SPNL 6.5X45MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X45MM FOR 5.5MM ROD POLYAX THRD PREASSEMBLED,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X45MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 6.5X45MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X45MM THORLUM CANN CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X45MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X45MM THORLUM MOD CREO AMP,660.0,660.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X50MM FOR 5.5/6MM ROD MULTIAXIAL CANN TI/CO,1879.2,1879.2,,,0
HCPCS,C1713,SCREW SPNL 6.5X50MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X50MM FOR 5.5/6MM ROD MULTIAXIAL HA COAT CDH,1800.0,1800.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X50MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 6.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X50MM POLYAX ST TI 2 LD XIA 3 SYS SERRATO,2423.11,2423.11,,,0
HCPCS,C1713,SCREW SPNL 6.5X50MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X50MM THORLUM MOD CREO AMP,660.0,660.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X55MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X55MM FOR 5.5/6MM ROD MULTIAXIAL CANN TI/CO,1879.2,1879.2,,,0
HCPCS,C1713,SCREW SPNL 6.5X55MM FOR 5.5/6MM ROD MULTIAXIAL FEN CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X55MM FOR 5.5/6MM ROD MULTIAXIAL HA COAT CDH,1800.0,1800.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X55MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 6.5X55MM FOR ROBOTIC NAVI CREO 1,1800.0,1800.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X55MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X60MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 6.5X60MM THORLUM HA COAT MOD CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,SCREW SPNL 6.5X65MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 6X40MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
HCPCS,C1713,SCREW SPNL 6X45MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X30MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 7.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X40MM FOR 5.5/6MM ROD MULTIAXIAL CANN CDH,1879.2,1879.2,,,0
HCPCS,C1713,SCREW SPNL 7.5X40MM FOR 5.5/6MM ROD MULTIAXIAL FEN TI CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X40MM FOR ROBOTIC NAVI CREO 1,1800.0,1800.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X40MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 7.5X45MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X45MM FOR ROBOTIC NAVI CREO 1,1800.0,1800.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X45MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 7.5X45MM THORLUM MOD CREO AMP,660.0,660.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X50MM CANN CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X50MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X50MM FOR 5.5/6MM ROD MULTIAXIAL FEN TI CDH,2040.0,2040.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X50MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 7.5X50MM THORLUM CANN HA COAT MOD CREO AMP,1080.0,1080.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X50MM THORLUM MOD CREO AMP,660.0,660.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X55MM FOR 5.5/6MM ROD MULTIAXIAL HA COAT CDH,1800.0,1800.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X55MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 7.5X55MM THORLUM MOD CREO AMP,660.0,660.0,,,0
HCPCS,C1713,SCREW SPNL 7.5X60MM MULTIAXIAL OSTEOGRIP THRD TI/CO CHROM,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 7X40MM FOR 5.5MM ROD POLYAX CORT TI VIPER,2337.0,2337.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X100MM ST MULTIAXIAL CANC T/C CDH,2220.0,2220.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X35MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 8.5X40MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X40MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X45MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 8.5X45MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X50MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 8.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X50MM THORLUM CANN MOD CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X55MM FEN MOD CREO,1320.0,1320.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X55MM FOR 5.5/6MM ROD MULTIAXIAL OSTEOGRIP,1156.8,1156.8,,,0
HCPCS,C1713,SCREW SPNL 8.5X70MM MULTIAXIAL CANC CANN TI/CO CHROM CDH,2220.0,2220.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X70MM POST PREFERRED ANG CANN TI/CO CHROM CREO,2400.0,2400.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X80MM MULTIAXIAL CANC CANN TI/CO CHROM CDH,2220.0,2220.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X80MM POST PREFERRED ANG CANN TI/CO CHROM CREO,2400.0,2400.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X90MM MULTIAXIAL CANC CANN TI/CO CHROM CDH,2220.0,2220.0,,,0
HCPCS,C1713,SCREW SPNL 8.5X90MM POST PREFERRED ANG CANN TI/CO CHROM CREO,2400.0,2400.0,,,0
HCPCS,C1713,SCREW SPNL 8X40MM FOR 5.5MM ROD PEDCL CORT CANN TI VIPER,2337.0,2337.0,,,0
HCPCS,C1713,SCREW SPNL 9.5X50MM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL 9.5X90MM MULTIAXIAL CANC CANN TI/CO CHROM CDH,2220.0,2220.0,,,0
HCPCS,C1713,SCREW SPNL ANT CERV 3.5X13MM VA 2 THRD LOK ST TI ALLY,240.0,240.0,,,0
HCPCS,C1713,SCREW SPNL ANT CERV 4.6X12MM SLF DRL VA VIP,180.0,180.0,,,0
HCPCS,C1713,SCREW SPNL CREO FEN 4.5 X 25MM POLYAX THRD,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL DIA4.5MM L40MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,SCREW SPNL DIA5.0MM L45MM HA COAT MOD CANN CREO AMP,1080.0,1080.0,,,0
HCPCS,C1713,SCREW SPNL DIA5.0MM L45MM MOD HA COAT CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,SCREW SPNL L100MM DIA10.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
HCPCS,C1713,SCREW SPNL L10MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
HCPCS,C1713,SCREW SPNL L110MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
HCPCS,C1713,SCREW SPNL L12MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,SCREW SPNL L12MM DIA4.2MM ANT CERV TI ALLY SLF DRL VA XTEND,180.0,180.0,,,0
HCPCS,C1713,SCREW SPNL L12MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
HCPCS,C1713,SCREW SPNL L14MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,SCREW SPNL L14MM DIA4.2MM SLF DRL VA COALITION,180.0,180.0,,,0
HCPCS,C1713,SCREW SPNL L14MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
HCPCS,C1713,SCREW SPNL L14MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,SCREW SPNL L15MM DIA3.5MM ANT CERV TI ST VA FOR PLATING SYS,240.0,240.0,,,0
HCPCS,C1713,SCREW SPNL L16MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,SCREW SPNL L16MM DIA4.2MM ANT CERV TI ALLY SLF DRL VA XTEND,180.0,180.0,,,0
HCPCS,C1713,SCREW SPNL L16MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,SCREW SPNL L17MM DIA3.5MM ANT CERV TI SLF DRL VA FOR PLATING,240.0,240.0,,,0
HCPCS,C1713,SCREW SPNL L18MM DIA3.6MM ST VA COALITION,180.0,180.0,,,0
HCPCS,C1713,SCREW SPNL L19MM DIA3.5MM SLF DRL VA NONCANN ZEVO,240.0,240.0,,,0
HCPCS,C1713,SCREW SPNL L20MM DIA3.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,SCREW SPNL L30MM DIA3.5MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL L30MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1308.0,1308.0,,,0
HCPCS,C1713,SCREW SPNL L30MM DIA4.5MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL L30MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,SCREW SPNL L30MM DIA4MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL L30MM DIA5.5MM THORLUM HA STBL CANN MOD CREO AMP,1080.0,1080.0,,,0
HCPCS,C1713,SCREW SPNL L30MM DIA5MM POLYAX QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL L32MM DIA4MM OCCIPITOCERVICAL UP THOR MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,SCREW SPNL L35MM DIA5.5MM POLYAX 2 LD THRD LP TOP LD 0 TORQ,2275.51,2275.51,,,0
HCPCS,C1713,SCREW SPNL L35MM DIA5.5MM POLYAX THRD FEN CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL L40MM DIA4.5MM OCCIPITOCERVICAL UP THOR,1344.0,1344.0,,,0
HCPCS,C1713,SCREW SPNL L40MM DIA4.5MM POLYAX THRD FEN CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL L40MM DIA5MM HA COAT MOD CANN CREO AMP,1080.0,1080.0,,,0
HCPCS,C1713,SCREW SPNL L40MM DIA5MM THORLUM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL L40MM OD7.5MM CANN MOD CREO,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL L45MM DIA5.5MM FEN POLYAX THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL L45MM DIA5.5MM HA CANN MOD CREO AMP,1080.0,1080.0,,,0
HCPCS,C1713,SCREW SPNL L45MM DIA7.5MM CANN MOD CREO,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL L50MM DIA4.5MM THORLUM POLYAX FEN THRD CREO,2160.0,2160.0,,,0
HCPCS,C1713,SCREW SPNL L50MM DIA6.5MM CANN MOD CREO,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL L50MM DIA6.5MM HA CANN MOD CREO AMP,1080.0,1080.0,,,0
HCPCS,C1713,SCREW SPNL L55MM DIA7.5MM MOD CANN CREO AMP,840.0,840.0,,,0
HCPCS,C1713,SCREW SPNL L6MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
HCPCS,C1713,SCREW SPNL L70MM DIA9.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
HCPCS,C1713,SCREW SPNL L8MM DIA4.5MM OCCIPITOCERVICAL UP THOR INFIN,360.0,360.0,,,0
HCPCS,C1713,SCREW SPNL L90MM DIA10.5MM POST COCR HD TI SHNK POLYAX CANN,2400.0,2400.0,,,0
HCPCS,C1713,SCREW SPNL LS 5X20MM TI NANOLOCK SURF TECH ANTERALIGN,540.0,540.0,,,0
HCPCS,C1713,SCREW SPNL MOD HA COAT 4.5 MM X 35MM CREO AMP,1620.0,1620.0,,,0
HCPCS,C1713,SCREW SPNL OCCIPITOCERVICAL UP THOR 3.5X28MM MULTIAXIAL,1308.0,1308.0,,,0
HCPCS,C1713,SCREW SPNL OCT 3.5X24MM POLYAX SHLDR QUARTEX,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL POLYAX COCR TULIP HD THRD AMP,660.0,660.0,,,0
HCPCS,C1713,SCREW SPNL R QUAD DBL THRD HD CREO AMP,2880.0,2880.0,,,0
HCPCS,C1713,SCREW SPNL SACROILIAC 10X30MM SL ET WSHR SI LOK SEL,6000.0,6000.0,,,0
HCPCS,C1713,SCREW SPNL SET MAS SS ST 5.5/6MM CDH MODULEX,1380.0,1380.0,,,0
HCPCS,C1713,SCREW SPNL SET UAS SS ST 5.5/6MM CDH MODULEX,1744.8,1744.8,,,0
HCPCS,C1713,SCREW SPNL SHNK 5.5MM X 45MM NANOLOCK CDH MODULEX,1608.0,1608.0,,,0
HCPCS,C1713,SCREW SPNL SHNK MDX OSTEOGRIP 5.5MM X 25MM CDH MODULEX,820.8,820.8,,,0
HCPCS,C1713,SCREW SPNL THORLUM 4.5X40MM POLYAX THRD LOK LP PREASSEMBELED,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL THORLUM 5.5X35MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,SCREW SPNL THORLUM 5.5X40MM POLYAX THRD LOK COCR HD TI SHNK,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL THORLUM 5.5X45MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,SCREW SPNL THORLUM 5X45MM POLYAX THRD LOK LP PREASSEMBELED,1200.0,1200.0,,,0
HCPCS,C1713,SCREW SPNL THORLUM 6.5X30MM CANN THRD LOK LP CREO,1800.0,1800.0,,,0
HCPCS,C1713,SCREW SPNL THORLUM 8.5X80MM POLYAX THRD LOK LP PREASSEMBELED,1320.0,1320.0,,,0
HCPCS,C1713,SCREW T15 LP CORT 3.5X10MM NS,92.4,92.4,,,0
HCPCS,C1713,SCREW T15 LP CORT 3.5X28MM NS,100.8,100.8,,,0
HCPCS,C1713,SCREW T15 MD 3.5X46 NS,277.2,277.2,,,0
HCPCS,C1713,SCREW TI MATRIXMIDFACE EMERGENCY 5MM,163.25,163.25,,,0
HCPCS,C1713,SCREW TI MTXMN 2.4MM,191.04,191.04,,,0
HCPCS,C1713,SCREW UNICORTICAL NCB 5.0 X 18MM  02.03151.018,260.4,260.4,,,0
HCPCS,C1713,SCREW VA 3.5 LOCK  02.127.160,547.2,547.2,,,0
HCPCS,C1713,SCREW VA COND LCK 5 X 75MM,631.8,631.8,,,0
HCPCS,C1713,SCREW VA LOCK 3.5 X 80,547.2,547.2,,,0
HCPCS,C1713,"SCREW, 1.5 DIA. X 4 MM LENGTH, SILVER, TITANIUM, SELF-DRILLING, FOR CRANIAL PLATING SYSTEM",91.01,91.01,,,0
HCPCS,C1713,SCREWS CORTEX 2.4MM 201.784,217.8,217.8,,,0
HCPCS,C1713,SCREWS CORTEX 2.7MM 202.890,158.4,158.4,,,0
HCPCS,C1713,SCRUN3EM1.7X4MM5PK,143.52,143.52,,,0
HCPCS,C1713,SCRUNIII AXS SD1.5X3MM,143.52,143.52,,,0
HCPCS,C1713,SET BNE GRFT DEL SYS W/ 9CC DBF 2 CANN GRFT ACCELERATE,3024.0,3024.0,,,0
HCPCS,C1713,SET CAPS,300.0,300.0,,,0
HCPCS,C1713,SET SCR SPNL 5.5/6MM CANN FEN MULTIAXIAL CDH SOLERA VOYAGER,108.0,108.0,,,0
HCPCS,C1713,SET SCR SPNL 5.5MM TI BRK OFF HIGHER CLMP CDH LEG SYS,76.8,76.8,,,0
HCPCS,C1713,SET SCR SPNL 5.5X6MM TI BRK OFF FOR CDH SOLERA SYS,108.0,108.0,,,0
HCPCS,C1713,SET SCR SPNL 5.5X6MM TI REDUC FOR CDH SOLERA SYS,115.2,115.2,,,0
HCPCS,C1713,SET SCR SPNL 6 35MM THRD 1/4-32IN TI BRK OFF CDH SOLERA,108.0,108.0,,,0
HCPCS,C1713,SET SCR SPNL DIA6.35MM IL TI HEX BRK OFF CDH SOLERA,76.8,76.8,,,0
HCPCS,C1713,SET SCR SPNL INNR MOUNTAINEER OCT,221.06,221.06,,,0
HCPCS,C1713,SET SCR SPNL MD STD OCCIPITOCERVICAL UP THOR LOK INFIN,115.2,115.2,,,0
HCPCS,C1713,SET SCR SPNL N BRK OFF CDH MODULEX,108.0,108.0,,,0
HCPCS,C1713,SET SCR SPNL NS OCT SYM,226.8,226.8,,,0
HCPCS,C1713,SET SCR SPNL OCCIPITOCERVICAL UP THOR M6 INFIN,115.2,115.2,,,0
HCPCS,C1713,SET SCR SPNL POLYAX ATR EVEREST,246.0,246.0,,,0
HCPCS,C1713,SET SCR SPNL TI INNR FOR DIA3.5MM ROD OCT SYS MOUNTAINEER,232.7,232.7,,,0
HCPCS,C1713,SET SCR SPNL TI SGL INNR FOR DIA5.5MM ROD VIPER,300.0,300.0,,,0
HCPCS,C1713,SET SCR SPNL X25 DRV TI EXPEDIUM 5.5,216.0,216.0,,,0
HCPCS,C1713,SF U PLATE 155MM INNER DIA,3933.84,3933.84,,,0
HCPCS,C1713,SHAFT,122.4,122.4,,,0
HCPCS,C1713,SHELL ACET SZ C DIA48MM HIP OSSEOTI 3 LIMIT H G7,3960.0,3960.0,,,0
HCPCS,C1713,SI POLYAXL SCREW 7 X 60MM,1392.0,1392.0,,,0
HCPCS,C1713,SIMPLEX P BONE CEMENT,122.11,122.11,,,0
HCPCS,C1713,SIMPLEX P BONE CEMENTSIMPLEX P BONE CEMENT,134.4,134.4,,,0
HCPCS,C1713,"SIMPLIFY DISC SIZE 3, HT 5, 5 DEGREE",14976.0,14976.0,,,0
HCPCS,C1713,SM-5100 - SMALL BONE HOUSING ASSEMBLY,1627.2,1627.2,,,0
HCPCS,C1713,SMALL BONE HOUSING ASSEMBLY,1627.2,1627.2,,,0
HCPCS,C1713,SMARTLOCK HMMF PLATE,878.16,878.16,,,0
HCPCS,C1713,SMARTLOCK HMMF SCR2.0X6MM,379.51,379.51,,,0
HCPCS,C1713,SMARTLOCK HMMF SCR2.0X8MM,379.49,379.49,,,0
HCPCS,C1713,SMITH & NEPHEW  7225602,1200.0,1200.0,,,0
HCPCS,C1713,SMITH & NEPHEW 1017331229,788.4,788.4,,,0
HCPCS,C1713,SMITH & NEPHEW 7250-4528,264.0,264.0,,,0
HCPCS,C1713,SMITH & NEPHEW 72514526,1648.8,1648.8,,,0
HCPCS,C1713,SMITH & NEWPHEW 7250-4528,264.0,264.0,,,0
HCPCS,C1713,SMOOTH PEG  2.2MM X 14MM  2.2MM X 14MM,184.8,184.8,,,0
HCPCS,C1713,SMOOTH PEG LOCKING 2.0MM X 14MM,220.8,220.8,,,0
HCPCS,C1713,SP FBRTAK RC FBRTPE BLK/BLU & STTPE BLU,1223.04,1223.04,,,0
HCPCS,C1713,SPACER MTL SM 8MM ALTIVATE REV,3349.08,3349.08,,,0
HCPCS,C1713,SPACER SPNL 24X30X13MM 15DEG HEDRON IA,10440.0,10440.0,,,0
HCPCS,C1713,SPACER SPNL 26X34X11MM 15DEG HEDRON IA,10440.0,10440.0,,,0
HCPCS,C1713,SPACER SPNL 29X39X17MM 15DEG HEDRON IA,10440.0,10440.0,,,0
HCPCS,C1713,SPACER SPNL LUM 20X8-15X55MM 6DEG LORD SELF EXPND ELSA,20160.0,20160.0,,,0
HCPCS,C1713,SPACER SPNL W10XH6XL26MM 8DEG SABLE,13200.0,13200.0,,,0
HCPCS,C1713,SPACER SPNL W10XH9-13XL31MM 15DEG THORLUM IF LORD SAG BAL,10080.0,10080.0,,,0
HCPCS,C1713,SPACER SPNL W14XH7MM D12MM 7DEG LORDOSIS TI COALITION MIS,4320.0,4320.0,,,0
HCPCS,C1713,SPACER SPNL W16XH7MM D14MM 12DEG ANT CERV TI ALLY SINTROS,4260.0,4260.0,,,0
HCPCS,C1713,SPEEDTITAN COMPRESSION IMPLANT KIT 20X15X15MM,4635.0,4635.0,,,0
HCPCS,C1713,SPHERE GLEN SZ 32 NEUT OFFSET W/ RET SCR ALTIVATE,2520.0,2520.0,,,0
HCPCS,C1713,SS FLEX NAIL 1.5 - ROUND TIP,1048.8,1048.8,,,0
HCPCS,C1713,STAPLE INT W9XH7MM WIRE OD1.5X1.5MM HND WRST COMPR,2682.0,2682.0,,,0
HCPCS,C1713,STEINMANN PIN,4.73,4.73,,,0
HCPCS,C1713,STEINMANN PIN 5/64IN (2.0MM) X 9IN SINGLE TROCAR PT NON-THRE,52.2,52.2,,,0
HCPCS,C1713,STERNAL ZIPFIX,304.92,304.92,,,0
HCPCS,C1713,STRAIGHT IM STEM WITH SCREW,3909.6,3909.6,,,0
HCPCS,C1713,STRYKER 663001,89.21,89.21,,,0
HCPCS,C1713,STRYKER UNIVERSAL NEURO SCREW,160.99,160.99,,,0
HCPCS,C1713,SUBSTITUTE BNE GRFT 10ML SIGNIFY CRUNCH BIOACTIVE,2676.0,2676.0,,,0
HCPCS,C1713,SUBSTITUTE BNE GRFT 5ML CRUNCH BIOACTIVE SIGNIFY,1404.0,1404.0,,,0
HCPCS,C1713,SUPERIOR PLATE DECREASED - 8 HOLE / RIGHT,2325.6,2325.6,,,0
HCPCS,C1713,SURGICAL STEEL WIRE 24G,17.47,17.47,,,0
HCPCS,C1713,SUTR ANCHCRKSCRW FT 5.5X 15MM,599.04,599.04,,,0
HCPCS,C1713,SUTURE ANCHOR PEEK PUSHLOCK SP  4.5 X 28 MM,1014.0,1014.0,,,0
HCPCS,C1713,SUTURE FIBERTAG TGHTRP FOR QUADLINK GRFT PREP,1365.0,1365.0,,,0
HCPCS,C1713,SYMPHONY 4.0 SHAFT PLY SCRW 3.5X30 102035730,2460.0,2460.0,,,0
HCPCS,C1713,SYNPOR FAN PLATE 0.8MM,3610.08,3610.08,,,0
HCPCS,C1713,SYNTHECURE BONE VOID FILLER,3780.0,3780.0,,,0
HCPCS,C1713,SYNTHES  04.502.162,79.49,79.49,,,0
HCPCS,C1713,SYNTHESE DS7010904,1490.4,1490.4,,,0
HCPCS,C1713,SYSTEM DST BICEPS IMPL W/ PEEK TENODESIS SCR L10MM DIA7MM,2210.52,2210.52,,,0
HCPCS,C1713,SYSTEM FIX HND/WRST W/ SUT ANCHR FBR WIRE FBR LOOP 3MM 3.5MM,3887.52,3887.52,,,0
HCPCS,C1713,SYSTEM GRFT DEL W/ 3CC GRFT DEMIN BNE FBR 2 CANN ACCELERATE,1320.0,1320.0,,,0
HCPCS,C1713,SYSTEM MENIS REP 12DEG NDL VERSATILE LP ROBUST W/ PEEK IMPL,1020.0,1020.0,,,0
HCPCS,C1713,T-PLATE 3X4 HOLES,496.13,496.13,,,0
HCPCS,C1713,T2 ANKLE NAIL 11X200MM LEFT,4440.24,4440.24,,,0
HCPCS,C1713,T2 CONDYLE SCREW 5MMX95MM,321.6,321.6,,,0
HCPCS,C1713,T2 FE RETRO NAIL LNG D10XL320,8697.55,8697.55,,,0
HCPCS,C1713,T2 FE RETRO NAIL LNG D10XL380,8697.55,8697.55,,,0
HCPCS,C1713,T2 FE RETRO NAIL LNG D12XL420,8697.55,8697.55,,,0
HCPCS,C1713,T2 FE RETRO NAIL LNG D13XL340,4586.4,4586.4,,,0
HCPCS,C1713,T2 LONG PROXIMAL HUMERAL NAIL LEFT 260MM,2892.0,2892.0,,,0
HCPCS,C1713,T2 RECON LAG SCREW 6.5MMX105MM,376.8,376.8,,,0
HCPCS,C1713,T2 RECON LAG SCREW 6.5MMX75MM,901.87,901.87,,,0
HCPCS,C1713,T2 STD. TIBIAL NAIL 10MMX300MM,2102.4,2102.4,,,0
HCPCS,C1713,T2 SUPRACONDYLAR NAIL 11X320MM,3098.4,3098.4,,,0
HCPCS,C1713,TALAR DOME FLAT CUT SIZE 2,13922.4,13922.4,,,0
HCPCS,C1713,TENDON ANCHORS,1080.0,1080.0,,,0
HCPCS,C1713,TENODESIS SCREW PEEK 5.5 X 8 MM,741.0,741.0,,,0
HCPCS,C1713,TENODESIS SCREW PEEK VENTED 5.5 X 15 MM,819.0,819.0,,,0
HCPCS,C1713,THICK ITALIAN NUT,73.58,73.58,,,0
HCPCS,C1713,THREADED PEG LOCKING 2.3MM X 10MM,237.6,237.6,,,0
HCPCS,C1713,THREADED PEG NON-LOCKING 2.7MM X 12MM,216.0,216.0,,,0
HCPCS,C1713,TI MATRIXMIDFACE ADAP PLATE 20 HOLES,1232.11,1232.11,,,0
HCPCS,C1713,TI MATRIXMIDFACE BOX PLATE 4 HOLES5MMX10MM0.5MM THICK,548.11,548.11,,,0
HCPCS,C1713,TI MATRIXMIDFACE OBLIQ L-PL 2X3 HOLES-LFT0.7MM THICK,557.23,557.23,,,0
HCPCS,C1713,TI MATRIXMIDFACE OBLIQUE L-PL 3X4 HOLES-RIGHT0.5MM THICK,570.0,570.0,,,0
HCPCS,C1713,TI MATRIXMIDFACE ORBITAL FLOOR PLATE-ANATOMIC SMALL/0.3MM TH,2342.93,2342.93,,,0
HCPCS,C1713,TI THORACOLUMBAR SPINE LOCKING,7081.15,7081.15,,,0
HCPCS,C1713,TIBIAL NAIL - YELLOW 11 MM DIAMETER  32 CM LENGTH USE RED PR,2272.32,2272.32,,,0
HCPCS,C1713,TIBIAL NAIL - YELLOW 9.3 MM DIAMETER  38 CM LENGTH USE RED P,2469.6,2469.6,,,0
HCPCS,C1713,TIBIAL NAIL D10XL300,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D10XL330,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D10XL360,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D10XL375,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D11XL300,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D11XL315,3338.4,3338.4,,,0
HCPCS,C1713,TIBIAL NAIL D11XL345,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D11XL360,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D11XL375,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D12XL345,3338.4,3338.4,,,0
HCPCS,C1713,TIBIAL NAIL D9XL270,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D9XL285,3338.4,3338.4,,,0
HCPCS,C1713,TIBIAL NAIL D9XL300,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D9XL315,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D9XL330,6518.66,6518.66,,,0
HCPCS,C1713,TIBIAL NAIL D9XL360,6518.66,6518.66,,,0
HCPCS,C1713,TISSUE CANC CRUSEH 1-10,247.2,247.2,,,0
HCPCS,C1713,TITANIUM MATRIXSTERNUM STERNAL BODY PLATES,2008.8,2008.8,,,0
HCPCS,C1713,"TITANIUM ORBITAL FLOOR PLATE, ANATOMIC",2342.93,2342.93,,,0
HCPCS,C1713,TN TI FUSION PLATE MEDIUM,7227.0,7227.0,,,0
HCPCS,C1713,TOOL SMOOTHER 9.5MM,702.0,702.0,,,0
HCPCS,C1713,TRAUMA 853-12 12MM OD PLATE,636.0,636.0,,,0
HCPCS,C1713,TRAY KYPHOPLASTY 15/3 IBT 11GA BNE ACCS NDL OSTEO INTRO SYS,6155.74,6155.74,,,0
HCPCS,C1713,TRAY KYPHOPLASTY SZ 3 BLLN L15MM SYR 30ML 11GA ADD FRAC,4070.09,4070.09,,,0
HCPCS,C1713,TRIGEN LOW PROFILE SCREW 5.0MM X 35MM,318.82,318.82,,,0
HCPCS,C1713,TROCHANTERIC NAIL D10X170MM 120DEG,3050.4,3050.4,,,0
HCPCS,C1713,ULTRA LOW PROFILE BURR HOLE COVER,300.67,300.67,,,0
HCPCS,C1713,ULTRABUTTON ADJUSTABLE. ENDOBUTTON CL ULTRA FIXATION DEVICE,1026.0,1026.0,,,0
HCPCS,C1713,UN3 DOUBLE-Y PLT6HOLEWBAR,575.33,575.33,,,0
HCPCS,C1713,UN3 SHUNT PLATE14MMWTAB,677.69,677.69,,,0
HCPCS,C1713,UN3 STRT PLT4HOLE WBAR,300.77,300.77,,,0
HCPCS,C1713,UPPERFACE 7 HOLE T PLATE,416.86,416.86,,,0
HCPCS,C1713,VADER PEDCL SYS SCR C/PEEK POLYAX. FEN. 4.5 35 MM,9840.0,9840.0,,,0
HCPCS,C1713,VARIEX DIST RADIUS 11 HOLE 145MM,3576.0,3576.0,,,0
HCPCS,C1713,VERSYS CEM/REV/CALCAR 13X210MM,7986.12,7986.12,,,0
HCPCS,C1713,VIP 4.6MM VARIABLE ANGLE SCREW SELF-TAPPING 16MM,180.0,180.0,,,0
HCPCS,C1713,VIP 5.1MM VARIABLE ANGLE SCREW SELF-DRILLING 14MM,180.0,180.0,,,0
HCPCS,C1713,VIP ANTERIOR CERVICAL PLATE 1-LEVEL 15MM,1680.0,1680.0,,,0
HCPCS,C1713,VIP CERVICAL PLATE 2-LEVEL 36MM,1680.0,1680.0,,,0
HCPCS,C1713,VITOSS BIMODAL FOAM PACK 1.2CC,840.0,840.0,,,0
HCPCS,C1713,VITOSS BIMODAL FOAM PACK 10CC,7080.0,7080.0,,,0
HCPCS,C1713,VITOSS BIMODAL FOAM PACK 2.5CC,1800.0,1800.0,,,0
HCPCS,C1713,VITOSS BIMODAL FOAM PACK 5CC,3600.0,3600.0,,,0
HCPCS,C1713,VLP 3.5MM CALCANEUS PLATE LGE RIGHT STER,1887.6,1887.6,,,0
HCPCS,C1713,VLP 3.5MM CALCANEUS PLATE SM LEFT STER,1825.2,1825.2,,,0
HCPCS,C1713,VOLAR DR PLT NAR R,2424.0,2424.0,,,0
HCPCS,C1713,VPC SCREW 3.4X20MM,756.0,756.0,,,0
HCPCS,C1713,VUEPOINT II TEMPLATE 240MM ROD,326.4,326.4,,,0
HCPCS,C1713,W - CONNECTOR,2006.4,2006.4,,,0
HCPCS,C1713,WASHER,156.84,156.84,,,0
HCPCS,C1713,WASHER 7.0MM,57.72,57.72,,,0
HCPCS,C1713,WASHER ORTH 10MM SS FOR 4.5MM CANN SCR,97.2,97.2,,,0
HCPCS,C1713,WASHER ORTH 13MM SS FOR 4.5MM CORT AND 6.5MM CANC BNE SCR,99.0,99.0,,,0
HCPCS,C1713,WASHER ORTH 7MM SS FOR 3.5MM CORT AND 4MM CANC BNE SCR,88.2,88.2,,,0
HCPCS,C1713,WASHER ORTH DIA12.7MM SS RND FOR FIX,214.8,214.8,,,0
HCPCS,C1713,WASHER ORTH DIA13MM THK1.5MM SS FOR ASNS III 6.5/8MM CANN,79.2,79.2,,,0
HCPCS,C1713,WASHER ORTH DIA3.5MM CORT DST FBLR EL LP FOR FRAC SYS ALPS,117.6,117.6,,,0
HCPCS,C1713,WASHER ORTH DIA7MM FOR 2.7MM SCR,75.6,75.6,,,0
HCPCS,C1713,WASHER ORTH DIA8MM FOR 4MM SCR JFX ASNS,87.22,87.22,,,0
HCPCS,C1713,WASHER ORTH OD12.7MM ID6.5MM SS,99.07,99.07,,,0
HCPCS,C1713,WASHER ORTH OD8MM ID4MM THK1MM SS,49.1,49.1,,,0
HCPCS,C1713,WASHER ORTH SS FOR 5.5-7.5MM CANN SCR,92.4,92.4,,,0
HCPCS,C1713,WASHER ORTHOPEDIC DIA3MM FLAT FOR CANNULATED SCREW SYSTEM,140.4,140.4,,,0
HCPCS,C1713,WAY POINT ANCHORS,194.4,194.4,,,0
HCPCS,C1713,"WIDE 4 HOLE, RIGHT",2095.2,2095.2,,,0
HCPCS,C1713,WIDE PLATE LEFT (HEAD WIDTH X OVERALL LENGTH)  28MM X 56MM,1503.6,1503.6,,,0
HCPCS,C1713,WIRE ARCH BAR #0102990,5381.26,5381.26,,,0
HCPCS,C1713,WIRE FIX 1MM X 10MM CERCLAGE SS PRECUT SMTH W/ EYELT,252.0,252.0,,,0
HCPCS,C1713,WIRE FIXATION BOLTS,675.26,675.26,,,0
HCPCS,C1713,WRIST SPANNING PLATE,3696.0,3696.0,,,0
HCPCS,C1713,XLF SCREW 5.5X30 X2 SCREWS,1559.52,1559.52,,,0
HCPCS,C1713,XLIF AMS PLATE 10MM SINGLE SIDED,7680.0,7680.0,,,0
HCPCS,C1713,XTEND 4.2MM VARIABLE ANGLE SCREW SELF-DRILLING 18MM,180.0,180.0,,,0
HCPCS,C1713,XTEND ANTERIOR CERVICAL PLATE 2-LEVEL 38MM,1200.0,1200.0,,,0
HCPCS,C1713,ZIMMER TIBIA COMPONENT,504.0,504.0,,,0
HCPCS,C1713,ZIMMER-  815409300,4368.0,4368.0,,,0
HCPCS,C1713,_LEVEL ONE CMFPLATE FRACTURE STR 2.3 MM SCREW4 HOLE 33 MM T=,912.0,912.0,,,0
HCPCS,C1716,"Brachytx, non-str, Gold-198",,,265.19,2158.79,9
HCPCS,C1717,"Brachytx, non-str,hdr ir-192",,,342.39,1502.71,9
HCPCS,C1717,HC NUCLETRON IR 192 HDR,1286.02,1286.02,,,0
HCPCS,C1719,"Brachytx, NS, Non-HDRIr-192",,,381.65,3819.72,9
HCPCS,C1721,415736 : ICD-DR  COBALT XT DR MRI IS1 DF1,28080.0,28080.0,,,0
HCPCS,C1721,415737 : ICD-DR  DF4 COBALT XT DR MRI SURESCAN,28080.0,28080.0,,,0
HCPCS,C1721,DEFIBRILLATOR CARD DYNAGEN MINI W2.06XH2.76IN THK0.38IN DR,24240.0,24240.0,,,0
HCPCS,C1721,DEFIBRILLATOR ICD 2 CHMBR DYNAGEN EL 5.37CM X 7.68CM 0.99CM,30019.2,30019.2,,,0
HCPCS,C1721,ICD-DR  COBALT XT DR MRI IS1 DF1,28080.0,28080.0,,,0
HCPCS,C1721,RIVACOR 7 DR-T DF4 PROMRI,59520.0,59520.0,,,0
HCPCS,C1722,146432 : SYSTEM ICD SGL CHMBR EMBLEM 83.1MM X 69.1MM 2.7MM MRI SUBQ,47520.0,47520.0,,,0
HCPCS,C1722,407504 : DEFIBRILLATOR ICD SGL CHMBR PROMRI ACTICOR 7 VR T DX MRI,59520.0,59520.0,,,0
HCPCS,C1722,412420 : DEFIBRILLATOR ICD SGL CHMBR PROMRI INTICA NEO 7 VR-T DX MRI,59520.0,59520.0,,,0
HCPCS,C1722,415753 : ICD COBALT XT VR MRI DF4,24000.0,24000.0,,,0
HCPCS,C1722,422171 : SYSTEM EXTRAVASCULAR ICD AURORA EV-ICD MRI SURESCAN,49800.0,49800.0,,,0
HCPCS,C1722,ACTICOR 7 HF-T DF4 IS-1 PROMRI,70356.0,70356.0,,,0
HCPCS,C1722,DEFIBRILLATOR ICD SGL CHMBR PROMRI ACTICOR 7 VR T DX MRI,59520.0,59520.0,,,0
HCPCS,C1722,DEFIBRILLATOR ICD VR SGL CHMBR DYNAGEN EL 5.37CM X 7.36CM,26457.6,26457.6,,,0
HCPCS,C1722,GALLANT VR ICD,31449.6,31449.6,,,0
HCPCS,C1722,ICD COBALT XT VR MRI DF4,24000.0,24000.0,,,0
HCPCS,C1722,ICD-VR DVFB1D4 VISIA MRI AF US DF4,19776.0,19776.0,,,0
HCPCS,C1722,SYSTEM EXTRAVASCULAR ICD AURORA EV-ICD MRI SURESCAN,49800.0,49800.0,,,0
HCPCS,C1722,SYSTEM ICD SGL CHMBR EMBLEM 83.1MM X 69.1MM 2.7MM MRI SUBQ,47520.0,47520.0,,,0
HCPCS,C1724,409313 : SYSTEM ATHRCTMY 0.58IN X 135CM ROT INCL 1.25MM PRECONN BUR,5520.0,5520.0,,,0
HCPCS,C1724,409314 : SYSTEM ATHRCTMY 0.58IN X 135CM ROT INCL 1.5MM PRECONN BUR,5520.0,5520.0,,,0
HCPCS,C1724,CATHETER ATHRCTMY L135CM CRWN 1.25MM COR DIAMONDBACK 360,9588.0,9588.0,,,0
HCPCS,C1724,SYSTEM ATHRCTMY 0.58IN X 135CM ROT INCL 1.25MM PRECONN BUR,6691.85,6691.85,,,0
HCPCS,C1724,SYSTEM ATHRCTMY 0.58IN X 135CM ROT INCL 1.5MM PRECONN BUR,6712.23,6712.23,,,0
HCPCS,C1725,101500 : BALLOON ANGIOSCULPT 2039-2520,1920.0,1920.0,,,0
HCPCS,C1725,101503 : CATHETER PTCA L137CM BLLN L20MM DIA4MM SHTH 6FR 20ATM,2280.0,2280.0,,,0
HCPCS,C1725,102591 : ANGIOSCULPT BALLOON,2256.0,2256.0,,,0
HCPCS,C1725,103604 : CATHETER PTCA L120CM BLLN L4CM DIA12MM 18ATM PERIPH OTW ATLS,720.0,720.0,,,0
HCPCS,C1725,103606 : CATHETER PTCA BLLN 14MMX4CM 7FRX120CM 0.035IN GWIRE ULT,720.0,720.0,,,0
HCPCS,C1725,105015 : OPTA PRO 8.0MM X 8CM X 80CM,168.0,168.0,,,0
HCPCS,C1725,105043 : CATHETER PTCA PERIPH DIL HYDROPHOBIC XCELON BLLN L30MM,336.0,336.0,,,0
HCPCS,C1725,105044 : VIA TRAC BALLOON 5.0MM X 40MM X 135CM,336.0,336.0,,,0
HCPCS,C1725,105828 : INOUE BALLOON 28MM,6000.0,6000.0,,,0
HCPCS,C1725,105852 : CATHETER VALVULOPLASTY L100CM SHFT 8FR BLLN L5CM DIA20MM,1877.93,1877.93,,,0
HCPCS,C1725,107815 : CATHETER PTCA L75CM BLLN L2CM DIA7MM SHTH 6FR 0.035IN 30ATM,468.0,468.0,,,0
HCPCS,C1725,108153 : CATHETER PTCA L90CM BLLN L20MM DIA6MM SHTH 6FR 0.018IN 10ATM,1740.0,1740.0,,,0
HCPCS,C1725,111087 : CATHETER PTCA L142CM BLLN L12MM DIA2.5MM GWIRE 0.022IN 8ATM,173.54,173.54,,,0
HCPCS,C1725,111088 : CATHETER PTCA L142CM BLLN L20MM DIA2.5MM 0.022IN DURATRAC,168.8,168.8,,,0
HCPCS,C1725,111514 : CATHETER VENOGRAM L80CM BLLN DIA10MM DISP ATTAIN,240.0,240.0,,,0
HCPCS,C1725,112691 : ANGIOSCULPT BALLOON 2076-6020,2148.0,2148.0,,,0
HCPCS,C1725,115041 : CATHETER PTCA L142CM BLLN L12MM DIA1.25MM COR FULCRUM,168.0,168.0,,,0
HCPCS,C1725,115046 : CATHETER PTCA L142CM BLLN L12MM DIA1.5MM GWIRE 0.021IN 6ATM,172.0,172.0,,,0
HCPCS,C1725,115051 : CATHETER PTCA L142CM BLLN L12MM DIA2MM 0.022IN DURATRAC,171.43,171.43,,,0
HCPCS,C1725,115052 : CATHETER PTCA L142CM BLLN L15MM DIA2MM 0.022IN 14ATM,170.47,170.47,,,0
HCPCS,C1725,115053 : CATHETER PTCA L142CM BLLN L20MM DIA2MM 0.022IN 14ATM,171.0,171.0,,,0
HCPCS,C1725,115059 : CATHETER PTCA L142CM BLLN L15MM DIA2.25MM 0.022IN 14ATM,168.0,168.0,,,0
HCPCS,C1725,115065 : CATHETER PTCA L142CM BLLN L15MM DIA2.5MM GWIRE 0.022IN 8ATM,171.5,171.5,,,0
HCPCS,C1725,115076 : CATHETER PTCA L142CM BLLN L12MM DIA3MM GWIRE 0.023IN 8ATM,168.0,168.0,,,0
HCPCS,C1725,115077 : CATHETER PTCA L142CM BLLN L15MM DIA3MM 0.023IN DURATRAC,172.8,172.8,,,0
HCPCS,C1725,115087 : BLN SPL3515X SPRINTER LEGEND 3.5X15 RX,174.0,174.0,,,0
HCPCS,C1725,116434 : BALLOON ATLAS 18MM X  4CM X 75,720.0,720.0,,,0
HCPCS,C1725,116564 : CATHETER PTCA BLLN 18FRX16MM L108CM RADPQ TIP POLYUR,1684.8,1684.8,,,0
HCPCS,C1725,118228 : ANGIOSCULPT EVO RX PTCA 2.5MM X 15MM,1980.0,1980.0,,,0
HCPCS,C1725,118229 : CATHETER PTCA PERC TRNSLUMN COR SCORING BLLN L10MM DIA3MM RX,1980.0,1980.0,,,0
HCPCS,C1725,118230 : CATHETER PTCA PERC TRNSLUMN COR HYDRPHLC BLLN L15MM DIA3MM,1980.0,1980.0,,,0
HCPCS,C1725,120586 : CATHETER PTCA PERC TRNSLUMN COR SCORING BLLN L15MM DIA3.5MM,1932.0,1932.0,,,0
HCPCS,C1725,124519 : ANTIOSCULPT BALLOON 3.0 MM X 40MM,2264.0,2264.0,,,0
HCPCS,C1725,124791 : CATHETER PTCA L75CM BLLN L40MM DIA4MM SHTH 5FR GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,124792 : MUSTANG 5.0 X 20 75CM,600.0,600.0,,,0
HCPCS,C1725,124795 : CATHETER PTCA BLLN L40MM DIA6MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,124798 : CATHETER PTCA BLLN L40MM DIA7MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,124800 : CATHETER PTCA BLLN 8X40MM 5.3FRX75CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
HCPCS,C1725,124803 : CATHETER PTCA BLLN L40MM DIA9MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,124806 : CATHETER PTCA BLLN 12X40MM 5.8FRX75CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
HCPCS,C1725,125798 : ANGIOSCULPT OTW US PTA 3.5 X 40MM 155 CM,2256.0,2256.0,,,0
HCPCS,C1725,125802 : CATHETER PTCA L137CM BLLN L100MM DIA4MM SHTH 6FR 0.014IN,2580.0,2580.0,,,0
HCPCS,C1725,125804 : CATHETER PTCA L137CM BLLN L100MM DIA6MM RBP 20ATM 0.014IN,2580.0,2580.0,,,0
HCPCS,C1725,126586 : CATHETER PTCA L75CM BLLN L60MM OD4MM 0.035IN PROF 0.040IN LO,600.0,600.0,,,0
HCPCS,C1725,126587 : MUSTANG 5.0 X60 75CM,600.0,600.0,,,0
HCPCS,C1725,126588 : MUSTANG 6.0 X60 75CM,600.0,600.0,,,0
HCPCS,C1725,126591 : CATHETER PTCA BLLN L60MM DIA7MM L75MM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,126592 : CATHETER PTCA BLLN L60MM DIA8MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,128023 : CATHETER PTCA BLLN 5X40MM OTW 135CM 0.035IN GWIRE COMPLIANT,192.0,192.0,,,0
HCPCS,C1725,128024 : ARMADA 35 PTA CATHETER 5 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,128025 : ARMADA 35 PTA CATHETER 5 MM X 80 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,128035 : ARMADA 35 PTA CATHETER 6 MM X 100 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,128048 : ARMADA 35 PTA CATHETER 8 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,128050 : ARMADA 35 PTA CATHETER 8 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,128052 : ARMADA 35 PTA CATHETER 9 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,128053 : ARMADA 35 PTA CATHETER 9 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,130778 : BALLOON ANGIOSCULPT OTW 2.5 X 100MM,2580.0,2580.0,,,0
HCPCS,C1725,130780 : CATHETER PTCA L155CM BLLN L100MM DIA3.5MM SHTH 6FR 0.014IN,2580.0,2580.0,,,0
HCPCS,C1725,136358 : CATHETER PTCA 4FR L150CM BLLN L12CM DIA1.5MM GWIRE 0.014IN,444.0,444.0,,,0
HCPCS,C1725,136365 : BALLOON ULTRAVERSE  .014 2MMX30CM,444.0,444.0,,,0
HCPCS,C1725,136377 : CATHETER PTCA L150CM BLLN L15CM DIA3MM SHTH 4FR GWIRE,444.0,444.0,,,0
HCPCS,C1725,136408 : BALLOON ULTRAVERSE  .018 2MMX22CM,444.0,444.0,,,0
HCPCS,C1725,136409 : CATHETER PTCA L150CM BLLN L30CM DIA2MM SHTH 4FR GWIRE,444.0,444.0,,,0
HCPCS,C1725,136413 : CATHETER PTCA L150CM BLLN L150MM DIA2.5MM 0.018IN 6ATM,444.0,444.0,,,0
HCPCS,C1725,136415 : CATHETER PTCA L150CM BLLN L30CM DIA2.5MM SHTH 4FR GWIRE,444.0,444.0,,,0
HCPCS,C1725,136421 : BALLOON ULTRAVERSE  .018 3MMX15CM,444.0,444.0,,,0
HCPCS,C1725,136422 : CATHETER PTCA BLLN 3MM X 22CM 4FR X 150CM ULTRAVERSE,444.0,444.0,,,0
HCPCS,C1725,136437 : CATHETER DIL L150CM BLLN L22CM DIA4MM SHTH 4FR GWIRE 0.018IN,444.0,444.0,,,0
HCPCS,C1725,136439 : CATHETER PTCA L150CM BLLN L40MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
HCPCS,C1725,136440 : CATHETER PTCA L150CM BLLN L60MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
HCPCS,C1725,136442 : CATHETER PTCA L150CM BLLN L100MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
HCPCS,C1725,136444 : CATHETER PTCA L150CM BLLN L150MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
HCPCS,C1725,136446 : CATHETER PTCA L150CM BLLN L300MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
HCPCS,C1725,137806 : ARMADA 35 PTA CATHETER 5 MM X 100 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,137808 : ARMADA 35 PTA CATHETER 6 MM X 20 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,137812 : ARMADA 35 PTA CATHETER 6 MM X 100 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,137814 : CATHETER PTCA L80CM BLLN L20MM DIA7MM SHTH 5FR 15ATM PERIPH,192.0,192.0,,,0
HCPCS,C1725,137815 : CATHETER PTCA L80CM BLLN L40MM DIA7MM SHTH 5FR 15ATM OTW,192.0,192.0,,,0
HCPCS,C1725,137816 : CATHETER PTCA L80CM BLLN L60MM DIA7MM SHTH 5FR 15ATM OTW,192.0,192.0,,,0
HCPCS,C1725,137820 : ARMADA 35 PTA CATHETER 8 MM X 20 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,140702 : CATHETER PTCA 2MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,172.0,172.0,,,0
HCPCS,C1725,140708 : CATHETER PTCA L15MM DIA2MM BLLN NYL BLEND NCOMPL RX NC,170.0,170.0,,,0
HCPCS,C1725,140716 : CATHETER PTCA 2.25MM X 12MM RX NCOMPL NC EUPHORA LO GWTH,168.0,168.0,,,0
HCPCS,C1725,140726 : CATHETER PTCA L8MM DIA2.5MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
HCPCS,C1725,140727 : CATHETER PTCA 2.5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.92,168.92,,,0
HCPCS,C1725,140729 : CATHETER PTCA L15MM DIA2.5MM BLLN NYL BLEND NCOMPL RX NC,171.69,171.69,,,0
HCPCS,C1725,140730 : CATHETER PTCA 2.5MM X 20MM RX NCOMPL NC EUPHORA LO GWTH PROF,171.43,171.43,,,0
HCPCS,C1725,140731 : BALLOON NCEUP2527X NCEUPHORA RX US,171.0,171.0,,,0
HCPCS,C1725,140735 : CATHETER PTCA 2.75MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.0,168.0,,,0
HCPCS,C1725,140736 : CATHETER PTCA 2.75MM X 12MM RX NCOMPL NC EUPHORA LO GWTH,172.0,172.0,,,0
HCPCS,C1725,140740 : CATHETER PTCA 2.75MM X 15MM RX NCOMPL NC EUPHORA LO GWTH,171.33,171.33,,,0
HCPCS,C1725,140741 : CATHETER PTCA L20MM DIA2.75MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
HCPCS,C1725,140742 : BALLOON NCEUP27527X NCEUPHORA RX US,168.0,168.0,,,0
HCPCS,C1725,140747 : CATHETER PTCA 3MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.0,168.0,,,0
HCPCS,C1725,140749 : CATHETER PTCA 3MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,172.24,172.24,,,0
HCPCS,C1725,140752 : CATHETER PTCA 3MM X 15MM RX NCOMPL NC EUPHORA LO GWTH PROF,171.9,171.9,,,0
HCPCS,C1725,140754 : CATHETER PTCA 3MM X 20MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.83,168.83,,,0
HCPCS,C1725,140755 : BALLOON NCEUP3027X NCEUPHORA RX US,170.67,170.67,,,0
HCPCS,C1725,140758 : CATHETER PTCA 3.25MM X 12MM RX NCOMPL NC EUPHORA LO GWTH,168.0,168.0,,,0
HCPCS,C1725,140764 : CATHETER PTCA L15MM DIA3.25MM BLLN NYL BLEND NCOMPL RX NC,169.33,169.33,,,0
HCPCS,C1725,140765 : CATHETER PTCA L20MM DIA3.25MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
HCPCS,C1725,140775 : CATHETER PTCA 3.5MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,170.4,170.4,,,0
HCPCS,C1725,140781 : CATHETER PTCA 3.5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,172.0,172.0,,,0
HCPCS,C1725,140782 : CATHETER PTCA L15MM DIA3.5MM BLLN NYL BLEND NCOMPL RX NC,169.76,169.76,,,0
HCPCS,C1725,140784 : CATHETER PTCA L20MM DIA3.5MM BLLN NYL BLEND NCOMPL RX NC,170.53,170.53,,,0
HCPCS,C1725,140785 : BALLOON NCEUP3527X NCEUPHORA RX US,169.5,169.5,,,0
HCPCS,C1725,140791 : CATHETER PTCA L8MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
HCPCS,C1725,140794 : CATHETER PTCA L15MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
HCPCS,C1725,140799 : CATHETER PTCA L20MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,168.0,168.0,,,0
HCPCS,C1725,140805 : CATHETER PTCA L8MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,169.71,169.71,,,0
HCPCS,C1725,140806 : CATHETER PTCA L12MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,170.0,170.0,,,0
HCPCS,C1725,140809 : CATHETER PTCA L15MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,169.5,169.5,,,0
HCPCS,C1725,140810 : CATHETER PTCA L20MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,171.0,171.0,,,0
HCPCS,C1725,140823 : BALLOON NCEUP4027X NCEUPHORA RX US,168.0,168.0,,,0
HCPCS,C1725,140825 : CATHETER PTCA 4.5MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.0,168.0,,,0
HCPCS,C1725,140826 : CATHETER PTCA L12MM DIA4.5MM BLLN NYL BLEND NCOMPL RX NC,170.0,170.0,,,0
HCPCS,C1725,140829 : CATHETER PTCA L142CM BLLN L15MM DIA4.5MM 20ATM DURA-TRAC NYL,169.5,169.5,,,0
HCPCS,C1725,140830 : CATHETER PTCA L20MM DIA4.5MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
HCPCS,C1725,140831 : CATHETER PTCA 5MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,180.0,180.0,,,0
HCPCS,C1725,142940 : CATHETER DIAG 4FR X 90CM 0.035IN GWIRE HYDRPHLC RADPQ MRK,389.76,389.76,,,0
HCPCS,C1725,144046 : BALLOON.018 ULTRA 6 X 6 X130,444.0,444.0,,,0
HCPCS,C1725,145357 : CATHETER PTCA L150CM BLLN L40MM DIA1.5MM SHTH 4FR GWIRE,840.0,840.0,,,0
HCPCS,C1725,145361 : COYOTE MR 2 X 150 X 150,1080.0,1080.0,,,0
HCPCS,C1725,145362 : COYOTE MR 2 X 220 X 150,1080.0,1080.0,,,0
HCPCS,C1725,145368 : COYOTE MR 3 X 60 X 150,840.0,840.0,,,0
HCPCS,C1725,145371 : CATHETER PTCA L150CM BLLN L150MM DIA3MM SHTH 4FR GWIRE,1080.0,1080.0,,,0
HCPCS,C1725,145372 : CATHETER PTCA L150CM BLLN L220MM DIA3MM SHTH 4FR GWIRE,1080.0,1080.0,,,0
HCPCS,C1725,146101 : CATHETER PTCA BLLN L80MM DIA6MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,146325 : HI-TORQUE CONNECT GUIDE WIRE .018IN 195 CM,192.0,192.0,,,0
HCPCS,C1725,156257 : ARMADA 35 PTA CATHETER 6 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,161877 : CATHETER PTCA 5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,168.0,168.0,,,0
HCPCS,C1725,162281 : ARMADA 18 PTA CATHETER 2.0 MM X 80 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,162284 : ARMADA 18 PTA CATHETER 2.0 MM X 150 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,162286 : ARMADA 18 PTA CATHETER 2.0 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,162292 : ARMADA 18 PTA CATHETER 2.5 MM X 120 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,162295 : ARMADA 18 PTA CATHETER 2.5 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,162316 : CATHETER PTCA L150CM BLLN L60MM DIA5MM CMPTBL GWIRE 0.018IN,336.0,336.0,,,0
HCPCS,C1725,162321 : ARMADA 18 PTA CATHETER 5.0 MM X 180 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,162332 : ARMADA 18 PTA CATHETER 6.0 MM X 20 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,162341 : GUIDEWIRE VASC L300CM DIA0.018IN TIP DIA0.018IN STIFFNESS,192.0,192.0,,,0
HCPCS,C1725,164848 : CATHETER PTCA L137CM BLLN L40MM DIA7MM PERIPH OTW SCORED,2400.0,2400.0,,,0
HCPCS,C1725,2.00MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,2.25MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,2.25MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,2.50MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,2.50MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,2.75MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,250828 : ANGIOSCULPT EVO RX PTCA 3.0MM X 6MM,1860.0,1860.0,,,0
HCPCS,C1725,261206 : CATHETER PTCA L135CM BLLN L60MM DIA9MM SHTH 6FR GWIRE,600.0,600.0,,,0
HCPCS,C1725,261218 : MUSTANG 5.0 X80 75CM,600.0,600.0,,,0
HCPCS,C1725,261241 : MUSTANG 8.0 X100 135CM,600.0,600.0,,,0
HCPCS,C1725,261520 : STERLING OTW 6.0 X 80 X 135 HYBRID,840.0,840.0,,,0
HCPCS,C1725,262198 : CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L12MM DIA2MM ZGLIDE,513.6,513.6,,,0
HCPCS,C1725,262200 : CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L12MM DIA2.5MM,513.6,513.6,,,0
HCPCS,C1725,262209 : CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA2MM ZGLIDE,513.6,513.6,,,0
HCPCS,C1725,262211 : CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA2.5MM,513.6,513.6,,,0
HCPCS,C1725,262213 : CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA3MM ZGLIDE,513.6,513.6,,,0
HCPCS,C1725,262215 : CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL L144CM EMERGE LP,513.6,513.6,,,0
HCPCS,C1725,262217 : EMERGE MR US 15MM X 4.00MM,513.6,513.6,,,0
HCPCS,C1725,262239 : CATHETER PTCA L144CM BLLN L8MM DIA1.5MM PUSH MRAIL L143CM,513.6,513.6,,,0
HCPCS,C1725,262384 : FG NC EMERGE MR US 3.00MM X 6MM,513.6,513.6,,,0
HCPCS,C1725,262386 : CATHETER PTCA BLLN L6MM DIA3.5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262389 : FG NC EMERGE MR US 4.50MM X 6MM,513.6,513.6,,,0
HCPCS,C1725,262390 : CATHETER PTCA 6FR L143CM BLLN L6MM DIA5MM HYDRPHLC MRAIL RX,513.6,513.6,,,0
HCPCS,C1725,262393 : CATHETER PTCA 6FR L143CM BLLN L8MM DIA2.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
HCPCS,C1725,262399 : CATHETER PTCA 6FR L143CM BLLN L8MM DIA4MM HYDRPHLC MRAIL RX,513.6,513.6,,,0
HCPCS,C1725,262400 : CATHETER PTCA 6FR L143CM BLLN L8MM DIA4.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
HCPCS,C1725,262408 : CATHETER PTCA BLLN L12MM DIA3MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262410 : CATHETER PTCA BLLN L12MM DIA3.5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262412 : CATHETER PTCA BLLN L12MM DIA4MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262419 : CATHETER PTCA BLLN L15MM DIA2.5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262421 : CATHETER PTCA 6FR L143CM BLLN L15MM DIA3MM HYDRPHLC MRAIL RX,513.6,513.6,,,0
HCPCS,C1725,262422 : CATHETER PTCA 6FR L143CM BLLN L15MM DIA3.25MM HYDRPHLC MRAIL,513.6,513.6,,,0
HCPCS,C1725,262423 : CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262425 : CATHETER PTCA BLLN L15MM DIA4MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262426 : CATHETER PTCA 6FR L143CM BLLN L15MM DIA4.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
HCPCS,C1725,262427 : CATHETER PTCA BLLN L15MM DIA5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262430 : CATHETER PTCA BLLN L20MM DIA2MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262431 : CATHETER PTCA 6FR L143CM BLLN L20MM DIA2.25MM HYDRPHLC MRAIL,513.6,513.6,,,0
HCPCS,C1725,262436 : CATHETER PTCA BLLN L20MM DIA3.5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262438 : CATHETER PTCA BLLN L20MM DIA4MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,262439 : CATHETER PTCA 6FR L143CM BLLN L20MM DIA4.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
HCPCS,C1725,262440 : CATHETER PTCA 6FR L143CM BLLN L20MM DIA5MM HYDRPHLC MRAIL RX,513.6,513.6,,,0
HCPCS,C1725,262445 : FG NC EMERGE MR US 2.50MM X 30MM,513.6,513.6,,,0
HCPCS,C1725,262449 : CATHETER PTCA 6FR L143CM BLLN L30MM DIA3.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
HCPCS,C1725,27607 : CATH XXL LGE BALLOON DIL14-552,688.8,688.8,,,0
HCPCS,C1725,3.00MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,3.00MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,3.25MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,3.50MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,3.75MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,32694 : CATHETER PTCA BLLN 14MM X 20MM 75CM 0.035IN GWIRE NCOMPL 2XL,688.8,688.8,,,0
HCPCS,C1725,351964 : ARMADA 18 PTA CATHETER 2.0 MM X 60 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,351972 : ARMADA 18 PTA CATHETER 2.5 MM X 40 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,351977 : ARMADA 18 PTA CATHETER 2.5 MM X 150 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,351980 : ARMADA 18 PTA CATHETER 3.0 MM X 20 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,351982 : ARMADA 18 PTA CATHETER 3.0 MM X 60 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,351983 : ARMADA 18 PTA CATHETER 3.0 MM X 80 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,351984 : ARMADA 18 PTA CATHETER 3.0 MM X 100 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,351988 : ARMADA 18 PTA CATHETER 3.0 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,351990 : ARMADA 18 PTA CATHETER 4.0 MM X 40 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,351992 : ARMADA 18 PTA CATHETER 4.0 MM X 80 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,351994 : ARMADA 18 PTA CATHETER 4.0 MM X 120 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,351995 : ARMADA 18 PTA CATHETER 4.0 MM X 150 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,351997 : ARMADA 18 PTA CATHETER 4.0 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,351999 : ARMADA 18 PTA CATHETER 5.0 MM X 40 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,352002 : ARMADA 18 PTA CATHETER 5.0 MM X 100 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,352003 : ARMADA 18 PTA CATHETER 5.0 MM X 120 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,352004 : ARMADA 18 PTA CATHETER 5.0 MM X 150 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,352006 : ARMADA 18 PTA CATHETER 5.0 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,352019 : ARMADA 18 PTA CATHETER 6.0 MM X 80 MM X 150 CM  OVER-THE-WIR,336.0,336.0,,,0
HCPCS,C1725,352020 : ARMADA 18 PTA CATHETER 6.0 MM X 100 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,352033 : CATHETER PTCA PERIPH DIL HYDROPHOBIC XCELON BLLN L30MM,336.0,336.0,,,0
HCPCS,C1725,352040 : VIATRAC 14 PLUS PERIPHERAL DILATATION CATHETER 4.5 MM X 20 M,336.0,336.0,,,0
HCPCS,C1725,352056 : VIATRAC 14 PLUS PERIPHERAL DILATATION CATHETER 5.5 MM X 20 M,336.0,336.0,,,0
HCPCS,C1725,352057 : CATHETER PTCA L135CM BLLN L30MM DIA5.5MM XCELON HYDROPHOBIC,336.0,336.0,,,0
HCPCS,C1725,352061 : VIATRAC 14 PLUS PERIPHERAL DILATATION CATHETER 5.5 MM X 30 M,336.0,336.0,,,0
HCPCS,C1725,352065 : CATHETER PTCA PERIPH DIL HYDROPHOBIC XCELON BLLN L30MM,336.0,336.0,,,0
HCPCS,C1725,352124 : ARMADA 14 PTA CATHETER 2.0 MM X 200 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,352164 : ARMADA 35 PTA CATHETER 6 MM X 40 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352166 : ARMADA 35 PTA CATHETER 6 MM X 80 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352175 : ARMADA 35 PTA CATHETER 7 MM X 80 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352181 : ARMADA 35 PTA CATHETER 8 MM X 40 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352183 : ARMADA 35 PTA CATHETER 8 MM X 80 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352188 : ARMADA 35 PTA CATHETER 10 MM X 20 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352189 : ARMADA 35 PTA CATHETER 10 MM X 40 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352194 : ARMADA 35 PTA CATHETER 12 MM X 60 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352197 : ARMADA 35 PTA CATHETER 14 MM X 40 MM X 80 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352202 : ARMADA 35 PTA CATHETER 4 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352206 : ARMADA 35 PTA CATHETER 4 MM X 100 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352207 : ARMADA 35 PTA CATHETER 4 MM X 120 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352208 : ARMADA 35 LL PTA CATHETER 4 MM X 150 MM X 135 CM  OVER-THE-W,192.0,192.0,,,0
HCPCS,C1725,352215 : ARMADA 35 PTA CATHETER 5 MM X 100 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352216 : ARMADA 35 PTA CATHETER 5 MM X 120 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352217 : ARMADA 35 LL PTA CATHETER 5 MM X 150 MM X 135 CM  OVER-THE-W,192.0,192.0,,,0
HCPCS,C1725,352220 : ARMADA 35 PTA CATHETER 6 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352222 : ARMADA 35 PTA CATHETER 6 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352223 : ARMADA 35 PTA CATHETER 6 MM X 80 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352225 : ARMADA 35 PTA CATHETER 6 MM X 120 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352229 : ARMADA 35 PTA CATHETER 7 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352230 : ARMADA 35 PTA CATHETER 7 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352231 : ARMADA 35 PTA CATHETER 7 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352233 : ARMADA 35 PTA CATHETER 7 MM X 100 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352238 : ARMADA 35 PTA CATHETER 8 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352245 : ARMADA 35 PTA CATHETER 10 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352246 : ARMADA 35 PTA CATHETER 10 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352250 : ARMADA 35 PTA CATHETER 12 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352251 : ARMADA 35 PTA CATHETER 12 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352253 : ARMADA 35 PTA CATHETER 14 MM X 20 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352254 : ARMADA 35 PTA CATHETER 14 MM X 40 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352255 : ARMADA 35 PTA CATHETER 14 MM X 60 MM X 135 CM  OVER-THE-WIRE,192.0,192.0,,,0
HCPCS,C1725,352268 : MINI TREK CORONARY DILATATION CATHETER 2.0 MM X 30 MM  RAPID,300.0,300.0,,,0
HCPCS,C1725,352279 : TREK CORONARY DILATATION CATHETER 2.50 MM X 15 MM  RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,352293 : TREK CORONARY DILATATION CATHETER 3.0 MM X 15 MM  RAPID-EXCH,300.0,300.0,,,0
HCPCS,C1725,359152 : BLUE-SLALOM 6X24-80 BIL PCKGD,1800.0,1800.0,,,0
HCPCS,C1725,359513 : CATHETER PTCA L135CM BLLN L8MM DIA3.5MM 0.014IN COR RX,2397.6,2397.6,,,0
HCPCS,C1725,359526 : 4.5 X 8MM FLASH OSTIAL SYSTEM,2397.6,2397.6,,,0
HCPCS,C1725,359592 : CATHETER PTCA 8FR L120CM BLLN L40MM DIA16MM 18ATM 0.035IN,720.0,720.0,,,0
HCPCS,C1725,359703 : CONQUEST 035 OTW PTA CATHETER 9MM X 40MM X 75CM,468.0,468.0,,,0
HCPCS,C1725,359737 : CONQUEST 40 035 OTW PTA CATHETER 12MM X 40MM X 75CM,468.0,468.0,,,0
HCPCS,C1725,370126 : CATHETER VLVULPLSTY 11FR X 110CM BLLN 20MM X 4.5CM AORT VLV,3600.0,3600.0,,,0
HCPCS,C1725,375404 : CATHETER PTCA BLLN L8MM DIA1MM COR DIL PTECH SHFT KINK,540.0,540.0,,,0
HCPCS,C1725,375406 : CATHETER PTCA BLLN L15MM DIA1MM OTW L150CM CMPTBL GWIRE,540.0,540.0,,,0
HCPCS,C1725,375920 : CATHETER PTCA BLLN L10MM DIA3MM MRAIL WOLVERINE,2280.0,2280.0,,,0
HCPCS,C1725,375922 : CATHETER PTCA BLLN L10MM DIA3.5MM MRAIL WOLVERINE,2280.0,2280.0,,,0
HCPCS,C1725,375924 : CATHETER PTCA BLLN L10MM DIA4MM MRAIL WOLVERINE,2280.0,2280.0,,,0
HCPCS,C1725,375929 : CATHETER PTCA BLLN L15MM DIA3MM MRAIL WOLVERINE,2280.0,2280.0,,,0
HCPCS,C1725,375931 : CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL WOLVERINE,2280.0,2280.0,,,0
HCPCS,C1725,375933 : CATHETER PTCA BLLN L15MM DIA4MM MRAIL WOLVERINE,2280.0,2280.0,,,0
HCPCS,C1725,4.00MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,4.00MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,4.5 X 8MM FLASH OSTIAL SYSTEM,2397.6,2397.6,,,0
HCPCS,C1725,4.50MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,406128 : CATH PCU040200130 PTA PACIFIC XTR 04L200,660.0,660.0,,,0
HCPCS,C1725,407229 : CATHETER PTCA COR HYDRPHLC POLYMR COAT BLLN L12MM DIA1.5MM,338.4,338.4,,,0
HCPCS,C1725,407230 : CATHETER PTCA COR HYDRPHLC POLYMR COAT BLLN L15MM DIA1.5MM,338.4,338.4,,,0
HCPCS,C1725,408645 : ULTRAVERSE RX 014 RX PTA CATHETER 2.5MM X 100MM X 200CM,444.0,444.0,,,0
HCPCS,C1725,413886 : CATHETER LITHO L135CM BLLN L60MM DIA4MM SHTH COMPATIBILITY,8280.0,8280.0,,,0
HCPCS,C1725,413889 : CATHETER LITHO L135CM BLLN L60MM DIA5.5MM SHTH COMPATIBILITY,8280.0,8280.0,,,0
HCPCS,C1725,413890 : CATHETER LITHO L135CM BLLN L60MM DIA6MM SHTH COMPATIBILITY,8280.0,8280.0,,,0
HCPCS,C1725,413892 : CATHETER LITHO L135CM BLLN L60MM DIA7MM SHTH COMPATIBILITY,8280.0,8280.0,,,0
HCPCS,C1725,413893 : CATHETER LITHO L135CM BLLN L60MM DIA8MM SHTH COMPATIBILITY,8280.0,8280.0,,,0
HCPCS,C1725,414555 : ANGIOSCULPT EVO RX PTCA 3.0MM X 20MM,1920.0,1920.0,,,0
HCPCS,C1725,414943 : CATHETER LITHO L110CM BLLN L30MM DIA8MM CROSSING PROF,8280.0,8280.0,,,0
HCPCS,C1725,418444 : 2.00MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418454 : 2.50MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418455 : 2.50MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418456 : 2.50MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418460 : 2.75MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418465 : 3.00MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418466 : 3.00MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418467 : 3.00MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418468 : 3.00MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418476 : 3.50MM X 8MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418477 : 3.50MM X 12MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418478 : 3.50MM X 15MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418479 : 3.50MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,418488 : 4.00MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,419551 : CATHETER PTCA L150CM DIA4FR BLLN L150MM DIA2MM GWIRE 0.014IN,2280.0,2280.0,,,0
HCPCS,C1725,419557 : CATHETER PTCA L150CM DIA4FR BLLN L40MM DIA2.5MM GWIRE,2280.0,2280.0,,,0
HCPCS,C1725,419565 : CATHETER PTCA L150CM DIA4FR BLLN L40MM DIA3.5MM GWIRE,2280.0,2280.0,,,0
HCPCS,C1725,419570 : CATHETER PTCA L130CM DIA5FR BLLN L100MM DIA5MM GWIRE 0.035IN,2280.0,2280.0,,,0
HCPCS,C1725,419573 : CATHETER PTCA L130CM DIA5FR BLLN L40MM DIA5MM GWIRE 0.035IN,2280.0,2280.0,,,0
HCPCS,C1725,42911 : CATHETER PTCA 6FR L75CM BLLN L4CM DIA8MM SHEATHLESS ENTRY,468.0,468.0,,,0
HCPCS,C1725,5.00MM X 20MM CATHETER CORONARY BALLOON DILATATION RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,50997 : CATHETER PTCA L75CM BLLN L40MM DIA12MM GWIRE 0.035IN SHTH,688.8,688.8,,,0
HCPCS,C1725,541043 : CATHETER VLVULPLSTY 13FR L110CM BLLN L4.5CM DIA26MM AORT DIL,3600.0,3600.0,,,0
HCPCS,C1725,546455 : CATHETER INTVASC LITHO 150CM BLLN 3MM X 80MM CMPTBL 5FR 546455,11280.0,11280.0,,,0
HCPCS,C1725,546456 : CATHETER INTVASC LITHO 150CM BLLN 3.5MM X 80MM CMPTBL 5FR 546456,11280.0,11280.0,,,0
HCPCS,C1725,546457 : CATHETER INTVASC LITHO 150CM BLLN 4MM X 80MM CMPTBL 5FR 546457,11280.0,11280.0,,,0
HCPCS,C1725,546458 : CATHETER INTVASC LITHO 150CM BLLN 5MM X 80MM CMPTBL 6FRCATHE 546458,11280.0,11280.0,,,0
HCPCS,C1725,63278 : CATHETER PTCA L135CM BLLN L20MM DIA5MM XCELON HYDROPHOBIC RX,336.0,336.0,,,0
HCPCS,C1725,66293 : CATHETER PTCA 5FR L80CM INFLATED BLLN L20MM DIA6MM CROSSING,336.0,336.0,,,0
HCPCS,C1725,66919 : CATHETER DIL 7FR L75CM BLLN L4CM DIA10MM SHTH 7FR 24ATM RAP,468.0,468.0,,,0
HCPCS,C1725,67141 : BALLOON SUBMAINE 4X120X130,708.0,708.0,,,0
HCPCS,C1725,72381 : .018 STERLING OTW 6X2-135,840.0,840.0,,,0
HCPCS,C1725,72383 : .018 STERLING OTW 6X10-135,840.0,840.0,,,0
HCPCS,C1725,ANGIOSCULPT BALLOON,2148.0,2148.0,,,0
HCPCS,C1725,ANGIOSCULPT EVO RX PTCA 2.0MM X 10MM,1860.0,1860.0,,,0
HCPCS,C1725,ANGIOSCULPT EVO RX PTCA 2.5MM X 10MM,1900.0,1900.0,,,0
HCPCS,C1725,ANGIOSCULPT EVO RX PTCA 2.5MM X 15MM,1860.0,1860.0,,,0
HCPCS,C1725,ARMADA 14 PTA CATHETER 2.0 MM X 120 MM X 150 CM  OVER-THE-WI,336.0,336.0,,,0
HCPCS,C1725,ARMADA 35 LL PTA CATHETER 4 MM X 150 MM X 135 CM  OVER-THE-W,192.0,192.0,,,0
HCPCS,C1725,BALLOON AGILTRAC 5X40X135,672.0,672.0,,,0
HCPCS,C1725,BALLOON ATLAS 24MM X  4CM X 75,1260.0,1260.0,,,0
HCPCS,C1725,BALLOON NCEUP22520X NCEUPHORA RX US,180.0,180.0,,,0
HCPCS,C1725,BALLOON NCEUP27527X NCEUPHORA RX US,178.29,178.29,,,0
HCPCS,C1725,BALLOON NCEUP3027X NCEUPHORA RX US,180.0,180.0,,,0
HCPCS,C1725,BALLOON NCEUP3527X NCEUPHORA RX US,179.43,179.43,,,0
HCPCS,C1725,BALLOON NCEUP4027X NCEUPHORA RX US,180.0,180.0,,,0
HCPCS,C1725,BALLOON ULTRAVERSE  .014 2.5MMX12CM,444.0,444.0,,,0
HCPCS,C1725,BALLOON.018 ULTRA 6 X 10 X 130,444.0,444.0,,,0
HCPCS,C1725,BLN CATH ANGIO L138CM SPR2510W SPRINTER,180.0,180.0,,,0
HCPCS,C1725,BLN SPL27512X SPRINTER LEGEND 2.75X12 RX,174.0,174.0,,,0
HCPCS,C1725,BLN SPL3515X SPRINTER LEGEND 3.5X15 RX,178.0,178.0,,,0
HCPCS,C1725,CATH XXL LGE BALLOON DIL14-552,688.8,688.8,,,0
HCPCS,C1725,CATHETER BLLN L350CM DIA13MM CHN 2.8MM GWIRE DIA0.035IN ABV,392.06,392.06,,,0
HCPCS,C1725,CATHETER DIL 135CM BLLN 6MM X 20MM RENAL ART HYDROPHOBIC RX,336.0,336.0,,,0
HCPCS,C1725,CATHETER DIL 7FR L75CM BLLN L4CM DIA10MM SHTH 7FR 24ATM RAP,468.0,468.0,,,0
HCPCS,C1725,CATHETER DIL L150CM BLLN L4CM DIA3MM SHTH 4FR GWIRE 0.018IN,444.0,444.0,,,0
HCPCS,C1725,CATHETER INTVASC LITHO 150CM BLLN 5MM X 80MM CMPTBL 6FRCATHE,11280.0,11280.0,,,0
HCPCS,C1725,CATHETER LITHO L110CM BLLN L30MM DIA10MM CROSSING PROF,8280.0,8280.0,,,0
HCPCS,C1725,CATHETER LITHO L135CM SHTH 5FR BLLN L40MM DIA3MM 6ATM PROX,6600.0,6600.0,,,0
HCPCS,C1725,CATHETER OCCL 3.2FR L135CM REENTRY STINGRAY LP,6055.2,6055.2,,,0
HCPCS,C1725,CATHETER PTCA 2.25MM X 12MM RX NCOMPL NC EUPHORA LO GWTH,176.0,176.0,,,0
HCPCS,C1725,CATHETER PTCA 2.5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.69,179.69,,,0
HCPCS,C1725,CATHETER PTCA 2.5MM X 20MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.75,179.75,,,0
HCPCS,C1725,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L12MM DIA2MM ZGLIDE,459.2,459.2,,,0
HCPCS,C1725,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA1.5MM PUSH,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA2.5MM,470.08,470.08,,,0
HCPCS,C1725,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA2MM ZGLIDE,472.8,472.8,,,0
HCPCS,C1725,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L15MM DIA3MM ZGLIDE,483.93,483.93,,,0
HCPCS,C1725,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L20MM DIA2MM ZGLIDE,452.4,452.4,,,0
HCPCS,C1725,CATHETER PTCA 2.6X2.3X2.4FR L144CM BLLN L8MM DIA2MM ZGLIDE,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA 2.75MM X 12MM RX NCOMPL NC EUPHORA LO GWTH,178.11,178.11,,,0
HCPCS,C1725,CATHETER PTCA 2.75MM X 15MM RX NCOMPL NC EUPHORA LO GWTH,179.62,179.62,,,0
HCPCS,C1725,CATHETER PTCA 2.75MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA 3.5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.79,179.79,,,0
HCPCS,C1725,CATHETER PTCA 3.5MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA 3MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,178.5,178.5,,,0
HCPCS,C1725,CATHETER PTCA 3MM X 15MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.36,179.36,,,0
HCPCS,C1725,CATHETER PTCA 3MM X 20MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.32,179.32,,,0
HCPCS,C1725,CATHETER PTCA 3MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,178.11,178.11,,,0
HCPCS,C1725,CATHETER PTCA 4.5MM X 8MM RX NCOMPL NC EUPHORA LO GWTH PROF,179.08,179.08,,,0
HCPCS,C1725,CATHETER PTCA 4FR L150CM BLLN L12CM DIA1.5MM GWIRE 0.014IN,444.0,444.0,,,0
HCPCS,C1725,CATHETER PTCA 5FR L80CM INFLATED BLLN L20MM DIA6MM CROSSING,336.0,336.0,,,0
HCPCS,C1725,CATHETER PTCA 5MM X 12MM RX NCOMPL NC EUPHORA LO GWTH PROF,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA 6FR L130CM BLLN L40MM DIA6MM GWIRE 0.035IN,2280.0,2280.0,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L15MM DIA3.25MM HYDRPHLC MRAIL,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L15MM DIA3MM HYDRPHLC MRAIL RX,454.05,454.05,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L15MM DIA4.5MM HYDRPHLC MRAIL,443.66,443.66,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L20MM DIA2.5MM HYDRPHLC MRAIL,438.8,438.8,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L20MM DIA4.5MM HYDRPHLC MRAIL,459.2,459.2,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L30MM DIA3.5MM HYDRPHLC MRAIL,472.8,472.8,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L6MM DIA5MM HYDRPHLC MRAIL RX,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L8MM DIA3.5MM HYDRPHLC MRAIL,513.6,513.6,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L8MM DIA3.75MM HYDRPHLC MRAIL,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L8MM DIA3MM HYDRPHLC MRAIL RX,445.6,445.6,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L8MM DIA4.5MM HYDRPHLC MRAIL,459.2,459.2,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L8MM DIA4MM HYDRPHLC MRAIL RX,442.2,442.2,,,0
HCPCS,C1725,CATHETER PTCA 6FR L143CM BLLN L8MM DIA5.5MM HYDRPHLC MRAIL,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA 6FR L75CM BLLN DIA7MM L4CM GWIRE 0.035IN ULT,468.0,468.0,,,0
HCPCS,C1725,CATHETER PTCA 8FR L120CM BLLN L40MM DIA16MM 18ATM 0.035IN,720.0,720.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 10X80MM 5.8FRX135CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 14MM X 20MM 75CM 0.035IN GWIRE NCOMPL 2XL,688.8,688.8,,,0
HCPCS,C1725,CATHETER PTCA BLLN 14MMX4CM 7FRX120CM 0.035IN GWIRE ULT,720.0,720.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 18FRX16MM L108CM RADPQ TIP POLYUR,1656.0,1656.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 2.5MM X 40MM OTW 145CM 0.014IN GWIRE ULT,840.0,840.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 20MM X 4CM 9FR X 75CM ATLS,864.0,864.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 3MM X 22CM 4FR X 150CM ULTRAVERSE,444.0,444.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 4X40MM 5.3FRX135CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 4X80MM OTW 135CM 0.035IN GWIRE COMPLIANT,192.0,192.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 5X20MM 5.3FRX135CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 5X40MM OTW 135CM 0.035IN GWIRE COMPLIANT,192.0,192.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 6X20MM 5.3FRX75CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN 7X80MM 5.3FRX75CM 0.035IN GWIRE MUSTANG,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L10MM DIA1MM COR DIL PTECH SHFT KINK,540.0,540.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L10MM DIA3.5MM MRAIL WOLVERINE,2210.0,2210.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L10MM DIA3MM MRAIL WOLVERINE,2280.0,2280.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L10MM DIA4MM MRAIL WOLVERINE,2256.0,2256.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L12MM DIA2.5MM MRAIL L143CM NCOMPL NC,450.13,450.13,,,0
HCPCS,C1725,CATHETER PTCA BLLN L12MM DIA2.75MM MRAIL L143CM NCOMPL NC,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L12MM DIA3.5MM MRAIL L143CM NCOMPL NC,443.66,443.66,,,0
HCPCS,C1725,CATHETER PTCA BLLN L12MM DIA3.75MM MRAIL L143CM NCOMPL NC,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L12MM DIA3MM MRAIL L143CM NCOMPL NC,450.83,450.83,,,0
HCPCS,C1725,CATHETER PTCA BLLN L12MM DIA3MM MRAIL L144CM EMERGE LP,513.6,513.6,,,0
HCPCS,C1725,CATHETER PTCA BLLN L12MM DIA4.5MM MRAIL L143CM NCOMPL NC,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA1MM OTW L150CM CMPTBL GWIRE,540.0,540.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA2.25MM MRAIL L143CM NCOMPL NC,452.4,452.4,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA2.5MM MRAIL L143CM NCOMPL NC,447.69,447.69,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA2.75MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA2MM MRAIL L143CM NCOMPL NC,459.2,459.2,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL L143CM NCOMPL NC,456.48,456.48,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL L144CM EMERGE LP,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA3.5MM MRAIL WOLVERINE,2244.0,2244.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA3.75MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA3MM MRAIL WOLVERINE,2157.0,2157.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA4MM MRAIL L143CM NCOMPL NC,456.48,456.48,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA4MM MRAIL WOLVERINE,2186.0,2186.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA5.5MM MRAIL L143CM NCOMPL NC,472.8,472.8,,,0
HCPCS,C1725,CATHETER PTCA BLLN L15MM DIA5MM MRAIL L143CM NCOMPL NC,513.6,513.6,,,0
HCPCS,C1725,CATHETER PTCA BLLN L20MM DIA2.5MM MRAIL L144CM EMERGE LP,480.96,480.96,,,0
HCPCS,C1725,CATHETER PTCA BLLN L20MM DIA2MM MRAIL L143CM NCOMPL NC,478.63,478.63,,,0
HCPCS,C1725,CATHETER PTCA BLLN L20MM DIA3.5MM MRAIL L143CM NCOMPL NC,442.88,442.88,,,0
HCPCS,C1725,CATHETER PTCA BLLN L20MM DIA3MM MRAIL L143CM NCOMPL NC,457.11,457.11,,,0
HCPCS,C1725,CATHETER PTCA BLLN L20MM DIA3MM MRAIL L144CM EMERGE LP,486.4,486.4,,,0
HCPCS,C1725,CATHETER PTCA BLLN L20MM DIA4MM MRAIL L143CM NCOMPL NC,443.66,443.66,,,0
HCPCS,C1725,CATHETER PTCA BLLN L20MM DIA6MM MRAIL L143CM NCOMPL NC,432.0,432.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L30MM DIA3MM MRAIL L143CM NCOMPL NC,450.13,450.13,,,0
HCPCS,C1725,CATHETER PTCA BLLN L40MM DIA10MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L40MM DIA5MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L5MM DIA1MM COR SAPPHIRE II PRO,540.0,540.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L60MM DIA7MM L75MM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L6MM DIA3.5MM MRAIL L143CM NCOMPL NC,459.2,459.2,,,0
HCPCS,C1725,CATHETER PTCA BLLN L80MM DIA6MM L75CM CMPTBL GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA BLLN L8MM DIA1MM COR DIL PTECH SHFT KINK,540.0,540.0,,,0
HCPCS,C1725,CATHETER PTCA COR HYDRPHLC POLYMR COAT BLLN L12MM DIA1.5MM,329.73,329.73,,,0
HCPCS,C1725,CATHETER PTCA COR HYDRPHLC POLYMR COAT BLLN L15MM DIA1.5MM,338.4,338.4,,,0
HCPCS,C1725,CATHETER PTCA COR HYDRPHLC POLYMR COAT BLLN L6MM DIA1.5MM RX,327.73,327.73,,,0
HCPCS,C1725,CATHETER PTCA CUT PERIPH BLLN 5MMX2CM OTW 135CM 0.018IN,1740.0,1740.0,,,0
HCPCS,C1725,CATHETER PTCA DIL BLLN L8MM DIA4.5MM MRAIL ULT LO TIP,513.6,513.6,,,0
HCPCS,C1725,CATHETER PTCA L120CM BLLN L4CM DIA12MM 18ATM PERIPH OTW ATLS,720.0,720.0,,,0
HCPCS,C1725,CATHETER PTCA L12MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA L12MM DIA4.5MM BLLN NYL BLEND NCOMPL RX NC,179.0,179.0,,,0
HCPCS,C1725,CATHETER PTCA L12MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,178.86,178.86,,,0
HCPCS,C1725,CATHETER PTCA L130CM BLLN L4CM DIA7MM SHTH 5FR GWIRE 0.018IN,444.0,444.0,,,0
HCPCS,C1725,CATHETER PTCA L130CM DIA5FR BLLN L100MM DIA4MM GWIRE 0.035IN,2280.0,2280.0,,,0
HCPCS,C1725,CATHETER PTCA L135CM BLLN L20MM DIA5MM XCELON HYDROPHOBIC RX,336.0,336.0,,,0
HCPCS,C1725,CATHETER PTCA L135CM BLLN L60MM DIA9MM SHTH 6FR GWIRE,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA L135CM BLLN L80MM DIA7MM SHTH 5FR GWIRE,240.0,240.0,,,0
HCPCS,C1725,CATHETER PTCA L135CM BLLN L8MM DIA3.5MM 0.014IN COR RX,2397.6,2397.6,,,0
HCPCS,C1725,CATHETER PTCA L137CM BLLN L20MM DIA4MM SHTH 6FR 20ATM,2148.0,2148.0,,,0
HCPCS,C1725,CATHETER PTCA L137CM BLLN L40MM DIA4MM RBP 20ATM 0.018IN,2280.0,2280.0,,,0
HCPCS,C1725,CATHETER PTCA L137CM BLLN L40MM DIA6MM SHTH 6FR 0.018IN RBP,2148.0,2148.0,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L10MM DIA1.25MM TIP L2.5MM SHFT,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L12MM DIA1.25MM COR FULCRUM,175.2,175.2,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L12MM DIA1.5MM GWIRE 0.021IN 6ATM,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L12MM DIA2.25MM 8ATM 0.022IN RX,175.2,175.2,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L12MM DIA2.5MM GWIRE 0.022IN 8ATM,179.18,179.18,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L12MM DIA2MM 0.022IN DURATRAC,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L15MM DIA1.5MM CROSSING PROF,178.5,178.5,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L15MM DIA2.25MM 0.022IN 14ATM,177.82,177.82,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L15MM DIA2.5MM GWIRE 0.022IN 8ATM,179.23,179.23,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L15MM DIA2MM 0.022IN 14ATM,179.74,179.74,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L15MM DIA3MM 0.023IN DURATRAC,179.31,179.31,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L15MM DIA4.5MM 20ATM DURA-TRAC NYL,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L20MM DIA2.5MM 0.022IN DURATRAC,179.47,179.47,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L20MM DIA2MM 0.022IN 14ATM,179.14,179.14,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L20MM DIA3MM GWIRE 0.023IN 8ATM,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA L142CM BLLN L6MM DIA1.25MM COR FULCRUM,168.0,168.0,,,0
HCPCS,C1725,CATHETER PTCA L143CM BLLN L20MM DIA1.5MM GWIRE 0.014IN SHTH,840.0,840.0,,,0
HCPCS,C1725,CATHETER PTCA L150CM BLLN L100MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
HCPCS,C1725,CATHETER PTCA L150CM BLLN L150MM DIA2.5MM SHTH 4FR GWIRE,1080.0,1080.0,,,0
HCPCS,C1725,CATHETER PTCA L150CM BLLN L150MM DIA5MM 0.018IN 6ATM PERIPH,444.0,444.0,,,0
HCPCS,C1725,CATHETER PTCA L150CM BLLN L150MM OD2.5MM MRAIL COYOTE,1080.0,1080.0,,,0
HCPCS,C1725,CATHETER PTCA L150CM BLLN L15CM DIA3MM SHTH 4FR GWIRE,444.0,444.0,,,0
HCPCS,C1725,CATHETER PTCA L150CM BLLN L220MM DIA3.5MM SHTH 4FR GWIRE,1080.0,1080.0,,,0
HCPCS,C1725,CATHETER PTCA L150CM BLLN L300MM DIA4MM SHTH 5FR GWIRE,444.0,444.0,,,0
HCPCS,C1725,CATHETER PTCA L150CM BLLN L60MM DIA5MM CMPTBL GWIRE 0.018IN,336.0,336.0,,,0
HCPCS,C1725,CATHETER PTCA L150CM DIA4FR BLLN L150MM DIA2.5MM GWIRE,2280.0,2280.0,,,0
HCPCS,C1725,CATHETER PTCA L15MM DIA2.25MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA L15MM DIA2.5MM BLLN NYL BLEND NCOMPL RX NC,179.29,179.29,,,0
HCPCS,C1725,CATHETER PTCA L15MM DIA2MM BLLN NYL BLEND NCOMPL RX NC,178.43,178.43,,,0
HCPCS,C1725,CATHETER PTCA L15MM DIA3.25MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA L15MM DIA3.5MM BLLN NYL BLEND NCOMPL RX NC,179.43,179.43,,,0
HCPCS,C1725,CATHETER PTCA L15MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,178.8,178.8,,,0
HCPCS,C1725,CATHETER PTCA L15MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,179.23,179.23,,,0
HCPCS,C1725,CATHETER PTCA L170CM BLLN L210MM DIA3MM SHTH 4FR W/ 0.014IN,885.6,885.6,,,0
HCPCS,C1725,CATHETER PTCA L20MM DIA2.75MM BLLN NYL BLEND NCOMPL RX NC,178.29,178.29,,,0
HCPCS,C1725,CATHETER PTCA L20MM DIA3.25MM BLLN NYL BLEND NCOMPL RX NC,175.2,175.2,,,0
HCPCS,C1725,CATHETER PTCA L20MM DIA3.5MM BLLN NYL BLEND NCOMPL RX NC,178.58,178.58,,,0
HCPCS,C1725,CATHETER PTCA L20MM DIA3.75MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA L20MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,179.22,179.22,,,0
HCPCS,C1725,CATHETER PTCA L75CM BLLN L30MM DIA4MM SHTH 5FR GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA L75CM BLLN L40MM DIA4MM SHTH 5FR GWIRE 0.035IN,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA L80CM BLLN L20MM DIA4.5MM GUID 6FR PERIPH,336.0,336.0,,,0
HCPCS,C1725,CATHETER PTCA L80CM BLLN L20MM DIA7MM SHTH 5FR 15ATM PERIPH,192.0,192.0,,,0
HCPCS,C1725,CATHETER PTCA L8MM DIA2.5MM BLLN NYL BLEND NCOMPL RX NC,180.0,180.0,,,0
HCPCS,C1725,CATHETER PTCA L8MM DIA4MM BLLN NYL BLEND NCOMPL RX NC,179.62,179.62,,,0
HCPCS,C1725,CATHETER PTCA MEDIGLIDE BLLN 7X80MM 5.3FRX135CM 0.035IN,600.0,600.0,,,0
HCPCS,C1725,CATHETER PTCA PERC TRNSLUMN COR HYDRPHLC BLLN L15MM DIA3MM,1900.0,1900.0,,,0
HCPCS,C1725,CATHETER PTCA PERC TRNSLUMN COR SCORING BLLN L15MM DIA3.5MM,1890.0,1890.0,,,0
HCPCS,C1725,CATHETER PTCA PERIPH DIL HYDROPHOBIC XCELON BLLN L30MM,336.0,336.0,,,0
HCPCS,C1725,CATHETER PTCA SHFT L144CM SHTH 4FR BLLN L20MM DIA3MM GWIRE,840.0,840.0,,,0
HCPCS,C1725,CATHETER PTCA SHFT L75CM SHTH 5FR BLLN L100MM DIA5MM GWIRE,600.0,600.0,,,0
HCPCS,C1725,CATHETER VALVULOPLASTY L100CM SHFT 8FR BLLN L5CM DIA20MM,1848.56,1848.56,,,0
HCPCS,C1725,CATHETER VENOGRAM L80CM BLLN DIA10MM DISP ATTAIN,240.0,240.0,,,0
HCPCS,C1725,CATHETER VLVULPLSTY 11FR X 110CM BLLN 20MM X 4.5CM AORT VLV,3120.0,3120.0,,,0
HCPCS,C1725,CATHETER VLVULPLSTY 7FR L100CM BLLN L4CM DIA16MM INTRO 9FR,1838.78,1838.78,,,0
HCPCS,C1725,CATHETER VLVULPLSTY 9FR L100CM BLLN L5CM DIA22MM 0.035IN SHT,1854.44,1854.44,,,0
HCPCS,C1725,CATHETER VLVULPLSTY AORT AND PULM VLV BLLN 18MMX4CM,1866.18,1866.18,,,0
HCPCS,C1725,CONQUEST 035 OTW PTA CATHETER 12MM X 20MM X 75CM,468.0,468.0,,,0
HCPCS,C1725,COYOTE ES MR 2 X 20 X 142,840.0,840.0,,,0
HCPCS,C1725,COYOTE MR 2 X 150 X 150,1080.0,1080.0,,,0
HCPCS,C1725,COYOTE MR 3 X 100 X 150,840.0,840.0,,,0
HCPCS,C1725,COYOTE MR 4 X 150 X 150,1080.0,1080.0,,,0
HCPCS,C1725,EMERGE MR US 12MM X 1.50MM,432.0,432.0,,,0
HCPCS,C1725,EMERGE MR US 15MM X 4.00MM,472.8,472.8,,,0
HCPCS,C1725,EMERGE MR US 20MM X 3.50MM,432.0,432.0,,,0
HCPCS,C1725,EMERGE MR US 20MM X 4.00MM,513.6,513.6,,,0
HCPCS,C1725,FG NC EMERGE MR US 2.00MM X 30MM,432.0,432.0,,,0
HCPCS,C1725,FG NC EMERGE MR US 2.50MM X 30MM,486.4,486.4,,,0
HCPCS,C1725,FG NC EMERGE MR US 3.00MM X 6MM,432.0,432.0,,,0
HCPCS,C1725,FG NC EMERGE MR US 6.00MM X 8MM,472.8,472.8,,,0
HCPCS,C1725,FOX SV 3MM X 120MM X 150CM,492.0,492.0,,,0
HCPCS,C1725,GUIDEWIRE VASC L300CM DIA0.018IN TIP DIA0.018IN STIFFNESS,192.0,192.0,,,0
HCPCS,C1725,HC 624 G220300 (TRIAL SHOCKWAVE),0.01,0.01,,,0
HCPCS,C1725,HI-TORQUE CONNECT GUIDE WIRE .018IN 195 CM,192.0,192.0,,,0
HCPCS,C1725,INACTIVE USE 137815 - ARMADA 35 PTA CATH7MMX40MMX80CMOTW,192.0,192.0,,,0
HCPCS,C1725,INACTIVE USE PS#125520 -  ARMADA 14 PTA CATHETER 3.0 MM X 12,336.0,336.0,,,0
HCPCS,C1725,INACTIVE USE PS#137812 -  ARMADA 35 PTA CATHETER 6 MM X 100,192.0,192.0,,,0
HCPCS,C1725,INACTIVE USE PS#162291 -  ARMADA 18 PTA CATHETER 2.5 MM X 10,336.0,336.0,,,0
HCPCS,C1725,INACTIVE USE PS#351981 -  CATHETER PTCA L150CM BLLN L40MM DI,336.0,336.0,,,0
HCPCS,C1725,INACTIVE USE PS#352203 -  CATHETER PTCA BLLN 4X40MM OTW 135C,192.0,192.0,,,0
HCPCS,C1725,INACTIVE USE PS#352480 -  CATH DILATION CORONARY NC TREK 3.2,300.0,300.0,,,0
HCPCS,C1725,INACTIVE USE PS#66293 -  VIATRAC 14 PLUS PERIPHERAL DILATATI,336.0,336.0,,,0
HCPCS,C1725,INOUE BALLOON 28MM,6000.0,6000.0,,,0
HCPCS,C1725,MINI TREK CORONARY DILATATION CATHETER 1.20 MM X 08 MM  RAPI,300.0,300.0,,,0
HCPCS,C1725,MOZEC RX PTCA  2.50X25(US MARKET),216.0,216.0,,,0
HCPCS,C1725,MUSTANG 10.0 X 20 75CM,600.0,600.0,,,0
HCPCS,C1725,NC TREK CORONARY DILATATION CATHETER 3.0 MM X 12 MM  RAPID-E,300.0,300.0,,,0
HCPCS,C1725,OPTA PRO 8.0MM X 6CM X 80CM,168.0,168.0,,,0
HCPCS,C1725,SET VLVULPLSTY CATH MI VLV BLLN 30MM X 2.5CM 12FR X 70CM,5520.0,5520.0,,,0
HCPCS,C1725,SHOCKWAVE M5 IVL CATHETER 6.0X60 MM,6600.0,6600.0,,,0
HCPCS,C1725,STERLING OTW 5 X 60 X 135,840.0,840.0,,,0
HCPCS,C1725,THREADER MICRO-DILATION CATHETER,2457.6,2457.6,,,0
HCPCS,C1725,TREK CORONARY DILATATION CATHETER 2.50 MM X 15 MM  RAPID-EXC,300.0,300.0,,,0
HCPCS,C1725,ULTRAVERSE RX 014 RX PTA CATHETER 2MM X 300MM X 200CM,444.0,444.0,,,0
HCPCS,C1725,ULTRAVERSE RX 014 RX PTA CATHETER 3MM X 200MM X 200CM,396.0,396.0,,,0
HCPCS,C1725,ULTRAVERSE RX 014 RX PTA CATHETER 4MM X 200MM X 200CM,444.0,444.0,,,0
HCPCS,C1725,ULTRAVERSE RX 2.5MM X120MM X200CM,396.0,396.0,,,0
HCPCS,C1725,ULTRAVERSE RX 2MM X 80MM X 200CM,444.0,444.0,,,0
HCPCS,C1725,VIA TRAC BALLOON 5.0MM X 40MM X 135CM,336.0,336.0,,,0
HCPCS,C1725,VIATRAC 14 PLUS PERIPHERAL DILATATION CATHETER 4.0 MM X 20 M,336.0,336.0,,,0
HCPCS,C1725,WALLFLEX ESOPHAGEAL,7696.18,7696.18,,,0
HCPCS,C1725,WOLVERINE CB MR US 15MMX2.50MM,2244.0,2244.0,,,0
HCPCS,C1725,Z-MED BALLOON 26X4X100,1877.93,1877.93,,,0
HCPCS,C1725,ZMED BALLOON 33 X 4 X 100,1877.93,1877.93,,,0
HCPCS,C1726,102003 : CATHETER DIL L110CM BLLN L3CM DIA8X9X10MM 0.035IN CMPTBL,1075.46,1075.46,,,0
HCPCS,C1726,105991 : BALLOON ENDOSCP US FOR BF-UC160F BF-UC180F BRONCHSCP DISP,74.06,74.06,,,0
HCPCS,C1726,122651 : BALLOON STONE EXTR L195CM DIA8.5-11.5-15MM 3.2MM CHN 3 LUMN,350.66,350.66,,,0
HCPCS,C1726,126713 : RETRIEVER ENDOSCP CATH 6-7FR L200CM BLLN DIA9-12MM BILI 3L,591.58,591.58,,,0
HCPCS,C1726,126714 : BALLOON STONE RETRV L200CM DIA12-15MM CATH DIA7-6FR 0.035IN,591.58,591.58,,,0
HCPCS,C1726,126715 : CATHETER BLLN RETRV 7-6FR BLLN DIA15-18MM RX 3L ABV INJ EXTR,591.58,591.58,,,0
HCPCS,C1726,127897 : DILATOR ENDOSCP L90CM CATH 14FR BLLN L10CM DIA30MM 0.038IN,2176.37,2176.37,,,0
HCPCS,C1726,128363 : CATHETER DIL 7.5FR L240CM BLLN 18X21X24FR L5.5CM 3X6X10ATM,832.61,832.61,,,0
HCPCS,C1726,128364 : CATHETER DIL 7.5FR L240CM BLLN 24X27X30FR L5.5CM 3X5.5X9ATM,832.61,832.61,,,0
HCPCS,C1726,128365 : CATHETER DIL 7.5FR L240CM BLLN 30X33X36FR L5.5CM 3X5X8ATM ES,832.61,832.61,,,0
HCPCS,C1726,128366 : CATHETER DIL 7.5FR L240CM BLLN 36X40.5X45FR L5.5CM,832.61,832.61,,,0
HCPCS,C1726,128367 : CATHETER DIL 7.5FR L240CM BLLN 45X49.5X54FR L5.5CM,832.61,832.61,,,0
HCPCS,C1726,128368 : CATHETER DIL 7.5FR L240CM BLLN 54X57X60FR L5.5CM 3X4.5X6ATM,832.61,832.61,,,0
HCPCS,C1726,159838 : CATHETER PTCA L130CM BLLN L40MM OD3MM GWIRE OD0.035IN 8ATM,300.0,300.0,,,0
HCPCS,C1726,159842 : ULTRAVERSE BALLOON .035 3MMX120MM,300.0,300.0,,,0
HCPCS,C1726,159843 : ULTRAVERSE BALLOON .035 3MMX150MM,300.0,300.0,,,0
HCPCS,C1726,159844 : ULTRAVERSE BALLOON .035 3MMX200MM,300.0,300.0,,,0
HCPCS,C1726,159847 : CATHETER PTCA BLLN L40MM DIA4MM L130CM CMPTBL GWIRE 0.035IN,300.0,300.0,,,0
HCPCS,C1726,159858 : ULTRAVERSE BALLOON .035 5MMX80MM,300.0,300.0,,,0
HCPCS,C1726,159861 : ULTRAVERSE BALLOON .035 5MMX150MM,300.0,300.0,,,0
HCPCS,C1726,159863 : CATHETER PTCA L130CM BLLN L250MM DIA5MM 0.035IN 16ATM RATE,300.0,300.0,,,0
HCPCS,C1726,22098 : BALLOON LACRICATH LACRIMAL 3MM,699.3,699.3,,,0
HCPCS,C1726,250894 : CATHETER DIL 7.5FR L180CM BLLN L3CM DIA8-9-10MM 0.035IN,913.92,913.92,,,0
HCPCS,C1726,250895 : CATHETER DIL 7.5FR L180CM BLLN L3CM DIA10-11-12MM 0.035IN,913.92,913.92,,,0
HCPCS,C1726,250896 : CATHETER DIL 7.5FR L180CM BLLN L3CM DIA12-13.5-15MM 0.035IN,913.92,913.92,,,0
HCPCS,C1726,29372 : BALLOON US E 3 FOR GF-UC140P-AL5 GF-UCT140-AL5 GF-UCT140-DO5,75.17,75.17,,,0
HCPCS,C1726,29373 : CUFF BLLN FOR USE,73.08,73.08,,,0
HCPCS,C1726,368024 : INSPIRA AIR BALLOON DILATION SYSTEM 12X40MM,1751.4,1751.4,,,0
HCPCS,C1726,368025 : INSPIRA AIR BALLOON DILATION SYSTEM 14X40MM,1751.4,1751.4,,,0
HCPCS,C1726,368029 : EUSTACHIAN DILATION SYSTEM,4558.68,4558.68,,,0
HCPCS,C1726,381777 : CATHETER VLVULPLSTY 12FR X 110CM BLLN 21MM X 4.5CM AORT VLV,3600.0,3600.0,,,0
HCPCS,C1726,381778 : CATHETER VLVULPLSTY 12FR L110CM BLLN L4.5CM DIA22MM AORT DIL,3600.0,3600.0,,,0
HCPCS,C1726,381779 : CATHETER VLVULPLSTY L110CM BLLN L4.5CM DIA23MM SHTH 12FR,3600.0,3600.0,,,0
HCPCS,C1726,534491 : VALVULOPRO VALVULOPLASTY BALLOON CATHETER 18X40,1380.0,1380.0,,,0
HCPCS,C1726,534492 : VALVULOPRO VALVULOPLASTY BALLOON CATHETER 15X40,1380.0,1380.0,,,0
HCPCS,C1726,534493 : VALVULOPRO VALVULOPLASTY BALLOON CATHETER 21X40,1305.0,1305.0,,,0
HCPCS,C1726,63773 : CATHETER BLLN 4.5FR L190CM DIA2.8MM DIL EXTR OTW ABV INJ,331.2,331.2,,,0
HCPCS,C1726,71400 : CATHETER DIL 5.8FR L180CM BLLN L4CM DIA6MM GWIRE 0.035IN MIN,1038.46,1038.46,,,0
HCPCS,C1726,87566 : CATHETER BLLN DIL 5.8FR L180CM BLLN L4CM DIA4MM GWIRE,1038.46,1038.46,,,0
HCPCS,C1726,AIRWAY BALLOON 5X24,1674.18,1674.18,,,0
HCPCS,C1726,BALLOON CATHETER 21GW,392.06,392.06,,,0
HCPCS,C1726,BALLOON ENDOSCP US FOR BF-UC160F BF-UC180F BRONCHSCP DISP,73.78,73.78,,,0
HCPCS,C1726,BALLOON LACRICATH LACRIMAL 3MM,699.31,699.31,,,0
HCPCS,C1726,BALLOON STONE EXTR L195CM DIA8.5-11.5-15MM 3.2MM CHN 3 LUMN,350.66,350.66,,,0
HCPCS,C1726,BALLOON STONE RETRV L200CM DIA12-15MM CATH DIA7-6FR 0.035IN,591.58,591.58,,,0
HCPCS,C1726,BALLOON US E 3 FOR GF-UC140P-AL5 GF-UCT140-AL5 GF-UCT140-DO5,75.17,75.17,,,0
HCPCS,C1726,CATHETER BLLN 4.5FR L190CM DIA2.8MM DIL EXTR OTW ABV INJ,331.2,331.2,,,0
HCPCS,C1726,CATHETER BLLN DIL 5.8FR L180CM BLLN L4CM DIA4MM GWIRE,1038.46,1038.46,,,0
HCPCS,C1726,CATHETER BLLN RETRV 7-6FR BLLN DIA15-18MM RX 3L ABV INJ EXTR,591.58,591.58,,,0
HCPCS,C1726,CATHETER DGT SPYGLS DISCOVER,7025.41,7025.41,,,0
HCPCS,C1726,CATHETER DIL 10CC L55CM BLLN 8X30MM 17ATM SL NONSLIP AERIS,1398.02,1398.02,,,0
HCPCS,C1726,CATHETER DIL 14FR L90CM BLLN L10CM DIA40MM 0.038IN,2176.37,2176.37,,,0
HCPCS,C1726,CATHETER DIL 5.8FR L180CM BLLN L4CM DIA10MM 8ATM BILI RX 2,1038.46,1038.46,,,0
HCPCS,C1726,CATHETER DIL 5.8FR L180CM BLLN L4CM DIA6MM GWIRE 0.035IN MIN,1038.46,1038.46,,,0
HCPCS,C1726,CATHETER DIL 5.8FR L180CM BLLN L4CM DIA8MM GWIRE 0.035IN MIN,1038.46,1038.46,,,0
HCPCS,C1726,CATHETER DIL 7.5FR L180CM BLLN L3CM DIA10-11-12MM 0.035IN,913.92,913.92,,,0
HCPCS,C1726,CATHETER DIL 7.5FR L240CM BLLN 18X21X24FR L5.5CM 3X6X10ATM,832.61,832.61,,,0
HCPCS,C1726,CATHETER DIL L110CM BLLN L3CM DIA10X11X12MM 0.035IN CMPTBL,1075.46,1075.46,,,0
HCPCS,C1726,CATHETER DIL L110CM BLLN L3CM DIA8X9X10MM 0.035IN CMPTBL,1075.46,1075.46,,,0
HCPCS,C1726,CATHETER DIL L110CM BLLN L5.5CM DIA15X16.5X18MM 0.035IN,1075.46,1075.46,,,0
HCPCS,C1726,CATHETER PTCA BLLN 7MM X 60MM 5FR X 130CM 0.035IN GWIRE,300.0,300.0,,,0
HCPCS,C1726,CATHETER PTCA BLLN L40MM DIA4MM L130CM CMPTBL GWIRE 0.035IN,300.0,300.0,,,0
HCPCS,C1726,CATHETER PTCA L130CM BLLN L40MM OD3MM GWIRE OD0.035IN 8ATM,300.0,300.0,,,0
HCPCS,C1726,CATHETER PTCA L75CM BLLN L40MM DIA10MM SHFT 6FR GWIRE,300.0,300.0,,,0
HCPCS,C1726,CATHETER VLVULPLSTY 12FR L110CM BLLN L4.5CM DIA22MM AORT DIL,3330.0,3330.0,,,0
HCPCS,C1726,CATHETER VLVULPLSTY BLLN L4.5CM DIA24MM 12FR L100CM 0.035IN,3600.0,3600.0,,,0
HCPCS,C1726,CATHETER VLVULPLSTY L110CM BLLN L4.5CM DIA23MM SHTH 12FR,3480.0,3480.0,,,0
HCPCS,C1726,CUFF BLLN FOR USE,72.72,72.72,,,0
HCPCS,C1726,DILATOR ENDOSCP CATH 14FR L90CM BLLN INFLATED L10CM DIA35MM,2176.37,2176.37,,,0
HCPCS,C1726,DILATOR ENDOSCP L90CM CATH 14FR BLLN L10CM DIA30MM 0.038IN,2176.37,2176.37,,,0
HCPCS,C1726,EUSTACHIAN DILATION SYSTEM,4558.68,4558.68,,,0
HCPCS,C1726,INACTIVE USE 87566 BALLOON BIL DIL CATH 4 X 4,1038.46,1038.46,,,0
HCPCS,C1726,INACTIVE USE PS#119876 -  CATHETER  BALL DILAT 10-12MM,507.53,507.53,,,0
HCPCS,C1726,KIT BLLN CATH 24FR L12CM SHTH 17CM PTFE HI PRSS W/ ENCORE 26,1377.48,1377.48,,,0
HCPCS,C1726,NEPHROMAX BALLOON 24FW/17CM PTFE SHEATH,1273.18,1273.18,,,0
HCPCS,C1726,NEPHROMAX BALLOON 30FW/17CM CLEAR SHEATH,1377.48,1377.48,,,0
HCPCS,C1726,RETRIEVER ENDOSCP CATH 6-7FR L200CM BLLN DIA9-12MM BILI 3L,591.58,591.58,,,0
HCPCS,C1726,SIZING BALLOON 18 M,782.4,782.4,,,0
HCPCS,C1726,TROCAR 12MM BLUNT,163.3,163.3,,,0
HCPCS,C1726,ULTRAVERSE BALLOON .035 3MMX100MM,300.0,300.0,,,0
HCPCS,C1727,102137 : BALLOON DISECT ENDOSCP PREPERI RND PDB,1102.01,1102.01,,,0
HCPCS,C1727,BALLOON DISECT ENDOSCP PREPERI RND PDB,1338.61,1338.61,,,0
HCPCS,C1728,HC BRACHY CATHETER,85.1,85.1,,,0
HCPCS,C1729,106732 : MULTIPURPOSE DRNGE CATH 8.5FR DIA 0.038IN L25CM,178.92,178.92,,,0
HCPCS,C1729,106982 : CATHETER DRNGE 14FR L25CM GWIRE DIA0.038IN HYDRPHLC 6,178.92,178.92,,,0
HCPCS,C1729,107937 : CATHETER DRNGE 10.2FR L45CM GWIRE DIA0.038IN HYDRPHLC 6,201.86,201.86,,,0
HCPCS,C1729,120492 : NEEDLE CENTESIS 19GA CATH 5FR L15CM PGTL FOR PERC FLD ASPIR,56.42,56.42,,,0
HCPCS,C1729,124922 : NEEDLE CATH 19GA 5FR L20CM FOR PERC FLD ASPIR YUEH,38.5,38.5,,,0
HCPCS,C1729,130002 : MULTIPURPOSE DRAINAGE CATHETER-NEEDLE SET,130.51,130.51,,,0
HCPCS,C1729,138125 : SET CATH EVD ID1.5MM DEPTH MRK 3-15CM SIL ANTIMIC BACTISEAL,898.99,898.99,,,0
HCPCS,C1729,138127 : SET CATH EVD ID1.9MM DEPTH MRK 3-15CM SIL LG LUMN ANTIMIC,964.92,964.92,,,0
HCPCS,C1729,143404 : TRAY PNEUMOTHOR CATH 14FR X 29CM NDL 18GA X 5CM X 9CM 19,534.38,534.38,,,0
HCPCS,C1729,145279 : CATHETER DRNGE 7FR L25CM GWIRE DIA0.035IN HYDRPHLC 5 SIDEPRT,167.11,167.11,,,0
HCPCS,C1729,145390 : ULTRATHANE MAC-LOC LOCKING LOOP BILIARY DRAINAGE CATHETER,182.52,182.52,,,0
HCPCS,C1729,24397 : CATHETER DRNGE 10.2FR L40CM GWIRE DIA0.038IN HYDRPHLC RADPQ,182.52,182.52,,,0
HCPCS,C1729,26789 : KIT PLEUR CATH 15.5FR SIL INCL GWIRE INTRO NDL FEN DRP FLTR,1359.6,1359.6,,,0
HCPCS,C1729,27747 : NEEDLE CENTESIS 19GA CATH 5FR L7CM 4 SIDEPRT FOR PERC FLD,38.5,38.5,,,0
HCPCS,C1729,28154 : NEEDLE CENTESIS 19GA CATH 5FR 10CM 4 SIDEPRT FOR PRCUTANEOUS,38.5,38.5,,,0
HCPCS,C1729,30803 : CATHETER DRNGE 10.2FR L25CM NDL 18GA 0.038IN 6 SIDEPRT MP,178.92,178.92,,,0
HCPCS,C1729,31896 : CATHETER DRNGE 12FR L40CM GWIRE DIA0.038IN HYDRPHLC RADPQ,182.52,182.52,,,0
HCPCS,C1729,32472 : BRUSH CYTO L2.5CM DIA3MM CATH 8FR GWIRE 0.035IN CHN SZ 3.2MM,309.6,309.6,,,0
HCPCS,C1729,35587 : SET DCOMPR CATH 14FR L175CM 10 SIDEPRT DRNGE GUID CATH 6FR,468.0,468.0,,,0
HCPCS,C1729,361614 : BARDEX 4-WING MALECOT 28FR,58.66,58.66,,,0
HCPCS,C1729,37158 : CATHETER DRNGE 12FR L25CM GWIRE 0.038IN HYDRPHLC MP LP MAC,178.92,178.92,,,0
HCPCS,C1729,408059 : CATHETER DRNGE 40CMX12FRX.038IN UTHANE BILI EXT SIDEPORTS,182.52,182.52,,,0
HCPCS,C1729,420773 : DRAIN 18X3 8 070 PENROSE,2.71,2.71,,,0
HCPCS,C1729,421488 : CATHETER DRNGE 10.2FR L25CM GWIRE DIA0.038IN HYDRPHLC 5,167.11,167.11,,,0
HCPCS,C1729,43307 : NEEDLE CENTESIS 19GA CATH 5FR L15CM 4 SIDEPRT FOR PERC FLD,38.5,38.5,,,0
HCPCS,C1729,439081 : UNIT DRAINAGE ADULT CHILD 950-1900CC BAG PLEURAL CAVITY DUAL,170.45,170.45,,,0
HCPCS,C1729,45867 : CATHETER VENT DRNGE L14CM OD2.7MM ID1.4MM BA SIL ANTIMIC,913.99,913.99,,,0
HCPCS,C1729,46397 : CATHETER DRNGE L120CM OD2.15MM ID1MM PERI BA OPN END,913.99,913.99,,,0
HCPCS,C1729,483006 : CATHETER PERITONEAL L120CM OD2.5MM ID1.2MM SILICONE LONG DIS,385.82,385.82,,,0
HCPCS,C1729,ARGYLE LT VENTRICULAR SUMP VENT CATH,67.78,67.78,,,0
HCPCS,C1729,BARDEX 4-WING MALECOT 18FR,58.66,58.66,,,0
HCPCS,C1729,BARDEX 4-WING MALECOT 28FR,22.7,22.7,,,0
HCPCS,C1729,BRUSH CYTO L2.5CM DIA3MM CATH 8FR GWIRE 0.035IN CHN SZ 3.2MM,309.6,309.6,,,0
HCPCS,C1729,CATH NEURO CARDIAC 43418,541.9,541.9,,,0
HCPCS,C1729,CATHETER DRAINAGE 16FR X 25CM ACCEPTS 0.038IN GUIDEWIRE 6 SI,169.58,169.58,,,0
HCPCS,C1729,CATHETER DRAINAGE 18FR L40CM GUIDEWIRE DIA0.038IN HYDROPHILI,231.31,231.31,,,0
HCPCS,C1729,CATHETER DRAINAGE 20FR L25CM GUIDEWIRE 0.038IN NEEDLE 18GA 6,232.46,232.46,,,0
HCPCS,C1729,CATHETER DRNGE 10.2FR L25CM GWIRE DIA0.038IN HYDRPHLC 5,167.11,167.11,,,0
HCPCS,C1729,CATHETER DRNGE 10.2FR L25CM NDL 18GA 0.038IN 6 SIDEPRT MP,178.92,178.92,,,0
HCPCS,C1729,CATHETER DRNGE 10.2FR L40CM GWIRE DIA0.038IN HYDRPHLC RADPQ,182.52,182.52,,,0
HCPCS,C1729,CATHETER DRNGE 10.2FR L45CM GWIRE DIA0.038IN HYDRPHLC 6,201.86,201.86,,,0
HCPCS,C1729,CATHETER DRNGE 12FR L25CM GWIRE 0.038IN HYDRPHLC MP LP MAC,178.92,178.92,,,0
HCPCS,C1729,CATHETER DRNGE 12FR L40CM GWIRE DIA0.038IN HYDRPHLC RADPQ,182.52,182.52,,,0
HCPCS,C1729,CATHETER DRNGE 12FR L45CM GWIRE DIA0.038IN HYDRPHLC 6,201.86,201.86,,,0
HCPCS,C1729,CATHETER DRNGE 14FR L25CM GWIRE DIA0.038IN HYDRPHLC 6,178.92,178.92,,,0
HCPCS,C1729,CATHETER DRNGE 16FR X 40CM GWIRE 0.038IN HYDRPHLC 32 SIDEPRT,231.31,231.31,,,0
HCPCS,C1729,CATHETER DRNGE 40CMX12FRX.038IN UTHANE BILI EXT SIDEPORTS,182.52,182.52,,,0
HCPCS,C1729,CATHETER DRNGE L120CM OD2.15MM ID1MM PERI BA OPN END,913.99,913.99,,,0
HCPCS,C1729,CATHETER THOR 28FR L23IN CLR PVC HEP STR TAPR TIP W/ 6 EYELT,15.07,15.07,,,0
HCPCS,C1729,CATHETER VENT DRNGE L14CM OD2.7MM ID1.4MM BA SIL ANTIMIC,878.15,878.15,,,0
HCPCS,C1729,CATHETER VENTRICULAR L23CM OD2.5MM ID1.3MM ANTIBIOTIC IMPREG,930.82,930.82,,,0
HCPCS,C1729,"CODMAN® BACTISEAL® VENTRICULAR CATHETER WITH BACTISEAL SHUNT SYSTEMMR CONDITIONAL CONTENTS: VENTRICULAR CATHETER 14CM (1), RIGHT ANGLE ADAPTER (1); AD",860.23,860.23,,,0
HCPCS,C1729,DRAIN 18X3 8 070 PENROSE,2.67,2.67,,,0
HCPCS,C1729,DRAINAGE BILIARY 8.5,182.52,182.52,,,0
HCPCS,C1729,INACTIVE USE PS#28154 -  NEEDLE CENTESIS 19GA CATH STR 5FR X,38.5,38.5,,,0
HCPCS,C1729,KIT LUM DRNGE CEREBROSPINAL FLD VERSION II,542.21,542.21,,,0
HCPCS,C1729,KIT PLEUR CATH 15.5FR SIL INCL GWIRE INTRO NDL FEN DRP FLTR,1359.6,1359.6,,,0
HCPCS,C1729,MULTIPURPOSE DRNGE CATH 8.5FR DIA 0.038IN L25CM,178.92,178.92,,,0
HCPCS,C1729,NEEDLE CATH 19GA 5FR L20CM FOR PERC FLD ASPIR YUEH,38.5,38.5,,,0
HCPCS,C1729,NEEDLE CENTESIS 19GA CATH 5FR 10CM 4 SIDEPRT FOR PRCUTANEOUS,38.5,38.5,,,0
HCPCS,C1729,NEEDLE CENTESIS 19GA CATH 5FR L15CM 4 SIDEPRT FOR PERC FLD,38.5,38.5,,,0
HCPCS,C1729,NEEDLE CENTESIS 19GA CATH 5FR L15CM PGTL FOR PERC FLD ASPIR,56.42,56.42,,,0
HCPCS,C1729,NEEDLE CENTESIS 19GA CATH 5FR L7CM 4 SIDEPRT FOR PERC FLD,38.5,38.5,,,0
HCPCS,C1729,PERI VAC TRAY 8.3FR,307.2,307.2,,,0
HCPCS,C1729,SET CATH EVD ID1.5MM DEPTH MRK 3-15CM SIL ANTIMIC BACTISEAL,846.12,846.12,,,0
HCPCS,C1729,SET CATH EVD ID1.9MM DEPTH MRK 3-15CM SIL LG LUMN ANTIMIC,908.16,908.16,,,0
HCPCS,C1729,SET DCOMPR CATH 14FR L175CM 10 SIDEPRT DRNGE GUID CATH 6FR,468.0,468.0,,,0
HCPCS,C1729,SET DRAINAGE CATHETER L41CM OD20FR 0.038IN CLEAR FOR ABSCESS,252.02,252.02,,,0
HCPCS,C1729,SET DRNGE CATH 10.2FR L40CM BILI HYDRPHLC MACLOC LOK LOOP RB,182.52,182.52,,,0
HCPCS,C1729,TRAY CHST TB 20FR X 41CM 4 SIDE PRT INCL 80CM GWIRE DIL,373.75,373.75,,,0
HCPCS,C1729,TRAY PNEUMOTHOR CATH 14FR X 29CM NDL 18GA X 5CM X 9CM 19,534.38,534.38,,,0
HCPCS,C1729,TUBE CHEST TRAY THAL QUICK  28 FR  C-TQTSY-2800,373.75,373.75,,,0
HCPCS,C1729,ULTRATHANE MAC-LOC LOCKING LOOP BILIARY DRAINAGE CATHETER,182.52,182.52,,,0
HCPCS,C1729,UNIT DRAINAGE ADULT CHILD 950/1900CC BAG PLEURAL CAVITY DUAL,170.3,170.3,,,0
HCPCS,C1730,104462 : CATHETER EP DECAPOLAR CSL CRV 6FR L120CM 2-8-2MM SPC 2MM TIP,780.0,780.0,,,0
HCPCS,C1730,111536 : CATHETER EP 6FR L115CM QPLR ELECTRD 5MM SPC STABILENE,288.0,288.0,,,0
HCPCS,C1730,119196 : CATHETER EP QPLR JSN CRV 6FR L120CM 2-5-2MM SPC RESPON,220.73,220.73,,,0
HCPCS,C1730,128710 : CATHETER EP L165CM OD3.5FR ID3.8FR ELECTRD L1MM SPC 4MM LOOP,2100.0,2100.0,,,0
HCPCS,C1730,128711 : CATHETER EP 6MM ELECTRD SPC 3.3FR X 165MM TIP 20MM ACHVE,2100.0,2100.0,,,0
HCPCS,C1730,161704 : CATHETER EP 6FR L110CM 10 PLAT ELECTRD SPC 2-5-2MM L 4.0 CRV,1230.0,1230.0,,,0
HCPCS,C1730,251036 : FIX 5F 4P HIS 5MM 12PN-DR 115,424.8,424.8,,,0
HCPCS,C1730,251037 : CATHETER EP QUADRAPOLAR F CRV 5MM SPC 6FR L115CM FIX W- AUTO,271.2,271.2,,,0
HCPCS,C1730,CATH TO GENRTR CBL ST,2160.0,2160.0,,,0
HCPCS,C1730,CATHETER EP 6FR L110CM 2-5-2MM ELECTRD SPC L CRV DECAPOLAR,720.0,720.0,,,0
HCPCS,C1730,CATHETER EP 6FR L115CM QPLR ELECTRD 5MM SPC STABILENE,288.0,288.0,,,0
HCPCS,C1730,CATHETER EP 6MM ELECTRD SPC 3.3FR X 165MM TIP 20MM ACHVE,2100.0,2100.0,,,0
HCPCS,C1730,CATHETER EP DECAPOLAR CSL CRV 6FR L120CM 2-8-2MM SPC 2MM TIP,780.0,780.0,,,0
HCPCS,C1730,CATHETER EP L165CM OD3.5FR ID3.8FR ELECTRD L1MM SPC 4MM LOOP,2100.0,2100.0,,,0
HCPCS,C1730,CATHETER EP QPLR JSN CRV 6FR L120CM 2-5-2MM SPC RESPON,199.2,199.2,,,0
HCPCS,C1730,FIX 5F 4P HIS 5MM 12PN-DR 115,424.8,424.8,,,0
HCPCS,C1730,FIX 6F 4P A SD 5MM 10PN-DR 115,271.2,271.2,,,0
HCPCS,C1731,104461 : CATHETER EP DUO DECAPOLAR 7FR L95CM 2-8-2-(60)-2-8-2MM SPC,2813.28,2813.28,,,0
HCPCS,C1731,413506 : SSPC2 - SITE SELECTIVE PACING CATHETER-MULTIPURPOSE,1176.0,1176.0,,,0
HCPCS,C1731,CATHETER EP DUO DECAPOLAR 7FR L95CM 2-8-2-(60)-2-8-2MM SPC,2364.0,2364.0,,,0
HCPCS,C1731,PENTARAY NAV ECO 7FR D 4-4-4,4401.6,4401.6,,,0
HCPCS,C1731,SSPC2 - SITE SELECTIVE PACING CATHETER/MULTIPURPOSE,1176.0,1176.0,,,0
HCPCS,C1731,SSPC3 - SITE SELECTIVE PACING CATHETER/EXTENDED HOOK,1176.0,1176.0,,,0
HCPCS,C1732,136136 : CATHETER EP DECAPOLAR D CRV 2-8-2MM SPC 7FR L115CM TIP 2MM,2539.2,2539.2,,,0
HCPCS,C1732,136137 : CATHETER EP DECAPOLAR F CRV 2-8-2MM SPC 7FR L115CM TIP 2MM,2539.2,2539.2,,,0
HCPCS,C1732,251035 : CATHETER EP 7FR L115CM ELECTRD TIP 2MM SPC 2-8-2MM DF CRV BI,1322.4,1322.4,,,0
HCPCS,C1732,251050 : CATHETER EP HEXAPOLAR D-F CRV 1-6-2MM 8FR X 115CM TIP 3.5MM,8229.6,8229.6,,,0
HCPCS,C1732,485796 : CATHETER MAPPING 48 POLE F CURVE 2-2-2MM SPACING 8FR SPLINE,5649.6,5649.6,,,0
HCPCS,C1732,485798 : CATHETER MAPPING F CURVE ELECTRODE SPACING 3-3-3-3-3 2CM SPL,5649.6,5649.6,,,0
HCPCS,C1732,485799 : CATHETER MAPPING 8FR X 113CM D-F CURVE WITH TRUEREF TECHNOLO,5649.6,5649.6,,,0
HCPCS,C1732,485807 : CATHETER ELECTROPHYSIOLOGY D-F CURVE 1-6-2MM 115CM TIP 3.5MM,9240.0,9240.0,,,0
HCPCS,C1732,4MM NAVIGATIONAL BI-DIRECT,5289.6,5289.6,,,0
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY D-F CURVE 1-6-2MM 115CM TIP 3.5MM,9240.0,9240.0,,,0
HCPCS,C1732,CATHETER EP 7FR L115CM ELECTRD TIP 2MM SPC 2-8-2MM DF CRV BI,1322.4,1322.4,,,0
HCPCS,C1732,CATHETER EP DECAPOLAR D CRV 2-8-2MM SPC 7FR L115CM TIP 2MM,2539.2,2539.2,,,0
HCPCS,C1732,CATHETER EP HEXAPOLAR D-F CRV 1-6-2MM 8FR X 115CM TIP 3.5MM,8229.6,8229.6,,,0
HCPCS,C1732,CATHETER MAPPING 48 POLE F CURVE 2-2-2MM SPACING 8FR SPLINE,5649.6,5649.6,,,0
HCPCS,C1732,DEF 7F NS4PD1-7-4MMHYP115,4855.2,4855.2,,,0
HCPCS,C1733,100772 : CRYO STRAIGHT CATH ABLATION,4788.0,4788.0,,,0
HCPCS,C1733,104451 : CATHETER CARD ABLAT QPLR 7FR L115CM 2-5-2MM SPC 4MM TIP,1653.6,1653.6,,,0
HCPCS,C1733,419030 : CATHETER CARD CRYOABLATION 10.5FR L95CM INFLATED BLLN,11880.0,11880.0,,,0
HCPCS,C1733,CATHETER CARD ABLAT QPLR 7FR L115CM 2-5-2MM SPC 4MM TIP,1404.0,1404.0,,,0
HCPCS,C1733,CATHETER CARD CRYOABLATION 10.5FR L95CM INFLATED BLLN,11880.0,11880.0,,,0
HCPCS,C1733,CRYO STRAIGHT CATH ABLATION,4788.0,4788.0,,,0
HCPCS,C1733,INACTIVE USE PS#114808 -  PROBE HEMOSTASIS GOLD 10 MV,287.28,287.28,,,0
HCPCS,C1734,AUGMENT INJECTABLE KIT 3CC,8953.2,8953.2,,,0
HCPCS,C1737,546502 : IMPLANT SACROILIAC FUS 9.5MM X 40MM TI POR 3D PRNT TRIANG,21080.0,21080.0,,,0
HCPCS,C1737,HC 278 IFUSE BEDROCK GRANITE IMPLANT SYSTEM C1737,9300.0,9300.0,,,0
HCPCS,C1737,I FUSE BEDROCK GRANITE IMPLANT 9.5MMX60MM,7440.0,7440.0,,,0
HCPCS,C1737,IMPLANT SACROILIAC 10X90MM TI ALLY COAT IFUSE-TORQ,6720.0,6720.0,,,0
HCPCS,C1737,IMPLANT SACROILIAC FUS 10.5MM X 50MM TI POR 3D PRNT TRIANG,9300.0,9300.0,,,0
HCPCS,C1737,IMPLANT SACROILIAC FUS 11.5MM X 100MM TI POR 3D PRNT TRIANG,8370.0,8370.0,,,0
HCPCS,C1747,URETEROSCOPE 9.5FR X 3.6FR TIP 7.7FR DGT FLX SHTH INTEGR CAM,5900.0,5900.0,,,0
HCPCS,C1750,108253 : 24 CM PERMCATH,480.0,480.0,,,0
HCPCS,C1750,24 CM PERMCATH,480.0,480.0,,,0
HCPCS,C1750,26064 : CATHETER PERI DLYS L62CM SIL RUB CRL TWO CUF W- ADPT CAP,227.4,227.4,,,0
HCPCS,C1750,36001 : CATHETER PERI DLYS L57CM SIL RUB TWO CUF CRL TBNG RADPQ STRP,227.4,227.4,,,0
HCPCS,C1750,430022 : KIT HAD CATH 15.5FR L28CM LT W- SIDE H SHTH VES DIL DSG,480.0,480.0,,,0
HCPCS,C1750,478900 : SET HAD CATH 15.5FR 28CM POLYUR STR STP TIP AG DBL D INT,480.0,480.0,,,0
HCPCS,C1750,485128 : CATHETER HEMODIALYSIS ADMINISTRATION BASIC SET 15.5FRX28CM H,480.0,480.0,,,0
HCPCS,C1750,9449 : PASSER CATH L55CM LNG SS TB NYL MAL DISP CODMAN,287.61,287.61,,,0
HCPCS,C1750,ARGYLE PERITONEAL DIALYSIS CATHETER,227.4,227.4,,,0
HCPCS,C1750,CATH PEDI STR 6FR 6006 KENDALL,25.18,25.18,,,0
HCPCS,C1750,CATH PERMA 40CM,285.22,285.22,,,0
HCPCS,C1750,CATHETER HEMODIALYSIS 12.5FRX32CM HEMO-CATH,308.64,308.64,,,0
HCPCS,C1750,CATHETER HEMODIALYSIS ADMINISTRATION BASIC SET 15.5FRX28CM H,480.0,480.0,,,0
HCPCS,C1750,CATHETER PERI DLYS L57CM SIL RUB TWO CUF CRL TBNG RADPQ STRP,227.4,227.4,,,0
HCPCS,C1750,CATHETER PERI DLYS L62CM SIL RUB CRL TWO CUF W/ ADPT CAP,227.4,227.4,,,0
HCPCS,C1750,CATHETER PERITONEAL DIALYSIS STRAIGHT WITH DOUBLE CUFF ONLY,360.0,360.0,,,0
HCPCS,C1750,DISPOSABLE CATH PASSER 36CM,263.21,263.21,,,0
HCPCS,C1750,DURAFLOW 2 15.5FR X 40CM,722.4,722.4,,,0
HCPCS,C1750,HC CATH HEMODIALYSIS LONG-TERM,527.98,527.98,,,0
HCPCS,C1750,KIT HAD CATH 15.5FR L28CM LT W/ SIDE H SHTH VES DIL DSG,480.0,480.0,,,0
HCPCS,C1750,PASSER CATH L55CM LNG SS TB NYL MAL DISP CODMAN,290.19,290.19,,,0
HCPCS,C1750,PERITONEAL DIALYSIS CATHETER CURL CATH 2 CUFF,155.71,155.71,,,0
HCPCS,C1750,SET HAD CATH 15.5FR 28CM POLYUR STR STP TIP AG DBL D INT,480.0,480.0,,,0
HCPCS,C1750,SET HEMODIALYSIS CATHETER 12.5FR X 24CM CUFF TO TIP 19CM SIL,547.2,547.2,,,0
HCPCS,C1751,102079 : CATHETER CV 0.62ML 5FR POLYUR SL GRAV FLO RATE 1245ML-HR,670.32,670.32,,,0
HCPCS,C1751,102080 : TRAY MICROINTRODUCER 2 LUMN CATH 6FR CUF POS 5CM POWERLINE,715.68,715.68,,,0
HCPCS,C1751,107145 : CATHETER CV PED 7FR 1-0.5ML RED WHT L65CM 2 LUMN OD3MM,491.4,491.4,,,0
HCPCS,C1751,147790 : TRAY PICC 5FR X 55CM POWERPICC SL RAD BAS INCLUDE 70CM NIT,186.24,186.24,,,0
HCPCS,C1751,24069 : CATHETER PA 6FR 110CM GWIRE 0.030IN INTRO 2.3MM DL SWAN GANZ,205.94,205.94,,,0
HCPCS,C1751,2437 : CATHETER PULM CATH 7.5FR X 110CM GWIRE 0.025IN INTRO 8.5FR,260.67,260.67,,,0
HCPCS,C1751,24521 : CATHETER PA 5FR L110CM DL MON SWN GZ,206.4,206.4,,,0
HCPCS,C1751,25704 : CATH BROVIAC 2.7 FR. 60040,307.44,307.44,,,0
HCPCS,C1751,37625 : CATHETER CVC 1.8ML 9.6FR L90CM SIL SL ATRAUM TIP SMTH MOLD,417.48,417.48,,,0
HCPCS,C1751,392 : CATHETER CVC 0.3ML 4.2FR L71CM SL ATRAUM TIP SMTH MOLD,456.12,456.12,,,0
HCPCS,C1751,393 : CATHETER CVC 0.7ML 6.6FR L90CM SIL SL ATRAUM TIP SMTH MOLD,428.4,428.4,,,0
HCPCS,C1751,418984 : SINGLE LUMEN PRESSURE MONITORING SET,131.76,131.76,,,0
HCPCS,C1751,479068 : CATHETER CV 0.55ML 5FR 2 LUMN GRAV FLO RATE 577ML-HR,844.2,844.2,,,0
HCPCS,C1751,479803 : CATHETER PICC 3FR L20CM SL MIDLN MAX BARR+ TY PROVENA,362.4,362.4,,,0
HCPCS,C1751,479807 : TRAY PICC 4FR 2 LUMN MIDLN MAX BARR+ W- BIOPATCH DSG PRB CVR,458.4,458.4,,,0
HCPCS,C1751,CATHETER ANGIO 5FR L100CM NYL DAVIS CRV TAPR RADPQ TIP SS,54.91,54.91,,,0
HCPCS,C1751,CATHETER CV 0.62ML 5FR POLYUR SL GRAV FLO RATE 1245ML/HR,670.32,670.32,,,0
HCPCS,C1751,CATHETER CV PED 7FR 1/0.5ML RED WHT L65CM 2 LUMN OD3MM,491.4,491.4,,,0
HCPCS,C1751,CATHETER CVC 0.3ML 4.2FR L71CM SL ATRAUM TIP SMTH MOLD,456.12,456.12,,,0
HCPCS,C1751,CATHETER CVC 0.7ML 6.6FR L90CM SIL SL ATRAUM TIP SMTH MOLD,400.68,400.68,,,0
HCPCS,C1751,CATHETER CVC 1.8ML 9.6FR L90CM SIL SL ATRAUM TIP SMTH MOLD,398.16,398.16,,,0
HCPCS,C1751,CATHETER PA 5FR L110CM DL MON SWN GZ,218.4,218.4,,,0
HCPCS,C1751,CATHETER PA 6FR 110CM GWIRE 0.030IN INTRO 2.3MM DL SWAN GANZ,217.7,217.7,,,0
HCPCS,C1751,CATHETER PULM CATH 7.5FR X 110CM GWIRE 0.025IN INTRO 8.5FR,257.53,257.53,,,0
HCPCS,C1751,DOT PROVPP 4FDL 3CG CHG PC NG,712.97,712.97,,,0
HCPCS,C1751,HC EXTENDED DWELL CATHETER,121.31,121.31,,,0
HCPCS,C1751,HC HICKMAN CATHETER 6/5,491.4,491.4,,,0
HCPCS,C1751,KIT CVC 7FR L20CM 3L PRSS INJ ARROWG+ARD BLU +,328.32,328.32,,,0
HCPCS,C1751,PERITONEAL DIALYSIS CATHETER,154.94,154.94,,,0
HCPCS,C1751,POWERPICC 5FR TL MAX BARRIER 3CG,769.46,769.46,,,0
HCPCS,C1751,SINGLE LUMEN PRESSURE MONITORING SET,131.76,131.76,,,0
HCPCS,C1751,TRAY MICROINTRODUCER 2 LUMN CATH 6FR CUF POS 5CM POWERLINE,715.68,715.68,,,0
HCPCS,C1751,TRAY PICC 5FR X 55CM POWERPICC SL RAD BAS INCLUDE 70CM NIT,186.24,186.24,,,0
HCPCS,C1751,TRAY PICC PRIM 0.53ML 3FR SL 18GA PUR NRS SM PT MAX BARR,576.07,576.07,,,0
HCPCS,C1751,VALVED INFUSION CATHETER,364.56,364.56,,,0
HCPCS,C1752,161572 : TRAY HAD AD L20CM DIA13FR POLYUR N COAT SYMMTRC 3L STR CATH,386.02,386.02,,,0
HCPCS,C1752,HC DIALYSIS SHORT TERM CATHETER,556.22,556.22,,,0
HCPCS,C1753,126376 : CATHETER US IMAG 3FR L135CM 0.18IN INTVASC VISIONS PV,1836.0,1836.0,,,0
HCPCS,C1753,135382 : CATHETER US 8.5FR L100CM GWIRE 0.035IN OTW DGT SHFT MRK PIM,2478.0,2478.0,,,0
HCPCS,C1753,437063 : OPTICROSS 6FR CORONARY IMAG CATHETER,1987.11,1987.11,,,0
HCPCS,C1753,437074 : OPTICROSS 5FR CORONARY IMAG CATHETER,2388.0,2388.0,,,0
HCPCS,C1753,485788 : CATHETER ULTRASOUND IMAGING 10FR FOR INTRACARDIAC ECHOCARDIO,8400.0,8400.0,,,0
HCPCS,C1753,CATHETER COR IMAG 5FR X 135CM PROX BIO-SLDE HYDRPHLC,2014.29,2014.29,,,0
HCPCS,C1753,CATHETER IMAG W/ DOC CVR 3ML PURGE SYR DRAGONFLY OPSTAR,1680.0,1680.0,,,0
HCPCS,C1753,CATHETER ULTRASOUND IMAGING 10FR FOR INTRACARDIAC ECHOCARDIO,8400.0,8400.0,,,0
HCPCS,C1753,CATHETER US 8.5FR L100CM GWIRE 0.035IN OTW DGT SHFT MRK PIM,2414.67,2414.67,,,0
HCPCS,C1753,CATHETER US IMAG 3FR L135CM 0.18IN INTVASC VISIONS PV,1772.0,1772.0,,,0
HCPCS,C1753,OPTICROSS 6FR CORONARY IMAG CATHETER,2388.0,2388.0,,,0
HCPCS,C1753,OPTICROSS HD-IVUS 60MHZ,1898.68,1898.68,,,0
HCPCS,C1755,135659 : KIT CATH ACCS PRT NEURO W- 10ML SYR 25-24GA NCOR NDL 2 TMPLT,60.0,60.0,,,0
HCPCS,C1755,606 : VENT SUCT VENT 20FR CONN 1-4IN SIL MAL INTRO NVENT DLP,62.96,62.96,,,0
HCPCS,C1755,CATH VENOUS DLP CB 22 FR.,125.62,125.62,,,0
HCPCS,C1755,KIT CATH ACCS PRT NEURO W/ 10ML SYR 25/24GA NCOR NDL 2 TMPLT,60.0,60.0,,,0
HCPCS,C1755,VENT SUCT VENT 20FR CONN 1/4IN SIL MAL INTRO NVENT DLP,55.54,55.54,,,0
HCPCS,C1757,1481 : CATHETER EMB 3FR L80CM INFLATED BLLN DIA5MM ART GRN SFT RND,99.19,99.19,,,0
HCPCS,C1757,1482 : CATHETER EMB 4FR L80CM INFLATED BLLN DIA9MM ART RED SFT RND,99.19,99.19,,,0
HCPCS,C1757,1483 : CATHETER EMB 5FR L80CM INFLATED BLLN DIA11MM ART WHT SFT RND,99.19,99.19,,,0
HCPCS,C1757,21827 : CATHETER EMB 2FR L60CM INFLATED BLLN DIA4MM ART PUR SFT RND,235.01,235.01,,,0
HCPCS,C1757,25030 : CATHETER EMB 4FR L80CM BLLN INFLATED DIA9MM DEFLATED 5FR,233.38,233.38,,,0
HCPCS,C1757,32786 : CATHETER EMB 5.5FR L80CM BLLN INFLATED DIA11MM DEFLATED 6FR,233.38,233.38,,,0
HCPCS,C1757,32787 : CATHETER EMB 3FR X 80CM OTW THRU LUMN RADPQ SS BUSHING FGRTY,233.38,233.38,,,0
HCPCS,C1757,410911 : KIT ASPIR PROX 12FR DST 12FR X 115CM CATH 0.014-0.038IN WIRE,16056.0,16056.0,,,0
HCPCS,C1757,412512 : PLATFORM CATH L110CM DIA0.088IN L DST ZOOM 88-T,7668.0,7668.0,,,0
HCPCS,C1757,412513 : CATHETER VASC L137CM DIA0.071IN ASPIR ZOOM 71,6444.0,6444.0,,,0
HCPCS,C1757,412514 : CATHETER REPERFUSION L137CM DIA0.055IN ZOOM 55,6444.0,6444.0,,,0
HCPCS,C1757,412515 : ZOOM 45 REPERFUSION CATHETER,6444.0,6444.0,,,0
HCPCS,C1757,412516 : CATHETER VASC L160CM DIA0.035IN ASPIR ZOOM 35,4524.0,4524.0,,,0
HCPCS,C1757,414795 : EMBOLECTOMY CATH 3F 80CM,381.6,381.6,,,0
HCPCS,C1757,414797 : CATHETER EMB 5FR X 80CM BLLN 1ML 11MM SIL SL REG TIP DISP,381.6,381.6,,,0
HCPCS,C1757,418964 : STENT CLOT RETRV L20MM DIA3MM V01,12000.0,12000.0,,,0
HCPCS,C1757,418965 : DEVICE REVASCULARIZATION USABLE L40MM STNT,12000.0,12000.0,,,0
HCPCS,C1757,418966 : DEVICE REVASCULARIZATION STNT L47MM DIA6MM,12000.0,12000.0,,,0
HCPCS,C1757,421449 : CATHETER THROMCTMY 110DEG PRESHAPED FLOWTRIEVER RETRV-ASPIR,19200.0,19200.0,,,0
HCPCS,C1757,421457 : CATHETER THROMCTMY SUCT L115CM OD16MM VAR CLOTTRIEVER,15600.0,15600.0,,,0
HCPCS,C1757,490368 : CATHETER THROMCTMY CLT BOLD,14400.0,14400.0,,,0
HCPCS,C1757,534440 : CATHETER THROMCTMY 6-20MM 80CM REVCORE,15600.0,15600.0,,,0
HCPCS,C1757,540792 : CATHETER EMB 2FR X 60CM BLLN 0.05ML INFLATED 4MM NOVASIL SIL,501.6,501.6,,,0
HCPCS,C1757,80CM SYS LIGHTNING FLASH CATH HTORQ ASP TB 6F SELECT CATH 10,23160.0,23160.0,,,0
HCPCS,C1757,CANNULA PERF 24FR L14IN AORT STR TIP W/ SUT FLNG 3/8IN VENT,195.83,195.83,,,0
HCPCS,C1757,CATH 9MM FOGARTY BALLOON,233.38,233.38,,,0
HCPCS,C1757,CATHETER  FOGARTY 4FR,357.6,357.6,,,0
HCPCS,C1757,CATHETER EMB 2FR L60CM INFLATED BLLN DIA4MM ART PUR SFT RND,235.01,235.01,,,0
HCPCS,C1757,CATHETER EMB 3FR L80CM INFLATED BLLN DIA5MM ART GRN SFT RND,99.19,99.19,,,0
HCPCS,C1757,CATHETER EMB 3FR X 80CM OTW THRU LUMN RADPQ SS BUSHING FGRTY,233.38,233.38,,,0
HCPCS,C1757,CATHETER EMB 4FR L80CM BLLN INFLATED DIA9MM DEFLATED 5FR,233.38,233.38,,,0
HCPCS,C1757,CATHETER EMB 4FR L80CM INFLATED BLLN DIA9MM ART RED SFT RND,99.19,99.19,,,0
HCPCS,C1757,CATHETER EMB 5.5FR L80CM BLLN INFLATED DIA11MM DEFLATED 6FR,233.38,233.38,,,0
HCPCS,C1757,CATHETER EMB 5FR L80CM INFLATED BLLN DIA11MM ART WHT SFT RND,99.19,99.19,,,0
HCPCS,C1757,CATHETER EMB 6FR L80CM SIL BLLN INFLATED DIA13MM ART SS,94.46,94.46,,,0
HCPCS,C1757,CATHETER REPERFUSION L137CM DIA0.055IN ZOOM 55,6444.0,6444.0,,,0
HCPCS,C1757,CATHETER THROMCTMY 110DEG PRESHAPED FLOWTRIEVER RETRV/ASPIR,19200.0,19200.0,,,0
HCPCS,C1757,CATHETER THROMCTMY 6-20MM 80CM REVCORE,15600.0,15600.0,,,0
HCPCS,C1757,CATHETER THROMCTMY CLT BOLD,14400.0,14400.0,,,0
HCPCS,C1757,CATHETER THROMCTMY SUCT L115CM OD16MM VAR CLOTTRIEVER,15600.0,15600.0,,,0
HCPCS,C1757,CATHETER VASC L137CM DIA0.071IN ASPIR ZOOM 71,6444.0,6444.0,,,0
HCPCS,C1757,CATHETER VASC L160CM DIA0.035IN ASPIR ZOOM 35,4524.0,4524.0,,,0
HCPCS,C1757,DEVICE REVASCULARIZATION STNT L37MM DIA6MM PUSH WIRE L200CM,12000.0,12000.0,,,0
HCPCS,C1757,EMBOLECTOMY CATH 3F 80CM,381.6,381.6,,,0
HCPCS,C1757,FOGARTY EMBOLECTOMY POUCH PACK 3F 40CM,99.19,99.19,,,0
HCPCS,C1757,HC FLOWTRIEVER PRICE PER PROCEDURE (INARI),27500.0,27500.0,,,0
HCPCS,C1757,PLATFORM CATH L110CM DIA0.088IN L DST ZOOM 88-T,7668.0,7668.0,,,0
HCPCS,C1757,RETRIEVER THROMCTMY L200CM STNT L36MM DIA3MM GWIRE 0.015IN,12720.0,12720.0,,,0
HCPCS,C1757,SOLITAIRE 2 DEVICE,16440.0,16440.0,,,0
HCPCS,C1757,STENT CLOT RETRV L20MM DIA3MM V01,12000.0,12000.0,,,0
HCPCS,C1757,SYSTEM THROMCTMY CATH 100CM HTORQ TIP W/ ASPIR TBNG AND 6FR,23160.0,23160.0,,,0
HCPCS,C1757,ZOOM 45 REPERFUSION CATHETER,6444.0,6444.0,,,0
HCPCS,C1758,101410 : CATHETER ANGIO 14G X 5.25IN,28.94,28.94,,,0
HCPCS,C1758,103466 : CATHETER URET 5FR L70CM PVC OPN END TIP FLEXI-TIP,32.59,32.59,,,0
HCPCS,C1758,130494 : CATHETER ANGIO 5FR X 65CM VANSCHIE2 CRV BEAC TIP TORC NB,71.86,71.86,,,0
HCPCS,C1758,368304 : CATHETER URETH DIL 7FR 29CM BLLN 18CM INFLATED DIA8.7MM OPN,332.16,332.16,,,0
HCPCS,C1758,38296 : OPEN-END FLEXI-TIP URETERAL CATHETER,31.4,31.4,,,0
HCPCS,C1758,50338 : CATHETER URET 10FR X 54CM 2 INJ LUMN 0.05IN RECOMMENDED,161.83,161.83,,,0
HCPCS,C1758,CATHETER ANGIO 5FR X 65CM VANSCHIE2 CRV BEAC TIP TORC NB,71.86,71.86,,,0
HCPCS,C1758,CATHETER URET 10FR X 54CM 2 INJ LUMN 0.05IN RECOMMENDED,205.99,205.99,,,0
HCPCS,C1758,CATHETER URET 5FR L70CM PVC OPN END TIP FLEXI-TIP,30.88,30.88,,,0
HCPCS,C1758,INACTIVE USE PS#103466 -  CATHETER URET 5FR L70CM PVC OPN EN,29.11,29.11,,,0
HCPCS,C1759,101539 : CATHETER CARD ABLAT D-F CRV 1-7-4MM SPC 7FR L115CM ELECTRD,5289.6,5289.6,,,0
HCPCS,C1759,118546 : CATHETER US 8FR X 90CM ORNG HNDL BLU KNOB WHT FOR GE-VIVID I,6252.0,6252.0,,,0
HCPCS,C1759,251051 : CATHETER US 8FR X 90CM FOR GE-VIVID I GE-VIVID Q SOUNDSTAR,6028.8,6028.8,,,0
HCPCS,C1759,546601 : CATHETER INTCARD ECHOCARDIOGRAPHY 9FR L90CM FIX DST TIP L2CM,8640.0,8640.0,,,0
HCPCS,C1759,CATHETER CARD ABLAT D-F CRV 1-7-4MM SPC 7FR L115CM ELECTRD,5289.6,5289.6,,,0
HCPCS,C1759,CATHETER US 8FR X 90CM FOR GE-VIVID I GE-VIVID Q SOUNDSTAR,6028.8,6028.8,,,0
HCPCS,C1759,CATHETER US 8FR X 90CM ORNG HNDL BLU KNOB WHT FOR GE-VIVID I,6252.0,6252.0,,,0
HCPCS,C1760,105348 : DEVICE CLSR L7MM 10MM 1.42-2.49MM NIT SELF EXPND PRELD VASC,2469.6,2469.6,,,0
HCPCS,C1760,105349 : DEVICE CLSR L9MM 12MM 1.78-2.69MM NIT SELF EXPND PRELD VASC,2469.6,2469.6,,,0
HCPCS,C1760,105899 : AMPLATZER VASCULAR PLUG II   14MM,2040.0,2040.0,,,0
HCPCS,C1760,105903 : PLUG VASC UNCNSTRN L7MM DIA8MM NIT WIRE MESH PLAT MRK BND SS,2040.0,2040.0,,,0
HCPCS,C1760,106846 : DEVICE VASC CLSR 5-6FR ART W- CLP APPL 50CM J TIP GWIRE,600.0,600.0,,,0
HCPCS,C1760,146375 : AMPLATZER VASCULAR PLUG II   20MM,2040.0,2040.0,,,0
HCPCS,C1760,357131 : DEVICE VASC CLSR 5FR GRY BLLN CATH W- INTEGR SEAL 10ML LOK,420.0,420.0,,,0
HCPCS,C1760,357132 : DEVICE VASC CLSR 6X7FR GRN BLLN CATH W- INTEGR SEAL 10ML LOK,420.0,420.0,,,0
HCPCS,C1760,413349 : DEVICE VASC CLSR SUT MEDIATED REP FEM ART AND VEIN ACCS,607.2,607.2,,,0
HCPCS,C1760,413404 : SYSTEM CLSR 6-12FR VEN VASC VASCADE MVP,600.0,600.0,,,0
HCPCS,C1760,65158 : DEVICE CLSR SUT MEDIATED TRIM W- SNR KNOT PUSH PERCLOSE,607.2,607.2,,,0
HCPCS,C1760,86193 : DEVICE VASC CLSR 8FR GWIRE 0.035IN BIOABSRB ANCHR CLLGN SPNG,600.0,600.0,,,0
HCPCS,C1760,87527 : DEVICE VASC CLSR 6FR GWIRE 0.035IN BIOABSRB ANCHR CLLGN SPNG,540.0,540.0,,,0
HCPCS,C1760,AMPLATZER VASCULAR PLUG II   14MM,2040.0,2040.0,,,0
HCPCS,C1760,ANGIOSEAL 8F 610121,492.0,492.0,,,0
HCPCS,C1760,DEVICE CLSR L7MM 10MM 1.42-2.49MM NIT SELF EXPND PRELD VASC,2469.6,2469.6,,,0
HCPCS,C1760,DEVICE CLSR L9MM 12MM 1.78-2.69MM NIT SELF EXPND PRELD VASC,2469.6,2469.6,,,0
HCPCS,C1760,DEVICE CLSR SUT MEDIATED TRIM W/ SNR KNOT PUSH PERCLOSE,511.8,511.8,,,0
HCPCS,C1760,DEVICE VASC CLSR 5-6FR ART W/ CLP APPL 50CM J TIP GWIRE,530.0,530.0,,,0
HCPCS,C1760,DEVICE VASC CLSR 5FR GRY BLLN CATH W/ INTEGR SEAL 10ML LOK,420.0,420.0,,,0
HCPCS,C1760,DEVICE VASC CLSR 6FR GWIRE 0.035IN BIOABSRB ANCHR CLLGN SPNG,540.0,540.0,,,0
HCPCS,C1760,DEVICE VASC CLSR 6X7FR GRN BLLN CATH W/ INTEGR SEAL 10ML LOK,420.0,420.0,,,0
HCPCS,C1760,DEVICE VASC CLSR 8FR GWIRE 0.035IN BIOABSRB ANCHR CLLGN SPNG,600.0,600.0,,,0
HCPCS,C1760,DEVICE VASC CLSR SUT MEDIATED REP FEM ART AND VEIN ACCS,553.68,553.68,,,0
HCPCS,C1760,INACTIVE USE PS#106846 -  STARCLOSE SE VASCULAR CLOSURE SYST,516.0,516.0,,,0
HCPCS,C1760,MYNX ACE VASCULAR CLOSURE DEVICE 6F-7F,420.0,420.0,,,0
HCPCS,C1760,SYSTEM CLSR 6-12FR VEN VASC VASCADE MVP,600.51,600.51,,,0
HCPCS,C1760,VASCULAR CLOSURE DEVICE MYNX,516.0,516.0,,,0
HCPCS,C1761,418951 : SHOCKWAVE C2+IVL CATH 2.5X12MM,11280.0,11280.0,,,0
HCPCS,C1761,418952 : SHOCKWAVE C2+IVL CATH 3.0X12MM,11280.0,11280.0,,,0
HCPCS,C1761,418953 : SHOCKWAVE C2+IVL CATH 3.5X12MM,11280.0,11280.0,,,0
HCPCS,C1761,418954 : SHOCKWAVE C2+IVL CATH 4.0X12MM,11280.0,11280.0,,,0
HCPCS,C1761,INACTIVE USE PS#418954 -  CATHETER INTVASC LITHO 6FR L138CM,11280.0,11280.0,,,0
HCPCS,C1761,SHOCKWAVE C2+IVL CATH 2.5X12MM,11280.0,11280.0,,,0
HCPCS,C1762,129322 : GRAFT NRV REP 1-2MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,10728.0,10728.0,,,0
HCPCS,C1762,129323 : GRAFT NRV REP 2-3MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,10728.0,10728.0,,,0
HCPCS,C1762,129324 : GRAFT NRV REP 3-4MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,7579.2,7579.2,,,0
HCPCS,C1762,129330 : AVANCE NERVE GRAFT 1-2MM X 70MM,16312.8,16312.8,,,0
HCPCS,C1762,129333 : AVANCE NERVE GRAFT 4-5MM X 70MM,15460.8,15460.8,,,0
HCPCS,C1762,359468 : AXOGUARD NERVE CONNECTOR AXOGUARD 2MM X 15MM,3580.8,3580.8,,,0
HCPCS,C1762,359478 : AVIVE SOFT TISSUE MEMBRANE 3CM X 6CM,9540.0,9540.0,,,0
HCPCS,C1762,420821 : GRAFT HUM TISS L30-59MM DIA7MM COSTAL CART FRZN,1080.0,1080.0,,,0
HCPCS,C1762,43699 : KIT BNE GRFT SM 2.8CC W- SPNG INFUSE,11186.4,11186.4,,,0
HCPCS,C1762,546403 : GRAFT HUM TISS L LAT DST FEM OSTEOCHNDRL AMBIENT MOP 546403,28505.52,28505.52,,,0
HCPCS,C1762,59006 : GRAFT BNE SUB INSRT W20MM WHL PAT LIG FRZN FLEXIGRAFT,8287.97,8287.97,,,0
HCPCS,C1762,64187 : GRAFT HUM TISS W10-25XL30-55MM BNE BLK W10XL25MM THK12MM,5308.46,5308.46,,,0
HCPCS,C1762,64188 : TENDON ACHILLES,3830.47,3830.47,,,0
HCPCS,C1762,64189 : GRAFT HUM TISS L230-380MM DIA7.5-11MM ANT TIBIALIS TEND FRZN,4404.82,4404.82,,,0
HCPCS,C1762,66137 : GRAFT TISS FRZN FEM SEMI-TEND PRODUCED FR DST FEM W MEAS MED,3558.58,3558.58,,,0
HCPCS,C1762,71490 : TENDON  ACHILLES (FAT),3360.0,3360.0,,,0
HCPCS,C1762,ACHILLES TENDON,3360.0,3360.0,,,0
HCPCS,C1762,ALLOGRAFT HUM SKIN 232SQCM 1.5:1 MESHED ALLGRFT,1929.6,1929.6,,,0
HCPCS,C1762,AR-3670 - FIBERTAK BICEPS IMPLANT SET,1625.52,1625.52,,,0
HCPCS,C1762,AR-7237-7 - FIBERTAPE,130.27,130.27,,,0
HCPCS,C1762,AVANCE NERVE GRAFT,10365.6,10365.6,,,0
HCPCS,C1762,AVANCE NERVE GRAFT 1-2MM X 70MM,16312.8,16312.8,,,0
HCPCS,C1762,AVANCE NERVE GRAFT 4-5MM X 70MM,15460.8,15460.8,,,0
HCPCS,C1762,AXOGUARD HA+ NERVE PROTECTOR 3X6,8966.4,8966.4,,,0
HCPCS,C1762,AXOGUARD NERVE CONNECTOR AXOGUARD 3MM X 15MM,3580.8,3580.8,,,0
HCPCS,C1762,BIOINDUCTIVE IMPLANT W/ ARTHRO DEL PKG LARGE,4800.0,4800.0,,,0
HCPCS,C1762,BOINDUCTIVE IMPLANT W ARTH DEL MED,4800.0,4800.0,,,0
HCPCS,C1762,DURAGEN 1X1 5 PACK,725.5,725.5,,,0
HCPCS,C1762,DURAGEN 1X3 5 PACK,1346.74,1346.74,,,0
HCPCS,C1762,FREEZE DRIED BONE CANCELLOUS 5CC CRUSHED,268.1,268.1,,,0
HCPCS,C1762,FRESH FROZEN FIBULA STRUT 5.0,1508.57,1508.57,,,0
HCPCS,C1762,GRAFT HUM TISS L230-380MM DIA7.5-11MM ANT TIBIALIS TEND FRZN,4404.82,4404.82,,,0
HCPCS,C1762,GRAFT HUM TISS L30-59MM DIA7MM COSTAL CART FRZN,1080.0,1080.0,,,0
HCPCS,C1762,GRAFT HUM TISS L60-90MM DIA7MM COSTAL CART FRZN,1236.0,1236.0,,,0
HCPCS,C1762,GRAFT NRV L50MM DIA2-3MM PERIPH NAT CONN CBL PROC FOR RECON,12840.0,12840.0,,,0
HCPCS,C1762,GRAFT NRV REP 1-2MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,7958.4,7958.4,,,0
HCPCS,C1762,GRAFT NRV REP 2-3MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,7075.2,7075.2,,,0
HCPCS,C1762,GRAFT NRV REP 3-4MM X 30MM ALLGRFT OFF THE SHLF BIOLOGICALLY,7579.2,7579.2,,,0
HCPCS,C1762,GRAFT NRV REP L70MM DIA2-3MM LAMININ RICH ENDONEURIAL TB HUM,15686.4,15686.4,,,0
HCPCS,C1762,GRAFT TISS FRZN FEM CONDYLE PRODUCED FR DST FEM W MEAS MED,3558.58,3558.58,,,0
HCPCS,C1762,"IMPLANT SYSTEM, MENISCAL ROOT REPAIR WITH BIOCOMPOSITE SWIVELOCK",4421.04,4421.04,,,0
HCPCS,C1762,KIT BNE GRFT SM 2.8CC W/ SPNG INFUSE,11186.4,11186.4,,,0
HCPCS,C1762,LIFENET HEALTH,2346.0,2346.0,,,0
HCPCS,C1762,MOPS DISTAL HUMERUS LEFT,24394.42,24394.42,,,0
HCPCS,C1762,MTF FEMORAL CONDYLE LAT RIGHT OC,24002.28,24002.28,,,0
HCPCS,C1762,TENDON  ACHILLES (FAT),3360.0,3360.0,,,0
HCPCS,C1762,TENDON  GRACILIS (FGRACILIS),2568.0,2568.0,,,0
HCPCS,C1762,TENDON ACHILLES,3830.47,3830.47,,,0
HCPCS,C1762,TUTOPLAST FASCIA LATA.03X12CM,924.0,924.0,,,0
HCPCS,C1763,129302 : PROTECTOR NRV 2MM X 20MM PORCINE EXTRACELLULAR MTRX WRP,4370.4,4370.4,,,0
HCPCS,C1763,129307 : WRAP NRV REP 3.5X40MM AXOGUARD,5556.0,5556.0,,,0
HCPCS,C1763,129309 : WRAP NRV REP 7X40MM AXOGUARD,6571.2,6571.2,,,0
HCPCS,C1763,129312 : CONNECTOR NRV L10MM DIA2MM 100 MIC MINIMALLY PROC PORCINE,2728.8,2728.8,,,0
HCPCS,C1763,15096 : PERI-GUARD IS PREPARED FR BOV PERICARD CRSS-LINKED W- GTA,1274.57,1274.57,,,0
HCPCS,C1763,ARTIA  RECONSTRUCTIVE TISSUE MATRIX,22452.0,22452.0,,,0
HCPCS,C1763,AXOGUARD HA+ NERVE PROTECTOR,7872.0,7872.0,,,0
HCPCS,C1763,IMPLANT BIOINDCTV M BOV ACHILLES TEND W/ ARTHSCP DEL SYS,4800.0,4800.0,,,0
HCPCS,C1763,PERI-GUARD IS PREPARED FR BOV PERICARD CRSS-LINKED W/ GTA,1274.57,1274.57,,,0
HCPCS,C1763,PROTECTOR NRV 2MM X 20MM PORCINE EXTRACELLULAR MTRX WRP,4370.4,4370.4,,,0
HCPCS,C1763,PROTECTOR NRV 3CM X 6CM EXTRACELLULAR MTRX BASE LAYR RESRB,8966.4,8966.4,,,0
HCPCS,C1763,TISSUE 211300 SELECT 13MM SRVC FEE,1017.46,1017.46,,,0
HCPCS,C1763,WRAP NRV REP 10X40MM AXOGUARD,5697.6,5697.6,,,0
HCPCS,C1763,WRAP NRV REP 3.5X40MM AXOGUARD,5556.0,5556.0,,,0
HCPCS,C1764,138224 : MON LNQ11 REVEAL LINQ FAMILY,10080.0,10080.0,,,0
HCPCS,C1764,415763 : MON CARDIAC 3.4GM LNQ22,10428.0,10428.0,,,0
HCPCS,C1764,415765 : MON CARDIAC 3.4GM LNQ22SYS,10428.0,10428.0,,,0
HCPCS,C1764,MON CARDIAC 3.4GM LNQ22,10428.0,10428.0,,,0
HCPCS,C1764,MON LNQ11 REVEAL LINQ FAMILY,10080.0,10080.0,,,0
HCPCS,C1764,SYS INSERTABLE CARDIAC W MON LINQ II,10428.0,10428.0,,,0
HCPCS,C1765,PACK PROC 3IN X 5IN 6 HALF SHT ADH BARR SEPRAFILM,8753.02,8753.02,,,0
HCPCS,C1765,SEPRAFILM ADHESION BARRIER,1750.61,1750.61,,,0
HCPCS,C1766,104456 : INTRODUCER SHTH EP TRNSSEPT ACCS 8.5FR X 71CM AGILIS NXT SM,2080.42,2080.42,,,0
HCPCS,C1766,104460 : INTRODUCER SHTH TRNSSEPT 8.5FR L71CM DIL 8.5FR 22.4MM,2135.73,2135.73,,,0
HCPCS,C1766,112673 : INTRODUCER SHTH 8.5FR X 71CM AGILIS NXT L CURL 2-REACH BIDIR,2159.43,2159.43,,,0
HCPCS,C1766,128707 : SHEATH CARD 12FR X 65CM OD5MM ID4MM STEER DEFL FLEXCATH ADV,2880.0,2880.0,,,0
HCPCS,C1766,413872 : SET ACCS SOL INCL L180CM DIA0.035IN 24MM PGTL RF WIRE L10FT,3960.0,3960.0,,,0
HCPCS,C1766,GUIDE SHEATH PASCAL,7344.0,7344.0,,,0
HCPCS,C1766,INTRODUCER SHTH 8.5FR X 71CM AGILIS NXT L CURL 2-REACH BIDIR,1929.6,1929.6,,,0
HCPCS,C1766,INTRODUCER SHTH EP TRNSSEPT ACCS 8.5FR X 71CM AGILIS NXT SM,1929.6,1929.6,,,0
HCPCS,C1766,INTRODUCER SHTH TRNSSEPT 8.5FR L71CM DIL 8.5FR 22.4MM,1929.6,1929.6,,,0
HCPCS,C1766,PASCAL GUIDE SHEATH,7344.0,7344.0,,,0
HCPCS,C1766,SET ACCS SOL INCL L180CM DIA0.035IN 24MM PGTL RF WIRE L10FT,3960.0,3960.0,,,0
HCPCS,C1766,SHEATH CARD 12FR X 65CM OD5MM ID4MM STEER DEFL FLEXCATH ADV,2880.0,2880.0,,,0
HCPCS,C1766,TORQVUE SHEATH 14F 80CM 45X46,2008.8,2008.8,,,0
HCPCS,C1767,261065 : GENERATOR VNS THER LD CONN SETSCREW PLUG CA PRGM SENTIVA,96295.2,96295.2,,,0
HCPCS,C1767,300 MM ROD,456.0,456.0,,,0
HCPCS,C1767,408805 : DEVICE NEUROSTIM 61 GM 68MM X 51MM 2 CHN PRI CELL BTTRY,46522.08,46522.08,,,0
HCPCS,C1767,412494 : VERCISE GENUS PRIMARY 16  IPG,34080.0,34080.0,,,0
HCPCS,C1767,412523 : IMPLANTABLE PULSE GENERATOR,43740.0,43740.0,,,0
HCPCS,C1767,480478 : MANUAL INSTRUCTIONAL VANTA IMPLANT,40776.0,40776.0,,,0
HCPCS,C1767,DEVICE NEUROSTIM 61 GM 68MM X 51MM 2 CHN PRI CELL BTTRY,46522.08,46522.08,,,0
HCPCS,C1767,DEVICE NEUROSTIM 64 GM 55MM X 60MM 1 CHN PRI CELL BTTRY,19720.8,19720.8,,,0
HCPCS,C1767,GENERATOR PLSE 1.8X1.6X0.27IN 0.2IN 2 PIN LD RECPT DY NT,96295.2,96295.2,,,0
HCPCS,C1767,GENERATOR VNS THER LD CONN SETSCREW PLUG CA PRGM SENTIVA,96295.2,96295.2,,,0
HCPCS,C1767,IMPLANTABLE PULSE GENERATOR,43740.0,43740.0,,,0
HCPCS,C1767,KIT NEUROSTIM W/ CONN 1 FERRULE 1 FERRULE CLMP TORQ DRVR RNS,87144.0,87144.0,,,0
HCPCS,C1767,VERCISE GENUS PRIMARY 16  IPG,34080.0,34080.0,,,0
HCPCS,C1768,101733 : GRAFT VASC L80CM DIA6MM PTFE CBAS HEP SURF TW REM RNGD,7060.8,7060.8,,,0
HCPCS,C1768,101734 : GRAFT VASCULAR HEP RR T8MM 70 CM RS X 80CM US PROPATEN,7274.4,7274.4,,,0
HCPCS,C1768,102225 : GRAFT VASC L50CM DIA8MM RNG L40CM EPTFE TW CBAS HEP SURF REM,4593.6,4593.6,,,0
HCPCS,C1768,102598 : HEMASHIELD GRAFT BIF. 12 X 6 X 40,1701.55,1701.55,,,0
HCPCS,C1768,103225 : GRAFT VASC L30CM DIA8MM GEL IMPREG WVN STR GELWEAVE,2102.4,2102.4,,,0
HCPCS,C1768,103227 : GRAFT VASC L30CM DIA36MM GEL IMPREG WVN STR GELWEAVE,1309.8,1309.8,,,0
HCPCS,C1768,104411 : GRAFT VASC L90CM RNGD L70CM ID5MM EPTFE CBAS HEP SURF TW REM,7543.2,7543.2,,,0
HCPCS,C1768,105902 : PLUG VASC UNCNSTRN L6MM DIA6MM NIT WIRE MESH PLAT MRK BND SS,2040.0,2040.0,,,0
HCPCS,C1768,126625 : GRAFT VASC L30CM DIA5MM BOV CAR CLLGN FIBROUS MTRX FOR ART,5781.6,5781.6,,,0
HCPCS,C1768,126634 : GRAFT VASC L45CM DIA6MM BOV CAR CLLGN FIBROUS MTRX FOR ART,6981.6,6981.6,,,0
HCPCS,C1768,15033 : FELT SUR W6XL6IN THK1.65MM PTFE FOR THE REP OF SEPT DEFCT,216.6,216.6,,,0
HCPCS,C1768,17487 : PATCH VASC 2X9CM BOV PERICARD GTA CROSSLINKED NAOH TREAT,672.1,672.1,,,0
HCPCS,C1768,17955 : GRAFT HEMASHIELD 34MM 175434P,1436.21,1436.21,,,0
HCPCS,C1768,18824 : GRAFT HEMASHIELD 30MM 175430P,1382.52,1382.52,,,0
HCPCS,C1768,23820 : PATCH CV W2XL2IN THK1.65MM PTFE FELT THCK,50.16,50.16,,,0
HCPCS,C1768,29514 : GRAFT VASC L30CM DIA34MM GEL IMPREG WVN STR GELWEAVE,1309.8,1309.8,,,0
HCPCS,C1768,29604 : GRAFT VASC L30CM DIA10MM GEL IMPREG WVN STR GELWEAVE,1253.4,1253.4,,,0
HCPCS,C1768,29619 : GRAFT VASC L30CM DIA26MM GEL IMPREG WVN STR GELWEAVE,1309.8,1309.8,,,0
HCPCS,C1768,31464 : GRAFT VASC L30CM DIA28MM GEL IMPREG WVN STR GELWEAVE,2102.4,2102.4,,,0
HCPCS,C1768,31744 : GRAFT VASC L30CM DIA30MM GEL IMPREG WVN STR GELWEAVE,2376.0,2376.0,,,0
HCPCS,C1768,34605 : GRAFT VASC L30CM DIA32MM GEL IMPREG WVN STR GELWEAVE,2376.0,2376.0,,,0
HCPCS,C1768,407495 : DEVICE VASC CLSR 18FR FEM ART ACCS SITE L BOR RADPQ LOK SLDE,2363.04,2363.04,,,0
HCPCS,C1768,430005 : GRAFT VASC L40CM OD18X9MM PLAT THOR BIFUR DBL VEL,1688.69,1688.69,,,0
HCPCS,C1768,430015 : GRAFT VASC 10MM X 30CM THOR CLLGN IMPREG POLY STR WVN DBL,1291.73,1291.73,,,0
HCPCS,C1768,62476 : IMPLANT BIO TISS 1X8CM PTCH VASC BOV PERICARD GTA,359.83,359.83,,,0
HCPCS,C1768,DEVICE VASC CLSR 18FR FEM ART ACCS SITE L BOR RADPQ LOK SLDE,2279.8,2279.8,,,0
HCPCS,C1768,FELT SUR W6XL6IN THK1.65MM PTFE FOR THE REP OF SEPT DEFCT,216.6,216.6,,,0
HCPCS,C1768,GRAFT 6X45 RING,1903.2,1903.2,,,0
HCPCS,C1768,GRAFT EVAR L40X70CM DIA8X8MM AXILLOBIFEMORAL FULL RNGD STD,9458.4,9458.4,,,0
HCPCS,C1768,GRAFT GELWEAVE 16X8X45CM,1663.2,1663.2,,,0
HCPCS,C1768,GRAFT HEMASHIELD 26MM 175426P,1382.52,1382.52,,,0
HCPCS,C1768,GRAFT VASC 10MM X 30CM THOR CLLGN IMPREG POLY STR WVN DBL,1291.73,1291.73,,,0
HCPCS,C1768,GRAFT VASC 32MM X 30CM PLAT STR CLLGN POLY WVN DBL VEL,1436.21,1436.21,,,0
HCPCS,C1768,GRAFT VASC 6MM X 40CM EPTFE CBAS HEP SURF STRTCH STD WALLED,2690.4,2690.4,,,0
HCPCS,C1768,GRAFT VASC 6MM X 40CM EPTFE CBAS HEP SURF STRTCH TW PROPATEN,3136.8,3136.8,,,0
HCPCS,C1768,GRAFT VASC BIFUR DBL VEL THOR CLLGN POLY WVN IMPL L40CM,1767.62,1767.62,,,0
HCPCS,C1768,GRAFT VASC DIA16MM L300MM THOR STR STD WALL N TAPR N RNGD,1329.34,1329.34,,,0
HCPCS,C1768,GRAFT VASC L300MM OD6MM UNIV STR STD WALL N TAPR NONRINGED,1684.8,1684.8,,,0
HCPCS,C1768,GRAFT VASC L30CM DIA10MM GEL IMPREG WVN STR GELWEAVE,1253.4,1253.4,,,0
HCPCS,C1768,GRAFT VASC L30CM DIA12MM GEL IMPREG WVN STR GELWEAVE,2102.4,2102.4,,,0
HCPCS,C1768,GRAFT VASC L30CM DIA22MM THOR CLLGN POLY WVN STR DBL VEL,1329.34,1329.34,,,0
HCPCS,C1768,GRAFT VASC L30CM DIA26MM GEL IMPREG WVN STR GELWEAVE,1309.8,1309.8,,,0
HCPCS,C1768,GRAFT VASC L30CM DIA28MM GEL IMPREG WVN STR GELWEAVE,2102.4,2102.4,,,0
HCPCS,C1768,GRAFT VASC L30CM DIA30MM GEL IMPREG WVN STR GELWEAVE,2376.0,2376.0,,,0
HCPCS,C1768,GRAFT VASC L30CM DIA34MM GEL IMPREG WVN STR GELWEAVE,1309.8,1309.8,,,0
HCPCS,C1768,GRAFT VASC L30CM DIA5MM BOV CAR CLLGN FIBROUS MTRX FOR ART,5781.6,5781.6,,,0
HCPCS,C1768,GRAFT VASC L30CM DIA8MM GEL IMPREG WVN STR GELWEAVE,2376.0,2376.0,,,0
HCPCS,C1768,GRAFT VASC L35CM OD6MM CLLGN NONANTIGENIC ACELLULR PULSATILE,5373.6,5373.6,,,0
HCPCS,C1768,GRAFT VASC L40CM DIA16X8MM POLY CLLGN IMPREG WVN DBL VEL,1701.55,1701.55,,,0
HCPCS,C1768,GRAFT VASC L40CM DIA6MM BOV CAR ART CLLGN FOR FUNC HAD ACCS,4509.6,4509.6,,,0
HCPCS,C1768,GRAFT VASC L40CM OD18X9MM PLAT THOR BIFUR DBL VEL,1701.55,1701.55,,,0
HCPCS,C1768,GRAFT VASC L40CM SIDE L15CM DIA28MM THOR ANTEFLO,3600.0,3600.0,,,0
HCPCS,C1768,GRAFT VASC L40CM SIDE L15CM DIA32MM THOR ANTEFLO,3528.0,3528.0,,,0
HCPCS,C1768,GRAFT VASC L45CM DIA6MM BOV CAR CLLGN FIBROUS MTRX FOR ART,6981.6,6981.6,,,0
HCPCS,C1768,GRAFT VASC L50CM DIA8MM RNG L40CM EPTFE TW CBAS HEP SURF REM,4593.6,4593.6,,,0
HCPCS,C1768,GRAFT VASC L60CM DIA18MM STR PLAT WVN DBL VEL HEMSHLD,1380.96,1380.96,,,0
HCPCS,C1768,GRAFT VASC L80CM DIA6MM PTFE CBAS HEP SURF TW REM RNGD,7060.8,7060.8,,,0
HCPCS,C1768,GRAFT VASC L90CM RNGD L70CM ID5MM EPTFE CBAS HEP SURF TW REM,7543.2,7543.2,,,0
HCPCS,C1768,GRAFT VASC STR STD WALL N RNGD DBL VEL 10MM DIA 30CM LEN,1243.44,1243.44,,,0
HCPCS,C1768,GRAFT VASCULAR HEP RR T8MM 70 CM RS X 80CM US PROPATEN,7274.4,7274.4,,,0
HCPCS,C1768,HEMASHEILD GRAFT 16 X 30,1329.34,1329.34,,,0
HCPCS,C1768,HEMASHIELD GRAFT BIF. 14 X 7 X 40,1701.55,1701.55,,,0
HCPCS,C1768,HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR VASCULAR GRAFT  D 30,4908.31,4908.31,,,0
HCPCS,C1768,HEMASHIELD PLATNIUM GRAFT 8 X 30,1291.73,1291.73,,,0
HCPCS,C1768,M00202175426T0 - HEMASHIELD PLATINUM WOVEN THORACOABDOMINAL 4 BRANCH DOUBLE VELOUR VASCULAR GRAFT WITH GRAFT SIZER ACCESSORY,5868.31,5868.31,,,0
HCPCS,C1768,PATCH CV W2XL2IN THK1.65MM PTFE FELT THCK,50.16,50.16,,,0
HCPCS,C1768,PATCH VASC 2X9CM BOV PERICARD GTA CROSSLINKED NAOH TREAT,672.1,672.1,,,0
HCPCS,C1768,PLUG VASC UNCNSTRN L6MM DIA6MM NIT WIRE MESH PLAT MRK BND SS,2040.0,2040.0,,,0
HCPCS,C1769,.014 TRANSCAROTID GUIDEWIRE,516.0,516.0,,,0
HCPCS,C1769,.035IN X 5.75IN ST GUIDE WIRE,57.6,57.6,,,0
HCPCS,C1769,.62 GUIDE WIRE,62.4,62.4,,,0
HCPCS,C1769,102917 : GUIDEWIRE VASC L200CM DIA0.014IN TIP L10CM NIT HYDRPHLC STR,552.0,552.0,,,0
HCPCS,C1769,10294 : GUIDEWIRE ORTH L150MM DIA1.6MM THRD FOR CANN SCR,88.33,88.33,,,0
HCPCS,C1769,103067 : GUIDEWIRE VASC 0.035INX260CM DBL CRV TIP SS PTFE LUNDERQUIST,654.8,654.8,,,0
HCPCS,C1769,103068 : GUIDEWIRE VASC 0.035INX260CM FLPY TIP SS PTFE LUNDERQUIST X,323.14,323.14,,,0
HCPCS,C1769,103083 : GUIDEWIRE VASC 0.035INX75CM ATRAUM TIP PTFE AMPLATZ SUP,51.36,51.36,,,0
HCPCS,C1769,103800 : PTFE .035 FIXED CORE 15CM FLEX BENTSON,35.21,35.21,,,0
HCPCS,C1769,104801 : GUIDEWIRE VASC FIX COR PERIPH MNL EXCHG CRV ROSEN,56.98,56.98,,,0
HCPCS,C1769,105276 : GUIDEWIRE VASC COR 0.014INX190CM STR TIP NIT HI TORQ BAL,350.4,350.4,,,0
HCPCS,C1769,105288 : GUIDEWIRE VASC 0.014INX190CM STR TIP 3CM HI TORQ PILOT 50,343.64,343.64,,,0
HCPCS,C1769,105796 : GUIDEWIRE VASC 0.035INX150CM ANG TIP NIT HYDRPHLC LNG TAPR,124.8,124.8,,,0
HCPCS,C1769,105797 : GUIDEWIRE VASC IMAG L190CM DIA0.014IN J TIP OCCL HYDRPHLC HI,336.0,336.0,,,0
HCPCS,C1769,106429 : GUIDEWIRE VASC 0.018INX60CM PLAT TIP NIT COPE MDRL,76.92,76.92,,,0
HCPCS,C1769,107945 : TUBE JEJUSTMY 12FR L66CM GWIRE 0.035IN PERC ENDOSCP PEG 24,396.0,396.0,,,0
HCPCS,C1769,108281 : GUIDEWIRE ORTH L6IN DIA0.045IN SGL TRCR FOR SM BNE EXT FIX,57.6,57.6,,,0
HCPCS,C1769,110607 : GUIDEWIRE ENDOSCP L480CM DIA0.21IN TIP L5CM HYDRPHLC DIR,444.0,444.0,,,0
HCPCS,C1769,110883 : CATHETER GUID 6FR L100CM BLU PTFE JL3.5 TRUELUMEN HYBRID BRD,91.2,91.2,,,0
HCPCS,C1769,110889 : CATHETER GUID 6FR L100CM GRN PTFE AL0.75 TRUELUMEN TECH,91.2,91.2,,,0
HCPCS,C1769,110901 : CATHETER GUID AD 6FR L100CM COR PERIPH GRN NYL PTFE AR 1,91.2,91.2,,,0
HCPCS,C1769,111022 : GUIDEWIRE VASC 0.025INX145CM STR TIP SS PTFE FIX COR TAPR,31.06,31.06,,,0
HCPCS,C1769,111124 : GUIDEWIRE VASC COR 0.014INX190CM STR TIP 3CM SS HYDRCOAT HI,345.0,345.0,,,0
HCPCS,C1769,111564 : GUIDEWIRE VASC 0.032INX260CM CRV FLPY TIP SS PTFE AMPLATZ X,54.0,54.0,,,0
HCPCS,C1769,111825 : GUIDEWIRE VASC L190CM DIA0.014IN SPR COIL L16CM HYDRPHLC,336.0,336.0,,,0
HCPCS,C1769,114269 : GUIDEWIRE VASC L300CM DIA0.014IN HYDRPHLC NIT COR TO TIP SFT,253.2,253.2,,,0
HCPCS,C1769,114402 : NASAL JEJUNAL FEEDING TUBE,396.0,396.0,,,0
HCPCS,C1769,115261 : GUIDEWIRE VASC L165CM DIA0.014IN PTCA STR TIP EXTN,228.0,228.0,,,0
HCPCS,C1769,117720 : GUIDEWIRE ENDOSCP 0.025IN X 270CM HYDRPHLC STR DST TIP,453.6,453.6,,,0
HCPCS,C1769,117721 : GUIDEWIRE ENDOSCP 0.025IN X 270CM HYDRPHLC ANG DST TIP,476.47,476.47,,,0
HCPCS,C1769,117772 : GUIDEWIRE VASC 0.014INX300CM STR TIP SS PTFE APPRCH CTO 18GM,322.78,322.78,,,0
HCPCS,C1769,118621 : GUIDEWIRE ORTH L150MM DIA1.25MM SS NTHRD FOR 3.5MM CANN SCR,69.7,69.7,,,0
HCPCS,C1769,118680 : 6F JR 5 GUIDE 670-084,91.2,91.2,,,0
HCPCS,C1769,118821 : GUIDEWIRE ENDOSCP L260CM DIA0.025IN RND STR TIP HI PERF,619.84,619.84,,,0
HCPCS,C1769,120829 : GUIDEWIRE ORTH L150MM DIA1.25MM SS THRD FOR 3.5MM CANN SCR,71.37,71.37,,,0
HCPCS,C1769,121581 : GUIDEWIRE VASC 0.018INX60CM FLPY PLAT TIP SS COPE MDRL,63.36,63.36,,,0
HCPCS,C1769,124086 : GUIDEWIRE URO L150CM DIA0.035IN 3CM STR HYDRPHLC TIP PTFE,100.91,100.91,,,0
HCPCS,C1769,127363 : .062IN GUIDE WIRE 6IN LONG,104.52,104.52,,,0
HCPCS,C1769,127364 : .062IN GUIDE WIRE 7IN LONG,104.52,104.52,,,0
HCPCS,C1769,129371 : GUIDE WIRE 1.6MM,471.28,471.28,,,0
HCPCS,C1769,129378 : GUIDE WIRE 2.5MM,537.17,537.17,,,0
HCPCS,C1769,129490 : GUIDEWIRE VASC PERIPH 0.035INX260CM FLPY TIP HI TORQ,177.6,177.6,,,0
HCPCS,C1769,129721 : GUIDEWIRE VASC 0.035INX180CM FLPY TIP SS PTFE AMPALTZ X,38.4,38.4,,,0
HCPCS,C1769,129722 : GUIDEWIRE VASC 0.035INX260CM CRV TIP SS PTFE AMPLATZ X STIFF,54.0,54.0,,,0
HCPCS,C1769,13452 : GUIDEWIRE VASC 0.035INX145CM STR TIP SS PTFE AMPLATZ SUP,51.36,51.36,,,0
HCPCS,C1769,135495 : GUIDEWIRE SUR 2X150MM FOR PEDILOC LOK PROX FEM PLT SYS,438.3,438.3,,,0
HCPCS,C1769,136321 : GUIDEWIRE VASC 0.014INX300CM APPRCH HYDR ST,341.04,341.04,,,0
HCPCS,C1769,137320 : GUIDEWIRE ENDOSCP L260CM DIA0.025IN PANCREAS BILI HYDRPHLC,519.92,519.92,,,0
HCPCS,C1769,137672 : GUIDEWIRE VASC L190CM TIP DIA0.014IN SS TIP NIT HYDRPHLC,432.0,432.0,,,0
HCPCS,C1769,137674 : GUIDEWIRE VASC L300CM TIP DIA0.014IN NIT HYDRPHLC SS TIP,432.0,432.0,,,0
HCPCS,C1769,137987 : GUIDEWIRE ENDOSCP L260CM DIA0.018IN TIP L6CM TRITON STR,630.6,630.6,,,0
HCPCS,C1769,137988 : GUIDEWIRE ENDOSCP STD ANG NAVIPRO HYDRPHLC L260CM OD.025IN,519.92,519.92,,,0
HCPCS,C1769,138605 : GUIDEWIRE ENDOSCP L260CM DIA0.018IN PANCREAS BILI HYDRPHLC,519.92,519.92,,,0
HCPCS,C1769,139105 : GUIDEWIRE VASC IMAG L300CM DIA0.014IN SPR COIL L17CM RADPQ,384.0,384.0,,,0
HCPCS,C1769,143797 : GUIDEWIRE URO L150CM DIA0.035IN HYDRPHLC STR TIP PTFE SHFT,153.6,153.6,,,0
HCPCS,C1769,145738 : GUIDEWIRE VASC 0.018INX300CM ANG TIP NIT HYDRPHLC GLDEWIRE,745.2,745.2,,,0
HCPCS,C1769,146451 : GUIDEWIRE VASC L300CM DIA0.018IN TIP L10MM HI TORQ COMMND 18,432.0,432.0,,,0
HCPCS,C1769,147794 : GUIDEWIRE VASC 0.035INX180CM STR TIP 7CM SS PTFE FIX COR,51.36,51.36,,,0
HCPCS,C1769,150383 : GUIDEWIRE SUR PED DIA1.6MM COCR THRD TRCR TIP PEDIPLATES,88.68,88.68,,,0
HCPCS,C1769,150597 : GUIDEWIRE SUR L500MM DISP FOR HUM FRAC SYS AEQUALIS,547.2,547.2,,,0
HCPCS,C1769,150689 : GUIDEWIRE VASC COR 0.014INX180CM STR SHP TIP HYDRCOAT,330.0,330.0,,,0
HCPCS,C1769,150704 : GUIDEWIRE VASC EXTN 0.014INX150CM RUNTHROUGH NS,254.4,254.4,,,0
HCPCS,C1769,15784 : GUIDEWIRE ORTH L230MM DIA2.5MM THRD SPADE PNT TIP FOR LCP,121.37,121.37,,,0
HCPCS,C1769,159653 : GUIDEWIRE VASC 0.035INX80CM ANG TIP NIT HYDRPHLC GLDEWIRE,124.8,124.8,,,0
HCPCS,C1769,159910 : KIT PREP INCL CMPTBL GWIRE INTRO SHTH SET SYR STPCOCK,744.0,744.0,,,0
HCPCS,C1769,161844 : GUIDEWIRE SURG L26IN SHRP TIP DISCVR VIPER,312.0,312.0,,,0
HCPCS,C1769,164710 : GUIDEWIRE VASC COR 175CM HYDRPHLC PRESSUREWIRE X,1680.0,1680.0,,,0
HCPCS,C1769,164808 : GUIDEWIRE ORTH DIA1.45MM BLNT THRD FOR VIPER 2 MINIMALLY,312.0,312.0,,,0
HCPCS,C1769,164846 : GUIDEWIRE VASC L260CM DST FLX L5CM DIA0.89MM RADIFOCUS,559.2,559.2,,,0
HCPCS,C1769,18021 : GUIDEWIRE VASC L145CM TAPR L15CM 0.038IN SS PTFE COON,49.85,49.85,,,0
HCPCS,C1769,18374 : DILATOR VASC 8FR L20CM GWIRE 0.038IN STD,14.88,14.88,,,0
HCPCS,C1769,19962 : GUIDEWIRE VASC 0.035INX260CM J TIP 3MM PTFE FIX COR EMERALD,21.6,21.6,,,0
HCPCS,C1769,2.0 GUIDEWIRE,165.6,165.6,,,0
HCPCS,C1769,2.0 X 230 THREADED GUIDE WIRE,137.76,137.76,,,0
HCPCS,C1769,2.0MM(100/15)MM THREADED WIRE,734.4,734.4,,,0
HCPCS,C1769,2.8 GUIDE WIRE/ 220 LENGTH FLUTED TIP,360.0,360.0,,,0
HCPCS,C1769,22120 : GUIDEWIRE VASC 0.018INX200CM STR TIP 8CM V-18 CONTROLWIRE,160.8,160.8,,,0
HCPCS,C1769,23052 : GUIDEWIRE VASC L260CM DIA0.035IN TAPR L7CM PTFE SS STR,51.36,51.36,,,0
HCPCS,C1769,23993 : GUIDEWIRE VASC 0.035INX145CM FLPY TIP SS PTFE BENT,35.66,35.66,,,0
HCPCS,C1769,24085 : GUIDEWIRE VASC L190CM SS HYDROPHOBIC RADPQ STR TIP BARE COIL,342.86,342.86,,,0
HCPCS,C1769,241111 : GUIDEWIRE VASC 0.035INX150CM J ATRAUM TIP NIT HYDRPHLC,81.6,81.6,,,0
HCPCS,C1769,24467 : GUIDEWIRE VASC 0.035INX150CM J TIP PTFE FIX COR EMERALD,18.0,18.0,,,0
HCPCS,C1769,24472 : GUIDEWIRE VASC 0.025INX260CM FLPY TIP SS PTFE FIX COR,35.3,35.3,,,0
HCPCS,C1769,24900 : GUIDEWIRE VASC 0.035INX150CM STR TIP 7CM PTFE FIX COR,18.0,18.0,,,0
HCPCS,C1769,262462 : GUIDEWIRE VASC 0.035INX275CM SS PTFE XSM CRV SAFARI2,480.0,480.0,,,0
HCPCS,C1769,27444 : GUIDEWIRE ORTH L150MM DIA1.1MM NTHRD FOR 3MM CANN SCR SYS,56.38,56.38,,,0
HCPCS,C1769,27628 : TUBE NASOJEJUNAL FEED 10FR X 240CM GWIRE 0.035IN X 260CM,396.0,396.0,,,0
HCPCS,C1769,29265 : GUIDEWIRE ENDOSCP L450CM DIA0.035IN STD BILI HYDRPHLC TRIM,439.44,439.44,,,0
HCPCS,C1769,32701 : GUIDEWIRE VASC 0.035INX300CM STR STEER TIP HYDROPHOBIC WHLY,338.69,338.69,,,0
HCPCS,C1769,32951 : GUIDEWIRE VASC 0.025FR X 450CM STR RND TIP 5CM TUNG FILL,619.84,619.84,,,0
HCPCS,C1769,351643 : GUIDEWIRE VASC COR 0.014INX300CM STR TIP 3CM HI TORQ BAL,360.0,360.0,,,0
HCPCS,C1769,351697 : HI-TORQUE PILOT 200 GUIDE WIRE .014 STRAIGHT TIP 3.0 CM X 19,300.0,300.0,,,0
HCPCS,C1769,351698 : HI-TORQUE PILOT 200 GUIDE WIRE .014 J TIP 3.0 CM X 190 CM,360.0,360.0,,,0
HCPCS,C1769,351699 : HI-TORQUE PILOT 50 GUIDE WIRE .014 STRAIGHT TIP 3.0 CM X 300,360.0,360.0,,,0
HCPCS,C1769,351722 : HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 2.0 CM X 190 C,348.46,348.46,,,0
HCPCS,C1769,351723 : HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 30 CM X 190 CM,340.0,340.0,,,0
HCPCS,C1769,351741 : HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 2.0 CM X 300 C,360.0,360.0,,,0
HCPCS,C1769,351745 : HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 30 CM X 300 CM,300.0,300.0,,,0
HCPCS,C1769,357024 : GUIDEWIRE ORTH L220MM DIA2.5MM DISP AEQUALIS PERFORM+,240.0,240.0,,,0
HCPCS,C1769,361654 : HYDROGLIDE .038 STRAIGHT GUIDEWIRE,108.0,108.0,,,0
HCPCS,C1769,364034 : GUIDEWIRE URO DIA.035IN L145CM AMPLATZ SUP STIFF PTFE COAT J,68.55,68.55,,,0
HCPCS,C1769,364036 : GUIDEWIRE URO 0.035IN X 145CM TIP 7CM SS PTFE BENT TYP TIP,60.93,60.93,,,0
HCPCS,C1769,364320 : GUIDEWIRE ORTH L98CM DIA3MM SS BEAD TIP DISP FOR UNIFLEX AG,260.4,260.4,,,0
HCPCS,C1769,367580 : GUIDEWIRE VASC 0.018INX180CM ANG TIP GLDEWIRE ADVNTG,700.8,700.8,,,0
HCPCS,C1769,367945 : GUIDEWIRE VASC PERIPH 0.035INX180CM ANG TIP NIT PTFE,512.4,512.4,,,0
HCPCS,C1769,368048 : 16MM DRILL TIP GUIDE WIRE 200MM,75.05,75.05,,,0
HCPCS,C1769,368619 : GLIDEWIRE - REGULAR - STANDARD  J-TIP 1.5MM  180 CM LENGTH,109.2,109.2,,,0
HCPCS,C1769,368655 : GLIDEWIRE - REGULAR - STANDARD ANGLE TIP      .025 DIAME,148.8,148.8,,,0
HCPCS,C1769,368660 : GUIDEWIRE VASC 0.018INX260CM ANG TIP NIT HYDRPHLC GLDEWIRE,205.2,205.2,,,0
HCPCS,C1769,368662 : RUNTHROUGH CORONARY WIRE  NS SHAPEABLE TIP 0.014 180CM FLOPP,253.2,253.2,,,0
HCPCS,C1769,368840 : GUIDEWIRE VASC L180CM DIA0.014IN SPR COIL L20CM HYDRPHLC,228.0,228.0,,,0
HCPCS,C1769,368867 : GUIDEWIRE VASC L180CM DIA0.014IN HYDRPHLC POLYMR JKT FIELDER,228.0,228.0,,,0
HCPCS,C1769,370253 : BENTSON PLUS FIXED CORE WIRE GUIDE,43.66,43.66,,,0
HCPCS,C1769,37975 : GUIDEWIRE ORTH 200MM 2.5MM SS W- DRL TIP FOR PERIARTC LCP,232.2,232.2,,,0
HCPCS,C1769,381782 : GUIDEWIRE VASC DIA0.014IN SS HYDRPHLC DST TIP RADPQ COIL,516.0,516.0,,,0
HCPCS,C1769,38181 : GUIDEWIRE VASC COR 0.014INX300CM STR TIP 3CM HI TORQ WHISPER,360.0,360.0,,,0
HCPCS,C1769,390993 : LUNDERQUIST X-STIFF WIRE GUID DBL CRV PTFE-COAT SS DIA0.035,349.44,349.44,,,0
HCPCS,C1769,392451 : GUIDEWIRE VASC PERIPH 0.035INX300CM STR ATRAUM TIP,156.0,156.0,,,0
HCPCS,C1769,400207 : SPHINCTEROTOME ENDOSCP TIP 3.9FR L5MM CUT WIRE 20MM GWIRE,1461.7,1461.7,,,0
HCPCS,C1769,400209 : GUIDEWIRE ORTH L80CM BALL NOSE REDUC FOR HIP FRAC NAIL,246.24,246.24,,,0
HCPCS,C1769,404668 : GUIDEWIRE ORTH 100CM BALL NOSE REDUC FOR HIP FRAC NAIL,246.24,246.24,,,0
HCPCS,C1769,406443 : GUIDEWIRE VASC 0.018INX80CM ANG INTMED TIP NIT NITREX,140.0,140.0,,,0
HCPCS,C1769,406444 : GUIDEWIRE VASC 0.018INX180CM NIT NITREX,194.4,194.4,,,0
HCPCS,C1769,406545 : GUIDEWIRE ENDOSCP L200CM SS PROGRESSIVELY FLX TIP SAVARY,288.0,288.0,,,0
HCPCS,C1769,406757 : GUIDEWIRE VASC L190CM DIA0.014IN COIL L8.5CM POLYMR JKT,336.0,336.0,,,0
HCPCS,C1769,406759 : GUIDEWIRE VASC IMAG L190CM DIA0.014IN SPR COIL L12CM RADPQ,300.0,300.0,,,0
HCPCS,C1769,406838 : GUIDEWIRE VASC 0.035INX400CM ANG TIP 45DEG HYDRPHLC GLDEWIRE,216.0,216.0,,,0
HCPCS,C1769,406839 : GUIDEWIRE VASC 0.035INX400CM ANG TIP 45DEG HYDRPHLC GLDEWIRE,242.4,242.4,,,0
HCPCS,C1769,406974 : GUIDEWIRE VASC L200CM DIA0.016IN TIP L10CM NIT HYDRPHLC STR,484.8,484.8,,,0
HCPCS,C1769,407497 : GUIDEWIRE VASC 0.014INX215CM HYDRPHLC SYNCHRO2,1350.0,1350.0,,,0
HCPCS,C1769,407499 : GUIDEWIRE VASC L300CM DIA0.014IN DST SEG 35CM STD HYDRPHLC,1674.0,1674.0,,,0
HCPCS,C1769,408196 : GUIDEWIRE VASC 0.008INX210CM STR SS HYBRID,1644.0,1644.0,,,0
HCPCS,C1769,408197 : GUIDEWIRE VASC 0.008-0.012INX220CM DBL ANG RADPQ TIP SS NIT,1632.0,1632.0,,,0
HCPCS,C1769,408198 : GUIDEWIRE VASC 0.012-0.014INX200CM STR TIP HYDRPHLC HYBRID,1128.0,1128.0,,,0
HCPCS,C1769,408200 : HYBRID GUIDEWIRE .010IN EXCHANGE STRAIGHT TIP,1752.0,1752.0,,,0
HCPCS,C1769,40941 : WIRE GUIDE .O35MM (10-BX),108.0,108.0,,,0
HCPCS,C1769,410971 : GUIDEWIRE VASC L190CM DIA0.014IN SPR COIL L20CM BLU HYDRPHLC,300.0,300.0,,,0
HCPCS,C1769,411817 : GUIDEWIRE VASC L190CM STR MINAMO,240.0,240.0,,,0
HCPCS,C1769,412030 : GUIDEWIRE VASC 0.014INX215CM HYDRPHLC STD STR SYNCHRO SEL,1891.2,1891.2,,,0
HCPCS,C1769,412031 : GUIDEWIRE VASC 0.014INX300CM HYDRPHLC STD SYNCHRO SEL,1740.0,1740.0,,,0
HCPCS,C1769,412540 : CATHETER HK FLSH MOD SIDE PORTS 6 5FR 90CM 0.038,30.0,30.0,,,0
HCPCS,C1769,413059 : GUIDEWIRE URO L150CM DIA0.035IN TAPR 3CM NIT HYDRPHLC ANG,87.58,87.58,,,0
HCPCS,C1769,413060 : GUIDEWIRE URO L150CM DIA0.035IN FLX STR TIP L3CM STD SUP E,87.59,87.59,,,0
HCPCS,C1769,413510 : SPLASHWIRE STD ANGLED 180CM,79.87,79.87,,,0
HCPCS,C1769,413513 : SPLASHWIRE GUID WIRE 0.035 (0.89 MM) 260 CM (102) ANG TIP,84.86,84.86,,,0
HCPCS,C1769,413662 : ASAHI SION PTCA GW 180 CM,336.0,336.0,,,0
HCPCS,C1769,414677 : GUIDEWIRE VASC 0.014INX330CM ROTAWIRE FLPY 5-BX,639.47,639.47,,,0
HCPCS,C1769,415971 : ARISTOTLE 24 STANDARD GUIDEWIRE,2160.0,2160.0,,,0
HCPCS,C1769,415972 : ARISTOTLE WIRE 24 SUPPORT GUIDEWIRE,2160.0,2160.0,,,0
HCPCS,C1769,421656 : GUIDEWIRE ORTH L200MM DIA3MM HUM MRK WIRE AEQUALIS,398.4,398.4,,,0
HCPCS,C1769,422809 : GUIDEPIN ORTH L100MM DIA3MM PERFORM,120.0,120.0,,,0
HCPCS,C1769,422939 : GUIDEWIRE VASC L260CM DIA0.018IN PTFE SIL STR VENT ASST DEV,1200.0,1200.0,,,0
HCPCS,C1769,422946 : GUIDEWIRE VASC L260CM DIA0.035IN TIP L3MM STD EXCHG PTFE J,29.69,29.69,,,0
HCPCS,C1769,43476 : CATHETER DIAG 6FR L80CM CAS 1 TRANSRADIAL SUP TORQ,15.6,15.6,,,0
HCPCS,C1769,437076 : GUIDEWIRE VASC 0.035INX260CM STR TIP 1CM SS PTFE SHT TAPR,51.36,51.36,,,0
HCPCS,C1769,44780 : GUIDEWIRE VASC L260CM DIA0.035IN TIP FLPY L5CM MOD J L1.5MM,134.4,134.4,,,0
HCPCS,C1769,44977 : GW ACUITY MAILMAN,336.0,336.0,,,0
HCPCS,C1769,45268 : GUIDEWIRE ORTH L400MM DIA3.2MM FOR TROC FIX NAIL SYS,347.4,347.4,,,0
HCPCS,C1769,45412 : GUIDEWIRE ORTH 3MM X 800MM BALL TIP FOR T2 TIB NAIL SYS,274.8,274.8,,,0
HCPCS,C1769,45413 : GUIDEWIRE VASC 0.021INX260CM J TIP SS PTFE FIX COR SAFE-T-J,42.24,42.24,,,0
HCPCS,C1769,455793 : ASNIS III THREADED GUIDE WIRE DIA 3.2 X 300MM,206.4,206.4,,,0
HCPCS,C1769,457725 : GUIDE WIRE IMN INSTR 3X800 MM,843.74,843.74,,,0
HCPCS,C1769,457727 : GUIDE WIRE IMN INSTR 3X1000 MM,744.48,744.48,,,0
HCPCS,C1769,45900 : GUIDEWIRE ORTH SHRP DISP FOR CDH,88.13,88.13,,,0
HCPCS,C1769,46570 : GUIDEWIRE VASC L190CM DIA0.014IN HYDRPHLC ACUITY WHISPER VW,1069.09,1069.09,,,0
HCPCS,C1769,47308 : GUIDEWIRE ENDOSCP L260CM DIA0.038IN ENDO GLDE STR TIP SIDE,412.84,412.84,,,0
HCPCS,C1769,487243 : GUIDEWIRE VASCULAR 0.018INX60CM STRAIGHT TIP 6CM NITINOL ACC,110.4,110.4,,,0
HCPCS,C1769,488309 : GUIDEWIRE VASCULAR 0.025INX260CM STRAIGHT TIP STAINLESS STEE,44.21,44.21,,,0
HCPCS,C1769,49927 : GUIDEWIRE ORTH L800MM DIA2.2MM SMTH TIP FOR T2 HUM NAIL SYS,264.8,264.8,,,0
HCPCS,C1769,51261 : GUIDEWIRE VASC L180CM DIA0.035IN L7CM DIA3MM J TIP PTFE SS,51.36,51.36,,,0
HCPCS,C1769,531788 : GUIDEWIRE VASC 0.025FR X 450CM ANG RND TIP 5CM TUNG FILL,619.84,619.84,,,0
HCPCS,C1769,538421 : GUIDEWIRE 100CM BEAD TIP ST AFFIXUS,453.6,453.6,,,0
HCPCS,C1769,54696 : GUIDEWIRE ORTH L150MM DIA1.4MM SS THRD FOR 4MM ASNS III SCR,114.86,114.86,,,0
HCPCS,C1769,547067 : GUIDEWIRE ORTH L150MM DIA1.4MM NS TRCR TIP FOR 3.5/4MM CANN,162.29,162.29,,,0
HCPCS,C1769,59861 : GUIDEWIRE ORTH 3.2MM X 300MM THRD FOR 6.5MM-8MM ASNS III,74.0,74.0,,,0
HCPCS,C1769,60880 : GUIDEWIRE VASC 0.018INX300CM STR TIP 8CM V-18 CONTROLWIRE,160.8,160.8,,,0
HCPCS,C1769,61763 : GUIDEWIRE VASC 0.035INX260CM J TIP SS PTFE AMPLATZ SUP STIFF,51.36,51.36,,,0
HCPCS,C1769,63621 : GUIDEWIRE ORTH L1000MM DIA3MM SS SMTH BALL TIP FOR T2 HUM,292.8,292.8,,,0
HCPCS,C1769,64655 : GUIDEWIRE ENDOSCP 0.035IN X 450CM BILI STR RND TIP HI PERF,619.84,619.84,,,0
HCPCS,C1769,64681 : GUIDEWIRE VASC 0.035INX220CM SS PTFE ROSEN,30.02,30.02,,,0
HCPCS,C1769,6495F - WIRE 6495F TEMP PACE BIP MYO 6PK 26L,168.0,168.0,,,0
HCPCS,C1769,65200 : GUIDEWIRE VASC L180CM DIA0.035IN TAPR L15CM STR TIP PTFE,23.04,23.04,,,0
HCPCS,C1769,65487 : GUIDEWIRE VASC 0.035INX260CM STR TIP SS PTFE LUNDERQUIST X,336.69,336.69,,,0
HCPCS,C1769,65960 : GUIDEWIRE VASC 0.035INX145CM DBL TIP SS PTFE,35.66,35.66,,,0
HCPCS,C1769,66793 : GUIDEWIRE ORTH L800MM DIA2.5MM SS SMTH BALL TIP FOR T2 HUM,267.6,267.6,,,0
HCPCS,C1769,66814 : GUIDEWIRE VASC 0.014INX300CM STR TIP GLDEX HYDRPHLC SHT TAPR,146.4,146.4,,,0
HCPCS,C1769,66815 : GUIDEWIRE VASC 0.014INX300CM FLPY PLAT TIP NIT PTFE RDRUN,238.73,238.73,,,0
HCPCS,C1769,67605 : GUIDEWIRE ENDOSCP L260CM DIA0 035IN STR RND TIP STD SHFT HI,619.84,619.84,,,0
HCPCS,C1769,68614 : SPHINCTEROTOME ENDOSCP 4.4FR X 20MM TIP 5MM 0.035IN X 260CM,1461.7,1461.7,,,0
HCPCS,C1769,69306 : GUIDEWIRE ORTH L300MM DIA2.8MM 150MM CALIB W- FLUT FOR CANN,230.85,230.85,,,0
HCPCS,C1769,70869 : ZIPWIRE ANGLED .035 X 180 CM,55.2,55.2,,,0
HCPCS,C1769,70872 : ZIPWIRE STRAIGHT TIP .035 X 180 CM,55.2,55.2,,,0
HCPCS,C1769,70885 : GUIDEWIRE VASC L180CM DIA0.035IN ANG TIP TAPR 3CM HYDRPHLC,65.28,65.28,,,0
HCPCS,C1769,71763 : GUIDEWIRE ORTH L300MM OD2.8MM SS FT SHRP TIP,116.19,116.19,,,0
HCPCS,C1769,71779 : WIRE GUIDE 1.25 X 100 MM,90.56,90.56,,,0
HCPCS,C1769,84463 : GUIDEWIRE VASC 0.035INX260CM TIP 3CM STD FLX ANG NIT,122.4,122.4,,,0
HCPCS,C1769,84465 : GUIDEWIRE VASC 0.035INX260CM ANG TIP NIT HYDRPHLC GLDEWIRE,138.0,138.0,,,0
HCPCS,C1769,87027 : GUIDEWIRE SUR L7IN DIA0.054IN SS STR SGL TRCR FOR ACUTRK 2,57.6,57.6,,,0
HCPCS,C1769,87048 : GUIDEWIRE ORTH L5.75IN DIA0.035IN SGL TRCR FOR SM BNE EXT,57.6,57.6,,,0
HCPCS,C1769,AFFIXUS GUIDEWIRE 100CM BEAD TIP,453.6,453.6,,,0
HCPCS,C1769,ARISTOTLE 24 STANDARD GUIDEWIRE,2052.91,2052.91,,,0
HCPCS,C1769,ARISTOTLE WIRE 24 SUPPORT GUIDEWIRE,2036.0,2036.0,,,0
HCPCS,C1769,ASAHI FIELDER XT-R 300CM,336.0,336.0,,,0
HCPCS,C1769,ASAHI SION PTCA GW 180 CM,336.0,336.0,,,0
HCPCS,C1769,ASNIS III THREADED GUIDE WIRE DIA 3.2 X 300MM,187.2,187.2,,,0
HCPCS,C1769,BENTSON PLUS FIXED CORE WIRE GUIDE,43.66,43.66,,,0
HCPCS,C1769,CATHETER DIAG 6FR L80CM CAS 1 TRANSRADIAL SUP TORQ,15.6,15.6,,,0
HCPCS,C1769,CATHETER GUID 6FR L100CM BLLN L0.07IN DIA0.1IN JL JL 4.5,91.2,91.2,,,0
HCPCS,C1769,COMPRESSION WIRE 1.6MM THREAD LENGHT 25 MM,262.8,262.8,,,0
HCPCS,C1769,DGW .035 FC J3MM 150CM TEF EXT,21.6,21.6,,,0
HCPCS,C1769,DILATOR VASC 8FR L20CM GWIRE 0.038IN STD,14.88,14.88,,,0
HCPCS,C1769,DISPOSABLE REUTER TIP DEFLECTING WIRE,179.4,179.4,,,0
HCPCS,C1769,DOUBLE FLEXIBLE TIPPED WIREGUIDE,73.06,73.06,,,0
HCPCS,C1769,FIELDER 300CM,228.0,228.0,,,0
HCPCS,C1769,FIXATION K WIRE,170.4,170.4,,,0
HCPCS,C1769,GLIDEWIRE - REGULAR - STANDARD  J-TIP 1.5MM  180 CM LENGTH,109.2,109.2,,,0
HCPCS,C1769,GLIDEWIRE - REGULAR - STANDARD ANGLE TIP      .025 DIAME,148.8,148.8,,,0
HCPCS,C1769,GLIDEWIRE - STIFF SHAFT - STIFF SHAFT  ANGLE  0.035  150 CM,112.32,112.32,,,0
HCPCS,C1769,GLIDEWIRE 035/180/3CM GE3502,90.0,90.0,,,0
HCPCS,C1769,GLOBUS BALL TIP PROBE,655.2,655.2,,,0
HCPCS,C1769,GUIDE PIN 3.2MM X 9IN PARTIAL THREAD TROCAR TIP,30.24,30.24,,,0
HCPCS,C1769,GUIDE PIN 3.2MM X 9IN SMOOTH SHAFT TROCAR TIP,35.28,35.28,,,0
HCPCS,C1769,GUIDE WIRE,691.2,691.2,,,0
HCPCS,C1769,GUIDE WIRE  0 1.2  MM,60.0,60.0,,,0
HCPCS,C1769,GUIDE WIRE 1.60MM,55.75,55.75,,,0
HCPCS,C1769,GUIDE WIRE 1.6MM,84.0,84.0,,,0
HCPCS,C1769,GUIDE WIRE 2.4 X 230MM,471.29,471.29,,,0
HCPCS,C1769,GUIDE WIRE 2.5MM,537.17,537.17,,,0
HCPCS,C1769,"GUIDE WIRE DIA .035  X 4"" LG",110.4,110.4,,,0
HCPCS,C1769,GUIDE WIRE DOUBLE TROCAR,67.2,67.2,,,0
HCPCS,C1769,GUIDE WIRE IMN INSTR 3X1000 MM,745.29,745.29,,,0
HCPCS,C1769,GUIDE WIRE IMN INSTR 3X800 MM,843.74,843.74,,,0
HCPCS,C1769,GUIDE WIRE NEWTON,34.78,34.78,,,0
HCPCS,C1769,GUIDEPIN ORTH L100MM DIA3MM PERFORM,120.0,120.0,,,0
HCPCS,C1769,GUIDEWIRE,84.65,84.65,,,0
HCPCS,C1769,GUIDEWIRE .035 X150 CM,89.74,89.74,,,0
HCPCS,C1769,GUIDEWIRE 100CM BEAD TIP ST AFFIXUS,453.6,453.6,,,0
HCPCS,C1769,GUIDEWIRE ASTATO XS 20 (0.014IN) 180CM,384.0,384.0,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP 0.025IN X 270CM HYDRPHLC ANG DST TIP,476.47,476.47,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP 0.025IN X 270CM HYDRPHLC STR DST TIP,453.6,453.6,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP 0.035IN X 450CM BILI STR RND TIP HI PERF,619.85,619.85,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP L200CM SS PROGRESSIVELY FLX TIP SAVARY,288.0,288.0,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP L260CM DIA0 035IN STR RND TIP STD SHFT HI,619.85,619.85,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP L260CM DIA0.018IN PANCREAS BILI HYDRPHLC,519.91,519.91,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP L260CM DIA0.018IN TIP L6CM TRITON STR,635.71,635.71,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP L260CM DIA0.025IN PANCREAS BILI HYDRPHLC,519.91,519.91,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP L260CM DIA0.025IN RND STR TIP HI PERF,619.85,619.85,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP L260CM DIA0.038IN ENDO GLDE STR TIP SIDE,412.85,412.85,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP L260CM OD.035IN 14FR INTRO STR TIP STIFF,519.91,519.91,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP L450CM DIA0.035IN STD BILI HYDRPHLC TRIM,439.44,439.44,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP L480CM DIA0.21IN TIP L5CM HYDRPHLC DIR,444.0,444.0,,,0
HCPCS,C1769,GUIDEWIRE ENDOSCP STD ANG NAVIPRO HYDRPHLC L260CM OD.025IN,519.91,519.91,,,0
HCPCS,C1769,GUIDEWIRE ORTH 0.035IN X 6IN DBL TRCR MIC ACUTRK 2 SYS,67.2,67.2,,,0
HCPCS,C1769,GUIDEWIRE ORTH 100CM BALL NOSE REDUC FOR HIP FRAC NAIL,246.24,246.24,,,0
HCPCS,C1769,GUIDEWIRE ORTH 200MM 2.5MM SS W/ DRL TIP FOR PERIARTC LCP,232.2,232.2,,,0
HCPCS,C1769,GUIDEWIRE ORTH 2MM X 230MM BLU NTHRD SPADE PNT FOR 7MM CANN,138.6,138.6,,,0
HCPCS,C1769,GUIDEWIRE ORTH 3.2MM X 300MM THRD FOR 6.5MM/8MM ASNS III,98.01,98.01,,,0
HCPCS,C1769,GUIDEWIRE ORTH 3MM X 800MM BALL TIP FOR T2 TIB NAIL SYS,261.6,261.6,,,0
HCPCS,C1769,GUIDEWIRE ORTH DIA1.45MM BLNT THRD FOR VIPER 2 MINIMALLY,326.66,326.66,,,0
HCPCS,C1769,GUIDEWIRE ORTH L1000MM DIA3MM SS SMTH BALL TIP FOR T2 HUM,378.5,378.5,,,0
HCPCS,C1769,GUIDEWIRE ORTH L12IN OD2.4MM LNG KNEE DRL TIP NO EYELT CRUCE,146.88,146.88,,,0
HCPCS,C1769,GUIDEWIRE ORTH L150MM DIA1.1MM NTHRD FOR 3MM CANN SCR SYS,100.8,100.8,,,0
HCPCS,C1769,GUIDEWIRE ORTH L150MM DIA1.25MM SS NTHRD FOR 3.5MM CANN SCR,98.8,98.8,,,0
HCPCS,C1769,GUIDEWIRE ORTH L150MM DIA1.25MM SS THRD FOR 3.5MM CANN SCR,108.0,108.0,,,0
HCPCS,C1769,GUIDEWIRE ORTH L150MM DIA1.4MM SS THRD FOR 4MM ASNS III SCR,134.03,134.03,,,0
HCPCS,C1769,GUIDEWIRE ORTH L150MM DIA1.6MM THRD FOR CANN SCR,120.6,120.6,,,0
HCPCS,C1769,GUIDEWIRE ORTH L220MM DIA2.5MM DISP AEQUALIS PERFORM+,240.0,240.0,,,0
HCPCS,C1769,GUIDEWIRE ORTH L230MM DIA2.5MM THRD SPADE PNT TIP FOR LCP,174.6,174.6,,,0
HCPCS,C1769,GUIDEWIRE ORTH L300MM DIA2.5MM COCR ALLY W/ DRL TIP,253.8,253.8,,,0
HCPCS,C1769,GUIDEWIRE ORTH L300MM DIA2.8MM 150MM CALIB W/ FLUT FOR CANN,344.37,344.37,,,0
HCPCS,C1769,GUIDEWIRE ORTH L300MM OD2.8MM SS FT SHRP TIP,165.6,165.6,,,0
HCPCS,C1769,GUIDEWIRE ORTH L400MM DIA3.2MM FOR TROC FIX NAIL SYS,347.4,347.4,,,0
HCPCS,C1769,GUIDEWIRE ORTH L5 IN OD.059 IN SGL TRCR SMOOTH SHRP TIP SS,57.6,57.6,,,0
HCPCS,C1769,GUIDEWIRE ORTH L800MM DIA2.2MM SMTH TIP FOR T2 HUM NAIL SYS,291.6,291.6,,,0
HCPCS,C1769,GUIDEWIRE ORTH L800MM DIA2.5MM SS SMTH BALL TIP FOR T2 HUM,254.4,254.4,,,0
HCPCS,C1769,GUIDEWIRE ORTH L80CM BALL NOSE REDUC FOR HIP FRAC NAIL,246.24,246.24,,,0
HCPCS,C1769,GUIDEWIRE ORTH L80CM DIA2.6MM SS PRTLY THRD BEAD TIP BALL,226.8,226.8,,,0
HCPCS,C1769,GUIDEWIRE ORTH L98CM DIA3MM SS BEAD TIP DISP FOR UNIFLEX AG,260.4,260.4,,,0
HCPCS,C1769,GUIDEWIRE ORTH SHRP DISP FOR CDH,88.13,88.13,,,0
HCPCS,C1769,GUIDEWIRE ORTH ST HUM BALL NOSE AFFIXUS NAT NAIL,529.2,529.2,,,0
HCPCS,C1769,GUIDEWIRE SUR 2X150MM FOR PEDILOC LOK PROX FEM PLT SYS,438.29,438.29,,,0
HCPCS,C1769,GUIDEWIRE SUR 2X230MM FOR PEDILOC LOK PROX FEM PLT SYS,471.29,471.29,,,0
HCPCS,C1769,GUIDEWIRE SUR L500MM DISP FOR HUM FRAC SYS AEQUALIS,547.2,547.2,,,0
HCPCS,C1769,GUIDEWIRE SUR L7IN DIA0.054IN SS STR SGL TRCR FOR ACUTRK 2,57.6,57.6,,,0
HCPCS,C1769,GUIDEWIRE SUR PED DIA1.6MM COCR THRD TRCR TIP PEDIPLATES,88.68,88.68,,,0
HCPCS,C1769,GUIDEWIRE SURG L26IN SHRP TIP DISCVR VIPER,317.33,317.33,,,0
HCPCS,C1769,GUIDEWIRE URO 0.035IN X 145CM TIP 7CM SS PTFE BENT TYP TIP,101.75,101.75,,,0
HCPCS,C1769,GUIDEWIRE URO L150CM DIA0.025IN 3CM TAPR NIT HYDRPHLC STD,102.86,102.86,,,0
HCPCS,C1769,GUIDEWIRE URO L150CM DIA0.025IN TIP L3CM NIT HYDRPHLC STD,163.42,163.42,,,0
HCPCS,C1769,GUIDEWIRE URO L150CM DIA0.035IN 3CM STR HYDRPHLC TIP PTFE,141.7,141.7,,,0
HCPCS,C1769,GUIDEWIRE URO L150CM DIA0.035IN FLX STR TIP L3CM STD SUP E,87.58,87.58,,,0
HCPCS,C1769,GUIDEWIRE URO L150CM DIA0.035IN HYDRPHLC STR TIP PTFE SHFT,106.64,106.64,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.007INX220CM STR RADPQ TIP SS NIT HYDRPHLC,1560.0,1560.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.008/0.012INX220CM DBL ANG RADPQ TIP SS NIT,1632.0,1632.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.008INX210CM STR SS HYBRID,1576.8,1576.8,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.012/0.014INX200CM STR TIP HYDRPHLC HYBRID,1128.0,1128.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.012INX325CM FLX TIP VIPERWIRE,504.0,504.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX190CM STR TIP 3CM HI TORQ PILOT 50,360.0,360.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX215CM HYDRPHLC STD STR SYNCHRO SEL,1862.54,1862.54,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX215CM HYDRPHLC SYNCHRO2,1350.0,1350.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX300CM APPRCH HYDR ST,341.04,341.04,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX300CM FLPY PLAT TIP NIT PTFE RDRUN,238.73,238.73,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX300CM HYDRPHLC STD SYNCHRO SEL,1740.0,1740.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX300CM PLAT FLPY TIP SS PTFE APPRCH,322.78,322.78,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX300CM STR SFT TIP 3CM WIZDOM,156.0,156.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX300CM STR TIP GLDEX HYDRPHLC SHT TAPR,146.4,146.4,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX300CM STR TIP HYDRPHLC SION,336.0,336.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX300CM STR TIP STBL +,156.0,156.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX315CM BRWIR,384.0,384.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX330CM ROTAWIRE ES 5/BX,672.0,672.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.014INX330CM ROTAWIRE FLPY 5/BX,664.67,664.67,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX110CM STR TIP 8CM V-18 CONTROLWIRE,160.8,160.8,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX180CM ANG TIP GLDEWIRE ADVNTG,700.8,700.8,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX180CM FLPY PLAT TIP NIT PTFE RDRUN,216.82,216.82,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX180CM NIT NITREX,194.4,194.4,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX200CM STR TIP 8CM V-18 CONTROLWIRE,160.8,160.8,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX260CM ANG TIP NIT HYDRPHLC GLDEWIRE,205.2,205.2,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX300CM ANG TIP NIT HYDRPHLC GLDEWIRE,745.2,745.2,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX300CM STR TIP 12CM V-18 CONTROLWIRE,160.8,160.8,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX60CM FLPY PLAT TIP SS COPE MDRL,63.36,63.36,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX60CM PLAT TIP NIT COPE MDRL,76.92,76.92,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.018INX80CM ANG INTMED TIP NIT NITREX,139.99,139.99,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.021INX260CM J TIP SS PTFE FIX COR SAFE-T-J,42.24,42.24,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.025FR X 450CM STR RND TIP 5CM TUNG FILL,619.85,619.85,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.025INX175CM SS TORAYGUIDE,408.0,408.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.025INX260CM FLPY TIP SS PTFE FIX COR,35.3,35.3,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.032INX260CM CRV FLPY TIP SS PTFE AMPLATZ X,54.0,54.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX145CM ANG PLAT TIP NIT MDRL HYDRPHLC,67.39,67.39,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX145CM DBL TIP SS PTFE,35.66,35.66,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX145CM FLPY TIP SS PTFE BENT,35.66,35.66,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX145CM STR TIP SS PTFE AMPLATZ SUP,51.36,51.36,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX145CM STR TIP SS PTFE FIX COR,22.9,22.9,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX150CM ANG TIP NIT HYDRPHLC LNG TAPR,123.72,123.72,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX150CM J ATRAUM TIP NIT HYDRPHLC,81.6,81.6,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX150CM J TIP 3MM HEP FIX COR INQWIRE,21.46,21.46,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX150CM J TIP 3MM HEP MOVABLE COR,26.95,26.95,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX150CM J TIP PTFE FIX COR EMERALD,18.0,18.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX180CM FLPY TIP SS PTFE AMPALTZ X,38.4,38.4,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX180CM FLPY TIP SS PTFE FIX COR,26.71,26.71,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX180CM STR TIP 7CM SS PTFE FIX COR,51.36,51.36,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX180CM TIP 3CM STD FLX ANG NIT,109.2,109.2,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX220CM SS PTFE ROSEN,30.02,30.02,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX260CM ANG TIP NIT HYDRPHLC GLDEWIRE,138.0,138.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX260CM CRV TIP SS PTFE AMPLATZ X STIFF,54.0,54.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX260CM DBL CRV TIP SS PTFE LUNDERQUIST,1192.8,1192.8,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX260CM FLPY TIP SS PTFE LUNDERQUIST X,341.61,341.61,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX260CM J TIP 3MM PTFE FIX COR EMERALD,21.6,21.6,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX260CM J TIP SS PTFE AMPLATZ SUP STIFF,51.36,51.36,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX260CM STR TIP NIT HYDRPHLC GLDEWIRE,134.08,134.08,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX260CM STR TIP SS PTFE LUNDERQUIST X,336.7,336.7,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX260CM TIP 3CM STD FLX ANG NIT,122.4,122.4,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX275CM SS PTFE XSM CRV SAFARI2,480.0,480.0,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX300CM STR STEER TIP HYDROPHOBIC WHLY,338.69,338.69,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX400CM ANG TIP 45DEG HYDRPHLC GLDEWIRE,236.83,236.83,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX75CM ATRAUM TIP PTFE AMPLATZ SUP,51.36,51.36,,,0
HCPCS,C1769,GUIDEWIRE VASC 0.035INX80CM ANG TIP NIT HYDRPHLC GLDEWIRE,124.8,124.8,,,0
HCPCS,C1769,GUIDEWIRE VASC COR 0.013INX350CM STR RADPQ TIP NIT,494.4,494.4,,,0
HCPCS,C1769,GUIDEWIRE VASC COR 0.014INX180CM STR SHP TIP HYDRCOAT,325.74,325.74,,,0
HCPCS,C1769,GUIDEWIRE VASC COR 0.014INX180CM STR TIP HYDRPHLC UNCOAT,336.0,336.0,,,0
HCPCS,C1769,GUIDEWIRE VASC COR 0.014INX190CM STR TIP 3CM SS HYDRCOAT HI,300.0,300.0,,,0
HCPCS,C1769,GUIDEWIRE VASC COR 0.014INX190CM STR TIP NIT HI TORQ BAL,360.0,360.0,,,0
HCPCS,C1769,GUIDEWIRE VASC COR 0.014INX300CM STR TIP 3CM HI TORQ BAL,360.0,360.0,,,0
HCPCS,C1769,GUIDEWIRE VASC COR 0.014INX300CM STR TIP 3CM HI TORQ ES,305.45,305.45,,,0
HCPCS,C1769,GUIDEWIRE VASC COR 0.014INX300CM STR TIP 3CM HI TORQ WHISPER,300.0,300.0,,,0
HCPCS,C1769,GUIDEWIRE VASC COR 175CM HYDRPHLC PRESSUREWIRE X,1680.0,1680.0,,,0
HCPCS,C1769,GUIDEWIRE VASC DIA0.014IN SS HYDRPHLC DST TIP RADPQ COIL,432.15,432.15,,,0
HCPCS,C1769,GUIDEWIRE VASC EXTN 0.014INX150CM RUNTHROUGH NS,250.21,250.21,,,0
HCPCS,C1769,GUIDEWIRE VASC FIX COR PERIPH MNL EXCHG CRV ROSEN,56.98,56.98,,,0
HCPCS,C1769,GUIDEWIRE VASC IMAG L190CM DIA0.014IN J TIP OCCL HYDRPHLC HI,336.0,336.0,,,0
HCPCS,C1769,GUIDEWIRE VASC IMAG L190CM DIA0.014IN SPR COIL L12CM RADPQ,300.0,300.0,,,0
HCPCS,C1769,GUIDEWIRE VASC IMAG L300CM DIA0.014IN SPR COIL L17CM RADPQ,384.0,384.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L145CM TAPR L15CM 0.038IN SS PTFE COON,49.85,49.85,,,0
HCPCS,C1769,GUIDEWIRE VASC L165CM DIA0.014IN PTCA STR TIP EXTN,228.0,228.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L180CM DIA0.014IN SPR COIL L11CM HYDROPHOBIC,336.0,336.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L180CM DIA0.014IN SPR COIL L20CM HYDRPHLC,228.0,228.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L180CM DIA0.018IN TIP L3CM STD HYDRPHLC STR,144.59,144.59,,,0
HCPCS,C1769,GUIDEWIRE VASC L180CM DIA0.035IN ANG TIP TAPR 3CM HYDRPHLC,65.28,65.28,,,0
HCPCS,C1769,GUIDEWIRE VASC L180CM DIA0.035IN L7CM DIA3MM J TIP PTFE SS,256.8,256.8,,,0
HCPCS,C1769,GUIDEWIRE VASC L180CM DIA0.035IN TAPR L15CM STR TIP PTFE,23.04,23.04,,,0
HCPCS,C1769,GUIDEWIRE VASC L190CM DIA0.014/0.010IN COIL L16CM SS COR,336.0,336.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L190CM DIA0.014IN SPR COIL L20CM BLU HYDRPHLC,300.0,300.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L190CM SS HYDROPHOBIC RADPQ STR TIP BARE COIL,317.14,317.14,,,0
HCPCS,C1769,GUIDEWIRE VASC L190CM STR MINAMO,240.0,240.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L190CM TIP DIA0.014IN SS TIP NIT HYDRPHLC,432.0,432.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L200CM DIA0.014IN TIP L10CM NIT HYDRPHLC STR,552.0,552.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L200CM DIA0.016IN TIP L10CM NIT HYDRPHLC STR,484.8,484.8,,,0
HCPCS,C1769,GUIDEWIRE VASC L260CM DIA0.018IN PTFE SIL STR VENT ASST DEV,1200.0,1200.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L260CM DIA0.035IN TAPR L7CM PTFE SS STR,51.36,51.36,,,0
HCPCS,C1769,GUIDEWIRE VASC L260CM DIA0.035IN TIP FLPY L5CM MOD J L1.5MM,134.4,134.4,,,0
HCPCS,C1769,GUIDEWIRE VASC L260CM DIA0.035IN TIP L3MM STD EXCHG PTFE J,29.6,29.6,,,0
HCPCS,C1769,GUIDEWIRE VASC L260CM DIA0.038IN L1CM TIP PTFE SS SHT TAPR,51.36,51.36,,,0
HCPCS,C1769,GUIDEWIRE VASC L260CM DST FLX L5CM DIA0.89MM RADIFOCUS,559.2,559.2,,,0
HCPCS,C1769,GUIDEWIRE VASC L300CM DIA0.014IN COIL L20CM BLU HYBRID,300.0,300.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L300CM DIA0.014IN DST SEG 35CM STD HYDRPHLC,1674.0,1674.0,,,0
HCPCS,C1769,GUIDEWIRE VASC L300CM DIA0.014IN HYDRPHLC NIT COR TO TIP SFT,253.2,253.2,,,0
HCPCS,C1769,GUIDEWIRE VASC L300CM DIA0.018IN TIP L10MM HI TORQ COMMND 18,432.0,432.0,,,0
HCPCS,C1769,GUIDEWIRE VASC PERIPH 0.035INX180CM ANG TIP NIT PTFE,512.4,512.4,,,0
HCPCS,C1769,GUIDEWIRE VASC PERIPH 0.035INX260CM FLPY TIP HI TORQ,177.6,177.6,,,0
HCPCS,C1769,GUIDEWIRE VASC PERIPH 0.035INX260CM STR TIP 7CM PTFE INQWIRE,112.32,112.32,,,0
HCPCS,C1769,GUIDEWIRE VASC PERIPH 0.035INX300CM STR ATRAUM TIP,156.0,156.0,,,0
HCPCS,C1769,GUIDEWIRE VASCULAR 0.025INX260CM STRAIGHT TIP STAINLESS STEE,44.21,44.21,,,0
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035INX180CM STRAIGHT BENTSON TIP STAINL,23.04,23.04,,,0
HCPCS,C1769,GW ACUITY MAILMAN,336.0,336.0,,,0
HCPCS,C1769,HC NITINOL MNDRL GUIDEWIRE 40CM,25.0,25.0,,,0
HCPCS,C1769,HI-TORQUE PILOT 200 GUIDE WIRE .014 STRAIGHT TIP 3.0 CM X 19,360.0,360.0,,,0
HCPCS,C1769,HI-TORQUE VERSACORE FLOPPY GUIDE WIRE SYSTEM 175 CM,172.8,172.8,,,0
HCPCS,C1769,HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 2.0 CM X 190 C,343.64,343.64,,,0
HCPCS,C1769,HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 2.0 CM X 300 C,310.0,310.0,,,0
HCPCS,C1769,HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 30 CM X 190 CM,360.0,360.0,,,0
HCPCS,C1769,HI-TORQUE WIGGLE GUIDE WIRE .014 STRAIGHT TIP 30 CM X 300 CM,300.0,300.0,,,0
HCPCS,C1769,HIWIRE NITINOL HYDROPHILIC WIRE GUIDE,80.57,80.57,,,0
HCPCS,C1769,HYBRID GUIDEWIRE .010IN EXCHANGE STRAIGHT TIP,1752.0,1752.0,,,0
HCPCS,C1769,IFUSE BEDROCK GRANIT IMPLANT,7440.0,7440.0,,,0
HCPCS,C1769,INACTIVE USE PS#100825 -  SAVARY-GILLIARD WIRE GUIDE,331.2,331.2,,,0
HCPCS,C1769,INACTIVE USE PS#106429 -  GUIDEWIRE VASC 0.018INX60CM PLAT T,76.92,76.92,,,0
HCPCS,C1769,INACTIVE USE PS#113399 -  GUIDEWIRE 3.2 THREADED,534.94,534.94,,,0
HCPCS,C1769,INACTIVE USE PS#113400 -  SMOOTH WIRE 2.0,653.52,653.52,,,0
HCPCS,C1769,INACTIVE USE PS#13443 -  ZIPWIRE ANGLED .035 X 150 CM,55.2,55.2,,,0
HCPCS,C1769,INACTIVE USE PS#147794 -  GUIDEWIRE VASC 0.035INX180CM STR T,51.36,51.36,,,0
HCPCS,C1769,INNACTIVE - MAGIC TORQUE .035 X 260CM,100.01,100.01,,,0
HCPCS,C1769,INTRODUCER PEELAWAY 10FR C-PLI,92.88,92.88,,,0
HCPCS,C1769,INTRODUCER SHTH 6.5FR L11CM GWIRE 0.038IN GRN HUB PRELUDEPRO,22.97,22.97,,,0
HCPCS,C1769,JAG REVOLUTION ANGLED,619.85,619.85,,,0
HCPCS,C1769,K WIRE,91.97,91.97,,,0
HCPCS,C1769,K WIRE 1.6MM,43.34,43.34,,,0
HCPCS,C1769,KIT MIC-INTRO 5FR NIT MANDREL TUNGSTEN SFT TIP GWIRE 0.018,52.8,52.8,,,0
HCPCS,C1769,KIT PREP INCL CMPTBL GWIRE INTRO SHTH SET SYR STPCOCK,744.0,744.0,,,0
HCPCS,C1769,KIT VASC ACCS INCL STP VES DIL J TIP SS GWIRE INTRO NDL SFTY,360.0,360.0,,,0
HCPCS,C1769,KNIFE NDL CATH L200CM 7-5FR 0.035IN TAPR TIP 3L,564.0,564.0,,,0
HCPCS,C1769,LAUREATE WIRE STIFF ANGLED .035 260CM,84.86,84.86,,,0
HCPCS,C1769,LUNDERQUIST X-STIFF WIRE GUID DBL CRV PTFE-COAT SS DIA0.035,375.24,375.24,,,0
HCPCS,C1769,OLIVE WIRE,359.16,359.16,,,0
HCPCS,C1769,PTFE .035 FIXED CORE 15CM FLEX BENTSON,35.21,35.21,,,0
HCPCS,C1769,PVC THORACIC CATHETER 28 FR,15.05,15.05,,,0
HCPCS,C1769,R350 GUIDEWIRE,494.4,494.4,,,0
HCPCS,C1769,RADIOFOCUS ANGLED GLIDEWIRE ADVANTAGE .035X180CM,384.0,384.0,,,0
HCPCS,C1769,ROADRUNNER .018,67.39,67.39,,,0
HCPCS,C1769,RUNTHROUGH CORONARY WIRE  NS SHAPEABLE TIP 0.014 180CM FLOPP,253.2,253.2,,,0
HCPCS,C1769,SAFE-T-J FIXED CORE WIRE GUIDE,24.89,24.89,,,0
HCPCS,C1769,SENSOR .035 3CM FLEX ANG/150 BOX 5,171.6,171.6,,,0
HCPCS,C1769,SET INTRO SUPRPUB ACC 18FR CATH 1 STP INCL 17CM PEEL AWAY,1680.0,1680.0,,,0
HCPCS,C1769,SET THERMOABLATION DISP GENESYS HTA PROCERVA,3600.0,3600.0,,,0
HCPCS,C1769,SMOOTH GUIDE WIRE BALL TIP 3.0 MM DIAMETER     100 CM LENGTH,260.4,260.4,,,0
HCPCS,C1769,SPHINCTEROTOME ENDOSCP 4.4FR X 20MM TIP 5MM 0.035IN X 260CM,1461.7,1461.7,,,0
HCPCS,C1769,SPHINCTEROTOME ENDOSCP TIP 3.9FR L5MM CUT WIRE 20MM GWIRE,1461.7,1461.7,,,0
HCPCS,C1769,SPLASH WIRE,84.86,84.86,,,0
HCPCS,C1769,SPLASHWIRE GUID WIRE 0.035 (0.89 MM) 260 CM (102) ANG TIP,84.86,84.86,,,0
HCPCS,C1769,SPLASHWIRE STD ANGLED 180CM,79.87,79.87,,,0
HCPCS,C1769,STARTER GUIDEWIRE BENTSON .035 X 150 CM,17.76,17.76,,,0
HCPCS,C1769,THREADED GUIDE PIN  3.2MM  3.2MM  ACE,235.2,235.2,,,0
HCPCS,C1769,THREADED GUIDE PIN  3.2MM X 444MM  3.2MM X 444MM  VERSANAIL,271.04,271.04,,,0
HCPCS,C1769,TUBE JEJUSTMY 12FR L66CM GWIRE 0.035IN PERC ENDOSCP PEG 24,396.0,396.0,,,0
HCPCS,C1769,TUBE NASOJEJUNAL FEED 10FR X 240CM GWIRE 0.035IN X 260CM,396.0,396.0,,,0
HCPCS,C1769,WIRE,80.73,80.73,,,0
HCPCS,C1769,WIRE 1.0MM MSD,48.0,48.0,,,0
HCPCS,C1769,WIRE SYNCHRO 014/200,1350.0,1350.0,,,0
HCPCS,C1769,WIRE SYNCHRO 2/14 300 CM SOFT,1674.0,1674.0,,,0
HCPCS,C1769,ZIPWIRE .035 X 150CM STRAIGHT,81.6,81.6,,,0
HCPCS,C1769,ZIPWIRE ANGLED .035 X 180 CM,55.2,55.2,,,0
HCPCS,C1771,407955 : SYSTEM SLNG 7.75CM SGL INCIS W- HELI INTRO ANCHR TENSIONING,6319.2,6319.2,,,0
HCPCS,C1771,534578 : KIT GYN IMPL SYN SLNG RETROPUBIC W- TRCR SHTH AND IMPL,4940.21,4940.21,,,0
HCPCS,C1771,MALE SLING SYSTEM/ADVANCE XP,23772.0,23772.0,,,0
HCPCS,C1771,SYSTEM SLNG 7.75CM SGL INCIS W/ HELI INTRO ANCHR TENSIONING,3302.4,3302.4,,,0
HCPCS,C1772,129963 : PUMP SEGMENT REVISION KIT,1200.0,1200.0,,,0
HCPCS,C1772,435151 : PUMP INTRATHECAL INFUSION 87.5MM THICK 19.6MM WITH 20ML RESE,30698.4,30698.4,,,0
HCPCS,C1772,435152 : PUMP INTRATHECAL INFUSION 87.5MM THICK 19.6MM WITH 40ML RESE,30698.4,30698.4,,,0
HCPCS,C1772,PUMP INFUS IMPL SYNCHROMED II 40ML TI PRGM,27655.2,27655.2,,,0
HCPCS,C1772,PUMP INTRATHECAL INFUSION 87.5MM THICK 19.6MM WITH 20ML RESE,30698.4,30698.4,,,0
HCPCS,C1772,PUMP SEGMENT REVISION KIT,1200.0,1200.0,,,0
HCPCS,C1773,102494 : DEVICE LD LOK 0.015-0.023IN X 65CM CLR STYL 0.012IN W-O LP,1516.0,1516.0,,,0
HCPCS,C1773,102495 : DEVICE LOK LD SZ E WRK L85CM RANG 0.015-0.38-0.023-0.58IN-MM,1516.0,1516.0,,,0
HCPCS,C1773,102497 : LLD 2,1516.0,1516.0,,,0
HCPCS,C1773,121534 : FRCP ENDOSCP SPEC RETRV 3.3FR L115CM PTFE SS ALGTR TOOTH SGL,843.65,843.65,,,0
HCPCS,C1773,368886 : ENSNARE SYSTEM 9-15MM,794.4,794.4,,,0
HCPCS,C1773,390996 : INDY OTW VASCULAR RETRIEVER INDY-8.0-35-100-40,1202.4,1202.4,,,0
HCPCS,C1773,420431 : SNARE RETRV L94CM DIA13MM CK FLO INTRO 16FR W- STR INNR SHTH,4320.0,4320.0,,,0
HCPCS,C1773,421494 : RETRIEVER VASC SNR 6FR X 90CM SHTH 85CM 4 LOOP CLOVERSNARE,1625.18,1625.18,,,0
HCPCS,C1773,DELIVERY SYSTEM ITV 8F 4560 PKG STER,1855.2,1855.2,,,0
HCPCS,C1773,DEVICE LD LOK 0.015-0.023IN X 65CM CLR STYL 0.012IN W/O LP,1494.47,1494.47,,,0
HCPCS,C1773,FILTER TULIP RETRIEVAL SET,844.2,844.2,,,0
HCPCS,C1773,FRCP ENDOSCP SPEC RETRV 3.3FR L115CM PTFE SS ALGTR TOOTH SGL,771.28,771.28,,,0
HCPCS,C1773,INDY OTW VASCULAR RETRIEVER INDY-8.0-35-100-40,1318.39,1318.39,,,0
HCPCS,C1773,LLD #1,1476.0,1476.0,,,0
HCPCS,C1773,LLD #2,2082.4,2082.4,,,0
HCPCS,C1773,RETRIEVER VASC SNR 6FR X 90CM SHTH 85CM 4 LOOP CLOVERSNARE,1625.18,1625.18,,,0
HCPCS,C1773,SHEATH DIL 11FR L6.1IN MECH ROT SHT STIFF SHFT FLX TIP,4656.0,4656.0,,,0
HCPCS,C1776,108400 : TIBIAL TRAY SZ 3 R,3775.2,3775.2,,,0
HCPCS,C1776,118348 : ECHO BI-METRIC HIP SYSTEM  STANDARD FEMORAL STEM  TI-6AL-4,4200.0,4200.0,,,0
HCPCS,C1776,120520 : HEAD UPLR DIA45MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
HCPCS,C1776,135271 : DISTAL HUMERAL POST LATERAL PLATE LEFT SMALL  9 HOLE   74MM,1713.6,1713.6,,,0
HCPCS,C1776,136006 : STEM TIB 14MM PLSM MID CEM TOT ANK SYS INBONE II,1428.0,1428.0,,,0
HCPCS,C1776,150158 : HUMERAL SPOOL - MEDIUM RIGHT,2517.6,2517.6,,,0
HCPCS,C1776,150159 : CAP ORTH MD ULN FOR LATITUDE EV EL ARTHROPLASTY SYS,1908.0,1908.0,,,0
HCPCS,C1776,159068 : ROD SPNL L75MM DIA5.5MM THORLUM TI ALLY CRV CREO,240.0,240.0,,,0
HCPCS,C1776,22853 : SROMSTM LG 36+8L 20X15X225R,12265.56,12265.56,,,0
HCPCS,C1776,300W S-ROD,480.0,480.0,,,0
HCPCS,C1776,374348 : EXPLOR  MODULAR RADIAL HEAD  CO-CR-MO  10MM  HEIGHT,4800.0,4800.0,,,0
HCPCS,C1776,374362 : EXPLOR  MODULAR RADIAL STEM WITH SCREW  TI-6AL-4V  8MM    B,4800.0,4800.0,,,0
HCPCS,C1776,374462 : INTERCHANGEABLE ULNAR ASSEMBLY     PLASMA SPRAYED EXTRA SMAL,11520.0,11520.0,,,0
HCPCS,C1776,406790 : SPHERE GLEN 36MM STD COCR REV PERFORM,3060.0,3060.0,,,0
HCPCS,C1776,409532 : HEAD FEM CERAMIC MOD TYP 1 36MM MINUS STD OFFSET BIOLOX DELT,1680.0,1680.0,,,0
HCPCS,C1776,415305 : G7 LONGEVITY +5MM LNR 36MM F,2781.5,2781.5,,,0
HCPCS,C1776,418677 : G7 LONGEVITY NEUTRAL 36MM F,1389.6,1389.6,,,0
HCPCS,C1776,419227 : HEAD UPLR DIA43MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
HCPCS,C1776,419229 : HEAD UPLR DIA50MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
HCPCS,C1776,419230 : HEAD UPLR DIA52MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
HCPCS,C1776,419231 : HEAD UPLR DIA53MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
HCPCS,C1776,419233 : STEM FEM 7MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
HCPCS,C1776,419234 : STEM FEM 9MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
HCPCS,C1776,419235 : STEM FEM 11MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
HCPCS,C1776,419236 : STEM FEM 9MM LAT OFFSET COCR ECHO FX,1798.39,1798.39,,,0
HCPCS,C1776,419248 : STEM FEM L150MM DIA9MM TI POR IM STR CEM LNG BODY MOD NEUT,3909.6,3909.6,,,0
HCPCS,C1776,419250 : SEGMENT DPHSEAL L3CM KNEE TI ELP OSS,14760.0,14760.0,,,0
HCPCS,C1776,419251 : SEGMENT DPHSEAL L7CM KNEE TI ELP OSS,14760.0,14760.0,,,0
HCPCS,C1776,419254 : ADAPTER STK TI SEG OSS,372.0,372.0,,,0
HCPCS,C1776,419265 : BUSHING FEM KNEE POLY REDUC SZ OSS,1020.0,1020.0,,,0
HCPCS,C1776,419266 : AXLE KNEE COCR MOLY ALLY REDUC SZ OSS,1104.0,1104.0,,,0
HCPCS,C1776,419270 : BEARING TIB THCK14MM KNEE POLY LAT STBL REDUC SZ OSS,2061.6,2061.6,,,0
HCPCS,C1776,419272 : BODY FEM L8.5CM L KNEE SEG REDUC SZ OSS,16761.6,16761.6,,,0
HCPCS,C1776,419334 : HEAD FEM 36MM +3MM NK TYP 1 TAPR MOD BIOLOX DELT,1680.0,1680.0,,,0
HCPCS,C1776,420421 : STEM FEM 13X145MM STD OFFSET 135DEG TYP 1 TAPR REDUC PROX,4200.0,4200.0,,,0
HCPCS,C1776,422647 : INSERT HUM SZ 1-2 DIA36MM THK+0MM SYMMTRC RETENTIVE REV,3360.0,3360.0,,,0
HCPCS,C1776,422656 : INSERT HUM SZ 3-4 DIA39MM THK+0MM SYMMTRC RETENTIVE REV,3360.0,3360.0,,,0
HCPCS,C1776,422790 : STEM HUM SZ 3+ LNG PERFORM,7320.0,7320.0,,,0
HCPCS,C1776,422825 : STEM HUM SZ 9 130MM FOR FRAC PERFORM,18000.0,18000.0,,,0
HCPCS,C1776,535830 : PACK SCR GLENOSPHERE CNTR W- LOK CAP 6.5MM X 30MM R1 TRI-PK,1680.0,1680.0,,,0
HCPCS,C1776,535832 : BASEPLATE GLEN STD FOR R1 REV SHLDR SYS,3360.0,3360.0,,,0
HCPCS,C1776,535833 : COMPONENT GLENOSPHERE 32MM LAT FOR R1 REV SHLDR SYS,3840.0,3840.0,,,0
HCPCS,C1776,542130 : BODY FEM SZ D W26XH60MM DIA24.5MM +10MM STD OFFSET TI PPS 542130,12353.66,12353.66,,,0
HCPCS,C1776,542132 : BODY FEM SZ F W30XH60MM DIA28.5MM +10MM STD OFFSET TI PPS 542132,12353.66,12353.66,,,0
HCPCS,C1776,542139 : BODY FEM SZ A W21XH60MM DIA18.5MM +20MM STD OFFSET TI PPS 542139,12353.66,12353.66,,,0
HCPCS,C1776,542746 : CENTRALIZER FEM STEM 9MM DST PMMA ECHO FEM HIP SYS 542746,119.9,119.9,,,0
HCPCS,C1776,543139 : STEM FEM 16X160MM HI OFFSET 135DEG TYP 1 TAPR REDUC PROX 543139,4200.0,4200.0,,,0
HCPCS,C1776,544978 : BASEPLATE TIB 67X160X9MM REDUC SZ LNG NONMODULAR OSS 544978,7516.8,7516.8,,,0
HCPCS,C1776,547005 : MEDIUM CRPL ARTC COMP,8563.2,8563.2,,,0
HCPCS,C1776,547018 : POST CRPL 8MM TAPR WRISTMOTION,681.6,681.6,,,0
HCPCS,C1776,547022 : STEM RAD MD R WRISTMOTION,14270.4,14270.4,,,0
HCPCS,C1776,547034 : POLY RAD MD +0MM R WRISTMOTION,6115.2,6115.2,,,0
HCPCS,C1776,70MM ROD,457.46,457.46,,,0
HCPCS,C1776,855 : FINGER SWAN 470-0001,3207.98,3207.98,,,0
HCPCS,C1776,ANATOMIC GLENOID,2880.0,2880.0,,,0
HCPCS,C1776,"ARTICULAR INSERT, DISHED LEGION XLPE 11MM SIZE 7-8",5552.74,5552.74,,,0
HCPCS,C1776,AXLE KNEE COCR MOLY ALLY REDUC SZ OSS,1104.0,1104.0,,,0
HCPCS,C1776,AXLE TIB PROX KNEE MRH GMRS,2131.2,2131.2,,,0
HCPCS,C1776,BASEPLATE GLEN DIA25MM STD TI POR PERFORM,2460.0,2460.0,,,0
HCPCS,C1776,BASEPLATE GLEN STD FOR R1 REV SHLDR SYS,3360.0,3360.0,,,0
HCPCS,C1776,BASEPLATE TIB L71MM SHT UHMWPE NONMODULAR ORTH SALV SYS,7236.0,7236.0,,,0
HCPCS,C1776,BASEPLATE TIB SZ M2 KEEL MRH,6876.0,6876.0,,,0
HCPCS,C1776,BEARING TIB THCK12MM KNEE POLY LAT STBL REDUC SZ OSS,2061.6,2061.6,,,0
HCPCS,C1776,BEARING TIB THK12MM POLY ORTH SALV SYS,2450.4,2450.4,,,0
HCPCS,C1776,BIOLOX DELTA FEMORAL HEAD 36MM -3.5MM,1680.0,1680.0,,,0
HCPCS,C1776,BIOLOX DELTA OPTIN HIP SYSTEM CERAMIC HEAD 28MM HEAD TYPE 16/18 TAPER,1977.6,1977.6,,,0
HCPCS,C1776,BIOLOX OPTION HIP SYSTEM TAPER ADAPTER 3MM NECK TYPE I TAPER,239.78,239.78,,,0
HCPCS,C1776,BIOMET DISTAL CENTRALIZER/CENTERING SLEEVE,119.9,119.9,,,0
HCPCS,C1776,BODY FEM L7CM R DST HIP REDUC SZ SEG OSS,16080.0,16080.0,,,0
HCPCS,C1776,BODY FEM L8.5CM L DST HIP REDUC SZ ELP SEG OSS,17419.2,17419.2,,,0
HCPCS,C1776,BODY HUM DIA11MM 132.5DEG STD PROX SHLDR FOR ARTHROPLASTY,9540.0,9540.0,,,0
HCPCS,C1776,BUSHING FEM ALL SZ TOT KNEE MRH REV MNGRM,621.6,621.6,,,0
HCPCS,C1776,BUSHING FEM KNEE POLY REDUC SZ OSS,1020.0,1020.0,,,0
HCPCS,C1776,CAP ORTH MD ULN FOR LATITUDE EV EL ARTHROPLASTY SYS,1908.0,1908.0,,,0
HCPCS,C1776,CAP SCR SHLDR LOK FOR ARTHROPLASTY AEQUALIS FLX REVIVE,900.0,900.0,,,0
HCPCS,C1776,CENTERED ALTO,1030.82,1030.82,,,0
HCPCS,C1776,CENTRALIZER FEM STEM 9MM DST PMMA ECHO FEM HIP SYS,119.9,119.9,,,0
HCPCS,C1776,CERAMIC HEAD DELTA FEMORAL 28/0MM T1 650-1158,1680.0,1680.0,,,0
HCPCS,C1776,COMPONENT FEM STD R DST KNEE GLOB MRS,14848.8,14848.8,,,0
HCPCS,C1776,COMPONENT GLENOSPHERE 32MM LAT FOR R1 REV SHLDR SYS,3840.0,3840.0,,,0
HCPCS,C1776,COMPONENT PAT DIA32MM THK8.5MM STD KNEE VIVACIT-E CEM,1080.0,1080.0,,,0
HCPCS,C1776,COMPONENT PAT DIA35MM THK9MM STD KNEE VIVACIT-E CEM PERSONA,1080.0,1080.0,,,0
HCPCS,C1776,COMPONENT PAT THK10MM DIA35MM X3 ASYM FOR TRIATHLON KNEE SYS,1440.0,1440.0,,,0
HCPCS,C1776,COMPONENT TIB XSM-XL FOR MRH,6153.6,6153.6,,,0
HCPCS,C1776,CONNECTOR SPNL DOMINO TOP/TOP TI 5/6-5/6 CDH,2006.4,2006.4,,,0
HCPCS,C1776,CORTILOC PEGGED GLENOID UHMWPE+COCR S35 ANATOMIC,2880.0,2880.0,,,0
HCPCS,C1776,DISTAL HUMERAL MEDIAL PLATE RIGHT LARGE  10 HOLE   97MM  10,1713.6,1713.6,,,0
HCPCS,C1776,DKY214,2517.6,2517.6,,,0
HCPCS,C1776,EXPLOR  MODULAR RADIAL HEAD  CO-CR-MO  10MM  HEIGHT,4046.4,4046.4,,,0
HCPCS,C1776,FINGER SWAN 470-0001,2643.46,2643.46,,,0
HCPCS,C1776,G7 ACETABULAR SYSTEM DUAL MOBILITY ACETABULAR LINER NEUTRIAL 38MM C LINER SIZE,2397.6,2397.6,,,0
HCPCS,C1776,G7 LONGEVITY NEUTRAL 36MM F,1389.6,1389.6,,,0
HCPCS,C1776,G7 VIT E +5MM LNR 36MM F,3376.15,3376.15,,,0
HCPCS,C1776,GLENOSPHERE IMPLANT SIZE 32 STD,3840.0,3840.0,,,0
HCPCS,C1776,HEAD FEM -3MM BIOLOX DELT CERAMIC MOD OFFSET OPT,1680.0,1680.0,,,0
HCPCS,C1776,HEAD HUM W42XH16MM CONCENTRIC SHLDR COCR MOD SYS TI 2.5,4583.09,4583.09,,,0
HCPCS,C1776,HEAD RAD DIA20MM COCR POLY LNR MOD RHS,4043.16,4043.16,,,0
HCPCS,C1776,HRHK TIB INS 13MM ML M2L2,2397.6,2397.6,,,0
HCPCS,C1776,HUMERAL HEAD 52X23 LOW OFFSET AEQUALIS,2880.0,2880.0,,,0
HCPCS,C1776,HUMERAL SPOOL,5469.6,5469.6,,,0
HCPCS,C1776,HUMERAL STEM,10936.8,10936.8,,,0
HCPCS,C1776,IMPLANT SACROILIAC FUS 10.5MM X 80MM TI POR 3D PRNT TRIANG,12400.0,12400.0,,,0
HCPCS,C1776,IMPLANT SACROILIAC FUS 10.5MM X 90MM TI POR 3D PRNT TRIANG,12400.0,12400.0,,,0
HCPCS,C1776,INSERT HUM SM SZ 32  SOCK E  RSP,2400.0,2400.0,,,0
HCPCS,C1776,INSERT HUM SZ 3/4 DIA36MM THK+3MM SYMMTRC RETENTIVE REV,3360.0,3360.0,,,0
HCPCS,C1776,INSERT HUM SZ 44  SOCK E  RSP,2400.0,2400.0,,,0
HCPCS,C1776,INSERT HUMERAL SOCKET 32MM SEMI CONSTRAINED HXE+,2400.0,2400.0,,,0
HCPCS,C1776,INSERT TIB ALL SZ 3DEG BUMPER FOR MRH MNGRM,1279.2,1279.2,,,0
HCPCS,C1776,INSERT TIB SZ 4 15MM GVF RP SIG TC3,6502.68,6502.68,,,0
HCPCS,C1776,INTERCHANGEABLE HUMERAL ASSEMBLY FOR CEMENTED USE ONLY SMALL,12720.0,12720.0,,,0
HCPCS,C1776,INTERCHANGEABLE ULNAR ASSEMBLY     PLASMA SPRAYED EXTRA SMAL,11520.0,11520.0,,,0
HCPCS,C1776,LATERAL OFF SET,1860.0,1860.0,,,0
HCPCS,C1776,MRS 11X127 CUR FEM STEM WO BODY,5803.2,5803.2,,,0
HCPCS,C1776,PACK SCR GLENOSPHERE CNTR W/ LOK CAP 6.5MM X 30MM R1 TRI-PK,1680.0,1680.0,,,0
HCPCS,C1776,PLATE BNE L88MM 9 H L MED DST HUM TIM LP ALPS,1713.6,1713.6,,,0
HCPCS,C1776,PRECISE OFFSE PARTIAL 2.50MM LENGTH TITANIUM,1011.05,1011.05,,,0
HCPCS,C1776,PROXIMAL BODY,6720.0,6720.0,,,0
HCPCS,C1776,ROD 300 MM,667.2,667.2,,,0
HCPCS,C1776,SEGMENT DPHSEAL L3CM KNEE TI ELP OSS,14760.0,14760.0,,,0
HCPCS,C1776,SEMI-CONSTRAINED POLY INSERT IMPLANT SIZE 32 +0,3120.0,3120.0,,,0
HCPCS,C1776,SHELL ACET DIA52MM SZ E HMSPHR LIMIT H PPS G7,1797.6,1797.6,,,0
HCPCS,C1776,SLEEVE TIB ALL SZ PROX ROT HNG GLOB MRS,1068.0,1068.0,,,0
HCPCS,C1776,SPACER SHLDR L20MM DIA11MM FOR ARTHROPLASTY AEQUALIS FLX,5812.8,5812.8,,,0
HCPCS,C1776,SPHERE GLEN 32 -4MM OFFSET W/ RET SCR ALTIVATE,2520.0,2520.0,,,0
HCPCS,C1776,SPHERE GLEN 36MM STD COCR CANN REV PERFORM,4320.0,4320.0,,,0
HCPCS,C1776,SPHERE GLEN 36MM STD COCR REV PERFORM,3060.0,3060.0,,,0
HCPCS,C1776,SROM*STM LG 36+8L 20X15X225R,12265.56,12265.56,,,0
HCPCS,C1776,STANDARD FEMORAL STEM,1798.39,1798.39,,,0
HCPCS,C1776,STEM FEM 11MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
HCPCS,C1776,STEM FEM 7MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
HCPCS,C1776,STEM FEM 9X125MM STD OFFSET 135DEG TYP 1 TAPR FULL PROX PROF,4200.0,4200.0,,,0
HCPCS,C1776,STEM FEM L150MM DIA13MM IM STR CEM ORTH SALV SYS,3909.6,3909.6,,,0
HCPCS,C1776,STEM FEM SZ 4 HA CLLRD HI OFFSET AVENIR COMPLT,4200.0,4200.0,,,0
HCPCS,C1776,STEM HUM L170MM DIA11MM DST SHLDR PTC FOR ARTHROPLASTY,17484.0,17484.0,,,0
HCPCS,C1776,STEM HUM L48MM DIA10MM STD SHELL DIA42MM SHLDR HXLPE VIT E,9840.0,9840.0,,,0
HCPCS,C1776,STEM HUM L90MM DIA11MM DST SHLDR PTC PRTLY COAT,8700.0,8700.0,,,0
HCPCS,C1776,STEM HUM SZ 10 108MM SM SHELL ALTIVATE REV,9840.0,9840.0,,,0
HCPCS,C1776,STEM HUM SZ 12 130MM FOR FRAC PERFORM,18000.0,18000.0,,,0
HCPCS,C1776,STEM HUM SZ 3 STD SHT PERFORM,6600.0,6600.0,,,0
HCPCS,C1776,STEM HUM SZ 8 108MM SM SHELL ALTIVATE REV,9840.0,9840.0,,,0
HCPCS,C1776,STEM HUMERAL DISTAL REVERSE UNCEMENTED SIZE 11 F1X,6000.0,6000.0,,,0
HCPCS,C1776,STEM IMPLANT PRESS-FIT SIZE 13,6000.0,6000.0,,,0
HCPCS,C1776,STEM RAD DIA6.5MM NK 22MM LNG COCR CEM RHS,7449.58,7449.58,,,0
HCPCS,C1776,STEM TIB 14MM PLSM MID CEM TOT ANK SYS INBONE II,1428.0,1428.0,,,0
HCPCS,C1776,STEM TIB 18MM PLSM BASE CEM TOT ANK SYS INBONE II,1459.2,1459.2,,,0
HCPCS,C1776,TIBIAL STEM TOP 12MM,1339.2,1339.2,,,0
HCPCS,C1776,TIBIAL TRAY INBONE,3957.6,3957.6,,,0
HCPCS,C1776,TORNIER SIMPLICITI SHOULDER,6000.0,6000.0,,,0
HCPCS,C1776,TORNIER SIMPLICITI SHOULDER SYSTEM HUMERAL HEAD COCR 48MM THICKNESS:18MM,2880.0,2880.0,,,0
HCPCS,C1776,TORNIER SIMPLICITI SHOULDER SYSTEM NUCLEUS TI6AI4V SIZE 2,6000.0,6000.0,,,0
HCPCS,C1776,TRABECULAR METAL ACETABULAR REVISION SYSTEM SHORT RIGHT CEMENTED FLANGE CAGE,7856.95,7856.95,,,0
HCPCS,C1776,ULNAR STEM,8594.4,8594.4,,,0
HCPCS,C1776,UNID EXP TI ROD 3.5MM 4+ LV,3360.0,3360.0,,,0
HCPCS,C1776,V40 COCR LFIT HEAD 28MM-4,1200.0,1200.0,,,0
HCPCS,C1776,VERSY HIP SYSTEM DISTAL CENTRALIZER 12MM O.D,119.88,119.88,,,0
HCPCS,C1776,VERSYS HIP SYSTEM ENDO FEMERAL HEAD 46 MM DIAMETER,719.35,719.35,,,0
HCPCS,C1777,127812 : LEAD SPRINT 6935-65,5040.0,5040.0,,,0
HCPCS,C1777,129015 : LEAD DEFIB 55CM SGL COIL TRNSVEN R VENT SIL W- POLYUR DF4,5040.0,5040.0,,,0
HCPCS,C1777,129016 : LEAD DEFIB 62CM SGL COIL TRNSVEN R VENT SIL W- POLYUR DF4,5040.0,5040.0,,,0
HCPCS,C1777,142324 : OPTISURE DF4 - ACTIVE TBP SINGLE SHOCK ICD LEAD,9360.0,9360.0,,,0
HCPCS,C1777,540226 : LEAD ICD L65-15CM RV AND ATR SENS MR COND PAMIRA S DX,12000.0,12000.0,,,0
HCPCS,C1777,INACTIVE - LEAD DEFIB 65CM DST TIP 150MM ENDOCARD,11040.0,11040.0,,,0
HCPCS,C1777,LEAD DEFIB 55CM SGL COIL TRNSVEN R VENT SIL W/ POLYUR DF4,5040.0,5040.0,,,0
HCPCS,C1777,LEAD DEFIB 65CM DST TIP 150MM ENDOCARD CARDVRTR HYBRID SGL,11040.0,11040.0,,,0
HCPCS,C1777,LEAD DEFIB 8FR L58CM OPTIM EXT RET HELIX SGL COIL TRUE BPLR,9360.0,9360.0,,,0
HCPCS,C1777,LEAD ICD L60CM MR COND PAMIRA S,12000.0,12000.0,,,0
HCPCS,C1777,LEAD ICD L65/15CM RV AND ATR SENS MR COND PAMIRA S DX,11040.0,11040.0,,,0
HCPCS,C1777,LEAD ICD L65CM MR COND PAMIRA S,12000.0,12000.0,,,0
HCPCS,C1777,LEAD SPRINT 6935-65,5040.0,5040.0,,,0
HCPCS,C1777,RELIANCE 4 FRONT AF SC 59CM,6960.0,6960.0,,,0
HCPCS,C1777,SPRINT QUATTRO SECURE S MRI SURESCAN,5040.0,5040.0,,,0
HCPCS,C1778,113894 : TUNNELER SUR SHFT L13.4IN W- PKM POLYMR SL SS BULL TIP DISP,1387.2,1387.2,,,0
HCPCS,C1778,125175 : LEAD NEUROSTIM L43CM DIA2MM HELIX DIA2MM VAGUS NRV SIL INSUL,22123.2,22123.2,,,0
HCPCS,C1778,144489 : COVEREDGE 32 SURGICAL LEAD KIT - 50CM,14400.0,14400.0,,,0
HCPCS,C1778,150709 : LEAD PERC W-ELECT 5MMX70CM,1200.0,1200.0,,,0
HCPCS,C1778,150710 : LEAD KIT  70CM,2400.0,2400.0,,,0
HCPCS,C1778,161567 : LEAD NEUROSTIM L60CM MR COND PENTA,10800.0,10800.0,,,0
HCPCS,C1778,412524 : STIMULATION LEAD,4680.0,4680.0,,,0
HCPCS,C1778,412525 : RESPIRATORY SENSING LEAD,8100.0,8100.0,,,0
HCPCS,C1778,45 CM DIRECTIONAL LEAD KIT,6720.0,6720.0,,,0
HCPCS,C1778,45CM LEAD KIT - MEDTONIC DB-2202-45,0.1,0.1,,,0
HCPCS,C1778,"ABBOTT PENTA 3MM LEAD, 60CM",10800.0,10800.0,,,0
HCPCS,C1778,BOSTON SCIENTIFIC MODEL DB-2203-45 VERCISE CARTESIA,11880.0,11880.0,,,0
HCPCS,C1778,DB-2202-45 - 45CM 8 CONTACT DBS DIRECTIONAL LEAD KIT,7560.0,7560.0,,,0
HCPCS,C1778,DEPTH LEAD 10X30MM,11208.0,11208.0,,,0
HCPCS,C1778,DEPTH LEAD 30CM 3.5MM,10872.0,10872.0,,,0
HCPCS,C1778,DEPTH LEAD 44CM 10MM,11208.0,11208.0,,,0
HCPCS,C1778,DEVICE NEUROSTIM 13.9CC 47.2MM X 57.1MM RECHRG INTELLIS,38966.4,38966.4,,,0
HCPCS,C1778,INACTIVE - LEAD NEUROSTIM L43CM FOR VAGUS,21583.2,21583.2,,,0
HCPCS,C1778,KIT LEAD DEEP BRAIN STIMULATOR DIRECTIONAL 45CM,6720.0,6720.0,,,0
HCPCS,C1778,KIT NEUROSTIM 44CM X 3.5MM SPC 4 ELECTRD INCL DEPTH LD 2 CAP,11208.0,11208.0,,,0
HCPCS,C1778,LEAD KIT  70CM,2400.0,2400.0,,,0
HCPCS,C1778,LEAD NEUROSTIM L43CM DIA2MM HELIX DIA2MM VAGUS NRV SIL INSUL,22123.2,22123.2,,,0
HCPCS,C1778,LEAD NEUROSTIM L43CM FOR VAGUS NRV STIM PERENNIA FLX,21583.2,21583.2,,,0
HCPCS,C1778,LEAD NEUROSTIM L60CM MR COND PENTA,10800.0,10800.0,,,0
HCPCS,C1778,LEAD PERC W/ELECT 5MMX70CM,1200.0,1200.0,,,0
HCPCS,C1778,"M365DB2203450 - DB-2203-45 - DIRECTIONAL LEAD KIT, 16 CONTACT, 45CM",11880.0,11880.0,,,0
HCPCS,C1778,NM-3138-55 - 55CM 8 CONTACT EXTENSION KIT,840.0,840.0,,,0
HCPCS,C1778,RESP SENSE LEAD,8100.0,8100.0,,,0
HCPCS,C1778,RESPIRATORY SENSING LEAD,8100.0,8100.0,,,0
HCPCS,C1778,SPINAL CORD STIMULATOR SURGICAL LEAD KIT SC-8436-70,14400.0,14400.0,,,0
HCPCS,C1778,STIMULATION LEAD,4680.0,4680.0,,,0
HCPCS,C1778,TRICENTRUS,10800.0,10800.0,,,0
HCPCS,C1778,TUNNELER SUR SHFT L13.4IN W/ PKM POLYMR SL SS BULL TIP DISP,1370.4,1370.4,,,0
HCPCS,C1781,1.7MM DYNAMIC MESH 90X90X.6MM,3834.67,3834.67,,,0
HCPCS,C1781,100399 : MESH HERN SM DIA4.3CM VENTRAL POLYPR EPTFE CIR SELF EXPND,1594.8,1594.8,,,0
HCPCS,C1781,108488 : MESH HERN SM SFT TISS 3.1IN X 4.7IN OVL PTCH POLYPR EPTFE,1814.16,1814.16,,,0
HCPCS,C1781,129875 : MESH CRAN W100XL100MM THK0.4MM BLU TI RIG MATRIXNEURO,2419.2,2419.2,,,0
HCPCS,C1781,131930 : MESH CRAN M 12 H SIL TI CNTOUR MAL FOR 1.5MM SCR MATRIXNEURO,895.1,895.1,,,0
HCPCS,C1781,137680 : MESH HERN W7XL10CM SYN TISS REINF BIOABSRB DISP BIO-A,1303.2,1303.2,,,0
HCPCS,C1781,159993 : MESH HERN W10XL15CM POLY POLYLACTIC ACID 70% CLLGN 30% GLYC,704.57,704.57,,,0
HCPCS,C1781,161805 : MESH HERN W16XL12CM LAP MFIL POLY TEREPHTHALATE MFIL,1069.65,1069.65,,,0
HCPCS,C1781,18701 : MESH HERN REP LG 1.6X 1.90IN POLYPR PERFIX,715.92,715.92,,,0
HCPCS,C1781,24316 : MESH HERN MD 1.3X1.55IN INGUINAL POLYPR MFIL REP PRESHAPED,722.64,722.64,,,0
HCPCS,C1781,24318 : PLUG HERN XL 1.6X2IN WHT INGUINAL POLYPR MFIL MESH PERFIX,825.6,825.6,,,0
HCPCS,C1781,25995 : MESH HERN 30X30CM WVN VCRL,2744.68,2744.68,,,0
HCPCS,C1781,26263 : MESH SUR INGUINAL HERN L 2.4IN X 5.4IN PRESHAPED W- KEYHOLE,211.92,211.92,,,0
HCPCS,C1781,356062 : RESORB XG STERILEMESH SMALL GRID51 X 51 MM T=0.6 MMPLLA-PGAQ,3900.0,3900.0,,,0
HCPCS,C1781,367492 : MESH HERN SFT TISS 10CM X 15CM 3D WHT MFIL POLY SYMBOTEX,826.46,826.46,,,0
HCPCS,C1781,367494 : MESH HERN 12CM SYMBOTEX BIOABSRB FLM COMP,826.46,826.46,,,0
HCPCS,C1781,372768 : MESH HERN 9CM SYMBOTEX BIOABSRB FLM COMP,602.62,602.62,,,0
HCPCS,C1781,38252 : MESH HERN MD W8.5XL13.7CM R POLYPR 3D MAX,646.8,646.8,,,0
HCPCS,C1781,408419 : MESH HERN 30X30CM MACROPOROUS PARIETENE,236.74,236.74,,,0
HCPCS,C1781,408421 : MESH SUR INGUINAL HERN 15CM X 15CM SQ POLY PARIETENE NABSRB,119.93,119.93,,,0
HCPCS,C1781,43164 : MESH SUR HERN REP EXT ONLAY 5.5X12.8CM UNDERLAY PTCH DIA10CM,948.86,948.86,,,0
HCPCS,C1781,44323 : MESH SUR HERN REP 3X6IN RECTANG SFT POLYPR PROL N ABSRB,745.32,745.32,,,0
HCPCS,C1781,452 : MESH SURG 3X6IN MARLEX,271.92,271.92,,,0
HCPCS,C1781,541392 : IMPLANT GYN SYN 4CM X 22CM MESH FOR SACROCOLPOPEXY VERTESSA,2784.67,2784.67,,,0
HCPCS,C1781,62900 : MESH HERN VENTRAL REP MD DIA2 1-2IN CIR POLYPR VENTRALEX,1907.52,1907.52,,,0
HCPCS,C1781,67488 : MESH HERN W6XL8IN POLYPR BIORESORBABLE HYDRGEL SEPRAMESH,2419.68,2419.68,,,0
HCPCS,C1781,87876 : PATCH HERN LG DIA3.2IN WHT POLYPR MFIL EPTFE MESH CIR,2122.8,2122.8,,,0
HCPCS,C1781,GORE TEX SOFT TISSUE PATCH,2623.2,2623.2,,,0
HCPCS,C1781,GRAFT 2MM 1315020020,4771.2,4771.2,,,0
HCPCS,C1781,IMPLANT BIO TISS 1X8CM PTCH VASC BOV PERICARD,359.83,359.83,,,0
HCPCS,C1781,IMPLANT GYN SYN 4CM X 22CM MESH FOR SACROCOLPOPEXY VERTESSA,2109.6,2109.6,,,0
HCPCS,C1781,LAPAROSCOPIC SELF-FIXATING MESH 16 CM X 12 CM,1064.33,1064.33,,,0
HCPCS,C1781,MESH CRAN M 12 H SIL TI CNTOUR MAL FOR 1.5MM SCR MATRIXNEURO,895.1,895.1,,,0
HCPCS,C1781,MESH CRAN W100XL100MM THK0.4MM BLU TI RIG MATRIXNEURO,2419.2,2419.2,,,0
HCPCS,C1781,MESH CRAN W52XL52MM THK1MM CMF RESORB XG SM GRID RESRB,3458.4,3458.4,,,0
HCPCS,C1781,MESH GORE BIO A FLAT SHEET ABSORBABLE 20 CM X 30 CM,9487.2,9487.2,,,0
HCPCS,C1781,MESH HERN 12CM SYMBOTEX BIOABSRB FLM COMP,826.46,826.46,,,0
HCPCS,C1781,MESH HERN 30X30CM MACROPOROUS PARIETENE,236.74,236.74,,,0
HCPCS,C1781,MESH HERN 30X30CM WVN VCRL,2744.69,2744.69,,,0
HCPCS,C1781,MESH HERN 9CM SYMBOTEX BIOABSRB FLM COMP,602.62,602.62,,,0
HCPCS,C1781,MESH HERN L SFT TISS 4.5IN CIR PTCH POLYPR EPTFE VENTRIO,2047.2,2047.2,,,0
HCPCS,C1781,MESH HERN L15.2XW7.6CM POLYPR ABD ABSRB RECTANG SEPRAMESH IP,1147.92,1147.92,,,0
HCPCS,C1781,MESH HERN L20.3XW10.2CM POLYPR ABD ABSRB RECTANG SEPRAMESH,1784.88,1784.88,,,0
HCPCS,C1781,MESH HERN MD 1.3X1.55IN INGUINAL POLYPR MFIL REP PRESHAPED,722.64,722.64,,,0
HCPCS,C1781,MESH HERN MD W8.5XL13.7CM R POLYPR 3D MAX,646.8,646.8,,,0
HCPCS,C1781,MESH HERN REP LG 1.6X 1.90IN POLYPR PERFIX,729.36,729.36,,,0
HCPCS,C1781,MESH HERN SFT TISS 10CM X 15CM 3D WHT MFIL POLY SYMBOTEX,826.46,826.46,,,0
HCPCS,C1781,MESH HERN SM DIA4.3CM VENTRAL POLYPR EPTFE CIR SELF EXPND,1456.08,1456.08,,,0
HCPCS,C1781,MESH HERN VENTRAL REP MD DIA2 1/2IN CIR POLYPR VENTRALEX,1907.52,1907.52,,,0
HCPCS,C1781,MESH HERN W1.8XL4IN INGUINAL POLYPR PRESHAPED SPERMATIC CRD,171.84,171.84,,,0
HCPCS,C1781,MESH HERN W10XL15CM POLY POLYLACTIC ACID 70% CLLGN 30% GLYC,704.57,704.57,,,0
HCPCS,C1781,MESH HERN W16XL12CM LAP MFIL POLY TEREPHTHALATE MFIL,1069.66,1069.66,,,0
HCPCS,C1781,MESH HERN W30XL30CM POLYGLACTIN 910 WVN KNIT VCRL,2613.74,2613.74,,,0
HCPCS,C1781,MESH HERN W6XL8IN POLYPR BIORESORBABLE HYDRGEL SEPRAMESH,2419.68,2419.68,,,0
HCPCS,C1781,MESH HERN W7XL10CM SYN TISS REINF BIOABSRB DISP BIO-A,1303.2,1303.2,,,0
HCPCS,C1781,MESH HERN W8XL12IN RECT SEPRAMESH IP COMP,4122.72,4122.72,,,0
HCPCS,C1781,MESH SUR HERN REP 3X6IN RECTANG POLYPR PROL N ABSRB,220.82,220.82,,,0
HCPCS,C1781,MESH SUR HERN REP 3X6IN RECTANG SFT POLYPR PROL N ABSRB,745.32,745.32,,,0
HCPCS,C1781,MESH SUR HERN REP EXT ONLAY 5.5X12.8CM UNDERLAY PTCH DIA10CM,948.86,948.86,,,0
HCPCS,C1781,MESH SUR INGUINAL HERN 15CM X 15CM SQ POLY PARIETENE NABSRB,359.78,359.78,,,0
HCPCS,C1781,MESH SUR INGUINAL HERN L 2.4IN X 5.4IN PRESHAPED W/ KEYHOLE,211.92,211.92,,,0
HCPCS,C1781,MESH SUR INGUINAL HERN L 4IN X 6IN L 3D POLYPR MFIL 3DMAX,689.28,689.28,,,0
HCPCS,C1781,MESH SUR INGUINAL HERN REP SM 1X1.35IN PLUG 3D POLYPR MFIL,702.96,702.96,,,0
HCPCS,C1781,MESH SURGICAL COMPOSITE 15CM SYMBOTEX,1081.8,1081.8,,,0
HCPCS,C1781,PATCH HERN LG DIA3.2IN WHT POLYPR MFIL EPTFE MESH CIR,1938.0,1938.0,,,0
HCPCS,C1781,PLATE BNE CRAN SM GRID 51MM X 51MM THCK 0.3MM MESH PLLA-PGA,3900.0,3900.0,,,0
HCPCS,C1781,PLUG  PERFIX HERNIA MED,712.99,712.99,,,0
HCPCS,C1781,PLUG HERN XL 1.6X2IN WHT INGUINAL POLYPR MFIL MESH PERFIX,840.96,840.96,,,0
HCPCS,C1781,RESORB XG STERILEMESH SMALL GRID51 X 51 MM T=0.6 MMPLLA-PGAQ,3900.0,3900.0,,,0
HCPCS,C1781,TI MATRIXNEURO PREFORMED MESH 109MM X 78MM FRONTAL-STERILE,5157.5,5157.5,,,0
HCPCS,C1781,TI MATRIXNEURO PREFORMED MESH 151MM X 125MM,8692.99,8692.99,,,0
HCPCS,C1781,TI MATRIXNEURO RECON MESH,4140.29,4140.29,,,0
HCPCS,C1783,112741 : VALVE GLCMA PLT W13.5XL17.1MM THK2.1MM TB L25.4MM MED GRD,3600.0,3600.0,,,0
HCPCS,C1783,418587 : TRABECULAR MICRO-BYPASS STENT SYSTEM 360 DIA. X 360 MM H TIT,5760.0,5760.0,,,0
HCPCS,C1783,TRABECULAR MICRO-BYPASS STENT SYSTEM 360 DIA. X 360 MM H TIT,5760.0,5760.0,,,0
HCPCS,C1783,VALVE GLCMA PLT W13.5XL17.1MM THK2.1MM TB L25.4MM MED GRD,3600.0,3600.0,,,0
HCPCS,C1784,ENROUTE TRANSCAROTID STENT SYSTEM,6600.0,6600.0,,,0
HCPCS,C1785,164006 : PACEMAKER CARD 2 CHMBR PROMRI EDORA 8 DR T HOME MON,17748.0,17748.0,,,0
HCPCS,C1785,370291 : PACEMAKER CARD 2 CHMBR AZURE XT DR MOD W1DR01 FOR 1.5T-3T,6960.0,6960.0,,,0
HCPCS,C1785,375432 : PACEMAKER 2 CHMBR ACCOLADE 4.45CM X 5.02CM 0.75CM MR COND,10176.0,10176.0,,,0
HCPCS,C1785,PACEMAKER 2 CHMBR ACCOLADE 4.45CM X 5.02CM 0.75CM MR COND,10176.0,10176.0,,,0
HCPCS,C1785,PACEMAKER 2 CHMBR ASSURITY MRI 10.4CC 50MM X 47MM THCK 6MM,9840.0,9840.0,,,0
HCPCS,C1785,PACEMAKER CARD 2 CHMBR AZURE XT DR MOD W1DR01 FOR 1.5T/3T,6960.0,6960.0,,,0
HCPCS,C1785,PACEMAKER CARD 2 CHMBR PROMRI EDORA 8 DR T HOME MON,17748.0,17748.0,,,0
HCPCS,C1786,145630 : PACEMAKER CARD 17.6CUCM W4.45XH6.17CM D0.75CM RA-RV IS1-LV,15009.6,15009.6,,,0
HCPCS,C1786,370292 : IPG W1SR1 AZURE XT SR MRI,6240.0,6240.0,,,0
HCPCS,C1786,422179 : SYSTEM PACEMKR 2 CHMBR LEADLESS MICRA AV2,29328.0,29328.0,,,0
HCPCS,C1786,422180 : SYSTEM PACEMKR SGL CHMBR LEADLESS MICRA VR2,22584.0,22584.0,,,0
HCPCS,C1786,451348 : PACEMAKER CARD AZURE S SR MRI SURESCAN MOD 3SR01 50.8MM X,5760.0,5760.0,,,0
HCPCS,C1786,ASSURITY MRI PACEMAKER SR - RF,8443.2,8443.2,,,0
HCPCS,C1786,IPG W1SR1 AZURE XT SR MRI,6240.0,6240.0,,,0
HCPCS,C1786,MICRA AV MC1AVR1,27000.0,27000.0,,,0
HCPCS,C1786,PACEMAKER CARD 17.6CUCM W4.45XH6.17CM D0.75CM RA/RV IS1-LV,15009.6,15009.6,,,0
HCPCS,C1786,PACEMAKER CARD AZURE S SR MRI SURESCAN MOD 3SR01 50.8MM X,5760.0,5760.0,,,0
HCPCS,C1786,PACEMAKER INSIGNIA PLUS SR,12960.0,12960.0,,,0
HCPCS,C1786,SYSTEM PACEMKR 2 CHMBR LEADLESS MICRA AV2,29328.0,29328.0,,,0
HCPCS,C1786,SYSTEM PACEMKR SGL CHMBR LEADLESS MICRA VR2,22584.0,22584.0,,,0
HCPCS,C1787,408807 : PROGRAMMER DBS FOR PERCEPT PC NEUROSTIM,3594.89,3594.89,,,0
HCPCS,C1787,412526 : SLEEP REMOTE,3360.0,3360.0,,,0
HCPCS,C1787,546564 : KIT PT CTRL DBS VERCISE,3360.0,3360.0,,,0
HCPCS,C1787,KIT PT REMOT 2500 OMNIA,2400.0,2400.0,,,0
HCPCS,C1787,M365DB55900 - DB-5590 - CONTROLLER PATIENT KIT,3360.0,3360.0,,,0
HCPCS,C1787,MAGNET PT PRGMR FOR PROCLAIM SYS,0.01,0.01,,,0
HCPCS,C1787,SLEEP REMOTE,3360.0,3360.0,,,0
HCPCS,C1788,117769 : PORT INFUS 6FR L45CM POLYUR CATH SLIM TI SL NONFILLED LP,1638.0,1638.0,,,0
HCPCS,C1788,12012 : PORT HICKMAN PLAST. 60266,1058.4,1058.4,,,0
HCPCS,C1788,15451 : PORT HICKMAN 9.6FR 60223,1025.64,1025.64,,,0
HCPCS,C1788,157589 : PORT MID SIZED 6.6FR ATTCH TRINIFLEX CATH DIGNITY,405.6,405.6,,,0
HCPCS,C1788,22465 : PORT INFUS CATH 6.6FR TI SL PEEL APART PERC INTRO SYS,1025.64,1025.64,,,0
HCPCS,C1788,421504 : PORT PWR INJ W- PRE ATTCH CATH AND MICROSTICK INTRO KT TI ST,540.0,540.0,,,0
HCPCS,C1788,479901 : 6.6F T-PORT HP PUR KT,1476.0,1476.0,,,0
HCPCS,C1788,534439 : PORT W- 6.6FR PRE ATTCH POLYUR CATH AND SIL FILL SUT H MID,420.0,420.0,,,0
HCPCS,C1788,534448 : PORT INFUS OD8FR MID SIZED ATTCH CATH DIGNITY TRINIFLEX,912.0,912.0,,,0
HCPCS,C1788,6.6F T-PORT HP PUR KT,1476.0,1476.0,,,0
HCPCS,C1788,64120 : PORT INFUS VORT LP 2 TI 11.4FR TAPR BAYNT LOK MECHANISM,1142.16,1142.16,,,0
HCPCS,C1788,8F PLASTIC PRO-FUSE CT PORT WATTACHABLE CHRONOFLEX POLYURETH,576.0,576.0,,,0
HCPCS,C1788,8FR PROFUSE  CT PORT,888.0,888.0,,,0
HCPCS,C1788,CATH HICKMAN PORT TIT 0606100,1106.28,1106.28,,,0
HCPCS,C1788,GENERATOR PLSE 13.97CUCM H1.52XL1.89IN THK0.9CM TWO 5N 8 CHN,44400.0,44400.0,,,0
HCPCS,C1788,HC DAVOL PORT 6/6,1025.64,1025.64,,,0
HCPCS,C1788,HC DAVOL PORT LOW PROFILE,1131.48,1131.48,,,0
HCPCS,C1788,PORT DEVICE WITH 6.6 FR. CATHETER,568.8,568.8,,,0
HCPCS,C1788,PORT HICKMAN 6.6FR 60229,1131.48,1131.48,,,0
HCPCS,C1788,PORT HICKMAN 9.6FR 60223,1025.64,1025.64,,,0
HCPCS,C1788,PORT INFUS 6FR L45CM POLYUR CATH SLIM TI SL NONFILLED LP,1638.0,1638.0,,,0
HCPCS,C1788,PORT INFUS CATH 6.6FR TI SL PEEL APART PERC INTRO SYS,1025.64,1025.64,,,0
HCPCS,C1788,PORT INFUS OD8FR MID SIZED ATTCH CATH DIGNITY TRINIFLEX,912.0,912.0,,,0
HCPCS,C1788,PORT INFUS SL LP TI 6.6FR PREATTACH SIL CATH INTMED KT OPN,1116.36,1116.36,,,0
HCPCS,C1788,PORT INFUS VORT LP 2 TI 11.4FR TAPR BAYNT LOK MECHANISM,1142.16,1142.16,,,0
HCPCS,C1788,PORT MID SIZED 6.6FR ATTCH TRINIFLEX CATH DIGNITY,405.6,405.6,,,0
HCPCS,C1788,PORT W/ 6.6FR PRE ATTCH POLYUR CATH AND SIL FILL SUT H MID,420.0,420.0,,,0
HCPCS,C1788,POWERPORT IMPLANTABLE PORT 9.6F OPEN ENDED SINGLE LUMEN VENOUS CATHETER,1549.8,1549.8,,,0
HCPCS,C1788,RES ONLY-KIT EXTENSION 8 CONTACT LEAD 55CM,840.0,840.0,,,0
HCPCS,C1789,137306 : IMPLANT BRST 350CC 11.7CM 4.8CM PROJCT HI PROF SMTH COHESIVE,1860.0,1860.0,,,0
HCPCS,C1789,369831 : IMPLANT BRST 385CC DIA13.9CM P3.3CM SIL GEL SMTH RND MOD,1860.0,1860.0,,,0
HCPCS,C1789,383501 : IMPLANT BRST 595CC DIA16.1CM P3.8CM SIL COHESIVE GEL SMTH,1860.0,1860.0,,,0
HCPCS,C1789,383545 : IMPLANT BRST 790CC DIA14.8CM P6.7CM SIL GEL SMTH RND HI PROF,2280.0,2280.0,,,0
HCPCS,C1789,4 PLUS SMOOTH TISSUE EXPANDER,3000.0,3000.0,,,0
HCPCS,C1789,412486 : EXPANDER BRST TISS 275CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
HCPCS,C1789,412487 : EXPANDER BRST TISS 350CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
HCPCS,C1789,412488 : EXPANDER BRST TISS 450CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
HCPCS,C1789,412489 : EXPANDER BRST TISS 550CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
HCPCS,C1789,412490 : EXPANDER BRST TISS 650CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
HCPCS,C1789,418550 : IMPLANT BREAST 700CC ROUND SMOOTH MHP MEMORYGEL XTRA,2280.0,2280.0,,,0
HCPCS,C1789,418971 : IMPLANT BRST 290CC 11.4CM 3.9CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
HCPCS,C1789,430766 : IMPLANT BRST 210CC 10.3CM 3.5CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
HCPCS,C1789,430774 : IMPLANT BRST 530CC 13.9CM 4.7CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
HCPCS,C1789,430775 : IMPLANT BRST 545CC 14.1CM 4.8CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
HCPCS,C1789,9989517-045 MENTOR,3000.0,3000.0,,,0
HCPCS,C1789,EXPANDER BRST TISS 275CC SIL ELASTMR M HT SMTH INTEGR INJ,3000.0,3000.0,,,0
HCPCS,C1789,FLORA TISS EXP SMOOTHSILKMOTIVA FLORA SMOOTHSILK TISS EXP,4320.0,4320.0,,,0
HCPCS,C1789,IMPLANT BREAST 210CC ROUND SMOOTH MHP MEMORYGEL XTRA,2280.0,2280.0,,,0
HCPCS,C1789,IMPLANT BRST 125CC P2.8CM DIA8.9CM GEL FILL MOD + PROF SMTH,1860.0,1860.0,,,0
HCPCS,C1789,IMPLANT BRST 265CC 11.2CM 3.6CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
HCPCS,C1789,IMPLANT BRST 270CC DIA11.4CM P3.8CM SIL GEL RND MOD + PROF,2280.0,2280.0,,,0
HCPCS,C1789,IMPLANT BRST 300CC 11.1CM 4.5CM PROJCT RND HI PROF SMTH,1860.0,1860.0,,,0
HCPCS,C1789,IMPLANT BRST 370CC DIA12.6CM P4.1CM SIL GEL RND MOD + PROF,2280.0,2280.0,,,0
HCPCS,C1789,IMPLANT BRST 390CC 12.7CM 4.1CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
HCPCS,C1789,IMPLANT BRST 415CC DIA11.5CM P5.8CM SIL COHESIVE GEL SMTH,2280.0,2280.0,,,0
HCPCS,C1789,IMPLANT BRST 425CC DIA13.5CM P4.1CM SIL GEL SMTH RND HI PROF,1860.0,1860.0,,,0
HCPCS,C1789,IMPLANT BRST 450CC 13.2CM 4.5CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
HCPCS,C1789,IMPLANT BRST 465CC DIA13.3CM P4.7CM SIL GEL RND MOD + PROF,2280.0,2280.0,,,0
HCPCS,C1789,IMPLANT BRST 480CC 13.4CM 4.6CM PROJCT MOD + PROF SMTH SIL,2520.0,2520.0,,,0
HCPCS,C1789,IMPLANT BRST 490CC 12.5CM 5.8CM PROJCT RND HI PROF SMTH SIL,2280.0,2280.0,,,0
HCPCS,C1789,IMPLANT BRST 520CC 12.3CM 6CM PROJCT HI PROF SMTH SIL GEL,2520.0,2520.0,,,0
HCPCS,C1789,IMPLANT BRST 525CC DIA14.3CM P4.4CM COHESIVE I SIL GEL SMTH,1860.0,1860.0,,,0
HCPCS,C1789,IMPLANT BRST 545CC DIA14CM P4.9CM SIL GEL RND MOD + PROF,2280.0,2280.0,,,0
HCPCS,C1789,IMPLANT BRST 585CC 12.8CM 6.3CM PROJCT HI PROF SMTH SIL GEL,2520.0,2520.0,,,0
HCPCS,C1789,IMPLANT BRST 650CC DIA15.4CM P4.7CM SIL GEL SMTH RND MOD +,1860.0,1860.0,,,0
HCPCS,C1789,IMPLANT BRST 700CC DIA14.1CM P6.5CM SIL GEL SMTH RND HI PROF,2280.0,2280.0,,,0
HCPCS,C1789,IMPLANT BRST 740CC 14.1CM 6.6CM PROJCT HI PROF SMTH SIL GEL,2520.0,2520.0,,,0
HCPCS,C1789,IMPLANT BRST 790CC DIA14.8CM P6.7CM SIL GEL SMTH RND HI PROF,2280.0,2280.0,,,0
HCPCS,C1789,IMPLANT BRST 800ML 14.1CM 6.7CM PROJCT SIL GEL FILL SMTH RND,1860.0,1860.0,,,0
HCPCS,C1789,MEMORY GEL XTRA BREAST IMPLANT SMOOTH MODERATE HIGH PROFILE XTRA SILICONE GEL-FILLED BREAST IMPLANT,2280.0,2280.0,,,0
HCPCS,C1789,MEMORYGEL SMOOTH ROUND ULTRA H,1860.0,1860.0,,,0
HCPCS,C1789,MENTOR BREAST IMPLANT,1860.0,1860.0,,,0
HCPCS,C1789,"MENTOR CPX 4 PLUS, SMOOTH, MEDIUM HEIGHT",3000.0,3000.0,,,0
HCPCS,C1789,MENTOR MEMORY GEL BOOST BREAST IMPLANT,2520.0,2520.0,,,0
HCPCS,C1789,MENTOR MEMORY GEL SMOOTH MODERATE HIGH PROFILE BREAST IMPLANT 545CC,2520.0,2520.0,,,0
HCPCS,C1789,MENTOR MEMORYGEL BOOST SMOOTH MODERATE HIGH BREAST IMPLANT,2520.0,2520.0,,,0
HCPCS,C1789,MENTORCPX 4PLUS SMOOTH MEDIUM EXPANDER,3000.0,3000.0,,,0
HCPCS,C1789,MENTORY MEMORY GEL BOOST BREAST IJM,2520.0,2520.0,,,0
HCPCS,C1789,SMOOTH BREAST TISSUE EXPANDER,3000.0,3000.0,,,0
HCPCS,C1789,SMOOTH MOD HI PROF BST 470CC,2520.0,2520.0,,,0
HCPCS,C1789,TISSUE EXPANDER,3000.0,3000.0,,,0
HCPCS,C1813,139172 : RESERVOIR PENILE PROS 125CC CLVRLF W- LOK OUT VLV TI,6993.6,6993.6,,,0
HCPCS,C1813,139172 : TITAN CLOVERLEAF RESERVOIR WITH LOCK-OUT VALVE 125CC,6333.6,6333.6,,,0
HCPCS,C1813,139173 : CYLINDER SCORTAL ZERO DEGREE ANGLE,31836.0,31836.0,,,0
HCPCS,C1813,139173 : TITAN TOUCH SCROTAL ZERO ANGLE 22CM,28836.0,28836.0,,,0
HCPCS,C1813,140580 : PROSTHESIS PENILE 20CM 0 DEG PS INFL SLF CONTAINED CYL FLD,20678.4,20678.4,,,0
HCPCS,C1813,140605 : TITAN TOUCH SCROTAL ZERO ANGLE 18CM,28836.0,28836.0,,,0
HCPCS,C1813,18 CM CYLINDER WITH PUMP,34065.6,34065.6,,,0
HCPCS,C1813,534567 : KIT PENILE PROS ASSEMB HYDRPHLC INFL 2 PMP DSGN SFT MOLD TIP,2155.2,2155.2,,,0
HCPCS,C1813,534567 : TITAN ASSEMBLY KIT,1884.0,1884.0,,,0
HCPCS,C1813,546892 : SET PENILE PROS TI PS CYL W/ TCH PMP,28836.0,28836.0,,,0
HCPCS,C1813,ASSEMBLY KIT,2155.2,2155.2,,,0
HCPCS,C1813,CX PRECONNECT MS 24CM PS 14CM TL IZ,25668.24,25668.24,,,0
HCPCS,C1813,CYLINDER SCORTAL ZERO DEGREE ANGLE,31836.0,31836.0,,,0
HCPCS,C1813,CYLINDER SET- ZERO ANGLE,10336.8,10336.8,,,0
HCPCS,C1813,KIT PENILE PROS ASSEMB HYDRPHLC INFL 2 PMP DSGN SFT MOLD TIP,2155.2,2155.2,,,0
HCPCS,C1813,PROSTHESIS PENILE 100ML PC INHIBZN RESVR MS SER AMS 700,6556.37,6556.37,,,0
HCPCS,C1813,PROSTHESIS PENILE 20CM 0 DEG PS INFL SLF CONTAINED CYL FLD,20678.4,20678.4,,,0
HCPCS,C1813,PROSTHESIS PENILE L18CM 0DEG PS BIOFLX HYDRPHLC 3 PC INFL,29752.8,29752.8,,,0
HCPCS,C1813,PROSTHESIS PENILE L21CM DIA12MM PS INHIBZN 2 CTRL EXP CYL 1,25668.24,25668.24,,,0
HCPCS,C1813,PROSTHESIS PENILE L23CM DIA9.5MM HYDRPHLC MAL TAIL CAP TRIM,27698.4,27698.4,,,0
HCPCS,C1813,TOUCH PUMP,12568.8,12568.8,,,0
HCPCS,C1814,19148 : VISCOELASTIC AGNT 8.5ML PURIFY POLYDIMETHYLSILOXANE OPHTH VI,1008.82,1008.82,,,0
HCPCS,C1814,VISCOELASTIC AGNT 8.5ML PURIFY POLYDIMETHYLSILOXANE OPHTH VI,1008.82,1008.82,,,0
HCPCS,C1815,109231 : PUMP URIN CTRL SYS W- INHIBZN ANTIBIO SURF TREAT IZ AMS 800,18264.0,18264.0,,,0
HCPCS,C1815,109232 : CUFF PENILE ARTFCL URIN SPHIN AMS 800,18960.0,18960.0,,,0
HCPCS,C1815,62577 : REGULATOR PRSS 61-70CM H2O BLLN AMS 800 ARTFCL URIN SPHIN,8688.0,8688.0,,,0
HCPCS,C1815,CUFF OCCL 5CM W/ INHIBZN FOR AMS 800 URIN CTRL SYS,16685.76,16685.76,,,0
HCPCS,C1815,CUFF PENILE ARTFCL URIN SPHIN AMS 800,18960.0,18960.0,,,0
HCPCS,C1815,CUFF URETH W/ INHIBZN AMS 800 ARTFCL URIN SPHIN,16685.76,16685.76,,,0
HCPCS,C1815,PUMP URIN CTRL SYS W/ INHIBZN ANTIBIO SURF TREAT IZ AMS 800,18264.0,18264.0,,,0
HCPCS,C1815,REGULATOR PRSS 61-70CM H2O BLLN AMS 800 ARTFCL URIN SPHIN,8688.0,8688.0,,,0
HCPCS,C1817,105879 : AMPLATZER DUCT OCCLUDER 10-8MM,10332.0,10332.0,,,0
HCPCS,C1817,18MM X 18MM TALISMAN PFO DEVICE,23988.0,23988.0,,,0
HCPCS,C1817,35MM X 25MM TALISMAN PFO DEVICE,23988.0,23988.0,,,0
HCPCS,C1817,413366 : OCCLUDER CV R-L ATR DISC DIA25X18MM RECOMMENDED SHTH 8FR,23988.0,23988.0,,,0
HCPCS,C1817,413367 : OCCLUDER CV R-L ATR DISC DIA30X25MM RECOMMENDED SHTH 9FR,23988.0,23988.0,,,0
HCPCS,C1817,413368 : 35MM X 25MM TALISMAN PFO DEVICE,23988.0,23988.0,,,0
HCPCS,C1817,44773 : AMPLATZER SEPTAL OCCLUDER,15895.2,15895.2,,,0
HCPCS,C1817,AMPLATZER SEPTAL OCCLUDER,15895.2,15895.2,,,0
HCPCS,C1817,OCCLUDER CV R/L ATR DISC DIA25X18MM RECOMMENDED SHTH 8FR,23988.0,23988.0,,,0
HCPCS,C1820,480291 : VERCISE GENUS P32 IPG KIT,58080.0,58080.0,,,0
HCPCS,C1820,547088 : SYSTEM SPNL CRD STIM RECHRG W/ ADAPTIVESTIM INTELLIS PRO,45621.6,45621.6,,,0
HCPCS,C1820,ABBOTT ETERNA IMPLANTABLE PULSE GENERATOR,44400.0,44400.0,,,0
HCPCS,C1820,ETERNA,44400.0,44400.0,,,0
HCPCS,C1820,GENERATOR NEUROSTIM 45 GM 28ML 55MM X 60MM THCK 11MM SGL CHN,19720.8,19720.8,,,0
HCPCS,C1820,GENERATOR PLSE W5.55XH4.95CM THK1.34CM 48.9GM 30.4CUCM C,39979.2,39979.2,,,0
HCPCS,C1820,INS B35300 DBS PERCEPT RC US EMANUAL,61158.24,61158.24,,,0
HCPCS,C1820,WAVE WRITER ALPHA PULSE GENERATOR,43200.0,43200.0,,,0
HCPCS,C1822,414660 : KIT IMPL PLSE GENRTR SENZA II,84000.0,84000.0,,,0
HCPCS,C1822,KIT IMPL PLSE GENRTR SENZA II,84000.0,84000.0,,,0
HCPCS,C1822,KIT NEUROSTIM CHRG OMNIA,2400.0,2400.0,,,0
HCPCS,C1822,SC-1232 - IMPLANTABLE PULSE GENERATOR KIT,43200.0,43200.0,,,0
HCPCS,C1826,ABBOTT IMPLANTABLE PULSE GENERATOR,42000.0,42000.0,,,0
HCPCS,C1832,414811 : RECELL,16500.0,16500.0,,,0
HCPCS,C1832,RECELL,16500.0,16500.0,,,0
HCPCS,C1874,"""LIFESTREAM BALLOON EXPANDABLE VASCULAR COVERED STENT - 10 M",5520.0,5520.0,,,0
HCPCS,C1874,103055 : VIABAHN STENT 8 X 5 X 120,7903.2,7903.2,,,0
HCPCS,C1874,103056 : VIABAHN STENT 8 X 10 X 120,8736.0,8736.0,,,0
HCPCS,C1874,103096 : ATRIUM ICAST COVERED STENT 8 X 59 X 120,6193.8,6193.8,,,0
HCPCS,C1874,105115 : STENT TRACHBRONCH L22CM DIA7CM CATH L80CM PTFE SELF EXPND,5613.48,5613.48,,,0
HCPCS,C1874,108175 : GRAFT EVAR TIP 8-10MM LN 7CM UNLINED 2CM HEMSTAT INTRO SHTH,12828.0,12828.0,,,0
HCPCS,C1874,112707 : GRAFT EVAR L82MM DIA28MM SHTH OD7.7MM ID6.7MM HYDRPHLC BIFUR,25459.2,25459.2,,,0
HCPCS,C1874,112708 : ZENITH GRAFT TFFB-28-96-ZT,25459.2,25459.2,,,0
HCPCS,C1874,112767 : STENT BILI L60MM DIA10MM CATH 8.5FR WRK L194CM 0.035IN,7979.28,7979.28,,,0
HCPCS,C1874,114511 : STENT BILI L60MM DIA10MM CVR L48MM CATH L194CM 8.5FR 0.035IN,7632.36,7632.36,,,0
HCPCS,C1874,115207 : STENT ES L10CM DIA18MM CATH 18.5FR L120CM MTL PERMALUME FULL,7696.18,7696.18,,,0
HCPCS,C1874,115208 : STENT ES L12.3CM DIA18MM CATH 18.5FR L78CM FLARE DIA25X23MM,7696.18,7696.18,,,0
HCPCS,C1874,115210 : STENT ES L10.5CM DIA23MM CATH 18.5FR L78CM FLARE DIA28X28MM,7696.18,7696.18,,,0
HCPCS,C1874,115211 : STENT ES L12.5CM DIA23MM CATH 18.5FR L78CM FLARE DIA28X28MM,7696.18,7696.18,,,0
HCPCS,C1874,115212 : STENT ES L15CM DIA23MM FLARE DIA28X28MM CATH DIA6.17MM SYS,7696.18,7696.18,,,0
HCPCS,C1874,123276 : GRAFT EVAR 5MM X 5CM CATH 6FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
HCPCS,C1874,123277 : GRAFT EVAR 5MM X 10CM CATH 6FR X 120CM GWIRE 0.035IN,9000.0,9000.0,,,0
HCPCS,C1874,123279 : STENT VIABAHN 6.0MM X 2.5CM .018,7984.8,7984.8,,,0
HCPCS,C1874,123280 : GRAFT EVAR 6MM X 5CM CATH 6FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
HCPCS,C1874,123281 : GRAFT EVAR 6MM X 10CM CATH 6FR X 120CM GWIRE 0.035IN,9000.0,9000.0,,,0
HCPCS,C1874,123282 : STENT VIABAHN 6.0MM X 15.0CM .018,10084.8,10084.8,,,0
HCPCS,C1874,123284 : GRAFT EVAR 7MM X 5CM CATH 7FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
HCPCS,C1874,125645 : ZENITH FLEX WITH SPIRAL-Z TECHNOLOGY AAA ENDOVASCULAR GRAFT,10627.2,10627.2,,,0
HCPCS,C1874,125647 : ZENITH FLEX WITH SPIRAL-Z TECHNOLOGY AAA ENDOVASCULAR GRAFT,10627.2,10627.2,,,0
HCPCS,C1874,125651 : GRAFT EVAR AAA IL LEG 20MM X 74MM INTRO SHTH OD5.4MM ID4.7MM,10627.2,10627.2,,,0
HCPCS,C1874,125656 : GRAFT EVAR AAA IL LEG 24MM X 90MM INTRO SHTH OD5.4MM ID4.7MM,10627.2,10627.2,,,0
HCPCS,C1874,127304 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 6.0 MM X 8,1680.0,1680.0,,,0
HCPCS,C1874,138810 : STENT ENDOPROS L25CM DIA5MM CATH 6FR L120CM 0.018-0.014IN,16620.0,16620.0,,,0
HCPCS,C1874,138811 : STENT VIABAHN 6X25X120,16214.4,16214.4,,,0
HCPCS,C1874,156358 : STENT RONYX4526UX RESOLUTE ONYX 4.5X26,960.0,960.0,,,0
HCPCS,C1874,156394 : STENT RONYX312W RESOLUTE ONYX 3.X12,960.0,960.0,,,0
HCPCS,C1874,2.25MM X 15MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
HCPCS,C1874,2.25MM X 23MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
HCPCS,C1874,2.50MM X 38MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
HCPCS,C1874,2.75MM X 18MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
HCPCS,C1874,3.00MM X 33MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
HCPCS,C1874,360178 : LIFESTREAM BALLOON EXPANDABLE VASCULAR COVERED STENT - 7 MM,5520.0,5520.0,,,0
HCPCS,C1874,360183 : LIFESTREAM BALLOON EXPANDABLE VASCULAR COVERED STENT - 8 MM,5520.0,5520.0,,,0
HCPCS,C1874,360185 : STENT PERIPH L58MM DIA9MM CATH L80CM 0.035IN VASC SS EPTFE,5520.0,5520.0,,,0
HCPCS,C1874,360195 : LIFESTREAM BALLOON EXPANDABLE VASCULAR COVERED STENT - 7 MM,5040.0,5040.0,,,0
HCPCS,C1874,360937 : VIABAHNBX 5MMX59MMX135CM CATH,8080.8,8080.8,,,0
HCPCS,C1874,360939 : VIABAHNBX 5MMX79MMX135CM CATH,8548.8,8548.8,,,0
HCPCS,C1874,360949 : VIABAHNBX 6MMX59MMX135CM CATH,7766.4,7766.4,,,0
HCPCS,C1874,360959 : GRAFT ENDOPROS STNT AORTOILIAC L39MM DIA7MM VIABAHN VBX SS,8080.8,8080.8,,,0
HCPCS,C1874,360961 : GRAFT ENDOPROS STNT AORTOILIAC L59MM DIA7MM VIABAHN VBX SS,8080.8,8080.8,,,0
HCPCS,C1874,360963 : GRAFT ENDOPROS STNT AORTOILIAC L79MM DIA7MM VIABAHN VBX SS,8889.6,8889.6,,,0
HCPCS,C1874,360967 : GRAFT EVAR STNT L39MM DIA8-11MM CATH L135CM INTRO SHTH 7FR,8080.8,8080.8,,,0
HCPCS,C1874,360969 : GRAFT EVAR STNT L59MM DIA8-11MM CATH L135CM INTRO SHTH 7FR,8080.8,8080.8,,,0
HCPCS,C1874,360971 : VIABAHNBX 8MMX79MMX135CM CATH,8548.8,8548.8,,,0
HCPCS,C1874,360975 : VIABAHNBX 9MMX39MMX135CM CATH,8080.8,8080.8,,,0
HCPCS,C1874,360977 : VIABAHNBX 9MMX59MMX135CM CATH,8080.8,8080.8,,,0
HCPCS,C1874,360979 : VIABAHNBX 9MMX79MMX135CM CATH,8548.8,8548.8,,,0
HCPCS,C1874,360991 : GRAFT EVAR STNT 11-16MM X 39MM CATH 135CM INTRO SHTH 8FR,8080.8,8080.8,,,0
HCPCS,C1874,360995 : VIABAHNBX 11MMX79MMX135CM CATH,8548.8,8548.8,,,0
HCPCS,C1874,360997 : VIABAHNBX 8MMX29MMX135CM CATH,7766.4,7766.4,,,0
HCPCS,C1874,360999 : VIABAHNBX 8MMX39MMX135CM CATH,7766.4,7766.4,,,0
HCPCS,C1874,361001 : VIABAHNBX 8MMX59MMX135CM CATH,7766.4,7766.4,,,0
HCPCS,C1874,368175 : AXIOS ELECTROCAUTERYENHANCED 15MMX10MM,15456.0,15456.0,,,0
HCPCS,C1874,390824 : STENT GRFT FEN 34X107,31144.8,31144.8,,,0
HCPCS,C1874,390830 : GRAFT EVAR STNT AAA IPSILATERAL LEG DIA12MM DST LEG L28MM,10684.8,10684.8,,,0
HCPCS,C1874,4.00MM X 18MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,1320.0,1320.0,,,0
HCPCS,C1874,407488 : STENT VASC L120MM DIA7MM CATH L130CM SHTH 6FR DRG ELUT,6720.0,6720.0,,,0
HCPCS,C1874,407577 : STENT GI FLNG DIA29MM LUMN DIA20MM SADL L10MM CATH 10.8FR,17001.6,17001.6,,,0
HCPCS,C1874,410927 : GRAFT EVAR 9MM X 5CM CATH 8FR X 120CM GWIRE 0.035IN,7903.2,7903.2,,,0
HCPCS,C1874,410929 : GRAFT EVAR 9MM X 10CM CATH 8FR X 120CM GWIRE 0.035IN,8736.0,8736.0,,,0
HCPCS,C1874,411989 : 2.50MM X 38MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,960.0,960.0,,,0
HCPCS,C1874,412013 : 3.25MM X 38MM XIENCE SKYPOINT CORONARY STENT EVEROLIMUS ELUT,960.0,960.0,,,0
HCPCS,C1874,412021 : STENT COR DRG ELUT XIENCE SKYPOINT DIA3.5MM L38MM EVEROLIMUS,960.0,960.0,,,0
HCPCS,C1874,412500 : STENT COR DRG ELUT SYNERGY XD DIA3MM L48MM EVEROLIMUS COAT,2160.0,2160.0,,,0
HCPCS,C1874,412501 : STENT COR DRG ELUT SYNERGY XD DIA3.5MM L48MM EVEROLIMUS COAT,2160.0,2160.0,,,0
HCPCS,C1874,412502 : STENT COR DRG ELUT SYNERGY XD DIA4MM L48MM EVEROLIMUS COAT,2880.0,2880.0,,,0
HCPCS,C1874,414870 : STENT COR DRG ELUT ONYX FRONTIER 2MM X 8MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414872 : STENT COR DRG ELUT ONYX FRONTIER 2MM X 15MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414875 : STENT COR DRG ELUT ONYX FRONTIER 2MM X 26MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414878 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 12MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414879 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 15MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414880 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 18MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414881 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 22MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414882 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 26MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414885 : STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 38MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414886 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 8MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414887 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 12MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414888 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 15MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414889 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 18MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414890 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 22MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414891 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 26MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414892 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 30MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414893 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 34MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414894 : STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 38MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414895 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 8MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414897 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 15MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414898 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 18MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414899 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 22MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414900 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 26MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414901 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 30MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414902 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 34MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414903 : STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 38MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414904 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 8MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414905 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 12MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414906 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 15MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414907 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 18MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414908 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 22MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414909 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 26MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414910 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 30MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414911 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 34MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414912 : STENT COR DRG ELUT ONYX FRONTIER 3MM X 38MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414913 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 8MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414914 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 12MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414915 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 15MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414916 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 18MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414917 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 22MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414918 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 26MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414919 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 30MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414920 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 34MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414921 : STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 38MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414922 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 8MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414923 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 12MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414924 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 15MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414925 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 18MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414926 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 22MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414927 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 26MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414928 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 30MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414929 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 34MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414930 : STENT COR DRG ELUT ONYX FRONTIER 4MM X 38MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414931 : STENT COR DRG ELUT ONYX FRONTIER 4.5MM X 12MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414932 : STENT COR DRG ELUT ONYX FRONTIER 4.5MM X 15MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414933 : STENT COR DRG ELUT ONYX FRONTIER 4.5MM X 18MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414934 : STENT COR DRG ELUT ONYX FRONTIER 4.5MM X 22MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,414937 : STENT COR DRG ELUT ONYX FRONTIER 5MM X 12MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,414942 : STENT COR DRG ELUT ONYX FRONTIER 5MM X 30MM ZOTAROLIMUS COAT,960.0,960.0,,,0
HCPCS,C1874,420086 : GRAFT EVAR STNT L12CM DIA23X14.5MM RECOMMENDED INTRO SHTH,30290.4,30290.4,,,0
HCPCS,C1874,420089 : GRAFT ENDOPROS STNT AAA PROX L12CM DIA28.5MM LEG 14.5MM,30290.4,30290.4,,,0
HCPCS,C1874,420090 : GRAFT ENDOPROS STNT AAA PROX L14CM DIA32MM LEG 14.5MM,30290.4,30290.4,,,0
HCPCS,C1874,"42859 - ICAST COVERED STENT SYSTEM, 8MMX59MMX120CM",7773.84,7773.84,,,0
HCPCS,C1874,471828 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 3.5MM X,1020.0,1020.0,,,0
HCPCS,C1874,471851 : STENT COR SIROLIMUS DRG ELUT MT SYS 3MM X 26MM,1020.0,1020.0,,,0
HCPCS,C1874,471861 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 2.75MM,1020.0,1020.0,,,0
HCPCS,C1874,471863 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 3.5MM X,1020.0,1020.0,,,0
HCPCS,C1874,471864 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 4MM X 3,1020.0,1020.0,,,0
HCPCS,C1874,471865 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 2.5MM X,1020.0,1020.0,,,0
HCPCS,C1874,471866 : STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 2.75MM,1020.0,1020.0,,,0
HCPCS,C1874,541615 : GRAFT ENDOVASCULAR AAA COVERED ILIAC BRANCH 12MM X 45MM X 41 541615,31199.98,31199.98,,,0
HCPCS,C1874,546460 : STENT GI L15MM DIA15MM ELECTROCAUTERY ENH DEL SYS AXIOS 546460,17001.6,17001.6,,,0
HCPCS,C1874,ATRIUM ICAST STENT 6MMX22MMX80CM,5613.48,5613.48,,,0
HCPCS,C1874,AXIOS ELECTROCAUTERYENHANCED 10MMX10MM,15456.0,15456.0,,,0
HCPCS,C1874,BOSTON SCIENTIFIC WALLFLEX ESOPHAGEAL,7696.18,7696.18,,,0
HCPCS,C1874,ENDOMAXX OTW FULLY COVERED ESOPHAGEAL STENT 19MM X 100MM,6720.0,6720.0,,,0
HCPCS,C1874,GORE VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS 5MM X 79MM (6FR),8889.6,8889.6,,,0
HCPCS,C1874,GRAFT ENDOPROS L15CM DIA9MM CATH L120CM SHTH 8FR GWIRE,9888.0,9888.0,,,0
HCPCS,C1874,GRAFT ENDOPROS STNT AAA PROX L12CM DIA28.5MM LEG 14.5MM,30290.4,30290.4,,,0
HCPCS,C1874,GRAFT ENDOPROS STNT AAA PROX L14CM DIA32MM LEG 14.5MM,30290.4,30290.4,,,0
HCPCS,C1874,GRAFT ENDOPROS STNT AORTOILIAC L29MM DIA7MM VIABAHN VBX SS,8080.8,8080.8,,,0
HCPCS,C1874,GRAFT ENDOPROS STNT AORTOILIAC L79MM DIA7MM VIABAHN VBX SS,8889.6,8889.6,,,0
HCPCS,C1874,GRAFT ENDOVASCULAR AAA COVERED ILIAC BRANCH 12MM X 45MM X 41MM ZENITH,31199.98,31199.98,,,0
HCPCS,C1874,GRAFT EVAR 5MM X 5CM CATH 6FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
HCPCS,C1874,GRAFT EVAR 6MM X 10CM CATH 6FR X 120CM GWIRE 0.035IN,9000.0,9000.0,,,0
HCPCS,C1874,GRAFT EVAR 6MM X 5CM CATH 6FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
HCPCS,C1874,GRAFT EVAR 7MM X 10CM CATH 7FR X 120CM GWIRE 0.035IN,9000.0,9000.0,,,0
HCPCS,C1874,GRAFT EVAR 7MM X 5CM CATH 7FR X 120CM GWIRE 0.035IN,8184.0,8184.0,,,0
HCPCS,C1874,GRAFT EVAR 9MM X 10CM CATH 8FR X 120CM GWIRE 0.035IN,8736.0,8736.0,,,0
HCPCS,C1874,GRAFT EVAR 9MM X 5CM CATH 8FR X 120CM GWIRE 0.035IN,7903.2,7903.2,,,0
HCPCS,C1874,GRAFT EVAR AAA IL LEG 13MM X 56MM INTRO SHTH OD5.4MM ID4.7MM,9586.42,9586.42,,,0
HCPCS,C1874,GRAFT EVAR L150MM DIA5MM CATH L120CM DIA6FR 0.035IN HEP,10084.8,10084.8,,,0
HCPCS,C1874,GRAFT EVAR L6CM DIA8-10MM INTRO 10FR BLLN DIA10MM GWIRE,12828.0,12828.0,,,0
HCPCS,C1874,GRAFT EVAR STNT 11-16MM X 39MM CATH 135CM INTRO SHTH 8FR,8080.8,8080.8,,,0
HCPCS,C1874,GRAFT EVAR STNT AAA IL LEG DIA16XL56MM ZENITH SPRL Z WVN,9586.42,9586.42,,,0
HCPCS,C1874,GRAFT EVAR STNT AAA IPSILATERAL LEG DIA12MM DST LEG L28MM,10684.8,10684.8,,,0
HCPCS,C1874,GRAFT EVAR STNT L12CM DIA20X14.5MM RECOMMENDED INTRO SHTH,30290.4,30290.4,,,0
HCPCS,C1874,GRAFT EVAR STNT L14CM DIA36X14.5MM RECOMMENDED INTRO SHTH,29844.0,29844.0,,,0
HCPCS,C1874,GRAFT EVAR STNT L39MM DIA8-11MM CATH L135CM INTRO SHTH 7FR,8080.8,8080.8,,,0
HCPCS,C1874,GRAFT EVAR STNT THOR PROX DIA36/32MM L161MM TAPR VES,38400.0,38400.0,,,0
HCPCS,C1874,GRAFT EVAR TIP 8-10MM LN 7CM UNLINED 2CM HEMSTAT INTRO SHTH,12828.0,12828.0,,,0
HCPCS,C1874,HC STUDY STENT NO CHARGE,0.01,0.01,,,0
HCPCS,C1874,ICAST COVERED STENT SYSTEM,7207.44,7207.44,,,0
HCPCS,C1874,ICAST STEN 5 X 22 X 120,5613.48,5613.48,,,0
HCPCS,C1874,ICAST STENT,6193.8,6193.8,,,0
HCPCS,C1874,PERCUFLEX PLUS,346.61,346.61,,,0
HCPCS,C1874,STENT BILI L40MM DIA10MM CATH 8.5FR WRK L194CM 0.035IN,7979.28,7979.28,,,0
HCPCS,C1874,STENT BILI L60MM DIA10MM CATH L75CM SHTH 9FR TRNSHEP,8400.0,8400.0,,,0
HCPCS,C1874,STENT BILI L60MM DIA10MM CVR L48MM CATH L194CM 8.5FR 0.035IN,7632.36,7632.36,,,0
HCPCS,C1874,STENT COR 5FR CVR PK PAPYRUS DIA3MM L15MM ELECTROSPUN POLYUR,8712.0,8712.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 12MM ZOTAROLIMUS,960.0,960.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 2.25MM X 22MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 2.5MM X 38MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 15MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 22MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 26MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 2.75MM X 38MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 15MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 18MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 22MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 3.5MM X 38MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 3MM X 12MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 3MM X 30MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 3MM X 34MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 3MM X 38MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 4.5MM X 26MM ZOTAROLIMUS,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 4MM X 12MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 4MM X 15MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 4MM X 18MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 4MM X 22MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT ONYX FRONTIER 4MM X 26MM ZOTAROLIMUS COAT,1212.0,1212.0,,,0
HCPCS,C1874,STENT COR DRG ELUT SYNERGY XD DIA2.75MM L48MM EVEROLIMUS,4200.0,4200.0,,,0
HCPCS,C1874,STENT COR DRG ELUT SYNERGY XD DIA3.5MM L12MM EVEROLIMUS COAT,3720.0,3720.0,,,0
HCPCS,C1874,STENT COR DRG ELUT SYNERGY XD DIA3.5MM L48MM EVEROLIMUS COAT,4200.0,4200.0,,,0
HCPCS,C1874,STENT COR DRG ELUT SYNERGY XD DIA3MM L12MM EVEROLIMUS COAT,3720.0,3720.0,,,0
HCPCS,C1874,STENT COR DRG ELUT SYNERGY XD DIA3MM L48MM EVEROLIMUS COAT,4200.0,4200.0,,,0
HCPCS,C1874,STENT COR DRG ELUT SYNERGY XD DIA4.5MM L32MM EVEROLIMUS COAT,3720.0,3720.0,,,0
HCPCS,C1874,STENT COR DRG ELUT SYNERGY XD DIA4MM L48MM EVEROLIMUS COAT,4200.0,4200.0,,,0
HCPCS,C1874,STENT COR DRG ELUT XIENCE SKYPOINT DIA2.25MM L8MM EVEROLIMUS,1320.0,1320.0,,,0
HCPCS,C1874,STENT COR DRG ELUT XIENCE SKYPOINT DIA3.25MM L28MM,960.0,960.0,,,0
HCPCS,C1874,STENT COR DRG ELUT XIENCE SKYPOINT DIA3.5MM L15MM EVEROLIMUS,1320.0,1320.0,,,0
HCPCS,C1874,STENT COR L16MM DIA2.5MM PLAT CHROM EVEROLIMUS ELUT BIOABSRB,3720.0,3720.0,,,0
HCPCS,C1874,STENT COR L48MM DIA2.5MM PLAT CHROM EVEROLIMUS ELUT BIOABSRB,4200.0,4200.0,,,0
HCPCS,C1874,STENT COR SIROLIMUS DRG ELUT MT SYS 2.25MM X 18MM,1020.0,1020.0,,,0
HCPCS,C1874,STENT COR ZOTAROLIMUS DRG ELUT SYS RX 2 25MM X 12MM RESOLUTE,960.0,960.0,,,0
HCPCS,C1874,STENT CORONARY SIROLIMUS DRUG ELUTING MOUNTED SYSTEM 2.5MM X,1020.0,1020.0,,,0
HCPCS,C1874,STENT ENDOPROS L2.5CM DIA7MM CATH 7FR L120CM 0.018/0.014IN,8184.0,8184.0,,,0
HCPCS,C1874,STENT ENDOPROS L25CM DIA5MM CATH 6FR L120CM 0.018/0.014IN,16620.0,16620.0,,,0
HCPCS,C1874,STENT ES L10.5CM DIA23MM CATH 18.5FR L78CM FLARE DIA28X28MM,7696.18,7696.18,,,0
HCPCS,C1874,STENT ES L12.5CM DIA23MM CATH 18.5FR L78CM FLARE DIA28X28MM,7696.18,7696.18,,,0
HCPCS,C1874,STENT ES L15.3CM DIA18MM CATH 18.5FR WRK L78CM 0.035IN GWIRE,7696.18,7696.18,,,0
HCPCS,C1874,STENT GI FLNG DIA29MM LUMN DIA20MM SADL L10MM CATH 10.8FR,17001.6,17001.6,,,0
HCPCS,C1874,STENT I CAST COVERED 9X59X80,6193.8,6193.8,,,0
HCPCS,C1874,STENT ONYXNG20012UX ONYX 2.00X12RX,960.0,960.0,,,0
HCPCS,C1874,STENT PERIPH L100MM DIA5.5MM CATH 6FR L120CM NIT OTW SELF,4560.0,4560.0,,,0
HCPCS,C1874,STENT PERIPH L25MM DIA5MM CATH L120CM DIA6FR 0.035IN HEP,8184.0,8184.0,,,0
HCPCS,C1874,STENT PERIPH L37MM DIA8MM CATH L80CM 0.035IN VASC SS EPTFE,5520.0,5520.0,,,0
HCPCS,C1874,STENT PERIPH L58MM DIA9MM CATH L80CM 0.035IN VASC SS EPTFE,5520.0,5520.0,,,0
HCPCS,C1874,STENT TRACHBRONCH 22 CM X 7 CM CATH 120 CM PTFE BLLN EXP CVR,7207.44,7207.44,,,0
HCPCS,C1874,STENT TRACHBRONCH 59 MM X 8 MM CATH 80 CM PTFE BLLN EXP CVR,6193.8,6193.8,,,0
HCPCS,C1874,STENT TRACHBRONCH L22CM DIA6CM CATH L120CM PTFE SELF EXPND,7207.44,7207.44,,,0
HCPCS,C1874,STENT TRACHBRONCH L22CM DIA7CM CATH L80CM PTFE SELF EXPND,5613.48,5613.48,,,0
HCPCS,C1874,STENT VIABAHN 6.0MM X 15.0CM .018,10084.8,10084.8,,,0
HCPCS,C1874,STENT VIABAHN 6.0MM X 2.5CM .018,7984.8,7984.8,,,0
HCPCS,C1874,STENT VIABAHN 6X25X120,16214.4,16214.4,,,0
HCPCS,C1874,STENT VIABAHN 8.0MM X 2.5CM  .018,7984.8,7984.8,,,0
HCPCS,C1874,SUPERA PERIPHERAL STENT SYSTEM,4560.0,4560.0,,,0
HCPCS,C1874,SYNERGY XD STENT MR US 2.25X32MM,3720.0,3720.0,,,0
HCPCS,C1874,THORACIC BRANCH ENDOPROSTHESIS,76800.0,76800.0,,,0
HCPCS,C1874,VIABAHN STENT 8 X 10 X 120,8736.0,8736.0,,,0
HCPCS,C1874,VIABAHN STENT 8 X 5 X 120,7903.2,7903.2,,,0
HCPCS,C1874,VIABAHNBX 11MMX79MMX135CM CATH,8548.8,8548.8,,,0
HCPCS,C1874,VIABAHNBX 8MMX29MMX135CM CATH,7766.4,7766.4,,,0
HCPCS,C1874,VIABAHNBX 8MMX79MMX135CM CATH,8548.8,8548.8,,,0
HCPCS,C1874,VIABAHNBX 9MMX29MMX135CM CATH,8080.8,8080.8,,,0
HCPCS,C1874,VIABAHNBX 9MMX39MMX135CM CATH,8889.6,8889.6,,,0
HCPCS,C1874,VIABAHNBX 9MMX79MMX135CM CATH,8548.8,8548.8,,,0
HCPCS,C1874,ZENITH ALPHA 2,43948.2,43948.2,,,0
HCPCS,C1874,ZENITH ALPHA THORACIC ENDOVASCULAR GRAFT PROXIMAL TAPERED ZT,41868.26,41868.26,,,0
HCPCS,C1874,ZENITH FENESTRATED AAA ENDOVASCULAR GRAFT DISTAL BIFURCATED,9727.32,9727.32,,,0
HCPCS,C1874,ZENITH FENESTRATED AAA ENDOVASCULAR GRAFT PROXIMAL BODY ZFEN,31144.8,31144.8,,,0
HCPCS,C1874,ZENITH FLEX WITH SPIRAL-Z TECHNOLOGY AAA ENDOVASCULAR GRAFT,10627.2,10627.2,,,0
HCPCS,C1874,ZENITH GRAFT TFFB-26-96-ZT,23530.97,23530.97,,,0
HCPCS,C1874,ZENITH ILIAC BRANCH ENDOVASCULAR GRAFT,31199.98,31199.98,,,0
HCPCS,C1876,103033 : EXPRESS LD OTW 7 MM X 15 MM X 150 CM,2940.0,2940.0,,,0
HCPCS,C1876,103034 : EXPRESS LD OTW 7 MM X 19 MM X 150 CM,2940.0,2940.0,,,0
HCPCS,C1876,105215 : STENT CAR PRECIS PRO RX L40MM DIA8MM CATH 7FR L135CM NIT RX,3480.0,3480.0,,,0
HCPCS,C1876,105218 : STENT CAR PRECIS PRO RX L30MM DIA9MM CATH 7FR L135CM NIT RX,3480.0,3480.0,,,0
HCPCS,C1876,112762 : STENT BILI L60MM DIA8MM CATH L194CM 8FR 0.035IN MTL,5666.45,5666.45,,,0
HCPCS,C1876,112763 : STENT BILI L80MM DIA8MM CATH 8FR L194CM  0.035IN MTL,5666.45,5666.45,,,0
HCPCS,C1876,112765 : STENT BILI L60MM DIA10MM CATH 8FR 0.035IN GWIRE MTL,5666.45,5666.45,,,0
HCPCS,C1876,121627 : STENT BILI 10FR BARB TO BARB L7CM 4.2MM CMPTBL SCP WRK CHN,608.26,608.26,,,0
HCPCS,C1876,121628 : STENT BILI 10FR BARB TO BARB L9CM 4.2MM CMPTBL SCP WRK CHN,608.26,608.26,,,0
HCPCS,C1876,121629 : STENT BILI 10FR X 12CM DUODENAL BEND W- NAVIFLEX RX DEL SYS,608.26,608.26,,,0
HCPCS,C1876,121630 : STENT BILI 10FR X 15CM DUODENAL BEND W- NAVIFLEX RX DEL SYS,608.26,608.26,,,0
HCPCS,C1876,122650 : STENT BILI 10FR BARB TO BARB L5CM 4.2MM CMPTBL SCP WRK CHN,608.26,608.26,,,0
HCPCS,C1876,125448 : STENT RX BILIARY DB PRELOAD 7FR X 7CM,608.26,608.26,,,0
HCPCS,C1876,126178 : STENT PERIPH L200MM DIA6MM CATH 6FR L135CM GWIRE 0.035IN NIT,4320.0,4320.0,,,0
HCPCS,C1876,127287 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 8.0 MM X 8,1680.0,1680.0,,,0
HCPCS,C1876,127302 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 6.0 MM X 6,1680.0,1680.0,,,0
HCPCS,C1876,127305 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 7.0 MM X 1,1680.0,1680.0,,,0
HCPCS,C1876,127326 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 8.0 MM X 6,1680.0,1680.0,,,0
HCPCS,C1876,127328 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 8.0 MM X 8,1680.0,1680.0,,,0
HCPCS,C1876,127332 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 9.0 MM X 2,1680.0,1680.0,,,0
HCPCS,C1876,129057 : OMNILINK ELITE VASCULAR BALLOON-EXPANDABLE STENT SYSTEM 6.0,1740.0,1740.0,,,0
HCPCS,C1876,129061 : OMNILINK ELITE VASCULAR BALLOON-EXPANDABLE STENT SYSTEM 7.0,1740.0,1740.0,,,0
HCPCS,C1876,138298 : OMNILINK ELITE VASCULAR BALLOON-EXPANDABLE STENT SYSTEM 6.0,1740.0,1740.0,,,0
HCPCS,C1876,159473 : STENT TRANSCAROTID L40MM DIA7MM CATH L57CM CROSSING PROF 5FR,6600.0,6600.0,,,0
HCPCS,C1876,159475 : STENT TRANSCAROTID L30MM DIA8MM W- L57CM DEL SYS FOR 6-7MM,6600.0,6600.0,,,0
HCPCS,C1876,159476 : STENT TRANSCAROTID L40MM DIA8MM W- L57CM DEL SYS FOR 6-7MM,6600.0,6600.0,,,0
HCPCS,C1876,159478 : STENT TRANSCAROTID L30MM DIA9MM W- L57CM DEL SYS FOR 7-8MM,6600.0,6600.0,,,0
HCPCS,C1876,159479 : STENT TRANSCAROTID L40MM DIA9MM CATH L57CM CROSSING PROF 6FR,6600.0,6600.0,,,0
HCPCS,C1876,159481 : STENT TRANSCAROTID L30MM DIA10MM W- L57CM DEL SYS FOR 8-9MM,6600.0,6600.0,,,0
HCPCS,C1876,159482 : STENT TRANSCAROTID L40MM DIA10MM W- L57CM DEL SYS FOR 8-9MM,6600.0,6600.0,,,0
HCPCS,C1876,351381 : RX ACCULINK CAROTID STENT SYSTEM 7-10 MM X 40 MM X 132 CM RA,4788.0,4788.0,,,0
HCPCS,C1876,351851 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 8.0 MM X 4,1680.0,1680.0,,,0
HCPCS,C1876,351856 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 9.0 MM X 4,1680.0,1680.0,,,0
HCPCS,C1876,351876 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 8.0 MM X 4,1680.0,1680.0,,,0
HCPCS,C1876,351889 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 6.0 MM X 1,1680.0,1680.0,,,0
HCPCS,C1876,351893 : ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 10.0MM X 1,1680.0,1680.0,,,0
HCPCS,C1876,359796 : STENT PERIPH L170MM DIA6MM CATH 6FR L130CM GWIRE 0.035IN,2520.0,2520.0,,,0
HCPCS,C1876,359805 : STENT BILI L170MM DIA7MM CATH L130CM DIA6FR 0.035IN NIT OTW,2520.0,2520.0,,,0
HCPCS,C1876,375992 : STENT PERIPH 5FR L40MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
HCPCS,C1876,375993 : STENT PERIPH 5FR L60MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
HCPCS,C1876,375995 : STENT PERIPH 5FR L100MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
HCPCS,C1876,375996 : STENT PERIPH 5FR L120MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
HCPCS,C1876,375997 : STENT PERIPH 5FR L150MM DIA5MM CATH L135CM 0.035IN NIT LP,2280.0,2280.0,,,0
HCPCS,C1876,375998 : STENT PERIPH 5FR L170MM DIA5MM CATH L135CM 0.035IN NIT LP,2520.0,2520.0,,,0
HCPCS,C1876,376000 : STENT PERIPH VASC LIFESTENT 6X40MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
HCPCS,C1876,376001 : STENT PERIPH VASC LIFESTENT 6X60MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
HCPCS,C1876,376002 : STENT PERIPH VASC LIFESTENT 6X80MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
HCPCS,C1876,376003 : STENT PERIPH VASC LIFESTENT 6X100MM CATH 5FRX135CM SELF,2160.0,2160.0,,,0
HCPCS,C1876,376004 : STENT PERIPH 5FR L120MM DIA6MM CATH L135CM 0.035IN LP 2 SPD,2160.0,2160.0,,,0
HCPCS,C1876,376005 : STENT PERIPH VASC LIFESTENT 6X150MM CATH 5FRX135CM SELF,2280.0,2280.0,,,0
HCPCS,C1876,376008 : STENT PERIPH VASC LIFESTENT 7X40MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
HCPCS,C1876,376009 : STENT PERIPH VASC LIFESTENT 7X60MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
HCPCS,C1876,376010 : STENT PERIPH VASC LIFESTENT 7X80MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
HCPCS,C1876,376011 : STENT PERIPH VASC LIFESTENT 7X100MM CATH 5FRX135CM SELF,2160.0,2160.0,,,0
HCPCS,C1876,376012 : STENT PERIPH 5FR L120MM DIA7MM CATH L135CM 0.035IN LP 2 SPD,2160.0,2160.0,,,0
HCPCS,C1876,400276 : STENT PERIPH L60MM DIA14MM CATH L80CM GWIRE 0.035IN SHTH 9FR,3840.0,3840.0,,,0
HCPCS,C1876,400285 : STENT VENOVO 10F 18 MM X 100 MM 80 CM CATHETER LENGTH,3840.0,3840.0,,,0
HCPCS,C1876,405687 : STENT PERIPH L120MM DIA5MM CATH 6FR L120CM NIT OTW SELF,4788.0,4788.0,,,0
HCPCS,C1876,408053 : VENOVO 10F 18 MM X 60 MM 80 CM CATHETER LENGTH,3840.0,3840.0,,,0
HCPCS,C1876,412957 : SUPERA PERIPH STNT SYS 7.5 MM X 40 MM X 120 CM 6 F,4560.0,4560.0,,,0
HCPCS,C1876,423090 : SYSTEM TRANSCAROTID STNT 8-6MM X 40MM CROSSING PROF 5FR X,6600.0,6600.0,,,0
HCPCS,C1876,423093 : SYSTEM TRANSCAROTID STNT 10-8MM X 30MM CROSSING PROF 6FR X,6600.0,6600.0,,,0
HCPCS,C1876,423094 : SYSTEM TRANSCAROTID STNT 10-8MM X 40MM CROSSING PROF 6FR X,6600.0,6600.0,,,0
HCPCS,C1876,63273 : STENT CAR L40MM DIA6X8MM TAPR VES ICA DIA4.3-5.4MM CCA,4788.0,4788.0,,,0
HCPCS,C1876,65164 : EXPRESS SD 0.018 MONORAIL 5 MM X 19 MM X 90 CM,2940.0,2940.0,,,0
HCPCS,C1876,65174 : STENT BILI AD L57MM DIA10MM CATH L75CM BLLN L60MM IL BARE,3000.0,3000.0,,,0
HCPCS,C1876,7X40 STENT CAROTID,3480.0,3480.0,,,0
HCPCS,C1876,87880 : STENT COLON L90MM DIA22MM ANCHR LOK DEL SYS 10FR L270CM WRK,7382.57,7382.57,,,0
HCPCS,C1876,87881 : STENT COLON L120MM DIA22MM ANCHR LOK DEL SYS 10FR L270CM WRK,7382.57,7382.57,,,0
HCPCS,C1876,88074 : STENT DUODENAL L90MM DIA22MM ANCHR LOK DEL SYS 10FR L270CM,7382.57,7382.57,,,0
HCPCS,C1876,88075 : STENT DUODENAL L230CM EXP L120MM DIA22MM FLARE DIA27MM DEL,7382.57,7382.57,,,0
HCPCS,C1876,ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM 10.0 MM X,1680.0,1680.0,,,0
HCPCS,C1876,BOSTON ULTRAFLEX TRACHEOBANCHIAL 18MMX60MM,8534.4,8534.4,,,0
HCPCS,C1876,EXPRESS LD OTW 6 MM X 37 MM X 75 CM,3000.0,3000.0,,,0
HCPCS,C1876,EXPRESS LD OTW 7 MM X 15 MM X 150 CM,2940.0,2940.0,,,0
HCPCS,C1876,EXPRESS LD OTW 7 MM X 37 MM X 75 CM,3000.0,3000.0,,,0
HCPCS,C1876,EXPRESS SD 0.018 MONORAIL 6MM X 14 MM X 90CM,2940.0,2940.0,,,0
HCPCS,C1876,GUIDEWIRE VASC 0.035INX145CM FLPY TIP SS PTFE FIX COR,26.71,26.71,,,0
HCPCS,C1876,INACTIVE USE PS#127326 -  ABSOLUTE PRO VASCULAR SELF-EXPANDI,1680.0,1680.0,,,0
HCPCS,C1876,INACTIVE USE PS#129057 -  OMNILINK ELITE VASCULAR BALLOON-EX,1740.0,1740.0,,,0
HCPCS,C1876,INACTIVE USE PS#351851 -  STENT PERIPH L40MM DIA8MM CATH 8FR,1680.0,1680.0,,,0
HCPCS,C1876,LIFESTENT SOLO 035 OTW SX STENT 7MM X 200 MM X 100CM,4320.0,4320.0,,,0
HCPCS,C1876,OMNILINK 8.0MM X 58MM X 80CM,2448.0,2448.0,,,0
HCPCS,C1876,OMNILINK ELITE VASCULAR BALLOON-EXPANDABLE STENT SYSTEM 10.0,1740.0,1740.0,,,0
HCPCS,C1876,PERIPHERAL CUTTING BALLOON OTW 8MM X 2CM X 90CM,1740.0,1740.0,,,0
HCPCS,C1876,RX ACCULINK CAROTID STENT SYSTEM 6-8 MM X 30 MM X 132 CM RAP,4788.0,4788.0,,,0
HCPCS,C1876,SELF EXPANDING STENT 200CM 6FR 6MM X 150MM R2P MISAGO,2289.6,2289.6,,,0
HCPCS,C1876,SELF EXPANDING STENT 200CM 6FR 7MM X 60MM R2P MISAGO,2160.0,2160.0,,,0
HCPCS,C1876,STENT BILI 10FR BARB TO BARB L5CM 4.2MM CMPTBL SCP WRK CHN,608.26,608.26,,,0
HCPCS,C1876,STENT BILI 10FR BARB TO BARB L7CM 4.2MM CMPTBL SCP WRK CHN,608.26,608.26,,,0
HCPCS,C1876,STENT BILI L200MM DIA7MM CATH L135CM DIA6FR 0.035IN NIT OTW,4320.0,4320.0,,,0
HCPCS,C1876,STENT BILI L25MM DIA10MM CATH L75CM BLLN L30MM PREMOUNTED,3000.0,3000.0,,,0
HCPCS,C1876,STENT BILI L60MM DIA10MM CATH 8FR 0.035IN GWIRE MTL,5666.45,5666.45,,,0
HCPCS,C1876,STENT BILI L80MM DIA10MM DEL SYS L80CM SHTH 6FR RECOMMENDED,1740.0,1740.0,,,0
HCPCS,C1876,STENT BILI L80MM DIA8MM CATH 8FR L194CM  0.035IN MTL,5666.45,5666.45,,,0
HCPCS,C1876,STENT CAR L30MM DIA8MM DEL SYS L135CM CMPTBL SHTH 5FR GUID,3480.0,3480.0,,,0
HCPCS,C1876,STENT CAR L40MM DIA6X8MM TAPR VES ICA DIA4.3-5.4MM CCA,4788.0,4788.0,,,0
HCPCS,C1876,STENT CAR PRECIS PRO RX L40MM DIA8MM CATH 7FR L135CM NIT RX,3480.0,3480.0,,,0
HCPCS,C1876,STENT COLON L60MM DIA22MM ANCHR LOK DEL SYS 10FR L270CM WRK,7382.57,7382.57,,,0
HCPCS,C1876,STENT DUODENAL L60MM DIA22MM WRK L230CM DEL SYS 10FR L270CM,7382.57,7382.57,,,0
HCPCS,C1876,STENT PERIPH 5FR L100MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
HCPCS,C1876,STENT PERIPH 5FR L150MM DIA5MM CATH L135CM 0.035IN NIT LP,2280.0,2280.0,,,0
HCPCS,C1876,STENT PERIPH 5FR L170MM DIA5MM CATH L135CM 0.035IN NIT LP,2520.0,2520.0,,,0
HCPCS,C1876,STENT PERIPH 5FR L40MM DIA5MM CATH L135CM 0.035IN NIT LP,2160.0,2160.0,,,0
HCPCS,C1876,STENT PERIPH IL EXPR LD BARE MTL STNT 7X57MM CATH L75CM BLLN,3000.0,3000.0,,,0
HCPCS,C1876,STENT PERIPH L100MM DIA12MM DEL SYS 9FR L90CM CMPTBL GWIRE,4380.0,4380.0,,,0
HCPCS,C1876,STENT PERIPH L120MM DIA5MM CATH 6FR L120CM NIT OTW SELF,4788.0,4788.0,,,0
HCPCS,C1876,STENT PERIPH L150MM DIA18MM DEL SYS 9FR L90CM CMPTBL GWIRE,4860.0,4860.0,,,0
HCPCS,C1876,STENT PERIPH L150MM DIA5.5MM CATH 6FR L120CM NIT OTW SELF,4788.0,4788.0,,,0
HCPCS,C1876,STENT PERIPH L170MM DIA6MM CATH 6FR L130CM GWIRE 0.035IN,2520.0,2520.0,,,0
HCPCS,C1876,STENT PERIPH L200MM DIA6MM CATH 6FR L135CM GWIRE 0.035IN NIT,6828.0,6828.0,,,0
HCPCS,C1876,STENT PERIPH L39MM DIA8MM CATH L80CM SHTH 6FR COCR SELF,1740.0,1740.0,,,0
HCPCS,C1876,STENT PERIPH L60MM DIA12MM CATH L80MM SHTH 8FR GWIRE 0.035IN,3840.0,3840.0,,,0
HCPCS,C1876,STENT PERIPH L60MM DIA18MM DEL SYS 9FR L90CM CMPTBL GWIRE,4380.0,4380.0,,,0
HCPCS,C1876,STENT PERIPH L80MM DIA14MM CATH L80CM GWIRE 0.035IN SHTH 9FR,3840.0,3840.0,,,0
HCPCS,C1876,STENT PERIPH L80MM DIA16MM DEL SYS 9FR L90CM CMPTBL GWIRE,4380.0,4380.0,,,0
HCPCS,C1876,STENT PERIPH L80MM DIA6MM W/ 6FR SHTH L200CM SHFT SELF EXPND,2289.6,2289.6,,,0
HCPCS,C1876,STENT PERIPH SYS INTERWOVEN NIT SELF EXPND 6FR 5MM X 100MM X,4788.0,4788.0,,,0
HCPCS,C1876,STENT PERIPH VASC LIFESTENT 6X100MM CATH 5FRX135CM SELF,2160.0,2160.0,,,0
HCPCS,C1876,STENT PERIPH VASC LIFESTENT 6X150MM CATH 5FRX135CM SELF,2280.0,2280.0,,,0
HCPCS,C1876,STENT PERIPH VASC LIFESTENT 6X40MM CATH 5FRX135CM SELF EXPND,2160.0,2160.0,,,0
HCPCS,C1876,STENT PERIPHERAL L120MM DIA12MM CATHETER L80CM GUIDEWIRE 0.0,3840.0,3840.0,,,0
HCPCS,C1876,STENT RX BILIARY DB PRELOAD 7FR X 7CM,608.26,608.26,,,0
HCPCS,C1876,STENT TRANSCAROTID L30MM DIA10MM W/ L57CM DEL SYS FOR 8-9MM,6600.0,6600.0,,,0
HCPCS,C1876,STENT US CAR SYS,3480.0,3480.0,,,0
HCPCS,C1876,STENT VASCULAR L42MM DIA10MM CATHETER L75CM SHEATH 7FR VENOU,3420.0,3420.0,,,0
HCPCS,C1876,STENT VENOVO 10F 16 MM X 100 MM 80 CM CATHETER LENGTH,3840.0,3840.0,,,0
HCPCS,C1876,SYSTEM TRANSCAROTID STNT 10-8MM X 30MM CROSSING PROF 6FR X,6600.0,6600.0,,,0
HCPCS,C1876,VENOVO 10F 16 MM X 60 MM 80 CM CATHETER LENGTH,3840.0,3840.0,,,0
HCPCS,C1876,WALLSTENT 10X69,5354.4,5354.4,,,0
HCPCS,C1877,369151 : SYSTEM STNT L21MM DIA3MM MICRODELIVERY NEUROFORM ATLS,17328.0,17328.0,,,0
HCPCS,C1877,369154 : STENT NEUROVASC 4MM X 24MM NIT W-O TIP NEUROFORM ATLS,17328.0,17328.0,,,0
HCPCS,C1877,STENT NEUROVASC 4.5MM X 30MM NIT W/O TIP NEUROFORM ATLS,17328.0,17328.0,,,0
HCPCS,C1877,STENT NEUROVASC L15MM DIA3MM NIT SELF EXPND OPN CELL,17400.0,17400.0,,,0
HCPCS,C1877,STENT NEUROVASC L24MM DIA3MM NIT SELF EXPND OPN CELL,17328.0,17328.0,,,0
HCPCS,C1878,408491 : IMPLANT LARYN CA HA GEL H2O BASE INJ PROLARYN +,1716.0,1716.0,,,0
HCPCS,C1878,IMPLANT CMF L CLEARFIT,25200.0,25200.0,,,0
HCPCS,C1878,IMPLANT LARYN 24GA 1ML TRNSOR CA HA FILL PERC INJ NCOR,1764.0,1764.0,,,0
HCPCS,C1880,127357 : SYSTEM INFERIOR VENA CAVA FLTR DIA30MM SHTH 5FR L70CM JUG,3000.0,3000.0,,,0
HCPCS,C1880,ASNIS III CANNULATED DRILL 5.6MM LG AO,1180.56,1180.56,,,0
HCPCS,C1880,SYSTEM INFERIOR VENA CAVA FLTR DIA30MM SHTH 5FR L70CM JUG,3000.0,3000.0,,,0
HCPCS,C1881,102071 : TRAY PICC 4FR X 55CM POWERPICC POLYUR SL RAD BAS INCLUDE,151.32,151.32,,,0
HCPCS,C1881,102072 : TRAY PICC 5FR X 55CM POWERPICC POLYUR 2 LUMN IR INCLUDE 70CM,195.55,195.55,,,0
HCPCS,C1881,ANGIODYNAMICS VORTEX DUAL LUMEN PORT,1142.16,1142.16,,,0
HCPCS,C1881,ARGYLE 62CM PERITONEAL DIALYSIS CATHETER,226.27,226.27,,,0
HCPCS,C1881,CATH INTRODUCER 4.0 FR PICC,163.2,163.2,,,0
HCPCS,C1881,DURAFLOW 2   32CM STRAIGHT BASIC KIT PG,600.0,600.0,,,0
HCPCS,C1881,DURAFLOW 29/29/29 RMI,100.8,100.8,,,0
HCPCS,C1881,EVENMORE 24CM STRAIGHT BASIC KIT 1-UP PG,552.0,552.0,,,0
HCPCS,C1881,KIT PERMCATH DUAL LUMEN 28CM,396.5,396.5,,,0
HCPCS,C1881,PORT A CATH II POWER PAC LOW PROFILE,468.0,468.0,,,0
HCPCS,C1881,POWERPORT SLIM IMPLANTABLE PORT 6 F,1638.0,1638.0,,,0
HCPCS,C1881,SV BEREN 5FX65CM .038 NB PG,43.2,43.2,,,0
HCPCS,C1881,TITANIUM LOW PROFILE IMPLANTABLE PORT,1106.28,1106.28,,,0
HCPCS,C1881,TRAY PICC 4FR X 55CM POWERPICC POLYUR SL RAD BAS INCLUDE,151.32,151.32,,,0
HCPCS,C1881,TRAY PICC 5FR X 55CM POWERPICC POLYUR 2 LUMN IR INCLUDE 70CM,195.55,195.55,,,0
HCPCS,C1882,412508 : GALLANT HF CRT-D,44760.0,44760.0,,,0
HCPCS,C1882,415743 : ICD COBALT XT HF MRI IS1 DF4,38880.0,38880.0,,,0
HCPCS,C1882,415745 : ICD COBALT XT HF QUAD MRI IS1 DF4,38880.0,38880.0,,,0
HCPCS,C1882,DEFIBRILLATOR ICD ACTICOR 7 HF-T-QP MR COND DF4 CONN,70356.0,70356.0,,,0
HCPCS,C1882,DYNAGEN CRTD X4 DF1,33835.2,33835.2,,,0
HCPCS,C1882,GALLANT HF CRT-D,44760.0,44760.0,,,0
HCPCS,C1882,ICD COBALT XT HF MRI IS1 DF1,38880.0,38880.0,,,0
HCPCS,C1883,413795 : LEAD DP BRAIN STIM L42CM DIA0.5MM EMAN LJ53 W- MRK SENSIGHT,6795.36,6795.36,,,0
HCPCS,C1883,413796 : LEAD DP BRAIN STIM L42CM DIA0.5MM EMAN LJ53 SENSIGHT,6795.36,6795.36,,,0
HCPCS,C1883,418243 : LEAD B3301542 1.5MM 42CM DBS,6795.36,6795.36,,,0
HCPCS,C1883,418245 : LEAD B3301542M 1.5MM 42CM MARKER DBS,6795.36,6795.36,,,0
HCPCS,C1883,418247 : EXT B3400060 60CM DBS,1817.04,1817.04,,,0
HCPCS,C1883,55CM 8 CONTACT EXTENSION KIT,2016.0,2016.0,,,0
HCPCS,C1883,EXT B3400060 60CM DBS,1817.04,1817.04,,,0
HCPCS,C1883,LEAD B3301542 1.5MM 42CM DBS,6795.36,6795.36,,,0
HCPCS,C1883,LEAD DP BRAIN STIM L42CM DIA0.5MM EMAN LJ53 SENSIGHT,6795.36,6795.36,,,0
HCPCS,C1883,"M365DB3216550 - DB-3216-55 - 16 CONTACT LEAD EXTENSION KIT, 55 CM",5580.0,5580.0,,,0
HCPCS,C1884,104583 : FILTER VASC L320CM DIA0.014IN CATH DIA0.066IN 3MM LUMN 3MM,2700.0,2700.0,,,0
HCPCS,C1884,104584 : FILTER VASC L320CM DIA0.014IN CATH DIA0.066IN 4MM LUMN,2700.0,2700.0,,,0
HCPCS,C1884,124220 : FILTER EMB L 7.2MM X 190CM PROTCT EMBOSHIELD NAV6,2772.0,2772.0,,,0
HCPCS,C1884,65161 : SYSTEM EMB PROTCT VES L190MM DIA3.5-5.5MM 3.2FR CROSSING,4004.64,4004.64,,,0
HCPCS,C1884,FILTER EMB L 7.2MM X 190CM PROTCT EMBOSHIELD NAV6,2772.0,2772.0,,,0
HCPCS,C1884,FILTER VASC L320CM DIA0.014IN CATH DIA0.066IN 3MM LUMN 3MM,2700.0,2700.0,,,0
HCPCS,C1884,SYSTEM CEREB PROTCT FLTR 15X10MM VES 6.5X9-15MM GWIRE L175CM,9600.0,9600.0,,,0
HCPCS,C1884,SYSTEM EMB PROTCT VES L190MM DIA3.5-5.5MM 3.2FR CROSSING,3798.4,3798.4,,,0
HCPCS,C1884,SYSTEM NEUROPROTECTION TRANSCAROTID ANG TIP ART SHTH CONF,8877.6,8877.6,,,0
HCPCS,C1884,WEB SL 9 X 4 - ANEURYSM EMBOLIZATION SYSTEM,35880.0,35880.0,,,0
HCPCS,C1885,CATHETER ATHRCTMY 130CM TIP 0.038IN SHFT 0.049IN CMPTBL,5892.0,5892.0,,,0
HCPCS,C1886,534621 : 8.5 FR VARIPULSE BI-DIR CATH,15237.6,15237.6,,,0
HCPCS,C1886,8.5 FR VARIPULSE BI-DIR CATH,15237.6,15237.6,,,0
HCPCS,C1887,102231 : CATHETER DIAG L150CM SHFT DIA0.026X0.039IN SPC L15MM TIP,402.8,402.8,,,0
HCPCS,C1887,103076 : CATHETER GUID 7FR L55CM ID0.081IN PERIPH POLYMR PTFE LNR,156.0,156.0,,,0
HCPCS,C1887,103084 : CATHETER DIAG L65CM DIA0.063X0.05IN TIP 3.1FR CMPTBL GWIRE,402.96,402.96,,,0
HCPCS,C1887,103085 : CATHETER SUPP L135CM DIA0.063X0.05IN TIP 3.1FR HYDRPHLC LP,402.78,402.78,,,0
HCPCS,C1887,105388 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH AL 0.75,115.2,115.2,,,0
HCPCS,C1887,105389 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH AL 1.0 CRV,115.2,115.2,,,0
HCPCS,C1887,105396 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH AR 2.0 CRV,115.2,115.2,,,0
HCPCS,C1887,105426 : CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH AL 7.5 CRV,110.4,110.4,,,0
HCPCS,C1887,105434 : 7FR EBU 3.75 LAUNCHER,110.4,110.4,,,0
HCPCS,C1887,105435 : CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH L COR X,115.2,115.2,,,0
HCPCS,C1887,106870 : MICROCATHETER VASC L150CM PROX-DST OD3-2.4FR ID0.021IN TIP,727.2,727.2,,,0
HCPCS,C1887,110826 : 7F RC4 SC GUIDE        34357-448,132.0,132.0,,,0
HCPCS,C1887,110846 : CATHETER GUID 6FR L100CM ID0.07IN FEM APPRCH POLYMR PTFE LNR,132.0,132.0,,,0
HCPCS,C1887,110903 : 6F 3DRC GUIDE,91.2,91.2,,,0
HCPCS,C1887,110904 : 6F RCB GUIDE     670-182-00,91.2,91.2,,,0
HCPCS,C1887,110908 : CATHETER GUID 6FR L100CM COR PERIPH BLU NYL COAT PTFE LNR,91.2,91.2,,,0
HCPCS,C1887,111313 : CATHETER GUID 6FR L100CM STD COR NYL JR 4 CRV W-O SIDE H,115.2,115.2,,,0
HCPCS,C1887,111320 : CATHETER GUID 7FR L100CM ID0.081IN EBU4.5 RADPQ MRK BND FLX,115.2,115.2,,,0
HCPCS,C1887,121100 : CATHETER DIAG 4FR L135CM GWIRE 0.035IN HYDRPHLC RADPQ MRK,389.76,389.76,,,0
HCPCS,C1887,122491 : CATHETER GUID LG 6FR L55CM PTFE INNR LNR NYL TOP RDC RADPQ,96.0,96.0,,,0
HCPCS,C1887,123084 : MICROCATHETER VASC 3FR X 2.4FR X 0.021IN X 150CM TIP 20CM,727.2,727.2,,,0
HCPCS,C1887,128506 : CATHETER DIAG 4FR L90CM 0.035IN HYDRPHLC SUPP STR TIP RADPQ,389.76,389.76,,,0
HCPCS,C1887,128507 : CATHETER DIAG 4FR X 135CM 0.035IN GWIRE HYDRPHLC RADPQ TUNG,389.76,389.76,,,0
HCPCS,C1887,129538 : STENT BILI 10FR BARB TO BARB L7CM 4.2MM CMPTBL SCP WRK CHN,247.49,247.49,,,0
HCPCS,C1887,137250 : ATTAIN COMMAND SUREVALVE CATHETER  6250V-3D,705.6,705.6,,,0
HCPCS,C1887,137251 : CATHETER 625V-45S ATTAIN COMMAND,705.6,705.6,,,0
HCPCS,C1887,137255 : CATHETER 625V-EH ATTAIN COMMAND,705.6,705.6,,,0
HCPCS,C1887,137260 : CATHETER GUID 9X7.2FR L45CM MP R POLYETHER BLK AMIDE PLYAMDE,705.6,705.6,,,0
HCPCS,C1887,137261 : CATHETER GUID 9X7.2FR L50CM MP X POLYETHER BLK AMIDE PLYAMDE,705.6,705.6,,,0
HCPCS,C1887,157592 : CATHETER VASC L132CM 0.06IN FLX DST ACCS AXIS CATLYST 6,3600.0,3600.0,,,0
HCPCS,C1887,157593 : MICROCATHETER INTVENT 2.4FR X 150CM HYDRPHLC STR RADPQ MRK,838.8,838.8,,,0
HCPCS,C1887,157594 : SARAH RADIAL CATHETER,108.0,108.0,,,0
HCPCS,C1887,160143 : CATHETER GUID 5FR X 115CM STR DST TIP SFT TORQUEABLE SHFT,3636.6,3636.6,,,0
HCPCS,C1887,160144 : CATHETER GUID 5FR X 125CM STR DST TIP SFT TORQUEABLE SHFT,3636.6,3636.6,,,0
HCPCS,C1887,160145 : CATHETER GUID 6FR X 115CM STR DST TIP SFT TORQUEABLE SHFT,5985.0,5985.0,,,0
HCPCS,C1887,160146 : SOFIA 6F STRAIGHT L131CM,5985.0,5985.0,,,0
HCPCS,C1887,160147 : MICROCATHETER VASC 2.1FR X 1.3FR X 167CM TIP 0.013IN STR 1,3192.0,3192.0,,,0
HCPCS,C1887,160148 : HEADWAY 17 STRAIGHT L150CM,2040.6,2040.6,,,0
HCPCS,C1887,160150 : MICROCATHETER DIAG 1.7FR X 2.4FR X 150CM TAPR PTFE LNR,2223.0,2223.0,,,0
HCPCS,C1887,160151 : CATHETER DIAG 2.4FR ID0.017IN L150CM HYDRPHLC COAT,2223.0,2223.0,,,0
HCPCS,C1887,160154 : MICROCATHETER VASC 2FR X 2.5FR X 156CM STR TIP ID0.021IN,2736.0,2736.0,,,0
HCPCS,C1887,160156 : MICROCATHETER DIAG 3.1FR X 2.6FR X 156CM PTFE LNR HYDRPHLC,3192.0,3192.0,,,0
HCPCS,C1887,162344 : CATHETER GUID 7FR X 5.4FR X 43CM RIGHTSITE,602.4,602.4,,,0
HCPCS,C1887,18033 : SET INTRO 10FR L40CM TRCR STYL L62.5CM DIA0.038IN CANN 14GA,1079.98,1079.98,,,0
HCPCS,C1887,245573 : 6F JL 3 GUIDE,91.2,91.2,,,0
HCPCS,C1887,245575 : CATHETER GUID 6FR L100CM COR BYPS L PTFE TRUE LUMN RADPQ,91.2,91.2,,,0
HCPCS,C1887,245581 : CATHETER GUID AD 6FR L100CM COR PERIPH GRN NYL PTFE XB LAD,91.2,91.2,,,0
HCPCS,C1887,29902 : CATHETER GUID 6FR L100CM PTFE NYL SS XBLAD 4 DISP VISTA BRT,91.2,91.2,,,0
HCPCS,C1887,357490 : GC 5F 056 JR 4 STAND TIP,91.2,91.2,,,0
HCPCS,C1887,357561 : 6F .070 XB 4 100CM,91.2,91.2,,,0
HCPCS,C1887,357646 : 6F .070 IM,91.2,91.2,,,0
HCPCS,C1887,357658 : 6F .072 XB LAD 3.5 100CM,91.2,91.2,,,0
HCPCS,C1887,357740 : 6F .070 AR 2 100CM,91.2,91.2,,,0
HCPCS,C1887,357938 : 6F .070 JR4 ECO PK,91.2,91.2,,,0
HCPCS,C1887,358601 : SI BRITE TIP 7F 55CM STR CAT,52.2,52.2,,,0
HCPCS,C1887,367040 : MICROCATHETER PERIPH 2FR X 150CM HYDRPHLC COAT 90CM STR TIP,1844.4,1844.4,,,0
HCPCS,C1887,367041 : MICROCATHETER INTVENT 2.8FR X 150CM HYDRPHLC STR RADPQ MRK,838.8,838.8,,,0
HCPCS,C1887,367927 : SHEATH GUID DIAG INTVENT 8FR X 45CM DIL PROTRUDING 2CM PINN,254.4,254.4,,,0
HCPCS,C1887,367944 : PINNACLE DESTINATION  90 CM SHEATH W-DILATOR.  8 FR INNER,309.6,309.6,,,0
HCPCS,C1887,367978 : CATHETER DIAG 1.39MM X 135CM HYDRPHLC 40CM ANG TIP SS DBL,548.4,548.4,,,0
HCPCS,C1887,368481 : 4 FRENCH GLIDECATH 100 CM LONG MULTI-PURPOSE TIP SHAPE 0.0,135.6,135.6,,,0
HCPCS,C1887,368490 : CATHETER ANGIO 4FR X 150CM NYL INNR LAYR HYDRPHLC ANG CRV,135.6,135.6,,,0
HCPCS,C1887,368505 : 5 FRENCH GLIDECATH 100 CM LONG SIMMONS 1 (SIM 1) TIP SHAPE,135.6,135.6,,,0
HCPCS,C1887,368506 : CATHETER ANGIO 5FR L100CM DST TIP DIA1.1MM PROX SHFT,135.6,135.6,,,0
HCPCS,C1887,368536 : OPTITORQUE TR-SHAPE 5FR JACKAY RADIAL,108.0,108.0,,,0
HCPCS,C1887,368537 : OPTITORQUE TR-SHAPE 5FR SARAH RADIAL,108.0,108.0,,,0
HCPCS,C1887,368540 : OPTITORQUE TR-SHAPE 6FR RADIAL TIG 4.0,108.0,108.0,,,0
HCPCS,C1887,368786 : PINNACLE SHEATHS FOR CORONARY APPLICATIONS 10FR INTRODUCER 1,55.2,55.2,,,0
HCPCS,C1887,368878 : MICROCATHETER DIAG 2.4-3.2FR L130CM 90DEG DST TIP 0.014IN,1464.0,1464.0,,,0
HCPCS,C1887,368880 : MICROCATHETER DIAG 130CM OD2.4FR X 3.2FR ID0.017IN X 0.018IN,1236.0,1236.0,,,0
HCPCS,C1887,369809 : CATHETER INFUS 3.2FR X 2.8FR X 160CM SS COIL PTFE INNR LNR,2222.4,2222.4,,,0
HCPCS,C1887,37208 : SHEATH 7FR BRITE TIP 37208,52.2,52.2,,,0
HCPCS,C1887,382002 : SET RNG TRNSJUG INTRAHEPATIC ACCS W- NDL 16GA L50.5CM INTRO,1223.98,1223.98,,,0
HCPCS,C1887,396636 : KIT ASPIR PROX 6FR DST 6FR X 135CM CATH 0.014- 0.038IN WIRE,5340.0,5340.0,,,0
HCPCS,C1887,396644 : KIT ASPIR DST 5.3FR X 140CM CATH 0.014IN WIRE PLATFRM L LUMN,4320.0,4320.0,,,0
HCPCS,C1887,4 FRENCH GLIDECATH 100 CM LONG COBRA 2 C2 TIP SHAPE 0038 GUI,131.62,131.62,,,0
HCPCS,C1887,4 FRENCH GLIDECATH 100 CM LONG MULTI-PURPOSE TIP SHAPE 0.0,133.32,133.32,,,0
HCPCS,C1887,404748 : CATHETER GUID 6FR X 125CM STR DST TIP SFT TORQUEABLE SHFT,5985.0,5985.0,,,0
HCPCS,C1887,406765 : ASAHI CORSAIR PRO XS 2.1 FR 135 CM,2040.0,2040.0,,,0
HCPCS,C1887,406766 : MICROCATHETER DIAG 2 1FR X 2 9FR X 150CM TIP 1 3FR HYDRPHLC,2040.0,2040.0,,,0
HCPCS,C1887,406981 : CATHETER GUID PAPA L LUMN FLX RADPQ MRK BND FLL WALL,96.0,96.0,,,0
HCPCS,C1887,407211 : MICROCATHETER GUID 0.04IN X 0.036IN X 150CM STR RND TIP,2412.0,2412.0,,,0
HCPCS,C1887,407234 : CATHETER GUID 6FR L150CM DST EXTN L25CM HYDRPHLC SL RX PLAT,960.0,960.0,,,0
HCPCS,C1887,407407 : CATHETER ANGIO 5FR L80CM 0.038IN SOS OMNI 2 HI TORQ SHFT,82.72,82.72,,,0
HCPCS,C1887,407568 : CATHETER VASC L90CM OD2 6FR GWIRE OD0 018IN STR CXI SUPP,438.48,438.48,,,0
HCPCS,C1887,407574 : CATHETER INTVENT 2.6FR X 150CM GWIRE 0.018IN STR TIP CXI,438.48,438.48,,,0
HCPCS,C1887,407575 : CATHETER DIAG 2.6FR L150CM GWIRE DIA0.018IN ANG TIP W- PLAT,438.48,438.48,,,0
HCPCS,C1887,407602 : MICROCATHETER GUID 4.7FR X 4.2FR X 120CM STR SFT RND DST TIP,4116.0,4116.0,,,0
HCPCS,C1887,407722 : CATHETER DIAG 5FR X 130CM ID0.04IN S BRD SHFT RADPQ POLYMR,300.0,300.0,,,0
HCPCS,C1887,408029 : MICROCATHETER VASC PROX-DST 3X2.4FR L155CM LUMN DIA0.021IN,1113.6,1113.6,,,0
HCPCS,C1887,408030 : MICROCATHETER VASCULAR PROXIMAL-DISTAL 3X2.4FR L155CM LUMEN,1106.4,1106.4,,,0
HCPCS,C1887,408032 : MICROCATHETER VASC PROX-DST 3X2.8FR L155CM LUMN DIA0.027IN,1113.6,1113.6,,,0
HCPCS,C1887,408093 : BUR SUR PED SM L13MM TI W- SUT FIX RADPQ ADJ ON CATH,309.22,309.22,,,0
HCPCS,C1887,408139 : MICROCATHETER VASC L154CM DIA0.027IN MIC BRAID VIA 27,3720.0,3720.0,,,0
HCPCS,C1887,408395 : MICROCATHETER GUID 3.1FR X 2.8FR X 150CM STR SFT RND DST TIP,2412.0,2412.0,,,0
HCPCS,C1887,408435 : CATHETER HI DEF KODAMA IVUS,1800.0,1800.0,,,0
HCPCS,C1887,412112 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH L COR X,112.94,112.94,,,0
HCPCS,C1887,412510 : TRACSTAR LDP 95CM,4068.0,4068.0,,,0
HCPCS,C1887,415684 : CATH  6248V-90 ATTAIN SELECT II,626.4,626.4,,,0
HCPCS,C1887,416081 : CATH LAUNCHER 5R 100CM EBU 3.0,115.2,115.2,,,0
HCPCS,C1887,416615 : CATH LAUNCHER  L90CM OD7FR ID0.081IN NYL AL 0.75 LG,96.0,96.0,,,0
HCPCS,C1887,416663 : CATH LAUNCHER L90CM OD7FR EBU3.75 RADIOPAQUE,115.2,115.2,,,0
HCPCS,C1887,418957 : FINE CROSS MICRO GUIDE M3 CATHETER 150CM,1398.0,1398.0,,,0
HCPCS,C1887,420316 : MICROCATHETER GUID 130CM OD2.5FR X 1.8FR ID0.021IN X 0.018IN,1398.0,1398.0,,,0
HCPCS,C1887,420883 : CATHETER VASC L160CM PHENOM 21,2412.0,2412.0,,,0
HCPCS,C1887,421495 : SET BX NDL 18GA L60CM THRW L20MM SHTH 7FR LIV ACCS,904.78,904.78,,,0
HCPCS,C1887,421500 : CATHETER DIAG 2.8X2FR L155CM MIC BERN TIP TRUSELECT,2040.0,2040.0,,,0
HCPCS,C1887,421501 : CATHETER NEUROVASC GUID PROX 2.8FR DST 2FR L175CM TRUSELECT,2160.0,2160.0,,,0
HCPCS,C1887,440358 : CATHETER GUID 7FR X 60CM IC130 ACUITY PRO,588.0,588.0,,,0
HCPCS,C1887,45137 : VENT PEDI 10 FR. 12110,117.61,117.61,,,0
HCPCS,C1887,45148 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH L COR X,113.18,113.18,,,0
HCPCS,C1887,45149 : CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH L COR X,112.46,112.46,,,0
HCPCS,C1887,45472 : CATHETER GUID 6FR L100CM COR NYL HYDRPHLC FLAT WIRE BRD X BK,109.96,109.96,,,0
HCPCS,C1887,45473 : CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH L COR X,105.6,105.6,,,0
HCPCS,C1887,45474 : CATHETER GUID 7FR L100CM CRV EBU3.5 POLYMR FLAT ENCAP BRD,115.2,115.2,,,0
HCPCS,C1887,45697 : CATHETER GUID 7FR 100CM STD COR NYL JR 4 CRV W-O SIDE H,105.6,105.6,,,0
HCPCS,C1887,45727 : CATHETER LAUNCHER 7F 1CM EB5,115.2,115.2,,,0
HCPCS,C1887,45927 : CATHETER GUID 6FR L100CM GRN PTFE JR4,91.2,91.2,,,0
HCPCS,C1887,487295 : CATHETER DIAGNOSTIC 2.8X2FR L155CM MICRO STRAIGHT TIP TRUSEL,2040.0,2040.0,,,0
HCPCS,C1887,487296 : CATHETER DIAGNOSTIC L175CM 2.8-2FR STRAIGHT SELECTIVE WITHOU,2160.0,2160.0,,,0
HCPCS,C1887,5 FRENCH GLIDECATH 100 CM LONG SIMMONS 1 (SIM 1) TIP SHAPE,135.6,135.6,,,0
HCPCS,C1887,535166 : CATHETER GUID 7FR X 150CM RX 13CM 14ATM 0.062IN GUID EXTN,1802.4,1802.4,,,0
HCPCS,C1887,535367 : CATHETER VASC GUID AD 6FR L90CM SIM 2 PERIPH W-O HYDRPHLC,1307.06,1307.06,,,0
HCPCS,C1887,540846 : MICROCATHETER VASC DST 2.2FR PROX 2.5FR X 0.0175IN X 154CM,3720.0,3720.0,,,0
HCPCS,C1887,65096 : CATHETER GUID 6FR L55CM ID0.07IN PERIPH POLYMR PTFE LNR LIMA,156.0,156.0,,,0
HCPCS,C1887,69836 : MACH 1  C1 6F X 55 CM,156.0,156.0,,,0
HCPCS,C1887,6F .070 AR 2 100CM,91.2,91.2,,,0
HCPCS,C1887,6F JL 3 GUIDE,91.2,91.2,,,0
HCPCS,C1887,6F RCB GUIDE     670-182-00,91.2,91.2,,,0
HCPCS,C1887,70082 : CATHETER SUPP L150CM DIA0.063X0.05IN TIP 3.1FR HYDRPHLC LP,402.51,402.51,,,0
HCPCS,C1887,72162 : CATHETER PUSH L170CM PTFE DISP FOR FREEMAN 4-5FR STNT,98.4,98.4,,,0
HCPCS,C1887,7FR EBU 3.75 LAUNCHER,97.28,97.28,,,0
HCPCS,C1887,ASAHI CORSAIR PRO XS 2.1 FR 135 CM,2040.0,2040.0,,,0
HCPCS,C1887,ASAHI SHEATHLESS EAUCATH 6.5 FR JR 4.0,312.0,312.0,,,0
HCPCS,C1887,ATTAIN COMMAND SUREVALVE CATHETER  6250V-3D,705.6,705.6,,,0
HCPCS,C1887,AXS CATALYST 5 - 058X115CM,2880.0,2880.0,,,0
HCPCS,C1887,BUR SUR PED SM L13MM TI W/ SUT FIX RADPQ ADJ ON CATH,309.22,309.22,,,0
HCPCS,C1887,CATH  6248V-130L ATTAIN SELECT II,626.4,626.4,,,0
HCPCS,C1887,CATH GD 6FR L100CM MB2 SIDEHOLE Z2,96.0,96.0,,,0
HCPCS,C1887,CATH GD CS04-HIS,1668.0,1668.0,,,0
HCPCS,C1887,CATH GD L90CM OD6FR DIA0.07IN HDPE LNR AMPLATZ LF1 SHERPA NX,115.2,115.2,,,0
HCPCS,C1887,CATH LAUNCHER  L90CM OD7FR ID0.081IN NYL AL 0.75 LG,97.92,97.92,,,0
HCPCS,C1887,CATH LAUNCHER 5R 100CM EBU 3.0,96.0,96.0,,,0
HCPCS,C1887,CATH LAUNCHER 7FR L100CM POLY JR4.0 CURV,19.2,19.2,,,0
HCPCS,C1887,CATH LAUNCHER 8FR L100CM ID0.090IN JUDKINS LF 3.5,96.0,96.0,,,0
HCPCS,C1887,CATH LAUNCHER L90CM OD7FR EBU3.75 RADIOPAQUE,97.37,97.37,,,0
HCPCS,C1887,CATH LAUNCHER L90CM OD7FR NYL AMPLATZ LF 1,96.0,96.0,,,0
HCPCS,C1887,CATHETER 625V-45S ATTAIN COMMAND,705.6,705.6,,,0
HCPCS,C1887,CATHETER ANGIO 4FR L100CM DST TIP DIA1.03MM PROX SHFT,127.63,127.63,,,0
HCPCS,C1887,CATHETER ANGIO 4FR X 150CM NYL INNR LAYR HYDRPHLC ANG CRV,135.6,135.6,,,0
HCPCS,C1887,CATHETER ANGIO 5FR L100CM DST TIP DIA1.1MM PROX SHFT,135.6,135.6,,,0
HCPCS,C1887,CATHETER ANGIO 5FR L80CM 0.038IN SOS OMNI 2 HI TORQ SHFT,89.28,89.28,,,0
HCPCS,C1887,CATHETER ANGIOGRAPHIC 10 SIDEPORT HIGH FLOW ROYAL FLUSH PLUS,52.32,52.32,,,0
HCPCS,C1887,CATHETER ANGIOGRAPHIC L100CM OD5FR .038IN KMP CONFIGURATION,126.72,126.72,,,0
HCPCS,C1887,CATHETER ANGIOGRAPHY 8FR L80CM ID0.096IN 0.038IN GUIDEWIRE S,2148.0,2148.0,,,0
HCPCS,C1887,CATHETER DIAG 1.39MM X 135CM HYDRPHLC 40CM ANG TIP SS DBL,548.4,548.4,,,0
HCPCS,C1887,CATHETER DIAG 2.4FR ID0.017IN L150CM HYDRPHLC COAT,1856.72,1856.72,,,0
HCPCS,C1887,CATHETER DIAG 2.6FR L150CM GWIRE DIA0.018IN ANG TIP W/ PLAT,438.48,438.48,,,0
HCPCS,C1887,CATHETER DIAG 2.8X2FR L155CM MIC BERN TIP TRUSELECT,2025.12,2025.12,,,0
HCPCS,C1887,CATHETER DIAG 4FR L135CM GWIRE 0.035IN HYDRPHLC RADPQ MRK,389.76,389.76,,,0
HCPCS,C1887,CATHETER DIAG 5FR L110CM 2 SIDE H COR SARAH RAD CRV 4.0,108.0,108.0,,,0
HCPCS,C1887,CATHETER DIAG 5FR X 130CM ID0.04IN S BRD SHFT RADPQ POLYMR,300.0,300.0,,,0
HCPCS,C1887,CATHETER DIAG L150CM SHFT DIA0.026X0.039IN SPC L15MM TIP,384.0,384.0,,,0
HCPCS,C1887,CATHETER DIAG L65CM DIA0.063X0.05IN TIP 3.1FR CMPTBL GWIRE,387.49,387.49,,,0
HCPCS,C1887,CATHETER DIAGNOSTIC 2.8X2FR L155CM MICRO STRAIGHT TIP TRUSEL,2006.91,2006.91,,,0
HCPCS,C1887,CATHETER DIAGNOSTIC L175CM 2.8-2FR STRAIGHT SELECTIVE WITHOU,2149.92,2149.92,,,0
HCPCS,C1887,CATHETER GUID 5FR X 115CM STR DST TIP SFT TORQUEABLE SHFT,3604.13,3604.13,,,0
HCPCS,C1887,CATHETER GUID 5FR X 125CM STR DST TIP SFT TORQUEABLE SHFT,3536.42,3536.42,,,0
HCPCS,C1887,CATHETER GUID 6FR L100CM COR NYL HYDRPHLC FLAT WIRE BRD X BK,98.3,98.3,,,0
HCPCS,C1887,CATHETER GUID 6FR L100CM COR PERIPH BLU NYL COAT PTFE LNR,91.2,91.2,,,0
HCPCS,C1887,CATHETER GUID 6FR L100CM ID0.07IN FEM APPRCH POLYMR PTFE LNR,131.2,131.2,,,0
HCPCS,C1887,CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH AL 0.75,96.0,96.0,,,0
HCPCS,C1887,CATHETER GUID 6FR L100CM LUMN ID0.071IN VEST-TECH L COR X,98.09,98.09,,,0
HCPCS,C1887,CATHETER GUID 6FR L100CM STD COR NYL JR 4 CRV W/O SIDE H,96.31,96.31,,,0
HCPCS,C1887,CATHETER GUID 6FR L100CM TIP L0.1IN PTFE INNR LNR NYL TOP X,91.2,91.2,,,0
HCPCS,C1887,CATHETER GUID 6FR L110CM 145DEG VENT ANG PGTL 6 SIDE H RADPQ,21.6,21.6,,,0
HCPCS,C1887,CATHETER GUID 6FR L150CM DST EXTN L25CM HYDRPHLC SL RX PLAT,960.0,960.0,,,0
HCPCS,C1887,CATHETER GUID 6FR X 115CM STR DST TIP SFT TORQUEABLE SHFT,5874.0,5874.0,,,0
HCPCS,C1887,CATHETER GUID 6FR X 125CM STR DST TIP SFT TORQUEABLE SHFT,5652.0,5652.0,,,0
HCPCS,C1887,CATHETER GUID 7FR 100CM STD COR NYL JR 4 CRV W/O SIDE H,96.0,96.0,,,0
HCPCS,C1887,CATHETER GUID 7FR L100CM CRV EBU3.5 POLYMR FLAT ENCAP BRD,96.94,96.94,,,0
HCPCS,C1887,CATHETER GUID 7FR L100CM ID0.081IN EBU4.5 RADPQ MRK BND FLX,96.0,96.0,,,0
HCPCS,C1887,CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH AL 7.5 CRV,97.48,97.48,,,0
HCPCS,C1887,CATHETER GUID 7FR L100CM LUMN ID0.081IN VEST-TECH L COR X,97.16,97.16,,,0
HCPCS,C1887,CATHETER GUID 7FR L150CM DST EXTN L25CM HYDRPHLC SL RX PLAT,960.0,960.0,,,0
HCPCS,C1887,CATHETER GUID 7FR L90CM DIA0.081IN NYL SHFT COR AL1.0 MID,96.0,96.0,,,0
HCPCS,C1887,CATHETER GUID 7FR X 150CM RX 13CM 14ATM 0.062IN GUID EXTN,1802.4,1802.4,,,0
HCPCS,C1887,CATHETER GUID 7FR X 5.4FR X 43CM RIGHTSITE,602.4,602.4,,,0
HCPCS,C1887,CATHETER GUID 8FR L100CM TIP L0.1IN PTFE INNR LNR NYL TOP MP,91.2,91.2,,,0
HCPCS,C1887,CATHETER GUID 9X7.2FR L45CM MP R POLYETHER BLK AMIDE PLYAMDE,705.6,705.6,,,0
HCPCS,C1887,CATHETER GUID LG 6FR L55CM PTFE INNR LNR NYL TOP RDC RADPQ,96.0,96.0,,,0
HCPCS,C1887,CATHETER GUID PAPA L LUMN FLX RADPQ MRK BND FLL WALL,96.75,96.75,,,0
HCPCS,C1887,CATHETER GUIDING 2FR L130CM 800PSI STRAIGHT TIP TRUSELECT,2040.0,2040.0,,,0
HCPCS,C1887,CATHETER HI DEF KODAMA IVUS,1800.0,1800.0,,,0
HCPCS,C1887,CATHETER INFUS 3.2FR X 2.8FR X 160CM SS COIL PTFE INNR LNR,2222.4,2222.4,,,0
HCPCS,C1887,CATHETER INFUS 7FR L150CM MIC J SHP TIP HEADWAY,1974.45,1974.45,,,0
HCPCS,C1887,CATHETER INTVENT 2.6FR X 150CM GWIRE 0.018IN STR TIP CXI,438.48,438.48,,,0
HCPCS,C1887,CATHETER LAUNCHER 7F  9CM JR4.,96.0,96.0,,,0
HCPCS,C1887,CATHETER NEUROVASC GUID L150CM DIA0.021IN SFT DST SEG L6CM,2412.0,2412.0,,,0
HCPCS,C1887,CATHETER NEUROVASC GUID PROX 2.8FR DST 2FR L175CM TRUSELECT,2151.6,2151.6,,,0
HCPCS,C1887,CATHETER OCCL BLLN 6MM X 12MM DST TIP 2FR X 7MM DL 1.1MM,4440.0,4440.0,,,0
HCPCS,C1887,CATHETER PUSH L170CM PTFE DISP FOR FREEMAN 4/5FR STNT,98.4,98.4,,,0
HCPCS,C1887,CATHETER SUPP 4FR L150CM GWIRE 0.018IN SS ANG TIP DBL BRD,493.2,493.2,,,0
HCPCS,C1887,CATHETER SUPP L135CM DIA0.039X0.026IN TIP 1.5FR HYDRPHLC LP,384.0,384.0,,,0
HCPCS,C1887,CATHETER SUPP L135CM DIA0.063X0.05IN TIP 3.1FR HYDRPHLC LP,400.8,400.8,,,0
HCPCS,C1887,CATHETER SUPP L150CM DIA0.063X0.05IN TIP 3.1FR HYDRPHLC LP,387.6,387.6,,,0
HCPCS,C1887,CATHETER SUPP PERIPH 4FRX135CM STR TIP HYDRPHLC COAT RADPQ,548.4,548.4,,,0
HCPCS,C1887,CATHETER VASC L132CM 0.06IN FLX DST ACCS AXIS CATLYST 6,3600.0,3600.0,,,0
HCPCS,C1887,CATHETER VASC L160CM PHENOM 21,2412.0,2412.0,,,0
HCPCS,C1887,CATHETER VASC L90CM OD2 6FR GWIRE OD0 018IN STR CXI SUPP,438.48,438.48,,,0
HCPCS,C1887,DEVICE TISS REM 4MM X 12.6IN HNDHLD DISP FOR IU TISS FLUENT,2304.0,2304.0,,,0
HCPCS,C1887,FINE CROSS MICRO GUIDE M3 CATHETER 150CM,1382.4,1382.4,,,0
HCPCS,C1887,GC 5F 056 XBLAD 3.5 STAND TIP,91.2,91.2,,,0
HCPCS,C1887,GC 7F 078 XB 4,91.2,91.2,,,0
HCPCS,C1887,GLIDECATH XP 5FR 100 CM LONG SIMMONS 2 (SIM 2) TIP SHAPE.,130.71,130.71,,,0
HCPCS,C1887,GUIDE  8F MPA1,91.2,91.2,,,0
HCPCS,C1887,HEADWAY 17 STRAIGHT L150CM,1499.4,1499.4,,,0
HCPCS,C1887,HEADWAY 21STRAIGHT L150CM,1440.0,1440.0,,,0
HCPCS,C1887,KIT ASPIR DST 5.3FR X 140CM CATH 0.014IN WIRE PLATFRM L LUMN,4320.0,4320.0,,,0
HCPCS,C1887,KIT ASPIR PROX 6FR DST 6FR X 135CM CATH 0.014- 0.038IN WIRE,5340.0,5340.0,,,0
HCPCS,C1887,MICROCATHETER DIAG 1.7FR X 2.4FR X 150CM TAPR PTFE LNR,1699.74,1699.74,,,0
HCPCS,C1887,MICROCATHETER DIAG 130CM OD2.4FR X 3.2FR ID0.017IN X 0.018IN,1236.0,1236.0,,,0
HCPCS,C1887,MICROCATHETER DIAG 2 1FR X 2 9FR X 150CM TIP 1 3FR HYDRPHLC,2040.0,2040.0,,,0
HCPCS,C1887,MICROCATHETER DIAG 2.4-3.2FR L130CM 90DEG DST TIP 0.014IN,1464.0,1464.0,,,0
HCPCS,C1887,MICROCATHETER DIAG 3.1FR X 2.6FR X 156CM PTFE LNR HYDRPHLC,2417.56,2417.56,,,0
HCPCS,C1887,MICROCATHETER GUID 0.04IN X 0.036IN X 150CM STR RND TIP,2412.0,2412.0,,,0
HCPCS,C1887,MICROCATHETER GUID 130CM OD2.5FR X 1.8FR ID0.021IN X 0.018IN,1385.81,1385.81,,,0
HCPCS,C1887,MICROCATHETER GUID 3.1FR X 2.8FR X 150CM STR SFT RND DST TIP,2412.0,2412.0,,,0
HCPCS,C1887,MICROCATHETER GUID 4.7FR X 4.2FR X 120CM STR SFT RND DST TIP,4116.0,4116.0,,,0
HCPCS,C1887,MICROCATHETER INTVENT 2.4FR X 150CM HYDRPHLC STR RADPQ MRK,829.21,829.21,,,0
HCPCS,C1887,MICROCATHETER INTVENT 2.8FR X 150CM HYDRPHLC STR RADPQ MRK,838.8,838.8,,,0
HCPCS,C1887,MICROCATHETER PERIPH 2FR X 150CM HYDRPHLC COAT 90CM STR TIP,1813.08,1813.08,,,0
HCPCS,C1887,MICROCATHETER VASC 2.1FR X 1.3FR X 167CM TIP 0.013IN STR 1,2842.2,2842.2,,,0
HCPCS,C1887,MICROCATHETER VASC 2.4FR X 0.0175IN X 154CM 90 DEG FLAT BRD,3720.0,3720.0,,,0
HCPCS,C1887,MICROCATHETER VASC 2.4FR X 1.7FR X 150CM TIP 0.017IN STR 2,1572.25,1572.25,,,0
HCPCS,C1887,MICROCATHETER VASC 2.7FR X 2.4FR X 0.021IN X 155CM BERN TIP,1113.6,1113.6,,,0
HCPCS,C1887,MICROCATHETER VASC 2FR X 2.5FR X 156CM STR TIP ID0.021IN,2187.86,2187.86,,,0
HCPCS,C1887,MICROCATHETER VASC 3FR X 2.4FR X 0.021IN X 150CM TIP 20CM,727.2,727.2,,,0
HCPCS,C1887,MICROCATHETER VASC DST 2.2FR PROX 2.5FR X 0.0175IN X 154CM,3720.0,3720.0,,,0
HCPCS,C1887,MICROCATHETER VASC L150CM PROX/DST OD3/2.4FR ID0.021IN TIP,727.2,727.2,,,0
HCPCS,C1887,MICROCATHETER VASC L154CM DIA0.027IN MIC BRAID VIA 27,3720.0,3720.0,,,0
HCPCS,C1887,MICROCATHETER VASC L155CM PROX/DST OD3/2.8FR ID0.027IN,1113.6,1113.6,,,0
HCPCS,C1887,MICROCATHETER VASC PROX/DST 3/2.8FR L150CM LUMN DIA0.027IN,650.4,650.4,,,0
HCPCS,C1887,MICROCATHETER VASC PROX/DST 3X2.4FR L155CM LUMN DIA0.021IN,1113.6,1113.6,,,0
HCPCS,C1887,MICROCATHETER VASCULAR PROXIMAL/DISTAL 3X2.4FR L155CM LUMEN,1106.4,1106.4,,,0
HCPCS,C1887,MICROCATHETER VASCULAR PROXIMAL/DISTAL 3X2.8FR L155CM LUMEN,1060.8,1060.8,,,0
HCPCS,C1887,NAVICROSS SUPPORT CATHETER 0.035 X 135CM ANGLE TIP,410.4,410.4,,,0
HCPCS,C1887,NAVICROSS SUPPORT CATHETER 0.035 X 150CM STRAIGHT TIP,548.4,548.4,,,0
HCPCS,C1887,OPTITORQUE TR-SHAPE 5FR JACKAY RADIAL,108.0,108.0,,,0
HCPCS,C1887,PINNACLE DESTINATION  45 CM SHEATH W/DILATOR.  7 FR INNER,254.4,254.4,,,0
HCPCS,C1887,PINNACLE SHEATHS FOR CORONARY APPLICATIONS 10 CM SHEATH   9F,24.96,24.96,,,0
HCPCS,C1887,PINNACLE SHEATHS FOR CORONARY APPLICATIONS 10FR INTRODUCER 1,54.7,54.7,,,0
HCPCS,C1887,PROGREAT MICROCATHETER 2.4 FR / 110 CM RO MARKER BAND,840.0,840.0,,,0
HCPCS,C1887,SARAH RADIAL CATHETER,108.0,108.0,,,0
HCPCS,C1887,SET BX NDL 18GA L60CM THRW L20MM SHTH 7FR LIV ACCS,904.78,904.78,,,0
HCPCS,C1887,SET INTRO 10FR L40CM TRCR STYL L62.5CM DIA0.038IN CANN 14GA,1079.98,1079.98,,,0
HCPCS,C1887,SET RNG TRNSJUG INTRAHEPATIC ACCS W/ NDL 16GA L50.5CM INTRO,1223.98,1223.98,,,0
HCPCS,C1887,SHEATH 7FR BRITE TIP 37208,54.13,54.13,,,0
HCPCS,C1887,SHEATH BRITE TIP 7FR 90CM,51.6,51.6,,,0
HCPCS,C1887,SHEATH GUID 6FR L119CM R2P DESTINATION STR SLENDER,724.2,724.2,,,0
HCPCS,C1887,SHEATH GUID DIAG INTVENT 8FR X 45CM DIL PROTRUDING 2CM PINN,250.8,250.8,,,0
HCPCS,C1887,SHEATHR2P DESTINATION SLENDER 149CM 6FR STRAIGHT,746.1,746.1,,,0
HCPCS,C1887,SI BRITE TIP 7F 55CM STR CAT,52.2,52.2,,,0
HCPCS,C1887,SOFIA 6F STRAIGHT L131CM,5859.68,5859.68,,,0
HCPCS,C1887,STENT BILI 10FR BARB TO BARB L10CM 4.2MM CMPTBL SCP WRK CHN,247.49,247.49,,,0
HCPCS,C1887,TRACSTAR LDP 95CM,3798.0,3798.0,,,0
HCPCS,C1887,VENT PEDI 10 FR. 12110,82.56,82.56,,,0
HCPCS,C1887,VIA 3.8F 33 ID MICROCATHETER STR 133CM,3720.0,3720.0,,,0
HCPCS,C1888,M4175 : WAND ABLATION 4.6MM 50DEG FOR AMBIENT HIPVAC 50 IFS M4175,1026.0,1026.0,,,0
HCPCS,C1889,1016010 - VENT TUBE 1016010 5PK GOODE T 12MM SILIC,58.73,58.73,,,0
HCPCS,C1889,10F PEDIATRIC CYSTOSCOPY,102.98,102.98,,,0
HCPCS,C1889,127744 : KIT REP SS KNTLSS CANN FOR SYNDESMOSIS TGHTRP,3056.04,3056.04,,,0
HCPCS,C1889,"1350200P2 - MODULUS ALIF BOLT, Ã5.0X20MM FIX/2PK",1440.0,1440.0,,,0
HCPCS,C1889,"1350250P2 - MODULUS ALIF BOLT, Ã5.0X25MM FIX/2PK",1440.0,1440.0,,,0
HCPCS,C1889,1524105 - DEVICE 1524105 NASAL SEPTAL BUTTON SILIC,436.75,436.75,,,0
HCPCS,C1889,"1759450P2 - MODULUS XLIF PLATE, 8MM MODULAR",5760.0,5760.0,,,0
HCPCS,C1889,"1921010P2 - MODULUS ALIF, 8X34X24MM 20°",15696.0,15696.0,,,0
HCPCS,C1889,"1921046P2 - MODULUS ALIF, 8X38X28MM 15°",15120.0,15120.0,,,0
HCPCS,C1889,"1921050P2 - MODULUS ALIF, 8X38X28MM 20°",15696.0,15696.0,,,0
HCPCS,C1889,"1921090P2 - MODULUS ALIF, 8X42X32MM 20°",15696.0,15696.0,,,0
HCPCS,C1889,2.4 BONE DISTRACTOR HEX,223.2,223.2,,,0
HCPCS,C1889,200 CURVED RODS,360.0,360.0,,,0
HCPCS,C1889,28MM NANO ACUTRACK 3,1850.4,1850.4,,,0
HCPCS,C1889,3.5 VA GREATER TROCH HOOK PL/LRG/UNIV,6877.8,6877.8,,,0
HCPCS,C1889,3.5/4.5 VA PROX FEM HOOK PL/SMALL/354/LT,10252.8,10252.8,,,0
HCPCS,C1889,3240764 - ANATOMIC PEEK W/ NANO 16 X 14 X 7 X 4.6°,3760.8,3760.8,,,0
HCPCS,C1889,32950 : CATHETER ELECHEMSTAS 7FR L210CM 25GA NDL BPLR STD PLUG CONN,1119.7,1119.7,,,0
HCPCS,C1889,34165 : CATHETER ELECHEMSTAS 10FR L201CM NDL 25GA WRK CHN 3.7MM STD,1119.7,1119.7,,,0
HCPCS,C1889,34MM MEMO 4D SEMIRIGID ANNULOPLASTY RING,4080.0,4080.0,,,0
HCPCS,C1889,35622 : CATHETER ANGIO 5FR L100CM NYL DAVIS CRV TAPR RADPQ TIP SS,54.91,54.91,,,0
HCPCS,C1889,356282 : SCREW BNE 1.5X5MM V2 NEURO DRL FREE TI-6AL-4V LEV 1 ONEDRIVE,96.0,96.0,,,0
HCPCS,C1889,356308 : PACK BTTRY REPL RECHRG DISP FOR PWD DRVR SUR,444.0,444.0,,,0
HCPCS,C1889,367496 : COIL EMB L2CM LOOP DIA2MM GWIRE 0.018IN HYDROCOIL DETACH SFT,2161.2,2161.2,,,0
HCPCS,C1889,"3900241 - RELINE C EYELET, SINGLE SHORT",1143.65,1143.65,,,0
HCPCS,C1889,"3943025 - RELINE C TI ROD, 3.5X25MM PRE BENT",457.46,457.46,,,0
HCPCS,C1889,40 ROD,324.0,324.0,,,0
HCPCS,C1889,407870 : VALVE HEART ON-X MITRAL PROSTHETIC 25MM WITH STANDARD SEWING,10080.0,10080.0,,,0
HCPCS,C1889,407911 : CONNECTOR SPNL BND TI TIP FLAT TBLR LIGAPASS 2.0,1920.0,1920.0,,,0
HCPCS,C1889,408748 : NESTER EMB MICROCOIL,253.51,253.51,,,0
HCPCS,C1889,419849 : SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 20MM,81600.0,81600.0,,,0
HCPCS,C1889,419850 : SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 23MM,81600.0,81600.0,,,0
HCPCS,C1889,419852 : SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 29MM,81600.0,81600.0,,,0
HCPCS,C1889,420825 : DISC SPNL ARTFCL SM 4MM SIMPLIFY ST PK,12000.0,12000.0,,,0
HCPCS,C1889,420830 : DISC SPNL ARTFCL M 4MM SIMPLIFY ST PK,14976.0,14976.0,,,0
HCPCS,C1889,420831 : DISC SPNL ARTFCL M 5MM SIMPLIFY ST PK,14976.0,14976.0,,,0
HCPCS,C1889,420907 : DEVICE EMB 14MM DIA2.75MM NEUROVASC FLO DIVERTING,30000.0,30000.0,,,0
HCPCS,C1889,420931 : DEVICE EMB L14MM DIA3.5MM NEUROVASC FLO DIVERTING FLX BRD,30000.0,30000.0,,,0
HCPCS,C1889,420944 : DEVICE EMB L25MM DIA3.75MM NEUROVASC FLO DIVERTING FLX BRD,32400.0,32400.0,,,0
HCPCS,C1889,420958 : DEVICE EMB L14MM DIA4.25MM NEUROVASC FLO DIVERTING FLX BRD,30000.0,30000.0,,,0
HCPCS,C1889,420970 : DEVICE EMB L20MM DIA4.5MM NEUROVASC FLO DIVERTING FLX BRD,30000.0,30000.0,,,0
HCPCS,C1889,420975 : DEVICE EMB L12MM DIA4.75MM NEUROVASC FLO DIVERTING FLX BRD,30000.0,30000.0,,,0
HCPCS,C1889,420985 : DEVICE EMB L14MM DIA5MM NEUROVASC FLO DIVERTING FLX BRD SFT,30000.0,30000.0,,,0
HCPCS,C1889,420987 : DEVICE EMB L18MM DIA5MM NEUROVASC FLO DIVERTING FLX BRD SFT,30000.0,30000.0,,,0
HCPCS,C1889,420989 : DEVICE EMB L25MM DIA5MM NEUROVASC FLO DIVERTING FLX BRD SFT,32400.0,32400.0,,,0
HCPCS,C1889,420991 : DEVICE EMB L35MM DIA5MM NEUROVASC FLO DIVERTING FLX BRD SFT,32400.0,32400.0,,,0
HCPCS,C1889,420998 : COIL PERIPH VASC EMB DETACH 2MM X 4CM EMBOLD FBR,2196.0,2196.0,,,0
HCPCS,C1889,420999 : COIL PERIPH VASC EMB DETACH 2MM X 6CM EMBOLD FBR,2196.0,2196.0,,,0
HCPCS,C1889,421001 : COIL PERIPH VASC EMB DETACH 3MM X 12CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,421002 : COIL PERIPH VASC EMB DETACH 4MM X 8CM EMBOLD FBR,2196.0,2196.0,,,0
HCPCS,C1889,421003 : COIL PERIPH VASC EMB DETACH 4MM X 15CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,421004 : COIL PERIPH VASC EMB DETACH 5MM X 8CM EMBOLD FBR,2196.0,2196.0,,,0
HCPCS,C1889,421006 : COIL PERIPH VASC EMB DETACH 6MM X 10CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,421007 : COIL PERIPH VASC EMB DETACH 6MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,421008 : COIL PERIPH VASC EMB DETACH 8MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,421009 : COIL PERIPH VASC EMB DETACH 10MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,421267 : ROD SPNL TI ALLY 5.5MM X 200MM CREO,360.0,360.0,,,0
HCPCS,C1889,421276 : ANCHOR SPNL 13MM FOR INLINE INTEGR FIX TI COALITION MIS ACDF,180.0,180.0,,,0
HCPCS,C1889,421283 : CONNECTOR SPNL L400MM 5.5-6.35MM CLS IN LN W- INTEGR 5.5MM,1200.0,1200.0,,,0
HCPCS,C1889,421287 : CAP SPNL LOK THRD FEN CREO,120.0,120.0,,,0
HCPCS,C1889,421288 : CAP LOK FEN STBL SYS MIS CREO,120.0,120.0,,,0
HCPCS,C1889,421776 : STEM FEM 13MM STD OFFSET COCR ECHO FX,1798.39,1798.39,,,0
HCPCS,C1889,422030 : SWIVELOCK  SP BC KL 4.75MM,1287.0,1287.0,,,0
HCPCS,C1889,422031 : DOUBLE LD KNTLSS FIBERTAK KNEE,1365.0,1365.0,,,0
HCPCS,C1889,422958 : ROD SPNL L200MM DIA3.5MM OCCIPITOCERVICAL UP THOR TI PRECRV,960.0,960.0,,,0
HCPCS,C1889,422981 : ROD SPNL L450MM ANT POST SMTH STR FOR 6MM SCR PASS LP,720.0,720.0,,,0
HCPCS,C1889,422983 : ROD SPNL 5.5MM 4+ LEV COCR UNID EXP PT SPEC,3360.0,3360.0,,,0
HCPCS,C1889,424477 : SPACER SPNL LLIF 18X9X40MM 15DEG LORD TI 3D PRNT HEDRON L,10800.0,10800.0,,,0
HCPCS,C1889,425601 : SPACER SPNL ACDF 16X8X14MM 7DEG LORD PEEK TPS COLONIAL,1560.0,1560.0,,,0
HCPCS,C1889,425749 : SPACER SPNL LLIF 18X13X55MM 15DEG LORD TPS TRANSCONTINENTAL,8400.0,8400.0,,,0
HCPCS,C1889,"42722 - ICAST COVERED STENT SYSTEM, 7MMX22MMX120CM",7207.44,7207.44,,,0
HCPCS,C1889,429592 : ROD SPNL THORLUM 5.5X300MM SGL HEX END PRECONTOURED COCR,480.0,480.0,,,0
HCPCS,C1889,431610 : SPACER SPNL CERV W- NANOTECHNOLOGY 4.6 DEG 16MM 14MM 6MM,3760.8,3760.8,,,0
HCPCS,C1889,431613 : SPACER SPNL CERV W- NANOTECHNOLOGY 4.6 DEG 16MM 14MM 7MM,3760.8,3760.8,,,0
HCPCS,C1889,433163 : HOOK SPNL WIDE BLDE ST L CDH MODULEX,1260.0,1260.0,,,0
HCPCS,C1889,433169 : HOOK SPNL EXT BODY ST L CDH MODULEX,1260.0,1260.0,,,0
HCPCS,C1889,434830 : ROD SPNL 3.5MM X 90MM PRECUT COCR VRTX,336.0,336.0,,,0
HCPCS,C1889,434831 : ROD SPNL 3.5MM X 100MM PRECUT COCR VRTX,336.0,336.0,,,0
HCPCS,C1889,460697 : DISTAL LAT FEM PLT L 5.0MM  231MM-8 H,9283.2,9283.2,,,0
HCPCS,C1889,460705 : DISTAL LAT FEM PLT R 5.0MM  231MM-8 H,9283.2,9283.2,,,0
HCPCS,C1889,463397 : DISTAL FEM PLT L,9691.2,9691.2,,,0
HCPCS,C1889,485719 : PLUG VASCULAR L18MM DIA13MM VESSEL DIA7-9MM MICRO PERIPHERAL,3588.0,3588.0,,,0
HCPCS,C1889,485761 : MWCE-18-2-2-NESTER-010.018 ID PLATINUM MICRO NESTER COILS W,253.51,253.51,,,0
HCPCS,C1889,485842 : SPHERE EMBOLIZATION PRE FILLED SYRINGE ACRYLIC GEL 900-1200,696.0,696.0,,,0
HCPCS,C1889,"48722 - ICAST COVERED STENT SYSTEM, 7MMX22MMX80CM",7207.44,7207.44,,,0
HCPCS,C1889,487300 : OBSIDIO CONFORMABLE EMBOLIC SALES UNIT,10320.0,10320.0,,,0
HCPCS,C1889,490461 : THREADED ROD 350MM,147.17,147.17,,,0
HCPCS,C1889,534570 : IPS IMPLANT CRANIAL,25200.0,25200.0,,,0
HCPCS,C1889,534595 : VALVE MI 31MM H20MM CUF DIA39MM PORCINE TISS STENTED EPIC +,12720.0,12720.0,,,0
HCPCS,C1889,535338 : BAND 7700FB40 SIMUPLUS FLX 40MM,5892.0,5892.0,,,0
HCPCS,C1889,541072 : SYSTEM EMB 6X2MM MICROBRAID WEB 17 SL,39588.0,39588.0,,,0
HCPCS,C1889,546696 : EXPANDER TISS GEN USE SMTH RECT 450CC 8CM X 18CM X 7CM REMOT,2664.0,2664.0,,,0
HCPCS,C1889,546862 : AGENT SUBMUCOSAL LIFTING 1 GM ABSRB MOD POLYMR PWD 1 SYR,1200.0,1200.0,,,0
HCPCS,C1889,547259 : WAND ABLATION 4.6MM  50 DEG FOR AMBIENT HIPVAC 50 IFS,1026.0,1026.0,,,0
HCPCS,C1889,559200067 - BIASED MAS 559200067 DOUBLE PACK HEAD/SS,3105.6,3105.6,,,0
HCPCS,C1889,55MM ROD,324.0,324.0,,,0
HCPCS,C1889,6.0 TI ROD,432.0,432.0,,,0
HCPCS,C1889,"60-000-23-09-LP - IMPLANT, CRANIAL, 00023, LP, PEEK",22896.0,22896.0,,,0
HCPCS,C1889,65610 : MICROCOIL EMB ART VEN PERIPH L14CM DIA6MM 7.4 LOOP,267.58,267.58,,,0
HCPCS,C1889,65611 : MICROCOIL EMB ART VEN PERIPH L14CM DIA8MM 5.6 LOOP,267.58,267.58,,,0
HCPCS,C1889,"70-0053-224 - M00510020 - ENDOVIVE GASTROSTOMY TUBE, RIGHT ANGLE, WITH ENFIT CONNECTOR, 24FR",1248.0,1248.0,,,0
HCPCS,C1889,87279 : CATHETER ABLAT 4MM X 160CM BPLR ELECTRD 13MM X 20MM FOC DISP,3765.6,3765.6,,,0
HCPCS,C1889,9.5 MM X 50 MM IFUSE BEDROCK GRANITE IMPLANT,7440.0,7440.0,,,0
HCPCS,C1889,ADAPTER HD 3.2-4 2 QUARTEX,1200.0,1200.0,,,0
HCPCS,C1889,ADAPTER SPNL OCT 2 HD FOR 3.2-4MM TO CREO THRD 5.5-6MM,1200.0,1200.0,,,0
HCPCS,C1889,ANCHOR SPNL 25MM LAT LUM,960.0,960.0,,,0
HCPCS,C1889,APREVO,62400.0,62400.0,,,0
HCPCS,C1889,ATRICLIP FLEX V,4440.0,4440.0,,,0
HCPCS,C1889,AUTOGRAFT,0.01,0.01,,,0
HCPCS,C1889,AZUR 18 PERIPHERAL COIL SYSTEM,2072.76,2072.76,,,0
HCPCS,C1889,AZUR HYDROPACK 18 PERIPHERAL COIL SYSTEM,3661.54,3661.54,,,0
HCPCS,C1889,AZUR HYDROPACK18 60CM,3880.8,3880.8,,,0
HCPCS,C1889,BAND OPHTH L100MM 3.5X0.75MM TYP 41 SIL DISP,144.0,144.0,,,0
HCPCS,C1889,BASKET AIRWY RETRV DIA1MM POLYIMIDE PTFE SHTH L120CM WRK OPN,846.5,846.5,,,0
HCPCS,C1889,BASKET RETRV 2.4FR 12MM X 120CM 4 WIRE NIT FOR BILI STONE,653.18,653.18,,,0
HCPCS,C1889,CABLE BUTTON,326.4,326.4,,,0
HCPCS,C1889,CABLE SADDLE 4.5,2268.0,2268.0,,,0
HCPCS,C1889,CAP LOK FEN STBL SYS MIS CREO,120.0,120.0,,,0
HCPCS,C1889,CAP SPNL LOK THRD FEN CREO,120.0,120.0,,,0
HCPCS,C1889,CAPSULAR TENSION RING,429.6,429.6,,,0
HCPCS,C1889,CARPENTIER-EDWARDS PHYSIO II ANNULOPLASTY RING,6240.0,6240.0,,,0
HCPCS,C1889,CATHETER ELECHEMSTAS 10FR L201CM NDL 25GA WRK CHN 3.7MM STD,1119.7,1119.7,,,0
HCPCS,C1889,CATHETER ELECHEMSTAS 7FR L210CM 25GA NDL BPLR STD PLUG CONN,1119.7,1119.7,,,0
HCPCS,C1889,CENTERED ALTO PARTIAL SIZERS INCLUDED TITANIUM/SILICONE,57.1,57.1,,,0
HCPCS,C1889,CODMAN BACTISEAL VENTRICULAR CATHETER WITH BACTISEAL SHUNT SYSTEM,869.19,869.19,,,0
HCPCS,C1889,CODMAN HOLTER SALMON RICKHAM,969.31,969.31,,,0
HCPCS,C1889,COIL EMB H2MM DIA4MM RECOMMENDED VIA17 CATH FOR ANEUR WEB SL,39588.0,39588.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 10MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 10MM X 30CM EMBOLD FBR,3067.2,3067.2,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 12MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 12MM X 30CM EMBOLD FBR,3067.2,3067.2,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 14MM X 20CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 14MM X 30CM EMBOLD FBR,3067.2,3067.2,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 2MM X 4CM EMBOLD FBR,2196.0,2196.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 32MM X 60CM EMBOLD FBR,3067.2,3067.2,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 3MM X 12CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 3MM X 6CM EMBOLD FBR,2196.0,2196.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 4MM X 15CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 4MM X 8CM EMBOLD FBR,2196.0,2196.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 5MM X 15CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 5MM X 8CM EMBOLD FBR,2196.0,2196.0,,,0
HCPCS,C1889,COIL PERIPH VASC EMB DETACH 6MM X 10CM EMBOLD FBR,2436.0,2436.0,,,0
HCPCS,C1889,CONNECTOR SPNL 5.5-6.35 TO 5.5-6.35 INLINE CLS 2 SET SCR,720.0,720.0,,,0
HCPCS,C1889,COSTAL CARTILAGE,1080.0,1080.0,,,0
HCPCS,C1889,CROSS CONNECTOR 49-59,1860.0,1860.0,,,0
HCPCS,C1889,CROSS-LINKED POLY INSERT SIDE 3+ H 12MM,4668.0,4668.0,,,0
HCPCS,C1889,CROSSLINK SPNL L 40-56MM OCCIPITOCERVICAL UP THOR MAS TO MAS,1056.0,1056.0,,,0
HCPCS,C1889,"CZ70BD.155 - CZ70BD - SINGLE-PIECE PMMA STERILE PCL (IOL/PC),12.5MM LENGTH, 7.0MM BICONVEX OPTIC,5-DEGREE SLANT(TM*) HAPTICS WITH EYELETS. *REG. U.S",120.0,120.0,,,0
HCPCS,C1889,DEVICE EMB 12MM DIA2.75MM NEUROVASC FLO DIVERTING,30000.0,30000.0,,,0
HCPCS,C1889,DEVICE EMB L25MM DIA3.75MM NEUROVASC FLO DIVERTING FLX BRD,32400.0,32400.0,,,0
HCPCS,C1889,DISC SPNL ARTFCL L 5MM SIMPLIFY ST PK,12000.0,12000.0,,,0
HCPCS,C1889,DISC SPNL ARTFCL M 4MM SIMPLIFY ST PK,14976.0,14976.0,,,0
HCPCS,C1889,DISC SPNL ARTFCL M 5MM SIMPLIFY ST PK,12000.0,12000.0,,,0
HCPCS,C1889,DISTAL FEM PLT L,7269.6,7269.6,,,0
HCPCS,C1889,DISTAL LAT FEM PLT R 5.0MM  337MM/14 H,7636.8,7636.8,,,0
HCPCS,C1889,DISTAL LAT FIB PLT L 2.7/3.5MM  109MM/6 H,2880.0,2880.0,,,0
HCPCS,C1889,DISTAL LAT FIB PLT L 2.7/3.5MM  81MM/4 H,2700.0,2700.0,,,0
HCPCS,C1889,DISTAL LAT FIB PLT L 2.7/3.5MM 137MM/8 H,4428.0,4428.0,,,0
HCPCS,C1889,DISTAL POSTEROLATERAL FIB PLT R 2.7/3.5MM  95MM/5 H,2616.0,2616.0,,,0
HCPCS,C1889,DOUBLE LD KNTLSS FIBERTAK KNEE,1365.0,1365.0,,,0
HCPCS,C1889,ENDOTINE FOREHEAD 3.0,774.0,774.0,,,0
HCPCS,C1889,ENDOTINE FOREHEAD 3.5,786.0,786.0,,,0
HCPCS,C1889,ENDOTINE IMPLANT,611.34,611.34,,,0
HCPCS,C1889,"ENDOVIVE GASTROSTOMY TUBE, RIGHT ANGLE, WITH ENFIT CONNECTOR, 24FR",249.6,249.6,,,0
HCPCS,C1889,EVOQUE BUNDLE,103200.0,103200.0,,,0
HCPCS,C1889,EVOS CABLE SADDLE,2268.0,2268.0,,,0
HCPCS,C1889,EXPANDER  PMT 6X18 CM RECTANGULA,3384.0,3384.0,,,0
HCPCS,C1889,EYELET SINGLE SHORT,1143.65,1143.65,,,0
HCPCS,C1889,FIBRIN SEALANT PATCH,1047.6,1047.6,,,0
HCPCS,C1889,FIDUCIAL,194.4,194.4,,,0
HCPCS,C1889,GEM COUPLER 2.0MM,598.01,598.01,,,0
HCPCS,C1889,GORE EXCLUDER THORACOABDOMINAL BRANCH ENDOPROSTHESIS,69600.0,69600.0,,,0
HCPCS,C1889,GT-001 - PRELOADED FLEXIBLE BRAIDED STRANDS WITH CS-131 BRACHYTHERAPY SEEDS INSIDE A PURIFIED COLLAGEN CARRIER,54000.0,54000.0,,,0
HCPCS,C1889,HEAD UPLR DIA41MM FOR BIO MOORE ENDO 2 HIP SYS,719.35,719.35,,,0
HCPCS,C1889,HEALICOIL PK5.5MM SUTURE ANCHOR,788.4,788.4,,,0
HCPCS,C1889,HOOK SPNL PEDCL ST SM CDH MODULEX,1260.0,1260.0,,,0
HCPCS,C1889,HUMERAL SPACER CONNECTION D 10MM,34560.0,34560.0,,,0
HCPCS,C1889,HUMERAL SPACER CONNECTOR 20MM,3540.0,3540.0,,,0
HCPCS,C1889,IMPLANT CRANIAL,25200.0,25200.0,,,0
HCPCS,C1889,IMPLANT FACE ORBIT MIDFACE MAND ANG CHIN SU-POR PT SPEC,9360.0,9360.0,,,0
HCPCS,C1889,IMPLANT MANDIBLE ONLAY,12816.0,12816.0,,,0
HCPCS,C1889,IMPLANT RECORD,18593.7,18593.7,,,0
HCPCS,C1889,"IMPLANT, CRANIAL",14256.0,14256.0,,,0
HCPCS,C1889,IN FRAME IMPLANT2.0MMX22MM,4500.0,4500.0,,,0
HCPCS,C1889,INFRAME IMPLANT,3600.0,3600.0,,,0
HCPCS,C1889,INNATE 3.6 X 45 MM,3600.0,3600.0,,,0
HCPCS,C1889,INNATE IMPLANT 3.6 MM X 45 MM,4500.0,4500.0,,,0
HCPCS,C1889,"INNATE IMPLANT, 3.6MMX45MM",5280.0,5280.0,,,0
HCPCS,C1889,IPS IMPLANT CRANIAL,25200.0,25200.0,,,0
HCPCS,C1889,LEAD NEURO STIMULATOR ANCHOR SC-4318,420.0,420.0,,,0
HCPCS,C1889,LIMFLOW V-CEIVER,75000.0,75000.0,,,0
HCPCS,C1889,LINER ACET SZ C DIA38MM HIP COCR 2 MOBILITY G7,2397.6,2397.6,,,0
HCPCS,C1889,M3556 : TISSEEL FIBRIN SEALANT KIT WITH PREFILLED DUPLOJECT APPLICAT,1451.5,1451.5,,,0
HCPCS,C1889,MANTIS CLIP,1012.8,1012.8,,,0
HCPCS,C1889,MEDTRONIC PIPELINE PED3-021-275-16,30000.0,30000.0,,,0
HCPCS,C1889,"MINI RAIL , SHORT",6868.8,6868.8,,,0
HCPCS,C1889,MODULUS 6 X 42X 32MM 25,15696.0,15696.0,,,0
HCPCS,C1889,MODULUS ALIF 8X38X28MM,15696.0,15696.0,,,0
HCPCS,C1889,"MODULUS ALIF, 8X34X24MM 10DEGREE",15120.0,15120.0,,,0
HCPCS,C1889,MWCE-18-2-2-NESTER-01*0.018 ID PLATINUM MICRO NESTER COILS W,253.51,253.51,,,0
HCPCS,C1889,NAIL IM L460MM OD11MM TI L FEM RECON AG FLUT T2 R1.5,7728.86,7728.86,,,0
HCPCS,C1889,NANOPHIX 1.5 X 11MM,2388.0,2388.0,,,0
HCPCS,C1889,NON-REINFORCED MEDICAL GRADE SILICONE SHEETING,439.2,439.2,,,0
HCPCS,C1889,OBSIDIO CONFORMABLE EMBOLIC SALES UNIT,10320.0,10320.0,,,0
HCPCS,C1889,OCULAR CONFORMER,183.46,183.46,,,0
HCPCS,C1889,OFFSET CONNECTOR,2354.4,2354.4,,,0
HCPCS,C1889,PATIENT SPECIFIC DURS BLOC,41808.0,41808.0,,,0
HCPCS,C1889,"R025-155 - RING, TOE, LARGE BONE, 155MM",2228.09,2228.09,,,0
HCPCS,C1889,R100-155 - ORTHEX FULL RING 155MM,3535.49,3535.49,,,0
HCPCS,C1889,REFLOW MINI FLUSHER,10080.0,10080.0,,,0
HCPCS,C1889,RING SC POLY INSERT IMPLANT SIZE 40+4,2640.0,2640.0,,,0
HCPCS,C1889,ROD SPNL 3.5MM X 100MM PRECUT COCR VRTX,336.0,336.0,,,0
HCPCS,C1889,ROD SPNL 5.5MM 4+ LEV COCR UNID EXP PT SPEC,3360.0,3360.0,,,0
HCPCS,C1889,ROD SPNL 5.5X100MM POST CRV TI ALLY CREO MIS,420.0,420.0,,,0
HCPCS,C1889,ROD SPNL 5.5X400MM POST STR TI ALLY CREO MIS,720.0,720.0,,,0
HCPCS,C1889,ROD SPNL L200MM DIA3.5MM OCCIPITOCERVICAL UP THOR TI PRECRV,960.0,960.0,,,0
HCPCS,C1889,ROD SPNL L450MM ANT POST SMTH STR FOR 6MM SCR PASS LP,720.0,720.0,,,0
HCPCS,C1889,ROD SPNL OCCIPITAL 4X240MM 100DEG QUARTEX,720.0,720.0,,,0
HCPCS,C1889,ROD SPNL OCT 3.5X100MM ADJ TI INFIN,720.0,720.0,,,0
HCPCS,C1889,ROD SPNL TI ALLY 5.5MM X 200MM CREO,360.0,360.0,,,0
HCPCS,C1889,ROD SPNL W12MM OFFSET DIA5.5MM 100-200MM TI ALLY Z CREO,840.0,840.0,,,0
HCPCS,C1889,"S3.3012 - OCULID GOLD 1,2G",929.28,929.28,,,0
HCPCS,C1889,SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 23MM,78000.0,78000.0,,,0
HCPCS,C1889,SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 26MM,81600.0,81600.0,,,0
HCPCS,C1889,SAPIEN 3 ULT RESILIA TRANSCATHETER HRT VLV 29MM,81600.0,81600.0,,,0
HCPCS,C1889,SEED BRACHYTHERAPY CESIUM 131 THERAPY D GAMMATILE 7 PACK 4 S,35298.0,35298.0,,,0
HCPCS,C1889,SHEET 1532510 10PK SILICONE 5X5CM .51MM,47.98,47.98,,,0
HCPCS,C1889,SIMUPLUS ANNULOPLASTY BAND,5892.0,5892.0,,,0
HCPCS,C1889,SLEEVE SCLER BCKL L30MM DIA2.1MM SIL TYP 70 FOR 2X0.75MM TYP,31.99,31.99,,,0
HCPCS,C1889,SPACER SPNL 20 DEG 29MM X 39MM X 15MM CORBEL,20400.0,20400.0,,,0
HCPCS,C1889,SPACER SPNL ACDF 14X7X12MM 7DEG LORD PEEK TPS COLONIAL,1560.0,1560.0,,,0
HCPCS,C1889,SPACER SPNL LLIF 22X11X50MM 15DEG LORD TI 3D PRNT HEDRON L,10800.0,10800.0,,,0
HCPCS,C1889,SPACER SPNL THORLUM NANOLOCK SURF TI M 12 DEG 37MM X 29MM X,19152.0,19152.0,,,0
HCPCS,C1889,SPACER SPNL W10XH13XL26MM 15DEG TI POST LUM IF LORD BULL,5760.0,5760.0,,,0
HCPCS,C1889,SPACER SPNL W9XH12XL26MM 15DEG TI POST LUM IF LORD BULL NOSE,5760.0,5760.0,,,0
HCPCS,C1889,STEM FEM 9X90MM IM CEM OSS,3595.2,3595.2,,,0
HCPCS,C1889,SU-POR PATIENT SPECIFIC FACIAL IMPLANT,9360.0,9360.0,,,0
HCPCS,C1889,SUTURE VCRL 4-0 L27IN ABSRB UD L13MM TF 1/2 CIR TAPR PNT,5.98,5.98,,,0
HCPCS,C1889,SWIVELOCK  SP BC KL 4.75MM,1287.0,1287.0,,,0
HCPCS,C1889,SYSTEM EMB 6X2MM MICROBRAID WEB 17 SL,39588.0,39588.0,,,0
HCPCS,C1889,SYSTEM KT STNT PERI EXTN PTFE CVR NIT - INARI LIMFLOW,75000.0,75000.0,,,0
HCPCS,C1889,SYSTEM SHNT LP MR COND W/ STRATA STRATAMR ADJ VLV STRATA II,13138.54,13138.54,,,0
HCPCS,C1889,TGMR403415 - CTAG CMDS 40MMX34MMX15CM 22FR,53517.6,53517.6,,,0
HCPCS,C1889,ULTRABUTTON BBADJUSTABLE FIXATION DEVICE,1248.0,1248.0,,,0
HCPCS,C1889,UNID ROD PATIENT SPECIFIC,3360.0,3360.0,,,0
HCPCS,C1889,VALVE MI 27MM H17MM CUF DIA35MM PORCINE TISS STENTED EPIC +,12720.0,12720.0,,,0
HCPCS,C1889,WATCHMAN PROCEDURE  TRUSTEER ACCESS SYSTEM,3600.0,3600.0,,,0
HCPCS,C1892,103293 : INTRODUCER SET,132.5,132.5,,,0
HCPCS,C1892,16FR INTRODUCER CATH .003X15.5 GUIDEWIRE W NEEDLE CUP HOLDER,106.18,106.18,,,0
HCPCS,C1892,26691 : SET INTRO SHTH 18FR L20CM GWIRE DIA0.038IN SHTH L15.5CM,129.6,129.6,,,0
HCPCS,C1892,35560 : SET INTRO OD14FR STD LD PLCMNT COR SNUS ACCS NONHEMOSTATIC,106.18,106.18,,,0
HCPCS,C1892,408721 : SYSTEM INTRO SHTH 7FR L13CM ORNG HUB W- SIDEPRT SPLITTABLE,88.56,88.56,,,0
HCPCS,C1892,408724 : SYSTEM INTRO SHTH 9FR L13CM BLK HUB W- SIDEPRT SPLITTABLE,88.56,88.56,,,0
HCPCS,C1892,414560 : 16FR INTRODUCER CATH .003X15.5 GUIDEWIRE W NEEDLE CUP HOLDER,106.18,106.18,,,0
HCPCS,C1892,43935 : SILHOUETTE TRANSITIONLESS PEEL-AWAY INTRODUCER,132.5,132.5,,,0
HCPCS,C1892,44905 : SET INTRO 12FR L20CM SHTH L15.5CM 0.038IN STD 2 KNOB,111.5,111.5,,,0
HCPCS,C1892,AN MRI SAFE ACC KT W/ A 5 FR STYL LANC AND A PEEL AWAY SHTH,1200.0,1200.0,,,0
HCPCS,C1892,INACTIVE USE PS#103293 -  INTRODUCER SHTH 9FR L30CM CMPTBL G,132.5,132.5,,,0
HCPCS,C1892,INTRODUCER SET,132.5,132.5,,,0
HCPCS,C1892,SET INTRO 12FR L20CM SHTH L15.5CM 0.038IN STD 2 KNOB,111.5,111.5,,,0
HCPCS,C1892,SET INTRO OD14FR STD LD PLCMNT COR SNUS ACCS NONHEMOSTATIC,106.18,106.18,,,0
HCPCS,C1892,SET INTRO SHTH 18FR L20CM GWIRE DIA0.038IN SHTH L15.5CM,129.6,129.6,,,0
HCPCS,C1892,SILHOUETTE TRANSITIONLESS PEEL-AWAY INTRODUCER,132.5,132.5,,,0
HCPCS,C1892,SYSTEM INTRO SHTH 7FR L13CM ORNG HUB W/ SIDEPRT SPLITTABLE,88.12,88.12,,,0
HCPCS,C1892,SYSTEM INTRO SHTH 9FR L13CM BLK HUB W/ SIDEPRT SPLITTABLE,88.46,88.46,,,0
HCPCS,C1893,104467 : INTRODUCER SHTH EP 8.5FR X 63CM FAST-CATH SWARTZ SR1 CRV,353.76,353.76,,,0
HCPCS,C1893,106815 : CATHETER EP QPLR CRD-2 CRV 5FR L120CM ELECTRD SPC 5MM TORQ,241.92,241.92,,,0
HCPCS,C1893,118543 : INTRODUCER SHTH EP TRNSSEPT ACCS 8.5FR X 63CM FAST-CATH,353.76,353.76,,,0
HCPCS,C1893,CATHETER EP QPLR CRD-2 CRV 5FR L120CM ELECTRD SPC 5MM TORQ,204.0,204.0,,,0
HCPCS,C1893,INTRODUCER SHTH EP 8.5FR X 63CM FAST-CATH SWARTZ SR1 CRV,313.2,313.2,,,0
HCPCS,C1893,SWARTZ BRD TRNS INTRO 8.5FR-81CM-SL1,384.0,384.0,,,0
HCPCS,C1894,101417 : INTRODUCER SHTH 11FR 23CML YEL CANN VASC AD PERIPH AVNT,55.44,55.44,,,0
HCPCS,C1894,102086 : INTRODUCER SHTH 6FR CANN L23CM DIL TIP 35MM BRT TIP SLIX,52.27,52.27,,,0
HCPCS,C1894,102090 : INTRODUCER SHTH 9FR CANN L23CM DIL TIP 35MM MINI GWIRE,51.6,51.6,,,0
HCPCS,C1894,102315 : SHEATH GUID 6FR X 90CM FLX SHUTTLE SEL,293.11,293.11,,,0
HCPCS,C1894,102846 : 6FR BALKIN SHEATH,144.07,144.07,,,0
HCPCS,C1894,103292 : CATHETER NEPHSTMY 15CM BLLN 10MM DIL W- INFL DEV X-FORC N30,720.0,720.0,,,0
HCPCS,C1894,103749 : INTRODUCER SHTH 6FR CANN L11CM DIL TIP 35MM BRT TIP SLIX,30.23,30.23,,,0
HCPCS,C1894,103751 : INTRODUCER SHTH 8FR CANN L11CM DIL TIP 35MM W- MINI WIRE BRT,29.81,29.81,,,0
HCPCS,C1894,103752 : INTRODUCER SHTH 9FR CANN L11CM DIL TIP 35MM W- MINI WIRE BRT,29.54,29.54,,,0
HCPCS,C1894,104771 : INTRODUCER SHTH 5FR CANN L45CM DIL TIP 25MM W-O MINI WIRE,56.88,56.88,,,0
HCPCS,C1894,104778 : SHEATH GUID 6FR L55CM DIA2.2MM GWIRE 0.038IN RAABE RADPQ BND,141.6,141.6,,,0
HCPCS,C1894,104779 : INTRODUCER SHTH GUID 6FR L70CM GWIRE DIA0.038IN RAABE FLX,141.6,141.6,,,0
HCPCS,C1894,104782 : 10FR CHECK FLO 40CM SHEATH,158.35,158.35,,,0
HCPCS,C1894,104783 : INTRODUCER BLLN 12FR L30CM DIA4MM 0.038IN CLS NTAPR END CATH,162.24,162.24,,,0
HCPCS,C1894,104790 : SHEATH GUID 8FR L90CM ID2.9MM CMPTBL GWIRE 0.038IN W- CK FLO,278.21,278.21,,,0
HCPCS,C1894,104791 : INTRODUCER SHTH 5FR CANN L23CM DIL TIP 25MM W-O MINI WIRE,54.51,54.51,,,0
HCPCS,C1894,107909 : INTRODUCER SHTH 22FR X 13CM PEEL AWAY,95.52,95.52,,,0
HCPCS,C1894,107917 : INTRODUCER SHTH 20FR L13CM DIL L20CM GWIRE 0.038IN FOR PERC,95.52,95.52,,,0
HCPCS,C1894,107927 : INTRODUCER SHTH 16FR L30CM PEEL-AWAY SILHOUETTE,132.5,132.5,,,0
HCPCS,C1894,107928 : INTRODUCER SHTH 10FR L30CM GWIRE 0.038IN RADPQ BND CLS NTAPR,82.37,82.37,,,0
HCPCS,C1894,107962 : SET INTRO 4FR L7CM TB L10CM ACCS DISP MICPUNC,60.91,60.91,,,0
HCPCS,C1894,108216 : 8FR LONG SHEATH,552.0,552.0,,,0
HCPCS,C1894,10FR CHECK FLO 40CM SHEATH,158.35,158.35,,,0
HCPCS,C1894,110852 : SHEATH INTRO 4FR L11CM BRT TIP SLIX VLV SIL RADPQ TUNG,32.74,32.74,,,0
HCPCS,C1894,111539 : INTRODUCER SHTH 8FR CANN L45CM DIL TIP 35MM BRT TIP SLIX,54.71,54.71,,,0
HCPCS,C1894,111878 : SHEATH GUID 5FR L55CM ID1.9MM CMPTBL GWIRE 0.038IN W- CK FLO,141.6,141.6,,,0
HCPCS,C1894,118729 : INTRODUCER SHTH L11CM OD6FR VASC W-O CRV HEMSTAT VLV DIL,18.0,18.0,,,0
HCPCS,C1894,121582 : SHEATH GUID 6FR L90CM DIA2.2MM GWIRE 0.038IN RAABE RADPQ BND,141.6,141.6,,,0
HCPCS,C1894,124682 : SHEATH GUID 6FR L55CM DIA2.2MM GWIRE 0.035IN MP W- HI FLX,152.64,152.64,,,0
HCPCS,C1894,124683 : SHEATH GUID 7FR X 55CM ACC 0.035IN GWIRE MP TIP W- HI FLX,184.44,184.44,,,0
HCPCS,C1894,129725 : SHEATH GUID L55CM DIA0 074IN INTRO 5FR 0 035IN MP TIP CK FLO,152.64,152.64,,,0
HCPCS,C1894,135734 : INTRODUCER SHTH 9FR CANN L35CM DIL TIP 35MM BLK W-O MINI,57.27,57.27,,,0
HCPCS,C1894,138288 : SHEATH INTRO 5FR L10CM 21-19GA ECHOGENIC TAPR NDL W- NIT,91.2,91.2,,,0
HCPCS,C1894,138309 : SYSTEM SHTH 6FR L10CM NIT WIRE L45CM ECHOGENIC TAPR NDL,91.2,91.2,,,0
HCPCS,C1894,146322 : SHEATH INTRO 5FR L10CM ID0.074IN NDL 21GA L35MM GWIRE,141.6,141.6,,,0
HCPCS,C1894,157579 : INTRODUCER MI2355A MICRA 23F 55.7CM HYDR,1440.0,1440.0,,,0
HCPCS,C1894,159912 : DILATOR SHTH 11FR L47.5CM DIA3.7MM ROT LD EXTR TIGHTRAIL,6012.0,6012.0,,,0
HCPCS,C1894,164831 : INTRODUCER SHTH 4.7MM X 4MM X 33CM DRYSEAL FLX VLV HYDRPHLC,1351.2,1351.2,,,0
HCPCS,C1894,164832 : INTRODUCER SHTH 5.3MM X 4.7MM X 33CM DRYSEAL FLX VLV,1351.2,1351.2,,,0
HCPCS,C1894,164833 : INTRODUCER SHTH 6.1MM X 5.3MM X 33CM DRYSEAL FLX VLV,1351.2,1351.2,,,0
HCPCS,C1894,164834 : INTRODUCER SHTH 6.7MM X 6MM X 33CM DRYSEAL FLX VLV HYDRPHLC,1795.2,1795.2,,,0
HCPCS,C1894,164835 : INTRODUCER SHTH 20FR L33CM OD7.5MM ID6.7MM DRYSEAL FLX,1795.2,1795.2,,,0
HCPCS,C1894,164836 : INTRODUCER SHTH 22FR L33CM OD8.2MM ID7.3MM DRYSEAL FLX,1795.2,1795.2,,,0
HCPCS,C1894,164837 : INTRODUCER SHTH 24FR L33CM OD8.8MM ID8MM DRYSEAL FLX HEMSTAS,1795.2,1795.2,,,0
HCPCS,C1894,164838 : INTRODUCER SHTH 26FR L33CM OD9.5MM ID8.7MM DRYSEAL FLX,1795.2,1795.2,,,0
HCPCS,C1894,2418 : INTRODUCER SHTH 5FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
HCPCS,C1894,2419 : SHEATH CATH 6FR 11MM CANN 0.038IN GWIRE GRN STD PATENTED,18.0,18.0,,,0
HCPCS,C1894,2420 : INTRODUCER SHTH 7FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
HCPCS,C1894,2421 : INTRODUCER SHTH 8FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
HCPCS,C1894,24639 : INTRODUCER SHTH 7FR CANN L23CM DIL TIP 35MM BRT TIP SLIX,52.53,52.53,,,0
HCPCS,C1894,262124 : SYSTEM INTRO W-O GWIRE ACCUSTICK II,156.0,156.0,,,0
HCPCS,C1894,262125 : F-G ACCUSTICK II KIT NITINOL,240.0,240.0,,,0
HCPCS,C1894,262709 : SHEATH GUID L90CM ID1.9MM COMPATIBLE GWIRE 0.038IN W- CK FLO,141.6,141.6,,,0
HCPCS,C1894,262710 : SHEATH GUID 5FR L70CM GWIRE DIA0.038IN CK FLO HEMSTAT VLV,141.6,141.6,,,0
HCPCS,C1894,30166 : SHEATH INTRO 4FR CANN L11CM 0.035IN MINIWIRE STD RED KINK,18.0,18.0,,,0
HCPCS,C1894,31649 : INTRODUCER SHTH 6FR CANN L45CM DIL TIP 35MM BRT TIP SLIX,59.22,59.22,,,0
HCPCS,C1894,34218 : SHEATH GUID 7FR L90CM DIA2.5MM GWIRE 0.038IN HYDRPHLC SFT,278.21,278.21,,,0
HCPCS,C1894,358405 : CSI AVANTI+ CARDIOLOGY MS .038,15.12,15.12,,,0
HCPCS,C1894,363045 : SHEATH URET ACCS 11FR X 13FR X 28CM HYDRPHLC 2 DUROMETER SGL,289.44,289.44,,,0
HCPCS,C1894,363046 : SHEATH URET ACCS 11FR X 13FR X 36CM HYDRPHLC 2 DUROMETER SGL,289.44,289.44,,,0
HCPCS,C1894,367038 : INTRODUCER SHTH COR 7FR X 10CM DIL PROTRUDING 2.5CM PINN,26.4,26.4,,,0
HCPCS,C1894,36705 : SET INTRO 12FR L13CM GWIRE DIA0.038IN PERFRMR,106.82,106.82,,,0
HCPCS,C1894,368332 : SYSTEM INTRO 9FR X 13CM DIL 19.5CM BLK PEEL AWAY VLV HEMSTAT,129.6,129.6,,,0
HCPCS,C1894,368733 : GLIDESHEATH - SLENDER NITINOL KIT 0.021 GW 5 FR 10CM,183.6,183.6,,,0
HCPCS,C1894,368823 : KIT INTRO SHTH 6FR L10CM DIL DIA0.021IN NDL 21GA,145.2,145.2,,,0
HCPCS,C1894,368826 : KIT INTRO SHTH 7FR X 10CM SS HYDRPHLC ANT WALL PUNC ACCS,145.2,145.2,,,0
HCPCS,C1894,368875 : FLEXOR HIGH-FLEX ANSEL GUIDING SHEATH,152.64,152.64,,,0
HCPCS,C1894,369178 : KIT CV SHTH AD 6FR L4CM GRN RAD PERM VLV PRELUDE,79.08,79.08,,,0
HCPCS,C1894,376748 : SAFETY SHEATH 7FR LONG,134.4,134.4,,,0
HCPCS,C1894,376750 : SAFETY SHEATH 9FR LONG,134.4,134.4,,,0
HCPCS,C1894,376752 : SAFETY SHEATH 11FR,129.6,129.6,,,0
HCPCS,C1894,37817 : SET INTRO DIAG INTVENT 16FR L30CM GWIRE DIA0.038IN PERFRMR,245.93,245.93,,,0
HCPCS,C1894,392383 : SET INTRO 18FR L40CM GWIRE 0.038IN PERFRMR,245.93,245.93,,,0
HCPCS,C1894,392468 : INTRODUCER SHTH 6.5FR X 55CM DEFLECTION 9MM TOURGUIDE,1464.0,1464.0,,,0
HCPCS,C1894,392469 : SHEATH INTRO 6.5FR L55CM DEFLECTION L17MM 180DEG HYDROPHOBIC,1464.0,1464.0,,,0
HCPCS,C1894,392472 : INTRODUCER SHTH 7FR X 55CM DEFLECTION 9MM TOURGUIDE,1464.0,1464.0,,,0
HCPCS,C1894,392480 : SHEATH INTRO 8.5FR L90CM STEER TOURGUIDE,1526.4,1526.4,,,0
HCPCS,C1894,39700 : SET INTRO ACCS CATH 5FR X 10CM NDL 21GA X 7CM GWIRE 0.018IN,97.44,97.44,,,0
HCPCS,C1894,398 : CATH INTRODUCER SET 60115,204.0,204.0,,,0
HCPCS,C1894,40503 : SHEATH 14FR 30CM,247.1,247.1,,,0
HCPCS,C1894,406958 : INTRODUCER SHTH 4.7MM X 4MM X 45CM DRYSEAL FLX VLV HYDRPHLC,2143.2,2143.2,,,0
HCPCS,C1894,406970 : INTRODUCER SHTH 16FR L45CM ACC GWIRE 0.038IN RADPQ BND,245.93,245.93,,,0
HCPCS,C1894,407081 : INTRODUCER SHEATH 4FR L11CM GUIDEWIRE L14CM DIA0.018IN ADVAN,180.0,180.0,,,0
HCPCS,C1894,407083 : INTRODUCER SHTH 5FR L11CM GWIRE L45CM DIA0.021IN ADV NDL,151.92,151.92,,,0
HCPCS,C1894,407085 : INTRODUCER SHTH 6FR L11CM GWIRE L45CM DIA0.021IN ADV NDL,152.12,152.12,,,0
HCPCS,C1894,407434 : DRYSEAL FLEX INTRODUCER SHEATH 33CM 15FR HYDROPHILIC COATING,1351.2,1351.2,,,0
HCPCS,C1894,407437 : INTRODUCER SHTH 24FR L65CM OD8.8MM ID8MM DRYSEAL FLX HEMSTAS,2529.6,2529.6,,,0
HCPCS,C1894,408211 : INTRODUCER SHTH COR 80CM OD0.0106IN X 0.1IN ID0.088IN X,1380.0,1380.0,,,0
HCPCS,C1894,408212 : INTRODUCER SHTH COR 90CM OD0.0106IN X 0.1IN ID0.088IN X,1380.0,1380.0,,,0
HCPCS,C1894,408213 : BALLAST100 LONG SHEATH 100CM,1380.0,1380.0,,,0
HCPCS,C1894,408502 : AMPLATZER TREVISIO SHEATH SZ 7F TIP ANGLE 45 DEGREE 80CM,1855.2,1855.2,,,0
HCPCS,C1894,408505 : SYSTEM DEL 9FR OD3.81MM ID3MM SHTH W- CBL LOADER DIL,1929.6,1929.6,,,0
HCPCS,C1894,408739 : CATHETER THROMCTMY SHTH 13FR L15CM DEPLOYED FUN DIA4.6MM,4800.0,4800.0,,,0
HCPCS,C1894,408740 : SHEATH ASPIR 16FR L15CM FOR EMBOLUS ASPIR CLT,4800.0,4800.0,,,0
HCPCS,C1894,410883 : SHEATH GUID 6FR L95CM STR TIP HYDRPHLC COAT R2P DESTINATION,768.0,768.0,,,0
HCPCS,C1894,411881 : INTRODUCER MIC KT VSI 5FR NIT MANDREL TUNG SFT TIP,50.4,50.4,,,0
HCPCS,C1894,411882 : INTRODUCER MIC KT VSI 4FR NIT MANDREL TUNGSTEN SFT TIP,52.8,52.8,,,0
HCPCS,C1894,41301 : SHEATH GUID 6FR L90CM GWIRE 0.038IN BLLN CLS NTAPR END CATH,278.21,278.21,,,0
HCPCS,C1894,414791 : SYSTEM DEL CATH CAP 18FR L7.6CM SHTH 14FR INLINE FLSH PRT,5064.0,5064.0,,,0
HCPCS,C1894,41674 : SHEATH COOK 8FR LONG,71.95,71.95,,,0
HCPCS,C1894,422928 : 7 FR. SGL ACCS SHTH-COMPANION,600.0,600.0,,,0
HCPCS,C1894,42925 : INTRODUCER SHTH INTVENT 14FR X 12CM FAST-CATH HEMSTAT VLV,45.6,45.6,,,0
HCPCS,C1894,430006 : INTRODUCER SHTH 7FR L11CM HYDRPHLC PRELUDE IDEAL,180.0,180.0,,,0
HCPCS,C1894,45362 : HEMO SET 12F 12CM 038GW,0.9,0.9,,,0
HCPCS,C1894,488029 : INTRODUCER KIT MICRO GOLD STANDARD 4FRX4CM,72.79,72.79,,,0
HCPCS,C1894,488031 : KIT INTRODUCER MICRO GOLD STANDARD 5F X 4CM,72.79,72.79,,,0
HCPCS,C1894,488578 : SHEATH GUIDING 9FR L70CM GUIDEWIRE DIA0.038IN RAABE FLEXOR,141.6,141.6,,,0
HCPCS,C1894,488644 : INTRODUCER SHEATH 14FR L45CM ID4.6MM DILATOR L56CM GUIDEWIRE,360.19,360.19,,,0
HCPCS,C1894,488810 : SET VASCULAR ACCESS CATHETER 5FR L10CM NEEDLE 21GA L4CM GUID,56.04,56.04,,,0
HCPCS,C1894,488877 : SHEATH GUIDING L70CM ID2.9MM INTRODUCER 8FR GUIDEWIRE 0.035I,178.08,178.08,,,0
HCPCS,C1894,488880 : INTRODUCER SHEATH 7FR X 70CM ANSEL RADIOPAQUE WITH HIGH FLEX,178.08,178.08,,,0
HCPCS,C1894,488958 : INTRODUCER SHEATH 12FR L15.5CM DILATOR L20CM GUIDEWIRE 0.038,95.52,95.52,,,0
HCPCS,C1894,540987 : KIT INTRO 14FR DIL 18FR W- HEMSTAT NDL GWIRE SCALP SYR,541.06,541.06,,,0
HCPCS,C1894,5FR 10CM RAIN SHEATH STAINLESS STEEL,120.0,120.0,,,0
HCPCS,C1894,65100 : INTRODUCER VASC 18FR L30CM DIA5.9MM GWIRE 0.038IN SHTH RADPQ,245.93,245.93,,,0
HCPCS,C1894,69357 : SHEATH GUID 7FR L40CM ID2.5MM GWIRE 0.038IN W- CK FLO VLV,136.63,136.63,,,0
HCPCS,C1894,6FR ANSEL 2 FLEXOR,165.6,165.6,,,0
HCPCS,C1894,7 FR. SGL ACCS SHTH-COMPANION,600.0,600.0,,,0
HCPCS,C1894,71012 : SUPER SHEATH R-0 7FX7CM,20.4,20.4,,,0
HCPCS,C1894,71023 : SHEATH INTRO 6FR L25CM HEMSTAT VLV DIL SIDE PRT RADPQ,32.64,32.64,,,0
HCPCS,C1894,84484 : INTRODUCER SHTH VASC 5FR L25CM PINN W- DIL,60.0,60.0,,,0
HCPCS,C1894,84485 : SHEATH 6FR 25CM,60.0,60.0,,,0
HCPCS,C1894,87529 : INTRODUCER SHTH 5FR CANN L11CM DIL TIP 25MM W- MINI WIRE BRT,31.82,31.82,,,0
HCPCS,C1894,88290 : SHEATH 8FR-RB,69.6,69.6,,,0
HCPCS,C1894,8FR LONG SHEATH,540.96,540.96,,,0
HCPCS,C1894,ACCUSTICK II SYSTEM .038 STRT,208.8,208.8,,,0
HCPCS,C1894,AMPLATZ DILATORS,516.31,516.31,,,0
HCPCS,C1894,AMPLATZER TREVISIO SHEATH SZ 10F TIP ANGLE 45 DEGREE 80CM,1855.2,1855.2,,,0
HCPCS,C1894,AVANTI + 10F SHEATH 23L,55.44,55.44,,,0
HCPCS,C1894,BALLAST100 LONG SHEATH 100CM,1380.0,1380.0,,,0
HCPCS,C1894,CATH INTRODUCER SET 60115,204.0,204.0,,,0
HCPCS,C1894,CATHETER CHOLGM 4.5FR L3IN CMPTBL W/ 20018-M55 18305 18400,114.48,114.48,,,0
HCPCS,C1894,CATHETER NEPHSTMY 15CM BLLN 10MM DIL W/ INFL DEV X-FORC N30,635.87,635.87,,,0
HCPCS,C1894,CATHETER THROMCTMY SHTH 13FR L15CM DEPLOYED FUN DIA4.6MM,4800.0,4800.0,,,0
HCPCS,C1894,CSI AVANTI+ CARDIOLOGY MS .038,15.12,15.12,,,0
HCPCS,C1894,DRYSEAL FLEX INTRODUCER SHEATH 33CM 15FR HYDROPHILIC COATING,1327.38,1327.38,,,0
HCPCS,C1894,EVOLUT FX DELIVERY CATHETER SYSTEM W/ INLINE SHEATH 18FR,5064.0,5064.0,,,0
HCPCS,C1894,F/G ACCUSTICK II KIT NITINOL,239.72,239.72,,,0
HCPCS,C1894,FLEXOR ANSEL GUIDING SHEATH,165.6,165.6,,,0
HCPCS,C1894,FLEXOR BALKIN GUIDING SHEATH,136.63,136.63,,,0
HCPCS,C1894,FLEXOR SHUTTLE TIBIAL GUIDING SHEATH,278.21,278.21,,,0
HCPCS,C1894,GLIDESHEATH - SLENDER NITINOL KIT 0.021 GW 5 FR 10CM,183.6,183.6,,,0
HCPCS,C1894,GLIDESHEATH - SS KIT 0.021 GW 21G - 6FR. 25CM,141.6,141.6,,,0
HCPCS,C1894,GUIDE COR SNUS SHTH 9FR L40CM DIA3MM GWIRE L135CM 0.035IN,873.6,873.6,,,0
HCPCS,C1894,HC MICRO-ACCESS TEARAWAY INTRDCR,21.9,21.9,,,0
HCPCS,C1894,HEMO SET 12F 12CM 038GW,0.9,0.9,,,0
HCPCS,C1894,INACTIVE - PRECISION ACCESS KIT 5 FR ECHOGENI,84.0,84.0,,,0
HCPCS,C1894,INACTIVE USE PS# 138309 - PRECISION ACCESS KIT 6 FR ECHOG,84.0,84.0,,,0
HCPCS,C1894,INACTIVE USE PS#118729 -  INTRODUCER SHTH L11CM OD6FR VASC W,18.0,18.0,,,0
HCPCS,C1894,INACTIVE USE PS#146312 -KIT INTRO SHTH 5FR L10CM DIL DIA0.02,145.2,145.2,,,0
HCPCS,C1894,INACTIVE USE PS#41301 -  SHEATH GUID 6FR X 90CM FLX SHUTTLE,278.21,278.21,,,0
HCPCS,C1894,INTRODUCER BLLN 12FR L30CM DIA4MM 0.038IN CLS NTAPR END CATH,162.24,162.24,,,0
HCPCS,C1894,INTRODUCER CATH 7FR L13CM PTFE LOK LUER CLLR HUB LONGER T,214.2,214.2,,,0
HCPCS,C1894,INTRODUCER KIT MICRO GOLD STANDARD 4FRX4CM,327.52,327.52,,,0
HCPCS,C1894,INTRODUCER MI2355A MICRA 23F 55.7CM HYDR,1440.0,1440.0,,,0
HCPCS,C1894,INTRODUCER MIC KT VSI 4FR NIT MANDREL TUNGSTEN SFT TIP,52.8,52.8,,,0
HCPCS,C1894,INTRODUCER MIC KT VSI 5FR NIT MANDREL TUNG SFT TIP,50.4,50.4,,,0
HCPCS,C1894,INTRODUCER SHEATH 12FR L15.5CM DILATOR L20CM GUIDEWIRE 0.038,95.52,95.52,,,0
HCPCS,C1894,INTRODUCER SHEATH 14FR L45CM ID4.6MM DILATOR L56CM GUIDEWIRE,360.19,360.19,,,0
HCPCS,C1894,INTRODUCER SHEATH 4FR L11CM GUIDEWIRE L14CM DIA0.018IN ADVAN,180.0,180.0,,,0
HCPCS,C1894,INTRODUCER SHEATH 7F L13CM PTFE,129.6,129.6,,,0
HCPCS,C1894,INTRODUCER SHEATH 7FR X 70CM ANSEL RADIOPAQUE WITH HIGH FLEX,178.08,178.08,,,0
HCPCS,C1894,INTRODUCER SHEATH 9F L13CM PTFE,129.6,129.6,,,0
HCPCS,C1894,INTRODUCER SHTH 10FR CANN L11CM W/ 0.038IN MINI WIRE AVNT +,18.0,18.0,,,0
HCPCS,C1894,INTRODUCER SHTH 10FR L30CM GWIRE 0.038IN RADPQ BND CLS NTAPR,82.37,82.37,,,0
HCPCS,C1894,INTRODUCER SHTH 11CM OD 8FR GWIRE 0.38IN VASC W/O CRV,18.0,18.0,,,0
HCPCS,C1894,INTRODUCER SHTH 11FR 23CML YEL CANN VASC AD PERIPH AVNT,55.44,55.44,,,0
HCPCS,C1894,INTRODUCER SHTH 12FR L25CM SUP SHTH CBDE FOR SPYGLS DISCOVER,109.33,109.33,,,0
HCPCS,C1894,INTRODUCER SHTH 14FR L15.5CM DIL L20CM CMPTBL GWIRE 0.038IN,95.52,95.52,,,0
HCPCS,C1894,INTRODUCER SHTH 16FR L30CM PEEL-AWAY SILHOUETTE,132.5,132.5,,,0
HCPCS,C1894,INTRODUCER SHTH 20FR L33CM OD7.5MM ID6.7MM DRYSEAL FLX,1710.4,1710.4,,,0
HCPCS,C1894,INTRODUCER SHTH 22FR L33CM OD8.2MM ID7.3MM DRYSEAL FLX,1668.0,1668.0,,,0
HCPCS,C1894,INTRODUCER SHTH 22FR X 13CM PEEL AWAY,95.52,95.52,,,0
HCPCS,C1894,INTRODUCER SHTH 24FR L33CM OD8.8MM ID8MM DRYSEAL FLX HEMSTAS,1668.0,1668.0,,,0
HCPCS,C1894,INTRODUCER SHTH 26FR L13CM DIL L20CM 0.038IN FOR PERC PLCMNT,95.52,95.52,,,0
HCPCS,C1894,INTRODUCER SHTH 26FR L33CM OD9.5MM ID8.7MM DRYSEAL FLX,1795.2,1795.2,,,0
HCPCS,C1894,INTRODUCER SHTH 4.7MM X 4MM X 33CM DRYSEAL FLX VLV HYDRPHLC,1319.61,1319.61,,,0
HCPCS,C1894,INTRODUCER SHTH 4.7MM X 4MM X 45CM DRYSEAL FLX VLV HYDRPHLC,1981.6,1981.6,,,0
HCPCS,C1894,INTRODUCER SHTH 5.3MM X 4.7MM X 33CM DRYSEAL FLX VLV,1325.4,1325.4,,,0
HCPCS,C1894,INTRODUCER SHTH 5FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
HCPCS,C1894,INTRODUCER SHTH 5FR CANN L11CM DIL TIP 25MM W/ MINI WIRE BRT,28.8,28.8,,,0
HCPCS,C1894,INTRODUCER SHTH 5FR CANN L23CM DIL TIP 25MM W/O MINI WIRE,51.6,51.6,,,0
HCPCS,C1894,INTRODUCER SHTH 5FR CANN L45CM DIL TIP 25MM W/O MINI WIRE,53.33,53.33,,,0
HCPCS,C1894,INTRODUCER SHTH 5FR COEXTRD KINK RESIST CANN L55CM TUNG FILL,52.2,52.2,,,0
HCPCS,C1894,INTRODUCER SHTH 5FR L11CM GWIRE 0.038IN GRY HUB POLYPR,22.97,22.97,,,0
HCPCS,C1894,INTRODUCER SHTH 5FR L11CM GWIRE L45CM DIA0.021IN ADV NDL,162.56,162.56,,,0
HCPCS,C1894,INTRODUCER SHTH 6.1MM X 5.3MM X 33CM DRYSEAL FLX VLV,1308.5,1308.5,,,0
HCPCS,C1894,INTRODUCER SHTH 6.5FR X 55CM DEFLECTION 9MM TOURGUIDE,1389.88,1389.88,,,0
HCPCS,C1894,INTRODUCER SHTH 6.7MM X 6MM X 33CM DRYSEAL FLX VLV HYDRPHLC,1760.51,1760.51,,,0
HCPCS,C1894,INTRODUCER SHTH 6FR CANN L11CM DIL TIP 35MM BRT TIP SLIX,28.8,28.8,,,0
HCPCS,C1894,INTRODUCER SHTH 6FR CANN L23CM DIL TIP 35MM BRT TIP SLIX,51.6,51.6,,,0
HCPCS,C1894,INTRODUCER SHTH 6FR CANN L45CM DIL TIP 35MM BRT TIP SLIX,52.2,52.2,,,0
HCPCS,C1894,INTRODUCER SHTH 6FR L11CM GWIRE L45CM DIA0.021IN ADV NDL,161.68,161.68,,,0
HCPCS,C1894,INTRODUCER SHTH 6FR L55MM DIL TIP L35MM GRN W/O MINI WIRE,52.2,52.2,,,0
HCPCS,C1894,INTRODUCER SHTH 7FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
HCPCS,C1894,INTRODUCER SHTH 7FR CANN L23CM DIL TIP 35MM BRT TIP SLIX,51.6,51.6,,,0
HCPCS,C1894,INTRODUCER SHTH 7FR L11CM HYDRPHLC PRELUDE IDEAL,180.0,180.0,,,0
HCPCS,C1894,INTRODUCER SHTH 7FR X 55CM DEFLECTION 9MM TOURGUIDE,1432.5,1432.5,,,0
HCPCS,C1894,INTRODUCER SHTH 8FR 11CM CANN AVNT+ SIX CUT SPRL DSGN SLIX,18.0,18.0,,,0
HCPCS,C1894,INTRODUCER SHTH 8FR CANN L11CM DIL TIP 35MM W/ MINI WIRE BRT,28.8,28.8,,,0
HCPCS,C1894,INTRODUCER SHTH 8FR CANN L45CM DIL TIP 35MM BRT TIP SLIX,70.73,70.73,,,0
HCPCS,C1894,INTRODUCER SHTH 9FR CANN L11CM DIL TIP 35MM W/ MINI WIRE BRT,28.8,28.8,,,0
HCPCS,C1894,INTRODUCER SHTH 9FR CANN L23CM DIL TIP 35MM MINI GWIRE,51.6,51.6,,,0
HCPCS,C1894,INTRODUCER SHTH COR 7FR X 10CM DIL PROTRUDING 2.5CM PINN,25.77,25.77,,,0
HCPCS,C1894,INTRODUCER SHTH COR 80CM OD0.0106IN X 0.1IN ID0.088IN X,1380.0,1380.0,,,0
HCPCS,C1894,INTRODUCER SHTH COR 90CM OD0.0106IN X 0.1IN ID0.088IN X,1380.0,1380.0,,,0
HCPCS,C1894,INTRODUCER SHTH DIAG 5FR L7CM PRELUDE IDEAL HYDRPHLC,204.0,204.0,,,0
HCPCS,C1894,INTRODUCER SHTH GUID 6FR L70CM GWIRE DIA0.038IN RAABE FLX,141.6,141.6,,,0
HCPCS,C1894,INTRODUCER SHTH INTVENT 14FR X 12CM FAST-CATH HEMSTAT VLV,45.6,45.6,,,0
HCPCS,C1894,INTRODUCER SHTH VASC 5FR L25CM PINN W/ DIL,58.67,58.67,,,0
HCPCS,C1894,INTRODUCER SHTH XL 20FR X 40CM DIL 56CM CK FLO VLV FOR BLLN,941.83,941.83,,,0
HCPCS,C1894,INTRODUCER VASC 18FR L30CM DIA5.9MM GWIRE 0.038IN SHTH RADPQ,245.93,245.93,,,0
HCPCS,C1894,INTRODUCER VASC HEMSTAT VLV AD CK FLO 10FRX38CM,381.6,381.6,,,0
HCPCS,C1894,KIT ACCS INTRO SHTH 5FR X 10CM DIL 0.021IN NDL 22GA X 25MM,255.0,255.0,,,0
HCPCS,C1894,KIT CV SHTH AD 6FR L4CM GRN RAD PERM VLV PRELUDE,79.08,79.08,,,0
HCPCS,C1894,KIT INTRO SHTH 5FR L10CM DIL DIA0.021IN NDL 21GA L35MM GWIRE,145.2,145.2,,,0
HCPCS,C1894,KIT INTRO VLV 11FR ACCUSTICK,120.0,120.0,,,0
HCPCS,C1894,KIT INTRODUCER MICRO GOLD STANDARD 5F X 7CM,72.79,72.79,,,0
HCPCS,C1894,MICRO INTRODUCER 5FST 40CM BX/10EA,50.4,50.4,,,0
HCPCS,C1894,PERFORMER INTRODUCER,106.82,106.82,,,0
HCPCS,C1894,PINNACLE R/O II  10 CM SHEATH  5FR RADIOPAQUE MARKER INTROD,69.6,69.6,,,0
HCPCS,C1894,PRECISION ACCESS KIT 5 FR ECHOGENIC NEEDLE NITI WIRE LONG,84.0,84.0,,,0
HCPCS,C1894,R2P DESTINATION SLENDER GUID SHTH,768.0,768.0,,,0
HCPCS,C1894,SAFE SHEATH 11 FR,175.2,175.2,,,0
HCPCS,C1894,SAFETY SHEATH 10FR,69.6,69.6,,,0
HCPCS,C1894,SAFETY SHEATH 7FR LONG,134.4,134.4,,,0
HCPCS,C1894,SAFETY SHEATH 8FR,129.6,129.6,,,0
HCPCS,C1894,SAFETY SHEATH 8FR LONG,134.4,134.4,,,0
HCPCS,C1894,SAFETY SHEATH II  6FR,72.96,72.96,,,0
HCPCS,C1894,SET INTRO 10FR L13CM GWIRE DIA0.038IN PERFRMR,106.82,106.82,,,0
HCPCS,C1894,SET INTRO 12FR L13CM GWIRE DIA0.038IN PERFRMR,106.82,106.82,,,0
HCPCS,C1894,SET INTRO 18FR L40CM GWIRE 0.038IN PERFRMR,245.93,245.93,,,0
HCPCS,C1894,SET INTRO 4FR L7CM TB L10CM ACCS DISP MICPUNC,60.91,60.91,,,0
HCPCS,C1894,SET INTRO ACCS CATH 5FR X 10CM NDL 21GA X 7CM GWIRE 0.018IN,97.44,97.44,,,0
HCPCS,C1894,SET INTRO DIAG INTVENT 16FR L30CM GWIRE DIA0.038IN PERFRMR,245.93,245.93,,,0
HCPCS,C1894,SET URET ACCS SHTH 12FR X 14FR X 28CM HYDRPHLC SGL TAPR TIP,332.71,332.71,,,0
HCPCS,C1894,SET VASCULAR ACCESS CATHETER 5FR L10CM NEEDLE 21GA L4CM GUID,56.04,56.04,,,0
HCPCS,C1894,SHEATH 14FR 30CM,247.1,247.1,,,0
HCPCS,C1894,SHEATH 6FR 25CM,59.18,59.18,,,0
HCPCS,C1894,SHEATH 6FR/RB,69.6,69.6,,,0
HCPCS,C1894,SHEATH 7FR/RB,69.6,69.6,,,0
HCPCS,C1894,SHEATH ASPIR 16FR L15CM FOR EMBOLUS ASPIR CLT,4800.0,4800.0,,,0
HCPCS,C1894,SHEATH BRITE TIP 8/90,79.7,79.7,,,0
HCPCS,C1894,SHEATH CATH 6FR 11MM CANN 0.038IN GWIRE GRN STD PATENTED,18.0,18.0,,,0
HCPCS,C1894,SHEATH COOK 8FR LONG,71.95,71.95,,,0
HCPCS,C1894,SHEATH DIL VASC 13FR L47.5CM DIA8.1MM DEV OD6.6MM ID4.3MM,5996.0,5996.0,,,0
HCPCS,C1894,SHEATH GUID 5FR L55CM ID1.9MM CMPTBL GWIRE 0.038IN W/ CK FLO,141.6,141.6,,,0
HCPCS,C1894,SHEATH GUID 5FR L90CM GWIRE 0.018-0.035IN FOR TIB,278.21,278.21,,,0
HCPCS,C1894,SHEATH GUID 6FR L55CM DIA2.2MM GWIRE 0.035IN MP W/ HI FLX,152.64,152.64,,,0
HCPCS,C1894,SHEATH GUID 6FR L55CM DIA2.2MM GWIRE 0.038IN RAABE RADPQ BND,141.6,141.6,,,0
HCPCS,C1894,SHEATH GUID 6FR L90CM DIA2.2MM GWIRE 0.038IN RAABE RADPQ BND,141.6,141.6,,,0
HCPCS,C1894,SHEATH GUID 6FR L90CM GWIRE 0.038IN BLLN CLS NTAPR END CATH,278.21,278.21,,,0
HCPCS,C1894,SHEATH GUID 6FR L95CM STR TIP HYDRPHLC COAT R2P DESTINATION,755.49,755.49,,,0
HCPCS,C1894,SHEATH GUID 6FR X 90CM FLX SHUTTLE SEL,293.11,293.11,,,0
HCPCS,C1894,SHEATH GUID 7FR L70CM ID2.5MM CMPTBL GWIRE 0.038IN RAABE,141.6,141.6,,,0
HCPCS,C1894,SHEATH GUID 7FR L90CM DIA2.5MM GWIRE 0.038IN HYDRPHLC SFT,278.21,278.21,,,0
HCPCS,C1894,SHEATH GUID 7FR X 55CM ACC 0.035IN GWIRE MP TIP W/ HI FLX,184.44,184.44,,,0
HCPCS,C1894,SHEATH GUID 8FR L90CM ID2.9MM CMPTBL GWIRE 0.038IN W/ CK FLO,278.21,278.21,,,0
HCPCS,C1894,SHEATH GUID DIAG INTVENT 7FR X 45CM DIL PROTRUDING 2CM PINN,254.4,254.4,,,0
HCPCS,C1894,SHEATH GUID L55CM DIA0 074IN INTRO 5FR 0 035IN MP TIP CK FLO,152.64,152.64,,,0
HCPCS,C1894,SHEATH GUID L90CM ID1.9MM COMPATIBLE GWIRE 0.038IN W/ CK FLO,141.6,141.6,,,0
HCPCS,C1894,SHEATH GUIDING L70CM ID2.9MM INTRODUCER 8FR GUIDEWIRE 0.035I,178.08,178.08,,,0
HCPCS,C1894,SHEATH INTRO 4FR CANN L11CM 0.035IN MINIWIRE STD RED KINK,18.0,18.0,,,0
HCPCS,C1894,SHEATH INTRO 4FR L11CM BRT TIP SLIX VLV SIL RADPQ TUNG,28.8,28.8,,,0
HCPCS,C1894,SHEATH INTRO 5FR L10CM 21/19GA ECHOGENIC TAPR NDL W/ NIT,91.2,91.2,,,0
HCPCS,C1894,SHEATH INTRO 5FR L10CM ID0.074IN NDL 21GA L35MM GWIRE,141.3,141.3,,,0
HCPCS,C1894,SHEATH INTRO 6.5FR L55CM DEFLECTION L17MM 180DEG HYDROPHOBIC,1380.0,1380.0,,,0
HCPCS,C1894,SHEATH INTRO 7FR L55CM DEFLECTION L17MM 180DEG HYDROPHOBIC,1436.0,1436.0,,,0
HCPCS,C1894,SHEATH INTRO 8.5FR L90CM STEER TOURGUIDE,1468.8,1468.8,,,0
HCPCS,C1894,SHEATH INTRO 9FR L11CM GWIRE 0.035IN SIL TRICSP VLV SMTH,19.2,19.2,,,0
HCPCS,C1894,SHEATH INTRO L15.5CM INTRO 6FR DIL L20CM 0.035IN FOR PERC,95.52,95.52,,,0
HCPCS,C1894,SHEATH RADIOPAQUE BAND 8FR X,88.8,88.8,,,0
HCPCS,C1894,SHEATH URET ACCS 11FR X 13FR X 28CM HYDRPHLC 2 DUROMETER SGL,473.42,473.42,,,0
HCPCS,C1894,SHEATH URET ACCS 11FR X 13FR X 36CM HYDRPHLC 2 DUROMETER SGL,372.72,372.72,,,0
HCPCS,C1894,SYSTEM DEL CATH CAP 18FR L7.6CM SHTH 14FR INLINE FLSH PRT,5064.0,5064.0,,,0
HCPCS,C1894,SYSTEM INTRO 7FR X 13CM DIL 19.5CM ORNG PEEL AWAY VLV,129.6,129.6,,,0
HCPCS,C1894,SYSTEM INTRO W/O GWIRE ACCUSTICK II,142.8,142.8,,,0
HCPCS,C1894,SYSTEM SHTH 6FR L10CM NIT WIRE L45CM ECHOGENIC TAPR NDL,90.34,90.34,,,0
HCPCS,C1894,TRAY KYPHOPLASTY SZ 2 BLLN L10MM BNE FILL DEV SYR IBT KYPHON,6771.6,6771.6,,,0
HCPCS,C1894,XXXGLIDESHEATH - SS KIT 0.021 GW 21G - 6FR. 10CM,139.2,139.2,,,0
HCPCS,C1895,405423 : LEAD DEFIB 72CM SGL COIL TRNSVEN R VENT SIL W- POLYUR DF4,5040.0,5040.0,,,0
HCPCS,C1896,"""EMBLEM S-ICD",9600.0,9600.0,,,0
HCPCS,C1896,245532 : EMBLEM S-ICD,9600.0,9600.0,,,0
HCPCS,C1896,422176 : LEAD ICD EXTRAVASCULAR EPSILA,12936.0,12936.0,,,0
HCPCS,C1896,422177 : LEAD ICD EXTRAVASCULAR EPSILA,12936.0,12936.0,,,0
HCPCS,C1896,LEAD ICD EXTRAVASCULAR EPSILA,12936.0,12936.0,,,0
HCPCS,C1896,SYSTEM ELECTRD DEL FOR EMBLEM S-ICD,3000.0,3000.0,,,0
HCPCS,C1897,HC 8 CONTACT TRIAL LEAD STANDARD SPACING 45CM,359.0,359.0,,,0
HCPCS,C1897,HC 8 CONTACT TRIAL LEAD STANDARD SPACING 60CM,359.0,359.0,,,0
HCPCS,C1897,HC INFINION TRIAL LEAD KIT 50CM,1920.0,1920.0,,,0
HCPCS,C1897,HC OCTRODE TRIAL LEAD KIT 60CM LENGTH,1440.0,1440.0,,,0
HCPCS,C1897,HC QUATTRODE TRIAL LEAD KIT,1440.0,1440.0,,,0
HCPCS,C1897,HC TRIAL LEAD KIT 50CM - 90CM,3168.0,3168.0,,,0
HCPCS,C1897,KIT SUR LD 70CM FOR SPNL CRD STIM SYS,6000.0,6000.0,,,0
HCPCS,C1897,LEAD,1440.0,1440.0,,,0
HCPCS,C1897,OCTRODE TRIAL LEAD,1440.0,1440.0,,,0
HCPCS,C1898,114171 : LEAD PACE 6FR L45CM SIL INSUL BPLR PLATINIZED STEROID DXAC,756.0,756.0,,,0
HCPCS,C1898,15040 : LEAD PACE TEMP ATR MYOCARDIAL PREM UPLR STREAMLINE - 6500,75.0,75.0,,,0
HCPCS,C1898,161706 : LEAD PACE 4.1FR X 69CM VENT ATRIUM BNDL OF HIS POLYUR SIL,852.0,852.0,,,0
HCPCS,C1898,164003 : LEAD PACE 45CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
HCPCS,C1898,164004 : LEAD PACE L53CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
HCPCS,C1898,164005 : LEAD PACE 60CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
HCPCS,C1898,407716 : LEAD SPC 52CM AV BPLR STR INGEVITY,1017.6,1017.6,,,0
HCPCS,C1898,407717 : LEAD SPC 59CM AV BPLR STR INGEVITY,1017.6,1017.6,,,0
HCPCS,C1898,457445 CAPSURE SENSE LEAD,756.0,756.0,,,0
HCPCS,C1898,496825 CAPSURE EPI LEAD 4968,756.0,756.0,,,0
HCPCS,C1898,56593 : LEAD PACE 6FR 52CM BPLR AV SIL INSUL STEROID ELUT EXT-RETRCT,756.0,756.0,,,0
HCPCS,C1898,61914 : LEAD PACE 6FR L58CM SIL INSUL BPLR PLATINIZED STEROID DXAC,756.0,756.0,,,0
HCPCS,C1898,CAPSURE SENSE PREFORM MRI LEAD,756.0,756.0,,,0
HCPCS,C1898,INGEVITY PLUS LD AF IS1 7840 45CM US ACTIVE FIX,1017.6,1017.6,,,0
HCPCS,C1898,LEAD PACE 4.1FR X 69CM VENT ATRIUM BNDL OF HIS POLYUR SIL,852.0,852.0,,,0
HCPCS,C1898,LEAD PACE 45CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
HCPCS,C1898,LEAD PACE 60CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
HCPCS,C1898,LEAD PACE 6FR 52CM BPLR AV SIL INSUL STEROID ELUT EXT/RETRCT,756.0,756.0,,,0
HCPCS,C1898,LEAD PACE ACT FIX TENDRIL,1200.0,1200.0,,,0
HCPCS,C1898,LEAD PACE L53CM R AV STEROID ELUT IS1 CONN ACT FIX SOLIA S,1440.0,1440.0,,,0
HCPCS,C1898,LEAD PACE L60CM EPICARD BPLR STEROID ELUT CAPSUR EPI,756.0,756.0,,,0
HCPCS,C1898,LEAD PACE TEMP ATR MYOCARDIAL PREM UPLR STREAMLINE,75.0,75.0,,,0
HCPCS,C1898,LEAD SPC 52CM AV BPLR STR INGEVITY,1017.6,1017.6,,,0
HCPCS,C1898,TENDRIL STS PACING LEAD MR CONDITIONAL 46CM,1200.0,1200.0,,,0
HCPCS,C1900,142758 : LEAD PACE 5.3FR X 88CM L VENT POLYUR SI POLYIMIDE SIL PLAT,3120.0,3120.0,,,0
HCPCS,C1900,144401 : LEAD PACE 5.3FR X 88CM L VENT POLYUR SI POLYIMIDE SIL PLAT,3120.0,3120.0,,,0
HCPCS,C1900,159637 : ACUITY X4 CRTLD CV SB NAV 2 QUAD IS4 4674 86CM US,5088.0,5088.0,,,0
HCPCS,C1900,262468 : LEAD DEFIB 1.6MM X 87CM L VENT SENTUS PROMRI OTW QP L 85-49,6480.0,6480.0,,,0
HCPCS,C1900,415621 : LEAD PACING 4.4FR L88CM IS-4 ATTAIN QUAD MRI SURESCAN,3840.0,3840.0,,,0
HCPCS,C1900,ACUITY X4 CRTLD CV SB NAV 2 QUAD IS4 4674 86CM US,5088.0,5088.0,,,0
HCPCS,C1900,LEAD DEFIB 1.6MM X 87CM L VENT SENTUS PROMRI OTW QP L 85/49,6480.0,6480.0,,,0
HCPCS,C1900,LEAD DEFIB 86CM INTRO 5FR L HRT OPTIM INSUL FLX BODY TRAD S,5760.0,5760.0,,,0
HCPCS,C1900,LEAD PACE 5.3FR X 78CM L VENT POLYUR SI POLYIMIDE SIL PLAT,3120.0,3120.0,,,0
HCPCS,C1900,LEAD PACE L88CM SIL ART VENT BPLR OTW 2 CANTED ELECTRD CONN,2880.0,2880.0,,,0
HCPCS,C1900,LEAD PACING 4.4FR L88CM IS-4 ATTAIN QUAD MRI SURESCAN,3840.0,3840.0,,,0
HCPCS,C1900,SENTUS PROMRI OTW QP L-75/49,6480.0,6480.0,,,0
HCPCS,C1982,MICROCATHETER INFUS 3.2FR L150CM TIP 1.5-3.5MM SLD TUMOR,20925.0,20925.0,,,0
HCPCS,C1982,TRINAV INFUSION SYSTEM 120CM,23250.0,23250.0,,,0
HCPCS,C2616,"Brachytx, non-str,Yttrium-90",,,11015.61,74700.44,9
HCPCS,C2616,HC BRACHY NON STRAN YTTRIUM-90 PER SOURCE,50889.0,50889.0,,,0
HCPCS,C2617,107252 : STENT URET 8FR L24CM PGTL REG DUROMETER FLEXIMA,312.0,312.0,,,0
HCPCS,C2617,123750 : STENT URET 8FR X 22CM HYDRPHLC SCFLD WIRE REINF TECH MR COND,816.0,816.0,,,0
HCPCS,C2617,129911 : NAVIFLEX RX DELIVERY SYSTEM 10FR,333.05,333.05,,,0
HCPCS,C2617,129914 : STENT PANCREAS 5FR L3CM 0.035IN GWIRE SGL PGTL SFT PLIABLE,181.2,181.2,,,0
HCPCS,C2617,129915 : STENT PANCREAS 5FR X 5CM GWIRE 0.035IN SGL PG CRVE W-O FLNG,181.2,181.2,,,0
HCPCS,C2617,15264 : STENT URET 7FR L90CM BRD DIV GWIRE DISP,416.16,416.16,,,0
HCPCS,C2617,156244 : STENT URET 8FR L90CM BRAID DIV GWIRE DISP,416.16,416.16,,,0
HCPCS,C2617,19782 : STENT URET 6FR L12CM SIL CLS TIP DBL J,445.63,445.63,,,0
HCPCS,C2617,363230 : SET URET STNT 4.8FR L26CM AXXCESS CATH 6FR PERCFLX HYDR+ FRM,264.72,264.72,,,0
HCPCS,C2617,363247 : PERC PLUS STENT 6X20,264.72,264.72,,,0
HCPCS,C2617,363255 : STENT URET 6FR L22CM HYDR+ LP TAPR TIP GRAD MRK PERCFLX +,264.72,264.72,,,0
HCPCS,C2617,363282 : SET URET STNT 6FR X 28CM HYDR INCL 6FR AXXCESS CATH GWIRE,264.72,264.72,,,0
HCPCS,C2617,363323 : PERC PLUS STENT 7X26,264.72,264.72,,,0
HCPCS,C2617,363332 : SET URET STNT 7FR L28CM AXXCESS CATH 6FR PERCFLX HYDR+ FRM,264.72,264.72,,,0
HCPCS,C2617,363360 : PERC PLUS STENT 8X24,264.72,264.72,,,0
HCPCS,C2617,40620 : STENT URET 6FR X 24CM HYDR LP TAPR TIP GRAD MRK PERCFLX,264.72,264.72,,,0
HCPCS,C2617,40621 : STENT URET 6FR X 26CM HYDR LP TAPR TIP GRAD MRK PERCFLX,264.72,264.72,,,0
HCPCS,C2617,407999 : STENT URET 7FR L12CM SIL DBL J W- CLS END,696.0,696.0,,,0
HCPCS,C2617,546462 : STENT PANCREAS 10FR X 9CM POLYMR STR LD BARB LD RADPQ 546462,345.6,345.6,,,0
HCPCS,C2617,68784 : CATHETER URETH 22FR BLLN 30CC 3 W F BARDX IC,28.85,28.85,,,0
HCPCS,C2617,70615 : STENT URET 4.8FR L18CM HYDR+ TAPR TIP PGTL BLDR MRK RADPQ,264.72,264.72,,,0
HCPCS,C2617,71374 : STENT URET 4.8FR L20CM HYDR+ RADPQ W- TAPR TIP PGTL BLDR MRK,264.72,264.72,,,0
HCPCS,C2617,KIT STNT 8FR L20CM URET PERCFLX HYDR+ DBL PGTL FLX TIP SFT,346.61,346.61,,,0
HCPCS,C2617,NAVIFLEX RX DELIVERY SYSTEM 10FR,333.05,333.05,,,0
HCPCS,C2617,OPEN-END FLEXI-TIP URETERAL CATHETER,32.68,32.68,,,0
HCPCS,C2617,PERC PLUS STENT 6X20,264.72,264.72,,,0
HCPCS,C2617,PERC PLUS STENT 7X24,346.61,346.61,,,0
HCPCS,C2617,PERC PLUS STENT 7X26,346.61,346.61,,,0
HCPCS,C2617,PERC PLUS STENT 8X24,346.61,346.61,,,0
HCPCS,C2617,PERCUFLEX 6FR X 28CM WITH .038/150 STANDARD SHAFT/STRAIGHT,381.22,381.22,,,0
HCPCS,C2617,PERCUFLEX STENT 6FX26CM BRAIDED SUTURE,380.95,380.95,,,0
HCPCS,C2617,PERCUFLEX URINARY STENT 4.8X22,296.04,296.04,,,0
HCPCS,C2617,SET URET STNT 4.8FR L26CM AXXCESS CATH 6FR PERCFLX HYDR+ FRM,653.45,653.45,,,0
HCPCS,C2617,SET URET STNT 6FR X 28CM HYDR INCL 6FR AXXCESS CATH GWIRE,653.45,653.45,,,0
HCPCS,C2617,SET URET STNT SM 3.7FR L10CM DBL PGTL W/ 4FR L70CM POLYUR,300.0,300.0,,,0
HCPCS,C2617,SOF-FLEX PEDIATRIC DOUBLE PIGTAIL URETERAL STENT SET,264.91,264.91,,,0
HCPCS,C2617,STENT HOBBS PANCREATIC SINGLE PIGTAIL 5FT-7CM W/O FLANGE,181.2,181.2,,,0
HCPCS,C2617,STENT PANCREAS 4FR L5CM 0.025IN GWIRE SGL PGTL SFT PLIABLE,181.2,181.2,,,0
HCPCS,C2617,STENT URET 4.8FR L12CM HYDR+ TAPR TIP PGTL BLDR MRK RADPQ,653.45,653.45,,,0
HCPCS,C2617,STENT URET 4.8FR L14CM HYDR+ TAPR TIP PGTL BLDR MRK RADPQ,653.45,653.45,,,0
HCPCS,C2617,STENT URET 4.8FR L16CM HYDR+ TAPR TIP PGTL BLDR MRK RADPQ,653.45,653.45,,,0
HCPCS,C2617,STENT URET 4.8FR L18CM HYDR+ TAPR TIP PGTL BLDR MRK RADPQ,653.45,653.45,,,0
HCPCS,C2617,STENT URET 4.8FR L20CM HYDR+ RADPQ W/ TAPR TIP PGTL BLDR MRK,346.61,346.61,,,0
HCPCS,C2617,STENT URET 6FR L12CM SIL CLS TIP DBL J,696.0,696.0,,,0
HCPCS,C2617,STENT URET 6FR L22CM HYDR+ LP TAPR TIP GRAD MRK PERCFLX +,346.61,346.61,,,0
HCPCS,C2617,STENT URET 6FR X 24CM HYDR LP TAPR TIP GRAD MRK PERCFLX,653.45,653.45,,,0
HCPCS,C2617,STENT URET 6FR X 26CM HYDR LP TAPR TIP GRAD MRK PERCFLX,653.45,653.45,,,0
HCPCS,C2617,STENT URET 7FR L12CM SIL DBL J W/ CLS END,696.0,696.0,,,0
HCPCS,C2617,STENT URET 8FR L24CM PGTL REG DUROMETER FLEXIMA,312.0,312.0,,,0
HCPCS,C2617,STENT URET 8FR L90CM BRAID DIV GWIRE DISP,416.16,416.16,,,0
HCPCS,C2617,STENT URET L26CM OD8FR HYDR+ TAPR TIP DBL PGTL THRD POS,346.61,346.61,,,0
HCPCS,C2617,STENT URETERAL 6X26 778626,108.19,108.19,,,0
HCPCS,C2617,STENT URETHRAL 6FR L12CM FOR HYPOSPADIAS AND EPISPADIAS REPA,79.13,79.13,,,0
HCPCS,C2617,STENT URO L12CM OD3.7FR PED KT DBL PGTL TETHERED GWIRE,300.0,300.0,,,0
HCPCS,C2617,URETERAL CATHETER,22.61,22.61,,,0
HCPCS,C2617,VALVULOPLASTY BALLON,1080.0,1080.0,,,0
HCPCS,C2618,151309 : NEEDLE CRYOABLATION 14GA SHFT L17.5CM ABLAT RAD W2.1XL29MM,4200.0,4200.0,,,0
HCPCS,C2618,151310 : NEEDLE CRYOABLATION 14GA SHFT L17.5CM ABLAT RAD W2.1XL13MM,3466.67,3466.67,,,0
HCPCS,C2618,405458 : NEEDLE CRYOABLATION 17GA SHFT L17.5CM 90DEG 3 FACET SHRP TIP,5028.0,5028.0,,,0
HCPCS,C2618,KIT NEEDLE ICESPHERE 2.1 CRYOABLATION,3120.0,3120.0,,,0
HCPCS,C2618,NEEDLE CRYOABLATION 14GA SHFT L17.5CM ABLAT RAD W2.1XL13MM,3332.57,3332.57,,,0
HCPCS,C2618,NEEDLE CRYOABLATION 14GA SHFT L17.5CM ABLAT RAD W2.1XL29MM,4200.0,4200.0,,,0
HCPCS,C2618,NEEDLE CRYOABLATION 17GA SHFT L17.5CM 90DEG 3 FACET SHRP TIP,5028.0,5028.0,,,0
HCPCS,C2621,245500 : PACEMAKER CARD SOLARA MRI SURESCAN MOD 1TR03 46.5MM X 59MM X,12480.0,12480.0,,,0
HCPCS,C2621,245501 : PACEMAKER CARD SOLARA QUAD MRI SURESCAN MOD W4TR03 46.5MM X,12480.0,12480.0,,,0
HCPCS,C2621,415793 : PACEMAKER CARDIAC QUAD MRI SURESCAN,12720.0,12720.0,,,0
HCPCS,C2621,PACEMAKER CARD SOLARA MRI SURESCAN MOD 1TR03 46.5MM X 59MM X,12480.0,12480.0,,,0
HCPCS,C2621,PACEMAKER CARDIAC CRT-P MRI SURESCAN,12720.0,12720.0,,,0
HCPCS,C2621,VALITUDE IS1,15009.6,15009.6,,,0
HCPCS,C2622,PROSTHESIS PENILE L16-25CM DIA11MM HYDROVANTAGE HYDRPHLC 2,16070.4,16070.4,,,0
HCPCS,C2623,"""LUTONIX .018"""" DCB 130CM 4X80MM """,4560.0,4560.0,,,0
HCPCS,C2623,143620 : CATHETER PTCA PACLITAXEL COAT BLLN L40MM DIA4MM L130CM SHTH,3960.0,3960.0,,,0
HCPCS,C2623,143624 : LUTONIX 035 130CM 5X60MM,3960.0,3960.0,,,0
HCPCS,C2623,143630 : LUTONIX 035 130CM5X100MM,3960.0,3960.0,,,0
HCPCS,C2623,143631 : CATHETER PTCA PACLITAXEL COAT BLLN L100MM DIA6MM L130CM SHTH,3960.0,3960.0,,,0
HCPCS,C2623,149006 : CATHETER PTCA PACLITAXEL COAT BLLN L150MM DIA6MM L130CM SHTH,4680.0,4680.0,,,0
HCPCS,C2623,360258 : CATHETER PTCA PACLITAXEL COAT BLLN L150MM DIA5MM L130CM SHTH,4680.0,4680.0,,,0
HCPCS,C2623,370277 : LUTONIX 6MM X 220MM,6120.0,6120.0,,,0
HCPCS,C2623,370281 : LUTONIX 7MM X 80MM,3960.0,3960.0,,,0
HCPCS,C2623,375971 : CATHETER PTCA L130CM BLLN L220MM DIA4MM GWIRE 0.018IN PERIPH,6720.0,6720.0,,,0
HCPCS,C2623,375972 : CATHETER PTCA L130CM BLLN L220MM DIA5MM GWIRE 0.018IN PERIPH,6720.0,6720.0,,,0
HCPCS,C2623,375973 : CATHETER PTCA L130CM BLLN L220MM DIA6MM GWIRE 0.018IN PERIPH,6720.0,6720.0,,,0
HCPCS,C2623,375974 : CATHETER PTCA L130CM BLLN L100MM DIA4MM GWIRE 0.018IN PERIPH,4560.0,4560.0,,,0
HCPCS,C2623,375975 : CATHETER PTCA L130CM BLLN L150MM DIA4MM GWIRE 0.018IN PERIPH,5280.0,5280.0,,,0
HCPCS,C2623,375976 : CATHETER PTCA L130CM BLLN L40MM DIA4MM SHTH 4FR GWIRE,4560.0,4560.0,,,0
HCPCS,C2623,375977 : CATHETER PTCA L130CM BLLN L60MM DIA4MM SHTH 4FR GWIRE,4560.0,4560.0,,,0
HCPCS,C2623,375980 : CATHETER PTCA L130CM BLLN L40MM DIA5MM GWIRE 0.018IN PERIPH,4560.0,4560.0,,,0
HCPCS,C2623,375983 : CATHETER PTCA L130CM BLLN L100MM DIA6MM GWIRE 0.018IN PERIPH,4560.0,4560.0,,,0
HCPCS,C2623,375984 : CATHETER PTCA L130CM BLLN L150MM DIA6MM GWIRE 0.018IN PERIPH,5280.0,5280.0,,,0
HCPCS,C2623,412378 : 6.0X40MM 80CM RANGER GLOBAL DCB OTW,2820.0,2820.0,,,0
HCPCS,C2623,CATHETER PTCA L130CM BLLN L100MM DIA4MM GWIRE 0.018IN PERIPH,4560.0,4560.0,,,0
HCPCS,C2623,CATHETER PTCA L130CM BLLN L150MM DIA4MM GWIRE 0.018IN PERIPH,5280.0,5280.0,,,0
HCPCS,C2623,CATHETER PTCA L130CM BLLN L220MM DIA4MM GWIRE 0.018IN PERIPH,6720.0,6720.0,,,0
HCPCS,C2623,CATHETER PTCA L130CM BLLN L220MM DIA5MM SHTH 5FR GWIRE,6120.0,6120.0,,,0
HCPCS,C2623,CATHETER PTCA L130CM BLLN L220MM DIA6MM GWIRE 0.018IN PERIPH,6720.0,6720.0,,,0
HCPCS,C2623,CATHETER PTCA L130CM BLLN L40MM DIA4MM SHTH 4FR GWIRE,4560.0,4560.0,,,0
HCPCS,C2623,CATHETER PTCA L130CM BLLN L60MM DIA4MM SHTH 4FR GWIRE,4560.0,4560.0,,,0
HCPCS,C2623,CATHETER PTCA PACLITAXEL COAT BLLN L100MM DIA4MM L130CM SHTH,3960.0,3960.0,,,0
HCPCS,C2623,CATHETER PTCA PACLITAXEL COAT BLLN L150MM DIA5MM L130CM SHTH,4680.0,4680.0,,,0
HCPCS,C2623,CATHETER PTCA PACLITAXEL COAT BLLN L40MM DIA5MM L130CM SHTH,3960.0,3960.0,,,0
HCPCS,C2623,CATHETER PTCA PACLITAXEL COAT BLLN L60MM DIA6MM L130CM,4560.0,4560.0,,,0
HCPCS,C2623,CATHETER PTCA PACLITAXEL COAT BLLN L60MM DIA6MM L130CM SHTH,3960.0,3960.0,,,0
HCPCS,C2623,LUTONIX 035 130CM 6X80MM,3960.0,3960.0,,,0
HCPCS,C2623,LUTONIX 6MM X 220MM,6120.0,6120.0,,,0
HCPCS,C2623,LUTONIX 7MM X 80MM,3960.0,3960.0,,,0
HCPCS,C2625,107964 : STENT NEPHURETSTMY DIA10.2MM 24CM DISTANCE BTWN PGTL,236.83,236.83,,,0
HCPCS,C2625,HC 624 TRIAL STENT BSPUR,0.01,0.01,,,0
HCPCS,C2625,"PROPEL CONTOUR (MOMETASONE FUROATE IMPLANT,370HG)",144.36,144.36,,,0
HCPCS,C2625,STENT NEPHURETSTMY DIA10.2MM 22CM DISTANCE BTWN PGTL,236.83,236.83,,,0
HCPCS,C2625,STENT RX BILIARY DB PRELOAD 7FR X 12CM BS 3423,608.26,608.26,,,0
HCPCS,C2625,STENT SOLUS DOUBLE PIGTAIL 10 FR 10 CM,364.8,364.8,,,0
HCPCS,C2625,STENT URET 8FR X 26CM HYDRPHLC SCFLD WIRE REINF TECH MR COND,816.0,816.0,,,0
HCPCS,C2625,STENT URETERAL 8.5FR L10CM GUIDEWIRE DIA0.035IN HYDROPHILIC,287.93,287.93,,,0
HCPCS,C2627,29381 : SET ENDOSCP DIL 8-24FR X 37CM FASCIAL POLYETH INCL 0.038IN X,598.92,598.92,,,0
HCPCS,C2627,SET ENDOSCP DIL 8-24FR X 37CM FASCIAL POLYETH INCL 0.038IN X,590.48,590.48,,,0
HCPCS,C2628,119510 : CATHETER OCCL 9FR X 120CM BLLN 30ML DIA32MM L VES POLYUR TWO,1187.79,1187.79,,,0
HCPCS,C2628,145506 : MARKSMAN CATHETER 15CM,2107.2,2107.2,,,0
HCPCS,C2628,159909 : CATHETER OCCL 5FR L90CM BLLN L80MM DIA20MM BRDG,2340.0,2340.0,,,0
HCPCS,C2628,413025 : CATHETER NEUROVASC 8FR L95CM BLLN STR 2 PRT LUER HUB,4200.0,4200.0,,,0
HCPCS,C2628,90CM WALRUS 087 BALLOON GUIDE CATHETER SYSTEM DEVICE,4200.0,4200.0,,,0
HCPCS,C2628,CATH REDDICK CYSTIC 2405-53,424.94,424.94,,,0
HCPCS,C2628,CATHETER NEUROVASC 8FR L95CM BLLN STR 2 PRT LUER HUB,4200.0,4200.0,,,0
HCPCS,C2628,CATHETER OCCL 3FR L27CM BLLN DIA7MM POLYUR SAFE PLIABLE,927.6,927.6,,,0
HCPCS,C2628,CATHETER OCCL 4FR L27CM BLLN DIA9MM POLYUR SAFE PLIABLE,957.6,957.6,,,0
HCPCS,C2628,CATHETER OCCL 5FR L90CM BLLN L80MM DIA20MM BRDG,2308.0,2308.0,,,0
HCPCS,C2628,CATHETER OCCL 9FR X 120CM BLLN 30ML DIA32MM L VES POLYUR TWO,1165.35,1165.35,,,0
HCPCS,C2628,MARKSMAN CATHETER 15CM,2107.2,2107.2,,,0
HCPCS,C2628,SCEPTER C D4.0MM L10MM,2900.0,2900.0,,,0
HCPCS,C2629,129050 : SHEATH LSR 14FR L50CM LD 9.5FR TIP OD0.192IN ID0.134IN,7980.0,7980.0,,,0
HCPCS,C2629,129051 : SHEATH LSR 16FR L50CM LD 11.5FR TIP OD0.225IN ID0.164IN,7980.0,7980.0,,,0
HCPCS,C2629,SHEATH LSR 14FR L50CM LD 9.5FR TIP OD0.192IN ID0.134IN,7980.0,7980.0,,,0
HCPCS,C2630,370162 : CATHETER MAP 8FR L105CM SPC 3MM TIP 1MM L ATRIUM VENT DF CRV,6054.0,6054.0,,,0
HCPCS,C2630,418948 : TRIAL - CATHETER CARD ABLAT D-F CRV 2-2-2MM 8FR X 115CM BIDI,9680.0,9680.0,,,0
HCPCS,C2630,418949 : TRIAL - CATHETER CARD ABLAT F-J CRV 2-2-2MM 8FR X 115CM BIDI,9840.0,9840.0,,,0
HCPCS,C2630,CATHETER ABLAT L160CM DIA4MM BPLR ELECTRD W10XL15MM FOC DISP,3705.6,3705.6,,,0
HCPCS,C2630,CATHETER CARD ABLAT D-F CRV ELECTRD SPC 2-2-2MM 8FR L115CM,6960.0,6960.0,,,0
HCPCS,C2630,CATHETER MAP 8FR L105CM SPC 3MM TIP 1MM L ATRIUM VENT DF CRV,5814.19,5814.19,,,0
HCPCS,C2630,TRIAL - CATHETER CARD ABLAT D-F CRV 2-2-2MM 8FR X 115CM BIDI,9360.0,9360.0,,,0
HCPCS,C2634,"Brachytx, non-str, HA, I-125",,,162.84,731.66,9
HCPCS,C2635,"Brachytx, non-str, HA, P-103",,,55.56,448.72,9
HCPCS,C2636,"Brachy linear, non-str,P-103",,,52.91,375.79,9
HCPCS,C2636,HC BRACHY LINEAR NONSTRNDED P-103,138.0,138.0,,,0
HCPCS,C2637,"Brachy,non-str,Ytterbium-169",,,26024.41,26024.41,1
HCPCS,C2638,"Brachytx, stranded, I-125",,,35.26,148.22,9
HCPCS,C2639,"Brachytx, non-stranded,I-125",,,35.11,154.02,9
HCPCS,C2639,HC BRACHY NON STRANDED I-125,125.0,125.0,,,0
HCPCS,C2640,"Brachytx, stranded, P-103",,,69.69,371.0,9
HCPCS,C2641,"Brachytx, non-stranded,P-103",,,64.48,271.04,9
HCPCS,C2642,"Brachytx, stranded, C-131",,,101.29,500.68,9
HCPCS,C2643,"Brachytx, non-stranded,C-131",,,88.0,419.51,9
HCPCS,C2643,HC BRACHY NON STRANDED C-131,212.0,212.0,,,0
HCPCS,C2643,SEED BRACHYTHERAPY CESIUM 131 THERAPY D GAMMATILE 4 PACK 4 S,59529.6,59529.6,,,0
HCPCS,C2643,SEED BRACHYTHERAPY CESIUM 131 THERAPY D GAMMATILE 9 PACK 4 S,107611.2,107611.2,,,0
HCPCS,C2644,Brachytx cesium-131 chloride,,,105.09,110.78,2
HCPCS,C2645,"Brachytx planar, p-103",,,4.69,19.71,5
HCPCS,C2698,"Brachytx, stranded, NOS",,,35.26,148.22,9
HCPCS,C2699,"Brachytx, non-stranded, NOS",,,35.11,154.02,9
HCPCS,C5271,Low cost skin substitute app,,,655.45,1964.35,7
HCPCS,C5272,Low cost skin substitute app,,,1473.0,1473.0,1
HCPCS,C5273,Low cost skin substitute app,,,1903.17,6578.97,7
HCPCS,C5274,Low cost skin substitute app,,,1473.0,1473.0,1
HCPCS,C5275,Low cost skin substitute app,,,655.45,1964.35,7
HCPCS,C5276,Low cost skin substitute app,,,1473.0,1473.0,1
HCPCS,C5277,Low cost skin substitute app,,,655.45,1964.35,7
HCPCS,C5278,Low cost skin substitute app,,,1473.0,1473.0,1
HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,2073.0,2073.0,1
HCPCS,C7501,Perc bx breast lesions stero,,,2073.0,2073.0,1
HCPCS,C7502,Perc bx breast lesions mr,,,2073.0,2073.0,1
HCPCS,C7503,Open exc cerv node(s) w/ id,,,2073.0,2073.0,1
HCPCS,C7504,Perq cvt&ls inj vert bodies,,,2073.0,2073.0,1
HCPCS,C7505,Perq ls&cvt inj vert bodies,,,2073.0,2073.0,1
HCPCS,C7506,Fusion of finger joints,,,2073.0,2073.0,1
HCPCS,C7507,Perq thor&lumb vert aug,,,2073.0,2073.0,1
HCPCS,C7508,Perq lumb&thor vert aug,,,2073.0,2073.0,1
HCPCS,C7509,Dx bronch w/ navigation,,,2073.0,2073.0,1
HCPCS,C7510,Bronch/lavag w/ navigation,,,2073.0,2073.0,1
HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,2073.0,2073.0,1
HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,2073.0,2073.0,1
HCPCS,C7513,Cath/angio dialcir w/aplasty,,,2073.0,2073.0,1
HCPCS,C7514,Cath/angio dial cir w/stents,,,2073.0,2073.0,1
HCPCS,C7515,Cath/angio dial cir w/embol,,,2073.0,2073.0,1
HCPCS,C7516,Cor angio w/ ivus or oct,,,2073.0,2073.0,1
HCPCS,C7517,Cor angio w/ilic/fem angio,,,2073.0,2073.0,1
HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,2073.0,2073.0,1
HCPCS,C7519,Cor/gft angio w/ flow resrv,,,2073.0,2073.0,1
HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,2073.0,2073.0,1
HCPCS,C7521,R hrt angio w/ ivus or oct,,,2073.0,2073.0,1
HCPCS,C7522,R hrt angio w/flow resrv,,,2073.0,2073.0,1
HCPCS,C7523,L hrt angio w/ ivus or oct,,,2073.0,2073.0,1
HCPCS,C7524,L hrt angio w/flow resrv,,,2073.0,2073.0,1
HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,2073.0,2073.0,1
HCPCS,C7526,L hrt gft ang w/flow resrv,,,2073.0,2073.0,1
HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,2073.0,2073.0,1
HCPCS,C7528,R&l hrt angio w/flow resrv,,,2073.0,2073.0,1
HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,2073.0,2073.0,1
HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,2073.0,2073.0,1
HCPCS,C7531,Angio fem/pop w/ us,,,2073.0,2073.0,1
HCPCS,C7532,Angio w/ us non-coronary,,,2073.0,2073.0,1
HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,2073.0,2073.0,1
HCPCS,C7534,Fem/pop revasc w/arthr & us,,,2073.0,2073.0,1
HCPCS,C7535,Fem/pop revasc w/stent & us,,,2073.0,2073.0,1
HCPCS,C7537,Insrt atril pm w/l vent lead,,,2073.0,2073.0,1
HCPCS,C7538,Insrt vent pm w/l vent lead,,,2073.0,2073.0,1
HCPCS,C7539,Insrt a & v pm w/l vent lead,,,2073.0,2073.0,1
HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,2073.0,2073.0,1
HCPCS,C7541,Ercp w/ pancreatoscopy,,,2073.0,2073.0,1
HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,2073.0,2073.0,1
HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,2073.0,2073.0,1
HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,2073.0,2073.0,1
HCPCS,C7545,Exch bil cath w/ rmv calculi,,,2073.0,2073.0,1
HCPCS,C7546,Rep nph/urt cath w/dil stric,,,2073.0,2073.0,1
HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,2073.0,2073.0,1
HCPCS,C7548,Exch neph cath w/ dil stric,,,2073.0,2073.0,1
HCPCS,C7549,Chge urtr stent w/ dil stric,,,2073.0,2073.0,1
HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,2073.0,2073.0,1
HCPCS,C7551,Exc neuroma w/ implnt nv end,,,2073.0,2073.0,1
HCPCS,C7552,R hrt art/grft ang hrt flow,,,2073.0,2073.0,1
HCPCS,C7553,R&l hrt art/vent ang drg ad,,,2073.0,2073.0,1
HCPCS,C7554,Cystureth blu li cyst fl img,,,2073.0,2073.0,1
HCPCS,C7555,Rmvl thyrd w/autotran parath,,,2073.0,2073.0,1
HCPCS,C7557,Cor angio/vent w/ffr,,,2073.0,2073.0,1
HCPCS,C7560,Ercp remove forgn body&endo,,,2073.0,2073.0,1
HCPCS,C7562,R&l hrt angio w/ffr & 3d map,,,2073.0,2073.0,1
HCPCS,C7563,Trluml ballo angiop all art,,,2073.0,2073.0,1
HCPCS,C7564,Vein mech throm w/intrvas us,,,2073.0,2073.0,1
HCPCS,C7565,Rpr aa hrn < 3 rdc w/ rmvl,,,2073.0,2073.0,1
HCPCS,C7900,"Hopd mntl hlt, 15-29 min",,,29.96,177.08,9
HCPCS,C7901,"Hopd mntl hlt, 30-60 min",,,93.02,480.13,9
HCPCS,C7903,"Hopd mntl hlt, grp",,,35.75,177.08,5
HCPCS,C8001,3d anat seg imaging preop,,,96.34,608.13,9
HCPCS,C8002,"Prep skin cell susp, automtd",,,7933.5,33540.46,9
HCPCS,C8003,Imp extar knee shck absrb,,,19010.0,88235.46,10
HCPCS,C8004,Sim ang w/prs cath rad emb,,,12979.55,54559.54,3
HCPCS,C8005,Pef bronch ablt 3d nav ebus,,,17321.54,80956.47,4
HCPCS,C8006,Inst pleu-perit shnt w pump,,,7278.75,30596.23,3
HCPCS,C8900,"Mra w/cont, abd",,,392.25,2180.98,10
HCPCS,C8901,"Mra w/o cont, abd",,,255.73,1624.08,10
HCPCS,C8902,"Mra w/o fol w/cont, abd",,,392.25,2636.36,10
HCPCS,C8903,"Mri w/cont, breast,  uni",,,191.75,2180.98,10
HCPCS,C8905,HC MRI BREAST WO & W CONTRAST UNILATERAL,1877.0,1877.0,,,0
HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,392.25,2636.36,10
HCPCS,C8906,"Mri w/cont, breast,  bi",,,392.25,2180.98,10
HCPCS,C8908,HC MRI BREAST WO & W CONTRAST BILATERAL,3754.0,3754.0,,,0
HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,392.25,2636.36,10
HCPCS,C8909,"MRA w/cont, chest",,,392.25,2180.98,10
HCPCS,C8910,"MRA w/o cont, chest",,,255.73,1624.08,10
HCPCS,C8911,"MRA w/o fol w/cont, chest",,,392.25,2636.36,10
HCPCS,C8912,"Mra w/cont, lwr ext",,,392.25,2180.98,10
HCPCS,C8913,"Mra w/o cont, lwr ext",,,255.73,1624.08,10
HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,392.25,2636.36,10
HCPCS,C8918,"MRA w/cont, pelvis",,,392.25,2180.98,10
HCPCS,C8919,"MRA w/o cont, pelvis",,,255.73,1624.08,10
HCPCS,C8920,"Mra w/o fol w/cont, pelvis",,,392.25,2636.36,10
HCPCS,C8921,HC TTE W OR WO FOLLOW W CONT CONG CARDIAC ANOMAL COMPL,2100.0,2100.0,,,0
HCPCS,C8921,"Tte w or w/o fol w/cont, com",,,835.61,4115.66,9
HCPCS,C8922,HC TTE W OR WO FOLLOW W CONT CONG CARDIAC ANOMAL F/U OR LMTD STDY,2100.0,2100.0,,,0
HCPCS,C8922,"Tte w or w/o fol w/cont, f/u",,,835.61,4115.66,9
HCPCS,C8923,"2d tte w or w/o fol w/con,co",,,835.61,4060.64,9
HCPCS,C8924,"2d tte w or w/o fol w/con,fu",,,392.25,2082.0,9
HCPCS,C8924,HC TTE W CONTRAST OR WO FOLLW W CONTRAST 2D FOLLOWUP OR LMTD STUDY,1120.0,1120.0,,,0
HCPCS,C8925,"2d tee w or w/o fol w/con,in",,,835.61,4115.66,9
HCPCS,C8925,HC TEE W CONT OR WO FOLLOW W CONT 2D INCL PROBE PLCMNT IMG ACQ INT&RPT,1876.0,1876.0,,,0
HCPCS,C8926,HC TTE W OR WO FOLLOW W CONT CONG CARD ANOM INCL PRB PLCMT IMG ACQ I&R,1821.0,1821.0,,,0
HCPCS,C8926,"Tee w or w/o fol w/cont,cong",,,835.61,4115.66,9
HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,835.61,4115.66,9
HCPCS,C8928,HC TTE W CONT OR WO FOLLOW W CONT 2D REST&CARDIO STRESS TEST W INT&RPT,2129.0,2129.0,,,0
HCPCS,C8928,"Tte w or w/o fol w/con,stres",,,835.61,4115.66,9
HCPCS,C8929,HC ECHO WITH CONTRAST,2200.0,2200.0,,,0
HCPCS,C8929,HC TTE W OR WO FOLLOW W CONT REAL-TIME IMG DOC COMPL W DOPPLER,2200.0,2200.0,,,0
HCPCS,C8929,"TTE w or wo fol wcon,Doppler",,,835.61,4105.45,9
HCPCS,C8930,HC STRESS ECHOS WITH CONTRAST,2129.0,2129.0,,,0
HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,835.61,4115.66,9
HCPCS,C8931,"MRA, w/dye, spinal canal",,,392.25,2180.98,6
HCPCS,C8932,"MRA, w/o dye, spinal canal",,,268.27,1624.08,6
HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,392.25,2636.36,6
HCPCS,C8934,"MRA, w/dye, upper extremity",,,392.25,2180.98,6
HCPCS,C8935,"MRA, w/o dye, upper extr",,,268.27,1624.08,6
HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,392.25,2636.36,6
HCPCS,C8937,HC COMPUTER AIDED DETECT (CAD) BREAST MRI (ADD-ON),53.0,53.0,,,0
HCPCS,C8957,"Prolonged iv inf, req pump",,,239.15,1340.6,9
HCPCS,C9021,"Injection, obinutuzumab",,,36.41,57.79,4
HCPCS,C9022,"Injection, elosulfase alfa",,,150.71,239.23,4
HCPCS,C9023,Inj testosterone undecanoate,,,0.77,1.23,4
HCPCS,C9025,"Injection, ramucirumab",,,35.99,57.12,4
HCPCS,C9026,"Injection, vedolizumab",,,11.33,17.99,4
HCPCS,C9027,"Injection, pembrolizumab",,,30.45,48.34,4
HCPCS,C9034,"Injection, dexamethasone 9%",,,1.22,1.22,1
HCPCS,C9041,"Inj, coagulation factor Xa",,,319.83,319.83,1
HCPCS,C9046,Cocaine hcl nasal solution,,,1.25,1.99,5
HCPCS,C9047,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT [192837],36500.0,36500.0,,,0
HCPCS,C9047,"Injection, caplacizumab-yhdp",,,549.83,3373.27,9
HCPCS,C9053,"Inj,  crizanlizumab-tmca",,,26.64,26.64,1
HCPCS,C9054,"Injection, lefamulin",,,0.77,0.77,1
HCPCS,C9055,"Inj, brexanolone",,,52.57,84.53,5
HCPCS,C9056,"Injection, givosiran",,,116.6,116.6,1
HCPCS,C9057,Inj cetirizine hydrochloride,,,33.9,33.9,1
HCPCS,C9058,"Injection,pegfilgrastim-bmez",,,369.69,369.69,1
HCPCS,C9059,"Injection, meloxicam",,,2.21,3.54,5
HCPCS,C9060,Fluoroestradiol f18,,,25.75,40.88,4
HCPCS,C9061,"Injection, teprotumumab-trbw",,,210.27,336.77,5
HCPCS,C9062,Daratumumab hyaluronidase,,,29.69,47.13,4
HCPCS,C9063,"Injection, eptinezumab-jjmr",,,10.55,16.9,5
HCPCS,C9064,Mitomycin pyelocalyceal inst,,,188.53,299.26,4
HCPCS,C9065,Romidepsin non-lyophilized,,,225.69,358.24,5
HCPCS,C9066,Sacituzumab govitecan-hziy,,,19.72,31.3,4
HCPCS,C9067,Gallium ga-68 dotatoc,,,3.61,15.17,9
HCPCS,C9068,"Copper cu-64, dotatate, dx",,,617.4,980.0,4
HCPCS,C9069,Belantamab mafodontin-blmf,,,29.21,46.36,4
HCPCS,C9070,"Injection, tafasitamab-cxix",,,8.47,13.44,4
HCPCS,C9071,"Injection, viltolarsen",,,39.8,63.17,4
HCPCS,C9072,"Inj, imm glob asceniv",,,320.7,509.04,4
HCPCS,C9073,Brexucabtagene autoleucel ca,,,263188.8,417760.0,4
HCPCS,C9074,"Injection, lumasiran",,,205.34,325.93,4
HCPCS,C9075,"Injection, casimersen, 10 mg",,,112.9,180.82,5
HCPCS,C9076,Lisocabtagene car pos t,,,289507.68,463686.59,5
HCPCS,C9077,Inj cabotegravir/rilpivirine,,,13.97,22.37,5
HCPCS,C9078,"Inj, trilaciclib, 1 mg",,,3.33,5.34,5
HCPCS,C9079,"Inj, evinacumab-dgnb, 5 mg",,,110.25,176.58,5
HCPCS,C9080,"Inj, melphalan flufen, 1 mg",,,335.16,536.81,5
HCPCS,C9080,MELPHALAN FLUFENAMIDE 20 MG INTRAVENOUS SOLUTION [199646],71250.0,71250.0,,,0
HCPCS,C9081,Idecabtagene car pos t,,,295999.2,474083.66,5
HCPCS,C9082,"Inj dostarlimab-gxly, 100 mg",,,1463.33,2343.72,5
HCPCS,C9083,"Inj, amivantamab-vmjw, 10 mg",,,60.21,96.43,5
HCPCS,C9084,"loncastuximab-lpyl, 0.1 mg",,,167.72,266.22,4
HCPCS,C9085,Inj avalglucosid alfa-ngpt,,,48.4,76.83,4
HCPCS,C9086,"Inj, anifrolumab-fnia",,,10.82,17.18,4
HCPCS,C9087,Inj cyclophosphamd auromedic,,,5.15,8.18,4
HCPCS,C9090,"Plasminogen, human-tvmh 1 mg",,,21.17,34.89,5
HCPCS,C9091,"Sirolimus, protein-bound,1mg",,,47.87,111.45,5
HCPCS,C9092,"Inj., xipere, 1 mg",,,32.34,51.33,5
HCPCS,C9093,"Inj., susvimo, 0.1 mg",,,56.45,90.41,5
HCPCS,C9094,"Inj, sutimlimab-jome, 10 mg",,,11.54,18.5,5
HCPCS,C9095,"Inj, tebentafusp-tebn, 1 mcg",,,132.37,212.01,5
HCPCS,C9096,"Inj, releuko, 1 mcg",,,0.54,0.86,5
HCPCS,C9097,"Inj, faricimab-svoa, 0.1 mg",,,25.75,41.25,5
HCPCS,C9098,Ciltacabtagene car pos t,,,328104.0,525503.94,5
HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,0.43,2.51,7
HCPCS,C9113,"Inj pantoprazole sodium, via",,,3.21,5.1,4
HCPCS,C9121,"Injection, argatroban",,,16.01,25.42,4
HCPCS,C9122,Mometasone furoate (sinuva),,,7.18,11.39,4
HCPCS,C9130,"Injection, IVIG Bivigam",,,42.32,67.18,4
HCPCS,C9131,In ado-trastuzumab emtansine,,,19.57,31.07,4
HCPCS,C9133,Factor ix recombinant,,,1.01,1.6,4
HCPCS,C9134,Factor XIII A-subunit recomb,,,93.84,148.96,4
HCPCS,C9135,Factor ix (Alprolix),,,2.01,3.19,4
HCPCS,C9136,Factor viii (eloctate),,,1.4,2.22,4
HCPCS,C9137,Adynovate Factor VIII recom,,,1.4,2.22,4
HCPCS,C9138,Nuwiq Factor VIII recomb,,,1.19,1.89,4
HCPCS,C9139,"Idelvion, 1 i.u.",,,3.0,4.76,4
HCPCS,C9140,Afstyla factor viii recomb,,,1.17,1.85,4
HCPCS,C9141,Factor viii pegylated-aucl,,,2.23,2.23,1
HCPCS,C9142,"Inj, alymsys, 10 mg",,,50.7,80.48,4
HCPCS,C9143,Cocaine hcl nasal (numbrino),,,1.58,2.51,5
HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.49,0.98,3
HCPCS,C9145,"Inj, aponvie, 1 mg",,,1.34,8.03,10
HCPCS,C9146,"Inj, elahere, 1 mg",,,43.89,70.3,5
HCPCS,C9147,"Inj, tremelimumab-actl, 1 mg",,,91.73,218.74,5
HCPCS,C9148,"Inj, teclistamab-cqyv, 0.5mg",,,20.82,33.34,5
HCPCS,C9149,"Inj, teplizumab-mzwv, 5 mcg",,,24.44,39.13,5
HCPCS,C9151,"Inj, pegcetacoplan 1 mg",,,103.02,165.0,5
HCPCS,C9152,"Inj, abilify asimtufii, 1 mg",,,6.41,6.41,1
HCPCS,C9153,"Inj, amisulpride, 1 mg",,,10.47,10.47,1
HCPCS,C9154,Inj buprenorph (brixadi) 1mg,,,14.09,14.09,1
HCPCS,C9155,"Inj epcoritamab-bysp,0.16 mg? ?",,,57.35,57.35,1
HCPCS,C9156,"Flotufolastat f18, dia 1 mci",,,674.54,674.54,1
HCPCS,C9157,"Inj, tofersen, 1 mg",,,160.82,160.82,1
HCPCS,C9158,"Inj, uzedy, 1 mg",,,27.85,27.85,1
HCPCS,C9159,"Inj, balfaxar, per i.u",,,2.22,3.53,5
HCPCS,C9160,Inj daxibotulinumtoxina-lanm,,,2.96,4.7,5
HCPCS,C9161,"Inj, aflibercept hd, 1 mg",,,231.53,367.51,5
HCPCS,C9162,"Inj, avacincaptad peg 0.1 mg",,,74.09,117.6,5
HCPCS,C9163,Inj talquetamab-tgvs 0.25 mg,,,45.69,72.52,5
HCPCS,C9164,"Cantharidin top, applicator",,,483.34,767.2,5
HCPCS,C9165,"Inj, elranatamab-bcmm, 1 mg",,,121.17,192.33,5
HCPCS,C9166,"Injection, secukinumab",,,18.16,18.16,1
HCPCS,C9167,"Injection, apadamtase alfa",,,3.52,3.52,1
HCPCS,C9168,"Injection, mirikizumab-mrkz",,,34.32,34.32,1
HCPCS,C9169,"Inj, nogapendekin pmln 1 mcg",,,96.06,96.06,1
HCPCS,C9170,"Inj, tarlatamab-dlle, 1 mg",,,1609.89,1609.89,1
HCPCS,C9171,"Inj, pegulicianine, 1 mg",,,39.09,39.09,1
HCPCS,C9172,"Inj, beqvez, per tx dose",,,3756410.0,3756410.0,1
HCPCS,C9173,"Inj, nypozi, 1 mcg",,,0.54,0.54,1
HCPCS,C9174,"Datopotamab deruxtecan, 1 mg",,,97.14,97.14,1
HCPCS,C9175,"Inj, treosulfan, 50 mg",,,60.58,60.58,1
HCPCS,C9248,"Inj, clevidipine butyrate",,,5.55,5.55,1
HCPCS,C9250,412462 : SET SPR L40CM 360DEG FIBRIN SEAL ENDOSCP GAS ASST FLX APPL,313.64,313.64,,,0
HCPCS,C9250,Artiss fibrin sealant,,,141.89,596.45,6
HCPCS,C9250,SET SPR L40CM 360DEG FIBRIN SEAL ENDOSCP GAS ASST FLX APPL,318.48,318.48,,,0
HCPCS,C9254,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],70.675,70.675,,,0
HCPCS,C9257,Bevacizumab injection,,,1.83,13.17,6
HCPCS,C9279,"Injection, ibuprofen",,,0.93,1.47,4
HCPCS,C9285,"Patch, lidocaine/tetracaine",,,17.29,17.29,1
HCPCS,C9286,"Injection, belatacept",,,2.6,4.13,4
HCPCS,C9287,"Inj, brentuximab vedotin",,,65.73,104.34,4
HCPCS,C9288,"Inj, centruroides (scorpion)",,,2469.6,3920.0,4
HCPCS,C9289,"Inj, erwinia chrysanthemi",,,224.52,356.38,4
HCPCS,C9292,"Injection, pertuzumab",,,68.47,108.68,4
HCPCS,C9293,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION [116024]",414243.5,414243.5,,,0
HCPCS,C9293,"Injection, glucarpidase",,,305.05,1797.9,8
HCPCS,C9294,"Inj, taliglucerase alfa",,,20.99,33.32,4
HCPCS,C9295,"Injection, carfilzomib",,,19.5,30.95,4
HCPCS,C9296,"Injection, ziv-aflibercept",,,11.29,17.92,4
HCPCS,C9297,Omacetaxine mepesuccinate,,,1.69,2.68,4
HCPCS,C9298,"Injection, ocriplasmin",,,696.78,1106.0,4
HCPCS,C9301,Obecabtagene car pos t,,,278250.0,278250.0,1
HCPCS,C9302,"Inj zanidatamab, 2 mg",,,25.12,25.12,1
HCPCS,C9303,"Inj zolbetuximab, 1 mg",,,16.48,16.48,1
HCPCS,C9304,"Inj marstacimab, 0.5 mg",,,52.79,52.79,1
HCPCS,C9305,"Inj, nipocalimab-aahu, 3 mg",,,22.01,34.94,5
HCPCS,C9306,TELISOTUZUMAB VEDOTIN-TLLV 100 MG INTRAVENOUS SOLUTION [215659],67535.88,67535.88,,,0
HCPCS,C9306,TELISOTUZUMAB VEDOTIN-TLLV 20 MG INTRAVENOUS SOLUTION [215660],67535.88,67535.88,,,0
HCPCS,C9306,Telisotuzumab vedotin-tllv,,,98.65,156.58,5
HCPCS,C9307,Inj linvoseltamab-gcpt 1 mg,,,66.33,406.98,7
HCPCS,C9308,"Inj, carboplatin (avyxa)",,,3.53,21.65,7
HCPCS,C9358,"Surgimend, fetal",,,20.21,20.21,1
HCPCS,C9360,"SurgiMend, neonatal",,,21.66,21.66,1
HCPCS,C9363,108474 : DRESSING BIO W4XL5IN BOV CLLGN AND GLYCOSAMINOGLYCAN SEMI,143.52,143.52,,,0
HCPCS,C9363,DRESSING BIO W4XL5IN BOV CLLGN AND GLYCOSAMINOGLYCAN SEMI,794.17,794.17,,,0
HCPCS,C9363,Integra Meshed Bil Wound Mat,,,68.81,588.14,4
HCPCS,C9399,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [186246],10589.400000000001,10589.400000000001,,,0
HCPCS,C9399,PEGINTERFERON ALFA-2B 200 MCG SUBCUTANEOUS KIT [109471],8430.75,8430.75,,,0
HCPCS,C9399,"PEMBROLIZUMAB 395 MG-BERAHYALURONID-PMPH 4,800 UNIT/2.4 ML SUBCUT SOLN [217278]",60006.46,60006.46,,,0
HCPCS,C9399,"PEMBROLIZUMAB 790 MG-BERAHYALURONID-PMPH 9,600 UNIT/4.8 ML SUBCUT SOLN [217279]",120012.84,120012.84,,,0
HCPCS,C9441,"Inj, ferric carboxymaltose",,,0.72,1.15,4
HCPCS,C9442,"Injection, belinostat",,,21.78,34.57,4
HCPCS,C9443,"Injection, dalbavancin",,,21.03,33.38,4
HCPCS,C9444,"Injection, oritavancin",,,17.05,27.07,4
HCPCS,C9445,"C-1 esterase, Ruconest",,,18.35,29.13,4
HCPCS,C9446,"Inj, tedizolid phosphate",,,0.83,1.32,4
HCPCS,C9447,"Inj, phenylephrine ketorolac",,,328.1,520.8,4
HCPCS,C9448,Oral netupitant palonosetron,,,352.66,559.78,4
HCPCS,C9449,"Inj, blinatumomab",,,67.23,106.72,4
HCPCS,C9450,Fluocinolone acetonide implt,,,326.81,518.74,4
HCPCS,C9451,"Injection, peramivir",,,1.12,1.77,4
HCPCS,C9452,"Inj, ceftolozane/tazobactam",,,2.93,4.65,4
HCPCS,C9453,"Injection, nivolumab",,,17.17,27.26,4
HCPCS,C9454,"Inj, pasireotide long acting",,,189.97,301.54,4
HCPCS,C9455,"Injection, siltuximab",,,60.54,96.1,4
HCPCS,C9456,"Inj, isavuconazonium sulfate",,,0.45,0.72,4
HCPCS,C9457,Lumason contrast agent,,,20.46,32.48,4
HCPCS,C9458,Florbetaben f18,,,658.56,1045.33,4
HCPCS,C9459,Flutemetamol f18,,,2328.48,3696.0,4
HCPCS,C9460,CANGRELOR 50 MG INTRAVENOUS SOLUTION [178701],3503.8,3503.8,,,0
HCPCS,C9460,"Injection, cangrelor",,,18.8,83.99,6
HCPCS,C9461,"Choline C 11, diagnostic",,,3213.0,5100.0,4
HCPCS,C9462,"Injection, delafloxacin",,,0.35,0.56,5
HCPCS,C9469,Inj triamcinolone acetonide,,,12.57,19.95,4
HCPCS,C9470,Aripiprazole lauroxil im,,,1.74,2.76,4
HCPCS,C9471,"Hymovis, 1 mg",,,11.76,18.67,4
HCPCS,C9472,Inj talimogene laherparepvec,,,31.05,49.28,4
HCPCS,C9473,"Injection, mepolizumab",,,18.17,28.84,4
HCPCS,C9474,"Inj, irinotecan liposome",,,26.58,42.19,4
HCPCS,C9475,"Injection, necitumumab",,,3.53,5.6,4
HCPCS,C9476,"Injection, daratumumab",,,32.64,51.81,4
HCPCS,C9477,"Injection, elotuzumab",,,4.18,6.63,4
HCPCS,C9478,"Injection, sebelipase alfa",,,352.8,560.0,4
HCPCS,C9479,"Instill, ciprofloxacin otic",,,19.98,31.72,4
HCPCS,C9480,"Injection, trabectedin",,,190.51,302.4,4
HCPCS,C9481,"Injection, reslizumab",,,5.89,9.35,4
HCPCS,C9482,Sotalol hydrochloride IV,,,20.77,105.29,6
HCPCS,C9483,"Injection, atezolizumab",,,50.68,80.45,4
HCPCS,C9484,"Injection, eteplirsen",,,112.9,179.2,4
HCPCS,C9485,"Injection, olaratumab",,,33.3,52.86,4
HCPCS,C9486,"Inj, granisetron ext",,,3.58,5.68,4
HCPCS,C9487,"Ustekinumab IV inj, 1 mg",,,8.69,13.79,4
HCPCS,C9488,CONIVAPTAN 20 MG/100 ML IN 5 % DEXTROSE IV [96988],2754.0,2754.0,,,0
HCPCS,C9488,Conivaptan HCL,,,31.45,51.83,6
HCPCS,C9489,"Injection, nusinersen",,,735.0,1166.67,4
HCPCS,C9490,"Injection, bezlotoxumab",,,26.81,42.56,4
HCPCS,C9491,"Injection, avelumab",,,53.86,85.49,4
HCPCS,C9494,"Injection, ocrelizumab",,,38.22,60.67,4
HCPCS,C9507,COVID-19 convalescent plasma,,,428.42,3600.9,9
HCPCS,C9600,HC DES STENT PLACE SINGLE,22069.0,22069.0,,,0
HCPCS,C9600,Perc drug-el cor stent sing,,,11481.13,54559.54,10
HCPCS,C9601,HC DES STENT PLACEMENT EACH ADDL,24276.0,24276.0,,,0
HCPCS,C9601,Perc drug-el cor stent bran,,,10447.02,37247.74,6
HCPCS,C9602,HC ATHERECTOMY DES STENT SINGLE,22069.0,22069.0,,,0
HCPCS,C9602,Perc d-e cor stent ather s,,,15740.0,86638.02,10
HCPCS,C9603,Perc d-e cor stent ather br,,,10447.02,37247.74,6
HCPCS,C9604,HC GRAFT DES ATHEREC PTA DP SINGL,22069.0,22069.0,,,0
HCPCS,C9604,Perc d-e cor revasc t cabg s,,,11481.13,54559.54,10
HCPCS,C9605,Perc d-e cor revasc t cabg b,,,10447.02,37247.74,6
HCPCS,C9606,Perc d-e cor revasc w AMI s,,,6880.82,48936.18,7
HCPCS,C9607,Perc d-e cor revasc chro sin,,,15740.0,86638.02,10
HCPCS,C9608,Perc d-e cor revasc chro add,,,10447.02,37247.74,6
HCPCS,C9610,421060 : PACLITAXEL-COATED BLLN CATH AGENT US MR 3.00 X 15MM,22720.0,22720.0,,,0
HCPCS,C9610,421065 : PACLITAXEL-COATED BLLN CATH AGENT US MR 2.50 X 20MM,22840.0,22840.0,,,0
HCPCS,C9610,421067 : PACLITAXEL-COATED BLLN CATH AGENT US MR 3.00 X 20MM,22840.0,22840.0,,,0
HCPCS,C9610,421068 : PACLITAXEL-COATED BLLN CATH AGENT US MR 3.50 X 20MM,22720.0,22720.0,,,0
HCPCS,C9610,421069 : PACLITAXEL-COATED BLLN CATH AGENT US MR 4.00 X 20MM,22840.0,22840.0,,,0
HCPCS,C9610,421072 : PACLITAXEL-COATED BLLN CATH AGENT US MR 2.50 X 30MM,17130.0,17130.0,,,0
HCPCS,C9610,421074 : PACLITAXEL-COATED BLLN CATH AGENT US MR 3.00 X 30MM,21292.5,21292.5,,,0
HCPCS,C9610,421075 : PACLITAXEL-COATED BLLN CATH AGENT US MR 3.50 X 30MM,19985.0,19985.0,,,0
HCPCS,C9610,421076 : PACLITAXEL-COATED BLLN CATH AGENT US MR 4.00 X 30MM,22600.0,22600.0,,,0
HCPCS,C9610,PACLITAXEL-COATED BLLN CATH AGENT US MR 2.25 X 30MM,16950.0,16950.0,,,0
HCPCS,C9610,PACLITAXEL-COATED BLLN CATH AGENT US MR 2.50 X 30MM,15820.0,15820.0,,,0
HCPCS,C9610,PACLITAXEL-COATED BLLN CATH AGENT US MR 3.00 X 15MM,16950.0,16950.0,,,0
HCPCS,C9610,PACLITAXEL-COATED BLLN CATH AGENT US MR 3.00 X 30MM,16995.0,16995.0,,,0
HCPCS,C9610,PACLITAXEL-COATED BLLN CATH AGENT US MR 3.50 X 15MM,15820.0,15820.0,,,0
HCPCS,C9610,PACLITAXEL-COATED BLLN CATH AGENT US MR 3.50 X 20MM,16950.0,16950.0,,,0
HCPCS,C9610,PACLITAXEL-COATED BLLN CATH AGENT US MR 4.00 X 20MM,17010.0,17010.0,,,0
HCPCS,C9610,PACLITAXEL-COATED BLLN CATH AGENT US MR 4.00 X 30MM,16950.0,16950.0,,,0
HCPCS,C9725,Place endorectal app,,,953.83,4395.12,10
HCPCS,C9726,Rxt breast appl place/remov,,,1473.0,8937.57,2
HCPCS,C9727,Insert palate implants,,,1591.58,7333.01,10
HCPCS,C9728,HC PLMT FIDUCIAL MARKERS NON PROS,3440.0,3440.0,,,0
HCPCS,C9728,"Place device/marker, non pro",,,406.09,6541.6,10
HCPCS,C9733,Non-ophthalmic FVA,,,392.25,1648.83,5
HCPCS,C9734,"U/s trtmt, not leiomyomata",,,13735.35,60677.5,8
HCPCS,C9738,Blue light cysto imag agent,,,1473.0,1473.0,1
HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,4822.0,25340.64,9
HCPCS,C9740,Cysto impl 4 or more,,,9556.0,44739.89,9
HCPCS,C9746,Trans imp balloon cont,,,48936.18,48936.18,1
HCPCS,C9751,"Microwave bronch, 3d, ebus",,,4103.8,39585.9,7
HCPCS,C9752,Intraosseous des lumb/sacrum,,,17321.54,17321.54,1
HCPCS,C9754,"Perc av fistula, direct",,,30985.64,30985.64,1
HCPCS,C9755,Rf magnetic-guide av fistula,,,30985.64,30985.64,1
HCPCS,C9756,Fluorescence lymph map w/ICG,,,1473.0,1473.0,1
HCPCS,C9757,Spine/lumbar disk surgery,,,9556.0,60677.5,10
HCPCS,C9758,Interatrial shunt IDE,,,19149.05,80956.47,9
HCPCS,C9759,Transcath intraop microinf,,,1473.0,1473.0,1
HCPCS,C9760,Non-blind interatrial shunt,,,30091.05,127215.99,9
HCPCS,C9761,"Cysto, litho, vacuum kidney",,,4822.0,44739.89,10
HCPCS,C9762,Cardiac MRI seg dys strain,,,575.74,2807.87,9
HCPCS,C9763,Cardiac MRI seg dys stress,,,575.74,2807.87,9
HCPCS,C9764,HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIPSY,21776.0,21776.0,,,0
HCPCS,C9764,Revasc intravasc lithotripsy,,,9556.0,54559.54,10
HCPCS,C9765,HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIP & STENT PLAC,43555.0,43555.0,,,0
HCPCS,C9765,Revasc intra lithotrip-stent,,,18300.17,86638.02,10
HCPCS,C9766,HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIP & ATHERECTOMY,43555.0,43555.0,,,0
HCPCS,C9766,Revasc intra lithotrip-ather,,,18300.17,86638.02,10
HCPCS,C9767,HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIP STENT PLAC ATHER,70067.0,70067.0,,,0
HCPCS,C9767,Revasc lithotrip-stent-ather,,,18300.17,86638.02,10
HCPCS,C9769,Cysto w/temp pros implant,,,9812.66,9812.66,1
HCPCS,C9772,HC REVASC ENDO OPN/PRC TBL/PERONEAL ARTERY W LITHO INC ANGIO SAME VESS,43185.0,43185.0,,,0
HCPCS,C9772,Revasc lithotrip tibi/perone,,,11481.13,54559.54,10
HCPCS,C9773,HC RVSC ENDO OPN/PRC TBL/PRN ART W LITHO TRNS STNT PLCMNT ANGIO SM VES,69075.0,69075.0,,,0
HCPCS,C9773,Revasc lithotr-stent tib/per,,,18300.17,86638.02,10
HCPCS,C9774,HC RVSC ENDO OPN/PRC TBL/PRNL ART W LITHO ATHERECTOMY ANGIO SAME VESS,69075.0,69075.0,,,0
HCPCS,C9774,Revasc lithotr-ather tib/per,,,18300.17,86638.02,10
HCPCS,C9775,HC RVSC ENDO OP/PC TBL/PRN ART LITHO TRNS STNT PLCMT ATHR ANGIO SM VES,69075.0,69075.0,,,0
HCPCS,C9775,Revasc lith-sten-ath tib/per,,,18300.17,86638.02,10
HCPCS,C9777,Esophag mucosal integ add-on,,,3996.84,18221.53,10
HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,4822.0,23642.31,10
HCPCS,C9779,ESD endoscopy or colonoscopy,,,3996.84,18221.53,10
HCPCS,C9780,Insert cv cath inf & sup app,,,9027.7,39583.5,10
HCPCS,C9781,Arthro/shoul surg; w/spacer,,,9556.0,62604.69,9
HCPCS,C9782,Blind myocar trpl bon marrow,,,19149.05,83967.4,9
HCPCS,C9783,Blind cor sinus reducer impl,,,11481.13,54559.54,9
HCPCS,C9784,Endo sleeve gastro w/tube,,,9556.0,47106.62,7
HCPCS,C9785,Endo outlet restrict w/tube,,,9556.0,50238.16,10
HCPCS,C9786,Echo cad for hf preserved ef,,,311.72,617.88,5
HCPCS,C9787,Gastric ep mapg simult pt sx,,,667.82,667.82,1
HCPCS,C9789,Instill pharm renal pelvis,,,1376.18,10795.5,10
HCPCS,C9790,Kidney histotripsy w/image,,,16347.03,16347.03,1
HCPCS,C9791,Mri hyperpolarized xenon129,,,1368.3,5997.5,9
HCPCS,C9792,Blind/nonblind trans atrial,,,10669.0,46780.5,10
HCPCS,C9793,Pre-plan 3d model w/ccta,,,965.51,4784.66,8
HCPCS,C9794,Complex simulation w/pet-ct,,,2134.24,4230.46,5
HCPCS,C9795,Sbrt w/positron emission del,,,4103.8,8134.5,4
HCPCS,C9796,Rpr intst excl anrect fist,,,3120.78,13157.99,5
HCPCS,C9797,HC VASC EMBOL OR OCCLUSION PROC PRESS-GEN CATHETER S&I IMG GUID,69075.0,69075.0,,,0
HCPCS,C9797,Vasc emb/occ w/prs cath,,,19010.0,86638.02,5
HCPCS,C9803,HOPD covid-19 spec collect,,,143.4,143.4,1
HCPCS,C9901,Endo defect closure GI tract,,,9556.0,50238.16,6
HCPCS,D0120,Periodic oral evaluation,,,137.96,629.22,7
HCPCS,D0140,Limit oral eval problm focus,,,137.96,629.22,7
HCPCS,D0150,Comprehensve oral evaluation,,,137.96,5320.95,8
HCPCS,D0160,Extensv oral eval prob focus,,,137.96,629.22,7
HCPCS,D0170,"Re-eval,est pt,problem focus",,,137.96,629.22,7
HCPCS,D0171,Re-eval post-op visit,,,137.96,629.22,7
HCPCS,D0180,Comp periodontal evaluation,,,137.96,629.22,7
HCPCS,D0191,Assessment of a patient,,,137.96,629.22,7
HCPCS,D0210,Intraor complete film series,,,255.73,1127.67,7
HCPCS,D0220,Intraoral periapical first,,,94.83,411.29,7
HCPCS,D0240,Intraoral occlusal film,,,94.83,5320.95,8
HCPCS,D0250,Extraoral 2d project image,,,94.83,5320.95,8
HCPCS,D0251,Extraoral posterior image,,,94.83,411.29,7
HCPCS,D0270,Dental bitewing single image,,,94.83,5320.95,8
HCPCS,D0272,Dental bitewings two images,,,94.83,5320.95,8
HCPCS,D0273,Bitewings - three images,,,255.73,1127.67,7
HCPCS,D0274,Bitewings four images,,,255.73,5320.95,8
HCPCS,D0277,Vert bitewings 7 to 8 images,,,255.73,5320.95,8
HCPCS,D0310,Dental saliography,,,255.73,1127.67,7
HCPCS,D0320,Dental tmj arthrogram incl i,,,255.73,1127.67,7
HCPCS,D0321,Other tmj images by report,,,94.83,411.29,7
HCPCS,D0322,Dental tomographic survey,,,114.75,494.1,7
HCPCS,D0330,Panoramic image,,,255.73,1127.67,7
HCPCS,D0340,2d cephalometric image,,,94.83,411.29,7
HCPCS,D0350,Oral/facial photo images,,,94.83,411.29,7
HCPCS,D0364,Cone beam ct capt & interp,,,114.75,494.1,7
HCPCS,D0365,Cone beam ct interprete man,,,114.75,494.1,7
HCPCS,D0366,Cone beam ct interprete max,,,114.75,494.1,7
HCPCS,D0367,Cone beam ct interp both jaw,,,114.75,494.1,7
HCPCS,D0368,Cone beam ct interprete TMJ,,,114.75,494.1,7
HCPCS,D0369,Max MRI capture & interprete,,,114.75,494.1,7
HCPCS,D0370,Max ultrasound capt & interp,,,114.75,494.1,7
HCPCS,D0371,Sialoendoscopy capt & interp,,,94.83,411.29,7
HCPCS,D0380,Cone beam ct capture limited,,,114.75,494.1,7
HCPCS,D0381,Cone beam ct capt mandible,,,114.75,494.1,7
HCPCS,D0382,Cone beam ct capt maxilla,,,114.75,494.1,7
HCPCS,D0383,Cone beam ct both jaws,,,114.75,494.1,7
HCPCS,D0384,Cone beam ct capture TMJ,,,114.75,494.1,7
HCPCS,D0385,Max MRI image capture,,,114.75,494.1,7
HCPCS,D0386,Max ultrasound image capture,,,114.75,494.1,7
HCPCS,D0393,Trtmnt simulation 3d image,,,94.83,411.29,7
HCPCS,D0394,Digital sub 2 or more images,,,94.83,411.29,7
HCPCS,D0395,Fusion 2 or more 3d images,,,94.83,411.29,7
HCPCS,D0416,Viral culture,,,190.02,190.02,1
HCPCS,D0431,Diag tst detect mucos abnorm,,,177.55,177.55,1
HCPCS,D0460,Pulp vitality test,,,726.87,5320.95,8
HCPCS,D0472,"Gross exam, prep & report",,,4337.44,4337.44,1
HCPCS,D0473,"Micro exam, prep & report",,,4337.44,4337.44,1
HCPCS,D0474,Micro w exam of surg margins,,,4337.44,4337.44,1
HCPCS,D0475,Decalcification procedure,,,311.44,311.44,1
HCPCS,D0476,Spec stains for microorganis,,,302.15,302.15,1
HCPCS,D0477,Spec stains not for microorg,,,414.28,414.28,1
HCPCS,D0478,Immunohistochemical stains,,,379.98,379.98,1
HCPCS,D0479,Tissue in-situ hybridization,,,579.35,579.35,1
HCPCS,D0480,Cytopath smear prep & report,,,4337.44,4337.44,1
HCPCS,D0481,Electron microscopy,,,1336.19,1336.19,1
HCPCS,D0482,Direct immunofluorescence,,,445.4,445.4,1
HCPCS,D0483,Indirect immunofluorescence,,,445.4,445.4,1
HCPCS,D0600,Non-ionizing diag proc,,,726.87,5806.56,8
HCPCS,D0701,Fracture of lower extremity M >=61.50,,,94.83,411.29,7
HCPCS,D0702,Fracture of lower extremity M >=52.50 and M <61.50,,,94.83,411.29,7
HCPCS,D0703,Fracture of lower extremity M >=41.50 and M <52.50,,,94.83,411.29,7
HCPCS,D0705,Extra oral post radio image,,,94.83,411.29,7
HCPCS,D0706,Intraoral occlus radio image,,,94.83,411.29,7
HCPCS,D0707,Intraoral periap radio image,,,94.83,411.29,7
HCPCS,D0708,Intraoral bite radio image,,,94.83,411.29,7
HCPCS,D0709,Intraoral cmplt radio images,,,94.83,411.29,7
HCPCS,D1110,Dental prophylaxis adult,,,114.43,629.22,8
HCPCS,D1206,HC DENTAL VARNISH APPLIC,131.0,131.0,,,0
HCPCS,D1510,Space maintainer fxd unilat,,,726.87,5320.95,8
HCPCS,D1516,"Fixed bilat space maint, max",,,726.87,3055.39,7
HCPCS,D1517,"Fixed bilat space maint, man",,,726.87,3055.39,7
HCPCS,D1520,Remove unilat space maintain,,,726.87,5320.95,8
HCPCS,D1526,"Remove bilat space main, max",,,726.87,3055.39,7
HCPCS,D1527,"Remove bilat space main, man",,,726.87,3055.39,7
HCPCS,D1551,Recement space maint - max,,,726.87,6376.02,8
HCPCS,D1552,Recement space maint - man,,,726.87,6376.02,8
HCPCS,D1553,Recement unilat space maint,,,726.87,6376.02,8
HCPCS,D1575,"Dist space maint, fixed unil",,,726.87,5806.56,8
HCPCS,D1701,Major multiple trauma without brain or spinal cord injury M >=57.50,,,50.34,50.34,1
HCPCS,D1702,Major multiple trauma without brain or spinal cord injury M >=50.50 and M <57.50,,,50.34,50.34,1
HCPCS,D1703,Major multiple trauma without brain or spinal cord injury M >=41.50 and M <50.50,,,50.34,50.34,1
HCPCS,D1704,Major multiple trauma without brain or spinal cord injury M >=36.50 and M <41.50,,,50.34,50.34,1
HCPCS,D1705,Major multiple trauma without brain or spinal cord injury M <36.50,,,50.34,50.34,1
HCPCS,D1706,AstraZeneca vacc adm 2nd dos,,,50.34,50.34,1
HCPCS,D1707,Janssen vaccine admin,,,50.34,50.34,1
HCPCS,D2140,Amalgam one surface permanen,,,726.87,3055.39,7
HCPCS,D2150,Amalgam two surfaces permane,,,726.87,3055.39,7
HCPCS,D2160,Amalgam three surfaces perma,,,726.87,3055.39,7
HCPCS,D2161,Amalgam 4 or > surfaces perm,,,726.87,3055.39,7
HCPCS,D2330,Resin one surface-anterior,,,726.87,3055.39,7
HCPCS,D2331,Resin two surfaces-anterior,,,726.87,3055.39,7
HCPCS,D2332,Resin three surfaces-anterio,,,726.87,3055.39,7
HCPCS,D2335,Resin 4/> surf or w incis an,,,726.87,3055.39,7
HCPCS,D2390,Ant resin-based cmpst crown,,,726.87,3055.39,7
HCPCS,D2391,Post 1 srfc resinbased cmpst,,,726.87,3055.39,7
HCPCS,D2392,Post 2 srfc resinbased cmpst,,,726.87,3055.39,7
HCPCS,D2393,Post 3 srfc resinbased cmpst,,,726.87,3055.39,7
HCPCS,D2394,Post >=4srfc resinbase cmpst,,,726.87,3055.39,7
HCPCS,D2410,Dental gold foil one surface,,,726.87,3055.39,7
HCPCS,D2420,Dental gold foil two surface,,,726.87,3055.39,7
HCPCS,D2430,Dental gold foil three surfa,,,726.87,3055.39,7
HCPCS,D2510,Dental inlay metalic 1 surf,,,726.87,3055.39,7
HCPCS,D2520,Dental inlay metallic 2 surf,,,726.87,3055.39,7
HCPCS,D2530,Dental inlay metl 3/more sur,,,726.87,3055.39,7
HCPCS,D2542,Dental onlay metallic 2 surf,,,726.87,3055.39,7
HCPCS,D2543,Dental onlay metallic 3 surf,,,726.87,3055.39,7
HCPCS,D2544,Dental onlay metl 4/more sur,,,726.87,3055.39,7
HCPCS,D2610,Inlay porcelain/ceramic 1 su,,,726.87,3055.39,7
HCPCS,D2620,Inlay porcelain/ceramic 2 su,,,726.87,3055.39,7
HCPCS,D2630,Dental onlay porc 3/more sur,,,726.87,3055.39,7
HCPCS,D2642,Dental onlay porcelin 2 surf,,,726.87,3055.39,7
HCPCS,D2643,Dental onlay porcelin 3 surf,,,726.87,3055.39,7
HCPCS,D2644,Dental onlay porc 4/more sur,,,726.87,3055.39,7
HCPCS,D2650,Inlay composite/resin one su,,,726.87,3055.39,7
HCPCS,D2651,Inlay composite/resin two su,,,726.87,3055.39,7
HCPCS,D2652,Dental inlay resin 3/mre sur,,,726.87,3055.39,7
HCPCS,D2662,Dental onlay resin 2 surface,,,726.87,3055.39,7
HCPCS,D2663,Dental onlay resin 3 surface,,,726.87,3055.39,7
HCPCS,D2664,Dental onlay resin 4/mre sur,,,726.87,3055.39,7
HCPCS,D2710,Crown resin-based indirect,,,726.87,3055.39,7
HCPCS,D2712,Crown 3/4 resin-based compos,,,726.87,3055.39,7
HCPCS,D2720,Crown resin w/ high noble me,,,726.87,3055.39,7
HCPCS,D2721,Crown resin w/ base metal,,,726.87,3055.39,7
HCPCS,D2722,Crown resin w/ noble metal,,,726.87,3055.39,7
HCPCS,D2740,Crown porcelain/ceramic subs,,,726.87,3055.39,7
HCPCS,D2750,Crown porcelain w/ h noble m,,,726.87,3055.39,7
HCPCS,D2751,Crown porcelain fused base m,,,726.87,3055.39,7
HCPCS,D2752,Crown porcelain w/ noble met,,,726.87,3055.39,7
HCPCS,D2753,Crown porc fused to titanium,,,726.87,3055.39,7
HCPCS,D2780,Crown 3/4 cast hi noble met,,,726.87,3055.39,7
HCPCS,D2781,Crown 3/4 cast base metal,,,726.87,3055.39,7
HCPCS,D2782,Crown 3/4 cast noble metal,,,726.87,3055.39,7
HCPCS,D2783,Crown 3/4 porcelain/ceramic,,,726.87,3055.39,7
HCPCS,D2790,Crown full cast high noble m,,,726.87,3055.39,7
HCPCS,D2791,Crown full cast base metal,,,726.87,3055.39,7
HCPCS,D2792,Crown full cast noble metal,,,726.87,3055.39,7
HCPCS,D2794,Crown-titanium,,,726.87,3055.39,7
HCPCS,D2799,Provisional crown,,,726.87,3055.39,7
HCPCS,D2910,Recement inlay onlay or part,,,726.87,3055.39,7
HCPCS,D2915,Recement cast or prefab post,,,726.87,3055.39,7
HCPCS,D2920,Re-cement or re-bond crown,,,726.87,3055.39,7
HCPCS,D2921,Reattach tooth fragment,,,726.87,3055.39,7
HCPCS,D2928,Prefab porc/cer crown perm,,,726.87,3055.39,7
HCPCS,D2929,Prefab porc/ceram crown pri,,,726.87,3055.39,7
HCPCS,D2930,Prefab stnlss steel crwn pri,,,726.87,3055.39,7
HCPCS,D2931,Prefab stnlss steel crown pe,,,726.87,3055.39,7
HCPCS,D2932,Prefabricated resin crown,,,726.87,3055.39,7
HCPCS,D2933,Prefab stainless steel crown,,,726.87,3055.39,7
HCPCS,D2934,Prefab steel crown primary,,,726.87,3055.39,7
HCPCS,D2940,Protective restoration,,,726.87,3055.39,7
HCPCS,D2941,Int therapeutic restoration,,,918.89,1821.41,4
HCPCS,D2949,Restorative foundation,,,726.87,3055.39,7
HCPCS,D2950,Core build-up incl any pins,,,726.87,3055.39,7
HCPCS,D2951,Tooth pin retention,,,726.87,3055.39,7
HCPCS,D2952,Post and core cast + crown,,,726.87,3055.39,7
HCPCS,D2954,Prefab post/core + crown,,,726.87,3055.39,7
HCPCS,D2956,Indirect rest remov,,,2073.0,2073.0,1
HCPCS,D2957,Each addtnl prefab post,,,726.87,3055.39,7
HCPCS,D2960,Laminate labial veneer,,,726.87,3055.39,7
HCPCS,D2961,Lab labial veneer resin,,,726.87,3055.39,7
HCPCS,D2962,Lab labial veneer porcelain,,,726.87,3055.39,7
HCPCS,D2971,Add proc construct new crown,,,726.87,3055.39,7
HCPCS,D2975,Coping,,,726.87,3055.39,7
HCPCS,D2980,Crown repair,,,726.87,3055.39,7
HCPCS,D2981,Inlay repair,,,726.87,3055.39,7
HCPCS,D2982,Onlay repair,,,726.87,3055.39,7
HCPCS,D2983,Veneer repair,,,726.87,3055.39,7
HCPCS,D2989,Excavate tooth non-restorabl,,,2073.0,2073.0,1
HCPCS,D2990,Resin infiltration of lesion,,,726.87,3055.39,7
HCPCS,D2999,Dental unspec restorative pr,,,726.87,5320.95,8
HCPCS,D3110,Pulp cap direct,,,726.87,3055.39,7
HCPCS,D3120,Pulp cap indirect,,,726.87,3055.39,7
HCPCS,D3220,Therapeutic pulpotomy,,,726.87,3055.39,7
HCPCS,D3221,Gross pulpal debridement,,,726.87,3055.39,7
HCPCS,D3222,Part pulp for apexogenesis,,,726.87,3055.39,7
HCPCS,D3230,Pulpal therapy anterior prim,,,726.87,3055.39,7
HCPCS,D3240,Pulpal therapy posterior pri,,,726.87,3055.39,7
HCPCS,D3310,"End thxpy, anterior tooth",,,726.87,3055.39,7
HCPCS,D3320,"End thxpy, bicuspid tooth",,,726.87,3055.39,7
HCPCS,D3330,"End thxpy, molar",,,726.87,3055.39,7
HCPCS,D3331,Non-surg tx root canal obs,,,726.87,3055.39,7
HCPCS,D3332,Incomplete endodontic tx,,,726.87,3055.39,7
HCPCS,D3333,Internal root repair,,,726.87,3055.39,7
HCPCS,D3346,Retreat root canal anterior,,,726.87,3055.39,7
HCPCS,D3347,Retreat root canal bicuspid,,,726.87,3055.39,7
HCPCS,D3348,Retreat root canal molar,,,726.87,3055.39,7
HCPCS,D3351,Apexification/recalc initial,,,726.87,3055.39,7
HCPCS,D3352,Apexification/recalc interim,,,726.87,3055.39,7
HCPCS,D3353,Apexification/recalc final,,,726.87,3055.39,7
HCPCS,D3355,Pulpal regeneration initial,,,726.87,3055.39,7
HCPCS,D3356,Pulpal regeneration interim,,,726.87,3055.39,7
HCPCS,D3357,Pulpal regeneration complete,,,726.87,3055.39,7
HCPCS,D3410,Apicoectomy - anterior,,,726.87,3055.39,7
HCPCS,D3421,Root surgery bicuspid,,,726.87,3055.39,7
HCPCS,D3425,Root surgery molar,,,726.87,3055.39,7
HCPCS,D3428,Bone graft peri per tooth,,,726.87,3055.39,7
HCPCS,D3430,Retrograde filling,,,726.87,3055.39,7
HCPCS,D3431,Biological materials,,,726.87,3055.39,7
HCPCS,D3432,Guided tissue regeneration,,,726.87,3055.39,7
HCPCS,D3450,Root amputation,,,726.87,3055.39,7
HCPCS,D3460,Endodontic endosseous implan,,,726.87,5320.95,8
HCPCS,D3470,Intentional replantation,,,726.87,3055.39,7
HCPCS,D3471,Surg rep root res anterior,,,726.87,3055.39,8
HCPCS,D3472,Surg rep root res premolar,,,726.87,3055.39,8
HCPCS,D3473,Surg rep root res molar,,,726.87,3055.39,8
HCPCS,D3501,Surg exp root surf anterior,,,726.87,3055.39,8
HCPCS,D3502,Surg exp root surf premolar,,,726.87,3055.39,8
HCPCS,D3503,Surg exp root surf molar,,,726.87,3055.39,8
HCPCS,D3910,Isolation- tooth w rubb dam,,,726.87,3055.39,7
HCPCS,D3911,Intraorifice barrier,,,726.87,3055.39,7
HCPCS,D3920,Tooth splitting,,,726.87,3055.39,7
HCPCS,D3921,D?cor or submerg erupt tooth,,,726.87,3055.39,8
HCPCS,D3950,Canal prep/fitting of dowel,,,726.87,3055.39,7
HCPCS,D3999,Endodontic procedure,,,726.87,5320.95,8
HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,3360.08,15669.35,7
HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,3360.08,15669.35,7
HCPCS,D4212,Gingivectomy/plasty rest,,,3360.08,15669.35,7
HCPCS,D4230,Ana crown exp 4 or> per quad,,,3360.08,15669.35,7
HCPCS,D4231,Ana crown exp 1-3 per quad,,,1591.58,7333.01,7
HCPCS,D4240,Gingival flap proc w/ planin,,,3360.08,15669.35,7
HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,1591.58,7333.01,7
HCPCS,D4245,Apically positioned flap,,,1591.58,7333.01,7
HCPCS,D4249,Crown lengthen hard tissue,,,726.87,3055.39,7
HCPCS,D4260,Osseous surgery 4 or more,,,5320.95,27977.99,8
HCPCS,D4261,Osseous surg 1 to 3 teeth,,,3360.08,15669.35,7
HCPCS,D4263,Bone replce graft first site,,,726.87,5320.95,8
HCPCS,D4264,Bone replce graft each add,,,615.63,1319.0,4
HCPCS,D4265,Bio mtrls to aid soft/os reg,,,726.87,3055.39,7
HCPCS,D4266,Guided tiss regen resorble,,,1591.58,7333.01,7
HCPCS,D4267,Guided tiss regen nonresorb,,,1591.58,7333.01,7
HCPCS,D4268,Surgical revision procedure,,,726.87,5320.95,8
HCPCS,D4270,Pedicle soft tissue graft pr,,,1591.58,7333.01,8
HCPCS,D4273,Auto tissue graft 1st tooth,,,1591.58,7333.01,8
HCPCS,D4274,Mesial/distal wedge proc,,,726.87,3055.39,7
HCPCS,D4275,Non-auto graft 1st tooth,,,1591.58,7333.01,7
HCPCS,D4276,Con tissue w dble ped graft,,,1591.58,7333.01,7
HCPCS,D4277,Soft tissue graft firsttooth,,,1591.58,7333.01,7
HCPCS,D4286,Remove non-resorb barrier,,,2073.0,2073.0,1
HCPCS,D4322,Splint intra-coronal,,,726.87,3055.39,7
HCPCS,D4323,Splint extra-coronal,,,726.87,3055.39,7
HCPCS,D4341,Periodontal scaling & root,,,726.87,3055.39,7
HCPCS,D4342,Periodontal scaling 1-3teeth,,,726.87,3055.39,7
HCPCS,D4346,Scaling gingiv inflammation,,,726.87,3055.39,7
HCPCS,D4355,Full mouth debridement,,,726.87,5320.95,8
HCPCS,D4381,Localized delivery antimicro,,,726.87,5320.95,8
HCPCS,D4910,Periodontal maint procedures,,,726.87,3055.39,7
HCPCS,D4920,Unscheduled dressing change,,,726.87,3055.39,7
HCPCS,D4921,Gingival irrigation per quad,,,137.96,629.22,7
HCPCS,D4999,Unspecified periodontal proc,,,254.93,1119.39,7
HCPCS,D5911,Facial moulage sectional,,,726.87,5320.95,8
HCPCS,D5912,Facial moulage complete,,,726.87,5320.95,8
HCPCS,D5983,Radiation applicator,,,726.87,5320.95,8
HCPCS,D5984,Radiation shield,,,726.87,5320.95,8
HCPCS,D5985,Radiation cone locator,,,726.87,5320.95,8
HCPCS,D5987,Commissure splint,,,726.87,5320.95,8
HCPCS,D5988,Surgical splint,,,726.87,3055.39,7
HCPCS,D5995,"Peri medicament w/seal, max",,,2073.0,2073.0,1
HCPCS,D5996,"Peri medicament w/seal, mand",,,2073.0,2073.0,1
HCPCS,D6089,Access/retorq implant screw,,,2073.0,2073.0,1
HCPCS,D6105,Remove implant body,,,2073.0,2073.0,1
HCPCS,D6106,Tissue regen resorbable,,,2073.0,2073.0,1
HCPCS,D6107,Tissue regen non-resorbable,,,2073.0,2073.0,1
HCPCS,D6191,Semi precision abutment,,,2073.0,2073.0,1
HCPCS,D6192,Semi precision attachment,,,2073.0,2073.0,1
HCPCS,D6193,Replace implnt screw,,,2073.0,2073.0,1
HCPCS,D6197,Replace material prosthesis,,,2073.0,2073.0,1
HCPCS,D6198,Remove interim implant,,,2073.0,2073.0,1
HCPCS,D6920,Dental connector bar,,,726.87,5320.95,8
HCPCS,D7111,Extraction coronal remnants,,,726.87,5320.95,8
HCPCS,D7140,Extraction erupted tooth/exr,,,726.87,5320.95,8
HCPCS,D7210,Rem imp tooth w mucoper flp,,,1591.58,7333.01,8
HCPCS,D7220,Impact tooth remov soft tiss,,,726.87,5320.95,8
HCPCS,D7230,Impact tooth remov part bony,,,726.87,5320.95,8
HCPCS,D7240,Impact tooth remov comp bony,,,726.87,5320.95,8
HCPCS,D7241,Impact tooth rem bony w/comp,,,726.87,5320.95,8
HCPCS,D7250,Tooth root removal,,,726.87,5320.95,8
HCPCS,D7251,Coronectomy,,,1591.58,7333.01,7
HCPCS,D7252,Part extract for implant,,,2073.0,2073.0,1
HCPCS,D7259,Nerve dissection,,,2073.0,2073.0,1
HCPCS,D7260,Oral antral fistula closure,,,726.87,5320.95,8
HCPCS,D7261,Primary closure sinus perf,,,726.87,5320.95,8
HCPCS,D7270,Tooth reimplantation,,,726.87,3055.39,7
HCPCS,D7272,Tooth transplantation,,,726.87,3055.39,7
HCPCS,D7280,Exposure of unerupted tooth,,,726.87,3055.39,7
HCPCS,D7284,Exc biopsy of saliv glands,,,2073.0,2073.0,1
HCPCS,D7291,Transseptal fiberotomy,,,726.87,5320.95,8
HCPCS,D7298,Remove screw retained plate,,,2073.0,2073.0,1
HCPCS,D7299,Rem anchorage device w/flap,,,2073.0,2073.0,1
HCPCS,D7300,Rem anchorage dev w/o flap,,,2073.0,2073.0,1
HCPCS,D7310,Alveoplasty w/ extraction,,,1591.58,7333.01,7
HCPCS,D7311,Alveoloplasty w/extract 1-3,,,1591.58,7333.01,7
HCPCS,D7320,Alveoplasty w/o extraction,,,1620.82,7333.01,7
HCPCS,D7321,Alveoloplasty not w/extracts,,,1620.82,7333.01,7
HCPCS,D7340,Vestibuloplasty ridge extens,,,6111.67,27977.99,7
HCPCS,D7350,Vestibuloplasty exten graft,,,6111.67,27977.99,7
HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,1591.58,7333.01,7
HCPCS,D7411,Excision benign lesion>1.25c,,,1591.58,7333.01,7
HCPCS,D7412,Excision benign lesion compl,,,1591.58,7333.01,7
HCPCS,D7413,Excision malig lesion<=1.25c,,,1591.58,7333.01,7
HCPCS,D7414,Excision malig lesion>1.25cm,,,1591.58,7333.01,7
HCPCS,D7415,Excision malig les complicat,,,1591.58,7333.01,7
HCPCS,D7440,Malig tumor exc to 1.25 cm,,,3360.08,15669.35,7
HCPCS,D7441,Malig tumor > 1.25 cm,,,3360.08,15669.35,7
HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,3360.08,15669.35,7
HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,3360.08,15669.35,7
HCPCS,D7460,Rem nonodonto cyst to 1.25cm,,,726.87,3055.39,7
HCPCS,D7461,Rem nonodonto cyst > 1.25 cm,,,726.87,3055.39,7
HCPCS,D7471,Rem exostosis any site,,,3548.57,15669.35,7
HCPCS,D7472,Removal of torus palatinus,,,726.87,3055.39,7
HCPCS,D7473,Remove torus mandibularis,,,726.87,3055.39,7
HCPCS,D7485,Surg reduct osseoustuberosit,,,6111.67,27977.99,7
HCPCS,D7509,Marsupialization odon cyst,,,2073.0,2073.0,1
HCPCS,D7510,I&d absc intraoral soft tiss,,,734.26,3346.74,7
HCPCS,D7511,Incision/drain abscess intra,,,734.26,3346.74,7
HCPCS,D7520,I&d abscess extraoral,,,734.26,3346.74,7
HCPCS,D7521,Incision/drain abscess extra,,,734.26,3346.74,7
HCPCS,D7530,Removal fb skin/areolar tiss,,,726.87,3055.39,7
HCPCS,D7540,Removal of fb reaction,,,726.87,3055.39,7
HCPCS,D7550,Removal of sloughed off bone,,,726.87,3055.39,7
HCPCS,D7670,Closd rductn splint alveolus,,,3360.08,15669.35,7
HCPCS,D7671,Alveolus open reduction,,,6111.67,27977.99,7
HCPCS,D7770,Open reduc compd alveolus fx,,,6111.67,27977.99,7
HCPCS,D7771,Alveolus clsd reduc stblz te,,,3360.08,15669.35,7
HCPCS,D7874,Tmj arthroscopy disc reposit,,,3378.06,15463.96,7
HCPCS,D7922,Place intra-socket bio dress,,,726.87,3055.39,7
HCPCS,D7939,Indexing for osteotomy,,,2073.0,2073.0,1
HCPCS,D7940,Reshaping bone orthognathic,,,726.87,5320.95,8
HCPCS,D7950,Mandible graft,,,6111.67,27977.99,7
HCPCS,D7956,Tiss regen edent resorb,,,2073.0,2073.0,1
HCPCS,D7957,Tiss regen edent nonresorb,,,2073.0,2073.0,1
HCPCS,D7961,Buccal/labial frenectomy,,,2073.0,2073.0,1
HCPCS,D7962,Lingual frenectomy,,,2073.0,2073.0,1
HCPCS,D7993,Surg place craniofacial impl,,,2073.0,2073.0,1
HCPCS,D7994,Surg place zygomatic impl,,,2073.0,2073.0,1
HCPCS,D9630,Drugs/meds disp for home use,,,615.63,1321.64,5
HCPCS,D9930,Treatment of complications,,,726.87,5320.95,8
HCPCS,D9944,"Occ guard, hard, full arch",,,726.87,3055.39,7
HCPCS,D9945,"Occ guard, soft, full arch",,,726.87,3055.39,7
HCPCS,D9946,"Occ guard, hard, part arch",,,726.87,3055.39,7
HCPCS,D9949,Repair sleep apnea appliance,,,2073.0,2073.0,1
HCPCS,D9950,Occlusion analysis,,,726.87,5320.95,8
HCPCS,D9951,Limited occlusal adjustment,,,726.87,5320.95,8
HCPCS,D9952,Complete occlusal adjustment,,,726.87,5320.95,8
HCPCS,E0100,Cane adjust/fixed with tip,,,28.13,28.13,1
HCPCS,E0105,Cane adjust/fixed quad/3 pro,,,67.16,67.16,1
HCPCS,E0110,Crutch forearm pair,,,107.59,107.59,1
HCPCS,E0111,Crutch forearm each,,,73.83,73.83,1
HCPCS,E0112,Crutch underarm pair wood,,,43.62,43.62,1
HCPCS,E0113,Crutch underarm each wood,,,29.32,29.32,1
HCPCS,E0114,Crutch underarm pair no wood,,,55.63,55.63,1
HCPCS,E0116,Crutch underarm each no wood,,,38.48,38.48,1
HCPCS,E0117,Underarm springassist crutch,,,26.71,26.71,1
HCPCS,E0130,Walker rigid adjust/fixed ht,,,58.7,58.7,1
HCPCS,E0135,Walker folding adjust/fixed,,,64.42,64.42,1
HCPCS,E0140,Walker w trunk support,,,35.14,35.14,1
HCPCS,E0141,Rigid wheeled walker adj/fix,,,73.82,73.82,1
HCPCS,E0143,Walker folding wheeled w/o s,,,75.65,75.65,1
HCPCS,E0144,Enclosed walker w rear seat,,,34.09,34.09,1
HCPCS,E0147,Walker variable wheel resist,,,538.74,538.74,1
HCPCS,E0148,Heavyduty walker no wheels,,,109.69,109.69,1
HCPCS,E0149,Heavy duty wheeled walker,,,15.47,15.47,1
HCPCS,E0153,Forearm crutch platform atta,,,81.8,81.8,1
HCPCS,E0154,Walker platform attachment,,,64.48,64.48,1
HCPCS,E0155,"Walker wheel attachment,pair",,,28.42,28.42,1
HCPCS,E0156,Walker seat attachment,,,21.83,21.83,1
HCPCS,E0157,Walker crutch attachment,,,73.33,73.33,1
HCPCS,E0158,Walker leg extenders set of4,,,29.44,29.44,1
HCPCS,E0159,Brake for wheeled walker,,,18.21,18.21,1
HCPCS,E0160,Sitz type bath or equipment,,,38.69,38.69,1
HCPCS,E0161,Sitz bath/equipment w/faucet,,,29.46,29.46,1
HCPCS,E0162,Sitz bath chair,,,202.04,202.04,1
HCPCS,E0163,Commode chair with fixed arm,,,78.45,78.45,1
HCPCS,E0165,Commode chair with detacharm,,,15.78,15.78,1
HCPCS,E0167,Commode chair pail or pan,,,14.75,14.75,1
HCPCS,E0168,Heavyduty/wide commode chair,,,157.0,157.0,1
HCPCS,E0170,Commode chair electric,,,203.8,203.8,1
HCPCS,E0171,Commode chair non-electric,,,37.94,37.94,1
HCPCS,E0175,Commode chair foot rest,,,90.1,90.1,1
HCPCS,E0181,Press pad alternating w/ pum,,,21.92,21.92,1
HCPCS,E0182,"Replace pump, alt press pad",,,25.96,25.96,1
HCPCS,E0183,Press underlay alter w/pump,,,17.55,17.55,1
HCPCS,E0184,Dry pressure mattress,,,210.76,210.76,1
HCPCS,E0185,Gel pressure mattress pad,,,257.15,257.15,1
HCPCS,E0186,Air pressure mattress,,,23.18,23.18,1
HCPCS,E0187,Water pressure mattress,,,26.45,26.45,1
HCPCS,E0188,Synthetic sheepskin pad,,,28.87,28.87,1
HCPCS,E0189,Lambswool sheepskin pad,,,63.33,63.33,1
HCPCS,E0191,Protector heel or elbow,,,13.85,13.85,1
HCPCS,E0193,Powered air flotation bed,,,872.26,872.26,1
HCPCS,E0194,Air fluidized bed,,,4512.52,4512.52,1
HCPCS,E0196,Gel pressure mattress,,,38.28,38.28,1
HCPCS,E0197,Air pressure pad for mattres,,,25.87,25.87,1
HCPCS,E0198,Water pressure pad for mattr,,,26.11,26.11,1
HCPCS,E0199,Dry pressure pad for mattres,,,37.66,37.66,1
HCPCS,E0200,Heat lamp without stand,,,93.44,93.44,1
HCPCS,E0201,Penile contractur devic manu,,,146.52,615.9,3
HCPCS,E0202,Phototherapy light w/ photom,,,83.58,83.58,1
HCPCS,E0205,Heat lamp with stand,,,228.73,228.73,1
HCPCS,E0210,Electric heat pad standard,,,45.28,45.28,1
HCPCS,E0215,Electric heat pad moist,,,83.5,83.5,1
HCPCS,E0217,Water circ heat pad w pump,,,688.41,688.41,1
HCPCS,E0221,Infrared heating pad system,,,2845.43,2845.43,1
HCPCS,E0225,Hydrocollator unit,,,458.07,458.07,1
HCPCS,E0235,Paraffin bath unit portable,,,21.87,21.87,1
HCPCS,E0236,Pump for water circulating p,,,61.36,61.36,1
HCPCS,E0239,Hydrocollator unit portable,,,623.75,623.75,1
HCPCS,E0249,Pad water circulating heat u,,,138.12,138.12,1
HCPCS,E0250,Hosp bed fixed ht w/ mattres,,,81.26,81.26,1
HCPCS,E0251,Hosp bed fixd ht w/o mattres,,,72.14,72.14,1
HCPCS,E0255,Hospital bed var ht w/ mattr,,,87.16,87.16,1
HCPCS,E0256,Hospital bed var ht w/o matt,,,76.97,76.97,1
HCPCS,E0260,Hosp bed semi-electr w/ matt,,,94.03,94.03,1
HCPCS,E0261,Hosp bed semi-electr w/o mat,,,92.99,92.99,1
HCPCS,E0265,Hosp bed total electr w/ mat,,,191.32,191.32,1
HCPCS,E0266,Hosp bed total elec w/o matt,,,167.56,167.56,1
HCPCS,E0271,Mattress innerspring,,,168.61,168.61,1
HCPCS,E0272,Mattress foam rubber,,,188.47,188.47,1
HCPCS,E0275,Bed pan standard,,,18.41,18.41,1
HCPCS,E0276,Bed pan fracture,,,14.8,14.8,1
HCPCS,E0277,Powered pres-redu air mattrs,,,377.9,377.9,1
HCPCS,E0280,Bed cradle,,,38.49,38.49,1
HCPCS,E0290,Hosp bed fx ht w/o rails w/m,,,73.15,73.15,1
HCPCS,E0291,Hosp bed fx ht w/o rail w/o,,,58.48,58.48,1
HCPCS,E0292,Hosp bed var ht no sr w/matt,,,77.18,77.18,1
HCPCS,E0293,Hosp bed var ht no sr no mat,,,71.95,71.95,1
HCPCS,E0294,Hosp bed semi-elect w/ mattr,,,91.1,91.1,1
HCPCS,E0295,Hosp bed semi-elect w/o matt,,,90.1,90.1,1
HCPCS,E0296,Hosp bed total elect w/ matt,,,151.73,151.73,1
HCPCS,E0297,Hosp bed total elect w/o mat,,,132.63,132.63,1
HCPCS,E0300,Enclosed ped crib hosp grade,,,313.59,313.59,1
HCPCS,E0301,"HD hosp bed, 350-600 lbs",,,215.23,215.23,1
HCPCS,E0302,Ex hd hosp bed > 600 lbs,,,632.7,632.7,1
HCPCS,E0303,Hosp bed hvy dty xtra wide,,,226.87,226.87,1
HCPCS,E0304,Hosp bed xtra hvy dty x wide,,,655.99,655.99,1
HCPCS,E0305,Rails bed side half length,,,15.0,15.0,1
HCPCS,E0310,Rails bed side full length,,,156.93,156.93,1
HCPCS,E0316,Bed safety enclosure,,,250.84,250.84,1
HCPCS,E0325,Urinal male jug-type,,,12.09,12.09,1
HCPCS,E0326,Urinal female jug-type,,,12.88,12.88,1
HCPCS,E0371,Nonpower mattress overlay,,,300.51,300.51,1
HCPCS,E0372,Powered air mattress overlay,,,328.85,328.85,1
HCPCS,E0373,Nonpowered pressure mattress,,,351.3,351.3,1
HCPCS,E0424,Stationary compressed gas 02,,,130.86,130.86,1
HCPCS,E0431,Portable gaseous 02,,,65.43,65.43,1
HCPCS,E0433,Portable liquid oxygen sys,,,65.43,65.43,1
HCPCS,E0434,Portable liquid 02,,,65.43,65.43,1
HCPCS,E0439,Stationary liquid 02,,,130.86,130.86,1
HCPCS,E0441,"Stationary o2 contents, gas",,,69.27,69.27,1
HCPCS,E0442,"Stationary o2 contents, liq",,,69.27,69.27,1
HCPCS,E0443,"Portable 02 contents, gas",,,65.7,65.7,1
HCPCS,E0444,"Portable 02 contents, liquid",,,65.7,65.7,1
HCPCS,E0447,"Port o2 cont, liq over 4 lpm",,,99.27,99.27,1
HCPCS,E0457,Chest shell,,,908.46,908.46,1
HCPCS,E0459,Chest wrap,,,72.92,72.92,1
HCPCS,E0462,Rocking bed w/ or w/o side r,,,343.46,343.46,1
HCPCS,E0465,Home vent invasive interface,,,1323.57,1323.57,1
HCPCS,E0466,Home vent non-invasive inter,,,1323.57,1323.57,1
HCPCS,E0467,Home vent multi-function,,,1546.43,1546.43,1
HCPCS,E0469,Lung expans high oscil neb,,,1536.69,1536.69,1
HCPCS,E0470,RAD w/o backup non-inv intfc,,,166.41,166.41,1
HCPCS,E0471,RAD w/backup non inv intrfc,,,433.39,433.39,1
HCPCS,E0472,RAD w backup invasive intrfc,,,538.26,538.26,1
HCPCS,E0480,Percussor elect/pneum home m,,,60.94,60.94,1
HCPCS,E0482,Cough stimulating device,,,596.3,596.3,1
HCPCS,E0483,Chest compression gen system,,,1474.18,1474.18,1
HCPCS,E0484,Non-elec oscillatory pep dvc,,,51.22,51.22,1
HCPCS,E0490,Control unit nm hw remote,,,125.08,125.08,1
HCPCS,E0491,Oral dv nm mouthpc hw remote,,,103.3,103.3,1
HCPCS,E0500,Ippb all types,,,152.2,152.2,1
HCPCS,E0530,Electronic posa treatment,,,36.39,36.39,1
HCPCS,E0550,Humidif extens supple w ippb,,,59.1,59.1,1
HCPCS,E0560,Humidifier supplemental w/ i,,,204.97,204.97,1
HCPCS,E0561,Humidifier nonheated w PAP,,,98.25,98.25,1
HCPCS,E0562,Humidifier heated used w PAP,,,216.55,216.55,1
HCPCS,E0565,Compressor air power source,,,59.9,59.9,1
HCPCS,E0570,Nebulizer with compression,,,10.93,10.93,1
HCPCS,E0572,Aerosol compressor adjust pr,,,37.24,37.24,1
HCPCS,E0574,Ultrasonic generator w svneb,,,55.81,55.81,1
HCPCS,E0575,Nebulizer ultrasonic,,,142.53,142.53,1
HCPCS,E0580,Nebulizer for use w/ regulat,,,159.46,159.46,1
HCPCS,E0585,Nebulizer w/ compressor & he,,,35.65,35.65,1
HCPCS,E0600,Suction pump portab hom modl,,,63.49,63.49,1
HCPCS,E0601,Cont airway pressure device,,,65.49,65.49,1
HCPCS,E0602,Manual breast pump,,,40.93,40.93,1
HCPCS,E0605,Vaporizer room type,,,36.64,36.64,1
HCPCS,E0606,Drainage board postural,,,31.83,31.83,1
HCPCS,E0607,Blood glucose monitor home,,,92.66,92.66,1
HCPCS,E0610,Pacemaker monitr audible/vis,,,280.33,280.33,1
HCPCS,E0615,Pacemaker monitr digital/vis,,,663.9,663.9,1
HCPCS,E0617,Automatic ext defibrillator,,,468.09,468.09,1
HCPCS,E0618,Apnea monitor,,,388.76,388.76,1
HCPCS,E0620,Cap bld skin piercing laser,,,121.23,121.23,1
HCPCS,E0621,Patient lift sling or seat,,,115.01,115.01,1
HCPCS,E0627,"Seat lift mech, electric any",,,340.93,340.93,1
HCPCS,E0629,"Seat lift mech, non-electric",,,338.35,338.35,1
HCPCS,E0630,Patient lift hydraulic,,,87.13,87.13,1
HCPCS,E0635,Patient lift electric,,,147.15,147.15,1
HCPCS,E0636,PT support & positioning sys,,,1225.34,1225.34,1
HCPCS,E0639,Moveable patient lift system,,,154.68,154.68,1
HCPCS,E0640,Fixed patient lift system,,,154.68,154.68,1
HCPCS,E0650,Pneuma compresor non-segment,,,998.65,998.65,1
HCPCS,E0651,Pneum compressor segmental,,,1082.46,1082.46,1
HCPCS,E0652,Pneum compres w/cal pressure,,,7351.11,7351.11,1
HCPCS,E0655,Pneumatic appliance half arm,,,141.09,141.09,1
HCPCS,E0656,Segmental pneumatic trunk,,,80.13,80.13,1
HCPCS,E0657,Segmental pneumatic chest,,,75.27,75.27,1
HCPCS,E0660,Pneumatic appliance full leg,,,219.41,219.41,1
HCPCS,E0665,Pneumatic appliance full arm,,,189.97,189.97,1
HCPCS,E0666,Pneumatic appliance half leg,,,191.48,191.48,1
HCPCS,E0667,Seg pneumatic appl full leg,,,381.6,381.6,1
HCPCS,E0668,Seg pneumatic appl full arm,,,612.72,612.72,1
HCPCS,E0669,Seg pneumatic appli half leg,,,241.35,241.35,1
HCPCS,E0670,Seg pneum int legs/trunk,,,1481.59,1481.59,1
HCPCS,E0671,Pressure pneum appl full leg,,,575.94,575.94,1
HCPCS,E0672,Pressure pneum appl full arm,,,447.48,447.48,1
HCPCS,E0673,Pressure pneum appl half leg,,,371.84,371.84,1
HCPCS,E0675,Pneumatic compression device,,,533.22,533.22,1
HCPCS,E0677,Non pneum seq comp trunk,,,80.74,80.74,1
HCPCS,E0678,Non pneum seq comp full leg,,,38.45,38.45,1
HCPCS,E0679,Non pneum seq comp half leg,,,24.32,24.32,1
HCPCS,E0680,Non pneum comp control cal,,,740.72,740.72,1
HCPCS,E0681,Non pneu comp control w/o ca,,,109.07,109.07,1
HCPCS,E0682,Non pneum compress full arm,,,61.74,61.74,1
HCPCS,E0683,Non pneu peristalic comp pmp,,,79.93,79.93,1
HCPCS,E0691,Uvl pnl 2 sq ft or less,,,1246.0,1246.0,1
HCPCS,E0692,Uvl sys panel 4 ft,,,1564.64,1564.64,1
HCPCS,E0693,Uvl sys panel 6 ft,,,1928.76,1928.76,1
HCPCS,E0694,Uvl md cabinet sys 6 ft,,,6139.05,6139.05,1
HCPCS,E0705,Transfer device,,,76.09,76.09,1
HCPCS,E0720,Tens two lead,,,186.46,186.46,1
HCPCS,E0730,Tens four lead,,,187.2,187.2,1
HCPCS,E0731,Conductive garment for tens/,,,175.94,175.94,1
HCPCS,E0733,Trans elec nerv for trigemin,,,51.36,51.36,1
HCPCS,E0734,Ext up limb tremor stim wris,,,439.54,439.54,1
HCPCS,E0735,Non-invasive vagus nerv stim,,,51.36,51.36,1
HCPCS,E0736,Transcut tibial nerv stimula,,,52.38,220.18,3
HCPCS,E0738,Upper extremity rehab,,,1999.65,8573.63,4
HCPCS,E0739,Rehab sys active assist rt,,,1566.33,6715.76,4
HCPCS,E0740,Non-implant pelv flr e-stim,,,72.5,72.5,1
HCPCS,E0743,Ext low ext nerve stimu rls,,,237.45,237.45,1
HCPCS,E0744,Neuromuscular stim for scoli,,,126.97,126.97,1
HCPCS,E0745,Neuromuscular stim for shock,,,124.13,124.13,1
HCPCS,E0747,Elec osteogen stim not spine,,,4615.59,4615.59,1
HCPCS,E0748,Elec osteogen stim spinal,,,5394.94,5394.94,1
HCPCS,E0760,Osteogen ultrasound stimltor,,,4483.09,4483.09,1
HCPCS,E0762,Trans elec jt stim dev sys,,,129.6,129.6,1
HCPCS,E0764,Functional neuromuscularstim,,,1534.52,1534.52,1
HCPCS,E0765,Nerve stimulator for tx n&v,,,116.65,116.65,1
HCPCS,E0766,Elec stim cancer treatment,,,15941.9,15941.9,1
HCPCS,E0776,Iv pole,,,181.51,181.51,1
HCPCS,E0779,Amb infusion pump mechanical,,,22.91,22.91,1
HCPCS,E0780,Mech amb infusion pump <8hrs,,,14.38,14.38,1
HCPCS,E0781,External ambulatory infus pu,,,300.11,300.11,1
HCPCS,E0784,Ext amb infusn pump insulin,,,545.15,545.15,1
HCPCS,E0791,Parenteral infusion pump sta,,,373.43,373.43,1
HCPCS,E0840,Tract frame attach headboard,,,101.6,101.6,1
HCPCS,E0849,Cervical pneum trac equip,,,71.46,71.46,1
HCPCS,E0850,Traction stand free standing,,,145.66,145.66,1
HCPCS,E0855,Cervical traction equipment,,,69.69,69.69,1
HCPCS,E0856,Cervic collar w air bladders,,,21.34,21.34,1
HCPCS,E0860,Tract equip cervical tract,,,53.44,53.44,1
HCPCS,E0870,Tract frame attach footboard,,,161.29,161.29,1
HCPCS,E0880,Trac stand free stand extrem,,,174.08,174.08,1
HCPCS,E0890,Traction frame attach pelvic,,,166.95,166.95,1
HCPCS,E0900,Trac stand free stand pelvic,,,177.68,177.68,1
HCPCS,E0910,Trapeze bar attached to bed,,,15.62,15.62,1
HCPCS,E0911,Hd trapeze bar attach to bed,,,52.72,52.72,1
HCPCS,E0912,Hd trapeze bar free standing,,,102.91,102.91,1
HCPCS,E0920,Fracture frame attached to b,,,64.0,64.0,1
HCPCS,E0930,Fracture frame free standing,,,63.33,63.33,1
HCPCS,E0935,Cont pas motion exercise dev,,,31.54,31.54,1
HCPCS,E0940,Trapeze bar free standing,,,29.81,29.81,1
HCPCS,E0941,Gravity assisted traction de,,,51.16,51.16,1
HCPCS,E0942,Cervical head harness/halter,,,27.52,27.52,1
HCPCS,E0944,Pelvic belt/harness/boot,,,63.6,63.6,1
HCPCS,E0945,Belt/harness extremity,,,61.45,61.45,1
HCPCS,E0946,Fracture frame dual w cross,,,82.04,82.04,1
HCPCS,E0947,Fracture frame attachmnts pe,,,840.93,840.93,1
HCPCS,E0948,Fracture frame attachmnts ce,,,813.37,813.37,1
HCPCS,E0950,Tray,,,105.61,105.61,1
HCPCS,E0951,Loop heel,,,20.39,20.39,1
HCPCS,E0952,"Toe loop/holder, each",,,20.62,20.62,1
HCPCS,E0953,W/c lateral thigh/knee sup,,,117.81,117.81,1
HCPCS,E0954,"Foot box, any type each foot",,,69.61,69.61,1
HCPCS,E0955,Cushioned headrest,,,24.16,24.16,1
HCPCS,E0956,W/c lateral trunk/hip suppor,,,117.81,117.81,1
HCPCS,E0957,W/c medial thigh support,,,164.87,164.87,1
HCPCS,E0958,Whlchr att- conv 1 arm drive,,,51.41,51.41,1
HCPCS,E0959,Amputee adapter,,,61.28,61.28,1
HCPCS,E0960,W/c shoulder harness/straps,,,108.73,108.73,1
HCPCS,E0961,Wheelchair brake extension,,,41.25,41.25,1
HCPCS,E0966,Wheelchair head rest extensi,,,98.97,98.97,1
HCPCS,E0967,Man wc rim/projection rep ea,,,91.07,91.07,1
HCPCS,E0968,Wheelchair commode seat,,,23.5,23.5,1
HCPCS,E0969,Wheelchair narrowing device,,,217.18,217.18,1
HCPCS,E0971,Wheelchair anti-tipping devi,,,60.16,60.16,1
HCPCS,E0973,W/ch access det adj armrest,,,137.41,137.41,1
HCPCS,E0974,W/ch access anti-rollback,,,102.7,102.7,1
HCPCS,E0978,"W/c acc,saf belt pelv strap",,,51.02,51.02,1
HCPCS,E0980,Wheelchair safety vest,,,45.83,45.83,1
HCPCS,E0981,"Seat upholstery, replacement",,,56.34,56.34,1
HCPCS,E0982,"Back upholstery, replacement",,,61.56,61.56,1
HCPCS,E0983,Add pwr joystick,,,346.56,346.56,1
HCPCS,E0984,Add pwr tiller,,,244.17,244.17,1
HCPCS,E0985,W/c seat lift mechanism,,,28.17,28.17,1
HCPCS,E0986,Man w/c push-rim powr system,,,674.5,674.5,1
HCPCS,E0988,Lever-activated wheel drive,,,399.11,399.11,1
HCPCS,E0990,Wheelchair elevating leg res,,,140.34,140.34,1
HCPCS,E0992,Wheelchair solid seat insert,,,131.96,131.96,1
HCPCS,E0994,Wheelchair arm rest,,,24.45,24.45,1
HCPCS,E0995,"Wc calf rest, pad replacemnt",,,31.99,31.99,1
HCPCS,E1002,Pwr seat tilt,,,484.39,484.39,1
HCPCS,E1003,Pwr seat recline,,,538.13,538.13,1
HCPCS,E1004,Pwr seat recline mech,,,592.92,592.92,1
HCPCS,E1005,Pwr seat recline pwr,,,646.7,646.7,1
HCPCS,E1006,Pwr seat combo w/o shear,,,795.91,795.91,1
HCPCS,E1007,Pwr seat combo w/shear,,,1044.71,1044.71,1
HCPCS,E1008,Pwr seat combo pwr shear,,,1044.78,1044.78,1
HCPCS,E1010,Add pwr leg elevation,,,138.63,138.63,1
HCPCS,E1012,Ctr mount pwr elev leg rest,,,136.7,136.7,1
HCPCS,E1014,Reclining back add ped w/c,,,50.65,50.65,1
HCPCS,E1015,Shock absorber for man w/c,,,159.06,159.06,1
HCPCS,E1016,Shock absorber for power w/c,,,156.95,156.95,1
HCPCS,E1020,Residual limb support system,,,29.08,29.08,1
HCPCS,E1028,W/c manual swingaway,,,24.68,24.68,1
HCPCS,E1029,W/c vent tray fixed,,,45.74,45.74,1
HCPCS,E1030,W/c vent tray gimbaled,,,144.31,144.31,1
HCPCS,E1031,Rollabout chair with casters,,,52.46,52.46,1
HCPCS,E1035,Patient transfer system <300,,,713.94,713.94,1
HCPCS,E1036,Patient transfer system >300,,,1062.61,1062.61,1
HCPCS,E1037,"Transport chair, ped size",,,134.74,134.74,1
HCPCS,E1038,Transport chair pt wt<=300lb,,,18.42,18.42,1
HCPCS,E1039,Transport chair pt wt >300lb,,,39.96,39.96,1
HCPCS,E1050,Whelchr fxd full length arms,,,120.04,120.04,1
HCPCS,E1060,Wheelchair detachable arms,,,174.79,174.79,1
HCPCS,E1070,Wheelchair detachable foot r,,,151.89,151.89,1
HCPCS,E1083,Hemi-wheelchair fixed arms,,,100.82,100.82,1
HCPCS,E1084,Hemi-wheelchair detachable a,,,133.9,133.9,1
HCPCS,E1085,Hemi-wheelchair fixed arms,,,73.75,73.75,1
HCPCS,E1086,Hemi-wheelchair detachable a,,,96.1,96.1,1
HCPCS,E1087,Wheelchair lightwt fixed arm,,,175.45,175.45,1
HCPCS,E1088,Wheelchair lightweight det a,,,209.06,209.06,1
HCPCS,E1089,Wheelchair lightwt fixed arm,,,136.77,136.77,1
HCPCS,E1090,Wheelchair lightweight det a,,,152.87,152.87,1
HCPCS,E1092,Wheelchair wide w/ leg rests,,,151.48,151.48,1
HCPCS,E1093,Wheelchair wide w/ foot rest,,,130.27,130.27,1
HCPCS,E1100,Whchr s-recl fxd arm leg res,,,143.93,143.93,1
HCPCS,E1110,Wheelchair semi-recl detach,,,140.95,140.95,1
HCPCS,E1130,Whlchr stand fxd arm ft rest,,,75.75,75.75,1
HCPCS,E1140,Wheelchair standard detach a,,,112.45,112.45,1
HCPCS,E1150,Wheelchair standard w/ leg r,,,113.11,113.11,1
HCPCS,E1160,Wheelchair fixed arms,,,86.68,86.68,1
HCPCS,E1161,Manual adult wc w tiltinspac,,,328.08,328.08,1
HCPCS,E1170,Whlchr ampu fxd arm leg rest,,,123.85,123.85,1
HCPCS,E1171,Wheelchair amputee w/o leg r,,,111.14,111.14,1
HCPCS,E1172,Wheelchair amputee detach ar,,,135.86,135.86,1
HCPCS,E1180,Wheelchair amputee w/ foot r,,,140.52,140.52,1
HCPCS,E1190,Wheelchair amputee w/ leg re,,,149.67,149.67,1
HCPCS,E1195,Wheelchair amputee heavy dut,,,174.19,174.19,1
HCPCS,E1200,Wheelchair amputee fixed arm,,,120.65,120.65,1
HCPCS,E1221,Wheelchair spec size w foot,,,65.89,65.89,1
HCPCS,E1222,Wheelchair spec size w/ leg,,,93.98,93.98,1
HCPCS,E1223,Wheelchair spec size w foot,,,102.63,102.63,1
HCPCS,E1224,Wheelchair spec size w/ leg,,,112.52,112.52,1
HCPCS,E1225,Manual semi-reclining back,,,53.28,53.28,1
HCPCS,E1226,Manual fully reclining back,,,643.11,643.11,1
HCPCS,E1227,Wheelchair spec sz spec ht a,,,327.08,327.08,1
HCPCS,E1228,Wheelchair spec sz spec ht b,,,38.86,38.86,1
HCPCS,E1230,Power operated vehicle,,,3136.27,3136.27,1
HCPCS,E1232,Folding ped wc tilt-in-space,,,296.55,296.55,1
HCPCS,E1233,Rig ped wc tltnspc w/o seat,,,307.23,307.23,1
HCPCS,E1234,Fld ped wc tltnspc w/o seat,,,267.48,267.48,1
HCPCS,E1235,Rigid ped wc adjustable,,,257.58,257.58,1
HCPCS,E1236,Folding ped wc adjustable,,,227.23,227.23,1
HCPCS,E1237,Rgd ped wc adjstabl w/o seat,,,229.21,229.21,1
HCPCS,E1238,Fld ped wc adjstabl w/o seat,,,227.23,227.23,1
HCPCS,E1240,Whchr litwt det arm leg rest,,,142.87,142.87,1
HCPCS,E1250,Wheelchair lightwt fixed arm,,,111.89,111.89,1
HCPCS,E1260,Wheelchair lightwt foot rest,,,141.71,141.71,1
HCPCS,E1270,Wheelchair lightweight leg r,,,109.47,109.47,1
HCPCS,E1280,Whchr h-duty det arm leg res,,,182.0,182.0,1
HCPCS,E1285,Wheelchair heavy duty fixed,,,169.85,169.85,1
HCPCS,E1290,Wheelchair hvy duty detach a,,,186.5,186.5,1
HCPCS,E1295,Wheelchair heavy duty fixed,,,168.42,168.42,1
HCPCS,E1296,Wheelchair special seat heig,,,681.73,681.73,1
HCPCS,E1297,Wheelchair special seat dept,,,123.29,123.29,1
HCPCS,E1298,Wheelchair spec seat depth/w,,,499.34,499.34,1
HCPCS,E1310,Whirlpool non-portable,,,2531.0,2531.0,1
HCPCS,E1353,Oxygen supplies regulator,,,39.27,39.27,1
HCPCS,E1355,Oxygen supplies stand/rack,,,29.59,29.59,1
HCPCS,E1372,Oxy suppl heater for nebuliz,,,167.61,167.61,1
HCPCS,E1390,Oxygen concentrator,,,130.86,130.86,1
HCPCS,E1391,"Oxygen concentrator, dual",,,130.86,130.86,1
HCPCS,E1392,Portable oxygen concentrator,,,65.43,65.43,1
HCPCS,E1405,O2/water vapor enrich w/heat,,,166.51,166.51,1
HCPCS,E1406,O2/water vapor enrich w/o he,,,141.79,141.79,1
HCPCS,E1700,Jaw motion rehab system,,,43.3,43.3,1
HCPCS,E1701,Repl cushions for jaw motion,,,14.38,14.38,1
HCPCS,E1702,Repl measr scales jaw motion,,,31.28,31.28,1
HCPCS,E1800,Adjust elbow ext/flex device,,,144.38,144.38,1
HCPCS,E1801,Sps elbow device,,,178.9,178.9,1
HCPCS,E1802,Adjst forearm pro/sup device,,,453.17,453.17,1
HCPCS,E1803,Adjust elbow extension dev,,,145.49,145.49,1
HCPCS,E1804,Adjust elbow flexion dev,,,145.49,145.49,1
HCPCS,E1805,Adjust wrist ext/flex device,,,175.2,175.2,1
HCPCS,E1806,Sps wrist device,,,146.88,146.88,1
HCPCS,E1807,Adjust wrist extension dev,,,176.54,176.54,1
HCPCS,E1808,Adjust wrist flexion device,,,176.54,176.54,1
HCPCS,E1810,Adjust knee ext/flex device,,,146.85,146.85,1
HCPCS,E1811,Sps knee device,,,185.96,185.96,1
HCPCS,E1812,Knee ext/flex w act res ctrl,,,119.24,119.24,1
HCPCS,E1813,Adjust knee extension device,,,147.97,147.97,1
HCPCS,E1814,Adjust knee flexion device,,,147.97,147.97,1
HCPCS,E1815,Adjust ankle ext/flex device,,,175.2,175.2,1
HCPCS,E1816,Sps ankle device,,,188.93,188.93,1
HCPCS,E1818,Sps forearm device,,,192.85,192.85,1
HCPCS,E1820,Soft interface material,,,113.35,113.35,1
HCPCS,E1821,Replacement interface spsd,,,145.93,145.93,1
HCPCS,E1822,Adjust ankle extension dev,,,176.54,176.54,1
HCPCS,E1823,Adjust ankle flexion device,,,176.54,176.54,1
HCPCS,E1825,Adjust finger ext/flex devc,,,175.2,175.2,1
HCPCS,E1826,Adjust finger extension dev,,,176.54,176.54,1
HCPCS,E1827,Adjust finger flexion device,,,176.54,176.54,1
HCPCS,E1828,Adjust toe extension device,,,176.54,176.54,1
HCPCS,E1829,Adjust toe flexion device,,,176.54,176.54,1
HCPCS,E1830,Adjust toe ext/flex device,,,175.2,175.2,1
HCPCS,E1831,Static str toe dev ext/flex,,,88.11,88.11,1
HCPCS,E1840,Adj shoulder ext/flex device,,,530.68,530.68,1
HCPCS,E1841,Static str shldr dev rom adj,,,628.13,628.13,1
HCPCS,E1905,Vr cbt therapy,,,661.54,2836.4,4
HCPCS,E2000,Gastric suction pump hme mdl,,,71.87,71.87,1
HCPCS,E2001,Suct pum ext urine mgmt sys,,,63.97,63.97,1
HCPCS,E2100,Bld glucose monitor w voice,,,891.84,891.84,1
HCPCS,E2101,Bld glucose monitor w lance,,,261.45,261.45,1
HCPCS,E2102,Adju cgm receiver/monitor,,,207.07,207.07,1
HCPCS,E2103,Non-adju cgm receiver/mon,,,300.43,300.43,1
HCPCS,E2104,Glucose monitor w cartridge,,,54.52,229.17,3
HCPCS,E2120,Pulse gen sys tx endolymp fl,,,393.14,393.14,1
HCPCS,E2201,"Man w/ch acc seat w>=20""<24""",,,517.37,517.37,1
HCPCS,E2202,Seat width 24-27 in,,,657.21,657.21,1
HCPCS,E2203,Frame depth less than 22 in,,,664.27,664.27,1
HCPCS,E2204,Frame depth 22 to 25 in,,,1127.89,1127.89,1
HCPCS,E2205,"Manual wc accessory, handrim",,,45.3,45.3,1
HCPCS,E2206,Man wc whl lock comp repl ea,,,56.39,56.39,1
HCPCS,E2207,Crutch and cane holder,,,60.1,60.1,1
HCPCS,E2208,Cylinder tank carrier,,,141.97,141.97,1
HCPCS,E2209,Arm trough each,,,128.07,128.07,1
HCPCS,E2210,Wheelchair bearings,,,7.81,7.81,1
HCPCS,E2211,Pneumatic propulsion tire,,,56.74,56.74,1
HCPCS,E2212,Pneumatic prop tire tube,,,8.14,8.14,1
HCPCS,E2213,Pneumatic prop tire insert,,,42.19,42.19,1
HCPCS,E2214,Pneumatic caster tire each,,,49.91,49.91,1
HCPCS,E2215,Pneumatic caster tire tube,,,13.31,13.31,1
HCPCS,E2216,Foam filled propulsion tire,,,63.17,63.17,1
HCPCS,E2217,Foam filled caster tire each,,,55.89,55.89,1
HCPCS,E2218,Foam propulsion tire each,,,63.17,63.17,1
HCPCS,E2219,Foam caster tire any size ea,,,55.89,55.89,1
HCPCS,E2220,"Solid propuls tire, repl, ea",,,39.57,39.57,1
HCPCS,E2221,"Solid caster tire repl, each",,,35.43,35.43,1
HCPCS,E2222,"Solid caster integ whl, repl",,,29.22,29.22,1
HCPCS,E2224,Propulsion whl excl tire rep,,,135.98,135.98,1
HCPCS,E2225,Caster wheel excludes tire,,,24.12,24.12,1
HCPCS,E2226,Caster fork replacement only,,,52.6,52.6,1
HCPCS,E2227,Gear reduction drive wheel,,,249.4,249.4,1
HCPCS,E2228,"Mwc acc, wheelchair brake",,,129.81,129.81,1
HCPCS,E2231,Solid seat support base,,,213.09,213.09,1
HCPCS,E2298,Pwr seat elev sys for crt,,,208.43,208.43,1
HCPCS,E2310,Electro connect btw control,,,139.83,139.83,1
HCPCS,E2311,Electro connect btw 2 sys,,,283.15,283.15,1
HCPCS,E2312,Mini-prop remote joystick,,,342.94,342.94,1
HCPCS,E2313,"PWC harness, expand control",,,42.72,42.72,1
HCPCS,E2321,Hand interface joystick,,,309.39,309.39,1
HCPCS,E2322,Mult mech switches,,,327.61,327.61,1
HCPCS,E2323,Special joystick handle,,,84.39,84.39,1
HCPCS,E2324,Chin cup interface,,,54.27,54.27,1
HCPCS,E2325,Sip and puff interface,,,165.15,165.15,1
HCPCS,E2326,Breath tube kit,,,43.0,43.0,1
HCPCS,E2327,Head control interface mech,,,474.32,474.32,1
HCPCS,E2328,Head/extremity control inter,,,609.09,609.09,1
HCPCS,E2329,Head control nonproportional,,,218.72,218.72,1
HCPCS,E2330,Head control proximity switc,,,421.85,421.85,1
HCPCS,E2340,W/c wdth 20-23 in seat frame,,,496.9,496.9,1
HCPCS,E2341,W/c wdth 24-27 in seat frame,,,745.42,745.42,1
HCPCS,E2342,W/c dpth 20-21 in seat frame,,,621.2,621.2,1
HCPCS,E2343,W/c dpth 22-25 in seat frame,,,993.92,993.92,1
HCPCS,E2351,Electronic SGD interface,,,865.54,865.54,1
HCPCS,E2359,Gr34 sealed leadacid battery,,,232.16,232.16,1
HCPCS,E2360,22nf nonsealed leadacid,,,155.78,155.78,1
HCPCS,E2361,22nf sealed leadacid battery,,,166.69,166.69,1
HCPCS,E2362,Gr24 nonsealed leadacid,,,128.21,128.21,1
HCPCS,E2363,Gr24 sealed leadacid battery,,,222.3,222.3,1
HCPCS,E2364,U1nonsealed leadacid battery,,,155.78,155.78,1
HCPCS,E2365,U1 sealed leadacid battery,,,134.04,134.04,1
HCPCS,E2366,"Battery charger, single mode",,,315.06,315.06,1
HCPCS,E2367,"Battery charger, dual mode",,,500.84,500.84,1
HCPCS,E2368,Pwr wc drivewheel motor repl,,,61.73,61.73,1
HCPCS,E2369,Pwr wc drivewheel gear repl,,,53.8,53.8,1
HCPCS,E2370,Pwr wc dr wh motor/gear comb,,,95.96,95.96,1
HCPCS,E2371,Gr27 sealed leadacid battery,,,180.15,180.15,1
HCPCS,E2373,Hand/chin ctrl spec joystick,,,144.63,144.63,1
HCPCS,E2374,Hand/chin ctrl std joystick,,,63.85,63.85,1
HCPCS,E2375,Non-expandable controller,,,102.34,102.34,1
HCPCS,E2376,"Expandable controller, repl",,,160.44,160.44,1
HCPCS,E2377,"Expandable controller, initl",,,58.02,58.02,1
HCPCS,E2378,Pw actuator replacement,,,70.96,70.96,1
HCPCS,E2381,Pneum drive wheel tire,,,91.03,91.03,1
HCPCS,E2382,"Tube, pneum wheel drive tire",,,24.81,24.81,1
HCPCS,E2383,"Insert, pneum wheel drive",,,181.51,181.51,1
HCPCS,E2384,Pneumatic caster tire,,,96.7,96.7,1
HCPCS,E2385,"Tube, pneumatic caster tire",,,59.15,59.15,1
HCPCS,E2386,Foam filled drive wheel tire,,,179.85,179.85,1
HCPCS,E2387,Foam filled caster tire,,,80.66,80.66,1
HCPCS,E2388,Foam drive wheel tire,,,60.2,60.2,1
HCPCS,E2389,Foam caster tire,,,33.15,33.15,1
HCPCS,E2390,Solid drive wheel tire,,,51.47,51.47,1
HCPCS,E2391,Solid caster tire,,,24.49,24.49,1
HCPCS,E2392,"Solid caster tire, integrate",,,64.38,64.38,1
HCPCS,E2394,Drive wheel excludes tire,,,91.75,91.75,1
HCPCS,E2395,Caster wheel excludes tire,,,65.2,65.2,1
HCPCS,E2396,Caster fork,,,76.57,76.57,1
HCPCS,E2397,"Pwc acc, lith-based battery",,,574.24,574.24,1
HCPCS,E2398,Wc dynamic pos back hardware,,,160.28,160.28,1
HCPCS,E2402,Neg press wound therapy pump,,,1047.94,1047.94,1
HCPCS,E2500,SGD digitized pre-rec <=8min,,,542.24,542.24,1
HCPCS,E2502,SGD prerec msg >8min <=20min,,,1658.1,1658.1,1
HCPCS,E2504,SGD prerec msg>20min <=40min,,,2187.29,2187.29,1
HCPCS,E2506,SGD prerec msg > 40 min,,,3207.19,3207.19,1
HCPCS,E2508,SGD spelling phys contact,,,4959.4,4959.4,1
HCPCS,E2510,SGD w multi methods msg/accs,,,9385.01,9385.01,1
HCPCS,E2513,"Sgd accessory, emg sensor",,,4402.94,4402.94,1
HCPCS,E2601,Gen w/c cushion wdth < 22 in,,,73.1,73.1,1
HCPCS,E2602,Gen w/c cushion wdth >=22 in,,,142.69,142.69,1
HCPCS,E2603,Skin protect wc cus wd <22in,,,181.15,181.15,1
HCPCS,E2604,Skin protect wc cus wd>=22in,,,225.18,225.18,1
HCPCS,E2605,Position wc cush wdth <22 in,,,321.7,321.7,1
HCPCS,E2606,Position wc cush wdth>=22 in,,,501.87,501.87,1
HCPCS,E2607,Skin pro/pos wc cus wd <22in,,,346.41,346.41,1
HCPCS,E2608,Skin pro/pos wc cus wd>=22in,,,416.01,416.01,1
HCPCS,E2611,Gen use back cush wdth <22in,,,373.3,373.3,1
HCPCS,E2612,Gen use back cush wdth>=22in,,,505.0,505.0,1
HCPCS,E2613,Position back cush wd <22in,,,469.74,469.74,1
HCPCS,E2614,Position back cush wd>=22in,,,650.09,650.09,1
HCPCS,E2615,Pos back post/lat wdth <22in,,,540.57,540.57,1
HCPCS,E2616,Pos back post/lat wdth>=22in,,,727.34,727.34,1
HCPCS,E2619,Replace cover w/c seat cush,,,61.38,61.38,1
HCPCS,E2620,WC planar back cush wd <22in,,,654.56,654.56,1
HCPCS,E2621,WC planar back cush wd>=22in,,,686.91,686.91,1
HCPCS,E2622,Adj skin pro w/c cus wd<22in,,,396.14,396.14,1
HCPCS,E2623,Adj skin pro wc cus wd>=22in,,,504.08,504.08,1
HCPCS,E2624,Adj skin pro/pos cus<22in,,,399.4,399.4,1
HCPCS,E2625,Adj skin pro/pos wc cus>=22,,,505.62,505.62,1
HCPCS,E2626,Seo mobile arm sup att to wc,,,861.28,861.28,1
HCPCS,E2627,Arm supp att to wc rancho ty,,,1374.31,1374.31,1
HCPCS,E2628,Mobile arm supports reclinin,,,1035.33,1035.33,1
HCPCS,E2629,Friction dampening arm supp,,,1191.07,1191.07,1
HCPCS,E2630,Monosuspension arm/hand supp,,,916.21,916.21,1
HCPCS,E2631,Elevat proximal arm support,,,311.53,311.53,1
HCPCS,E2632,Offset/lat rocker arm w/ela,,,233.03,233.03,1
HCPCS,E2633,Mobile arm support supinator,,,197.66,197.66,1
HCPCS,E3000,Speech volume modulation sys,,,240.04,240.04,1
HCPCS,G0008,Admin influenza virus vac,,,49.57,221.31,9
HCPCS,G0008,HC MEDICAID ADMIN FLU VAC,160.0,160.0,,,0
HCPCS,G0008,HC MEDICARE ADMIN FLU,160.0,160.0,,,0
HCPCS,G0009,Admin pneumococcal vaccine,,,49.57,221.31,9
HCPCS,G0009,HC MEDICAID ADMIN PNEUMO VAC,160.0,160.0,,,0
HCPCS,G0009,HC MEDICARE ADMIN PNEUMOCOCCAL,160.0,160.0,,,0
HCPCS,G0010,Admin hepatitis b vaccine,,,49.57,221.31,9
HCPCS,G0010,HC MEDICARE ADMIN HEPATITIS B,137.0,137.0,,,0
HCPCS,G0012,Injection of hiv prep drug,,,59.19,340.29,4
HCPCS,G0013,"Hiv prep counsel, clin staff",,,42.13,177.08,4
HCPCS,G0019,Comm hlth intg svs sdoh 60mn,,,114.22,480.13,3
HCPCS,G0023,Pin service 60m per month,,,114.22,480.13,3
HCPCS,G0027,Semen analysis,,,4.67,42.89,12
HCPCS,G0068,Adm of infusion drug in home,,,156.12,402.61,5
HCPCS,G0069,Adm of immune drug in home,,,235.58,628.45,5
HCPCS,G0070,Adm of chemo drug in home,,,264.94,684.95,5
HCPCS,G0101,CA screen;pelvic/breast exam,,,46.64,480.13,4
HCPCS,G0101,HC MCR SCREEN PELVIC BREAST EXM,346.0,346.0,,,0
HCPCS,G0101,HC PR MCR SCREEN PELVIC BREAST EXM,90.0,90.0,,,0
HCPCS,G0103,HC PSA SCREENING TOTAL,115.0,115.0,,,0
HCPCS,G0103,PSA Screening,,,13.88,121.34,12
HCPCS,G0104,CA screen;flexi sigmoidscope,,,953.83,4395.12,10
HCPCS,G0104,HC COLORECTAL CA SCREEN FLEX SIGMOID,2678.0,2678.0,,,0
HCPCS,G0105,Colorectal scrn; hi risk ind,,,953.83,4395.12,10
HCPCS,G0105,HC COLORECTAL CANCER SCREEN COLONOSCOPY HIGH RISK,2678.0,2678.0,,,0
HCPCS,G0105,HC PR COLORECTAL CANCER SCREEN COLON HIGH RISK IND,806.0,806.0,,,0
HCPCS,G0106,Colon CA screen;barium enema,,,191.75,727.01,5
HCPCS,G0108,Diab manage trn  per indiv,,,57.01,249.78,9
HCPCS,G0108,HC NUTR COUNSEL DM EA 30MIN,195.0,195.0,,,0
HCPCS,G0109,Diab manage trn ind/group,,,16.4,94.12,9
HCPCS,G0109,HC GROUP DIET INSTRUC DM EA 30MIN,161.0,161.0,,,0
HCPCS,G0117,Glaucoma scrn hgh risk direc,,,31.09,355.39,6
HCPCS,G0118,Glaucoma scrn hgh risk direc,,,41.86,232.27,6
HCPCS,G0120,Colon ca scrn; barium enema,,,401.35,2630.44,5
HCPCS,G0121,Colon ca scrn not hi rsk ind,,,953.83,4395.12,10
HCPCS,G0121,HC COLORECTAL CANCER SCREEN COLONOSCOPY NOT HIGH RISK,2678.0,2678.0,,,0
HCPCS,G0121,HC PR COLORECTAL CANCER SCREEN COLON NOT HIGH RISK,946.0,946.0,,,0
HCPCS,G0122,Colon ca scrn; barium enema,,,392.74,841.38,5
HCPCS,G0123,Screen cerv/vag thin layer,,,14.56,133.62,12
HCPCS,G0124,HC PR THIN PREP MD INTERP MED SCREEN,62.0,62.0,,,0
HCPCS,G0124,Screen c/v thin layer by MD,,,16.75,221.2,8
HCPCS,G0127,Trim nail(s),,,63.84,1473.0,10
HCPCS,G0129,Partial hosp prog service,,,1242.88,1242.88,1
HCPCS,G0130,Single energy x-ray study,,,92.69,494.1,9
HCPCS,G0136,Adm of soc dtr assess 5-15 m,,,42.13,177.08,3
HCPCS,G0136,HC PR ADMIN STAND EVID BASED SOCIAL DETERM HLTH RISK ASSESS 5-15 MINS,59.0,59.0,,,0
HCPCS,G0138,Iv cipaglucosidase alfa-atga,,,715.88,3118.7,5
HCPCS,G0140,Nav srv peer sup 60 min pr m,,,114.22,480.13,3
HCPCS,G0141,"Scr c/v cyto,autosys and md",,,16.75,221.2,10
HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,19.44,133.62,12
HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,31.6,184.83,12
HCPCS,G0145,HC THIN PREP AUTOMATED MEDICARE,85.0,85.0,,,0
HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,19.04,174.7,12
HCPCS,G0147,"Scr c/v cyto, automated sys",,,11.44,77.93,12
HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,22.95,134.26,12
HCPCS,G0151,"HHCP-serv of pt,ea 15 min",,,50.41,50.41,1
HCPCS,G0152,"HHCP-serv of ot,ea 15 min",,,38.16,38.16,1
HCPCS,G0153,"HHCP-svs of s/l path,ea 15mn",,,46.72,46.72,1
HCPCS,G0156,"HHCP-svs of aide,ea 15 min",,,24.62,24.62,1
HCPCS,G0166,"Extrnl counterpulse, per tx",,,133.32,628.81,9
HCPCS,G0168,Wound closure by adhesive,,,135.68,1473.0,5
HCPCS,G0175,"Opps service,sched team conf",,,462.23,1972.04,8
HCPCS,G0176,HC ACTIVITY THERAPY TRICARE,336.0,336.0,,,0
HCPCS,G0176,OPPS/PHP;activity therapy,,,1162.8,1162.8,1
HCPCS,G0177,HC EDUCATION TRAINING,335.0,335.0,,,0
HCPCS,G0183,Software meas of cardiac vol,,,97.85,411.29,3
HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,606.62,2651.0,10
HCPCS,G0219,Pet img wholbod melano nonco,,,5736.52,5736.52,1
HCPCS,G0235,PET not otherwise specified,,,430.44,3672.9,8
HCPCS,G0237,Therapeutic procd strg endur,,,31.09,168.36,9
HCPCS,G0238,"Oth resp proc, indiv",,,31.09,168.36,9
HCPCS,G0239,"Oth resp proc, group",,,41.86,176.53,9
HCPCS,G0245,Initial foot exam pt lops,,,137.96,629.22,8
HCPCS,G0246,Followup eval of foot pt lop,,,137.96,629.22,8
HCPCS,G0247,Routine footcare pt w lops,,,208.93,948.23,9
HCPCS,G0248,Demonstrate use home inr mon,,,137.96,629.22,9
HCPCS,G0249,Provide INR test mater/equip,,,137.96,629.22,9
HCPCS,G0252,PET imaging initial dx,,,169.7,169.7,1
HCPCS,G0257,HC UNSCHED/EMERG DIALYSIS ESRD PT,1809.0,1809.0,,,0
HCPCS,G0257,Unsched dialysis ESRD pt hos,,,729.3,3243.62,9
HCPCS,G0259,Inject for sacroiliac joint,,,1473.0,1473.0,1
HCPCS,G0260,Inj for sacroiliac jt anesth,,,721.71,3336.1,10
HCPCS,G0268,Removal of impacted wax md,,,1473.0,1473.0,1
HCPCS,G0269,HC PLCMT DEV VEN/ART IN PROC,1490.0,1490.0,,,0
HCPCS,G0269,Occlusive device in vein art,,,1473.0,1473.0,1
HCPCS,G0270,MNT subs tx for change dx,,,22.51,146.91,8
HCPCS,G0271,Group MNT 2 or more 30 mins,,,12.6,75.09,8
HCPCS,G0276,Pild/placebo control clin tr,,,7466.19,34293.94,9
HCPCS,G0277,HC HYPERBARIC OXY TRT PER 30 MIN,669.0,669.0,,,0
HCPCS,G0277,"Hbot, full body chamber, 30m",,,80.58,650.36,9
HCPCS,G0278,HC ILIAC ART ANGIO DURING CCATH,2025.0,2025.0,,,0
HCPCS,G0278,"Iliac art angio,cardiac cath",,,1048.19,1048.19,1
HCPCS,G0279,"Tomosynthesis, mammo",,,13.11,106.64,5
HCPCS,G0281,Elec stim unattend for press,,,11.94,65.3,9
HCPCS,G0283,Elec stim other than wound,,,12.87,65.3,9
HCPCS,G0283,HC OT ELECTRICAL STIM UNATTEND,187.0,187.0,,,0
HCPCS,G0283,HC PT ELECTRICAL STIM UNATTEND,187.0,187.0,,,0
HCPCS,G0288,HC RECON CTA AORTA SURG PLANNING,675.0,675.0,,,0
HCPCS,G0288,"Recon, CTA for surg plan",,,96.46,96.46,1
HCPCS,G0289,"Arthro, loose body + chondro",,,1473.0,1473.0,1
HCPCS,G0293,"Non-cov surg proc,clin trial",,,41.86,238.17,8
HCPCS,G0294,"Non-cov proc, clinical trial",,,41.86,238.17,8
HCPCS,G0296,Visit to determ ldct elig,,,114.22,480.13,4
HCPCS,G0302,Pre-op service LVRS complete,,,419.55,3867.81,9
HCPCS,G0303,Pre-op service LVRS 10-15dos,,,242.77,3867.81,9
HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,419.55,1953.18,9
HCPCS,G0305,Post op service LVRS min 6,,,419.55,1953.18,9
HCPCS,G0306,CBC/diffwbc w/o platelet,,,5.58,51.29,12
HCPCS,G0307,CBC without platelet,,,4.65,42.65,12
HCPCS,G0317,Prolong nursin fac eval 15m,,,34.78,68.95,4
HCPCS,G0318,Prolong home eval add 15m,,,33.97,67.35,4
HCPCS,G0323,Care manage beh svs 20mins,,,39.8,177.08,4
HCPCS,G0328,Fecal blood scrn immunoassay,,,12.97,100.28,12
HCPCS,G0328,HC COLORECTAL CA SCREEN FECAL OCCULT BLOOD TEST IA 1-3 SIMULT,98.0,98.0,,,0
HCPCS,G0329,Electromagntic tx for ulcers,,,10.97,48.99,8
HCPCS,G0330,Facility svs dental rehab,,,2073.0,15669.35,9
HCPCS,G0330,HC FACILITY SVCS DENTAL REHAB PROC WHEN UNDER ANES,4070.0,4070.0,,,0
HCPCS,G0337,Hospice evaluation preelecti,,,75.36,149.37,4
HCPCS,G0339,"Robot lin-radsurg com, first",,,8222.65,15836.47,4
HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,5391.0,11298.28,4
HCPCS,G0341,Percutaneous islet celltrans,,,6880.82,9829.75,4
HCPCS,G0342,Laparoscopy islet cell trans,,,6880.82,9829.75,4
HCPCS,G0343,Laparotomy islet cell transp,,,6880.82,9829.75,4
HCPCS,G0378,HC OBV HOURLY RATE,199.0,199.0,,,0
HCPCS,G0379,Direct refer hospital observ,,,669.58,2814.57,8
HCPCS,G0379,HC OBV DIRECT ADMIT,199.0,199.0,,,0
HCPCS,G0380,Lev 1 hosp type B ED visit,,,78.28,351.29,8
HCPCS,G0381,Lev 2 hosp type B ED visit,,,104.44,439.0,8
HCPCS,G0382,Lev 3 hosp type B ED visit,,,193.26,812.36,8
HCPCS,G0383,Lev 4 hosp type B ED visit,,,297.17,1249.15,8
HCPCS,G0384,Lev 5 hosp type B ED visit,,,397.8,1941.14,8
HCPCS,G0390,HC TRAUMA ACTIVATION GRTR THAN 30 MINS,6250.0,6250.0,,,0
HCPCS,G0390,Trauma Respons w/hosp criti,,,1498.64,6299.53,4
HCPCS,G0396,Alcohol/subs interv 15-30mn,,,29.96,177.08,8
HCPCS,G0397,Alcohol/subs interv >30 min,,,166.39,838.87,8
HCPCS,G0398,Home sleep test/type 2 porta,,,163.01,1020.48,9
HCPCS,G0399,HC HOME SLEEP TEST MIN 4 CHANNELS,791.0,791.0,,,0
HCPCS,G0399,Home sleep test/type 3 porta,,,163.01,1020.48,9
HCPCS,G0400,Home sleep test/type 4 porta,,,242.77,1020.48,9
HCPCS,G0402,HC MEDI INITIAL PREVENT EXAM,314.0,314.0,,,0
HCPCS,G0402,HC PR MCR INITIAL PREVENT EXAM,185.0,185.0,,,0
HCPCS,G0402,Initial preventive exam,,,137.96,629.22,4
HCPCS,G0404,EKG tracing for initial prev,,,31.09,136.7,9
HCPCS,G0405,EKG interpret & report preve,,,8.78,17.4,4
HCPCS,G0409,CORF related serv 15 mins ea,,,26.36,52.25,4
HCPCS,G0410,HC GRP PSYCH PARTIAL HOSP TRICARE,336.0,336.0,,,0
HCPCS,G0412,Open tx iliac spine uni/bil,,,6880.82,34293.94,9
HCPCS,G0413,Pelvic ring fracture uni/bil,,,5391.0,34293.94,10
HCPCS,G0414,Pelvic ring fx treat int fix,,,6880.82,34293.94,9
HCPCS,G0415,Open tx post pelvic fxcture,,,3678.83,30985.64,9
HCPCS,G0416,HC PR PROSTATE 12 PART,402.0,402.0,,,0
HCPCS,G0416,HC PROSTATE 12 PART,812.0,812.0,,,0
HCPCS,G0416,"Prostate biopsy, any mthd",,,213.75,3243.74,15
HCPCS,G0420,Ed svc CKD ind per session,,,115.71,486.39,4
HCPCS,G0421,Ed svc CKD grp per session,,,27.92,117.36,3
HCPCS,G0422,Intens cardiac rehab w/exerc,,,137.9,609.24,9
HCPCS,G0423,Intens cardiac rehab no exer,,,137.9,609.24,9
HCPCS,G0425,Inpt/ed teleconsult30,,,100.18,198.59,4
HCPCS,G0427,Inpt/ed teleconsult70,,,201.04,398.49,4
HCPCS,G0428,Collagen Meniscus Implant,,,2073.0,2073.0,1
HCPCS,G0429,Dermal filler injection(s),,,2319.82,9751.37,4
HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,14.06,87.44,8
HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,13.14,87.44,8
HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,8.61,76.49,8
HCPCS,G0438,HC INIT MEDICARE ANNUAL WELL VISI,326.0,326.0,,,0
HCPCS,G0438,"PPPS, initial visit",,,88.14,748.6,8
HCPCS,G0439,HC MEDICARE AWV PPS SUBS VISIT,220.0,220.0,,,0
HCPCS,G0439,"PPPS, subseq visit",,,88.14,591.18,8
HCPCS,G0442,Annual alcohol screen 15 min,,,29.96,215.24,9
HCPCS,G0443,Brief alcohol misuse counsel,,,47.96,480.13,8
HCPCS,G0444,Depression Screen annual,,,23.06,215.24,9
HCPCS,G0444,HC ANNUAL DEPRESSION SCREEN 15 MINS,77.0,77.0,,,0
HCPCS,G0444,HC PR MCR ANNUAL DEPRESSION SCRN,32.0,32.0,,,0
HCPCS,G0445,High inten beh couns STD 30m,,,23.06,480.13,8
HCPCS,G0446,Intens behave ther cardio dx,,,23.06,177.08,8
HCPCS,G0447,Behavior counsel obesity 15m,,,47.96,480.13,8
HCPCS,G0447,HC BEHAVIORAL COUNSELING OBESITY 15 MINS,203.0,203.0,,,0
HCPCS,G0447,HC PR BEHAVIORAL COUNSELING OBESITY 15 MINS,68.0,68.0,,,0
HCPCS,G0448,Place perm pacing cardiovert,,,2073.0,95681.76,7
HCPCS,G0451,Devlopment test interpt&rep,,,93.02,480.13,8
HCPCS,G0452,HC PR COMPREHENSIVE HEMATOLYMPHOID MUTATION PANEL,52.0,52.0,,,0
HCPCS,G0452,HC PR COMPREHENSIVE SOLID TUMOR FUSION PANEL,52.0,52.0,,,0
HCPCS,G0452,HC PR LUNG AND THYROID CANCER FUSION PANEL,52.0,52.0,,,0
HCPCS,G0452,HC PR MOL PATH PHYSICIAN INTER & REP,52.0,52.0,,,0
HCPCS,G0452,HC PR NEURO-ONCOLOGY FUSION PANEL,52.0,52.0,,,0
HCPCS,G0452,HC PR SARCOMA FUSION PANEL,52.0,52.0,,,0
HCPCS,G0452,Molecular pathology interpr,,,3.65,142.21,6
HCPCS,G0453,Cont intraop neuro monitor,,,1473.0,1473.0,1
HCPCS,G0455,Fecal microbiota prep instil,,,238.17,4395.12,9
HCPCS,G0459,Telehealth inpt pharm mgmt,,,176.13,176.13,1
HCPCS,G0460,Autologous PRP for ulcers,,,1964.35,9751.37,5
HCPCS,G0463,Hospital outpt clinic visit,,,133.93,629.22,7
HCPCS,G0465,Autolog prp diab wound ulcer,,,2369.01,6975.19,5
HCPCS,G0471,Ven blood coll snf/hha,,,11.34,47.67,4
HCPCS,G0472,Hep c screen high risk/other,,,27.26,194.83,7
HCPCS,G0473,Group behave couns 2-10,,,29.96,177.08,8
HCPCS,G0475,HC HIV ANTIGEN/ANTIBODY COMBO ASSAY SCREEN,177.0,177.0,,,0
HCPCS,G0475,Hiv combination assay,,,17.3,180.91,11
HCPCS,G0476,Hpv combo assay ca screen,,,25.22,163.97,11
HCPCS,G0480,Drug test def 1-7 classes,,,82.23,481.01,12
HCPCS,G0480,HC DRUG TESTS DEFINITIVE PER DAY 1-7 CLASSES,271.0,271.0,,,0
HCPCS,G0480,HC DRUG TESTS DEFINITIVE PER DAY 1-7 CLASSES SEND OUT,271.0,271.0,,,0
HCPCS,G0481,Drug test def 8-14 classes,,,112.53,658.23,12
HCPCS,G0481,HC DRUG TESTS DEFINITIVE PER DAY 8-14 CLASSES,261.0,261.0,,,0
HCPCS,G0482,Drug test def 15-21 classes,,,142.81,835.4,12
HCPCS,G0482,HC DRUG TESTS DEFINITIVE PER DAY 15-21 CLASSES,294.6,294.6,,,0
HCPCS,G0483,Drug test def 22+ classes,,,177.44,1042.03,12
HCPCS,G0483,HC DRUG TESTS DEFINITIVE PER DAY 22 OR MORE CLASSES,364.0,364.0,,,0
HCPCS,G0491,Dialysis acu kidney no esrd,,,340.4,762.64,4
HCPCS,G0491,HC DIALYSIS PROC AKI WO ESRD,1809.0,1809.0,,,0
HCPCS,G0492,HC DIALYSIS PROC W SINGLE EVAL AKI WO ESRD,1809.0,1809.0,,,0
HCPCS,G0498,Chemo extend iv infus w/pump,,,353.45,1561.07,8
HCPCS,G0498,HC CHEMO ADMIN IV STARTED OFFICE W PUMP CONTIN IN COMM SET W FU VISIT,532.0,532.0,,,0
HCPCS,G0499,Hepb screen high risk indiv,,,20.31,157.93,11
HCPCS,G0508,Crit care telehea consult 60,,,900.87,900.87,1
HCPCS,G0509,Crit care telehea consult 50,,,827.0,827.0,1
HCPCS,G0516,"Insert drug del implant, >4",,,415.82,2111.28,10
HCPCS,G0517,Remove drug implant,,,415.82,2111.28,10
HCPCS,G0518,Remove w insert drug implant,,,415.82,2111.28,10
HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,34.47,177.08,5
HCPCS,G0538,Ascvd rsk mng clin stf pr mo,,,107.02,480.13,5
HCPCS,G0539,Initial care training 30 m,,,40.54,170.41,3
HCPCS,G0540,Train for caregiver add 15,,,21.48,90.29,3
HCPCS,G0541,HC OT CAREGIVER TRAIN TO SUPPORT CARE (PT NOT PRESENT) F2F INI 30MINS,80.0,80.0,,,0
HCPCS,G0541,HC PT CAREGIVER TRAIN TO SUPPORT CARE (PT NOT PRESENT) F2F INI 30MINS,80.0,80.0,,,0
HCPCS,G0541,HC ST CAREGIVER TRAIN TO SUPPORT CARE (PT NOT PRESENT) F2F INI 30MINS,80.0,80.0,,,0
HCPCS,G0541,No pt prsnt train initial 30,,,32.52,136.7,3
HCPCS,G0542,HC OT CAREGIVER TRAIN TO SUPPORT CARE (PT NT PRES) F2F EA ADDL 15MINS,39.0,39.0,,,0
HCPCS,G0542,HC PT CAREGIVER TRAIN TO SUPPORT CARE (PT NT PRES) F2F EA ADDL 15MINS,39.0,39.0,,,0
HCPCS,G0542,HC ST CAREGIVER TRAIN TO SUPPORT CARE (PT NT PRES) F2F EA ADDL 15MINS,39.0,39.0,,,0
HCPCS,G0543,Group train w/o patient,,,32.52,136.7,3
HCPCS,G0543,HC OT GROUP CAREGIVER TRAIN (PT NOT PRSNT) F2F W MULTI SETS CAREGVRS,34.0,34.0,,,0
HCPCS,G0543,HC PT GROUP CAREGIVER TRAIN (PT NOT PRSNT) F2F W MULTI SETS CAREGVRS,34.0,34.0,,,0
HCPCS,G0543,HC ST GROUP CAREGIVER TRAIN (PT NOT PRSNT) F2F W MULTI SETS CAREGVRS,34.0,34.0,,,0
HCPCS,G0544,Post d/c phone follow up,,,107.02,480.13,5
HCPCS,G0552,Supply of digital device,,,149.1,629.22,5
HCPCS,G0553,Monthly tx for dmht 20mins,,,149.1,629.22,5
HCPCS,G0555,Replacment pt electronic sys,,,965.51,4881.44,9
HCPCS,G0556,Adv prim care mgmt lvl 1,,,34.47,177.08,5
HCPCS,G0557,Adv prim care mgmt lvl 2,,,34.47,177.08,5
HCPCS,G0558,Adv prim care mgmt lvl 3,,,107.02,480.13,5
HCPCS,G0560,Safety plan interven,,,40.16,168.81,3
HCPCS,G0561,"Temp tube delivery, unil",,,1473.0,1473.0,1
HCPCS,G0562,Complex simulation w/pet-ct,,,2146.53,9356.1,5
HCPCS,G0563,Sbrt w/positron emission del,,,3577.18,17992.5,9
HCPCS,G0564,365 d implant glucose sensor,,,3556.7,15595.9,7
HCPCS,G0565,Rem/ins glu snsr 365 dif sit,,,3556.7,15595.9,7
HCPCS,G0566,3d bn img algor drvd fr mri,,,144.67,608.13,3
HCPCS,G0567,Screening Hep C detect,,,35.09,147.5,4
HCPCS,G0568,"Int psych care mng, 1 cal mo",,,114.22,480.13,3
HCPCS,G0569,"Subs psych care mng, subs mo",,,114.22,480.13,3
HCPCS,G0570,"Care manage serv, pr cal mo",,,42.13,177.08,3
HCPCS,G0659,Drug test def simple all cl,,,44.65,361.09,12
HCPCS,G0659,HC DRUG TESTS DEF IDENT INDIV DRUGS & STRUCT ISOMERS GC/MS & LC/MS,119.0,119.0,,,0
HCPCS,G2000,Blinded conv. Tx MDD clin tr,,,419.55,1966.85,8
HCPCS,G2010,HC PR REMOTE EVAL RECORDED VIDEO &/ IMG SUBMITTED BY PT,50.0,50.0,,,0
HCPCS,G2010,Remot image submit by pt,,,39.47,39.47,1
HCPCS,G2011,Alcohol/sub abuse assess,,,32.52,136.7,4
HCPCS,G2023,Specimen collect COVID-19,,,143.4,143.4,1
HCPCS,G2024,Spec coll SNF/Lab COVID-19,,,155.7,155.7,1
HCPCS,G2025,Dis site tele svcs  RHC/FQHC,,,62.75,99.6,4
HCPCS,G2082,Visit esketamine 56m or less,,,1156.08,4859.56,8
HCPCS,G2083,"Visit esketamine, > 56m",,,1816.38,7635.13,8
HCPCS,G2086,Off base opioid tx 70min,,,104.55,838.87,8
HCPCS,G2087,"Off base opioid tx, 60 m",,,104.55,838.87,8
HCPCS,G2211,Complex e/m visit add on,,,17.93,35.55,4
HCPCS,G2211,HC PR VISIT COMPLEX INHERENT TO E&M ADD ON,40.0,40.0,,,0
HCPCS,G2212,HC PR MEDICARE PROLONGED OFFICE/OUTPAT E&M EA 15MINS,56.0,56.0,,,0
HCPCS,G2214,HC INI OR SUBSEQ PSYCH COLL CARE MGT FIRST 30 MINS,210.0,210.0,,,0
HCPCS,G2214,HC PR INI OR SUBSEQ PSYCH COLL CARE MGT FIRST 30 MINS,182.0,182.0,,,0
HCPCS,G2214,Init/sub psych care m 1st 30,,,114.22,480.13,4
HCPCS,G2250,HC PR REMOTE ASSESS REC VIDEO &/IMG SUB BY EST PT NON E&M,39.0,39.0,,,0
HCPCS,G2250,"Remot img sub by pt, non e/m",,,8.15,34.26,3
HCPCS,G2251,"Brief chkin, 5-10, non-e/m",,,10.88,45.73,3
HCPCS,G2251,HC PR BRIEF COMM TECH BASE SVC CHECKIN 5-10MINS NON E&M,45.0,45.0,,,0
HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,22.69,95.38,3
HCPCS,G2252,HC PR BRIEF COMM TECH BASE SVC CHECKIN BY MD/QHP 11-20MINS,83.0,83.0,,,0
HCPCS,G6001,Echo guidance radiotherapy,,,165.96,328.96,4
HCPCS,G6002,Stereoscopic x-ray guidance,,,61.35,121.61,4
HCPCS,G6003,Radiation treatment delivery,,,171.92,458.21,5
HCPCS,G6004,Radiation treatment delivery,,,141.02,460.86,6
HCPCS,G6005,Radiation treatment delivery,,,141.39,460.86,6
HCPCS,G6006,Radiation treatment delivery,,,140.28,539.52,6
HCPCS,G6007,Radiation treatment delivery,,,256.79,539.52,6
HCPCS,G6008,Radiation treatment delivery,,,194.56,887.12,6
HCPCS,G6009,Radiation treatment delivery,,,194.19,887.12,6
HCPCS,G6010,Radiation treatment delivery,,,192.7,887.12,6
HCPCS,G6011,Radiation treatment delivery,,,255.98,887.12,6
HCPCS,G6012,Radiation treatment delivery,,,256.35,887.12,6
HCPCS,G6013,Radiation treatment delivery,,,257.47,887.12,6
HCPCS,G6014,Radiation treatment delivery,,,255.61,887.12,6
HCPCS,G6015,Radiation tx delivery imrt,,,397.16,2327.86,6
HCPCS,G6016,Delivery comp imrt,,,395.64,2327.86,6
HCPCS,G6017,Intrafraction track motion,,,23.91,47.39,4
HCPCS,G9143,Warfarin respon genetic test,,,86.75,769.71,6
HCPCS,G9156,Evaluation for wheelchair,,,88.14,88.14,1
HCPCS,G9157,Transesoph doppl cardiac mon,,,101.16,200.52,4
HCPCS,G9490,Joint replac mod home visit,,,52.94,104.93,4
HCPCS,H0001,Alcohol and/or drug assessment,,,88.14,88.14,1
HCPCS,H0002,Alcohol and/or drug screening,,,88.14,88.14,1
HCPCS,H0003,Alcohol and/or drug screening,,,0.01,88.14,2
HCPCS,H0004,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0005,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0006,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0007,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0011,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0012,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0013,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0014,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0016,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0018,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0020,Alcohol and/or drug services,,,88.14,88.14,1
HCPCS,H0022,HC PR INDUCTION FEE TYPE 2,430.0,430.0,,,0
HCPCS,H0025,HC PR DAILY FEE ONGOING COE SERVICES,19.0,19.0,,,0
HCPCS,H0035,HC ADOLESCENT REVERSE PARTIAL,1828.0,1828.0,,,0
HCPCS,H0035,HC HASBRO PARTIAL HOSP PROGRAM,1828.0,1828.0,,,0
HCPCS,H0035,HC PSYCH PARTIAL HOSPITAL,1398.0,1398.0,,,0
HCPCS,H0035,MH partial hosp tx under 24h,,,554.12,1083.85,4
HCPCS,H0047,Alcohol/drug abuse svc nos,,,653.44,933.49,3
HCPCS,H0049,Alcohol/drug screening,,,0.01,0.01,1
HCPCS,H2000,HC COMPREHENSIVE MULTIDISCIPLINARY EVALUATION,295.0,295.0,,,0
HCPCS,H2021,HC COMMUNITY BASED WRAP AROUND SVC PER 15 MINS,26.0,26.0,,,0
HCPCS,J0013,"Esketamine, nasal spray",,,10.51,16.69,4
HCPCS,J0121,"Inj., omadacycline, 1 mg",,,2.68,16.9,11
HCPCS,J0122,"Inj., eravacycline, 1 mg",,,0.87,5.47,9
HCPCS,J0129,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [70287],21910.5,21910.5,,,0
HCPCS,J0129,Abatacept injection,,,29.36,185.41,11
HCPCS,J0130,ABCIXIMAB 10 MG/5 ML INTRAVENOUS SOLUTION [14369],6382.28,6382.28,,,0
HCPCS,J0130,Abciximab injection,,,1429.07,1429.07,1
HCPCS,J0131,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",129.09,129.09,,,0
HCPCS,J0131,Acetaminophen injection,,,0.04,0.06,5
HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],351.04,351.04,,,0
HCPCS,J0132,Acetylcysteine injection,,,0.26,0.41,5
HCPCS,J0133,ACYCLOVIR (ZOVIRAX) 5 MG/ML (20 ML) PEDIATRIC IV SYRINGE [500581],33.4,33.4,,,0
HCPCS,J0133,ACYCLOVIR (ZOVIRAX) 5 MG/ML (50 ML) PEDIATRIC IV SYRINGE [500582],21.38,21.38,,,0
HCPCS,J0133,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],18.04,18.04,,,0
HCPCS,J0133,Acyclovir injection,,,0.03,0.04,4
HCPCS,J0134,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",64.225,64.225,,,0
HCPCS,J0134,ACETAMINOPHEN 10 MG/ML INTRAVENOUS WRAPPER UNLOCKED FREQUENCY [40814029],25.689999999999998,25.689999999999998,,,0
HCPCS,J0134,Inj acetaminophen -fresenius,,,0.04,0.06,5
HCPCS,J0135,Adalimumab injection,,,1863.71,1863.71,1
HCPCS,J0136,ACETAMINOPHEN 500 MG/50 ML (10 MG/ML) INTRAVENOUS SOLUTION [199598],41.29,41.29,,,0
HCPCS,J0136,"Inj, acetaminophen (b braun)",,,0.03,0.05,5
HCPCS,J0137,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",66.315,66.315,,,0
HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.03,0.05,5
HCPCS,J0138,"Injection, acetaminoph 10 mg",,,0.03,0.42,10
HCPCS,J0139,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE KIT [34652],7013.85,7013.85,,,0
HCPCS,J0139,"Inj, adalimumab, 1 mg",,,91.73,176.86,2
HCPCS,J0150,"Injection adenosine,rx, 6 mg",,,8.36,13.27,4
HCPCS,J0151,Adenosine injection,,,1.53,2.43,4
HCPCS,J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],131.87,131.87,,,0
HCPCS,J0153,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [38703],8.69,8.69,,,0
HCPCS,J0153,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE [8975],53.33,53.33,,,0
HCPCS,J0153,Adenosine inj 1mg,,,0.37,0.59,4
HCPCS,J0162,Inj epinephrine (fresenius),,,0.45,0.71,4
HCPCS,J0163,Epinephrine in nacl (endo),,,0.65,1.03,5
HCPCS,J0164,Epinephrine in nacl (baxter),,,0.64,1.02,5
HCPCS,J0165,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR [29031]",282.7,282.7,,,0
HCPCS,J0165,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [100491]",701.93,701.93,,,0
HCPCS,J0165,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],17.89,17.89,,,0
HCPCS,J0165,EPINEPHRINE 10 MG/250 ML (40 MCG/ML) IN 0.9% SODIUM CHLORIDE INFUSION [408507],119.25,119.25,,,0
HCPCS,J0165,EPINEPHRINE 10 MG/250 ML (40 MCG/ML) IN 5 % DEXTROSE INFUSION [40015002],221.25,221.25,,,0
HCPCS,J0165,EPINEPHRINE 16 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40817005],52.25,52.25,,,0
HCPCS,J0165,EPINEPHRINE 16 MCG/ML IN 5% DEXTROSE SYRINGE [40817006],52.25,52.25,,,0
HCPCS,J0165,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9% SODIUM CHLORIDE INFUSION [507003],210.0,210.0,,,0
HCPCS,J0165,EPINEPHRINE 8 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [350802],46.0,46.0,,,0
HCPCS,J0165,EPINEPHRINE 8 MCG/ML IN 5% DEXTROSE SYRINGE [350801],46.0,46.0,,,0
HCPCS,J0165,EPINEPHRINE 80 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [350804],3112.5,3112.5,,,0
HCPCS,J0165,EPINEPHRINE 80 MCG/ML IN 5% DEXTROSE SYRINGE [350803],46.0,46.0,,,0
HCPCS,J0165,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE [188986],31.1,31.1,,,0
HCPCS,J0165,EPINEPHRINE HCL 100 MCG/10 ML(10 MCG/ML) IN 0.9 % SOD CHLOR IV SYRINGE [182564],5.0,5.0,,,0
HCPCS,J0165,Inj epinephrine nos 0.1 mg,,,0.32,0.51,5
HCPCS,J0166,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],62.65,62.65,,,0
HCPCS,J0166,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [123851],7.22,7.22,,,0
HCPCS,J0166,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION [126554],46.875,46.875,,,0
HCPCS,J0166,Inj epinephrine (bpi),,,0.71,1.12,5
HCPCS,J0167,Inj epinephrine (hospira),,,0.95,1.5,5
HCPCS,J0168,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],5.8,5.8,,,0
HCPCS,J0168,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [123851],5.0,5.0,,,0
HCPCS,J0168,Epinephrine (intl med sys),,,1.69,2.69,5
HCPCS,J0169,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [123851],5.0,5.0,,,0
HCPCS,J0169,Inj epinephrine (adrenalin),,,0.91,1.44,5
HCPCS,J0171,Adrenalin epinephrine inject,,,0.96,1.53,4
HCPCS,J0171,"EPINEPHRINE HCL (PF) 1,000 MCG/10 ML (100 MCG/ML) IN 0.9% NACL IV SYR [130682]",32.45,32.45,,,0
HCPCS,J0172,"Inj, aducanumab-avwa, 2 mg",,,3.98,11.53,7
HCPCS,J0173,"Inj, epinephrine (belcher)",,,0.77,1.23,4
HCPCS,J0174,"Inj, lecanemab-irmb",,,0.88,5.57,11
HCPCS,J0174,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [206248],4255.3150000000005,4255.3150000000005,,,0
HCPCS,J0175,"Inj, donanemab-azbt, 2 mg",,,2.75,17.37,11
HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,207.28,1308.89,11
HCPCS,J0178,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION [112992],9250.0,9250.0,,,0
HCPCS,J0178,Aflibercept injection,,,513.59,3243.24,11
HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,230.39,1454.86,11
HCPCS,J0180,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION [35775],26180.0,26180.0,,,0
HCPCS,J0180,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION [38494],49966.4,49966.4,,,0
HCPCS,J0180,Agalsidase beta injection,,,153.2,967.45,11
HCPCS,J0184,"Inj, amisulpride, 1 mg",,,6.73,40.41,10
HCPCS,J0185,"Inj., aprepitant, 1 mg",,,1.09,6.9,11
HCPCS,J0190,Inj biperiden lactate/5 mg,,,3.16,3.16,1
HCPCS,J0202,ALEMTUZUMAB 30 MG/ML INTRAVENOUS SOLUTION [40661],0.01,0.01,,,0
HCPCS,J0202,"Injection, alemtuzumab",,,1617.48,10214.05,11
HCPCS,J0205,Alglucerase injection,,,38.11,42.03,2
HCPCS,J0206,ALLOPURINOL 500 MG INTRAVENOUS SOLUTION [25408],2217.9900000000002,2217.9900000000002,,,0
HCPCS,J0206,Inj allopurinol sodium 1 mg,,,3.14,19.84,10
HCPCS,J0207,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION [20803],4359.895,4359.895,,,0
HCPCS,J0207,Amifostine,,,755.99,1199.98,5
HCPCS,J0208,Inj sodium thiosulfate 100mg,,,64.45,399.8,10
HCPCS,J0208,SODIUM THIOSULFATE IV INFUSION FOR CALCIPHYLAXIS [40017017],778.575,778.575,,,0
HCPCS,J0209,"Inj, sod thiosulfate (hope)",,,0.52,3.71,8
HCPCS,J0209,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION [7364],405.0,405.0,,,0
HCPCS,J0209,SODIUM THIOSULFATE IV INFUSION FOR CALCIPHYLAXIS [40017017],664.525,664.525,,,0
HCPCS,J0210,Methyldopate hcl injection,,,42.4,42.4,1
HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,1.26,9.39,10
HCPCS,J0215,Alefacept,,,41.64,43.54,2
HCPCS,J0216,ALFENTANIL 500 MCG/ML INJECTION SOLUTION [8994],25.38,25.38,,,0
HCPCS,J0216,"Inj, alfentanil hcl, 500mcg",,,2.57,2.57,1
HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,309.69,1955.61,11
HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,262.04,1654.75,11
HCPCS,J0219,AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION [201321],171832.98,171832.98,,,0
HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,53.86,340.11,11
HCPCS,J0220,ALGLUCOSIDASE (MYOZYME) 50 MG INTRAVENOUS SOLUTION [500226],4875.0,4875.0,,,0
HCPCS,J0220,Alglucosidase alfa injection,,,128.45,206.7,2
HCPCS,J0221,ALGLUCOSIDASE (LUMIZYME) 50 MG INTRAVENOUS SOLUTION [500225],50242.5,50242.5,,,0
HCPCS,J0221,Lumizyme injection,,,137.52,868.4,11
HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,66.55,420.21,11
HCPCS,J0222,PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION [191123],118845.0,118845.0,,,0
HCPCS,J0223,Inj givosiran 0.5 mg,,,78.12,493.32,11
HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,219.04,1383.17,11
HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,3330.72,21032.8,11
HCPCS,J0225,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE [203985],596755.0,596755.0,,,0
HCPCS,J0248,"Inj, remdesivir, 1 mg?",,,4.48,28.29,11
HCPCS,J0248,REMDESIVIR 100 MG LYOPHILIZED POWDER [40816082],4771.0,4771.0,,,0
HCPCS,J0248,REMDESIVIR 100 MG/20 ML VIAL [40816081],3900.0,3900.0,,,0
HCPCS,J0256,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION [189579]",9218.4,9218.4,,,0
HCPCS,J0256,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION [36577]",7.62,7.62,,,0
HCPCS,J0256,Alpha 1 proteinase inhibitor,,,3.64,22.94,11
HCPCS,J0257,ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 20 MG/ML (2 %) INTRAVENOUS SOLN [106274],11422.8,11422.8,,,0
HCPCS,J0257,Glassia injection,,,3.75,23.7,11
HCPCS,J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],17.845,17.845,,,0
HCPCS,J0270,Alprostadil for injection,,,7.07,11.5,6
HCPCS,J0275,Alprostadil urethral suppos,,,25.72,27.89,2
HCPCS,J0278,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",20.0,20.0,,,0
HCPCS,J0278,AMIKACIN 4% (40 MG/ML) OPHTHALMIC SOLUTION [40812008],21350.0,21350.0,,,0
HCPCS,J0278,AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],25.82,25.82,,,0
HCPCS,J0278,AMIKACIN INTRAVITREAL INJECTION 4 MG/1 ML [500189],5.0,5.0,,,0
HCPCS,J0278,Amikacin sulfate injection,,,0.42,0.67,4
HCPCS,J0280,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [123836],33.7,33.7,,,0
HCPCS,J0280,Aminophyllin 250 MG inj,,,6.89,10.93,4
HCPCS,J0281,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],25.83,25.83,,,0
HCPCS,J0281,AMINOCAPROIC ACID 250 MG/ML IV BOLUS (ONE-STEP) [350140],13.079999999999998,13.079999999999998,,,0
HCPCS,J0281,Inj aminocaproic acid 1 gram,,,1.14,1.81,5
HCPCS,J0282,AMIODARONE 1.8 MG/ML IN DEXTROSE 5 % INTRAVENOUS INFUSION (WRAPPER) [40814258],62.5,62.5,,,0
HCPCS,J0282,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],5.25,5.25,,,0
HCPCS,J0282,Amiodarone HCl,,,0.28,0.45,4
HCPCS,J0283,AMIODARONE 1.8 MG/ML IN DEXTROSE 5 % INTRAVENOUS INFUSION (WRAPPER) [40814258],210.0,210.0,,,0
HCPCS,J0283,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [110257]",385.775,385.775,,,0
HCPCS,J0283,"Inj, amiodarone (nexterone)",,,1.73,2.75,6
HCPCS,J0285,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],67.4,67.4,,,0
HCPCS,J0285,AMPHOTERICIN B INTRAVITREAL INJECTION 50 MCG/1ML [500165],5.0,5.0,,,0
HCPCS,J0285,Amphotericin B,,,28.9,45.87,4
HCPCS,J0287,Amphotericin b lipid complex,,,6.85,43.29,10
HCPCS,J0288,Ampho b cholesteryl sulfate,,,14.0,14.0,1
HCPCS,J0289,AMPHOTERICIN B LIPOSOME (AMBISOME) INHALATION [40817119],208.99,208.99,,,0
HCPCS,J0289,AMPHOTERICIN B LIPOSOME 2 MG/ML LOCK SOLUTION [40817064],44.584999999999994,44.584999999999994,,,0
HCPCS,J0289,Amphotericin b liposome inj,,,14.3,90.3,11
HCPCS,J0290,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],10.76,10.76,,,0
HCPCS,J0290,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],5.355,5.355,,,0
HCPCS,J0290,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],5.295,5.295,,,0
HCPCS,J0290,Ampicillin 500 MG inj,,,0.37,0.58,4
HCPCS,J0291,"Inj., plazomicin, 5 mg",,,2.33,14.73,11
HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM INJECTION (MG OF AMPICILLIN) [359083],15.43,15.43,,,0
HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [9083],12.83,12.83,,,0
HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM INJECTION (MG OF AMPICILLIN) [359084],29.46,29.46,,,0
HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],16.625,16.625,,,0
HCPCS,J0295,Ampicillin sodium per 1.5 gm,,,0.93,1.47,4
HCPCS,J0300,Amobarbital 125 MG inj,,,129.31,205.25,6
HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],80.85,80.85,,,0
HCPCS,J0330,Succinycholine chloride inj,,,0.6,0.95,4
HCPCS,J0348,ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION [88093],349.05,349.05,,,0
HCPCS,J0348,ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION [76344],174.55,174.55,,,0
HCPCS,J0348,Anidulafungin injection,,,0.35,0.55,5
HCPCS,J0349,"Inj, rezafungin, 1 mg",,,7.07,44.66,11
HCPCS,J0349,REZAFUNGIN 200 MG INTRAVENOUS SOLUTION [207811],9750.0,9750.0,,,0
HCPCS,J0360,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],13.465,13.465,,,0
HCPCS,J0360,Hydralazine hcl injection,,,3.73,5.92,4
HCPCS,J0364,Apomorphine hydrochloride,,,24.5,38.89,5
HCPCS,J0365,"Aprotonin, 10,000 kiu",,,2.65,2.65,1
HCPCS,J0391,"Inj, artesunate, 1mg",,,34.51,217.86,10
HCPCS,J0395,Arbutamine HCl injection,,,160.0,160.0,1
HCPCS,J0401,"ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE [176993]",0.1,0.1,,,0
HCPCS,J0401,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE [163407]",0.1,0.1,,,0
HCPCS,J0401,"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE [176995]",0.1,0.1,,,0
HCPCS,J0401,Inj aripiprazole ext rel 1mg,,,4.84,30.58,11
HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,4.01,25.33,11
HCPCS,J0456,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],13.54,13.54,,,0
HCPCS,J0456,Azithromycin,,,1.35,2.15,4
HCPCS,J0457,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],124.65,124.65,,,0
HCPCS,J0457,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],250.21,250.21,,,0
HCPCS,J0457,"Injection, aztreonam, 100 mg",,,1.69,2.68,5
HCPCS,J0458,Aztreonam/avibactam 10 mg,,,1.16,7.08,9
HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],45.8,45.8,,,0
HCPCS,J0461,ATROPINE 0.8 MG/2 ML (0.4 MG/ML) INTRAVENOUS SYRINGE [130882],39.114999999999995,39.114999999999995,,,0
HCPCS,J0461,Atropine sulfate injection,,,0.07,0.11,4
HCPCS,J0462,ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],79.43499999999999,79.43499999999999,,,0
HCPCS,J0462,ATROPINE 1 MG/ML INJECTION SOLUTION [734],17.875,17.875,,,0
HCPCS,J0462,"Atropine sulf, nte, 0.01 mg",,,0.09,0.14,5
HCPCS,J0470,DIMERCAPROL 100 MG/ML INTRAMUSCULAR SOLUTION [9872],412.25,412.25,,,0
HCPCS,J0470,Dimecaprol injection,,,58.63,58.63,1
HCPCS,J0475,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION [107799]",841.5,841.5,,,0
HCPCS,J0475,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SYRINGE [163144]",892.5,892.5,,,0
HCPCS,J0475,"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SYRINGE [163145]",1759.5,1759.5,,,0
HCPCS,J0475,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION [107800]",3156.9,3156.9,,,0
HCPCS,J0475,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SYRINGE [163146]",3309.9,3309.9,,,0
HCPCS,J0475,"BACLOFEN IT 10,000 MCG IN NS 200 ML [500196]",800.0,800.0,,,0
HCPCS,J0475,"BACLOFEN IT 2,500 MCG IN NS 250 ML [500194]",200.0,200.0,,,0
HCPCS,J0475,Baclofen 10 mg injection,,,120.63,761.77,11
HCPCS,J0476,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE [107798],367.2,367.2,,,0
HCPCS,J0476,Baclofen intrathecal trial,,,33.25,52.78,5
HCPCS,J0480,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION [23082],10251.25,10251.25,,,0
HCPCS,J0480,Basiliximab,,,3119.85,19701.19,11
HCPCS,J0485,BELATACEPT 250 MG INTRAVENOUS SOLUTION [110675],6793.26,6793.26,,,0
HCPCS,J0485,Belatacept injection,,,2.59,16.34,11
HCPCS,J0490,BELIMUMAB 120 MG INTRAVENOUS SOLUTION [108842],13092.25,13092.25,,,0
HCPCS,J0490,BELIMUMAB 200 MG/ML SUBCUTANEOUS SYRINGE [187927],4412.5,4412.5,,,0
HCPCS,J0490,BELIMUMAB 400 MG INTRAVENOUS SOLUTION [108843],13092.05,13092.05,,,0
HCPCS,J0490,Belimumab injection,,,37.32,235.68,11
HCPCS,J0491,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION [201298],23002.7,23002.7,,,0
HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,12.03,76.0,11
HCPCS,J0500,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],35.945,35.945,,,0
HCPCS,J0500,Dicyclomine injection,,,7.56,12.0,4
HCPCS,J0515,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],226.28,226.28,,,0
HCPCS,J0515,Inj benztropine mesylate,,,10.2,16.19,4
HCPCS,J0517,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE [188995],23760.55,23760.55,,,0
HCPCS,J0517,"Inj., benralizumab, 1 mg",,,109.56,691.85,11
HCPCS,J0525,CEFOTETAN 1 GRAM SOLUTION FOR INJECTION [9458],43.91,43.91,,,0
HCPCS,J0525,CEFOTETAN 2 GRAM SOLUTION FOR INJECTION [9460],87.82,87.82,,,0
HCPCS,J0525,Inj cefotetan disodium 10 mg,,,0.17,0.27,5
HCPCS,J0558,PenG benzathine/procaine inj,,,13.0,82.06,10
HCPCS,J0561,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [108049]",419.53,419.53,,,0
HCPCS,J0561,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE [108050]",1289.6999999999998,1289.6999999999998,,,0
HCPCS,J0561,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE [10897]",484.35,484.35,,,0
HCPCS,J0561,Penicillin g benzathine inj,,,18.36,126.15,10
HCPCS,J0565,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION [185293],12692.0,12692.0,,,0
HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,26.51,167.4,11
HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,82.73,505.95,8
HCPCS,J0570,Buprenorphine implant 74.2mg,,,1439.25,1439.25,1
HCPCS,J0571,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],11.459999999999999,11.459999999999999,,,0
HCPCS,J0571,Buprenorphine oral 1mg,,,0.19,0.3,5
HCPCS,J0572,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [106176],25.56,25.56,,,0
HCPCS,J0572,Bupren/nal up to 3mg bupreno,,,4.0,4.0,1
HCPCS,J0573,Bupren/nal 3.1 to 6mg bupren,,,7.91,7.91,1
HCPCS,J0574,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [106177],14.25,14.25,,,0
HCPCS,J0574,Bupren/nal 6.1 to 10mg bupre,,,7.91,7.91,1
HCPCS,J0575,Bupren/nal over 10mg bupreno,,,15.83,15.83,1
HCPCS,J0576,Inj buprenorph (brixadi) 1mg,,,13.38,13.38,1
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,280.0,1768.14,11
HCPCS,J0578,"Inj brixadi, more than 7 day",,,1120.0,7072.58,11
HCPCS,J0582,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [195967],445.375,445.375,,,0
HCPCS,J0582,Bivalirudin (endo) 1 mg,,,0.09,0.15,5
HCPCS,J0583,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],23.54,23.54,,,0
HCPCS,J0583,Bivalirudin,,,0.11,0.18,5
HCPCS,J0584,BUROSUMAB-TWZA 10 MG/ML SUBCUTANEOUS SOLUTION [190441],113560.0,113560.0,,,0
HCPCS,J0584,BUROSUMAB-TWZA 20 MG/ML SUBCUTANEOUS SOLUTION [190442],141597.63,141597.63,,,0
HCPCS,J0584,BUROSUMAB-TWZA 30 MG/ML SUBCUTANEOUS SOLUTION [190443],141598.19,141598.19,,,0
HCPCS,J0584,"Injection, burosumab-twza 1m",,,322.27,2035.07,11
HCPCS,J0585,"Injection,onabotulinumtoxina",,,4.32,27.31,11
HCPCS,J0585,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION [95794],1862.5,1862.5,,,0
HCPCS,J0585,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [32700],1352.5,1352.5,,,0
HCPCS,J0586,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION [106761],2577.5,2577.5,,,0
HCPCS,J0586,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION [99465],4295.0,4295.0,,,0
HCPCS,J0586,Abobotulinumtoxina,,,5.83,36.79,11
HCPCS,J0587,"Inj, rimabotulinumtoxinb",,,8.85,55.86,11
HCPCS,J0588,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION [105971],2410.0,2410.0,,,0
HCPCS,J0588,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION [105970],1265.0,1265.0,,,0
HCPCS,J0588,Incobotulinumtoxin a,,,3.71,23.41,11
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,2.1,13.23,11
HCPCS,J0591,"Inj deoxycholic acid, 1 mg",,,10.58,16.8,5
HCPCS,J0592,Buprenorphine hydrochloride,,,2.77,4.4,4
HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,58.1,366.9,9
HCPCS,J0594,Busulfan injection,,,0.59,3.7,11
HCPCS,J0595,BUTORPHANOL 10 MG/ML NASAL SPRAY [9335],130.3,130.3,,,0
HCPCS,J0595,Butorphanol tartrate 1 mg,,,4.28,6.8,4
HCPCS,J0596,"C1 ESTERASE INHIBITOR, RECOMBINANT 2,100 UNIT INTRAVENOUS SOLUTION [170937]",51238.880000000005,51238.880000000005,,,0
HCPCS,J0596,"Injection, ruconest",,,24.48,154.55,11
HCPCS,J0597,"C-1 esterase, berinert",,,50.49,318.87,11
HCPCS,J0597,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT [100272],25918.4,25918.4,,,0
HCPCS,J0597,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SOLUTION [130504],25918.4,25918.4,,,0
HCPCS,J0598,"C-1 esterase, cinryze",,,43.68,275.86,11
HCPCS,J0599,"Inj., haegarda 10 units",,,8.54,13.55,5
HCPCS,J0600,EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION [9916],13993.96,13993.96,,,0
HCPCS,J0600,Edetate calcium disodium inj,,,4265.8,26937.61,11
HCPCS,J0601,SEVELAMER CARBONATE 800 MG TABLET [89201],15.84,15.84,,,0
HCPCS,J0601,Sevelamer carbonate 20 mg,,,0.01,0.01,5
HCPCS,J0602,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],46.9,46.9,,,0
HCPCS,J0602,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET [99695],40.86,40.86,,,0
HCPCS,J0602,Sevelamer carbonate pdr 20mg,,,0.04,0.06,5
HCPCS,J0603,SEVELAMER HCL 400 MG TABLET [28714],34.89,34.89,,,0
HCPCS,J0603,SEVELAMER HCL 800 MG TABLET [28715],41.73,41.73,,,0
HCPCS,J0603,Sevelamer hydrochloride 20mg,,,0.07,0.11,5
HCPCS,J0604,CINACALCET 30 MG TABLET [38100],177.15,177.15,,,0
HCPCS,J0604,CINACALCET 60 MG TABLET [38101],101.53,101.53,,,0
HCPCS,J0604,CINACALCET 90 MG TABLET [38102],93.02,93.02,,,0
HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,0.01,0.9,6
HCPCS,J0605,Sucroferric oxyhydroxide 5mg,,,0.13,0.2,5
HCPCS,J0606,ETELCALCETIDE 5 MG/ML INTRAVENOUS SOLUTION [188718],1147.9,1147.9,,,0
HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,2.29,9.61,9
HCPCS,J0607,"LANTHANUM 1,000 MG CHEWABLE TABLET [43548]",19.07,19.07,,,0
HCPCS,J0607,LANTHANUM 750 MG CHEWABLE TABLET [43547],32.15,32.15,,,0
HCPCS,J0607,Lanthanum carbonate oral 5mg,,,0.04,0.06,5
HCPCS,J0608,Lanthanum carbonate pwdr 5mg,,,0.04,0.07,5
HCPCS,J0609,Ferric citrate orl 3 mg iron,,,0.08,0.12,5
HCPCS,J0610,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],56.0,56.0,,,0
HCPCS,J0610,Calcium gluconate injection,,,3.81,6.05,4
HCPCS,J0611,Calcium glucon (wg critical),,,2.78,4.42,4
HCPCS,J0612,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [192598]",37.0,37.0,,,0
HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],42.875,42.875,,,0
HCPCS,J0612,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION [194017]",80.0,80.0,,,0
HCPCS,J0612,Calcium glucon (fresenius),,,0.03,0.04,5
HCPCS,J0613,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION [194017]",85.0,85.0,,,0
HCPCS,J0613,Calcium glucon (wg critical),,,0.06,0.09,5
HCPCS,J0614,"Inj, treosulfan, 50 mg",,,21.52,135.9,9
HCPCS,J0615,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],10.0,10.0,,,0
HCPCS,J0615,"Calcium acetate, oral, 23 mg",,,0.01,0.02,5
HCPCS,J0616,Inj metoprolol tartrate 1 mg,,,0.08,0.13,5
HCPCS,J0616,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.715,6.715,,,0
HCPCS,J0618,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [119902],18.075,18.075,,,0
HCPCS,J0618,"Inj, calcium chloride, 2 mg",,,0.02,0.03,5
HCPCS,J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],12574.400000000001,12574.400000000001,,,0
HCPCS,J0630,Calcitonin salmon injection,,,564.48,1950.1,7
HCPCS,J0636,Inj calcitriol per 0.1 mcg,,,0.7,1.11,4
HCPCS,J0637,CASPOFUNGIN 0.5 MG/ML LOCK FLUSH [40814006],63.16,63.16,,,0
HCPCS,J0637,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],205.0,205.0,,,0
HCPCS,J0637,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION [29568],349.2,349.2,,,0
HCPCS,J0637,Caspofungin acetate,,,2.36,3.74,5
HCPCS,J0638,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION [186180],80275.05,80275.05,,,0
HCPCS,J0638,Canakinumab injection,,,94.26,595.23,11
HCPCS,J0640,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION [15426],77.2,77.2,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],43.64,43.64,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION [4394],78.94999999999999,78.94999999999999,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION [23617],22.88,22.88,,,0
HCPCS,J0640,Leucovorin calcium injection,,,2.14,3.4,4
HCPCS,J0641,LEVOLEUCOVORIN CALCIUM 50 MG INTRAVENOUS POWDER FOR SOLUTION [92838],165.75,165.75,,,0
HCPCS,J0641,Levoleucovorin injection,,,0.04,0.38,6
HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,0.95,1.71,6
HCPCS,J0650,"Inj, levothyroxine nos 10mcg",,,4.57,7.26,5
HCPCS,J0651,"Inj, levothyroxine, freskabi",,,4.55,28.71,11
HCPCS,J0651,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION [193585],125.07,125.07,,,0
HCPCS,J0651,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION [113058],142.96,142.96,,,0
HCPCS,J0652,"Inj, levothyroxine, hikma",,,3.42,9.91,7
HCPCS,J0652,LEVOTHYROXINE 40 MCG/ML INTRAVENOUS SOLUTION [193586],140.07,140.07,,,0
HCPCS,J0654,"Inj, liothyronine, 1 mcg",,,29.85,173.14,7
HCPCS,J0665,BUPIVACAINE (PF) 0.06% IN 0.9% SODIUM CHLORIDE EPIDURAL [351028],12.5,12.5,,,0
HCPCS,J0665,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],6.9,6.9,,,0
HCPCS,J0665,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],8.315000000000001,8.315000000000001,,,0
HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],7.9,7.9,,,0
HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],6.775,6.775,,,0
HCPCS,J0665,BUPIVACAINE 0.06% IN 100 ML NS [351014],5.0,5.0,,,0
HCPCS,J0665,BUPIVACAINE 0.25% (2.5 MG/ML) ON-Q PUMP IN 0.9% SODIUM CHLORIDE 400 ML [40818031],64.0,64.0,,,0
HCPCS,J0665,BUPIVACAINE 0.25% (2.5MG/ML) IN ON-Q PUMP [408377],928.0,928.0,,,0
HCPCS,J0665,BUPIVACAINE 0.5% (5MG/ML) IN ON-Q PUMP [408375],1280.0,1280.0,,,0
HCPCS,J0665,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [119318],5.05,5.05,,,0
HCPCS,J0665,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],5.0,5.0,,,0
HCPCS,J0665,"Inj, bupivacaine, nos, 0.5mg",,,0.01,0.01,5
HCPCS,J0666,"Inj, bupivacaine liposome",,,1.45,6.18,6
HCPCS,J0668,"Instill, bupivac and meloxic",,,0.77,3.39,4
HCPCS,J0670,Inj mepivacaine HCL/10 ml,,,2.63,4.18,4
HCPCS,J0670,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [105637],10.425,10.425,,,0
HCPCS,J0670,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION [10529],26.4,26.4,,,0
HCPCS,J0670,MEPIVACAINE 2 % INJECTION SOLUTION [4915],5.0,5.0,,,0
HCPCS,J0675,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],934.865,934.865,,,0
HCPCS,J0675,"Inj, carboprost, 0.1 mg",,,21.17,214.59,8
HCPCS,J0681,Inj ceftobipole medocarl 3mg,,,0.75,4.58,8
HCPCS,J0687,CEFAZOLIN 500 MG SOLUTION FOR INJECTION [1448],7.6,7.6,,,0
HCPCS,J0687,Inj cefazolin (wg crit care),,,0.63,1.93,7
HCPCS,J0688,"Inj cefazolin sodium, hikma",,,0.62,1.75,6
HCPCS,J0689,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [25365],13.75,13.75,,,0
HCPCS,J0689,"Inj cefazolin sodium, baxter",,,0.86,1.37,5
HCPCS,J0690,CEFAZOLIN (ANCEF) 3 GRAM/100 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUSK [408101],6.0,6.0,,,0
HCPCS,J0690,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],5.07,5.07,,,0
HCPCS,J0690,CEFAZOLIN 1 GRAM/50 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40817024],5.0,5.0,,,0
HCPCS,J0690,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [25365],5.0,5.0,,,0
HCPCS,J0690,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],33.835,33.835,,,0
HCPCS,J0690,CEFAZOLIN 2 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [125580],6.5,6.5,,,0
HCPCS,J0690,CEFAZOLIN 2 GRAM/50 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [180710],6.75,6.75,,,0
HCPCS,J0690,CEFAZOLIN 2 GRAM/50 ML IN D5W IV WRAPPER [351224],35.15,35.15,,,0
HCPCS,J0690,CEFAZOLIN 200 MG IN DEXTROSE 5% 50 ML IVPB (DESENSITIZATION) [408765],5.0,5.0,,,0
HCPCS,J0690,CEFAZOLIN 200 MG/1 ML SUBCONJUNCTIVAL INJECTION [500297],5.0,5.0,,,0
HCPCS,J0690,CEFAZOLIN 3 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [178492],47.325,47.325,,,0
HCPCS,J0690,CEFAZOLIN 3 GRAM/150 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [212041],33.375,33.375,,,0
HCPCS,J0690,CEFAZOLIN 500 MG SOLUTION FOR INJECTION [1448],12.42,12.42,,,0
HCPCS,J0690,CEFAZOLIN 500 MG/50 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40817022],5.0,5.0,,,0
HCPCS,J0690,CEFAZOLIN 750 MG/30 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40817023],5.0,5.0,,,0
HCPCS,J0690,CEFAZOLIN IN D5W IV SYRINGE 100 MG/ML (PEDIATRIC) SIMPLE [500931],10.0,10.0,,,0
HCPCS,J0690,CEFAZOLIN IN NS IV SYRINGE 100 MG/ML (PEDIATRIC) SIMPLE [40817021],5.0,5.0,,,0
HCPCS,J0690,CEFAZOLIN IVPB 500 MG/25 ML [400149],5.0,5.0,,,0
HCPCS,J0690,CEFAZOLIN IVPB 500 MG/50 ML [400010],5.0,5.0,,,0
HCPCS,J0690,CEFAZOLIN IVPB 750 MG/30 ML [500122],5.0,5.0,,,0
HCPCS,J0690,Cefazolin sodium injection,,,0.53,0.84,4
HCPCS,J0691,Inj lefamulin 1 mg,,,0.48,0.79,6
HCPCS,J0692,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],5.390000000000001,5.390000000000001,,,0
HCPCS,J0692,CEFEPIME 1 MG/ML LOCK SOLUTION [40814005],5.0,5.0,,,0
HCPCS,J0692,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],33.025,33.025,,,0
HCPCS,J0692,Cefepime hcl for injection,,,0.81,1.29,4
HCPCS,J0693,"Inj., cefiderocol, 5 mg",,,0.67,1.06,5
HCPCS,J0694,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],18.78,18.78,,,0
HCPCS,J0694,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],37.56,37.56,,,0
HCPCS,J0694,Cefoxitin sodium injection,,,3.18,5.05,4
HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION [176918],527.2,527.2,,,0
HCPCS,J0695,Inj ceftolozane tazobactam,,,6.04,38.11,11
HCPCS,J0696,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],11.15,11.15,,,0
HCPCS,J0696,CEFTRIAXONE 1 GRAM/50 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40812011],5.0,5.0,,,0
HCPCS,J0696,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK [9492],45.0,45.0,,,0
HCPCS,J0696,CEFTRIAXONE 1.5 G/40 ML DEXTROSE 5% [501500],33.6,33.6,,,0
HCPCS,J0696,CEFTRIAXONE 1.5 GRAM/40 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40812012],7.6,7.6,,,0
HCPCS,J0696,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION [9491],63.175000000000004,63.175000000000004,,,0
HCPCS,J0696,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],15.280000000000001,15.280000000000001,,,0
HCPCS,J0696,CEFTRIAXONE 2 GRAM/50 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40812013],10.0,10.0,,,0
HCPCS,J0696,CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9493],78.5,78.5,,,0
HCPCS,J0696,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],5.0,5.0,,,0
HCPCS,J0696,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],5.0,5.0,,,0
HCPCS,J0696,CEFTRIAXONE 750 MG/30 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40812010],5.0,5.0,,,0
HCPCS,J0696,CEFTRIAXONE IV 750 MG/30 ML DEXTROSE 5% [501506],25.2,25.2,,,0
HCPCS,J0696,CEFTRIAXONE IV SYRINGE 40 MG/ML (PEDIATRIC) [500123],6.75,6.75,,,0
HCPCS,J0696,CEFTRIAXONE IV SYRINGE 40 MG/ML IN 0.9 % SODIUM CHLORIDE (PEDIATRIC) [40812014],5.0,5.0,,,0
HCPCS,J0696,Ceftriaxone sodium injection,,,0.28,0.45,4
HCPCS,J0697,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],6.7,6.7,,,0
HCPCS,J0697,Sterile cefuroxime injection,,,1.23,1.95,4
HCPCS,J0698,Cefotaxime sodium injection,,,6.92,10.98,4
HCPCS,J0699,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION [195970],1098.425,1098.425,,,0
HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,1.61,10.17,11
HCPCS,J0701,CEFEPIME 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [93837],132.75,132.75,,,0
HCPCS,J0701,CEFEPIME 2 GRAM/100 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [93838],213.0,213.0,,,0
HCPCS,J0701,Inj. cefepime hcl (baxter),,,4.03,6.39,5
HCPCS,J0702,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [9266],134.8,134.8,,,0
HCPCS,J0702,Betamethasone acet&sod phosp,,,4.63,7.35,4
HCPCS,J0703,CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [105552],82.7,82.7,,,0
HCPCS,J0703,"Inj, cefepime hcl (b braun)",,,3.3,5.24,5
HCPCS,J0706,Caffeine citrate injection,,,0.86,1.36,4
HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [107671],349.52,349.52,,,0
HCPCS,J0712,Ceftaroline fosamil inj,,,2.82,17.77,11
HCPCS,J0713,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],21.38,21.38,,,0
HCPCS,J0713,CEFTAZIDIME 1 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9479],88.75,88.75,,,0
HCPCS,J0713,CEFTAZIDIME 2 G/50 ML D5W [500173],82.0,82.0,,,0
HCPCS,J0713,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],47.5,47.5,,,0
HCPCS,J0713,CEFTAZIDIME 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9480],163.25,163.25,,,0
HCPCS,J0713,CEFTAZIDIME IV SYRINGE 100 MG/ML (PEDIATRIC) [400254],85.505,85.505,,,0
HCPCS,J0713,CEFTAZIDIME IVPB 1.5 G/ 35 ML [500118],175.0,175.0,,,0
HCPCS,J0713,CEFTAZIDIME IVPB IN 30 ML [400011],40.05,40.05,,,0
HCPCS,J0713,CEFTAZIDIME SUBCONJUNCTIVAL INJECTION 200 MG/1 ML [500177],5.0,5.0,,,0
HCPCS,J0713,Inj ceftazidime per 500 mg,,,1.05,1.66,4
HCPCS,J0714,Ceftazidime and avibactam,,,69.72,440.23,11
HCPCS,J0716,Centruroides immune f(ab),,,3701.65,20479.2,10
HCPCS,J0717,CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT [91495],16782.6,16782.6,,,0
HCPCS,J0717,CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT [97853],8391.3,8391.3,,,0
HCPCS,J0717,Certolizumab pegol inj 1mg,,,2.6,16.45,11
HCPCS,J0718,Certolizumab pegol inj,,,4.45,7.06,4
HCPCS,J0720,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION [25518],144.21,144.21,,,0
HCPCS,J0720,Chloramphenicol sodium injec,,,34.33,211.27,7
HCPCS,J0725,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION [1676]",443.01,443.01,,,0
HCPCS,J0725,Chorionic gonadotropin/1000u,,,12.27,19.48,4
HCPCS,J0735,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",10.2,10.2,,,0
HCPCS,J0735,Clonidine hydrochloride,,,12.1,19.2,4
HCPCS,J0736,CLINDAMYCIN (CLEOCIN) 1.5 MG/ML FOR ALLERGY TESTING [40816073],5.0,5.0,,,0
HCPCS,J0736,CLINDAMYCIN (CLEOCIN) 15 MG/ML FOR ALLERGY TESTING [40816072],5.0,5.0,,,0
HCPCS,J0736,CLINDAMYCIN (PF) 10 MG/ML (1 MG/ 0.1 ML) IN 0.9% NACL INTRAVITREAL [4081414],5.0,5.0,,,0
HCPCS,J0736,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],9.614999999999998,9.614999999999998,,,0
HCPCS,J0736,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],5.0,5.0,,,0
HCPCS,J0736,CLINDAMYCIN IV SYRINGE 15 MG/ML (PEDIATRIC) [400059],16.7,16.7,,,0
HCPCS,J0736,"Inj, clindamycin phosp 300mg",,,1.22,1.93,5
HCPCS,J0737,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9625],15.75,15.75,,,0
HCPCS,J0737,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],37.375,37.375,,,0
HCPCS,J0737,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],27.75,27.75,,,0
HCPCS,J0737,"Inj, clindamycin (baxter)",,,1.47,2.33,5
HCPCS,J0738,"Hiv prep, inj, lenacapavir",,,10.74,67.82,9
HCPCS,J0739,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE [202392]",18500.0,18500.0,,,0
HCPCS,J0739,"Injection, cabotegravir 1 mg",,,4.67,29.51,11
HCPCS,J0740,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378],2284.79,2284.79,,,0
HCPCS,J0740,Cidofovir injection,,,363.65,2296.35,11
HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,15.74,99.41,11
HCPCS,J0742,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION [195715],964.355,964.355,,,0
HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,1.73,5.03,7
HCPCS,J0743,Cilastatin sodium injection,,,6.82,10.83,4
HCPCS,J0743,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],125.75999999999999,125.75999999999999,,,0
HCPCS,J0744,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],12.25,12.25,,,0
HCPCS,J0744,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108132],19.0,19.0,,,0
HCPCS,J0744,Ciprofloxacin iv,,,1.93,3.06,4
HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,1.15,7.29,11
HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,47.48,299.81,11
HCPCS,J0752,"Hiv prep, oral lenacapavir",,,298.9,1887.5,9
HCPCS,J0759,"Inj, clevidepine, 1 mg",,,2.49,11.97,8
HCPCS,J0770,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],50.97,50.97,,,0
HCPCS,J0770,Colistimethate sodium inj,,,8.69,13.8,4
HCPCS,J0775,"Collagenase, clost hist inj",,,50.53,319.07,11
HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],14.01,14.01,,,0
HCPCS,J0780,Prochlorperazine injection,,,1.2,1.91,4
HCPCS,J0791,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION [195272],39364.24,39364.24,,,0
HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,86.19,544.27,11
HCPCS,J0795,Corticorelin ovine triflutal,,,9.67,9.67,1
HCPCS,J0800,Corticotropin injection,,,2467.84,3917.2,4
HCPCS,J0801,CORTICOTROPIN 80 UNIT/ML INJECTION GEL [9685],29169.0,29169.0,,,0
HCPCS,J0801,Inj. acthar gel to 40 units,,,2752.26,17379.88,10
HCPCS,J0802,"Inj. (ani), up to 40 units",,,2352.84,14857.7,10
HCPCS,J0834,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],443.03,443.03,,,0
HCPCS,J0834,COSYNTROPIN LOW DOSE TEST [351207],50.0,50.0,,,0
HCPCS,J0834,Cosyntropin cortrosyn inj,,,16.89,26.81,4
HCPCS,J0840,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [29313],81599.25,81599.25,,,0
HCPCS,J0840,Crotalidae poly immune fab,,,1217.3,7687.0,11
HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,695.72,4393.29,11
HCPCS,J0850,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],8784.25,8784.25,,,0
HCPCS,J0850,Cytomegalovirus imm IV /vial,,,1203.94,7602.64,11
HCPCS,J0870,IMETELSTAT 188 MG INTRAVENOUS SOLUTION [211242],49420.0,49420.0,,,0
HCPCS,J0870,IMETELSTAT 47 MG INTRAVENOUS SOLUTION [211240],68515.05,68515.05,,,0
HCPCS,J0870,"Injection, imetelstat, 1 mg",,,37.96,239.71,11
HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.03,0.34,7
HCPCS,J0873,"Inj, daptomycin (xellia)",,,0.03,0.08,6
HCPCS,J0874,"DAPTOMYCIN 1,000 MG/100 ML IN 0.9 % SODIUM CHLOR INTRAVENOUS PIGGYBACK [208827]",146.96,146.96,,,0
HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.04,0.07,6
HCPCS,J0875,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [170374],14521.8,14521.8,,,0
HCPCS,J0875,"Injection, dalbavancin",,,10.4,65.63,11
HCPCS,J0877,"Inj, daptomycin (hospira)",,,0.04,0.06,5
HCPCS,J0878,DAPTOMYCIN 5 MG/ML LOCK SOLUTION [350513],5.69,5.69,,,0
HCPCS,J0878,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],71.95,71.95,,,0
HCPCS,J0878,Daptomycin injection,,,0.02,0.03,5
HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.15,0.24,2
HCPCS,J0881,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE [76334],4430.475,4430.475,,,0
HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,1.95,12.3,11
HCPCS,J0882,DARBEPOETIN ALFA 10 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [176609],327.92,327.92,,,0
HCPCS,J0882,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [108044],2373.13,2373.13,,,0
HCPCS,J0882,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [108047],3544.4,3544.4,,,0
HCPCS,J0882,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE [108041],593.28,593.28,,,0
HCPCS,J0882,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [108042],949.355,949.355,,,0
HCPCS,J0882,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [108043],1423.79,1423.79,,,0
HCPCS,J0882,"Darbepoetin alfa, esrd use",,,1.95,12.3,11
HCPCS,J0883,Argatroban nonesrd use 1mg,,,0.53,3.35,11
HCPCS,J0884,ARGATROBAN 1 MG/ML IN SODIUM CHLORIDE IV INFUSION [351045],589.5,589.5,,,0
HCPCS,J0884,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],254.95,254.95,,,0
HCPCS,J0884,Argatroban esrd dialysis 1mg,,,1.45,1.45,1
HCPCS,J0885,"EPOETIN ALFA (PROCRIT) 10,000 UNIT/ML INJECTION SOLUTION [350118]",552.99,552.99,,,0
HCPCS,J0885,"EPOETIN ALFA (PROCRIT) 2,000 UNIT/ML INJECTION SOLUTION [350115]",202.77,202.77,,,0
HCPCS,J0885,"EPOETIN ALFA (PROCRIT) 20,000 UNIT/ML INJECTION SOLUTION [350119]",369.4,369.4,,,0
HCPCS,J0885,"EPOETIN ALFA (PROCRIT) 3,000 UNIT/ML INJECTION SOLUTION [350116]",304.14,304.14,,,0
HCPCS,J0885,"EPOETIN ALFA (PROCRIT) 4,000 UNIT/ML INJECTION SOLUTION [350117]",608.29,608.29,,,0
HCPCS,J0885,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION [24513]",369.4,369.4,,,0
HCPCS,J0885,"Epoetin alfa, non-esrd",,,5.69,35.91,11
HCPCS,J0886,"Epoetin alfa, esrd",,,10.72,17.02,4
HCPCS,J0887,Epoetin beta esrd use,,,0.98,1.71,6
HCPCS,J0888,Epoetin beta non esrd,,,0.98,2.72,7
HCPCS,J0889,Daprodustat oral 1mg esrd,,,2.76,4.38,5
HCPCS,J0890,Peginesatide injection,,,8.2,10.39,2
HCPCS,J0891,Argatroban nonesrd (accord),,,0.63,7.63,10
HCPCS,J0892,Argatroban dialysis (accord),,,0.63,4.44,6
HCPCS,J0893,"Inj, decitabine (sun pharma)",,,0.52,0.82,5
HCPCS,J0894,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],109.74,109.74,,,0
HCPCS,J0894,Decitabine injection,,,0.81,1.29,5
HCPCS,J0895,DEFEROXAMINE (DESFERAL) 500 MG VIAL COMPONENT FOR IV MIXTURE [40817050],92.25,92.25,,,0
HCPCS,J0895,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],137.85,137.85,,,0
HCPCS,J0895,Deferoxamine mesylate inj,,,6.0,9.52,4
HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,27.95,176.47,11
HCPCS,J0896,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION [195252],45974.17,45974.17,,,0
HCPCS,J0896,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION [195253],45974.13,45974.13,,,0
HCPCS,J0897,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [106804],12731.425000000001,12731.425000000001,,,0
HCPCS,J0897,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [105502],6835.9,6835.9,,,0
HCPCS,J0897,Denosumab injection,,,19.56,123.5,11
HCPCS,J0898,Argatroban nonesrd (auromed),,,1.08,2.8,7
HCPCS,J0899,ARGATROBAN 1 MG/ML IN SODIUM CHLORIDE IV INFUSION [351045],780.0,780.0,,,0
HCPCS,J0899,"Argatroban dialysis, auromed",,,1.08,2.4,6
HCPCS,J0901,Vadadustat oral 1mg for esrd,,,0.14,0.14,1
HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,0.9,26.94,6
HCPCS,J1000,Depo-estradiol cypionate inj,,,32.8,52.07,4
HCPCS,J1010,"Inj, methylpred acetate 1 mg",,,0.08,0.23,6
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],15.530000000000001,15.530000000000001,,,0
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],65.28,65.28,,,0
HCPCS,J1020,Methylprednisolone 20 MG inj,,,5.01,7.96,4
HCPCS,J1030,Methylprednisolone 40 MG inj,,,6.27,9.95,4
HCPCS,J1040,Methylprednisolone 80 MG inj,,,11.01,17.48,4
HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML IM VIAL/SYRINGE (FAM) [500587],229.94,229.94,,,0
HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],123.35,123.35,,,0
HCPCS,J1050,Medroxyprogesterone acetate,,,0.38,0.6,4
HCPCS,J1051,Medroxyprogesterone inj,,,7.13,11.31,4
HCPCS,J1070,Testosterone cypionat 100 MG,,,3.19,5.07,4
HCPCS,J1071,Inj testosterone cypionate,,,0.02,0.03,4
HCPCS,J1071,TESTOSTERONE CYPIONATE 100 MG/ML INTRAMUSCULAR OIL [7783],35.59,35.59,,,0
HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],34.55,34.55,,,0
HCPCS,J1072,"Inj, testosterone, azmiro",,,0.88,5.57,11
HCPCS,J1073,Testosterone pellet 75 mg,,,74.18,319.92,7
HCPCS,J1080,Testosterone cypionat 200 MG,,,5.72,9.08,4
HCPCS,J1095,"Injection, dexamethasone 9%",,,0.81,1.29,5
HCPCS,J1096,Dexametha opth insert 0.1 mg,,,68.52,432.69,9
HCPCS,J1097,Phenylep ketorolac opth soln,,,83.26,407.37,8
HCPCS,J1100,DEXAMETHASONE 10 MG/50 ML IN 0.9 % SOD.CHLORIDE  INTRAVENOUS PIGGYBACK [130342],250.0,250.0,,,0
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],21.265,21.265,,,0
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],5.0,5.0,,,0
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],11.25,11.25,,,0
HCPCS,J1100,DEXAMETHASONE SUBCONJUCTIVAL 4 MG/ML [500518],36.41,36.41,,,0
HCPCS,J1100,Dexamethasone sodium phos,,,0.06,0.1,4
HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,0.75,1.23,2
HCPCS,J1110,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [9859],295.74,295.74,,,0
HCPCS,J1110,Inj dihydroergotamine mesylt,,,39.94,63.4,4
HCPCS,J1120,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],61.8,61.8,,,0
HCPCS,J1120,Acetazolamid sodium injectio,,,13.21,20.97,4
HCPCS,J1130,Inj diclofenac sodium 0.5mg,,,0.21,0.21,1
HCPCS,J1160,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION [9853],395.55,395.55,,,0
HCPCS,J1160,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [119668],14.3,14.3,,,0
HCPCS,J1160,Digoxin injection,,,6.03,9.57,4
HCPCS,J1162,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432],10933.75,10933.75,,,0
HCPCS,J1162,Digoxin immune fab (ovine),,,3440.29,21724.65,11
HCPCS,J1163,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],6.05,6.05,,,0
HCPCS,J1163,"Inj, diltiazem hcl, 0.5 mg",,,0.02,0.03,5
HCPCS,J1165,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],6.365,6.365,,,0
HCPCS,J1165,Phenytoin sodium injection,,,0.3,0.48,4
HCPCS,J1170,Hydromorphone injection,,,2.69,4.27,4
HCPCS,J1171,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN [128893],52.5,52.5,,,0
HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION [119715],6.525,6.525,,,0
HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE [3757],9.54,9.54,,,0
HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/ML SYRINGE FOR CONTINUOUS INFUSION [40817031],7.8,7.8,,,0
HCPCS,J1171,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],62.68000000000001,62.68000000000001,,,0
HCPCS,J1171,HYDROMORPHONE 0.1 MG/ML PEDI LOW PCA-OPIOID TOLERANT [500067],5.0,5.0,,,0
HCPCS,J1171,HYDROMORPHONE 0.25 MG/0.5 ML INJECTION SYRINGE [209911],23.54,23.54,,,0
HCPCS,J1171,HYDROMORPHONE 0.5 MG/ML PEDI MED PCA - OPIOID TOLERANT [500069],24.25,24.25,,,0
HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE WRAPPER [40814001],12.685,12.685,,,0
HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE [122812],11.98,11.98,,,0
HCPCS,J1171,HYDROMORPHONE 1 MG/ML PCA - OPIOID TOLERANT [300017],48.25,48.25,,,0
HCPCS,J1171,HYDROMORPHONE 1 MG/ML PCA - OPIOID TOLERANT [500062],149.0,149.0,,,0
HCPCS,J1171,HYDROMORPHONE 10 MG/ML PEDI CONC PCA - OPIOID TOLERANT [500071],481.25,481.25,,,0
HCPCS,J1171,HYDROMORPHONE 150 MG/50 ML IN 0.9% SODIUM CHLORIDE INFUSION [40817020],144.5,144.5,,,0
HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [121573],10.11,10.11,,,0
HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION WRAPPER [40817177],10.0,10.0,,,0
HCPCS,J1171,HYDROMORPHONE 4 MG/ML INJECTION SYRINGE [3759],7.08,7.08,,,0
HCPCS,J1171,HYDROMORPHONE 50 MG/50 ML IN 0.9 % SODIUM CHLORIDE INJECTION [30795],48.25,48.25,,,0
HCPCS,J1171,"Inj, hydromorphone, 0.1 mg",,,0.06,0.1,5
HCPCS,J1190,DEXRAZOXANE HCL (FOR EXTRAVASATION) 500 MG INTRAVENOUS SOLUTION [188141],6127.65,6127.65,,,0
HCPCS,J1190,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION [15156],2929.1,2929.1,,,0
HCPCS,J1190,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],1054.1799999999998,1054.1799999999998,,,0
HCPCS,J1190,Dexrazoxane hcl injection,,,41.98,265.07,11
HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],25.0,25.0,,,0
HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SYRINGE [121570],5.195,5.195,,,0
HCPCS,J1200,DIPHENHYDRAMINE HCL 25 MG/50 ML IN 0.9 % SODIUM CHLORIDE IV PIGGYBACK [130332],25.0,25.0,,,0
HCPCS,J1200,DIPHENHYDRAMINE HCL 50 MG/50 ML IN 0.9 % SODIUM CHLORIDE IV PIGGYBACK [130333],25.0,25.0,,,0
HCPCS,J1200,Diphenhydramine hcl injectio,,,0.5,0.8,4
HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,10.99,69.42,11
HCPCS,J1202,Miglustat oral 65 mg,,,23.95,38.02,5
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,60.72,383.41,11
HCPCS,J1205,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],243.35,243.35,,,0
HCPCS,J1205,Chlorothiazide sodium inj,,,26.26,41.68,5
HCPCS,J1212,Dimethyl sulfoxide 50% 50 ML,,,498.47,3147.77,11
HCPCS,J1230,METHADONE 1 MG/ML IN NS SYRINGE [500042],167.0,167.0,,,0
HCPCS,J1230,METHADONE 10 MG/ML INJECTION SOLUTION [10546],951.25,951.25,,,0
HCPCS,J1230,METHADONE 10 MG/ML INTRAVENOUS SYRINGE [129911],58.474999999999994,58.474999999999994,,,0
HCPCS,J1230,Methadone injection,,,12.86,20.42,4
HCPCS,J1240,Dimenhydrinate injection,,,4.09,6.49,4
HCPCS,J1246,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION [178509],37500.0,37500.0,,,0
HCPCS,J1250,DOBUTAMINE 1 MG/ML IN 0.9% SODIUM CHLORIDE [500907],24.88,24.88,,,0
HCPCS,J1250,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],20.1,20.1,,,0
HCPCS,J1250,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN D5W (LPG) [500360],338.75,338.75,,,0
HCPCS,J1250,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [18315]",30.0,30.0,,,0
HCPCS,J1250,Inj dobutamine HCL/250 mg,,,4.71,7.48,4
HCPCS,J1250,PR INJ DOBUTAMINE HCL/250 MG,18.8,18.8,,,0
HCPCS,J1265,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [128102],75.25,75.25,,,0
HCPCS,J1265,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION [2595],7.955,7.955,,,0
HCPCS,J1265,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [128099],5.95,5.95,,,0
HCPCS,J1265,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14845]",27.5,27.5,,,0
HCPCS,J1265,DOPAMINE 400 MG/250 ML (1600 MCG/ML) IN 0.9% SODIUM CHLORIDE BAG [500913],21.3,21.3,,,0
HCPCS,J1265,DOPAMINE 5 MG/ML IV IN D5W [500915],72.25,72.25,,,0
HCPCS,J1265,DOPAMINE 80 MG/50 ML (1600 MCG/ML) D5W INFUSION [191032],5.5,5.5,,,0
HCPCS,J1265,Dopamine injection,,,0.55,0.88,4
HCPCS,J1270,"Injection, doxercalciferol",,,0.23,0.37,4
HCPCS,J1271,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],66.97,66.97,,,0
HCPCS,J1271,Inj doxycycline hyclate 1 mg,,,0.08,0.12,5
HCPCS,J1290,ECALLANTIDE 10 MG/ML (1 ML) SUBCUTANEOUS SOLUTION [100698],59550.0,59550.0,,,0
HCPCS,J1290,Ecallantide injection,,,386.06,2437.88,11
HCPCS,J1299,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [81696],30434.85,30434.85,,,0
HCPCS,J1299,"Inj, eculizumab, 2 mg",,,29.84,188.41,11
HCPCS,J1300,Eculizumab injection,,,153.42,249.83,5
HCPCS,J1301,"Injection, edaravone, 1 mg",,,13.97,88.24,11
HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,12.56,79.28,11
HCPCS,J1302,SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION [202832],57272.6,57272.6,,,0
HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,149.85,946.24,11
HCPCS,J1303,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [198352],320199.96,320199.96,,,0
HCPCS,J1304,Inj tofersen intrathec 1 mg,,,106.1,670.04,11
HCPCS,J1304,TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION [207230],71150.0,71150.0,,,0
HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,128.98,814.46,11
HCPCS,J1306,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE [202291],16250.01,16250.01,,,0
HCPCS,J1306,"Injection, inclisiran, 1 mg",,,8.2,51.78,11
HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,367.11,2318.28,11
HCPCS,J1308,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [127439],5.0,5.0,,,0
HCPCS,J1308,FAMOTIDINE (PF) 20 MG/50 ML IN 0.9 % NACL (ISO) INTRAVENOUS PIGGYBACK [12735],6.25,6.25,,,0
HCPCS,J1308,"Inj, famotidine, 0.25 mg",,,0.01,0.01,5
HCPCS,J1322,"Elosulfase alfa, injection",,,205.48,1297.55,11
HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,122.53,773.75,11
HCPCS,J1324,ENFUVIRTIDE 90 MG SUBCUTANEOUS SOLUTION [114315],251.39,251.39,,,0
HCPCS,J1324,Enfuvirtide injection,,,0.47,5.58,6
HCPCS,J1325,EPOPROSTENOL (GLYCINE) 0.5 MG INTRAVENOUS SOLUTION [15897],233.6,233.6,,,0
HCPCS,J1325,EPOPROSTENOL (GLYCINE) 1.5 MG INTRAVENOUS SOLUTION [15898],282.15,282.15,,,0
HCPCS,J1325,"EPOPROSTENOL (VELETRI) 10,000 NG/ML INFUSION - CADD SOLIS PUMP [40816132]",282.0,282.0,,,0
HCPCS,J1325,"EPOPROSTENOL (VELETRI) 15,000 NG/ML INFUSION - CADD SOLIS PUMP [40816133]",282.0,282.0,,,0
HCPCS,J1325,"EPOPROSTENOL (VELETRI) 3,000 NG/ML INFUSION - CADD SOLIS PUMP [40816130]",84.5,84.5,,,0
HCPCS,J1325,"EPOPROSTENOL (VELETRI) 30,000 NG/ML 50 ML INHALATION SYRINGE [40816074]",282.0,282.0,,,0
HCPCS,J1325,"EPOPROSTENOL (VELETRI) 30,000 NG/ML INFUSION - CADD SOLIS PUMP [40816134]",564.0,564.0,,,0
HCPCS,J1325,"EPOPROSTENOL (VELETRI) 45,000 NG/ML INFUSION - CADD SOLIS PUMP [40816135]",846.0,846.0,,,0
HCPCS,J1325,"EPOPROSTENOL (VELETRI) 5,000 NG/ML INFUSION - CADD SOLIS PUMP [40816131]",141.0,141.0,,,0
HCPCS,J1325,"EPOPROSTENOL (VELETRI) 60,000 NG/ML INFUSION - CADD SOLIS PUMP [40816136]",1128.0,1128.0,,,0
HCPCS,J1325,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION [130862],141.0,141.0,,,0
HCPCS,J1325,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION [129810],282.0,282.0,,,0
HCPCS,J1325,Epoprostenol injection,,,10.79,17.12,4
HCPCS,J1326,"Inj, zolbetuximab-clzb, 2 mg",,,22.44,141.7,10
HCPCS,J1326,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION [212372],85440.0,85440.0,,,0
HCPCS,J1327,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],297.25,297.25,,,0
HCPCS,J1327,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION [23124],49.22,49.22,,,0
HCPCS,J1327,Eptifibatide injection,,,2.99,12.57,9
HCPCS,J1335,ERTAPENEM (INVANZ)1 G VIAL FOR IM USE ONLY [40818022],295.315,295.315,,,0
HCPCS,J1335,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],49.25,49.25,,,0
HCPCS,J1335,Ertapenem injection,,,6.56,10.42,4
HCPCS,J1364,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],397.765,397.765,,,0
HCPCS,J1364,Erythro lactobionate /500 MG,,,43.02,90.96,5
HCPCS,J1370,"Inj, esomeprazole sod, 1 mg",,,0.14,0.54,5
HCPCS,J1380,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL [2932],89.3,89.3,,,0
HCPCS,J1380,Estradiol valerate 10 MG inj,,,4.83,7.66,4
HCPCS,J1410,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION [9972],967.15,967.15,,,0
HCPCS,J1410,Inj estrogen conjugate 25 MG,,,260.98,1648.04,11
HCPCS,J1411,ETRANACOGENE DEZAPARVOVEC-DRLB 1X10EXP13 GC/ML INTRAVENOUS SUSPENSION [205640],3006000.0,3006000.0,,,0
HCPCS,J1411,"Inj, hemgenix, per tx dose",,,2469600.0,15491018.43,9
HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,8356.52,52769.53,10
HCPCS,J1413,Inj delandistrogene mox rokl,,,2257920.0,13940750.49,10
HCPCS,J1414,"Inj, beqvez, per tx dose",,,2469600.0,7153251.0,7
HCPCS,J1426,"Injection, casimersen, 10 mg",,,112.9,698.03,9
HCPCS,J1427,Inj. viltolarsen,,,39.8,64.58,6
HCPCS,J1427,VILTOLARSEN 50 MG/ML INTRAVENOUS SOLUTION [197819],150700.8,150700.8,,,0
HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,112.9,703.44,8
HCPCS,J1429,GOLODIRSEN 50 MG/ML INTRAVENOUS SOLUTION [195519],160320.0,160320.0,,,0
HCPCS,J1429,Inj golodirsen 10 mg,,,112.9,182.31,6
HCPCS,J1430,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION [9984],1441.95,1441.95,,,0
HCPCS,J1430,Ethanolamine oleate 100 mg,,,338.8,2139.43,11
HCPCS,J1434,"Inj, focinvez, 1mg",,,1.89,11.93,11
HCPCS,J1435,Injection estrone per 1 MG,,,0.24,0.24,1
HCPCS,J1436,Etidronate disodium inj,,,1.56,1.56,1
HCPCS,J1437,FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION [197996],11280.0,11280.0,,,0
HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,14.65,92.55,11
HCPCS,J1438,ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS POWDER FOR SOLUTION [24276],1753.78,1753.78,,,0
HCPCS,J1438,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE [108125],5391.825000000001,5391.825000000001,,,0
HCPCS,J1438,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE [39837],5046.77,5046.77,,,0
HCPCS,J1438,Etanercept injection,,,411.71,2084.04,7
HCPCS,J1439,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION [164437],5709.8,5709.8,,,0
HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,0.74,4.65,11
HCPCS,J1440,Fecal?microbiota jslm 1 ml,,,42.49,268.35,11
HCPCS,J1441,Filgrastim 480 mcg injection,,,328.74,521.81,4
HCPCS,J1442,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE [108075],1541.31,1541.31,,,0
HCPCS,J1442,FILGRASTIM 300 MCG/ML INJECTION SOLUTION [10036],1378.72,1378.72,,,0
HCPCS,J1442,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE [108076],2537.0299999999997,2537.0299999999997,,,0
HCPCS,J1442,Inj filgrastim excl biosimil,,,0.66,4.19,11
HCPCS,J1443,Inj ferric pyrophosphate cit,,,0.02,0.03,5
HCPCS,J1444,Fe pyro cit pow 0.1 mg iron,,,0.02,0.03,5
HCPCS,J1445,Inj triferic avnu 0.1mg iron,,,0.13,0.2,5
HCPCS,J1446,"Inj, tbo-filgrastim, 5 mcg",,,2.89,4.59,4
HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.19,1.18,11
HCPCS,J1448,"Injection, trilaciclib, 1mg",,,3.64,22.97,11
HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,13.9,87.74,11
HCPCS,J1450,FLUCONAZOLE 100MG/50ML IN SODIUM CHLORIDE [408000],17.5,17.5,,,0
HCPCS,J1450,FLUCONAZOLE 2 MG/ML IV SYRINGE (PEDIATRIC) [40840032],15.5,15.5,,,0
HCPCS,J1450,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],18.5,18.5,,,0
HCPCS,J1450,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],49.5,49.5,,,0
HCPCS,J1450,FLUCONAZOLE 50MG/25ML IN SODIUM CHLORIDE [408001],8.75,8.75,,,0
HCPCS,J1450,Fluconazole,,,1.51,2.39,4
HCPCS,J1451,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [22185],2286.3199999999997,2286.3199999999997,,,0
HCPCS,J1451,"Fomepizole, 15 mg",,,6.28,26.39,10
HCPCS,J1452,Intraocular Fomivirsen na,,,212.0,212.0,1
HCPCS,J1453,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],115.9,115.9,,,0
HCPCS,J1453,Fosaprepitant injection,,,0.07,0.11,5
HCPCS,J1454,"Inj fosnetupitant, palonoset",,,383.09,2419.13,11
HCPCS,J1455,FOSCARNET (PF) 24 MG/ML INTRAVITREAL INJECTION [40817076],5.0,5.0,,,0
HCPCS,J1455,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1328.21,1328.21,,,0
HCPCS,J1455,Foscarnet sodium injection,,,10.7,77.26,6
HCPCS,J1456,"Inj, fosaprepitant (teva)",,,0.69,4.33,10
HCPCS,J1458,GALSULFASE 5 MG/5 ML INTRAVENOUS SOLUTION [41550],8775.0,8775.0,,,0
HCPCS,J1458,Galsulfase injection,,,338.66,2138.56,10
HCPCS,J1459,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [178369]",9919.8,9919.8,,,0
HCPCS,J1459,IMMUNE GLOBULIN (PRIVIGEN) 10 % 10G BOTTLE [40816152],9919.8,9919.8,,,0
HCPCS,J1459,IMMUNE GLOBULIN (PRIVIGEN) 10 % 20G BOTTLE [40816153],11159.775,11159.775,,,0
HCPCS,J1459,IMMUNE GLOBULIN (PRIVIGEN) 10 % 40G BOTTLE [40816154],11159.775,11159.775,,,0
HCPCS,J1459,IMMUNE GLOBULIN (PRIVIGEN) 10 % 5G BOTTLE [40816151],9919.8,9919.8,,,0
HCPCS,J1459,Inj IVIG privigen 500 mg,,,33.77,213.27,11
HCPCS,J1460,Gamma globulin 1 CC inj,,,32.64,206.11,11
HCPCS,J1460,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION [178342]",1874.5,1874.5,,,0
HCPCS,J1551,Inj cutaquig 100 mg,,,9.48,59.82,10
HCPCS,J1552,"Inj, alyglo, 500 mg",,,86.69,547.45,11
HCPCS,J1554,Inj. asceniv,,,330.66,2088.04,11
HCPCS,J1555,"Inj cuvitru, 100 mg",,,11.21,70.8,11
HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,51.52,325.31,10
HCPCS,J1557,Gammaplex injection,,,42.39,267.69,11
HCPCS,J1558,"Inj. xembify, 100 mg",,,9.88,62.4,11
HCPCS,J1559,Hizentra injection,,,9.54,60.27,11
HCPCS,J1559,IMMUNE GLOBULIN (HIZENTRA) 20% SUBCUTANEOUS INFUSION ALL [4080346],7836.645,7836.645,,,0
HCPCS,J1560,Gamma globulin > 10 CC inj,,,113.48,716.6,11
HCPCS,J1561,Gamunex-c/gammaked,,,32.6,205.82,11
HCPCS,J1561,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [129383],13442.835,13442.835,,,0
HCPCS,J1561,IMMUNE GLOBULIN (GAMUNEX C) 10% [507035],13759.130000000001,13759.130000000001,,,0
HCPCS,J1561,IMMUNE GLOBULIN (GAMUNEX-C) 10 % 20G BOTTLE [40825019],13442.835,13442.835,,,0
HCPCS,J1561,IMMUNE GLOBULIN (GAMUNEX-C) 10 % 40G BOTTLE [40825020],12857.33,12857.33,,,0
HCPCS,J1561,IMMUNE GLOBULIN (GAMUNEX-C) 10 % 5G BOTTLE [40825018],11949.19,11949.19,,,0
HCPCS,J1562,"Vivaglobin, inj",,,7.25,7.25,1
HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [178379]",5247.0,5247.0,,,0
HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [178378]",3203.425,3203.425,,,0
HCPCS,J1566,"Immune globulin, powder",,,52.45,331.21,11
HCPCS,J1568,"IMMUNE GLOB,GAMM(IGG) 5 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION [178365]",10881.72,10881.72,,,0
HCPCS,J1568,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION [170687]",13928.305,13928.305,,,0
HCPCS,J1568,Octagam injection,,,31.64,199.77,11
HCPCS,J1569,Gammagard liquid injection,,,30.16,190.48,11
HCPCS,J1569,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",9457.55,9457.55,,,0
HCPCS,J1570,GANCICLOVIR INTRAVITREAL INJECTION 2 MG/0.1 ML [507017],5.0,5.0,,,0
HCPCS,J1570,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],246.915,246.915,,,0
HCPCS,J1570,Ganciclovir sodium injection,,,26.32,41.78,5
HCPCS,J1571,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN [126230],2156.955,2156.955,,,0
HCPCS,J1571,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOLUTION [88654],2685.36,2685.36,,,0
HCPCS,J1571,HepaGam B IM injection,,,44.36,280.13,11
HCPCS,J1572,Flebogamma injection,,,37.35,107.51,7
HCPCS,J1572,"IMMUNE GLOBULIN,GAMMA(IGG) 5 %-SORB-GLY-IGA 0 TO 50 MCG/ML IV SOLUTION [178363]",16786.84,16786.84,,,0
HCPCS,J1573,"Hepagam B intravenous, inj",,,44.36,280.13,11
HCPCS,J1574,"Inj, ganciclovir (exela)",,,35.28,56.0,5
HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,12.08,76.3,11
HCPCS,J1576,"Inj, panzyga, 500 mg",,,48.59,306.84,11
HCPCS,J1580,GENTAMICIN (PF) 1 MG/ML PEDIATRIC SYRINGE [399066],11.02,11.02,,,0
HCPCS,J1580,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],15.0,15.0,,,0
HCPCS,J1580,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10106],6.0,6.0,,,0
HCPCS,J1580,GENTAMICIN OPHTHALMIC INJECTION 0.1 MG/0.1 ML [550552],5.0,5.0,,,0
HCPCS,J1580,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [127326],56.725,56.725,,,0
HCPCS,J1580,Garamycin gentamicin inj,,,1.47,2.33,4
HCPCS,J1595,Injection glatiramer acetate,,,44.1,309.25,7
HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],9.3,9.3,,,0
HCPCS,J1596,"Inj, glycopyrrolate, 0.1 mg",,,0.3,0.83,6
HCPCS,J1597,"Inj glycopyrrolate, glyrx-pf",,,1.63,1.63,1
HCPCS,J1598,Inj glycopyrrolate fres kabi,,,1.34,3.57,2
HCPCS,J1599,"Ivig non-lyophilized, NOS",,,83.7,132.85,4
HCPCS,J1602,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION [164378],14225.075,14225.075,,,0
HCPCS,J1602,Golimumab for iv use 1mg,,,7.35,46.4,11
HCPCS,J1610,Glucagon hydrochloride/1 mg,,,121.45,766.92,11
HCPCS,J1611,GLUCAGON 1 MG INJECTION SOLUTION WRAPPER [400621],592.9000000000001,592.9000000000001,,,0
HCPCS,J1611,"Inj glucagon hcl, fresenius",,,99.17,626.28,11
HCPCS,J1612,Inj glucagon (gvoke) 0.01 mg,,,1.78,14.51,8
HCPCS,J1620,Gonadorelin hydroch/ 100 mcg,,,180.3,180.3,1
HCPCS,J1626,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [127587],15.515,15.515,,,0
HCPCS,J1626,Granisetron hcl injection,,,0.13,0.2,4
HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,2.85,18.02,11
HCPCS,J1628,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [212063],69329.3,69329.3,,,0
HCPCS,J1628,"Inj., guselkumab, 1 mg",,,50.57,319.35,11
HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION WRAPPER [40817016],7.5,7.5,,,0
HCPCS,J1630,Haloperidol injection,,,0.54,0.85,4
HCPCS,J1631,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],51.144999999999996,51.144999999999996,,,0
HCPCS,J1631,Haloperidol decanoate inj,,,2.93,4.65,4
HCPCS,J1632,"Inj., brexanolone, 1 mg",,,52.57,83.44,6
HCPCS,J1640,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION [187425],36157.75,36157.75,,,0
HCPCS,J1640,"Hemin, 1 mg",,,22.76,143.68,11
HCPCS,J1642,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION [123435],5.0,5.0,,,0
HCPCS,J1642,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [105460]",5.0,5.0,,,0
HCPCS,J1642,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [126146]",5.0,5.0,,,0
HCPCS,J1643,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [127902]",20.0,20.0,,,0
HCPCS,J1643,"Inj heparin, pfizer, 1000u",,,2.0,3.18,5
HCPCS,J1644,"HEPARIN (1,000 UNITS/ML) IN D5W 50 ML (ECMO > 5 KG) [350526]",50.0,50.0,,,0
HCPCS,J1644,HEPARIN (100 UNIT/ML) IN 0.9% NS 100 ML-PEDI ECMO < 5 KG [350522],10.0,10.0,,,0
HCPCS,J1644,HEPARIN (100 UNIT/ML) IN D5W 20 ML SYRINGE NEONATE ECMO [350631],5.0,5.0,,,0
HCPCS,J1644,HEPARIN (1000 UNITS/ML) IN 0.9% NS ECMO > 5 KG [500114],13.3,13.3,,,0
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",112.5,112.5,,,0
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [127902]",20.0,20.0,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",15.35,15.35,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [24329]",40.0,40.0,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",28.75,28.75,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION WRAPPER [40816033]",7.234999999999999,7.234999999999999,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",5.175,5.175,,,0
HCPCS,J1644,HEPARIN 100 UNITS/ML IN 0.9% NS 20 ML SYRINGE - NEONATE ECMO [350630],5.0,5.0,,,0
HCPCS,J1644,"HEPARIN 25,000 UNITS IN 250 ML 0.9% NS (100 UNITS/ML) [40827001]",45.0,45.0,,,0
HCPCS,J1644,HEPARIN FOR NEBULIZATION [350161],11.2,11.2,,,0
HCPCS,J1644,"HEPARIN PURGE SOLUTION (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % INTRA-ARTERIAL [408845]",45.0,45.0,,,0
HCPCS,J1644,"HEPARIN PURGE SOLUTION (PORCINE) 6,250 UNIT/250 ML (25 UNITV [40814003]",5.0,5.0,,,0
HCPCS,J1644,HEPARIN(100 UNIT/ML) IN D5W 100 ML - PEDI ECMO < 5 KG [500039],103.5,103.5,,,0
HCPCS,J1644,Inj heparin sodium per 1000u,,,0.14,0.22,4
HCPCS,J1645,"DALTEPARIN (PORCINE) 10,000 ANTI-XA UNIT/ML SUBCUTANEOUS SYRINGE [108030]",82.95,82.95,,,0
HCPCS,J1645,"DALTEPARIN (PORCINE) 12,500 ANTI-XA UNIT/0.5 ML SUBCUTANEOUS SYRINGE [108034]",103.48,103.48,,,0
HCPCS,J1645,"DALTEPARIN (PORCINE) 15,000 ANTI-XA UNIT/0.6 ML SUBCUTANEOUS SYRINGE [108035]",110.6,110.6,,,0
HCPCS,J1645,"DALTEPARIN (PORCINE) 18,000 ANTI-XA UNIT/0.72 ML SUBCUTANEOUS SYRINGE [108036]",110.59,110.59,,,0
HCPCS,J1645,"DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE [108031]",102.25,102.25,,,0
HCPCS,J1645,"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE [108032]",82.95,82.95,,,0
HCPCS,J1645,"DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE [108033]",276.51,276.51,,,0
HCPCS,J1645,Dalteparin sodium,,,11.01,17.48,4
HCPCS,J1650,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],52.445,52.445,,,0
HCPCS,J1650,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],51.63,51.63,,,0
HCPCS,J1650,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],77.645,77.645,,,0
HCPCS,J1650,ENOXAPARIN 20 MG/ML NS INJECTION SOLUTION [40817124],54.32,54.32,,,0
HCPCS,J1650,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],28.53,28.53,,,0
HCPCS,J1650,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],138.45,138.45,,,0
HCPCS,J1650,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],42.5,42.5,,,0
HCPCS,J1650,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],27.28,27.28,,,0
HCPCS,J1650,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],37.9,37.9,,,0
HCPCS,J1650,Inj enoxaparin sodium,,,0.39,0.62,4
HCPCS,J1652,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [108029],523.06,523.06,,,0
HCPCS,J1652,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],210.5,210.5,,,0
HCPCS,J1652,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [108027],495.36,495.36,,,0
HCPCS,J1652,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [108028],495.36,495.36,,,0
HCPCS,J1652,Fondaparinux sodium,,,0.48,0.76,4
HCPCS,J1670,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE [127771],1548.65,1548.65,,,0
HCPCS,J1670,Tetanus immune globulin inj,,,394.74,2492.69,11
HCPCS,J1680,Human fibrinogen conc inj,,,64.21,101.92,4
HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [128976],35.285,35.285,,,0
HCPCS,J1720,Hydrocortisone sodium succ i,,,14.19,22.52,4
HCPCS,J1725,Hydroxyprogesterone caproate,,,2.16,3.43,4
HCPCS,J1726,"Makena, 10 mg",,,17.19,20.14,2
HCPCS,J1729,Inj hydroxyprogst capoat nos,,,9.63,23.63,6
HCPCS,J1730,Diazoxide injection,,,111.84,757.1,2
HCPCS,J1737,Inj meloxicam (azurity) 1mg,,,0.71,4.46,7
HCPCS,J1738,Inj. meloxicam 1 mg,,,2.21,3.51,5
HCPCS,J1740,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [109034],36.71,36.71,,,0
HCPCS,J1740,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [110306],733.105,733.105,,,0
HCPCS,J1740,Ibandronate sodium injection,,,19.04,30.23,5
HCPCS,J1741,Ibuprofen injection,,,2.07,3.28,4
HCPCS,J1742,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [100740],306.95500000000004,306.95500000000004,,,0
HCPCS,J1742,Ibutilide fumarate injection,,,172.31,724.29,10
HCPCS,J1743,IDURSULFASE 6 MG/3 ML INTRAVENOUS SOLUTION [76878],14358.2,14358.2,,,0
HCPCS,J1743,Idursulfase injection,,,371.74,2347.47,11
HCPCS,J1744,Icatibant injection,,,32.93,224.45,7
HCPCS,J1745,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [23796],14718.72,14718.72,,,0
HCPCS,J1745,Infliximab not biosimil 10mg,,,20.7,130.69,11
HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,52.76,333.17,11
HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,43.75,276.29,11
HCPCS,J1747,SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION [205041],260778.3,260778.3,,,0
HCPCS,J1748,"Inj, zymfentra, 10 mg",,,99.76,419.34,8
HCPCS,J1749,ILOPROST 100 MCG/ML INTRAVENOUS SOLUTION [212266],27500.0,27500.0,,,0
HCPCS,J1749,"Inj, iloprost, 0.1 mcg",,,3.81,6.04,5
HCPCS,J1750,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [186005],172.72,172.72,,,0
HCPCS,J1750,Inj iron dextran,,,12.05,76.11,11
HCPCS,J1756,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],313.125,313.125,,,0
HCPCS,J1756,IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [129549],247.83999999999997,247.83999999999997,,,0
HCPCS,J1756,Iron sucrose injection,,,0.15,0.24,4
HCPCS,J1786,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION [26431],5620.39,5620.39,,,0
HCPCS,J1786,Imuglucerase injection,,,28.75,181.55,11
HCPCS,J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],6.355,6.355,,,0
HCPCS,J1790,Droperidol injection,,,5.08,8.06,4
HCPCS,J1800,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],9.17,9.17,,,0
HCPCS,J1800,Propranolol injection,,,6.87,10.91,4
HCPCS,J1805,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [82085],5.0,5.0,,,0
HCPCS,J1805,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",1016.5,1016.5,,,0
HCPCS,J1805,"Inj, esmolol hcl, 10mg",,,0.14,0.23,5
HCPCS,J1806,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",312.5,312.5,,,0
HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.29,0.46,5
HCPCS,J1807,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],2704.7749999999996,2704.7749999999996,,,0
HCPCS,J1807,"Inj, ethacrynate sod, 1 mg",,,20.97,88.15,8
HCPCS,J1808,FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],7.54,7.54,,,0
HCPCS,J1808,"Inj, folic acid, 0.1 mg",,,0.04,0.07,5
HCPCS,J1809,"Inj, fosdenopterin, 0.1mg",,,11.3,71.34,9
HCPCS,J1811,Fiasp for insulin pump use,,,5.49,14.96,6
HCPCS,J1812,Inj. Insulin (fiasp),,,1.02,1.62,5
HCPCS,J1813,Lyumjev for insulin pump use,,,10.07,15.98,5
HCPCS,J1814,Inj. insulin (lyumjev),,,0.96,1.53,5
HCPCS,J1815,INSULIN (1 UNITS/ML) INFUSION IN 100 NS [350643],50.5,50.5,,,0
HCPCS,J1815,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN [123275],287.35,287.35,,,0
HCPCS,J1815,INSULIN ASPART 100 UNIT/ML SUBCUT PUMP [300029],287.35,287.35,,,0
HCPCS,J1815,INSULIN DETEMIR (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [70261],698.95,698.95,,,0
HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION WRAPPER [40826010],1274.0,1274.0,,,0
HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [28282],882.1,882.1,,,0
HCPCS,J1815,INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [201531],307.75,307.75,,,0
HCPCS,J1815,INSULIN GLULISINE SUBCUT DOSE CALCULATOR SCHEDULED [350303],391.25,391.25,,,0
HCPCS,J1815,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP [10286],61.0,61.0,,,0
HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [17405],68.85,68.85,,,0
HCPCS,J1815,INSULIN LISPRO 100 UNIT/ML SUBCUT PUMP [300027],31.85,31.85,,,0
HCPCS,J1815,INSULIN LISPRO DILUTE (U-10) 10 UNIT/ML CUSTOM SUBCUTANEOUS SOLUTION (PHARMACY PREPARED) [4081432],26.3,26.3,,,0
HCPCS,J1815,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP [70693],229.5,229.5,,,0
HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION [10284],61.0,61.0,,,0
HCPCS,J1815,INSULIN REGULAR (16 UNITS/ML) **CONCENTRATED** CONTINUOUS INFUSION- FOR BB/CCB OVERDOSE [40817057],48.75,48.75,,,0
HCPCS,J1815,INSULIN REGULAR HUMAN U-500(CONCENTRATE) 500 UNIT/ML SUBCUTANEOUS SOLN [19180],5281.5,5281.5,,,0
HCPCS,J1815,INSULIN REGULAR SUBCUT DOSE CALCULATOR PRN SNACKS [350306],24.405,24.405,,,0
HCPCS,J1815,Insulin injection,,,0.16,0.25,4
HCPCS,J1817,INSULIN ASPART 100 UNIT/ML SUBCUT PUMP [300029],287.35,287.35,,,0
HCPCS,J1817,INSULIN GLULISINE SUBCUT DOSE CALCULATOR SCHEDULED [350303],391.25,391.25,,,0
HCPCS,J1817,INSULIN LISPRO 100 UNIT/ML SUBCUT PUMP [300027],58.7,58.7,,,0
HCPCS,J1817,INSULIN REGULAR SUBCUT DOSE CALCULATOR PRN SNACKS [350306],61.0,61.0,,,0
HCPCS,J1817,Insulin for insulin pump use,,,2.12,3.37,4
HCPCS,J1823,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION [197220],70124.25,70124.25,,,0
HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,329.86,2083.02,11
HCPCS,J1826,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE [130409],22974.8,22974.8,,,0
HCPCS,J1826,Interferon Beta-1A inj,,,1523.71,4247.87,7
HCPCS,J1830,Interferon beta-1b / .25 MG,,,501.37,795.83,5
HCPCS,J1833,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION [177321],1337.05,1337.05,,,0
HCPCS,J1833,"Injection, isavuconazonium",,,0.75,4.22,10
HCPCS,J1834,"Inj, isoniazid, 1 mg",,,0.23,1.33,8
HCPCS,J1835,Itraconazole injection,,,42.28,42.28,1
HCPCS,J1836,"Inj, metronidazole, 10 mg",,,0.02,0.03,5
HCPCS,J1836,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],5.25,5.25,,,0
HCPCS,J1836,METRONIDAZOLE 5MG/ML INTRAVENOUS [40818445],5.5,5.5,,,0
HCPCS,J1837,"Inj, posaconazole, 1 mg",,,0.21,1.12,8
HCPCS,J1837,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [170022],2553.6,2553.6,,,0
HCPCS,J1885,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],5.8100000000000005,5.8100000000000005,,,0
HCPCS,J1885,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],6.845,6.845,,,0
HCPCS,J1885,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349],7.315,7.315,,,0
HCPCS,J1885,Ketorolac tromethamine inj,,,0.2,1.27,8
HCPCS,J1920,"Inj, labetalol hcl, 5mg",,,0.23,0.36,5
HCPCS,J1920,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS INJECTION [130075],14.515,14.515,,,0
HCPCS,J1920,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],15.925,15.925,,,0
HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,0.92,1.46,5
HCPCS,J1921,LABETALOL 1 MG/ML IN SODIUM CHLORIDE (ISO) INTRAVENOUS SOLUTION [200086],195.0,195.0,,,0
HCPCS,J1930,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],39835.0,39835.0,,,0
HCPCS,J1930,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE [87860],23653.335,23653.335,,,0
HCPCS,J1930,Lanreotide injection,,,22.66,143.11,11
HCPCS,J1931,LARONIDASE 2.9 MG/5 ML INTRAVENOUS SOLUTION [35779],28935.4,28935.4,,,0
HCPCS,J1931,Laronidase injection,,,26.54,167.59,11
HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,19.86,125.45,11
HCPCS,J1932,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],25321.0,25321.0,,,0
HCPCS,J1932,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE [88570],27875.0,27875.0,,,0
HCPCS,J1938,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],11.555,11.555,,,0
HCPCS,J1938,"Inj, furosemide, 1 mg",,,0.01,0.02,5
HCPCS,J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],12.6,12.6,,,0
HCPCS,J1939,"Inj, bumetanide, 0.5 mg",,,0.25,1.18,6
HCPCS,J1940,Furosemide injection,,,0.64,1.01,4
HCPCS,J1941,"Inj, furoscix, 20 mg",,,172.98,274.57,5
HCPCS,J1942,Aripiprazole lauroxil 1mg,,,2.66,2.66,1
HCPCS,J1943,"Inj., aristada initio, 1 mg",,,2.16,13.64,11
HCPCS,J1944,"ARIPIPRAZOLE LAUROXIL ER 1,064 MG/3.9 ML SUSPENSION,EXT.REL IM SYRINGE [187380]",13255.75,13255.75,,,0
HCPCS,J1944,"ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4 ML SUSPENSION, EXT.REL. IM SYRINGE [179934]",7392.6,7392.6,,,0
HCPCS,J1944,Aripirazole lauroxil 1 mg,,,2.22,14.06,11
HCPCS,J1945,Lepirudin,,,389.88,570.54,2
HCPCS,J1950,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT [111340],28901.9,28901.9,,,0
HCPCS,J1950,LEUPROLIDE 11.25 MG INTRAMUSCULAR KIT [10390],9633.95,9633.95,,,0
HCPCS,J1950,LEUPROLIDE 15 MG INTRAMUSCULAR KIT [10391],10610.8,10610.8,,,0
HCPCS,J1950,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT [13691],4411.05,4411.05,,,0
HCPCS,J1950,LEUPROLIDE 7.5 MG (PED) INTRAMUSCULAR KIT [27123],5306.5,5306.5,,,0
HCPCS,J1950,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT [129667],669.2,669.2,,,0
HCPCS,J1950,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT [110751],4015.3,4015.3,,,0
HCPCS,J1950,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],6775.35,6775.35,,,0
HCPCS,J1950,Leuprolide acetate /3.75 mg,,,1151.81,7273.42,11
HCPCS,J1951,Inj fensolvi 0.25 mg,,,93.85,592.65,11
HCPCS,J1951,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE [196851],112890.0,112890.0,,,0
HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,52.53,331.72,11
HCPCS,J1953,LEVETIRACETAM (KEPPRA) 1000 MG/100 ML MULTI BAG INFUSION [40817063],141.0,141.0,,,0
HCPCS,J1953,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [113477]",184.0,184.0,,,0
HCPCS,J1953,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [113475],86.0,86.0,,,0
HCPCS,J1953,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],27.299999999999997,27.299999999999997,,,0
HCPCS,J1953,Levetiracetam injection,,,0.03,0.04,4
HCPCS,J1954,Leuprolide depot cipla 7.5mg,,,425.61,2970.47,11
HCPCS,J1955,Inj levocarnitine per 1 gm,,,15.71,30.77,6
HCPCS,J1955,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],243.74,243.74,,,0
HCPCS,J1956,LEVOFLOXACIN (LEVAQUIN) 5MG/ML LOCK SOLUTION IN DEXTROSE 5% [40818028],5.0,5.0,,,0
HCPCS,J1956,LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION [18925],114.75,114.75,,,0
HCPCS,J1956,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],41.25,41.25,,,0
HCPCS,J1956,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],17.0,17.0,,,0
HCPCS,J1956,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],19.75,19.75,,,0
HCPCS,J1956,Levofloxacin injection,,,1.69,2.68,4
HCPCS,J1961,"Inj, lenacapavir, 1 mg",,,14.75,93.12,11
HCPCS,J1980,Hyoscyamine sulfate inj,,,38.1,60.48,4
HCPCS,J2002,"Inj, lidocaine in d5w, 1 mg",,,0.01,0.02,2
HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION [14868],693.75,693.75,,,0
HCPCS,J2002,LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % D5W (ANES ONE-STEP) [40015004],263.75,263.75,,,0
HCPCS,J2003,"Inj, lidocaine hcl, 1 mg",,,0.01,0.01,1
HCPCS,J2003,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],9.100000000000001,9.100000000000001,,,0
HCPCS,J2003,LIDOCAINE (PF) 10 MG/ML (1%) INTRACAROTID FOR BRADYCARDIA (OPTIME) [500555],5.0,5.0,,,0
HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],32.325,32.325,,,0
HCPCS,J2003,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION [4455],13.58,13.58,,,0
HCPCS,J2003,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],6.25,6.25,,,0
HCPCS,J2003,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],8.95,8.95,,,0
HCPCS,J2003,"LIDOCAINE HCL(PF) 100 MG/10 ML (1 %) IN NACL,ISO-OSM INJECTION SYRINGE [185136]",18.73,18.73,,,0
HCPCS,J2004,"Inj, lidocaine w epinephrine",,,0.01,0.01,1
HCPCS,J2004,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",15.005,15.005,,,0
HCPCS,J2004,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",5.0,5.0,,,0
HCPCS,J2010,Lincomycin injection,,,2.99,4.75,4
HCPCS,J2020,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [122641],93.75,93.75,,,0
HCPCS,J2020,Linezolid injection,,,2.38,3.77,5
HCPCS,J2021,"Inj, linezolid (hospira)",,,4.22,6.7,5
HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],8.75,8.75,,,0
HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SYRINGE [122799],5.76,5.76,,,0
HCPCS,J2060,LORAZEPAM 4 MG/ML INJECTION SOLUTION [10468],18.380000000000003,18.380000000000003,,,0
HCPCS,J2060,Lorazepam injection,,,0.91,1.45,4
HCPCS,J2062,Loxapine for inhalation 1 mg,,,10.58,66.84,8
HCPCS,J2151,"Inj, mannitol, 250 mg",,,0.04,0.06,5
HCPCS,J2151,MANNITOL 25 % INTRAVENOUS SOLUTION [4750],10.875,10.875,,,0
HCPCS,J2170,Mecasermin injection,,,259.4,411.75,4
HCPCS,J2175,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE [125999],12.4,12.4,,,0
HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION [4903],5.0,5.0,,,0
HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE [125994],51.515,51.515,,,0
HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],5.0,5.0,,,0
HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE [125995],26.365000000000002,26.365000000000002,,,0
HCPCS,J2175,Meperidine hydrochl /100 MG,,,10.45,16.58,4
HCPCS,J2182,"Injection, mepolizumab, 1mg",,,20.82,131.44,11
HCPCS,J2182,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION [180726],12036.25,12036.25,,,0
HCPCS,J2182,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE [193836],14773.65,14773.65,,,0
HCPCS,J2183,Inj meropenem (wg crit care),,,1.08,3.12,6
HCPCS,J2183,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],25.04,25.04,,,0
HCPCS,J2183,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION [209348],135.26,135.26,,,0
HCPCS,J2184,"Inj, meropenem (b. braun)",,,1.38,2.19,5
HCPCS,J2184,MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [179544],79.515,79.515,,,0
HCPCS,J2184,MEROPENEM 500 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [179543],117.60000000000001,117.60000000000001,,,0
HCPCS,J2185,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],67.885,67.885,,,0
HCPCS,J2185,MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],44.39,44.39,,,0
HCPCS,J2185,Meropenem,,,0.28,0.44,4
HCPCS,J2186,"Inj., meropenem, vaborbactam",,,1.58,9.18,10
HCPCS,J2210,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],59.14,59.14,,,0
HCPCS,J2210,Methylergonovin maleate inj,,,13.79,21.89,4
HCPCS,J2212,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION [91651],263.32,263.32,,,0
HCPCS,J2212,Methylnaltrexone injection,,,1.1,1.75,5
HCPCS,J2246,"Inj, micafungin (baxter)",,,0.33,0.52,5
HCPCS,J2246,MICAFUNGIN 100 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [210728],5.0,5.0,,,0
HCPCS,J2247,"Inj, micafungin (par pharm)",,,0.25,0.39,5
HCPCS,J2248,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [41144],101.6,101.6,,,0
HCPCS,J2248,Micafungin sodium injection,,,0.17,0.27,5
HCPCS,J2249,"Inj, remimazolam, 1 mg",,,1.54,2.45,5
HCPCS,J2249,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION [198761],23.58,23.58,,,0
HCPCS,J2250,Inj midazolam hydrochloride,,,0.1,0.16,4
HCPCS,J2250,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [162582],7.75,7.75,,,0
HCPCS,J2250,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [162581],30.0,30.0,,,0
HCPCS,J2250,MIDAZOLAM (VERSED) (PF) 1 MG/ML PEDIATRIC INFUSION SYRINGE [187794],50.0,50.0,,,0
HCPCS,J2250,MIDAZOLAM (VERSED) 1 MG/ML IN SODIUM CHLORIDE 0.9% INFUSION [192325],57.1,57.1,,,0
HCPCS,J2250,MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],7.5,7.5,,,0
HCPCS,J2250,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],33.2,33.2,,,0
HCPCS,J2250,MIDAZOLAM INFUSION 5 MG/ML PEDI SYRINGE [40818002],33.2,33.2,,,0
HCPCS,J2250,MIDAZOLAM INFUSION 5 MG/ML [500044],514.25,514.25,,,0
HCPCS,J2251,Inj midazolam (wg crit care),,,0.14,0.22,5
HCPCS,J2251,MIDAZOLAM (VERSED) 1 MG/ML IN SODIUM CHLORIDE 0.9% INFUSION [192325],99.5,99.5,,,0
HCPCS,J2252,Inj midazolam in 0.8% nacl,,,0.07,0.11,5
HCPCS,J2260,Inj milrinone lactate / 5 mg,,,0.97,1.54,4
HCPCS,J2260,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],15.09,15.09,,,0
HCPCS,J2260,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [32950],48.5,48.5,,,0
HCPCS,J2265,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],902.7,902.7,,,0
HCPCS,J2265,Minocycline hydrochloride,,,1.83,11.22,10
HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,28.65,180.95,11
HCPCS,J2267,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION [209393],47966.1,47966.1,,,0
HCPCS,J2270,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],44.9,44.9,,,0
HCPCS,J2270,MORPHINE (PF) 10 MG/10 ML IV SYRINGE [5001491],59.5,59.5,,,0
HCPCS,J2270,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION [77009],734.0,734.0,,,0
HCPCS,J2270,MORPHINE (PF) 150 MG/30 ML PCA INTRAVENOUS SOLUTION [91946],5.0,5.0,,,0
HCPCS,J2270,MORPHINE (PF) 20 MG/20 ML IV SYRINGE [500917],119.0,119.0,,,0
HCPCS,J2270,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION [127818],12.75,12.75,,,0
HCPCS,J2270,MORPHINE 1 MG/ML IN 0.9% SODIUM CHLORIDE INFUSION WRAPPER [40816012],23.75,23.75,,,0
HCPCS,J2270,MORPHINE 1 MG/ML IN DEXTROSE 5 % INTRAVENOUS SOLUTION [31185],72.5,72.5,,,0
HCPCS,J2270,MORPHINE 1 MG/ML PEDI PCA - OPIOID TOLERANT [300005],192.4,192.4,,,0
HCPCS,J2270,MORPHINE 10 MG/ML INTRAVENOUS CARTRIDGE [117340],7.34,7.34,,,0
HCPCS,J2270,MORPHINE 100 MCG/ML-BUPIVACAINE 0.06 % IN 250 ML NS EPIDURAL [351026],12.5,12.5,,,0
HCPCS,J2270,MORPHINE 100 MCG/ML-BUPIVACAINE 0.1 % IN 250 ML NS EPIDURAL [351027],12.5,12.5,,,0
HCPCS,J2270,MORPHINE 1000 MG/250 ML IN D5W INFUSION [500045],125.0,125.0,,,0
HCPCS,J2270,MORPHINE 2 MG/ML INTRAVENOUS CARTRIDGE [130896],27.189999999999998,27.189999999999998,,,0
HCPCS,J2270,MORPHINE 4 MG/ML INTRAVENOUS CARTRIDGE [117338],16.09,16.09,,,0
HCPCS,J2270,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION WRAPPER [40816120],9.184999999999999,9.184999999999999,,,0
HCPCS,J2270,Morphine sulfate injection,,,1.46,2.31,4
HCPCS,J2271,Morphine so4 injection 100mg,,,0.73,1.16,4
HCPCS,J2272,"Inj, morphine (fresenius)",,,5.82,9.24,5
HCPCS,J2272,MORPHINE 2 MG/ML INJECTION SOLUTION [119074],7.96,7.96,,,0
HCPCS,J2274,In morphine preservativ free,,,8.03,12.74,5
HCPCS,J2274,MORPHINE (PF) 10 MG/100 ML IN 0.9% SODIUM CHLORIDE EPIDURAL [500916],7.5,7.5,,,0
HCPCS,J2274,MORPHINE (PF) 15 MG IN 0.9% NS 250 ML EPIDURAL [400249],62.5,62.5,,,0
HCPCS,J2274,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION [27392],1006.9,1006.9,,,0
HCPCS,J2275,Morphine sulfate injection,,,6.43,10.2,4
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,16.79,106.0,11
HCPCS,J2278,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION [40574],15977.9,15977.9,,,0
HCPCS,J2278,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION [40573],15977.9,15977.9,,,0
HCPCS,J2278,Ziconotide injection,,,6.75,42.62,11
HCPCS,J2280,"Inj, moxifloxacin 100 mg",,,6.0,9.53,4
HCPCS,J2280,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [31906],223.75,223.75,,,0
HCPCS,J2281,Inj moxifloxacin (fres kabi),,,4.93,7.83,5
HCPCS,J2290,"Inj, nafcillin sodium, 20 mg",,,0.04,0.06,5
HCPCS,J2290,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION [5333],36.28,36.28,,,0
HCPCS,J2290,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],97.01,97.01,,,0
HCPCS,J2290,NAFCILLIN IV SYRINGE 25 MG/ML [500018],6.125,6.125,,,0
HCPCS,J2290,NAFCILLIN IVPB 500 MG/50 ML IN 5% DEXTROSE [350102],14.5,14.5,,,0
HCPCS,J2290,NAFCILLIN IVPB 750 MG/50 ML IN 5% DEXTROSE [350103],21.75,21.75,,,0
HCPCS,J2291,"Inj, nafcillin (baxter) 20mg",,,0.1,0.16,5
HCPCS,J2291,NAFCILLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [108124],87.5,87.5,,,0
HCPCS,J2300,Inj nalbuphine hydrochloride,,,2.46,3.91,4
HCPCS,J2305,"Inj, nitroglycerin, 5 mg",,,0.99,1.57,5
HCPCS,J2305,NITROGLYCERIN 100 MCG/ML DILUTED IN D5 [40816185],5.0,5.0,,,0
HCPCS,J2305,NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [10726],18.75,18.75,,,0
HCPCS,J2305,NITROGLYCERIN 200 MCG/ML IN 5% DEXTROSE IV BOLUS [300095],6.5,6.5,,,0
HCPCS,J2305,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE  INTRAVENOUS [15858],190.0,190.0,,,0
HCPCS,J2305,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [5599],5.0,5.0,,,0
HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],200.0,200.0,,,0
HCPCS,J2310,Inj naloxone hydrochloride,,,11.06,17.56,4
HCPCS,J2311,"Inj, naloxone hcl (zimhi)",,,8.82,14.0,4
HCPCS,J2312,"Inj naloxone hcl nos, 0.01mg",,,0.05,0.08,5
HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],186.65,186.65,,,0
HCPCS,J2312,NALOXONE 1 MG/ML INJECTION SYRINGE [5374],142.99,142.99,,,0
HCPCS,J2313,"Inj, naloxone (zimhi) 0.01mg",,,0.01,0.02,5
HCPCS,J2315,"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE [76527]",6119.25,6119.25,,,0
HCPCS,J2315,"Naltrexone, depot form",,,2.82,17.82,11
HCPCS,J2323,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [40120],24800.03,24800.03,,,0
HCPCS,J2323,Natalizumab injection,,,15.97,100.87,11
HCPCS,J2325,Nesiritide injection,,,71.98,71.98,1
HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,860.24,5381.54,10
HCPCS,J2326,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION [185377],625000.0,625000.0,,,0
HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,9.95,62.8,11
HCPCS,J2327,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [203993],45682.0,45682.0,,,0
HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,47.1,297.41,11
HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,39.55,249.75,11
HCPCS,J2350,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [186245],81250.0,81250.0,,,0
HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,31.44,198.54,11
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [176624]",14559.2,14559.2,,,0
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [176622]",16544.35,16544.35,,,0
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [176623]",24774.0,24774.0,,,0
HCPCS,J2353,"Octreotide injection, depot",,,135.52,855.76,11
HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],13.61,13.61,,,0
HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],10.600000000000001,10.600000000000001,,,0
HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],52.36,52.36,,,0
HCPCS,J2354,"Octreotide inj, non-depot",,,0.4,0.64,4
HCPCS,J2355,Oprelvekin injection,,,449.58,449.58,1
HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,11.99,75.7,11
HCPCS,J2356,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE [202540],18165.0,18165.0,,,0
HCPCS,J2357,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION [36151],7353.59,7353.59,,,0
HCPCS,J2357,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE [192035],10733.75,10733.75,,,0
HCPCS,J2357,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE [192033],9490.775,9490.775,,,0
HCPCS,J2357,Omalizumab injection,,,29.69,187.46,11
HCPCS,J2358,Olanzapine long-acting inj,,,1.94,5.63,7
HCPCS,J2359,"Inj. olanzapine, 0.5mg",,,0.58,0.92,5
HCPCS,J2359,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [38263],58.25,58.25,,,0
HCPCS,J2360,Orphenadrine injection,,,7.45,11.82,4
HCPCS,J2370,Phenylephrine hcl injection,,,2.26,3.58,4
HCPCS,J2371,Inj phenylephrine hcl 20 mcg,,,0.01,0.01,5
HCPCS,J2371,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],13.5,13.5,,,0
HCPCS,J2371,PHENYLEPHRINE 100 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40816043],5.875,5.875,,,0
HCPCS,J2371,PHENYLEPHRINE 100 MCG/ML IN DEXTROSE 5% SYRINGE [40816044],5.875,5.875,,,0
HCPCS,J2371,PHENYLEPHRINE 18 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40816041],5.0,5.0,,,0
HCPCS,J2371,PHENYLEPHRINE 18 MCG/ML IN DEXTROSE 5% SYRINGE [40816042],5.0,5.0,,,0
HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.11,0.18,5
HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.09,0.25,6
HCPCS,J2400,Chloroprocaine hcl injection,,,22.56,35.81,4
HCPCS,J2401,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [1634],91.4,91.4,,,0
HCPCS,J2401,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION [1635],96.0,96.0,,,0
HCPCS,J2401,Chloroprocaine hcl injection,,,0.03,0.04,5
HCPCS,J2402,Chloroprocaine (clorotekal),,,0.22,0.35,5
HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.58,2.45,7
HCPCS,J2404,"Inj, nicardipine 0.1 mg",,,0.05,0.08,5
HCPCS,J2405,ONDANSETRON 16 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS [399011],14.75,14.75,,,0
HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],9.175,9.175,,,0
HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE [126627],6.9,6.9,,,0
HCPCS,J2405,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],27.7,27.7,,,0
HCPCS,J2405,ONDANSETRON HCL 4 MG/2 ML INTRAVENOUS SYRINGE [130509],5.195,5.195,,,0
HCPCS,J2405,Ondansetron hcl injection,,,0.06,0.1,4
HCPCS,J2406,"Injection, oritavancin 10 mg",,,28.27,178.56,11
HCPCS,J2407,"Injection, oritavancin",,,19.09,120.56,11
HCPCS,J2407,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION [170944],13928.36,13928.36,,,0
HCPCS,J2425,PALIFERMIN 5.16 MG INTRAVENOUS SOLUTION [209120],12869.14,12869.14,,,0
HCPCS,J2425,Palifermin injection,,,23.67,149.45,11
HCPCS,J2426,PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE [108108],4429.76,4429.76,,,0
HCPCS,J2426,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE [99702],0.1,0.1,,,0
HCPCS,J2426,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE [108109],0.1,0.1,,,0
HCPCS,J2426,PALIPERIDONE PALMITATE 39 MG/0.25 ML INTRAMUSCULAR SYRINGE [108106],1476.45,1476.45,,,0
HCPCS,J2426,PALIPERIDONE PALMITATE 78 MG/0.5 ML INTRAMUSCULAR SYRINGE [108107],2953.15,2953.15,,,0
HCPCS,J2426,Paliperidone palmitate inj,,,10.06,63.52,11
HCPCS,J2427,"Inj, invega hafyera/trinza",,,8.65,54.63,11
HCPCS,J2428,"Inj, erzofri, 1 mg",,,11.16,70.47,11
HCPCS,J2430,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],120.8,120.8,,,0
HCPCS,J2430,PAMIDRONATE 60 MG/10 ML (6 MG/ML) INTRAVENOUS SOLUTION [33886],119.55,119.55,,,0
HCPCS,J2430,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],115.07,115.07,,,0
HCPCS,J2430,Pamidronate disodium /30 mg,,,6.42,10.19,4
HCPCS,J2440,PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],150.5,150.5,,,0
HCPCS,J2440,PAPAVERINE 30MG IN 10 ML NS FOR MAMMARY SOLN (OPTIME) [500558],104.0,104.0,,,0
HCPCS,J2440,PAPAVERINE 90 MG/100 ML NS MAMMARY SOLN (OPTIME) [350153],73.0,73.0,,,0
HCPCS,J2440,Papaverin hcl injection,,,26.46,42.0,4
HCPCS,J2468,"Inj, palonosetron (avyxa)",,,38.76,244.8,11
HCPCS,J2469,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],75.225,75.225,,,0
HCPCS,J2469,Palonosetron hcl,,,0.24,0.38,5
HCPCS,J2470,Inj pantoprazole sodium 40mg,,,1.34,2.12,5
HCPCS,J2470,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],14.0,14.0,,,0
HCPCS,J2471,Inj pantoprazole(hikma) 40mg,,,2.47,6.63,5
HCPCS,J2472,"Inj, pantoprazole sodium chl",,,6.22,9.88,5
HCPCS,J2501,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION WRAPPER [40817028],28.185,28.185,,,0
HCPCS,J2501,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [22960],18.055,18.055,,,0
HCPCS,J2501,Paricalcitol,,,0.63,1.0,4
HCPCS,J2502,"Inj, pasireotide long acting",,,381.4,2408.44,11
HCPCS,J2504,"Pegademase bovine, 25 iu",,,367.96,367.96,1
HCPCS,J2505,"Injection, pegfilgrastim 6mg",,,2437.57,7188.15,5
HCPCS,J2506,Inj pegfilgrast ex bio 0.5mg,,,59.47,375.56,11
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR [177030],24018.7,24018.7,,,0
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [32267],19038.06,19038.06,,,0
HCPCS,J2507,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION [107664],70000.0,70000.0,,,0
HCPCS,J2507,Pegloticase injection,,,2436.87,15388.32,11
HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,151.87,959.05,11
HCPCS,J2510,PENICILLIN G PROCAINE 1.2 MILLION UNIT/2 ML INTRAMUSCULAR SYRINGE [121140],185.39,185.39,,,0
HCPCS,J2510,Penicillin g procaine inj,,,43.16,90.99,2
HCPCS,J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION [6097],227.52,227.52,,,0
HCPCS,J2515,PENTOBARBITAL SODIUM 50 MG/ML VIAL COMPONENT FOR MIXTURE [40826001],1795.56,1795.56,,,0
HCPCS,J2515,Pentobarbital sodium inj,,,27.99,117.64,7
HCPCS,J2516,"Inj, pentamidine isethionate",,,0.23,0.37,4
HCPCS,J2516,PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],314.38,314.38,,,0
HCPCS,J2540,PENICILLIN G POT 2 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK [10899],37.5,37.5,,,0
HCPCS,J2540,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK [10900],40.0,40.0,,,0
HCPCS,J2540,PENICILLIN G POT 4 MILLION UNIT/100 ML D5W [350108],20.0,20.0,,,0
HCPCS,J2540,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],116.05,116.05,,,0
HCPCS,J2540,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],21.39,21.39,,,0
HCPCS,J2540,Penicillin g potassium inj,,,0.53,0.84,4
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],24.54,24.54,,,0
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 2.25 GRAM/50 ML IN DEXTROSE(ISO) IV PIGGYBACK [34523],34.25,34.25,,,0
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],26.604999999999997,26.604999999999997,,,0
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 3.375 GRAM/50 ML DEXTROSE(ISO-OS) IV PIGGYBACK [34524],30.625,30.625,,,0
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],24.22,24.22,,,0
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK [108121],51.0,51.0,,,0
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION [12587],21.65,21.65,,,0
HCPCS,J2543,Piperacillin/tazobactam,,,0.71,1.13,4
HCPCS,J2545,PENTAMIDINE 300 MG SOLUTION FOR INHALATION [28235],303.6,303.6,,,0
HCPCS,J2545,Pentamidine non-comp unit,,,46.41,117.25,6
HCPCS,J2547,"Injection, peramivir",,,1.12,7.05,10
HCPCS,J2547,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [176607],5547.885,5547.885,,,0
HCPCS,J2550,Promethazine hcl injection,,,1.97,3.12,4
HCPCS,J2560,PHENOBARBITAL 1000 MG IN 100 ML 0.9% SODIUM CHLORIDE INFUSION [40818107],323.15,323.15,,,0
HCPCS,J2560,PHENOBARBITAL 500 MG IN 50 ML 0.9% SODIUM CHLORIDE INFUSION [40818106],323.15,323.15,,,0
HCPCS,J2560,PHENOBARBITAL 750 MG IN 75 ML 0.9% SODIUM CHLORIDE INFUSION [40818105],323.15,323.15,,,0
HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],408.4,408.4,,,0
HCPCS,J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],65.65,65.65,,,0
HCPCS,J2560,Phenobarbital sodium inj,,,20.08,31.87,4
HCPCS,J2561,"Inj, sezaby, 1 mg",,,0.94,5.02,9
HCPCS,J2562,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],695.87,695.87,,,0
HCPCS,J2562,Plerixafor injection,,,16.86,441.73,11
HCPCS,J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],5.0,5.0,,,0
HCPCS,J2590,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [125594],77.4,77.4,,,0
HCPCS,J2590,Oxytocin injection,,,0.99,1.57,4
HCPCS,J2596,Vasopressin (long grove) 1 u,,,2.29,3.64,4
HCPCS,J2597,DESMOPRESSIN 4 MCG/ML INJECTION (10 ML VIAL ONLY) [40817054],2090.785,2090.785,,,0
HCPCS,J2597,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],696.0,696.0,,,0
HCPCS,J2597,Inj desmopressin acetate,,,2.34,8.35,7
HCPCS,J2598,"Inj, vasopressin, 1 unit",,,0.62,0.98,5
HCPCS,J2598,VASOPRESSIN 0.2 UNIT/ML INTRAVENOUS SOLUTION [202862],350.5,350.5,,,0
HCPCS,J2598,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION [202863],15.41,15.41,,,0
HCPCS,J2598,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [176740],116.38,116.38,,,0
HCPCS,J2598,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV [187896],2967.5,2967.5,,,0
HCPCS,J2599,Inj vasopressin (am reg) 1 u,,,0.4,0.64,5
HCPCS,J2599,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [176740],41.6,41.6,,,0
HCPCS,J2601,"Inj, vasopressin (baxter)",,,1.34,8.44,11
HCPCS,J2670,Totazoline hcl injection,,,3.44,3.44,1
HCPCS,J2675,Inj progesterone per 50 MG,,,0.47,0.74,4
HCPCS,J2679,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION [3216],30.93,30.93,,,0
HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,4.88,14.33,6
HCPCS,J2680,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],46.65,46.65,,,0
HCPCS,J2680,Fluphenazine decanoate 25 MG,,,4.86,7.72,4
HCPCS,J2690,"PROCAINAMIDE 1,000 MG/250 ML D5W [350907]",247.5,247.5,,,0
HCPCS,J2690,PROCAINAMIDE 100 MG/50 ML D5W SYRINGE [350644],24.75,24.75,,,0
HCPCS,J2690,PROCAINAMIDE 100 MG/50 ML NS SYRINGE [350646],24.75,24.75,,,0
HCPCS,J2690,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],247.55,247.55,,,0
HCPCS,J2690,"PROCAINAMIDE 2,000 MG/500 ML D5W [350906]",247.5,247.5,,,0
HCPCS,J2690,PROCAINAMIDE 200 MG/50 ML D5W SYRINGE [350645],49.5,49.5,,,0
HCPCS,J2690,PROCAINAMIDE 200 MG/50 ML NS SYRINGE [350647],49.5,49.5,,,0
HCPCS,J2690,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],283.17,283.17,,,0
HCPCS,J2690,Procainamide hcl injection,,,180.35,1238.73,10
HCPCS,J2700,Oxacillin sodium injeciton,,,0.52,0.83,5
HCPCS,J2704,PROPOFOL 10 MG/ML INFUSION [40840026],42.0,42.0,,,0
HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],19.25,19.25,,,0
HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION [164134],15.12,15.12,,,0
HCPCS,J2710,Neostigmine methylslfte inj,,,0.49,0.78,4
HCPCS,J2720,Inj protamine sulfate/10 MG,,,1.16,1.84,4
HCPCS,J2720,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],71.58,71.58,,,0
HCPCS,J2724,"PROTEIN C CONCENTRATE, HUMAN 1,000 UNIT INTRAVENOUS SOLUTION [82358]",7350.0,7350.0,,,0
HCPCS,J2724,"PROTEIN C CONCENTRATE, HUMAN 500 UNIT INTRAVENOUS SOLUTION [82357]",7.35,7.35,,,0
HCPCS,J2724,Protein C concentrate,,,10.01,63.22,11
HCPCS,J2725,Inj protirelin per 250 mcg,,,21.78,21.78,1
HCPCS,J2730,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [6462],417.42,417.42,,,0
HCPCS,J2730,Pralidoxime chloride inj,,,61.17,97.1,5
HCPCS,J2760,PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],1481.775,1481.775,,,0
HCPCS,J2760,Phentolaine mesylate inj,,,287.58,1816.0,10
HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],7.67,7.67,,,0
HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML INJECTION SYRINGE [122841],5.390000000000001,5.390000000000001,,,0
HCPCS,J2765,Metoclopramide hcl injection,,,0.72,1.15,4
HCPCS,J2770,Quinupristin/dalfopristin,,,8.21,541.98,3
HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,22.55,142.4,11
HCPCS,J2778,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION [117197],7800.0,7800.0,,,0
HCPCS,J2778,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SYRINGE [190163],5850.0,5850.0,,,0
HCPCS,J2778,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION [76790],7800.0,7800.0,,,0
HCPCS,J2778,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SYRINGE [185521],487.5,487.5,,,0
HCPCS,J2778,Ranibizumab injection,,,57.5,363.12,11
HCPCS,J2779,"Inj, susvimo 0.1 mg",,,52.54,331.8,11
HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,92.65,585.05,11
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,69.97,441.89,11
HCPCS,J2783,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [33591],14876.599999999999,14876.599999999999,,,0
HCPCS,J2783,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION [76868],15674.67,15674.67,,,0
HCPCS,J2783,Rasburicase,,,251.3,1586.91,11
HCPCS,J2785,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],980.7,980.7,,,0
HCPCS,J2785,Regadenoson injection,,,2.01,3.19,5
HCPCS,J2786,"Injection, reslizumab, 1mg",,,7.29,46.03,11
HCPCS,J2786,RESLIZUMAB 10 MG/ML INTRAVENOUS SOLUTION [182894],8617.2,8617.2,,,0
HCPCS,J2787,Riboflavin 5?phos opth<=3ml,,,1608.77,2553.6,5
HCPCS,J2788,Rho d immune globulin 50 mcg,,,17.04,27.04,5
HCPCS,J2790,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE [11283]",590.0,590.0,,,0
HCPCS,J2790,Rho d immune globulin inj,,,54.97,87.25,5
HCPCS,J2791,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE [38072]",366.3,366.3,,,0
HCPCS,J2791,Rhophylac injection,,,3.23,5.13,5
HCPCS,J2792,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN [70575]",2020.45,2020.45,,,0
HCPCS,J2792,"RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT (1,000 MCG)/4.4 ML INJ. SOLN [70574]",5608.66,5608.66,,,0
HCPCS,J2792,"Rho(D) immune globulin h, sd",,,16.95,107.01,11
HCPCS,J2793,Rilonacept injection,,,19.12,30.35,5
HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [81838]",759.85,759.85,,,0
HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [37237]",1819.1999999999998,1819.1999999999998,,,0
HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [37238]",2729.4,2729.4,,,0
HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [37239]",3874.5499999999997,3874.5499999999997,,,0
HCPCS,J2794,"Risperidone, long acting",,,7.31,46.15,11
HCPCS,J2795,ROPIVACAINE (PF) 0.2 % EPIDURAL [40017126],326.0,326.0,,,0
HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],34.73,34.73,,,0
HCPCS,J2795,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],21.05,21.05,,,0
HCPCS,J2795,ROPIVACAINE 0.2 % PERINEURAL INFUSION WRAPPER [40815029],22.9,22.9,,,0
HCPCS,J2795,Ropivacaine HCl injection,,,0.03,0.05,4
HCPCS,J2796,Romiplostim injection,,,74.01,117.47,5
HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,0.9,1.03,2
HCPCS,J2798,"Inj., perseris, 0.5 mg",,,8.08,51.03,11
HCPCS,J2799,"Inj, uzedy, 1 mg",,,16.67,105.25,11
HCPCS,J2799,RISPERIDONE ER 100 MG/0.28 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207416],0.1,0.1,,,0
HCPCS,J2799,RISPERIDONE ER 125 MG/0.35 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207413],0.1,0.1,,,0
HCPCS,J2799,RISPERIDONE ER 150 MG/0.42 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207417],16645.76,16645.76,,,0
HCPCS,J2799,RISPERIDONE ER 200 MG/0.56 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207418],0.1,0.1,,,0
HCPCS,J2799,RISPERIDONE ER 250 MG/0.7 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207419],0.1,0.1,,,0
HCPCS,J2799,RISPERIDONE ER 50 MG/0.14 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207414],5548.35,5548.35,,,0
HCPCS,J2799,RISPERIDONE ER 75 MG/0.21 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207415],8322.84,8322.84,,,0
HCPCS,J2800,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],43.69,43.69,,,0
HCPCS,J2800,Methocarbamol injection,,,3.19,5.06,4
HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,8.67,54.77,10
HCPCS,J2802,"Inj, romiplostim 1 microgram",,,7.33,46.29,11
HCPCS,J2802,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION [195285],5595.08,5595.08,,,0
HCPCS,J2802,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION [93566],2475.0,2475.0,,,0
HCPCS,J2804,"Inj, rifampin, 1 mg",,,0.09,0.15,5
HCPCS,J2804,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],370.95,370.95,,,0
HCPCS,J2805,SINCALIDE 5 MCG SOLUTION FOR INJECTION [11368],376.76,376.76,,,0
HCPCS,J2805,Sincalide injection,,,82.11,130.34,4
HCPCS,J2806,"Inj sincalide, Maia, 5 mcg",,,19.28,30.61,4
HCPCS,J2820,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],1785.32,1785.32,,,0
HCPCS,J2820,SARGRAMOSTIM 500 MCG/ML INJECTION SOLUTION [70364],1060.35,1060.35,,,0
HCPCS,J2820,Sargramostim injection,,,33.53,211.71,11
HCPCS,J2840,Inj sebelipase alfa 1 mg,,,360.21,2269.53,10
HCPCS,J2840,SEBELIPASE ALFA 2 MG/ML INTRAVENOUS SOLUTION [181124],108500.0,108500.0,,,0
HCPCS,J2850,Inj secretin synthetic human,,,29.15,170.33,10
HCPCS,J2860,"Injection, siltuximab",,,110.39,697.07,11
HCPCS,J2860,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION [170237],44083.96,44083.96,,,0
HCPCS,J2860,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION [170238],44083.96,44083.96,,,0
HCPCS,J2865,Inj sulfameth/trim 5 mg/1 mg,,,0.03,0.05,5
HCPCS,J2865,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],31.0,31.0,,,0
HCPCS,J2916,Na ferric gluconate complex,,,1.35,2.14,4
HCPCS,J2916,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],69.36,69.36,,,0
HCPCS,J2919,"Inj, methylpred sod succ 5mg",,,0.14,0.5,6
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [128782],16.305,16.305,,,0
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [128781],24.97,24.97,,,0
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC 125 MG (INGREDIENT NEURO OPTIME MIXTURE) [500571],14.06,14.06,,,0
HCPCS,J2919,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",12.27,12.27,,,0
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION [10579],298.225,298.225,,,0
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10581],71.5,71.5,,,0
HCPCS,J2920,Methylprednisolone injection,,,3.39,5.38,4
HCPCS,J2930,Methylprednisolone injection,,,5.36,8.51,4
HCPCS,J2940,Somatrem injection,,,42.29,42.29,1
HCPCS,J2941,Somatropin injection,,,94.32,186.05,7
HCPCS,J2993,Reteplase injection,,,2131.64,12209.38,10
HCPCS,J2997,ALTEPLASE (TPA) INTRAVITREAL INJECTION 250 MCG/1 ML [400800],11.82,11.82,,,0
HCPCS,J2997,ALTEPLASE 10 MG SYRINGE [399016],2714.0,2714.0,,,0
HCPCS,J2997,ALTEPLASE 100 MG INTRAVENOUS SOLUTION FOR PULMONARY EMBOLISM BOLUS [40816161],36639.6,36639.6,,,0
HCPCS,J2997,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [31310],364.0,364.0,,,0
HCPCS,J2997,ALTEPLASE 50 MG INTRAVENOUS SOLUTION FOR PULMONARY EMBOLISM INFUSION [40816163],18319.8,18319.8,,,0
HCPCS,J2997,ALTEPLASE 50 MG INTRAVENOUS SOLUTION [9003],9159.9,9159.9,,,0
HCPCS,J2997,Alteplase recombinant,,,62.87,397.01,11
HCPCS,J2998,Inj plasminogen tvmh 1mg,,,28.15,137.74,10
HCPCS,J3000,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION [7508],53.92,53.92,,,0
HCPCS,J3000,Streptomycin injection,,,24.42,38.76,4
HCPCS,J3010,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE [130321],6.68,6.68,,,0
HCPCS,J3010,FENTANYL (PF) 100 MCG/10 ML (10 MCG/ML) IN 0.9 % NACL IV SYRINGE [129093],44.6,44.6,,,0
HCPCS,J3010,FENTANYL (PF) 20 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [121198],185.2,185.2,,,0
HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INFUSION SYRINGES [399037],24.415,24.415,,,0
HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],6.1,6.1,,,0
HCPCS,J3010,FENTANYL 125 MCG/25 ML SYRINGE [350202],5.0,5.0,,,0
HCPCS,J3010,Fentanyl citrate injeciton,,,0.73,1.16,4
HCPCS,J3030,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],57.06,57.06,,,0
HCPCS,J3030,Sumatriptan succinate / 6 MG,,,26.11,41.44,4
HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,2.37,3.76,6
HCPCS,J3032,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION [196252],16099.5,16099.5,,,0
HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,13.29,83.96,11
HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,48.34,305.25,11
HCPCS,J3055,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION [208515],3027.7149999999997,3027.7149999999997,,,0
HCPCS,J3055,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION [208514],51903.600000000006,51903.600000000006,,,0
HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,27.37,172.81,11
HCPCS,J3090,Inj tedizolid phosphate,,,1.31,8.26,11
HCPCS,J3095,Telavancin injection,,,4.74,29.9,11
HCPCS,J3101,TENECTEPLASE (TNKASE) FOR STROKE [40817093],6677.72,6677.72,,,0
HCPCS,J3101,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [189993],23177.825,23177.825,,,0
HCPCS,J3101,Tenecteplase injection,,,114.64,723.93,11
HCPCS,J3105,TERBUTALINE *LOW* INFUSION 0.5 MG/50 ML NS [500156],489.0,489.0,,,0
HCPCS,J3105,TERBUTALINE *MEDIUM* 5 MG/50 ML IN D5W [500146],37.5,37.5,,,0
HCPCS,J3105,TERBUTALINE *MEDIUM* 5 MG/50 ML IN NS [500934],96.25,96.25,,,0
HCPCS,J3105,TERBUTALINE 1 MG/ML BOLUS INJECTION (ONE-STEP) [350114],19.26,19.26,,,0
HCPCS,J3105,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],57.78,57.78,,,0
HCPCS,J3105,TERBUTALINE PEDIATRIC (BRETHINE) *HIGH* INFUSION 1 MG/ML NS SYRINGE [48500934],288.9,288.9,,,0
HCPCS,J3105,Terbutaline sulfate inj,,,4.92,7.81,4
HCPCS,J3110,Teriparatide injection,,,32.75,51.98,6
HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,,,8.03,50.74,11
HCPCS,J3111,ROMOSOZUMAB-AQQG (EVENITY)  210 MG/2.34 ML (105 MG/1.17 ML X 2) SUBCUTANEOUS SYRINGE [193360],10821.855,10821.855,,,0
HCPCS,J3111,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE [193365],5581.23,5581.23,,,0
HCPCS,J3120,Testosterone enanthate inj,,,4.8,7.62,4
HCPCS,J3121,Inj testostero enanthate 1mg,,,0.03,0.05,4
HCPCS,J3121,TESTOSTERONE ENANTHATE 200 MG/ML INTRAMUSCULAR OIL [7785],65.44,65.44,,,0
HCPCS,J3130,Testosterone enanthate inj,,,9.59,15.22,4
HCPCS,J3145,TESTOSTERONE UNDECANOATE 750 MG/3 ML (250MG/ML) INTRAMUSCULAR SOLUTION [169969],5085.15,5085.15,,,0
HCPCS,J3145,Testosterone undecanoate 1mg,,,1.38,8.7,11
HCPCS,J3230,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],92.47,92.47,,,0
HCPCS,J3230,Chlorpromazine hcl injection,,,16.82,26.7,4
HCPCS,J3240,THYROTROPIN ALFA 1.1 MG (0.9 MG/ML FINAL CONC.) INTRAMUSCULAR SOLUTION [24409],7789.78,7789.78,,,0
HCPCS,J3240,Thyrotropin injection,,,1408.75,8895.96,11
HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,239.1,1509.86,11
HCPCS,J3241,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION [195813],149298.0,149298.0,,,0
HCPCS,J3243,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],161.60500000000002,161.60500000000002,,,0
HCPCS,J3243,Tigecycline injection,,,0.26,0.41,5
HCPCS,J3244,Inj. tigecycline (accord),,,0.6,2.8,5
HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,84.84,535.75,11
HCPCS,J3245,TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE [191059],66280.0,66280.0,,,0
HCPCS,J3246,Tirofiban hcl,,,2.31,4.79,6
HCPCS,J3247,Inj secukinumab intrav 1mg,,,11.88,75.0,11
HCPCS,J3247,SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION [209168],21898.71,21898.71,,,0
HCPCS,J3250,Trimethobenzamide hcl inj,,,38.28,60.76,4
HCPCS,J3260,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],701.625,701.625,,,0
HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],8.82,8.82,,,0
HCPCS,J3260,TOBRAMYCIN IN CEMENT (OR OPTIME) [350148],332.15,332.15,,,0
HCPCS,J3260,Tobramycin sulfate injection,,,1.58,2.51,4
HCPCS,J3262,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS PEN INJECTOR [192425],5191.83,5191.83,,,0
HCPCS,J3262,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRINGE [164910],3382.51,3382.51,,,0
HCPCS,J3262,TOCILIZUMAB 20 MG/ML IV (COMPONENT FOR COVID INFUSION) [40018001],5044.61,5044.61,,,0
HCPCS,J3262,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION [108062],3775.9,3775.9,,,0
HCPCS,J3262,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [108063],7551.8,7551.8,,,0
HCPCS,J3262,Tocilizumab injection,,,3.8,23.99,11
HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,26.23,165.66,11
HCPCS,J3263,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION [209404],47493.6,47493.6,,,0
HCPCS,J3285,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION [32931],48.36,48.36,,,0
HCPCS,J3285,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION [32934],42370.6,42370.6,,,0
HCPCS,J3285,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION [32932],9400.675,9400.675,,,0
HCPCS,J3285,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION [32933],21185.3,21185.3,,,0
HCPCS,J3285,Treprostinil injection,,,36.41,229.96,11
HCPCS,J3290,"Inj, tranexamic acid 5 mg",,,0.02,0.03,5
HCPCS,J3290,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",24.365000000000002,24.365000000000002,,,0
HCPCS,J3291,Tranexamic acid in sod chlor,,,0.07,0.11,4
HCPCS,J3299,Inj xipere 1 mg,,,31.93,201.65,11
HCPCS,J3300,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION [89128],68.62,68.62,,,0
HCPCS,J3300,Triamcinolone A inj PRS-free,,,16.3,102.98,10
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION [11584],5.0,5.0,,,0
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],24.564999999999998,24.564999999999998,,,0
HCPCS,J3301,Triamcinolone acet inj nos,,,0.56,0.89,4
HCPCS,J3303,Triamcinolone hexacetonl inj,,,5.74,9.11,4
HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,12.18,76.91,11
HCPCS,J3305,Inj trimetrexate glucoronate,,,149.71,149.71,1
HCPCS,J3315,Triptorelin pamoate,,,316.08,1995.98,11
HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,2541.01,16045.92,11
HCPCS,J3320,Spectinomycn di-hcl inj,,,30.08,30.08,1
HCPCS,J3355,"Urofollitropin, 75 iu",,,63.43,132.33,2
HCPCS,J3357,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE [128798],55326.975000000006,55326.975000000006,,,0
HCPCS,J3357,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE [108054],55326.825000000004,55326.825000000004,,,0
HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,155.88,317.43,7
HCPCS,J3358,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION [184622],12000.0,12000.0,,,0
HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,8.65,54.62,11
HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],53.62,53.62,,,0
HCPCS,J3360,Diazepam injection,,,4.89,7.76,4
HCPCS,J3365,"Urokinase 250,000 IU inj",,,333.04,457.73,2
HCPCS,J3370,Vancomycin hcl injection,,,2.12,3.36,4
HCPCS,J3371,"Inj, vancomycin hcl (mylan)",,,5.67,9.0,4
HCPCS,J3372,"Inj, vancomycin hcl (xellia)",,,5.41,8.59,4
HCPCS,J3373,"Inj, vancomycin hcl, 10 mg",,,0.02,0.03,5
HCPCS,J3373,VANCOMYCIN 1 G IN 1 ML 0.9% NACL FOR STERNAL PASTE (OPTIME) [500556],63.06,63.06,,,0
HCPCS,J3373,VANCOMYCIN 1 GRAM IN 200 ML NS [183039],120.12,120.12,,,0
HCPCS,J3373,VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [92895],39.04,39.04,,,0
HCPCS,J3373,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",11.85,11.85,,,0
HCPCS,J3373,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129073],80.33,80.33,,,0
HCPCS,J3373,VANCOMYCIN 1.75 GRAM IN 500 ML D5W [408302],86.495,86.495,,,0
HCPCS,J3373,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129075],87.5,87.5,,,0
HCPCS,J3373,VANCOMYCIN 10 MG/ML INTRAVENTRICULAR - PEDI [350615],5.0,5.0,,,0
HCPCS,J3373,VANCOMYCIN 10 MG/ML PEDI SHUNT VALVE FLUSH (NEURO OPTIME) [500573],25.0,25.0,,,0
HCPCS,J3373,VANCOMYCIN 2 GRAM INTRAVENOUS SOLUTION [211511],197.21,197.21,,,0
HCPCS,J3373,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129076],104.265,104.265,,,0
HCPCS,J3373,VANCOMYCIN 2.25 G/500 ML IN D5W BAG [300159],102.53999999999999,102.53999999999999,,,0
HCPCS,J3373,VANCOMYCIN 2.25 G/500 ML IN NS BAG [300160],102.53999999999999,102.53999999999999,,,0
HCPCS,J3373,VANCOMYCIN 2.5 G/500 ML IN D5W BAG [300161],124163.41,124163.41,,,0
HCPCS,J3373,VANCOMYCIN 2.5 G/500 ML IN NS BAG [300162],110.42,110.42,,,0
HCPCS,J3373,VANCOMYCIN 2.75 G/550 ML IN D5W BAG [300163],118.30499999999999,118.30499999999999,,,0
HCPCS,J3373,VANCOMYCIN 2.75 G/550 ML IN NS BAG [300164],118.30499999999999,118.30499999999999,,,0
HCPCS,J3373,VANCOMYCIN 250 MG IN 50 ML D5W [408300],33.18,33.18,,,0
HCPCS,J3373,VANCOMYCIN 250 MG IN 50 ML NS [350124],15.025,15.025,,,0
HCPCS,J3373,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],216.22500000000002,216.22500000000002,,,0
HCPCS,J3373,VANCOMYCIN 5 MG/ML (X2) ADULT SHUNT VALVE FLUSH (NEURO OPTIME) [500572],25.0,25.0,,,0
HCPCS,J3373,VANCOMYCIN 5 MG/ML INTRATHECAL [350637],5.0,5.0,,,0
HCPCS,J3373,VANCOMYCIN 5 MG/ML INTRAVENTRICULAR - ADULT [350613],5.0,5.0,,,0
HCPCS,J3373,VANCOMYCIN 5 MG/ML LOCK SOLUTION [350611],5.0,5.0,,,0
HCPCS,J3373,VANCOMYCIN 50 MG/ML ORAL SOLUTION [4080708],7.77,7.77,,,0
HCPCS,J3373,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],32.02,32.02,,,0
HCPCS,J3373,VANCOMYCIN 500 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [183206],55.575,55.575,,,0
HCPCS,J3373,VANCOMYCIN 500 MG/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [11632],77.35499999999999,77.35499999999999,,,0
HCPCS,J3373,VANCOMYCIN 750 MG IN 150 ML NS [183201],75.34,75.34,,,0
HCPCS,J3373,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],35.81,35.81,,,0
HCPCS,J3373,VANCOMYCIN IN 0.9% SODIUM CL 1.5 GRAM/500 ML IV SOLN [500741],93.75,93.75,,,0
HCPCS,J3373,VANCOMYCIN INTRAVITREAL INJECTION 10 MG/1 ML [350639],5.0,5.0,,,0
HCPCS,J3373,VANCOMYCIN IV SYRINGE 5 MG/ML IN 5 % DEXTROSE (PEDIATRIC) [400028],1169.0,1169.0,,,0
HCPCS,J3373,VANCOMYCIN SUBCONJUNCTIVAL INJECTION 50 MG/1 ML [500522],5.0,5.0,,,0
HCPCS,J3374,"Inj, vancomycin (mylan) 10mg",,,0.08,0.12,5
HCPCS,J3375,Inj vancomycin (xellia) 10mg,,,0.09,0.15,5
HCPCS,J3376,Inj vancomycin (hikma) 10mg,,,0.06,0.09,4
HCPCS,J3379,"Inj, valproate sod, 5 mg",,,0.05,0.08,4
HCPCS,J3379,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],165.59,165.59,,,0
HCPCS,J3380,"Injection, vedolizumab",,,14.19,89.58,11
HCPCS,J3380,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [170359],24095.0,24095.0,,,0
HCPCS,J3385,VELAGLUCERASE ALFA 400 UNIT INTRAVENOUS SOLUTION [103915],43117.315,43117.315,,,0
HCPCS,J3385,Velaglucerase alfa,,,253.86,1603.05,11
HCPCS,J3387,Inj elivaldogene autotemecel,,,2116800.0,12988815.0,7
HCPCS,J3389,Topi adm prad zami per treat,,,2220523.2,14022119.37,7
HCPCS,J3391,"Inj, atidarsagene autotemcel",,,2998800.0,18936767.5,9
HCPCS,J3392,"Inj, exagamglogene autotem",,,1552320.0,9802562.0,10
HCPCS,J3393,"Inj, betibeglogene autotemce",,,1975680.0,12382418.09,10
HCPCS,J3394,"Inj, lovotibeglogene autotem",,,2187360.0,13654841.56,10
HCPCS,J3396,Verteporfin injection,,,7.68,48.5,11
HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,191.64,1176.68,8
HCPCS,J3398,Inj luxturna 1 billion vec g,,,2149.14,12621.36,10
HCPCS,J3399,Inj onase abepar-xioi treat,,,1771966.91,10320057.43,10
HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,682.59,4310.42,11
HCPCS,J3402,Inj. remestemcel-l-rknd/ td,,,136886.4,864407.74,9
HCPCS,J3403,"Revakinagene, per implant",,,176400.0,1082401.25,9
HCPCS,J3410,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION [3770],15.65,15.65,,,0
HCPCS,J3410,Hydroxyzine hcl injection,,,10.18,16.16,4
HCPCS,J3411,THIAMINE 500 MG/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [208906],183.5,183.5,,,0
HCPCS,J3411,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],30.5,30.5,,,0
HCPCS,J3411,Thiamine hcl 100 mg,,,1.21,1.92,4
HCPCS,J3415,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION [6744],38.57,38.57,,,0
HCPCS,J3415,Pyridoxine hcl 100 mg,,,4.03,6.39,4
HCPCS,J3420,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",5.0,5.0,,,0
HCPCS,J3420,Vitamin b12 injection,,,0.67,1.06,4
HCPCS,J3424,Inj hydroxocobalamin iv 25mg,,,3.7,2140.56,10
HCPCS,J3425,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION [111437],4120.125,4120.125,,,0
HCPCS,J3425,"Inj, hydroxocobalamin",,,0.01,0.02,6
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],64.0,64.0,,,0
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) FOR PEDIATRIC USE [40811023],44.51,44.51,,,0
HCPCS,J3430,Vitamin k phytonadione inj,,,1.81,2.88,4
HCPCS,J3465,"Injection, voriconazole",,,0.52,0.82,5
HCPCS,J3465,VORICONAZOLE 150 MCG/0.3 ML INTRAVITREAL INJECTION [350641],5.0,5.0,,,0
HCPCS,J3465,VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],449.86,449.86,,,0
HCPCS,J3470,Hyaluronidase injection,,,21.45,34.04,4
HCPCS,J3471,"Ovine, up to 999 usp units",,,0.33,0.53,4
HCPCS,J3473,2% LIDOCAINE (PF) 10 ML - 0.75% BUPIVACAINE (PF) 10 ML -HYALURONIDASE 150 UNITS - EPINEPHRINE 0.1 MG STERILE EYE [40815047],233.1,233.1,,,0
HCPCS,J3473,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION [76338]",185.6,185.6,,,0
HCPCS,J3473,Hyaluronidase recombinant,,,0.24,0.38,4
HCPCS,J3475,Inj magnesium sulfate,,,0.32,0.51,4
HCPCS,J3475,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [16162],9.75,9.75,,,0
HCPCS,J3475,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [127496],56.25,56.25,,,0
HCPCS,J3475,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [127571],22.5,22.5,,,0
HCPCS,J3475,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],454.0,454.0,,,0
HCPCS,J3475,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION [127572]",515.0,515.0,,,0
HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],7.65,7.65,,,0
HCPCS,J3480,Inj potassium chloride,,,0.08,0.12,4
HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11074],12.5,12.5,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],12.8,12.8,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11077],7.625,7.625,,,0
HCPCS,J3480,POTASSIUM CHLORIDE IN WATER 0.1 MEQ/ML INFUSION [40825009],65.13,65.13,,,0
HCPCS,J3480,POTASSIUM CHLORIDE IN WATER 0.4 MEQ/ML INFUSION [40825037],17.535,17.535,,,0
HCPCS,J3485,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [11691],70.395,70.395,,,0
HCPCS,J3485,Zidovudine,,,1.01,6.36,8
HCPCS,J3486,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [33175],58.165,58.165,,,0
HCPCS,J3486,Ziprasidone mesylate,,,4.54,7.21,4
HCPCS,J3488,Reclast injection,,,117.41,186.36,4
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [111464],44.0,44.0,,,0
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK [163354],316.2,316.2,,,0
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],260.225,260.225,,,0
HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],864.0,864.0,,,0
HCPCS,J3489,Zoledronic acid 1mg,,,3.36,5.34,5
HCPCS,J3490,ACETYLCHOLINE CHLORIDE 10 MCG/ML INTRACORONARY SYRINGE FOR ENDOTHELIAL FUNCTION TESTING [40818123],5.0,5.0,,,0
HCPCS,J3490,ACETYLCHOLINE CHLORIDE 50 MCG/ML INTRACORONARY SYRINGE FOR ENDOTHELIAL FUNCTION TESTING [40818124],5.0,5.0,,,0
HCPCS,J3490,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE [31784],527.03,527.03,,,0
HCPCS,J3490,ARTESUNATE 110 MG INTRAVENOUS SOLUTION [200085],16806.2,16806.2,,,0
HCPCS,J3490,AZTREONAM 500 MG/25 ML (ISO-OSMOTIC) D5W [500187],82.38,82.38,,,0
HCPCS,J3490,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [180015],17500.0,17500.0,,,0
HCPCS,J3490,NALOXONE 4 MG/ACTUATION NASAL SPRAY [181092],135.5,135.5,,,0
HCPCS,J3490,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV [129192],197.5,197.5,,,0
HCPCS,J3490,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION [40917],321052.78,321052.78,,,0
HCPCS,J3490,SODIUM BICARBONATE 100 MEQ IN 1100 ML D5W [189455],71.5,71.5,,,0
HCPCS,J3490,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],18.17,18.17,,,0
HCPCS,J3490,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [181404],512.745,512.745,,,0
HCPCS,J3490,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK [194334]",5.0,5.0,,,0
HCPCS,J3490,TRANEXAMIC ACID 5% TOPICAL SOLUTION [400620],221.4,221.4,,,0
HCPCS,J3490,TRANEXAMIC ACID FOR NEBULIZATION SOLUTION [192551],14.024999999999999,14.024999999999999,,,0
HCPCS,J3490,VALGANCICLOVIR 450 MG TABLET [30148],162.01999999999998,162.01999999999998,,,0
HCPCS,J3490,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],14.18,14.18,,,0
HCPCS,J3520,Edetate disodium per 150 mg,,,1.27,1.27,1
HCPCS,J3535,Metered dose inhaler drug,,,3.99,3.99,1
HCPCS,J3590,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [186246],11254.650000000001,11254.650000000001,,,0
HCPCS,J3590,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION [34034],4456.3,4456.3,,,0
HCPCS,J3590,USTEKINUMAB-KFCE 130 MG/26 ML INTRAVENOUS SOLUTION [213593],2894.9700000000003,2894.9700000000003,,,0
HCPCS,J7030,Normal saline solution infus,,,1.3,2.06,4
HCPCS,J7030,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION EXCEL BAG [400554],1.0,1.0,,,0
HCPCS,J7030,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
HCPCS,J7040,Normal saline solution infus,,,0.84,1.33,4
HCPCS,J7040,PR NORMAL SALINE SOLUTION INFUS,1.0,1.0,,,0
HCPCS,J7040,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION EXCEL BAG [400554],1.0,1.0,,,0
HCPCS,J7040,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FREEFLEX BAG [40815006],1.0,1.0,,,0
HCPCS,J7040,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
HCPCS,J7040,SODIUM CHLORIDE 0.9 % IV BOLUS [400291],1.0,1.0,,,0
HCPCS,J7042,5% dextrose/normal saline,,,0.94,1.49,4
HCPCS,J7050,Normal saline solution infus,,,0.43,0.69,4
HCPCS,J7050,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION EXCEL BAG [400554],1.0,1.0,,,0
HCPCS,J7050,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
HCPCS,J7060,5% dextrose/water,,,1.2,1.91,4
HCPCS,J7060,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS [400294],62.5,62.5,,,0
HCPCS,J7070,D5w infusion,,,2.07,3.29,4
HCPCS,J7100,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [2350],110.0,110.0,,,0
HCPCS,J7100,DEXTRAN 40 10 % IN 5 % DEXTROSE INTRAVENOUS [9759],102.5,102.5,,,0
HCPCS,J7100,Dextran 40 infusion,,,46.97,74.55,4
HCPCS,J7120,Ringers lactate infusion,,,1.61,2.55,4
HCPCS,J7121,5% dextrose in lac ringers,,,5.63,8.94,4
HCPCS,J7131,Hypertonic saline sol,,,0.12,0.19,4
HCPCS,J7165,"Inj, human-lans, per i.u",,,1.55,6.5,10
HCPCS,J7168,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [170333]",1840.2,1840.2,,,0
HCPCS,J7168,Prothrombin complex kcentra,,,2.1,8.99,10
HCPCS,J7169,"Inj andexxa, 10 mg",,,88.2,552.23,10
HCPCS,J7170,EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION [189010],19992.0,19992.0,,,0
HCPCS,J7170,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION [189011],28560.0,28560.0,,,0
HCPCS,J7170,EMICIZUMAB-KXWH 30 MG/ML SUBCUTANEOUS SOLUTION [189008],5712.0,5712.0,,,0
HCPCS,J7170,EMICIZUMAB-KXWH 60 MG/0.4 ML SUBCUTANEOUS SOLUTION [189009],11424.0,11424.0,,,0
HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,37.35,235.82,11
HCPCS,J7171,"ADAMTS13, RECOMBINANT-KRHN 1,500 (+/-) UNIT INTRAVENOUS KIT [209463]",21710.0,21710.0,,,0
HCPCS,J7171,"ADAMTS13, RECOMBINANT-KRHN 500 (+/-) UNIT INTRAVENOUS KIT [209462]",21710.0,21710.0,,,0
HCPCS,J7171,"Inj, adzynma, 10 iu",,,23.69,149.59,11
HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,34.01,214.79,10
HCPCS,J7173,"Inj. concizumab-mtci, 0.5 mg",,,57.52,363.2,9
HCPCS,J7174,Injection fitusiran 0.04 mg,,,91.1,560.12,9
HCPCS,J7175,"Inj, factor x, (human), 1iu",,,6.51,41.09,11
HCPCS,J7177,"Inj., fibryga, 1 mg",,,0.81,5.15,11
HCPCS,J7178,"FIBRINOGEN 1 GRAM (900 MG-1,300 MG) INTRAVENOUS SOLUTION [96989]",25.26,25.26,,,0
HCPCS,J7178,Human fibrinogen conc inj,,,1.01,6.39,11
HCPCS,J7179,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN [183880],19580.690000000002,19580.690000000002,,,0
HCPCS,J7179,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN [183879]",19580.690000000002,19580.690000000002,,,0
HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,1.23,7.78,11
HCPCS,J7180,Factor XIII anti-hem factor,,,7.16,45.21,11
HCPCS,J7181,"FACTOR XIII A-SUBUNIT,RECOMBINANT 2,500 UNIT INTRAVENOUS SOLUTION [169956]",69859.44,69859.44,,,0
HCPCS,J7181,Factor xiii recomb a-subunit,,,12.08,76.32,11
HCPCS,J7182,"ANTIHEMOPHILIC FVIII, B-DOM TRUNCATED 250 (+/-) UNIT INTRAVENOUS SOLN [177317]",2.5,2.5,,,0
HCPCS,J7182,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 1,000 (+/-) UNIT INTRAVENOUS SOLN [177319]",2.5,2.5,,,0
HCPCS,J7182,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 1,500 (+/-) UNIT INTRAVENOUS SOLN [177320]",2.5,2.5,,,0
HCPCS,J7182,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 2,000 (+/-) UNIT INTRAVENOUS SOLN [177322]",2.1,2.1,,,0
HCPCS,J7182,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 3,000 (+/-) UNIT INTRAVENOUS SOLN [177323]",2.1,2.1,,,0
HCPCS,J7182,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 500 (+/-) UNIT INTRAVENOUS SOLN [177318]",2.5,2.5,,,0
HCPCS,J7182,Factor viii recomb novoeight,,,1.03,6.47,11
HCPCS,J7183,Wilate injection,,,0.86,5.41,11
HCPCS,J7185,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN 1,000 (+/-) UNIT IV SOLN [93027]",1333.2,1333.2,,,0
HCPCS,J7185,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN 2,000 (+/-) UNIT IV SOLN [93028]",2666.4,2666.4,,,0
HCPCS,J7185,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN 250 (+/-) UNIT IV SOLN [93025]",333.3,333.3,,,0
HCPCS,J7185,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN 1,000 (+/-) UNIT IV SYRINGE [129917]",2529.6,2529.6,,,0
HCPCS,J7185,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN 2,000 (+/-) UNIT IV SYRINGE [129918]",5059.2,5059.2,,,0
HCPCS,J7185,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN 250 (+/-) UNIT IV SYRINGE [130205]",632.4,632.4,,,0
HCPCS,J7185,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN 3,000 (+/-) UNIT IV SYRINGE [108229]",7588.8,7588.8,,,0
HCPCS,J7185,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN 500 (+/-) UNIT IV SYRINGE [130206]",1264.8,1264.8,,,0
HCPCS,J7185,Xyntha inj,,,1.12,7.03,11
HCPCS,J7186,"ANTIHEMOPHILIC FACTOR-VWF 1,000 (400 VWF) UNIT/10 ML INTRAVENOUS SOLN [88337]",2.23,2.23,,,0
HCPCS,J7186,"ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML INTRAVENOUS SOLN [88338]",2.23,2.23,,,0
HCPCS,J7186,"ANTIHEMOPHILIC FACTOR-VWF 2,000 (800 VWF) UNIT/10 ML INTRAVENOUS SOLN [170938]",2.23,2.23,,,0
HCPCS,J7186,Antihemophilic viii/vwf comp,,,0.83,5.23,11
HCPCS,J7187,"ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION [70406]",2.19,2.19,,,0
HCPCS,J7187,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION [70404],5826.03,5826.03,,,0
HCPCS,J7187,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION [70405]",5826.03,5826.03,,,0
HCPCS,J7187,"Humate-P, inj",,,1.0,6.27,11
HCPCS,J7188,"ANTIHEMOPHILIC FACTOR VIII,PORCINE REC 500(+/-) UNIT RANGE IV SOLUTION [176676]",17383.705,17383.705,,,0
HCPCS,J7188,Factor viii recomb obizur,,,2.15,13.56,11
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853]",21053.23,21053.23,,,0
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION [92854]",21053.23,21053.23,,,0
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855]",21053.23,21053.23,,,0
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 8 MG (8,000 MCG) INTRAVENOUS SOLUTION [106256]",21053.23,21053.23,,,0
HCPCS,J7189,Factor viia,,,1.77,11.16,11
HCPCS,J7190,"ANTIHEMOPHILIC FACTOR 1,501 UNIT-2,000 UNIT INTRAVENOUS POWDR FOR SOLN [111060]",2.14,2.14,,,0
HCPCS,J7190,ANTIHEMOPHILIC FACTOR 220 UNIT-400 UNIT INTRAVENOUS POWDR FOR SOLUTION [126218],2.14,2.14,,,0
HCPCS,J7190,ANTIHEMOPHILIC FACTOR 401 UNIT-800 UNIT INTRAVENOUS POWDR FOR SOLUTION [126219],2.14,2.14,,,0
HCPCS,J7190,"ANTIHEMOPHILIC FACTOR 801 UNIT-1,500 UNIT INTRAVENOUS POWDER FOR SOLN [111059]",2.14,2.14,,,0
HCPCS,J7190,"ANTIHEMOPHILIC FACTOR-VWF 1,000 (400 VWF) UNIT/10 ML INTRAVENOUS SOLN [88337]",2.23,2.23,,,0
HCPCS,J7190,"ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML INTRAVENOUS SOLN [88338]",2.23,2.23,,,0
HCPCS,J7190,ANTIHEMOPHILIC FACTOR-VWF 250 (100 VWF) UNIT/5 ML INTRAVENOUS SOLUTION [88335],2.23,2.23,,,0
HCPCS,J7190,ANTIHEMOPHILIC FACTOR-VWF 500 (200 VWF) UNIT/5 ML INTRAVENOUS SOLUTION [88336],2.23,2.23,,,0
HCPCS,J7190,Factor viii,,,0.72,4.56,11
HCPCS,J7191,Factor viii (porcine),,,0.22,22.95,4
HCPCS,J7192,"ADVATE 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [76391]",2532.13,2532.13,,,0
HCPCS,J7192,"ADVATE 1,500 (+/-) UNIT INTRAVENOUS SOLUTION [76392]",2534.66,2534.66,,,0
HCPCS,J7192,"ADVATE 2,000 (+/-) UNIT INTRAVENOUS SOLUTION [78224]",2534.66,2534.66,,,0
HCPCS,J7192,ADVATE 250 (+/-) UNIT INTRAVENOUS SOLUTION [76389],2534.66,2534.66,,,0
HCPCS,J7192,"ADVATE 3,000 (+/-) UNIT INTRAVENOUS SOLUTION [82526]",2.53,2.53,,,0
HCPCS,J7192,"ADVATE 4,000 (+/-) UNIT INTRAVENOUS SOLUTION [117086]",2.53,2.53,,,0
HCPCS,J7192,ADVATE 500 (+/-) UNIT INTRAVENOUS SOLUTION [76390],2534.66,2534.66,,,0
HCPCS,J7192,"ANTIHEMFACTOR (RECOMB) HELIXATE FS 1,000 (+/-) UNITS [500217]",2112.22,2112.22,,,0
HCPCS,J7192,"ANTIHEMFACTOR (RECOMB) KOGENATE FS 1,000 (+/-) UNITS [500214]",1689.78,1689.78,,,0
HCPCS,J7192,"ANTIHEMFACTOR (RECOMB) KOGENATE FS 3,000 (+/-) UNITS [350634]",2112.22,2112.22,,,0
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 250 (+/-) UNIT IV SOLUTION [76365]",2957.105,2957.105,,,0
HCPCS,J7192,Factor viii recombinant nos,,,1.07,6.78,11
HCPCS,J7192,"KOGENATE FS 2,000 (+/-) UNIT INTRAVENOUS SOLUTION [82449]",2112.22,2112.22,,,0
HCPCS,J7192,KOGENATE FS 250 (+/-) UNIT INTRAVENOUS SOLUTION [33802],2534.66,2534.66,,,0
HCPCS,J7192,"KOGENATE FS 3,000 (+/-) UNIT INTRAVENOUS SOLUTION [99577]",2.53,2.53,,,0
HCPCS,J7192,KOGENATE FS 500 (+/-) UNIT INTRAVENOUS SOLUTION [33803],2534.66,2534.66,,,0
HCPCS,J7192,"RECOMBINATE 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [6813]",2535.065,2535.065,,,0
HCPCS,J7192,"RECOMBINATE 1,500 (+/-) UNIT INTRAVENOUS SOLUTION [106304]",2.53,2.53,,,0
HCPCS,J7192,"RECOMBINATE 2,000 (+/-) UNIT INTRAVENOUS SOLUTION [106305]",2112.22,2112.22,,,0
HCPCS,J7192,RECOMBINATE 250 (+/-) UNIT INTRAVENOUS SOLUTION [6811],2.53,2.53,,,0
HCPCS,J7192,RECOMBINATE 500 (+/-) UNIT INTRAVENOUS SOLUTION [6812],2534.66,2534.66,,,0
HCPCS,J7193,Factor ix non-recombinant,,,0.93,5.87,11
HCPCS,J7194,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [10008]",9350.67,9350.67,,,0
HCPCS,J7194,"FACTOR IX COMPLEX NO.4, 3-FACTOR 500 (+/-) UNIT INTRAVENOUS SOLUTION [3013]",6393.77,6393.77,,,0
HCPCS,J7194,Factor ix complex,,,1.13,7.13,11
HCPCS,J7195,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION [164272]",3.0,3.0,,,0
HCPCS,J7195,"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION [164273]",3.0,3.0,,,0
HCPCS,J7195,Factor ix recombinant nos,,,1.23,7.77,11
HCPCS,J7196,Antithrombin recombinant,,,99.14,157.36,5
HCPCS,J7197,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],2127.0,2127.0,,,0
HCPCS,J7197,Antithrombin iii injection,,,2.73,17.25,11
HCPCS,J7198,"ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN [126130]",2.07,2.07,,,0
HCPCS,J7198,Anti-inhibitor,,,1.61,10.14,11
HCPCS,J7200,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION [164272]",3.0,3.0,,,0
HCPCS,J7200,COAGULATION FACTOR IX (RECOMB) 250 UNIT INTRAVENOUS SOLUTION [164270],3.0,3.0,,,0
HCPCS,J7200,"COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION [164274]",3.29,3.29,,,0
HCPCS,J7200,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION [164271],3.0,3.0,,,0
HCPCS,J7200,Factor ix recombinan rixubis,,,1.13,7.1,10
HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION [170117]",5940.0,5940.0,,,0
HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION [170118]",11880.0,11880.0,,,0
HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION [170119]",17820.0,17820.0,,,0
HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION [170116]",2970.0,2970.0,,,0
HCPCS,J7201,Factor ix alprolix recomb,,,2.39,15.11,11
HCPCS,J7202,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN IV SOLUTION 1000 UNITS [182504]",8229.6,8229.6,,,0
HCPCS,J7202,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN IV SOLUTION 2000 UNITS [182505]",16459.2,16459.2,,,0
HCPCS,J7202,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN IV SOLUTION 250 UNITS [182502]",2057.4,2057.4,,,0
HCPCS,J7202,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN IV SOLUTION 500 UNITS [182503]",4114.8,4114.8,,,0
HCPCS,J7202,Factor ix idelvion inj,,,3.54,22.36,11
HCPCS,J7203,Factor ix recomb gly rebinyn,,,2.97,18.76,11
HCPCS,J7204,Inj recombin esperoct per iu,,,1.48,9.34,11
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION [170433]",3999.6,3999.6,,,0
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,500 UNIT INTRAVENOUS SOLUTION [170434]",5999.4,5999.4,,,0
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION [170435]",7999.2,7999.2,,,0
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 250 UNIT INTRAVENOUS SOLUTION [170430]",999.9,999.9,,,0
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION [170436]",11998.8,11998.8,,,0
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION [186144]",15991.2,15991.2,,,0
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION [170431]",1999.8,1999.8,,,0
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 750 UNIT INTRAVENOUS SOLUTION [170432]",4.0,4.0,,,0
HCPCS,J7205,Factor viii fc fusion recomb,,,1.61,10.2,11
HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 2,000(+/-) UNIT IV SOLUTION [180832]",8843.655,8843.655,,,0
HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 250 (+/-) UNIT IV SOLUTION [180829]",8843.655,8843.655,,,0
HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 500 (+/-) UNIT IV SOLUTION [180830]",8843.655,8843.655,,,0
HCPCS,J7207,Factor viii pegylated recomb,,,1.4,8.81,11
HCPCS,J7208,"ANTIHEMOPHILIC FVIII REC,B-DOM DEL PEG-AUCL 3,000(+/-)UNIT IV SOLUTION [191446]",9426.82,9426.82,,,0
HCPCS,J7208,Inj. jivi 1 iu,,,1.76,11.12,11
HCPCS,J7209,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 1,000 UNIT IV SOLUTION [180052]",8092.155000000001,8092.155000000001,,,0
HCPCS,J7209,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 2,000 UNIT IV SOLUTION [180050]",8092.155000000001,8092.155000000001,,,0
HCPCS,J7209,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 250 UNIT IV SOLUTION [180049]",8092.155000000001,8092.155000000001,,,0
HCPCS,J7209,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 500 UNIT IV SOLUTION [180051]",8092.155000000001,8092.155000000001,,,0
HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,0.74,4.7,11
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 1,000(+/-) UNIT RANGE IV SOLN [183276]",2810.4,2810.4,,,0
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 2,000(+/-) UNIT RANGE IV SOLN [183277]",5620.8,5620.8,,,0
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 3,000(+/-) UNIT RANGE IV SOLN [183278]",8431.2,8431.2,,,0
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SNGL-CHN,B-DOM TRUNC 250 (+/-) UNIT RANGE IV SOLN [183274]",702.6,702.6,,,0
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SNGL-CHN,B-DOM TRUNC 500 (+/-) UNIT RANGE IV SOLN [183275]",1405.2,1405.2,,,0
HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.05,6.61,11
HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.04,6.58,11
HCPCS,J7211,"KOVALTRY 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [182572]",2469.6,2469.6,,,0
HCPCS,J7211,"KOVALTRY 2,000 (+/-) UNIT INTRAVENOUS SOLUTION [182573]",4939.2,4939.2,,,0
HCPCS,J7211,KOVALTRY 250 (+/-) UNIT INTRAVENOUS SOLUTION [182567],617.4,617.4,,,0
HCPCS,J7211,"KOVALTRY 3,000 (+/-) UNIT INTRAVENOUS SOLUTION [182574]",2.47,2.47,,,0
HCPCS,J7211,KOVALTRY 500 (+/-) UNIT INTRAVENOUS SOLUTION [182568],1234.8,1234.8,,,0
HCPCS,J7212,Factor viia recomb sevenfact,,,1.58,9.96,10
HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.27,8.04,11
HCPCS,J7214,Altuviiio per factor viii iu,,,3.11,19.6,11
HCPCS,J7294,Seg acet and eth estr yearly,,,1707.93,2711.0,5
HCPCS,J7295,Eth estr and eton monthly,,,73.26,116.28,5
HCPCS,J7296,"Kyleena, 19.5 mg",,,857.05,1360.39,6
HCPCS,J7296,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE [184794],4291.65,4291.65,,,0
HCPCS,J7297,"Liletta, 52 mg",,,927.24,950.37,2
HCPCS,J7298,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE [29280],4052.55,4052.55,,,0
HCPCS,J7298,"Mirena, 52 mg",,,1151.23,1238.93,2
HCPCS,J7299,Intraut copp cont (miudella),,,803.68,1275.68,4
HCPCS,J7300,COPPER 380 SQUARE MM INTRAUTERINE DEVICE [164318],3840.4,3840.4,,,0
HCPCS,J7300,Intraut copper contraceptive,,,803.68,1275.68,6
HCPCS,J7301,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE [163065],3251.6,3251.6,,,0
HCPCS,J7301,"Skyla, 13.5 mg",,,713.63,1132.75,6
HCPCS,J7302,Intraut contraceptive system,,,441.0,700.0,4
HCPCS,J7303,Contraceptive vaginal ring,,,178.44,178.44,1
HCPCS,J7304,Contraceptive hormone patch,,,41.53,44.68,2
HCPCS,J7307,ETONOGESTREL 68 MG SUBDERMAL IMPLANT [77012],5153.2,5153.2,,,0
HCPCS,J7307,Etonogestrel implant system,,,857.05,1360.39,6
HCPCS,J7308,Aminolevulinic acid hcl top,,,261.0,1648.15,11
HCPCS,J7309,"Methyl aminolevulinate, top",,,83.69,83.69,1
HCPCS,J7310,Ganciclovir long act implant,,,16960.0,18608.51,2
HCPCS,J7311,Fluocinolone acetonide implt,,,226.54,1430.51,11
HCPCS,J7312,Dexamethasone intra implant,,,136.2,860.08,11
HCPCS,J7313,Fluocinol acet intravit imp,,,331.59,2093.91,11
HCPCS,J7314,"Inj., yutiq, 0.01 mg",,,352.72,2227.39,11
HCPCS,J7315,MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],2326.8199999999997,2326.8199999999997,,,0
HCPCS,J7315,Ophthalmic mitomycin,,,303.41,481.6,5
HCPCS,J7316,"Inj, ocriplasmin, 0.125 mg",,,1046.93,1046.93,1
HCPCS,J7318,"Inj, durolane 1 mg",,,4.51,28.47,11
HCPCS,J7320,"Genvisc 850, inj, 1mg",,,3.84,24.27,11
HCPCS,J7321,Hyalgan/supartz inj per dose,,,47.61,75.57,5
HCPCS,J7322,Hymovis injection 1 mg,,,11.73,74.06,11
HCPCS,J7323,Euflexxa inj per dose,,,74.86,472.7,11
HCPCS,J7323,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE [185039],1484.38,1484.38,,,0
HCPCS,J7324,Orthovisc inj per dose,,,76.24,481.45,11
HCPCS,J7324,SODIUM HYALURONATE 30 MG/2 ML INTRA-ARTICULAR SYRINGE [38066],1563.6,1563.6,,,0
HCPCS,J7325,Synvisc or Synvisc-One,,,5.29,33.42,11
HCPCS,J7326,Gel-one,,,352.31,2224.74,11
HCPCS,J7327,Monovisc inj per dose,,,423.75,2675.91,11
HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.47,2.93,10
HCPCS,J7328,SODIUM HYALURONATE 16.8 MG/2 ML INTRA-ARTICULAR SYRINGE [183957],1652.2,1652.2,,,0
HCPCS,J7329,"Inj, trivisc 1 mg",,,3.12,19.72,11
HCPCS,J7330,Cultured chondrocytes implnt,,,31905.54,78144.64,6
HCPCS,J7331,"Synojoynt, inj., 1 mg",,,2.42,19.77,6
HCPCS,J7332,"Inj., triluron, 1 mg",,,6.84,43.17,11
HCPCS,J7333,Visco-3 inj dose,,,234.96,372.96,4
HCPCS,J7335,Capsaicin 8% patch,,,18.22,28.92,4
HCPCS,J7336,CAPSAICIN-SKIN CLEANSER 8 % TOPICAL KIT [104258],10468.875,10468.875,,,0
HCPCS,J7336,Capsaicin 8% patch,,,2.27,14.38,11
HCPCS,J7340,Carbidopa levodopa ent 100ml,,,162.16,1024.0,11
HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,30.02,30.02,1
HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.19,7.54,11
HCPCS,J7351,Inj bimatoprost itc imp 1mcg,,,142.35,898.88,11
HCPCS,J7352,"Afamelanotide implant, 1 mg",,,2024.56,12372.67,10
HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,40.41,245.1,9
HCPCS,J7354,"Cantharidin top, applicator",,,435.85,2752.27,11
HCPCS,J7355,Inj travoprost intra impl,,,130.28,822.71,11
HCPCS,J7356,Inj foscarb/foslevodopa 5 mg,,,0.47,0.75,5
HCPCS,J7402,Mometasone sinus sinuva,,,7.55,47.69,11
HCPCS,J7500,AZATHIOPRINE 25 MG HALF TABLET [40817118],15.0,15.0,,,0
HCPCS,J7500,AZATHIOPRINE 50 MG TABLET [9183],7.5,7.5,,,0
HCPCS,J7500,AZATHIOPRINE 75 MG TABLET [35162],61.7,61.7,,,0
HCPCS,J7500,AZATHIOPRINE ORAL SUSP 50 MG/ML [500183],5.0,5.0,,,0
HCPCS,J7500,Azathioprine oral 50mg,,,0.04,0.07,4
HCPCS,J7501,AZATHIOPRINE 100 MG SOLUTION FOR INJECTION [767],1576.0500000000002,1576.0500000000002,,,0
HCPCS,J7501,Azathioprine parenteral,,,176.4,1067.97,10
HCPCS,J7502,CYCLOSPORINE 100 MG CAPSULE [9706],22.67,22.67,,,0
HCPCS,J7502,CYCLOSPORINE 100 MG/ML ORAL SOLUTION [9708],338.75,338.75,,,0
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],6.8,6.8,,,0
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION [28844],784.25,784.25,,,0
HCPCS,J7502,Cyclosporine oral 100 mg,,,1.35,2.15,4
HCPCS,J7503,TACROLIMUS ER 1 MG TABLET [179549],8.75,8.75,,,0
HCPCS,J7503,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR [179548]",10.0,10.0,,,0
HCPCS,J7503,Tacrol envarsus ex rel oral,,,1.22,1.93,5
HCPCS,J7504,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [10475]",25911.99,25911.99,,,0
HCPCS,J7504,Lymphocyte immune globulin,,,3052.6,21585.35,11
HCPCS,J7505,Monoclonal antibodies,,,1156.08,1156.08,1
HCPCS,J7506,Prednisone oral,,,0.13,0.2,4
HCPCS,J7507,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",46.2,46.2,,,0
HCPCS,J7507,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",30.905,30.905,,,0
HCPCS,J7507,TACROLIMUS 1 MG/ML ORAL SUSPENSION [408002],205.2,205.2,,,0
HCPCS,J7507,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",11.98,11.98,,,0
HCPCS,J7507,Tacrolimus imme rel oral 1mg,,,0.11,0.18,4
HCPCS,J7508,Tacrol astagraf ex rel oral,,,0.39,0.62,5
HCPCS,J7509,METHYLPREDNISOLONE 16 MG TABLET [4992],10.45,10.45,,,0
HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLET [4993],11.01,11.01,,,0
HCPCS,J7509,Methylprednisolone oral,,,0.07,0.11,4
HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],94.93,94.93,,,0
HCPCS,J7510,Prednisolone oral per 5 mg,,,0.15,0.24,4
HCPCS,J7511,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION [24585],13302.490000000002,13302.490000000002,,,0
HCPCS,J7511,ANTITHYMOCYTE GLOBULIN (RABBIT) IVPB IN 250 ML NS (ONE-STEP) [350138],3329.15,3329.15,,,0
HCPCS,J7511,Antithymocyte globuln rabbit,,,665.24,4200.84,11
HCPCS,J7512,PREDNISONE 1 MG TABLET [6493],50.0,50.0,,,0
HCPCS,J7512,PREDNISONE 10 MG TABLET [6494],7.5,7.5,,,0
HCPCS,J7512,PREDNISONE 2.5 MG TABLET [6495],15.0,15.0,,,0
HCPCS,J7512,PREDNISONE 20 MG TABLET [6496],5.0,5.0,,,0
HCPCS,J7512,PREDNISONE 5 MG TABLET [6497],20.0,20.0,,,0
HCPCS,J7512,PREDNISONE 50 MG TABLET [6498],5.0,5.0,,,0
HCPCS,J7512,Prednisone ir or dr oral 1mg,,,0.01,0.01,4
HCPCS,J7513,"Daclizumab, parenteral",,,526.34,550.37,2
HCPCS,J7514,Mycophenol (myhibbin) 100 mg,,,1.54,2.44,5
HCPCS,J7515,CYCLOSPORINE 25 MG CAPSULE [9707],5.0,5.0,,,0
HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],17.65,17.65,,,0
HCPCS,J7515,Cyclosporine oral 25 mg,,,0.54,0.85,4
HCPCS,J7516,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],131.69,131.69,,,0
HCPCS,J7516,Cyclosporin parenteral 250mg,,,48.31,76.69,4
HCPCS,J7517,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],74.19999999999999,74.19999999999999,,,0
HCPCS,J7517,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],20.0,20.0,,,0
HCPCS,J7517,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],7.5,7.5,,,0
HCPCS,J7517,Mycophenolate mofetil oral,,,0.11,0.17,4
HCPCS,J7518,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE [38062]",41.69,41.69,,,0
HCPCS,J7518,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE [38063]",60.4,60.4,,,0
HCPCS,J7518,Mycophenolic acid,,,0.23,0.36,4
HCPCS,J7519,Inj. mycophenolate mofetil,,,0.24,0.81,6
HCPCS,J7519,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],393.495,393.495,,,0
HCPCS,J7520,SIROLIMUS 0.5 MG TABLET [104764],104.125,104.125,,,0
HCPCS,J7520,SIROLIMUS 1 MG TABLET [28958],165.315,165.315,,,0
HCPCS,J7520,SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],73.475,73.475,,,0
HCPCS,J7520,"Sirolimus, oral",,,0.58,0.92,4
HCPCS,J7521,Tacrolim granules oral susp,,,0.87,1.38,5
HCPCS,J7525,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION [12935],289.16,289.16,,,0
HCPCS,J7525,Tacrolimus injection,,,175.17,1106.14,11
HCPCS,J7527,Oral everolimus,,,0.91,1.45,5
HCPCS,J7528,Mycophen mofetil for susp,,,1.0,1.58,4
HCPCS,J7601,Ensifentrine inh 3 mg,,,34.69,55.07,5
HCPCS,J7604,Acetylcysteine comp unit,,,2.38,2.38,1
HCPCS,J7605,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],8.31,8.31,,,0
HCPCS,J7605,Arformoterol non-comp unit,,,0.47,3.41,6
HCPCS,J7606,"Formoterol fumarate, inh",,,1.81,7.44,6
HCPCS,J7607,Levalbuterol comp con,,,0.26,0.26,1
HCPCS,J7608,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION [122],5.7,5.7,,,0
HCPCS,J7608,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],18.06,18.06,,,0
HCPCS,J7608,Acetylcysteine non-comp unit,,,5.76,9.14,6
HCPCS,J7609,Albuterol comp unit,,,0.16,0.56,6
HCPCS,J7610,Albuterol comp con,,,0.51,1.31,2
HCPCS,J7611,ALBUTEROL 50 MG/60 ML (0.083%) AEROGEN SYRINGE FOR CONTINUOUS INHALATION [40818101],14.7,14.7,,,0
HCPCS,J7611,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION [125214],5.0,5.0,,,0
HCPCS,J7611,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251],187.5,187.5,,,0
HCPCS,J7611,Albuterol non-comp con,,,0.11,0.3,6
HCPCS,J7612,Levalbuterol non-comp con,,,0.18,0.33,6
HCPCS,J7613,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],15.0,15.0,,,0
HCPCS,J7613,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],5.0,5.0,,,0
HCPCS,J7613,Albuterol non-comp unit,,,0.04,0.08,6
HCPCS,J7614,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],26.88,26.88,,,0
HCPCS,J7614,Levalbuterol non-comp unit,,,0.05,0.1,6
HCPCS,J7615,Levalbuterol comp unit,,,0.26,0.26,1
HCPCS,J7620,Albuterol ipratrop non-comp,,,0.13,0.21,6
HCPCS,J7620,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],7.5,7.5,,,0
HCPCS,J7622,Beclomethasone comp unit,,,0.03,0.03,2
HCPCS,J7624,Betamethasone comp unit,,,1.21,1.47,2
HCPCS,J7626,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],23.759999999999998,23.759999999999998,,,0
HCPCS,J7626,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],15.6,15.6,,,0
HCPCS,J7626,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION [88223],21.869999999999997,21.869999999999997,,,0
HCPCS,J7626,Budesonide non-comp unit,,,0.9,1.43,6
HCPCS,J7627,Budesonide comp unit,,,0.21,0.34,5
HCPCS,J7628,Bitolterol mesylate comp con,,,0.17,0.19,2
HCPCS,J7629,Bitolterol mesylate comp unt,,,0.17,0.31,2
HCPCS,J7631,Cromolyn sodium noncomp unit,,,0.29,0.81,6
HCPCS,J7632,Cromolyn sodium comp unit,,,0.48,0.48,1
HCPCS,J7633,Budesonide non-comp con,,,0.01,0.01,1
HCPCS,J7635,Atropine comp con,,,0.12,0.14,2
HCPCS,J7636,Atropine comp unit,,,0.12,0.13,2
HCPCS,J7637,Dexamethasone comp con,,,0.13,0.14,2
HCPCS,J7638,Dexamethasone comp unit,,,0.13,0.15,2
HCPCS,J7639,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [12211],451.8,451.8,,,0
HCPCS,J7639,Dornase alfa non-comp unit,,,36.72,58.28,6
HCPCS,J7640,Formoterol comp unit,,,1.63,1.73,2
HCPCS,J7641,Flunisolide comp unit,,,0.21,0.26,2
HCPCS,J7642,Glycopyrrolate comp con,,,1.04,4.66,2
HCPCS,J7643,Glycopyrrolate comp unit,,,1.04,1.26,2
HCPCS,J7644,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],5.0,5.0,,,0
HCPCS,J7644,IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER [41142],104.3,104.3,,,0
HCPCS,J7644,Ipratropium bromide non-comp,,,0.23,0.41,6
HCPCS,J7645,Ipratropium bromide comp,,,0.04,0.05,2
HCPCS,J7647,Isoetharine comp con,,,4.66,4.66,1
HCPCS,J7648,Isoetharine non-comp con,,,0.14,0.14,1
HCPCS,J7649,Isoetharine non-comp unit,,,0.16,0.16,1
HCPCS,J7650,Isoetharine comp unit,,,4.66,4.66,1
HCPCS,J7657,Isoproterenol comp con,,,4.66,4.66,1
HCPCS,J7658,Isoproterenol non-comp con,,,2.06,2.06,1
HCPCS,J7659,Isoproterenol non-comp unit,,,2.06,2.06,1
HCPCS,J7660,Isoproterenol comp unit,,,4.66,4.66,1
HCPCS,J7665,Mannitol for inhaler,,,4.64,7.37,4
HCPCS,J7667,Metaproterenol comp con,,,0.27,0.27,1
HCPCS,J7668,Metaproterenol non-comp con,,,0.21,0.21,1
HCPCS,J7669,Metaproterenol non-comp unit,,,0.44,0.44,1
HCPCS,J7670,Metaproterenol comp unit,,,0.27,0.27,1
HCPCS,J7674,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN [197775],3845.88,3845.88,,,0
HCPCS,J7674,METHACHOLINE CHLOR IN NS FOR BRONCHOPRVCTN - 0.0625 MG/ML [300058],113.985,113.985,,,0
HCPCS,J7674,METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION [27032],231.1,231.1,,,0
HCPCS,J7674,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 0.25 MG/ML DILUTION D [300070],113.08,113.08,,,0
HCPCS,J7674,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 1 MG/ML - DILUTION C [300073],112.87,112.87,,,0
HCPCS,J7674,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 16 MG/ML - DILUTION A [300071],112.87,112.87,,,0
HCPCS,J7674,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 4 MG/ML - DILUTION B [300072],112.87,112.87,,,0
HCPCS,J7676,Pentamidine comp unit dose,,,57.43,57.43,1
HCPCS,J7677,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION [192138],31.83,31.83,,,0
HCPCS,J7677,Revefenacin inh non-com 1mcg,,,0.13,0.2,6
HCPCS,J7680,Terbutaline sulf comp con,,,6.65,26.3,2
HCPCS,J7681,Terbutaline sulf comp unit,,,29.39,32.05,2
HCPCS,J7682,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],134.55,134.55,,,0
HCPCS,J7682,Tobramycin non-comp unit,,,10.79,25.51,6
HCPCS,J7683,Triamcinolone comp con,,,0.56,0.68,2
HCPCS,J7684,Triamcinolone comp unit,,,0.56,0.68,2
HCPCS,J7685,Tobramycin comp unit,,,84.06,84.06,1
HCPCS,J7686,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION [128540],13.04,13.04,,,0
HCPCS,J7686,"Treprostinil, non-comp unit",,,529.92,841.15,6
HCPCS,J8498,Antiemetic rectal/supp nos,,,3.54,3.54,1
HCPCS,J8499,DIPHENHYDRAMINE 25 MG TABLET [2505],7.5,7.5,,,0
HCPCS,J8499,LORATADINE 10 MG TABLET [10466],5.0,5.0,,,0
HCPCS,J8499,Oral prescrip drug non chemo,,,14.58,14.58,1
HCPCS,J8499,PROMETHAZINE 25 MG TABLET [6622],7.5,7.5,,,0
HCPCS,J8499,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],37.975,37.975,,,0
HCPCS,J8501,APREPITANT 125 MG CAPSULE [35489],729.88,729.88,,,0
HCPCS,J8501,APREPITANT 40 MG CAPSULE [76843],706.95,706.95,,,0
HCPCS,J8501,APREPITANT 80 MG CAPSULE [35488],728.14,728.14,,,0
HCPCS,J8501,Oral aprepitant,,,1.81,2.88,5
HCPCS,J8510,BUSULFAN 1 MG HALF TABLET [4089325],54.15,54.15,,,0
HCPCS,J8510,Oral busulfan,,,10.12,162.37,9
HCPCS,J8515,"Cabergoline, oral 0.25mg",,,1.1,14.68,6
HCPCS,J8520,"Capecitabine, oral, 150 mg",,,0.37,0.58,4
HCPCS,J8521,"Capecitabine, oral, 500 mg",,,0.71,1.12,4
HCPCS,J8522,CAPECITABINE 500 MG TABLET [22994],629.29,629.29,,,0
HCPCS,J8522,CAPECITABINE ORAL SUSP 5 MG/ML 30 ML BULK BOTTLE [500204],52.35,52.35,,,0
HCPCS,J8522,"Capecitabine, oral, 50 mg",,,0.03,0.16,10
HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG CAPSULE [169785],24.1,24.1,,,0
HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG CAPSULE [169786],24.08,24.08,,,0
HCPCS,J8530,Cyclophosphamide oral 25 MG,,,0.73,1.16,4
HCPCS,J8540,DEXAMETHASONE 0.5 MG TABLET [2322],17.5,17.5,,,0
HCPCS,J8540,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION [2320],5.0,5.0,,,0
HCPCS,J8540,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE) [119671],15.38,15.38,,,0
HCPCS,J8540,DEXAMETHASONE 1.5 MG TABLET [2325],10.004999999999999,10.004999999999999,,,0
HCPCS,J8540,DEXAMETHASONE 2 MG TABLET [2326],10.0,10.0,,,0
HCPCS,J8540,DEXAMETHASONE 4 MG TABLET [2327],6.25,6.25,,,0
HCPCS,J8540,DEXAMETHASONE 4 MG/ML ORAL LIQUID [40816242],5.0,5.0,,,0
HCPCS,J8540,DEXAMETHASONE 6 MG TABLET [2328],5.0,5.0,,,0
HCPCS,J8540,Oral dexamethasone,,,0.01,0.02,4
HCPCS,J8541,"Oral, hemady, 0.25 mg",,,0.25,0.4,5
HCPCS,J8560,ETOPOSIDE 50 MG CAPSULE [10001],545.84,545.84,,,0
HCPCS,J8560,Etoposide oral 50 mg,,,51.57,325.61,10
HCPCS,J8561,Oral everolimus,,,4.21,6.68,4
HCPCS,J8562,Oral fludarabine phosphate,,,81.77,81.77,1
HCPCS,J8565,Gefitinib oral,,,98.94,157.04,5
HCPCS,J8600,MELPHALAN 2 MG TABLET [10523],128.58,128.58,,,0
HCPCS,J8600,Melphalan oral 2 MG,,,6.46,10.26,4
HCPCS,J8610,METHOTREXATE SODIUM (RHEUMATOLOGY) 2.5 MG TABLET  [500938],34.01,34.01,,,0
HCPCS,J8610,METHOTREXATE SODIUM 10 MG TABLET [30212],84.43,84.43,,,0
HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG TABLET [4973],34.01,34.01,,,0
HCPCS,J8610,Methotrexate oral 2.5 MG,,,0.13,0.2,4
HCPCS,J8611,Oral methotrexate (jylamvo),,,12.29,77.62,11
HCPCS,J8612,METHOTREXATE 2.5 MG/ML ORAL SOLUTION [187103],7147.8,7147.8,,,0
HCPCS,J8612,Oral methotrexate (xatmep),,,15.09,95.34,11
HCPCS,J8650,Nabilone oral,,,37.88,39.98,2
HCPCS,J8655,Netupitant palonosetron oral,,,281.5,1777.63,11
HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.23,7.8,11
HCPCS,J8700,TEMOZOLOMIDE 10 MG/ML ORAL SUSPENSION [500925],12842.0,12842.0,,,0
HCPCS,J8700,TEMOZOLOMIDE 100 MG CAPSULE [25894],110.95,110.95,,,0
HCPCS,J8700,TEMOZOLOMIDE 20 MG CAPSULE [25893],6.1,6.1,,,0
HCPCS,J8700,TEMOZOLOMIDE 5 MG CAPSULE [25892],10.96,10.96,,,0
HCPCS,J8700,Temozolomide,,,0.3,0.48,5
HCPCS,J8705,Topotecan oral,,,83.1,524.73,10
HCPCS,J8999,APALUTAMIDE 60 MG TABLET [190030],1137.5,1137.5,,,0
HCPCS,J8999,DASATINIB 70 MG TABLET [76719],1041.7,1041.7,,,0
HCPCS,J9000,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],92.34,92.34,,,0
HCPCS,J9000,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],1529.825,1529.825,,,0
HCPCS,J9000,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [128012],189.57,189.57,,,0
HCPCS,J9000,Doxorubicin hcl injection,,,2.01,3.19,4
HCPCS,J9001,Doxorubicin hcl liposome inj,,,338.44,537.21,4
HCPCS,J9002,Doxil injection,,,341.87,542.65,4
HCPCS,J9010,Alemtuzumab injection,,,415.13,658.93,4
HCPCS,J9011,DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION [213708],65344.7,65344.7,,,0
HCPCS,J9011,"Datopotamab deruxtecan, 1 mg",,,34.32,216.72,9
HCPCS,J9015,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION [8993],10391.735,10391.735,,,0
HCPCS,J9015,Aldesleukin injection,,,1246.98,14034.94,10
HCPCS,J9017,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],441.15,441.15,,,0
HCPCS,J9017,Arsenic trioxide injection,,,5.42,16.86,7
HCPCS,J9019,"ASPARAGINASE (ERWINIA CHRYSANTHEMI) 10,000 UNIT SOLUTION FOR INJECTION [112967]",72919.93,72919.93,,,0
HCPCS,J9019,Erwinaze injection,,,284.41,468.8,6
HCPCS,J9020,"ASPARAGINASE 10,000 UNIT SOLUTION FOR INJECTION [9146]",8752.895,8752.895,,,0
HCPCS,J9020,"Asparaginase, nos",,,64.56,64.56,1
HCPCS,J9021,ASPARAGINASE ERWINIA CHRYSANTHEMI (RECOMBINANT)-RYWN (RYLAZE) 10 MG/0.5ML [40817046],97677.5,97677.5,,,0
HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,36.92,233.18,11
HCPCS,J9022,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [183187]",43100.0,43100.0,,,0
HCPCS,J9022,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION [193131],36755.95,36755.95,,,0
HCPCS,J9022,"Inj, atezolizumab,10 mg",,,60.8,383.95,11
HCPCS,J9023,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION [186231],30177.129999999997,30177.129999999997,,,0
HCPCS,J9023,"Injection, avelumab, 10 mg",,,66.62,420.72,11
HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,21.02,132.76,11
HCPCS,J9025,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],209.27,209.27,,,0
HCPCS,J9025,AZACITIDINE 100 MG SOLUTION FOR IV  [600119],2337.925,2337.925,,,0
HCPCS,J9025,Azacitidine injection,,,0.38,0.6,5
HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,1041.52,6576.95,11
HCPCS,J9026,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION [210905],7500.0,7500.0,,,0
HCPCS,J9026,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION [210904],75000.0,75000.0,,,0
HCPCS,J9027,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],1142.76,1142.76,,,0
HCPCS,J9027,Clofarabine injection,,,2.79,31.57,11
HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,63.01,397.91,11
HCPCS,J9029,"Inj, adstiladrin, per tx dos",,,42164.44,266259.28,11
HCPCS,J9030,BCG LIVE 50 MG INTRAVESICAL SUSPENSION [126040],725.5,725.5,,,0
HCPCS,J9030,BCG LIVE 81 MG INTRAVESICAL SUSPENSION [14234],545.7,545.7,,,0
HCPCS,J9030,"BCG VACCINE, LIVE (PF) 50 MG PERCUTANEOUS INJECTION SUSPENSION [21570]",181.375,181.375,,,0
HCPCS,J9030,Bcg live intravesical 1mg,,,2.17,13.7,9
HCPCS,J9031,Bcg live intravesical vac,,,154.29,154.29,1
HCPCS,J9032,BELINOSTAT 500 MG INTRAVENOUS SOLUTION [170641],36314.05,36314.05,,,0
HCPCS,J9032,"Injection, belinostat, 10mg",,,34.93,220.57,11
HCPCS,J9033,BENDAMUSTINE (BAXTER) 25 MG/ML INTRAVENOUS SOLUTION [40817091],8645.82,8645.82,,,0
HCPCS,J9033,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [91300],18203.96,18203.96,,,0
HCPCS,J9033,"Inj., treanda 1 mg",,,1.25,18.14,11
HCPCS,J9034,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [181121],19282.21,19282.21,,,0
HCPCS,J9034,"Inj., bendeka 1 mg",,,8.98,56.7,11
HCPCS,J9035,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [108065],84.84,84.84,,,0
HCPCS,J9035,BEVACIZUMAB 25 MG/ML INTRAVITREAL INJECTION FOR RETINOPATHY OF PREMATURITY [40818030],254.51,254.51,,,0
HCPCS,J9035,Bevacizumab injection,,,48.72,307.7,11
HCPCS,J9036,BENDAMUSTINE (BELRAPZO) 25 MG/ML INTRAVENOUS SOLUTION [40816039],18300.18,18300.18,,,0
HCPCS,J9036,Inj. belrapzo/bendamustine,,,8.18,51.64,11
HCPCS,J9037,Inj belantamab mafodont blmf,,,31.14,49.43,5
HCPCS,J9038,Inj axatilimab-csfr 0.1 mg,,,37.04,233.92,10
HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS KIT [176848],16671.5,16671.5,,,0
HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS SOLUTION [187376],18537.15,18537.15,,,0
HCPCS,J9039,"Injection, blinatumomab",,,109.34,690.44,11
HCPCS,J9040,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],128.08499999999998,128.08499999999998,,,0
HCPCS,J9040,Bleomycin sulfate injection,,,14.33,22.74,4
HCPCS,J9041,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],66.04,66.04,,,0
HCPCS,J9041,Bortezomib injection,,,1.86,27.06,6
HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348],48024.705,48024.705,,,0
HCPCS,J9042,Brentuximab vedotin inj,,,172.17,1087.19,11
HCPCS,J9043,CABAZITAXEL 60 MG/1.5 ML (BEFORE RECONSTITUTION) INTRAVENOUS SOLUTION [351044],45862.82,45862.82,,,0
HCPCS,J9043,CABAZITAXEL 60 MG/6 ML (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION [105644],45862.82,45862.82,,,0
HCPCS,J9043,Cabazitaxel injection,,,151.29,955.36,11
HCPCS,J9044,"Inj, bortezomib, nos, 0.1 mg",,,9.18,30.2,5
HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],337.385,337.385,,,0
HCPCS,J9045,CARBOPLATIN 10 MG/ML VIAL FOR PCCTC-CASCARA [40816107],0.1,0.1,,,0
HCPCS,J9045,CARBOPLATIN 150 MG INTRAVENOUS SOLUTION [9410],1035.55,1035.55,,,0
HCPCS,J9045,Carboplatin injection,,,1.64,2.61,4
HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,3.46,51.3,10
HCPCS,J9047,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION [117047],6033.98,6033.98,,,0
HCPCS,J9047,"Injection, carfilzomib, 1 mg",,,37.04,233.91,11
HCPCS,J9048,"Inj, bortezomib freseniuskab",,,2.68,51.3,10
HCPCS,J9049,"Inj, bortezomib, hospira",,,0.98,7.82,6
HCPCS,J9050,CARMUSTINE 100 MG INTRAVENOUS SOLUTION [28911],1161.425,1161.425,,,0
HCPCS,J9050,CARMUSTINE 100 MG/30.3 ML (ALREADY RECONSTITUTED) INTRAVENOUS SOLUTION [40817116],28209.3,28209.3,,,0
HCPCS,J9050,Carmustine injection,,,158.73,1002.35,11
HCPCS,J9051,"Inj, bortezomib (maia)",,,2.42,3.84,5
HCPCS,J9052,"Inj, carmustine (accord)",,,0.05,1091.65,10
HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,17.41,109.92,11
HCPCS,J9055,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION [37989],14620.145,14620.145,,,0
HCPCS,J9055,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION [108072],14620.145,14620.145,,,0
HCPCS,J9055,Cetuximab injection,,,52.16,329.42,11
HCPCS,J9056,"Inj, bendamustine, 1 mg",,,19.87,125.48,11
HCPCS,J9057,COPANLISIB 60 MG INTRAVENOUS SOLUTION [188443],22869.0,22869.0,,,0
HCPCS,J9057,"Inj., copanlisib, 1 mg",,,61.78,98.07,6
HCPCS,J9058,Inj apotex/bendamustine 1 mg,,,22.99,36.49,5
HCPCS,J9059,"Inj bendamustine, baxter 1mg",,,16.51,26.29,5
HCPCS,J9060,CISPLATIN (PLATINOL) DESENSITIZATION 1 MG/200 ML NS (BAG #1) CHEMO INFUSION [40018006],5.0,5.0,,,0
HCPCS,J9060,CISPLATIN (PLATINOL) DESENSITIZATION 6 MG/120 ML NS (BAG #2) CHEMO INFUSION [40018007],5.0,5.0,,,0
HCPCS,J9060,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],87.625,87.625,,,0
HCPCS,J9060,CISPLATIN 50 MG INTRAVENOUS POWDER FOR SOLUTION [193840],3480.75,3480.75,,,0
HCPCS,J9060,Cisplatin 10 mg injection,,,1.52,2.42,4
HCPCS,J9061,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [200550],37330.39,37330.39,,,0
HCPCS,J9061,"Inj, amivantamab-vmjw",,,15.01,94.75,11
HCPCS,J9063,"Inj, elahere, 1 mg",,,46.25,292.08,11
HCPCS,J9063,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION [205606],103874.0,103874.0,,,0
HCPCS,J9065,CLADRIBINE (LEUSTATIN) SUBCUTANEOUS CHEMO SYRINGE [40817077],897.52,897.52,,,0
HCPCS,J9065,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],812.81,812.81,,,0
HCPCS,J9065,Inj cladribine per 1 mg,,,7.11,44.88,11
HCPCS,J9070,Cyclophosphamide 100 mg inj,,,24.05,52.1,5
HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.42,3.02,11
HCPCS,J9072,Inj cyclophos dr.reddy's 5mg,,,3.92,38.27,11
HCPCS,J9073,Inj cyclophosphamd (ingenus),,,0.52,3.3,11
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,2.62,16.54,11
HCPCS,J9075,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],548.55,548.55,,,0
HCPCS,J9075,CYCLOPHOSPHAMIDE 20 MG/ML (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION [40814254],3016.12,3016.12,,,0
HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],1291.7,1291.7,,,0
HCPCS,J9075,"Inj, cyclophosphamide, nos",,,0.32,2.02,11
HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,3.34,21.08,9
HCPCS,J9098,Cytarabine liposome inj,,,604.66,604.66,1
HCPCS,J9100,CYTARABINE (ARA-C/CYTOSTAR) 100 MG/ML INJECTION FOR SC USE [408902],17.7,17.7,,,0
HCPCS,J9100,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ SOLN (SUBCUTANEOUS ONLY) [40825002],19.32,19.32,,,0
HCPCS,J9100,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION [128487],7.99,7.99,,,0
HCPCS,J9100,Cytarabine hcl 100 mg inj,,,0.55,0.88,4
HCPCS,J9118,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION [194797],142400.0,142400.0,,,0
HCPCS,J9118,Inj. calaspargase pegol-mknl,,,54.63,345.0,9
HCPCS,J9119,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [191713],45500.0,45500.0,,,0
HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,19.5,123.13,11
HCPCS,J9120,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],5879.07,5879.07,,,0
HCPCS,J9120,Dactinomycin injection,,,218.56,1380.17,11
HCPCS,J9130,DACARBAZINE 100 MG INTRAVENOUS SOLUTION [2090],45.02,45.02,,,0
HCPCS,J9130,DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],125.195,125.195,,,0
HCPCS,J9130,Dacarbazine 100 mg inj,,,2.29,3.64,4
HCPCS,J9144,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [196850]",37680.68,37680.68,,,0
HCPCS,J9144,"Daratumumab, hyaluronidase",,,36.99,233.58,11
HCPCS,J9145,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [180792],9000.0,9000.0,,,0
HCPCS,J9145,"Injection, daratumumab 10 mg",,,47.51,300.01,11
HCPCS,J9150,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],439.99,439.99,,,0
HCPCS,J9150,Daunorubicin injection,,,14.45,51.07,7
HCPCS,J9151,Daunorubicin citrate inj,,,57.66,57.66,1
HCPCS,J9153,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION [188188],57217.9,57217.9,,,0
HCPCS,J9153,"Inj daunorubicin, cytarabine",,,170.47,1076.46,11
HCPCS,J9155,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [96987],4875.415,4875.415,,,0
HCPCS,J9155,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION [96986],2166.55,2166.55,,,0
HCPCS,J9155,Degarelix injection,,,2.96,18.7,11
HCPCS,J9160,DENILEUKIN DIFTITOX 150 MCG/ML INTRAVENOUS SOLUTION [24729],5000.0,5000.0,,,0
HCPCS,J9165,Diethylstilbestrol injection,,,12.13,12.13,1
HCPCS,J9171,DOCETAXEL (TAXOTERE) FOR DESENSITIZATION 10 MG/100 ML D5W [40816105],34.5,34.5,,,0
HCPCS,J9171,DOCETAXEL (TAXOTERE) FOR DESENSITIZATION 10 MG/100 ML NS [40816106],19.75,19.75,,,0
HCPCS,J9171,DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLUTION [108908],4548.64,4548.64,,,0
HCPCS,J9171,DOCETAXEL 160 MG/8 ML (20 MG/ML) INTRAVENOUS SOLUTION [116947],549.8,549.8,,,0
HCPCS,J9171,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION [108910],643.4,643.4,,,0
HCPCS,J9171,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [106443],812.63,812.63,,,0
HCPCS,J9171,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION FOR LS-P-TIDE [700108122],0.1,0.1,,,0
HCPCS,J9171,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],312.9,312.9,,,0
HCPCS,J9171,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION [108907],2004.12,2004.12,,,0
HCPCS,J9171,Docetaxel injection,,,0.42,0.66,5
HCPCS,J9172,"Docetaxel (ingenus), 1 mg",,,33.8,213.45,11
HCPCS,J9173,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [187117],23238.525,23238.525,,,0
HCPCS,J9173,"Inj., durvalumab, 10 mg",,,56.66,357.8,11
HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,31.58,220.56,9
HCPCS,J9175,Elliotts b solution per ml,,,7.41,11.76,4
HCPCS,J9176,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [181083],14326.4,14326.4,,,0
HCPCS,J9176,"Injection, elotuzumab, 1mg",,,5.25,33.14,11
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [195549],44046.25,44046.25,,,0
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION [195550],44046.25,44046.25,,,0
HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,24.46,154.45,11
HCPCS,J9178,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [88008],478.43500000000006,478.43500000000006,,,0
HCPCS,J9178,"Inj, epirubicin hcl, 2 mg",,,1.4,2.23,5
HCPCS,J9179,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [106773],6475.09,6475.09,,,0
HCPCS,J9179,Eribulin mesylate injection,,,59.47,375.56,11
HCPCS,J9181,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],39.935,39.935,,,0
HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION [17451],789.6,789.6,,,0
HCPCS,J9181,Etoposide injection,,,0.62,0.99,4
HCPCS,J9184,Inj gemcitabin (avyxa) 200mg,,,275.18,1591.62,7
HCPCS,J9185,FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],393.13,393.13,,,0
HCPCS,J9185,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION [41294],233.45,233.45,,,0
HCPCS,J9185,Fludarabine phosphate inj,,,45.4,177.47,7
HCPCS,J9190,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],14.99,14.99,,,0
HCPCS,J9190,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],27.72,27.72,,,0
HCPCS,J9190,FLUOROURACIL 50 MG/ML INTRALESIONAL/TOPICAL SYRINGE [40816103],9.94,9.94,,,0
HCPCS,J9190,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION - AMBULATORY [600025],45.81999999999999,45.81999999999999,,,0
HCPCS,J9190,FLUOROURACIL INFUSION (ONE-STEP) SIMPLE [350113],25.0,25.0,,,0
HCPCS,J9190,Fluorouracil injection,,,1.32,2.1,4
HCPCS,J9196,Inj gemcitabine hcl (accord),,,3.52,5.59,5
HCPCS,J9198,"Inj. infugem, 100 mg",,,25.86,42.56,6
HCPCS,J9200,FLOXURIDINE 0.5 GRAM SOLUTION FOR INJECTION [3177],285.5,285.5,,,0
HCPCS,J9200,Floxuridine injection,,,89.68,17352.13,11
HCPCS,J9201,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION FOR LS-P-TIDE [7001417122],0.1,0.1,,,0
HCPCS,J9201,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],142.5,142.5,,,0
HCPCS,J9201,Gemcitabine hcl injection,,,2.09,3.31,5
HCPCS,J9202,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT [16254],9075.0,9075.0,,,0
HCPCS,J9202,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT [10137],3025.0,3025.0,,,0
HCPCS,J9202,Goserelin acetate implant,,,488.37,3083.96,11
HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN [188410],36717.78,36717.78,,,0
HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,157.51,994.62,11
HCPCS,J9204,"Inj mogamulizumab-kpkc, 1 mg",,,165.41,1044.56,11
HCPCS,J9204,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION [191119],63293.0,63293.0,,,0
HCPCS,J9205,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS [180032],18431.28,18431.28,,,0
HCPCS,J9205,Inj irinotecan liposome 1 mg,,,43.93,277.43,11
HCPCS,J9206,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],123.04,123.04,,,0
HCPCS,J9206,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [91055],494.38,494.38,,,0
HCPCS,J9206,Irinotecan injection,,,1.17,1.85,4
HCPCS,J9207,IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],6862.225,6862.225,,,0
HCPCS,J9207,IXABEPILONE 45 MG INTRAVENOUS SOLUTION [88653],25875.0,25875.0,,,0
HCPCS,J9207,Ixabepilone injection,,,92.67,585.18,11
HCPCS,J9208,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],498.265,498.265,,,0
HCPCS,J9208,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],505.45,505.45,,,0
HCPCS,J9208,Ifosfamide injection,,,16.78,26.63,5
HCPCS,J9209,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],72.86,72.86,,,0
HCPCS,J9209,Mesna injection,,,1.23,1.96,4
HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,256.18,1617.71,11
HCPCS,J9211,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],654.05,654.05,,,0
HCPCS,J9211,Idarubicin hcl injection,,,24.41,38.75,5
HCPCS,J9212,Interferon alfacon-1 inj,,,9.85,9.85,1
HCPCS,J9214,Interferon alfa-2b inj,,,32.57,35.74,2
HCPCS,J9215,Interferon alfa-n3 inj,,,21.17,33.6,4
HCPCS,J9216,Interferon gamma 1-b inj,,,5969.14,9474.82,6
HCPCS,J9217,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE [32893],571.675,571.675,,,0
HCPCS,J9217,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21044],13233.35,13233.35,,,0
HCPCS,J9217,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21045],2007.65,2007.65,,,0
HCPCS,J9217,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],3430.025,3430.025,,,0
HCPCS,J9217,Leuprolide acetate suspnsion,,,117.45,741.69,11
HCPCS,J9218,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT [14135],114.75999999999999,114.75999999999999,,,0
HCPCS,J9218,Leuprolide acetate injeciton,,,8.91,56.45,5
HCPCS,J9219,Leuprolide acetate implant,,,184.86,4819.82,2
HCPCS,J9220,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION [119651],356.42999999999995,356.42999999999995,,,0
HCPCS,J9220,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION [204983],1640.5,1640.5,,,0
HCPCS,J9220,Indigotindisulfonate sod 1mg,,,7.06,41.85,9
HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,137.88,870.66,11
HCPCS,J9223,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [197224],38371.91,38371.91,,,0
HCPCS,J9225,Vantas implant,,,5166.29,5668.45,2
HCPCS,J9226,HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT [170312],107418.9,107418.9,,,0
HCPCS,J9226,Supprelin LA implant,,,29968.46,189244.3,11
HCPCS,J9227,ISATUXIMAB-IRFC (SARCLISA) 20 MG/ML INTRAVENOUS SOLUTION [196272],21710.0,21710.0,,,0
HCPCS,J9227,Inj. isatuximab-irfc 10 mg,,,54.52,344.27,11
HCPCS,J9228,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956],129274.0,129274.0,,,0
HCPCS,J9228,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [108955],80925.525,80925.525,,,0
HCPCS,J9228,Ipilimumab injection,,,122.13,771.25,11
HCPCS,J9229,INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN [188201],120199.35,120199.35,,,0
HCPCS,J9229,Inj inotuzumab ozogam 0.1 mg,,,1795.99,11341.27,11
HCPCS,J9230,Mechlorethamine hcl inj,,,321.72,321.72,1
HCPCS,J9245,Inj melphalan hydrochl 50 MG,,,63.84,403.12,11
HCPCS,J9245,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],43156.815,43156.815,,,0
HCPCS,J9246,"Inj., evomela, 1 mg",,,12.31,77.75,11
HCPCS,J9247,"Inj, melphalan flufenami 1mg",,,552.44,552.44,1
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,529.2,3341.78,11
HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,43.12,272.29,9
HCPCS,J9250,Methotrexate sodium inj,,,0.14,0.22,4
HCPCS,J9255,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],33.825,33.825,,,0
HCPCS,J9256,"Inj, nipocalimab-aahu, 3 mg",,,22.01,135.08,8
HCPCS,J9259,Paclitaxel (american regent),,,11.57,18.36,5
HCPCS,J9260,METHOTREXATE 4 MG/ML INTRAVITREAL SYRINGE [4081479],5.0,5.0,,,0
HCPCS,J9260,METHOTREXATE SODIUM (NON-ONCOLOGY) 25 MG/ML INJECTION [500939],13.02,13.02,,,0
HCPCS,J9260,METHOTREXATE SODIUM (PF) 1 GRAM POWDER VIAL [4975],203.25,203.25,,,0
HCPCS,J9260,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],8.945,8.945,,,0
HCPCS,J9260,Methotrexate sodium inj,,,1.88,2.98,4
HCPCS,J9261,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],21930.805,21930.805,,,0
HCPCS,J9261,Nelarabine injection,,,53.16,335.7,11
HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,2.68,4.26,6
HCPCS,J9263,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [99610],598.97,598.97,,,0
HCPCS,J9263,OXALIPLATIN COMPONENT FOR DESENSITIZATION [300012],237.5,237.5,,,0
HCPCS,J9263,Oxaliplatin,,,0.06,0.09,5
HCPCS,J9264,PACLITAXEL ALBUMIN-BOUND (ABRAXANE) INJECTION FOR LS-P-TIDE [70040475],0.1,0.1,,,0
HCPCS,J9264,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [40475],10130.485,10130.485,,,0
HCPCS,J9264,Paclitaxel protein bound,,,7.02,44.32,11
HCPCS,J9266,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519],95136.645,95136.645,,,0
HCPCS,J9266,Pegaspargase injection,,,18920.77,119480.53,11
HCPCS,J9267,PACLITAXEL (TAXOL) FOR DESENSITIZATION (BAG#1) 0.012 MG/ML IN DEXTROSE 5%CHEMO INFUSION [40817036],5.0,5.0,,,0
HCPCS,J9267,PACLITAXEL (TAXOL) FOR DESENSITIZATION (BAG#1) 0.012 MG/ML IN SODIUM CHLORIDE 0.9% CHEMO INFUSION [40817035],5.0,5.0,,,0
HCPCS,J9267,PACLITAXEL (TAXOL) FOR DESENSITIZATION (BAG#2) 0.12 MG/ML IN DEXTROSE 5% CHEMO INFUSION [40817038],5.0,5.0,,,0
HCPCS,J9267,PACLITAXEL (TAXOL) FOR DESENSITIZATION (BAG#2) 0.12 MG/ML IN SODIUM CHLORIDE 0.9% CHEMO INFUSION [40817037],5.0,5.0,,,0
HCPCS,J9267,"PACLITAXEL 6 MG/ML CONCENTRATE, INTRAVENOUS FOR LS-P-TIDE [70031025]",0.1,0.1,,,0
HCPCS,J9267,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",158.87,158.87,,,0
HCPCS,J9267,Paclitaxel injection,,,0.09,0.14,4
HCPCS,J9268,PENTOSTATIN 10 MG INTRAVENOUS SOLUTION [10910],3089.84,3089.84,,,0
HCPCS,J9268,Pentostatin injection,,,1736.15,10963.39,11
HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,237.59,1500.36,11
HCPCS,J9271,Inj pembrolizumab,,,40.13,253.43,11
HCPCS,J9271,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [177064],21580.0,21580.0,,,0
HCPCS,J9272,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [200237],82123.95000000001,82123.95000000001,,,0
HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,162.23,1024.44,11
HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,125.65,793.45,11
HCPCS,J9273,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION [201618],98279.5,98279.5,,,0
HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,144.51,912.53,11
HCPCS,J9274,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION [202583],28140.0,28140.0,,,0
HCPCS,J9275,"Inj cosibelimab-ipdl, 2 mg",,,15.26,96.36,7
HCPCS,J9276,"Inj zanidatamab-hrii, 2 mg",,,16.67,105.28,10
HCPCS,J9276,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION [212771],48466.5,48466.5,,,0
HCPCS,J9280,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],1429.26,1429.26,,,0
HCPCS,J9280,MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],2948.71,2948.71,,,0
HCPCS,J9280,Mitomycin injection,,,13.55,85.53,11
HCPCS,J9281,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [196668],66800.0,66800.0,,,0
HCPCS,J9281,Mitomycin instillation,,,212.03,1338.95,11
HCPCS,J9282,Mitomycin intravesical inst,,,189.63,1197.47,7
HCPCS,J9285,"Inj, olaratumab, 10 mg",,,52.07,52.07,1
HCPCS,J9285,OLARATUMAB 10 MG/ML INTRAVENOUS SOLUTION [184896],17723.6,17723.6,,,0
HCPCS,J9286,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION [207903],51094.8,51094.8,,,0
HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,1842.47,11634.79,11
HCPCS,J9289,Inj nivolumab 2 mg hyaluron,,,18.21,115.02,10
HCPCS,J9289,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION [213618]",59424.225000000006,59424.225000000006,,,0
HCPCS,J9292,"Inj, pemetrexed (avyxa) 10mg",,,54.81,346.12,11
HCPCS,J9293,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [93747]",597.18,597.18,,,0
HCPCS,J9293,Mitoxantrone hydrochl / 5 MG,,,15.89,100.37,11
HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,2.36,14.91,11
HCPCS,J9295,"Injection, necitumumab, 1 mg",,,3.82,24.09,11
HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,6.48,40.93,11
HCPCS,J9296,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],3762.57,3762.57,,,0
HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,1.17,10.05,6
HCPCS,J9297,PEMETREXED DISODIUM (SANDOZ) 25 MG/ML INTRAVENOUS SOLUTION [203957],2119.4,2119.4,,,0
HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,131.69,831.59,11
HCPCS,J9298,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [203116],136942.8,136942.8,,,0
HCPCS,J9299,"Injection, nivolumab",,,21.94,138.56,11
HCPCS,J9299,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [176938],2588.47,2588.47,,,0
HCPCS,J9299,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [189567],25884.67,25884.67,,,0
HCPCS,J9299,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [200100],24027.96,24027.96,,,0
HCPCS,J9300,Gemtuzumab ozogamicin inj,,,1825.63,2897.83,4
HCPCS,J9301,OBINUTUZUMAB (GAZYVA) 900 MG/250 ML NS INFUSION [40817115],37088.75,37088.75,,,0
HCPCS,J9301,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [164934]",14190.0,14190.0,,,0
HCPCS,J9301,Obinutuzumab inj,,,52.59,332.06,11
HCPCS,J9302,"OFATUMUMAB 1,000 MG/50 ML INTRAVENOUS SOLUTION [116016]",28048.215,28048.215,,,0
HCPCS,J9302,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION [100265],4763.055,4763.055,,,0
HCPCS,J9302,Ofatumumab injection,,,42.58,261.6,10
HCPCS,J9303,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [108055],19115.16,19115.16,,,0
HCPCS,J9303,Panitumumab injection,,,115.18,727.33,11
HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,30.83,194.71,11
HCPCS,J9305,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION FOR LS-P-TIDE [70037894],0.1,0.1,,,0
HCPCS,J9305,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],13096.045,13096.045,,,0
HCPCS,J9305,Pemetrexed injection,,,2.9,52.39,11
HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,11.33,71.53,11
HCPCS,J9306,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [116596],30567.495000000003,30567.495000000003,,,0
HCPCS,J9307,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073],61826.99,61826.99,,,0
HCPCS,J9307,Pralatrexate injection,,,261.36,1650.42,11
HCPCS,J9308,"Injection, ramucirumab",,,49.5,312.57,11
HCPCS,J9308,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [170253],27254.4,27254.4,,,0
HCPCS,J9309,"Inj, polatuzumab vedotin 1mg",,,90.97,574.48,11
HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [193846],79922.72,79922.72,,,0
HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION [198118],66990.92,66990.92,,,0
HCPCS,J9311,"Inj rituximab, hyaluronidase",,,24.43,154.24,11
HCPCS,J9311,RITUXIMAB (RITUXAN) 0.1 MG/ML FOR DESENSITIZATION (DESENSITIZATION BAG #2) IVPB IN 120 ML 0.9% SODIUM CHLORIDE [191995],339.38,339.38,,,0
HCPCS,J9312,"Inj., rituximab, 10 mg",,,50.07,316.19,11
HCPCS,J9312,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]",3621.75,3621.75,,,0
HCPCS,J9313,"Inj., lumoxiti, 0.01 mg",,,15.57,98.34,10
HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,7.31,65.34,11
HCPCS,J9315,Romidepsin injection,,,225.7,369.35,5
HCPCS,J9316,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [197475]",60993.6,60993.6,,,0
HCPCS,J9316,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN [197476],40660.8,40660.8,,,0
HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,41.33,261.03,11
HCPCS,J9317,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION FOR LS-P-TIDE [70014663],18671.579999999998,18671.579999999998,,,0
HCPCS,J9317,Sacituzumab govitecan-hziy,,,24.15,152.49,11
HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,18.98,119.87,11
HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,20.49,129.37,11
HCPCS,J9319,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344],37567.28,37567.28,,,0
HCPCS,J9320,STREPTOZOCIN 1 GRAM INTRAVENOUS SOLUTION [11436],2522.0249999999996,2522.0249999999996,,,0
HCPCS,J9320,Streptozocin injection,,,365.35,1456.0,6
HCPCS,J9321,EPCORITAMAB-BYSP (EPKINLY) 0.16 MG STEP UP DOSE 1 [40817089],253.76,253.76,,,0
HCPCS,J9321,EPCORITAMAB-BYSP (EPKINLY) 0.8 MG STEP UP DOSE 2 [40817090],1268.8,1268.8,,,0
HCPCS,J9321,EPCORITAMAB-BYSP 4 MG/0.8 ML SUBCUTANEOUS SOLUTION [207533],4758.0,4758.0,,,0
HCPCS,J9321,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION [207532],76127.8,76127.8,,,0
HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,37.17,234.73,11
HCPCS,J9322,Inj pemetrexed (bluepoint),,,6.43,44.56,8
HCPCS,J9323,Inj pemetrexed ditromethamin,,,0.08,19.94,11
HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,50.46,318.66,11
HCPCS,J9325,Inj talimogene laherparepvec,,,49.22,310.79,11
HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION [180053],220.0,220.0,,,0
HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION [180054],22000.0,22000.0,,,0
HCPCS,J9326,Telisotuzumab vedotin-tllv,,,98.65,605.28,8
HCPCS,J9328,TEMOZOLOMIDE 100 MG INTRAVENOUS SOLUTION [97260],5197.825,5197.825,,,0
HCPCS,J9328,Temozolomide injection,,,6.92,43.67,11
HCPCS,J9329,"Inj, tislelizumab-jsgr",,,38.24,551.62,11
HCPCS,J9329,TISLELIZUMAB-JSGR 10 MG/ML INTRAVENOUS SOLUTION [211694],55600.7,55600.7,,,0
HCPCS,J9330,TEMSIROLIMUS 25 MG/2.5 ML (10 MG/ML) (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION [82228],7150.88,7150.88,,,0
HCPCS,J9330,TEMSIROLIMUS 25 MG/ML (BEFORE RECONSTITUTION) INTRAVENOUS SOLUTION [40817040],3083.05,3083.05,,,0
HCPCS,J9330,Temsirolimus injection,,,17.78,112.28,11
HCPCS,J9331,Inj sirolimus prot part 1 mg,,,56.3,355.5,11
HCPCS,J9331,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION [202321],60386.5,60386.5,,,0
HCPCS,J9332,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION [202389],49682.5,49682.5,,,0
HCPCS,J9332,Inj efgartigimod 2mg,,,21.4,135.13,11
HCPCS,J9333,Inj ronzanolixizum-noli 1 mg,,,15.42,97.37,11
HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,22.56,142.45,11
HCPCS,J9340,Thiotepa injection,,,211.68,336.0,5
HCPCS,J9341,Inj thiotepa (tepylute) 1 mg,,,26.21,41.6,5
HCPCS,J9342,Inj thiotepa nos 1 mg,,,7.01,44.29,10
HCPCS,J9342,THIOTEPA 100 MG SOLUTION FOR INJECTION [186635],715.255,715.255,,,0
HCPCS,J9342,THIOTEPA 15 MG SOLUTION FOR INJECTION [7901],2733.145,2733.145,,,0
HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,20.34,128.44,11
HCPCS,J9345,RETIFANLIMAB-DLWR 500 MG/20 ML INTRAVENOUS SOLUTION [206939],72270.0,72270.0,,,0
HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,93.79,592.26,11
HCPCS,J9347,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [205419],184340.0,184340.0,,,0
HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,456.64,2883.61,11
HCPCS,J9348,NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION [198788],446059.2,446059.2,,,0
HCPCS,J9349,"Inj., tafasitamab-cxix",,,9.53,60.16,11
HCPCS,J9349,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION [197782],25736.370000000003,25736.370000000003,,,0
HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,435.76,2751.73,11
HCPCS,J9350,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION [205939],89108.85,89108.85,,,0
HCPCS,J9351,TOPOTECAN 4 MG INTRAVENOUS SOLUTION (POWDER VIAL) [17285],321.70500000000004,321.70500000000004,,,0
HCPCS,J9351,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION [108590],345.43,345.43,,,0
HCPCS,J9351,Topotecan injection,,,1.69,2.68,5
HCPCS,J9352,Injection trabectedin 0.1mg,,,260.32,1643.86,11
HCPCS,J9352,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION - AMBULATORY [600027],13500.0,13500.0,,,0
HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,34.94,220.62,11
HCPCS,J9353,MARGETUXIMAB 250 MG/ 10 ML INTRAVENOUS SOLUTION [40817032],41623.08,41623.08,,,0
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [163364],33349.41,33349.41,,,0
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION [163365],33349.4,33349.4,,,0
HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,28.07,177.22,11
HCPCS,J9355,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [187069],6741.035,6741.035,,,0
HCPCS,J9355,Trastuzumab injection,,,49.94,315.37,11
HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,40.89,258.25,11
HCPCS,J9356,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION [193320]",23376.2,23376.2,,,0
HCPCS,J9357,Valrubicin injection,,,880.9,5562.68,11
HCPCS,J9358,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [195554],41410.12,41410.12,,,0
HCPCS,J9358,Inj fam-trastu deru-nxki 1mg,,,19.95,126.01,11
HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,144.38,911.75,11
HCPCS,J9359,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [200229],88301.25,88301.25,,,0
HCPCS,J9360,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION [8594],78.9,78.9,,,0
HCPCS,J9360,Vinblastine sulfate inj,,,3.53,5.6,4
HCPCS,J9361,"Inj, efbemalenograstim alfa-",,,81.14,128.8,5
HCPCS,J9370,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],62.02,62.02,,,0
HCPCS,J9370,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [127981],41.1,41.1,,,0
HCPCS,J9370,Vincristine sulfate 1 MG inj,,,5.47,8.69,4
HCPCS,J9371,"Inj, vincristine sul lip 1mg",,,2426.8,3852.06,5
HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,61.06,385.59,8
HCPCS,J9380,Inj teclistamab cqyv 0.5 mg,,,22.35,141.13,11
HCPCS,J9380,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION [205423],3547.08,3547.08,,,0
HCPCS,J9380,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION [205422],29559.0,29559.0,,,0
HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,25.07,158.31,11
HCPCS,J9381,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION [205618],15408.13,15408.13,,,0
HCPCS,J9381,TEPLIZUMAB-MZWV 2 MG/20 ML (AFTER DILUTION) INTRAVENOUS SOLUTION [40818300],15408.13,15408.13,,,0
HCPCS,J9382,Inj zenocutuzumab-zbco 1 mg,,,21.91,138.34,10
HCPCS,J9382,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION [213012],118750.0,118750.0,,,0
HCPCS,J9390,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],323.32,323.32,,,0
HCPCS,J9390,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [41673],824.86,824.86,,,0
HCPCS,J9390,Vinorelbine tartrate inj,,,5.12,8.12,4
HCPCS,J9393,"Inj, fulvestrant (teva)",,,14.11,175.16,10
HCPCS,J9394,FULVESTRANT (FRESENIUS KABI) 250 MG/5 ML INTRAMUSCULAR SYRINGE [40816171],3493.5,3493.5,,,0
HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,6.4,112.52,11
HCPCS,J9395,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],419.375,419.375,,,0
HCPCS,J9395,"Injection, Fulvestrant",,,4.48,13.46,7
HCPCS,J9400,"Inj, ziv-aflibercept, 1mg",,,5.25,33.12,11
HCPCS,J9400,ZIV-AFLIBERCEPT 200 MG/8 ML (25 MG/ML) INTRAVENOUS SOLUTION [117163],10688.0,10688.0,,,0
HCPCS,J9600,PORFIMER 75 MG INTRAVENOUS SOLUTION [14472],165699.19,165699.19,,,0
HCPCS,J9600,Porfimer sodium injection,,,16456.71,101844.16,10
HCPCS,K0001,Standard wheelchair,,,36.5,36.5,1
HCPCS,K0002,Stnd hemi (low seat) whlchr,,,54.04,54.04,1
HCPCS,K0003,Lightweight wheelchair,,,57.92,57.92,1
HCPCS,K0004,High strength ltwt whlchr,,,81.19,81.19,1
HCPCS,K0005,Ultralightweight wheelchair,,,2563.56,2563.56,1
HCPCS,K0006,Heavy duty wheelchair,,,92.66,92.66,1
HCPCS,K0007,Extra heavy duty wheelchair,,,130.82,130.82,1
HCPCS,K0009,Other manual wheelchair/base,,,99.1,99.1,1
HCPCS,K0010,Stnd wt frame power whlchr,,,590.69,590.69,1
HCPCS,K0011,Stnd wt pwr whlchr w control,,,788.62,788.62,1
HCPCS,K0012,Ltwt portbl power whlchr,,,450.54,450.54,1
HCPCS,K0015,Detach non-adj ht armrst rep,,,21.71,21.71,1
HCPCS,K0017,Detach adjust armrest base,,,61.07,61.07,1
HCPCS,K0018,Detach adjust armrst upper,,,34.11,34.11,1
HCPCS,K0019,"Arm pad repl, each",,,20.51,20.51,1
HCPCS,K0020,Fixed adjust armrest pair,,,57.24,57.24,1
HCPCS,K0037,Hi mount flip-up ftrest repl,,,57.55,57.55,1
HCPCS,K0038,Leg strap each,,,29.39,29.39,1
HCPCS,K0039,Leg strap h style each,,,64.38,64.38,1
HCPCS,K0040,Adjustable angle footplate,,,89.26,89.26,1
HCPCS,K0041,Large size footplate each,,,63.24,63.24,1
HCPCS,K0042,Standard size ftplate rep ea,,,43.54,43.54,1
HCPCS,K0043,Ftrst lowr exten tube rep ea,,,23.83,23.83,1
HCPCS,K0044,Ftrst upr hanger brac rep ea,,,20.61,20.61,1
HCPCS,K0045,Ftrst compl assembly repl ea,,,68.47,68.47,1
HCPCS,K0046,Elev lgrst lwr exten repl ea,,,23.95,23.95,1
HCPCS,K0047,Elev legrst upr hangr rep ea,,,91.4,91.4,1
HCPCS,K0050,Ratchet assembly replacement,,,39.43,39.43,1
HCPCS,K0051,Cam rel asm ft/legrst rep ea,,,62.87,62.87,1
HCPCS,K0052,Swingaway detach ftrest repl,,,110.51,110.51,1
HCPCS,K0053,Elevate footrest articulate,,,121.92,121.92,1
HCPCS,K0056,Seat ht <17 or >=21 ltwt wc,,,131.88,131.88,1
HCPCS,K0065,Spoke protectors,,,61.62,61.62,1
HCPCS,K0069,Rr whl compl sol tire rep ea,,,138.57,138.57,1
HCPCS,K0070,Rr whl compl pne tire rep ea,,,25.41,25.41,1
HCPCS,K0071,Fr cstr comp pne tire rep ea,,,151.49,151.49,1
HCPCS,K0072,Fr cstr semi-pne tire rep ea,,,91.19,91.19,1
HCPCS,K0073,Caster pin lock each,,,48.27,48.27,1
HCPCS,K0077,Fr cstr asmb sol tire rep ea,,,81.61,81.61,1
HCPCS,K0098,"Drive belt for pwc, repl",,,32.52,32.52,1
HCPCS,K0105,Iv hanger,,,137.86,137.86,1
HCPCS,K0195,Elevating whlchair leg rests,,,21.42,21.42,1
HCPCS,K0455,Pump uninterrupted infusion,,,312.16,312.16,1
HCPCS,K0552,Sup/ext non-ins inf pump syr,,,3.41,3.41,1
HCPCS,K0553,Ther cgm supply allowance,,,309.38,309.38,1
HCPCS,K0554,Ther cgm receiver/monitor,,,298.16,298.16,1
HCPCS,K0601,Repl batt silver oxide 1.5 v,,,1.51,1.51,1
HCPCS,K0602,Repl batt silver oxide 3 v,,,8.57,8.57,1
HCPCS,K0603,Repl batt alkaline 1.5 v,,,0.77,0.77,1
HCPCS,K0604,Repl batt lithium 3.6 v,,,8.25,8.25,1
HCPCS,K0605,Repl batt lithium 4.5 v,,,19.74,19.74,1
HCPCS,K0606,Aed garment w elec analysis,,,3491.9,3491.9,1
HCPCS,K0607,Repl batt for aed,,,29.9,29.9,1
HCPCS,K0608,Repl garment for AED,,,186.61,186.61,1
HCPCS,K0609,Repl electrode for AED,,,1240.98,1240.98,1
HCPCS,K0672,Removable soft interface le,,,98.95,427.5,8
HCPCS,K0730,Ctrl dose inh drug deliv sys,,,239.05,239.05,1
HCPCS,K0733,12-24hr sealed lead acid,,,36.19,36.19,1
HCPCS,K0738,Portable gas oxygen system,,,65.43,65.43,1
HCPCS,K0800,Pov group 1 std up to 300lbs,,,1124.84,1124.84,1
HCPCS,K0801,POV group 1 hd 301-450 lbs,,,2004.5,2004.5,1
HCPCS,K0802,POV group 1 vhd 451-600 lbs,,,2558.69,2558.69,1
HCPCS,K0806,POV group 2 std up to 300lbs,,,1717.86,1717.86,1
HCPCS,K0807,POV group 2 hd 301-450 lbs,,,2647.15,2647.15,1
HCPCS,K0808,POV group 2 vhd 451-600 lbs,,,4093.03,4093.03,1
HCPCS,K0813,PWC gp 1 std port seat/back,,,338.9,338.9,1
HCPCS,K0814,PWC gp 1 std port cap chair,,,371.01,371.01,1
HCPCS,K0815,PWC gp 1 std seat/back,,,420.63,420.63,1
HCPCS,K0816,PWC gp 1 std cap chair,,,385.63,385.63,1
HCPCS,K0820,PWC gp 2 std port seat/back,,,348.17,348.17,1
HCPCS,K0821,PWC gp 2 std port cap chair,,,382.96,382.96,1
HCPCS,K0822,PWC gp 2 std seat/back,,,442.2,442.2,1
HCPCS,K0823,PWC gp 2 std cap chair,,,415.05,415.05,1
HCPCS,K0824,PWC gp 2 hd seat/back,,,559.4,559.4,1
HCPCS,K0825,PWC gp 2 hd cap chair,,,534.39,534.39,1
HCPCS,K0826,Pwc gp 2 vhd seat/back,,,878.69,878.69,1
HCPCS,K0827,Pwc gp vhd cap chair,,,766.91,766.91,1
HCPCS,K0828,PWC gp 2 xtra hd seat/back,,,1136.15,1136.15,1
HCPCS,K0829,PWC gp 2 xtra hd cap chair,,,1087.19,1087.19,1
HCPCS,K0835,PWC gp2 std sing pow opt s/b,,,503.18,503.18,1
HCPCS,K0836,PWC gp2 std sing pow opt cap,,,521.87,521.87,1
HCPCS,K0837,PWC gp 2 hd sing pow opt s/b,,,629.18,629.18,1
HCPCS,K0838,PWC gp 2 hd sing pow opt cap,,,559.45,559.45,1
HCPCS,K0839,PWC gp2 vhd sing pow opt s/b,,,828.45,828.45,1
HCPCS,K0840,PWC gp2 xhd sing pow opt s/b,,,1266.22,1266.22,1
HCPCS,K0841,PWC gp2 std mult pow opt s/b,,,555.67,555.67,1
HCPCS,K0842,PWC gp2 std mult pow opt cap,,,555.14,555.14,1
HCPCS,K0843,PWC gp2 hd mult pow opt s/b,,,662.28,662.28,1
HCPCS,K0848,PWC gp 3 std seat/back,,,947.36,947.36,1
HCPCS,K0849,PWC gp 3 std cap chair,,,910.81,910.81,1
HCPCS,K0850,PWC gp 3 hd seat/back,,,1098.87,1098.87,1
HCPCS,K0851,PWC gp 3 hd cap chair,,,1056.58,1056.58,1
HCPCS,K0852,PWC gp 3 vhd seat/back,,,1269.68,1269.68,1
HCPCS,K0853,PWC gp 3 vhd cap chair,,,1304.29,1304.29,1
HCPCS,K0854,PWC gp 3 xhd seat/back,,,1727.89,1727.89,1
HCPCS,K0855,PWC gp 3 xhd cap chair,,,1632.25,1632.25,1
HCPCS,K0856,PWC gp3 std sing pow opt s/b,,,1016.85,1016.85,1
HCPCS,K0857,PWC gp3 std sing pow opt cap,,,1037.24,1037.24,1
HCPCS,K0858,PWC gp3 hd sing pow opt s/b,,,1261.63,1261.63,1
HCPCS,K0859,PWC gp3 hd sing pow opt cap,,,1203.2,1203.2,1
HCPCS,K0860,PWC gp3 vhd sing pow opt s/b,,,1802.4,1802.4,1
HCPCS,K0861,PWC gp3 std mult pow opt s/b,,,1018.49,1018.49,1
HCPCS,K0862,PWC gp3 hd mult pow opt s/b,,,1261.63,1261.63,1
HCPCS,K0863,PWC gp3 vhd mult pow opt s/b,,,1802.4,1802.4,1
HCPCS,K0864,PWC gp3 xhd mult pow opt s/b,,,2144.85,2144.85,1
HCPCS,K1007,Bil hkaf pc s/d micro sensor,,,93216.7,93216.7,1
HCPCS,L0112,Cranial cervical orthosis,,,1633.48,7057.09,4
HCPCS,L0113,Cranial cervical torticollis,,,332.81,1437.89,4
HCPCS,L0120,Cerv flex n/adj foam pre ots,,,29.67,128.21,4
HCPCS,L0120,HC SOFT CERVICAL COLLAR,139.0,139.0,,,0
HCPCS,L0130,Flex thermoplastic collar mo,,,190.36,822.46,4
HCPCS,L0130,HC ASPEN COLLAR W/PAD,264.0,264.0,,,0
HCPCS,L0140,Cervical semi-rigid adjustab,,,92.53,399.75,4
HCPCS,L0150,Cerv semi-rig adj molded chn,,,137.83,595.51,4
HCPCS,L0150,HC HARD CERVICAL COLLAR,541.0,541.0,,,0
HCPCS,L0160,Cerv sr wire occ/man pre ots,,,233.47,1008.71,4
HCPCS,L0170,Cervical collar molded to pt,,,919.49,3972.39,4
HCPCS,L0172,Cerv col sr foam 2pc pre ots,,,141.94,613.25,4
HCPCS,L0174,Cerv sr 2pc thor ext pre ots,,,409.52,1769.21,4
HCPCS,L0180,Cer post col occ/man sup adj,,,552.35,2386.33,4
HCPCS,L0190,Cerv collar supp adj cerv ba,,,669.4,2891.97,4
HCPCS,L0190,HC SOMI BRACE,1160.0,1160.0,,,0
HCPCS,L0200,Cerv col supp adj bar & thor,,,627.76,2712.1,4
HCPCS,L0200,HC MINERVA ORTHOSIS CERVICAL THORACIC HALO BRACE,1105.0,1105.0,,,0
HCPCS,L0220,Thor rib belt custom fabrica,,,148.73,642.55,4
HCPCS,L0450,HC DORSO LUMBAR CORSET,391.0,391.0,,,0
HCPCS,L0450,Tlso flex trunk/thor pre ots,,,145.1,609.93,4
HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,404.77,1748.7,4
HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,269.37,1132.3,4
HCPCS,L0456,HC TLSO FLEX TRUNK SACROCO JUNC TO SCAP SPINE PREFAB,2248.0,2248.0,,,0
HCPCS,L0456,Tlso flex trnk sj-ss pre cst,,,1160.76,5014.73,4
HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,772.46,3247.04,4
HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,1040.84,4496.69,4
HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1171.54,5061.35,4
HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1457.2,6295.54,4
HCPCS,L0464,TLSO 4Mod sacro-scap pre,,,1734.78,7494.71,4
HCPCS,L0466,Tlso r fram soft ant pre cst,,,481.92,2082.04,4
HCPCS,L0467,Tlso r fram soft pre ots,,,302.1,1269.88,8
HCPCS,L0468,Tlso rig fram pelvic pre cst,,,622.72,2690.32,4
HCPCS,L0469,Tlso rig fram pelvic pre ots,,,384.93,1618.05,8
HCPCS,L0470,TLSO rigid frame pre subclav,,,884.4,3820.81,4
HCPCS,L0472,HC JEWETT BRACE,1036.0,1036.0,,,0
HCPCS,L0472,TLSO rigid frame hyperex pre,,,538.85,2327.98,4
HCPCS,L0480,TLSO rigid plastic custom fa,,,1862.04,8044.45,4
HCPCS,L0482,HC THORAC LUMB SAC ORTHOSIS,4770.0,4770.0,,,0
HCPCS,L0482,TLSO rigid lined custom fab,,,1942.98,8394.18,4
HCPCS,L0484,TLSO rigid plastic cust fab,,,2649.27,11445.5,4
HCPCS,L0486,HC TLSO - 2 PIECE TYPE,5370.0,5370.0,,,0
HCPCS,L0486,TLSO rigidlined cust fab two,,,2810.73,12143.07,4
HCPCS,L0488,TLSO rigid lined pre one pie,,,1171.54,5061.35,4
HCPCS,L0490,TLSO rigid plastic pre one,,,330.17,1426.37,4
HCPCS,L0491,TLSO 2 piece rigid shell,,,896.32,3872.35,4
HCPCS,L0492,TLSO 3 piece rigid shell,,,589.82,2548.25,4
HCPCS,L0621,Sio flex pelvic/sacr pre ots,,,76.5,321.57,4
HCPCS,L0622,Sio flex pelvisacral custom,,,385.13,1663.83,4
HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,137.13,576.43,4
HCPCS,L0625,HC FREEMAN CORSET,155.0,155.0,,,0
HCPCS,L0625,Lo flex l1-below l5 pre ots,,,42.8,179.91,4
HCPCS,L0626,Lo sag rig pnl stays pre cst,,,90.96,392.94,4
HCPCS,L0627,HC LO SAGITTAL RIGID ANT & POST PANELS PREFAB,432.0,432.0,,,0
HCPCS,L0627,Lo sag ri an/pos pnl pre cst,,,479.75,2072.66,4
HCPCS,L0628,Lso flex no ri stays pre ots,,,65.17,273.94,4
HCPCS,L0630,HC WARM & FORM,454.61,454.61,,,0
HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,189.01,816.57,4
HCPCS,L0631,HC LUMBAR SACRAL ORTHOSIS (NON-CUSTOM),2398.0,2398.0,,,0
HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1198.1,5176.11,4
HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,334.68,1445.88,4
HCPCS,L0635,Lso sagit rigid panel prefab,,,1093.58,4724.57,4
HCPCS,L0636,Lso sagittal rigid panel cus,,,1761.47,7609.97,4
HCPCS,L0637,HC LSO SAG CORONAL CNTL RIGID ANT & POST FRM/PNLS PREFAB,1549.0,1549.0,,,0
HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1366.57,5903.94,4
HCPCS,L0638,HC LSO SAG CORONAL CNTL RIGID ANT & POST FRM/PNLS CUSTOM FAB,2376.0,2376.0,,,0
HCPCS,L0638,Lso sag-coronal panel custom,,,1539.26,6650.02,4
HCPCS,L0639,Lso s/c shell/panel prefab,,,1366.57,5903.94,4
HCPCS,L0640,HC LUMBAR SACRAL ORTHOSIS,2260.0,2260.0,,,0
HCPCS,L0640,Lso s/c shell/panel custom,,,1221.27,5276.19,4
HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,60.55,254.52,8
HCPCS,L0642,Lo sag ri an/pos pnl pre ots,,,319.33,1342.3,8
HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,125.81,528.84,8
HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,797.49,3352.25,8
HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,222.77,936.41,8
HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,922.75,3878.78,8
HCPCS,L0651,LSO sag-co shell pnl pre ots,,,922.75,3878.78,8
HCPCS,L0700,Ctlso a-p-l control molded,,,2511.34,10849.61,4
HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2709.55,11705.91,4
HCPCS,L0710,HC CTLSO,3950.0,3950.0,,,0
HCPCS,L0720,Ctlso a-p-l control custom,,,2350.67,9881.04,3
HCPCS,L0810,HC HALO VEST ASSEMBLY,7560.0,7560.0,,,0
HCPCS,L0810,Halo cervical into jckt vest,,,3781.26,16336.02,4
HCPCS,L0820,Halo cervical into body jack,,,3220.14,13911.86,4
HCPCS,L0830,Halo cerv into milwaukee typ,,,4187.91,18092.87,4
HCPCS,L0859,HC HALO,2096.0,2096.0,,,0
HCPCS,L0859,MRI compatible system,,,1447.02,6251.45,4
HCPCS,L0861,HC HALO REPLACEMENT LINER,1120.03,1120.03,,,0
HCPCS,L0861,Halo repl liner/interface,,,251.54,1086.73,4
HCPCS,L0970,Tlso corset front,,,127.79,552.09,4
HCPCS,L0972,Lso corset front,,,115.06,497.11,4
HCPCS,L0974,Tlso full corset,,,252.22,1089.67,4
HCPCS,L0976,Lso full corset,,,191.1,825.61,4
HCPCS,L0978,Axillary crutch extension,,,231.45,999.93,4
HCPCS,L0980,Peroneal straps pair pre ots,,,26.04,112.44,4
HCPCS,L0982,Stocking sup grips 4 pre ots,,,24.28,104.88,4
HCPCS,L0984,HC PROTECTIVE BODY SOCK PREFAB OFF THE SHELF EACH,194.0,194.0,,,0
HCPCS,L0984,Protect body sock ea pre ots,,,76.47,330.4,4
HCPCS,L0999,HC ASPEN REPLACEMENT PAD,75.0,75.0,,,0
HCPCS,L1000,Ctlso milwauke initial model,,,2864.2,12374.05,4
HCPCS,L1005,Tension based scoliosis orth,,,3735.43,16138.08,4
HCPCS,L1006,Scoliosis orth sag/ cor,,,1283.42,1283.42,1
HCPCS,L1010,Ctlso axilla sling,,,82.82,357.84,4
HCPCS,L1020,Kyphosis pad,,,96.64,417.53,4
HCPCS,L1025,Kyphosis pad floating,,,149.73,646.88,4
HCPCS,L1030,Lumbar bolster pad,,,71.12,307.28,4
HCPCS,L1040,Lumbar or lumbar rib pad,,,87.23,376.84,4
HCPCS,L1050,Sternal pad,,,93.1,402.19,4
HCPCS,L1060,Thoracic pad,,,111.19,480.33,4
HCPCS,L1070,Trapezius sling,,,100.61,434.68,4
HCPCS,L1080,Outrigger,,,65.88,284.62,4
HCPCS,L1085,Outrigger bil w/ vert extens,,,172.11,743.52,4
HCPCS,L1090,Lumbar sling,,,102.48,442.75,4
HCPCS,L1100,Ring flange plastic/leather,,,216.27,934.35,4
HCPCS,L1110,Ring flange plas/leather mol,,,336.99,1455.88,4
HCPCS,L1120,Covers for upright each,,,44.4,191.85,4
HCPCS,L1200,Furnsh initial orthosis only,,,2079.47,8983.85,4
HCPCS,L1210,Lateral thoracic extension,,,292.55,1263.91,4
HCPCS,L1220,Anterior thoracic extension,,,247.7,1070.13,4
HCPCS,L1230,Milwaukee type superstructur,,,714.65,3087.47,4
HCPCS,L1240,Lumbar derotation pad,,,94.38,407.7,4
HCPCS,L1250,Anterior asis pad,,,94.32,407.49,4
HCPCS,L1260,Anterior thoracic derotation,,,94.38,407.7,4
HCPCS,L1270,Abdominal pad,,,94.38,407.7,4
HCPCS,L1280,Rib gusset (elastic) each,,,128.6,555.62,4
HCPCS,L1290,Lateral trochanteric pad,,,94.38,407.7,4
HCPCS,L1300,Body jacket mold to patient,,,1986.71,8583.13,4
HCPCS,L1310,Post-operative body jacket,,,2138.19,9237.57,4
HCPCS,L1600,Ho flex frejka w/cov pre cst,,,173.13,747.97,4
HCPCS,L1610,Ho frejka cov only pre cst,,,53.05,229.17,4
HCPCS,L1620,HC PAVLIK HARNESS,201.6,201.6,,,0
HCPCS,L1620,Ho flex pavlik harns pre cst,,,176.24,761.38,4
HCPCS,L1630,Abduct control hip semi-flex,,,252.61,1091.35,4
HCPCS,L1640,Pelv band/spread bar thigh c,,,687.88,2971.83,4
HCPCS,L1650,HO abduction hip adjustable,,,342.39,1479.25,4
HCPCS,L1652,HO bi thighcuffs w sprdr bar,,,416.03,1797.25,4
HCPCS,L1653,Ho abduction static ots,,,419.18,419.18,1
HCPCS,L1660,HC RHINO CRUISER,537.21,537.21,,,0
HCPCS,L1660,HO abduction static plastic,,,235.24,1016.32,4
HCPCS,L1680,HC HIP ORTHOSIS PELVIC BAND,2337.5,2337.5,,,0
HCPCS,L1680,Pelvic & hip control thigh c,,,1362.27,5885.36,4
HCPCS,L1681,Ho bilateral hip abduction,,,2266.0,9715.63,8
HCPCS,L1685,HC CUSTOM HIP ABD BRACE,2640.0,2640.0,,,0
HCPCS,L1685,Post-op hip abduct custom fa,,,1773.23,7660.79,4
HCPCS,L1686,HC HO ABD CNTRL HIP JOINT POSTOP HIP ABDUCTION,1944.0,1944.0,,,0
HCPCS,L1686,HO post-op hip abduction,,,1124.43,4857.82,4
HCPCS,L1690,Combination bilateral HO,,,2256.84,9750.19,4
HCPCS,L1700,Leg perthes orth toronto typ,,,2169.63,9373.3,4
HCPCS,L1710,Legg perthes orth newington,,,2664.95,11513.26,4
HCPCS,L1720,Legg perthes orthosis trilat,,,1507.05,6510.84,4
HCPCS,L1730,Legg perthes orth scottish r,,,1584.44,6845.19,4
HCPCS,L1755,Legg perthes patten bottom t,,,2360.23,10196.81,4
HCPCS,L1810,HC KO ELASTIC WITH JOINTS,43.0,43.0,,,0
HCPCS,L1810,Ko elastic with joints,,,115.58,499.33,4
HCPCS,L1812,Ko elastic w/joints pre ots,,,83.0,348.89,8
HCPCS,L1820,HC HINGED NEOPRENE KNEE BRACE,189.0,189.0,,,0
HCPCS,L1820,Ko elas w/ condyle pads & jo,,,170.2,735.28,4
HCPCS,L1821,Ko elas w/ condyle pads otf,,,171.49,171.49,1
HCPCS,L1830,HC KNEE IMMOBILIZER,294.0,294.0,,,0
HCPCS,L1830,Ko immob canvas long pre ots,,,74.79,314.38,4
HCPCS,L1831,Knee orth pos locking joint,,,343.5,1484.0,4
HCPCS,L1832,HC LEHRMAN KNEE BRACE,1799.0,1799.0,,,0
HCPCS,L1832,Ko adj jnt pos r sup pre cst,,,887.54,3834.39,4
HCPCS,L1833,Ko adj jnt pos r sup pre ots,,,538.74,2264.59,8
HCPCS,L1834,Ko w/0 joint rigid molded to,,,1157.21,4999.47,4
HCPCS,L1836,Ko rigid w/o joints pre ots,,,105.75,444.52,4
HCPCS,L1840,Ko derot ant cruciate custom,,,1090.61,4711.75,4
HCPCS,L1843,Ko single upright pre cst,,,1047.18,4524.06,4
HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1909.56,8249.79,4
HCPCS,L1845,Ko double upright pre cst,,,973.73,4206.74,4
HCPCS,L1846,Ko w adj flex/ext rotat mold,,,1449.25,6261.2,4
HCPCS,L1847,Ko dbl upright w/air pre cst,,,671.27,2900.08,4
HCPCS,L1848,Ko dbl upright w/air pre ots,,,671.27,2900.08,8
HCPCS,L1850,Ko swedish type pre ots,,,243.56,1023.8,4
HCPCS,L1851,Ko single upright prefab ots,,,711.1,2989.11,4
HCPCS,L1852,Ko double upright prefab ots,,,678.38,2851.57,4
HCPCS,L1860,Ko supracondylar socket mold,,,1268.46,5480.1,4
HCPCS,L1900,Afo sprng wir drsflx calf bd,,,355.11,1534.24,4
HCPCS,L1902,Afo ankle gauntlet pre ots,,,102.81,444.14,4
HCPCS,L1902,HC ANKLE GAUNTLET PREFAB,277.2,277.2,,,0
HCPCS,L1904,Afo molded ankle gauntlet,,,701.01,3028.54,4
HCPCS,L1904,HC AFO MOLDED ANKLE GAUNTLET CUSTOM,1402.85,1402.85,,,0
HCPCS,L1906,Afo multilig ank sup pre ots,,,150.57,650.49,4
HCPCS,L1906,HC AFO MULTILIG ANK SUP PRE OTS,332.64,332.64,,,0
HCPCS,L1907,AFO supramalleolar custom,,,656.71,2837.15,4
HCPCS,L1910,Afo sing bar clasp attach sh,,,354.49,1531.46,4
HCPCS,L1920,Afo sing upright w/ adjust s,,,519.5,2244.37,4
HCPCS,L1930,Afo plastic,,,305.24,1318.72,4
HCPCS,L1930,HC FOOT UP AFO (PRE-FAB),463.0,463.0,,,0
HCPCS,L1932,Afo rig ant tib prefab TCF/=,,,1041.46,4499.38,4
HCPCS,L1932,HC CARBON FIBER AFO,1770.0,1770.0,,,0
HCPCS,L1933,Afo rig ant tib tcf/= ots,,,1070.39,4499.38,3
HCPCS,L1940,Afo molded to patient plasti,,,737.24,3185.12,4
HCPCS,L1940,HC POSTERIOR LEAF SPRING AFO,1161.0,1161.0,,,0
HCPCS,L1945,Afo molded plas rig ant tib,,,1379.98,5961.87,4
HCPCS,L1950,Afo spiral molded to pt plas,,,1066.29,4606.66,4
HCPCS,L1951,AFO spiral prefabricated,,,980.14,4234.48,4
HCPCS,L1952,Afo spiral prefab ots,,,1007.37,4234.48,3
HCPCS,L1960,Afo pos solid ank plastic mo,,,826.31,3569.86,4
HCPCS,L1960,HC ANKLE FOOT ORTHOSIS,1780.0,1780.0,,,0
HCPCS,L1970,Afo plastic molded w/ankle j,,,1060.77,4582.82,4
HCPCS,L1970,HC ARTICULATING AFO,1125.0,1125.0,,,0
HCPCS,L1971,"AFO w/ankle joint, prefab",,,547.04,2363.33,4
HCPCS,L1980,Afo sing solid stirrup calf,,,530.8,2293.22,4
HCPCS,L1990,Afo doub solid stirrup calf,,,631.47,2728.11,4
HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1287.41,5561.9,4
HCPCS,L2005,KAFO sng/dbl mechanical act,,,4782.38,20661.09,4
HCPCS,L2006,Kaf sng/dbl swg/stn mcpr cus,,,39823.4,170745.58,8
HCPCS,L2010,Kafo sng solid stirrup w/o j,,,1170.16,5055.38,4
HCPCS,L2020,Kafo dbl solid stirrup band/,,,1660.41,7173.4,4
HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1346.69,5818.02,4
HCPCS,L2034,Kafo pla sin up w/wo k/a cus,,,2335.28,10088.99,4
HCPCS,L2035,KAFO plastic pediatric size,,,205.63,888.37,4
HCPCS,L2036,HC KAFO-PLASTIC W/METAL DBL UPRT,5200.0,5200.0,,,0
HCPCS,L2036,Kafo plas doub free knee mol,,,2765.82,11949.12,4
HCPCS,L2037,Kafo plas sing free knee mol,,,2482.99,10727.16,4
HCPCS,L2038,HC KAFO PLASTIC NO JOINTS,1296.4,1296.4,,,0
HCPCS,L2038,Kafo w/o joint multi-axis an,,,2131.38,9208.1,4
HCPCS,L2040,Hkafo torsion bil rot straps,,,253.82,1096.48,4
HCPCS,L2050,Hkafo torsion cable hip pelv,,,710.13,3067.97,4
HCPCS,L2060,Hkafo torsion ball bearing j,,,722.88,3123.03,4
HCPCS,L2070,Hkafo torsion unilat rot str,,,174.5,753.86,4
HCPCS,L2080,Hkafo unilat torsion cable,,,536.19,2316.51,4
HCPCS,L2090,Hkafo unilat torsion ball br,,,515.31,2226.26,4
HCPCS,L2106,Afo tib fx cast plaster mold,,,1013.58,4379.0,4
HCPCS,L2108,Afo tib fx cast molded to pt,,,1539.77,6652.16,4
HCPCS,L2112,Afo tibial fracture soft,,,632.03,2730.59,4
HCPCS,L2114,Afo tib fx semi-rigid,,,763.38,3298.02,4
HCPCS,L2116,Afo tibial fracture rigid,,,980.38,4235.53,4
HCPCS,L2126,HC KAFO FEM FX CAST THERMOPLAS,3832.5,3832.5,,,0
HCPCS,L2126,Kafo fem fx cast thermoplas,,,1605.51,6936.24,4
HCPCS,L2128,Kafo fem fx cast molded to p,,,2556.25,11043.65,4
HCPCS,L2132,Kafo femoral fx cast soft,,,944.45,4080.25,4
HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1329.5,5743.75,4
HCPCS,L2136,Kafo femoral fx cast rigid,,,1486.04,6420.09,4
HCPCS,L2180,HC FOOT PLATE,245.0,245.0,,,0
HCPCS,L2180,Plas shoe insert w ank joint,,,154.44,667.26,4
HCPCS,L2182,Drop lock knee,,,136.58,590.09,4
HCPCS,L2182,HC DROP LOCK KNEE JOINT,366.8,366.8,,,0
HCPCS,L2184,Limited motion knee joint,,,143.37,619.47,4
HCPCS,L2186,Adj motion knee jnt lerman t,,,173.06,747.68,4
HCPCS,L2188,Quadrilateral brim,,,420.12,1815.03,4
HCPCS,L2190,Waist belt,,,130.18,562.43,4
HCPCS,L2192,HC PELVIC BAND AND BELT T HIGH,840.0,840.0,,,0
HCPCS,L2192,Pelvic band & belt thigh fla,,,481.55,2080.4,4
HCPCS,L2200,Limited ankle motion ea jnt,,,53.16,229.64,4
HCPCS,L2210,Dorsiflexion assist each joi,,,75.16,324.68,4
HCPCS,L2210,HC ADDITION DORSI ASSIST ANKLE,141.37,141.37,,,0
HCPCS,L2220,Dorsi & plantar flex ass/res,,,91.55,395.55,4
HCPCS,L2230,Split flat caliper stirr & p,,,85.79,370.62,4
HCPCS,L2232,HC ROCKER BOTTOM CONTACT AFO,310.8,310.8,,,0
HCPCS,L2232,"Rocker bottom, contact AFO",,,116.15,501.81,4
HCPCS,L2240,Round caliper and plate atta,,,115.05,497.06,4
HCPCS,L2250,Foot plate molded stirrup at,,,397.27,1716.33,4
HCPCS,L2250,HC AFO MOLDED FT PLATE,828.0,828.0,,,0
HCPCS,L2260,Reinforced solid stirrup,,,224.13,968.28,4
HCPCS,L2265,Long tongue stirrup,,,175.56,758.48,4
HCPCS,L2270,Varus/valgus strap padded/li,,,70.21,303.37,4
HCPCS,L2275,HC PLASTIC MOD LOWER EXTREMITY PADDED/LINED,240.0,240.0,,,0
HCPCS,L2275,Plastic mod low ext pad/line,,,147.2,635.99,4
HCPCS,L2280,HC INNER BOOT,1064.0,1064.0,,,0
HCPCS,L2280,Molded inner boot,,,558.61,2413.31,4
HCPCS,L2300,Abduction bar jointed adjust,,,301.03,1300.52,4
HCPCS,L2300,HC ABDUCTION BAR JOINITED ADJUST,638.4,638.4,,,0
HCPCS,L2310,Abduction bar-straight,,,137.54,594.25,4
HCPCS,L2320,Non-molded lacer,,,281.99,1218.26,4
HCPCS,L2330,Lacer molded to patient mode,,,491.28,2122.43,4
HCPCS,L2335,Anterior swing band,,,335.62,1449.96,4
HCPCS,L2340,HC PRE-TIBIAL SHELL MOLDED TO PT,840.06,840.06,,,0
HCPCS,L2340,Pre-tibial shell molded to p,,,499.7,2158.83,4
HCPCS,L2350,Prosthetic type socket molde,,,996.26,4304.05,4
HCPCS,L2360,Extended steel shank,,,57.84,249.9,4
HCPCS,L2370,Patten bottom,,,287.01,1239.95,4
HCPCS,L2375,Torsion ank & half solid sti,,,135.34,584.71,4
HCPCS,L2380,Torsion straight knee joint,,,137.65,594.67,4
HCPCS,L2385,Straight knee joint heavy du,,,190.9,824.73,4
HCPCS,L2387,Add le poly knee custom kafo,,,246.72,1065.88,4
HCPCS,L2390,HC OFFSET KNEE JOINT EACH JOINT,182.0,182.0,,,0
HCPCS,L2390,Offset knee joint each,,,163.19,705.01,4
HCPCS,L2395,Offset knee joint heavy duty,,,233.25,1007.71,4
HCPCS,L2397,Suspension sleeve lower ext,,,137.85,595.59,4
HCPCS,L2405,HC KNEE JOINT DROP LOCK EA JNT,70.56,70.56,,,0
HCPCS,L2405,Knee joint drop lock ea jnt,,,101.74,439.56,4
HCPCS,L2415,Knee joint cam lock each joi,,,141.75,612.41,4
HCPCS,L2425,HC DIAL LOCK KNEE JOINT,424.0,424.0,,,0
HCPCS,L2425,Knee disc/dial lock/adj flex,,,167.29,722.71,4
HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,167.29,722.71,4
HCPCS,L2492,Knee lift loop drop lock rin,,,132.64,573.02,4
HCPCS,L2500,Thi/glut/ischia wgt bearing,,,470.3,2031.8,4
HCPCS,L2510,Th/wght bear quad-lat brim m,,,904.43,3907.41,4
HCPCS,L2520,Th/wght bear quad-lat brim c,,,666.23,2878.26,4
HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1817.22,7850.83,4
HCPCS,L2526,HC THIGH CUFF CUSTOM FITTED,1487.7,1487.7,,,0
HCPCS,L2526,Th/wght bear nar m-l brim cu,,,987.55,4266.43,4
HCPCS,L2530,Thigh/wght bear lacer non-mo,,,297.94,1287.2,4
HCPCS,L2540,Thigh/wght bear lacer molded,,,630.26,2722.9,4
HCPCS,L2550,Thigh/wght bear high roll cu,,,321.11,1387.32,4
HCPCS,L2570,Hip clevis type 2 posit jnt,,,532.55,2300.74,4
HCPCS,L2580,Pelvic control pelvic sling,,,578.99,2501.38,4
HCPCS,L2600,Hip clevis/thrust bearing fr,,,229.62,992.07,4
HCPCS,L2610,HC LOCKING HIP JT,404.0,404.0,,,0
HCPCS,L2610,Hip clevis/thrust bearing lo,,,271.52,1173.07,4
HCPCS,L2620,Pelvic control hip heavy dut,,,398.59,1722.05,4
HCPCS,L2622,Hip joint adjustable flexion,,,456.94,1974.05,4
HCPCS,L2624,HC HIP ABDUCTION CONTROL,991.2,991.2,,,0
HCPCS,L2624,HC HIP ADJ FLEX EXT ABDUCT CONT,829.81,829.81,,,0
HCPCS,L2624,Hip adj flex ext abduct cont,,,370.24,1599.52,4
HCPCS,L2627,Plastic mold recipro hip & c,,,2555.6,11040.83,4
HCPCS,L2628,Metal frame recipro hip & ca,,,2184.45,9437.36,4
HCPCS,L2630,HC PELVIC BAND AND BELT,529.0,529.0,,,0
HCPCS,L2630,Pelvic control band & belt u,,,343.28,1483.08,4
HCPCS,L2640,HC PELVIC BAND AND BELT BILATERAL,910.22,910.22,,,0
HCPCS,L2640,Pelvic control band & belt b,,,492.03,2125.71,4
HCPCS,L2650,Pelv & thor control gluteal,,,134.53,581.22,4
HCPCS,L2660,Thoracic control thoracic ba,,,277.48,1198.8,4
HCPCS,L2670,Thorac cont paraspinal uprig,,,190.72,823.97,4
HCPCS,L2680,Thorac cont lat support upri,,,174.96,755.87,4
HCPCS,L2750,Plating chrome/nickel pr bar,,,124.61,538.3,4
HCPCS,L2755,Carbon graphite lamination,,,152.46,658.6,4
HCPCS,L2760,Extension per extension per,,,67.94,293.49,4
HCPCS,L2768,Ortho sidebar disconnect,,,152.04,656.84,4
HCPCS,L2780,Non-corrosive finish,,,100.9,435.9,4
HCPCS,L2785,Drop lock retainer each,,,38.34,165.62,4
HCPCS,L2795,Knee control full kneecap,,,126.67,547.25,4
HCPCS,L2800,Knee cap medial or lateral p,,,159.02,686.98,4
HCPCS,L2810,Knee control condylar pad,,,116.43,503.03,4
HCPCS,L2820,HC AFO LINER,190.0,190.0,,,0
HCPCS,L2820,Soft interface below knee se,,,128.93,557.09,4
HCPCS,L2830,HC SOFT INTERFACE ABOVE KNEE SECTION,249.2,249.2,,,0
HCPCS,L2830,Soft interface above knee se,,,140.06,605.05,4
HCPCS,L2840,Tibial length sock fx or equ,,,49.01,211.73,4
HCPCS,L2850,Femoral lgth sock fx or equa,,,88.63,382.9,4
HCPCS,L2999,HC LOWER EXTREMITY ORTHOTIC NOS,1050.0,1050.0,,,0
HCPCS,L3000,Ft insert ucb berkeley shell,,,366.62,1583.88,8
HCPCS,L3001,Foot insert remov molded spe,,,154.37,666.93,8
HCPCS,L3002,Foot insert plastazote or eq,,,188.5,814.34,8
HCPCS,L3003,Foot insert silicone gel eac,,,203.4,878.7,8
HCPCS,L3010,Foot longitudinal arch suppo,,,203.4,878.7,8
HCPCS,L3020,Foot longitud/metatarsal sup,,,231.54,1000.31,8
HCPCS,L3030,Foot arch support remov prem,,,89.07,384.83,8
HCPCS,L3031,Foot lamin/prepreg composite,,,142.95,617.58,4
HCPCS,L3040,Ft arch suprt premold longit,,,54.91,237.29,8
HCPCS,L3050,Foot arch supp premold metat,,,54.91,237.29,8
HCPCS,L3060,Foot arch supp longitud/meta,,,86.05,371.8,8
HCPCS,L3070,Arch suprt att to sho longit,,,37.07,160.2,8
HCPCS,L3080,Arch supp att to shoe metata,,,37.07,160.2,8
HCPCS,L3090,Arch supp att to shoe long/m,,,47.51,205.26,8
HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,50.46,217.99,4
HCPCS,L3140,Abduction rotation bar shoe,,,103.92,448.93,4
HCPCS,L3150,Abduct rotation bar w/o shoe,,,95.0,410.39,4
HCPCS,L3170,Foot plas heel stabi pre ots,,,59.39,256.58,8
HCPCS,L3224,Woman's shoe oxford brace,,,83.34,360.07,4
HCPCS,L3225,Man's shoe oxford brace,,,100.84,435.65,4
HCPCS,L3253,HC OFF LOADING SHOE,227.0,227.0,,,0
HCPCS,L3253,HC PUZZLE SHOE,227.0,227.0,,,0
HCPCS,L3260,Ambulatory surgical boot eac,,,141.61,141.61,1
HCPCS,L3300,Sho lift taper to metatarsal,,,60.85,262.93,8
HCPCS,L3310,HC SHOE LIFT,94.08,94.08,,,0
HCPCS,L3310,Shoe lift elev heel/sole neo,,,95.0,410.39,8
HCPCS,L3330,Lifts elevation metal extens,,,660.51,2853.59,8
HCPCS,L3332,Shoe lifts tapered to one-ha,,,86.05,371.8,8
HCPCS,L3334,Shoe lifts elevation heel /i,,,44.55,192.44,8
HCPCS,L3340,Shoe wedge sach,,,99.49,429.85,8
HCPCS,L3350,Shoe heel wedge,,,26.74,115.51,8
HCPCS,L3360,Shoe sole wedge outside sole,,,41.56,179.57,8
HCPCS,L3370,Shoe sole wedge between sole,,,57.84,249.94,8
HCPCS,L3380,Shoe clubfoot wedge,,,57.84,249.94,8
HCPCS,L3390,Shoe outflare wedge,,,57.84,249.94,8
HCPCS,L3400,Shoe metatarsal bar wedge ro,,,47.51,205.26,8
HCPCS,L3410,Shoe metatarsal bar between,,,108.34,468.06,8
HCPCS,L3420,Full sole/heel wedge btween,,,63.85,275.83,8
HCPCS,L3430,Sho heel count plast reinfor,,,187.02,808.0,8
HCPCS,L3440,Heel leather reinforced,,,89.07,384.83,8
HCPCS,L3450,Shoe heel sach cushion type,,,123.23,532.33,8
HCPCS,L3455,Shoe heel new leather standa,,,47.51,205.26,8
HCPCS,L3460,Shoe heel new rubber standar,,,40.05,173.02,8
HCPCS,L3465,Shoe heel thomas with wedge,,,68.27,294.92,8
HCPCS,L3470,Shoe heel thomas extend to b,,,72.72,314.17,8
HCPCS,L3480,Shoe heel pad & depress for,,,72.72,314.17,8
HCPCS,L3500,Ortho shoe add leather insol,,,34.13,147.5,8
HCPCS,L3510,Orthopedic shoe add rub insl,,,34.13,147.5,8
HCPCS,L3520,O shoe add felt w leath insl,,,37.07,160.2,8
HCPCS,L3530,Ortho shoe add half sole,,,37.07,160.2,8
HCPCS,L3540,Ortho shoe add full sole,,,59.39,256.58,8
HCPCS,L3550,O shoe add standard toe tap,,,10.36,44.77,8
HCPCS,L3560,O shoe add horseshoe toe tap,,,26.74,115.51,8
HCPCS,L3570,O shoe add instep extension,,,99.49,429.85,8
HCPCS,L3580,O shoe add instep velcro clo,,,75.7,327.07,8
HCPCS,L3590,O shoe convert to sof counte,,,62.33,269.32,8
HCPCS,L3595,Ortho shoe add march bar,,,48.96,211.56,8
HCPCS,L3600,Trans shoe calip plate exist,,,89.07,384.83,4
HCPCS,L3610,Trans shoe caliper plate new,,,117.26,506.56,4
HCPCS,L3620,Trans shoe solid stirrup exi,,,89.07,384.83,4
HCPCS,L3630,Trans shoe solid stirrup new,,,117.26,506.56,4
HCPCS,L3640,Shoe dennis browne splint bo,,,50.46,217.99,4
HCPCS,L3650,HC SHLDER FIG 8 ABDUCT RESTRAIN,190.4,190.4,,,0
HCPCS,L3650,So 8 abd restraint pre ots,,,80.41,347.42,4
HCPCS,L3660,HC SO EIGHT DESIGN ABD RESTRAINER CANVAS & WEBB PREFAB OFF THE SHELF,480.0,480.0,,,0
HCPCS,L3660,So 8 ab rstr can/web pre ots,,,149.93,647.76,4
HCPCS,L3670,So acro/clav can web pre ots,,,123.72,534.48,4
HCPCS,L3671,SO cap design w/o jnts CF,,,957.09,4134.9,4
HCPCS,L3674,HC SO AIRPLANE W WO JOINT,1047.13,1047.13,,,0
HCPCS,L3674,SO airplane w/wo joint CF,,,1255.49,5424.07,4
HCPCS,L3675,So vest canvas/web pre ots,,,186.39,805.31,4
HCPCS,L3702,EO w/o joints CF,,,306.69,1324.99,8
HCPCS,L3702,HC EO W/O JOINTS CF,285.0,285.0,,,0
HCPCS,L3710,Eo elas w/metal jnts pre ots,,,169.84,733.76,4
HCPCS,L3720,Forearm/arm cuffs free motio,,,715.6,3091.63,4
HCPCS,L3730,Forearm/arm cuffs ext/flex a,,,1315.02,5681.2,4
HCPCS,L3740,Cuffs adj lock w/ active con,,,1559.07,6735.56,4
HCPCS,L3740,HC BLEDSOE ELBOW ORTHOSIS,1590.0,1590.0,,,0
HCPCS,L3760,"EO withjoint, Prefabricated",,,531.17,2294.69,4
HCPCS,L3760,HC EO ADJUST POST LOCK JOINT PREFAB CUSTOM FIT,960.0,960.0,,,0
HCPCS,L3761,"Eo, adj lock joint prefab ot",,,531.17,2294.69,4
HCPCS,L3762,Eo rigid w/o joints pre ots,,,114.2,493.41,4
HCPCS,L3763,EWHO rigid w/o jnts CF,,,772.85,3338.84,4
HCPCS,L3763,HC EWHO RIGID W/O JOINTS CF,715.0,715.0,,,0
HCPCS,L3764,EWHO w/joint(s) CF,,,1009.92,4363.06,4
HCPCS,L3764,HC EWHO WITH JOINTS CF,930.0,930.0,,,0
HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1361.93,5883.89,4
HCPCS,L3765,HC EWHFO RIGID W/O JOINTS CF,1255.0,1255.0,,,0
HCPCS,L3766,EWHFO w/joint(s) CF,,,1442.19,6230.6,4
HCPCS,L3806,HC WHFO WITH JOINTS CF,445.0,445.0,,,0
HCPCS,L3806,WHFO w/joint(s) custom fab,,,482.49,2084.47,4
HCPCS,L3807,HC COMFY SPLINT/RESTING HAND SPLINT,560.03,560.03,,,0
HCPCS,L3807,Whfo w/o joints pre cst,,,265.6,1147.43,4
HCPCS,L3808,HC WHFO RIGID W/O JTS CF,415.0,415.0,,,0
HCPCS,L3808,"WHFO, rigid w/o joints",,,448.71,1938.53,4
HCPCS,L3809,HC WHFO WO JOINTS PREFAB OFF THE SHELF ANY TYPE,574.0,574.0,,,0
HCPCS,L3809,Whfo w/o joints pre ots,,,265.6,1147.43,8
HCPCS,L3900,HC HINGE EXT/FLEX W/F CF,1311.0,1311.0,,,0
HCPCS,L3900,Hinge extension/flex wrist/f,,,1423.4,6149.47,4
HCPCS,L3901,Hinge ext/flex wrist finger,,,1758.21,7595.93,4
HCPCS,L3904,Whfo electric custom fitted,,,3371.43,14565.42,4
HCPCS,L3905,HC WHO WITH JOINTS CF,970.0,970.0,,,0
HCPCS,L3905,Who w/nontorsion jnt(s) cf,,,1053.34,4550.79,4
HCPCS,L3906,HC WHO W/O JOINTS CF,473.0,473.0,,,0
HCPCS,L3906,Who w/o joints cf,,,513.25,2217.35,4
HCPCS,L3908,HC WHO COCK-UP NONMOLDE PREFAB OTS,127.26,127.26,,,0
HCPCS,L3908,Who cock-up nonmolde pre ots,,,87.39,377.56,4
HCPCS,L3912,Hfo flexion glove pre ots,,,103.76,448.26,4
HCPCS,L3913,HC HFO W/O JOINTS CF,265.0,265.0,,,0
HCPCS,L3913,HFO w/o joints CF,,,287.67,1242.81,4
HCPCS,L3915,Who nontorsion jnts pre cst,,,564.6,2439.21,4
HCPCS,L3916,Who nontorsion jnts pre ots,,,564.6,2439.21,8
HCPCS,L3917,Metacarp fx orthosis pre cst,,,112.25,484.96,4
HCPCS,L3918,Metacarp fx orthosis pre ots,,,112.25,484.96,8
HCPCS,L3919,HC HO W/O JOINTS CF,265.0,265.0,,,0
HCPCS,L3919,HO w/o joints CF,,,287.67,1242.81,4
HCPCS,L3921,HC HFO WITH JTS CF,315.0,315.0,,,0
HCPCS,L3921,HFO w/joint(s) CF,,,341.17,1474.0,4
HCPCS,L3923,Hfo without joints pre cst,,,126.89,548.22,4
HCPCS,L3924,Hfo without joints pre ots,,,126.89,548.22,8
HCPCS,L3925,Fo pip dip jnt/sprng pre ots,,,57.1,246.66,4
HCPCS,L3927,Fo pip dip no jt spr pre ots,,,37.11,160.36,4
HCPCS,L3929,Hfo nontorsion jnts pre cst,,,85.53,369.49,4
HCPCS,L3930,Hfo nontorsion jnts pre ots,,,85.53,369.49,8
HCPCS,L3931,WHFO nontorsion joint prefab,,,225.8,975.51,4
HCPCS,L3933,FO w/o joints CF,,,226.59,978.95,4
HCPCS,L3933,HC FO W/O JTS CF,210.0,210.0,,,0
HCPCS,L3935,FO nontorsion joint CF,,,234.64,1013.67,4
HCPCS,L3960,HC SHLDR ORTH-AIRPLANE/GUNSLINGER,1590.0,1590.0,,,0
HCPCS,L3960,Sewho airplan desig abdu pos,,,955.33,4127.25,4
HCPCS,L3961,Sewho cap design w/o jnts cf,,,1784.53,7709.6,4
HCPCS,L3962,Sewho erbs palsey design abd,,,1046.66,4521.87,4
HCPCS,L3967,Sewho airplane w/o jnts cf,,,2106.93,9102.51,4
HCPCS,L3971,Sewho cap design w/jnt(s) cf,,,1999.99,8640.42,4
HCPCS,L3973,Sewho airplane w/jnt(s) cf,,,2106.93,9102.51,4
HCPCS,L3975,Sewhfo cap design w/o jnt cf,,,1784.53,7709.6,4
HCPCS,L3976,Sewhfo airplane w/o jnts cf,,,1784.53,7709.6,4
HCPCS,L3977,Sewhfo cap desgn w/jnt(s) cf,,,1999.99,8640.42,4
HCPCS,L3978,Sewhfo airplane w/jnt(s) cf,,,2106.93,9102.51,4
HCPCS,L3980,HC HUMERAL FRACTURE ORTHOSIS,947.0,947.0,,,0
HCPCS,L3980,Up ext fx orthos humeral nos,,,450.97,1948.32,4
HCPCS,L3981,Ue fx orth shoul cap forearm,,,1069.12,4618.93,4
HCPCS,L3982,HC RADIUS/ULNAR BRACE,707.0,707.0,,,0
HCPCS,L3982,Upper ext fx orthosis rad/ul,,,475.32,2053.54,4
HCPCS,L3984,Upper ext fx orthosis wrist,,,472.84,2042.82,4
HCPCS,L3995,Sock fracture or equal each,,,47.71,206.06,4
HCPCS,L3999,HC MIAMI J REPLACEMENT PADS,75.0,75.0,,,0
HCPCS,L4000,Repl girdle milwaukee orth,,,1708.8,7382.48,4
HCPCS,L4010,Replace trilateral socket br,,,750.34,3241.7,4
HCPCS,L4020,Replace quadlat socket brim,,,972.77,4202.58,4
HCPCS,L4030,Replace socket brim cust fit,,,564.5,2438.74,4
HCPCS,L4040,Replace molded thigh lacer,,,499.68,2158.75,4
HCPCS,L4045,Replace non-molded thigh lac,,,489.01,2112.64,4
HCPCS,L4050,Replace molded calf lacer,,,562.19,2428.82,4
HCPCS,L4055,Replace non-molded calf lace,,,398.52,1721.75,4
HCPCS,L4060,Replace high roll cuff,,,372.14,1607.75,4
HCPCS,L4070,Replace prox & dist upright,,,352.26,1521.84,4
HCPCS,L4080,Repl met band kafo-afo prox,,,150.79,651.46,4
HCPCS,L4090,Repl met band kafo-afo calf/,,,117.47,507.49,4
HCPCS,L4100,Repl leath cuff kafo prox th,,,131.98,570.2,4
HCPCS,L4110,Repl leath cuff kafo-afo cal,,,113.44,490.13,4
HCPCS,L4130,Replace pretibial shell,,,554.7,2396.46,4
HCPCS,L4205,Ortho dvc repair per 15 min,,,30.86,129.72,4
HCPCS,L4350,Ankle control ortho pre ots,,,116.11,501.6,4
HCPCS,L4350,HC AIR STIRRUP,216.0,216.0,,,0
HCPCS,L4360,HC AIRCAST WALKER,618.0,618.0,,,0
HCPCS,L4360,Pneumat walking boot pre cst,,,412.78,1783.29,4
HCPCS,L4361,Pneuma/vac walk boot pre ots,,,412.78,1783.29,8
HCPCS,L4370,Pneum full leg splnt pre ots,,,281.43,1215.86,4
HCPCS,L4386,HC LT KX NONPNEUM WALK BOOT PRE CST,496.6,496.6,,,0
HCPCS,L4386,Non-pneum walk boot pre cst,,,185.02,799.34,4
HCPCS,L4387,Non-pneum walk boot pre ots,,,185.02,799.34,8
HCPCS,L4392,Replace AFO soft interface,,,28.67,123.92,4
HCPCS,L4394,Replace foot drop spint,,,20.95,90.46,4
HCPCS,L4396,HC MULTI PODUS BOOT/NIGHT SPLINT,408.0,408.0,,,0
HCPCS,L4396,Static or dynami afo pre cst,,,204.59,883.91,4
HCPCS,L4397,Static or dynami afo pre ots,,,204.59,883.91,8
HCPCS,L4398,Foot drop splint pre ots,,,94.19,406.94,4
HCPCS,L4631,"Afo, walk boot type, cus fab",,,1914.39,8270.68,4
HCPCS,L5000,Sho insert w arch toe filler,,,601.84,2600.12,4
HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1458.79,6302.39,4
HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,2481.88,10722.37,4
HCPCS,L5050,Ank symes mold sckt sach ft,,,3245.17,14019.98,4
HCPCS,L5060,Symes met fr leath socket ar,,,3290.0,14213.63,4
HCPCS,L5100,Molded socket shin sach foot,,,3327.63,14376.26,4
HCPCS,L5105,Plast socket jts/thgh lacer,,,5068.31,21896.37,4
HCPCS,L5150,Mold sckt ext knee shin sach,,,4278.86,18485.82,4
HCPCS,L5160,Mold socket bent knee shin s,,,5017.8,21678.16,4
HCPCS,L5200,Kne sing axis fric shin sach,,,4989.89,21557.65,4
HCPCS,L5210,No knee/ankle joints w/ ft b,,,3142.08,13574.61,4
HCPCS,L5220,No knee joint with artic ali,,,3372.31,14569.25,4
HCPCS,L5230,Fem focal defic constant fri,,,4754.34,20539.98,4
HCPCS,L5250,Hip canad sing axi cons fric,,,6636.66,28672.12,4
HCPCS,L5270,Tilt table locking hip sing,,,7125.3,30783.2,4
HCPCS,L5280,Hemipelvect canad sing axis,,,7137.42,30835.53,4
HCPCS,L5301,Bk mold socket sach ft endo,,,2921.96,12623.61,4
HCPCS,L5312,"Knee disart, SACH ft, endo",,,3929.03,16974.45,4
HCPCS,L5321,Ak open end sach,,,4122.06,17808.38,4
HCPCS,L5331,Hip disart canadian sach ft,,,6142.43,26536.95,4
HCPCS,L5341,Hemipelvectomy canadian sach,,,6020.07,26008.32,4
HCPCS,L5400,Postop dress & 1 cast chg bk,,,1433.61,6193.56,4
HCPCS,L5410,Postop dsg bk ea add cast ch,,,547.44,2365.06,4
HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,1810.59,7822.21,4
HCPCS,L5430,Postop dsg ak ea add cast ch,,,627.14,2709.41,4
HCPCS,L5450,Postop app non-wgt bear dsg,,,485.28,2096.54,4
HCPCS,L5460,Postop app non-wgt bear dsg,,,713.51,3082.55,4
HCPCS,L5500,Init bk ptb plaster direct,,,1742.33,7527.33,4
HCPCS,L5505,Init ak ischal plstr direct,,,2438.92,10536.79,4
HCPCS,L5510,Prep BK ptb plaster molded,,,2172.2,9384.52,4
HCPCS,L5520,Perp BK ptb thermopls direct,,,2275.02,9828.71,4
HCPCS,L5530,Prep BK ptb thermopls molded,,,2479.13,10710.52,4
HCPCS,L5535,Prep BK ptb open end socket,,,2586.23,11173.2,4
HCPCS,L5540,Prep BK ptb laminated socket,,,2459.08,10623.84,4
HCPCS,L5560,Prep AK ischial plast molded,,,2342.04,10118.24,4
HCPCS,L5570,Prep AK ischial direct form,,,2824.54,12202.8,4
HCPCS,L5580,Prep AK ischial thermo mold,,,2929.37,12655.65,4
HCPCS,L5585,Prep AK ischial open end,,,3279.04,14166.3,4
HCPCS,L5590,Prep AK ischial laminated,,,3303.36,14271.34,4
HCPCS,L5595,Hip disartic sach thermopls,,,5890.75,25449.54,4
HCPCS,L5600,Hip disart sach laminat mold,,,6965.6,30093.15,4
HCPCS,L5610,Above knee hydracadence,,,2946.78,12730.89,4
HCPCS,L5611,Ak 4 bar link w/fric swing,,,2558.89,11055.08,4
HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,3892.23,16815.43,4
HCPCS,L5614,4-bar link above knee w/swng,,,1973.25,8524.95,4
HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,9020.84,38009.31,4
HCPCS,L5616,Ak univ multiplex sys frict,,,1826.37,7890.35,4
HCPCS,L5617,AK/BK self-aligning unit ea,,,687.3,2969.31,4
HCPCS,L5618,Test socket symes,,,446.67,1929.74,4
HCPCS,L5620,Test socket below knee,,,441.55,1907.59,4
HCPCS,L5622,Test socket knee disarticula,,,538.26,2325.46,4
HCPCS,L5624,Test socket above knee,,,577.4,2494.53,4
HCPCS,L5626,Test socket hip disarticulat,,,687.63,2970.74,4
HCPCS,L5628,Test socket hemipelvectomy,,,651.51,2814.71,4
HCPCS,L5629,Below knee acrylic socket,,,504.73,2180.52,4
HCPCS,L5630,Syme typ expandabl wall sckt,,,608.74,2629.96,4
HCPCS,L5631,Ak/knee disartic acrylic soc,,,697.83,3014.79,4
HCPCS,L5632,Symes type ptb brim design s,,,301.44,1302.37,4
HCPCS,L5634,Symes type poster opening so,,,471.41,2036.64,4
HCPCS,L5636,Symes type medial opening so,,,404.68,1748.28,4
HCPCS,L5637,Below knee total contact,,,396.19,1711.62,4
HCPCS,L5638,Below knee leather socket,,,579.69,2504.4,4
HCPCS,L5639,Below knee wood socket,,,1780.67,7692.95,4
HCPCS,L5640,Knee disarticulat leather so,,,761.67,3290.63,4
HCPCS,L5642,Above knee leather socket,,,738.01,3188.35,4
HCPCS,L5643,HC ADD TO LOW EXTREM HIP FLEX INNER SOCKET EXT FRAME,4800.0,4800.0,,,0
HCPCS,L5643,Hip flex inner socket ext fr,,,2471.96,10679.5,4
HCPCS,L5644,Above knee wood socket,,,923.18,3988.36,4
HCPCS,L5645,Bk flex inner socket ext fra,,,1058.5,4572.99,4
HCPCS,L5646,Below knee cushion socket,,,870.19,3759.44,4
HCPCS,L5647,Below knee suction socket,,,1263.36,5458.03,4
HCPCS,L5648,Above knee cushion socket,,,784.22,3388.06,4
HCPCS,L5649,Isch containmt/narrow m-l so,,,2267.89,9797.9,4
HCPCS,L5650,Tot contact ak/knee disart s,,,581.51,2512.26,4
HCPCS,L5651,Ak flex inner socket ext fra,,,1907.31,8240.08,4
HCPCS,L5652,Suction susp ak/knee disart,,,641.69,2772.25,4
HCPCS,L5653,Knee disart expand wall sock,,,725.96,3136.32,4
HCPCS,L5654,Socket insert symes,,,526.72,2275.56,4
HCPCS,L5655,Socket insert below knee,,,376.02,1624.53,4
HCPCS,L5656,Socket insert knee articulat,,,446.13,1927.43,4
HCPCS,L5658,Socket insert above knee,,,503.63,2175.77,4
HCPCS,L5661,Multi-durometer symes,,,966.5,4175.55,4
HCPCS,L5665,Multi-durometer below knee,,,813.2,3513.24,4
HCPCS,L5666,Below knee cuff suspension,,,101.78,439.69,4
HCPCS,L5668,Bk molded distal cushion,,,147.56,637.54,4
HCPCS,L5670,Bk molded supracondylar susp,,,343.31,1483.2,4
HCPCS,L5671,Bk/ak locking mechanism,,,592.5,2559.76,4
HCPCS,L5672,Bk removable medial brim sus,,,417.62,1804.23,4
HCPCS,L5673,HC AK LINER,1688.0,1688.0,,,0
HCPCS,L5673,HC BK LINER,1688.0,1688.0,,,0
HCPCS,L5673,Socket insert w lock mech,,,939.73,4059.82,4
HCPCS,L5676,Bk knee joints single axis p,,,565.42,2442.74,4
HCPCS,L5677,Bk knee joints polycentric p,,,783.08,3383.06,4
HCPCS,L5678,Bk joint covers pair,,,47.3,204.33,4
HCPCS,L5679,Socket insert w/o lock mech,,,783.07,3383.06,4
HCPCS,L5680,Bk thigh lacer non-molded,,,411.59,1778.12,4
HCPCS,L5681,Intl custm cong/latyp insert,,,1538.16,6645.31,4
HCPCS,L5682,Bk thigh lacer glut/ischia m,,,993.24,4291.1,4
HCPCS,L5683,Initial custom socket insert,,,1538.16,6645.31,4
HCPCS,L5684,Bk fork strap,,,71.81,310.26,4
HCPCS,L5685,Below knee sus/seal sleeve,,,149.78,647.09,4
HCPCS,L5685,HC BELOW KNEE SUS/SEAL SLEEVE,335.69,335.69,,,0
HCPCS,L5686,Bk back check,,,71.73,309.92,4
HCPCS,L5688,Bk waist belt webbing,,,84.58,365.41,4
HCPCS,L5690,Bk waist belt padded and lin,,,155.41,671.43,4
HCPCS,L5692,Ak pelvic control belt light,,,187.19,808.71,4
HCPCS,L5694,Ak pelvic control belt pad/l,,,288.12,1244.78,4
HCPCS,L5695,Ak sleeve susp neoprene/equa,,,218.7,944.9,4
HCPCS,L5696,Ak/knee disartic pelvic join,,,282.43,1220.15,4
HCPCS,L5697,Ak/knee disartic pelvic band,,,127.49,550.83,4
HCPCS,L5698,Ak/knee disartic silesian ba,,,143.11,618.29,4
HCPCS,L5699,Shoulder harness,,,287.31,1241.25,4
HCPCS,L5700,Replace socket below knee,,,3470.94,14995.36,4
HCPCS,L5701,Replace socket above knee,,,4305.99,18603.01,4
HCPCS,L5702,Replace socket hip,,,5427.06,23446.32,4
HCPCS,L5703,Symes ankle w/o (sach) foot,,,2816.16,12166.53,4
HCPCS,L5704,Custom shape cover bk,,,707.73,3057.58,4
HCPCS,L5705,Custom shape cover ak,,,1297.48,5605.45,4
HCPCS,L5706,Custom shape cvr knee disart,,,1265.54,5467.45,4
HCPCS,L5707,Custom shape cvr hip disart,,,1700.27,7345.53,4
HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,483.72,2089.77,4
HCPCS,L5711,Knee-shin exo mnl lock ultra,,,811.47,3505.72,4
HCPCS,L5712,Knee-shin exo frict swg & st,,,644.77,2785.58,4
HCPCS,L5714,Knee-shin exo variable frict,,,580.5,2507.93,4
HCPCS,L5716,Knee-shin exo mech stance ph,,,1042.94,4505.82,4
HCPCS,L5718,Knee-shin exo frct swg & sta,,,1252.74,5412.22,4
HCPCS,L5722,Knee-shin pneum swg frct exo,,,1175.35,5077.87,4
HCPCS,L5724,Knee-shin exo fluid swing ph,,,2162.02,9340.51,4
HCPCS,L5726,Knee-shin ext jnts fld swg e,,,2685.76,11603.17,4
HCPCS,L5728,Knee-shin fluid swg & stance,,,3779.15,16326.9,4
HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1453.45,6279.31,4
HCPCS,L5781,Lower limb pros vacuum pump,,,4678.8,20213.66,4
HCPCS,L5782,HD low limb pros vacuum pump,,,4932.51,21309.73,4
HCPCS,L5783,Add low ext mec limb vol sys,,,3142.59,13241.32,4
HCPCS,L5785,Exoskeletal bk ultralt mater,,,825.16,3564.95,4
HCPCS,L5790,Exoskeletal ak ultra-light m,,,1141.95,4933.56,4
HCPCS,L5795,Exoskel hip ultra-light mate,,,1705.25,7367.1,4
HCPCS,L5810,Endoskel knee-shin mnl lock,,,773.24,3340.61,4
HCPCS,L5811,Endo knee-shin mnl lck ultra,,,1158.31,5004.18,4
HCPCS,L5812,Endo knee-shin frct swg & st,,,876.26,3785.63,4
HCPCS,L5814,Endo knee-shin hydral swg ph,,,4342.79,18762.03,4
HCPCS,L5816,Endo knee-shin polyc mch sta,,,1092.34,4719.19,4
HCPCS,L5818,Endo knee-shin frct swg & st,,,1525.2,6589.28,4
HCPCS,L5822,Endo knee-shin pneum swg frc,,,2704.57,11684.43,4
HCPCS,L5824,Endo knee-shin fluid swing p,,,2122.4,9169.3,4
HCPCS,L5826,Miniature knee joint,,,3713.91,16045.05,4
HCPCS,L5827,Endo knee shin single axis,,,8056.12,33863.9,3
HCPCS,L5828,Endo knee-shin fluid swg/sta,,,4485.01,19376.41,4
HCPCS,L5830,Endo knee-shin pneum/swg pha,,,3013.69,13019.92,4
HCPCS,L5840,Multi-axial knee/shin system,,,4412.85,19064.68,4
HCPCS,L5841,Addition endoskletl knee-shi,,,3522.86,14843.53,4
HCPCS,L5845,Knee-shin sys stance flexion,,,2095.93,9054.97,4
HCPCS,L5848,Knee-shin sys hydraul stance,,,1257.45,5432.52,4
HCPCS,L5850,Endo ak/hip knee extens assi,,,152.37,658.31,4
HCPCS,L5855,Mech hip extension assist,,,367.86,1589.3,4
HCPCS,L5856,Elec knee-shin swing/stance,,,28391.38,122658.13,4
HCPCS,L5857,Elec knee-shin swing only,,,10280.74,44415.44,4
HCPCS,L5858,Stance phase only,,,21732.8,93891.35,4
HCPCS,L5859,Knee-shin pro flex/ext cont,,,16966.61,73300.21,8
HCPCS,L5910,Endo below knee alignable sy,,,575.22,2485.07,4
HCPCS,L5920,Endo ak/hip alignable system,,,842.69,3640.69,4
HCPCS,L5925,Above knee manual lock,,,400.24,1729.15,4
HCPCS,L5926,Endoskel posit rotat unit,,,845.45,3562.3,4
HCPCS,L5930,High activity knee frame,,,4134.6,17862.52,4
HCPCS,L5940,Endo bk ultra-light material,,,597.5,2581.37,4
HCPCS,L5950,Endo ak ultra-light material,,,1163.61,5027.13,4
HCPCS,L5960,Endo hip ultra-light materia,,,1279.89,5529.54,4
HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5436.56,23487.39,4
HCPCS,L5962,Below knee flex cover system,,,700.15,3024.84,4
HCPCS,L5964,Above knee flex cover system,,,1268.48,5480.19,4
HCPCS,L5966,Hip flexible cover system,,,1634.02,7059.4,4
HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4249.38,18358.41,4
HCPCS,L5969,Ak/ft power asst incl motors,,,51114.68,51114.68,1
HCPCS,L5970,Foot external keel sach foot,,,322.55,1393.5,4
HCPCS,L5971,"SACH foot, replacement",,,322.55,1393.5,4
HCPCS,L5972,Flexible keel foot,,,489.36,2114.15,4
HCPCS,L5973,Ank-foot sys dors-plant flex,,,20516.06,88634.71,4
HCPCS,L5974,Foot single axis ankle/foot,,,361.88,1563.41,4
HCPCS,L5975,Combo ankle/foot prosthesis,,,542.09,2341.98,4
HCPCS,L5976,Energy storing foot,,,818.46,3535.94,4
HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,442.41,1911.37,4
HCPCS,L5979,Multi-axial ankle/ft prosth,,,2821.3,12188.76,4
HCPCS,L5980,Flex foot system,,,5184.59,22398.73,4
HCPCS,L5981,Flex-walk sys low ext prosth,,,3861.18,16681.3,4
HCPCS,L5982,Exoskeletal axial rotation u,,,914.32,3950.07,4
HCPCS,L5984,Endoskeletal axial rotation,,,824.56,3562.3,4
HCPCS,L5985,Lwr ext dynamic prosth pylon,,,346.86,1498.55,4
HCPCS,L5986,Multi-axial rotation unit,,,772.65,3338.08,4
HCPCS,L5987,Shank ft w vert load pylon,,,8412.05,36342.2,4
HCPCS,L5988,Vertical shock reducing pylo,,,2336.05,10092.35,4
HCPCS,L5990,User adjustable heel height,,,2121.48,9165.35,4
HCPCS,L5991,Low pros ext osseo connector,,,11524.55,49412.31,8
HCPCS,L6000,Part hand thumb rem,,,1582.69,6837.62,4
HCPCS,L6010,Part hand little/ring,,,1761.27,7609.13,4
HCPCS,L6020,Part hand no fingers,,,1642.09,7094.29,4
HCPCS,L6026,Part hand myo exclu term dev,,,5039.25,21770.89,4
HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,2506.77,10829.9,4
HCPCS,L6055,Wrst mold sock w/exp interfa,,,3957.4,17096.98,4
HCPCS,L6100,Elb mold sock flex hinge pad,,,2522.51,10897.87,4
HCPCS,L6110,Elbow mold sock suspension t,,,2518.23,10879.37,4
HCPCS,L6120,Elbow mold doub splt soc ste,,,3182.31,13748.39,4
HCPCS,L6130,Elbow stump activated lock h,,,3458.51,14941.68,4
HCPCS,L6200,Elbow mold outsid lock hinge,,,3959.26,17105.05,4
HCPCS,L6205,Elbow molded w/ expand inter,,,5488.45,23711.57,4
HCPCS,L6250,Elbow inter loc elbow forarm,,,3281.57,14177.27,4
HCPCS,L6300,Shlder disart int lock elbow,,,5913.48,25547.78,4
HCPCS,L6310,Shoulder passive restor comp,,,3614.7,15616.46,4
HCPCS,L6320,Shoulder passive restor cap,,,2044.98,8834.79,4
HCPCS,L6350,Thoracic intern lock elbow,,,4665.69,20157.0,4
HCPCS,L6360,Thoracic passive restor comp,,,3794.06,16391.3,4
HCPCS,L6370,Thoracic passive restor cap,,,2495.64,10781.81,4
HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1397.5,6037.53,4
HCPCS,L6382,Postop dsg cast chg elb dis/,,,1821.33,7868.62,4
HCPCS,L6384,Postop dsg cast chg shlder/t,,,2271.08,9811.64,4
HCPCS,L6386,Postop ea cast chg & realign,,,538.75,2327.48,4
HCPCS,L6388,Postop applicat rigid dsg on,,,698.21,3016.47,4
HCPCS,L6400,Below elbow prosth tiss shap,,,2763.97,11941.05,4
HCPCS,L6450,Elb disart prosth tiss shap,,,4809.53,20778.36,4
HCPCS,L6500,Above elbow prosth tiss shap,,,4145.67,17910.44,4
HCPCS,L6550,Shldr disar prosth tiss shap,,,4875.22,21062.23,4
HCPCS,L6570,Scap thorac prosth tiss shap,,,6621.6,28607.05,4
HCPCS,L6580,Wrist/elbow bowden cable mol,,,1932.14,8347.35,4
HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,1709.8,7386.85,4
HCPCS,L6584,Elbow fair lead cable molded,,,2827.8,12216.84,4
HCPCS,L6586,Elbow fair lead cable dir fo,,,2471.91,10679.37,4
HCPCS,L6588,Shdr fair lead cable molded,,,4157.54,17961.72,4
HCPCS,L6590,Shdr fair lead cable direct,,,3670.5,15857.49,4
HCPCS,L6600,Polycentric hinge pair,,,223.43,965.29,4
HCPCS,L6605,Single pivot hinge pair,,,220.61,953.14,4
HCPCS,L6610,Flexible metal hinge pair,,,198.32,856.8,4
HCPCS,L6611,"Additional switch, ext power",,,481.47,2080.1,4
HCPCS,L6615,Disconnect locking wrist uni,,,206.92,893.96,4
HCPCS,L6616,Disconnect insert locking wr,,,85.52,369.4,4
HCPCS,L6620,Flexion/extension wrist unit,,,383.73,1657.82,4
HCPCS,L6621,Flex/ext wrist w/wo friction,,,2674.68,11555.34,4
HCPCS,L6623,Spring-ass rot wrst w/ latch,,,840.21,3629.93,4
HCPCS,L6624,Flex/ext/rotation wrist unit,,,4403.94,19026.18,4
HCPCS,L6625,Rotation wrst w/ cable lock,,,844.69,3649.27,4
HCPCS,L6628,Quick disconn hook adapter o,,,677.59,2927.36,4
HCPCS,L6629,Lamination collar w/ couplin,,,179.97,777.52,4
HCPCS,L6630,Stainless steel any wrist,,,342.29,1478.79,4
HCPCS,L6632,Latex suspension sleeve each,,,83.18,359.32,4
HCPCS,L6635,Lift assist for elbow,,,214.66,927.38,4
HCPCS,L6637,Nudge control elbow lock,,,583.17,2519.49,4
HCPCS,L6638,Elec lock on manual pw elbow,,,2924.26,12633.58,4
HCPCS,L6640,Shoulder abduction joint pai,,,333.66,1441.46,4
HCPCS,L6641,Excursion amplifier pulley t,,,226.47,978.41,4
HCPCS,L6642,Excursion amplifier lever ty,,,316.79,1368.62,4
HCPCS,L6645,Shoulder flexion-abduction j,,,380.26,1642.81,4
HCPCS,L6646,Multipo locking shoulder jnt,,,3688.15,15933.83,4
HCPCS,L6647,Shoulder lock actuator,,,607.17,2623.15,4
HCPCS,L6648,Ext pwrd shlder lock/unlock,,,3803.81,16433.42,4
HCPCS,L6650,Shoulder universal joint,,,439.66,1899.44,4
HCPCS,L6655,Standard control cable extra,,,97.91,423.0,4
HCPCS,L6660,Heavy duty control cable,,,138.7,599.25,4
HCPCS,L6665,Teflon or equal cable lining,,,66.71,288.19,4
HCPCS,L6670,Hook to hand cable adapter,,,61.0,263.52,4
HCPCS,L6672,Harness chest/shlder saddle,,,200.84,867.73,4
HCPCS,L6675,Harness figure of 8 sing con,,,190.74,824.01,4
HCPCS,L6676,Harness figure of 8 dual con,,,151.11,652.85,4
HCPCS,L6677,UE triple control harness,,,346.88,1498.63,4
HCPCS,L6680,Test sock wrist disart/bel e,,,281.21,1214.94,4
HCPCS,L6682,Test sock elbw disart/above,,,342.19,1478.37,4
HCPCS,L6684,Test socket shldr disart/tho,,,511.77,2210.96,4
HCPCS,L6686,Suction socket,,,937.62,4050.79,4
HCPCS,L6687,Frame typ socket bel elbow/w,,,687.07,2968.34,4
HCPCS,L6688,Frame typ sock above elb/dis,,,666.87,2881.04,4
HCPCS,L6689,Frame typ socket shoulder di,,,820.14,3543.17,4
HCPCS,L6690,Frame typ sock interscap-tho,,,860.12,3715.89,4
HCPCS,L6691,Removable insert each,,,548.23,2368.5,4
HCPCS,L6692,Silicone gel insert or equal,,,741.75,3204.62,4
HCPCS,L6693,Lockingelbow forearm cntrbal,,,3319.83,14342.47,4
HCPCS,L6694,Elbow socket ins use w/lock,,,939.73,4059.82,4
HCPCS,L6695,Elbow socket ins use w/o lck,,,783.07,3383.06,4
HCPCS,L6696,Cus elbo skt in for con/atyp,,,1538.16,6645.31,4
HCPCS,L6697,Cus elbo skt in not con/atyp,,,1538.16,6645.31,4
HCPCS,L6698,Below/above elbow lock mech,,,592.5,2559.76,4
HCPCS,L6700,Ue add ext power myoel,,,29510.19,124046.08,3
HCPCS,L6703,"Term dev, passive hand mitt",,,460.89,1991.16,4
HCPCS,L6704,"Term dev, sport/rec/work att",,,697.59,3013.74,4
HCPCS,L6706,Term dev mech hook vol open,,,476.4,2058.2,4
HCPCS,L6707,Term dev mech hook vol close,,,1715.92,7413.25,4
HCPCS,L6708,Term dev mech hand vol open,,,1032.19,4459.33,4
HCPCS,L6709,Term dev mech hand vol close,,,1443.13,6234.72,4
HCPCS,L6711,"Ped term dev, hook, vol open",,,786.17,3396.43,4
HCPCS,L6712,"Ped term dev, hook, vol clos",,,1447.49,6253.5,4
HCPCS,L6713,"Ped term dev, hand, vol open",,,1826.91,7892.83,4
HCPCS,L6714,"Ped term dev, hand, vol clos",,,1547.37,6685.04,4
HCPCS,L6715,"Term device, multi art digit",,,3691.81,15949.63,4
HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2750.27,11881.87,4
HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2370.95,10243.13,4
HCPCS,L6805,Term dev modifier wrist unit,,,430.73,1860.85,4
HCPCS,L6810,Term dev precision pinch dev,,,222.41,960.88,4
HCPCS,L6880,Elec hand ind art digits,,,27938.95,120703.5,4
HCPCS,L6881,Term dev auto grasp feature,,,4780.63,20653.6,4
HCPCS,L6882,Microprocessor control uplmb,,,3626.33,15666.74,4
HCPCS,L6883,Replc sockt below e/w disa,,,1890.22,8166.27,4
HCPCS,L6884,Replc sockt above elbow disa,,,2682.24,11587.91,4
HCPCS,L6885,Replc sockt shldr dis/interc,,,3794.06,16391.3,4
HCPCS,L6890,Prefab glove for term device,,,224.04,967.94,4
HCPCS,L6895,Custom glove for term device,,,886.84,3831.36,4
HCPCS,L6900,Hand restorat thumb/1 finger,,,1799.21,7773.03,4
HCPCS,L6905,Hand restoration multiple fi,,,1748.87,7555.58,4
HCPCS,L6910,Hand restoration no fingers,,,1703.77,7360.71,4
HCPCS,L6915,Hand restoration replacmnt g,,,800.56,3458.6,4
HCPCS,L6920,Wrist disarticul switch ctrl,,,9084.96,39249.34,4
HCPCS,L6925,Wrist disart myoelectronic c,,,10562.32,45631.93,4
HCPCS,L6930,Below elbow switch control,,,8857.75,38267.82,4
HCPCS,L6935,Below elbow myoelectronic ct,,,10312.36,44552.1,4
HCPCS,L6940,Elbow disarticulation switch,,,11305.69,48843.58,4
HCPCS,L6945,Elbow disart myoelectronic c,,,12868.51,55595.32,4
HCPCS,L6950,Above elbow switch control,,,11886.83,51354.24,4
HCPCS,L6955,Above elbow myoelectronic ct,,,14391.17,62173.59,4
HCPCS,L6960,Shldr disartic switch contro,,,15862.92,68532.01,4
HCPCS,L6965,Shldr disartic myoelectronic,,,18612.06,80408.96,4
HCPCS,L6970,Interscapular-thor switch ct,,,19922.42,86070.07,4
HCPCS,L6975,Interscap-thor myoelectronic,,,22454.92,97011.06,4
HCPCS,L7007,Adult electric hand,,,4318.38,18656.52,4
HCPCS,L7008,Pediatric electric hand,,,7296.72,31523.73,4
HCPCS,L7009,Adult electric hook,,,4527.03,19557.96,4
HCPCS,L7040,Prehensile actuator,,,3460.87,14951.85,4
HCPCS,L7045,Pediatric electric hook,,,1925.31,8317.84,4
HCPCS,L7170,Electronic elbow hosmer swit,,,7052.26,30467.6,4
HCPCS,L7180,Electronic elbow sequential,,,44836.09,193703.63,4
HCPCS,L7181,Electronic elbo simultaneous,,,46854.03,202421.64,4
HCPCS,L7185,Electron elbow adolescent sw,,,7345.74,31735.54,4
HCPCS,L7186,Electron elbow child switch,,,11592.39,50082.18,4
HCPCS,L7190,Elbow adolescent myoelectron,,,9844.44,42530.55,4
HCPCS,L7191,Elbow child myoelectronic ct,,,12203.84,52723.74,4
HCPCS,L7259,Electronic wrist rotator any,,,5023.37,21702.21,4
HCPCS,L7360,Six volt bat otto bock/eq ea,,,320.68,1385.43,4
HCPCS,L7362,Battery chrgr six volt otto,,,331.44,1431.92,4
HCPCS,L7364,Twelve volt battery utah/equ,,,599.74,2591.08,4
HCPCS,L7366,Battery chrgr 12 volt utah/e,,,816.47,3527.32,4
HCPCS,L7367,Replacemnt lithium ionbatter,,,455.26,1966.82,4
HCPCS,L7368,HC LITHIUM ION BATTERY CHARGER REPL ONLY,966.0,966.0,,,0
HCPCS,L7368,Lithium ion battery charger,,,590.16,2549.67,4
HCPCS,L7400,"Add ue prost be/wd, ultlite",,,358.4,1548.36,4
HCPCS,L7401,Add ue prost a/e ultlite mat,,,401.24,1733.48,4
HCPCS,L7402,Add ue prost s/d ultlite mat,,,433.31,1871.94,4
HCPCS,L7403,Add UE prost b/e acrylic,,,430.62,1860.39,4
HCPCS,L7404,Add UE prost a/e acrylic,,,649.96,2808.02,4
HCPCS,L7405,Add UE prost s/d acrylic,,,850.04,3672.39,4
HCPCS,L7406,Add to upp extr user adj mec,,,3150.07,13241.32,3
HCPCS,L7510,HC CI MANUFACTUER REPAIR,1375.0,1375.0,,,0
HCPCS,L7510,HC OSSEOINTEGRATED DEVICE REPAIR,1106.0,1106.0,,,0
HCPCS,L7520,Repair prosthesis per 15 min,,,40.67,170.96,3
HCPCS,L7700,Pros soc insert gasket/seal,,,173.01,747.47,4
HCPCS,L7900,Male vacuum erection system,,,636.09,636.09,1
HCPCS,L8000,Mastectomy bra,,,44.29,191.34,4
HCPCS,L8001,Breast prosthesis bra & form,,,146.7,633.76,4
HCPCS,L8002,Brst prsth bra & bilat form,,,192.9,833.43,4
HCPCS,L8010,Mastectomy sleeve,,,204.88,204.88,1
HCPCS,L8015,Ext breastprosthesis garment,,,70.1,302.86,4
HCPCS,L8020,Mastectomy form,,,238.96,1032.38,4
HCPCS,L8030,Breast prosthes w/o adhesive,,,501.06,2164.68,4
HCPCS,L8031,Breast prosthesis w adhesive,,,501.06,2164.68,4
HCPCS,L8032,Reusable nipple prosthesis,,,45.81,197.9,4
HCPCS,L8035,Custom breast prosthesis,,,4284.12,18508.47,4
HCPCS,L8040,Nasal prosthesis,,,3129.57,13520.56,4
HCPCS,L8041,Midfacial prosthesis,,,3772.33,16297.47,4
HCPCS,L8042,Orbital prosthesis,,,4238.59,18311.83,4
HCPCS,L8043,Upper facial prosthesis,,,4747.22,20509.25,4
HCPCS,L8044,Hemi-facial prosthesis,,,5255.84,22706.59,4
HCPCS,L8045,Auricular prosthesis,,,3304.23,14275.13,4
HCPCS,L8046,Partial facial prosthesis,,,3390.85,14649.37,4
HCPCS,L8047,Nasal septal prosthesis,,,1737.82,7507.83,4
HCPCS,L8300,Truss single w/ standard pad,,,100.48,434.14,4
HCPCS,L8310,Truss double w/ standard pad,,,158.64,685.38,4
HCPCS,L8320,Truss addition to std pad wa,,,84.33,364.32,4
HCPCS,L8330,Truss add to std pad scrotal,,,78.41,338.72,4
HCPCS,L8400,Sheath below knee,,,21.34,92.18,4
HCPCS,L8410,Sheath above knee,,,32.91,142.16,4
HCPCS,L8415,Sheath upper limb,,,34.05,147.08,4
HCPCS,L8417,Pros sheath/sock w gel cushn,,,87.82,379.37,4
HCPCS,L8420,Prosthetic sock multi ply BK,,,24.76,106.98,4
HCPCS,L8430,HC SOCKS FOR PROSTHETIC,84.0,84.0,,,0
HCPCS,L8430,Prosthetic sock multi ply AK,,,29.0,125.26,4
HCPCS,L8435,Pros sock multi ply upper lm,,,32.32,139.64,4
HCPCS,L8440,HC BK SHRINKER,96.0,96.0,,,0
HCPCS,L8440,Shrinker below knee,,,56.02,242.04,4
HCPCS,L8460,HC AK SHRINKER,163.0,163.0,,,0
HCPCS,L8460,Shrinker above knee,,,91.34,394.62,4
HCPCS,L8465,Shrinker upper limb,,,61.05,263.73,4
HCPCS,L8470,Pros sock single ply BK,,,7.94,34.34,4
HCPCS,L8480,Pros sock single ply AK,,,13.88,60.03,4
HCPCS,L8485,Pros sock single ply upper l,,,13.92,60.15,4
HCPCS,L8500,Artificial larynx,,,885.08,3823.76,4
HCPCS,L8501,HC PASSY-MUIR TRACH VALVES,178.0,178.0,,,0
HCPCS,L8501,HC TRACHEOSTOMY SPEAKING VALVE,374.0,374.0,,,0
HCPCS,L8501,Tracheostomy speaking valve,,,191.86,828.85,4
HCPCS,L8507,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 16FR 10MM,1092.0,1092.0,,,0
HCPCS,L8507,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 16FR 12MM,1092.0,1092.0,,,0
HCPCS,L8507,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 16FR 8MM,1092.0,1092.0,,,0
HCPCS,L8507,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 20FR 10MM,1092.0,1092.0,,,0
HCPCS,L8507,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 20FR 12MM,1092.0,1092.0,,,0
HCPCS,L8507,HC TRACH-ESOPH VOICE PROSTHESIS PT INSERT 20FR 8MM,1092.0,1092.0,,,0
HCPCS,L8507,Trach-esoph voice pros pt in,,,48.98,211.6,4
HCPCS,L8509,HC ADV VOICE PROSTHESIS 16FR,889.91,889.91,,,0
HCPCS,L8509,Trach-esoph voice pros md in,,,127.7,551.67,4
HCPCS,L8510,Voice amplifier,,,295.49,1276.56,4
HCPCS,L8511,Indwelling trach insert,,,85.04,367.43,4
HCPCS,L8512,Gel cap for trach voice pros,,,2.52,10.89,4
HCPCS,L8513,Trach pros cleaning device,,,6.08,26.23,4
HCPCS,L8514,Repl trach puncture dilator,,,110.26,476.3,4
HCPCS,L8515,Gel cap app device for trach,,,73.8,318.79,4
HCPCS,L8604,DEFLUX,57.91,57.91,,,0
HCPCS,L8610,16MM SILICONE ORBITAL SPHERE,144.0,144.0,,,0
HCPCS,L8610,18MM SILICONE ORBITAL SPHERE,144.0,144.0,,,0
HCPCS,L8610,524065 : 16MM SILICONE ORBITAL SPHERE,144.0,144.0,,,0
HCPCS,L8610,BILLE A ENUCLEATION 13MM,120.0,120.0,,,0
HCPCS,L8610,ENUCLEATION EVISCERATION IMPLANT,144.0,144.0,,,0
HCPCS,L8610,FCI SILICONE ORBITAL IMPLANT,144.0,144.0,,,0
HCPCS,L8610,SILICONE ORBITAL IMPLANT,144.0,144.0,,,0
HCPCS,L8612,AHMED GLAUCOMA VALVE,3600.0,3600.0,,,0
HCPCS,L8613,546312 : PRECISE CNTR NYTEBYTE PART OSS PROS L1.00MM 546312,1310.16,1310.16,,,0
HCPCS,L8613,546351 : IMPLANT STAP CUP PIST BCKT HNDL 0.4MM PIST 4.50MML TI 546351,637.78,637.78,,,0
HCPCS,L8613,S 13370 BLUE TITANIUM BOBBIN VENT TUBE,214.27,214.27,,,0
HCPCS,L8614,CI1022 - COCHLEAR IMPLANT,38670.48,38670.48,,,0
HCPCS,L8614,CI622 COCHLEAR NUCLEUS CI622 COCHLEAR IMPLANT WITH SLIM STRA,36360.0,36360.0,,,0
HCPCS,L8614,Cochlear device,,,22806.09,22806.09,1
HCPCS,L8614,IMPLANT COCHLEAR W/ SLIM MOD ELECTRD NUC PROF,37560.0,37560.0,,,0
HCPCS,L8614,P1434929 - CI1032 - COCHLEAR IMPLANT,39912.65,39912.65,,,0
HCPCS,L8614,Z334204 - CI1022 - COCHLEAR IMPLANT,38670.48,38670.48,,,0
HCPCS,L8615,Coch implant headset replace,,,527.4,2278.51,4
HCPCS,L8616,Coch implant microphone repl,,,122.84,530.73,4
HCPCS,L8617,Coch implant trans coil repl,,,107.28,463.52,4
HCPCS,L8617,HC COCHLEAR IMPLANT COIL,546.0,546.0,,,0
HCPCS,L8618,Coch implant tran cable repl,,,30.66,132.41,4
HCPCS,L8618,HC COCHLEAR IMPLANT CABLE,221.0,221.0,,,0
HCPCS,L8619,Coch imp ext proc/contr rplc,,,9790.51,42297.55,4
HCPCS,L8619,HC CI EXT SP PROC CONT INTEG SYS REPLACE,15625.0,15625.0,,,0
HCPCS,L8621,HC COCHLEAR IMPLANT BATTERY,17.04,17.04,,,0
HCPCS,L8621,Repl zinc air battery,,,0.72,3.15,4
HCPCS,L8622,Repl alkaline battery,,,0.37,1.64,4
HCPCS,L8623,"Lith ion batt cid,non-earlvl",,,75.64,326.82,4
HCPCS,L8624,HC LITH ION BATT FOR EAR LVL PROC,605.0,605.0,,,0
HCPCS,L8624,"Lith ion batt cid, ear level",,,188.59,814.72,4
HCPCS,L8625,Charger coch impl/aoi battry,,,220.83,954.07,4
HCPCS,L8627,CID ext speech process repl,,,8343.9,36047.83,8
HCPCS,L8628,CID ext controller repl,,,1446.61,6249.68,8
HCPCS,L8629,CID transmit coil and cable,,,209.37,904.51,8
HCPCS,L8629,HC TRANS COIL & CABLE INTEGRATED USE W COCHLEAR IMPLANT DEV REPLACE,767.0,767.0,,,0
HCPCS,L8641,SILICONE MCPX PREFLEW METACARPOPHALANGEAL IMPLANT,2545.15,2545.15,,,0
HCPCS,L8680,Implt neurostim elctr each,,,1639.01,1639.01,1
HCPCS,L8681,Pt prgrm for implt neurostim,,,1285.02,5551.65,4
HCPCS,L8683,Radiofq trsmtr for implt neu,,,6136.37,26510.68,4
HCPCS,L8684,Radiof trsmtr implt scrl neu,,,811.11,3504.21,4
HCPCS,L8685,Implt nrostm pls gen sng rec,,,46661.93,46661.93,1
HCPCS,L8686,Implt nrostm pls gen sng non,,,29773.96,29773.96,1
HCPCS,L8687,Implt nrostm pls gen dua rec,,,60725.81,60725.81,1
HCPCS,L8688,Implt nrostm pls gen dua non,,,38747.98,38747.98,1
HCPCS,L8689,External recharg sys intern,,,2017.08,8714.32,4
HCPCS,L8690,138856 : IMPLANT OTO 4MM TI W- ABTMNT BAHA B1300,3149.28,3149.28,,,0
HCPCS,L8690,147862 : IMPLANT OTO 3MM TI W- ABTMNT BAHA B1300,3149.28,3149.28,,,0
HCPCS,L8690,418955 : IMPLANT COCHLEAR MRI 3 0 TESLA CMPTBL PIEZO PWR TECH OSIA,11182.66,11182.66,,,0
HCPCS,L8690,HC 278 OR SUPPLIES L8690,5551.2,5551.2,,,0
HCPCS,L8690,IMPLANT COCHLEAR MRI 3 0 TESLA CMPTBL PIEZO PWR TECH OSIA,11182.66,11182.66,,,0
HCPCS,L8690,IMPLANT OTO 3MM TI W/ ABTMNT BAHA B1300,3149.28,3149.28,,,0
HCPCS,L8691,HC AUD OSSEOINTEG DEVICE EXTERNAL,8750.0,8750.0,,,0
HCPCS,L8691,Osseointegrated snd proc rpl,,,2013.79,8700.11,4
HCPCS,L8692,HC AUDITORY OSSEOINTEG BODY/HEADBAND,9640.3,9640.3,,,0
HCPCS,L8693,"Aud osseo dev, abutment",,,1773.14,7660.37,4
HCPCS,L8694,Aoi transducer/actuator repl,,,1104.3,4770.89,4
HCPCS,L8695,External recharg sys extern,,,19.46,84.07,4
HCPCS,L8696,Ext antenna phren nerve stim,,,253.45,1094.97,4
HCPCS,L8699,ICAST 7MM X 22MM,8399.98,8399.98,,,0
HCPCS,L8701,Pow ue rom dev ewh uprt cust,,,34284.44,146996.94,4
HCPCS,L8702,Pow ue rom dev ewhf uprt cus,,,67452.66,289207.99,4
HCPCS,L9900,HC CI EARHOOK,105.0,105.0,,,0
HCPCS,L9900,HC CI MAGNET,108.0,108.0,,,0
HCPCS,L9900,HC CI REPLACE MINOR PARTS LEVEL 1,75.0,75.0,,,0
HCPCS,L9900,HC CI REPLACE MINOR PARTS LEVEL 2,147.0,147.0,,,0
HCPCS,L9900,HC CI REPLACE MINOR PARTS LEVEL 3,445.2,445.2,,,0
HCPCS,L9900,HC CI REPLACE MINOR PARTS LEVEL 4,697.2,697.2,,,0
HCPCS,L9900,HC CI REPLACE MINOR PARTS LEVEL 5,980.0,980.0,,,0
HCPCS,M0201,Covid-19 vaccine home admin,,,40.26,170.47,5
HCPCS,M0220,Tixagev and cilgav inj,,,178.25,178.25,1
HCPCS,M0221,Tixagev and cilgav inj hm,,,296.75,296.75,1
HCPCS,M0222,Bebtelovimab injection,,,415.12,455.47,2
HCPCS,M0223,Bebtelovimab injection home,,,651.7,715.05,2
HCPCS,M0224,Pemivibart infusion,,,495.78,2083.99,4
HCPCS,M0240,Casiri and imdev repeat,,,533.11,584.93,2
HCPCS,M0241,Casiri and imdev repeat hm,,,889.07,975.49,2
HCPCS,M0243,Casirivi and imdevi infusion,,,533.11,584.93,2
HCPCS,M0244,Casirivi and imdevi infus hm,,,889.07,975.49,2
HCPCS,M0245,Bamlan and etesev infusion,,,533.11,584.93,2
HCPCS,M0246,Bamlan and etesev infus home,,,889.07,975.49,2
HCPCS,M0247,Sotrovimab infusion,,,533.11,584.93,2
HCPCS,M0248,"Sotrovimab inf, home admin",,,889.07,975.49,2
HCPCS,M0249,Adm tocilizu covid-19 1st,,,495.78,2083.99,5
HCPCS,M0250,Adm tocilizu covid-19 2nd,,,495.78,2083.99,5
HCPCS,P2028,Cephalin floculation test,,,4.95,406.58,7
HCPCS,P2029,Congo red blood test,,,4.95,27.63,7
HCPCS,P2031,Hair analysis,,,8.57,506.1,3
HCPCS,P2033,Blood thymol turbidity,,,4.95,27.63,7
HCPCS,P2038,Blood mucoprotein,,,3.56,32.04,12
HCPCS,P3000,Screen pap by tech w md supv,,,14.53,77.93,8
HCPCS,P3001,Screening pap smear by phys,,,41.04,136.4,2
HCPCS,P7001,Culture bacterial urine,,,25.77,87.25,2
HCPCS,P9010,HC PROC FEE WHOLE BLOOD FOR TRANSFUSION PER UNIT,756.0,756.0,,,0
HCPCS,P9010,Whole blood for transfusion,,,169.83,797.99,9
HCPCS,P9011,Blood split unit,,,136.36,655.07,9
HCPCS,P9011,HC PROC FEE BLOOD SPLIT UNIT FOR COVID,459.0,459.0,,,0
HCPCS,P9012,Cryoprecipitate each unit,,,65.58,302.44,9
HCPCS,P9012,HC PROC FEE CRYO,253.0,253.0,,,0
HCPCS,P9016,HC PROC FEE PRESTORAGE FILTD RBC,745.0,745.0,,,0
HCPCS,P9016,Rbc leukocytes reduced,,,184.91,777.27,9
HCPCS,P9017,HC PROC FEE FFP,316.0,316.0,,,0
HCPCS,P9017,Plasma 1 donor frz w/in 8 hr,,,78.71,361.42,9
HCPCS,P9019,"Platelets, each unit",,,53.17,223.5,9
HCPCS,P9020,HC PROC FEE LIQUID PLASMA,929.0,929.0,,,0
HCPCS,P9020,Plaelet rich plasma unit,,,175.62,2353.08,9
HCPCS,P9021,HC PROC FEE RBC AUTO NOT TRXD,544.0,544.0,,,0
HCPCS,P9021,HC PROC FEE RBC NON  L/R,544.0,544.0,,,0
HCPCS,P9021,Red blood cells unit,,,149.52,632.92,9
HCPCS,P9022,HC PROC FEE RBC WASHED,1175.0,1175.0,,,0
HCPCS,P9022,Washed red blood cells unit,,,296.39,1549.33,9
HCPCS,P9023,"Frozen plasma, pooled, sd",,,0.6,235.23,9
HCPCS,P9023,HC PLASMA SOLVENT DETERGENT,250.0,250.0,,,0
HCPCS,P9025,Plasma cryo redu path each,,,67.08,672.34,9
HCPCS,P9026,Cryo fib comp path redu each,,,81.53,2308.9,9
HCPCS,P9027,Rbc o2 co2 reduced,,,487.1,2150.47,5
HCPCS,P9031,HC PROC FEE PRESTORAGE FILTD PLT,458.0,458.0,,,0
HCPCS,P9031,Platelets leukocytes reduced,,,118.34,606.4,9
HCPCS,P9032,"Platelets, irradiated",,,134.23,1651.85,9
HCPCS,P9033,Platelets leukoreduced irrad,,,156.45,796.94,9
HCPCS,P9034,"Platelets, pheresis",,,308.96,1298.71,9
HCPCS,P9035,HC PROC FEE PLT PHERESIS L/R,1763.0,1763.0,,,0
HCPCS,P9035,Platelet pheres leukoreduced,,,511.27,2150.47,9
HCPCS,P9036,Platelet pheresis irradiated,,,613.33,3989.67,9
HCPCS,P9037,Plate pheres leukoredu irrad,,,674.16,2860.94,9
HCPCS,P9038,RBC irradiated,,,145.22,610.43,9
HCPCS,P9039,RBC deglycerolized,,,313.0,1315.7,9
HCPCS,P9040,RBC leukoreduced irradiated,,,265.41,1115.65,9
HCPCS,P9041,"Albumin (human),5%, 50ml",,,0.32,44.62,14
HCPCS,P9043,"Plasma protein fract,5%,50ml",,,0.32,34.09,13
HCPCS,P9044,Cryoprecipitatereducedplasma,,,67.97,555.07,9
HCPCS,P9044,HC PROC FEE CRYO POOR PLASMA,354.0,354.0,,,0
HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (ANES ONE-STEP) [500353]",1470.0,1470.0,,,0
HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION FOR BURN ORDER SET [40818103]",100.575,100.575,,,0
HCPCS,P9045,"Albumin (human), 5%, 250 ml",,,0.32,223.11,15
HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,0.32,89.24,15
HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (ANES ONE-STEP) [500352]",185.75,185.75,,,0
HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",176.375,176.375,,,0
HCPCS,P9047,"Albumin (human), 25%, 50ml",,,0.32,223.11,14
HCPCS,P9048,"Plasmaprotein fract,5%,250ml",,,0.32,165.42,13
HCPCS,P9050,"Granulocytes, pheresis unit",,,931.14,5475.76,6
HCPCS,P9050,HC PROC FEE GRANULOCYTE PHERESIS,6811.0,6811.0,,,0
HCPCS,P9051,"Blood, l/r, cmv-neg",,,151.58,637.17,9
HCPCS,P9052,"Platelets, hla-m, l/r, unit",,,708.06,2976.33,9
HCPCS,P9053,"Plt, pher, l/r cmv-neg, irr",,,503.45,2116.25,9
HCPCS,P9054,"Blood, l/r, froz/degly/wash",,,122.44,1114.73,9
HCPCS,P9054,HC PROC FEE RBC DEGLYCED L/R,810.0,810.0,,,0
HCPCS,P9055,"Plt, aph/pher, l/r, cmv-neg",,,250.49,1052.93,9
HCPCS,P9056,"Blood, l/r, irradiated",,,84.55,355.41,9
HCPCS,P9057,"RBC, frz/deg/wsh, l/r, irrad",,,368.69,1776.78,9
HCPCS,P9058,"RBC, l/r, cmv-neg, irrad",,,249.4,1048.35,9
HCPCS,P9059,HC PROC FEE FRESH FROZEN PLASMA BET 8-24 HRS OF COLLECTION EA UNIT,409.0,409.0,,,0
HCPCS,P9059,"Plasma, frz between 8-24hour",,,73.77,310.09,9
HCPCS,P9060,Fr frz plasma donor retested,,,53.25,223.84,9
HCPCS,P9070,Pathogen reduced plasma pool,,,34.22,234.47,9
HCPCS,P9071,Pathogen reduced plasma sing,,,72.56,1237.85,9
HCPCS,P9073,HC PLATELETS PHERESIS PATHOGEN-REDUCED EA UNIT,1176.0,1176.0,,,0
HCPCS,P9073,"Platelets, pathogen reduced",,,603.83,2553.33,8
HCPCS,P9099,Blood component/product noc,,,34.22,148.47,8
HCPCS,P9100,Pathogen test for platelets,,,35.76,278.81,9
HCPCS,P9603,HC TRAVEL FEE P9603,12.0,12.0,,,0
HCPCS,P9603,One-way allow prorated miles,,,25.85,25.85,1
HCPCS,P9604,One-way allow prorated trip,,,81.25,81.25,1
HCPCS,P9612,Catheterize for urine spec,,,4.21,39.26,6
HCPCS,P9612,HC STRAIGHT CATH FOR URINE SPEC,12.9,12.9,,,0
HCPCS,P9615,Urine specimen collect mult,,,4.21,4.21,1
HCPCS,Q0035,Cardiokymography,,,41.86,176.82,9
HCPCS,Q0081,Infusion ther other than che,,,146.24,421.95,2
HCPCS,Q0083,Chemo by other than infusion,,,146.24,221.05,2
HCPCS,Q0084,Chemotherapy by infusion,,,1277.29,1277.29,1
HCPCS,Q0085,Chemo by both infusion and o,,,1277.29,1277.29,1
HCPCS,Q0090,Skyla 13.5mg,,,458.87,728.36,4
HCPCS,Q0091,Obtaining screen pap smear,,,8.25,136.7,6
HCPCS,Q0092,Set up port xray equipment,,,38.26,38.26,1
HCPCS,Q0111,Wet mounts/ w preparations,,,5.87,77.93,12
HCPCS,Q0112,Potassium hydroxide preps,,,4.19,27.24,12
HCPCS,Q0113,Pinworm examinations,,,3.07,34.49,12
HCPCS,Q0114,Fern test,,,7.0,45.58,12
HCPCS,Q0115,Post-coital mucous exam,,,13.6,105.09,12
HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.21,1.36,11
HCPCS,Q0139,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [98312],3537.88,3537.88,,,0
HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.21,1.36,11
HCPCS,Q0144,AZITHROMYCIN 250 MG TABLET [20943],7.865,7.865,,,0
HCPCS,Q0144,"Azithromycin dihydrate, oral",,,15.38,24.42,6
HCPCS,Q0155,Dronabinol (syndros) 0.1 mg,,,2.29,3.63,5
HCPCS,Q0161,CHLORPROMAZINE 100 MG TABLET [1654],15.25,15.25,,,0
HCPCS,Q0161,CHLORPROMAZINE 25 MG TABLET [1656],25.515,25.515,,,0
HCPCS,Q0161,Chlorpromazine hcl 5mg oral,,,0.23,0.37,4
HCPCS,Q0162,ONDANSETRON HCL 4 MG TABLET [10778],10.0,10.0,,,0
HCPCS,Q0162,Ondansetron oral,,,0.01,0.01,4
HCPCS,Q0162,PR ONDANSETRON ORAL,0.27,0.27,,,0
HCPCS,Q0163,Diphenhydramine HCl 50mg,,,0.01,0.02,4
HCPCS,Q0164,Prochlorperazine maleate 5mg,,,0.24,0.38,4
HCPCS,Q0165,Prochlorperazine maleate10mg,,,0.2,0.31,4
HCPCS,Q0166,Granisetron HCl 1 mg oral,,,2.12,3.36,4
HCPCS,Q0167,DRONABINOL 2.5 MG CAPSULE [9904],26.215,26.215,,,0
HCPCS,Q0167,DRONABINOL 5 MG CAPSULE [9905],17.92,17.92,,,0
HCPCS,Q0167,Dronabinol 2.5mg oral,,,0.9,1.43,4
HCPCS,Q0168,Dronabinol 5mg oral,,,6.92,10.99,4
HCPCS,Q0169,Promethazine HCl 12.5mg oral,,,0.06,0.09,4
HCPCS,Q0170,Promethazine HCl 25 mg oral,,,0.25,0.4,4
HCPCS,Q0171,Chlorpromazine HCl 10mg oral,,,0.59,0.93,4
HCPCS,Q0172,Chlorpromazine HCl 25mg oral,,,0.76,1.21,4
HCPCS,Q0174,Thiethylperazine maleate10mg,,,1.65,1.65,1
HCPCS,Q0175,Perphenazine 4mg oral,,,0.33,0.53,4
HCPCS,Q0176,Perphenazine 8mg oral,,,1.17,1.85,4
HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,0.09,0.15,4
HCPCS,Q0178,Hydroxyzine pamoate 50mg,,,0.08,0.12,4
HCPCS,Q0180,Dolasetron mesylate oral,,,42.56,67.56,4
HCPCS,Q0220,CILGAVIMAB EUA IM INJECTION [40014346],0.1,0.1,,,0
HCPCS,Q0220,TIXAGEVIMAB EUA IM INJECTION [40014389],0.1,0.1,,,0
HCPCS,Q0222,Bebtelovimab 175 mg,,,2626.7,2626.7,1
HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,4818.7,13957.52,7
HCPCS,Q0235,"Inj, monoclon antibody, 1 mg",,,3.46,5.49,5
HCPCS,Q0237,"Inj, tocilizumab-anoh, hospi",,,3.05,4.84,4
HCPCS,Q0239,BAMLANIVIMAB (EUA) 700MG/20ML VIAL [40817003],0.1,0.1,,,0
HCPCS,Q0240,Casirivi and imdevi 600 mg,,,0.01,0.01,1
HCPCS,Q0243,Casirivimab and imdevimab,,,0.01,0.01,1
HCPCS,Q0243,IMDEVIMAB (EUA)  120 MG/ML VIAL [40817009],2.55,2.55,,,0
HCPCS,Q0244,Casirivi and imdevi 1200 mg,,,0.01,0.01,1
HCPCS,Q0245,Bamlanivimab and etesevima,,,0.01,0.01,1
HCPCS,Q0245,ETESEVIMAB EUA 700 MG/20 ML VIAL [40816104],0.1,0.1,,,0
HCPCS,Q0247,SOTROVIMAB (EUA) 500 MG/8 ML VIAL [40817041],0.1,0.1,,,0
HCPCS,Q0247,Sotrovimab,,,2626.7,2626.7,1
HCPCS,Q0249,Tocilizumab for covid-19,,,5.04,14.6,7
HCPCS,Q0477,Pwr module pt cable lvad rpl,,,907.2,3919.3,4
HCPCS,Q0478,"Power adapter, combo vad",,,214.89,928.43,4
HCPCS,Q0479,"Power module combo vad, rep",,,13979.94,60396.98,4
HCPCS,Q0480,"driver pneumatic vad, rep",,,105317.93,455000.92,8
HCPCS,Q0481,"microprcsr cu elec vad, rep",,,16991.79,73409.0,8
HCPCS,Q0482,"microprcsr cu combo vad, rep",,,5322.16,22993.06,8
HCPCS,Q0483,"monitor elec vad, rep",,,21924.92,94721.33,8
HCPCS,Q0484,monitor elec or comb vad rep,,,4257.76,18394.6,8
HCPCS,Q0485,"monitor cable elec vad, rep",,,411.06,1775.85,8
HCPCS,Q0486,mon cable elec/pneum vad rep,,,342.15,1478.16,8
HCPCS,Q0487,"leads any type vad, rep only",,,399.17,1724.49,8
HCPCS,Q0489,"pwr pck base combo vad, rep",,,19007.71,82118.19,8
HCPCS,Q0490,"emr pwr source elec vad, rep",,,822.2,3552.08,8
HCPCS,Q0491,emr pwr source combo vad rep,,,1292.57,5584.27,8
HCPCS,Q0492,"emr pwr cbl elec vad, rep",,,104.11,449.82,8
HCPCS,Q0493,"emr pwr cbl combo vad, rep",,,296.54,1281.1,8
HCPCS,Q0494,"emr hd pmp elec/combo, rep",,,250.92,1084.08,8
HCPCS,Q0495,"charger elec/combo vad, rep",,,4884.49,21102.24,8
HCPCS,Q0496,"battery elec/combo vad, rep",,,1753.13,7573.95,8
HCPCS,Q0497,"bat clps elec/comb vad, rep",,,547.44,2365.06,8
HCPCS,Q0498,"holster elec/combo vad, rep",,,600.66,2595.07,8
HCPCS,Q0499,belt/vest elec/combo vad rep,,,195.16,843.14,8
HCPCS,Q0500,"filters elec/combo vad, rep",,,35.72,154.31,8
HCPCS,Q0501,"shwr cov elec/combo vad, rep",,,597.17,2579.9,8
HCPCS,Q0502,"mobility cart pneum vad, rep",,,760.27,3284.57,8
HCPCS,Q0503,battery pneum vad replacemnt,,,1520.61,6569.4,8
HCPCS,Q0504,"pwr adpt pneum vad, rep veh",,,802.39,3466.54,8
HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,998.78,4315.06,8
HCPCS,Q0515,Sermorelin acetate injection,,,1.7,1.8,2
HCPCS,Q2004,Bladder calculi irrig sol,,,161.2,161.2,1
HCPCS,Q2009,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],14.440000000000001,14.440000000000001,,,0
HCPCS,Q2009,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],62.71,62.71,,,0
HCPCS,Q2009,Fosphenytoin inj pe,,,1.47,6.17,8
HCPCS,Q2017,TENIPOSIDE 50 MG/5 ML INTRAVENOUS SOLUTION [11501],33510.75,33510.75,,,0
HCPCS,Q2017,"Teniposide, 50 mg",,,346.95,2795.46,5
HCPCS,Q2026,Radiesse injection,,,183.13,1467.82,9
HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,0.66,9.08,10
HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,18.24,49.63,3
HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,7.23,8.58,2
HCPCS,Q2036,"PR FLULAVAL VACC, 3 YRS & >, IM",50.0,50.0,,,0
HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,17.69,23.08,3
HCPCS,Q2037,"PR FLUVIRIN VACC, 3 YRS & >, IM",71.0,71.0,,,0
HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,10.16,92.68,3
HCPCS,Q2038,"PR FLUZONE VACC, 3 YRS & >, IM",72.0,72.0,,,0
HCPCS,Q2039,"PR INFLUENZA VIRUS VACCINE, NOS",50.0,50.0,,,0
HCPCS,Q2041,Axicabtagene ciloleucel car+,,,354950.2,2241433.02,11
HCPCS,Q2042,Tisagenlecleucel car-pos t,,,393888.69,2487321.09,10
HCPCS,Q2043,SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION [104852],184010.0,184010.0,,,0
HCPCS,Q2043,Sipuleucel-t auto cd54+,,,36792.6,232337.21,11
HCPCS,Q2046,Aflibercept injection,,,652.68,1036.0,4
HCPCS,Q2047,Peginesatide injection,,,7.63,12.11,4
HCPCS,Q2048,Doxil injection,,,380.28,603.62,4
HCPCS,Q2049,Imported Lipodox inj,,,298.74,1255.75,10
HCPCS,Q2050,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",7570.57,7570.57,,,0
HCPCS,Q2050,Doxorubicin inj 10mg,,,72.2,455.95,11
HCPCS,Q2051,Zoldedronic acid 1mg,,,96.14,152.6,4
HCPCS,Q2053,Brexucabtagene car pos t,,,325710.69,2056791.92,11
HCPCS,Q2054,HC LISOCABTAGENE MARA CAR POS T CELLS PER THERA DOSE (BREYANZI),1062700.8,1062700.8,,,0
HCPCS,Q2054,Lisocabtagene mara car pos t,,,374459.38,2364629.26,11
HCPCS,Q2055,HC IDECABTAGENE VICLEUCEL CAR POS T CELLS PER THERA DOSE (ABECMA),1056624.86,1056624.86,,,0
HCPCS,Q2055,Idecabtagene vicleucel car,,,370984.46,2342685.94,11
HCPCS,Q2056,Ciltacabtagene car-pos t,,,376676.53,2378630.11,11
HCPCS,Q2057,Afamitresgene autoleucel,,,512971.2,3239301.17,11
HCPCS,Q2058,Obecbtge autol up to 400 mil,,,185220.0,1169623.88,9
HCPCS,Q3001,Brachytherapy radioelements,,,451.79,451.79,1
HCPCS,Q3025,IM inj interferon beta 1-a,,,267.25,424.2,4
HCPCS,Q3026,Subc inj interferon beta-1a,,,122.46,194.38,4
HCPCS,Q3027,Inj beta interferon im 1 mcg,,,50.79,110.81,7
HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,22.88,46.61,6
HCPCS,Q4001,405144 : GRAFT HUM TISS 500SQ CM CRYOSKIN MESH BIO BARR READIGRAFT,4017.6,4017.6,,,0
HCPCS,Q4001,Cast sup body cast plaster,,,60.69,60.69,1
HCPCS,Q4002,Cast sup body cast fiberglas,,,229.27,229.27,1
HCPCS,Q4003,Cast sup shoulder cast plstr,,,43.57,43.57,1
HCPCS,Q4004,Cast sup shoulder cast fbrgl,,,150.84,150.84,1
HCPCS,Q4005,Cast sup long arm adult plst,,,16.07,16.07,1
HCPCS,Q4006,Cast sup long arm adult fbrg,,,36.2,36.2,1
HCPCS,Q4007,Cast sup long arm ped plster,,,8.02,8.02,1
HCPCS,Q4008,Cast sup long arm ped fbrgls,,,18.09,18.09,1
HCPCS,Q4009,Cast sup sht arm adult plstr,,,10.73,10.73,1
HCPCS,Q4010,Cast sup sht arm adult fbrgl,,,24.13,24.13,1
HCPCS,Q4011,Cast sup sht arm ped plaster,,,5.35,5.35,1
HCPCS,Q4012,Cast sup sht arm ped fbrglas,,,12.09,12.09,1
HCPCS,Q4013,Cast sup gauntlet plaster,,,19.53,19.53,1
HCPCS,Q4014,Cast sup gauntlet fiberglass,,,32.93,32.93,1
HCPCS,Q4015,Cast sup gauntlet ped plster,,,9.78,9.78,1
HCPCS,Q4016,Cast sup gauntlet ped fbrgls,,,16.46,16.46,1
HCPCS,Q4017,Cast sup lng arm splint plst,,,11.28,11.28,1
HCPCS,Q4018,Cast sup lng arm splint fbrg,,,17.98,17.98,1
HCPCS,Q4019,Cast sup lng arm splnt ped p,,,5.65,5.65,1
HCPCS,Q4020,Cast sup lng arm splnt ped f,,,9.03,9.03,1
HCPCS,Q4021,Cast sup sht arm splint plst,,,8.35,8.35,1
HCPCS,Q4022,Cast sup sht arm splint fbrg,,,15.08,15.08,1
HCPCS,Q4023,Cast sup sht arm splnt ped p,,,4.2,4.2,1
HCPCS,Q4024,Cast sup sht arm splnt ped f,,,7.55,7.55,1
HCPCS,Q4025,Cast sup hip spica plaster,,,46.82,46.82,1
HCPCS,Q4026,Cast sup hip spica fiberglas,,,146.26,146.26,1
HCPCS,Q4027,Cast sup hip spica ped plstr,,,23.44,23.44,1
HCPCS,Q4028,Cast sup hip spica ped fbrgl,,,73.17,73.17,1
HCPCS,Q4029,Cast sup long leg plaster,,,35.82,35.82,1
HCPCS,Q4030,Cast sup long leg fiberglass,,,94.29,94.29,1
HCPCS,Q4031,Cast sup lng leg ped plaster,,,17.9,17.9,1
HCPCS,Q4032,Cast sup lng leg ped fbrgls,,,47.15,47.15,1
HCPCS,Q4033,Cast sup lng leg cylinder pl,,,33.42,33.42,1
HCPCS,Q4034,Cast sup lng leg cylinder fb,,,83.09,83.09,1
HCPCS,Q4035,Cast sup lngleg cylndr ped p,,,16.71,16.71,1
HCPCS,Q4036,Cast sup lngleg cylndr ped f,,,41.57,41.57,1
HCPCS,Q4037,Cast sup shrt leg plaster,,,20.35,20.35,1
HCPCS,Q4038,Cast sup shrt leg fiberglass,,,51.06,51.06,1
HCPCS,Q4039,Cast sup shrt leg ped plster,,,10.23,10.23,1
HCPCS,Q4040,Cast sup shrt leg ped fbrgls,,,25.52,25.52,1
HCPCS,Q4041,Cast sup lng leg splnt plstr,,,24.79,24.79,1
HCPCS,Q4042,Cast sup lng leg splnt fbrgl,,,42.31,42.31,1
HCPCS,Q4043,Cast sup lng leg splnt ped p,,,12.4,12.4,1
HCPCS,Q4044,Cast sup lng leg splnt ped f,,,21.19,21.19,1
HCPCS,Q4045,Cast sup sht leg splnt plstr,,,14.4,14.4,1
HCPCS,Q4046,Cast sup sht leg splnt fbrgl,,,23.13,23.13,1
HCPCS,Q4047,Cast sup sht leg splnt ped p,,,7.16,7.16,1
HCPCS,Q4048,Cast sup sht leg splnt ped f,,,11.59,11.59,1
HCPCS,Q4049,"Finger splint, static",,,2.61,2.61,1
HCPCS,Q4050,129639 : HIPSTER PROTECTIVE LINER ADULT SZ 20,383.48,383.48,,,0
HCPCS,Q4050,HIPSTER PROTECTIVE LINER ADULT SZ 20,350.4,350.4,,,0
HCPCS,Q4050,HIPSTER PROTECTIVE LINER PEDI SZ 8,319.2,319.2,,,0
HCPCS,Q4074,Iloprost non-comp unit dose,,,105.78,167.91,6
HCPCS,Q4081,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION [9938]",691.07,691.07,,,0
HCPCS,Q4081,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION [9939]",1015.86,1015.86,,,0
HCPCS,Q4081,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION [14643]",691.08,691.08,,,0
HCPCS,Q4081,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION [9940]",691.08,691.08,,,0
HCPCS,Q4081,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION [9941]",691.07,691.07,,,0
HCPCS,Q4081,"Epoetin alfa, 100 units ESRD",,,0.57,0.9,5
HCPCS,Q4100,405145 : CRYOPRESERVED SKIN MESHED 1.5:1 CRYO,1929.6,1929.6,,,0
HCPCS,Q4100,DRESSING BIO 7.4CM X 0.1CM X 5.2CM BOV CLLGN ACELLULR DERM,5477.38,5477.38,,,0
HCPCS,Q4100,GRAFT HUM TISS W15XH5XL12.5MM ANT ADV CERV SPCR PARA FD,1240.8,1240.8,,,0
HCPCS,Q4101,Apligraf,,,30.23,588.14,4
HCPCS,Q4101,HC APPLICAT APLIGRAPF PER SQ CM,111.0,111.0,,,0
HCPCS,Q4102,Oasis wound matrix,,,11.88,588.14,4
HCPCS,Q4103,Oasis burn matrix,,,12.49,588.14,4
HCPCS,Q4104,DRESSING BIO W2XL2IN BOV CLLGN AND GLYCOSAMINOGLYCAN SEMI,2133.24,2133.24,,,0
HCPCS,Q4104,HC INTEGRA BILAYER MATRIX WOUND DRESSING,2329.2,2329.2,,,0
HCPCS,Q4104,INACTIVE USE PS#103212 -  INTEGRA BILAYER MATRIX WOUND DRESS,234.0,234.0,,,0
HCPCS,Q4104,Integra bmwd,,,51.0,588.14,4
HCPCS,Q4105,Integra drt or omnigraft,,,26.94,588.14,4
HCPCS,Q4106,Dermagraft,,,44.94,44.94,1
HCPCS,Q4107,Graftjacket,,,92.59,588.14,4
HCPCS,Q4108,INTEGRA BILAYER MATRIX WOUND DRESSING,794.17,794.17,,,0
HCPCS,Q4108,Integra matrix,,,38.54,588.14,4
HCPCS,Q4110,ALLODERM SELECT 16 X 20 PERF-THK 2.0-2.8 [1519320P],3.22,3.22,,,0
HCPCS,Q4110,HC PRIMATRIX PER SQ CM,170.0,170.0,,,0
HCPCS,Q4110,Primatrix,,,65.41,588.14,4
HCPCS,Q4111,Gammagraft,,,7.87,588.14,4
HCPCS,Q4112,Cymetra injectable,,,872.08,872.08,1
HCPCS,Q4113,Graftjacket xpress,,,919.55,919.55,1
HCPCS,Q4114,Integra flowable wound matri,,,1494.41,1494.41,1
HCPCS,Q4115,Alloskin,,,12.86,588.14,4
HCPCS,Q4116,2X4 ALLODERM SELECT MEDIUM,128.7,128.7,,,0
HCPCS,Q4116,377577 : GRAFT HUM TISS M W4XL12CM THK1.6MM +--0.4MM WHL ALLGRFT,66.4,66.4,,,0
HCPCS,Q4116,377597 : IMPLANT HUM TISS REGEN MTRX M 9.6CM X 19.3CM THCK 1.6MM,47.7,47.7,,,0
HCPCS,Q4116,377614 : GRAFT HUM TISS W16XL20CM THK2-2.8MM THCK ACELLULR DERM REGEN,70.16,70.16,,,0
HCPCS,Q4116,408069 : ALLODERM SELECT 16 X 20 PERF-THK 2.0-2.8,72.27,72.27,,,0
HCPCS,Q4116,413070 : GRAFT HUM TISS 1X4CM THK1+--0.2MM RECT THN REGEN TISS MTRX,147.6,147.6,,,0
HCPCS,Q4116,413334 : GRAFT HUM TISS 4X7CM THK1.6+--0.4MM RECT MD THCK REGEN TISSS,101.91,101.91,,,0
HCPCS,Q4116,413423 : 2X4 ALLODERM SELECT MEDIUM,128.7,128.7,,,0
HCPCS,Q4116,413587 : GRAFT HUM TISS 1X4CM THK2.4+--0.4MM RECT THCK REGEN TISS,147.6,147.6,,,0
HCPCS,Q4116,ALLODERM (RTU) CONTOUR MEDIUM PERFORATED - THICK 2.4 - 0.4MM,57.88,57.88,,,0
HCPCS,Q4116,ALLODERM 8 X 16 EXTRA THICK READY TO USE,68.12,68.12,,,0
HCPCS,Q4116,ALLODERM IMPLANTABLE 4X7 CM .79-1.78 (MM),69.94,69.94,,,0
HCPCS,Q4116,ALLODERM SELECT 16 X 20,70.16,70.16,,,0
HCPCS,Q4116,ALLODERM SELECT 16 X 20 PERF-THK 2.0-2.8,72.27,72.27,,,0
HCPCS,Q4116,Alloderm,,,31.11,588.14,4
HCPCS,Q4116,GRAFT HUM TISS 1X4CM THK1+/-0.2MM RECT THN REGEN TISS MTRX,147.6,147.6,,,0
HCPCS,Q4116,GRAFT HUM TISS 2X4CM THK1+/-0.2MM RECT THN REGEN TISS MTRX,128.7,128.7,,,0
HCPCS,Q4116,GRAFT HUM TISS 4X7CM THK1.6+/-0.4MM RECT MD THCK REGEN TISSS,66.69,66.69,,,0
HCPCS,Q4116,GRAFT HUM TISS M W4XL12CM THK1.6MM +/-0.4MM WHL ALLGRFT,64.45,64.45,,,0
HCPCS,Q4116,GRAFT HUM TISS W16XL20CM THK2-2.8MM THCK ACELLULR DERM REGEN,70.16,70.16,,,0
HCPCS,Q4116,GRAFT HUMAN TISSUE W16XL20CM THK0.4-1.6MM REGENERATIVE TISSU,70.16,70.16,,,0
HCPCS,Q4116,IMPLANT HUM TISS REGEN MTRX M 9.6CM X 19.3CM THCK 1.6MM,47.7,47.7,,,0
HCPCS,Q4117,Hyalomatrix,,,16.91,588.14,4
HCPCS,Q4118,IMPLANT BIO TISS 500MG PORCINE MTRX MICRONIZED PARTIC,6.04,6.04,,,0
HCPCS,Q4118,Matristem micromatrix,,,2.54,2.54,1
HCPCS,Q4121,HC THERASKIN PER SQ CM,180.0,180.0,,,0
HCPCS,Q4121,Theraskin,,,52.75,588.14,4
HCPCS,Q4122,Dermacell,,,102.85,588.14,4
HCPCS,Q4123,Alloskin,,,71.55,588.14,4
HCPCS,Q4124,Oasis tri-layer wound matrix,,,2.49,588.14,4
HCPCS,Q4125,ARTHROFLEX ACELLULAR DERMAL MATRIX,321.3,321.3,,,0
HCPCS,Q4125,"ARTHROFLEX, PER SQUARE CENTIMETER",296.58,296.58,,,0
HCPCS,Q4126,Memoderm/derma/tranz/integup,,,62.41,588.14,4
HCPCS,Q4127,Talymed,,,68.49,588.14,4
HCPCS,Q4128,Flexhd/allopatchhd/matrixhd,,,29.91,588.14,4
HCPCS,Q4130,GRAFT BIO TISS 15X25CM EXTRA THCK RECON STRATTICE,57.7,57.7,,,0
HCPCS,Q4130,STRATTICE EXTRA THICK 15CMX25CM,57.7,57.7,,,0
HCPCS,Q4130,STRATTICE RECONSTRUCTIVE MATRIX 20CM X 20CM FIRM,350.18,350.18,,,0
HCPCS,Q4130,STRATTICE RECONSTRUCTIVE TISSUE MATRIX 15 X 25 FIRM,56.03,56.03,,,0
HCPCS,Q4130,STRATTICE TISSUE MATRIX EXTRA THICK,57.7,57.7,,,0
HCPCS,Q4132,Grafix core,,,106.7,588.14,4
HCPCS,Q4132,HC GRAFIX CORE PER SQ CM,433.0,433.0,,,0
HCPCS,Q4133,Grafix prime,,,138.74,588.14,4
HCPCS,Q4133,HC GRAFIX PRIME PER SQ CM,404.0,404.0,,,0
HCPCS,Q4134,hMatrix,,,139.92,588.14,4
HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,78.17,588.14,4
HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,134.89,588.14,4
HCPCS,Q4152,150125 : GRAFT HUM TISS ACELLULR DERM MTRX 40MM X 70MM THCK 1.5MM,286.88,286.88,,,0
HCPCS,Q4152,Dermapure 1 square cm,,,50.72,588.14,4
HCPCS,Q4153,"Dermavest, plurivest sq cm",,,137.93,588.14,4
HCPCS,Q4153,SURGICLOSE MICRO 38SQ CM FISH-SKIN GRAFT,114.95,114.95,,,0
HCPCS,Q4154,Biovance 1 square cm,,,131.9,588.14,4
HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,26.62,26.62,1
HCPCS,Q4156,Neox 100 1 square cm,,,65.88,588.14,4
HCPCS,Q4157,Revitalon 1 square cm,,,139.92,588.14,4
HCPCS,Q4158,546582 : SKIN FISH 95CM2 KERECIS OMEGA3 SURGICLOSE MIC,147.42,147.42,,,0
HCPCS,Q4158,Marigen 1 square cm,,,67.27,588.14,4
HCPCS,Q4158,"SURGIBIND KERECIS OMEGA3, PER SQUARE CENTIMETER",96.0,96.0,,,0
HCPCS,Q4158,SURGICLOSE MESHED 2:1 CM 7X20 FISH SKIN GRAFT,122.85,122.85,,,0
HCPCS,Q4159,Affinity1 square cm,,,139.92,588.14,4
HCPCS,Q4160,HC NUSHIELD DEHYDRATED PLACENTAL ALLOGRAFT PER SQ CM,245.0,245.0,,,0
HCPCS,Q4160,HC NUSHIELD DISC PER SQ CM,553.0,553.0,,,0
HCPCS,Q4160,HC NUSHIELD PATCH PER SQ CM,371.0,371.0,,,0
HCPCS,Q4160,HC NUSHIELD PLACENTAL DEHYDRATED BIORESORBABLE PER SQ CM,263.0,263.0,,,0
HCPCS,Q4160,Nushield 1 square cm,,,139.92,2784.38,4
HCPCS,Q4161,Bio-connekt per square cm,,,139.92,1590.54,4
HCPCS,Q4162,Amnio bio and woundex flow,,,1870.0,1870.0,1
HCPCS,Q4163,Amnio bio and woundex sq cm,,,139.92,588.14,4
HCPCS,Q4164,"Helicoll, per square cm",,,139.92,1640.93,4
HCPCS,Q4165,"Keramatrix, per square cm",,,45.25,588.14,4
HCPCS,Q4166,"Cytal, per square centimeter",,,19.97,588.14,4
HCPCS,Q4166,DRESSING WND BIO W5XL5CM EPITHELIAL BASEMENT MEM NUMEROUS,69.59,69.59,,,0
HCPCS,Q4167,"Truskin, per sq centimeter",,,102.8,588.14,4
HCPCS,Q4168,"Amnioband, 1 mg",,,17.05,17.05,1
HCPCS,Q4169,"Artacent wound, per sq cm",,,139.92,2068.47,4
HCPCS,Q4170,"Cygnus, per sq cm",,,39.31,588.14,4
HCPCS,Q4171,"Interfyl, 1 mg",,,10.09,10.09,1
HCPCS,Q4173,Palingen or palingen xplus,,,139.92,588.14,4
HCPCS,Q4174,Palingen or promatrx,,,291.27,291.27,1
HCPCS,Q4175,Miroderm,,,91.54,588.14,4
HCPCS,Q4176,"Neopatch, per sq centimeter",,,65.92,588.14,4
HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,153.0,153.0,1
HCPCS,Q4178,"Floweramniopatch, per sq cm",,,89.41,588.14,4
HCPCS,Q4180,"Revita, per sq cm",,,139.92,656.12,4
HCPCS,Q4182,"Transcyte, per sq centimeter",,,40.12,588.14,4
HCPCS,Q4183,"Surgigraft, 1 sq cm",,,85.0,588.14,4
HCPCS,Q4184,"Cellesta, 1 sq cm",,,80.04,588.14,4
HCPCS,Q4186,Epifix 1 sq cm,,,139.92,588.14,4
HCPCS,Q4186,HC EPIFIX PER SQ CM,456.0,456.0,,,0
HCPCS,Q4187,Epicord 1 sq cm,,,139.92,588.14,4
HCPCS,Q4187,HC EPICORD PER SQ CM,456.0,456.0,,,0
HCPCS,Q4188,Amnioarmor 1 sq cm,,,139.92,588.14,4
HCPCS,Q4189,"Artacent ac, 1 mg",,,21.27,21.27,1
HCPCS,Q4190,Artacent ac 1 sq cm,,,112.32,588.14,4
HCPCS,Q4191,Restorigin 1 sq cm,,,139.92,655.3,4
HCPCS,Q4193,Coll-e-derm 1 sq cm,,,139.92,1393.12,4
HCPCS,Q4194,Novachor 1 sq cm,,,139.92,663.63,4
HCPCS,Q4195,HC PURAPLY COLLAGEN MATRIX PER SQ CM,288.0,288.0,,,0
HCPCS,Q4195,HC PURAPLY PER SQ CM,258.0,258.0,,,0
HCPCS,Q4195,HC PURAPY COLLAGEN PER SQ CM,315.0,315.0,,,0
HCPCS,Q4195,Puraply 1 sq cm,,,97.94,588.14,4
HCPCS,Q4196,HC PURAPLY AM ANTIMICROBIAL PER SQ CM,266.0,266.0,,,0
HCPCS,Q4196,HC PURAPLY AM PER SQ CM,630.0,630.0,,,0
HCPCS,Q4196,HC PURAPLY AM PORCINE PHMB PER SQ CM,377.0,377.0,,,0
HCPCS,Q4196,Puraply am 1 sq cm,,,101.03,588.14,4
HCPCS,Q4197,Puraply xt 1 sq cm,,,70.7,588.14,4
HCPCS,Q4201,Matrion 1 sq cm,,,76.09,588.14,4
HCPCS,Q4203,"Derma-gide, 1 sq cm",,,139.92,1052.89,4
HCPCS,Q4204,Xwrap 1 sq cm,,,139.92,3692.14,4
HCPCS,Q4205,Membrane graft or wrap sq cm,,,139.92,1237.28,4
HCPCS,Q4206,Fluid flow or fluid gf 1 cc,,,2448.0,2448.0,1
HCPCS,Q4208,Novafix per sq cm,,,139.92,588.14,4
HCPCS,Q4213,"Ascent, 0.5 mg",,,58.6,58.6,1
HCPCS,Q4217,Woundfix biowound plus xplus,,,139.92,588.14,4
HCPCS,Q4218,Surgicord per sq cm,,,127.5,588.14,4
HCPCS,Q4219,Surgigraft dual per sq cm,,,139.92,1020.0,4
HCPCS,Q4221,Amniowrap2 per sq cm,,,139.92,1961.0,4
HCPCS,Q4222,"Progenamatrix, per sq cm",,,139.92,588.14,4
HCPCS,Q4225,"Amniobind, per sq cm",,,139.92,1427.45,4
HCPCS,Q4226,Myown harv prep proc sq cm,,,386.49,386.49,1
HCPCS,Q4227,Amniocore per sq cm,,,139.92,1172.56,4
HCPCS,Q4229,Cogenex amnio memb per sq cm,,,139.92,588.14,4
HCPCS,Q4232,"Corplex, per sq cm",,,109.44,588.14,4
HCPCS,Q4234,"Xcellerate, per sq cm",,,139.92,588.14,4
HCPCS,Q4235,Amniorepair or altiply sq cm,,,87.98,588.14,4
HCPCS,Q4236,Carepatch per sq cm,,,139.92,588.14,4
HCPCS,Q4237,"cryo-cord, per sq cm",,,139.92,588.14,4
HCPCS,Q4238,"Derm-maxx, per sq cm",,,139.92,1452.25,4
HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,139.92,1902.62,4
HCPCS,Q4246,"Coretext or protext, per cc",,,2968.0,2968.0,1
HCPCS,Q4247,"Amniotext patch, per sq cm",,,139.92,588.14,4
HCPCS,Q4248,Dermacyte Amn mem allo sq cm,,,139.92,588.14,4
HCPCS,Q4249,"Amniply, per sq cm",,,139.92,1969.89,4
HCPCS,Q4250,AmnioAMP-MP per sq cm,,,139.92,2979.56,4
HCPCS,Q4251,"Vim, per square centimeter",,,139.92,588.14,4
HCPCS,Q4254,Novafix dl per sq cm,,,139.92,588.14,4
HCPCS,Q4256,"Mlg complet, per sq cm",,,139.92,735.05,4
HCPCS,Q4257,"Relese, per sq cm",,,139.92,915.09,4
HCPCS,Q4258,"Enverse, per sq cm",,,89.75,588.14,4
HCPCS,Q4259,Celera per sq cm,,,139.92,713.5,4
HCPCS,Q4261,"Tag, per square centimeter",,,139.92,615.26,4
HCPCS,Q4262,"Dual layer impax, per sq cm",,,99.03,588.14,4
HCPCS,Q4263,"Surgraft tl, per sq cm",,,139.92,1815.78,4
HCPCS,Q4264,"Cocoon membrane, per sq cm",,,139.92,588.14,4
HCPCS,Q4265,Neostim tl per sq cm,,,139.92,1386.45,4
HCPCS,Q4266,Neostim per sq cm,,,139.92,588.14,4
HCPCS,Q4267,Neostim dl per sq cm,,,139.92,588.14,4
HCPCS,Q4268,Surgraft ft per sq cm,,,139.92,588.14,4
HCPCS,Q4269,Surgraft xt per sq cm,,,139.92,1804.96,4
HCPCS,Q4270,Complete sl per sq cm,,,139.92,3319.85,4
HCPCS,Q4271,Complete ft per sq cm,,,139.92,1141.34,4
HCPCS,Q4272,"Esano a, per sq cm",,,139.92,588.14,4
HCPCS,Q4274,"Esano ac, per sq cm",,,139.92,1881.5,4
HCPCS,Q4275,"Esano aca, per sq cm",,,139.92,2707.3,4
HCPCS,Q4276,"Orion, per sq cm",,,139.92,588.14,4
HCPCS,Q4278,"Epieffect, per sq cm",,,139.92,588.14,4
HCPCS,Q4279,"Vendaje ac, per sq cm",,,139.92,2122.72,4
HCPCS,Q4280,Xcell amnio matrix per sq cm,,,139.92,2355.85,4
HCPCS,Q4281,Barrera slor dl per sq cm,,,139.92,588.14,4
HCPCS,Q4282,Cygnus dual per sq cm,,,139.92,588.14,4
HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,139.92,588.14,4
HCPCS,Q4285,Nudyn dl or dl mesh pr sq cm,,,139.92,588.14,4
HCPCS,Q4286,"Nudyn sl or slw, per sq cm",,,139.92,588.14,4
HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,139.92,1523.05,4
HCPCS,Q4290,Membrane wrap hydr per sq cm,,,139.92,1867.01,4
HCPCS,Q4291,"Lamellas xt, per sq cm",,,139.92,2968.2,4
HCPCS,Q4292,"Lamellas, per sq cm",,,139.92,1224.0,4
HCPCS,Q4293,"Acesso dl, per sq cm",,,139.92,1584.7,4
HCPCS,Q4294,"Amnio quad-core, per sq cm",,,139.92,3363.81,4
HCPCS,Q4295,"Amnio tri-core, per sq cm",,,139.92,2905.45,4
HCPCS,Q4296,"Rebound matrix, per sq cm",,,139.92,838.47,4
HCPCS,Q4297,"Emerge matrix, per sq cm",,,139.92,1302.3,4
HCPCS,Q4298,"Amnicore pro, per sq cm",,,139.92,2634.15,4
HCPCS,Q4299,"Amnicore pro+, per sq cm",,,139.92,3161.24,4
HCPCS,Q4300,"Acesso tl, per sq cm",,,139.92,2122.74,4
HCPCS,Q4301,"Activate matrix, per sq cm",,,139.92,1798.11,4
HCPCS,Q4302,"Complete aca, per sq cm",,,139.92,1239.9,4
HCPCS,Q4303,"Complete aa, per sq cm",,,139.92,3368.39,4
HCPCS,Q4304,"Grafix plus, per sq cm",,,139.92,588.14,4
HCPCS,Q4309,"Via matrix, per sq cm",,,139.92,880.03,4
HCPCS,Q4310,"Procenta, per 100 mg",,,1391.61,1391.61,1
HCPCS,Q4311,"Acesso, per sq cm",,,139.92,2125.0,4
HCPCS,Q4312,"Acesso ac, per sq cm",,,139.92,2411.76,4
HCPCS,Q4313,"Dermabind fm, per sq cm",,,139.92,3312.52,4
HCPCS,Q4314,"Reeva, per sq cm",,,139.92,2332.0,4
HCPCS,Q4316,"Amchoplast, per sq cm",,,139.92,4227.97,4
HCPCS,Q4317,"Vitograft, per sq cm",,,139.92,4770.0,4
HCPCS,Q4318,"E-graft, per sq cm",,,139.92,1695.75,4
HCPCS,Q4319,"Sanograft, per sq cm",,,139.92,2809.0,4
HCPCS,Q4320,"Pellograft, per sq cm",,,103.03,588.14,4
HCPCS,Q4321,"Renograft, per sq cm",,,139.92,3816.0,4
HCPCS,Q4322,"Caregraft, per sq cm",,,139.92,1825.62,4
HCPCS,Q4323,"Alloply, per sq cm",,,139.92,1563.15,4
HCPCS,Q4324,"Amniotx, per sq cm",,,139.92,1683.0,4
HCPCS,Q4325,"Acapatch, per sq cm",,,139.92,1707.81,4
HCPCS,Q4326,"Woundplus, per sq cm",,,139.92,1062.72,4
HCPCS,Q4328,"Most, per sq cm",,,139.92,3440.63,4
HCPCS,Q4331,"Axolotl graft, per sq cm",,,139.92,1589.72,4
HCPCS,Q4332,"Axolotl dualgraft, per sq cm",,,139.92,1681.33,4
HCPCS,Q4333,"Ardeograft, per sq cm",,,139.92,765.0,4
HCPCS,Q4339,"Artacent vericlen, per sq cm",,,139.92,2055.34,4
HCPCS,Q4340,"Simpligraft, per sq cm",,,139.92,1377.89,4
HCPCS,Q4341,"Simplimax, per sq cm",,,139.92,3524.11,4
HCPCS,Q4342,"Theramend, per sq cm",,,139.92,2271.19,4
HCPCS,Q4343,Dermacyte ac matrx per sq cm,,,139.92,2952.1,4
HCPCS,Q4344,"Tri membrane wrap, per sq cm",,,139.92,3574.39,4
HCPCS,Q4345,Matrix hd allogrft per sq cm,,,139.92,2650.0,4
HCPCS,Q4346,Shelter dm matrix per sq cm,,,139.92,3663.79,4
HCPCS,Q4347,Rampart dl matrix per sq cm,,,139.92,3099.43,4
HCPCS,Q4348,Sentry sl matrix per sq cm,,,139.92,2034.88,4
HCPCS,Q4349,Mantle dl matrix per sq cm,,,139.92,3570.0,4
HCPCS,Q4350,Palisade dm matrix per sq cm,,,139.92,3608.09,4
HCPCS,Q4351,"Enclose tl matrix, per sq cm",,,139.92,3825.0,4
HCPCS,Q4352,"Overlay sl matrix, per sq cm",,,139.92,1989.0,4
HCPCS,Q4353,Xceed tl matrix per sq cm,,,139.92,4148.84,4
HCPCS,Q4354,Palingen dual-layer sq cm,,,139.92,1040.4,4
HCPCS,Q4355,Abio xpl abio xpl hy p sq cm,,,139.92,2835.72,4
HCPCS,Q4356,Abio mem abio hyd per sq cm,,,139.92,2550.0,4
HCPCS,Q4357,"Xwrap plus, per sq cm",,,139.92,4770.0,4
HCPCS,Q4358,"Xwrap dual, per sq cm",,,139.92,5893.34,4
HCPCS,Q4359,"Choriply, per sq cm",,,139.92,2779.32,4
HCPCS,Q4360,Amchoplast fd per sq cm,,,139.92,2375.75,4
HCPCS,Q4361,"Epixpress, per sq cm",,,139.92,2120.0,4
HCPCS,Q4364,Am bur xp mem xpl hy p sq cm,,,139.92,3149.76,4
HCPCS,Q4367,"Amniocore sl, per sq cm",,,139.92,752.39,4
HCPCS,Q4368,Amchothick per sq cm,,,139.92,3961.0,4
HCPCS,Q4373,Membrane wrp lt per sq cm,,,139.92,3663.84,4
HCPCS,Q4378,Renew ft matrix per sq cm,,,139.92,3927.0,4
HCPCS,Q4379,Amniodefend ft per sq cm,,,139.92,2907.0,4
HCPCS,Q4396,Natalin per sq cm,,,139.92,2856.0,4
HCPCS,Q5098,"Inj ustekinumab-srlf, 1 mg",,,5.97,9.48,5
HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,4.65,13.06,6
HCPCS,Q5099,USTEKINUMAB-STBA 130 MG/26 ML INTRAVENOUS SOLUTION [213603],2088.06,2088.06,,,0
HCPCS,Q5100,"Inj ustekinumab-kfce, 1 mg",,,6.11,105.0,10
HCPCS,Q5101,FILGRASTIM-SNDZ (ZARXIO) PATIENT SPECIFIC SUBCUTANEOUS SYRINGE [40817051],1434.48,1434.48,,,0
HCPCS,Q5101,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [179541],2051.8,2051.8,,,0
HCPCS,Q5101,Inj filgrastim gcsf biosimil,,,0.27,1.93,10
HCPCS,Q5102,"Inj., infliximab biosimilar",,,53.16,84.38,4
HCPCS,Q5103,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION [184773],13678.765,13678.765,,,0
HCPCS,Q5103,"Injection, inflectra",,,12.45,84.03,11
HCPCS,Q5104,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [187915],10321.189999999999,10321.189999999999,,,0
HCPCS,Q5104,"Injection, renflexis",,,17.39,113.49,11
HCPCS,Q5105,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [189470]",440.33,440.33,,,0
HCPCS,Q5105,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION [189463]",440.31,440.31,,,0
HCPCS,Q5105,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION [189466]",440.32,440.32,,,0
HCPCS,Q5105,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [189468]",395.96000000000004,395.96000000000004,,,0
HCPCS,Q5105,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [189472]",440.315,440.315,,,0
HCPCS,Q5105,Inj Retacrit esrd on dialysi,,,0.51,1.47,6
HCPCS,Q5106,Inj Retacrit non-esrd use,,,5.08,33.0,11
HCPCS,Q5107,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [194013],7835.5,7835.5,,,0
HCPCS,Q5107,Inj mvasi 10 mg,,,15.76,117.12,11
HCPCS,Q5108,"Injection, fulphila",,,65.99,416.68,11
HCPCS,Q5108,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [190749],13216.475,13216.475,,,0
HCPCS,Q5110,Nivestym,,,0.16,1.28,11
HCPCS,Q5111,"Injection, udenyca 0.5 mg",,,70.78,446.97,11
HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR [209897],18272.300000000003,18272.300000000003,,,0
HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [192357],13759.625,13759.625,,,0
HCPCS,Q5112,Inj ontruzant 10 mg,,,9.41,79.87,11
HCPCS,Q5112,TRASTUZUMAB-DTTB 150 MG INTRAVENOUS SOLUTION [196564],5459.75,5459.75,,,0
HCPCS,Q5113,Inj herzuma 10 mg,,,44.95,291.59,11
HCPCS,Q5113,TRASTUZUMAB-PKRB 150 MG INTRAVENOUS SOLUTION [196297],5244.8,5244.8,,,0
HCPCS,Q5114,Inj  ogivri 10 mg,,,24.44,169.38,11
HCPCS,Q5114,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION [195182],5448.525,5448.525,,,0
HCPCS,Q5115,Inj truxima 10 mg,,,16.73,123.49,11
HCPCS,Q5115,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION [195180],25085.355,25085.355,,,0
HCPCS,Q5116,"Inj., trazimera, 10 mg",,,15.76,117.66,11
HCPCS,Q5116,TRASTUZUMAB-QYYP 150 MG INTRAVENOUS SOLUTION [199629],4318.65,4318.65,,,0
HCPCS,Q5116,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION [195966],12107.9,12107.9,,,0
HCPCS,Q5117,"Inj., kanjinti, 10 mg",,,29.55,199.86,11
HCPCS,Q5117,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION [194957],6431.1,6431.1,,,0
HCPCS,Q5117,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [194048],17106.4,17106.4,,,0
HCPCS,Q5118,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION [195712],8936.31,8936.31,,,0
HCPCS,Q5118,"Inj., zirabev, 10 mg",,,14.28,108.31,11
HCPCS,Q5119,"Inj ruxience, 10 mg",,,15.64,117.05,11
HCPCS,Q5119,RITUXIMAB-PVVR (RUXIENCE) 0.01 MG/ML FOR DESENSITIZATION (BAG #1) IVPB IN 70 ML 0.9% SODIUM CHLORIDE [40817069],5.0,5.0,,,0
HCPCS,Q5119,RITUXIMAB-PVVR (RUXIENCE) 0.1 MG/ML FOR DESENSITIZATION (BAG #2) IVPB IN 120 ML 0.9% SODIUM CHLORIDE [40817068],5.0,5.0,,,0
HCPCS,Q5119,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [195714],20500.43,20500.43,,,0
HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,16.64,148.73,11
HCPCS,Q5120,PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [195240],5680.0,5680.0,,,0
HCPCS,Q5121,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION [196816],7786.38,7786.38,,,0
HCPCS,Q5121,"Inj. avsola, 10 mg",,,12.74,85.77,11
HCPCS,Q5122,"Inj, nyvepria",,,87.31,551.32,11
HCPCS,Q5122,PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [198760],18938.16,18938.16,,,0
HCPCS,Q5123,"Inj. riabni, 10 mg",,,14.7,111.43,11
HCPCS,Q5123,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION [198874],23085.995000000003,23085.995000000003,,,0
HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,39.0,259.76,11
HCPCS,Q5125,FILGRASTIM-AYOW (RELEUKO) PATIENT SPECIFIC SUBCUTANEOUS SYRINGE [40816181],367.28,367.28,,,0
HCPCS,Q5125,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE [203023],527.82,527.82,,,0
HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.21,1.58,11
HCPCS,Q5126,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION [203911],8222.42,8222.42,,,0
HCPCS,Q5126,Inj alymsys 10 mg,,,22.79,158.97,11
HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,123.08,777.26,11
HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,56.19,362.16,11
HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,24.3,167.99,11
HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,91.84,579.94,11
HCPCS,Q5131,"Inj, idacio, 20 mg",,,304.86,304.86,1
HCPCS,Q5133,"Inj, tofidence, 1 mg",,,3.6,23.27,11
HCPCS,Q5134,"Inj, tyruko, 1 mg",,,16.71,26.52,4
HCPCS,Q5135,"Inj, tyenne, 1 mg",,,2.81,18.56,11
HCPCS,Q5135,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION [210463],4724.65,4724.65,,,0
HCPCS,Q5135,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [210464],9449.3,9449.3,,,0
HCPCS,Q5135,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [210462],6312.27,6312.27,,,0
HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,18.87,115.76,10
HCPCS,Q5137,"Inj, wezlana, sub cu, 1 mg",,,43.65,69.29,5
HCPCS,Q5138,"Inj, wezlana, iv, 1 mg",,,7.52,48.95,9
HCPCS,Q5140,"Inj adalimumab-fkjp, 1 mg",,,87.14,168.01,2
HCPCS,Q5141,"Inj adalimumab-aaty, 1 mg",,,43.57,84.01,2
HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,9.16,20.51,7
HCPCS,Q5143,"Inj adalimumab-adbm, 1 mg",,,10.43,20.11,2
HCPCS,Q5144,"Inj, idacio, 1 mg",,,7.93,22.92,7
HCPCS,Q5145,"Inj, abrilada, 1 mg",,,51.35,128.07,2
HCPCS,Q5146,"Inj, hercessi, 10 mg",,,24.25,168.25,10
HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,572.05,3612.33,11
HCPCS,Q5148,"Inj, nyposi 1 mcg",,,0.53,2.31,11
HCPCS,Q5151,ECULIZUMAB-AAGH 300 MG/30 ML INTRAVENOUS SOLUTION [214585],22830.0,22830.0,,,0
HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,21.48,131.79,10
HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg?",,,27.62,169.45,10
HCPCS,Q5156,"Inj, tocilizumab-anoh, 1 mg",,,3.05,4.84,4
HCPCS,Q5157,"Inj, denosumab-bmwo, 1 mg",,,20.11,118.24,8
HCPCS,Q5158,"Inj, denosumab-bnht, 1 mg",,,20.53,120.73,8
HCPCS,Q5159,"Inj, denosumab-dssb, 1 mg",,,11.47,18.2,4
HCPCS,Q5160,"Inj, jobevne, 10 mg",,,56.16,354.67,7
HCPCS,Q9950,Inj sulf hexa lipid microsph,,,18.59,18.59,1
HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION [179678],319.0,319.0,,,0
HCPCS,Q9956,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP [82177],85.84,85.84,,,0
HCPCS,Q9957,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [31270],457.875,457.875,,,0
HCPCS,Q9957,"PR INJ PERFLUTREN LIP MICROS,ML",277.5,277.5,,,0
HCPCS,Q9958,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION [27735],144.5,144.5,,,0
HCPCS,Q9958,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION [10333],93.5,93.5,,,0
HCPCS,Q9965,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION [10319],76.125,76.125,,,0
HCPCS,Q9966,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],456.75,456.75,,,0
HCPCS,Q9967,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],609.0,609.0,,,0
HCPCS,Q9967,IODIXANOL 320 MG-NS (50:50) FOR INTRA-ARTERIAL CONTRAST (OPTIME) [500554],761.25,761.25,,,0
HCPCS,Q9967,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],609.0,609.0,,,0
HCPCS,Q9967,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],609.0,609.0,,,0
HCPCS,Q9967,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [10328],609.0,609.0,,,0
HCPCS,Q9967,"LOCM 300-399mg/ml iodine,1ml",,,0.15,0.15,1
HCPCS,Q9968,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [10358],309.58500000000004,309.58500000000004,,,0
HCPCS,Q9968,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [184497],447.255,447.255,,,0
HCPCS,Q9968,Visualization adjunct,,,2.75,36.68,6
HCPCS,Q9969,Non-HEU TC-99M add-on/dose,,,0.13,21.69,7
HCPCS,Q9970,Inj Ferric Carboxymaltos 1mg,,,0.75,1.19,4
HCPCS,Q9974,Morphine epidural/intratheca,,,8.24,13.08,4
HCPCS,Q9975,Factor VIII FC Fusion Recomb,,,1.4,2.22,4
HCPCS,Q9976,Inj Ferric Pyrophosphate Cit,,,0.01,0.02,4
HCPCS,Q9978,Netupitant Palonosetron oral,,,352.66,559.78,4
HCPCS,Q9979,"Injection, Alemtuzumab",,,1161.3,1843.33,4
HCPCS,Q9980,"Genvisc, inj, 1mg",,,6.5,10.32,4
HCPCS,Q9981,"rolapitant, oral, 1mg",,,2.07,3.29,4
HCPCS,Q9982,HC FLUTEMETAMOL F18 DIAG PER STUDY DOSE TO 5 MCI,6926.0,6926.0,,,0
HCPCS,Q9982,flutemetamol f18 diagnostic,,,1944.01,8171.65,9
HCPCS,Q9983,HC FLORBETABEN F18 DIAG PER STUDY DOSE TO 8.1 MCI,4900.0,4900.0,,,0
HCPCS,Q9983,florbetaben f18 diagnostic,,,1584.67,6661.16,9
HCPCS,Q9984,Kyleena,,,605.64,961.33,4
HCPCS,Q9985,"Inj, hydroxyprogesterone, NOS",,,9.63,15.28,4
HCPCS,Q9986,"Inj, Makena",,,21.57,34.24,4
HCPCS,Q9989,"Ustekinumab IV Inj, 1 mg",,,8.69,13.79,4
HCPCS,Q9991,Buprenorph xr 100 mg or less,,,1342.25,8476.03,11
HCPCS,Q9992,Buprenorphine xr over 100 mg,,,1342.25,8476.03,11
HCPCS,Q9996,Ustekinumab- ttwe sub cu inj,,,32.53,51.64,5
HCPCS,Q9997,Ustekinumab-ttwe iv inj 1 mg,,,5.86,39.04,9
HCPCS,Q9998,Ustekinumab-aekn inj,,,27.78,169.61,10
HCPCS,Q9999,Inj ustekinumab-aauz 1 mg,,,22.65,139.09,9
HCPCS,Q9999,USTEKINUMAB-AAUZ 130 MG/26 ML INTRAVENOUS SOLUTION [214073],12200.369999999999,12200.369999999999,,,0
HCPCS,R0070,Transport portable x-ray,,,66.59,66.59,1
HCPCS,R0075,Transport port x-ray multipl,,,61.06,61.06,1
HCPCS,R0076,Transport portable EKG,,,59.47,59.47,1
HCPCS,S0012,"Butorphanal tartrate, nasal spray, 25 mg",,,42.78,72.18,5
HCPCS,S0013,Description Not Available,,,10.51,16.69,6
HCPCS,S0017,"Injection, aminocaproic acid, 5mg",,,5.19,5.19,1
HCPCS,S0020,"Injection, bupivicaine HCl, 30mg",,,0.9,3.45,5
HCPCS,S0023,"Injection, cimetidine HCl, 300 mg",,,2.3,2.3,1
HCPCS,S0028,"Injection, famotidine, 20mg",,,0.87,0.87,1
HCPCS,S0030,"Injection, metronidazole, 500mg",,,1.35,2.15,5
HCPCS,S0032,"Injection, nafcillin sodium, 2 g",,,22.68,22.68,1
HCPCS,S0039,"Injection, sulfamethoxazole and trimethoprim, 10 ml",,,12.06,12.06,1
HCPCS,S0040,"Injection, ticarcillin disodium and clavulanate potassium, 3.1 g",,,12.82,12.82,1
HCPCS,S0073,"Injection, aztreonam, 500 mg",,,10.23,16.24,5
HCPCS,S0074,"Injection, cefotetan disodium, 500 mg",,,9.24,9.24,1
HCPCS,S0077,"Injection, clindamycin phosphate, 300 mg",,,0.74,1.59,5
HCPCS,S0078,"Injection, fosphenytoin sodium, 750 mg",,,22.05,40.32,5
HCPCS,S0080,"Injection, pentamidine isethonate, 300 mg",,,68.93,160.41,5
HCPCS,S0081,"Injection, piperacillin sodium, 500 mg",,,1.68,1.68,1
HCPCS,S0088,"Imatinib, 100 mg",,,2.1,81.0,5
HCPCS,S0090,"Sildenafil citrate, 25 mg",,,0.19,46.41,5
HCPCS,S0091,"Granisetron HCl, 1mg (for circumstances falling under the Medicare Statute, use Q0166)",,,2.12,47.27,5
HCPCS,S0092,"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)",,,58.85,96.54,5
HCPCS,S0093,"Injection, morphine sulfate, 500mg (loding dose for infusion pump)",,,5.15,12.19,5
HCPCS,S0104,"Zidovudine, oral, 100 mg",,,1.06,1.69,5
HCPCS,S0106,"Buproprion HCl sustained release tablit, 150 mg, per bottle of 60 tablets",,,10.31,92.91,5
HCPCS,S0108,"Mercaptopuine, oral, 50 mg",,,2.21,4.51,5
HCPCS,S0109,"Methadone, oral, 5 mg",,,0.19,0.31,6
HCPCS,S0117,"Tretinoin, topical, 5 g",,,2.9,21.46,5
HCPCS,S0119,Description Not Available,,,0.33,18.93,6
HCPCS,S0122,"Injection, menotropins, 75 IU",,,146.33,282.76,5
HCPCS,S0126,"Injection, follitropin alfa, 75 IU",,,143.07,270.49,5
HCPCS,S0128,"Injection, follitropin beta, 75 IU",,,143.51,243.6,5
HCPCS,S0132,"Injection, ganirelix acetate, 250 mcg",,,129.83,206.08,5
HCPCS,S0136,"Clozapine, 25 mg",,,0.53,1.05,5
HCPCS,S0137,"Didanosine (ddI), 25 mg",,,0.61,0.61,1
HCPCS,S0138,"Finasteride, 5 mg",,,0.11,2.5,5
HCPCS,S0139,"Minoxidil, 10 mg",,,0.33,1.03,5
HCPCS,S0144,"Inj, Propofol, 10mg",,,0.08,0.13,4
HCPCS,S0145,"pegylated interferon alfa-2a, 180 mcg/ ml",,,785.63,1247.03,5
HCPCS,S0148,Peg interferon alfa-2B/10,,,144.59,144.59,1
HCPCS,S0155,"Sterile dilutant for epoprostenol, 50 ml",,,13.53,13.53,1
HCPCS,S0156,"Exemestane, 25 mg",,,1.18,16.21,5
HCPCS,S0157,"Becaplermin gel 0.01%, 0.5 gm",,,30.96,50.76,5
HCPCS,S0160,"Dextoamphetamine sulfate, 5 mg",,,0.49,2.33,5
HCPCS,S0164,"Injection, pantoprazole sodium, 40 mg",,,4.81,4.81,1
HCPCS,S0166,"Injection, olanzapine, 2.5 mg",,,8.32,8.32,1
HCPCS,S0169,Calcitrol,,,0.19,0.67,5
HCPCS,S0170,"Anastrozole, oral, 1 mg",,,0.34,10.8,5
HCPCS,S0171,"Injection, bumetanide, 0.5 mg",,,0.97,0.97,1
HCPCS,S0172,"Chlorambucil, oral, 2 mg",,,19.49,295.85,5
HCPCS,S0174,"Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)",,,20.86,69.26,5
HCPCS,S0175,"Flutamide, oral, 125 mg",,,2.83,45.43,5
HCPCS,S0176,"Hydroxyurea, oral, 500 mg",,,0.28,1.02,5
HCPCS,S0178,"Lomustine, oral, 10 mg",,,33.16,117.57,5
HCPCS,S0179,"Megestrol acetate, oral, 20 mg",,,0.2,0.54,5
HCPCS,S0182,"Procarbazine HCl, oral, 50 mg",,,64.39,197.95,5
HCPCS,S0183,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],5.95,5.95,,,0
HCPCS,S0183,PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],8.14,8.14,,,0
HCPCS,S0183,"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)",,,0.24,0.54,5
HCPCS,S0187,"Tamoxifen citrate, oral, 10 mg",,,0.13,1.51,5
HCPCS,S0189,TESTOSTERONE 75 MG IMPLANT PELLET [27456],442.5,442.5,,,0
HCPCS,S0189,"testosterone pellet, 75 mg",,,74.18,117.75,5
HCPCS,S0190,"Mitepristone, oral, 200 mg",,,30.34,72.09,6
HCPCS,S0191,MISOPROSTOL 200 MCG TABLET [10629],5.0,5.0,,,0
HCPCS,S0191,"Misoprostol, oral, 200 mcg",,,0.69,1.14,6
HCPCS,S0194,"Dialysis/stress vitamin supplement, oral, 100 capsules",,,6.95,53.86,5
HCPCS,S0201,"Partial hospitalization services, per diem",,,1290.78,1843.97,3
HCPCS,S0208,"Paramedic intercept, hospital-based",,,639.87,639.87,1
HCPCS,S0800,Laser in situ keratomileusis (LASIK),,,2630.44,2630.44,1
HCPCS,S0810,Photorefractive keratectomy (PRK),,,2630.44,2630.44,1
HCPCS,S0812,Phototherapeutic keratectomy (PTK),,,2630.44,2630.44,1
HCPCS,S1090,Mometasone sinus implant,,,720.86,720.86,1
HCPCS,S1091,Description Not Available,,,1217.16,1932.0,4
HCPCS,S2070,Cystoerethroscopy,,,9812.66,9812.66,1
HCPCS,S2083,"gastric band adjustment, percutaneous",,,804.67,804.67,1
HCPCS,S2230,Implant semi-imp hear,,,12989.24,12989.24,1
HCPCS,S2235,Implant auditory brain imp,,,6270.01,6270.01,1
HCPCS,S2340,Chemodenervation of abductor,,,2630.44,2630.44,1
HCPCS,S3620,Newborn metabolic screening,,,23.42,23.42,1
HCPCS,S3630,Eosinophil blood count,,,23.79,23.79,1
HCPCS,S3645,HIV-1 antibody testing of or,,,113.04,113.04,1
HCPCS,S3650,"Saliva test, hormone level;",,,1206.15,1206.15,1
HCPCS,S3652,"Saliva test, hormone level;",,,435.62,435.62,1
HCPCS,S3655,Antisperm antibodies test,,,958.6,958.6,1
HCPCS,S3854,Gene profile panel breast,,,12949.35,12949.35,1
HCPCS,S3861,Genetic test Brugada,,,13893.27,13893.27,1
HCPCS,S3865,Comp genet test hyp cardiomy,,,26491.31,26491.31,1
HCPCS,S3866,Spec gene test hyp cardiomy,,,4309.7,4309.7,1
HCPCS,S3870,CGH test developmental delay,,,2183.52,2183.52,1
HCPCS,S4024,Description Not Available,,,948.6,948.6,1
HCPCS,S4028,Microsurg epi sperm asp,,,6270.01,6270.01,1
HCPCS,S4991,Nicotine patch nonlegend,,,1.25,1.99,4
HCPCS,S4993,Contraceptive pills for bc,,,0.55,0.87,4
HCPCS,S5010,5% dextrose and 0.45% saline,,,6.03,9.71,5
HCPCS,S5011,5% dextrose in lactated ring,,,3.35,5.32,4
HCPCS,S5012,5% dextrose with potassium,,,2.41,5.32,5
HCPCS,S5550,Insulin rapid 5 u,,,0.16,0.26,4
HCPCS,S5551,Insulin most rapid 5 u,,,0.25,1.23,5
HCPCS,S5552,Insulin intermed 5 u,,,0.16,0.26,4
HCPCS,S5553,Insulin long acting 5 u,,,0.41,0.65,4
HCPCS,S5566,Insulin cartridge 300 u,,,18.96,30.09,4
HCPCS,S5571,Insulin dispos pen 3 ml,,,22.45,35.64,4
HCPCS,S8037,mrcp,,,300.4,1810.15,5
HCPCS,S8092,Electron beam computed tomog,,,188.81,188.81,1
HCPCS,S9433,HC MED FOOD NUTR ORAL 100% INTAKE,50.0,50.0,,,0
HCPCS,S9434,HC MODIFIED SOLID FOOD SUPPLEMENT,50.0,50.0,,,0
HCPCS,S9435,HC MED FOOD FOR INBRN ERRORS META,50.0,50.0,,,0
HCPCS,S9443,Lactation class,,,82.29,82.29,1
HCPCS,S9455,"Diabetic Management Program,",,,31.06,66.54,4
HCPCS,S9460,"Diabetic Management Program,",,,72.32,154.89,4
HCPCS,S9465,"Diabetic Management Program,",,,48.51,103.94,4
HCPCS,S9485,Crisis intervention mental h,,,693.52,693.52,1
HCPCS,T1013,HC INTERPRETER,39.0,39.0,,,0
HCPCS,T1023,HC PROGRAM INTAKE ASSESSMENT PER ENCOUNTER,443.0,443.0,,,0
HCPCS,U0001,2019 nCoV diagnostic P,,,22.63,219.6,12
HCPCS,U0002,COVID-19 lab test non-CDC,,,32.33,313.7,12
HCPCS,U0002,HC NON-CDC LAB SARS-COV-2/2019-NCOV (COVID-19),214.0,214.0,,,0
HCPCS,U0002,HC SENDOUT NON-CDC LAB SARS-COV-2/2019-NCOV (COVID-19),214.0,214.0,,,0
HCPCS,U0003,Cov-19 amp prb hgh thruput,,,347.14,611.4,2
HCPCS,U0004,Cov-19 test non-cdc hgh thru,,,347.14,611.4,2
HCPCS,U0005,Infec agen detec ampli probe,,,115.7,115.7,1
HCPCS,V2020,Vision svcs frames purchases,,,84.42,364.65,7
HCPCS,V2100,Lens spher single plano 4.00,,,46.66,201.6,7
HCPCS,V2101,Single visn sphere 4.12-7.00,,,49.17,212.4,7
HCPCS,V2102,Singl visn sphere 7.12-20.00,,,69.16,298.78,7
HCPCS,V2103,Spherocylindr 4.00d/12-2.00d,,,40.51,174.99,7
HCPCS,V2104,Spherocylindr 4.00d/2.12-4d,,,44.88,193.87,7
HCPCS,V2105,Spherocylinder 4.00d/4.25-6d,,,48.85,211.06,7
HCPCS,V2106,Spherocylinder 4.00d/>6.00d,,,58.24,251.62,7
HCPCS,V2107,Spherocylinder 4.25d/12-2d,,,51.55,222.7,7
HCPCS,V2108,Spherocylinder 4.25d/2.12-4d,,,53.38,230.65,7
HCPCS,V2109,Spherocylinder 4.25d/4.25-6d,,,59.06,255.15,7
HCPCS,V2110,Spherocylinder 4.25d/over 6d,,,59.41,256.67,7
HCPCS,V2111,Spherocylindr 7.25d/.25-2.25,,,60.75,262.47,7
HCPCS,V2112,Spherocylindr 7.25d/2.25-4d,,,66.33,286.51,7
HCPCS,V2113,Spherocylindr 7.25d/4.25-6d,,,76.63,331.03,7
HCPCS,V2114,Spherocylinder over 12.00d,,,80.97,349.77,7
HCPCS,V2115,Lens lenticular bifocal,,,88.11,380.67,7
HCPCS,V2118,Lens aniseikonic single,,,116.47,503.16,7
HCPCS,V2121,"Lenticular lens, single",,,101.66,439.14,7
HCPCS,V2200,Lens spher bifoc plano 4.00d,,,65.88,284.62,7
HCPCS,V2201,Lens sphere bifocal 4.12-7.0,,,70.43,304.29,7
HCPCS,V2202,Lens sphere bifocal 7.12-20.,,,80.3,346.91,7
HCPCS,V2203,Lens sphcyl bifocal 4.00d/.1,,,65.42,282.6,7
HCPCS,V2204,Lens sphcy bifocal 4.00d/2.1,,,69.08,298.41,7
HCPCS,V2205,Lens sphcy bifocal 4.00d/4.2,,,73.4,317.07,7
HCPCS,V2206,Lens sphcy bifocal 4.00d/ove,,,76.61,330.94,7
HCPCS,V2207,Lens sphcy bifocal 4.25-7d/.,,,74.27,320.85,7
HCPCS,V2208,Lens sphcy bifocal 4.25-7/2.,,,75.67,326.99,7
HCPCS,V2209,Lens sphcy bifocal 4.25-7/4.,,,85.76,370.5,7
HCPCS,V2210,Lens sphcy bifocal 4.25-7/ov,,,85.82,370.79,7
HCPCS,V2211,Lens sphcy bifo 7.25-12/.25-,,,96.22,415.73,7
HCPCS,V2212,Lens sphcyl bifo 7.25-12/2.2,,,104.66,452.13,7
HCPCS,V2213,Lens sphcyl bifo 7.25-12/4.2,,,100.89,435.82,7
HCPCS,V2214,Lens sphcyl bifocal over 12.,,,99.74,430.9,7
HCPCS,V2215,Lens lenticular bifocal,,,101.26,437.46,7
HCPCS,V2218,Lens aniseikonic bifocal,,,160.64,694.04,7
HCPCS,V2219,Lens bifocal seg width over,,,53.03,229.13,7
HCPCS,V2220,Lens bifocal add over 3.25d,,,43.01,185.84,7
HCPCS,V2221,"Lenticular lens, bifocal",,,126.61,547.0,7
HCPCS,V2300,Lens sphere trifocal 4.00d,,,86.13,372.09,7
HCPCS,V2301,Lens sphere trifocal 4.12-7.,,,117.13,506.02,7
HCPCS,V2302,Lens sphere trifocal 7.12-20,,,130.24,562.68,7
HCPCS,V2303,Lens sphcy trifocal 4.0/.12-,,,86.87,375.29,7
HCPCS,V2304,Lens sphcy trifocal 4.0/2.25,,,89.13,385.04,7
HCPCS,V2305,Lens sphcy trifocal 4.0/4.25,,,111.04,479.7,7
HCPCS,V2306,Lens sphcyl trifocal 4.00/>6,,,107.5,464.44,7
HCPCS,V2307,Lens sphcy trifocal 4.25-7/.,,,117.03,505.55,7
HCPCS,V2308,Lens sphc trifocal 4.25-7/2.,,,120.55,520.81,7
HCPCS,V2309,Lens sphc trifocal 4.25-7/4.,,,137.62,594.63,7
HCPCS,V2310,Lens sphc trifocal 4.25-7/>6,,,116.54,503.54,7
HCPCS,V2311,Lens sphc trifo 7.25-12/.25-,,,133.84,578.23,7
HCPCS,V2312,Lens sphc trifo 7.25-12/2.25,,,142.32,614.85,7
HCPCS,V2313,Lens sphc trifo 7.25-12/4.25,,,153.92,664.91,7
HCPCS,V2314,Lens sphcyl trifocal over 12,,,128.03,553.1,7
HCPCS,V2315,Lens lenticular trifocal,,,189.5,818.72,7
HCPCS,V2318,Lens aniseikonic trifocal,,,232.97,1006.49,7
HCPCS,V2319,Lens trifocal seg width > 28,,,63.35,273.73,7
HCPCS,V2320,Lens trifocal add over 3.25d,,,62.41,269.61,7
HCPCS,V2321,"Lenticular lens, trifocal",,,186.8,806.99,7
HCPCS,V2410,Lens variab asphericity sing,,,106.81,461.42,7
HCPCS,V2430,Lens variable asphericity bi,,,131.27,567.14,7
HCPCS,V2500,Contact lens pmma spherical,,,101.53,438.68,7
HCPCS,V2501,Cntct lens pmma-toric/prism,,,196.63,849.49,7
HCPCS,V2502,Contact lens pmma bifocal,,,238.49,1030.36,7
HCPCS,V2503,Cntct lens pmma color vision,,,223.09,963.82,7
HCPCS,V2510,Cntct gas permeable sphericl,,,150.9,651.88,7
HCPCS,V2511,Cntct toric prism ballast,,,253.2,1093.88,7
HCPCS,V2512,Cntct lens gas permbl bifocl,,,265.3,1146.21,7
HCPCS,V2513,Contact lens extended wear,,,214.97,928.72,7
HCPCS,V2520,Contact lens hydrophilic,,,146.21,631.7,7
HCPCS,V2521,Cntct lens hydrophilic toric,,,224.63,970.42,7
HCPCS,V2522,Cntct lens hydrophil bifocl,,,275.79,1191.48,7
HCPCS,V2523,Cntct lens hydrophil extend,,,231.76,1001.27,7
HCPCS,V2524,Cntct lens hydrophil photoch,,,167.02,716.15,8
HCPCS,V2530,Contact lens gas impermeable,,,354.22,1530.37,7
HCPCS,V2531,Contact lens gas permeable,,,665.12,2873.55,7
HCPCS,V2623,Plastic eye prosth custom,,,1126.84,4868.24,8
HCPCS,V2624,Polishing artifical eye,,,72.51,313.29,8
HCPCS,V2625,Enlargemnt of eye prosthesis,,,440.88,1904.69,8
HCPCS,V2626,Reduction of eye prosthesis,,,237.65,1026.7,8
HCPCS,V2627,Scleral cover shell,,,1534.85,6630.94,8
HCPCS,V2628,Fabrication & fitting,,,362.42,1565.72,8
HCPCS,V2630,LENS  MTA3UO DIOPTER 16.0,204.0,204.0,,,0
HCPCS,V2630,LENS IO +9.0 DIOPT 5DEG L13MM DIA5.5MM ANT CHMBR KELMAN,204.0,204.0,,,0
HCPCS,V2630,LENS MTA4U0 DIOPTER 7.5,204.0,204.0,,,0
HCPCS,V2630,PMMA SINGLE-PIECE IOL 13.5D,120.0,120.0,,,0
HCPCS,V2632,123397 : LENS IO +21.0 DIOPT L13MM DIA6MM 10DEG ANT A CONSTANT 118.4,321.6,321.6,,,0
HCPCS,V2632,159317 : LENS MA60AC DIOPTER 15.0D,321.6,321.6,,,0
HCPCS,V2632,19.5 claron iol,360.0,360.0,,,0
HCPCS,V2632,22414 : PMMA SP 7.0 OPTIC 12.5 LENGTH,120.0,120.0,,,0
HCPCS,V2632,366971 : CZ70BD190 PMMA SP 70 OPTIC 125 LENGTH,120.0,120.0,,,0
HCPCS,V2632,367005 : LENS IO +20.5 DIOPT L13MM DIA6MM 10DEG ANT A CONSTANT 118.4,321.6,321.6,,,0
HCPCS,V2632,533681 : LENS IO +9.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533686 : LENS IO +12.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533688 : LENS IO +13.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533692 : LENS IO +15.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533693 : LENS IO +15.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533695 : LENS IO +16.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533697 : LENS IO +6.0 TO +30.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT,355.2,355.2,,,0
HCPCS,V2632,533698 : LENS IO +18.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533699 : LENS IO +18.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533700 : LENS IO +19.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533701 : LENS IO +19.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533702 : LENS IO +20.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533704 : LENS IO +21.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533705 : LENS IO +21.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533706 : LENS IO +22.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533707 : LENS IO +22.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533708 : LENS IO +23.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533709 : LENS IO +23.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533710 : LENS IO +24.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533711 : LENS IO +24.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533712 : LENS IO +25.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533713 : LENS IO +25.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533717 : LENS IO +27.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533721 : LENS IO +29.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,533725 : LENS IO +6.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533727 : LENS IO +7.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533735 : LENS IO +11.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533745 : LENS IO +16.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533746 : LENS IO +17.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533748 : LENS IO +18.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533750 : LENS IO +19.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533752 : LENS IO +20.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533753 : LENS IO +20.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533754 : LENS IO +21.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533755 : LENS IO +21.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533756 : LENS IO +22.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533758 : LENS IO +23.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533759 : LENS IO +23.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533760 : LENS IO +24.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533761 : LENS IO +24.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533762 : LENS IO +25.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,533767 : LENS IO +27.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,ACRYSOF MP FOLDABLE 6.0,321.6,321.6,,,0
HCPCS,V2632,ALCON ANTERIOR LENS MA60AC.255,321.6,321.6,,,0
HCPCS,V2632,ALCON CLEAR LENS SA60WF.265,348.0,348.0,,,0
HCPCS,V2632,ALCON LENS 18.0D,120.0,120.0,,,0
HCPCS,V2632,CATARACT LENS,355.2,355.2,,,0
HCPCS,V2632,CLAREON ASPHERIC UV ABSORBING IOL,355.2,355.2,,,0
HCPCS,V2632,INACTIVE USE PS#109503 -  LENS IO +21.5 DIOPT 0DEG L13MM DIA,348.0,348.0,,,0
HCPCS,V2632,INACTIVE USE PS#124827 -  LENS MA60AC DIOPTER 22.0D,321.6,321.6,,,0
HCPCS,V2632,INTRAOCCULAR LENS - Acrysof IOL,348.0,348.0,,,0
HCPCS,V2632,INTRAOCCULAR LENS - CC60WF 23.0D,355.2,355.2,,,0
HCPCS,V2632,INTRAOCCULAR LENS - clareon iol,355.2,355.2,,,0
HCPCS,V2632,LENS  SA60AT DIOPTER 21.5,321.6,321.6,,,0
HCPCS,V2632,LENS IO +0 DIOPT 5DEG L13MM POST CHMBR MULTIPIECE ACRYSOF,321.6,321.6,,,0
HCPCS,V2632,LENS IO +11.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +13.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +13.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +15.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +16.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +17.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +17.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +17.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +17.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +18.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +18.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +18.5 DIOPT 0DEG L13MM DIA6MM ANT CHMBR SGL PC BCNVX,348.0,348.0,,,0
HCPCS,V2632,LENS IO +19.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +19.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +19.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +19.0 DIOPT 10DEG L13MM DIA6MM A CONSTANT 118.4 POST,321.6,321.6,,,0
HCPCS,V2632,LENS IO +19.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +19.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +19.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +19.5 DIOPT 10DEG L13MM DIA6MM A CONSTANT 118.4 POST,321.6,321.6,,,0
HCPCS,V2632,LENS IO +20.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +20.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +20.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +20.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +20.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +20.5 DIOPT L13MM DIA6MM 10DEG ANT A CONSTANT 118.4,321.6,321.6,,,0
HCPCS,V2632,LENS IO +21.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +21.0 DIOPT L13MM DIA6MM 10DEG ANT A CONSTANT 118.4,321.6,321.6,,,0
HCPCS,V2632,LENS IO +21.0 DIOPT L13MM DIA6MM ACRYLATE/METHACRYLATE,348.0,348.0,,,0
HCPCS,V2632,LENS IO +21.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +22.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +22.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +22.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +22.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +22.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +23.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +23.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +23.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +23.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +24.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +24.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +24.0 DIOPT 10DEG L13MM DIA6MM A CONSTANT 118.4 POST,321.6,321.6,,,0
HCPCS,V2632,LENS IO +24.5 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +24.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +24.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +25.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +25.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +25.5 DIOPT L13MM DIA6MM 0DEG HAPTIC ANG A CONSTANT,348.0,348.0,,,0
HCPCS,V2632,LENS IO +26.0 DIOPT 0DEG 6MM X 13MM A CONSTANT 118.8 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO +29.5 DIOPT 0DEG L13MM DIA6MM A CONSTANT 118.7 POST,348.0,348.0,,,0
HCPCS,V2632,LENS IO +30.0 DIOPT 0DEG L13MM DIA6MM A CONSTANT 119.1 POST,355.2,355.2,,,0
HCPCS,V2632,LENS IO 15.5 DIOPT 118.7 A CONSTANT 0DEG ANG HAPTIC L13MM,348.0,348.0,,,0
HCPCS,V2632,LENS IO 21.0 DIOPT 118.7 A CONSTANT 0DEG ANG HAPTIC L13MM,348.0,348.0,,,0
HCPCS,V2632,LENS IO CLAREON ASPHERIC UV ABSRB CLR MONOFOCAL FLD POST,355.2,355.2,,,0
HCPCS,V2632,LENS IOL SN60WF 11.5,348.0,348.0,,,0
HCPCS,V2632,LENS MA60AC DIOPTER 13.5,321.6,321.6,,,0
HCPCS,V2632,LENSES MA60AC 24.5,321.6,321.6,,,0
HCPCS,V2632,MA60AC120 ACRYSOF MP FOLDABLE 60 OPTIC,321.6,321.6,,,0
HCPCS,V2700,Balance lens,,,54.68,236.24,7
HCPCS,V2710,Glass/plastic slab off prism,,,76.38,329.97,7
HCPCS,V2715,Prism lens/es,,,13.85,59.82,7
HCPCS,V2718,Fresnell prism press-on lens,,,43.96,189.96,7
HCPCS,V2730,Special base curve,,,25.74,111.22,7
HCPCS,V2744,Tint photochromatic lens/es,,,19.54,84.45,7
HCPCS,V2745,"Tint, any color/solid/grad",,,12.23,52.84,7
HCPCS,V2750,Anti-reflective coating,,,22.73,98.24,7
HCPCS,V2755,UV lens/es,,,26.39,113.96,7
HCPCS,V2760,Scratch resistant coating,,,20.07,20.07,1
HCPCS,V2762,"Polarization, any lens",,,69.69,69.69,1
HCPCS,V2770,Occluder lens/es,,,31.0,133.92,7
HCPCS,V2780,Oversize lens/es,,,16.32,70.53,7
HCPCS,V2782,"Lens, 1.54-1.65 p/1.60-1.79g",,,75.28,325.27,7
HCPCS,V2783,"Lens, >= 1.66 p/>=1.80 g",,,84.86,366.59,7
HCPCS,V2784,Lens polycarb or equal,,,55.19,238.42,7
HCPCS,V2785,CORNEAL TISSUE ALLOGRAFT,91.01,91.01,,,0
HCPCS,V2785,Corneal tissue processing,,,12989.24,12989.24,1
HCPCS,V2785,GRAFT CORNEAL W2.0X1.5CM,1944.0,1944.0,,,0
HCPCS,V2785,HC CORNEAL HANDLING CHARGE,10094.0,10094.0,,,0
HCPCS,V2787,534319 : CCW0T3.115 CLAREON TORIC UVA,355.0,355.0,,,0
HCPCS,V2787,CCW0T3.180 CLAREON TORIC UVA,355.0,355.0,,,0
HCPCS,V2787,CCW0T6.210 CLAREON TORIC UVA,355.0,355.0,,,0
HCPCS,V2787,HC 276 OR SUPPLIES V2787 (NONCOV PREMIUM IOL),845.0,845.0,,,0
HCPCS,V2788,CCWET0.210 CLAREON VIVITY (UV),865.0,865.0,,,0
HCPCS,V2788,CCWET0.225 CLAREON VIVITY (UV),355.0,355.0,,,0
HCPCS,V2788,CLAREON VIVITY 23.0,865.0,865.0,,,0
HCPCS,V2788,HC 276 OR SUPPLIES V2788 (NONCOV PREMIUM IOL),845.0,845.0,,,0
HCPCS,V2788,LENS IO +20.5 DIOPT POST CHMBR SGL PC TRIFOCAL CLAREON,865.0,865.0,,,0
HCPCS,V2788,LENS IO +21.0 DIOPT POST CHMBR SGL PC TRIFOCAL CLAREON,865.0,865.0,,,0
HCPCS,V2788,LENS IO +22.0 DIOPT POST CHMBR SGL PC TRIFOCAL CLAREON,865.0,865.0,,,0
HCPCS,V2788,LENS IO .0 DIOPT TRIFOCAL CLAREON PANOPTIX TORIC,845.0,845.0,,,0
HCPCS,V2788,LENS IO 0DEG L13MM DIA6MM A CONSTANT 119.1 POST CHMBR,865.0,865.0,,,0
HCPCS,V2788,LENS IO 20.5 DIOPT 3.0 DIOPT CYL PWR MONOFOCAL FLD TORIC,345.0,345.0,,,0
HCPCS,V2790,101958 : GRAFT CORNEAL W1XL1.5CM THK50-100UM BIO TRANSPLANTATION,1548.0,1548.0,,,0
HCPCS,V2790,138374 : GRAFT CORNEAL W2.0XL1.5CM THK50-100UM BIO TRANSPLANTATION,1944.0,1944.0,,,0
HCPCS,V2790,CRYOPRESERVED ULTRA THICK HUMAN AMIOTIC MEMBRANE,2148.0,2148.0,,,0
HCPCS,V2790,GRAFT CORNEA SPL THCK HALF MOON,996.0,996.0,,,0
HCPCS,V2790,GRAFT CORNEA SPL THCK HALF MOON - LOG7370585,2390.4,2390.4,,,0
HCPCS,V2790,GRAFT CORNEAL W1XL1.5CM THK50-100UM BIO TRANSPLANTATION,1548.0,1548.0,,,0
HCPCS,V5010,HC ASSESSMENT FOR HEARING AID,525.0,525.0,,,0
HCPCS,V5011,HC FIT/CHECK/ORIENT DISP HA,525.0,525.0,,,0
HCPCS,V5011,HC FIT/ORIENT/CHECK HEARING AID (FOLLOW UP),65.0,65.0,,,0
HCPCS,V5014,HC 1 YEAR HA REPAIR,439.0,439.0,,,0
HCPCS,V5014,HC HA REPAIR 6 MONTHS,288.0,288.0,,,0
HCPCS,V5014,HC HA REPAIR 6 MONTHS EXTENSIVE,561.0,561.0,,,0
HCPCS,V5014,HC OFFICE REPAIR,205.0,205.0,,,0
HCPCS,V5014,HC OFFICE REPAIR HEARING AID MINOR,54.0,54.0,,,0
HCPCS,V5014,Hearing aid repair/modifying,,,446.9,446.9,1
HCPCS,V5020,HC CONFORMITY EVAL,256.0,256.0,,,0
HCPCS,V5030,Body-worn hearing aid air,,,2122.78,2122.78,1
HCPCS,V5050,Hearing aid monaural in ear,,,1778.75,1778.75,1
HCPCS,V5130,In ear binaural hearing aid,,,3733.22,3733.22,1
HCPCS,V5140,Behind ear binaur hearing ai,,,3963.7,3963.7,1
HCPCS,V5160,HC DISP FEE BINAURAL DIG,918.93,918.93,,,0
HCPCS,V5171,HC HEARING AID CONTRALATERAL ROUTING DEV MON ITE V5171,1582.0,1582.0,,,0
HCPCS,V5181,HC HEARING AID CONTRALATERAL ROUTING DEV MON BTE V5181,1615.5,1615.5,,,0
HCPCS,V5200,HC DISPENSING FEE CONTRALATERAL MONAURAL,708.65,708.65,,,0
HCPCS,V5211,HC HEARING AID CONTRALATERAL ROUTING SYS BIN ITE/ITE LEVEL I V5211,2736.0,2736.0,,,0
HCPCS,V5211,HC HEARING AID CONTRALATERAL ROUTING SYS BIN ITE/ITE LEVEL II V5211,3357.0,3357.0,,,0
HCPCS,V5211,HC HEARING AID CONTRALATERAL ROUTING SYS BIN ITE/ITE LEVEL III V5211,4293.0,4293.0,,,0
HCPCS,V5211,HC HEARING AID CONTRALATERAL ROUTING SYS BIN ITE/ITE LEVEL IV V5211,5547.0,5547.0,,,0
HCPCS,V5221,HC HEARING AID CONTRALATERAL ROUTING SYS BIN BTE/BTE LEVEL I V5221,3150.0,3150.0,,,0
HCPCS,V5221,HC HEARING AID CONTRALATERAL ROUTING SYS BIN BTE/BTE LEVEL II V5221,3721.0,3721.0,,,0
HCPCS,V5221,HC HEARING AID CONTRALATERAL ROUTING SYS BIN BTE/BTE LEVEL III V5221,4624.0,4624.0,,,0
HCPCS,V5221,HC HEARING AID CONTRALATERAL ROUTING SYS BIN BTE/BTE LEVEL IV V5221,5844.0,5844.0,,,0
HCPCS,V5240,HC DISPENSING FEE CONTRALATERAL ROUTING SYSTEM BINAURAL,918.93,918.93,,,0
HCPCS,V5241,HC DISP FEE MONAURAL DIG V5241,708.65,708.65,,,0
HCPCS,V5254,HC HEARING AID DIG MON CIC LEVEL I V5254,881.0,881.0,,,0
HCPCS,V5254,HC HEARING AID DIG MON CIC LEVEL II V5254,1583.0,1583.0,,,0
HCPCS,V5254,HC HEARING AID DIG MON CIC LEVEL III V5254,2464.0,2464.0,,,0
HCPCS,V5254,HC HEARING AID DIG MON CIC LEVEL IV V5254,4123.0,4123.0,,,0
HCPCS,V5254,"Hearing id, digit, mon, cic",,,3381.83,3381.83,1
HCPCS,V5256,HC HEARING AID DIG MON ITE LEVEL I V5256,1063.0,1063.0,,,0
HCPCS,V5256,HC HEARING AID DIG MON ITE LEVEL II V5256,1272.0,1272.0,,,0
HCPCS,V5256,HC HEARING AID DIG MON ITE LEVEL III V5256,2222.0,2222.0,,,0
HCPCS,V5256,HC HEARING AID DIG MON ITE LEVEL IV V5256,3985.0,3985.0,,,0
HCPCS,V5256,"Hearing aid, digit, mon, ite",,,2415.59,2415.59,1
HCPCS,V5257,HC HEARING AID DIG MON BTE LEVEL I V5257,1265.0,1265.0,,,0
HCPCS,V5257,HC HEARING AID DIG MON BTE LEVEL II V5257,1414.0,1414.0,,,0
HCPCS,V5257,HC HEARING AID DIG MON BTE LEVEL III V5257,2434.0,2434.0,,,0
HCPCS,V5257,HC HEARING AID DIG MON BTE LEVEL IV V5257,3952.0,3952.0,,,0
HCPCS,V5258,HC HEARING AID DIG BIN CIC LEVEL I V5258,1762.0,1762.0,,,0
HCPCS,V5258,HC HEARING AID DIG BIN CIC LEVEL II V5258,3166.0,3166.0,,,0
HCPCS,V5258,HC HEARING AID DIG BIN CIC LEVEL III V5258,4928.0,4928.0,,,0
HCPCS,V5258,HC HEARING AID DIG BIN CIC LEVEL IV V5258,8246.0,8246.0,,,0
HCPCS,V5260,HC HEARING AID DIG BIN ITE LEVEL I V5260,2125.0,2125.0,,,0
HCPCS,V5260,HC HEARING AID DIG BIN ITE LEVEL II V5260,2543.0,2543.0,,,0
HCPCS,V5260,HC HEARING AID DIG BIN ITE LEVEL III V5260,4444.0,4444.0,,,0
HCPCS,V5260,HC HEARING AID DIG BIN ITE LEVEL IV V5260,7971.0,7971.0,,,0
HCPCS,V5260,"Hearing aid, digit, bin, ite",,,3733.22,3733.22,1
HCPCS,V5261,HC HEARING AID DIG BIN BTE LEVEL I V5261,2530.0,2530.0,,,0
HCPCS,V5261,HC HEARING AID DIG BIN BTE LEVEL II V5261,2827.0,2827.0,,,0
HCPCS,V5261,HC HEARING AID DIG BIN BTE LEVEL III V5261,4869.0,4869.0,,,0
HCPCS,V5261,HC HEARING AID DIG BIN BTE LEVEL IV V5261,7905.0,7905.0,,,0
HCPCS,V5261,"Hearing aid, digit, bin, bte",,,3853.87,3853.87,1
HCPCS,V5264,Ear mold/insert,,,165.59,165.59,1
HCPCS,V5264,HC CLOSED EAR MOLD/INSERT,79.5,79.5,,,0
HCPCS,V5264,HC EARMOLD NON DISPOSABLE BASIC V5264,75.275,75.275,,,0
HCPCS,V5264,HC EARMOLD NON DISPOSABLE V5264,177.0,177.0,,,0
HCPCS,V5265,HC EARMOLD/INSERT DISPOSABLE V5265,21.0,21.0,,,0
HCPCS,V5266,HC HEARING AID BATTERIES V5266,9.45,9.45,,,0
HCPCS,V5267,HC COCHLEAR IMPLANT EARHOOKS V5267,98.0,98.0,,,0
HCPCS,V5267,HC COCHLEAR IMPLANT MAGNET V5267,101.0,101.0,,,0
HCPCS,V5267,HC HEARING AID ACCESSORIES LEVEL I V5267,14.0,14.0,,,0
HCPCS,V5267,HC HEARING AID ACCESSORIES LEVEL II V5267,84.0,84.0,,,0
HCPCS,V5267,HC HEARING AID ACCESSORIES LEVEL III V5267,230.0,230.0,,,0
HCPCS,V5267,HC HEARING AID ACCESSORIES LEVEL IV V5267,385.0,385.0,,,0
HCPCS,V5267,Hearing aid sup/access/dev,,,31.78,31.78,1
HCPCS,V5269,HC ASSISTED LISTENING DEVICE ALERT ANY TYPE LEVEL I,350.0,350.0,,,0
HCPCS,V5269,HC ASSISTED LISTENING DEVICE ALERT ANY TYPE LEVEL II,1200.0,1200.0,,,0
HCPCS,V5270,HC ALD TV V5270,165.0,165.0,,,0
HCPCS,V5275,HC EAR IMPRESSION V5275,58.745000000000005,58.745000000000005,,,0
HCPCS,V5281,HC FM SYSTEM MONAURAL,6095.0,6095.0,,,0
HCPCS,V5282,HC FM SYSTEM BINAURAL,6566.0,6566.0,,,0
HCPCS,V5289,HC FM BOOT COUPLING V5289,140.0,140.0,,,0
HCPCS,V5299,HC FM FIT VERIFY BINAURAL,293.0,293.0,,,0
HCPCS,V5363,HC SPEECH SCREENING,221.0,221.0,,,0
HCPCS,j0882,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE [108048],5316.55,5316.55,,,0
MS-DRG,1,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,234548.05,660915.66,13
MS-DRG,10,Pancreas Transplant,,,40087.18,169231.71,13
MS-DRG,100,Seizures With Mcc,,,16095.62,45677.49,13
MS-DRG,101,Seizures Without Mcc,,,7720.11,21286.92,13
MS-DRG,102,Headaches With Mcc,,,9560.21,26435.31,13
MS-DRG,103,Headaches Without Mcc,,,6939.48,19723.3,13
MS-DRG,104,Cardiac Valve & Oth Major Cardiothoracic Proc w Cardiac Cath,,,,,0
MS-DRG,105,Cardiac Valve & Oth Major Cardiothoracic Proc w/o Cardiac Cath,,,,,0
MS-DRG,106,Coronary Bypass w PTCA,,,,,0
MS-DRG,107,No Longer Valid,,,,,0
MS-DRG,108,Other Cardiothoracic Procedures,,,,,0
MS-DRG,109,No Longer Valid,,,,,0
MS-DRG,11,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,43626.19,128629.49,13
MS-DRG,110,Major Cardiovascular Procedures w CC,,,,,0
MS-DRG,111,Major Cardiovascular Procedures w/o CC,,,,,0
MS-DRG,112,No Longer Valid,,,,,0
MS-DRG,113,Orbital Procedures With Cc/Mcc,,,20449.89,55448.34,13
MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,11146.33,31909.15,13
MS-DRG,115,Extraocular Procedures Except Orbit,,,12096.58,36199.08,13
MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,15168.46,42642.23,13
MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,8903.03,25586.28,13
MS-DRG,118,Cardiac Pacemaker Device Replacement,,,,,0
MS-DRG,119,Vein ligation & stripping,,,,,0
MS-DRG,12,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,33868.82,99430.14,13
MS-DRG,120,Other circulatory system O.R. procedures,,,,,0
MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,9407.46,27435.27,13
MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,6268.09,18532.31,13
MS-DRG,123,Neurological Eye Disorders,,,6686.38,18834.18,13
MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,11823.05,31203.99,13
MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,7195.25,18107.8,13
MS-DRG,126,Acute & Subacute Endocarditis,,,,,0
MS-DRG,127,Heart Failure & Shock,,,,,0
MS-DRG,128,Deep Vein Thrombophlebitis,,,,,0
MS-DRG,129,Major Head & Neck Procedures W Cc/Mcc Or Major Device,,,,,0
MS-DRG,13,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,20661.25,67964.37,13
MS-DRG,130,Major Head & Neck Procedures W/O Cc/Mcc,,,,,0
MS-DRG,131,Cranial/Facial Procedures W Cc/Mcc,,,,,0
MS-DRG,132,Cranial/Facial Procedures W/O Cc/Mcc,,,,,0
MS-DRG,133,"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc",,,,,0
MS-DRG,134,"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc",,,,,0
MS-DRG,135,Sinus And Mastoid Procedures With Cc/Mcc,,,20409.92,51177.28,13
MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,10768.01,23944.84,13
MS-DRG,137,Mouth Procedures With Cc/Mcc,,,12229.79,35215.63,13
MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,7506.08,20900.14,13
MS-DRG,139,Salivary Gland Procedures,,,10305.32,29142.75,13
MS-DRG,14,Allogeneic Bone Marrow Transplant,,,106128.58,283430.15,13
MS-DRG,140,Major Head And Neck Procedures With Mcc,,,35351.03,100592.84,13
MS-DRG,141,Major Head And Neck Procedures With Cc,,,19604.43,51439.06,13
MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,14287.48,37649.5,13
MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,26321.0,88359.81,13
MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,15545.89,40868.71,13
MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,10776.89,28355.04,13
MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,17078.72,49936.76,13
MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,11105.48,29987.06,13
MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,6427.94,18798.81,13
MS-DRG,149,Dysequilibrium,,,6315.16,17725.73,13
MS-DRG,150,Epistaxis With Mcc,,,11789.3,31402.1,13
MS-DRG,151,Epistaxis Without Mcc,,,6250.33,17310.66,13
MS-DRG,152,Otitis Media And Uri With Mcc,,,9254.71,27881.0,13
MS-DRG,153,Otitis Media And Uri Without Mcc,,,6321.37,17409.71,13
MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,12846.12,36873.58,13
MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,7844.44,21614.74,13
MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,5860.46,16298.9,13
MS-DRG,157,Dental And Oral Diseases With Mcc,,,14857.63,40489.01,13
MS-DRG,158,Dental And Oral Diseases With Cc,,,7906.6,21456.72,13
MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,6024.76,16709.26,13
MS-DRG,16,Autologous Bone Marrow Transplant With Cc/Mcc,,,58075.3,139846.04,13
MS-DRG,160,Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC,,,,,0
MS-DRG,161,Inguinal & Femoral Hernia Procedures Age >17 w CC,,,,,0
MS-DRG,162,Inguinal & Femoral Hernia Procedures Age >17 w/o CC,,,,,0
MS-DRG,163,Major Chest Procedures With Mcc,,,43687.47,105698.77,13
MS-DRG,164,Major Chest Procedures With Cc,,,22813.96,59526.02,13
MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,16450.85,45144.49,13
MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,31065.14,88149.92,13
MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,16852.26,42531.39,13
MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,11914.52,32225.18,13
MS-DRG,169,Mouth Procedures w/o CC,,,,,0
MS-DRG,17,Autologous Bone Marrow Transplant Without Cc/Mcc,,,38907.8,128115.36,13
MS-DRG,171,Other Digestive System O.R. Procedures w/o CC,,,,,0
MS-DRG,173,Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism,,,27308.55,70195.42,13
MS-DRG,174,G.I. hemorrhage w CC,,,,,0
MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,13009.53,32394.98,13
MS-DRG,176,Pulmonary Embolism Without Mcc,,,7983.87,18985.12,13
MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,16347.83,36854.72,13
MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,11317.73,23017.98,13
MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,8183.68,17805.92,13
MS-DRG,18,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,331512.5,1018423.16,13
MS-DRG,180,Respiratory Neoplasms With Mcc,,,15061.89,41649.34,13
MS-DRG,181,Respiratory Neoplasms With Cc,,,10132.14,25258.46,13
MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,7061.15,17777.62,13
MS-DRG,183,Major Chest Trauma With Mcc,,,13240.43,36081.16,13
MS-DRG,184,Major Chest Trauma With Cc,,,8919.91,25095.73,13
MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,6503.43,18548.82,13
MS-DRG,186,Pleural Effusion With Mcc,,,13849.65,36755.66,13
MS-DRG,187,Pleural Effusion With Cc,,,9360.39,23326.93,13
MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,6813.37,16914.44,13
MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,10970.49,29135.67,13
MS-DRG,19,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,59163.2,168262.41,13
MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,10574.4,26124.0,13
MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,8116.19,19881.31,13
MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,6430.61,15140.93,13
MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,11693.39,30998.81,13
MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,7994.52,19006.35,13
MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,6099.35,14822.54,13
MS-DRG,196,Interstitial Lung Disease With Mcc,,,14547.69,44507.72,13
MS-DRG,197,Interstitial Lung Disease With Cc,,,8895.93,22383.57,13
MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,6736.11,16890.86,13
MS-DRG,199,Pneumothorax With Mcc,,,15832.74,41604.53,13
MS-DRG,2,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,119204.72,267249.17,13
MS-DRG,20,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,84894.0,185577.78,13
MS-DRG,200,Pneumothorax With Cc,,,9545.12,25925.89,13
MS-DRG,201,Pneumothorax Without Cc/Mcc,,,6206.81,16864.92,13
MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,8348.87,22904.78,13
MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,6189.94,15801.28,13
MS-DRG,204,Respiratory Signs And Symptoms,,,6816.93,19041.72,13
MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,13480.21,43182.3,13
MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,7668.6,22194.9,13
MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,49701.57,151755.96,13
MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,21646.14,64825.34,13
MS-DRG,209,Complex Aortic Arch Procedures,,,100520.34,266942.58,13
MS-DRG,21,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,57478.55,124848.98,13
MS-DRG,210,Hip & Femur Procedures Except Major Joint Age >17 w CC,,,,,0
MS-DRG,211,Hip & Femur Procedures Except Major Joint Age >17 w/o CC,,,,,0
MS-DRG,212,Concomitant Aortic And Mitral Valve Procedures,,,95652.76,256454.77,13
MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,50682.01,134591.53,13
MS-DRG,214,No Longer Valid,,,,,0
MS-DRG,215,Other Heart Assist System Implant,,,107126.59,234825.89,13
MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,87217.74,230717.56,13
MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,56506.95,155071.88,13
MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,52443.97,155071.88,13
MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,68307.79,181085.03,13
MS-DRG,22,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,34945.72,74935.8,13
MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,46227.38,125768.76,13
MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,40917.54,118868.08,13
MS-DRG,222,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc",,,,,0
MS-DRG,223,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc",,,,,0
MS-DRG,224,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc",,,,,0
MS-DRG,225,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc",,,,,0
MS-DRG,226,Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc,,,,,0
MS-DRG,227,Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc,,,,,0
MS-DRG,228,Other Cardiothoracic Procedures With Mcc,,,53790.51,116679.48,13
MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,34648.67,74277.81,13
MS-DRG,23,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,48490.22,135143.4,13
MS-DRG,230,Other cardiothoracic procedures w/o CC/MCC,,,,,0
MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,74589.2,198810.76,13
MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,54709.47,142980.36,13
MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,67829.12,180304.4,13
MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,45711.41,128832.32,13
MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,51596.73,138405.06,13
MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,34868.8,98788.66,13
MS-DRG,237,Major cardiovasc procedures w MCC,,,,,0
MS-DRG,238,Major cardiovasc procedures w/o MCC,,,,,0
MS-DRG,239,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc,,,41822.49,116073.37,13
MS-DRG,24,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,34807.53,92258.25,13
MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,24376.99,67226.19,13
MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,14173.8,32649.69,13
MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,33186.77,75299.0,13
MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,22684.3,50255.15,13
MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,18745.66,42628.08,13
MS-DRG,245,Aicd Generator Procedures,,,44511.61,107599.64,13
MS-DRG,246,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0
MS-DRG,247,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc,,,,,0
MS-DRG,248,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0
MS-DRG,249,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc,,,,,0
MS-DRG,25,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,37987.75,107229.37,13
MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,22972.93,51472.08,13
MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,14900.26,35246.29,13
MS-DRG,252,Other Vascular Procedures With Mcc,,,28949.73,82268.07,13
MS-DRG,253,Other Vascular Procedures With Cc,,,23039.54,61214.63,13
MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,16074.3,42019.61,13
MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,22559.97,63615.48,13
MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,15529.91,40043.27,13
MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,10000.7,25758.44,13
MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,26543.02,74103.29,13
MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,18623.1,47689.21,13
MS-DRG,26,Craniotomy And Endovascular Intracranial Procedures With Cc,,,26781.92,73327.37,13
MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,32144.16,76714.04,13
MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,17688.84,44585.55,13
MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,14483.75,38439.56,13
MS-DRG,263,Vein Ligation And Stripping,,,21244.72,72105.72,13
MS-DRG,264,Other Circulatory System O.R. Procedures,,,28050.99,78784.71,13
MS-DRG,265,Aicd Lead Procedures,,,27678.88,85331.63,13
MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,63866.49,144532.19,13
MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,51803.82,112278.71,13
MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,59534.42,162208.39,13
MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,36863.44,99599.95,13
MS-DRG,27,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,21364.61,59500.07,13
MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,44952.1,124436.26,13
MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,31027.84,83871.78,13
MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,23250.9,60209.95,13
MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,32437.23,97295.79,13
MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,26449.78,77631.45,13
MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,62483.74,168163.35,13
MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,55151.73,141659.65,13
MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,42471.68,108922.7,13
MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,39612.05,131273.26,13
MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,28423.98,85053.34,13
MS-DRG,28,Spinal Procedures With Mcc,,,47732.69,141699.75,13
MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,14716.42,37831.09,13
MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,8699.66,21676.05,13
MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,6651.74,17053.59,13
MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,16027.23,46715.19,13
MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,6808.04,16324.84,13
MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,5296.53,14124.46,13
MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,19367.31,52186.68,13
MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,10114.38,25237.24,13
MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,23925.84,63823.02,13
MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,15185.33,40255.53,13
MS-DRG,29,Spinal Procedures With Cc Or Spinal Neurostimulators,,,28025.24,80459.17,13
MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,8982.07,21926.04,13
MS-DRG,291,Heart Failure And Shock With Mcc,,,11948.27,30277.14,13
MS-DRG,292,Heart Failure And Shock With Cc,,,8168.59,20022.82,13
MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,5911.08,13348.54,13
MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,10308.87,10308.87,1
MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,4896.0,4896.0,1
MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,13636.51,36835.85,13
MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,5793.85,14952.26,13
MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,4285.0,10733.08,13
MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,12880.76,38505.6,13
MS-DRG,3,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,162496.1,500575.12,13
MS-DRG,30,Spinal Procedures Without Cc/Mcc,,,19322.02,51771.6,13
MS-DRG,300,Peripheral Vascular Disorders With Cc,,,9091.31,25175.92,13
MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,6449.26,16973.4,13
MS-DRG,302,Atherosclerosis With Mcc,,,9498.05,28220.61,13
MS-DRG,303,Atherosclerosis Without Mcc,,,5910.19,15876.75,13
MS-DRG,304,Hypertension With Mcc,,,9601.07,28064.96,13
MS-DRG,305,Hypertension Without Mcc,,,6393.31,17808.28,13
MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,12511.31,37163.67,13
MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,7601.99,21536.91,13
MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,10688.97,28395.14,13
MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,6780.51,17350.75,13
MS-DRG,31,Ventricular Shunt Procedures With Mcc,,,37147.62,105668.11,13
MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,4993.69,13350.9,13
MS-DRG,311,Angina Pectoris,,,6102.91,16553.61,13
MS-DRG,312,Syncope And Collapse,,,7117.99,20555.81,13
MS-DRG,313,Chest Pain,,,6281.41,16980.48,13
MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,17966.81,49177.36,13
MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,8489.19,22718.47,13
MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,6672.17,16086.65,13
MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,54940.37,157694.42,13
MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,21511.15,57125.16,13
MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,36417.62,105253.03,13
MS-DRG,32,Ventricular Shunt Procedures With Cc,,,20444.56,50257.5,13
MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,20849.52,56726.6,13
MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,25529.72,64167.35,13
MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,16193.31,41578.59,13
MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,36766.64,102057.4,13
MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,26363.63,74313.18,13
MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,23483.58,75714.07,13
MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,46676.75,117622.84,13
MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,22062.65,57644.01,13
MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,13695.13,37788.64,13
MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,44339.32,108403.86,13
MS-DRG,33,Ventricular Shunt Procedures Without Cc/Mcc,,,14988.18,39217.83,13
MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,22409.0,56535.56,13
MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,15050.34,39689.51,13
MS-DRG,332,Rectal Resection With Mcc,,,30178.84,85390.59,13
MS-DRG,333,Rectal Resection With Cc,,,17120.46,55238.44,13
MS-DRG,334,Rectal Resection Without Cc/Mcc,,,11600.14,38628.23,13
MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,36073.93,84216.11,13
MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,20409.92,49731.58,13
MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,14238.63,36201.44,13
MS-DRG,338,Appendectomy With Complicated Principal Diagnosis With Mcc,,,,,0
MS-DRG,339,Appendectomy With Complicated Principal Diagnosis With Cc,,,,,0
MS-DRG,34,Carotid Artery Stent Procedures With Mcc,,,31969.21,91286.59,13
MS-DRG,340,Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,341,Appendectomy Without Complicated Principal Diagnosis With Mcc,,,,,0
MS-DRG,342,Appendectomy Without Complicated Principal Diagnosis With Cc,,,,,0
MS-DRG,343,Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,26528.82,60912.76,13
MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,14543.25,35486.84,13
MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,10982.03,27975.34,13
MS-DRG,347,Anal And Stomal Procedures With Mcc,,,21412.57,54139.43,13
MS-DRG,348,Anal And Stomal Procedures With Cc,,,12433.16,30866.74,13
MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,8434.12,20532.23,13
MS-DRG,35,Carotid Artery Stent Procedures With Cc,,,19718.11,56377.55,13
MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,21726.95,58768.97,13
MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,13322.13,35953.81,13
MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,9355.95,27541.4,13
MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,26339.65,68440.77,13
MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,15372.72,39677.72,13
MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,12031.75,31720.48,13
MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,35307.52,103599.8,13
MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,18975.67,54844.59,13
MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,11974.02,32968.07,13
MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,30537.62,81095.94,13
MS-DRG,36,Carotid Artery Stent Procedures Without Cc/Mcc,,,15328.31,45819.0,13
MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,21440.99,56938.85,13
MS-DRG,361,Laparoscopy & Incisional Tubal Interruption,,,,,0
MS-DRG,362,Endoscopic Tubal Interruption,,,,,0
MS-DRG,363,"D&C, Conization & Radio-Implant, for Malignancy",,,,,0
MS-DRG,364,"D&C, Conization Except for Malignancy",,,,,0
MS-DRG,365,Other Female Reproductive System O.R. Procedures,,,,,0
MS-DRG,366,"Malignancy, female reproductive system w CC",,,,,0
MS-DRG,367,"Malignancy, Female Reproductive System w/o CC",,,,,0
MS-DRG,368,Major Esophageal Disorders With Mcc,,,17264.33,37543.37,13
MS-DRG,369,Major Esophageal Disorders With Cc,,,9847.06,23588.72,13
MS-DRG,37,Extracranial Procedures With Mcc,,,28505.69,77640.89,13
MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,6601.12,16527.67,13
MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,15441.99,41816.79,13
MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,9221.85,24079.26,13
MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,6728.12,17155.0,13
MS-DRG,374,Digestive Malignancy With Mcc,,,18338.91,50439.1,13
MS-DRG,375,Digestive Malignancy With Cc,,,10716.5,28527.21,13
MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,8132.18,21798.69,13
MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,15886.03,43111.55,13
MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,8794.69,23128.83,13
MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,5800.96,14867.35,13
MS-DRG,38,Extracranial Procedures With Cc,,,14846.08,38267.4,13
MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,17282.1,46276.52,13
MS-DRG,381,Complicated Peptic Ulcer With Cc,,,9724.51,25553.26,13
MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,6818.7,18881.35,13
MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,11998.0,32562.43,13
MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,7595.77,20159.6,13
MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,15078.76,37316.96,13
MS-DRG,386,Inflammatory Bowel Disease With Cc,,,8704.1,23025.06,13
MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,6187.27,16067.78,13
MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,13593.89,34828.85,13
MS-DRG,389,Gastrointestinal Obstruction With Cc,,,7488.32,18626.64,13
MS-DRG,39,Extracranial Procedures Without Cc/Mcc,,,10056.65,27722.99,13
MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,5248.57,12829.7,13
MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,10847.93,29911.59,13
MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,6708.58,18386.09,13
MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,14498.84,37717.89,13
MS-DRG,394,Other Digestive System Diagnoses With Cc,,,8357.75,22067.55,13
MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,6007.88,15306.02,13
MS-DRG,396,Red Blood Cell Disorders Age 0-17,,,,,0
MS-DRG,397,Appendix Procedures With Mcc,,,19951.67,56481.32,13
MS-DRG,398,Appendix Procedures With Cc,,,13439.36,35696.74,13
MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,9885.25,26996.6,13
MS-DRG,4,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,101411.97,326671.42,13
MS-DRG,40,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,34885.68,91062.54,13
MS-DRG,400,No Longer Valid,,,,,0
MS-DRG,401,Lymphoma & non-acute leukemia w other O.R. proc w CC,,,,,0
MS-DRG,402,Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical,,,34743.58,94819.47,13
MS-DRG,403,Lymphoma & non-acute leukemia w CC,,,,,0
MS-DRG,404,Lymphoma & Non-Acute Leukemia w/o CC,,,,,0
MS-DRG,405,"Pancreas, Liver And Shunt Procedures With Mcc",,,47770.87,129016.27,13
MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,25155.84,68398.32,13
MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,17822.05,52347.05,13
MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,35936.28,84091.11,13
MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,20627.5,51349.44,13
MS-DRG,41,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,20944.55,51854.14,13
MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,14676.46,37444.32,13
MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,35506.45,77905.03,13
MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,21153.25,49585.36,13
MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,14974.86,39161.23,13
MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,31768.51,84020.36,13
MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,17928.62,48741.05,13
MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,12371.88,32152.07,13
MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,21521.8,56280.86,13
MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,14779.48,39894.69,13
MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,11582.38,32211.03,13
MS-DRG,42,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,16620.47,40746.08,13
MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,31239.21,80353.05,13
MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,15799.88,40977.2,13
MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,13388.74,33005.81,13
MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,35043.76,97944.35,13
MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,19458.79,51599.43,13
MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,13258.19,35383.08,13
MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,93030.25,259923.98,13
MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,63077.87,170243.46,13
MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,48880.98,132589.25,13
MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,74071.45,212482.41,13
MS-DRG,43,Hyphema,,,,,0
MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,48582.58,136011.29,13
MS-DRG,431,Childhood Mental Disorders,,,,,0
MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,16216.4,46418.03,13
MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,9128.61,24909.42,13
MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,5782.31,16803.6,13
MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,15076.99,43316.73,13
MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,10087.73,26675.86,13
MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,7689.02,20124.23,13
MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,14548.58,38446.64,13
MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,7657.94,19838.86,13
MS-DRG,44,Acute Major Eye Infections,,,,,0
MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,5517.66,14655.1,13
MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,16493.48,42326.2,13
MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,8338.21,22765.64,13
MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,6179.28,16501.72,13
MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,14306.13,39406.51,13
MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,9481.17,25810.33,13
MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,7060.26,19511.04,13
MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,59543.3,157578.85,13
MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,36264.87,100015.03,13
MS-DRG,449,Poisoning & toxic Effects of Drugs Age >17 w CC,,,,,0
MS-DRG,45,Neurological eye disorders,,,,,0
MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,45737.16,125693.29,13
MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,27406.24,76185.75,13
MS-DRG,452,Complications of treatment w CC,,,,,0
MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,84340.35,84340.35,1
MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,56276.04,56276.04,1
MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,44404.15,44404.15,1
MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,81039.35,198185.79,13
MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,58121.48,140633.75,13
MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,45480.51,98406.6,13
MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,56702.32,56702.32,1
MS-DRG,46,Other Disorders of the Eye Age >17 w CC,,,,,0
MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,35856.35,35856.35,1
MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,39808.32,130254.43,13
MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,28366.26,62733.44,13
MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,45575.53,134417.01,13
MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,26145.16,73457.08,13
MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,16317.64,43010.14,13
MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,45409.46,122764.15,13
MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,30820.03,83171.33,13
MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,24789.95,64808.83,13
MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,28189.53,71534.99,13
MS-DRG,47,Other Disorders of the Eye Age >17 w/o CC,,,,,0
MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,17671.08,45491.18,13
MS-DRG,471,Cervical Spinal Fusion With Mcc,,,44499.17,113880.06,13
MS-DRG,472,Cervical Spinal Fusion With Cc,,,26170.03,69480.82,13
MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,21073.32,57575.62,13
MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,33703.64,101243.75,13
MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,19083.13,53670.11,13
MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,10219.17,27833.84,13
MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,27871.6,81473.29,13
MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,20241.19,57997.77,13
MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,15967.73,43840.3,13
MS-DRG,48,Other Disorders of the Eye Age 0-17,,,,,0
MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,26912.47,68683.68,13
MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,18314.94,49396.69,13
MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,14782.14,38465.5,13
MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,21167.46,65372.49,13
MS-DRG,484,Major joint & limb reattachment proc of upper extremity w/o CC/MCC,,,,,0
MS-DRG,485,Knee Procedures With Principal Diagnosis Of Infection With Mcc,,,29343.15,76107.93,13
MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,19701.23,49316.5,13
MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,14655.15,36937.26,13
MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,18760.75,41717.74,13
MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,11521.99,26338.61,13
MS-DRG,49,Major Head & Neck Procedures,,,,,0
MS-DRG,490,Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim,,,,,0
MS-DRG,491,Back & neck proc exc spinal fusion w/o CC/MCC,,,,,0
MS-DRG,492,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc",,,30110.45,86591.01,13
MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,19947.23,59811.38,13
MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,15576.09,47321.3,13
MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,30748.1,85508.51,13
MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,17414.42,42543.18,13
MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,12743.99,28496.55,13
MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,20230.53,71148.21,13
MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,9939.42,47517.04,13
MS-DRG,5,Liver Transplant With Mcc Or Intestinal Transplant,,,91068.47,243162.83,13
MS-DRG,50,Sialoadenectomy,,,,,0
MS-DRG,500,Soft Tissue Procedures With Mcc,,,27246.39,74638.64,13
MS-DRG,501,Soft Tissue Procedures With Cc,,,14985.51,41227.19,13
MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,11466.04,31741.71,13
MS-DRG,503,Foot Procedures With Mcc,,,22754.46,65825.3,13
MS-DRG,504,Foot Procedures With Cc,,,15359.4,44083.21,13
MS-DRG,505,Foot Procedures Without Cc/Mcc,,,14029.94,42281.4,13
MS-DRG,506,Major Thumb Or Joint Procedures,,,12524.63,31819.53,13
MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,17251.01,42602.14,13
MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,12854.11,35715.61,13
MS-DRG,509,Arthroscopy,,,14833.65,14833.65,1
MS-DRG,51,Salivary Gland Procedures Except Sialoadenectomy,,,,,0
MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,24265.98,71235.47,13
MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,16405.56,49040.57,13
MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,13517.51,39040.95,13
MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,14561.01,37128.29,13
MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,8879.05,24109.92,13
MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,27370.72,75159.85,13
MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,16743.92,49009.91,13
MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,12263.54,36241.53,13
MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,27532.35,88140.48,13
MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,16536.11,47172.72,13
MS-DRG,52,Spinal Disorders And Injuries With Cc/Mcc,,,15100.96,42717.7,13
MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,11670.3,35232.14,13
MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,27205.53,67690.8,13
MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,19441.02,49943.84,13
MS-DRG,523,Alc/Drug Abuse or Depend w/o Rehabilitation therapy w/o CC,,,,,0
MS-DRG,524,Transient ischemia,,,,,0
MS-DRG,525,Other heart assist system implant,,,,,0
MS-DRG,526,No Longer Valid,,,,,0
MS-DRG,527,No Longer Valid,,,,,0
MS-DRG,528,Intracranial Vascular Proc w Pdx Hemorrhage,,,,,0
MS-DRG,529,Ventricular shunt procedures w CC,,,,,0
MS-DRG,53,Spinal Disorders And Injuries Without Cc/Mcc,,,8117.97,23093.45,13
MS-DRG,530,Ventricular Shunt Procedures w/o CC,,,,,0
MS-DRG,531,Spinal Procedures w CC,,,,,0
MS-DRG,532,Spinal Procedures w/o CC,,,,,0
MS-DRG,533,Fractures Of Femur With Mcc,,,13592.11,36972.64,13
MS-DRG,534,Fractures Of Femur Without Mcc,,,6887.08,19011.06,13
MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,11143.67,30234.69,13
MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,6722.79,19046.44,13
MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,8086.0,22506.21,13
MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,6456.36,16987.56,13
MS-DRG,539,Osteomyelitis With Mcc,,,17932.17,46453.4,13
MS-DRG,54,Nervous System Neoplasms With Mcc,,,11692.5,36010.41,13
MS-DRG,540,Osteomyelitis With Cc,,,11517.55,30571.94,13
MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,7839.11,18570.04,13
MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,16210.18,41661.14,13
MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,9524.69,24244.35,13
MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,7090.45,17796.49,13
MS-DRG,545,Connective Tissue Disorders With Mcc,,,22016.47,58528.41,13
MS-DRG,546,Connective Tissue Disorders With Cc,,,10784.88,27201.79,13
MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,7616.2,19720.94,13
MS-DRG,548,Septic Arthritis With Mcc,,,18358.45,45538.35,13
MS-DRG,549,Septic Arthritis With Cc,,,11049.53,28470.6,13
MS-DRG,55,Nervous System Neoplasms Without Mcc,,,9300.01,24046.25,13
MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,8204.11,20614.77,13
MS-DRG,551,Medical Back Problems With Mcc,,,14134.73,39529.14,13
MS-DRG,552,Medical Back Problems Without Mcc,,,8001.63,22671.3,13
MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,10990.92,30571.94,13
MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,6721.9,19577.08,13
MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,11360.36,31173.33,13
MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,6817.81,19588.87,13
MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,12720.9,35067.05,13
MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,7668.6,21065.23,13
MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,15973.95,43981.8,13
MS-DRG,56,Degenerative Nervous System Disorders With Mcc,,,18867.32,54787.99,13
MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,9073.54,26557.94,13
MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,6714.8,18959.18,13
MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,12505.1,33602.48,13
MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,7443.02,21119.47,13
MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,13962.44,36404.26,13
MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,8665.91,22980.25,13
MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,6769.86,17671.49,13
MS-DRG,567,"Stomach, Esophageal & Duodenal Proc Age > 17 w CC w Major Gi Dx",,,,,0
MS-DRG,568,"Stomach, Esophageal & Duodenal Procedures Proc Age > 17 w CC w/o Major Gi Dx",,,,,0
MS-DRG,569,Major Small & Large Bowel Procedures w CC w Major Gi Dx,,,,,0
MS-DRG,57,Degenerative Nervous System Disorders Without Mcc,,,10736.04,30555.43,13
MS-DRG,570,Skin Debridement With Mcc,,,26950.65,69362.9,13
MS-DRG,571,Skin Debridement With Cc,,,15123.17,39845.17,13
MS-DRG,572,Skin Debridement Without Cc/Mcc,,,10466.95,27034.34,13
MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,46637.68,154508.22,13
MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,27050.12,81869.5,13
MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,15617.83,42380.45,13
MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,43344.67,115589.9,13
MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,22283.78,62514.11,13
MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,13585.01,37885.34,13
MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,24846.79,76376.78,13
MS-DRG,58,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,15626.71,40316.85,13
MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,14118.74,40753.15,13
MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,10980.26,34034.07,13
MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,13938.46,45436.93,13
MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,12238.67,40668.25,13
MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,16619.59,50486.27,13
MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,13904.72,45495.89,13
MS-DRG,59,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,9762.7,29265.39,13
MS-DRG,592,Skin Ulcers With Mcc,,,15170.23,45642.12,13
MS-DRG,593,Skin Ulcers With Cc,,,10030.01,27977.7,13
MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,7195.25,20442.61,13
MS-DRG,595,Major Skin Disorders With Mcc,,,17645.32,50014.59,13
MS-DRG,596,Major Skin Disorders Without Mcc,,,8982.96,25529.68,13
MS-DRG,597,Malignant Breast Disorders With Mcc,,,15275.03,39316.89,13
MS-DRG,598,Malignant Breast Disorders With Cc,,,10322.19,26680.58,13
MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,6362.23,18145.53,13
MS-DRG,6,Liver Transplant Without Mcc,,,43209.68,109359.01,13
MS-DRG,60,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,7395.07,21692.56,13
MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,8490.07,24565.09,13
MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,5499.01,14268.32,13
MS-DRG,602,Cellulitis With Mcc,,,12823.92,33519.94,13
MS-DRG,603,Cellulitis Without Mcc,,,7528.28,20539.31,13
MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,12582.36,34718.01,13
MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,7641.95,21602.94,13
MS-DRG,606,Minor Skin Disorders With Mcc,,,12262.65,35687.31,13
MS-DRG,607,Minor Skin Disorders Without Mcc,,,7113.54,21376.54,13
MS-DRG,61,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,25289.94,65023.45,13
MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,20990.73,51691.41,13
MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,13154.29,33001.09,13
MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,36724.01,82246.84,13
MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,18415.29,44109.16,13
MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,10295.55,33449.19,13
MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,25938.24,68096.44,13
MS-DRG,62,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,17261.67,41441.8,13
MS-DRG,620,O.R. Procedures For Obesity With Cc,,,16070.75,37741.48,13
MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,14016.61,35574.11,13
MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,33729.39,83940.17,13
MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,17079.61,42307.34,13
MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,11509.56,29524.81,13
MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,24718.01,71226.04,13
MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,14303.46,35361.85,13
MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,9635.7,31326.63,13
MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,32637.05,87892.85,13
MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,20769.6,51384.82,13
MS-DRG,63,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,14457.99,33107.22,13
MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,13627.63,34420.85,13
MS-DRG,637,Diabetes With Mcc,,,12267.09,33883.13,13
MS-DRG,638,Diabetes With Cc,,,7745.86,21135.98,13
MS-DRG,639,Diabetes Without Cc/Mcc,,,5611.8,14650.38,13
MS-DRG,64,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,16600.05,47427.42,13
MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,10569.96,31498.79,13
MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,6677.5,18353.07,13
MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,11220.93,33538.81,13
MS-DRG,643,Endocrine Disorders With Mcc,,,14512.16,38821.62,13
MS-DRG,644,Endocrine Disorders With Cc,,,8991.84,24173.6,13
MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,6597.57,18119.59,13
MS-DRG,65,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,9160.58,23826.92,13
MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,40080.07,110877.82,13
MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,32802.23,87397.59,13
MS-DRG,652,Kidney Transplant,,,29436.4,76164.53,13
MS-DRG,653,Major Bladder Procedures With Mcc,,,48746.88,122551.9,13
MS-DRG,654,Major Bladder Procedures With Cc,,,25517.29,66018.69,13
MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,18447.26,49917.89,13
MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,29551.85,75086.74,13
MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,17294.53,43158.72,13
MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,13910.93,36597.65,13
MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,24218.91,59924.59,13
MS-DRG,66,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,6454.59,16140.89,13
MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,12855.89,31170.97,13
MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,9527.35,24418.87,13
MS-DRG,662,Minor Bladder Procedures With Mcc,,,28229.49,72202.42,13
MS-DRG,663,Minor Bladder Procedures With Cc,,,14567.23,35852.4,13
MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,10530.0,24690.09,13
MS-DRG,665,Prostatectomy With Mcc,,,28230.38,73610.38,13
MS-DRG,666,Prostatectomy With Cc,,,15799.88,41255.49,13
MS-DRG,667,Prostatectomy Without Cc/Mcc,,,9594.85,26088.62,13
MS-DRG,668,Transurethral Procedures With Mcc,,,24995.98,68865.28,13
MS-DRG,669,Transurethral Procedures With Cc,,,14053.91,36602.37,13
MS-DRG,67,Precerebral Occlusion Without Infarction With Mcc,,,13333.68,34637.82,13
MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,8556.68,23048.64,13
MS-DRG,671,Urethral Procedures With Cc/Mcc,,,14950.88,42333.28,13
MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,9386.15,25458.93,13
MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,31769.39,99090.53,13
MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,20533.37,55153.54,13
MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,14434.01,38710.78,13
MS-DRG,68,Precerebral Occlusion Without Infarction Without Mcc,,,7981.2,20386.01,13
MS-DRG,682,Renal Failure With Mcc,,,13605.43,34927.9,13
MS-DRG,683,Renal Failure With Cc,,,8161.48,20654.87,13
MS-DRG,684,Renal Failure Without Cc/Mcc,,,5504.34,14157.48,13
MS-DRG,685,Admit For Renal Dialysis,,,,,0
MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,15253.71,42538.46,13
MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,9357.73,24711.32,13
MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,7023.85,18638.44,13
MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,9871.93,27364.52,13
MS-DRG,69,Transient Ischemia Without Thrombolytic,,,6798.28,18838.9,13
MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,7052.27,19091.25,13
MS-DRG,691,Urinary Stones W Esw Lithotripsy W Cc/Mcc,,,,,0
MS-DRG,692,Urinary Stones W Esw Lithotripsy W/O Cc/Mcc,,,,,0
MS-DRG,693,Urinary Stones With Mcc,,,11754.67,31708.69,13
MS-DRG,694,Urinary Stones Without Mcc,,,6235.23,18435.61,13
MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,10201.41,26975.38,13
MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,6115.34,16249.38,13
MS-DRG,697,Urethral Stricture,,,8525.6,25418.84,13
MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,14343.43,39017.37,13
MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,9128.61,23937.76,13
MS-DRG,7,Lung Transplant,,,94589.72,305417.52,13
MS-DRG,70,Other Cerebrovascular Disorders With Mcc,,,14611.63,39262.64,13
MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,6746.77,16270.6,13
MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,15909.12,47175.08,13
MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,12490.89,36182.57,13
MS-DRG,709,Penis Procedures With Cc/Mcc,,,18044.07,54882.33,13
MS-DRG,71,Other Cerebrovascular Disorders With Cc,,,8754.72,24197.18,13
MS-DRG,710,Penis Procedures Without Cc/Mcc,,,14826.55,33045.9,13
MS-DRG,711,Testes Procedures With Cc/Mcc,,,18503.21,49144.34,13
MS-DRG,712,Testes Procedures Without Cc/Mcc,,,9562.88,25935.32,13
MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,12996.21,35456.19,13
MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,8086.0,24937.72,13
MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,19625.75,52764.48,13
MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,12992.65,34692.06,13
MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,17355.81,44585.55,13
MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,10946.51,31675.67,13
MS-DRG,72,Other Cerebrovascular Disorders Without Cc/Mcc,,,6589.58,17834.22,13
MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,14739.51,42679.96,13
MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,9782.23,26949.44,13
MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,6120.67,15464.03,13
MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,10783.99,27598.0,13
MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,6789.39,17027.65,13
MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,12770.63,34972.71,13
MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,7028.29,19131.34,13
MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,9609.06,24968.38,13
MS-DRG,73,Cranial And Peripheral Nerve Disorders With Mcc,,,12531.74,37835.81,13
MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,5047.86,15848.45,13
MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,20478.31,50233.92,13
MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,12122.33,31732.27,13
MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,35795.07,84301.01,13
MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,18040.52,48597.19,13
MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,12364.78,34633.1,13
MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,31950.56,84496.76,13
MS-DRG,74,Cranial And Peripheral Nerve Disorders Without Mcc,,,8649.04,24310.39,13
MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,15478.4,42677.61,13
MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,11791.97,33633.14,13
MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,15221.74,43271.92,13
MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,9907.45,29260.67,13
MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,15011.27,48325.97,13
MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,9497.16,26826.8,13
MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,14899.37,40967.77,13
MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,8509.61,20275.16,13
MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,11491.79,32718.08,13
MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,23107.92,60554.28,13
MS-DRG,75,Viral Meningitis With Cc/Mcc,,,13157.84,45222.32,13
MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,10869.25,34805.27,13
MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,16353.16,43434.65,13
MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,9501.6,25654.68,13
MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,6927.94,22652.43,13
MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,12796.39,33769.93,13
MS-DRG,758,"Infections, Female Reproductive System With Cc",,,9062.0,23088.74,13
MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,6311.61,15650.34,13
MS-DRG,76,Viral Meningitis Without Cc/Mcc,,,7324.91,19461.52,13
MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,7741.42,23760.88,13
MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,4879.13,13454.67,13
MS-DRG,765,Cesarean Section W Cc/Mcc,,,,,0
MS-DRG,766,Cesarean Section W/O Cc/Mcc,,,,,0
MS-DRG,767,Vaginal Delivery W Sterilization &/Or D&C,,,,,0
MS-DRG,768,Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C,,,10047.77,25272.61,13
MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,12947.36,39852.24,13
MS-DRG,77,Hypertensive Encephalopathy With Mcc,,,13783.05,13783.05,1
MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,9483.84,23647.68,13
MS-DRG,774,Vaginal Delivery W Complicating Diagnoses,,,,,0
MS-DRG,775,Vaginal Delivery W/O Complicating Diagnoses,,,,,0
MS-DRG,776,Postpartum And Post Abortion Diagnoses Without O.R. Procedures,,,5852.47,15440.44,13
MS-DRG,777,Ectopic Pregnancy,,,,,0
MS-DRG,778,Threatened Abortion,,,,,0
MS-DRG,779,Abortion Without D&C,,,6698.81,19841.22,13
MS-DRG,78,Hypertensive Encephalopathy With Cc,,,8615.29,8615.29,1
MS-DRG,780,False Labor,,,,,0
MS-DRG,781,Other Antepartum Diagnoses W Medical Complications,,,,,0
MS-DRG,782,Other Antepartum Diagnoses W/O Medical Complications,,,,,0
MS-DRG,783,Cesarean Section With Sterilization With Mcc,,,15501.49,57901.08,13
MS-DRG,784,Cesarean Section With Sterilization With Cc,,,9787.56,25001.4,13
MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,7508.74,22588.76,13
MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,13807.91,38901.81,13
MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,9601.07,26338.61,13
MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,7998.96,22612.34,13
MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,14775.04,42503.08,13
MS-DRG,79,Hypertensive Encephalopathy Without Cc/Mcc,,,6629.54,6629.54,1
MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,48722.9,140171.5,13
MS-DRG,791,Prematurity With Major Problems,,,33276.47,95727.46,13
MS-DRG,792,Prematurity Without Major Problems,,,20077.78,57761.93,13
MS-DRG,793,Full Term Neonate With Major Problems,,,34181.43,98335.85,13
MS-DRG,794,Neonate With Other Significant Problems,,,12098.35,34807.63,13
MS-DRG,795,Normal Newborn,,,1637.63,4712.08,13
MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,13038.83,27522.53,13
MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,7521.17,23593.43,13
MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,7521.17,22572.25,13
MS-DRG,799,Splenic Procedures With Mcc,,,41754.11,106809.58,13
MS-DRG,8,Simultaneous Pancreas And Kidney Transplant,,,46615.48,132178.89,13
MS-DRG,80,Nontraumatic Stupor And Coma With Mcc,,,16685.3,42687.04,13
MS-DRG,800,Splenic Procedures With Cc,,,23328.16,66256.89,13
MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,13821.24,45019.5,13
MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,29725.91,93961.01,13
MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,15293.68,43840.3,13
MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,10927.86,31979.9,13
MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,9086.87,25451.85,13
MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,6282.3,17782.34,13
MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,5452.83,15900.33,13
MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,19086.68,52071.11,13
MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,10696.96,29854.99,13
MS-DRG,81,Nontraumatic Stupor And Coma Without Mcc,,,7589.56,21121.83,13
MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,8188.13,24683.01,13
MS-DRG,811,Red Blood Cell Disorders With Mcc,,,12042.41,33119.01,13
MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,7843.55,21654.83,13
MS-DRG,813,Coagulation Disorders,,,14311.46,35972.68,13
MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,14768.82,50156.09,13
MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,8682.79,23914.18,13
MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,6408.41,14905.09,13
MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,22483.6,53809.25,13
MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,12064.61,27338.57,13
MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,7451.02,20279.88,13
MS-DRG,82,Traumatic Stupor And Coma >1 Hour With Mcc,,,19170.16,53903.59,13
MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,48344.57,138315.44,13
MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,21263.37,52795.14,13
MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,10744.03,28395.14,13
MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,40182.2,108127.92,13
MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,19488.09,53431.91,13
MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,12069.05,31824.25,13
MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,43941.46,110321.24,13
MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,19996.96,54507.34,13
MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,14523.71,40182.42,13
MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,27616.72,74525.44,13
MS-DRG,83,Traumatic Stupor And Coma >1 Hour With Cc,,,11500.67,32918.55,13
MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,12600.12,35493.92,13
MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,9130.38,28359.76,13
MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,6383.54,17018.21,13
MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,4265.46,12332.07,13
MS-DRG,834,Acute Leukemia With Mcc,,,48913.84,129473.8,13
MS-DRG,835,Acute Leukemia With Cc,,,18969.45,49191.51,13
MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,10768.89,28760.69,13
MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,47726.47,113304.61,13
MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,20893.04,49229.24,13
MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,11153.43,34052.94,13
MS-DRG,84,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,8199.67,22541.59,13
MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,29243.69,76291.88,13
MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,14518.38,38474.94,13
MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,9956.3,23829.27,13
MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,16394.01,47045.36,13
MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,10468.72,28711.16,13
MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,7692.57,20084.13,13
MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,25025.29,61141.52,13
MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,11780.42,30852.59,13
MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,8282.26,20032.25,13
MS-DRG,849,Radiotherapy,,,17497.01,63900.85,13
MS-DRG,85,Traumatic Stupor And Coma <1 Hour With Mcc,,,19360.21,53580.49,13
MS-DRG,850,Acute Leukemia With Other Procedures,,,81809.32,204225.65,13
MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,44911.25,116471.94,13
MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,19562.69,47123.19,13
MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,13854.09,35309.96,13
MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,39859.83,107276.54,13
MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,18265.2,50505.14,13
MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,12256.43,32850.15,13
MS-DRG,86,Traumatic Stupor And Coma <1 Hour With Cc,,,11039.76,30722.88,13
MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,16231.49,43010.14,13
MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,8745.84,23534.47,13
MS-DRG,864,Fever And Inflammatory Conditions,,,7675.7,20935.52,13
MS-DRG,865,Viral Illness With Mcc,,,12275.08,35335.91,13
MS-DRG,866,Viral Illness Without Mcc,,,7285.83,20508.65,13
MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,18941.92,49366.03,13
MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,9563.77,24317.46,13
MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,6819.59,17209.24,13
MS-DRG,87,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,7506.97,21572.28,13
MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,55907.49,163007.89,13
MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,16486.37,45811.92,13
MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,9350.63,24133.51,13
MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,29319.17,91149.8,13
MS-DRG,88,Concussion With Mcc,,,13140.08,31880.85,13
MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,7203.24,17829.95,12
MS-DRG,881,Depressive Neuroses,,,6736.11,17471.57,12
MS-DRG,882,Neuroses Except Depressive,,,6882.64,19939.39,12
MS-DRG,883,Disorders Of Personality And Impulse Control,,,11721.81,36512.22,12
MS-DRG,884,Organic Disturbances And Intellectual Disability,,,11970.47,29875.66,12
MS-DRG,885,Psychoses,,,10622.36,25937.18,12
MS-DRG,886,Behavioral And Developmental Disorders,,,8780.48,38536.25,12
MS-DRG,887,Other Mental Disorder Diagnoses,,,9453.64,19885.54,12
MS-DRG,89,Concussion With Cc,,,9480.29,25909.38,13
MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,4590.5,11455.22,12
MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,12724.45,26286.28,12
MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,15513.03,32404.76,12
MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,7289.39,16392.71,12
MS-DRG,9,Bone marrow transplant,,,,,0
MS-DRG,90,Concussion Without Cc/Mcc,,,7046.05,19414.35,13
MS-DRG,901,Wound Debridements For Injuries With Mcc,,,39652.02,98972.61,13
MS-DRG,902,Wound Debridements For Injuries With Cc,,,17054.75,45151.57,13
MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,10336.4,27583.85,13
MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,28649.56,86626.39,13
MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,15711.96,34984.51,13
MS-DRG,906,Hand Procedures For Injuries,,,16369.15,46326.05,13
MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,37442.47,90546.05,13
MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,17697.72,47054.8,13
MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,11770.65,30958.72,13
MS-DRG,91,Other Disorders Of Nervous System With Mcc,,,14315.9,41418.22,13
MS-DRG,913,Traumatic Injury With Mcc,,,13071.69,38550.41,13
MS-DRG,914,Traumatic Injury Without Mcc,,,7440.36,20883.63,13
MS-DRG,915,Allergic Reactions With Mcc,,,14892.26,39658.85,13
MS-DRG,916,Allergic Reactions Without Mcc,,,5641.99,15714.02,13
MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,13087.68,36989.15,13
MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,6915.5,20213.85,13
MS-DRG,919,Complications Of Treatment With Mcc,,,16201.3,43177.59,13
MS-DRG,92,Other Disorders Of Nervous System With Cc,,,8377.29,24126.43,13
MS-DRG,920,Complications Of Treatment With Cc,,,8908.36,23638.24,13
MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,6275.19,16235.23,13
MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,13839.89,41257.85,13
MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,7724.55,24001.44,13
MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,163269.62,503530.19,13
MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,52180.2,169160.96,13
MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,26395.6,75959.35,13
MS-DRG,93,Other Disorders Of Nervous System Without Cc/Mcc,,,6552.28,18779.94,13
MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,25401.84,91840.81,13
MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,16283.0,52134.79,13
MS-DRG,935,Non-Extensive Burns,,,16178.21,48583.04,13
MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,29117.58,85574.54,13
MS-DRG,94,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,32662.8,83001.53,13
MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,19311.36,55113.45,13
MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,16441.97,47821.28,13
MS-DRG,945,Rehabilitation With Cc/Mcc,,,12121.44,36522.18,13
MS-DRG,946,Rehabilitation Without Cc/Mcc,,,9260.04,27046.13,13
MS-DRG,947,Signs And Symptoms With Mcc,,,10706.73,29937.53,13
MS-DRG,948,Signs And Symptoms Without Mcc,,,6928.82,18878.99,13
MS-DRG,949,Aftercare With Cc/Mcc,,,10179.21,28057.88,13
MS-DRG,95,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,21144.37,60827.85,13
MS-DRG,950,Aftercare Without Cc/Mcc,,,6615.33,14803.68,13
MS-DRG,951,Other Factors Influencing Health Status,,,7036.27,13112.7,13
MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,54145.53,158746.26,13
MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,33603.28,88746.59,13
MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,67480.99,179707.72,13
MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,37120.09,99380.62,13
MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,21764.25,69433.65,13
MS-DRG,96,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,18747.43,60827.85,13
MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,24821.92,64473.94,13
MS-DRG,964,Other Multiple Significant Trauma With Cc,,,13098.34,36144.84,13
MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,8652.59,22180.75,13
MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,49721.1,144364.74,13
MS-DRG,97,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,31428.37,85180.69,13
MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,24757.09,62200.44,13
MS-DRG,974,Hiv With Major Related Condition With Mcc,,,24182.5,68063.42,13
MS-DRG,975,Hiv With Major Related Condition With Cc,,,11455.38,30541.28,13
MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,8335.55,21289.28,13
MS-DRG,977,Hiv With Or Without Other Related Condition,,,10389.68,30604.96,13
MS-DRG,98,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,16433.98,54122.92,13
MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,38813.67,110651.41,13
MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,21783.79,57981.26,13
MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,13934.91,40422.98,13
MS-DRG,984,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Mcc,,,,,0
MS-DRG,985,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc,,,,,0
MS-DRG,986,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc,,,,,0
MS-DRG,987,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,29596.25,80855.39,13
MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,15036.13,38762.66,13
MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,9242.28,28281.93,13
MS-DRG,99,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,11304.41,32130.84,13
MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0
MS-DRG,999,Ungroupable,,,,,0
NDC,0002-3240-30,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",35.0,35.0,,,0
NDC,0002-3270-04,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",35.0,35.0,,,0
NDC,0002-4182-30,BARICITINIB 2 MG TABLET [188704],377.5,377.5,,,0
NDC,0002-4453-01,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],159.09,159.09,,,0
NDC,0002-7140-01,ABCIXIMAB 10 MG/5 ML INTRAVENOUS SOLUTION [14369],6382.28,6382.28,,,0
NDC,0002-7190-01,OLARATUMAB 10 MG/ML INTRAVENOUS SOLUTION [184896],11800.0,11800.0,,,0
NDC,0002-7510-17,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [17405],36.925,36.925,,,0
NDC,0002-7511-01,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP [70693],229.5,229.5,,,0
NDC,0002-7575-01,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION [209393],47966.1,47966.1,,,0
NDC,0002-7623-01,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],25786.6,25786.6,,,0
NDC,0002-7669-01,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [170253],27254.4,27254.4,,,0
NDC,0002-7910-01,BAMLANIVIMAB (EUA) 700MG/20ML VIAL [40817003],0.1,0.1,,,0
NDC,0002-7950-01,ETESEVIMAB EUA 700 MG/20 ML VIAL [40816104],0.1,0.1,,,0
NDC,0002-8215-01,INSULIN REGULAR SUBCUT DOSE CALCULATOR PRN SNACKS [350306],33.0,33.0,,,0
NDC,0002-8215-17,INSULIN REGULAR SUBCUT DOSE CALCULATOR PRN SNACKS [350306],24.405,24.405,,,0
NDC,0002-8315-01,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION [10284],61.0,61.0,,,0
NDC,0002-8501-01,INSULIN REGULAR HUMAN U-500(CONCENTRATE) 500 UNIT/ML SUBCUTANEOUS SOLN [19180],5281.5,5281.5,,,0
NDC,0002-8715-01,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP [10286],61.0,61.0,,,0
NDC,0002-8715-17,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP [10286],18.3,18.3,,,0
NDC,0002-8926-01,OLARATUMAB 10 MG/ML INTRAVENOUS SOLUTION [184896],17723.6,17723.6,,,0
NDC,0003-0050-60,XANOMELINE 50 MG-TROSPIUM 20 MG CAPSULE [212287],142.99,142.99,,,0
NDC,0003-0293-05,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],7.5,7.5,,,0
NDC,0003-0293-28,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],5.0,5.0,,,0
NDC,0003-0371-13,BELATACEPT 250 MG INTRAVENOUS SOLUTION [110675],6793.26,6793.26,,,0
NDC,0003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION [11584],5.0,5.0,,,0
NDC,0003-0524-11,DASATINIB 70 MG TABLET [76719],1041.7,1041.7,,,0
NDC,0003-0527-11,DASATINIB 20 MG TABLET [76717],1608.51,1608.51,,,0
NDC,0003-0528-11,DASATINIB 50 MG TABLET [76718],1458.375,1458.375,,,0
NDC,0003-0852-22,DASATINIB 100 MG TABLET [92897],1159.62,1159.62,,,0
NDC,0003-0855-22,DASATINIB 80 MG TABLET [108421],1449.525,1449.525,,,0
NDC,0003-0857-22,DASATINIB 140 MG TABLET [108422],828.3,828.3,,,0
NDC,0003-0893-31,APIXABAN 2.5 MG TABLET [162857],22.75,22.75,,,0
NDC,0003-0894-31,APIXABAN 5 MG TABLET [162975],11.379999999999999,11.379999999999999,,,0
NDC,0003-1100-60,XANOMELINE 100 MG-TROSPIUM 20 MG CAPSULE [212286],143.0,143.0,,,0
NDC,0003-2187-13,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [70287],21910.5,21910.5,,,0
NDC,0003-2291-11,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [181083],14326.4,14326.4,,,0
NDC,0003-2327-11,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [108955],80925.525,80925.525,,,0
NDC,0003-2328-22,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956],129274.0,129274.0,,,0
NDC,0003-2560-16,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],139.62,139.62,,,0
NDC,0003-2570-16,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],279.24,279.24,,,0
NDC,0003-3734-13,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [189567],25884.67,25884.67,,,0
NDC,0003-3772-11,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [200100],24027.96,24027.96,,,0
NDC,0003-3774-12,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [176938],2588.47,2588.47,,,0
NDC,0003-6120-01,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION [213618]",59424.225000000006,59424.225000000006,,,0
NDC,0003-7125-11,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [203116],136942.8,136942.8,,,0
NDC,0004-0350-09,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION [34034],4171.85,4171.85,,,0
NDC,0004-0381-40,ENFUVIRTIDE 90 MG SUBCUTANEOUS SOLUTION [114315],251.39,251.39,,,0
NDC,0004-1101-50,CAPECITABINE 500 MG TABLET [22994],761.2750000000001,761.2750000000001,,,0
NDC,0005-0100-10,"N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE [176752]",312.98,312.98,,,0
NDC,0005-2000-01,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [201024],0.5,0.5,,,0
NDC,0005-2000-02,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [201024],0.5,0.5,,,0
NDC,0005-2000-10,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [201024],0.5,0.5,,,0
NDC,00054-3294-02,FUROSEMIDE 10 MG/ML ORAL SOLUTION [3292],5.0,5.0,,,0
NDC,00054-3294-58,FUROSEMIDE 10 MG/ML ORAL SOLUTION [3292],5.0,5.0,,,0
NDC,00054-3500-15,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [120360],6.375,6.375,,,0
NDC,0006-0032-20,IVERMECTIN 3 MG TABLET [25820],87.28999999999999,87.28999999999999,,,0
NDC,0006-0112-01,SITAGLIPTIN PHOSPHATE 50 MG TABLET [77616],56.68,56.68,,,0
NDC,0006-0112-28,SITAGLIPTIN PHOSPHATE 50 MG TABLET [77616],53.06,53.06,,,0
NDC,0006-0221-01,SITAGLIPTIN PHOSPHATE 25 MG TABLET [77615],106.11,106.11,,,0
NDC,0006-0221-28,SITAGLIPTIN PHOSPHATE 25 MG TABLET [77615],106.11,106.11,,,0
NDC,0006-0221-54,SITAGLIPTIN PHOSPHATE 25 MG TABLET [77615],106.11,106.11,,,0
NDC,0006-0227-61,RALTEGRAVIR 400 MG TABLET [88608],96.65,96.65,,,0
NDC,0006-0277-28,SITAGLIPTIN PHOSPHATE 100 MG TABLET [77617],26.53,26.53,,,0
NDC,0006-0473-61,RALTEGRAVIR 25 MG CHEWABLE TABLET [116022],15.1,15.1,,,0
NDC,0006-0477-61,RALTEGRAVIR 100 MG CHEWABLE TABLET [116023],42.29,42.29,,,0
NDC,0006-3025-00,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION [185293],12692.0,12692.0,,,0
NDC,0006-3026-01,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [177064],21580.0,21580.0,,,0
NDC,0006-3026-02,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [177064],21580.0,21580.0,,,0
NDC,0006-3066-01,APREPITANT 125 MG (25 MG/ML FINAL CONCENTRATION) ORAL SUSPENSION [183881],1369.9099999999999,1369.9099999999999,,,0
NDC,0006-3069-01,DORAVIRINE 100 MG TABLET [191485],214.95,214.95,,,0
NDC,0006-3075-03,LETERMOVIR 240 MG TABLET [188977],1371.95,1371.95,,,0
NDC,0006-3083-01,"PEMBROLIZUMAB 395 MG-BERAHYALURONID-PMPH 4,800 UNIT/2.4 ML SUBCUT SOLN [217278]",60006.46,60006.46,,,0
NDC,0006-3083-99,"PEMBROLIZUMAB 395 MG-BERAHYALURONID-PMPH 4,800 UNIT/2.4 ML SUBCUT SOLN [217278]",60006.46,60006.46,,,0
NDC,0006-3516-59,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],157.2,157.2,,,0
NDC,0006-3603-01,RALTEGRAVIR 100 MG POWDER PACKET FOR ORAL SUSPENSION [169797],38.4,38.4,,,0
NDC,0006-3628-36,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],677.85,677.85,,,0
NDC,0006-3856-01,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION [195715],964.355,964.355,,,0
NDC,0006-3856-02,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION [195715],964.355,964.355,,,0
NDC,0006-3919-68,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [26371]",16.98,16.98,,,0
NDC,0006-4121-01,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) (STATE SUPPLIED) 0.5 ML INTRAMUSCULAR SYRINGE [40817053]",419.025,419.025,,,0
NDC,0006-4171-01,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT [42622]",0.5,0.5,,,0
NDC,0006-4305-02,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [187915],10939.17,10939.17,,,0
NDC,0006-4681-00,"MEASLES-M-R VACCINE LIVE(PF) RI-DOH 1,000-12,500TCID50/0.5 ML SUB-Q [500773]",14.0,14.0,,,0
NDC,0006-4681-01,"MEASLES-M-R VACCINE LIVE(PF) RI-DOH 1,000-12,500TCID50/0.5 ML SUB-Q [500773]",14.0,14.0,,,0
NDC,0006-4827-00,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [113088]",0.5,0.5,,,0
NDC,0006-4827-01,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [113088]",0.5,0.5,,,0
NDC,0006-4837-03,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [122585],0.5,0.5,,,0
NDC,0006-4897-00,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN [10153],0.5,0.5,,,0
NDC,0006-4897-01,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INJECTION [408509],104.46,104.46,,,0
NDC,0006-4898-00,HEPAT B-HIB/OMPC CONJ-VAC (PF) 5 MCG-7.5 MCG-125 MCG/0.5 ML IM SUSP [127623],0.5,0.5,,,0
NDC,0006-4943-00,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037],0.5,0.5,,,0
NDC,0006-4943-01,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037],0.5,0.5,,,0
NDC,0006-5083-01,"PEMBROLIZUMAB 790 MG-BERAHYALURONID-PMPH 9,600 UNIT/4.8 ML SUBCUT SOLN [217279]",120012.84,120012.84,,,0
NDC,0006-5083-99,"PEMBROLIZUMAB 790 MG-BERAHYALURONID-PMPH 9,600 UNIT/4.8 ML SUBCUT SOLN [217279]",120012.84,120012.84,,,0
NDC,0006-5423-12,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [181404],591.85,591.85,,,0
NDC,0006-5423-15,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [181404],433.64,433.64,,,0
NDC,0006-5424-02,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION [24188]",138.55,138.55,,,0
NDC,0007-4401-01,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],27322.870000000003,27322.870000000003,,,0
NDC,0007-4401-06,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],27322.870000000003,27322.870000000003,,,0
NDC,00074-7362-03,CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],18.65,18.65,,,0
NDC,0008-0100-01,INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN [188201],120199.35,120199.35,,,0
NDC,0008-0923-51,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],16.28,16.28,,,0
NDC,0008-0923-55,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],16.28,16.28,,,0
NDC,0008-1279-01,TEMSIROLIMUS 25 MG/2.5 ML (10 MG/ML) (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION [82228],7150.88,7150.88,,,0
NDC,0008-4510-01,GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN [188410],36717.78,36717.78,,,0
NDC,0009-0011-03,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [128976],19.955000000000002,19.955000000000002,,,0
NDC,0009-0011-04,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [128976],41.9,41.9,,,0
NDC,0009-0039-28,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [128781],24.97,24.97,,,0
NDC,0009-0039-30,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [128781],24.97,24.97,,,0
NDC,0009-0047-22,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [128782],16.305,16.305,,,0
NDC,0009-0047-25,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [128782],16.305,16.305,,,0
NDC,0009-0280-02,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],11.67,11.67,,,0
NDC,0009-0297-01,GELATIN ABSORBABLE EYE FILM [28028],3754.0,3754.0,,,0
NDC,0009-0306-02,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],31.07,31.07,,,0
NDC,0009-0315-08,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE [28018]",28.619999999999997,28.619999999999997,,,0
NDC,0009-0342-01,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE [28025]",153.76500000000001,153.76500000000001,,,0
NDC,0009-0347-02,TESTOSTERONE CYPIONATE 100 MG/ML INTRAMUSCULAR OIL [7783],35.59,35.59,,,0
NDC,0009-0353-01,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 CM TOPICAL SPONGE [28022]",140.415,140.415,,,0
NDC,0009-0417-02,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],20.92,20.92,,,0
NDC,0009-0433-04,GELATIN ABSORBABLE MUCOSAL POWDER [28017],256.71,256.71,,,0
NDC,0009-0436-01,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION [9123],161.67000000000002,161.67000000000002,,,0
NDC,0009-0796-01,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION [10579],214.85,214.85,,,0
NDC,0009-0850-01,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION [10579],381.6,381.6,,,0
NDC,0009-3073-01,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],11.625,11.625,,,0
NDC,0009-3073-03,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],11.625,11.625,,,0
NDC,0009-3169-01,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],11.44,11.44,,,0
NDC,0009-3169-06,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],285.98,285.98,,,0
NDC,0009-3794-01,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [100740],306.95500000000004,306.95500000000004,,,0
NDC,0009-3794-22,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [100740],306.95500000000004,306.95500000000004,,,0
NDC,0009-5091-01,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [88008],430.54,430.54,,,0
NDC,0009-5190-02,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR [29434]",63.84,63.84,,,0
NDC,0009-5191-04,"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR [29435]",32.25,32.25,,,0
NDC,0009-5400-01,NICOTINE 10 MG INHALATION CARTRIDGE [22150],10.86,10.86,,,0
NDC,0009-7224-01,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [10475]",25911.99,25911.99,,,0
NDC,0009-7224-02,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [10475]",25911.99,25911.99,,,0
NDC,0013-1114-21,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",15.299999999999999,15.299999999999999,,,0
NDC,0013-2586-91,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],797.91,797.91,,,0
NDC,00143-785-01,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.27,30.27,,,0
NDC,0015-1910-12,IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],5099.45,5099.45,,,0
NDC,0015-3031-20,LOMUSTINE 40 MG CAPSULE [10461],136.32,136.32,,,0
NDC,0015-3032-20,LOMUSTINE 100 MG CAPSULE [10460],103.65,103.65,,,0
NDC,0015-3404-20,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION [17451],678.55,678.55,,,0
NDC,0019-0953-09,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION [10333],93.5,93.5,,,0
NDC,0019-4816-04,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828],43.35,43.35,,,0
NDC,0023-0506-01,POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE [123095],7.5,7.5,,,0
NDC,0023-1145-01,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [32700],1352.5,1352.5,,,0
NDC,0023-3205-03,BIMATOPROST 0.01 % EYE DROPS [105410],555.75,555.75,,,0
NDC,0023-3919-50,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION [95794],1862.5,1862.5,,,0
NDC,0023-3921-02,ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION [100509],181.24,181.24,,,0
NDC,0023-4554-30,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE [38321],7.5,7.5,,,0
NDC,0023-5990-02,TESTOSTERONE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH [112807],48.0,48.0,,,0
NDC,0023-5990-60,TESTOSTERONE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH [112807],48.0,48.0,,,0
NDC,0023-5992-04,TESTOSTERONE 4 MG/24 HR TRANSDERMAL 24 HOUR PATCH [27453],95.95,95.95,,,0
NDC,0023-5992-30,TESTOSTERONE 4 MG/24 HR TRANSDERMAL 24 HOUR PATCH [27453],96.02,96.02,,,0
NDC,0023-6082-01,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [186005],863.6,863.6,,,0
NDC,0023-6082-10,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [186005],130.0,130.0,,,0
NDC,0023-6498-02,UBROGEPANT 50 MG TABLET [195736],596.005,596.005,,,0
NDC,0024-0654-01,ISATUXIMAB-IRFC (SARCLISA) 20 MG/ML INTRAVENOUS SOLUTION [196272],21710.0,21710.0,,,0
NDC,0024-0656-01,ISATUXIMAB-IRFC (SARCLISA) 20 MG/ML INTRAVENOUS SOLUTION [196272],21710.0,21710.0,,,0
NDC,0024-1596-01,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET [6541],8.11,8.11,,,0
NDC,0024-4142-10,DRONEDARONE 400 MG TABLET [98329],33.63,33.63,,,0
NDC,0024-5150-11,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [33591],14876.599999999999,14876.599999999999,,,0
NDC,0024-5151-74,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION [76868],15674.67,15674.67,,,0
NDC,0024-5823-15,CABAZITAXEL 60 MG/1.5 ML (BEFORE RECONSTITUTION) INTRAVENOUS SOLUTION [351044],45862.82,45862.82,,,0
NDC,0024-5824-11,CABAZITAXEL 60 MG/1.5 ML (BEFORE RECONSTITUTION) INTRAVENOUS SOLUTION [351044],45862.82,45862.82,,,0
NDC,0024-5841-01,ZIV-AFLIBERCEPT 200 MG/8 ML (25 MG/ML) INTRAVENOUS SOLUTION [117163],10688.0,10688.0,,,0
NDC,0024-5914-00,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [186246],11254.650000000001,11254.650000000001,,,0
NDC,0024-5914-01,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [186246],10589.400000000001,10589.400000000001,,,0
NDC,0024-5918-00,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE [191804],14450.954999999998,14450.954999999998,,,0
NDC,0024-5924-10,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [17405],191.75,191.75,,,0
NDC,0024-5926-05,INSULIN LISPRO 100 UNIT/ML SUBCUT PUMP [300027],31.85,31.85,,,0
NDC,0026-3782-25,KOGENATE FS 250 (+/-) UNIT INTRAVENOUS SOLUTION [33802],2534.66,2534.66,,,0
NDC,0026-3783-35,KOGENATE FS 500 (+/-) UNIT INTRAVENOUS SOLUTION [33803],2534.66,2534.66,,,0
NDC,0026-3785-55,"ANTIHEMFACTOR (RECOMB) KOGENATE FS 1,000 (+/-) UNITS [500214]",1689.78,1689.78,,,0
NDC,0026-3786-65,"KOGENATE FS 2,000 (+/-) UNIT INTRAVENOUS SOLUTION [82449]",2112.22,2112.22,,,0
NDC,0026-3787-70,"ANTIHEMFACTOR (RECOMB) KOGENATE FS 3,000 (+/-) UNITS [350634]",2112.22,2112.22,,,0
NDC,0026-3787-75,"KOGENATE FS 3,000 (+/-) UNIT INTRAVENOUS SOLUTION [99577]",2.53,2.53,,,0
NDC,0026-3797-70,"ANTIHEMFACTOR (RECOMB) KOGENATE FS 3,000 (+/-) UNITS [350634]",2112.22,2112.22,,,0
NDC,0026-3821-25,KOVALTRY 250 (+/-) UNIT INTRAVENOUS SOLUTION [182567],617.4,617.4,,,0
NDC,0026-3822-25,KOVALTRY 500 (+/-) UNIT INTRAVENOUS SOLUTION [182568],1234.8,1234.8,,,0
NDC,0026-3824-25,"KOVALTRY 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [182572]",2469.6,2469.6,,,0
NDC,0026-3826-50,"KOVALTRY 2,000 (+/-) UNIT INTRAVENOUS SOLUTION [182573]",4939.2,4939.2,,,0
NDC,0026-3828-50,"KOVALTRY 3,000 (+/-) UNIT INTRAVENOUS SOLUTION [182574]",2.47,2.47,,,0
NDC,0026-3948-25,"ANTIHEMOPHILIC FVIII REC,B-DOM DEL PEG-AUCL 3,000(+/-)UNIT IV SOLUTION [191446]",9426.82,9426.82,,,0
NDC,0032-0046-70,"LIPASE-PROTEASE-AMYLASE (PORK)6,000-19,000-30,000 UNIT CAPSULE,DEL REL [98034]",14.475000000000001,14.475000000000001,,,0
NDC,0032-0047-70,"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL [98035]",29.005000000000003,29.005000000000003,,,0
NDC,0032-1206-01,"LIPASE-PROTEASE-AMYLASE (PORK)6,000-19,000-30,000 UNIT CAPSULE,DEL REL [98034]",9.24,9.24,,,0
NDC,0032-1212-01,"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL [98035]",18.06,18.06,,,0
NDC,0032-2636-01,"LIPASE-PROTEASE-AMYLAS(PORK)24,000-76,000-120,000 UNIT CAPSULE,DEL REL [98036]",39.42,39.42,,,0
NDC,0037-0430-01,FELBAMATE 400 MG TABLET [10024],70.35,70.35,,,0
NDC,0037-0431-01,FELBAMATE 600 MG TABLET [10025],53.75,53.75,,,0
NDC,0037-6822-10,HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM [28849],422.15,422.15,,,0
NDC,0037-6830-15,HYDROCORTISONE ACETATE 10 % (80 MG) RECTAL FOAM [19732],1478.85,1478.85,,,0
NDC,0037-6860-10,OLSALAZINE 250 MG CAPSULE [10773],90.0,90.0,,,0
NDC,0046-0749-05,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION [9972],967.15,967.15,,,0
NDC,0046-0872-21,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM [9977],1159.35,1159.35,,,0
NDC,0046-1100-81,CONJUGATED ESTROGENS 0.3 MG TABLET [9973],44.355000000000004,44.355000000000004,,,0
NDC,0046-1102-81,CONJUGATED ESTROGENS 0.625 MG TABLET [9974],17.45,17.45,,,0
NDC,0049-0114-28,ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION [76344],174.55,174.55,,,0
NDC,0049-0116-28,ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION [88093],349.05,349.05,,,0
NDC,0049-0520-83,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],21.39,21.39,,,0
NDC,0049-0530-28,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],116.05,116.05,,,0
NDC,0049-3160-44,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [38103],6093.0,6093.0,,,0
NDC,0049-3190-28,VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],514.57,514.57,,,0
NDC,0049-3960-41,ZIPRASIDONE 20 MG CAPSULE [29778],153.7,153.7,,,0
NDC,0049-3970-41,ZIPRASIDONE 40 MG CAPSULE [29779],76.85,76.85,,,0
NDC,0051-8462-12,TESTOSTERONE 1.62% (ANDROGEL) 20.25 MG/1.25 GRAM TRANSDERMAL GEL [117443],5.0,5.0,,,0
NDC,0052-0602-02,BCG LIVE 50 MG INTRAVESICAL SUSPENSION [126040],725.5,725.5,,,0
NDC,0052-0603-02,"BCG VACCINE, LIVE (PF) 50 MG PERCUTANEOUS INJECTION SUSPENSION [21570]",181.375,181.375,,,0
NDC,0053-0099-01,ETRANACOGENE DEZAPARVOVEC-DRLB 1X10EXP13 GC/ML INTRAVENOUS SUSPENSION [205640],3006000.0,3006000.0,,,0
NDC,0053-6871-00,DESMOPRESSIN 150 MCG/SPRAY (0.1 ML) NASAL SPRAY [13506],3281.25,3281.25,,,0
NDC,0053-8133-02,"ANTIHEMFACTOR (RECOMB) HELIXATE FS 1,000 (+/-) UNITS [500217]",2112.22,2112.22,,,0
NDC,00536-1303-53,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",5.0,5.0,,,0
NDC,00536-1303-56,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",5.0,5.0,,,0
NDC,0054-0019-25,PREDNISONE 50 MG TABLET [6498],5.0,5.0,,,0
NDC,0054-0021-25,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",7.5,7.5,,,0
NDC,0054-0025-11,MEFLOQUINE 250 MG TABLET [10520],56.650000000000006,56.650000000000006,,,0
NDC,0054-0045-44,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY [16070],86.25,86.25,,,0
NDC,0054-0046-41,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY [16071],103.28,103.28,,,0
NDC,0054-0057-46,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION [43556],122.7,122.7,,,0
NDC,0054-0062-58,CITALOPRAM 10 MG/5 ML ORAL SOLUTION [28228],5.6,5.6,,,0
NDC,0054-0079-28,BALSALAZIDE 750 MG CAPSULE [29299],15.0,15.0,,,0
NDC,0054-0080-13,EXEMESTANE 25 MG TABLET [26551],97.495,97.495,,,0
NDC,0054-0084-25,ZALEPLON 5 MG CAPSULE [25997],10.0,10.0,,,0
NDC,0054-0099-20,OXCARBAZEPINE 600 MG TABLET [21157],5.0,5.0,,,0
NDC,0054-0141-25,ACARBOSE 50 MG TABLET [15895],7.5,7.5,,,0
NDC,0054-0143-08,GRANISETRON HCL 1 MG TABLET [14720],12.120000000000001,12.120000000000001,,,0
NDC,0054-0210-25,PROTRIPTYLINE 5 MG TABLET [11164],11.07,11.07,,,0
NDC,0054-0235-24,MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],7.5,7.5,,,0
NDC,0054-0237-55,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],5.0,5.0,,,0
NDC,0054-0237-63,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],110.0,110.0,,,0
NDC,0054-0326-56,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104564],434.1,434.1,,,0
NDC,0054-0327-56,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104565],408.0,408.0,,,0
NDC,0054-0400-13,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [91073]",7.5,7.5,,,0
NDC,0054-0434-25,DIPYRIDAMOLE 25 MG TABLET [2528],10.0,10.0,,,0
NDC,0054-0435-25,DIPYRIDAMOLE 50 MG TABLET [2529],6.25,6.25,,,0
NDC,0054-0450-58,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [24119],36.465,36.465,,,0
NDC,0054-0517-44,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],5.0,5.0,,,0
NDC,0054-0668-82,ALVIMOPAN 12 MG CAPSULE [91870],417.0,417.0,,,0
NDC,0054-0709-20,METHADONE 5 MG TABLET [4954],7.5,7.5,,,0
NDC,0054-0710-20,METHADONE 10 MG TABLET [4953],5.0,5.0,,,0
NDC,0054-0879-49,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION [170310],4930.0,4930.0,,,0
NDC,0054-3025-02,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION [122],5.27,5.27,,,0
NDC,0054-3090-36,BUTORPHANOL 10 MG/ML NASAL SPRAY [9335],130.3,130.3,,,0
NDC,0054-3176-44,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE) [119671],11.535,11.535,,,0
NDC,0054-3188-63,DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION [192565],242.5,242.5,,,0
NDC,0054-3194-46,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID [2515],39.0,39.0,,,0
NDC,0054-3294-46,FUROSEMIDE 10 MG/ML ORAL SOLUTION [3292],26.1,26.1,,,0
NDC,0054-3294-50,FUROSEMIDE 10 MG/ML ORAL SOLUTION [3292],49.8,49.8,,,0
NDC,0054-3500-49,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [120360],11.5,11.5,,,0
NDC,0054-3532-44,LORAZEPAM 2 MG/ML ORAL CONCENTRATE [4571],68.7,68.7,,,0
NDC,0054-3555-63,METHADONE 5 MG/5 ML ORAL SOLUTION [4952],130.0,130.0,,,0
NDC,0054-3566-99,MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],165.2,165.2,,,0
NDC,0054-3727-63,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [6654],187.5,187.5,,,0
NDC,0054-4146-22,CLOTRIMAZOLE 10 MG TROCHE [9644],5.0,5.0,,,0
NDC,0054-4184-25,DEXAMETHASONE 4 MG TABLET [2327],6.25,6.25,,,0
NDC,0054-4581-11,MERCAPTOPURINE 50 MG TABLET [10531],12.84,12.84,,,0
NDC,0054-4721-25,PROPANTHELINE 15 MG TABLET [6643],7.5,7.5,,,0
NDC,0054-4858-25,TRIAZOLAM 0.125 MG TABLET [8138],10.6,10.6,,,0
NDC,0054-8175-25,DEXAMETHASONE 4 MG TABLET [2327],6.25,6.25,,,0
NDC,0054-8179-25,DEXAMETHASONE 0.5 MG TABLET [2322],17.5,17.5,,,0
NDC,0054-8181-25,DEXAMETHASONE 1.5 MG TABLET [2325],10.004999999999999,10.004999999999999,,,0
NDC,0054-8183-25,DEXAMETHASONE 6 MG TABLET [2328],5.0,5.0,,,0
NDC,0054-8496-19,LEUCOVORIN CALCIUM 5 MG TABLET [4398],14.175,14.175,,,0
NDC,0054-8526-25,LITHIUM CARBONATE 150 MG CAPSULE [4528],12.5,12.5,,,0
NDC,0054-8527-25,LITHIUM CARBONATE 300 MG CAPSULE [4529],7.5,7.5,,,0
NDC,0054-8740-25,PREDNISONE 2.5 MG TABLET [6495],15.0,15.0,,,0
NDC,0056-0174-01,WARFARIN 10 MG TABLET [8748],5.0,5.0,,,0
NDC,0056-0174-75,WARFARIN 10 MG TABLET [8748],5.0,5.0,,,0
NDC,0065-0023-15,CARBACHOL 0.01 % INTRAOCULAR SOLUTION [19704],20.48,20.48,,,0
NDC,0065-0092-65,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],1983.4,1983.4,,,0
NDC,0065-0359-02,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS [9701],1184.35,1184.35,,,0
NDC,0065-0395-15,CYCLOPENTOLATE 0.5 % EYE DROPS [9699],269.93,269.93,,,0
NDC,0065-0397-02,CYCLOPENTOLATE 2 % EYE DROPS [9700],55.644999999999996,55.644999999999996,,,0
NDC,0065-0411-30,POVIDONE-IODINE 5 % EYE SOLUTION [19791],5.0,5.0,,,0
NDC,0065-0418-81,ARTIFICIAL TEARS EYEDROPS WRAPPER ERX [191345],28.13,28.13,,,0
NDC,0065-0543-01,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION [89128],68.62,68.62,,,0
NDC,0065-0644-35,TOBRAMYCIN 0.3 % EYE OINTMENT [19769],474.31,474.31,,,0
NDC,0065-0647-05,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [11567]",638.05,638.05,,,0
NDC,0065-0654-35,CIPROFLOXACIN 0.3 % EYE OINTMENT [23234],633.56,633.56,,,0
NDC,0065-0660-10,APRACLONIDINE 1 % EYE DROPS IN A DROPPERETTE [9120],144.97500000000002,144.97500000000002,,,0
NDC,0065-0741-14,TETRACAINE HCL (PF) 0.5 % EYE DROPS [129423],43.0,43.0,,,0
NDC,0065-0795-15,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION [10781],12.0,12.0,,,0
NDC,0065-0795-50,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION [10781],5.0,5.0,,,0
NDC,0065-0800-50,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION [14123],193.125,193.125,,,0
NDC,0065-0800-94,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION [14123],33.75,33.75,,,0
NDC,0065-1795-04,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION [10781],22.05,22.05,,,0
NDC,0065-4147-27,"BRINZOLAMIDE 1 %-BRIMONIDINE 0.2 % EYE DROPS,SUSPENSION [163850]",487.4,487.4,,,0
NDC,0065-8531-10,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION [22986]",956.15,956.15,,,0
NDC,0067-2000-20,ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET [9158],7.5,7.5,,,0
NDC,0067-2070-60,CAFFEINE 200 MG TABLET [1259],5.0,5.0,,,0
NDC,0068-0597-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],859.7,859.7,,,0
NDC,0069-0099-01,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],221.99,221.99,,,0
NDC,0069-0195-01,"DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE [108031]",102.25,102.25,,,0
NDC,0069-0196-01,"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE [108032]",82.95,82.95,,,0
NDC,0069-0206-01,"DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE [108033]",276.51,276.51,,,0
NDC,0069-0217-01,"DALTEPARIN (PORCINE) 10,000 ANTI-XA UNIT/ML SUBCUTANEOUS SYRINGE [108030]",82.95,82.95,,,0
NDC,0069-0220-01,"DALTEPARIN (PORCINE) 12,500 ANTI-XA UNIT/0.5 ML SUBCUTANEOUS SYRINGE [108034]",103.48,103.48,,,0
NDC,0069-0223-01,"DALTEPARIN (PORCINE) 15,000 ANTI-XA UNIT/0.6 ML SUBCUTANEOUS SYRINGE [108035]",110.6,110.6,,,0
NDC,0069-0228-01,"DALTEPARIN (PORCINE) 18,000 ANTI-XA UNIT/0.72 ML SUBCUTANEOUS SYRINGE [108036]",110.59,110.59,,,0
NDC,0069-0238-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [195714],20500.6,20500.6,,,0
NDC,0069-0248-01,PROPOFOL 10 MG/ML INFUSION [40840026],26.75,26.75,,,0
NDC,0069-0248-10,PROPOFOL 10 MG/ML INFUSION [40840026],23.5,23.5,,,0
NDC,0069-0249-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [195714],20500.26,20500.26,,,0
NDC,0069-0305-01,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION [195966],7979.6849999999995,7979.6849999999995,,,0
NDC,0069-0306-01,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION [195966],12107.93,12107.93,,,0
NDC,0069-0308-01,TRASTUZUMAB-QYYP 150 MG INTRAVENOUS SOLUTION [199629],4318.65,4318.65,,,0
NDC,0069-0315-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION [195712],5805.924999999999,5805.924999999999,,,0
NDC,0069-0324-01,PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [198760],18938.16,18938.16,,,0
NDC,0069-0342-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION [195712],10702.16,10702.16,,,0
NDC,0069-0809-01,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION [184773],13678.765,13678.765,,,0
NDC,0069-1305-01,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION [189463]",367.26,367.26,,,0
NDC,0069-1305-10,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION [189463]",440.31,440.31,,,0
NDC,0069-1306-01,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION [189466]",367.265,367.265,,,0
NDC,0069-1306-10,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION [189466]",440.32,440.32,,,0
NDC,0069-1307-01,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [189468]",351.6,351.6,,,0
NDC,0069-1307-10,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [189468]",440.32,440.32,,,0
NDC,0069-1308-01,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [189470]",440.33,440.33,,,0
NDC,0069-1308-10,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [189470]",440.32,440.32,,,0
NDC,0069-1309-01,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [189472]",440.32,440.32,,,0
NDC,0069-1309-04,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [189472]",440.31,440.31,,,0
NDC,0069-1542-20,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],129.05,129.05,,,0
NDC,0069-3032-20,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [128012],189.57,189.57,,,0
NDC,0069-3034-20,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],103.91,103.91,,,0
NDC,0069-3051-75,AZITHROMYCIN 1 GRAM ORAL PACKET [15284],481.675,481.675,,,0
NDC,0069-5317-02,NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK [203489],647.26,647.26,,,0
NDC,0069-5321-03,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK [202394]",677.25,677.25,,,0
NDC,0069-5321-30,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK [202394]",693.47,693.47,,,0
NDC,0069-5434-02,NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK [203489],693.84,693.84,,,0
NDC,0069-6001-25,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],30.81,30.81,,,0
NDC,00699-3100-02,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY [19696],156.6,156.6,,,0
NDC,0071-0007-40,PHENYTOIN 50 MG CHEWABLE TABLET [11018],7.5,7.5,,,0
NDC,0071-0401-24,GABAPENTIN 800 MG TABLET [25856],17.42,17.42,,,0
NDC,0071-1012-68,PREGABALIN 25 MG CAPSULE [42162],80.905,80.905,,,0
NDC,0071-1013-41,PREGABALIN 50 MG CAPSULE [42163],44.495000000000005,44.495000000000005,,,0
NDC,0071-1015-41,PREGABALIN 100 MG CAPSULE [42165],50.85,50.85,,,0
NDC,0071-1020-01,PREGABALIN 20 MG/ML ORAL SOLUTION [116008],11.55,11.55,,,0
NDC,0071-3740-66,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE [11019],25.005000000000003,25.005000000000003,,,0
NDC,0074-0566-11,VENETOCLAX 50 MG TABLET [183011],232.3,232.3,,,0
NDC,0074-0576-11,VENETOCLAX 100 MG TABLET [183012],464.55,464.55,,,0
NDC,0074-1043-28,"UPADACITINIB ER 45 MG TABLET,EXTENDED RELEASE 24 HR [203108]",1379.13,1379.13,,,0
NDC,0074-1044-01,TELISOTUZUMAB VEDOTIN-TLLV 20 MG INTRAVENOUS SOLUTION [215660],67535.88,67535.88,,,0
NDC,0074-1055-01,TELISOTUZUMAB VEDOTIN-TLLV 100 MG INTRAVENOUS SOLUTION [215659],67535.88,67535.88,,,0
NDC,0074-1564-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],272.07500000000005,272.07500000000005,,,0
NDC,0074-1658-01,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [22960],12.04,12.04,,,0
NDC,0074-1658-05,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [22960],24.07,24.07,,,0
NDC,0074-2108-03,LEUPROLIDE 7.5 MG (PED) INTRAMUSCULAR KIT [27123],5306.5,5306.5,,,0
NDC,0074-2282-03,LEUPROLIDE 11.25 MG INTRAMUSCULAR KIT [10390],9633.95,9633.95,,,0
NDC,0074-2440-03,LEUPROLIDE 15 MG INTRAMUSCULAR KIT [10391],10610.8,10610.8,,,0
NDC,0074-2625-01,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET [188160],2203.22,2203.22,,,0
NDC,0074-3346-03,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21045],2007.65,2007.65,,,0
NDC,0074-3473-03,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT [110751],4015.3,4015.3,,,0
NDC,0074-3641-03,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT [13691],4411.05,4411.05,,,0
NDC,0074-3642-03,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT [129667],669.2,669.2,,,0
NDC,0074-3663-03,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21044],13233.35,13233.35,,,0
NDC,0074-3779-03,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT [111340],28901.9,28901.9,,,0
NDC,0074-3799-02,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE KIT [34652],7013.85,7013.85,,,0
NDC,0074-3956-46,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION [28929],61.25,61.25,,,0
NDC,0074-5015-01,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [203993],45682.0,45682.0,,,0
NDC,0074-6799-22,LOPINAVIR-RITONAVIR 200 MG-50 MG TABLET [43391],49.005,49.005,,,0
NDC,0074-7068-11,LEVOTHYROXINE 125 MCG TABLET [4424],5.0,5.0,,,0
NDC,0075-0626-03,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],212.3,212.3,,,0
NDC,0078-0109-01,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],135.98,135.98,,,0
NDC,0078-0109-61,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],135.98,135.98,,,0
NDC,0078-0110-22,CYCLOSPORINE 100 MG/ML ORAL SOLUTION [9708],338.75,338.75,,,0
NDC,0078-0240-15,CYCLOSPORINE 25 MG CAPSULE [9707],5.0,5.0,,,0
NDC,0078-0241-15,CYCLOSPORINE 100 MG CAPSULE [9706],6.98,6.98,,,0
NDC,0078-0246-15,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],15.27,15.27,,,0
NDC,0078-0246-61,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],17.814999999999998,17.814999999999998,,,0
NDC,0078-0248-15,CYCLOSPORINE MODIFIED 100 MG PO CAPS (EON BRAND ONLY) [40840031],0.1,0.1,,,0
NDC,0078-0274-22,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION [28844],1108.5,1108.5,,,0
NDC,0078-0331-84,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION [23082],10251.25,10251.25,,,0
NDC,0078-0351-05,NATEGLINIDE 60 MG TABLET [29437],18.805,18.805,,,0
NDC,0078-0370-05,"METHYLPHENIDATE LA 20 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE [33198]",41.75,41.75,,,0
NDC,0078-0470-15,DEFERASIROX 500 MG DISPERSIBLE TABLET [43417],756.97,756.97,,,0
NDC,0078-0512-05,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR [27636]",13.335,13.335,,,0
NDC,0078-0656-15,DEFERASIROX 360 MG TABLET [177434],864.97,864.97,,,0
NDC,0078-0659-20,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [178777],31.25,31.25,,,0
NDC,0078-0659-67,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [178777],53.9,53.9,,,0
NDC,0078-0690-61,"OFATUMUMAB 1,000 MG/50 ML INTRAVENOUS SOLUTION [116016]",32452.715,32452.715,,,0
NDC,0078-0696-20,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET [178779],35.75,35.75,,,0
NDC,0078-0696-67,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET [178779],39.29,39.29,,,0
NDC,0078-0698-19,MIDOSTAURIN 25 MG CAPSULE [187111],938.9250000000001,938.9250000000001,,,0
NDC,0078-0734-61,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION [186180],80275.05,80275.05,,,0
NDC,0078-0771-01,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT [106249]",904.5,904.5,,,0
NDC,0078-0777-20,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [178778],46.705,46.705,,,0
NDC,0078-0811-81,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [176624]",14559.2,14559.2,,,0
NDC,0078-0813-01,TOBRAMYCIN 0.3 % EYE OINTMENT [19769],1186.33,1186.33,,,0
NDC,0078-0818-81,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [176622]",16544.35,16544.35,,,0
NDC,0078-0825-81,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [176623]",24774.0,24774.0,,,0
NDC,0078-0841-01,CIPROFLOXACIN 0.3 % EYE OINTMENT [23234],1152.2,1152.2,,,0
NDC,0078-0855-26,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION [22986]",1538.5,1538.5,,,0
NDC,0078-0876-01,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT [11566],1208.96,1208.96,,,0
NDC,0078-0883-61,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION [195272],39364.24,39364.24,,,0
NDC,0078-0972-19,ELTROMBOPAG 12.5 MG POWDER PACKET FOR ORAL SUSPENSION [192680],2463.3,2463.3,,,0
NDC,0078-1000-60,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE [202291],16250.01,16250.01,,,0
NDC,0078-1168-61,SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION [209168],21898.71,21898.71,,,0
NDC,0085-1381-01,TEMOZOLOMIDE 100 MG INTRAVENOUS SOLUTION [97260],5197.825,5197.825,,,0
NDC,0085-1737-01,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [31906],223.75,223.75,,,0
NDC,0085-3315-30,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH [27473],21.89,21.89,,,0
NDC,0085-4331-01,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [170022],2553.6,2553.6,,,0
NDC,0085-4347-01,PEGINTERFERON ALFA-2B 200 MCG SUBCUTANEOUS KIT [109471],8430.75,8430.75,,,0
NDC,0087-6633-41,DIDANOSINE 10 MG/ML (FINAL CONC.) ORAL SOLUTION [9844],582.0,582.0,,,0
NDC,0088-2102-01,RIFAPENTINE 150 MG TABLET [23365],88.88,88.88,,,0
NDC,0088-2220-33,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [28282],882.1,882.1,,,0
NDC,0088-2500-33,INSULIN GLULISINE SUBCUT DOSE CALCULATOR SCHEDULED [350303],391.25,391.25,,,0
NDC,00904-6234-10,LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],5.0,5.0,,,0
NDC,0093-0661-16,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP [252],118.25,118.25,,,0
NDC,0093-0771-98,PRAVASTATIN 10 MG TABLET [11110],15.0,15.0,,,0
NDC,0093-0810-01,NORTRIPTYLINE 10 MG CAPSULE [5674],25.0,25.0,,,0
NDC,0093-0983-01,"NYSTATIN 500,000 UNIT TABLET [5752]",7.5,7.5,,,0
NDC,0093-1060-01,SOTALOL 120 MG TABLET [15723],5.835,5.835,,,0
NDC,0093-1136-56,ACITRETIN 25 MG CAPSULE [13979],103.695,103.695,,,0
NDC,0093-1177-01,NEOMYCIN 500 MG TABLET [5472],10.0,10.0,,,0
NDC,0093-1712-01,WARFARIN 1 MG TABLET [11664],25.0,25.0,,,0
NDC,0093-1714-01,WARFARIN 2.5 MG TABLET [8750],12.5,12.5,,,0
NDC,0093-2026-31,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],69.9,69.9,,,0
NDC,0093-2065-06,CILOSTAZOL 50 MG TABLET [24473],7.5,7.5,,,0
NDC,0093-3002-56,QUININE 324 MG CAPSULE [125457],54.48,54.48,,,0
NDC,0093-3061-56,RASAGILINE 1 MG TABLET [76481],8.14,8.14,,,0
NDC,0093-3109-05,AMOXICILLIN 500 MG CAPSULE [451],7.5,7.5,,,0
NDC,0093-3123-01,DICLOXACILLIN 250 MG CAPSULE [2414],7.5,7.5,,,0
NDC,0093-3127-01,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE [2535],7.5,7.5,,,0
NDC,0093-3129-01,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE [2536],5.835,5.835,,,0
NDC,0093-3147-01,CEPHALEXIN 500 MG CAPSULE [9500],7.5,7.5,,,0
NDC,0093-3239-21,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [170818],256.5,256.5,,,0
NDC,0093-3425-01,LORAZEPAM 0.5 MG TABLET [4572],10.0,10.0,,,0
NDC,0093-3426-01,LORAZEPAM 1 MG TABLET [4573],7.5,7.5,,,0
NDC,0093-3427-01,LORAZEPAM 2 MG TABLET [4574],5.0,5.0,,,0
NDC,0093-3656-21,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107660],323.4,323.4,,,0
NDC,0093-3657-21,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107661],455.47499999999997,455.47499999999997,,,0
NDC,0093-4175-74,CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION [9501],112.0,112.0,,,0
NDC,0093-4177-74,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],129.0,129.0,,,0
NDC,0093-5060-01,HYDROXYZINE HCL 10 MG TABLET [3772],12.5,12.5,,,0
NDC,0093-5061-01,HYDROXYZINE HCL 25 MG TABLET [3774],7.5,7.5,,,0
NDC,0093-5062-01,HYDROXYZINE HCL 50 MG TABLET [3775],5.0,5.0,,,0
NDC,0093-5234-56,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET [76835],299.67,299.67,,,0
NDC,0093-5382-56,ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET [39301],152.6,152.6,,,0
NDC,0093-5417-19,CLOZAPINE 25 MG DISINTEGRATING TABLET [38479],28.5,28.5,,,0
NDC,0093-5419-01,CLOZAPINE 100 MG DISINTEGRATING TABLET [38480],19.62,19.62,,,0
NDC,0093-5420-88,CABERGOLINE 0.5 MG TABLET [19226],31.935,31.935,,,0
NDC,0093-5513-89,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [27632]",6.92,6.92,,,0
NDC,0093-5526-06,ATAZANAVIR 150 MG CAPSULE [36149],80.14,80.14,,,0
NDC,0093-5527-06,ATAZANAVIR 200 MG CAPSULE [36150],83.4,83.4,,,0
NDC,0093-5537-56,ESZOPICLONE 1 MG TABLET [40320],12.645,12.645,,,0
NDC,0093-5571-01,ERYTHROMYCIN 250 MG TABLET [2889],28.815,28.815,,,0
NDC,0093-5571-56,ERYTHROMYCIN 250 MG TABLET [2889],26.575,26.575,,,0
NDC,0093-5710-01,GLYBURIDE 1.25 MG-METFORMIN 250 MG TABLET [28723],7.5,7.5,,,0
NDC,0093-5712-01,GLYBURIDE 5 MG-METFORMIN 500 MG TABLET [28725],5.0,5.0,,,0
NDC,0093-5740-19,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],17.5,17.5,,,0
NDC,0093-5740-65,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],17.5,17.5,,,0
NDC,0093-5907-86,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [183235],12.05,12.05,,,0
NDC,0093-6815-45,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],28.51,28.51,,,0
NDC,0093-6815-73,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],28.51,28.51,,,0
NDC,0093-7335-06,TOPIRAMATE 15 MG SPRINKLE CAPSULE [27641],6.67,6.67,,,0
NDC,0093-8035-01,GLYBURIDE MICRONIZED 3 MG TABLET [14778],7.5,7.5,,,0
NDC,0093-8180-64,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [110998],61.13,61.13,,,0
NDC,0093-8739-01,MEXILETINE 150 MG CAPSULE [10595],7.505,7.505,,,0
NDC,0093-8740-01,MEXILETINE 200 MG CAPSULE [10596],5.625,5.625,,,0
NDC,0093-8741-01,MEXILETINE 250 MG CAPSULE [10597],5.0,5.0,,,0
NDC,0093-8943-01,ACYCLOVIR 400 MG TABLET [8971],5.0,5.0,,,0
NDC,0093-9018-19,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],17.85,17.85,,,0
NDC,0093-9020-19,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],6.8,6.8,,,0
NDC,0093-9291-19,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET [35626],15.0,15.0,,,0
NDC,0093-9291-67,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET [35626],15.0,15.0,,,0
NDC,0093-9477-53,GLYBURIDE 1.25 MG TABLET [10125],15.0,15.0,,,0
NDC,0093-9614-13,SILVER NITRATE 0.5 % TOPICAL SOLUTION [28001],76.8,76.8,,,0
NDC,00998-1010-59,MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER [10606],1413.45,1413.45,,,0
NDC,0115-1011-01,BACLOFEN 5 MG TABLET [187719],7.5,7.5,,,0
NDC,0115-1678-08,ALENDRONATE 10 MG TABLET [15661],5.0,5.0,,,0
NDC,0115-1697-01,HYDROCORTISONE 10 MG TABLET [3733],7.5,7.5,,,0
NDC,0115-1911-01,RIMANTADINE 100 MG TABLET [15440],10.43,10.43,,,0
NDC,0115-4433-01,DANTROLENE 100 MG CAPSULE [9717],5.995,5.995,,,0
NDC,0115-5212-18,COLESTIPOL 5 GRAM ORAL PACKET [12218],15.01,15.01,,,0
NDC,0115-6811-10,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",10.0,10.0,,,0
NDC,0115-7010-09,CHLOROQUINE 500 MG TABLET [1638],21.43,21.43,,,0
NDC,0115-9811-01,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],5.71,5.71,,,0
NDC,0116-2001-16,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],5.0,5.0,,,0
NDC,0116-4023-16,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],70.95,70.95,,,0
NDC,0121-0462-30,MINERAL OIL ORAL [5086],6.25,6.25,,,0
NDC,0121-0544-10,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],5.0,5.0,,,0
NDC,0121-0581-04,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],48.0,48.0,,,0
NDC,0121-0646-10,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION [365],8.6,8.6,,,0
NDC,0121-0654-02,FLUPHENAZINE 2.5 MG/5 ML ORAL ELIXIR [10072],94.8,94.8,,,0
NDC,0121-0671-05,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP [10810],9.75,9.75,,,0
NDC,0121-0733-30,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION [353],5.0,5.0,,,0
NDC,0121-0766-16,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION [1299]",35.48,35.48,,,0
NDC,0121-0853-20,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],32.5,32.5,,,0
NDC,0121-0868-00,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",8.75,8.75,,,0
NDC,0121-0908-05,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [6654],11.5,11.5,,,0
NDC,0121-0970-30,LIDOCAINE 4 % TOPICAL PATCH [119190],7.25,7.25,,,0
NDC,0121-1036-05,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SYRUP WRAPPER [408143724],24.735,24.735,,,0
NDC,0121-1465-30,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],5.0,5.0,,,0
NDC,0121-1488-00,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],7.5,7.5,,,0
NDC,0121-1488-10,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],7.5,7.5,,,0
NDC,0121-1576-10,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [77725],5.0,5.0,,,0
NDC,0121-1744-00,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],10.0,10.0,,,0
NDC,0121-1744-05,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],10.0,10.0,,,0
NDC,0121-1744-10,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],7.5,7.5,,,0
NDC,0121-1760-30,ALUMINUM-MAGNESIUM HYDROXIDE 200 MG-200 MG/5 ML ORAL SUSPENSION [37605],5.0,5.0,,,0
NDC,0121-1870-00,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],5.0,5.0,,,0
NDC,0121-1870-10,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],5.0,5.0,,,0
NDC,0121-1894-10,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION [1356],11.0,11.0,,,0
NDC,0121-2316-15,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],19.35,19.35,,,0
NDC,0121-4048-74,LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],78.5,78.5,,,0
NDC,0121-4675-05,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [130109],5.0,5.0,,,0
NDC,0121-4721-05,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],23.1,23.1,,,0
NDC,0121-4766-05,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION [1299]",5.0,5.0,,,0
NDC,0121-4950-15,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [120360],18.689999999999998,18.689999999999998,,,0
NDC,0121-4950-40,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [120360],18.689999999999998,18.689999999999998,,,0
NDC,0131-1810-67,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],93.815,93.815,,,0
NDC,0131-2477-60,LACOSAMIDE 50 MG TABLET [96968],70.58,70.58,,,0
NDC,0131-2478-60,LACOSAMIDE 100 MG TABLET [96969],55.18,55.18,,,0
NDC,0143-1771-01,ISOSORBIDE DINITRATE 10 MG TABLET [4064],12.5,12.5,,,0
NDC,0143-1772-01,ISOSORBIDE DINITRATE 20 MG TABLET [4065],7.5,7.5,,,0
NDC,0143-9022-01,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],392.32500000000005,392.32500000000005,,,0
NDC,0143-9022-02,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],253.42499999999998,253.42499999999998,,,0
NDC,0143-9093-01,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],1498.76,1498.76,,,0
NDC,0143-9098-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],41.28,41.28,,,0
NDC,0143-9141-01,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],20.9,20.9,,,0
NDC,0143-9183-01,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS INJECTION [130075],27.6,27.6,,,0
NDC,0143-9205-01,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],1115.6,1115.6,,,0
NDC,0143-9217-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],554.3,554.3,,,0
NDC,0143-9218-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],654.05,654.05,,,0
NDC,0143-9234-01,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],23.9,23.9,,,0
NDC,0143-9240-01,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],123.965,123.965,,,0
NDC,0143-9248-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],1687.87,1687.87,,,0
NDC,0143-9252-25,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION [2595],7.53,7.53,,,0
NDC,0143-9273-01,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [9859],296.74,296.74,,,0
NDC,0143-9277-01,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],2081.18,2081.18,,,0
NDC,0143-9279-01,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],1215.6100000000001,1215.6100000000001,,,0
NDC,0143-9334-01,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],7.175,7.175,,,0
NDC,0143-9334-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],7.265000000000001,7.265000000000001,,,0
NDC,0143-9361-01,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [41144],55.25,55.25,,,0
NDC,0143-9365-01,LABETALOL 1 MG/ML IN SODIUM CHLORIDE (ISO) INTRAVENOUS SOLUTION [200086],195.0,195.0,,,0
NDC,0143-9367-01,METHOTREXATE SODIUM (PF) 1 GRAM POWDER VIAL [4975],203.25,203.25,,,0
NDC,0143-9382-01,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],5.0,5.0,,,0
NDC,0143-9383-01,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],19.5,19.5,,,0
NDC,0143-9383-10,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],19.5,19.5,,,0
NDC,0143-9384-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],303.1,303.1,,,0
NDC,0143-9386-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",22.939999999999998,22.939999999999998,,,0
NDC,0143-9392-01,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],13.95,13.95,,,0
NDC,0143-9503-01,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],61.8,61.8,,,0
NDC,0143-9507-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],17.9,17.9,,,0
NDC,0143-9507-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],17.9,17.9,,,0
NDC,0143-9509-01,KETAMINE 100 MG/ML INJECTION SOLUTION [4237],16.71,16.71,,,0
NDC,0143-9509-10,KETAMINE 100 MG/ML INJECTION SOLUTION [4237],29.53,29.53,,,0
NDC,0143-9510-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],43.6,43.6,,,0
NDC,0143-9519-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],8.765,8.765,,,0
NDC,0143-9519-10,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],16.61,16.61,,,0
NDC,0143-9525-01,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],150.0,150.0,,,0
NDC,0143-9526-01,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],159.25,159.25,,,0
NDC,0143-9552-01,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],35.735,35.735,,,0
NDC,0143-9553-01,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION [15426],43.65,43.65,,,0
NDC,0143-9555-01,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION [4394],104.135,104.135,,,0
NDC,0143-9559-01,ARGATROBAN 1 MG/ML IN SODIUM CHLORIDE IV INFUSION [351045],619.0,619.0,,,0
NDC,0143-9565-01,THIOTEPA 15 MG SOLUTION FOR INJECTION [7901],14611.67,14611.67,,,0
NDC,0143-9566-01,AZATHIOPRINE 100 MG SOLUTION FOR INJECTION [767],1576.0500000000002,1576.0500000000002,,,0
NDC,0143-9570-01,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],115.6,115.6,,,0
NDC,0143-9570-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],23.12,23.12,,,0
NDC,0143-9594-01,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],25.0,25.0,,,0
NDC,0143-9594-25,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],25.0,25.0,,,0
NDC,0143-9595-25,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],11.5,11.5,,,0
NDC,0143-9638-05,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],115.55,115.55,,,0
NDC,0143-9678-01,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION [9491],44.2,44.2,,,0
NDC,0143-9700-01,CORTISONE 25 MG TABLET [1935],10.37,10.37,,,0
NDC,0143-9701-01,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],155.135,155.135,,,0
NDC,0143-9710-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],15.09,15.09,,,0
NDC,0143-9719-01,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [32950],47.5,47.5,,,0
NDC,0143-9720-01,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],13.0,13.0,,,0
NDC,0143-9720-24,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],13.0,13.0,,,0
NDC,0143-9721-01,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],17.0,17.0,,,0
NDC,0143-9721-24,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],17.0,17.0,,,0
NDC,0143-9722-01,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],36.75,36.75,,,0
NDC,0143-9722-24,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],36.75,36.75,,,0
NDC,0143-9726-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],38.04,38.04,,,0
NDC,0143-9746-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],57.78,57.78,,,0
NDC,0143-9746-10,TERBUTALINE 1 MG/ML BOLUS INJECTION (ONE-STEP) [350114],105.92999999999999,105.92999999999999,,,0
NDC,0143-9783-01,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],38.7,38.7,,,0
NDC,0143-9785-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.27,30.27,,,0
NDC,0143-9786-10,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],24.08,24.08,,,0
NDC,0143-9830-01,METHOTREXATE SODIUM (PF) 1 GRAM POWDER VIAL [4975],203.25,203.25,,,0
NDC,0143-9837-01,PENICILLIN V POTASSIUM 250 MG TABLET [6092],7.5,7.5,,,0
NDC,0143-9851-01,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",12.27,12.27,,,0
NDC,0143-9852-01,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],243.74,243.74,,,0
NDC,0143-9852-10,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],243.74,243.74,,,0
NDC,0143-9853-75,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],64.88,64.88,,,0
NDC,0143-9856-25,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],16.84,16.84,,,0
NDC,0143-9872-10,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],9.17,9.17,,,0
NDC,0143-9887-01,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],30.0,30.0,,,0
NDC,0143-9924-90,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],7.6000000000000005,7.6000000000000005,,,0
NDC,0143-9979-90,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],6.7,6.7,,,0
NDC,0143-9983-03,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],40.93,40.93,,,0
NDC,0151-9109-97,IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],5099.45,5099.45,,,0
NDC,0168-0011-04,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [13818],48.77,48.77,,,0
NDC,0168-0015-31,HYDROCORTISONE 1 % TOPICAL CREAM [3726],18.57,18.57,,,0
NDC,0168-0033-15,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT [1033],63.0,63.0,,,0
NDC,0168-0033-46,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT [1033],128.7,128.7,,,0
NDC,0168-0040-15,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM [1031],62.93,62.93,,,0
NDC,0168-0040-46,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM [1031],122.63,122.63,,,0
NDC,0168-0041-60,BETAMETHASONE VALERATE 0.1 % LOTION [1032],288.9,288.9,,,0
NDC,0168-0053-21,WHITE PETROLATUM TOPICAL OINTMENT [11408],10.21,10.21,,,0
NDC,0168-0056-15,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT [1029],131.7,131.7,,,0
NDC,0168-0080-31,HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],11.85,11.85,,,0
NDC,0168-0099-30,KETOCONAZOLE 2 % TOPICAL CREAM [10368],200.7,200.7,,,0
NDC,0168-0146-30,HYDROCORTISONE 2.5 % TOPICAL OINTMENT [3732],12.9,12.9,,,0
NDC,0168-0163-46,CLOBETASOL 0.05 % TOPICAL CREAM [9630],1481.63,1481.63,,,0
NDC,0168-0258-15,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM [29424],113.25,113.25,,,0
NDC,0168-0258-46,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM [29424],244.13,244.13,,,0
NDC,0169-0081-81,REPAGLINIDE 0.5 MG TABLET [22584],49.86,49.86,,,0
NDC,0169-1837-11,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP [10286],93.45,93.45,,,0
NDC,0169-3685-12,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN [123275],287.35,287.35,,,0
NDC,0169-3687-12,INSULIN DETEMIR (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [70261],698.95,698.95,,,0
NDC,0169-7013-01,"FACTOR XIII A-SUBUNIT,RECOMBINANT 2,500 UNIT INTRAVENOUS SOLUTION [169956]",69859.44,69859.44,,,0
NDC,0169-7201-01,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853]",21053.23,21053.23,,,0
NDC,0169-7202-01,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION [92854]",21053.23,21053.23,,,0
NDC,0169-7205-01,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855]",21053.23,21053.23,,,0
NDC,0169-7208-01,"COAGULATION FACTOR VIIA RECOMB 8 MG (8,000 MCG) INTRAVENOUS SOLUTION [106256]",21053.23,21053.23,,,0
NDC,0169-7211-11,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853]",21053.23,21053.23,,,0
NDC,0169-7212-11,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION [92854]",21053.23,21053.23,,,0
NDC,0169-7215-11,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855]",21053.23,21053.23,,,0
NDC,0169-7501-11,INSULIN ASPART 100 UNIT/ML SUBCUT PUMP [300029],287.35,287.35,,,0
NDC,0169-7810-01,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 1,000 (+/-) UNIT INTRAVENOUS SOLN [177319]",2.5,2.5,,,0
NDC,0169-7815-01,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 1,500 (+/-) UNIT INTRAVENOUS SOLN [177320]",2.5,2.5,,,0
NDC,0169-7820-01,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 2,000 (+/-) UNIT INTRAVENOUS SOLN [177322]",2.1,2.1,,,0
NDC,0169-7825-01,"ANTIHEMOPHILIC FVIII, B-DOM TRUNCATED 250 (+/-) UNIT INTRAVENOUS SOLN [177317]",2.5,2.5,,,0
NDC,0169-7830-01,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 3,000 (+/-) UNIT INTRAVENOUS SOLN [177323]",2.1,2.1,,,0
NDC,0169-7850-01,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 500 (+/-) UNIT INTRAVENOUS SOLN [177318]",2.5,2.5,,,0
NDC,0172-5241-60,ANAGRELIDE 0.5 MG CAPSULE [20446],7.5,7.5,,,0
NDC,0172-5413-60,FLUCONAZOLE 200 MG TABLET [10045],8.725000000000001,8.725000000000001,,,0
NDC,0172-7313-20,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION [28844],460.0,460.0,,,0
NDC,0173-0517-00,EPOPROSTENOL (GLYCINE) 0.5 MG INTRAVENOUS SOLUTION [15897],233.6,233.6,,,0
NDC,0173-0518-01,DILUENT FOR EPOPROSTENOL (GLYCINE) INTRAVENOUS SOLUTION [120138],121.125,121.125,,,0
NDC,0173-0519-00,EPOPROSTENOL (GLYCINE) 1.5 MG INTRAVENOUS SOLUTION [15898],282.15,282.15,,,0
NDC,0173-0520-00,SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION [28246],623.98,623.98,,,0
NDC,0173-0600-02,FLUTICASONE PROPIONATE 50 MCG/ACTUATION BLISTER POWDER FOR INHALATION [28247],650.7,650.7,,,0
NDC,0173-0602-00,FLUTICASONE PROPIONATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION [28248],21.405,21.405,,,0
NDC,0173-0681-01,ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION [28245],281.2,281.2,,,0
NDC,0173-0695-04,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104564],546.98,546.98,,,0
NDC,0173-0696-04,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104565],546.98,546.98,,,0
NDC,0173-0697-04,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104566],607.11,607.11,,,0
NDC,0173-0712-04,DUTASTERIDE 0.5 MG CAPSULE [34089],24.28,24.28,,,0
NDC,0173-0821-01,"OFATUMUMAB 1,000 MG/50 ML INTRAVENOUS SOLUTION [116016]",27387.54,27387.54,,,0
NDC,0173-0821-33,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION [100265],4763.055,4763.055,,,0
NDC,0173-0881-01,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION [180726],12036.25,12036.25,,,0
NDC,0173-0889-39,TAFENOQUINE 150 MG TABLET [192592],149.6,149.6,,,0
NDC,0173-0892-42,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE [193836],14773.65,14773.65,,,0
NDC,0173-0896-01,BELANTAMAB MAFODOTIN-BLMF 100 MG INTRAVENOUS SOLUTION [197788],69112.95,69112.95,,,0
NDC,0173-0898-03,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [200237],82123.95000000001,82123.95000000001,,,0
NDC,0173-0901-86,SOTROVIMAB (EUA) 500 MG/8 ML VIAL [40817041],0.1,0.1,,,0
NDC,0179-8014-30,CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],12.0,12.0,,,0
NDC,0185-0448-01,METAXALONE 800 MG TABLET [33963],14.28,14.28,,,0
NDC,0185-0615-01,HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],7.5,7.5,,,0
NDC,0185-0831-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [120778],15.0,15.0,,,0
NDC,0185-0842-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET [119387],8.75,8.75,,,0
NDC,0185-1047-01,QUINIDINE SULFATE 300 MG TABLET [6778],5.0,5.0,,,0
NDC,0185-4346-01,QUINIDINE SULFATE 200 MG TABLET [6777],6.25,6.25,,,0
NDC,0185-5600-01,METOLAZONE 10 MG TABLET [10586],5.234999999999999,5.234999999999999,,,0
NDC,0186-0004-31,CANDESARTAN 4 MG TABLET [23229],46.68,46.68,,,0
NDC,0186-0016-28,CANDESARTAN 16 MG TABLET [23231],9.11,9.11,,,0
NDC,0186-0032-28,CANDESARTAN 32 MG TABLET [23232],6.16,6.16,,,0
NDC,0186-0370-28,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER [81454],284.04,284.04,,,0
NDC,0186-0372-28,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER [81453],284.04,284.04,,,0
NDC,0186-0776-60,TICAGRELOR 60 MG TABLET [179761],32.315,32.315,,,0
NDC,0186-0777-39,TICAGRELOR 90 MG TABLET [110427],32.56,32.56,,,0
NDC,0187-0007-14,RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION [11285],35723.6,35723.6,,,0
NDC,0187-0402-31,METHOXSALEN 1 % LOTION [10560],4099.29,4099.29,,,0
NDC,0187-0730-90,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",217.35,217.35,,,0
NDC,0187-0938-01,TOLCAPONE 100 MG TABLET [22050],433.5,433.5,,,0
NDC,0187-3013-30,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE [11240]",119.565,119.565,,,0
NDC,0187-4330-01,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [119061],27.55,27.55,,,0
NDC,0187-5100-01,PIMECROLIMUS 1 % TOPICAL CREAM [32052],1143.3,1143.3,,,0
NDC,0187-5101-02,PIMECROLIMUS 1 % TOPICAL CREAM [32052],2286.6,2286.6,,,0
NDC,0187-5465-06,PRAMOXINE-CALAMINE 1 %-8 % LOTION [13384],18.59,18.59,,,0
NDC,0206-8860-01,PIPERACILLIN-TAZOBACTAM 2.25 GRAM/50 ML IN DEXTROSE(ISO) IV PIGGYBACK [34523],46.125,46.125,,,0
NDC,0206-8860-02,PIPERACILLIN-TAZOBACTAM 2.25 GRAM/50 ML IN DEXTROSE(ISO) IV PIGGYBACK [34523],46.125,46.125,,,0
NDC,0206-8861-01,PIPERACILLIN-TAZOBACTAM 3.375 GRAM/50 ML DEXTROSE(ISO-OS) IV PIGGYBACK [34524],39.5,39.5,,,0
NDC,0206-8861-02,PIPERACILLIN-TAZOBACTAM 3.375 GRAM/50 ML DEXTROSE(ISO-OS) IV PIGGYBACK [34524],39.5,39.5,,,0
NDC,0206-8862-01,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK [108121],51.0,51.0,,,0
NDC,0206-8862-02,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK [108121],51.0,51.0,,,0
NDC,0223-1721-01,SODIUM BICARBONATE 650 MG TABLET [7312],7.5,7.5,,,0
NDC,0228-2029-10,ALPRAZOLAM 0.5 MG TABLET [325],5.0,5.0,,,0
NDC,0228-2031-10,ALPRAZOLAM 1 MG TABLET [326],7.5,7.5,,,0
NDC,0228-2620-11,ISOSORBIDE MONONITRATE 20 MG TABLET [10357],5.0,5.0,,,0
NDC,0228-2851-11,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR [99836]",7.5,7.5,,,0
NDC,0228-3090-11,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE [32709]",55.165000000000006,55.165000000000006,,,0
NDC,0228-3091-11,"MORPHINE ER 60 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE [32710]",64.275,64.275,,,0
NDC,0245-0182-15,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",5.0,5.0,,,0
NDC,0245-0360-89,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.5,7.5,,,0
NDC,0245-5319-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",7.5,7.5,,,0
NDC,0245-5319-89,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",7.5,7.5,,,0
NDC,0254-1016-36,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [77371],235.08,235.08,,,0
NDC,0254-3012-55,ALVIMOPAN 12 MG CAPSULE [91870],535.18,535.18,,,0
NDC,0254-3012-78,ALVIMOPAN 12 MG CAPSULE [91870],461.75,461.75,,,0
NDC,0254-3028-02,LUBIPROSTONE 8 MCG CAPSULE [91534],10.0,10.0,,,0
NDC,0254-3029-02,LUBIPROSTONE 24 MCG CAPSULE [70472],5.0,5.0,,,0
NDC,0259-1605-01,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION [105970],1265.0,1265.0,,,0
NDC,0259-1610-01,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION [105971],2410.0,2410.0,,,0
NDC,0264-1800-31,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0264-1800-32,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0264-1940-20,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],93.75,93.75,,,0
NDC,0264-2304-00,ACETIC ACID 0.25 % IRRIGATION SOLUTION [8963],180.0,180.0,,,0
NDC,0264-3105-11,CEFAZOLIN 2 GRAM/50 ML IN D5W IV WRAPPER [351224],35.15,35.15,,,0
NDC,0264-3175-11,CEFOTETAN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [88785],100.63,100.63,,,0
NDC,0264-3183-11,MEROPENEM 500 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [179543],117.60000000000001,117.60000000000001,,,0
NDC,0264-3185-11,MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [179544],79.515,79.515,,,0
NDC,0264-3195-11,CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [105552],82.7,82.7,,,0
NDC,0264-4050-80,ACETAMINOPHEN 500 MG/50 ML (10 MG/ML) INTRAVENOUS SOLUTION [199598],41.29,41.29,,,0
NDC,0264-4500-00,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION [193378],72.37,72.37,,,0
NDC,0264-7800-00,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION EXCEL BAG [400554],1.0,1.0,,,0
NDC,0264-7800-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION EXCEL BAG [400554],1.0,1.0,,,0
NDC,0264-7800-20,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION EXCEL BAG [400554],1.0,1.0,,,0
NDC,0264-7805-10,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION FOR BURN ORDER SET [40818102],482.5,482.5,,,0
NDC,0264-9341-55,AMINO ACID 10 % INTRAVENOUS SOLUTION [119137],500.0,500.0,,,0
NDC,0264-9577-10,"HEPARIN PURGE SOLUTION (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % INTRA-ARTERIAL [408845]",45.0,45.0,,,0
NDC,0264-9587-20,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [24329]",962.5,962.5,,,0
NDC,0264-9594-20,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION [14868],693.75,693.75,,,0
NDC,0270-0149-60,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION [27735],144.5,144.5,,,0
NDC,0270-0445-35,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828],111.15,111.15,,,0
NDC,0270-0445-40,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828],320.4,320.4,,,0
NDC,0270-1316-04,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [10328],609.0,609.0,,,0
NDC,0270-7099-16,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION [179678],319.0,319.0,,,0
NDC,0281-0326-08,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT [5606],7.33,7.33,,,0
NDC,0281-0326-30,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT [5606],149.25,149.25,,,0
NDC,0283-0610-26,BENZOCAINE 20 % MUCOSAL SPRAY [27666],43.33,43.33,,,0
NDC,0283-0610-43,BENZOCAINE 20 % MUCOSAL SPRAY [27666],43.35,43.35,,,0
NDC,0283-0679-60,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY [19696],165.59,165.59,,,0
NDC,0310-0095-30,ROFLUMILAST 500 MCG TABLET [109401],17.5,17.5,,,0
NDC,0310-0095-39,ROFLUMILAST 500 MCG TABLET [109401],36.75,36.75,,,0
NDC,0310-0402-60,ZAFIRLUKAST 20 MG TABLET [17960],7.065,7.065,,,0
NDC,0310-0752-39,ROSUVASTATIN 20 MG TABLET [35135],11.395,11.395,,,0
NDC,0310-1061-01,CILGAVIMAB EUA IM INJECTION [40014346],0.1,0.1,,,0
NDC,0310-1105-01,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET [191061],130.42,130.42,,,0
NDC,0310-1105-30,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET [191061],130.4,130.4,,,0
NDC,0310-1110-01,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET [191062],65.21,65.21,,,0
NDC,0310-1110-30,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET [191062],65.2,65.2,,,0
NDC,0310-1350-30,OSIMERTINIB 80 MG TABLET [180778],2689.1,2689.1,,,0
NDC,0310-1730-30,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE [188995],23760.55,23760.55,,,0
NDC,0310-3040-00,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION [201298],23002.7,23002.7,,,0
NDC,0310-4500-12,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [187117],23238.59,23238.59,,,0
NDC,0310-4505-25,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [205419],184340.0,184340.0,,,0
NDC,0310-4535-30,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [205419],184340.0,184340.0,,,0
NDC,0310-4600-12,GLYCOPYRROLATE 9 MCG-FORMOTEROL 4.8 MCG HFA AEROSOL INHALER [183894],1366.23,1366.23,,,0
NDC,0310-4611-50,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [187117],23238.46,23238.46,,,0
NDC,0310-6210-30,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET [165190],45.18,45.18,,,0
NDC,0310-6210-39,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET [165190],59.55,59.55,,,0
NDC,0310-7370-20,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER [81454],1000.22,1000.22,,,0
NDC,0310-7372-20,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER [81453],875.06,875.06,,,0
NDC,0310-8895-01,TIXAGEVIMAB EUA IM INJECTION [40014389],0.1,0.1,,,0
NDC,0316-0225-15,MICONAZOLE NITRATE 2 % TOPICAL POWDER [10599],14.84,14.84,,,0
NDC,0316-0225-30,MICONAZOLE NITRATE 2 % TOPICAL POWDER [10599],21.68,21.68,,,0
NDC,0327-0011-05,CITRIC ACID-GLUCONOLAC-MAG CARB 6.602 G-0.198 G/100 ML IRRIGATION SOLN [9613],87.30000000000001,87.30000000000001,,,0
NDC,0338-0043-03,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],1.0,1.0,,,0
NDC,0338-0043-04,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],1.0,1.0,,,0
NDC,0338-0049-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-0049-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-0049-04,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-0049-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-0049-41,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-0049-48,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-0054-03,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION FOR BURN ORDER SET [40818102],140.0,140.0,,,0
NDC,0338-0063-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",8552.55,8552.55,,,0
NDC,0338-0067-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",4713.31,4713.31,,,0
NDC,0338-0089-03,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS [400294],110.0,110.0,,,0
NDC,0338-0089-04,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS [400294],35.0,35.0,,,0
NDC,0338-0096-06,CEFAZOLIN 3 GRAM/150 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [212041],54.75,54.75,,,0
NDC,0338-0108-20,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN DEXTROSE 5 % IV [129095],118.75,118.75,,,0
NDC,0338-0116-20,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV [129192],197.5,197.5,,,0
NDC,0338-0126-12,INSULIN (1 UNITS/ML) INFUSION IN 100 NS [350643],92.5,92.5,,,0
NDC,0338-0322-01,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION [89570]",251.6,251.6,,,0
NDC,0338-0357-03,MANNITOL 20 % INTRAVENOUS SOLUTION [400622],1092.5,1092.5,,,0
NDC,0338-0411-02,LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % D5W (ANES ONE-STEP) [40015004],263.75,263.75,,,0
NDC,0338-0424-18,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",15.0,15.0,,,0
NDC,0338-0431-03,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",210.0,210.0,,,0
NDC,0338-0502-03,PARENTERAL AMINO ACID (CLINISOL) 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION [40815060],3585.0,3585.0,,,0
NDC,0338-0503-48,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10106],6.0,6.0,,,0
NDC,0338-0505-48,GENTAMICIN (PF) 1 MG/ML PEDIATRIC SYRINGE [399066],11.02,11.02,,,0
NDC,0338-0656-04,ACETIC ACID 0.25 % IRRIGATION SOLUTION [8963],85.0,85.0,,,0
NDC,0338-0703-41,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11077],7.0,7.0,,,0
NDC,0338-0709-48,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11074],13.0,13.0,,,0
NDC,0338-0718-12,"DAPTOMYCIN 1,000 MG/100 ML IN 0.9 % SODIUM CHLOR INTRAVENOUS PIGGYBACK [208827]",146.96,146.96,,,0
NDC,0338-1007-02,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14845]",27.5,27.5,,,0
NDC,0338-1019-48,NAFCILLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [108124],87.5,87.5,,,0
NDC,0338-1023-41,PENICILLIN G POT 2 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK [10899],37.5,37.5,,,0
NDC,0338-1025-41,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK [10900],40.0,40.0,,,0
NDC,0338-1047-02,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE  INTRAVENOUS [15858],190.0,190.0,,,0
NDC,0338-1049-02,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],200.0,200.0,,,0
NDC,0338-1051-02,NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [10726],18.75,18.75,,,0
NDC,0338-1055-48,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],5.25,5.25,,,0
NDC,0338-1073-02,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN D5W (LPG) [500360],338.75,338.75,,,0
NDC,0338-1075-02,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [18315]",30.0,30.0,,,0
NDC,0338-1301-41,CEFEPIME 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [93837],132.75,132.75,,,0
NDC,0338-1301-48,CEFEPIME 2 GRAM/100 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [93838],213.0,213.0,,,0
NDC,0338-1708-40,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [127496],58.25,58.25,,,0
NDC,0338-1709-40,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [16162],9.75,9.75,,,0
NDC,0338-3410-50,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9625],15.75,15.75,,,0
NDC,0338-3503-41,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [25365],13.75,13.75,,,0
NDC,0338-3551-48,VANCOMYCIN 500 MG/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [11632],77.35499999999999,77.35499999999999,,,0
NDC,0338-3552-48,VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [92895],39.04,39.04,,,0
NDC,0338-3581-01,VANCOMYCIN 500 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [183206],55.575,55.575,,,0
NDC,0338-3582-01,VANCOMYCIN 750 MG IN 150 ML NS [183201],75.34,75.34,,,0
NDC,0338-3583-01,VANCOMYCIN 1 GRAM IN 200 ML NS [183039],120.12,120.12,,,0
NDC,0338-3612-24,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],24.75,24.75,,,0
NDC,0338-3612-50,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],50.0,50.0,,,0
NDC,0338-3814-24,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],27.75,27.75,,,0
NDC,0338-3814-50,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],27.75,27.75,,,0
NDC,0338-5002-41,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK [9492],45.0,45.0,,,0
NDC,0338-5003-41,CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9493],78.5,78.5,,,0
NDC,0338-5197-41,FAMOTIDINE (PF) 20 MG/50 ML IN 0.9 % NACL (ISO) INTRAVENOUS PIGGYBACK [12735],6.25,6.25,,,0
NDC,0338-6010-48,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [32950],49.5,49.5,,,0
NDC,0338-6304-02,SODIUM CHLORIDE 0.9 % IV BOLUS [400291],1.0,1.0,,,0
NDC,0338-6304-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-9053-01,MICAFUNGIN 100 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [210728],5.0,5.0,,,0
NDC,0338-9520-11,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-9525-72,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-9543-04,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-9546-50,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-9550-50,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-9555-24,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],182.25,182.25,,,0
NDC,0338-9557-12,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],333.5,333.5,,,0
NDC,0338-9563-48,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-9564-01,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE [190103],1199.0,1199.0,,,0
NDC,0338-9567-60,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0338-9632-24,PIPERACILLIN-TAZOBACTAM 2.25 GRAM/50 ML IN DEXTROSE(ISO) IV PIGGYBACK [34523],56.625,56.625,,,0
NDC,0338-9638-01,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK [108121],61.5,61.5,,,0
NDC,0338-9638-12,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK [108121],61.5,61.5,,,0
NDC,0338-9667-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",1942.205,1942.205,,,0
NDC,0338-9791-01,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0372-0043-04,DEXTROMETHORPHAN HBR 10 MG/5 ML ORAL LIQUID [27328],26.03,26.03,,,0
NDC,0378-0030-01,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET [1759],10.0,10.0,,,0
NDC,0378-0040-01,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET [1760],7.5,7.5,,,0
NDC,0378-0047-01,METOPROLOL TARTRATE 100 MG TABLET [5008],5.0,5.0,,,0
NDC,0378-0052-01,PINDOLOL 5 MG TABLET [6297],10.17,10.17,,,0
NDC,0378-0156-01,PROBENECID 500 MG TABLET [6561],7.5,7.5,,,0
NDC,0378-0221-01,TIMOLOL 10 MG TABLET [7967],5.47,5.47,,,0
NDC,0378-0265-91,DABIGATRAN ETEXILATE 75 MG CAPSULE [106490],7.5,7.5,,,0
NDC,0378-0266-91,DABIGATRAN ETEXILATE 150 MG CAPSULE [106491],5.0,5.0,,,0
NDC,0378-0345-01,DIAZEPAM 5 MG TABLET [2405],7.5,7.5,,,0
NDC,0378-0372-01,CIMETIDINE 400 MG TABLET [9606],7.5,7.5,,,0
NDC,0378-0403-01,SPIRONOLACTONE 25 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [7439],5.75,5.75,,,0
NDC,0378-1134-01,KETOROLAC 10 MG TABLET [10371],5.0,5.0,,,0
NDC,0378-1190-01,GUANFACINE 2 MG TABLET [10150],5.0,5.0,,,0
NDC,0378-1452-05,ESTRADIOL 0.5 MG TABLET [12491],10.0,10.0,,,0
NDC,0378-2002-01,THIOTHIXENE 2 MG CAPSULE [7904],12.5,12.5,,,0
NDC,0378-2005-93,"PAROXETINE ER 37.5 MG TABLET,EXTENDED RELEASE 24 HR [32633]",14.11,14.11,,,0
NDC,0378-2100-01,LOPERAMIDE 2 MG CAPSULE [4560],7.5,7.5,,,0
NDC,0378-2330-78,RUFINAMIDE 200 MG TABLET [95691],16.2,16.2,,,0
NDC,0378-2331-78,RUFINAMIDE 400 MG TABLET [95692],28.47,28.47,,,0
NDC,0378-2474-01,DICLOFENAC POTASSIUM 50 MG TABLET [9836],5.0,5.0,,,0
NDC,0378-2610-01,AMITRIPTYLINE 10 MG TABLET [432],25.0,25.0,,,0
NDC,0378-3266-94,ETOPOSIDE 50 MG CAPSULE [10001],545.84,545.84,,,0
NDC,0378-3431-93,ARMODAFINIL 50 MG TABLET [96965],108.8,108.8,,,0
NDC,0378-3813-01,CLOZAPINE 25 MG DISINTEGRATING TABLET [38479],18.555,18.555,,,0
NDC,0378-4415-01,FLURAZEPAM 15 MG CAPSULE [3223],7.5,7.5,,,0
NDC,0378-4640-16,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [27461],40.36,40.36,,,0
NDC,0378-4642-16,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [27459],40.32,40.32,,,0
NDC,0378-4791-06,FLUOROURACIL 5 % TOPICAL CREAM [10065],970.2,970.2,,,0
NDC,0378-5005-05,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR [36982]",15.42,15.42,,,0
NDC,0378-5513-93,OLANZAPINE 20 MG DISINTEGRATING TABLET [28162],7.375,7.375,,,0
NDC,0378-6333-80,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [39720]",7.5,7.5,,,0
NDC,0378-6470-16,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],54.63,54.63,,,0
NDC,0378-6725-01,ZONISAMIDE 25 MG CAPSULE [36987],15.0,15.0,,,0
NDC,0378-6960-32,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE [169781],301.65,301.65,,,0
NDC,0378-6960-93,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE [169781],301.65,301.65,,,0
NDC,0378-6981-32,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",54.135000000000005,54.135000000000005,,,0
NDC,0378-6981-88,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",54.135000000000005,54.135000000000005,,,0
NDC,0378-6982-32,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",21.895,21.895,,,0
NDC,0378-6982-88,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",21.895,21.895,,,0
NDC,0378-7401-78,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [78310]",19.75,19.75,,,0
NDC,0378-8020-93,FLUVASTATIN 20 MG CAPSULE [12411],26.035,26.035,,,0
NDC,0378-9102-16,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [27471],5.0,5.0,,,0
NDC,0378-9102-93,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [27471],5.0,5.0,,,0
NDC,0378-9104-16,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],5.0,5.0,,,0
NDC,0378-9104-93,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],5.0,5.0,,,0
NDC,0378-9112-16,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],5.0,5.0,,,0
NDC,0378-9112-93,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],5.0,5.0,,,0
NDC,0378-9116-16,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH [27475],6.04,6.04,,,0
NDC,0378-9116-93,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH [27475],6.04,6.04,,,0
NDC,0395-1031-96,GLYCERIN 99.5 % TOPICAL SOLUTION [82033],27.44,27.44,,,0
NDC,0406-0123-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],7.5,7.5,,,0
NDC,0406-0123-23,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],7.5,7.5,,,0
NDC,0406-0123-62,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],7.5,7.5,,,0
NDC,0406-0512-23,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],7.5,7.5,,,0
NDC,0406-0512-62,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],7.5,7.5,,,0
NDC,0406-0527-10,METHADONE 10 MG/ML ORAL CONCENTRATE [15996],5.0,5.0,,,0
NDC,0406-0552-01,OXYCODONE 5 MG TABLET [10814],10.0,10.0,,,0
NDC,0406-0552-23,OXYCODONE 5 MG TABLET [10814],10.0,10.0,,,0
NDC,0406-0552-62,OXYCODONE 5 MG TABLET [10814],10.0,10.0,,,0
NDC,0406-1142-01,METHYLPHENIDATE 5 MG TABLET [4988],12.5,12.5,,,0
NDC,0406-1144-01,METHYLPHENIDATE 10 MG TABLET [4986],7.5,7.5,,,0
NDC,0406-1473-01,"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE [15500]",6.5,6.5,,,0
NDC,0406-4123-03,METHADONE 10 MG/ML ORAL CONCENTRATE [15996],5.0,5.0,,,0
NDC,0406-5111-01,LISDEXAMFETAMINE 10 MG CAPSULE [176975],45.8,45.8,,,0
NDC,0406-5113-01,LISDEXAMFETAMINE 30 MG CAPSULE [81474],17.255000000000003,17.255000000000003,,,0
NDC,0406-5755-23,METHADONE 5 MG TABLET [4954],7.5,7.5,,,0
NDC,0406-5755-62,METHADONE 5 MG TABLET [4954],7.5,7.5,,,0
NDC,0406-5771-23,METHADONE 10 MG TABLET [4953],5.0,5.0,,,0
NDC,0406-5771-62,METHADONE 10 MG TABLET [4953],5.0,5.0,,,0
NDC,0406-8330-62,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",10.0,10.0,,,0
NDC,0406-8380-23,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]",7.83,7.83,,,0
NDC,0406-8380-62,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]",7.83,7.83,,,0
NDC,0406-8390-23,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [20919]",12.46,12.46,,,0
NDC,0406-8390-62,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [20919]",12.46,12.46,,,0
NDC,0406-8557-30,OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],1425.0,1425.0,,,0
NDC,0406-8891-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [120778],15.0,15.0,,,0
NDC,0406-8952-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [31587]",9.45,9.45,,,0
NDC,0406-8954-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE [31588]",6.25,6.25,,,0
NDC,0406-8958-01,DEXTROAMPHETAMINE SULFATE 5 MG TABLET [2354],11.08,11.08,,,0
NDC,0406-8960-01,"DEXTROAMPHETAMINE SULFATE ER 5 MG CAPSULE,EXTENDED RELEASE [32415]",27.25,27.25,,,0
NDC,0406-8961-01,"DEXTROAMPHETAMINE SULFATE ER 10 MG CAPSULE,EXTENDED RELEASE [32416]",12.36,12.36,,,0
NDC,0406-9100-76,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],18.0,18.0,,,0
NDC,0406-9112-76,FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],75.29,75.29,,,0
NDC,0406-9125-76,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],6.51,6.51,,,0
NDC,0406-9150-76,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],11.64,11.64,,,0
NDC,0406-9175-76,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],17.55,17.55,,,0
NDC,0406-9960-01,TEMAZEPAM 7.5 MG CAPSULE [11500],47.56,47.56,,,0
NDC,0407-1411-20,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION [10319],76.125,76.125,,,0
NDC,0407-1412-10,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],609.0,609.0,,,0
NDC,0407-1412-20,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],456.75,456.75,,,0
NDC,0407-1412-30,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],609.0,609.0,,,0
NDC,0407-1412-38,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],456.75,456.75,,,0
NDC,0407-1413-10,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],609.0,609.0,,,0
NDC,0407-1413-61,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],609.0,609.0,,,0
NDC,0407-1413-63,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],609.0,609.0,,,0
NDC,0407-1413-89,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],609.0,609.0,,,0
NDC,0407-1414-48,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],609.0,609.0,,,0
NDC,0407-1414-86,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],609.0,609.0,,,0
NDC,0407-1414-89,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],609.0,609.0,,,0
NDC,0407-1414-91,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],609.0,609.0,,,0
NDC,0407-1414-93,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],609.0,609.0,,,0
NDC,0407-1414-94,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],609.0,609.0,,,0
NDC,0407-1414-98,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],609.0,609.0,,,0
NDC,0407-1415-09,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION [192398],71.25,71.25,,,0
NDC,0407-2223-21,IODIXANOL 320 MG-NS (50:50) FOR INTRA-ARTERIAL CONTRAST (OPTIME) [500554],761.25,761.25,,,0
NDC,0407-2223-64,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],609.0,609.0,,,0
NDC,0407-2707-03,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP [82177],85.84,85.84,,,0
NDC,0407-2943-12,GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE [164052],247.7,247.7,,,0
NDC,0407-2943-17,GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE [164052],206.42,206.42,,,0
NDC,0407-2943-22,GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE [164052],185.78,185.78,,,0
NDC,0409-0007-01,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",5.0,5.0,,,0
NDC,0409-0007-10,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",5.0,5.0,,,0
NDC,0409-0125-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],15.925,15.925,,,0
NDC,0409-0201-02,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION [108910],643.4,643.4,,,0
NDC,0409-0201-10,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION [108907],2004.12,2004.12,,,0
NDC,0409-0201-20,DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLUTION [108908],4548.64,4548.64,,,0
NDC,0409-0302-01,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION [108590],474.26,474.26,,,0
NDC,0409-0367-01,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],460.16,460.16,,,0
NDC,0409-0805-01,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],5.0,5.0,,,0
NDC,0409-1036-30,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [105637],10.425,10.425,,,0
NDC,0409-1130-02,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],5.0,5.0,,,0
NDC,0409-1140-01,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],254.95,254.95,,,0
NDC,0409-1141-12,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],5.0,5.0,,,0
NDC,0409-1159-02,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],5.725,5.725,,,0
NDC,0409-1162-01,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],8.33,8.33,,,0
NDC,0409-1162-18,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],8.1,8.1,,,0
NDC,0409-1176-30,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE [125994],51.515,51.515,,,0
NDC,0409-1178-30,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE [125995],26.365000000000002,26.365000000000002,,,0
NDC,0409-1180-69,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE [125999],12.4,12.4,,,0
NDC,0409-1207-03,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],17.5,17.5,,,0
NDC,0409-1219-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],891.5,891.5,,,0
NDC,0409-1273-32,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],44.51,44.51,,,0
NDC,0409-1283-03,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE WRAPPER [40814001],9.27,9.27,,,0
NDC,0409-1283-31,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE WRAPPER [40814001],9.44,9.44,,,0
NDC,0409-1304-31,HYDROMORPHONE 4 MG/ML INJECTION SYRINGE [3759],7.08,7.08,,,0
NDC,0409-1312-03,HYDROMORPHONE 2 MG/ML INJECTION WRAPPER [40817177],10.825,10.825,,,0
NDC,0409-1312-10,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [121573],10.11,10.11,,,0
NDC,0409-1323-05,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],8.385,8.385,,,0
NDC,0409-1323-15,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],10.7,10.7,,,0
NDC,0409-1410-01,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [119061],5.0,5.0,,,0
NDC,0409-1412-04,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],10.12,10.12,,,0
NDC,0409-1412-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],15.15,15.15,,,0
NDC,0409-1434-01,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],536.25,536.25,,,0
NDC,0409-1593-04,TROMETHAMINE 36 MG/ML (0.3 M) INTRAVENOUS SOLUTION [11608],1095.0,1095.0,,,0
NDC,0409-1596-01,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],85.0,85.0,,,0
NDC,0409-1631-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],19.200000000000003,19.200000000000003,,,0
NDC,0409-1746-30,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [105633]",13.625,13.625,,,0
NDC,0409-1749-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [106364]",17.875,17.875,,,0
NDC,0409-1775-10,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE [2361],313.63,313.63,,,0
NDC,0409-1778-05,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],5.0,5.0,,,0
NDC,0409-1778-15,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],5.0,5.0,,,0
NDC,0409-1805-10,HYDROMORPHONE 0.25 MG/0.5 ML INJECTION SYRINGE [209911],23.54,23.54,,,0
NDC,0409-1886-02,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],27.299999999999997,27.299999999999997,,,0
NDC,0409-1890-01,MORPHINE 2 MG/ML INTRAVENOUS CARTRIDGE [130896],16.56,16.56,,,0
NDC,0409-1890-03,MORPHINE 2 MG/ML INTRAVENOUS CARTRIDGE [130896],16.23,16.23,,,0
NDC,0409-1890-13,MORPHINE 2 MG/ML INTRAVENOUS CARTRIDGE [130896],18.95,18.95,,,0
NDC,0409-1890-23,MORPHINE 2 MG/ML INTRAVENOUS CARTRIDGE [130896],18.9,18.9,,,0
NDC,0409-1891-01,MORPHINE 4 MG/ML INTRAVENOUS CARTRIDGE [117338],12.419999999999998,12.419999999999998,,,0
NDC,0409-1891-03,MORPHINE 4 MG/ML INTRAVENOUS CARTRIDGE [117338],12.07,12.07,,,0
NDC,0409-1893-01,MORPHINE 10 MG/ML INTRAVENOUS CARTRIDGE [117340],7.455,7.455,,,0
NDC,0409-1893-03,MORPHINE 10 MG/ML INTRAVENOUS CARTRIDGE [117340],7.245000000000001,7.245000000000001,,,0
NDC,0409-1902-01,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],247.55,247.55,,,0
NDC,0409-1902-11,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],150.785,150.785,,,0
NDC,0409-1918-32,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],1.0,1.0,,,0
NDC,0409-1985-30,LORAZEPAM 2 MG/ML INJECTION SYRINGE [122799],5.76,5.76,,,0
NDC,0409-2025-20,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],19.9,19.9,,,0
NDC,0409-2045-01,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [32950],65.0,65.0,,,0
NDC,0409-2045-10,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [32950],65.0,65.0,,,0
NDC,0409-2047-50,MEPIVACAINE 2 % INJECTION SOLUTION [4915],5.0,5.0,,,0
NDC,0409-2051-05,KETAMINE 100 MG/ML INJECTION SOLUTION [4237],36.98,36.98,,,0
NDC,0409-2051-15,KETAMINE 100 MG/ML INJECTION SOLUTION [4237],33.0,33.0,,,0
NDC,0409-2122-01,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],7.55,7.55,,,0
NDC,0409-2222-01,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [127902]",20.0,20.0,,,0
NDC,0409-2222-12,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [127902]",20.0,20.0,,,0
NDC,0409-2305-17,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [162582],7.5,7.5,,,0
NDC,0409-2308-01,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [162581],10.0,10.0,,,0
NDC,0409-2308-02,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [162581],5.0,5.0,,,0
NDC,0409-2308-49,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [162581],5.0,5.0,,,0
NDC,0409-2308-69,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [162581],5.0,5.0,,,0
NDC,0409-2337-25,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],137.85,137.85,,,0
NDC,0409-2339-24,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS INJECTION [130075],16.2,16.2,,,0
NDC,0409-2339-34,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS INJECTION [130075],11.77,11.77,,,0
NDC,0409-2344-02,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],20.1,20.1,,,0
NDC,0409-2634-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],13.92,13.92,,,0
NDC,0409-2634-05,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],42.8,42.8,,,0
NDC,0409-2634-50,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],231.0,231.0,,,0
NDC,0409-3178-03,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",5.0,5.0,,,0
NDC,0409-3178-17,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",15.005,15.005,,,0
NDC,0409-3182-03,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",5.0,5.0,,,0
NDC,0409-3189-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],12.0,12.0,,,0
NDC,0409-3189-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],8.0,8.0,,,0
NDC,0409-3294-51,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],43.75,43.75,,,0
NDC,0409-3299-05,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],16.75,16.75,,,0
NDC,0409-3299-06,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],24.0,24.0,,,0
NDC,0409-3299-15,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],21.25,21.25,,,0
NDC,0409-3299-16,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],29.0,29.0,,,0
NDC,0409-3307-03,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION [122],5.35,5.35,,,0
NDC,0409-3330-01,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],12.5,12.5,,,0
NDC,0409-3365-11,HYDROMORPHONE 2 MG/ML INJECTION WRAPPER [40817177],7.5,7.5,,,0
NDC,0409-3375-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],68.32,68.32,,,0
NDC,0409-3375-14,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],50.0,50.0,,,0
NDC,0409-3385-11,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],42.7,42.7,,,0
NDC,0409-3390-04,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],25.75,25.75,,,0
NDC,0409-3414-01,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],8.01,8.01,,,0
NDC,0409-3414-18,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],5.05,5.05,,,0
NDC,0409-3613-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],7.9,7.9,,,0
NDC,0409-3795-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],8.86,8.86,,,0
NDC,0409-3796-01,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349],7.315,7.315,,,0
NDC,0409-3815-11,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],38.05,38.05,,,0
NDC,0409-3815-12,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],29.55,29.55,,,0
NDC,0409-4031-01,MANNITOL 25 % INTRAVENOUS SOLUTION [4750],10.875,10.875,,,0
NDC,0409-4090-01,ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION [8865],74.795,74.795,,,0
NDC,0409-4092-01,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [119125],80.28999999999999,80.28999999999999,,,0
NDC,0409-4093-01,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION [1685],106.4,106.4,,,0
NDC,0409-4275-01,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION [4451],13.25,13.25,,,0
NDC,0409-4276-01,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],5.0,5.0,,,0
NDC,0409-4276-02,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],8.25,8.25,,,0
NDC,0409-4276-16,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],5.0,5.0,,,0
NDC,0409-4277-01,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],6.5,6.5,,,0
NDC,0409-4277-02,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],10.75,10.75,,,0
NDC,0409-4278-01,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [106363],11.5,11.5,,,0
NDC,0409-4282-12,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],25.0,25.0,,,0
NDC,0409-4283-01,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION [4455],13.58,13.58,,,0
NDC,0409-4332-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],64.03,64.03,,,0
NDC,0409-4346-16,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],28.7,28.7,,,0
NDC,0409-4346-73,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],18.72,18.72,,,0
NDC,0409-4520-02,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [24329]",36.25,36.25,,,0
NDC,0409-4520-30,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [24329]",36.25,36.25,,,0
NDC,0409-4646-01,PANCURONIUM 1 MG/ML INTRAVENOUS SOLUTION [6013],20.2,20.2,,,0
NDC,0409-4698-01,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION [43717],23.56,23.56,,,0
NDC,0409-5534-34,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE [7306],40.35,40.35,,,0
NDC,0409-5820-01,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION [2595],8.38,8.38,,,0
NDC,0409-5922-01,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [123836],42.04,42.04,,,0
NDC,0409-5922-16,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [123836],29.685000000000002,29.685000000000002,,,0
NDC,0409-6102-02,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],9.97,9.97,,,0
NDC,0409-6102-04,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],13.14,13.14,,,0
NDC,0409-6102-10,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.75,14.75,,,0
NDC,0409-6482-01,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],351.99,351.99,,,0
NDC,0409-6482-11,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],489.31499999999994,489.31499999999994,,,0
NDC,0409-6509-01,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],354.55,354.55,,,0
NDC,0409-6531-12,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],26.72,26.72,,,0
NDC,0409-6533-01,VANCOMYCIN 1 G IN 1 ML 0.9% NACL FOR STERNAL PASTE (OPTIME) [500556],63.06,63.06,,,0
NDC,0409-6533-21,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",13.2,13.2,,,0
NDC,0409-6562-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],47.8,47.8,,,0
NDC,0409-6625-14,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [119756],16.37,16.37,,,0
NDC,0409-6637-14,SODIUM BICARBONATE 50 MEQ/50 ML (8.4 %) INTRAVENOUS SYRINGE [7309],81.0,81.0,,,0
NDC,0409-6637-24,SODIUM BICARBONATE 50 MEQ/50 ML (8.4 %) INTRAVENOUS SYRINGE [7309],42.25,42.25,,,0
NDC,0409-6637-34,SODIUM BICARBONATE 1 MEQ/ML INFUSION [400328],26.5,26.5,,,0
NDC,0409-6648-02,DEXTROSE 50 % IN WATER (D50W) IV (MASTER) [408400],9.25,9.25,,,0
NDC,0409-6648-16,DEXTROSE 50 % IN WATER (D50W) IV (MASTER) [408400],12.75,12.75,,,0
NDC,0409-6651-06,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],11.65,11.65,,,0
NDC,0409-6653-05,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],16.2,16.2,,,0
NDC,0409-6660-75,SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [7320],6.25,6.25,,,0
NDC,0409-6664-02,SODIUM LACTATE 5 MEQ/ML INTRAVENOUS SOLUTION [7346],9.4,9.4,,,0
NDC,0409-6695-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],28.05,28.05,,,0
NDC,0409-6778-02,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],5.0,5.0,,,0
NDC,0409-7037-01,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],17.5,17.5,,,0
NDC,0409-7037-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],17.5,17.5,,,0
NDC,0409-7074-26,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11074],12.0,12.0,,,0
NDC,0409-7077-14,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11077],8.25,8.25,,,0
NDC,0409-7248-03,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [25174],57.5,57.5,,,0
NDC,0409-7248-49,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [25174],57.5,57.5,,,0
NDC,0409-7299-73,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],11.8,11.8,,,0
NDC,0409-7332-01,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],6.109999999999999,6.109999999999999,,,0
NDC,0409-7332-11,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],37.69,37.69,,,0
NDC,0409-7334-10,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION [9491],82.15,82.15,,,0
NDC,0409-7335-03,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],13.72,13.72,,,0
NDC,0409-7335-13,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],11.25,11.25,,,0
NDC,0409-7337-01,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],5.0,5.0,,,0
NDC,0409-7337-11,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],5.0,5.0,,,0
NDC,0409-7338-01,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],5.0,5.0,,,0
NDC,0409-7391-72,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],20.53,20.53,,,0
NDC,0409-7391-82,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],10.05,10.05,,,0
NDC,0409-7418-03,DEXTRAN 40 10 % IN 5 % DEXTROSE INTRAVENOUS [9759],102.5,102.5,,,0
NDC,0409-7419-03,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [2350],110.0,110.0,,,0
NDC,0409-7517-16,DEXTROSE 50 % IN WATER (D50W) IV (MASTER) [408400],25.5,25.5,,,0
NDC,0409-7620-49,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [127902]",20.0,20.0,,,0
NDC,0409-7620-59,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [127902]",20.0,20.0,,,0
NDC,0409-7650-62,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",28.75,28.75,,,0
NDC,0409-7811-24,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],5.0,5.0,,,0
NDC,0409-7875-01,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],187.5,187.5,,,0
NDC,0409-7875-12,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],182.5,182.5,,,0
NDC,0409-7935-19,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION [2359],52.5,52.5,,,0
NDC,0409-7974-08,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION [3493],60.0,60.0,,,0
NDC,0409-7983-61,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0409-7984-20,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,0409-8183-15,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],14.0,14.0,,,0
NDC,0409-9042-09,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [105633]",10.22,10.22,,,0
NDC,0409-9093-38,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],6.1,6.1,,,0
NDC,0409-9094-22,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],127.5,127.5,,,0
NDC,0409-9094-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],5.1,5.1,,,0
NDC,0409-9104-20,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [128099],5.95,5.95,,,0
NDC,0409-9158-01,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],58.06,58.06,,,0
NDC,0409-9158-31,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],107.35,107.35,,,0
NDC,0409-9300-20,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],14.5,14.5,,,0
NDC,0430-0170-15,"DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR [40402]",58.510000000000005,58.510000000000005,,,0
NDC,0436-0672-16,SODIUM HYPOCHLORITE 0.125 % SOLUTION [76720],49.67,49.67,,,0
NDC,0436-0936-16,SODIUM HYPOCHLORITE 0.25 % SOLUTION [15950],49.67,49.67,,,0
NDC,0436-0946-16,SODIUM HYPOCHLORITE 0.5 % SOLUTION [2110],49.67,49.67,,,0
NDC,0456-0458-01,THYROID (PORK) 30 MG TABLET [128492],5.0,5.0,,,0
NDC,0456-0459-01,THYROID (PORK) 60 MG TABLET [128493],5.0,5.0,,,0
NDC,0456-0461-01,THYROID (PORK) 120 MG TABLET [128495],5.0,5.0,,,0
NDC,0456-0600-01,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [107671],349.52,349.52,,,0
NDC,0456-0600-10,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [107671],349.52,349.52,,,0
NDC,0456-1120-30,VILAZODONE 20 MG TABLET [109403],37.45,37.45,,,0
NDC,0456-1201-30,LINACLOTIDE 145 MCG CAPSULE [162573],66.03999999999999,66.03999999999999,,,0
NDC,0456-1203-30,LINACLOTIDE 72 MCG CAPSULE [185756],133.02,133.02,,,0
NDC,0456-1405-11,NEBIVOLOL 5 MG TABLET [89284],22.395,22.395,,,0
NDC,0456-1510-60,MILNACIPRAN 100 MG TABLET [97090],16.25,16.25,,,0
NDC,0456-1550-60,MILNACIPRAN 50 MG TABLET [97089],16.25,16.25,,,0
NDC,0456-2405-06,ASENAPINE 5 MG SUBLINGUAL TABLET [99754],100.26,100.26,,,0
NDC,0456-2410-60,ASENAPINE 10 MG SUBLINGUAL TABLET [99755],50.13,50.13,,,0
NDC,0456-2700-01,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [177276],699.82,699.82,,,0
NDC,0469-0420-01,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION [177321],1528.25,1528.25,,,0
NDC,0469-0420-99,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION [177321],1145.85,1145.85,,,0
NDC,0469-0520-01,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE [177324],702.66,702.66,,,0
NDC,0469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE [177324],702.66,702.66,,,0
NDC,0469-1602-10,CONIVAPTAN 20 MG/100 ML IN 5 % DEXTROSE IV [96988],2754.0,2754.0,,,0
NDC,0469-3016-01,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION [12935],289.16,289.16,,,0
NDC,0469-3051-30,AMPHOTERICIN B LIPOSOME (AMBISOME) INHALATION [40817119],208.99,208.99,,,0
NDC,0469-3250-10,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [41144],15.76,15.76,,,0
NDC,0469-3425-10,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION [212372],85440.0,85440.0,,,0
NDC,0472-0220-63,CLOTRIMAZOLE 1 % VAGINAL CREAM [1769],18.0,18.0,,,0
NDC,0472-0380-15,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM [1027],156.0,156.0,,,0
NDC,0472-0380-45,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM [1027],312.08,312.08,,,0
NDC,0472-0381-45,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT [1029],380.93,380.93,,,0
NDC,0472-5242-67,PERMETHRIN 1 % TOPICAL LIQUID [10918],26.55,26.55,,,0
NDC,0480-1232-08,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [37237]",2118.85,2118.85,,,0
NDC,0480-1342-08,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [37238]",3179.4,3179.4,,,0
NDC,0480-1453-08,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [37239]",4237.9,4237.9,,,0
NDC,0480-3325-01,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [170374],14143.6,14143.6,,,0
NDC,0480-3720-56,PYRIMETHAMINE 25 MG TABLET [11246],606.5,606.5,,,0
NDC,0480-7062-56,PERAMPANEL (FYCOMPA) 2 MG TABLET [165109],237.85999999999999,237.85999999999999,,,0
NDC,0480-9733-01,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [37237]",2118.85,2118.85,,,0
NDC,0486-1111-01,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET [11087]",7.5,7.5,,,0
NDC,0487-5901-99,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION [113082],5.275,5.275,,,0
NDC,0487-9601-01,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],25.5,25.5,,,0
NDC,0487-9601-30,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],22.02,22.02,,,0
NDC,0487-9701-01,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],33.25,33.25,,,0
NDC,0487-9901-30,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION [125214],5.0,5.0,,,0
NDC,0496-0882-05,LIDOCAINE 4 % TOPICAL CREAM [23461],14.45,14.45,,,0
NDC,0496-0882-06,LIDOCAINE 4 % TOPICAL CREAM [23461],14.45,14.45,,,0
NDC,0517-0101-25,ATROPINE 1 MG/ML INJECTION SOLUTION [734],17.875,17.875,,,0
NDC,0517-0374-01,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [184497],1118.97,1118.97,,,0
NDC,0517-0374-05,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [184497],111.9,111.9,,,0
NDC,0517-0375-01,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION [119651],678.18,678.18,,,0
NDC,0517-0375-10,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION [119651],34.68,34.68,,,0
NDC,0517-0401-25,ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],15.17,15.17,,,0
NDC,0517-0440-01,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL [2932],89.3,89.3,,,0
NDC,0517-0650-01,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION [164437],5709.8,5709.8,,,0
NDC,0517-0710-01,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [22185],1469.1,1469.1,,,0
NDC,0517-0720-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [9266],134.8,134.8,,,0
NDC,0517-0785-05,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],226.28,226.28,,,0
NDC,0517-0866-01,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],127.4,127.4,,,0
NDC,0517-0866-10,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],127.4,127.4,,,0
NDC,0517-1010-25,ATROPINE 1 MG/ML INJECTION SOLUTION [734],17.875,17.875,,,0
NDC,0517-1020-01,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [176740],294.65,294.65,,,0
NDC,0517-1020-25,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [176740],15.600000000000001,15.600000000000001,,,0
NDC,0517-2051-01,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],50.75,50.75,,,0
NDC,0517-2310-01,IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [129549],247.83999999999997,247.83999999999997,,,0
NDC,0517-2340-01,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],231.375,231.375,,,0
NDC,0517-2340-10,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],424.2,424.2,,,0
NDC,0517-2502-10,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN [1262],48.15,48.15,,,0
NDC,0517-2710-25,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [119902],6.95,6.95,,,0
NDC,0517-4002-25,PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],48.77,48.77,,,0
NDC,0517-4010-01,PAPAVERINE 30MG IN 10 ML NS FOR MAMMARY SOLN (OPTIME) [500558],104.0,104.0,,,0
NDC,0517-4300-01,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [40475],9178.46,9178.46,,,0
NDC,0517-4601-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],10.76,10.76,,,0
NDC,0517-4810-25,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [5599],5.0,5.0,,,0
NDC,0517-5023-25,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION [7302],16.0,16.0,,,0
NDC,0517-5050-01,ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION [654],5.0,5.0,,,0
NDC,0517-5602-25,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION [3770],15.65,15.65,,,0
NDC,0517-6110-25,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878],10.1,10.1,,,0
NDC,0517-6202-25,TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS [18267],26.0,26.0,,,0
NDC,0517-6410-25,MANGANESE SULFATE 0.1 MG/ML INTRAVENOUS SOLUTION [4745],10.85,10.85,,,0
NDC,0517-6510-25,SELENIUM 40 MCG/ML INTRAVENOUS SOLUTION [77308],13.25,13.25,,,0
NDC,0517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [119902],40.875,40.875,,,0
NDC,0517-7604-25,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],18.06,18.06,,,0
NDC,0517-8201-25,TRACE ELEMENTS CR-CU-FE-MN-I-F-MO-SE-ZN [500501],34.67,34.67,,,0
NDC,0517-9120-01,AMINOCAPROIC ACID 250 MG/ML IV BOLUS (ONE-STEP) [350140],13.14,13.14,,,0
NDC,0517-9120-25,AMINOCAPROIC ACID 250 MG/ML IV BOLUS (ONE-STEP) [350140],6.96,6.96,,,0
NDC,0517-9203-25,TRACE ELEMENT PEDI CR-CU-MN-ZN 1 MCG-0.1 MG-25 MCG-1 MG/ML INTRAVENOUS [18266],27.11,27.11,,,0
NDC,0517-9305-01,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [198015],86.0,86.0,,,0
NDC,0517-9310-25,TRACE ELEMENTS PED ZN-CU-MN-SE-I-F [500504],30.35,30.35,,,0
NDC,0517-9702-25,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],6.355,6.355,,,0
NDC,0527-0762-37,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET [119387],8.75,8.75,,,0
NDC,0527-1231-01,PRIMIDONE 250 MG TABLET [6544],5.0,5.0,,,0
NDC,0527-1301-01,PRIMIDONE 50 MG TABLET [11129],10.0,10.0,,,0
NDC,0527-1311-01,TERBUTALINE 5 MG TABLET [11509],6.495,6.495,,,0
NDC,0527-1313-01,PILOCARPINE 5 MG TABLET [12803],7.86,7.86,,,0
NDC,0527-1318-01,TERBUTALINE 2.5 MG TABLET [11508],9.825,9.825,,,0
NDC,0527-1367-01,PROBENECID 500 MG TABLET [6561],7.5,7.5,,,0
NDC,0527-1369-01,DANAZOL 200 MG CAPSULE [2120],7.79,7.79,,,0
NDC,0527-1369-06,DANAZOL 200 MG CAPSULE [2120],8.84,8.84,,,0
NDC,0527-1392-01,DANAZOL 50 MG CAPSULE [9715],11.84,11.84,,,0
NDC,0527-1394-01,LOXAPINE SUCCINATE 5 MG CAPSULE [4601],17.5,17.5,,,0
NDC,0527-1632-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],7.5,7.5,,,0
NDC,0527-1728-74,COCAINE 4 % TOPICAL SOLUTION [1792],612.8,612.8,,,0
NDC,0527-1818-43,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY [20038],137.49,137.49,,,0
NDC,0527-1948-66,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],419.5,419.5,,,0
NDC,0527-1949-47,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP [2032],7.3,7.3,,,0
NDC,0527-2133-35,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [165053]",405.71,405.71,,,0
NDC,0527-3221-37,DANTROLENE 100 MG CAPSULE [9717],5.0600000000000005,5.0600000000000005,,,0
NDC,0527-3280-46,LEVOTHYROXINE 25 MCG TABLET [4420],15.0,15.0,,,0
NDC,0527-4579-37,"METHYLPHENIDATE CD 10 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE [36495]",33.25,33.25,,,0
NDC,0527-4591-13,OSELTAMIVIR 30 MG CAPSULE [88704],8.75,8.75,,,0
NDC,0527-8106-37,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50 [41545]",29.5,29.5,,,0
NDC,0536-0815-95,BENZOYL PEROXIDE 10 % LOTION [994],8.55,8.55,,,0
NDC,0536-0901-97,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN [163547],7.08,7.08,,,0
NDC,0536-1048-15,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],7.5,7.5,,,0
NDC,0536-1054-29,ASPIRIN 325 MG TABLET [681],7.5,7.5,,,0
NDC,0536-1057-75,BENZOYL PEROXIDE 5 % LOTION [995],13.28,13.28,,,0
NDC,0536-1058-75,BENZOYL PEROXIDE 10 % LOTION [994],15.2,15.2,,,0
NDC,0536-1118-25,CAPSAICIN 0.075 % TOPICAL CREAM [9399],14.25,14.25,,,0
NDC,0536-1183-65,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",57.67,57.67,,,0
NDC,0536-1202-07,LIDOCAINE 4 % TOPICAL PATCH [119190],10.09,10.09,,,0
NDC,0536-1202-15,LIDOCAINE 4 % TOPICAL PATCH [119190],11.64,11.64,,,0
NDC,0536-1211-95,DIBUCAINE 1 % TOPICAL OINTMENT [2412],21.42,21.42,,,0
NDC,0536-1224-97,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN [163547],11.7,11.7,,,0
NDC,0536-1228-58,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [36976],10.62,10.62,,,0
NDC,0536-1234-41,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",15.035,15.035,,,0
NDC,0536-1248-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],10.0,10.0,,,0
NDC,0536-1253-91,SODIUM CHLORIDE 5 % EYE OINTMENT [7331],11.36,11.36,,,0
NDC,0536-1254-94,SODIUM CHLORIDE 5 % EYE DROPS [7332],16.43,16.43,,,0
NDC,0536-1268-12,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION [23063],19.98,19.98,,,0
NDC,0536-1271-80,POVIDONE-IODINE 10 % TOPICAL OINTMENT [6455],5.4,5.4,,,0
NDC,0536-1304-85,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],47.3,47.3,,,0
NDC,0536-1962-97,SALICYLIC ACID-SULFUR 2 %-2 % SHAMPOO [11327],7.67,7.67,,,0
NDC,0536-2525-25,CAPSAICIN 0.025 % TOPICAL CREAM [1350],19.2,19.2,,,0
NDC,0536-3029-25,NICOTINE (POLACRILEX) 2 MG GUM [10717],7.5,7.5,,,0
NDC,0536-3029-34,NICOTINE (POLACRILEX) 2 MG GUM [10717],7.5,7.5,,,0
NDC,0536-3414-10,CALCIUM 260 MG (AS CALCIUM CARBONATE 648 MG) TABLET [97552],5.0,5.0,,,0
NDC,0536-3587-01,IBUPROFEN 200 MG TABLET [3841],12.5,12.5,,,0
NDC,0536-4070-01,NIACIN 50 MG TABLET [5541],15.0,15.0,,,0
NDC,0548-5400-00,MEDROXYPROGESTERONE 150 MG/ML IM VIAL/SYRINGE (FAM) [500587],200.75,200.75,,,0
NDC,0548-5900-00,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],513.13,513.13,,,0
NDC,0548-9501-00,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [119061],21.4,21.4,,,0
NDC,0548-9502-00,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [119061],5.0,5.0,,,0
NDC,0548-9701-00,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [176740],116.38,116.38,,,0
NDC,0555-0066-05,ISONIAZID 100 MG TABLET [4026],7.5,7.5,,,0
NDC,0555-0158-02,CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],10.0,10.0,,,0
NDC,0555-0572-02,METHOTREXATE SODIUM 2.5 MG TABLET [4973],34.01,34.01,,,0
NDC,0555-0588-01,"DIDANOSINE 200 MG CAPSULE,DELAYED RELEASE [29108]",21.41,21.41,,,0
NDC,0555-0590-01,"DIDANOSINE 400 MG CAPSULE,DELAYED RELEASE [29110]",33.25,33.25,,,0
NDC,0555-0607-02,MEGESTROL 40 MG TABLET [4871],7.5,7.5,,,0
NDC,0555-0633-02,DANAZOL 50 MG CAPSULE [9715],12.86,12.86,,,0
NDC,0555-9049-58,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET [10752],5.0,5.0,,,0
NDC,0555-9049-79,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET [10752],5.0,5.0,,,0
NDC,0562-7805-01,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE [11283]",590.0,590.0,,,0
NDC,0574-0121-76,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION [125306],134.67,134.67,,,0
NDC,0574-0145-60,TROSPIUM 20 MG TABLET [38977],6.89,6.89,,,0
NDC,0574-0240-01,REPAGLINIDE 0.5 MG TABLET [22584],10.0,10.0,,,0
NDC,0574-0292-01,AMILORIDE 5 MG TABLET [391],7.5,7.5,,,0
NDC,0574-0521-74,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION [125307],53.4,53.4,,,0
NDC,0574-0521-76,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION [125306],117.04,117.04,,,0
NDC,0574-0618-16,MINERAL OIL ORAL [5086],5.0,5.0,,,0
NDC,0574-4022-35,BACITRACIN 500 UNIT/GRAM EYE OINTMENT [852],300.41,300.41,,,0
NDC,0574-4024-11,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],29.33,29.33,,,0
NDC,0574-7034-12,ASPIRIN 300 MG RECTAL SUPPOSITORY [693],9.19,9.19,,,0
NDC,0574-7036-12,ASPIRIN 600 MG RECTAL SUPPOSITORY [696],5.67,5.67,,,0
NDC,0574-7040-12,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY [24731],85.77,85.77,,,0
NDC,0574-7050-50,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],5.0,5.0,,,0
NDC,0574-7090-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],55.56,55.56,,,0
NDC,0574-7112-12,MORPHINE 10 MG RECTAL SUPPOSITORY [5180],22.47,22.47,,,0
NDC,0574-7226-12,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],41.95,41.95,,,0
NDC,0591-0345-01,VERAPAMIL 120 MG TABLET [8528],5.0,5.0,,,0
NDC,0591-0369-01,LOXAPINE SUCCINATE 5 MG CAPSULE [4601],17.5,17.5,,,0
NDC,0591-0404-01,VERAPAMIL 40 MG TABLET [8529],10.0,10.0,,,0
NDC,0591-0794-01,DICYCLOMINE 10 MG CAPSULE [2418],10.0,10.0,,,0
NDC,0591-2190-54,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION [70678]",35.71,35.71,,,0
NDC,0591-2533-60,"DALFAMPRIDINE ER 10 MG TABLET,EXTENDED RELEASE,12 HR [100796]",5.0,5.0,,,0
NDC,0591-3041-01,HYDROXYCHLOROQUINE 200 MG TABLET [10235],7.5,7.5,,,0
NDC,0591-3217-30,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [108039],5.0,5.0,,,0
NDC,0591-3221-26,TESTOSTERONE ENANTHATE 200 MG/ML INTRAMUSCULAR OIL [7785],65.44,65.44,,,0
NDC,0591-3223-79,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],31.06,31.06,,,0
NDC,0591-3508-04,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],121.89,121.89,,,0
NDC,0591-3508-54,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],121.89,121.89,,,0
NDC,0591-3509-04,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],205.22,205.22,,,0
NDC,0591-3509-54,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],205.22,205.22,,,0
NDC,0591-3510-04,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],284.7,284.7,,,0
NDC,0591-3510-54,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],284.7,284.7,,,0
NDC,0591-3525-11,LIDOCAINE 5 % TOPICAL PATCH [28203],59.7,59.7,,,0
NDC,0591-3525-30,LIDOCAINE 5 % TOPICAL PATCH [28203],59.7,59.7,,,0
NDC,0591-3629-01,"HYDROMORPHONE (EXALGO) ER 8 MG TABLET,EXTENDED RELEASE 24 HR [103926]",79.105,79.105,,,0
NDC,0591-3739-01,"HYDROMORPHONE (EXALGO) ER 12 MG TABLET,EXTENDED RELEASE 24 HR [103927]",118.66,118.66,,,0
NDC,0591-3870-45,MEMANTINE 5 MG TABLET [37170],7.5,7.5,,,0
NDC,0591-5052-01,PREDNISONE 5 MG TABLET [6497],20.0,20.0,,,0
NDC,0591-5335-01,TRIHEXYPHENIDYL 2 MG TABLET [8166],8.75,8.75,,,0
NDC,0591-5337-01,TRIHEXYPHENIDYL 5 MG TABLET [8167],5.0,5.0,,,0
NDC,0591-5438-01,QUINIDINE SULFATE 200 MG TABLET [6777],6.25,6.25,,,0
NDC,0591-5454-01,QUINIDINE SULFATE 300 MG TABLET [6778],5.0,5.0,,,0
NDC,0591-5556-10,PROPRANOLOL 40 MG TABLET [6658],7.5,7.5,,,0
NDC,0591-5590-01,TRANYLCYPROMINE 10 MG TABLET [11574],10.795,10.795,,,0
NDC,0597-0024-02,IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION [170973],1114.8,1114.8,,,0
NDC,0597-0035-10,SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION [205041],260778.3,260778.3,,,0
NDC,0597-0041-37,TELMISARTAN 80 MG TABLET [24336],12.6,12.6,,,0
NDC,0597-0046-60,NEVIRAPINE 200 MG TABLET [17403],57.59,57.59,,,0
NDC,0597-0047-24,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [24119],83.34,83.34,,,0
NDC,0597-0075-75,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE [38315],284.4,284.4,,,0
NDC,0597-0087-17,IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER [41142],104.3,104.3,,,0
NDC,0597-0100-51,TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST FOR INHALATION [169777],349.36,349.36,,,0
NDC,0597-0138-30,AFATINIB 40 MG TABLET [164354],38.85,38.85,,,0
NDC,0597-0140-61,LINAGLIPTIN 5 MG TABLET [109773],41.39,41.39,,,0
NDC,0597-0152-37,EMPAGLIFLOZIN 10 MG TABLET [170801],104.78999999999999,104.78999999999999,,,0
NDC,0597-0153-30,EMPAGLIFLOZIN 25 MG TABLET [170800],39.6,39.6,,,0
NDC,0597-0153-37,EMPAGLIFLOZIN 25 MG TABLET [170800],44.45,44.45,,,0
NDC,0597-0155-70,TIOTROPIUM 2.5 MCG-OLODATEROL 2.5 MCG/ACTUATION MIST FOR INHALATION [178542],209.55,209.55,,,0
NDC,0597-0197-05,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [180015],17500.0,17500.0,,,0
NDC,0597-0355-56,DABIGATRAN ETEXILATE 75 MG CAPSULE [106490],42.150000000000006,42.150000000000006,,,0
NDC,0597-0360-82,DABIGATRAN ETEXILATE 150 MG CAPSULE [106491],21.075000000000003,21.075000000000003,,,0
NDC,0603-0649-88,CAPSAICIN 0.075 % TOPICAL CREAM [9399],18.9,18.9,,,0
NDC,0603-0823-54,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],5.0,5.0,,,0
NDC,0603-1481-49,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",5.0,5.0,,,0
NDC,0603-2434-21,BENZTROPINE 1 MG TABLET [999],7.5,7.5,,,0
NDC,0603-2435-21,BENZTROPINE 2 MG TABLET [1000],5.0,5.0,,,0
NDC,0603-2483-21,"BISACODYL 5 MG TABLET,DELAYED RELEASE [1079]",7.5,7.5,,,0
NDC,0603-2544-21,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],7.5,7.5,,,0
NDC,0603-5484-21,PROPRANOLOL 40 MG TABLET [6658],7.5,7.5,,,0
NDC,0641-0367-21,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],5.0,5.0,,,0
NDC,0641-0367-25,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],5.0,5.0,,,0
NDC,0641-0376-21,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],5.0,5.0,,,0
NDC,0641-0376-25,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],15.0,15.0,,,0
NDC,0641-0476-21,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],65.65,65.65,,,0
NDC,0641-0476-25,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],65.65,65.65,,,0
NDC,0641-0477-21,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],170.38,170.38,,,0
NDC,0641-0477-25,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],170.38,170.38,,,0
NDC,0641-0493-21,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],5.0,5.0,,,0
NDC,0641-0493-25,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],19.2,19.2,,,0
NDC,0641-1398-31,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],92.47,92.47,,,0
NDC,0641-1398-35,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],92.47,92.47,,,0
NDC,0641-2555-10,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],7.43,7.43,,,0
NDC,0641-2555-41,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],5.3,5.3,,,0
NDC,0641-6006-01,ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],143.7,143.7,,,0
NDC,0641-6007-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],26.535,26.535,,,0
NDC,0641-6007-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],9.15,9.15,,,0
NDC,0641-6008-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],8.28,8.28,,,0
NDC,0641-6008-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],8.28,8.28,,,0
NDC,0641-6013-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],5.0,5.0,,,0
NDC,0641-6013-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],5.0,5.0,,,0
NDC,0641-6019-01,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],51.75,51.75,,,0
NDC,0641-6019-10,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],77.625,77.625,,,0
NDC,0641-6030-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],68.25,68.25,,,0
NDC,0641-6039-01,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION [77009],595.0,595.0,,,0
NDC,0641-6040-01,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION [27392],1006.9,1006.9,,,0
NDC,0641-6044-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],5.0,5.0,,,0
NDC,0641-6044-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],5.0,5.0,,,0
NDC,0641-6045-25,LORAZEPAM 4 MG/ML INJECTION SOLUTION [10468],6.16,6.16,,,0
NDC,0641-6047-01,LORAZEPAM 4 MG/ML INJECTION SOLUTION [10468],30.6,30.6,,,0
NDC,0641-6047-10,LORAZEPAM 4 MG/ML INJECTION SOLUTION [10468],30.6,30.6,,,0
NDC,0641-6052-01,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION [4903],5.0,5.0,,,0
NDC,0641-6052-25,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION [4903],5.0,5.0,,,0
NDC,0641-6053-01,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],5.0,5.0,,,0
NDC,0641-6057-01,MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],7.5,7.5,,,0
NDC,0641-6060-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],33.2,33.2,,,0
NDC,0641-6078-01,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],9.175,9.175,,,0
NDC,0641-6078-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],8.35,8.35,,,0
NDC,0641-6079-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],37.3,37.3,,,0
NDC,0641-6103-01,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],162.675,162.675,,,0
NDC,0641-6125-25,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION WRAPPER [40816120],5.0,5.0,,,0
NDC,0641-6136-01,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],14.73,14.73,,,0
NDC,0641-6136-25,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],14.73,14.73,,,0
NDC,0641-6150-01,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION [164134],45.34,45.34,,,0
NDC,0641-6174-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],9.55,9.55,,,0
NDC,0641-6174-10,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],7.65,7.65,,,0
NDC,0641-6206-01,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE WRAPPER [40814001],12.55,12.55,,,0
NDC,0641-6206-10,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE WRAPPER [40814001],12.57,12.57,,,0
NDC,0641-6236-01,EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE [203067],19.5,19.5,,,0
NDC,0641-6244-01,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],71.375,71.375,,,0
NDC,0703-1501-01,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],20.05,20.05,,,0
NDC,0703-1501-02,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],7.82,7.82,,,0
NDC,0703-3216-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",368.46,368.46,,,0
NDC,0703-3218-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",122.56,122.56,,,0
NDC,0703-3671-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],8.23,8.23,,,0
NDC,0703-3675-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],5.63,5.63,,,0
NDC,0703-4094-01,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],92.7,92.7,,,0
NDC,0703-4244-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],304.38,304.38,,,0
NDC,0703-4246-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],446.09000000000003,446.09000000000003,,,0
NDC,0703-4248-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],228.28500000000003,228.28500000000003,,,0
NDC,0703-4402-11,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],144.9,144.9,,,0
NDC,0703-4432-11,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [91055],494.38,494.38,,,0
NDC,0703-4502-01,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],7.5,7.5,,,0
NDC,0703-4502-04,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],7.5,7.5,,,0
NDC,0703-4636-01,STREPTOZOCIN 1 GRAM INTRAVENOUS SOLUTION [11436],2522.0249999999996,2522.0249999999996,,,0
NDC,0703-4685-01,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [93747]",583.075,583.075,,,0
NDC,0703-5145-01,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],27.275,27.275,,,0
NDC,0703-5233-11,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],266.92,266.92,,,0
NDC,0703-5233-13,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],266.92,266.92,,,0
NDC,0703-5656-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],124.63,124.63,,,0
NDC,0703-7121-01,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],72.97,72.97,,,0
NDC,0703-7121-03,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],72.97,72.97,,,0
NDC,0703-9040-01,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",19.72,19.72,,,0
NDC,0703-9514-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],43.3,43.3,,,0
NDC,0703-9514-03,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],43.3,43.3,,,0
NDC,0713-0132-06,PROMETHAZINE 50 MG RECTAL SUPPOSITORY [6624],63.56,63.56,,,0
NDC,0713-0132-12,PROMETHAZINE 50 MG RECTAL SUPPOSITORY [6624],63.56,63.56,,,0
NDC,0713-0135-06,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],29.09,29.09,,,0
NDC,0713-0135-12,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],29.09,29.09,,,0
NDC,0713-0224-60,FLUOCINOLONE 0.025 % TOPICAL OINTMENT [3185],386.1,386.1,,,0
NDC,0713-0503-06,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],53.25,53.25,,,0
NDC,0713-0503-24,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],50.59,50.59,,,0
NDC,0713-0526-12,PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],30.37,30.37,,,0
NDC,0713-0656-31,CLOBETASOL 0.05 % TOPICAL OINTMENT [9631],34.35,34.35,,,0
NDC,0713-0676-53,TRIAMCINOLONE ACETONIDE 0.1 % LOTION [8116],67.2,67.2,,,0
NDC,0713-0678-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",38.18,38.18,,,0
NDC,0713-0683-15,GENTAMICIN 0.1 % TOPICAL CREAM [3423],30.83,30.83,,,0
NDC,0781-1047-13,PERPHENAZINE 4 MG TABLET [6158],11.415000000000001,11.415000000000001,,,0
NDC,0781-1556-13,ISOSORBIDE DINITRATE 10 MG TABLET [4064],12.5,12.5,,,0
NDC,0781-1789-01,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",5.0,5.0,,,0
NDC,0781-1831-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],5.0,5.0,,,0
NDC,0781-1852-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],5.0,5.0,,,0
NDC,0781-1874-31,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET [22992],14.19,14.19,,,0
NDC,0781-2020-01,AMOXICILLIN 250 MG CAPSULE [450],10.0,10.0,,,0
NDC,0781-2145-01,AMPICILLIN 500 MG CAPSULE [466],5.0,5.0,,,0
NDC,0781-2147-31,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE [27691]",7.5,7.5,,,0
NDC,0781-2321-51,APREPITANT 40 MG CAPSULE [76843],650.3,650.3,,,0
NDC,0781-2322-68,APREPITANT 80 MG CAPSULE [35488],729.86,729.86,,,0
NDC,0781-2323-68,APREPITANT 125 MG CAPSULE [35489],729.88,729.88,,,0
NDC,0781-2613-01,AMOXICILLIN 500 MG CAPSULE [451],7.5,7.5,,,0
NDC,0781-3040-72,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION [11237],131.57,131.57,,,0
NDC,0781-3079-12,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],5511.375,5511.375,,,0
NDC,0781-3125-85,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],109.09,109.09,,,0
NDC,0781-3125-95,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],109.09,109.09,,,0
NDC,0781-3402-78,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],5.0,5.0,,,0
NDC,0781-3404-85,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],8.36,8.36,,,0
NDC,0781-3404-95,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],8.36,8.36,,,0
NDC,0781-3407-95,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],5.0,5.0,,,0
NDC,0781-3411-70,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],80.85,80.85,,,0
NDC,0781-3411-95,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],80.85,80.85,,,0
NDC,0781-3440-95,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],372.93,372.93,,,0
NDC,0781-3481-70,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],336.82,336.82,,,0
NDC,0781-3481-92,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],336.82,336.82,,,0
NDC,0781-3518-76,PEMETREXED DISODIUM (SANDOZ) 25 MG/ML INTRAVENOUS SOLUTION [203957],470.5,470.5,,,0
NDC,0781-3519-90,PEMETREXED DISODIUM (SANDOZ) 25 MG/ML INTRAVENOUS SOLUTION [203957],2945.9700000000003,2945.9700000000003,,,0
NDC,0781-3755-75,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],52.2,52.2,,,0
NDC,0781-3755-95,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],6.3,6.3,,,0
NDC,0781-4003-32,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT [14135],90.79,90.79,,,0
NDC,0781-5238-06,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],10.0,10.0,,,0
NDC,0781-5238-64,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],10.0,10.0,,,0
NDC,0781-5325-01,BROMOCRIPTINE 2.5 MG TABLET [9297],5.0,5.0,,,0
NDC,0781-6023-46,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION [12886],310.5,310.5,,,0
NDC,0781-6139-57,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],108.38,108.38,,,0
NDC,0781-6186-67,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [36576]",359.4,359.4,,,0
NDC,0781-7296-85,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],5.0,5.0,,,0
NDC,0781-7304-31,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [82504],36.83,36.83,,,0
NDC,0781-7304-58,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [82504],36.83,36.83,,,0
NDC,0781-7309-31,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH [82505],32.35,32.35,,,0
NDC,0781-7309-58,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH [82505],32.35,32.35,,,0
NDC,0781-7313-31,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH [117356],14.72,14.72,,,0
NDC,0781-7313-58,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH [117356],31.97,31.97,,,0
NDC,0781-9402-78,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],5.0,5.0,,,0
NDC,0781-9402-95,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],5.0,5.0,,,0
NDC,0799-0001-05,MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT IN PACKET [130782],5.0,5.0,,,0
NDC,0832-0310-11,VALPROIC ACID 250 MG CAPSULE [8429],5.0,5.0,,,0
NDC,0832-0510-00,BETHANECHOL CHLORIDE 5 MG TABLET [1045],17.5,17.5,,,0
NDC,0832-0595-30,EXEMESTANE 25 MG TABLET [26551],7.5,7.5,,,0
NDC,0832-1690-11,ETHACRYNIC ACID 25 MG TABLET [9980],13.3,13.3,,,0
NDC,0832-6022-11,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR [27634]",15.0,15.0,,,0
NDC,0832-6045-50,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [10010],652.5,652.5,,,0
NDC,0904-0722-36,TOLNAFTATE 1 % TOPICAL CREAM [8020],6.88,6.88,,,0
NDC,0904-1102-31,POVIDONE-IODINE 10 % TOPICAL OINTMENT [6455],5.82,5.82,,,0
NDC,0904-1251-61,SALSALATE 750 MG TABLET [7035],5.835,5.835,,,0
NDC,0904-1453-61,METRONIDAZOLE 250 MG TABLET [5015],10.0,10.0,,,0
NDC,0904-2051-59,DIMENHYDRINATE 50 MG TABLET [2485],5.0,5.0,,,0
NDC,0904-2244-61,DOCUSATE SODIUM 100 MG CAPSULE [2566],7.5,7.5,,,0
NDC,0904-2533-21,CALAMINE 8 %-ZINC OXIDE 8 % LOTION [28055],7.97,7.97,,,0
NDC,0904-2821-61,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],5.0,5.0,,,0
NDC,0904-3571-61,MEGESTROL 40 MG TABLET [4871],7.5,7.5,,,0
NDC,0904-3865-75,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],5.0,5.0,,,0
NDC,0904-4040-73,ASPIRIN 81 MG CHEWABLE TABLET [679],10.0,10.0,,,0
NDC,0904-5053-59,PSEUDOEPHEDRINE 30 MG TABLET [6714],7.5,7.5,,,0
NDC,0904-5365-60,ALUMINUM HYDROX-MAGNESIUM CARB 160 MG-105 MG CHEWABLE TABLET [9016],5.0,5.0,,,0
NDC,0904-5377-20,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN [163547],7.67,7.67,,,0
NDC,0904-5379-61,GEMFIBROZIL 600 MG TABLET [3378],5.0,5.0,,,0
NDC,0904-5448-61,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE [21300]",5.0,5.0,,,0
NDC,0904-5502-61,ENALAPRIL MALEATE 5 MG TABLET [9927],10.0,10.0,,,0
NDC,0904-5551-59,DIPHENHYDRAMINE 25 MG TABLET [2505],7.5,7.5,,,0
NDC,0904-5677-61,PAROXETINE 20 MG TABLET [10855],7.5,7.5,,,0
NDC,0904-5711-35,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],5.0,5.0,,,0
NDC,0904-5728-89,LORATADINE 10 MG TABLET [10466],5.0,5.0,,,0
NDC,0904-5784-61,FLUOXETINE 10 MG CAPSULE [10069],10.0,10.0,,,0
NDC,0904-5785-61,FLUOXETINE 20 MG CAPSULE [10070],7.5,7.5,,,0
NDC,0904-5789-61,ACYCLOVIR 200 MG CAPSULE [8969],5.0,5.0,,,0
NDC,0904-5791-46,ACETAMINOPHEN 80 MG CHEWABLE TABLET [99],5.0,5.0,,,0
NDC,0904-5855-61,IBUPROFEN 800 MG TABLET [3845],5.0,5.0,,,0
NDC,0904-5891-61,PRAVASTATIN 10 MG TABLET [11110],15.0,15.0,,,0
NDC,0904-5894-30,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",8.85,8.85,,,0
NDC,0904-5921-61,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],6.17,6.17,,,0
NDC,0904-5959-61,CLINDAMYCIN HCL 150 MG CAPSULE [1740],7.5,7.5,,,0
NDC,0904-6008-61,LORAZEPAM 1 MG TABLET [4573],7.5,7.5,,,0
NDC,0904-6009-61,LORAZEPAM 2 MG TABLET [4574],5.0,5.0,,,0
NDC,0904-6082-61,ZOLPIDEM 5 MG TABLET [11701],7.5,7.5,,,0
NDC,0904-6084-61,CITALOPRAM 10 MG TABLET [30264],10.0,10.0,,,0
NDC,0904-6085-61,CITALOPRAM 20 MG TABLET [21062],7.5,7.5,,,0
NDC,0904-6172-61,CARBAMAZEPINE 200 MG TABLET [1357],7.5,7.5,,,0
NDC,0904-6269-08,ZIPRASIDONE 20 MG CAPSULE [29778],49.165,49.165,,,0
NDC,0904-6270-08,ZIPRASIDONE 40 MG CAPSULE [29779],24.6,24.6,,,0
NDC,0904-6279-61,QUETIAPINE 100 MG TABLET [21824],12.5,12.5,,,0
NDC,0904-6283-61,OLANZAPINE 2.5 MG TABLET [21057],20.0,20.0,,,0
NDC,0904-6285-61,OLANZAPINE 10 MG TABLET [17937],7.5,7.5,,,0
NDC,0904-6286-06,OLANZAPINE 15 MG TABLET [26952],5.835,5.835,,,0
NDC,0904-6290-61,ATORVASTATIN 10 MG TABLET [19176],15.0,15.0,,,0
NDC,0904-6291-61,ATORVASTATIN 20 MG TABLET [19178],10.0,10.0,,,0
NDC,0904-6300-61,CARVEDILOL 3.125 MG TABLET [18551],15.0,15.0,,,0
NDC,0904-6303-61,CARVEDILOL 25 MG TABLET [15748],5.0,5.0,,,0
NDC,0904-6305-21,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [36976],9.74,9.74,,,0
NDC,0904-6310-61,MONTELUKAST 10 MG TABLET [22509],5.0,5.0,,,0
NDC,0904-6322-61,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",15.0,15.0,,,0
NDC,0904-6327-61,METFORMIN 850 MG TABLET [14719],5.445,5.445,,,0
NDC,0904-6342-61,METOPROLOL TARTRATE 100 MG TABLET [5008],5.0,5.0,,,0
NDC,0904-6347-61,ISOSORBIDE DINITRATE 20 MG TABLET [4065],7.5,7.5,,,0
NDC,0904-6353-61,LEVOFLOXACIN 750 MG TABLET [28964],5.0,5.0,,,0
NDC,0904-6367-61,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",5.8,5.8,,,0
NDC,0904-6368-61,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",6.92,6.92,,,0
NDC,0904-6371-61,AMLODIPINE 10 MG TABLET [9069],5.0,5.0,,,0
NDC,0904-6377-61,OLANZAPINE 5 MG TABLET [17936],12.5,12.5,,,0
NDC,0904-6407-61,"BISACODYL 5 MG TABLET,DELAYED RELEASE [1079]",7.5,7.5,,,0
NDC,0904-6408-61,DONEPEZIL 5 MG TABLET [18786],7.5,7.5,,,0
NDC,0904-6412-92,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],7.5,7.5,,,0
NDC,0904-6426-61,ESCITALOPRAM 10 MG TABLET [33512],7.5,7.5,,,0
NDC,0904-6436-04,TEMAZEPAM 7.5 MG CAPSULE [11500],24.54,24.54,,,0
NDC,0904-6468-61,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",10.0,10.0,,,0
NDC,0904-6470-61,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",5.0,5.0,,,0
NDC,0904-6474-61,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",5.0,5.0,,,0
NDC,0904-6475-61,BACLOFEN 10 MG TABLET [860],5.0,5.0,,,0
NDC,0904-6477-61,DONEPEZIL 5 MG TABLET [18786],7.5,7.5,,,0
NDC,0904-6488-38,WHITE PETROLATUM-MINERAL OIL EYE OINTMENT [408027],9.4,9.4,,,0
NDC,0904-6500-61,FLUCONAZOLE 100 MG TABLET [10044],8.83,8.83,,,0
NDC,0904-6503-61,CELECOXIB 200 MG CAPSULE [24501],9.12,9.12,,,0
NDC,0904-6506-61,MEMANTINE 10 MG TABLET [36966],5.0,5.0,,,0
NDC,0904-6522-61,SENNOSIDES 8.6 MG TABLET [11349],10.0,10.0,,,0
NDC,0904-6529-61,MONTELUKAST 10 MG TABLET [22509],5.0,5.0,,,0
NDC,0904-6553-04,LINEZOLID 600 MG TABLET [28224],28.7,28.7,,,0
NDC,0904-6557-61,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",15.975000000000001,15.975000000000001,,,0
NDC,0904-6575-61,PHENOBARBITAL 32.4 MG TABLET [6217],10.0,10.0,,,0
NDC,0904-6585-61,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",5.835,5.835,,,0
NDC,0904-6599-61,PERPHENAZINE 2 MG TABLET [6157],15.0,15.0,,,0
NDC,0904-6622-61,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],6.25,6.25,,,0
NDC,0904-6627-35,CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],5.33,5.33,,,0
NDC,0904-6640-61,QUETIAPINE 100 MG TABLET [21824],12.5,12.5,,,0
NDC,0904-6666-61,GABAPENTIN 300 MG CAPSULE [18308],6.67,6.67,,,0
NDC,0904-6681-08,DOFETILIDE 125 MCG CAPSULE [26965],28.7,28.7,,,0
NDC,0904-6717-61,CETIRIZINE 10 MG TABLET [9506],5.0,5.0,,,0
NDC,0904-6718-39,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [169805]",7.5,7.5,,,0
NDC,0904-6797-61,LISINOPRIL 5 MG TABLET [10451],15.0,15.0,,,0
NDC,0904-6803-61,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [82089]",6.35,6.35,,,0
NDC,0904-6836-20,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],5.0,5.0,,,0
NDC,0904-6860-61,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",7.5,7.5,,,0
NDC,0904-6861-61,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",5.0,5.0,,,0
NDC,0904-6861-90,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",5.0,5.0,,,0
NDC,0904-6949-61,LEVOTHYROXINE 25 MCG TABLET [4420],15.0,15.0,,,0
NDC,0904-6951-61,LEVOTHYROXINE 75 MCG TABLET [4422],6.67,6.67,,,0
NDC,0904-6990-61,PSEUDOEPHEDRINE 30 MG TABLET [6714],7.5,7.5,,,0
NDC,0904-7020-61,PRAZOSIN 1 MG CAPSULE [6468],18.75,18.75,,,0
NDC,0904-7027-61,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],5.0,5.0,,,0
NDC,0904-7045-61,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",6.66,6.66,,,0
NDC,0904-7078-61,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],7.5,7.5,,,0
NDC,0904-7083-61,CIPROFLOXACIN 500 MG TABLET [25119],6.25,6.25,,,0
NDC,0904-7119-06,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],10.0,10.0,,,0
NDC,0904-7122-61,BUSPIRONE 5 MG TABLET [9324],8.75,8.75,,,0
NDC,0904-7126-61,METRONIDAZOLE 500 MG TABLET [5016],5.0,5.0,,,0
NDC,0904-7177-61,FUROSEMIDE 20 MG TABLET [3294],10.0,10.0,,,0
NDC,0904-7178-61,FUROSEMIDE 40 MG TABLET [3295],7.5,7.5,,,0
NDC,0904-7180-61,OXYCODONE 15 MG TABLET [28899],5.0,5.0,,,0
NDC,0904-7193-61,FAMOTIDINE 20 MG TABLET [10011],7.5,7.5,,,0
NDC,0904-7213-04,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [39720]",16.53,16.53,,,0
NDC,0904-7216-61,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE WRAPPER [4081401]",7.5,7.5,,,0
NDC,0904-7224-61,FOLIC ACID 1 MG TABLET [3233],5.0,5.0,,,0
NDC,0904-7227-61,CLONAZEPAM 0.5 MG TABLET [9637],10.0,10.0,,,0
NDC,0904-7243-61,CIPROFLOXACIN 500 MG TABLET [25119],6.25,6.25,,,0
NDC,0904-7245-68,LACOSAMIDE 100 MG TABLET [96969],10.26,10.26,,,0
NDC,0904-7252-61,SENNOSIDES 8.6 MG TABLET [11349],10.0,10.0,,,0
NDC,0904-7262-61,OXCARBAZEPINE 150 MG TABLET [27049],10.0,10.0,,,0
NDC,0904-7280-60,DOCUSATE SODIUM 100 MG CAPSULE [2566],7.5,7.5,,,0
NDC,0904-7283-61,TORSEMIDE 20 MG TABLET [18293],15.0,15.0,,,0
NDC,0904-7288-61,BENZTROPINE 0.5 MG TABLET [998],10.0,10.0,,,0
NDC,0904-7305-61,CARVEDILOL 3.125 MG TABLET [18551],15.0,15.0,,,0
NDC,0904-7306-61,CARVEDILOL 6.25 MG TABLET [15747],10.0,10.0,,,0
NDC,0904-7308-61,CARVEDILOL 25 MG TABLET [15748],5.0,5.0,,,0
NDC,0904-7346-61,FLUOXETINE 20 MG CAPSULE [10070],7.5,7.5,,,0
NDC,0904-7350-06,AZITHROMYCIN 250 MG TABLET [20943],8.59,8.59,,,0
NDC,0904-7383-61,TAMSULOSIN 0.4 MG CAPSULE [103890],7.5,7.5,,,0
NDC,0904-7402-67,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [123643],5.0,5.0,,,0
NDC,0904-7417-61,METHADONE 10 MG TABLET [4953],5.0,5.0,,,0
NDC,0904-7418-44,MAGNESIUM CITRATE ORAL SOLUTION [4712],8.88,8.88,,,0
NDC,0904-7427-30,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],8.55,8.55,,,0
NDC,0904-7440-61,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],10.0,10.0,,,0
NDC,0904-7478-35,CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],7.2,7.2,,,0
NDC,0904-7727-14,ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION [24314],5.0,5.0,,,0
NDC,0904-7728-61,CLONAZEPAM 1 MG TABLET [9638],7.5,7.5,,,0
NDC,0904-7914-61,IBUPROFEN 200 MG TABLET [3841],12.5,12.5,,,0
NDC,0944-0495-05,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (ANES ONE-STEP) [500353]",1470.0,1470.0,,,0
NDC,0944-2656-03,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [178378]",2623.5,2623.5,,,0
NDC,0944-2657-07,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [178378]",3783.35,3783.35,,,0
NDC,0944-2658-04,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [178379]",5247.0,5247.0,,,0
NDC,0944-2659-08,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [178379]",5247.0,5247.0,,,0
NDC,0944-2700-02,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",10370.7,10370.7,,,0
NDC,0944-2700-03,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",10638.235,10638.235,,,0
NDC,0944-2700-04,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",9457.55,9457.55,,,0
NDC,0944-2700-05,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",9218.4,9218.4,,,0
NDC,0944-2700-06,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",9218.4,9218.4,,,0
NDC,0944-2700-07,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",10370.7,10370.7,,,0
NDC,0944-2700-10,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",11007.975,11007.975,,,0
NDC,0944-2700-11,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",11007.975,11007.975,,,0
NDC,0944-2700-12,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",11007.975,11007.975,,,0
NDC,0944-2700-13,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]",11007.975,11007.975,,,0
NDC,0944-2841-10,RECOMBINATE 250 (+/-) UNIT INTRAVENOUS SOLUTION [6811],2.53,2.53,,,0
NDC,0944-2842-10,RECOMBINATE 500 (+/-) UNIT INTRAVENOUS SOLUTION [6812],2534.66,2534.66,,,0
NDC,0944-2843-10,"RECOMBINATE 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [6813]",2535.065,2535.065,,,0
NDC,0944-2844-10,"RECOMBINATE 1,500 (+/-) UNIT INTRAVENOUS SOLUTION [106304]",2.53,2.53,,,0
NDC,0944-2845-10,"RECOMBINATE 2,000 (+/-) UNIT INTRAVENOUS SOLUTION [106305]",2112.22,2112.22,,,0
NDC,0944-2884-01,ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 20 MG/ML (2 %) INTRAVENOUS SOLN [106274],11422.8,11422.8,,,0
NDC,0944-2930-01,ANTIHEMOPHILIC FACTOR 220 UNIT-400 UNIT INTRAVENOUS POWDR FOR SOLUTION [126218],2.14,2.14,,,0
NDC,0944-3026-02,COAGULATION FACTOR IX (RECOMB) 250 UNIT INTRAVENOUS SOLUTION [164270],3.0,3.0,,,0
NDC,0944-3028-02,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION [164271],3.0,3.0,,,0
NDC,0944-3030-02,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION [164272]",3.0,3.0,,,0
NDC,0944-3034-02,"COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION [164274]",3.29,3.29,,,0
NDC,0944-3045-10,"ADVATE 2,000 (+/-) UNIT INTRAVENOUS SOLUTION [78224]",2534.66,2534.66,,,0
NDC,0944-3046-10,"ADVATE 3,000 (+/-) UNIT INTRAVENOUS SOLUTION [82526]",2.53,2.53,,,0
NDC,0944-3047-10,"ADVATE 4,000 (+/-) UNIT INTRAVENOUS SOLUTION [117086]",2.53,2.53,,,0
NDC,0944-3051-02,ADVATE 250 (+/-) UNIT INTRAVENOUS SOLUTION [76389],2534.66,2534.66,,,0
NDC,0944-3051-03,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 250 (+/-) UNIT IV SOLUTION [76365]",2957.105,2957.105,,,0
NDC,0944-3052-02,ADVATE 500 (+/-) UNIT INTRAVENOUS SOLUTION [76390],2534.66,2534.66,,,0
NDC,0944-3053-02,"ADVATE 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [76391]",2532.13,2532.13,,,0
NDC,0944-3054-02,"ADVATE 1,500 (+/-) UNIT INTRAVENOUS SOLUTION [76392]",2534.66,2534.66,,,0
NDC,0944-3810-01,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519],79905.1,79905.1,,,0
NDC,0944-3942-02,ANTIHEMOPHILIC FACTOR 401 UNIT-800 UNIT INTRAVENOUS POWDR FOR SOLUTION [126219],2.14,2.14,,,0
NDC,0944-3944-02,"ANTIHEMOPHILIC FACTOR 801 UNIT-1,500 UNIT INTRAVENOUS POWDER FOR SOLN [111059]",2.14,2.14,,,0
NDC,0944-3946-02,"ANTIHEMOPHILIC FACTOR 1,501 UNIT-2,000 UNIT INTRAVENOUS POWDR FOR SOLN [111060]",2.14,2.14,,,0
NDC,0944-4175-05,"PROTEIN C CONCENTRATE, HUMAN 500 UNIT INTRAVENOUS SOLUTION [82357]",7.35,7.35,,,0
NDC,0944-4175-10,"PROTEIN C CONCENTRATE, HUMAN 1,000 UNIT INTRAVENOUS SOLUTION [82358]",7350.0,7350.0,,,0
NDC,0944-4252-02,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 250 (+/-) UNIT IV SOLUTION [180829]",8843.655,8843.655,,,0
NDC,0944-4254-02,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 500 (+/-) UNIT IV SOLUTION [180830]",8843.655,8843.655,,,0
NDC,0944-4258-02,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 2,000(+/-) UNIT IV SOLUTION [180832]",8843.655,8843.655,,,0
NDC,0944-5001-01,"ANTIHEMOPHILIC FACTOR VIII,PORCINE REC 500(+/-) UNIT RANGE IV SOLUTION [176676]",17383.705,17383.705,,,0
NDC,0944-7551-02,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN [183880],19580.690000000002,19580.690000000002,,,0
NDC,0944-7553-02,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN [183879]",19580.690000000002,19580.690000000002,,,0
NDC,0955-1020-01,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [106443],1530.85,1530.85,,,0
NDC,0955-1725-10,OXALIPLATIN COMPONENT FOR DESENSITIZATION [300012],237.5,237.5,,,0
NDC,0990-7715-02,MANNITOL 20 % INTRAVENOUS SOLUTION [4749],36.1,36.1,,,0
NDC,0990-7715-03,MANNITOL 20 % INTRAVENOUS SOLUTION [4749],14.065000000000001,14.065000000000001,,,0
NDC,0998-0630-06,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS [10708]",433.05,433.05,,,0
NDC,1000670013,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE [114555]",5.0,5.0,,,0
NDC,1000670038,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],7.5,7.5,,,0
NDC,10019-075-87,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",1016.5,1016.5,,,0
NDC,10019-079-01,BENDAMUSTINE (BAXTER) 25 MG/ML INTRAVENOUS SOLUTION [40817091],8645.82,8645.82,,,0
NDC,10019-160-01,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],5.0,5.0,,,0
NDC,10019-360-40,ISOFLURANE 99.9 % INHALATION LIQUID [130353],54.5,54.5,,,0
NDC,10019-641-34,DESFLURANE 100 % INHALATION LIQUID [9747],720.0,720.0,,,0
NDC,10019-641-64,DESFLURANE 100 % INHALATION LIQUID [9747],720.0,720.0,,,0
NDC,10019-651-64,SEVOFLURANE 99.97 % INHALATION LIQUID [15119],655.0,655.0,,,0
NDC,10019-925-01,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],622.83,622.83,,,0
NDC,10019-926-02,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],505.45,505.45,,,0
NDC,10019-953-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],111.10999999999999,111.10999999999999,,,0
NDC,10019-953-62,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],155.7,155.7,,,0
NDC,10019-955-01,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],1291.7,1291.7,,,0
NDC,10019-956-01,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],548.55,548.55,,,0
NDC,10019-956-16,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],548.55,548.55,,,0
NDC,10094-205-01,CLOBAZAM 5 MG ORAL FILM [192045],132.19,132.19,,,0
NDC,10094-205-60,CLOBAZAM 5 MG ORAL FILM [192045],132.19,132.19,,,0
NDC,1011900252,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN [163547],15.93,15.93,,,0
NDC,10122-325-01,NICARDIPINE 200 MCG/ML IN SODIUM CHLORIDE INFUSION [40816027],681.0,681.0,,,0
NDC,10122-325-10,NICARDIPINE 200 MCG/ML IN SODIUM CHLORIDE INFUSION [40816027],681.0,681.0,,,0
NDC,10122-620-01,CANGRELOR 50 MG INTRAVENOUS SOLUTION [178701],3503.8,3503.8,,,0
NDC,10122-620-10,CANGRELOR 50 MG INTRAVENOUS SOLUTION [178701],3503.8,3503.8,,,0
NDC,1013511901,PYRIDOXINE (VITAMIN B6) 25 MG TABLET [6746],10.0,10.0,,,0
NDC,10144-928-01,CAPSAICIN-SKIN CLEANSER 8 % TOPICAL KIT [104258],10468.875,10468.875,,,0
NDC,10147-0750-4,KETOCONAZOLE 2 % SHAMPOO [14132],39.0,39.0,,,0
NDC,10370-101-03,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",10.0,10.0,,,0
NDC,10481-0112-8,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML IRON TOPICAL SOLUTION [191000],54.56,54.56,,,0
NDC,10481-3008-1,TRICHLOROACETIC ACID 80 % TOPICAL SOLUTION [11589],260.03,260.03,,,0
NDC,10511-3001-1,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION [106120],4160.0,4160.0,,,0
NDC,10572-100-01,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION [10839],60.0,60.0,,,0
NDC,10702-008-01,OXYCODONE 15 MG TABLET [28899],5.0,5.0,,,0
NDC,10702-018-50,OXYCODONE 5 MG TABLET [10814],10.0,10.0,,,0
NDC,10702-201-01,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],5.0,5.0,,,0
NDC,10702-253-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],7.5,7.5,,,0
NDC,1093916901,TOLNAFTATE 1 % TOPICAL CREAM [8020],72.75,72.75,,,0
NDC,1101725030,MICONAZOLE NITRATE 2 % TOPICAL POWDER [10599],35.1,35.1,,,0
NDC,11523-0919-1,MICONAZOLE NITRATE 2 % TOPICAL POWDER [10599],25.2,25.2,,,0
NDC,11523-1167-5,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],34.95,34.95,,,0
NDC,11523-7237-1,LORATADINE 10 MG TABLET [10466],5.0,5.0,,,0
NDC,11523-7268-8,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],5.0,5.0,,,0
NDC,11701-038-16,MICONAZOLE NITRATE 2 % TOPICAL POWDER [10599],5.0,5.0,,,0
NDC,11704-370-01,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION [111437],3614.5,3614.5,,,0
NDC,11726-0082-63,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [126514],15.39,15.39,,,0
NDC,11980-022-05,"SULFACETAMIDE 10 %-PREDNISOLONE 0.2 % EYE DROPS,SUSPENSION [11452]",364.2,364.2,,,0
NDC,11980-180-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",462.75,462.75,,,0
NDC,11994-011-04,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [31270],457.875,457.875,,,0
NDC,11994-011-16,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [31270],555.0,555.0,,,0
NDC,11994-012-01,GADOFOSVESET TRISODIUM 2.5 MMOL/10 ML (0.25 MMOL/ML) INTRAVENOUS SOLN [129555],375.2,375.2,,,0
NDC,11994-012-02,GADOFOSVESET TRISODIUM 3.75 MMOL/15 ML(0.25 MMOL/ML) INTRAVENOUS SOLN [112473],893.63,893.63,,,0
NDC,121067616,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION [22646]",6.02,6.02,,,0
NDC,121119000,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],9.355,9.355,,,0
NDC,121119030,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],6.5,6.5,,,0
NDC,13107-035-01,DEXTROAMPHETAMINE SULFATE 5 MG TABLET [2354],11.17,11.17,,,0
NDC,13517-100-30,DIAZOXIDE 50 MG/ML ORAL SUSPENSION [19713],1375.5,1375.5,,,0
NDC,13517-113-01,PHENOBARBITAL 97.2 MG TABLET [6220],5.0,5.0,,,0
NDC,13533-318-01,RABIES IMMUNE GLOBULIN (PF) (RIG) (HYPERRAB) 300 UNIT/ML INJECTION [190414],12060.52,12060.52,,,0
NDC,13533-318-10,RABIES IMMUNE GLOBULIN (PF) (RIG) (HYPERRAB) 300 UNIT/ML INJECTION [190414],15812.01,15812.01,,,0
NDC,13533-335-04,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION [178342]",1874.5,1874.5,,,0
NDC,13533-602-50,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],2160.0,2160.0,,,0
NDC,13533-603-20,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],2160.0,2160.0,,,0
NDC,13533-605-21,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],2160.0,2160.0,,,0
NDC,13533-606-12,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],2094.0,2094.0,,,0
NDC,13533-634-02,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE [127771],1548.65,1548.65,,,0
NDC,13533-636-03,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE [126644],425.85,425.85,,,0
NDC,13533-700-02,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION [36577]",7.62,7.62,,,0
NDC,13533-700-11,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION [36577]",7.62,7.62,,,0
NDC,13533-705-11,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION [189579]",9218.4,9218.4,,,0
NDC,13533-800-12,IMMUNE GLOBULIN (GAMUNEX C) 10% [507035],14936.48,14936.48,,,0
NDC,13533-800-20,IMMUNE GLOBULIN (GAMUNEX-C) 10 % 5G BOTTLE [40825018],11949.19,11949.19,,,0
NDC,13533-800-21,IMMUNE GLOBULIN (GAMUNEX C) 10% [507035],14936.48,14936.48,,,0
NDC,13533-800-24,IMMUNE GLOBULIN (GAMUNEX-C) 10 % 20G BOTTLE [40825019],13442.835,13442.835,,,0
NDC,13533-800-25,IMMUNE GLOBULIN (GAMUNEX-C) 10 % 20G BOTTLE [40825019],14936.48,14936.48,,,0
NDC,13533-800-40,IMMUNE GLOBULIN (GAMUNEX-C) 10 % 40G BOTTLE [40825020],12857.33,12857.33,,,0
NDC,13533-800-41,IMMUNE GLOBULIN (GAMUNEX-C) 10 % 40G BOTTLE [40825020],12857.33,12857.33,,,0
NDC,13533-800-71,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [129383],13442.835,13442.835,,,0
NDC,13533-800-72,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [129383],14936.48,14936.48,,,0
NDC,13668-009-01,CITALOPRAM 10 MG TABLET [30264],10.0,10.0,,,0
NDC,13668-339-30,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [97964]",12.4,12.4,,,0
NDC,13668-453-01,ANAGRELIDE 0.5 MG CAPSULE [20446],7.5,7.5,,,0
NDC,13668-606-01,ERYTHROMYCIN 250 MG TABLET [2889],17.035,17.035,,,0
NDC,13811-706-10,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR [28750]",8.75,8.75,,,0
NDC,13811-707-10,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR [32654]",6.67,6.67,,,0
NDC,13811-708-10,"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR [28751]",6.25,6.25,,,0
NDC,13925-504-30,DAPSONE 25 MG TABLET [2132],16.2,16.2,,,0
NDC,13925-505-30,DAPSONE 100 MG TABLET [2131],7.47,7.47,,,0
NDC,13925-522-01,PENTAMIDINE 300 MG SOLUTION FOR INHALATION [28235],303.6,303.6,,,0
NDC,14789-011-01,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [119061],257.17,257.17,,,0
NDC,14789-121-07,PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],174.04,174.04,,,0
NDC,14789-251-09,EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE [203067],69.7,69.7,,,0
NDC,14789-251-10,EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE [203067],33.52,33.52,,,0
NDC,14789-600-10,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],836.85,836.85,,,0
NDC,14789-900-02,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],283.17,283.17,,,0
NDC,1483201103,CROMOLYN 5.2 MG/SPRAY (4 %) NASAL SPRAY [24325],30.42,30.42,,,0
NDC,149085602,BISMUTH SUBSALICYLATE 525 MG/15 ML ORAL SUSPENSION [120863],5.0,5.0,,,0
NDC,15054-0043-1,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS [180032],18431.28,18431.28,,,0
NDC,15054-0090-1,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE [87860],16900.0,16900.0,,,0
NDC,15054-0500-1,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION [99465],4295.0,4295.0,,,0
NDC,15054-0530-6,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION [106761],2577.5,2577.5,,,0
NDC,15054-1060-4,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE [88570],27875.0,27875.0,,,0
NDC,15054-1090-4,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE [87860],33783.34,33783.34,,,0
NDC,15054-1120-3,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],30000.0,30000.0,,,0
NDC,15054-1120-4,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],39835.0,39835.0,,,0
NDC,16252-539-01,ISRADIPINE 2.5 MG CAPSULE [10362],7.5,7.5,,,0
NDC,16252-590-99,SUMATRIPTAN 25 MG TABLET [15327],17.07,17.07,,,0
NDC,1650008806,PEDIATRIC MULTIVITAMIN WITH IRON AND OTHER MINERALS CHEWABLE TABLET [10876],5.0,5.0,,,0
NDC,1650055434,PEDIATRIC MULTIVITAMIN NO.76 CHEWABLE TABLET [170401],10.0,10.0,,,0
NDC,1650059918,PEDIATRIC MULTIVITAMIN NO.227-FERROUS SULFATE 10 MG CHEWABLE TABLET [207827],5.0,5.0,,,0
NDC,16571-115-01,HYDROXYZINE HCL 50 MG TABLET [3775],5.0,5.0,,,0
NDC,16571-411-10,CIPROFLOXACIN 250 MG TABLET [25118],10.0,10.0,,,0
NDC,16571-667-01,PHENOBARBITAL 64.8 MG TABLET [6219],6.25,6.25,,,0
NDC,16571-668-01,PHENOBARBITAL 97.2 MG TABLET [6220],5.0,5.0,,,0
NDC,16571-673-01,PHENOBARBITAL 32.4 MG TABLET [6217],10.0,10.0,,,0
NDC,16571-675-16,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],331.1,331.1,,,0
NDC,16571-723-60,MAFENIDE 85 MG/G TOPICAL CREAM [10478],307.89,307.89,,,0
NDC,16571-740-24,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],2240.2,2240.2,,,0
NDC,16571-743-09,GLYCOPYRROLATE 1 MG TABLET [10130],7.5,7.5,,,0
NDC,16571-786-01,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET [103880],5.0,5.0,,,0
NDC,16714-157-01,PROGESTERONE MICRONIZED 100 MG CAPSULE [23122],10.0,10.0,,,0
NDC,16729-035-10,ANASTROZOLE 1 MG TABLET [16205],5.0,5.0,,,0
NDC,16729-108-11,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],1429.26,1429.26,,,0
NDC,16729-114-11,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],25.39,25.39,,,0
NDC,16729-151-31,TOPOTECAN 4 MG INTRAVENOUS SOLUTION (POWDER VIAL) [17285],257.56,257.56,,,0
NDC,16729-156-10,SIMVASTATIN 5 MG TABLET [11367],15.0,15.0,,,0
NDC,16729-171-01,AMITRIPTYLINE 10 MG TABLET [432],25.0,25.0,,,0
NDC,16729-230-11,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],3762.57,3762.57,,,0
NDC,16729-243-31,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION [108590],216.6,216.6,,,0
NDC,16729-248-38,MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],2948.71,2948.71,,,0
NDC,16729-267-64,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],1052.46,1052.46,,,0
NDC,16729-273-10,PRASUGREL HCL 10 MG TABLET [98373],5.0,5.0,,,0
NDC,16729-276-38,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],42.49,42.49,,,0
NDC,16729-277-35,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],33.825,33.825,,,0
NDC,16729-288-11,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],90.25,90.25,,,0
NDC,16729-311-08,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION WRAPPER [40817028],46.75,46.75,,,0
NDC,16729-311-63,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION WRAPPER [40817028],46.75,46.75,,,0
NDC,16729-491-12,DOFETILIDE 250 MCG CAPSULE [26966],7.5,7.5,,,0
NDC,16729-710-45,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [192590],473.8,473.8,,,0
NDC,16864-240-01,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET [9020]",5.0,5.0,,,0
NDC,17238-610-15,HYPROMELLOSE 2.5 % EYE DROPS [38092],31.58,31.58,,,0
NDC,17238-900-30,FLUORESCEIN 1 MG EYE STRIPS [27663],5.0,5.0,,,0
NDC,17238-900-99,FLUORESCEIN 1 MG EYE STRIPS [27663],7.5,7.5,,,0
NDC,17478-012-02,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],165.14,165.14,,,0
NDC,17478-045-32,TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION [11517],35.225,35.225,,,0
NDC,17478-050-02,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],18.17,18.17,,,0
NDC,17478-060-12,ARTIFICIAL TEARS EYEDROPS WRAPPER ERX [191345],23.33,23.33,,,0
NDC,17478-064-12,HYPROMELLOSE 2.5 % EYE DROPS [38092],30.38,30.38,,,0
NDC,17478-067-02,ALFENTANIL 500 MCG/ML INJECTION SOLUTION [8994],12.28,12.28,,,0
NDC,17478-067-05,ALFENTANIL 500 MCG/ML INJECTION SOLUTION [8994],32.99,32.99,,,0
NDC,17478-097-02,CYCLOPENTOLATE 2 % EYE DROPS [9700],5.0,5.0,,,0
NDC,17478-101-12,TROPICAMIDE 0.5 % EYE DROPS [8249],28.28,28.28,,,0
NDC,17478-102-12,TROPICAMIDE 1 % EYE DROPS [8250],27.68,27.68,,,0
NDC,17478-107-20,LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION [18925],114.75,114.75,,,0
NDC,17478-114-02,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],14.35,14.35,,,0
NDC,17478-206-05,PHENYLEPHRINE 10 % EYE DROPS [19636],172.55,172.55,,,0
NDC,17478-215-05,ATROPINE 1 % EYE DROPS [736],217.8,217.8,,,0
NDC,17478-253-10,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],857.95,857.95,,,0
NDC,17478-263-12,PROPARACAINE 0.5 % EYE DROPS [6644],94.5,94.5,,,0
NDC,17478-284-35,GENTAMICIN 0.3 % (3 MG/GRAM) EYE OINTMENT [3427],36.21,36.21,,,0
NDC,17478-290-10,TOBRAMYCIN 0.3 % EYE DROPS [7995],16.35,16.35,,,0
NDC,17478-422-40,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],432.49,432.49,,,0
NDC,17478-503-05,ETHANOL (ETHYL ALCOHOL) 98 % INJECTION SOLUTION [257],54.26,54.26,,,0
NDC,17478-526-03,DIMERCAPROL 100 MG/ML INTRAMUSCULAR SOLUTION [9872],412.25,412.25,,,0
NDC,17478-604-01,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE [113740],7.7,7.7,,,0
NDC,17478-622-35,SODIUM CHLORIDE 5 % EYE OINTMENT [7331],23.8,23.8,,,0
NDC,17478-625-12,LATANOPROST 0.005 % EYE DROPS [18621],24.25,24.25,,,0
NDC,17478-711-10,LIDOCAINE HCL 2 % MUCOSAL JELLY [4448],13.1,13.1,,,0
NDC,17478-711-30,LIDOCAINE HCL 2 % MUCOSAL JELLY [4448],28.35,28.35,,,0
NDC,17478-711-31,LIDOCAINE HCL 2 % MUCOSAL JELLY [4448],32.73,32.73,,,0
NDC,17478-719-35,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT [849]",237.6,237.6,,,0
NDC,17478-934-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],23.924999999999997,23.924999999999997,,,0
NDC,17478-934-15,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],35.535000000000004,35.535000000000004,,,0
NDC,17478-937-05,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],5.1899999999999995,5.1899999999999995,,,0
NDC,17772-121-01,"OXCARBAZEPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR [162591]",71.18,71.18,,,0
NDC,17772-122-01,"OXCARBAZEPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [162592]",49.45,49.45,,,0
NDC,17772-123-01,"OXCARBAZEPINE ER 600 MG TABLET,EXTENDED RELEASE 24 HR [162593]",45.27,45.27,,,0
NDC,18657-102-04,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION [76338]",178.18,178.18,,,0
NDC,18657-117-04,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION [76338]",216.535,216.535,,,0
NDC,187526701,MAGNESIUM CARBONATE 54 MG/5 ML ORAL LIQUID [162798],1775.0,1775.0,,,0
NDC,18860-722-10,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION [40574],15977.9,15977.9,,,0
NDC,18860-723-10,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION [40573],15977.9,15977.9,,,0
NDC,19515-904-41,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [216251],0.5,0.5,,,0
NDC,1990301021,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",20.25,20.25,,,0
NDC,20536-322-01,VINCRISTINE SULFATE LIPOSOMAL 5 MG/31 ML(0.16 MG/ML)(FINAL CONC)IV KIT [162565],60373.22,60373.22,,,0
NDC,2055503300,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",5.0,5.0,,,0
NDC,2055503600,MELATONIN 3 MG TABLET [16830],6.67,6.67,,,0
NDC,2055503601,MELATONIN 3 MG TABLET [16830],6.67,6.67,,,0
NDC,21922-016-05,CLOBETASOL 0.05 % TOPICAL CREAM [9630],25.5,25.5,,,0
NDC,21922-019-02,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [108039],5.0,5.0,,,0
NDC,21922-021-07,PERMETHRIN 5 % TOPICAL CREAM [10917],68.1,68.1,,,0
NDC,21922-039-23,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592],80.5,80.5,,,0
NDC,21922-063-04,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],7.5,7.5,,,0
NDC,21922-063-30,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],68.1,68.1,,,0
NDC,225038080,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],10.5,10.5,,,0
NDC,23155-051-01,"NYSTATIN 500,000 UNIT TABLET [5752]",7.5,7.5,,,0
NDC,23155-059-01,VERAPAMIL 40 MG TABLET [8529],10.0,10.0,,,0
NDC,23155-070-01,METHIMAZOLE 5 MG TABLET [10553],10.0,10.0,,,0
NDC,23155-216-31,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378],2132.51,2132.51,,,0
NDC,23155-235-01,GLYBURIDE 5 MG-METFORMIN 500 MG TABLET [28725],5.0,5.0,,,0
NDC,23155-258-32,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],101.57,101.57,,,0
NDC,23155-290-31,AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],24.455,24.455,,,0
NDC,23155-290-41,AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],25.82,25.82,,,0
NDC,23155-294-42,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],28.02,28.02,,,0
NDC,23155-345-32,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],5.0,5.0,,,0
NDC,23155-345-42,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],5.0,5.0,,,0
NDC,23155-473-32,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],5.0,5.0,,,0
NDC,23155-486-01,VERAPAMIL 120 MG TABLET [8528],5.0,5.0,,,0
NDC,23155-501-01,HYDROXYZINE HCL 25 MG TABLET [3774],7.5,7.5,,,0
NDC,23155-502-01,HYDROXYZINE HCL 50 MG TABLET [3775],5.0,5.0,,,0
NDC,23155-649-41,CARMUSTINE 100 MG INTRAVENOUS SOLUTION [28911],931.0,931.0,,,0
NDC,23155-661-31,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [119061],5.0,5.0,,,0
NDC,23155-661-42,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [119061],5.0,5.0,,,0
NDC,23155-688-31,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],10.43,10.43,,,0
NDC,23155-766-01,TETRACYCLINE 250 MG CAPSULE [7796],8.88,8.88,,,0
NDC,23155-823-73,CABERGOLINE 0.5 MG TABLET [19226],6.35,6.35,,,0
NDC,23155-858-78,VANCOMYCIN 125 MG CAPSULE [11628],12.75,12.75,,,0
NDC,23155-859-78,VANCOMYCIN 250 MG CAPSULE [11629],5.0,5.0,,,0
NDC,23155-884-31,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",148.19,148.19,,,0
NDC,24200-158-44,ONDANSETRON HCL 4 MG/2 ML INTRAVENOUS SYRINGE [130509],5.195,5.195,,,0
NDC,24201-010-50,PENTOBARBITAL SODIUM 50 MG/ML VIAL COMPONENT FOR MIXTURE [40826001],93.17,93.17,,,0
NDC,24201-100-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",151.85,151.85,,,0
NDC,24201-100-24,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",151.85,151.85,,,0
NDC,24201-201-01,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [41793],135.055,135.055,,,0
NDC,24201-201-05,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [41793],115.5,115.5,,,0
NDC,24208-277-15,SODIUM CHLORIDE 5 % EYE DROPS [7332],83.93,83.93,,,0
NDC,24208-290-05,TOBRAMYCIN 0.3 % EYE DROPS [7995],53.5,53.5,,,0
NDC,24208-315-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS [120195]",22.45,22.45,,,0
NDC,24208-344-25,FLUNISOLIDE 25 MCG (0.025 %) NASAL SPRAY [19720],253.0,253.0,,,0
NDC,24208-399-15,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY [16071],167.93,167.93,,,0
NDC,24208-410-05,OFLOXACIN 0.3 % EAR DROPS [22257],541.1,541.1,,,0
NDC,24208-443-35,LOTEPREDNOL ETABONATE 0.5 % EYE OINTMENT [110267],1025.96,1025.96,,,0
NDC,24208-485-10,DORZOLAMIDE 2 % EYE DROPS [14471],163.65,163.65,,,0
NDC,24208-486-10,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],58.4,58.4,,,0
NDC,24208-539-20,ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT [76641],198.1,198.1,,,0
NDC,24208-555-55,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT [856]",105.46,105.46,,,0
NDC,24208-590-64,TROPICAMIDE 0.5 % EYE DROPS [8249],35.18,35.18,,,0
NDC,24208-631-10,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION [34814]",84.7,84.7,,,0
NDC,24208-635-62,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP [28810]",84.65,84.65,,,0
NDC,24208-670-04,SULFACETAMIDE SODIUM 10 % EYE DROPS [7359],167.93,167.93,,,0
NDC,24208-715-10,PREDNISOLONE SODIUM PHOSPHATE TOPICAL (1 STEP) [350703],200.85,200.85,,,0
NDC,24208-720-02,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS [2335],35.85,35.85,,,0
NDC,24208-730-06,PROPARACAINE 0.5 % EYE DROPS [6644],44.55,44.55,,,0
NDC,24208-785-55,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT [849]",125.11,125.11,,,0
NDC,24208-790-62,"NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS [5474]",204.7,204.7,,,0
NDC,24208-795-35,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT [106249]",76.5,76.5,,,0
NDC,24208-830-60,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS [10708]",68.5,68.5,,,0
NDC,24208-910-19,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],19.2,19.2,,,0
NDC,24208-910-55,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],32.01,32.01,,,0
NDC,24208-920-64,TETRACAINE 0.5 % EYE DROPS [7795],32.18,32.18,,,0
NDC,2420869760,VIT C 250 MG-VIT E 90 MG-ZINC 40 MG-COPPER 1 MG-LUTEIN-ZEAXAN CAPSULE [164833],10.0,10.0,,,0
NDC,24338-050-08,CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT [21672],211199.8,211199.8,,,0
NDC,24338-106-20,ERYTHROMYCIN STEARATE 250 MG TABLET [2904],36.01,36.01,,,0
NDC,24338-260-10,NIMODIPINE (NYMALIZE) 6 MG/ML ORAL SOLUTION [40816080],306.525,306.525,,,0
NDC,24338-260-12,NIMODIPINE (NYMALIZE) 6 MG/ML ORAL SOLUTION [40816080],293.965,293.965,,,0
NDC,24357-701-05,LIDOCAINE 4 % TOPICAL CREAM [23461],123.6,123.6,,,0
NDC,2435730030,POTASSIUM ALUM (BULK) POWDER [40816045],911.55,911.55,,,0
NDC,24385-003-46,GENTIAN VIOLET 1 % TOPICAL SOLUTION [3430],5.0,5.0,,,0
NDC,24385-0361-20,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],5.0,5.0,,,0
NDC,24385-0361-75,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],5.0,5.0,,,0
NDC,24385-060-03,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [13818],5.68,5.68,,,0
NDC,24385-118-78,SIMETHICONE 80 MG CHEWABLE TABLET [7227],7.5,7.5,,,0
NDC,24385-190-03,HYDROCORTISONE 0.5% TOPICAL CREAM [40816029],5.4,5.4,,,0
NDC,24385-205-03,CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],9.94,9.94,,,0
NDC,24385-390-10,PHENYLEPHRINE 1 % NASAL DROPS [6245],9.6,9.6,,,0
NDC,24385-485-47,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],7.5,7.5,,,0
NDC,24571-116-05,PHOSPHATE DIALYSIS SOLN WITHOUT DEXTR K 4 MEQ-CA 2.5 MEQ-PO4 1 MMOL/L [181473],400.0,400.0,,,0
NDC,24658-302-10,SIMVASTATIN 20 MG TABLET [11365],7.5,7.5,,,0
NDC,24979-132-01,TERBUTALINE 2.5 MG TABLET [11508],12.299999999999999,12.299999999999999,,,0
NDC,24987-260-10,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [119668],14.3,14.3,,,0
NDC,24987-412-00,CEFTAZIDIME 1 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9479],88.75,88.75,,,0
NDC,24987-413-00,CEFTAZIDIME 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9480],163.25,163.25,,,0
NDC,25010-705-15,PENICILLAMINE 250 MG CAPSULE [10894],439.83000000000004,439.83000000000004,,,0
NDC,25021-109-10,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],18.78,18.78,,,0
NDC,25021-110-20,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],37.56,37.56,,,0
NDC,25021-114-82,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],10.0,10.0,,,0
NDC,25021-114-87,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108132],19.0,19.0,,,0
NDC,25021-115-02,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],18.1,18.1,,,0
NDC,25021-115-04,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],10.68,10.68,,,0
NDC,25021-117-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",48.17,48.17,,,0
NDC,25021-132-81,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],45.75,45.75,,,0
NDC,25021-132-82,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],23.0,23.0,,,0
NDC,25021-134-10,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],6.37,6.37,,,0
NDC,25021-136-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],10.76,10.76,,,0
NDC,25021-140-10,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],84.93,84.93,,,0
NDC,25021-151-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",8.89,8.89,,,0
NDC,25021-180-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],13.44,13.44,,,0
NDC,25021-184-82,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],18.5,18.5,,,0
NDC,25021-190-10,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [41144],433.0,433.0,,,0
NDC,25021-199-20,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],36.94,36.94,,,0
NDC,25021-201-10,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],50.95,50.95,,,0
NDC,25021-204-01,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],323.32,323.32,,,0
NDC,25021-206-06,TOPOTECAN 4 MG INTRAVENOUS SOLUTION (POWDER VIAL) [17285],251.3,251.3,,,0
NDC,25021-207-51,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],69.995,69.995,,,0
NDC,25021-215-99,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],12.59,12.59,,,0
NDC,25021-231-20,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],362.33,362.33,,,0
NDC,25021-233-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [99610],598.97,598.97,,,0
NDC,25021-235-50,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],166.52,166.52,,,0
NDC,25021-242-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION [41294],233.45,233.45,,,0
NDC,25021-244-10,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],136.91,136.91,,,0
NDC,25021-245-01,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [106443],94.41,94.41,,,0
NDC,25021-245-04,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],268.515,268.515,,,0
NDC,25021-253-50,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],133.28,133.28,,,0
NDC,25021-253-51,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],125.0,125.0,,,0
NDC,25021-255-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",186.44,186.44,,,0
NDC,25021-305-20,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],243.35,243.35,,,0
NDC,25021-313-82,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [32950],40.0,40.0,,,0
NDC,25021-319-05,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],7.5649999999999995,7.5649999999999995,,,0
NDC,25021-321-04,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],8.3,8.3,,,0
NDC,25021-414-50,ARGATROBAN 1 MG/ML IN SODIUM CHLORIDE IV INFUSION [351045],486.25,486.25,,,0
NDC,25021-463-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],11.65,11.65,,,0
NDC,25021-471-74,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],375.64,375.64,,,0
NDC,25021-481-01,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],5.0,5.0,,,0
NDC,25021-601-03,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [109034],42.71,42.71,,,0
NDC,25021-617-82,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],60.0,60.0,,,0
NDC,25021-671-87,ROPIVACAINE 0.2 % PERINEURAL INFUSION WRAPPER [40815029],28.625,28.625,,,0
NDC,25021-673-77,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [127978],21.37,21.37,,,0
NDC,25021-676-20,PENTOBARBITAL SODIUM 50 MG/ML VIAL COMPONENT FOR MIXTURE [40826001],4080.8149999999996,4080.8149999999996,,,0
NDC,25021-676-50,PENTOBARBITAL SODIUM 50 MG/ML VIAL COMPONENT FOR MIXTURE [40826001],123.8,123.8,,,0
NDC,25021-682-20,KETAMINE 10 MG/ML INJECTION SOLUTION [4236],46.1,46.1,,,0
NDC,25021-790-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],6.35,6.35,,,0
NDC,25021-791-20,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],147.5,147.5,,,0
NDC,25021-796-02,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],7.19,7.19,,,0
NDC,25021-797-05,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],27.39,27.39,,,0
NDC,25021-802-10,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],136.8,136.8,,,0
NDC,25021-812-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],351.04,351.04,,,0
NDC,25021-813-10,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION [4394],96.41499999999999,96.41499999999999,,,0
NDC,25021-815-30,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION [15426],181.5,181.5,,,0
NDC,25021-816-30,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],100.86,100.86,,,0
NDC,25021-820-05,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],19.42,19.42,,,0
NDC,25021-826-82,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK [163354],316.2,316.2,,,0
NDC,25682-001-01,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [81696],30434.85,30434.85,,,0
NDC,25682-007-01,SEBELIPASE ALFA 2 MG/ML INTRAVENOUS SOLUTION [181124],108500.0,108500.0,,,0
NDC,25682-025-01,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [198352],304190.0,304190.0,,,0
NDC,25682-028-01,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [198352],320199.96,320199.96,,,0
NDC,27241-001-06,RISPERIDONE 1 MG TABLET [18313],10.0,10.0,,,0
NDC,27241-062-03,VORICONAZOLE 50 MG TABLET [33008],40.18,40.18,,,0
NDC,27241-125-02,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",7.5,7.5,,,0
NDC,27241-139-09,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [110998],10.875,10.875,,,0
NDC,27241-173-56,VARENICLINE TARTRATE 0.5 MG TABLET [76444],7.5,7.5,,,0
NDC,27241-249-49,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [10010],30.0,30.0,,,0
NDC,27808-033-01,THEOPHYLLINE 80 MG/15 ML ORAL LIQUID [408463],198.66,198.66,,,0
NDC,27808-102-01,AMPHETAMINE ER 2.5 MG/ML ORAL 24 HR EXTENDED-RELEASE SUSPENSION [181408],5278.0,5278.0,,,0
NDC,27808-222-01,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR [100011]",50.26,50.26,,,0
NDC,28400-105-01,FLOSEAL MATRIX 5 ML W/ TOPICAL THROMBIN 2500 UNITS [500512],289.85,289.85,,,0
NDC,28400-105-41,FLOSEAL MATRIX 5 ML W/ TOPICAL THROMBIN 2500 UNITS [500512],289.85,289.85,,,0
NDC,29300-126-01,BISOPROLOL FUMARATE 5 MG TABLET [18288],10.0,10.0,,,0
NDC,29300-128-01,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],7.5,7.5,,,0
NDC,29300-132-01,ZALEPLON 10 MG CAPSULE [25998],7.5,7.5,,,0
NDC,29300-169-15,TIZANIDINE 4 MG TABLET [14793],7.5,7.5,,,0
NDC,29300-244-01,BUSPIRONE 5 MG TABLET [9324],8.75,8.75,,,0
NDC,29300-308-16,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [95676]",20.0,20.0,,,0
NDC,29300-309-16,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR [96233]",8.335,8.335,,,0
NDC,29300-396-19,AMLODIPINE 2.5 MG TABLET [9070],10.0,10.0,,,0
NDC,29300-419-01,AMITRIPTYLINE 10 MG TABLET [432],25.0,25.0,,,0
NDC,29300-485-01,HYDROCHLOROTHIAZIDE 12.5 MG TABLET [76988],15.0,15.0,,,0
NDC,299391702,GLYCERIN-DIMETHICONE-WHITE PETROLATUM TOPICAL CREAM [100949],28.05,28.05,,,0
NDC,30237-8900-6,SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION [104852],184010.0,184010.0,,,0
NDC,31382-898-05,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",5.0,5.0,,,0
NDC,3160401091,S-ADENOSYLMETHIONINE 200 MG TABLET [81424],5.59,5.59,,,0
NDC,3160401285,PYRIDOXINE (VITAMIN B6) 100 MG TABLET [6745],5.0,5.0,,,0
NDC,31722-006-31,ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],1296.0,1296.0,,,0
NDC,31722-016-47,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION [107829],24.005000000000003,24.005000000000003,,,0
NDC,31722-035-23,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],1761.93,1761.93,,,0
NDC,31722-050-90,EPLERENONE 50 MG TABLET [36984],5.0,5.0,,,0
NDC,31722-053-60,IVABRADINE 5 MG TABLET [176611],37.325,37.325,,,0
NDC,31722-066-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",7.5,7.5,,,0
NDC,31722-151-30,VALSARTAN 40 MG TABLET [33541],10.0,10.0,,,0
NDC,31722-228-01,ZONISAMIDE 100 MG CAPSULE [27780],7.5,7.5,,,0
NDC,31722-308-01,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [38263],58.25,58.25,,,0
NDC,31722-350-01,LISDEXAMFETAMINE 10 MG CAPSULE [176975],45.8,45.8,,,0
NDC,31722-351-01,LISDEXAMFETAMINE 20 MG CAPSULE [89783],24.83,24.83,,,0
NDC,31722-352-01,LISDEXAMFETAMINE 30 MG CAPSULE [81474],16.56,16.56,,,0
NDC,31722-394-31,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],11.475000000000001,11.475000000000001,,,0
NDC,31722-412-14,TEMOZOLOMIDE 20 MG CAPSULE [25893],6.1,6.1,,,0
NDC,31722-413-31,TEMOZOLOMIDE 100 MG CAPSULE [25894],110.95,110.95,,,0
NDC,31722-504-30,EFAVIRENZ 600 MG TABLET [32298],100.65,100.65,,,0
NDC,31722-509-60,ZIDOVUDINE 300 MG TABLET [17961],5.0,5.0,,,0
NDC,31722-579-60,MARAVIROC 150 MG TABLET [87998],176.4,176.4,,,0
NDC,31722-621-60,DABIGATRAN ETEXILATE 75 MG CAPSULE [106490],40.724999999999994,40.724999999999994,,,0
NDC,31722-622-60,DABIGATRAN ETEXILATE 150 MG CAPSULE [106491],20.700000000000003,20.700000000000003,,,0
NDC,31722-681-47,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],2142.69,2142.69,,,0
NDC,31722-749-20,LINEZOLID 600 MG TABLET [28224],8.35,8.35,,,0
NDC,31722-868-31,TOLVAPTAN 15 MG TABLET [97893],240.0,240.0,,,0
NDC,31722-929-01,OXYMORPHONE 5 MG TABLET [76675],7.5,7.5,,,0
NDC,33342-001-09,LAMIVUDINE 150 MG TABLET [15880],7.5,7.5,,,0
NDC,33342-026-07,FAMCICLOVIR 500 MG TABLET [13358],5.305,5.305,,,0
NDC,33342-047-10,IRBESARTAN 75 MG TABLET [21847],10.0,10.0,,,0
NDC,33342-048-10,IRBESARTAN 150 MG TABLET [21848],7.5,7.5,,,0
NDC,33342-278-09,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION) [182882],7.5,7.5,,,0
NDC,33342-288-68,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],12.37,12.37,,,0
NDC,33358-077-60,CIMETIDINE 300 MG TABLET [9605],8.335,8.335,,,0
NDC,33358-260-30,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE [29746]",5.0,5.0,,,0
NDC,35181-7303-32,CALCIUM GLUCONATE 2.5 % TOPICAL GEL [400564],190.0,190.0,,,0
NDC,35356-492-60,"LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR [93834]",48.224999999999994,48.224999999999994,,,0
NDC,35356-500-60,LUBIPROSTONE 24 MCG CAPSULE [70472],15.870000000000001,15.870000000000001,,,0
NDC,35356-631-30,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [120778],59.25,59.25,,,0
NDC,35573-473-02,PHENOXYBENZAMINE 10 MG CAPSULE [10945],259.065,259.065,,,0
NDC,3578700001,UREA 25 %-ALLANTOIN-VITAMIN E TOPICAL CREAM [164515],19.88,19.88,,,0
NDC,36000-002-06,FLUCONAZOLE 2 MG/ML IV SYRINGE (PEDIATRIC) [40840032],15.5,15.5,,,0
NDC,36000-008-24,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],14.5,14.5,,,0
NDC,36000-306-60,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",24.314999999999998,24.314999999999998,,,0
NDC,36000-308-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],18.85,18.85,,,0
NDC,36000-308-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],13.25,13.25,,,0
NDC,37000-024-04,PSYLLIUM ORAL PACKET WRAPPER [4081424190],5.0,5.0,,,0
NDC,3839690963,DEXTROSE 15 GRAM/59 ML ORAL LIQUID [94349],6.4,6.4,,,0
NDC,386000103,ETHYL CHLORIDE 100 % TOPICAL SPRAY [2951],211.7,211.7,,,0
NDC,386000802,PAIN EASE SPRAY [39802],208.8,208.8,,,0
NDC,386000804,PAIN EASE SPRAY [39802],60.0,60.0,,,0
NDC,38779-2430-5,DIMETHYL SULFOXIDE (BULK) 99.99 % LIQUID [18072],118.5,118.5,,,0
NDC,3877924714,GLUTAMINE (BULK) POWDER [13713],125.0,125.0,,,0
NDC,3877925108,COMPOUNDING VEHICLE SUSPENSION NO.7 ORAL [128358],5.0,5.0,,,0
NDC,3877925118,COMPOUNDING VEHICLE NO.8 ORAL LIQUID [128466],5.0,5.0,,,0
NDC,39328-062-50,SODIUM HYPOCHLORITE 0.5 % SOLUTION [2110],40.21,40.21,,,0
NDC,39328-063-25,SODIUM HYPOCHLORITE 0.25 % SOLUTION [15950],40.21,40.21,,,0
NDC,39328-120-05,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [119615],6.5,6.5,,,0
NDC,3932800810,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET [11087]",7.5,7.5,,,0
NDC,3932806412,SODIUM HYPOCHLORITE 0.125 % SOLUTION [76720],40.21,40.21,,,0
NDC,3932810610,PRENATAL VITAMINS WITH CALCIUM NO.72-IRON 27 MG-FOLIC ACID 1 MG TABLET [129072],5.0,5.0,,,0
NDC,3932810710,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET [11067],5.0,5.0,,,0
NDC,395001994,ACETONE LIQUID [121],37.2,37.2,,,0
NDC,395150101,LACTOSE (BULK) POWDER [4333],5.0,5.0,,,0
NDC,395266116,SIMPLE SYRUP [7242],5.0,5.0,,,0
NDC,395266216,CHERRY FLAVOR (BULK) ORAL LIQUID [1562],52.03,52.03,,,0
NDC,39822-0310-7,NEOMYCIN 500 MG TABLET [5472],9.805,9.805,,,0
NDC,39822-0706-1,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION [7508],53.92,53.92,,,0
NDC,39822-1055-5,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],67.4,67.4,,,0
NDC,39822-1201-1,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION [70678]",31.3,31.3,,,0
NDC,39822-1201-2,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION [70678]",31.3,31.3,,,0
NDC,39822-9900-1,AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION [439],5.0,5.0,,,0
NDC,4009310084,ACETYLCYSTEINE 600 MG CAPSULE [76335],5.0,5.0,,,0
NDC,4098521341,COENZYME Q10 30 MG CAPSULE [13257],10.0,10.0,,,0
NDC,4098527288,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET [97463]",7.5,7.5,,,0
NDC,4098528005,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],7.5,7.5,,,0
NDC,41167-170-04,MENTHOL-ZINC OXIDE 0.15 %-1 % TOPICAL POWDER [125989],13.8,13.8,,,0
NDC,41167-5800-5,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],81.89,81.89,,,0
NDC,4116701040,MENTHOL-ZINC OXIDE 0.15 %-1 % TOPICAL POWDER [125989],14.13,14.13,,,0
NDC,4116701109,MENTHOL 0.15 % TOPICAL POWDER [170364],29.5,29.5,,,0
NDC,4116705848,LIDOCAINE 4 % TOPICAL PATCH [119190],14.0,14.0,,,0
NDC,4116706006,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [126514],8.5,8.5,,,0
NDC,41388-21021,LIP PROTECTANT 0.6 %-0.5 %-1.1 %-0.5 % TOPICAL OINTMENT [126138],5.0,5.0,,,0
NDC,4138821020,LIP PROTECTANT 0.6 %-0.5 %-1.1 %-0.5 % TOPICAL OINTMENT [126138],6.65,6.65,,,0
NDC,414200024,SACCHAROMYCES BOULARDII 250 MG CAPSULE [37343],20.79,20.79,,,0
NDC,41616-932-40,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION [11635],80.75,80.75,,,0
NDC,4200230268,WITCH HAZEL 50 % TOPICAL PADS [128861],200.0,200.0,,,0
NDC,42023-103-01,EPINEPHRINE 1 MG/ML NASAL SOLUTION [19604],9.96,9.96,,,0
NDC,42023-104-05,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION [8259],14.9,14.9,,,0
NDC,42023-105-01,METHOHEXITAL 500 MG SOLUTION FOR INJECTION [70545],45.89,45.89,,,0
NDC,42023-108-01,"NEOMYCIN-COLIST-HC-THONZONM 3.3 MG-3 MG-10 MG-0.5 MG/ML EAR DROPS,SUSP [119023]",122.65,122.65,,,0
NDC,42023-114-10,KETAMINE 50 MG/ML INJECTION SOLUTION [4238],18.0,18.0,,,0
NDC,42023-123-06,DANTROLENE 20 MG INTRAVENOUS SOLUTION [9716],2590.505,2590.505,,,0
NDC,42023-159-25,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],17.89,17.89,,,0
NDC,42023-164-25,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [176740],186.32,186.32,,,0
NDC,42023-168-01,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [123851],5.0,5.0,,,0
NDC,42023-179-05,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [125820],41.98,41.98,,,0
NDC,42023-205-01,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],14499.7,14499.7,,,0
NDC,42023-219-01,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION [202863],15.41,15.41,,,0
NDC,42023-219-10,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION [202863],15.41,15.41,,,0
NDC,42023-237-01,VASOPRESSIN 0.2 UNIT/ML INTRAVENOUS SOLUTION [202862],350.5,350.5,,,0
NDC,42023-237-10,VASOPRESSIN 0.2 UNIT/ML INTRAVENOUS SOLUTION [202862],350.5,350.5,,,0
NDC,42023-315-01,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9% SODIUM CHLORIDE INFUSION [507003],270.0,270.0,,,0
NDC,42023-622-01,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [195967],208.5,208.5,,,0
NDC,42023-622-10,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [195967],208.5,208.5,,,0
NDC,42192-0608-02,GABAPENTIN 50 MG/ML ORAL SOLUTION [40815062],5.0,5.0,,,0
NDC,42192-339-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],7.5,7.5,,,0
NDC,42192-608-06,GABAPENTIN 50 MG/ML ORAL SOLUTION [40815062],7.74,7.74,,,0
NDC,42192-608-40,GABAPENTIN 50 MG/ML ORAL SOLUTION [40815062],7.74,7.74,,,0
NDC,42192-608-45,GABAPENTIN 50 MG/ML ORAL SOLUTION [40815062],14.83,14.83,,,0
NDC,42211-101-11,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION [3900],54.150000000000006,54.150000000000006,,,0
NDC,42292-038-01,LEVOTHYROXINE 88 MCG TABLET [10403],5.69,5.69,,,0
NDC,42292-038-20,LEVOTHYROXINE 88 MCG TABLET [10403],5.69,5.69,,,0
NDC,42292-040-01,LEVOTHYROXINE 175 MCG TABLET [10406],5.0,5.0,,,0
NDC,42292-040-20,LEVOTHYROXINE 175 MCG TABLET [10406],5.0,5.0,,,0
NDC,42367-521-25,BENDAMUSTINE (BELRAPZO) 25 MG/ML INTRAVENOUS SOLUTION [40816039],18300.18,18300.18,,,0
NDC,42367-540-32,DANTROLENE 250 MG INTRAVENOUS SUSPENSION [170763],8621.25,8621.25,,,0
NDC,42367-570-22,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [176740],330.08,330.08,,,0
NDC,42367-570-87,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [176740],330.08,330.08,,,0
NDC,42385-921-60,ATAZANAVIR 200 MG CAPSULE [36150],10.95,10.95,,,0
NDC,42385-953-30,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [39255],5.0,5.0,,,0
NDC,42494-416-25,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],646.42,646.42,,,0
NDC,42494-450-20,VANCOMYCIN 125 MG CAPSULE [11628],5.0,5.0,,,0
NDC,42494-450-50,VANCOMYCIN 125 MG CAPSULE [11628],5.41,5.41,,,0
NDC,42494-451-20,VANCOMYCIN 250 MG CAPSULE [11629],5.0,5.0,,,0
NDC,42571-132-52,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE [19809],28.7,28.7,,,0
NDC,42571-141-26,DORZOLAMIDE 2 % EYE DROPS [14471],135.3,135.3,,,0
NDC,42571-147-26,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],63.8,63.8,,,0
NDC,42571-221-30,RASAGILINE 1 MG TABLET [76481],27.900000000000002,27.900000000000002,,,0
NDC,42571-384-25,ERYTHROMYCIN WITH ETHANOL 2 % TOPICAL SOLUTION [2887],75.0,75.0,,,0
NDC,42571-385-19,TRIAMCINOLONE ACETONIDE 0.1 % LOTION [8116],53.1,53.1,,,0
NDC,42658-021-01,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],1534.185,1534.185,,,0
NDC,42658-021-02,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],254.34,254.34,,,0
NDC,42702-102-15,PHENYLEPHRINE 2.5 % EYE DROPS [6246],433.28,433.28,,,0
NDC,42702-103-05,PHENYLEPHRINE 10 % EYE DROPS [19636],192.6,192.6,,,0
NDC,42747-203-01,BUROSUMAB-TWZA 20 MG/ML SUBCUTANEOUS SOLUTION [190442],141597.63,141597.63,,,0
NDC,42747-304-01,BUROSUMAB-TWZA 30 MG/ML SUBCUTANEOUS SOLUTION [190443],141598.19,141598.19,,,0
NDC,42747-761-01,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION [191119],63293.0,63293.0,,,0
NDC,42794-003-08,ADEFOVIR 10 MG TABLET [33816],137.89,137.89,,,0
NDC,42794-018-12,LIOTHYRONINE 5 MCG TABLET [10443],37.5,37.5,,,0
NDC,42794-019-12,LIOTHYRONINE 25 MCG TABLET [4504],10.0,10.0,,,0
NDC,42794-020-12,LIOTHYRONINE 50 MCG TABLET [4505],6.25,6.25,,,0
NDC,42799-105-01,METHENAMINE MANDELATE 0.5 GRAM TABLET [4965],7.5,7.5,,,0
NDC,42799-119-01,BUMETANIDE 0.5 MG TABLET [9309],10.0,10.0,,,0
NDC,42799-123-01,CARBIDOPA 25 MG TABLET [26703],24.900000000000002,24.900000000000002,,,0
NDC,42799-405-01,ETHACRYNIC ACID 25 MG TABLET [9980],186.4,186.4,,,0
NDC,42799-806-01,IVERMECTIN 3 MG TABLET [25820],71.49000000000001,71.49000000000001,,,0
NDC,42799-815-01,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],184.86,184.86,,,0
NDC,42799-815-05,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],5.0,5.0,,,0
NDC,42806-149-32,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],60.0,60.0,,,0
NDC,42806-161-01,HYDROXYZINE HCL 50 MG TABLET [3775],5.0,5.0,,,0
NDC,42806-512-30,QUINIDINE SULFATE 300 MG TABLET [6778],49.335,49.335,,,0
NDC,42806-547-01,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",5.0,5.0,,,0
NDC,42806-552-12,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],10.0,10.0,,,0
NDC,42806-563-01,CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],168.575,168.575,,,0
NDC,42806-714-01,BENZONATATE 100 MG CAPSULE [988],7.5,7.5,,,0
NDC,42806-757-60,SULFADIAZINE 500 MG TABLET [7554],111.89999999999999,111.89999999999999,,,0
NDC,42858-304-16,HYDROMORPHONE 1 MG/ML ORAL LIQUID [10225],5.0,5.0,,,0
NDC,42858-353-40,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [170818],351.35,351.35,,,0
NDC,42858-493-40,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107661],564.715,564.715,,,0
NDC,42858-701-01,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR [119294]",5.734999999999999,5.734999999999999,,,0
NDC,42858-702-01,"THEOPHYLLINE ER 600 MG TABLET,EXTENDED RELEASE 24 HR [120150]",6.115,6.115,,,0
NDC,42858-707-03,"PAROXETINE ER 37.5 MG TABLET,EXTENDED RELEASE 24 HR [32633]",5.0,5.0,,,0
NDC,42858-802-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",10.0,10.0,,,0
NDC,42858-868-06,DRONABINOL 5 MG CAPSULE [9905],9.7,9.7,,,0
NDC,43066-016-10,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],366.0,366.0,,,0
NDC,43066-023-01,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],10.5,10.5,,,0
NDC,43066-023-10,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],5.275,5.275,,,0
NDC,43066-150-10,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [110257]",385.775,385.775,,,0
NDC,43066-154-01,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],5.0,5.0,,,0
NDC,43066-360-20,AMIODARONE 1.8 MG/ML IN DEXTROSE 5 % INTRAVENOUS INFUSION (WRAPPER) [40814258],210.0,210.0,,,0
NDC,43199-014-01,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR [17010]",8.834999999999999,8.834999999999999,,,0
NDC,43199-021-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],5.61,5.61,,,0
NDC,4329256000,RIBOFLAVIN (VITAMIN B2) 100 MG TABLET [11288],5.0,5.0,,,0
NDC,43386-140-28,METHYLERGONOVINE 0.2 MG TABLET [10572],90.36,90.36,,,0
NDC,43386-622-30,LEVONORGESTREL 1.5 MG TABLET [99445],74.66499999999999,74.66499999999999,,,0
NDC,43386-860-01,DEXMETHYLPHENIDATE 5 MG TABLET [31846],7.5,7.5,,,0
NDC,43528-003-05,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE [191067],0.5,0.5,,,0
NDC,43547-386-09,FOSINOPRIL 10 MG TABLET [10094],10.0,10.0,,,0
NDC,43547-400-10,CYCLOBENZAPRINE 10 MG TABLET [2017],5.0,5.0,,,0
NDC,43547-544-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],25.43,25.43,,,0
NDC,43547-544-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],25.43,25.43,,,0
NDC,43547-545-10,ENALAPRIL MALEATE 2.5 MG TABLET [9925],15.0,15.0,,,0
NDC,43547-546-10,ENALAPRIL MALEATE 5 MG TABLET [9927],10.0,10.0,,,0
NDC,43547-548-10,ENALAPRIL MALEATE 20 MG TABLET [9926],5.0,5.0,,,0
NDC,43598-128-11,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10581],71.5,71.5,,,0
NDC,43598-160-31,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],32.4,32.4,,,0
NDC,43598-210-40,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],212.0,212.0,,,0
NDC,43598-210-50,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],53.0,53.0,,,0
NDC,43598-283-35,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",14124.82,14124.82,,,0
NDC,43598-305-62,AZACITIDINE 100 MG SOLUTION FOR IV  [600119],2731.62,2731.62,,,0
NDC,43598-326-75,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [36576]",777.49,777.49,,,0
NDC,43598-339-60,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [27644]",20.35,20.35,,,0
NDC,43598-394-67,TETRABENAZINE 12.5 MG TABLET [94563],68.4,68.4,,,0
NDC,43598-395-67,TETRABENAZINE 25 MG TABLET [92777],58.035,58.035,,,0
NDC,43598-405-11,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],64.78,64.78,,,0
NDC,43598-405-16,PHYTONADIONE (VITAMIN K1) FOR PEDIATRIC USE [40811023],31.159999999999997,31.159999999999997,,,0
NDC,43598-426-60,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],48.04,48.04,,,0
NDC,43598-452-02,ALBENDAZOLE 200 MG TABLET [8979],26.4,26.4,,,0
NDC,43598-478-01,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],46.9,46.9,,,0
NDC,43598-479-90,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET [99695],10.45,10.45,,,0
NDC,43598-560-78,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",43.29,43.29,,,0
NDC,43598-560-79,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",43.29,43.29,,,0
NDC,43598-561-78,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",17.74,17.74,,,0
NDC,43598-579-01,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [106176],25.56,25.56,,,0
NDC,43598-579-30,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [106176],25.56,25.56,,,0
NDC,43598-582-01,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [106177],14.25,14.25,,,0
NDC,43598-582-30,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [106177],14.25,14.25,,,0
NDC,43598-697-11,VIGABATRIN 500 MG ORAL POWDER PACKET [99413],160.0,160.0,,,0
NDC,43598-698-11,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],1802.295,1802.295,,,0
NDC,43598-698-58,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],2124.375,2124.375,,,0
NDC,43598-725-11,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [183175],7.315,7.315,,,0
NDC,43598-733-30,ARIPIPRAZOLE 10 MG DISINTEGRATING TABLET [76822],35.0,35.0,,,0
NDC,43598-914-11,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [176740],26.15,26.15,,,0
NDC,43825-102-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",140.84,140.84,,,0
NDC,43825-707-41,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION [91965]",1126.85,1126.85,,,0
NDC,43975-277-10,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE [33005]",17.5,17.5,,,0
NDC,43975-280-10,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE [31588]",7.315,7.315,,,0
NDC,43975-331-10,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE [33005]",21.615000000000002,21.615000000000002,,,0
NDC,44087-3535-1,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION [186231],30177.129999999997,30177.129999999997,,,0
NDC,44087-5000-3,TEPOTINIB 225 MG TABLET [199424],3483.1,3483.1,,,0
NDC,44087-5000-6,TEPOTINIB 225 MG TABLET [199424],3483.1,3483.1,,,0
NDC,44206-251-05,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (ANES ONE-STEP) [500352]",185.75,185.75,,,0
NDC,44206-251-90,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",185.75,185.75,,,0
NDC,44206-300-01,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE [38072]",366.3,366.3,,,0
NDC,44206-310-25,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION FOR BURN ORDER SET [40818103]",14.9,14.9,,,0
NDC,44206-436-05,IMMUNE GLOBULIN (PRIVIGEN) 10 % 5G BOTTLE [40816151],9919.8,9919.8,,,0
NDC,44206-436-90,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [178369]",11159.775,11159.775,,,0
NDC,44206-437-10,IMMUNE GLOBULIN (PRIVIGEN) 10 % 10G BOTTLE [40816152],9919.8,9919.8,,,0
NDC,44206-437-91,IMMUNE GLOBULIN (PRIVIGEN) 10 % 10G BOTTLE [40816152],11159.775,11159.775,,,0
NDC,44206-438-20,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [178369]",9919.8,9919.8,,,0
NDC,44206-438-92,IMMUNE GLOBULIN (PRIVIGEN) 10 % 20G BOTTLE [40816153],11159.775,11159.775,,,0
NDC,44206-439-40,IMMUNE GLOBULIN (PRIVIGEN) 10 % 40G BOTTLE [40816154],11159.775,11159.775,,,0
NDC,44206-439-93,IMMUNE GLOBULIN (PRIVIGEN) 10 % 40G BOTTLE [40816154],11159.775,11159.775,,,0
NDC,44206-451-01,IMMUNE GLOBULIN (HIZENTRA) 20% SUBCUTANEOUS INFUSION ALL [4080346],7836.645,7836.645,,,0
NDC,44206-452-02,IMMUNE GLOBULIN (HIZENTRA) 20% SUBCUTANEOUS INFUSION ALL [4080346],7836.645,7836.645,,,0
NDC,44206-454-04,IMMUNE GLOBULIN (HIZENTRA) 20% SUBCUTANEOUS INFUSION ALL [4080346],7836.645,7836.645,,,0
NDC,44206-455-10,IMMUNE GLOBULIN (HIZENTRA) 20% SUBCUTANEOUS INFUSION ALL [4080346],7836.645,7836.645,,,0
NDC,44567-100-10,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],5.65,5.65,,,0
NDC,44567-102-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],28.5,28.5,,,0
NDC,44567-235-25,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],21.38,21.38,,,0
NDC,44567-236-10,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],47.5,47.5,,,0
NDC,44567-241-10,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],46.55,46.55,,,0
NDC,44567-401-01,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],25.05,25.05,,,0
NDC,44567-401-10,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],25.03,25.03,,,0
NDC,44567-402-01,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION [209348],145.52,145.52,,,0
NDC,44567-402-06,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION [209348],145.52,145.52,,,0
NDC,44567-437-24,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],40.0,40.0,,,0
NDC,44567-451-01,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",312.5,312.5,,,0
NDC,44567-451-10,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",312.5,312.5,,,0
NDC,44567-507-01,TENIPOSIDE 50 MG/5 ML INTRAVENOUS SOLUTION [11501],33510.75,33510.75,,,0
NDC,44567-530-01,CISPLATIN 50 MG INTRAVENOUS POWDER FOR SOLUTION [193840],3480.75,3480.75,,,0
NDC,44567-610-01,MIDAZOLAM (VERSED) 1 MG/ML IN SODIUM CHLORIDE 0.9% INFUSION [192325],99.5,99.5,,,0
NDC,44567-610-10,MIDAZOLAM (VERSED) 1 MG/ML IN SODIUM CHLORIDE 0.9% INFUSION [192325],99.5,99.5,,,0
NDC,44567-621-24,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION [194017]",85.0,85.0,,,0
NDC,44567-641-01,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV [129071],162.5,162.5,,,0
NDC,44567-642-01,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [130047],287.5,287.5,,,0
NDC,44567-642-10,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [130047],367.5,367.5,,,0
NDC,44567-706-25,CEFAZOLIN 500 MG SOLUTION FOR INJECTION [1448],7.6,7.6,,,0
NDC,44567-803-10,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],52.26,52.26,,,0
NDC,44567-851-01,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],170.0,170.0,,,0
NDC,45802-004-03,HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],17.36,17.36,,,0
NDC,45802-0203-10,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],7.58,7.58,,,0
NDC,45802-0203-75,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],10.11,10.11,,,0
NDC,45802-040-64,SELENIUM SULFIDE 2.5 % LOTION [181417],45.6,45.6,,,0
NDC,45802-046-35,GENTAMICIN 0.1 % TOPICAL OINTMENT [3424],114.38,114.38,,,0
NDC,45802-048-35,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",64.43,64.43,,,0
NDC,45802-054-36,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT [8117],28.8,28.8,,,0
NDC,45802-060-00,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [123643],7.5,7.5,,,0
NDC,45802-060-70,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [123643],7.5,7.5,,,0
NDC,45802-061-70,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT [126458]",5.0,5.0,,,0
NDC,45802-063-35,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM [8112],17.1,17.1,,,0
NDC,45802-063-36,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM [8112],39.2,39.2,,,0
NDC,45802-064-35,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],20.7,20.7,,,0
NDC,45802-098-46,MESALAMINE 4 GRAM/60 ML ENEMA [10535],61.5,61.5,,,0
NDC,45802-098-51,MESALAMINE 4 GRAM/60 ML ENEMA [10535],61.5,61.5,,,0
NDC,45802-109-01,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],65.75,65.75,,,0
NDC,45802-112-22,MUPIROCIN 2 % TOPICAL OINTMENT [10674],27.39,27.39,,,0
NDC,45802-141-67,CICLOPIROX 8 % TOPICAL SOLUTION [27158],115.57,115.57,,,0
NDC,45802-143-01,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT [854]",8.75,8.75,,,0
NDC,45802-174-53,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [126514],8.5,8.5,,,0
NDC,45802-201-10,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],7.58,7.58,,,0
NDC,45802-201-26,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],5.0,5.0,,,0
NDC,45802-395-04,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [8723],11.3,11.3,,,0
NDC,45802-438-03,HYDROCORTISONE 1 % TOPICAL CREAM [3726],11.06,11.06,,,0
NDC,45802-455-42,HYDROCORTISONE VALERATE 0.2 % TOPICAL CREAM [10218],337.5,337.5,,,0
NDC,45802-465-64,KETOCONAZOLE 2 % SHAMPOO [14132],91.2,91.2,,,0
NDC,45802-485-26,FLUOCINOLONE 0.01 % SCALP OIL AND SHOWER CAP [10057],88.71,88.71,,,0
NDC,45802-562-02,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION [1742],758.7,758.7,,,0
NDC,45802-578-00,NALOXONE 4 MG/ACTUATION NASAL SPRAY [181092],147.03,147.03,,,0
NDC,45802-578-84,NALOXONE 4 MG/ACTUATION NASAL SPRAY [181092],135.5,135.5,,,0
NDC,45802-580-62,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],89.6,89.6,,,0
NDC,45802-619-00,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY [20038],122.15,122.15,,,0
NDC,45802-619-06,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY [20038],940.59,940.59,,,0
NDC,45802-730-00,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],5.0,5.0,,,0
NDC,45802-730-32,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],5.0,5.0,,,0
NDC,45802-730-33,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],5.0,5.0,,,0
NDC,45802-732-33,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],10.0,10.0,,,0
NDC,45802-953-01,DICLOFENAC 1 % TOPICAL GEL [100611],46.5,46.5,,,0
NDC,4580252555,AMMONIUM LACTATE 12 % LOTION [10380],19.3,19.3,,,0
NDC,45945-157-02,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION [107800]",3156.9,3156.9,,,0
NDC,45963-304-09,"DEXTROAMPHETAMINE SULFATE ER 10 MG CAPSULE,EXTENDED RELEASE [32416]",17.54,17.54,,,0
NDC,45963-438-64,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],33.11,33.11,,,0
NDC,45963-609-55,FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],417.41999999999996,417.41999999999996,,,0
NDC,4601701840,CAFFEINE 200 MG TABLET [1259],5.0,5.0,,,0
NDC,46122-0211-75,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],10.11,10.11,,,0
NDC,46122-150-78,ALUMINUM HYDROX-MAGNESIUM CARB 160 MG-105 MG CHEWABLE TABLET [9016],5.0,5.0,,,0
NDC,46122-165-10,OXYMETAZOLINE 0.05 % NASAL SPRAY (FULL BOTTLE FOR 1 STEP) [350702],5.0,5.0,,,0
NDC,46122-221-63,GLYCERIN (ADULT) RECTAL SUPPOSITORY [41003],5.0,5.0,,,0
NDC,46122-222-63,GLYCERIN (CHILD) RECTAL SUPPOSITORY [76974],5.0,5.0,,,0
NDC,46122-362-29,SALICYLIC ACID 17 % TOPICAL LIQUID [11323],9.05,9.05,,,0
NDC,46122-414-05,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT [854]",6.82,6.82,,,0
NDC,46122-444-27,MICONAZOLE NITRATE 2 % TOPICAL POWDER [10599],11.36,11.36,,,0
NDC,46122-457-73,CAFFEINE 200 MG TABLET [1259],5.0,5.0,,,0
NDC,46122-573-10,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION [23063],8.88,8.88,,,0
NDC,46122-747-06,BISMUTH SUBSALICYLATE 525 MG/15 ML ORAL SUSPENSION [120863],5.0,5.0,,,0
NDC,46122-757-37,WHITE PETROLATUM-MINERAL OIL EYE OINTMENT [408027],14.58,14.58,,,0
NDC,46287-006-60,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP [184202],54.900000000000006,54.900000000000006,,,0
NDC,46287-009-01,ISONIAZID 50 MG/5 ML ORAL SOLUTION [4025],499.02,499.02,,,0
NDC,4628750030,SORBITOL 70 % SOLUTION [7413],6.6,6.6,,,0
NDC,47335-038-86,BOSENTAN 62.5 MG TABLET [31875],133.72500000000002,133.72500000000002,,,0
NDC,47335-049-40,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",13668.154999999999,13668.154999999999,,,0
NDC,47335-177-95,TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE [191059],66280.0,66280.0,,,0
NDC,47335-485-83,BICALUTAMIDE 50 MG TABLET [15746],5.0,5.0,,,0
NDC,47335-578-83,LURASIDONE 20 MG TABLET [113587],17.5,17.5,,,0
NDC,47335-631-48,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],8.63,8.63,,,0
NDC,47335-631-49,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],8.63,8.63,,,0
NDC,47335-633-48,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION [88223],14.41,14.41,,,0
NDC,47335-633-49,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION [88223],14.41,14.41,,,0
NDC,47335-684-83,LURASIDONE 40 MG TABLET [107668],10.0,10.0,,,0
NDC,47335-744-83,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR [100011]",61.8,61.8,,,0
NDC,47335-788-91,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED) [21135],948.45,948.45,,,0
NDC,47335-890-60,TEMOZOLOMIDE 5 MG CAPSULE [25892],10.96,10.96,,,0
NDC,47335-892-72,TEMOZOLOMIDE 100 MG CAPSULE [25894],58.5,58.5,,,0
NDC,47335-892-74,TEMOZOLOMIDE 100 MG CAPSULE [25894],157.7,157.7,,,0
NDC,47469-0074-12,MELATONIN 2.5 MG/10 ML ORAL LIQUID [164077],6.67,6.67,,,0
NDC,4746907405,MELATONIN 2.5 MG/10 ML ORAL LIQUID [164077],5.0,5.0,,,0
NDC,47781-014-01,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR [17010]",7.5,7.5,,,0
NDC,47781-200-50,MELPHALAN 2 MG TABLET [10523],128.58,128.58,,,0
NDC,47781-335-30,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE [11240]",86.53,86.53,,,0
NDC,47781-584-93,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],5.25,5.25,,,0
NDC,47781-607-30,DISULFIRAM 250 MG TABLET [2540],7.5,7.5,,,0
NDC,47783-101-01,ECALLANTIDE 10 MG/ML (1 ML) SUBCUTANEOUS SOLUTION [100698],59550.0,59550.0,,,0
NDC,48102-009-35,GENTAMICIN 0.3 % (3 MG/GRAM) EYE OINTMENT [3427],187.2,187.2,,,0
NDC,4810702489,NIACIN 250 MG TABLET [5540],7.5,7.5,,,0
NDC,48433-202-30,MINERAL OIL ORAL [5086],6.25,6.25,,,0
NDC,48433-230-15,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION [119129],84.77,84.77,,,0
NDC,4843310401,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",5.0,5.0,,,0
NDC,4843310501,CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 10 MCG (400 UNIT) TABLET [76978],7.5,7.5,,,0
NDC,4843310801,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129162],5.0,5.0,,,0
NDC,48582-0003-60,SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH [170233],27.3,27.3,,,0
NDC,4858200330,SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH [170233],5.0,5.0,,,0
NDC,4858280220,SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH [170233],5.0,5.0,,,0
NDC,48783-112-08,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML IRON TOPICAL SOLUTION [191000],84.2,84.2,,,0
NDC,487900330,SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],5.0,5.0,,,0
NDC,487900360,SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],5.0,5.0,,,0
NDC,487900730,SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],5.0,5.0,,,0
NDC,487900760,SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],5.0,5.0,,,0
NDC,48818-001-02,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073],53600.92,53600.92,,,0
NDC,49281-125-88,FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE [216247],0.5,0.5,,,0
NDC,49281-215-15,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [127646],102.79,102.79,,,0
NDC,49281-248-58,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION [127693]",1293.1,1293.1,,,0
NDC,49281-250-51,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION [127693]",1293.1,1293.1,,,0
NDC,49281-286-10,DTAP FOR ADULTS [400810],63.895,63.895,,,0
NDC,49281-400-15,"DIPHTH,PERTUS(AC)TETANUS(PF) 2 LF-(2.5-5-3-5 MCG)5 LF/0.5 ML IM SYRINGE [500883]",156.85,156.85,,,0
NDC,49281-400-20,"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE [127739]",0.5,0.5,,,0
NDC,49281-400-88,"DIPHTH,PERTUS(AC)TETANUS(PF) 2 LF-(2.5-5-3-5 MCG)5 LF/0.5 ML IM SYRINGE [500883]",156.85,156.85,,,0
NDC,49281-400-89,"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE [127739]",0.5,0.5,,,0
NDC,49281-425-88,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [40816193],0.5,0.5,,,0
NDC,49281-545-03,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],48.19,48.19,,,0
NDC,49281-545-05,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],132.47,132.47,,,0
NDC,49281-547-58,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],132.47,132.47,,,0
NDC,49281-574-88,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [208416],0.75,0.75,,,0
NDC,49281-575-00,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [208415],0.5,0.5,,,0
NDC,49281-590-58,"MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION [198011]",0.5,0.5,,,0
NDC,49281-752-21,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION [8259],20.61,20.61,,,0
NDC,49281-860-10,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [108127],138.66,138.66,,,0
NDC,49281-860-55,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SYRINGE [11042],138.66,138.66,,,0
NDC,49281-880-03,BCG LIVE 81 MG INTRAVESICAL SUSPENSION [14234],545.7,545.7,,,0
NDC,49401-088-47,BELIMUMAB 200 MG/ML SUBCUTANEOUS SYRINGE [187927],4412.5,4412.5,,,0
NDC,49401-101-01,BELIMUMAB 120 MG INTRAVENOUS SOLUTION [108842],13092.25,13092.25,,,0
NDC,49401-102-01,BELIMUMAB 400 MG INTRAVENOUS SOLUTION [108843],13092.05,13092.05,,,0
NDC,49502-102-01,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [100491]",701.93,701.93,,,0
NDC,49502-102-02,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [100491]",701.93,701.93,,,0
NDC,49502-250-80,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION WRAPPER [40826010],1274.0,1274.0,,,0
NDC,49502-393-80,INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [201531],330.8,330.8,,,0
NDC,49502-501-01,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR [29031]",282.7,282.7,,,0
NDC,49502-806-32,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION [192138],31.83,31.83,,,0
NDC,49502-806-93,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION [192138],31.83,31.83,,,0
NDC,49502-900-01,SELEGILINE 6 MG/24 HR TRANSDERMAL 24 HOUR PATCH [70781],192.34,192.34,,,0
NDC,49502-900-30,SELEGILINE 6 MG/24 HR TRANSDERMAL 24 HOUR PATCH [70781],192.34,192.34,,,0
NDC,49591-051-05,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN [126230],2156.955,2156.955,,,0
NDC,49591-051-51,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN [126230],2156.955,2156.955,,,0
NDC,49591-532-50,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],8784.25,8784.25,,,0
NDC,49702-207-18,FOSAMPRENAVIR 700 MG TABLET [37182],113.01,113.01,,,0
NDC,49702-213-01,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [11691],70.395,70.395,,,0
NDC,49702-217-18,ABACAVIR 300 MG-LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET [29167],129.17,129.17,,,0
NDC,49702-221-44,ABACAVIR 300 MG TABLET [24438],67.24000000000001,67.24000000000001,,,0
NDC,49702-228-13,DOLUTEGRAVIR 50 MG TABLET [164514],98.94,98.94,,,0
NDC,49702-231-13,ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET [170918],354.25,354.25,,,0
NDC,49702-242-13,DOLUTEGRAVIR 50 MG-RILPIVIRINE 25 MG TABLET [189046],401.6,401.6,,,0
NDC,49702-264-23,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE [202392]",18500.0,18500.0,,,0
NDC,49884-009-01,ISOSORBIDE DINITRATE 30 MG TABLET [4066],5.835,5.835,,,0
NDC,49884-032-01,TRANYLCYPROMINE 10 MG TABLET [11574],10.709999999999999,10.709999999999999,,,0
NDC,49884-042-04,GLYCOPYRROLATE 800 MCG/4ML ORAL SYRINGE [40818021],24.075000000000003,24.075000000000003,,,0
NDC,49884-058-02,BOSENTAN 62.5 MG TABLET [31875],145.395,145.395,,,0
NDC,49884-117-01,AMILORIDE 5 MG TABLET [391],7.5,7.5,,,0
NDC,49884-155-76,VARENICLINE TARTRATE 0.5 MG TABLET [76444],37.09,37.09,,,0
NDC,49884-212-55,RISPERIDONE 0.25 MG DISINTEGRATING TABLET [97979],46.019999999999996,46.019999999999996,,,0
NDC,49884-231-83,PRAZIQUANTEL 600 MG TABLET [11113],295.0,295.0,,,0
NDC,49884-301-01,OXANDROLONE 2.5 MG TABLET [10803],41.65,41.65,,,0
NDC,49884-306-02,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET [35625],20.0,20.0,,,0
NDC,49884-306-52,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET [35625],20.0,20.0,,,0
NDC,49884-307-02,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET [35626],15.0,15.0,,,0
NDC,49884-307-52,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET [35626],15.0,15.0,,,0
NDC,49884-309-02,CLONAZEPAM 1 MG DISINTEGRATING TABLET [35628],7.5,7.5,,,0
NDC,49884-309-52,CLONAZEPAM 1 MG DISINTEGRATING TABLET [35628],7.5,7.5,,,0
NDC,49884-315-91,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],28.185,28.185,,,0
NDC,49884-320-52,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],53.714999999999996,53.714999999999996,,,0
NDC,49884-320-55,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],53.714999999999996,53.714999999999996,,,0
NDC,49884-323-52,OLANZAPINE 20 MG DISINTEGRATING TABLET [28162],37.51,37.51,,,0
NDC,49884-323-55,OLANZAPINE 20 MG DISINTEGRATING TABLET [28162],37.51,37.51,,,0
NDC,49884-348-01,PIMOZIDE 2 MG TABLET [11031],7.74,7.74,,,0
NDC,49884-353-11,AMBRISENTAN 5 MG TABLET [82307],375.0,375.0,,,0
NDC,49884-510-63,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [108039],5.0,5.0,,,0
NDC,49884-510-72,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [108039],5.0,5.0,,,0
NDC,49884-561-11,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [97964]",83.32,83.32,,,0
NDC,49884-661-09,CANDESARTAN 32 MG TABLET [23232],6.27,6.27,,,0
NDC,49884-753-13,FLUTAMIDE 125 MG CAPSULE [10081],15.11,15.11,,,0
NDC,49884-907-38,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION [10521],244.8,244.8,,,0
NDC,49938-101-30,DAPSONE 100 MG TABLET [2131],5.109999999999999,5.109999999999999,,,0
NDC,49938-102-30,DAPSONE 25 MG TABLET [2132],10.0,10.0,,,0
NDC,5003561503,MELATONIN 5 MG TABLET [91665],5.0,5.0,,,0
NDC,5003561504,MELATONIN 5 MG TABLET [91665],5.0,5.0,,,0
NDC,50111-398-01,HYDRALAZINE 10 MG TABLET [3698],18.75,18.75,,,0
NDC,50111-468-01,PROPRANOLOL 20 MG TABLET [6657],12.5,12.5,,,0
NDC,50111-901-01,ETHOSUXIMIDE 250 MG CAPSULE [9989],12.895,12.895,,,0
NDC,5019014263,SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],5.0,5.0,,,0
NDC,50228-109-01,CARISOPRODOL 350 MG TABLET [1395],5.0,5.0,,,0
NDC,50228-116-90,ROSUVASTATIN 5 MG TABLET [36612],15.0,15.0,,,0
NDC,50228-117-90,ROSUVASTATIN 10 MG TABLET [35134],10.0,10.0,,,0
NDC,50228-461-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [26371]",7.5,7.5,,,0
NDC,50228-482-01,DILTIAZEM 60 MG TABLET [2476],6.25,6.25,,,0
NDC,50228-483-01,DILTIAZEM 90 MG TABLET [2477],5.0,5.0,,,0
NDC,50242-037-06,TENECTEPLASE (TNKASE) FOR STROKE [40817093],6677.72,6677.72,,,0
NDC,50242-040-62,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION [36151],7353.59,7353.59,,,0
NDC,50242-041-64,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [31310],364.0,364.0,,,0
NDC,50242-044-06,ALTEPLASE 50 MG INTRAVENOUS SOLUTION FOR PULMONARY EMBOLISM INFUSION [40816163],18319.8,18319.8,,,0
NDC,50242-044-13,ALTEPLASE 50 MG INTRAVENOUS SOLUTION [9003],9159.9,9159.9,,,0
NDC,50242-051-21,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]",2354.14,2354.14,,,0
NDC,50242-053-06,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]",18108.75,18108.75,,,0
NDC,50242-060-01,BEVACIZUMAB 25 MG/ML INTRAVITREAL INJECTION FOR RETINOPATHY OF PREMATURITY [40818030],254.51,254.51,,,0
NDC,50242-061-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [108065],84.84,84.84,,,0
NDC,50242-063-01,ERLOTINIB 100 MG TABLET [40090],1189.9,1189.9,,,0
NDC,50242-064-01,ERLOTINIB 150 MG TABLET [40091],897.235,897.235,,,0
NDC,50242-070-01,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [164934]",14190.0,14190.0,,,0
NDC,50242-077-01,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION [193320]",23376.2,23376.2,,,0
NDC,50242-080-01,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION [76790],7800.0,7800.0,,,0
NDC,50242-080-03,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SYRINGE [185521],487.5,487.5,,,0
NDC,50242-082-01,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION [117197],7800.0,7800.0,,,0
NDC,50242-082-03,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SYRINGE [190163],5850.0,5850.0,,,0
NDC,50242-085-25,ALTEPLASE 100 MG INTRAVENOUS SOLUTION FOR PULMONARY EMBOLISM BOLUS [40816161],36639.6,36639.6,,,0
NDC,50242-085-27,ALTEPLASE 100 MG INTRAVENOUS SOLUTION FOR PULMONARY EMBOLISM BOLUS [40816161],36639.6,36639.6,,,0
NDC,50242-087-01,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION [163365],33349.4,33349.4,,,0
NDC,50242-088-01,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [163364],33349.41,33349.41,,,0
NDC,50242-100-39,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [12211],451.8,451.8,,,0
NDC,50242-100-40,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [12211],451.8,451.8,,,0
NDC,50242-103-01,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION [198118],66990.92,66990.92,,,0
NDC,50242-105-01,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [193846],79922.72,79922.72,,,0
NDC,50242-120-47,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [189993],20359.955,20359.955,,,0
NDC,50242-125-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION [207903],12773.7,12773.7,,,0
NDC,50242-127-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION [207903],102189.6,102189.6,,,0
NDC,50242-132-01,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [187069],6741.035,6741.035,,,0
NDC,50242-135-01,TOCILIZUMAB 20 MG/ML IV (COMPONENT FOR COVID INFUSION) [40018001],5044.61,5044.61,,,0
NDC,50242-136-01,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION [108062],3775.9,3775.9,,,0
NDC,50242-137-01,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [108063],7551.8,7551.8,,,0
NDC,50242-138-01,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRINGE [164910],3382.51,3382.51,,,0
NDC,50242-142-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION [205939],47524.72,47524.72,,,0
NDC,50242-143-01,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS PEN INJECTOR [192425],5191.83,5191.83,,,0
NDC,50242-145-01,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [116596],30567.495000000003,30567.495000000003,,,0
NDC,50242-150-01,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [186245],81250.0,81250.0,,,0
NDC,50242-159-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION [205939],47524.8,47524.8,,,0
NDC,50242-176-01,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [189993],26934.985,26934.985,,,0
NDC,50242-214-01,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE [192033],9490.775,9490.775,,,0
NDC,50242-215-01,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE [192035],9490.775,9490.775,,,0
NDC,50242-215-03,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE [192035],12391.05,12391.05,,,0
NDC,50242-245-01,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [197475]",60993.6,60993.6,,,0
NDC,50242-260-01,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN [197476],40660.8,40660.8,,,0
NDC,50242-917-01,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [183187]",43100.0,43100.0,,,0
NDC,50242-918-01,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION [193131],36755.95,36755.95,,,0
NDC,50242-920-01,EMICIZUMAB-KXWH 30 MG/ML SUBCUTANEOUS SOLUTION [189008],5712.0,5712.0,,,0
NDC,50242-921-01,EMICIZUMAB-KXWH 60 MG/0.4 ML SUBCUTANEOUS SOLUTION [189009],11424.0,11424.0,,,0
NDC,50242-922-01,EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION [189010],19992.0,19992.0,,,0
NDC,50242-923-01,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION [189011],28560.0,28560.0,,,0
NDC,50268-050-15,ACEBUTOLOL 200 MG CAPSULE [8939],7.5,7.5,,,0
NDC,50268-060-15,ACYCLOVIR 200 MG CAPSULE [8969],5.0,5.0,,,0
NDC,50268-061-11,ACYCLOVIR 400 MG TABLET [8971],5.0,5.0,,,0
NDC,50268-087-11,ARIPIPRAZOLE 2 MG TABLET [70306],25.0,25.0,,,0
NDC,50268-087-12,ARIPIPRAZOLE 2 MG TABLET [70306],715.75,715.75,,,0
NDC,50268-102-11,BALSALAZIDE 750 MG CAPSULE [29299],32.66,32.66,,,0
NDC,50268-102-13,BALSALAZIDE 750 MG CAPSULE [29299],32.66,32.66,,,0
NDC,50268-105-11,BACLOFEN 5 MG TABLET [187719],7.5,7.5,,,0
NDC,50268-105-15,BACLOFEN 5 MG TABLET [187719],7.5,7.5,,,0
NDC,50268-152-11,CEPHALEXIN 500 MG CAPSULE [9500],7.5,7.5,,,0
NDC,50268-177-11,CILOSTAZOL 100 MG TABLET [24474],5.0,5.0,,,0
NDC,50268-177-15,CILOSTAZOL 100 MG TABLET [24474],5.0,5.0,,,0
NDC,50268-178-11,CLARITHROMYCIN 250 MG TABLET [9616],23.625,23.625,,,0
NDC,50268-189-11,CYPROHEPTADINE 4 MG TABLET [2033],5.0,5.0,,,0
NDC,50268-189-15,CYPROHEPTADINE 4 MG TABLET [2033],5.0,5.0,,,0
NDC,50268-190-11,CYCLOBENZAPRINE 5 MG TABLET [35184],7.5,7.5,,,0
NDC,50268-192-11,CLONIDINE HCL 0.1 MG TABLET [1755],5.0,5.0,,,0
NDC,50268-259-11,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",12.5,12.5,,,0
NDC,50268-259-15,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",12.5,12.5,,,0
NDC,50268-297-11,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",5.0,5.0,,,0
NDC,50268-297-15,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",5.0,5.0,,,0
NDC,50268-298-11,EZETIMIBE 10 MG TABLET [34153],33.7,33.7,,,0
NDC,50268-299-11,FAMOTIDINE 20 MG TABLET [10011],7.5,7.5,,,0
NDC,50268-304-15,FAMOTIDINE 40 MG TABLET [10012],5.0,5.0,,,0
NDC,50268-321-11,FLECAINIDE 100 MG TABLET [10041],7.5,7.5,,,0
NDC,50268-321-15,FLECAINIDE 100 MG TABLET [10041],7.5,7.5,,,0
NDC,50268-330-11,FLUDROCORTISONE 0.1 MG TABLET [10054],7.5,7.5,,,0
NDC,50268-330-15,FLUDROCORTISONE 0.1 MG TABLET [10054],7.5,7.5,,,0
NDC,50268-352-13,GABAPENTIN 800 MG TABLET [25856],5.640000000000001,5.640000000000001,,,0
NDC,50268-407-11,HYDROCORTISONE 20 MG TABLET [3734],5.55,5.55,,,0
NDC,50268-430-11,INDOMETHACIN 25 MG CAPSULE [3897],7.5,7.5,,,0
NDC,50268-430-15,INDOMETHACIN 25 MG CAPSULE [3897],7.5,7.5,,,0
NDC,50268-440-11,IRBESARTAN 75 MG TABLET [21847],10.0,10.0,,,0
NDC,50268-441-11,IRBESARTAN 150 MG TABLET [21848],7.5,7.5,,,0
NDC,50268-441-15,IRBESARTAN 150 MG TABLET [21848],7.5,7.5,,,0
NDC,50268-442-11,IRBESARTAN 300 MG TABLET [21849],5.0,5.0,,,0
NDC,50268-449-11,ISOSORBIDE DINITRATE 20 MG TABLET [4065],7.5,7.5,,,0
NDC,50268-451-11,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",10.0,10.0,,,0
NDC,50268-451-15,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",10.0,10.0,,,0
NDC,50268-454-11,ISRADIPINE 2.5 MG CAPSULE [10362],14.085,14.085,,,0
NDC,50268-476-11,LETROZOLE 2.5 MG TABLET [21509],5.0,5.0,,,0
NDC,50268-476-15,LETROZOLE 2.5 MG TABLET [21509],5.0,5.0,,,0
NDC,50268-477-11,LEFLUNOMIDE 10 MG TABLET [23872],10.274999999999999,10.274999999999999,,,0
NDC,50268-477-15,LEFLUNOMIDE 10 MG TABLET [23872],10.274999999999999,10.274999999999999,,,0
NDC,50268-525-11,MELOXICAM 7.5 MG TABLET [20566],7.5,7.5,,,0
NDC,50268-525-15,MELOXICAM 7.5 MG TABLET [20566],7.5,7.5,,,0
NDC,50268-526-11,MELOXICAM 15 MG TABLET [20580],5.0,5.0,,,0
NDC,50268-526-15,MELOXICAM 15 MG TABLET [20580],5.0,5.0,,,0
NDC,50268-541-11,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",10.0,10.0,,,0
NDC,50268-550-11,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",7.5,7.5,,,0
NDC,50268-550-15,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",7.5,7.5,,,0
NDC,50268-573-11,MONTELUKAST 4 MG CHEWABLE TABLET [27234],5.625,5.625,,,0
NDC,50268-573-15,MONTELUKAST 4 MG CHEWABLE TABLET [27234],5.625,5.625,,,0
NDC,50268-574-11,MONTELUKAST 5 MG CHEWABLE TABLET [22510],5.0,5.0,,,0
NDC,50268-574-15,MONTELUKAST 5 MG CHEWABLE TABLET [22510],5.0,5.0,,,0
NDC,50268-594-11,NAPROXEN 250 MG TABLET [5391],7.5,7.5,,,0
NDC,50268-594-15,NAPROXEN 250 MG TABLET [5391],7.5,7.5,,,0
NDC,50268-595-11,NAPROXEN 375 MG TABLET [5392],5.835,5.835,,,0
NDC,50268-595-15,NAPROXEN 375 MG TABLET [5392],5.835,5.835,,,0
NDC,50268-605-11,NORTRIPTYLINE 50 MG CAPSULE [5676],7.5,7.5,,,0
NDC,50268-615-11,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],17.5,17.5,,,0
NDC,50268-615-13,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],17.564999999999998,17.564999999999998,,,0
NDC,50268-618-11,OLANZAPINE 20 MG DISINTEGRATING TABLET [28162],10.675,10.675,,,0
NDC,50268-618-13,OLANZAPINE 20 MG DISINTEGRATING TABLET [28162],10.675,10.675,,,0
NDC,50268-640-11,PAROXETINE 10 MG TABLET [16632],12.5,12.5,,,0
NDC,50268-640-15,PAROXETINE 10 MG TABLET [16632],12.5,12.5,,,0
NDC,50268-647-11,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],35.0,35.0,,,0
NDC,50268-662-11,PROPRANOLOL 10 MG TABLET [6656],20.0,20.0,,,0
NDC,50268-666-11,PRAVASTATIN 20 MG TABLET [11111],10.0,10.0,,,0
NDC,50268-684-11,PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],9.415000000000001,9.415000000000001,,,0
NDC,50268-684-15,PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],7.5,7.5,,,0
NDC,50268-685-11,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],5.95,5.95,,,0
NDC,50268-710-11,ROSUVASTATIN 20 MG TABLET [35135],5.7,5.7,,,0
NDC,50268-712-11,SIMVASTATIN 5 MG TABLET [11367],15.0,15.0,,,0
NDC,50268-712-15,SIMVASTATIN 5 MG TABLET [11367],15.0,15.0,,,0
NDC,50268-725-11,SOTALOL 120 MG TABLET [15723],5.835,5.835,,,0
NDC,50268-728-11,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],7.5,7.5,,,0
NDC,50268-728-15,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],7.5,7.5,,,0
NDC,50268-730-11,SULFASALAZINE 500 MG TABLET [7562],12.5,12.5,,,0
NDC,50268-730-15,SULFASALAZINE 500 MG TABLET [7562],12.5,12.5,,,0
NDC,50268-738-11,TADALAFIL 5 MG TABLET [37400],15.0,15.0,,,0
NDC,50268-740-11,TAMSULOSIN 0.4 MG CAPSULE [103890],7.5,7.5,,,0
NDC,50268-750-15,TOPIRAMATE 25 MG TABLET [18920],15.0,15.0,,,0
NDC,50268-755-11,TORSEMIDE 10 MG TABLET [18292],10.0,10.0,,,0
NDC,50268-755-15,TORSEMIDE 10 MG TABLET [18292],10.0,10.0,,,0
NDC,50268-758-11,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],6.5,6.5,,,0
NDC,50268-759-11,TIZANIDINE 2 MG TABLET [14792],10.0,10.0,,,0
NDC,50268-764-11,TERAZOSIN 1 MG CAPSULE [14550],17.5,17.5,,,0
NDC,50268-766-11,TERAZOSIN 5 MG CAPSULE [14553],7.5,7.5,,,0
NDC,50268-796-15,URSODIOL 300 MG CAPSULE [11624],24.29,24.29,,,0
NDC,5026852411,MELATONIN 3 MG TABLET [16830],6.67,6.67,,,0
NDC,5026852415,MELATONIN 3 MG TABLET [16830],6.67,6.67,,,0
NDC,5026858211,NIACIN 100 MG TABLET [5539],10.0,10.0,,,0
NDC,5026858215,NIACIN 100 MG TABLET [5539],10.0,10.0,,,0
NDC,5026885211,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [2008],18.75,18.75,,,0
NDC,5026885215,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [2008],18.75,18.75,,,0
NDC,5026885415,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET [2012],7.5,7.5,,,0
NDC,5026885715,VITAMIN B COMPLEX (WRAPPER) [40816089],5.0,5.0,,,0
NDC,5026885915,PYRIDOXINE (VITAMIN B6) 100 MG TABLET [6745],5.0,5.0,,,0
NDC,5026886015,ASCORBIC ACID (VITAMIN C) 250 MG TABLET [663],15.0,15.0,,,0
NDC,5026886611,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET [97463]",7.5,7.5,,,0
NDC,5026886615,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET [97463]",7.5,7.5,,,0
NDC,50289-3250-1,GLYCERIN-WITCH HAZEL 12.5 %-50 % TOPICAL PADS [125949],12.0,12.0,,,0
NDC,50383-043-16,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SYRUP WRAPPER [408143724],5.0,5.0,,,0
NDC,50383-050-08,CIMETIDINE 300 MG/5 ML ORAL SOLUTION [1688],62.81,62.81,,,0
NDC,50383-286-08,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],944.0,944.0,,,0
NDC,50383-311-47,GABAPENTIN 50 MG/ML ORAL SOLUTION [40815062],538.15,538.15,,,0
NDC,50383-349-10,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],5.0,5.0,,,0
NDC,50383-349-11,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],5.0,5.0,,,0
NDC,50383-720-16,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],5.0,5.0,,,0
NDC,50383-781-30,LIDOCAINE HCL 2 % MUCOSAL JELLY [4448],47.7,47.7,,,0
NDC,50383-796-16,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],106.43,106.43,,,0
NDC,5038362750,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],5.775,5.775,,,0
NDC,5038391750,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],5.0,5.0,,,0
NDC,50419-171-03,REGORAFENIB 40 MG TABLET [117575],788.52,788.52,,,0
NDC,50419-188-01,GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLN [127824],113.83,113.83,,,0
NDC,50419-188-05,GADOPENTETATE DIMEGLUMINE 2.5 MMOL/5 ML(469.01 MG/ML) INTRAVENOUS SOLN [127823],113.83,113.83,,,0
NDC,50419-188-11,GADOPENTETATE DIMEGLUMINE 469.01 MG/ML (46.9 %) INTRAVENOUS SOLUTION [10099],426.0,426.0,,,0
NDC,50419-188-58,GADOPENTETATE DIMEGLUMINE 469.01 MG/ML (46.9 %) INTRAVENOUS SOLUTION [10099],426.0,426.0,,,0
NDC,50419-188-84,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN [127826],117.11,117.11,,,0
NDC,50419-250-91,RIOCIGUAT 0.5 MG TABLET [164812],1160.04,1160.04,,,0
NDC,50419-251-91,RIOCIGUAT 1 MG TABLET [164813],818.85,818.85,,,0
NDC,50419-252-91,RIOCIGUAT 1.5 MG TABLET [164814],386.68,386.68,,,0
NDC,50419-253-91,RIOCIGUAT 2 MG TABLET [164815],290.01,290.01,,,0
NDC,50419-254-91,RIOCIGUAT 2.5 MG TABLET [164816],232.01,232.01,,,0
NDC,50419-320-05,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [93574],230.95,230.95,,,0
NDC,50419-325-02,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [129617],250.0,250.0,,,0
NDC,50419-325-12,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [129617],250.0,250.0,,,0
NDC,50419-325-14,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION [109395],750.0,750.0,,,0
NDC,50419-325-18,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION [109395],47.85,47.85,,,0
NDC,50419-325-19,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION [109395],328.35,328.35,,,0
NDC,50419-385-01,COPANLISIB 60 MG INTRAVENOUS SOLUTION [188443],22869.0,22869.0,,,0
NDC,50419-422-01,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE [163065],3251.6,3251.6,,,0
NDC,50419-423-01,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE [29280],4052.55,4052.55,,,0
NDC,50419-424-01,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE [184794],4291.65,4291.65,,,0
NDC,50419-488-58,SORAFENIB 200 MG TABLET [43675],1027.71,1027.71,,,0
NDC,50419-777-01,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION [22987],543.5,543.5,,,0
NDC,50458-307-11,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [37238]",2279.4,2279.4,,,0
NDC,50458-308-11,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [37239]",3511.2,3511.2,,,0
NDC,50458-309-01,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [81838]",759.85,759.85,,,0
NDC,50458-560-01,PALIPERIDONE PALMITATE 39 MG/0.25 ML INTRAMUSCULAR SYRINGE [108106],1476.45,1476.45,,,0
NDC,50458-561-01,PALIPERIDONE PALMITATE 78 MG/0.5 ML INTRAMUSCULAR SYRINGE [108107],2953.15,2953.15,,,0
NDC,50458-562-01,PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE [108108],4429.76,4429.76,,,0
NDC,50458-563-01,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE [99702],0.1,0.1,,,0
NDC,50458-564-01,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE [108109],0.1,0.1,,,0
NDC,50458-575-01,RIVAROXABAN 1 MG/ML ORAL SUSPENSION [202523],156.255,156.255,,,0
NDC,50458-577-01,RIVAROXABAN 2.5 MG TABLET [191676],67.375,67.375,,,0
NDC,50458-577-10,RIVAROXABAN 2.5 MG TABLET [191676],25.0,25.0,,,0
NDC,50458-578-10,RIVAROXABAN 15 MG TABLET [112834],25.515,25.515,,,0
NDC,50458-579-10,RIVAROXABAN 20 MG TABLET [112835],18.77,18.77,,,0
NDC,50458-580-10,RIVAROXABAN 10 MG TABLET [110250],31.4,31.4,,,0
NDC,50458-586-01,"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR [28751]",37.225,37.225,,,0
NDC,50458-588-01,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR [32654]",48.115,48.115,,,0
NDC,50458-596-01,RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],5.22,5.22,,,0
NDC,50458-650-10,TRAMADOL 37.5 MG-ACETAMINOPHEN 325 MG TABLET [31288],18.134999999999998,18.134999999999998,,,0
NDC,5045831101,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [37237]",1519.55,1519.55,,,0
NDC,50474-100-01,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR [27418]",19.76,19.76,,,0
NDC,50474-300-01,"THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR [27421]",16.04,16.04,,,0
NDC,50474-470-66,BRIVARACETAM 25 MG TABLET [182862],167.25,167.25,,,0
NDC,50474-570-09,BRIVARACETAM 50 MG TABLET [182863],83.48,83.48,,,0
NDC,50474-700-62,CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT [91495],16782.6,16782.6,,,0
NDC,50474-710-79,CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT [97853],8391.3,8391.3,,,0
NDC,50474-804-03,ROTIGOTINE 4 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH [82101],84.85,84.85,,,0
NDC,50474-870-15,BRIVARACETAM 10 MG/ML ORAL SOLUTION [182860],68.91,68.91,,,0
NDC,50484-010-30,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT [9682],892.65,892.65,,,0
NDC,50532-115-10,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR [17010]",7.5,7.5,,,0
NDC,50580-0170-10,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],7.58,7.58,,,0
NDC,50580-0170-65,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],30.315,30.315,,,0
NDC,50580-0170-75,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],10.11,10.11,,,0
NDC,50580-0612-10,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],7.58,7.58,,,0
NDC,50580-536-04,PSEUDOEPHEDRINE 15 MG/5 ML ORAL LIQUID [119769],5.0,5.0,,,0
NDC,50632-001-01,"SMALLPOX,MONKEYPOX VAC (EUA) LIVE (PF), 0.5X TO 3.95X 10EXP8/0.5ML INTRADERMAL SUSP [40818041]",0.5,0.5,,,0
NDC,50632-001-02,"SMALLPOX,MONKEYPOX VAC (EUA) LIVE (PF), 0.5X TO 3.95X 10EXP8/0.5ML INTRADERMAL SUSP [40818041]",0.5,0.5,,,0
NDC,50632-010-01,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]",1432.1,1432.1,,,0
NDC,50632-013-01,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]",1432.1,1432.1,,,0
NDC,50633-110-12,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [29313],81599.25,81599.25,,,0
NDC,50633-120-11,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432],10933.75,10933.75,,,0
NDC,50633-210-11,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION [116024]",414243.5,414243.5,,,0
NDC,50633-310-11,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION [111437],4625.75,4625.75,,,0
NDC,50742-175-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",10.0,10.0,,,0
NDC,50742-238-30,QUININE 324 MG CAPSULE [125457],10.0,10.0,,,0
NDC,50742-239-01,MEXILETINE 150 MG CAPSULE [10595],7.505,7.505,,,0
NDC,50742-240-01,MEXILETINE 200 MG CAPSULE [10596],5.625,5.625,,,0
NDC,50742-241-01,MEXILETINE 250 MG CAPSULE [10597],5.0,5.0,,,0
NDC,50742-249-90,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",7.505,7.505,,,0
NDC,50742-310-25,MAFENIDE 50 GRAM TOPICAL PACKET [23233],514.08,514.08,,,0
NDC,50742-310-50,MAFENIDE 50 GRAM TOPICAL PACKET [23233],514.08,514.08,,,0
NDC,50742-447-45,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],524.21,524.21,,,0
NDC,50742-448-60,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],524.2149999999999,524.2149999999999,,,0
NDC,50742-505-01,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],44.04,44.04,,,0
NDC,50742-505-24,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],45.87,45.87,,,0
NDC,50742-549-01,FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],20.25,20.25,,,0
NDC,50742-550-01,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],23.01,23.01,,,0
NDC,50742-552-01,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],32.21,32.21,,,0
NDC,50742-554-01,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],46.01,46.01,,,0
NDC,50742-556-01,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],60.29,60.29,,,0
NDC,50742-556-05,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],60.29,60.29,,,0
NDC,50742-645-01,TRIAZOLAM 0.125 MG TABLET [8138],10.0,10.0,,,0
NDC,50881-006-03,RETIFANLIMAB-DLWR 500 MG/20 ML INTRAVENOUS SOLUTION [206939],72270.0,72270.0,,,0
NDC,50881-013-03,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION [197782],27424.74,27424.74,,,0
NDC,51079-058-01,CHLORTHALIDONE 25 MG TABLET [1661],10.0,10.0,,,0
NDC,51079-058-20,CHLORTHALIDONE 25 MG TABLET [1661],10.0,10.0,,,0
NDC,51079-093-01,VALACYCLOVIR 500 MG TABLET [13133],18.375,18.375,,,0
NDC,51079-093-03,VALACYCLOVIR 500 MG TABLET [13133],18.375,18.375,,,0
NDC,51079-103-20,SPIRONOLACTONE 25 MG TABLET [7437],10.0,10.0,,,0
NDC,51079-118-01,DICYCLOMINE 10 MG CAPSULE [2418],10.0,10.0,,,0
NDC,51079-121-01,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE [27692]",5.525,5.525,,,0
NDC,51079-121-08,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE [27692]",5.525,5.525,,,0
NDC,51079-131-01,AMITRIPTYLINE 10 MG TABLET [432],25.0,25.0,,,0
NDC,51079-142-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",5.835,5.835,,,0
NDC,51079-142-20,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",5.835,5.835,,,0
NDC,51079-152-20,OLANZAPINE 2.5 MG TABLET [21057],20.0,20.0,,,0
NDC,51079-155-01,OLANZAPINE 15 MG TABLET [26952],5.835,5.835,,,0
NDC,51079-155-20,OLANZAPINE 15 MG TABLET [26952],5.835,5.835,,,0
NDC,51079-164-01,VORICONAZOLE 50 MG TABLET [33008],128.2,128.2,,,0
NDC,51079-164-03,VORICONAZOLE 50 MG TABLET [33008],128.2,128.2,,,0
NDC,51079-165-01,VORICONAZOLE 200 MG TABLET [33009],113.6,113.6,,,0
NDC,51079-165-03,VORICONAZOLE 200 MG TABLET [33009],113.6,113.6,,,0
NDC,51079-182-20,CIPROFLOXACIN 500 MG TABLET [25119],6.25,6.25,,,0
NDC,51079-206-01,ALLOPURINOL 300 MG TABLET [311],5.0,5.0,,,0
NDC,51079-209-01,ATORVASTATIN 20 MG TABLET [19178],10.0,10.0,,,0
NDC,51079-209-20,ATORVASTATIN 20 MG TABLET [19178],10.0,10.0,,,0
NDC,51079-246-01,LORATADINE 10 MG TABLET [10466],5.0,5.0,,,0
NDC,51079-246-20,LORATADINE 10 MG TABLET [10466],5.0,5.0,,,0
NDC,51079-284-01,DIAZEPAM 2 MG TABLET [2404],12.5,12.5,,,0
NDC,51079-284-20,DIAZEPAM 2 MG TABLET [2404],12.5,12.5,,,0
NDC,51079-286-01,DIAZEPAM 10 MG TABLET [2403],5.0,5.0,,,0
NDC,51079-286-20,DIAZEPAM 10 MG TABLET [2403],5.0,5.0,,,0
NDC,51079-288-01,CLOZAPINE 100 MG DISINTEGRATING TABLET [38480],14.905000000000001,14.905000000000001,,,0
NDC,51079-374-01,CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],10.0,10.0,,,0
NDC,51079-374-20,CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],10.0,10.0,,,0
NDC,51079-375-01,CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],12.5,12.5,,,0
NDC,51079-375-20,CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],12.5,12.5,,,0
NDC,51079-383-01,URSODIOL 300 MG CAPSULE [11624],19.22,19.22,,,0
NDC,51079-383-20,URSODIOL 300 MG CAPSULE [11624],19.77,19.77,,,0
NDC,51079-426-01,GLIMEPIRIDE 4 MG TABLET [16357],7.5,7.5,,,0
NDC,51079-426-20,GLIMEPIRIDE 4 MG TABLET [16357],7.5,7.5,,,0
NDC,51079-436-01,DOXEPIN 10 MG CAPSULE [2608],18.75,18.75,,,0
NDC,51079-437-01,DOXEPIN 25 MG CAPSULE [2611],15.0,15.0,,,0
NDC,51079-441-01,LEVOTHYROXINE 75 MCG TABLET [4422],6.67,6.67,,,0
NDC,51079-441-20,LEVOTHYROXINE 75 MCG TABLET [4422],6.67,6.67,,,0
NDC,51079-442-01,LEVOTHYROXINE 100 MCG TABLET [4423],5.625,5.625,,,0
NDC,51079-442-20,LEVOTHYROXINE 100 MCG TABLET [4423],5.625,5.625,,,0
NDC,51079-443-01,LEVOTHYROXINE 125 MCG TABLET [4424],5.0,5.0,,,0
NDC,51079-443-20,LEVOTHYROXINE 125 MCG TABLET [4424],5.0,5.0,,,0
NDC,51079-445-01,LEVOTHYROXINE 150 MCG TABLET [4425],5.0,5.0,,,0
NDC,51079-445-20,LEVOTHYROXINE 150 MCG TABLET [4425],5.0,5.0,,,0
NDC,51079-453-01,MIDODRINE 5 MG TABLET [10610],7.5,7.5,,,0
NDC,51079-453-20,MIDODRINE 5 MG TABLET [10610],7.5,7.5,,,0
NDC,51079-458-01,PRAVASTATIN 20 MG TABLET [11111],10.0,10.0,,,0
NDC,51079-458-20,PRAVASTATIN 20 MG TABLET [11111],10.0,10.0,,,0
NDC,51079-475-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",5.0,5.0,,,0
NDC,51079-475-08,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",5.0,5.0,,,0
NDC,51079-480-01,VENLAFAXINE 37.5 MG TABLET [12207],6.67,6.67,,,0
NDC,51079-480-20,VENLAFAXINE 37.5 MG TABLET [12207],6.67,6.67,,,0
NDC,51079-508-01,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE [38062]",48.765,48.765,,,0
NDC,51079-508-20,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE [38062]",48.765,48.765,,,0
NDC,51079-524-01,ONDANSETRON HCL 4 MG TABLET [10778],10.0,10.0,,,0
NDC,51079-524-20,ONDANSETRON HCL 4 MG TABLET [10778],10.0,10.0,,,0
NDC,51079-527-20,FUROSEMIDE 80 MG TABLET [3296],5.0,5.0,,,0
NDC,51079-548-01,FEXOFENADINE 180 MG TABLET [25425],5.38,5.38,,,0
NDC,51079-548-20,FEXOFENADINE 180 MG TABLET [25425],5.38,5.38,,,0
NDC,51079-557-01,CLOPIDOGREL 75 MG TABLET [22142],5.0,5.0,,,0
NDC,51079-557-20,CLOPIDOGREL 75 MG TABLET [22142],5.0,5.0,,,0
NDC,51079-565-01,THIORIDAZINE 10 MG TABLET [7894],5.0,5.0,,,0
NDC,51079-566-01,THIORIDAZINE 25 MG TABLET [7899],10.0,10.0,,,0
NDC,51079-567-01,THIORIDAZINE 50 MG TABLET [7900],5.0,5.0,,,0
NDC,51079-572-01,TRIFLUOPERAZINE 1 MG TABLET [8161],25.0,25.0,,,0
NDC,51079-572-20,TRIFLUOPERAZINE 1 MG TABLET [8161],25.0,25.0,,,0
NDC,51079-574-01,TRIFLUOPERAZINE 5 MG TABLET [8164],5.47,5.47,,,0
NDC,51079-580-01,THIORIDAZINE 100 MG TABLET [7895],5.0,5.0,,,0
NDC,51079-588-01,THIOTHIXENE 5 MG CAPSULE [7906],5.3,5.3,,,0
NDC,51079-598-01,CLINDAMYCIN HCL 150 MG CAPSULE [1740],7.5,7.5,,,0
NDC,51079-620-01,AZATHIOPRINE 50 MG TABLET [9183],7.5,7.5,,,0
NDC,51079-620-06,AZATHIOPRINE 50 MG TABLET [9183],7.5,7.5,,,0
NDC,51079-630-01,PRAZOSIN 1 MG CAPSULE [6468],15.0,15.0,,,0
NDC,51079-630-20,PRAZOSIN 1 MG CAPSULE [6468],15.0,15.0,,,0
NDC,51079-632-01,PRAZOSIN 5 MG CAPSULE [6470],5.0,5.0,,,0
NDC,51079-632-20,PRAZOSIN 5 MG CAPSULE [6470],5.0,5.0,,,0
NDC,51079-657-01,ALBUTEROL SULFATE 2 MG TABLET [253],37.72,37.72,,,0
NDC,51079-657-20,ALBUTEROL SULFATE 2 MG TABLET [253],37.72,37.72,,,0
NDC,51079-670-01,METHOTREXATE SODIUM 2.5 MG TABLET [4973],34.01,34.01,,,0
NDC,51079-670-05,METHOTREXATE SODIUM (RHEUMATOLOGY) 2.5 MG TABLET  [500938],34.01,34.01,,,0
NDC,51079-684-01,ATENOLOL 50 MG TABLET [718],5.0,5.0,,,0
NDC,51079-684-20,ATENOLOL 50 MG TABLET [718],5.0,5.0,,,0
NDC,51079-690-01,LOPERAMIDE 2 MG CAPSULE [4560],7.5,7.5,,,0
NDC,51079-690-20,LOPERAMIDE 2 MG CAPSULE [4560],7.5,7.5,,,0
NDC,51079-721-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],20.0,20.0,,,0
NDC,51079-721-20,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],20.0,20.0,,,0
NDC,51079-728-01,TOPIRAMATE 100 MG TABLET [18922],7.5,7.5,,,0
NDC,51079-728-20,TOPIRAMATE 100 MG TABLET [18922],7.5,7.5,,,0
NDC,51079-733-01,HALOPERIDOL 0.5 MG TABLET [3578],20.0,20.0,,,0
NDC,51079-733-20,HALOPERIDOL 0.5 MG TABLET [3578],20.0,20.0,,,0
NDC,51079-734-01,HALOPERIDOL 1 MG TABLET [3579],17.5,17.5,,,0
NDC,51079-734-20,HALOPERIDOL 1 MG TABLET [3579],17.5,17.5,,,0
NDC,51079-735-01,HALOPERIDOL 2 MG TABLET [3581],12.5,12.5,,,0
NDC,51079-735-20,HALOPERIDOL 2 MG TABLET [3581],12.5,12.5,,,0
NDC,51079-753-01,SUCRALFATE 1 GRAM TABLET [11442],5.0,5.0,,,0
NDC,51079-753-20,SUCRALFATE 1 GRAM TABLET [11442],5.0,5.0,,,0
NDC,51079-759-01,ATENOLOL 25 MG TABLET [717],5.0,5.0,,,0
NDC,51079-759-20,ATENOLOL 25 MG TABLET [717],5.0,5.0,,,0
NDC,51079-766-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",21.990000000000002,21.990000000000002,,,0
NDC,51079-766-08,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",21.990000000000002,21.990000000000002,,,0
NDC,51079-767-08,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",18.25,18.25,,,0
NDC,51079-796-20,HYDROXYZINE HCL 10 MG TABLET [3772],12.5,12.5,,,0
NDC,51079-801-01,METOPROLOL TARTRATE 50 MG TABLET [5009],7.5,7.5,,,0
NDC,51079-801-20,METOPROLOL TARTRATE 50 MG TABLET [5009],7.5,7.5,,,0
NDC,51079-802-20,METOPROLOL TARTRATE 100 MG TABLET [5008],5.0,5.0,,,0
NDC,51079-812-01,NADOLOL 20 MG TABLET [5330],21.84,21.84,,,0
NDC,51079-812-20,NADOLOL 20 MG TABLET [5330],21.84,21.84,,,0
NDC,51079-821-01,LEVETIRACETAM 500 MG TABLET [26817],7.5,7.5,,,0
NDC,51079-821-20,LEVETIRACETAM 500 MG TABLET [26817],7.5,7.5,,,0
NDC,51079-871-01,SUCRALFATE 1 GRAM TABLET [11442],5.0,5.0,,,0
NDC,51079-871-20,SUCRALFATE 1 GRAM TABLET [11442],5.0,5.0,,,0
NDC,51079-901-01,LOXAPINE SUCCINATE 10 MG CAPSULE [4599],12.5,12.5,,,0
NDC,51079-901-20,LOXAPINE SUCCINATE 10 MG CAPSULE [4599],12.5,12.5,,,0
NDC,51079-902-01,LOXAPINE SUCCINATE 25 MG CAPSULE [4600],7.5,7.5,,,0
NDC,51079-902-20,LOXAPINE SUCCINATE 25 MG CAPSULE [4600],7.5,7.5,,,0
NDC,51079-921-01,CLOZAPINE 25 MG TABLET [9648],15.0,15.0,,,0
NDC,51079-921-20,CLOZAPINE 25 MG TABLET [9648],15.0,15.0,,,0
NDC,51079-922-01,CLOZAPINE 100 MG TABLET [9647],7.5,7.5,,,0
NDC,51079-922-20,CLOZAPINE 100 MG TABLET [9647],7.5,7.5,,,0
NDC,51079-923-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [26371]",7.5,7.5,,,0
NDC,51079-923-20,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [26371]",7.5,7.5,,,0
NDC,51079-935-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],7.5,7.5,,,0
NDC,51079-937-01,TERAZOSIN 2 MG CAPSULE [14551],12.5,12.5,,,0
NDC,51079-937-20,TERAZOSIN 2 MG CAPSULE [14551],12.5,12.5,,,0
NDC,51079-938-01,TERAZOSIN 5 MG CAPSULE [14553],7.5,7.5,,,0
NDC,51079-938-20,TERAZOSIN 5 MG CAPSULE [14553],7.5,7.5,,,0
NDC,51079-981-01,LISINOPRIL 5 MG TABLET [10451],15.0,15.0,,,0
NDC,51079-981-20,LISINOPRIL 5 MG TABLET [10451],15.0,15.0,,,0
NDC,51079-985-01,BUSPIRONE 5 MG TABLET [9324],8.75,8.75,,,0
NDC,51079-985-20,BUSPIRONE 5 MG TABLET [9324],8.75,8.75,,,0
NDC,51079-991-20,TRAMADOL 50 MG TABLET [14632],7.5,7.5,,,0
NDC,51144-003-01,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION [201618],98279.5,98279.5,,,0
NDC,51144-020-01,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [195549],44046.25,44046.25,,,0
NDC,51144-030-01,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION [195550],44046.25,44046.25,,,0
NDC,51144-050-01,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348],48024.705,48024.705,,,0
NDC,51224-012-20,PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],1478.6,1478.6,,,0
NDC,51224-162-99,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET [9020]",5.0,5.0,,,0
NDC,51224-222-30,AZITHROMYCIN 600 MG TABLET [17387],7.5,7.5,,,0
NDC,51285-204-01,COPPER 380 SQUARE MM INTRAUTERINE DEVICE [164318],3695.0,3695.0,,,0
NDC,51285-368-01,METHOTREXATE SODIUM 10 MG TABLET [30212],84.43,84.43,,,0
NDC,51293-627-01,PHENOBARBITAL 64.8 MG TABLET [6219],6.25,6.25,,,0
NDC,51293-804-01,SALSALATE 750 MG TABLET [7035],5.835,5.835,,,0
NDC,51525-0430-1,FELBAMATE 400 MG TABLET [10024],26.04,26.04,,,0
NDC,51525-0431-1,FELBAMATE 600 MG TABLET [10025],19.89,19.89,,,0
NDC,51552-0119-4,SIMETHICONE (BULK) LIQUID [13289],65.5,65.5,,,0
NDC,51552-0843-4,D-XYLOSE (BULK) POWDER [2064],82.38,82.38,,,0
NDC,51552-178-06,CAFFEINE CITRATE (BULK) POWDER [1261],197.49,197.49,,,0
NDC,5155200516,ACETIC ACID (BULK) 3 % LIQUID [15091],72.5,72.5,,,0
NDC,5164582808,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],7.5,7.5,,,0
NDC,51672-1259-2,CLOBETASOL 0.05 % TOPICAL OINTMENT [9631],522.9,522.9,,,0
NDC,51672-1275-1,CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],56.33,56.33,,,0
NDC,51672-1298-1,KETOCONAZOLE 2 % TOPICAL CREAM [10368],81.98,81.98,,,0
NDC,51672-1303-1,ECONAZOLE NITRATE 1 % TOPICAL CREAM [9915],341.93,341.93,,,0
NDC,51672-1310-3,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL CREAM [9175]",80.25,80.25,,,0
NDC,51672-1387-3,DAPSONE 5 % TOPICAL GEL [92818],1122.9,1122.9,,,0
NDC,51672-2001-1,MICONAZOLE NITRATE 2 % TOPICAL CREAM [5039],16.58,16.58,,,0
NDC,51672-2002-1,CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],26.78,26.78,,,0
NDC,51672-2003-6,CLOTRIMAZOLE 1 % VAGINAL CREAM [1769],10.13,10.13,,,0
NDC,51672-2020-1,TOLNAFTATE 1 % TOPICAL CREAM [8020],16.05,16.05,,,0
NDC,51672-2037-1,CLOTRIMAZOLE 1 % TOPICAL SOLUTION [1768],33.95,33.95,,,0
NDC,51672-2075-1,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [13818],16.69,16.69,,,0
NDC,51672-2114-0,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY [8946],15.0,15.0,,,0
NDC,51672-2114-2,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY [8946],15.0,15.0,,,0
NDC,51672-2115-2,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],10.0,10.0,,,0
NDC,51672-2116-0,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY [104],5.0,5.0,,,0
NDC,51672-2116-2,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY [104],5.0,5.0,,,0
NDC,51672-2131-8,LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],36.6,36.6,,,0
NDC,51672-3003-2,HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],11.77,11.77,,,0
NDC,51672-4026-1,KETOCONAZOLE 200 MG TABLET [10369],7.35,7.35,,,0
NDC,51672-4026-6,KETOCONAZOLE 200 MG TABLET [10369],7.16,7.16,,,0
NDC,51672-4037-1,ENALAPRIL MALEATE 2.5 MG TABLET [9925],15.0,15.0,,,0
NDC,51672-4038-1,ENALAPRIL MALEATE 5 MG TABLET [9927],10.0,10.0,,,0
NDC,51672-4047-4,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION WRAPPER [40817131],225.0,225.0,,,0
NDC,51672-4047-9,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION WRAPPER [40817131],270.0,270.0,,,0
NDC,51672-4111-1,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],10.0,10.0,,,0
NDC,51754-0502-1,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [109034],30.71,30.71,,,0
NDC,51754-1210-1,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION [164134],6.98,6.98,,,0
NDC,51754-4250-1,EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE [203067],21.91,21.91,,,0
NDC,51754-4250-3,EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE [203067],211.91,211.91,,,0
NDC,51759-208-13,ECULIZUMAB-AAGH 300 MG/30 ML INTRAVENOUS SOLUTION [214585],22830.0,22830.0,,,0
NDC,51759-305-10,RISPERIDONE ER 50 MG/0.14 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207414],5548.35,5548.35,,,0
NDC,51759-410-10,RISPERIDONE ER 75 MG/0.21 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207415],8322.84,8322.84,,,0
NDC,51759-520-10,RISPERIDONE ER 100 MG/0.28 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207416],0.1,0.1,,,0
NDC,51759-630-10,RISPERIDONE ER 125 MG/0.35 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207413],0.1,0.1,,,0
NDC,51759-740-10,RISPERIDONE ER 150 MG/0.42 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207417],16645.76,16645.76,,,0
NDC,51759-850-10,RISPERIDONE ER 200 MG/0.56 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207418],0.1,0.1,,,0
NDC,51759-960-10,RISPERIDONE ER 250 MG/0.7 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE [207419],0.1,0.1,,,0
NDC,51803-002-01,POTASSIUM IODIDE 65 MG TABLET [36461],7.5,7.5,,,0
NDC,51862-486-01,TRIMETHOPRIM 100 MG TABLET [8182],8.68,8.68,,,0
NDC,51862-564-01,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET [10752],5.0,5.0,,,0
NDC,51862-564-06,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET [10752],5.0,5.0,,,0
NDC,51862-855-01,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],7.5,7.5,,,0
NDC,5192715830,BRILLIANT GREEN (BULK) CRYSTALS [40647],40.0,40.0,,,0
NDC,51991-002-98,METHADONE 10 MG/ML INJECTION SOLUTION [10546],1004.6,1004.6,,,0
NDC,51991-006-33,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [177414]",5.0,5.0,,,0
NDC,51991-144-17,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],59.14,59.14,,,0
NDC,51991-144-99,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],59.14,59.14,,,0
NDC,51991-735-20,GRANISETRON HCL 1 MG TABLET [14720],25.994999999999997,25.994999999999997,,,0
NDC,51991-797-98,AZACITIDINE 100 MG SOLUTION FOR IV  [600119],1944.23,1944.23,,,0
NDC,51991-878-90,EPLERENONE 50 MG TABLET [36984],5.0,5.0,,,0
NDC,51991-899-99,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH [117356],5.9,5.9,,,0
NDC,51991-906-01,TETRACYCLINE 250 MG CAPSULE [7796],7.4,7.4,,,0
NDC,5199170390,IRON ASPGL AND PS CMPLX 150 MG-VIT C 50 MG-SUCCINIC ACID 50 MG CAPSULE [126436],5.0,5.0,,,0
NDC,52015-080-01,FIDAXOMICIN 200 MG TABLET [110360],565.33,565.33,,,0
NDC,52380-0126-2,POVIDONE-IODINE 10 % TOPICAL OINTMENT [6455],5.0,5.0,,,0
NDC,525113990,LEVOMEFOLATE 7.5 MG-ALGAL OIL 90.314 MG CAPSULE [163480],22.87,22.87,,,0
NDC,52536-600-11,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION [202840],7.5,7.5,,,0
NDC,52544-011-60,"MORPHINE ER 10 MG CAPSULE,EXTENDED RELEASE PELLETS [87824]",64.67,64.67,,,0
NDC,52544-920-54,OXYBUTYNIN 3.9 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [35495],224.39,224.39,,,0
NDC,52544-931-02,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [186005],113.14,113.14,,,0
NDC,52544-931-07,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [186005],113.14,113.14,,,0
NDC,52565-013-60,FLUOCINOLONE 0.025 % TOPICAL OINTMENT [3185],390.0,390.0,,,0
NDC,52565-020-15,FLUOCINOLONE 0.025 % TOPICAL CREAM [3184],134.55,134.55,,,0
NDC,52565-022-15,ECONAZOLE NITRATE 1 % TOPICAL CREAM [9915],418.88,418.88,,,0
NDC,52652-2001-1,METHOTREXATE 2.5 MG/ML ORAL SOLUTION [187103],8871.0,8871.0,,,0
NDC,52652-2001-6,METHOTREXATE 2.5 MG/ML ORAL SOLUTION [187103],5424.6,5424.6,,,0
NDC,52652-6001-1,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION [202840],25.53,25.53,,,0
NDC,52652-6001-2,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION [202840],25.53,25.53,,,0
NDC,52652-8001-1,ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION [204981],58.33,58.33,,,0
NDC,52817-811-54,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],45.4,45.4,,,0
NDC,52959-040-50,MINERAL OIL-HYDROPHIL PETROLAT TOPICAL OINTMENT [27996],5.75,5.75,,,0
NDC,52959-917-10,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE [29745]",7.5,7.5,,,0
NDC,53270-0052-1,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOLUTION [88654],2685.36,2685.36,,,0
NDC,53276-1010-01,MICROFIBRILLAR COLLAGEN HEMOSTAT TOPICAL POWDER IN PACKET [130378],873.33,873.33,,,0
NDC,53276-1010-08,MICROFIBRILLAR COLLAGEN HEMOSTAT 35 MM X 35 MM SHEETS [128441],476.67,476.67,,,0
NDC,53276-1010-09,MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 35 MM SHEETS [10605],876.67,876.67,,,0
NDC,53276-1010-11,MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 70 MM SHEETS [128440],1120.0,1120.0,,,0
NDC,53276-1010-15,MICROFIBRILLAR COLLAGEN HEMOSTAT 10 MM SHEETS [8937],511.88,511.88,,,0
NDC,53276-1050-02,MICROFIBRILLAR COLLAGEN HEMOSTAT 2 CM X 6.25 CM X 7 MM SPONGE [33185],60.42,60.42,,,0
NDC,53276-1050-03,MICROFIBRILLAR COLLAGEN HEMOSTAT 8 CM X 6.25 CM X 1 CM SPONGE [33186],396.0,396.0,,,0
NDC,53276-1050-04,MICROFIBRILLAR COLLAGEN HEMOSTAT 8 CM X 12.5 CM X 1 CM SPONGE [33187],290.84,290.84,,,0
NDC,53489-141-01,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE [12197]",51.400000000000006,51.400000000000006,,,0
NDC,53489-387-01,MINOXIDIL 10 MG TABLET [5114],5.0,5.0,,,0
NDC,536135807,COENZYME Q10 30 MG CAPSULE [13257],10.0,10.0,,,0
NDC,536143407,COENZYME Q10 100 MG CAPSULE [24678],5.0,5.0,,,0
NDC,536143607,COENZYME Q10 30 MG CAPSULE [13257],10.0,10.0,,,0
NDC,536193807,COENZYME Q10 100 MG CAPSULE [24678],5.0,5.0,,,0
NDC,536355101,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET [2012],7.5,7.5,,,0
NDC,536440601,PYRIDOXINE (VITAMIN B6) 25 MG TABLET [6746],10.0,10.0,,,0
NDC,536490201,"BETA CAROTENE 7,500 MCG (25,000 UNIT) CAPSULE [1006]",5.0,5.0,,,0
NDC,536840080,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],17.5,17.5,,,0
NDC,53746-188-01,NAPROXEN 250 MG TABLET [5391],7.5,7.5,,,0
NDC,53746-189-01,NAPROXEN 375 MG TABLET [5392],5.835,5.835,,,0
NDC,54092-189-81,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE [10533]",28.47,28.47,,,0
NDC,54092-383-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [31587]",60.02,60.02,,,0
NDC,54092-513-02,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR [99835]",113.25,113.25,,,0
NDC,54092-515-02,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR [99836]",58.465,58.465,,,0
NDC,54092-546-01,PRUCALOPRIDE 1 MG TABLET [192795],107.25,107.25,,,0
NDC,54092-547-01,PRUCALOPRIDE 2 MG TABLET [192798],54.0,54.0,,,0
NDC,54092-700-01,IDURSULFASE 6 MG/3 ML INTRAVENOUS SOLUTION [76878],14358.2,14358.2,,,0
NDC,54092-701-04,VELAGLUCERASE ALFA 400 UNIT INTRAVENOUS SOLUTION [103915],43117.315,43117.315,,,0
NDC,54123-914-30,BUPRENORPHINE 1.4 MG-NALOXONE 0.36 MG SUBLINGUAL TABLET [164300],68.93,68.93,,,0
NDC,54123-957-30,BUPRENORPHINE 5.7 MG-NALOXONE 1.4 MG SUBLINGUAL TABLET [164304],33.89,33.89,,,0
NDC,54162-017-09,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET [123642],5.0,5.0,,,0
NDC,54162-017-15,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [13818],7.58,7.58,,,0
NDC,54288-103-01,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION [126554],46.875,46.875,,,0
NDC,54288-105-02,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [192590],766.62,766.62,,,0
NDC,54288-105-15,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [192590],759.5,759.5,,,0
NDC,54288-119-01,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],62.65,62.65,,,0
NDC,54288-142-01,PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],150.5,150.5,,,0
NDC,54288-142-10,PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],150.5,150.5,,,0
NDC,54288-152-01,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [123851],7.22,7.22,,,0
NDC,54311763,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION [1299]",40.0,40.0,,,0
NDC,54396-801-01,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION [107664],70000.0,70000.0,,,0
NDC,54505-328-09,"DEXTROAMPHETAMINE SULFATE ER 10 MG CAPSULE,EXTENDED RELEASE [32416]",17.54,17.54,,,0
NDC,54569-6352-0,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET [117293],394.35,394.35,,,0
NDC,54643-5649-1,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION [130235]",181.75,181.75,,,0
NDC,54799-431-05,HOMATROPINE 5 % EYE DROPS [3664],163.25,163.25,,,0
NDC,54799-507-21,FLUORESCEIN 0.25 %-PROPARACAINE 0.5 % EYE DROPS [10062],62.1,62.1,,,0
NDC,54799-508-05,FLUORESCEIN 0.25 %-BENOXINATE 0.4 % EYE DROPS [10061],172.4,172.4,,,0
NDC,54838-0006-01,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],5.0,5.0,,,0
NDC,54838-0502-05,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],5.0,5.0,,,0
NDC,54838-501-40,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],24.0,24.0,,,0
NDC,54838-506-15,HYOSCYAMINE 0.125 MG/ML ORAL DROPS [3782],93.83,93.83,,,0
NDC,54838-510-80,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP [10810],66.22,66.22,,,0
NDC,5483800650,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],5.0,5.0,,,0
NDC,5483801150,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],6.375,6.375,,,0
NDC,5485951608,VITAMIN B COMPLEX AND C NO.10-FOLIC ACID 900 MCG/5 ML ORAL LIQUID [32716],5.0,5.0,,,0
NDC,54868-0276-0,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],385.5,385.5,,,0
NDC,54868-4865-0,CONJUGATED ESTROGENS 0.45 MG TABLET [36198],17.5,17.5,,,0
NDC,54879-021-01,CYCLOPHOSPHAMIDE 25 MG CAPSULE [169785],44.4,44.4,,,0
NDC,54879-022-01,CYCLOPHOSPHAMIDE 50 MG CAPSULE [169786],49.52,49.52,,,0
NDC,55111-126-01,CIPROFLOXACIN 250 MG TABLET [25118],10.0,10.0,,,0
NDC,55111-143-30,FLUCONAZOLE 50 MG TABLET [10046],15.0,15.0,,,0
NDC,55111-262-79,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],28.54,28.54,,,0
NDC,55111-262-81,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],28.54,28.54,,,0
NDC,55111-265-81,OLANZAPINE 20 MG DISINTEGRATING TABLET [28162],20.275,20.275,,,0
NDC,55111-284-48,"FLUOXETINE 90 MG CAPSULE,DELAYED RELEASE [29800]",152.58,152.58,,,0
NDC,55111-428-30,"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [109452]",31.19,31.19,,,0
NDC,55111-519-30,ATOMOXETINE 10 MG CAPSULE [34444],19.32,19.32,,,0
NDC,55111-520-30,ATOMOXETINE 18 MG CAPSULE [34445],10.07,10.07,,,0
NDC,55111-526-01,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",32.975,32.975,,,0
NDC,55111-640-01,MEPROBAMATE 200 MG TABLET [4916],39.72,39.72,,,0
NDC,55111-678-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],210.5,210.5,,,0
NDC,55111-679-10,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [108027],495.36,495.36,,,0
NDC,55111-680-10,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [108028],495.36,495.36,,,0
NDC,55111-681-02,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [108029],523.06,523.06,,,0
NDC,55111-685-07,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],467.0,467.0,,,0
NDC,55111-688-52,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],1589.0,1589.0,,,0
NDC,55111-694-07,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],654.95,654.95,,,0
NDC,55111-719-30,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [97966]",54.02,54.02,,,0
NDC,55111-789-27,SEVELAMER CARBONATE 800 MG TABLET [89201],12.96,12.96,,,0
NDC,55135-132-01,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION FOR LS-P-TIDE [70014663],18671.579999999998,18671.579999999998,,,0
NDC,55150-113-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],8.68,8.68,,,0
NDC,55150-116-20,AMPICILLIN-SULBACTAM 1.5 GRAM INJECTION (MG OF AMPICILLIN) [359083],6.32,6.32,,,0
NDC,55150-119-30,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],24.54,24.54,,,0
NDC,55150-120-30,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],22.39,22.39,,,0
NDC,55150-121-50,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],22.04,22.04,,,0
NDC,55150-122-15,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION [5333],36.28,36.28,,,0
NDC,55150-155-20,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],15.940000000000001,15.940000000000001,,,0
NDC,55150-162-05,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],7.45,7.45,,,0
NDC,55150-165-05,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],28.875,28.875,,,0
NDC,55150-166-13,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/12.5 ML INTRAVENOUS SOLUTION [100417],425.565,425.565,,,0
NDC,55150-167-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],9.3,9.3,,,0
NDC,55150-168-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],5.95,5.95,,,0
NDC,55150-169-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],9.45,9.45,,,0
NDC,55150-170-30,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],5.875,5.875,,,0
NDC,55150-171-10,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],7.9399999999999995,7.9399999999999995,,,0
NDC,55150-172-30,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],5.4,5.4,,,0
NDC,55150-173-01,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],57.06,57.06,,,0
NDC,55150-183-01,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],100.0,100.0,,,0
NDC,55150-223-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],89.815,89.815,,,0
NDC,55150-234-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",18.15,18.15,,,0
NDC,55150-235-01,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],16.9,16.9,,,0
NDC,55150-235-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],5.0,5.0,,,0
NDC,55150-240-05,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [10358],285.64,285.64,,,0
NDC,55150-241-01,ARGATROBAN 1 MG/ML IN SODIUM CHLORIDE IV INFUSION [351045],780.0,780.0,,,0
NDC,55150-249-50,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [119318],5.05,5.05,,,0
NDC,55150-250-50,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],5.0,5.0,,,0
NDC,55150-259-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],971.94,971.94,,,0
NDC,55150-267-05,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],46.65,46.65,,,0
NDC,55150-282-20,ERTAPENEM (INVANZ)1 G VIAL FOR IM USE ONLY [40818022],295.315,295.315,,,0
NDC,55150-296-01,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],100.0,100.0,,,0
NDC,55150-297-01,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],250.0,250.0,,,0
NDC,55150-299-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],69.05,69.05,,,0
NDC,55150-307-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",183.5,183.5,,,0
NDC,55150-319-01,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],153.9,153.9,,,0
NDC,55150-370-01,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [176740],54.0,54.0,,,0
NDC,55150-373-01,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [183175],7.025,7.025,,,0
NDC,55150-373-25,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [183175],9.6,9.6,,,0
NDC,55150-386-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],262.11,262.11,,,0
NDC,55150-431-01,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],5879.07,5879.07,,,0
NDC,55150-432-01,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION [15156],3661.38,3661.38,,,0
NDC,55150-434-01,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION [15156],3295.24,3295.24,,,0
NDC,55150-435-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],547.23,547.23,,,0
NDC,55150-437-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],547.23,547.23,,,0
NDC,55150-438-01,KETAMINE 10 MG/ML INJECTION SOLUTION [4236],67.8,67.8,,,0
NDC,55150-438-10,KETAMINE 10 MG/ML INJECTION SOLUTION [4236],67.4,67.4,,,0
NDC,55150-439-01,KETAMINE 50 MG/ML INJECTION SOLUTION [4238],15.4,15.4,,,0
NDC,55150-439-10,KETAMINE 50 MG/ML INJECTION SOLUTION [4238],12.0,12.0,,,0
NDC,55150-478-01,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT [14135],138.73,138.73,,,0
NDC,55253-801-30,MODAFINIL 100 MG TABLET [24702],53.235,53.235,,,0
NDC,55292-201-11,SUCCIMER 100 MG CAPSULE [11438],401.19,401.19,,,0
NDC,55292-702-55,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION [187425],36157.75,36157.75,,,0
NDC,55390-030-10,THIOTEPA 15 MG SOLUTION FOR INJECTION [7901],9348.37,9348.37,,,0
NDC,55390-138-02,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [162581],50.6,50.6,,,0
NDC,55390-226-04,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",20.28,20.28,,,0
NDC,55390-233-01,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],428.27,428.27,,,0
NDC,55390-244-01,PENTOSTATIN 10 MG INTRAVENOUS SOLUTION [10910],3089.84,3089.84,,,0
NDC,55390-308-03,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION [20803],4359.895,4359.895,,,0
NDC,55390-370-10,TOPOTECAN 4 MG INTRAVENOUS SOLUTION (POWDER VIAL) [17285],452.55,452.55,,,0
NDC,55513-021-01,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [108042],1189.72,1189.72,,,0
NDC,55513-021-04,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [108042],708.99,708.99,,,0
NDC,55513-023-01,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [108043],1784.36,1784.36,,,0
NDC,55513-023-04,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [108043],1063.22,1063.22,,,0
NDC,55513-025-01,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [108044],2974.07,2974.07,,,0
NDC,55513-025-04,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [108044],1772.19,1772.19,,,0
NDC,55513-028-01,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [108047],3544.4,3544.4,,,0
NDC,55513-032-01,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE [76334],4430.475,4430.475,,,0
NDC,55513-057-01,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE [108041],743.52,743.52,,,0
NDC,55513-057-04,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE [108041],443.04,443.04,,,0
NDC,55513-059-01,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION [210905],7500.0,7500.0,,,0
NDC,55513-068-01,IV SOLUTION STABILIZER FOR TARLATAMAB-DLLE INTRAVENOUS SOLUTION [40814842],7.145,7.145,,,0
NDC,55513-069-01,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION [210904],75000.0,75000.0,,,0
NDC,55513-077-01,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION [210904],75000.0,75000.0,,,0
NDC,55513-078-01,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION [180053],220.0,220.0,,,0
NDC,55513-079-01,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION [180054],22000.0,22000.0,,,0
NDC,55513-098-01,DARBEPOETIN ALFA 10 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [176609],327.92,327.92,,,0
NDC,55513-103-01,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION [210905],7500.0,7500.0,,,0
NDC,55513-111-01,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE [108048],5316.55,5316.55,,,0
NDC,55513-112-01,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE [202540],18165.0,18165.0,,,0
NDC,55513-132-01,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [194048],11273.935000000001,11273.935000000001,,,0
NDC,55513-141-01,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION [194957],6431.1,6431.1,,,0
NDC,55513-144-01,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION [9938]",691.07,691.07,,,0
NDC,55513-144-10,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION [9938]",691.07,691.07,,,0
NDC,55513-148-01,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION [9941]",691.07,691.07,,,0
NDC,55513-148-10,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION [9941]",691.07,691.07,,,0
NDC,55513-150-01,BLINATUMOMAB 35 MCG INTRAVENOUS SOLUTION [187376],18537.15,18537.15,,,0
NDC,55513-160-01,BLINATUMOMAB 35 MCG INTRAVENOUS KIT [176848],16671.5,16671.5,,,0
NDC,55513-164-01,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [194048],17303.25,17303.25,,,0
NDC,55513-190-01,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [32267],19038.06,19038.06,,,0
NDC,55513-192-01,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR [177030],24018.7,24018.7,,,0
NDC,55513-206-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [194013],3134.2,3134.2,,,0
NDC,55513-207-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [194013],12536.8,12536.8,,,0
NDC,55513-209-01,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE [108076],2537.0299999999997,2537.0299999999997,,,0
NDC,55513-221-01,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION [93566],2475.0,2475.0,,,0
NDC,55513-223-01,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION [195285],5503.35,5503.35,,,0
NDC,55513-223-21,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION [195285],5778.54,5778.54,,,0
NDC,55513-224-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION [198874],23086.16,23086.16,,,0
NDC,55513-267-01,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION [9940]",691.08,691.08,,,0
NDC,55513-267-10,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION [9940]",691.08,691.08,,,0
NDC,55513-326-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION [198874],23085.83,23085.83,,,0
NDC,55513-478-01,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION [14643]",691.08,691.08,,,0
NDC,55513-478-10,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION [14643]",691.08,691.08,,,0
NDC,55513-530-01,FILGRASTIM 300 MCG/ML INJECTION SOLUTION [10036],1378.72,1378.72,,,0
NDC,55513-670-01,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION [196816],7786.38,7786.38,,,0
NDC,55513-710-01,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [105502],4623.75,4623.75,,,0
NDC,55513-710-21,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [105502],9048.05,9048.05,,,0
NDC,55513-730-01,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [106804],8819.45,8819.45,,,0
NDC,55513-730-21,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [106804],16643.4,16643.4,,,0
NDC,55513-740-01,ETELCALCETIDE 5 MG/ML INTRAVENOUS SOLUTION [188718],765.27,765.27,,,0
NDC,55513-741-01,ETELCALCETIDE 5 MG/ML INTRAVENOUS SOLUTION [188718],765.27,765.27,,,0
NDC,55513-880-01,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE [193365],5581.23,5581.23,,,0
NDC,55513-880-02,ROMOSOZUMAB-AQQG (EVENITY)  210 MG/2.34 ML (105 MG/1.17 ML X 2) SUBCUTANEOUS SYRINGE [193360],9125.01,9125.01,,,0
NDC,55513-924-01,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE [108075],1541.31,1541.31,,,0
NDC,55513-954-01,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [108055],19115.16,19115.16,,,0
NDC,55513-998-02,ROMOSOZUMAB-AQQG (EVENITY)  210 MG/2.34 ML (105 MG/1.17 ML X 2) SUBCUTANEOUS SYRINGE [193360],12518.7,12518.7,,,0
NDC,55566-1501-1,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION [1676]",425.22,425.22,,,0
NDC,55566-1501-3,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION [1676]",425.22,425.22,,,0
NDC,55566-8303-1,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION [96986],2166.55,2166.55,,,0
NDC,55566-8402-2,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [96987],4875.415,4875.415,,,0
NDC,55566-8403-1,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [96987],4875.415,4875.415,,,0
NDC,5556641001,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE [185039],1484.38,1484.38,,,0
NDC,56151-1612-11,GLUCOSE 4 GRAM CHEWABLE TABLET [16050],12.5,12.5,,,0
NDC,56151-1625-01,DEXTROSE 15 GRAM/32 ML ORAL GEL PACKET [189512],27.2,27.2,,,0
NDC,57237-011-06,MIRTAZAPINE 15 MG DISINTEGRATING TABLET [29531],17.01,17.01,,,0
NDC,57237-018-90,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",5.0,5.0,,,0
NDC,57237-019-30,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",5.0,5.0,,,0
NDC,57237-023-01,GLYBURIDE 1.25 MG-METFORMIN 250 MG TABLET [28723],7.5,7.5,,,0
NDC,57237-042-90,VALACYCLOVIR 500 MG TABLET [13133],7.5,7.5,,,0
NDC,57237-047-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",7.5,7.5,,,0
NDC,57237-048-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",5.0,5.0,,,0
NDC,57237-087-34,RIZATRIPTAN 5 MG TABLET [23376],7.5,7.5,,,0
NDC,57237-087-63,RIZATRIPTAN 5 MG TABLET [23376],7.5,7.5,,,0
NDC,57237-233-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],7.5,7.5,,,0
NDC,57237-239-01,ZALEPLON 5 MG CAPSULE [25997],10.0,10.0,,,0
NDC,57237-274-24,LAMIVUDINE 10 MG/ML ORAL SOLUTION [15881],228.0,228.0,,,0
NDC,57237-325-21,GLYCERIN (ADULT) RECTAL SUPPOSITORY [41003],5.0,5.0,,,0
NDC,57237-326-52,GLYCERIN (CHILD) RECTAL SUPPOSITORY [76974],5.0,5.0,,,0
NDC,574030216,COMPOUNDING VEHICLE SUGAR-FREE NO.9 ORAL LIQUID [128465],5.0,5.0,,,0
NDC,574050811,FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET [3066],5.0,5.0,,,0
NDC,574195906,GLUCOSE (TOLERANCE TEST) 100 GRAM/180 ML ORAL LIQUID [27650],37.4,37.4,,,0
NDC,57664-228-88,METHYLPHENIDATE 5 MG TABLET [4988],12.5,12.5,,,0
NDC,57664-229-88,METHYLPHENIDATE 10 MG TABLET [4986],7.5,7.5,,,0
NDC,57664-344-24,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],33.2,33.2,,,0
NDC,57664-376-88,DEXMETHYLPHENIDATE 2.5 MG TABLET [31845],10.0,10.0,,,0
NDC,57664-377-08,TRAMADOL 50 MG TABLET [14632],7.5,7.5,,,0
NDC,57664-784-86,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET [35626],15.0,15.0,,,0
NDC,57664-786-86,CLONAZEPAM 1 MG DISINTEGRATING TABLET [35628],7.5,7.5,,,0
NDC,57664-808-88,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],10.0,10.0,,,0
NDC,57782-397-26,CROMOLYN 5.2 MG/SPRAY (4 %) NASAL SPRAY [24325],32.76,32.76,,,0
NDC,57844-105-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [120778],59.25,59.25,,,0
NDC,57844-110-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET [119387],29.665,29.665,,,0
NDC,57894-030-01,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [23796],24414.99,24414.99,,,0
NDC,57894-054-27,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION [184622],12000.0,12000.0,,,0
NDC,57894-060-03,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE [128798],55326.975000000006,55326.975000000006,,,0
NDC,57894-061-03,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE [108054],55326.825000000004,55326.825000000004,,,0
NDC,57894-160-01,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [23796],9199.2,9199.2,,,0
NDC,57894-350-01,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION [164378],14225.075,14225.075,,,0
NDC,57894-449-01,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION [205423],3547.08,3547.08,,,0
NDC,57894-450-01,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION [205422],29559.0,29559.0,,,0
NDC,57894-469-01,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION [208515],3027.7149999999997,3027.7149999999997,,,0
NDC,57894-470-01,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION [208514],51903.600000000006,51903.600000000006,,,0
NDC,57894-501-00,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [200550],37330.39,37330.39,,,0
NDC,57894-501-01,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [200550],37330.39,37330.39,,,0
NDC,57894-502-05,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [180792],13149.0,13149.0,,,0
NDC,57894-502-20,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [180792],9000.0,9000.0,,,0
NDC,57894-503-01,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [196850]",37680.68,37680.68,,,0
NDC,57894-505-05,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [180792],3858.75,3858.75,,,0
NDC,57894-505-20,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [180792],13313.1,13313.1,,,0
NDC,57894-650-01,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [212063],69329.3,69329.3,,,0
NDC,57894-650-02,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [212063],69329.3,69329.3,,,0
NDC,57896-0160-10,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],7.58,7.58,,,0
NDC,57896-0160-65,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],30.315,30.315,,,0
NDC,57896-0160-75,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],10.11,10.11,,,0
NDC,57896-160-16,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],5.0,5.0,,,0
NDC,57896-181-05,ARTIFICIAL TEARS EYEDROPS WRAPPER ERX [191345],7.73,7.73,,,0
NDC,57896-381-25,LOPERAMIDE 2 MG TABLET [4562],7.5,7.5,,,0
NDC,57896-434-01,SENNOSIDES 8.6 MG TABLET [11349],10.0,10.0,,,0
NDC,57896-443-12,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],5.0,5.0,,,0
NDC,57896-921-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE [685]",7.5,7.5,,,0
NDC,57902-249-01,"ASPARAGINASE (ERWINIA CHRYSANTHEMI) 10,000 UNIT SOLUTION FOR INJECTION [112967]",72919.93,72919.93,,,0
NDC,57902-249-05,"ASPARAGINASE (ERWINIA CHRYSANTHEMI) 10,000 UNIT SOLUTION FOR INJECTION [112967]",45212.565,45212.565,,,0
NDC,57962-140-09,IBRUTINIB 140 MG CAPSULE [165005],5.0,5.0,,,0
NDC,57962-140-12,IBRUTINIB 140 MG CAPSULE [165005],5.0,5.0,,,0
NDC,57970-100-01,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [170374],14900.0,14900.0,,,0
NDC,58060-002-02,PRUSSIAN BLUE 0.5 GRAM CAPSULE [126803],10.0,10.0,,,0
NDC,58151-118-01,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE [11019],34.63,34.63,,,0
NDC,58160-740-02,"ROTAVIRUS VACCINE, LIVE, 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP [206519]",0.5,0.5,,,0
NDC,58160-740-21,"ROTAVIRUS VACCINE, LIVE, 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP [206519]",0.5,0.5,,,0
NDC,58160-810-01,"DIPH,PERTUS(ACEL),TET PEDI (PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SUSP [119782]",0.5,0.5,,,0
NDC,58160-810-43,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [19451]",0.5,0.5,,,0
NDC,58160-811-52,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [34550],0.5,0.5,,,0
NDC,58160-812-43,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE [92788]",0.5,0.5,,,0
NDC,58160-819-12,VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSPENSION [191997],299.0,299.0,,,0
NDC,58160-820-43,HEPATITIS B VIRUS VACCINE RECOMB (PF) RI-DOH 10 MCG/0.5 ML IM SYRINGE [500810],72.51,72.51,,,0
NDC,58160-820-52,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [126804],144.52,144.52,,,0
NDC,58160-821-01,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP [126808],230.61,230.61,,,0
NDC,58160-821-11,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP [126808],230.61,230.61,,,0
NDC,58160-823-11,VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSPENSION [191997],299.0,299.0,,,0
NDC,58160-825-52,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE [91033],0.5,0.5,,,0
NDC,58160-826-52,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [126862]",303.89,303.89,,,0
NDC,58160-829-01,VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSPENSION [191997],5.0,5.0,,,0
NDC,58160-829-03,VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSPENSION [191997],5.0,5.0,,,0
NDC,58160-842-01,"DIPHTH,PERTUSSIS(ACELL),TETANUS (RI-DOH) 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [500882]",87.485,87.485,,,0
NDC,58160-842-43,"DIPHTH,PERTUSSIS(ACEL),TETANUS (RI-DOH) 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [500343]",90.01,90.01,,,0
NDC,58160-912-41,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [216251],0.5,0.5,,,0
NDC,58160-955-09,"MENINGOC VAC A,C,Y,W (MENVEO) 10 MCG-5 MCG/0.5 ML WRAPPER [40818150]",528.51,528.51,,,0
NDC,58160-958-01,"MENINGOC VAC A,C,Y,W (MENVEO) 10 MCG-5 MCG/0.5 ML WRAPPER [40818150]",507.75,507.75,,,0
NDC,58160-976-02,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [176630]",0.5,0.5,,,0
NDC,58160-976-20,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [176630]",0.5,0.5,,,0
NDC,58181-3030-5,LOMUSTINE 10 MG CAPSULE [10459],330.0,330.0,,,0
NDC,58181-3031-5,LOMUSTINE 40 MG CAPSULE [10461],213.79,213.79,,,0
NDC,58181-3040-5,LOMUSTINE 10 MG CAPSULE [10459],1237.0,1237.0,,,0
NDC,58181-3041-5,LOMUSTINE 40 MG CAPSULE [10461],1236.39,1236.39,,,0
NDC,58181-3042-5,LOMUSTINE 100 MG CAPSULE [10460],1365.93,1365.93,,,0
NDC,5820400400,"PEDIATRIC MULTIVITAMIN NO.61-VIT D3 1,500 UNIT-VIT K 800 MCG CAPSULE [165167]",5.0,5.0,,,0
NDC,58394-012-01,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN 250 (+/-) UNIT IV SOLN [93025]",333.3,333.3,,,0
NDC,58394-013-01,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN 500 (+/-) UNIT IV SOLN [93026]",2777.5,2777.5,,,0
NDC,58394-014-01,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN 1,000 (+/-) UNIT IV SOLN [93027]",1333.2,1333.2,,,0
NDC,58394-015-01,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN 2,000 (+/-) UNIT IV SOLN [93028]",2666.4,2666.4,,,0
NDC,58394-016-03,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN 3,000 (+/-) UNIT IV SYRINGE [108229]",7588.8,7588.8,,,0
NDC,58394-022-03,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN 250 (+/-) UNIT IV SYRINGE [130205]",632.4,632.4,,,0
NDC,58394-023-03,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN 500 (+/-) UNIT IV SYRINGE [130206]",1264.8,1264.8,,,0
NDC,58394-024-03,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN 1,000 (+/-) UNIT IV SYRINGE [129917]",2529.6,2529.6,,,0
NDC,58394-025-03,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN 2,000 (+/-) UNIT IV SYRINGE [129918]",5059.2,5059.2,,,0
NDC,58394-634-03,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION [164271],3.0,3.0,,,0
NDC,58394-635-03,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION [164272]",3.0,3.0,,,0
NDC,58394-636-03,"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION [164273]",3.0,3.0,,,0
NDC,58406-010-01,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE [108125],5399.325000000001,5399.325000000001,,,0
NDC,58406-010-04,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE [108125],5388.075000000001,5388.075000000001,,,0
NDC,58406-021-01,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE [39837],4870.495,4870.495,,,0
NDC,58406-021-04,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE [39837],5399.325000000001,5399.325000000001,,,0
NDC,58406-425-34,ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS POWDER FOR SOLUTION [24276],1753.78,1753.78,,,0
NDC,58406-425-41,ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS POWDER FOR SOLUTION [24276],1753.78,1753.78,,,0
NDC,58468-0030-1,THYROTROPIN ALFA 1.1 MG (0.9 MG/ML FINAL CONC.) INTRAMUSCULAR SOLUTION [24409],7789.78,7789.78,,,0
NDC,58468-0040-1,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION [35775],26180.0,26180.0,,,0
NDC,58468-0041-1,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION [38494],49966.4,49966.4,,,0
NDC,58468-0070-1,LARONIDASE 2.9 MG/5 ML INTRAVENOUS SOLUTION [35779],28935.4,28935.4,,,0
NDC,58468-0080-1,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION [24585],13302.490000000002,13302.490000000002,,,0
NDC,58468-0150-1,ALGLUCOSIDASE (MYOZYME) 50 MG INTRAVENOUS SOLUTION [500226],4875.0,4875.0,,,0
NDC,58468-0160-1,ALGLUCOSIDASE (LUMIZYME) 50 MG INTRAVENOUS SOLUTION [500225],50242.5,50242.5,,,0
NDC,58468-0181-2,SARGRAMOSTIM 500 MCG/ML INJECTION SOLUTION [70364],1060.35,1060.35,,,0
NDC,58468-0225-1,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT [192837],36500.0,36500.0,,,0
NDC,58468-0357-1,ALEMTUZUMAB 30 MG/ML INTRAVENOUS SOLUTION [40661],0.01,0.01,,,0
NDC,58468-0357-3,ALEMTUZUMAB 30 MG/ML INTRAVENOUS SOLUTION [40661],0.01,0.01,,,0
NDC,58468-0426-1,AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION [201321],171832.98,171832.98,,,0
NDC,58468-4663-1,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION [26431],5620.39,5620.39,,,0
NDC,5852600557,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],6.0,6.0,,,0
NDC,58657-406-01,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1. [9959],17.055,17.055,,,0
NDC,5865731016,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],5.675,5.675,,,0
NDC,58790-002-28,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE [38321],5.0,5.0,,,0
NDC,58914-080-52,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],205.935,205.935,,,0
NDC,58914-301-80,NITROGLYCERIN 0.4 % (W/W) RECTAL OINTMENT [113577],2092.95,2092.95,,,0
NDC,58980-415-01,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],5.0,5.0,,,0
NDC,58980-415-12,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],5.0,5.0,,,0
NDC,5898060530,UREA 10 % TOPICAL CREAM [19775],34.85,34.85,,,0
NDC,59011-262-10,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]",32.305,32.305,,,0
NDC,59011-410-20,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [176645]",40.6,40.6,,,0
NDC,59011-420-20,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [176647]",29.095,29.095,,,0
NDC,59011-440-20,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [176649]",34.41,34.41,,,0
NDC,59011-480-20,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [176651]",32.37,32.37,,,0
NDC,59148-006-13,ARIPIPRAZOLE 2 MG TABLET [70306],715.73,715.73,,,0
NDC,59148-019-70,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE [163407]",0.1,0.1,,,0
NDC,59148-020-50,TOLVAPTAN 15 MG TABLET [97893],1562.5,1562.5,,,0
NDC,59148-036-13,BREXPIPRAZOLE 0.5 MG TABLET [178803],362.1,362.1,,,0
NDC,59148-037-13,BREXPIPRAZOLE 1 MG TABLET [178804],181.5,181.5,,,0
NDC,59148-045-80,"ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE [176993]",0.1,0.1,,,0
NDC,59148-072-80,"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE [176995]",0.1,0.1,,,0
NDC,59310-302-40,BECLOMETHASONE DIPROP 40 MCG/ACTUATION HFA BREATH ACTIVATED AEROSOL [188728],762.0,762.0,,,0
NDC,59310-610-31,RESLIZUMAB 10 MG/ML INTRAVENOUS SOLUTION [182894],8617.2,8617.2,,,0
NDC,59338-775-01,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [98312],3537.88,3537.88,,,0
NDC,59365-5128-1,COPPER 380 SQUARE MM INTRAUTERINE DEVICE [164318],3840.4,3840.4,,,0
NDC,59365-5129-1,COPPER 380 SQUARE MM INTRAUTERINE DEVICE [164318],5425.0,5425.0,,,0
NDC,59365-6065-0,FERRIC SUBSULFATE 259 MG/G TOPICAL SOLUTION [28357],63.64,63.64,,,0
NDC,59385-021-01,BUPRENORPHINE HCL 75 MCG BUCCAL FILM [180679],132.8,132.8,,,0
NDC,59385-021-60,BUPRENORPHINE HCL 75 MCG BUCCAL FILM [180679],92.8,92.8,,,0
NDC,59385-022-01,BUPRENORPHINE HCL 150 MCG BUCCAL FILM [180680],46.4,46.4,,,0
NDC,59385-023-01,BUPRENORPHINE HCL 300 MCG BUCCAL FILM [180681],43.6,43.6,,,0
NDC,59385-023-60,BUPRENORPHINE HCL 300 MCG BUCCAL FILM [180681],43.61,43.61,,,0
NDC,59385-024-01,BUPRENORPHINE HCL 450 MCG BUCCAL FILM [180682],68.17500000000001,68.17500000000001,,,0
NDC,59385-024-60,BUPRENORPHINE HCL 450 MCG BUCCAL FILM [180682],7.5,7.5,,,0
NDC,59390-192-05,HOMATROPINE 5 % EYE DROPS [3664],66.2,66.2,,,0
NDC,59417-101-10,LISDEXAMFETAMINE 10 MG CAPSULE [176975],155.0,155.0,,,0
NDC,59417-102-10,LISDEXAMFETAMINE 20 MG CAPSULE [89783],78.33500000000001,78.33500000000001,,,0
NDC,59417-103-10,LISDEXAMFETAMINE 30 MG CAPSULE [81474],52.225,52.225,,,0
NDC,59572-711-01,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION [195252],45974.17,45974.17,,,0
NDC,59572-775-01,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION [195253],45974.13,45974.13,,,0
NDC,59572-984-01,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344],37567.28,37567.28,,,0
NDC,59584-138-01,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL [125352],66.44,66.44,,,0
NDC,59627-002-07,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE [130409],22974.8,22974.8,,,0
NDC,59630-266-01,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION [195970],1098.425,1098.425,,,0
NDC,59630-266-10,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION [195970],1098.425,1098.425,,,0
NDC,59651-008-30,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],69.0,69.0,,,0
NDC,59651-026-55,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],387.75,387.75,,,0
NDC,59651-026-75,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],202.88,202.88,,,0
NDC,59651-052-90,EZETIMIBE 10 MG TABLET [34153],5.0,5.0,,,0
NDC,59651-119-60,DOFETILIDE 250 MCG CAPSULE [26966],7.5,7.5,,,0
NDC,59651-240-90,IMATINIB 100 MG TABLET [32979],25.0,25.0,,,0
NDC,59651-273-01,PRAZOSIN 5 MG CAPSULE [6470],5.0,5.0,,,0
NDC,59651-299-60,TAMOXIFEN 10 MG TABLET [7711],7.5,7.5,,,0
NDC,59651-331-01,FLUCYTOSINE 250 MG CAPSULE [10051],37.65,37.65,,,0
NDC,59651-332-01,FLUCYTOSINE 500 MG CAPSULE [10052],62.15,62.15,,,0
NDC,59651-401-12,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [164445],73.205,73.205,,,0
NDC,59651-404-30,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [163746]",12.5,12.5,,,0
NDC,59651-405-30,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [163747]",7.5,7.5,,,0
NDC,59651-421-01,URSODIOL 300 MG CAPSULE [11624],5.0,5.0,,,0
NDC,59651-426-01,SPIRONOLACTONE 25 MG TABLET [7437],10.0,10.0,,,0
NDC,59651-563-60,RUFINAMIDE 40 MG/ML ORAL SUSPENSION [108804],37.69,37.69,,,0
NDC,59651-659-00,NITROGLYCERIN 0.6 MG SUBLINGUAL TABLET [5605],5.0,5.0,,,0
NDC,59676-302-00,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION [9939]",1015.86,1015.86,,,0
NDC,59676-302-01,"EPOETIN ALFA (PROCRIT) 2,000 UNIT/ML INJECTION SOLUTION [350115]",202.77,202.77,,,0
NDC,59676-303-01,"EPOETIN ALFA (PROCRIT) 3,000 UNIT/ML INJECTION SOLUTION [350116]",304.14,304.14,,,0
NDC,59676-304-01,"EPOETIN ALFA (PROCRIT) 4,000 UNIT/ML INJECTION SOLUTION [350117]",608.29,608.29,,,0
NDC,59676-310-00,"EPOETIN ALFA (PROCRIT) 10,000 UNIT/ML INJECTION SOLUTION [350118]",552.99,552.99,,,0
NDC,59676-320-00,"EPOETIN ALFA (PROCRIT) 20,000 UNIT/ML INJECTION SOLUTION [350119]",369.4,369.4,,,0
NDC,59676-340-00,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION [24513]",369.4,369.4,,,0
NDC,59676-340-01,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION [24513]",369.4,369.4,,,0
NDC,59676-565-01,DARUNAVIR 100 MG/ML ORAL SUSPENSION [162517],122.325,122.325,,,0
NDC,59676-566-30,DARUNAVIR 800 MG TABLET [162665],176.68,176.68,,,0
NDC,59676-570-01,ETRAVIRINE 100 MG TABLET [89432],81.06,81.06,,,0
NDC,59676-575-30,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET [176733],241.55,241.55,,,0
NDC,59676-600-12,APALUTAMIDE 60 MG TABLET [190030],1137.5,1137.5,,,0
NDC,59676-610-01,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION - AMBULATORY [600027],13500.0,13500.0,,,0
NDC,5967636001,SODIUM HYALURONATE 30 MG/2 ML INTRA-ARTICULAR SYRINGE [38066],1563.6,1563.6,,,0
NDC,59746-003-14,METHYLPREDNISOLONE 16 MG TABLET [4992],8.97,8.97,,,0
NDC,59746-020-22,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],32.865,32.865,,,0
NDC,59746-306-12,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],12.5,12.5,,,0
NDC,59746-306-32,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],12.5,12.5,,,0
NDC,59746-384-06,TERAZOSIN 2 MG CAPSULE [14551],12.5,12.5,,,0
NDC,59762-0073-1,HYDROCORTISONE 5 MG TABLET [10209],10.0,10.0,,,0
NDC,59762-0119-1,PHENELZINE 15 MG TABLET [10933],7.5,7.5,,,0
NDC,59762-0401-1,SUCRALFATE 1 GRAM TABLET [11442],5.0,5.0,,,0
NDC,59762-0925-1,VORICONAZOLE 50 MG TABLET [33008],167.46,167.46,,,0
NDC,59762-1350-1,RIFABUTIN 150 MG CAPSULE [11290],101.07,101.07,,,0
NDC,59762-2250-2,ETHOSUXIMIDE 250 MG CAPSULE [9989],7.5,7.5,,,0
NDC,59762-3051-2,AZITHROMYCIN 1 GRAM ORAL PACKET [15284],135.85,135.85,,,0
NDC,59762-3130-1,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],120.38,120.38,,,0
NDC,59762-3728-1,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION [1742],126.45,126.45,,,0
NDC,59762-3740-1,MEDROXYPROGESTERONE 2.5 MG TABLET [4855],10.0,10.0,,,0
NDC,59762-4440-3,METHYLPREDNISOLONE 4 MG TABLET [4993],11.01,11.01,,,0
NDC,59762-4537-2,MEDROXYPROGESTERONE 150 MG/ML IM VIAL/SYRINGE (FAM) [500587],229.94,229.94,,,0
NDC,59762-4538-2,MEDROXYPROGESTERONE 150 MG/ML IM VIAL/SYRINGE (FAM) [500587],300.9,300.9,,,0
NDC,59762-5007-1,MISOPROSTOL 100 MCG TABLET [10628],7.5,7.5,,,0
NDC,59762-5008-1,MISOPROSTOL 200 MCG TABLET [10629],5.0,5.0,,,0
NDC,59762-5030-1,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION [14233],77.88,77.88,,,0
NDC,60219-1617-1,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.5,7.5,,,0
NDC,60219-1617-3,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.5,7.5,,,0
NDC,60219-1705-1,PREDNISONE 1 MG TABLET [6493],50.0,50.0,,,0
NDC,60219-1706-1,PREDNISONE 5 MG TABLET [6497],20.0,20.0,,,0
NDC,60219-1708-1,PREDNISONE 20 MG TABLET [6496],5.0,5.0,,,0
NDC,60219-1749-3,ATROPINE 1 % EYE DROPS [736],175.15,175.15,,,0
NDC,60219-2348-1,TRAMADOL 50 MG TABLET [14632],7.5,7.5,,,0
NDC,60258-005-01,"POTASSIUM CITRATE-CITRIC ACID 3,300 MG-1,002 MG ORAL PACKET [11061]",5.31,5.31,,,0
NDC,60258-802-15,HYOSCYAMINE 0.125 MG/ML ORAL DROPS [3782],96.23,96.23,,,0
NDC,6025800601,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [70284]",7.5,7.5,,,0
NDC,6025817201,MAGNESIUM GLUCONATE 27 MG MAGNESIUM (500 MG) TABLET [126405],5.0,5.0,,,0
NDC,60267-311-10,SODIUM NITRITE 30 MG/ML INTRAVENOUS SOLUTION [24049],730.46,730.46,,,0
NDC,60267-705-50,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION [7364],405.0,405.0,,,0
NDC,60432-0150-05,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],5.0,5.0,,,0
NDC,60432-126-08,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION [10521],67.2,67.2,,,0
NDC,60432-528-04,SELENIUM SULFIDE 2.5 % LOTION [181417],43.07,43.07,,,0
NDC,60432-560-61,TRIAMCINOLONE ACETONIDE 0.025 % LOTION [8115],136.2,136.2,,,0
NDC,60432-561-60,TRIAMCINOLONE ACETONIDE 0.1 % LOTION [8116],106.5,106.5,,,0
NDC,60432-561-61,TRIAMCINOLONE ACETONIDE 0.1 % LOTION [8116],106.5,106.5,,,0
NDC,60432-671-60,ERYTHROMYCIN WITH ETHANOL 2 % TOPICAL SOLUTION [2887],108.3,108.3,,,0
NDC,60505-0055-1,SELEGILINE 5 MG CAPSULE [17280],6.51,6.51,,,0
NDC,60505-0080-0,SOTALOL 80 MG TABLET [11421],7.5,7.5,,,0
NDC,60505-0183-0,CARBAMAZEPINE 200 MG TABLET [1357],9.24,9.24,,,0
NDC,60505-0582-4,MOXIFLOXACIN 0.5 % EYE DROPS [35699],132.45,132.45,,,0
NDC,60505-0749-5,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],5.0,5.0,,,0
NDC,60505-0769-0,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],26.74,26.74,,,0
NDC,60505-0792-0,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],46.85,46.85,,,0
NDC,60505-0815-0,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED) [21135],948.2,948.2,,,0
NDC,60505-0823-6,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY [15738],360.46,360.46,,,0
NDC,60505-0829-1,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",39.84,39.84,,,0
NDC,60505-1003-1,KETOROLAC 0.5 % EYE DROPS [19733],154.35,154.35,,,0
NDC,60505-1316-3,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR [32631]",18.7,18.7,,,0
NDC,60505-1318-3,"PAROXETINE ER 37.5 MG TABLET,EXTENDED RELEASE 24 HR [32633]",5.0,5.0,,,0
NDC,60505-2519-3,CITALOPRAM 20 MG TABLET [21062],7.5,7.5,,,0
NDC,60505-2806-7,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [27632]",7.17,7.17,,,0
NDC,60505-2807-7,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [27633]",6.085,6.085,,,0
NDC,60505-3673-3,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR [32631]",27.89,27.89,,,0
NDC,60505-4643-3,PRASUGREL HCL 10 MG TABLET [98373],5.0,5.0,,,0
NDC,60505-4713-3,"CARVEDILOL PHOSPHATE ER 10 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77664]",72.75,72.75,,,0
NDC,60505-4765-5,VARENICLINE TARTRATE 0.5 MG TABLET [76444],42.3,42.3,,,0
NDC,60505-6097-0,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [110306],286.65,286.65,,,0
NDC,60505-6116-0,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],980.7,980.7,,,0
NDC,60505-6128-1,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],85.44,85.44,,,0
NDC,60505-6129-2,BUDESONIDE 32 MCG/ACTUATION NASAL SPRAY [27022],64.25,64.25,,,0
NDC,60505-6132-6,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [99610],87.05,87.05,,,0
NDC,60505-6146-0,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],5.78,5.78,,,0
NDC,60505-6146-4,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],5.78,5.78,,,0
NDC,60505-6149-0,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],18.0,18.0,,,0
NDC,60505-6149-4,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],18.0,18.0,,,0
NDC,60505-6159-0,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],22.69,22.69,,,0
NDC,60505-6162-5,MEMANTINE 2 MG/ML ORAL SOLUTION [41829],30.340000000000003,30.340000000000003,,,0
NDC,60505-6166-0,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],4679.0,4679.0,,,0
NDC,60505-6169-0,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",73.125,73.125,,,0
NDC,60505-6197-2,SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],39.375,39.375,,,0
NDC,60505-6202-1,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE [35209],26.35,26.35,,,0
NDC,60505-6226-0,ATROPINE 1 % EYE DROPS [736],132.4,132.4,,,0
NDC,60505-6226-1,ATROPINE 1 % EYE DROPS [736],143.4,143.4,,,0
NDC,60505-6249-1,DEXAMETHASONE 0.5 MG TABLET [2322],17.5,17.5,,,0
NDC,60505-6261-0,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878],11.67,11.67,,,0
NDC,60505-6289-0,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [106773],5490.63,5490.63,,,0
NDC,60505-7075-5,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107660],214.20000000000002,214.20000000000002,,,0
NDC,60687-100-01,URSODIOL 300 MG CAPSULE [11624],23.65,23.65,,,0
NDC,60687-100-11,URSODIOL 300 MG CAPSULE [11624],23.64,23.64,,,0
NDC,60687-104-11,KETOROLAC 10 MG TABLET [10371],17.07,17.07,,,0
NDC,60687-104-21,KETOROLAC 10 MG TABLET [10371],17.07,17.07,,,0
NDC,60687-105-11,MEDROXYPROGESTERONE 10 MG TABLET [4854],5.275,5.275,,,0
NDC,60687-105-21,MEDROXYPROGESTERONE 10 MG TABLET [4854],5.279999999999999,5.279999999999999,,,0
NDC,60687-112-11,ANASTROZOLE 1 MG TABLET [16205],5.0,5.0,,,0
NDC,60687-112-21,ANASTROZOLE 1 MG TABLET [16205],5.0,5.0,,,0
NDC,60687-113-01,CLONIDINE HCL 0.1 MG TABLET [1755],5.0,5.0,,,0
NDC,60687-113-11,CLONIDINE HCL 0.1 MG TABLET [1755],5.0,5.0,,,0
NDC,60687-121-25,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [39720]",8.26,8.26,,,0
NDC,60687-121-95,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [39720]",8.26,8.26,,,0
NDC,60687-122-01,PREDNISONE 5 MG TABLET [6497],20.0,20.0,,,0
NDC,60687-122-11,PREDNISONE 5 MG TABLET [6497],20.0,20.0,,,0
NDC,60687-123-01,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE [27692]",5.0649999999999995,5.0649999999999995,,,0
NDC,60687-123-11,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE [27692]",5.0649999999999995,5.0649999999999995,,,0
NDC,60687-124-01,CLONIDINE HCL 0.2 MG TABLET [1756],5.0,5.0,,,0
NDC,60687-124-11,CLONIDINE HCL 0.2 MG TABLET [1756],5.0,5.0,,,0
NDC,60687-127-65,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],24.19,24.19,,,0
NDC,60687-129-01,DOCUSATE SODIUM 100 MG CAPSULE [2566],7.5,7.5,,,0
NDC,60687-129-11,DOCUSATE SODIUM 100 MG CAPSULE [2566],7.5,7.5,,,0
NDC,60687-130-25,CANDESARTAN 32 MG TABLET [23232],8.125,8.125,,,0
NDC,60687-130-95,CANDESARTAN 32 MG TABLET [23232],8.125,8.125,,,0
NDC,60687-134-01,PREDNISONE 10 MG TABLET [6494],7.5,7.5,,,0
NDC,60687-134-11,PREDNISONE 10 MG TABLET [6494],7.5,7.5,,,0
NDC,60687-138-01,PYRAZINAMIDE 500 MG TABLET [6738],45.625,45.625,,,0
NDC,60687-138-11,PYRAZINAMIDE 500 MG TABLET [6738],45.625,45.625,,,0
NDC,60687-141-21,"DEXTROAMPHETAMINE SULFATE ER 10 MG CAPSULE,EXTENDED RELEASE [32416]",16.01,16.01,,,0
NDC,60687-143-01,METFORMIN 850 MG TABLET [14719],5.445,5.445,,,0
NDC,60687-143-11,METFORMIN 850 MG TABLET [14719],5.445,5.445,,,0
NDC,60687-145-01,PREDNISONE 20 MG TABLET [6496],5.0,5.0,,,0
NDC,60687-145-11,PREDNISONE 20 MG TABLET [6496],5.0,5.0,,,0
NDC,60687-146-01,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",14.4,14.4,,,0
NDC,60687-148-21,OXYMORPHONE 10 MG TABLET [76676],10.95,10.95,,,0
NDC,60687-149-94,CAPECITABINE 500 MG TABLET [22994],523.7,523.7,,,0
NDC,60687-152-01,CEPHALEXIN 250 MG CAPSULE [9499],10.0,10.0,,,0
NDC,60687-152-11,CEPHALEXIN 250 MG CAPSULE [9499],10.0,10.0,,,0
NDC,60687-155-01,METFORMIN 500 MG TABLET [10544],8.5,8.5,,,0
NDC,60687-155-11,METFORMIN 500 MG TABLET [10544],8.5,8.5,,,0
NDC,60687-156-25,PHENYTOIN 50 MG CHEWABLE TABLET [11018],7.5,7.5,,,0
NDC,60687-156-95,PHENYTOIN 50 MG CHEWABLE TABLET [11018],7.5,7.5,,,0
NDC,60687-157-11,ARIPIPRAZOLE 2 MG TABLET [70306],620.0,620.0,,,0
NDC,60687-157-21,ARIPIPRAZOLE 2 MG TABLET [70306],588.25,588.25,,,0
NDC,60687-161-01,HALOPERIDOL 5 MG TABLET [3583],7.5,7.5,,,0
NDC,60687-161-11,HALOPERIDOL 5 MG TABLET [3583],7.5,7.5,,,0
NDC,60687-163-01,CEPHALEXIN 500 MG CAPSULE [9500],7.5,7.5,,,0
NDC,60687-163-11,CEPHALEXIN 500 MG CAPSULE [9500],7.5,7.5,,,0
NDC,60687-168-01,ARIPIPRAZOLE 5 MG TABLET [36438],241.0,241.0,,,0
NDC,60687-168-11,ARIPIPRAZOLE 5 MG TABLET [36438],241.0,241.0,,,0
NDC,60687-169-11,PRAVASTATIN 10 MG TABLET [11110],15.0,15.0,,,0
NDC,60687-173-11,MEMANTINE 5 MG TABLET [37170],7.5,7.5,,,0
NDC,60687-173-57,MEMANTINE 5 MG TABLET [37170],7.5,7.5,,,0
NDC,60687-179-01,ARIPIPRAZOLE 10 MG TABLET [34369],85.77,85.77,,,0
NDC,60687-179-11,ARIPIPRAZOLE 10 MG TABLET [34369],51.55,51.55,,,0
NDC,60687-184-11,MEMANTINE 10 MG TABLET [36966],5.0,5.0,,,0
NDC,60687-184-57,MEMANTINE 10 MG TABLET [36966],5.0,5.0,,,0
NDC,60687-188-11,ENTACAPONE 200 MG TABLET [26547],16.38,16.38,,,0
NDC,60687-188-21,ENTACAPONE 200 MG TABLET [26547],17.31,17.31,,,0
NDC,60687-191-11,ARIPIPRAZOLE 15 MG TABLET [34370],78.44,78.44,,,0
NDC,60687-191-21,ARIPIPRAZOLE 15 MG TABLET [34370],78.44,78.44,,,0
NDC,60687-192-11,IMATINIB 100 MG TABLET [32979],1090.95,1090.95,,,0
NDC,60687-192-21,IMATINIB 100 MG TABLET [32979],1090.95,1090.95,,,0
NDC,60687-195-01,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [29270]",10.0,10.0,,,0
NDC,60687-195-11,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [29270]",10.0,10.0,,,0
NDC,60687-206-01,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",7.505,7.505,,,0
NDC,60687-206-11,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",7.505,7.505,,,0
NDC,60687-211-11,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",10.0,10.0,,,0
NDC,60687-211-21,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",10.0,10.0,,,0
NDC,60687-214-01,METHADONE 5 MG TABLET [4954],7.5,7.5,,,0
NDC,60687-214-11,METHADONE 5 MG TABLET [4954],7.5,7.5,,,0
NDC,60687-215-01,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [37658]",14.395,14.395,,,0
NDC,60687-215-11,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [37658]",14.395,14.395,,,0
NDC,60687-216-25,ENTECAVIR 0.5 MG TABLET [41147],130.395,130.395,,,0
NDC,60687-216-95,ENTECAVIR 0.5 MG TABLET [41147],130.395,130.395,,,0
NDC,60687-217-01,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",6.25,6.25,,,0
NDC,60687-217-11,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",6.25,6.25,,,0
NDC,60687-224-01,GEMFIBROZIL 600 MG TABLET [3378],5.0,5.0,,,0
NDC,60687-226-01,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [37659]",9.75,9.75,,,0
NDC,60687-226-11,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [37659]",11.399999999999999,11.399999999999999,,,0
NDC,60687-227-11,LEUCOVORIN CALCIUM 25 MG TABLET [4397],16.975,16.975,,,0
NDC,60687-227-94,LEUCOVORIN CALCIUM 25 MG TABLET [4397],16.975,16.975,,,0
NDC,60687-228-01,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",5.2,5.2,,,0
NDC,60687-228-11,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",5.76,5.76,,,0
NDC,60687-229-01,LOPERAMIDE 2 MG CAPSULE [4560],7.5,7.5,,,0
NDC,60687-229-11,LOPERAMIDE 2 MG CAPSULE [4560],7.5,7.5,,,0
NDC,60687-230-01,ZONISAMIDE 100 MG CAPSULE [27780],7.5,7.5,,,0
NDC,60687-230-11,ZONISAMIDE 100 MG CAPSULE [27780],7.5,7.5,,,0
NDC,60687-231-01,SERTRALINE 25 MG TABLET [19882],10.0,10.0,,,0
NDC,60687-234-01,ROSUVASTATIN 5 MG TABLET [36612],15.405,15.405,,,0
NDC,60687-245-01,ROSUVASTATIN 10 MG TABLET [35134],7.705,7.705,,,0
NDC,60687-249-77,LEVETIRACETAM 100 MG/ML ORAL SOLUTION WRAPPER [40816036],21.9,21.9,,,0
NDC,60687-249-86,LEVETIRACETAM 100 MG/ML ORAL SOLUTION WRAPPER [40816036],15.0,15.0,,,0
NDC,60687-252-86,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],45.18,45.18,,,0
NDC,60687-253-01,SERTRALINE 100 MG TABLET [11350],5.0,5.0,,,0
NDC,60687-253-11,SERTRALINE 100 MG TABLET [11350],5.0,5.0,,,0
NDC,60687-256-01,ROSUVASTATIN 20 MG TABLET [35135],5.12,5.12,,,0
NDC,60687-256-11,ROSUVASTATIN 20 MG TABLET [35135],5.12,5.12,,,0
NDC,60687-258-71,THEOPHYLLINE 80 MG/15 ML ORAL LIQUID [408463],43.43,43.43,,,0
NDC,60687-266-11,RALOXIFENE 60 MG TABLET [22143],22.46,22.46,,,0
NDC,60687-272-11,CEFUROXIME AXETIL 250 MG TABLET [9495],19.275,19.275,,,0
NDC,60687-272-94,CEFUROXIME AXETIL 250 MG TABLET [9495],19.285,19.285,,,0
NDC,60687-275-66,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [127700],22.44,22.44,,,0
NDC,60687-281-01,NORTRIPTYLINE 10 MG CAPSULE [5674],25.0,25.0,,,0
NDC,60687-281-11,NORTRIPTYLINE 10 MG CAPSULE [5674],25.0,25.0,,,0
NDC,60687-286-11,BROMOCRIPTINE 2.5 MG TABLET [9297],19.48,19.48,,,0
NDC,60687-286-21,BROMOCRIPTINE 2.5 MG TABLET [9297],19.48,19.48,,,0
NDC,60687-292-11,DONEPEZIL 5 MG TABLET [18786],7.5,7.5,,,0
NDC,60687-293-01,NORTRIPTYLINE 25 MG CAPSULE [5675],12.5,12.5,,,0
NDC,60687-293-11,NORTRIPTYLINE 25 MG CAPSULE [5675],12.5,12.5,,,0
NDC,60687-294-11,VORICONAZOLE 50 MG TABLET [33008],126.62,126.62,,,0
NDC,60687-294-21,VORICONAZOLE 50 MG TABLET [33008],97.94,97.94,,,0
NDC,60687-295-01,PROPRANOLOL 40 MG TABLET [6658],7.5,7.5,,,0
NDC,60687-295-11,PROPRANOLOL 40 MG TABLET [6658],7.5,7.5,,,0
NDC,60687-299-25,ITRACONAZOLE 100 MG CAPSULE [10364],26.52,26.52,,,0
NDC,60687-299-95,ITRACONAZOLE 100 MG CAPSULE [10364],26.52,26.52,,,0
NDC,60687-303-01,DONEPEZIL 10 MG TABLET [18787],5.0,5.0,,,0
NDC,60687-303-11,DONEPEZIL 10 MG TABLET [18787],5.0,5.0,,,0
NDC,60687-304-11,CAPTOPRIL 12.5 MG TABLET [9401],10.59,10.59,,,0
NDC,60687-304-21,CAPTOPRIL 12.5 MG TABLET [9401],10.59,10.59,,,0
NDC,60687-306-01,PROPRANOLOL 20 MG TABLET [6657],12.5,12.5,,,0
NDC,60687-306-11,PROPRANOLOL 20 MG TABLET [6657],12.5,12.5,,,0
NDC,60687-309-11,LINEZOLID 600 MG TABLET [28224],9.97,9.97,,,0
NDC,60687-309-21,LINEZOLID 600 MG TABLET [28224],8.54,8.54,,,0
NDC,60687-312-01,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",10.0,10.0,,,0
NDC,60687-315-11,CAPTOPRIL 25 MG TABLET [9402],8.64,8.64,,,0
NDC,60687-315-21,CAPTOPRIL 25 MG TABLET [9402],8.64,8.64,,,0
NDC,60687-325-01,LISINOPRIL 10 MG TABLET [10449],10.0,10.0,,,0
NDC,60687-325-11,LISINOPRIL 10 MG TABLET [10449],10.0,10.0,,,0
NDC,60687-328-11,SEVELAMER CARBONATE 800 MG TABLET [89201],10.8,10.8,,,0
NDC,60687-328-31,SEVELAMER CARBONATE 800 MG TABLET [89201],46.36,46.36,,,0
NDC,60687-333-01,LISINOPRIL 20 MG TABLET [4526],5.0,5.0,,,0
NDC,60687-333-11,LISINOPRIL 20 MG TABLET [4526],5.0,5.0,,,0
NDC,60687-336-11,MINOCYCLINE 100 MG CAPSULE [5110],5.0,5.0,,,0
NDC,60687-336-65,MINOCYCLINE 100 MG CAPSULE [5110],5.0,5.0,,,0
NDC,60687-340-01,BUPROPION HCL 75 MG TABLET [9322],5.835,5.835,,,0
NDC,60687-340-11,BUPROPION HCL 75 MG TABLET [9322],5.835,5.835,,,0
NDC,60687-345-01,CALCITRIOL 0.25 MCG CAPSULE [9350],7.5,7.5,,,0
NDC,60687-345-11,CALCITRIOL 0.25 MCG CAPSULE [9350],7.5,7.5,,,0
NDC,60687-349-11,QUETIAPINE 100 MG TABLET [21824],12.5,12.5,,,0
NDC,60687-351-01,BUPROPION HCL 100 MG TABLET [9321],5.285,5.285,,,0
NDC,60687-351-11,BUPROPION HCL 100 MG TABLET [9321],5.285,5.285,,,0
NDC,60687-355-01,LORAZEPAM 1 MG TABLET [4573],30.0,30.0,,,0
NDC,60687-355-11,LORAZEPAM 1 MG TABLET [4573],30.0,30.0,,,0
NDC,60687-356-01,BENZTROPINE 0.5 MG TABLET [998],10.0,10.0,,,0
NDC,60687-356-11,BENZTROPINE 0.5 MG TABLET [998],10.0,10.0,,,0
NDC,60687-362-11,LAMIVUDINE 150 MG TABLET [15880],29.92,29.92,,,0
NDC,60687-362-21,LAMIVUDINE 150 MG TABLET [15880],29.92,29.92,,,0
NDC,60687-367-01,LORAZEPAM 2 MG TABLET [4574],5.0,5.0,,,0
NDC,60687-367-11,LORAZEPAM 2 MG TABLET [4574],5.0,5.0,,,0
NDC,60687-368-01,BENZTROPINE 1 MG TABLET [999],7.5,7.5,,,0
NDC,60687-368-11,BENZTROPINE 1 MG TABLET [999],7.5,7.5,,,0
NDC,60687-370-01,METHIMAZOLE 10 MG TABLET [10552],7.5,7.5,,,0
NDC,60687-370-11,METHIMAZOLE 10 MG TABLET [10552],7.5,7.5,,,0
NDC,60687-371-01,QUETIAPINE 300 MG TABLET [29267],5.835,5.835,,,0
NDC,60687-371-11,QUETIAPINE 300 MG TABLET [29267],5.835,5.835,,,0
NDC,60687-373-11,EZETIMIBE 10 MG TABLET [34153],39.49,39.49,,,0
NDC,60687-373-21,EZETIMIBE 10 MG TABLET [34153],39.49,39.49,,,0
NDC,60687-375-11,DRONABINOL 2.5 MG CAPSULE [9904],35.65,35.65,,,0
NDC,60687-377-11,ALPRAZOLAM 0.25 MG TABLET [324],15.0,15.0,,,0
NDC,60687-379-01,BENZTROPINE 2 MG TABLET [1000],5.0,5.0,,,0
NDC,60687-379-11,BENZTROPINE 2 MG TABLET [1000],5.0,5.0,,,0
NDC,60687-380-01,DICYCLOMINE 20 MG TABLET [2420],5.0,5.0,,,0
NDC,60687-380-11,DICYCLOMINE 20 MG TABLET [2420],5.0,5.0,,,0
NDC,60687-381-11,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],126.1,126.1,,,0
NDC,60687-381-94,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],126.0,126.0,,,0
NDC,60687-384-11,BUMETANIDE 1 MG TABLET [9310],7.5,7.5,,,0
NDC,60687-386-11,DRONABINOL 5 MG CAPSULE [9905],35.84,35.84,,,0
NDC,60687-388-01,ALPRAZOLAM 0.5 MG TABLET [325],5.0,5.0,,,0
NDC,60687-388-11,ALPRAZOLAM 0.5 MG TABLET [325],5.0,5.0,,,0
NDC,60687-390-11,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",15.0,15.0,,,0
NDC,60687-391-01,PIOGLITAZONE 15 MG TABLET [25528],10.0,10.0,,,0
NDC,60687-391-11,PIOGLITAZONE 15 MG TABLET [25528],10.0,10.0,,,0
NDC,60687-394-79,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],5.0,5.0,,,0
NDC,60687-394-83,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],5.0,5.0,,,0
NDC,60687-395-79,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],15.0,15.0,,,0
NDC,60687-395-83,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],5.0,5.0,,,0
NDC,60687-396-11,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],7.5,7.5,,,0
NDC,60687-398-01,MIDODRINE 5 MG TABLET [10610],7.5,7.5,,,0
NDC,60687-398-11,MIDODRINE 5 MG TABLET [10610],7.5,7.5,,,0
NDC,60687-401-01,LORAZEPAM 0.5 MG TABLET [4572],40.0,40.0,,,0
NDC,60687-401-11,LORAZEPAM 0.5 MG TABLET [4572],40.0,40.0,,,0
NDC,60687-402-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",10.0,10.0,,,0
NDC,60687-404-01,CLOZAPINE 25 MG TABLET [9648],15.0,15.0,,,0
NDC,60687-404-11,CLOZAPINE 25 MG TABLET [9648],15.0,15.0,,,0
NDC,60687-405-79,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],7.5,7.5,,,0
NDC,60687-405-83,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],7.5,7.5,,,0
NDC,60687-406-77,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],13.7,13.7,,,0
NDC,60687-413-11,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",7.5,7.5,,,0
NDC,60687-415-01,CLOZAPINE 100 MG TABLET [9647],7.5,7.5,,,0
NDC,60687-415-11,CLOZAPINE 100 MG TABLET [9647],7.5,7.5,,,0
NDC,60687-417-71,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],7.5,7.5,,,0
NDC,60687-419-01,CHLORPROMAZINE 10 MG TABLET [1653],52.224999999999994,52.224999999999994,,,0
NDC,60687-419-11,CHLORPROMAZINE 10 MG TABLET [1653],52.224999999999994,52.224999999999994,,,0
NDC,60687-420-25,RITONAVIR 100 MG TABLET [100995],105.15,105.15,,,0
NDC,60687-420-95,RITONAVIR 100 MG TABLET [100995],105.15,105.15,,,0
NDC,60687-422-01,AMANTADINE HCL 100 MG CAPSULE [364],5.5,5.5,,,0
NDC,60687-422-11,AMANTADINE HCL 100 MG CAPSULE [364],5.5,5.5,,,0
NDC,60687-423-11,CLOBAZAM 10 MG TABLET [112703],5.85,5.85,,,0
NDC,60687-423-21,CLOBAZAM 10 MG TABLET [112703],5.85,5.85,,,0
NDC,60687-428-65,FINASTERIDE 5 MG TABLET [10037],5.0,5.0,,,0
NDC,60687-429-45,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [119913],5.0,5.0,,,0
NDC,60687-429-76,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [119913],5.0,5.0,,,0
NDC,60687-430-01,CHLORPROMAZINE 25 MG TABLET [1656],25.515,25.515,,,0
NDC,60687-430-11,CHLORPROMAZINE 25 MG TABLET [1656],25.515,25.515,,,0
NDC,60687-431-27,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],5.0,5.0,,,0
NDC,60687-431-92,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],5.0,5.0,,,0
NDC,60687-431-98,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],5.0,5.0,,,0
NDC,60687-433-01,AMITRIPTYLINE 25 MG TABLET [435],12.5,12.5,,,0
NDC,60687-433-11,AMITRIPTYLINE 25 MG TABLET [435],12.5,12.5,,,0
NDC,60687-435-11,CLARITHROMYCIN 500 MG TABLET [9617],13.200000000000001,13.200000000000001,,,0
NDC,60687-436-01,CELECOXIB 100 MG CAPSULE [24500],10.0,10.0,,,0
NDC,60687-436-11,CELECOXIB 100 MG CAPSULE [24500],10.0,10.0,,,0
NDC,60687-437-01,AMIODARONE 200 MG TABLET [9066],7.5,7.5,,,0
NDC,60687-437-11,AMIODARONE 200 MG TABLET [9066],7.5,7.5,,,0
NDC,60687-438-01,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],7.5,7.5,,,0
NDC,60687-438-11,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],7.5,7.5,,,0
NDC,60687-439-01,LABETALOL 100 MG TABLET [10373],10.0,10.0,,,0
NDC,60687-439-11,LABETALOL 100 MG TABLET [10373],10.0,10.0,,,0
NDC,60687-442-24,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],77.8,77.8,,,0
NDC,60687-443-01,TRAZODONE 50 MG TABLET [8085],7.5,7.5,,,0
NDC,60687-443-11,TRAZODONE 50 MG TABLET [8085],7.5,7.5,,,0
NDC,60687-444-11,AMITRIPTYLINE 50 MG TABLET [436],7.5,7.5,,,0
NDC,60687-446-01,IBUPROFEN 400 MG TABLET [3843],7.5,7.5,,,0
NDC,60687-446-11,IBUPROFEN 400 MG TABLET [3843],7.5,7.5,,,0
NDC,60687-449-01,SEVELAMER HCL 800 MG TABLET [28715],41.73,41.73,,,0
NDC,60687-449-11,SEVELAMER HCL 800 MG TABLET [28715],41.73,41.73,,,0
NDC,60687-450-01,LABETALOL 200 MG TABLET [10374],6.25,6.25,,,0
NDC,60687-450-11,LABETALOL 200 MG TABLET [10374],6.25,6.25,,,0
NDC,60687-451-11,EPLERENONE 25 MG TABLET [36983],20.1,20.1,,,0
NDC,60687-451-21,EPLERENONE 25 MG TABLET [36983],20.1,20.1,,,0
NDC,60687-452-01,CHLORPROMAZINE 100 MG TABLET [1654],15.25,15.25,,,0
NDC,60687-452-11,CHLORPROMAZINE 100 MG TABLET [1654],15.25,15.25,,,0
NDC,60687-453-01,LEVOTHYROXINE 25 MCG TABLET [4420],15.0,15.0,,,0
NDC,60687-453-11,LEVOTHYROXINE 25 MCG TABLET [4420],15.0,15.0,,,0
NDC,60687-454-01,TRAZODONE 100 MG TABLET [8083],8.75,8.75,,,0
NDC,60687-454-11,TRAZODONE 100 MG TABLET [8083],8.75,8.75,,,0
NDC,60687-457-01,IBUPROFEN 600 MG TABLET [3844],5.835,5.835,,,0
NDC,60687-457-11,IBUPROFEN 600 MG TABLET [3844],5.835,5.835,,,0
NDC,60687-458-01,GLYCOPYRROLATE 1 MG TABLET [10130],7.5,7.5,,,0
NDC,60687-458-11,GLYCOPYRROLATE 1 MG TABLET [10130],7.5,7.5,,,0
NDC,60687-459-01,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [78064]",85.31,85.31,,,0
NDC,60687-459-11,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [78064]",85.31,85.31,,,0
NDC,60687-462-11,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR [107665]",30.415,30.415,,,0
NDC,60687-462-21,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR [107665]",30.415,30.415,,,0
NDC,60687-464-01,LEVOTHYROXINE 50 MCG TABLET [4421],8.75,8.75,,,0
NDC,60687-464-11,LEVOTHYROXINE 50 MCG TABLET [4421],8.75,8.75,,,0
NDC,60687-465-01,SPIRONOLACTONE 25 MG TABLET [7437],10.0,10.0,,,0
NDC,60687-465-11,SPIRONOLACTONE 25 MG TABLET [7437],10.0,10.0,,,0
NDC,60687-468-01,IBUPROFEN 800 MG TABLET [3845],5.0,5.0,,,0
NDC,60687-468-11,IBUPROFEN 800 MG TABLET [3845],5.0,5.0,,,0
NDC,60687-479-01,CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],7.5,7.5,,,0
NDC,60687-479-11,CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],7.5,7.5,,,0
NDC,60687-481-11,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],11.459999999999999,11.459999999999999,,,0
NDC,60687-481-21,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],11.459999999999999,11.459999999999999,,,0
NDC,60687-487-01,SPIRONOLACTONE 100 MG TABLET [11425],5.0,5.0,,,0
NDC,60687-487-11,SPIRONOLACTONE 100 MG TABLET [11425],5.0,5.0,,,0
NDC,60687-488-01,AMLODIPINE 5 MG TABLET [9071],7.5,7.5,,,0
NDC,60687-488-11,AMLODIPINE 5 MG TABLET [9071],7.5,7.5,,,0
NDC,60687-496-01,AMLODIPINE 10 MG TABLET [9069],5.0,5.0,,,0
NDC,60687-496-11,AMLODIPINE 10 MG TABLET [9069],5.0,5.0,,,0
NDC,60687-499-11,SOLIFENACIN 5 MG TABLET [40392],8.89,8.89,,,0
NDC,60687-499-21,SOLIFENACIN 5 MG TABLET [40392],8.879999999999999,8.879999999999999,,,0
NDC,60687-502-11,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],5.74,5.74,,,0
NDC,60687-503-11,BACLOFEN 10 MG TABLET [860],5.0,5.0,,,0
NDC,60687-504-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [11640]",5.835,5.835,,,0
NDC,60687-504-11,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [11640]",5.835,5.835,,,0
NDC,60687-508-01,LEVOTHYROXINE 112 MCG TABLET [10404],5.295,5.295,,,0
NDC,60687-508-11,LEVOTHYROXINE 112 MCG TABLET [10404],5.295,5.295,,,0
NDC,60687-513-11,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],5.36,5.36,,,0
NDC,60687-513-65,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],5.36,5.36,,,0
NDC,60687-516-11,CINACALCET 30 MG TABLET [38100],126.2,126.2,,,0
NDC,60687-523-11,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [165053]",529.16,529.16,,,0
NDC,60687-523-21,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [165053]",529.16,529.16,,,0
NDC,60687-523-94,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [165053]",258.0,258.0,,,0
NDC,60687-524-79,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],15.6,15.6,,,0
NDC,60687-524-83,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],14.67,14.67,,,0
NDC,60687-525-11,CINACALCET 30 MG TABLET [38100],192.69,192.69,,,0
NDC,60687-525-21,CINACALCET 30 MG TABLET [38100],192.59,192.59,,,0
NDC,60687-527-11,URSODIOL 250 MG TABLET [22660],10.405,10.405,,,0
NDC,60687-527-21,URSODIOL 250 MG TABLET [22660],26.25,26.25,,,0
NDC,60687-531-11,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],7.5,7.5,,,0
NDC,60687-532-11,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR [28750]",41.45,41.45,,,0
NDC,60687-532-21,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR [28750]",41.45,41.45,,,0
NDC,60687-534-40,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],50.0,50.0,,,0
NDC,60687-534-78,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],50.0,50.0,,,0
NDC,60687-536-01,METOLAZONE 2.5 MG TABLET [10587],16.3,16.3,,,0
NDC,60687-536-11,METOLAZONE 2.5 MG TABLET [10587],16.3,16.3,,,0
NDC,60687-537-01,PROPAFENONE 150 MG TABLET [11146],7.5,7.5,,,0
NDC,60687-537-11,PROPAFENONE 150 MG TABLET [11146],7.5,7.5,,,0
NDC,60687-540-01,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],5.0,5.0,,,0
NDC,60687-540-11,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],5.0,5.0,,,0
NDC,60687-541-01,LEVOTHYROXINE 175 MCG TABLET [10406],5.0,5.0,,,0
NDC,60687-541-11,LEVOTHYROXINE 175 MCG TABLET [10406],5.0,5.0,,,0
NDC,60687-542-11,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],7.5,7.5,,,0
NDC,60687-543-11,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR [32654]",25.0,25.0,,,0
NDC,60687-543-21,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR [32654]",25.0,25.0,,,0
NDC,60687-544-01,CLONAZEPAM 0.5 MG TABLET [9637],10.0,10.0,,,0
NDC,60687-544-11,CLONAZEPAM 0.5 MG TABLET [9637],10.0,10.0,,,0
NDC,60687-549-11,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",7.5,7.5,,,0
NDC,60687-549-21,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",7.5,7.5,,,0
NDC,60687-550-01,METRONIDAZOLE 500 MG TABLET [5016],5.0,5.0,,,0
NDC,60687-550-11,METRONIDAZOLE 500 MG TABLET [5016],5.0,5.0,,,0
NDC,60687-553-11,ISONIAZID 300 MG TABLET [4027],5.0,5.0,,,0
NDC,60687-555-01,CLONAZEPAM 1 MG TABLET [9638],7.5,7.5,,,0
NDC,60687-555-11,CLONAZEPAM 1 MG TABLET [9638],7.5,7.5,,,0
NDC,60687-556-33,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [183235],16.2,16.2,,,0
NDC,60687-558-01,CYCLOBENZAPRINE 10 MG TABLET [2017],5.0,5.0,,,0
NDC,60687-558-11,CYCLOBENZAPRINE 10 MG TABLET [2017],5.0,5.0,,,0
NDC,60687-559-01,METHOCARBAMOL 500 MG TABLET [4971],8.75,8.75,,,0
NDC,60687-559-11,METHOCARBAMOL 500 MG TABLET [4971],8.75,8.75,,,0
NDC,60687-560-11,REPAGLINIDE 1 MG TABLET [22586],10.46,10.46,,,0
NDC,60687-560-21,REPAGLINIDE 1 MG TABLET [22586],10.46,10.46,,,0
NDC,60687-563-01,LEVOTHYROXINE 137 MCG TABLET [10405],5.0,5.0,,,0
NDC,60687-563-11,LEVOTHYROXINE 137 MCG TABLET [10405],5.0,5.0,,,0
NDC,60687-567-11,ATOMOXETINE 25 MG CAPSULE [34446],8.65,8.65,,,0
NDC,60687-568-11,METHOCARBAMOL 750 MG TABLET [4972],5.835,5.835,,,0
NDC,60687-569-11,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],7.5,7.5,,,0
NDC,60687-570-01,PRAMIPEXOLE 0.25 MG TABLET [21290],15.0,15.0,,,0
NDC,60687-570-11,PRAMIPEXOLE 0.25 MG TABLET [21290],15.0,15.0,,,0
NDC,60687-572-32,PRAZOSIN 5 MG CAPSULE [6470],7.68,7.68,,,0
NDC,60687-572-33,PRAZOSIN 5 MG CAPSULE [6470],7.68,7.68,,,0
NDC,60687-573-11,DILTIAZEM 60 MG TABLET [2476],6.25,6.25,,,0
NDC,60687-575-11,RIFAMPIN 150 MG CAPSULE [11292],15.0,15.0,,,0
NDC,60687-576-86,MIDAZOLAM 2 MG/ML ORAL SYRUP WRAPPER [40812000],20.75,20.75,,,0
NDC,60687-577-01,ROPINIROLE 0.25 MG TABLET [21688],15.0,15.0,,,0
NDC,60687-577-11,ROPINIROLE 0.25 MG TABLET [21688],15.0,15.0,,,0
NDC,60687-578-11,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE [8962]",21.34,21.34,,,0
NDC,60687-578-21,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE [8962]",21.34,21.34,,,0
NDC,60687-579-01,HYDROMORPHONE 2 MG TABLET [3760],10.0,10.0,,,0
NDC,60687-579-11,HYDROMORPHONE 2 MG TABLET [3760],10.0,10.0,,,0
NDC,60687-580-01,GABAPENTIN 100 MG CAPSULE [18309],15.0,15.0,,,0
NDC,60687-580-11,GABAPENTIN 100 MG CAPSULE [18309],15.0,15.0,,,0
NDC,60687-582-11,HYDROCORTISONE 10 MG TABLET [3733],5.45,5.45,,,0
NDC,60687-584-11,MIRTAZAPINE 7.5 MG TABLET [38421],15.0,15.0,,,0
NDC,60687-584-21,MIRTAZAPINE 7.5 MG TABLET [38421],15.0,15.0,,,0
NDC,60687-586-01,RIFAMPIN 300 MG CAPSULE [11293],9.3,9.3,,,0
NDC,60687-586-11,RIFAMPIN 300 MG CAPSULE [11293],7.5,7.5,,,0
NDC,60687-587-01,PROPRANOLOL 10 MG TABLET [6656],20.0,20.0,,,0
NDC,60687-587-11,PROPRANOLOL 10 MG TABLET [6656],20.0,20.0,,,0
NDC,60687-588-01,ROPINIROLE 1 MG TABLET [21689],7.5,7.5,,,0
NDC,60687-588-11,ROPINIROLE 1 MG TABLET [21689],7.5,7.5,,,0
NDC,60687-590-11,HYDROMORPHONE 4 MG TABLET [3761],7.5,7.5,,,0
NDC,60687-591-01,GABAPENTIN 300 MG CAPSULE [18308],6.67,6.67,,,0
NDC,60687-591-11,GABAPENTIN 300 MG CAPSULE [18308],6.67,6.67,,,0
NDC,60687-592-11,PRAMIPEXOLE 1 MG TABLET [21288],6.25,6.25,,,0
NDC,60687-592-21,PRAMIPEXOLE 1 MG TABLET [21288],6.25,6.25,,,0
NDC,60687-593-01,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],7.5,7.5,,,0
NDC,60687-593-11,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],7.5,7.5,,,0
NDC,60687-594-11,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR [27636]",14.924999999999999,14.924999999999999,,,0
NDC,60687-595-11,FAMOTIDINE 20 MG TABLET [10011],7.5,7.5,,,0
NDC,60687-596-33,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",63.6,63.6,,,0
NDC,60687-598-01,PROPRANOLOL 20 MG TABLET [6657],12.5,12.5,,,0
NDC,60687-598-11,PROPRANOLOL 20 MG TABLET [6657],12.5,12.5,,,0
NDC,60687-602-11,GABAPENTIN 400 MG CAPSULE [18307],6.25,6.25,,,0
NDC,60687-605-01,ATENOLOL 25 MG TABLET [717],5.0,5.0,,,0
NDC,60687-605-11,ATENOLOL 25 MG TABLET [717],5.0,5.0,,,0
NDC,60687-607-11,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [91073]",9.0,9.0,,,0
NDC,60687-609-01,PROPRANOLOL 40 MG TABLET [6658],7.5,7.5,,,0
NDC,60687-609-11,PROPRANOLOL 40 MG TABLET [6658],7.5,7.5,,,0
NDC,60687-612-11,VALSARTAN 40 MG TABLET [33541],10.0,10.0,,,0
NDC,60687-618-11,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],10.055,10.055,,,0
NDC,60687-618-21,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],10.055,10.055,,,0
NDC,60687-619-01,ACETAZOLAMIDE 250 MG TABLET [113],9.43,9.43,,,0
NDC,60687-619-11,ACETAZOLAMIDE 250 MG TABLET [113],11.92,11.92,,,0
NDC,60687-620-01,METOCLOPRAMIDE 5 MG TABLET [5006],7.5,7.5,,,0
NDC,60687-620-11,METOCLOPRAMIDE 5 MG TABLET [5006],7.5,7.5,,,0
NDC,60687-622-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],10.0,10.0,,,0
NDC,60687-622-11,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],10.0,10.0,,,0
NDC,60687-623-11,VALSARTAN 80 MG TABLET [31209],10.0,10.0,,,0
NDC,60687-624-01,METOLAZONE 2.5 MG TABLET [10587],16.3,16.3,,,0
NDC,60687-624-11,METOLAZONE 2.5 MG TABLET [10587],16.3,16.3,,,0
NDC,60687-627-01,LORAZEPAM 0.5 MG TABLET [4572],40.0,40.0,,,0
NDC,60687-627-11,LORAZEPAM 0.5 MG TABLET [4572],10.0,10.0,,,0
NDC,60687-629-11,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],5.48,5.48,,,0
NDC,60687-629-21,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],5.0,5.0,,,0
NDC,60687-631-01,METOCLOPRAMIDE 10 MG TABLET [5005],5.0,5.0,,,0
NDC,60687-631-11,METOCLOPRAMIDE 10 MG TABLET [5005],5.0,5.0,,,0
NDC,60687-633-11,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],10.3,10.3,,,0
NDC,60687-635-11,METOLAZONE 5 MG TABLET [10588],9.45,9.45,,,0
NDC,60687-636-01,ONDANSETRON HCL 4 MG TABLET [10778],10.0,10.0,,,0
NDC,60687-636-11,ONDANSETRON HCL 4 MG TABLET [10778],10.0,10.0,,,0
NDC,60687-638-01,LORAZEPAM 1 MG TABLET [4573],7.5,7.5,,,0
NDC,60687-638-11,LORAZEPAM 1 MG TABLET [4573],7.5,7.5,,,0
NDC,60687-640-01,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",7.5,7.5,,,0
NDC,60687-640-11,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",7.5,7.5,,,0
NDC,60687-642-11,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],7.5,7.5,,,0
NDC,60687-649-01,LORAZEPAM 2 MG TABLET [4574],5.0,5.0,,,0
NDC,60687-649-11,LORAZEPAM 2 MG TABLET [4574],5.0,5.0,,,0
NDC,60687-657-01,LEVETIRACETAM 500 MG TABLET [26817],7.5,7.5,,,0
NDC,60687-657-11,LEVETIRACETAM 500 MG TABLET [26817],7.5,7.5,,,0
NDC,60687-661-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],7.5,7.5,,,0
NDC,60687-661-11,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],7.5,7.5,,,0
NDC,60687-662-91,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],5.0,5.0,,,0
NDC,60687-664-01,HYDROXYZINE HCL 10 MG TABLET [3772],12.5,12.5,,,0
NDC,60687-664-11,HYDROXYZINE HCL 10 MG TABLET [3772],12.5,12.5,,,0
NDC,60687-667-01,LISINOPRIL 5 MG TABLET [10451],15.0,15.0,,,0
NDC,60687-667-11,LISINOPRIL 5 MG TABLET [10451],15.0,15.0,,,0
NDC,60687-669-01,METHIMAZOLE 5 MG TABLET [10553],10.0,10.0,,,0
NDC,60687-669-11,METHIMAZOLE 5 MG TABLET [10553],10.0,10.0,,,0
NDC,60687-670-01,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],5.0,5.0,,,0
NDC,60687-670-11,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],5.0,5.0,,,0
NDC,60687-672-11,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],7.5,7.5,,,0
NDC,60687-672-65,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],7.5,7.5,,,0
NDC,60687-675-01,HYDROXYZINE HCL 25 MG TABLET [3774],7.5,7.5,,,0
NDC,60687-675-11,HYDROXYZINE HCL 25 MG TABLET [3774],7.5,7.5,,,0
NDC,60687-676-11,LACOSAMIDE 50 MG TABLET [96968],11.0,11.0,,,0
NDC,60687-676-57,LACOSAMIDE 50 MG TABLET [96968],11.0,11.0,,,0
NDC,60687-680-11,METHIMAZOLE 10 MG TABLET [10552],7.5,7.5,,,0
NDC,60687-681-01,FOLIC ACID 1 MG TABLET [3233],5.0,5.0,,,0
NDC,60687-681-11,FOLIC ACID 1 MG TABLET [3233],5.0,5.0,,,0
NDC,60687-686-11,HYDROXYZINE HCL 50 MG TABLET [3775],5.0,5.0,,,0
NDC,60687-687-11,LACOSAMIDE 100 MG TABLET [96969],8.6,8.6,,,0
NDC,60687-688-01,ALLOPURINOL 300 MG TABLET [311],5.0,5.0,,,0
NDC,60687-688-11,ALLOPURINOL 300 MG TABLET [311],5.0,5.0,,,0
NDC,60687-690-01,GLIPIZIDE 5 MG TABLET [10117],10.0,10.0,,,0
NDC,60687-690-11,GLIPIZIDE 5 MG TABLET [10117],10.0,10.0,,,0
NDC,60687-692-11,RAMELTEON 8 MG TABLET [42064],10.8,10.8,,,0
NDC,60687-694-21,METHENAMINE HIPPURATE 1 GRAM TABLET [10549],6.71,6.71,,,0
NDC,60687-695-01,SUCRALFATE 1 GRAM TABLET [11442],5.0,5.0,,,0
NDC,60687-709-01,PROPAFENONE 150 MG TABLET [11146],7.5,7.5,,,0
NDC,60687-709-11,PROPAFENONE 150 MG TABLET [11146],7.5,7.5,,,0
NDC,60687-710-11,GUANFACINE 1 MG TABLET [10149],8.05,8.05,,,0
NDC,60687-711-01,OXCARBAZEPINE 150 MG TABLET [27049],10.0,10.0,,,0
NDC,60687-711-11,OXCARBAZEPINE 150 MG TABLET [27049],10.0,10.0,,,0
NDC,60687-714-16,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],5.0,5.0,,,0
NDC,60687-715-11,COLESTIPOL 1 GRAM TABLET [13884],32.125,32.125,,,0
NDC,60687-717-01,DILTIAZEM 30 MG TABLET [2475],10.0,10.0,,,0
NDC,60687-717-11,DILTIAZEM 30 MG TABLET [2475],10.0,10.0,,,0
NDC,60687-718-01,DEXAMETHASONE 4 MG TABLET [2327],6.25,6.25,,,0
NDC,60687-718-11,DEXAMETHASONE 4 MG TABLET [2327],6.25,6.25,,,0
NDC,60687-719-95,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [39255],5.0,5.0,,,0
NDC,60687-720-11,LAMIVUDINE 150 MG TABLET [15880],28.799999999999997,28.799999999999997,,,0
NDC,60687-720-21,LAMIVUDINE 150 MG TABLET [15880],28.799999999999997,28.799999999999997,,,0
NDC,60687-723-21,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",5.0,5.0,,,0
NDC,60687-725-01,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",10.0,10.0,,,0
NDC,60687-725-11,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",10.0,10.0,,,0
NDC,60687-727-11,COLCHICINE 0.6 MG TABLET [1821],15.2,15.2,,,0
NDC,60687-728-11,DILTIAZEM 60 MG TABLET [2476],6.25,6.25,,,0
NDC,60687-729-01,DEXAMETHASONE 6 MG TABLET [2328],5.0,5.0,,,0
NDC,60687-733-11,OXCARBAZEPINE 600 MG TABLET [21157],5.0,5.0,,,0
NDC,60687-734-11,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",5.0,5.0,,,0
NDC,60687-735-01,MISOPROSTOL 100 MCG TABLET [10628],8.625,8.625,,,0
NDC,60687-735-11,MISOPROSTOL 100 MCG TABLET [10628],8.7,8.7,,,0
NDC,60687-736-11,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",5.0,5.0,,,0
NDC,60687-738-42,SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],23.0,23.0,,,0
NDC,60687-740-37,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],5.04,5.04,,,0
NDC,60687-742-11,AZITHROMYCIN 250 MG TABLET [20943],7.5,7.5,,,0
NDC,60687-742-65,AZITHROMYCIN 250 MG TABLET [20943],7.5,7.5,,,0
NDC,60687-743-17,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],5.0,5.0,,,0
NDC,60687-744-11,DABIGATRAN ETEXILATE 75 MG CAPSULE [106490],44.925,44.925,,,0
NDC,60687-747-11,LURASIDONE 20 MG TABLET [113587],37.275,37.275,,,0
NDC,60687-749-11,FLUPHENAZINE 5 MG TABLET [3221],12.5,12.5,,,0
NDC,60687-750-11,TRANEXAMIC ACID 650 MG TABLET [104576],16.125,16.125,,,0
NDC,60687-752-33,DABIGATRAN ETEXILATE 150 MG CAPSULE [106491],33.675,33.675,,,0
NDC,60687-754-05,LINEZOLID 100 MG/5 ML ORAL SUSPENSION [28225],3655.5,3655.5,,,0
NDC,60687-755-86,DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION [192565],12.0,12.0,,,0
NDC,60687-756-09,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",7.5,7.5,,,0
NDC,60687-756-11,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",7.5,7.5,,,0
NDC,60687-758-11,LURASIDONE 40 MG TABLET [107668],18.725,18.725,,,0
NDC,60687-760-40,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],5.0,5.0,,,0
NDC,60687-760-86,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],5.0,5.0,,,0
NDC,60687-762-17,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],15.16,15.16,,,0
NDC,60687-768-11,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",10.0,10.0,,,0
NDC,60687-770-79,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],8.31,8.31,,,0
NDC,60687-770-83,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],8.31,8.31,,,0
NDC,60687-773-01,DEXAMETHASONE 2 MG TABLET [2326],10.0,10.0,,,0
NDC,60687-773-11,DEXAMETHASONE 2 MG TABLET [2326],10.0,10.0,,,0
NDC,60687-775-11,MECLIZINE 12.5 MG TABLET [12024],10.0,10.0,,,0
NDC,60687-775-65,MECLIZINE 12.5 MG TABLET [12024],10.0,10.0,,,0
NDC,60687-781-11,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET [22992],20.0,20.0,,,0
NDC,60687-782-11,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",18.51,18.51,,,0
NDC,60687-783-11,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",10.0,10.0,,,0
NDC,60687-786-11,ROFLUMILAST 500 MCG TABLET [109401],15.57,15.57,,,0
NDC,60687-788-11,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],5.0,5.0,,,0
NDC,60687-788-21,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],5.0,5.0,,,0
NDC,60687-789-11,PYRAZINAMIDE 500 MG TABLET [6738],89.3,89.3,,,0
NDC,60687-792-11,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],13.0,13.0,,,0
NDC,60687-794-11,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",7.5,7.5,,,0
NDC,60687-795-11,TRAMADOL 50 MG TABLET [14632],7.5,7.5,,,0
NDC,60687-797-42,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION [365],13.0,13.0,,,0
NDC,60687-800-17,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",5.0,5.0,,,0
NDC,60687-803-11,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],15.9,15.9,,,0
NDC,60687-806-11,LITHIUM CARBONATE 300 MG CAPSULE [4529],7.5,7.5,,,0
NDC,60687-810-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE WRAPPER [4081401]",7.5,7.5,,,0
NDC,60687-811-11,HYDRALAZINE 10 MG TABLET [3698],18.75,18.75,,,0
NDC,60687-812-11,BUSPIRONE 10 MG TABLET [9323],6.25,6.25,,,0
NDC,60687-814-11,PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],7.5,7.5,,,0
NDC,60687-815-11,BACLOFEN 10 MG TABLET [860],5.0,5.0,,,0
NDC,60687-817-17,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],5.0,5.0,,,0
NDC,60687-817-40,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],5.53,5.53,,,0
NDC,60687-822-01,HYDRALAZINE 25 MG TABLET [3700],10.0,10.0,,,0
NDC,60687-822-11,HYDRALAZINE 25 MG TABLET [3700],10.0,10.0,,,0
NDC,60687-825-11,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],5.0,5.0,,,0
NDC,60687-828-42,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],6.1,6.1,,,0
NDC,60687-828-56,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],6.1,6.1,,,0
NDC,60687-833-11,HYDRALAZINE 50 MG TABLET [3701],7.5,7.5,,,0
NDC,60687-836-01,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],7.5,7.5,,,0
NDC,60687-836-11,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],7.5,7.5,,,0
NDC,60687-837-48,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [77725],19.15,19.15,,,0
NDC,60687-838-01,ZOLPIDEM 5 MG TABLET [11701],7.5,7.5,,,0
NDC,60687-838-11,ZOLPIDEM 5 MG TABLET [11701],7.5,7.5,,,0
NDC,60687-839-11,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],8.43,8.43,,,0
NDC,60687-844-11,HYDROCORTISONE 5 MG TABLET [10209],10.0,10.0,,,0
NDC,60687-851-40,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [119615],5.75,5.75,,,0
NDC,60687-854-01,PREDNISONE 50 MG TABLET [6498],5.0,5.0,,,0
NDC,60687-854-11,PREDNISONE 50 MG TABLET [6498],5.0,5.0,,,0
NDC,60687-857-11,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",10.0,10.0,,,0
NDC,60687-858-11,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],5.0,5.0,,,0
NDC,60687-860-11,CIPROFLOXACIN 500 MG TABLET [25119],6.25,6.25,,,0
NDC,60687-863-42,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],5.7,5.7,,,0
NDC,60687-868-11,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",7.5,7.5,,,0
NDC,60687-870-44,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [120360],16.875,16.875,,,0
NDC,60687-875-11,HYDROXYZINE HCL 50 MG TABLET [3775],5.0,5.0,,,0
NDC,60687-879-11,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",5.0,5.0,,,0
NDC,60687-883-11,PRASUGREL HCL 10 MG TABLET [98373],5.0,5.0,,,0
NDC,60687-886-11,PRAVASTATIN 10 MG TABLET [11110],15.0,15.0,,,0
NDC,60687-887-11,NADOLOL 20 MG TABLET [5330],36.58,36.58,,,0
NDC,60687-890-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],7.5,7.5,,,0
NDC,60687-890-11,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],7.5,7.5,,,0
NDC,60687-897-01,PRAVASTATIN 20 MG TABLET [11111],10.0,10.0,,,0
NDC,60687-897-11,PRAVASTATIN 20 MG TABLET [11111],10.0,10.0,,,0
NDC,60687-925-01,PREDNISONE 20 MG TABLET [6496],5.0,5.0,,,0
NDC,6068783445,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],12.6,12.6,,,0
NDC,6068783476,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],12.6,12.6,,,0
NDC,60758-188-05,GENTAMICIN 0.3 % EYE DROPS [3428],19.05,19.05,,,0
NDC,60758-802-05,TIMOLOL MALEATE 0.25 % EYE DROPS [11561],10.15,10.15,,,0
NDC,60758-880-05,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION [3208]",275.4,275.4,,,0
NDC,60793-131-10,PENICILLIN G PROCAINE 1.2 MILLION UNIT/2 ML INTRAMUSCULAR SYRINGE [121140],185.39,185.39,,,0
NDC,60793-215-05,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION [127384]",269.5,269.5,,,0
NDC,60793-700-01,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE [10897]",484.35,484.35,,,0
NDC,60793-701-02,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [108049]",419.53,419.53,,,0
NDC,60793-701-10,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [108049]",419.53,419.53,,,0
NDC,60793-702-10,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE [108050]",1289.6999999999998,1289.6999999999998,,,0
NDC,60809-801-01,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION [107664],70000.0,70000.0,,,0
NDC,60923-465-02,GOLODIRSEN 50 MG/ML INTRAVENOUS SOLUTION [195519],160320.0,160320.0,,,0
NDC,60977-141-01,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [6462],417.42,417.42,,,0
NDC,61269-220-41,CLOTRIMAZOLE 1 % VAGINAL CREAM [1769],18.0,18.0,,,0
NDC,61269-220-63,CLOTRIMAZOLE 1 % VAGINAL CREAM [1769],18.68,18.68,,,0
NDC,61269-402-60,HYDROXYUREA (SICKLE CELL) 200 MG CAPSULE [23009],29.225,29.225,,,0
NDC,61269-410-20,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION [17451],1097.545,1097.545,,,0
NDC,61269-730-41,MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],27.68,27.68,,,0
NDC,61314-014-25,DICLOFENAC 0.1 % EYE DROPS [19714],127.45,127.45,,,0
NDC,61314-030-02,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],240.75,240.75,,,0
NDC,61314-044-75,TRIFLURIDINE 1 % EYE DROPS [11595],619.09,619.09,,,0
NDC,61314-126-05,KETOROLAC 0.5 % EYE DROPS [19733],128.8,128.8,,,0
NDC,61314-144-10,BRIMONIDINE 0.15 % EYE DROPS [31158],755.2,755.2,,,0
NDC,61314-206-15,PILOCARPINE 4 % EYE DROPS [6282],366.83,366.83,,,0
NDC,61314-227-05,TIMOLOL MALEATE 0.5 % EYE DROPS [11562],21.5,21.5,,,0
NDC,61314-237-10,CROMOLYN 4 % EYE DROPS [9691],21.35,21.35,,,0
NDC,61314-318-01,FILGRASTIM-SNDZ (ZARXIO) PATIENT SPECIFIC SUBCUTANEOUS SYRINGE [40817051],1434.48,1434.48,,,0
NDC,61314-318-10,FILGRASTIM-SNDZ (ZARXIO) PATIENT SPECIFIC SUBCUTANEOUS SYRINGE [40817051],1434.48,1434.48,,,0
NDC,61314-326-10,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [179541],2051.8,2051.8,,,0
NDC,61314-355-02,TROPICAMIDE 1 % EYE DROPS [8250],147.3,147.3,,,0
NDC,61314-396-01,CYCLOPENTOLATE 1 % EYE DROPS [2025],5.0,5.0,,,0
NDC,61314-396-03,CYCLOPENTOLATE 1 % EYE DROPS [2025],5.0,5.0,,,0
NDC,61314-547-01,LATANOPROST 0.005 % EYE DROPS [18621],61.65,61.65,,,0
NDC,61314-628-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS [120195]",49.15,49.15,,,0
NDC,61314-633-05,GENTAMICIN 0.3 % EYE DROPS [3428],74.6,74.6,,,0
NDC,61314-637-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",201.75,201.75,,,0
NDC,61314-641-75,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP [35126]",490.99,490.99,,,0
NDC,61314-646-10,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION [34814]",110.4,110.4,,,0
NDC,61314-647-05,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [11567]",428.15,428.15,,,0
NDC,61314-656-25,CIPROFLOXACIN 0.3 % EYE DROPS [9610],12.85,12.85,,,0
NDC,61314-665-05,APRACLONIDINE 0.5 % EYE DROPS [9119],261.45,261.45,,,0
NDC,61314-866-01,PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [195240],5680.0,5680.0,,,0
NDC,61553-856-41,MORPHINE 50 MG/50 ML (1 MG/ML) IN 0.9 % SOD.CHLOR IV PUMP RESERVOIR [188467],86.7,86.7,,,0
NDC,61570-131-55,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],36.5,36.5,,,0
NDC,61703-303-46,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION [128487],7.99,7.99,,,0
NDC,61703-305-38,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ SOLN (SUBCUTANEOUS ONLY) [40825002],14.010000000000002,14.010000000000002,,,0
NDC,61703-305-58,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ SOLN (SUBCUTANEOUS ONLY) [40825002],19.32,19.32,,,0
NDC,61703-309-06,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],48.3,48.3,,,0
NDC,61703-309-16,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [127981],41.1,41.1,,,0
NDC,61703-319-22,CYTARABINE (ARA-C/CYTOSTAR) 100 MG/ML INJECTION FOR SC USE [408902],11.35,11.35,,,0
NDC,61703-324-18,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],120.8,120.8,,,0
NDC,61703-325-18,PAMIDRONATE 60 MG/10 ML (6 MG/ML) INTRAVENOUS SOLUTION [33886],119.55,119.55,,,0
NDC,61703-326-18,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],115.07,115.07,,,0
NDC,61703-332-18,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],188.98,188.98,,,0
NDC,61703-339-50,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],354.37,354.37,,,0
NDC,61703-339-56,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],389.275,389.275,,,0
NDC,61703-342-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",245.51,245.51,,,0
NDC,61703-344-18,FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],391.25,391.25,,,0
NDC,61703-350-38,METHOTREXATE SODIUM (NON-ONCOLOGY) 25 MG/ML INJECTION [500939],11.395,11.395,,,0
NDC,61703-359-93,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [88008],526.33,526.33,,,0
NDC,61703-408-41,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],5.715,5.715,,,0
NDC,61703-418-18,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION [11641]",229.63,229.63,,,0
NDC,61703-421-53,"MVI, PEDI NO.2 WITH VIT K 80 MG-400 UNIT-200 MCG INTRAVENOUS SOLUTION [130795]",17.47,17.47,,,0
NDC,61748-024-16,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION [38489],503.75,503.75,,,0
NDC,61755-005-02,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION [112992],9250.0,9250.0,,,0
NDC,61755-008-01,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [191713],45500.0,45500.0,,,0
NDC,61755-025-00,IMDEVIMAB (EUA)  120 MG/ML VIAL [40817009],2.55,2.55,,,0
NDC,61755-025-01,IMDEVIMAB (EUA)  120 MG/ML VIAL [40817009],2.55,2.55,,,0
NDC,61755-027-00,IMDEVIMAB (EUA)  120 MG/ML VIAL [40817009],2.55,2.55,,,0
NDC,61755-027-01,IMDEVIMAB (EUA)  120 MG/ML VIAL [40817009],2.55,2.55,,,0
NDC,61874-115-11,CARIPRAZINE 1.5 MG CAPSULE [182058],374.0,374.0,,,0
NDC,61874-115-20,CARIPRAZINE 1.5 MG CAPSULE [182058],374.0,374.0,,,0
NDC,61874-130-20,CARIPRAZINE 3 MG CAPSULE [182059],190.85,190.85,,,0
NDC,61874-130-30,CARIPRAZINE 3 MG CAPSULE [182059],190.86,190.86,,,0
NDC,61958-0101-1,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378],2538.585,2538.585,,,0
NDC,61958-0601-1,EMTRICITABINE 200 MG CAPSULE [36252],80.55,80.55,,,0
NDC,61958-1101-1,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR DISPROX 300 MG TABLET [111273],329.44,329.44,,,0
NDC,61958-1201-1,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET [117293],394.35,394.35,,,0
NDC,61958-1901-1,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET [180733],401.25,401.25,,,0
NDC,61958-2002-1,EMTRICITABINE-TENOFOVIR (DESCOVY) TABLET 200-25 MG [182945],71.45,71.45,,,0
NDC,61958-2002-2,EMTRICITABINE-TENOFOVIR (DESCOVY) TABLET 200-25 MG [182945],287.05,287.05,,,0
NDC,61958-2101-1,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR ALAFENAM 25 MG TABLET [182486],365.92,365.92,,,0
NDC,61958-2501-1,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET [189678],458.94,458.94,,,0
NDC,61958-2501-3,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET [189678],576.4,576.4,,,0
NDC,61958-2901-1,REMDESIVIR 100 MG LYOPHILIZED POWDER [40816082],4771.0,4771.0,,,0
NDC,61958-2902-1,REMDESIVIR 100 MG/20 ML VIAL [40816081],3900.0,3900.0,,,0
NDC,61990-0411-0,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [9859],295.24,295.24,,,0
NDC,61990-0611-0,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",18.265,18.265,,,0
NDC,61990-0611-2,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",18.265,18.265,,,0
NDC,62135-431-30,DISULFIRAM 250 MG TABLET [2540],67.5,67.5,,,0
NDC,62175-107-01,ISOSORBIDE MONONITRATE 20 MG TABLET [10357],5.0,5.0,,,0
NDC,62175-320-46,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [27181]",7.5,7.5,,,0
NDC,62327-444-04,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION [190128],700.0,700.0,,,0
NDC,62327-444-44,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION [190128],700.0,700.0,,,0
NDC,62332-036-31,ROPINIROLE 5 MG TABLET [21691],5.0,5.0,,,0
NDC,62332-044-90,VALSARTAN 40 MG TABLET [33541],13.4,13.4,,,0
NDC,62332-063-60,RIVASTIGMINE 1.5 MG CAPSULE [28278],12.5,12.5,,,0
NDC,62332-095-31,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET [104568],5.0,5.0,,,0
NDC,62332-096-31,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET [103880],5.0,5.0,,,0
NDC,62332-103-30,ARIPIPRAZOLE 10 MG DISINTEGRATING TABLET [76822],223.8,223.8,,,0
NDC,62332-140-60,CELECOXIB 50 MG CAPSULE [78150],15.0,15.0,,,0
NDC,62332-141-31,CELECOXIB 100 MG CAPSULE [24500],10.0,10.0,,,0
NDC,62332-233-30,VILAZODONE 20 MG TABLET [109403],9.565000000000001,9.565000000000001,,,0
NDC,62332-364-06,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET [35625],20.0,20.0,,,0
NDC,62332-556-60,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [178777],5.0,5.0,,,0
NDC,62332-557-60,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [178778],7.5,7.5,,,0
NDC,62332-558-60,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET [178779],5.0,5.0,,,0
NDC,62332-603-31,BISOPROLOL FUMARATE 5 MG TABLET [18288],10.0,10.0,,,0
NDC,62332-618-31,CYCLOPHOSPHAMIDE 25 MG CAPSULE [169785],13.0,13.0,,,0
NDC,62332-619-31,CYCLOPHOSPHAMIDE 50 MG CAPSULE [169786],11.7,11.7,,,0
NDC,62372-0630-56,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",5.0,5.0,,,0
NDC,62484-0015-4,HYDROXYUREA (SICKLE CELL) 100 MG/ML ORAL SOLUTION [214057],3522.4,3522.4,,,0
NDC,62484-0015-5,HYDROXYUREA (SICKLE CELL) 100 MG/ML ORAL SOLUTION [214057],3522.4,3522.4,,,0
NDC,62484-0020-1,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION [170310],293.0,293.0,,,0
NDC,62484-0020-2,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION [170310],5940.0,5940.0,,,0
NDC,62559-138-07,HYDROCORTISONE 100 MG/60 ML ENEMA [10210],24.3,24.3,,,0
NDC,62559-153-04,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL [99405],1458.48,1458.48,,,0
NDC,62559-158-01,FLUVOXAMINE 25 MG TABLET [20634],10.0,10.0,,,0
NDC,62559-160-01,FLUVOXAMINE 100 MG TABLET [10084],5.0,5.0,,,0
NDC,62559-241-01,METHAZOLAMIDE 50 MG TABLET [4962],28.2,28.2,,,0
NDC,62559-356-01,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP [184202],129.60000000000002,129.60000000000002,,,0
NDC,62559-356-60,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP [184202],129.60000000000002,129.60000000000002,,,0
NDC,62559-380-01,FLECAINIDE 50 MG TABLET [10043],12.5,12.5,,,0
NDC,62559-381-01,FLECAINIDE 100 MG TABLET [10041],7.5,7.5,,,0
NDC,62559-390-50,VANCOMYCIN 125 MG CAPSULE [11628],5.85,5.85,,,0
NDC,62559-391-50,VANCOMYCIN 250 MG CAPSULE [11629],9.12,9.12,,,0
NDC,62559-420-07,MESALAMINE 4 GRAM/60 ML ENEMA [10535],51.0,51.0,,,0
NDC,62559-490-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],7.5,7.5,,,0
NDC,62559-511-01,INDAPAMIDE 2.5 MG TABLET [3879],7.5,7.5,,,0
NDC,62559-630-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION [2899],1111.5,1111.5,,,0
NDC,62584-142-01,OXCARBAZEPINE 150 MG TABLET [27049],10.0,10.0,,,0
NDC,62584-142-11,OXCARBAZEPINE 150 MG TABLET [27049],10.0,10.0,,,0
NDC,62584-145-01,OXCARBAZEPINE 600 MG TABLET [21157],5.0,5.0,,,0
NDC,62584-145-11,OXCARBAZEPINE 600 MG TABLET [21157],5.0,5.0,,,0
NDC,62584-265-01,METOPROLOL TARTRATE 25 MG TABLET [37637],10.0,10.0,,,0
NDC,62584-265-11,METOPROLOL TARTRATE 25 MG TABLET [37637],10.0,10.0,,,0
NDC,62584-266-01,METOPROLOL TARTRATE 50 MG TABLET [5009],7.5,7.5,,,0
NDC,62584-266-11,METOPROLOL TARTRATE 50 MG TABLET [5009],7.5,7.5,,,0
NDC,62584-267-01,METOPROLOL TARTRATE 100 MG TABLET [5008],5.0,5.0,,,0
NDC,62584-267-11,METOPROLOL TARTRATE 100 MG TABLET [5008],5.0,5.0,,,0
NDC,62584-332-01,METFORMIN 850 MG TABLET [14719],5.445,5.445,,,0
NDC,62584-467-01,ATENOLOL 50 MG TABLET [718],5.0,5.0,,,0
NDC,62584-467-11,ATENOLOL 50 MG TABLET [718],5.0,5.0,,,0
NDC,62584-713-01,ALLOPURINOL 300 MG TABLET [311],5.0,5.0,,,0
NDC,62584-713-11,ALLOPURINOL 300 MG TABLET [311],5.0,5.0,,,0
NDC,62584-733-01,HYDRALAZINE 25 MG TABLET [3700],10.0,10.0,,,0
NDC,62584-733-11,HYDRALAZINE 25 MG TABLET [3700],10.0,10.0,,,0
NDC,62584-734-01,HYDRALAZINE 50 MG TABLET [3701],7.5,7.5,,,0
NDC,62584-813-01,OXAZEPAM 15 MG CAPSULE [5931],7.5,7.5,,,0
NDC,62584-813-11,OXAZEPAM 15 MG CAPSULE [5931],7.5,7.5,,,0
NDC,62584-897-01,FOLIC ACID 1 MG TABLET [3233],5.0,5.0,,,0
NDC,62584-897-11,FOLIC ACID 1 MG TABLET [3233],5.0,5.0,,,0
NDC,62584-975-30,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",7.505,7.505,,,0
NDC,62584-984-01,WARFARIN 2 MG TABLET [8749],12.5,12.5,,,0
NDC,62584-984-11,WARFARIN 2 MG TABLET [8749],12.5,12.5,,,0
NDC,62584-988-01,ALLOPURINOL 100 MG TABLET [310],5.0,5.0,,,0
NDC,62584-988-11,ALLOPURINOL 100 MG TABLET [310],5.0,5.0,,,0
NDC,62584-994-01,WARFARIN 5 MG TABLET [8751],7.5,7.5,,,0
NDC,62584-994-11,WARFARIN 5 MG TABLET [8751],7.5,7.5,,,0
NDC,62756-023-40,TOPOTECAN 4 MG INTRAVENOUS SOLUTION (POWDER VIAL) [17285],674.05,674.05,,,0
NDC,62756-751-64,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],18.025,18.025,,,0
NDC,62756-797-88,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",7.5,7.5,,,0
NDC,62856-212-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [206248],4255.33,4255.33,,,0
NDC,62856-215-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [206248],4255.3,4255.3,,,0
NDC,62856-274-30,PERAMPANEL 4 MG TABLET [165110],159.75,159.75,,,0
NDC,62856-280-30,PERAMPANEL (FYCOMPA) 10 MG TABLET [165229],97.93,97.93,,,0
NDC,62856-389-01,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [106773],9369.03,9369.03,,,0
NDC,62856-603-01,DENILEUKIN DIFTITOX 150 MCG/ML INTRAVENOUS SOLUTION [24729],5000.0,5000.0,,,0
NDC,62856-705-10,PILOCARPINE 5 MG TABLET [12803],7.5,7.5,,,0
NDC,62935-153-50,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE [196851],112890.0,112890.0,,,0
NDC,62935-154-50,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE [196851],112890.0,112890.0,,,0
NDC,62935-227-10,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],6775.35,6775.35,,,0
NDC,62935-303-30,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE [35236],2693.4,2693.4,,,0
NDC,62935-305-29,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE [35236],2693.4,2693.4,,,0
NDC,62935-453-45,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],4040.05,4040.05,,,0
NDC,62935-454-44,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],4040.05,4040.05,,,0
NDC,62935-461-50,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],2820.0,2820.0,,,0
NDC,62935-753-75,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE [32893],673.35,673.35,,,0
NDC,62935-754-74,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE [32893],673.35,673.35,,,0
NDC,62935-756-80,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE [32893],470.0,470.0,,,0
NDC,62991-2856-1,LEVODOPA (BULK) POWDER [17131],5.625,5.625,,,0
NDC,63004-8710-1,CORTICOTROPIN 80 UNIT/ML INJECTION GEL [9685],29169.0,29169.0,,,0
NDC,63020-049-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],4076.2,4076.2,,,0
NDC,63037-155-25,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE [128612],28.0,28.0,,,0
NDC,6304462201,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [38978],5.0,5.0,,,0
NDC,63090-340-30,PIMAVANSERIN 34 MG CAPSULE [190776],506.5,506.5,,,0
NDC,63256-200-04,STERILE TALC 5 GRAM INTRAPLEURAL SUSPENSION [37812],99.5,99.5,,,0
NDC,63256-200-05,STERILE TALC 5 GRAM INTRAPLEURAL SUSPENSION [37812],487.5,487.5,,,0
NDC,63304-241-59,CALCITRIOL 1 MCG/ML ORAL SOLUTION [16218],21.84,21.84,,,0
NDC,63304-296-01,HYDROXYCHLOROQUINE 200 MG TABLET [10235],7.5,7.5,,,0
NDC,63304-758-01,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]",5.15,5.15,,,0
NDC,63323-010-02,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],10.65,10.65,,,0
NDC,63323-011-15,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION [25518],144.21,144.21,,,0
NDC,63323-012-01,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],5.0,5.0,,,0
NDC,63323-012-11,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],5.0,5.0,,,0
NDC,63323-012-17,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],5.0,5.0,,,0
NDC,63323-013-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],49.47,49.47,,,0
NDC,63323-025-10,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION [1676]",443.02,443.02,,,0
NDC,63323-030-11,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION [1676]",443.0,443.0,,,0
NDC,63323-032-61,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION [7302],38.0,38.0,,,0
NDC,63323-047-10,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION WRAPPER [40816033]",13.73,13.73,,,0
NDC,63323-064-01,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],7.574999999999999,7.574999999999999,,,0
NDC,63323-064-04,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],5.0,5.0,,,0
NDC,63323-064-11,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],5.0,5.0,,,0
NDC,63323-093-01,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],27.0,27.0,,,0
NDC,63323-095-02,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],21.0,21.0,,,0
NDC,63323-103-51,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],40.28,40.28,,,0
NDC,63323-106-01,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],893.0,893.0,,,0
NDC,63323-106-05,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [127496],56.25,56.25,,,0
NDC,63323-106-10,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION [127572]",515.0,515.0,,,0
NDC,63323-106-15,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [127571],22.5,22.5,,,0
NDC,63323-113-10,PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],314.38,314.38,,,0
NDC,63323-117-20,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [82204],20.65,20.65,,,0
NDC,63323-117-51,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION - AMBULATORY [600025],45.81999999999999,45.81999999999999,,,0
NDC,63323-117-59,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],14.99,14.99,,,0
NDC,63323-117-61,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],15.96,15.96,,,0
NDC,63323-120-20,CYTARABINE (ARA-C/CYTOSTAR) 100 MG/ML INJECTION FOR SC USE [408902],34.905,34.905,,,0
NDC,63323-123-10,METHOTREXATE SODIUM (NON-ONCOLOGY) 25 MG/ML INJECTION [500939],10.485,10.485,,,0
NDC,63323-127-00,DACARBAZINE 100 MG INTRAVENOUS SOLUTION [2090],45.02,45.02,,,0
NDC,63323-127-10,DACARBAZINE 100 MG INTRAVENOUS SOLUTION [2090],45.02,45.02,,,0
NDC,63323-128-20,DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],125.195,125.195,,,0
NDC,63323-130-11,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],200.91000000000003,200.91000000000003,,,0
NDC,63323-132-10,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [93747]",597.18,597.18,,,0
NDC,63323-136-10,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],100.57,100.57,,,0
NDC,63323-140-10,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],812.81,812.81,,,0
NDC,63323-142-10,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],123.9,123.9,,,0
NDC,63323-142-12,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],123.9,123.9,,,0
NDC,63323-145-07,FLOXURIDINE 0.5 GRAM SOLUTION FOR INJECTION [3177],285.5,285.5,,,0
NDC,63323-161-00,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],5.0,5.0,,,0
NDC,63323-161-01,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],5.0,5.0,,,0
NDC,63323-162-00,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],5.0,5.0,,,0
NDC,63323-162-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],5.0,5.0,,,0
NDC,63323-162-12,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],5.0,5.0,,,0
NDC,63323-167-21,CARBOPLATIN 150 MG INTRAVENOUS SOLUTION [9410],1035.55,1035.55,,,0
NDC,63323-170-15,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],22.735,22.735,,,0
NDC,63323-172-60,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],218.82,218.82,,,0
NDC,63323-173-02,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [127326],56.725,56.725,,,0
NDC,63323-180-01,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION [6744],38.57,38.57,,,0
NDC,63323-184-10,FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],10.08,10.08,,,0
NDC,63323-187-30,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],16.5,16.5,,,0
NDC,63323-201-10,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],5.6,5.6,,,0
NDC,63323-205-21,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [192030],337.125,337.125,,,0
NDC,63323-205-31,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [192030],210.375,210.375,,,0
NDC,63323-208-05,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION [126252],7.43,7.43,,,0
NDC,63323-221-10,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],50.519999999999996,50.519999999999996,,,0
NDC,63323-229-05,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],35.78,35.78,,,0
NDC,63323-229-30,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],107.38,107.38,,,0
NDC,63323-236-10,CEFAZOLIN 500 MG SOLUTION FOR INJECTION [1448],12.42,12.42,,,0
NDC,63323-241-20,SODIUM GLYCEROPHOSPHATE 1 MMOL/ML INTRAVENOUS SOLUTION [162529],52.9,52.9,,,0
NDC,63323-258-03,METHYLPREDNISOLONE SOD SUCC 125 MG (INGREDIENT NEURO OPTIME MIXTURE) [500571],14.06,14.06,,,0
NDC,63323-262-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION WRAPPER [40816033]",5.01,5.01,,,0
NDC,63323-262-06,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",5.175,5.175,,,0
NDC,63323-269-22,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],9.3,9.3,,,0
NDC,63323-269-29,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],8.0,8.0,,,0
NDC,63323-269-35,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],5.0,5.0,,,0
NDC,63323-269-50,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],41.25,41.25,,,0
NDC,63323-269-65,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],30.0,30.0,,,0
NDC,63323-276-02,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [126151]",15.45,15.45,,,0
NDC,63323-278-10,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION [8594],78.9,78.9,,,0
NDC,63323-281-10,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION [3216],30.93,30.93,,,0
NDC,63323-285-13,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],46.3,46.3,,,0
NDC,63323-285-23,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],46.5,46.5,,,0
NDC,63323-285-63,ROPIVACAINE (PF) 0.2 % EPIDURAL [40017126],326.0,326.0,,,0
NDC,63323-285-65,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],33.1,33.1,,,0
NDC,63323-286-00,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],30.1,30.1,,,0
NDC,63323-286-05,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],22.0,22.0,,,0
NDC,63323-286-23,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],27.625,27.625,,,0
NDC,63323-286-35,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],20.1,20.1,,,0
NDC,63323-293-01,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION [10529],19.0,19.0,,,0
NDC,63323-293-37,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION [10529],17.6,17.6,,,0
NDC,63323-294-27,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [105638],24.299999999999997,24.299999999999997,,,0
NDC,63323-296-57,MEPIVACAINE 2 % INJECTION SOLUTION [4915],5.0,5.0,,,0
NDC,63323-303-51,TOBRAMYCIN IN CEMENT (OR OPTIME) [350148],498.22499999999997,498.22499999999997,,,0
NDC,63323-303-55,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],1181.25,1181.25,,,0
NDC,63323-306-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],9.29,9.29,,,0
NDC,63323-306-02,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],9.29,9.29,,,0
NDC,63323-306-30,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],7.72,7.72,,,0
NDC,63323-315-10,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],231.5,231.5,,,0
NDC,63323-322-25,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],94.32,94.32,,,0
NDC,63323-325-10,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],72.30000000000001,72.30000000000001,,,0
NDC,63323-325-20,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],134.8,134.8,,,0
NDC,63323-351-20,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],26.76,26.76,,,0
NDC,63323-356-10,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],285.65999999999997,285.65999999999997,,,0
NDC,63323-358-10,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION [29568],349.2,349.2,,,0
NDC,63323-360-01,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],77.0,77.0,,,0
NDC,63323-360-19,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],77.0,77.0,,,0
NDC,63323-360-59,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],31.5,31.5,,,0
NDC,63323-369-20,AMPICILLIN-SULBACTAM 3 GRAM INJECTION (MG OF AMPICILLIN) [359084],18.83,18.83,,,0
NDC,63323-376-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],15.55,15.55,,,0
NDC,63323-377-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],52.36,52.36,,,0
NDC,63323-385-10,CEFOTETAN 1 GRAM SOLUTION FOR INJECTION [9458],43.91,43.91,,,0
NDC,63323-386-20,CEFOTETAN 2 GRAM SOLUTION FOR INJECTION [9460],87.82,87.82,,,0
NDC,63323-387-10,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],5.06,5.06,,,0
NDC,63323-388-10,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],5.59,5.59,,,0
NDC,63323-389-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],11.08,11.08,,,0
NDC,63323-401-20,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],109.68,109.68,,,0
NDC,63323-402-20,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],221.18,221.18,,,0
NDC,63323-403-01,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],14.15,14.15,,,0
NDC,63323-403-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],12.61,12.61,,,0
NDC,63323-403-04,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],72.1,72.1,,,0
NDC,63323-403-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],59.95,59.95,,,0
NDC,63323-415-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [164135],7.5,7.5,,,0
NDC,63323-418-20,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],830.3,830.3,,,0
NDC,63323-434-00,ACETAMINOPHEN 10 MG/ML INTRAVENOUS WRAPPER UNLOCKED FREQUENCY [40814029],25.689999999999998,25.689999999999998,,,0
NDC,63323-434-41,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",64.225,64.225,,,0
NDC,63323-452-00,MORPHINE 2 MG/ML INJECTION SOLUTION [119074],7.96,7.96,,,0
NDC,63323-454-00,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION WRAPPER [40816120],13.37,13.37,,,0
NDC,63323-454-01,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION WRAPPER [40816120],13.37,13.37,,,0
NDC,63323-462-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [106364]",16.44,16.44,,,0
NDC,63323-468-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [105633]",20.814999999999998,20.814999999999998,,,0
NDC,63323-468-02,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [105633]",5.25,5.25,,,0
NDC,63323-468-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [105633]",15.25,15.25,,,0
NDC,63323-477-27,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [1634],91.4,91.4,,,0
NDC,63323-478-27,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION [1635],96.0,96.0,,,0
NDC,63323-482-17,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",5.0,5.0,,,0
NDC,63323-483-27,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",5.0,5.0,,,0
NDC,63323-484-57,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION [4451],12.5,12.5,,,0
NDC,63323-485-27,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],5.0,5.0,,,0
NDC,63323-486-17,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],8.95,8.95,,,0
NDC,63323-487-17,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [15985]",5.0,5.0,,,0
NDC,63323-487-31,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [15985]",5.0,5.0,,,0
NDC,63323-487-37,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [15985]",5.0,5.0,,,0
NDC,63323-488-37,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION [15956]",5.0,5.0,,,0
NDC,63323-489-27,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",26.9,26.9,,,0
NDC,63323-492-27,LIDOCAINE (PF) 10 MG/ML (1%) INTRACAROTID FOR BRADYCARDIA (OPTIME) [500555],5.0,5.0,,,0
NDC,63323-492-37,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],9.3,9.3,,,0
NDC,63323-492-97,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],12.35,12.35,,,0
NDC,63323-493-91,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION [4453],35.3,35.3,,,0
NDC,63323-495-27,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],98.75,98.75,,,0
NDC,63323-506-00,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],12.48,12.48,,,0
NDC,63323-506-01,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],15.15,15.15,,,0
NDC,63323-507-20,MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],44.39,44.39,,,0
NDC,63323-508-30,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],67.885,67.885,,,0
NDC,63323-523-01,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [24329]",40.0,40.0,,,0
NDC,63323-530-75,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION FOR BURN ORDER SET [40818102],12.5,12.5,,,0
NDC,63323-533-83,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],28.53,28.53,,,0
NDC,63323-535-08,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],28.34,28.34,,,0
NDC,63323-535-87,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],62.0,62.0,,,0
NDC,63323-537-01,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],77.645,77.645,,,0
NDC,63323-537-84,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],77.645,77.645,,,0
NDC,63323-540-15,HEPARIN FOR NEBULIZATION [350161],11.2,11.2,,,0
NDC,63323-540-31,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",19.05,19.05,,,0
NDC,63323-545-01,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION [123435],5.0,5.0,,,0
NDC,63323-564-21,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],62.05,62.05,,,0
NDC,63323-566-21,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],27.17,27.17,,,0
NDC,63323-568-90,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],37.9,37.9,,,0
NDC,63323-579-01,SINCALIDE 5 MCG SOLUTION FOR INJECTION [11368],412.95,412.95,,,0
NDC,63323-579-05,SINCALIDE 5 MCG SOLUTION FOR INJECTION [11368],320.51,320.51,,,0
NDC,63323-580-03,ATROPINE 8 MG/20 ML FOR CHOLINERGIC TOXICITY [40816093],116.59,116.59,,,0
NDC,63323-586-21,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],92.93,92.93,,,0
NDC,63323-586-96,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],92.93,92.93,,,0
NDC,63323-596-11,GLUCAGON 1 MG INJECTION SOLUTION WRAPPER [400621],529.2,529.2,,,0
NDC,63323-596-13,GLUCAGON 1 MG INJECTION SOLUTION WRAPPER [400621],656.6,656.6,,,0
NDC,63323-597-10,DEFEROXAMINE (DESFERAL) 500 MG VIAL COMPONENT FOR IV MIXTURE [40817050],92.25,92.25,,,0
NDC,63323-605-84,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],42.72,42.72,,,0
NDC,63323-607-01,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],27.39,27.39,,,0
NDC,63323-607-88,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],27.39,27.39,,,0
NDC,63323-609-01,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],35.975,35.975,,,0
NDC,63323-614-00,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],8.024999999999999,8.024999999999999,,,0
NDC,63323-614-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],8.235,8.235,,,0
NDC,63323-616-03,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],5.25,5.25,,,0
NDC,63323-623-74,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FREEFLEX BAG [40815006],1.0,1.0,,,0
NDC,63323-623-75,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FREEFLEX BAG [40815006],1.0,1.0,,,0
NDC,63323-623-76,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FREEFLEX BAG [40815006],1.0,1.0,,,0
NDC,63323-648-10,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION [113058],142.96,142.96,,,0
NDC,63323-651-21,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE [8975],53.33,53.33,,,0
NDC,63323-651-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],131.87,131.87,,,0
NDC,63323-655-21,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],77.585,77.585,,,0
NDC,63323-655-99,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],77.585,77.585,,,0
NDC,63323-665-01,TERBUTALINE 1 MG/ML BOLUS INJECTION (ONE-STEP) [350114],5.02,5.02,,,0
NDC,63323-673-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],102.75,102.75,,,0
NDC,63323-695-04,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION [122],25.244999999999997,25.244999999999997,,,0
NDC,63323-710-50,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION [15426],77.2,77.2,,,0
NDC,63323-711-00,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION [23617],5.0,5.0,,,0
NDC,63323-715-01,FULVESTRANT (FRESENIUS KABI) 250 MG/5 ML INTRAMUSCULAR SYRINGE [40816171],3493.5,3493.5,,,0
NDC,63323-715-05,FULVESTRANT (FRESENIUS KABI) 250 MG/5 ML INTRAMUSCULAR SYRINGE [40816171],3493.5,3493.5,,,0
NDC,63323-724-01,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],30.0,30.0,,,0
NDC,63323-728-01,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [41144],187.425,187.425,,,0
NDC,63323-728-10,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [41144],124.95,124.95,,,0
NDC,63323-739-11,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [127439],5.0,5.0,,,0
NDC,63323-739-12,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [127439],5.0,5.0,,,0
NDC,63323-751-00,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],13.45,13.45,,,0
NDC,63323-751-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],13.5,13.5,,,0
NDC,63323-763-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",156.4,156.4,,,0
NDC,63323-820-00,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [184172],211.5,211.5,,,0
NDC,63323-820-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [184172],211.25,211.25,,,0
NDC,63323-820-03,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [184172],62.5,62.5,,,0
NDC,63323-820-50,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [184172],70.45,70.45,,,0
NDC,63323-820-74,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [184172],89.5,89.5,,,0
NDC,63323-851-15,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],77.23,77.23,,,0
NDC,63323-852-03,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION [119715],5.0,5.0,,,0
NDC,63323-852-25,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION [119715],6.525,6.525,,,0
NDC,63323-885-10,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION [193585],125.07,125.07,,,0
NDC,63323-890-10,LEVOTHYROXINE 40 MCG/ML INTRAVENOUS SOLUTION [193586],140.07,140.07,,,0
NDC,63323-965-03,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],9.25,9.25,,,0
NDC,63323-965-10,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],5.0,5.0,,,0
NDC,63323-967-01,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],13.95,13.95,,,0
NDC,63323-970-02,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],264.8,264.8,,,0
NDC,6332325410,"MINERAL OIL, LIGHT STERILE [195470]",30.9,30.9,,,0
NDC,63361-243-88,"DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG [198841]",0.5,0.5,,,0
NDC,63402-204-07,ESLICARBAZEPINE 400 MG TABLET [169906],345.1,345.1,,,0
NDC,63402-204-30,ESLICARBAZEPINE 400 MG TABLET [169906],211.45,211.45,,,0
NDC,63402-208-30,ESLICARBAZEPINE 800 MG TABLET [169905],132.16,132.16,,,0
NDC,63402-302-30,LURASIDONE 20 MG TABLET [113587],419.265,419.265,,,0
NDC,63402-304-01,LURASIDONE 40 MG TABLET [107668],209.625,209.625,,,0
NDC,63402-304-30,LURASIDONE 40 MG TABLET [107668],209.635,209.635,,,0
NDC,63459-103-10,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION [195180],25085.32,25085.32,,,0
NDC,63459-104-50,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION [195180],25085.39,25085.39,,,0
NDC,63459-303-43,TRASTUZUMAB-PKRB 150 MG INTRAVENOUS SOLUTION [196297],5244.8,5244.8,,,0
NDC,63459-348-04,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [181121],19282.21,19282.21,,,0
NDC,63459-391-20,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [91300],18203.96,18203.96,,,0
NDC,63481-207-01,BUPRENORPHINE HCL 150 MCG BUCCAL FILM [180680],42.6,42.6,,,0
NDC,63481-529-10,"NEOMYCIN-COLIST-HC-THONZONM 3.3 MG-3 MG-10 MG-0.5 MG/ML EAR DROPS,SUSP [119023]",1061.0,1061.0,,,0
NDC,63713-019-85,MICROFIBRILLAR COLLAGEN (INSTAT MCH) HEMOSTAT 1G [350208],612.7,612.7,,,0
NDC,63713-390-55,"THROMBIN (HUM PLAS)-FIBRINOGEN-CA 800-1,200 UNIT/ML(5 ML X 2) TOP SOLN [181398]",2465.35,2465.35,,,0
NDC,6371301952,"CELLULOSE, OXIDIZED 4"" X 8"" PADS [400562]",286.39,286.39,,,0
NDC,6371301972,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE [28018]",30.174999999999997,30.174999999999997,,,0
NDC,63736-024-03,PERMETHRIN 1 % TOPICAL LIQUID [10918],38.65,38.65,,,0
NDC,6373612002,PERMETHRIN 1 % TOPICAL LIQUID [10918],42.48,42.48,,,0
NDC,63739-047-10,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],7.5,7.5,,,0
NDC,63739-048-10,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],7.5,7.5,,,0
NDC,63739-059-10,CLINDAMYCIN HCL 150 MG CAPSULE [1740],7.5,7.5,,,0
NDC,63739-192-10,PHENOBARBITAL 16.2 MG TABLET [6215],15.0,15.0,,,0
NDC,63739-212-02,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",15.035,15.035,,,0
NDC,63739-251-10,VALPROIC ACID 250 MG CAPSULE [8429],5.0,5.0,,,0
NDC,63739-284-10,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",7.505,7.505,,,0
NDC,63739-293-10,METOCLOPRAMIDE 10 MG TABLET [5005],5.0,5.0,,,0
NDC,63739-375-10,GABAPENTIN 300 MG CAPSULE [18308],6.67,6.67,,,0
NDC,63739-411-10,LEVETIRACETAM 500 MG TABLET [26817],7.5,7.5,,,0
NDC,63739-435-10,SIMVASTATIN 5 MG TABLET [11367],15.0,15.0,,,0
NDC,63739-444-10,IBUPROFEN 800 MG TABLET [3845],5.0,5.0,,,0
NDC,63739-478-10,DOCUSATE SODIUM 100 MG CAPSULE [2566],7.5,7.5,,,0
NDC,63739-481-10,METOCLOPRAMIDE 5 MG TABLET [5006],7.5,7.5,,,0
NDC,63739-522-10,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",15.035,15.035,,,0
NDC,63739-570-10,SIMVASTATIN 5 MG TABLET [11367],15.0,15.0,,,0
NDC,63739-671-10,TRAMADOL 50 MG TABLET [14632],7.5,7.5,,,0
NDC,63739-689-10,GABAPENTIN 300 MG CAPSULE [18308],6.67,6.67,,,0
NDC,63739-691-10,IBUPROFEN 800 MG TABLET [3845],5.0,5.0,,,0
NDC,6380760055,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [126146]",5.0,5.0,,,0
NDC,63824-008-15,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [169805]",7.5,7.5,,,0
NDC,63833-386-02,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [170333]",1840.2,1840.2,,,0
NDC,63833-615-02,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION [70404],5826.03,5826.03,,,0
NDC,63833-616-02,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION [70405]",5826.03,5826.03,,,0
NDC,63833-617-02,"ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION [70406]",2.19,2.19,,,0
NDC,63833-825-02,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT [100272],25918.4,25918.4,,,0
NDC,63833-835-01,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SOLUTION [130504],25918.4,25918.4,,,0
NDC,63833-891-51,"FIBRINOGEN 1 GRAM (900 MG-1,300 MG) INTRAVENOUS SOLUTION [96989]",25.26,25.26,,,0
NDC,64193-425-02,"ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN [126130]",2.07,2.07,,,0
NDC,64208-8234-6,"IMMUNE GLOBULIN,GAMMA(IGG) 5 %-SORB-GLY-IGA 0 TO 50 MCG/ML IV SOLUTION [178363]",16786.84,16786.84,,,0
NDC,64208-8234-7,"IMMUNE GLOBULIN,GAMMA(IGG) 5 %-SORB-GLY-IGA 0 TO 50 MCG/ML IV SOLUTION [178363]",16786.84,16786.84,,,0
NDC,64208-8234-8,"IMMUNE GLOBULIN,GAMMA(IGG) 5 %-SORB-GLY-IGA 0 TO 50 MCG/ML IV SOLUTION [178363]",16786.84,16786.84,,,0
NDC,6425333335,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [126146]",5.0,5.0,,,0
NDC,64281-100-06,METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION [27032],231.1,231.1,,,0
NDC,64281-110-06,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN [197775],3845.88,3845.88,,,0
NDC,64281-112-00,METHACHOLINE CHLOR IN NS FOR BRONCHOPRVCTN - 0.0625 MG/ML [300058],215.37,215.37,,,0
NDC,64281-113-00,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 0.25 MG/ML DILUTION D [300070],213.66,213.66,,,0
NDC,64281-114-00,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 1 MG/ML - DILUTION C [300073],213.66,213.66,,,0
NDC,64281-115-00,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 4 MG/ML - DILUTION B [300072],213.66,213.66,,,0
NDC,64281-116-00,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 16 MG/ML - DILUTION A [300071],213.66,213.66,,,0
NDC,64370-532-01,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],824.81,824.81,,,0
NDC,64370-532-02,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [41673],824.86,824.86,,,0
NDC,64380-166-01,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],165.55,165.55,,,0
NDC,64380-172-01,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],12.5,12.5,,,0
NDC,64380-175-01,OLANZAPINE 20 MG DISINTEGRATING TABLET [28162],5.6,5.6,,,0
NDC,64380-176-01,TRANYLCYPROMINE 10 MG TABLET [11574],7.5,7.5,,,0
NDC,64380-203-01,DOXEPIN 3 MG TABLET [105422],23.625,23.625,,,0
NDC,64380-797-01,OSELTAMIVIR 30 MG CAPSULE [88704],9.715,9.715,,,0
NDC,64380-799-01,OSELTAMIVIR 75 MG CAPSULE [26546],7.4,7.4,,,0
NDC,64380-885-04,CINACALCET 90 MG TABLET [38102],5.515000000000001,5.515000000000001,,,0
NDC,64406-008-01,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [40120],24800.03,24800.03,,,0
NDC,64406-058-01,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION [185377],625000.0,625000.0,,,0
NDC,64406-109-01,TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION [207230],71150.0,71150.0,,,0
NDC,64406-801-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 250 UNIT INTRAVENOUS SOLUTION [170430]",999.9,999.9,,,0
NDC,64406-802-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION [170431]",1999.8,1999.8,,,0
NDC,64406-803-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 750 UNIT INTRAVENOUS SOLUTION [170432]",4.0,4.0,,,0
NDC,64406-804-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION [170433]",3999.6,3999.6,,,0
NDC,64406-805-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,500 UNIT INTRAVENOUS SOLUTION [170434]",5999.4,5999.4,,,0
NDC,64406-806-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION [170435]",7999.2,7999.2,,,0
NDC,64406-807-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION [170436]",11998.8,11998.8,,,0
NDC,64406-808-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION [186144]",15998.4,15998.4,,,0
NDC,64406-911-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION [170116]",2970.0,2970.0,,,0
NDC,64406-922-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION [170117]",5940.0,5940.0,,,0
NDC,64406-933-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION [170118]",11880.0,11880.0,,,0
NDC,64406-944-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION [170119]",17820.0,17820.0,,,0
NDC,64679-728-01,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],115.55,115.55,,,0
NDC,64679-922-02,CEFUROXIME AXETIL 500 MG TABLET [9496],5.0,5.0,,,0
NDC,64764-130-01,"ADAMTS13, RECOMBINANT-KRHN 500 (+/-) UNIT INTRAVENOUS KIT [209462]",21710.0,21710.0,,,0
NDC,64764-135-01,"ADAMTS13, RECOMBINANT-KRHN 1,500 (+/-) UNIT INTRAVENOUS KIT [209463]",21710.0,21710.0,,,0
NDC,64764-140-05,"ADAMTS13, RECOMBINANT-KRHN 500 (+/-) UNIT INTRAVENOUS KIT [209462]",21710.0,21710.0,,,0
NDC,64764-145-05,"ADAMTS13, RECOMBINANT-KRHN 1,500 (+/-) UNIT INTRAVENOUS KIT [209463]",21710.0,21710.0,,,0
NDC,64764-300-20,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [170359],24095.0,24095.0,,,0
NDC,64764-720-30,VORTIOXETINE 5 MG TABLET [164784],124.3,124.3,,,0
NDC,64764-730-30,VORTIOXETINE 10 MG TABLET [164785],58.36,58.36,,,0
NDC,64764-918-30,FEBUXOSTAT 40 MG TABLET [97133],37.4,37.4,,,0
NDC,64896-661-01,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE [177015]",18.64,18.64,,,0
NDC,64896-699-13,"OXYMORPHONE ER 20 MG TABLET,EXTENDED RELEASE,12 HR [113691]",60.300000000000004,60.300000000000004,,,0
NDC,64950-216-10,ISONIAZID 100 MG TABLET [4026],8.52,8.52,,,0
NDC,64950-217-10,ISONIAZID 300 MG TABLET [4027],7.135,7.135,,,0
NDC,64950-342-05,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SYRUP WRAPPER [408143724],26.814999999999998,26.814999999999998,,,0
NDC,64950-378-96,SILVER NITRATE 0.5 % TOPICAL SOLUTION [28001],1248.0,1248.0,,,0
NDC,64980-178-02,CHLOROQUINE 500 MG TABLET [1638],11.35,11.35,,,0
NDC,64980-182-10,SODIUM BICARBONATE 650 MG TABLET [7312],7.5,7.5,,,0
NDC,64980-293-01,PERPHENAZINE 16 MG TABLET [6156],5.0,5.0,,,0
NDC,64980-320-05,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE [8121],176.7,176.7,,,0
NDC,64980-403-50,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION [9466],275.75,275.75,,,0
NDC,64980-407-09,EFAVIRENZ 200 MG CAPSULE [23900],83.7,83.7,,,0
NDC,64980-409-06,SERTRALINE 20 MG/ML ORAL CONCENTRATE [28011],6.68,6.68,,,0
NDC,64980-429-63,TRIAMCINOLONE ACETONIDE 0.147 MG/GRAM TOPICAL AEROSOL [19770],907.52,907.52,,,0
NDC,64980-504-48,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP [2032],5.1,5.1,,,0
NDC,64980-513-05,TIMOLOL MALEATE 0.25 % EYE DROPS [11561],24.35,24.35,,,0
NDC,64980-526-60,NITAZOXANIDE 500 MG TABLET [39254],520.37,520.37,,,0
NDC,64980-566-01,DAPSONE 100 MG TABLET [2131],5.0,5.0,,,0
NDC,64980-566-03,DAPSONE 100 MG TABLET [2131],5.0,5.0,,,0
NDC,64980-567-01,DAPSONE 25 MG TABLET [2132],10.0,10.0,,,0
NDC,64980-588-05,EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION [9916],18574.09,18574.09,,,0
NDC,64980-588-51,EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION [9916],18574.09,18574.09,,,0
NDC,64980-593-24,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],3715.65,3715.65,,,0
NDC,6498014612,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET [10384]",5.0,5.0,,,0
NDC,6498033901,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],5.0,5.0,,,0
NDC,65145-118-01,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],35.98,35.98,,,0
NDC,65145-126-01,ARGATROBAN 1 MG/ML IN SODIUM CHLORIDE IV INFUSION [351045],560.0,560.0,,,0
NDC,65145-129-01,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],12.2,12.2,,,0
NDC,65145-146-01,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],5.12,5.12,,,0
NDC,65162-053-50,CITALOPRAM 20 MG TABLET [21062],7.5,7.5,,,0
NDC,65162-0698-02,GABAPENTIN 50 MG/ML ORAL SOLUTION [40815062],5.0,5.0,,,0
NDC,65162-0698-05,GABAPENTIN 50 MG/ML ORAL SOLUTION [40815062],6.54,6.54,,,0
NDC,65162-280-03,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR [100011]",21.28,21.28,,,0
NDC,65162-513-10,SALSALATE 750 MG TABLET [7035],10.12,10.12,,,0
NDC,65162-596-06,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [27644]",18.28,18.28,,,0
NDC,65162-668-10,PRENATAL VITAMINS WITH CALCIUM NO.72-IRON 27 MG-FOLIC ACID 1 MG TABLET [129072],5.0,5.0,,,0
NDC,65162-669-10,ACEBUTOLOL 200 MG CAPSULE [8939],7.5,7.5,,,0
NDC,65162-681-10,PHENAZOPYRIDINE 100 MG TABLET [6193],7.5,7.5,,,0
NDC,65162-682-10,PHENAZOPYRIDINE 200 MG TABLET [6194],5.0,5.0,,,0
NDC,65162-693-88,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],5308.8,5308.8,,,0
NDC,65162-698-90,GABAPENTIN 50 MG/ML ORAL SOLUTION [40815062],510.84,510.84,,,0
NDC,65162-703-86,FLUOCINOLONE 0.01 % SCALP OIL AND SHOWER CAP [10057],733.93,733.93,,,0
NDC,65162-766-10,WARFARIN 5 MG TABLET [8751],7.5,7.5,,,0
NDC,65162-782-03,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [163746]",108.465,108.465,,,0
NDC,65162-783-03,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [163747]",54.235,54.235,,,0
NDC,65162-842-06,LUBIPROSTONE 24 MCG CAPSULE [70472],5.0,5.0,,,0
NDC,65162-913-22,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [38103],6093.0,6093.0,,,0
NDC,65162-914-46,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],134.55,134.55,,,0
NDC,65219-052-09,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],63.28999999999999,63.28999999999999,,,0
NDC,65219-052-29,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],52.75,52.75,,,0
NDC,65219-162-01,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [192598]",37.0,37.0,,,0
NDC,65219-256-00,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION [12587],21.65,21.65,,,0
NDC,65219-295-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],711.5,711.5,,,0
NDC,65219-368-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],8.75,8.75,,,0
NDC,65219-380-30,ALLOPURINOL 500 MG INTRAVENOUS SOLUTION [25408],2714.78,2714.78,,,0
NDC,65219-429-50,ARGATROBAN 1 MG/ML IN SODIUM CHLORIDE IV INFUSION [351045],509.5,509.5,,,0
NDC,65219-433-01,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],24.4,24.4,,,0
NDC,65219-436-02,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],18.55,18.55,,,0
NDC,65219-470-05,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,65219-531-01,FAT EMULSION 20 % INTRAVENOUS [10014],335.0,335.0,,,0
NDC,65219-531-10,FAT EMULSION 20 % INTRAVENOUS [10014],335.0,335.0,,,0
NDC,65219-533-01,FAT EMULSION 20 % INTRAVENOUS [10014],203.75,203.75,,,0
NDC,65219-533-25,FAT EMULSION 20 % INTRAVENOUS [10014],205.0,205.0,,,0
NDC,65219-535-01,FAT EMULSION 20 % INTRAVENOUS [10014],90.0,90.0,,,0
NDC,65219-535-50,FAT EMULSION 20 % INTRAVENOUS [10014],90.0,90.0,,,0
NDC,65219-552-02,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073],61826.99,61826.99,,,0
NDC,65219-590-04,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [210462],6312.27,6312.27,,,0
NDC,65219-592-10,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION [210463],4724.65,4724.65,,,0
NDC,65219-594-20,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [210464],9449.3,9449.3,,,0
NDC,65219-622-02,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],13.53,13.53,,,0
NDC,65219-624-04,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],10.375,10.375,,,0
NDC,65219-650-50,MIDAZOLAM (VERSED) 1 MG/ML IN SODIUM CHLORIDE 0.9% INFUSION [192325],42.5,42.5,,,0
NDC,65219-658-01,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [129442],112.5,112.5,,,0
NDC,65219-828-05,USTEKINUMAB-AAUZ 130 MG/26 ML INTRAVENOUS SOLUTION [214073],12200.369999999999,12200.369999999999,,,0
NDC,65293-015-03,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION [170944],13928.36,13928.36,,,0
NDC,65483-116-07,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION [8993],7404.1,7404.1,,,0
NDC,65597-406-01,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [195554],41410.12,41410.12,,,0
NDC,65597-701-18,COLESEVELAM 625 MG TABLET [28372],56.545,56.545,,,0
NDC,65597-801-01,DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION [213708],65344.7,65344.7,,,0
NDC,65628-050-04,LIDOCAINE-DIPHENHYD-AL-MAG-SIM 200MG-25MG-400MG-400MG-40MG/30ML [400563],9.3,9.3,,,0
NDC,65649-150-90,METHYLNALTREXONE 150 MG TABLET [184189],155.98,155.98,,,0
NDC,65649-301-03,RIFAXIMIN 200 MG TABLET [39063],141.55,141.55,,,0
NDC,65649-303-03,RIFAXIMIN 550 MG TABLET [104604],82.53,82.53,,,0
NDC,65649-311-12,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION [9525],254.78,254.78,,,0
NDC,65649-551-02,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION [91651],263.32,263.32,,,0
NDC,65757-300-01,"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE [76527]",6119.25,6119.25,,,0
NDC,65757-302-02,"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE [76527]",6119.25,6119.25,,,0
NDC,65757-402-01,"ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4 ML SUSPENSION, EXT.REL. IM SYRINGE [179934]",7392.6,7392.6,,,0
NDC,65757-404-01,"ARIPIPRAZOLE LAUROXIL ER 1,064 MG/3.9 ML SUSPENSION,EXT.REL IM SYRINGE [187380]",13255.75,13255.75,,,0
NDC,65862-012-05,SERTRALINE 50 MG TABLET [11351],7.5,7.5,,,0
NDC,65862-016-01,AMOXICILLIN 250 MG CAPSULE [450],10.0,10.0,,,0
NDC,65862-017-01,AMOXICILLIN 500 MG CAPSULE [451],7.5,7.5,,,0
NDC,65862-048-24,ZIDOVUDINE 10 MG/ML ORAL SYRUP [11693],174.0,174.0,,,0
NDC,65862-050-90,SIMVASTATIN 5 MG TABLET [11367],15.0,15.0,,,0
NDC,65862-076-01,CIPROFLOXACIN 250 MG TABLET [25118],10.0,10.0,,,0
NDC,65862-079-30,TERBINAFINE HCL 250 MG TABLET [12724],7.5,7.5,,,0
NDC,65862-080-01,GLYBURIDE 1.25 MG-METFORMIN 250 MG TABLET [28723],7.5,7.5,,,0
NDC,65862-081-01,GLYBURIDE 2.5 MG-METFORMIN 500 MG TABLET [28724],5.0,5.0,,,0
NDC,65862-082-01,GLYBURIDE 5 MG-METFORMIN 500 MG TABLET [28725],5.0,5.0,,,0
NDC,65862-095-20,CEFPODOXIME 100 MG TABLET [9468],12.555,12.555,,,0
NDC,65862-096-20,CEFPODOXIME 200 MG TABLET [9469],48.865,48.865,,,0
NDC,65862-169-01,ATENOLOL 50 MG TABLET [718],5.0,5.0,,,0
NDC,65862-290-84,RIBAVIRIN 200 MG CAPSULE [11286],12.85,12.85,,,0
NDC,65862-301-30,EMTRICITABINE 200 MG CAPSULE [36252],62.7,62.7,,,0
NDC,65862-313-30,"DIDANOSINE 400 MG CAPSULE,DELAYED RELEASE [29110]",33.17,33.17,,,0
NDC,65862-357-90,CLOPIDOGREL 75 MG TABLET [22142],5.0,5.0,,,0
NDC,65862-459-60,GALANTAMINE 8 MG TABLET [29807],11.04,11.04,,,0
NDC,65862-497-30,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET [76835],7.64,7.64,,,0
NDC,65862-527-30,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",10.0,10.0,,,0
NDC,65862-527-90,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",10.0,10.0,,,0
NDC,65862-534-50,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],52.0,52.0,,,0
NDC,65862-536-50,LEVOFLOXACIN 250 MG TABLET [18918],10.0,10.0,,,0
NDC,65862-537-50,LEVOFLOXACIN 500 MG TABLET [18919],6.25,6.25,,,0
NDC,65862-538-20,LEVOFLOXACIN 750 MG TABLET [28964],5.0,5.0,,,0
NDC,65862-582-01,AMLODIPINE 2.5 MG-BENAZEPRIL 10 MG CAPSULE [14820],7.5,7.5,,,0
NDC,65862-583-01,AMLODIPINE 5 MG-BENAZEPRIL 10 MG CAPSULE [14821],7.5,7.5,,,0
NDC,65862-596-02,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],356.0,356.0,,,0
NDC,65862-597-60,LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET [21810],56.74,56.74,,,0
NDC,65862-603-30,MOXIFLOXACIN 400 MG TABLET [26854],42.55,42.55,,,0
NDC,65862-670-01,REPAGLINIDE 0.5 MG TABLET [22584],10.0,10.0,,,0
NDC,65862-676-01,ALPRAZOLAM 0.25 MG TABLET [324],15.0,15.0,,,0
NDC,65862-678-01,ALPRAZOLAM 1 MG TABLET [326],7.5,7.5,,,0
NDC,65862-700-20,CEFUROXIME AXETIL 500 MG TABLET [9496],12.84,12.84,,,0
NDC,65862-700-60,CEFUROXIME AXETIL 500 MG TABLET [9496],11.77,11.77,,,0
NDC,65862-732-60,AMIODARONE 200 MG TABLET [9066],7.5,7.5,,,0
NDC,65862-746-30,"GALANTAMINE ER 24 MG 24 HR CAPSULE,EXTENDED RELEASE [41140]",5.0,5.0,,,0
NDC,65862-751-50,CEFIXIME 100 MG/5 ML ORAL SUSPENSION [9446],863.25,863.25,,,0
NDC,65862-758-90,PREGABALIN 25 MG CAPSULE [42162],17.5,17.5,,,0
NDC,65862-761-90,PREGABALIN 100 MG CAPSULE [42165],10.0,10.0,,,0
NDC,65862-830-30,PRASUGREL HCL 10 MG TABLET [98373],5.0,5.0,,,0
NDC,65862-846-01,CLOZAPINE 100 MG TABLET [9647],7.5,7.5,,,0
NDC,65862-895-10,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",10.649999999999999,10.649999999999999,,,0
NDC,65862-895-78,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",11.56,11.56,,,0
NDC,65862-896-10,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",6.05,6.05,,,0
NDC,65862-896-78,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",5.0,5.0,,,0
NDC,65862-930-08,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],142.53,142.53,,,0
NDC,65862-930-90,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],142.53,142.53,,,0
NDC,65862-931-08,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET [99695],71.27,71.27,,,0
NDC,65862-931-90,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET [99695],71.27,71.27,,,0
NDC,65862-998-30,ARMODAFINIL 200 MG TABLET [169888],5.1,5.1,,,0
NDC,66215-401-01,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION [129810],282.0,282.0,,,0
NDC,66215-402-01,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION [129810],282.0,282.0,,,0
NDC,66215-403-01,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION [130862],141.0,141.0,,,0
NDC,66215-501-15,MACITENTAN 10 MG TABLET [164891],1075.0,1075.0,,,0
NDC,66215-602-06,SELEXIPAG 200 MCG TABLET [181176],5402.96,5402.96,,,0
NDC,66215-608-06,SELEXIPAG 800 MCG TABLET [181179],2100.62,2100.62,,,0
NDC,66220-110-01,DEXRAZOXANE HCL (FOR EXTRAVASATION) 500 MG INTRAVENOUS SOLUTION [188141],6127.65,6127.65,,,0
NDC,66302-014-01,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION [178509],37500.0,37500.0,,,0
NDC,66302-101-01,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION [32931],48.36,48.36,,,0
NDC,66302-102-01,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION [32932],9400.675,9400.675,,,0
NDC,66302-105-01,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION [32933],21185.3,21185.3,,,0
NDC,66302-110-01,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION [32934],42370.6,42370.6,,,0
NDC,66302-206-03,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION [128540],13.04,13.04,,,0
NDC,66302-648-01,TREPROSTINIL 48 MCG CARTRIDGE WITH INHALER [203924],570.55,570.55,,,0
NDC,66553-008-01,SODIUM BICARBONATE 650 MG TABLET [7312],7.5,7.5,,,0
NDC,66647-0110-11,CARDIOPLEGIC SOLN #17(INDUCT 4:1) 50 MEQ/500 ML (POTASSIUM) PERFUSION [183049],530.0,530.0,,,0
NDC,66647-0110-12,CARDIOPLEGIC SOLUTION NO.19 (MAINT 4:1) 40MEQ/L (POTASSIUM) PERFUSION [185068],710.0,710.0,,,0
NDC,66647-7189-00,DIPHENHYDRAMINE HCL 25 MG/50 ML IN 0.9 % SODIUM CHLORIDE IV PIGGYBACK [130332],25.0,25.0,,,0
NDC,66647-7190-00,DIPHENHYDRAMINE HCL 50 MG/50 ML IN 0.9 % SODIUM CHLORIDE IV PIGGYBACK [130333],25.0,25.0,,,0
NDC,66658-113-01,PALIFERMIN 5.16 MG INTRAVENOUS SOLUTION [209120],12869.14,12869.14,,,0
NDC,66658-113-03,PALIFERMIN 5.16 MG INTRAVENOUS SOLUTION [209120],12869.14,12869.14,,,0
NDC,66658-113-06,PALIFERMIN 5.16 MG INTRAVENOUS SOLUTION [209120],12869.14,12869.14,,,0
NDC,66658-230-01,PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION [108060],163153.66,163153.66,,,0
NDC,66658-231-01,PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION [41675],154039.97,154039.97,,,0
NDC,66658-234-01,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE [31784],527.03,527.03,,,0
NDC,66658-234-07,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE [31784],527.03,527.03,,,0
NDC,66658-234-28,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE [31784],527.03,527.03,,,0
NDC,66685-1001-1,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],5.0,5.0,,,0
NDC,66685-1002-0,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],5.0,5.0,,,0
NDC,66689-008-02,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",5.0,5.0,,,0
NDC,66689-020-01,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [131011],15.95,15.95,,,0
NDC,66689-020-50,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [131011],15.95,15.95,,,0
NDC,66689-023-50,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],6.8,6.8,,,0
NDC,66689-031-50,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [77725],5.0,5.0,,,0
NDC,66689-037-99,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",5.0,5.0,,,0
NDC,66689-048-01,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],75.15,75.15,,,0
NDC,66689-048-50,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],75.15,75.15,,,0
NDC,66689-107-01,LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],74.0,74.0,,,0
NDC,66689-307-08,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],66.125,66.125,,,0
NDC,66689-347-02,SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],340.96500000000003,340.96500000000003,,,0
NDC,66689-401-50,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],19.65,19.65,,,0
NDC,66689-790-01,SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],20.0,20.0,,,0
NDC,66733-948-23,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION [37989],14620.145,14620.145,,,0
NDC,66733-958-23,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION [108072],14620.145,14620.145,,,0
NDC,66758-087-70,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION [22986]",1689.5,1689.5,,,0
NDC,66794-015-25,SEVOFLURANE 99.97 % INHALATION LIQUID [15119],3676.25,3676.25,,,0
NDC,66794-019-10,ISOFLURANE 99.9 % INHALATION LIQUID [130353],202.0,202.0,,,0
NDC,66794-151-01,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE [107798],367.2,367.2,,,0
NDC,66794-155-01,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SYRINGE [163144]",892.5,892.5,,,0
NDC,66794-155-02,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION [107799]",841.5,841.5,,,0
NDC,66794-156-01,"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SYRINGE [163145]",1759.5,1759.5,,,0
NDC,66794-157-01,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SYRINGE [163146]",3309.9,3309.9,,,0
NDC,66794-160-02,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION [77009],873.0,873.0,,,0
NDC,66794-206-02,AMPICILLIN-SULBACTAM 1.5 GRAM INJECTION (MG OF AMPICILLIN) [359083],24.54,24.54,,,0
NDC,66794-206-41,AMPICILLIN-SULBACTAM 1.5 GRAM INJECTION (MG OF AMPICILLIN) [359083],24.54,24.54,,,0
NDC,66794-207-02,AMPICILLIN-SULBACTAM 3 GRAM INJECTION (MG OF AMPICILLIN) [359084],39.73,39.73,,,0
NDC,66794-219-43,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [122641],37.5,37.5,,,0
NDC,66794-219-63,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [122641],150.0,150.0,,,0
NDC,66794-230-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],24.75,24.75,,,0
NDC,66794-230-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],12.86,12.86,,,0
NDC,66794-250-02,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],114.2,114.2,,,0
NDC,66794-255-02,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878],78.0,78.0,,,0
NDC,66794-255-42,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878],78.0,78.0,,,0
NDC,66887-004-10,TESTOSTERONE 75 MG IMPLANT PELLET [27456],442.5,442.5,,,0
NDC,66993-023-27,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],26.88,26.88,,,0
NDC,66993-078-96,FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER [40697],5.0,5.0,,,0
NDC,66993-079-96,FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER [40698],5.0,5.0,,,0
NDC,66993-080-96,FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER [40699],5.0,5.0,,,0
NDC,66993-409-32,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [27633]",5.2,5.2,,,0
NDC,66993-456-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET [165189],75.69,75.69,,,0
NDC,66993-457-30,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET [165190],50.46,50.46,,,0
NDC,66993-478-60,LAMIVUDINE 100 MG TABLET [24419],81.66,81.66,,,0
NDC,66993-586-97,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104566],651.0,651.0,,,0
NDC,66993-606-30,MIRTAZAPINE 7.5 MG TABLET [38421],15.0,15.0,,,0
NDC,66993-792-97,FLUTICASONE PROPIONATE 250 MCG/ACTUATION BLISTER POWDER FOR INHALATION [28249],675.0,675.0,,,0
NDC,67108-3565-9,MESNA 400 MG TABLET [20077],836.4300000000001,836.4300000000001,,,0
NDC,67253-182-10,AMPICILLIN 125 MG/5 ML ORAL SUSPENSION [467],14.5,14.5,,,0
NDC,67253-183-10,AMPICILLIN 250 MG/5 ML ORAL SUSPENSION [468],25.0,25.0,,,0
NDC,67253-203-10,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],17.0,17.0,,,0
NDC,67386-130-51,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION [196252],16099.5,16099.5,,,0
NDC,67386-201-11,SUCCIMER 100 MG CAPSULE [11438],247.34,247.34,,,0
NDC,67386-411-51,"ASPARAGINASE 10,000 UNIT SOLUTION FOR INJECTION [9146]",8752.895,8752.895,,,0
NDC,67386-820-19,DROXIDOPA 100 MG CAPSULE [169897],262.3,262.3,,,0
NDC,67457-124-10,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],33.7,33.7,,,0
NDC,67457-148-10,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],79.2,79.2,,,0
NDC,67457-181-00,KETAMINE 10 MG/ML INJECTION SOLUTION [4236],54.0,54.0,,,0
NDC,67457-181-20,KETAMINE 10 MG/ML INJECTION SOLUTION [4236],54.0,54.0,,,0
NDC,67457-182-00,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [82085],5.0,5.0,,,0
NDC,67457-182-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [82085],5.0,5.0,,,0
NDC,67457-187-50,ALLOPURINOL 500 MG INTRAVENOUS SOLUTION [25408],1721.2,1721.2,,,0
NDC,67457-195-01,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],43156.815,43156.815,,,0
NDC,67457-198-00,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],11.295,11.295,,,0
NDC,67457-198-03,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],11.295,11.295,,,0
NDC,67457-217-20,METHADONE 10 MG/ML INJECTION SOLUTION [10546],897.9,897.9,,,0
NDC,67457-218-10,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",10.2,10.2,,,0
NDC,67457-220-00,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [10358],357.48,357.48,,,0
NDC,67457-220-05,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [10358],357.48,357.48,,,0
NDC,67457-255-00,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [113475],86.0,86.0,,,0
NDC,67457-255-10,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [113475],86.0,86.0,,,0
NDC,67457-265-00,LEVETIRACETAM (KEPPRA) 1000 MG/100 ML MULTI BAG INFUSION [40817063],141.0,141.0,,,0
NDC,67457-265-10,LEVETIRACETAM (KEPPRA) 1000 MG/100 ML MULTI BAG INFUSION [40817063],141.0,141.0,,,0
NDC,67457-266-00,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [113477]",184.0,184.0,,,0
NDC,67457-266-10,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [113477]",184.0,184.0,,,0
NDC,67457-292-00,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],91.37,91.37,,,0
NDC,67457-292-02,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],91.37,91.37,,,0
NDC,67457-317-25,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],57.75,57.75,,,0
NDC,67457-339-00,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],13.64,13.64,,,0
NDC,67457-341-05,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],77.9,77.9,,,0
NDC,67457-380-12,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION WRAPPER [40817028],9.62,9.62,,,0
NDC,67457-380-25,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION WRAPPER [40817028],9.62,9.62,,,0
NDC,67457-390-54,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],53.45,53.45,,,0
NDC,67457-422-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],5.0,5.0,,,0
NDC,67457-423-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],11.25,11.25,,,0
NDC,67457-423-12,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],11.25,11.25,,,0
NDC,67457-426-00,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION WRAPPER [40817016],7.5,7.5,,,0
NDC,67457-426-12,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION WRAPPER [40817016],7.5,7.5,,,0
NDC,67457-430-10,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],98.5,98.5,,,0
NDC,67457-436-50,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],2254.11,2254.11,,,0
NDC,67457-445-60,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],556.43,556.43,,,0
NDC,67457-447-00,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],32.75,32.75,,,0
NDC,67457-450-10,CLADRIBINE (LEUSTATIN) SUBCUTANEOUS CHEMO SYRINGE [40817077],897.52,897.52,,,0
NDC,67457-469-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [99610],1713.97,1713.97,,,0
NDC,67457-473-00,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],6.27,6.27,,,0
NDC,67457-518-05,MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],4549.68,4549.68,,,0
NDC,67457-524-33,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [110306],1179.56,1179.56,,,0
NDC,67457-530-35,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],27.915,27.915,,,0
NDC,67457-623-10,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],14.33,14.33,,,0
NDC,67457-623-99,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],14.39,14.39,,,0
NDC,67457-629-10,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION [23124],49.22,49.22,,,0
NDC,67457-631-10,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],292.0,292.0,,,0
NDC,67457-658-10,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",1620.0,1620.0,,,0
NDC,67457-675-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],10649.1,10649.1,,,0
NDC,67457-705-75,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],44.9,44.9,,,0
NDC,67457-781-08,DOCETAXEL 160 MG/8 ML (20 MG/ML) INTRAVENOUS SOLUTION [116947],549.8,549.8,,,0
NDC,67457-814-00,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],11.04,11.04,,,0
NDC,67457-815-00,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],6.52,6.52,,,0
NDC,67457-816-00,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],6.3,6.3,,,0
NDC,67457-833-06,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [190749],16360.75,16360.75,,,0
NDC,67457-852-00,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],105.39000000000001,105.39000000000001,,,0
NDC,67457-852-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],20.54,20.54,,,0
NDC,67457-855-00,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [38703],6.45,6.45,,,0
NDC,67457-855-02,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [38703],8.69,8.69,,,0
NDC,67457-857-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],142.25,142.25,,,0
NDC,67457-863-01,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [127587],15.515,15.515,,,0
NDC,67457-887-00,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],111.0,111.0,,,0
NDC,67457-887-01,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],135.7,135.7,,,0
NDC,67457-889-10,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],627.6,627.6,,,0
NDC,67457-991-15,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION [195182],5448.525,5448.525,,,0
NDC,67618-109-28,DOCUSATE SODIUM 50 MG CAPSULE [2568],10.0,10.0,,,0
NDC,6761811128,DOCUSATE SODIUM 50 MG CAPSULE [2568],10.0,10.0,,,0
NDC,67684-1901-1,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION [169763],2684.35,2684.35,,,0
NDC,67684-1901-2,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION [169763],6120.0,6120.0,,,0
NDC,67684-2000-1,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION [164053],189.615,189.615,,,0
NDC,67684-2000-2,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION [164053],189.615,189.615,,,0
NDC,67684-2000-4,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION [164053],189.615,189.615,,,0
NDC,67684-2000-5,GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE [164052],144.76,144.76,,,0
NDC,67684-2000-6,GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE [164052],144.76,144.76,,,0
NDC,67684-2000-7,GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE [164052],144.76,144.76,,,0
NDC,67684-2001-1,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION [164053],189.615,189.615,,,0
NDC,67684-2001-3,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION [164053],189.615,189.615,,,0
NDC,67777-116-10,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [123643],5.0,5.0,,,0
NDC,67777-116-11,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [123643],5.0,5.0,,,0
NDC,67871-4790-6,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION [9984],1441.95,1441.95,,,0
NDC,67877-124-05,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],44.25,44.25,,,0
NDC,67877-124-25,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],30.5,30.5,,,0
NDC,67877-146-01,TEMAZEPAM 15 MG CAPSULE [7753],5.0,5.0,,,0
NDC,67877-197-90,AMLODIPINE 2.5 MG TABLET [9070],10.0,10.0,,,0
NDC,67877-216-60,CEFUROXIME AXETIL 500 MG TABLET [9496],5.0,5.0,,,0
NDC,67877-261-06,RIZATRIPTAN 5 MG TABLET [23376],7.5,7.5,,,0
NDC,67877-286-60,RILUZOLE 50 MG TABLET [16124],11.7,11.7,,,0
NDC,67877-320-01,IBUPROFEN 600 MG TABLET [3844],5.835,5.835,,,0
NDC,67877-416-90,VALSARTAN 80 MG TABLET [31209],10.0,10.0,,,0
NDC,67877-504-30,CINACALCET 60 MG TABLET [38101],6.25,6.25,,,0
NDC,67877-505-30,CINACALCET 90 MG TABLET [38102],5.0,5.0,,,0
NDC,67877-673-62,RUFINAMIDE 40 MG/ML ORAL SUSPENSION [108804],194.965,194.965,,,0
NDC,67877-732-95,LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],26.78,26.78,,,0
NDC,67877-753-60,DRONABINOL 2.5 MG CAPSULE [9904],17.3,17.3,,,0
NDC,67877-754-60,DRONABINOL 5 MG CAPSULE [9905],15.99,15.99,,,0
NDC,67919-020-10,ALVIMOPAN 12 MG CAPSULE [91870],571.58,571.58,,,0
NDC,67919-030-01,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION [176918],527.2,527.2,,,0
NDC,67979-002-01,HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT [170312],107418.9,107418.9,,,0
NDC,67979-511-43,TESTOSTERONE UNDECANOATE 750 MG/3 ML (250MG/ML) INTRAMUSCULAR SOLUTION [169969],5085.15,5085.15,,,0
NDC,68001-113-06,"LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR [93834]",7.5,7.5,,,0
NDC,68001-132-00,AMLODIPINE 2.5 MG-BENAZEPRIL 10 MG CAPSULE [14820],7.5,7.5,,,0
NDC,68001-133-00,AMLODIPINE 5 MG-BENAZEPRIL 10 MG CAPSULE [14821],7.5,7.5,,,0
NDC,68001-153-00,CARVEDILOL 3.125 MG TABLET [18551],15.0,15.0,,,0
NDC,68001-157-00,VENLAFAXINE 25 MG TABLET [12203],8.75,8.75,,,0
NDC,68001-185-00,QUETIAPINE 25 MG TABLET [21823],30.0,30.0,,,0
NDC,68001-242-00,ZONISAMIDE 25 MG CAPSULE [36987],15.0,15.0,,,0
NDC,68001-245-14,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET [23814],16.0,16.0,,,0
NDC,68001-246-16,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],10.0,10.0,,,0
NDC,68001-246-17,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],10.0,10.0,,,0
NDC,68001-251-04,FLUCONAZOLE 50 MG TABLET [10046],15.0,15.0,,,0
NDC,68001-280-00,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE [15340]",6.25,6.25,,,0
NDC,68001-283-32,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],84.0,84.0,,,0
NDC,68001-283-33,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],84.0,84.0,,,0
NDC,68001-315-00,LOVASTATIN 20 MG TABLET [10470],7.5,7.5,,,0
NDC,68001-328-00,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],5.0,5.0,,,0
NDC,68001-355-25,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],232.75,232.75,,,0
NDC,68001-373-00,ISOSORBIDE DINITRATE 5 MG TABLET [4068],20.0,20.0,,,0
NDC,68001-376-68,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],581.8,581.8,,,0
NDC,68001-381-00,LABETALOL 100 MG TABLET [10373],10.0,10.0,,,0
NDC,68001-397-00,FAMOTIDINE 20 MG TABLET [10011],7.5,7.5,,,0
NDC,68001-399-00,FLUOXETINE 10 MG CAPSULE [10069],10.0,10.0,,,0
NDC,68001-418-38,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],38.644999999999996,38.644999999999996,,,0
NDC,68001-428-00,RAMIPRIL 1.25 MG CAPSULE [11258],15.0,15.0,,,0
NDC,68001-430-00,RAMIPRIL 5 MG CAPSULE [11261],7.5,7.5,,,0
NDC,68001-432-90,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],5.0,5.0,,,0
NDC,68001-433-90,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],5.1,5.1,,,0
NDC,68001-434-91,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],5.15,5.15,,,0
NDC,68001-436-96,CETIRIZINE 10 MG TABLET [9506],5.0,5.0,,,0
NDC,68001-438-16,LORATADINE 10 MG TABLET [10466],5.0,5.0,,,0
NDC,68001-454-00,ESCITALOPRAM 5 MG TABLET [37635],10.0,10.0,,,0
NDC,68001-458-43,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],40.08,40.08,,,0
NDC,68001-464-41,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],148.95,148.95,,,0
NDC,68001-474-00,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",5.0,5.0,,,0
NDC,68001-475-45,CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],12.0,12.0,,,0
NDC,68001-475-47,CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],7.1,7.1,,,0
NDC,68001-477-48,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [123643],5.0,5.0,,,0
NDC,68001-481-47,MICONAZOLE NITRATE 2 % TOPICAL CREAM [5039],12.54,12.54,,,0
NDC,68001-481-48,MICONAZOLE NITRATE 2 % TOPICAL CREAM [5039],6.39,6.39,,,0
NDC,68001-483-46,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT [854]",5.76,5.76,,,0
NDC,68001-494-06,FAMOTIDINE 10 MG TABLET [15065],10.0,10.0,,,0
NDC,68001-502-00,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",7.5,7.5,,,0
NDC,68001-503-00,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [30072]",5.0,5.0,,,0
NDC,68001-507-53,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],34.15,34.15,,,0
NDC,68001-508-29,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],27.57,27.57,,,0
NDC,68001-519-05,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",10.0,10.0,,,0
NDC,68001-524-29,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [82204],49.665,49.665,,,0
NDC,68001-525-27,FLUOROURACIL 50 MG/ML INTRALESIONAL/TOPICAL SYRINGE [40816103],36.18,36.18,,,0
NDC,68001-525-32,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],38.48,38.48,,,0
NDC,68001-531-45,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [13818],8.52,8.52,,,0
NDC,68001-559-69,METHYLPREDNISOLONE 16 MG TABLET [4992],7.5,7.5,,,0
NDC,68001-568-06,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR [107665]",7.5,7.5,,,0
NDC,68001-574-00,DESMOPRESSIN 0.1 MG TABLET [16052],7.5,7.5,,,0
NDC,68001-591-00,ESCITALOPRAM 5 MG TABLET [37635],10.0,10.0,,,0
NDC,68001-594-06,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",5.0,5.0,,,0
NDC,68001-595-05,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",5.0,5.0,,,0
NDC,68001-596-04,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",5.0,5.0,,,0
NDC,68001-597-05,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],5.0,5.0,,,0
NDC,68001-606-00,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],5.0,5.0,,,0
NDC,68001-607-55,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER [24984],5.0,5.0,,,0
NDC,68001-625-95,LIDOCAINE 4 % TOPICAL PATCH [119190],10.0,10.0,,,0
NDC,68001-630-00,NADOLOL 20 MG TABLET [5330],20.0,20.0,,,0
NDC,68001-638-43,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],50.075,50.075,,,0
NDC,68001-641-41,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],127.95,127.95,,,0
NDC,68001-647-00,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",7.5,7.5,,,0
NDC,68001-670-00,FLUOXETINE 10 MG CAPSULE [10069],10.0,10.0,,,0
NDC,68001-671-00,FLUOXETINE 20 MG CAPSULE [10070],7.5,7.5,,,0
NDC,68002-100-02,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],7.5,7.5,,,0
NDC,68012-350-02,"C1 ESTERASE INHIBITOR, RECOMBINANT 2,100 UNIT INTRAVENOUS SOLUTION [170937]",51238.880000000005,51238.880000000005,,,0
NDC,68084-009-01,METOCLOPRAMIDE 10 MG TABLET [5005],5.0,5.0,,,0
NDC,68084-009-11,METOCLOPRAMIDE 10 MG TABLET [5005],5.0,5.0,,,0
NDC,68084-021-11,ABACAVIR 300 MG TABLET [24438],63.72,63.72,,,0
NDC,68084-021-21,ABACAVIR 300 MG TABLET [24438],63.72,63.72,,,0
NDC,68084-027-01,WARFARIN 2.5 MG TABLET [8750],12.5,12.5,,,0
NDC,68084-027-11,WARFARIN 2.5 MG TABLET [8750],12.5,12.5,,,0
NDC,68084-041-01,MISOPROSTOL 200 MCG TABLET [10629],5.0,5.0,,,0
NDC,68084-041-11,MISOPROSTOL 200 MCG TABLET [10629],5.0,5.0,,,0
NDC,68084-045-01,PAROXETINE 20 MG TABLET [10855],7.5,7.5,,,0
NDC,68084-045-11,PAROXETINE 20 MG TABLET [10855],7.5,7.5,,,0
NDC,68084-053-11,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",7.505,7.505,,,0
NDC,68084-059-11,ZAFIRLUKAST 20 MG TABLET [17960],7.475,7.475,,,0
NDC,68084-070-01,CIPROFLOXACIN 500 MG TABLET [25119],6.25,6.25,,,0
NDC,68084-070-11,CIPROFLOXACIN 500 MG TABLET [25119],6.25,6.25,,,0
NDC,68084-075-21,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],245.45000000000002,245.45000000000002,,,0
NDC,68084-082-01,ISOSORBIDE DINITRATE 10 MG TABLET [4064],12.5,12.5,,,0
NDC,68084-082-11,ISOSORBIDE DINITRATE 10 MG TABLET [4064],12.5,12.5,,,0
NDC,68084-093-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],7.5,7.5,,,0
NDC,68084-093-11,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],7.5,7.5,,,0
NDC,68084-094-01,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],7.5,7.5,,,0
NDC,68084-094-11,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],7.5,7.5,,,0
NDC,68084-097-01,ATORVASTATIN 10 MG TABLET [19176],15.0,15.0,,,0
NDC,68084-097-11,ATORVASTATIN 10 MG TABLET [19176],15.0,15.0,,,0
NDC,68084-098-01,ATORVASTATIN 20 MG TABLET [19178],10.0,10.0,,,0
NDC,68084-098-11,ATORVASTATIN 20 MG TABLET [19178],10.0,10.0,,,0
NDC,68084-099-01,ATORVASTATIN 40 MG TABLET [19177],7.5,7.5,,,0
NDC,68084-099-11,ATORVASTATIN 40 MG TABLET [19177],7.5,7.5,,,0
NDC,68084-103-11,ZIPRASIDONE 20 MG CAPSULE [29778],12.5,12.5,,,0
NDC,68084-104-09,ZIPRASIDONE 40 MG CAPSULE [29779],7.5,7.5,,,0
NDC,68084-104-11,ZIPRASIDONE 40 MG CAPSULE [29779],7.5,7.5,,,0
NDC,68084-107-01,ACYCLOVIR 200 MG CAPSULE [8969],5.0,5.0,,,0
NDC,68084-107-11,ACYCLOVIR 200 MG CAPSULE [8969],5.0,5.0,,,0
NDC,68084-108-01,ACYCLOVIR 400 MG TABLET [8971],5.0,5.0,,,0
NDC,68084-108-11,ACYCLOVIR 400 MG TABLET [8971],5.0,5.0,,,0
NDC,68084-111-01,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR [37649]",7.5,7.5,,,0
NDC,68084-111-11,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR [37649]",7.5,7.5,,,0
NDC,68084-119-01,MIRTAZAPINE 15 MG TABLET [17466],10.0,10.0,,,0
NDC,68084-119-11,MIRTAZAPINE 15 MG TABLET [17466],10.0,10.0,,,0
NDC,68084-128-01,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE [27694]",7.5,7.5,,,0
NDC,68084-128-11,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE [27694]",7.5,7.5,,,0
NDC,68084-155-01,PROMETHAZINE 25 MG TABLET [6622],7.5,7.5,,,0
NDC,68084-155-11,PROMETHAZINE 25 MG TABLET [6622],7.5,7.5,,,0
NDC,68084-157-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",15.0,15.0,,,0
NDC,68084-158-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",11.67,11.67,,,0
NDC,68084-158-11,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",11.67,11.67,,,0
NDC,68084-180-01,SERTRALINE 25 MG TABLET [19882],10.0,10.0,,,0
NDC,68084-180-11,SERTRALINE 25 MG TABLET [19882],10.0,10.0,,,0
NDC,68084-189-01,ZOLPIDEM 5 MG TABLET [11701],7.5,7.5,,,0
NDC,68084-189-11,ZOLPIDEM 5 MG TABLET [11701],7.5,7.5,,,0
NDC,68084-196-01,LISINOPRIL 5 MG TABLET [10451],15.0,15.0,,,0
NDC,68084-196-11,LISINOPRIL 5 MG TABLET [10451],15.0,15.0,,,0
NDC,68084-202-11,PRIMIDONE 50 MG TABLET [11129],10.0,10.0,,,0
NDC,68084-203-11,PRIMIDONE 250 MG TABLET [6544],5.0,5.0,,,0
NDC,68084-204-01,MINOXIDIL 2.5 MG TABLET [5115],10.0,10.0,,,0
NDC,68084-204-11,MINOXIDIL 2.5 MG TABLET [5115],10.0,10.0,,,0
NDC,68084-214-01,BENZONATATE 100 MG CAPSULE [988],7.5,7.5,,,0
NDC,68084-214-11,BENZONATATE 100 MG CAPSULE [988],7.5,7.5,,,0
NDC,68084-215-01,VALACYCLOVIR 500 MG TABLET [13133],22.42,22.42,,,0
NDC,68084-215-11,VALACYCLOVIR 500 MG TABLET [13133],22.42,22.42,,,0
NDC,68084-220-01,ONDANSETRON HCL 4 MG TABLET [10778],10.0,10.0,,,0
NDC,68084-220-11,ONDANSETRON HCL 4 MG TABLET [10778],10.0,10.0,,,0
NDC,68084-229-01,AZATHIOPRINE 50 MG TABLET [9183],7.5,7.5,,,0
NDC,68084-229-11,AZATHIOPRINE 50 MG TABLET [9183],7.5,7.5,,,0
NDC,68084-243-01,CLINDAMYCIN HCL 150 MG CAPSULE [1740],7.5,7.5,,,0
NDC,68084-243-11,CLINDAMYCIN HCL 150 MG CAPSULE [1740],7.5,7.5,,,0
NDC,68084-248-01,LORATADINE 10 MG TABLET [10466],5.0,5.0,,,0
NDC,68084-248-11,LORATADINE 10 MG TABLET [10466],5.0,5.0,,,0
NDC,68084-249-01,HALOPERIDOL 10 MG TABLET [3580],5.835,5.835,,,0
NDC,68084-249-11,HALOPERIDOL 10 MG TABLET [3580],5.835,5.835,,,0
NDC,68084-251-01,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",14.4,14.4,,,0
NDC,68084-253-01,HYDROXYZINE HCL 10 MG TABLET [3772],12.5,12.5,,,0
NDC,68084-253-11,HYDROXYZINE HCL 10 MG TABLET [3772],12.5,12.5,,,0
NDC,68084-269-11,HYDROXYCHLOROQUINE 200 MG TABLET [10235],21.34,21.34,,,0
NDC,68084-270-01,RISPERIDONE 0.25 MG TABLET [25519],20.0,20.0,,,0
NDC,68084-271-01,RISPERIDONE 0.5 MG TABLET [25520],10.0,10.0,,,0
NDC,68084-271-11,RISPERIDONE 0.5 MG TABLET [25520],10.0,10.0,,,0
NDC,68084-272-01,RISPERIDONE 1 MG TABLET [18313],10.0,10.0,,,0
NDC,68084-272-11,RISPERIDONE 1 MG TABLET [18313],10.0,10.0,,,0
NDC,68084-273-01,RISPERIDONE 2 MG TABLET [18311],6.25,6.25,,,0
NDC,68084-273-11,RISPERIDONE 2 MG TABLET [18311],6.25,6.25,,,0
NDC,68084-275-01,METHIMAZOLE 5 MG TABLET [10553],10.0,10.0,,,0
NDC,68084-275-11,METHIMAZOLE 5 MG TABLET [10553],10.0,10.0,,,0
NDC,68084-280-01,ETHAMBUTOL 400 MG TABLET [9983],6.36,6.36,,,0
NDC,68084-280-11,ETHAMBUTOL 400 MG TABLET [9983],6.36,6.36,,,0
NDC,68084-282-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [26371]",7.5,7.5,,,0
NDC,68084-282-11,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [26371]",7.5,7.5,,,0
NDC,68084-284-01,HYDROXYUREA 500 MG CAPSULE [10236],7.5,7.5,,,0
NDC,68084-284-11,HYDROXYUREA 500 MG CAPSULE [10236],7.5,7.5,,,0
NDC,68084-288-01,FLUDROCORTISONE 0.1 MG TABLET [10054],7.5,7.5,,,0
NDC,68084-288-11,FLUDROCORTISONE 0.1 MG TABLET [10054],7.5,7.5,,,0
NDC,68084-291-11,NALTREXONE 50 MG TABLET [10685],10.39,10.39,,,0
NDC,68084-291-21,NALTREXONE 50 MG TABLET [10685],10.39,10.39,,,0
NDC,68084-292-01,PHENAZOPYRIDINE 100 MG TABLET [6193],7.5,7.5,,,0
NDC,68084-292-11,PHENAZOPYRIDINE 100 MG TABLET [6193],7.5,7.5,,,0
NDC,68084-299-01,TAMSULOSIN 0.4 MG CAPSULE [103890],7.5,7.5,,,0
NDC,68084-299-11,TAMSULOSIN 0.4 MG CAPSULE [103890],7.5,7.5,,,0
NDC,68084-300-11,DANTROLENE 25 MG CAPSULE [9718],10.0,10.0,,,0
NDC,68084-300-21,DANTROLENE 25 MG CAPSULE [9718],10.0,10.0,,,0
NDC,68084-310-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",25.34,25.34,,,0
NDC,68084-310-11,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",25.34,25.34,,,0
NDC,68084-313-01,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [27631]",7.5,7.5,,,0
NDC,68084-313-11,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [27631]",7.5,7.5,,,0
NDC,68084-318-01,LAMOTRIGINE 25 MG TABLET [13981],25.0,25.0,,,0
NDC,68084-318-11,LAMOTRIGINE 25 MG TABLET [13981],25.0,25.0,,,0
NDC,68084-319-01,LAMOTRIGINE 100 MG TABLET [13982],7.5,7.5,,,0
NDC,68084-319-11,LAMOTRIGINE 100 MG TABLET [13982],7.5,7.5,,,0
NDC,68084-327-01,GLIMEPIRIDE 4 MG TABLET [16357],7.5,7.5,,,0
NDC,68084-327-11,GLIMEPIRIDE 4 MG TABLET [16357],7.5,7.5,,,0
NDC,68084-333-01,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",5.0,5.0,,,0
NDC,68084-333-11,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",5.0,5.0,,,0
NDC,68084-342-01,TOPIRAMATE 25 MG TABLET [18920],15.0,15.0,,,0
NDC,68084-342-11,TOPIRAMATE 25 MG TABLET [18920],15.0,15.0,,,0
NDC,68084-346-01,LOSARTAN 25 MG TABLET [14823],10.0,10.0,,,0
NDC,68084-346-11,LOSARTAN 25 MG TABLET [14823],10.0,10.0,,,0
NDC,68084-347-01,LOSARTAN 50 MG TABLET [14824],7.5,7.5,,,0
NDC,68084-347-11,LOSARTAN 50 MG TABLET [14824],7.5,7.5,,,0
NDC,68084-354-01,OXYCODONE 5 MG TABLET [10814],10.0,10.0,,,0
NDC,68084-354-11,OXYCODONE 5 MG TABLET [10814],10.0,10.0,,,0
NDC,68084-360-09,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",7.5,7.5,,,0
NDC,68084-360-11,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",7.5,7.5,,,0
NDC,68084-376-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],10.0,10.0,,,0
NDC,68084-376-11,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],10.0,10.0,,,0
NDC,68084-381-01,BENZTROPINE 0.5 MG TABLET [998],10.0,10.0,,,0
NDC,68084-381-11,BENZTROPINE 0.5 MG TABLET [998],10.0,10.0,,,0
NDC,68084-388-01,BENZTROPINE 1 MG TABLET [999],7.5,7.5,,,0
NDC,68084-388-11,BENZTROPINE 1 MG TABLET [999],7.5,7.5,,,0
NDC,68084-389-01,BENZTROPINE 2 MG TABLET [1000],5.0,5.0,,,0
NDC,68084-389-11,BENZTROPINE 2 MG TABLET [1000],5.0,5.0,,,0
NDC,68084-396-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],7.5,7.5,,,0
NDC,68084-396-11,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],7.855,7.855,,,0
NDC,68084-396-65,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],7.855,7.855,,,0
NDC,68084-400-01,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],5.0,5.0,,,0
NDC,68084-400-11,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],5.0,5.0,,,0
NDC,68084-403-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",15.0,15.0,,,0
NDC,68084-403-11,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",15.0,15.0,,,0
NDC,68084-411-11,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE [14628]",11.23,11.23,,,0
NDC,68084-411-21,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE [14628]",11.23,11.23,,,0
NDC,68084-415-02,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",7.4399999999999995,7.4399999999999995,,,0
NDC,68084-444-01,CARBAMAZEPINE 200 MG TABLET [1357],9.64,9.64,,,0
NDC,68084-446-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],9.52,9.52,,,0
NDC,68084-446-11,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],9.52,9.52,,,0
NDC,68084-447-01,HYDRALAZINE 10 MG TABLET [3698],18.75,18.75,,,0
NDC,68084-447-11,HYDRALAZINE 10 MG TABLET [3698],18.75,18.75,,,0
NDC,68084-449-01,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",46.2,46.2,,,0
NDC,68084-449-11,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",46.2,46.2,,,0
NDC,68084-450-01,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",29.525,29.525,,,0
NDC,68084-450-11,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",29.525,29.525,,,0
NDC,68084-451-01,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",11.98,11.98,,,0
NDC,68084-451-11,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",11.98,11.98,,,0
NDC,68084-458-11,NATEGLINIDE 60 MG TABLET [29437],10.645,10.645,,,0
NDC,68084-458-21,NATEGLINIDE 60 MG TABLET [29437],10.645,10.645,,,0
NDC,68084-461-11,ZIDOVUDINE 100 MG CAPSULE [11692],18.94,18.94,,,0
NDC,68084-461-21,ZIDOVUDINE 100 MG CAPSULE [11692],18.94,18.94,,,0
NDC,68084-467-11,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE [27691]",19.255000000000003,19.255000000000003,,,0
NDC,68084-473-11,GEMFIBROZIL 600 MG TABLET [3378],5.0,5.0,,,0
NDC,68084-479-01,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],10.0,10.0,,,0
NDC,68084-479-11,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],10.0,10.0,,,0
NDC,68084-480-01,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [24470]",24.76,24.76,,,0
NDC,68084-480-11,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [24470]",24.76,24.76,,,0
NDC,68084-494-01,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],7.5,7.5,,,0
NDC,68084-501-11,PRAVASTATIN 20 MG TABLET [11111],10.0,10.0,,,0
NDC,68084-503-11,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [37658]",14.950000000000001,14.950000000000001,,,0
NDC,68084-512-01,SIMVASTATIN 20 MG TABLET [11365],7.5,7.5,,,0
NDC,68084-512-11,SIMVASTATIN 20 MG TABLET [11365],7.5,7.5,,,0
NDC,68084-525-01,OLANZAPINE 2.5 MG TABLET [21057],20.0,20.0,,,0
NDC,68084-525-11,OLANZAPINE 2.5 MG TABLET [21057],20.0,20.0,,,0
NDC,68084-527-01,OLANZAPINE 10 MG TABLET [17937],7.5,7.5,,,0
NDC,68084-528-01,OLANZAPINE 15 MG TABLET [26952],5.835,5.835,,,0
NDC,68084-528-11,OLANZAPINE 15 MG TABLET [26952],5.835,5.835,,,0
NDC,68084-532-01,QUETIAPINE 100 MG TABLET [21824],12.5,12.5,,,0
NDC,68084-532-11,QUETIAPINE 100 MG TABLET [21824],12.5,12.5,,,0
NDC,68084-539-01,TORSEMIDE 20 MG TABLET [18293],15.0,15.0,,,0
NDC,68084-539-11,TORSEMIDE 20 MG TABLET [18293],15.0,15.0,,,0
NDC,68084-549-11,TEMAZEPAM 7.5 MG CAPSULE [11500],31.83,31.83,,,0
NDC,68084-549-21,TEMAZEPAM 7.5 MG CAPSULE [11500],31.83,31.83,,,0
NDC,68084-562-11,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR [27636]",11.8,11.8,,,0
NDC,68084-591-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",10.0,10.0,,,0
NDC,68084-591-11,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",10.0,10.0,,,0
NDC,68084-592-01,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",7.5,7.5,,,0
NDC,68084-592-11,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",7.5,7.5,,,0
NDC,68084-597-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",10.0,10.0,,,0
NDC,68084-597-11,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",10.0,10.0,,,0
NDC,68084-602-01,PERPHENAZINE 4 MG TABLET [6158],9.01,9.01,,,0
NDC,68084-602-11,PERPHENAZINE 4 MG TABLET [6158],9.01,9.01,,,0
NDC,68084-604-11,DESMOPRESSIN 0.2 MG TABLET [16053],5.96,5.96,,,0
NDC,68084-604-21,DESMOPRESSIN 0.2 MG TABLET [16053],5.96,5.96,,,0
NDC,68084-605-01,FLUOXETINE 20 MG CAPSULE [10070],7.5,7.5,,,0
NDC,68084-605-11,FLUOXETINE 20 MG CAPSULE [10070],7.5,7.5,,,0
NDC,68084-617-01,ESCITALOPRAM 10 MG TABLET [33512],7.5,7.5,,,0
NDC,68084-617-11,ESCITALOPRAM 10 MG TABLET [33512],7.5,7.5,,,0
NDC,68084-621-11,MODAFINIL 100 MG TABLET [24702],104.155,104.155,,,0
NDC,68084-621-21,MODAFINIL 100 MG TABLET [24702],104.155,104.155,,,0
NDC,68084-624-01,GABAPENTIN 600 MG TABLET [25855],5.835,5.835,,,0
NDC,68084-624-11,GABAPENTIN 600 MG TABLET [25855],5.835,5.835,,,0
NDC,68084-632-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE WRAPPER [4081401]",7.5,7.5,,,0
NDC,68084-632-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE WRAPPER [4081401]",7.5,7.5,,,0
NDC,68084-636-25,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],9.030000000000001,9.030000000000001,,,0
NDC,68084-636-95,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],9.030000000000001,9.030000000000001,,,0
NDC,68084-640-01,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",7.5,7.5,,,0
NDC,68084-640-11,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",7.5,7.5,,,0
NDC,68084-645-01,TIZANIDINE 4 MG TABLET [14793],7.5,7.5,,,0
NDC,68084-645-11,TIZANIDINE 4 MG TABLET [14793],7.5,7.5,,,0
NDC,68084-654-01,SOTALOL 80 MG TABLET [11421],7.5,7.5,,,0
NDC,68084-654-11,SOTALOL 80 MG TABLET [11421],7.5,7.5,,,0
NDC,68084-655-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",5.835,5.835,,,0
NDC,68084-655-11,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",5.835,5.835,,,0
NDC,68084-666-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",10.0,10.0,,,0
NDC,68084-666-11,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",10.0,10.0,,,0
NDC,68084-675-11,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",15.46,15.46,,,0
NDC,68084-675-21,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",15.46,15.46,,,0
NDC,68084-683-01,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",14.99,14.99,,,0
NDC,68084-683-11,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",14.99,14.99,,,0
NDC,68084-692-01,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",14.99,14.99,,,0
NDC,68084-692-11,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",14.99,14.99,,,0
NDC,68084-697-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",7.5,7.5,,,0
NDC,68084-697-11,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",7.5,7.5,,,0
NDC,68084-704-01,BETHANECHOL CHLORIDE 25 MG TABLET [1044],7.5,7.5,,,0
NDC,68084-704-11,BETHANECHOL CHLORIDE 25 MG TABLET [1044],7.5,7.5,,,0
NDC,68084-708-25,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",5.835,5.835,,,0
NDC,68084-708-95,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",5.835,5.835,,,0
NDC,68084-723-01,OLANZAPINE 5 MG TABLET [17936],12.5,12.5,,,0
NDC,68084-723-11,OLANZAPINE 5 MG TABLET [17936],12.5,12.5,,,0
NDC,68084-725-01,DONEPEZIL 5 MG TABLET [18786],7.5,7.5,,,0
NDC,68084-725-11,DONEPEZIL 5 MG TABLET [18786],7.5,7.5,,,0
NDC,68084-728-01,FLUCONAZOLE 100 MG TABLET [10044],9.54,9.54,,,0
NDC,68084-729-11,GALANTAMINE 4 MG TABLET [29806],18.52,18.52,,,0
NDC,68084-729-21,GALANTAMINE 4 MG TABLET [29806],18.52,18.52,,,0
NDC,68084-735-01,FLUCONAZOLE 200 MG TABLET [10045],9.24,9.24,,,0
NDC,68084-735-11,FLUCONAZOLE 200 MG TABLET [10045],9.24,9.24,,,0
NDC,68084-738-01,METHADONE 10 MG TABLET [4953],5.0,5.0,,,0
NDC,68084-738-11,METHADONE 10 MG TABLET [4953],5.0,5.0,,,0
NDC,68084-740-01,OLANZAPINE 10 MG TABLET [17937],7.5,7.5,,,0
NDC,68084-740-11,OLANZAPINE 10 MG TABLET [17937],7.5,7.5,,,0
NDC,68084-750-25,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [8132],5.0,5.0,,,0
NDC,68084-752-18,CLOPIDOGREL 300 MG TABLET [89346],29.549999999999997,29.549999999999997,,,0
NDC,68084-753-25,CYCLOBENZAPRINE 5 MG TABLET [35184],7.5,7.5,,,0
NDC,68084-762-01,GABAPENTIN 300 MG CAPSULE [18308],6.67,6.67,,,0
NDC,68084-762-11,GABAPENTIN 300 MG CAPSULE [18308],6.67,6.67,,,0
NDC,68084-775-25,TIZANIDINE 2 MG TABLET [14792],10.0,10.0,,,0
NDC,68084-775-95,TIZANIDINE 2 MG TABLET [14792],10.0,10.0,,,0
NDC,68084-776-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",7.5,7.5,,,0
NDC,68084-782-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",5.0,5.0,,,0
NDC,68084-782-61,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",5.0,5.0,,,0
NDC,68084-788-95,GLIMEPIRIDE 1 MG TABLET [16355],15.0,15.0,,,0
NDC,68084-790-25,CLOMIPRAMINE 25 MG CAPSULE [9635],112.09,112.09,,,0
NDC,68084-790-95,CLOMIPRAMINE 25 MG CAPSULE [9635],112.09,112.09,,,0
NDC,68084-797-11,GABAPENTIN 600 MG TABLET [25855],5.835,5.835,,,0
NDC,68084-805-11,METHYLPHENIDATE 5 MG TABLET [4988],12.5,12.5,,,0
NDC,68084-805-21,METHYLPHENIDATE 5 MG TABLET [4988],12.5,12.5,,,0
NDC,68084-808-01,TRAMADOL 50 MG TABLET [14632],7.5,7.5,,,0
NDC,68084-808-11,TRAMADOL 50 MG TABLET [14632],7.5,7.5,,,0
NDC,68084-823-11,METHYLPHENIDATE 10 MG TABLET [4986],7.5,7.5,,,0
NDC,68084-823-21,METHYLPHENIDATE 10 MG TABLET [4986],7.5,7.5,,,0
NDC,68084-836-25,DOXAZOSIN 1 MG TABLET [9894],15.0,15.0,,,0
NDC,68084-836-95,DOXAZOSIN 1 MG TABLET [9894],15.0,15.0,,,0
NDC,68084-844-11,VENLAFAXINE 37.5 MG TABLET [12207],6.67,6.67,,,0
NDC,68084-845-01,OXCARBAZEPINE 150 MG TABLET [27049],10.0,10.0,,,0
NDC,68084-846-11,FLUPHENAZINE 5 MG TABLET [3221],30.0,30.0,,,0
NDC,68084-847-01,HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],10.0,10.0,,,0
NDC,68084-847-11,HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],10.0,10.0,,,0
NDC,68084-851-01,DOXAZOSIN 2 MG TABLET [9895],10.0,10.0,,,0
NDC,68084-851-11,DOXAZOSIN 2 MG TABLET [9895],10.0,10.0,,,0
NDC,68084-854-01,CARVEDILOL 6.25 MG TABLET [15747],10.0,10.0,,,0
NDC,68084-854-11,CARVEDILOL 6.25 MG TABLET [15747],10.0,10.0,,,0
NDC,68084-855-01,BACLOFEN 10 MG TABLET [860],5.0,5.0,,,0
NDC,68084-855-11,BACLOFEN 10 MG TABLET [860],5.0,5.0,,,0
NDC,68084-856-01,VENLAFAXINE 75 MG TABLET [12206],5.0,5.0,,,0
NDC,68084-856-11,VENLAFAXINE 75 MG TABLET [12206],5.0,5.0,,,0
NDC,68084-859-01,LEVETIRACETAM 250 MG TABLET [26816],10.0,10.0,,,0
NDC,68084-859-11,LEVETIRACETAM 250 MG TABLET [26816],10.0,10.0,,,0
NDC,68084-862-25,DOXAZOSIN 4 MG TABLET [9896],7.5,7.5,,,0
NDC,68084-862-95,DOXAZOSIN 4 MG TABLET [9896],7.5,7.5,,,0
NDC,68084-867-01,OXCARBAZEPINE 600 MG TABLET [21157],5.0,5.0,,,0
NDC,68084-867-11,OXCARBAZEPINE 600 MG TABLET [21157],5.0,5.0,,,0
NDC,68084-875-01,MONTELUKAST 10 MG TABLET [22509],5.0,5.0,,,0
NDC,68084-875-11,MONTELUKAST 10 MG TABLET [22509],5.0,5.0,,,0
NDC,68084-895-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],7.5,7.5,,,0
NDC,68084-896-95,VENLAFAXINE 25 MG TABLET [12203],8.75,8.75,,,0
NDC,68084-907-11,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE [38062]",36.974999999999994,36.974999999999994,,,0
NDC,68084-907-21,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE [38062]",36.974999999999994,36.974999999999994,,,0
NDC,68084-912-31,NIMODIPINE 30 MG CAPSULE [10722],32.05,32.05,,,0
NDC,68084-915-95,SIROLIMUS 1 MG TABLET [28958],165.315,165.315,,,0
NDC,68084-918-25,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE [38063]",60.4,60.4,,,0
NDC,68084-918-95,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE [38063]",60.4,60.4,,,0
NDC,68084-921-95,CYCLOSPORINE 100 MG CAPSULE [9706],38.36,38.36,,,0
NDC,68084-928-25,PILOCARPINE 5 MG TABLET [12803],12.75,12.75,,,0
NDC,68084-928-95,PILOCARPINE 5 MG TABLET [12803],12.75,12.75,,,0
NDC,68084-949-25,ALBUTEROL SULFATE 2 MG TABLET [253],32.46,32.46,,,0
NDC,68084-949-95,ALBUTEROL SULFATE 2 MG TABLET [253],32.46,32.46,,,0
NDC,68084-950-11,FLUPHENAZINE 10 MG TABLET [3219],18.8,18.8,,,0
NDC,68084-952-95,ALBUTEROL SULFATE 4 MG TABLET [254],16.255000000000003,16.255000000000003,,,0
NDC,68084-964-95,PROPYLTHIOURACIL 50 MG TABLET [6662],19.950000000000003,19.950000000000003,,,0
NDC,68084-965-18,VALGANCICLOVIR 450 MG TABLET [30148],57.0,57.0,,,0
NDC,68084-965-25,VALGANCICLOVIR 450 MG TABLET [30148],372.06,372.06,,,0
NDC,68084-965-95,VALGANCICLOVIR 450 MG TABLET [30148],372.06,372.06,,,0
NDC,68084-975-11,OXYCODONE 15 MG TABLET [28899],5.0,5.0,,,0
NDC,68084-976-01,CELECOXIB 200 MG CAPSULE [24501],8.29,8.29,,,0
NDC,68084-976-11,CELECOXIB 200 MG CAPSULE [24501],8.29,8.29,,,0
NDC,68084-988-32,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],7.5,7.5,,,0
NDC,68084-988-33,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],7.5,7.5,,,0
NDC,68094-004-59,CETIRIZINE (ZYRTEC) 1 MG/ML ORAL SOLUTION WRAPPER [192748],14.325000000000001,14.325000000000001,,,0
NDC,68094-004-62,CETIRIZINE (ZYRTEC) 1 MG/ML ORAL SOLUTION WRAPPER [192748],14.325000000000001,14.325000000000001,,,0
NDC,68094-008-62,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION [1356],15.35,15.35,,,0
NDC,68094-018-59,DIPHENHYDRAMINE 25 MG TABLET [2505],7.5,7.5,,,0
NDC,68094-018-61,DIPHENHYDRAMINE 25 MG TABLET [2505],7.5,7.5,,,0
NDC,68094-022-59,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],7.5,7.5,,,0
NDC,68094-029-59,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],18.75,18.75,,,0
NDC,68094-029-62,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],18.83,18.83,,,0
NDC,68094-031-62,METHADONE 5 MG/5 ML ORAL SOLUTION [4952],7.58,7.58,,,0
NDC,68094-063-59,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [131011],17.0,17.0,,,0
NDC,68094-101-20,PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],1484.95,1484.95,,,0
NDC,68094-123-59,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION [30479],33.0,33.0,,,0
NDC,68094-247-01,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],150.0,150.0,,,0
NDC,68094-503-61,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],5.05,5.05,,,0
NDC,68094-755-58,MORPHINE CONCENTRATE 20 MG/ML ORAL SYRINGE  (FOR ORAL USE ONLY) [130696],8.8,8.8,,,0
NDC,68094-762-59,MIDAZOLAM 2 MG/ML ORAL SYRUP WRAPPER [40812000],23.44,23.44,,,0
NDC,68094-763-59,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],52.93,52.93,,,0
NDC,68094-763-62,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],52.93,52.93,,,0
NDC,68094-764-59,MIDAZOLAM 2 MG/ML ORAL SYRUP WRAPPER [40812000],27.25,27.25,,,0
NDC,68094-853-62,NALTREXONE 50 MG TABLET [10685],9.61,9.61,,,0
NDC,6809411059,MELATONIN 3 MG TABLET [16830],6.67,6.67,,,0
NDC,68134-201-16,NAPROXEN 125 MG/5 ML ORAL SUSPENSION [10691],222.5,222.5,,,0
NDC,68135-020-01,GALSULFASE 5 MG/5 ML INTRAVENOUS SOLUTION [41550],8775.0,8775.0,,,0
NDC,68152-101-00,LEVOLEUCOVORIN CALCIUM 50 MG INTRAVENOUS POWDER FOR SOLUTION [92838],165.75,165.75,,,0
NDC,68152-108-09,BELINOSTAT 500 MG INTRAVENOUS SOLUTION [170641],29875.52,29875.52,,,0
NDC,6817600010,PEDIATRIC MULTIVITAMIN NO.128-VITAMIN K 500 MCG/ML ORAL LIQUID [181114],5.0,5.0,,,0
NDC,6817600015,"MULTIVIT-MINS NO.56-FA 200 MCG-VIT K 1,000 MCG-COQ10 10 MG CHEW TABLET [184879]",5.0,5.0,,,0
NDC,68180-151-06,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR [116842]",79.5,79.5,,,0
NDC,68180-152-06,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR [116843]",30.340000000000003,30.340000000000003,,,0
NDC,68180-280-01,ETHAMBUTOL 100 MG TABLET [9982],20.0,20.0,,,0
NDC,68180-290-06,ESLICARBAZEPINE 200 MG TABLET [169904],5.0,5.0,,,0
NDC,68180-291-06,ESLICARBAZEPINE 400 MG TABLET [169906],16.63,16.63,,,0
NDC,68180-311-01,IMIPRAMINE 10 MG TABLET [3860],12.5,12.5,,,0
NDC,68180-346-06,DARUNAVIR 800 MG TABLET [162665],13.44,13.44,,,0
NDC,68180-422-01,MOXIFLOXACIN 0.5 % EYE DROPS [35699],43.31,43.31,,,0
NDC,68180-436-01,BROMFENAC 0.09 % EYE DROPS [41146],100.76,100.76,,,0
NDC,68180-657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION [9902],44.1,44.1,,,0
NDC,68180-675-11,OSELTAMIVIR 30 MG CAPSULE [88704],8.75,8.75,,,0
NDC,68180-677-11,OSELTAMIVIR 75 MG CAPSULE [26546],5.0,5.0,,,0
NDC,68180-820-53,LANTHANUM 750 MG CHEWABLE TABLET [43547],32.15,32.15,,,0
NDC,68180-821-10,"LANTHANUM 1,000 MG CHEWABLE TABLET [43548]",23.439999999999998,23.439999999999998,,,0
NDC,68180-821-47,"LANTHANUM 1,000 MG CHEWABLE TABLET [43548]",22.689999999999998,22.689999999999998,,,0
NDC,68180-852-11,LEVONORGESTREL 1.5 MG TABLET [99445],102.67500000000001,102.67500000000001,,,0
NDC,68180-861-06,AZITHROMYCIN 250 MG TABLET [20943],7.5,7.5,,,0
NDC,68180-863-06,AZITHROMYCIN 600 MG TABLET [17387],7.5,7.5,,,0
NDC,68180-954-01,HYDROCORTISONE VALERATE 0.2 % TOPICAL CREAM [10218],68.63,68.63,,,0
NDC,68180-965-01,LEVOTHYROXINE 25 MCG TABLET [4420],15.0,15.0,,,0
NDC,68180-966-01,LEVOTHYROXINE 50 MCG TABLET [4421],8.75,8.75,,,0
NDC,68180-966-09,LEVOTHYROXINE 50 MCG TABLET [4421],8.75,8.75,,,0
NDC,68180-969-01,LEVOTHYROXINE 100 MCG TABLET [4423],5.625,5.625,,,0
NDC,68180-970-01,LEVOTHYROXINE 112 MCG TABLET [10404],5.295,5.295,,,0
NDC,68220-160-10,OLSALAZINE 250 MG CAPSULE [10773],41.04,41.04,,,0
NDC,68382-004-14,TOPIRAMATE 15 MG SPRINKLE CAPSULE [27641],6.67,6.67,,,0
NDC,68382-005-14,TOPIRAMATE 25 MG SPRINKLE CAPSULE [27642],5.0,5.0,,,0
NDC,68382-018-01,VENLAFAXINE 25 MG TABLET [12203],8.75,8.75,,,0
NDC,68382-065-16,SIMVASTATIN 5 MG TABLET [11367],15.0,15.0,,,0
NDC,68382-079-01,HALOPERIDOL 5 MG TABLET [3583],7.5,7.5,,,0
NDC,68382-119-01,AZATHIOPRINE 75 MG TABLET [35162],61.7,61.7,,,0
NDC,68382-132-01,TAMSULOSIN 0.4 MG CAPSULE [103890],7.5,7.5,,,0
NDC,68382-396-01,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION [40917],321052.78,321052.78,,,0
NDC,68382-446-14,BOSENTAN 62.5 MG TABLET [31875],13.559999999999999,13.559999999999999,,,0
NDC,68382-529-60,CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [214591],12.16,12.16,,,0
NDC,68382-805-01,TRAZODONE 50 MG TABLET [8085],7.5,7.5,,,0
NDC,68382-912-06,FINGOLIMOD 0.5 MG CAPSULE [106317],26.35,26.35,,,0
NDC,68382-918-18,METHYLPREDNISOLONE 16 MG TABLET [4992],8.175,8.175,,,0
NDC,68382-969-16,ROFLUMILAST 500 MCG TABLET [109401],5.5,5.5,,,0
NDC,68382-981-06,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [97966]",6.15,6.15,,,0
NDC,68382-984-06,"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [109452]",9.1,9.1,,,0
NDC,68382-997-01,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],441.15,441.15,,,0
NDC,68382-997-10,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],441.15,441.15,,,0
NDC,68403-1100-6,"BOTULISM IMMUNE GLOBULIN, HUMAN 100 MG INTRAVENOUS SOLUTION [182530]",3189700.0,3189700.0,,,0
NDC,68462-101-30,FLUCONAZOLE 50 MG TABLET [10046],15.0,15.0,,,0
NDC,68462-109-60,TOPIRAMATE 100 MG TABLET [18922],7.5,7.5,,,0
NDC,68462-137-01,OXCARBAZEPINE 150 MG TABLET [27049],10.0,10.0,,,0
NDC,68462-180-22,MUPIROCIN 2 % TOPICAL OINTMENT [10674],154.33,154.33,,,0
NDC,68462-181-17,CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],65.48,65.48,,,0
NDC,68462-188-01,NAPROXEN 250 MG TABLET [5391],7.5,7.5,,,0
NDC,68462-189-01,NAPROXEN 375 MG TABLET [5392],5.835,5.835,,,0
NDC,68462-200-11,TELMISARTAN 40 MG TABLET [24335],17.66,17.66,,,0
NDC,68462-200-13,TELMISARTAN 40 MG TABLET [24335],17.66,17.66,,,0
NDC,68462-201-11,TELMISARTAN 80 MG TABLET [24336],8.83,8.83,,,0
NDC,68462-220-01,LITHIUM CARBONATE 150 MG CAPSULE [4528],12.5,12.5,,,0
NDC,68462-224-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",5.835,5.835,,,0
NDC,68462-228-01,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET [104568],5.0,5.0,,,0
NDC,68462-292-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [11639]",7.5,7.5,,,0
NDC,68462-304-50,NORETHINDRONE ACETATE 5 MG TABLET [10747],10.44,10.44,,,0
NDC,68462-356-01,"THEOPHYLLINE ER 600 MG TABLET,EXTENDED RELEASE 24 HR [120150]",7.085,7.085,,,0
NDC,68462-380-01,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR [119294]",7.359999999999999,7.359999999999999,,,0
NDC,68462-396-01,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE [27694]",7.5,7.5,,,0
NDC,68462-402-01,ATOVAQUONE-PROGUANIL (PEDIATRIC) 62.5 MG-25 MG TABLET [28686],6.295,6.295,,,0
NDC,68462-418-20,LIDOCAINE 5 % TOPICAL OINTMENT [41831],30.13,30.13,,,0
NDC,68462-436-30,OLMESARTAN 5 MG TABLET [32761],15.0,15.0,,,0
NDC,68462-437-30,OLMESARTAN 20 MG TABLET [32762],7.5,7.5,,,0
NDC,68462-438-90,OLMESARTAN 40 MG TABLET [32763],5.0,5.0,,,0
NDC,68462-446-26,SEVELAMER HCL 400 MG TABLET [28714],34.89,34.89,,,0
NDC,68462-501-65,CALCIPOTRIENE 0.005 % TOPICAL CREAM [16034],804.6,804.6,,,0
NDC,68462-583-40,APREPITANT 40 MG CAPSULE [76843],763.6,763.6,,,0
NDC,68462-584-40,APREPITANT 80 MG CAPSULE [35488],726.42,726.42,,,0
NDC,68462-621-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],36.25,36.25,,,0
NDC,68462-622-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],57.235,57.235,,,0
NDC,68462-638-01,NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET [5603],500.0,500.0,,,0
NDC,68462-639-25,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],125.0,125.0,,,0
NDC,68462-639-45,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],125.0,125.0,,,0
NDC,68462-640-01,NITROGLYCERIN 0.6 MG SUBLINGUAL TABLET [5605],5.0,5.0,,,0
NDC,68462-682-01,SIROLIMUS 0.5 MG TABLET [104764],104.125,104.125,,,0
NDC,68462-946-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],121.91,121.91,,,0
NDC,68516-3201-1,"FACTOR IX COMPLEX NO.4, 3-FACTOR 500 (+/-) UNIT INTRAVENOUS SOLUTION [3013]",9350.67,9350.67,,,0
NDC,68516-3202-2,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [10008]",9350.67,9350.67,,,0
NDC,68516-3204-1,"FACTOR IX COMPLEX NO.4, 3-FACTOR 500 (+/-) UNIT INTRAVENOUS SOLUTION [3013]",4056.1,4056.1,,,0
NDC,68516-4601-1,ANTIHEMOPHILIC FACTOR-VWF 250 (100 VWF) UNIT/5 ML INTRAVENOUS SOLUTION [88335],2.23,2.23,,,0
NDC,68516-4602-1,ANTIHEMOPHILIC FACTOR-VWF 500 (200 VWF) UNIT/5 ML INTRAVENOUS SOLUTION [88336],2.23,2.23,,,0
NDC,68516-4603-2,"ANTIHEMOPHILIC FACTOR-VWF 1,000 (400 VWF) UNIT/10 ML INTRAVENOUS SOLN [88337]",2.23,2.23,,,0
NDC,68516-4604-2,"ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML INTRAVENOUS SOLN [88338]",2.23,2.23,,,0
NDC,68516-4607-2,"ANTIHEMOPHILIC FACTOR-VWF 1,000 (400 VWF) UNIT/10 ML INTRAVENOUS SOLN [88337]",2.23,2.23,,,0
NDC,68516-4619-2,"ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML INTRAVENOUS SOLN [88338]",2.23,2.23,,,0
NDC,68516-4620-2,"ANTIHEMOPHILIC FACTOR-VWF 2,000 (800 VWF) UNIT/10 ML INTRAVENOUS SOLN [170938]",2.23,2.23,,,0
NDC,68546-170-60,DEUTETRABENAZINE 6 MG TABLET [186667],753.75,753.75,,,0
NDC,68546-171-60,DEUTETRABENAZINE 9 MG TABLET [186668],652.545,652.545,,,0
NDC,6858500575,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE [114555]",5.0,5.0,,,0
NDC,6858500801,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],5.0,5.0,,,0
NDC,68682-006-10,DILTIAZEM 30 MG TABLET [2475],10.0,10.0,,,0
NDC,68682-007-10,DILTIAZEM 60 MG TABLET [2476],6.25,6.25,,,0
NDC,68682-008-10,DILTIAZEM 90 MG TABLET [2477],5.0,5.0,,,0
NDC,68682-011-10,ETHACRYNIC ACID 25 MG TABLET [9980],11.1,11.1,,,0
NDC,68682-012-27,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],3115.2,3115.2,,,0
NDC,68727-712-01,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [197224],38371.91,38371.91,,,0
NDC,68727-745-01,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION [188188],57217.9,57217.9,,,0
NDC,68727-745-02,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION [188188],57217.9,57217.9,,,0
NDC,68727-900-01,ASPARAGINASE ERWINIA CHRYSANTHEMI (RECOMBINANT)-RYWN (RYLAZE) 10 MG/0.5ML [40817046],97677.5,97677.5,,,0
NDC,68727-950-01,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION [212771],48466.5,48466.5,,,0
NDC,68727-950-02,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION [212771],17775.0,17775.0,,,0
NDC,68803-612-10,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE [88317],349.0,349.0,,,0
NDC,68803-722-25,C.I. ACID BLUE 90  0.025 % INTRAOCULAR SYRINGE [197413],735.0,735.0,,,0
NDC,68817-134-50,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [40475],11082.51,11082.51,,,0
NDC,68968-5552-1,METHYLPHENIDATE 10 MG/9 HR DAILY TRANSDERMAL PATCH [76393],40.28,40.28,,,0
NDC,68968-5552-3,METHYLPHENIDATE 10 MG/9 HR DAILY TRANSDERMAL PATCH [76393],40.28,40.28,,,0
NDC,68968-5555-3,METHYLPHENIDATE 30 MG/9 HR DAILY TRANSDERMAL PATCH [76396],40.28,40.28,,,0
NDC,68982-139-01,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 250 UNIT IV SOLUTION [180049]",8092.155000000001,8092.155000000001,,,0
NDC,68982-141-01,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 500 UNIT IV SOLUTION [180051]",8092.155000000001,8092.155000000001,,,0
NDC,68982-143-01,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 1,000 UNIT IV SOLUTION [180052]",8092.155000000001,8092.155000000001,,,0
NDC,68982-145-01,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 2,000 UNIT IV SOLUTION [180050]",8092.155000000001,8092.155000000001,,,0
NDC,68982-623-02,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION FOR BURN ORDER SET [40818103]",223.75,223.75,,,0
NDC,68982-840-02,"IMMUNE GLOB,GAMM(IGG) 5 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION [178365]",10881.72,10881.72,,,0
NDC,68982-850-01,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION [170687]",12069.09,12069.09,,,0
NDC,68982-850-02,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION [170687]",12069.09,12069.09,,,0
NDC,68982-850-03,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION [170687]",12069.09,12069.09,,,0
NDC,68982-850-04,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION [170687]",12069.09,12069.09,,,0
NDC,68982-850-05,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION [170687]",15475.89,15475.89,,,0
NDC,68992-3010-3,TACROLIMUS ER 1 MG TABLET [179549],8.75,8.75,,,0
NDC,68992-3040-3,TACROLIMUS ER 4 MG TABLET [179550],5.2,5.2,,,0
NDC,68992-3075-3,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR [179548]",10.0,10.0,,,0
NDC,69076-913-02,MERCAPTOPURINE 50 MG TABLET [10531],7.33,7.33,,,0
NDC,69097-142-60,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],5.0,5.0,,,0
NDC,69097-223-16,ALENDRONATE 35 MG TABLET [29072],7.5,7.5,,,0
NDC,69097-321-86,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION [88223],29.33,29.33,,,0
NDC,69097-321-87,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION [88223],29.33,29.33,,,0
NDC,69097-410-02,CINACALCET 30 MG TABLET [38100],165.0,165.0,,,0
NDC,69097-411-02,CINACALCET 60 MG TABLET [38101],203.05,203.05,,,0
NDC,69097-412-02,CINACALCET 90 MG TABLET [38102],186.04,186.04,,,0
NDC,69097-521-31,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [119061],14.03,14.03,,,0
NDC,69097-533-02,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],5.0,5.0,,,0
NDC,69097-821-03,GEMFIBROZIL 600 MG TABLET [3378],5.0,5.0,,,0
NDC,69097-870-67,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],20642.0,20642.0,,,0
NDC,69097-936-98,"LANTHANUM 1,000 MG CHEWABLE TABLET [43548]",16.16,16.16,,,0
NDC,69097-964-53,VIGABATRIN 500 MG ORAL POWDER PACKET [99413],27.9,27.9,,,0
NDC,69230-326-30,FAMOTIDINE 10 MG TABLET [15065],10.0,10.0,,,0
NDC,69238-1054-1,CHLORPROMAZINE 10 MG TABLET [1653],18.75,18.75,,,0
NDC,69238-1617-1,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],27.79,27.79,,,0
NDC,69238-1678-1,FLUPHENAZINE 1 MG TABLET [3218],37.8,37.8,,,0
NDC,69238-1680-1,FLUPHENAZINE 5 MG TABLET [3221],15.62,15.62,,,0
NDC,69238-1681-1,FLUPHENAZINE 10 MG TABLET [3219],5.0,5.0,,,0
NDC,69292-722-25,FLURBIPROFEN 0.03 % EYE DROPS [10080],138.2,138.2,,,0
NDC,69315-133-01,IMIPRAMINE 10 MG TABLET [3860],12.5,12.5,,,0
NDC,69315-134-01,IMIPRAMINE 25 MG TABLET [3861],7.5,7.5,,,0
NDC,69315-135-01,IMIPRAMINE 50 MG TABLET [3862],5.0,5.0,,,0
NDC,69315-155-01,HYDROCHLOROTHIAZIDE 12.5 MG TABLET [76988],15.0,15.0,,,0
NDC,69315-184-03,LEUCOVORIN CALCIUM 5 MG TABLET [4398],15.0,15.0,,,0
NDC,69315-186-24,LEUCOVORIN CALCIUM 15 MG TABLET [4396],7.9,7.9,,,0
NDC,69315-211-01,NIFEDIPINE 10 MG CAPSULE [5558],7.5,7.5,,,0
NDC,69315-212-01,NIFEDIPINE 20 MG CAPSULE [5559],5.91,5.91,,,0
NDC,69315-285-20,ETRAVIRINE 100 MG TABLET [89432],75.5,75.5,,,0
NDC,69315-318-20,LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],5.0,5.0,,,0
NDC,69315-320-05,OFLOXACIN 0.3 % EAR DROPS [22257],69.0,69.0,,,0
NDC,69315-701-50,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],2294.35,2294.35,,,0
NDC,69315-904-01,LORAZEPAM 0.5 MG TABLET [4572],10.0,10.0,,,0
NDC,69315-905-01,LORAZEPAM 1 MG TABLET [4573],7.5,7.5,,,0
NDC,69315-906-05,LORAZEPAM 2 MG TABLET [4574],5.0,5.0,,,0
NDC,69315-910-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],7.5,7.5,,,0
NDC,69339-136-03,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],50.875,50.875,,,0
NDC,69339-136-34,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],44.86,44.86,,,0
NDC,69339-151-19,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],6.78,6.78,,,0
NDC,69339-162-98,LUBIPROSTONE 8 MCG CAPSULE [91534],105.0,105.0,,,0
NDC,69367-212-01,PHENOBARBITAL 32.4 MG TABLET [6217],10.0,10.0,,,0
NDC,69367-264-01,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR [27489]",10.0,10.0,,,0
NDC,69367-265-01,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",7.5,7.5,,,0
NDC,69367-308-09,EPLERENONE 50 MG TABLET [36984],5.0,5.0,,,0
NDC,6936722001,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",7.5,7.5,,,0
NDC,6936726701,PRENATAL VITAMINS WITH CALCIUM NO.72-IRON 27 MG-FOLIC ACID 1 MG TABLET [129072],5.0,5.0,,,0
NDC,6936728302,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS [9943]",162.3,162.3,,,0
NDC,6936731401,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [38978],5.0,5.0,,,0
NDC,69387-107-01,VALPROIC ACID 250 MG CAPSULE [8429],5.0,5.0,,,0
NDC,69448-025-63,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [192357],8202.5,8202.5,,,0
NDC,69448-027-63,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR [209897],16400.2,16400.2,,,0
NDC,69452-150-20,VALPROIC ACID 250 MG CAPSULE [8429],5.0,5.0,,,0
NDC,69452-151-20,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",5.0,5.0,,,0
NDC,69452-207-20,CALCITRIOL 0.25 MCG CAPSULE [9350],7.5,7.5,,,0
NDC,69452-208-20,CALCITRIOL 0.5 MCG CAPSULE [9351],5.0,5.0,,,0
NDC,69452-209-20,NIMODIPINE 30 MG CAPSULE [10722],9.45,9.45,,,0
NDC,69452-241-20,TRIHEXYPHENIDYL 2 MG TABLET [8166],8.75,8.75,,,0
NDC,69452-242-20,TRIHEXYPHENIDYL 5 MG TABLET [8167],5.0,5.0,,,0
NDC,69452-290-20,ACYCLOVIR 400 MG TABLET [8971],5.0,5.0,,,0
NDC,69452-342-13,MODAFINIL 100 MG TABLET [24702],7.5,7.5,,,0
NDC,69452-509-17,TICAGRELOR 90 MG TABLET [110427],7.5,7.5,,,0
NDC,69488-010-61,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN [203127]",547.2,547.2,,,0
NDC,69536-025-15,PHENYLEPHRINE 0.25 % NASAL SPRAY [6243],16.13,16.13,,,0
NDC,69536-050-15,PHENYLEPHRINE 0.5 % NASAL SPRAY [6244],5.0,5.0,,,0
NDC,69547-627-02,NALOXONE 4 MG/ACTUATION NASAL SPRAY [181092],104.8,104.8,,,0
NDC,69584-111-10,CARISOPRODOL 350 MG TABLET [1395],5.0,5.0,,,0
NDC,69584-852-10,SPIRONOLACTONE 25 MG TABLET [7437],10.0,10.0,,,0
NDC,69616-272-30,PERAMPANEL (FYCOMPA) 2 MG TABLET [165109],337.225,337.225,,,0
NDC,6961800858,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID [128932],5.0,5.0,,,0
NDC,69784-230-10,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],84.5,84.5,,,0
NDC,69784-231-20,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],29.5,29.5,,,0
NDC,69784-713-13,"CARVEDILOL PHOSPHATE ER 10 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77664]",40.8,40.8,,,0
NDC,69794-102-01,BUROSUMAB-TWZA 10 MG/ML SUBCUTANEOUS SOLUTION [190441],113560.0,113560.0,,,0
NDC,69865-240-02,"TAPENTADOL ER 50 MG TABLET,EXTENDED RELEASE,12 HR [110262]",53.1,53.1,,,0
NDC,69865-245-02,"TAPENTADOL ER 100 MG TABLET,EXTENDED RELEASE,12 HR [110263]",49.1,49.1,,,0
NDC,69865-250-02,"TAPENTADOL ER 150 MG TABLET,EXTENDED RELEASE,12 HR [110264]",42.24,42.24,,,0
NDC,69865-260-02,"TAPENTADOL ER 200 MG TABLET,EXTENDED RELEASE,12 HR [110265]",40.2,40.2,,,0
NDC,69865-265-01,"TAPENTADOL ER 250 MG TABLET,EXTENDED RELEASE,12 HR [110266]",40.23,40.23,,,0
NDC,69911-474-02,"ANTIHEMOPHILIC FVIII,SNGL-CHN,B-DOM TRUNC 250 (+/-) UNIT RANGE IV SOLN [183274]",702.6,702.6,,,0
NDC,69911-475-02,"ANTIHEMOPHILIC FVIII,SNGL-CHN,B-DOM TRUNC 500 (+/-) UNIT RANGE IV SOLN [183275]",1405.2,1405.2,,,0
NDC,69911-476-02,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 1,000(+/-) UNIT RANGE IV SOLN [183276]",2810.4,2810.4,,,0
NDC,69911-477-02,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 2,000(+/-) UNIT RANGE IV SOLN [183277]",5620.8,5620.8,,,0
NDC,69911-478-02,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 3,000(+/-) UNIT RANGE IV SOLN [183278]",8431.2,8431.2,,,0
NDC,69911-864-02,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN IV SOLUTION 250 UNITS [182502]",2057.4,2057.4,,,0
NDC,69911-865-02,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN IV SOLUTION 500 UNITS [182503]",4114.8,4114.8,,,0
NDC,69911-866-02,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN IV SOLUTION 1000 UNITS [182504]",8229.6,8229.6,,,0
NDC,69911-867-02,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN IV SOLUTION 2000 UNITS [182505]",16459.2,16459.2,,,0
NDC,69918-899-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],274.56,274.56,,,0
NDC,69918-899-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],274.56,274.56,,,0
NDC,69918-901-10,DESMOPRESSIN 4 MCG/ML INJECTION (10 ML VIAL ONLY) [40817054],2090.785,2090.785,,,0
NDC,69968-0056-2,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT [854]",18.96,18.96,,,0
NDC,70004-100-62,MORPHINE 1 MG/ML PEDI PCA - OPIOID TOLERANT [300005],192.4,192.4,,,0
NDC,70004-203-32,FENTANYL (PF) 20 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [121198],253.9,253.9,,,0
NDC,70004-380-05,METHADONE 10 MG/ML INTRAVENOUS SYRINGE [129911],144.1,144.1,,,0
NDC,70004-433-05,KETAMINE 50 MG/ML INJECTION SOLUTION (ANES ONE-STEP) [500784],37.61,37.61,,,0
NDC,70004-613-40,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9% SODIUM CHLORIDE INFUSION [507003],210.0,210.0,,,0
NDC,70004-700-28,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS INJECTION [130075],15.23,15.23,,,0
NDC,70004-720-12,"LIDOCAINE HCL(PF) 100 MG/10 ML (1 %) IN NACL,ISO-OSM INJECTION SYRINGE [185136]",18.73,18.73,,,0
NDC,70004-723-09,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],29.82,29.82,,,0
NDC,70004-774-40,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV [129071],189.0,189.0,,,0
NDC,70004-785-40,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [130047],347.5,347.5,,,0
NDC,70004-808-40,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [129978],205.0,205.0,,,0
NDC,70004-841-40,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [129442],149.05,149.05,,,0
NDC,70004-908-09,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE [129103],57.345,57.345,,,0
NDC,70004-908-12,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE [129104],40.17,40.17,,,0
NDC,70004-923-59,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129073],162.14499999999998,162.14499999999998,,,0
NDC,70004-924-44,VANCOMYCIN IN 0.9% SODIUM CL 1.5 GRAM/500 ML IV SOLN [500741],224.95,224.95,,,0
NDC,70004-926-44,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129075],176.875,176.875,,,0
NDC,70004-928-44,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129076],243.91500000000002,243.91500000000002,,,0
NDC,70010-005-01,"DEXMETHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50 [41548]",11.0,11.0,,,0
NDC,70010-029-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE [33005]",17.5,17.5,,,0
NDC,70010-032-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE [31588]",6.25,6.25,,,0
NDC,70010-043-01,"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE [15500]",7.5,7.5,,,0
NDC,70010-231-01,TRAZODONE 50 MG TABLET [8085],7.5,7.5,,,0
NDC,70010-754-01,METHOCARBAMOL 500 MG TABLET [4971],8.75,8.75,,,0
NDC,70010-770-01,METHOCARBAMOL 750 MG TABLET [4972],5.835,5.835,,,0
NDC,70020-1910-1,IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],8625.0,8625.0,,,0
NDC,70020-1910-2,IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],8625.0,8625.0,,,0
NDC,70020-1911-2,IXABEPILONE 45 MG INTRAVENOUS SOLUTION [88653],25875.0,25875.0,,,0
NDC,70069-017-01,OLOPATADINE 0.1 % EYE DROPS [19452],16.05,16.05,,,0
NDC,70069-021-01,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],52.755,52.755,,,0
NDC,70069-021-25,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],15.885,15.885,,,0
NDC,70069-027-01,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [125820],54.5,54.5,,,0
NDC,70069-072-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],279.975,279.975,,,0
NDC,70069-072-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],373.05,373.05,,,0
NDC,70069-101-25,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],17.44,17.44,,,0
NDC,70069-121-01,TROPICAMIDE 1 % EYE DROPS [8250],39.68,39.68,,,0
NDC,70069-141-01,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],36.0,36.0,,,0
NDC,70069-141-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],36.0,36.0,,,0
NDC,70069-181-01,PILOCARPINE 1 % EYE DROPS [6279],296.48,296.48,,,0
NDC,70069-191-01,PILOCARPINE 2 % EYE DROPS [6280],302.1,302.1,,,0
NDC,70069-231-01,BRIMONIDINE 0.2 % EYE DROPS [17881],11.3,11.3,,,0
NDC,70069-362-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],31.0,31.0,,,0
NDC,70069-362-10,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],28.05,28.05,,,0
NDC,70069-421-01,LATANOPROST 0.005 % EYE DROPS [18621],18.25,18.25,,,0
NDC,70069-481-01,ATROPINE 8 MG/20 ML FOR CHOLINERGIC TOXICITY [40816093],13.5,13.5,,,0
NDC,70069-581-01,ATROPINE 1 % EYE DROPS [736],65.6,65.6,,,0
NDC,70069-753-25,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],5.0,5.0,,,0
NDC,70069-801-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],6.65,6.65,,,0
NDC,70069-816-01,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [162582],5.5,5.5,,,0
NDC,70069-816-10,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [162582],5.5,5.5,,,0
NDC,70069-821-01,PRUCALOPRIDE 1 MG TABLET [192795],8.115,8.115,,,0
NDC,70092-1007-36,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV [125582],82.4,82.4,,,0
NDC,70092-1009-44,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS INJECTION [130075],12.37,12.37,,,0
NDC,70092-1015-50,SODIUM BICARBONATE 1 MEQ/ML INFUSION [400328],77.5,77.5,,,0
NDC,70092-1029-35,MIDAZOLAM (VERSED) 1 MG/ML IN SODIUM CHLORIDE 0.9% INFUSION [192325],63.95,63.95,,,0
NDC,70092-1038-17,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV [129192],393.75,393.75,,,0
NDC,70092-1073-44,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE [128612],28.490000000000002,28.490000000000002,,,0
NDC,70092-1087-46,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE [129104],41.25,41.25,,,0
NDC,70092-1094-36,FENTANYL (PF) 20 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [121198],116.5,116.5,,,0
NDC,70092-1115-36,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN [128893],84.5,84.5,,,0
NDC,70092-1120-43,KETAMINE 50 MG/ML INTRAVENOUS SOLUTION (COMPONENT) [40815031],24.53,24.53,,,0
NDC,70092-1173-43,ATROPINE 0.8 MG/2 ML (0.4 MG/ML) INTRAVENOUS SYRINGE [130882],39.114999999999995,39.114999999999995,,,0
NDC,70092-1177-35,MIDAZOLAM (VERSED) 1 MG/ML IN SODIUM CHLORIDE 0.9% INFUSION [192325],57.1,57.1,,,0
NDC,70092-1281-08,"HEPARIN (PORCINE) 30,000 UNIT/1,000 ML IN 0.9 % SOD CHLORIDE IV [129242]",149.7,149.7,,,0
NDC,70092-1294-74,HYDROMORPHONE 1 MG/ML PCA - OPIOID TOLERANT [500062],249.75,249.75,,,0
NDC,70092-1310-46,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN STERILE WATER (PF)  IV SYRINGE [129759],79.78999999999999,79.78999999999999,,,0
NDC,70092-1338-07,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129076],128.865,128.865,,,0
NDC,70092-1380-36,MORPHINE 1 MG/ML IN 0.9% SODIUM CHLORIDE INFUSION WRAPPER [40816012],42.5,42.5,,,0
NDC,70092-1452-44,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE [128612],25.9,25.9,,,0
NDC,70092-1532-43,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE [122812],11.98,11.98,,,0
NDC,70092-1536-43,MORPHINE 2 MG/ML INTRAVENOUS CARTRIDGE [130896],48.0,48.0,,,0
NDC,70092-1552-07,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [125594],92.5,92.5,,,0
NDC,70092-1558-44,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS INJECTION [130075],10.63,10.63,,,0
NDC,70092-1575-36,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV [125582],70.5,70.5,,,0
NDC,70092-1617-46,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE [188986],31.1,31.1,,,0
NDC,70092-1623-03,CEFAZOLIN 3 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [178492],79.65,79.65,,,0
NDC,70092-1652-05,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [130047],256.25,256.25,,,0
NDC,70092-1655-17,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV [129192],188.15,188.15,,,0
NDC,70092-1662-43,"LIDOCAINE 15 MG/3 ML(0.5%)-EPINEPH 1:100,000-SOD CHL INJECTION SYRINGE [203139]",10.82,10.82,,,0
NDC,70092-9054-05,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129073],84.18,84.18,,,0
NDC,70092-9120-43,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE [129828],5.84,5.84,,,0
NDC,70092-9338-07,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129076],91.94,91.94,,,0
NDC,70092-9599-07,VANCOMYCIN IN 0.9% SODIUM CL 1.5 GRAM/500 ML IV SOLN [500741],117.75,117.75,,,0
NDC,70095-025-01,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],16.2,16.2,,,0
NDC,70100-424-01,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],251.44,251.44,,,0
NDC,70100-424-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],564.935,564.935,,,0
NDC,70114-101-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [192357],19316.75,19316.75,,,0
NDC,70114-130-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR [209897],20144.4,20144.4,,,0
NDC,70114-340-01,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION [209404],47493.6,47493.6,,,0
NDC,70121-1049-1,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],59.19,59.19,,,0
NDC,70121-1168-1,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],60.2,60.2,,,0
NDC,70121-1169-1,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],44.93,44.93,,,0
NDC,70121-1483-1,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],183.0,183.0,,,0
NDC,70121-1483-7,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],183.0,183.0,,,0
NDC,70121-1568-1,FILGRASTIM-AYOW (RELEUKO) PATIENT SPECIFIC SUBCUTANEOUS SYRINGE [40816181],367.28,367.28,,,0
NDC,70121-1568-7,FILGRASTIM-AYOW (RELEUKO) PATIENT SPECIFIC SUBCUTANEOUS SYRINGE [40816181],367.28,367.28,,,0
NDC,70121-1570-1,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE [203023],527.82,527.82,,,0
NDC,70121-1570-7,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE [203023],527.82,527.82,,,0
NDC,70121-1573-1,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],26.814999999999998,26.814999999999998,,,0
NDC,70121-1574-1,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],81.6,81.6,,,0
NDC,70121-1574-5,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],65.28,65.28,,,0
NDC,70121-1577-1,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],14.25,14.25,,,0
NDC,70121-1604-1,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [119061],21.4,21.4,,,0
NDC,70121-1604-7,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [119061],21.4,21.4,,,0
NDC,70121-1647-1,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],364.615,364.615,,,0
NDC,70121-1647-7,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],73.995,73.995,,,0
NDC,70121-1680-1,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],501.15000000000003,501.15000000000003,,,0
NDC,70121-1694-2,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],695.87,695.87,,,0
NDC,70121-1711-1,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],32.5,32.5,,,0
NDC,70121-1717-1,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",311.5,311.5,,,0
NDC,70121-1717-7,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",311.5,311.5,,,0
NDC,70121-1719-1,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [127496],15.0,15.0,,,0
NDC,70121-1719-9,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [127496],15.0,15.0,,,0
NDC,70121-1722-1,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [129442],157.5,157.5,,,0
NDC,70121-1722-9,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [129442],157.5,157.5,,,0
NDC,70121-1754-1,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION [203911],5342.110000000001,5342.110000000001,,,0
NDC,70121-1755-1,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION [203911],9847.04,9847.04,,,0
NDC,70127-100-01,CANNABIDIOL 100 MG/ML ORAL SOLUTION [191683],154.71,154.71,,,0
NDC,70199-026-11,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION [11641]",1665.7,1665.7,,,0
NDC,70257-051-05,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN [126230],2156.955,2156.955,,,0
NDC,70257-051-51,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN [126230],2156.955,2156.955,,,0
NDC,70257-126-11,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION [178540],27186.75,27186.75,,,0
NDC,70257-126-51,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION [178540],27186.75,27186.75,,,0
NDC,70257-330-51,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN [70575]",2020.45,2020.45,,,0
NDC,70408-239-32,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],8925.6,8925.6,,,0
NDC,70436-027-80,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],302.5,302.5,,,0
NDC,70436-040-01,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR [99836]",7.5,7.5,,,0
NDC,70436-089-55,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],262.33,262.33,,,0
NDC,70436-120-80,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION [23617],57.19,57.19,,,0
NDC,70461-025-04,FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [216246],0.5,0.5,,,0
NDC,70461-655-04,FLU VAC TS 2025(6 MOS UP)C.DER.(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [216250],0.5,0.5,,,0
NDC,70504-0126-1,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION [178540],16329.26,16329.26,,,0
NDC,70504-0126-2,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION [178540],16329.26,16329.26,,,0
NDC,70504-3000-1,"RHO(D) IMMUNE GLOBULIN-MALTOSE 15,000 UNIT (3,000 MCG)/13 ML INJ. SOLN [70576]",22491.2,22491.2,,,0
NDC,70504-3100-1,"RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT (1,000 MCG)/4.4 ML INJ. SOLN [70574]",5608.66,5608.66,,,0
NDC,70504-3100-2,"RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT (1,000 MCG)/4.4 ML INJ. SOLN [70574]",5608.66,5608.66,,,0
NDC,70512-520-05,OLOPATADINE 0.1 % EYE DROPS [19452],6.1,6.1,,,0
NDC,70512-812-01,LIDOCAINE 4 % TOPICAL PATCH [119190],10.02,10.02,,,0
NDC,70512-812-30,LIDOCAINE 4 % TOPICAL PATCH [119190],10.02,10.02,,,0
NDC,70515-262-10,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION [9853],395.55,395.55,,,0
NDC,70515-610-01,"OMEPRAZOLE MAGNESIUM 10 MG ORAL SUSPENSION,DELAYED RELEASE [96329]",5.0,5.0,,,0
NDC,70515-625-01,"OMEPRAZOLE MAGNESIUM 2.5 MG ORAL SUSPENSION,DELAYED RELEASE [96328]",247.53000000000003,247.53000000000003,,,0
NDC,70594-023-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],50.97,50.97,,,0
NDC,70594-112-01,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],239.92499999999998,239.92499999999998,,,0
NDC,70655-088-06,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],49.5,49.5,,,0
NDC,70700-119-84,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET [10749],5.0,5.0,,,0
NDC,70700-173-22,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],222.0,222.0,,,0
NDC,70700-188-22,FLUOROURACIL 50 MG/ML INTRALESIONAL/TOPICAL SYRINGE [40816103],7.045,7.045,,,0
NDC,70700-268-94,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],244.0,244.0,,,0
NDC,70700-268-99,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],305.2,305.2,,,0
NDC,70700-331-22,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],64.0,64.0,,,0
NDC,70710-1047-3,ERYTHROMYCIN 250 MG TABLET [2889],33.24,33.24,,,0
NDC,70710-1110-1,CYPROHEPTADINE 4 MG TABLET [2033],5.0,5.0,,,0
NDC,70710-1160-3,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR [116843]",39.75,39.75,,,0
NDC,70710-1302-6,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY [40369]",13.690000000000001,13.690000000000001,,,0
NDC,70710-1302-7,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY [40369]",10.875,10.875,,,0
NDC,70710-1359-1,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],78.125,78.125,,,0
NDC,70710-1359-6,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],41.44,41.44,,,0
NDC,70710-1460-2,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],66.0,66.0,,,0
NDC,70710-1478-1,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [22185],3512.1499999999996,3512.1499999999996,,,0
NDC,70710-1524-1,CARMUSTINE 100 MG INTRAVENOUS SOLUTION [28911],1391.85,1391.85,,,0
NDC,70710-1525-9,CARMUSTINE 100 MG INTRAVENOUS SOLUTION [28911],1391.85,1391.85,,,0
NDC,70710-1643-7,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],14.18,14.18,,,0
NDC,70710-1726-1,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],23428.895,23428.895,,,0
NDC,70710-1726-8,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],19594.239999999998,19594.239999999998,,,0
NDC,70710-1850-1,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],47.41,47.41,,,0
NDC,70710-1852-7,INDOMETHACIN 50 MG RECTAL SUPPOSITORY [3901],741.79,741.79,,,0
NDC,70710-2139-1,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE [177015]",16.165,16.165,,,0
NDC,70720-950-36,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT [10137],3025.0,3025.0,,,0
NDC,70720-951-30,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT [16254],9075.0,9075.0,,,0
NDC,70748-323-02,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],15.15,15.15,,,0
NDC,70752-129-05,TRIAMCINOLONE ACETONIDE 0.025 % LOTION [8115],75.0,75.0,,,0
NDC,70756-607-30,OFLOXACIN 0.3 % EYE DROPS [19746],34.75,34.75,,,0
NDC,70756-609-15,OFLOXACIN 0.3 % EAR DROPS [22257],41.0,41.0,,,0
NDC,70756-614-30,PHENYLEPHRINE 10 % EYE DROPS [19636],177.0,177.0,,,0
NDC,70756-629-25,PHENYLEPHRINE 2.5 % EYE DROPS [6246],120.9,120.9,,,0
NDC,70756-645-25,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],6.25,6.25,,,0
NDC,70756-645-86,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],7.25,7.25,,,0
NDC,70756-651-25,ATROPINE 1 % EYE DROPS [736],166.4,166.4,,,0
NDC,70756-720-11,ACETAZOLAMIDE 125 MG TABLET [112],5.0,5.0,,,0
NDC,70756-721-11,ACETAZOLAMIDE 250 MG TABLET [113],5.0,5.0,,,0
NDC,70842-160-01,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],902.7,902.7,,,0
NDC,70842-240-01,REZAFUNGIN 200 MG INTRAVENOUS SOLUTION [207811],9750.0,9750.0,,,0
NDC,70860-100-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],13.54,13.54,,,0
NDC,70860-100-41,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],12.26,12.26,,,0
NDC,70860-200-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",149.99,149.99,,,0
NDC,70860-205-50,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],183.34,183.34,,,0
NDC,70860-210-51,ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [111464],44.0,44.0,,,0
NDC,70860-219-20,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],55.82,55.82,,,0
NDC,70860-300-05,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],8.43,8.43,,,0
NDC,70860-400-10,TRANEXAMIC ACID FOR NEBULIZATION SOLUTION [192551],14.024999999999999,14.024999999999999,,,0
NDC,70860-400-41,TRANEXAMIC ACID FOR NEBULIZATION SOLUTION [192551],14.024999999999999,14.024999999999999,,,0
NDC,70860-403-50,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [195967],682.25,682.25,,,0
NDC,70860-405-41,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],12.6,12.6,,,0
NDC,70860-406-41,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],15.25,15.25,,,0
NDC,70860-700-02,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],6.5,6.5,,,0
NDC,70860-700-41,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],6.55,6.55,,,0
NDC,70860-701-41,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],8.44,8.44,,,0
NDC,70860-785-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],30.5,30.5,,,0
NDC,70954-041-10,RIFABUTIN 150 MG CAPSULE [11290],37.425,37.425,,,0
NDC,70954-051-10,FELBAMATE 600 MG/5 ML ORAL SUSPENSION [10023],391.05,391.05,,,0
NDC,70954-139-10,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION [41623],105.02,105.02,,,0
NDC,70954-140-10,LEVOCARNITINE 100 MG/ML ORAL SOLUTION [119103],133.34,133.34,,,0
NDC,70954-319-10,PAROXETINE 10 MG/5 ML ORAL SUSPENSION [22959],56.5,56.5,,,0
NDC,70954-401-10,DEXAMETHASONE 1.5 MG TABLET [2325],10.004999999999999,10.004999999999999,,,0
NDC,70954-484-20,PYRAZINAMIDE 500 MG TABLET [6738],77.25,77.25,,,0
NDC,70954-492-10,LEVOCARNITINE 330 MG TABLET [20952],10.0,10.0,,,0
NDC,70954-518-10,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],72.5,72.5,,,0
NDC,70954-565-10,ESTRADIOL 1 MG TABLET [9967],7.5,7.5,,,0
NDC,70954-978-20,BROMOCRIPTINE 2.5 MG TABLET [9297],5.0,5.0,,,0
NDC,71101-911-05,LIDOCAINE 4 % TOPICAL PATCH [119190],12.8,12.8,,,0
NDC,71104-804-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION [170433]",3999.6,3999.6,,,0
NDC,71104-805-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,500 UNIT INTRAVENOUS SOLUTION [170434]",5999.4,5999.4,,,0
NDC,71104-806-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION [170435]",7999.2,7999.2,,,0
NDC,71104-808-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION [186144]",15984.0,15984.0,,,0
NDC,71266-5100-1,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [125594],77.4,77.4,,,0
NDC,71266-5103-1,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [125594],75.0,75.0,,,0
NDC,71266-8020-1,ARGININE 25 MG-LYSINE 25MG/ML IN STERILE WATER INTRAVENOUS SOLUTION [192845],1475.0,1475.0,,,0
NDC,7126925010,"NIACIN 250 MG TABLET,CONTROLLED RELEASE [5544]",10.0,10.0,,,0
NDC,7128-5809-41,SODIUM 25 MEQ-POTASSIUM 20 MEQ-MAG 5 MEQ/20 ML-CALCIUM-CHLORID-ACET IV [126844],5.0,5.0,,,0
NDC,7128-5809-42,SODIUM 25 MEQ-POTASSIUM 20 MEQ-MAG 5 MEQ/20 ML-CALCIUM-CHLORID-ACET IV [126844],681.25,681.25,,,0
NDC,71285-6060-1,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [129442],76.25,76.25,,,0
NDC,71285-6074-1,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129073],50.67,50.67,,,0
NDC,71285-6176-1,VANCOMYCIN IN 0.9% SODIUM CL 1.5 GRAM/500 ML IV SOLN [500741],80.0,80.0,,,0
NDC,71285-7025-1,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [129978],84.75,84.75,,,0
NDC,71285-7060-1,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129075],58.975,58.975,,,0
NDC,71285-8096-01,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV [129071],240.0,240.0,,,0
NDC,71285-9001-01,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV [187896],2545.0,2545.0,,,0
NDC,71285-9005-1,"CARDIOPLEGIC SOLUTION DEL NIDO 1,052.8 ML FOR PERFUSION [40825035]",344.65,344.65,,,0
NDC,71286-2071-2,FENTANYL (PF) 100 MCG/10 ML (10 MCG/ML) IN 0.9 % NACL IV SYRINGE [129093],53.5,53.5,,,0
NDC,71286-4035-2,MIDAZOLAM (VERSED) 1 MG/ML IN SODIUM CHLORIDE 0.9% INFUSION [192325],95.0,95.0,,,0
NDC,71286-6003-1,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE [128175],52.8,52.8,,,0
NDC,71286-6009-1,PHENYLEPHRINE 100MCG/ML IN 0.9% SODIUM CHLORIDE [192322],5.0,5.0,,,0
NDC,71286-6011-1,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE [129103],49.17,49.17,,,0
NDC,71288-006-30,AMPICILLIN-SULBACTAM 3 GRAM INJECTION (MG OF AMPICILLIN) [359084],29.46,29.46,,,0
NDC,71288-016-15,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],55.205,55.205,,,0
NDC,71288-019-10,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],39.99,39.99,,,0
NDC,71288-027-30,VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],38.4,38.4,,,0
NDC,71288-028-12,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [41144],78.25,78.25,,,0
NDC,71288-030-20,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],40.6,40.6,,,0
NDC,71288-031-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [9083],19.24,19.24,,,0
NDC,71288-031-21,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [9083],10.11,10.11,,,0
NDC,71288-032-20,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],16.65,16.65,,,0
NDC,71288-032-21,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],16.6,16.6,,,0
NDC,71288-109-20,CYTARABINE (ARA-C/CYTOSTAR) 100 MG/ML INJECTION FOR SC USE [408902],6.64,6.64,,,0
NDC,71288-114-50,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],126.83,126.83,,,0
NDC,71288-115-30,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],209.27,209.27,,,0
NDC,71288-118-10,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],47.35,47.35,,,0
NDC,71288-119-20,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],62.769999999999996,62.769999999999996,,,0
NDC,71288-128-20,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],892.38,892.38,,,0
NDC,71288-156-05,THIOTEPA 15 MG SOLUTION FOR INJECTION [7901],1170.545,1170.545,,,0
NDC,71288-160-10,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION [4394],72.64999999999999,72.64999999999999,,,0
NDC,71288-167-50,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],405.49,405.49,,,0
NDC,71288-201-85,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],980.7,980.7,,,0
NDC,71288-203-02,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],5.0,5.0,,,0
NDC,71288-203-03,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],5.0,5.0,,,0
NDC,71288-203-10,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],5.0,5.0,,,0
NDC,71288-203-11,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],5.0,5.0,,,0
NDC,71288-206-01,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],33.72,33.72,,,0
NDC,71288-303-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",5.0,5.0,,,0
NDC,71288-402-10,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",13.875,13.875,,,0
NDC,71288-402-11,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",12.2,12.2,,,0
NDC,71288-409-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],24.95,24.95,,,0
NDC,71288-426-03,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],93.11,93.11,,,0
NDC,71288-427-10,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],23.54,23.54,,,0
NDC,71288-427-11,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],17.655,17.655,,,0
NDC,71288-500-10,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION [164134],5.74,5.74,,,0
NDC,71288-502-01,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],32.9,32.9,,,0
NDC,71288-600-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],10.5,10.5,,,0
NDC,71288-600-11,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],5.15,5.15,,,0
NDC,71288-701-05,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION [9168],22.13,22.13,,,0
NDC,71288-702-10,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION [9168],58.95,58.95,,,0
NDC,71288-712-05,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],15.0,15.0,,,0
NDC,71288-713-21,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],180.8,180.8,,,0
NDC,71288-716-11,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],20.625,20.625,,,0
NDC,71288-718-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],16.5,16.5,,,0
NDC,71288-803-20,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],367.5,367.5,,,0
NDC,71288-803-21,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],367.5,367.5,,,0
NDC,71288-806-51,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],139.0,139.0,,,0
NDC,71336-1000-1,PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION [191123],118845.0,118845.0,,,0
NDC,71336-1003-1,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE [203985],596755.0,596755.0,,,0
NDC,71351-021-05,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],8.9,8.9,,,0
NDC,71351-021-25,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],8.58,8.58,,,0
NDC,7135101099,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [70284]",7.5,7.5,,,0
NDC,7135101250,LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [128580],12.5,12.5,,,0
NDC,71357-001-06,TROMETHAMINE 36 MG/ML (0.3 M) INTRAVENOUS SOLUTION [11608],1500.0,1500.0,,,0
NDC,71357-007-01,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],57.5,57.5,,,0
NDC,71376-201-03,"METHYLPHENIDATE ER 20 MG CAPSULE,DELAYED RELEASE,EXT RELEASE SPRINKLE [193561]",172.97,172.97,,,0
NDC,71376-202-03,"METHYLPHENIDATE ER 40 MG CAPSULE,DELAYED RELEASE,EXT RELEASE SPRINKLE [193562]",100.88,100.88,,,0
NDC,71376-203-03,"METHYLPHENIDATE ER 60 MG CAPSULE,DELAYED RELEASE,EXT RELEASE SPRINKLE [193563]",57.66,57.66,,,0
NDC,71376-204-03,"METHYLPHENIDATE ER 80 MG CAPSULE,DELAYED RELEASE,EXT RELEASE SPRINKLE [193564]",43.24,43.24,,,0
NDC,71390-011-00,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION [198761],23.58,23.58,,,0
NDC,71399-0051-1,MAGNESIUM CITRATE ORAL SOLUTION [4712],10.36,10.36,,,0
NDC,71399-0071-1,MICONAZOLE NITRATE 2 % TOPICAL CREAM [5039],12.78,12.78,,,0
NDC,71399-0122-4,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [8723],10.17,10.17,,,0
NDC,71399-6854-3,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [126514],11.48,11.48,,,0
NDC,71399-7401-01,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],5.0,5.0,,,0
NDC,71399-8245-3,SENNOSIDES 8.6 MG TABLET [11349],10.0,10.0,,,0
NDC,71399-8460-2,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],5.0,5.0,,,0
NDC,7139901408,AMMONIUM LACTATE 12 % LOTION [10380],11.25,11.25,,,0
NDC,71449-001-15,PHENYLEPHRINE 100MCG/ML IN 0.9% SODIUM CHLORIDE [192322],5.0,5.0,,,0
NDC,71449-097-42,"MOXIFLOXACIN (PF) 5 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAOCULAR SOLN [186065]",13.0,13.0,,,0
NDC,71449-126-15,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE [129104],26.72,26.72,,,0
NDC,71449-148-94,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [129978],175.0,175.0,,,0
NDC,71506-079-56,THIAMINE 500 MG/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [208906],183.5,183.5,,,0
NDC,71699-050-30,CENOBAMATE 50 MG TABLET [196228],476.68500000000006,476.68500000000006,,,0
NDC,71699-100-30,CENOBAMATE 100 MG TABLET [196229],238.34500000000003,238.34500000000003,,,0
NDC,71740-112-30,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION (PATIENT SPECIFIC) [40812009],13.81,13.81,,,0
NDC,71770-100-60,HYDROXYUREA (SICKLE CELL) 100 MG TABLET [188705],273.315,273.315,,,0
NDC,71770-120-30,"HYDROXYUREA (SICKLE CELL) 1,000 MG TABLET [192043]",292.25,292.25,,,0
NDC,71776-005-15,"NATAMYCIN 5 % EYE DROPS,SUSPENSION [10692]",2368.2,2368.2,,,0
NDC,71837-1000-1,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION [213012],118750.0,118750.0,,,0
NDC,71837-1000-2,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION [213012],118750.0,118750.0,,,0
NDC,71837-5843-1,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],1785.32,1785.32,,,0
NDC,71837-5843-5,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],1284.4,1284.4,,,0
NDC,71839-104-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],102.0,102.0,,,0
NDC,71839-124-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],9.3,9.3,,,0
NDC,71839-124-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],5.6,5.6,,,0
NDC,72078-034-00,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],19.04,19.04,,,0
NDC,72078-034-01,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],14.28,14.28,,,0
NDC,72078-035-00,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],14.97,14.97,,,0
NDC,72078-066-50,VANCOMYCIN 2 GRAM INTRAVENOUS SOLUTION [211511],197.21,197.21,,,0
NDC,72078-081-00,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION [209348],125.0,125.0,,,0
NDC,72196-6011-2,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE [129104],36.01,36.01,,,0
NDC,72196-6060-1,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [129442],76.25,76.25,,,0
NDC,72196-6074-1,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129073],77.245,77.245,,,0
NDC,72196-6078-1,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129076],63.795,63.795,,,0
NDC,72196-6176-1,VANCOMYCIN IN 0.9% SODIUM CL 1.5 GRAM/500 ML IV SOLN [500741],93.75,93.75,,,0
NDC,72196-7036-1,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [130047],219.0,219.0,,,0
NDC,72196-7060-1,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129075],78.63,78.63,,,0
NDC,72196-9005-1,"CARDIOPLEGIC SOLUTION DEL NIDO 1,052.8 ML FOR PERFUSION [40825035]",344.65,344.65,,,0
NDC,72205-012-90,PREGABALIN 50 MG CAPSULE [42163],10.0,10.0,,,0
NDC,72205-039-60,DOFETILIDE 125 MCG CAPSULE [26965],10.0,10.0,,,0
NDC,72205-041-60,DOFETILIDE 500 MCG CAPSULE [26967],5.0,5.0,,,0
NDC,72205-045-01,THIOTEPA 15 MG SOLUTION FOR INJECTION [7901],457.12,457.12,,,0
NDC,72205-046-01,THIOTEPA 100 MG SOLUTION FOR INJECTION [186635],715.255,715.255,,,0
NDC,72205-051-08,ALBENDAZOLE 200 MG TABLET [8979],80.3,80.3,,,0
NDC,72205-054-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],115.9,115.9,,,0
NDC,72205-085-30,TIAGABINE 4 MG TABLET [21827],10.5,10.5,,,0
NDC,72205-086-30,TIAGABINE 12 MG TABLET [21829],16.735,16.735,,,0
NDC,72241-040-05,GLYBURIDE 5 MG TABLET [3489],7.5,7.5,,,0
NDC,72266-106-01,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],148.54,148.54,,,0
NDC,72266-124-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],18.1,18.1,,,0
NDC,72266-127-01,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],26.625,26.625,,,0
NDC,72266-127-05,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],27.295,27.295,,,0
NDC,72266-158-01,MOXIFLOXACIN 0.5 % EYE DROPS [35699],44.25,44.25,,,0
NDC,72266-159-01,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],59.27,59.27,,,0
NDC,72266-160-01,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [33175],58.165,58.165,,,0
NDC,72266-235-01,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION [15156],612.6500000000001,612.6500000000001,,,0
NDC,72266-248-01,SINCALIDE 5 MCG SOLUTION FOR INJECTION [11368],377.57,377.57,,,0
NDC,72266-248-05,SINCALIDE 5 MCG SOLUTION FOR INJECTION [11368],375.95,375.95,,,0
NDC,72485-105-01,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],75.0,75.0,,,0
NDC,72485-404-01,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],12.19,12.19,,,0
NDC,72485-421-01,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],5.0,5.0,,,0
NDC,72485-505-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],18.25,18.25,,,0
NDC,72485-510-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",10.39,10.39,,,0
NDC,72485-625-13,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [36576]",381.75,381.75,,,0
NDC,72493-103-03,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [196668],66800.0,66800.0,,,0
NDC,72578-002-01,ACYCLOVIR 200 MG CAPSULE (ANES ONE-STEP) [500788],12.5,12.5,,,0
NDC,72578-089-01,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",24.98,24.98,,,0
NDC,72578-098-18,LEVOFLOXACIN 250 MG TABLET [18918],10.0,10.0,,,0
NDC,72578-099-18,LEVOFLOXACIN 500 MG TABLET [18919],6.25,6.25,,,0
NDC,72578-100-92,LEVOFLOXACIN 750 MG TABLET [28964],5.0,5.0,,,0
NDC,72579-121-01,TISLELIZUMAB-JSGR 10 MG/ML INTRAVENOUS SOLUTION [211694],55600.7,55600.7,,,0
NDC,72606-029-01,USTEKINUMAB-STBA 130 MG/26 ML INTRAVENOUS SOLUTION [213603],2088.06,2088.06,,,0
NDC,72611-780-01,TEMSIROLIMUS 25 MG/ML (BEFORE RECONSTITUTION) INTRAVENOUS SOLUTION [40817040],3083.05,3083.05,,,0
NDC,72611-782-01,DILUENT FOR TEMSIROLIMUS (ETHANOL) INTRAVENOUS SOLUTION [207138],5.0,5.0,,,0
NDC,72611-785-02,TEMSIROLIMUS 25 MG/ML (BEFORE RECONSTITUTION) INTRAVENOUS SOLUTION [40817040],3083.05,3083.05,,,0
NDC,72682-2625-00,ARGININE 25 MG-LYSINE 25MG/ML IN STERILE WATER INTRAVENOUS SOLUTION [192845],1475.0,1475.0,,,0
NDC,72694-515-01,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION [194797],142400.0,142400.0,,,0
NDC,72694-954-01,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519],110368.19,110368.19,,,0
NDC,72769-181-01,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [176607],5547.885,5547.885,,,0
NDC,72769-181-03,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [176607],5547.885,5547.885,,,0
NDC,72819-152-05,MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],1215.3899999999999,1215.3899999999999,,,0
NDC,72888-152-01,CLONAZEPAM 0.5 MG TABLET [9637],10.0,10.0,,,0
NDC,72888-162-30,TRAMADOL 25 MG TABLET [209828],27.87,27.87,,,0
NDC,72888-208-01,METOPROLOL TARTRATE 25 MG TABLET [37637],10.0,10.0,,,0
NDC,72888-208-05,METOPROLOL TARTRATE 25 MG TABLET [37637],10.0,10.0,,,0
NDC,72893-002-01,BELINOSTAT 500 MG INTRAVENOUS SOLUTION [170641],42752.58,42752.58,,,0
NDC,72893-005-01,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073],98920.7,98920.7,,,0
NDC,72903-853-01,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION [205606],103874.0,103874.0,,,0
NDC,73042-201-01,NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION [198788],446059.2,446059.2,,,0
NDC,73043-005-01,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE [35209],8.25,8.25,,,0
NDC,73043-005-02,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE [35209],5.0,5.0,,,0
NDC,73090-420-01,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION [170237],44083.96,44083.96,,,0
NDC,73090-421-01,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION [170238],44083.96,44083.96,,,0
NDC,73140106,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],5.0,5.0,,,0
NDC,73177-102-03,FENTANYL (PF) 100 MCG/10 ML (10 MCG/ML) IN 0.9 % NACL IV SYRINGE [129093],35.7,35.7,,,0
NDC,73177-108-03,PHENYLEPHRINE 100MCG/ML IN 0.9% SODIUM CHLORIDE [192322],5.635,5.635,,,0
NDC,73177-116-03,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE [129104],22.384999999999998,22.384999999999998,,,0
NDC,73177-121-19,LIDOCAINE 4 %-EPINEPHRINE 0.09 %-TETRACAINE 0.5 % TOPICAL GEL [209189],55.15,55.15,,,0
NDC,73177-146-33,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251],250.0,250.0,,,0
NDC,73177-156-27,KETAMINE 10MG/ML IV INFUSION [500918],142.25,142.25,,,0
NDC,73177-163-33,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251],187.5,187.5,,,0
NDC,73292-011-01,VILTOLARSEN 50 MG/ML INTRAVENOUS SOLUTION [197819],150700.8,150700.8,,,0
NDC,73293-0001-1,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],7.5,7.5,,,0
NDC,73302-456-01,ULIPRISTAL 30 MG TABLET [106079],166.7,166.7,,,0
NDC,73475-3041-5,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION [202389],49682.5,49682.5,,,0
NDC,73535-208-01,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION [197782],24048.0,24048.0,,,0
NDC,73555-501-00,REVUMENIB 110 MG TABLET [212757],3291.67,3291.67,,,0
NDC,73555-502-00,REVUMENIB 160 MG TABLET [212758],3291.67,3291.67,,,0
NDC,73562-104-10,"LIPASE-PROTEASE-AMYLASE (PORCINE) 10,440-39,150-39,150 UNIT TABLET [116035]",29.380000000000003,29.380000000000003,,,0
NDC,73562-208-10,"LIPASE-PROTEASE-AMYLASE (PORCINE) 20,880-78,300-78,300 UNIT TABLET [116036]",45.345,45.345,,,0
NDC,73594-9310-1,FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION [197996],11280.0,11280.0,,,0
NDC,73607-001-11,ARTESUNATE 110 MG INTRAVENOUS SOLUTION [200085],16806.2,16806.2,,,0
NDC,73650-316-01,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION [205618],15408.13,15408.13,,,0
NDC,73650-316-10,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION [205618],15408.13,15408.13,,,0
NDC,73657-020-01,MELPHALAN FLUFENAMIDE 20 MG INTRAVENOUS SOLUTION [199646],71250.0,71250.0,,,0
NDC,73776-022-01,INV (LS-P-APRIL)(ALDESLEUKIN) 22 MILLION UNIT INTRAVENOUS SOLUTION [70018947],0.1,0.1,,,0
NDC,7430000070,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE [128832],16.82,16.82,,,0
NDC,7430001067,ARTIFICIAL TEARS EYEDROPS WRAPPER ERX [191345],24.08,24.08,,,0
NDC,74527-022-02,MARGETUXIMAB 250 MG/ 10 ML INTRAVENOUS SOLUTION [40817032],41623.08,41623.08,,,0
NDC,75834-158-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [11640]",5.835,5.835,,,0
NDC,75834-159-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE [8531]",5.0,5.0,,,0
NDC,75834-320-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [11639]",7.5,7.5,,,0
NDC,7583401060,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS [9943]",301.5,301.5,,,0
NDC,75907-023-11,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],27.2,27.2,,,0
NDC,75907-023-48,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],28.95,28.95,,,0
NDC,75907-024-11,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],44.15,44.15,,,0
NDC,75907-024-48,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],44.32,44.32,,,0
NDC,75907-025-11,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],60.95,60.95,,,0
NDC,75907-069-01,NORTRIPTYLINE 10 MG CAPSULE [5674],25.0,25.0,,,0
NDC,75907-071-01,NORTRIPTYLINE 50 MG CAPSULE [5676],7.5,7.5,,,0
NDC,75987-130-15,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION [195813],149298.0,149298.0,,,0
NDC,75987-150-03,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION [197220],70124.25,70124.25,,,0
NDC,76045-004-01,MORPHINE 2 MG/ML INTRAVENOUS CARTRIDGE [130896],15.19,15.19,,,0
NDC,76045-004-10,MORPHINE 2 MG/ML INTRAVENOUS CARTRIDGE [130896],18.0,18.0,,,0
NDC,76045-004-11,MORPHINE 2 MG/ML INTRAVENOUS CARTRIDGE [130896],15.19,15.19,,,0
NDC,76045-005-01,MORPHINE 4 MG/ML INTRAVENOUS CARTRIDGE [117338],11.625,11.625,,,0
NDC,76045-005-10,MORPHINE 4 MG/ML INTRAVENOUS CARTRIDGE [117338],13.5,13.5,,,0
NDC,76045-005-11,MORPHINE 4 MG/ML INTRAVENOUS CARTRIDGE [117338],11.27,11.27,,,0
NDC,76045-009-06,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE WRAPPER [40814001],12.8,12.8,,,0
NDC,76045-009-10,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE [3757],9.54,9.54,,,0
NDC,76045-009-11,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE WRAPPER [40814001],9.115,9.115,,,0
NDC,76045-009-96,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE WRAPPER [40814001],16.65,16.65,,,0
NDC,76045-010-01,HYDROMORPHONE 2 MG/ML INJECTION WRAPPER [40817177],12.425,12.425,,,0
NDC,76045-010-10,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [121573],12.5,12.5,,,0
NDC,76045-101-20,METOCLOPRAMIDE 5 MG/ML INJECTION SYRINGE [122841],5.390000000000001,5.390000000000001,,,0
NDC,76045-102-10,DIPHENHYDRAMINE 50 MG/ML INJECTION SYRINGE [121570],5.195,5.195,,,0
NDC,76045-103-20,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE [126627],5.0,5.0,,,0
NDC,76045-108-10,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION WRAPPER [40816033]",8.06,8.06,,,0
NDC,76045-216-00,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE [126627],10.350000000000001,10.350000000000001,,,0
NDC,76075-101-01,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION [117047],6033.98,6033.98,,,0
NDC,76125-792-25,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",167.0,167.0,,,0
NDC,76125-900-20,IMMUNE GLOBULIN (GAMUNEX C) 10% [507035],12581.78,12581.78,,,0
NDC,76128-155-75,PORFIMER 75 MG INTRAVENOUS SOLUTION [14472],165699.19,165699.19,,,0
NDC,76154-0457-15,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [129978],121.0,121.0,,,0
NDC,76154-491-15,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [129978],105.0,105.0,,,0
NDC,76154-852-15,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [129978],105.0,105.0,,,0
NDC,76204-200-01,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],5.0,5.0,,,0
NDC,76204-200-25,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],5.0,5.0,,,0
NDC,7620402160,SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],5.0,5.0,,,0
NDC,76297-001-62,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,76310-022-01,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION [8993],13379.37,13379.37,,,0
NDC,76310-024-25,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1328.21,1328.21,,,0
NDC,76329-3015-5,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [127978],16.96,16.96,,,0
NDC,76329-3301-1,DEXTROSE 50 % IN WATER (D50W) IV (MASTER) [408400],25.0,25.0,,,0
NDC,76329-3302-1,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [122633],81.5,81.5,,,0
NDC,76329-3304-1,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],13.725000000000001,13.725000000000001,,,0
NDC,76329-3318-1,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],5.8,5.8,,,0
NDC,76329-3340-1,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],45.8,45.8,,,0
NDC,76329-3352-1,SODIUM BICARBONATE 50 MEQ/50 ML (8.4 %) INTRAVENOUS SYRINGE [7309],26.25,26.25,,,0
NDC,76329-3369-1,NALOXONE 1 MG/ML INJECTION SYRINGE [5374],142.99,142.99,,,0
NDC,76329-3390-1,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],12.03,12.03,,,0
NDC,76329-6300-5,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION [43717],48.14,48.14,,,0
NDC,76329-8261-1,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],48.15,48.15,,,0
NDC,76329-9061-0,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [123851],5.0,5.0,,,0
NDC,76388-635-25,CHLORAMBUCIL 2 MG TABLET [9513],1123.0,1123.0,,,0
NDC,766117325,ALUMINUM HYDROX-MAGNESIUM CARB 160 MG-105 MG CHEWABLE TABLET [9016],5.0,5.0,,,0
NDC,77333-031-20,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",15.035,15.035,,,0
NDC,77333-031-25,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",15.035,15.035,,,0
NDC,77333-812-10,SIMETHICONE 80 MG CHEWABLE TABLET [7227],7.5,7.5,,,0
NDC,77333-812-25,SIMETHICONE 80 MG CHEWABLE TABLET [7227],7.5,7.5,,,0
NDC,77333-827-25,SODIUM BICARBONATE 650 MG TABLET [7312],7.5,7.5,,,0
NDC,77333-844-10,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",7.5,7.5,,,0
NDC,77333-844-25,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",7.5,7.5,,,0
NDC,7733344110,LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [128580],12.5,12.5,,,0
NDC,7733344125,LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [128580],12.5,12.5,,,0
NDC,7733393425,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129162],5.0,5.0,,,0
NDC,7733393710,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET [2012],7.5,7.5,,,0
NDC,7733393725,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET [2012],7.5,7.5,,,0
NDC,7733394010,PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],7.5,7.5,,,0
NDC,7733394810,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [24559],10.0,10.0,,,0
NDC,7733395110,VITAMIN E 400 UNIT CAPSULE (WRAPPER) [40815018],5.0,5.0,,,0
NDC,7733398310,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],5.0,5.0,,,0
NDC,7733398325,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],5.0,5.0,,,0
NDC,78206-111-01,MOMETASONE 50 MCG/ACTUATION HFA AEROSOL INHALER [195822],6.415,6.415,,,0
NDC,78206-112-01,MOMETASONE 100 MCG/ACTUATION HFA AEROSOL INHALER [176868],506.22,506.22,,,0
NDC,78206-113-01,MOMETASONE 200 MCG/ACTUATION HFA AEROSOL INHALER [176867],594.95,594.95,,,0
NDC,78206-145-01,ETONOGESTREL 68 MG SUBDERMAL IMPLANT [77012],5153.2,5153.2,,,0
NDC,78206-147-01,TRASTUZUMAB-DTTB 150 MG INTRAVENOUS SOLUTION [196564],5459.75,5459.75,,,0
NDC,78206-162-01,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [187915],9703.21,9703.21,,,0
NDC,79672-613-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,79672-613-30,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,7985401163,SELENIUM 200 MCG TABLET [7139],5.0,5.0,,,0
NDC,79952-110-01,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [200229],88301.25,88301.25,,,0
NDC,80005-114-02,LOMUSTINE 10 MG CAPSULE [10459],1595.2,1595.2,,,0
NDC,80203-347-01,SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION [202832],57272.6,57272.6,,,0
NDC,80446-401-01,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION [202583],28140.0,28140.0,,,0
NDC,8065183150,CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING [28917],479.33,479.33,,,0
NDC,8065183905,CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE [28923],315.2,315.2,,,0
NDC,8068100200,ZINC GLUCONATE 50 MG TABLET [8872],7.5,7.5,,,0
NDC,8068101900,NIACINAMIDE 500 MG TABLET [5548],5.0,5.0,,,0
NDC,8068104100,MELATONIN 1 MG TABLET [82464],15.0,15.0,,,0
NDC,8068104900,PEDIATRIC MULTIVITAMIN NO.42 CHEWABLE TABLET [130653],5.0,5.0,,,0
NDC,8068105800,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",7.5,7.5,,,0
NDC,8068110400,COENZYME Q10 30 MG CAPSULE [13257],10.0,10.0,,,0
NDC,8068111600,PEDIATRIC MULTIVITAMIN NO.42 CHEWABLE TABLET [130653],5.0,5.0,,,0
NDC,8068112600,B-COMPLEX WITH VITAMIN C TABLET [807],5.0,5.0,,,0
NDC,8068113400,VITAMIN E 100 UNIT CAPSULE (WRAPPER) [40815016],10.0,10.0,,,0
NDC,8068114000,CALCIUM CITRATE 200 MG (OF CALCIUM) (CALCITRATE) TABLET [408141308],5.0,5.0,,,0
NDC,8068114202,MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET [128149],5.0,5.0,,,0
NDC,8068115500,WHITE PETROLATUM-MINERAL OIL TOPICAL CREAM [40816011],67.8,67.8,,,0
NDC,8068116900,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",5.0,5.0,,,0
NDC,80725-820-60,HYDROXYUREA (SICKLE CELL) 200 MG CAPSULE [23009],337.845,337.845,,,0
NDC,80777-112-01,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE [216673],0.5,0.5,,,0
NDC,80777-113-09,COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYRINGE [216811],0.5,0.5,,,0
NDC,80803-153-50,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION [202321],60386.5,60386.5,,,0
NDC,80830-1672-1,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],56.0,56.0,,,0
NDC,80830-2329-1,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK [194334]",5.0,5.0,,,0
NDC,80830-2363-9,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION [194017]",80.0,80.0,,,0
NDC,81033-102-10,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],8.6,8.6,,,0
NDC,81033-266-05,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [130109],5.25,5.25,,,0
NDC,81073088,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT [854]",15.85,15.85,,,0
NDC,81284-315-00,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION [204983],1640.5,1640.5,,,0
NDC,81284-612-00,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",8.76,8.76,,,0
NDC,81284-612-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",83.025,83.025,,,0
NDC,81284-831-05,PHYSOSTIGMINE 0.4 MG/ML INTRAVENOUS SOLUTION [209790],312.5,312.5,,,0
NDC,81298-7620-1,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [119756],43.42,43.42,,,0
NDC,81298-9655-1,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV [129071],108.75,108.75,,,0
NDC,81298-9658-1,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [130047],230.0,230.0,,,0
NDC,8137003640,COLLOIDAL OATMEAL TOPICAL PACKET [81870],5.0,5.0,,,0
NDC,81665-104-96,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE [19809],20.0,20.0,,,0
NDC,81665-108-10,ISONIAZID 300 MG TABLET [4027],5.73,5.73,,,0
NDC,81665-108-30,ISONIAZID 300 MG TABLET [4027],6.86,6.86,,,0
NDC,82154-0449-1,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION [34034],4740.75,4740.75,,,0
NDC,82260-734-05,FLUORESCEIN 0.3 %-BENOXINATE 0.4 % EYE DROPS [199604],5.0,5.0,,,0
NDC,82584-792-01,LIDOCAINE (PF) 3.5 % EYE GEL [94220],94.05,94.05,,,0
NDC,82625-8801-1,NALOXEGOL 12.5 MG TABLET [177053],96.73499999999999,96.73499999999999,,,0
NDC,82625-8802-3,NALOXEGOL 25 MG TABLET [177054],48.37,48.37,,,0
NDC,82705-002-01,EPCORITAMAB-BYSP 4 MG/0.8 ML SUBCUTANEOUS SOLUTION [207533],4758.0,4758.0,,,0
NDC,82705-010-01,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION [207532],76127.8,76127.8,,,0
NDC,8290306413,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [105460]",5.0,5.0,,,0
NDC,8290306424,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [126146]",5.0,5.0,,,0
NDC,8290306544,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],1.0,1.0,,,0
NDC,8290306546,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],1.0,1.0,,,0
NDC,82959-111-01,IMETELSTAT 188 MG INTRAVENOUS SOLUTION [211242],49420.0,49420.0,,,0
NDC,82959-112-01,IMETELSTAT 47 MG INTRAVENOUS SOLUTION [211240],68515.05,68515.05,,,0
NDC,83090-003-01,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],20.15,20.15,,,0
NDC,83226-2001-1,ILOPROST 100 MCG/ML INTRAVENOUS SOLUTION [212266],27500.0,27500.0,,,0
NDC,83257-005-41,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [190749],10072.2,10072.2,,,0
NDC,83257-014-11,INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [201531],284.7,284.7,,,0
NDC,83257-026-11,USTEKINUMAB-KFCE 130 MG/26 ML INTRAVENOUS SOLUTION [213593],2894.9700000000003,2894.9700000000003,,,0
NDC,83634-451-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],696.0,696.0,,,0
NDC,83634-777-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],48.25,48.25,,,0
NDC,83851-100-30,FLUORESCEIN 1 MG EYE STRIPS [27663],5.0,5.0,,,0
NDC,8385110001,FLUORESCEIN 1 MG EYE STRIPS [27663],7.5,7.5,,,0
NDC,85446-36981,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE [192017],491.18,491.18,,,0
NDC,8544636991,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE [33109],240.0,240.0,,,0
NDC,87040203,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS [197462],5.0,5.0,,,0
NDC,87040501,PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS [197120],5.0,5.0,,,0
NDC,8770140734,BIOTIN 5 MG CAPSULE [9277],5.0,5.0,,,0
NDC,8770142599,GLUCOSE 4 GRAM CHEWABLE TABLET [16050],12.5,12.5,,,0
NDC,8770142600,GLUCOSE 4 GRAM CHEWABLE TABLET [16050],12.5,12.5,,,0
NDC,8770143595,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],5.0,5.0,,,0
NDC,884629730,PHENOL 89 % TOPICAL SWAB [125748],21.9,21.9,,,0
NDC,8913031111,SODIUM HYALURONATE 16.8 MG/2 ML INTRA-ARTICULAR SYRINGE [183957],1652.2,1652.2,,,0
NDC,9029703,GELATIN ABSORBABLE EYE FILM [28028],3754.0,3754.0,,,0
NDC,904027060,VITAMIN E 100 UNIT CAPSULE (WRAPPER) [40815016],10.0,10.0,,,0
NDC,904027760,"VITAMIN E 1,000 UNIT CAPSULE (WRAPPER) [40815019]",5.0,5.0,,,0
NDC,904052260,ASCORBIC ACID (VITAMIN C) 250 MG TABLET [663],15.0,15.0,,,0
NDC,904052360,ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],10.0,10.0,,,0
NDC,904052361,ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],10.0,10.0,,,0
NDC,904053061,MULTIVITAMIN TABLET WRAPPER [4081445],5.0,5.0,,,0
NDC,904053961,MULTIVITAMIN TABLET WRAPPER [4081445],5.0,5.0,,,0
NDC,904188361,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",7.5,7.5,,,0
NDC,904208560,"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE [8639]",7.5,7.5,,,0
NDC,904320713,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET [2012],7.5,7.5,,,0
NDC,904533260,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],5.0,5.0,,,0
NDC,904606050,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],6.375,6.375,,,0
NDC,904759160,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],5.0,5.0,,,0
NDC,904759161,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],5.0,5.0,,,0
NDC,904775127,WHITE PETROLATUM-MINERAL OIL TOPICAL CREAM [40816011],20.43,20.43,,,0
NDC,99207-240-05,EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION [9916],11245.880000000001,11245.880000000001,,,0
NDC,995803360,HONEY (MEDIHONEY) TOPICAL WRAPPER [40818200],54.12,54.12,,,0
NDC,LFPSN-7214-66,INV (LS-P-SALT)(RO7623066) 25 MG CAPSULES [70014466],0.1,0.1,,,0
NDC,LFSPN-0000-05,METRONIDAZOLE 250MG/5ML ORAL SYRINGE [408102],23.3,23.3,,,0
NDC,LFSPN-0000-13,ALLOPURINOL 20 MG/ML ORAL SYRINGE [350006],5.0,5.0,,,0
NDC,LFSPN-0000-15,LISINOPRIL 1 MG/ML ORAL SOLUTION [184227],30.7,30.7,,,0
NDC,LFSPN-0000-16,VANCOMYCIN 1.75 GRAM IN 500 ML D5W [408302],86.495,86.495,,,0
NDC,LFSPN-0000-65,ALTEPLASE 10 MG SYRINGE [399016],2714.0,2714.0,,,0
NDC,LFSPN-0000-80,BALANCED SALT IRR INTRAOCULAR SOLN (COLD) (1-STEP) [500361],193.125,193.125,,,0
NDC,LFSPN-0000-92,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS [197462],5.0,5.0,,,0
NDC,LFSPN-00000-01,MIDAZOLAM 3 MG/0.6 ML INTRANASAL SOLUTION [350004],11.14,11.14,,,0
NDC,LFSPN-00000-02,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION [194104],25.0,25.0,,,0
NDC,LFSPN-00000-03,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION [194104],25.0,25.0,,,0
NDC,LFSPN-00000-07,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],25.0,25.0,,,0
NDC,LFSPN-00000-08,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],5.0,5.0,,,0
NDC,LFSPN-00000-09,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],16.63,16.63,,,0
NDC,LFSPN-00000-12,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],22.65,22.65,,,0
NDC,LFSPN-00000-14,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],187.88,187.88,,,0
NDC,LFSPN-00000-16,ALLOPURINOL 20 MG/ML ORAL SYRINGE [350006],30.55,30.55,,,0
NDC,LFSPN-00000-17,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],13.98,13.98,,,0
NDC,LFSPN-00000-20,CAFFEINE CITRATE 20 MG/1 ML ORAL SYRINGE [350025],5.0,5.0,,,0
NDC,LFSPN-00000-22,CAPTOPRIL ORAL SOLUTION 1 MG/ML [350027],5.0,5.0,,,0
NDC,LFSPN-00000-23,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],17.8,17.8,,,0
NDC,LFSPN-00000-24,CLONIDINE ORAL SYRINGE 0.1 MG/ML [350029],7.5,7.5,,,0
NDC,LFSPN-00000-29,DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION [192565],5.0,5.0,,,0
NDC,LFSPN-00000-50,ABACAVIR 20 MG/ML ORAL SOLUTION [24439],73.63,73.63,,,0
NDC,LFSPN-00000-51,ATENOLOL ORAL LIQUID 2 MG/ML [350031],8.25,8.25,,,0
NDC,LFSPN-00000-52,CEFIXIME 100 MG/5 ML ORAL SUSPENSION [9446],86.33,86.33,,,0
NDC,LFSPN-00000-53,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION [43556],5.12,5.12,,,0
NDC,LFSPN-00000-54,ATENOLOL ORAL LIQUID 2 MG/ML [350031],5.0,5.0,,,0
NDC,LFSPN-00000-56,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],5.0,5.0,,,0
NDC,LFSPN-00000-58,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION [1299]",5.0,5.0,,,0
NDC,LFSPN-00000-61,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION [2899],55.58,55.58,,,0
NDC,LFSPN-00000-63,CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION [9501],5.0,5.0,,,0
NDC,LFSPN-00000-64,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],5.0,5.0,,,0
NDC,LFSPN-00000-65,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],6.45,6.45,,,0
NDC,LFSPN-00000-66,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION [22987],27.18,27.18,,,0
NDC,LFSPN-00000-67,FELBAMATE 600 MG/5 ML ORAL SUSPENSION [10023],37.63,37.63,,,0
NDC,LFSPN-00000-68,FENTANYL (PF) 50 MCG/ML INFUSION SYRINGES [399037],6.98,6.98,,,0
NDC,LFSPN-00000-69,FENTANYL (PF) 50 MCG/ML INFUSION SYRINGES [399037],13.95,13.95,,,0
NDC,LFSPN-00000-70,FENTANYL (PF) 50 MCG/ML INFUSION SYRINGES [399037],34.88,34.88,,,0
NDC,LFSPN-00000-71,FENTANYL (PF) 50 MCG/ML INFUSION SYRINGES [399037],69.75,69.75,,,0
NDC,LFSPN-00000-72,FENTANYL INFUSION 50 MCG/ML 100 ML [500125],139.5,139.5,,,0
NDC,LFSPN-00000-73,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],35.6,35.6,,,0
NDC,LFSPN-00000-74,FENTANYL INTRANASAL SOLUTION 50 MCG/ML [350055],5.0,5.0,,,0
NDC,LFSPN-00000-75,FLUCONAZOLE 100MG/50ML IN SODIUM CHLORIDE [408000],17.5,17.5,,,0
NDC,LFSPN-00000-76,FLUCONAZOLE 50MG/25ML IN SODIUM CHLORIDE [408001],8.75,8.75,,,0
NDC,LFSPN-00000-78,CLONAZEPAM 0.1 MG/ML ORAL LIQUID [350037],5.0,5.0,,,0
NDC,LFSPN-00000-80,FLECAINIDE 100 MG/5 ML ORAL LIQUID [350041],11.63,11.63,,,0
NDC,LFSPN-00000-81,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION [107829],18.75,18.75,,,0
NDC,LFSPN-00000-82,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],5.0,5.0,,,0
NDC,LFSPN-00000-83,HYDROXYCHLOROQUINE 25 MG/1 ML ORAL SYRINGE - FOR PEDIATRIC USE ONLY [40816053],5.0,5.0,,,0
NDC,LFSPN-00000-84,ISRADIPINE 1 MG/1 ML ORAL SYRINGE [350046],5.0,5.0,,,0
NDC,LFSPN-00000-85,KETAMINE 10 MG/1 ML ORAL SYRINGE [350048],5.0,5.0,,,0
NDC,LFSPN-00000-86,KETAMINE 200 MG/20 ML SYRINGE (PEDI) [500420],70.8,70.8,,,0
NDC,LFSPN-00000-87,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE [129828],8.34,8.34,,,0
NDC,LFSPN-00000-88,LABETALOL 40 MG/ML ORAL SYRINGE [350050],5.47,5.47,,,0
NDC,LFSPN-00000-89,LABETALOL 40 MG/ML ORAL SYRINGE [350050],13.68,13.68,,,0
NDC,LFSPN-00000-90,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID [2515],5.0,5.0,,,0
NDC,LFSPN-00000-91,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID [2515],6.5,6.5,,,0
NDC,LFSPN-00000-92,LORAZEPAM 2 MG/ML ORAL CONCENTRATE [4571],5.0,5.0,,,0
NDC,LFSPN-00000-94,METHADONE 5 MG/5 ML ORAL SOLUTION [4952],5.0,5.0,,,0
NDC,LFSPN-00000-95,METHADONE 5 MG/5 ML ORAL SOLUTION [4952],5.2,5.2,,,0
NDC,LFSPN-00000-96,METOPROLOL 10 MG/ML ORAL SYRINGE [350052],5.0,5.0,,,0
NDC,LFSPN-00000-97,METOPROLOL 10 MG/ML ORAL SYRINGE [350052],5.0,5.0,,,0
NDC,LFSPN-000001-41,ATRACURIUM 10 MG/ML INFUSION (FORMULATION) [351300],114.38,114.38,,,0
NDC,LFSPN-000001-42,ATRACURIUM 10 MG/ML INFUSION (FORMULATION) [351300],228.75,228.75,,,0
NDC,LFSPN-000001-43,METHADONE 1 MG/ML IN NS SYRINGE [500042],167.0,167.0,,,0
NDC,LFSPN-000001-45,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION [6097],227.52,227.52,,,0
NDC,LFSPN-00001-00,MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],7.0,7.0,,,0
NDC,LFSPN-00001-01,MIDAZOLAM INFUSION 5 MG/ML PEDI SYRINGE [40818002],33.2,33.2,,,0
NDC,LFSPN-00001-02,MIDAZOLAM INFUSION 5 MG/ML [500044],166.0,166.0,,,0
NDC,LFSPN-00001-08,CLONIDINE 0.05 MG HALF TABLET [350062],5.0,5.0,,,0
NDC,LFSPN-00001-09,CLONIDINE 0.025 MG QUARTER TABLET [350063],5.0,5.0,,,0
NDC,LFSPN-00001-19,METHYLPHENIDATE 2.5 MG HALF TABLET [350073],5.0,5.0,,,0
NDC,LFSPN-00001-22,QUETIAPINE 12.5 MG HALF TABLET [350076],5.0,5.0,,,0
NDC,LFSPN-00001-26,TRAZODONE 25 MG HALF TABLET [350080],7.5,7.5,,,0
NDC,LFSPN-00001-27,METOPROLOL TARTRATE 12.5 MG PO HALF TABLET [400503],15.0,15.0,,,0
NDC,LFSPN-00001-30,MORPHINE 0.8 MG/2 ML ORAL SYRINGE [350082],5.0,5.0,,,0
NDC,LFSPN-00001-34,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],5.0,5.0,,,0
NDC,LFSPN-00001-37,LC BEADS 100-300 MICROMETER [400631],9690.0,9690.0,,,0
NDC,LFSPN-00001-39,LIPIODOL ULTRA FLUIDE [400634],5285.0,5285.0,,,0
NDC,LFSPN-00001-42,LEUCOVORIN CALCIUM 2.5 MG HALF TABLET [350084],28.075,28.075,,,0
NDC,LFSPN-00001-45,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],5.0,5.0,,,0
NDC,LFSPN-00001-48,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],86.315,86.315,,,0
NDC,LFSPN-00001-49,CIMETIDINE 300 MG/5 ML ORAL SOLUTION [1688],5.0,5.0,,,0
NDC,LFSPN-00001-51,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [110998],181.5,181.5,,,0
NDC,LFSPN-00001-54,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],5.0,5.0,,,0
NDC,LFSPN-00001-55,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION [8259],14.9,14.9,,,0
NDC,LFSPN-00001-57,SILDENAFIL CITRATE 2 MG/ML ORAL SUSPENSION [350085],11.25,11.25,,,0
NDC,LFSPN-00001-58,SILDENAFIL CITRATE 2 MG/ML ORAL SUSPENSION [350085],56.25,56.25,,,0
NDC,LFSPN-00001-59,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",5.0,5.0,,,0
NDC,LFSPN-00001-60,NAFCILLIN IV SYRINGE 25 MG/ML [500018],5.0,5.0,,,0
NDC,LFSPN-00001-61,NAFCILLIN IV SYRINGE 25 MG/ML [500018],7.25,7.25,,,0
NDC,LFSPN-00001-62,CEFAZOLIN IN D5W IV SYRINGE 100 MG/ML (PEDIATRIC) SIMPLE [500931],5.0,5.0,,,0
NDC,LFSPN-00001-63,CEFAZOLIN IN D5W IV SYRINGE 100 MG/ML (PEDIATRIC) SIMPLE [500931],10.0,10.0,,,0
NDC,LFSPN-00001-64,CEFAZOLIN IN D5W IV SYRINGE 100 MG/ML (PEDIATRIC) SIMPLE [500931],12.5,12.5,,,0
NDC,LFSPN-00001-65,CEFTRIAXONE IV SYRINGE 40 MG/ML (PEDIATRIC) [500123],5.63,5.63,,,0
NDC,LFSPN-00001-66,CEFTRIAXONE IV SYRINGE 40 MG/ML (PEDIATRIC) [500123],6.75,6.75,,,0
NDC,LFSPN-00001-67,CEFTRIAXONE IV SYRINGE 40 MG/ML (PEDIATRIC) [500123],9.0,9.0,,,0
NDC,LFSPN-00001-68,CEFTRIAXONE IV SYRINGE 40 MG/ML (PEDIATRIC) [500123],11.25,11.25,,,0
NDC,LFSPN-00001-69,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",5.0,5.0,,,0
NDC,LFSPN-00001-70,CEFTRIAXONE IV SYRINGE 40 MG/ML (PEDIATRIC) [500123],5.0,5.0,,,0
NDC,LFSPN-00001-71,VANCOMYCIN IV SYRINGE 5 MG/ML IN 5 % DEXTROSE (PEDIATRIC) [400028],1169.0,1169.0,,,0
NDC,LFSPN-00001-72,VANCOMYCIN IV SYRINGE 5 MG/ML IN 5 % DEXTROSE (PEDIATRIC) [400028],1169.0,1169.0,,,0
NDC,LFSPN-00001-73,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION [188102],5.0,5.0,,,0
NDC,LFSPN-00001-74,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION [188102],8.7,8.7,,,0
NDC,LFSPN-00001-75,TERBUTALINE PEDIATRIC (BRETHINE) *HIGH* INFUSION 1 MG/ML NS SYRINGE [48500934],96.3,96.3,,,0
NDC,LFSPN-00001-76,TERBUTALINE PEDIATRIC (BRETHINE) *HIGH* INFUSION 1 MG/ML NS SYRINGE [48500934],481.5,481.5,,,0
NDC,LFSPN-00001-79,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [38103],203.1,203.1,,,0
NDC,LFSPN-00001-80,ZIDOVUDINE 10 MG/ML ORAL SYRUP [11693],5.0,5.0,,,0
NDC,LFSPN-00001-92,METHACHOLINE CHLOR IN NS FOR BRONCHOPRVCTN - 0.0625 MG/ML [300058],12.6,12.6,,,0
NDC,LFSPN-00001-99,CEFTAZIDIME IV SYRINGE 100 MG/ML (PEDIATRIC) [400254],100.19999999999999,100.19999999999999,,,0
NDC,LFSPN-00002-00,CEFTAZIDIME IV SYRINGE 100 MG/ML (PEDIATRIC) [400254],78.16,78.16,,,0
NDC,LFSPN-00002-02,CLINDAMYCIN IV SYRINGE 15 MG/ML (PEDIATRIC) [400059],16.7,16.7,,,0
NDC,LFSPN-00002-03,CEFAZOLIN IVPB 500 MG/50 ML [400010],5.0,5.0,,,0
NDC,LFSPN-00002-04,CEFAZOLIN IVPB 750 MG/30 ML [500122],5.0,5.0,,,0
NDC,LFSPN-00002-05,CEFTAZIDIME IVPB IN 30 ML [400011],40.05,40.05,,,0
NDC,LFSPN-00002-08,CEFTAZIDIME IVPB 1.5 G/ 35 ML [500118],175.0,175.0,,,0
NDC,LFSPN-00002-09,NAFCILLIN IVPB 500 MG/50 ML IN 5% DEXTROSE [350102],14.5,14.5,,,0
NDC,LFSPN-00002-10,NAFCILLIN IVPB 750 MG/50 ML IN 5% DEXTROSE [350103],21.75,21.75,,,0
NDC,LFSPN-00002-12,ARGATROBAN 1 MG/ML IN SODIUM CHLORIDE IV INFUSION [351045],1887.5,1887.5,,,0
NDC,LFSPN-00002-13,ARGATROBAN 1 MG/ML IN SODIUM CHLORIDE IV INFUSION [351045],3836.25,3836.25,,,0
NDC,LFSPN-00002-15,PENICILLIN G POT 4 MILLION UNIT/100 ML D5W [350108],20.0,20.0,,,0
NDC,LFSPN-00002-16,ATGAM TEST DOSE 5 MCG/0.1 ML (ANTITHYMOCYTE GLOBULIN) [300008],5.0,5.0,,,0
NDC,LFSPN-00002-17,AZTREONAM 500 MG/25 ML (ISO-OSMOTIC) D5W [500187],82.38,82.38,,,0
NDC,LFSPN-00002-18,CEFAZOLIN IVPB 500 MG/25 ML [400149],5.0,5.0,,,0
NDC,LFSPN-00002-20,TERBUTALINE *MEDIUM* 5 MG/50 ML IN D5W [500146],37.5,37.5,,,0
NDC,LFSPN-00002-21,ATRACURIUM 10 MG/ML INFUSION (FORMULATION) [351300],457.5,457.5,,,0
NDC,LFSPN-00002-22,CEFTAZIDIME INTRAVITREAL INJECTION 22.5 MG/1 ML [500544],5.0,5.0,,,0
NDC,LFSPN-00002-24,AMPHOTERICIN B INTRAVITREAL INJECTION 50 MCG/1ML [500165],5.0,5.0,,,0
NDC,LFSPN-00002-25,AMPHOTERICIN B OPHTHALMIC 0.15% SOLUTION [500167],75.0,75.0,,,0
NDC,LFSPN-00002-28,CEFTAZIDIME 2 G/50 ML D5W [500173],82.0,82.0,,,0
NDC,LFSPN-00002-31,AMPICILLIN SODIUM 20 MG/ML SKIN TEST [500179],10.97,10.97,,,0
NDC,LFSPN-00002-33,AZATHIOPRINE ORAL SUSP 50 MG/ML [500183],5.0,5.0,,,0
NDC,LFSPN-00002-35,AMIKACIN INTRAVITREAL INJECTION 4 MG/1 ML [500189],5.0,5.0,,,0
NDC,LFSPN-00002-38,"BACLOFEN IT 2,500 MCG IN NS 250 ML [500194]",200.0,200.0,,,0
NDC,LFSPN-00002-39,"BACLOFEN IT 10,000 MCG IN NS 200 ML [500196]",800.0,800.0,,,0
NDC,LFSPN-00002-42,"CALCIUM GLUCONATE 20 GRAM/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [129396]",755.0,755.0,,,0
NDC,LFSPN-00002-44,CAPECITABINE ORAL SUSP 5 MG/ML 30 ML BULK BOTTLE [500204],52.35,52.35,,,0
NDC,LFSPN-00002-51,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],5.0,5.0,,,0
NDC,LFSPN-00002-52,SOD CHLORIDE INJ 23.4% 30ML - HYPERTONIC ELECTROLYTE (ANES ONE-STEP) [500213],5.0,5.0,,,0
NDC,LFSPN-00002-54,VANCOMYCIN 5 MG/ML INTRATHECAL [350637],5.0,5.0,,,0
NDC,LFSPN-00002-55,VANCOMYCIN INTRAVITREAL INJECTION 10 MG/1 ML [350639],5.0,5.0,,,0
NDC,LFSPN-00002-56,VORICONAZOLE 150 MCG/0.3 ML INTRAVITREAL INJECTION [350641],5.0,5.0,,,0
NDC,LFSPN-00002-57,CEFAZOLIN 1 G IN 1000 ML NS IRRIGATION (ONE-STEP) [500932],50.0,50.0,,,0
NDC,LFSPN-00002-58,FLUOROURACIL INFUSION (ONE-STEP) SIMPLE [350113],25.0,25.0,,,0
NDC,LFSPN-00002-61,INSULIN (1 UNITS/ML) INFUSION IN 100 NS [350643],8.5,8.5,,,0
NDC,LFSPN-00002-62,HYDROMORPHONE 50 MG/50 ML IN 0.9 % SODIUM CHLORIDE INJECTION [30795],48.25,48.25,,,0
NDC,LFSPN-00002-63,FENTANYL 125 MCG/25 ML SYRINGE [350202],5.0,5.0,,,0
NDC,LFSPN-00002-64,HYDROMORPHONE (PF) 20 MCG/ML-BUPIVACAINE 0.06 % IN 0.9% NACL EPIDURAL [350203],12.5,12.5,,,0
NDC,LFSPN-00002-68,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION [38489],5.33,5.33,,,0
NDC,LFSPN-00002-69,LAMIVUDINE 10 MG/ML ORAL SOLUTION [15881],22.25,22.25,,,0
NDC,LFSPN-00002-70,LIDOCAINE 0.5% IV (ANES ONE-STEP)  [500359],10.05,10.05,,,0
NDC,LFSPN-00002-71,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],5.22,5.22,,,0
NDC,LFSPN-00002-72,NAPROXEN 125 MG/5 ML ORAL SUSPENSION [10691],5.0,5.0,,,0
NDC,LFSPN-00002-73,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [131011],5.0,5.0,,,0
NDC,LFSPN-00002-76,MORPHINE (PF) 15 MG IN 0.9% NS 250 ML EPIDURAL [400249],62.5,62.5,,,0
NDC,LFSPN-00002-80,LACTOSE (BULK) POWDER [4333],5.0,5.0,,,0
NDC,LFSPN-00002-81,PHENYTOIN 25 MG CHEWABLE HALF TABLET [350122],12.5,12.5,,,0
NDC,LFSPN-00002-82,MERCAPTOPURINE 25 MG HALF TABLET [350123],14.65,14.65,,,0
NDC,LFSPN-00002-84,VANCOMYCIN 250 MG IN 50 ML NS [350124],15.025,15.025,,,0
NDC,LFSPN-00002-85,MEMANTINE 2 MG/ML ORAL SOLUTION [41829],30.325,30.325,,,0
NDC,LFSPN-00002-90,SOTALOL 5 MG/ML ORAL SOLUTION [177163],194.76,194.76,,,0
NDC,LFSPN-00002-94,MORPHINE 1 MG/ML IN DEXTROSE 5 % INTRAVENOUS SOLUTION [31185],103.5,103.5,,,0
NDC,LFSPN-00002-95,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 0.25 MG/ML DILUTION D [300070],12.5,12.5,,,0
NDC,LFSPN-00002-96,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 16 MG/ML - DILUTION A [300071],12.08,12.08,,,0
NDC,LFSPN-00002-97,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 4 MG/ML - DILUTION B [300072],12.08,12.08,,,0
NDC,LFSPN-00002-98,METHACHOLINE CHLORIDE IN NS FOR BRONCHOPRVCTN - 1 MG/ML - DILUTION C [300073],12.08,12.08,,,0
NDC,LFSPN-00002-99,METHACHOLINE CHLOR IN NS FOR BRONCHOPRVCTN - 0.0625 MG/ML [300058],12.6,12.6,,,0
NDC,LFSPN-00003-09,CITALOPRAM 10 MG/5 ML ORAL SOLUTION [28228],5.6,5.6,,,0
NDC,LFSPN-00003-13,DEXAMETHASONE SUBCONJUCTIVAL 4 MG/ML [500518],36.41,36.41,,,0
NDC,LFSPN-00003-14,DEXAMETHASONE INTRAOCULAR 0.4 MG/0.1 ML [500551],5.0,5.0,,,0
NDC,LFSPN-00003-15,GENTAMICIN OPHTHALMIC INJECTION 0.1 MG/0.1 ML [550552],5.0,5.0,,,0
NDC,LFSPN-00003-17,FORTIFIED CEFTAZIDIME OPHTHALMIC SOLUTION (50 MG/ML) [500552],50.0,50.0,,,0
NDC,LFSPN-00003-20,MORPHINE 1000 MG/250 ML IN D5W INFUSION [500045],125.0,125.0,,,0
NDC,LFSPN-00003-22,ALLOPURINOL 50 MG HALF TABLET [300062],5.0,5.0,,,0
NDC,LFSPN-00003-24,RUFINAMIDE 40 MG/ML ORAL SUSPENSION [108804],194.965,194.965,,,0
NDC,LFSPN-00003-25,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],16.3,16.3,,,0
NDC,LFSPN-00003-27,"CELLULOSE, OXIDIZED 2"" X 14"" PADS [350204]",263.4,263.4,,,0
NDC,LFSPN-00003-28,"CELLULOSE, OXIDIZED 2"" X 3"" PADS [350205]",156.8,156.8,,,0
NDC,LFSPN-00003-29,"CELLULOSE, OXIDIZED 1"" X 2"" PADS [350207]",266.7,266.7,,,0
NDC,LFSPN-00003-30,MICROFIBRILLAR COLLAGEN (INSTAT MCH) HEMOSTAT 1G [350208],612.7,612.7,,,0
NDC,LFSPN-00003-31,"CELLULOSE, OXIDIZED 2"" X 4"" PADS [350209]",489.3,489.3,,,0
NDC,LFSPN-00003-32,"CELLULOSE, OXIDIZED 2"" X 4"" NON WOVEN PADS [350210]",156.8,156.8,,,0
NDC,LFSPN-00003-37,BLEOMYCIN TEST DOSE [600100],10.0,10.0,,,0
NDC,LFSPN-00003-38,INVESTIGATIONAL MEDICATION [700999],0.1,0.1,,,0
NDC,LFSPN-00003-39,LANSOPRAZOLE 3 MG/ML SUSP [40840054],7.5,7.5,,,0
NDC,LFSPN-00003-43,KETAMINE 10 MG/1 ML ORAL SYRINGE (ANES ONE-STEP) [500783],5.0,5.0,,,0
NDC,LFSPN-00003-46,LC BEADS M1 70-150 MICROMETER [500372],14500.0,14500.0,,,0
NDC,LFSPN-00003-50,MORPHINE 10 MG/5 ML ORAL SOLUTION (FOR INFANT USE) [350158],46.76,46.76,,,0
NDC,LFSPN-00003-51,MORPHINE 10 MG/5 ML ORAL SOLUTION (FOR INFANT USE) [350158],23.38,23.38,,,0
NDC,LFSPN-00003-58,PEDIATRIC FORMULA MIXTURE (ONE-STEP) [400524],45.0,45.0,,,0
NDC,LFSPN-00003-59,DILTIAZEM 2% CREAM (ONE-STEP) [400500],60.0,60.0,,,0
NDC,LFSPN-00003-61,LIDOCAINE-DIPHENHYD-AL-MAG-SIM 200MG-25MG-400MG-400MG-40MG/30ML [400563],10.0,10.0,,,0
NDC,LFSPN-00003-67,NICOTINE 10 MG INHALATION CARTRIDGE [22150],10.86,10.86,,,0
NDC,LFSPN-00003-68,ANTITHYMOCYTE GLOBULIN (RABBIT) IVPB IN 250 ML NS (ONE-STEP) [350138],3329.15,3329.15,,,0
NDC,LFSPN-00003-69,MICROFIBRILLAR COLLAGEN HEMOSTAT 100 SQ CM [350144],290.85,290.85,,,0
NDC,LFSPN-00003-72,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [164445],73.215,73.215,,,0
NDC,LFSPN-00003-73,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [164445],73.215,73.215,,,0
NDC,LFSPN-00003-74,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [6654],5.0,5.0,,,0
NDC,LFSPN-00003-76,VANCOMYCIN 5 MG/ML (X2) ADULT SHUNT VALVE FLUSH (NEURO OPTIME) [500572],25.0,25.0,,,0
NDC,LFSPN-00003-77,VANCOMYCIN 10 MG/ML PEDI SHUNT VALVE FLUSH (NEURO OPTIME) [500573],25.0,25.0,,,0
NDC,LFSPN-00003-78,"LIDO 0.25% W/EPI 1:400,000 UNITS (50 ML) INJ (1-STEP) [500577]",10.75,10.75,,,0
NDC,LFSPN-00003-79,"LIDO 0.125% W/EPI 1:800,000 UNITS (50 ML) INJ (1-STEP) [500578]",10.75,10.75,,,0
NDC,LFSPN-00003-80,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [11359],5.0,5.0,,,0
NDC,LFSPN-00003-81,ACYCLOVIR (ZOVIRAX) 5 MG/ML (20 ML) PEDIATRIC IV SYRINGE [500581],33.4,33.4,,,0
NDC,LFSPN-00003-82,ACYCLOVIR (ZOVIRAX) 5 MG/ML (50 ML) PEDIATRIC IV SYRINGE [500582],21.38,21.38,,,0
NDC,LFSPN-00003-83,ABACAVIR 20 MG/ML ORAL SOLUTION [24439],44.18,44.18,,,0
NDC,LFSPN-00003-85,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION [350002],94.25,94.25,,,0
NDC,LFSPN-00003-86,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP [252],5.0,5.0,,,0
NDC,LFSPN-00003-88,CALCITRIOL 1 MCG/ML ORAL SOLUTION [16218],21.84,21.84,,,0
NDC,LFSPN-00003-89,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION [12886],15.53,15.53,,,0
NDC,LFSPN-00003-90,BUMETANIDE (BUMEX) 0.25 MG/ML INFUSION [400355],500.0,500.0,,,0
NDC,LFSPN-00003-91,DIDANOSINE 10 MG/ML (FINAL CONC.) ORAL SOLUTION [9844],26.7,26.7,,,0
NDC,LFSPN-00003-94,FLUPHENAZINE 2.5 MG/5 ML ORAL ELIXIR [10072],11.850000000000001,11.850000000000001,,,0
NDC,LFSPN-00003-95,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION [28929],61.25,61.25,,,0
NDC,LFSPN-00003-96,ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],43.2,43.2,,,0
NDC,LFSPN-00003-97,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION [3900],54.150000000000006,54.150000000000006,,,0
NDC,LFSPN-00003-98,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION [41623],5.0,5.0,,,0
NDC,LFSPN-00003-99,LINEZOLID 100 MG/5 ML ORAL SUSPENSION [28225],243.7,243.7,,,0
NDC,LFSPN-00004-28,CALCIUM GLUCONATE 2.5 % TOPICAL GEL [400564],249.5,249.5,,,0
NDC,LFSPN-00004-30,PAROXETINE 10 MG/5 ML ORAL SUSPENSION [22959],56.5,56.5,,,0
NDC,LFSPN-00004-32,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],5.0,5.0,,,0
NDC,LFSPN-00004-33,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [77371],235.08,235.08,,,0
NDC,LFSPN-00004-36,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],202.6,202.6,,,0
NDC,LFSPN-00004-37,ZONISAMIDE 100 MG/10 ML ORAL SUSPENSION [178294],9.3,9.3,,,0
NDC,LFSPN-00004-39,CARDIOPLEGIA DEL NIDO [350216],5296.5,5296.5,,,0
NDC,LFSPN-00004-40,HYDROCORTISONE 2 MG/ML ORAL SUSPENSION [350147],7.5,7.5,,,0
NDC,LFSPN-00004-41,VANCOMYCIN ENEMA [400467],63.06,63.06,,,0
NDC,LFSPN-00004-42,MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],5.0,5.0,,,0
NDC,LFSPN-00004-43,SERTRALINE 20 MG/ML ORAL CONCENTRATE [28011],6.685,6.685,,,0
NDC,LFSPN-00004-49,PAPAVERINE 90 MG/100 ML NS MAMMARY SOLN (OPTIME) [350153],73.0,73.0,,,0
NDC,LFSPN-00004-51,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],5.0,5.0,,,0
NDC,LFSPN-00004-53,LEECHES [350156],675.0,675.0,,,0
NDC,LFSPN-00004-54,PROCAINAMIDE 100 MG/50 ML D5W SYRINGE [350644],24.75,24.75,,,0
NDC,LFSPN-00004-55,PROCAINAMIDE 200 MG/50 ML D5W SYRINGE [350645],49.5,49.5,,,0
NDC,LFSPN-00004-56,PROCAINAMIDE 100 MG/50 ML NS SYRINGE [350646],24.75,24.75,,,0
NDC,LFSPN-00004-57,PROCAINAMIDE 200 MG/50 ML NS SYRINGE [350647],49.5,49.5,,,0
NDC,LFSPN-00004-60,ALTEPLASE 30 MCG/0.1 ML (ASC OR) SUBRETINAL INJ [400559],11.1,11.1,,,0
NDC,LFSPN-00004-61,"PROCAINAMIDE 2,000 MG/500 ML D5W [350906]",247.5,247.5,,,0
NDC,LFSPN-00004-62,"PROCAINAMIDE 1,000 MG/250 ML D5W [350907]",247.5,247.5,,,0
NDC,LFSPN-00004-66,RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],7.5,7.5,,,0
NDC,LFSPN-00004-74,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET [10749],5.0,5.0,,,0
NDC,LFSPN-00004-75,CITALOPRAM 10 MG/5 ML ORAL SOLUTION [28228],10.0,10.0,,,0
NDC,LFSPN-00004-76,SODIUM HYPOCHLORITE 0.025% EXTERNAL SOLUTION FOR WOUND VAC IRRIGATION [300155],85.0,85.0,,,0
NDC,LFSPN-00004-77,ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION [24314],6.75,6.75,,,0
NDC,LFSPN-00004-78,CEFAZOLIN (ANCEF) INJ 100 MG (IV AND SUBCONJUNCTIVAL - 1 STEP) [350701],5.0,5.0,,,0
NDC,LFSPN-00004-80,FLOSEAL MATRIX 5 ML W/ TOPICAL THROMBIN 2500 UNITS [500512],289.5,289.5,,,0
NDC,LFSPN-00004-81,CIPROFLOXACIN IV LOCK-FLUSH 2 MG/ML [501513],5.0,5.0,,,0
NDC,LFSPN-00005-01,CEFAZOLIN 5 MG/ML LOCK SOLUTION [350503],5.0,5.0,,,0
NDC,LFSPN-00005-06,DAPTOMYCIN 5 MG/ML LOCK SOLUTION [350513],5.69,5.69,,,0
NDC,LFSPN-00005-11,HEPARIN (100 UNIT/ML) IN 0.9% NS 100 ML-PEDI ECMO < 5 KG [350522],10.0,10.0,,,0
NDC,LFSPN-00005-12,HEPARIN(100 UNIT/ML) IN D5W 100 ML - PEDI ECMO < 5 KG [500039],103.5,103.5,,,0
NDC,LFSPN-00005-13,HEPARIN (1000 UNITS/ML) IN 0.9% NS ECMO > 5 KG [500114],5.0,5.0,,,0
NDC,LFSPN-00005-14,"HEPARIN (1,000 UNITS/ML) IN D5W 50 ML (ECMO > 5 KG) [350526]",50.0,50.0,,,0
NDC,LFSPN-00005-16,HYDROMORPHONE 0.5 MG/ML PEDI MED PCA - OPIOID TOLERANT [500069],141.75,141.75,,,0
NDC,LFSPN-00005-21,HYDROMORPHONE 10 MG/ML PEDI CONC PCA - OPIOID TOLERANT [500071],481.25,481.25,,,0
NDC,LFSPN-00005-25,METHADONE 10 MG/ML INTRAVENOUS SYRINGE [129911],22.45,22.45,,,0
NDC,LFSPN-00005-27,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [108127],138.66,138.66,,,0
NDC,LFSPN-00005-28,PHENYLEPHRINE 0.125 % NASAL SPRAY [350572],16.65,16.65,,,0
NDC,LFSPN-00005-29,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [129442],21.25,21.25,,,0
NDC,LFSPN-00005-31,VANCOMYCIN 5 MG/ML LOCK SOLUTION [350611],5.0,5.0,,,0
NDC,LFSPN-00005-32,VANCOMYCIN 5 MG/ML INTRAVENTRICULAR - ADULT [350613],5.0,5.0,,,0
NDC,LFSPN-00005-33,VANCOMYCIN 10 MG/ML INTRAVENTRICULAR - PEDI [350615],5.0,5.0,,,0
NDC,LFSPN-00005-34,THIOGUANINE ORAL SUSPENSION 20 MG/ML [350618],208.65,208.65,,,0
NDC,LFSPN-00005-35,"TOBRAMYCIN-PMMA BEADS (3.2MM, 21 BEADS/CHAIN) [350620]",25.0,25.0,,,0
NDC,LFSPN-00005-36,"TOBRAMYCIN-PMMA BEADS (6.4MM, 25 BEADS/CHAIN) [350622]",50.0,50.0,,,0
NDC,LFSPN-00005-38,HEPARIN 100 UNITS/ML IN 0.9% NS 20 ML SYRINGE - NEONATE ECMO [350630],5.0,5.0,,,0
NDC,LFSPN-00005-39,HEPARIN (100 UNIT/ML) IN D5W 20 ML SYRINGE NEONATE ECMO [350631],5.0,5.0,,,0
NDC,LFSPN-00005-44,COSYNTROPIN LOW DOSE TEST [351207],50.0,50.0,,,0
NDC,LFSPN-00005-50,MAGNESIUM SULFATE 20 G/250 ML (80 MG/ML) IN LR INTRAVENOUS SOLUTION [40817001],25.4,25.4,,,0
NDC,LFSPN-00005-59,LACTULOSE 20 GRAM/30 ML ORAL SOLUTION WRAPPER [40826007],6.25,6.25,,,0
NDC,LFSPN-00006-01,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],5.0,5.0,,,0
NDC,LFSPN-0001-55,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP [2032],10.0,10.0,,,0
NDC,LFSPN-0001-56,PHYTONADIONE (VITAMIN K1) FOR PEDIATRIC USE [40811023],58.06,58.06,,,0
NDC,LFSPN-0001-59,INV (SINGLE PAT IND)(MIFAMURTIDE) 0.08 MG/ML INJECTION [408310],18.9,18.9,,,0
NDC,LFSPN-0001-60,VANCOMYCIN 250 MG IN 50 ML D5W [408300],33.18,33.18,,,0
NDC,LFSPN-0001-98,METHADONE 50MG/50ML NS INFUSION [408125],91.0,91.0,,,0
NDC,LFSPN-00010-00,DOBUTAMINE 1 MG/ML IN 0.9% SODIUM CHLORIDE [500907],24.88,24.88,,,0
NDC,LFSPN-00010-03,DOBUTAMINE (DOBUTREX) 100 MG/50 ML D5W INFUSION [191034],6.0,6.0,,,0
NDC,LFSPN-00010-07,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [128102],75.25,75.25,,,0
NDC,LFSPN-00010-09,DOPAMINE 80 MG/50 ML (1600 MCG/ML) D5W INFUSION [191032],5.5,5.5,,,0
NDC,LFSPN-00010-11,ACETYLCYSTEINE 200 MG/ML (20 %) ORAL SOLUTION [300061],18.06,18.06,,,0
NDC,LFSPN-00010-12,ACETYLCYSTEINE 200 MG/ML (20 %) ORAL SOLUTION [300061],18.06,18.06,,,0
NDC,LFSPN-00010-15,DIAZEPAM 20 MG RECTAL KIT [500908],690.38,690.38,,,0
NDC,LFSPN-00010-17,DOPAMINE 5 MG/ML IV IN D5W [500915],72.25,72.25,,,0
NDC,LFSPN-00010-21,RIFAMPIN 10 MG/ML ORAL SUSPENSION [400484],866.235,866.235,,,0
NDC,LFSPN-00010-22,VALACYCLOVIR 50 MG/ML ORAL SUSPENSION [350627],18.375,18.375,,,0
NDC,LFSPN-00010-23,MORPHINE (PF) 10 MG/100 ML IN 0.9% SODIUM CHLORIDE EPIDURAL [500916],7.5,7.5,,,0
NDC,LFSPN-00010-24,MORPHINE (PF) 20 MG/20 ML IV SYRINGE [500917],119.0,119.0,,,0
NDC,LFSPN-00010-25,KETAMINE 10MG/ML IV INFUSION [500918],74.0,74.0,,,0
NDC,LFSPN-00010-27,CISATRACURIUM 200 MG/250 ML IV IN 0.9% SODIUM CHLORIDE [500920],1787.5,1787.5,,,0
NDC,LFSPN-00010-29,NITROGLYCERIN 200 MCG/ML IN 5% DEXTROSE IV BOLUS [300095],6.5,6.5,,,0
NDC,LFSPN-00010-32,PHENYLEPHRINE 2.5 % EYE DROPS [6246],13.24,13.24,,,0
NDC,LFSPN-00010-34,TEMOZOLOMIDE 10 MG/ML ORAL SUSPENSION [500925],12842.0,12842.0,,,0
NDC,LFSPN-00010-36,STERILE TALC INTRAPLEURAL SLURRY 2.5 G IN 50 ML NS [500928],975.0,975.0,,,0
NDC,LFSPN-00010-38,TUMESCENT SOLUTION FOR INJECTION [500930],500.0,500.0,,,0
NDC,LFSPN-00010-40,TERBUTALINE *LOW* 0.5 MG/50 ML IN D5W [500933],375.5,375.5,,,0
NDC,LFSPN-00010-41,TERBUTALINE *MEDIUM* 5 MG/50 ML IN NS [500934],96.25,96.25,,,0
NDC,LFSPN-00010-42,SILDENAFIL 2.5 MG/ML ORAL SUSPENSION [500948],40.0,40.0,,,0
NDC,LFSPN-00015-00,CEFTRIAXONE 1.5 G/40 ML DEXTROSE 5% [501500],33.6,33.6,,,0
NDC,LFSPN-00015-01,CEFTRIAXONE IV 750 MG/30 ML DEXTROSE 5% [501506],25.2,25.2,,,0
NDC,LFSPN-0002-23,OXYCODONE 2.5 MG HALF TABLET [408814],5.0,5.0,,,0
NDC,LFSPN-00020-02,EPINEPHRINE 8 MCG/ML IN 5% DEXTROSE SYRINGE [350801],46.0,46.0,,,0
NDC,LFSPN-00020-04,EPINEPHRINE 8 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [350802],46.0,46.0,,,0
NDC,LFSPN-00020-06,EPINEPHRINE 80 MCG/ML IN 5% DEXTROSE SYRINGE [350803],46.0,46.0,,,0
NDC,LFSPN-00020-08,EPINEPHRINE 80 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [350804],3112.5,3112.5,,,0
NDC,LFSPN-00020-09,ETHANOL 70% LOCK FLUSH [500752],18.75,18.75,,,0
NDC,LFSPN-00020-15,MORPHINE 1 MG/ML IN DEXTROSE 5 % INTRAVENOUS SOLUTION [31185],51.0,51.0,,,0
NDC,LFSPN-00020-16,MORPHINE 1 MG/ML IN DEXTROSE 5 % INTRAVENOUS SOLUTION [31185],72.5,72.5,,,0
NDC,LFSPN-00020-18,VANCOMYCIN IN 0.9% SODIUM CL 1.5 GRAM/500 ML IV SOLN [500741],72.5,72.5,,,0
NDC,LFSPN-00020-22,VECURONIUM (PF) IN STERILE WATER 1 MG/ML FOR CONTINUOUS INFUSION [350806],404.0,404.0,,,0
NDC,LFSPN-00020-24,BUPIVACAINE 0.06% IN 100 ML NS [351014],5.0,5.0,,,0
NDC,LFSPN-00020-25,BUPIVACAINE (PF) 0.06% IN 0.9% SODIUM CHLORIDE EPIDURAL [351028],12.5,12.5,,,0
NDC,LFSPN-00020-26,"BUPIVACAINE (PF) 0.1 % (1,000 MCG/ML) IN 0.9% SODIUM CHLORIDE EPIDURAL [125480]",5.0,5.0,,,0
NDC,LFSPN-00020-27,"BUPIVACAINE (PF) 0.1 % (1,000 MCG/ML) IN 0.9% SODIUM CHLORIDE EPIDURAL [125480]",12.5,12.5,,,0
NDC,LFSPN-00020-28,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.06%-NACL INJECTION SOLUTION [351029],631.25,631.25,,,0
NDC,LFSPN-00020-29,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION [30863],12.5,12.5,,,0
NDC,LFSPN-00020-30,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION [30862],5.0,5.0,,,0
NDC,LFSPN-00020-31,FENTANYL-BUPIVACAINE-NACL (PF) 2 MCG/ML-0.25% EPIDURAL SOLUTION [351016],12.5,12.5,,,0
NDC,LFSPN-00020-32,FENTANYL-BUPIVACAINE-NACL (PF) 3 MCG/ML-0.06% EPIDURAL SOLUTION [351017],12.5,12.5,,,0
NDC,LFSPN-00020-33,FENTANYL-BUPIVACAINE-NACL (PF) 3 MCG/ML-0.1 % EPIDURAL SOLUTION [125914],12.5,12.5,,,0
NDC,LFSPN-00020-34,FENTANYL-BUPIVACAINE-NACL (PF) 3 MCG/ML-0.125 % EPIDURAL SOLUTION [125913],5.0,5.0,,,0
NDC,LFSPN-00020-35,FENTANYL-BUPIVACAINE-NACL (PF) 3 MCG/ML-0.25 % EPIDURAL SOLUTION [351018],12.5,12.5,,,0
NDC,LFSPN-00020-36,FENTANYL-BUPIVACAINE-NACL (PF) 4 MCG/ML-0.06 % EPIDURAL SOLUTION [351019],12.5,12.5,,,0
NDC,LFSPN-00020-37,FENTANYL (PF) 4 MCG/ML-BUPIVACAINE 0.1%-NACL INJECTION SOLUTION [123428],12.5,12.5,,,0
NDC,LFSPN-00020-38,FENTANYL (PF) 4 MCG/ML-BUPIVACAINE 0.25%-NACL INJECTION SOLUTION [351020],12.5,12.5,,,0
NDC,LFSPN-00020-39,HYDROMORPHONE 5 MCG/ML IN 250 ML NS EPIDURAL [351021],12.5,12.5,,,0
NDC,LFSPN-00020-40,HYDROMORPHONE 10 MCG/ML IN 250 ML NS EPIDURAL [351022],12.5,12.5,,,0
NDC,LFSPN-00020-41,HYDROMORPHONE 20 MCG/ML IN 250 ML NS EPIDURAL [351023],12.5,12.5,,,0
NDC,LFSPN-00020-42,HYDROMORPHONE (PF) 5 MCG/ML-BUPIVACAINE 0.06 % IN 0.9% NACL EPIDURAL [351030],12.5,12.5,,,0
NDC,LFSPN-00020-43,HYDROMORPHONE (PF) 5 MCG/ML-BUPIVACAINE 0.1 % IN 0.9% NACL EPIDURAL [351024],12.5,12.5,,,0
NDC,LFSPN-00020-44,HYDROMORPHONE (PF) 10 MCG/ML-BUPIVACAINE 0.06 % IN 0.9% NACL EPIDURAL [351031],12.5,12.5,,,0
NDC,LFSPN-00020-45,HYDROMORPHONE (PF) 10 MCG/ML-BUPIVACAINE 0.1 %-0.9 %NACL EPIDURAL RESV [128998],12.5,12.5,,,0
NDC,LFSPN-00020-46,HYDROMORPHONE (PF) 20 MCG/ML-BUPIVACAINE 0.06 % IN 0.9% NACL EPIDURAL [350203],12.5,12.5,,,0
NDC,LFSPN-00020-47,HYDROMORPHONE 20 MCG/ML-BUPIVACAINE 0.1 % IN 250 ML NS EPIDURAL [351025],12.5,12.5,,,0
NDC,LFSPN-00020-48,MORPHINE 100 MCG/ML-BUPIVACAINE 0.06 % IN 250 ML NS EPIDURAL [351026],12.5,12.5,,,0
NDC,LFSPN-00020-49,MORPHINE 100 MCG/ML-BUPIVACAINE 0.1 % IN 250 ML NS EPIDURAL [351027],12.5,12.5,,,0
NDC,LFSPN-00025-00,FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],5.0,5.0,,,0
NDC,LFSPN-00025-01,FORTIFIED VANCOMYCIN OPHTHALMIC SOLUTION (25 MG/ML) [500545],75.0,75.0,,,0
NDC,LFSPN-00025-02,FORTIFIED VANCOMYCIN OPHTHALMIC SOLUTION (50 MG/ML) [500521],50.0,50.0,,,0
NDC,LFSPN-00025-03,FORTIFIED CEFAZOLIN OPHTHALMIC SOLUTION (50 MG/ML) [500546],75.0,75.0,,,0
NDC,LFSPN-00025-04,FORTIFIED GENTAMICIN OPHTHALMIC SOLUTION (13.6 MG/ML) [500547],35.0,35.0,,,0
NDC,LFSPN-00025-05,FORTIFIED TOBRAMYCIN OPHTHALMIC SOLUTION (13.6 MG/ML) [500548],35.0,35.0,,,0
NDC,LFSPN-00025-06,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],12.61,12.61,,,0
NDC,LFSPN-00025-07,GENTAMICIN 2 MG/ML LOCK SOLUTION IN 0.9% SODIUM CHLORIDE [500549],5.0,5.0,,,0
NDC,LFSPN-00028-00,BISMUTH SUBSALICYLATE 525 MG/15 ML ORAL SUSPENSION [120863],5.0,5.0,,,0
NDC,LFSPN-0003-45,SODIUM CHLORIDE 3% IRRIGATION [188093],140.0,140.0,,,0
NDC,LFSPN-0003-60,MIDAZOLAM (VERSED) (PF) 1 MG/ML PEDIATRIC INFUSION SYRINGE [187794],50.0,50.0,,,0
NDC,LFSPN-0004-82,INV (LS-P-COAT)(ISATUXIMAB-IRFC) 20 MG/ML INJECTION SOLUTION [70025016],0.1,0.1,,,0
NDC,LFSPN-0004-83,INV (LS-P-COAT)(ISATUXIMAB-IRFC) 20 MG/ML INJECTION SOLUTION [70025016],0.1,0.1,,,0
NDC,LFSPN-0004-84,INV (CTSU S2308)(MOSUNETUZUMAB) 45 MG/ML INJECTION SOLUTION [70025015],0.1,0.1,,,0
NDC,LFSPN-0004-85,INV (CTSU S2308)(MOSUNETUZUMAB) 5 MG/0.5 ML INJECTION SOLUTION [70025014],0.1,0.1,,,0
NDC,LFSPN-0004-86,INV (CTSU S2308)(RITUXIMAB + HYALURONIDASE) 120 MG/ML INJECTION SOLN [70025013],0.1,0.1,,,0
NDC,LFSPN-0004-87,INV (CTSU S2308)(RITUXIMAB) 10 MG/ML INJECTION SOLUTION [70025011],0.1,0.1,,,0
NDC,LFSPN-0004-88,INV (CTSU S2308)(RITUXIMAB) 10 MG/ML INJECTION SOLUTION [70025011],0.1,0.1,,,0
NDC,LFSPN-0004-89,INV (EXPD ACCESS PF-07901801)(PF-07901801) 10 MG/ML INJECTION SOLUTION [70025009],0.1,0.1,,,0
NDC,LFSPN-0004-90,INV (LS-P-NEO-EMPOWER)(REGN7075) 50 MG/ML INJECTION [70025007],0.1,0.1,,,0
NDC,LFSPN-0004-91,DEXTROSE 20% FOR ORAL/ENTERAL USE [40825008],32.5,32.5,,,0
NDC,LFSPN-0004-93,VITAMIN B COMPLEX AND C NO.10-FOLIC ACID 900 MCG/5 ML ORAL LIQUID [32716],5.0,5.0,,,0
NDC,LFSPN-0004-94,INV (LS-P-NEO EMPOWER)(CEMIPLIMAB-RWLC (REGN2810)) 50 MG/ML INJECTION [70025005],0.1,0.1,,,0
NDC,LFSPN-0004-95,INV (LS-P-MARS)(ASP-1929) 5 MG/ML CHEMO INFUSION [70025004],0.1,0.1,,,0
NDC,LFSPN-0004-96,INV (LS-P-KEYNOTE-D58) SODIUM CHLORIDE 0.9 INTRAVENOUS SOLUTION [70025002],0.1,0.1,,,0
NDC,LFSPN-0004-97,INV (LS-P-KEYNOTE-D58)(PEMBROLIZUMAB OR PLACEBO) INJECTION SOLUTION [70025001],0.1,0.1,,,0
NDC,LFSPN-0005-07,"HEPARIN (PORCINE) 30,000 UNIT/1,000 ML IN 0.9 % SOD CHLORIDE IV [129242]",10.0,10.0,,,0
NDC,LFSPN-0005-21,MERCAPTOPURINE 5 MG/ML ORAL SUSPENSION [350539],21.9,21.9,,,0
NDC,LFSPN-0005-48,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SYRUP WRAPPER [408143724],5.0,5.0,,,0
NDC,LFSPN-0005-56,FLUVOXAMINE (LUVOX) 12.5 MG HALF TABLET [4080322],104.6,104.6,,,0
NDC,LFSPN-0005-59,VANCOMYCIN 2.25 G/500 ML IN D5W BAG [300159],102.53999999999999,102.53999999999999,,,0
NDC,LFSPN-0005-60,VANCOMYCIN 2.25 G/500 ML IN NS BAG [300160],102.53999999999999,102.53999999999999,,,0
NDC,LFSPN-0005-61,VANCOMYCIN 2.5 G/500 ML IN D5W BAG [300161],124163.41,124163.41,,,0
NDC,LFSPN-0005-62,VANCOMYCIN 2.5 G/500 ML IN NS BAG [300162],110.42,110.42,,,0
NDC,LFSPN-0005-63,VANCOMYCIN 2.75 G/550 ML IN D5W BAG [300163],118.30499999999999,118.30499999999999,,,0
NDC,LFSPN-0005-64,VANCOMYCIN 2.75 G/550 ML IN NS BAG [300164],118.30499999999999,118.30499999999999,,,0
NDC,LFSPN-0005-65,INSULIN REGULAR OPHTHALMIC SOLUTION (1 UNIT/ML) [40825034],5.0,5.0,,,0
NDC,LFSPN-0005-66,DIAZOXIDE 50 MG/ML ORAL SUSPENSION [19713],44.38,44.38,,,0
NDC,LFSPN-0005-73,INV (BH-P-PRIME)(RO7567132) INTRAVENOUS SOLUTION [70025031],0.1,0.1,,,0
NDC,LFSPN-0005-74,INV (BH-P-PRIME)(RO7567132) SUBCUTANEOUS INFUSION [70025029],0.1,0.1,,,0
NDC,LFSPN-0005-75,INV (BH-P-PRIME)(RO7567132) 25 MG/ML INJECTION SOLUTION [70025028],0.1,0.1,,,0
NDC,LFSPN-0005-76,INV (LS-P-IGNYTE-3)(VUSOLIMOGENE ODERPAREPVEC) 1 MILLION PFU/ML INJECTION SOLUTION [70025026],0.1,0.1,,,0
NDC,LFSPN-0005-77,INV (LS-P-IGNYTE-3)(VUSOLIMOGENE ODERPAREPVEC) 10 MILLION PFU/ML INJECTION SOLUTION [70025027],0.1,0.1,,,0
NDC,LFSPN-0005-78,INV (BH-P-PRIME)(ATEZOLIZUMAB-HYALURONIDASE) 125 MG/ML INJECTION SOLUTION [70025025],0.1,0.1,,,0
NDC,LFSPN-0005-79,INV (MYELOMATCH MM10A-EA02)(VENETOCLAX) 100 MG TABLET [70025024],0.1,0.1,,,0
NDC,LFSPN-0005-80,INV (MYELOMATCH MM10A-EA02)(VENETOCLAX) 50 MG TABLET [70025023],0.1,0.1,,,0
NDC,LFSPN-0005-81,INV (MYELOMATCH MM10A-EA02)(VENETOCLAX) 10 MG TABLET [70025022],0.1,0.1,,,0
NDC,LFSPN-0005-82,INV (LS-P-POPSTAR)(DOSTARLIMAB) 50 MG/ML INJECTION SOLUTION [70025020],0.1,0.1,,,0
NDC,LFSPN-0005-83,INV (LS-P-POPSTAR)(COBOLIMAB) 20 MG/ML INJECTION SOLUTION [70025018],0.1,0.1,,,0
NDC,LFSPN-0005-84,OMEPRAZOLE 2 MG-SODIUM BICARBONATE 84 MG/ML ORAL SUSPENSION [206808],12.88,12.88,,,0
NDC,LFSPN-0005-85,OMEPRAZOLE 2 MG-SODIUM BICARBONATE 84 MG/ML ORAL SUSPENSION [206808],25.75,25.75,,,0
NDC,LFSPN-0005-86,OMEPRAZOLE 2 MG-SODIUM BICARBONATE 84 MG/ML ORAL SUSPENSION [206808],103.0,103.0,,,0
NDC,LFSPN-00056-01,CLOPIDOGREL 5 MG/ML ORAL SUSPENSION [400485],30.0,30.0,,,0
NDC,LFSPN-0006-01,LIDOCAINE HCL 2%/PHENYLEPHRINE 0.25% NASAL SPRAY 2ML [4080359],5.0,5.0,,,0
NDC,LFSPN-00070-06,LEVOFLOXACIN 250 MG/5 ML ORAL SUSPENSION [350656],10.0,10.0,,,0
NDC,LFSPN-0008-11,SORAFENIB 100 MG HALF TABLET [408926],256.8,256.8,,,0
NDC,LFSPN-0009-12,SORAFENIB 50 MG QUARTER TABLET [191042],128.4,128.4,,,0
NDC,LFSPN-001-01,INV RESEARCH STUDY DRUG FROM OUTSIDE FACILITY [900004],0.1,0.1,,,0
NDC,LFSPN-0010-09,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],86.315,86.315,,,0
NDC,LFSPN-0010-10,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION [22646]",12.1,12.1,,,0
NDC,LFSPN-0010-16,ALTEPLASE (TPA) INTRAVITREAL INJECTION 250 MCG/1 ML [400800],11.82,11.82,,,0
NDC,LFSPN-00102,INV RESEARCH STUDY DRUG FROM OUTSIDE FACILITY [900004],0.1,0.1,,,0
NDC,LFSPN-0012-01,SULFAMETHOXAZOLE-TRIMETHOPRIM 8 MG OF TRIMETHOPRIM PER ML ORAL LIQUID 5 ML FOR DESENSITIZATION [408555],5.0,5.0,,,0
NDC,LFSPN-0012-02,SULFAMETHOXAZOLE-TRIMETHOPRIM 8 MG OF TRIMETHOPRIM PER ML ORAL LIQUID 10ML FOR DESENSITIZATION [408556],7.45,7.45,,,0
NDC,LFSPN-0012-11,MENINGOCOCCAL GROUP B VACCINE (BEXSERO) 0.5ML IM SYRINGE [408630],317.73,317.73,,,0
NDC,LFSPN-0012-20,ACETIC ACID 1% IRRIGATION [408093],50.0,50.0,,,0
NDC,LFSPN-0012-32,NOREPINEPHRINE (LEVOPHED) 100MCG/ML IN 0.9% NACL INFUSION [399047],427.5,427.5,,,0
NDC,LFSPN-0012-50,EPINEPHRINE 10 MG/250 ML (40 MCG/ML) IN 0.9% SODIUM CHLORIDE INFUSION [408507],119.25,119.25,,,0
NDC,LFSPN-0013-01,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [121573],7.5,7.5,,,0
NDC,LFSPN-0013-50,"HEPARIN 10,000 UNITS IN 1000 ML NS IRRIGATION BAG [500307]",10.0,10.0,,,0
NDC,LFSPN-0015-16,CEFAZOLIN 200 MG IN DEXTROSE 5% 50 ML IVPB (DESENSITIZATION) [408765],5.0,5.0,,,0
NDC,LFSPN-0016-02,VANCOMYCIN SUBCONJUNCTIVAL INJECTION 50 MG/1 ML [500522],5.0,5.0,,,0
NDC,LFSPN-0020-02,VECURONIUM 1 MG/ML SYRINGE [40817157],121.2,121.2,,,0
NDC,LFSPN-0020-03,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION [185523],8.85,8.85,,,0
NDC,LFSPN-0020-04,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION [185523],44.25,44.25,,,0
NDC,LFSPN-0020-20,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],66.8,66.8,,,0
NDC,LFSPN-0020-21,DEXMEDETOMIDINE (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE ALL [408163759],813.65,813.65,,,0
NDC,LFSPN-0020-72,DARUNAVIR 100 MG/ML ORAL SUSPENSION [162517],131.95,131.95,,,0
NDC,LFSPN-0020-78,TRANEXAMIC ACID 5% TOPICAL SOLUTION [400620],221.4,221.4,,,0
NDC,LFSPN-0020-87,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],41.95,41.95,,,0
NDC,LFSPN-0020-90,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION [202840],7.5,7.5,,,0
NDC,LFSPN-0020-98,DOPAMINE 400 MG/250 ML (1600 MCG/ML) IN 0.9% SODIUM CHLORIDE BAG [500913],21.3,21.3,,,0
NDC,LFSPN-0021-02,VORINOSTAT (ZOLINZA) 50MG/ML ORAL SUSPENSION [400624],905.8,905.8,,,0
NDC,LFSPN-0021-03,APREPITANT 125 MG (25 MG/ML FINAL CONCENTRATION) ORAL SUSPENSION [183881],1369.8049999999998,1369.8049999999998,,,0
NDC,LFSPN-0021-46,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION [6097],227.52,227.52,,,0
NDC,LFSPN-0021-53,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],44.51,44.51,,,0
NDC,LFSPN-0021-59,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE) [119671],18.75,18.75,,,0
NDC,LFSPN-0021-61,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN STERILE WATER (PF)  IV SYRINGE [129759],26.835,26.835,,,0
NDC,LFSPN-0021-63,PANTOPRAZOLE (PROTONIX) 80 MG/100 ML INFUSION IN 0.9% SODIUM CHLORIDE [400657],28.7,28.7,,,0
NDC,LFSPN-0021-65,MIDAZOLAM INFUSION 5 MG/ML [500044],862.5,862.5,,,0
NDC,LFSPN-0021-69,INV (RESTORE)(DROXIDOPA OR PLACEBO) 100 MG CAPSULE [7001684],0.1,0.1,,,0
NDC,LFSPN-0021-70,INV (RESTORE)(DROXIDOPA OR PLACEBO) 200 MG CAPSULE [7001685],0.1,0.1,,,0
NDC,LFSPN-0021-71,INV (RESTORE)(DROXIDOPA OR PLACEBO) 300 MG CAPSULE [7001686],0.1,0.1,,,0
NDC,LFSPN-0021-72,INV (RESTORE)(DROXIDOPA) 100 MG CAPSULE [7001687],0.1,0.1,,,0
NDC,LFSPN-0021-73,INV (RESTORE)(DROXIDOPA) 200 MG CAPSULE [7001688],0.1,0.1,,,0
NDC,LFSPN-0021-74,INV (RESTORE)(DROXIDOPA) 300 MG CAPSULE [7001689],0.1,0.1,,,0
NDC,LFSPN-0022-08,SODIUM ACETATE 150 MEQ/1000 ML IN DEXTROSE 5% INTRAVENOUS [350658],44.25,44.25,,,0
NDC,LFSPN-0030-01,ASPIRIN LIQUID (1 MG/ML) FOR DESENSITIZATION [350654],5.835,5.835,,,0
NDC,LFSPN-0056-12,VERAPAMIL 100 MG/250 ML (0.4 MG/ML) INFUSION IN 0.9% SODIUM CHLORIDE [408812],18810.0,18810.0,,,0
NDC,LFSPN-0056-13,VERAPAMIL 100 MG/250 ML (0.4 MG/ML) INFUSION IN 5% DEXTROSE [408813],18810.0,18810.0,,,0
NDC,LFSPN-0056-14,VERAPAMIL 40 MG/250 ML (0.16 MG/ML) INFUSION IN 0.9% SODIUM CHLORIDE [408815],18810.0,18810.0,,,0
NDC,LFSPN-0056-15,VERAPAMIL 40 MG/250 ML (0.16 MG/ML) INFUSION IN 5% DEXTROSE [408816],18810.0,18810.0,,,0
NDC,LFSPN-0106-55,MORPHINE CONCENTRATE 20 MG/ML ORAL SYRINGE  (FOR ORAL USE ONLY) [130696],5.0,5.0,,,0
NDC,LFSPN-0159-96,METHADONE 10 MG/ML ORAL CONCENTRATE [15996],5.0,5.0,,,0
NDC,LFSPN-0164-55,INV (LS-P-ASCERTAIN)(AZD5305) 20 MG TABLETS [70016289],0.1,0.1,,,0
NDC,LFSPN-0164-56,INV (LS-P-CAPE)(AZD0901) 50 MG INJECTION [70016290],0.1,0.1,,,0
NDC,LFSPN-0164-60,INV (LS-P-RESOURCE)(LEUCOVORIN) 50 MG INJECTION  [70016216],0.1,0.1,,,0
NDC,LFSPN-0164-61,INV (LS-P-RESOURCE)(LEUCOVORIN) 100 MG INJECTION [70016217],0.1,0.1,,,0
NDC,LFSPN-0164-62,INV (LS-P-RESOURCE)(LEUCOVORIN) 200 MG INJECTION [70016218],0.1,0.1,,,0
NDC,LFSPN-0164-63,INV (LS-P-RESOURCE)(LEUCOVORIN) 350 MG INJECTION [70016219],0.1,0.1,,,0
NDC,LFSPN-0164-64,INV (LS-P-AJAR)(JANX007) 0.003 MG/ML INTRAVENOUS SOLUTION [70016221],0.1,0.1,,,0
NDC,LFSPN-0164-65,INV (LS-P-AJAR)(JANX007) 0.01 MG/ML INTRAVENOUS SOLUTION [70016222],0.1,0.1,,,0
NDC,LFSPN-0164-66,INV (LS-P-AJAR)(JANX007) 0.025 MG/ML INTRAVENOUS SOLUTION [70016223],0.1,0.1,,,0
NDC,LFSPN-0164-67,INV (LS-P-AJAR)(JANX007) 2 MG/ML INJECTION SOLUTION [70016224],0.1,0.1,,,0
NDC,LFSPN-0369-62,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],5.0,5.0,,,0
NDC,LFSPN-041-30,CEFAZOLIN 200 MG/1 ML SUBCONJUNCTIVAL INJECTION [500297],5.0,5.0,,,0
NDC,LFSPN-0702-01,INV (ANBL1531)(CRIZOTINIB) 25 MG/ML ORAL SOLUTION [190697],0.1,0.1,,,0
NDC,LFSPN-0711-01,INV (ANBL1531)(CRIZOTINIB) 150 MG CAPSULE [190993],0.1,0.1,,,0
NDC,LFSPN-0712-01,INV (ANBL1531)(CRIZOTINIB) 200 MG CAPSULE [190994],0.1,0.1,,,0
NDC,LFSPN-0713-01,INV (ANBL1531)(CRIZOTINIB) 250 MG CAPSULE [190995],0.1,0.1,,,0
NDC,LFSPN-0713-25,BUSULFAN 1 MG HALF TABLET [4089325],54.15,54.15,,,0
NDC,LFSPN-0814-03,"HEPARIN PURGE SOLUTION (PORCINE) 6,250 UNIT/250 ML (25 UNITV [40814003]",5.0,5.0,,,0
NDC,LFSPN-0900-00,INV (AALL1621)(INOTUZUMAB OZOGAMICIN) 0.9 MG VIAL [7009000],0.1,0.1,,,0
NDC,LFSPN-1012285,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],10.11,10.11,,,0
NDC,LFSPN-1022-50,HYDROMORPHONE 1 MG/ML ORAL LIQUID [10225],5.0,5.0,,,0
NDC,LFSPN-10812-00,OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],47.48,47.48,,,0
NDC,LFSPN-1113-60,PROCARBAZINE 10 MG/ML ORAL SUSPENSION [40811136],6684.0,6684.0,,,0
NDC,LFSPN-1152-00,NOREPINEPHRINE (LEVOPHED) 9 MCG/ML INFUSION SYRINGE IN 5% DEXTROSE PEDIATRIC [188084],7.75,7.75,,,0
NDC,LFSPN-1152-01,NOREPINEPHRINE (LEVOPHED) 100 MCG/ML INFUSION SYRINGE IN 5% DEXTROSE PEDIATRIC [188087],85.5,85.5,,,0
NDC,LFSPN-1152-07,QUINIDINE SULFATE 10 MG/ML ORAL SUSPENSION [188350],66.8,66.8,,,0
NDC,LFSPN-1152-11,SODIUM BICARBONATE 100 MEQ IN 1100 ML D5W [189455],71.5,71.5,,,0
NDC,LFSPN-1152-49,INV (BRUOG 354)(NIVOLUMAB) 100 MG VIAL [190322],0.1,0.1,,,0
NDC,LFSPN-1160-08,PREGABALIN 20 MG/ML ORAL SOLUTION [116008],17.365,17.365,,,0
NDC,LFSPN-1200-06,LEVODOPA (BULK) POWDER [17131],13.5,13.5,,,0
NDC,LFSPN-1200-07,LEVODOPA (BULK) POWDER [17131],13.5,13.5,,,0
NDC,LFSPN-1200-08,LEVODOPA (BULK) POWDER [17131],13.5,13.5,,,0
NDC,LFSPN-1200-35,HYDROXYCHLOROQUINE 25 MG/1 ML ORAL SYRINGE - FOR PEDIATRIC USE ONLY [40816053],5.76,5.76,,,0
NDC,LFSPN-1200-36,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],15.0,15.0,,,0
NDC,LFSPN-1200-40,INV (PROTECT STUDY)(TEPLIZUMAB OR PLACEBO) 1 MG/ML VIAL (2 ML) [70012016],0.1,0.1,,,0
NDC,LFSPN-1200-41,INV (PROTECT STUDY)(TEPLIZUMAB OR PLACEBO) 100 MCG/ML INITIAL DILUTION [70012017],0.1,0.1,,,0
NDC,LFSPN-1200-46,AMIKACIN 4% (40 MG/ML) OPHTHALMIC SOLUTION [40812008],21350.0,21350.0,,,0
NDC,LFSPN-1200-48,HEPARIN 2500 UNITS IN 250 ML 0.9% NORMAL SALINE FOR VESSEL IRRIGATION [500557],305.0,305.0,,,0
NDC,LFSPN-1200-52,CEFAZOLIN 2 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [125580],6.5,6.5,,,0
NDC,LFSPN-1200-53,CEFTRIAXONE 750 MG/30 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40812010],5.0,5.0,,,0
NDC,LFSPN-1200-54,CEFTRIAXONE 1 GRAM/50 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40812011],5.0,5.0,,,0
NDC,LFSPN-1200-55,CEFTRIAXONE 1.5 GRAM/40 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40812012],7.6,7.6,,,0
NDC,LFSPN-1200-56,CEFTRIAXONE 2 GRAM/50 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40812013],10.0,10.0,,,0
NDC,LFSPN-1200-57,CEFTRIAXONE IV SYRINGE 40 MG/ML IN 0.9 % SODIUM CHLORIDE (PEDIATRIC) [40812014],5.0,5.0,,,0
NDC,LFSPN-1200-58,CEFTRIAXONE IV SYRINGE 40 MG/ML IN 0.9 % SODIUM CHLORIDE (PEDIATRIC) [40812014],5.0,5.0,,,0
NDC,LFSPN-1200-59,CEFTRIAXONE IV SYRINGE 40 MG/ML IN 0.9 % SODIUM CHLORIDE (PEDIATRIC) [40812014],5.0,5.0,,,0
NDC,LFSPN-1200-60,CEFTRIAXONE IV SYRINGE 40 MG/ML IN 0.9 % SODIUM CHLORIDE (PEDIATRIC) [40812014],5.0,5.0,,,0
NDC,LFSPN-1200-61,CEFTRIAXONE IV SYRINGE 40 MG/ML IN 0.9 % SODIUM CHLORIDE (PEDIATRIC) [40812014],5.0,5.0,,,0
NDC,LFSPN-1200-62,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [126146]",5.0,5.0,,,0
NDC,LFSPN-1201-11,TOPIRAMATE 25 MG/ML ORAL SOLUTION [202119],16.314999999999998,16.314999999999998,,,0
NDC,LFSPN-1201-12,TOPIRAMATE 25 MG/ML ORAL SOLUTION [202119],16.314999999999998,16.314999999999998,,,0
NDC,LFSPN-1234-10,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION [28929],61.25,61.25,,,0
NDC,LFSPN-1290-95,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN DEXTROSE 5 % IV [129095],136.25,136.25,,,0
NDC,LFSPN-1294-47,MAGNESIUM SULFATE 6 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [129447],46.0,46.0,,,0
NDC,LFSPN-1294-82,AMIODARONE 1.8 MG/ML IN DEXTROSE 5 % INTRAVENOUS INFUSION (WRAPPER) [40814258],62.5,62.5,,,0
NDC,LFSPN-1303-21,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE [130321],6.68,6.68,,,0
NDC,LFSPN-1332-31,VANCOMYCIN 50 MG/ML ORAL SOLUTION [4080708],7.77,7.77,,,0
NDC,LFSPN-1405-00,REMIFENTANIL (ULTIVA) 25 MCG/ML IN 0.9% SODIUM CHLORIDE 50ML SYRINGE [4081405],281.75,281.75,,,0
NDC,LFSPN-1406-00,REMIFENTANIL (ULTIVA) 250 MCG/ML IN 0.9% SODIUM CHLORIDE 50ML SYRINGE [4081406],2817.75,2817.75,,,0
NDC,LFSPN-1408-50,GLUCOSE (TOLERANCE TEST) 50 GRAM/296 ML ORAL LIQUID [40814650],42.92,42.92,,,0
NDC,LFSPN-1412-10,"ROPIVACAINE (PF) 0.1 % (1,000 MCG/ML) IN 0.9% SODIUM CHLORIDE EPIDURAL [4081412]",22.0,22.0,,,0
NDC,LFSPN-1413-01,"PACLITAXEL 6 MG/ML CONCENTRATE, INTRAVENOUS FOR LS-P-TIDE [70031025]",0.1,0.1,,,0
NDC,LFSPN-1413-70,INV (LS-P-BLAST)(PF-07901801) 10 MG/ML INJECTION SOLUTION [70014113],0.1,0.1,,,0
NDC,LFSPN-1414-14,CLINDAMYCIN (PF) 10 MG/ML (1 MG/ 0.1 ML) IN 0.9% NACL INTRAVITREAL [4081414],5.0,5.0,,,0
NDC,LFSPN-1417-06,L-LYSINE 2.5%/L- ARGININE 2.5% (AMINOPROTECT) IN 1000 ML [190695],1875.0,1875.0,,,0
NDC,LFSPN-1417-10,INV (SCORPIO)(RITONAVIR) 100 MG TABLET [70014171],0.1,0.1,,,0
NDC,LFSPN-1417-20,INV (SCORPIO)(NIRMATRELVIR- PF-07321332 ) 150 MG TABLET [70014172],0.1,0.1,,,0
NDC,LFSPN-1421-01,INV (LS-P-HEAT)(BCA101) 25 MG/ML INJECTION [7001421],0.1,0.1,,,0
NDC,LFSPN-1432-01,INSULIN LISPRO DILUTE (U-10) 10 UNIT/ML CUSTOM SUBCUTANEOUS SOLUTION (PHARMACY PREPARED) [4081432],26.3,26.3,,,0
NDC,LFSPN-1434-01,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION FOR LS-P-TIDE [70037894],0.1,0.1,,,0
NDC,LFSPN-1440-00,LEVOFLOXACIN (LEVAQUIN) 25 MG/ML FOR ALLERGY TESTING [4081440],5.0,5.0,,,0
NDC,LFSPN-1441-00,LEVOFLOXACIN (LEVAQUIN) 0.5 MG/ML FOR ALLERGY TESTING [4081441],5.0,5.0,,,0
NDC,LFSPN-1441-10,INV (LS-P-CYCAD-1)(AZD8421) 100 MG TABLETS [70014410],0.1,0.1,,,0
NDC,LFSPN-1441-15,INV (LS-P-CYCAD-1)(CAMIZESTRANT) 75 MG TABLET [70014415],0.1,0.1,,,0
NDC,LFSPN-1441-25,INV (LS-P-CYCAD-1)(AZD8421) 25 MG TABLETS [70014425],0.1,0.1,,,0
NDC,LFSPN-1442-54,CYCLOPHOSPHAMIDE 20 MG/ML (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION [40814254],3016.12,3016.12,,,0
NDC,LFSPN-1455-01,INV (LS-P-TROPION-02)(DATOPOTAMAB DERUXTECAN) 100 MG VIAL [7001455],0.1,0.1,,,0
NDC,LFSPN-1456-12,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1456-26,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1456-28,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1456-40,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1456-42,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1456-54,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1456-56,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1456-68,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1456-70,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1456-84,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1456-98,INV (IKANEAT STUDY)(MEGESTROL OR PLACEBO) ORAL SUSPENSION 40 MG/ML [70014560],0.1,0.1,,,0
NDC,LFSPN-1462-01,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION FOR LS-P-TIDE [700108122],0.1,0.1,,,0
NDC,LFSPN-1469-00,METHOHEXITAL 5 MG/5 ML SYRINGE FOR INJECTION [4081469],11.5,11.5,,,0
NDC,LFSPN-1470-17,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION FOR LS-P-TIDE [7001417122],0.1,0.1,,,0
NDC,LFSPN-1470-25,INV (LS-P-M20-431)(ABBV-CLS-484) 2.5 MG CAPSULE [7001470],0.1,0.1,,,0
NDC,LFSPN-1470-36,INV (SINGLE PATIENT IND)(BELANTAMAB MAFODOTIN-BLMF) 100 MG [70014835],0.1,0.1,,,0
NDC,LFSPN-1470-69,INV (BH-P-DELLPHI-311)(TARLATAMAB) 0.9 MG/ML INJECTION [70014769],0.1,0.1,,,0
NDC,LFSPN-1470-70,INV (BH-P-DELLPHI-311)(TARLATAMAB) 2.4 MG/ML INJECTION [70014770],0.1,0.1,,,0
NDC,LFSPN-1470-71,INV (BH-P-DELLPHI-311)(IV SOLUTION STABILIZER FOR TARLATAMAB) [70014771],0.1,0.1,,,0
NDC,LFSPN-1470-72,INV (BH-P-DELLPHI-311)(IV SOLUTION STABILIZER FOR TARLATAMAB) [70014771],0.1,0.1,,,0
NDC,LFSPN-1471-05,INV (LS-P-M20-431)(ABBV-CLS-484) 20 MG CAPSULE [7001471],0.1,0.1,,,0
NDC,LFSPN-1471-30,INV (LS-P-M20-431)(ABBV-CLS-484) 20 MG CAPSULE [7001471],0.1,0.1,,,0
NDC,LFSPN-14711,EPINEPHRINE HCL 100 MCG/10 ML(10 MCG/ML) IN 0.9 % SOD CHLOR IV SYRINGE [182564],5.0,5.0,,,0
NDC,LFSPN-1479-79,METHOTREXATE 4 MG/ML INTRAVITREAL SYRINGE [4081479],5.0,5.0,,,0
NDC,LFSPN-1486-70,CAPTOPRIL ORAL SOLUTION 1 MG/ML [350027],5.0,5.0,,,0
NDC,LFSPN-14861,CARBOPLATIN 0.02 MG/ML DESENSITIZATION BAG #1 [40814861],5.0,5.0,,,0
NDC,LFSPN-14862,CARBOPLATIN 0.2 MG/ML DESENSITIZATION BAG #2 [40814862],5.0,5.0,,,0
NDC,LFSPN-1489-03,INV (ACNS2031)(SODIUM THIOSULFATE ANHYDROUS) 80 MG/ML INJECN [70014893],0.1,0.1,,,0
NDC,LFSPN-1491-00,MORPHINE (PF) 10 MG/10 ML IV SYRINGE [5001491],59.5,59.5,,,0
NDC,LFSPN-150-03,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [10010],32.57,32.57,,,0
NDC,LFSPN-1500-03,CEFUROXIME (PF) 10 MG/ML (1 MG/ 0.1 ML) IN 0.9% NACL INTRAVITREAL SOLN [185082],5.0,5.0,,,0
NDC,LFSPN-1500-05,ONCOZENE MICROSPHERES 40 MCM [40815002],10500.0,10500.0,,,0
NDC,LFSPN-1500-06,ONCOZENE MICROSPHERES 75 MCM [40815003],8475.0,8475.0,,,0
NDC,LFSPN-1500-07,ONCOZENE MICROSPHERES 100 MCM [40815004],8475.0,8475.0,,,0
NDC,LFSPN-1500-17,KETAMINE 10 MG/1 ML ORAL SYRINGE [350048],5.85,5.85,,,0
NDC,LFSPN-1500-28,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET [19743],5.0,5.0,,,0
NDC,LFSPN-1500-33,ROPIVACAINE 0.2 % PERINEURAL INFUSION WRAPPER [40815029],75.0,75.0,,,0
NDC,LFSPN-1500-45,FLUCYTOSINE (ANCOBON) 50 MG/ML ORAL SYRINGE [40815046],586.3,586.3,,,0
NDC,LFSPN-1500-47,"BACLOFEN IT 1,000 MCG IN NS 50 ML [40815048]",84.25,84.25,,,0
NDC,LFSPN-1500-54,SELENIUM 4 MCG/ML INTRAVENOUS SOLUTION [40815055],253.75,253.75,,,0
NDC,LFSPN-1500-58,PHENYLEPHRINE 80 MG/250 ML (320 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [130137],211.25,211.25,,,0
NDC,LFSPN-1500-61,PARENTERAL AMINO ACID (CLINISOL) 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION [40815060],170.0,170.0,,,0
NDC,LFSPN-1570-60,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],10.57,10.57,,,0
NDC,LFSPN-1600-01,ROPIVACAINE 0.2% (2 MG/ML) 550 ML IN AUTOFUSER PUMP [40816003],904.75,904.75,,,0
NDC,LFSPN-1600-11,PSEUDOEPHEDRINE 15 MG/5 ML ORAL LIQUID [119769],7.5,7.5,,,0
NDC,LFSPN-1600-18,LC BEADS LUMI 100-300 MCM [40816018],9785.0,9785.0,,,0
NDC,LFSPN-1600-19,LC BEADS LUMI 70-150 MCM [40816019],13750.0,13750.0,,,0
NDC,LFSPN-1600-20,LC BEADS LUMI 40-90 MCM [40816020],9785.0,9785.0,,,0
NDC,LFSPN-1600-32,ACETIC ACID (BULK) 3 % LIQUID [15091],93.0,93.0,,,0
NDC,LFSPN-1600-34,SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],5.0,5.0,,,0
NDC,LFSPN-1600-37,PHENOL 7% INJECTION FOR NERVE ABLATION [40816024],101.065,101.065,,,0
NDC,LFSPN-1600-38,PHENOL 7% INJECTION FOR NERVE ABLATION [40816024],50.535,50.535,,,0
NDC,LFSPN-1600-39,PHENOL 7% INJECTION FOR NERVE ABLATION [40816024],25.27,25.27,,,0
NDC,LFSPN-1600-40,INV (IRB418618)(TREPROSTINIL) 1 MG/ML VIAL [70016023],0.1,0.1,,,0
NDC,LFSPN-1600-41,INV (IRB418618)(TREPROSTINIL) 2.5 MG/ML VIAL [70016024],0.1,0.1,,,0
NDC,LFSPN-1600-42,INV (IRB418618)(TREPROSTINIL) 5 MG/ML VIAL [70016025],0.1,0.1,,,0
NDC,LFSPN-1600-43,INV (IRB418618)(TREPROSTINIL) 10 MG/ML VIAL [70016026],0.1,0.1,,,0
NDC,LFSPN-1600-47,NICARDIPINE 200 MCG/ML IN SODIUM CHLORIDE INFUSION [40816027],150.0,150.0,,,0
NDC,LFSPN-1600-48,ALTEPLASE (ACTIVASE) 12.5 MG/12.5 ML SYRINGE [40816030],4578.75,4578.75,,,0
NDC,LFSPN-1600-57,TACROLIMUS 1 MG/ML ORAL SUSPENSION [408002],205.2,205.2,,,0
NDC,LFSPN-1600-58,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL [99405],5.0,5.0,,,0
NDC,LFSPN-1600-59,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL [99405],7.42,7.42,,,0
NDC,LFSPN-1600-74,AMPHETAMINE ER 2.5 MG/ML ORAL 24 HR EXTENDED-RELEASE SUSPENSION [181408],56.88,56.88,,,0
NDC,LFSPN-1600-75,AMPHETAMINE ER 2.5 MG/ML ORAL 24 HR EXTENDED-RELEASE SUSPENSION [181408],113.75,113.75,,,0
NDC,LFSPN-1600-78,INV (LS-P-DRAGONFLY)(DF1001) 150 MG VIAL [70016071],0.1,0.1,,,0
NDC,LFSPN-1600-79,INV (LS-P-DRAGONFLY)(POLYSORBATE 80) 0.1% SOLUTION [70016076],0.1,0.1,,,0
NDC,LFSPN-1600-81,INV (CLARITY AD)(BAN2401 OR PLACEBO) 500 MG VIAL [70016078],0.1,0.1,,,0
NDC,LFSPN-1600-85,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID [128932],5.0,5.0,,,0
NDC,LFSPN-1600-91,NITROPRUSSIDE INFUSION 250 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40016035],106.0,106.0,,,0
NDC,LFSPN-1600-92,NITROPRUSSIDE INFUSION 250 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40016035],212.0,212.0,,,0
NDC,LFSPN-1600-93,NITROPRUSSIDE INFUSION 50 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40016036],250.0,250.0,,,0
NDC,LFSPN-1600-94,NITROPRUSSIDE INFUSION 50 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40016036],125.0,125.0,,,0
NDC,LFSPN-1600-97,PHENYLEPHRINE 18 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40816041],5.0,5.0,,,0
NDC,LFSPN-1600-98,PHENYLEPHRINE 18 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40816041],5.0,5.0,,,0
NDC,LFSPN-1600-99,PHENYLEPHRINE 18 MCG/ML IN DEXTROSE 5% SYRINGE [40816042],5.0,5.0,,,0
NDC,LFSPN-1601-00,PHENYLEPHRINE 18 MCG/ML IN DEXTROSE 5% SYRINGE [40816042],5.0,5.0,,,0
NDC,LFSPN-1601-01,PHENYLEPHRINE 100 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40816043],5.0,5.0,,,0
NDC,LFSPN-1601-02,PHENYLEPHRINE 100 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40816043],6.75,6.75,,,0
NDC,LFSPN-1601-03,PHENYLEPHRINE 100 MCG/ML IN DEXTROSE 5% SYRINGE [40816044],5.0,5.0,,,0
NDC,LFSPN-1601-04,PHENYLEPHRINE 100 MCG/ML IN DEXTROSE 5% SYRINGE [40816044],6.75,6.75,,,0
NDC,LFSPN-1601-05,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR [164292],5.0,5.0,,,0
NDC,LFSPN-1601-07,INV (ASPIRE)(ASPIRIN 81 MG OR PLACEBO) TABLET [70016091],0.1,0.1,,,0
NDC,LFSPN-1601-08,INV (ASPIRE)(APIXABAN 5 MG OR PLACEBO) TABLET [70016092],0.1,0.1,,,0
NDC,LFSPN-1601-09,INV (ASPIRE)(APIXABAN 2.5 MG OR PLACEBO) TABLET [70016093],0.1,0.1,,,0
NDC,LFSPN-1601-16,INV (DFCI-AVO)(ACALABRUTINIB) 100 MG TABLET - TAKE HOME [70016105],0.1,0.1,,,0
NDC,LFSPN-1601-17,INV (DFCI-AVO)(OBINUTUZUMAB) 1000 MG VIAL [70016106],0.1,0.1,,,0
NDC,LFSPN-1601-18,INV (DFCI-AVO)(VENETOCLAX) 10 MG TABLET [70016108],0.1,0.1,,,0
NDC,LFSPN-1601-19,INV (DFCI-AVO)(VENETOCLAX) 50 MG TABLET [70016110],0.1,0.1,,,0
NDC,LFSPN-1601-20,INV (DFCI-AVO)(VENETOCLAX) 100 MG TABLET [70016112],0.1,0.1,,,0
NDC,LFSPN-1601-21,AMPICILLIN SODIUM 3 MG/ML SKIN TEST [40816047],5.0,5.0,,,0
NDC,LFSPN-1601-25,AZITHROMYCIN (ZITHROMAX) 1 MG/ML FOR ALLERGY TESTING [40816052],5.0,5.0,,,0
NDC,LFSPN-1601-28,AZITHROMYCIN (ZITHROMAX) 100 MG/ML FOR ALLERGY TESTING [40816056],5.0,5.0,,,0
NDC,LFSPN-1601-31,CEFUROXIME (ZINACEF) 100 MG/ML FOR ALLERGY TESTING [40816058],5.0,5.0,,,0
NDC,LFSPN-1601-32,CEFUROXIME (ZINACEF) 10 MG/ML FOR ALLERGY TESTING [40816059],5.0,5.0,,,0
NDC,LFSPN-1601-33,CEFUROXIME (ZINACEF) 1 MG/ML FOR ALLERGY TESTING [40816060],5.0,5.0,,,0
NDC,LFSPN-1601-35,MIDAZOLAM (VERSED) 1 MG/ML IN SODIUM CHLORIDE 0.9% INFUSION [192325],9.5,9.5,,,0
NDC,LFSPN-1601-36,MORPHINE 1 MG/ML IN 0.9% SODIUM CHLORIDE INFUSION WRAPPER [40816012],5.0,5.0,,,0
NDC,LFSPN-1601-38,"SODIUM BICARBONATE 150 MEQ/1,150 ML IN DEXTROSE 5 % INTRAVENOUS [129492]",281.75,281.75,,,0
NDC,LFSPN-1601-41,LORAZEPAM (ATIVAN)_1 MG/ML (100 MG/100 ML) IN 0.9% SODIUM CHLORIDE IV INFUSION [40816064],130.0,130.0,,,0
NDC,LFSPN-1601-42,CLINDAMYCIN (CLEOCIN) 150 MG/ML FOR ALLERGY TESTING  [40816071],5.0,5.0,,,0
NDC,LFSPN-1601-43,CLINDAMYCIN (CLEOCIN) 15 MG/ML FOR ALLERGY TESTING [40816072],5.0,5.0,,,0
NDC,LFSPN-1601-44,CLINDAMYCIN (CLEOCIN) 1.5 MG/ML FOR ALLERGY TESTING [40816073],5.0,5.0,,,0
NDC,LFSPN-1601-46,"EPOPROSTENOL (VELETRI) 30,000 NG/ML 50 ML INHALATION SYRINGE [40816074]",282.0,282.0,,,0
NDC,LFSPN-1601-57,CEFAZOLIN (ANCEF) 3 GRAM/100 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUSK [408101],6.0,6.0,,,0
NDC,LFSPN-1601-62,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],5.0,5.0,,,0
NDC,LFSPN-1601-65,DEXAMETHASONE 10 MG/50 ML IN 0.9 % SOD.CHLORIDE  INTRAVENOUS PIGGYBACK [130342],250.0,250.0,,,0
NDC,LFSPN-1601-69,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV [125582],35.0,35.0,,,0
NDC,LFSPN-1601-76,"EPINEPHRINE HCL (PF) 1,000 MCG/10 ML (100 MCG/ML) IN 0.9% NACL IV SYR [130682]",32.45,32.45,,,0
NDC,LFSPN-1601-79,"HEPARIN (1,000 UNITS/ML) IN D5W 50 ML (ECMO > 5 KG) [350526]",50.0,50.0,,,0
NDC,LFSPN-1601-82,HYDROMORPHONE 0.1 MG/ML PEDI LOW PCA-OPIOID TOLERANT [500067],5.0,5.0,,,0
NDC,LFSPN-1601-88,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],50.325,50.325,,,0
NDC,LFSPN-1601-90,MORPHINE 1 MG/ML IN 0.9% SODIUM CHLORIDE INFUSION WRAPPER [40816012],5.0,5.0,,,0
NDC,LFSPN-1602-06,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],35.0,35.0,,,0
NDC,LFSPN-1602-07,SODIUM PHOSPHATE 15 MILLIMOLE/250 ML IN NS [500541],32.5,32.5,,,0
NDC,LFSPN-1602-24,AMPHOTERICIN B 0.1% (100 MG/100 ML D5W) TOPICAL SOLUTION [40816087],134.5,134.5,,,0
NDC,LFSPN-1602-31,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION [6445],16.65,16.65,,,0
NDC,LFSPN-1602-35,AMPHOTERICIN B 0.025% (25 MG/100 ML) (FUNGIZONE) NASAL IRRIGATION SOLUTION [40816088],33.5,33.5,,,0
NDC,LFSPN-1602-37,INV (DFCI 18-284)(ALRN-6924) 75 MG VIAL [70016150],0.1,0.1,,,0
NDC,LFSPN-1602-38,INV (LS-P-DF6002-001)(DF6002) 100 MCG/ML INJECTION - SPLIT DOSE [70016154],0.1,0.1,,,0
NDC,LFSPN-1602-43,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION [2320],5.0,5.0,,,0
NDC,LFSPN-1602-46,INV (IRB418618)(TREPROSTINIL) SYRINGE FOR PORT PRIMING [70016158],0.1,0.1,,,0
NDC,LFSPN-1602-53,INV (LS-P-DISTINGUISH)(TISLELIZUMAB) 100 MG VIAL [70016168],0.1,0.1,,,0
NDC,LFSPN-1602-54,INV (LS-P-DISTINGUISH)(DKN-01) 20 MG VIAL [70016170],0.1,0.1,,,0
NDC,LFSPN-1602-72,"INV (LS-P-APRIL)(PBCAR0191 (AZER-CEL)) IN PLASMA-LYTE A, 3% ALBUMII INFUSION [70016192]",0.1,0.1,,,0
NDC,LFSPN-1602-88,DOCETAXEL (TAXOTERE) FOR DESENSITIZATION 10 MG/100 ML D5W [40816105],34.5,34.5,,,0
NDC,LFSPN-1602-89,DOCETAXEL (TAXOTERE) FOR DESENSITIZATION 10 MG/100 ML NS [40816106],19.75,19.75,,,0
NDC,LFSPN-1602-90,CARBOPLATIN 10 MG/ML VIAL FOR PCCTC-CASCARA [40816107],0.1,0.1,,,0
NDC,LFSPN-1602-92,INV (LS-P-M20-431)(PEMBROLIZUMAB) 100 MG VIAL [70016250],0.1,0.1,,,0
NDC,LFSPN-1602-94,MIDAZOLAM 5 MG/1 ML INTRANASAL SOLUTION [40816111],20.04,20.04,,,0
NDC,LFSPN-1603-00,INV (REVERSE-IT)(BENTRACIMAB) 100 MG/ML INFUSION [70016254],0.1,0.1,,,0
NDC,LFSPN-1603-01,INV (REVERSE-IT)(BENTRACIMAB) 100 MG/ML INFUSION [70016254],0.1,0.1,,,0
NDC,LFSPN-1603-06,INV (LS-P-MYTHIC)(LUNRESERTIB) 60 MG CAPSULE [70016268],0.1,0.1,,,0
NDC,LFSPN-1603-07,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [25365],5.0,5.0,,,0
NDC,LFSPN-1603-13,"OXIDIZED REGENERATED CELLULOSE (SURGICEL NU-KNIT) 6"" X 9"" PADS [40816097]",1009.65,1009.65,,,0
NDC,LFSPN-1603-14,SPIRONOLACTONE (ALDACTONE) 12.5 MG HALF TABLET [40816098],20.0,20.0,,,0
NDC,LFSPN-1603-17,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],609.0,609.0,,,0
NDC,LFSPN-1603-24,INV (PHO-NMTT)(EFLORNITHINE HYDROCHLORIDE) 250 MG TABLET [70016270],0.1,0.1,,,0
NDC,LFSPN-1603-25,BACLOFEN (LIORESAL) 2.5 MG HALF-TABLET [40816121],10.0,10.0,,,0
NDC,LFSPN-1603-28,2% LIDOCAINE (PF) 10 ML - 0.75% BUPIVACAINE (PF) 10 ML -HYALURONIDASE 150 UNITS - EPINEPHRINE 0.1 MG STERILE EYE [40815047],233.1,233.1,,,0
NDC,LFSPN-1603-34,INV (SCORPIO)(NIRMATRELVIR 150 MG AND RITONAVIR 100 MG) ORAL POWDER [70016276],0.1,0.1,,,0
NDC,LFSPN-1603-36,INV (LS-P-BLAST)(TAFASITAMAB) 200 MG INJECTION [70016279],0.1,0.1,,,0
NDC,LFSPN-1603-37,INV (LS-P-PIONERA)(PALBOCICLIB) 100 MG TABLET [70016283],0.1,0.1,,,0
NDC,LFSPN-1603-38,INV (LS-P-PIONERA)(PALBOCICLIB) 125 MG TABLET [70016284],0.1,0.1,,,0
NDC,LFSPN-1603-39,INV (LS-P-PIONERA)(PALBOCICLIB) 75 MG TABLET [70016285],0.1,0.1,,,0
NDC,LFSPN-1603-43,INV (LS-P-WISH)(KB-0742) 5 MG CAPSULE [70016286],0.1,0.1,,,0
NDC,LFSPN-1603-44,INV (LS-P-WISH)(KB-0742) 20 MG CAPSULE [70016287],0.1,0.1,,,0
NDC,LFSPN-1603-45,INV (LS-P-WISH)(KB-0742) 50 MG CAPSULE [70016288],0.1,0.1,,,0
NDC,LFSPN-1603-47,INV (LS-P-HAT)(NM32-2668) 2.5 MCG/ML INJECTION SOLUTION [70016231],0.1,0.1,,,0
NDC,LFSPN-1603-50,INV (LS-P-HAT)(NM32-2668) 50 MCG/ML INJECTION SOLUTION [70016228],0.1,0.1,,,0
NDC,LFSPN-1603-52,INV (LS-P-FONTANA)(AZD5335) 100 MG INJECTION [70016238],0.1,0.1,,,0
NDC,LFSPN-1603-53,INV (LS-P-FONTANA)(AZD5305) 0.5 MG TABLETS [70016240],0.1,0.1,,,0
NDC,LFSPN-1603-54,INV (LS-P-FONTANA)(AZD5305) 5 MG TABLETS [70016241],0.1,0.1,,,0
NDC,LFSPN-1603-55,INV (LS-P-GO44479)(AUTOGENE CEVUMERAN-A) 21 MCG/ML INJECTION  [70016242],0.1,0.1,,,0
NDC,LFSPN-1603-56,INV (LS-P-GO44479)(AUTOGENE CEVUMERAN-B) 21 MCG/ML INJECTION [70016243],0.1,0.1,,,0
NDC,LFSPN-1604-61,INV (LS-P-MYTHIC)(LUNRESERTIB) 20 MG TABLET [70016248],0.1,0.1,,,0
NDC,LFSPN-1604-62,INV (LS-P-MYTHIC)(LUNRESERTIB) 60 MG TABLET [70016249],0.1,0.1,,,0
NDC,LFSPN-1604-63,INV (AFT-ENDOMAP)(ABEMACICLIB) 50 MG TABLET [70016292],0.1,0.1,,,0
NDC,LFSPN-1604-64,INV (LS-P-CYCAD-1)(PALBOCICLIB) 75 MG TABLET [70016293],0.1,0.1,,,0
NDC,LFSPN-1604-65,INV (LS-P-CYCAD-1)(PALBOCICLIB) 100 MG TABLET [70016294],0.1,0.1,,,0
NDC,LFSPN-1604-66,INV (LS-P-CYCAD-1)(PALBOCICLIB) 125 MG TABLET [70016295],0.1,0.1,,,0
NDC,LFSPN-1604-67,INV (LS-P-ALUMMINATE)(ALNUCTAMAB) 6 MG/ML INJECTION SOLUTION [70016296],0.1,0.1,,,0
NDC,LFSPN-1604-68,INV (LS-P-ALUMMINATE)(ALNUCTAMAB) 30 MG/ML INJECTION SOLUTION [70016297],0.1,0.1,,,0
NDC,LFSPN-1604-69,INV (LS-P-ONC 1879)(CEMIPLIMAB) 1 MG/ML INJECTION SOLUTION [70016298],0.1,0.1,,,0
NDC,LFSPN-1604-74,"INV (LS-P-RISEUP)(MITAPIVAT 50 MG, 100 MG, OR PLACEBO) TABLET [70016299]",0.1,0.1,,,0
NDC,LFSPN-1604-75,INV (LS-P-COAT)(ALDESLEUKIN) 18 MILLION UNITS/ML INJECTION [70016300],0.1,0.1,,,0
NDC,LFSPN-1604-78,INV (LS-P-IMPACT)(IMP1734) 5 MG TABLET [70016302],0.1,0.1,,,0
NDC,LFSPN-1604-79,INV (LS-P-IMPACT)(IMP1734) 20 MG TABLET [70016303],0.1,0.1,,,0
NDC,LFSPN-1604-80,INV (ENCORE)(AZITHROMYCIN) 250 MG TABLET [70016304],0.1,0.1,,,0
NDC,LFSPN-1604-81,INV (LS-P-MACE)(AZD0486) 2 MG/ML INJECTION SOLUTION [70016305],0.1,0.1,,,0
NDC,LFSPN-1604-82,INV (VT-001-0050 C&D)(ATACICEPT 150 MG OR PLACEBO) SUBCUTANEOUS INJECTION [70016306],0.1,0.1,,,0
NDC,LFSPN-1604-83,INV (LS-P-FONTANA)(BEVACIZUMAB) 25 MG/ML INJECTION SOLUTION [70016307],0.1,0.1,,,0
NDC,LFSPN-1604-84,INV (LS-P-FONTANA)(CARBOPLATIN) 10 MG/ML INJECTION SOLUTION [70016309],0.1,0.1,,,0
NDC,LFSPN-1604-85,INV (LS-P-FONTANA)(CARBOPLATIN) 10 MG/ML INJECTION SOLUTION [70016309],0.1,0.1,,,0
NDC,LFSPN-1604-86,INV (LS-P-FONTANA)(CARBOPLATIN) 10 MG/ML INJECTION SOLUTION [70016309],0.1,0.1,,,0
NDC,LFSPN-1604-87,INV (LS-P-FONTANA)(CARBOPLATIN) 10 MG/ML INJECTION SOLUTION [70016309],0.1,0.1,,,0
NDC,LFSPN-16047,FERUMOXYTOL DESENSITIZATION 3 MG/75 ML (0.04 MG/ML) BAG #1 [40616126],5.0,5.0,,,0
NDC,LFSPN-1605-01,INV (LS-P-LASSO)(INCA33890) 20 MG/ML INJECTION SOLUTION [70016281],0.1,0.1,,,0
NDC,LFSPN-16344,VORICONAZOLE 1% EYE DROPS [300158],385.15,385.15,,,0
NDC,LFSPN-16359,"HEPARIN 10,000 UNITS IN 1000 ML NS IRRIGATION BAG [500307]",10.0,10.0,,,0
NDC,LFSPN-16360,VECURONIUM 1 MG/ML SYRINGE [40817157],121.2,121.2,,,0
NDC,LFSPN-16370,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV [129071],136.25,136.25,,,0
NDC,LFSPN-16395,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],35.0,35.0,,,0
NDC,LFSPN-164-01,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV [187896],3390.0,3390.0,,,0
NDC,LFSPN-16419,4% LIDOCAINE (PF) 2.5 ML-0.75% BUPIVACAINE (PF) 2.5 ML-HYALURONIDASE 75 UNITS STERILE EYE SOLUTION [507024],93.06,93.06,,,0
NDC,LFSPN-16426,SODIUM CHLORIDE 1.5% & SODIUM ACETATE 1.5% (3% TOTAL) IV INFUSION [500078],5000.0,5000.0,,,0
NDC,LFSPN-16427,ONDANSETRON 16 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS [399011],14.75,14.75,,,0
NDC,LFSPN-16429,PENTOBARBITAL (NEMBUTAL) 1000 MG IN 120 ML D5W FOR BOLUS [40826005],1021.24,1021.24,,,0
NDC,LFSPN-16442,FERUMOXYTOL DESENSITIZATION 21 MG/52.5 ML (0.4 MG/ML) BAG #2 [40616127],35.44,35.44,,,0
NDC,LFSPN-16457,DEXAMETHASONE 4 MG/ML ORAL LIQUID [40816242],5.0,5.0,,,0
NDC,LFSPN-16470,MELATONIN 2.5 MG/10 ML ORAL LIQUID [164077],6.67,6.67,,,0
NDC,LFSPN-16471,EPCORITAMAB-BYSP (EPKINLY) 0.16 MG STEP UP DOSE 1 [40817089],253.76,253.76,,,0
NDC,LFSPN-16472,EPCORITAMAB-BYSP (EPKINLY) 0.8 MG STEP UP DOSE 2 [40817090],1268.8,1268.8,,,0
NDC,LFSPN-16473,CARBIDOPA 1.25 MG-LEVODOPA 5 MG/ML ORAL SUSPENSION [350500],5.0,5.0,,,0
NDC,LFSPN-16475,CEFTAZIDIME SUBCONJUNCTIVAL INJECTION 200 MG/1 ML [500177],5.0,5.0,,,0
NDC,LFSPN-16481,SODIUM CHLORIDE 1.5% & SODIUM ACETATE 1.5% (3% TOTAL) IV BOLUS [40816238],125.0,125.0,,,0
NDC,LFSPN-16487,INV (LS-P-START)(PEMBROLIZUMAB) 25 MG/ML INJECTION SOLUTION [70016311],0.1,0.1,,,0
NDC,LFSPN-16508,INV (LS-P-IGNYTE-3)(NIVOLUMAB) 10 MG/ML INJECTION SOLUTION [70016315],0.1,0.1,,,0
NDC,LFSPN-16511,"EPOPROSTENOL (VELETRI) 3,000 NG/ML INFUSION - CADD SOLIS PUMP [40816130]",84.5,84.5,,,0
NDC,LFSPN-16512,"EPOPROSTENOL (VELETRI) 5,000 NG/ML INFUSION - CADD SOLIS PUMP [40816131]",141.0,141.0,,,0
NDC,LFSPN-16513,"EPOPROSTENOL (VELETRI) 10,000 NG/ML INFUSION - CADD SOLIS PUMP [40816132]",282.0,282.0,,,0
NDC,LFSPN-16514,"EPOPROSTENOL (VELETRI) 15,000 NG/ML INFUSION - CADD SOLIS PUMP [40816133]",282.0,282.0,,,0
NDC,LFSPN-16515,"EPOPROSTENOL (VELETRI) 30,000 NG/ML INFUSION - CADD SOLIS PUMP [40816134]",564.0,564.0,,,0
NDC,LFSPN-16516,"EPOPROSTENOL (VELETRI) 45,000 NG/ML INFUSION - CADD SOLIS PUMP [40816135]",846.0,846.0,,,0
NDC,LFSPN-16517,"EPOPROSTENOL (VELETRI) 60,000 NG/ML INFUSION - CADD SOLIS PUMP [40816136]",1128.0,1128.0,,,0
NDC,LFSPN-16519,POTASSIUM CHLORIDE IN WATER 0.1 MEQ/ML INFUSION [40825009],65.13,65.13,,,0
NDC,LFSPN-16520,POTASSIUM CHLORIDE IN WATER 0.4 MEQ/ML INFUSION [40825037],17.535,17.535,,,0
NDC,LFSPN-16521,VANCOMYCIN IV DESENSITIZATION 50 MG/25 ML (2 MG/ML) STOCK SOLUTION A [40816139],5.0,5.0,,,0
NDC,LFSPN-16522,VANCOMYCIN IV DESENSITIZATION 2 MG/100 ML (0.02 MG/ML) STOCK SOLUTION B [40816140],5.0,5.0,,,0
NDC,LFSPN-16523,MEROPENEM IV DESENSITIZATION STOCK SOLUTION A (DO NOT DISPENSE) [40816141],26.75,26.75,,,0
NDC,LFSPN-16524,MEROPENEM IV DESENSITIZATION STOCK SOLUTION B (DO NOT DISPENSE) [40816142],5.0,5.0,,,0
NDC,LFSPN-16525,MEROPENEM IV DESENSITIZATION STOCK SOLUTION C (DO NOT DISPENSE) [40816143],5.0,5.0,,,0
NDC,LFSPN-16526,CEFEPIME IV DESENSITIZATION STOCK SOLUTION A (DO NOT DISPENSE) [40816144],11.5,11.5,,,0
NDC,LFSPN-16527,CEFEPIME IV DESENSITIZATION STOCK SOLUTION B (DO NOT DISPENSE) [40816145],23.0,23.0,,,0
NDC,LFSPN-16528,CEFEPIME IV DESENSITIZATION STOCK SOLUTION C (DO NOT DISPENSE) [40816147],5.0,5.0,,,0
NDC,LFSPN-16530,AZTREONAM IV DESENSITIZATION STOCK SOLUTION A [40816182],38.5,38.5,,,0
NDC,LFSPN-16531,AZTREONAM IV DESENSITIZATION STOCK SOLUTION B [40816183],5.0,5.0,,,0
NDC,LFSPN-16532,AZTREONAM IV DESENSITIZATION STOCK SOLUTION C [40816184],5.0,5.0,,,0
NDC,LFSPN-16533,METHADONE 10 MG/ML ORAL CONCENTRATE [15996],8.34,8.34,,,0
NDC,LFSPN-16538,INV (BH-P-DREAMM-10)(DARATUMUMAB AND HYALURONIDASE-FIHJ) SUBCUTANEOUS INJECTION [70016322],0.1,0.1,,,0
NDC,LFSPN-16539,INV (LS-P-PRIMROSE)(REPAGLINIDE) 0.5 MG TABLET [70016323],0.1,0.1,,,0
NDC,LFSPN-16540,NITROGLYCERIN 100 MCG/ML DILUTED IN D5 [40816185],5.0,5.0,,,0
NDC,LFSPN-16541,CEFTRIAXONE IV DESENSITIZATION STOCK SOLUTION A (DO NOT DISPENSE) [40816186],5.0,5.0,,,0
NDC,LFSPN-16542,CEFTRIAXONE IV DESENSITIZATION STOCK SOLUTION B (DO NOT DISPENSE) [40816187],5.0,5.0,,,0
NDC,LFSPN-16543,CEFTRIAXONE IV DESENSITIZATION STOCK SOLUTION C (DO NOT DISPENSE) [40816188],5.0,5.0,,,0
NDC,LFSPN-16544,INV (LIMITLESS)(PERFLUTREN LIPID MICROSPHERES) INJECTABLE SUSPENSION [40816189],0.1,0.1,,,0
NDC,LFSPN-16545,CEFTAZIDIME IV DESENSITIZATION STOCK SOLUTION A (DO NOT DISPENSE) [40816190],13.5,13.5,,,0
NDC,LFSPN-16546,CEFTAZIDIME IV DESENSITIZATION STOCK SOLUTION B (DO NOT DISPENSE) [40816191],5.0,5.0,,,0
NDC,LFSPN-16547,CEFTAZIDIME IV DESENSITIZATION STOCK SOLUTION C (DO NOT DISPENSE) [40816192],5.0,5.0,,,0
NDC,LFSPN-16549,INV (BH-P-CONCLUDE)(IV BAG PROTECTANT FOR AZD4360) 1 ML VIAL  [70016324],0.1,0.1,,,0
NDC,LFSPN-16550,INV (BH-P-CONCLUDE)(AZD4360) 20 MG/ML INJECTION [70016325],0.1,0.1,,,0
NDC,LFSPN-1700-02,INV (AAML1831)(DAUNORUBICIN AND CYTARABINE (LIPOSOMAL) (VYXEOS)) 44MG/100MG VIAL [70017002],0.1,0.1,,,0
NDC,LFSPN-1700-04,INV (AAML1831)(GILTERITINIB) 40 MG TABLET [70017006],0.1,0.1,,,0
NDC,LFSPN-1700-05,INV (AAML1831)(GILTERITINIB) 10 MG TABLET [70017007],0.1,0.1,,,0
NDC,LFSPN-1700-07,SODIUM BICARBONATE INFUSION 150 MEQ/1000 ML D5W (ANES ONE-STEP) [500351],105.0,105.0,,,0
NDC,LFSPN-1700-08,SODIUM CHLORIDE 0.9 % FLUSH (FORMULATION) [40817002],1.0,1.0,,,0
NDC,LFSPN-1700-09,INV (ACNS1833)(SELUMETINIB) 25 MG CAPSULE [70017014],0.1,0.1,,,0
NDC,LFSPN-1700-10,INV (ACNS1833)(SELUMETINIB) 10 MG CAPSULE [70017015],0.1,0.1,,,0
NDC,LFSPN-1700-11,INV (ACNS1833)(SELUMETINIB) 25 MG CAPSULE-TAKE HOME [70017016],0.1,0.1,,,0
NDC,LFSPN-1700-12,INV (ACNS1833)(SELUMETINIB) 10 MG CAPSULE-TAKE HOME [70017017],0.1,0.1,,,0
NDC,LFSPN-1700-16,EPINEPHRINE 16 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [40817005],52.25,52.25,,,0
NDC,LFSPN-1700-17,EPINEPHRINE 16 MCG/ML IN 5% DEXTROSE SYRINGE [40817006],52.25,52.25,,,0
NDC,LFSPN-1700-18,SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH [170233],27.3,27.3,,,0
NDC,LFSPN-1700-22,METHADONE 100 MG/100 ML INFUSION [40817012],907.0,907.0,,,0
NDC,LFSPN-1700-23,BRIVARACETAM 10 MG/ML ORAL SOLUTION [182860],88.6,88.6,,,0
NDC,LFSPN-1700-24,CYCLOPHOSPHAMIDE (CYTOXAN) 10 MG/ML CHEMO ORAL SOLUTION [1151701],129.0,129.0,,,0
NDC,LFSPN-1700-27,ROCURONIUM 1 MG/ML IV IN 0.9% SODIUM CHLORIDE [507037],105.0,105.0,,,0
NDC,LFSPN-1700-28,PILOCARPINE 0.125% OPHTHALMIC SOLUTION [40817017],5.0,5.0,,,0
NDC,LFSPN-1700-29,INV (MOBOCERTINIB EAP)(MOBOCERTINIB) 40 MG CAPSULE [70017022],0.1,0.1,,,0
NDC,LFSPN-1700-32,HYDROMORPHONE 150 MG/50 ML IN 0.9% SODIUM CHLORIDE INFUSION [40817020],144.5,144.5,,,0
NDC,LFSPN-1700-33,INV (AALL1821)(NIVOLUMAB) 100 MG VIAL [70017024],0.1,0.1,,,0
NDC,LFSPN-1700-34,INV (AALL1821)(BLINATUMOMAB) 12.5 MCG/ML VIAL [70017026],0.1,0.1,,,0
NDC,LFSPN-1700-35,CEFAZOLIN 2 GRAM/50 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [180710],6.75,6.75,,,0
NDC,LFSPN-1700-37,CEFAZOLIN IN NS IV SYRINGE 100 MG/ML (PEDIATRIC) SIMPLE [40817021],5.0,5.0,,,0
NDC,LFSPN-1700-38,CEFAZOLIN IN NS IV SYRINGE 100 MG/ML (PEDIATRIC) SIMPLE [40817021],5.0,5.0,,,0
NDC,LFSPN-1700-39,CEFAZOLIN IN NS IV SYRINGE 100 MG/ML (PEDIATRIC) SIMPLE [40817021],5.0,5.0,,,0
NDC,LFSPN-1700-40,CEFAZOLIN 500 MG/50 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40817022],5.0,5.0,,,0
NDC,LFSPN-1700-41,CEFAZOLIN 750 MG/30 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40817023],5.0,5.0,,,0
NDC,LFSPN-1700-42,CEFAZOLIN 1 GRAM/50 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [40817024],5.0,5.0,,,0
NDC,LFSPN-1700-65,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],54.0,54.0,,,0
NDC,LFSPN-1700-71,AMPICILLIN DESENSITIZATION 20 MG IN NS 100 ML - BAG#1 [40017007],5.0,5.0,,,0
NDC,LFSPN-1700-72,AMPICILLIN DESENSITIZATION 200 MG IN NS 100 ML - BAG #2 [40017008],5.0,5.0,,,0
NDC,LFSPN-1700-73,AMPICILLIN DESENSITIZATION 2400 MG IN NS 120 ML - BAG #3 [40017009],15.68,15.68,,,0
NDC,LFSPN-1700-81,INV (LS-P-ONC 1879)(CEMIPLIMAB-RWLC) 350 MG VIAL [70017066],0.1,0.1,,,0
NDC,LFSPN-1700-82,"INV (LS-P-ONC1879)(REGN5678) 240MG (50MG/ML, 4.8 ML) VIAL [70017068]",0.1,0.1,,,0
NDC,LFSPN-1700-83,INV (LS-P-ONC1879)(REGN5678) 1.5MG/ML INTERMEDIATE STOCK SOLUTION [70017069],0.1,0.1,,,0
NDC,LFSPN-1700-89,HYDROMORPHONE (PF) 1 MG/ML SYRINGE FOR CONTINUOUS INFUSION [40817031],5.0,5.0,,,0
NDC,LFSPN-1700-90,HYDROMORPHONE (PF) 1 MG/ML SYRINGE FOR CONTINUOUS INFUSION [40817031],7.8,7.8,,,0
NDC,LFSPN-1700-91,HYDROMORPHONE (PF) 1 MG/ML SYRINGE FOR CONTINUOUS INFUSION [40817031],15.6,15.6,,,0
NDC,LFSPN-1700-92,REMDESIVIR EUA 100 MG LYOPHILIZED POWDER VIAL [40817030],0.1,0.1,,,0
NDC,LFSPN-1701-07,PACLITAXEL (TAXOL) FOR DESENSITIZATION (BAG#1) 0.012 MG/ML IN SODIUM CHLORIDE 0.9% CHEMO INFUSION [40817035],5.0,5.0,,,0
NDC,LFSPN-1701-08,PACLITAXEL (TAXOL) FOR DESENSITIZATION (BAG#1) 0.012 MG/ML IN DEXTROSE 5%CHEMO INFUSION [40817036],5.0,5.0,,,0
NDC,LFSPN-1701-09,PACLITAXEL (TAXOL) FOR DESENSITIZATION (BAG#2) 0.12 MG/ML IN SODIUM CHLORIDE 0.9% CHEMO INFUSION [40817037],5.0,5.0,,,0
NDC,LFSPN-1701-10,PACLITAXEL (TAXOL) FOR DESENSITIZATION (BAG#2) 0.12 MG/ML IN DEXTROSE 5% CHEMO INFUSION [40817038],5.0,5.0,,,0
NDC,LFSPN-1701-13,INV (CMC-CHEMO4METPANC)(CEMIPLIMAB-RWLC) 350 MG VIAL [70017092],0.1,0.1,,,0
NDC,LFSPN-1701-47,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION WRAPPER [40817131],16.7,16.7,,,0
NDC,LFSPN-1701-55,AMPICILLIN SODIUM 10 MG/ML SKIN TEST [40817042],5.0,5.0,,,0
NDC,LFSPN-1701-63,INV (ORIGIN STUDY-OLE)(ATACICEPT) 150 MG/ML SUBCUTANEOUS INJECTION [70017123],0.1,0.1,,,0
NDC,LFSPN-1701-64,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS [9943]",9.62,9.62,,,0
NDC,LFSPN-1701-65,INV (ALLIANCE A051901)(NIVOLUMAB) 100 MG VIAL [70017124],0.1,0.1,,,0
NDC,LFSPN-1701-75,INV (ORIGIN STUDY)(ATACICEPT 25 MG OR 75 MG OR 150 MG OR PLACEBO) SUBCUTANEOUS INJECTION [70017122],0.1,0.1,,,0
NDC,LFSPN-1701-76,INV (ORIGIN STUDY-OLE)(ATACICEPT) 150 MG/ML SUBCUTANEOUS INJECTION [70017123],0.1,0.1,,,0
NDC,LFSPN-1701-80,INV (VIVA-MIND)(VAROGLUTAMSTAT OR PLACEBO) 150 MG TABLET [70017139],0.1,0.1,,,0
NDC,LFSPN-1701-84,INSULIN REGULAR (16 UNITS/ML) **CONCENTRATED** CONTINUOUS INFUSION- FOR BB/CCB OVERDOSE [40817057],48.75,48.75,,,0
NDC,LFSPN-1701-85,INV (KUMC-MICRODURVA)(DURVALUMAB) 500 MG VIAL [70017144],0.1,0.1,,,0
NDC,LFSPN-1701-88,SODIUM HYPOCHLORITE 0.125% EXTERNAL SOLUTION FOR WOUND VAC IRRIGATION [40817059],23.65,23.65,,,0
NDC,LFSPN-1701-89,SODIUM HYPOCHLORITE 0.25% EXTERNAL SOLUTION FOR WOUND VAC IRRIGATION  [40817060],44.94,44.94,,,0
NDC,LFSPN-1701-91,GENTAMICIN 80 MG IN 1000 ML NS IRRIGATION EXTERNAL SOLUTION FOR WOUND VAC IRRIGATION [40817062],15.0,15.0,,,0
NDC,LFSPN-1701-93,AMPHOTERICIN B LIPOSOME 2 MG/ML LOCK SOLUTION [40817064],44.584999999999994,44.584999999999994,,,0
NDC,LFSPN-1701-95,INV (SINGLE PAT IND)(STRO-002) 100 MG VIAL [70017149],0.1,0.1,,,0
NDC,LFSPN-1701-97,INV (BRUOG 401)(MOSUNETUZUMAB) 45 MG SYRINGE [70017155],0.1,0.1,,,0
NDC,LFSPN-1701-98,INV (BRUOG 401)(MOSUNETUZUMAB) 5 MG SYRINGE [70017156],0.1,0.1,,,0
NDC,LFSPN-1702-12,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION [9466],26.2,26.2,,,0
NDC,LFSPN-1702-20,PEDIATRIC MULTIVITAMIN NO.128-VITAMIN K 500 MCG/ML ORAL LIQUID [181114],7.5,7.5,,,0
NDC,LFSPN-1702-21,INV (LS-P-M20-431)(ABBV-CLS-484) 2.5 MG CAPSULE [7001470],0.1,0.1,,,0
NDC,LFSPN-1702-22,BOSENTAN 6.25 MG/ML ORAL SUSPENSION [40817067],57.415000000000006,57.415000000000006,,,0
NDC,LFSPN-1702-26,RITUXIMAB-PVVR (RUXIENCE) 0.1 MG/ML FOR DESENSITIZATION (BAG #2) IVPB IN 120 ML 0.9% SODIUM CHLORIDE [40817068],5.0,5.0,,,0
NDC,LFSPN-1702-27,RITUXIMAB-PVVR (RUXIENCE) 0.01 MG/ML FOR DESENSITIZATION (BAG #1) IVPB IN 70 ML 0.9% SODIUM CHLORIDE [40817069],5.0,5.0,,,0
NDC,LFSPN-1702-31,QUETIAPINE (SEROQUEL) 10 MG/ML ORAL SUSPENSION [40817071],9.375,9.375,,,0
NDC,LFSPN-1702-33,INV (LS-P-BOAT)(AGEN1571) 50 MG/5 ML (10 MG/ML) INJECTION SOLUTION [70017184],0.1,0.1,,,0
NDC,LFSPN-1702-39,FOSCARNET (PF) 24 MG/ML INTRAVITREAL INJECTION [40817076],5.0,5.0,,,0
NDC,LFSPN-1702-46,LEVOCARNITINE 100 MG/ML ORAL SOLUTION [119103],5.65,5.65,,,0
NDC,LFSPN-1702-48,ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION [204981],54.35,54.35,,,0
NDC,LFSPN-1702-53,INV (LS-P-RESOURCE)(AZD9592) 100 MG VIAL [40817081],0.1,0.1,,,0
NDC,LFSPN-1702-54,INV (LS-P-RESOURCE)(IV BAG PROTECTANT) 1 ML VIAL [70017213],0.1,0.1,,,0
NDC,LFSPN-1702-57,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION [9525],5.0,5.0,,,0
NDC,LFSPN-1702-58,SODIUM THIOSULFATE IV INFUSION FOR CALCIPHYLAXIS [40017017],751.0350000000001,751.0350000000001,,,0
NDC,LFSPN-1702-59,RIVAROXABAN 1 MG/ML ORAL SUSPENSION [202523],156.25,156.25,,,0
NDC,LFSPN-1702-60,RIVAROXABAN 1 MG/ML ORAL SUSPENSION [202523],156.25,156.25,,,0
NDC,LFSPN-1702-61,INV (LS-P-POM)(SGR-1505) 100 MG TABLET [70017216],0.1,0.1,,,0
NDC,LFSPN-1702-62,INV (LS-P-POM)(SGR-1505) 25 MG TABLET [70017217],0.1,0.1,,,0
NDC,LFSPN-1702-63,INV (LS-P-TIDE)(IDE397) 15 MG TABLET [70017218],0.1,0.1,,,0
NDC,LFSPN-1702-64,INV (LS-P-TIDE)(IDE397) 50 MG TABLET [70017219],0.1,0.1,,,0
NDC,LFSPN-1702-65,INV (SUNRISE-3/AT-03A-017)(BEMNIFOSBUVIR OR PLACEBO) 275 MG TABLET [70017220],0.1,0.1,,,0
NDC,LFSPN-1702-68,INV (LS-P-ONC 1879)(SARILUMAB) 350 MG VIAL  [70017223],0.1,0.1,,,0
NDC,LFSPN-1702-69,INV (LS-P-MIST)(KT-333) 10 MG/ML INJECTION [70017225],0.1,0.1,,,0
NDC,LFSPN-1702-70,INV (REGEN-006)(REACT OR PLACEBO) 100 MILLION CELLS/ML 8 ML VIAL [70017227],0.1,0.1,,,0
NDC,LFSPN-1702-71,INV (LS-P-OPAL)(LYT-200) 30MG/ML INJECTION [70017228],0.1,0.1,,,0
NDC,LFSPN-1702-72,INV (BRUOG 413)(FAM-TRASTUZUMAB DERUXTECAN-NXKI) 100MG INJECTION [70017230],0.1,0.1,,,0
NDC,LFSPN-1702-75,INV (LS-P-HEAT)(PEMBROLIZUMAB) 25 MG/ML INJECTION  [70017233],0.1,0.1,,,0
NDC,LFSPN-1702-82,INV (LS-P-SONG)(EFLORNITHINE) 150 MG/ML ORAL SOLUTION [70017238],0.1,0.1,,,0
NDC,LFSPN-1702-86,CARDIOPLEGIA INDUCTION HIGH K/BICARB [40817085],10.0,10.0,,,0
NDC,LFSPN-1702-87,CARDIOPLEGIA MAINTENANCE LOW K/BICARB [40817086],10.0,10.0,,,0
NDC,LFSPN-1702-88,SODIUM BICARBONATE 75 MEQ IN 1075 ML 1/2NS [40817087],64.5,64.5,,,0
NDC,LFSPN-1702-91,INV (LS-P-ARCH)(BOTENSILIMAB) 50 MG/ML INTRAVENOUS SOLUTION [70017242],0.1,0.1,,,0
NDC,LFSPN-1702-92,INV (LS-P-TROPION-03)(DURVALUMAB) 50 MG/ML INJECTABLE SOLUTION [70017244],0.1,0.1,,,0
NDC,LFSPN-1702-93,INV (LS-P-TROPION-03)(DATOPOTAMAB DERUXTECAN) 100 MG INJECTION [70017246],0.1,0.1,,,0
NDC,LFSPN-1702-94,INV (AHOD2131)(NIVOLUMAB) 10 MG/ML INJECTION SOLUTION [70017248],0.1,0.1,,,0
NDC,LFSPN-1702-95,INV (AFT-ENDOMAP)(ATEZOLIZUMAB) 60 MG/ML INJECTABLE SOLUTION [70017250],0.1,0.1,,,0
NDC,LFSPN-1702-96,INV (AFT-ENDOMAP)(ATEZOLIZUMAB) 60 MG/ML INJECTABLE SOLUTION [70017250],0.1,0.1,,,0
NDC,LFSPN-1702-97,INV (AFT-ENDOMAP)(IPATASERTIB) 100 MG TABLET [70017252],0.1,0.1,,,0
NDC,LFSPN-1702-98,INV (AFT-ENDOMAP)(IPATASERTIB) 200 MG TABLET [70017253],0.1,0.1,,,0
NDC,LFSPN-1702-99,INV (AFT-ENDOMAP)(ADO-TRASTUZUMAB EMTANSINE) 160 MG INJECTION [70017254],0.1,0.1,,,0
NDC,LFSPN-1703-00,INV (AFT-ENDOMAP)(BEVACIZUMAB) 25 MG/ML INJECTABLE SOLUTION [70017256],0.1,0.1,,,0
NDC,LFSPN-1703-01,INV (AFT-ENDOMAP)(TALAZOPARIB) 0.25 MG CAPSULE [70017258],0.1,0.1,,,0
NDC,LFSPN-1703-02,INV (AFT-ENDOMAP)(TALAZOPARIB) 1 MG CAPSULE [70017259],0.1,0.1,,,0
NDC,LFSPN-1703-03,INV (AFT-ENDOMAP)(TIRAGOLUMAB) 60 MG/ML INJECTABLE SOLUTION [70017260],0.1,0.1,,,0
NDC,LFSPN-1703-04,INV (LS-P-AMORE)(RO7198457-A) 50 MCG INJECTION [70017262],0.1,0.1,,,0
NDC,LFSPN-1703-05,INV (LS-P-AMORE)(RO7198457-B) 50 MCG INJECTION [70017263],0.1,0.1,,,0
NDC,LFSPN-1703-18,INV (LS-P-EXACT)(CETUXIMAB) INFUSION [70017274],0.1,0.1,,,0
NDC,LFSPN-1703-19,INV (OCEANIC STROKE) (ASUNDEXIAN OR PLACEBO) 50 MG TABLET [70017275],0.1,0.1,,,0
NDC,LFSPN-1703-28,INV (EVOLVE IM)(EVOLOCUMAB) 140 MG SUBCUTANEOUS INJECTION [70017284],0.1,0.1,,,0
NDC,LFSPN-1703-29,INV (ZENITH A011-14)(SOTATERCEPT OR PLACEBO) SUBCUTANEOUS INJECTION [70017285],5.0,5.0,,,0
NDC,LFSPN-1703-34,INV (LS-P-PIONERA)(GIREDESTRANT) 30 MG CAPSULE  [70017290],0.1,0.1,,,0
NDC,LFSPN-1703-35,INV (LS-P-PIONERA)(FULVESTRANT) 250 MG INJECTION  [70017291],0.1,0.1,,,0
NDC,LFSPN-1703-36,INV (LS-P-PIONERA)(ABEMACICLIB) 150 MG TABLET [70017292],0.1,0.1,,,0
NDC,LFSPN-1703-37,INV (LS-P-PIONERA)(ABEMACICLIB) 100 MG TABLET [70017293],0.1,0.1,,,0
NDC,LFSPN-1703-38,INV (LS-P-PIONERA)(ABEMACICLIB) 50 MG TABLET [70017294],0.1,0.1,,,0
NDC,LFSPN-1703-39,INV (LS-P-START)(DF6215) 2 MG/ML INJECTION SOLUTION [70017295],0.1,0.1,,,0
NDC,LFSPN-1703-40,INV (TOUCAHN)(CRN04894) 40 MG TABLET [70017297],0.1,0.1,,,0
NDC,LFSPN-1703-41,INV (LS-P-RESOURCE)(FLUOROURACIL) 50 MG/ML INJECTION SOLUTION [70017298],0.1,0.1,,,0
NDC,LFSPN-1703-46,INV (LS-P-RESOURCE)(BEVACIZUMAB) 25 MG/ML INJECTION SOLUTION [70017305],0.1,0.1,,,0
NDC,LFSPN-1703-47,INV (LS-P-RESOURCE)(BEVACIZUMAB) 25 MG/ML INJECTION SOLUTION [70017305],0.1,0.1,,,0
NDC,LFSPN-1703-48,INV (ROCKET ASTRO)(ROCATINLIMAB OR PLACEBO) 150 MG/ML INJECTABLE SOLUTION [70017307],0.1,0.1,,,0
NDC,LFSPN-1703-49,INV (ROCKET ASTRO)(ROCATINLIMAB) 150 MG/ML INJECTABLE SOLUTION  [70017308],0.1,0.1,,,0
NDC,LFSPN-1703-50,INV (LEVEL)(LEVOSIMENDAN OR PLACEBO) CAPSULE [70017309],0.1,0.1,,,0
NDC,LFSPN-1703-51,INV (LEVEL OLE)(LEVOSIMENDAN) 1 MG CAPSULE [70017310],0.1,0.1,,,0
NDC,LFSPN-1703-52,DOXAZOSIN 0.5 MG HALF TABLET [40817099],7.5,7.5,,,0
NDC,LFSPN-1703-55,INV (LS-P-EAST)(ABBV-400) 100 MG INJECTION [70017311],0.1,0.1,,,0
NDC,LFSPN-1703-56,PHENYTOIN 12.5 MG CHEWABLE QUARTER TABLET [40817105],25.0,25.0,,,0
NDC,LFSPN-1703-57,INV (PHO-TEAM)(EFLORNITHINE) 250MG TABLET [70017313],0.1,0.1,,,0
NDC,LFSPN-1703-62,INV (LS-P-ACE)(PYX-106) 60 MG/ ML INJECTION SOLUTION [70017321],0.1,0.1,,,0
NDC,LFSPN-1703-63,HYDROMORPHONE 1 MG HALF TABLET [40817106],15.0,15.0,,,0
NDC,LFSPN-1703-64,INV (AFT-ENDOMAP)(GIREDESTRANT) 30 MG TABLET [70017323],0.1,0.1,,,0
NDC,LFSPN-1703-65,INV (LS-P-CYCAD-1)(RIBOCICLIB) 200 MG TABLET [70017324],0.1,0.1,,,0
NDC,LFSPN-1703-66,INV (LS-P-CYCAD-1)(RIBOCICLIB) 200 MG TABLET [70017324],0.1,0.1,,,0
NDC,LFSPN-1703-67,INV (LS-P-CORAL)(ZIFTOMENIB) 200 MG CAPSULE [70017325],0.1,0.1,,,0
NDC,LFSPN-1703-68,INV (LS-P-CORAL)(ZIFTOMENIB) 50 MG CAPSULE [70017326],0.1,0.1,,,0
NDC,LFSPN-1703-69,INV (SINGLE PAT IND)(FOSMANOGEPIX (FMGX)) 400 MG TABLET [70017327],0.1,0.1,,,0
NDC,LFSPN-1703-70,INV (SINGLE PAT IND)(FOSMANOGEPIX (FMGX)) 200 MG TABLET [70017328],0.1,0.1,,,0
NDC,LFSPN-1703-71,INV (ACCL2031)(MEMANTINE OR PLACEBO) 2 MG/ML ORAL SOLUTION [70018232],0.1,0.1,,,0
NDC,LFSPN-1703-72,INV (LS-P-PEACH)(COBICISTAT) 150 MG TABLET [70017329],0.1,0.1,,,0
NDC,LFSPN-1703-73,INV (PROSERA)(SERALUTINIB OR PLACEBO) 15 MG CAPSULE [70017330],0.1,0.1,,,0
NDC,LFSPN-1703-75,INV (LS-P-PRIMROSE)(AZD3470) 50 MG TABLET [70017332],0.1,0.1,,,0
NDC,LFSPN-1703-76,INV (LS-P-PRIMROSE)(AZD3470) 50 MG TABLET [70017332],0.1,0.1,,,0
NDC,LFSPN-1703-77,INV (LS-P-PRIMROSE)(AZD3470) 5 MG TABLET [70017333],0.1,0.1,,,0
NDC,LFSPN-1703-78,INV (LS-P-PRIMROSE)(AZD3470) 5 MG TABLET [70017333],0.1,0.1,,,0
NDC,LFSPN-1703-79,INV (LS-P-COAT)(DARATUMUMAB) 20 MG/ML INJECTION SOLUTION [70017334],0.1,0.1,,,0
NDC,LFSPN-1703-80,INV (LS-P-COAT)(DARATUMUMAB) 20 MG/ML INJECTION SOLUTION [70017334],0.1,0.1,,,0
NDC,LFSPN-1703-81,INV (LS-P-AMORE)(RO7198457-B) 21 MCG/ML INJECTION [70017336],0.1,0.1,,,0
NDC,LFSPN-1703-82,INV (LS-P-AMORE)(RO7198457-A) 21 MCG/ML INJECTION [70017337],0.1,0.1,,,0
NDC,LFSPN-1703-83,INV (LS-P-COAT)(IDP-023) 5 BILLION CELLS/100 ML INFUSION [70017338],0.1,0.1,,,0
NDC,LFSPN-1703-84,INV (ACNS1821)(SELINEXOR) 20 MG TABLET [70017339],0.1,0.1,,,0
NDC,LFSPN-1703-85,INV (ACNS1821)(SELINEXOR) 5 MG/ML ORAL SUSPENSION  [70017340],0.1,0.1,,,0
NDC,LFSPN-1703-86,INV (LS-P-STEAM)(ABBV-969) 100 MG VIAL [70017341],0.1,0.1,,,0
NDC,LFSPN-1703-87,INV (LS-P-TROPION-05)(DATOPOTAMAB DERUXTECAN) 100 MG INJECTION [70017343],0.1,0.1,,,0
NDC,LFSPN-1703-88,INV (BRUOG 430)(ATEZOLIZUMAB) 60 MG/ML INJECTION SOLUTION [70017345],0.1,0.1,,,0
NDC,LFSPN-1703-89,PAROXETINE 5 MG HALF TABLET [40817112],25.0,25.0,,,0
NDC,LFSPN-1703-90,COLCHICINE 0.3 MG HALF TABLET [40817113],15.2,15.2,,,0
NDC,LFSPN-1703-91,METHIMAZOLE 2.5 MG HALF TABLET [40817114],20.0,20.0,,,0
NDC,LFSPN-1703-93,OBINUTUZUMAB (GAZYVA) 900 MG/250 ML NS INFUSION [40817115],37088.75,37088.75,,,0
NDC,LFSPN-1703-95,INV (ARTEMIS)(ZILTIVEKIMAB 30 MG/ML OR PLACEBO) SUBCUTANEOUS PREFILLED SYRINGE [70017348],0.1,0.1,,,0
NDC,LFSPN-1703-96,CARMUSTINE 100 MG/30.3 ML (ALREADY RECONSTITUTED) INTRAVENOUS SOLUTION [40817116],28209.3,28209.3,,,0
NDC,LFSPN-1703-98,INV (ENCORE)(AMIKACIN LIPOSOME 590 MG OR PLACEBO) NEBULIZER SUSPENSION [70017349],0.1,0.1,,,0
NDC,LFSPN-1703-99,INV (LS-P-PRIMROSE)(MIDAZOLAM) 2 MG/ML ORAL SOLUTION  [70017350],0.1,0.1,,,0
NDC,LFSPN-1704-00,INV (LS-P-PRIMROSE)(DEXTROMETHORPHAN) 30 MG/5 ML ORAL SYRUP [70017351],0.1,0.1,,,0
NDC,LFSPN-1704-03,AZATHIOPRINE 25 MG HALF TABLET [40817118],15.0,15.0,,,0
NDC,LFSPN-1704-04,INV (LCI TAGALONG)(TAGRAXOFUSP-ERZS (SL-401)) 1000 MCG/ML INJECTION SOLUTION [70017353],0.1,0.1,,,0
NDC,LFSPN-1704-05,INV (LS-P-DANCE)(FIANLIMAB/CEMIPLIMAB) 800 MG/175 MG INJECTION SOLUTION [70017355],0.1,0.1,,,0
NDC,LFSPN-1704-06,INV (LCI TAGALONG)(TAGRAXOFUSP-ERZS (SL-401)) 100 MCG/ML INJECTION SOLUTION [70017354],0.1,0.1,,,0
NDC,LFSPN-1704-09,INV (LS-P-LOTIS-7)(POLATUZUMAB VEDOTIN) 20 MG/ML INJECTION [70017361],0.1,0.1,,,0
NDC,LFSPN-1704-10,INV (LS-P-MAST)(CETUXIMAB) INFUSION  [70017363],0.1,0.1,,,0
NDC,LFSPN-1704-11,DESMOPRESSIN 0.025 MG QUARTER TABLET [40817121],15.0,15.0,,,0
NDC,LFSPN-1704-18,INV (LS-P-VENUS)(ACALABRUTINIB) 100 MG TABLET [70017367],0.1,0.1,,,0
NDC,LFSPN-1704-19,HYDROCORTISONE 2 MG/ML ORAL SUSPENSION [350147],10.0,10.0,,,0
NDC,LFSPN-1704-20,INV (LS-P-MACE)(ACALABRUTINIB) 100 MG TABLET [70017368],0.1,0.1,,,0
NDC,LFSPN-1704-21,INV (LS-P-DF6002-001)(DF6002) 100 MCG/ML INTRAVENOUS SOLUTION [70017369],0.1,0.1,,,0
NDC,LFSPN-1704-22,INV (LS-P-DF6002-001)(DF6002) 10 MCG/ML INTRAVENOUS SOLUTION [70017370],0.1,0.1,,,0
NDC,LFSPN-1704-23,INV (HS135-002)(HS135) 38 MG/ML SUBCUTANEOUS INJECTION [70017372],0.1,0.1,,,0
NDC,LFSPN-1704-24,INV (LS-P-MAGNETISMM-32)(ELRANATAMAB) 40 MG/ML INJECTION SOLUTION [70017373],0.1,0.1,,,0
NDC,LFSPN-1704-25,INV (LS-P-MAGNETISMM-32)(BORTEZOMIB) 2.5 MG/ML SUBCUTANEOUS CHEMO SYRINGE [70017375],0.1,0.1,,,0
NDC,LFSPN-1704-27,INV (LS-P-MAGNETISMM-32)(BORTEZOMIB) 1 MG/ML INTRAVENOUS CHEMO SYRINGE [70017374],0.1,0.1,,,0
NDC,LFSPN-1704-28,INV (MYELOMATCH MM1OA-EA02)(GILTERITINIB) 40 MG TABLET [70017376],0.1,0.1,,,0
NDC,LFSPN-1704-35,INV (LS-P-JAWS)(JANX008) 2 MG/ML INJECTION SOLUTION [70017377],0.1,0.1,,,0
NDC,LFSPN-1704-36,INV (LS-P-JAWS)(JANX008) 0.003 MG/ML INTRAVENOUS SOLUTION [70017378],0.1,0.1,,,0
NDC,LFSPN-1704-37,INV (LS-P-JAWS)(JANX008) 0.01 MG/ML INTRAVENOUS SOLUTION [70017379],0.1,0.1,,,0
NDC,LFSPN-1704-38,INV (LS-P-JAWS)(JANX008) 0.05 MG/ML INTRAVENOUS SOLUTION [70017380],0.1,0.1,,,0
NDC,LFSPN-1704-39,INV (LS-P-PAINT)(ACR-2316) 90 MG CAPSULE [70017383],0.1,0.1,,,0
NDC,LFSPN-1704-40,INV (LS-P-PAINT)(ACR-2316) 30 MG CAPSULE [70017384],0.1,0.1,,,0
NDC,LFSPN-1704-41,INV (LS-P-PAINT)(ACR-2316) 10 MG CAPSULE [70017385],0.1,0.1,,,0
NDC,LFSPN-1704-42,INV (RETAIN)(JNJ-64042056 OR PLACEBO) INTRAMUSCULAR INJECTION [70017386],0.1,0.1,,,0
NDC,LFSPN-1704-44,INV (BH-P-ELEGANT)(ELACESTRANT) 345 MG TABLET [70017387],0.1,0.1,,,0
NDC,LFSPN-1704-45,INV (BH-P-ELEGANT)(ELACESTRANT) 86 MG TABLET  [70017388],0.1,0.1,,,0
NDC,LFSPN-1704-46,INV (BH-P-LUNSUMIO)(MOSUNETUZUMAB) 45 MG/ML INJECTION SOLUTION [70017389],0.1,0.1,,,0
NDC,LFSPN-1704-47,INV (BH-P-LUNSUMIO)(MOSUNETUZUMAB) 5 MG/0.5 ML INJECTION SOLUTION [70017390],0.1,0.1,,,0
NDC,LFSPN-1704-48,INV (BH-P-LUNSUMIO)(LENALIDOMIDE) 20 MG CAPSULE [70017391],0.1,0.1,,,0
NDC,LFSPN-1704-49,INV (BH-P-LUNSUMIO)(LENALIDOMIDE) 15 MG CAPSULE [70017392],0.1,0.1,,,0
NDC,LFSPN-1704-50,INV (BH-P-LUNSUMIO)(LENALIDOMIDE) 10 MG CAPSULE [70017393],0.1,0.1,,,0
NDC,LFSPN-1704-51,INV (BH-P-LUNSUMIO)(LENALIDOMIDE) 5 MG CAPSULE [70017394],0.1,0.1,,,0
NDC,LFSPN-1704-52,INV (BH-P-LUNSUMIO)(TOCILIZUMAB) 20 MG/ML INJECTION SOLUTION [70017395],0.1,0.1,,,0
NDC,LFSPN-1704-53,INV (BH-P-ENACT)(PS101) INJECTION SOLUTION [70017397],0.1,0.1,,,0
NDC,LFSPN-1704-54,INV (LS-P-JAWS) DEXTROSE 5% INTRAVENOUS SOLUTION [70017398],0.1,0.1,,,0
NDC,LFSPN-1704-60,INV (BH-P-FLOAT)(BNT317) 20 MG/ML INJECTION SOLUTION [70017399],0.1,0.1,,,0
NDC,LFSPN-1704-61,CEFAZOLIN 3 GRAM/150 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [212041],12.0,12.0,,,0
NDC,LFSPN-1704-62,INV (BRUOG 431)(DATOPOTAMAB DERUXTECAN) 20 MG/ML INJECTION  [70017408],0.1,0.1,,,0
NDC,LFSPN-1704-63,INV (SINGLE PAT IND)(ACT001) 300 MG CAPSULE [70017410],0.1,0.1,,,0
NDC,LFSPN-1704-64,INV (SINGLE PAT IND)(ACT001) 300 MG CAPSULE [70017410],0.1,0.1,,,0
NDC,LFSPN-1704-65,INV (SINGLE PAT IND)(ACT001) 100 MG CAPSULE [70017412],0.1,0.1,,,0
NDC,LFSPN-1704-66,INV (BH-P-ELEGANT)(ANASTROZOLE) 1 MG TABLET  [70017413],0.1,0.1,,,0
NDC,LFSPN-1704-67,INV (BH-P-ELEGANT)(ANASTROZOLE) 1 MG TABLET  [70017413],0.1,0.1,,,0
NDC,LFSPN-1704-68,INV (BH-P-ELEGANT)(LETROZOLE) 2.5 MG TABLET [70017414],0.1,0.1,,,0
NDC,LFSPN-1704-69,INV (BH-P-ELEGANT)(LETROZOLE) 2.5 MG TABLET [70017414],0.1,0.1,,,0
NDC,LFSPN-1704-70,INV (BH-P-ELEGANT)(EXEMESTANE) 25 MG TABLET  [70017415],0.1,0.1,,,0
NDC,LFSPN-1704-71,INV (BH-P-ELEGANT)(EXEMESTANE) 25 MG TABLET  [70017415],0.1,0.1,,,0
NDC,LFSPN-1704-72,INV (BH-P-ELEGANT)(TAMOXIFEN) 20 MG TABLET  [70017416],0.1,0.1,,,0
NDC,LFSPN-1704-73,INV (BH-P-ELEGANT)(TAMOXIFEN) 20 MG TABLET  [70017416],0.1,0.1,,,0
NDC,LFSPN-1704-74,INV (MM1MDS-A01)(ENASIDENIB) 100 MG TABLET [70017417],0.1,0.1,,,0
NDC,LFSPN-1704-75,INV (MM1MDS-A01)(ENASIDENIB) TABLET 50 MG TABLET [70017418],0.1,0.1,,,0
NDC,LFSPN-1704-76,INV (MM1MDS-A01)(CEFAZURIDINE/DECITABINE)(ASTX727)) 100 MG/35 MG TABLET [70017419],0.1,0.1,,,0
NDC,LFSPN-1704-77,PENICILLIN GK IV DESENSITIZATION STOCK SOLUTION C (4 UNITS/ML) [40817144],5.0,5.0,,,0
NDC,LFSPN-1704-78,PENICILLIN GK IV DESENSITIZATION STOCK SOLUTION B (400 UNITS/ML) [40817145],20.0,20.0,,,0
NDC,LFSPN-1704-79,"PENICILLIN GK IV DESENSITIZATION STOCK SOLUTION A (40,000 UNITS/ML) [40817146]",18.0,18.0,,,0
NDC,LFSPN-1704-80,PIPERACILLIN/TAZOBACTAM IV DESENSITIZATION STOCK SOLUTION C [40817147],5.0,5.0,,,0
NDC,LFSPN-1704-81,PIPERACILLIN/TAZOBACTAM IV DESENSITIZATION STOCK SOLUTION B [40817148],7.5,7.5,,,0
NDC,LFSPN-1704-82,PIPERACILLIN/TAZOBACTAM IV DESENSITIZATION STOCK SOLUTION A [40817149],5.0,5.0,,,0
NDC,LFSPN-1704-83,INV (AALL2321)(VENETOCLAX) 100 MG SACHET FOR ORAL SUSPENSION [70017420],0.1,0.1,,,0
NDC,LFSPN-1704-84,INV (AALL2321)(VENETOCLAX) 25 MG SACHET FOR ORAL SUSPENSION [70017421],0.1,0.1,,,0
NDC,LFSPN-1704-85,INV (AALL2321)(VENETOCLAX) 10 MG SACHET FOR ORAL SUSPENSION [70017422],0.1,0.1,,,0
NDC,LFSPN-1704-86,INV (AALL2321)(VENETOCLAX) 3 MG SACHET FOR ORAL SUSPENSION [70017423],0.1,0.1,,,0
NDC,LFSPN-1704-87,INV (BH-P-ALTAIR)(RILVEGOSTOMIG) 50 MG/ML INJECTION SOLUTION [70017424],0.1,0.1,,,0
NDC,LFSPN-1704-88,INV (CLOFAZIMINE FOR SINGLE PATIENT IND)(CLOFAZIMINE) 50 MG CAPSULE [191026],0.1,0.1,,,0
NDC,LFSPN-1704-89,INV (LS-P-FONTANA)(AZD9574) 50 MG TABLET [70017426],0.1,0.1,,,0
NDC,LFSPN-1704-90,INV (LS-P-FONTANA)(AZD9574) 10 MG TABLET [70017427],0.1,0.1,,,0
NDC,LFSPN-1704-91,INV (LS-P-FONTANA)(AZD9574) 5 MG TABLET  [70017428],0.1,0.1,,,0
NDC,LFSPN-1704-92,INV (NSR-MSB-DR004)(REXLEMESTROCEL-L 6.25 MILLION CELLS/ML AND SODIUM HYALURONATE OR PLACEBO) INTRADISCAL INJECTION [70017429],0.1,0.1,,,0
NDC,LFSPN-1704-93,CIPROFLOXACIN IV DESENSITIZATION STOCK SOLUTION A [40817150],5.0,5.0,,,0
NDC,LFSPN-1704-94,CIPROFLOXACIN IV DESENSITIZATION STOCK SOLUTION B [40817151],5.0,5.0,,,0
NDC,LFSPN-1704-96,INV (BH-P-LUCERNA)(ZOLBETUXIMAB OR PLACEBO) 20 MG/ML INJECTION [70017430],0.1,0.1,,,0
NDC,LFSPN-1704-98,INV (PHO-SCORE)(SILMITASERTIB) 200 MG CAPSULE [70017432],0.1,0.1,,,0
NDC,LFSPN-1704-99,INV (PHO-SCORE)(SILMITASERTIB) 200 MG CAPSULE [70017432],0.1,0.1,,,0
NDC,LFSPN-1705-02,INV (BH-P-ALTAIR)(RAMUCIRUMAB) 10 MG/ML INJECTION SOLUTION [70017433],0.1,0.1,,,0
NDC,LFSPN-1705-03,INV (BH-P-ALTAIR)(RAMUCIRUMAB) 10 MG/ML INJECTION SOLUTION [70017433],0.1,0.1,,,0
NDC,LFSPN-1705-04,INV (SINLGE PATIENT IND)(IVERMECTIN) 10 MG/ML SUBCUTANEOUS   [70017435],0.1,0.1,,,0
NDC,LFSPN-1705-08,VECURONIUM 1 MG/ML SYRINGE [40817157],16.9,16.9,,,0
NDC,LFSPN-1705-09,INV (BH-P-TROPION-TU03)(DATOPOTAMAB DERUXTECAN) 20 MG/ML INJECTION [70017438],0.1,0.1,,,0
NDC,LFSPN-1705-10,HEPARIN (1000 UNITS/ML) IN 0.9% NS ECMO > 5 KG [500114],21.6,21.6,,,0
NDC,LFSPN-1705-11,INV (UMI22-09-02)(ONC201) 125 MG CAPSULE [70017440],0.1,0.1,,,0
NDC,LFSPN-1705-12,GA-68 GOZELLIX [40817160],35139.0,35139.0,,,0
NDC,LFSPN-1705-30,ENOXAPARIN 20 MG/ML NS INJECTION SOLUTION [40817124],54.32,54.32,,,0
NDC,LFSPN-1705-31,INV (HARMONIZE 023-00)(SOTATERCEPT) SUBCUTANEOUS INJECTION [70017442],0.1,0.1,,,0
NDC,LFSPN-1705-32,REMIFENTANIL (ULTIVA) 20 MCG/ML SYRINGE  [40017145],5.0,5.0,,,0
NDC,LFSPN-1705-33,INV (BH-P-RAIN)(PEMBROLIZUMAB) 25 MG/ML INJECTION SOLUTION [70017443],0.1,0.1,,,0
NDC,LFSPN-1705-34,INV (PUL-SOTERIA-038)(SOTATERCEPT) SUBCUTANEOUS INJECTION [70017445],0.1,0.1,,,0
NDC,LFSPN-1705-35,INV (PUL-SOTERIA-038)(SOTATERCEPT) SUBCUTANEOUS INJECTION [70017445],0.1,0.1,,,0
NDC,LFSPN-1707-09,PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS [197120],7.5,7.5,,,0
NDC,LFSPN-1784-92,CEFAZOLIN 3 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [178492],15.0,15.0,,,0
NDC,LFSPN-1800-00,ROPIVACAINE 0.1% PERINEURAL INFUSION [40818000],46.25,46.25,,,0
NDC,LFSPN-1800-05,INV (ACNS1723)(TRAMETINIB) 0.5 MG TABLET [70018005],0.1,0.1,,,0
NDC,LFSPN-1800-06,INV (ACNS1723)(TRAMETINIB) 2 MG TABLET [70018006],0.1,0.1,,,0
NDC,LFSPN-1800-07,INV (ACNS1723)(TRAMETINIB) 0.05 MG/ML ORAL SOLUTION [70018007],0.1,0.1,,,0
NDC,LFSPN-1800-08,INV (ACNS1723)(DABRAFENIB) 10 MG DISPERSIBLE TABLET [70018008],0.1,0.1,,,0
NDC,LFSPN-1800-09,INV (ACNS1723)(DABRAFENIB) 75 MG CAPSULE [70018009],0.1,0.1,,,0
NDC,LFSPN-1800-10,INV (ACNS1723)(DABRAFENIB) 50 MG CAPSULE [70018010],0.1,0.1,,,0
NDC,LFSPN-1800-11,INV (ACNS1831)(SELUMETINIB) 10 MG CAPSULE [70018011],0.1,0.1,,,0
NDC,LFSPN-1800-12,INV (ACNS1831)(SELUMETINIB) 25 MG CAPSULE [70018012],0.1,0.1,,,0
NDC,LFSPN-1800-27,INV (VALENZA119-01-01)(VB119) 50 MG/5 ML [70018027],0.1,0.1,,,0
NDC,LFSPN-1800-28,IMATINIB (GLEEVEC) 50 MG HALF TABLET [40818004],545.475,545.475,,,0
NDC,LFSPN-1800-29,INV (CMC-CHEMO4METPANC)(MOTIXAFORTIDE) 36.5 MG/ML INJECTION [70018029],0.1,0.1,,,0
NDC,LFSPN-1800-32,GABAPENTIN 50 MG/ML ORAL SOLUTION [40815062],5.0,5.0,,,0
NDC,LFSPN-1800-33,INV (LS-P-GCT3013)(GEN3013) 0.16 MG SYRINGE [70018033],0.1,0.1,,,0
NDC,LFSPN-1800-34,INV (LS-P-GCT3013)(GEN3013) 48 MG SYRINGE [70018035],0.1,0.1,,,0
NDC,LFSPN-1800-36,INV (LS-P-DF6002-001)(NIVOLUMAB) 240 MG VIAL [70018036],0.1,0.1,,,0
NDC,LFSPN-1800-52,INV (ALLIANCE A041501)(INOTUZUMAB OZOGAMICIN) 0.9 MG VIAL [70018050],0.1,0.1,,,0
NDC,LFSPN-1800-58,CISPLATIN (PLATINOL) DESENSITIZATION 1 MG/200 ML NS (BAG #1) CHEMO INFUSION [40018006],5.0,5.0,,,0
NDC,LFSPN-1800-59,CISPLATIN (PLATINOL) DESENSITIZATION 6 MG/120 ML NS (BAG #2) CHEMO INFUSION [40018007],5.0,5.0,,,0
NDC,LFSPN-1800-61,MEROPENEM 50 MG/ML EYE DROPS [40818009],11.1,11.1,,,0
NDC,LFSPN-1800-74,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],5.55,5.55,,,0
NDC,LFSPN-1800-89,INV (LS-P-MYTHIC)(LUNRESERTIB) 2.5 MG CAPSULE [70018067],0.1,0.1,,,0
NDC,LFSPN-1800-90,INV (LS-P-MYTHIC)(LUNRESERTIB) 20 MG CAPSULE [70018068],0.1,0.1,,,0
NDC,LFSPN-1800-92,LOSARTAN 12.5 MG/ 5ML ORAL SUSPENSION [40818016],140.28,140.28,,,0
NDC,LFSPN-1800-93,INV (ALLIANCE A051901)(LENALIDOMIDE) 2.5 MG CAPSULE [70018071],0.1,0.1,,,0
NDC,LFSPN-1800-94,INV (ALLIANCE A051901)(LENALIDOMIDE) 5 MG CAPSULE [70018072],0.1,0.1,,,0
NDC,LFSPN-1800-95,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION [9902],5.0,5.0,,,0
NDC,LFSPN-1800-97,CLONAZEPAM 0.1 MG/ML ORAL LIQUID [350037],5.0,5.0,,,0
NDC,LFSPN-1801-04,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION [9902],14.7,14.7,,,0
NDC,LFSPN-1801-06,INV (CLARITY AD STUDY)(LECANEMAB OLE) 500 MG VIAL [70018080],0.1,0.1,,,0
NDC,LFSPN-1801-07,VERAPAMIL 50 MG/ML ORAL LIQUID [40818019],5.0,5.0,,,0
NDC,LFSPN-1801-13,PIPERACILLIN-TAZOBACTAM 2.25 GRAM/50 ML IN DEXTROSE(ISO) IV PIGGYBACK [34523],21.75,21.75,,,0
NDC,LFSPN-1801-14,PIPERACILLIN-TAZOBACTAM 3.375 GRAM/50 ML DEXTROSE(ISO-OS) IV PIGGYBACK [34524],21.75,21.75,,,0
NDC,LFSPN-1801-15,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK [108121],29.0,29.0,,,0
NDC,LFSPN-1801-18,FINASTERIDE 2.5 MG HALF TABLET [40818020],10.0,10.0,,,0
NDC,LFSPN-1801-19,INV (SOTERIA A011-12)(SOTATERCEPT) SUBCUTANEOUS INJECTION [70018093],0.1,0.1,,,0
NDC,LFSPN-1801-20,INV (SOTERIA A011-12)(SOTATERCEPT) SUBCUTANEOUS INJECTION [70018093],0.1,0.1,,,0
NDC,LFSPN-1801-28,GLYCOPYRROLATE 800 MCG/4ML ORAL SYRINGE [40818021],24.075000000000003,24.075000000000003,,,0
NDC,LFSPN-1801-33,INV (AALL1821)(IV SOLUTION STABILIZER FOR BLINATUMOMAB) 10 ML VIAL [70018100],0.1,0.1,,,0
NDC,LFSPN-1801-37,INV (CADENCE A011-16)(SOTATERCEPT) SUBCUTANEOUS INJECTION [70018104],0.1,0.1,,,0
NDC,LFSPN-1801-41,INV (NRG-GU009)(APALUTAMIDE) 60 MG TABLET [70018109],0.1,0.1,,,0
NDC,LFSPN-1801-42,INV (LS-P-MYTHIC)(RP-3500) 40 MG CAPSULE [70018110],0.1,0.1,,,0
NDC,LFSPN-1801-43,INV (LS-P-MYTHIC)(RP-3500) 5 MG CAPSULE [70018111],0.1,0.1,,,0
NDC,LFSPN-1801-51,INV (PHO-EARN)(EFLORNITHINE HYDROCHLORIDE) 250 MG TABLET [70018124],0.1,0.1,,,0
NDC,LFSPN-1801-52,INV (EXPD ACCESS -IND116039)(TECOVIRIMAT) 200 MG CAPSULE [70018125],0.1,0.1,,,0
NDC,LFSPN-1801-53,QUETIAPINE 6.25 MG QUARTER TABLET [40818027],5.0,5.0,,,0
NDC,LFSPN-1801-58,LEVOFLOXACIN (LEVAQUIN) 5MG/ML LOCK SOLUTION IN DEXTROSE 5% [40818028],5.0,5.0,,,0
NDC,LFSPN-1801-63,INV (CAHMELIA204)(HYDROCORTISONE) 5 MG TABLET [70018136],0.1,0.1,,,0
NDC,LFSPN-1801-64,INV (CAHMELIA 204)(HYDROCORTISONE) 10 MG TABLET [70018137],0.1,0.1,,,0
NDC,LFSPN-1801-65,INV (CAHMELIA204)(TILDACERFONT) 50 MG TABLET [70018138],0.1,0.1,,,0
NDC,LFSPN-1801-66,INV (CAHMELIA204)(TILDACERFONT 50 MG OR PLACEBO) 50 MG TABLET [70018139],0.1,0.1,,,0
NDC,LFSPN-1801-67,INV (CAHMELIA204)(PREDNISOLONE) 1 MG TABLET [70018140],0.1,0.1,,,0
NDC,LFSPN-1801-74,BUPIVACAINE 0.25% (2.5 MG/ML) ON-Q PUMP IN 0.9% SODIUM CHLORIDE 400 ML [40818031],64.0,64.0,,,0
NDC,LFSPN-1801-78,ANASTROZOLE 0.5 MG HALF TABLET [40818032],5.0,5.0,,,0
NDC,LFSPN-1801-83,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [6654],5.0,5.0,,,0
NDC,LFSPN-1801-84,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION [14233],17.4,17.4,,,0
NDC,LFSPN-1801-86,INV (LS-P-ONO-4059-09)(TIRABRUTINIB) 80 MG TABLET [70018159],0.1,0.1,,,0
NDC,LFSPN-1801-89,INV (LS-P-BOAT)(BOTENSILIMAB) 50 MG VIAL [70018162],0.1,0.1,,,0
NDC,LFSPN-1801-91,INV (CAPTIVA)(RIVAROXABAN 2.5 MG OR PLACEBO) PM LOADING DOSE [70018165],0.1,0.1,,,0
NDC,LFSPN-1801-92,INV (CAPTIVA)(RIVAROXABAN 2.5 MG OR TICAGRELOR 90 MG OR CLOPIDOGREL 75 MG) AM DAILY DOSE [70018166],0.1,0.1,,,0
NDC,LFSPN-1801-93,INV (CAPTIVA)(ASPIRIN) 81 MG TABLET [70018167],0.1,0.1,,,0
NDC,LFSPN-1801-94,INV (CAPTIVA)(RIVAROXABAN 2.5 MG OR TICAGRELOR 90 MG OR CLOPIDOGREL 75 MG OR PLACEBO) AM LOADING DOSE [70018168],0.1,0.1,,,0
NDC,LFSPN-1801-95,INV (CAPTIVA)(RIVAROXABAN 2.5 MG OR TICAGRELOR 90 MG OR PLACEBO) PM DAILY DOSE [70018169],0.1,0.1,,,0
NDC,LFSPN-1801-98,INV (ANHL1931)(NIVOLUMAB) 100 MG VIAL [70018170],0.1,0.1,,,0
NDC,LFSPN-1802-01,INV (LS-P-PORT)(SAR444200) 0.0046 MG/ML INJECTION SOLUTION [70018181],0.1,0.1,,,0
NDC,LFSPN-1802-02,INV (LS-P-PORT)(CEMIPLIMAB-RWLC) 350 MG VIAL [70018184],0.1,0.1,,,0
NDC,LFSPN-1802-03,INV (LS-P-BURST)(DF9001) 150 MG VIAL [70018186],0.1,0.1,,,0
NDC,LFSPN-1802-04,INV (LS-P-BURST)(NIVOLUMAB) 240 MG VIAL [70018188],0.1,0.1,,,0
NDC,LFSPN-1802-05,PHENOBARBITAL 750 MG IN 75 ML 0.9% SODIUM CHLORIDE INFUSION [40818105],323.15,323.15,,,0
NDC,LFSPN-1802-06,PHENOBARBITAL 500 MG IN 50 ML 0.9% SODIUM CHLORIDE INFUSION [40818106],323.15,323.15,,,0
NDC,LFSPN-1802-07,PHENOBARBITAL 1000 MG IN 100 ML 0.9% SODIUM CHLORIDE INFUSION [40818107],323.15,323.15,,,0
NDC,LFSPN-1802-10,ALBUTEROL 50 MG/60 ML (0.083%) AEROGEN SYRINGE FOR CONTINUOUS INHALATION [40818101],14.7,14.7,,,0
NDC,LFSPN-1802-17,INV (ANBL1531)(LORLATINIB) 5 MG TABLET [70018200],0.1,0.1,,,0
NDC,LFSPN-1802-18,INV (ANBL1531)(LORLATINIB) 25 MG TABLET [70018201],0.1,0.1,,,0
NDC,LFSPN-1802-22,INV (BRUOG 354)(IPILILMUMAB) 5 MG/ML INJECTION [190320],0.1,0.1,,,0
NDC,LFSPN-1802-23,INV (BRUOG 354)(IPILILMUMAB) 5 MG/ML INJECTION [190320],0.1,0.1,,,0
NDC,LFSPN-1802-31,INV (LS-P-EMBER-4)(IMLUNESTRANT) 200 MG TABLET [70018212],0.1,0.1,,,0
NDC,LFSPN-1802-33,INV (ALLIANCE A051902)(DUVELISIB) 15 MG CAPSULE [70018213],0.1,0.1,,,0
NDC,LFSPN-1802-34,INV (ALLIANCE A051902)(DUVELISIB) 25 MG CAPSULE [70018214],0.1,0.1,,,0
NDC,LFSPN-1802-35,INV (LS-P-POPPY)(PYX-201) 15 MG/ML INJECTION [70018215],0.1,0.1,,,0
NDC,LFSPN-1802-46,INV (CSL-TAP)(BE1116 OR PLACEBO) 1000 IU VIAL [70018229],0.1,0.1,,,0
NDC,LFSPN-1802-58,INV (AHOD2131)(BRENTUXIMAB VEDOTIN) 50 MG INTRAVENOUS SOLUTION [70018230],0.1,0.1,,,0
NDC,LFSPN-1802-59,INV (ACCL2031)(MEMANTINE OR PLACEBO) 2 MG/ML ORAL SOLUTION [70018232],0.1,0.1,,,0
NDC,LFSPN-1802-65,INV (LS-P-SALT)(OLAPARIB) 100 MG TABLETS [70018237],0.1,0.1,,,0
NDC,LFSPN-1802-66,INV (LS-P-SALT)(OLAPARIB) 150 MG TABLETS [70018238],0.1,0.1,,,0
NDC,LFSPN-1802-67,SODIUM CHLORIDE (4MEQ/ML) 23.4% ORAL SYRINGE [399014],5.0,5.0,,,0
NDC,LFSPN-1802-69,INV (LS-P-COAST)(DS-1103A) 40 MG/ML INJECTION SOLUTION [70018239],0.1,0.1,,,0
NDC,LFSPN-1802-70,INV (LS-P-PEACH)(FORE8394) 150 MG TABLET [70018241],0.1,0.1,,,0
NDC,LFSPN-1802-72,INV (LS-P-COAST)(FAM-TRASTUZUMAB DERUXTECAN (DS-8201A)) 100 MG INJECTION [70018242],0.1,0.1,,,0
NDC,LFSPN-1802-76,INV (LS-P-RESOURCE)(OSIMERTINIB) 40 MG TABLET [70018247],0.1,0.1,,,0
NDC,LFSPN-1802-77,INV (LS-P-RESOURCE)(OSIMERTINIB) 80 MG TABLET [70018248],0.1,0.1,,,0
NDC,LFSPN-1802-78,INV (LS-P-DRAGONFLY)(NIVOLUMAB) 10 MG/ML INJECTION SOLUTION [70018249],0.1,0.1,,,0
NDC,LFSPN-1802-79,INV (LS-P-BLAST)(LENALIDOMIDE) 2.5 MG CAPSULE [70018251],0.1,0.1,,,0
NDC,LFSPN-1802-80,INV (LS-P-BLAST)(LENALIDOMIDE) 5 MG CAPSULE [70018252],0.1,0.1,,,0
NDC,LFSPN-1802-81,INV (LS-P-BLAST)(LENALIDOMIDE) 10 MG CAPSULE [70018253],0.1,0.1,,,0
NDC,LFSPN-1802-82,INV (LS-P-BLAST)(LENALIDOMIDE) 15 MG CAPSULE [70018254],0.1,0.1,,,0
NDC,LFSPN-1802-83,INV (LS-P-BLAST)(LENALIDOMIDE) 20 MG CAPSULE [70018255],0.1,0.1,,,0
NDC,LFSPN-1802-84,INV (LS-P-BLAST)(LENALIDOMIDE) 25 MG CAPSULE [70018256],0.1,0.1,,,0
NDC,LFSPN-1802-86,CLOPIDOGREL 5 MG/ML ORAL SUSPENSION [400485],375.0,375.0,,,0
NDC,LFSPN-1802-87,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION [2899],22.23,22.23,,,0
NDC,LFSPN-1802-88,URSODIOL 60 MG/ML ORAL SUSPENSION [500922],101.63,101.63,,,0
NDC,LFSPN-1802-89,URSODIOL 60 MG/ML ORAL SUSPENSION [500922],101.63,101.63,,,0
NDC,LFSPN-1802-90,INV (ALLIANCE A081801)(PEMBROLIZUMAB) 25 MG/ML INJECTION [70018257],0.1,0.1,,,0
NDC,LFSPN-1802-93,INV (LS-P-PIONERA)(RIBOCICLIB) 200 MG TABLET [70018261],0.1,0.1,,,0
NDC,LFSPN-1802-94,INV (LS-P-PIONERA)(RIBOCICLIB) 200 MG TABLET [70018261],0.1,0.1,,,0
NDC,LFSPN-1802-95,INV (LS-P-ONC1879)(REGN5678) 100 MG/ML SUBCUTANEOUS INJECTION [70018262],0.1,0.1,,,0
NDC,LFSPN-1802-96,INV (LS-P-ONC1879)(REGN5678) 100 MG/ML SUBCUTANEOUS INJECTION [70018262],0.1,0.1,,,0
NDC,LFSPN-1802-98,INV (LS-P-ASCERTAIN)(DAROLUTAMIDE) 300 MG TABLETS [70018266],0.1,0.1,,,0
NDC,LFSPN-1802-99,INV (LS-P-RIVET)(IANALUMAB (VAY736) 3 MG/KG OR 9 MG/KG OR PLACEBO) IN DEXTROSE 5% 250 ML INFUSION [70018267],0.1,0.1,,,0
NDC,LFSPN-1803-00,INV (LS-P-EVOPAR)(SARUPARIB OR PLACEBO) 20 MG TABLET [70018268],0.1,0.1,,,0
NDC,LFSPN-1803-02,INV (ENCORE)(ETHAMBUTOL) 100 MG TABLET [70018300],0.1,0.1,,,0
NDC,LFSPN-1803-03,INV (ENCORE)(ETHAMBUTOL) 400 MG TABLET [70018301],0.1,0.1,,,0
NDC,LFSPN-1803-04,INV (LS-P-LOTIS-7)(MOSUNETUZUMAB) 5 MG/0.5 ML INJECTION SOLUTION [70018269],0.1,0.1,,,0
NDC,LFSPN-1803-05,INV (LS-P-LOTIS-7)(MOSUNETUZUMAB) 45 MG/ML INJECTION SOLUTION [70018270],0.1,0.1,,,0
NDC,LFSPN-1803-06,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],33.4,33.4,,,0
NDC,LFSPN-1803-12,TEPLIZUMAB-MZWV 2 MG/20 ML (AFTER DILUTION) INTRAVENOUS SOLUTION [40818300],15408.13,15408.13,,,0
NDC,LFSPN-1803-22,INV (LS-P-COAT)(MESNA) 100 MG/ML INJECTION SOLUTION [70018302],0.1,0.1,,,0
NDC,LFSPN-1803-23,INV (LS-P-COAT)(CYCLOPHOSPHAMIDE) 20 MG/ML INJECTION SOLUTION [40818303],0.1,0.1,,,0
NDC,LFSPN-1803-91,INV (LS-P-MAGNETISMM-32)(ELOTUZUMAB) 25 MG/ML INJECTION [40818391],0.1,0.1,,,0
NDC,LFSPN-1803-92,INV (LS-P-MAGNETISMM-32)(DEXAMETHASONE) 0.5 MG TABLET [40818392],0.1,0.1,,,0
NDC,LFSPN-1803-93,INV (LS-P-MAGNETISMM-32)(DEXAMETHASONE) 4 MG TABLET  [40818393],0.1,0.1,,,0
NDC,LFSPN-1803-94,INV (LS-P-MAGNETISMM-32)(DEXAMETHASONE) 20 MG TABLET [40818394],0.1,0.1,,,0
NDC,LFSPN-1803-95,INV (LS-P-MAGNETISMM-32)(CARFILZOMIB) 2 MG/ML INJECTION [40818395],0.1,0.1,,,0
NDC,LFSPN-1804-00,INV (BH-P-EARTH)(ALINTEGIMOD (7HP349)) 50 MG CAPSULE [40818400],0.1,0.1,,,0
NDC,LFSPN-1804-01,INV (BH-P-EARTH)(ALINTEGIMOD (7HP349) OR PLACEBO) 50 MG CAPSULE [40818401],0.1,0.1,,,0
NDC,LFSPN-1804-02,INV (LAVENDER)(ANIFROLUMAB OR PLACEBO) 120 MG/0.8 ML INJECTION [40818402],0.1,0.1,,,0
NDC,LFSPN-1804-03,INV (LAVENDER)(ANIFROLUMAB) 120 MG/0.8 ML INJECTION SOLUTION [40818403],0.1,0.1,,,0
NDC,LFSPN-1804-04,INV (LS-P-PATH)(PF-07934040) 100 MG TABLET [70018939],0.1,0.1,,,0
NDC,LFSPN-1804-05,INV (SINGLE PAT IND)(RUXOLITINIB) 5 MG TABLET [70018940],0.1,0.1,,,0
NDC,LFSPN-1804-06,"INV (BH-P-BOLT)(FICERAFUSP ALFA 750 MG, 1500 MG OR PLACEBO) IN SODIUM CHLORIDE 0.9% 250 ML INFUSION [70018941]",0.1,0.1,,,0
NDC,LFSPN-1804-07,"INV (BH-P-BOLT)(FICERAFUSP ALFA 600 MG, 1200 MG OR PLACEBO) IN SODIUM CHLORIDE 0.9% 250 ML INFUSION [70018942]",0.1,0.1,,,0
NDC,LFSPN-1804-08,"INV (BH-P-BOLT)(FICERAFUSP ALFA 450 MG, 900 MG OR PLACEBO) IN SODIUM CHLORIDE 0.9% 250 ML INFUSION [70018943]",0.1,0.1,,,0
NDC,LFSPN-1804-09,"INV (LOTUS)(AVTX-009 600 MG, 300 MG, OR PLACEBO) SUBCUTANEOUS INJECTION [70018944]",0.1,0.1,,,0
NDC,LFSPN-1804-10,INV (LOTUS)(AVTX-009 150 MG OR PLACEBO) SUBCUTANEOUS INJECTION [70018945],0.1,0.1,,,0
NDC,LFSPN-1804-11,"INV (LOTUS)(AVTX-009 300 MG, 150 MG, OR PLACEBO) SUBCUTANEOUS INJECTION [70018946]",0.1,0.1,,,0
NDC,LFSPN-1804-12,INV (LS-P-APRIL)(ALDESLEUKIN) 22 MILLION UNIT INTRAVENOUS SOLUTION [70018947],0.1,0.1,,,0
NDC,LFSPN-1804-14,INV (BH-P-RAIN)(ATEZOLIZUMAB) 60 MG/ML INJECTION SOLUTION [70018948],0.1,0.1,,,0
NDC,LFSPN-1804-15,INV (BH-P-RAIN)(ROSE12) 5 MG/ML INJECTION SOLUTION [70018950],0.1,0.1,,,0
NDC,LFSPN-1804-16,INV (BH-P-RAIN)(IV STABILIZER FOR ROSE12) 1 ML VIAL [70018953],0.1,0.1,,,0
NDC,LFSPN-1804-45,METRONIDAZOLE 5MG/ML INTRAVENOUS [40818445],5.5,5.5,,,0
NDC,LFSPN-1804-55,INV (AALL2321)(BLINATUMOMAB) 12.5 MCG/ML INJECTION [70018955],0.1,0.1,,,0
NDC,LFSPN-1804-56,INV (AALL2321)(IV SOLUTION STABILIZER FOR BLINATUMOMAB) 10 ML VIAL [70018956],0.1,0.1,,,0
NDC,LFSPN-1804-63,INV (BH-P-EVOPAR-PROSTATE02)(SARUPARIB OR PLACEBO) 20 MG TABLET [70018963],0.1,0.1,,,0
NDC,LFSPN-1804-64,INV (AHEAD OLE)(LECANEMAB) 500 MG SOLUTION [70018964],0.1,0.1,,,0
NDC,LFSPN-1804-67,INV (BH-P-DRAW)(TEBAPIVAT) 2.5 MG TABLET [70018967],0.1,0.1,,,0
NDC,LFSPN-1804-68,INV (BH-P-DRAW)(TEBAPIVAT) 5 MG TABLET [70018968],0.1,0.1,,,0
NDC,LFSPN-1804-69,INV (BH-P-DRAW)(TEBAPIVAT 2.5 MG OR PLACEBO) 2.5 MG TABLET [70018969],0.1,0.1,,,0
NDC,LFSPN-1804-70,INV (BH-P-DRAW)(TEBAPIVAT 5 MG OR PLACEBO) 5 MG TABLET [70018970],0.1,0.1,,,0
NDC,LFSPN-1804-72,INV (BH-P-LAMP)(DS5361B) 1 MG TABLET [70018972],0.1,0.1,,,0
NDC,LFSPN-1804-73,INV (BH-P-LAMP)(DS5361B) 10 MG TABLET [70018973],0.1,0.1,,,0
NDC,LFSPN-1804-74,INV (BH-P-LAMP)(DS5361B) 50 MG TABLET [70018974],0.1,0.1,,,0
NDC,LFSPN-18123,ACETYLCHOLINE CHLORIDE 10 MCG/ML INTRACORONARY SYRINGE FOR ENDOTHELIAL FUNCTION TESTING [40818123],5.0,5.0,,,0
NDC,LFSPN-18124,ACETYLCHOLINE CHLORIDE 50 MCG/ML INTRACORONARY SYRINGE FOR ENDOTHELIAL FUNCTION TESTING [40818124],5.0,5.0,,,0
NDC,LFSPN-1906-99,BUPIVACAINE (MARCAINE) 0.25% (2.5 MG/ML) 275 ML  IN AUTOFUSER PUMP [191037],70.13,70.13,,,0
NDC,LFSPN-1907-01,BUPIVACAINE (MARCAINE) 0.125% (1.25 MG/ML) IN AUTOFUSER PUMP [191039],57.75,57.75,,,0
NDC,LFSPN-1910-28,BUPIVACAINE (MARCAINE) 0.25% (2.5 MG/ML) 550 ML IN AUTOFUSER PUMP [191038],140.25,140.25,,,0
NDC,LFSPN-1910-31,INV (EDIPHY STUDY - PROTOCOL 1218)(DHEA OR PLACEBO) CAPSULE [191031],0.1,0.1,,,0
NDC,LFSPN-1913-46,INV (DFCI-INSIGHT)(ABEMACICLIB-LY2835219) 50 MG CAPSULE [191346],0.1,0.1,,,0
NDC,LFSPN-1913-47,INV (DFCI-INSIGHT)(ABEMACICLIB-LY2835219) 50 MG CAPSULE -TAKE HOME [191347],0.1,0.1,,,0
NDC,LFSPN-1913-58,INV (DFCI-INSIGHT)(NERATINIB) 40 MG TABLET [191358],0.1,0.1,,,0
NDC,LFSPN-1913-59,INV (DFCI-INSIGHT)(NERATINIB) 40 MG TABLET - TAKE HOME [191359],0.1,0.1,,,0
NDC,LFSPN-1913-60,INV (DFCI-INSIGHT)(CC-115) 10 MG CAPSULE [191360],0.1,0.1,,,0
NDC,LFSPN-1913-62,INV (DFCI-INSIGHT)(CC-115) 7.5 MG CAPSULE [191362],0.1,0.1,,,0
NDC,LFSPN-1913-63,INV (DFCI-INSIGHT)(CC-115) 7.5 MG CAPSULE - TAKE HOME [191363],0.1,0.1,,,0
NDC,LFSPN-1913-64,INV (DFCI-INSIGHT)(CC-115) 5 MG CAPSULE [191364],0.1,0.1,,,0
NDC,LFSPN-1913-65,INV (DFCI-INSIGHT)(CC-115) 5 MG CAPSULE - TAKE HOME [191365],0.1,0.1,,,0
NDC,LFSPN-1916-54,SODIUM BICARBONATE 450 MEQ/3000 ML IN DEXTROSE 5% SOLUTION [191654],300.0,300.0,,,0
NDC,LFSPN-19168-31,CANNABIDIOL 100 MG/ML ORAL SOLUTION [191683],154.69,154.69,,,0
NDC,LFSPN-19168-32,CANNABIDIOL 100 MG/ML ORAL SOLUTION [191683],154.69,154.69,,,0
NDC,LFSPN-1919-93,RITUXIMAB (RITUXAN) 0.01 MG/ML FOR DESENSITIZATION (DESENSITIZATION BAG #1) IVPB IN 70 ML 0.9% SODIUM CHLORIDE [191993],16.67,16.67,,,0
NDC,LFSPN-1919-95,RITUXIMAB (RITUXAN) 0.1 MG/ML FOR DESENSITIZATION (DESENSITIZATION BAG #2) IVPB IN 120 ML 0.9% SODIUM CHLORIDE [191995],339.38,339.38,,,0
NDC,LFSPN-1922-72,SODIUM GLYCEROPHOSPHATE 20 MMOL IN 250 ML 0.9% SODIUM CHLORIDE INFUSION [192272],53.75,53.75,,,0
NDC,LFSPN-1922-86,"MULTIVITAMIN IV 10 ML, THIAMINE 100 MG, FOLIC ACID 1 MG IN 1000 ML SODIUM CHLORIDE 0.9% INFUSION [192286]",40.0,40.0,,,0
NDC,LFSPN-1925-78,DOPAMINE 1600 MCG/ML IN 0.9% SODIUM CHLORIDE SYRINGE [192578],5.0,5.0,,,0
NDC,LFSPN-1925-79,DOBUTAMINE (DOBUTREX) 100 MG/50 ML (2000MCG/ML) NS INFUSION [192579],8.0,8.0,,,0
NDC,LFSPN-2012285,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],7.58,7.58,,,0
NDC,LFSPN-23456-01,SULFASALAZINE 100 MG/ML ORAL LIQUID [399101],62.5,62.5,,,0
NDC,LFSPN-239-30,DEXMEDETOMIDINE (PRECEDEX) INTRANASAL  SOLUTION [40014020],23.17,23.17,,,0
NDC,LFSPN-2400-03,"INV (PHOCUS STUDY)(MOSLICIGUAT 1 MG, 2 MG, 4 MG, PLACEBO) [70024002]",0.1,0.1,,,0
NDC,LFSPN-2400-04,"INV (PHOCUS STUDY)(MOSLICIGUAT 1 MG, 2 MG OR 4 MG) CAPSULE [70024003]",0.1,0.1,,,0
NDC,LFSPN-2400-05,INV (ORIGIN EXTEND)(ATACICEPT 150 MG) SUBCUTANEOUS INJECTION [70024004],0.1,0.1,,,0
NDC,LFSPN-2400-06,INV (BH-P-SUNRAY-01)(LY3537982 OR PLACEBO) 50 MG CAPSULE [70024005],0.1,0.1,,,0
NDC,LFSPN-2400-07,INV (BH-P-SUNRAY-01)(LY3537982 OR PLACEBO) 25 MG CAPSULE [70024006],0.1,0.1,,,0
NDC,LFSPN-2400-08,INV (LS-P-MUSIC)(NIVOLUMAB) 10 MG/ML INJECTION SOLUTION [70024001],0.1,0.1,,,0
NDC,LFSPN-2400-09,INV (POSIBIL6ESKD)(CLAZAKIZUMAB OR PLACEBO) 1.25 MG/ML INJ [70024008],0.1,0.1,,,0
NDC,LFSPN-2400-11,INV (LS-P-POLAR)(MEZIGDOMIDE (CC-92480)) 0.2 MG CAPSULE  [70024009],0.1,0.1,,,0
NDC,LFSPN-2400-12,INV (LS-P-POLAR)(MEZIGDOMIDE (CC-92480)) 0.3 MG CAPSULE [70024010],0.1,0.1,,,0
NDC,LFSPN-2400-13,INV (LS-P-POLAR)(MEZIGDOMIDE (CC-92480)) 0.4 MG CAPSULE  [70024011],0.1,0.1,,,0
NDC,LFSPN-2400-14,INV (LS-P-POLAR)(MEZIGDOMIDE (CC-92480)) 0.6 MG CAPSULE  [70024012],0.1,0.1,,,0
NDC,LFSPN-2400-15,INV (LS-P-POLAR)(MEZIGDOMIDE (CC-92480)) 0.8 MG CAPSULE  [70024013],0.1,0.1,,,0
NDC,LFSPN-2400-16,INV (LS-P-POLAR)(MEZIGDOMIDE (CC-92480)) 1 MG CAPSULE  [70024014],0.1,0.1,,,0
NDC,LFSPN-2400-18,INV (ADEPT-4)(KARXT-XANOMELINE/TROSPIUM) CAPSULE [70024015],0.1,0.1,,,0
NDC,LFSPN-2400-21,INV (LS-P-MACE)(AZD0486) 2 MG/ML INJECTION SOLUTION [70016305],0.1,0.1,,,0
NDC,LFSPN-2400-22,INV (LS-P-MACE)(AZD0486) 0.1 MG/ML INJECTION SOLUTION [70024016],0.1,0.1,,,0
NDC,LFSPN-2400-23,INV (LS-P-MACE)(AZD0486) 10 MG/ML INJECTION [70024017],0.1,0.1,,,0
NDC,LFSPN-2400-24,INV (LS-P-MACE)(IVSS FOR AZD0486) SOLUTION [70024018],0.1,0.1,,,0
NDC,LFSPN-2400-25,INV (LS-P-MACE)(IVSS FOR AZD0486) SOLUTION [70024018],0.1,0.1,,,0
NDC,LFSPN-2400-26,INV (LS-P-MACE)(AZD0486) 0.02 MG/ML INJECTION [70024019],0.1,0.1,,,0
NDC,LFSPN-2600-00,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN [128893],20.5,20.5,,,0
NDC,LFSPN-2600-05,PRAZOSIN 1 MG/ML ORAL SYRINGE [40826006],7.5,7.5,,,0
NDC,LFSPN-2600-07,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],5.0,5.0,,,0
NDC,LFSPN-2600-08,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],5.0,5.0,,,0
NDC,LFSPN-2600-09,NITROPRUSSIDE 100 MCG/ML 10 ML SYRINGE [40826009],5.0,5.0,,,0
NDC,LFSPN-2600-16,INV (BH-P-ORCA)(LNS8801) 25 MG TABLET [70026016],0.1,0.1,,,0
NDC,LFSPN-2600-17,INV (BH-P-ORCA)(PEMBROLIZUMAB) 25 MG/ML INJECTION SOLUTION [70026017],0.1,0.1,,,0
NDC,LFSPN-2600-19,INV (ONO-2020-02)(ONO-2020 20 MG OR 60 MG OR PLACEBO) TABLET [70026019],0.1,0.1,,,0
NDC,LFSPN-2600-20,INV (BH-P-DREAMM-10)(BELANTAMAB MAFODOTIN) 50 MG/ML INJECTION [70026020],0.1,0.1,,,0
NDC,LFSPN-2600-22,INV (BH-P-EMPOWHER-303)(TRASTUZUMAB-PKRB) 150 MG (21 MG/ML) INJECTION [70026022],0.1,0.1,,,0
NDC,LFSPN-2600-23,INV (BH-P-EMPOWHER-303)(TRASTUZUMAB-PKRB) 420 MG (21 MG/ML) INJECTION [70026023],0.1,0.1,,,0
NDC,LFSPN-2600-25,INV (TEAPOT)(TRANEXAMIC ACID OR PLACEBO) NEBULIZER SOLUTION [70026025],0.1,0.1,,,0
NDC,LFSPN-2600-43,INV (BH-P-STEAP-2)(AZD6621) 10 MG/ML INJECTION SOLUTION [70026043],0.1,0.1,,,0
NDC,LFSPN-2600-44,INV (BH-P-STEAP-2)(AZD6621) 10 MG/ML INJECTION SOLUTION [70026043],0.1,0.1,,,0
NDC,LFSPN-2600-45,INV (BH-P-STEAP-2)(AZD6621) 0.4 MG/ML INJECTION SOLUTION [70026045],0.1,0.1,,,0
NDC,LFSPN-2600-47,INV (BH-P-STEAP-2)(IVPB STABILIZING SOLN FOR AZD6621) 1 ML VIAL [70026047],0.1,0.1,,,0
NDC,LFSPN-2600-49,INV (BH-P-STEAP-2)(AZD6621) 0.01 MG/ML INJECTION SOLUTION [70026049],0.1,0.1,,,0
NDC,LFSPN-2600-50,INV (BH-P-STEAP-2)(AZD6621) 0.02 MG/ML INJECTION SOLUTION [70026050],0.1,0.1,,,0
NDC,LFSPN-2600-51,INV (BH-P-STEAP-2)(AZD6621) 0.04 MG/ML INJECTION SOLUTION [70026051],0.1,0.1,,,0
NDC,LFSPN-2600-52,INV (BH-P-STEAP-2)(AZD6621) 0.05 MG/ML INJECTION SOLUTION [70026052],0.1,0.1,,,0
NDC,LFSPN-2600-53,INV (BH-P-STEAP-2)(AZD6621) 0.15 MG/ML INJECTION SOLUTION [70026053],0.1,0.1,,,0
NDC,LFSPN-2600-54,INV (BH-P-STEAP-2)(AZD6621) 0.5 MG/ML INJECTION SOLUTION [70026054],0.1,0.1,,,0
NDC,LFSPN-2600-55,INV (BH-P-STEAP-2)(AZD6621) 1 MG/ML INJECTION SOLUTION [70026055],0.1,0.1,,,0
NDC,LFSPN-2600-56,INV (LS-P-CYCAD-1)(AZD8421 MR-1) 150 MG TABLET [70026056],0.1,0.1,,,0
NDC,LFSPN-2600-58,INV (BH-P-WIDER)(RIBOCICLIB) 200 MG TABLET [70026058],0.1,0.1,,,0
NDC,LFSPN-2600-60,INV (CTSU-S1905)(OBI-3424) 10 MG/ML INJECTION SOLUTION [70026060],0.1,0.1,,,0
NDC,LFSPN-2600-66,INV (BH-P-REACH)(ABEMACICLIB) 2.5 MG ORAL GRANULE [70026066],0.1,0.1,,,0
NDC,LFSPN-2600-67,INV (BH-P-REACH)(ABEMACICLIB) 25 MG TABLET [70026067],0.1,0.1,,,0
NDC,LFSPN-2600-68,INV (BH-P-REACH)(ABEMACICLIB) 50 MG TABLET [70026068],0.1,0.1,,,0
NDC,LFSPN-2600-69,INV (NSR EXPDITE-2)(TACROLIMUS OR PLACEBO) 0.5 MG CAPSULE [70026069],0.1,0.1,,,0
NDC,LFSPN-2600-70,INV (NSR EXPDITE-2)(TACROLIMUS OR PLACEBO) 1 MG CAPSULE [70026070],0.1,0.1,,,0
NDC,LFSPN-2600-71,INV (NSR EXPDITE-2)(SULFAMETHOXAZOLE 400 MG/TRIMETHOPRIM 80 MG OR PLACEBO) TABLET [70026071],0.1,0.1,,,0
NDC,LFSPN-2600-72,INV (NSR EXPDITE-2)(METHYLPREDNISOLONE) 62.5 MG/ML INJECTION [70026072],0.1,0.1,,,0
NDC,LFSPN-2600-76,INV (NSR EXPDITE-2)(LANSOPRAZOLE) 30 MG CAPSULE [70026076],0.1,0.1,,,0
NDC,LFSPN-2600-77,INV (NSR EXPDITE-2)(PREDNISONE OR PLACEBO) 5 MG CAPSULE [70026077],0.1,0.1,,,0
NDC,LFSPN-2600-78,INV (NSR EXPDITE-2)(BEMDANEPROCEL OR PLACEBO) 100 MILLION CELLS/ML INTRAPARENCHYMAL INJECTION [70026078],0.1,0.1,,,0
NDC,LFSPN-2600-79,INV (AALL2131)(BLINATUMOMAB) 12.5 MCG/ML INJECTION [70026079],0.1,0.1,,,0
NDC,LFSPN-2600-80,INV (AALL2131)(IV SOLUTION STABILIZER FOR BLINATUMOMAB) 10 ML VIAL [70026080],0.1,0.1,,,0
NDC,LFSPN-2600-86,INV (NUTRI-GUARD)(DEFENCATH (TAUROLIDINE 13.5 MG/ML AND HEPARIN 1000 UNITS/ML) OR HEPARIN 1000 UNITS/ML) 5 ML VIAL [70026086],0.1,0.1,,,0
NDC,LFSPN-2600-87,INV (NEU-EXPEDITE)(LANSOPRAZOLE) 30 MG CAPSULE [70026087],0.1,0.1,,,0
NDC,LFSPN-2600-88,INV (NEU-EXPEDITE)(PREDNISONE OR PLACEBO) 5 MG CAPSULE [70026088],0.1,0.1,,,0
NDC,LFSPN-2600-89,INV (NEU-EXPEDITE)(SULFAMETHOXAZOLE 400 MG/TRIMETHOPRIM 80 MG OR PLACEBO) TABLET [70026089],0.1,0.1,,,0
NDC,LFSPN-2600-90,INV (NEU-EXPEDITE)(TACROLIMUS OR PLACEBO) 0.5 MG CAPSULE [70026090],0.1,0.1,,,0
NDC,LFSPN-2600-91,INV (NEU-EXPEDITE)(TACROLIMUS OR PLACEBO) 1 MG CAPSULE [70026091],0.1,0.1,,,0
NDC,LFSPN-2600-92,INV (NEU-EXPEDITE)(LANSOPRAZOLE OR PLACEBO) 30 MG CAPSULE [70026092],0.1,0.1,,,0
NDC,LFSPN-270-15,"HEPARIN 25,000 UNITS IN 250 ML 0.9% NS (100 UNITS/ML) [40827001]",45.0,45.0,,,0
NDC,LFSPN-2700-01,INV (CRD-THROMBOGENESIS EPA AND DHA)(DHA (DOCOSAHEXAENOIC ACID) 450 MG PLUS EPA (EICOSAPENTAENOIC ACID) 60 MG) CAPSULE [70027001],0.1,0.1,,,0
NDC,LFSPN-2700-02,INV (CRD-THROMBOGENESIS EPA AND DHA)(ICOSAPENT ETHYL) 1000 MG CAPSULE  [70027002],0.1,0.1,,,0
NDC,LFSPN-2783-8,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.0,1.0,,,0
NDC,LFSPN-3000-01,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION [127818],12.75,12.75,,,0
NDC,LFSPN-3000-02,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION [127818],12.75,12.75,,,0
NDC,LFSPN-3000-03,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION [127818],12.75,12.75,,,0
NDC,LFSPN-3000-04,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION [127818],12.75,12.75,,,0
NDC,LFSPN-3000-05,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION [127818],12.75,12.75,,,0
NDC,LFSPN-3000-16,HYDROMORPHONE 1 MG/ML PCA - OPIOID TOLERANT [500062],48.25,48.25,,,0
NDC,LFSPN-3000-18,MORPHINE (PF) 150 MG/30 ML PCA INTRAVENOUS SOLUTION [91946],5.0,5.0,,,0
NDC,LFSPN-3000-34,MORPHINE (PF) 150 MG/30 ML PCA INTRAVENOUS SOLUTION [91946],5.0,5.0,,,0
NDC,LFSPN-3084254,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID ALL [351210],30.315,30.315,,,0
NDC,LFSPN-3512-15,FENTANYL 50 MCG/ML PCA - OPIOID TOLERANT [351215],51.0,51.0,,,0
NDC,LFSPN-3822-10,CASPOFUNGIN 0.5 MG/ML LOCK FLUSH [40814006],63.16,63.16,,,0
NDC,LFSPN-40015-002,EPINEPHRINE 10 MG/250 ML (40 MCG/ML) IN 5 % DEXTROSE INFUSION [40015002],221.25,221.25,,,0
NDC,LFSPN-4047-05,PACLITAXEL ALBUMIN-BOUND (ABRAXANE) INJECTION FOR LS-P-TIDE [70040475],0.1,0.1,,,0
NDC,LFSPN-4080-03,DAPSONE 2 MG/ML ORAL SUSPENSION [408003],250.0,250.0,,,0
NDC,LFSPN-4080-05,THIOGUANINE 20 MG HALF TABLET [408005],311.99,311.99,,,0
NDC,LFSPN-4080-08,LIDOCAINE 4% (PF) OPHTHALMIC SOLUTION [408008],10.0,10.0,,,0
NDC,LFSPN-4083-75,BUPIVACAINE 0.5% (5MG/ML) IN ON-Q PUMP [408375],1280.0,1280.0,,,0
NDC,LFSPN-4083-76,BUPIVACAINE 0.25% (2.5MG/ML) ON-Q PUMP [408376],675.0,675.0,,,0
NDC,LFSPN-4083-77,BUPIVACAINE 0.25% (2.5MG/ML) IN ON-Q PUMP [408377],928.0,928.0,,,0
NDC,LFSPN-4221-91,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],10.0,10.0,,,0
NDC,LFSPN-5000-61,HYDROMORPHONE 1 MG/ML PCA - OPIOID TOLERANT [300017],48.25,48.25,,,0
NDC,LFSPN-5000-62,HYDROMORPHONE 1 MG/ML PCA - OPIOID TOLERANT [300017],48.25,48.25,,,0
NDC,LFSPN-5000-64,HYDROMORPHONE 1 MG/ML PCA - OPIOID TOLERANT [500062],48.25,48.25,,,0
NDC,LFSPN-5000-65,HYDROMORPHONE 1 MG/ML PCA - OPIOID TOLERANT [500062],48.25,48.25,,,0
NDC,LFSPN-5000-68,HYDROMORPHONE 0.5 MG/ML PEDI MED PCA - OPIOID TOLERANT [500069],24.25,24.25,,,0
NDC,LFSPN-5000-69,HYDROMORPHONE 0.5 MG/ML PEDI MED PCA - OPIOID TOLERANT [500069],24.25,24.25,,,0
NDC,LFSPN-5009-48,SILDENAFIL 2.5 MG/ML ORAL SUSPENSION [500948],37.6,37.6,,,0
NDC,LFSPN-5070-03,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9% SODIUM CHLORIDE INFUSION [507003],47.7,47.7,,,0
NDC,LFSPN-5070-04,NICARDIPINE (CARDENE) IN SODIUM CHLORIDE 0.9% INTRATHECAL SYRINGE [507004],27.0,27.0,,,0
NDC,LFSPN-5070-17,GANCICLOVIR INTRAVITREAL INJECTION 2 MG/0.1 ML [507017],5.0,5.0,,,0
NDC,LFSPN-5070-20,ERLOTINIB 10 MG/ML ORAL SUSPENSION [507020],897.25,897.25,,,0
NDC,LFSPN-5070-21,BUPIVACAINE 0.1% IN 250 ML NS PERINEURAL INFUSION [507021],25.0,25.0,,,0
NDC,LFSPN-5070-22,ROPIVACAINE 0.2% IN 250 ML NS PERINEURAL INFUSION [507022],93.75,93.75,,,0
NDC,LFSPN-5070-25,2% LIDOCAINE (PF) 4.5 ML - HYALURONIDASE 75 UNITS STERILE EYE SOLUTION [507025],93.05,93.05,,,0
NDC,LFSPN-5070-26,2% LIDOCAINE (PF) 2.5 ML - 0.75% BUPIVACAINE (PF) 2.5 ML -HYALURONIDASE 75 UNITS STERILE EYE [507026],93.06,93.06,,,0
NDC,LFSPN-5070-37,ROCURONIUM 1 MG/ML IV IN 0.9% SODIUM CHLORIDE [507037],42.0,42.0,,,0
NDC,LFSPN-5823-15,CABAZITAXEL 60 MG/6 ML (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION [105644],45862.82,45862.82,,,0
NDC,LFSPN-6146-00,CEFEPIME 1 MG/ML LOCK SOLUTION [40814005],5.0,5.0,,,0
NDC,LFSPN-6625-02,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [119756],47.43,47.43,,,0
NDC,LFSPN-6625-03,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [119756],47.43,47.43,,,0
NDC,LFSPN-7014-18,INV (EXPD ACCESS TAZEMETOSTAT)(TAZEMETOSTAT) 200 MG TABLET [70014180],0.1,0.1,,,0
NDC,LFSPN-7014-30,INV (LS-P-EXACT)(LUNA18) 12 MG HARD CAPSULE [70014330],0.1,0.1,,,0
NDC,LFSPN-7014-31,INV (LS-P-EXACT)(LUNA18) 4.5 MG SOFT CAPSULE [70014331],0.1,0.1,,,0
NDC,LFSPN-7014-32,INV (LS-P-EXACT)(LUNA18) 0.5 MG HARD CAPSULE [70014329],0.1,0.1,,,0
NDC,LFSPN-7014-33,INV (LS-P-EXACT)(LUNA18) 6 MG SOFT CAPSULE [70014332],0.1,0.1,,,0
NDC,LFSPN-7014-45,INV (LS-P-SALT)(CARBOPLATIN) 10 MG/ML INTRAVENOUS SOLUTION [70014474],0.1,0.1,,,0
NDC,LFSPN-7014-56,INV (LS-P-SODA)(DS-3939A) 100 MG INJECTION [70014456],0.1,0.1,,,0
NDC,LFSPN-7014-57,INV (LS-P-MAST)(SAR445877) 0.2 MG/ML INJECTION SOLUTION [70014058],0.1,0.1,,,0
NDC,LFSPN-7014-63,INV (LS-P-GO44479)(OXALIPLATIN) 5 MG/ML INJECTABLE SOLUTION [70014263],0.1,0.1,,,0
NDC,LFSPN-7014-64,INV (LS-P-GO44479)(OXALIPLATIN) 5 MG/ML INJECTABLE SOLUTION [70014263],0.1,0.1,,,0
NDC,LFSPN-7014-65,INV (LS-P-GO44479)(LEUCOVORIN) 500 MG INJECTION [70014265],0.1,0.1,,,0
NDC,LFSPN-7014-66,INV (LS-P-GO44479)(LEUCOVORIN) 350 MG INJECTION [70014266],0.1,0.1,,,0
NDC,LFSPN-7014-67,INV (LS-P-GO44479)(LEUCOVORIN) 200 MG INJECTION [70014267],0.1,0.1,,,0
NDC,LFSPN-7014-68,INV (LS-P-GO44479)(LEUCOVORIN) 50 MG INJECTION [70014268],0.1,0.1,,,0
NDC,LFSPN-7014-70,INV (LS-P-GO44479)(IRINOTECAN) 20 MG/ML INJECTABLE SOLUTION [70014270],0.1,0.1,,,0
NDC,LFSPN-7014-72,INV (LS-P-GO44479)(FLUOROURACIL) 50 MG/ML INJECTABLE SOLUTIN [70014272],0.1,0.1,,,0
NDC,LFSPN-7014-74,INV (LS-P-GO44479)(ATEZOLIZUMAB) 60 MG/ML INJECTABLE SOLUTIN [70014274],0.1,0.1,,,0
NDC,LFSPN-7014-77,INV (AFT-ENDOMAP)(INAVOLISIB) 9 MG TABLET [70014777],0.1,0.1,,,0
NDC,LFSPN-7014-78,INV (AFT-ENDOMAP)(INAVOLISIB) 3 MG TABLET [70014778],0.1,0.1,,,0
NDC,LFSPN-7014-85,INV (AALL1732)(INOTUZUMAB OZOGAMICIN) 0.9 MG VIAL [7001485],0.1,0.1,,,0
NDC,LFSPN-7015-10,INV (ALLIANCE A051902)(AZACITIDINE (CC-486)) 100 MG TABLET [70014150],0.1,0.1,,,0
NDC,LFSPN-7015-11,INV (ALLIANCE A051902)(AZACITIDINE (CC-486)) 100 MG TABLET [70014150],0.1,0.1,,,0
NDC,LFSPN-7015-12,INV (ALLIANCE A051902)(AZACITIDINE (CC-486)) 150MG TABLET [70014151],0.1,0.1,,,0
NDC,LFSPN-7015-13,INV (ALLIANCE A051902)(AZACITIDINE (CC-486)) 150MG TABLET [70014151],0.1,0.1,,,0
NDC,LFSPN-7114-31,INV (BH-P-LUMINA-3)(RILZABRUTINIB OR PLACEBO) 400 MG TABLET  [70014311],0.1,0.1,,,0
NDC,LFSPN-7114-32,INV (BH-P-LUMINA-3)(RILZABRUTINIB) 400 MG TABLET  [70014312],0.1,0.1,,,0
NDC,LFSPN-7114-66,INV (LS-P-SALT)(RO7623066) 25 MG CAPSULES [70014466],0.1,0.1,,,0
NDC,LFSPN-7114-70,INV (LS-P-GO44479)(IRINOTECAN) 20 MG/ML INJECTABLE SOLUTION [70014270],0.1,0.1,,,0
NDC,LFSPN-7114-72,INV (LS-P-GO44479)(FLUOROURACIL) 50 MG/ML INJECTABLE SOLUTIN [70014272],0.1,0.1,,,0
NDC,LFSPN-7140-08,INV (LS-P-LOTIS-7)(OBINUTUZUMAB) 25 MG/ML INJECTION SOLUTION [70014008],0.1,0.1,,,0
NDC,LFSPN-7140-13,"INV (BENFO-TEAM)(BENFOTIAMINE 300 MG, 600 MG OR PLACEBO) CAPSULE [70014013]",0.1,0.1,,,0
NDC,LFSPN-7140-54,INV (LS-P-MYTHIC)(DEBIO 0123) 60 MG CAPSULE [70014054],0.1,0.1,,,0
NDC,LFSPN-7140-55,INV (LS-P-MYTHIC)(DEBIO 0123) 100 MG CAPSULE [70014055],0.1,0.1,,,0
NDC,LFSPN-7140-56,INV (LS-P-MYTHIC)(DEBIO 0123) 130 MG CAPSULE [70014056],0.1,0.1,,,0
NDC,LFSPN-7140-60,INV (LS-P-MYTHIC)(DEBIO 0123) 150 MG CAPSULE [70014060],0.1,0.1,,,0
NDC,LFSPN-7140-94,INV (ALLIANCE A052101)(ZANUBRUTINIB) 80 MG CAPSULE [70016245],0.1,0.1,,,0
NDC,LFSPN-7141-99,INV (OASIS)(TNX-102 2.8MG OR PLACEBO) TABLET [70014198],0.1,0.1,,,0
NDC,LFSPN-7142-44,INV (LS-P-VENUS)(OBINUTUZUMAB) 25 MG/ML INJECTION SOLUTION [70014244],0.1,0.1,,,0
NDC,LFSPN-7143-03,INV (SINGLE PAT IND)(FOSMANOGEPIX (FMGX)) 20 MG/ML INJECTION [70014303],0.1,0.1,,,0
NDC,LFSPN-7143-04,INV (SINGLE PAT IND)(FOSMANOGEPIX (FMGX)) 20 MG/ML INJECTION [70014303],0.1,0.1,,,0
NDC,LFSPN-7143-50,INV (LS-P-DRAGONFLY)(SACITUZUMAB GOVITECAN) 10 MG/ML INJECTION [70014350],0.1,0.1,,,0
NDC,LFSPN-7143-51,INV (LS-P-DRAGONFLY)(SACITUZUMAB GOVITECAN) 10 MG/ML INJECTION [70014350],0.1,0.1,,,0
NDC,LFSPN-7143-62,INV (LS-P-COAT)(RITUXIMAB) 10 MG/ML INJECTION SOLUTION  [70014362],0.1,0.1,,,0
NDC,LFSPN-7144-04,INV (CAHPTAIN205)(TILDACERFONT) 25 MG TABLET  [70014404],0.1,0.1,,,0
NDC,LFSPN-7144-05,INV (CAHPTAIN205)(TILDACERFONT) 50 MG TABLET  [70014405],0.1,0.1,,,0
NDC,LFSPN-7144-06,INV (CAHPTAIN205)(TILDACERFONT) 200 MG TABLET  [70014406],0.1,0.1,,,0
NDC,LFSPN-7144-07,INV (CAHPTAIN205)(TILDACERFONT) 200 MG TABLET  [70014406],0.1,0.1,,,0
NDC,LFSPN-7144-09,INV (LS-P-OCEAN)(M9140) 65 MG (10 MG/ML) INJECTION  [70014409],0.1,0.1,,,0
NDC,LFSPN-7144-70,INV (LS-P-COAT)(FLUDARABINE) 25 MG/ML INJECTION SOLUTION [70014470],0.1,0.1,,,0
NDC,LFSPN-7145-09,INV (LS-P-OCEAN)(M9140) 80 MG (10 MG/ML) INJECTION  [70014509],0.1,0.1,,,0
NDC,LFSPN-7145-78,INV (MYELOMATCH MM1OA-S03)(CEDAZURIDINE/DECITABINE (ASTX 727)) 100 MG/35 MG TABLET [70014578],0.1,0.1,,,0
NDC,LFSPN-7145-80,INV (MYELOMATCH MM1OA-S03)(VENETOCLAX) 10 MG TABLET  [70014580],0.1,0.1,,,0
NDC,LFSPN-7145-81,INV (MYELOMATCH MM1OA-S03)(VENETOCLAX) 50 MG TABLET  [70014581],0.1,0.1,,,0
NDC,LFSPN-7145-82,INV (MYELOMATCH MM1OA-S03)(VENETOCLAX) 100 MG TABLET  [70014582],0.1,0.1,,,0
NDC,LFSPN-7145-83,INV (MYELOMATCH MM1OA-S03)(ENASIDENIB) 50 MG TABLET  [70014583],0.1,0.1,,,0
NDC,LFSPN-7145-84,INV (MYELOMATCH MM1OA-S03)(ENASIDENIB) 100 MG TABLET  [70014584],0.1,0.1,,,0
NDC,LFSPN-7146-06,INV (LS-P-TIDE)(IDE397) 5 MG CAPSULE [70014606],0.1,0.1,,,0
NDC,LFSPN-7146-27,INV (ANBL2131)(DINUTUXIMAB) 3.5 MG/ML INTRAVENOUS SOLUTION [70014627],0.1,0.1,,,0
NDC,LFSPN-7146-34,INV (BH-P-SEACLIFF)(AZD0516) 20 MG/ML INJECTION [70014634],0.1,0.1,,,0
NDC,LFSPN-7146-36,INV (BH-P-SEACLIFF)(AZD9574) 0.5 MG TABLET [70014636],0.1,0.1,,,0
NDC,LFSPN-7146-37,INV (BH-P-SEACLIFF)(AZD9574) 5 MG TABLET [70014637],0.1,0.1,,,0
NDC,LFSPN-7146-38,INV (BH-P-SEACLIFF)(AZD9574) 10 MG TABLET [70014638],0.1,0.1,,,0
NDC,LFSPN-7146-39,INV (BH-P-SEACLIFF)(AZD9574) 50 MG TABLET [70014639],0.1,0.1,,,0
NDC,LFSPN-7146-63,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION FOR LS-P-TIDE [70014663],0.1,0.1,,,0
NDC,LFSPN-7146-64,INV (LS-P-COAT)(RITUXIMAB) 10 MG/ML INJECTION SOLUTION  [70014362],0.1,0.1,,,0
NDC,LFSPN-7146-90,INV (LIBREXIA STROKE)(MILVEXIAN OR PLACEBO) 25 MG TABLET [70014690],0.1,0.1,,,0
NDC,LFSPN-7147-56,INV (LS-P-LOTIS-7)(LONCASTUXIMAB TESIRINE) 5 MG/ML INJECTION [70014756],0.1,0.1,,,0
NDC,LFSPN-7147-58,INV (LS-P-LOTIS-7)(GLOFITAMAB) 1 MG/ML INJECTION SOLUTION [70014758],0.1,0.1,,,0
NDC,LFSPN-7147-75,INV (BH-P-DELLPHI-311)(AB248) 10 MG/ML INJECTION SOLUTION  [70014775],0.1,0.1,,,0
NDC,LFSPN-7147-76,INV (BH-P-DELLPHI-311)(AB248) 0.1 MG/ML INJECTION SOLUTION  [70014776],0.1,0.1,,,0
NDC,LFSPN-7147-78,INV (BH-P-DELLPHI-311)(AB248) 10 MG/ML INJECTION SOLUTION  [70014775],0.1,0.1,,,0
NDC,LFSPN-7148-15,INV (LS-P-CYCAD-1)(ABEMACICLIB) 50 MG TABLET [70014815],0.1,0.1,,,0
NDC,LFSPN-7148-17,INV (LS-P-CYCAD-1)(ABEMACICLIB) 100 MG TABLET [70014817],0.1,0.1,,,0
NDC,LFSPN-7148-19,INV (LS-P-CYCAD-1)(ABEMACICLIB) 150 MG TABLET [70014819],0.1,0.1,,,0
NDC,LFSPN-7148-34,INV (LS-P-TROPION-05)(DURVALUMAB) 50 MG/ML INJECTION SOLUTIN [70014834],0.1,0.1,,,0
NDC,LFSPN-7149-22,INV (BH-P-GOLSEEK-4)(LENALIDOMIDE) 5 MG CAPSULE  [70014922],0.1,0.1,,,0
NDC,LFSPN-7149-23,INV (BH-P-GOLSEEK-4)(LENALIDOMIDE) 10 MG CAPSULE  [70014923],0.1,0.1,,,0
NDC,LFSPN-7149-24,INV (BH-P-GOLSEEK-4)(LENALIDOMIDE) 15 MG CAPSULE  [70014924],0.1,0.1,,,0
NDC,LFSPN-7149-25,INV (BH-P-GOLSEEK-4)(LENALIDOMIDE) 20 MG CAPSULE  [70014925],0.1,0.1,,,0
NDC,LFSPN-7149-30,INV (LS-P-EVOPAR)(DAROLUTAMIDE) 300 MG TABLET  [70014930],0.1,0.1,,,0
NDC,LFSPN-7149-32,INV (LS-P-VENUS)(VENETOCLAX) 10 MG TABLET  [70014932],0.1,0.1,,,0
NDC,LFSPN-7149-33,INV (LS-P-VENUS)(VENETOCLAX) 50 MG TABLET  [70014933],0.1,0.1,,,0
NDC,LFSPN-7149-34,INV (LS-P-VENUS)(VENETOCLAX) 100 MG TABLET  [70014934],0.1,0.1,,,0
NDC,LFSPN-7149-37,INV (LS-P-PATH)(PF-07934040) 1 MG TABLET  [70014937],0.1,0.1,,,0
NDC,LFSPN-7149-38,INV (LS-P-PATH)(PF-07934040) 5 MG TABLET  [70014938],0.1,0.1,,,0
NDC,LFSPN-7149-39,INV (LS-P-PATH)(PF-07934040) 25 MG TABLET  [70014939],0.1,0.1,,,0
NDC,LFSPN-7149-42,INV (SINGLE PAT IND)(MOBOCERTINIB) 40 MG CAPSULE [70014942],0.1,0.1,,,0
NDC,LFSPN-7214-72,INV (LS-P-GO44479)(FLUOROURACIL) 50 MG/ML INJECTABLE SOLUTIN [70014272],0.1,0.1,,,0
NDC,LFSPN-7260-07,INV (BENEATH)(BIMEKIZUMAB-BKZX) 160 MG/ML INJECTION SOLUTION [70026007],0.1,0.1,,,0
NDC,LFSPN-7260-08,INV (BH-P-QUANTUM-WT)(QUIZARTINIB OR PLACEBO) 20 MG TABLET [70026008],0.1,0.1,,,0
NDC,LFSPN-7260-09,INV (BH-P-QUANTUM-WT)(QUIZARTINIB OR PLACEBO) 30 MG TABLET [70026009],0.1,0.1,,,0
NDC,LFSPN-7260-10,INV (BH-P-CEDER)(NDI-219216) 10 MG TABLET [70026010],0.1,0.1,,,0
NDC,LFSPN-7260-11,INV (BH-P-CEDER)(NDI-219216) 50 MG TABLET [70026011],0.1,0.1,,,0
NDC,LFSPN-7260-12,INV (BH-P-CEDER)(NDI-219216) 100 MG TABLET [70026012],0.1,0.1,,,0
NDC,LFSPN-7260-13,INV (BH-P-EMPOWHER-303)(ZANIDATAMAB) 50 MG/ML INJECTION SOLUTION [70026013],0.1,0.1,,,0
NDC,LFSPN-7260-15,INV (PUSH)(PF-07868489 OR PLACEBO) 100 MG/ML INJECTION SOLUTION [70026015],0.1,0.1,,,0
NDC,LFSPN-7260-26,INV (BH-P-GOLSEEK-4)(GOLCADOMIDE (BMS-986369)) 0.1 MG CAPSULE [70026026],0.1,0.1,,,0
NDC,LFSPN-7260-27,INV (BH-P-GOLSEEK-4)(GOLCADOMIDE (BMS-986369)) 0.2 MG CAPSULE [70026027],0.1,0.1,,,0
NDC,LFSPN-7260-28,INV (BH-P-GOLSEEK-4)(GOLCADOMIDE (BMS-986369)) 0.3 MG CAPSULE [70026028],0.1,0.1,,,0
NDC,LFSPN-7260-29,INV (BH-P-GOLSEEK-4)(GOLCADOMIDE (BMS-986369)) 0.4 MG CAPSULE [70026029],0.1,0.1,,,0
NDC,LFSPN-7314-66,INV (LS-P-SALT)(RO7623066) 50 MG CAPSULES [70014467],0.1,0.1,,,0
NDC,LFSPN-7314-72,INV (LS-P-GO44479)(FLUOROURACIL) 50 MG/ML INJECTABLE SOLUTIN [70014272],0.1,0.1,,,0
NDC,LFSPN-7414-66,INV (LS-P-SALT)(RO7623066) 50 MG CAPSULES [70014467],0.1,0.1,,,0
NDC,LFSPN-7514-66,INV (LS-P-SALT)(RO7623066) 100 MG CAPSULES [70014468],0.1,0.1,,,0
NDC,LFSPN-7614-66,INV (LS-P-SALT)(RO7623066) 100 MG CAPSULES [70014468],0.1,0.1,,,0
NDC,LFSPN-7714-66,INV (LS-P-SALT)(RO7623066) 200 MG CAPSULES [70014469],0.1,0.1,,,0
NDC,LFSPN-7814-66,INV (LS-P-SALT)(RO7623066) 200 MG CAPSULES [70014469],0.1,0.1,,,0
NDC,LFSPN-9000-02,PROPRANOLOL 5 MG HALF TABLET [4086656],30.0,30.0,,,0
NDC,LFSPN-9163-30,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE [35209],26.35,26.35,,,0
NDC,LFSPN-952-26,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],5.0,5.0,,,0
NDC,LFSPN-9990-50,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],97.4,97.4,,,0
NDC,LFSPN-9999-23,CETIRIZINE (ZYRTEC) 1 MG/ML ORAL SOLUTION WRAPPER [192748],7.5,7.5,,,0
NDC,LFSPN-9999-24,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE) [119671],11.535,11.535,,,0
NDC,LFSPN-9999-40,MIDAZOLAM INFUSION 5 MG/ML [500044],166.0,166.0,,,0
NDC,LFSPN-9999-48,NITROPRUSSIDE INFUSION 250 MCG/ML IN 5% DEXTROSE SYRINGE [500046],1060.25,1060.25,,,0
NDC,LFSPN-9999-49,NOREPINEPHRINE (LEVOPHED) 100MCG/ML IN 0.9% NACL INFUSION [399047],8.5,8.5,,,0
NDC,LFSPN-9999-50,NOREPINEPHRINE (LEVOPHED) 9MCG/ML INFUSION SYRINGE IN 0.9% NACL PEDIATRIC [500004],24.5,24.5,,,0
NDC,LFSPN-9999-54,SODIUM CHLORIDE 1.5% & SODIUM ACETATE 1.5% (3% TOTAL) IV INFUSION [500078],5000.0,5000.0,,,0
NDC,LFSPN-9999-55,ONDANSETRON 16 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS [399011],14.75,14.75,,,0
NDC,LFSPN-9999-59,SODIUM PHOSPHATE 6 MILLIMOLE/100 ML NS [500492],79.0,79.0,,,0
NDC,LFSPN-9999-91,HYDROCHLOROTHIAZIDE 25 MG/5 ML ORAL SYRINGE [400608],25.0,25.0,,,0
NDC,LFSPN-9999-NF,NON FORMULARY [900003],5.0,5.0,,,0
NDC,LFSPN-99999-35,TERBUTALINE *LOW* INFUSION 0.5 MG/50 ML NS [500156],489.0,489.0,,,0
NDC,LFSPN001233,PENTOBARBITAL (NEMBUTAL) 400 MG IN 50 ML D5W FOR BOLUS [40826003],1063.79,1063.79,,,0
NDC,LFSPN001234,PENTOBARBITAL (NEMBUTAL) 400 MG IN 50 ML NS FOR BOLUS [40826002],1063.79,1063.79,,,0
NDC,LFSPN001235,PENTOBARBITAL (NEMBUTAL) 1000 MG IN 120 ML NS FOR BOLUS [40826004],1021.24,1021.24,,,0
NDC,LFSPN129192,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV [129192],393.75,393.75,,,0
NDC,LFSPN130047,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [130047],273.75,273.75,,,0