code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
,,"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,0764,Ketorolac tromethamine inj,,,,,0
APC,0794,"Inj, bumetanide, 0.5 mg",,,,,0
APC,0902,"Injection,onabotulinumtoxinA",,,,,0
APC,1519,New Technology - Level 19 ($1701-$1800),,,,,0
APC,1822,"Injection, zarxio",,,,,0
APC,1829,Penicillin g benzathine inj,,,,,0
APC,2040,"Endo, single, urinary tract",,,,,0
APC,2616,"Brachytx, non-str,Yttrium-90",,,,,0
APC,2646,"Brachytx, non-str, HDR Ir-192",,,,,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,5045,Trauma Response with 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,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,5200,Implantation Wireless PA Pressure Monitor,,,,,0
APC,5211,Level 1 Electrophysiologic Procedures,,,,,0
APC,5212,Level 2 Electrophysiologic Procedures,,,,,0
APC,5213,Level 3 Electrophysiologic Procedures,,,,,0
APC,5221,Level 1 Pacemaker and Similar Procedures,,,,,0
APC,5222,Level 2 Pacemaker and Similar Procedures,,,,,0
APC,5223,Level 3 Pacemaker and Similar Procedures,,,,,0
APC,5224,Level 4 Pacemaker and Similar Procedures,,,,,0
APC,5231,Level 1 ICD and Similar Procedures,,,,,0
APC,5232,Level 2 ICD and Similar Procedures,,,,,0
APC,5241,Level 1 Blood Product Exchange and Related Services,,,,,0
APC,5242,Level 2 Blood Product Exchange and Related Services,,,,,0
APC,5243,Level 3 Blood Product Exchange and Related Services,,,,,0
APC,5301,Level 1 Upper GI Procedures,,,,,0
APC,5302,Level 2 Upper GI Procedures,,,,,0
APC,5303,Level 3 Upper GI Procedures,,,,,0
APC,5311,Level 1 Lower GI Procedures,,,,,0
APC,5312,Level 2 Lower GI Procedures,,,,,0
APC,5313,Level 3 Lower GI Procedures,,,,,0
APC,5331,Complex GI Procedures,,,,,0
APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0
APC,5342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0
APC,5361,Level 1 Laparoscopy and Related Services,,,,,0
APC,5362,Level 2 Laparoscopy and Related Services,,,,,0
APC,5371,Level 1 Urology and Related Services,,,,,0
APC,5372,Level 2 Urology and Related Services,,,,,0
APC,5373,Level 3 Urology and Related Services,,,,,0
APC,5374,Level 4 Urology and Related Services,,,,,0
APC,5375,Level 5 Urology and Related Services,,,,,0
APC,5376,Level 6 Urology and Related Services,,,,,0
APC,5377,Level 7 Urology and Related Services,,,,,0
APC,5378,Level 8 Urology and Related Services,,,,,0
APC,5401,Dialysis,,,,,0
APC,5411,Level 1 Gynecologic Procedures,,,,,0
APC,5412,Level 2 Gynecologic Procedures,,,,,0
APC,5413,Level 3 Gynecologic Procedures,,,,,0
APC,5414,Level 4 Gynecologic Procedures,,,,,0
APC,5415,Level 5 Gynecologic Procedures,,,,,0
APC,5416,Level 6 Gynecologic Procedures,,,,,0
APC,5431,Level 1 Nerve Procedures,,,,,0
APC,5432,Level 2 Nerve Procedures,,,,,0
APC,5441,Level 1 Nerve Injections,,,,,0
APC,5442,Level 2 Nerve Injections,,,,,0
APC,5443,Level 3 Nerve Injections,,,,,0
APC,5461,Level 1 Neurostimulator and Related Procedures,,,,,0
APC,5462,Level 2 Neurostimulator and Related Procedures,,,,,0
APC,5463,Level 3 Neurostimulator and Related Procedures,,,,,0
APC,5464,Level 4 Neurostimulator and Related Procedures,,,,,0
APC,5465,Level 5 Neurostimulator and Related Procedures,,,,,0
APC,5471,Implantation of Drug Infusion Device,,,,,0
APC,5481,Laser Eye Procedures,,,,,0
APC,5491,Level 1 Intraocular Procedures,,,,,0
APC,5492,Level 2 Intraocular Procedures,,,,,0
APC,5493,Level 3 Intraocular Procedures,,,,,0
APC,5494,Level 4 Intraocular Procedures,,,,,0
APC,5495,Level 5 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,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,5621,Level 1 Radiation Therapy,,,,,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,5771,Cardiac Rehabilitation,,,,,0
APC,5781,Resuscitation and Cardioversion,,,,,0
APC,5791,Pulmonary Treatment,,,,,0
APC,5801,Ventilation Initiation and Management,,,,,0
APC,9097,Inj retacrit non-esrd use,,,,,0
APC,9200,"Inj, remdesivir, 1 mg",,,,,0
APC,9272,"Inj, denosumab",,,,,0
APC,9398,Covid-19 Vaccine Administration,,,,,0
APC,9501,Platelet pheres leukoreduced,,,,,0
APC,9510,Whole blood for transfusion,,,,,0
APC,9512,RBC leukocytes reduced,,,,,0
APC,9518,Washed red blood cells unit,,,,,0
APC,9520,Blood split unit,,,,,0
APC,9522,RBC leukoreduced irradiated,,,,,0
APC,9525,"Platelets, hla-m, l/r, unit",,,,,0
APC,9527,"Blood, l/r, froz/degly/wash",,,,,0
APC,9532,"RBC, frz/deg/wsh, l/r, irrad",,,,,0
APC,9536,Platelets pheresis path redu,,,,,0
APC,N700,Non-OPPS Clinic Services,,,,,0
APC,N800,Clinical Diagnostic Lab Services,,,,,0
APC,N801,Therapy Services,,,,,0
APC,N804,Mammography Services,,,,,0
APC,N805,Durable Medical Equipment,,,,,0
APC,N900,Non-covered Services,,,,,0
APC,N902,Packaged Services,,,,,0
APC,N903,Influenza Vaccines & Pneumococcal Pneumonia Vaccines,,,,,0
APC,N905,Not Recognized by OPPS,,,,,0
APC,N907,Not Billable to FI,,,,,0
CDM,10400018,Hb Cell Washing Proc 035,956.0,334.6,,,0
CDM,10400083,"Hb Blood Typing, Serologic; Abo",46.0,16.1,,,0
CDM,10400091,"Hb Rh Typing, Serologic",55.0,19.25,,,0
CDM,10400109,Hb Western Blot Hiv2 095,566.0,198.1,,,0
CDM,10400117,"Hb Antigen Testing 068, Serologic",156.0,54.6,,,0
CDM,10400158,Hb Reserved Unit Fee 040,134.0,46.9,,,0
CDM,10400190,Hb Fresh Frozen Plasma 012,318.0,111.3,,,0
CDM,10400232,Hb Prosorba Column 075,5645.7,1976.0,,,0
CDM,10400265,Hb Xmatch Serologic 031,347.0,121.45,,,0
CDM,10400273,Hb Rbc Genotype 366,637.0,222.95,,,0
CDM,10400307,Hb Volume Reduction 029,198.0,69.3,,,0
CDM,10400315,Hb Riba Hcv 2.0 098,385.0,134.75,,,0
CDM,10400349,Hb Directed Ffp 172,422.0,147.7,,,0
CDM,10400372,Hb Pedi Plasma 013,265.0,92.75,,,0
CDM,10400554,Hb Fenwal Rbc Filter 141,112.2,39.27,,,0
CDM,10400562,Hb Fenwal Pl 10A Filter 142,315.18,110.31,,,0
CDM,10400570,Hb Cryo Poor Plasma 023,209.0,73.15,,,0
CDM,10400588,Hb Fenwal Pl 5A Filter 143,228.48,79.97,,,0
CDM,10400596,Hb Irradiation 036,133.0,46.55,,,0
CDM,10400604,Hb Western Blot Hiv1 043,454.0,158.9,,,0
CDM,10400752,Hb Wstrn Blot Htlv I Or Ii 090,524.0,183.4,,,0
CDM,10400992,Hb Whole Blood 001,399.0,139.65,,,0
CDM,10401008,Hb Kiddie Pack 024,187.0,65.45,,,0
CDM,10401198,Hb Fta 182,190.0,66.5,,,0
CDM,10401214,Hb Hiv1 Fa 183,454.0,158.9,,,0
CDM,10401446,Hb Platelets Pheresis 017,2008.0,702.8,,,0
CDM,10401453,Hb Plt Pheresis Divided 021,2321.0,812.35,,,0
CDM,10401487,Hb Pool Plt Cryo 045,58.0,20.3,,,0
CDM,10401560,Hb Auto Dir Handling 074,216.0,75.6,,,0
CDM,10401768,Hb Immunoadsorptn Ther 076,18754.0,6563.9,,,0
CDM,10401982,Hb Plt Antigen Test 198,3420.0,1197.0,,,0
CDM,10401990,Hb Platelet Antibody Screen 199,2034.0,711.9,,,0
CDM,10403038,Hb Pediplatelets 016,1389.0,486.15,,,0
CDM,10403129,Hb Photopheresis Proc 078,16396.0,5738.6,,,0
CDM,10403509,Hb Reporting Fee 041,30.0,10.5,,,0
CDM,10404002,Hb Plt Antibody Workup 059,630.0,220.5,,,0
CDM,10404101,Hb Platelet Crossmatch 058; Crossmatch Immediate Spin,1072.0,375.2,,,0
CDM,10404119,Hb Cmv Neg Component 080,362.0,126.7,,,0
CDM,10404127,Hb Splitting Service 081,58.0,20.3,,,0
CDM,10404150,Hb Platelet Pheresis Pedi D 363,1673.0,585.55,,,0
CDM,10404168,Hb Platelet Pheresis Pedi W 364,1673.0,585.55,,,0
CDM,10404523,Hb Platelet Rich Plasma Each Unit,763.0,267.05,,,0
CDM,10404531,Hb Rbc Washed Each Unit,1279.0,447.65,,,0
CDM,10404556,Hb Platelets Leukoreduced,921.0,322.35,,,0
CDM,10404564,Hb Platelets Irradiated,373.0,130.55,,,0
CDM,10404572,Hb Platelets Leukoreduced Irrad,1052.0,368.2,,,0
CDM,10404580,Hb Platelet Pheresis Lkrd Irrad,2333.0,816.55,,,0
CDM,10404598,Hb Red Blood Cells Irradiated,605.0,211.75,,,0
CDM,10404606,Hb Red Blood Cells Deglycerolized,1754.0,613.9,,,0
CDM,10404614,Hb Rbc Leukoreduced Irrad,1244.0,435.4,,,0
CDM,10404622,Hb Blood Leukoreduced Cmv Neg,1288.0,450.8,,,0
CDM,10404630,Hb Plt Hla Match Pher Leukored,2440.0,854.0,,,0
CDM,10404648,Hb Plt Pher Leukored Cmv Neg Irra,2395.0,838.25,,,0
CDM,10404655,Hb Blood Lkrd Froz Degly Washed,3290.0,1151.5,,,0
CDM,10404663,Hb Plt Aph Pher Leukored Cmv Neg,2238.0,783.3,,,0
CDM,10404671,Hb Whole Blood Leukored Irrad,1232.0,431.2,,,0
CDM,10404689,Hb Rbc Fz Degly Wsh Lkrd Irrad,3436.0,1202.6,,,0
CDM,10404697,Hb Rbc Leukored Cmv Neg Irrad,1433.0,501.55,,,0
CDM,10404713,Hb Antibody Id Cap 413,165.0,57.75,,,0
CDM,10404721,Hb Antibody Titra Cap 414,165.0,57.75,,,0
CDM,10404739,Hb Cell Elution Id Cap 415,213.0,74.55,,,0
CDM,10404747,Hb Antiglob Direct Cap 416,84.0,29.4,,,0
CDM,10404754,Hb Leukoreduced Rbc Directed 382,573.0,200.55,,,0
CDM,10404762,Hb Leukoreduced Rbc Auto 381,573.0,200.55,,,0
CDM,10404770,Hb Leukoreduced Whole Blood 378,573.0,200.55,,,0
CDM,10404788,Hb Leukored Whole Blood Dir 380,573.0,200.55,,,0
CDM,10404796,Hb Leukored Whole Blood Auto 379,573.0,200.55,,,0
CDM,10404804,Hb Pooled 5Wbder Plt Pr 410,921.0,322.35,,,0
CDM,10406007,Hb Autologous Wbc 005,422.0,147.7,,,0
CDM,10406015,Hb Autologous Rbc 006,422.0,147.7,,,0
CDM,10406056,Hb Autologous Service 004,422.0,147.7,,,0
CDM,10406098,Hb Leukoreduced Red Cell 094,573.0,200.55,,,0
CDM,10406106,Hb Leukoreduced Procedure 281,1850.0,647.5,,,0
CDM,10406130,Hb Directed Rbc 170,422.0,147.7,,,0
CDM,10406148,Hb Directed Wbc 173,422.0,147.7,,,0
CDM,10406155,Hb Directed Service 010,1359.0,475.65,,,0
CDM,10406205,Hb Designated Service 009,322.0,112.7,,,0
CDM,10406221,Hb Ther Pher Plasma Exchg 051,15385.0,5384.75,,,0
CDM,10406239,Hb Ther Pher Plasma Reduct 052,15385.0,5384.75,,,0
CDM,10406262,Hb Hiv Ag Test 069,332.0,116.2,,,0
CDM,10406270,Hb Hiv Ag Neutralization Test 070,1215.0,425.25,,,0
CDM,10406288,Hb Hiv Ag Neutral Specimen 071,1394.0,487.9,,,0
CDM,10406304,Hb Cryoprecipitate Assay 072,810.0,283.5,,,0
CDM,10406312,Hb Xmatch Electronic 039,149.0,52.15,,,0
CDM,10406320,Hb Anti Hiv I Or Ii Test 042,408.0,142.8,,,0
CDM,10406379,Hb Leukocyte Collection 077,12344.0,4320.4,,,0
CDM,10406395,Hb Thera Phlebotomy Ip 086,2245.0,785.75,,,0
CDM,10406403,Hb Hla Typing Ab Dr Patient 092,1880.88,658.31,,,0
CDM,10406429,Hb Hla Typing Anti B27 181,1423.0,498.05,,,0
CDM,10406437,Hb Naugette Qc 185,658.0,230.3,,,0
CDM,10406486,Hb Differential Cells Treat 191,809.0,283.15,,,0
CDM,10406494,Hb Riba Hcv 3.0 Strip Immun 192,384.0,134.4,,,0
CDM,10406619,Hb Hbsag Confirmation Test 163,569.0,199.15,,,0
CDM,10406650,Hb Kliehauer Betke Ftl Stain 187,493.0,172.55,,,0
CDM,10406668,Hb Hemoglobin S Testing 188,259.0,90.65,,,0
CDM,10406676,Hb Differential Cells 189,496.0,173.6,,,0
CDM,10406759,Hb Anti Hbcore Test 251,486.0,170.1,,,0
CDM,10406783,Hb Reconstituted Charge 265,1080.0,378.0,,,0
CDM,10406809,Hb Hla Platelet Pheresis 270,2362.0,826.7,,,0
CDM,10406817,Hb Hla Platelet Pheresis Div 271,4096.0,1433.6,,,0
CDM,10406833,Hb Irradiation Per Platelet 273,133.0,46.55,,,0
CDM,10406866,Hb Thera Pheresis Ldl 279,12344.0,4320.4,,,0
CDM,10406874,Hb Thera Pheresis Red Cell Ex 278,15385.0,5384.75,,,0
CDM,10409134,Hb Red Blood Cells 002,422.0,147.7,,,0
CDM,10409902,Hb Pedicells 003,264.0,92.4,,,0
CDM,10409910,Hb Antibody Screen 032,1985.0,694.75,,,0
CDM,10409928,Hb Freeze Deglyc Proc 033,1333.0,466.55,,,0
CDM,10409969,Hb Cryoprecipitate Ahf 014,204.0,71.4,,,0
CDM,10409977,Hb Platelets 015,222.0,77.7,,,0
CDM,10409985,Hb Granulocytes 018,6339.0,2218.65,,,0
CDM,10410009,Hb Fetal Fmh Screen 034,189.0,66.15,,,0
CDM,10410249,Hb Special Order Blood,1525.0,533.75,,,0
CDM,10410447,Hb Antibody Id 061,165.0,57.75,,,0
CDM,10410454,Hb Antibody Titration 062,165.0,57.75,,,0
CDM,10410462,Hb Cell Elution Id 063,213.0,74.55,,,0
CDM,10410496,Hb Leukocytes 020,206.0,72.1,,,0
CDM,10410520,Hb Antiglobulin Direct 066,84.0,29.4,,,0
CDM,10410538,Hb Antiglobulin Indir 067,80.0,28.0,,,0
CDM,10420065,Hb Plt Crossmatch Pm 200,1072.0,375.2,,,0
CDM,10420073,Hb Prenatal Screen 048,226.0,79.1,,,0
CDM,10420081,Hb Newborn Screen 049,226.0,79.1,,,0
CDM,10440006,Hb Frozen Rbc 007,502.0,175.7,,,0
CDM,10451623,Hb Anti Hiv2 186,468.0,163.8,,,0
CDM,10452407,Hb Component Thawing Fee 296,54.0,18.9,,,0
CDM,10452480,Hb Donath Landesteiner 340,4493.0,1572.55,,,0
CDM,10452498,Hb Drug Studies Per Drug 341,4493.0,1572.55,,,0
CDM,10452506,Hb White Bc Qc Flow Ct 350,802.0,280.7,,,0
CDM,10452522,Hb Hiv Whole Viral Lysate 352,272.0,95.2,,,0
CDM,10492510,Hb Irradiation Nfbs 030,194.0,67.9,,,0
CDM,10492536,Hb Nat Testing 267,119.0,41.65,,,0
CDM,10492537,Hb Chemical Treatment 438,122.0,42.7,,,0
CDM,10492538,Hb Acid Elution/Cell El 439,170.0,59.5,,,0
CDM,10492539,Hb Ther Phleb W/Fluid 440,2255.0,789.25,,,0
CDM,10492541,Hb Ther Cell Deplt Rbc 442,3924.0,1373.4,,,0
CDM,10492542,Hb Ther Cell Deplt Plt 443,3924.0,1373.4,,,0
CDM,10492543,Hb Medical Direction 444,1509.0,528.15,,,0
CDM,10492544,Hb Pool Cryoprec (5),2292.0,802.2,,,0
CDM,10492545,Hb Pool Cryoprec (10),3820.0,1337.0,,,0
CDM,10492546,Hb Prt Treatment Fee,1882.0,658.7,,,0
CDM,10492547,Hb Zika Fee Rbc,397.0,138.95,,,0
CDM,10492548,Hb Zika Fee Aphresis Platelets,397.0,138.95,,,0
CDM,10492566,Hb Apheresis Platelets (Sdp) Prt Leukoreduced Wastage,670.0,234.5,,,0
CDM,10492567,Hb Apheresis Platelets (Sdp) Prt Leukoreduced,670.0,234.5,,,0
CDM,10492568,Hb Apheresis Platelets (Sdp) Prt Leukoreduced Wastage In Pas,670.0,234.5,,,0
CDM,10492569,Hb Apheresis Platelets (Sdp) Prt Pediplatelet Wastage,503.0,176.05,,,0
CDM,10492570,Hb Apheresis Platelets (Sdp) Prt Pediplatelet,503.0,176.05,,,0
CDM,10492571,Hb Apheresis Platelets (Sdp) Prt Leukoreduced Divided Wastage,335.0,117.25,,,0
CDM,10492572,Hb Apheresis Platelets (Sdp) Prt Leukoreduced Divided,335.0,117.25,,,0
CDM,10492573,Hb Apheresis Platelets (Sdp) Leukoreduced Bact 24Hrs-1St Step Of 2 Step Process Wastage,535.0,187.25,,,0
CDM,10492574,Hb Apheresis Platelets (Sdp) Leukoreduced Bact 24Hrs-2Nd Step Of 2 Step Process Wastage,570.0,199.5,,,0
CDM,10492575,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36Hrs Wastage,605.0,211.75,,,0
CDM,10492576,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hrs Wastage,605.0,211.75,,,0
CDM,10492577,Hb Apheresis Platelets (Sdp) In Pas Leukoreduced Bact Lvds 36  Hrs,605.0,211.75,,,0
CDM,10492578,Hb Apheresis Platelets (Sdp) Leukoreduced Bact 24 Hours - 1St Step Of 2 Step Process,535.0,187.25,,,0
CDM,10492579,Hb Apheresis Platelets (Sdp) Leukoreduced Bact 24 Hours - 2Nd Step Of 2 Step Process,570.0,199.5,,,0
CDM,10492580,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36 Hours,605.0,211.75,,,0
CDM,10492581,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hours,605.0,211.75,,,0
CDM,10492582,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36 Hours Pedi Platelet Wastage,680.0,238.0,,,0
CDM,10492583,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hours Pedi Platelet Wastage,680.0,238.0,,,0
CDM,10492584,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36 Hours Pedi Platelet,680.0,238.0,,,0
CDM,10492585,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hours Pedi Platelet,680.0,238.0,,,0
CDM,10492586,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36 Hours Divided Wastage,345.0,120.75,,,0
CDM,10492587,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hours Divided Wastage,345.0,120.75,,,0
CDM,10492588,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36 Hours Divided,345.0,120.75,,,0
CDM,10492589,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hours Divided,345.0,120.75,,,0
CDM,10492590,Hb Pooled Platelets Leukoreduced Bact Lvds 36 Hours,580.0,203.0,,,0
CDM,10492591,Hb Pooled Platelets Leukoreduced Bact Lvds 36 Hours Wastage,580.0,203.0,,,0
CDM,10492592,Hb Patient Complete Phneotype,212.0,74.2,,,0
CDM,10492593,Hb Rhe Genotyping,318.0,111.3,,,0
CDM,10492594,Hb Hla Antibody Intermediate Resolution,516.0,180.6,,,0
CDM,10492595,Hb Direct Antigloublin Dat C3,26.0,9.1,,,0
CDM,10492598,Hb Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor,7245.0,2535.75,,,0
CDM,10492599,Hb Trnspl Prep Hematop Progen Thaw Prev Hrv Per Dnr,4904.0,1716.4,,,0
CDM,10492600,Hb Luminex Platelet Antibody Screen,420.0,147.0,,,0
CDM,10492601,Hb Fbrngen Cmplx Path Rdcd Prcfc 10,515.0,180.25,,,0
CDM,10492602,Hb Fbrngen Cmplx Path Rdcd Prcfc 15,1030.0,360.5,,,0
CDM,10492603,Hb Fbrngen Cmplx Path Rdcd Prcfc 20,1545.0,540.75,,,0
CDM,10492604,Hb Fbrngen Cmplx Path Rdcd Prcfc 30,2060.0,721.0,,,0
CDM,10492605,Hb Fbrngen Cmplx Path Rdcd Prcfc 40,2575.0,901.25,,,0
CDM,10492611,Hb Whole Blood Low Titer O Pos,759.0,265.65,,,0
CDM,10492612,Hb Pretx Serum Rbc Antibody Id Diffial Each Absorption,169.0,59.15,,,0
CDM,11000001,Hb Bed Private,3135.0,1097.25,,,0
CDM,11000002,Hb Bed Private Med Justified,3135.0,1097.25,,,0
CDM,11111111_207115,Hb Missing Supply Price Data Placeholder,746.12,261.14,,,0
CDM,11111111_209109,Hb Missing Supply Price Data Placeholder,828.24,289.88,,,0
CDM,11111111_209358,Hb Missing Supply Price Data Placeholder,23.19,8.12,,,0
CDM,11111111_211568,Hb Missing Supply Price Data Placeholder,23.19,8.12,,,0
CDM,11111111_212543,Hb Missing Supply Price Data Placeholder,713.67,249.78,,,0
CDM,12000001,Hb Bed Semi Private,3135.0,1097.25,,,0
CDM,12400001,Hb Bed Psych Semi Private,3347.0,1171.45,,,0
CDM,12800001,Hb Bed Pediatric Rehab,2329.0,815.15,,,0
CDM,12800002,Hb Bed Rehab Semi Private,2329.0,815.15,,,0
CDM,13600028,Hb Free Psa,6.78,2.37,,,0
CDM,13600036,Hb Proteinase Ab,27.15,9.5,,,0
CDM,13600044,Hb Myeloperoxidase Ab,27.15,9.5,,,0
CDM,13600051,Hb Lamontrigine,7.54,2.64,,,0
CDM,13600077,Hb Hpv High Risk Dna Analysis,28.0,9.8,,,0
CDM,13600085,Hb Citric Acid 24 Hr Ur,168.16,58.86,,,0
CDM,13600093,Hb Hiv Genotype,201.35,70.47,,,0
CDM,13600101,Hb Mycophenolic Acid,42.52,14.88,,,0
CDM,13600119,Hb Aspergillus Antigen,58.5,20.48,,,0
CDM,13600127,Hb Legionella Lgg Ab,102.6,35.91,,,0
CDM,13600135,"Hb Gabapentin, Whole Blood, Serum, Or Plasma",21.5,7.52,,,0
CDM,13600192,Hb Hva,35.84,12.54,,,0
CDM,13600325,Hb Estradiol Serum,17.25,6.04,,,0
CDM,13600366,Hb Afp Maternal Serum,36.0,12.6,,,0
CDM,13600382,Hb Afp Amniotic Fluid,57.0,19.95,,,0
CDM,13600465,Hb Afp Serum,32.0,11.2,,,0
CDM,13600481,Hb Estriol,17.25,6.04,,,0
CDM,13600549,Hb Anti Plat Ab,120.0,42.0,,,0
CDM,13600564,Hb Factor Viii Ag,15.3,5.36,,,0
CDM,13600572,Hb Tissue Culture Bl,259.0,90.65,,,0
CDM,13600580,Hb Two Karyotypes Bl,244.0,85.4,,,0
CDM,13600622,Hb Tissue Culture Am,259.0,90.65,,,0
CDM,13600630,Hb One Karyotype Am,159.0,55.65,,,0
CDM,13600648,Hb Additional Karyotypes Am,101.0,35.35,,,0
CDM,13600887,Hb Lactase,120.0,42.0,,,0
CDM,13600895,Hb Sucrase,120.0,42.0,,,0
CDM,13600903,Hb Maltase,120.0,42.0,,,0
CDM,13600911,Hb Palatinase,120.0,42.0,,,0
CDM,13600929,Hb Ihibin Level,37.0,12.95,,,0
CDM,13600937,Hb 14 3 3 Protein Spinal Fl,153.0,53.55,,,0
CDM,13600945,Hb Protein C Inhib Activated,26.35,9.22,,,0
CDM,13600946,Hb Estrone,30.5,10.68,,,0
CDM,13600952,Hb Proinsulin,39.6,13.86,,,0
CDM,13600960,Hb Endomysial Iga Antibody,27.88,9.76,,,0
CDM,13600986,Hb B2 Glycoprotein Igg Ab,38.01,13.3,,,0
CDM,13600994,Hb B2 Glycoprotein Igm Ab,38.01,13.3,,,0
CDM,13601000,Hb B2 Glycoprotein Iga Ab,38.01,13.3,,,0
CDM,13601018,Hb C2 Serum,23.76,8.32,,,0
CDM,13601042,Hb C1Q Serum,30.45,10.66,,,0
CDM,13601059,Hb C1 Esterase Inhibit Total,12.2,4.27,,,0
CDM,13601067,Hb West Nile Virus Rna Bld,210.79,73.78,,,0
CDM,13601232,Hb Porphyrin,33.43,11.7,,,0
CDM,13601240,Hb Porphobilinogen,34.45,12.06,,,0
CDM,13601257,Hb Viscosity,26.79,9.38,,,0
CDM,13601430,Hb Amino Acids Quant Serum,436.58,152.8,,,0
CDM,13601455,Hb Aminolevulinic Ac,80.54,28.19,,,0
CDM,13601463,Hb Aldolase,5.97,2.09,,,0
CDM,13601471,Hb Mitochondrial Ab,27.88,9.76,,,0
CDM,13601489,Hb Arsenic Blood,37.21,13.02,,,0
CDM,13601497,Hb Arsenic Urine,37.21,13.02,,,0
CDM,13601505,Hb Smooth Muscle Ab,7.17,2.51,,,0
CDM,13601547,Hb Calculus Analysis,13.6,4.76,,,0
CDM,13601562,Hb Carotene,11.2,3.92,,,0
CDM,13601570,Hb Catecholamines Urine,25.0,8.75,,,0
CDM,13601653,Hb Cyanide,68.8,24.08,,,0
CDM,13601661,Hb Copper Serum,38.0,13.3,,,0
CDM,13601760,Hb Rbc Folate,4.8,1.68,,,0
CDM,13601778,Hb Ethosuximide,21.1,7.38,,,0
CDM,13601786,Hb Erythrcyt Protpor,33.43,11.7,,,0
CDM,13601893,Hb 5 Hiaa,8.73,3.06,,,0
CDM,13601901,Hb Hla B27,13.7,4.8,,,0
CDM,13602057,Hb Lead Blood,6.4,2.24,,,0
CDM,13602065,Hb Lead Urine,6.4,2.24,,,0
CDM,13602131,Hb Mercury Blood,25.38,8.88,,,0
CDM,13602149,Hb Mercury Urine,31.96,11.19,,,0
CDM,13602164,Hb Metanephrines Urine 24Hr,15.62,5.47,,,0
CDM,13602180,Hb Nucleotidase,51.25,17.94,,,0
CDM,13602206,Hb Oxalate,19.21,6.72,,,0
CDM,13602461,Hb Cortisol Urine,9.6,3.36,,,0
CDM,13602495,Hb Vitamin D3,17.0,5.95,,,0
CDM,13602503,Hb Vitamin E,11.2,3.92,,,0
CDM,13602560,Hb Zinc,53.26,18.64,,,0
CDM,13603212,Hb Insulin,6.4,2.24,,,0
CDM,13603246,Hb Dhea S,71.54,25.04,,,0
CDM,13603303,Hb Progesterone,8.0,2.8,,,0
CDM,13603360,Hb Ige,35.0,12.25,,,0
CDM,13603394,Hb Androstenedione,17.6,6.16,,,0
CDM,13603451,Hb Parietal Cell Ab,18.2,6.37,,,0
CDM,13603469,Hb Ca27.29,9.6,3.36,,,0
CDM,13603477,Hb Liver Kidney Micro Ab,14.3,5.0,,,0
CDM,13603485,Hb Csf Angiotnesin Enzyme,11.83,4.14,,,0
CDM,13603493,Hb Islet Cell Ab,15.2,5.32,,,0
CDM,13603501,Hb Intrinsic Factor Ab,12.5,4.38,,,0
CDM,13603543,Hb Beta 2 Microglobulin S,8.0,2.8,,,0
CDM,13603576,Hb Beta 2 Microglobulin U,8.0,2.8,,,0
CDM,13603600,Hb Bile Acid,42.25,14.79,,,0
CDM,13603675,Hb Cold Agglutinin,3.2,1.12,,,0
CDM,13604012,Hb Nse,86.68,30.34,,,0
CDM,13604046,Hb Erythropoietin,15.2,5.32,,,0
CDM,13604079,Hb Vma Quantitative,12.7,4.44,,,0
CDM,13604293,Hb Lipid Electrophor,68.0,23.8,,,0
CDM,13604509,Hb Herpes Virus 6,70.7,24.74,,,0
CDM,13604566,Hb Methymalonic Acid,28.0,9.8,,,0
CDM,13604574,Hb Myelin Bas Pro Cs,11.2,3.92,,,0
CDM,13604608,Hb Vitamin A,11.2,3.92,,,0
CDM,13604640,Hb Copper Urine,8.74,3.06,,,0
CDM,13604814,Hb Pentobarbital,35.56,12.45,,,0
CDM,13604947,Hb Vitamin B6,11.2,3.92,,,0
CDM,13604962,Hb Catechol Plasma,25.0,8.75,,,0
CDM,13605092,Hb Microsporidia Stain,24.9,8.72,,,0
CDM,13605100,Hb Pancreatic Elastase 1,179.2,62.72,,,0
CDM,13605118,Hb Mannose Binding Lectin,80.0,28.0,,,0
CDM,13605126,Hb Centromere Antibody,9.09,3.18,,,0
CDM,13605134,Hb Serotonin Release Assay,120.0,42.0,,,0
CDM,13605142,Hb Cysticercosis Antibody,62.0,21.7,,,0
CDM,13605159,Hb Alternative Pathway,57.3,20.06,,,0
CDM,13605175,Hb Coxsackie B 1 Antibody,23.91,8.37,,,0
CDM,13605183,Hb Coxsackie B 2 Antibody,23.91,8.37,,,0
CDM,13605191,Hb Coxsackie B 3 Antibody,23.91,8.37,,,0
CDM,13605209,Hb Coxsackie B 4 Antibody,23.91,8.37,,,0
CDM,13605217,Hb Coxsackie B 5 Antibody,23.91,8.37,,,0
CDM,13605225,Hb Coxsackie B 6 Antibody,23.91,8.37,,,0
CDM,13605233,Hb Immune Cell Function,107.21,37.52,,,0
CDM,13605266,Hb Hypoglycemic Panel,110.0,38.5,,,0
CDM,13605308,Hb A1Atp Separation Id,158.46,55.46,,,0
CDM,13605340,Hb Hla Class I Donor Ab Scr,138.0,48.3,,,0
CDM,13605357,Hb Hla Class Ii Donor Ab Scr,138.0,48.3,,,0
CDM,13605365,Hb Hla Class I Ab Id,183.0,64.05,,,0
CDM,13605381,Hb Hla Class I I Ab Id Dr Dq,183.0,64.05,,,0
CDM,13605944,Hb Referred Misc,357.12,124.99,,,0
CDM,13606009,Hb Peroxidase Ab,14.05,4.92,,,0
CDM,13606017,Hb Thyroglobulin Ab,20.79,7.28,,,0
CDM,13606165,Hb Myco Urea Plasma Cult,30.49,10.67,,,0
CDM,13606264,Hb Rubella Igm Antibody,7.08,2.48,,,0
CDM,13606272,Hb Varicella Zoster Virus Igm Ant,8.4,2.94,,,0
CDM,13606363,Hb Hepatitis D Antibody,11.2,3.92,,,0
CDM,13606967,Hb Plasminogen,26.91,9.42,,,0
CDM,13607007,Hb Carnitine,309.86,108.45,,,0
CDM,13607163,Hb Vzv Igm,8.4,2.94,,,0
CDM,13607221,Hb Protein S,17.25,6.04,,,0
CDM,13607239,Hb Protein C Antigen,17.25,6.04,,,0
CDM,13607247,Hb E Histol Ab Iha,44.0,15.4,,,0
CDM,13607569,Hb Thyroid Stim Immglob,40.0,14.0,,,0
CDM,13607742,Hb Cocaine Confirmation Urine,65.27,22.84,,,0
CDM,13607908,Hb Volatiles,23.25,8.14,,,0
CDM,13607924,Hb Amino Acid Quant Urine,436.58,152.8,,,0
CDM,13607932,Hb Anti Histone Ab,15.0,5.25,,,0
CDM,13607973,Hb Chloride Fecal,14.95,5.23,,,0
CDM,13607981,Hb Fecal Osmolality,16.38,5.73,,,0
CDM,13607999,Hb Potassium Fecal,14.95,5.23,,,0
CDM,13608005,Hb Sodium Fecal,10.0,3.5,,,0
CDM,13608047,Hb Igg Subclasses,40.23,14.08,,,0
CDM,13608245,Hb Total Complement,7.2,2.52,,,0
CDM,13608278,Hb Histoplasma Antigen,103.0,36.05,,,0
CDM,13608286,Hb Psuedocholinesterase,7.51,2.63,,,0
CDM,13608294,Hb G 6Pd Level,6.4,2.24,,,0
CDM,13608302,Hb Anti Gad Antibodies,435.85,152.55,,,0
CDM,13609912,Hb Arsenic Quant,19.25,6.74,,,0
CDM,13609920,Hb Lead Quant,6.4,2.24,,,0
CDM,13609938,Hb Mercury Quant,19.25,6.74,,,0
CDM,13610571,Hb Anti Gbm,28.0,9.8,,,0
CDM,13610605,Hb California Encephalitis Igg,29.42,10.3,,,0
CDM,13610613,Hb California Encephalitis Igm,29.43,10.3,,,0
CDM,13610621,Hb Eastern Equine Enceph Igg,29.42,10.3,,,0
CDM,13610639,Hb Eastern Equine Enceph Igm,29.43,10.3,,,0
CDM,13610654,Hb St Louis Encephalitis Igg,29.42,10.3,,,0
CDM,13610662,Hb St Louis Encephalitis Igm,29.43,10.3,,,0
CDM,13610670,Hb Western Equine Enceph Igg,29.42,10.3,,,0
CDM,13610688,Hb Western Equine Enceph Igm,29.43,10.3,,,0
CDM,13610795,Hb Parvovirus B19 Igg Ab,16.0,5.6,,,0
CDM,13610803,Hb Parvovirus B19 Igm Ab,16.0,5.6,,,0
CDM,13610902,Hb Primadone,62.0,21.7,,,0
CDM,13611025,Hb Tricyclics Quant Serum,145.0,50.75,,,0
CDM,13611033,Hb Topiramate,20.0,7.0,,,0
CDM,13611116,Hb Amiodarone,13.97,4.89,,,0
CDM,13611124,Hb Levetiracetam,22.84,7.99,,,0
CDM,13611231,Hb Fructosamine,4.67,1.63,,,0
CDM,13611249,Hb Apolipoprotein A1,12.39,4.34,,,0
CDM,13611256,Hb Apolipoprotein B,12.39,4.34,,,0
CDM,13611298,Hb Dengue Fever Igg,54.25,18.99,,,0
CDM,13611306,Hb Dengue Fever Igm,54.25,18.99,,,0
CDM,13611314,Hb Hhv6 Pcr,70.7,24.74,,,0
CDM,13611322,Hb Vwf Activity,15.3,5.36,,,0
CDM,13611330,Hb Vwf Multimeric Anal,41.2,14.42,,,0
CDM,13611348,Hb Oxcarbazepine,24.85,8.7,,,0
CDM,13611355,Hb Catecholamines Ran Urine,17.33,6.07,,,0
CDM,13611363,Hb Vma Random Urine,9.6,3.36,,,0
CDM,13611371,Hb Metanephrines Urine Ran,19.98,6.99,,,0
CDM,13611389,Hb Biotinidase Serum,78.17,27.36,,,0
CDM,13611397,Hb Acylcarnitine Plasma,309.86,108.45,,,0
CDM,13611405,Hb Ethylene Glycol Blood,6.4,2.24,,,0
CDM,13611421,Hb Brucella Antibody Igg,36.0,12.6,,,0
CDM,13611439,Hb Brucella Antibody Igm,36.0,12.6,,,0
CDM,13611447,Hb Q Fever Igg Phase I Ab,30.0,10.5,,,0
CDM,13611454,Hb Q Fever Igg Phase Ii Ab,30.0,10.5,,,0
CDM,13611462,Hb Q Fever Igm Phase I Ab,30.0,10.5,,,0
CDM,13611470,Hb Q Fever Igm Phase Ii Ab,30.0,10.5,,,0
CDM,13611520,Hb Lyme Antibody Csf,124.0,43.4,,,0
CDM,13611538,Hb Pth Related Protein,40.0,14.0,,,0
CDM,13622568,Hb Hfe Separation,100.0,35.0,,,0
CDM,13622584,Hb Thiamine Vit B1,30.93,10.83,,,0
CDM,13629027,Hb West Nile Igg,39.2,13.72,,,0
CDM,13629035,Hb West Nile Igm,39.2,13.72,,,0
CDM,13629043,Hb West Nile Igg Csf,39.0,13.65,,,0
CDM,13629050,Hb West Nile Igm Csf,39.0,13.65,,,0
CDM,13630009,"Hb Blood Typing, Serologic; Abo",24.0,8.4,,,0
CDM,13630025,Hb Antibody Screen Blood,108.0,37.8,,,0
CDM,13630082,"Hb Rh Typing, Serologic",24.0,8.4,,,0
CDM,13636105,Hb R Henselae Ab Igg,4.96,1.74,,,0
CDM,13636113,Hb R Henselae Ab Igm,4.96,1.74,,,0
CDM,13636121,Hb R Quintana Ab Igg,4.96,1.74,,,0
CDM,13636139,Hb R Quintana Ab Igm,4.97,1.74,,,0
CDM,13636154,Hb Dubuciane Inhibition,48.3,16.9,,,0
CDM,13636162,Hb Scl 70 Antibody,10.26,3.59,,,0
CDM,13636170,Hb Trypsinogen,23.0,8.05,,,0
CDM,13640008,Hb Cryoglobulin,14.0,4.9,,,0
CDM,13640024,Hb Anti Strep O Aso,4.8,1.68,,,0
CDM,13640065,Hb Alph I Antitrypsn,8.0,2.8,,,0
CDM,13640081,Hb Desipramine,61.58,21.55,,,0
CDM,13640123,Hb Free Valproic Acid,25.3,8.86,,,0
CDM,13640149,Hb Amitriptyline,11.2,3.92,,,0
CDM,13640164,Hb Imipramine,42.39,14.84,,,0
CDM,13640180,Hb Free Carbamazepine,26.25,9.19,,,0
CDM,13650049,Hb Chlamydia Igg Antibody,105.0,36.75,,,0
CDM,13660089,Hb Renin Single,14.4,5.04,,,0
CDM,13660105,Hb Gastrin,9.6,3.36,,,0
CDM,13660113,Hb Gliadin Igg Ab,20.6,7.21,,,0
CDM,13660121,Hb Gliadin Iga Ab,20.6,7.21,,,0
CDM,13660139,Hb Zonegran Level,34.65,12.13,,,0
CDM,13660147,Hb Vasoactive Immunopeptide,17.45,6.11,,,0
CDM,13660170,Hb C1 Functional Inhibitor,16.5,5.78,,,0
CDM,13660188,Hb Jo 1 Antibody,16.42,5.75,,,0
CDM,13660196,Hb Yo Antibody Csf,140.0,49.0,,,0
CDM,13660204,Hb Yo Antiibodt Serum,90.0,31.5,,,0
CDM,13660212,Hb Hu Antibody Serum,31.57,11.05,,,0
CDM,13660220,Hb Hu Antibody Csf,62.04,21.71,,,0
CDM,13660279,Hb Hltv12 Antibody,19.66,6.88,,,0
CDM,13660287,Hb Metanephrines Plasma,64.75,22.66,,,0
CDM,13660295,Hb Procainamide,8.8,3.08,,,0
CDM,13660303,Hb Mycoplasma Igm Ab,142.4,49.84,,,0
CDM,13660311,Hb Coccidioides Igg,35.67,12.48,,,0
CDM,13660329,Hb Coccidiodes Iga,35.67,12.48,,,0
CDM,13660337,Hb Coccidiodes Igm,35.67,12.48,,,0
CDM,13660345,Hb Beta 2 Transferrin Csf,193.17,67.61,,,0
CDM,13660378,Hb Lupus Ptt,9.6,3.36,,,0
CDM,13660386,Hb Lupus Drvvt Screen,21.89,7.66,,,0
CDM,13660394,Hb Sma Tissue Culture,253.0,88.55,,,0
CDM,13660402,Hb Sma Intrep And Report,56.0,19.6,,,0
CDM,13660410,Hb Sma Isolation And Extraction,1854.0,648.9,,,0
CDM,13660428,Hb Sma In Situ Hybridization,265.0,92.75,,,0
CDM,13660469,Hb Nicotine,70.2,24.57,,,0
CDM,13660485,Hb Strongyloides Igg Ab,45.4,15.89,,,0
CDM,13660527,Hb Kappa Free Serum,240.0,84.0,,,0
CDM,13660535,Hb Lambda Free Serum,240.0,84.0,,,0
CDM,13660543,Hb Kappa Free Urine,56.0,19.6,,,0
CDM,13660550,Hb Lambda Free Urine,56.0,19.6,,,0
CDM,13660568,Hb Hepatitis C Genotype,104.0,36.4,,,0
CDM,13660576,Hb Hexagonal Phase Confirm,12.76,4.47,,,0
CDM,13660584,Hb Lyme Ab Total Serum,7.5,2.62,,,0
CDM,13660592,Hb Drvvt Confirm,30.07,10.52,,,0
CDM,13660675,Hb Plac 2,50.0,17.5,,,0
CDM,13689013,Hb Acth,14.83,5.19,,,0
CDM,13689021,Hb Aldosterone Serum,15.6,5.46,,,0
CDM,13689047,Hb Aldosterone Urine,16.95,5.93,,,0
CDM,13689070,Hb Calcitonin,14.4,5.04,,,0
CDM,13689161,Hb Estrogen Total,18.0,6.3,,,0
CDM,13689187,Hb Glucagon,33.43,11.7,,,0
CDM,13689229,Hb 17 Hydroxyprog,14.43,5.05,,,0
CDM,13689294,Hb T3 Reverse,42.0,14.7,,,0
CDM,13689310,Hb Thyroid Bind Glob,16.0,5.6,,,0
CDM,13689336,Hb Testosterone Free,15.2,5.32,,,0
CDM,13689385,Hb Acet Recept Antibody,50.0,17.5,,,0
CDM,13689401,Hb Somatomedin C,57.4,20.09,,,0
CDM,13689427,Hb Rast,5.14,1.8,,,0
CDM,13691001,Hb Human Growth Hormone,6.4,2.24,,,0
CDM,13691274,Hb Hepatitis Be Antgn,6.4,2.24,,,0
CDM,13691282,Hb Hepatitis Be Abdy,6.4,2.24,,,0
CDM,13692488,Hb Angiotensin Enzyme,11.73,4.11,,,0
CDM,13692504,Hb Somatostatin,57.4,20.09,,,0
CDM,13692512,Hb Chromogranin A,56.0,19.6,,,0
CDM,13692520,Hb Soluble Transferrin Rec,45.0,15.75,,,0
CDM,13692538,Hb Tissue Transglut Igg,32.15,11.25,,,0
CDM,13692546,Hb Tissue Transglut Iga,32.15,11.25,,,0
CDM,13692595,Hb Cytogenetic Report,39.0,13.65,,,0
CDM,13692603,Hb Tissue Culture Poc,259.0,90.65,,,0
CDM,13692611,Hb 2 Karyotypes Poc,244.0,85.4,,,0
CDM,13692629,Hb Additional Karyotype Poc,101.0,35.35,,,0
CDM,13692637,Hb Additional Karyotype Bl,101.0,35.35,,,0
CDM,13692645,Hb In Situ Hybrid Insight,130.0,45.5,,,0
CDM,13692652,Hb Fish For 13,45.0,15.75,,,0
CDM,13692660,Hb Fish For 18,45.0,15.75,,,0
CDM,13692678,Hb Fish For 21,45.0,15.75,,,0
CDM,13694323,Hb  Chlamydia Igm Antibody,105.0,36.75,,,0
CDM,13694324,Hb Des Gamma Carboxy  Prothrombin,159.54,55.84,,,0
CDM,13694325,Hb Leflunomide Metabolite,114.54,40.09,,,0
CDM,13694332,Hb Drug Screen Quantalcohols,5.0,1.75,,,0
CDM,13694333,Hb Alcohols Biomarkers 1Or 2,5.0,1.75,,,0
CDM,13694334,Hb Amphetamines 5 Or More,5.0,1.75,,,0
CDM,13694335,Hb Analgesics Non-Opioid 3-5,5.0,1.75,,,0
CDM,13694336,Hb Antidepressants Class 3-5,5.0,1.75,,,0
CDM,13694337,Hb Tricyclic & Cyclicals 6/More,5.0,1.75,,,0
CDM,13694338,Hb Antidepressant Not Specified,5.0,1.75,,,0
CDM,13694339,Hb Antiepileptics Nos 4-6,5.0,1.75,,,0
CDM,13694340,Hb Antipsychotics Nos 7/More,5.0,1.75,,,0
CDM,13694341,Hb Benzodiazepines 1-12,5.0,1.75,,,0
CDM,13694342,Hb Drug Screening Buprenorphine,5.0,1.75,,,0
CDM,13694343,Hb Cannabinoids Natural,5.0,1.75,,,0
CDM,13694344,Hb Drug Screening Cocaine,5.0,1.75,,,0
CDM,13694345,Hb Drug Screening Fentanyl,5.0,1.75,,,0
CDM,13694346,Hb Gabapentin Non-Blood,5.0,1.75,,,0
CDM,13694347,Hb Heroin Metabolite,5.0,1.75,,,0
CDM,13694348,Hb Ketamine And Norketamine,5.0,1.75,,,0
CDM,13694349,Hb Methylenedioxyamphetamines,5.0,1.75,,,0
CDM,13694350,Hb Methylphenidate,5.0,1.75,,,0
CDM,13694351,Hb Opiates 1 Or More,5.0,1.75,,,0
CDM,13694352,Hb Opioid &Opiate Analog 5/More,5.0,1.75,,,0
CDM,13694353,Hb Drug Screening Oxycodone,5.0,1.75,,,0
CDM,13694354,Hb Drug Screening Pregabalin,5.0,1.75,,,0
CDM,13694355,Hb Drug Screening Propoxyphene,5.0,1.75,,,0
CDM,13694356,Hb Sedative Hypnotics,5.0,1.75,,,0
CDM,13694357,Hb Skel Musc Relaxant 3 Or More,5.0,1.75,,,0
CDM,13694358,Hb Drug Screening Tapentadol,5.0,1.75,,,0
CDM,13694359,Hb Drug Screening Tramadol,5.0,1.75,,,0
CDM,13694360,Hb Drug/Substance Nos 7/More,5.0,1.75,,,0
CDM,13694361,Hb Assay For Phencyclidine,4.0,1.4,,,0
CDM,13694364,Hb Lyme Western Blot,21.6,7.56,,,0
CDM,13694365,Hb Anti-Mullerian Hormone,81.6,28.56,,,0
CDM,13694366,Hb Hepatitis E Antibodies Igg,88.12,30.84,,,0
CDM,13694367,Hb Hepatitis E Antibodies Igm,88.12,30.84,,,0
CDM,13694368,Hb Voriconazole Hplc,119.34,41.77,,,0
CDM,13694369,Hb Tpmt Activity,285.03,99.76,,,0
CDM,13694370,Hb Tpmt Genotype,210.0,73.5,,,0
CDM,13694371,"Hb Vitamin C, Lc/Ms",35.0,12.25,,,0
CDM,13694372,Hb Voltage Gated Calcium Channel Antibody,86.45,30.26,,,0
CDM,13694373,Hb Von Willebrand Factor Collagen Binding Assay,220.0,77.0,,,0
CDM,13694374,Hb Ri Antibody Screen W/Reflex,95.0,33.25,,,0
CDM,13694377,Hb Alpha-1 Antitrypsin Mutation Analysis,135.0,47.25,,,0
CDM,13694378,Hb Ace Polymorphism,210.0,73.5,,,0
CDM,13694379,Hb Acetylcholine Receptor Modulating Antibody,68.0,23.8,,,0
CDM,13694380,Hb Alpha-Globin Common Mutation,314.18,109.96,,,0
CDM,13694394,Hb Beta Globin Complete,698.0,244.3,,,0
CDM,13694395,"Hb Calprotectin, Stool",140.0,49.0,,,0
CDM,13694396,"Hb Cortisol, Saliva",38.0,13.3,,,0
CDM,13694397,Hb Dexamethasone,85.6,29.96,,,0
CDM,13694398,"Hb Factor Xiii, Functional",60.49,21.17,,,0
CDM,13694399,Hb Histamine Release,100.0,35.0,,,0
CDM,13694400,Hb Insulin Autoantibody,75.0,26.25,,,0
CDM,13694401,"Hb Interleukin-1 Receptor, Eia",112.86,39.5,,,0
CDM,13694402,Hb Assay Of Apolipoprotein,48.12,16.84,,,0
CDM,13694406,Hb Assay Nephelometry Not Spec,48.13,16.85,,,0
CDM,13694408,Hb Lymphocyte Transformation,216.0,75.6,,,0
CDM,13694409,"Hb Neutrophil Function, Oxidative Burst",112.0,39.2,,,0
CDM,13694410,Hb Flowcytometry/ Tc 1 Marker,47.5,16.62,,,0
CDM,13694411,Hb Flowcytometry/Tc Add-On,23.75,8.31,,,0
CDM,13694413,Hb Tissue Plasminogen Activator,150.0,52.5,,,0
CDM,13694414,Hb Phosphatidylethanol (Peth),70.0,24.5,,,0
CDM,13694423,Hb Chagas Donor Screen,45.0,15.75,,,0
CDM,13694424,"Hb Organic Acids, Full Panel, Quantitative Random Urine",194.88,68.21,,,0
CDM,13694425,"Hb Creatinine, Random Urine",194.88,68.21,,,0
CDM,13694426,Hb Accelerate Phenotest,1316.0,460.6,,,0
CDM,13694427,Hb Copeptin,13.6,4.76,,,0
CDM,13694428,Hb Chromatin Antibody,46.25,16.19,,,0
CDM,13694430,Hb Inhibin A,23.0,8.05,,,0
CDM,13694431,Hb Inhibin B,88.0,30.8,,,0
CDM,13694437,Hb Parvovirus B19Dna Qnt Pcr,179.0,62.65,,,0
CDM,13694438,Hb Adenovirus Qnt Pcr Adenovirus,275.0,96.25,,,0
CDM,13694439,Hb Adalimumab Level And Anti-Drug Antibody,213.0,74.55,,,0
CDM,13694440,Hb Adalimumab Level And Anti-Drug Antibody,213.0,74.55,,,0
CDM,13694441,Hb Tryptase,41.0,14.35,,,0
CDM,13694442,Hb Infliximab Level And Anti-Drug Antibody Ibd,213.0,74.55,,,0
CDM,13694443,Hb Infliximab Level And Anti-Drug Antibody Ibd,213.0,74.55,,,0
CDM,13694444,"Hb Aspergillus Antigen, Eia, Bal",59.0,20.65,,,0
CDM,13694445,"Hb Aquaporin-4 Antibody With Reflex To Titer, Csf",529.0,185.15,,,0
CDM,13694446,"Hb Aquaporin-4 Antibody With Reflex To Titer, Serum",529.0,185.15,,,0
CDM,13694447,"Hb Myelin Oligodendrocyte Glycoprotein (Mog) Antibdy W/Rflx To Titer, Csf",529.0,185.15,,,0
CDM,13694448,"Hb Myelin Oligodendrocyte Glycoprotein (Mog) Antibdy W/Rflx To Titer, Serum",529.0,185.15,,,0
CDM,13694449,Hb Assay Of Thyroglobulin,11.0,3.85,,,0
CDM,13694450,Hb Ab: Thyroglobulin,10.0,3.5,,,0
CDM,13694451,Hb Methylene Tetrohydrofolate Mutation,100.0,35.0,,,0
CDM,13694452,Hb Fluorescent Ab; Scrn Ea Ab,1425.0,498.75,,,0
CDM,13694453,Hb Islet Cell Antibody,75.0,26.25,,,0
CDM,13694454,Hb Fluorescent Ab; Scrn Ea Ab,1986.0,695.1,,,0
CDM,13694455,Hb Islet Cell Antibody,105.0,36.75,,,0
CDM,13694456,Hb Ria Nonantibody,209.0,73.15,,,0
CDM,13694460,Hb Fluorescent Ab; Scrn Ea Ab,499.0,174.65,,,0
CDM,13694461,Hb Ria Nonantibody,222.0,77.7,,,0
CDM,13694462,Hb Immunoassay Quant Nos Nonab,55.0,19.25,,,0
CDM,13694468,Hb Food Allergy Panel X15,107.0,37.45,,,0
CDM,13694469,Hb Streptococcus Pneumo Antibody 23 Serotypes,96.49,33.77,,,0
CDM,13694470,Hb Rbc Magnesium,66.0,23.1,,,0
CDM,13694471,Hb Iodine Serum Or Plasma,96.0,33.6,,,0
CDM,13694472,Hb Zinc Rbc,75.23,26.33,,,0
CDM,13694473,"Hb Herpesvirus 6 (Hhv-6)Dna, Quantitative Rt Pcr",275.0,96.25,,,0
CDM,13694516,"Hb Vdlr, Csf",23.0,8.05,,,0
CDM,13694519,Nt-Probnp,129.0,45.15,,,0
CDM,13694520,Hb Assay Of Gammaglobulin Iga Igd Igg Igm Each,187.3,65.56,,,0
CDM,13694521,Hb Immunofixj Electrophoresis Serum,187.29,65.55,,,0
CDM,13694523,"Hb Donor, Hiv-1/Hiv-2 Plus O Antibody Screen",100.52,35.18,,,0
CDM,13694524,"Hb Donor, Hepatitis B Surface Antigen Reflex To Confirmation",100.52,35.18,,,0
CDM,13694525,"Hb Donor, Hepatitis B Core Total Antibody",100.52,35.18,,,0
CDM,13694526,"Hb Donor, Hepatitis C Antibody (Anti-Hcv)",100.52,35.18,,,0
CDM,13694527,"Hb Donor, Htlv-I/Ii Antibody Screen",100.52,35.18,,,0
CDM,13694528,"Hb Donor, Cytomegalovirus (Cmv) Total Antibodies",100.52,35.18,,,0
CDM,13694529,"Hb Donor, Detect Agnt Mult Dna Ampli",100.52,35.18,,,0
CDM,13694531,"Hb Donor, Treponema Pallidum",100.53,35.19,,,0
CDM,13694533,"Hb 1,3 Beta D Glucan Assay, Fungitell",65.0,22.75,,,0
CDM,13694534,Hb Phospholipase A2 Receptor Panel,75.0,26.25,,,0
CDM,13694535,Hb Pku Newborn Screen Test,30.0,10.5,,,0
CDM,13694536,"Hb Borrelia Species Dna, Qualitative Real-Time Pcr, Csf/Synovial/Blood",45.25,15.84,,,0
CDM,13694537,Hb Antibody Diphtheria,20.0,7.0,,,0
CDM,13694538,Hb Antibody Tetanus,20.0,7.0,,,0
CDM,13694539,"Hb Interleukin 2 Receptor, Soluble, Serum",90.0,31.5,,,0
CDM,13694540,"Hb Interleukin-2 Receptor, Soluble, Csf",90.0,31.5,,,0
CDM,13694542,Hb Cytomegalovirus Igg,80.86,28.3,,,0
CDM,13694543,Hb Rbella Igg Ab,11.97,4.19,,,0
CDM,13694544,Hb Toxoplasma Igg Ab Blood,7.2,2.52,,,0
CDM,13694545,Hb Sars-Cov Igg Antibody,65.0,22.75,,,0
CDM,13694546,Hb Sars Cov-2 Spike Protein Igg,65.0,22.75,,,0
CDM,13694547,Hb Alinity M Hpv Assay,35.09,12.28,,,0
CDM,13699997,Hb Treponema Pallidum Igg  (Neonatal) Antibody Panel,23.0,8.05,,,0
CDM,13699998,Hb Treponema Pallidum Igm  (Neonatal) Antibody Panel,23.0,8.05,,,0
CDM,13700000,Hb Crd Hrt Mrna,2201.95,770.68,,,0
CDM,13700002,Hb Helicobacter Pylori Culture,68.5,23.98,,,0
CDM,13700003,Hb Heptatis A Antibody Total,62.4,21.84,,,0
CDM,13700005,Hb Toxoplasma Gondii Igg Antibody Fluid,53.0,18.55,,,0
CDM,13700006,Hb Toxoplasma Gondii Igm Antibody Fluid,37.0,12.95,,,0
CDM,13800032,Hb Giemsa Stain,181.0,63.35,,,0
CDM,13800040,Hb Wright Stain,181.0,63.35,,,0
CDM,13800503,Hb Antithrombin Iii,643.0,225.05,,,0
CDM,13800552,Hb Factor Ix,543.0,190.05,,,0
CDM,13800586,Hb Factor Inhibitor Assay,1350.0,472.5,,,0
CDM,13800834,Hb Activated Clot,346.0,121.1,,,0
CDM,13800859,Hb Aptt,217.0,75.95,,,0
CDM,13800883,Hb Cell Count W Diff Csf,294.0,102.9,,,0
CDM,13800933,Hb Sed Rate Esr,266.0,93.1,,,0
CDM,13800941,Hb Factor Xi Level,552.0,193.2,,,0
CDM,13800958,Hb Factor Xii Level,543.0,190.05,,,0
CDM,13800966,Hb Factor Xiii,56.0,19.6,,,0
CDM,13800974,Hb Factor V Level,552.0,193.2,,,0
CDM,13800982,Hb Factor Vii Level,543.0,190.05,,,0
CDM,13800990,Hb Factor Viii,543.0,190.05,,,0
CDM,13801014,Hb Cell Count W Diff Fld,294.0,102.9,,,0
CDM,13801022,Hb Fibrin Split Prod,526.0,184.1,,,0
CDM,13801030,Hb Fibrinogen Level,358.0,125.3,,,0
CDM,13801097,Hb Heinz Body Prep,74.0,25.9,,,0
CDM,13801105,Hb Hematocrit,182.0,63.7,,,0
CDM,13801113,Hb Hemoglobin,136.0,47.6,,,0
CDM,13801121,Hb Hemogram,288.0,100.8,,,0
CDM,13801139,Hb Hexagonal Phospholipid,278.0,97.3,,,0
CDM,13801154,Hb Inhibitor Scrn W Incub,645.0,225.75,,,0
CDM,13801204,Hb Malaria Smear,366.0,128.1,,,0
CDM,13801253,Hb Peroxidase Stain,505.0,176.75,,,0
CDM,13801295,Hb Prothrombin Time W Inr,187.0,65.45,,,0
CDM,13801329,Hb Reticulocyte Cnt,140.0,49.0,,,0
CDM,13801345,Hb Sickle Cell Scrn,124.0,43.4,,,0
CDM,13801352,Hb Thrombin Time,181.0,63.35,,,0
CDM,13801402,Hb Monospot,277.0,96.95,,,0
CDM,13801410,Hb Preg Test Beta Serum,317.0,110.95,,,0
CDM,13801600,Hb Russels Viper Venom,273.0,95.55,,,0
CDM,13801709,Hb Mixing Study Ptt,645.0,225.75,,,0
CDM,13801717,Hb Mixing Study Pt,66.0,23.1,,,0
CDM,13803150,Hb Cbc,351.0,122.85,,,0
CDM,13804208,Hb Wri St Periph Smr,247.0,86.45,,,0
CDM,13804695,Hb Platelet Count,183.0,64.05,,,0
CDM,13804711,Hb Plt Funct Epi,590.0,206.5,,,0
CDM,13804729,Hb Plt Funct Adp,590.0,206.5,,,0
CDM,13804919,Hb Protein C Activity,645.0,225.75,,,0
CDM,13804927,Hb Protein S Free Activity,657.0,229.95,,,0
CDM,13805221,Hb Heparin Anti Xa,451.0,157.85,,,0
CDM,13807490,Hb D Dimer Quant,626.0,219.1,,,0
CDM,13808324,Hb Lupus Confirm,273.0,95.55,,,0
CDM,13808340,Hb Wright Stain Buffy Coat,114.0,39.9,,,0
CDM,13817622,Hb Csf Cell Count Only,100.0,35.0,,,0
CDM,13817648,Hb Fibrinolysis,427.0,149.45,,,0
CDM,13817655,Hb Clot Lysis Time,231.0,80.85,,,0
CDM,13817663,Hb Platelet Aggregation,590.0,206.5,,,0
CDM,13817671,Hb Fibrinogen Teg,358.0,125.3,,,0
CDM,13817697,Hb D Dimer Ultra Sensitive,626.0,219.1,,,0
CDM,13817705,Hb Apt Downy Hgb,162.0,56.7,,,0
CDM,13817713,Hb Preg Test Beta Urine,231.0,80.85,,,0
CDM,13817721,Hb Crystals Micro Ex,222.0,77.7,,,0
CDM,13817739,Hb Eosinophil Smear,185.0,64.75,,,0
CDM,13817747,Hb Fecal Fat Stain,87.0,30.45,,,0
CDM,13817754,Hb Hemosiderin Scrn,44.0,15.4,,,0
CDM,13817762,Hb Guaiac Occult Blood Feces,51.0,17.85,,,0
CDM,13817788,Hb Ua With Microscopy,177.0,61.95,,,0
CDM,13817796,Hb Ketones Urine,152.0,53.2,,,0
CDM,13817804,Hb Spec Gravity Urn,152.0,53.2,,,0
CDM,13817812,Hb Wright Stain Fecl,288.0,100.8,,,0
CDM,13817820,Hb Treponemal Ab,281.0,98.35,,,0
CDM,13817838,Hb Urine Ph,186.0,65.1,,,0
CDM,13817846,Hb Rpr Screen,242.0,84.7,,,0
CDM,13817853,Hb Rpr Titer,182.0,63.7,,,0
CDM,13817861,Hb Gastric Occult Blood,64.0,22.4,,,0
CDM,13817879,Hb Fecal Ph,17.0,5.95,,,0
CDM,13817887,Hb Platelet Agg Collagen,590.0,206.5,,,0
CDM,13817895,Hb Platelet Agg Adp,590.0,206.5,,,0
CDM,13817903,Hb Platelet Agg Asa,590.0,206.5,,,0
CDM,13820000,Hb Verifynow Aspirin Test,590.0,206.5,,,0
CDM,13820001,Hb P2Y12 Verifynow,590.0,206.5,,,0
CDM,13821001,Hb Neonatal Ptt,217.0,75.95,,,0
CDM,13830001,Hb Lamellar Body Count,346.0,121.1,,,0
CDM,13830002,Hb Amniostat,122.0,42.7,,,0
CDM,13896501,Hb Obstetric Panel,457.0,159.95,,,0
CDM,13896502,Hb Citrated Platelet Count,183.0,64.05,,,0
CDM,13896503,Hb Reticulated Hemoglobin Mean,214.0,74.9,,,0
CDM,13896504,Hb Rapid Teg R,346.0,121.1,,,0
CDM,13896505,Hb Rapid Teg K,358.0,125.3,,,0
CDM,13896507,Hb Rapid Teg Ma,590.0,206.5,,,0
CDM,13896508,Hb Rapid Teg Lysis,427.0,149.45,,,0
CDM,13896509,Hb Immature Paltelet Fraction,221.0,77.35,,,0
CDM,13896513,Hb Immunoassay Fecal Occult Blood,464.0,162.4,,,0
CDM,13896514,Hb Fecal Blood Scrn Immunoassay,96.0,33.6,,,0
CDM,13896515,Hb Complete Cbc Automated,288.0,100.8,,,0
CDM,13896516,Hb Bl Smear W/Diff Wbc Count,72.0,25.2,,,0
CDM,13896517,Hb Bl Smear W/O Diff Wbc Count,69.0,24.15,,,0
CDM,13896518,Hb C1Q- Class I Antibody Identification,690.0,241.5,,,0
CDM,13896519,Hb C1Q- Class Ii Antibody Identification,598.0,209.3,,,0
CDM,13896521,Hb Supplemental Class Ii Antibody Identification,395.0,138.25,,,0
CDM,13896522,Hb Neoptt Hepzyme Treated Ptt,145.0,50.75,,,0
CDM,13896523,Hb Heparin Neutralization,150.0,52.5,,,0
CDM,13896524,Hb Neodmr Hepzyme Treated Ddimer,256.0,89.6,,,0
CDM,13896525,Hb Neofib Hepzyme Treated Fibrinogen,204.0,71.4,,,0
CDM,13896526,Hb Neopt Hepzyme Treated Pt,105.0,36.75,,,0
CDM,13896527,Hb Heplmw Anti Xa Low Molecular,299.0,104.65,,,0
CDM,13896528,Hb Hepuf Anti Xa For Unfractionated Heparin,299.0,104.65,,,0
CDM,13896529,Hb Prothrombin Time W Inr,187.0,65.45,,,0
CDM,13896530,Hb Complete Cbc Automated,288.0,100.8,,,0
CDM,13896531,Hb Citrated Platelet Count,183.0,64.05,,,0
CDM,13896532,Hb Cbc,351.0,122.85,,,0
CDM,13896533,Hb Adamts13 Inhibitor,220.0,77.0,,,0
CDM,13896534,Hb Adamts13 Activity,77.0,26.95,,,0
CDM,13896535,Hb Act Platelet Mapping For Asp,51.0,17.85,,,0
CDM,13896536,Hb Fibrinogen Activity Platelet Mapping For Asp,98.0,34.3,,,0
CDM,13896537,Hb Fibrinolysins Screen Platelet Mapping For Asp,51.0,17.85,,,0
CDM,13896538,Hb Blood Platelet Aggregation Platelet Mapping For Asp,109.0,38.15,,,0
CDM,13896539,Hb Act Platelet Mapping Asp And Plav,58.0,20.3,,,0
CDM,13896540,Hb Fibrinogen Activity Platelet Mapping Asp And Plav,116.0,40.6,,,0
CDM,13896541,Hb Fibrinolysins Screen Platelet Mapping  Asp And Plav,58.0,20.3,,,0
CDM,13896542,Hb Blood Platelet Aggregation Platelet Mapping For Asp And Plav,125.0,43.75,,,0
CDM,13896543,Hb Reducing Substances,161.0,56.35,,,0
CDM,13896544,Hb Complete Cbc Automated (General Health Panel Only),86.0,30.1,,,0
CDM,13896545,Hb Bl Smear W/Diff Wbc Count (General Health Panel Only),86.0,30.1,,,0
CDM,13896546,Hb Cbc (General Health Panel Only),86.0,30.1,,,0
CDM,13896547,Hb Treponemal Ab,281.0,98.35,,,0
CDM,13900014,Hb Strep Screen Gp A,403.0,141.05,,,0
CDM,13900022,Hb Giardia Antigen,100.0,35.0,,,0
CDM,13900030,Hb Cryptosporidium Antigen,100.0,35.0,,,0
CDM,13900055,Hb Cryptosporidium Smr,479.0,167.65,,,0
CDM,13900063,Hb Acrid Orange Smr,479.0,167.65,,,0
CDM,13900071,Hb Bal Quantitative Culture,602.0,210.7,,,0
CDM,13901004,Hb Adenvirus By Dfa Id,140.0,49.0,,,0
CDM,13901061,Hb Chlamydia Culture,227.0,79.45,,,0
CDM,13901079,Hb Cmv Blood Culture,758.0,265.3,,,0
CDM,13901087,Hb Cmv Culture,758.0,265.3,,,0
CDM,13901095,Hb Cmv Smear,394.0,137.9,,,0
CDM,13901103,Hb Enterovirus Cult,758.0,265.3,,,0
CDM,13901129,Hb Influ A By Dfa Id,140.0,49.0,,,0
CDM,13901137,Hb Influ B By Dfa Id,140.0,49.0,,,0
CDM,13901152,Hb Resp Sync Vir Smr,311.0,108.85,,,0
CDM,13901160,Hb Rotavirus Antigen,234.0,81.9,,,0
CDM,13901161,Hb Solana Detect Agent Nos Dna Amp,116.0,40.6,,,0
CDM,13901186,Hb Parainfluenza Dfa Ab,140.0,49.0,,,0
CDM,13901194,Hb Viral Clt Typing,758.0,265.3,,,0
CDM,13901236,Hb Vzv Culture,758.0,265.3,,,0
CDM,13901244,Hb Vzv Smear,412.0,144.2,,,0
CDM,13901251,Hb Hemadsorption 1,161.0,56.35,,,0
CDM,13901269,Hb Hemadsorption 2,161.0,56.35,,,0
CDM,13901277,Hb Resp Viral Panel Cult,758.0,265.3,,,0
CDM,13901285,Hb Viral Smear,426.0,149.1,,,0
CDM,13901350,Hb Resp Cyst Fibrosis Culture,598.0,209.3,,,0
CDM,13901368,Hb Resp Lung Transplant Cult,598.0,209.3,,,0
CDM,13901376,Hb Strp B Screen Culture,403.0,141.05,,,0
CDM,13902176,Hb Bord Pertussis Smr,1063.0,372.05,,,0
CDM,13902309,Hb Bacterial Identification,193.0,67.55,,,0
CDM,13902317,Hb Urine Bacteria Identification,193.0,67.55,,,0
CDM,13902333,Hb Anaerobic Identification,181.0,63.35,,,0
CDM,13902341,Hb Fungal Identification,144.0,50.4,,,0
CDM,13902366,Hb Acanthamoeba Culture,403.0,141.05,,,0
CDM,13902382,Hb E Coli 015 H7 Culture,496.0,173.6,,,0
CDM,13902580,Hb Afb Kinyoun Smr,479.0,167.65,,,0
CDM,13902598,Hb Anaerobic Culture,1102.0,385.7,,,0
CDM,13902614,Hb Blood Culture Rx Removed,505.0,176.75,,,0
CDM,13902630,Hb Wound Culture Quant,602.0,210.7,,,0
CDM,13902663,Hb Fungal Culture,676.0,236.6,,,0
CDM,13902671,Hb Gc Culture,403.0,141.05,,,0
CDM,13902689,Hb Gram Stain Only,181.0,63.35,,,0
CDM,13902697,Hb India Ink Prep,202.0,70.7,,,0
CDM,13902705,Hb Koh Prep,88.0,30.8,,,0
CDM,13902713,Hb Legionella Culture,403.0,141.05,,,0
CDM,13902739,Hb Urine Culture,350.0,122.5,,,0
CDM,13902747,Hb Wet Prep,202.0,70.7,,,0
CDM,13903000,Hb Clost Diff Toxin Test,392.0,137.2,,,0
CDM,13903001,Hb Clost Diff Antigen Test,226.0,79.1,,,0
CDM,13903018,Hb Fluid Cult Bactec,598.0,209.3,,,0
CDM,13903505,Hb Aer Bld Culture Ped,505.0,176.75,,,0
CDM,13903513,Hb Aer Ana Bld Cult Ped,505.0,176.75,,,0
CDM,13903711,Hb Crypto Ag,366.0,128.1,,,0
CDM,13904248,Hb Wound Lesion Fld,598.0,209.3,,,0
CDM,13904263,Hb Fecal Culture,316.0,110.6,,,0
CDM,13904271,Hb Genital Culture,598.0,209.3,,,0
CDM,13904289,Hb Bord Pertussis Cult,403.0,141.05,,,0
CDM,13904297,Hb Resp Cult Lower,598.0,209.3,,,0
CDM,13904305,Hb Resp Cult Upper,598.0,209.3,,,0
CDM,13904313,Hb Susc Mbc,562.0,196.7,,,0
CDM,13904321,Hb Susc Mic,492.0,172.2,,,0
CDM,13904339,Hb Topical Antibiot,239.0,83.65,,,0
CDM,13904347,Hb Environmental Cul,598.0,209.3,,,0
CDM,13904362,Hb Susc Kirby Bauer,239.0,83.65,,,0
CDM,13904404,Hb Trichrome Stain,5.52,1.93,,,0
CDM,13904412,Hb Research Initiation,80.0,28.0,,,0
CDM,13904420,Hb Research Id Organism,149.0,52.15,,,0
CDM,13904438,Hb Research Id Sensitivity,298.0,104.3,,,0
CDM,13904446,Hb Kleb Pneu Carbapenemase Cult,403.0,141.05,,,0
CDM,13904453,Hb Cryptococcal Ag Blood Only,366.0,128.1,,,0
CDM,13905054,Hb Beta Strep B Ag,464.0,162.4,,,0
CDM,13905112,Hb Neis Men Cw 135 Ag,464.0,162.4,,,0
CDM,13905120,Hb Neis Men Ay Ag,464.0,162.4,,,0
CDM,13905138,Hb Neis Men Be Coli K1 Ag,464.0,162.4,,,0
CDM,13905146,Hb Haem Influ B Ag,464.0,162.4,,,0
CDM,13905153,Hb Str Pneumoniae Ag,464.0,162.4,,,0
CDM,13905161,Hb Strept Gp B Ag,464.0,162.4,,,0
CDM,13906425,Hb Nocardia Smear,479.0,167.65,,,0
CDM,13906433,Hb Nocardia Culture,403.0,141.05,,,0
CDM,13906839,Hb Afb Blood Culture,53.78,18.82,,,0
CDM,13906847,Hb Fungal Blood Culture,1085.0,379.75,,,0
CDM,13907100,Hb Legionella Antigen,234.0,81.9,,,0
CDM,13907118,Hb Strep Pneumo Antigen,234.0,81.9,,,0
CDM,13908090,Hb Sporodex Culture,403.0,141.05,,,0
CDM,13908116,Hb Vibrio Culture,496.0,173.6,,,0
CDM,13908124,Hb Yersinia Culture,496.0,173.6,,,0
CDM,13908132,Hb Aerobic Ortho Culture,598.0,209.3,,,0
CDM,13908140,Hb Afb Culture,757.0,264.95,,,0
CDM,13908157,Hb Afb Ortho Culture,757.0,264.95,,,0
CDM,13908165,Hb Afb Ortho Smear,479.0,167.65,,,0
CDM,13908173,Hb Afb Smear,479.0,167.65,,,0
CDM,13908181,Hb Afb Susceptibility,139.0,48.65,,,0
CDM,13908199,Hb Anaerobic Ortho Culture,1102.0,385.7,,,0
CDM,13908223,Hb Clost Diff Cult,403.0,141.05,,,0
CDM,13908231,Hb Fluid Culture,598.0,209.3,,,0
CDM,13908249,Hb Gram Stain Ortho,181.0,63.35,,,0
CDM,13908256,Hb Legionella Smear,746.0,261.1,,,0
CDM,13908264,Hb Ova And Parasite,6.0,2.1,,,0
CDM,13908265,Hb Vzv Igg Fluid,23.0,8.05,,,0
CDM,13908266,"Hb Bile Acid, Total",19.5,6.82,,,0
CDM,13908272,Hb Quant Bronch Brush Cult,602.0,210.7,,,0
CDM,13908280,Hb Quant Cath Tip Cult,602.0,210.7,,,0
CDM,13908298,Hb Pinworm Exam,497.0,173.95,,,0
CDM,13910054,Hb Study Lab Setup Charge,1018.0,356.3,,,0
CDM,13910336,Hb Mrsa Vre Screen,403.0,141.05,,,0
CDM,13910344,Hb Influ A Antigen,256.0,89.6,,,0
CDM,13910351,Hb Influ B Antigen,256.0,89.6,,,0
CDM,13910369,Hb Camplobacter Cult,496.0,173.6,,,0
CDM,13910377,Hb Hsv 2 By Dfa,287.0,100.45,,,0
CDM,13910385,Hb Beta Lactamase,46.0,16.1,,,0
CDM,13910393,Hb Fungal Hair Skin Nails,676.0,236.6,,,0
CDM,13910401,Hb Concentration,164.0,57.4,,,0
CDM,13910419,Hb Respiratory Viral Panel,426.0,149.1,,,0
CDM,13910427,Hb Etest,313.0,109.55,,,0
CDM,13910435,Hb Mold Id,144.0,50.4,,,0
CDM,13910443,Hb Serological Id,208.0,72.8,,,0
CDM,13910450,Hb Shell Vial Virus Id W Stain,300.0,105.0,,,0
CDM,13910468,Hb Herpes Type 1 Smear,311.0,108.85,,,0
CDM,13910476,Hb Rsv By Dfa Id,311.0,108.85,,,0
CDM,13910500,Hb Bld Cult For Hacek Org,505.0,176.75,,,0
CDM,13910518,Hb Eye Culture,598.0,209.3,,,0
CDM,13915020,Hb Crypto Agg Titer,366.0,128.1,,,0
CDM,13915038,Hb Helico Pylori Antigen,344.0,120.4,,,0
CDM,13915053,Hb Rsv Antigen Test,292.0,102.2,,,0
CDM,13915061,Hb Strep Group A Antigen,275.0,96.25,,,0
CDM,13915079,Hb Shiga Toxin Test,188.0,65.8,,,0
CDM,13915095,Hb Mic Susc Yeast,492.0,172.2,,,0
CDM,13915096,Hb Stat C. Diff Pcr,676.0,236.6,,,0
CDM,13915097,Hb Stat Mrsa Pcr,706.0,247.1,,,0
CDM,13915098,Hb Stat Influenza Pcr,498.0,174.3,,,0
CDM,13915099,"Hb Presumptive Identification Urine, Per Isolate",37.0,12.95,,,0
CDM,13915100,Hb Tissue Homogenization For Culture,94.0,32.9,,,0
CDM,13915101,Hb Strep Pcr Group A,218.0,76.3,,,0
CDM,13915102,Hb Strep Pcr Group C And G,218.0,76.3,,,0
CDM,13915103,Hb Culture Typing: Identification,86.0,30.1,,,0
CDM,13915104,Hb Susceptibility Studies; Microdilution Mic Or Breakpoint,49.0,17.15,,,0
CDM,13915105,Hb Direct Parasite Examination,202.0,70.7,,,0
CDM,13915106,Hb Senstitivity - Enzyme Detect,31.0,10.85,,,0
CDM,13915107,Hb Senstitivity - Enzyme Detect,31.0,10.85,,,0
CDM,13915108,Hb Senstitivity - Enzyme Detect,31.0,10.85,,,0
CDM,13915109,Hb Senstitivity - Enzyme Detect,31.0,10.85,,,0
CDM,13915110,Hb Senstitivity - Enzyme Detect,31.0,10.85,,,0
CDM,13990008,Hb Mycobacterium Tuberculosis Rifampin Resistance Pcr Assay,236.0,82.6,,,0
CDM,13990009,"Hb Mycobacterium Culture, Definitive Id, Each Isolate",37.0,12.95,,,0
CDM,13990010,Hb 16S Rrna Gene Sequencing,427.0,149.45,,,0
CDM,13990011,Hb Rpob Gene Sequencing,427.0,149.45,,,0
CDM,13990012,"Hb Sensitivity, Ntm15",540.0,189.0,,,0
CDM,13990013,"Hb Sensitivity, Ntm13",420.0,147.0,,,0
CDM,13990014,"Hb Sensitivity, Ntm6",545.0,190.75,,,0
CDM,13990015,"Hb Sensitivity, Ntm4",390.0,136.5,,,0
CDM,13990016,Hb M. Tuberculosis Complex Assay,271.0,94.85,,,0
CDM,13990017,Hb Drug Resistance Markers Of Various Ntm,134.0,46.9,,,0
CDM,13990018,Hb Line Probe Assay Identification,427.0,149.45,,,0
CDM,13990019,Hb Cerebrospinal (Csf) Culture,598.0,209.3,,,0
CDM,13990020,Hb Cul Typ Id Bld Pthgn 6+ Trgt,1048.0,366.8,,,0
CDM,13990021,Hb Rapid Id Of Multidrug Resistance (Mtb4T),124.0,43.4,,,0
CDM,13990022,Hb Culture Typing Immunologic Oth/Thn Immunofluores,14.0,4.9,,,0
CDM,14000020,Hb Cyclosporine,546.0,191.1,,,0
CDM,14000053,Hb Chloride Fluid,377.0,131.95,,,0
CDM,14000061,Hb Rapamune Sirolimus,296.0,103.6,,,0
CDM,14000079,Hb Protein Electro Fluid,300.0,105.0,,,0
CDM,14000087,Hb B Natriuretic Peptide,533.0,186.55,,,0
CDM,14000095,Hb Hep B Surface Ag Conf,112.0,39.2,,,0
CDM,14001200,Hb Myoglobin,457.0,159.95,,,0
CDM,14001234,Hb Ck Mb,511.0,178.85,,,0
CDM,14001408,Hb Post Prandial 2Hr Glucose,296.0,103.6,,,0
CDM,14001648,Hb Chloride Spot Urine,218.0,76.3,,,0
CDM,14001671,Hb Potassium Spot Urine,154.0,53.9,,,0
CDM,14001689,Hb Sodium Spot Urine,186.0,65.1,,,0
CDM,14001697,Hb Carbamazepine,427.0,149.45,,,0
CDM,14001721,Hb Valproic Acid; Total,523.0,183.05,,,0
CDM,14001739,Hb Gluc Tol Three Samples Blood,277.0,96.95,,,0
CDM,14001747,Hb Gluc Tol Additional Blood,127.0,44.45,,,0
CDM,14001754,Hb Gluc Tol Additional Blood,127.0,44.45,,,0
CDM,14001762,Hb Gluc Tol Additional Blood,127.0,44.45,,,0
CDM,14001770,Hb Gluc Tol Additional Blood,127.0,44.45,,,0
CDM,14001929,Hb Glucose Challenge Test,296.0,103.6,,,0
CDM,14002000,Hb Homocysteine,715.0,250.25,,,0
CDM,14002083,Hb Lithium,296.0,103.6,,,0
CDM,14002109,Hb Lidocaine,296.0,103.6,,,0
CDM,14002299,Hb Phenytoin,336.0,117.6,,,0
CDM,14002406,Hb Theophylline,236.0,82.6,,,0
CDM,14002489,Hb Vancomycin,288.0,100.8,,,0
CDM,14002703,Hb O Sullivan Test,296.0,103.6,,,0
CDM,14002760,Hb Calcium 24Hr Urine,300.0,105.0,,,0
CDM,14002778,Hb Chloride 24Hr Urine,218.0,76.3,,,0
CDM,14002786,Hb Creatinine 24Hr Urine,248.0,86.8,,,0
CDM,14002794,Hb Glucose 24Hr Urine,366.0,128.1,,,0
CDM,14002802,Hb Potassium 24Hr Urine,154.0,53.9,,,0
CDM,14002810,Hb Magnesium 24Hr Urine,15.64,5.47,,,0
CDM,14002828,Hb Sodium 24Hr Urine,186.0,65.1,,,0
CDM,14002836,Hb Phosphate 24Hr Urine,226.0,79.1,,,0
CDM,14002844,Hb Uric Acid 24Hr Urine,336.0,117.6,,,0
CDM,14002851,Hb Urea Nitrogen 24Hr Urine,161.0,56.35,,,0
CDM,14002877,Hb Alcohol,410.0,143.5,,,0
CDM,14002885,Hb Alk Phosphatase,167.0,58.45,,,0
CDM,14002901,Hb Amylase,461.0,161.35,,,0
CDM,14002919,Hb Ammonia,441.0,154.35,,,0
CDM,14002943,Hb Bun,195.0,68.25,,,0
CDM,14002950,Hb Calcium,338.0,118.3,,,0
CDM,14002968,Hb Co2,922.0,322.7,,,0
CDM,14002976,Hb Bilirubin Direct Conj,197.0,68.95,,,0
CDM,14002984,Hb Creatinine Clrnce,454.0,158.9,,,0
CDM,14002992,Hb Proteiin Fluid,471.0,164.85,,,0
CDM,14003008,Hb Chloride,184.0,64.4,,,0
CDM,14003016,Hb Cpk,493.0,172.55,,,0
CDM,14003024,Hb Creatinine,296.0,103.6,,,0
CDM,14003040,Hb Electrolyte Profile,290.0,101.5,,,0
CDM,14003065,Hb Iron,253.0,88.55,,,0
CDM,14003073,Hb Ggt,326.0,114.1,,,0
CDM,14003081,Hb Glucose,380.0,133.0,,,0
CDM,14003099,Hb Ast Got,236.0,82.6,,,0
CDM,14003107,Hb Alt Gpt,147.0,51.45,,,0
CDM,14003206,Hb Potassium,185.0,64.75,,,0
CDM,14003222,Hb Lactate Lactic Acid,367.0,128.45,,,0
CDM,14003230,Hb Ldh,232.0,81.2,,,0
CDM,14003248,Hb Lipase,12.61,4.41,,,0
CDM,14003289,Hb Magnesium,331.0,115.85,,,0
CDM,14003297,Hb Sodium,195.0,68.25,,,0
CDM,14003313,Hb Osmolality,286.0,100.1,,,0
CDM,14003339,Hb Ph By Electrode,186.0,65.1,,,0
CDM,14003354,Hb Phosphorus,218.0,76.3,,,0
CDM,14003461,Hb Tacrolimus Fk506,444.0,155.4,,,0
CDM,14003495,Hb Salicylates,396.0,138.6,,,0
CDM,14003594,Hb Bilirubin Total,201.0,70.35,,,0
CDM,14003602,Hb Triglycerides,296.0,103.6,,,0
CDM,14003628,Hb Uric Acid,247.0,86.45,,,0
CDM,14003651,Hb Comprehensive Metabolic Panel,685.0,239.75,,,0
CDM,14003669,Hb Basic Metabolic Panel,315.0,110.25,,,0
CDM,14003685,Hb Hepatic Function Panel,391.0,136.85,,,0
CDM,14003719,Hb Cmv Igm,22.8,7.98,,,0
CDM,14003727,Hb T4 Free,365.0,127.75,,,0
CDM,14003743,Hb Fana,425.0,148.75,,,0
CDM,14003867,Hb Rubella Igg,172.0,60.2,,,0
CDM,14004022,Hb Acetaminophen,430.0,150.5,,,0
CDM,14004105,Hb Phenobarbital,448.0,156.8,,,0
CDM,14004311,Hb Measle Igg,158.0,55.3,,,0
CDM,14004337,Hb Anti Nuclear Dna,397.0,138.95,,,0
CDM,14004378,Hb Amylase Timed Urine,461.0,161.35,,,0
CDM,14004444,Hb Cholesterol Total,226.0,79.1,,,0
CDM,14004451,Hb Protein Serum,471.0,164.85,,,0
CDM,14004469,Hb Albumin Serum,232.0,81.2,,,0
CDM,14005011,Hb Troponin I,745.0,260.75,,,0
CDM,14005045,Hb Mycoplasma Igm,266.0,93.1,,,0
CDM,14007017,Hb Beta Hydroxy Butyrate,277.0,96.95,,,0
CDM,14007132,Hb Renal Function Panel,326.0,114.1,,,0
CDM,14007140,Hb Hepatitis Panel Acute,856.0,299.6,,,0
CDM,14007173,Hb Pth Intact,587.0,205.45,,,0
CDM,14007181,Hb Afp Tumor Marker,482.0,168.7,,,0
CDM,14007199,Hb Testosterone Total,167.0,58.45,,,0
CDM,14007207,Hb Gdm Screen,296.0,103.6,,,0
CDM,14008015,Hb Crp High Sensitivity,390.0,136.5,,,0
CDM,14008049,Hb Complement C3,378.0,132.3,,,0
CDM,14008056,Hb Complement C4,378.0,132.3,,,0
CDM,14008064,Hb Ceruloplasmin,309.0,108.15,,,0
CDM,14008072,Hb Igg Csf,366.0,128.1,,,0
CDM,14008080,Hb Cortisol,494.0,172.9,,,0
CDM,14008106,Hb Haptoglobin,265.0,92.75,,,0
CDM,14008114,Hb Hdl Profile Lipid Panel,341.0,119.35,,,0
CDM,14008122,Hb Hbg Electrophorsis,245.0,85.75,,,0
CDM,14008155,Hb Immunoglobulin A,366.0,128.1,,,0
CDM,14008163,Hb Immunoglobulin G,366.0,128.1,,,0
CDM,14008171,Hb Immunoglobulin M,366.0,128.1,,,0
CDM,14008197,Hb Pre Albumin,365.0,127.75,,,0
CDM,14008221,Hb Ra Factor Quant,217.0,75.95,,,0
CDM,14008254,Hb Protein Urine,253.0,88.55,,,0
CDM,14008262,Hb Transferrin,253.0,88.55,,,0
CDM,14008288,Hb Oligoclonal Bands,685.0,239.75,,,0
CDM,14008312,Hb Hgb A1C,652.0,228.2,,,0
CDM,14008320,Hb Immunofixation Serum,832.0,291.2,,,0
CDM,14008338,Hb Kappa Light Chain,232.0,81.2,,,0
CDM,14008346,Hb Lambda Light Chain,232.0,81.2,,,0
CDM,14008502,Hb Fetal Maturity Test Flm,595.0,208.25,,,0
CDM,14008510,Hb Chloride Sweat,377.0,131.95,,,0
CDM,14008528,Hb Iontophoresis,899.0,314.65,,,0
CDM,14008536,Hb Iron Binding Capacity,62.0,21.7,,,0
CDM,14008569,Hb Protein Electrophoresis,296.0,103.6,,,0
CDM,14008577,Hb Protein Refractometer,72.0,25.2,,,0
CDM,14008585,Hb Albumin Csf,167.0,58.45,,,0
CDM,14008593,Hb Albumin Serum,232.0,81.2,,,0
CDM,14008601,Hb Dilantin Free,193.0,67.55,,,0
CDM,14008635,Hb Immunofixation Fluid,832.0,291.2,,,0
CDM,14008643,Hb Amphetamine Pro,196.0,68.6,,,0
CDM,14008650,Hb Barbiturate Pro,196.0,68.6,,,0
CDM,14008668,Hb Benzodiazepine Pro,196.0,68.6,,,0
CDM,14008676,Hb Cannabinoid Pro,196.0,68.6,,,0
CDM,14008684,Hb Cocaine Pro,196.0,68.6,,,0
CDM,14008692,Hb Ethanol Pro,410.0,143.5,,,0
CDM,14008700,Hb Opiates Pro,196.0,68.6,,,0
CDM,14008718,Hb Pcp Pro,196.0,68.6,,,0
CDM,14008726,Hb Hemoglobin Plasma Free,395.0,138.25,,,0
CDM,14009021,Hb Gentamicin,526.0,184.1,,,0
CDM,14009047,Hb Tobramycin,284.0,99.4,,,0
CDM,14009062,Hb Luteneizing Hormone,585.0,204.75,,,0
CDM,14009070,Hb Follicle Stimulating Hormone,575.0,201.25,,,0
CDM,14009112,Hb Psa Medicare Screen,338.0,118.3,,,0
CDM,14009534,Hb Volume Measurement,49.0,17.15,,,0
CDM,14009559,Hb Alk Phos Heat Stable,170.0,59.5,,,0
CDM,14009849,Hb Osmolality Urine,286.0,100.1,,,0
CDM,14009864,Hb Cardiolipin Ab Igg,385.0,134.75,,,0
CDM,14009872,Hb Cardiolipin Ab Igm,385.0,134.75,,,0
CDM,14009880,Hb Cardiolipin Ab Iga,385.0,134.75,,,0
CDM,14009963,Hb Extractable Antigen Sm,234.0,81.9,,,0
CDM,14009971,Hb Extractable Antigen Rnp,234.0,81.9,,,0
CDM,14009997,Hb Extractable Antigen Ss A,234.0,81.9,,,0
CDM,14010045,Hb Extractable Antigen Ss B,234.0,81.9,,,0
CDM,14010318,Hb Procalcitonin,678.0,237.3,,,0
CDM,14010326,Hb Thyroglobulin,357.0,124.95,,,0
CDM,14010334,Hb Thyroglobulin Ab,317.0,110.95,,,0
CDM,14010342,Hb Thyroid Microsomal Ab,362.0,126.7,,,0
CDM,14010359,Hb Research Process Blood 15 Min,80.0,28.0,,,0
CDM,14010367,Hb Research Process Blood 30 Min,149.0,52.15,,,0
CDM,14010375,Hb Research Process Blood 60 Min,298.0,104.3,,,0
CDM,14013718,Hb T3 Total,479.0,167.65,,,0
CDM,14017115,Hb Cmv Igm Fluid,298.0,104.3,,,0
CDM,14017131,Hb Ebv Vca Igm,267.0,93.45,,,0
CDM,14017172,Hb Measle Fluid,158.0,55.3,,,0
CDM,14017180,Hb Mycoplasma Igg,19.72,6.9,,,0
CDM,14017206,Hb Rubella Igg Fluid,172.0,60.2,,,0
CDM,14017255,Hb Cmv Igg,298.0,104.3,,,0
CDM,14017263,Hb Herpes Simplex Igg,360.0,126.0,,,0
CDM,14017271,Hb Legionella Ab,318.0,111.3,,,0
CDM,14017289,Hb Toxoplasma Igg,280.0,98.0,,,0
CDM,14017297,Hb Vzv Igg,229.0,80.15,,,0
CDM,14017305,Hb Hepatitis A Igm,397.0,138.95,,,0
CDM,14017313,Hb Hepatitis B Core Igm,449.0,157.15,,,0
CDM,14017321,Hb Hepatitis B Core Total Ab,452.0,158.2,,,0
CDM,14017339,Hb Hepatitis B Surface Ab,535.0,187.25,,,0
CDM,14017347,Hb Hepatitis B Surface Antigen,228.0,79.8,,,0
CDM,14017354,Hb Hepatitis C Antibody,360.0,126.0,,,0
CDM,14017362,Hb Toxo Ab Igm,187.0,65.45,,,0
CDM,14017370,Hb Hiv 1 Or 2,512.0,179.2,,,0
CDM,14017404,Hb Urine Urea Nitrogen,161.0,56.35,,,0
CDM,14017412,Hb Urine Calcium,300.0,105.0,,,0
CDM,14017420,Hb Fluid Calcium,338.0,118.3,,,0
CDM,14017438,Hb Fluid Creatinine,248.0,86.8,,,0
CDM,14017446,Hb Urine Phosphorus,226.0,79.1,,,0
CDM,14017453,Hb Fluid Uric Acid,336.0,117.6,,,0
CDM,14018493,Hb Digoxin; Total,125.0,43.75,,,0
CDM,14018501,Hb Ferritin,346.0,121.1,,,0
CDM,14018519,Hb Folate,395.0,138.25,,,0
CDM,14018899,Hb Tsh,493.0,172.55,,,0
CDM,14018915,Hb T3 Uptake,314.0,109.9,,,0
CDM,14018923,Hb T4 Total,401.0,140.35,,,0
CDM,14018998,Hb Vitamin B12,479.0,167.65,,,0
CDM,14019004,Hb Prostate Specific Antigen,478.0,167.3,,,0
CDM,14019020,Hb C E A,365.0,127.75,,,0
CDM,14019038,Hb Free Kappa Serum,232.0,81.2,,,0
CDM,14019046,Hb Free Lambda Serum,232.0,81.2,,,0
CDM,14019053,Hb Free Kappa Urine,232.0,81.2,,,0
CDM,14019061,Hb Free Lambda Urine,232.0,81.2,,,0
CDM,14019079,Hb Myoglobulin Urine,457.0,159.95,,,0
CDM,14019087,Hb Mumps Igg Ab,86.0,30.1,,,0
CDM,14019095,Hb T3 Free,116.0,40.6,,,0
CDM,14019103,Hb Ca199,156.0,54.6,,,0
CDM,14019129,Hb Immunoglobulin E,366.0,128.1,,,0
CDM,14019137,Hb Ca 15 3,325.0,113.75,,,0
CDM,14019145,Hb P Anca,242.0,84.7,,,0
CDM,14019152,Hb C Anca,242.0,84.7,,,0
CDM,14019160,Hb Lp Pla2 Plac,428.0,149.8,,,0
CDM,14019178,Hb Ebv Vca Ab Igg,320.0,112.0,,,0
CDM,14019186,Hb Ccp Antibody Igg,346.0,121.1,,,0
CDM,14019194,Hb Beta 2 Glyoprot Igg,178.0,62.3,,,0
CDM,14019202,Hb Beta 2 Glyoprot Igm,178.0,62.3,,,0
CDM,14019210,Hb Methadone,196.0,68.6,,,0
CDM,14020200,Hb Fibronectin Fetal,1755.0,614.25,,,0
CDM,14022000,Hb Hiv 1 Ag W Hiv 1 2 Ab,112.0,39.2,,,0
CDM,14035000,Hb Microalbumin Urine,270.0,94.5,,,0
CDM,14035018,Hb Creatinine Urine,248.0,86.8,,,0
CDM,14035026,Hb Ca 125,629.0,220.15,,,0
CDM,14040307,Hb Hiv Antibody Stat Screen,418.0,146.3,,,0
CDM,14050000,Hb Vitamin D,219.0,76.65,,,0
CDM,14060000,Hb C Peptide,168.0,58.8,,,0
CDM,14060002,Hb Methotrexate,91.0,31.85,,,0
CDM,14060004,Hb B2 Microglobulin,120.0,42.0,,,0
CDM,14092555,Hb Beta Hcg,562.0,196.7,,,0
CDM,14092605,Hb Prolactin,661.0,231.35,,,0
CDM,14096853,Hb Hepatitis A Antibody,296.0,103.6,,,0
CDM,14096879,Hb Fluid Glucose,366.0,128.1,,,0
CDM,14096887,Hb Hbsab Quantitative,535.0,187.25,,,0
CDM,14096890,Hb Dht,209.0,73.15,,,0
CDM,14096893,Hb Fluid Ca 125,547.0,191.45,,,0
CDM,14096894,Hb Hepatitis A Igg,83.0,29.05,,,0
CDM,14096895,Hb Oxycodone Qualitative Screen Urine,196.0,68.6,,,0
CDM,14096896,Hb Multispot Hiv-1 Panel,179.0,62.65,,,0
CDM,14096897,Hb Multispot Hiv-2 Panel,269.0,94.15,,,0
CDM,14096899,Hb Cortisol Post Dose 30 Min,494.0,172.9,,,0
CDM,14096900,Hb Cortisol Post Dose 1 Hour,494.0,172.9,,,0
CDM,14096901,Hb Sodium,195.0,68.25,,,0
CDM,14096902,Hb Potassium,185.0,64.75,,,0
CDM,14096903,Hb Chloride,184.0,64.4,,,0
CDM,14096904,Hb Co2,922.0,322.7,,,0
CDM,14096905,Hb Bun,195.0,68.25,,,0
CDM,14096906,Hb Glucose,380.0,133.0,,,0
CDM,14096907,Hb Creatinine,296.0,103.6,,,0
CDM,14096908,Hb Calcium,338.0,118.3,,,0
CDM,14096909,Hb Ast Got,236.0,82.6,,,0
CDM,14096910,Hb Alt Gpt,147.0,51.45,,,0
CDM,14096911,Hb Bilirubin Total,201.0,70.35,,,0
CDM,14096912,Hb Alk Phosphatase,167.0,58.45,,,0
CDM,14096913,Hb Protein Serum,471.0,164.85,,,0
CDM,14096914,Hb Albumin Serum,232.0,81.2,,,0
CDM,14096915,Hb Magnesium,366.0,128.1,,,0
CDM,14096916,Hb Phosphorus,218.0,76.3,,,0
CDM,14096917,Hb Amylase,461.0,161.35,,,0
CDM,14096918,Hb Ggt,326.0,114.1,,,0
CDM,14096919,Hb Triglycerides,296.0,103.6,,,0
CDM,14096920,Hb Cholesterol Total,226.0,79.1,,,0
CDM,14096921,Hb Hdl Profile Lipid Panel,341.0,119.35,,,0
CDM,14096922,Hb Ldl Direct,195.0,68.25,,,0
CDM,14096923,Hb Bilirubin Direct Conj,197.0,68.95,,,0
CDM,14096924,Hb Hgb A1C,652.0,228.2,,,0
CDM,14096925,Hb Cyclosporine,546.0,191.1,,,0
CDM,14096926,Hb Tacrolimus Fk506,444.0,155.4,,,0
CDM,14096927,Hb Creatinine Urine,248.0,86.8,,,0
CDM,14096928,Hb Protein Urine,253.0,88.55,,,0
CDM,14096929,Hb Creatinine Clrnce,454.0,158.9,,,0
CDM,14096930,Hb Creatinine 24Hr Urine,248.0,86.8,,,0
CDM,14096931,Hb Protein Refractometer,72.0,25.2,,,0
CDM,14096932,Hb Amikacin,338.0,118.3,,,0
CDM,14096933,Hb Assay Of Calcitonin,203.0,71.05,,,0
CDM,14096934,Hb Comprehensive Metabolic Panel (General Health Panel Only),64.0,22.4,,,0
CDM,14096935,Hb Tsh (General Health Panel Only),112.0,39.2,,,0
CDM,14096936,Hb Focus Hcv Antibody,360.0,126.0,,,0
CDM,14096937,Hb Focus Hiv Antigen Antibody Combo,112.0,39.2,,,0
CDM,14096938,Hb Comprehensive Metabolic Panel,685.0,239.75,,,0
CDM,14096939,Hb Hepatic Function Panel,391.0,136.85,,,0
CDM,14096940,Hb Preg Test Beta Urine,231.0,80.85,,,0
CDM,14096941,Hb Beta Hydroxy Butyrate,277.0,96.95,,,0
CDM,14096942,Hb Urine Albumin Semiquantitative,112.0,39.2,,,0
CDM,14096943,Hb Estradiol Serum,451.0,157.85,,,0
CDM,14096944,"Hb Glucose; Blood, Reagent Strip",79.0,27.65,,,0
CDM,14096945,Hb Glucose Blood Test,86.0,30.1,,,0
CDM,14096946,Hb Luteneizing Hormone,585.0,204.75,,,0
CDM,14096947,Hb Assay Of Lead,193.0,67.55,,,0
CDM,14096948,Hb Progesterone,354.0,123.9,,,0
CDM,14096949,Hb Hcg,53.0,18.55,,,0
CDM,14096950,Hb Hemoglobin,136.0,47.6,,,0
CDM,14096951,Hb Sed Rate Esr,266.0,93.1,,,0
CDM,14096952,Hb Monospot,277.0,96.95,,,0
CDM,14096953,Hb Anti Hiv I Or Ii Test 042,408.0,142.8,,,0
CDM,14096954,Hb Fta 182,190.0,66.5,,,0
CDM,14096955,Hb Macroscopic Exam Parasite,90.0,31.5,,,0
CDM,14096956,Hb Pinworm Exam,497.0,173.95,,,0
CDM,14096957,Hb Influ B By Dfa Id,140.0,49.0,,,0
CDM,14096958,Hb Influ A By Dfa Id,140.0,49.0,,,0
CDM,14096959,Hb Strep Group A Antigen,275.0,96.25,,,0
CDM,14096960,Hb Influenza A Bedside,140.0,49.0,,,0
CDM,14096961,Hb Rapid Respiratory Syncitial Virus Screen,65.0,22.75,,,0
CDM,14096962,Hb Trichonomonas,113.0,39.55,,,0
CDM,14096963,Hb Transcutaneous Bilirubin Tot,43.0,15.05,,,0
CDM,14096964,Hb Basic Metabolic Panel,315.0,110.25,,,0
CDM,14096965,Hb Drug Screening,196.0,68.6,,,0
CDM,14096968,Hb Sars Cov2 Igm Antibody,180.0,63.0,,,0
CDM,14096969,Hb Sars Cov2 Igg Antibody,150.0,52.5,,,0
CDM,14096971,Hb Interleukin 6,127.0,44.45,,,0
CDM,14096972,Hb Hcg Tumor Marker Quantitative,43.0,15.05,,,0
CDM,14096975,Hb Microalbumin Urine,270.0,94.5,,,0
CDM,14096977,"Hb Troponin High Sensitivity, Plasma",701.0,245.35,,,0
CDM,14096978,Hb Complete Metabolic Panel,32.0,11.2,,,0
CDM,14096979,Hb Magnesium,21.0,7.35,,,0
CDM,14096982,Hb Drug Assay Amiodarone,13.97,4.89,,,0
CDM,14096995,Hb Antineutrophil Cytoplasmic Antb Screen Ea Antb,59.35,20.77,,,0
CDM,14096996,Hb Antineutrophil Cytoplasmic Antb Titer Ea Antb,19.41,6.79,,,0
CDM,14096999,Hb Endomysial Antibody Each Immunoglobulin Class,12.0,4.2,,,0
CDM,14097048,Hb Hla Dq2/Dq8 Typing For Celiac Disease,87.5,30.62,,,0
CDM,14097066,"Hb Thyroglobulin, Fna",60.0,21.0,,,0
CDM,14097069,Hb Hla Class Ii Typing High Resolution One Locus Ea,87.5,30.62,,,0
CDM,14200018,Hb Thin Prep Pap Smear,240.0,84.0,,,0
CDM,14200026,Hb Pap Medicare Screen,101.0,35.35,,,0
CDM,14200034,Hb Pap Thin Prep Med Screen,135.0,47.25,,,0
CDM,14200042,Hb Pediatric Autopsy,1224.0,428.4,,,0
CDM,14200059,Hb In Situ Hybridization,559.0,195.65,,,0
CDM,14200075,Hb Touch Prep Initial Site,145.0,50.75,,,0
CDM,14200083,Hb Touch Prep Additional Site,123.0,43.05,,,0
CDM,14200091,Hb Image Analysis,520.0,182.0,,,0
CDM,14218200,Hb Gross And Micro A,672.0,235.2,,,0
CDM,14218218,Hb Gross And Micro B,819.0,286.65,,,0
CDM,14218226,Hb Gross And Micro C,1061.0,371.35,,,0
CDM,14218234,Hb Gross And Micro D,1203.0,421.05,,,0
CDM,14218242,Hb Gross And Micro E,1296.0,453.6,,,0
CDM,14218259,Hb Special Stain Gp1,373.0,130.55,,,0
CDM,14218267,Hb Special Stain Gp2,430.0,150.5,,,0
CDM,14218283,Hb Ea Add Frozen,811.0,283.85,,,0
CDM,14219000,Hb Abnormal Gyn Physician Review,210.0,73.5,,,0
CDM,14219018,Hb High Risk Pap,113.0,39.55,,,0
CDM,14219026,Hb Histology Single Block,30.0,10.5,,,0
CDM,14219034,Hb Touch Prep,306.0,107.1,,,0
CDM,14219042,Hb Cytology Cell Block,1061.0,371.35,,,0
CDM,14219059,Hb Cytology Slide Prep,45.0,15.75,,,0
CDM,14282024,Hb Cytology Fluid Thin Prep,282.0,98.7,,,0
CDM,14282032,Hb Cytopathology Complex,540.0,189.0,,,0
CDM,14282081,Hb Cytology Non Gyn Smear,368.0,128.8,,,0
CDM,14282149,Hb Cyto Pap Smr,166.0,58.1,,,0
CDM,14282214,Hb Cyto Pap Smr And Mi,215.0,75.25,,,0
CDM,14282412,Hb Frozen Consu,838.0,293.3,,,0
CDM,14282644,Hb Gross Exam Only,156.0,54.6,,,0
CDM,14282701,Hb Histology Decal,231.0,80.85,,,0
CDM,14282784,Hb Ap Re Cuts,258.0,90.3,,,0
CDM,14286488,Hb Electron Microscopy Diagnostic,4058.0,1420.3,,,0
CDM,14291785,Hb Outside Consultation,1254.0,438.9,,,0
CDM,14291819,Hb Ext Stdy Over 5 Slides,242.0,84.7,,,0
CDM,14291850,Hb Fna Interpretation And Report,693.0,242.55,,,0
CDM,14291900,Hb Fna Immediate Interpretation,722.0,252.7,,,0
CDM,14291918,Hb Immunofluor Antb Addl Stain,811.0,283.85,,,0
CDM,14291926,Hb Histochemical Stain,462.0,161.7,,,0
CDM,14291934,Hb Histo Cytochemistry Stain,612.0,214.2,,,0
CDM,14291959,Hb Fna Additional Slides,722.0,252.7,,,0
CDM,14294748,Hb Immunohisto Antibody 1St Slide Single,897.0,313.95,,,0
CDM,14294755,Hb Immunofluor Antb 1St Stain,629.0,220.15,,,0
CDM,14295004,Hb Immunohisto Anitbody Add Slide Single,133.0,46.55,,,0
CDM,14295005,Hb Immunohisto Antibody Slide Complex,897.0,313.95,,,0
CDM,14295006,Hb Ihc With Manual Count,944.0,330.4,,,0
CDM,14295007,Hb Pathology Clinical Consultation Sf Mdm 5-20 Min,127.0,44.45,,,0
CDM,14295008,Hb Pathology Clinical Consultation Mod Mdm 21-40Min,381.0,133.35,,,0
CDM,14295009,Hb Pathology Clinical Consultation Hi Mdm 41-60 Min,381.0,133.35,,,0
CDM,14295010,Hb Pathology Clinical Consltj Prolng Svc Ea Addl 30,191.0,66.85,,,0
CDM,14295011,Hb In Situ Hybrization Additional Test,559.0,195.65,,,0
CDM,14295012,Hb Consltj&Reprt Material Requiring Prepj Slides,250.0,87.5,,,0
CDM,14602619,Hb Fana Titer,164.0,57.4,,,0
CDM,14602759,Hb M Avium Pcr,182.0,63.7,,,0
CDM,14602874,Hb Pulse Field Identification,446.0,156.1,,,0
CDM,14602890,Hb Cep 7 Fish Urovysion,659.0,230.65,,,0
CDM,14602908,Hb Cd 64 Marker,704.0,246.4,,,0
CDM,14602916,Hb Cd 52 Marker,704.0,246.4,,,0
CDM,14602940,Hb Cd16 Marker,704.0,246.4,,,0
CDM,14602957,Hb Cd103 Marker,704.0,246.4,,,0
CDM,14602965,Hb Cd58 Marker,704.0,246.4,,,0
CDM,14602973,Hb Cd 19 Lqtp,704.0,246.4,,,0
CDM,14602981,Hb Cd 20 Lqtp,704.0,246.4,,,0
CDM,14602999,Hb Cd 55 Pnh,704.0,246.4,,,0
CDM,14603005,Hb Cd 59 Pnh,704.0,246.4,,,0
CDM,14603013,Hb Cmv Pcr Quant Transplant,676.0,236.6,,,0
CDM,14603021,Hb Rsv Pcr,1765.0,617.75,,,0
CDM,14603039,Hb Adenovirus Pcr,1765.0,617.75,,,0
CDM,14603047,Hb Influenza Pcr,498.0,174.3,,,0
CDM,14603054,Hb Group B Strep Pcr,436.0,152.6,,,0
CDM,14603724,Hb Ebv Vca Ab Igg,320.0,112.0,,,0
CDM,14604748,Hb Vdrl Csf,242.0,84.7,,,0
CDM,14606487,Hb Bacterial Strain Typing,612.0,214.2,,,0
CDM,14606495,Hb Staph Strain Typing,612.0,214.2,,,0
CDM,14606503,Hb Bacterial Strain Pvl,612.0,214.2,,,0
CDM,14607030,Hb Hit Flow Antibody,480.0,168.0,,,0
CDM,14607055,Hb Factor 2 Panel,940.0,329.0,,,0
CDM,14607154,Hb Factor 5 Probe,940.0,329.0,,,0
CDM,14607295,Hb Cmv Nasba Pp67,770.0,269.5,,,0
CDM,14607303,Hb Pcr B Cell Rearrangement,839.0,293.65,,,0
CDM,14607337,Hb T Cell Electrophoresis,839.0,293.65,,,0
CDM,14607345,Hb Pcr B Cell Igk,595.0,208.25,,,0
CDM,14608871,Hb Kappa Intra Cellular,704.0,246.4,,,0
CDM,14608889,Hb Lamdba Intracellular,704.0,246.4,,,0
CDM,14609697,Hb Cd2 Marker,704.0,246.4,,,0
CDM,14609705,Hb Cd3 Marker,704.0,246.4,,,0
CDM,14609713,Hb Cd4 Marker,704.0,246.4,,,0
CDM,14609721,Hb Cd5 Marker,704.0,246.4,,,0
CDM,14609739,Hb Cd8 Marker,704.0,246.4,,,0
CDM,14609747,Hb Cd10 Marker,704.0,246.4,,,0
CDM,14609754,Hb Hepatitis C Genotype,1406.0,492.1,,,0
CDM,14609762,Hb Cd13 Marker,704.0,246.4,,,0
CDM,14609770,Hb Cd14 Maker,704.0,246.4,,,0
CDM,14609788,Hb Cd19 Marker,704.0,246.4,,,0
CDM,14609796,Hb Cd20 Marker,704.0,246.4,,,0
CDM,14609804,Hb Cd33 Marker,704.0,246.4,,,0
CDM,14609812,Hb Cd38 Marker,704.0,246.4,,,0
CDM,14609820,Hb Cd56 Marker,704.0,246.4,,,0
CDM,14609838,Hb Dr Marker,704.0,246.4,,,0
CDM,14610000,Hb Cd1 Marker,704.0,246.4,,,0
CDM,14610018,Hb Cd7 Marker,704.0,246.4,,,0
CDM,14610026,Hb Cd11B Marker,704.0,246.4,,,0
CDM,14610034,Hb Cd11C Marker,704.0,246.4,,,0
CDM,14610042,Hb Cd15 Marker,704.0,246.4,,,0
CDM,14610059,Hb Cd22 Marker,704.0,246.4,,,0
CDM,14610067,Hb Cd23 Marker,704.0,246.4,,,0
CDM,14610075,Hb Cd25 Marker,704.0,246.4,,,0
CDM,14610083,Hb Cd30 Marker,704.0,246.4,,,0
CDM,14610091,Hb Cd34 Marker,704.0,246.4,,,0
CDM,14610109,Hb Cd117 Marker,704.0,246.4,,,0
CDM,14610117,Hb Cd45 Marker,704.0,246.4,,,0
CDM,14610125,Hb Kappa,704.0,246.4,,,0
CDM,14610133,Hb Lambda,704.0,246.4,,,0
CDM,14610141,Hb Tdt,704.0,246.4,,,0
CDM,14610158,Hb Myeloperoxidase,704.0,246.4,,,0
CDM,14610166,Hb Cd41 Marker,704.0,246.4,,,0
CDM,14610174,Hb Cd42B Marker,704.0,246.4,,,0
CDM,14610182,Hb Cd43 Marker,704.0,246.4,,,0
CDM,14610224,Hb Cd79A Marker,704.0,246.4,,,0
CDM,14610232,Hb Cd61 Marker,704.0,246.4,,,0
CDM,14610240,Hb Cd62 Marker,704.0,246.4,,,0
CDM,14610257,Hb Pml Dna Probe Fish,552.0,193.2,,,0
CDM,14610265,Hb Rara Dna Probe Fish,552.0,193.2,,,0
CDM,14610299,Hb Igh Dna Probe Fish,552.0,193.2,,,0
CDM,14610307,Hb Bcl2 Dna Probe Fish,552.0,193.2,,,0
CDM,14610315,Hb Myc Dna Probe Fish,552.0,193.2,,,0
CDM,14610323,Hb Ccnd1 Dna Probe,552.0,193.2,,,0
CDM,14610331,Hb Bcr Dna Probe,659.0,230.65,,,0
CDM,14610349,Hb Abl Probe,659.0,230.65,,,0
CDM,14610364,Hb Cep 3 Fish Urovision,659.0,230.65,,,0
CDM,14610380,Hb Cep 17 Fish Urovision,659.0,230.65,,,0
CDM,14610398,Hb Lsi 9Q21 Fish Urovision,659.0,230.65,,,0
CDM,14611511,Hb Pcr Chlamydia Trachomitis,355.0,124.25,,,0
CDM,14611529,Hb Pcr Gc,413.0,144.55,,,0
CDM,14611594,Hb Hcv Qual Pcr,727.0,254.45,,,0
CDM,14611602,Hb Hsv Qual Pcr Blood,1352.0,473.2,,,0
CDM,14611735,Hb Cd4 Count,305.0,106.75,,,0
CDM,14611750,Hb Total T Cell,638.0,223.3,,,0
CDM,14611768,Hb Quantiferon Tb Test,332.0,116.2,,,0
CDM,14611776,Hb Mycoplasma Pcr,770.0,269.5,,,0
CDM,14611859,Hb Cmv Quant Pcr,676.0,236.6,,,0
CDM,14611867,Hb Hiv Pcr,593.0,207.55,,,0
CDM,14611909,Hb Epstein Barr Virus Pcr,1765.0,617.75,,,0
CDM,14611925,Hb Cmv Pcr,770.0,269.5,,,0
CDM,14620108,Hb Hiv Viral Load,1256.0,439.6,,,0
CDM,14620116,Hb Hcv Rna Quantitative,631.0,220.85,,,0
CDM,14620769,Hb T3 Marker,638.0,223.3,,,0
CDM,14620793,Hb B Cell Marker,638.0,223.3,,,0
CDM,14620801,Hb Nk Cell Marker,199.0,69.65,,,0
CDM,14620819,Hb Cd4 And Cd8 Count W Ratio,601.0,210.35,,,0
CDM,14620868,Hb Kb Stain Flow,704.0,246.4,,,0
CDM,14620876,Hb Bk Jc Virus Pcr,989.0,346.15,,,0
CDM,14620884,Hb Bk Virus Pcr Quantitative,989.0,346.15,,,0
CDM,14620900,Hb Her2/Neu Amplification By Fish Her2 Probe,659.0,230.65,,,0
CDM,14620918,Hb Her2/Neu Amplification By Fish Cep17 Probe,659.0,230.65,,,0
CDM,14620934,Hb Mrsa Dna Probe,706.0,247.1,,,0
CDM,14620942,Hb M Tuberculosis Pcr,568.0,198.8,,,0
CDM,14620959,Hb Mycobacaterium Species Pcr,776.0,271.6,,,0
CDM,14620967,Hb Enterovirus Pcr,868.33,303.92,,,0
CDM,14620975,Hb Bordetella Pertusis Pcr,1764.0,617.4,,,0
CDM,14620983,Hb Parvovirus B19 Pcr,1764.0,617.4,,,0
CDM,14620991,Hb Ebv Pcr Quantitative,989.0,346.15,,,0
CDM,14621007,Hb Hepatitis B Pcr Quantitative,1014.0,354.9,,,0
CDM,14621015,Hb Hepatiitis B Pcr Qualitative,692.0,242.2,,,0
CDM,14621023,Hb Human Metapneumovirus Pcr,1050.0,367.5,,,0
CDM,14621049,Hb Jak 2 Nucleic Acid Probe,830.0,290.5,,,0
CDM,14621080,Hb Rhinovirus Pcr,1352.0,473.2,,,0
CDM,14621106,Hb Human Herpes Virus 6 Pcr,1352.0,473.2,,,0
CDM,14621114,Hb Herpes Zoster Virus Pcb Blood,1352.0,473.2,,,0
CDM,14621122,Hb Chlamydia Pneumoniae Pcr,1352.0,473.2,,,0
CDM,14621130,Hb Legionella Pcr,1352.0,473.2,,,0
CDM,14621148,Hb Toxoplamsa Pcr,1127.0,394.45,,,0
CDM,14621155,Hb 1P/19Q Deletion Fish 1P Probe,1332.0,466.2,,,0
CDM,14621437,Hb Klebsiella Pneumo Kpc Pcr,1765.0,617.75,,,0
CDM,14621445,Hb Flu Typing,840.0,294.0,,,0
CDM,14621452,Hb Study Hr Cert Esoteric Tech,802.0,280.7,,,0
CDM,14621460,Hb Parainfluenza Pcr,1765.0,617.75,,,0
CDM,14621494,Hb C Difficile Toxin Pcr,676.0,236.6,,,0
CDM,14621510,Hb T Cell Interpretation And Report,1666.0,583.1,,,0
CDM,14621544,Hb Interleukin 6 Quant,360.0,126.0,,,0
CDM,14621551,Hb B Cepacia Pcr,1765.0,617.75,,,0
CDM,14621569,Hb Van A Pcr,1765.0,617.75,,,0
CDM,14621577,Hb Coronavirus Pcr,1765.0,617.75,,,0
CDM,14621578,Hb Herpes Zoster Virus Pco Non Blood,1352.0,473.2,,,0
CDM,14621579,Hb Hsv Qual Pcr Non Blood,1352.0,473.2,,,0
CDM,14621580,Hb Sequencing 16S Rrna Gene,632.0,221.2,,,0
CDM,14621581,Hb Respiratory Virus Panel 3-5 Targets,438.0,153.3,,,0
CDM,14621582,Hb Respiratory Virus Panel 6-11 Targets,730.0,255.5,,,0
CDM,14621583,Hb Respiratory Virus Panel 12-25 Targets,1477.0,516.95,,,0
CDM,14621584,Hb Trichomonas Vaginalis Pcr Amp Prob,182.0,63.7,,,0
CDM,14621593,Hb Bcr/Abl1 Major Breakpoint Analysis,974.0,340.9,,,0
CDM,14621594,Hb Bcr/Abl 1 Minor Breakpoint Analysis,585.0,204.75,,,0
CDM,14621595,Hb Braf Gene Analysis,585.0,204.75,,,0
CDM,14621596,Hb Kras,634.0,221.9,,,0
CDM,14621597,Hb Cd138 Marker,704.0,246.4,,,0
CDM,14621598,Hb Cd57 Marker,704.0,246.4,,,0
CDM,14621599,Hb Fmc7 Marker,704.0,246.4,,,0
CDM,14621600,Hb Research Study Elisa/Eia,120.0,42.0,,,0
CDM,14621601,Hb Mycobacaterium Fortuitum Complex Pcr,776.0,271.6,,,0
CDM,14621602,Hb Mycobacaterium Cheloneae Complex Pcr,776.0,271.6,,,0
CDM,14621603,Hb Mycobacaterium Abscessus Complex Pcr,776.0,271.6,,,0
CDM,14621604,Hb Gastrointestinal Pcr,996.0,348.6,,,0
CDM,14621607,Hb Mba Misc Lab,497.78,174.22,,,0
CDM,14621608,Hb Gastrointestinal Pathogen Panel 3-5 Targets,407.0,142.45,,,0
CDM,14621609,Hb Gastrointestinal Pathogen Panel 6-11 Targets,722.0,252.7,,,0
CDM,14621610,Hb Gastrointestinal Pathogen Panel 12-25 Targets,1477.0,516.95,,,0
CDM,14621611,Hb Candida Pcr,208.0,72.8,,,0
CDM,14621612,Hb Candida Pcr Speciation,208.0,72.8,,,0
CDM,14621613,Hb Candida Pcr Speciation 2,208.0,72.8,,,0
CDM,14621614,Hb Zika Virus Pcr,373.0,130.55,,,0
CDM,14621619,Hb Streptococcus Pneumoniae,77.0,26.95,,,0
CDM,14621628,Hb Cd123 Marker,704.0,246.4,,,0
CDM,14621629,Hb Cd45 Pnh Panel,704.0,246.4,,,0
CDM,14621630,Hb Cd59 Pnh Panel,704.0,246.4,,,0
CDM,14621631,Hb Cd24 Pnh Panel,704.0,246.4,,,0
CDM,14621632,Hb Cd14 Pnh Panel,704.0,246.4,,,0
CDM,14621633,Hb Cd15 Pnh Panel,704.0,246.4,,,0
CDM,14621634,Hb Cd64 Pnh Panel,704.0,246.4,,,0
CDM,14621635,Hb Cd235A Glycophorin Pnh Panel,704.0,246.4,,,0
CDM,14621636,Hb Interpretation 2-8 Flow Markers; Pnh Panel,304.0,106.4,,,0
CDM,14621637,Hb Cd71 Marker,704.0,246.4,,,0
CDM,14621638,Hb Hepatitis B Pcr Quantification,631.0,220.85,,,0
CDM,14621639,Hb C Auris Pcr,1049.0,367.15,,,0
CDM,14621640,Hb Six Plex Multidrug Resistant Pcr,1049.0,367.15,,,0
CDM,14621641,Hb Focus Hcv Quant,631.0,220.85,,,0
CDM,14621642,Hb Carbapenemase Multiplex Pcr,42.0,14.7,,,0
CDM,14621643,"Hb Jc Virus Dna,Quant,Serum/Plasma",989.0,346.15,,,0
CDM,14621644,"Hb Jc Virus Dna,Quant,Urine",989.0,346.15,,,0
CDM,14621645,"Hb Jc Virus Dna,Quant,Csf",989.0,346.15,,,0
CDM,14621646,Hb Cns Pathogen Panel,996.0,348.6,,,0
CDM,14621647,Hb Solana Mini Respiratory Panel,438.0,153.3,,,0
CDM,14621648,Hb Cd200,704.0,246.4,,,0
CDM,14621652,Hb Cd235 Marker,704.0,246.4,,,0
CDM,14621653,Hb Cd26 Maker,704.0,246.4,,,0
CDM,14621654,Hb 7Aad Viability,704.0,246.4,,,0
CDM,14621655,Hb 7Aad Viability,704.0,246.4,,,0
CDM,14621656,Hb 1P/19Q Deletion Fish 19Q Probe,1332.0,466.2,,,0
CDM,14621657,Hb Cytopath Concentration Technique,228.0,79.8,,,0
CDM,14621658,Hb Pancreatobiliary Urovision Fish,496.0,173.6,,,0
CDM,14621659,Hb Flaer Marker,704.0,246.4,,,0
CDM,14621660,Hb Covid-19 Lab Test Non-Cdc,345.0,120.75,,,0
CDM,14621661,Hb Sars-Cov-2 Covid-19 Amp Prb,373.0,130.55,,,0
CDM,14621664,Hb Sars Cov2 Igm Antibody,180.0,63.0,,,0
CDM,14621667,Hb Flu/Rsv/Sars-Cov2 Multiplex Pcr,500.0,175.0,,,0
CDM,14621668,Hb Flu/Sars-Cov2 Multiplex Pcr,400.0,140.0,,,0
CDM,14621669,Hb Gc Pcr Testing,768.0,268.8,,,0
CDM,14621670,Hb Stem Cell (Cd34 + Hsc) Quantification,234.0,81.9,,,0
CDM,14621671,Hb 16 Marker Bm,704.0,246.4,,,0
CDM,14621674,Hb Cd36 Es,704.0,246.4,,,0
CDM,14621675,Hb Tcr Alpha/Beta Es,704.0,246.4,,,0
CDM,14621676,Hb Tcr Gamma/Delta Es,704.0,246.4,,,0
CDM,14621677,Hb Orthopoxvirus Amp Prb Each,108.0,37.8,,,0
CDM,14621678,Hb Congenital Cmv Pcr (Newborns),210.0,73.5,,,0
CDM,16100001,Hb Bed Hospital At Home,3135.0,1097.25,,,0
CDM,17000001,Hb Bed Baby Nursery Level 1,8925.0,3123.75,,,0
CDM,17200001,Hb Bed Nursery Nicu Level 2,11576.0,4051.6,,,0
CDM,17300001,Hb Bed Nicu Level 3,13781.0,4823.35,,,0
CDM,19400027,Hb Guaiac Occult Blood Feces Bedside,51.0,17.85,,,0
CDM,19400035,Hb Occult Blood Gastric Bedside,64.0,22.4,,,0
CDM,19400050,Hb Act Bedside,346.0,121.1,,,0
CDM,19400076,Hb Hemoglobin Bedside,136.0,47.6,,,0
CDM,19400084,Hb Hcg Urine Bedside,34.0,11.9,,,0
CDM,19400092,Hb Ph Bedside,186.0,65.1,,,0
CDM,19400100,Hb Urinalysis Bedside Manual,63.0,22.05,,,0
CDM,19400118,Hb Urinalysis Bedside Auto,63.0,22.05,,,0
CDM,19400126,Hb Guaiac Occult Blood Feces,51.0,17.85,,,0
CDM,19400134,Hb Er Myoglobin,457.0,159.95,,,0
CDM,19400159,Hb B Natriuretic Peptide,533.0,186.55,,,0
CDM,19400167,Hb Er Ckmb,511.0,178.85,,,0
CDM,19400183,Hb Fibrinolysis Ly30,427.0,149.45,,,0
CDM,19400191,Hb Activated Clotting Timer,346.0,121.1,,,0
CDM,19400209,Hb Clot Lysis Time Teg,231.0,80.85,,,0
CDM,19400217,Hb Blood Platelet Aggregation Ma,590.0,206.5,,,0
CDM,19400225,Hb Fibrinogen Activity K,358.0,125.3,,,0
CDM,19400233,Hb Protime Bedside,187.0,65.45,,,0
CDM,19400241,Hb Strep A Screen Bs,275.0,96.25,,,0
CDM,19400266,Hb Hgba1C Poc,72.0,25.2,,,0
CDM,19400274,Hb Electrolytes Bedside,31.0,10.85,,,0
CDM,19400282,Hb Glucose Bedside,28.0,9.8,,,0
CDM,19400290,Hb Bun Bedside,28.0,9.8,,,0
CDM,19400308,Hb Creatinine Bedside,34.0,11.9,,,0
CDM,19400410,Hb Bedside Pt Inr,187.0,65.45,,,0
CDM,19400411,Hb Gases Blood O2 Sat Only,255.0,89.25,,,0
CDM,19400412,Hb Hemoglobin Concentration,123.0,43.05,,,0
CDM,19400413,Hb Occult Bld Feces 1-3 Tests,156.0,54.6,,,0
CDM,19400417,Hb Fecal Blood Scrn Immunoassy Bedside,96.0,33.6,,,0
CDM,19400418,Hb Bedside Mononucleosis Screen,263.0,92.05,,,0
CDM,19400419,Hb Bedside Lead Assay,80.0,28.0,,,0
CDM,19400432,Hb Rapid Respiratory Syncitial Virus Screen,65.0,22.75,,,0
CDM,19400433,Hb Hcg Poc,288.0,100.8,,,0
CDM,19400434,Hb Activated Coagulation Time,346.0,121.1,,,0
CDM,19400435,Hb Heparin Assay,451.0,157.85,,,0
CDM,19400436,Hb Heparin-Protamine Tolerance,451.0,157.85,,,0
CDM,19400437,Hb Influenza A Bedside,140.0,49.0,,,0
CDM,19400438,Hb Influenza B Bedside,140.0,49.0,,,0
CDM,19400439,Hb Immunoassay Fecal Occult Blood Bedside,467.0,163.45,,,0
CDM,19400440,Hb Bedside Hcg Quantitative Analysis Blood,508.0,177.8,,,0
CDM,19400441,Hb Bedside Hcg Qualitative Analysis Blood,253.0,88.55,,,0
CDM,19400442,Hb Strep A Immunoassay Bedside,275.0,96.25,,,0
CDM,19400443,Hb Basic Metabolic Panel Ionized Ca,300.0,105.0,,,0
CDM,19400444,Hb Poc Ketone Quantitative,214.0,74.9,,,0
CDM,19400445,Hb Urine Drugscreen Bedside,60.0,21.0,,,0
CDM,19400448,Hb Iaad Ia Severe Aqt Respir Synd Coronavirus,62.0,21.7,,,0
CDM,19400453,Hb Iaad Ia Sarscov & Influenza Virus Types A&B,176.0,61.6,,,0
CDM,20000001,Hb Bed Intensive Care Unit,5973.0,2090.55,,,0
CDM,20000002,Hb Specialty Oncology Care Unit,8861.0,3101.35,,,0
CDM,20300001,Hb Bed Pediatric Icu,4980.0,1743.0,,,0
CDM,20600001,Hb Bed Intcare Prog Care Sd,4243.0,1485.05,,,0
CDM,20700001,Hb Bed Burn Unit,6045.0,2115.75,,,0
CDM,20800001,Hb Bed Trauma,8964.0,3137.4,,,0
CDM,21000001,Hb Bed Coronary Care Unit,4977.0,1741.95,,,0
CDM,21900001,Hb Bed Cardiac Surgery Unit,7254.0,2538.9,,,0
CDM,22000001,Hb Core Advanced Nursing Coord Hr,298.0,104.3,,,0
CDM,22000002,Hb Core Ekg Use,198.0,69.3,,,0
CDM,22000003,Hb Core Exam Room Only Hr,180.0,63.0,,,0
CDM,22000004,Hb Core Misc Svcs $1 Per Unit,4.5,1.58,,,0
CDM,22000005,Hb Core Nurse On Call Per Night,396.0,138.6,,,0
CDM,22000006,Hb Core Nursing Coordinator Hr,198.0,69.3,,,0
CDM,22000007,Hb Core Patient Enrollment Fee,991.0,346.85,,,0
CDM,22000008,Hb Core Research Medical History,991.0,346.85,,,0
CDM,22000009,Hb Core Research Physical Exam,1191.0,416.85,,,0
CDM,22000010,Hb Core Tech Hr,100.0,35.0,,,0
CDM,22000011,Hb Iv Infus Ther Proph Dx Initial,312.0,109.2,,,0
CDM,22000012,Hb Iv Infus Ther Proph Dx Add On,162.0,56.7,,,0
CDM,22000013,Hb Iv Infus Ther Proph Dx Seq,312.0,109.2,,,0
CDM,22000014,Hb Iv Infus Ther Proph Dx Concur,312.0,109.2,,,0
CDM,22000015,Hb Research Rx Dispensing Only,58.0,20.3,,,0
CDM,22000016,Hb Research Rx Emp Glass Bottle,89.0,31.15,,,0
CDM,22000017,Hb Research Rx Emp Viaflex Bag,74.0,25.9,,,0
CDM,22000018,Hb Research Rx Iv Admin,156.0,54.6,,,0
CDM,22000019,Hb Research Rx Lv 250 To 1000 Ml,48.0,16.8,,,0
CDM,22000020,Hb Research Rx Lv 50 To 100 Ml,30.0,10.5,,,0
CDM,22000021,Hb Research Rx Misc 1U To 1$,4.5,1.58,,,0
CDM,22000022,Hb Research Rx Prep 0 To 30 Min,185.0,64.75,,,0
CDM,22000023,Hb Research Rx Prep 30 To 60 Min,395.0,138.25,,,0
CDM,22000024,Hb Research Rx Prep Above 60 Min,658.0,230.3,,,0
CDM,22000025,Hb Research Rx Randomization Fee,175.0,61.25,,,0
CDM,22000026,Hb Core Coordinator Hr,159.0,55.65,,,0
CDM,22000027,Hb Core Informed Consent,198.0,69.3,,,0
CDM,22000028,Hb Core Inclusion / Exclusion Criteria Review,198.0,69.3,,,0
CDM,22000029,Hb Core Medical History,149.0,52.15,,,0
CDM,22000030,Hb Core Demographics,100.0,35.0,,,0
CDM,22000031,Hb Core Vital Signs,50.0,17.5,,,0
CDM,22000032,Hb Core Questionnaire(S) - High,50.0,17.5,,,0
CDM,22000033,Hb Core Qol Assessment,50.0,17.5,,,0
CDM,22000034,Hb Research Pi Oversight,198.0,69.3,,,0
CDM,22000035,Hb Core Blood Pressure,50.0,17.5,,,0
CDM,22000036,Hb Core Medications Review,100.0,35.0,,,0
CDM,22000037,Hb Core Blood Test - Central - Mid,50.0,17.5,,,0
CDM,22000038,Hb Core Urine Test - Central - Low,50.0,17.5,,,0
CDM,22000039,Hb Core Sputum Collection - Central,50.0,17.5,,,0
CDM,22000040,Hb Core Administer Study Drug In Clinic,100.0,35.0,,,0
CDM,22000041,Hb Core Concomitant Medications Review,100.0,35.0,,,0
CDM,22000042,Hb Core Administrative / Coordinator Time,100.0,35.0,,,0
CDM,22000043,Hb Core Health Resource Use Form,50.0,17.5,,,0
CDM,22000044,Hb Core Physical Exam - Complete - Non-Tgh Md,298.0,104.3,,,0
CDM,22000045,Hb Core Physical Exam - Limited - Non-Tgh Md,198.0,69.3,,,0
CDM,22000046,Hb Core Echocardiogram At Non-Tgh Md Office,496.0,173.6,,,0
CDM,22000047,Hb Core Spirometry - Non-Tgh Md,298.0,104.3,,,0
CDM,22000048,Hb Core Post-Dose Spirometry - Non-Tgh Md,298.0,104.3,,,0
CDM,22000049,Hb Core Ecg At Non-Tgh Md Office,100.0,35.0,,,0
CDM,22000050,Hb Core Crf Completion,100.0,35.0,,,0
CDM,22000051,Hb Core Telephone Contact,50.0,17.5,,,0
CDM,22000052,Hb Core Mortality Assessment,50.0,17.5,,,0
CDM,22000053,Hb Core Patient Stipend,100.0,35.0,,,0
CDM,22000054,Hb Core Ae Data Collection,100.0,35.0,,,0
CDM,22000055,Hb Core Sae Data Collection,298.0,104.3,,,0
CDM,22000056,Hb Core Clinical End Points / Outcomes,100.0,35.0,,,0
CDM,22000057,Hb Core Professional Fee - Low - Non-Tgh Md,991.0,346.85,,,0
CDM,22000058,Hb Core Professional Fee - High - Non-Tgh Md,1982.0,693.7,,,0
CDM,22000059,Hb Core Questionnaire(S) - Low,21.0,7.35,,,0
CDM,22000060,Hb Core Questionnaire(S) - Mid,30.0,10.5,,,0
CDM,22000061,Hb Core Patient Stipend - Low,21.0,7.35,,,0
CDM,22000062,Hb Core Patient Stipend - Mid,50.0,17.5,,,0
CDM,22000063,Hb Core Patient Meal,30.0,10.5,,,0
CDM,22000064,Hb Core Administrative Processing Fee,1982.0,693.7,,,0
CDM,22000065,Hb Core Administrative Processing Fee - Expedited,991.0,346.85,,,0
CDM,22000066,Hb Core Document Storage Fee,1982.0,693.7,,,0
CDM,22000067,Hb Core Contract-Budget Review Fee,1982.0,693.7,,,0
CDM,22000068,Hb Core Indemnification Contract Review Fee,595.0,208.25,,,0
CDM,22000069,Hb Core Facility Agreement Contract Review Fee,991.0,346.85,,,0
CDM,22000070,Hb Core Regulatory Start Up Fee,5952.0,2083.2,,,0
CDM,22000071,Hb Core Sponsor Monitor Visit Fee Per Day,396.0,138.6,,,0
CDM,22000072,Hb Pharmacy Sponsor Monitor Visit Fee Per Hour,119.0,41.65,,,0
CDM,22000073,Hb Pharmacy Storage & Maintenance Fee Per Month,100.0,35.0,,,0
CDM,22000074,Hb Pharmacy Extensive Storage & Maintenance Fee Per Month,149.0,52.15,,,0
CDM,22000075,Hb Core On-Call Fee For 24/7 Coverage Per Month,2976.0,1041.6,,,0
CDM,22000076,Hb Core Set-Up And Training,991.0,346.85,,,0
CDM,22000077,Hb Pharmacy Set-Up Fee,2976.0,1041.6,,,0
CDM,22000078,Hb Pharmacy Set-Up Fee - Low,991.0,346.85,,,0
CDM,22000079,Hb Pharmacy Set-Up Fee - Mid,1982.0,693.7,,,0
CDM,22000080,Hb Pharmacy Close-Out Fee,198.0,69.3,,,0
CDM,22000081,Hb Core Nursing Unit Inservice Fee,396.0,138.6,,,0
CDM,22000082,Hb Core Administrative Fee For Payment Processing,100.0,35.0,,,0
CDM,22000083,Hb Core Lab Use Fee Per Month,50.0,17.5,,,0
CDM,22000084,Hb Core Neurological Exam,298.0,104.3,,,0
CDM,22000085,Hb Core Assessment - Low,50.0,17.5,,,0
CDM,22000086,Hb Core Assessment - Mid,100.0,35.0,,,0
CDM,22000087,Hb Core Assessment - High,198.0,69.3,,,0
CDM,22000088,Hb Core Invoiceable Activity - Low,50.0,17.5,,,0
CDM,22000089,Hb Core Invoiceable Activity - Mid,100.0,35.0,,,0
CDM,22000090,Hb Core Invoiceable Activity - High,198.0,69.3,,,0
CDM,22000091,Hb Core Optional Blood Test,50.0,17.5,,,0
CDM,22000092,Hb Core Blood Test - Central - Low,30.0,10.5,,,0
CDM,22000093,Hb Core Blood Test - Central - High,100.0,35.0,,,0
CDM,22000094,Hb Core Urine Test - Central - High,100.0,35.0,,,0
CDM,22000095,Hb Core Research Charges In Merge Ctms,1.25,0.44,,,0
CDM,25000024,Hb Sterile Saline Or Water < 5 Cc,48.96,17.14,,,0
CDM,25000024_A4216_272,NDC Description Not Available,48.96,17.14,,,0
CDM,25000059,Hb Inj Heparin Sodium Per 1000U,2.71,0.95,,,0
CDM,26000001,Hb Hydrate Iv Infusion Init,675.5,236.42499999999998,,,0
CDM,26000002,Hb Hydrate Iv Infus Add On,269.5,94.325,,,0
CDM,26000003,Hb Iv Infus Ther Proph Dx Initial,672.0,235.2,,,0
CDM,26000004,Hb Iv Infus Ther Proph Dx Add On,257.0,89.94999999999999,,,0
CDM,26000005,Hb Iv Infus Ther Proph Dx Seq,672.0,235.2,,,0
CDM,26000006,Hb Iv Push Initial Ther Proph Dx,585.0,204.75,,,0
CDM,26000007,Hb Iv Push Addl New Drug,365.5,127.925,,,0
CDM,26000008,Hb Iv Infus Ther Proph Dx Concur,740.0,259.0,,,0
CDM,26000009,Hb Iv Push Addl Same Drug,368.0,128.8,,,0
CDM,26000010,Hb Unlisted Ther Proph Dx Inj,310.0,108.5,,,0
CDM,26000011,Hb Ivpb,1998.0,699.3,,,0
CDM,26000012,Hb Iv Injection,1112.0,389.2,,,0
CDM,26000013,Hb Iv Infusion,1998.0,699.3,,,0
CDM,26000014,Hb Ia Ther Proph Dx Inj,600.0,210.0,,,0
CDM,26000015,Hb 96360 Hydrate Iv Infusion Init,1079.0,377.65,,,0
CDM,26000016,Hb 96361 Hydrate Iv Infus Add On,430.0,150.5,,,0
CDM,26000017,Hb 96365 Iv Infus Ther Proph Dx Int,672.0,235.2,,,0
CDM,26000018,Hb 96366 Iv Ther Proph Dx Add On,372.0,130.2,,,0
CDM,26000019,Hb 96367 Iv Infus Ther Proph Dx Seq,1072.0,375.2,,,0
CDM,26000020,Hb 96368 Iv Ther Proph Dx Concur,1079.0,377.65,,,0
CDM,26000021,Hb 96373 Ia Ther Proph Dx Inj,600.0,210.0,,,0
CDM,26000022,Hb 96374 Iv Push Int Ther Proph Dx,585.0,204.75,,,0
CDM,26000023,Hb 96375 Iv Push Addl New Drug,540.0,189.0,,,0
CDM,26000024,Hb 96379 Unlisted Ther Proph Dx Inj,451.0,157.85,,,0
CDM,26000026,Hb Iv Infusion Add On,1004.0,351.4,,,0
CDM,26000027,Hb Bubble Contrast Media Stdy Inj,1217.0,425.95,,,0
CDM,26000028,Hb Non-Chemo Iv Prolong W Pump,2386.0,835.1,,,0
CDM,26000029,Hb Appl On-Body Inject For Timed Subq Injection,105.0,36.75,,,0
CDM,26000030,Hb 96360 Hydrate Iv Infusion Init,1079.0,377.65,,,0
CDM,26000031,Hb 96361 Hydrate Iv Infus Add On,430.0,150.5,,,0
CDM,26000032,Hb 96365 Iv Infus Ther Proph Dx Int,672.0,235.2,,,0
CDM,26000033,Hb 96366 Iv Ther Proph Dx Add On,372.0,130.2,,,0
CDM,26000034,Hb 96367 Iv Infus Ther Proph Dx Seq,1072.0,375.2,,,0
CDM,26000035,Hb 96368 Iv Ther Proph Dx Concur,1079.0,377.65,,,0
CDM,26000036,Hb 96373 Ia Ther Proph Dx Inj,600.0,210.0,,,0
CDM,26000037,Hb 96374 Iv Push Int Ther Proph Dx,585.0,204.75,,,0
CDM,26000038,Hb 96375 Iv Push Addl New Drug,540.0,189.0,,,0
CDM,26000039,Hb 96379 Unlisted Ther Proph Dx Inj,451.0,157.85,,,0
CDM,26000040,"Hb Intravenous Infusion,Bamlanivimab-Xxx",774.0,270.9,,,0
CDM,26000041,"Hb Intravenous Infusion,Casirivimab And Imdevimab",774.0,270.9,,,0
CDM,26000042,Hb Sc Infusion Initial 1 Hr W/Pump Set-Up,665.0,232.75,,,0
CDM,26000043,Hb Sc Infusion Each Addl Hr,267.0,93.45,,,0
CDM,26000044,"Hb Intravenous Infusion,Bamlanivimab And Etesevimab",777.0,271.95,,,0
CDM,26000045,Hb Casirivi And Imdevi Infus Hm,1875.0,656.25,,,0
CDM,26000046,Hb Intravenous Infusion Sotrovimab,1125.0,393.75,,,0
CDM,27000001_144274,Hb Sup Revenue Code 270,510.29,178.6,,,0
CDM,27000001_144295,Hb Sup Revenue Code 270,1387.2,485.52,,,0
CDM,27000001_144327,Hb Sup Revenue Code 270,4258.5,1490.48,,,0
CDM,27000001_144328,Hb Sup Revenue Code 270,4258.5,1490.48,,,0
CDM,27000001_146511,Hb Sup Revenue Code 270,6670.8,2334.78,,,0
CDM,27000001_147482,Hb Sup Revenue Code 270,2799.9,979.96,,,0
CDM,27000001_147485,Hb Sup Revenue Code 270,1262.35,441.82,,,0
CDM,27000001_150002,Hb Sup Revenue Code 270,4198.88,1469.61,,,0
CDM,27000001_150005,Hb Sup Revenue Code 270,575.51,201.43,,,0
CDM,27000001_150006,Hb Sup Revenue Code 270,575.7,201.5,,,0
CDM,27000001_150007,Hb Sup Revenue Code 270,575.7,201.5,,,0
CDM,27000001_150008,Hb Sup Revenue Code 270,575.7,201.5,,,0
CDM,27000001_150009,Hb Sup Revenue Code 270,1142.63,399.92,,,0
CDM,27000001_150010,Hb Sup Revenue Code 270,1142.63,399.92,,,0
CDM,27000001_150011,Hb Sup Revenue Code 270,828.24,289.88,,,0
CDM,27000001_152970,Hb Sup Revenue Code 270,533.48,186.72,,,0
CDM,27000001_152971,Hb Sup Revenue Code 270,533.48,186.72,,,0
CDM,27000001_152972,Hb Sup Revenue Code 270,533.48,186.72,,,0
CDM,27000001_152973,Hb Sup Revenue Code 270,533.48,186.72,,,0
CDM,27000001_152974,Hb Sup Revenue Code 270,533.48,186.72,,,0
CDM,27000001_172422,Hb Sup Revenue Code 270,580.38,203.13,,,0
CDM,27000001_172423,Hb Sup Revenue Code 270,580.38,203.13,,,0
CDM,27000001_172425,Hb Sup Revenue Code 270,2824.99,988.75,,,0
CDM,27000001_172683,Hb Sup Revenue Code 270,14675.76,5136.52,,,0
CDM,27000001_175120,Hb Sup Revenue Code 270,3078.34,1077.42,,,0
CDM,27000001_179221,Hb Sup Revenue Code 270,2463.91,862.37,,,0
CDM,27000001_199768,Hb Sup Revenue Code 270,317.77,111.22,,,0
CDM,27000001_215547,Hb Sup Revenue Code 270,4258.5,1490.48,,,0
CDM,27000001_215549,Hb Sup Revenue Code 270,744.96,260.74,,,0
CDM,27000001_216972,Hb Sup Revenue Code 270,377.84,132.24,,,0
CDM,27000001_21806,Hb Sup Revenue Code 270,2.04,0.71,,,0
CDM,27000001_270,Hb Sup Revenue Code 270,580.38,203.13,,,0
CDM,27000002,Hb Blind Bal Supplies,721.14,252.4,,,0
CDM,27000003,Hb Cast Hip Sp 1.5 Fibglass 0 To 10,772.14,270.25,,,0
CDM,27000004,Hb Cast Hip Sp 1.5 Fibglass 11+,772.14,270.25,,,0
CDM,27000005,Hb Cast La Thmb Plaster 0 To 10,114.24,39.98,,,0
CDM,27000006,Hb Cast La Thmb Plaster 11+,113.22,39.63,,,0
CDM,27000007,Hb Cast Ll Cyl Fiberglass 0 To 10,406.98,142.44,,,0
CDM,27000007_Q4032_270,Hb Cast Ll Cyl Fiberglass 0 To 10,406.98,142.44,,,0
CDM,27000008,Hb Cast Ll Cyl Fiberglass 11+,406.98,142.44,,,0
CDM,27000008_Q4030_270,Hb Cast Ll Cyl Fiberglass 11+,406.98,142.44,,,0
CDM,27000009,Hb Cast Ll Fiberglass 0 To 10 Yrs,480.42,168.15,,,0
CDM,27000009_Q4032_270,Hb Cast Ll Fiberglass 0 To 10 Yrs,480.42,168.15,,,0
CDM,27000010,Hb Cast Ll Fiberglass 11+ Yrs,480.42,168.15,,,0
CDM,27000010_Q4030_270,Hb Cast Ll Fiberglass 11+ Yrs,480.42,168.15,,,0
CDM,27000011,Hb Cast Ll Plaster 0 To 10 Yrs,190.74,66.76,,,0
CDM,27000012,Hb Cast Ll Plaster 11+ Yrs,189.72,66.4,,,0
CDM,27000013,Hb Cast Sa Thmb Fibglass 0 To 10,155.04,54.26,,,0
CDM,27000013_Q4024_270,Hb Cast Sa Thmb Fibglass 0 To 10,155.04,54.26,,,0
CDM,27000014,Hb Cast Sa Thmb Fibglass 11+,156.06,54.62,,,0
CDM,27000014_Q4022_270,Hb Cast Sa Thmb Fibglass 11+,156.06,54.62,,,0
CDM,27000015,Hb Cast Sa Thmb Plaster 0 To 10,67.32,23.56,,,0
CDM,27000016,Hb Cast Sa Thmb Plaster 11+,66.3,23.2,,,0
CDM,27000017,Hb Cast Sl Fiberglass 0 To 10 Yrs,307.02,107.46,,,0
CDM,27000017_Q4040_270,Hb Cast Sl Fiberglass 0 To 10 Yrs,307.02,107.46,,,0
CDM,27000018,Hb Cast Sl Fiberglass 11+ Yrs,307.02,107.46,,,0
CDM,27000018_Q4038_270,Hb Cast Sl Fiberglass 11+ Yrs,307.02,107.46,,,0
CDM,27000019,Hb Cast Sl Plaster 0 To 10 Yrs,129.54,45.34,,,0
CDM,27000020,Hb Cast Sl Plaster 11+ Yrs,128.52,44.98,,,0
CDM,27000021,Hb Patient Cable,146.88,51.41,,,0
CDM,27000022,Hb Post-Op Shoe,5.1,1.78,,,0
CDM,27000022_L3260_270,Hb Post-Op Shoe,5.1,1.78,,,0
CDM,27000022_L3260_272,Hb Post-Op Shoe,5.1,1.78,,,0
CDM,27000023,Hb Cuff And Collar Sling,5.1,1.78,,,0
CDM,27000023_A4565_270,Hb Cuff And Collar Sling,5.1,1.78,,,0
CDM,27000024,Hb Cast Shoe,5.1,1.78,,,0
CDM,27000024_L3260_270,Hb Cast Shoe,5.1,1.78,,,0
CDM,27000025,Hb Ex-Fix Foot Support,32.64,11.42,,,0
CDM,27000026,Hb Soft Foam Collar Extender (Per/Ca),11.22,3.93,,,0
CDM,27000026_270,Hb Soft Foam Collar Extender (Per/Ca),11.22,3.93,,,0
CDM,27000027,Hb Ulnar Gutter Cast,9.18,3.21,,,0
CDM,27000027_270,Hb Ulnar Gutter Cast,9.18,3.21,,,0
CDM,27000028,Hb Radial Gutter Cast,9.18,3.21,,,0
CDM,27000028_270,Hb Radial Gutter Cast,9.18,3.21,,,0
CDM,27000029,Hb Muenster Cast,9.18,3.21,,,0
CDM,27000029_270,Hb Muenster Cast,9.18,3.21,,,0
CDM,27000030,Hb Mitten Cast,9.18,3.21,,,0
CDM,27000030_270,Hb Mitten Cast,9.18,3.21,,,0
CDM,27000031,Hb Clamshell Cast,9.18,3.21,,,0
CDM,27000031_270,Hb Clamshell Cast,9.18,3.21,,,0
CDM,27000050,Hb Clamshell Splint,107.1,37.48,,,0
CDM,27000050_270,Hb Clamshell Splint,107.1,37.48,,,0
CDM,27000052,Hb Hearing Aide Accessories,255.0,89.25,,,0
CDM,27000053,Hb Dome /Filter,10.2,3.57,,,0
CDM,27000054,Hb Receiver Supply,102.0,35.7,,,0
CDM,27100003,Hb Huber Gripper Needle,117.3,41.06,,,0
CDM,27100003_271,Hb Huber Gripper Needle,117.3,41.06,,,0
CDM,27100004,Hb Kit Colo Ileo 1 3/4 In,112.2,39.27,,,0
CDM,27100005,Hb Kit Colo Ileo 2 1/4 In,112.2,39.27,,,0
CDM,27100006,Hb Kit Colo Ileo 2 3/4 In,112.2,39.27,,,0
CDM,27100007,Hb Pouch Urinary 1.75,93.84,32.84,,,0
CDM,27100008,Hb Pouch Urinary 2.25,104.04,36.41,,,0
CDM,27100009,Hb Pouch Urinary 2.75,118.32,41.41,,,0
CDM,27100010,Hb Wafer Stoma Cover 8X8,118.32,41.41,,,0
CDM,27100012,Hb Wafer Stoma Cover 4X4,30.6,10.71,,,0
CDM,27100013,Hb Wafer Stoma Flange 1 3/4,24.48,8.57,,,0
CDM,27100014,Hb Wafer Stoma Flange 2 1/4,24.48,8.57,,,0
CDM,27100015,Hb Wafer Stoma Flange 2 3/4,24.48,8.57,,,0
CDM,27100016,Hb Wafer Stoma Flange 4 6X6,49.98,17.49,,,0
CDM,27100017,Hb Splint,1670.76,584.77,,,0
CDM,27100018,Hb Exercise Squeeze Ball,20.4,7.14,,,0
CDM,27100019,Hb Cast La Plaster Age 11 And Over,173.4,60.69,,,0
CDM,27100020,Hb Cast La Fibergl Age 11 And Over,335.58,117.45,,,0
CDM,27100020_Q4006_271,Hb Cast La Fibergl Age 11 And Over,335.58,117.45,,,0
CDM,27100021,Hb Cast La Plast Age 0 To 10,130.56,45.7,,,0
CDM,27100022,Hb Cast La Fibergl Age 0 To 10,169.32,59.26,,,0
CDM,27100022_Q4008_271,Hb Cast La Fibergl Age 0 To 10,169.32,59.26,,,0
CDM,27100023,Hb Cast Sa Plast Age 11 And Over,85.68,29.99,,,0
CDM,27100024,Hb Cast Sa Fibergl Age 11 And Over,167.28,58.55,,,0
CDM,27100024_Q4010_271,Hb Cast Sa Fibergl Age 11 And Over,167.28,58.55,,,0
CDM,27100025,Hb Cast Sa Plast Age 0 To 10,85.68,29.99,,,0
CDM,27100026,Hb Cast Sa Fibergl Age 0 To 10,150.96,52.84,,,0
CDM,27100026_Q4012_271,Hb Cast Sa Fibergl Age 0 To 10,150.96,52.84,,,0
CDM,27100027,Hb Cast Ll Fibergl Age 11 And Over,366.18,128.16,,,0
CDM,27100028,Hb Cast Ll Plast Age 0 To 10,130.56,45.7,,,0
CDM,27100029,Hb Cast Ll Fibergl Age 0 To 10,250.92,87.82,,,0
CDM,27100029_Q4032_271,Hb Cast Ll Fibergl Age 0 To 10,250.92,87.82,,,0
CDM,27100030,Hb Cast Sl Fibergl Age 11 And Over,331.5,116.02,,,0
CDM,27100030_Q4038_270,Hb Cast Sl Fibergl Age 11 And Over,331.5,116.02,,,0
CDM,27100031,Hb Cast Sl Plast Age 0 To 10,114.24,39.98,,,0
CDM,27100032,Hb Cast Sl Fibergl Age 0 To 10,169.32,59.26,,,0
CDM,27100032_Q4040_271,Hb Cast Sl Fibergl Age 0 To 10,169.32,59.26,,,0
CDM,27100033,Hb Finger Splint,189.72,66.4,,,0
CDM,27100033_Q4049_271,Hb Finger Splint,189.72,66.4,,,0
CDM,27100036_271,Hb Belt Gait Safety 60 In,90.92,31.82,,,0
CDM,27100054_271,Hb Dressing Stick,768.51,268.98,,,0
CDM,27100074_271,Hb Kit Intracranial Monitoring,3534.39,1237.04,,,0
CDM,27100086_271,Hb Leg Lifters,53.35,18.67,,,0
CDM,27100099_271,Hb Kit Colo Ileo 2 .75In,280.89,98.31,,,0
CDM,27100101_271,Hb Kit Colo Ileo 2.25 N,84.88,29.71,,,0
CDM,27100104_271,Hb Reacher Long 32 In,105.07,36.77,,,0
CDM,27100105_271,Hb Reacher Standard 26 In,98.11,34.34,,,0
CDM,27100109_271,Hb Shoe Horn Long Metal Red,61.7,21.6,,,0
CDM,27100126_271,Hb Sponge Long Handled,71.72,25.1,,,0
CDM,27100154_271,Hb Theraputty Med Green 10 2Oz,37.81,13.23,,,0
CDM,27100155_271,Hb Theraputty Med Soft Red 10 2Oz,37.81,13.23,,,0
CDM,27100156_271,Hb Theraputty Soft Yellow 10 2Oz,37.81,13.23,,,0
CDM,27100165_271,Hb Tubing Set For Blood Warmer,866.31,303.21,,,0
CDM,27100195_11687,Hb Sup Revenue Code 271,580.38,203.13,,,0
CDM,27100195_1318,Hb Sup Revenue Code 271,143.72,50.3,,,0
CDM,27100195_1344,Hb Sup Revenue Code 271,173.97,60.89,,,0
CDM,27100195_145432,Hb Sup Revenue Code 271,580.38,203.13,,,0
CDM,27100195_15386,Hb Sup Revenue Code 271,79.33,27.77,,,0
CDM,27100195_23550,Hb Sup Revenue Code 271,139.86,48.95,,,0
CDM,27100195_2417,Hb Sup Revenue Code 271,583.15,204.1,,,0
CDM,27100195_2418,Hb Sup Revenue Code 271,645.0,225.75,,,0
CDM,27100195_2419,Hb Sup Revenue Code 271,582.93,204.03,,,0
CDM,27100195_2420,Hb Sup Revenue Code 271,583.59,204.26,,,0
CDM,27100195_287,Hb Sup Revenue Code 271,2439.94,853.98,,,0
CDM,27100195_4634,Hb Sup Revenue Code 271,452.76,158.47,,,0
CDM,27100195_493,Hb Sup Revenue Code 271,263.72,92.3,,,0
CDM,27100195_527,Hb Sup Revenue Code 271,214.09,74.93,,,0
CDM,27100195_65265,Hb Sup Revenue Code 271,828.24,289.88,,,0
CDM,27100195_72333,Hb Sup Revenue Code 271,205.47,71.91,,,0
CDM,27100195_73544,Hb Sup Revenue Code 271,335.28,117.35,,,0
CDM,27100196,Hb Acapella,287.64,100.67,,,0
CDM,27100196_271,Hb Acapella,287.64,100.67,,,0
CDM,27100198,Hb Aircast Arm Band,66.3,23.2,,,0
CDM,27100199,Hb Anklet,65.28,22.85,,,0
CDM,27100199_A6512_271,Hb Anklet,65.28,22.85,,,0
CDM,27100202,Hb Batteries,5.1,1.78,,,0
CDM,27100203,Hb Bed Ladder,104.04,36.41,,,0
CDM,27100204,Hb Benik Hand Support,22.44,7.85,,,0
CDM,27100205,Hb Custom Body Brief Sleeveless,538.56,188.5,,,0
CDM,27100206,Hb Brace Lso Corset,257.04,89.96,,,0
CDM,27100207,Hb Lso Sag-Coronal Panel Custom,3174.12,1110.94,,,0
CDM,27100207_L0638_274,Hb Lso Sag-Coronal Panel Custom,3174.12,1110.94,,,0
CDM,27100208,Hb Lso Sag-Coro Rigid Panel Pre,3167.64,1108.67,,,0
CDM,27100208_L0631_271,Hb Lso Sag-Coro Rigid Panel Pre,2991.66,1047.08,,,0
CDM,27100208_L0631_274,Hb Lso Sag-Coro Rigid Panel Pre,3167.64,1108.67,,,0
CDM,27100209,Hb Tlso Rigid Lined Cust Fab,4501.44,1575.5,,,0
CDM,27100209_L0486_274,Hb Tlso Rigid Lined Cust Fab,4501.44,1575.5,,,0
CDM,27100210,Hb Brace Tlso Body Jacket Pre Fab,3813.48,1334.72,,,0
CDM,27100211,Hb Built Up Handle Foam,7.14,2.5,,,0
CDM,27100212,Hb Custom Burn Gar Brief,120.36,42.13,,,0
CDM,27100212_A6512_271,Hb Custom Burn Gar Brief,120.36,42.13,,,0
CDM,27100213,Hb Custom Burn Gar Gauntlet To Elbow,154.02,53.91,,,0
CDM,27100213_A6512_271,Hb Custom Burn Gar Gauntlet To Elbow,154.02,53.91,,,0
CDM,27100214,Hb Custom Burn Gar Gauntlet To Wrist,83.64,29.27,,,0
CDM,27100214_A6512_271,Hb Custom Burn Gar Gauntlet To Wrist,83.64,29.27,,,0
CDM,27100215,Hb Custom Burn Gar Press Sleeve Full Arm,106.08,37.13,,,0
CDM,27100215_A6512_271,Hb Custom Burn Gar Press Sleeve Full Arm,106.08,37.13,,,0
CDM,27100216,Hb Custom Burn Gar Stocking Knee To Thigh,82.62,28.92,,,0
CDM,27100216_A6512_271,Hb Custom Burn Gar Stocking Knee To Thigh,82.62,28.92,,,0
CDM,27100217,Hb Custom Burn Gar Stocking To Knee,94.86,33.2,,,0
CDM,27100217_A6512_271,Hb Custom Burn Gar Stocking To Knee,94.86,33.2,,,0
CDM,27100218,Hb Custom Burn Gar Stocking To Thigh,112.2,39.27,,,0
CDM,27100218_A6512_271,Hb Custom Burn Gar Stocking To Thigh,112.2,39.27,,,0
CDM,27100219,Hb Custom Burn Garm Body Brief And Thigh,230.52,80.68,,,0
CDM,27100220,Hb Custom Burn Garm Body Vest Sleeveless,190.74,66.76,,,0
CDM,27100220_A6509_271,Hb Custom Burn Garm Body Vest Sleeveless,190.74,66.76,,,0
CDM,27100221,Hb Burn Garm Custom Bodysuit,543.66,190.28,,,0
CDM,27100221_A6501_271,Hb Burn Garm Custom Bodysuit,543.66,190.28,,,0
CDM,27100222,Hb Burn Garm Custom Chin Strap,109.14,38.2,,,0
CDM,27100222_A6502_271,Hb Burn Garm Custom Chin Strap,109.14,38.2,,,0
CDM,27100223,Hb Burn Garm Custom Face Hood,158.1,55.34,,,0
CDM,27100224,Hb Burn Garm Custom Face Mask,190.74,66.76,,,0
CDM,27100224_A6513_271,Hb Burn Garm Custom Face Mask,190.74,66.76,,,0
CDM,27100225,Hb Burn Garm Custom Foot To Knee,96.9,33.92,,,0
CDM,27100225_A6507_271,Hb Burn Garm Custom Foot To Knee,96.9,33.92,,,0
CDM,27100226,Hb Burn Garm Custom Foot To Thigh,121.38,42.48,,,0
CDM,27100226_A6508_271,Hb Burn Garm Custom Foot To Thigh,121.38,42.48,,,0
CDM,27100227,Hb Burn Garm Custom Glove Axilla,205.02,71.76,,,0
CDM,27100227_A6506_271,Hb Burn Garm Custom Glove Axilla,205.02,71.76,,,0
CDM,27100228,Hb Burn Garm Custom Glove Elbow,185.64,64.97,,,0
CDM,27100228_A6505_271,Hb Burn Garm Custom Glove Elbow,185.64,64.97,,,0
CDM,27100228_A6505_623,Hb Burn Garm Custom Glove Elbow,185.64,64.97,,,0
CDM,27100229,Hb Burn Garm Custom Glove Wrist,96.9,33.92,,,0
CDM,27100229_A6504_271,Hb Burn Garm Custom Glove Wrist,96.9,33.92,,,0
CDM,27100230,Hb Custom Burn Garm Press Sleeve Arm Half,79.56,27.85,,,0
CDM,27100230_A6512_271,Hb Custom Burn Garm Press Sleeve Arm Half,79.56,27.85,,,0
CDM,27100231,Hb Burn Garm Type In Capability,95.88,33.56,,,0
CDM,27100232,Hb Burn Garm Vest With Sleeves,448.8,157.08,,,0
CDM,27100232_A6510_271,Hb Burn Garm Vest With Sleeves,448.8,157.08,,,0
CDM,27100233,Hb Button Hook,22.44,7.85,,,0
CDM,27100234,Hb Chem Pad 3In X 5In,31.62,11.07,,,0
CDM,27100235,Hb Coban Roll,8.16,2.86,,,0
CDM,27100236,Hb Coilers,21.42,7.5,,,0
CDM,27100237,Hb Comp Stocking Knee High,272.34,95.32,,,0
CDM,27100237_271,Hb Comp Stocking Knee High,272.34,95.32,,,0
CDM,27100238,Hb Comp Stocking Thigh High,383.52,134.23,,,0
CDM,27100238_271,Hb Comp Stocking Thigh High,383.52,134.23,,,0
CDM,27100239,Hb Cpt Vest,313.14,109.6,,,0
CDM,27100240,Hb Cut Out Cup,21.42,7.5,,,0
CDM,27100241,Hb D Ring,89.76,31.42,,,0
CDM,27100242,Hb Digi Stim And Parts,209.1,73.18,,,0
CDM,27100243,Hb Dressing Stick,21.42,7.5,,,0
CDM,27100244,Hb Dycem 1 Plate Setting,24.48,8.57,,,0
CDM,27100245,Hb E Stim Electrodes,31.62,11.07,,,0
CDM,27100246,Hb Elastic Shoe Laces,12.24,4.28,,,0
CDM,27100247,Hb Emg Sensor,104.04,36.41,,,0
CDM,27100248,Hb Emg Sensor Bio,187.68,65.69,,,0
CDM,27100249,Hb Exercise Putty,36.72,12.85,,,0
CDM,27100249_271,Hb Exercise Putty,36.72,12.85,,,0
CDM,27100250,Hb Flutter Valve,199.92,69.97,,,0
CDM,27100251,Hb Foam Arm Support,60.18,21.06,,,0
CDM,27100252,Hb Gait Belt,35.7,12.5,,,0
CDM,27100252_271,Hb Gait Belt,35.7,12.5,,,0
CDM,27100253,Hb Grip Handle Button Or Zipper,27.54,9.64,,,0
CDM,27100254,Hb Hand Gripper,38.76,13.57,,,0
CDM,27100254_271,Hb Hand Gripper,38.76,13.57,,,0
CDM,27100255,Hb Hand Helper,57.12,19.99,,,0
CDM,27100257,Hb Insert,106.08,37.13,,,0
CDM,27100257_271,Hb Insert,106.08,37.13,,,0
CDM,27100258,Hb Inspec Mirror,105.06,36.77,,,0
CDM,27100259,Hb Iontophoresis Elctrodes,48.96,17.14,,,0
CDM,27100259_271,Hb Iontophoresis Elctrodes,48.96,17.14,,,0
CDM,27100260,Hb Isotoner Glove,32.64,11.42,,,0
CDM,27100260_271,Hb Isotoner Glove,32.64,11.42,,,0
CDM,27100261,Hb Knead Balls,8.16,2.86,,,0
CDM,27100261_271,Hb Knead Balls,8.16,2.86,,,0
CDM,27100262,Hb Leg Lifter,91.8,32.13,,,0
CDM,27100262_A4565_271,Hb Leg Lifter,91.8,32.13,,,0
CDM,27100263,Hb Leukotype Taping Kit,115.26,40.34,,,0
CDM,27100264,Hb Long Handle Sponge,24.48,8.57,,,0
CDM,27100264_271,Hb Long Handle Sponge,24.48,8.57,,,0
CDM,27100265,Hb Mini Massager,72.42,25.35,,,0
CDM,27100266,Hb Mouth Stick,139.74,48.91,,,0
CDM,27100268,Hb Ortho Type In,312.12,109.24,,,0
CDM,27100268_271,Hb Ortho Type In,312.12,109.24,,,0
CDM,27100269,Hb Oxygen Medical Gas Daily,755.82,264.54,,,0
CDM,27100269_271,Hb Oxygen Medical Gas Daily,755.82,264.54,,,0
CDM,27100270,Hb Oxygen Medical Gas Shift,379.44,132.8,,,0
CDM,27100271,Hb Pen Light,5.1,1.78,,,0
CDM,27100272,Hb Picture Communication Book,112.2,39.27,,,0
CDM,27100273,Hb Plastic Shoe Horn,22.44,7.85,,,0
CDM,27100274,Hb Plate Guard Plastic,31.62,11.07,,,0
CDM,27100274_271,Hb Plate Guard Plastic,31.62,11.07,,,0
CDM,27100275,Hb Pocket Talker Use Of,89.76,31.42,,,0
CDM,27100276,Hb Protector Cheek,105.06,36.77,,,0
CDM,27100277,Hb Protector Ear,106.08,37.13,,,0
CDM,27100278,Hb Protector Occipital Head,95.88,33.56,,,0
CDM,27100279,Hb Quad Button Or Zipper O,59.16,20.71,,,0
CDM,27100280,Hb Quad Cup,41.82,14.64,,,0
CDM,27100281,Hb Quad Grip Trouser Puller,88.74,31.06,,,0
CDM,27100282,Hb Quad Quip Phone Holder,38.76,13.57,,,0
CDM,27100283,Hb Reacher Long,72.42,25.35,,,0
CDM,27100284,Hb Reacher Standard,67.32,23.56,,,0
CDM,27100284_271,Hb Reacher Standard,67.32,23.56,,,0
CDM,27100285,Hb Redimade Glove Burn,154.02,53.91,,,0
CDM,27100285_271,Hb Redimade Glove Burn,154.02,53.91,,,0
CDM,27100286,Hb Reg Handle Button Or Zipper,27.54,9.64,,,0
CDM,27100287,Hb Rocker Knife,29.58,10.35,,,0
CDM,27100288,Hb Sandwich Holder,57.12,19.99,,,0
CDM,27100289,Hb Scar Tool,31.62,11.07,,,0
CDM,27100290,Hb Scoop Dish Plastic,32.64,11.42,,,0
CDM,27100291,Hb Shoe Horn All Sizes,20.4,7.14,,,0
CDM,27100292,Hb Short Toilet Aide,30.6,10.71,,,0
CDM,27100293,Hb Sleeve Bk Suspension,105.06,36.77,,,0
CDM,27100294,Hb Sock Aide,47.94,16.78,,,0
CDM,27100295,Hb Splint Dorsal,124.44,43.55,,,0
CDM,27100295_A4570_271,Hb Splint Dorsal,124.44,43.55,,,0
CDM,27100296,Hb Splint Elbow,158.1,55.34,,,0
CDM,27100296_A4570_271,Hb Splint Elbow,158.1,55.34,,,0
CDM,27100296_A4570_272,Hb Splint Elbow,158.1,55.34,,,0
CDM,27100297,Hb Splint Elbow Long,317.22,111.03,,,0
CDM,27100298,Hb Splint Elbow Soft,121.38,42.48,,,0
CDM,27100299,Hb Splint La Sgtng,137.7,48.2,,,0
CDM,27100299_A4570_271,Hb Splint La Sgtng,137.7,48.2,,,0
CDM,27100300,Hb Splint Ll Post,477.36,167.08,,,0
CDM,27100300_A4570_271,Hb Splint Ll Post,477.36,167.08,,,0
CDM,27100301,Hb Splint Ll Stirrup,477.36,167.08,,,0
CDM,27100301_A4570_271,Hb Splint Ll Stirrup,477.36,167.08,,,0
CDM,27100302,Hb Splint Radial Gutr,91.8,32.13,,,0
CDM,27100302_A4570_271,Hb Splint Radial Gutr,91.8,32.13,,,0
CDM,27100303,Hb Splint Removable Posterior Le,91.8,32.13,,,0
CDM,27100304,Hb Splint Sh Sgtng Lo,241.74,84.61,,,0
CDM,27100304_A4570_271,Hb Splint Sh Sgtng Lo,241.74,84.61,,,0
CDM,27100305,Hb Splint Sh Sgtng Up,215.22,75.33,,,0
CDM,27100305_A4570_271,Hb Splint Sh Sgtng Up,215.22,75.33,,,0
CDM,27100305_A4570_272,Hb Splint Sh Sgtng Up,215.22,75.33,,,0
CDM,27100306,Hb Splint Sl Post,321.3,112.46,,,0
CDM,27100306_A4570_271,Hb Splint Sl Post,321.3,112.46,,,0
CDM,27100307,Hb Splint Ulnar Gutr,111.18,38.91,,,0
CDM,27100307_A4570_271,Hb Splint Ulnar Gutr,111.18,38.91,,,0
CDM,27100308,Hb Splint Volar,107.1,37.48,,,0
CDM,27100308_A4570_271,Hb Splint Volar,107.1,37.48,,,0
CDM,27100309,Hb Sponge Mitt,21.42,7.5,,,0
CDM,27100310,Hb Suction Brush Dentures,47.94,16.78,,,0
CDM,27100311,Hb Supports Insole Arch,180.54,63.19,,,0
CDM,27100312,Hb Swivel Spoon,60.18,21.06,,,0
CDM,27100313,Hb Theraband Per Yard,14.28,5.0,,,0
CDM,27100313_271,Hb Theraband Per Yard,14.28,5.0,,,0
CDM,27100314,Hb Theraputty,33.66,11.78,,,0
CDM,27100315,Hb Thigh Straps,56.1,19.64,,,0
CDM,27100316,Hb Toe Lifter Calf Based,183.6,64.26,,,0
CDM,27100317,Hb Toilet Cleaning Aid,73.44,25.7,,,0
CDM,27100318,Hb Transfer Board,47.94,16.78,,,0
CDM,27100318_271,Hb Transfer Board,47.94,16.78,,,0
CDM,27100319,Hb Tubiband Ssb,35.7,12.5,,,0
CDM,27100320,Hb Tubigrip A To F,12.24,4.28,,,0
CDM,27100320_271,Hb Tubigrip A To F,12.24,4.28,,,0
CDM,27100321,Hb Universal Quad Cuff,41.82,14.64,,,0
CDM,27100322,Hb Wanchick 2 Long,174.42,61.05,,,0
CDM,27100323,Hb Wanchick Splints Short,106.08,37.13,,,0
CDM,27100324,Hb Weighted Utensils,21.42,7.5,,,0
CDM,27100325,Hb Wheelchair Gloves,36.72,12.85,,,0
CDM,27100326,Hb Word Communication Book,105.06,36.77,,,0
CDM,27100327,Hb Wrist Support Deluxe,112.2,39.27,,,0
CDM,27100327_271,Hb Wrist Support Deluxe,112.2,39.27,,,0
CDM,27100328,Hb Wrist Support Futuro,64.26,22.49,,,0
CDM,27100329,Hb Writing Grips,4.08,1.43,,,0
CDM,27100330,Hb Zipper,26.52,9.28,,,0
CDM,27100330_A6512_271,Hb Zipper,26.52,9.28,,,0
CDM,27100330_A6512_623,Hb Zipper,26.52,9.28,,,0
CDM,27100333_271,Hb Cutter Lead,1315.32,460.36,,,0
CDM,27100336_271,Hb Patch Reference Carto 3,3744.93,1310.73,,,0
CDM,27100340_52800,Hb Sup Rev 271 Hcpcs A4400,422.15,147.75,,,0
CDM,27100347_1880,Hb Sup Rev 271 Hcpcs A5105,327.18,114.51,,,0
CDM,27100347_1881,Hb Sup Rev 271 Hcpcs A5105,317.65,111.18,,,0
CDM,27100347_2157,Hb Sup Rev 271 Hcpcs A5105,338.55,118.49,,,0
CDM,27100355,Hb Thor Vad Accessory Daily,280.5,98.18,,,0
CDM,27100357,Hb Hm Vad Accessory Daily,71.4,24.99,,,0
CDM,27100357_271,Hb Hm Vad Accessory Daily,71.4,24.99,,,0
CDM,27100358,Hb Abio Vad Accessory Daily,251.94,88.18,,,0
CDM,27100359,Hb Hw Vad Accessory Daily,83.64,29.27,,,0
CDM,27100359_271,Hb Hw Vad Accessory Daily,83.64,29.27,,,0
CDM,27100360,Hb Pillow Leg Positioner,80.58,28.2,,,0
CDM,27100360_271,Hb Pillow Leg Positioner,80.58,28.2,,,0
CDM,27100361,Hb Sling Hemi,448.8,157.08,,,0
CDM,27100362,Hb Pad Replacement Pd5 Collar,42.84,14.99,,,0
CDM,27100363,Hb Leg Straps,239.7,83.9,,,0
CDM,27100364,Hb Boot Ambulatory Surgical,78.54,27.49,,,0
CDM,27100364_271,Hb Boot Ambulatory Surgical,78.54,27.49,,,0
CDM,27100365,Hb Centrimag Vad Daily,285.6,99.96,,,0
CDM,27100365_271,Hb Centrimag Vad Daily,285.6,99.96,,,0
CDM,27100366,Hb Isoband,346.8,121.38,,,0
CDM,27100367,Hb Artiflex Roll,72.42,25.35,,,0
CDM,27100368,Hb Rosidal Foam Roll,299.88,104.96,,,0
CDM,27100369,Hb Comprilan Bandage,163.2,57.12,,,0
CDM,27100370,Hb Button Pca Accessibility,7.14,2.5,,,0
CDM,27100371,Hb Button Call Hand,7.14,2.5,,,0
CDM,27100372,Hb Button Call Foot,25.5,8.92,,,0
CDM,27100373,Hb Splint 3 Point Anterior Neck,59.16,20.71,,,0
CDM,27100374,Hb Splint Reverse Y Neck,40.8,14.28,,,0
CDM,27100375,Hb Strap Dynamic Anti Torticollis,4.08,1.43,,,0
CDM,27100376,Hb Pads Foot Burned Soles,12.24,4.28,,,0
CDM,27100377,Hb Mouth Opener Vertical,10.2,3.57,,,0
CDM,27100378,Hb Splint Posterior Neck,59.16,20.71,,,0
CDM,27100379,Hb Mouth Opener Horizontal,125.46,43.91,,,0
CDM,27100380,Hb Heliox,115.26,40.34,,,0
CDM,27100381,Hb Heliox Therapy Shift,115.26,40.34,,,0
CDM,27100382,Hb Vital Stim Electrodes,193.8,67.83,,,0
CDM,27100383,Hb Bioness Electrodes,77.52,27.13,,,0
CDM,27100384,Hb Hip Abduction Pillow,524.28,183.5,,,0
CDM,27100385,Hb Dialysis Scale,2.0,0.7,,,0
CDM,27100386,Hb Electric Heat Pad Standard,2.04,0.71,,,0
CDM,27100387,Hb Iv Pole,2.04,0.71,,,0
CDM,27100388,Hb Dialysis Equipment Noc,2.0,0.7,,,0
CDM,27100389,Hb Impella Vad Daily,285.6,99.96,,,0
CDM,27100389_271,Hb Impella Vad Daily,285.6,99.96,,,0
CDM,27100390,Hb Hm Vad Iii Accessory Daily,71.4,24.99,,,0
CDM,27100390_271,Hb Hm Vad Iii Accessory Daily,71.4,24.99,,,0
CDM,27100392,Hb Ready Gradient Sleeve,531.42,186.0,,,0
CDM,27100393,Hb Ready Gradient Glove,639.54,223.84,,,0
CDM,27100394,Hb Sling,66.3,23.2,,,0
CDM,27100394_A4565_271,Hb Sling,66.3,23.2,,,0
CDM,27100395,Hb Elastic Support Stocking Ak,91.8,32.13,,,0
CDM,27100396,Hb Elastic Support Stocking Bk,70.38,24.63,,,0
CDM,27100397,Hb Tandemlife Vad Daily,284.58,99.6,,,0
CDM,27100397_271,Hb Tandemlife Vad Daily,284.58,99.6,,,0
CDM,27100398,Hb Custom Burn Garm Sternal Strap,123.42,43.2,,,0
CDM,27100399,Hb Custom Burn Garm Leg And Panty To Waist,392.7,137.44,,,0
CDM,27100399_A6512_271,Hb Custom Burn Garm Leg And Panty To Waist,392.7,137.44,,,0
CDM,27100400,Hb Burn Garm Custom Two Legs To Waist,418.2,146.37,,,0
CDM,27100400_A6512_271,Hb Burn Garm Custom Two Legs To Waist,418.2,146.37,,,0
CDM,27100401,Hb Burn Garm Custom Belly Band,195.84,68.54,,,0
CDM,27100401_A6512_271,Hb Burn Garm Custom Belly Band,195.84,68.54,,,0
CDM,27100402,Hb Burn Garm Custom Head Band,281.52,98.53,,,0
CDM,27100402_A6512_271,Hb Burn Garm Custom Head Band,281.52,98.53,,,0
CDM,27100403,Hb Burn Garm Custom Foot Glove,195.84,68.54,,,0
CDM,27100403_A6512_271,Hb Burn Garm Custom Foot Glove,195.84,68.54,,,0
CDM,27100403_A6512_623,Hb Burn Garm Custom Foot Glove,195.84,68.54,,,0
CDM,27100404,Hb Burn Garm Custom Insert,23.46,8.21,,,0
CDM,27100404_A6512_271,Hb Burn Garm Custom Insert,23.46,8.21,,,0
CDM,27100405,Hb Burn Garm Custom Expansion Panels,47.94,16.78,,,0
CDM,27100405_A6512_271,Hb Burn Garm Custom Expansion Panels,47.94,16.78,,,0
CDM,27100406,Hb Burn Garm Custom Velcro Zipper Stop,13.26,4.64,,,0
CDM,27100406_A6512_271,Hb Burn Garm Custom Velcro Zipper Stop,13.26,4.64,,,0
CDM,27100406_A6512_623,Hb Burn Garm Custom Velcro Zipper Stop,13.26,4.64,,,0
CDM,27100407,Hb Burn Garm Custom Velcro Tab,13.26,4.64,,,0
CDM,27100407_A6512_271,Hb Burn Garm Custom Velcro Tab,13.26,4.64,,,0
CDM,27100408,"Hb Burn Garm Custom Lining, Pad Or Pocket",24.48,8.57,,,0
CDM,27100408_A6512_271,"Hb Burn Garm Custom Lining, Pad Or Pocket",24.48,8.57,,,0
CDM,27100409,Hb Burn Garm Custom Pocket And Pad Combo,27.54,9.64,,,0
CDM,27100410,Hb Burn Garm Stocking To Knee (Pair),109.14,38.2,,,0
CDM,27100410_A6512_271,Hb Burn Garm Stocking To Knee (Pair),109.14,38.2,,,0
CDM,27100411,Hb Burn Garm Stocking To Knee (Pair) W Silicone Border,137.7,48.2,,,0
CDM,27100411_A6512_271,Hb Burn Garm Stocking To Knee (Pair) W Silicone Border,137.7,48.2,,,0
CDM,27100411_A6512_623,Hb Burn Garm Stocking To Knee (Pair) W Silicone Border,137.7,48.2,,,0
CDM,27100412,Hb Burn Garm Stocking To Thigh (Pair),155.04,54.26,,,0
CDM,27100412_A6512_271,Hb Burn Garm Stocking To Thigh (Pair),155.04,54.26,,,0
CDM,27100413,Hb Burn Garm Two Legs To Waist,190.74,66.76,,,0
CDM,27100413_A6512_271,Hb Burn Garm Two Legs To Waist,190.74,66.76,,,0
CDM,27100414,Hb Burn Garm Brief,143.82,50.34,,,0
CDM,27100414_A6512_271,Hb Burn Garm Brief,143.82,50.34,,,0
CDM,27100415,Hb Burn Garm Sleeve Wrist To Axilla,102.0,35.7,,,0
CDM,27100415_A6512_271,Hb Burn Garm Sleeve Wrist To Axilla,102.0,35.7,,,0
CDM,27100416,Hb Burn Garm Gauntlet To Wrist,36.72,12.85,,,0
CDM,27100416_A6512_271,Hb Burn Garm Gauntlet To Wrist,36.72,12.85,,,0
CDM,27100417,Hb Burn Garm Glove To Wrist,137.7,48.2,,,0
CDM,27100417_A6512_271,Hb Burn Garm Glove To Wrist,137.7,48.2,,,0
CDM,27100418,Hb Neck Positioner W Occiput Protector,18.36,6.43,,,0
CDM,27100420,Hb Giv-Mohr Sling,9.18,3.21,,,0
CDM,27100421,Hb Amb Surgical Boot (Puzzle Shoe),58.14,20.35,,,0
CDM,27100421_L3260_271,Hb Amb Surgical Boot (Puzzle Shoe),58.14,20.35,,,0
CDM,27100423,Hb Neck Positioner,18.36,6.43,,,0
CDM,27100424,Hb Neck Positioner W/Integrated Occiput Protector Pads,20.4,7.14,,,0
CDM,27100427,Hb Evaheart Vad Daily,71.4,24.99,,,0
CDM,27100427_271,Hb Evaheart Vad Daily,71.4,24.99,,,0
CDM,27100428,Hb Battery Emergency Evaheart2,4258.5,1490.48,,,0
CDM,27100429,Hb Csu Cool Seal Unit Evaheart2,8894.4,3113.04,,,0
CDM,27100429_271,Hb Csu Cool Seal Unit Evaheart2,8894.4,3113.04,,,0
CDM,27200001_272,Sterile Water: 25 Vial In 1 Tray (63323-185-20)  / 20 Ml In 1 Vial (63323-185-08),15.82,5.54,,,0
CDM,27200002,Hb Ankle Guard,274.38,96.03,,,0
CDM,27200002_272,Hb Ankle Guard,274.38,96.03,,,0
CDM,27200006,Hb Cath Iv 16 Ga X 1 1/4 In,30.6,10.71,,,0
CDM,27200006_272,Hb Cath Iv 16 Ga X 1 1/4 In,30.6,10.71,,,0
CDM,27200007,Hb Cath Iv 18 Ga X 1 1/4 In,30.6,10.71,,,0
CDM,27200008,Hb Cath Iv 20 Ga X 1 In,30.6,10.71,,,0
CDM,27200008_272,Hb Cath Iv 20 Ga X 1 In,30.6,10.71,,,0
CDM,27200009,Hb Cath Iv 22 Ga X 1 In,30.6,10.71,,,0
CDM,27200009_272,Hb Cath Iv 22 Ga X 1 In,30.6,10.71,,,0
CDM,27200010,Hb Dressing Duoderm 8X12,322.32,112.81,,,0
CDM,27200012,Hb Elbow Sleeve,182.58,63.9,,,0
CDM,27200013,Hb Intermit Cath Straight,7.14,2.5,,,0
CDM,27200013_A4351_272,Hb Intermit Cath Straight,7.14,2.5,,,0
CDM,27200014,Hb Knee Sleeve,285.6,99.96,,,0
CDM,27200016,Hb Punch Biopsy 2Mm,28.56,10.0,,,0
CDM,27200017,Hb Punch Biopsy 3Mm,28.56,10.0,,,0
CDM,27200018,Hb Punch Biopsy 4Mm,42.84,14.99,,,0
CDM,27200018_272,Hb Punch Biopsy 4Mm,42.84,14.99,,,0
CDM,27200019,Hb Punch Biopsy 5Mm,28.56,10.0,,,0
CDM,27200020,Hb Punch Biopsy 6Mm,25.5,8.92,,,0
CDM,27200021,Hb Set Y Type Tur Bl Irrig,60.18,21.06,,,0
CDM,27200021_272,Hb Set Y Type Tur Bl Irrig,60.18,21.06,,,0
CDM,27200022,Hb Stapler Skin,143.82,50.34,,,0
CDM,27200024,Hb Tennis Elbow Strap,120.36,42.13,,,0
CDM,27200025,Hb Tray Cath Ureth 15Fr,25.5,8.92,,,0
CDM,27200025_272,Hb Tray Cath Ureth 15Fr,25.5,8.92,,,0
CDM,27200026,Hb Tray Picc Insertion,249.9,87.46,,,0
CDM,27200027,Hb Insertion Tray Cath Only,45.9,16.06,,,0
CDM,27200027_A4311_272,Hb Insertion Tray Cath Only,45.9,16.06,,,0
CDM,27200029,Hb Insertion Tray Only,19.38,6.78,,,0
CDM,27200029_A4310_272,Hb Insertion Tray Only,19.38,6.78,,,0
CDM,27200030,Hb Cath Urethal Str Foley,174.42,61.05,,,0
CDM,27200030_A4351_272,Hb Cath Urethal Str Foley,174.42,61.05,,,0
CDM,27200031,Hb Cath Foley 2Way 3Cc 10Fr,174.42,61.05,,,0
CDM,27200032,Hb Cath Foley 2Way 3Cc 8Fr,174.42,61.05,,,0
CDM,27200033,Hb Cath Foley Silic 5Cc 18Fr,174.42,61.05,,,0
CDM,27200033_A4338_272,Hb Cath Foley Silic 5Cc 18Fr,174.42,61.05,,,0
CDM,27200034,Hb Cath Foley Silic 5Cc 20Fr,174.42,61.05,,,0
CDM,27200035,Hb Insertion Tray W Bag And Cath,78.54,27.49,,,0
CDM,27200035_A4314_272,Hb Insertion Tray W Bag And Cath,78.54,27.49,,,0
CDM,27200036,Hb Dermabond,392.7,137.44,,,0
CDM,27200037,Hb Closure Tail Coloplasty,20.4,7.14,,,0
CDM,27200038,Hb Spray Med Adhesive 3.2 Oz,267.24,93.53,,,0
CDM,27200039,Hb Eakin Seals,65.28,22.85,,,0
CDM,27200040,Hb Paste Stomahesive,89.76,31.42,,,0
CDM,27200042,Hb Dressing Aquacel 6X6,178.5,62.48,,,0
CDM,27200043,Hb Drsg Aquacel Ag 8X12,512.04,179.21,,,0
CDM,27200044,Hb Dressing Aquacel Rope,103.02,36.06,,,0
CDM,27200045,Hb Cath Iv 24 Ga X 3/4 In,30.6,10.71,,,0
CDM,27200045_272,Hb Cath Iv 24 Ga X 3/4 In,30.6,10.71,,,0
CDM,27200046,Hb Oint Natl Care 2 Oz,49.98,17.49,,,0
CDM,27200047,Hb Packing Strip Pln 1 In X 5 Yd,41.82,14.64,,,0
CDM,27200048,Hb Packing Strip Iodo .25 In X 5 Yd,43.86,15.35,,,0
CDM,27200050,Hb Dressing Carra Gauze 4X4,41.82,14.64,,,0
CDM,27200050_A6242_272,Hb Dressing Carra Gauze 4X4,41.82,14.64,,,0
CDM,27200051,Hb Packing Strip Iodo .5 In X 5 Yd,46.92,16.42,,,0
CDM,27200052,Hb Packing Strip Pln .25 In X 5 Yd,35.7,12.5,,,0
CDM,27200053,Hb Packing Strip Pln .5 In X 5 Yd,35.7,12.5,,,0
CDM,27200056,Hb Bag Leg W Tubing Deluxe,106.08,37.13,,,0
CDM,27200056_A4358_272,Hb Bag Leg W Tubing Deluxe,106.08,37.13,,,0
CDM,27200057,Hb Bag Drainage Urine Anti Ref,72.42,25.35,,,0
CDM,27200057_272,Hb Bag Drainage Urine Anti Ref,72.42,25.35,,,0
CDM,27200058,Hb Trach Cuffed,302.94,106.03,,,0
CDM,27200060,Hb Trach Noncuffed,302.94,106.03,,,0
CDM,27200064,Hb 80 Lead Ekg Vest,1434.12,501.94,,,0
CDM,27200065,Hb Cath Airway Exchange 4Mm,677.28,237.05,,,0
CDM,27200066,Hb Cath Multi Access 11.5,1423.92,498.37,,,0
CDM,27200066_C1751_272,Hb Cath Multi Access 11.5,1423.92,498.37,,,0
CDM,27200067,Hb Collar Adult No Neck Purple,139.74,48.91,,,0
CDM,27200067_272,Hb Collar Adult No Neck Purple,139.74,48.91,,,0
CDM,27200068,Hb Collar Baby No Neck Pink,139.74,48.91,,,0
CDM,27200069,Hb Collar Pedi Lt Blue,138.72,48.55,,,0
CDM,27200070,Hb Collar Regular Orange,139.74,48.91,,,0
CDM,27200071,Hb Collar Short Blue,139.74,48.91,,,0
CDM,27200071_272,Hb Collar Short Blue,139.74,48.91,,,0
CDM,27200072,Hb Collar Tall Green,139.74,48.91,,,0
CDM,27200073,Hb Denture Repair Kit,918.0,321.3,,,0
CDM,27200074,Hb Dermabond Dhv12,453.9,158.86,,,0
CDM,27200075,Hb Dermabond Propen,453.9,158.86,,,0
CDM,27200075_272,Hb Dermabond Propen,453.9,158.86,,,0
CDM,27200076,Hb Emt Toothsaver,290.7,101.74,,,0
CDM,27200077,Hb Ez Io Vascular Access Pack,685.44,239.9,,,0
CDM,27200077_272,Hb Ez Io Vascular Access Pack,685.44,239.9,,,0
CDM,27200078,Hb Introducer Bougie 15Fr X 70,147.9,51.76,,,0
CDM,27200079,Hb Kit Repair Broviac 2.7Mm,1276.02,446.61,,,0
CDM,27200080,Hb Kit Repair Broviac 4.2Mm,1290.3,451.6,,,0
CDM,27200081,Hb Kit Single Lumen 12.7 X 20G,551.82,193.14,,,0
CDM,27200082,Hb Kt Peritoneal Lav. 8Fr 24 X .035,609.96,213.49,,,0
CDM,27200083,Hb Lens Morgan Mediflow,406.98,142.44,,,0
CDM,27200083_272,Hb Lens Morgan Mediflow,406.98,142.44,,,0
CDM,27200084,Hb Packing Nasal 5.5Cm W Gel,588.54,205.99,,,0
CDM,27200085,Hb Packing Nasal 7.5Cm W Gel,609.96,213.49,,,0
CDM,27200086,Hb Packing Nasal Epistaxis 4.5Cm,557.94,195.28,,,0
CDM,27200087,Hb Packing Nasal Epistaxis 5.5Cm,609.96,213.49,,,0
CDM,27200088,Hb Packing Nasal Epistaxis 7.5Cm,605.88,212.06,,,0
CDM,27200089,Hb Addl Blood Line,75.48,26.42,,,0
CDM,27200089_272,Hb Addl Blood Line,75.48,26.42,,,0
CDM,27200090,Hb Absorba 300,2428.62,850.02,,,0
CDM,27200091,Hb Dialyzer Cahp 130,1237.26,433.04,,,0
CDM,27200091_A4690_272,Hb Dialyzer Cahp 130,1237.26,433.04,,,0
CDM,27200092,Hb Dialyzer Revaclear,474.3,166.0,,,0
CDM,27200092_A4690_272,Hb Dialyzer Revaclear,474.3,166.0,,,0
CDM,27200093,Hb Amniocentesis Tray,241.74,84.61,,,0
CDM,27200093_272,Hb Amniocentesis Tray,241.74,84.61,,,0
CDM,27200094_272,Inactive - Hb Secureseal Topical,414.26,144.99,,,0
CDM,27200106_272,Hb Bag Csf Vent Lumb Drainage Ii,740.49,259.17,,,0
CDM,27200111_272,Hb Bag Evd Drainage,2410.79,843.78,,,0
CDM,27200121_272,Hb Bandage Hemostat 4X8,761.85,266.65,,,0
CDM,27200145_A4346_272,Hb Cath 3Way 5Ml 16Fr,206.66,72.33,,,0
CDM,27200150_272,Hb Cath Cco Svo2 Vip 8Fr,2571.39,899.99,,,0
CDM,27200165_272,Hb Tray Cvc Db Lumen 12Frx15Cm,1716.78,600.87,,,0
CDM,27200166_C1750_272,Hb Cath Dialysis 10Fr X 24Cm,3236.46,1132.76,,,0
CDM,27200167_C1750_272,Hb Cath Dialysis 11.5Fr X 15Cm,915.55,320.44,,,0
CDM,27200169_C1750_272,Hb Cath Dialysis 9Fr 15Cm Du,915.55,320.44,,,0
CDM,27200182_A4340_272,Hb Cath Drain Malecot 32Fr,272.07,95.22,,,0
CDM,27200188_272,Hb Cath Dual Lumen 13.5Cm,741.04,259.36,,,0
CDM,27200190_C1751_272,Hb Cath Dual Lumen 8Frx20Cm,1326.3,464.2,,,0
CDM,27200192_C1751_272,Hb Cath Dual Pedi 13Cm X 4Fr,529.75,185.41,,,0
CDM,27200200_272,Hb Cath Evd Bactiseal Clr 1.9Id,2740.1,959.04,,,0
CDM,27200200_C1729_272,Hb Cath Evd Bactiseal Clr 1.9Id,2288.97,801.14,,,0
CDM,27200208_C1757_272,Hb Cath Fogrt Embol 3Fr 80Cm,615.17,215.31,,,0
CDM,27200209_C1757_272,Hb Cath Fogrt Embol 4Fr 80Cm,615.17,215.31,,,0
CDM,27200226_A4338_272,Hb Cath Foley 2Way 3Ml 8Fr,152.86,53.5,,,0
CDM,27200239_A4344_272,Hb Cath Foley 2Way 5Ml Lf 14Fr,163.53,57.24,,,0
CDM,27200288_272,Hb Cath Radial Artery 20Ga,276.48,96.77,,,0
CDM,27200288_C1751_272,Hb Cath Radial Artery 20Ga,237.92,83.27,,,0
CDM,27200291_272,Hb Cath Seldinger Picc 4Fr,579.87,202.95,,,0
CDM,27200294_C1729_272,Hb Cath Set Drain Pericardio 8.3,1345.07,470.77,,,0
CDM,27200296_C1751_272,Hb Cath Set Radial Artery 22Ga,238.87,83.6,,,0
CDM,27200298_272,Hb Cath Swan Ganz J Tip 5Fr,1256.95,439.93,,,0
CDM,27200301_C1751_272,Hb Cath Swan Ganz Ptd 7Fr,2171.84,760.14,,,0
CDM,27200302_C1730_272,Hb Cath Swan Ganz Str Tip 5Fr,1256.95,439.93,,,0
CDM,27200303_C1751_272,Hb Cath Swan Ganz Tip Fem Ins,1130.55,395.69,,,0
CDM,27200304_C1751_272,Hb Cath Swan Ganz Vip 7.5 Fr,988.37,345.93,,,0
CDM,27200305_C1751_272,Hb Cath Swan Ganz Vol Oximetry,2456.07,859.62,,,0
CDM,27200308_272,Hb Cath Temp Pacing Introducer 6F,2507.4,877.59,,,0
CDM,27200309_272,Hb Cath Thermodilut 7Fr 110Cm,802.75,280.96,,,0
CDM,27200313_272,Hb Cath Thoracic 24Fr,132.57,46.4,,,0
CDM,27200323_C1751_272,Inactive - Hb Cath Trilumen 7Frx20,1223.26,428.14,,,0
CDM,27200326_C1729_272,Hb Cath Trocar 12Fr 9In,301.69,105.59,,,0
CDM,27200328_C1729_272,Hb Cath Trocar 20Fr 16In,340.04,119.01,,,0
CDM,27200329_C1729_272,Hb Cath Trocar 24Fr 16In,340.04,119.01,,,0
CDM,27200333_1787,Hb Tray Cath U-Meter W Temp 16Fr,545.79,191.03,,,0
CDM,27200333_272,Hb Tray Cath U-Meter W Temp 16Fr,447.03,156.46,,,0
CDM,27200333_A4311_272,Hb Tray Cath U-Meter W Temp 16Fr,444.35,155.52,,,0
CDM,27200339_C1751_272,Hb Cath Vasc Dual Split 15Cm R,1256.6,439.81,,,0
CDM,27200340_C1751_272,Hb Cath Vasc Dual Split 20Cm L,1256.6,439.81,,,0
CDM,27200342_C1750_272,Hb Cath Vasc Duo Flow 14F X 24Cm,1175.96,411.59,,,0
CDM,27200347_272,Hb Catheter Silicone 1.9Fr X 50Cm,658.71,230.55,,,0
CDM,27200364_272,Hb Compression Arch Femostop,1418.15,496.35,,,0
CDM,27200366_272,Inactive - Hb Contact Burn Silverlon 4X8In,169.32,59.26,,,0
CDM,27200380_A4690_272,Hb Dialyzer F4 Cs 12,440.7,154.24,,,0
CDM,27200395_A7041_272,Hb Drain Dry Single W Ac,526.56,184.3,,,0
CDM,27200418_C1729_272,Hb Accudrain Special W/ Rflx Vlv,2428.41,849.94,,,0
CDM,27200429_272,Hb Dressing Burn Silverlon 16X16,1005.58,351.95,,,0
CDM,27200458_A6252_272,Hb Drsg Island Silverlon 3X4,317.3,111.06,,,0
CDM,27200461_A6254_272,Hb Drsg Island Silverlon 4X4,264.42,92.55,,,0
CDM,27200462_A6255_272,Hb Drsg Island Silverlon 4X6,313.16,109.61,,,0
CDM,27200464_272,Hb Drsg Mepilex Ag 8X20 In,832.32,291.31,,,0
CDM,27200477_A6154_272,Hb Eakin Fistula Wnd Pch 6.9 X 4.3,65.37,22.88,,,0
CDM,27200485_272,Hb Endocatch 10Mm,662.18,231.76,,,0
CDM,27200520_C1751_272,Hb Kit Single Lumen 16G X 8In,575.23,201.33,,,0
CDM,27200550_272,Hb Introducer Set Perc 8.5Fr,824.42,288.55,,,0
CDM,27200550_C1894_272,Hb Introducer Set Perc 8.5Fr,663.2,232.12,,,0
CDM,27200551_C1894_272,Hb Introducer Set Percut 9Fr,694.02,242.91,,,0
CDM,27200559_272,Inactive - Hb Kit Chest Tube Insertion,642.81,224.98,,,0
CDM,27200560_272,Hb Kit Chest Tube Insertion,635.95,222.58,,,0
CDM,27200562_272,Hb Kit Cranial Access Codman,4089.41,1431.29,,,0
CDM,27200565_272,Hb Kit Exam Rop Disposable,511.04,178.86,,,0
CDM,27200566_272,Hb Kit Femoral Arterial Cath 18G,665.33,232.87,,,0
CDM,27200566_C1751_272,Hb Kit Femoral Arterial Cath 18G,573.74,200.81,,,0
CDM,27200576_272,Hb Kit Lumbar Accessory,2469.09,864.18,,,0
CDM,27200582_C1751_272,Hb Kit Pedi Tri Lumen 8Cm,845.5,295.92,,,0
CDM,27200585_C1729_272,Hb Kit Pericarial Aspiration,1404.99,491.75,,,0
CDM,27200591_C1751_272,Hb Kit Single Lumen 12.7X20G,555.68,194.49,,,0
CDM,27200593_C1769_272,Hb Kit Trach Percu 6Mm,2324.55,813.59,,,0
CDM,27200594_C1769_272,Hb Kit Trach Percu 8Mm,2808.04,982.81,,,0
CDM,27200627_272,Hb Manipulator Uterine 4.5Mm,620.8,217.28,,,0
CDM,27200724_272,Hb Silvasorb Gel,171.65,60.08,,,0
CDM,27200786_272,Hb Stapler Skin Royal 35W,115.97,40.59,,,0
CDM,27200874_272,Hb Transducer Vigileo 60In,3109.27,1088.24,,,0
CDM,27200877,Hb Tray Biopsy Soft Tissue 16Ga,588.54,205.99,,,0
CDM,27200878_A4550_272,Hb Tray Bone Marrow Bx 11Ga,1261.66,441.58,,,0
CDM,27200887_C1751_272,Hb Tray Cvc Tri Lumen 7Fr X 20Cm,1286.15,450.15,,,0
CDM,27200888_C1751_272,Hb Tray Cvc Tri Lumen 7Fr X 20Cm,1558.71,545.55,,,0
CDM,27200889_C1751_272,Hb Tray Cvc Tri Lumen 9Frx15Cm,1598.92,559.62,,,0
CDM,27200890_C1751_272,Hb Tray Cvc Tri Lumen 9Frx20Cm,1377.55,482.14,,,0
CDM,27200892_272,Inactive - Hb Tray Epidural Spinal L And D,580.38,203.13,,,0
CDM,27200898_272,Hb Tray L And D Anesh Spinal 26G,459.55,160.84,,,0
CDM,27200899_272,Inactive - Hb Tray L And D Epidural,330.59,115.71,,,0
CDM,27200900_272,Hb Tray Lumbar Punct 18Gx3.5,413.79,144.83,,,0
CDM,27200909_272,Hb Tray Spinal For Surgery,441.51,154.53,,,0
CDM,27200910_272,Hb Tray Suture Custom,305.25,106.84,,,0
CDM,27200911_272,Hb Tray Thoracentesis W Cath,597.79,209.23,,,0
CDM,27200951_272,Hb Tube Trach Bv Cuff Xl 7.0X110,1218.96,426.64,,,0
CDM,27201019_A7521_272,Hb Tube Trach Shiley 4 Cfs Uncuff,639.25,223.74,,,0
CDM,27201020_A7521_272,Hb Tube Trach Shiley 4 Dct Cuff,557.23,195.03,,,0
CDM,27201022_A7521_272,Hb Tube Trach Shiley 5 Sct,513.53,179.74,,,0
CDM,27201023_A7520_272,Hb Tube Trach Shiley 6 Cfn Uncuff,595.3,208.36,,,0
CDM,27201024_A7521_272,Hb Tube Trach Shiley 6 Cfs Uncuff,632.1,221.24,,,0
CDM,27201025_A7521_272,Hb Tube Trach Shiley 6 Dct Cuff,660.27,231.09,,,0
CDM,27201026_A7521_272,Hb Tube Trach Shiley 6 Dfen Cuff,607.89,212.76,,,0
CDM,27201028_A7521_272,Hb Tube Trach Shiley 8 Cfs Uncuff,637.68,223.19,,,0
CDM,27201029_A7521_272,Hb Tube Trach Shiley 8 Dct Cuff,666.66,233.33,,,0
CDM,27201031_A7521_272,Hb Tube Trach Shiley Xlt Dist 6.0,877.26,307.04,,,0
CDM,27201032_A7521_272,Hb Tube Trach Shiley Xlt Dist 7.0,877.26,307.04,,,0
CDM,27201033_A7521_272,Hb Tube Trach Shiley Xlt Dist 8.0,877.26,307.04,,,0
CDM,27201034_A7521_272,Hb Tube Trach Shiley Xlt Prox 6.0,877.26,307.04,,,0
CDM,27201036_A7521_272,Hb Tube Trach Shiley Xlt Prox 8.0,877.26,307.04,,,0
CDM,27201069_272,Hb Wrap Burn Silverlon 6X108In,2534.83,887.19,,,0
CDM,27201070_1000,Hb Sup Revenue Code 272,543.92,190.37,,,0
CDM,27201070_1001,Hb Sup Revenue Code 272,125.95,44.08,,,0
CDM,27201070_10016,Hb Sup Revenue Code 272,734.03,256.91,,,0
CDM,27201070_100182,Hb Sup Revenue Code 272,1834.16,641.96,,,0
CDM,27201070_100449,Hb Sup Revenue Code 272,508.57,178.0,,,0
CDM,27201070_100450,Hb Sup Revenue Code 272,988.89,346.11,,,0
CDM,27201070_100451,Hb Sup Revenue Code 272,452.06,158.22,,,0
CDM,27201070_100452,Hb Sup Revenue Code 272,452.06,158.22,,,0
CDM,27201070_100453,Hb Sup Revenue Code 272,452.06,158.22,,,0
CDM,27201070_100454,Hb Sup Revenue Code 272,452.06,158.22,,,0
CDM,27201070_100456,Hb Sup Revenue Code 272,262.2,91.77,,,0
CDM,27201070_1005,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_1006,Hb Sup Revenue Code 272,3167.48,1108.62,,,0
CDM,27201070_1007,Hb Sup Revenue Code 272,747.25,261.54,,,0
CDM,27201070_1008,Hb Sup Revenue Code 272,735.69,257.49,,,0
CDM,27201070_1009,Hb Sup Revenue Code 272,797.39,279.09,,,0
CDM,27201070_101372,Hb Sup Revenue Code 272,3304.6,1156.61,,,0
CDM,27201070_101376,Hb Sup Revenue Code 272,855.48,299.42,,,0
CDM,27201070_1016,Hb Sup Revenue Code 272,1961.36,686.48,,,0
CDM,27201070_101604,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_101755,Hb Sup Revenue Code 272,20.82,7.29,,,0
CDM,27201070_101843,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_101846,Hb Sup Revenue Code 272,741.12,259.39,,,0
CDM,27201070_101847,Hb Sup Revenue Code 272,639.01,223.65,,,0
CDM,27201070_101848,Hb Sup Revenue Code 272,721.12,252.39,,,0
CDM,27201070_101850,Hb Sup Revenue Code 272,21183.75,7414.31,,,0
CDM,27201070_102006,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_102077,Hb Sup Revenue Code 272,21.8,7.63,,,0
CDM,27201070_1024,Hb Sup Revenue Code 272,465.06,162.77,,,0
CDM,27201070_1031,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_1033,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_1037,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_1039,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_1052,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_1053,Hb Sup Revenue Code 272,505.41,176.89,,,0
CDM,27201070_1056,Hb Sup Revenue Code 272,180.83,63.29,,,0
CDM,27201070_106189,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_106218,Hb Sup Revenue Code 272,128.73,45.06,,,0
CDM,27201070_106219,Hb Sup Revenue Code 272,127.34,44.57,,,0
CDM,27201070_106277,Hb Sup Revenue Code 272,130.82,45.79,,,0
CDM,27201070_106313,Hb Sup Revenue Code 272,2228.72,780.05,,,0
CDM,27201070_106314,Hb Sup Revenue Code 272,2228.72,780.05,,,0
CDM,27201070_106315,Hb Sup Revenue Code 272,1399.95,489.98,,,0
CDM,27201070_106317,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_106361,Hb Sup Revenue Code 272,2234.32,782.01,,,0
CDM,27201070_106365,Hb Sup Revenue Code 272,2234.32,782.01,,,0
CDM,27201070_10684,Hb Sup Revenue Code 272,2807.2,982.52,,,0
CDM,27201070_10685,Hb Sup Revenue Code 272,1061.21,371.42,,,0
CDM,27201070_10686,Hb Sup Revenue Code 272,2807.2,982.52,,,0
CDM,27201070_10688,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_10689,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_10690,Hb Sup Revenue Code 272,558.53,195.49,,,0
CDM,27201070_10692,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_10693,Hb Sup Revenue Code 272,652.25,228.29,,,0
CDM,27201070_10695,Hb Sup Revenue Code 272,1026.25,359.19,,,0
CDM,27201070_10696,Hb Sup Revenue Code 272,195.3,68.36,,,0
CDM,27201070_10698,Hb Sup Revenue Code 272,697.95,244.28,,,0
CDM,27201070_1070,Hb Sup Revenue Code 272,1275.11,446.29,,,0
CDM,27201070_10700,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_10701,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_10704,Hb Sup Revenue Code 272,396.17,138.66,,,0
CDM,27201070_10705,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_1071,Hb Sup Revenue Code 272,1163.02,407.06,,,0
CDM,27201070_107292,Hb Sup Revenue Code 272,1543.08,540.08,,,0
CDM,27201070_107670,Hb Sup Revenue Code 272,811.5,284.02,,,0
CDM,27201070_107682,Hb Sup Revenue Code 272,2508.71,878.05,,,0
CDM,27201070_107683,Hb Sup Revenue Code 272,2.04,0.71,,,0
CDM,27201070_107684,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_107686,Hb Sup Revenue Code 272,2687.9,940.76,,,0
CDM,27201070_107687,Hb Sup Revenue Code 272,2687.9,940.76,,,0
CDM,27201070_107688,Hb Sup Revenue Code 272,125.48,43.92,,,0
CDM,27201070_107694,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_107698,Hb Sup Revenue Code 272,1660.61,581.21,,,0
CDM,27201070_107699,Hb Sup Revenue Code 272,1774.01,620.9,,,0
CDM,27201070_107700,Hb Sup Revenue Code 272,1832.93,641.53,,,0
CDM,27201070_107701,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_107702,Hb Sup Revenue Code 272,1450.82,507.79,,,0
CDM,27201070_107703,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_107704,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_107705,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_107706,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_107707,Hb Sup Revenue Code 272,548.1,191.84,,,0
CDM,27201070_107708,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_107709,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_107711,Hb Sup Revenue Code 272,379.0,132.65,,,0
CDM,27201070_107712,Hb Sup Revenue Code 272,758.37,265.43,,,0
CDM,27201070_108342,Hb Sup Revenue Code 272,286.98,100.44,,,0
CDM,27201070_108343,Hb Sup Revenue Code 272,289.01,101.15,,,0
CDM,27201070_108360,Hb Sup Revenue Code 272,1735.94,607.58,,,0
CDM,27201070_108389,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_1084,Hb Sup Revenue Code 272,2034.41,712.04,,,0
CDM,27201070_10861,Hb Sup Revenue Code 272,617.73,216.21,,,0
CDM,27201070_10870,Hb Sup Revenue Code 272,922.49,322.87,,,0
CDM,27201070_108898,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_108945,Hb Sup Revenue Code 272,2070.41,724.64,,,0
CDM,27201070_108946,Hb Sup Revenue Code 272,2071.93,725.18,,,0
CDM,27201070_1090,Hb Sup Revenue Code 272,575.45,201.41,,,0
CDM,27201070_109006,Hb Sup Revenue Code 272,258.39,90.44,,,0
CDM,27201070_109007,Hb Sup Revenue Code 272,258.39,90.44,,,0
CDM,27201070_109301,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_109304,Hb Sup Revenue Code 272,2997.61,1049.16,,,0
CDM,27201070_109405,Hb Sup Revenue Code 272,2.04,0.71,,,0
CDM,27201070_109674,Hb Sup Revenue Code 272,566.89,198.41,,,0
CDM,27201070_109683,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_109688,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_109690,Hb Sup Revenue Code 272,2291.22,801.93,,,0
CDM,27201070_109916,Hb Sup Revenue Code 272,509.12,178.19,,,0
CDM,27201070_109920,Hb Sup Revenue Code 272,844.49,295.57,,,0
CDM,27201070_109957,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_109960,Hb Sup Revenue Code 272,525.6,183.96,,,0
CDM,27201070_109962,Hb Sup Revenue Code 272,1567.94,548.78,,,0
CDM,27201070_110090,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_110091,Hb Sup Revenue Code 272,366.24,128.18,,,0
CDM,27201070_110092,Hb Sup Revenue Code 272,355.57,124.45,,,0
CDM,27201070_110095,Hb Sup Revenue Code 272,366.24,128.18,,,0
CDM,27201070_110488,Hb Sup Revenue Code 272,839.26,293.74,,,0
CDM,27201070_110510,Hb Sup Revenue Code 272,1040.4,364.14,,,0
CDM,27201070_110511,Hb Sup Revenue Code 272,1040.4,364.14,,,0
CDM,27201070_110513,Hb Sup Revenue Code 272,1317.84,461.24,,,0
CDM,27201070_110514,Hb Sup Revenue Code 272,1567.94,548.78,,,0
CDM,27201070_110518,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_110519,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_110520,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_110560,Hb Sup Revenue Code 272,3151.29,1102.95,,,0
CDM,27201070_111286,Hb Sup Revenue Code 272,3730.45,1305.66,,,0
CDM,27201070_111353,Hb Sup Revenue Code 272,305.94,107.08,,,0
CDM,27201070_111473,Hb Sup Revenue Code 272,4802.98,1681.04,,,0
CDM,27201070_111557,Hb Sup Revenue Code 272,4373.07,1530.57,,,0
CDM,27201070_111558,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_111560,Hb Sup Revenue Code 272,231.95,81.18,,,0
CDM,27201070_1117,Hb Sup Revenue Code 272,768.13,268.85,,,0
CDM,27201070_112593,Hb Sup Revenue Code 272,2989.8,1046.43,,,0
CDM,27201070_112596,Hb Sup Revenue Code 272,3019.7,1056.9,,,0
CDM,27201070_1126,Hb Sup Revenue Code 272,612.52,214.38,,,0
CDM,27201070_113061,Hb Sup Revenue Code 272,923.04,323.06,,,0
CDM,27201070_113063,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_113064,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_1131,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_113100,Hb Sup Revenue Code 272,2071.93,725.18,,,0
CDM,27201070_113104,Hb Sup Revenue Code 272,2071.93,725.18,,,0
CDM,27201070_113107,Hb Sup Revenue Code 272,3619.72,1266.9,,,0
CDM,27201070_113108,Hb Sup Revenue Code 272,3619.72,1266.9,,,0
CDM,27201070_113111,Hb Sup Revenue Code 272,1147.46,401.61,,,0
CDM,27201070_113112,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_113113,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_113196,Hb Sup Revenue Code 272,492.89,172.51,,,0
CDM,27201070_113201,Hb Sup Revenue Code 272,192.06,67.22,,,0
CDM,27201070_113202,Hb Sup Revenue Code 272,462.73,161.96,,,0
CDM,27201070_113204,Hb Sup Revenue Code 272,1664.08,582.43,,,0
CDM,27201070_113229,Hb Sup Revenue Code 272,832.32,291.31,,,0
CDM,27201070_113529,Hb Sup Revenue Code 272,3832.65,1341.43,,,0
CDM,27201070_113533,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_1137,Hb Sup Revenue Code 272,744.96,260.74,,,0
CDM,27201070_114562,Hb Sup Revenue Code 272,413.56,144.75,,,0
CDM,27201070_11460,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_114709,Hb Sup Revenue Code 272,377.47,132.11,,,0
CDM,27201070_1148,Hb Sup Revenue Code 272,807.01,282.45,,,0
CDM,27201070_114852,Hb Sup Revenue Code 272,5390.01,1886.5,,,0
CDM,27201070_114854,Hb Sup Revenue Code 272,5390.01,1886.5,,,0
CDM,27201070_114855,Hb Sup Revenue Code 272,255.7,89.5,,,0
CDM,27201070_1151,Hb Sup Revenue Code 272,1116.7,390.84,,,0
CDM,27201070_11564,Hb Sup Revenue Code 272,695.29,243.35,,,0
CDM,27201070_11580,Hb Sup Revenue Code 272,652.25,228.29,,,0
CDM,27201070_11631,Hb Sup Revenue Code 272,2813.04,984.56,,,0
CDM,27201070_116549,Hb Sup Revenue Code 272,274.86,96.2,,,0
CDM,27201070_116550,Hb Sup Revenue Code 272,274.86,96.2,,,0
CDM,27201070_116551,Hb Sup Revenue Code 272,410.39,143.64,,,0
CDM,27201070_116604,Hb Sup Revenue Code 272,2721.5,952.52,,,0
CDM,27201070_116665,Hb Sup Revenue Code 272,293.65,102.78,,,0
CDM,27201070_116747,Hb Sup Revenue Code 272,270.68,94.74,,,0
CDM,27201070_116785,Hb Sup Revenue Code 272,164.91,57.72,,,0
CDM,27201070_1168,Hb Sup Revenue Code 272,3862.97,1352.04,,,0
CDM,27201070_11680,Hb Sup Revenue Code 272,2709.56,948.35,,,0
CDM,27201070_11685,Hb Sup Revenue Code 272,335.16,117.31,,,0
CDM,27201070_11688,Hb Sup Revenue Code 272,585.23,204.83,,,0
CDM,27201070_11692,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_11693,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_1171,Hb Sup Revenue Code 272,1693.81,592.83,,,0
CDM,27201070_11711,Hb Sup Revenue Code 272,809.85,283.45,,,0
CDM,27201070_11758,Hb Sup Revenue Code 272,1352.52,473.38,,,0
CDM,27201070_11784,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_11787,Hb Sup Revenue Code 272,692.59,242.41,,,0
CDM,27201070_11791,Hb Sup Revenue Code 272,1196.31,418.71,,,0
CDM,27201070_11792,Hb Sup Revenue Code 272,2271.05,794.87,,,0
CDM,27201070_11793,Hb Sup Revenue Code 272,741.15,259.4,,,0
CDM,27201070_11794,Hb Sup Revenue Code 272,712.67,249.43,,,0
CDM,27201070_11818,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_1182,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_118237,Hb Sup Revenue Code 272,579.87,202.95,,,0
CDM,27201070_118238,Hb Sup Revenue Code 272,1274.41,446.04,,,0
CDM,27201070_1183,Hb Sup Revenue Code 272,2262.67,791.93,,,0
CDM,27201070_118448,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_118449,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_11848,Hb Sup Revenue Code 272,733.37,256.68,,,0
CDM,27201070_118481,Hb Sup Revenue Code 272,2267.92,793.77,,,0
CDM,27201070_118482,Hb Sup Revenue Code 272,2267.92,793.77,,,0
CDM,27201070_118484,Hb Sup Revenue Code 272,354.88,124.21,,,0
CDM,27201070_11854,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_1190,Hb Sup Revenue Code 272,3874.9,1356.22,,,0
CDM,27201070_1191,Hb Sup Revenue Code 272,324.2,113.47,,,0
CDM,27201070_119111,Hb Sup Revenue Code 272,3406.8,1192.38,,,0
CDM,27201070_119113,Hb Sup Revenue Code 272,1546.58,541.3,,,0
CDM,27201070_119115,Hb Sup Revenue Code 272,552.85,193.5,,,0
CDM,27201070_119292,Hb Sup Revenue Code 272,594.31,208.01,,,0
CDM,27201070_119351,Hb Sup Revenue Code 272,225.45,78.91,,,0
CDM,27201070_119433,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_119437,Hb Sup Revenue Code 272,1334.21,466.97,,,0
CDM,27201070_119438,Hb Sup Revenue Code 272,1334.21,466.97,,,0
CDM,27201070_119439,Hb Sup Revenue Code 272,1334.21,466.97,,,0
CDM,27201070_1196,Hb Sup Revenue Code 272,3874.9,1356.22,,,0
CDM,27201070_1198,Hb Sup Revenue Code 272,2194.22,767.98,,,0
CDM,27201070_119976,Hb Sup Revenue Code 272,2809.76,983.42,,,0
CDM,27201070_1201,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_120135,Hb Sup Revenue Code 272,276.17,96.66,,,0
CDM,27201070_120136,Hb Sup Revenue Code 272,361.61,126.56,,,0
CDM,27201070_120137,Hb Sup Revenue Code 272,52.65,18.43,,,0
CDM,27201070_120138,Hb Sup Revenue Code 272,64.94,22.73,,,0
CDM,27201070_120139,Hb Sup Revenue Code 272,324.26,113.49,,,0
CDM,27201070_120140,Hb Sup Revenue Code 272,141.52,49.53,,,0
CDM,27201070_120247,Hb Sup Revenue Code 272,4153.92,1453.87,,,0
CDM,27201070_1209,Hb Sup Revenue Code 272,1746.02,611.11,,,0
CDM,27201070_121201,Hb Sup Revenue Code 272,4300.67,1505.23,,,0
CDM,27201070_121209,Hb Sup Revenue Code 272,254.68,89.14,,,0
CDM,27201070_121211,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_121212,Hb Sup Revenue Code 272,1585.64,554.97,,,0
CDM,27201070_12132,Hb Sup Revenue Code 272,815.27,285.34,,,0
CDM,27201070_121385,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_12140,Hb Sup Revenue Code 272,16036.55,5612.79,,,0
CDM,27201070_12141,Hb Sup Revenue Code 272,26349.66,9222.38,,,0
CDM,27201070_12142,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_121428,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_121430,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_121432,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_121434,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_121436,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_121437,Hb Sup Revenue Code 272,5203.86,1821.35,,,0
CDM,27201070_121440,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_121441,Hb Sup Revenue Code 272,5518.98,1931.64,,,0
CDM,27201070_121446,Hb Sup Revenue Code 272,3843.73,1345.31,,,0
CDM,27201070_121448,Hb Sup Revenue Code 272,2127.92,744.77,,,0
CDM,27201070_121459,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_121460,Hb Sup Revenue Code 272,3173.43,1110.7,,,0
CDM,27201070_121504,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_121506,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_121879,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_121955,Hb Sup Revenue Code 272,1125.94,394.08,,,0
CDM,27201070_121956,Hb Sup Revenue Code 272,965.3,337.86,,,0
CDM,27201070_122253,Hb Sup Revenue Code 272,357.2,125.02,,,0
CDM,27201070_122292,Hb Sup Revenue Code 272,1151.38,402.98,,,0
CDM,27201070_122299,Hb Sup Revenue Code 272,1120.16,392.06,,,0
CDM,27201070_122306,Hb Sup Revenue Code 272,721.78,252.62,,,0
CDM,27201070_122308,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_122389,Hb Sup Revenue Code 272,62.22,21.78,,,0
CDM,27201070_122390,Hb Sup Revenue Code 272,77.93,27.28,,,0
CDM,27201070_123240,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_123274,Hb Sup Revenue Code 272,4134.49,1447.07,,,0
CDM,27201070_123820,Hb Sup Revenue Code 272,1455.95,509.58,,,0
CDM,27201070_123822,Hb Sup Revenue Code 272,1455.95,509.58,,,0
CDM,27201070_123826,Hb Sup Revenue Code 272,1455.95,509.58,,,0
CDM,27201070_1243,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_1244,Hb Sup Revenue Code 272,2225.17,778.81,,,0
CDM,27201070_1246,Hb Sup Revenue Code 272,162.6,56.91,,,0
CDM,27201070_124699,Hb Sup Revenue Code 272,707.04,247.46,,,0
CDM,27201070_1248,Hb Sup Revenue Code 272,306.4,107.24,,,0
CDM,27201070_1249,Hb Sup Revenue Code 272,300.37,105.13,,,0
CDM,27201070_1250,Hb Sup Revenue Code 272,534.18,186.96,,,0
CDM,27201070_1251,Hb Sup Revenue Code 272,158.42,55.45,,,0
CDM,27201070_1255,Hb Sup Revenue Code 272,522.35,182.82,,,0
CDM,27201070_1256,Hb Sup Revenue Code 272,486.16,170.16,,,0
CDM,27201070_125707,Hb Sup Revenue Code 272,8427.44,2949.6,,,0
CDM,27201070_1258,Hb Sup Revenue Code 272,125.08,43.78,,,0
CDM,27201070_1259,Hb Sup Revenue Code 272,293.65,102.78,,,0
CDM,27201070_1260,Hb Sup Revenue Code 272,331.22,115.93,,,0
CDM,27201070_126286,Hb Sup Revenue Code 272,3653.79,1278.83,,,0
CDM,27201070_12654,Hb Sup Revenue Code 272,592.08,207.23,,,0
CDM,27201070_12655,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_12663,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_1268,Hb Sup Revenue Code 272,403.82,141.34,,,0
CDM,27201070_126906,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_1270,Hb Sup Revenue Code 272,1335.87,467.55,,,0
CDM,27201070_127009,Hb Sup Revenue Code 272,3960.4,1386.14,,,0
CDM,27201070_127058,Hb Sup Revenue Code 272,179.3,62.76,,,0
CDM,27201070_127060,Hb Sup Revenue Code 272,5634.15,1971.95,,,0
CDM,27201070_127068,Hb Sup Revenue Code 272,1334.21,466.97,,,0
CDM,27201070_127069,Hb Sup Revenue Code 272,1334.21,466.97,,,0
CDM,27201070_1272,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_1273,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_12731,Hb Sup Revenue Code 272,495.2,173.32,,,0
CDM,27201070_12737,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_127383,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_127384,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_127385,Hb Sup Revenue Code 272,438.38,153.43,,,0
CDM,27201070_127387,Hb Sup Revenue Code 272,487.09,170.48,,,0
CDM,27201070_127388,Hb Sup Revenue Code 272,487.09,170.48,,,0
CDM,27201070_127389,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_127391,Hb Sup Revenue Code 272,2015.93,705.58,,,0
CDM,27201070_127392,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_127393,Hb Sup Revenue Code 272,2015.93,705.58,,,0
CDM,27201070_127394,Hb Sup Revenue Code 272,2015.93,705.58,,,0
CDM,27201070_1274,Hb Sup Revenue Code 272,473.53,165.74,,,0
CDM,27201070_12747,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_1276,Hb Sup Revenue Code 272,3364.22,1177.48,,,0
CDM,27201070_12777,Hb Sup Revenue Code 272,203.03,71.06,,,0
CDM,27201070_1278,Hb Sup Revenue Code 272,14231.04,4980.86,,,0
CDM,27201070_12792,Hb Sup Revenue Code 272,243.55,85.24,,,0
CDM,27201070_12793,Hb Sup Revenue Code 272,255.14,89.3,,,0
CDM,27201070_128402,Hb Sup Revenue Code 272,1618.12,566.34,,,0
CDM,27201070_128493,Hb Sup Revenue Code 272,472.02,165.21,,,0
CDM,27201070_1290,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_129123,Hb Sup Revenue Code 272,662.18,231.76,,,0
CDM,27201070_129389,Hb Sup Revenue Code 272,4291.55,1502.04,,,0
CDM,27201070_129572,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_129573,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_129574,Hb Sup Revenue Code 272,394.31,138.01,,,0
CDM,27201070_129575,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_129576,Hb Sup Revenue Code 272,943.3,330.16,,,0
CDM,27201070_1299,Hb Sup Revenue Code 272,149.38,52.28,,,0
CDM,27201070_1302,Hb Sup Revenue Code 272,176.91,61.92,,,0
CDM,27201070_1303,Hb Sup Revenue Code 272,235.16,82.31,,,0
CDM,27201070_130322,Hb Sup Revenue Code 272,1109.76,388.42,,,0
CDM,27201070_1304,Hb Sup Revenue Code 272,4215.92,1475.57,,,0
CDM,27201070_1306,Hb Sup Revenue Code 272,1399.95,489.98,,,0
CDM,27201070_130795,Hb Sup Revenue Code 272,3270.17,1144.56,,,0
CDM,27201070_130798,Hb Sup Revenue Code 272,3226.63,1129.32,,,0
CDM,27201070_130799,Hb Sup Revenue Code 272,971.04,339.86,,,0
CDM,27201070_130800,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_130803,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_130804,Hb Sup Revenue Code 272,469.46,164.31,,,0
CDM,27201070_130805,Hb Sup Revenue Code 272,1244.43,435.55,,,0
CDM,27201070_130806,Hb Sup Revenue Code 272,399.65,139.88,,,0
CDM,27201070_1310,Hb Sup Revenue Code 272,313.52,109.73,,,0
CDM,27201070_131003,Hb Sup Revenue Code 272,18.79,6.58,,,0
CDM,27201070_1311,Hb Sup Revenue Code 272,244.47,85.56,,,0
CDM,27201070_1315,Hb Sup Revenue Code 272,323.69,113.29,,,0
CDM,27201070_131666,Hb Sup Revenue Code 272,5610.0,1963.5,,,0
CDM,27201070_1317,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_131891,Hb Sup Revenue Code 272,2313.57,809.75,,,0
CDM,27201070_131892,Hb Sup Revenue Code 272,2313.57,809.75,,,0
CDM,27201070_131894,Hb Sup Revenue Code 272,868.81,304.08,,,0
CDM,27201070_1319,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_1320,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_132145,Hb Sup Revenue Code 272,226.03,79.11,,,0
CDM,27201070_1322,Hb Sup Revenue Code 272,450.68,157.74,,,0
CDM,27201070_13266,Hb Sup Revenue Code 272,114.81,40.18,,,0
CDM,27201070_133320,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_133451,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_133501,Hb Sup Revenue Code 272,11118.0,3891.3,,,0
CDM,27201070_133502,Hb Sup Revenue Code 272,10854.46,3799.06,,,0
CDM,27201070_133616,Hb Sup Revenue Code 272,4158.0,1455.3,,,0
CDM,27201070_133617,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_1341,Hb Sup Revenue Code 272,2901.61,1015.56,,,0
CDM,27201070_134496,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_134614,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_134615,Hb Sup Revenue Code 272,2704.7,946.64,,,0
CDM,27201070_134616,Hb Sup Revenue Code 272,2704.7,946.64,,,0
CDM,27201070_134617,Hb Sup Revenue Code 272,2704.7,946.64,,,0
CDM,27201070_134618,Hb Sup Revenue Code 272,2704.7,946.64,,,0
CDM,27201070_134648,Hb Sup Revenue Code 272,355.58,124.45,,,0
CDM,27201070_134649,Hb Sup Revenue Code 272,355.58,124.45,,,0
CDM,27201070_134650,Hb Sup Revenue Code 272,355.58,124.45,,,0
CDM,27201070_1348,Hb Sup Revenue Code 272,267.47,93.61,,,0
CDM,27201070_134843,Hb Sup Revenue Code 272,711.85,249.15,,,0
CDM,27201070_13486,Hb Sup Revenue Code 272,256.66,89.83,,,0
CDM,27201070_1349,Hb Sup Revenue Code 272,522.76,182.97,,,0
CDM,27201070_13500,Hb Sup Revenue Code 272,282.54,98.89,,,0
CDM,27201070_13503,Hb Sup Revenue Code 272,1012.66,354.43,,,0
CDM,27201070_1351,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_1352,Hb Sup Revenue Code 272,2818.19,986.37,,,0
CDM,27201070_135837,Hb Sup Revenue Code 272,1959.93,685.98,,,0
CDM,27201070_135838,Hb Sup Revenue Code 272,4002.99,1401.05,,,0
CDM,27201070_135839,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_135840,Hb Sup Revenue Code 272,4002.99,1401.05,,,0
CDM,27201070_135841,Hb Sup Revenue Code 272,3554.15,1243.95,,,0
CDM,27201070_1363,Hb Sup Revenue Code 272,349.78,122.42,,,0
CDM,27201070_136520,Hb Sup Revenue Code 272,7306.09,2557.13,,,0
CDM,27201070_136767,Hb Sup Revenue Code 272,1159.7,405.9,,,0
CDM,27201070_1369,Hb Sup Revenue Code 272,832.32,291.31,,,0
CDM,27201070_137176,Hb Sup Revenue Code 272,10895.64,3813.47,,,0
CDM,27201070_1373,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_137368,Hb Sup Revenue Code 272,10673.28,3735.65,,,0
CDM,27201070_1374,Hb Sup Revenue Code 272,758.7,265.54,,,0
CDM,27201070_1375,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_137702,Hb Sup Revenue Code 272,22231.55,7781.04,,,0
CDM,27201070_137703,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_138095,Hb Sup Revenue Code 272,6670.8,2334.78,,,0
CDM,27201070_138096,Hb Sup Revenue Code 272,6670.8,2334.78,,,0
CDM,27201070_138097,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_138098,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_1387,Hb Sup Revenue Code 272,1059.82,370.94,,,0
CDM,27201070_1389,Hb Sup Revenue Code 272,1054.27,368.99,,,0
CDM,27201070_1390,Hb Sup Revenue Code 272,1123.63,393.27,,,0
CDM,27201070_139003,Hb Sup Revenue Code 272,579.87,202.95,,,0
CDM,27201070_1391,Hb Sup Revenue Code 272,1171.19,409.92,,,0
CDM,27201070_139184,Hb Sup Revenue Code 272,3104.32,1086.51,,,0
CDM,27201070_139185,Hb Sup Revenue Code 272,3536.99,1237.95,,,0
CDM,27201070_139186,Hb Sup Revenue Code 272,731.65,256.08,,,0
CDM,27201070_139187,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_1392,Hb Sup Revenue Code 272,1174.36,411.03,,,0
CDM,27201070_1393,Hb Sup Revenue Code 272,1123.63,393.27,,,0
CDM,27201070_139333,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_1394,Hb Sup Revenue Code 272,1054.27,368.99,,,0
CDM,27201070_1395,Hb Sup Revenue Code 272,1169.03,409.16,,,0
CDM,27201070_139542,Hb Sup Revenue Code 272,1034.16,361.96,,,0
CDM,27201070_139544,Hb Sup Revenue Code 272,1034.16,361.96,,,0
CDM,27201070_139675,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_139678,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_139680,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_139681,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_139683,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_139684,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_139685,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_139687,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_139694,Hb Sup Revenue Code 272,31.7,11.1,,,0
CDM,27201070_139700,Hb Sup Revenue Code 272,2096.57,733.8,,,0
CDM,27201070_140094,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_1403,Hb Sup Revenue Code 272,1335.87,467.55,,,0
CDM,27201070_1404,Hb Sup Revenue Code 272,444.64,155.62,,,0
CDM,27201070_140508,Hb Sup Revenue Code 272,351.66,123.08,,,0
CDM,27201070_140552,Hb Sup Revenue Code 272,1411.15,493.9,,,0
CDM,27201070_140788,Hb Sup Revenue Code 272,3162.36,1106.83,,,0
CDM,27201070_141804,Hb Sup Revenue Code 272,339.8,118.93,,,0
CDM,27201070_141805,Hb Sup Revenue Code 272,397.03,138.96,,,0
CDM,27201070_141806,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_141807,Hb Sup Revenue Code 272,7628.58,2670.0,,,0
CDM,27201070_141808,Hb Sup Revenue Code 272,7628.58,2670.0,,,0
CDM,27201070_141809,Hb Sup Revenue Code 272,7628.58,2670.0,,,0
CDM,27201070_141810,Hb Sup Revenue Code 272,7628.58,2670.0,,,0
CDM,27201070_141812,Hb Sup Revenue Code 272,4669.56,1634.35,,,0
CDM,27201070_141813,Hb Sup Revenue Code 272,410.64,143.72,,,0
CDM,27201070_142490,Hb Sup Revenue Code 272,613.35,214.67,,,0
CDM,27201070_142553,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_142554,Hb Sup Revenue Code 272,851.32,297.96,,,0
CDM,27201070_142555,Hb Sup Revenue Code 272,1832.7,641.44,,,0
CDM,27201070_142561,Hb Sup Revenue Code 272,1649.48,577.32,,,0
CDM,27201070_142562,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_142802,Hb Sup Revenue Code 272,2452.71,858.45,,,0
CDM,27201070_143451,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_1437,Hb Sup Revenue Code 272,1559.78,545.92,,,0
CDM,27201070_143780,Hb Sup Revenue Code 272,86.75,30.36,,,0
CDM,27201070_143782,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_143783,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_144035,Hb Sup Revenue Code 272,2295.92,803.57,,,0
CDM,27201070_144245,Hb Sup Revenue Code 272,1909.53,668.34,,,0
CDM,27201070_144247,Hb Sup Revenue Code 272,659.04,230.66,,,0
CDM,27201070_144249,Hb Sup Revenue Code 272,1054.27,368.99,,,0
CDM,27201070_144262,Hb Sup Revenue Code 272,1054.27,368.99,,,0
CDM,27201070_144263,Hb Sup Revenue Code 272,2631.68,921.09,,,0
CDM,27201070_144279,Hb Sup Revenue Code 272,1179.12,412.69,,,0
CDM,27201070_144286,Hb Sup Revenue Code 272,810.33,283.62,,,0
CDM,27201070_144287,Hb Sup Revenue Code 272,271.2,94.92,,,0
CDM,27201070_144291,Hb Sup Revenue Code 272,499.16,174.71,,,0
CDM,27201070_144296,Hb Sup Revenue Code 272,3509.0,1228.15,,,0
CDM,27201070_144300,Hb Sup Revenue Code 272,1359.46,475.81,,,0
CDM,27201070_144302,Hb Sup Revenue Code 272,6862.82,2401.99,,,0
CDM,27201070_144362,Hb Sup Revenue Code 272,751.74,263.11,,,0
CDM,27201070_144363,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_144368,Hb Sup Revenue Code 272,943.3,330.16,,,0
CDM,27201070_144370,Hb Sup Revenue Code 272,2519.91,881.97,,,0
CDM,27201070_144378,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_144379,Hb Sup Revenue Code 272,4134.66,1447.13,,,0
CDM,27201070_144384,Hb Sup Revenue Code 272,4133.21,1446.62,,,0
CDM,27201070_144385,Hb Sup Revenue Code 272,5634.15,1971.95,,,0
CDM,27201070_144387,Hb Sup Revenue Code 272,2422.47,847.86,,,0
CDM,27201070_144414,Hb Sup Revenue Code 272,522.12,182.74,,,0
CDM,27201070_144439,Hb Sup Revenue Code 272,366.24,128.18,,,0
CDM,27201070_144440,Hb Sup Revenue Code 272,409.33,143.27,,,0
CDM,27201070_144441,Hb Sup Revenue Code 272,342.82,119.99,,,0
CDM,27201070_144443,Hb Sup Revenue Code 272,340.27,119.09,,,0
CDM,27201070_144444,Hb Sup Revenue Code 272,384.57,134.6,,,0
CDM,27201070_144445,Hb Sup Revenue Code 272,194.37,68.03,,,0
CDM,27201070_145708,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_145762,Hb Sup Revenue Code 272,626.76,219.37,,,0
CDM,27201070_1459,Hb Sup Revenue Code 272,35.26,12.34,,,0
CDM,27201070_1460,Hb Sup Revenue Code 272,141.49,49.52,,,0
CDM,27201070_146038,Hb Sup Revenue Code 272,21333.22,7466.63,,,0
CDM,27201070_146039,Hb Sup Revenue Code 272,25019.95,8756.98,,,0
CDM,27201070_146040,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_146041,Hb Sup Revenue Code 272,4088.16,1430.86,,,0
CDM,27201070_146042,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_146044,Hb Sup Revenue Code 272,2455.51,859.43,,,0
CDM,27201070_146046,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_146047,Hb Sup Revenue Code 272,417.51,146.13,,,0
CDM,27201070_146194,Hb Sup Revenue Code 272,2560.23,896.08,,,0
CDM,27201070_1462,Hb Sup Revenue Code 272,2107.9,737.76,,,0
CDM,27201070_147050,Hb Sup Revenue Code 272,4373.07,1530.57,,,0
CDM,27201070_147052,Hb Sup Revenue Code 272,352.56,123.4,,,0
CDM,27201070_147261,Hb Sup Revenue Code 272,147.29,51.55,,,0
CDM,27201070_147488,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_147490,Hb Sup Revenue Code 272,5225.46,1828.91,,,0
CDM,27201070_147932,Hb Sup Revenue Code 272,8427.44,2949.6,,,0
CDM,27201070_1488,Hb Sup Revenue Code 272,421.93,147.68,,,0
CDM,27201070_1491,Hb Sup Revenue Code 272,2083.11,729.09,,,0
CDM,27201070_149252,Hb Sup Revenue Code 272,2595.51,908.43,,,0
CDM,27201070_149258,Hb Sup Revenue Code 272,3108.7,1088.04,,,0
CDM,27201070_149534,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_149535,Hb Sup Revenue Code 272,1424.37,498.53,,,0
CDM,27201070_149637,Hb Sup Revenue Code 272,1847.93,646.78,,,0
CDM,27201070_1498,Hb Sup Revenue Code 272,1082.02,378.71,,,0
CDM,27201070_1499,Hb Sup Revenue Code 272,1359.46,475.81,,,0
CDM,27201070_149940,Hb Sup Revenue Code 272,3114.24,1089.98,,,0
CDM,27201070_149941,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_150178,Hb Sup Revenue Code 272,1535.13,537.3,,,0
CDM,27201070_150180,Hb Sup Revenue Code 272,2134.08,746.93,,,0
CDM,27201070_150182,Hb Sup Revenue Code 272,3473.15,1215.6,,,0
CDM,27201070_150184,Hb Sup Revenue Code 272,3062.28,1071.8,,,0
CDM,27201070_150185,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_150187,Hb Sup Revenue Code 272,3088.6,1081.01,,,0
CDM,27201070_150188,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_150190,Hb Sup Revenue Code 272,1055.96,369.59,,,0
CDM,27201070_150191,Hb Sup Revenue Code 272,1066.32,373.21,,,0
CDM,27201070_150252,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_151259,Hb Sup Revenue Code 272,495.67,173.48,,,0
CDM,27201070_151260,Hb Sup Revenue Code 272,508.89,178.11,,,0
CDM,27201070_151261,Hb Sup Revenue Code 272,517.24,181.03,,,0
CDM,27201070_151270,Hb Sup Revenue Code 272,417.14,146.0,,,0
CDM,27201070_152966,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_15319,Hb Sup Revenue Code 272,1870.56,654.7,,,0
CDM,27201070_15323,Hb Sup Revenue Code 272,1766.18,618.16,,,0
CDM,27201070_15324,Hb Sup Revenue Code 272,1895.11,663.29,,,0
CDM,27201070_15325,Hb Sup Revenue Code 272,2004.05,701.42,,,0
CDM,27201070_15327,Hb Sup Revenue Code 272,2027.84,709.74,,,0
CDM,27201070_15329,Hb Sup Revenue Code 272,1894.2,662.97,,,0
CDM,27201070_15332,Hb Sup Revenue Code 272,1026.39,359.24,,,0
CDM,27201070_15333,Hb Sup Revenue Code 272,1799.56,629.85,,,0
CDM,27201070_15346,Hb Sup Revenue Code 272,2761.82,966.64,,,0
CDM,27201070_153614,Hb Sup Revenue Code 272,3998.39,1399.44,,,0
CDM,27201070_1537,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_154001,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154004,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154005,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154008,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154009,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154010,Hb Sup Revenue Code 272,595.33,208.37,,,0
CDM,27201070_154011,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154012,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154013,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154015,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154016,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154017,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154018,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154022,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154023,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154024,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154025,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154026,Hb Sup Revenue Code 272,595.33,208.37,,,0
CDM,27201070_154027,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154029,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154030,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154031,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154034,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154035,Hb Sup Revenue Code 272,595.33,208.37,,,0
CDM,27201070_154036,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154039,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154040,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154041,Hb Sup Revenue Code 272,562.25,196.79,,,0
CDM,27201070_154542,Hb Sup Revenue Code 272,4083.9,1429.36,,,0
CDM,27201070_155095,Hb Sup Revenue Code 272,4215.92,1475.57,,,0
CDM,27201070_155108,Hb Sup Revenue Code 272,873.94,305.88,,,0
CDM,27201070_155109,Hb Sup Revenue Code 272,873.94,305.88,,,0
CDM,27201070_155174,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_155175,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_155176,Hb Sup Revenue Code 272,475.35,166.37,,,0
CDM,27201070_155177,Hb Sup Revenue Code 272,555.75,194.51,,,0
CDM,27201070_155178,Hb Sup Revenue Code 272,438.38,153.43,,,0
CDM,27201070_155179,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_155180,Hb Sup Revenue Code 272,452.07,158.22,,,0
CDM,27201070_155181,Hb Sup Revenue Code 272,124.09,43.43,,,0
CDM,27201070_155182,Hb Sup Revenue Code 272,1373.69,480.79,,,0
CDM,27201070_1553,Hb Sup Revenue Code 272,1478.35,517.42,,,0
CDM,27201070_1554,Hb Sup Revenue Code 272,1368.2,478.87,,,0
CDM,27201070_1555,Hb Sup Revenue Code 272,1368.2,478.87,,,0
CDM,27201070_155663,Hb Sup Revenue Code 272,3961.26,1386.44,,,0
CDM,27201070_1559,Hb Sup Revenue Code 272,371.12,129.89,,,0
CDM,27201070_15601,Hb Sup Revenue Code 272,1483.7,519.3,,,0
CDM,27201070_156016,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_15628,Hb Sup Revenue Code 272,1381.28,483.45,,,0
CDM,27201070_156376,Hb Sup Revenue Code 272,7560.24,2646.08,,,0
CDM,27201070_156422,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_156423,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_15679,Hb Sup Revenue Code 272,1381.28,483.45,,,0
CDM,27201070_15685,Hb Sup Revenue Code 272,1192.6,417.41,,,0
CDM,27201070_1569,Hb Sup Revenue Code 272,684.77,239.67,,,0
CDM,27201070_157382,Hb Sup Revenue Code 272,770.45,269.66,,,0
CDM,27201070_157653,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_15779,Hb Sup Revenue Code 272,2811.27,983.94,,,0
CDM,27201070_157811,Hb Sup Revenue Code 272,301.53,105.54,,,0
CDM,27201070_1590,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_1596,Hb Sup Revenue Code 272,579.87,202.95,,,0
CDM,27201070_160463,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_160464,Hb Sup Revenue Code 272,2182.88,764.01,,,0
CDM,27201070_160465,Hb Sup Revenue Code 272,2228.72,780.05,,,0
CDM,27201070_160466,Hb Sup Revenue Code 272,2452.71,858.45,,,0
CDM,27201070_160498,Hb Sup Revenue Code 272,364.16,127.46,,,0
CDM,27201070_160694,Hb Sup Revenue Code 272,269.75,94.41,,,0
CDM,27201070_161512,Hb Sup Revenue Code 272,3171.51,1110.03,,,0
CDM,27201070_161513,Hb Sup Revenue Code 272,3141.58,1099.55,,,0
CDM,27201070_161514,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_161768,Hb Sup Revenue Code 272,1485.52,519.93,,,0
CDM,27201070_161769,Hb Sup Revenue Code 272,4164.81,1457.68,,,0
CDM,27201070_161770,Hb Sup Revenue Code 272,4188.23,1465.88,,,0
CDM,27201070_161771,Hb Sup Revenue Code 272,4164.81,1457.68,,,0
CDM,27201070_161776,Hb Sup Revenue Code 272,2627.43,919.6,,,0
CDM,27201070_161777,Hb Sup Revenue Code 272,2575.91,901.57,,,0
CDM,27201070_161778,Hb Sup Revenue Code 272,2678.95,937.63,,,0
CDM,27201070_16213,Hb Sup Revenue Code 272,166.31,58.21,,,0
CDM,27201070_162244,Hb Sup Revenue Code 272,3300.34,1155.12,,,0
CDM,27201070_162280,Hb Sup Revenue Code 272,5491.33,1921.97,,,0
CDM,27201070_162281,Hb Sup Revenue Code 272,827.73,289.71,,,0
CDM,27201070_162282,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_16244,Hb Sup Revenue Code 272,1256.95,439.93,,,0
CDM,27201070_162443,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_162891,Hb Sup Revenue Code 272,4215.92,1475.57,,,0
CDM,27201070_1629,Hb Sup Revenue Code 272,301.51,105.53,,,0
CDM,27201070_16290,Hb Sup Revenue Code 272,1706.37,597.23,,,0
CDM,27201070_1630,Hb Sup Revenue Code 272,5610.0,1963.5,,,0
CDM,27201070_163176,Hb Sup Revenue Code 272,1226.14,429.15,,,0
CDM,27201070_163177,Hb Sup Revenue Code 272,300.6,105.21,,,0
CDM,27201070_16318,Hb Sup Revenue Code 272,4761.75,1666.61,,,0
CDM,27201070_1636,Hb Sup Revenue Code 272,509.83,178.44,,,0
CDM,27201070_1639,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_16398,Hb Sup Revenue Code 272,2276.5,796.78,,,0
CDM,27201070_16400,Hb Sup Revenue Code 272,2284.69,799.64,,,0
CDM,27201070_16404,Hb Sup Revenue Code 272,2046.17,716.16,,,0
CDM,27201070_164058,Hb Sup Revenue Code 272,8738.75,3058.56,,,0
CDM,27201070_16406,Hb Sup Revenue Code 272,2046.17,716.16,,,0
CDM,27201070_164861,Hb Sup Revenue Code 272,2764.95,967.73,,,0
CDM,27201070_164873,Hb Sup Revenue Code 272,238.45,83.46,,,0
CDM,27201070_164875,Hb Sup Revenue Code 272,238.45,83.46,,,0
CDM,27201070_164877,Hb Sup Revenue Code 272,238.45,83.46,,,0
CDM,27201070_164879,Hb Sup Revenue Code 272,245.64,85.97,,,0
CDM,27201070_16525,Hb Sup Revenue Code 272,478.66,167.53,,,0
CDM,27201070_16526,Hb Sup Revenue Code 272,452.06,158.22,,,0
CDM,27201070_165687,Hb Sup Revenue Code 272,3279.04,1147.66,,,0
CDM,27201070_166453,Hb Sup Revenue Code 272,13341.6,4669.56,,,0
CDM,27201070_166454,Hb Sup Revenue Code 272,13341.6,4669.56,,,0
CDM,27201070_166455,Hb Sup Revenue Code 272,13341.6,4669.56,,,0
CDM,27201070_167051,Hb Sup Revenue Code 272,1789.14,626.2,,,0
CDM,27201070_1672,Hb Sup Revenue Code 272,263.18,92.11,,,0
CDM,27201070_1676,Hb Sup Revenue Code 272,1630.43,570.65,,,0
CDM,27201070_1688,Hb Sup Revenue Code 272,60.68,21.24,,,0
CDM,27201070_1695,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_170051,Hb Sup Revenue Code 272,5392.98,1887.54,,,0
CDM,27201070_170057,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_170154,Hb Sup Revenue Code 272,1596.35,558.72,,,0
CDM,27201070_17044,Hb Sup Revenue Code 272,327.15,114.5,,,0
CDM,27201070_17060,Hb Sup Revenue Code 272,294.14,102.95,,,0
CDM,27201070_170620,Hb Sup Revenue Code 272,632.31,221.31,,,0
CDM,27201070_170621,Hb Sup Revenue Code 272,574.16,200.96,,,0
CDM,27201070_170623,Hb Sup Revenue Code 272,298.63,104.52,,,0
CDM,27201070_170624,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_170626,Hb Sup Revenue Code 272,314.99,110.25,,,0
CDM,27201070_170632,Hb Sup Revenue Code 272,374.83,131.19,,,0
CDM,27201070_170633,Hb Sup Revenue Code 272,328.44,114.95,,,0
CDM,27201070_170634,Hb Sup Revenue Code 272,369.26,129.24,,,0
CDM,27201070_170635,Hb Sup Revenue Code 272,739.49,258.82,,,0
CDM,27201070_170636,Hb Sup Revenue Code 272,746.68,261.34,,,0
CDM,27201070_170641,Hb Sup Revenue Code 272,352.81,123.48,,,0
CDM,27201070_170643,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_170644,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_170645,Hb Sup Revenue Code 272,419.82,146.94,,,0
CDM,27201070_170646,Hb Sup Revenue Code 272,143.11,50.09,,,0
CDM,27201070_170648,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_170649,Hb Sup Revenue Code 272,466.49,163.27,,,0
CDM,27201070_170651,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_170652,Hb Sup Revenue Code 272,570.36,199.63,,,0
CDM,27201070_170653,Hb Sup Revenue Code 272,322.64,112.92,,,0
CDM,27201070_170655,Hb Sup Revenue Code 272,330.76,115.77,,,0
CDM,27201070_170660,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_170663,Hb Sup Revenue Code 272,211.3,73.96,,,0
CDM,27201070_170664,Hb Sup Revenue Code 272,419.6,146.86,,,0
CDM,27201070_170666,Hb Sup Revenue Code 272,281.82,98.64,,,0
CDM,27201070_170667,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_170668,Hb Sup Revenue Code 272,415.19,145.32,,,0
CDM,27201070_170669,Hb Sup Revenue Code 272,263.96,92.39,,,0
CDM,27201070_170670,Hb Sup Revenue Code 272,302.46,105.86,,,0
CDM,27201070_170671,Hb Sup Revenue Code 272,243.55,85.24,,,0
CDM,27201070_170673,Hb Sup Revenue Code 272,266.74,93.36,,,0
CDM,27201070_170674,Hb Sup Revenue Code 272,330.06,115.52,,,0
CDM,27201070_170680,Hb Sup Revenue Code 272,241.69,84.59,,,0
CDM,27201070_170683,Hb Sup Revenue Code 272,352.1,123.24,,,0
CDM,27201070_170684,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_170685,Hb Sup Revenue Code 272,379.7,132.9,,,0
CDM,27201070_170695,Hb Sup Revenue Code 272,374.37,131.03,,,0
CDM,27201070_17071,Hb Sup Revenue Code 272,292.25,102.29,,,0
CDM,27201070_170772,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_17082,Hb Sup Revenue Code 272,298.97,104.64,,,0
CDM,27201070_17085,Hb Sup Revenue Code 272,292.25,102.29,,,0
CDM,27201070_171263,Hb Sup Revenue Code 272,14520.11,5082.04,,,0
CDM,27201070_171264,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_171381,Hb Sup Revenue Code 272,511.45,179.01,,,0
CDM,27201070_17144,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_17183,Hb Sup Revenue Code 272,303.38,106.18,,,0
CDM,27201070_17205,Hb Sup Revenue Code 272,398.26,139.39,,,0
CDM,27201070_17212,Hb Sup Revenue Code 272,766.01,268.1,,,0
CDM,27201070_172420,Hb Sup Revenue Code 272,977.42,342.1,,,0
CDM,27201070_172421,Hb Sup Revenue Code 272,2148.03,751.81,,,0
CDM,27201070_17251,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_172891,Hb Sup Revenue Code 272,226.61,79.31,,,0
CDM,27201070_172895,Hb Sup Revenue Code 272,1679.94,587.98,,,0
CDM,27201070_172896,Hb Sup Revenue Code 272,2407.91,842.77,,,0
CDM,27201070_172900,Hb Sup Revenue Code 272,2239.92,783.97,,,0
CDM,27201070_172912,Hb Sup Revenue Code 272,5314.4,1860.04,,,0
CDM,27201070_172916,Hb Sup Revenue Code 272,2239.92,783.97,,,0
CDM,27201070_172917,Hb Sup Revenue Code 272,1359.46,475.81,,,0
CDM,27201070_173263,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_1733,Hb Sup Revenue Code 272,79.79,27.93,,,0
CDM,27201070_173513,Hb Sup Revenue Code 272,744.96,260.74,,,0
CDM,27201070_173524,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_173528,Hb Sup Revenue Code 272,1682.9,589.02,,,0
CDM,27201070_173529,Hb Sup Revenue Code 272,781.95,273.68,,,0
CDM,27201070_17353,Hb Sup Revenue Code 272,246.99,86.45,,,0
CDM,27201070_173530,Hb Sup Revenue Code 272,541.31,189.46,,,0
CDM,27201070_173534,Hb Sup Revenue Code 272,487.09,170.48,,,0
CDM,27201070_173536,Hb Sup Revenue Code 272,1685.54,589.94,,,0
CDM,27201070_173537,Hb Sup Revenue Code 272,566.89,198.41,,,0
CDM,27201070_173538,Hb Sup Revenue Code 272,566.89,198.41,,,0
CDM,27201070_173543,Hb Sup Revenue Code 272,487.09,170.48,,,0
CDM,27201070_173548,Hb Sup Revenue Code 272,393.38,137.68,,,0
CDM,27201070_173794,Hb Sup Revenue Code 272,1609.95,563.48,,,0
CDM,27201070_173795,Hb Sup Revenue Code 272,1599.6,559.86,,,0
CDM,27201070_173798,Hb Sup Revenue Code 272,12535.54,4387.44,,,0
CDM,27201070_173799,Hb Sup Revenue Code 272,1679.94,587.98,,,0
CDM,27201070_1738,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_173800,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_173801,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_173802,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_173803,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_173806,Hb Sup Revenue Code 272,1167.75,408.71,,,0
CDM,27201070_174,Hb Sup Revenue Code 272,877.31,307.06,,,0
CDM,27201070_174001,Hb Sup Revenue Code 272,957.17,335.01,,,0
CDM,27201070_174002,Hb Sup Revenue Code 272,3491.97,1222.19,,,0
CDM,27201070_174004,Hb Sup Revenue Code 272,695.29,243.35,,,0
CDM,27201070_174005,Hb Sup Revenue Code 272,695.29,243.35,,,0
CDM,27201070_174006,Hb Sup Revenue Code 272,1273.45,445.71,,,0
CDM,27201070_174007,Hb Sup Revenue Code 272,831.63,291.07,,,0
CDM,27201070_174061,Hb Sup Revenue Code 272,579.87,202.95,,,0
CDM,27201070_174062,Hb Sup Revenue Code 272,688.51,240.98,,,0
CDM,27201070_174067,Hb Sup Revenue Code 272,971.04,339.86,,,0
CDM,27201070_174074,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_174076,Hb Sup Revenue Code 272,24849.31,8697.26,,,0
CDM,27201070_174081,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_174082,Hb Sup Revenue Code 272,4262.37,1491.83,,,0
CDM,27201070_174083,Hb Sup Revenue Code 272,4937.44,1728.1,,,0
CDM,27201070_174086,Hb Sup Revenue Code 272,11118.0,3891.3,,,0
CDM,27201070_174087,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_174088,Hb Sup Revenue Code 272,318.93,111.63,,,0
CDM,27201070_1741,Hb Sup Revenue Code 272,1356.15,474.65,,,0
CDM,27201070_1743,Hb Sup Revenue Code 272,620.49,217.17,,,0
CDM,27201070_1745,Hb Sup Revenue Code 272,115.97,40.59,,,0
CDM,27201070_17452,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_174696,Hb Sup Revenue Code 272,36730.2,12855.57,,,0
CDM,27201070_174697,Hb Sup Revenue Code 272,57813.6,20234.76,,,0
CDM,27201070_174831,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_174841,Hb Sup Revenue Code 272,6711.45,2349.01,,,0
CDM,27201070_174920,Hb Sup Revenue Code 272,494.44,173.05,,,0
CDM,27201070_174921,Hb Sup Revenue Code 272,494.44,173.05,,,0
CDM,27201070_174942,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_174971,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_174972,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_174973,Hb Sup Revenue Code 272,2570.31,899.61,,,0
CDM,27201070_174974,Hb Sup Revenue Code 272,2570.31,899.61,,,0
CDM,27201070_174975,Hb Sup Revenue Code 272,2570.31,899.61,,,0
CDM,27201070_174978,Hb Sup Revenue Code 272,1742.1,609.74,,,0
CDM,27201070_174979,Hb Sup Revenue Code 272,1827.78,639.72,,,0
CDM,27201070_174988,Hb Sup Revenue Code 272,1856.34,649.72,,,0
CDM,27201070_174989,Hb Sup Revenue Code 272,1856.34,649.72,,,0
CDM,27201070_175,Hb Sup Revenue Code 272,690.56,241.7,,,0
CDM,27201070_175021,Hb Sup Revenue Code 272,463.9,162.36,,,0
CDM,27201070_175028,Hb Sup Revenue Code 272,4179.76,1462.92,,,0
CDM,27201070_175057,Hb Sup Revenue Code 272,4173.33,1460.67,,,0
CDM,27201070_175058,Hb Sup Revenue Code 272,4194.77,1468.17,,,0
CDM,27201070_175059,Hb Sup Revenue Code 272,3994.47,1398.06,,,0
CDM,27201070_175060,Hb Sup Revenue Code 272,1909.69,668.39,,,0
CDM,27201070_175061,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_175064,Hb Sup Revenue Code 272,2794.39,978.04,,,0
CDM,27201070_175077,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_175085,Hb Sup Revenue Code 272,192.98,67.54,,,0
CDM,27201070_175096,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_175097,Hb Sup Revenue Code 272,1209.22,423.23,,,0
CDM,27201070_175109,Hb Sup Revenue Code 272,2686.22,940.18,,,0
CDM,27201070_175111,Hb Sup Revenue Code 272,2423.82,848.34,,,0
CDM,27201070_175114,Hb Sup Revenue Code 272,744.96,260.74,,,0
CDM,27201070_175132,Hb Sup Revenue Code 272,9450.3,3307.6,,,0
CDM,27201070_175133,Hb Sup Revenue Code 272,5421.14,1897.4,,,0
CDM,27201070_175150,Hb Sup Revenue Code 272,2989.47,1046.31,,,0
CDM,27201070_175151,Hb Sup Revenue Code 272,447.42,156.6,,,0
CDM,27201070_175153,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_175154,Hb Sup Revenue Code 272,2283.49,799.22,,,0
CDM,27201070_175155,Hb Sup Revenue Code 272,1349.36,472.28,,,0
CDM,27201070_175156,Hb Sup Revenue Code 272,5386.8,1885.38,,,0
CDM,27201070_175157,Hb Sup Revenue Code 272,7782.6,2723.91,,,0
CDM,27201070_175161,Hb Sup Revenue Code 272,455.46,159.41,,,0
CDM,27201070_175162,Hb Sup Revenue Code 272,403.59,141.26,,,0
CDM,27201070_175163,Hb Sup Revenue Code 272,343.05,120.07,,,0
CDM,27201070_175164,Hb Sup Revenue Code 272,255.9,89.56,,,0
CDM,27201070_175165,Hb Sup Revenue Code 272,753.24,263.63,,,0
CDM,27201070_175166,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_175168,Hb Sup Revenue Code 272,4113.71,1439.8,,,0
CDM,27201070_175169,Hb Sup Revenue Code 272,4113.71,1439.8,,,0
CDM,27201070_175170,Hb Sup Revenue Code 272,2351.92,823.17,,,0
CDM,27201070_175171,Hb Sup Revenue Code 272,2351.92,823.17,,,0
CDM,27201070_175172,Hb Sup Revenue Code 272,2351.92,823.17,,,0
CDM,27201070_175173,Hb Sup Revenue Code 272,2351.92,823.17,,,0
CDM,27201070_175177,Hb Sup Revenue Code 272,306.07,107.12,,,0
CDM,27201070_175193,Hb Sup Revenue Code 272,579.21,202.72,,,0
CDM,27201070_175194,Hb Sup Revenue Code 272,579.21,202.72,,,0
CDM,27201070_175195,Hb Sup Revenue Code 272,966.29,338.2,,,0
CDM,27201070_175199,Hb Sup Revenue Code 272,898.48,314.47,,,0
CDM,27201070_175203,Hb Sup Revenue Code 272,898.48,314.47,,,0
CDM,27201070_175215,Hb Sup Revenue Code 272,584.39,204.54,,,0
CDM,27201070_175217,Hb Sup Revenue Code 272,746.85,261.4,,,0
CDM,27201070_175218,Hb Sup Revenue Code 272,1488.04,520.81,,,0
CDM,27201070_175219,Hb Sup Revenue Code 272,283.11,99.09,,,0
CDM,27201070_175223,Hb Sup Revenue Code 272,10757.78,3765.22,,,0
CDM,27201070_175369,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_175392,Hb Sup Revenue Code 272,579.41,202.79,,,0
CDM,27201070_175815,Hb Sup Revenue Code 272,5659.06,1980.67,,,0
CDM,27201070_176096,Hb Sup Revenue Code 272,2351.92,823.17,,,0
CDM,27201070_176098,Hb Sup Revenue Code 272,1040.4,364.14,,,0
CDM,27201070_176099,Hb Sup Revenue Code 272,1040.4,364.14,,,0
CDM,27201070_1761,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_176100,Hb Sup Revenue Code 272,1040.4,364.14,,,0
CDM,27201070_176273,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_176274,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_176275,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_1768,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_1769,Hb Sup Revenue Code 272,767.8,268.73,,,0
CDM,27201070_177,Hb Sup Revenue Code 272,342.35,119.82,,,0
CDM,27201070_177117,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_177118,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_177126,Hb Sup Revenue Code 272,2307.12,807.49,,,0
CDM,27201070_177127,Hb Sup Revenue Code 272,1603.45,561.21,,,0
CDM,27201070_177128,Hb Sup Revenue Code 272,1603.45,561.21,,,0
CDM,27201070_177129,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_177131,Hb Sup Revenue Code 272,1904.54,666.59,,,0
CDM,27201070_177149,Hb Sup Revenue Code 272,242.28,84.8,,,0
CDM,27201070_177152,Hb Sup Revenue Code 272,276.41,96.74,,,0
CDM,27201070_177155,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_177158,Hb Sup Revenue Code 272,349.78,122.42,,,0
CDM,27201070_177161,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_177162,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_1772,Hb Sup Revenue Code 272,1105.25,386.84,,,0
CDM,27201070_177357,Hb Sup Revenue Code 272,231.95,81.18,,,0
CDM,27201070_177558,Hb Sup Revenue Code 272,2777.5,972.12,,,0
CDM,27201070_177799,Hb Sup Revenue Code 272,1040.4,364.14,,,0
CDM,27201070_177801,Hb Sup Revenue Code 272,1040.4,364.14,,,0
CDM,27201070_178034,Hb Sup Revenue Code 272,403.82,141.34,,,0
CDM,27201070_178035,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_178037,Hb Sup Revenue Code 272,621.96,217.69,,,0
CDM,27201070_178038,Hb Sup Revenue Code 272,366.24,128.18,,,0
CDM,27201070_178039,Hb Sup Revenue Code 272,296.31,103.71,,,0
CDM,27201070_178040,Hb Sup Revenue Code 272,366.24,128.18,,,0
CDM,27201070_1784,Hb Sup Revenue Code 272,137.85,48.25,,,0
CDM,27201070_1787,Hb Sup Revenue Code 272,415.63,145.47,,,0
CDM,27201070_1788,Hb Sup Revenue Code 272,415.65,145.48,,,0
CDM,27201070_178808,Hb Sup Revenue Code 272,1204.09,421.43,,,0
CDM,27201070_178809,Hb Sup Revenue Code 272,1204.09,421.43,,,0
CDM,27201070_178810,Hb Sup Revenue Code 272,1204.09,421.43,,,0
CDM,27201070_178811,Hb Sup Revenue Code 272,1260.27,441.09,,,0
CDM,27201070_178855,Hb Sup Revenue Code 272,12903.06,4516.07,,,0
CDM,27201070_178856,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_178857,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_178858,Hb Sup Revenue Code 272,399.66,139.88,,,0
CDM,27201070_178860,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_178861,Hb Sup Revenue Code 272,880.87,308.3,,,0
CDM,27201070_178862,Hb Sup Revenue Code 272,1444.75,505.66,,,0
CDM,27201070_1789,Hb Sup Revenue Code 272,424.92,148.72,,,0
CDM,27201070_1790,Hb Sup Revenue Code 272,508.07,177.82,,,0
CDM,27201070_179717,Hb Sup Revenue Code 272,3832.65,1341.43,,,0
CDM,27201070_179718,Hb Sup Revenue Code 272,2340.72,819.25,,,0
CDM,27201070_179719,Hb Sup Revenue Code 272,2290.83,801.79,,,0
CDM,27201070_179721,Hb Sup Revenue Code 272,4447.2,1556.52,,,0
CDM,27201070_179755,Hb Sup Revenue Code 272,30352.14,10623.25,,,0
CDM,27201070_179756,Hb Sup Revenue Code 272,30352.14,10623.25,,,0
CDM,27201070_179779,Hb Sup Revenue Code 272,3543.56,1240.25,,,0
CDM,27201070_179831,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_180029,Hb Sup Revenue Code 272,6448.44,2256.95,,,0
CDM,27201070_180322,Hb Sup Revenue Code 272,1418.21,496.37,,,0
CDM,27201070_180406,Hb Sup Revenue Code 272,2183.92,764.37,,,0
CDM,27201070_180407,Hb Sup Revenue Code 272,1323.95,463.38,,,0
CDM,27201070_181,Hb Sup Revenue Code 272,512.6,179.41,,,0
CDM,27201070_181121,Hb Sup Revenue Code 272,2980.95,1043.33,,,0
CDM,27201070_181122,Hb Sup Revenue Code 272,3832.65,1341.43,,,0
CDM,27201070_181123,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_181124,Hb Sup Revenue Code 272,3227.94,1129.78,,,0
CDM,27201070_181125,Hb Sup Revenue Code 272,4215.92,1475.57,,,0
CDM,27201070_181126,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_181127,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_181128,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_181129,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_181130,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_181198,Hb Sup Revenue Code 272,393.15,137.6,,,0
CDM,27201070_1812,Hb Sup Revenue Code 272,943.57,330.25,,,0
CDM,27201070_181215,Hb Sup Revenue Code 272,393.15,137.6,,,0
CDM,27201070_181469,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_181548,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_181549,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_181550,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_181581,Hb Sup Revenue Code 272,548.32,191.91,,,0
CDM,27201070_1816,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_1817,Hb Sup Revenue Code 272,3206.03,1122.11,,,0
CDM,27201070_1818,Hb Sup Revenue Code 272,3148.31,1101.91,,,0
CDM,27201070_1819,Hb Sup Revenue Code 272,3091.67,1082.08,,,0
CDM,27201070_1821,Hb Sup Revenue Code 272,3097.64,1084.17,,,0
CDM,27201070_1824,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_1825,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_18259,Hb Sup Revenue Code 272,182.77,63.97,,,0
CDM,27201070_182639,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_1828,Hb Sup Revenue Code 272,347.92,121.77,,,0
CDM,27201070_1829,Hb Sup Revenue Code 272,379.7,132.9,,,0
CDM,27201070_1830,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_1831,Hb Sup Revenue Code 272,1063.43,372.2,,,0
CDM,27201070_1832,Hb Sup Revenue Code 272,1489.55,521.34,,,0
CDM,27201070_1833,Hb Sup Revenue Code 272,3619.72,1266.9,,,0
CDM,27201070_183507,Hb Sup Revenue Code 272,2009.43,703.3,,,0
CDM,27201070_183508,Hb Sup Revenue Code 272,2009.43,703.3,,,0
CDM,27201070_184117,Hb Sup Revenue Code 272,971.04,339.86,,,0
CDM,27201070_18442,Hb Sup Revenue Code 272,1262.12,441.74,,,0
CDM,27201070_185,Hb Sup Revenue Code 272,122.89,43.01,,,0
CDM,27201070_1851,Hb Sup Revenue Code 272,1893.22,662.63,,,0
CDM,27201070_185839,Hb Sup Revenue Code 272,6666.35,2333.22,,,0
CDM,27201070_185906,Hb Sup Revenue Code 272,102.52,35.88,,,0
CDM,27201070_186569,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_18704,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_18705,Hb Sup Revenue Code 272,1272.89,445.51,,,0
CDM,27201070_18706,Hb Sup Revenue Code 272,1959.93,685.98,,,0
CDM,27201070_187295,Hb Sup Revenue Code 272,1790.14,626.55,,,0
CDM,27201070_187297,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_187299,Hb Sup Revenue Code 272,24014.88,8405.21,,,0
CDM,27201070_18759,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_188099,Hb Sup Revenue Code 272,2766.3,968.2,,,0
CDM,27201070_188100,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_188101,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_188102,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_188103,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_188105,Hb Sup Revenue Code 272,1626.19,569.17,,,0
CDM,27201070_188107,Hb Sup Revenue Code 272,54415.94,19045.58,,,0
CDM,27201070_188108,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_188110,Hb Sup Revenue Code 272,2302.64,805.92,,,0
CDM,27201070_188111,Hb Sup Revenue Code 272,2302.64,805.92,,,0
CDM,27201070_188112,Hb Sup Revenue Code 272,3631.65,1271.08,,,0
CDM,27201070_188113,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_188114,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_188230,Hb Sup Revenue Code 272,384.57,134.6,,,0
CDM,27201070_188231,Hb Sup Revenue Code 272,578.48,202.47,,,0
CDM,27201070_188232,Hb Sup Revenue Code 272,374.83,131.19,,,0
CDM,27201070_188233,Hb Sup Revenue Code 272,132.75,46.46,,,0
CDM,27201070_188234,Hb Sup Revenue Code 272,233.34,81.67,,,0
CDM,27201070_188236,Hb Sup Revenue Code 272,355.57,124.45,,,0
CDM,27201070_188237,Hb Sup Revenue Code 272,424.0,148.4,,,0
CDM,27201070_188239,Hb Sup Revenue Code 272,311.97,109.19,,,0
CDM,27201070_188240,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_188242,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_188574,Hb Sup Revenue Code 272,2980.95,1043.33,,,0
CDM,27201070_188653,Hb Sup Revenue Code 272,3636.76,1272.87,,,0
CDM,27201070_188654,Hb Sup Revenue Code 272,3636.76,1272.87,,,0
CDM,27201070_188732,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_188777,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_18878,Hb Sup Revenue Code 272,211.06,73.87,,,0
CDM,27201070_189058,Hb Sup Revenue Code 272,3239.44,1133.8,,,0
CDM,27201070_189063,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_189064,Hb Sup Revenue Code 272,2231.85,781.15,,,0
CDM,27201070_189065,Hb Sup Revenue Code 272,357.43,125.1,,,0
CDM,27201070_189067,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_189068,Hb Sup Revenue Code 272,6670.8,2334.78,,,0
CDM,27201070_189069,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_189073,Hb Sup Revenue Code 272,1179.12,412.69,,,0
CDM,27201070_189121,Hb Sup Revenue Code 272,7631.4,2670.99,,,0
CDM,27201070_189509,Hb Sup Revenue Code 272,7782.6,2723.91,,,0
CDM,27201070_189664,Hb Sup Revenue Code 272,827.73,289.71,,,0
CDM,27201070_18996,Hb Sup Revenue Code 272,387.36,135.58,,,0
CDM,27201070_19023,Hb Sup Revenue Code 272,1107.72,387.7,,,0
CDM,27201070_190574,Hb Sup Revenue Code 272,1040.4,364.14,,,0
CDM,27201070_190588,Hb Sup Revenue Code 272,744.96,260.74,,,0
CDM,27201070_190589,Hb Sup Revenue Code 272,175.35,61.37,,,0
CDM,27201070_190591,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_190592,Hb Sup Revenue Code 272,746.28,261.2,,,0
CDM,27201070_190593,Hb Sup Revenue Code 272,3094.74,1083.16,,,0
CDM,27201070_190597,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_190598,Hb Sup Revenue Code 272,2519.91,881.97,,,0
CDM,27201070_190605,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_191,Hb Sup Revenue Code 272,1101.91,385.67,,,0
CDM,27201070_191066,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_191067,Hb Sup Revenue Code 272,1033.46,361.71,,,0
CDM,27201070_191301,Hb Sup Revenue Code 272,2116.72,740.85,,,0
CDM,27201070_191381,Hb Sup Revenue Code 272,971.04,339.86,,,0
CDM,27201070_19165,Hb Sup Revenue Code 272,4669.56,1634.35,,,0
CDM,27201070_19190,Hb Sup Revenue Code 272,200.17,70.06,,,0
CDM,27201070_1920,Hb Sup Revenue Code 272,560.85,196.3,,,0
CDM,27201070_1921,Hb Sup Revenue Code 272,560.85,196.3,,,0
CDM,27201070_192441,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_192442,Hb Sup Revenue Code 272,1399.95,489.98,,,0
CDM,27201070_1927,Hb Sup Revenue Code 272,1004.97,351.74,,,0
CDM,27201070_192752,Hb Sup Revenue Code 272,2267.92,793.77,,,0
CDM,27201070_1930,Hb Sup Revenue Code 272,192.98,67.54,,,0
CDM,27201070_1935,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_193841,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_193842,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_193843,Hb Sup Revenue Code 272,4780.74,1673.26,,,0
CDM,27201070_1940,Hb Sup Revenue Code 272,626.76,219.37,,,0
CDM,27201070_194092,Hb Sup Revenue Code 272,2980.95,1043.33,,,0
CDM,27201070_194095,Hb Sup Revenue Code 272,3832.65,1341.43,,,0
CDM,27201070_194099,Hb Sup Revenue Code 272,3219.43,1126.8,,,0
CDM,27201070_19412,Hb Sup Revenue Code 272,939.45,328.81,,,0
CDM,27201070_19413,Hb Sup Revenue Code 272,943.26,330.14,,,0
CDM,27201070_1942,Hb Sup Revenue Code 272,577.98,202.29,,,0
CDM,27201070_1945,Hb Sup Revenue Code 272,2.04,0.71,,,0
CDM,27201070_19455,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_1950,Hb Sup Revenue Code 272,1112.68,389.44,,,0
CDM,27201070_1956,Hb Sup Revenue Code 272,5020.89,1757.31,,,0
CDM,27201070_1958,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_1959,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_196,Hb Sup Revenue Code 272,510.29,178.6,,,0
CDM,27201070_1960,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_1962,Hb Sup Revenue Code 272,1332.55,466.39,,,0
CDM,27201070_1967,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_1968,Hb Sup Revenue Code 272,2947.19,1031.52,,,0
CDM,27201070_197,Hb Sup Revenue Code 272,120.84,42.29,,,0
CDM,27201070_1970,Hb Sup Revenue Code 272,1197.57,419.15,,,0
CDM,27201070_197146,Hb Sup Revenue Code 272,3738.96,1308.64,,,0
CDM,27201070_197147,Hb Sup Revenue Code 272,4891.92,1712.17,,,0
CDM,27201070_197151,Hb Sup Revenue Code 272,1384.45,484.56,,,0
CDM,27201070_197153,Hb Sup Revenue Code 272,1384.45,484.56,,,0
CDM,27201070_197154,Hb Sup Revenue Code 272,1384.45,484.56,,,0
CDM,27201070_197155,Hb Sup Revenue Code 272,1384.45,484.56,,,0
CDM,27201070_197178,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_1974,Hb Sup Revenue Code 272,1737.96,608.29,,,0
CDM,27201070_197652,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_1978,Hb Sup Revenue Code 272,363.69,127.29,,,0
CDM,27201070_1979,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_198,Hb Sup Revenue Code 272,948.99,332.15,,,0
CDM,27201070_1982,Hb Sup Revenue Code 272,2980.95,1043.33,,,0
CDM,27201070_198245,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_198246,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_198247,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_198248,Hb Sup Revenue Code 272,4017.08,1405.98,,,0
CDM,27201070_198249,Hb Sup Revenue Code 272,2463.91,862.37,,,0
CDM,27201070_198250,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_198298,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_1983,Hb Sup Revenue Code 272,160.97,56.34,,,0
CDM,27201070_198301,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_198302,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_198304,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_198305,Hb Sup Revenue Code 272,2463.91,862.37,,,0
CDM,27201070_198307,Hb Sup Revenue Code 272,2614.32,915.01,,,0
CDM,27201070_198308,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_198311,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_198312,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_198315,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_198316,Hb Sup Revenue Code 272,3643.14,1275.1,,,0
CDM,27201070_198317,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_198318,Hb Sup Revenue Code 272,2742.22,959.78,,,0
CDM,27201070_198319,Hb Sup Revenue Code 272,1982.33,693.82,,,0
CDM,27201070_198320,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_198321,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_198322,Hb Sup Revenue Code 272,3642.65,1274.93,,,0
CDM,27201070_198323,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_198324,Hb Sup Revenue Code 272,1496.27,523.69,,,0
CDM,27201070_198325,Hb Sup Revenue Code 272,1899.45,664.81,,,0
CDM,27201070_198331,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_198332,Hb Sup Revenue Code 272,1717.57,601.15,,,0
CDM,27201070_198333,Hb Sup Revenue Code 272,3398.28,1189.4,,,0
CDM,27201070_198334,Hb Sup Revenue Code 272,1023.06,358.07,,,0
CDM,27201070_198336,Hb Sup Revenue Code 272,1398.27,489.39,,,0
CDM,27201070_198337,Hb Sup Revenue Code 272,3938.26,1378.39,,,0
CDM,27201070_198338,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_19911,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_19916,Hb Sup Revenue Code 272,368.18,128.86,,,0
CDM,27201070_199164,Hb Sup Revenue Code 272,20052.42,7018.35,,,0
CDM,27201070_199165,Hb Sup Revenue Code 272,28164.12,9857.44,,,0
CDM,27201070_19921,Hb Sup Revenue Code 272,2193.78,767.82,,,0
CDM,27201070_19972,Hb Sup Revenue Code 272,720.13,252.05,,,0
CDM,27201070_19986,Hb Sup Revenue Code 272,909.58,318.35,,,0
CDM,27201070_19988,Hb Sup Revenue Code 272,1682.52,588.88,,,0
CDM,27201070_200104,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_200117,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_2003,Hb Sup Revenue Code 272,1479.2,517.72,,,0
CDM,27201070_200349,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_200350,Hb Sup Revenue Code 272,2853.2,998.62,,,0
CDM,27201070_201423,Hb Sup Revenue Code 272,706.35,247.22,,,0
CDM,27201070_201742,Hb Sup Revenue Code 272,1446.65,506.33,,,0
CDM,27201070_201744,Hb Sup Revenue Code 272,832.32,291.31,,,0
CDM,27201070_2018,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_2019,Hb Sup Revenue Code 272,333.08,116.58,,,0
CDM,27201070_201971,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_201972,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_201973,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_2020,Hb Sup Revenue Code 272,389.67,136.38,,,0
CDM,27201070_2021,Hb Sup Revenue Code 272,2288.41,800.94,,,0
CDM,27201070_202249,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_202510,Hb Sup Revenue Code 272,2239.92,783.97,,,0
CDM,27201070_202512,Hb Sup Revenue Code 272,8672.04,3035.21,,,0
CDM,27201070_202515,Hb Sup Revenue Code 272,2575.91,901.57,,,0
CDM,27201070_202518,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_20259,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_20263,Hb Sup Revenue Code 272,2063.63,722.27,,,0
CDM,27201070_20264,Hb Sup Revenue Code 272,431.49,151.02,,,0
CDM,27201070_2027,Hb Sup Revenue Code 272,2378.79,832.58,,,0
CDM,27201070_203086,Hb Sup Revenue Code 272,31108.16,10887.86,,,0
CDM,27201070_203087,Hb Sup Revenue Code 272,28906.8,10117.38,,,0
CDM,27201070_20309,Hb Sup Revenue Code 272,452.06,158.22,,,0
CDM,27201070_20310,Hb Sup Revenue Code 272,1691.14,591.9,,,0
CDM,27201070_203497,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_203499,Hb Sup Revenue Code 272,6700.46,2345.16,,,0
CDM,27201070_20372,Hb Sup Revenue Code 272,810.51,283.68,,,0
CDM,27201070_204,Hb Sup Revenue Code 272,2351.92,823.17,,,0
CDM,27201070_204641,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_204932,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_2058,Hb Sup Revenue Code 272,1421.45,497.51,,,0
CDM,27201070_2063,Hb Sup Revenue Code 272,2340.72,819.25,,,0
CDM,27201070_20631,Hb Sup Revenue Code 272,15909.17,5568.21,,,0
CDM,27201070_206497,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_2065,Hb Sup Revenue Code 272,2262.32,791.81,,,0
CDM,27201070_206651,Hb Sup Revenue Code 272,1113.92,389.87,,,0
CDM,27201070_206789,Hb Sup Revenue Code 272,2.83,0.99,,,0
CDM,27201070_206798,Hb Sup Revenue Code 272,2.83,0.99,,,0
CDM,27201070_207021,Hb Sup Revenue Code 272,2391.0,836.85,,,0
CDM,27201070_2072,Hb Sup Revenue Code 272,2262.32,791.81,,,0
CDM,27201070_2079,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_208,Hb Sup Revenue Code 272,560.39,196.14,,,0
CDM,27201070_208770,Hb Sup Revenue Code 272,1345.11,470.79,,,0
CDM,27201070_208788,Hb Sup Revenue Code 272,1180.44,413.15,,,0
CDM,27201070_208953,Hb Sup Revenue Code 272,1535.15,537.3,,,0
CDM,27201070_209109,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_209358,Hb Sup Revenue Code 272,23.19,8.12,,,0
CDM,27201070_2095,Hb Sup Revenue Code 272,1608.71,563.05,,,0
CDM,27201070_209582,Hb Sup Revenue Code 272,3161.29,1106.45,,,0
CDM,27201070_2096,Hb Sup Revenue Code 272,2374.32,831.01,,,0
CDM,27201070_2098,Hb Sup Revenue Code 272,1971.13,689.9,,,0
CDM,27201070_2099,Hb Sup Revenue Code 272,1971.13,689.9,,,0
CDM,27201070_2100,Hb Sup Revenue Code 272,2333.77,816.82,,,0
CDM,27201070_210027,Hb Sup Revenue Code 272,1665.83,583.04,,,0
CDM,27201070_210039,Hb Sup Revenue Code 272,1164.06,407.42,,,0
CDM,27201070_210690,Hb Sup Revenue Code 272,634.47,222.06,,,0
CDM,27201070_210696,Hb Sup Revenue Code 272,1566.37,548.23,,,0
CDM,27201070_210697,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_211568,Hb Sup Revenue Code 272,23.19,8.12,,,0
CDM,27201070_211830,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_211832,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_211905,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_211927,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_212117,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_212126,Hb Sup Revenue Code 272,2419.11,846.69,,,0
CDM,27201070_212294,Hb Sup Revenue Code 272,1251.95,438.18,,,0
CDM,27201070_2123,Hb Sup Revenue Code 272,957.76,335.22,,,0
CDM,27201070_2126,Hb Sup Revenue Code 272,73.12,25.59,,,0
CDM,27201070_212653,Hb Sup Revenue Code 272,2787.96,975.79,,,0
CDM,27201070_2127,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_213523,Hb Sup Revenue Code 272,2293.79,802.83,,,0
CDM,27201070_213524,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_213531,Hb Sup Revenue Code 272,4139.26,1448.74,,,0
CDM,27201070_213542,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_213553,Hb Sup Revenue Code 272,993.09,347.58,,,0
CDM,27201070_213554,Hb Sup Revenue Code 272,993.09,347.58,,,0
CDM,27201070_2136,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_2137,Hb Sup Revenue Code 272,848.69,297.04,,,0
CDM,27201070_213909,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_2140,Hb Sup Revenue Code 272,319.14,111.7,,,0
CDM,27201070_21413,Hb Sup Revenue Code 272,278.1,97.34,,,0
CDM,27201070_2143,Hb Sup Revenue Code 272,534.41,187.04,,,0
CDM,27201070_215344,Hb Sup Revenue Code 272,5870.3,2054.6,,,0
CDM,27201070_215870,Hb Sup Revenue Code 272,2631.91,921.17,,,0
CDM,27201070_216,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_2160,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_2162,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_216531,Hb Sup Revenue Code 272,20901.84,7315.64,,,0
CDM,27201070_217,Hb Sup Revenue Code 272,158.89,55.61,,,0
CDM,27201070_2172,Hb Sup Revenue Code 272,3224.28,1128.5,,,0
CDM,27201070_218,Hb Sup Revenue Code 272,158.89,55.61,,,0
CDM,27201070_2182,Hb Sup Revenue Code 272,303.06,106.07,,,0
CDM,27201070_2184,Hb Sup Revenue Code 272,349.08,122.18,,,0
CDM,27201070_21862,Hb Sup Revenue Code 272,118.29,41.4,,,0
CDM,27201070_21886,Hb Sup Revenue Code 272,595.97,208.59,,,0
CDM,27201070_2199,Hb Sup Revenue Code 272,406.84,142.39,,,0
CDM,27201070_2200,Hb Sup Revenue Code 272,438.02,153.31,,,0
CDM,27201070_2201,Hb Sup Revenue Code 272,509.12,178.19,,,0
CDM,27201070_221,Hb Sup Revenue Code 272,471.55,165.04,,,0
CDM,27201070_2217,Hb Sup Revenue Code 272,386.66,135.33,,,0
CDM,27201070_2218,Hb Sup Revenue Code 272,3491.97,1222.19,,,0
CDM,27201070_2219,Hb Sup Revenue Code 272,1949.74,682.41,,,0
CDM,27201070_2220,Hb Sup Revenue Code 272,1219.21,426.72,,,0
CDM,27201070_2221,Hb Sup Revenue Code 272,66.54,23.29,,,0
CDM,27201070_2226,Hb Sup Revenue Code 272,934.55,327.09,,,0
CDM,27201070_2227,Hb Sup Revenue Code 272,938.19,328.37,,,0
CDM,27201070_2228,Hb Sup Revenue Code 272,942.29,329.8,,,0
CDM,27201070_2232,Hb Sup Revenue Code 272,675.6,236.46,,,0
CDM,27201070_22352,Hb Sup Revenue Code 272,1476.55,516.79,,,0
CDM,27201070_2236,Hb Sup Revenue Code 272,367.64,128.67,,,0
CDM,27201070_2237,Hb Sup Revenue Code 272,413.79,144.83,,,0
CDM,27201070_2239,Hb Sup Revenue Code 272,191.68,67.09,,,0
CDM,27201070_22432,Hb Sup Revenue Code 272,546.93,191.43,,,0
CDM,27201070_22573,Hb Sup Revenue Code 272,187.22,65.53,,,0
CDM,27201070_2267,Hb Sup Revenue Code 272,580.28,203.1,,,0
CDM,27201070_2270,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_2274,Hb Sup Revenue Code 272,545.38,190.88,,,0
CDM,27201070_228,Hb Sup Revenue Code 272,1340.62,469.22,,,0
CDM,27201070_22855,Hb Sup Revenue Code 272,2357.52,825.13,,,0
CDM,27201070_229,Hb Sup Revenue Code 272,3891.1,1361.88,,,0
CDM,27201070_2309,Hb Sup Revenue Code 272,3333.23,1166.63,,,0
CDM,27201070_231,Hb Sup Revenue Code 272,948.99,332.15,,,0
CDM,27201070_2310,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_2311,Hb Sup Revenue Code 272,583.13,204.1,,,0
CDM,27201070_2312,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_2318,Hb Sup Revenue Code 272,404.05,141.42,,,0
CDM,27201070_232,Hb Sup Revenue Code 272,256.2,89.67,,,0
CDM,27201070_2324,Hb Sup Revenue Code 272,1109.76,388.42,,,0
CDM,27201070_2325,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_2332,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_23338,Hb Sup Revenue Code 272,2757.23,965.03,,,0
CDM,27201070_23339,Hb Sup Revenue Code 272,878.03,307.31,,,0
CDM,27201070_2334,Hb Sup Revenue Code 272,118.76,41.57,,,0
CDM,27201070_23349,Hb Sup Revenue Code 272,1966.65,688.33,,,0
CDM,27201070_2340,Hb Sup Revenue Code 272,744.96,260.74,,,0
CDM,27201070_2341,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_2344,Hb Sup Revenue Code 272,612.52,214.38,,,0
CDM,27201070_2345,Hb Sup Revenue Code 272,1123.63,393.27,,,0
CDM,27201070_2346,Hb Sup Revenue Code 272,155.4,54.39,,,0
CDM,27201070_235,Hb Sup Revenue Code 272,526.07,184.12,,,0
CDM,27201070_2359,Hb Sup Revenue Code 272,469.53,164.34,,,0
CDM,27201070_236,Hb Sup Revenue Code 272,964.38,337.53,,,0
CDM,27201070_2360,Hb Sup Revenue Code 272,295.5,103.42,,,0
CDM,27201070_2361,Hb Sup Revenue Code 272,403.36,141.18,,,0
CDM,27201070_2362,Hb Sup Revenue Code 272,131.81,46.13,,,0
CDM,27201070_2363,Hb Sup Revenue Code 272,134.75,47.16,,,0
CDM,27201070_2364,Hb Sup Revenue Code 272,137.86,48.25,,,0
CDM,27201070_2365,Hb Sup Revenue Code 272,130.04,45.51,,,0
CDM,27201070_2366,Hb Sup Revenue Code 272,136.44,47.75,,,0
CDM,27201070_2367,Hb Sup Revenue Code 272,196.05,68.62,,,0
CDM,27201070_2368,Hb Sup Revenue Code 272,238.83,83.59,,,0
CDM,27201070_2369,Hb Sup Revenue Code 272,173.35,60.67,,,0
CDM,27201070_237,Hb Sup Revenue Code 272,1589.33,556.27,,,0
CDM,27201070_2371,Hb Sup Revenue Code 272,356.91,124.92,,,0
CDM,27201070_2373,Hb Sup Revenue Code 272,189.79,66.43,,,0
CDM,27201070_23734,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_23743,Hb Sup Revenue Code 272,65.27,22.84,,,0
CDM,27201070_2381,Hb Sup Revenue Code 272,827.73,289.71,,,0
CDM,27201070_239,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_2394,Hb Sup Revenue Code 272,727.9,254.76,,,0
CDM,27201070_23962,Hb Sup Revenue Code 272,292.77,102.47,,,0
CDM,27201070_2399,Hb Sup Revenue Code 272,4250.06,1487.52,,,0
CDM,27201070_24093,Hb Sup Revenue Code 272,616.37,215.73,,,0
CDM,27201070_2410,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_2414,Hb Sup Revenue Code 272,620.8,217.28,,,0
CDM,27201070_2427,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_2428,Hb Sup Revenue Code 272,1208.39,422.94,,,0
CDM,27201070_2429,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_2431,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_2437,Hb Sup Revenue Code 272,135.12,47.29,,,0
CDM,27201070_2438,Hb Sup Revenue Code 272,146.36,51.23,,,0
CDM,27201070_246,Hb Sup Revenue Code 272,62.63,21.92,,,0
CDM,27201070_25032,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_254,Hb Sup Revenue Code 272,2140.03,749.01,,,0
CDM,27201070_25530,Hb Sup Revenue Code 272,650.93,227.83,,,0
CDM,27201070_25531,Hb Sup Revenue Code 272,625.76,219.02,,,0
CDM,27201070_25557,Hb Sup Revenue Code 272,1127.34,394.57,,,0
CDM,27201070_25578,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_25579,Hb Sup Revenue Code 272,5093.14,1782.6,,,0
CDM,27201070_25581,Hb Sup Revenue Code 272,1467.15,513.5,,,0
CDM,27201070_25583,Hb Sup Revenue Code 272,1061.21,371.42,,,0
CDM,27201070_2576,Hb Sup Revenue Code 272,385.5,134.92,,,0
CDM,27201070_25782,Hb Sup Revenue Code 272,23.39,8.19,,,0
CDM,27201070_25783,Hb Sup Revenue Code 272,65.27,22.84,,,0
CDM,27201070_25785,Hb Sup Revenue Code 272,38.54,13.49,,,0
CDM,27201070_2579,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_2580,Hb Sup Revenue Code 272,149.35,52.27,,,0
CDM,27201070_2581,Hb Sup Revenue Code 272,131.28,45.95,,,0
CDM,27201070_2582,Hb Sup Revenue Code 272,291.14,101.9,,,0
CDM,27201070_2583,Hb Sup Revenue Code 272,627.09,219.48,,,0
CDM,27201070_25836,Hb Sup Revenue Code 272,711.85,249.15,,,0
CDM,27201070_25851,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_25853,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_25854,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_25855,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_2586,Hb Sup Revenue Code 272,874.16,305.96,,,0
CDM,27201070_2588,Hb Sup Revenue Code 272,311.53,109.04,,,0
CDM,27201070_2595,Hb Sup Revenue Code 272,416.35,145.72,,,0
CDM,27201070_2601,Hb Sup Revenue Code 272,1830.91,640.82,,,0
CDM,27201070_26011,Hb Sup Revenue Code 272,3320.21,1162.07,,,0
CDM,27201070_26013,Hb Sup Revenue Code 272,1851.67,648.08,,,0
CDM,27201070_2610,Hb Sup Revenue Code 272,373.43,130.7,,,0
CDM,27201070_2611,Hb Sup Revenue Code 272,373.43,130.7,,,0
CDM,27201070_2612,Hb Sup Revenue Code 272,125.25,43.84,,,0
CDM,27201070_2613,Hb Sup Revenue Code 272,948.99,332.15,,,0
CDM,27201070_26138,Hb Sup Revenue Code 272,3923.79,1373.33,,,0
CDM,27201070_26145,Hb Sup Revenue Code 272,51.9,18.16,,,0
CDM,27201070_2618,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_2619,Hb Sup Revenue Code 272,411.01,143.85,,,0
CDM,27201070_2620,Hb Sup Revenue Code 272,579.87,202.95,,,0
CDM,27201070_2621,Hb Sup Revenue Code 272,64.48,22.57,,,0
CDM,27201070_2622,Hb Sup Revenue Code 272,62.63,21.92,,,0
CDM,27201070_2623,Hb Sup Revenue Code 272,62.9,22.02,,,0
CDM,27201070_2624,Hb Sup Revenue Code 272,64.48,22.57,,,0
CDM,27201070_2626,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_2627,Hb Sup Revenue Code 272,66.8,23.38,,,0
CDM,27201070_2630,Hb Sup Revenue Code 272,66.34,23.22,,,0
CDM,27201070_2632,Hb Sup Revenue Code 272,76.54,26.79,,,0
CDM,27201070_2633,Hb Sup Revenue Code 272,70.97,24.84,,,0
CDM,27201070_2634,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_2636,Hb Sup Revenue Code 272,68.25,23.89,,,0
CDM,27201070_2638,Hb Sup Revenue Code 272,318.16,111.36,,,0
CDM,27201070_2641,Hb Sup Revenue Code 272,167.0,58.45,,,0
CDM,27201070_2646,Hb Sup Revenue Code 272,361.13,126.4,,,0
CDM,27201070_2652,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_2653,Hb Sup Revenue Code 272,139.65,48.88,,,0
CDM,27201070_2657,Hb Sup Revenue Code 272,137.73,48.21,,,0
CDM,27201070_26606,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_26730,Hb Sup Revenue Code 272,69.48,24.32,,,0
CDM,27201070_2677,Hb Sup Revenue Code 272,340.5,119.18,,,0
CDM,27201070_2678,Hb Sup Revenue Code 272,96.95,33.93,,,0
CDM,27201070_2680,Hb Sup Revenue Code 272,127.34,44.57,,,0
CDM,27201070_2681,Hb Sup Revenue Code 272,61.45,21.51,,,0
CDM,27201070_2682,Hb Sup Revenue Code 272,70.91,24.82,,,0
CDM,27201070_2685,Hb Sup Revenue Code 272,110.83,38.79,,,0
CDM,27201070_2690,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_271,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_272,Hb Sup Revenue Code 272,2396.07,838.62,,,0
CDM,27201070_27203,Hb Sup Revenue Code 272,32.63,11.42,,,0
CDM,27201070_274,Hb Sup Revenue Code 272,772.68,270.44,,,0
CDM,27201070_27649,Hb Sup Revenue Code 272,1615.65,565.48,,,0
CDM,27201070_27654,Hb Sup Revenue Code 272,2324.01,813.4,,,0
CDM,27201070_278,Hb Sup Revenue Code 272,168.09,58.83,,,0
CDM,27201070_27874,Hb Sup Revenue Code 272,42.35,14.82,,,0
CDM,27201070_27875,Hb Sup Revenue Code 272,115.54,40.44,,,0
CDM,27201070_28014,Hb Sup Revenue Code 272,1241.54,434.54,,,0
CDM,27201070_28015,Hb Sup Revenue Code 272,389.91,136.47,,,0
CDM,27201070_28037,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_28049,Hb Sup Revenue Code 272,4074.53,1426.09,,,0
CDM,27201070_28391,Hb Sup Revenue Code 272,1530.93,535.83,,,0
CDM,27201070_28406,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_285,Hb Sup Revenue Code 272,1100.19,385.07,,,0
CDM,27201070_28521,Hb Sup Revenue Code 272,1738.18,608.36,,,0
CDM,27201070_28537,Hb Sup Revenue Code 272,564.72,197.65,,,0
CDM,27201070_28546,Hb Sup Revenue Code 272,2595.51,908.43,,,0
CDM,27201070_286,Hb Sup Revenue Code 272,383.35,134.17,,,0
CDM,27201070_288,Hb Sup Revenue Code 272,1042.21,364.77,,,0
CDM,27201070_289,Hb Sup Revenue Code 272,1198.54,419.49,,,0
CDM,27201070_29129,Hb Sup Revenue Code 272,274.86,96.2,,,0
CDM,27201070_292,Hb Sup Revenue Code 272,1265.27,442.84,,,0
CDM,27201070_29264,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_294,Hb Sup Revenue Code 272,753.23,263.63,,,0
CDM,27201070_295,Hb Sup Revenue Code 272,753.23,263.63,,,0
CDM,27201070_2996,Hb Sup Revenue Code 272,335.16,117.31,,,0
CDM,27201070_300,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_30198,Hb Sup Revenue Code 272,2798.59,979.51,,,0
CDM,27201070_30199,Hb Sup Revenue Code 272,2714.44,950.05,,,0
CDM,27201070_302,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_30203,Hb Sup Revenue Code 272,11118.0,3891.3,,,0
CDM,27201070_30204,Hb Sup Revenue Code 272,2544.83,890.69,,,0
CDM,27201070_30206,Hb Sup Revenue Code 272,329.64,115.37,,,0
CDM,27201070_303,Hb Sup Revenue Code 272,2402.09,840.73,,,0
CDM,27201070_30310,Hb Sup Revenue Code 272,185.56,64.95,,,0
CDM,27201070_304,Hb Sup Revenue Code 272,1479.69,517.89,,,0
CDM,27201070_3046,Hb Sup Revenue Code 272,424.17,148.46,,,0
CDM,27201070_305,Hb Sup Revenue Code 272,1179.12,412.69,,,0
CDM,27201070_307,Hb Sup Revenue Code 272,1679.94,587.98,,,0
CDM,27201070_3084,Hb Sup Revenue Code 272,415.65,145.48,,,0
CDM,27201070_3088,Hb Sup Revenue Code 272,990.32,346.61,,,0
CDM,27201070_309,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_3093,Hb Sup Revenue Code 272,432.35,151.32,,,0
CDM,27201070_3096,Hb Sup Revenue Code 272,439.77,153.92,,,0
CDM,27201070_310,Hb Sup Revenue Code 272,497.99,174.3,,,0
CDM,27201070_3103,Hb Sup Revenue Code 272,815.81,285.53,,,0
CDM,27201070_313,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_3130,Hb Sup Revenue Code 272,135.69,47.49,,,0
CDM,27201070_314,Hb Sup Revenue Code 272,870.89,304.81,,,0
CDM,27201070_315,Hb Sup Revenue Code 272,870.88,304.81,,,0
CDM,27201070_316,Hb Sup Revenue Code 272,1078.69,377.54,,,0
CDM,27201070_317,Hb Sup Revenue Code 272,1631.67,571.08,,,0
CDM,27201070_3191,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_3193,Hb Sup Revenue Code 272,477.81,167.23,,,0
CDM,27201070_3195,Hb Sup Revenue Code 272,498.92,174.62,,,0
CDM,27201070_320,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_322,Hb Sup Revenue Code 272,1063.43,372.2,,,0
CDM,27201070_3226,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_324,Hb Sup Revenue Code 272,404.05,141.42,,,0
CDM,27201070_32469,Hb Sup Revenue Code 272,2390.58,836.7,,,0
CDM,27201070_32470,Hb Sup Revenue Code 272,1395.64,488.47,,,0
CDM,27201070_3259,Hb Sup Revenue Code 272,497.97,174.29,,,0
CDM,27201070_3264,Hb Sup Revenue Code 272,1849.73,647.41,,,0
CDM,27201070_32956,Hb Sup Revenue Code 272,2934.27,1026.99,,,0
CDM,27201070_3302,Hb Sup Revenue Code 272,1912.11,669.24,,,0
CDM,27201070_3303,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_33213,Hb Sup Revenue Code 272,1383.06,484.07,,,0
CDM,27201070_33216,Hb Sup Revenue Code 272,477.04,166.96,,,0
CDM,27201070_33217,Hb Sup Revenue Code 272,507.3,177.56,,,0
CDM,27201070_3327,Hb Sup Revenue Code 272,33.4,11.69,,,0
CDM,27201070_3332,Hb Sup Revenue Code 272,927.2,324.52,,,0
CDM,27201070_3367,Hb Sup Revenue Code 272,554.0,193.9,,,0
CDM,27201070_3368,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_337,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_3371,Hb Sup Revenue Code 272,347.92,121.77,,,0
CDM,27201070_3376,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_338,Hb Sup Revenue Code 272,1715.56,600.45,,,0
CDM,27201070_3382,Hb Sup Revenue Code 272,1464.02,512.41,,,0
CDM,27201070_3385,Hb Sup Revenue Code 272,313.56,109.75,,,0
CDM,27201070_3386,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_3389,Hb Sup Revenue Code 272,780.54,273.19,,,0
CDM,27201070_3390,Hb Sup Revenue Code 272,633.88,221.86,,,0
CDM,27201070_3391,Hb Sup Revenue Code 272,142.19,49.77,,,0
CDM,27201070_3400,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_34241,Hb Sup Revenue Code 272,1054.27,368.99,,,0
CDM,27201070_34242,Hb Sup Revenue Code 272,1147.91,401.77,,,0
CDM,27201070_34243,Hb Sup Revenue Code 272,1054.27,368.99,,,0
CDM,27201070_346,Hb Sup Revenue Code 272,301.53,105.54,,,0
CDM,27201070_34907,Hb Sup Revenue Code 272,139.17,48.71,,,0
CDM,27201070_350,Hb Sup Revenue Code 272,304.55,106.59,,,0
CDM,27201070_351,Hb Sup Revenue Code 272,373.43,130.7,,,0
CDM,27201070_352,Hb Sup Revenue Code 272,396.4,138.74,,,0
CDM,27201070_354,Hb Sup Revenue Code 272,662.18,231.76,,,0
CDM,27201070_355,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_35652,Hb Sup Revenue Code 272,2427.87,849.75,,,0
CDM,27201070_35715,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_359,Hb Sup Revenue Code 272,736.02,257.61,,,0
CDM,27201070_37517,Hb Sup Revenue Code 272,432.29,151.3,,,0
CDM,27201070_37518,Hb Sup Revenue Code 272,432.29,151.3,,,0
CDM,27201070_37523,Hb Sup Revenue Code 272,379.24,132.73,,,0
CDM,27201070_379,Hb Sup Revenue Code 272,2850.3,997.6,,,0
CDM,27201070_37928,Hb Sup Revenue Code 272,1735.94,607.58,,,0
CDM,27201070_37929,Hb Sup Revenue Code 272,2239.92,783.97,,,0
CDM,27201070_37930,Hb Sup Revenue Code 272,1735.94,607.58,,,0
CDM,27201070_37931,Hb Sup Revenue Code 272,2206.32,772.21,,,0
CDM,27201070_37932,Hb Sup Revenue Code 272,2271.84,795.14,,,0
CDM,27201070_37933,Hb Sup Revenue Code 272,2827.85,989.75,,,0
CDM,27201070_37934,Hb Sup Revenue Code 272,1981.66,693.58,,,0
CDM,27201070_37956,Hb Sup Revenue Code 272,2249.44,787.3,,,0
CDM,27201070_380,Hb Sup Revenue Code 272,179.76,62.92,,,0
CDM,27201070_382,Hb Sup Revenue Code 272,753.23,263.63,,,0
CDM,27201070_383,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_384,Hb Sup Revenue Code 272,753.23,263.63,,,0
CDM,27201070_385,Hb Sup Revenue Code 272,753.24,263.63,,,0
CDM,27201070_386,Hb Sup Revenue Code 272,753.24,263.63,,,0
CDM,27201070_387,Hb Sup Revenue Code 272,189.3,66.26,,,0
CDM,27201070_390,Hb Sup Revenue Code 272,321.87,112.65,,,0
CDM,27201070_392,Hb Sup Revenue Code 272,1895.31,663.36,,,0
CDM,27201070_394,Hb Sup Revenue Code 272,710.86,248.8,,,0
CDM,27201070_395,Hb Sup Revenue Code 272,3001.53,1050.54,,,0
CDM,27201070_396,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_397,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_410,Hb Sup Revenue Code 272,1158.17,405.36,,,0
CDM,27201070_418,Hb Sup Revenue Code 272,179.21,62.72,,,0
CDM,27201070_42391,Hb Sup Revenue Code 272,192.13,67.25,,,0
CDM,27201070_432,Hb Sup Revenue Code 272,758.2,265.37,,,0
CDM,27201070_435,Hb Sup Revenue Code 272,250.5,87.68,,,0
CDM,27201070_439,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_4459,Hb Sup Revenue Code 272,512.6,179.41,,,0
CDM,27201070_446,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_4515,Hb Sup Revenue Code 272,1248.48,436.97,,,0
CDM,27201070_4517,Hb Sup Revenue Code 272,301.27,105.44,,,0
CDM,27201070_4518,Hb Sup Revenue Code 272,248.88,87.11,,,0
CDM,27201070_452,Hb Sup Revenue Code 272,1590.34,556.62,,,0
CDM,27201070_4526,Hb Sup Revenue Code 272,612.52,214.38,,,0
CDM,27201070_453,Hb Sup Revenue Code 272,373.43,130.7,,,0
CDM,27201070_454,Hb Sup Revenue Code 272,373.43,130.7,,,0
CDM,27201070_456,Hb Sup Revenue Code 272,1210.61,423.71,,,0
CDM,27201070_457,Hb Sup Revenue Code 272,1168.66,409.03,,,0
CDM,27201070_458,Hb Sup Revenue Code 272,1164.0,407.4,,,0
CDM,27201070_4580,Hb Sup Revenue Code 272,829.55,290.34,,,0
CDM,27201070_459,Hb Sup Revenue Code 272,162.36,56.83,,,0
CDM,27201070_460,Hb Sup Revenue Code 272,537.19,188.02,,,0
CDM,27201070_464,Hb Sup Revenue Code 272,209.91,73.47,,,0
CDM,27201070_4769,Hb Sup Revenue Code 272,3236.46,1132.76,,,0
CDM,27201070_47782,Hb Sup Revenue Code 272,2542.08,889.73,,,0
CDM,27201070_47913,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_47973,Hb Sup Revenue Code 272,744.96,260.74,,,0
CDM,27201070_48044,Hb Sup Revenue Code 272,2463.75,862.31,,,0
CDM,27201070_48057,Hb Sup Revenue Code 272,3704.9,1296.72,,,0
CDM,27201070_48065,Hb Sup Revenue Code 272,978.94,342.63,,,0
CDM,27201070_4913,Hb Sup Revenue Code 272,3236.46,1132.76,,,0
CDM,27201070_492,Hb Sup Revenue Code 272,366.02,128.11,,,0
CDM,27201070_497,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_49981,Hb Sup Revenue Code 272,3534.47,1237.06,,,0
CDM,27201070_49998,Hb Sup Revenue Code 272,176.57,61.8,,,0
CDM,27201070_49999,Hb Sup Revenue Code 272,174.27,60.99,,,0
CDM,27201070_50000,Hb Sup Revenue Code 272,231.26,80.94,,,0
CDM,27201070_511,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_51701,Hb Sup Revenue Code 272,2410.16,843.56,,,0
CDM,27201070_51733,Hb Sup Revenue Code 272,1622.82,567.99,,,0
CDM,27201070_519,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_51915,Hb Sup Revenue Code 272,235.46,82.41,,,0
CDM,27201070_52073,Hb Sup Revenue Code 272,3889.37,1361.28,,,0
CDM,27201070_52463,Hb Sup Revenue Code 272,2592.6,907.41,,,0
CDM,27201070_52484,Hb Sup Revenue Code 272,359.52,125.83,,,0
CDM,27201070_52731,Hb Sup Revenue Code 272,709.2,248.22,,,0
CDM,27201070_529,Hb Sup Revenue Code 272,655.56,229.45,,,0
CDM,27201070_53148,Hb Sup Revenue Code 272,278.34,97.42,,,0
CDM,27201070_53297,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_53302,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_53303,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_53308,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_53309,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_53310,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_53311,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_53312,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_53313,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_53314,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_53324,Hb Sup Revenue Code 272,252.12,88.24,,,0
CDM,27201070_5357,Hb Sup Revenue Code 272,3006.5,1052.28,,,0
CDM,27201070_53700,Hb Sup Revenue Code 272,2769.1,969.18,,,0
CDM,27201070_53705,Hb Sup Revenue Code 272,3411.08,1193.88,,,0
CDM,27201070_53751,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_53752,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_53753,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_53754,Hb Sup Revenue Code 272,3582.56,1253.9,,,0
CDM,27201070_541,Hb Sup Revenue Code 272,6466.23,2263.18,,,0
CDM,27201070_54207,Hb Sup Revenue Code 272,467.14,163.5,,,0
CDM,27201070_54285,Hb Sup Revenue Code 272,2335.12,817.29,,,0
CDM,27201070_54913,Hb Sup Revenue Code 272,861.85,301.65,,,0
CDM,27201070_54914,Hb Sup Revenue Code 272,856.18,299.66,,,0
CDM,27201070_55009,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_55010,Hb Sup Revenue Code 272,3062.38,1071.83,,,0
CDM,27201070_55011,Hb Sup Revenue Code 272,3062.38,1071.83,,,0
CDM,27201070_55109,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_5511,Hb Sup Revenue Code 272,412.17,144.26,,,0
CDM,27201070_5512,Hb Sup Revenue Code 272,412.17,144.26,,,0
CDM,27201070_55204,Hb Sup Revenue Code 272,263.96,92.39,,,0
CDM,27201070_55686,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_5580,Hb Sup Revenue Code 272,6665.3,2332.86,,,0
CDM,27201070_56440,Hb Sup Revenue Code 272,215.71,75.5,,,0
CDM,27201070_56442,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_56443,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_56507,Hb Sup Revenue Code 272,948.99,332.15,,,0
CDM,27201070_56510,Hb Sup Revenue Code 272,429.1,150.18,,,0
CDM,27201070_56575,Hb Sup Revenue Code 272,379.7,132.9,,,0
CDM,27201070_56721,Hb Sup Revenue Code 272,347.92,121.77,,,0
CDM,27201070_56938,Hb Sup Revenue Code 272,162.14,56.75,,,0
CDM,27201070_57000,Hb Sup Revenue Code 272,3492.67,1222.43,,,0
CDM,27201070_57010,Hb Sup Revenue Code 272,300.37,105.13,,,0
CDM,27201070_57128,Hb Sup Revenue Code 272,832.32,291.31,,,0
CDM,27201070_57132,Hb Sup Revenue Code 272,1223.51,428.23,,,0
CDM,27201070_5771,Hb Sup Revenue Code 272,293.41,102.69,,,0
CDM,27201070_58417,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_58468,Hb Sup Revenue Code 272,2150.21,752.57,,,0
CDM,27201070_58469,Hb Sup Revenue Code 272,420.81,147.28,,,0
CDM,27201070_58769,Hb Sup Revenue Code 272,192.13,67.25,,,0
CDM,27201070_60168,Hb Sup Revenue Code 272,396.63,138.82,,,0
CDM,27201070_60192,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_60193,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_60204,Hb Sup Revenue Code 272,3389.77,1186.42,,,0
CDM,27201070_60297,Hb Sup Revenue Code 272,444.43,155.55,,,0
CDM,27201070_60308,Hb Sup Revenue Code 272,2486.35,870.22,,,0
CDM,27201070_60344,Hb Sup Revenue Code 272,692.22,242.28,,,0
CDM,27201070_60419,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_60435,Hb Sup Revenue Code 272,2099.93,734.98,,,0
CDM,27201070_60439,Hb Sup Revenue Code 272,292.77,102.47,,,0
CDM,27201070_60482,Hb Sup Revenue Code 272,1591.31,556.96,,,0
CDM,27201070_60496,Hb Sup Revenue Code 272,644.64,225.62,,,0
CDM,27201070_60779,Hb Sup Revenue Code 272,298.06,104.32,,,0
CDM,27201070_60780,Hb Sup Revenue Code 272,293.36,102.68,,,0
CDM,27201070_60783,Hb Sup Revenue Code 272,322.41,112.84,,,0
CDM,27201070_60786,Hb Sup Revenue Code 272,556.68,194.84,,,0
CDM,27201070_60792,Hb Sup Revenue Code 272,645.12,225.79,,,0
CDM,27201070_60799,Hb Sup Revenue Code 272,1393.28,487.65,,,0
CDM,27201070_60809,Hb Sup Revenue Code 272,692.22,242.28,,,0
CDM,27201070_60816,Hb Sup Revenue Code 272,671.96,235.19,,,0
CDM,27201070_60994,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_60995,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_621,Hb Sup Revenue Code 272,351.17,122.91,,,0
CDM,27201070_622,Hb Sup Revenue Code 272,351.4,122.99,,,0
CDM,27201070_623,Hb Sup Revenue Code 272,353.52,123.73,,,0
CDM,27201070_62449,Hb Sup Revenue Code 272,608.57,213.0,,,0
CDM,27201070_62450,Hb Sup Revenue Code 272,1373.33,480.67,,,0
CDM,27201070_625,Hb Sup Revenue Code 272,290.63,101.72,,,0
CDM,27201070_631,Hb Sup Revenue Code 272,183.24,64.13,,,0
CDM,27201070_632,Hb Sup Revenue Code 272,163.99,57.4,,,0
CDM,27201070_635,Hb Sup Revenue Code 272,680.73,238.26,,,0
CDM,27201070_637,Hb Sup Revenue Code 272,424.23,148.48,,,0
CDM,27201070_63755,Hb Sup Revenue Code 272,329.37,115.28,,,0
CDM,27201070_63773,Hb Sup Revenue Code 272,505.41,176.89,,,0
CDM,27201070_638,Hb Sup Revenue Code 272,276.2,96.67,,,0
CDM,27201070_64128,Hb Sup Revenue Code 272,254.29,89.0,,,0
CDM,27201070_64158,Hb Sup Revenue Code 272,1953.91,683.87,,,0
CDM,27201070_642,Hb Sup Revenue Code 272,385.5,134.92,,,0
CDM,27201070_64284,Hb Sup Revenue Code 272,1212.02,424.21,,,0
CDM,27201070_64296,Hb Sup Revenue Code 272,618.49,216.47,,,0
CDM,27201070_64457,Hb Sup Revenue Code 272,1045.95,366.08,,,0
CDM,27201070_64508,Hb Sup Revenue Code 272,1386.33,485.22,,,0
CDM,27201070_650,Hb Sup Revenue Code 272,205.74,72.01,,,0
CDM,27201070_65086,Hb Sup Revenue Code 272,365.3,127.86,,,0
CDM,27201070_65093,Hb Sup Revenue Code 272,52.65,18.43,,,0
CDM,27201070_65094,Hb Sup Revenue Code 272,206.26,72.19,,,0
CDM,27201070_65101,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_65109,Hb Sup Revenue Code 272,343.28,120.15,,,0
CDM,27201070_65111,Hb Sup Revenue Code 272,54.74,19.16,,,0
CDM,27201070_65112,Hb Sup Revenue Code 272,407.07,142.47,,,0
CDM,27201070_65116,Hb Sup Revenue Code 272,82.11,28.74,,,0
CDM,27201070_65118,Hb Sup Revenue Code 272,70.98,24.84,,,0
CDM,27201070_65120,Hb Sup Revenue Code 272,83.4,29.19,,,0
CDM,27201070_65129,Hb Sup Revenue Code 272,80.25,28.09,,,0
CDM,27201070_65132,Hb Sup Revenue Code 272,86.05,30.12,,,0
CDM,27201070_65133,Hb Sup Revenue Code 272,87.91,30.77,,,0
CDM,27201070_65138,Hb Sup Revenue Code 272,69.12,24.19,,,0
CDM,27201070_65139,Hb Sup Revenue Code 272,71.67,25.08,,,0
CDM,27201070_65140,Hb Sup Revenue Code 272,316.28,110.7,,,0
CDM,27201070_65143,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_65144,Hb Sup Revenue Code 272,128.73,45.06,,,0
CDM,27201070_65145,Hb Sup Revenue Code 272,166.26,58.19,,,0
CDM,27201070_65146,Hb Sup Revenue Code 272,316.81,110.88,,,0
CDM,27201070_65150,Hb Sup Revenue Code 272,424.32,148.51,,,0
CDM,27201070_65166,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_65167,Hb Sup Revenue Code 272,1390.32,486.61,,,0
CDM,27201070_65175,Hb Sup Revenue Code 272,89.65,31.38,,,0
CDM,27201070_65177,Hb Sup Revenue Code 272,126.26,44.19,,,0
CDM,27201070_65180,Hb Sup Revenue Code 272,309.46,108.31,,,0
CDM,27201070_65181,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_65182,Hb Sup Revenue Code 272,865.48,302.92,,,0
CDM,27201070_65187,Hb Sup Revenue Code 272,304.54,106.59,,,0
CDM,27201070_65190,Hb Sup Revenue Code 272,94.26,32.99,,,0
CDM,27201070_65209,Hb Sup Revenue Code 272,398.95,139.63,,,0
CDM,27201070_65214,Hb Sup Revenue Code 272,550.95,192.83,,,0
CDM,27201070_65228,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_65229,Hb Sup Revenue Code 272,388.52,135.98,,,0
CDM,27201070_65232,Hb Sup Revenue Code 272,555.75,194.51,,,0
CDM,27201070_65235,Hb Sup Revenue Code 272,55.66,19.48,,,0
CDM,27201070_65237,Hb Sup Revenue Code 272,877.26,307.04,,,0
CDM,27201070_65245,Hb Sup Revenue Code 272,142.02,49.71,,,0
CDM,27201070_65248,Hb Sup Revenue Code 272,602.92,211.02,,,0
CDM,27201070_65313,Hb Sup Revenue Code 272,2590.39,906.64,,,0
CDM,27201070_65314,Hb Sup Revenue Code 272,2616.9,915.92,,,0
CDM,27201070_65327,Hb Sup Revenue Code 272,1520.35,532.12,,,0
CDM,27201070_654,Hb Sup Revenue Code 272,191.36,66.98,,,0
CDM,27201070_65416,Hb Sup Revenue Code 272,1520.35,532.12,,,0
CDM,27201070_65447,Hb Sup Revenue Code 272,1520.35,532.12,,,0
CDM,27201070_655,Hb Sup Revenue Code 272,142.41,49.84,,,0
CDM,27201070_65539,Hb Sup Revenue Code 272,76.31,26.71,,,0
CDM,27201070_65653,Hb Sup Revenue Code 272,1019.59,356.86,,,0
CDM,27201070_65710,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_65717,Hb Sup Revenue Code 272,182.77,63.97,,,0
CDM,27201070_65781,Hb Sup Revenue Code 272,576.38,201.73,,,0
CDM,27201070_65818,Hb Sup Revenue Code 272,362.53,126.89,,,0
CDM,27201070_65996,Hb Sup Revenue Code 272,1334.21,466.97,,,0
CDM,27201070_66036,Hb Sup Revenue Code 272,1212.41,424.34,,,0
CDM,27201070_66062,Hb Sup Revenue Code 272,595.97,208.59,,,0
CDM,27201070_6613,Hb Sup Revenue Code 272,556.68,194.84,,,0
CDM,27201070_66162,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_66164,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_66168,Hb Sup Revenue Code 272,1520.35,532.12,,,0
CDM,27201070_66169,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_66174,Hb Sup Revenue Code 272,1334.21,466.97,,,0
CDM,27201070_66348,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_66349,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_66350,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_66365,Hb Sup Revenue Code 272,1966.65,688.33,,,0
CDM,27201070_66367,Hb Sup Revenue Code 272,1966.65,688.33,,,0
CDM,27201070_66368,Hb Sup Revenue Code 272,1966.65,688.33,,,0
CDM,27201070_664,Hb Sup Revenue Code 272,235.9,82.56,,,0
CDM,27201070_66401,Hb Sup Revenue Code 272,235.9,82.56,,,0
CDM,27201070_66411,Hb Sup Revenue Code 272,588.55,205.99,,,0
CDM,27201070_66412,Hb Sup Revenue Code 272,304.55,106.59,,,0
CDM,27201070_66415,Hb Sup Revenue Code 272,273.23,95.63,,,0
CDM,27201070_66543,Hb Sup Revenue Code 272,534.0,186.9,,,0
CDM,27201070_66544,Hb Sup Revenue Code 272,522.7,182.94,,,0
CDM,27201070_666,Hb Sup Revenue Code 272,264.65,92.63,,,0
CDM,27201070_66696,Hb Sup Revenue Code 272,448.82,157.09,,,0
CDM,27201070_66698,Hb Sup Revenue Code 272,485.93,170.08,,,0
CDM,27201070_667,Hb Sup Revenue Code 272,170.25,59.59,,,0
CDM,27201070_66922,Hb Sup Revenue Code 272,586.43,205.25,,,0
CDM,27201070_66963,Hb Sup Revenue Code 272,677.41,237.09,,,0
CDM,27201070_66974,Hb Sup Revenue Code 272,463.04,162.06,,,0
CDM,27201070_67013,Hb Sup Revenue Code 272,498.69,174.54,,,0
CDM,27201070_67021,Hb Sup Revenue Code 272,151.46,53.01,,,0
CDM,27201070_67022,Hb Sup Revenue Code 272,353.02,123.56,,,0
CDM,27201070_67024,Hb Sup Revenue Code 272,307.8,107.73,,,0
CDM,27201070_67025,Hb Sup Revenue Code 272,2013.02,704.56,,,0
CDM,27201070_67100,Hb Sup Revenue Code 272,1521.46,532.51,,,0
CDM,27201070_67102,Hb Sup Revenue Code 272,778.07,272.32,,,0
CDM,27201070_67113,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_67117,Hb Sup Revenue Code 272,488.25,170.89,,,0
CDM,27201070_67146,Hb Sup Revenue Code 272,880.38,308.13,,,0
CDM,27201070_67147,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_67165,Hb Sup Revenue Code 272,2654.96,929.24,,,0
CDM,27201070_67170,Hb Sup Revenue Code 272,181.15,63.4,,,0
CDM,27201070_67172,Hb Sup Revenue Code 272,5610.0,1963.5,,,0
CDM,27201070_67230,Hb Sup Revenue Code 272,1151.38,402.98,,,0
CDM,27201070_67231,Hb Sup Revenue Code 272,1188.37,415.93,,,0
CDM,27201070_67232,Hb Sup Revenue Code 272,1179.12,412.69,,,0
CDM,27201070_67233,Hb Sup Revenue Code 272,1151.38,402.98,,,0
CDM,27201070_67234,Hb Sup Revenue Code 272,1200.92,420.32,,,0
CDM,27201070_67235,Hb Sup Revenue Code 272,1082.02,378.71,,,0
CDM,27201070_67236,Hb Sup Revenue Code 272,1197.62,419.17,,,0
CDM,27201070_67272,Hb Sup Revenue Code 272,240.16,84.06,,,0
CDM,27201070_67372,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_67387,Hb Sup Revenue Code 272,877.26,307.04,,,0
CDM,27201070_67388,Hb Sup Revenue Code 272,877.26,307.04,,,0
CDM,27201070_67428,Hb Sup Revenue Code 272,157.03,54.96,,,0
CDM,27201070_67453,Hb Sup Revenue Code 272,143.81,50.33,,,0
CDM,27201070_67568,Hb Sup Revenue Code 272,2228.72,780.05,,,0
CDM,27201070_68063,Hb Sup Revenue Code 272,13142.59,4599.91,,,0
CDM,27201070_68251,Hb Sup Revenue Code 272,947.46,331.61,,,0
CDM,27201070_68262,Hb Sup Revenue Code 272,522.81,182.98,,,0
CDM,27201070_68323,Hb Sup Revenue Code 272,153.41,53.69,,,0
CDM,27201070_68469,Hb Sup Revenue Code 272,2463.91,862.37,,,0
CDM,27201070_68470,Hb Sup Revenue Code 272,2766.3,968.2,,,0
CDM,27201070_68471,Hb Sup Revenue Code 272,2777.5,972.12,,,0
CDM,27201070_68472,Hb Sup Revenue Code 272,2463.91,862.37,,,0
CDM,27201070_68473,Hb Sup Revenue Code 272,2262.32,791.81,,,0
CDM,27201070_68474,Hb Sup Revenue Code 272,1685.32,589.86,,,0
CDM,27201070_68475,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_68643,Hb Sup Revenue Code 272,1388.97,486.14,,,0
CDM,27201070_68694,Hb Sup Revenue Code 272,497.53,174.14,,,0
CDM,27201070_68695,Hb Sup Revenue Code 272,464.82,162.69,,,0
CDM,27201070_68707,Hb Sup Revenue Code 272,284.37,99.53,,,0
CDM,27201070_68709,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_68722,Hb Sup Revenue Code 272,1261.66,441.58,,,0
CDM,27201070_68771,Hb Sup Revenue Code 272,2727.21,954.52,,,0
CDM,27201070_68772,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_68773,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_68774,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_68775,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_68777,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_68778,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_68832,Hb Sup Revenue Code 272,436.32,152.71,,,0
CDM,27201070_68840,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_68860,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_68864,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_69072,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_69081,Hb Sup Revenue Code 272,522.99,183.05,,,0
CDM,27201070_69082,Hb Sup Revenue Code 272,827.73,289.71,,,0
CDM,27201070_69152,Hb Sup Revenue Code 272,534.0,186.9,,,0
CDM,27201070_69211,Hb Sup Revenue Code 272,524.9,183.72,,,0
CDM,27201070_69212,Hb Sup Revenue Code 272,380.48,133.17,,,0
CDM,27201070_69442,Hb Sup Revenue Code 272,1388.97,486.14,,,0
CDM,27201070_69449,Hb Sup Revenue Code 272,824.67,288.63,,,0
CDM,27201070_69450,Hb Sup Revenue Code 272,302.23,105.78,,,0
CDM,27201070_69468,Hb Sup Revenue Code 272,294.58,103.1,,,0
CDM,27201070_69472,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_69495,Hb Sup Revenue Code 272,346.16,121.16,,,0
CDM,27201070_69512,Hb Sup Revenue Code 272,413.79,144.83,,,0
CDM,27201070_69518,Hb Sup Revenue Code 272,638.67,223.53,,,0
CDM,27201070_69531,Hb Sup Revenue Code 272,283.91,99.37,,,0
CDM,27201070_69753,Hb Sup Revenue Code 272,1434.0,501.9,,,0
CDM,27201070_69756,Hb Sup Revenue Code 272,356.17,124.66,,,0
CDM,27201070_69757,Hb Sup Revenue Code 272,617.66,216.18,,,0
CDM,27201070_699,Hb Sup Revenue Code 272,575.23,201.33,,,0
CDM,27201070_69929,Hb Sup Revenue Code 272,315.04,110.26,,,0
CDM,27201070_69942,Hb Sup Revenue Code 272,392.0,137.2,,,0
CDM,27201070_716,Hb Sup Revenue Code 272,185.56,64.95,,,0
CDM,27201070_71895,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_71896,Hb Sup Revenue Code 272,1005.58,351.95,,,0
CDM,27201070_72078,Hb Sup Revenue Code 272,854.96,299.24,,,0
CDM,27201070_72092,Hb Sup Revenue Code 272,642.81,224.98,,,0
CDM,27201070_72198,Hb Sup Revenue Code 272,2583.98,904.39,,,0
CDM,27201070_72292,Hb Sup Revenue Code 272,1433.55,501.74,,,0
CDM,27201070_72343,Hb Sup Revenue Code 272,3483.06,1219.07,,,0
CDM,27201070_72360,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_72516,Hb Sup Revenue Code 272,2562.18,896.76,,,0
CDM,27201070_72517,Hb Sup Revenue Code 272,1435.87,502.55,,,0
CDM,27201070_72522,Hb Sup Revenue Code 272,711.8,249.13,,,0
CDM,27201070_72526,Hb Sup Revenue Code 272,906.28,317.2,,,0
CDM,27201070_72528,Hb Sup Revenue Code 272,906.28,317.2,,,0
CDM,27201070_72666,Hb Sup Revenue Code 272,1133.07,396.57,,,0
CDM,27201070_72754,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_72792,Hb Sup Revenue Code 272,194.61,68.11,,,0
CDM,27201070_72826,Hb Sup Revenue Code 272,4227.17,1479.51,,,0
CDM,27201070_72827,Hb Sup Revenue Code 272,3118.2,1091.37,,,0
CDM,27201070_72835,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_72885,Hb Sup Revenue Code 272,2240.2,784.07,,,0
CDM,27201070_72956,Hb Sup Revenue Code 272,1036.79,362.88,,,0
CDM,27201070_73066,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_73086,Hb Sup Revenue Code 272,3291.1,1151.88,,,0
CDM,27201070_73162,Hb Sup Revenue Code 272,169.32,59.26,,,0
CDM,27201070_73193,Hb Sup Revenue Code 272,689.25,241.24,,,0
CDM,27201070_73272,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_73290,Hb Sup Revenue Code 272,2292.45,802.36,,,0
CDM,27201070_73299,Hb Sup Revenue Code 272,1399.95,489.98,,,0
CDM,27201070_73422,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_73467,Hb Sup Revenue Code 272,410.55,143.69,,,0
CDM,27201070_73548,Hb Sup Revenue Code 272,1034.66,362.13,,,0
CDM,27201070_73558,Hb Sup Revenue Code 272,221.26,77.44,,,0
CDM,27201070_73584,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_73997,Hb Sup Revenue Code 272,366.71,128.35,,,0
CDM,27201070_74177,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_74180,Hb Sup Revenue Code 272,863.1,302.08,,,0
CDM,27201070_74181,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_74182,Hb Sup Revenue Code 272,2807.73,982.71,,,0
CDM,27201070_74264,Hb Sup Revenue Code 272,2414.64,845.12,,,0
CDM,27201070_74348,Hb Sup Revenue Code 272,366.48,128.27,,,0
CDM,27201070_74375,Hb Sup Revenue Code 272,2467.83,863.74,,,0
CDM,27201070_74403,Hb Sup Revenue Code 272,1630.72,570.75,,,0
CDM,27201070_74547,Hb Sup Revenue Code 272,2631.91,921.17,,,0
CDM,27201070_746,Hb Sup Revenue Code 272,304.55,106.59,,,0
CDM,27201070_74633,Hb Sup Revenue Code 272,1629.54,570.34,,,0
CDM,27201070_750,Hb Sup Revenue Code 272,268.9,94.12,,,0
CDM,27201070_75074,Hb Sup Revenue Code 272,114.03,39.91,,,0
CDM,27201070_75094,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_751,Hb Sup Revenue Code 272,145.98,51.09,,,0
CDM,27201070_75119,Hb Sup Revenue Code 272,1605.24,561.83,,,0
CDM,27201070_75160,Hb Sup Revenue Code 272,118.29,41.4,,,0
CDM,27201070_75889,Hb Sup Revenue Code 272,579.87,202.95,,,0
CDM,27201070_75895,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_75909,Hb Sup Revenue Code 272,744.96,260.74,,,0
CDM,27201070_75938,Hb Sup Revenue Code 272,1424.26,498.49,,,0
CDM,27201070_76,Hb Sup Revenue Code 272,114.03,39.91,,,0
CDM,27201070_76423,Hb Sup Revenue Code 272,792.07,277.22,,,0
CDM,27201070_765,Hb Sup Revenue Code 272,178.6,62.51,,,0
CDM,27201070_76597,Hb Sup Revenue Code 272,2159.62,755.87,,,0
CDM,27201070_76917,Hb Sup Revenue Code 272,399.65,139.88,,,0
CDM,27201070_771,Hb Sup Revenue Code 272,336.09,117.63,,,0
CDM,27201070_77378,Hb Sup Revenue Code 272,961.88,336.66,,,0
CDM,27201070_77676,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_782,Hb Sup Revenue Code 272,108.09,37.83,,,0
CDM,27201070_78201,Hb Sup Revenue Code 272,359.52,125.83,,,0
CDM,27201070_78211,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_78265,Hb Sup Revenue Code 272,583.12,204.09,,,0
CDM,27201070_78298,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_78379,Hb Sup Revenue Code 272,1230.16,430.56,,,0
CDM,27201070_78383,Hb Sup Revenue Code 272,1325.47,463.91,,,0
CDM,27201070_78409,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_78440,Hb Sup Revenue Code 272,775.59,271.46,,,0
CDM,27201070_78488,Hb Sup Revenue Code 272,761.51,266.53,,,0
CDM,27201070_79056,Hb Sup Revenue Code 272,2779.36,972.78,,,0
CDM,27201070_79057,Hb Sup Revenue Code 272,489.41,171.29,,,0
CDM,27201070_79058,Hb Sup Revenue Code 272,385.88,135.06,,,0
CDM,27201070_79059,Hb Sup Revenue Code 272,374.83,131.19,,,0
CDM,27201070_79060,Hb Sup Revenue Code 272,392.46,137.36,,,0
CDM,27201070_79062,Hb Sup Revenue Code 272,1874.81,656.18,,,0
CDM,27201070_79237,Hb Sup Revenue Code 272,1225.44,428.9,,,0
CDM,27201070_79530,Hb Sup Revenue Code 272,828.24,289.88,,,0
CDM,27201070_79539,Hb Sup Revenue Code 272,2939.17,1028.71,,,0
CDM,27201070_79572,Hb Sup Revenue Code 272,3509.0,1228.15,,,0
CDM,27201070_79758,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_79760,Hb Sup Revenue Code 272,2230.48,780.67,,,0
CDM,27201070_79825,Hb Sup Revenue Code 272,1368.2,478.87,,,0
CDM,27201070_79893,Hb Sup Revenue Code 272,324.73,113.66,,,0
CDM,27201070_79907,Hb Sup Revenue Code 272,3027.71,1059.7,,,0
CDM,27201070_79908,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_79909,Hb Sup Revenue Code 272,3169.09,1109.18,,,0
CDM,27201070_79940,Hb Sup Revenue Code 272,3516.67,1230.83,,,0
CDM,27201070_8007,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_8008,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_8010,Hb Sup Revenue Code 272,2512.26,879.29,,,0
CDM,27201070_8013,Hb Sup Revenue Code 272,2403.1,841.08,,,0
CDM,27201070_80149,Hb Sup Revenue Code 272,195.89,68.56,,,0
CDM,27201070_8015,Hb Sup Revenue Code 272,579.87,202.95,,,0
CDM,27201070_8024,Hb Sup Revenue Code 272,1010.85,353.8,,,0
CDM,27201070_8026,Hb Sup Revenue Code 272,2761.82,966.64,,,0
CDM,27201070_8027,Hb Sup Revenue Code 272,2761.82,966.64,,,0
CDM,27201070_8028,Hb Sup Revenue Code 272,2761.82,966.64,,,0
CDM,27201070_8029,Hb Sup Revenue Code 272,2761.82,966.64,,,0
CDM,27201070_8030,Hb Sup Revenue Code 272,2761.82,966.64,,,0
CDM,27201070_8031,Hb Sup Revenue Code 272,2761.82,966.64,,,0
CDM,27201070_8032,Hb Sup Revenue Code 272,2761.82,966.64,,,0
CDM,27201070_80338,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_80358,Hb Sup Revenue Code 272,6670.8,2334.78,,,0
CDM,27201070_80589,Hb Sup Revenue Code 272,4891.92,1712.17,,,0
CDM,27201070_80590,Hb Sup Revenue Code 272,3474.94,1216.23,,,0
CDM,27201070_80753,Hb Sup Revenue Code 272,507.85,177.75,,,0
CDM,27201070_808,Hb Sup Revenue Code 272,123.86,43.35,,,0
CDM,27201070_80813,Hb Sup Revenue Code 272,907.92,317.77,,,0
CDM,27201070_80817,Hb Sup Revenue Code 272,933.17,326.61,,,0
CDM,27201070_80822,Hb Sup Revenue Code 272,112.5,39.38,,,0
CDM,27201070_81854,Hb Sup Revenue Code 272,580.28,203.1,,,0
CDM,27201070_82131,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_82783,Hb Sup Revenue Code 272,24.36,8.53,,,0
CDM,27201070_82958,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_82961,Hb Sup Revenue Code 272,1623.94,568.38,,,0
CDM,27201070_82963,Hb Sup Revenue Code 272,2640.18,924.06,,,0
CDM,27201070_830,Hb Sup Revenue Code 272,41.33,14.47,,,0
CDM,27201070_832,Hb Sup Revenue Code 272,118.16,41.36,,,0
CDM,27201070_83565,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_83627,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_83628,Hb Sup Revenue Code 272,744.96,260.74,,,0
CDM,27201070_83633,Hb Sup Revenue Code 272,1959.93,685.98,,,0
CDM,27201070_8367,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_8369,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_8372,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_8374,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_8376,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_8377,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_8379,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_8389,Hb Sup Revenue Code 272,557.14,195.0,,,0
CDM,27201070_83903,Hb Sup Revenue Code 272,1142.63,399.92,,,0
CDM,27201070_83905,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_8396,Hb Sup Revenue Code 272,1381.28,483.45,,,0
CDM,27201070_8399,Hb Sup Revenue Code 272,505.52,176.93,,,0
CDM,27201070_840,Hb Sup Revenue Code 272,315.78,110.52,,,0
CDM,27201070_8400,Hb Sup Revenue Code 272,469.92,164.47,,,0
CDM,27201070_8401,Hb Sup Revenue Code 272,557.14,195.0,,,0
CDM,27201070_84060,Hb Sup Revenue Code 272,2239.92,783.97,,,0
CDM,27201070_8407,Hb Sup Revenue Code 272,505.52,176.93,,,0
CDM,27201070_8409,Hb Sup Revenue Code 272,505.52,176.93,,,0
CDM,27201070_8411,Hb Sup Revenue Code 272,469.92,164.47,,,0
CDM,27201070_8413,Hb Sup Revenue Code 272,505.52,176.93,,,0
CDM,27201070_84201,Hb Sup Revenue Code 272,12235.1,4282.28,,,0
CDM,27201070_8427,Hb Sup Revenue Code 272,452.3,158.3,,,0
CDM,27201070_84298,Hb Sup Revenue Code 272,2520.58,882.2,,,0
CDM,27201070_84299,Hb Sup Revenue Code 272,1872.67,655.43,,,0
CDM,27201070_84300,Hb Sup Revenue Code 272,610.59,213.71,,,0
CDM,27201070_84302,Hb Sup Revenue Code 272,1115.68,390.49,,,0
CDM,27201070_84303,Hb Sup Revenue Code 272,1528.59,535.01,,,0
CDM,27201070_84304,Hb Sup Revenue Code 272,2302.75,805.96,,,0
CDM,27201070_84532,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_84660,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_84692,Hb Sup Revenue Code 272,125.48,43.92,,,0
CDM,27201070_847,Hb Sup Revenue Code 272,632.88,221.51,,,0
CDM,27201070_85199,Hb Sup Revenue Code 272,649.27,227.24,,,0
CDM,27201070_85204,Hb Sup Revenue Code 272,615.34,215.37,,,0
CDM,27201070_85359,Hb Sup Revenue Code 272,25401.08,8890.38,,,0
CDM,27201070_85576,Hb Sup Revenue Code 272,122.47,42.86,,,0
CDM,27201070_858,Hb Sup Revenue Code 272,265.63,92.97,,,0
CDM,27201070_8625,Hb Sup Revenue Code 272,505.75,177.01,,,0
CDM,27201070_8626,Hb Sup Revenue Code 272,505.75,177.01,,,0
CDM,27201070_86338,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_86573,Hb Sup Revenue Code 272,1381.68,483.59,,,0
CDM,27201070_86688,Hb Sup Revenue Code 272,744.96,260.74,,,0
CDM,27201070_86691,Hb Sup Revenue Code 272,3134.43,1097.05,,,0
CDM,27201070_86695,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_86727,Hb Sup Revenue Code 272,1791.94,627.18,,,0
CDM,27201070_86729,Hb Sup Revenue Code 272,2295.92,803.57,,,0
CDM,27201070_8682,Hb Sup Revenue Code 272,2454.96,859.24,,,0
CDM,27201070_86821,Hb Sup Revenue Code 272,1355.29,474.35,,,0
CDM,27201070_87248,Hb Sup Revenue Code 272,1214.78,425.17,,,0
CDM,27201070_87249,Hb Sup Revenue Code 272,1213.11,424.59,,,0
CDM,27201070_87269,Hb Sup Revenue Code 272,3790.06,1326.52,,,0
CDM,27201070_87291,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_87292,Hb Sup Revenue Code 272,1071.46,375.01,,,0
CDM,27201070_87293,Hb Sup Revenue Code 272,1070.02,374.51,,,0
CDM,27201070_87296,Hb Sup Revenue Code 272,5160.18,1806.06,,,0
CDM,27201070_87309,Hb Sup Revenue Code 272,330.06,115.52,,,0
CDM,27201070_87310,Hb Sup Revenue Code 272,181.15,63.4,,,0
CDM,27201070_87350,Hb Sup Revenue Code 272,104.38,36.53,,,0
CDM,27201070_87770,Hb Sup Revenue Code 272,3591.2,1256.92,,,0
CDM,27201070_87894,Hb Sup Revenue Code 272,1403.53,491.24,,,0
CDM,27201070_87897,Hb Sup Revenue Code 272,2239.92,783.97,,,0
CDM,27201070_87899,Hb Sup Revenue Code 272,2575.91,901.57,,,0
CDM,27201070_87905,Hb Sup Revenue Code 272,2497.65,874.18,,,0
CDM,27201070_87999,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_88008,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_881,Hb Sup Revenue Code 272,292.4,102.34,,,0
CDM,27201070_882,Hb Sup Revenue Code 272,288.54,100.99,,,0
CDM,27201070_883,Hb Sup Revenue Code 272,465.06,162.77,,,0
CDM,27201070_886,Hb Sup Revenue Code 272,283.47,99.21,,,0
CDM,27201070_888,Hb Sup Revenue Code 272,398.95,139.63,,,0
CDM,27201070_889,Hb Sup Revenue Code 272,332.38,116.33,,,0
CDM,27201070_8894,Hb Sup Revenue Code 272,1856.11,649.64,,,0
CDM,27201070_8902,Hb Sup Revenue Code 272,2291.22,801.93,,,0
CDM,27201070_8904,Hb Sup Revenue Code 272,2454.96,859.24,,,0
CDM,27201070_8905,Hb Sup Revenue Code 272,1841.21,644.42,,,0
CDM,27201070_8911,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_8913,Hb Sup Revenue Code 272,2799.9,979.96,,,0
CDM,27201070_89398,Hb Sup Revenue Code 272,361.23,126.43,,,0
CDM,27201070_8945,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_89482,Hb Sup Revenue Code 272,383.88,134.36,,,0
CDM,27201070_89484,Hb Sup Revenue Code 272,4561.09,1596.38,,,0
CDM,27201070_895,Hb Sup Revenue Code 272,324.73,113.66,,,0
CDM,27201070_896,Hb Sup Revenue Code 272,255.14,89.3,,,0
CDM,27201070_89726,Hb Sup Revenue Code 272,4215.92,1475.57,,,0
CDM,27201070_8976,Hb Sup Revenue Code 272,1665.99,583.1,,,0
CDM,27201070_898,Hb Sup Revenue Code 272,2136.77,747.87,,,0
CDM,27201070_89885,Hb Sup Revenue Code 272,204.41,71.54,,,0
CDM,27201070_903,Hb Sup Revenue Code 272,827.73,289.71,,,0
CDM,27201070_904,Hb Sup Revenue Code 272,662.18,231.76,,,0
CDM,27201070_905,Hb Sup Revenue Code 272,827.73,289.71,,,0
CDM,27201070_906,Hb Sup Revenue Code 272,418.43,146.45,,,0
CDM,27201070_907,Hb Sup Revenue Code 272,550.88,192.81,,,0
CDM,27201070_90704,Hb Sup Revenue Code 272,901.68,315.59,,,0
CDM,27201070_912,Hb Sup Revenue Code 272,1885.23,659.83,,,0
CDM,27201070_916,Hb Sup Revenue Code 272,152.57,53.4,,,0
CDM,27201070_91614,Hb Sup Revenue Code 272,618.0,216.3,,,0
CDM,27201070_91622,Hb Sup Revenue Code 272,1082.02,378.71,,,0
CDM,27201070_918,Hb Sup Revenue Code 272,3709.5,1298.32,,,0
CDM,27201070_91820,Hb Sup Revenue Code 272,522.92,183.02,,,0
CDM,27201070_91889,Hb Sup Revenue Code 272,1072.0,375.2,,,0
CDM,27201070_919,Hb Sup Revenue Code 272,3709.5,1298.32,,,0
CDM,27201070_92062,Hb Sup Revenue Code 272,2575.91,901.57,,,0
CDM,27201070_922,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_92589,Hb Sup Revenue Code 272,948.84,332.09,,,0
CDM,27201070_926,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_929,Hb Sup Revenue Code 272,180.83,63.29,,,0
CDM,27201070_9297,Hb Sup Revenue Code 272,11227.09,3929.48,,,0
CDM,27201070_93111,Hb Sup Revenue Code 272,421.91,147.67,,,0
CDM,27201070_93112,Hb Sup Revenue Code 272,445.8,156.03,,,0
CDM,27201070_932,Hb Sup Revenue Code 272,1714.89,600.21,,,0
CDM,27201070_939,Hb Sup Revenue Code 272,827.73,289.71,,,0
CDM,27201070_93925,Hb Sup Revenue Code 272,750.75,262.76,,,0
CDM,27201070_940,Hb Sup Revenue Code 272,515.16,180.31,,,0
CDM,27201070_941,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_944,Hb Sup Revenue Code 272,792.97,277.54,,,0
CDM,27201070_946,Hb Sup Revenue Code 272,665.83,233.04,,,0
CDM,27201070_94718,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_94724,Hb Sup Revenue Code 272,17438.02,6103.31,,,0
CDM,27201070_94738,Hb Sup Revenue Code 272,522.34,182.82,,,0
CDM,27201070_94744,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_94772,Hb Sup Revenue Code 272,267.67,93.68,,,0
CDM,27201070_94773,Hb Sup Revenue Code 272,5109.83,1788.44,,,0
CDM,27201070_94779,Hb Sup Revenue Code 272,744.43,260.55,,,0
CDM,27201070_94780,Hb Sup Revenue Code 272,1162.2,406.77,,,0
CDM,27201070_94781,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_94782,Hb Sup Revenue Code 272,288.55,100.99,,,0
CDM,27201070_948,Hb Sup Revenue Code 272,1476.44,516.75,,,0
CDM,27201070_950,Hb Sup Revenue Code 272,2022.42,707.85,,,0
CDM,27201070_951,Hb Sup Revenue Code 272,3862.55,1351.89,,,0
CDM,27201070_952,Hb Sup Revenue Code 272,1531.21,535.92,,,0
CDM,27201070_953,Hb Sup Revenue Code 272,1533.22,536.63,,,0
CDM,27201070_95354,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_95355,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_95457,Hb Sup Revenue Code 272,1017.14,356.0,,,0
CDM,27201070_956,Hb Sup Revenue Code 272,1479.69,517.89,,,0
CDM,27201070_957,Hb Sup Revenue Code 272,290.4,101.64,,,0
CDM,27201070_958,Hb Sup Revenue Code 272,290.39,101.64,,,0
CDM,27201070_9580,Hb Sup Revenue Code 272,4096.68,1433.84,,,0
CDM,27201070_9581,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_95864,Hb Sup Revenue Code 272,294.81,103.18,,,0
CDM,27201070_95866,Hb Sup Revenue Code 272,146.69,51.34,,,0
CDM,27201070_95867,Hb Sup Revenue Code 272,132.28,46.3,,,0
CDM,27201070_95869,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_95870,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_95873,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_959,Hb Sup Revenue Code 272,608.05,212.82,,,0
CDM,27201070_95975,Hb Sup Revenue Code 272,4092.52,1432.38,,,0
CDM,27201070_95976,Hb Sup Revenue Code 272,4092.52,1432.38,,,0
CDM,27201070_95982,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_960,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_961,Hb Sup Revenue Code 272,621.79,217.63,,,0
CDM,27201070_962,Hb Sup Revenue Code 272,1116.7,390.84,,,0
CDM,27201070_96249,Hb Sup Revenue Code 272,561.32,196.46,,,0
CDM,27201070_96253,Hb Sup Revenue Code 272,629.4,220.29,,,0
CDM,27201070_963,Hb Sup Revenue Code 272,1387.2,485.52,,,0
CDM,27201070_964,Hb Sup Revenue Code 272,2439.94,853.98,,,0
CDM,27201070_96432,Hb Sup Revenue Code 272,54.65,19.13,,,0
CDM,27201070_96771,Hb Sup Revenue Code 272,743.16,260.11,,,0
CDM,27201070_968,Hb Sup Revenue Code 272,528.84,185.09,,,0
CDM,27201070_96815,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_972,Hb Sup Revenue Code 272,2014.81,705.18,,,0
CDM,27201070_974,Hb Sup Revenue Code 272,465.06,162.77,,,0
CDM,27201070_976,Hb Sup Revenue Code 272,263.25,92.14,,,0
CDM,27201070_97633,Hb Sup Revenue Code 272,4258.5,1490.48,,,0
CDM,27201070_977,Hb Sup Revenue Code 272,294.34,103.02,,,0
CDM,27201070_978,Hb Sup Revenue Code 272,27.6,9.66,,,0
CDM,27201070_979,Hb Sup Revenue Code 272,355.57,124.45,,,0
CDM,27201070_9927,Hb Sup Revenue Code 272,292.25,102.29,,,0
CDM,27201070_9932,Hb Sup Revenue Code 272,301.53,105.54,,,0
CDM,27201070_997,Hb Sup Revenue Code 272,460.18,161.06,,,0
CDM,27201070_998,Hb Sup Revenue Code 272,580.38,203.13,,,0
CDM,27201070_999,Hb Sup Revenue Code 272,106.47,37.26,,,0
CDM,27201070_99932,Hb Sup Revenue Code 272,209.21,73.22,,,0
CDM,27201070_99933,Hb Sup Revenue Code 272,267.43,93.6,,,0
CDM,27201071_25508,Hb Sup Rev 272 Hcpcs A4220,580.38,203.13,,,0
CDM,27201071_28076,Hb Sup Rev 272 Hcpcs A4220,579.87,202.95,,,0
CDM,27201072_81139,Hb Sup Rev 272 Hcpcs A4300,2452.71,858.45,,,0
CDM,27201073_1296,Hb Sup Rev 272 Hcpcs A4340,524.01,183.4,,,0
CDM,27201073_13525,Hb Sup Rev 272 Hcpcs A4340,566.89,198.41,,,0
CDM,27201073_146976,Hb Sup Rev 272 Hcpcs A4340,293.65,102.78,,,0
CDM,27201073_166226,Hb Sup Rev 272 Hcpcs A4340,199.87,69.95,,,0
CDM,27201073_166227,Hb Sup Rev 272 Hcpcs A4340,241.53,84.54,,,0
CDM,27201073_1693,Hb Sup Rev 272 Hcpcs A4340,566.89,198.41,,,0
CDM,27201073_1694,Hb Sup Rev 272 Hcpcs A4340,566.89,198.41,,,0
CDM,27201073_2433,Hb Sup Rev 272 Hcpcs A4340,506.86,177.4,,,0
CDM,27201073_2435,Hb Sup Rev 272 Hcpcs A4340,566.89,198.41,,,0
CDM,27201073_484,Hb Sup Rev 272 Hcpcs A4340,531.57,186.05,,,0
CDM,27201073_485,Hb Sup Rev 272 Hcpcs A4340,549.23,192.23,,,0
CDM,27201073_486,Hb Sup Rev 272 Hcpcs A4340,566.89,198.41,,,0
CDM,27201073_69944,Hb Sup Rev 272 Hcpcs A4340,566.89,198.41,,,0
CDM,27201073_71753,Hb Sup Rev 272 Hcpcs A4340,566.89,198.41,,,0
CDM,27201073_A4340_272,Hb Sup Rev 272 Hcpcs A4340,288.77,101.07,,,0
CDM,27201074_157343,Hb Sup Rev 272 Hcpcs B4087,1704.25,596.49,,,0
CDM,27201074_160611,Hb Sup Rev 272 Hcpcs B4087,1283.16,449.11,,,0
CDM,27201074_65313,Hb Sup Rev 272 Hcpcs B4087,2616.9,915.92,,,0
CDM,27201074_65314,Hb Sup Rev 272 Hcpcs B4087,2616.9,915.92,,,0
CDM,27201074_65423,Hb Sup Rev 272 Hcpcs B4087,1504.8,526.68,,,0
CDM,27201074_66667,Hb Sup Rev 272 Hcpcs B4087,580.38,203.13,,,0
CDM,27201074_78330,Hb Sup Rev 272 Hcpcs B4087,580.38,203.13,,,0
CDM,27201074_79780,Hb Sup Rev 272 Hcpcs B4087,580.38,203.13,,,0
CDM,27201074_8932,Hb Sup Rev 272 Hcpcs B4087,580.38,203.13,,,0
CDM,27201076_10132,Hb Sup Rev 272 Hcpcs C1725,4696.24,1643.68,,,0
CDM,27201076_101492,Hb Sup Rev 272 Hcpcs C1725,6412.86,2244.5,,,0
CDM,27201076_101496,Hb Sup Rev 272 Hcpcs C1725,7787.05,2725.47,,,0
CDM,27201076_101505,Hb Sup Rev 272 Hcpcs C1725,6412.86,2244.5,,,0
CDM,27201076_11291,Hb Sup Rev 272 Hcpcs C1725,1248.48,436.97,,,0
CDM,27201076_114937,Hb Sup Rev 272 Hcpcs C1725,6626.33,2319.22,,,0
CDM,27201076_114938,Hb Sup Rev 272 Hcpcs C1725,6626.33,2319.22,,,0
CDM,27201076_114941,Hb Sup Rev 272 Hcpcs C1725,6626.33,2319.22,,,0
CDM,27201076_114942,Hb Sup Rev 272 Hcpcs C1725,6626.33,2319.22,,,0
CDM,27201076_114943,Hb Sup Rev 272 Hcpcs C1725,6252.76,2188.47,,,0
CDM,27201076_114945,Hb Sup Rev 272 Hcpcs C1725,6626.33,2319.22,,,0
CDM,27201076_114946,Hb Sup Rev 272 Hcpcs C1725,6626.33,2319.22,,,0
CDM,27201076_114947,Hb Sup Rev 272 Hcpcs C1725,6626.33,2319.22,,,0
CDM,27201076_114948,Hb Sup Rev 272 Hcpcs C1725,7293.41,2552.69,,,0
CDM,27201076_114950,Hb Sup Rev 272 Hcpcs C1725,6626.33,2319.22,,,0
CDM,27201076_114968,Hb Sup Rev 272 Hcpcs C1725,2980.95,1043.33,,,0
CDM,27201076_114972,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_115015,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_119342,Hb Sup Rev 272 Hcpcs C1725,7960.49,2786.17,,,0
CDM,27201076_119343,Hb Sup Rev 272 Hcpcs C1725,7960.49,2786.17,,,0
CDM,27201076_119753,Hb Sup Rev 272 Hcpcs C1725,1387.2,485.52,,,0
CDM,27201076_11987,Hb Sup Rev 272 Hcpcs C1725,3950.11,1382.54,,,0
CDM,27201076_127026,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127027,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127028,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127029,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127030,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127031,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127032,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127033,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127034,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127035,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127036,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127037,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127038,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127039,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127041,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127042,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127048,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127049,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127050,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127051,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127052,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127053,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127054,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127055,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127056,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127057,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127063,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127064,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127065,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127066,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127067,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127074,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_127076,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_127077,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_127080,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_127083,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127084,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127085,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127086,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127088,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127091,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127093,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127096,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127097,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127098,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127099,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127100,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127101,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127103,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127104,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127105,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127107,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_127108,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_12773,Hb Sup Rev 272 Hcpcs C1725,2687.9,940.76,,,0
CDM,27201076_128491,Hb Sup Rev 272 Hcpcs C1725,18300.23,6405.08,,,0
CDM,27201076_151667,Hb Sup Rev 272 Hcpcs C1725,4258.5,1490.48,,,0
CDM,27201076_161097,Hb Sup Rev 272 Hcpcs C1725,4305.04,1506.76,,,0
CDM,27201076_16397,Hb Sup Rev 272 Hcpcs C1725,2277.09,796.98,,,0
CDM,27201076_16399,Hb Sup Rev 272 Hcpcs C1725,2273.52,795.73,,,0
CDM,27201076_16401,Hb Sup Rev 272 Hcpcs C1725,2054.5,719.08,,,0
CDM,27201076_16402,Hb Sup Rev 272 Hcpcs C1725,2047.82,716.74,,,0
CDM,27201076_16405,Hb Sup Rev 272 Hcpcs C1725,2056.71,719.85,,,0
CDM,27201076_173471,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_173532,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_173533,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_173540,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_173541,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_173542,Hb Sup Rev 272 Hcpcs C1725,1304.8,456.68,,,0
CDM,27201076_173555,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_173557,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_173576,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_183503,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_183504,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_183893,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_184340,Hb Sup Rev 272 Hcpcs C1725,12229.8,4280.43,,,0
CDM,27201076_184341,Hb Sup Rev 272 Hcpcs C1725,15342.84,5369.99,,,0
CDM,27201076_184342,Hb Sup Rev 272 Hcpcs C1725,15342.84,5369.99,,,0
CDM,27201076_184343,Hb Sup Rev 272 Hcpcs C1725,15342.84,5369.99,,,0
CDM,27201076_184344,Hb Sup Rev 272 Hcpcs C1725,15342.84,5369.99,,,0
CDM,27201076_184347,Hb Sup Rev 272 Hcpcs C1725,15342.84,5369.99,,,0
CDM,27201076_184348,Hb Sup Rev 272 Hcpcs C1725,15342.84,5369.99,,,0
CDM,27201076_198904,Hb Sup Rev 272 Hcpcs C1725,3210.4,1123.64,,,0
CDM,27201076_198907,Hb Sup Rev 272 Hcpcs C1725,3210.4,1123.64,,,0
CDM,27201076_198908,Hb Sup Rev 272 Hcpcs C1725,3210.4,1123.64,,,0
CDM,27201076_198909,Hb Sup Rev 272 Hcpcs C1725,3210.4,1123.64,,,0
CDM,27201076_198910,Hb Sup Rev 272 Hcpcs C1725,3210.4,1123.64,,,0
CDM,27201076_199146,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199147,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199148,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199149,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199150,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199152,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199153,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199154,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199155,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199156,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199157,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199158,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199159,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_199160,Hb Sup Rev 272 Hcpcs C1725,1990.84,696.79,,,0
CDM,27201076_4299,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4590,Hb Sup Rev 272 Hcpcs C1725,2191.76,767.12,,,0
CDM,27201076_4591,Hb Sup Rev 272 Hcpcs C1725,2253.29,788.65,,,0
CDM,27201076_4595,Hb Sup Rev 272 Hcpcs C1725,2687.9,940.76,,,0
CDM,27201076_4668,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4670,Hb Sup Rev 272 Hcpcs C1725,2800.61,980.21,,,0
CDM,27201076_4672,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4674,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4676,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4774,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4782,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4784,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4786,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4794,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4807,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4817,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4818,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4821,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4846,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_4930,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_5646,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_56908,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_56912,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_6236,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_6243,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_73767,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73793,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73794,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73798,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73799,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73808,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73816,Hb Sup Rev 272 Hcpcs C1725,2071.93,725.18,,,0
CDM,27201076_73818,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73824,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73825,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73837,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73839,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73843,Hb Sup Rev 272 Hcpcs C1725,2071.93,725.18,,,0
CDM,27201076_73846,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73852,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73860,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73861,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73865,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73866,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73870,Hb Sup Rev 272 Hcpcs C1725,2071.93,725.18,,,0
CDM,27201076_73872,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73878,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73888,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73896,Hb Sup Rev 272 Hcpcs C1725,2071.93,725.18,,,0
CDM,27201076_73898,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73905,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73907,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73910,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73924,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73925,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73930,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73937,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73939,Hb Sup Rev 272 Hcpcs C1725,1917.93,671.28,,,0
CDM,27201076_73945,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73946,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73949,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73951,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73954,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_73960,Hb Sup Rev 272 Hcpcs C1725,1791.94,627.18,,,0
CDM,27201076_8348,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_8350,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_8352,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_8366,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_8371,Hb Sup Rev 272 Hcpcs C1725,2799.9,979.96,,,0
CDM,27201076_84532,Hb Sup Rev 272 Hcpcs C1725,4258.5,1490.48,,,0
CDM,27201076_93225,Hb Sup Rev 272 Hcpcs C1725,1248.48,436.97,,,0
CDM,27201076_93229,Hb Sup Rev 272 Hcpcs C1725,1248.48,436.97,,,0
CDM,27201077_120025,Hb Sup Rev 272 Hcpcs C1726,2122.51,742.88,,,0
CDM,27201077_120026,Hb Sup Rev 272 Hcpcs C1726,2116.63,740.82,,,0
CDM,27201077_139543,Hb Sup Rev 272 Hcpcs C1726,6806.22,2382.18,,,0
CDM,27201077_139697,Hb Sup Rev 272 Hcpcs C1726,4258.5,1490.48,,,0
CDM,27201077_139698,Hb Sup Rev 272 Hcpcs C1726,3743.64,1310.27,,,0
CDM,27201077_139699,Hb Sup Rev 272 Hcpcs C1726,2974.14,1040.95,,,0
CDM,27201077_144293,Hb Sup Rev 272 Hcpcs C1726,2624.47,918.56,,,0
CDM,27201077_144361,Hb Sup Rev 272 Hcpcs C1726,2755.1,964.28,,,0
CDM,27201077_1578,Hb Sup Rev 272 Hcpcs C1726,2799.9,979.96,,,0
CDM,27201077_16330,Hb Sup Rev 272 Hcpcs C1726,2799.9,979.96,,,0
CDM,27201077_176001,Hb Sup Rev 272 Hcpcs C1726,13786.32,4825.21,,,0
CDM,27201077_176002,Hb Sup Rev 272 Hcpcs C1726,12544.81,4390.68,,,0
CDM,27201077_176003,Hb Sup Rev 272 Hcpcs C1726,12668.96,4434.14,,,0
CDM,27201077_176004,Hb Sup Rev 272 Hcpcs C1726,13485.01,4719.75,,,0
CDM,27201077_180325,Hb Sup Rev 272 Hcpcs C1726,2799.9,979.96,,,0
CDM,27201077_180326,Hb Sup Rev 272 Hcpcs C1726,2799.9,979.96,,,0
CDM,27201077_189661,Hb Sup Rev 272 Hcpcs C1726,4258.5,1490.48,,,0
CDM,27201077_189662,Hb Sup Rev 272 Hcpcs C1726,4258.5,1490.48,,,0
CDM,27201077_189663,Hb Sup Rev 272 Hcpcs C1726,4258.5,1490.48,,,0
CDM,27201077_189666,Hb Sup Rev 272 Hcpcs C1726,4258.5,1490.48,,,0
CDM,27201077_208024,Hb Sup Rev 272 Hcpcs C1726,2462.45,861.86,,,0
CDM,27201077_211829,Hb Sup Rev 272 Hcpcs C1726,23.19,8.12,,,0
CDM,27201077_3125,Hb Sup Rev 272 Hcpcs C1726,2604.24,911.48,,,0
CDM,27201077_3126,Hb Sup Rev 272 Hcpcs C1726,2799.9,979.96,,,0
CDM,27201077_8011,Hb Sup Rev 272 Hcpcs C1726,1998.23,699.38,,,0
CDM,27201077_8900,Hb Sup Rev 272 Hcpcs C1726,2587.63,905.67,,,0
CDM,27201077_8901,Hb Sup Rev 272 Hcpcs C1726,2454.96,859.24,,,0
CDM,27201077_C1726_272,Hb Sup Rev 272 Hcpcs C1726,2130.11,745.54,,,0
CDM,27201078_1004,Hb Sup Rev 272 Hcpcs C1729,2425.1,848.78,,,0
CDM,27201078_17088,Hb Sup Rev 272 Hcpcs C1729,1037.63,363.17,,,0
CDM,27201078_17089,Hb Sup Rev 272 Hcpcs C1729,1045.16,365.81,,,0
CDM,27201078_17115,Hb Sup Rev 272 Hcpcs C1729,667.7,233.7,,,0
CDM,27201078_17116,Hb Sup Rev 272 Hcpcs C1729,634.75,222.16,,,0
CDM,27201078_17136,Hb Sup Rev 272 Hcpcs C1729,1037.63,363.17,,,0
CDM,27201078_17137,Hb Sup Rev 272 Hcpcs C1729,1037.63,363.17,,,0
CDM,27201078_17187,Hb Sup Rev 272 Hcpcs C1729,1052.88,368.51,,,0
CDM,27201078_174939,Hb Sup Rev 272 Hcpcs C1729,540.67,189.23,,,0
CDM,27201078_174941,Hb Sup Rev 272 Hcpcs C1729,526.99,184.45,,,0
CDM,27201078_174942,Hb Sup Rev 272 Hcpcs C1729,580.38,203.13,,,0
CDM,27201078_174943,Hb Sup Rev 272 Hcpcs C1729,527.22,184.53,,,0
CDM,27201078_174944,Hb Sup Rev 272 Hcpcs C1729,580.38,203.13,,,0
CDM,27201078_174945,Hb Sup Rev 272 Hcpcs C1729,580.38,203.13,,,0
CDM,27201078_180318,Hb Sup Rev 272 Hcpcs C1729,977.7,342.2,,,0
CDM,27201078_180320,Hb Sup Rev 272 Hcpcs C1729,580.38,203.13,,,0
CDM,27201078_18454,Hb Sup Rev 272 Hcpcs C1729,996.01,348.6,,,0
CDM,27201078_18499,Hb Sup Rev 272 Hcpcs C1729,996.01,348.6,,,0
CDM,27201078_200107,Hb Sup Rev 272 Hcpcs C1729,136.85,47.9,,,0
CDM,27201078_200112,Hb Sup Rev 272 Hcpcs C1729,187.88,65.76,,,0
CDM,27201078_207603,Hb Sup Rev 272 Hcpcs C1729,7.65,2.68,,,0
CDM,27201078_212692,Hb Sup Rev 272 Hcpcs C1729,187.88,65.76,,,0
CDM,27201078_398,Hb Sup Rev 272 Hcpcs C1729,125.26,43.84,,,0
CDM,27201078_399,Hb Sup Rev 272 Hcpcs C1729,125.25,43.84,,,0
CDM,27201078_67797,Hb Sup Rev 272 Hcpcs C1729,1925.67,673.98,,,0
CDM,27201078_72086,Hb Sup Rev 272 Hcpcs C1729,2502.44,875.85,,,0
CDM,27201078_72615,Hb Sup Rev 272 Hcpcs C1729,597.79,209.23,,,0
CDM,27201078_72826,Hb Sup Rev 272 Hcpcs C1729,4258.5,1490.48,,,0
CDM,27201078_73090,Hb Sup Rev 272 Hcpcs C1729,1401.82,490.64,,,0
CDM,27201078_73271,Hb Sup Rev 272 Hcpcs C1729,1708.72,598.05,,,0
CDM,27201079_297,Hb Sup Rev 272 Hcpcs C1750,974.76,341.17,,,0
CDM,27201079_334,Hb Sup Rev 272 Hcpcs C1750,302.2,105.77,,,0
CDM,27201080_1020,Hb Sup Rev 272 Hcpcs C1751,1095.89,383.56,,,0
CDM,27201080_1022,Hb Sup Rev 272 Hcpcs C1751,1444.75,505.66,,,0
CDM,27201080_104848,Hb Sup Rev 272 Hcpcs C1751,2011.26,703.94,,,0
CDM,27201080_121519,Hb Sup Rev 272 Hcpcs C1751,1387.2,485.52,,,0
CDM,27201080_1308,Hb Sup Rev 272 Hcpcs C1751,1387.2,485.52,,,0
CDM,27201080_150060,Hb Sup Rev 272 Hcpcs C1751,2036.08,712.63,,,0
CDM,27201080_156599,Hb Sup Rev 272 Hcpcs C1751,1394.44,488.05,,,0
CDM,27201080_17062,Hb Sup Rev 272 Hcpcs C1751,1669.86,584.45,,,0
CDM,27201080_17083,Hb Sup Rev 272 Hcpcs C1751,1669.86,584.45,,,0
CDM,27201080_17102,Hb Sup Rev 272 Hcpcs C1751,1669.86,584.45,,,0
CDM,27201080_17107,Hb Sup Rev 272 Hcpcs C1751,1422.35,497.82,,,0
CDM,27201080_18612,Hb Sup Rev 272 Hcpcs C1751,2799.9,979.96,,,0
CDM,27201080_206992,Hb Sup Rev 272 Hcpcs C1751,1701.22,595.43,,,0
CDM,27201080_69673,Hb Sup Rev 272 Hcpcs C1751,580.38,203.13,,,0
CDM,27201080_69820,Hb Sup Rev 272 Hcpcs C1751,828.24,289.88,,,0
CDM,27201080_71903,Hb Sup Rev 272 Hcpcs C1751,580.38,203.13,,,0
CDM,27201080_73172,Hb Sup Rev 272 Hcpcs C1751,575.23,201.33,,,0
CDM,27201080_73273,Hb Sup Rev 272 Hcpcs C1751,580.38,203.13,,,0
CDM,27201080_C1751_272,Hb Sup Rev 272 Hcpcs C1751,1061.21,371.42,,,0
CDM,27201081_12844,Hb Sup Rev 272 Hcpcs C1753,4258.5,1490.48,,,0
CDM,27201081_12845,Hb Sup Rev 272 Hcpcs C1753,6104.41,2136.54,,,0
CDM,27201081_17851,Hb Sup Rev 272 Hcpcs C1753,4258.5,1490.48,,,0
CDM,27201082_1516,Hb Sup Rev 272 Hcpcs C1755,4891.92,1712.17,,,0
CDM,27201082_172913,Hb Sup Rev 272 Hcpcs C1755,4891.92,1712.17,,,0
CDM,27201082_172914,Hb Sup Rev 272 Hcpcs C1755,4258.5,1490.48,,,0
CDM,27201082_172915,Hb Sup Rev 272 Hcpcs C1755,4258.5,1490.48,,,0
CDM,27201083_12908,Hb Sup Rev 272 Hcpcs C1757,615.17,215.31,,,0
CDM,27201083_18500,Hb Sup Rev 272 Hcpcs C1757,2683.88,939.36,,,0
CDM,27201083_18502,Hb Sup Rev 272 Hcpcs C1757,3437.46,1203.11,,,0
CDM,27201083_185759,Hb Sup Rev 272 Hcpcs C1757,24948.79,8732.08,,,0
CDM,27201083_185760,Hb Sup Rev 272 Hcpcs C1757,30285.43,10599.9,,,0
CDM,27201083_185761,Hb Sup Rev 272 Hcpcs C1757,7471.3,2614.96,,,0
CDM,27201083_185762,Hb Sup Rev 272 Hcpcs C1757,8649.8,3027.43,,,0
CDM,27201083_189059,Hb Sup Rev 272 Hcpcs C1757,35327.32,12364.56,,,0
CDM,27201083_1972,Hb Sup Rev 272 Hcpcs C1757,1147.63,401.67,,,0
CDM,27201083_20067,Hb Sup Rev 272 Hcpcs C1757,1147.63,401.67,,,0
CDM,27201083_207171,Hb Sup Rev 272 Hcpcs C1757,1147.63,401.67,,,0
CDM,27201083_208959,Hb Sup Rev 272 Hcpcs C1757,1237.11,432.99,,,0
CDM,27201083_214601,Hb Sup Rev 272 Hcpcs C1757,43449.14,15207.2,,,0
CDM,27201083_499,Hb Sup Rev 272 Hcpcs C1757,1225.69,428.99,,,0
CDM,27201083_500,Hb Sup Rev 272 Hcpcs C1757,614.81,215.18,,,0
CDM,27201083_501,Hb Sup Rev 272 Hcpcs C1757,614.88,215.21,,,0
CDM,27201083_502,Hb Sup Rev 272 Hcpcs C1757,615.17,215.31,,,0
CDM,27201083_503,Hb Sup Rev 272 Hcpcs C1757,580.38,203.13,,,0
CDM,27201083_81266,Hb Sup Rev 272 Hcpcs C1757,2683.88,939.36,,,0
CDM,27201084_1202,Hb Sup Rev 272 Hcpcs C1758,265.35,92.87,,,0
CDM,27201084_1210,Hb Sup Rev 272 Hcpcs C1758,692.15,242.25,,,0
CDM,27201084_1214,Hb Sup Rev 272 Hcpcs C1758,303.39,106.19,,,0
CDM,27201084_1220,Hb Sup Rev 272 Hcpcs C1758,254.91,89.22,,,0
CDM,27201084_1536,Hb Sup Rev 272 Hcpcs C1758,254.91,89.22,,,0
CDM,27201084_187296,Hb Sup Rev 272 Hcpcs C1758,484.31,169.51,,,0
CDM,27201084_C1758_272,Hb Sup Rev 272 Hcpcs C1758,300.9,105.32,,,0
CDM,27201085_108945,Hb Sup Rev 278 Hcpcs C1760,2193.8,767.83,,,0
CDM,27201085_108946,Hb Sup Rev 278 Hcpcs C1760,2193.8,767.83,,,0
CDM,27201085_174028,Hb Sup Rev 278 Hcpcs C1760,3027.92,1059.77,,,0
CDM,27201085_209417,Hb Sup Rev 278 Hcpcs C1760,24.56,8.6,,,0
CDM,27201085_56754,Hb Sup Rev 278 Hcpcs C1760,2786.72,975.35,,,0
CDM,27201085_56760,Hb Sup Rev 278 Hcpcs C1760,2786.72,975.35,,,0
CDM,27201085_62433,Hb Sup Rev 278 Hcpcs C1760,2964.6,1037.61,,,0
CDM,27201086_111953,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_1185,Hb Sup Rev 272 Hcpcs C1769,542.29,189.8,,,0
CDM,27201086_1188,Hb Sup Rev 272 Hcpcs C1769,624.09,218.43,,,0
CDM,27201086_1192,Hb Sup Rev 272 Hcpcs C1769,227.07,79.47,,,0
CDM,27201086_1195,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_1199,Hb Sup Rev 272 Hcpcs C1769,884.4,309.54,,,0
CDM,27201086_119978,Hb Sup Rev 272 Hcpcs C1769,142.65,49.93,,,0
CDM,27201086_121521,Hb Sup Rev 272 Hcpcs C1769,668.98,234.14,,,0
CDM,27201086_121871,Hb Sup Rev 272 Hcpcs C1769,6670.8,2334.78,,,0
CDM,27201086_121876,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_121954,Hb Sup Rev 272 Hcpcs C1769,497.9,174.26,,,0
CDM,27201086_133048,Hb Sup Rev 272 Hcpcs C1769,2183.92,764.37,,,0
CDM,27201086_1397,Hb Sup Rev 272 Hcpcs C1769,924.57,323.6,,,0
CDM,27201086_144365,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_144425,Hb Sup Rev 272 Hcpcs C1769,2799.9,979.96,,,0
CDM,27201086_144470,Hb Sup Rev 272 Hcpcs C1769,1791.94,627.18,,,0
CDM,27201086_146045,Hb Sup Rev 272 Hcpcs C1769,2865.51,1002.93,,,0
CDM,27201086_1475,Hb Sup Rev 272 Hcpcs C1769,4258.5,1490.48,,,0
CDM,27201086_1476,Hb Sup Rev 272 Hcpcs C1769,4258.5,1490.48,,,0
CDM,27201086_149212,Hb Sup Rev 272 Hcpcs C1769,957.17,335.01,,,0
CDM,27201086_156640,Hb Sup Rev 272 Hcpcs C1769,1909.42,668.3,,,0
CDM,27201086_156765,Hb Sup Rev 272 Hcpcs C1769,2604.34,911.52,,,0
CDM,27201086_156766,Hb Sup Rev 272 Hcpcs C1769,2531.11,885.89,,,0
CDM,27201086_156767,Hb Sup Rev 272 Hcpcs C1769,2597.75,909.21,,,0
CDM,27201086_158868,Hb Sup Rev 272 Hcpcs C1769,1938.05,678.32,,,0
CDM,27201086_158869,Hb Sup Rev 272 Hcpcs C1769,1935.0,677.25,,,0
CDM,27201086_158870,Hb Sup Rev 272 Hcpcs C1769,1922.97,673.04,,,0
CDM,27201086_158871,Hb Sup Rev 272 Hcpcs C1769,1912.72,669.45,,,0
CDM,27201086_160688,Hb Sup Rev 272 Hcpcs C1769,4258.5,1490.48,,,0
CDM,27201086_173544,Hb Sup Rev 272 Hcpcs C1769,750.25,262.59,,,0
CDM,27201086_173547,Hb Sup Rev 272 Hcpcs C1769,1567.94,548.78,,,0
CDM,27201086_173558,Hb Sup Rev 272 Hcpcs C1769,1165.25,407.84,,,0
CDM,27201086_173570,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_173571,Hb Sup Rev 272 Hcpcs C1769,421.91,147.67,,,0
CDM,27201086_173572,Hb Sup Rev 272 Hcpcs C1769,421.91,147.67,,,0
CDM,27201086_174075,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_17451,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_177587,Hb Sup Rev 272 Hcpcs C1769,1040.4,364.14,,,0
CDM,27201086_178029,Hb Sup Rev 272 Hcpcs C1769,353.46,123.71,,,0
CDM,27201086_180314,Hb Sup Rev 272 Hcpcs C1769,521.88,182.66,,,0
CDM,27201086_180319,Hb Sup Rev 272 Hcpcs C1769,576.34,201.72,,,0
CDM,27201086_180568,Hb Sup Rev 272 Hcpcs C1769,1291.48,452.02,,,0
CDM,27201086_192159,Hb Sup Rev 272 Hcpcs C1769,213.58,74.75,,,0
CDM,27201086_1925,Hb Sup Rev 272 Hcpcs C1769,797.26,279.04,,,0
CDM,27201086_195876,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_198896,Hb Sup Rev 272 Hcpcs C1769,1387.2,485.52,,,0
CDM,27201086_198897,Hb Sup Rev 272 Hcpcs C1769,1387.2,485.52,,,0
CDM,27201086_198911,Hb Sup Rev 272 Hcpcs C1769,1387.2,485.52,,,0
CDM,27201086_198912,Hb Sup Rev 272 Hcpcs C1769,1906.95,667.43,,,0
CDM,27201086_198913,Hb Sup Rev 272 Hcpcs C1769,1908.44,667.95,,,0
CDM,27201086_198914,Hb Sup Rev 272 Hcpcs C1769,1907.47,667.61,,,0
CDM,27201086_199161,Hb Sup Rev 272 Hcpcs C1769,658.87,230.6,,,0
CDM,27201086_206986,Hb Sup Rev 272 Hcpcs C1769,672.12,235.24,,,0
CDM,27201086_207698,Hb Sup Rev 272 Hcpcs C1769,23.19,8.12,,,0
CDM,27201086_210106,Hb Sup Rev 272 Hcpcs C1769,315.22,110.33,,,0
CDM,27201086_210122,Hb Sup Rev 272 Hcpcs C1769,1567.94,548.78,,,0
CDM,27201086_210466,Hb Sup Rev 272 Hcpcs C1769,1895.54,663.44,,,0
CDM,27201086_21429,Hb Sup Rev 272 Hcpcs C1769,639.45,223.81,,,0
CDM,27201086_21440,Hb Sup Rev 272 Hcpcs C1769,463.9,162.36,,,0
CDM,27201086_21501,Hb Sup Rev 272 Hcpcs C1769,1320.6,462.21,,,0
CDM,27201086_21528,Hb Sup Rev 272 Hcpcs C1769,430.73,150.76,,,0
CDM,27201086_21811,Hb Sup Rev 272 Hcpcs C1769,971.04,339.86,,,0
CDM,27201086_21850,Hb Sup Rev 272 Hcpcs C1769,1040.4,364.14,,,0
CDM,27201086_21855,Hb Sup Rev 272 Hcpcs C1769,1040.4,364.14,,,0
CDM,27201086_22307,Hb Sup Rev 272 Hcpcs C1769,672.12,235.24,,,0
CDM,27201086_23342,Hb Sup Rev 272 Hcpcs C1769,2013.68,704.79,,,0
CDM,27201086_238,Hb Sup Rev 272 Hcpcs C1769,391.98,137.19,,,0
CDM,27201086_24095,Hb Sup Rev 272 Hcpcs C1769,641.0,224.35,,,0
CDM,27201086_24096,Hb Sup Rev 272 Hcpcs C1769,609.71,213.4,,,0
CDM,27201086_24159,Hb Sup Rev 272 Hcpcs C1769,243.78,85.32,,,0
CDM,27201086_253,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_25546,Hb Sup Rev 272 Hcpcs C1769,1248.48,436.97,,,0
CDM,27201086_25860,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_25861,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_25862,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_26581,Hb Sup Rev 272 Hcpcs C1769,404.75,141.66,,,0
CDM,27201086_27198,Hb Sup Rev 272 Hcpcs C1769,272.07,95.22,,,0
CDM,27201086_27866,Hb Sup Rev 272 Hcpcs C1769,1387.2,485.52,,,0
CDM,27201086_27872,Hb Sup Rev 272 Hcpcs C1769,1612.97,564.54,,,0
CDM,27201086_27983,Hb Sup Rev 272 Hcpcs C1769,173.96,60.89,,,0
CDM,27201086_27985,Hb Sup Rev 272 Hcpcs C1769,161.44,56.5,,,0
CDM,27201086_27986,Hb Sup Rev 272 Hcpcs C1769,166.19,58.17,,,0
CDM,27201086_27987,Hb Sup Rev 272 Hcpcs C1769,150.77,52.77,,,0
CDM,27201086_28036,Hb Sup Rev 272 Hcpcs C1769,446.5,156.28,,,0
CDM,27201086_28381,Hb Sup Rev 272 Hcpcs C1769,1324.54,463.59,,,0
CDM,27201086_28415,Hb Sup Rev 272 Hcpcs C1769,358.36,125.43,,,0
CDM,27201086_28509,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_28751,Hb Sup Rev 272 Hcpcs C1769,2594.57,908.1,,,0
CDM,27201086_28817,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_29161,Hb Sup Rev 272 Hcpcs C1769,461.58,161.55,,,0
CDM,27201086_29270,Hb Sup Rev 272 Hcpcs C1769,1041.09,364.38,,,0
CDM,27201086_3127,Hb Sup Rev 272 Hcpcs C1769,243.78,85.32,,,0
CDM,27201086_4654,Hb Sup Rev 272 Hcpcs C1769,887.81,310.73,,,0
CDM,27201086_60798,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_60989,Hb Sup Rev 272 Hcpcs C1769,743.13,260.1,,,0
CDM,27201086_60992,Hb Sup Rev 272 Hcpcs C1769,813.49,284.72,,,0
CDM,27201086_60993,Hb Sup Rev 272 Hcpcs C1769,829.85,290.45,,,0
CDM,27201086_64399,Hb Sup Rev 272 Hcpcs C1769,1401.07,490.37,,,0
CDM,27201086_65105,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_65153,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_65216,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_65259,Hb Sup Rev 272 Hcpcs C1769,630.22,220.58,,,0
CDM,27201086_65288,Hb Sup Rev 272 Hcpcs C1769,334.23,116.98,,,0
CDM,27201086_65419,Hb Sup Rev 272 Hcpcs C1769,1324.18,463.46,,,0
CDM,27201086_65420,Hb Sup Rev 272 Hcpcs C1769,1248.9,437.12,,,0
CDM,27201086_65422,Hb Sup Rev 272 Hcpcs C1769,971.04,339.86,,,0
CDM,27201086_65814,Hb Sup Rev 272 Hcpcs C1769,2799.9,979.96,,,0
CDM,27201086_65856,Hb Sup Rev 272 Hcpcs C1769,4258.5,1490.48,,,0
CDM,27201086_66523,Hb Sup Rev 272 Hcpcs C1769,1713.65,599.78,,,0
CDM,27201086_66524,Hb Sup Rev 272 Hcpcs C1769,1713.65,599.78,,,0
CDM,27201086_66525,Hb Sup Rev 272 Hcpcs C1769,1713.65,599.78,,,0
CDM,27201086_66526,Hb Sup Rev 272 Hcpcs C1769,1713.65,599.78,,,0
CDM,27201086_66574,Hb Sup Rev 272 Hcpcs C1769,2155.03,754.26,,,0
CDM,27201086_67120,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_67146,Hb Sup Rev 272 Hcpcs C1769,1387.2,485.52,,,0
CDM,27201086_67423,Hb Sup Rev 272 Hcpcs C1769,998.78,349.57,,,0
CDM,27201086_67570,Hb Sup Rev 272 Hcpcs C1769,1294.68,453.14,,,0
CDM,27201086_67571,Hb Sup Rev 272 Hcpcs C1769,878.52,307.48,,,0
CDM,27201086_67580,Hb Sup Rev 272 Hcpcs C1769,743.13,260.1,,,0
CDM,27201086_67584,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_67585,Hb Sup Rev 272 Hcpcs C1769,718.71,251.55,,,0
CDM,27201086_67586,Hb Sup Rev 272 Hcpcs C1769,803.33,281.17,,,0
CDM,27201086_67591,Hb Sup Rev 272 Hcpcs C1769,2577.01,901.95,,,0
CDM,27201086_67592,Hb Sup Rev 272 Hcpcs C1769,2355.18,824.31,,,0
CDM,27201086_67849,Hb Sup Rev 272 Hcpcs C1769,2799.9,979.96,,,0
CDM,27201086_68171,Hb Sup Rev 272 Hcpcs C1769,828.24,289.88,,,0
CDM,27201086_68266,Hb Sup Rev 272 Hcpcs C1769,280.19,98.07,,,0
CDM,27201086_68579,Hb Sup Rev 272 Hcpcs C1769,168.23,58.88,,,0
CDM,27201086_70000,Hb Sup Rev 272 Hcpcs C1769,1056.21,369.67,,,0
CDM,27201086_70050,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_70150,Hb Sup Rev 272 Hcpcs C1769,4834.85,1692.2,,,0
CDM,27201086_71773,Hb Sup Rev 272 Hcpcs C1769,182.77,63.97,,,0
CDM,27201086_71844,Hb Sup Rev 272 Hcpcs C1769,1612.97,564.54,,,0
CDM,27201086_72103,Hb Sup Rev 272 Hcpcs C1769,213.87,74.85,,,0
CDM,27201086_72410,Hb Sup Rev 272 Hcpcs C1769,25.17,8.81,,,0
CDM,27201086_72411,Hb Sup Rev 272 Hcpcs C1769,213.33,74.67,,,0
CDM,27201086_72412,Hb Sup Rev 272 Hcpcs C1769,211.89,74.16,,,0
CDM,27201086_72555,Hb Sup Rev 272 Hcpcs C1769,426.78,149.37,,,0
CDM,27201086_72908,Hb Sup Rev 272 Hcpcs C1769,580.38,203.13,,,0
CDM,27201086_72913,Hb Sup Rev 272 Hcpcs C1769,750.92,262.82,,,0
CDM,27201086_72915,Hb Sup Rev 272 Hcpcs C1769,1385.3,484.86,,,0
CDM,27201086_72962,Hb Sup Rev 272 Hcpcs C1769,933.45,326.71,,,0
CDM,27201086_73041,Hb Sup Rev 272 Hcpcs C1769,1391.46,487.01,,,0
CDM,27201086_73482,Hb Sup Rev 272 Hcpcs C1769,1015.43,355.4,,,0
CDM,27201086_73992,Hb Sup Rev 272 Hcpcs C1769,150.77,52.77,,,0
CDM,27201086_73994,Hb Sup Rev 272 Hcpcs C1769,157.72,55.2,,,0
CDM,27201086_73996,Hb Sup Rev 272 Hcpcs C1769,255.14,89.3,,,0
CDM,27201086_78422,Hb Sup Rev 272 Hcpcs C1769,305.62,106.97,,,0
CDM,27201086_78423,Hb Sup Rev 272 Hcpcs C1769,398.77,139.57,,,0
CDM,27201086_80358,Hb Sup Rev 272 Hcpcs C1769,6670.8,2334.78,,,0
CDM,27201086_85706,Hb Sup Rev 272 Hcpcs C1769,1417.87,496.25,,,0
CDM,27201086_86276,Hb Sup Rev 272 Hcpcs C1769,418.73,146.56,,,0
CDM,27201086_933,Hb Sup Rev 272 Hcpcs C1769,1016.27,355.69,,,0
CDM,27201086_94742,Hb Sup Rev 272 Hcpcs C1769,1399.95,489.98,,,0
CDM,27201086_94743,Hb Sup Rev 272 Hcpcs C1769,1399.95,489.98,,,0
CDM,27201086_96391,Hb Sup Rev 272 Hcpcs C1769,799.59,279.86,,,0
CDM,27201086_98019,Hb Sup Rev 272 Hcpcs C1769,715.16,250.31,,,0
CDM,27201086_98020,Hb Sup Rev 272 Hcpcs C1769,2425.84,849.04,,,0
CDM,27201086_98021,Hb Sup Rev 272 Hcpcs C1769,2425.84,849.04,,,0
CDM,27201086_C1769_272,Hb Sup Rev 272 Hcpcs C1769,266.33,93.22,,,0
CDM,27201087_174029,Hb Sup Rev 272 Hcpcs C1773,2351.92,823.17,,,0
CDM,27201087_174030,Hb Sup Rev 272 Hcpcs C1773,2351.92,823.17,,,0
CDM,27201087_174036,Hb Sup Rev 272 Hcpcs C1773,2799.9,979.96,,,0
CDM,27201087_190764,Hb Sup Rev 272 Hcpcs C1773,4258.5,1490.48,,,0
CDM,27201087_23884,Hb Sup Rev 272 Hcpcs C1773,2799.9,979.96,,,0
CDM,27201087_52063,Hb Sup Rev 272 Hcpcs C1773,2847.52,996.63,,,0
CDM,27201087_52064,Hb Sup Rev 272 Hcpcs C1773,2832.43,991.35,,,0
CDM,27201087_52065,Hb Sup Rev 272 Hcpcs C1773,2825.21,988.82,,,0
CDM,27201087_52066,Hb Sup Rev 272 Hcpcs C1773,2826.22,989.18,,,0
CDM,27201087_52067,Hb Sup Rev 272 Hcpcs C1773,2799.9,979.96,,,0
CDM,27201087_53251,Hb Sup Rev 272 Hcpcs C1773,2799.9,979.96,,,0
CDM,27201087_54387,Hb Sup Rev 272 Hcpcs C1773,8004.96,2801.74,,,0
CDM,27201087_55296,Hb Sup Rev 272 Hcpcs C1773,4258.5,1490.48,,,0
CDM,27201087_55474,Hb Sup Rev 272 Hcpcs C1773,4258.5,1490.48,,,0
CDM,27201087_8895,Hb Sup Rev 272 Hcpcs C1773,1746.35,611.22,,,0
CDM,27201088_147474,Hb Sup Rev 272 Hcpcs C1787,4258.5,1490.48,,,0
CDM,27201088_160356,Hb Sup Rev 272 Hcpcs C1787,4258.5,1490.48,,,0
CDM,27201088_160756,Hb Sup Rev 272 Hcpcs C1787,4258.5,1490.48,,,0
CDM,27201088_160757,Hb Sup Rev 272 Hcpcs C1787,4258.5,1490.48,,,0
CDM,27201088_174089,Hb Sup Rev 272 Hcpcs C1787,9116.76,3190.87,,,0
CDM,27201088_177144,Hb Sup Rev 272 Hcpcs C1787,8196.19,2868.67,,,0
CDM,27201088_200105,Hb Sup Rev 272 Hcpcs C1787,4258.5,1490.48,,,0
CDM,27201088_96813,Hb Sup Rev 272 Hcpcs C1787,6226.08,2179.13,,,0
CDM,27201090_129272,Hb Sup Rev 272 Hcpcs C1884,8316.26,2910.69,,,0
CDM,27201090_144438,Hb Sup Rev 272 Hcpcs C1884,17788.8,6226.08,,,0
CDM,27201090_144449,Hb Sup Rev 272 Hcpcs C1884,15720.39,5502.14,,,0
CDM,27201090_25840,Hb Sup Rev 272 Hcpcs C1884,4258.5,1490.48,,,0
CDM,27201091_101369,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_101370,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_10164,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_10165,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_10167,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_111195,Hb Sup Rev 272 Hcpcs C1887,2763.51,967.23,,,0
CDM,27201091_111201,Hb Sup Rev 272 Hcpcs C1887,2160.85,756.3,,,0
CDM,27201091_12861,Hb Sup Rev 272 Hcpcs C1887,230.09,80.53,,,0
CDM,27201091_144254,Hb Sup Rev 272 Hcpcs C1887,3832.65,1341.43,,,0
CDM,27201091_144272,Hb Sup Rev 272 Hcpcs C1887,3832.65,1341.43,,,0
CDM,27201091_144288,Hb Sup Rev 272 Hcpcs C1887,3832.65,1341.43,,,0
CDM,27201091_149256,Hb Sup Rev 272 Hcpcs C1887,8004.96,2801.74,,,0
CDM,27201091_149261,Hb Sup Rev 272 Hcpcs C1887,10028.44,3509.95,,,0
CDM,27201091_154361,Hb Sup Rev 272 Hcpcs C1887,8382.97,2934.04,,,0
CDM,27201091_15608,Hb Sup Rev 272 Hcpcs C1887,2810.61,983.71,,,0
CDM,27201091_16130,Hb Sup Rev 272 Hcpcs C1887,2799.9,979.96,,,0
CDM,27201091_16532,Hb Sup Rev 272 Hcpcs C1887,224.91,78.72,,,0
CDM,27201091_16691,Hb Sup Rev 272 Hcpcs C1887,292.25,102.29,,,0
CDM,27201091_17079,Hb Sup Rev 272 Hcpcs C1887,296.36,103.73,,,0
CDM,27201091_17080,Hb Sup Rev 272 Hcpcs C1887,292.25,102.29,,,0
CDM,27201091_17081,Hb Sup Rev 272 Hcpcs C1887,292.25,102.29,,,0
CDM,27201091_17109,Hb Sup Rev 272 Hcpcs C1887,625.76,219.02,,,0
CDM,27201091_17150,Hb Sup Rev 272 Hcpcs C1887,303.08,106.08,,,0
CDM,27201091_17161,Hb Sup Rev 272 Hcpcs C1887,1362.23,476.78,,,0
CDM,27201091_17167,Hb Sup Rev 272 Hcpcs C1887,625.76,219.02,,,0
CDM,27201091_17168,Hb Sup Rev 272 Hcpcs C1887,625.76,219.02,,,0
CDM,27201091_17184,Hb Sup Rev 272 Hcpcs C1887,292.25,102.29,,,0
CDM,27201091_17185,Hb Sup Rev 272 Hcpcs C1887,292.25,102.29,,,0
CDM,27201091_17197,Hb Sup Rev 272 Hcpcs C1887,292.25,102.29,,,0
CDM,27201091_174066,Hb Sup Rev 272 Hcpcs C1887,3832.65,1341.43,,,0
CDM,27201091_17452,Hb Sup Rev 272 Hcpcs C1887,828.24,289.88,,,0
CDM,27201091_17458,Hb Sup Rev 272 Hcpcs C1887,4258.5,1490.48,,,0
CDM,27201091_17478,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_17481,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_17493,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_17495,Hb Sup Rev 272 Hcpcs C1887,553.2,193.62,,,0
CDM,27201091_17499,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_17503,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_17504,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_17519,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_17520,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_17523,Hb Sup Rev 272 Hcpcs C1887,184.4,64.54,,,0
CDM,27201091_17536,Hb Sup Rev 272 Hcpcs C1887,744.96,260.74,,,0
CDM,27201091_180324,Hb Sup Rev 272 Hcpcs C1887,1387.2,485.52,,,0
CDM,27201091_18250,Hb Sup Rev 272 Hcpcs C1887,4376.27,1531.69,,,0
CDM,27201091_185532,Hb Sup Rev 272 Hcpcs C1887,828.24,289.88,,,0
CDM,27201091_185533,Hb Sup Rev 272 Hcpcs C1887,828.24,289.88,,,0
CDM,27201091_185536,Hb Sup Rev 272 Hcpcs C1887,828.24,289.88,,,0
CDM,27201091_189423,Hb Sup Rev 272 Hcpcs C1887,5178.32,1812.41,,,0
CDM,27201091_198898,Hb Sup Rev 272 Hcpcs C1887,2048.99,717.15,,,0
CDM,27201091_198899,Hb Sup Rev 272 Hcpcs C1887,2046.17,716.16,,,0
CDM,27201091_198900,Hb Sup Rev 272 Hcpcs C1887,2050.4,717.64,,,0
CDM,27201091_198901,Hb Sup Rev 272 Hcpcs C1887,2046.17,716.16,,,0
CDM,27201091_198902,Hb Sup Rev 272 Hcpcs C1887,2046.17,716.16,,,0
CDM,27201091_198903,Hb Sup Rev 272 Hcpcs C1887,2053.57,718.75,,,0
CDM,27201091_20279,Hb Sup Rev 272 Hcpcs C1887,4258.5,1490.48,,,0
CDM,27201091_20281,Hb Sup Rev 272 Hcpcs C1887,4258.5,1490.48,,,0
CDM,27201091_20433,Hb Sup Rev 272 Hcpcs C1887,695.29,243.35,,,0
CDM,27201091_20439,Hb Sup Rev 272 Hcpcs C1887,695.29,243.35,,,0
CDM,27201091_20448,Hb Sup Rev 272 Hcpcs C1887,695.29,243.35,,,0
CDM,27201091_20452,Hb Sup Rev 272 Hcpcs C1887,695.29,243.35,,,0
CDM,27201091_20468,Hb Sup Rev 272 Hcpcs C1887,695.29,243.35,,,0
CDM,27201091_207671,Hb Sup Rev 272 Hcpcs C1887,2216.74,775.86,,,0
CDM,27201091_210464,Hb Sup Rev 272 Hcpcs C1887,2216.74,775.86,,,0
CDM,27201091_210795,Hb Sup Rev 272 Hcpcs C1887,262.4,91.84,,,0
CDM,27201091_219131,Hb Sup Rev 272 Hcpcs C1887,7782.56,2723.9,,,0
CDM,27201091_53312,Hb Sup Rev 272 Hcpcs C1887,1387.2,485.52,,,0
CDM,27201091_82400,Hb Sup Rev 272 Hcpcs C1887,828.24,289.88,,,0
CDM,27201091_94869,Hb Sup Rev 272 Hcpcs C1887,6181.61,2163.56,,,0
CDM,27201091_C1887_272,Hb Sup Rev 272 Hcpcs C1887,14475.64,5066.47,,,0
CDM,27201092_104845,Hb Sup Rev 272 Hcpcs C1892,702.08,245.73,,,0
CDM,27201092_107288,Hb Sup Rev 272 Hcpcs C1892,950.37,332.63,,,0
CDM,27201092_107289,Hb Sup Rev 272 Hcpcs C1892,966.55,338.29,,,0
CDM,27201092_107291,Hb Sup Rev 272 Hcpcs C1892,1309.52,458.33,,,0
CDM,27201092_1203,Hb Sup Rev 272 Hcpcs C1892,738.5,258.48,,,0
CDM,27201092_1207,Hb Sup Rev 272 Hcpcs C1892,580.38,203.13,,,0
CDM,27201092_22787,Hb Sup Rev 272 Hcpcs C1892,580.38,203.13,,,0
CDM,27201092_55061,Hb Sup Rev 272 Hcpcs C1892,702.08,245.73,,,0
CDM,27201092_55067,Hb Sup Rev 272 Hcpcs C1892,702.08,245.73,,,0
CDM,27201092_55069,Hb Sup Rev 272 Hcpcs C1892,702.08,245.73,,,0
CDM,27201092_63823,Hb Sup Rev 272 Hcpcs C1892,702.08,245.73,,,0
CDM,27201093_104846,Hb Sup Rev 272 Hcpcs C1894,1387.2,485.52,,,0
CDM,27201093_108662,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_108663,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_121429,Hb Sup Rev 272 Hcpcs C1894,4309.34,1508.27,,,0
CDM,27201093_121432,Hb Sup Rev 272 Hcpcs C1894,4258.5,1490.48,,,0
CDM,27201093_121433,Hb Sup Rev 272 Hcpcs C1894,4258.5,1490.48,,,0
CDM,27201093_121438,Hb Sup Rev 272 Hcpcs C1894,4258.5,1490.48,,,0
CDM,27201093_140193,Hb Sup Rev 272 Hcpcs C1894,389.67,136.38,,,0
CDM,27201093_140194,Hb Sup Rev 272 Hcpcs C1894,389.67,136.38,,,0
CDM,27201093_144469,Hb Sup Rev 272 Hcpcs C1894,1679.94,587.98,,,0
CDM,27201093_152964,Hb Sup Rev 272 Hcpcs C1894,438.38,153.43,,,0
CDM,27201093_1621,Hb Sup Rev 272 Hcpcs C1894,608.54,212.99,,,0
CDM,27201093_175082,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_179716,Hb Sup Rev 272 Hcpcs C1894,4258.5,1490.48,,,0
CDM,27201093_180328,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_187298,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_199971,Hb Sup Rev 272 Hcpcs C1894,2953.7,1033.8,,,0
CDM,27201093_199972,Hb Sup Rev 272 Hcpcs C1894,2953.7,1033.8,,,0
CDM,27201093_199973,Hb Sup Rev 272 Hcpcs C1894,2953.7,1033.8,,,0
CDM,27201093_199974,Hb Sup Rev 272 Hcpcs C1894,2953.7,1033.8,,,0
CDM,27201093_199975,Hb Sup Rev 272 Hcpcs C1894,2953.7,1033.8,,,0
CDM,27201093_199976,Hb Sup Rev 272 Hcpcs C1894,2953.7,1033.8,,,0
CDM,27201093_199977,Hb Sup Rev 272 Hcpcs C1894,2971.57,1040.05,,,0
CDM,27201093_199978,Hb Sup Rev 272 Hcpcs C1894,2953.7,1033.8,,,0
CDM,27201093_203279,Hb Sup Rev 272 Hcpcs C1894,1032.7,361.44,,,0
CDM,27201093_207670,Hb Sup Rev 272 Hcpcs C1894,760.52,266.18,,,0
CDM,27201093_209646,Hb Sup Rev 272 Hcpcs C1894,971.59,340.06,,,0
CDM,27201093_210112,Hb Sup Rev 272 Hcpcs C1894,1154.15,403.95,,,0
CDM,27201093_213552,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_217123,Hb Sup Rev 272 Hcpcs C1894,3585.66,1254.98,,,0
CDM,27201093_218792,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_25718,Hb Sup Rev 272 Hcpcs C1894,828.24,289.88,,,0
CDM,27201093_29351,Hb Sup Rev 272 Hcpcs C1894,1387.2,485.52,,,0
CDM,27201093_51715,Hb Sup Rev 272 Hcpcs C1894,969.1,339.18,,,0
CDM,27201093_51728,Hb Sup Rev 272 Hcpcs C1894,1495.37,523.38,,,0
CDM,27201093_51732,Hb Sup Rev 272 Hcpcs C1894,1006.69,352.34,,,0
CDM,27201093_51734,Hb Sup Rev 272 Hcpcs C1894,1021.56,357.55,,,0
CDM,27201093_51735,Hb Sup Rev 272 Hcpcs C1894,1019.43,356.8,,,0
CDM,27201093_51736,Hb Sup Rev 272 Hcpcs C1894,1011.27,353.94,,,0
CDM,27201093_53296,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_53297,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_53298,Hb Sup Rev 272 Hcpcs C1894,583.59,204.26,,,0
CDM,27201093_53299,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_53300,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_53301,Hb Sup Rev 272 Hcpcs C1894,588.64,206.02,,,0
CDM,27201093_53302,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_53303,Hb Sup Rev 272 Hcpcs C1894,591.09,206.88,,,0
CDM,27201093_53319,Hb Sup Rev 272 Hcpcs C1894,252.85,88.5,,,0
CDM,27201093_53320,Hb Sup Rev 272 Hcpcs C1894,550.88,192.81,,,0
CDM,27201093_53321,Hb Sup Rev 272 Hcpcs C1894,253.73,88.81,,,0
CDM,27201093_53324,Hb Sup Rev 272 Hcpcs C1894,253.75,88.81,,,0
CDM,27201093_53326,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_53329,Hb Sup Rev 272 Hcpcs C1894,242.62,84.92,,,0
CDM,27201093_53333,Hb Sup Rev 272 Hcpcs C1894,241.23,84.43,,,0
CDM,27201093_53336,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_53338,Hb Sup Rev 272 Hcpcs C1894,241.23,84.43,,,0
CDM,27201093_53340,Hb Sup Rev 272 Hcpcs C1894,242.97,85.04,,,0
CDM,27201093_53341,Hb Sup Rev 272 Hcpcs C1894,241.23,84.43,,,0
CDM,27201093_53704,Hb Sup Rev 272 Hcpcs C1894,243.55,85.24,,,0
CDM,27201093_55063,Hb Sup Rev 272 Hcpcs C1894,1495.37,523.38,,,0
CDM,27201093_55065,Hb Sup Rev 272 Hcpcs C1894,1011.27,353.94,,,0
CDM,27201093_55068,Hb Sup Rev 272 Hcpcs C1894,1071.01,374.85,,,0
CDM,27201093_60782,Hb Sup Rev 272 Hcpcs C1894,410.94,143.83,,,0
CDM,27201093_60784,Hb Sup Rev 272 Hcpcs C1894,595.97,208.59,,,0
CDM,27201093_63821,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_63824,Hb Sup Rev 272 Hcpcs C1894,1387.2,485.52,,,0
CDM,27201093_63825,Hb Sup Rev 272 Hcpcs C1894,1387.2,485.52,,,0
CDM,27201093_64191,Hb Sup Rev 272 Hcpcs C1894,739.33,258.77,,,0
CDM,27201093_73571,Hb Sup Rev 272 Hcpcs C1894,1427.95,499.78,,,0
CDM,27201093_73574,Hb Sup Rev 272 Hcpcs C1894,1502.54,525.89,,,0
CDM,27201093_73575,Hb Sup Rev 272 Hcpcs C1894,1502.54,525.89,,,0
CDM,27201093_77828,Hb Sup Rev 272 Hcpcs C1894,1213.11,424.59,,,0
CDM,27201093_77829,Hb Sup Rev 272 Hcpcs C1894,1072.31,375.31,,,0
CDM,27201093_77830,Hb Sup Rev 272 Hcpcs C1894,1213.11,424.59,,,0
CDM,27201093_81598,Hb Sup Rev 272 Hcpcs C1894,580.38,203.13,,,0
CDM,27201093_81602,Hb Sup Rev 272 Hcpcs C1894,702.08,245.73,,,0
CDM,27201093_84694,Hb Sup Rev 272 Hcpcs C1894,1248.34,436.92,,,0
CDM,27201093_84901,Hb Sup Rev 272 Hcpcs C1894,1213.11,424.59,,,0
CDM,27201093_88794,Hb Sup Rev 272 Hcpcs C1894,584.97,204.74,,,0
CDM,27201093_C1894_272,Hb Sup Rev 272 Hcpcs C1894,4447.2,1556.52,,,0
CDM,27201094_1211,Hb Sup Rev 272 Hcpcs C2627,1891.39,661.99,,,0
CDM,27201095_12117,Hb Sup Rev 272 Hcpcs C2628,4075.39,1426.39,,,0
CDM,27201095_12118,Hb Sup Rev 272 Hcpcs C2628,4075.39,1426.39,,,0
CDM,27201095_155150,Hb Sup Rev 272 Hcpcs C2628,7982.72,2793.95,,,0
CDM,27201095_210719,Hb Sup Rev 272 Hcpcs C2628,23.19,8.12,,,0
CDM,27201095_29978,Hb Sup Rev 272 Hcpcs C2628,2734.99,957.25,,,0
CDM,27201095_32291,Hb Sup Rev 272 Hcpcs C2628,2734.99,957.25,,,0
CDM,27201095_32292,Hb Sup Rev 272 Hcpcs C2628,2378.99,832.65,,,0
CDM,27201095_32293,Hb Sup Rev 272 Hcpcs C2628,2734.99,957.25,,,0
CDM,27201095_32297,Hb Sup Rev 272 Hcpcs C2628,1553.97,543.89,,,0
CDM,27201095_85448,Hb Sup Rev 272 Hcpcs C2628,3249.21,1137.22,,,0
CDM,27201095_85449,Hb Sup Rev 272 Hcpcs C2628,2952.54,1033.39,,,0
CDM,27201097_127297,Hb Sup Rev 274 Hcpcs Q0481,25898.4,9064.44,,,0
CDM,27201106_35073,Hb Sup Rev 272 Hcpcs V2790,2540.03,889.01,,,0
CDM,27201107,Hb 2.7Fr Picc Repair Kit,1290.3,451.6,,,0
CDM,27201108,Hb 4.2Fr Picc Repair Kit,1502.46,525.86,,,0
CDM,27201109,Hb 6.6Fr Picc Repair Kit,989.4,346.29,,,0
CDM,27201110,Hb Adult Dialyzer Line,31.62,11.07,,,0
CDM,27201111,Hb Amniocentesis Tr,215.22,75.33,,,0
CDM,27201111_272,Hb Amniocentesis Tr,215.22,75.33,,,0
CDM,27201112,Hb Arterial Venous Repair Kit,144.84,50.69,,,0
CDM,27201113,Hb Arthrogram Tray,208.08,72.83,,,0
CDM,27201113_272,Hb Arthrogram Tray,208.08,72.83,,,0
CDM,27201114,Hb Bicart Cartridge,130.56,45.7,,,0
CDM,27201115,Hb Biopsy Needle,298.86,104.6,,,0
CDM,27201115_272,Hb Biopsy Needle,298.86,104.6,,,0
CDM,27201116,Hb Bite Sticks,5.1,1.78,,,0
CDM,27201117,Hb Bivona Custom Flex Trach Tube,1997.16,699.01,,,0
CDM,27201117_272,Hb Bivona Custom Flex Trach Tube,1997.16,699.01,,,0
CDM,27201119,Hb Broviac Repair Kit,1434.12,501.94,,,0
CDM,27201120,Hb Burette In Line,166.26,58.19,,,0
CDM,27201121_272,Hb Cath Airway Exchange 4Mm,889.2,311.22,,,0
CDM,27201123,Hb Cath Irrig Proced,243.78,85.32,,,0
CDM,27201127_C1751_272,Inactive-Hb Cath Picc Sl 4Fr,829.26,290.24,,,0
CDM,27201128_C1751_272,Inactive - Hb Cath Seldinger 4Fr,452.88,158.51,,,0
CDM,27201130,Hb Cath Set 7Frx10Cm,1162.8,406.98,,,0
CDM,27201132,Hb Cavh Mini Filter,555.9,194.56,,,0
CDM,27201133,Hb Central Line On Off Kit,28.56,10.0,,,0
CDM,27201134,Hb Cleft Palate Nurser,32.64,11.42,,,0
CDM,27201135,Hb Cook Venous Arterial Cath,1155.66,404.48,,,0
CDM,27201135_272,Hb Cook Venous Arterial Cath,1155.66,404.48,,,0
CDM,27201136,Hb Cre Pulmonary Balloon,2629.56,920.35,,,0
CDM,27201137,Hb Cryoprobe,4391.1,1536.88,,,0
CDM,27201137_C2618_272,Hb Cryoprobe,4391.1,1536.88,,,0
CDM,27201139,Hb Dialyzer,125.46,43.91,,,0
CDM,27201140,Hb Dobbhoff Kit,271.32,94.96,,,0
CDM,27201140_B4087_272,Hb Dobbhoff Kit,271.32,94.96,,,0
CDM,27201141,Hb Drainage Bags Aspira,609.96,213.49,,,0
CDM,27201141_272,Hb Drainage Bags Aspira,609.96,213.49,,,0
CDM,27201142,Hb Dressing Robert Jones,337.62,118.17,,,0
CDM,27201142_272,Hb Dressing Robert Jones,337.62,118.17,,,0
CDM,27201143,Hb Dysphagia Cup,74.46,26.06,,,0
CDM,27201144,Hb Emergency Cric Tray,421.26,147.44,,,0
CDM,27201145,Hb Enteroclysis Kit,400.86,140.3,,,0
CDM,27201146,Hb External Pacemaker,288.66,101.03,,,0
CDM,27201147,Hb Femostop,926.16,324.16,,,0
CDM,27201148,Hb Fistula Pack,9.18,3.21,,,0
CDM,27201151,Hb Hemodialysis Catheter,636.48,222.77,,,0
CDM,27201151_272,Hb Hemodialysis Catheter,636.48,222.77,,,0
CDM,27201152,Hb Hystero Kit,368.22,128.88,,,0
CDM,27201153,Hb Insp Cath Site,135.66,47.48,,,0
CDM,27201153_272,Hb Insp Cath Site,135.66,47.48,,,0
CDM,27201154,Hb Insuflon,196.86,68.9,,,0
CDM,27201155,Hb Isomed Cather Access Kit,114.24,39.98,,,0
CDM,27201156,Hb Jagwire Pulmonary Guidewire,1242.36,434.83,,,0
CDM,27201159,Hb Mickey 24 In R Angle Feed Set,343.74,120.31,,,0
CDM,27201159_272,Hb Mickey 24 In R Angle Feed Set,343.74,120.31,,,0
CDM,27201160,Hb Mickey Button 16Fr 1.5Cm,1404.54,491.59,,,0
CDM,27201161,Hb Mothercare Spoon,4.08,1.43,,,0
CDM,27201162,Hb Myelogram Tray,286.62,100.32,,,0
CDM,27201162_272,Hb Myelogram Tray,286.62,100.32,,,0
CDM,27201163,Hb Nano Probe,8472.12,2965.24,,,0
CDM,27201167,Hb Nipples,8.16,2.86,,,0
CDM,27201168,Hb Nuk Brush,8.16,2.86,,,0
CDM,27201169,Hb Pd Solution Transfer Set,244.8,85.68,,,0
CDM,27201169_272,Hb Pd Solution Transfer Set,244.8,85.68,,,0
CDM,27201170,Hb Pedi On Off Tray,185.64,64.97,,,0
CDM,27201171,Hb Pediatric Low Vol Lines,144.84,50.69,,,0
CDM,27201172,Hb Phototherapy Daily,134.64,47.12,,,0
CDM,27201172_272,Hb Phototherapy Daily,134.64,47.12,,,0
CDM,27201173,Hb Phototherapy Setup,119.34,41.77,,,0
CDM,27201173_272,Hb Phototherapy Setup,119.34,41.77,,,0
CDM,27201175,Hb Precip Pack,369.24,129.23,,,0
CDM,27201175_272,Hb Precip Pack,369.24,129.23,,,0
CDM,27201176,Hb Presep Catheter,3010.02,1053.51,,,0
CDM,27201176_C1751_272,Hb Presep Catheter,3010.02,1053.51,,,0
CDM,27201177,Hb Rf Probe,4682.82,1638.99,,,0
CDM,27201177_272,Hb Rf Probe,4682.82,1638.99,,,0
CDM,27201178,Hb Set Buretrol Add On 150Ml,60.18,21.06,,,0
CDM,27201179_272,Hb Set Nerve Block Continuous,236.12,82.64,,,0
CDM,27201181_272,Hb Set Rapid Infusion,2603.74,911.31,,,0
CDM,27201182,Hb Single Needle Conversion Kit,51.0,17.85,,,0
CDM,27201183,Hb Specialty Item Pediatrics,42.84,14.99,,,0
CDM,27201183_272,Hb Specialty Item Pediatrics,42.84,14.99,,,0
CDM,27201184,Hb Stent Sizing Device,1720.74,602.26,,,0
CDM,27201184_272,Hb Stent Sizing Device,1720.74,602.26,,,0
CDM,27201185,Hb Sterile Clinic Eye Dropper,2.04,0.71,,,0
CDM,27201186,Hb Stic Quick,294.78,103.17,,,0
CDM,27201189,Hb Thick It Food Thickener,42.84,14.99,,,0
CDM,27201190,Hb Transport Supplies,643.62,225.27,,,0
CDM,27201190_272,Hb Transport Supplies,643.62,225.27,,,0
CDM,27201191,Hb Tray Picc Insertion,580.38,203.13,,,0
CDM,27201191_C1751_272,Hb Tray Picc Insertion,580.38,203.13,,,0
CDM,27201193,Hb Urethrogram Kit,199.92,69.97,,,0
CDM,27201194,Hb Vac Bx Canister,82.62,28.92,,,0
CDM,27201195,Hb Vac Bx Hand Piece,1993.08,697.58,,,0
CDM,27201196,Hb Vac Bx Site Marker,520.2,182.07,,,0
CDM,27201197,Hb Vaccuum Assisted Device,1473.9,515.86,,,0
CDM,27201197_272,Hb Vaccuum Assisted Device,1473.9,515.86,,,0
CDM,27201198,Hb Vacum Extractor Dis,78.54,27.49,,,0
CDM,27201198_272,Hb Vacum Extractor Dis,78.54,27.49,,,0
CDM,27201201,Hb Viva Comp Setup,756.84,264.89,,,0
CDM,27201202,Hb Viva Comp Unit,53.04,18.56,,,0
CDM,27201204,Hb Dressing Central Line Disc,72.42,25.35,,,0
CDM,27201204_A6251_272,Hb Dressing Central Line Disc,72.42,25.35,,,0
CDM,27201205,Hb C Line Dressing W Chloraprep,186.66,65.33,,,0
CDM,27201205_272,Hb C Line Dressing W Chloraprep,186.66,65.33,,,0
CDM,27201206,Hb Breast Biopsy Supplies,2800.92,980.32,,,0
CDM,27201206_272,Hb Breast Biopsy Supplies,2800.92,980.32,,,0
CDM,27201213,Hb Ng Tube,93.84,32.84,,,0
CDM,27201213_272,Hb Ng Tube,93.84,32.84,,,0
CDM,27201215,Hb Foley Cath,439.62,153.87,,,0
CDM,27201215_272,Hb Foley Cath,439.62,153.87,,,0
CDM,27201217_272,Hb Adapter Sealing,827.73,289.71,,,0
CDM,27201223_272,Hb Balloon Venogram,1359.46,475.81,,,0
CDM,27201224_272,Hb Band Tr Radial Std,209.92,73.47,,,0
CDM,27201225_272,Hb Band Tr Radial Xl,695.29,243.35,,,0
CDM,27201226_272,Hb Brush Cytology,293.41,102.69,,,0
CDM,27201230_272,Hb Cable Paceing Shrouded,440.52,154.18,,,0
CDM,27201239_272,Hb Cath Co Pilot,479.83,167.94,,,0
CDM,27201248_272,Hb Cath Finecross Mg 130Cm,2445.96,856.09,,,0
CDM,27201250_C1887_272,Hb Cath Glide H1 5Fx100,737.72,258.2,,,0
CDM,27201272_C1887_272,Hb Cath Guideliner 6F,3202.39,1120.84,,,0
CDM,27201273_C1887_272,Hb Cath Guideliner 7F,2601.6,910.56,,,0
CDM,27201275_272,Hb Cath Headway 17X,3781.23,1323.43,,,0
CDM,27201277_272,Hb Cath Jacky Radial 5F,744.96,260.74,,,0
CDM,27201278_272,Hb Cath Jacky Radial 5F 110Cm,744.96,260.74,,,0
CDM,27201282_272,Hb Cath Kit 1 Indeflator Acce,480.08,168.03,,,0
CDM,27201284_C1887_272,Hb Cath Mpa 1 6Fx80,291.97,102.19,,,0
CDM,27201298_272,Hb Cath Neuron 6F Mp 95 X 6,3001.86,1050.65,,,0
CDM,27201299_272,Hb Cath Neuron 6F Str 105 X 8,3001.86,1050.65,,,0
CDM,27201303_272,Hb Cath Neuron Select Ber 5Fx130,1399.95,489.98,,,0
CDM,27201305_272,Hb Cath Neuron Select Sim 5Fx130,1399.95,489.98,,,0
CDM,27201312_272,Hb Cath Pigtail Langston,1470.75,514.76,,,0
CDM,27201318_272,Hb Cath Radial Tiger 5F 4.0,744.96,260.74,,,0
CDM,27201319_272,Hb Cath Radial Tiger 5F 4.0 110Cm,571.61,200.06,,,0
CDM,27201319_C1887_272,Hb Cath Radial Tiger 5F 4.0 110Cm,744.96,260.74,,,0
CDM,27201322_C1887_272,Hb Cath Radial Tiger 6F 4.0,744.96,260.74,,,0
CDM,27201323_272,Hb Cath Radial Tiger 6F 4.0 110Cm,744.96,260.74,,,0
CDM,27201327_272,Hb Cath Sarah Radial 5F 110Cm,744.96,260.74,,,0
CDM,27201330_272,Hb Cath Sim 1 5Fx100,292.25,102.29,,,0
CDM,27201336_272,Hb Cath Sl 10,4580.59,1603.21,,,0
CDM,27201337_272,Hb Cath Sl 10 45,4628.65,1620.03,,,0
CDM,27201344_272,Hb Catheter H1 5 Fr,389.67,136.38,,,0
CDM,27201353_C1887_272,Hb Ccl Cath Glide Angled 4Fx100,2269.72,794.4,,,0
CDM,27201354_C1887_272,Hb Ccl Cath Glide Sim 2 5Fx100,742.47,259.86,,,0
CDM,27201355_272,Hb Ccl Cath Intra Aortic 7.5Fr 34Cc,3865.02,1352.76,,,0
CDM,27201360_272,Hb Ccl Dilator Vessel 20Fr,488.36,170.93,,,0
CDM,27201362_C1887_272,Hb Glidecath 5Fr Ang,740.93,259.33,,,0
CDM,27201364_272,Hb Ccl Inflation Device,527.03,184.46,,,0
CDM,27201367_272,Hb Lead Cap Kit 6623,50.86,17.8,,,0
CDM,27201368_272,Hb Ndl Biopsy Biopince 18X10,776.83,271.89,,,0
CDM,27201370_272,Hb Ccl Needle Chiba 22Ga X 15Cm,283.02,99.06,,,0
CDM,27201372_272,Hb Needle Intro Biopince 18X10,329.37,115.28,,,0
CDM,27201375_272,Hb Ccl Patch Syvek Excel,1276.75,446.86,,,0
CDM,27201376_272,Hb Ccl Patch Syvek Sp 3X3Cm,762.96,267.04,,,0
CDM,27201391_272,Hb Su Ticron 0 Blue Hgs 23,288.55,100.99,,,0
CDM,27201392_272,Hb Su Ticron 0 Gs21,354.72,124.15,,,0
CDM,27201393_272,Hb Torque Device,143.81,50.33,,,0
CDM,27201411_272,Hb Connector Umbilical Coaxial,1207.98,422.79,,,0
CDM,27201412_272,Hb Connector Umbilical Electrical,1899.23,664.73,,,0
CDM,27201415_278,Hb Contour Pva 250 355,1430.01,500.5,,,0
CDM,27201420_272,Hb Cutter,579.87,202.95,,,0
CDM,27201422_272,Hb Detacher Instant,2333.66,816.78,,,0
CDM,27201423_272,Hb Detachment Controller V Grip,522.7,182.94,,,0
CDM,27201427_272,Hb Device Inflation Sphere,810.51,283.68,,,0
CDM,27201429_272,Hb Device Pullback,662.18,231.76,,,0
CDM,27201450_272,Hb Hemostasis D Stat,1746.02,611.11,,,0
CDM,27201453_272,Hb Kit Accessory Lead Removal,1343.95,470.38,,,0
CDM,27201456_272,Hb Kit Mic G 18F,2357.52,825.13,,,0
CDM,27201461_272,Hb Kit Stylet 52Cm,579.87,202.95,,,0
CDM,27201473_272,Hb Needle Avaflex Curved,2408.95,843.13,,,0
CDM,27201477_272,Hb Needle Brockenbrough 18X71,1758.34,615.42,,,0
CDM,27201482_272,Hb Perceptor Morse 1 Valve,498.3,174.4,,,0
CDM,27201497_272,Hb Sheath Glide Intro 5Fr 25Cm,700.26,245.09,,,0
CDM,27201503_272,Hb Sheath Glide Intro 6Fr 25Cm,703.02,246.06,,,0
CDM,27201507_272,Hb Slitter Disposable Adjust,496.64,173.82,,,0
CDM,27201516_272,Hb Stylet Kit,579.87,202.95,,,0
CDM,27201533_272,Hb Tool Fixation,347.92,121.77,,,0
CDM,27201536_272,Hb Torque Device Olcott,349.78,122.42,,,0
CDM,27201547_272,Hb Tube Cecostomy,2615.89,915.56,,,0
CDM,27201550_272,Hb Tube G Button 18Fx2.0,1334.21,466.97,,,0
CDM,27201551_272,Hb Tube G Button 18Fx3.0,1326.01,464.1,,,0
CDM,27201552_272,Hb Tube G Button 18Fx3.5,1276.77,446.87,,,0
CDM,27201554_272,Hb Tube G Button 18Fx4.5,1334.21,466.97,,,0
CDM,27201557_272,Hb Tube G J 18Fx45,2597.02,908.96,,,0
CDM,27201558_272,Hb Tube G J 22Fx45,2618.21,916.37,,,0
CDM,27201560_272,Hb Tube G J Button 18Fx2.0X22,2861.03,1001.36,,,0
CDM,27201562_272,Hb Tube Gastrostomy 18Fr,390.83,136.79,,,0
CDM,27201567_272,Hb Tube J 16F,1520.35,532.12,,,0
CDM,27201568_272,Hb Tube J 18F,1520.35,532.12,,,0
CDM,27201569_272,Hb Tube J 20F,1520.35,532.12,,,0
CDM,27201573_272,Hb Tube J Button 18Fx2.5,1852.19,648.27,,,0
CDM,27201575_272,Hb Tube Jejunal 22F,1520.35,532.12,,,0
CDM,27201581_272,Hb Valve Hemostasis,158.16,55.36,,,0
CDM,27201583_272,Hb Valve Rotating,467.8,163.73,,,0
CDM,27201588_272,Hb Wire Miraclebro 12 .014X180,1399.95,489.98,,,0
CDM,27201589_272,Hb Wire Miraclebro 12 .014X300,1399.95,489.98,,,0
CDM,27201590_272,Hb Wire Rt Ns .014 180Cm,1359.3,475.76,,,0
CDM,27201599_B4087_272,Hb Tube J 14F,1493.13,522.6,,,0
CDM,27201731_C1725_272,Hb Cath Bln Angiosculpt 5X40X50,4424.96,1548.74,,,0
CDM,27201864_C1725_272,Hb Cath Bln Atlas 12X2X120,2456.3,859.7,,,0
CDM,27201867_C1725_272,Hb Cath Bln Atlas 12X4X75,2474.19,865.97,,,0
CDM,27201869_C1725_272,Hb Cath Bln Atlas 14X4X120,2456.3,859.7,,,0
CDM,27201870_C1725_272,Hb Cath Bln Atlas 14X4X75,2490.81,871.78,,,0
CDM,27201872_C1725_272,Hb Cath Bln Atlas 16X4X75,2490.94,871.83,,,0
CDM,27201874_C1725_272,Hb Cath Bln Atlas 18X4X75,2476.32,866.71,,,0
CDM,27201875_C1725_272,Hb Cath Bln Atlas 20X4X75,2763.34,967.17,,,0
CDM,27201876_C1725_272,Hb Cath Bln Atlas 22X4X75,3132.13,1096.25,,,0
CDM,27201877_C1725_272,Hb Cath Bln Atlas 24X4X75,3947.63,1381.67,,,0
CDM,27201879_C1725_272,Hb Cath Bln Aviator Plus 5X20,2351.92,823.17,,,0
CDM,27201880_C1725_272,Hb Cath Bln Aviator Plus 4X20,2351.92,823.17,,,0
CDM,27201881_C1725_272,Hb Cath Bln Aviator Plus 4X30,2351.92,823.17,,,0
CDM,27201882_C1725_272,Hb Cath Bln Aviator Plus 4X40,2351.92,823.17,,,0
CDM,27201883_C1725_272,Hb Cath Bln Aviator Plus 5X30,2351.92,823.17,,,0
CDM,27201884_C1725_272,Hb Cath Bln Aviator Plus 5X40,2351.92,823.17,,,0
CDM,27201885_C1725_272,Hb Cath Bln Aviator Plus 6X20,2351.92,823.17,,,0
CDM,27201886_C1725_272,Hb Cath Bln Aviator Plus 6X30,2351.92,823.17,,,0
CDM,27201887_C1725_272,Hb Cath Bln Aviator Plus 6X40,2351.92,823.17,,,0
CDM,27201891_C1725_272,Hb Cath Bln Conquest 7X4X75,2246.46,786.26,,,0
CDM,27201892_C1725_272,Hb Cath Bln Conquest 7X8X75,2191.77,767.12,,,0
CDM,27201893_C1725_272,Hb Cath Bln Conquest 8X4X75,2201.28,770.45,,,0
CDM,27201894_C1725_272,Hb Cath Bln Conquest 8X8X75,2191.77,767.12,,,0
CDM,27201895_C1725_272,Hb Cath Bln Conquest 9X4X75,2219.34,776.77,,,0
CDM,27202132_C1725_272,Hb Cath Bln Inoue Mv 28Mm,12007.44,4202.6,,,0
CDM,27202415_C1725_272,Hb Cath Bln Sprinter 2.25X6,1735.94,607.58,,,0
CDM,27202506_C1725_272,Hb Cath Bln Sterling Mrl 4X20X135,2342.18,819.76,,,0
CDM,27202507_C1725_272,Hb Cath Bln Sterling Mrl 5X20X135,2342.18,819.76,,,0
CDM,27202508_C1725_272,Hb Cath Bln Sterling Mrl 6X20X135,2342.18,819.76,,,0
CDM,27202512_C1725_272,Hb Cath Bln Sterling Otw 4X20X135,2342.18,819.76,,,0
CDM,27202513_C1725_272,Hb Cath Bln Sterling Otw 4X20X80,2342.18,819.76,,,0
CDM,27202514_C1725_272,Hb Cath Bln Sterling Otw 4X40X135,2342.18,819.76,,,0
CDM,27202515_C1725_272,Hb Cath Bln Sterling Otw 4X40X80,2342.18,819.76,,,0
CDM,27202517_C1725_272,Hb Cath Bln Sterling Otw 5X20X80,2342.18,819.76,,,0
CDM,27202519_C1725_272,Hb Cath Bln Sterling Otw 5X40X80,2342.18,819.76,,,0
CDM,27202522_C1725_272,Hb Cath Bln Sterling Otw 6X40X135,2342.18,819.76,,,0
CDM,27202523_C1725_272,Hb Cath Bln Sterling Otw 6X40X80,2342.18,819.76,,,0
CDM,27202526_C1725_272,Hb Cath Bln Sterling Otw 7X40X135,2342.18,819.76,,,0
CDM,27202579_C1725_272,Hb Cath Bln Strlng Mr 3.5X40X135,2342.18,819.76,,,0
CDM,27202580_C1725_272,Hb Cath Bln Strlng Mr 3X60X135,2342.18,819.76,,,0
CDM,27202585_C1725_272,Hb Cath Bln Strlng Mr 7X60X135,2342.18,819.76,,,0
CDM,27202587_C1725_272,Hb Cath Bln Strlng Mrl 3.5X20X135,2342.18,819.76,,,0
CDM,27202593_C1725_272,Hb Cath Bln Strlng Mrl 4X40X135,2342.18,819.76,,,0
CDM,27202597_C1725_272,Hb Cath Bln Strlng Mrl 5X40X135,2342.18,819.76,,,0
CDM,27202601_C1725_272,Hb Cath Bln Strlng Mrl 6X40X135,2342.18,819.76,,,0
CDM,27202606_C1725_272,Hb Cath Bln Strlng Otw 5X80X135,2342.18,819.76,,,0
CDM,27202635_C1725_272,Hb Cath Bln Trek Otw 2.25X08,1248.48,436.97,,,0
CDM,27202644_C1725_272,Hb Cath Bln Trek Otw 2.5X08,1248.48,436.97,,,0
CDM,27202645_C1725_272,Hb Cath Bln Trek Otw 2.5X12,1248.48,436.97,,,0
CDM,27202646_C1725_272,Hb Cath Bln Trek Otw 2.5X15,1248.48,436.97,,,0
CDM,27202655_C1725_272,Hb Cath Bln Trek Otw 3.0X08,1248.48,436.97,,,0
CDM,27202695_C1725_272,Hb Cath Bln Trek Rx 1.50X08,1248.48,436.97,,,0
CDM,27202696_C1725_272,Hb Cath Bln Trek Rx 1.50X20,1248.48,436.97,,,0
CDM,27202697_C1725_272,Hb Cath Bln Trek Rx 1.5X12,1248.48,436.97,,,0
CDM,27202698_C1725_272,Hb Cath Bln Trek Rx 1.5X15,1248.48,436.97,,,0
CDM,27202700_C1725_272,Hb Cath Bln Trek Rx 2.0X08,1248.48,436.97,,,0
CDM,27202701_C1725_272,Hb Cath Bln Trek Rx 2.0X12,1248.48,436.97,,,0
CDM,27202702_C1725_272,Hb Cath Bln Trek Rx 2.0X15,1248.48,436.97,,,0
CDM,27202703_C1725_272,Hb Cath Bln Trek Rx 2.0X20,1248.48,436.97,,,0
CDM,27202704_C1725_272,Hb Cath Bln Trek Rx 2.0X25,1248.48,436.97,,,0
CDM,27202705_C1725_272,Hb Cath Bln Trek Rx 2.0X30,1248.48,436.97,,,0
CDM,27202707_C1725_272,Hb Cath Bln Trek Rx 2.25X08,1248.48,436.97,,,0
CDM,27202708_C1725_272,Hb Cath Bln Trek Rx 2.25X12,1248.48,436.97,,,0
CDM,27202709_C1725_272,Hb Cath Bln Trek Rx 2.25X15,1248.48,436.97,,,0
CDM,27202710_C1725_272,Hb Cath Bln Trek Rx 2.25X20,1248.48,436.97,,,0
CDM,27202713_C1725_272,Hb Cath Bln Trek Rx 2.50X25,1248.48,436.97,,,0
CDM,27202714_C1725_272,Hb Cath Bln Trek Rx 2.5X08,1248.48,436.97,,,0
CDM,27202715_C1725_272,Hb Cath Bln Trek Rx 2.5X12,1248.48,436.97,,,0
CDM,27202716_C1725_272,Hb Cath Bln Trek Rx 2.5X15,1248.48,436.97,,,0
CDM,27202717_C1725_272,Hb Cath Bln Trek Rx 2.5X20,1248.48,436.97,,,0
CDM,27202718_C1725_272,Hb Cath Bln Trek Rx 2.5X30,1248.48,436.97,,,0
CDM,27202721_C1725_272,Hb Cath Bln Trek Rx 2.75X12,1248.48,436.97,,,0
CDM,27202727_C1725_272,Hb Cath Bln Trek Rx 3.0X08,1248.48,436.97,,,0
CDM,27202728_C1725_272,Hb Cath Bln Trek Rx 3.0X12,1248.48,436.97,,,0
CDM,27202729_C1725_272,Hb Cath Bln Trek Rx 3.0X15,1248.48,436.97,,,0
CDM,27202730_C1725_272,Hb Cath Bln Trek Rx 3.0X20,1248.48,436.97,,,0
CDM,27202731_C1725_272,Hb Cath Bln Trek Rx 3.0X25,1248.48,436.97,,,0
CDM,27202741_C1725_272,Hb Cath Bln Trek Rx 3.5X08,1248.48,436.97,,,0
CDM,27202742_C1725_272,Hb Cath Bln Trek Rx 3.5X12,1248.48,436.97,,,0
CDM,27202743_C1725_272,Hb Cath Bln Trek Rx 3.5X15,1248.48,436.97,,,0
CDM,27202744_C1725_272,Hb Cath Bln Trek Rx 3.5X20,1248.48,436.97,,,0
CDM,27202754_C1725_272,Hb Cath Bln Trek Rx 4.0X08,1248.48,436.97,,,0
CDM,27202755_C1725_272,Hb Cath Bln Trek Rx 4.0X12,1248.48,436.97,,,0
CDM,27202756_C1725_272,Hb Cath Bln Trek Rx 4.0X15,1248.48,436.97,,,0
CDM,27202909_C1725_272,Hb Cath Bln Viatrac 6Mmx40Mm,2384.76,834.67,,,0
CDM,27202974_C1725_272,Hb Cath Bln Conquest 10X4X75,2223.96,778.39,,,0
CDM,27202975_C1725_272,Hb Cath Bln Conquest 6X4X75,2191.77,767.12,,,0
CDM,27202978_C1725_272,Hb Ccl Cath Bln Cutting 6X20X90,3128.61,1095.01,,,0
CDM,27202980_C1725_272,Hb Ccl Cath Bln Cutting 7X20X90,3128.61,1095.01,,,0
CDM,27203018_C1729_272,Hb Cath Drain 12Fx30,1061.05,371.37,,,0
CDM,27203021_C1729_272,Hb Cath Drain 8Fx30,1037.63,363.17,,,0
CDM,27203028_C1729_272,Hb Cath Drain Dawson Mueller 6F,913.05,319.57,,,0
CDM,27203029_C1729_272,Hb Cath Drain Dawson Mueller 8.5F,913.05,319.57,,,0
CDM,27203037_C1729_272,Hb Cath Drain Flexima 8Fr Firm,996.01,348.6,,,0
CDM,27203040_C1729_272,Hb Cath Mariner Kumpe 4Fx100,648.64,227.02,,,0
CDM,27203041_C1729_272,Hb Cath Mariner Kumpe 4Fx65,645.22,225.83,,,0
CDM,27203042_C1729_272,Hb Cath Mariner Kumpe 5Fx100,647.78,226.72,,,0
CDM,27203043_C1729_272,Hb Cath Mariner Kumpe 5Fx40,650.93,227.83,,,0
CDM,27203044_C1729_272,Hb Cath Mariner Kumpe 5Fx65,647.92,226.77,,,0
CDM,27203045_C1729_272,Hb Ccl Cath Drain Bentec 16F,1735.94,607.58,,,0
CDM,27203046_C1729_272,Hb Ccl Cath Drain Bentec 18F,1735.94,607.58,,,0
CDM,27203048_C1729_272,Hb Needle Yeuh Pigtail 5F,545.31,190.86,,,0
CDM,27203054_C1730_272,Hb Cath Cournard2 5Fr,984.91,344.72,,,0
CDM,27203065_C1730_272,Hb Cath Ez Steer Nav Df,2358.35,825.42,,,0
CDM,27203070_C1730_272,Hb Cath Josephson 6Fr,984.91,344.72,,,0
CDM,27203083_C1731_272,Hb Cath Dou Deca 7Fr,3762.33,1316.82,,,0
CDM,27203085_C1731_272,Hb Cath Dx 20 10Mm,4438.31,1553.41,,,0
CDM,27203091_C1731_272,Hb Cath Lasso 20 Pole 15Mm,7824.85,2738.7,,,0
CDM,27203151_C1750_272,Hb Cath Dialysis Duramax 55Cm,2614.18,914.96,,,0
CDM,27203188_C1751_272,Hb Cath Infusion 5F X 10 X 135,1669.86,584.45,,,0
CDM,27203190_C1751_272,Hb Cath Infusion 5F X 10 X 90,1829.89,640.46,,,0
CDM,27203192_C1751_272,Hb Cath Infusion 5F X 20 X 135,1669.86,584.45,,,0
CDM,27203194_C1751_272,Hb Cath Infusion 5F X 20 X 90,2694.06,942.92,,,0
CDM,27203196_C1751_272,Hb Cath Infusion 5F X 30 X 90,1669.86,584.45,,,0
CDM,27203202_C1751_272,Hb Cath Infusion 5F X 50 X 90,1669.86,584.45,,,0
CDM,27203204_C1751_272,Hb Cath Pig 5Fx70 Marker,1343.41,470.19,,,0
CDM,27203207_C1751_272,Hb Cath Powerline 5F Sl,2197.39,769.09,,,0
CDM,27203208_C1751_272,Hb Cath Powerline 6F Dl,2367.73,828.71,,,0
CDM,27203211_C1751_272,Hb Ccl Cath Infusion 5F X 50 X 135,1925.91,674.07,,,0
CDM,27203212_C1751_272,Hb Cath Pig 5F X100 Marker,1321.55,462.54,,,0
CDM,27203216_C1752_272,Hb Cath Dialysis Schon 20Cm,1208.51,422.98,,,0
CDM,27203217_C1752_272,Hb Cath Dialysis Schon 15Cm,1206.86,422.4,,,0
CDM,27203218_C1752_272,Hb Cath Dialysis Schon 24Cm,1267.55,443.64,,,0
CDM,27203222_C1753_272,Hb Cath Eagle Eye Platinum 5Fx150,3324.28,1163.5,,,0
CDM,27203225_C1753_272,Hb Ccl Cath Visions Volcan Pv 0.018,3001.86,1050.65,,,0
CDM,27203241_C1757_272,Hb Cath Export Aspiration,3832.65,1341.43,,,0
CDM,27203243_C1757_272,Hb Cath Fogarty 5.5F,1147.63,401.67,,,0
CDM,27203248_C1757_272,Hb Cath Reperfusion 032,7248.94,2537.13,,,0
CDM,27203253_C1757_272,Hb Cath Xpedior 6F X 120Cm,11562.72,4046.95,,,0
CDM,27203254_C1757_272,Hb Ccl Catheter Fogarty 4Fr,1147.63,401.67,,,0
CDM,27203256_C1759_272,Hb Cath Acunav Ultrasound 10Fr,11244.0,3935.4,,,0
CDM,27203259_C1760_272,Hb Closure Dev Angioseal Vip 6F,2631.91,921.17,,,0
CDM,27203259_C1760_278,Hb Closure Dev Angioseal Vip 6F,2785.28,974.85,,,0
CDM,27203263_C1760_278,Hb Closure Dev Angioseal 8F,2786.72,975.35,,,0
CDM,27203265_C1760_272,Hb Device Closure Perclose,2768.02,968.81,,,0
CDM,27203266_C1889_278,Hb Embosphere 900 1200,2193.8,767.83,,,0
CDM,27203271_C1769_272,Hb Amplatzer Guidewire .035 In,873.94,305.88,,,0
CDM,27203273_C1769_272,Hb Cath Glide 5Frx65Cm Angled,737.72,258.2,,,0
CDM,27203279_C1769_272,Hb Ccl Guidewire .014 Transend,1915.24,670.33,,,0
CDM,27203280_C1769_272,Hb Ccl Guidewire .035 260St,161.69,56.59,,,0
CDM,27203281_C1769_272,Hb Ccl Guidewire 180Cm Prowater,1040.4,364.14,,,0
CDM,27203283_C1769_272,Hb Ccl Guidewire 3 300 Miraclebros,1399.95,489.98,,,0
CDM,27203284_C1769_272,Hb Guidewire 300Cm Prowater,1040.4,364.14,,,0
CDM,27203285_C1769_272,Hb Guidewire Amplantz 180Cm,480.35,168.12,,,0
CDM,27203286_C1769_272,Hb Ccl Guidewire Bmw 190,971.04,339.86,,,0
CDM,27203287_C1769_272,Hb Ccl Guidewire Cougar Xt 014X190,943.3,330.16,,,0
CDM,27203290_C1769_272,Hb Ccl Guidewire Loc .035X115Cm,1495.15,523.3,,,0
CDM,27203294_C1769_272,Hb Ccl Wire Amplatz .035X145,486.85,170.4,,,0
CDM,27203299_C1769_272,Hb Wire Glide .035X150 Stiff,804.55,281.59,,,0
CDM,27203300_C1769_272,Hb Wire Glide .035X180 Angled,719.55,251.84,,,0
CDM,27203301_C1769_272,Hb Ccl Wire Glide Stiff Str,754.8,264.18,,,0
CDM,27203302_C1769_272,Hb Wire Glide Stiffang .035X260,759.75,265.91,,,0
CDM,27203308_C1769_272,Hb Ccl Wire Nitinol .018X80,924.84,323.69,,,0
CDM,27203311_C1769_272,Hb Wire Wholey,998.78,349.57,,,0
CDM,27203320_C1769_272,Hb Guidewire .025 X145,170.21,59.57,,,0
CDM,27203321_C1769_272,Hb Guidewire .035 X145 Mc,167.85,58.75,,,0
CDM,27203322_C1769_272,Hb Guidewire .035 X260J,158.42,55.45,,,0
CDM,27203325_C1769_272,Hb Guidewire 3 180 Miraclebros,1399.95,489.98,,,0
CDM,27203332_C1769_272,Hb Guidewire Bmw 300,971.04,339.86,,,0
CDM,27203337_C1769_272,Hb Guidewire Choice Pt Extra Supp,971.04,339.86,,,0
CDM,27203339_C1769_272,Hb Guidewire Choice Xs 182,971.04,339.86,,,0
CDM,27203345_C1769_272,Hb Guidewire Diag .035 X145 St,163.96,57.39,,,0
CDM,27203352_C1769_272,Hb Guidewire Hi Torque 145Cm,1041.09,364.38,,,0
CDM,27203385_C1769_272,Hb Guidewire Transcend Std Ex 014,2277.19,797.02,,,0
CDM,27203386_C1769_272,Hb Guidewire Transend .010,3233.78,1131.82,,,0
CDM,27203389_C1769_272,Hb Guidewire Whisper 190,971.04,339.86,,,0
CDM,27203390_C1769_272,Hb Guidewire Whisper 300,971.04,339.86,,,0
CDM,27203392_C1769_272,Hb Guidewire Wholey 260Cm,1248.48,436.97,,,0
CDM,27203394_C1769_272,Hb Guidewire Wiggle 300Cm,971.04,339.86,,,0
CDM,27203400_C1769_272,Hb Wire Amplatz .035X260,469.23,164.23,,,0
CDM,27203402_C1769_272,Hb Wire Amplatz Ss .035X145 3Mm J,430.42,150.65,,,0
CDM,27203411_C1769_272,Hb Wire Fathom .014X200 F Shape,2381.78,833.62,,,0
CDM,27203412_C1769_272,Hb Wire Fathom .014X200 Preshape,2381.78,833.62,,,0
CDM,27203415_C1769_272,Hb Wire Fathom 16,2321.65,812.58,,,0
CDM,27203419_C1769_272,Hb Wire Glide .025X150 Angled,743.13,260.1,,,0
CDM,27203423_C1769_272,Hb Wire Glide .035X150 Angled,536.37,187.73,,,0
CDM,27203425_C1769_272,Hb Wire Glide .035X260 Angled,787.05,275.47,,,0
CDM,27203426_C1769_272,Hb Wire Glide .038X260 Angled,789.35,276.27,,,0
CDM,27203427_C1769_272,Hb Wire Glide Advantage 180Cm,2358.83,825.59,,,0
CDM,27203428_C1769_272,Hb Wire Glide Advantage 260Cm,2578.87,902.6,,,0
CDM,27203429_C1769_272,Hb Wire Glide Gt .018X180 Ang,2090.83,731.79,,,0
CDM,27203430_C1769_272,Hb Wire Glide Gt .018X180 Str,2083.13,729.1,,,0
CDM,27203432_C1769_272,Hb Wire Guide .025 X 260J,279.77,97.92,,,0
CDM,27203434_C1769_272,Hb Wire Guide Bmw .014X190,971.04,339.86,,,0
CDM,27203435_C1769_272,Hb Wire Guide Bmw St 300Cm,943.3,330.16,,,0
CDM,27203436_C1769_272,Hb Wire Guide Fc .035X145,169.35,59.27,,,0
CDM,27203440_C1769_272,Hb Wire Guide Hybrid 88,1791.94,627.18,,,0
CDM,27203464_C1769_272,Hb Wire Illumax .018X180,1189.77,416.42,,,0
CDM,27203465_C1769_272,Hb Wire Illumax .018X80,1010.21,353.57,,,0
CDM,27203479_C1769_272,Hb Wire Nitinol .018X180,1294.68,453.14,,,0
CDM,27203495_C1769_272,Hb Wire Sv 5X180,924.57,323.6,,,0
CDM,27203496_C1769_272,Hb Wire Sv 5X300,924.57,323.6,,,0
CDM,27203497_C1769_272,Hb Wire Synchro 10,2602.0,910.7,,,0
CDM,27203506_C1769_272,Hb Wire Transcend 300 Floppy,2615.95,915.58,,,0
CDM,27203510_C1769_272,Hb Wire V 18 150Cm,1320.73,462.26,,,0
CDM,27203511_C1769_272,Hb Wire V 18 300Cm,1281.54,448.54,,,0
CDM,27203512_C1769_272,Hb Wire Whisper Es 190Cm,971.04,339.86,,,0
CDM,27203513_C1769_272,Hb Wire Whisper Es 300Cm,971.04,339.86,,,0
CDM,27203527_C1773_272,Hb Lead Locking Device #1,2549.71,892.4,,,0
CDM,27203528_C1773_272,Hb Lead Locking Device #2,2579.36,902.78,,,0
CDM,27203534_C1773_272,Hb Snare Ensnare 12 20,2825.44,988.9,,,0
CDM,27203535_C1773_272,Hb Snare Ensnare 18 30,2827.24,989.53,,,0
CDM,27203536_C1773_272,Hb Snare Ensnare 2 4,2912.92,1019.52,,,0
CDM,27203537_C1773_272,Hb Snare Ensnare 27 45,2833.32,991.66,,,0
CDM,27203538_C1773_272,Hb Snare Ensnare 4 8,2912.92,1019.52,,,0
CDM,27203539_C1773_272,Hb Snare Ensnare 6 10,2819.13,986.7,,,0
CDM,27203546_C1773_272,Hb Snare Gooseneck 20Mm,2597.68,909.19,,,0
CDM,27203547_C1773_272,Hb Snare Gooseneck 2Mm,2619.4,916.79,,,0
CDM,27203551_C1884_272,Hb Ccl Emboshield Nav 6 5.0,7560.24,2646.08,,,0
CDM,27203552_C1884_272,Hb Ccl Emboshield Nav 6 7.2,8322.74,2912.96,,,0
CDM,27203564_C1884_272,Hb Filter Embolic Spiderx 40,7093.28,2482.65,,,0
CDM,27203565_C1884_272,Hb Filter Embolic Spiderx 50,7093.28,2482.65,,,0
CDM,27203580_C1885_272,Hb Cath Elca Rx 0.9,15542.96,5440.04,,,0
CDM,27203583_C1885_272,Hb Cath Laser 1.7 Cos,15542.96,5440.04,,,0
CDM,27203593_C1887_272,Hb Cath Al1 5Fr,184.4,64.54,,,0
CDM,27203594_C1887_272,Hb Cath Al2 5Fr,184.4,64.54,,,0
CDM,27203595_C1887_272,Hb Cath Al3 5Fr,184.4,64.54,,,0
CDM,27203597_C1887_272,Hb Cath Ar Mod 5Fr,184.4,64.54,,,0
CDM,27203599_C1887_272,Hb Cath Ar1 5Fr,184.4,64.54,,,0
CDM,27203611_C1887_272,Hb Cath C2 5Fx100,292.25,102.29,,,0
CDM,27203612_C1887_272,Hb Cath C2 5Fx65 0 Sh,292.25,102.29,,,0
CDM,27203613_C1887_272,Hb Cath C2 5Fx65 W Sh,292.25,102.29,,,0
CDM,27203631_C1887_272,Hb Cath Diag Al 1 6Fr,184.4,64.54,,,0
CDM,27203632_C1887_272,Hb Cath Diag Al2 6Fr,184.4,64.54,,,0
CDM,27203634_C1887_272,Hb Cath Diag Ar1 6Fr,184.4,64.54,,,0
CDM,27203637_C1887_272,Hb Cath Diag Fl6 6Fr,184.4,64.54,,,0
CDM,27203638_C1887_272,Hb Cath Diag Fr5 5Fr,184.4,64.54,,,0
CDM,27203639_C1887_272,Hb Cath Diag Fr6 5Fr,184.4,64.54,,,0
CDM,27203642_C1887_272,Hb Cath Diag Pig 5Fr,184.4,64.54,,,0
CDM,27203643_C1887_272,Hb Cath Diag Pig 6Fr,184.4,64.54,,,0
CDM,27203644_C1887_272,Hb Cath Diag Pig Ang 5Fr,184.4,64.54,,,0
CDM,27203645_C1887_272,Hb Cath Diag Rcb 6Fr,184.4,64.54,,,0
CDM,27203647_C1887_272,Hb Cath Diag Williams Right 5Fr,184.4,64.54,,,0
CDM,27203648_C1887_272,Hb Cath Echelon 10 45,3517.74,1231.21,,,0
CDM,27203654_C1887_272,Hb Cath Envoy 5F Mpc,3657.2,1280.02,,,0
CDM,27203655_C1887_272,Hb Cath Envoy 5F Mpd,3657.2,1280.02,,,0
CDM,27203657_C1887_272,Hb Cath Envoy 6F Mpd,3657.2,1280.02,,,0
CDM,27203659_C1887_272,Hb Cath Fl3.5 5Fr,184.4,64.54,,,0
CDM,27203660_C1887_272,Hb Cath Fl3.5 6Fr,184.4,64.54,,,0
CDM,27203662_C1887_272,Hb Cath Fl4 5Fr,184.4,64.54,,,0
CDM,27203663_C1887_272,Hb Cath Fl4 6Fr,184.4,64.54,,,0
CDM,27203664_C1887_272,Hb Cath Fl4.5 5Fr,184.4,64.54,,,0
CDM,27203665_C1887_272,Hb Cath Fl4.5 6Fr,184.4,64.54,,,0
CDM,27203666_C1887_272,Hb Cath Fl5 5Fr,184.4,64.54,,,0
CDM,27203667_C1887_272,Hb Cath Fl5 6Fr,184.4,64.54,,,0
CDM,27203669_C1887_272,Hb Cath Fr3.5 5Fr,184.4,64.54,,,0
CDM,27203670_C1887_272,Hb Cath Fr3.5 6Fr,184.4,64.54,,,0
CDM,27203671_C1887_272,Hb Cath Fr4 5Fr,184.4,64.54,,,0
CDM,27203672_C1887_272,Hb Cath Fr4 6Fr,184.4,64.54,,,0
CDM,27203677_C1887_272,Hb Cath Guide 3Drc 6F,827.73,289.71,,,0
CDM,27203680_C1887_272,Hb Cath Guide 5F Ebu35,695.29,243.35,,,0
CDM,27203683_C1887_272,Hb Cath Guide 5F Jl4,695.29,243.35,,,0
CDM,27203684_C1887_272,Hb Cath Guide 5F Jr4,695.29,243.35,,,0
CDM,27203693_C1887_272,Hb Cath Guide Al 1 Sh 6F,695.29,243.35,,,0
CDM,27203695_C1887_272,Hb Cath Guide 3Drc Sh 6F,695.29,243.35,,,0
CDM,27203698_C1887_272,Hb Cath Guide 7F Al1,695.29,243.35,,,0
CDM,27203701_C1887_272,Hb Cath Guide 7F Ebu35,695.29,243.35,,,0
CDM,27203705_C1887_272,Hb Cath Guide 8F Al1,762.96,267.04,,,0
CDM,27203708_C1887_272,Hb Cath Guide 8F Al20,827.73,289.71,,,0
CDM,27203710_C1887_272,Hb Cath Guide 8F Ebu35,827.73,289.71,,,0
CDM,27203712_C1887_272,Hb Cath Guide 8F Ebu375,827.73,289.71,,,0
CDM,27203713_C1887_272,Hb Cath Guide 8F Ebu40,827.73,289.71,,,0
CDM,27203725_C1887_272,Hb Cath Guide Al1 Launcher 6Fr,695.29,243.35,,,0
CDM,27203727_C1887_272,Hb Cath Guide Al1.5 6Fr,695.29,243.35,,,0
CDM,27203729_C1887_272,Hb Cath Guide Al2 6Fr,695.29,243.35,,,0
CDM,27203732_C1887_272,Hb Cath Guide Al2 7Fr,695.29,243.35,,,0
CDM,27203736_C1887_272,Hb Cath Guide Ar1 6F,695.29,243.35,,,0
CDM,27203740_C1887_272,Hb Cath Guide Ar2 6Fr,695.29,243.35,,,0
CDM,27203752_C1887_272,Hb Cath Guide Biopsy 7F,695.29,243.35,,,0
CDM,27203754_C1887_272,Hb Cath Guide Cath Ebu3 6F,695.29,243.35,,,0
CDM,27203755_C1887_272,Hb Cath Guide Cath Ebu3.5 6Fr,695.29,243.35,,,0
CDM,27203756_C1887_272,Hb Cath Guide Cath Ebu4 6F,695.29,243.35,,,0
CDM,27203757_C1887_272,Hb Cath Guide Cath Jl3.5 6Fr,695.29,243.35,,,0
CDM,27203758_C1887_272,Hb Cath Guide Cath Jl4 6F,695.29,243.35,,,0
CDM,27203759_C1887_272,Hb Cath Guide Cath Jr4 6F,695.29,243.35,,,0
CDM,27203760_C1887_272,Hb Cath Guide Champ 0.5 6F,695.29,243.35,,,0
CDM,27203762_C1887_272,Hb Cath Guide Champ 1 6F,695.29,243.35,,,0
CDM,27203765_C1887_272,Hb Cath Guide Champ 2 6F,695.29,243.35,,,0
CDM,27203778_C1887_272,Hb Cath Guide Ebu3.5 Sh 6Fr,695.29,243.35,,,0
CDM,27203780_C1887_272,Hb Cath Guide Ebu3.75 6Fr,695.29,243.35,,,0
CDM,27203781_C1887_272,Hb Cath Guide Ebu3.75 7Fr,695.29,243.35,,,0
CDM,27203782_C1887_272,Hb Cath Guide Ebu35 6F X 90Cm,695.29,243.35,,,0
CDM,27203783_C1887_272,Hb Cath Guide Ebu35 7F X 90Cm,695.29,243.35,,,0
CDM,27203784_C1887_272,Hb Cath Guide Ebu35 8F X 90Cm,695.29,243.35,,,0
CDM,27203785_C1887_272,Hb Cath Guide Ebu4 7F,695.29,243.35,,,0
CDM,27203788_C1887_272,Hb Cath Guide Ebu4 8F X 90Cm,695.29,243.35,,,0
CDM,27203789_C1887_272,Hb Cath Guide Ebu4 Sh 6Fr,695.29,243.35,,,0
CDM,27203790_C1887_272,Hb Cath Guide Ebu4.5 6Fr,695.29,243.35,,,0
CDM,27203791_C1887_272,Hb Cath Guide Ebu4Sh 7F,695.29,243.35,,,0
CDM,27203826_C1887_272,Hb Cath Guide Hsi 6Fr,695.29,243.35,,,0
CDM,27203827_C1887_272,Hb Cath Guide Hsi Sh,695.29,243.35,,,0
CDM,27203834_C1887_272,Hb Cath Guide Ima 6F,695.29,243.35,,,0
CDM,27203836_C1887_272,Hb Cath Guide Ima 7F,827.73,289.71,,,0
CDM,27203837_C1887_272,Hb Cath Guide Ima 90Cm 6F,695.29,243.35,,,0
CDM,27203840_C1887_272,Hb Cath Guide Jl3.5 Sh 6Fr,695.29,243.35,,,0
CDM,27203843_C1887_272,Hb Cath Guide Jl4 7Fr,761.51,266.53,,,0
CDM,27203845_C1887_272,Hb Cath Guide Jl4 Sh 6Fr,695.29,243.35,,,0
CDM,27203847_C1887_272,Hb Cath Guide Jl4.5 6Fr,695.29,243.35,,,0
CDM,27203848_C1887_272,Hb Cath Guide Jl4.5Sh 6F,695.29,243.35,,,0
CDM,27203850_C1887_272,Hb Cath Guide Jl5.0 6F,695.29,243.35,,,0
CDM,27203852_C1887_272,Hb Cath Guide Jr3.5 6Fr,695.29,243.35,,,0
CDM,27203855_C1887_272,Hb Cath Guide Jr4 7Fr,695.29,243.35,,,0
CDM,27203856_C1887_272,Hb Cath Guide Jr4 Sh 6Fr,695.29,243.35,,,0
CDM,27203857_C1887_272,Hb Cath Guide Jr4 Sh 7Fr,695.29,243.35,,,0
CDM,27203858_C1887_272,Hb Cath Guide Jr4.0 8F,827.73,289.71,,,0
CDM,27203861_C1887_272,Hb Cath Guide Lcb 6Fr,695.29,243.35,,,0
CDM,27203871_C1887_272,Hb Cath Guide Mp1 6F,768.87,269.1,,,0
CDM,27203884_C1887_272,Hb Cath Guide Rbu3.5 6F,695.29,243.35,,,0
CDM,27203889_C1887_272,Hb Cath Guide Rcb 6Fr,695.29,243.35,,,0
CDM,27203893_C1887_272,Hb Cath Guide Rdc 6F,827.73,289.71,,,0
CDM,27203922_C1887_272,Hb Cath H1 5Fx100,320.09,112.03,,,0
CDM,27203940_C1887_272,Hb Cath Im 5Fr,184.4,64.54,,,0
CDM,27203941_C1887_272,Hb Cath Im 6Fr,184.4,64.54,,,0
CDM,27203947_C1887_272,Hb Cath Kumpe 5Fx40 038,301.25,105.44,,,0
CDM,27203948_C1887_272,Hb Cath Kumpe 5Fx65 038,300.68,105.24,,,0
CDM,27203949_C1887_272,Hb Cath Lcb 5Fr,184.4,64.54,,,0
CDM,27203950_C1887_272,Hb Cath Lcb 6Fr,184.4,64.54,,,0
CDM,27203954_C1887_272,Hb Cath Mariner Beren 4Fx130,1281.77,448.62,,,0
CDM,27203957_C1887_272,Hb Cath Mariner Beren 5Fx130,1273.65,445.78,,,0
CDM,27203961_C1887_272,Hb Cath Mariner C1 5Fx65,641.49,224.52,,,0
CDM,27203962_C1887_272,Hb Cath Mariner C2 5Fx65,633.62,221.77,,,0
CDM,27203964_C1887_272,Hb Cath Mariner C2 4Fx65,638.34,223.42,,,0
CDM,27203966_C1887_272,Hb Cath Mariner Hawkins Hp 4Fx90,638.34,223.42,,,0
CDM,27203971_C1887_272,Hb Cath Mariner Mikaelsson 5Fx80,641.23,224.43,,,0
CDM,27203974_C1887_272,Hb Cath Mariner Shep Hook 4Fx65,625.76,219.02,,,0
CDM,27203983_C1887_272,Hb Cath Mpa1 5Fr,184.4,64.54,,,0
CDM,27203984_C1887_272,Hb Cath Mpa1 6Fr,184.4,64.54,,,0
CDM,27203986_C1887_272,Hb Cath Mpa2 6Fr,184.4,64.54,,,0
CDM,27203990_C1887_272,Hb Cath Multipak 5Fr,553.2,193.62,,,0
CDM,27203991_C1887_272,Hb Cath Multipak 6Fr,553.2,193.62,,,0
CDM,27203992_C1887_272,Hb Cath Multipak Ang 6F,553.2,193.62,,,0
CDM,27203995_C1887_272,Hb Cath Omni Flush 5Fx65,302.03,105.71,,,0
CDM,27204001_C1887_272,Hb Cath Pig 5Fx65,300.58,105.2,,,0
CDM,27204002_C1887_272,Hb Cath Pig 5Fx90,300.63,105.22,,,0
CDM,27204003_C1887_272,Hb Cath Pig 6Fx110,299.79,104.93,,,0
CDM,27204004_C1887_272,Hb Cath Pigtail 145 Angled 6F,184.4,64.54,,,0
CDM,27204005_C1887_272,Hb Cath Progreat 110,2867.39,1003.59,,,0
CDM,27204007_C1887_272,Hb Cath Progreat 130 W Wire,2508.91,878.12,,,0
CDM,27204008_C1887_272,Hb Cath Progreat 24F 130Cm,2831.61,991.06,,,0
CDM,27204017_C1887_272,Hb Cath Prowler Plus Str,4376.27,1531.69,,,0
CDM,27204021_C1887_272,Hb Cath Prowler Select Plus Str,4376.27,1531.69,,,0
CDM,27204030_C1887_272,Hb Cath Rcb 5Fr,184.4,64.54,,,0
CDM,27204032_C1887_272,Hb Cath Rebar 18,2631.91,921.17,,,0
CDM,27204033_C1887_272,Hb Cath Renagade 150,2398.13,839.35,,,0
CDM,27204034_C1887_272,Hb Cath Renagade 150 10,2790.42,976.65,,,0
CDM,27204036_C1887_272,Hb Cath Renagade Neuro 150Cm,5105.22,1786.83,,,0
CDM,27204040_C1887_272,Hb Cath Renegade Hi Flo 105,2790.42,976.65,,,0
CDM,27204041_C1887_272,Hb Cath Renegade Hi Flo 135,2821.8,987.63,,,0
CDM,27204043_C1887_272,Hb Cath Rim 5Fx65,296.89,103.91,,,0
CDM,27204045_C1887_272,Hb Cath Shephard Hook 5Fx65,298.22,104.38,,,0
CDM,27204054_C1887_272,Hb Cath Sos 2 5Fx80,302.0,105.7,,,0
CDM,27204066_C1887_272,Hb Cath Williams Right 6F,184.4,64.54,,,0
CDM,27204069_C1887_272,Hb Ccl Cath C2 4Fx65,292.25,102.29,,,0
CDM,27204080_C1887_272,Hb Ccl Cath Quick Cross .035X135,1691.7,592.1,,,0
CDM,27204081_C1887_272,Hb Ccl Cath Sos 0 4Fx80,303.19,106.12,,,0
CDM,27204082_C1887_272,Hb Ccl Cath Sos 0 5Fx80,301.05,105.37,,,0
CDM,27204083_C1887_272,Hb Ccl Cath Sos 2 4Fx80,300.82,105.29,,,0
CDM,27204084_C1887_272,Hb Ccl Cath Str Flush 4Fx70,1421.44,497.5,,,0
CDM,27204097_C1892_272,Hb Sheath Peel Away 20 Fr,702.08,245.73,,,0
CDM,27204104_C1892_272,Hb Sheath Peel Away 18Fr,702.08,245.73,,,0
CDM,27204105_C1892_272,Hb Sheath Peel Away 24Fr,702.08,245.73,,,0
CDM,27204106_C1892_272,Hb Sheath Peel Away 7Fr,847.85,296.75,,,0
CDM,27204107_C1892_272,Hb Sheath Peel Away 8F,847.85,296.75,,,0
CDM,27204109_C1892_272,Hb Sheath Peel Away22Fr,702.08,245.73,,,0
CDM,27204123_C1893_272,Hb Introducer Sl1 8.5F,1679.94,587.98,,,0
CDM,27204130_C1893_272,Hb Sheath Neck,687.48,240.62,,,0
CDM,27204134_C1893_272,Hb Sheath Sl 1 10F,2188.87,766.1,,,0
CDM,27204143_C1893_272,Hb Sheath Sro 8.5F,1679.94,587.98,,,0
CDM,27204152_C1894_272,Hb Sheath Pinnacle 10Cm 6Fr,455.83,159.54,,,0
CDM,27204153_C1894_272,Hb Sheath Pinnacle 10Cm 7Fr,455.04,159.26,,,0
CDM,27204154_C1894_272,Hb Sheath Pinnacle 10Cm 8Fr,457.17,160.01,,,0
CDM,27204155_C1894_272,Hb Ccl Sheath Pinnacle 25Cm 11Fr,553.62,193.77,,,0
CDM,27204156_C1894_272,Hb Sheath Pinnacle 25Cm 8Fr,580.34,203.12,,,0
CDM,27204158_C1894_272,Hb Ccl Sheath Pinnacle 6Frx45 Hs,1172.22,410.28,,,0
CDM,27204159_C1894_272,Hb Sheath Pinnacle 6Frx45 Mp,1170.36,409.63,,,0
CDM,27204160_C1894_272,Hb Sheath Pinnacle 6Frx45 St,1172.46,410.36,,,0
CDM,27204161_C1894_272,Hb Sheath Pinnacle 7Frx45 Hs,1170.36,409.63,,,0
CDM,27204162_C1894_272,Hb Sheath Pinnacle 7Frx45 Mp,1173.72,410.8,,,0
CDM,27204163_C1894_272,Hb Sheath Pinnacle 7Frx45 St,1170.36,409.63,,,0
CDM,27204164_C1894_272,Hb Ccl Sheath Pinnacle R O 4X10,453.91,158.87,,,0
CDM,27204165_C1894_272,Hb Sheath Pinnacle R O 5X25,580.92,203.32,,,0
CDM,27204166_C1894_272,Hb Ccl Sheath Pinnacle R O 9X25,581.9,203.66,,,0
CDM,27204167_C1894_272,Hb Ccl Sheath Pinnacle W Wire 5Fr,242.28,84.8,,,0
CDM,27204178_C1894_272,Hb Kit Accustick Nitinol,1291.48,452.02,,,0
CDM,27204181_C1894_272,Hb Micro Puncture 4Fr,408.22,142.88,,,0
CDM,27204182_C1894_272,Hb Micro Puncture 5Fr,411.62,144.07,,,0
CDM,27204185_C1894_272,Hb Needle Accustial,232.34,81.32,,,0
CDM,27204193_C1894_272,Hb Set Tlab Liver Biopsy,4258.5,1490.48,,,0
CDM,27204194_C1894_272,Hb Set Transjugular Liver Access,3832.57,1341.4,,,0
CDM,27204195_C1894_272,Hb Sheath Pinnacle 11Cm 8Fr,242.1,84.74,,,0
CDM,27204196_C1894_272,Hb Sheath Pinnacle W Wire 8Fr,243.94,85.38,,,0
CDM,27204197_C1894_272,Hb Sheath 10F,185.56,64.95,,,0
CDM,27204198_C1894_272,Hb Sheath 11Fr,186.08,65.13,,,0
CDM,27204200_C1894_272,Hb Sheath 12Fr,185.56,64.95,,,0
CDM,27204202_C1894_272,Hb Sheath 14Fr,185.56,64.95,,,0
CDM,27204203_C1894_272,Hb Sheath 9.5,449.51,157.33,,,0
CDM,27204204_C1894_272,Hb Sheath Ansel 8F,1011.27,353.94,,,0
CDM,27204205_C1894_272,Hb Sheath Ansel Hi Flex 8Fx55,1073.48,375.72,,,0
CDM,27204231_C1894_272,Hb Sheath Pinnacle 10Fx10,254.09,88.93,,,0
CDM,27204232_C1894_272,Hb Sheath Pinnacle 10Fx25,554.61,194.11,,,0
CDM,27204233_C1894_272,Hb Sheath Pinnacle 11Fx10,252.88,88.51,,,0
CDM,27204237_C1894_272,Hb Sheath Pinnacle 5F,242.6,84.91,,,0
CDM,27204238_C1894_272,Hb Sheath Pinnacle 6F,243.35,85.17,,,0
CDM,27204240_C1894_272,Hb Sheath Pinnacle 6Fx25,582.17,203.76,,,0
CDM,27204241_C1894_272,Hb Sheath Pinnacle 6Fx45 Rdc,1170.36,409.63,,,0
CDM,27204242_C1894_272,Hb Sheath Pinnacle 6Fx6,417.18,146.01,,,0
CDM,27204243_C1894_272,Hb Sheath Pinnacle 7F,242.77,84.97,,,0
CDM,27204244_C1894_272,Hb Sheath Pinnacle 7Fx25,581.75,203.61,,,0
CDM,27204246_C1894_272,Hb Sheath Pinnacle 7Fx6,418.67,146.53,,,0
CDM,27204247_C1894_272,Hb Sheath Pinnacle R O 5X10,456.49,159.77,,,0
CDM,27204248_C1894_272,Hb Sheath Pinnacle R O 9X10,456.79,159.88,,,0
CDM,27204249_C1894_272,Hb Sheath Pinnacle W Wire 6Fr,243.18,85.11,,,0
CDM,27204250_C1894_272,Hb Sheath Pinnacle W Wire 7Fr,243.79,85.33,,,0
CDM,27204256_C1894_272,Hb Sheath Shuttle 7Fx90,1495.37,523.38,,,0
CDM,27204263_C1894_272,Hb Sheath Super Flex 8X80,1551.14,542.9,,,0
CDM,27204268_C1894_272,Hb Sheath Super Flex 8X35,1197.77,419.22,,,0
CDM,27204284_C2628_272,Hb Cath Bln Hyperglide 3X15,6226.08,2179.13,,,0
CDM,27204298_C2628_272,Hb Plug Vascular Amplatzer 2 10Mm,2486.35,870.22,,,0
CDM,27204299_C2628_272,Hb Plug Vascular Amplatzer 2 12Mm,2734.99,957.25,,,0
CDM,27204301_C2628_272,Hb Plug Vascular Amplatzer 2 16Mm,2734.99,957.25,,,0
CDM,27204302_C2628_272,Hb Plug Vascular Amplatzer 2 18Mm,2497.65,874.18,,,0
CDM,27204304_C2628_272,Hb Plug Vascular Amplatzer 2 22Mm,2734.99,957.25,,,0
CDM,27204305_C2628_272,Hb Plug Vascular Amplatzer 2 4Mm,2260.32,791.11,,,0
CDM,27204306_C2628_272,Hb Plug Vascular Amplatzer 2 6Mm,2260.32,791.11,,,0
CDM,27204307_C2628_272,Hb Plug Vascular Amplatzer 2 8Mm,2734.99,957.25,,,0
CDM,27204309_C2628_272,Hb Plug Vascular Amplatzer 6Mm,1553.97,543.89,,,0
CDM,27204322_144285,Hb Sup Rev 272 Hcpcs A4314,417.05,145.97,,,0
CDM,27204322_89259,Hb Sup Rev 272 Hcpcs A4314,580.38,203.13,,,0
CDM,27204322_A4314_272,Hb Sup Rev 272 Hcpcs A4314,429.42,150.3,,,0
CDM,27204323_1436,Hb Sup Rev 272 Hcpcs A4338,246.56,86.3,,,0
CDM,27204323_1708,Hb Sup Rev 272 Hcpcs A4338,152.86,53.5,,,0
CDM,27204323_1726,Hb Sup Rev 272 Hcpcs A4338,174.2,60.97,,,0
CDM,27204323_1727,Hb Sup Rev 272 Hcpcs A4338,174.2,60.97,,,0
CDM,27204323_1747,Hb Sup Rev 272 Hcpcs A4338,152.86,53.5,,,0
CDM,27204323_72407,Hb Sup Rev 272 Hcpcs A4338,174.19,60.97,,,0
CDM,27204324_1732,Hb Sup Rev 272 Hcpcs A4344,86.29,30.2,,,0
CDM,27204324_1735,Hb Sup Rev 272 Hcpcs A4344,86.28,30.2,,,0
CDM,27204324_72142,Hb Sup Rev 272 Hcpcs A4344,86.28,30.2,,,0
CDM,27204325_1864,Hb Sup Rev 272 Hcpcs A4346,206.66,72.33,,,0
CDM,27204325_20243,Hb Sup Rev 272 Hcpcs A4346,239.37,83.78,,,0
CDM,27204325_2109,Hb Sup Rev 272 Hcpcs A4346,557.08,194.98,,,0
CDM,27204325_215554,Hb Sup Rev 272 Hcpcs A4346,446.04,156.11,,,0
CDM,27204326_1720,Hb Sup Rev 272 Hcpcs A4351,66.44,23.25,,,0
CDM,27204326_1863,Hb Sup Rev 272 Hcpcs A4351,17.86,6.25,,,0
CDM,27204326_2444,Hb Sup Rev 272 Hcpcs A4351,17.86,6.25,,,0
CDM,27204326_2445,Hb Sup Rev 272 Hcpcs A4351,17.86,6.25,,,0
CDM,27204329_2719,Hb Sup Rev 272 Hcpcs A4364,193.07,67.57,,,0
CDM,27204333_68722,Hb Sup Rev 272 Hcpcs A4550,1261.66,441.58,,,0
CDM,27204344_17410,Hb Sup Rev 272 Hcpcs A6207,414.72,145.15,,,0
CDM,27204344_2212,Hb Sup Rev 272 Hcpcs A6207,580.38,203.13,,,0
CDM,27204345_17412,Hb Sup Rev 272 Hcpcs A6208,207.82,72.74,,,0
CDM,27204355_189010,Hb Sup Rev 272 Hcpcs A6251,170.71,59.75,,,0
CDM,27204355_3329,Hb Sup Rev 272 Hcpcs A6251,300.46,105.16,,,0
CDM,27204356_71891,Hb Sup Rev 272 Hcpcs A6252,717.81,251.23,,,0
CDM,27204357_71893,Hb Sup Rev 272 Hcpcs A6254,251.43,88.0,,,0
CDM,27204358_2215,Hb Sup Rev 272 Hcpcs A6255,289.7,101.4,,,0
CDM,27204359_2214,Hb Sup Rev 272 Hcpcs A6256,579.18,202.71,,,0
CDM,27204368_362,Hb Sup Rev 272 Hcpcs A7048,660.98,231.34,,,0
CDM,27204368_402,Hb Sup Rev 272 Hcpcs A7048,846.54,296.29,,,0
CDM,27204368_74180,Hb Sup Rev 272 Hcpcs A7048,957.17,335.01,,,0
CDM,27204369_166228,Hb Sup Rev 272 Hcpcs A7520,637.68,223.19,,,0
CDM,27204369_326,Hb Sup Rev 272 Hcpcs A7520,595.3,208.36,,,0
CDM,27204370_175092,Hb Sup Rev 272 Hcpcs A7521,828.24,289.88,,,0
CDM,27204370_175093,Hb Sup Rev 272 Hcpcs A7521,828.24,289.88,,,0
CDM,27204370_282,Hb Sup Rev 272 Hcpcs A7521,696.62,243.82,,,0
CDM,27204370_328,Hb Sup Rev 272 Hcpcs A7521,698.61,244.51,,,0
CDM,27204370_329,Hb Sup Rev 272 Hcpcs A7521,699.4,244.79,,,0
CDM,27204370_330,Hb Sup Rev 272 Hcpcs A7521,698.36,244.43,,,0
CDM,27204370_371,Hb Sup Rev 272 Hcpcs A7521,877.26,307.04,,,0
CDM,27204370_372,Hb Sup Rev 272 Hcpcs A7521,877.26,307.04,,,0
CDM,27204370_374,Hb Sup Rev 272 Hcpcs A7521,877.26,307.04,,,0
CDM,27204370_376,Hb Sup Rev 272 Hcpcs A7521,877.26,307.04,,,0
CDM,27204370_65270,Hb Sup Rev 272 Hcpcs A7521,2402.54,840.89,,,0
CDM,27204370_69657,Hb Sup Rev 272 Hcpcs A7521,640.04,224.01,,,0
CDM,27204370_69658,Hb Sup Rev 272 Hcpcs A7521,639.78,223.92,,,0
CDM,27204370_69659,Hb Sup Rev 272 Hcpcs A7521,640.83,224.29,,,0
CDM,27204370_69662,Hb Sup Rev 272 Hcpcs A7521,699.1,244.68,,,0
CDM,27204373_161448,Hb Sup Rev 272 Hcpcs C1727,3714.35,1300.02,,,0
CDM,27204373_2178,Hb Sup Rev 272 Hcpcs C1727,3586.34,1255.22,,,0
CDM,27204373_2233,Hb Sup Rev 272 Hcpcs C1727,3316.6,1160.81,,,0
CDM,27204388_272,Hb Cannul Cardioplegia Retro,1026.25,359.19,,,0
CDM,27204389_272,Hb Cannula 14Fr Retrograde,1175.96,411.59,,,0
CDM,27204390_272,Hb Cannula Aortic Ext Soft,607.89,212.76,,,0
CDM,27204391_272,Hb Cannula Aortic Root 12Ga,396.17,138.66,,,0
CDM,27204392_272,Hb Cannula Arterial 15Fr,2761.6,966.56,,,0
CDM,27204393_272,Hb Cannula Arterial 15Fr,2791.44,977.0,,,0
CDM,27204395_272,Hb Cannula Arterial 21Fr,2629.62,920.37,,,0
CDM,27204397_272,Hb Cannula Arterial Femoral 19Fr,2761.6,966.56,,,0
CDM,27204398_272,Hb Cannula Arterial Perc 17Fr,2791.44,977.0,,,0
CDM,27204399_272,Hb Cannula Arterial Perc 19Fr,2807.2,982.52,,,0
CDM,27204401_272,Hb Cannula Artery 17Fr,652.25,228.29,,,0
CDM,27204402_272,Hb Cannula Artery 20Fr,697.95,244.28,,,0
CDM,27204406_272,Hb Cannula Biomedicus 21Fr,3236.46,1132.76,,,0
CDM,27204407_272,Hb Cannula Biomedicus 25Fr,3236.46,1132.76,,,0
CDM,27204410_272,Hb Cannula Eopa Cap 24Fr,860.76,301.27,,,0
CDM,27204411_272,Hb Cannula Ez Glide Bumb 21F,712.67,249.43,,,0
CDM,27204412_272,Hb Cannula Ez Glide Flange 21Fr,741.15,259.4,,,0
CDM,27204413_272,Hb Cannula Gundry 15Fr,1061.21,371.42,,,0
CDM,27204416_272,Hb Cannula Retrograde 14Fr,922.49,322.87,,,0
CDM,27204417_272,Hb Cannula Root Ao 14 Ga,335.16,117.31,,,0
CDM,27204419_272,Hb Cannula Sgl Stage Rt Ang 28Fr,427.6,149.66,,,0
CDM,27204421_272,Hb Cannula Sgl Stage Venous 28Fr,558.53,195.49,,,0
CDM,27204422_272,Hb Cannula Soflow 7Mm 21Fr,734.03,256.91,,,0
CDM,27204423_272,Hb Cannula Venous 19Fr,2670.6,934.71,,,0
CDM,27204424_272,Hb Cannula Venous 21Fr,2807.2,982.52,,,0
CDM,27204425_272,Hb Cannula Venous Metal 24Fr,471.15,164.9,,,0
CDM,27204426_272,Hb Cannula Venous Rt 24Fr,695.29,243.35,,,0
CDM,27204434_272,Hb Cath Dual Venous 1 Basket,556.24,194.68,,,0
CDM,27204435_272,Hb Cath Dual Venous 2 Basket,556.24,194.68,,,0
CDM,27204436_272,Hb Cath Return Venous 32/40F,612.52,214.38,,,0
CDM,27204443_272,Hb Connect Y Carm 3/8X3/8X3/8,255.14,89.3,,,0
CDM,27204447_272,Hb Connector Carm Coated 3/8X3/8,243.55,85.24,,,0
CDM,27204455_272,Hb Extension Coronary Perfusion,182.77,63.97,,,0
CDM,27204461_272,Hb Hemoconcentrator Capiox,1061.21,371.42,,,0
CDM,27204462_272,Hb Hemoconcentrator Mini Hi,1467.15,513.5,,,0
CDM,27204464_272,Hb Kit Insertion Cannula,712.75,249.46,,,0
CDM,27204469_272,Hb Oxygenator Quadrox D,3098.15,1084.35,,,0
CDM,27204470_272,Hb Pack Custom Tubing,347.92,121.77,,,0
CDM,27204476_272,Hb Pump Biomedicus Blood,2401.49,840.52,,,0
CDM,27204477_272,Hb Quick Prime Line,139.17,48.71,,,0
CDM,27204479_272,Hb Set Cardioplegia Manage,467.14,163.5,,,0
CDM,27204481_272,Hb Shump Intra Cardial 12Fr Sm,263.96,92.39,,,0
CDM,27204482_272,Hb Sump Ca Intra 12Fr,284.37,99.53,,,0
CDM,27204484_272,"""Hb Tubing 1/2""""""",1752.18,613.26,,,0
CDM,27204492_C1894_272,Hb Micropuncture Stiff 5F,739.33,258.77,,,0
CDM,27204493_C1894_272,Hb Sheath Checkflo 14X13,703.59,246.26,,,0
CDM,27204501_272,Hb Cvc Catheter,6238.19,2183.37,,,0
CDM,27204502_272,Hb Cvc Supply,2341.3,819.46,,,0
CDM,27204504_162330,Hb Special Order Or Supply,1050.66,367.73,,,0
CDM,27204504_191378,Hb Special Order Or Supply,2545.69,890.99,,,0
CDM,27204504_197528,Hb Special Order Or Supply,1623.94,568.38,,,0
CDM,27204504_197653,Hb Special Order Or Supply,639.01,223.65,,,0
CDM,27204504_198576,Hb Special Order Or Supply,184.4,64.54,,,0
CDM,27204504_198724,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_198793,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_198794,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_198796,Hb Special Order Or Supply,501.0,175.35,,,0
CDM,27204504_199022,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_199205,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_199389,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_199390,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_199695,Hb Special Order Or Supply,7262.28,2541.8,,,0
CDM,27204504_199751,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_199752,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_199753,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_199796,Hb Special Order Or Supply,2205.9,772.06,,,0
CDM,27204504_199803,Hb Special Order Or Supply,475.49,166.42,,,0
CDM,27204504_199840,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_199848,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_199852,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_199901,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_199902,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_199964,Hb Special Order Or Supply,1787.91,625.77,,,0
CDM,27204504_199969,Hb Special Order Or Supply,2725.44,953.9,,,0
CDM,27204504_199992,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_200102,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200156,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200157,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_200166,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200167,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200194,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_200195,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_200205,Hb Special Order Or Supply,48919.2,17121.72,,,0
CDM,27204504_200206,Hb Special Order Or Supply,48919.2,17121.72,,,0
CDM,27204504_200211,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200213,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_200214,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_200218,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_200219,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_200220,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200221,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_200222,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_200230,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_200237,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_200240,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200246,Hb Special Order Or Supply,35665.66,12482.98,,,0
CDM,27204504_200259,Hb Special Order Or Supply,444.65,155.63,,,0
CDM,27204504_200260,Hb Special Order Or Supply,435.55,152.44,,,0
CDM,27204504_200261,Hb Special Order Or Supply,527.22,184.53,,,0
CDM,27204504_200262,Hb Special Order Or Supply,579.64,202.87,,,0
CDM,27204504_200269,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200270,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200272,Hb Special Order Or Supply,255.14,89.3,,,0
CDM,27204504_200274,Hb Special Order Or Supply,521.3,182.46,,,0
CDM,27204504_200275,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_200281,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200282,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_200283,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_200288,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200299,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_200313,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200314,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_200315,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_200334,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_200363,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200373,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_200375,Hb Special Order Or Supply,1764.72,617.65,,,0
CDM,27204504_200380,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200383,Hb Special Order Or Supply,163.99,57.4,,,0
CDM,27204504_200384,Hb Special Order Or Supply,2757.23,965.03,,,0
CDM,27204504_200391,Hb Special Order Or Supply,15120.48,5292.17,,,0
CDM,27204504_200407,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200408,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200411,Hb Special Order Or Supply,2757.23,965.03,,,0
CDM,27204504_200415,Hb Special Order Or Supply,1421.45,497.51,,,0
CDM,27204504_200416,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_200417,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_200418,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_200420,Hb Special Order Or Supply,2708.34,947.92,,,0
CDM,27204504_200421,Hb Special Order Or Supply,1057.05,369.97,,,0
CDM,27204504_200423,Hb Special Order Or Supply,9739.37,3408.78,,,0
CDM,27204504_200425,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200427,Hb Special Order Or Supply,2757.23,965.03,,,0
CDM,27204504_200430,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200431,Hb Special Order Or Supply,1909.53,668.34,,,0
CDM,27204504_200434,Hb Special Order Or Supply,3781.55,1323.54,,,0
CDM,27204504_200439,Hb Special Order Or Supply,1747.14,611.5,,,0
CDM,27204504_200441,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_200442,Hb Special Order Or Supply,817.8,286.23,,,0
CDM,27204504_200444,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200445,Hb Special Order Or Supply,533.48,186.72,,,0
CDM,27204504_200449,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_200451,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_200452,Hb Special Order Or Supply,2722.06,952.72,,,0
CDM,27204504_200455,Hb Special Order Or Supply,1572.42,550.35,,,0
CDM,27204504_200458,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_200460,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200461,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_200462,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_200466,Hb Special Order Or Supply,674.6,236.11,,,0
CDM,27204504_200476,Hb Special Order Or Supply,2040.12,714.04,,,0
CDM,27204504_200478,Hb Special Order Or Supply,1868.76,654.07,,,0
CDM,27204504_200480,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_200481,Hb Special Order Or Supply,2542.31,889.81,,,0
CDM,27204504_200482,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200488,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_200491,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_200492,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200493,Hb Special Order Or Supply,838.56,293.5,,,0
CDM,27204504_200494,Hb Special Order Or Supply,691.82,242.14,,,0
CDM,27204504_200496,Hb Special Order Or Supply,2183.92,764.37,,,0
CDM,27204504_200497,Hb Special Order Or Supply,2183.92,764.37,,,0
CDM,27204504_200500,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_200501,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_200502,Hb Special Order Or Supply,2452.71,858.45,,,0
CDM,27204504_200503,Hb Special Order Or Supply,2071.93,725.18,,,0
CDM,27204504_200504,Hb Special Order Or Supply,2183.92,764.37,,,0
CDM,27204504_200505,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200506,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200508,Hb Special Order Or Supply,370.66,129.73,,,0
CDM,27204504_200509,Hb Special Order Or Supply,2264.67,792.63,,,0
CDM,27204504_200510,Hb Special Order Or Supply,372.74,130.46,,,0
CDM,27204504_200513,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200514,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_200517,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_200519,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200521,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_200522,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200523,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_200525,Hb Special Order Or Supply,4088.16,1430.86,,,0
CDM,27204504_200526,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200527,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200530,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_200531,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200532,Hb Special Order Or Supply,3750.89,1312.81,,,0
CDM,27204504_200533,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_200534,Hb Special Order Or Supply,4447.2,1556.52,,,0
CDM,27204504_200535,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200536,Hb Special Order Or Supply,3237.05,1132.97,,,0
CDM,27204504_200537,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_200538,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_200539,Hb Special Order Or Supply,2930.02,1025.51,,,0
CDM,27204504_200540,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_200541,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_200542,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_200543,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_200545,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_200550,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_200551,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200552,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_200554,Hb Special Order Or Supply,3227.94,1129.78,,,0
CDM,27204504_200556,Hb Special Order Or Supply,202.98,71.04,,,0
CDM,27204504_200557,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_200558,Hb Special Order Or Supply,1476.55,516.79,,,0
CDM,27204504_200559,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_200560,Hb Special Order Or Supply,2745.47,960.91,,,0
CDM,27204504_200561,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200562,Hb Special Order Or Supply,1764.95,617.73,,,0
CDM,27204504_200563,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200564,Hb Special Order Or Supply,2480.15,868.05,,,0
CDM,27204504_200565,Hb Special Order Or Supply,2480.15,868.05,,,0
CDM,27204504_200566,Hb Special Order Or Supply,2272.51,795.38,,,0
CDM,27204504_200567,Hb Special Order Or Supply,2272.51,795.38,,,0
CDM,27204504_200572,Hb Special Order Or Supply,9325.78,3264.02,,,0
CDM,27204504_200573,Hb Special Order Or Supply,11562.72,4046.95,,,0
CDM,27204504_200574,Hb Special Order Or Supply,477.81,167.23,,,0
CDM,27204504_200575,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_200576,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200577,Hb Special Order Or Supply,1496.27,523.69,,,0
CDM,27204504_200578,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200579,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200580,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_200581,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_200582,Hb Special Order Or Supply,3053.76,1068.82,,,0
CDM,27204504_200583,Hb Special Order Or Supply,3236.46,1132.76,,,0
CDM,27204504_200584,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200586,Hb Special Order Or Supply,9325.78,3264.02,,,0
CDM,27204504_200587,Hb Special Order Or Supply,3406.8,1192.38,,,0
CDM,27204504_200591,Hb Special Order Or Supply,8004.96,2801.74,,,0
CDM,27204504_200592,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_200593,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_200597,Hb Special Order Or Supply,4508.22,1577.88,,,0
CDM,27204504_200598,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200599,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200608,Hb Special Order Or Supply,7292.34,2552.32,,,0
CDM,27204504_200609,Hb Special Order Or Supply,2701.93,945.68,,,0
CDM,27204504_200611,Hb Special Order Or Supply,22830.15,7990.55,,,0
CDM,27204504_200612,Hb Special Order Or Supply,1170.02,409.51,,,0
CDM,27204504_200614,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_200615,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200616,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_200619,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_200623,Hb Special Order Or Supply,187.87,65.75,,,0
CDM,27204504_200624,Hb Special Order Or Supply,136.85,47.9,,,0
CDM,27204504_200625,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200627,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_200628,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200631,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200632,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_200639,Hb Special Order Or Supply,2019.06,706.67,,,0
CDM,27204504_200640,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_200649,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_200652,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_200654,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200663,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200667,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200668,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_200670,Hb Special Order Or Supply,9574.82,3351.19,,,0
CDM,27204504_200672,Hb Special Order Or Supply,9574.82,3351.19,,,0
CDM,27204504_200673,Hb Special Order Or Supply,9574.82,3351.19,,,0
CDM,27204504_200674,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_200675,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_200676,Hb Special Order Or Supply,644.64,225.62,,,0
CDM,27204504_200678,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200679,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_200680,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200682,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_200683,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_200685,Hb Special Order Or Supply,702.08,245.73,,,0
CDM,27204504_200689,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_200690,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200691,Hb Special Order Or Supply,3609.76,1263.42,,,0
CDM,27204504_200692,Hb Special Order Or Supply,1365.7,478.0,,,0
CDM,27204504_200696,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_200697,Hb Special Order Or Supply,503.59,176.26,,,0
CDM,27204504_200698,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200699,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_200700,Hb Special Order Or Supply,8672.04,3035.21,,,0
CDM,27204504_200702,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_200703,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_200704,Hb Special Order Or Supply,1827.78,639.72,,,0
CDM,27204504_200707,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_200708,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_200709,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_200711,Hb Special Order Or Supply,2463.91,862.37,,,0
CDM,27204504_200715,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_200719,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200720,Hb Special Order Or Supply,2251.12,787.89,,,0
CDM,27204504_200721,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200722,Hb Special Order Or Supply,2396.71,838.85,,,0
CDM,27204504_200723,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_200724,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_200725,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200726,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200727,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200728,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_200732,Hb Special Order Or Supply,2003.05,701.07,,,0
CDM,27204504_200734,Hb Special Order Or Supply,244.24,85.48,,,0
CDM,27204504_200735,Hb Special Order Or Supply,40613.12,14214.59,,,0
CDM,27204504_200736,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_200737,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_200738,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_200739,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_200743,Hb Special Order Or Supply,470.85,164.8,,,0
CDM,27204504_200748,Hb Special Order Or Supply,537.89,188.26,,,0
CDM,27204504_200752,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_200754,Hb Special Order Or Supply,230.56,80.7,,,0
CDM,27204504_200755,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200756,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200757,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_200758,Hb Special Order Or Supply,463.53,162.24,,,0
CDM,27204504_200760,Hb Special Order Or Supply,761.51,266.53,,,0
CDM,27204504_200763,Hb Special Order Or Supply,219.19,76.72,,,0
CDM,27204504_200764,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_200768,Hb Special Order Or Supply,1682.85,589.0,,,0
CDM,27204504_200769,Hb Special Order Or Supply,1182.04,413.71,,,0
CDM,27204504_200770,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200772,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200773,Hb Special Order Or Supply,1523.15,533.1,,,0
CDM,27204504_200774,Hb Special Order Or Supply,1534.35,537.02,,,0
CDM,27204504_200775,Hb Special Order Or Supply,1534.35,537.02,,,0
CDM,27204504_200777,Hb Special Order Or Supply,1579.14,552.7,,,0
CDM,27204504_200780,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200781,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200782,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_200786,Hb Special Order Or Supply,486.87,170.4,,,0
CDM,27204504_200788,Hb Special Order Or Supply,3509.0,1228.15,,,0
CDM,27204504_200789,Hb Special Order Or Supply,486.87,170.4,,,0
CDM,27204504_200790,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_200791,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_200792,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200794,Hb Special Order Or Supply,5421.14,1897.4,,,0
CDM,27204504_200795,Hb Special Order Or Supply,556.68,194.84,,,0
CDM,27204504_200796,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_200797,Hb Special Order Or Supply,2777.5,972.12,,,0
CDM,27204504_200798,Hb Special Order Or Supply,1467.15,513.5,,,0
CDM,27204504_200799,Hb Special Order Or Supply,1262.35,441.82,,,0
CDM,27204504_200800,Hb Special Order Or Supply,1331.71,466.1,,,0
CDM,27204504_200801,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_200802,Hb Special Order Or Supply,1834.15,641.95,,,0
CDM,27204504_200805,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_200806,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_200808,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_200809,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_200810,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_200812,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_200814,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200815,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200816,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_200818,Hb Special Order Or Supply,2512.52,879.38,,,0
CDM,27204504_200822,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200823,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_200825,Hb Special Order Or Supply,7373.46,2580.71,,,0
CDM,27204504_200826,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200827,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200828,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_200830,Hb Special Order Or Supply,13119.24,4591.73,,,0
CDM,27204504_200832,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_200833,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200834,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200837,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200838,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200841,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200843,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200845,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_200846,Hb Special Order Or Supply,472.02,165.21,,,0
CDM,27204504_200847,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_200848,Hb Special Order Or Supply,3311.41,1158.99,,,0
CDM,27204504_200849,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_200850,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_200854,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200855,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_200858,Hb Special Order Or Supply,470.85,164.8,,,0
CDM,27204504_200859,Hb Special Order Or Supply,2425.84,849.04,,,0
CDM,27204504_200860,Hb Special Order Or Supply,29996.36,10498.73,,,0
CDM,27204504_200861,Hb Special Order Or Supply,3994.47,1398.06,,,0
CDM,27204504_200862,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200863,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_200864,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_200865,Hb Special Order Or Supply,3311.41,1158.99,,,0
CDM,27204504_200870,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_200871,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200873,Hb Special Order Or Supply,1747.14,611.5,,,0
CDM,27204504_200875,Hb Special Order Or Supply,2724.8,953.68,,,0
CDM,27204504_200876,Hb Special Order Or Supply,324.73,113.66,,,0
CDM,27204504_200877,Hb Special Order Or Supply,274.86,96.2,,,0
CDM,27204504_200878,Hb Special Order Or Supply,385.73,135.01,,,0
CDM,27204504_200879,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_200882,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_200883,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_200884,Hb Special Order Or Supply,1398.94,489.63,,,0
CDM,27204504_200886,Hb Special Order Or Supply,3233.74,1131.81,,,0
CDM,27204504_200898,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_200899,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200900,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200901,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200902,Hb Special Order Or Supply,4984.42,1744.55,,,0
CDM,27204504_200905,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200906,Hb Special Order Or Supply,7373.46,2580.71,,,0
CDM,27204504_200915,Hb Special Order Or Supply,395.24,138.33,,,0
CDM,27204504_200926,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_200927,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200929,Hb Special Order Or Supply,2425.84,849.04,,,0
CDM,27204504_200931,Hb Special Order Or Supply,1147.63,401.67,,,0
CDM,27204504_200932,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200935,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_200936,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_200937,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_200938,Hb Special Order Or Supply,5627.02,1969.46,,,0
CDM,27204504_200939,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_200940,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200944,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200945,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_200946,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_200947,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200948,Hb Special Order Or Supply,1288.16,450.86,,,0
CDM,27204504_200959,Hb Special Order Or Supply,358.36,125.43,,,0
CDM,27204504_200960,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_200962,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200969,Hb Special Order Or Supply,4190.36,1466.63,,,0
CDM,27204504_200970,Hb Special Order Or Supply,5069.81,1774.43,,,0
CDM,27204504_200971,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200972,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_200974,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_200975,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_200976,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200978,Hb Special Order Or Supply,1552.27,543.29,,,0
CDM,27204504_200979,Hb Special Order Or Supply,3377.84,1182.24,,,0
CDM,27204504_200980,Hb Special Order Or Supply,3985.96,1395.09,,,0
CDM,27204504_200981,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_200983,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200985,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200986,Hb Special Order Or Supply,4088.16,1430.86,,,0
CDM,27204504_200987,Hb Special Order Or Supply,4447.2,1556.52,,,0
CDM,27204504_200988,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_200990,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200991,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_200992,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_200993,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_200994,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_200995,Hb Special Order Or Supply,1123.63,393.27,,,0
CDM,27204504_200997,Hb Special Order Or Supply,11027.98,3859.79,,,0
CDM,27204504_201001,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201003,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201004,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_201005,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_201006,Hb Special Order Or Supply,1753.52,613.73,,,0
CDM,27204504_201007,Hb Special Order Or Supply,1421.45,497.51,,,0
CDM,27204504_201008,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201010,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201011,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_201013,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201014,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_201015,Hb Special Order Or Supply,6403.97,2241.39,,,0
CDM,27204504_201016,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201019,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201020,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_201023,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201024,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_201025,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_201026,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201027,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201028,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201029,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201031,Hb Special Order Or Supply,1430.42,500.65,,,0
CDM,27204504_201032,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_201033,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_201034,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_201035,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201036,Hb Special Order Or Supply,998.78,349.57,,,0
CDM,27204504_201037,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_201038,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_201042,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_201043,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_201044,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_201045,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_201046,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_201047,Hb Special Order Or Supply,1903.37,666.18,,,0
CDM,27204504_201049,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201053,Hb Special Order Or Supply,2183.92,764.37,,,0
CDM,27204504_201054,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201056,Hb Special Order Or Supply,1243.9,435.36,,,0
CDM,27204504_201057,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201059,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_201060,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201063,Hb Special Order Or Supply,3227.94,1129.78,,,0
CDM,27204504_201066,Hb Special Order Or Supply,1243.9,435.36,,,0
CDM,27204504_201067,Hb Special Order Or Supply,6786.43,2375.25,,,0
CDM,27204504_201068,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_201071,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201073,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201074,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_201075,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201076,Hb Special Order Or Supply,1586.65,555.33,,,0
CDM,27204504_201077,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201080,Hb Special Order Or Supply,887.81,310.73,,,0
CDM,27204504_201081,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201082,Hb Special Order Or Supply,2506.13,877.15,,,0
CDM,27204504_201083,Hb Special Order Or Supply,4891.92,1712.17,,,0
CDM,27204504_201084,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201087,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_201089,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201093,Hb Special Order Or Supply,470.85,164.8,,,0
CDM,27204504_201094,Hb Special Order Or Supply,4699.18,1644.71,,,0
CDM,27204504_201095,Hb Special Order Or Supply,2195.12,768.29,,,0
CDM,27204504_201098,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_201099,Hb Special Order Or Supply,1352.52,473.38,,,0
CDM,27204504_201100,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_201101,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_201102,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_201103,Hb Special Order Or Supply,440.7,154.24,,,0
CDM,27204504_201104,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_201105,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_201106,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_201108,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201109,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_201111,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201112,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201115,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_201116,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201118,Hb Special Order Or Supply,417.51,146.13,,,0
CDM,27204504_201121,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201122,Hb Special Order Or Supply,1165.25,407.84,,,0
CDM,27204504_201123,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_201124,Hb Special Order Or Supply,535.8,187.53,,,0
CDM,27204504_201125,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_201127,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201128,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201129,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201130,Hb Special Order Or Supply,13741.85,4809.65,,,0
CDM,27204504_201133,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201136,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_201137,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201138,Hb Special Order Or Supply,4442.75,1554.96,,,0
CDM,27204504_201140,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201141,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_201142,Hb Special Order Or Supply,429.34,150.27,,,0
CDM,27204504_201143,Hb Special Order Or Supply,2480.15,868.05,,,0
CDM,27204504_201145,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201146,Hb Special Order Or Supply,1650.82,577.79,,,0
CDM,27204504_201148,Hb Special Order Or Supply,2480.15,868.05,,,0
CDM,27204504_201150,Hb Special Order Or Supply,2414.56,845.1,,,0
CDM,27204504_201151,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201152,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_201153,Hb Special Order Or Supply,2815.13,985.3,,,0
CDM,27204504_201154,Hb Special Order Or Supply,3609.76,1263.42,,,0
CDM,27204504_201155,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201156,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201157,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_201158,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_201159,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_201162,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_201163,Hb Special Order Or Supply,2757.23,965.03,,,0
CDM,27204504_201164,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_201165,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201166,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201171,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201173,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201174,Hb Special Order Or Supply,891.97,312.19,,,0
CDM,27204504_201175,Hb Special Order Or Supply,2363.12,827.09,,,0
CDM,27204504_201176,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201177,Hb Special Order Or Supply,1165.39,407.89,,,0
CDM,27204504_201178,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_201179,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201180,Hb Special Order Or Supply,1802.01,630.7,,,0
CDM,27204504_201181,Hb Special Order Or Supply,424.23,148.48,,,0
CDM,27204504_201182,Hb Special Order Or Supply,10674.84,3736.19,,,0
CDM,27204504_201183,Hb Special Order Or Supply,5330.63,1865.72,,,0
CDM,27204504_201184,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_201185,Hb Special Order Or Supply,2609.51,913.33,,,0
CDM,27204504_201186,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201190,Hb Special Order Or Supply,3210.65,1123.73,,,0
CDM,27204504_201191,Hb Special Order Or Supply,3210.65,1123.73,,,0
CDM,27204504_201193,Hb Special Order Or Supply,477.81,167.23,,,0
CDM,27204504_201194,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_201195,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201198,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_201201,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201202,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201203,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201204,Hb Special Order Or Supply,629.07,220.17,,,0
CDM,27204504_201206,Hb Special Order Or Supply,612.52,214.38,,,0
CDM,27204504_201207,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_201208,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_201211,Hb Special Order Or Supply,551.8,193.13,,,0
CDM,27204504_201213,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201214,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201215,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_201216,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201217,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_201219,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_201220,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_201221,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_201224,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201225,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201226,Hb Special Order Or Supply,2251.12,787.89,,,0
CDM,27204504_201227,Hb Special Order Or Supply,2251.12,787.89,,,0
CDM,27204504_201228,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201229,Hb Special Order Or Supply,2396.71,838.85,,,0
CDM,27204504_201230,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_201243,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_201244,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201245,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_201246,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_201247,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_201248,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_201249,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201250,Hb Special Order Or Supply,998.78,349.57,,,0
CDM,27204504_201251,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201252,Hb Special Order Or Supply,1422.35,497.82,,,0
CDM,27204504_201253,Hb Special Order Or Supply,1422.35,497.82,,,0
CDM,27204504_201254,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_201257,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_201258,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_201259,Hb Special Order Or Supply,3027.71,1059.7,,,0
CDM,27204504_201264,Hb Special Order Or Supply,10673.28,3735.65,,,0
CDM,27204504_201267,Hb Special Order Or Supply,1331.71,466.1,,,0
CDM,27204504_201268,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201269,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201270,Hb Special Order Or Supply,2819.13,986.7,,,0
CDM,27204504_201271,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_201272,Hb Special Order Or Supply,1213.25,424.64,,,0
CDM,27204504_201274,Hb Special Order Or Supply,678.08,237.33,,,0
CDM,27204504_201277,Hb Special Order Or Supply,1330.18,465.56,,,0
CDM,27204504_201279,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201280,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201282,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_201284,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_201285,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_201287,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201290,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201293,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201294,Hb Special Order Or Supply,2912.81,1019.48,,,0
CDM,27204504_201296,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201297,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201298,Hb Special Order Or Supply,13741.85,4809.65,,,0
CDM,27204504_201300,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201305,Hb Special Order Or Supply,3236.46,1132.76,,,0
CDM,27204504_201306,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201307,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_201308,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201310,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_201311,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_201312,Hb Special Order Or Supply,1764.95,617.73,,,0
CDM,27204504_201313,Hb Special Order Or Supply,286.69,100.34,,,0
CDM,27204504_201314,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201315,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201316,Hb Special Order Or Supply,1891.83,662.14,,,0
CDM,27204504_201319,Hb Special Order Or Supply,3922.59,1372.91,,,0
CDM,27204504_201320,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201321,Hb Special Order Or Supply,2250.78,787.77,,,0
CDM,27204504_201326,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201327,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201328,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_201329,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_201331,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_201333,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_201334,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_201335,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201336,Hb Special Order Or Supply,917.21,321.02,,,0
CDM,27204504_201338,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201340,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201341,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201343,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_201348,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_201349,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201350,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_201351,Hb Special Order Or Supply,12229.8,4280.43,,,0
CDM,27204504_201352,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201353,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_201354,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_201355,Hb Special Order Or Supply,2912.81,1019.48,,,0
CDM,27204504_201356,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201357,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201358,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201359,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_201360,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201361,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201362,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201364,Hb Special Order Or Supply,4802.98,1681.04,,,0
CDM,27204504_201365,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201367,Hb Special Order Or Supply,23223.28,8128.15,,,0
CDM,27204504_201368,Hb Special Order Or Supply,3449.38,1207.28,,,0
CDM,27204504_201369,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201372,Hb Special Order Or Supply,1200.2,420.07,,,0
CDM,27204504_201376,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201380,Hb Special Order Or Supply,3419.9,1196.96,,,0
CDM,27204504_201381,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_201385,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_201386,Hb Special Order Or Supply,2853.2,998.62,,,0
CDM,27204504_201388,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201392,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201396,Hb Special Order Or Supply,6626.33,2319.22,,,0
CDM,27204504_201397,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_201398,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201399,Hb Special Order Or Supply,1917.82,671.24,,,0
CDM,27204504_201400,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_201401,Hb Special Order Or Supply,1417.87,496.25,,,0
CDM,27204504_201404,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201406,Hb Special Order Or Supply,2790.83,976.79,,,0
CDM,27204504_201407,Hb Special Order Or Supply,998.78,349.57,,,0
CDM,27204504_201408,Hb Special Order Or Supply,3985.96,1395.09,,,0
CDM,27204504_201409,Hb Special Order Or Supply,2599.88,909.96,,,0
CDM,27204504_201410,Hb Special Order Or Supply,2599.88,909.96,,,0
CDM,27204504_201411,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201414,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201415,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201416,Hb Special Order Or Supply,668.64,234.02,,,0
CDM,27204504_201417,Hb Special Order Or Supply,2046.17,716.16,,,0
CDM,27204504_201425,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201426,Hb Special Order Or Supply,1637.94,573.28,,,0
CDM,27204504_201427,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201428,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_201430,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_201431,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_201432,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201433,Hb Special Order Or Supply,3893.97,1362.89,,,0
CDM,27204504_201435,Hb Special Order Or Supply,7373.46,2580.71,,,0
CDM,27204504_201438,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201439,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_201440,Hb Special Order Or Supply,18962.86,6637.0,,,0
CDM,27204504_201441,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_201446,Hb Special Order Or Supply,2764.95,967.73,,,0
CDM,27204504_201447,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_201448,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_201452,Hb Special Order Or Supply,56426.07,19749.12,,,0
CDM,27204504_201453,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_201457,Hb Special Order Or Supply,1455.95,509.58,,,0
CDM,27204504_201458,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_201461,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_201462,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201466,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_201468,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_201469,Hb Special Order Or Supply,470.85,164.8,,,0
CDM,27204504_201471,Hb Special Order Or Supply,2671.1,934.88,,,0
CDM,27204504_201477,Hb Special Order Or Supply,2277.81,797.23,,,0
CDM,27204504_201478,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_201479,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201480,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_201482,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201483,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_201491,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_201492,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_201493,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_201494,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201496,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_201497,Hb Special Order Or Supply,2268.07,793.82,,,0
CDM,27204504_201499,Hb Special Order Or Supply,2268.07,793.82,,,0
CDM,27204504_201501,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201502,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_201503,Hb Special Order Or Supply,470.85,164.8,,,0
CDM,27204504_201504,Hb Special Order Or Supply,2268.07,793.82,,,0
CDM,27204504_201510,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201511,Hb Special Order Or Supply,6281.22,2198.43,,,0
CDM,27204504_201513,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_201514,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201515,Hb Special Order Or Supply,7004.34,2451.52,,,0
CDM,27204504_201519,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_201523,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_201524,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201527,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_201529,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201531,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201532,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201533,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_201535,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201537,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201539,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_201540,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_201541,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_201543,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_201544,Hb Special Order Or Supply,3465.14,1212.8,,,0
CDM,27204504_201553,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_201554,Hb Special Order Or Supply,1504.33,526.52,,,0
CDM,27204504_201555,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201556,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201558,Hb Special Order Or Supply,2463.91,862.37,,,0
CDM,27204504_201559,Hb Special Order Or Supply,2793.58,977.75,,,0
CDM,27204504_201560,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_201561,Hb Special Order Or Supply,571.52,200.03,,,0
CDM,27204504_201563,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_201564,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201565,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201567,Hb Special Order Or Supply,840.92,294.32,,,0
CDM,27204504_201568,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_201569,Hb Special Order Or Supply,4163.45,1457.21,,,0
CDM,27204504_201570,Hb Special Order Or Supply,4163.45,1457.21,,,0
CDM,27204504_201571,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201574,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201593,Hb Special Order Or Supply,545.08,190.78,,,0
CDM,27204504_201595,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_201598,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201599,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_201600,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_201602,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_201606,Hb Special Order Or Supply,475.49,166.42,,,0
CDM,27204504_201607,Hb Special Order Or Supply,998.78,349.57,,,0
CDM,27204504_201608,Hb Special Order Or Supply,1156.92,404.92,,,0
CDM,27204504_201611,Hb Special Order Or Supply,537.89,188.26,,,0
CDM,27204504_201612,Hb Special Order Or Supply,328.67,115.03,,,0
CDM,27204504_201616,Hb Special Order Or Supply,355.57,124.45,,,0
CDM,27204504_201617,Hb Special Order Or Supply,1887.47,660.61,,,0
CDM,27204504_201620,Hb Special Order Or Supply,900.02,315.01,,,0
CDM,27204504_201625,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_201630,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_201631,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_201632,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_201633,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201634,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201637,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_201641,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_201643,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201645,Hb Special Order Or Supply,6786.43,2375.25,,,0
CDM,27204504_201646,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_201648,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_201649,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201650,Hb Special Order Or Supply,243.55,85.24,,,0
CDM,27204504_201653,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_201654,Hb Special Order Or Supply,744.96,260.74,,,0
CDM,27204504_201655,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201656,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201658,Hb Special Order Or Supply,3802.16,1330.76,,,0
CDM,27204504_201660,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201661,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_201662,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_201663,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_201664,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_201667,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201670,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_201672,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_201674,Hb Special Order Or Supply,3943.63,1380.27,,,0
CDM,27204504_201675,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_201677,Hb Special Order Or Supply,811.18,283.91,,,0
CDM,27204504_201678,Hb Special Order Or Supply,29751.77,10413.12,,,0
CDM,27204504_201679,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201680,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_201681,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201685,Hb Special Order Or Supply,2009.32,703.26,,,0
CDM,27204504_201686,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201687,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201688,Hb Special Order Or Supply,31783.25,11124.14,,,0
CDM,27204504_201698,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201701,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201702,Hb Special Order Or Supply,2324.91,813.72,,,0
CDM,27204504_201703,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201705,Hb Special Order Or Supply,469.69,164.39,,,0
CDM,27204504_201713,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_201716,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_201717,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_201718,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201719,Hb Special Order Or Supply,744.96,260.74,,,0
CDM,27204504_201720,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_201721,Hb Special Order Or Supply,11322.57,3962.9,,,0
CDM,27204504_201722,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_201723,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_201724,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_201725,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201727,Hb Special Order Or Supply,7373.46,2580.71,,,0
CDM,27204504_201730,Hb Special Order Or Supply,2568.06,898.82,,,0
CDM,27204504_201733,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201734,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_201740,Hb Special Order Or Supply,2802.09,980.73,,,0
CDM,27204504_201749,Hb Special Order Or Supply,3811.35,1333.97,,,0
CDM,27204504_201750,Hb Special Order Or Supply,2351.92,823.17,,,0
CDM,27204504_201752,Hb Special Order Or Supply,1290.1,451.54,,,0
CDM,27204504_201753,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_201754,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_201755,Hb Special Order Or Supply,1783.2,624.12,,,0
CDM,27204504_201762,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201763,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201764,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_201765,Hb Special Order Or Supply,1478.35,517.42,,,0
CDM,27204504_201766,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201767,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_201768,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201769,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201771,Hb Special Order Or Supply,441.34,154.47,,,0
CDM,27204504_201773,Hb Special Order Or Supply,429.1,150.18,,,0
CDM,27204504_201774,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_201775,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_201776,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_201777,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_201779,Hb Special Order Or Supply,1605.24,561.83,,,0
CDM,27204504_201780,Hb Special Order Or Supply,1535.13,537.3,,,0
CDM,27204504_201782,Hb Special Order Or Supply,2368.49,828.97,,,0
CDM,27204504_201783,Hb Special Order Or Supply,3001.86,1050.65,,,0
CDM,27204504_201784,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201785,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_201786,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_201787,Hb Special Order Or Supply,470.85,164.8,,,0
CDM,27204504_201788,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_201789,Hb Special Order Or Supply,1422.35,497.82,,,0
CDM,27204504_201791,Hb Special Order Or Supply,620.79,217.28,,,0
CDM,27204504_201792,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_201793,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201794,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_201795,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201796,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_201797,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201798,Hb Special Order Or Supply,2768.02,968.81,,,0
CDM,27204504_201800,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201801,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201802,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201803,Hb Special Order Or Supply,3023.54,1058.24,,,0
CDM,27204504_201805,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201806,Hb Special Order Or Supply,1637.94,573.28,,,0
CDM,27204504_201807,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_201808,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_201809,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_201810,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_201811,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201813,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_201814,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201815,Hb Special Order Or Supply,2568.06,898.82,,,0
CDM,27204504_201816,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_201817,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201818,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201819,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_201821,Hb Special Order Or Supply,8672.04,3035.21,,,0
CDM,27204504_201822,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_201824,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_201825,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201826,Hb Special Order Or Supply,1422.35,497.82,,,0
CDM,27204504_201827,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_201828,Hb Special Order Or Supply,111834.0,39141.9,,,0
CDM,27204504_201832,Hb Special Order Or Supply,1373.33,480.67,,,0
CDM,27204504_201833,Hb Special Order Or Supply,330.57,115.7,,,0
CDM,27204504_201834,Hb Special Order Or Supply,2251.12,787.89,,,0
CDM,27204504_201836,Hb Special Order Or Supply,2396.71,838.85,,,0
CDM,27204504_201837,Hb Special Order Or Supply,811.18,283.91,,,0
CDM,27204504_201839,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_201840,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_201843,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_201848,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201852,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201854,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201855,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201856,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201857,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_201858,Hb Special Order Or Supply,2643.67,925.28,,,0
CDM,27204504_201860,Hb Special Order Or Supply,1272.48,445.37,,,0
CDM,27204504_201862,Hb Special Order Or Supply,1726.31,604.21,,,0
CDM,27204504_201863,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201864,Hb Special Order Or Supply,1272.48,445.37,,,0
CDM,27204504_201867,Hb Special Order Or Supply,4163.45,1457.21,,,0
CDM,27204504_201868,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201869,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201870,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_201872,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_201873,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201874,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201876,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_201880,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_201882,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_201886,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_201887,Hb Special Order Or Supply,188.34,65.92,,,0
CDM,27204504_201890,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_201892,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201901,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_201902,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_201903,Hb Special Order Or Supply,1556.74,544.86,,,0
CDM,27204504_201904,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_201906,Hb Special Order Or Supply,1168.17,408.86,,,0
CDM,27204504_201907,Hb Special Order Or Supply,653.41,228.69,,,0
CDM,27204504_201908,Hb Special Order Or Supply,794.62,278.12,,,0
CDM,27204504_201910,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201911,Hb Special Order Or Supply,2918.48,1021.47,,,0
CDM,27204504_201912,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_201913,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_201917,Hb Special Order Or Supply,43449.14,15207.2,,,0
CDM,27204504_201919,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_201920,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_201921,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_201923,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201925,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201926,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_201929,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_201930,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_201933,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_201934,Hb Special Order Or Supply,3233.74,1131.81,,,0
CDM,27204504_201938,Hb Special Order Or Supply,1672.66,585.43,,,0
CDM,27204504_201939,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_201940,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_201941,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_201942,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_201945,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_201955,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_201956,Hb Special Order Or Supply,3449.38,1207.28,,,0
CDM,27204504_201957,Hb Special Order Or Supply,4802.98,1681.04,,,0
CDM,27204504_201958,Hb Special Order Or Supply,2768.02,968.81,,,0
CDM,27204504_201959,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_201960,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_201961,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_201967,Hb Special Order Or Supply,322.64,112.92,,,0
CDM,27204504_201969,Hb Special Order Or Supply,2794.3,978.0,,,0
CDM,27204504_201970,Hb Special Order Or Supply,24948.79,8732.08,,,0
CDM,27204504_201975,Hb Special Order Or Supply,8672.04,3035.21,,,0
CDM,27204504_201977,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_201978,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_201980,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_201982,Hb Special Order Or Supply,1937.98,678.29,,,0
CDM,27204504_201983,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201984,Hb Special Order Or Supply,2745.47,960.91,,,0
CDM,27204504_201989,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201990,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_201993,Hb Special Order Or Supply,2768.02,968.81,,,0
CDM,27204504_201994,Hb Special Order Or Supply,1524.94,533.73,,,0
CDM,27204504_201995,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_201997,Hb Special Order Or Supply,1608.83,563.09,,,0
CDM,27204504_201998,Hb Special Order Or Supply,2488.33,870.92,,,0
CDM,27204504_202000,Hb Special Order Or Supply,2599.88,909.96,,,0
CDM,27204504_202001,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202003,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202004,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_202006,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_202007,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202008,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_202009,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_202010,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_202026,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202030,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_202031,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_202032,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_202035,Hb Special Order Or Supply,1808.29,632.9,,,0
CDM,27204504_202038,Hb Special Order Or Supply,1144.58,400.6,,,0
CDM,27204504_202039,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_202040,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202042,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202043,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202044,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202050,Hb Special Order Or Supply,230.56,80.7,,,0
CDM,27204504_202053,Hb Special Order Or Supply,2643.11,925.09,,,0
CDM,27204504_202058,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202059,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_202066,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202069,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202070,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_202079,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_202085,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_202090,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_202092,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202093,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202094,Hb Special Order Or Supply,645.63,225.97,,,0
CDM,27204504_202096,Hb Special Order Or Supply,862.84,301.99,,,0
CDM,27204504_202097,Hb Special Order Or Supply,441.34,154.47,,,0
CDM,27204504_202101,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_202103,Hb Special Order Or Supply,1675.46,586.41,,,0
CDM,27204504_202104,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202106,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_202107,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202108,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_202112,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_202116,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202118,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202119,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_202120,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_202123,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202124,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202125,Hb Special Order Or Supply,891.97,312.19,,,0
CDM,27204504_202129,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_202130,Hb Special Order Or Supply,2290.31,801.61,,,0
CDM,27204504_202131,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_202136,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202137,Hb Special Order Or Supply,2290.31,801.61,,,0
CDM,27204504_202138,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_202139,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_202140,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202142,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_202143,Hb Special Order Or Supply,1552.27,543.29,,,0
CDM,27204504_202146,Hb Special Order Or Supply,2290.31,801.61,,,0
CDM,27204504_202147,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_202148,Hb Special Order Or Supply,1713.54,599.74,,,0
CDM,27204504_202152,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_202153,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202155,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_202159,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202162,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202166,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_202167,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_202169,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_202170,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202171,Hb Special Order Or Supply,3168.32,1108.91,,,0
CDM,27204504_202172,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_202173,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_202174,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202175,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_202176,Hb Special Order Or Supply,176.05,61.62,,,0
CDM,27204504_202177,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_202179,Hb Special Order Or Supply,2214.42,775.05,,,0
CDM,27204504_202180,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_202182,Hb Special Order Or Supply,3473.92,1215.87,,,0
CDM,27204504_202188,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_202190,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_202192,Hb Special Order Or Supply,2777.5,972.12,,,0
CDM,27204504_202193,Hb Special Order Or Supply,1262.35,441.82,,,0
CDM,27204504_202194,Hb Special Order Or Supply,556.68,194.84,,,0
CDM,27204504_202195,Hb Special Order Or Supply,1467.15,513.5,,,0
CDM,27204504_202196,Hb Special Order Or Supply,271.24,94.93,,,0
CDM,27204504_202197,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202198,Hb Special Order Or Supply,5421.14,1897.4,,,0
CDM,27204504_202199,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_202200,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_202201,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_202202,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_202203,Hb Special Order Or Supply,1523.15,533.1,,,0
CDM,27204504_202204,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202205,Hb Special Order Or Supply,1847.93,646.78,,,0
CDM,27204504_202206,Hb Special Order Or Supply,1534.35,537.02,,,0
CDM,27204504_202209,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_202210,Hb Special Order Or Supply,1534.35,537.02,,,0
CDM,27204504_202211,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_202213,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202214,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202215,Hb Special Order Or Supply,2251.01,787.85,,,0
CDM,27204504_202216,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202217,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202219,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202221,Hb Special Order Or Supply,2802.09,980.73,,,0
CDM,27204504_202226,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202227,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202228,Hb Special Order Or Supply,2768.02,968.81,,,0
CDM,27204504_202229,Hb Special Order Or Supply,1095.89,383.56,,,0
CDM,27204504_202230,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202231,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202232,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202233,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_202235,Hb Special Order Or Supply,3224.22,1128.48,,,0
CDM,27204504_202237,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202238,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_202239,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202240,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202242,Hb Special Order Or Supply,2768.02,968.81,,,0
CDM,27204504_202245,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_202250,Hb Special Order Or Supply,478.51,167.48,,,0
CDM,27204504_202252,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202253,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202254,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202256,Hb Special Order Or Supply,315.22,110.33,,,0
CDM,27204504_202259,Hb Special Order Or Supply,2579.38,902.78,,,0
CDM,27204504_202260,Hb Special Order Or Supply,3236.46,1132.76,,,0
CDM,27204504_202261,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_202262,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_202263,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_202265,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202266,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_202267,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_202269,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202273,Hb Special Order Or Supply,231.95,81.18,,,0
CDM,27204504_202279,Hb Special Order Or Supply,324.73,113.66,,,0
CDM,27204504_202281,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_202282,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_202283,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_202284,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_202290,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202291,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202292,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202293,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202296,Hb Special Order Or Supply,900.02,315.01,,,0
CDM,27204504_202297,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_202298,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_202299,Hb Special Order Or Supply,2207.61,772.66,,,0
CDM,27204504_202302,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_202304,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202305,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_202310,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_202314,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202316,Hb Special Order Or Supply,9325.78,3264.02,,,0
CDM,27204504_202319,Hb Special Order Or Supply,2912.81,1019.48,,,0
CDM,27204504_202320,Hb Special Order Or Supply,3802.16,1330.76,,,0
CDM,27204504_202327,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_202328,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202329,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202330,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202334,Hb Special Order Or Supply,1166.22,408.18,,,0
CDM,27204504_202336,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202337,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_202343,Hb Special Order Or Supply,30607.2,10712.52,,,0
CDM,27204504_202344,Hb Special Order Or Supply,1556.74,544.86,,,0
CDM,27204504_202345,Hb Special Order Or Supply,533.48,186.72,,,0
CDM,27204504_202346,Hb Special Order Or Supply,470.85,164.8,,,0
CDM,27204504_202347,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202351,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_202357,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_202358,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_202359,Hb Special Order Or Supply,8672.04,3035.21,,,0
CDM,27204504_202361,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202362,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202364,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_202365,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_202367,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_202368,Hb Special Order Or Supply,3875.24,1356.33,,,0
CDM,27204504_202369,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_202371,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202372,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_202373,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202374,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_202375,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_202376,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202377,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_202379,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202380,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202381,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_202382,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_202383,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_202384,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202385,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_202387,Hb Special Order Or Supply,2609.51,913.33,,,0
CDM,27204504_202392,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202393,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_202398,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_202399,Hb Special Order Or Supply,3233.74,1131.81,,,0
CDM,27204504_202400,Hb Special Order Or Supply,425.63,148.97,,,0
CDM,27204504_202401,Hb Special Order Or Supply,425.63,148.97,,,0
CDM,27204504_202402,Hb Special Order Or Supply,231.95,81.18,,,0
CDM,27204504_202407,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202408,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_202409,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_202410,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_202411,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_202412,Hb Special Order Or Supply,822.44,287.85,,,0
CDM,27204504_202413,Hb Special Order Or Supply,1552.27,543.29,,,0
CDM,27204504_202415,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202417,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_202418,Hb Special Order Or Supply,2512.52,879.38,,,0
CDM,27204504_202423,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_202424,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202426,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_202427,Hb Special Order Or Supply,1109.76,388.42,,,0
CDM,27204504_202428,Hb Special Order Or Supply,1109.76,388.42,,,0
CDM,27204504_202429,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_202431,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202436,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_202438,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_202441,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202442,Hb Special Order Or Supply,4699.18,1644.71,,,0
CDM,27204504_202443,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202444,Hb Special Order Or Supply,3893.97,1362.89,,,0
CDM,27204504_202446,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202447,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202448,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202455,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_202457,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_202458,Hb Special Order Or Supply,857.29,300.05,,,0
CDM,27204504_202460,Hb Special Order Or Supply,3893.97,1362.89,,,0
CDM,27204504_202467,Hb Special Order Or Supply,3481.54,1218.54,,,0
CDM,27204504_202468,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202469,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_202475,Hb Special Order Or Supply,4699.18,1644.71,,,0
CDM,27204504_202476,Hb Special Order Or Supply,571.52,200.03,,,0
CDM,27204504_202478,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202480,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202483,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202490,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202492,Hb Special Order Or Supply,2538.07,888.32,,,0
CDM,27204504_202493,Hb Special Order Or Supply,2538.07,888.32,,,0
CDM,27204504_202494,Hb Special Order Or Supply,2538.07,888.32,,,0
CDM,27204504_202495,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_202496,Hb Special Order Or Supply,513.19,179.62,,,0
CDM,27204504_202497,Hb Special Order Or Supply,2071.93,725.18,,,0
CDM,27204504_202498,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202499,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_202500,Hb Special Order Or Supply,517.33,181.07,,,0
CDM,27204504_202501,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_202502,Hb Special Order Or Supply,2676.7,936.84,,,0
CDM,27204504_202504,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_202505,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_202506,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202533,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_202534,Hb Special Order Or Supply,4215.92,1475.57,,,0
CDM,27204504_202535,Hb Special Order Or Supply,1675.35,586.37,,,0
CDM,27204504_202537,Hb Special Order Or Supply,486.87,170.4,,,0
CDM,27204504_202538,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202539,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_202540,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202544,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_202551,Hb Special Order Or Supply,477.81,167.23,,,0
CDM,27204504_202552,Hb Special Order Or Supply,1128.76,395.07,,,0
CDM,27204504_202553,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_202554,Hb Special Order Or Supply,3125.66,1093.98,,,0
CDM,27204504_202555,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_202556,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202558,Hb Special Order Or Supply,2168.36,758.93,,,0
CDM,27204504_202559,Hb Special Order Or Supply,3728.31,1304.91,,,0
CDM,27204504_202564,Hb Special Order Or Supply,1231.96,431.19,,,0
CDM,27204504_202565,Hb Special Order Or Supply,1231.96,431.19,,,0
CDM,27204504_202573,Hb Special Order Or Supply,3364.22,1177.48,,,0
CDM,27204504_202576,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_202577,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202578,Hb Special Order Or Supply,2506.13,877.15,,,0
CDM,27204504_202580,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_202581,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_202582,Hb Special Order Or Supply,2282.56,798.9,,,0
CDM,27204504_202583,Hb Special Order Or Supply,2334.78,817.17,,,0
CDM,27204504_202584,Hb Special Order Or Supply,2606.06,912.12,,,0
CDM,27204504_202585,Hb Special Order Or Supply,3125.74,1094.01,,,0
CDM,27204504_202586,Hb Special Order Or Supply,4360.7,1526.24,,,0
CDM,27204504_202587,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_202588,Hb Special Order Or Supply,1735.94,607.58,,,0
CDM,27204504_202590,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_202591,Hb Special Order Or Supply,4891.92,1712.17,,,0
CDM,27204504_202592,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_202593,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_202597,Hb Special Order Or Supply,1695.24,593.33,,,0
CDM,27204504_202599,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_202600,Hb Special Order Or Supply,1768.3,618.9,,,0
CDM,27204504_202601,Hb Special Order Or Supply,1768.3,618.9,,,0
CDM,27204504_202602,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202603,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_202604,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_202605,Hb Special Order Or Supply,535.8,187.53,,,0
CDM,27204504_202606,Hb Special Order Or Supply,2183.92,764.37,,,0
CDM,27204504_202607,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202608,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202609,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_202610,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202614,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_202615,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202616,Hb Special Order Or Supply,1502.54,525.89,,,0
CDM,27204504_202622,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_202623,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_202625,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_202635,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_202636,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202638,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_202639,Hb Special Order Or Supply,366.94,128.43,,,0
CDM,27204504_202640,Hb Special Order Or Supply,300.84,105.29,,,0
CDM,27204504_202641,Hb Special Order Or Supply,132.45,46.36,,,0
CDM,27204504_202642,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202644,Hb Special Order Or Supply,4968.86,1739.1,,,0
CDM,27204504_202646,Hb Special Order Or Supply,891.97,312.19,,,0
CDM,27204504_202649,Hb Special Order Or Supply,1605.24,561.83,,,0
CDM,27204504_202651,Hb Special Order Or Supply,2611.41,913.99,,,0
CDM,27204504_202652,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202654,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202655,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202661,Hb Special Order Or Supply,707.47,247.61,,,0
CDM,27204504_202664,Hb Special Order Or Supply,2268.07,793.82,,,0
CDM,27204504_202665,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202666,Hb Special Order Or Supply,2268.07,793.82,,,0
CDM,27204504_202667,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_202668,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_202675,Hb Special Order Or Supply,546.3,191.2,,,0
CDM,27204504_202678,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_202684,Hb Special Order Or Supply,4373.07,1530.57,,,0
CDM,27204504_202685,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202686,Hb Special Order Or Supply,3337.64,1168.17,,,0
CDM,27204504_202687,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202689,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202690,Hb Special Order Or Supply,2579.49,902.82,,,0
CDM,27204504_202691,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202692,Hb Special Order Or Supply,2933.34,1026.67,,,0
CDM,27204504_202693,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202694,Hb Special Order Or Supply,3922.59,1372.91,,,0
CDM,27204504_202696,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202697,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_202699,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_202700,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_202701,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_202702,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202703,Hb Special Order Or Supply,2982.74,1043.96,,,0
CDM,27204504_202704,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_202705,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202706,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_202707,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202711,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_202713,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_202714,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202715,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202716,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_202717,Hb Special Order Or Supply,2866.23,1003.18,,,0
CDM,27204504_202718,Hb Special Order Or Supply,3432.61,1201.41,,,0
CDM,27204504_202719,Hb Special Order Or Supply,10674.84,3736.19,,,0
CDM,27204504_202720,Hb Special Order Or Supply,5330.63,1865.72,,,0
CDM,27204504_202721,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_202722,Hb Special Order Or Supply,2273.52,795.73,,,0
CDM,27204504_202724,Hb Special Order Or Supply,2273.52,795.73,,,0
CDM,27204504_202726,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_202728,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_202730,Hb Special Order Or Supply,2378.37,832.43,,,0
CDM,27204504_202731,Hb Special Order Or Supply,1337.23,468.03,,,0
CDM,27204504_202732,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_202733,Hb Special Order Or Supply,1827.78,639.72,,,0
CDM,27204504_202734,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202735,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_202739,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_202740,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_202742,Hb Special Order Or Supply,122.47,42.86,,,0
CDM,27204504_202743,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_202744,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202745,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_202746,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202747,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_202748,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202749,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202750,Hb Special Order Or Supply,1287.32,450.56,,,0
CDM,27204504_202754,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_202755,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_202756,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202758,Hb Special Order Or Supply,535.8,187.53,,,0
CDM,27204504_202759,Hb Special Order Or Supply,1881.53,658.54,,,0
CDM,27204504_202762,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_202763,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_202764,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202766,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_202767,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_202768,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202773,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202775,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_202777,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202779,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202780,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202781,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_202782,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202783,Hb Special Order Or Supply,1556.74,544.86,,,0
CDM,27204504_202785,Hb Special Order Or Supply,528.42,184.95,,,0
CDM,27204504_202786,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_202788,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202789,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202793,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202794,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202795,Hb Special Order Or Supply,534.55,187.09,,,0
CDM,27204504_202799,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202800,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_202804,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202805,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202807,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_202808,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202810,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202811,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_202812,Hb Special Order Or Supply,2671.1,934.88,,,0
CDM,27204504_202814,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_202817,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202818,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_202819,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202820,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_202824,Hb Special Order Or Supply,1834.15,641.95,,,0
CDM,27204504_202825,Hb Special Order Or Supply,395.24,138.33,,,0
CDM,27204504_202826,Hb Special Order Or Supply,5421.14,1897.4,,,0
CDM,27204504_202827,Hb Special Order Or Supply,1523.15,533.1,,,0
CDM,27204504_202828,Hb Special Order Or Supply,556.68,194.84,,,0
CDM,27204504_202829,Hb Special Order Or Supply,324.73,113.66,,,0
CDM,27204504_202830,Hb Special Order Or Supply,1262.35,441.82,,,0
CDM,27204504_202831,Hb Special Order Or Supply,2777.5,972.12,,,0
CDM,27204504_202832,Hb Special Order Or Supply,1467.15,513.5,,,0
CDM,27204504_202833,Hb Special Order Or Supply,1915.13,670.3,,,0
CDM,27204504_202834,Hb Special Order Or Supply,1331.71,466.1,,,0
CDM,27204504_202835,Hb Special Order Or Supply,2568.06,898.82,,,0
CDM,27204504_202837,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_202838,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_202839,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_202841,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_202842,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_202843,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_202844,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_202845,Hb Special Order Or Supply,5687.97,1990.79,,,0
CDM,27204504_202846,Hb Special Order Or Supply,2502.72,875.95,,,0
CDM,27204504_202847,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_202849,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202850,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_202851,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_202852,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_202853,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202854,Hb Special Order Or Supply,2568.06,898.82,,,0
CDM,27204504_202855,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_202856,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_202857,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202858,Hb Special Order Or Supply,1504.33,526.52,,,0
CDM,27204504_202859,Hb Special Order Or Supply,8898.81,3114.58,,,0
CDM,27204504_202861,Hb Special Order Or Supply,3440.87,1204.3,,,0
CDM,27204504_202864,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202866,Hb Special Order Or Supply,3922.59,1372.91,,,0
CDM,27204504_202867,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202870,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_202871,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_202872,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202873,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_202875,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_202876,Hb Special Order Or Supply,1430.42,500.65,,,0
CDM,27204504_202877,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_202881,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_202882,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202884,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_202885,Hb Special Order Or Supply,431.42,151.0,,,0
CDM,27204504_202887,Hb Special Order Or Supply,385.73,135.01,,,0
CDM,27204504_202889,Hb Special Order Or Supply,385.73,135.01,,,0
CDM,27204504_202890,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_202891,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_202892,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_202898,Hb Special Order Or Supply,1215.19,425.32,,,0
CDM,27204504_202899,Hb Special Order Or Supply,1215.19,425.32,,,0
CDM,27204504_202900,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_202901,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_202902,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202904,Hb Special Order Or Supply,449.28,157.25,,,0
CDM,27204504_202905,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_202909,Hb Special Order Or Supply,645.63,225.97,,,0
CDM,27204504_202910,Hb Special Order Or Supply,1478.35,517.42,,,0
CDM,27204504_202911,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_202912,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_202913,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_202914,Hb Special Order Or Supply,477.81,167.23,,,0
CDM,27204504_202917,Hb Special Order Or Supply,3227.94,1129.78,,,0
CDM,27204504_202918,Hb Special Order Or Supply,918.88,321.61,,,0
CDM,27204504_202920,Hb Special Order Or Supply,283.67,99.28,,,0
CDM,27204504_202921,Hb Special Order Or Supply,268.83,94.09,,,0
CDM,27204504_202926,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_202927,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_202929,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_202930,Hb Special Order Or Supply,2766.3,968.2,,,0
CDM,27204504_202933,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202935,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202936,Hb Special Order Or Supply,386.19,135.17,,,0
CDM,27204504_202938,Hb Special Order Or Supply,122.47,42.86,,,0
CDM,27204504_202941,Hb Special Order Or Supply,2985.32,1044.86,,,0
CDM,27204504_202942,Hb Special Order Or Supply,122.47,42.86,,,0
CDM,27204504_202946,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202947,Hb Special Order Or Supply,6466.23,2263.18,,,0
CDM,27204504_202952,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202953,Hb Special Order Or Supply,5944.35,2080.52,,,0
CDM,27204504_202954,Hb Special Order Or Supply,6768.81,2369.08,,,0
CDM,27204504_202955,Hb Special Order Or Supply,5944.35,2080.52,,,0
CDM,27204504_202956,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_202968,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_202969,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_202970,Hb Special Order Or Supply,219.19,76.72,,,0
CDM,27204504_202973,Hb Special Order Or Supply,230.56,80.7,,,0
CDM,27204504_202974,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_202976,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202977,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202978,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_202979,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_202980,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_202982,Hb Special Order Or Supply,283.67,99.28,,,0
CDM,27204504_202983,Hb Special Order Or Supply,2324.91,813.72,,,0
CDM,27204504_202984,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202985,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_202986,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_202987,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_202988,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_202989,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_202990,Hb Special Order Or Supply,2488.33,870.92,,,0
CDM,27204504_202991,Hb Special Order Or Supply,2488.33,870.92,,,0
CDM,27204504_202993,Hb Special Order Or Supply,2268.07,793.82,,,0
CDM,27204504_202994,Hb Special Order Or Supply,2268.07,793.82,,,0
CDM,27204504_202995,Hb Special Order Or Supply,2268.07,793.82,,,0
CDM,27204504_202996,Hb Special Order Or Supply,707.47,247.61,,,0
CDM,27204504_202997,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_202998,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_203000,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_203001,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_203002,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203003,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203004,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_203007,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_203009,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203010,Hb Special Order Or Supply,478.51,167.48,,,0
CDM,27204504_203011,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203012,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_203013,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_203014,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_203015,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_203016,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203017,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_203018,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_203020,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_203021,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_203024,Hb Special Order Or Supply,1334.21,466.97,,,0
CDM,27204504_203025,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203026,Hb Special Order Or Supply,1060.79,371.28,,,0
CDM,27204504_203027,Hb Special Order Or Supply,1102.82,385.99,,,0
CDM,27204504_203029,Hb Special Order Or Supply,417.51,146.13,,,0
CDM,27204504_203030,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_203032,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_203033,Hb Special Order Or Supply,653.41,228.69,,,0
CDM,27204504_203034,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_203035,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_203038,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_203039,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_203041,Hb Special Order Or Supply,4224.84,1478.69,,,0
CDM,27204504_203044,Hb Special Order Or Supply,1714.89,600.21,,,0
CDM,27204504_203045,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_203050,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_203051,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_203052,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_203057,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203059,Hb Special Order Or Supply,3068.57,1074.0,,,0
CDM,27204504_203061,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_203064,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_203067,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_203068,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203069,Hb Special Order Or Supply,39024.18,13658.46,,,0
CDM,27204504_203075,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_203076,Hb Special Order Or Supply,2376.24,831.68,,,0
CDM,27204504_203077,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_203084,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_203085,Hb Special Order Or Supply,1095.89,383.56,,,0
CDM,27204504_203089,Hb Special Order Or Supply,2733.15,956.6,,,0
CDM,27204504_203090,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_203091,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_203093,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203094,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_203095,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203096,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203097,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_203098,Hb Special Order Or Supply,1128.76,395.07,,,0
CDM,27204504_203100,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_203101,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_203102,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_203105,Hb Special Order Or Supply,435.6,152.46,,,0
CDM,27204504_203106,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203107,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_203108,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_203109,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_203110,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203111,Hb Special Order Or Supply,3922.59,1372.91,,,0
CDM,27204504_203112,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203113,Hb Special Order Or Supply,1504.33,526.52,,,0
CDM,27204504_203114,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_203115,Hb Special Order Or Supply,579.64,202.87,,,0
CDM,27204504_203117,Hb Special Order Or Supply,1851.29,647.95,,,0
CDM,27204504_203118,Hb Special Order Or Supply,430.42,150.65,,,0
CDM,27204504_203119,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203120,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_203121,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_203122,Hb Special Order Or Supply,2049.19,717.22,,,0
CDM,27204504_203123,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_203124,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203125,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_203126,Hb Special Order Or Supply,2488.56,871.0,,,0
CDM,27204504_203127,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203128,Hb Special Order Or Supply,3922.59,1372.91,,,0
CDM,27204504_203129,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203130,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203131,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203132,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203133,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_203134,Hb Special Order Or Supply,1903.37,666.18,,,0
CDM,27204504_203135,Hb Special Order Or Supply,1430.42,500.65,,,0
CDM,27204504_203136,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203137,Hb Special Order Or Supply,2348.12,821.84,,,0
CDM,27204504_203142,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_203144,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_203145,Hb Special Order Or Supply,2272.51,795.38,,,0
CDM,27204504_203146,Hb Special Order Or Supply,2480.15,868.05,,,0
CDM,27204504_203147,Hb Special Order Or Supply,1764.95,617.73,,,0
CDM,27204504_203148,Hb Special Order Or Supply,1764.95,617.73,,,0
CDM,27204504_203149,Hb Special Order Or Supply,914.44,320.05,,,0
CDM,27204504_203150,Hb Special Order Or Supply,1421.45,497.51,,,0
CDM,27204504_203155,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203156,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_203157,Hb Special Order Or Supply,2912.81,1019.48,,,0
CDM,27204504_203158,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_203160,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_203161,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203162,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203163,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_203164,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203167,Hb Special Order Or Supply,2182.35,763.82,,,0
CDM,27204504_203169,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_203170,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203174,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_203175,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_203176,Hb Special Order Or Supply,2469.93,864.48,,,0
CDM,27204504_203177,Hb Special Order Or Supply,3001.86,1050.65,,,0
CDM,27204504_203180,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203183,Hb Special Order Or Supply,417.51,146.13,,,0
CDM,27204504_203184,Hb Special Order Or Supply,13741.85,4809.65,,,0
CDM,27204504_203188,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_203189,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_203191,Hb Special Order Or Supply,1214.49,425.07,,,0
CDM,27204504_203195,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203196,Hb Special Order Or Supply,2166.45,758.26,,,0
CDM,27204504_203197,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203198,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203199,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203200,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_203201,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_203231,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_203232,Hb Special Order Or Supply,3068.57,1074.0,,,0
CDM,27204504_203245,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_203248,Hb Special Order Or Supply,2985.32,1044.86,,,0
CDM,27204504_203249,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203251,Hb Special Order Or Supply,2348.12,821.84,,,0
CDM,27204504_203255,Hb Special Order Or Supply,2118.41,741.44,,,0
CDM,27204504_203258,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_203260,Hb Special Order Or Supply,674.6,236.11,,,0
CDM,27204504_203261,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203263,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203264,Hb Special Order Or Supply,3388.75,1186.06,,,0
CDM,27204504_203265,Hb Special Order Or Supply,5210.34,1823.62,,,0
CDM,27204504_203284,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_203285,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_203286,Hb Special Order Or Supply,3875.24,1356.33,,,0
CDM,27204504_203289,Hb Special Order Or Supply,2290.31,801.61,,,0
CDM,27204504_203290,Hb Special Order Or Supply,7004.34,2451.52,,,0
CDM,27204504_203291,Hb Special Order Or Supply,1433.55,501.74,,,0
CDM,27204504_203292,Hb Special Order Or Supply,2599.88,909.96,,,0
CDM,27204504_203293,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203294,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203295,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_203296,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_203297,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_203306,Hb Special Order Or Supply,890.44,311.65,,,0
CDM,27204504_203310,Hb Special Order Or Supply,120.62,42.22,,,0
CDM,27204504_203315,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_203317,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203319,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203322,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_203323,Hb Special Order Or Supply,1847.93,646.78,,,0
CDM,27204504_203324,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_203325,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_203328,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_203329,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203333,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_203335,Hb Special Order Or Supply,2298.14,804.35,,,0
CDM,27204504_203336,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203340,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_203341,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_203342,Hb Special Order Or Supply,2452.71,858.45,,,0
CDM,27204504_203343,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_203345,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_203348,Hb Special Order Or Supply,815.64,285.47,,,0
CDM,27204504_203349,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_203351,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_203352,Hb Special Order Or Supply,1478.35,517.42,,,0
CDM,27204504_203354,Hb Special Order Or Supply,761.51,266.53,,,0
CDM,27204504_203358,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_203359,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_203361,Hb Special Order Or Supply,2363.12,827.09,,,0
CDM,27204504_203364,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_203365,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_203366,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203367,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203373,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_203376,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203377,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_203378,Hb Special Order Or Supply,8672.04,3035.21,,,0
CDM,27204504_203379,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_203381,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_203382,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_203386,Hb Special Order Or Supply,3320.42,1162.15,,,0
CDM,27204504_203389,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203390,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203391,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203397,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_203402,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_203405,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_203406,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_203408,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_203410,Hb Special Order Or Supply,2760.03,966.01,,,0
CDM,27204504_203411,Hb Special Order Or Supply,579.64,202.87,,,0
CDM,27204504_203440,Hb Special Order Or Supply,1293.55,452.74,,,0
CDM,27204504_203444,Hb Special Order Or Supply,1299.15,454.7,,,0
CDM,27204504_203447,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203448,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203449,Hb Special Order Or Supply,430.42,150.65,,,0
CDM,27204504_203451,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_203452,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203453,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_203455,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_203458,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_203459,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_203461,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_203462,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203464,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_203465,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203467,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203468,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203471,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_203473,Hb Special Order Or Supply,3869.06,1354.17,,,0
CDM,27204504_203474,Hb Special Order Or Supply,3869.06,1354.17,,,0
CDM,27204504_203475,Hb Special Order Or Supply,3922.43,1372.85,,,0
CDM,27204504_203477,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203478,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_203479,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_203480,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203481,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203482,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_203483,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203484,Hb Special Order Or Supply,7099.95,2484.98,,,0
CDM,27204504_203485,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_203486,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203487,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_203489,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_203490,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_203491,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203513,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203523,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_203525,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_203530,Hb Special Order Or Supply,10228.56,3580.0,,,0
CDM,27204504_203534,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_203535,Hb Special Order Or Supply,10562.1,3696.74,,,0
CDM,27204504_203537,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203538,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203539,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_203540,Hb Special Order Or Supply,1747.14,611.5,,,0
CDM,27204504_203541,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203542,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_203547,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_203557,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_203559,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203562,Hb Special Order Or Supply,2985.32,1044.86,,,0
CDM,27204504_203563,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203565,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_203566,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_203569,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_203570,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203573,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203574,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203579,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203580,Hb Special Order Or Supply,487.09,170.48,,,0
CDM,27204504_203581,Hb Special Order Or Supply,3994.47,1398.06,,,0
CDM,27204504_203582,Hb Special Order Or Supply,2783.1,974.08,,,0
CDM,27204504_203586,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203588,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_203591,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_203592,Hb Special Order Or Supply,417.51,146.13,,,0
CDM,27204504_203599,Hb Special Order Or Supply,7004.34,2451.52,,,0
CDM,27204504_203600,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_203602,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203603,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203604,Hb Special Order Or Supply,4164.81,1457.68,,,0
CDM,27204504_203605,Hb Special Order Or Supply,2587.64,905.67,,,0
CDM,27204504_203607,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203608,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203609,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203612,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_203615,Hb Special Order Or Supply,1675.46,586.41,,,0
CDM,27204504_203617,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_203618,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203619,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203623,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_203624,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_203625,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_203630,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203634,Hb Special Order Or Supply,3509.0,1228.15,,,0
CDM,27204504_203635,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_203636,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_203637,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203641,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_203642,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_203643,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_203644,Hb Special Order Or Supply,1304.8,456.68,,,0
CDM,27204504_203645,Hb Special Order Or Supply,1306.19,457.17,,,0
CDM,27204504_203647,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203648,Hb Special Order Or Supply,358.36,125.43,,,0
CDM,27204504_203649,Hb Special Order Or Supply,1730.34,605.62,,,0
CDM,27204504_203650,Hb Special Order Or Supply,1357.38,475.08,,,0
CDM,27204504_203651,Hb Special Order Or Supply,1499.62,524.87,,,0
CDM,27204504_203652,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_203654,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_203655,Hb Special Order Or Supply,477.81,167.23,,,0
CDM,27204504_203657,Hb Special Order Or Supply,628.75,220.06,,,0
CDM,27204504_203658,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_203659,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203661,Hb Special Order Or Supply,3728.31,1304.91,,,0
CDM,27204504_203662,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203663,Hb Special Order Or Supply,1730.34,605.62,,,0
CDM,27204504_203664,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203665,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203666,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203667,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203668,Hb Special Order Or Supply,292.25,102.29,,,0
CDM,27204504_203671,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_203675,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_203677,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_203678,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203679,Hb Special Order Or Supply,3616.32,1265.71,,,0
CDM,27204504_203680,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_203681,Hb Special Order Or Supply,628.41,219.94,,,0
CDM,27204504_203682,Hb Special Order Or Supply,507.5,177.62,,,0
CDM,27204504_203683,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_203691,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203692,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203693,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203695,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203696,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_203698,Hb Special Order Or Supply,1942.01,679.7,,,0
CDM,27204504_203699,Hb Special Order Or Supply,2076.4,726.74,,,0
CDM,27204504_203703,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203704,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203706,Hb Special Order Or Supply,10067.18,3523.51,,,0
CDM,27204504_203707,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_203708,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203709,Hb Special Order Or Supply,5763.57,2017.25,,,0
CDM,27204504_203710,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_203713,Hb Special Order Or Supply,1552.27,543.29,,,0
CDM,27204504_203716,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203718,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_203719,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_203720,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203721,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203722,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203723,Hb Special Order Or Supply,7450.62,2607.72,,,0
CDM,27204504_203729,Hb Special Order Or Supply,717.04,250.96,,,0
CDM,27204504_203730,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_203731,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_203735,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_203736,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203738,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_203739,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203740,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203741,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203742,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_203743,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_203744,Hb Special Order Or Supply,1834.15,641.95,,,0
CDM,27204504_203745,Hb Special Order Or Supply,2284.05,799.42,,,0
CDM,27204504_203746,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_203747,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_203748,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_203749,Hb Special Order Or Supply,5421.14,1897.4,,,0
CDM,27204504_203750,Hb Special Order Or Supply,556.68,194.84,,,0
CDM,27204504_203751,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_203752,Hb Special Order Or Supply,2777.5,972.12,,,0
CDM,27204504_203753,Hb Special Order Or Supply,1262.35,441.82,,,0
CDM,27204504_203754,Hb Special Order Or Supply,1467.15,513.5,,,0
CDM,27204504_203755,Hb Special Order Or Supply,1331.71,466.1,,,0
CDM,27204504_203756,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_203757,Hb Special Order Or Supply,1534.35,537.02,,,0
CDM,27204504_203758,Hb Special Order Or Supply,1534.35,537.02,,,0
CDM,27204504_203759,Hb Special Order Or Supply,1523.15,533.1,,,0
CDM,27204504_203760,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_203763,Hb Special Order Or Supply,4251.52,1488.03,,,0
CDM,27204504_203764,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_203765,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203766,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_203769,Hb Special Order Or Supply,2643.11,925.09,,,0
CDM,27204504_203770,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_203771,Hb Special Order Or Supply,1742.1,609.74,,,0
CDM,27204504_203772,Hb Special Order Or Supply,343.05,120.07,,,0
CDM,27204504_203773,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203774,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203775,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_203776,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_203778,Hb Special Order Or Supply,1856.34,649.72,,,0
CDM,27204504_203779,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_203781,Hb Special Order Or Supply,2368.49,828.97,,,0
CDM,27204504_203782,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203783,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_203784,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203785,Hb Special Order Or Supply,1640.07,574.02,,,0
CDM,27204504_203786,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_203787,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_203788,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_203790,Hb Special Order Or Supply,8894.4,3113.04,,,0
CDM,27204504_203791,Hb Special Order Or Supply,1186.61,415.31,,,0
CDM,27204504_203796,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203797,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203798,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_203799,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203800,Hb Special Order Or Supply,347.92,121.77,,,0
CDM,27204504_203803,Hb Special Order Or Supply,628.41,219.94,,,0
CDM,27204504_203806,Hb Special Order Or Supply,2599.88,909.96,,,0
CDM,27204504_203807,Hb Special Order Or Supply,3802.16,1330.76,,,0
CDM,27204504_203808,Hb Special Order Or Supply,1675.35,586.37,,,0
CDM,27204504_203809,Hb Special Order Or Supply,3311.41,1158.99,,,0
CDM,27204504_203812,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203815,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203816,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203817,Hb Special Order Or Supply,3311.41,1158.99,,,0
CDM,27204504_203818,Hb Special Order Or Supply,43449.14,15207.2,,,0
CDM,27204504_203819,Hb Special Order Or Supply,665.0,232.75,,,0
CDM,27204504_203821,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203822,Hb Special Order Or Supply,1639.62,573.87,,,0
CDM,27204504_203824,Hb Special Order Or Supply,2766.3,968.2,,,0
CDM,27204504_203825,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203826,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_203827,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_203833,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_203834,Hb Special Order Or Supply,4291.55,1502.04,,,0
CDM,27204504_203835,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203836,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_203840,Hb Special Order Or Supply,3728.31,1304.91,,,0
CDM,27204504_203843,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_203844,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_203846,Hb Special Order Or Supply,546.3,191.2,,,0
CDM,27204504_203847,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203848,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_203854,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_203855,Hb Special Order Or Supply,2713.66,949.78,,,0
CDM,27204504_203856,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_203857,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203858,Hb Special Order Or Supply,3068.57,1074.0,,,0
CDM,27204504_203859,Hb Special Order Or Supply,4758.5,1665.48,,,0
CDM,27204504_203861,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203862,Hb Special Order Or Supply,3372.73,1180.46,,,0
CDM,27204504_203863,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203864,Hb Special Order Or Supply,542.29,189.8,,,0
CDM,27204504_203865,Hb Special Order Or Supply,2231.85,781.15,,,0
CDM,27204504_203866,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_203868,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203869,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203874,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203876,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_203878,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203879,Hb Special Order Or Supply,5203.22,1821.13,,,0
CDM,27204504_203883,Hb Special Order Or Supply,628.41,219.94,,,0
CDM,27204504_203884,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_203886,Hb Special Order Or Supply,2071.93,725.18,,,0
CDM,27204504_203888,Hb Special Order Or Supply,2298.14,804.35,,,0
CDM,27204504_203889,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_203890,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203891,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_203892,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_203893,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_203894,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203895,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_203896,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_203898,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203899,Hb Special Order Or Supply,3406.8,1192.38,,,0
CDM,27204504_203901,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_203904,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_203905,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_203907,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203908,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203910,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203911,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203913,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_203914,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_203915,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_203918,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203920,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_203925,Hb Special Order Or Supply,645.63,225.97,,,0
CDM,27204504_203926,Hb Special Order Or Supply,1131.16,395.91,,,0
CDM,27204504_203927,Hb Special Order Or Supply,1373.33,480.67,,,0
CDM,27204504_203929,Hb Special Order Or Supply,2538.07,888.32,,,0
CDM,27204504_203930,Hb Special Order Or Supply,2538.07,888.32,,,0
CDM,27204504_203931,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_203932,Hb Special Order Or Supply,513.19,179.62,,,0
CDM,27204504_203933,Hb Special Order Or Supply,2452.71,858.45,,,0
CDM,27204504_203934,Hb Special Order Or Supply,691.82,242.14,,,0
CDM,27204504_203935,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_203936,Hb Special Order Or Supply,2454.85,859.2,,,0
CDM,27204504_203937,Hb Special Order Or Supply,822.44,287.85,,,0
CDM,27204504_203940,Hb Special Order Or Supply,2428.41,849.94,,,0
CDM,27204504_203941,Hb Special Order Or Supply,2538.07,888.32,,,0
CDM,27204504_203942,Hb Special Order Or Supply,2452.71,858.45,,,0
CDM,27204504_203943,Hb Special Order Or Supply,513.19,179.62,,,0
CDM,27204504_203944,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_203945,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_203948,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_203949,Hb Special Order Or Supply,562.86,197.0,,,0
CDM,27204504_203952,Hb Special Order Or Supply,2308.24,807.88,,,0
CDM,27204504_203954,Hb Special Order Or Supply,1411.15,493.9,,,0
CDM,27204504_203955,Hb Special Order Or Supply,366.48,128.27,,,0
CDM,27204504_203956,Hb Special Order Or Supply,3704.9,1296.72,,,0
CDM,27204504_203957,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_203959,Hb Special Order Or Supply,3869.06,1354.17,,,0
CDM,27204504_203960,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_203961,Hb Special Order Or Supply,3869.06,1354.17,,,0
CDM,27204504_203962,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_203963,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_203964,Hb Special Order Or Supply,628.41,219.94,,,0
CDM,27204504_203965,Hb Special Order Or Supply,2819.13,986.7,,,0
CDM,27204504_203967,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_203968,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_203974,Hb Special Order Or Supply,173.96,60.89,,,0
CDM,27204504_203978,Hb Special Order Or Supply,744.96,260.74,,,0
CDM,27204504_203981,Hb Special Order Or Supply,424.23,148.48,,,0
CDM,27204504_203982,Hb Special Order Or Supply,424.23,148.48,,,0
CDM,27204504_203984,Hb Special Order Or Supply,244.24,85.48,,,0
CDM,27204504_203985,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_203990,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_203992,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_203993,Hb Special Order Or Supply,3068.57,1074.0,,,0
CDM,27204504_203994,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_203995,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_203996,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_203997,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_203998,Hb Special Order Or Supply,1411.15,493.9,,,0
CDM,27204504_204004,Hb Special Order Or Supply,628.75,220.06,,,0
CDM,27204504_204005,Hb Special Order Or Supply,11322.57,3962.9,,,0
CDM,27204504_204009,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_204010,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204011,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_204012,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_204016,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204017,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204023,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_204024,Hb Special Order Or Supply,481.74,168.61,,,0
CDM,27204504_204025,Hb Special Order Or Supply,3263.29,1142.15,,,0
CDM,27204504_204026,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204027,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_204028,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_204030,Hb Special Order Or Supply,1310.35,458.62,,,0
CDM,27204504_204031,Hb Special Order Or Supply,1373.33,480.67,,,0
CDM,27204504_204032,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_204033,Hb Special Order Or Supply,2076.4,726.74,,,0
CDM,27204504_204035,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_204036,Hb Special Order Or Supply,31130.4,10895.64,,,0
CDM,27204504_204037,Hb Special Order Or Supply,2766.3,968.2,,,0
CDM,27204504_204038,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204039,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_204041,Hb Special Order Or Supply,918.88,321.61,,,0
CDM,27204504_204042,Hb Special Order Or Supply,931.09,325.88,,,0
CDM,27204504_204043,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204044,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_204045,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_204046,Hb Special Order Or Supply,1163.31,407.16,,,0
CDM,27204504_204047,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204048,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_204049,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204051,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_204052,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204053,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_204054,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_204055,Hb Special Order Or Supply,2363.12,827.09,,,0
CDM,27204504_204056,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204058,Hb Special Order Or Supply,737.72,258.2,,,0
CDM,27204504_204060,Hb Special Order Or Supply,1166.91,408.42,,,0
CDM,27204504_204061,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204063,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_204064,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204065,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204067,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204068,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204069,Hb Special Order Or Supply,347.92,121.77,,,0
CDM,27204504_204071,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_204072,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204073,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_204074,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_204075,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204076,Hb Special Order Or Supply,1586.65,555.33,,,0
CDM,27204504_204078,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204080,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204081,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204083,Hb Special Order Or Supply,2396.71,838.85,,,0
CDM,27204504_204084,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_204085,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204086,Hb Special Order Or Supply,1373.33,480.67,,,0
CDM,27204504_204087,Hb Special Order Or Supply,3321.63,1162.57,,,0
CDM,27204504_204088,Hb Special Order Or Supply,811.18,283.91,,,0
CDM,27204504_204089,Hb Special Order Or Supply,612.52,214.38,,,0
CDM,27204504_204090,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_204091,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_204092,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_204095,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204097,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204098,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204099,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_204100,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_204101,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_204106,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_204107,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204109,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_204111,Hb Special Order Or Supply,2545.1,890.78,,,0
CDM,27204504_204117,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_204119,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204120,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204121,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204123,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_204124,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204125,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_204126,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204127,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_204128,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_204130,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204131,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_204132,Hb Special Order Or Supply,1827.78,639.72,,,0
CDM,27204504_204133,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_204134,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204138,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204139,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_204140,Hb Special Order Or Supply,2676.7,936.84,,,0
CDM,27204504_204141,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204142,Hb Special Order Or Supply,3125.74,1094.01,,,0
CDM,27204504_204143,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204144,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204147,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_204151,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204153,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204155,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_204156,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_204158,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204159,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204160,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204161,Hb Special Order Or Supply,1730.34,605.62,,,0
CDM,27204504_204162,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_204163,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_204169,Hb Special Order Or Supply,717.04,250.96,,,0
CDM,27204504_204171,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_204172,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_204176,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_204177,Hb Special Order Or Supply,405.92,142.07,,,0
CDM,27204504_204179,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_204180,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_204181,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_204182,Hb Special Order Or Supply,477.81,167.23,,,0
CDM,27204504_204184,Hb Special Order Or Supply,1409.92,493.47,,,0
CDM,27204504_204186,Hb Special Order Or Supply,527.22,184.53,,,0
CDM,27204504_204191,Hb Special Order Or Supply,9143.44,3200.2,,,0
CDM,27204504_204193,Hb Special Order Or Supply,2794.31,978.01,,,0
CDM,27204504_204202,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204203,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204204,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204205,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_204206,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_204208,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204213,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_204214,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_204215,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_204217,Hb Special Order Or Supply,1384.45,484.56,,,0
CDM,27204504_204218,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204219,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204220,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_204221,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204222,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204223,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204224,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204226,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_204227,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_204228,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_204229,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_204230,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_204232,Hb Special Order Or Supply,2712.79,949.48,,,0
CDM,27204504_204234,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_204235,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_204237,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_204238,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204240,Hb Special Order Or Supply,401.27,140.44,,,0
CDM,27204504_204241,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_204242,Hb Special Order Or Supply,2445.96,856.09,,,0
CDM,27204504_204243,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_204245,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_204246,Hb Special Order Or Supply,1310.35,458.62,,,0
CDM,27204504_204247,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_204249,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_204250,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_204251,Hb Special Order Or Supply,2329.52,815.33,,,0
CDM,27204504_204252,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204253,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204254,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204255,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204256,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204257,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204258,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204260,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_204261,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204262,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204263,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204264,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_204265,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_204266,Hb Special Order Or Supply,2076.4,726.74,,,0
CDM,27204504_204267,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_204269,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204270,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204279,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_204280,Hb Special Order Or Supply,2348.12,821.84,,,0
CDM,27204504_204281,Hb Special Order Or Supply,6226.08,2179.13,,,0
CDM,27204504_204285,Hb Special Order Or Supply,9739.37,3408.78,,,0
CDM,27204504_204291,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204294,Hb Special Order Or Supply,4669.56,1634.35,,,0
CDM,27204504_204295,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204298,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204299,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_204300,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_204301,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204302,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_204304,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_204305,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204306,Hb Special Order Or Supply,6226.08,2179.13,,,0
CDM,27204504_204307,Hb Special Order Or Supply,1556.74,544.86,,,0
CDM,27204504_204308,Hb Special Order Or Supply,2568.06,898.82,,,0
CDM,27204504_204310,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_204311,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_204312,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204314,Hb Special Order Or Supply,3002.67,1050.93,,,0
CDM,27204504_204322,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204323,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204326,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_204327,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204328,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_204329,Hb Special Order Or Supply,3619.72,1266.9,,,0
CDM,27204504_204330,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_204333,Hb Special Order Or Supply,3619.72,1266.9,,,0
CDM,27204504_204336,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204337,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_204338,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_204339,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_204340,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204341,Hb Special Order Or Supply,1504.33,526.52,,,0
CDM,27204504_204344,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204346,Hb Special Order Or Supply,1912.11,669.24,,,0
CDM,27204504_204347,Hb Special Order Or Supply,3491.97,1222.19,,,0
CDM,27204504_204355,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_204356,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204357,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_204359,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_204360,Hb Special Order Or Supply,2526.3,884.2,,,0
CDM,27204504_204361,Hb Special Order Or Supply,3210.91,1123.82,,,0
CDM,27204504_204364,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_204365,Hb Special Order Or Supply,18366.94,6428.43,,,0
CDM,27204504_204366,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204372,Hb Special Order Or Supply,3002.67,1050.93,,,0
CDM,27204504_204373,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204374,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204379,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204380,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_204381,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_204384,Hb Special Order Or Supply,11534.79,4037.18,,,0
CDM,27204504_204385,Hb Special Order Or Supply,10067.18,3523.51,,,0
CDM,27204504_204386,Hb Special Order Or Supply,1659.78,580.92,,,0
CDM,27204504_204387,Hb Special Order Or Supply,2985.32,1044.86,,,0
CDM,27204504_204388,Hb Special Order Or Supply,1556.74,544.86,,,0
CDM,27204504_204389,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_204391,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_204392,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_204398,Hb Special Order Or Supply,132.21,46.27,,,0
CDM,27204504_204400,Hb Special Order Or Supply,2171.84,760.14,,,0
CDM,27204504_204406,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204413,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204414,Hb Special Order Or Supply,2991.17,1046.91,,,0
CDM,27204504_204416,Hb Special Order Or Supply,8894.4,3113.04,,,0
CDM,27204504_204417,Hb Special Order Or Supply,8894.4,3113.04,,,0
CDM,27204504_204418,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204419,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_204422,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_204426,Hb Special Order Or Supply,2463.91,862.37,,,0
CDM,27204504_204427,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_204429,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_204431,Hb Special Order Or Supply,3943.63,1380.27,,,0
CDM,27204504_204432,Hb Special Order Or Supply,604.41,211.54,,,0
CDM,27204504_204434,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204435,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_204436,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_204439,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_204440,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_204441,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_204446,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_204447,Hb Special Order Or Supply,1091.18,381.91,,,0
CDM,27204504_204449,Hb Special Order Or Supply,324.73,113.66,,,0
CDM,27204504_204450,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_204451,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204453,Hb Special Order Or Supply,731.72,256.1,,,0
CDM,27204504_204454,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204456,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204457,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204458,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204459,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204460,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_204461,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204463,Hb Special Order Or Supply,480.32,168.11,,,0
CDM,27204504_204464,Hb Special Order Or Supply,2172.72,760.45,,,0
CDM,27204504_204466,Hb Special Order Or Supply,358.36,125.43,,,0
CDM,27204504_204467,Hb Special Order Or Supply,358.36,125.43,,,0
CDM,27204504_204469,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204470,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204471,Hb Special Order Or Supply,1128.76,395.07,,,0
CDM,27204504_204472,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204473,Hb Special Order Or Supply,1128.76,395.07,,,0
CDM,27204504_204474,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204475,Hb Special Order Or Supply,822.44,287.85,,,0
CDM,27204504_204479,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204481,Hb Special Order Or Supply,2598.31,909.41,,,0
CDM,27204504_204482,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_204483,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_204485,Hb Special Order Or Supply,2263.85,792.35,,,0
CDM,27204504_204487,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_204488,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204490,Hb Special Order Or Supply,2302.64,805.92,,,0
CDM,27204504_204492,Hb Special Order Or Supply,417.51,146.13,,,0
CDM,27204504_204493,Hb Special Order Or Supply,3790.06,1326.52,,,0
CDM,27204504_204495,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204496,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204497,Hb Special Order Or Supply,417.51,146.13,,,0
CDM,27204504_204498,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_204499,Hb Special Order Or Supply,2568.06,898.82,,,0
CDM,27204504_204501,Hb Special Order Or Supply,2463.91,862.37,,,0
CDM,27204504_204502,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204503,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204514,Hb Special Order Or Supply,2425.84,849.04,,,0
CDM,27204504_204515,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_204518,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204522,Hb Special Order Or Supply,2172.72,760.45,,,0
CDM,27204504_204523,Hb Special Order Or Supply,565.96,198.09,,,0
CDM,27204504_204527,Hb Special Order Or Supply,1523.15,533.1,,,0
CDM,27204504_204528,Hb Special Order Or Supply,1534.35,537.02,,,0
CDM,27204504_204529,Hb Special Order Or Supply,1534.35,537.02,,,0
CDM,27204504_204531,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204532,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204540,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_204541,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_204542,Hb Special Order Or Supply,2284.05,799.42,,,0
CDM,27204504_204543,Hb Special Order Or Supply,556.68,194.84,,,0
CDM,27204504_204544,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_204545,Hb Special Order Or Supply,1467.15,513.5,,,0
CDM,27204504_204546,Hb Special Order Or Supply,2777.5,972.12,,,0
CDM,27204504_204550,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_204551,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204552,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204553,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204554,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_204555,Hb Special Order Or Supply,914.44,320.05,,,0
CDM,27204504_204556,Hb Special Order Or Supply,1764.95,617.73,,,0
CDM,27204504_204557,Hb Special Order Or Supply,1262.35,441.82,,,0
CDM,27204504_204558,Hb Special Order Or Supply,1331.71,466.1,,,0
CDM,27204504_204559,Hb Special Order Or Supply,5421.14,1897.4,,,0
CDM,27204504_204561,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204562,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_204563,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_204567,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_204571,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_204575,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204576,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_204578,Hb Special Order Or Supply,5981.48,2093.52,,,0
CDM,27204504_204581,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204582,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_204583,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_204584,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204590,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204591,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_204593,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_204594,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_204595,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_204598,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_204599,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204600,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204601,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204603,Hb Special Order Or Supply,1990.84,696.79,,,0
CDM,27204504_204608,Hb Special Order Or Supply,173.96,60.89,,,0
CDM,27204504_204610,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_204611,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_204612,Hb Special Order Or Supply,5330.63,1865.72,,,0
CDM,27204504_204613,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_204614,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_204615,Hb Special Order Or Supply,895.86,313.55,,,0
CDM,27204504_204616,Hb Special Order Or Supply,3377.84,1182.24,,,0
CDM,27204504_204621,Hb Special Order Or Supply,166.77,58.37,,,0
CDM,27204504_204623,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204624,Hb Special Order Or Supply,863.11,302.09,,,0
CDM,27204504_204625,Hb Special Order Or Supply,891.97,312.19,,,0
CDM,27204504_204626,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_204627,Hb Special Order Or Supply,3994.47,1398.06,,,0
CDM,27204504_204628,Hb Special Order Or Supply,3994.47,1398.06,,,0
CDM,27204504_204629,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_204630,Hb Special Order Or Supply,2298.14,804.35,,,0
CDM,27204504_204631,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204633,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_204634,Hb Special Order Or Supply,3491.97,1222.19,,,0
CDM,27204504_204636,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_204637,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204639,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_204640,Hb Special Order Or Supply,1640.07,574.02,,,0
CDM,27204504_204643,Hb Special Order Or Supply,440.7,154.24,,,0
CDM,27204504_204644,Hb Special Order Or Supply,1411.82,494.14,,,0
CDM,27204504_204645,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204646,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_204648,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204649,Hb Special Order Or Supply,1164.0,407.4,,,0
CDM,27204504_204650,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_204652,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204653,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204654,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204657,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_204658,Hb Special Order Or Supply,2245.84,786.04,,,0
CDM,27204504_204660,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204661,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_204663,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204664,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_204666,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204668,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204671,Hb Special Order Or Supply,13741.85,4809.65,,,0
CDM,27204504_204672,Hb Special Order Or Supply,132.91,46.52,,,0
CDM,27204504_204673,Hb Special Order Or Supply,142.65,49.93,,,0
CDM,27204504_204675,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_204676,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_204677,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_204681,Hb Special Order Or Supply,1742.1,609.74,,,0
CDM,27204504_204682,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_204685,Hb Special Order Or Supply,750.25,262.59,,,0
CDM,27204504_204686,Hb Special Order Or Supply,1108.52,387.98,,,0
CDM,27204504_204687,Hb Special Order Or Supply,1108.52,387.98,,,0
CDM,27204504_204688,Hb Special Order Or Supply,750.25,262.59,,,0
CDM,27204504_204691,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_204692,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_204693,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204694,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_204695,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204696,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_204697,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_204698,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204700,Hb Special Order Or Supply,132.91,46.52,,,0
CDM,27204504_204701,Hb Special Order Or Supply,120.62,42.22,,,0
CDM,27204504_204702,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_204703,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_204704,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204705,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_204706,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_204707,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_204708,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_204716,Hb Special Order Or Supply,1299.15,454.7,,,0
CDM,27204504_204717,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_204724,Hb Special Order Or Supply,14675.76,5136.52,,,0
CDM,27204504_204725,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204728,Hb Special Order Or Supply,628.25,219.89,,,0
CDM,27204504_204731,Hb Special Order Or Supply,1684.08,589.43,,,0
CDM,27204504_204738,Hb Special Order Or Supply,2207.78,772.72,,,0
CDM,27204504_204739,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_204740,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_204741,Hb Special Order Or Supply,463.53,162.24,,,0
CDM,27204504_204742,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204743,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_204745,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_204746,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204747,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_204748,Hb Special Order Or Supply,2143.94,750.38,,,0
CDM,27204504_204759,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204762,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204765,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204766,Hb Special Order Or Supply,13119.24,4591.73,,,0
CDM,27204504_204768,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_204769,Hb Special Order Or Supply,1310.35,458.62,,,0
CDM,27204504_204770,Hb Special Order Or Supply,481.74,168.61,,,0
CDM,27204504_204772,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204776,Hb Special Order Or Supply,2172.72,760.45,,,0
CDM,27204504_204777,Hb Special Order Or Supply,3549.71,1242.4,,,0
CDM,27204504_204778,Hb Special Order Or Supply,2192.88,767.51,,,0
CDM,27204504_204779,Hb Special Order Or Supply,7373.46,2580.71,,,0
CDM,27204504_204780,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_204781,Hb Special Order Or Supply,2562.46,896.86,,,0
CDM,27204504_204782,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204783,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204786,Hb Special Order Or Supply,2172.72,760.45,,,0
CDM,27204504_204790,Hb Special Order Or Supply,8872.16,3105.26,,,0
CDM,27204504_204791,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204792,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204797,Hb Special Order Or Supply,1415.63,495.47,,,0
CDM,27204504_204809,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204813,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_204814,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_204815,Hb Special Order Or Supply,3509.0,1228.15,,,0
CDM,27204504_204819,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_204820,Hb Special Order Or Supply,237.52,83.13,,,0
CDM,27204504_204821,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_204822,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204824,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_204825,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_204827,Hb Special Order Or Supply,1534.35,537.02,,,0
CDM,27204504_204828,Hb Special Order Or Supply,1534.35,537.02,,,0
CDM,27204504_204836,Hb Special Order Or Supply,3509.0,1228.15,,,0
CDM,27204504_204838,Hb Special Order Or Supply,2794.3,978.0,,,0
CDM,27204504_204839,Hb Special Order Or Supply,2599.88,909.96,,,0
CDM,27204504_204840,Hb Special Order Or Supply,2298.14,804.35,,,0
CDM,27204504_204841,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204845,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_204848,Hb Special Order Or Supply,3922.43,1372.85,,,0
CDM,27204504_204849,Hb Special Order Or Supply,3922.43,1372.85,,,0
CDM,27204504_204850,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204851,Hb Special Order Or Supply,3922.43,1372.85,,,0
CDM,27204504_204853,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204854,Hb Special Order Or Supply,512.87,179.5,,,0
CDM,27204504_204855,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_204856,Hb Special Order Or Supply,423.8,148.33,,,0
CDM,27204504_204857,Hb Special Order Or Supply,3728.31,1304.91,,,0
CDM,27204504_204862,Hb Special Order Or Supply,1702.45,595.86,,,0
CDM,27204504_204864,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_204866,Hb Special Order Or Supply,1212.91,424.52,,,0
CDM,27204504_204868,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_204869,Hb Special Order Or Supply,446.04,156.11,,,0
CDM,27204504_204870,Hb Special Order Or Supply,3016.55,1055.79,,,0
CDM,27204504_204873,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_204878,Hb Special Order Or Supply,440.7,154.24,,,0
CDM,27204504_204879,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_204880,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_204881,Hb Special Order Or Supply,231.95,81.18,,,0
CDM,27204504_204883,Hb Special Order Or Supply,2308.24,807.88,,,0
CDM,27204504_204885,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204886,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_204887,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_204889,Hb Special Order Or Supply,1572.76,550.47,,,0
CDM,27204504_204890,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204903,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204904,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_204905,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_204909,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204921,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204922,Hb Special Order Or Supply,1437.24,503.03,,,0
CDM,27204504_204923,Hb Special Order Or Supply,898.49,314.47,,,0
CDM,27204504_204925,Hb Special Order Or Supply,691.82,242.14,,,0
CDM,27204504_204927,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204929,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_204934,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_204936,Hb Special Order Or Supply,761.51,266.53,,,0
CDM,27204504_204937,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_204938,Hb Special Order Or Supply,2127.92,744.77,,,0
CDM,27204504_204939,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_204940,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204942,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_204943,Hb Special Order Or Supply,366.24,128.18,,,0
CDM,27204504_204944,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_204946,Hb Special Order Or Supply,3119.35,1091.77,,,0
CDM,27204504_204947,Hb Special Order Or Supply,1917.82,671.24,,,0
CDM,27204504_204948,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204949,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_204951,Hb Special Order Or Supply,11322.57,3962.9,,,0
CDM,27204504_204952,Hb Special Order Or Supply,3509.0,1228.15,,,0
CDM,27204504_204953,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_204956,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_204957,Hb Special Order Or Supply,1299.15,454.7,,,0
CDM,27204504_204960,Hb Special Order Or Supply,132.91,46.52,,,0
CDM,27204504_204967,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204969,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204970,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_204971,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_204972,Hb Special Order Or Supply,1632.35,571.32,,,0
CDM,27204504_204987,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204988,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_204990,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_204991,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_204993,Hb Special Order Or Supply,691.82,242.14,,,0
CDM,27204504_204995,Hb Special Order Or Supply,343.05,120.07,,,0
CDM,27204504_204996,Hb Special Order Or Supply,1827.78,639.72,,,0
CDM,27204504_204998,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_204999,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_205003,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_205004,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_205005,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205006,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205007,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_205008,Hb Special Order Or Supply,2076.4,726.74,,,0
CDM,27204504_205009,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205010,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205011,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205012,Hb Special Order Or Supply,9325.78,3264.02,,,0
CDM,27204504_205014,Hb Special Order Or Supply,1682.85,589.0,,,0
CDM,27204504_205015,Hb Special Order Or Supply,2150.88,752.81,,,0
CDM,27204504_205016,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_205017,Hb Special Order Or Supply,542.29,189.8,,,0
CDM,27204504_205019,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_205020,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_205022,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_205025,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205027,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_205029,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205030,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_205031,Hb Special Order Or Supply,556.68,194.84,,,0
CDM,27204504_205036,Hb Special Order Or Supply,129.43,45.3,,,0
CDM,27204504_205037,Hb Special Order Or Supply,197.39,69.09,,,0
CDM,27204504_205038,Hb Special Order Or Supply,278.34,97.42,,,0
CDM,27204504_205041,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_205044,Hb Special Order Or Supply,4442.75,1554.96,,,0
CDM,27204504_205048,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_205049,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_205051,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205052,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205053,Hb Special Order Or Supply,2251.01,787.85,,,0
CDM,27204504_205054,Hb Special Order Or Supply,840.64,294.22,,,0
CDM,27204504_205055,Hb Special Order Or Supply,529.31,185.26,,,0
CDM,27204504_205056,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205057,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205058,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205059,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_205060,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_205061,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_205062,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_205063,Hb Special Order Or Supply,7004.34,2451.52,,,0
CDM,27204504_205066,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_205067,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205068,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205069,Hb Special Order Or Supply,2599.88,909.96,,,0
CDM,27204504_205070,Hb Special Order Or Supply,1504.33,526.52,,,0
CDM,27204504_205076,Hb Special Order Or Supply,513.19,179.62,,,0
CDM,27204504_205079,Hb Special Order Or Supply,898.49,314.47,,,0
CDM,27204504_205082,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_205085,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_205086,Hb Special Order Or Supply,1504.33,526.52,,,0
CDM,27204504_205087,Hb Special Order Or Supply,1472.86,515.5,,,0
CDM,27204504_205094,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205095,Hb Special Order Or Supply,4190.36,1466.63,,,0
CDM,27204504_205097,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205098,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205099,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205100,Hb Special Order Or Supply,424.93,148.73,,,0
CDM,27204504_205101,Hb Special Order Or Supply,327.04,114.46,,,0
CDM,27204504_205102,Hb Special Order Or Supply,124.09,43.43,,,0
CDM,27204504_205103,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_205104,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205105,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_205106,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_205108,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_205118,Hb Special Order Or Supply,496.6,173.81,,,0
CDM,27204504_205119,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205120,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_205122,Hb Special Order Or Supply,1156.92,404.92,,,0
CDM,27204504_205123,Hb Special Order Or Supply,1637.94,573.28,,,0
CDM,27204504_205124,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205125,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205126,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205127,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205128,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205129,Hb Special Order Or Supply,132.21,46.27,,,0
CDM,27204504_205130,Hb Special Order Or Supply,2079.32,727.76,,,0
CDM,27204504_205132,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205133,Hb Special Order Or Supply,2506.13,877.15,,,0
CDM,27204504_205139,Hb Special Order Or Supply,5330.63,1865.72,,,0
CDM,27204504_205140,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_205141,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_205145,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_205146,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205151,Hb Special Order Or Supply,3428.52,1199.98,,,0
CDM,27204504_205153,Hb Special Order Or Supply,2526.3,884.2,,,0
CDM,27204504_205159,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_205160,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_205161,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205163,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_205164,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_205165,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205171,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205175,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_205182,Hb Special Order Or Supply,2298.14,804.35,,,0
CDM,27204504_205184,Hb Special Order Or Supply,2499.87,874.95,,,0
CDM,27204504_205185,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205187,Hb Special Order Or Supply,2298.14,804.35,,,0
CDM,27204504_205191,Hb Special Order Or Supply,213.39,74.69,,,0
CDM,27204504_205192,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_205194,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_205195,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_205196,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_205197,Hb Special Order Or Supply,2819.13,986.7,,,0
CDM,27204504_205198,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205199,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205200,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205202,Hb Special Order Or Supply,2498.63,874.52,,,0
CDM,27204504_205203,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205212,Hb Special Order Or Supply,1959.93,685.98,,,0
CDM,27204504_205218,Hb Special Order Or Supply,2819.13,986.7,,,0
CDM,27204504_205220,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205222,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205223,Hb Special Order Or Supply,144.5,50.58,,,0
CDM,27204504_205224,Hb Special Order Or Supply,142.88,50.01,,,0
CDM,27204504_205225,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205226,Hb Special Order Or Supply,2396.71,838.85,,,0
CDM,27204504_205227,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_205228,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_205229,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205230,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205231,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_205232,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205233,Hb Special Order Or Supply,1478.35,517.42,,,0
CDM,27204504_205234,Hb Special Order Or Supply,3016.55,1055.79,,,0
CDM,27204504_205236,Hb Special Order Or Supply,579.64,202.87,,,0
CDM,27204504_205237,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_205238,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_205239,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_205240,Hb Special Order Or Supply,4891.92,1712.17,,,0
CDM,27204504_205241,Hb Special Order Or Supply,5317.29,1861.05,,,0
CDM,27204504_205242,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_205243,Hb Special Order Or Supply,11534.79,4037.18,,,0
CDM,27204504_205244,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_205246,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_205249,Hb Special Order Or Supply,3738.96,1308.64,,,0
CDM,27204504_205250,Hb Special Order Or Supply,2560.23,896.08,,,0
CDM,27204504_205251,Hb Special Order Or Supply,2819.13,986.7,,,0
CDM,27204504_205252,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_205253,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205254,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205255,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_205256,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_205257,Hb Special Order Or Supply,2150.88,752.81,,,0
CDM,27204504_205258,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205259,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205260,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205261,Hb Special Order Or Supply,840.92,294.32,,,0
CDM,27204504_205265,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205266,Hb Special Order Or Supply,2150.88,752.81,,,0
CDM,27204504_205267,Hb Special Order Or Supply,1637.94,573.28,,,0
CDM,27204504_205268,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205269,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_205271,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_205272,Hb Special Order Or Supply,4215.92,1475.57,,,0
CDM,27204504_205273,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205274,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205275,Hb Special Order Or Supply,2745.47,960.91,,,0
CDM,27204504_205276,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_205277,Hb Special Order Or Supply,900.02,315.01,,,0
CDM,27204504_205286,Hb Special Order Or Supply,3975.74,1391.51,,,0
CDM,27204504_205287,Hb Special Order Or Supply,3025.24,1058.83,,,0
CDM,27204504_205289,Hb Special Order Or Supply,1937.53,678.14,,,0
CDM,27204504_205290,Hb Special Order Or Supply,2076.4,726.74,,,0
CDM,27204504_205294,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205295,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205296,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205297,Hb Special Order Or Supply,1290.1,451.54,,,0
CDM,27204504_205298,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_205299,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_205300,Hb Special Order Or Supply,1290.1,451.54,,,0
CDM,27204504_205301,Hb Special Order Or Supply,508.9,178.12,,,0
CDM,27204504_205302,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205303,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205304,Hb Special Order Or Supply,2553.51,893.73,,,0
CDM,27204504_205305,Hb Special Order Or Supply,2800.39,980.14,,,0
CDM,27204504_205306,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205307,Hb Special Order Or Supply,1424.59,498.61,,,0
CDM,27204504_205309,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_205310,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_205311,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_205312,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_205313,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_205314,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205318,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_205319,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205320,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205321,Hb Special Order Or Supply,761.51,266.53,,,0
CDM,27204504_205322,Hb Special Order Or Supply,199.01,69.65,,,0
CDM,27204504_205323,Hb Special Order Or Supply,129.43,45.3,,,0
CDM,27204504_205324,Hb Special Order Or Supply,426.28,149.2,,,0
CDM,27204504_205325,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205328,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205330,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205335,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205337,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205338,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205339,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205340,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205345,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_205346,Hb Special Order Or Supply,17745.57,6210.95,,,0
CDM,27204504_205347,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_205348,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_205349,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205350,Hb Special Order Or Supply,2721.5,952.52,,,0
CDM,27204504_205354,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_205355,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_205356,Hb Special Order Or Supply,3998.73,1399.56,,,0
CDM,27204504_205357,Hb Special Order Or Supply,1430.42,500.65,,,0
CDM,27204504_205358,Hb Special Order Or Supply,1903.37,666.18,,,0
CDM,27204504_205359,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_205360,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_205361,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205362,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_205365,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205366,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_205367,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_205368,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_205369,Hb Special Order Or Supply,1128.76,395.07,,,0
CDM,27204504_205370,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_205371,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_205376,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205378,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_205379,Hb Special Order Or Supply,286.69,100.34,,,0
CDM,27204504_205381,Hb Special Order Or Supply,1891.83,662.14,,,0
CDM,27204504_205382,Hb Special Order Or Supply,1834.15,641.95,,,0
CDM,27204504_205384,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_205385,Hb Special Order Or Supply,72.76,25.47,,,0
CDM,27204504_205386,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_205388,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205393,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_205394,Hb Special Order Or Supply,2307.12,807.49,,,0
CDM,27204504_205395,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_205396,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205397,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_205398,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_205400,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205401,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205402,Hb Special Order Or Supply,694.44,243.05,,,0
CDM,27204504_205403,Hb Special Order Or Supply,3355.7,1174.5,,,0
CDM,27204504_205406,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_205408,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_205409,Hb Special Order Or Supply,3364.22,1177.48,,,0
CDM,27204504_205415,Hb Special Order Or Supply,3893.97,1362.89,,,0
CDM,27204504_205416,Hb Special Order Or Supply,1291.77,452.12,,,0
CDM,27204504_205418,Hb Special Order Or Supply,1170.02,409.51,,,0
CDM,27204504_205419,Hb Special Order Or Supply,1706.26,597.19,,,0
CDM,27204504_205423,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_205424,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205425,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205426,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205427,Hb Special Order Or Supply,4699.18,1644.71,,,0
CDM,27204504_205432,Hb Special Order Or Supply,1691.59,592.06,,,0
CDM,27204504_205433,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_205434,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_205435,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_205436,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_205437,Hb Special Order Or Supply,3750.89,1312.81,,,0
CDM,27204504_205438,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205439,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_205441,Hb Special Order Or Supply,4933.32,1726.66,,,0
CDM,27204504_205443,Hb Special Order Or Supply,1170.02,409.51,,,0
CDM,27204504_205445,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205446,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205447,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205448,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205451,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205452,Hb Special Order Or Supply,3602.69,1260.94,,,0
CDM,27204504_205454,Hb Special Order Or Supply,700.26,245.09,,,0
CDM,27204504_205457,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205458,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205460,Hb Special Order Or Supply,1310.21,458.57,,,0
CDM,27204504_205466,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205468,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205470,Hb Special Order Or Supply,674.6,236.11,,,0
CDM,27204504_205471,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205472,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205473,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205475,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205476,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_205482,Hb Special Order Or Supply,1421.45,497.51,,,0
CDM,27204504_205483,Hb Special Order Or Supply,2512.52,879.38,,,0
CDM,27204504_205486,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_205487,Hb Special Order Or Supply,1847.93,646.78,,,0
CDM,27204504_205488,Hb Special Order Or Supply,2071.93,725.18,,,0
CDM,27204504_205489,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205490,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205491,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_205495,Hb Special Order Or Supply,2150.88,752.81,,,0
CDM,27204504_205497,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205498,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_205499,Hb Special Order Or Supply,481.74,168.61,,,0
CDM,27204504_205500,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_205501,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205502,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_205503,Hb Special Order Or Supply,2307.12,807.49,,,0
CDM,27204504_205504,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205506,Hb Special Order Or Supply,463.53,162.24,,,0
CDM,27204504_205507,Hb Special Order Or Supply,481.74,168.61,,,0
CDM,27204504_205508,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205510,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_205511,Hb Special Order Or Supply,4152.03,1453.21,,,0
CDM,27204504_205512,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205514,Hb Special Order Or Supply,1424.59,498.61,,,0
CDM,27204504_205515,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205516,Hb Special Order Or Supply,268.6,94.01,,,0
CDM,27204504_205517,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205518,Hb Special Order Or Supply,463.53,162.24,,,0
CDM,27204504_205519,Hb Special Order Or Supply,481.74,168.61,,,0
CDM,27204504_205520,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205521,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205522,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_205523,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205524,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205525,Hb Special Order Or Supply,1306.74,457.36,,,0
CDM,27204504_205526,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205528,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205532,Hb Special Order Or Supply,417.51,146.13,,,0
CDM,27204504_205541,Hb Special Order Or Supply,2348.12,821.84,,,0
CDM,27204504_205542,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205543,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205545,Hb Special Order Or Supply,404.75,141.66,,,0
CDM,27204504_205546,Hb Special Order Or Supply,435.55,152.44,,,0
CDM,27204504_205547,Hb Special Order Or Supply,435.55,152.44,,,0
CDM,27204504_205548,Hb Special Order Or Supply,176.05,61.62,,,0
CDM,27204504_205551,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205552,Hb Special Order Or Supply,898.49,314.47,,,0
CDM,27204504_205553,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_205554,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205558,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205560,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_205561,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_205562,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205564,Hb Special Order Or Supply,682.05,238.72,,,0
CDM,27204504_205573,Hb Special Order Or Supply,2599.88,909.96,,,0
CDM,27204504_205575,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_205576,Hb Special Order Or Supply,2251.01,787.85,,,0
CDM,27204504_205577,Hb Special Order Or Supply,914.44,320.05,,,0
CDM,27204504_205578,Hb Special Order Or Supply,898.49,314.47,,,0
CDM,27204504_205579,Hb Special Order Or Supply,1764.95,617.73,,,0
CDM,27204504_205581,Hb Special Order Or Supply,286.69,100.34,,,0
CDM,27204504_205582,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_205584,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_205585,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_205586,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_205587,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_205588,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205589,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205590,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_205591,Hb Special Order Or Supply,3140.56,1099.2,,,0
CDM,27204504_205592,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_205593,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_205594,Hb Special Order Or Supply,1430.42,500.65,,,0
CDM,27204504_205597,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_205598,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_205599,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_205600,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_205601,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_205602,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_205604,Hb Special Order Or Supply,898.49,314.47,,,0
CDM,27204504_205606,Hb Special Order Or Supply,1556.74,544.86,,,0
CDM,27204504_205609,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_205610,Hb Special Order Or Supply,5421.14,1897.4,,,0
CDM,27204504_205611,Hb Special Order Or Supply,556.68,194.84,,,0
CDM,27204504_205612,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_205613,Hb Special Order Or Supply,1262.35,441.82,,,0
CDM,27204504_205614,Hb Special Order Or Supply,2777.5,972.12,,,0
CDM,27204504_205615,Hb Special Order Or Supply,1467.15,513.5,,,0
CDM,27204504_205616,Hb Special Order Or Supply,1331.71,466.1,,,0
CDM,27204504_205618,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_205622,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205625,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205626,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205631,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_205632,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_205633,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_205635,Hb Special Order Or Supply,43449.14,15207.2,,,0
CDM,27204504_205636,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_205640,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_205641,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205645,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205647,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_205648,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205649,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_205650,Hb Special Order Or Supply,801.8,280.63,,,0
CDM,27204504_205651,Hb Special Order Or Supply,762.96,267.04,,,0
CDM,27204504_205652,Hb Special Order Or Supply,2076.4,726.74,,,0
CDM,27204504_205653,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205654,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205655,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205657,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205659,Hb Special Order Or Supply,2859.55,1000.84,,,0
CDM,27204504_205660,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_205662,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_205664,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205666,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205667,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205668,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205669,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205670,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_205671,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205672,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205673,Hb Special Order Or Supply,303.62,106.27,,,0
CDM,27204504_205679,Hb Special Order Or Supply,1437.24,503.03,,,0
CDM,27204504_205682,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205688,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205690,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205691,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205698,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_205702,Hb Special Order Or Supply,1702.45,595.86,,,0
CDM,27204504_205705,Hb Special Order Or Supply,898.49,314.47,,,0
CDM,27204504_205706,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_205710,Hb Special Order Or Supply,2989.47,1046.31,,,0
CDM,27204504_205711,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_205715,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_205716,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_205717,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205718,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_205720,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205723,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205726,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_205729,Hb Special Order Or Supply,430.73,150.76,,,0
CDM,27204504_205730,Hb Special Order Or Supply,7960.49,2786.17,,,0
CDM,27204504_205731,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_205732,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_205733,Hb Special Order Or Supply,2815.13,985.3,,,0
CDM,27204504_205734,Hb Special Order Or Supply,3609.76,1263.42,,,0
CDM,27204504_205742,Hb Special Order Or Supply,1556.74,544.86,,,0
CDM,27204504_205743,Hb Special Order Or Supply,142.65,49.93,,,0
CDM,27204504_205744,Hb Special Order Or Supply,3368.0,1178.8,,,0
CDM,27204504_205745,Hb Special Order Or Supply,4224.84,1478.69,,,0
CDM,27204504_205748,Hb Special Order Or Supply,14175.45,4961.41,,,0
CDM,27204504_205749,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205752,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_205753,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_205754,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205755,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205756,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205757,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205758,Hb Special Order Or Supply,1637.94,573.28,,,0
CDM,27204504_205759,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205760,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_205761,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_205762,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_205766,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_205767,Hb Special Order Or Supply,728.4,254.94,,,0
CDM,27204504_205768,Hb Special Order Or Supply,1702.45,595.86,,,0
CDM,27204504_205773,Hb Special Order Or Supply,7453.51,2608.73,,,0
CDM,27204504_205786,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_205799,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205800,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205802,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_205803,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205806,Hb Special Order Or Supply,2512.52,879.38,,,0
CDM,27204504_205809,Hb Special Order Or Supply,513.19,179.62,,,0
CDM,27204504_205810,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_205812,Hb Special Order Or Supply,7004.34,2451.52,,,0
CDM,27204504_205813,Hb Special Order Or Supply,12229.8,4280.43,,,0
CDM,27204504_205816,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_205817,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205818,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_205824,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205825,Hb Special Order Or Supply,645.63,225.97,,,0
CDM,27204504_205828,Hb Special Order Or Supply,176.05,61.62,,,0
CDM,27204504_205830,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205831,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205832,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205833,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_205834,Hb Special Order Or Supply,517.33,181.07,,,0
CDM,27204504_205835,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_205836,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_205837,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_205838,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_205839,Hb Special Order Or Supply,3147.88,1101.76,,,0
CDM,27204504_205840,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_205842,Hb Special Order Or Supply,2150.88,752.81,,,0
CDM,27204504_205844,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_205847,Hb Special Order Or Supply,3509.0,1228.15,,,0
CDM,27204504_205856,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_205858,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_205859,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_205860,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_205861,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_205865,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_205866,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205867,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205872,Hb Special Order Or Supply,2150.88,752.81,,,0
CDM,27204504_205873,Hb Special Order Or Supply,430.42,150.65,,,0
CDM,27204504_205874,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205875,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205876,Hb Special Order Or Supply,394.31,138.01,,,0
CDM,27204504_205877,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_205878,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_205879,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_205880,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_205881,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_205882,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_205885,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_205886,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_205887,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_205888,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_205889,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_205890,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205891,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_205892,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_205893,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_205898,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205899,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_205905,Hb Special Order Or Supply,5518.98,1931.64,,,0
CDM,27204504_205910,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_205911,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205916,Hb Special Order Or Supply,2150.88,752.81,,,0
CDM,27204504_205917,Hb Special Order Or Supply,2363.12,827.09,,,0
CDM,27204504_205918,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_205919,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_205920,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_205921,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205922,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205924,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_205928,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205931,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205932,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205933,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_205934,Hb Special Order Or Supply,2150.88,752.81,,,0
CDM,27204504_205935,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205936,Hb Special Order Or Supply,2643.11,925.09,,,0
CDM,27204504_205937,Hb Special Order Or Supply,29016.02,10155.61,,,0
CDM,27204504_205938,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_205940,Hb Special Order Or Supply,5317.29,1861.05,,,0
CDM,27204504_205942,Hb Special Order Or Supply,11534.79,4037.18,,,0
CDM,27204504_205943,Hb Special Order Or Supply,10674.84,3736.19,,,0
CDM,27204504_205944,Hb Special Order Or Supply,1572.2,550.27,,,0
CDM,27204504_205945,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_205949,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_205950,Hb Special Order Or Supply,2268.07,793.82,,,0
CDM,27204504_205951,Hb Special Order Or Supply,707.47,247.61,,,0
CDM,27204504_205955,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_205956,Hb Special Order Or Supply,303.62,106.27,,,0
CDM,27204504_205974,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_205975,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_205976,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_205979,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205980,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205981,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_205982,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_205983,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_205985,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_205986,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_205987,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206003,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_206004,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206005,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206006,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206007,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206008,Hb Special Order Or Supply,1764.95,617.73,,,0
CDM,27204504_206009,Hb Special Order Or Supply,1764.95,617.73,,,0
CDM,27204504_206010,Hb Special Order Or Supply,914.44,320.05,,,0
CDM,27204504_206012,Hb Special Order Or Supply,2308.24,807.88,,,0
CDM,27204504_206014,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_206017,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_206018,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_206019,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_206020,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_206022,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206024,Hb Special Order Or Supply,3509.0,1228.15,,,0
CDM,27204504_206026,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_206031,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206035,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206036,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206037,Hb Special Order Or Supply,9694.9,3393.22,,,0
CDM,27204504_206039,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206042,Hb Special Order Or Supply,917.21,321.02,,,0
CDM,27204504_206043,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206044,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206047,Hb Special Order Or Supply,586.37,205.23,,,0
CDM,27204504_206049,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_206050,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_206051,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_206053,Hb Special Order Or Supply,917.21,321.02,,,0
CDM,27204504_206054,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_206055,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_206056,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_206057,Hb Special Order Or Supply,1287.32,450.56,,,0
CDM,27204504_206058,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_206060,Hb Special Order Or Supply,818.45,286.46,,,0
CDM,27204504_206063,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206064,Hb Special Order Or Supply,1204.75,421.66,,,0
CDM,27204504_206065,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_206066,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_206069,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_206076,Hb Special Order Or Supply,1631.22,570.93,,,0
CDM,27204504_206078,Hb Special Order Or Supply,3869.06,1354.17,,,0
CDM,27204504_206079,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_206080,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206081,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_206082,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206089,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_206090,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206091,Hb Special Order Or Supply,1962.06,686.72,,,0
CDM,27204504_206094,Hb Special Order Or Supply,4152.03,1453.21,,,0
CDM,27204504_206097,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_206103,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_206104,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206106,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206109,Hb Special Order Or Supply,807.53,282.64,,,0
CDM,27204504_206111,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_206112,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206113,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_206116,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_206117,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206118,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206119,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_206120,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_206121,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_206124,Hb Special Order Or Supply,1161.78,406.62,,,0
CDM,27204504_206130,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_206133,Hb Special Order Or Supply,430.42,150.65,,,0
CDM,27204504_206138,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_206139,Hb Special Order Or Supply,173.96,60.89,,,0
CDM,27204504_206140,Hb Special Order Or Supply,4402.73,1540.96,,,0
CDM,27204504_206143,Hb Special Order Or Supply,347.69,121.69,,,0
CDM,27204504_206146,Hb Special Order Or Supply,220.12,77.04,,,0
CDM,27204504_206160,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206161,Hb Special Order Or Supply,2643.22,925.13,,,0
CDM,27204504_206162,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_206163,Hb Special Order Or Supply,173.96,60.89,,,0
CDM,27204504_206165,Hb Special Order Or Supply,1674.79,586.18,,,0
CDM,27204504_206169,Hb Special Order Or Supply,486.87,170.4,,,0
CDM,27204504_206170,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_206171,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206172,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_206173,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_206175,Hb Special Order Or Supply,1610.48,563.67,,,0
CDM,27204504_206180,Hb Special Order Or Supply,4402.73,1540.96,,,0
CDM,27204504_206182,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206191,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_206193,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_206194,Hb Special Order Or Supply,2087.94,730.78,,,0
CDM,27204504_206195,Hb Special Order Or Supply,2457.08,859.98,,,0
CDM,27204504_206196,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_206197,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206201,Hb Special Order Or Supply,3922.59,1372.91,,,0
CDM,27204504_206202,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206203,Hb Special Order Or Supply,4402.73,1540.96,,,0
CDM,27204504_206204,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_206205,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_206221,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206223,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_206225,Hb Special Order Or Supply,527.22,184.53,,,0
CDM,27204504_206226,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_206228,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206230,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206233,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_206235,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_206238,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206240,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_206244,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_206246,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_206249,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_206250,Hb Special Order Or Supply,2428.41,849.94,,,0
CDM,27204504_206255,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_206256,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_206257,Hb Special Order Or Supply,7450.62,2607.72,,,0
CDM,27204504_206258,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206259,Hb Special Order Or Supply,2443.74,855.31,,,0
CDM,27204504_206264,Hb Special Order Or Supply,628.41,219.94,,,0
CDM,27204504_206266,Hb Special Order Or Supply,1115.03,390.26,,,0
CDM,27204504_206270,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_206272,Hb Special Order Or Supply,2443.74,855.31,,,0
CDM,27204504_206273,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_206275,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_206276,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206281,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_206282,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206283,Hb Special Order Or Supply,522.12,182.74,,,0
CDM,27204504_206284,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206286,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_206287,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_206289,Hb Special Order Or Supply,898.49,314.47,,,0
CDM,27204504_206292,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_206293,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_206294,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206295,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_206297,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_206300,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206301,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206304,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_206305,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_206306,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_206307,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_206308,Hb Special Order Or Supply,2555.1,894.28,,,0
CDM,27204504_206310,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_206311,Hb Special Order Or Supply,1204.75,421.66,,,0
CDM,27204504_206312,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206313,Hb Special Order Or Supply,1610.48,563.67,,,0
CDM,27204504_206314,Hb Special Order Or Supply,8427.44,2949.6,,,0
CDM,27204504_206315,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206322,Hb Special Order Or Supply,5314.4,1860.04,,,0
CDM,27204504_206323,Hb Special Order Or Supply,527.22,184.53,,,0
CDM,27204504_206326,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_206327,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_206328,Hb Special Order Or Supply,2071.93,725.18,,,0
CDM,27204504_206329,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206330,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206331,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206332,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_206333,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_206334,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_206335,Hb Special Order Or Supply,3364.22,1177.48,,,0
CDM,27204504_206336,Hb Special Order Or Supply,1730.34,605.62,,,0
CDM,27204504_206337,Hb Special Order Or Supply,574.44,201.05,,,0
CDM,27204504_206338,Hb Special Order Or Supply,709.2,248.22,,,0
CDM,27204504_206341,Hb Special Order Or Supply,822.44,287.85,,,0
CDM,27204504_206343,Hb Special Order Or Supply,30352.14,10623.25,,,0
CDM,27204504_206345,Hb Special Order Or Supply,124.79,43.68,,,0
CDM,27204504_206346,Hb Special Order Or Supply,4373.07,1530.57,,,0
CDM,27204504_206347,Hb Special Order Or Supply,3776.1,1321.64,,,0
CDM,27204504_206349,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_206350,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_206351,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_206353,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_206354,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206355,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206356,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206357,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_206358,Hb Special Order Or Supply,1095.89,383.56,,,0
CDM,27204504_206359,Hb Special Order Or Supply,628.41,219.94,,,0
CDM,27204504_206361,Hb Special Order Or Supply,440.7,154.24,,,0
CDM,27204504_206364,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_206371,Hb Special Order Or Supply,1631.22,570.93,,,0
CDM,27204504_206372,Hb Special Order Or Supply,905.01,316.75,,,0
CDM,27204504_206373,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_206375,Hb Special Order Or Supply,3236.46,1132.76,,,0
CDM,27204504_206376,Hb Special Order Or Supply,3423.83,1198.34,,,0
CDM,27204504_206377,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206378,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_206380,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_206382,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_206384,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_206385,Hb Special Order Or Supply,653.08,228.58,,,0
CDM,27204504_206386,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_206387,Hb Special Order Or Supply,691.82,242.14,,,0
CDM,27204504_206388,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_206389,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206390,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_206391,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206392,Hb Special Order Or Supply,5759.12,2015.69,,,0
CDM,27204504_206393,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206394,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_206396,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_206397,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206398,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206399,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_206400,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_206401,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_212711,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212712,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_212713,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212714,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_212715,Hb Special Order Or Supply,4447.2,1556.52,,,0
CDM,27204504_212716,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_212718,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_212720,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_212721,Hb Special Order Or Supply,5148.03,1801.81,,,0
CDM,27204504_212725,Hb Special Order Or Supply,83.23,29.13,,,0
CDM,27204504_212728,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_212729,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212730,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_212731,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_212733,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_212737,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212739,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_212743,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212744,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_212752,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_212753,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_212754,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_212755,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_212756,Hb Special Order Or Supply,818.45,286.46,,,0
CDM,27204504_212758,Hb Special Order Or Supply,10784.46,3774.56,,,0
CDM,27204504_212760,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212761,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212762,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_212763,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_212772,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212773,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_212774,Hb Special Order Or Supply,532.55,186.39,,,0
CDM,27204504_212775,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_212776,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_212778,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_212780,Hb Special Order Or Supply,1552.38,543.33,,,0
CDM,27204504_212781,Hb Special Order Or Supply,798.1,279.34,,,0
CDM,27204504_212786,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_212789,Hb Special Order Or Supply,532.55,186.39,,,0
CDM,27204504_212791,Hb Special Order Or Supply,993.09,347.58,,,0
CDM,27204504_212793,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_212795,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212799,Hb Special Order Or Supply,532.55,186.39,,,0
CDM,27204504_212801,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_212803,Hb Special Order Or Supply,2506.13,877.15,,,0
CDM,27204504_212805,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_212809,Hb Special Order Or Supply,1001.28,350.45,,,0
CDM,27204504_212812,Hb Special Order Or Supply,555.75,194.51,,,0
CDM,27204504_212814,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212815,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_212821,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212827,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_212828,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_212830,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_212831,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212832,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212833,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212834,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_212835,Hb Special Order Or Supply,1834.15,641.95,,,0
CDM,27204504_212836,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212837,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212838,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212839,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212840,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_212843,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_212844,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_212845,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_212846,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_212847,Hb Special Order Or Supply,6448.44,2256.95,,,0
CDM,27204504_212852,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_212853,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_212854,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_212856,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_212860,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212861,Hb Special Order Or Supply,1605.24,561.83,,,0
CDM,27204504_212862,Hb Special Order Or Supply,1535.13,537.3,,,0
CDM,27204504_212864,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_212865,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_212869,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_212870,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_212871,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212872,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212873,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_212874,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_212877,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_212886,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_212887,Hb Special Order Or Supply,628.41,219.94,,,0
CDM,27204504_212888,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212889,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_212890,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_212891,Hb Special Order Or Supply,535.8,187.53,,,0
CDM,27204504_212892,Hb Special Order Or Supply,1670.2,584.57,,,0
CDM,27204504_212893,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_212894,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_212895,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_212897,Hb Special Order Or Supply,3390.48,1186.67,,,0
CDM,27204504_212898,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_212899,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_212900,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_212901,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_212903,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_212904,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212905,Hb Special Order Or Supply,628.41,219.94,,,0
CDM,27204504_212912,Hb Special Order Or Supply,3619.72,1266.9,,,0
CDM,27204504_212913,Hb Special Order Or Supply,11534.79,4037.18,,,0
CDM,27204504_212914,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_212915,Hb Special Order Or Supply,411.94,144.18,,,0
CDM,27204504_212917,Hb Special Order Or Supply,2794.31,978.01,,,0
CDM,27204504_212919,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_212922,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_212924,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_212925,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_212926,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212931,Hb Special Order Or Supply,2757.23,965.03,,,0
CDM,27204504_212932,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212933,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_212935,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_212936,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_212937,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_212938,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_212939,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_212940,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_212942,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_212943,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_212945,Hb Special Order Or Supply,699.1,244.68,,,0
CDM,27204504_212946,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_212950,Hb Special Order Or Supply,2779.5,972.82,,,0
CDM,27204504_212951,Hb Special Order Or Supply,2307.12,807.49,,,0
CDM,27204504_212952,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212953,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_212957,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_212959,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212960,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_212961,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212969,Hb Special Order Or Supply,568.73,199.06,,,0
CDM,27204504_212970,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_212971,Hb Special Order Or Supply,579.64,202.87,,,0
CDM,27204504_212972,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_212973,Hb Special Order Or Supply,4893.43,1712.7,,,0
CDM,27204504_212974,Hb Special Order Or Supply,2480.15,868.05,,,0
CDM,27204504_212975,Hb Special Order Or Supply,1572.76,550.47,,,0
CDM,27204504_212976,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212977,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_212978,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_212979,Hb Special Order Or Supply,1631.22,570.93,,,0
CDM,27204504_212980,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_212981,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212983,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_212989,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_212994,Hb Special Order Or Supply,1897.21,664.02,,,0
CDM,27204504_212995,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_212997,Hb Special Order Or Supply,2783.1,974.08,,,0
CDM,27204504_212998,Hb Special Order Or Supply,3994.47,1398.06,,,0
CDM,27204504_212999,Hb Special Order Or Supply,3994.47,1398.06,,,0
CDM,27204504_213002,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213003,Hb Special Order Or Supply,4893.43,1712.7,,,0
CDM,27204504_213009,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_213011,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_213012,Hb Special Order Or Supply,1153.56,403.75,,,0
CDM,27204504_213016,Hb Special Order Or Supply,3406.8,1192.38,,,0
CDM,27204504_213017,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213019,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_213021,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213022,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_213025,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213026,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_213027,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_213028,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213029,Hb Special Order Or Supply,4336.02,1517.61,,,0
CDM,27204504_213030,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_213038,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_213039,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_213041,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213044,Hb Special Order Or Supply,340.27,119.09,,,0
CDM,27204504_213048,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_213056,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213059,Hb Special Order Or Supply,4669.56,1634.35,,,0
CDM,27204504_213060,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213061,Hb Special Order Or Supply,3176.84,1111.89,,,0
CDM,27204504_213063,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_213065,Hb Special Order Or Supply,1787.91,625.77,,,0
CDM,27204504_213066,Hb Special Order Or Supply,2231.85,781.15,,,0
CDM,27204504_213067,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213072,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_213076,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_213082,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213083,Hb Special Order Or Supply,8889.95,3111.48,,,0
CDM,27204504_213085,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_213087,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213088,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213091,Hb Special Order Or Supply,278.34,97.42,,,0
CDM,27204504_213092,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213093,Hb Special Order Or Supply,1847.93,646.78,,,0
CDM,27204504_213094,Hb Special Order Or Supply,4088.16,1430.86,,,0
CDM,27204504_213095,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213096,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_213097,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213098,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213099,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213100,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213101,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213102,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_213104,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213105,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213106,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_213112,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_213113,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213115,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213116,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213117,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_213118,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_213119,Hb Special Order Or Supply,2049.19,717.22,,,0
CDM,27204504_213121,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213122,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213123,Hb Special Order Or Supply,10828.58,3790.0,,,0
CDM,27204504_213124,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213125,Hb Special Order Or Supply,182.77,63.97,,,0
CDM,27204504_213126,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213127,Hb Special Order Or Supply,165.38,57.88,,,0
CDM,27204504_213129,Hb Special Order Or Supply,6448.44,2256.95,,,0
CDM,27204504_213130,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_213131,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_213132,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213133,Hb Special Order Or Supply,1287.32,450.56,,,0
CDM,27204504_213134,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_213137,Hb Special Order Or Supply,579.64,202.87,,,0
CDM,27204504_213138,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_213140,Hb Special Order Or Supply,1700.21,595.07,,,0
CDM,27204504_213141,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_213144,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_213145,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213148,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213150,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213151,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213152,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_213157,Hb Special Order Or Supply,1847.93,646.78,,,0
CDM,27204504_213158,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213159,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_213160,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_213161,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213162,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213164,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_213165,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213167,Hb Special Order Or Supply,2150.32,752.61,,,0
CDM,27204504_213170,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_213172,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_213173,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_213174,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_213176,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213177,Hb Special Order Or Supply,4215.92,1475.57,,,0
CDM,27204504_213178,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_213180,Hb Special Order Or Supply,1147.63,401.67,,,0
CDM,27204504_213181,Hb Special Order Or Supply,2192.88,767.51,,,0
CDM,27204504_213183,Hb Special Order Or Supply,1702.45,595.86,,,0
CDM,27204504_213187,Hb Special Order Or Supply,2367.82,828.74,,,0
CDM,27204504_213188,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_213189,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213190,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213191,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213192,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_213194,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213196,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213197,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213198,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213199,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_213203,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213204,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213205,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_213209,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_213210,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213211,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213212,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213213,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213214,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213215,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213216,Hb Special Order Or Supply,2183.92,764.37,,,0
CDM,27204504_213217,Hb Special Order Or Supply,1556.74,544.86,,,0
CDM,27204504_213218,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_213220,Hb Special Order Or Supply,628.41,219.94,,,0
CDM,27204504_213226,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_213227,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_213228,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_213229,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213231,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213234,Hb Special Order Or Supply,1753.52,613.73,,,0
CDM,27204504_213239,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213240,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213241,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213243,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_213244,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_213245,Hb Special Order Or Supply,1276.75,446.86,,,0
CDM,27204504_213246,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_213250,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213251,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_213255,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_213256,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_213257,Hb Special Order Or Supply,2912.81,1019.48,,,0
CDM,27204504_213258,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213260,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_213263,Hb Special Order Or Supply,19573.73,6850.81,,,0
CDM,27204504_213266,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_213267,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_213268,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213269,Hb Special Order Or Supply,3935.45,1377.41,,,0
CDM,27204504_213270,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213271,Hb Special Order Or Supply,1753.52,613.73,,,0
CDM,27204504_213272,Hb Special Order Or Supply,144.96,50.74,,,0
CDM,27204504_213274,Hb Special Order Or Supply,3311.41,1158.99,,,0
CDM,27204504_213276,Hb Special Order Or Supply,822.44,287.85,,,0
CDM,27204504_213278,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213282,Hb Special Order Or Supply,2506.13,877.15,,,0
CDM,27204504_213283,Hb Special Order Or Supply,164.68,57.64,,,0
CDM,27204504_213287,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_213291,Hb Special Order Or Supply,1753.52,613.73,,,0
CDM,27204504_213294,Hb Special Order Or Supply,2363.12,827.09,,,0
CDM,27204504_213298,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_213299,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_213300,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213303,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_213304,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_213305,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_213306,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213309,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_213311,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_213312,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_213319,Hb Special Order Or Supply,706.35,247.22,,,0
CDM,27204504_213321,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213324,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_213326,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_213328,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213329,Hb Special Order Or Supply,1276.77,446.87,,,0
CDM,27204504_213330,Hb Special Order Or Supply,9325.78,3264.02,,,0
CDM,27204504_213331,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213332,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_213334,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_213335,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_213341,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213342,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_213343,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_213348,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213356,Hb Special Order Or Supply,703.58,246.25,,,0
CDM,27204504_213361,Hb Special Order Or Supply,891.97,312.19,,,0
CDM,27204504_213362,Hb Special Order Or Supply,2232.49,781.37,,,0
CDM,27204504_213363,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_213364,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213365,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213367,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_213368,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213369,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213370,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213371,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213382,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_213383,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_213384,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_213388,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_213389,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213390,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_213392,Hb Special Order Or Supply,525.83,184.04,,,0
CDM,27204504_213393,Hb Special Order Or Supply,136.85,47.9,,,0
CDM,27204504_213394,Hb Special Order Or Supply,521.3,182.46,,,0
CDM,27204504_213397,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213398,Hb Special Order Or Supply,2368.49,828.97,,,0
CDM,27204504_213404,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213405,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213406,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213410,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_213411,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213412,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213417,Hb Special Order Or Supply,1753.52,613.73,,,0
CDM,27204504_213419,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213420,Hb Special Order Or Supply,2363.12,827.09,,,0
CDM,27204504_213421,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213422,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213424,Hb Special Order Or Supply,29996.36,10498.73,,,0
CDM,27204504_213427,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_213428,Hb Special Order Or Supply,8672.04,3035.21,,,0
CDM,27204504_213429,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213430,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_213431,Hb Special Order Or Supply,8672.04,3035.21,,,0
CDM,27204504_213432,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_213433,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_213436,Hb Special Order Or Supply,2368.49,828.97,,,0
CDM,27204504_213439,Hb Special Order Or Supply,7004.34,2451.52,,,0
CDM,27204504_213440,Hb Special Order Or Supply,2368.49,828.97,,,0
CDM,27204504_213441,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_213442,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_213443,Hb Special Order Or Supply,527.22,184.53,,,0
CDM,27204504_213450,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213451,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213452,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213453,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_213460,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213463,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213464,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_213465,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213466,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_213467,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_213468,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_213474,Hb Special Order Or Supply,2049.19,717.22,,,0
CDM,27204504_213475,Hb Special Order Or Supply,1768.3,618.9,,,0
CDM,27204504_213479,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_213481,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213484,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_213486,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_213487,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213488,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213489,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213491,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_213492,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213493,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213494,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_213497,Hb Special Order Or Supply,230.56,80.7,,,0
CDM,27204504_213500,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_213501,Hb Special Order Or Supply,1764.95,617.73,,,0
CDM,27204504_213502,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213503,Hb Special Order Or Supply,969.38,339.28,,,0
CDM,27204504_213504,Hb Special Order Or Supply,2604.47,911.56,,,0
CDM,27204504_213505,Hb Special Order Or Supply,2213.27,774.64,,,0
CDM,27204504_213506,Hb Special Order Or Supply,1764.95,617.73,,,0
CDM,27204504_213510,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213511,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_213512,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_213514,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213516,Hb Special Order Or Supply,430.42,150.65,,,0
CDM,27204504_213518,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213519,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213559,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213560,Hb Special Order Or Supply,486.54,170.29,,,0
CDM,27204504_213561,Hb Special Order Or Supply,361.83,126.64,,,0
CDM,27204504_213562,Hb Special Order Or Supply,762.96,267.04,,,0
CDM,27204504_213563,Hb Special Order Or Supply,3491.97,1222.19,,,0
CDM,27204504_213567,Hb Special Order Or Supply,503.09,176.08,,,0
CDM,27204504_213574,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_213575,Hb Special Order Or Supply,1181.48,413.52,,,0
CDM,27204504_213576,Hb Special Order Or Supply,4557.72,1595.2,,,0
CDM,27204504_213577,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213578,Hb Special Order Or Supply,2643.11,925.09,,,0
CDM,27204504_213580,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_213589,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_213590,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_213592,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213593,Hb Special Order Or Supply,127.81,44.73,,,0
CDM,27204504_213594,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213596,Hb Special Order Or Supply,503.09,176.08,,,0
CDM,27204504_213599,Hb Special Order Or Supply,5518.98,1931.64,,,0
CDM,27204504_213601,Hb Special Order Or Supply,43449.14,15207.2,,,0
CDM,27204504_213602,Hb Special Order Or Supply,361.83,126.64,,,0
CDM,27204504_213603,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_213604,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_213605,Hb Special Order Or Supply,12229.8,4280.43,,,0
CDM,27204504_213607,Hb Special Order Or Supply,1144.15,400.45,,,0
CDM,27204504_213608,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213610,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_213615,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_213617,Hb Special Order Or Supply,147.75,51.71,,,0
CDM,27204504_213618,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213619,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_213620,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_213621,Hb Special Order Or Supply,1421.45,497.51,,,0
CDM,27204504_213624,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_213625,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213627,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213628,Hb Special Order Or Supply,850.77,297.77,,,0
CDM,27204504_213630,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213631,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213632,Hb Special Order Or Supply,1917.82,671.24,,,0
CDM,27204504_213633,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_213634,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_213636,Hb Special Order Or Supply,2542.31,889.81,,,0
CDM,27204504_213640,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_213641,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_213646,Hb Special Order Or Supply,5518.98,1931.64,,,0
CDM,27204504_213648,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213649,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_213650,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_213652,Hb Special Order Or Supply,4669.56,1634.35,,,0
CDM,27204504_213658,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_213659,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213663,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213664,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213665,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213667,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_213668,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213670,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213673,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213677,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_213679,Hb Special Order Or Supply,2115.38,740.38,,,0
CDM,27204504_213680,Hb Special Order Or Supply,2347.77,821.72,,,0
CDM,27204504_213681,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_213682,Hb Special Order Or Supply,379.93,132.98,,,0
CDM,27204504_213683,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213684,Hb Special Order Or Supply,2695.0,943.25,,,0
CDM,27204504_213685,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213687,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213692,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_213693,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_213694,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213695,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_213696,Hb Special Order Or Supply,1677.7,587.2,,,0
CDM,27204504_213698,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_213699,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213700,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_213701,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_213702,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213708,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213709,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213710,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_213711,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_213712,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_213713,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_213714,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213716,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_213718,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213719,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213720,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_213721,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213723,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213726,Hb Special Order Or Supply,1726.31,604.21,,,0
CDM,27204504_213731,Hb Special Order Or Supply,3943.63,1380.27,,,0
CDM,27204504_213732,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_213733,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213734,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213735,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213736,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213737,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213740,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_213741,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213742,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_213748,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213749,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_213750,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213751,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213752,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_213754,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_213755,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_213756,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_213759,Hb Special Order Or Supply,2480.15,868.05,,,0
CDM,27204504_213760,Hb Special Order Or Supply,2272.51,795.38,,,0
CDM,27204504_213762,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213764,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_213767,Hb Special Order Or Supply,3354.76,1174.17,,,0
CDM,27204504_213770,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213771,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213772,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_213775,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_213776,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_213782,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213783,Hb Special Order Or Supply,487.09,170.48,,,0
CDM,27204504_213786,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_213787,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213788,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213790,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213791,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_213792,Hb Special Order Or Supply,3328.95,1165.13,,,0
CDM,27204504_213793,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_213794,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213795,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_213796,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_213797,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213799,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213800,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213801,Hb Special Order Or Supply,12874.64,4506.12,,,0
CDM,27204504_213807,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_213809,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_213810,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_213813,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213814,Hb Special Order Or Supply,5203.22,1821.13,,,0
CDM,27204504_213817,Hb Special Order Or Supply,9339.12,3268.69,,,0
CDM,27204504_213820,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_213822,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_213825,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213827,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_213831,Hb Special Order Or Supply,4171.2,1459.92,,,0
CDM,27204504_213832,Hb Special Order Or Supply,361.83,126.64,,,0
CDM,27204504_213833,Hb Special Order Or Supply,34910.52,12218.68,,,0
CDM,27204504_213844,Hb Special Order Or Supply,528.42,184.95,,,0
CDM,27204504_213845,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_213846,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213847,Hb Special Order Or Supply,3354.76,1174.17,,,0
CDM,27204504_213849,Hb Special Order Or Supply,2151.22,752.93,,,0
CDM,27204504_213851,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_213852,Hb Special Order Or Supply,1477.56,517.15,,,0
CDM,27204504_213853,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_213854,Hb Special Order Or Supply,6048.19,2116.87,,,0
CDM,27204504_213855,Hb Special Order Or Supply,4171.2,1459.92,,,0
CDM,27204504_213915,Hb Special Order Or Supply,430.73,150.76,,,0
CDM,27204504_213917,Hb Special Order Or Supply,1916.81,670.88,,,0
CDM,27204504_213918,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213921,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_213922,Hb Special Order Or Supply,441.34,154.47,,,0
CDM,27204504_213924,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_213925,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213927,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_213929,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213930,Hb Special Order Or Supply,5069.81,1774.43,,,0
CDM,27204504_213931,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_213932,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213933,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_213934,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_213936,Hb Special Order Or Supply,4088.16,1430.86,,,0
CDM,27204504_213937,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_213938,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_213940,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_213941,Hb Special Order Or Supply,1572.76,550.47,,,0
CDM,27204504_213945,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213946,Hb Special Order Or Supply,430.42,150.65,,,0
CDM,27204504_213947,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213948,Hb Special Order Or Supply,6306.13,2207.15,,,0
CDM,27204504_213950,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_213951,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_213952,Hb Special Order Or Supply,122.47,42.86,,,0
CDM,27204504_213953,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_213954,Hb Special Order Or Supply,528.58,185.0,,,0
CDM,27204504_213957,Hb Special Order Or Supply,1147.63,401.67,,,0
CDM,27204504_213961,Hb Special Order Or Supply,430.73,150.76,,,0
CDM,27204504_213964,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_213965,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_213971,Hb Special Order Or Supply,1572.76,550.47,,,0
CDM,27204504_213973,Hb Special Order Or Supply,2555.1,894.28,,,0
CDM,27204504_213974,Hb Special Order Or Supply,2555.1,894.28,,,0
CDM,27204504_213979,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_213982,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_213983,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_213984,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_213986,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_213987,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_213999,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214001,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_214002,Hb Special Order Or Supply,1144.44,400.55,,,0
CDM,27204504_214003,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_214004,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_214007,Hb Special Order Or Supply,4424.96,1548.74,,,0
CDM,27204504_214008,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_214009,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_214010,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_214014,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_214015,Hb Special Order Or Supply,2461.41,861.49,,,0
CDM,27204504_214016,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214017,Hb Special Order Or Supply,528.58,185.0,,,0
CDM,27204504_214022,Hb Special Order Or Supply,829.55,290.34,,,0
CDM,27204504_214023,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214024,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_214025,Hb Special Order Or Supply,441.34,154.47,,,0
CDM,27204504_214052,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214053,Hb Special Order Or Supply,822.44,287.85,,,0
CDM,27204504_214054,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_214055,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214056,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_214057,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_214058,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_214061,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_214062,Hb Special Order Or Supply,2439.27,853.74,,,0
CDM,27204504_214064,Hb Special Order Or Supply,728.4,254.94,,,0
CDM,27204504_214065,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_214067,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_214069,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_214070,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214071,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214072,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_214073,Hb Special Order Or Supply,1827.78,639.72,,,0
CDM,27204504_214074,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_214075,Hb Special Order Or Supply,1827.78,639.72,,,0
CDM,27204504_214076,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_214077,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_214079,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_214080,Hb Special Order Or Supply,1346.7,471.34,,,0
CDM,27204504_214081,Hb Special Order Or Supply,931.36,325.98,,,0
CDM,27204504_214082,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214083,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214084,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_214086,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_214087,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_214089,Hb Special Order Or Supply,3131.14,1095.9,,,0
CDM,27204504_214091,Hb Special Order Or Supply,2531.11,885.89,,,0
CDM,27204504_214093,Hb Special Order Or Supply,1115.03,390.26,,,0
CDM,27204504_214096,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_214097,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_214098,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214100,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_214103,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214104,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214106,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_214114,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_214115,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_214116,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214117,Hb Special Order Or Supply,2610.29,913.6,,,0
CDM,27204504_214118,Hb Special Order Or Supply,2413.21,844.62,,,0
CDM,27204504_214120,Hb Special Order Or Supply,5483.4,1919.19,,,0
CDM,27204504_214121,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_214122,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_214123,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_214124,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214125,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214127,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214130,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214133,Hb Special Order Or Supply,4442.75,1554.96,,,0
CDM,27204504_214134,Hb Special Order Or Supply,676.91,236.92,,,0
CDM,27204504_214135,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_214138,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_214139,Hb Special Order Or Supply,555.75,194.51,,,0
CDM,27204504_214140,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_214143,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214145,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214147,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_214148,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214150,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_214151,Hb Special Order Or Supply,555.75,194.51,,,0
CDM,27204504_214154,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_214155,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_214156,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_214158,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_214159,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_214165,Hb Special Order Or Supply,688.84,241.09,,,0
CDM,27204504_214168,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_214171,Hb Special Order Or Supply,2073.05,725.57,,,0
CDM,27204504_214172,Hb Special Order Or Supply,1358.34,475.42,,,0
CDM,27204504_214173,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_214174,Hb Special Order Or Supply,983.8,344.33,,,0
CDM,27204504_214176,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_214180,Hb Special Order Or Supply,1586.65,555.33,,,0
CDM,27204504_214185,Hb Special Order Or Supply,1433.55,501.74,,,0
CDM,27204504_214187,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214190,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_214196,Hb Special Order Or Supply,1147.63,401.67,,,0
CDM,27204504_214197,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_214199,Hb Special Order Or Supply,586.37,205.23,,,0
CDM,27204504_214200,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_214202,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_214210,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_214212,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_214215,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214218,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_214219,Hb Special Order Or Supply,2868.44,1003.95,,,0
CDM,27204504_214220,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_214221,Hb Special Order Or Supply,2742.47,959.86,,,0
CDM,27204504_214225,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_214228,Hb Special Order Or Supply,2363.12,827.09,,,0
CDM,27204504_214233,Hb Special Order Or Supply,741.73,259.61,,,0
CDM,27204504_214234,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214235,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214239,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_214242,Hb Special Order Or Supply,587.03,205.46,,,0
CDM,27204504_214243,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_214244,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_214245,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214246,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214249,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214251,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_214252,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214253,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214254,Hb Special Order Or Supply,2817.0,985.95,,,0
CDM,27204504_214259,Hb Special Order Or Supply,8427.44,2949.6,,,0
CDM,27204504_214263,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214264,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_214265,Hb Special Order Or Supply,1418.21,496.37,,,0
CDM,27204504_214266,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_214267,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214268,Hb Special Order Or Supply,358.36,125.43,,,0
CDM,27204504_214269,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214270,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_214271,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_214273,Hb Special Order Or Supply,1352.52,473.38,,,0
CDM,27204504_214276,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_214277,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214278,Hb Special Order Or Supply,628.41,219.94,,,0
CDM,27204504_214279,Hb Special Order Or Supply,813.65,284.78,,,0
CDM,27204504_214280,Hb Special Order Or Supply,1640.07,574.02,,,0
CDM,27204504_214281,Hb Special Order Or Supply,887.53,310.64,,,0
CDM,27204504_214284,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_214285,Hb Special Order Or Supply,1006.69,352.34,,,0
CDM,27204504_214286,Hb Special Order Or Supply,2112.47,739.36,,,0
CDM,27204504_214287,Hb Special Order Or Supply,1193.96,417.89,,,0
CDM,27204504_214288,Hb Special Order Or Supply,917.91,321.27,,,0
CDM,27204504_214291,Hb Special Order Or Supply,2412.44,844.35,,,0
CDM,27204504_214292,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214293,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_214295,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_214296,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_214298,Hb Special Order Or Supply,2815.66,985.48,,,0
CDM,27204504_214299,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214300,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_214301,Hb Special Order Or Supply,11534.79,4037.18,,,0
CDM,27204504_214302,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_214303,Hb Special Order Or Supply,651.92,228.17,,,0
CDM,27204504_214306,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214310,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214312,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_214316,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_214317,Hb Special Order Or Supply,1472.86,515.5,,,0
CDM,27204504_214318,Hb Special Order Or Supply,2049.19,717.22,,,0
CDM,27204504_214319,Hb Special Order Or Supply,1768.3,618.9,,,0
CDM,27204504_214320,Hb Special Order Or Supply,1768.3,618.9,,,0
CDM,27204504_214322,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_214323,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_214330,Hb Special Order Or Supply,351.17,122.91,,,0
CDM,27204504_214331,Hb Special Order Or Supply,346.07,121.12,,,0
CDM,27204504_214333,Hb Special Order Or Supply,1690.35,591.62,,,0
CDM,27204504_214334,Hb Special Order Or Supply,294.58,103.1,,,0
CDM,27204504_214336,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214340,Hb Special Order Or Supply,586.37,205.23,,,0
CDM,27204504_214346,Hb Special Order Or Supply,4291.55,1502.04,,,0
CDM,27204504_214347,Hb Special Order Or Supply,244.24,85.48,,,0
CDM,27204504_214348,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214349,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_214350,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214354,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214358,Hb Special Order Or Supply,2480.15,868.05,,,0
CDM,27204504_214359,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_214360,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_214362,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_214363,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_214364,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214365,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_214366,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214367,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_214370,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_214371,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_214372,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214373,Hb Special Order Or Supply,1516.2,530.67,,,0
CDM,27204504_214374,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_214375,Hb Special Order Or Supply,2751.3,962.96,,,0
CDM,27204504_214376,Hb Special Order Or Supply,3328.95,1165.13,,,0
CDM,27204504_214377,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_214378,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_214379,Hb Special Order Or Supply,218.26,76.39,,,0
CDM,27204504_214380,Hb Special Order Or Supply,244.24,85.48,,,0
CDM,27204504_214382,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214383,Hb Special Order Or Supply,303.85,106.35,,,0
CDM,27204504_214384,Hb Special Order Or Supply,969.38,339.28,,,0
CDM,27204504_214385,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_214386,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_214387,Hb Special Order Or Supply,1944.25,680.49,,,0
CDM,27204504_214388,Hb Special Order Or Supply,2005.4,701.89,,,0
CDM,27204504_214389,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_214396,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_214401,Hb Special Order Or Supply,1165.25,407.84,,,0
CDM,27204504_214406,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214407,Hb Special Order Or Supply,1478.35,517.42,,,0
CDM,27204504_214408,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_214409,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_214410,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214414,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214415,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_214416,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_214418,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_214420,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_214423,Hb Special Order Or Supply,528.58,185.0,,,0
CDM,27204504_214424,Hb Special Order Or Supply,594.14,207.95,,,0
CDM,27204504_214425,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_214427,Hb Special Order Or Supply,486.87,170.4,,,0
CDM,27204504_214428,Hb Special Order Or Supply,1675.35,586.37,,,0
CDM,27204504_214429,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214430,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_214432,Hb Special Order Or Supply,2665.82,933.04,,,0
CDM,27204504_214433,Hb Special Order Or Supply,28164.12,9857.44,,,0
CDM,27204504_214435,Hb Special Order Or Supply,5330.63,1865.72,,,0
CDM,27204504_214436,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_214437,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_214439,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_214440,Hb Special Order Or Supply,1365.7,478.0,,,0
CDM,27204504_214443,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_214444,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_214446,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_214447,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_214448,Hb Special Order Or Supply,3321.63,1162.57,,,0
CDM,27204504_214449,Hb Special Order Or Supply,2419.11,846.69,,,0
CDM,27204504_214450,Hb Special Order Or Supply,1285.93,450.08,,,0
CDM,27204504_214453,Hb Special Order Or Supply,2308.24,807.88,,,0
CDM,27204504_214456,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214457,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214459,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_214463,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214465,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214470,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_214473,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214474,Hb Special Order Or Supply,2263.85,792.35,,,0
CDM,27204504_214476,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214477,Hb Special Order Or Supply,2695.0,943.25,,,0
CDM,27204504_214479,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214480,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_214482,Hb Special Order Or Supply,2351.92,823.17,,,0
CDM,27204504_214483,Hb Special Order Or Supply,1678.37,587.43,,,0
CDM,27204504_214484,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214486,Hb Special Order Or Supply,142.65,49.93,,,0
CDM,27204504_214487,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214489,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_214490,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214492,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214493,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214495,Hb Special Order Or Supply,1674.56,586.1,,,0
CDM,27204504_214497,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214505,Hb Special Order Or Supply,44338.58,15518.5,,,0
CDM,27204504_214515,Hb Special Order Or Supply,689.83,241.44,,,0
CDM,27204504_214520,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_214521,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_214523,Hb Special Order Or Supply,1147.63,401.67,,,0
CDM,27204504_214526,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214527,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214528,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214529,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214531,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_214532,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_214533,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214534,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_214535,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_214536,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_214538,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214539,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214541,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_214542,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214546,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214547,Hb Special Order Or Supply,1605.24,561.83,,,0
CDM,27204504_214548,Hb Special Order Or Supply,8338.5,2918.48,,,0
CDM,27204504_214550,Hb Special Order Or Supply,1496.27,523.69,,,0
CDM,27204504_214551,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214552,Hb Special Order Or Supply,1899.45,664.81,,,0
CDM,27204504_214553,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_214555,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_214556,Hb Special Order Or Supply,1176.76,411.87,,,0
CDM,27204504_214557,Hb Special Order Or Supply,2538.07,888.32,,,0
CDM,27204504_214558,Hb Special Order Or Supply,513.19,179.62,,,0
CDM,27204504_214559,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_214560,Hb Special Order Or Supply,2452.71,858.45,,,0
CDM,27204504_214562,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_214563,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_214565,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214566,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214569,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_214574,Hb Special Order Or Supply,328.67,115.03,,,0
CDM,27204504_214578,Hb Special Order Or Supply,2263.62,792.27,,,0
CDM,27204504_214581,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_214583,Hb Special Order Or Supply,2480.15,868.05,,,0
CDM,27204504_214585,Hb Special Order Or Supply,3131.14,1095.9,,,0
CDM,27204504_214586,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_214587,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_214588,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_214589,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_214607,Hb Special Order Or Supply,1346.7,471.34,,,0
CDM,27204504_214608,Hb Special Order Or Supply,524.2,183.47,,,0
CDM,27204504_214611,Hb Special Order Or Supply,1675.35,586.37,,,0
CDM,27204504_214612,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_214613,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_214614,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_214616,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214617,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214619,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_214620,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214621,Hb Special Order Or Supply,830.67,290.73,,,0
CDM,27204504_214622,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214623,Hb Special Order Or Supply,998.78,349.57,,,0
CDM,27204504_214624,Hb Special Order Or Supply,573.37,200.68,,,0
CDM,27204504_214625,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_214626,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_214627,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214628,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214630,Hb Special Order Or Supply,4240.02,1484.01,,,0
CDM,27204504_214631,Hb Special Order Or Supply,2898.17,1014.36,,,0
CDM,27204504_214632,Hb Special Order Or Supply,2863.16,1002.11,,,0
CDM,27204504_214633,Hb Special Order Or Supply,2125.02,743.76,,,0
CDM,27204504_214634,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214635,Hb Special Order Or Supply,3419.41,1196.79,,,0
CDM,27204504_214636,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214637,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214639,Hb Special Order Or Supply,3328.95,1165.13,,,0
CDM,27204504_214640,Hb Special Order Or Supply,1516.2,530.67,,,0
CDM,27204504_214641,Hb Special Order Or Supply,2751.3,962.96,,,0
CDM,27204504_214642,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_214646,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214648,Hb Special Order Or Supply,487.09,170.48,,,0
CDM,27204504_214649,Hb Special Order Or Supply,1493.13,522.6,,,0
CDM,27204504_214652,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_214659,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_214661,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_214663,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_214664,Hb Special Order Or Supply,2363.12,827.09,,,0
CDM,27204504_214667,Hb Special Order Or Supply,3364.22,1177.48,,,0
CDM,27204504_214668,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_214669,Hb Special Order Or Supply,4215.92,1475.57,,,0
CDM,27204504_214673,Hb Special Order Or Supply,9574.82,3351.19,,,0
CDM,27204504_214675,Hb Special Order Or Supply,141.03,49.36,,,0
CDM,27204504_214677,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214678,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214680,Hb Special Order Or Supply,2746.94,961.43,,,0
CDM,27204504_214681,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_214684,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214685,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_214686,Hb Special Order Or Supply,889.2,311.22,,,0
CDM,27204504_214687,Hb Special Order Or Supply,889.2,311.22,,,0
CDM,27204504_214688,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_214689,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214690,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214691,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_214692,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_214693,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_214780,Hb Special Order Or Supply,1456.85,509.9,,,0
CDM,27204504_214781,Hb Special Order Or Supply,707.22,247.53,,,0
CDM,27204504_214783,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_214785,Hb Special Order Or Supply,1675.46,586.41,,,0
CDM,27204504_214786,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_214787,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_214790,Hb Special Order Or Supply,503.09,176.08,,,0
CDM,27204504_214797,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_214802,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_214803,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214805,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_214812,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_214816,Hb Special Order Or Supply,324.73,113.66,,,0
CDM,27204504_214818,Hb Special Order Or Supply,164.68,57.64,,,0
CDM,27204504_214819,Hb Special Order Or Supply,703.58,246.25,,,0
CDM,27204504_214821,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_214822,Hb Special Order Or Supply,4215.92,1475.57,,,0
CDM,27204504_214823,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214824,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214825,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214826,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_214827,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_214828,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_214830,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_214831,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214832,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214833,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214834,Hb Special Order Or Supply,1365.7,478.0,,,0
CDM,27204504_214835,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_214839,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_214841,Hb Special Order Or Supply,17456.73,6109.86,,,0
CDM,27204504_214842,Hb Special Order Or Supply,5166.93,1808.43,,,0
CDM,27204504_214844,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_214845,Hb Special Order Or Supply,1095.89,383.56,,,0
CDM,27204504_214846,Hb Special Order Or Supply,414.96,145.24,,,0
CDM,27204504_214847,Hb Special Order Or Supply,2351.92,823.17,,,0
CDM,27204504_214848,Hb Special Order Or Supply,35666.1,12483.14,,,0
CDM,27204504_214849,Hb Special Order Or Supply,819.45,286.81,,,0
CDM,27204504_214854,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214858,Hb Special Order Or Supply,1631.22,570.93,,,0
CDM,27204504_214859,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_214861,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214863,Hb Special Order Or Supply,334.23,116.98,,,0
CDM,27204504_214864,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214865,Hb Special Order Or Supply,192.13,67.25,,,0
CDM,27204504_214866,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214871,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214872,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_214873,Hb Special Order Or Supply,713.99,249.9,,,0
CDM,27204504_214875,Hb Special Order Or Supply,7353.45,2573.71,,,0
CDM,27204504_214876,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_214878,Hb Special Order Or Supply,1633.23,571.63,,,0
CDM,27204504_214879,Hb Special Order Or Supply,1903.93,666.38,,,0
CDM,27204504_214880,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_214881,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_214883,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_214885,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_214886,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214887,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_214888,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214889,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_214894,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214896,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_214897,Hb Special Order Or Supply,1847.93,646.78,,,0
CDM,27204504_214898,Hb Special Order Or Supply,1521.24,532.43,,,0
CDM,27204504_214901,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_214909,Hb Special Order Or Supply,2363.12,827.09,,,0
CDM,27204504_214911,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214912,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_214915,Hb Special Order Or Supply,6626.33,2319.22,,,0
CDM,27204504_214918,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_214919,Hb Special Order Or Supply,653.41,228.69,,,0
CDM,27204504_214921,Hb Special Order Or Supply,426.08,149.13,,,0
CDM,27204504_214922,Hb Special Order Or Supply,2151.22,752.93,,,0
CDM,27204504_214924,Hb Special Order Or Supply,4442.75,1554.96,,,0
CDM,27204504_214926,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214928,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214929,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_214930,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_214932,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_214938,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214939,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214940,Hb Special Order Or Supply,4669.56,1634.35,,,0
CDM,27204504_214941,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214943,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_214944,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_214945,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_214946,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_214947,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_214948,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_214949,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_214950,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_214951,Hb Special Order Or Supply,5330.63,1865.72,,,0
CDM,27204504_214952,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_214954,Hb Special Order Or Supply,2538.07,888.32,,,0
CDM,27204504_214956,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_214957,Hb Special Order Or Supply,2538.07,888.32,,,0
CDM,27204504_214958,Hb Special Order Or Supply,1123.63,393.27,,,0
CDM,27204504_214959,Hb Special Order Or Supply,2452.71,858.45,,,0
CDM,27204504_214960,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_214962,Hb Special Order Or Supply,5287.72,1850.7,,,0
CDM,27204504_214963,Hb Special Order Or Supply,3136.61,1097.81,,,0
CDM,27204504_214964,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214965,Hb Special Order Or Supply,2379.16,832.71,,,0
CDM,27204504_214966,Hb Special Order Or Supply,3593.34,1257.67,,,0
CDM,27204504_214967,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_214968,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_214969,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_214970,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_214971,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214972,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_214973,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_214976,Hb Special Order Or Supply,2348.12,821.84,,,0
CDM,27204504_214980,Hb Special Order Or Supply,244.24,85.48,,,0
CDM,27204504_214983,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_214984,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_214985,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_214987,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_214988,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_214989,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_214991,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_214992,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_214993,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_214994,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215002,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_215003,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215005,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215006,Hb Special Order Or Supply,1747.14,611.5,,,0
CDM,27204504_215007,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_215008,Hb Special Order Or Supply,3060.07,1071.02,,,0
CDM,27204504_215012,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_215013,Hb Special Order Or Supply,1130.15,395.55,,,0
CDM,27204504_215014,Hb Special Order Or Supply,3280.32,1148.11,,,0
CDM,27204504_215016,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_215017,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_215018,Hb Special Order Or Supply,699.1,244.68,,,0
CDM,27204504_215019,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_215020,Hb Special Order Or Supply,1691.59,592.06,,,0
CDM,27204504_215022,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215023,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215026,Hb Special Order Or Supply,741.73,259.61,,,0
CDM,27204504_215029,Hb Special Order Or Supply,1095.89,383.56,,,0
CDM,27204504_215033,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215034,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_215035,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215038,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_215041,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215043,Hb Special Order Or Supply,1028.61,360.01,,,0
CDM,27204504_215046,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_215047,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_215049,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_215080,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_215091,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_215092,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215093,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215095,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_215097,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_215098,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_215104,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_215106,Hb Special Order Or Supply,4699.18,1644.71,,,0
CDM,27204504_215107,Hb Special Order Or Supply,1324.63,463.62,,,0
CDM,27204504_215108,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_215112,Hb Special Order Or Supply,2334.78,817.17,,,0
CDM,27204504_215116,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_215119,Hb Special Order Or Supply,2652.96,928.54,,,0
CDM,27204504_215122,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_215123,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_215125,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215129,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_215130,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215131,Hb Special Order Or Supply,4424.96,1548.74,,,0
CDM,27204504_215132,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_215134,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_215135,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_215136,Hb Special Order Or Supply,1144.44,400.55,,,0
CDM,27204504_215138,Hb Special Order Or Supply,2351.92,823.17,,,0
CDM,27204504_215140,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_215141,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_215142,Hb Special Order Or Supply,857.29,300.05,,,0
CDM,27204504_215143,Hb Special Order Or Supply,971.59,340.06,,,0
CDM,27204504_215145,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215146,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_215148,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215152,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_215155,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215156,Hb Special Order Or Supply,4152.03,1453.21,,,0
CDM,27204504_215159,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215161,Hb Special Order Or Supply,1131.16,395.91,,,0
CDM,27204504_215162,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_215163,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_215164,Hb Special Order Or Supply,1478.35,517.42,,,0
CDM,27204504_215166,Hb Special Order Or Supply,2151.22,752.93,,,0
CDM,27204504_215167,Hb Special Order Or Supply,855.48,299.42,,,0
CDM,27204504_215171,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215176,Hb Special Order Or Supply,1310.35,458.62,,,0
CDM,27204504_215177,Hb Special Order Or Supply,1131.16,395.91,,,0
CDM,27204504_215180,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_215181,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215183,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215186,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_215187,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_215188,Hb Special Order Or Supply,1898.22,664.38,,,0
CDM,27204504_215189,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_215190,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_215193,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215195,Hb Special Order Or Supply,3738.96,1308.64,,,0
CDM,27204504_215196,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_215197,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_215205,Hb Special Order Or Supply,1006.69,352.34,,,0
CDM,27204504_215207,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_215212,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215213,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_215214,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_215215,Hb Special Order Or Supply,1516.2,530.67,,,0
CDM,27204504_215216,Hb Special Order Or Supply,3328.95,1165.13,,,0
CDM,27204504_215217,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215218,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_215219,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_215220,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_215222,Hb Special Order Or Supply,1584.74,554.66,,,0
CDM,27204504_215223,Hb Special Order Or Supply,2408.81,843.08,,,0
CDM,27204504_215224,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_215225,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215226,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_215227,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215230,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215231,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_215234,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215239,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_215241,Hb Special Order Or Supply,1631.22,570.93,,,0
CDM,27204504_215242,Hb Special Order Or Supply,4142.16,1449.76,,,0
CDM,27204504_215246,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215247,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_215249,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_215250,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_215251,Hb Special Order Or Supply,1903.93,666.38,,,0
CDM,27204504_215252,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_215253,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215254,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_215256,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_215259,Hb Special Order Or Supply,2307.12,807.49,,,0
CDM,27204504_215260,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_215261,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_215262,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215263,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_215264,Hb Special Order Or Supply,3509.0,1228.15,,,0
CDM,27204504_215265,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_215266,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215267,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_215268,Hb Special Order Or Supply,3537.88,1238.26,,,0
CDM,27204504_215269,Hb Special Order Or Supply,3592.64,1257.42,,,0
CDM,27204504_215270,Hb Special Order Or Supply,1480.59,518.21,,,0
CDM,27204504_215272,Hb Special Order Or Supply,189.51,66.33,,,0
CDM,27204504_215276,Hb Special Order Or Supply,2340.72,819.25,,,0
CDM,27204504_215278,Hb Special Order Or Supply,1775.02,621.26,,,0
CDM,27204504_215279,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_215280,Hb Special Order Or Supply,912.5,319.38,,,0
CDM,27204504_215282,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_215284,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215286,Hb Special Order Or Supply,2171.84,760.14,,,0
CDM,27204504_215295,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215296,Hb Special Order Or Supply,2643.11,925.09,,,0
CDM,27204504_215298,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215300,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_215301,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_215302,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_215308,Hb Special Order Or Supply,819.45,286.81,,,0
CDM,27204504_215311,Hb Special Order Or Supply,355.57,124.45,,,0
CDM,27204504_215312,Hb Special Order Or Supply,1916.81,670.88,,,0
CDM,27204504_215315,Hb Special Order Or Supply,528.58,185.0,,,0
CDM,27204504_215316,Hb Special Order Or Supply,542.29,189.8,,,0
CDM,27204504_215317,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_215320,Hb Special Order Or Supply,1147.63,401.67,,,0
CDM,27204504_215323,Hb Special Order Or Supply,3068.57,1074.0,,,0
CDM,27204504_215324,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_215325,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_215331,Hb Special Order Or Supply,496.64,173.82,,,0
CDM,27204504_215333,Hb Special Order Or Supply,555.75,194.51,,,0
CDM,27204504_215334,Hb Special Order Or Supply,2193.12,767.59,,,0
CDM,27204504_215335,Hb Special Order Or Supply,2127.92,744.77,,,0
CDM,27204504_215336,Hb Special Order Or Supply,744.96,260.74,,,0
CDM,27204504_215337,Hb Special Order Or Supply,2127.92,744.77,,,0
CDM,27204504_215338,Hb Special Order Or Supply,1455.95,509.58,,,0
CDM,27204504_215340,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_215341,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_215342,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215346,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215349,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215354,Hb Special Order Or Supply,7320.09,2562.03,,,0
CDM,27204504_215356,Hb Special Order Or Supply,244.24,85.48,,,0
CDM,27204504_215360,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215362,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_215363,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215364,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_215366,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_215371,Hb Special Order Or Supply,2610.63,913.72,,,0
CDM,27204504_215372,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215375,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215379,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_215381,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215383,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_215390,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_215393,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215394,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_215398,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215399,Hb Special Order Or Supply,1822.52,637.88,,,0
CDM,27204504_215400,Hb Special Order Or Supply,3592.64,1257.42,,,0
CDM,27204504_215401,Hb Special Order Or Supply,3537.88,1238.26,,,0
CDM,27204504_215403,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_215404,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_215406,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_215407,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_215409,Hb Special Order Or Supply,620.79,217.28,,,0
CDM,27204504_215410,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_215411,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215412,Hb Special Order Or Supply,1122.66,392.93,,,0
CDM,27204504_215413,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_215414,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_215415,Hb Special Order Or Supply,25019.95,8756.98,,,0
CDM,27204504_215416,Hb Special Order Or Supply,25019.95,8756.98,,,0
CDM,27204504_215417,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_215418,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215422,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215423,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_215424,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215425,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215427,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215428,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_215430,Hb Special Order Or Supply,11534.79,4037.18,,,0
CDM,27204504_215431,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_215432,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215433,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_215434,Hb Special Order Or Supply,10673.28,3735.65,,,0
CDM,27204504_215435,Hb Special Order Or Supply,2577.25,902.04,,,0
CDM,27204504_215437,Hb Special Order Or Supply,2168.36,758.93,,,0
CDM,27204504_215438,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_215439,Hb Special Order Or Supply,3134.26,1096.99,,,0
CDM,27204504_215440,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_215442,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_215443,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_215446,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_215448,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215450,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_215451,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_215453,Hb Special Order Or Supply,971.59,340.06,,,0
CDM,27204504_215454,Hb Special Order Or Supply,1357.38,475.08,,,0
CDM,27204504_215455,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_215456,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215457,Hb Special Order Or Supply,434.91,152.22,,,0
CDM,27204504_215460,Hb Special Order Or Supply,1095.89,383.56,,,0
CDM,27204504_215462,Hb Special Order Or Supply,481.74,168.61,,,0
CDM,27204504_215463,Hb Special Order Or Supply,463.53,162.24,,,0
CDM,27204504_215464,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_215465,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215466,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215467,Hb Special Order Or Supply,1131.16,395.91,,,0
CDM,27204504_215468,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_215469,Hb Special Order Or Supply,2668.32,933.91,,,0
CDM,27204504_215470,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_215471,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_215472,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215473,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215474,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215477,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215480,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_215481,Hb Special Order Or Supply,1675.46,586.41,,,0
CDM,27204504_215482,Hb Special Order Or Supply,546.46,191.26,,,0
CDM,27204504_215483,Hb Special Order Or Supply,2308.24,807.88,,,0
CDM,27204504_215485,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215486,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215488,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215489,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215490,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215492,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_215493,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215497,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_215498,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215499,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215501,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215502,Hb Special Order Or Supply,555.75,194.51,,,0
CDM,27204504_215506,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215508,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215509,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215510,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215511,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215512,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215515,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_215516,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_215517,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_215518,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215519,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_215520,Hb Special Order Or Supply,1071.61,375.06,,,0
CDM,27204504_215521,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_215522,Hb Special Order Or Supply,4424.96,1548.74,,,0
CDM,27204504_215523,Hb Special Order Or Supply,36956.23,12934.68,,,0
CDM,27204504_215525,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_215530,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_215531,Hb Special Order Or Supply,487.09,170.48,,,0
CDM,27204504_215532,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215533,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_215534,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_215535,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_215536,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_215539,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_215541,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_215542,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_215573,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_215574,Hb Special Order Or Supply,1903.93,666.38,,,0
CDM,27204504_215575,Hb Special Order Or Supply,43449.14,15207.2,,,0
CDM,27204504_215576,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_215578,Hb Special Order Or Supply,2757.23,965.03,,,0
CDM,27204504_215582,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215583,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215585,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215586,Hb Special Order Or Supply,866.72,303.35,,,0
CDM,27204504_215588,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215591,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_215592,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_215593,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215594,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_215595,Hb Special Order Or Supply,898.91,314.62,,,0
CDM,27204504_215596,Hb Special Order Or Supply,3975.74,1391.51,,,0
CDM,27204504_215598,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_215599,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215602,Hb Special Order Or Supply,2477.91,867.27,,,0
CDM,27204504_215608,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_215609,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_215610,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_215611,Hb Special Order Or Supply,3134.26,1096.99,,,0
CDM,27204504_215612,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215613,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_215614,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_215615,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_215620,Hb Special Order Or Supply,785.35,274.87,,,0
CDM,27204504_215621,Hb Special Order Or Supply,822.44,287.85,,,0
CDM,27204504_215622,Hb Special Order Or Supply,1552.27,543.29,,,0
CDM,27204504_215624,Hb Special Order Or Supply,2228.27,779.89,,,0
CDM,27204504_215625,Hb Special Order Or Supply,2423.82,848.34,,,0
CDM,27204504_215626,Hb Special Order Or Supply,7588.26,2655.89,,,0
CDM,27204504_215627,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_215629,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_215631,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215632,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_215633,Hb Special Order Or Supply,2637.51,923.13,,,0
CDM,27204504_215634,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215635,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215636,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_215638,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215639,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215641,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215643,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215645,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215646,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_215647,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215648,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_215649,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_215650,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215651,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215652,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_215653,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_215655,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_215656,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_215658,Hb Special Order Or Supply,1147.63,401.67,,,0
CDM,27204504_215659,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_215661,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_215662,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215663,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215664,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215665,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_215667,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_215668,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_215669,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_215670,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_215671,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215672,Hb Special Order Or Supply,1491.45,522.01,,,0
CDM,27204504_215673,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_215674,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_215677,Hb Special Order Or Supply,1706.82,597.39,,,0
CDM,27204504_215686,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215689,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215690,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215692,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_215693,Hb Special Order Or Supply,2257.0,789.95,,,0
CDM,27204504_215697,Hb Special Order Or Supply,2259.71,790.9,,,0
CDM,27204504_215698,Hb Special Order Or Supply,1095.89,383.56,,,0
CDM,27204504_215704,Hb Special Order Or Supply,645.63,225.97,,,0
CDM,27204504_215705,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215706,Hb Special Order Or Supply,741.73,259.61,,,0
CDM,27204504_215707,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215708,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_215710,Hb Special Order Or Supply,1631.22,570.93,,,0
CDM,27204504_215711,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215712,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215716,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215720,Hb Special Order Or Supply,7658.08,2680.33,,,0
CDM,27204504_215723,Hb Special Order Or Supply,189.51,66.33,,,0
CDM,27204504_215726,Hb Special Order Or Supply,5429.77,1900.42,,,0
CDM,27204504_215727,Hb Special Order Or Supply,1502.54,525.89,,,0
CDM,27204504_215728,Hb Special Order Or Supply,6665.73,2333.01,,,0
CDM,27204504_215730,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_215731,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_215732,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_215738,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215739,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_215743,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_215744,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_215745,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_215746,Hb Special Order Or Supply,20385.96,7135.09,,,0
CDM,27204504_215776,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215777,Hb Special Order Or Supply,528.58,185.0,,,0
CDM,27204504_215779,Hb Special Order Or Supply,1317.84,461.24,,,0
CDM,27204504_215780,Hb Special Order Or Supply,1678.59,587.51,,,0
CDM,27204504_215782,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215783,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215786,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_215787,Hb Special Order Or Supply,3917.82,1371.24,,,0
CDM,27204504_215788,Hb Special Order Or Supply,3917.82,1371.24,,,0
CDM,27204504_215792,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_215794,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215795,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_215796,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215797,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_215798,Hb Special Order Or Supply,70.64,24.72,,,0
CDM,27204504_215799,Hb Special Order Or Supply,70.64,24.72,,,0
CDM,27204504_215803,Hb Special Order Or Supply,3249.32,1137.26,,,0
CDM,27204504_215804,Hb Special Order Or Supply,486.21,170.17,,,0
CDM,27204504_215805,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_215807,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_215808,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215810,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215811,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215812,Hb Special Order Or Supply,687.01,240.45,,,0
CDM,27204504_215814,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_215815,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_215816,Hb Special Order Or Supply,1586.65,555.33,,,0
CDM,27204504_215817,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_215818,Hb Special Order Or Supply,7320.09,2562.03,,,0
CDM,27204504_215819,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215820,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215822,Hb Special Order Or Supply,3131.14,1095.9,,,0
CDM,27204504_215826,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215827,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_215828,Hb Special Order Or Supply,2649.83,927.44,,,0
CDM,27204504_215829,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_215830,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215832,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_215833,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215834,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215836,Hb Special Order Or Supply,1917.82,671.24,,,0
CDM,27204504_215841,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215842,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_215843,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215844,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_215845,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215855,Hb Special Order Or Supply,2333.66,816.78,,,0
CDM,27204504_215856,Hb Special Order Or Supply,2368.58,829.0,,,0
CDM,27204504_215857,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215858,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_215860,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_215861,Hb Special Order Or Supply,2340.72,819.25,,,0
CDM,27204504_215862,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_215873,Hb Special Order Or Supply,3335.4,1167.39,,,0
CDM,27204504_215875,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_215876,Hb Special Order Or Supply,1915.13,670.3,,,0
CDM,27204504_215877,Hb Special Order Or Supply,2649.83,927.44,,,0
CDM,27204504_215878,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_215880,Hb Special Order Or Supply,688.84,241.09,,,0
CDM,27204504_215884,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215885,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215887,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_215888,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_215889,Hb Special Order Or Supply,7969.12,2789.19,,,0
CDM,27204504_215890,Hb Special Order Or Supply,11534.79,4037.18,,,0
CDM,27204504_215891,Hb Special Order Or Supply,17598.59,6159.51,,,0
CDM,27204504_215894,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215895,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215899,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_215900,Hb Special Order Or Supply,1915.13,670.3,,,0
CDM,27204504_215901,Hb Special Order Or Supply,546.3,191.2,,,0
CDM,27204504_215902,Hb Special Order Or Supply,2666.67,933.33,,,0
CDM,27204504_215904,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215906,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_215907,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_215908,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215909,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215910,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215911,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215912,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_215913,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_215917,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215918,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215919,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215920,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215921,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215922,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215923,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215925,Hb Special Order Or Supply,535.8,187.53,,,0
CDM,27204504_215927,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_215928,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215929,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215930,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_215931,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215932,Hb Special Order Or Supply,1827.78,639.72,,,0
CDM,27204504_215933,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_215935,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_215936,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_215937,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_215938,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_215939,Hb Special Order Or Supply,528.58,185.0,,,0
CDM,27204504_215940,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_215942,Hb Special Order Or Supply,30285.43,10599.9,,,0
CDM,27204504_215943,Hb Special Order Or Supply,3557.76,1245.22,,,0
CDM,27204504_215945,Hb Special Order Or Supply,1310.21,458.57,,,0
CDM,27204504_215946,Hb Special Order Or Supply,653.41,228.69,,,0
CDM,27204504_215947,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_215949,Hb Special Order Or Supply,524.2,183.47,,,0
CDM,27204504_215950,Hb Special Order Or Supply,1912.11,669.24,,,0
CDM,27204504_215960,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_215961,Hb Special Order Or Supply,4000.52,1400.18,,,0
CDM,27204504_215966,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_215967,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_215970,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_215971,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_215972,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_215973,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_215974,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_215977,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215978,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215979,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_215982,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215983,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_215984,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_215986,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_215987,Hb Special Order Or Supply,16427.96,5749.79,,,0
CDM,27204504_215990,Hb Special Order Or Supply,1959.14,685.7,,,0
CDM,27204504_215991,Hb Special Order Or Supply,1023.06,358.07,,,0
CDM,27204504_215992,Hb Special Order Or Supply,2742.22,959.78,,,0
CDM,27204504_215993,Hb Special Order Or Supply,3641.01,1274.35,,,0
CDM,27204504_215999,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216001,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_216002,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_216007,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216009,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216013,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_216015,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_216016,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_216017,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_216018,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_216019,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_216023,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_216024,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_216026,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_216031,Hb Special Order Or Supply,1412.7,494.44,,,0
CDM,27204504_216032,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_216033,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216035,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216036,Hb Special Order Or Supply,1272.48,445.37,,,0
CDM,27204504_216037,Hb Special Order Or Supply,1450.8,507.78,,,0
CDM,27204504_216038,Hb Special Order Or Supply,4157.92,1455.27,,,0
CDM,27204504_216039,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_216041,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_216042,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_216043,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216044,Hb Special Order Or Supply,2514.23,879.98,,,0
CDM,27204504_216057,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_216059,Hb Special Order Or Supply,6114.9,2140.22,,,0
CDM,27204504_216060,Hb Special Order Or Supply,4002.48,1400.87,,,0
CDM,27204504_216062,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216063,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_216064,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_216065,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_216066,Hb Special Order Or Supply,1467.15,513.5,,,0
CDM,27204504_216070,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_216071,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_216075,Hb Special Order Or Supply,9339.12,3268.69,,,0
CDM,27204504_216078,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_216079,Hb Special Order Or Supply,24014.88,8405.21,,,0
CDM,27204504_216080,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_216081,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_216084,Hb Special Order Or Supply,20857.37,7300.08,,,0
CDM,27204504_216085,Hb Special Order Or Supply,645.63,225.97,,,0
CDM,27204504_216089,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_216090,Hb Special Order Or Supply,5330.63,1865.72,,,0
CDM,27204504_216091,Hb Special Order Or Supply,11534.79,4037.18,,,0
CDM,27204504_216092,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_216094,Hb Special Order Or Supply,1056.08,369.63,,,0
CDM,27204504_216103,Hb Special Order Or Supply,29996.36,10498.73,,,0
CDM,27204504_216105,Hb Special Order Or Supply,2794.3,978.0,,,0
CDM,27204504_216110,Hb Special Order Or Supply,7320.09,2562.03,,,0
CDM,27204504_216111,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216113,Hb Special Order Or Supply,990.88,346.81,,,0
CDM,27204504_216116,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216118,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_216119,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_216120,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216121,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216122,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216123,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_216124,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_216125,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216127,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216130,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216132,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_216133,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_216138,Hb Special Order Or Supply,2777.95,972.28,,,0
CDM,27204504_216141,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_216145,Hb Special Order Or Supply,3025.24,1058.83,,,0
CDM,27204504_216150,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_216152,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_216153,Hb Special Order Or Supply,1917.82,671.24,,,0
CDM,27204504_216154,Hb Special Order Or Supply,1210.19,423.57,,,0
CDM,27204504_216155,Hb Special Order Or Supply,612.52,214.38,,,0
CDM,27204504_216156,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_216158,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_216159,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_216160,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_216161,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_216163,Hb Special Order Or Supply,3177.86,1112.25,,,0
CDM,27204504_216164,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_216204,Hb Special Order Or Supply,1472.86,515.5,,,0
CDM,27204504_216205,Hb Special Order Or Supply,347.46,121.61,,,0
CDM,27204504_216207,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_216208,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216209,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216210,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216211,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_216213,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_216215,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_216220,Hb Special Order Or Supply,2598.31,909.41,,,0
CDM,27204504_216221,Hb Special Order Or Supply,596.63,208.82,,,0
CDM,27204504_216222,Hb Special Order Or Supply,1496.27,523.69,,,0
CDM,27204504_216223,Hb Special Order Or Supply,1535.13,537.3,,,0
CDM,27204504_216224,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_216225,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_216226,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216227,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216229,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_216230,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216231,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_216232,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_216233,Hb Special Order Or Supply,4424.96,1548.74,,,0
CDM,27204504_216239,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216241,Hb Special Order Or Supply,1020.01,357.0,,,0
CDM,27204504_216252,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216253,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_216257,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_216258,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_216266,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_216267,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_216268,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_216270,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216274,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_216275,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216277,Hb Special Order Or Supply,535.8,187.53,,,0
CDM,27204504_216278,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_216279,Hb Special Order Or Supply,1350.02,472.51,,,0
CDM,27204504_216280,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_216289,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_216291,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216294,Hb Special Order Or Supply,717.04,250.96,,,0
CDM,27204504_216302,Hb Special Order Or Supply,1360.75,476.26,,,0
CDM,27204504_216303,Hb Special Order Or Supply,3592.64,1257.42,,,0
CDM,27204504_216304,Hb Special Order Or Supply,3537.88,1238.26,,,0
CDM,27204504_216305,Hb Special Order Or Supply,1360.75,476.26,,,0
CDM,27204504_216308,Hb Special Order Or Supply,1360.75,476.26,,,0
CDM,27204504_216309,Hb Special Order Or Supply,2379.92,832.97,,,0
CDM,27204504_216310,Hb Special Order Or Supply,1360.75,476.26,,,0
CDM,27204504_216311,Hb Special Order Or Supply,481.74,168.61,,,0
CDM,27204504_216313,Hb Special Order Or Supply,1360.75,476.26,,,0
CDM,27204504_216315,Hb Special Order Or Supply,1199.48,419.82,,,0
CDM,27204504_216316,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_216317,Hb Special Order Or Supply,5330.63,1865.72,,,0
CDM,27204504_216318,Hb Special Order Or Supply,11534.79,4037.18,,,0
CDM,27204504_216319,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_216321,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_216322,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_216325,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216326,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_216327,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_216329,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216330,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_216331,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216332,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_216333,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216334,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216335,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_216341,Hb Special Order Or Supply,3592.64,1257.42,,,0
CDM,27204504_216342,Hb Special Order Or Supply,3537.88,1238.26,,,0
CDM,27204504_216343,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_216344,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_216346,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216347,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216348,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_216350,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_216352,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216353,Hb Special Order Or Supply,4000.52,1400.18,,,0
CDM,27204504_216354,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216355,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_216357,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_216365,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216367,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_216368,Hb Special Order Or Supply,3016.55,1055.79,,,0
CDM,27204504_216371,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216372,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216373,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_216374,Hb Special Order Or Supply,328.67,115.03,,,0
CDM,27204504_216375,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_216378,Hb Special Order Or Supply,1089.5,381.32,,,0
CDM,27204504_216385,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_216386,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_216387,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_216388,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_216389,Hb Special Order Or Supply,1131.16,395.91,,,0
CDM,27204504_216390,Hb Special Order Or Supply,8672.04,3035.21,,,0
CDM,27204504_216391,Hb Special Order Or Supply,282.54,98.89,,,0
CDM,27204504_216395,Hb Special Order Or Supply,1102.82,385.99,,,0
CDM,27204504_216396,Hb Special Order Or Supply,1250.29,437.6,,,0
CDM,27204504_216397,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_216399,Hb Special Order Or Supply,1343.95,470.38,,,0
CDM,27204504_216400,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_216401,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_216403,Hb Special Order Or Supply,3131.14,1095.9,,,0
CDM,27204504_216405,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_216407,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216411,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_216414,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216419,Hb Special Order Or Supply,3227.94,1129.78,,,0
CDM,27204504_216420,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216422,Hb Special Order Or Supply,3131.14,1095.9,,,0
CDM,27204504_216423,Hb Special Order Or Supply,4000.52,1400.18,,,0
CDM,27204504_216426,Hb Special Order Or Supply,1784.65,624.63,,,0
CDM,27204504_216427,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_216436,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216437,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_216438,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_216439,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_216440,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_216444,Hb Special Order Or Supply,2422.47,847.86,,,0
CDM,27204504_216446,Hb Special Order Or Supply,2422.47,847.86,,,0
CDM,27204504_216449,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_216451,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216452,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_216454,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216455,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_216456,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_216457,Hb Special Order Or Supply,2307.12,807.49,,,0
CDM,27204504_216458,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216460,Hb Special Order Or Supply,2419.11,846.69,,,0
CDM,27204504_216461,Hb Special Order Or Supply,2422.47,847.86,,,0
CDM,27204504_216462,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216467,Hb Special Order Or Supply,4147.78,1451.72,,,0
CDM,27204504_216469,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_216471,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_216472,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216473,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216475,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216476,Hb Special Order Or Supply,2445.96,856.09,,,0
CDM,27204504_216479,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216481,Hb Special Order Or Supply,1373.33,480.67,,,0
CDM,27204504_216482,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_216483,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_216484,Hb Special Order Or Supply,1331.71,466.1,,,0
CDM,27204504_216485,Hb Special Order Or Supply,2422.47,847.86,,,0
CDM,27204504_216486,Hb Special Order Or Supply,1814.34,635.02,,,0
CDM,27204504_216487,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_216488,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_216489,Hb Special Order Or Supply,2422.47,847.86,,,0
CDM,27204504_216490,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216492,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216493,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_216494,Hb Special Order Or Supply,2116.72,740.85,,,0
CDM,27204504_216495,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216496,Hb Special Order Or Supply,1331.71,466.1,,,0
CDM,27204504_216497,Hb Special Order Or Supply,1814.34,635.02,,,0
CDM,27204504_216498,Hb Special Order Or Supply,2403.1,841.08,,,0
CDM,27204504_216499,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_216500,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_216501,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_216502,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_216503,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_216504,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_216505,Hb Special Order Or Supply,1238.08,433.33,,,0
CDM,27204504_216509,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_216510,Hb Special Order Or Supply,2213.27,774.64,,,0
CDM,27204504_216511,Hb Special Order Or Supply,2604.47,911.56,,,0
CDM,27204504_216512,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216513,Hb Special Order Or Supply,303.85,106.35,,,0
CDM,27204504_216514,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_216516,Hb Special Order Or Supply,867.0,303.45,,,0
CDM,27204504_216517,Hb Special Order Or Supply,741.04,259.36,,,0
CDM,27204504_216519,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216520,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_216534,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_216535,Hb Special Order Or Supply,2483.62,869.27,,,0
CDM,27204504_216536,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_216537,Hb Special Order Or Supply,895.86,313.55,,,0
CDM,27204504_216539,Hb Special Order Or Supply,346.99,121.45,,,0
CDM,27204504_216545,Hb Special Order Or Supply,2777.95,972.28,,,0
CDM,27204504_216546,Hb Special Order Or Supply,1668.74,584.06,,,0
CDM,27204504_216556,Hb Special Order Or Supply,555.75,194.51,,,0
CDM,27204504_216560,Hb Special Order Or Supply,2895.78,1013.52,,,0
CDM,27204504_216561,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216569,Hb Special Order Or Supply,2975.18,1041.31,,,0
CDM,27204504_216570,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216576,Hb Special Order Or Supply,2568.26,898.89,,,0
CDM,27204504_216577,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_216578,Hb Special Order Or Supply,2725.44,953.9,,,0
CDM,27204504_216582,Hb Special Order Or Supply,10674.84,3736.19,,,0
CDM,27204504_216583,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_216584,Hb Special Order Or Supply,5330.63,1865.72,,,0
CDM,27204504_216585,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_216607,Hb Special Order Or Supply,555.98,194.59,,,0
CDM,27204504_216609,Hb Special Order Or Supply,535.8,187.53,,,0
CDM,27204504_216612,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_216619,Hb Special Order Or Supply,1008.49,352.97,,,0
CDM,27204504_216620,Hb Special Order Or Supply,842.31,294.81,,,0
CDM,27204504_216625,Hb Special Order Or Supply,347.46,121.61,,,0
CDM,27204504_216630,Hb Special Order Or Supply,28.08,9.83,,,0
CDM,27204504_216631,Hb Special Order Or Supply,2452.86,858.5,,,0
CDM,27204504_216637,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216638,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_216641,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_216642,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_216643,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_216644,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216645,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_216646,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216647,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_216648,Hb Special Order Or Supply,5069.81,1774.43,,,0
CDM,27204504_216649,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_216650,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216651,Hb Special Order Or Supply,4447.2,1556.52,,,0
CDM,27204504_216668,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216672,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_216677,Hb Special Order Or Supply,2303.65,806.28,,,0
CDM,27204504_216686,Hb Special Order Or Supply,620.79,217.28,,,0
CDM,27204504_216696,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216697,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_216702,Hb Special Order Or Supply,2127.92,744.77,,,0
CDM,27204504_216703,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_216704,Hb Special Order Or Supply,1791.6,627.06,,,0
CDM,27204504_216705,Hb Special Order Or Supply,1917.82,671.24,,,0
CDM,27204504_216710,Hb Special Order Or Supply,154.71,54.15,,,0
CDM,27204504_216717,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_216718,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216721,Hb Special Order Or Supply,1365.7,478.0,,,0
CDM,27204504_216739,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_216745,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_216753,Hb Special Order Or Supply,323.56,113.25,,,0
CDM,27204504_216755,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_216756,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_216758,Hb Special Order Or Supply,10240.79,3584.28,,,0
CDM,27204504_216759,Hb Special Order Or Supply,6711.45,2349.01,,,0
CDM,27204504_216761,Hb Special Order Or Supply,10362.86,3627.0,,,0
CDM,27204504_216766,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_216768,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_216772,Hb Special Order Or Supply,1631.22,570.93,,,0
CDM,27204504_216776,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_216780,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_216783,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_216790,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_216800,Hb Special Order Or Supply,487.09,170.48,,,0
CDM,27204504_216801,Hb Special Order Or Supply,2783.1,974.08,,,0
CDM,27204504_216802,Hb Special Order Or Supply,1897.21,664.02,,,0
CDM,27204504_216803,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_216804,Hb Special Order Or Supply,3994.47,1398.06,,,0
CDM,27204504_216805,Hb Special Order Or Supply,3994.47,1398.06,,,0
CDM,27204504_216806,Hb Special Order Or Supply,3994.47,1398.06,,,0
CDM,27204504_216807,Hb Special Order Or Supply,2273.52,795.73,,,0
CDM,27204504_216808,Hb Special Order Or Supply,487.09,170.48,,,0
CDM,27204504_216809,Hb Special Order Or Supply,487.09,170.48,,,0
CDM,27204504_216810,Hb Special Order Or Supply,2783.1,974.08,,,0
CDM,27204504_216811,Hb Special Order Or Supply,1897.21,664.02,,,0
CDM,27204504_216812,Hb Special Order Or Supply,3994.47,1398.06,,,0
CDM,27204504_216814,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_216819,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_216820,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_216821,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_216822,Hb Special Order Or Supply,4424.96,1548.74,,,0
CDM,27204504_216823,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_216830,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_216831,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_216836,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_216838,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_216839,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_216840,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216841,Hb Special Order Or Supply,2710.3,948.6,,,0
CDM,27204504_216842,Hb Special Order Or Supply,2710.3,948.6,,,0
CDM,27204504_216843,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216844,Hb Special Order Or Supply,3091.67,1082.08,,,0
CDM,27204504_216846,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_216851,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216852,Hb Special Order Or Supply,1900.46,665.16,,,0
CDM,27204504_216853,Hb Special Order Or Supply,931.36,325.98,,,0
CDM,27204504_216855,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_216856,Hb Special Order Or Supply,1959.93,685.98,,,0
CDM,27204504_216861,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_216864,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_216868,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_216869,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216871,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216872,Hb Special Order Or Supply,5876.58,2056.8,,,0
CDM,27204504_216880,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216882,Hb Special Order Or Supply,983.8,344.33,,,0
CDM,27204504_216888,Hb Special Order Or Supply,2479.59,867.86,,,0
CDM,27204504_216891,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216892,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_216894,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_216896,Hb Special Order Or Supply,40336.1,14117.64,,,0
CDM,27204504_216897,Hb Special Order Or Supply,3250.09,1137.53,,,0
CDM,27204504_216899,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_216900,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216901,Hb Special Order Or Supply,3738.96,1308.64,,,0
CDM,27204504_216905,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_216906,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216910,Hb Special Order Or Supply,1287.74,450.71,,,0
CDM,27204504_216911,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_216912,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216913,Hb Special Order Or Supply,3250.09,1137.53,,,0
CDM,27204504_216914,Hb Special Order Or Supply,254.29,89.0,,,0
CDM,27204504_216915,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_216916,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_216917,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_216918,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_216919,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_216922,Hb Special Order Or Supply,289.48,101.32,,,0
CDM,27204504_216930,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216931,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216932,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_216933,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_216934,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_216935,Hb Special Order Or Supply,1165.25,407.84,,,0
CDM,27204504_216940,Hb Special Order Or Supply,141.03,49.36,,,0
CDM,27204504_216941,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216951,Hb Special Order Or Supply,2207.61,772.66,,,0
CDM,27204504_216957,Hb Special Order Or Supply,4351.59,1523.06,,,0
CDM,27204504_216958,Hb Special Order Or Supply,717.04,250.96,,,0
CDM,27204504_216976,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216980,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_216981,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_216983,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_216984,Hb Special Order Or Supply,3131.14,1095.9,,,0
CDM,27204504_216986,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_216991,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_216992,Hb Special Order Or Supply,1129.93,395.48,,,0
CDM,27204504_216995,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216997,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_216999,Hb Special Order Or Supply,822.44,287.85,,,0
CDM,27204504_217000,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_217002,Hb Special Order Or Supply,1753.52,613.73,,,0
CDM,27204504_217003,Hb Special Order Or Supply,4402.73,1540.96,,,0
CDM,27204504_217004,Hb Special Order Or Supply,9539.24,3338.73,,,0
CDM,27204504_217009,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217010,Hb Special Order Or Supply,637.36,223.08,,,0
CDM,27204504_217016,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217018,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217019,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217020,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_217021,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_217022,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_217023,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217024,Hb Special Order Or Supply,1780.74,623.26,,,0
CDM,27204504_217028,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217029,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_217030,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_217031,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_217032,Hb Special Order Or Supply,1097.28,384.05,,,0
CDM,27204504_217033,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217039,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_217051,Hb Special Order Or Supply,3364.22,1177.48,,,0
CDM,27204504_217056,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_217073,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_217075,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217076,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217082,Hb Special Order Or Supply,1590.34,556.62,,,0
CDM,27204504_217094,Hb Special Order Or Supply,1631.22,570.93,,,0
CDM,27204504_217103,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_217105,Hb Special Order Or Supply,4424.96,1548.74,,,0
CDM,27204504_217128,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_217129,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_217132,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_217133,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217137,Hb Special Order Or Supply,1535.13,537.3,,,0
CDM,27204504_217138,Hb Special Order Or Supply,2506.13,877.15,,,0
CDM,27204504_217140,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_217142,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_217145,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_217146,Hb Special Order Or Supply,1605.24,561.83,,,0
CDM,27204504_217152,Hb Special Order Or Supply,1917.82,671.24,,,0
CDM,27204504_217156,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217158,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_217165,Hb Special Order Or Supply,501.71,175.6,,,0
CDM,27204504_217168,Hb Special Order Or Supply,2504.23,876.48,,,0
CDM,27204504_217170,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217174,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217182,Hb Special Order Or Supply,4675.61,1636.46,,,0
CDM,27204504_217183,Hb Special Order Or Supply,1592.14,557.25,,,0
CDM,27204504_217184,Hb Special Order Or Supply,6794.21,2377.97,,,0
CDM,27204504_217185,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217187,Hb Special Order Or Supply,4885.96,1710.09,,,0
CDM,27204504_217189,Hb Special Order Or Supply,7272.64,2545.42,,,0
CDM,27204504_217196,Hb Special Order Or Supply,391.53,137.04,,,0
CDM,27204504_217197,Hb Special Order Or Supply,4885.96,1710.09,,,0
CDM,27204504_217198,Hb Special Order Or Supply,1209.64,423.37,,,0
CDM,27204504_217199,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_217204,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217205,Hb Special Order Or Supply,2699.1,944.68,,,0
CDM,27204504_217206,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_217207,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_217212,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217218,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_217219,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_217223,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217225,Hb Special Order Or Supply,3131.14,1095.9,,,0
CDM,27204504_217227,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_217233,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_217235,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_217238,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_217239,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_217241,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_217247,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217253,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_217254,Hb Special Order Or Supply,2207.61,772.66,,,0
CDM,27204504_217257,Hb Special Order Or Supply,3390.77,1186.77,,,0
CDM,27204504_217258,Hb Special Order Or Supply,2781.64,973.57,,,0
CDM,27204504_217260,Hb Special Order Or Supply,2107.66,737.68,,,0
CDM,27204504_217273,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217274,Hb Special Order Or Supply,866.72,303.35,,,0
CDM,27204504_217278,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217281,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_217282,Hb Special Order Or Supply,1305.08,456.78,,,0
CDM,27204504_217285,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_217286,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_217287,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_217289,Hb Special Order Or Supply,2699.1,944.68,,,0
CDM,27204504_217290,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_217291,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_217292,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_217301,Hb Special Order Or Supply,535.8,187.53,,,0
CDM,27204504_217302,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_217303,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217304,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_217308,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_217309,Hb Special Order Or Supply,3822.43,1337.85,,,0
CDM,27204504_217310,Hb Special Order Or Supply,964.38,337.53,,,0
CDM,27204504_217311,Hb Special Order Or Supply,3829.93,1340.48,,,0
CDM,27204504_217312,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_217313,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_217315,Hb Special Order Or Supply,3202.39,1120.84,,,0
CDM,27204504_217319,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_217321,Hb Special Order Or Supply,2404.09,841.43,,,0
CDM,27204504_217327,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_217328,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_217333,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_217334,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_217335,Hb Special Order Or Supply,2355.95,824.58,,,0
CDM,27204504_217336,Hb Special Order Or Supply,1122.66,392.93,,,0
CDM,27204504_217342,Hb Special Order Or Supply,7588.26,2655.89,,,0
CDM,27204504_217344,Hb Special Order Or Supply,1959.93,685.98,,,0
CDM,27204504_217345,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_217347,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_217349,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217350,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_217351,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_217352,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217353,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_217354,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_217355,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217362,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_217368,Hb Special Order Or Supply,487.09,170.48,,,0
CDM,27204504_217372,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_217373,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217374,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_217376,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217377,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217380,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217381,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217383,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_217386,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217387,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_217388,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217389,Hb Special Order Or Supply,2307.12,807.49,,,0
CDM,27204504_217390,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217392,Hb Special Order Or Supply,1959.14,685.7,,,0
CDM,27204504_217393,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217395,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_217397,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217400,Hb Special Order Or Supply,4103.49,1436.22,,,0
CDM,27204504_217401,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217409,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217410,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217411,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_217412,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217413,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217414,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_217417,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_217418,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_217424,Hb Special Order Or Supply,1935.74,677.51,,,0
CDM,27204504_217425,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217426,Hb Special Order Or Supply,1657.77,580.22,,,0
CDM,27204504_217427,Hb Special Order Or Supply,160.05,56.02,,,0
CDM,27204504_217428,Hb Special Order Or Supply,4780.74,1673.26,,,0
CDM,27204504_217433,Hb Special Order Or Supply,451.37,157.98,,,0
CDM,27204504_217438,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_217439,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217440,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_217442,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217446,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217448,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217455,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_217465,Hb Special Order Or Supply,1147.63,401.67,,,0
CDM,27204504_217470,Hb Special Order Or Supply,1675.35,586.37,,,0
CDM,27204504_217471,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_217481,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_217482,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_217483,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217484,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_217485,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_217486,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217487,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_217488,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217489,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217491,Hb Special Order Or Supply,486.87,170.4,,,0
CDM,27204504_217492,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217495,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_217504,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217505,Hb Special Order Or Supply,901.68,315.59,,,0
CDM,27204504_217507,Hb Special Order Or Supply,2676.7,936.84,,,0
CDM,27204504_217508,Hb Special Order Or Supply,2248.49,786.97,,,0
CDM,27204504_217509,Hb Special Order Or Supply,2197.39,769.09,,,0
CDM,27204504_217510,Hb Special Order Or Supply,1373.33,480.67,,,0
CDM,27204504_217511,Hb Special Order Or Supply,1310.35,458.62,,,0
CDM,27204504_217512,Hb Special Order Or Supply,1310.35,458.62,,,0
CDM,27204504_217513,Hb Special Order Or Supply,2251.12,787.89,,,0
CDM,27204504_217514,Hb Special Order Or Supply,811.18,283.91,,,0
CDM,27204504_217515,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_217516,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_217517,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217518,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_217519,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217522,Hb Special Order Or Supply,2629.0,920.15,,,0
CDM,27204504_217523,Hb Special Order Or Supply,2408.81,843.08,,,0
CDM,27204504_217524,Hb Special Order Or Supply,2629.0,920.15,,,0
CDM,27204504_217525,Hb Special Order Or Supply,2408.81,843.08,,,0
CDM,27204504_217526,Hb Special Order Or Supply,2183.92,764.37,,,0
CDM,27204504_217527,Hb Special Order Or Supply,2183.92,764.37,,,0
CDM,27204504_217528,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217530,Hb Special Order Or Supply,983.8,344.33,,,0
CDM,27204504_217531,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_217534,Hb Special Order Or Supply,7588.26,2655.89,,,0
CDM,27204504_217537,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_217544,Hb Special Order Or Supply,3108.7,1088.04,,,0
CDM,27204504_217545,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217546,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_217559,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_217571,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_217572,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_217573,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_217574,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_217581,Hb Special Order Or Supply,6666.35,2333.22,,,0
CDM,27204504_217582,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_217586,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_217587,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_217596,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_217597,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_217604,Hb Special Order Or Supply,3406.8,1192.38,,,0
CDM,27204504_217605,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217608,Hb Special Order Or Supply,853.55,298.74,,,0
CDM,27204504_217609,Hb Special Order Or Supply,816.64,285.82,,,0
CDM,27204504_217610,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_217611,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_217616,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217620,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217628,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217634,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_217635,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_217636,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_217637,Hb Special Order Or Supply,2746.94,961.43,,,0
CDM,27204504_217638,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_217639,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_217643,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217647,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_217666,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217667,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_217668,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_217669,Hb Special Order Or Supply,4215.92,1475.57,,,0
CDM,27204504_217671,Hb Special Order Or Supply,2512.52,879.38,,,0
CDM,27204504_217673,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_217675,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_217678,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_217684,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_217693,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_217694,Hb Special Order Or Supply,14569.03,5099.16,,,0
CDM,27204504_217699,Hb Special Order Or Supply,2076.4,726.74,,,0
CDM,27204504_217700,Hb Special Order Or Supply,3131.14,1095.9,,,0
CDM,27204504_217701,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_217702,Hb Special Order Or Supply,2076.4,726.74,,,0
CDM,27204504_217703,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217704,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_217705,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_217706,Hb Special Order Or Supply,4447.2,1556.52,,,0
CDM,27204504_217707,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217708,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_217710,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_217711,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217713,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_217716,Hb Special Order Or Supply,596.63,208.82,,,0
CDM,27204504_217728,Hb Special Order Or Supply,12452.16,4358.26,,,0
CDM,27204504_217740,Hb Special Order Or Supply,8672.04,3035.21,,,0
CDM,27204504_217741,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_217743,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_217745,Hb Special Order Or Supply,7353.45,2573.71,,,0
CDM,27204504_217750,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_217751,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_217755,Hb Special Order Or Supply,7353.45,2573.71,,,0
CDM,27204504_217759,Hb Special Order Or Supply,4842.34,1694.82,,,0
CDM,27204504_217768,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217769,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217771,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217773,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_217777,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_217778,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217779,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_217780,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_217781,Hb Special Order Or Supply,5592.62,1957.42,,,0
CDM,27204504_217782,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_217783,Hb Special Order Or Supply,7969.12,2789.19,,,0
CDM,27204504_217784,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_217785,Hb Special Order Or Supply,1586.65,555.33,,,0
CDM,27204504_217786,Hb Special Order Or Supply,10206.32,3572.21,,,0
CDM,27204504_217787,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217790,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217791,Hb Special Order Or Supply,17598.59,6159.51,,,0
CDM,27204504_217803,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217805,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217812,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217816,Hb Special Order Or Supply,645.63,225.97,,,0
CDM,27204504_217817,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_217818,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_217822,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_217824,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_217825,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217826,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217831,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_217844,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217845,Hb Special Order Or Supply,2073.05,725.57,,,0
CDM,27204504_217846,Hb Special Order Or Supply,954.25,333.99,,,0
CDM,27204504_217847,Hb Special Order Or Supply,1006.69,352.34,,,0
CDM,27204504_217849,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217850,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217861,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217864,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_217865,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_217867,Hb Special Order Or Supply,14569.03,5099.16,,,0
CDM,27204504_217870,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217871,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217872,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_217873,Hb Special Order Or Supply,8520.88,2982.31,,,0
CDM,27204504_217874,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217875,Hb Special Order Or Supply,1572.76,550.47,,,0
CDM,27204504_217880,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217882,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217884,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217886,Hb Special Order Or Supply,3197.54,1119.14,,,0
CDM,27204504_217889,Hb Special Order Or Supply,2232.49,781.37,,,0
CDM,27204504_217891,Hb Special Order Or Supply,1351.97,473.19,,,0
CDM,27204504_217892,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217901,Hb Special Order Or Supply,463.53,162.24,,,0
CDM,27204504_217902,Hb Special Order Or Supply,481.74,168.61,,,0
CDM,27204504_217903,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217905,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_217906,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_217907,Hb Special Order Or Supply,1131.16,395.91,,,0
CDM,27204504_217909,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217910,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217911,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217912,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217913,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217915,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_217916,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217919,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_217921,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217922,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217924,Hb Special Order Or Supply,14231.04,4980.86,,,0
CDM,27204504_217925,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_217927,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217934,Hb Special Order Or Supply,917.21,321.02,,,0
CDM,27204504_217957,Hb Special Order Or Supply,687.01,240.45,,,0
CDM,27204504_217960,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_217961,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_217962,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_217963,Hb Special Order Or Supply,13610.07,4763.52,,,0
CDM,27204504_217970,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_217986,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218001,Hb Special Order Or Supply,1085.07,379.77,,,0
CDM,27204504_218002,Hb Special Order Or Supply,1078.13,377.35,,,0
CDM,27204504_218004,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218005,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_218006,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_218007,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218010,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_218018,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_218021,Hb Special Order Or Supply,4045.75,1416.01,,,0
CDM,27204504_218028,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218029,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_218030,Hb Special Order Or Supply,1123.63,393.27,,,0
CDM,27204504_218031,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218033,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_218034,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218035,Hb Special Order Or Supply,1276.22,446.68,,,0
CDM,27204504_218048,Hb Special Order Or Supply,813.65,284.78,,,0
CDM,27204504_218049,Hb Special Order Or Supply,968.54,338.99,,,0
CDM,27204504_218050,Hb Special Order Or Supply,862.84,301.99,,,0
CDM,27204504_218052,Hb Special Order Or Supply,278.34,97.42,,,0
CDM,27204504_218054,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_218055,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218056,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_218058,Hb Special Order Or Supply,13875.26,4856.34,,,0
CDM,27204504_218059,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_218060,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218061,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_218064,Hb Special Order Or Supply,1421.45,497.51,,,0
CDM,27204504_218065,Hb Special Order Or Supply,1917.82,671.24,,,0
CDM,27204504_218067,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218068,Hb Special Order Or Supply,3636.76,1272.87,,,0
CDM,27204504_218070,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218071,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218073,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218074,Hb Special Order Or Supply,1916.81,670.88,,,0
CDM,27204504_218077,Hb Special Order Or Supply,2322.58,812.9,,,0
CDM,27204504_218083,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_218085,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_218089,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218093,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218097,Hb Special Order Or Supply,1848.16,646.86,,,0
CDM,27204504_218098,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218101,Hb Special Order Or Supply,10674.84,3736.19,,,0
CDM,27204504_218102,Hb Special Order Or Supply,7969.12,2789.19,,,0
CDM,27204504_218103,Hb Special Order Or Supply,17598.59,6159.51,,,0
CDM,27204504_218104,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218105,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218106,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218107,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218108,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218114,Hb Special Order Or Supply,2217.52,776.13,,,0
CDM,27204504_218115,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_218118,Hb Special Order Or Supply,709.53,248.34,,,0
CDM,27204504_218119,Hb Special Order Or Supply,8485.26,2969.84,,,0
CDM,27204504_218131,Hb Special Order Or Supply,931.36,325.98,,,0
CDM,27204504_218132,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_218135,Hb Special Order Or Supply,3257.57,1140.15,,,0
CDM,27204504_218136,Hb Special Order Or Supply,612.52,214.38,,,0
CDM,27204504_218137,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218139,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218142,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_218146,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218147,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_218150,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218162,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218171,Hb Special Order Or Supply,7004.34,2451.52,,,0
CDM,27204504_218173,Hb Special Order Or Supply,487.09,170.48,,,0
CDM,27204504_218175,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218176,Hb Special Order Or Supply,1450.8,507.78,,,0
CDM,27204504_218177,Hb Special Order Or Supply,4157.92,1455.27,,,0
CDM,27204504_218178,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_218192,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_218200,Hb Special Order Or Supply,13741.85,4809.65,,,0
CDM,27204504_218203,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_218204,Hb Special Order Or Supply,2649.83,927.44,,,0
CDM,27204504_218205,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_218206,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_218226,Hb Special Order Or Supply,612.52,214.38,,,0
CDM,27204504_218227,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218230,Hb Special Order Or Supply,1917.82,671.24,,,0
CDM,27204504_218241,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218242,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_218245,Hb Special Order Or Supply,13741.85,4809.65,,,0
CDM,27204504_218253,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218258,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218260,Hb Special Order Or Supply,2671.1,934.88,,,0
CDM,27204504_218267,Hb Special Order Or Supply,8485.26,2969.84,,,0
CDM,27204504_218269,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_218270,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218271,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_218280,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_218286,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_218287,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_218288,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_218289,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_218291,Hb Special Order Or Supply,2676.7,936.84,,,0
CDM,27204504_218292,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218293,Hb Special Order Or Supply,3125.74,1094.01,,,0
CDM,27204504_218294,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218295,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218296,Hb Special Order Or Supply,8485.26,2969.84,,,0
CDM,27204504_218300,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218302,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_218310,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218311,Hb Special Order Or Supply,1675.46,586.41,,,0
CDM,27204504_218313,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_218314,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_218316,Hb Special Order Or Supply,14520.11,5082.04,,,0
CDM,27204504_218331,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_218332,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_218333,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218334,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218335,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_218336,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_218337,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218339,Hb Special Order Or Supply,7353.45,2573.71,,,0
CDM,27204504_218340,Hb Special Order Or Supply,2890.68,1011.74,,,0
CDM,27204504_218341,Hb Special Order Or Supply,2665.5,932.92,,,0
CDM,27204504_218342,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_218346,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_218349,Hb Special Order Or Supply,2506.13,877.15,,,0
CDM,27204504_218352,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_218353,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_218354,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_218357,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218358,Hb Special Order Or Supply,2307.12,807.49,,,0
CDM,27204504_218359,Hb Special Order Or Supply,2307.12,807.49,,,0
CDM,27204504_218361,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_218363,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218365,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_218366,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_218372,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_218373,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218376,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218377,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218382,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_218383,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218384,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_218385,Hb Special Order Or Supply,6559.62,2295.87,,,0
CDM,27204504_218389,Hb Special Order Or Supply,1089.5,381.32,,,0
CDM,27204504_218394,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_218395,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_218396,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_218397,Hb Special Order Or Supply,2975.18,1041.31,,,0
CDM,27204504_218398,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218399,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_218400,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218404,Hb Special Order Or Supply,4442.75,1554.96,,,0
CDM,27204504_218406,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_218421,Hb Special Order Or Supply,2649.83,927.44,,,0
CDM,27204504_218422,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_218424,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218425,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218426,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_218428,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218429,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218430,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_218431,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218432,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_218434,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_218436,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_218438,Hb Special Order Or Supply,2649.83,927.44,,,0
CDM,27204504_218439,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_218442,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218443,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_218444,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_218449,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_218450,Hb Special Order Or Supply,43226.78,15129.37,,,0
CDM,27204504_218452,Hb Special Order Or Supply,1366.94,478.43,,,0
CDM,27204504_218457,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_218470,Hb Special Order Or Supply,4402.73,1540.96,,,0
CDM,27204504_218472,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_218473,Hb Special Order Or Supply,14569.03,5099.16,,,0
CDM,27204504_218474,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_218477,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218478,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218479,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218480,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_218484,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218485,Hb Special Order Or Supply,2295.58,803.45,,,0
CDM,27204504_218486,Hb Special Order Or Supply,2295.58,803.45,,,0
CDM,27204504_218487,Hb Special Order Or Supply,441.34,154.47,,,0
CDM,27204504_218488,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218489,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_218490,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218491,Hb Special Order Or Supply,14520.11,5082.04,,,0
CDM,27204504_218492,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_218495,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_218496,Hb Special Order Or Supply,1491.45,522.01,,,0
CDM,27204504_218497,Hb Special Order Or Supply,2158.39,755.44,,,0
CDM,27204504_218498,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_218499,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218506,Hb Special Order Or Supply,1608.71,563.05,,,0
CDM,27204504_218515,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218518,Hb Special Order Or Supply,2519.91,881.97,,,0
CDM,27204504_218519,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_218525,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218527,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218533,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_218535,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_218558,Hb Special Order Or Supply,3840.15,1344.05,,,0
CDM,27204504_218561,Hb Special Order Or Supply,1747.14,611.5,,,0
CDM,27204504_218563,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_218564,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_218568,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_218569,Hb Special Order Or Supply,1317.84,461.24,,,0
CDM,27204504_218574,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218575,Hb Special Order Or Supply,3131.14,1095.9,,,0
CDM,27204504_218577,Hb Special Order Or Supply,5700.6,1995.21,,,0
CDM,27204504_218580,Hb Special Order Or Supply,1848.16,646.86,,,0
CDM,27204504_218581,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_218582,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_218588,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218589,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_218590,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_218591,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_218595,Hb Special Order Or Supply,3131.14,1095.9,,,0
CDM,27204504_218604,Hb Special Order Or Supply,2802.09,980.73,,,0
CDM,27204504_218606,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_218607,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_218617,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_218630,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218631,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218633,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218634,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218635,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_218636,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_218637,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218638,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_218641,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218642,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218643,Hb Special Order Or Supply,2743.9,960.36,,,0
CDM,27204504_218644,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_218645,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218646,Hb Special Order Or Supply,111.52,39.03,,,0
CDM,27204504_218650,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_218661,Hb Special Order Or Supply,1730.34,605.62,,,0
CDM,27204504_218662,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_218663,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_218664,Hb Special Order Or Supply,1128.76,395.07,,,0
CDM,27204504_218665,Hb Special Order Or Supply,477.81,167.23,,,0
CDM,27204504_218668,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_218669,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_218670,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_218671,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_218675,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_218676,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218678,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_218679,Hb Special Order Or Supply,1816.58,635.8,,,0
CDM,27204504_218680,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_218684,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218688,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_218695,Hb Special Order Or Supply,2725.44,953.9,,,0
CDM,27204504_218704,Hb Special Order Or Supply,846.61,296.31,,,0
CDM,27204504_218709,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_218710,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218711,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218712,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218713,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_218714,Hb Special Order Or Supply,1268.91,444.12,,,0
CDM,27204504_218716,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_218717,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_218718,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_218719,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_218721,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_218722,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_218723,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218737,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_218738,Hb Special Order Or Supply,1131.16,395.91,,,0
CDM,27204504_218748,Hb Special Order Or Supply,5670.18,1984.56,,,0
CDM,27204504_218762,Hb Special Order Or Supply,2348.12,821.84,,,0
CDM,27204504_218764,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_218765,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_218766,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_218767,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_218768,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218784,Hb Special Order Or Supply,1026.53,359.29,,,0
CDM,27204504_218807,Hb Special Order Or Supply,842.31,294.81,,,0
CDM,27204504_218808,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_218809,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_218810,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_218811,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_218818,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_218819,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218821,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218822,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_218823,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218824,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218826,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_218830,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218835,Hb Special Order Or Supply,14520.11,5082.04,,,0
CDM,27204504_218854,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_218860,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218862,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_218865,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_218870,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218871,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_218872,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_218873,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_218874,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218875,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218876,Hb Special Order Or Supply,1128.76,395.07,,,0
CDM,27204504_218877,Hb Special Order Or Supply,2295.58,803.45,,,0
CDM,27204504_218884,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_218885,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_218886,Hb Special Order Or Supply,2629.11,920.19,,,0
CDM,27204504_218887,Hb Special Order Or Supply,2408.81,843.08,,,0
CDM,27204504_218888,Hb Special Order Or Supply,969.38,339.28,,,0
CDM,27204504_218889,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_218891,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_218892,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_218893,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_218894,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218895,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218896,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_218897,Hb Special Order Or Supply,2213.27,774.64,,,0
CDM,27204504_218898,Hb Special Order Or Supply,2115.38,740.38,,,0
CDM,27204504_218899,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_218900,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_218901,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_218903,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218904,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_218905,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_218906,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_218908,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218911,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_218918,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218919,Hb Special Order Or Supply,417.51,146.13,,,0
CDM,27204504_218920,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_218926,Hb Special Order Or Supply,2425.06,848.77,,,0
CDM,27204504_218928,Hb Special Order Or Supply,3704.9,1296.72,,,0
CDM,27204504_218929,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218930,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218931,Hb Special Order Or Supply,1825.53,638.94,,,0
CDM,27204504_218932,Hb Special Order Or Supply,4181.85,1463.65,,,0
CDM,27204504_218936,Hb Special Order Or Supply,2463.91,862.37,,,0
CDM,27204504_218941,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_218943,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_218957,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218971,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218972,Hb Special Order Or Supply,4802.98,1681.04,,,0
CDM,27204504_218973,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218974,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_218976,Hb Special Order Or Supply,517.24,181.03,,,0
CDM,27204504_218977,Hb Special Order Or Supply,2445.96,856.09,,,0
CDM,27204504_218978,Hb Special Order Or Supply,6915.4,2420.39,,,0
CDM,27204504_218979,Hb Special Order Or Supply,10674.84,3736.19,,,0
CDM,27204504_218981,Hb Special Order Or Supply,10988.81,3846.08,,,0
CDM,27204504_218982,Hb Special Order Or Supply,7969.12,2789.19,,,0
CDM,27204504_218983,Hb Special Order Or Supply,17598.59,6159.51,,,0
CDM,27204504_218985,Hb Special Order Or Supply,401.27,140.44,,,0
CDM,27204504_218992,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218993,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_218994,Hb Special Order Or Supply,4447.2,1556.52,,,0
CDM,27204504_218995,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_218996,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219022,Hb Special Order Or Supply,40336.1,14117.64,,,0
CDM,27204504_219023,Hb Special Order Or Supply,7782.6,2723.91,,,0
CDM,27204504_219030,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219031,Hb Special Order Or Supply,781.54,273.54,,,0
CDM,27204504_219038,Hb Special Order Or Supply,1036.79,362.88,,,0
CDM,27204504_219039,Hb Special Order Or Supply,1036.79,362.88,,,0
CDM,27204504_219043,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_219044,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219050,Hb Special Order Or Supply,2112.47,739.36,,,0
CDM,27204504_219051,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_219053,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219055,Hb Special Order Or Supply,9450.3,3307.6,,,0
CDM,27204504_219067,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219070,Hb Special Order Or Supply,1447.54,506.64,,,0
CDM,27204504_219071,Hb Special Order Or Supply,4675.61,1636.46,,,0
CDM,27204504_219072,Hb Special Order Or Supply,6794.21,2377.97,,,0
CDM,27204504_219073,Hb Special Order Or Supply,7272.64,2545.42,,,0
CDM,27204504_219074,Hb Special Order Or Supply,1209.64,423.37,,,0
CDM,27204504_219075,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219076,Hb Special Order Or Supply,4885.96,1710.09,,,0
CDM,27204504_219085,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219086,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219089,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_219090,Hb Special Order Or Supply,4802.98,1681.04,,,0
CDM,27204504_219091,Hb Special Order Or Supply,10339.74,3618.91,,,0
CDM,27204504_219092,Hb Special Order Or Supply,3193.88,1117.86,,,0
CDM,27204504_219094,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_219095,Hb Special Order Or Supply,10339.74,3618.91,,,0
CDM,27204504_219096,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_219097,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_219109,Hb Special Order Or Supply,2547.91,891.77,,,0
CDM,27204504_219110,Hb Special Order Or Supply,2863.16,1002.11,,,0
CDM,27204504_219111,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219137,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219140,Hb Special Order Or Supply,1276.08,446.63,,,0
CDM,27204504_219144,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_219145,Hb Special Order Or Supply,7969.12,2789.19,,,0
CDM,27204504_219146,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_219147,Hb Special Order Or Supply,17598.59,6159.51,,,0
CDM,27204504_219149,Hb Special Order Or Supply,2342.18,819.76,,,0
CDM,27204504_219150,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219151,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219152,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_219153,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_219164,Hb Special Order Or Supply,1337.95,468.28,,,0
CDM,27204504_219167,Hb Special Order Or Supply,1165.25,407.84,,,0
CDM,27204504_219180,Hb Special Order Or Supply,4650.28,1627.6,,,0
CDM,27204504_219191,Hb Special Order Or Supply,1276.08,446.63,,,0
CDM,27204504_219194,Hb Special Order Or Supply,1572.42,550.35,,,0
CDM,27204504_219198,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219207,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219208,Hb Special Order Or Supply,1586.65,555.33,,,0
CDM,27204504_219209,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_219210,Hb Special Order Or Supply,2687.9,940.76,,,0
CDM,27204504_219211,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_219214,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_219216,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_219218,Hb Special Order Or Supply,328.67,115.03,,,0
CDM,27204504_219222,Hb Special Order Or Supply,645.63,225.97,,,0
CDM,27204504_219223,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_219224,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_219225,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_219226,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_219227,Hb Special Order Or Supply,645.63,225.97,,,0
CDM,27204504_219233,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_219234,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_219235,Hb Special Order Or Supply,347.92,121.77,,,0
CDM,27204504_219246,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219256,Hb Special Order Or Supply,8485.26,2969.84,,,0
CDM,27204504_219260,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_219263,Hb Special Order Or Supply,579.41,202.79,,,0
CDM,27204504_219266,Hb Special Order Or Supply,1089.5,381.32,,,0
CDM,27204504_219268,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_219277,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_219279,Hb Special Order Or Supply,20901.84,7315.64,,,0
CDM,27204504_219281,Hb Special Order Or Supply,13030.3,4560.6,,,0
CDM,27204504_219283,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_219284,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219285,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_219288,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_219292,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_219293,Hb Special Order Or Supply,1814.34,635.02,,,0
CDM,27204504_219294,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_219295,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_219296,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_219297,Hb Special Order Or Supply,2228.72,780.05,,,0
CDM,27204504_219301,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_219306,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219310,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219311,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219319,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219320,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219330,Hb Special Order Or Supply,2752.78,963.47,,,0
CDM,27204504_219336,Hb Special Order Or Supply,3108.7,1088.04,,,0
CDM,27204504_219347,Hb Special Order Or Supply,303.62,106.27,,,0
CDM,27204504_219349,Hb Special Order Or Supply,1276.08,446.63,,,0
CDM,27204504_219351,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_219356,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219360,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219366,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_219367,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219370,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_219374,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219379,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219380,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219381,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_219383,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_219384,Hb Special Order Or Supply,2863.16,1002.11,,,0
CDM,27204504_219385,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219388,Hb Special Order Or Supply,2863.16,1002.11,,,0
CDM,27204504_219389,Hb Special Order Or Supply,2386.08,835.13,,,0
CDM,27204504_219390,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_219391,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219392,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219393,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219394,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_219395,Hb Special Order Or Supply,2213.27,774.64,,,0
CDM,27204504_219396,Hb Special Order Or Supply,2115.38,740.38,,,0
CDM,27204504_219399,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_219400,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_219401,Hb Special Order Or Supply,1572.31,550.31,,,0
CDM,27204504_219406,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219408,Hb Special Order Or Supply,1128.76,395.07,,,0
CDM,27204504_219409,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_219412,Hb Special Order Or Supply,303.62,106.27,,,0
CDM,27204504_219413,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_219416,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_219417,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_219418,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219419,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219420,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_219421,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219422,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_219423,Hb Special Order Or Supply,4447.2,1556.52,,,0
CDM,27204504_219425,Hb Special Order Or Supply,477.81,167.23,,,0
CDM,27204504_219426,Hb Special Order Or Supply,1357.38,475.08,,,0
CDM,27204504_219427,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219428,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219429,Hb Special Order Or Supply,1214.49,425.07,,,0
CDM,27204504_219430,Hb Special Order Or Supply,1214.49,425.07,,,0
CDM,27204504_219434,Hb Special Order Or Supply,2506.13,877.15,,,0
CDM,27204504_219442,Hb Special Order Or Supply,5518.98,1931.64,,,0
CDM,27204504_219444,Hb Special Order Or Supply,43449.14,15207.2,,,0
CDM,27204504_219449,Hb Special Order Or Supply,1329.96,465.49,,,0
CDM,27204504_219477,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_219478,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_219479,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_219480,Hb Special Order Or Supply,2757.01,964.95,,,0
CDM,27204504_219482,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_219483,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_219484,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_219485,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_219486,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_219487,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_219488,Hb Special Order Or Supply,2643.11,925.09,,,0
CDM,27204504_219489,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219490,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_219491,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_219501,Hb Special Order Or Supply,2601.78,910.62,,,0
CDM,27204504_219529,Hb Special Order Or Supply,14520.11,5082.04,,,0
CDM,27204504_219532,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_219533,Hb Special Order Or Supply,1276.08,446.63,,,0
CDM,27204504_219540,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_219542,Hb Special Order Or Supply,13341.6,4669.56,,,0
CDM,27204504_219547,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_219548,Hb Special Order Or Supply,1365.7,478.0,,,0
CDM,27204504_219555,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_219562,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219565,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219566,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_219573,Hb Special Order Or Supply,5677.74,1987.21,,,0
CDM,27204504_219574,Hb Special Order Or Supply,997.82,349.24,,,0
CDM,27204504_219575,Hb Special Order Or Supply,3585.66,1254.98,,,0
CDM,27204504_219576,Hb Special Order Or Supply,696.95,243.93,,,0
CDM,27204504_219591,Hb Special Order Or Supply,1321.44,462.5,,,0
CDM,27204504_219595,Hb Special Order Or Supply,2446.55,856.29,,,0
CDM,27204504_219608,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_219609,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_219610,Hb Special Order Or Supply,2721.5,952.52,,,0
CDM,27204504_219611,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_219612,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_219613,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_219615,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_219616,Hb Special Order Or Supply,16810.42,5883.65,,,0
CDM,27204504_219617,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_219618,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_219624,Hb Special Order Or Supply,767.31,268.56,,,0
CDM,27204504_219633,Hb Special Order Or Supply,1276.08,446.63,,,0
CDM,27204504_219638,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219640,Hb Special Order Or Supply,15342.84,5369.99,,,0
CDM,27204504_219646,Hb Special Order Or Supply,430.42,150.65,,,0
CDM,27204504_219648,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_219652,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_219654,Hb Special Order Or Supply,1204.07,421.42,,,0
CDM,27204504_219655,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_219656,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219657,Hb Special Order Or Supply,430.42,150.65,,,0
CDM,27204504_219668,Hb Special Order Or Supply,8894.4,3113.04,,,0
CDM,27204504_219669,Hb Special Order Or Supply,8894.4,3113.04,,,0
CDM,27204504_219670,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219674,Hb Special Order Or Supply,2452.76,858.47,,,0
CDM,27204504_219681,Hb Special Order Or Supply,1478.35,517.42,,,0
CDM,27204504_219682,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219683,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219684,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219686,Hb Special Order Or Supply,1478.35,517.42,,,0
CDM,27204504_219687,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219688,Hb Special Order Or Supply,612.52,214.38,,,0
CDM,27204504_219689,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_219690,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_219691,Hb Special Order Or Supply,811.18,283.91,,,0
CDM,27204504_219692,Hb Special Order Or Supply,8227.32,2879.56,,,0
CDM,27204504_219708,Hb Special Order Or Supply,324.27,113.49,,,0
CDM,27204504_219713,Hb Special Order Or Supply,3731.56,1306.05,,,0
CDM,27204504_219720,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219731,Hb Special Order Or Supply,1572.76,550.47,,,0
CDM,27204504_219746,Hb Special Order Or Supply,1151.38,402.98,,,0
CDM,27204504_219752,Hb Special Order Or Supply,617.49,216.12,,,0
CDM,27204504_219761,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219762,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219763,Hb Special Order Or Supply,1276.08,446.63,,,0
CDM,27204504_219765,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219766,Hb Special Order Or Supply,14520.11,5082.04,,,0
CDM,27204504_219775,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_219777,Hb Special Order Or Supply,1827.78,639.72,,,0
CDM,27204504_219778,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_219780,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219784,Hb Special Order Or Supply,13875.26,4856.34,,,0
CDM,27204504_219785,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_219788,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219800,Hb Special Order Or Supply,10973.47,3840.71,,,0
CDM,27204504_219820,Hb Special Order Or Supply,7354.56,2574.1,,,0
CDM,27204504_219866,Hb Special Order Or Supply,2251.12,787.89,,,0
CDM,27204504_219867,Hb Special Order Or Supply,2251.12,787.89,,,0
CDM,27204504_219868,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219869,Hb Special Order Or Supply,2396.71,838.85,,,0
CDM,27204504_219870,Hb Special Order Or Supply,695.29,243.35,,,0
CDM,27204504_219871,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_219872,Hb Special Order Or Supply,612.52,214.38,,,0
CDM,27204504_219873,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_219874,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_219875,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_219876,Hb Special Order Or Supply,1006.69,352.34,,,0
CDM,27204504_219882,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_219887,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_219889,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_219891,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_219893,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219900,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219903,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219907,Hb Special Order Or Supply,463.53,162.24,,,0
CDM,27204504_219908,Hb Special Order Or Supply,481.74,168.61,,,0
CDM,27204504_219909,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219910,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219911,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_219912,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219916,Hb Special Order Or Supply,1131.16,395.91,,,0
CDM,27204504_219917,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219919,Hb Special Order Or Supply,2407.91,842.77,,,0
CDM,27204504_219922,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219923,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219932,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_219944,Hb Special Order Or Supply,1552.27,543.29,,,0
CDM,27204504_219948,Hb Special Order Or Supply,2598.31,909.41,,,0
CDM,27204504_219958,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_219960,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_219961,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_219976,Hb Special Order Or Supply,1131.16,395.91,,,0
CDM,27204504_219977,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_219978,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_219979,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_219980,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219981,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219982,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_219985,Hb Special Order Or Supply,1753.52,613.73,,,0
CDM,27204504_219990,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219992,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_219994,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_219995,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_219997,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_219998,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_220000,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_220001,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220003,Hb Special Order Or Supply,4447.2,1556.52,,,0
CDM,27204504_220010,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_220011,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_220012,Hb Special Order Or Supply,653.41,228.69,,,0
CDM,27204504_220023,Hb Special Order Or Supply,3108.7,1088.04,,,0
CDM,27204504_220024,Hb Special Order Or Supply,3108.7,1088.04,,,0
CDM,27204504_220027,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_220031,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_220034,Hb Special Order Or Supply,4424.96,1548.74,,,0
CDM,27204504_220036,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_220042,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220043,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220046,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_220047,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_220049,Hb Special Order Or Supply,1592.14,557.25,,,0
CDM,27204504_220050,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220052,Hb Special Order Or Supply,1447.55,506.64,,,0
CDM,27204504_220053,Hb Special Order Or Supply,4675.61,1636.46,,,0
CDM,27204504_220054,Hb Special Order Or Supply,7272.64,2545.42,,,0
CDM,27204504_220059,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_220060,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_220061,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_220064,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220074,Hb Special Order Or Supply,7272.64,2545.42,,,0
CDM,27204504_220075,Hb Special Order Or Supply,1209.64,423.37,,,0
CDM,27204504_220078,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_220079,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_220083,Hb Special Order Or Supply,1450.8,507.78,,,0
CDM,27204504_220085,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_220086,Hb Special Order Or Supply,4157.92,1455.27,,,0
CDM,27204504_220087,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_220088,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_220089,Hb Special Order Or Supply,2604.47,911.56,,,0
CDM,27204504_220090,Hb Special Order Or Supply,2213.27,774.64,,,0
CDM,27204504_220091,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220093,Hb Special Order Or Supply,2494.49,873.07,,,0
CDM,27204504_220106,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220107,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_220109,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_220112,Hb Special Order Or Supply,3629.95,1270.48,,,0
CDM,27204504_220117,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_220118,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_220119,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220120,Hb Special Order Or Supply,303.85,106.35,,,0
CDM,27204504_220121,Hb Special Order Or Supply,969.38,339.28,,,0
CDM,27204504_220122,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_220123,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_220124,Hb Special Order Or Supply,1944.25,680.49,,,0
CDM,27204504_220125,Hb Special Order Or Supply,2005.4,701.89,,,0
CDM,27204504_220126,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_220128,Hb Special Order Or Supply,2629.11,920.19,,,0
CDM,27204504_220129,Hb Special Order Or Supply,2408.81,843.08,,,0
CDM,27204504_220130,Hb Special Order Or Supply,2629.11,920.19,,,0
CDM,27204504_220131,Hb Special Order Or Supply,2408.81,843.08,,,0
CDM,27204504_220135,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_220136,Hb Special Order Or Supply,3328.95,1165.13,,,0
CDM,27204504_220137,Hb Special Order Or Supply,2751.3,962.96,,,0
CDM,27204504_220138,Hb Special Order Or Supply,1516.2,530.67,,,0
CDM,27204504_220140,Hb Special Order Or Supply,613.35,214.67,,,0
CDM,27204504_220142,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220155,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220160,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_220161,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_220162,Hb Special Order Or Supply,613.35,214.67,,,0
CDM,27204504_220163,Hb Special Order Or Supply,613.35,214.67,,,0
CDM,27204504_220164,Hb Special Order Or Supply,2751.3,962.96,,,0
CDM,27204504_220165,Hb Special Order Or Supply,1516.2,530.67,,,0
CDM,27204504_220166,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_220167,Hb Special Order Or Supply,3321.63,1162.57,,,0
CDM,27204504_220168,Hb Special Order Or Supply,1496.27,523.69,,,0
CDM,27204504_220169,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_220171,Hb Special Order Or Supply,303.85,106.35,,,0
CDM,27204504_220172,Hb Special Order Or Supply,969.38,339.28,,,0
CDM,27204504_220173,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_220174,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_220176,Hb Special Order Or Supply,2005.4,701.89,,,0
CDM,27204504_220180,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220181,Hb Special Order Or Supply,215.94,75.58,,,0
CDM,27204504_220184,Hb Special Order Or Supply,9617.56,3366.15,,,0
CDM,27204504_220185,Hb Special Order Or Supply,8751.02,3062.86,,,0
CDM,27204504_220186,Hb Special Order Or Supply,12288.59,4301.01,,,0
CDM,27204504_220187,Hb Special Order Or Supply,12288.59,4301.01,,,0
CDM,27204504_220188,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_220190,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_220191,Hb Special Order Or Supply,9993.7,3497.8,,,0
CDM,27204504_220205,Hb Special Order Or Supply,1438.81,503.58,,,0
CDM,27204504_220206,Hb Special Order Or Supply,1438.81,503.58,,,0
CDM,27204504_220207,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_220208,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_220211,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_220212,Hb Special Order Or Supply,3364.64,1177.62,,,0
CDM,27204504_220213,Hb Special Order Or Supply,846.47,296.26,,,0
CDM,27204504_220217,Hb Special Order Or Supply,6665.73,2333.01,,,0
CDM,27204504_220219,Hb Special Order Or Supply,3533.87,1236.85,,,0
CDM,27204504_220240,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_220243,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_220259,Hb Special Order Or Supply,13875.26,4856.34,,,0
CDM,27204504_220266,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_220267,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_220268,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_220274,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_220276,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220277,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_220278,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_220279,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_220282,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_220283,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_220285,Hb Special Order Or Supply,815.98,285.59,,,0
CDM,27204504_220290,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_220291,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_220298,Hb Special Order Or Supply,417.51,146.13,,,0
CDM,27204504_220299,Hb Special Order Or Supply,1695.24,593.33,,,0
CDM,27204504_220300,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_220303,Hb Special Order Or Supply,2463.91,862.37,,,0
CDM,27204504_220317,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_220328,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_220330,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_220333,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_220358,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_220359,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_220360,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_220379,Hb Special Order Or Supply,6665.73,2333.01,,,0
CDM,27204504_220389,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_220390,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221189,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221195,Hb Special Order Or Supply,14569.03,5099.16,,,0
CDM,27204504_221196,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_221205,Hb Special Order Or Supply,1415.63,495.47,,,0
CDM,27204504_221206,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221207,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_221208,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221214,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_221217,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221219,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_221225,Hb Special Order Or Supply,1675.46,586.41,,,0
CDM,27204504_221228,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_221229,Hb Special Order Or Supply,3025.24,1058.83,,,0
CDM,27204504_221230,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_221231,Hb Special Order Or Supply,4200.92,1470.32,,,0
CDM,27204504_221232,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_221233,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221234,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221241,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221257,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221258,Hb Special Order Or Supply,1845.69,645.99,,,0
CDM,27204504_221259,Hb Special Order Or Supply,3465.14,1212.8,,,0
CDM,27204504_221271,Hb Special Order Or Supply,3491.97,1222.19,,,0
CDM,27204504_221274,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221275,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_221278,Hb Special Order Or Supply,3406.8,1192.38,,,0
CDM,27204504_221287,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221290,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_221301,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_221302,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221303,Hb Special Order Or Supply,1959.14,685.7,,,0
CDM,27204504_221306,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_221308,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221309,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_221313,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221316,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221333,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_221335,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_221339,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_221340,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_221346,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221358,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221359,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221374,Hb Special Order Or Supply,7292.34,2552.32,,,0
CDM,27204504_221380,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221414,Hb Special Order Or Supply,1707.38,597.58,,,0
CDM,27204504_221415,Hb Special Order Or Supply,663.67,232.28,,,0
CDM,27204504_221418,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221420,Hb Special Order Or Supply,13875.26,4856.34,,,0
CDM,27204504_221421,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_221422,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_221423,Hb Special Order Or Supply,1682.85,589.0,,,0
CDM,27204504_221426,Hb Special Order Or Supply,13875.26,4856.34,,,0
CDM,27204504_221427,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_221429,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_221430,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221433,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_221434,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_221435,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221436,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_221437,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221442,Hb Special Order Or Supply,14520.11,5082.04,,,0
CDM,27204504_221446,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_221448,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_221449,Hb Special Order Or Supply,804.56,281.6,,,0
CDM,27204504_221450,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_221454,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221456,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_221458,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_221461,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_221462,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221465,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221478,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_221479,Hb Special Order Or Supply,983.8,344.33,,,0
CDM,27204504_221480,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221487,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221507,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_221508,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221512,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_221514,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_221515,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_221516,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_221517,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_221518,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_221519,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_221520,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_221521,Hb Special Order Or Supply,3048.75,1067.06,,,0
CDM,27204504_221522,Hb Special Order Or Supply,3048.75,1067.06,,,0
CDM,27204504_221526,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221569,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_221573,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221574,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_221575,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_221576,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_221577,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_221579,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_221580,Hb Special Order Or Supply,4424.96,1548.74,,,0
CDM,27204504_221584,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_221585,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_221586,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_221591,Hb Special Order Or Supply,1987.7,695.7,,,0
CDM,27204504_221592,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_221593,Hb Special Order Or Supply,13875.26,4856.34,,,0
CDM,27204504_221596,Hb Special Order Or Supply,2463.91,862.37,,,0
CDM,27204504_221631,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_221632,Hb Special Order Or Supply,13875.26,4856.34,,,0
CDM,27204504_221633,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_221661,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_221662,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_221665,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221666,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_221670,Hb Special Order Or Supply,1366.67,478.33,,,0
CDM,27204504_221671,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221672,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_221673,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_221675,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_221682,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221712,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_221713,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_221725,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221727,Hb Special Order Or Supply,1399.95,489.98,,,0
CDM,27204504_221729,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_221741,Hb Special Order Or Supply,41208.6,14423.01,,,0
CDM,27204504_221745,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_221746,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_221747,Hb Special Order Or Supply,66281.07,23198.37,,,0
CDM,27204504_221750,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221751,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_221752,Hb Special Order Or Supply,1623.94,568.38,,,0
CDM,27204504_221754,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_221762,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_221763,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_221764,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221765,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_221766,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221767,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221778,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221792,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221793,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221807,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221861,Hb Special Order Or Supply,1707.38,597.58,,,0
CDM,27204504_221863,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_221864,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_221865,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_221886,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_221887,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_221888,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_221897,Hb Special Order Or Supply,891.97,312.19,,,0
CDM,27204504_221931,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_221932,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_221933,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_221934,Hb Special Order Or Supply,3926.34,1374.22,,,0
CDM,27204504_221948,Hb Special Order Or Supply,744.96,260.74,,,0
CDM,27204504_221949,Hb Special Order Or Supply,744.96,260.74,,,0
CDM,27204504_221955,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_221958,Hb Special Order Or Supply,2071.93,725.18,,,0
CDM,27204504_221960,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_221965,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221969,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_221973,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221974,Hb Special Order Or Supply,1836.96,642.94,,,0
CDM,27204504_221975,Hb Special Order Or Supply,1639.4,573.79,,,0
CDM,27204504_221978,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221979,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_221980,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_221992,Hb Special Order Or Supply,2652.96,928.54,,,0
CDM,27204504_221994,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222011,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222013,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222014,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_222023,Hb Special Order Or Supply,1179.12,412.69,,,0
CDM,27204504_222024,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222030,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_222065,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222066,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222067,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_222068,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_222069,Hb Special Order Or Supply,2643.55,925.24,,,0
CDM,27204504_222076,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222077,Hb Special Order Or Supply,1496.27,523.69,,,0
CDM,27204504_222084,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_222085,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222095,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_222097,Hb Special Order Or Supply,1572.42,550.35,,,0
CDM,27204504_222098,Hb Special Order Or Supply,1572.42,550.35,,,0
CDM,27204504_222106,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222113,Hb Special Order Or Supply,1552.27,543.29,,,0
CDM,27204504_222115,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222117,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222120,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_222124,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222127,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_222129,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222130,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_222133,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222134,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_222135,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222136,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_222137,Hb Special Order Or Supply,7969.12,2789.19,,,0
CDM,27204504_222138,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_222141,Hb Special Order Or Supply,17598.59,6159.51,,,0
CDM,27204504_222146,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_222147,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_222150,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_222151,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222183,Hb Special Order Or Supply,2642.54,924.89,,,0
CDM,27204504_222187,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_222192,Hb Special Order Or Supply,7004.34,2451.52,,,0
CDM,27204504_222198,Hb Special Order Or Supply,575.23,201.33,,,0
CDM,27204504_222199,Hb Special Order Or Supply,1142.63,399.92,,,0
CDM,27204504_222203,Hb Special Order Or Supply,1365.7,478.0,,,0
CDM,27204504_222206,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_222207,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222208,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_222215,Hb Special Order Or Supply,4402.73,1540.96,,,0
CDM,27204504_222223,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_222237,Hb Special Order Or Supply,14520.11,5082.04,,,0
CDM,27204504_222238,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222243,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_222254,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_222256,Hb Special Order Or Supply,2261.87,791.65,,,0
CDM,27204504_222269,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222285,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_222287,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_222288,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_222289,Hb Special Order Or Supply,1791.94,627.18,,,0
CDM,27204504_222290,Hb Special Order Or Supply,13412.76,4694.47,,,0
CDM,27204504_222305,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222309,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222336,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_222339,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_222396,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_222435,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222436,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222452,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_222454,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222474,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222489,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_222500,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222501,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_222502,Hb Special Order Or Supply,1310.21,458.57,,,0
CDM,27204504_222507,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_222520,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_222521,Hb Special Order Or Supply,2830.19,990.57,,,0
CDM,27204504_222523,Hb Special Order Or Supply,3602.69,1260.94,,,0
CDM,27204504_222525,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_222526,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222529,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_222540,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_222541,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222542,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222543,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_222589,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_222590,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_222591,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_222593,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_222605,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222607,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222608,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_222609,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222610,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222634,Hb Special Order Or Supply,1352.52,473.38,,,0
CDM,27204504_222644,Hb Special Order Or Supply,556.68,194.84,,,0
CDM,27204504_222645,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222646,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222647,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_222652,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222654,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_222656,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222661,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_222671,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_222681,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222682,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222686,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222687,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_222689,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222690,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_222691,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_222699,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_222703,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_222734,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_222735,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222736,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_222738,Hb Special Order Or Supply,1572.42,550.35,,,0
CDM,27204504_222743,Hb Special Order Or Supply,1572.42,550.35,,,0
CDM,27204504_222744,Hb Special Order Or Supply,1572.42,550.35,,,0
CDM,27204504_222746,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_222749,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222751,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222753,Hb Special Order Or Supply,891.97,312.19,,,0
CDM,27204504_222755,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222794,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_222807,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222808,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222809,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222812,Hb Special Order Or Supply,10973.47,3840.71,,,0
CDM,27204504_222815,Hb Special Order Or Supply,1028.61,360.01,,,0
CDM,27204504_222824,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222830,Hb Special Order Or Supply,3465.14,1212.8,,,0
CDM,27204504_222834,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_222835,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222836,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_222837,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_222861,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222873,Hb Special Order Or Supply,3465.14,1212.8,,,0
CDM,27204504_222879,Hb Special Order Or Supply,19033.04,6661.56,,,0
CDM,27204504_222890,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_222891,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222896,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_222911,Hb Special Order Or Supply,489.41,171.29,,,0
CDM,27204504_222918,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222922,Hb Special Order Or Supply,2452.71,858.45,,,0
CDM,27204504_222926,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_222927,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222928,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222929,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_222930,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_222931,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_222932,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_222944,Hb Special Order Or Supply,2452.71,858.45,,,0
CDM,27204504_222950,Hb Special Order Or Supply,3449.38,1207.28,,,0
CDM,27204504_222951,Hb Special Order Or Supply,3449.38,1207.28,,,0
CDM,27204504_222952,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_222976,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222977,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_222989,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_223004,Hb Special Order Or Supply,1411.82,494.14,,,0
CDM,27204504_223008,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_223037,Hb Special Order Or Supply,1346.7,471.34,,,0
CDM,27204504_223050,Hb Special Order Or Supply,30352.14,10623.25,,,0
CDM,27204504_223061,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_223071,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223072,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223096,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223097,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_223136,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223138,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_223148,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_223157,Hb Special Order Or Supply,900.02,315.01,,,0
CDM,27204504_223161,Hb Special Order Or Supply,11607.19,4062.52,,,0
CDM,27204504_223163,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223180,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_223191,Hb Special Order Or Supply,1000.59,350.21,,,0
CDM,27204504_223192,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_223196,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_223202,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_223203,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_223204,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223205,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_223206,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_223221,Hb Special Order Or Supply,1959.14,685.7,,,0
CDM,27204504_223223,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223243,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_223249,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_223250,Hb Special Order Or Supply,1847.93,646.78,,,0
CDM,27204504_223253,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223254,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223259,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_223302,Hb Special Order Or Supply,1707.38,597.58,,,0
CDM,27204504_223311,Hb Special Order Or Supply,11607.19,4062.52,,,0
CDM,27204504_223312,Hb Special Order Or Supply,358.36,125.43,,,0
CDM,27204504_223316,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_223317,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_223318,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_223319,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_223321,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_223322,Hb Special Order Or Supply,2980.95,1043.33,,,0
CDM,27204504_223323,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223324,Hb Special Order Or Supply,1895.98,663.59,,,0
CDM,27204504_223328,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_223329,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_223330,Hb Special Order Or Supply,14569.03,5099.16,,,0
CDM,27204504_223340,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223345,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223346,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223347,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_223357,Hb Special Order Or Supply,3210.91,1123.82,,,0
CDM,27204504_223363,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223370,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223376,Hb Special Order Or Supply,1334.21,466.97,,,0
CDM,27204504_223386,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223387,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223389,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_223390,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_223396,Hb Special Order Or Supply,3112.11,1089.24,,,0
CDM,27204504_223397,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223406,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_223419,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_223422,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223423,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223424,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_223425,Hb Special Order Or Supply,5069.81,1774.43,,,0
CDM,27204504_223426,Hb Special Order Or Supply,1631.22,570.93,,,0
CDM,27204504_223428,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_223429,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223431,Hb Special Order Or Supply,4536.14,1587.65,,,0
CDM,27204504_223435,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223436,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223437,Hb Special Order Or Supply,14569.03,5099.16,,,0
CDM,27204504_223438,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_223441,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_223442,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223443,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_223446,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223463,Hb Special Order Or Supply,3972.33,1390.32,,,0
CDM,27204504_223468,Hb Special Order Or Supply,1523.15,533.1,,,0
CDM,27204504_223469,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_223470,Hb Special Order Or Supply,1523.15,533.1,,,0
CDM,27204504_223477,Hb Special Order Or Supply,1959.14,685.7,,,0
CDM,27204504_223479,Hb Special Order Or Supply,1308.82,458.09,,,0
CDM,27204504_223480,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223481,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223484,Hb Special Order Or Supply,800.58,280.2,,,0
CDM,27204504_223485,Hb Special Order Or Supply,829.82,290.44,,,0
CDM,27204504_223486,Hb Special Order Or Supply,886.42,310.25,,,0
CDM,27204504_223487,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_223492,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223493,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_223495,Hb Special Order Or Supply,3172.16,1110.26,,,0
CDM,27204504_223496,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223498,Hb Special Order Or Supply,3265.85,1143.05,,,0
CDM,27204504_223499,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223500,Hb Special Order Or Supply,3172.16,1110.26,,,0
CDM,27204504_223501,Hb Special Order Or Supply,2494.49,873.07,,,0
CDM,27204504_223502,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_223505,Hb Special Order Or Supply,2975.67,1041.48,,,0
CDM,27204504_223506,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223507,Hb Special Order Or Supply,3431.24,1200.93,,,0
CDM,27204504_223532,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_223533,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223534,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223535,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_223537,Hb Special Order Or Supply,2604.47,911.56,,,0
CDM,27204504_223540,Hb Special Order Or Supply,2213.27,774.64,,,0
CDM,27204504_223545,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_223546,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223547,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_223550,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223557,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223558,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_223559,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_223560,Hb Special Order Or Supply,4447.2,1556.52,,,0
CDM,27204504_223561,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223562,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_223563,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_223564,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223565,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_223574,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223576,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223582,Hb Special Order Or Supply,3934.85,1377.2,,,0
CDM,27204504_223609,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_223611,Hb Special Order Or Supply,463.9,162.36,,,0
CDM,27204504_223615,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_223616,Hb Special Order Or Supply,841.89,294.66,,,0
CDM,27204504_223618,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223619,Hb Special Order Or Supply,1605.24,561.83,,,0
CDM,27204504_223620,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_223621,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223634,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_223641,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_223658,Hb Special Order Or Supply,16930.49,5925.67,,,0
CDM,27204504_223660,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223665,Hb Special Order Or Supply,1113.92,389.87,,,0
CDM,27204504_223668,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_223669,Hb Special Order Or Supply,3109.3,1088.26,,,0
CDM,27204504_223704,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_223705,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_223706,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_223732,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223734,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223738,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_223741,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223742,Hb Special Order Or Supply,891.97,312.19,,,0
CDM,27204504_223768,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223779,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_223799,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_223801,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_223805,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223806,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_223816,Hb Special Order Or Supply,2374.32,831.01,,,0
CDM,27204504_223819,Hb Special Order Or Supply,3465.14,1212.8,,,0
CDM,27204504_223820,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_223831,Hb Special Order Or Supply,1847.93,646.78,,,0
CDM,27204504_223842,Hb Special Order Or Supply,45340.09,15869.03,,,0
CDM,27204504_223843,Hb Special Order Or Supply,1040.4,364.14,,,0
CDM,27204504_223846,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_223847,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_223849,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223851,Hb Special Order Or Supply,1856.34,649.72,,,0
CDM,27204504_223852,Hb Special Order Or Supply,11322.57,3962.9,,,0
CDM,27204504_223861,Hb Special Order Or Supply,1959.48,685.82,,,0
CDM,27204504_223862,Hb Special Order Or Supply,1959.14,685.7,,,0
CDM,27204504_223867,Hb Special Order Or Supply,1856.34,649.72,,,0
CDM,27204504_223868,Hb Special Order Or Supply,354.88,124.21,,,0
CDM,27204504_223869,Hb Special Order Or Supply,1827.78,639.72,,,0
CDM,27204504_223870,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223871,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_223872,Hb Special Order Or Supply,2570.31,899.61,,,0
CDM,27204504_223875,Hb Special Order Or Supply,2595.51,908.43,,,0
CDM,27204504_223876,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223877,Hb Special Order Or Supply,477.81,167.23,,,0
CDM,27204504_223878,Hb Special Order Or Supply,2018.72,706.55,,,0
CDM,27204504_223879,Hb Special Order Or Supply,1357.38,475.08,,,0
CDM,27204504_223882,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_223883,Hb Special Order Or Supply,3577.14,1252.0,,,0
CDM,27204504_223884,Hb Special Order Or Supply,2721.5,952.52,,,0
CDM,27204504_223885,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_223886,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_223887,Hb Special Order Or Supply,1768.3,618.9,,,0
CDM,27204504_223889,Hb Special Order Or Supply,917.21,321.02,,,0
CDM,27204504_223890,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_223891,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_223892,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_223893,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_223896,Hb Special Order Or Supply,2073.05,725.57,,,0
CDM,27204504_223897,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_223898,Hb Special Order Or Supply,2113.03,739.56,,,0
CDM,27204504_223899,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_223900,Hb Special Order Or Supply,1193.96,417.89,,,0
CDM,27204504_223901,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_223902,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223904,Hb Special Order Or Supply,13875.26,4856.34,,,0
CDM,27204504_223905,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_223906,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_223909,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223913,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_223922,Hb Special Order Or Supply,18298.0,6404.3,,,0
CDM,27204504_223927,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_223935,Hb Special Order Or Supply,3108.7,1088.04,,,0
CDM,27204504_223946,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_223947,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223949,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_223951,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223953,Hb Special Order Or Supply,318.93,111.63,,,0
CDM,27204504_223954,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223955,Hb Special Order Or Supply,3543.07,1240.07,,,0
CDM,27204504_223957,Hb Special Order Or Supply,2699.1,944.68,,,0
CDM,27204504_223959,Hb Special Order Or Supply,3040.57,1064.2,,,0
CDM,27204504_223961,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223964,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223965,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_223966,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_223977,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_223985,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224005,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224007,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224009,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_224010,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224011,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224013,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_224014,Hb Special Order Or Supply,842.31,294.81,,,0
CDM,27204504_224016,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224018,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_224022,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224028,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_224030,Hb Special Order Or Supply,1182.04,413.71,,,0
CDM,27204504_224050,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_224051,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224052,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224060,Hb Special Order Or Supply,12429.92,4350.47,,,0
CDM,27204504_224070,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224071,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224081,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_224082,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224083,Hb Special Order Or Supply,2295.58,803.45,,,0
CDM,27204504_224097,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_224099,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_224100,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_224101,Hb Special Order Or Supply,4424.96,1548.74,,,0
CDM,27204504_224102,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_224103,Hb Special Order Or Supply,5421.14,1897.4,,,0
CDM,27204504_224104,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_224105,Hb Special Order Or Supply,556.68,194.84,,,0
CDM,27204504_224106,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_224107,Hb Special Order Or Supply,1262.35,441.82,,,0
CDM,27204504_224108,Hb Special Order Or Supply,2777.5,972.12,,,0
CDM,27204504_224109,Hb Special Order Or Supply,1467.15,513.5,,,0
CDM,27204504_224110,Hb Special Order Or Supply,1331.71,466.1,,,0
CDM,27204504_224111,Hb Special Order Or Supply,969.38,339.28,,,0
CDM,27204504_224112,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_224114,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_224116,Hb Special Order Or Supply,4240.02,1484.01,,,0
CDM,27204504_224117,Hb Special Order Or Supply,2826.71,989.35,,,0
CDM,27204504_224121,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_224122,Hb Special Order Or Supply,13875.26,4856.34,,,0
CDM,27204504_224135,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224136,Hb Special Order Or Supply,1516.2,530.67,,,0
CDM,27204504_224137,Hb Special Order Or Supply,613.35,214.67,,,0
CDM,27204504_224138,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224139,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_224140,Hb Special Order Or Supply,3172.16,1110.26,,,0
CDM,27204504_224141,Hb Special Order Or Supply,613.35,214.67,,,0
CDM,27204504_224142,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_224143,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_224144,Hb Special Order Or Supply,2629.0,920.15,,,0
CDM,27204504_224145,Hb Special Order Or Supply,2408.81,843.08,,,0
CDM,27204504_224146,Hb Special Order Or Supply,2629.0,920.15,,,0
CDM,27204504_224147,Hb Special Order Or Supply,2408.81,843.08,,,0
CDM,27204504_224148,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_224149,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224150,Hb Special Order Or Supply,1523.15,533.1,,,0
CDM,27204504_224152,Hb Special Order Or Supply,3883.75,1359.31,,,0
CDM,27204504_224153,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_224154,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_224155,Hb Special Order Or Supply,2604.47,911.56,,,0
CDM,27204504_224175,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224202,Hb Special Order Or Supply,3449.38,1207.28,,,0
CDM,27204504_224203,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224212,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224214,Hb Special Order Or Supply,1959.14,685.7,,,0
CDM,27204504_224215,Hb Special Order Or Supply,6648.56,2327.0,,,0
CDM,27204504_224226,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_224227,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_224228,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_224239,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224240,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_224241,Hb Special Order Or Supply,4424.96,1548.74,,,0
CDM,27204504_224242,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_224243,Hb Special Order Or Supply,9116.76,3190.87,,,0
CDM,27204504_224244,Hb Special Order Or Supply,579.87,202.95,,,0
CDM,27204504_224246,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_224250,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_224251,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224252,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_224264,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224265,Hb Special Order Or Supply,4181.85,1463.65,,,0
CDM,27204504_224266,Hb Special Order Or Supply,3066.12,1073.14,,,0
CDM,27204504_224283,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_224284,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224286,Hb Special Order Or Supply,2015.93,705.58,,,0
CDM,27204504_224293,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_224299,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_224306,Hb Special Order Or Supply,1881.53,658.54,,,0
CDM,27204504_224307,Hb Special Order Or Supply,3006.5,1052.28,,,0
CDM,27204504_224320,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224346,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224349,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224350,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_224352,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224353,Hb Special Order Or Supply,1478.35,517.42,,,0
CDM,27204504_224355,Hb Special Order Or Supply,525.6,183.96,,,0
CDM,27204504_224356,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_224358,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_224361,Hb Special Order Or Supply,964.38,337.53,,,0
CDM,27204504_224364,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224389,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224391,Hb Special Order Or Supply,1847.93,646.78,,,0
CDM,27204504_224392,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_224409,Hb Special Order Or Supply,2399.96,839.99,,,0
CDM,27204504_224413,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_224416,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_224417,Hb Special Order Or Supply,917.21,321.02,,,0
CDM,27204504_224421,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224422,Hb Special Order Or Supply,451.37,157.98,,,0
CDM,27204504_224441,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224444,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224461,Hb Special Order Or Supply,5592.62,1957.42,,,0
CDM,27204504_224462,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_224463,Hb Special Order Or Supply,7969.12,2789.19,,,0
CDM,27204504_224464,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_224465,Hb Special Order Or Supply,17598.59,6159.51,,,0
CDM,27204504_224466,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_224467,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_224475,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_224480,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224481,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224482,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_224483,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_224486,Hb Special Order Or Supply,1959.14,685.7,,,0
CDM,27204504_224500,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_224513,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_224514,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_224523,Hb Special Order Or Supply,1572.42,550.35,,,0
CDM,27204504_224543,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_224548,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224549,Hb Special Order Or Supply,30574.5,10701.08,,,0
CDM,27204504_224553,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_224554,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_224555,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224556,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224557,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224559,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_224566,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224572,Hb Special Order Or Supply,632.24,221.28,,,0
CDM,27204504_224575,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224576,Hb Special Order Or Supply,3465.14,1212.8,,,0
CDM,27204504_224582,Hb Special Order Or Supply,2863.16,1002.11,,,0
CDM,27204504_224583,Hb Special Order Or Supply,2213.27,774.64,,,0
CDM,27204504_224584,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_224585,Hb Special Order Or Supply,2604.47,911.56,,,0
CDM,27204504_224586,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224588,Hb Special Order Or Supply,3172.16,1110.26,,,0
CDM,27204504_224589,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_224590,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224592,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_224593,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224602,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_224603,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224604,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224605,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_224615,Hb Special Order Or Supply,1603.45,561.21,,,0
CDM,27204504_224621,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_224637,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_224639,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_224640,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224649,Hb Special Order Or Supply,1610.72,563.75,,,0
CDM,27204504_224650,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224657,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224660,Hb Special Order Or Supply,1634.24,571.98,,,0
CDM,27204504_224668,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_224670,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_224679,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_224686,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224689,Hb Special Order Or Supply,653.41,228.69,,,0
CDM,27204504_224690,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224693,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224703,Hb Special Order Or Supply,1651.27,577.94,,,0
CDM,27204504_224705,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224706,Hb Special Order Or Supply,1917.82,671.24,,,0
CDM,27204504_224710,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224712,Hb Special Order Or Supply,1813.44,634.7,,,0
CDM,27204504_224714,Hb Special Order Or Supply,984.91,344.72,,,0
CDM,27204504_224718,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_224721,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_224722,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224751,Hb Special Order Or Supply,2112.47,739.36,,,0
CDM,27204504_224752,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_224776,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224797,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224815,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_224831,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_224840,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224841,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224842,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224850,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224883,Hb Special Order Or Supply,41208.6,14423.01,,,0
CDM,27204504_224885,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224886,Hb Special Order Or Supply,1145.83,401.04,,,0
CDM,27204504_224913,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_224914,Hb Special Order Or Supply,2600.55,910.19,,,0
CDM,27204504_224932,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224933,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_224935,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224937,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224942,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_224945,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224953,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224958,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_224974,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_224991,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_224992,Hb Special Order Or Supply,4173.33,1460.67,,,0
CDM,27204504_224993,Hb Special Order Or Supply,3738.96,1308.64,,,0
CDM,27204504_224997,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225003,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225005,Hb Special Order Or Supply,3406.8,1192.38,,,0
CDM,27204504_225022,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225027,Hb Special Order Or Supply,3328.95,1165.13,,,0
CDM,27204504_225028,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225029,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_225030,Hb Special Order Or Supply,3328.95,1165.13,,,0
CDM,27204504_225031,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225033,Hb Special Order Or Supply,613.35,214.67,,,0
CDM,27204504_225034,Hb Special Order Or Supply,613.35,214.67,,,0
CDM,27204504_225035,Hb Special Order Or Supply,613.35,214.67,,,0
CDM,27204504_225036,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_225037,Hb Special Order Or Supply,1516.2,530.67,,,0
CDM,27204504_225038,Hb Special Order Or Supply,3328.95,1165.13,,,0
CDM,27204504_225039,Hb Special Order Or Supply,2751.3,962.96,,,0
CDM,27204504_225040,Hb Special Order Or Supply,2751.3,962.96,,,0
CDM,27204504_225041,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_225043,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_225049,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225050,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_225051,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225052,Hb Special Order Or Supply,2629.0,920.15,,,0
CDM,27204504_225053,Hb Special Order Or Supply,6670.8,2334.78,,,0
CDM,27204504_225054,Hb Special Order Or Supply,10406.45,3642.26,,,0
CDM,27204504_225055,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225056,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_225057,Hb Special Order Or Supply,3279.04,1147.66,,,0
CDM,27204504_225058,Hb Special Order Or Supply,4447.2,1556.52,,,0
CDM,27204504_225059,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_225060,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225061,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_225062,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225069,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_225071,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_225076,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225077,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_225079,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_225080,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_225081,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_225082,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225084,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225085,Hb Special Order Or Supply,1572.76,550.47,,,0
CDM,27204504_225089,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225090,Hb Special Order Or Supply,1516.2,530.67,,,0
CDM,27204504_225091,Hb Special Order Or Supply,613.35,214.67,,,0
CDM,27204504_225092,Hb Special Order Or Supply,3328.95,1165.13,,,0
CDM,27204504_225093,Hb Special Order Or Supply,2751.3,962.96,,,0
CDM,27204504_225094,Hb Special Order Or Supply,1870.89,654.81,,,0
CDM,27204504_225095,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_225110,Hb Special Order Or Supply,969.38,339.28,,,0
CDM,27204504_225111,Hb Special Order Or Supply,303.85,106.35,,,0
CDM,27204504_225112,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_225113,Hb Special Order Or Supply,2005.4,701.89,,,0
CDM,27204504_225121,Hb Special Order Or Supply,2629.0,920.15,,,0
CDM,27204504_225123,Hb Special Order Or Supply,2408.81,843.08,,,0
CDM,27204504_225129,Hb Special Order Or Supply,917.21,321.02,,,0
CDM,27204504_225157,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_225158,Hb Special Order Or Supply,3449.38,1207.28,,,0
CDM,27204504_225160,Hb Special Order Or Supply,4802.98,1681.04,,,0
CDM,27204504_225161,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225162,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225163,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225164,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225165,Hb Special Order Or Supply,1373.33,480.67,,,0
CDM,27204504_225198,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225213,Hb Special Order Or Supply,2284.72,799.65,,,0
CDM,27204504_225214,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_225215,Hb Special Order Or Supply,2083.13,729.1,,,0
CDM,27204504_225240,Hb Special Order Or Supply,827.73,289.71,,,0
CDM,27204504_225242,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225264,Hb Special Order Or Supply,7560.24,2646.08,,,0
CDM,27204504_225267,Hb Special Order Or Supply,2649.83,927.44,,,0
CDM,27204504_225269,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225273,Hb Special Order Or Supply,1036.79,362.88,,,0
CDM,27204504_225274,Hb Special Order Or Supply,1086.73,380.36,,,0
CDM,27204504_225278,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225284,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225301,Hb Special Order Or Supply,1000.17,350.06,,,0
CDM,27204504_225302,Hb Special Order Or Supply,2499.87,874.95,,,0
CDM,27204504_225303,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225305,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225306,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_225309,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_225342,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225353,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_225358,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_225360,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_225361,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225364,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_225367,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_225368,Hb Special Order Or Supply,3987.49,1395.62,,,0
CDM,27204504_225370,Hb Special Order Or Supply,1780.74,623.26,,,0
CDM,27204504_225371,Hb Special Order Or Supply,5592.62,1957.42,,,0
CDM,27204504_225372,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_225373,Hb Special Order Or Supply,7969.12,2789.19,,,0
CDM,27204504_225374,Hb Special Order Or Supply,18888.2,6610.87,,,0
CDM,27204504_225375,Hb Special Order Or Supply,17598.59,6159.51,,,0
CDM,27204504_225379,Hb Special Order Or Supply,3832.65,1341.43,,,0
CDM,27204504_225380,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_225388,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225389,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_225411,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_225412,Hb Special Order Or Supply,943.3,330.16,,,0
CDM,27204504_225723,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225726,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_225727,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225728,Hb Special Order Or Supply,653.41,228.69,,,0
CDM,27204504_225729,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_225732,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225733,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225750,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225751,Hb Special Order Or Supply,3534.56,1237.1,,,0
CDM,27204504_225764,Hb Special Order Or Supply,1467.15,513.5,,,0
CDM,27204504_225766,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225781,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_225782,Hb Special Order Or Supply,2575.91,901.57,,,0
CDM,27204504_225785,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225787,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225804,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225805,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225832,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_225834,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_225836,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225840,Hb Special Order Or Supply,857.29,300.05,,,0
CDM,27204504_225843,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_225848,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_225857,Hb Special Order Or Supply,19573.73,6850.81,,,0
CDM,27204504_225861,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_225863,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_225864,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225865,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_225866,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_225867,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225868,Hb Special Order Or Supply,2262.32,791.81,,,0
CDM,27204504_225869,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_225870,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225871,Hb Special Order Or Supply,613.35,214.67,,,0
CDM,27204504_225872,Hb Special Order Or Supply,2017.61,706.16,,,0
CDM,27204504_225875,Hb Special Order Or Supply,3328.95,1165.13,,,0
CDM,27204504_225876,Hb Special Order Or Supply,1516.2,530.67,,,0
CDM,27204504_225877,Hb Special Order Or Supply,487.09,170.48,,,0
CDM,27204504_225880,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_225881,Hb Special Order Or Supply,662.18,231.76,,,0
CDM,27204504_225884,Hb Special Order Or Supply,303.85,106.35,,,0
CDM,27204504_225885,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_225886,Hb Special Order Or Supply,2005.4,701.89,,,0
CDM,27204504_225887,Hb Special Order Or Supply,2629.0,920.15,,,0
CDM,27204504_225888,Hb Special Order Or Supply,2408.81,843.08,,,0
CDM,27204504_225889,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_225905,Hb Special Order Or Supply,1971.13,689.9,,,0
CDM,27204504_225907,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_225908,Hb Special Order Or Supply,2213.27,774.64,,,0
CDM,27204504_225909,Hb Special Order Or Supply,2604.47,911.56,,,0
CDM,27204504_225911,Hb Special Order Or Supply,1060.24,371.08,,,0
CDM,27204504_225912,Hb Special Order Or Supply,3172.16,1110.26,,,0
CDM,27204504_225913,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225934,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_225938,Hb Special Order Or Supply,11322.57,3962.9,,,0
CDM,27204504_225944,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_225945,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_225969,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225970,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_225978,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_225992,Hb Special Order Or Supply,2452.71,858.45,,,0
CDM,27204504_225995,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_225996,Hb Special Order Or Supply,2249.44,787.3,,,0
CDM,27204504_225998,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_225999,Hb Special Order Or Supply,11206.94,3922.43,,,0
CDM,27204504_226006,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_226007,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_226008,Hb Special Order Or Supply,3465.14,1212.8,,,0
CDM,27204504_226013,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_226014,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_226015,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_226017,Hb Special Order Or Supply,2452.71,858.45,,,0
CDM,27204504_226029,Hb Special Order Or Supply,5336.64,1867.82,,,0
CDM,27204504_226030,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_226034,Hb Special Order Or Supply,832.32,291.31,,,0
CDM,27204504_226035,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_226036,Hb Special Order Or Supply,1130.57,395.7,,,0
CDM,27204504_226051,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_226078,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_226080,Hb Special Order Or Supply,1248.48,436.97,,,0
CDM,27204504_226081,Hb Special Order Or Supply,580.38,203.13,,,0
CDM,27204504_226106,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_226124,Hb Special Order Or Supply,1679.94,587.98,,,0
CDM,27204504_226125,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_226126,Hb Special Order Or Supply,3631.65,1271.08,,,0
CDM,27204504_226127,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_226137,Hb Special Order Or Supply,2313.84,809.84,,,0
CDM,27204504_226189,Hb Special Order Or Supply,2239.92,783.97,,,0
CDM,27204504_226192,Hb Special Order Or Supply,1847.93,646.78,,,0
CDM,27204504_226201,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_226208,Hb Special Order Or Supply,192.06,67.22,,,0
CDM,27204504_226210,Hb Special Order Or Supply,1552.27,543.29,,,0
CDM,27204504_226217,Hb Special Order Or Supply,371.12,129.89,,,0
CDM,27204504_226218,Hb Special Order Or Supply,3543.07,1240.07,,,0
CDM,27204504_226219,Hb Special Order Or Supply,2295.92,803.57,,,0
CDM,27204504_226221,Hb Special Order Or Supply,2799.9,979.96,,,0
CDM,27204504_226243,Hb Special Order Or Supply,3909.3,1368.26,,,0
CDM,27204504_226269,Hb Special Order Or Supply,1387.2,485.52,,,0
CDM,27204504_226316,Hb Special Order Or Supply,983.8,344.33,,,0
CDM,27204504_226317,Hb Special Order Or Supply,2510.84,878.79,,,0
CDM,27204504_226318,Hb Special Order Or Supply,828.24,289.88,,,0
CDM,27204504_226319,Hb Special Order Or Supply,1358.34,475.42,,,0
CDM,27204504_226323,Hb Special Order Or Supply,7004.34,2451.52,,,0
CDM,27204504_226332,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_226336,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_226341,Hb Special Order Or Supply,39135.36,13697.38,,,0
CDM,27204504_226356,Hb Special Order Or Supply,2351.92,823.17,,,0
CDM,27204504_226378,Hb Special Order Or Supply,4258.5,1490.48,,,0
CDM,27204504_226385,Hb Special Order Or Supply,2982.65,1043.93,,,0
CDM,27204504_227113,Hb Special Order Or Supply,867.28,303.55,,,0
CDM,27204504_233502,Hb Special Order Or Supply,8889.95,3111.48,,,0
CDM,27204504_272,Hb Special Order Or Supply,2259.41,790.79,,,0
CDM,27204504_278,Hb Special Order Or Supply,73410.87,25693.8,,,0
CDM,27204521_Q0508_274,Hb Vad Heartware Travel Ca,1849.91,647.47,,,0
CDM,27204562_272,Hb Bag Consolidated Black,2699.89,944.96,,,0
CDM,27204567_272,Hb Cable Patient Power Modul,4780.74,1673.26,,,0
CDM,27204603,Hb Pack Heart/Lung Non Coat,2626.5,919.28,,,0
CDM,27204607,Hb Arterial Pump Head,2079.78,727.92,,,0
CDM,27204608,Hb Cannula 20Fr Arterial Sar,1293.36,452.68,,,0
CDM,27204609,Hb Cannula 22Fr Arterial Sar,1293.36,452.68,,,0
CDM,27204610,Hb Cannula Venous 32Fr,609.96,213.49,,,0
CDM,27204611,Hb Conn Venous Cannula 28F,609.96,213.49,,,0
CDM,27204621_272,Hb Adapter Ac Heartware Cont,4447.2,1556.52,,,0
CDM,27204629_272,Hb Bag Shower Heartware,2555.1,894.28,,,0
CDM,27204631,Hb Pleurx Catheter,2207.28,772.55,,,0
CDM,27204633_C1894_272,Hb Sheath Checkflow 12Frx30Cm,1045.95,366.08,,,0
CDM,27204653_C1887_272,Hb Cath Guide Mp1 7F,827.73,289.71,,,0
CDM,27204657_272,Hb Sheath Agilis Nxt Med 8.5F,4224.84,1478.69,,,0
CDM,27204658_272,Hb Sheath Agilis Nxt Sm 8.5F,4224.84,1478.69,,,0
CDM,27204662_C1887_272,Hb Cath Renagade W Wire 105 10,2383.7,834.3,,,0
CDM,27204664_C1887_272,Hb Cath Renagade W Wire 115 10,2383.7,834.3,,,0
CDM,27204666_C1887_272,Hb Cath Renagade W Wire 135 10,2383.7,834.3,,,0
CDM,27204667_C1887_272,Hb Cath Renagade W Wire 135 20,2383.7,834.3,,,0
CDM,27204668_C1887_272,Hb Cath Renagade W Wire 150 10,2383.7,834.3,,,0
CDM,27204669_C1887_272,Hb Cath Renagade W Wire 150 20,2383.7,834.3,,,0
CDM,27204680_C1894_272,Hb Sheath Pinnacle Mp 7X90 Ccv,1427.95,499.78,,,0
CDM,27204683_C1894_272,Hb Sheath Ansel Hi Flex 5X90,1502.54,525.89,,,0
CDM,27204684_C1894_272,Hb Sheath Ansel Hi Flex 6X90,1511.12,528.89,,,0
CDM,27204685_272,Hb Cath Solent Proxi 6Fx90,11118.0,3891.3,,,0
CDM,27204691_272,Hb Set Greb 5Fx30,1286.73,450.36,,,0
CDM,27204703_272,Hb Kit Essential 9F,360.88,126.31,,,0
CDM,27204708_272,Hb Wrench Kit,533.48,186.72,,,0
CDM,27204738_C1725_272,Hb Cath Bln Mustang 4.0 X2X75,1940.14,679.05,,,0
CDM,27204739_C1725_272,Hb Cath Bln Mustang 4.0 X2X135,1791.94,627.18,,,0
CDM,27204744_C1725_272,Hb Cath Bln Mustang 4.0 X4X75,1791.94,627.18,,,0
CDM,27204745_C1725_272,Hb Cath Bln Mustang 4.0 X4X135,2088.35,730.92,,,0
CDM,27204751_C1725_272,Hb Cath Bln Mustang 4.0 X8X135,1791.94,627.18,,,0
CDM,27204754_C1725_272,Hb Cath Bln Mustang 4.0 X10X135,1791.94,627.18,,,0
CDM,27204758_C1725_272,Hb Cath Bln Mustang 4.0 X15X135,1791.94,627.18,,,0
CDM,27204764_C1725_272,Hb Cath Bln Mustang 5.0 X2X75,1791.94,627.18,,,0
CDM,27204770_C1725_272,Hb Cath Bln Mustang 5.0 X4X75,1791.94,627.18,,,0
CDM,27204771_C1725_272,Hb Cath Bln Mustang 5.0 X4X135,1791.94,627.18,,,0
CDM,27204777_C1725_272,Hb Cath Bln Mustang 5.0 X8X135,1791.94,627.18,,,0
CDM,27204783_C1725_272,Hb Cath Bln Mustang 5.0 X12X135,1791.94,627.18,,,0
CDM,27204785_C1725_272,Hb Cath Bln Mustang 5.0 X15X135,1791.94,627.18,,,0
CDM,27204789_C1725_272,Hb Cath Bln Mustang 5.0 X20X135,2071.93,725.18,,,0
CDM,27204797_C1725_272,Hb Cath Bln Mustang 6.0 X4X75,1791.94,627.18,,,0
CDM,27204798_C1725_272,Hb Cath Bln Mustang 6.0 X4X135,1791.94,627.18,,,0
CDM,27204801_C1725_272,Hb Cath Bln Mustang 6.0 X6X135,1791.94,627.18,,,0
CDM,27204803_C1725_272,Hb Cath Bln Mustang 6.0 X8X75,1791.94,627.18,,,0
CDM,27204804_C1725_272,Hb Cath Bln Mustang 6.0 X8X135,1791.94,627.18,,,0
CDM,27204807_C1725_272,Hb Cath Bln Mustang 6.0 X10X135,1910.5,668.68,,,0
CDM,27204812_C1725_272,Hb Cath Bln Mustang 6.0 X15X135,1791.94,627.18,,,0
CDM,27204816_C1725_272,Hb Cath Bln Mustang 6.0 X20X135,2810.61,983.71,,,0
CDM,27204818_C1725_272,Hb Cath Bln Mustang 7.0 X2X75,1791.94,627.18,,,0
CDM,27204824_C1725_272,Hb Cath Bln Mustang 7.0 X4X75,1791.94,627.18,,,0
CDM,27204825_C1725_272,Hb Cath Bln Mustang 7.0 X4X135,1791.94,627.18,,,0
CDM,27204830_C1725_272,Hb Cath Bln Mustang 7.0 X8X75,1791.94,627.18,,,0
CDM,27204844_C1725_272,Hb Cath Bln Mustang 8.0 X2X75,1791.94,627.18,,,0
CDM,27204850_C1725_272,Hb Cath Bln Mustang 8.0 X4X75,1791.94,627.18,,,0
CDM,27204851_C1725_272,Hb Cath Bln Mustang 8.0 X4X135,1791.94,627.18,,,0
CDM,27204856_C1725_272,Hb Cath Bln Mustang 8.0 X8X75,1791.94,627.18,,,0
CDM,27204857_C1725_272,Hb Cath Bln Mustang 8.0 X8X135,1791.94,627.18,,,0
CDM,27204870_C1725_272,Hb Cath Bln Mustang 9.0 X2X75,1791.94,627.18,,,0
CDM,27204876_C1725_272,Hb Cath Bln Mustang 9.0 X4X75,1791.94,627.18,,,0
CDM,27204877_C1725_272,Hb Cath Bln Mustang 9.0 X4X135,1791.94,627.18,,,0
CDM,27204882_C1725_272,Hb Cath Bln Mustang 9.0 X8X75,1791.94,627.18,,,0
CDM,27204885_C1725_272,Hb Cath Bln Mustang 10.0 X2X75,1791.94,627.18,,,0
CDM,27204891_C1725_272,Hb Cath Bln Mustang 10.0 X4X75,1910.5,668.68,,,0
CDM,27204892_C1725_272,Hb Cath Bln Mustang 10.0 X4X135,1791.94,627.18,,,0
CDM,27204897_C1725_272,Hb Cath Bln Mustang 10.0 X8X75,1791.94,627.18,,,0
CDM,27204906_C1725_272,Hb Cath Bln Mustang 12.0 X4X75,1813.89,634.86,,,0
CDM,27204907_C1725_272,Hb Cath Bln Mustang 12.0 X4X135,1791.94,627.18,,,0
CDM,27204914_272,Hb Lead Locking Device Ez,2567.82,898.74,,,0
CDM,27204929_272,Hb Cath Dialysis Duramax 40Cm,2631.91,921.17,,,0
CDM,27204941_272,Hb Cath Duodeca 60Mm,4985.31,1744.86,,,0
CDM,27204945_272,Hb Cann Malleable Ss Ven 24Fr,520.64,182.22,,,0
CDM,27204955_C1769_272,"""Hb Guide Wire 35"""" X 300Cm""",1179.12,412.69,,,0
CDM,27204978_272,Hb Cath Baln Mega 8F 50Cc Iab Kit,4010.53,1403.69,,,0
CDM,27204990_272,Hb Device Stoma Measure,765.51,267.93,,,0
CDM,27204996_C1725_272,Hb Cath Bln Trek Rx 3.0X30,1248.48,436.97,,,0
CDM,27204998_C1729_272,Hb Cath Drain Dawson Meuller 10.2,913.05,319.57,,,0
CDM,27205003_C1773_272,Hb Filter Retriever,2367.47,828.61,,,0
CDM,27205005_C1887_272,Hb Cath Im T 5F,184.4,64.54,,,0
CDM,27205007_C1892_272,Hb Introducer Peel Away 26Fr,702.08,245.73,,,0
CDM,27205010_C1894_272,Hb Sheath Raabe 7Fx55,908.58,318.0,,,0
CDM,27205011_C1894_272,Hb Intro Checkflow 18Fr 30Cm,1322.32,462.81,,,0
CDM,27205012_C1894_272,Hb Sheath Intro 16 Fr,1322.13,462.75,,,0
CDM,27205013_C1894_272,Hb Sheath Raabe 6Fx70,901.68,315.59,,,0
CDM,27205016_C1894_272,Hb Sheath Checkflo 10Fx40,1008.46,352.96,,,0
CDM,27205017_C1894_272,Hb Sheath Raabe 6Fx90,901.68,315.59,,,0
CDM,27205018_C1894_272,Hb Sheath Shuttle 6Fx90,1495.37,523.38,,,0
CDM,27205022_C1894_272,Hb Sheath Checkflo Hausdorf 12F,1327.83,464.74,,,0
CDM,27205035,Hb Suture Polysorb,31.62,11.07,,,0
CDM,27205035_272,Hb Suture Polysorb,31.62,11.07,,,0
CDM,27205036,Hb Suture Biosyn,53.04,18.56,,,0
CDM,27205036_272,Hb Suture Biosyn,53.04,18.56,,,0
CDM,27205037,Hb Suture Surgigut,36.72,12.85,,,0
CDM,27205037_272,Hb Suture Surgigut,36.72,12.85,,,0
CDM,27205070_272,Hb Cath Ventricular External,1387.2,485.52,,,0
CDM,27205081_C1894_272,Hb Sheath Shuttle 6X80,1495.37,523.38,,,0
CDM,27205097_C1729_272,Hb Cath Drain Skater 16F,971.04,339.86,,,0
CDM,27205098_272,Hb Sheath Laser Visisheath,2171.84,760.14,,,0
CDM,27205099,Hb Set Dialynate Gesco,495.72,173.5,,,0
CDM,27205099_272,Hb Set Dialynate Gesco,495.72,173.5,,,0
CDM,27205100,Hb Effluent Sample Bag 150Ml,235.62,82.47,,,0
CDM,27205101,Hb Low Recirc Vol Apd Set,328.27,114.89,,,0
CDM,27205101_272,Hb Low Recirc Vol Apd Set,1109.04,388.16,,,0
CDM,27205102,Hb Apd Drain Manifold,175.44,61.4,,,0
CDM,27205103,Hb Sterile 3 Liter Bag,308.04,107.81,,,0
CDM,27205104,Hb Homechoice Pro Card,793.56,277.75,,,0
CDM,27205105,Hb Homechoice Data Card Adapter,2373.54,830.74,,,0
CDM,27205109,Hb Mcdavid Ankle Guard,129.54,45.34,,,0
CDM,27205109_272,Hb Mcdavid Ankle Guard,129.54,45.34,,,0
CDM,27205111,Hb Prosthesis Voice Provox2,2832.54,991.39,,,0
CDM,27205112,Hb Prosthesis Voice Pro V Si,2747.88,961.76,,,0
CDM,27205113,Hb Prosthesis Voice Provox,2472.48,865.37,,,0
CDM,27205114,Hb Guidewire Provox,801.72,280.6,,,0
CDM,27205115_C1894_272,Hb Sheath Ansel 6F,1018.05,356.32,,,0
CDM,27205116_C1894_272,Hb Sheath Ansel 7F,1011.27,353.94,,,0
CDM,27205117_C1894_272,Hb Sheath Ansel 4F,1011.27,353.94,,,0
CDM,27205118_C1894_272,Hb Sheath Ansel 5F,1017.57,356.15,,,0
CDM,27205128_272,Hb Needle Brk 1 18X98,2384.76,834.67,,,0
CDM,27205133_272,Hb Cath Bln Scepter 4X15,6648.56,2327.0,,,0
CDM,27205134_272,Hb Cath Bln Scepter 4X20,6648.56,2327.0,,,0
CDM,27205136_C1894_272,Hb Sheath Ansel Hi-Flex 5Fx70,1215.62,425.47,,,0
CDM,27205137_C1894_272,Hb Sheath Ansel Hi-Flex 6Fx55,1066.06,373.12,,,0
CDM,27205142_272,Hb Sheath Optiseal 6F,749.48,262.32,,,0
CDM,27205143_272,Hb Sheath Optiseal 7F,746.35,261.22,,,0
CDM,27205144_272,Hb Sheath Optiseal 8F,741.35,259.47,,,0
CDM,27205145_272,Hb Sheath Optiseal 9F,748.81,262.08,,,0
CDM,27205168_272,Hb Sheath Adelante Xl 6Fx30,488.37,170.93,,,0
CDM,27205172_272,Hb Sheath Adelante Xl 10Fx30,488.37,170.93,,,0
CDM,27205175,Hb Vista Collar Liner,58.14,20.35,,,0
CDM,27205175_272,Hb Vista Collar Liner,58.14,20.35,,,0
CDM,27205187_272,Hb Sheath Optiseal 7Fx25,804.18,281.46,,,0
CDM,27205188_272,Hb Sheath Optiseal 8Fx25,780.4,273.14,,,0
CDM,27205189_272,Hb Sheath Optiseal 9Fx25,805.99,282.1,,,0
CDM,27205199_272,Hb Cath Vtk 5F 125Cm,494.51,173.08,,,0
CDM,27205202_C1887_272,Hb Cath Mpa (1) 5Fx80,292.25,102.29,,,0
CDM,27205207_272,Hb Connector Pericardial Sump,510.29,178.6,,,0
CDM,27205209_272,Inactive- Hb Cannula Arterial Eopa Blunt 22Fr,703.58,246.25,,,0
CDM,27205210_272,Hb Cannula Arterial Eopa Dilator 22Fr,907.92,317.77,,,0
CDM,27205214_C1750_272,Hb Cath Dialy Bas 2Lum Sil 12.4F 24Cm,2553.51,893.73,,,0
CDM,27205220_272,Hb Cath Reflex .072 Mp 105/08,4927.5,1724.62,,,0
CDM,27205221_272,Hb Cath Reflex .058 115/08,6848.69,2397.04,,,0
CDM,27205237_C1773_272,Hb Snare Micro Gooseneck 7X200,2846.21,996.17,,,0
CDM,27205239_C1887_272,Hb Cath Prowler Select Lp 45,4694.55,1643.09,,,0
CDM,27205240_C1887_272,Hb Cath Jb2 5Fx100,320.09,112.03,,,0
CDM,27205243_C1892_272,Hb Sheath Peel Away 16F,710.8,248.78,,,0
CDM,27205248,Hb Bone Biopsy Needle,747.66,261.68,,,0
CDM,27205250_272,Hb Cath Bln Scepter 4X10,6648.56,2327.0,,,0
CDM,27205257_C1887_272,Hb Cath Excel Xt-27 Pre-Sh 150/6,4704.25,1646.49,,,0
CDM,27205265_272,Hb Kit Starter For Pt Pleurx,2746.12,961.14,,,0
CDM,27205267_C1725_272,Hb Balloon Advance 14Lp 2.5Mmx12Cm,2308.79,808.08,,,0
CDM,27205268_C1725_272,Hb Balloon Advance 14Lp 2.5Mmx4Cm,2308.79,808.08,,,0
CDM,27205275_272,Hb Cath Pentaray Nav D Curv 2-6-2,7485.7,2620.0,,,0
CDM,27205282,Hb Suture Caprosyn,71.4,24.99,,,0
CDM,27205282_272,Hb Suture Caprosyn,71.4,24.99,,,0
CDM,27205288_C1894_272,Hb Sheath Ansel 6Fx70,1220.15,427.05,,,0
CDM,27205289_C1894_272,Hb Sheath Ansel 7Fx70,1213.11,424.59,,,0
CDM,27205290_C1894_272,Hb Sheath Ansel 8Fx70,1213.11,424.59,,,0
CDM,27205304_272,Hb Sheath Flexcath 12Fr,5336.64,1867.82,,,0
CDM,27205307_272,Hb Sheath Agilis Epicardial,4966.04,1738.11,,,0
CDM,27205309_272,Hb Cath One Step Centesis,429.1,150.18,,,0
CDM,27205310_C2628_272,Hb Plug Vascular Amplatzer 4Mm,3249.21,1137.22,,,0
CDM,27205311_C2628_272,Hb Plug Vascular Amplatzer 6Mm,3249.21,1137.22,,,0
CDM,27205312_C2628_272,Hb Plug Vascular Amplatzer 8Mm,3249.21,1137.22,,,0
CDM,27205314_272,Hb Velocity Delivery Microcatheter,4700.69,1645.24,,,0
CDM,27205324_272,Hb T Fastener,1266.68,443.34,,,0
CDM,27205331_272,Hb Pump Supplies,3108.7,1088.04,,,0
CDM,27205334_272,Hb Picc Bioflo Sl 4F,1355.29,474.35,,,0
CDM,27205335_272,Hb Picc Bioflo Sl 5F,1355.29,474.35,,,0
CDM,27205336_272,Hb Picc Bioflo Dl 5F,1355.29,474.35,,,0
CDM,27205340,Hb Cath Iv 25 Ga,49.98,17.49,,,0
CDM,27205342,Hb 3-0 Nylon Suture,3.06,1.07,,,0
CDM,27205343,Hb 2-0 Nylon Suture,3.06,1.07,,,0
CDM,27205344,Hb 2-0 Silk Suture,3.06,1.07,,,0
CDM,27205347_272,Hb Cath Pronto V4,2712.66,949.43,,,0
CDM,27205351_272,Hb Sheath Agilis Nxt Large,4224.84,1478.69,,,0
CDM,27205359_272,Hb Cath Bln Coyote 3X40X150,2469.93,864.48,,,0
CDM,27205365_272,Hb Cath Bln Coyote 4X40X150,2469.93,864.48,,,0
CDM,27205367_272,Hb Cath Decanav 7F D Curve,4573.95,1600.88,,,0
CDM,27205368_272,Hb Cath Decanav 7F F Curve,4402.73,1540.96,,,0
CDM,27205370_272,Hb Filter Option Elite Vena Cava,4763.19,1667.12,,,0
CDM,27205371_C1894_272,Hb Sheath Raabe 7Fx90,901.68,315.59,,,0
CDM,27205373_272,Hb Cath Bln Coyote 2X60X150,2469.93,864.48,,,0
CDM,27205379_272,Hb Cath Bln Coyote 2.5X100X150,2469.93,864.48,,,0
CDM,27205382_272,Hb Cath Bln Coyote 3X60X150,2469.93,864.48,,,0
CDM,27205383_272,Hb Cath Bln Coyote 3X80X150,2469.93,864.48,,,0
CDM,27205384_272,Hb Cath Bln Coyote 3X100X150,2469.93,864.48,,,0
CDM,27205387_272,Hb Cath Bln Coyote 3X220X150,2980.95,1043.33,,,0
CDM,27205393_C1894_272,Hb Sheath Raabe 6Fx55,901.68,315.59,,,0
CDM,27205394_C1894_272,Hb Sheath Raabe 7Fx70,901.68,315.59,,,0
CDM,27205395_C1894_272,Hb Sheath Raabe 8Fx70,901.68,315.59,,,0
CDM,27205397_C1894_272,Hb Sheath Raabe 9Fx70,901.68,315.59,,,0
CDM,27205400_C1751_272,Hb Cath Vasc Duo-Flow 14F X 15Cm,1539.94,538.98,,,0
CDM,27205403_A4314_272,Hb Tray Cath U Meter W Temp 14Fr,587.8,205.73,,,0
CDM,27205411_C1751_272,Hb Cath Vasc Dual Split 25Cm,1547.79,541.73,,,0
CDM,27205415_C1730_272,Hb Cath Achieve Mapping,4424.96,1548.74,,,0
CDM,27205417_272,Hb Splint Sam Junior,209.21,73.22,,,0
CDM,27205426,Hb Hu-Vs -3 (5Mm Valve),13457.88,4710.26,,,0
CDM,27205427,Hb Hu-Vs -5 (6Mm Valve),13525.2,4733.82,,,0
CDM,27205428,Hb Hu-Vs -7 (7Mm Valve),13525.2,4733.82,,,0
CDM,27205428_272,Hb Hu-Vs -7 (7Mm Valve),13525.2,4733.82,,,0
CDM,27205429,Hb Controller Pocket Heartmate,25898.4,9064.44,,,0
CDM,27205434_274,Hb Bag Shower Pocket,3931.49,1376.02,,,0
CDM,27205435_274,Hb Holster Batter Pocket,3657.1,1279.98,,,0
CDM,27205436_274,Hb Bag Gogear Left,2930.85,1025.8,,,0
CDM,27205437_274,Hb Bag Gogear Right,2930.85,1025.8,,,0
CDM,27205455_272,Hb Ansel Guiding Sheath With Check-Flo 5Fx55 St,1075.96,376.59,,,0
CDM,27205456_272,Hb Ansel Guiding Sheath With Check-Flo 5Fx55 Curve,1066.06,373.12,,,0
CDM,27205473_C1769_272,Hb Wire Pilot 50 300Cm,971.04,339.86,,,0
CDM,27205474_C1769_272,Hb Wire Pilot 200 300Cm,971.04,339.86,,,0
CDM,27205477_C1887_272,Hb Cath Onesnare 4F 5Mm,2469.93,864.48,,,0
CDM,27205478_C1887_272,Hb Cath Onesnare 4F 10Mm,2469.93,864.48,,,0
CDM,27205479_C1887_272,Hb Cath Onesnare 6F 20Mm,2478.21,867.37,,,0
CDM,27205480_C1887_272,Hb Cath Onesnare 6F 35Mm,2485.42,869.9,,,0
CDM,27205482,Hb Cart Vad Utility,4563.48,1597.22,,,0
CDM,27205484,Hb Custom Trach Tube,4518.6,1581.51,,,0
CDM,27205485_C1753_272,Hb Cath Visions Pv.035,5328.09,1864.83,,,0
CDM,27205490_C1887_272,Hb Cath Attain Select Ii 6248V,1791.94,627.18,,,0
CDM,27205497_C1726_272,Hb Cath Bln Scepter Xc 4X11,7998.74,2799.56,,,0
CDM,27205504_C1769_272,Hb Wire Guide Asahi Astato Xs20,1679.94,587.98,,,0
CDM,27205511_C1887_272,Hb Cath Attain Command 45S,2239.92,783.97,,,0
CDM,27205514_C1887_272,Hb Cath Attain Command Am,2239.92,783.97,,,0
CDM,27205518_C1887_272,Hb Cath Attain Command Mpr,2239.92,783.97,,,0
CDM,27205536_C1725_272,Hb Cath Bln Mini Trek Ii Otw 1.2X8,1248.48,436.97,,,0
CDM,27205539_C1725_272,Hb Cath Bln Mini Trek Ii Otw 1.5X6,1248.48,436.97,,,0
CDM,27205540_C1725_272,Hb Cath Bln Mini Trek Ii Otw 1.5X8,1248.48,436.97,,,0
CDM,27205541_C1725_272,Hb Cath Bln Mini Trek Ii Otw 1.5X12,1248.48,436.97,,,0
CDM,27205545_C1725_272,Hb Cath Bln Mini Trek Ii Otw 2.0X8,1248.48,436.97,,,0
CDM,27205546_C1725_272,Hb Cath Bln Mini Trek Ii Otw 2.0X12,1248.48,436.97,,,0
CDM,27205547_C1725_272,Hb Cath Bln Mini Trek Ii Otw 2.0X15,1248.48,436.97,,,0
CDM,27205553_16280_272,Hb Dressing Mepilex Ag Trans 8 20,979.31,342.76,,,0
CDM,27205555_C1725_272,Hb Cath Bln Angiosculpt Rx 2.5X6,3557.76,1245.22,,,0
CDM,27205560_272,Hb Wire Guides Bentson 145,429.19,150.22,,,0
CDM,27205561_272,Hb Wire Guides Bentson 180,447.95,156.78,,,0
CDM,27205562_272,Hb Wire Guides Bentson 260,499.38,174.78,,,0
CDM,27205565_272,Hb Wrench 2 Bidirectional,750.27,262.59,,,0
CDM,27205568_C1733_272,Hb Microcatheter Direxion J 130,2584.94,904.73,,,0
CDM,27205568_C1887_272,Hb Microcatheter Direxion J 130,2584.94,904.73,,,0
CDM,27205572_C1733_272,Hb Microcatheter Direxion Hi Flo J 130,2584.94,904.73,,,0
CDM,27205575_272,Hb Medtronic Vascular,695.29,243.35,,,0
CDM,27205604_272,"Hb Mic G Feeding Tube, 20F",532.56,186.4,,,0
CDM,27205605_272,"Hb Mic G Feeding Tube, 22F",533.55,186.74,,,0
CDM,27205606_272,"Hb Mic G Feeding Tube, 24F",532.56,186.4,,,0
CDM,27205613_272,Hb Microcatheter Direxion Bern 130,2584.94,904.73,,,0
CDM,27205617_272,Hb Shoulder Pack,3832.65,1341.43,,,0
CDM,27205632_272,Hb Sheath Glide Slender Kit,838.23,293.38,,,0
CDM,27205632_C1894_272,Hb Sheath Glide Slender Kit,839.26,293.74,,,0
CDM,27205634_272,Hb Kit 4 V Left Heart,755.64,264.47,,,0
CDM,27205639_272,Hb Sheath Worley Std,3090.31,1081.61,,,0
CDM,27205640_272,Hb Sheath Worley Long,2961.78,1036.62,,,0
CDM,27205641_272,Hb Sheath Worley Jumbo,2853.2,998.62,,,0
CDM,27205642_272,Hb Sheath Lvi Renal,3321.63,1162.57,,,0
CDM,27205644_C1769_272,"Hb Wire Fielder Xt, 300Cm",1399.95,489.98,,,0
CDM,27205645_C1769_272,"Hb Wire Miracle Bros 12, 300Cm",1399.95,489.98,,,0
CDM,27205646_C1769_272,"Hb Wire Sion, 300Cm",1399.95,489.98,,,0
CDM,27205650_C2630_272,"Hb Thermocool Smart Touch D-F Curve,",13372.73,4680.46,,,0
CDM,27205656_C1887_272,"Hb Cath Cross Boss,",4869.68,1704.39,,,0
CDM,27205668_C1887_272,"Hb Cath Stringray,",6181.61,2163.56,,,0
CDM,27205677_C1725_272,"Hb Cath Support Cxi  Angled .018, 2.6Fx150",2274.96,796.24,,,0
CDM,27205678_C1725_272,"Hb Cath Support Cxi  Angled .035, 4Fx135",2062.33,721.82,,,0
CDM,27205679_C1725_272,"Hb Cath Support Cxi Straight .018, 2.6Fx150",2273.52,795.73,,,0
CDM,27205680_C1725_272,"Hb Cath Support Cxi Straight .035, 4Fx135",2049.29,717.25,,,0
CDM,27205681_C1725_272,"Hb Cath Support Cxi Straight .035, 4Fx90",2057.28,720.05,,,0
CDM,27205682_272,"Hb Sheath Sl1  63 Cm, 8.5F",1702.34,595.82,,,0
CDM,27205685_C1887_272,"Hb Attain Select Ii 90, .",1791.94,627.18,,,0
CDM,27205691_272,"Hb Sheath Destination, 8Fx45Cm",1178.76,412.57,,,0
CDM,27205693_272,"Hb Guardian Nc, 350Cm",522.34,182.82,,,0
CDM,27205694_C1769_272,"Hb Wire R350, 350Cm",2351.92,823.17,,,0
CDM,27205696_272,Hb Tube Mic G 18Fr,532.56,186.4,,,0
CDM,27205698_272,Hb Cath Bln Sterling Mrl,2342.18,819.76,,,0
CDM,27205703_272,Hb Tray Cath Foley Lf 10Fr,420.82,147.29,,,0
CDM,27205710_272,Hb Cable Pacer Small Alligator Clip,53.14,18.6,,,0
CDM,27205758,Hb Syringe W/Wo Needle,2.04,0.71,,,0
CDM,27205759,Hb Misc Dialysis Supplies Noc,2.04,0.71,,,0
CDM,27205760,Hb Non-Waterproof Tape,2.04,0.71,,,0
CDM,27205761,"Hb Sterile, Gloves Per Pair",2.04,0.71,,,0
CDM,27205762,Hb Wound Cleanser Any Type/Size,2.04,0.71,,,0
CDM,27205763,Hb Reusable Oral Thermometer,2.04,0.71,,,0
CDM,27205764,"Hb Automatic Bp Monitor, Dial",2.04,0.71,,,0
CDM,27205766_272,Hb Sheath Destino Steerable Guide 6.5Fx55,3557.76,1245.22,,,0
CDM,27205767_272,Hb Sheath Destino Steerable Guide 7Fx55,3557.76,1245.22,,,0
CDM,27205768_C1769_272,Hb Wire Glide .035/260 1.5J,755.46,264.41,,,0
CDM,27205770,Hb Nitrous Oxide Tank,1109.76,388.42,,,0
CDM,27205770_272,Hb Nitrous Oxide Tank,1109.76,388.42,,,0
CDM,27205771_C1894_272,Hb Sheath Pinnacle W/Wire 9F,241.43,84.5,,,0
CDM,27205772,Hb Nitrous Oxide Tank Addl,371.28,129.95,,,0
CDM,27205784_C1887_272,Hb Cath Glide Angled 4Fx120,749.23,262.23,,,0
CDM,27205787_C1769_272,Hb Wire Glide 1.5 J,719.39,251.79,,,0
CDM,27205788_C1769_272,Hb Wire Navicross 135,2459.15,860.7,,,0
CDM,27205789_C1769_272,Hb Wire Navicross 150,2425.84,849.04,,,0
CDM,27205790_C1769_272,Hb Wire Glide Gt Double Ang .018X180,2113.92,739.87,,,0
CDM,27205802_C1769_272,Hb Wire Sion Blue 180Cm,1317.84,461.24,,,0
CDM,27205807_272,Hb Needle Biopsy 11Ga Oncontrol,3750.3,1312.6,,,0
CDM,27205810_272,Hb Kit Drsg Abthera,4074.53,1426.09,,,0
CDM,27205816_272,Hb Kit Drsg Infovac Small Whitefoam,209.21,73.22,,,0
CDM,27205821_272,Hb Guidewire Amplatz Extra Stiff,522.72,182.95,,,0
CDM,27205825_C1887_272,Hb Cath Guide Il3.5 6F,1316.58,460.8,,,0
CDM,27205826_C1887_272,Hb Cath Guide Il4.0 5F,1317.84,461.24,,,0
CDM,27205827_C1887_272,Hb Cath Guide Il4.0 6F,1317.84,461.24,,,0
CDM,27205830_C1887_272,Hb Cath Pig 5F 125Cm,184.4,64.54,,,0
CDM,27205831_C1887_272,Hb Cath Mpa2 5F 125Cm,184.4,64.54,,,0
CDM,27205862_C1725_272,Hb Lutonix 035 130Cm4X150Mm,7787.05,2725.47,,,0
CDM,27205875_C1725_272,Hb Lutonix 035 130Cm6X120Mm,7099.95,2484.98,,,0
CDM,27205879_C1725_272,Hb Lutonix 035 130Cm6X60Mm,6412.86,2244.5,,,0
CDM,27205916_C1887_272,Hb Cath Fr4 125Cm,184.4,64.54,,,0
CDM,27205917_C1887_272,Hb Cath Viewflex Z Ice,10228.56,3580.0,,,0
CDM,27205919_C1725_272,Hb Cath Bln Nc Euphora 2.0X08 Rx,1248.48,436.97,,,0
CDM,27205920_C1725_272,Hb Cath Bln Nc Euphora 2.0X12 Rx,1248.48,436.97,,,0
CDM,27205925_C1725_272,Hb Cath Bln Nc Euphora 2.25X12 Rx,1248.48,436.97,,,0
CDM,27205929_C1725_272,Hb Cath Bln Nc Euphora 2.5X08 Rx,1248.48,436.97,,,0
CDM,27205930_C1725_272,Hb Cath Bln Nc Euphora 2.5X12 Rx,1248.48,436.97,,,0
CDM,27205931_C1725_272,Hb Cath Bln Nc Euphora 2.5X15 Rx,1248.48,436.97,,,0
CDM,27205932_C1725_272,Hb Cath Bln Nc Euphora 2.5X20 Rx,1248.48,436.97,,,0
CDM,27205935_C1725_272,Hb Cath Bln Nc Euphora 2.75X08 Rx,3313.16,1159.61,,,0
CDM,27205936_C1725_272,Hb Cath Bln Nc Euphora 2.75X12 Rx,1248.48,436.97,,,0
CDM,27205937_C1725_272,Hb Cath Bln Nc Euphora 2.75X15 Rx,1248.48,436.97,,,0
CDM,27205940_C1725_272,Hb Cath Bln Nc Euphora 3.0X06 Rx,1248.48,436.97,,,0
CDM,27205941_C1725_272,Hb Cath Bln Nc Euphora 3.0X08 Rx,1248.48,436.97,,,0
CDM,27205942_C1725_272,Hb Cath Bln Nc Euphora 3.0X12 Rx,1248.48,436.97,,,0
CDM,27205943_C1725_272,Hb Cath Bln Nc Euphora 3.0X15 Rx,1248.48,436.97,,,0
CDM,27205944_C1725_272,Hb Cath Bln Nc Euphora 3.0X20 Rx,1248.48,436.97,,,0
CDM,27205948_C1725_272,Hb Cath Bln Nc Euphora 3.25X12 Rx,1248.48,436.97,,,0
CDM,27205952_C1725_272,Hb Cath Bln Nc Euphora 3.5X06 Rx,1248.48,436.97,,,0
CDM,27205953_C1725_272,Hb Cath Bln Nc Euphora 3.5X08 Rx,1248.48,436.97,,,0
CDM,27205954_C1725_272,Hb Cath Bln Nc Euphora 3.5X12 Rx,1248.48,436.97,,,0
CDM,27205955_C1725_272,Hb Cath Bln Nc Euphora 3.5X15 Rx,1248.48,436.97,,,0
CDM,27205956_C1725_272,Hb Cath Bln Nc Euphora 3.5X20 Rx,1248.48,436.97,,,0
CDM,27205964_C1725_272,Hb Cath Bln Nc Euphora 4.0X06 Rx,1248.48,436.97,,,0
CDM,27205965_C1725_272,Hb Cath Bln Nc Euphora 4.0X08 Rx,1248.48,436.97,,,0
CDM,27205966_C1725_272,Hb Cath Bln Nc Euphora 4.0X12 Rx,1248.48,436.97,,,0
CDM,27205967_C1725_272,Hb Cath Bln Nc Euphora 4.0X15 Rx,1248.48,436.97,,,0
CDM,27205968_C1725_272,Hb Cath Bln Nc Euphora 4.0X20 Rx,1248.48,436.97,,,0
CDM,27205970_C1725_272,Hb Cath Bln Nc Euphora 4.5X08 Rx,1248.48,436.97,,,0
CDM,27205974_C1725_272,Hb Cath Bln Nc Euphora 5.0X08 Rx,1248.48,436.97,,,0
CDM,27205975_C1725_272,Hb Cath Bln Nc Euphora 5.0X12 Rx,1248.48,436.97,,,0
CDM,27205978_C1725_272,Hb Cath Bln Atlas 14X2X120,2456.3,859.7,,,0
CDM,27205979_C1725_272,Hb Cath Bln Atlas 16X2X120,2456.3,859.7,,,0
CDM,27205980_C1725_272,Hb Cath Bln Atlas 18X2X120,2456.3,859.7,,,0
CDM,27205985_C1894_272,Hb Sheath Introducer 14Fr,1331.3,465.96,,,0
CDM,27205996_272,Hb Tube Feeding Corflo 8Fr,367.33,128.57,,,0
CDM,27206003_272,Hb Needle Blunt 18G X 15Cm,446.97,156.44,,,0
CDM,27206004_272,Hb Needle Blunt 18G X 5Cm,474.29,166.0,,,0
CDM,27206005_272,Hb Nxstage Filter,2286.45,800.26,,,0
CDM,27206023_272,Hb Tube Feeding Transg-J 18F3.045,2904.35,1016.52,,,0
CDM,27206024_C1893_272,Hb Sheath Sl2 63Cm 8.5F,1702.34,595.82,,,0
CDM,27206026_C1769_272,Hb Or-Guidewire Rosen 035X260Cm,381.96,133.69,,,0
CDM,27206027_173506,Hb Sup Rev 272 Hcpcs C1893,4258.5,1490.48,,,0
CDM,27206027_173880,Hb Sup Rev 272 Hcpcs C1893,4869.68,1704.39,,,0
CDM,27206027_173881,Hb Sup Rev 272 Hcpcs C1893,4258.5,1490.48,,,0
CDM,27206038_C1887_272,Hb Cath Guide Al.75 6F,695.29,243.35,,,0
CDM,27206054_272,Hb Cleaner Thrombectomy Device 7F X 135Cm,6893.16,2412.61,,,0
CDM,27206063_C1753_272,Hb Cath Ivus Opticross,2668.32,933.91,,,0
CDM,27206079_272,Hb Kit Vad Dressing Change,500.54,175.19,,,0
CDM,27206087_272,Hb Specialneeds Feeder Collect 80Ml Sterile,272.54,95.39,,,0
CDM,27206089_272,Hb Cath Apollo 1.5 Cm,10321.95,3612.68,,,0
CDM,27206090_272,Hb Cath Apollo 3.0 Cm,10321.95,3612.68,,,0
CDM,27206091_C1769_272,Hb Guidewire Rosen 035X180Cm,396.39,138.74,,,0
CDM,27206092_C2628_272,Hb Balloon Occlusion Lg 9Fr X35X120,4075.39,1426.39,,,0
CDM,27206093_C2628_272,Hb Balloon Occlusion Lg 10X40X120,4075.39,1426.39,,,0
CDM,27206095_272,Hb Needle Biopsy 15Cm 11Ga Oncontrol,3825.58,1338.95,,,0
CDM,27206097_C1887_272,Hb Cath Excelsior Xt 17 Straight 7.5Cm X 150Cm,4554.33,1594.02,,,0
CDM,27206098_272,Hb Cath Excelsior Xt 17 Pre Shaped 45 7.5Cm X 150Cm,4571.35,1599.97,,,0
CDM,27206099,Hb Galil Ct Probe,5481.48,1918.52,,,0
CDM,27206099_C2618_272,Hb Galil Ct Probe,5481.48,1918.52,,,0
CDM,27206704_C1725_272,Hb Cath Bln Euphora 1.5X10 Rx,1248.48,436.97,,,0
CDM,27206705_C1725_272,Hb Cath Bln Euphora 1.5X12 Rx,1248.48,436.97,,,0
CDM,27206706_C1725_272,Hb Cath Bln Euphora 1.5X15 Rx,1248.48,436.97,,,0
CDM,27206707_C1725_272,Hb Cath Bln Euphora 1.5X20 Rx,1248.48,436.97,,,0
CDM,27206708_C1725_272,Hb Cath Bln Euphora 2.0X10 Rx,1248.48,436.97,,,0
CDM,27206709_C1725_272,Hb Cath Bln Euphora 2.0X12 Rx,1248.48,436.97,,,0
CDM,27206710_C1725_272,Hb Cath Bln Euphora 2.0X15 Rx,1248.48,436.97,,,0
CDM,27206711_C1725_272,Hb Cath Bln Euphora 2.0X20 Rx,1248.48,436.97,,,0
CDM,27206712_C1725_272,Hb Cath Bln Euphora 2.0X25 Rx,1248.48,436.97,,,0
CDM,27206713_C1725_272,Hb Cath Bln Euphora 2.0X30 Rx,1248.48,436.97,,,0
CDM,27206715_C1725_272,Hb Cath Bln Euphora 2.25X12 Rx,1248.48,436.97,,,0
CDM,27206719_C1725_272,Hb Cath Bln Euphora 2.5X10 Rx,1248.48,436.97,,,0
CDM,27206720_C1725_272,Hb Cath Bln Euphora 2.5X12 Rx,1248.48,436.97,,,0
CDM,27206721_C1725_272,Hb Cath Bln Euphora 2.5X15 Rx,1248.48,436.97,,,0
CDM,27206722_C1725_272,Hb Cath Bln Euphora 2.5X20 Rx,1248.48,436.97,,,0
CDM,27206724_C1725_272,Hb Cath Bln Euphora 2.5X30 Rx,1392.24,487.28,,,0
CDM,27206730_C1725_272,Hb Cath Bln Euphora 3.0X10 Rx,1567.94,548.78,,,0
CDM,27206731_C1725_272,Hb Cath Bln Euphora 3.0X12 Rx,1248.48,436.97,,,0
CDM,27206732_C1725_272,Hb Cath Bln Euphora 3.0X15 Rx,1408.21,492.87,,,0
CDM,27206733_C1725_272,Hb Cath Bln Euphora 3.0X20 Rx,1248.48,436.97,,,0
CDM,27206734_C1725_272,Hb Cath Bln Euphora 3.0X25 Rx,1248.48,436.97,,,0
CDM,27206742_C1725_272,Hb Cath Bln Euphora 3.5X12 Rx,1248.48,436.97,,,0
CDM,27206744_C1725_272,Hb Cath Bln Euphora 3.5X20 Rx,1248.48,436.97,,,0
CDM,27206745_C1725_272,Hb Cath Bln Euphora 3.5X25 Rx,1248.48,436.97,,,0
CDM,27206755_C1725_272,Hb Cath Bln Euphora 4.0S20 Rx,1248.48,436.97,,,0
CDM,27206763_272,Hb Cath Hexapolar Fix 6F,1949.03,682.16,,,0
CDM,27206770_272,Hb Closure Dev Mynxgrip 6F/7F,2071.93,725.18,,,0
CDM,27206771_272,Hb Closure Dev Mynxgrip 5F,2070.62,724.72,,,0
CDM,27206772_C1887_272,Hb Cath Guide Benchmark 95 Straight,4336.02,1517.61,,,0
CDM,27206773_C1887_272,Hb Cath Guide Benchmark 95Mp,4336.02,1517.61,,,0
CDM,27206774_C1887_272,Hb Cath Guide Benchmark 105 Straight,4336.02,1517.61,,,0
CDM,27206776_272,Hb Angiovac Circuit And Bubble Trap,6816.72,2385.85,,,0
CDM,27206779_272,Hb Needle Chiba Biopsy,721.34,252.47,,,0
CDM,27206780_272,Hb Cath Classic 125,17766.56,6218.3,,,0
CDM,27206790_174065,Hb Sup Rev 272 Hcpcs C1766,3832.65,1341.43,,,0
CDM,27206792_217731,Hb Sup Rev 272 Hcpcs C2618,12452.16,4358.26,,,0
CDM,27206795_108666,Inactive - Hb Battery Backup Controller Hmiii Trial,24459.6,8560.86,,,0
CDM,27206797_274,Hb Mobile Power Unit W Ac Cable,38875.85,13606.55,,,0
CDM,27206803_C1769_272,Hb Wire Guide Rg3 330Cm,1399.95,489.98,,,0
CDM,27206838_C1887_272,Hb Cath Guide Jr4 8F 90Cm,827.73,289.71,,,0
CDM,27206842_272,Hb Sheath Glide Slender 5F,795.01,278.25,,,0
CDM,27206843_272,Hb Set Int Placement G-Tube Lrg,1040.4,364.14,,,0
CDM,27206844_272,Hb Set Int Placement G-Tube Med,1040.4,364.14,,,0
CDM,27206846_272,Hb Anchors Suture 2 Adjustable,1317.84,461.24,,,0
CDM,27206847_272,Hb Anchors Suture 3 Adjustable,1567.94,548.78,,,0
CDM,27206852_272,Hb Tube Gastrostomy Entuit 20 Fr,695.29,243.35,,,0
CDM,27206853_272,Hb Tube Gastrostomy Entuit 22 Fr,780.3,273.1,,,0
CDM,27206854_272,Hb Tube Gastrostomy Entuit 24 Fr,780.3,273.1,,,0
CDM,27206866_272,Hb Kit Cath On,95.8,33.53,,,0
CDM,27206870_C1750_272,Hb Cath Glidepath Dialysis 19Cm,2569.51,899.33,,,0
CDM,27206870_C1750_278,Hb Cath Glidepath Dialysis 19Cm,2923.29,1023.15,,,0
CDM,27206870_C1887_272,Hb Cath Glidepath Dialysis 19Cm,2763.51,967.23,,,0
CDM,27206871_C1887_272,Hb Cath Glidepath Dialysis 23Cm,2223.66,778.28,,,0
CDM,27206872_C1887_272,Hb Cath Glidepath Dialysis 27Cm,2622.09,917.73,,,0
CDM,27206873_C1887_272,Hb Cath Glidepath Dialysis 50Cm,2365.76,828.02,,,0
CDM,27206874_C1887_272,Hb Cath Glidepath Exchange 19Cm,2057.93,720.28,,,0
CDM,27206875_C1887_272,Hb Cath Glidepath Exchange 23Cm,2148.61,752.01,,,0
CDM,27206876_C1887_272,Hb Cath Glidepath Exchange 27Cm,2103.67,736.28,,,0
CDM,27206885_272,Hb Cath Indigo Cat8 115Cm,12852.41,4498.34,,,0
CDM,27206887_272,Hb Tubing Large Lumen Aspiration,3730.45,1305.66,,,0
CDM,27206889_272,Hb Sheath Destination 8Fx45,1170.36,409.63,,,0
CDM,27206899_3794,Hb Sup Rev 272 Hcpcs A7041,828.24,289.88,,,0
CDM,27206900_114940,Hb Sup Rev 272 Hcpcs C2623,7293.41,2552.69,,,0
CDM,27206900_114944,Hb Sup Rev 272 Hcpcs C2623,7293.41,2552.69,,,0
CDM,27206900_152081,Hb Sup Rev 272 Hcpcs C2623,6626.33,2319.22,,,0
CDM,27206900_183908,Hb Sup Rev 272 Hcpcs C2623,6315.02,2210.26,,,0
CDM,27206900_183909,Hb Sup Rev 272 Hcpcs C2623,6315.02,2210.26,,,0
CDM,27206900_183910,Hb Sup Rev 272 Hcpcs C2623,6626.33,2319.22,,,0
CDM,27206900_183911,Hb Sup Rev 272 Hcpcs C2623,7293.41,2552.69,,,0
CDM,27206900_183912,Hb Sup Rev 272 Hcpcs C2623,7293.41,2552.69,,,0
CDM,27206900_183914,Hb Sup Rev 272 Hcpcs C2623,6626.33,2319.22,,,0
CDM,27206900_183915,Hb Sup Rev 272 Hcpcs C2623,6626.33,2319.22,,,0
CDM,27206900_183916,Hb Sup Rev 272 Hcpcs C2623,6626.33,2319.22,,,0
CDM,27206900_183917,Hb Sup Rev 272 Hcpcs C2623,6648.56,2327.0,,,0
CDM,27206900_183918,Hb Sup Rev 272 Hcpcs C2623,7293.41,2552.69,,,0
CDM,27206900_183919,Hb Sup Rev 272 Hcpcs C2623,7960.49,2786.17,,,0
CDM,27206900_183920,Hb Sup Rev 272 Hcpcs C2623,6626.33,2319.22,,,0
CDM,27206900_183921,Hb Sup Rev 272 Hcpcs C2623,6626.33,2319.22,,,0
CDM,27206900_183922,Hb Sup Rev 272 Hcpcs C2623,6626.33,2319.22,,,0
CDM,27206900_183925,Hb Sup Rev 272 Hcpcs C2623,7960.49,2786.17,,,0
CDM,27206900_183927,Hb Sup Rev 272 Hcpcs C2623,6626.33,2319.22,,,0
CDM,27206900_183928,Hb Sup Rev 272 Hcpcs C2623,6626.33,2319.22,,,0
CDM,27206902_C1894_272,Hb Sheath Ansel 12F X45,1066.06,373.12,,,0
CDM,27206905_C1769_272,Hb Wire Viper Coronary,2351.92,823.17,,,0
CDM,27206908_272,Hb Cath Bioflo Dialysis 24Cm,2555.1,894.28,,,0
CDM,27206909_272,Hb Cath Bioflo Dialysis 28Cm,2555.1,894.28,,,0
CDM,27206909_C1750_272,Hb Cath Bioflo Dialysis 28Cm,2555.1,894.28,,,0
CDM,27206910_272,Hb Cath Bioflo Dialysis 32Cm,2555.1,894.28,,,0
CDM,27206915_272,Hb Sheath Glide Slender 7Fx10,839.26,293.74,,,0
CDM,27206925_272,Hb Tube G-J Mic-Key 18Fx1.7X45,2861.03,1001.36,,,0
CDM,27206927_272,Hb Tube G-J Mic-Key 18Fx2.5X45,2979.07,1042.67,,,0
CDM,27206928_272,Hb Tube G-J Mic-Key 18Fx3.5X45,3019.7,1056.9,,,0
CDM,27206930_272,Hb Power Pulse Delivery Y-Connector,562.86,197.0,,,0
CDM,27206948_272,Hb Filter Retrival Kit Dual Sheath Snare,3832.65,1341.43,,,0
CDM,27206949_272,Hb Tube Mic-Key G 20X2.5,1334.21,466.97,,,0
CDM,27206950_272,Hb Tube Mic G 26Fr,533.55,186.74,,,0
CDM,27206951_272,Hb Tube Mic G 28Fr,533.55,186.74,,,0
CDM,27206954_C1759_272,Hb Cath Soundstar Vivid 10F,11013.91,3854.87,,,0
CDM,27206956_C1725_272,Hb Cath Balloon Mustang 10X80X135,1791.94,627.18,,,0
CDM,27206963_C1887_272,Hb Cath Guide Ima 8Fx90,827.73,289.71,,,0
CDM,27206964_C1887_272,Hb Cath Guide Ebu3.5 Sh 8Fx90,827.73,289.71,,,0
CDM,27206965_C1887_272,Hb Cath Guide Ebu3 Sh 8Fx90,827.73,289.71,,,0
CDM,27206987_C1769_272,Hb Glidewire Angle Tip .035X180Cm,711.11,248.89,,,0
CDM,27206989,Hb Corflo Ultra Feeding Tube 6Fr,350.88,122.81,,,0
CDM,27206990,Hb Device Pico 4X12 Inch,2933.52,1026.73,,,0
CDM,27206991,Hb Device Pico 4X16 Inch,2933.52,1026.73,,,0
CDM,27206992,Hb Device Pico 6X12 Inch,2933.52,1026.73,,,0
CDM,27206993,Hb Device Pico 6X8 Inch,2933.52,1026.73,,,0
CDM,27206997_C1725_272,Hb Cath Bln In Pact Admiral 4.0X40X130,6626.33,2319.22,,,0
CDM,27206998_C1725_272,Hb Cath Bln In Pact Admiral 4.0X60X130,6626.33,2319.22,,,0
CDM,27207000_C1725_272,Hb Cath Bln In Pact Admiral 4.0X120X130,7293.41,2552.69,,,0
CDM,27207005_C1725_272,Hb Cath Bln In Pact Admiral 6.0X40X130,6626.33,2319.22,,,0
CDM,27207007_C1725_272,Hb Cath Bln In Pact Admiral 6.0X80X130,6626.33,2319.22,,,0
CDM,27207008_C1725_272,Hb Cath Bln In Pact Admiral 6.0X120X130,7293.41,2552.69,,,0
CDM,27207016_C1725_272,Hb Cath Bln Nanocross 2.0X60X150,2555.1,894.28,,,0
CDM,27207026_C1725_272,Hb Cath Bln Nanocross 2.5X100X150,2555.1,894.28,,,0
CDM,27207028_C1725_272,Hb Cath Bln Nanocross 2.5X150X150,2980.95,1043.33,,,0
CDM,27207040_C1725_272,Hb Cath Bln Nanocross 3.5X60X150,2555.1,894.28,,,0
CDM,27207041_C1725_272,Hb Cath Bln Nanocross 3.5X80X150,2555.1,894.28,,,0
CDM,27207049_C1725_272,Hb Cath Bln Nanocross 4.0X80X150,2555.1,894.28,,,0
CDM,27207142_C1757_272,Hb Cath Fogarty 7Fr 80 Cm,1147.63,401.67,,,0
CDM,27207143,Hb Needle Biopsy 11Ga Oncontrol,3424.14,1198.45,,,0
CDM,27207143_272,Hb Needle Biopsy 11Ga Oncontrol,3424.14,1198.45,,,0
CDM,27207144_272,Hb Accu2I Pmta Applicator 14 Cm,16432.4,5751.34,,,0
CDM,27207146_C2629_272,Hb Kit Sheath Glidelight 14F,13319.36,4661.78,,,0
CDM,27207147_C2629_272,Hb Kit Sheath Glidelight 16F,13509.96,4728.49,,,0
CDM,27207157_272,Hb Kit Pleurx Peritoneal With Bottle,4175.09,1461.28,,,0
CDM,27207158_C1887_272,Hb Cath Micro Turnpike Lp 135Cm,2650.53,927.69,,,0
CDM,27207160_C1894_272,Hb Sheath Tightrail 9F,9672.66,3385.43,,,0
CDM,27207161_C1894_272,Hb Sheath Tightrail 11F,9733.81,3406.83,,,0
CDM,27207162_C1894_272,Hb Sheath Tightrail 13F,9781.37,3423.48,,,0
CDM,27207164_C1894_272,Hb Sheath Mini Tightrail 11F,7910.88,2768.81,,,0
CDM,27207170_C1769_272,Hb Guidewire Aplatz Extra Stiff .35X180,371.12,129.89,,,0
CDM,27207172_C1757_272,Hb Cath Angiojet Zelante Dvt,20679.48,7237.82,,,0
CDM,27207173_C1729_272,Hb Cath Biliary 14Fr,996.01,348.6,,,0
CDM,27207175_272,Hb Lead Locking Device Lld E,2561.84,896.64,,,0
CDM,27207177_272,Hb Accessory Torqmax Sheath Grip,1595.94,558.58,,,0
CDM,27207178_C1773_272,Hb Snare Retrieval 20Mm,8004.96,2801.74,,,0
CDM,27207184_272,Hb Filter Venatech Convertible,3644.77,1275.67,,,0
CDM,27207189_272,Hb Cath Bln Bridge Occlusion,3966.17,1388.16,,,0
CDM,27207190_272,Hb Kit Bridge Accessory,2363.95,827.38,,,0
CDM,27207200_C1725_272,Hb Cath Bln Impact Admiral 6.0X150X130,7960.49,2786.17,,,0
CDM,27207204_272,Hb Embozene Embo Particles 250 2Ml,2015.93,705.58,,,0
CDM,27207205_272,Hb Embozene Embo Particles 400 2Ml,2015.93,705.58,,,0
CDM,27207212_272,Hb Tray Cath Coude 16Fr,288.77,101.07,,,0
CDM,27207217_C1892_272,Hb Sheath Introducer 20Fr X 40Cm,3304.6,1156.61,,,0
CDM,27207223_272,Hb Needle Ez Io 25Mm Adult Set,1574.67,551.13,,,0
CDM,27207228_272,Hb Tube G J Mic Key 18Fr 4.0X45,2861.03,1001.36,,,0
CDM,27207229_C1725_272,Hb Cath Bln Ultraverse 035 4X40X130,1211.24,423.93,,,0
CDM,27207231_C1725_272,Hb Cath Bln Ultraverse 035 4X80X130,1399.95,489.98,,,0
CDM,27207240_C1725_272,Hb Cath Bln Ultraverse 035 5X100X130,1211.24,423.93,,,0
CDM,27207245_C1725_272,Hb Cath Bln Ultraverse 035 6X40X130,1211.24,423.93,,,0
CDM,27207254_C1725_272,Hb Cath Bln Ultraverse 035 7X60X130,1211.24,423.93,,,0
CDM,27207256_C1725_272,Hb Cath Bln Ultraverse 035 7X100X130,1211.24,423.93,,,0
CDM,27207268_272,Hb Closure Device Vascade 5Fr,2127.92,744.77,,,0
CDM,27207269_272,Hb Closure Device Vascade 6/7 Fr,2127.92,744.77,,,0
CDM,27207271_272,Hb Intro Checkflow 18Fr 40Cm,1322.21,462.77,,,0
CDM,27207272_C1758_272,Hb Cath Urethral Access 6Fr,88.14,30.85,,,0
CDM,27207275_272,Hb Patient Safety Cable 12 Ft,796.57,278.8,,,0
CDM,27207276_272,Hb Tube J Mic 24Fr,1493.13,522.6,,,0
CDM,27207294_C1894_272,Hb Sheath Prelude 6X4 No Wire,440.7,154.24,,,0
CDM,27207295_C1894_272,Hb Sheath Prelude 7X4 No Wire,440.7,154.24,,,0
CDM,27207296_C1725_272,Hb Cath Bln Ultraverse 018 3X40X150,2364.8,827.68,,,0
CDM,27207298_C1725_272,Hb Cath Bln Ultraverse 018 3X150X150,2364.8,827.68,,,0
CDM,27207304_272,Hb Wire Pressure Aeris 175Cm,2668.32,933.91,,,0
CDM,27207304_C1769_272,Hb Wire Pressure Aeris 175Cm,3331.79,1166.13,,,0
CDM,27207306_C1769_272,Hb Wire Q 0.35X80 J,157.67,55.18,,,0
CDM,27207307_272,Hb Plasma Blade 3.0,2809.76,983.42,,,0
CDM,27207309_272,Hb Needle Transseptal  Eeprom Hi Flow,2401.49,840.52,,,0
CDM,27207310_272,Hb Sheath Guiding Kit Torflex,2407.91,842.77,,,0
CDM,27207312,Hb Hu-Vs -9 (9Mm Valve),13525.2,4733.82,,,0
CDM,27207312_272,Hb Hu-Vs -9 (9Mm Valve),13525.2,4733.82,,,0
CDM,27207313_272,Hb Head Centrifugal Revolution,1128.78,395.07,,,0
CDM,27207315_272,Hb Pack Ecmo Adult Custom,3389.77,1186.42,,,0
CDM,27207317_272,Hb Quadrox Id Adult Bioline W/O Filter,6386.18,2235.16,,,0
CDM,27207318_278,Hb Impella Rp Pump Set,74790.0,26176.5,,,0
CDM,27207320_272,Hb Sheath Lvi Renal 5.5F,3321.63,1162.57,,,0
CDM,27207407_272,Hb Cath Foley Lf Council Tip 16F,510.98,178.84,,,0
CDM,27207408,Hb Catheter Wayne Pnuemo,1883.94,659.38,,,0
CDM,27207408_272,Hb Catheter Wayne Pnuemo,1883.94,659.38,,,0
CDM,27207409_C1887_272,Hb Catheter Support 4.0X35X150,2046.17,716.16,,,0
CDM,27207410_C1887_272,Hb Catheter Support 4.0X35X150,2046.17,716.16,,,0
CDM,27207411_C1887_272,Hb Catheter Support 4.0X35X90,2061.46,721.51,,,0
CDM,27207414_272,Hb Kit Pleurx Pleural 15.5F,3127.27,1094.54,,,0
CDM,27207415_C1894_272,Hb Introducer Hi Flex Ansel 6Frx7,1213.11,424.59,,,0
CDM,27207418_272,Hb Sheath Laser Visisheath L 33Cm,2171.84,760.14,,,0
CDM,27207423_272,Hb Tube Feeding Mickey Lp Gastro,1334.21,466.97,,,0
CDM,27207430_272,Hb Sealer Bipolar Aquamantys 2.3,3709.5,1298.32,,,0
CDM,27207442_C1725_272,Hb Cath Bl Sterling Mrl 6X100X135,2342.18,819.76,,,0
CDM,27207447_C1769_272,Hb Guidewire Aplatz Xtr Stiff 300,617.81,216.23,,,0
CDM,27207454_C1732_272,Hb Cath Smarttouch St Sf D/F,13962.4,4886.84,,,0
CDM,27207464_272,Hb Needle Transseptal 98 Cm,2401.49,840.52,,,0
CDM,27207466_272,Hb Cath Phenom 027,6381.73,2233.61,,,0
CDM,27207467_272,Hb Cath Swan-Ganz Four Lumen 6X110,1299.95,454.98,,,0
CDM,27207471_C1894_272,Hb Sheath Checkflo 12X13,703.59,246.26,,,0
CDM,27207474_272,Hb Tube Trach Flex #8,707.04,247.46,,,0
CDM,27207475_C1894_272,Hb Sheath Tightrail Sub-C 13F,8009.41,2803.29,,,0
CDM,27207476_272,Hb Cath Smarttouch St Sf F/J,13929.0,4875.15,,,0
CDM,27207482_189049,Inactive - Hb Sup Rev 272 Hcpcs C1760,2183.92,764.37,,,0
CDM,27207482_189052,Inactive - Hb Sup Rev 272 Hcpcs C1760,2183.92,764.37,,,0
CDM,27207482_62433,Inactive - Hb Sup Rev 272 Hcpcs C1760,2799.9,979.96,,,0
CDM,27207484_272,Hb Cath Supercross .014 X 130,3260.85,1141.3,,,0
CDM,27207499_272,Hb Sheath Destination Cross-Cut 8X65,1299.15,454.7,,,0
CDM,27207501_272,Hb Autoplex W/O Cement Delivery System,3496.16,1223.66,,,0
CDM,27207503_272,Hb Cath Supercross .014 X 150,2919.27,1021.74,,,0
CDM,27207504_272,Hb Angiassist Co2 Delivery Set,1136.69,397.84,,,0
CDM,27207505_272,Hb Coil Dethachment Handle Ruby,2665.5,932.92,,,0
CDM,27207507_272,Hb Cath Lantern 135 - Straight,2890.68,1011.74,,,0
CDM,27207508_272,Hb Cath Lantern 135 - 45,2890.68,1011.74,,,0
CDM,27207509_272,Hb Cath Lantern 150 - Straight,2890.68,1011.74,,,0
CDM,27207510_272,Hb Cath Lantern 150 - 45,2890.68,1011.74,,,0
CDM,27207513_C1894_272,Hb Sheath Ansel Straight 9Fx45,1018.41,356.44,,,0
CDM,27207514_272,Hb Cath Rbt 5F (Ruc Replace),890.58,311.7,,,0
CDM,27207516_C1769_272,Hb Wire Fielder Xt-A 300Cm,1399.95,489.98,,,0
CDM,27207518_272,Hb Cath Direxion .021 Bern 155Cm,2584.94,904.73,,,0
CDM,27207519_272,Hb Cath Direxion .021 J 155Cm,2584.94,904.73,,,0
CDM,27207522_272,Hb Band Vasc Long 27Cm,398.95,139.63,,,0
CDM,27207525_272,Hb Cath Sim Sw 1 5Fx65,299.84,104.94,,,0
CDM,27207527,Hb Hm3 Lvad Controller Commercial,25898.4,9064.44,,,0
CDM,27207533_C1729_272,Hb Cath Expel Apd Drain 14X25,929.42,325.3,,,0
CDM,27207534_C1729_272,Hb Cath Expel Neph Drain 8X25,1303.97,456.39,,,0
CDM,27207537_272,Hb Cath Torqvue Del Sys  5F 90/80,4236.7,1482.84,,,0
CDM,27207546_272,Hb Set Hls Adv Cardiohelp 7.0,35747.84,12511.74,,,0
CDM,27207553_272,Hb Cath Guide Ikari 1.5 6F,1317.84,461.24,,,0
CDM,27207573_C1725_272,Hb Cath Bln Lutonix Av 10X60X75,7787.05,2725.47,,,0
CDM,27207574_C1725_272,Hb Cath Bln Lutonix Av 12X40X75,7787.05,2725.47,,,0
CDM,27207575_C1788_272,Hb Port Powerflow Single 9.6F,3046.33,1066.22,,,0
CDM,27207576_272,Hb Hemostat Surgicel Powder 3Gm,1618.12,566.34,,,0
CDM,27207577_B4088_272,Hb Tube G-J Mic-Key 22Fx2.3X45,2861.03,1001.36,,,0
CDM,27207586_272,Hb Cath Ultimate 1.0 X 125Cm,548.79,192.08,,,0
CDM,27207594,Hb Dermabond Mini,274.38,96.03,,,0
CDM,27207596,Hb Mickey 12 Inch Feeding Tube,249.9,87.46,,,0
CDM,27207598_272,Hb Tray Vasc Trialysis 24Cm Straight,2369.78,829.42,,,0
CDM,27207599_272,Hb Tray Vasc Trialysis 30Cm Straight,2424.68,848.64,,,0
CDM,27207600_272,Hb Tray Vasc Trialysis 15Cm Curved,2548.06,891.82,,,0
CDM,27207601_272,Hb Tray Vasc Trialysis 20Cm Curved,2556.57,894.8,,,0
CDM,27207602,Hb Customized Tracheostomy,2970.24,1039.58,,,0
CDM,27207603_272,Hb Set Prismaflex M60,3327.33,1164.57,,,0
CDM,27207604_213546,Hb Sup Rev 272 Hcpcs B4088,832.32,291.31,,,0
CDM,27207606_272,Hb Kit Access Needle 11G,1035.2,362.32,,,0
CDM,27207607_272,Hb Kit Biopsy Needle 11G,1256.54,439.79,,,0
CDM,27207609_272,Hb Kit Biopsy Needle 13G,1262.35,441.82,,,0
CDM,27207610_C1725_272,Hb Cath Balloon Zmed 20X4X100,2128.21,744.87,,,0
CDM,27207611_272,Hb Cath Mpa-2 6Fr X 100Cm,219.19,76.72,,,0
CDM,27207612_272,Hb Cable Connecotr Rfp-100A,2183.92,764.37,,,0
CDM,27207620_C1725_272,Hb Cath Bln Wolverine 2.00X10,3113.04,1089.56,,,0
CDM,27207623_C1725_272,Hb Cath Bln Wolverine 2.25X10,3113.04,1089.56,,,0
CDM,27207625_C1725_272,Hb Cath Bln Wolverine 2.50X6,3113.04,1089.56,,,0
CDM,27207626_C1725_272,Hb Cath Bln Wolverine 2.50X10,3113.04,1089.56,,,0
CDM,27207628_C1725_272,Hb Cath Bln Wolverine 3.00X6,3113.04,1089.56,,,0
CDM,27207629_C1725_272,Hb Cath Bln Wolverine 3.00X10,3113.04,1089.56,,,0
CDM,27207630_C1725_272,Hb Cath Bln Wolverine 3.00X15,3113.04,1089.56,,,0
CDM,27207635_C1725_272,Hb Cath Bln Wolverine 3.50X10,3113.04,1089.56,,,0
CDM,27207645_272,Hb Cath Bern 5X140X038,1057.05,369.97,,,0
CDM,27207660_C1769_272,Hb Wire Lunderquist Dcurve 260Cm,1567.94,548.78,,,0
CDM,27207661_C1887_272,Hb Cath Micro Corsair Pro 135Cm,3780.12,1323.04,,,0
CDM,27207665_C1732_272,Hb Cath Hd Grid Df,9339.12,3268.69,,,0
CDM,27207666_272,Hb Cable Treshold Bipolar,463.53,162.24,,,0
CDM,27207667_C1887_272,Hb Cath Sofia 6F 115Cm,9339.12,3268.69,,,0
CDM,27207668_C1887_272,Hb Cath Sofia 6F 125Cm,9339.12,3268.69,,,0
CDM,27207669_C1887_272,Hb Cath Sofia 6F 131Cm,9339.12,3268.69,,,0
CDM,27207670_C1887_272,Hb Cath Sofia 5F 115Cm,5674.63,1986.12,,,0
CDM,27207675_C1769_272,Hb Wire Protrack 230 Cm,2127.92,744.77,,,0
CDM,27207676_C1731_272,Hb Cath Livewire 7Fr X 115,3762.33,1316.82,,,0
CDM,27207679_C1725_272,Hb Cath Balloon Zmed 23X4X100,3320.42,1162.15,,,0
CDM,27207687_C1892_272,Hb Intro 1000093003 Optiseal Glbl8Fr13Cm,579.41,202.79,,,0
CDM,27207729_C1887_272,Hb Cath C315His02 Rightsite,2198.79,769.58,,,0
CDM,27207732_C1887_272,Hb Cath C315S10  Rightsite,2222.94,778.03,,,0
CDM,27207736_C1887_272,Hb Cath C315S402,2222.94,778.03,,,0
CDM,27207739_C1887_272,Hb Cath C315S502,2222.94,778.03,,,0
CDM,27207913_C1892_272,Hb  Introducer Prelude Snap Splittable Sheath 6F 13Cm Short,788.11,275.84,,,0
CDM,27207914_C1892_272,Hb  Introducer Prelud Snap Splittable Sheath 7F 13Cm Short,768.7,269.04,,,0
CDM,27207917_C1892_272,Hb  Introducer Prelude Snap Splittable Sheath 9F 13Cm Short,762.96,267.04,,,0
CDM,27207924_C1892_272,Hb  Introducer Prelude Snap Splittable Sheath 7F 25Cm Long,762.96,267.04,,,0
CDM,27207925_C1892_272,Hb  Introducer Prelude Snap Splittable Sheath 8F 25Cm Long,762.96,267.04,,,0
CDM,27207926_C1892_272,Hb  Interoducer Prelude Snap Splittable Sheath 9F 25Cm Long,762.96,267.04,,,0
CDM,27208003_272,Hb Kit Lead Acc6056M,3619.72,1266.9,,,0
CDM,27208048,Hb Cath Balloon Er-Reboa,9138.18,3198.36,,,0
CDM,27208048_C1725_272,Hb Cath Balloon Er-Reboa,9138.18,3198.36,,,0
CDM,27208052_C1733_272,Hb Arctic Front Advance Cryoablation Catheter,20012.4,7004.34,,,0
CDM,27208053_C1751_272,Hb Cath Mac Multi Lumen,1645.04,575.76,,,0
CDM,27208058_C1769_272,Hb Guidewire Brecker Curve,2183.92,764.37,,,0
CDM,27208086,Hb Cath Picc 2Lum 2.6Frx50Cm,828.24,289.88,,,0
CDM,27208086_C1751_272,Hb Cath Picc 2Lum 2.6Frx50Cm,828.24,289.88,,,0
CDM,27208087,Hb Intro Kit Tearaway 2Fr 3Cm,595.68,208.49,,,0
CDM,27208097_272,Hb Delivery Sys Amplatzer 45D 7Fx80Cm,2655.88,929.56,,,0
CDM,27208101_272,Hb Delivery Sys Amplatzer 180D 9Fx80Cm,2655.88,929.56,,,0
CDM,27208115_272,Hb Bln Cath Inpact Av Dcb All Szs 7F 7X40-10X40,8227.32,2879.56,,,0
CDM,27208116_272,Hb Bln Cath Inpact Av Dcb All Szs 9F 12X40,8227.32,2879.56,,,0
CDM,27208118_C1769_272,Hb Stroke Wire 18 Support Guidewire,2868.44,1003.95,,,0
CDM,27208119_C1753_272,Hb Cath Opticross 6 Hd,3446.58,1206.3,,,0
CDM,27208120_C1769_272,Hb Guidewire Pt Plus 014 St 300Cm,971.04,339.86,,,0
CDM,27208123_C1887_272,Hb Sys Cat Direxion 130 Gw Fathom 16,3539.97,1238.99,,,0
CDM,27208124_C1887_272,Hb Sys Cat Direxion 155 Gw Fathom 16,3539.97,1238.99,,,0
CDM,27208125_C1894_272,Hb Micropuncture Mini Stick Stiff 4F,448.43,156.95,,,0
CDM,27208126_C1894_272,Hb Micropuncture Mini Stick Stiff 5F,438.39,153.44,,,0
CDM,27208133_1713,Hb Sup Rev 272 Hcpcs A4311,288.77,101.07,,,0
CDM,27208133_1714,Hb Sup Rev 272 Hcpcs A4311,288.77,101.07,,,0
CDM,27208133_1716,Hb Sup Rev 272 Hcpcs A4311,533.02,186.56,,,0
CDM,27208133_1717,Hb Sup Rev 272 Hcpcs A4311,202.03,70.71,,,0
CDM,27208133_1718,Hb Sup Rev 272 Hcpcs A4311,288.77,101.07,,,0
CDM,27208133_17772,Hb Sup Rev 272 Hcpcs A4311,288.77,101.07,,,0
CDM,27208133_1787,Hb Sup Rev 272 Hcpcs A4311,415.65,145.48,,,0
CDM,27208133_72351,Hb Sup Rev 272 Hcpcs A4311,533.02,186.56,,,0
CDM,27208133_A4311_272,Hb Sup Rev 272 Hcpcs A4311,386.58,135.3,,,0
CDM,27208135_C1887_272,Hb Cath Zoom 71 Reperfusion 137Cm,11940.73,4179.26,,,0
CDM,27208136_C1887_272,Hb Cath Zoom 55 Reperfusion 137Cm,11940.73,4179.26,,,0
CDM,27208137_C1887_272,Hb Cath Zoom 45 Reperfusion 144Cm,11940.73,4179.26,,,0
CDM,27208138_C1887_272,Hb Cath Zoom 35 Reperfusion 158Cm,8382.97,2934.04,,,0
CDM,27208140_272,Hb Canister Zoom,3023.54,1058.24,,,0
CDM,27208141_C1887_272,Hb Tracstar 6F 088 Ldpt 95Cm,5314.4,1860.04,,,0
CDM,27208143_C1887_272,Hb Zoom 88-T 6F 088 Ldp 100Cm,14042.03,4914.71,,,0
CDM,27208146_C1887_272,Hb Baln Guide Cath .087 Id Walrus 90Cm,7782.6,2723.91,,,0
CDM,27208146_C1887_624,Hb Baln Guide Cath .087 Id Walrus 90Cm,7782.6,2723.91,,,0
CDM,27208147_C1887_272,Hb Baln Guide Cath .087 Id Walrus 95Cm,7782.6,2723.91,,,0
CDM,27208159_272,Hb Cannula Dilator Angiova 180-Deg,59052.46,20668.36,,,0
CDM,27208161_272,Hb Cath Performa 5Fr X 125Cm Bern,873.94,305.88,,,0
CDM,27208162_272,Hb Cath Performa 5Fr X 135Cm Bern,873.94,305.88,,,0
CDM,27208163_272,Hb Cath Impress Uac 5Fr X 90Cm,662.18,231.76,,,0
CDM,27208164_272,Hb Gel Embo Embocube 2.5Mmx50Mg,901.68,315.59,,,0
CDM,27208165_272,Hb Gel Embo Embocube 5.0Mmx50Mg,901.68,315.59,,,0
CDM,27208166_C1769_272,Hb Guidewire Aristotle 24 Soft,3313.16,1159.61,,,0
CDM,27208167_C1769_272,Hb Guidewire Aristotle 24 Standard,3313.16,1159.61,,,0
CDM,27208168_C1769_272,Hb Guidewire Aristotle 24 Support,3313.16,1159.61,,,0
CDM,27208169_C2628_272,Hb Bln Dual Lumen Eclipse 6Mmx9Mm,8222.87,2878.0,,,0
CDM,27208171_C2628_272,Hb Bln Dual Lumen Eclipse 6Mmx15Mm,8222.87,2878.0,,,0
CDM,27208172_C2628_272,Hb Bln Dual Lumen Eclipse 6Mmx20Mm,8227.32,2879.56,,,0
CDM,27208174_C1887_272,Hb Microcatheter Headway Duo 156Cm,3920.21,1372.07,,,0
CDM,27208175_272,Hb Cath Dragonfly Opstar Imaging,3335.4,1167.39,,,0
CDM,27208177_C1769_272,Hb Gw Gladius Mongo 14 190Cm Str,1567.94,548.78,,,0
CDM,27208185_C1887_272,Hb Cath Micro Caravel 135Cm,3619.72,1266.9,,,0
CDM,27208186_C1887_272,Hb Cath Micro Caravel 150Cm,3619.72,1266.9,,,0
CDM,27208188_C1887_272,Hb Cath Micro Turnpike Spiral 135Cm,3130.83,1095.79,,,0
CDM,27208201_C1884_272,Hb Sys Sentinel Cerebral Protection,17788.8,6226.08,,,0
CDM,27208215_C1887_272,Hb Cath Baln Trapliner 6F,3269.8,1144.43,,,0
CDM,27208217_C1887_272,Hb Cath Guideliner 3.5 5.5F,3440.87,1204.3,,,0
CDM,27208218_C1769_272,Hb Wire Converter Piggyback 145Cm,4411.62,1544.07,,,0
CDM,27208219_C1769_272,Hb Gw Synchro Select 14 Sft Ps 215Cm,2612.7,914.44,,,0
CDM,27208220_C1769_272,Hb Gw Synchro Select 14 Sft St 215Cm,2614.68,915.14,,,0
CDM,27208224_C1769_272,Hb Gw Synchro Select 14 Std St 215Cm,2598.62,909.52,,,0
CDM,27208226_C1769_272,Hb Gw Synchro Select 14 Std St 300Cm,3291.05,1151.87,,,0
CDM,27208227_C1769_272,Hb Gw Synchro Select 14 Sup Ps 215Cm,2626.95,919.43,,,0
CDM,27208232_272,Hb Adx Ptfe 035X150 Fc St Bentson,264.85,92.7,,,0
CDM,27208233_C1725_272,Hb Cath Bln True Dil 20X4.5X110,4318.59,1511.51,,,0
CDM,27208234_C1725_272,Hb Cath Bln True Dil 21X4.5X110,4587.9,1605.76,,,0
CDM,27208235_C1725_272,Hb Cath Bln True Dil 25X4.5X110,4914.43,1720.05,,,0
CDM,27208244_C1725_272,Hb Cath Bln Conquest 100Mmx8Cm,2191.77,767.12,,,0
CDM,27208245_C1874_272,Hb Graft Stent Covera Fl 10X60X80Cm,7129.9,2495.46,,,0
CDM,27208247_C1874_272,Hb Graft Stent Covera St 8X40X80Cm,6693.37,2342.68,,,0
CDM,27208248_C1874_272,Hb Graft Stent Covera St 9X40X80Cm,6693.37,2342.68,,,0
CDM,27208250_C1874_272,Hb Graft Stent Covera St 10X60X80Cm,6693.37,2342.68,,,0
CDM,27208253,Hb Guidewire J .035In / 0.89Mm,222.36,77.83,,,0
CDM,27208253_C1769_272,Hb Guidewire J .035In / 0.89Mm,222.36,77.83,,,0
CDM,27208254,Hb Valve 5Fr 7Cm Locking Hub  Osc-5F-7Lt,387.6,135.66,,,0
CDM,27208254_C1729_272,Hb Valve 5Fr 7Cm Locking Hub  Osc-5F-7Lt,387.6,135.66,,,0
CDM,27208258_C1773_272,Hb Kit Single Loop Snare Retrieval,2214.42,775.05,,,0
CDM,27208280_272,Hb Cath Ssp Extended  Hook,4215.92,1475.57,,,0
CDM,27208304_163430,Hb Sup Rev 272 Hcpcs A6010,1469.21,514.22,,,0
CDM,27208304_163431,Hb Sup Rev 272 Hcpcs A6010,2852.25,998.29,,,0
CDM,27208304_163432,Hb Sup Rev 272 Hcpcs A6010,5690.36,1991.63,,,0
CDM,27208304_219136,Hb Sup Rev 272 Hcpcs A6010,1271.43,445.0,,,0
CDM,27208304_219571,Hb Sup Rev 272 Hcpcs A6010,4223.97,1478.39,,,0
CDM,27208316,Hb Drsg Mepilex Ag 8X20In Bicu,844.56,295.6,,,0
CDM,27208316_272,Hb Drsg Mepilex Ag 8X20In Bicu,844.56,295.6,,,0
CDM,27208317,Hb Dressing Mepilex Ag 8X8 In Bicu,554.88,194.21,,,0
CDM,27208317_272,Hb Dressing Mepilex Ag 8X8 In Bicu,554.88,194.21,,,0
CDM,27208321_272,Hb Kit Wrench 5873W Sterile,579.41,202.79,,,0
CDM,27208322_C1887_272,Hb Cath Selectsite His,3130.83,1095.79,,,0
CDM,27208323_199171,Hb Sup Rev 272 Hcpcs C1886,22925.32,8023.86,,,0
CDM,27208323_217119,Hb Sup Rev 272 Hcpcs C1886,22925.32,8023.86,,,0
CDM,27208326_C1887_272,Hb Microcath Via 2.4F 0.017 Str 154Cm,3941.43,1379.5,,,0
CDM,27208327_C1887_272,Hb Microcath Via 2.4F .017 45Deg 154Cm,3941.43,1379.5,,,0
CDM,27208329_C2628_272,Hb Baln Ocln Scepter Mini 2.2X9 165Cm,8334.93,2917.23,,,0
CDM,27208332_C1887_272,Hb Microcath Headway Duo Str 167Cm,3243.56,1135.25,,,0
CDM,27208340,Hb Dilator 8F,239.7,83.9,,,0
CDM,27208340_272,Hb Dilator 8F,239.7,83.9,,,0
CDM,27208341,Hb Dilator 10F,239.7,83.9,,,0
CDM,27208341_272,Hb Dilator 10F,239.7,83.9,,,0
CDM,27208342,Hb Dialtor 12F,239.7,83.9,,,0
CDM,27208342_272,Hb Dialtor 12F,239.7,83.9,,,0
CDM,27208343,Hb Dialtor 14F,144.84,50.69,,,0
CDM,27208343_272,Hb Dialtor 14F,144.84,50.69,,,0
CDM,27208344,Hb Skater 10F,899.64,314.87,,,0
CDM,27208344_C1729_272,Hb Skater 10F,899.64,314.87,,,0
CDM,27208345,Hb Skater 12F,899.64,314.87,,,0
CDM,27208345_C1729_272,Hb Skater 12F,899.64,314.87,,,0
CDM,27208346,Hb Skater 14 Fr,899.64,314.87,,,0
CDM,27208346_C1729_272,Hb Skater 14 Fr,899.64,314.87,,,0
CDM,27208350_272,Hb Medrad Mark 7 Arterian Injection System Syringe,257.98,90.29,,,0
CDM,27208352_C1724_272,Hb Rotapro 1.50Mm,8872.16,3105.26,,,0
CDM,27208353_C1724_272,Hb Rotapro 1.75Mm,8872.16,3105.26,,,0
CDM,27208361_C1887_272,Hb Cath Sofia 5F 125Cm,5674.63,1986.12,,,0
CDM,27208364_C1887_272,Hb Microcatheter Wedge 2F 160Cm,11118.0,3891.3,,,0
CDM,27208367_C1761_272,Hb Cath Shockwave C2 6F 4.0 12X138,20901.84,7315.64,,,0
CDM,27208370_272,"""Hb Drsg Quikclot 4""""X 4""",417.27,146.04,,,0
CDM,27208371_272,Hb Su Vloc 4-0 P12  12In 90,1874.81,656.18,,,0
CDM,27208372_C1769_272,Hb Wire Lunderquist Str .035X260,1401.07,490.37,,,0
CDM,27208373_C1894_272,Hb Introducer Sheath Sentrant 14X28,1903.93,666.38,,,0
CDM,27208374_C1894_272,Hb Introducer Sheath Sentrant 16X28,1903.93,666.38,,,0
CDM,27208375_C1894_272,Hb  Introducer Sheath Sentrant 18X28,1903.93,666.38,,,0
CDM,27208376_C1893_272,Hb Needle Nrg Transeptal Kit,3668.94,1284.13,,,0
CDM,27208377_C1769_272,Hb Guidewire Aplatz  Extra Stiff .35X250,521.88,182.66,,,0
CDM,27208378_272,Hb Balloon Intra-Aortic Sensation 50Cc,4307.6,1507.66,,,0
CDM,27208379_272,Hb Suture Slk Prmhnd 0 Ct1 18In,194.37,68.03,,,0
CDM,27208380,Hb 1.4 Fr Picc Sheath Introducer Only,580.38,203.13,,,0
CDM,27208380_C1894_272,Hb 1.4 Fr Picc Sheath Introducer Only,2039.39,713.79,,,0
CDM,27208381,Hb 1.9 Fr Picc Sheath Introducer Only,580.38,203.13,,,0
CDM,27208381_C1894_272,Hb 1.9 Fr Picc Sheath Introducer Only,580.38,203.13,,,0
CDM,27208382,Hb 1.4 Fr Poly Picc Catheter Only (28Cm),616.08,215.63,,,0
CDM,27208383,Hb 1.9 Fr Poly Picc Catheter Only (28Cm),599.76,209.92,,,0
CDM,27208383_C1751_272,Hb 1.9 Fr Poly Picc Catheter Only (28Cm),599.76,209.92,,,0
CDM,27208384,Hb 1.4 Fr Poly Picc Complete Kit,1353.54,473.74,,,0
CDM,27208384_C1751_272,Hb 1.4 Fr Poly Picc Complete Kit,1353.54,473.74,,,0
CDM,27208385,Hb 1.9 Fr Poly Picc Complete Kit,1317.84,461.24,,,0
CDM,27208385_C1751_272,Hb 1.9 Fr Poly Picc Complete Kit,1317.84,461.24,,,0
CDM,27208386,Hb 1.9 Fr Poly Picc Catheter Only -Dual Lumen,932.28,326.3,,,0
CDM,27208387,Hb Picc Dressing Change Kit,347.82,121.74,,,0
CDM,27208388,Hb Picc Insert Tray -No Catheter/Introducer,580.38,203.13,,,0
CDM,27208389,Hb 1.9Fr Poly Dual Lumen Complete Kit,1433.1,501.58,,,0
CDM,27208390_C1893_272,Hb Kit Versacross Large Access,4869.68,1704.39,,,0
CDM,27208391_C1893_272,Hb Kit Versacross Ts Sheath,4024.72,1408.65,,,0
CDM,27208392_C1769_272,Hb Kit Powerwire Rf Gw 110 Ang 40G,9847.37,3446.58,,,0
CDM,27208393_272,Hb Tubing Aspiration Clot Pod Zoom,3023.54,1058.24,,,0
CDM,27208398_C1887_272,Hb Cath Radial Rist 7F 100Cm,5203.22,1821.13,,,0
CDM,27208408_C1773_272,Hb Kit Se-Loop Snare Halo 20Mm 6F,2351.92,823.17,,,0
CDM,27208423,Hb Cannula Protekduo Ecls 31Fr,57813.6,20234.76,,,0
CDM,27208423_272,Hb Cannula Protekduo Ecls 31Fr,57813.6,20234.76,,,0
CDM,27208424,Hb Cannula Protekduo Ecls 29Fr,57813.6,20234.76,,,0
CDM,27208424_272,Hb Cannula Protekduo Ecls 29Fr,57813.6,20234.76,,,0
CDM,27208425,Hb Cannula Transseptal 72Cm,42248.4,14786.94,,,0
CDM,27208426,Hb Cannula Transseptal 62Cm,42248.4,14786.94,,,0
CDM,27208431_174065,Hb Sup Rev 272 Hcpcs C1888,3832.65,1341.43,,,0
CDM,27208431_176094,Hb Sup Rev 272 Hcpcs C1888,4669.56,1634.35,,,0
CDM,27208438_272,Hb Catheter Cable Octaray,5216.57,1825.8,,,0
CDM,27208440_C1887_272,Hb Catheter Armadillo 7R 95Cm 27Cm,7782.6,2723.91,,,0
CDM,27208443_272,Hb Catheter Versisight Pro Ice,15120.48,5292.17,,,0
CDM,27208446_C1769_272,Hb Gw Safari2 Extra Sm Curve Tavr,2512.52,879.38,,,0
CDM,27208448_C1729_272,Hb Cath Biliary Drain 16F X 40,1270.26,444.59,,,0
CDM,27208449_272,Hb Retractor Radialux Lighted Retracto,2519.91,881.97,,,0
CDM,27208450_C1894_272,Hb Sheath Dryseal  24Frx33,3815.7,1335.5,,,0
CDM,27208451_C1894_272,Hb Sheath Dryseal  18Frx33,3815.7,1335.5,,,0
CDM,27208455_C1887_272,Hb Sheath Tourguide Aptus 8.5X55X17,3832.65,1341.43,,,0
CDM,27208494_272,Hb Stylet Acc Sty Sft Lng Tpr 52Cm 5013,579.87,202.95,,,0
CDM,27208495_272,Hb Stylet Acc Sty Sft Lng Tpr 59Cm 5014,579.87,202.95,,,0
CDM,27208496_272,Hb Stylet Tpr .014 45Cm,579.87,202.95,,,0
CDM,27208497_272,Hb Stylet Tpr .014 52Cm,579.87,202.95,,,0
CDM,27208727_272,Hb Acc Intrdcr Valv Fr9 - Ea,579.87,202.95,,,0
CDM,27208746_272,Hb Sys Del S-Icd Electrode,2825.4,988.89,,,0
CDM,27208747,Hb Tubing Cassette Purge Impella,2239.92,783.97,,,0
CDM,27208747_272,Hb Tubing Cassette Purge Impella,2239.92,783.97,,,0
CDM,27208756_C1769_272,Hb Gw Hi-Torque Versacore Mod J 145,824.16,288.46,,,0
CDM,27208762_C1769_272,Hb Gw Hi-Torque Versacore Floppy 260,1040.4,364.14,,,0
CDM,27208766_C1730_272,Hb Cath Mapping Achieve Adv 25Mm,4647.32,1626.56,,,0
CDM,27208767_C1733_272,Hb Cath Cryo Artic Front Adv Pro 23Mm,20012.4,7004.34,,,0
CDM,27208768_272,"Hb 8F-10F Bridle Pro Teal,5/Bx",1204.05,421.42,,,0
CDM,27208769_272,"Hb 12-14F Bridle Pro Dark Blue,5/Bx",1204.01,421.4,,,0
CDM,27208770_272,"Hb 16-18F Bridle Pro Yellow,5/Bx",1455.95,509.58,,,0
CDM,27208795_272,Hb Sys Loading Evolut Fx 23-29Mm,1248.48,436.97,,,0
CDM,27208796_272,Hb Sys Loading Evolute Fx 34Mm,1248.48,436.97,,,0
CDM,27208800_272,Hb Vest Mapping Sensor Array Sm,1248.48,436.97,,,0
CDM,27208801_272,Hb Vest Mapping Sensor Array Med,1227.67,429.68,,,0
CDM,27208802_272,Hb Vest Mapping Sensor Array Lg,1248.48,436.97,,,0
CDM,27208803_272,Hb Vest Mapping Sensor Array Xl,1248.48,436.97,,,0
CDM,27208826_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.25 X 6,1248.48,436.97,,,0
CDM,27208827_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.25 X 8,1248.48,436.97,,,0
CDM,27208828_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.25 X 12,1248.48,436.97,,,0
CDM,27208829_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.25 X 15,1233.62,431.77,,,0
CDM,27208830_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.25 X 20,1248.48,436.97,,,0
CDM,27208831_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.50?X 6,1248.48,436.97,,,0
CDM,27208832_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.50 X 8,1248.48,436.97,,,0
CDM,27208833_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.50 X 12,1230.39,430.64,,,0
CDM,27208834_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.50 X 15,1241.98,434.69,,,0
CDM,27208835_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.50 X 20,1248.48,436.97,,,0
CDM,27208837_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.75 X 6,1248.48,436.97,,,0
CDM,27208838_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.75 X 8,1220.74,427.26,,,0
CDM,27208839_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.75  X 12,1243.14,435.1,,,0
CDM,27208840_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.75 X 15,1248.48,436.97,,,0
CDM,27208841_C1725_272,Hb Cath Bln Nc Trek Neo Rx 2.75 X 20,1235.74,432.51,,,0
CDM,27208842_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.00 X 6,1248.48,436.97,,,0
CDM,27208843_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.00 X 8,1242.17,434.76,,,0
CDM,27208844_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.00 X 12,1248.48,436.97,,,0
CDM,27208845_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.00 X 15,1248.48,436.97,,,0
CDM,27208846_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.00 X 20,1248.48,436.97,,,0
CDM,27208847_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.00 X 25,1226.58,429.3,,,0
CDM,27208848_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.25 X 6,1248.48,436.97,,,0
CDM,27208849_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.25 X 8,1248.48,436.97,,,0
CDM,27208850_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.25 X 12,1248.48,436.97,,,0
CDM,27208851_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.25 X 15,1248.48,436.97,,,0
CDM,27208852_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.25 X 20,1236.92,432.92,,,0
CDM,27208853_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.50 X 6,1248.48,436.97,,,0
CDM,27208854_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.50 X 8,1248.48,436.97,,,0
CDM,27208855_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.50 X 12,1248.48,436.97,,,0
CDM,27208856_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.50 X 15,1246.12,436.14,,,0
CDM,27208857_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.50 X 20,1248.48,436.97,,,0
CDM,27208858_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.50 X 25,1248.48,436.97,,,0
CDM,27208859_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.75 X 8,1248.48,436.97,,,0
CDM,27208860_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.75 X 12,1248.48,436.97,,,0
CDM,27208861_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.75 X 15,1248.48,436.97,,,0
CDM,27208862_C1725_272,Hb Cath Bln Nc Trek Neo Rx 3.75 X 20,1248.48,436.97,,,0
CDM,27208863_C1725_272,Hb Cath Bln Nc Trek Neo Rx 4.00 X 8,1248.48,436.97,,,0
CDM,27208864_C1725_272,Hb Cath Bln Nc Trek Neo Rx 4.00 X 12,1248.48,436.97,,,0
CDM,27208865_C1725_272,Hb Cath Bln Nc Trek Neo Rx 4.00 X 15,1248.48,436.97,,,0
CDM,27208866_C1725_272,Hb Cath Bln Nc Trek Neo Rx 4.00 X 20,1248.48,436.97,,,0
CDM,27208867_C1725_272,Hb Cath Bln Nc Trek Neo Rx 4.50 X 8,1240.48,434.17,,,0
CDM,27208868_C1725_272,Hb Cath Bln Nc Trek Neo Rx 4.50 X 12,1248.48,436.97,,,0
CDM,27208869_C1725_272,Hb Cath Bln Nc Trek Neo Rx 4.50 X 15,1248.48,436.97,,,0
CDM,27208871_C1725_272,Hb Cath Bln Nc Trek Neo Rx 5.00 X 8,1248.48,436.97,,,0
CDM,27208872_C1725_272,Hb Cath Bln Nc Trek Neo Rx 5.00 X 12,1248.48,436.97,,,0
CDM,27208873_C1725_272,Hb Cath Bln Nc Trek Neo Rx 5.00 X 15,1248.48,436.97,,,0
CDM,27208878_C1725_272,Hb Cath Bln Nc Trek Neo Rx 6.00 X 12,1248.48,436.97,,,0
CDM,27208879_C1725_272,Hb Cath Bln Nc Trek Neo Rx 6.00 X 15,1248.48,436.97,,,0
CDM,27208896_272,Hb Suture Prln 4-0 Sh 36In 2 Arm,128.73,45.06,,,0
CDM,27208901_272,Hb Cath Thoracic Silic 32F St,267.9,93.76,,,0
CDM,27208926_272,Hb Vend Pacing Wire White,365.32,127.86,,,0
CDM,27208929_272,Hb Sealer Bipolar Aquamantys 9.5Xl,2601.61,910.56,,,0
CDM,27208935_C1757_272,Hb Cath Fogarty Adherent Clot 4F,2183.84,764.34,,,0
CDM,27208979_272,Hb Cath Thor Sil Str 28Fr,267.9,93.76,,,0
CDM,27209009_272,Hb Cath Thor Sil Str 24Fr,517.24,181.03,,,0
CDM,27209011_272,Hb Cath Thor Sil Rt Ang 24Fr,469.82,164.44,,,0
CDM,27209024_C1769_272,Hb Wire Guide Cto Approach 18G X300,1713.65,599.78,,,0
CDM,27209025_C1769_272,Hb Wire Guide Cto Approach 25Gx300,1713.65,599.78,,,0
CDM,27209039_C1726_272,Hb Balloon Cre Pulmonary 10-12Mm,2587.64,905.67,,,0
CDM,27209048_272,Hb Hb Grasper Raptor,1326.37,464.23,,,0
CDM,27209050_C1725_272,Hb Cath Bln Mustang 12.0X80X75Cm,1791.94,627.18,,,0
CDM,27209086_C1894_272,Hb Sheath Dryseal 12Frx33,2881.79,1008.63,,,0
CDM,27209087_C1894_272,Hb Sheath Dryseal   14Frx33,2881.79,1008.63,,,0
CDM,27209089_C1894_272,Hb Sheath Dryseal  16Frx33,2881.79,1008.63,,,0
CDM,27209090_C1894_272,Hb Sheath Dryseal  20Frx33,3815.7,1335.5,,,0
CDM,27209217_C1769_272,Hb Control Guidewire V-18 300Cm 12Cm Poly Tip,1165.25,407.84,,,0
CDM,27209230_C1725_272,Hb Cath Balloon 35Lp 10X2.0X135,1304.8,456.68,,,0
CDM,27209254_272,Hb Coil Embo Nester 8Mm X14Cmx 0.18,1256.38,439.73,,,0
CDM,27209271_272,Hb Kit Surface Electrode,4669.56,1634.35,,,0
CDM,27209272_C1759_272,Hb Cath Acunav G 10F-90,10757.78,3765.22,,,0
CDM,27209273_C1769_272,Hb Wire Amplatz Ssj .035X260,430.42,150.65,,,0
CDM,27209275_272,Hb Suture Ticron 2-0 T19,159.58,55.85,,,0
CDM,27209276_C1729_272,Hb Cath Nephrostomy 10,996.01,348.6,,,0
CDM,27209277_C1731_272,Hb Cath Mapping Octaray 2Cm D 33333,10935.98,3827.59,,,0
CDM,27209279_C1769_272,Hb Gw Gaia Next 3 190Cm Preshape,1399.95,489.98,,,0
CDM,27209280_C1725_272,Hb Cath Baln Sapphire Ii Pro 1X15X140,2519.91,881.97,,,0
CDM,27209281_272,Hb 12 Inc Stratafix Sprl Sut 4-0 Mono Pls Undyed,352.09,123.23,,,0
CDM,27209282_272,Hb Catheter Spyglass Discover,12572.23,4400.28,,,0
CDM,27209284_C1769_272,Hb Guidewire Lunderquist Str 0.35X300Cm,353.46,123.71,,,0
CDM,27209382_C1894_272,Hb Gen Aveir Vr Leadless 19.5F 38.5 Rv,7782.6,2723.91,,,0
CDM,27209384_C1894_272,Hb Catheter Retrieval Aveir Vr,2668.32,933.91,,,0
CDM,27209385_C1894_272,Hb Kit Introducer Aveir Vr 25F Id 50Cm,2668.32,933.91,,,0
CDM,27209387_181201,Hb Sup Rev 272 Hcpcs A9272,2799.9,979.96,,,0
CDM,27209387_181226,Hb Sup Rev 272 Hcpcs A9272,2799.9,979.96,,,0
CDM,27209387_181227,Hb Sup Rev 272 Hcpcs A9272,2799.9,979.96,,,0
CDM,27209389_C1887_272,Hb Cath Delivery Selectra 3D-55-39,2799.9,979.96,,,0
CDM,27209390_C1887_272,Hb Cath Delivery Selectra 3D-65-39,2799.9,979.96,,,0
CDM,27209392_C1887_272,Hb Cath Delivery Selectra 3D-55-42,2799.9,979.96,,,0
CDM,27209393_C1887_272,Hb Cath Delivery Selectra 3D-65-42,2799.9,979.96,,,0
CDM,27209394_272,Hb Kit Standalone Ext Prevena Plus,3832.65,1341.43,,,0
CDM,27209395_272,Hb Drsg Kit Prevena Plus,3227.94,1129.78,,,0
CDM,27209396_272,Hb Kit Prevena Peel & Place 20Cm/5,2512.52,879.38,,,0
CDM,27209405_A9272_272,Hb Drsg Pico 14 10 X 40Cm,2725.44,953.9,,,0
CDM,27209412,Hb Dilator 16F,144.84,50.69,,,0
CDM,27209413,Hb Cath Drain Skater 16F,930.24,325.58,,,0
CDM,27209413_C1729_272,Hb Cath Drain Skater 16F,930.24,325.58,,,0
CDM,27209414,Hb Cath Drainage Skater 8F X 30Cm,930.24,325.58,,,0
CDM,27209414_C1729_272,Hb Cath Drainage Skater 8F X 30Cm,930.24,325.58,,,0
CDM,27209431_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 4X40,6501.81,2275.63,,,0
CDM,27209432_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 4X60,6626.33,2319.22,,,0
CDM,27209433_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 4X80,6626.33,2319.22,,,0
CDM,27209435_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 4X120,7293.41,2552.69,,,0
CDM,27209437_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 5X40,6626.33,2319.22,,,0
CDM,27209438_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 4X60,6626.33,2319.22,,,0
CDM,27209439_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 5X80,6315.02,2210.26,,,0
CDM,27209440_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 5X100,6003.72,2101.3,,,0
CDM,27209441_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 5X120,7293.41,2552.69,,,0
CDM,27209443_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 6X40,6626.33,2319.22,,,0
CDM,27209444_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 6X60,6626.33,2319.22,,,0
CDM,27209445_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 6X80,6626.33,2319.22,,,0
CDM,27209448_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 6X150,7960.49,2786.17,,,0
CDM,27209449_C2623_272,Hb Baln Cath Inpact Adm Dcb  018 7X40,6626.33,2319.22,,,0
CDM,27209459_189316,Hb Sup Rev 272 Hcpcs C1747,11329.44,3965.3,,,0
CDM,27209459_213547,Hb Sup Rev 272 Hcpcs C1747,10673.28,3735.65,,,0
CDM,27209459_215552,Hb Sup Rev 272 Hcpcs C1747,10673.28,3735.65,,,0
CDM,27209459_215870,Hb Sup Rev 272 Hcpcs C1747,2631.91,921.17,,,0
CDM,27209459_222638,Hb Sup Rev 272 Hcpcs C1747,13341.6,4669.56,,,0
CDM,27209466_C1893_272,Hb Versacross Connect Laac 230P D0,4869.68,1704.39,,,0
CDM,27209470_C1725_272,Hb Cath Shockwave M5+Ivl 5.0X60,15342.84,5369.99,,,0
CDM,27209472_C1725_272,Hb Cath Shockwave M5+Ivl 6.0X60,15342.84,5369.99,,,0
CDM,27209474_C1725_272,Hb Kit Shockwave S4 Ivl 2.5X40,12229.8,4280.43,,,0
CDM,27209475_C1725_272,Hb Kit Shockwave S4 Ivl 3.0X40,12229.8,4280.43,,,0
CDM,27209480_C1887_272,Hb Sheath Destination Slender 6F 85Cm,2570.0,899.5,,,0
CDM,27209481_C1887_272,Hb Sheath Destination Slender 6F 105Cm,2570.0,899.5,,,0
CDM,27209484_C1724_272,Hb Cath Rotapro 1.25X135,8872.16,3105.26,,,0
CDM,27209494,Hb Belt Outer Size L Evaheart2,1387.2,485.52,,,0
CDM,27209495,Hb Belt Outer Size M Evaheart2,1387.2,485.52,,,0
CDM,27209496,Hb Belt Outer Size Xl Evaheart2,1387.2,485.52,,,0
CDM,27209497,Hb Belt Outer Size Xxl Evaheart2,1387.2,485.52,,,0
CDM,27209499_272,Hb System Biopsy Temno Elite  18X10,799.86,279.95,,,0
CDM,27209502_272,Hb Kit Mini Access S-Mak 5F,619.97,216.99,,,0
CDM,27209507_206576,Hb Sup Rev 272 Hcpcs A6550,209.21,73.22,,,0
CDM,27209507_212543,Hb Sup Rev 272 Hcpcs A6550,713.67,249.78,,,0
CDM,27209513_C1757_272,Hb Device Embotrap Iii 5.0Mmx22Mm,29498.63,10324.52,,,0
CDM,27209514_C1757_272,Hb Device Embotrap Iii 5.0Mmx37Mm,29498.63,10324.52,,,0
CDM,27209515_C1757_272,Hb Cath Ltg Flash 100 Asp Tub 6F 135Ber,43451.05,15207.87,,,0
CDM,27209517_C1757_272,Hb Cath Ltg Flash 80 Asp Tub 6F 105Ber,43449.14,15207.2,,,0
CDM,27209518_C1757_272,Hb Cath Ltg Flash 100 Asp Tub 6F 135 H1,43449.14,15207.2,,,0
CDM,27209520_C1769_272,Hb Gwire Amplatz Ex-Stiff .032X180Cm,523.51,183.23,,,0
CDM,27209521_C1769_272,Hb Gw Hybrid 007 Str Tip,4030.53,1410.69,,,0
CDM,27209523_C1769_272,Hb Gw Hybrid 008 Str Tip,3912.22,1369.28,,,0
CDM,27209527_272,Hb Dermabond Prineo Skin Closure System (22 Cm),977.43,342.1,,,0
CDM,27209530_272,Hb Vascular Access Kit Opus 5/Pk,1567.94,548.78,,,0
CDM,27209541_C1726_272,Hb Cath Balloon Dilation 18-20,2161.07,756.37,,,0
CDM,27209542_C1726_272,Hb Cath Dilatation Cre 30-36Fr,1916.81,670.88,,,0
CDM,27209573_C1725_272,Hb Cath Bln Coyote 3.5X60X150,2469.93,864.48,,,0
CDM,27209581_C1725_272,Hb Baln Cath Ptca Takeru 1.5X20Mm,1526.88,534.41,,,0
CDM,27209582,Hb Cath Sx 8Fr,309.06,108.17,,,0
CDM,27209584_C1729_272,Hb Cath Drainage Skater 10F X 30Cm,957.17,335.01,,,0
CDM,27209588_C1729_272,Hb Cath Surgical Drain 8.5Fx25Cm,977.7,342.2,,,0
CDM,27209589_C1729_272,Hb Cath Surgical Drain 10Fx25Cm,977.7,342.2,,,0
CDM,27209590_C1729_272,Hb Cath Surgical Drain 12Fx25Cm,977.7,342.2,,,0
CDM,27209591_C1729_272,Hb Cath Surgical Drain 14Fx25Cm,977.7,342.2,,,0
CDM,27209604_272,** Do Not Use - Computer Duplicated Numbers - Numbers Entered In Ps Before Epic,3406.8,1192.38,,,0
CDM,27209609_C1887_272,Hb Microcath Progreat 1.9F Tri Ang  165Cm,3671.16,1284.91,,,0
CDM,27209611_C1725_272,Hb Cath Dil Pta Atlas Gold .035 18X40X120,2456.3,859.7,,,0
CDM,27209614_C1725_272,Hb Cath Dil Pta Atlas Gold .035 20X40X120,2862.88,1002.01,,,0
CDM,27209616_C1725_272,Hb Cath Dil Pta Atlas Gold .035 22X40X120,2862.88,1002.01,,,0
CDM,27209619_C1725_272,Hb Cath Dil Pta Atlas Gold .035 26X20X120,2862.88,1002.01,,,0
CDM,27209620_C1725_272,Hb Cath Dil Pta Atlas Gold .035 26X40X120,2862.88,1002.01,,,0
CDM,27209621_C1887_272,Hb Set Portal Vein Access Traveler 16,4258.5,1490.48,,,0
CDM,27209622_C1887_272,Hb Set Portal Vein Access Traveler 21,3198.38,1119.43,,,0
CDM,27209624_C1887_272,Hb Cath Guide Eaucath Power Backup 3.5 7.5F,1455.95,509.58,,,0
CDM,27209625_C1887_272,Hb Cath Guide Eaucath Power Backup 4.0 7.5F,1455.95,509.58,,,0
CDM,27209629,Hb System Jada 2.0 Vacuum-Induced,5315.22,1860.33,,,0
CDM,27209629_272,Hb System Jada 2.0 Vacuum-Induced,5759.12,2015.69,,,0
CDM,27209630_C1769_272,Hb Gw Aristotle 14 Standard 200,2334.78,817.17,,,0
CDM,27209631_C1769_272,Hb Gw Zoom Wire 14 Support,2445.96,856.09,,,0
CDM,27209633_C1887_272,Hb Catheter Cps Locator 3D Medium,2980.95,1043.33,,,0
CDM,27209634_C1887_272,Hb Catheter Cps Locator 3D Large,2980.95,1043.33,,,0
CDM,27209635_C1887_272,Hb Catheter Cps Locator 3D Medium Extra Long,2980.95,1043.33,,,0
CDM,27209638_C1732_272,Hb Electrodes Optrell 48 D-F,10942.02,3829.71,,,0
CDM,27209641_272,Hb Syringe Inflation Vascband 21Cm Short,445.32,155.86,,,0
CDM,27209645_272,Hb Syringe Inflation Vascband 37Cm Xxl,444.22,155.48,,,0
CDM,27209646_C1760_272,Hb Closure Device Celt Acd 5Fr,2183.92,764.37,,,0
CDM,27209647_C1760_272,Hb Closure Device Celt Acd 6Fr,2183.92,764.37,,,0
CDM,27209652_272,Hb Retriever Trevo Nxt 4Mmx28Mm,30452.2,10658.27,,,0
CDM,27209653_272,Hb Retriever Trevo Nxt 4Mmx41Mm,32507.26,11377.54,,,0
CDM,27209656_C1887_272,Hb Catheter Distal Access .038 136Cm,5178.32,1812.41,,,0
CDM,27209657_272,Hb Stent Surpass Evolve 4Mm X 15Mm,58004.96,20301.74,,,0
CDM,27209658_272,Hb Controller Web Detachment,2071.93,725.18,,,0
CDM,27209689_C1748_272,"Inactive - Hb Endoscope, Single, Ugi",8894.4,3113.04,,,0
CDM,27209692_C1887_272,Hb Cath Zoom 88 Ldp Support 100Cm,14208.8,4973.08,,,0
CDM,27209693_C1887_272,Hb Cath Zoom Rdl Radial Access 103Cm,14208.8,4973.08,,,0
CDM,27209694_272,Hb Kit Baln Omnicurve 11Gx15Mm,12597.85,4409.25,,,0
CDM,27209695_272,Hb Kit Baln Omnicurve 11Gx20Mm,12563.21,4397.12,,,0
CDM,27209697_C1773_272,Hb Retriever Cloversnare 4-Loop 6F 90Cm,2858.12,1000.34,,,0
CDM,27209700_C1887_272,Hb Catheter Cereglide 71 132Cm,11321.46,3962.51,,,0
CDM,27209703_C1769_272,Hb Guidewire Optpwire Iii Str Tip 180Cm,2668.32,933.91,,,0
CDM,27209704_C1761_272,Hb Cath Shockwave C2+ 6F 2.5 12X138,20901.84,7315.64,,,0
CDM,27209705_C1761_272,Hb Cath Shockwave C2+ 6F 3.0 12X138,20901.84,7315.64,,,0
CDM,27209706_C1761_272,Hb Cath Shockwave C2+ 6F 3.5 12X138,20901.84,7315.64,,,0
CDM,27209707_C1761_272,Hb Cath Shockwave C2+ 6F 4.0 12X138,20901.84,7315.64,,,0
CDM,27209712_C1732_272,Hb Cath Qdot Micro Bi Tc D-F Curve,16937.53,5928.14,,,0
CDM,27209715_C2630_272,Hb Cath Ablation Tactiflex Bid Curve D-F,19645.76,6876.02,,,0
CDM,27209745_272,Hb Hemostat Snow Surgicel 1X2,753.57,263.75,,,0
CDM,27209750_C1769_272,Hb Guidewire Rosen Xtra Stiff,467.17,163.51,,,0
CDM,27209757_272,Hb Tip Vistaseal Rigid 35Cm,793.9,277.86,,,0
CDM,27209774_C1757_272,Hb Cath Indigo 7 130Cm Xtorq Ltg Bolt Asp Tubing,24948.79,8732.08,,,0
CDM,27209775_C1757_272,Hb Cath Indigo 12 115Cm Htorq Ltg Asp Tubing,30285.43,10599.9,,,0
CDM,27209783_C1757_272,Hb Cath Indigo 7 130Cm Torq Ltg Bolt Asp Tubing,35310.77,12358.77,,,0
CDM,27209788_C1769_272,Hb Guidewire .035Dia 260 Cm 3Mm J Tip,207.59,72.66,,,0
CDM,27209789_272,Hb System Loading Navitor Flexnav Sm,6670.8,2334.78,,,0
CDM,27209790_272,Hb Valve Tavi Navitor 27Mm,4258.5,1490.48,,,0
CDM,27209791_272,Hb System Delivery Flexnav Large,6670.8,2334.78,,,0
CDM,27209792_272,Hb System Loading Navitor Flexnav Lg,4258.5,1490.48,,,0
CDM,27209793_C1769_272,Hb Guidewire Circulo Tavi Extra Small,662.18,231.76,,,0
CDM,27209799_C1769_272,Hb Guide Wire Support Amplatz Extra-Stiff,427.25,149.54,,,0
CDM,27209801_C1729_272,Hb Cath Mac-Loc Blry Ult10.2-38-40-P-32S-Clb-Rh,1002.39,350.84,,,0
CDM,27209803_C1729_272,Hb Cath Mac-Loc Drain Dawson-Mueller,913.05,319.57,,,0
CDM,27209810_272,Hb Needle Kyphon Kurve Crvd Bone Fill A La Carte,2748.37,961.93,,,0
CDM,27209817,Hb Kit Pleura-Seal Thoracentsis,964.92,337.72,,,0
CDM,27209818,Hb Tray Catheter Wayne,3049.8,1067.43,,,0
CDM,27209819,Hb 4Fr Single Ppic W/3Cg,2582.64,903.92,,,0
CDM,27209819_C1751_272,Hb 4Fr Single Ppic W/3Cg,2582.64,903.92,,,0
CDM,27209819_C1751_278,Hb 4Fr Single Ppic W/3Cg,2734.56,957.1,,,0
CDM,27209820,Hb 4Fr Dual Ppic W/3Cg,2932.5,1026.38,,,0
CDM,27209820_C1751_272,Hb 4Fr Dual Ppic W/3Cg,2932.5,1026.38,,,0
CDM,27209821,Hb 3Fr Single Power Midline,1922.7,672.94,,,0
CDM,27209821_C1751_272,Hb 3Fr Single Power Midline,1922.7,672.94,,,0
CDM,27209822,Hb 3Fr Single Ppic W/3Cg,2830.5,990.68,,,0
CDM,27209822_C1751_272,Hb 3Fr Single Ppic W/3Cg,2830.5,990.68,,,0
CDM,27209823_198251,Hb Sup Rev 272 Hcpcs C2596,15962.83,5586.99,,,0
CDM,27209824_272,Hb Tool Sternal Tunneling Epsila Ev,2668.32,933.91,,,0
CDM,27209825_272,Hb Tool Transverse Tunneling Epsila Ev,2668.32,933.91,,,0
CDM,27209826_C1894_272,Hb Sys Introducer Lead Safesheath 9Fr 23Cm,1791.94,627.18,,,0
CDM,27209843_C1732_272,Hb Cath Mapping Optrell With Trueref 36 D-F 2.4X2.4Mm,10766.67,3768.33,,,0
CDM,27209851_272,Hb Kit Paradise Ultrasound Rdn Price Procedure,80049.6,28017.36,,,0
CDM,27209865_C1757_272,Hb Kit Dvt Price Per Procedure,40024.8,14008.68,,,0
CDM,27209866_C1757_272,Hb Kit Vte Price Per Procedure,53366.4,18678.24,,,0
CDM,27209869_C1887_272,Hb Catheter Renal Curve Adult (Rdc Ii),1122.66,392.93,,,0
CDM,27209875,Hb Hm 3 Kit Mini Apical Cuff,1690.25,591.59,,,0
CDM,27209876_C1769_272,Hb Gw Hi-Torque Supra Core 190Cm,1109.76,388.42,,,0
CDM,27209878_C1769_272,Hb Gw Hi-Torque Pilot-50 Str .014 X 190Cm,971.04,339.86,,,0
CDM,27209879_C1725_272,Hb Cath Bln Mini Trek Rx 1.20Mm X 8Mm,1248.48,436.97,,,0
CDM,27209884_272,Hb Tool Helix Locking,827.73,289.71,,,0
CDM,27209885_272,Hb Cath Agilis Hispro Replacement Slitter,2239.92,783.97,,,0
CDM,27209886,Hb Total Contact Cast,1144.44,400.55,,,0
CDM,27209887,Hb Hip Spica Dressing,580.38,203.13,,,0
CDM,27209887_A6452_272,Hb Hip Spica Dressing,580.38,203.13,,,0
CDM,27209890_C1751_272,Hb Catheter Single Lumen Wedge 6Fr,1239.57,433.85,,,0
CDM,27209892_C1729_272,Hb Cath Ultrathane Biliary 8.5Fr X 40Cm,1002.39,350.84,,,0
CDM,27209893_C1729_272,Hb Cath Ultrathane Biliary 12Fr X 40Cm,1002.39,350.84,,,0
CDM,27209894_C1729_272,Hb Cath Ultrathane Biliary 14Fr X 40Cm,1002.39,350.84,,,0
CDM,27209895_C1729_272,Hb Cath Ultrathane Bilry 10Frx40Cm W/Ext Sideprt,1002.39,350.84,,,0
CDM,27209896_C1729_272,Hb Cath Ultrathane Bilry 12Frx40Cm W/Ext Sideprt,1002.39,350.84,,,0
CDM,27209897_C1894_272,Hb Sheath Flexor Ansel1 Mp 6Fr X 55Cm,1011.27,353.94,,,0
CDM,27209900_C1769_272,Hb Guidewire Pressure Pre-Shape Savvywire X-Sml,4239.8,1483.93,,,0
CDM,27209903_C1733_272,Hb Catheter Pulseselect Pfa Loop,29593.23,10357.63,,,0
CDM,27209904_272,Hb Cable Interface Catheter Pulseselect Pfa Loop,1679.94,587.98,,,0
CDM,27209905_C1766_272,Hb Sheath Steerable Flexcath Contour 10F 13Mm,5781.36,2023.48,,,0
CDM,27209906_C1766_272,Hb Sheath Steerable Flexcath Contour 10F 20Mm,5781.49,2023.52,,,0
CDM,27209907_C1766_272,Hb Sheath Steerable Flexcath Contour 12F 13Mm,5781.36,2023.48,,,0
CDM,27209908_C1766_272,Hb Sheath Steerable Flexcath Contour 12F 20Mm,5781.36,2023.48,,,0
CDM,27209909_C1766_272,Hb Sys Transseptal Access Flexcath Cross Fcc 65Cm  10F,4240.64,1484.22,,,0
CDM,27209910_C1766_272,Hb Sys Transseptal Access Flexcath Cross Fcc 65Cm  12F,3577.14,1252.0,,,0
CDM,27209912_272,Hb Cement Mixer M4 Autoplex Vertaplex Hv Bone Cement,6909.31,2418.26,,,0
CDM,27209925_147050,Hb Sup Rev 272 Hcpcs C1782,4373.07,1530.57,,,0
CDM,27209925_210808,Hb Sup Rev 272 Hcpcs C1782,7738.13,2708.35,,,0
CDM,27209925_213532,Hb Sup Rev 272 Hcpcs C1782,4258.5,1490.48,,,0
CDM,27210160_C1757_272,Hb Cath Litng Flash Htorq Tubing 115Cm Select H1,43449.14,15207.2,,,0
CDM,27210161_C1757_272,Hb Cath Litng Flash Htorq Tubing 100Cm Select H1,43449.14,15207.2,,,0
CDM,27210162_C1757_272,Hb Cath Litng Flash Htorq Tubing 80Cm Select H1,43449.14,15207.2,,,0
CDM,27210163_272,Hb Catheter Insert Zoom 6F Sim 0.082 Od 143Cm,3364.22,1177.48,,,0
CDM,27210164_272,Hb Catheter Insert Zoom 6F Vtk 0.082 Od 140Cm,3364.22,1177.48,,,0
CDM,27210165_272,Hb Catheter Insert Zoom 6F Vrt 0.082 Od 137Cm,3364.22,1177.48,,,0
CDM,27210168_C1769_272,Hb Gw Aristotle 18 Standard 200Cm,2868.44,1003.95,,,0
CDM,27210172_C1887_278,Hb Catheter Delivery Aveir Leadless Dr,8240.4,2884.14,,,0
CDM,27210193_C2623_272,Hb Baln Drug-Coated Coronary Agent 4.00X20Mm,15963.51,5587.23,,,0
CDM,27210198_C2623_272,Hb Baln Drug-Coated Coronary Agent 3.00X30Mm,15963.51,5587.23,,,0
CDM,27210202_C1887_272,Hb Microcatheter Diag Corasir Pro Xs 150Cm,3780.12,1323.04,,,0
CDM,27210203_C1769_272,Hb Guidewire Miraclebros 6 Ptca 180Cm,2779.5,972.82,,,0
CDM,27210205_C1769_272,Hb Guidewire Fielder Xt-A Ptca 190Cm,2779.5,972.82,,,0
CDM,27210206_C1887_272,Hb Microcatheter Vasc Corsair Pro Xs 135Cm,3699.26,1294.74,,,0
CDM,27210207_C1751_272,Hb Tray Cvc Tri Lumen 7Fr X 16Cm,1662.47,581.86,,,0
CDM,27210240_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 1.75Mmx15Mm,3335.4,1167.39,,,0
CDM,27210241_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 1.75Mmx20Mm,3335.4,1167.39,,,0
CDM,27210243_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 2.00Mmx15Mm,3335.4,1167.39,,,0
CDM,27210245_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 2.25Mmx10Mm,3335.4,1167.39,,,0
CDM,27210246_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 2.25Mmx15Mm,3335.4,1167.39,,,0
CDM,27210249_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 2.50Mmx15Mm,3335.4,1167.39,,,0
CDM,27210250_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 2.50Mmx20Mm,3335.4,1167.39,,,0
CDM,27210251_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 2.75Mmx10Mm,3335.4,1167.39,,,0
CDM,27210252_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 2.75Mmx15Mm,3335.4,1167.39,,,0
CDM,27210254_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 3.00Mmx10Mm,3335.4,1167.39,,,0
CDM,27210255_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 3.00Mmx15Mm,3335.4,1167.39,,,0
CDM,27210258_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 3.50Mmx15Mm,3335.4,1167.39,,,0
CDM,27210259_C1725_272,Hb Cath Scoreflex Nc Scoring Ptca 3.50Mmx20Mm,3335.4,1167.39,,,0
CDM,27210266_C1887_272,Hb Cath Carrier Delivery Med,9761.6,3416.56,,,0
CDM,27210268,Hb Iph Procedure Kit Thermasolutions,14520.72,5082.25,,,0
CDM,27210268_272,Hb Iph Procedure Kit Thermasolutions,14520.72,5082.25,,,0
CDM,27210269,Hb Vitalflow Set W Balance Biosurface,40336.92,14117.92,,,0
CDM,27210269_272,Hb Vitalflow Set W Balance Biosurface,40336.92,14117.92,,,0
CDM,27210281,Hb Needle Biopsy Corvocet 18Gx10Cm,828.24,289.88,,,0
CDM,27400002,Hb Belt Ostomy Appliance,65.88,23.06,,,0
CDM,27400003,Hb Powder Stomahesive 1 Oz,65.88,23.06,,,0
CDM,27400004,Hb Pessary Non Rubber Supply Item,333.72,116.8,,,0
CDM,27400004_A4562_274,Hb Pessary Non Rubber Supply Item,333.72,116.8,,,0
CDM,27400005,Hb Sling Universal,147.96,51.79,,,0
CDM,27400005_A4565_274,Hb Sling Universal,147.96,51.79,,,0
CDM,27400006,Hb Cast Supplies Plaster,334.8,117.18,,,0
CDM,27400007,Hb Cast Supplies Fiberglass,508.68,178.04,,,0
CDM,27400008,Hb Pouch Drain One Piece 2.5,30.24,10.58,,,0
CDM,27400009,Hb Pouch Colostomy Transpar 4,22.68,7.94,,,0
CDM,27400010,Hb Cervical Collar Flex,65.88,23.06,,,0
CDM,27400011,Hb Newport Collar,446.04,156.11,,,0
CDM,27400012,Hb Aspen Collar,334.8,117.18,,,0
CDM,27400013,Hb Knee Immobilizer,179.28,62.75,,,0
CDM,27400013_L1830_274,Hb Knee Immobilizer,179.28,62.75,,,0
CDM,27400014,Hb Cast Sarmiento Ptb Rigid,1327.32,464.56,,,0
CDM,27400014_L2116_274,Hb Cast Sarmiento Ptb Rigid,1327.32,464.56,,,0
CDM,27400015,Hb Cast Shoe Ea Custom Fitted,93.96,32.89,,,0
CDM,27400016,Hb Sandal Post Op Ea,147.96,51.79,,,0
CDM,27400017,Hb Heel Cups,85.32,29.86,,,0
CDM,27400018,Hb Shoulder Immobilizer,281.88,98.66,,,0
CDM,27400018_A4566_271,Hb Shoulder Immobilizer,266.22,93.18,,,0
CDM,27400018_A4566_272,Hb Shoulder Immobilizer,266.22,93.18,,,0
CDM,27400018_A4566_274,Hb Shoulder Immobilizer,281.88,98.66,,,0
CDM,27400019,Hb Vista Collar,1818.72,636.55,,,0
CDM,27400019_L0172_274,Hb Vista Collar,1818.72,636.55,,,0
CDM,27400020,Hb Cast Forearm Sarmiento,745.2,260.82,,,0
CDM,27400021,Hb Wrist Immobilizer Cock Up,171.72,60.1,,,0
CDM,27400021_L3908_274,Hb Wrist Immobilizer Cock Up,171.72,60.1,,,0
CDM,27400022,Hb Humeral Fx Brace,781.92,273.67,,,0
CDM,27400023,Hb Wrist Immobilizer,138.24,48.38,,,0
CDM,27400023_L3984_274,Hb Wrist Immobilizer,138.24,48.38,,,0
CDM,27400024,Hb Ankle Air Gel Cast,644.76,225.67,,,0
CDM,27400025,Hb Bledsoe Hinged Boot,690.12,241.54,,,0
CDM,27400025_L4360_274,Hb Bledsoe Hinged Boot,690.12,241.54,,,0
CDM,27400026,Hb Bledsoe Knee/Leg Brace,969.84,339.44,,,0
CDM,27400026_L1833_274,Hb Bledsoe Knee/Leg Brace,969.84,339.44,,,0
CDM,27400027,Hb Cast Ll Plaster Age 11 And Over,1422.36,497.83,,,0
CDM,27400028,Hb Cast Sl Plaster Age 11 And Over,924.48,323.57,,,0
CDM,27400029,Hb Tracheostomy Inner Canula,178.2,62.37,,,0
CDM,27400031_A4371_274,Hb Ostomy Powder 1Oz,14.94,5.23,,,0
CDM,27400034_A4565_274,Hb Sling Arm Small W Foam Pa,75.89,26.56,,,0
CDM,27400039_L1830_274,Hb Immobilzer Knee Univ 24In,273.83,95.84,,,0
CDM,27400061_127298,Hb Sup Rev 274 Hcpcs Q0508,23308.56,8158.0,,,0
CDM,27400063,Hb Bi Planar Control Hip Joint,2123.28,743.15,,,0
CDM,27400064,Hb Blom Singer Pros,77.76,27.22,,,0
CDM,27400065,Hb Afo Plastic Molded W/Ankle Jts,2068.2,723.87,,,0
CDM,27400065_L1970_274,Hb Afo Plastic Molded W/Ankle Jts,2068.2,723.87,,,0
CDM,27400066,Hb Afo Plastic,604.8,211.68,,,0
CDM,27400066_L1930_274,Hb Afo Plastic,604.8,211.68,,,0
CDM,27400067,Hb Brace Afo Rig Ant Tib Prefab,2446.2,856.17,,,0
CDM,27400068,Hb Brace Afo Rocker Bott Contact,882.36,308.83,,,0
CDM,27400069,Hb Brace Afo Solid Ankle,1657.8,580.23,,,0
CDM,27400069_L1960_274,Hb Brace Afo Solid Ankle,1657.8,580.23,,,0
CDM,27400070,Hb Brace Aspen Lso,534.6,187.11,,,0
CDM,27400071,Hb Tlso2  Mod Symphysis-Stern Pre,739.8,258.93,,,0
CDM,27400071_L0460_274,Hb Tlso2  Mod Symphysis-Stern Pre,739.8,258.93,,,0
CDM,27400072,Hb Brace Hip Abduction,1460.16,511.06,,,0
CDM,27400072_L1686_274,Hb Brace Hip Abduction,1460.16,511.06,,,0
CDM,27400073,Hb Brace Lso Elastic Rig Post Pan,270.0,94.5,,,0
CDM,27400074,Hb Ctlso A-P-L Control W/Inter,3702.24,1295.78,,,0
CDM,27400074_L0710_274,Hb Ctlso A-P-L Control W/Inter,3702.24,1295.78,,,0
CDM,27400075,Hb Brace Tlso Dorsolumbar Crst,274.32,96.01,,,0
CDM,27400076,Hb Tlso Rigid Frame Hyperex Pre,602.64,210.92,,,0
CDM,27400076_L0472_274,Hb Tlso Rigid Frame Hyperex Pre,602.64,210.92,,,0
CDM,27400077,Hb Cast La Fiberglass 0 To 10 Yrs,232.56,81.4,,,0
CDM,27400077_Q4020_270,Hb Cast La Fiberglass 0 To 10 Yrs,232.56,81.4,,,0
CDM,27400077_Q4020_272,Hb Cast La Fiberglass 0 To 10 Yrs,232.56,81.4,,,0
CDM,27400078,Hb Cast La Fiberglass 11+ Yrs,233.58,81.75,,,0
CDM,27400078_Q4018_270,Hb Cast La Fiberglass 11+ Yrs,233.58,81.75,,,0
CDM,27400079,Hb Cast La Plaster 0 To 10 Yrs,95.88,33.56,,,0
CDM,27400080,Hb Cast La Plaster 11+ Yrs,95.88,33.56,,,0
CDM,27400081,Hb Cast Post Op Fiberg Bka,618.84,216.59,,,0
CDM,27400082,Hb Cast Pylon Bka,2054.16,718.96,,,0
CDM,27400083,Hb Cast Sa Fiberglass 0 To 10 Yrs,153.0,53.55,,,0
CDM,27400083_Q4012_270,Hb Cast Sa Fiberglass 0 To 10 Yrs,153.0,53.55,,,0
CDM,27400084,Hb Cast Sa Fiberglass 11+ Yrs,154.02,53.91,,,0
CDM,27400084_Q4010_270,Hb Cast Sa Fiberglass 11+ Yrs,154.02,53.91,,,0
CDM,27400084_Q4010_272,Hb Cast Sa Fiberglass 11+ Yrs,154.02,53.91,,,0
CDM,27400085,Hb Cast Sa Plaster 0 To 10 Yrs,64.26,22.49,,,0
CDM,27400086,Hb Cast Sa Plaster 11+ Yrs,64.26,22.49,,,0
CDM,27400086_Q4009_270,Hb Cast Sa Plaster 11+ Yrs,64.26,22.49,,,0
CDM,27400087,Hb Cervical Multi Post Somi Denis,2607.12,912.49,,,0
CDM,27400088,Hb Cerv Col Foam 2 Piece W/Thor,1864.08,652.43,,,0
CDM,27400088_L0174_274,Hb Cerv Col Foam 2 Piece W/Thor,1864.08,652.43,,,0
CDM,27400089,Hb Cushion Molded Distal,1026.0,359.1,,,0
CDM,27400089_L5668_274,Hb Cushion Molded Distal,1026.0,359.1,,,0
CDM,27400090,Hb Custom Pre Tibial Shell,2775.6,971.46,,,0
CDM,27400091,Hb D Ring,74.52,26.08,,,0
CDM,27400092,Hb Dorsiflexiion Assist Ankle Jt,654.48,229.07,,,0
CDM,27400092_L2210_274,Hb Dorsiflexiion Assist Ankle Jt,654.48,229.07,,,0
CDM,27400093,Hb Dorsi & Plantar Flexion Assist/Resist,754.92,264.22,,,0
CDM,27400094,Hb Post Op App Non-Wgt Bear Dsg,2214.0,774.9,,,0
CDM,27400094_L5450_274,Hb Post Op App Non-Wgt Bear Dsg,2214.0,774.9,,,0
CDM,27400095,Hb Custom -Dynamic Who,231.12,80.89,,,0
CDM,27400096,Hb Custom- Dynamic Whfo,343.44,120.2,,,0
CDM,27400097,Hb Ear Mold,87.48,30.62,,,0
CDM,27400097_V5264_274,Hb Ear Mold,87.48,30.62,,,0
CDM,27400098,Hb Custom -Static Eo (Wrist Free),196.56,68.8,,,0
CDM,27400099,Hb Finger Gutter,66.96,23.44,,,0
CDM,27400099_L3923_274,Inactive - Hb Finger Gutter,66.96,23.44,,,0
CDM,27400100,Hb Foot Insert Orthosis,157.68,55.19,,,0
CDM,27400101,Hb Foot Splint,244.08,85.43,,,0
CDM,27400102,Hb Futura Wrist Brace,68.04,23.81,,,0
CDM,27400103,Hb Custom -Static Ewho (To Dpc),1677.24,587.03,,,0
CDM,27400103_L3763_274,Hb Custom -Static Ewho (To Dpc),1677.24,587.03,,,0
CDM,27400104,Hb Fx Orthosis Radius Ulna,172.8,60.48,,,0
CDM,27400105,Hb Fx Orthosis Wrist,209.52,73.33,,,0
CDM,27400106,Hb Gunslinger Sewho,1648.08,576.83,,,0
CDM,27400107,Hb Halo,6815.88,2385.56,,,0
CDM,27400107_L0810_274,Hb Halo,6815.88,2385.56,,,0
CDM,27400108,Hb Halo Liner Replacement,1577.88,552.26,,,0
CDM,27400109,Hb Halo Mri Compatible,3094.2,1082.97,,,0
CDM,27400109_L0859_274,Hb Halo Mri Compatible,3094.2,1082.97,,,0
CDM,27400113,Hb Heel Lift,47.52,16.63,,,0
CDM,27400113_L3334_274,Hb Heel Lift,47.52,16.63,,,0
CDM,27400115,Hb Humeral Orthosis,196.56,68.8,,,0
CDM,27400116,Hb Kafo Femoral Fx,1442.88,505.01,,,0
CDM,27400117,Hb Kafo Metal,1711.8,599.13,,,0
CDM,27400118,Hb Kafo Plastic,2719.44,951.8,,,0
CDM,27400118_L2036_274,Hb Kafo Plastic,2719.44,951.8,,,0
CDM,27400119,Hb Knee Ankle Foot Splint,1699.92,594.97,,,0
CDM,27400120,Hb Knee Splint,231.12,80.89,,,0
CDM,27400121,Hb Limited Motion Ankle Joint,481.68,168.59,,,0
CDM,27400121_L2200_274,Hb Limited Motion Ankle Joint,481.68,168.59,,,0
CDM,27400122,Hb Liners Cto,885.6,309.96,,,0
CDM,27400123,Hb Liners Hip Abd Brace,885.6,309.96,,,0
CDM,27400124,Hb Liners Lso,885.6,309.96,,,0
CDM,27400125,Hb Liners Miami J,885.6,309.96,,,0
CDM,27400125_L2999_274,Hb Liners Miami J,885.6,309.96,,,0
CDM,27400126,Hb Liners Tlso,885.6,309.96,,,0
CDM,27400127,Hb Neck Splint,171.72,60.1,,,0
CDM,27400128,Hb Nicu Wrist Cock Up,49.68,17.39,,,0
CDM,27400129,Hb Orthosis Swedish Type Knee,1954.8,684.18,,,0
CDM,27400130,Hb Pedi Dynamic Wrist Ext,91.8,32.13,,,0
CDM,27400131,Hb Pedi Elbow Splint,60.48,21.17,,,0
CDM,27400132,Hb Pedi Elbow Wrist Splint,78.84,27.59,,,0
CDM,27400133,Hb Pedi Finger Gutter Spl,27.0,9.45,,,0
CDM,27400134,Hb Pedi Foot Splint,60.48,21.17,,,0
CDM,27400135,Hb Pedi Knee Ankle Foot Splt,118.8,41.58,,,0
CDM,27400136,Hb Pedi Knee Splint,78.84,27.59,,,0
CDM,27400137,Hb Pedi Neck Splint,60.48,21.17,,,0
CDM,27400138,Hb Pedi Resting Hand Splint,66.96,23.44,,,0
CDM,27400139,Hb Pedi Thumb Post Long Opp,78.84,27.59,,,0
CDM,27400140,Hb Pedi Thumb Post Sh Oppon,52.92,18.52,,,0
CDM,27400141,Hb Pedi Thumb Spica,198.72,69.55,,,0
CDM,27400141_L3808_274,Hb Pedi Thumb Spica,198.72,69.55,,,0
CDM,27400142,Hb Pedi Wrist Cock Up,66.96,23.44,,,0
CDM,27400143,Hb Plastic Mod Low Ext Pad/Line,1109.16,388.21,,,0
CDM,27400143_L2275_274,Hb Plastic Mod Low Ext Pad/Line,1109.16,388.21,,,0
CDM,27400144,Hb Pocket Talker,196.56,68.8,,,0
CDM,27400145,Hb Prosthetic Sock Above Knee,38.88,13.61,,,0
CDM,27400146,Hb Recumbent Positioning Device,1652.4,578.34,,,0
CDM,27400147,Hb Repair Ortho Dev Minor,52.92,18.52,,,0
CDM,27400148,Hb Repair Ortho Device 15M,158.76,55.57,,,0
CDM,27400148_L4205_274,Hb Repair Ortho Device 15M,158.76,55.57,,,0
CDM,27400149,Hb Resting Hand Splint,198.72,69.55,,,0
CDM,27400149_L3808_274,Inactive - Hb Resting Hand Splint,198.72,69.55,,,0
CDM,27400150,Hb Shrinker Upper Limb,708.48,247.97,,,0
CDM,27400150_L8465_274,Hb Shrinker Upper Limb,708.48,247.97,,,0
CDM,27400151,Hb Silver Ring Splint,224.64,78.62,,,0
CDM,27400152,Hb Sleeve Mastectomy,861.84,301.64,,,0
CDM,27400153,Hb Sock Multi Ply Above Knee,467.64,163.67,,,0
CDM,27400154,Hb Sock Multi Ply Below Knee,381.24,133.43,,,0
CDM,27400155,Hb Sock Single Ply Above Knee,155.52,54.43,,,0
CDM,27400156,Hb Sock Single Ply Below Knee,100.44,35.15,,,0
CDM,27400157,Hb Stax Splint,14.04,4.91,,,0
CDM,27400158,Hb Stump Shrinker Aka,114.48,40.07,,,0
CDM,27400158_L8460_274,Hb Stump Shrinker Aka,114.48,40.07,,,0
CDM,27400159,Hb Stump Shrinker Bka,83.16,29.11,,,0
CDM,27400159_L8440_274,Hb Stump Shrinker Bka,83.16,29.11,,,0
CDM,27400160,Hb Swedish Knee Cage,428.76,150.07,,,0
CDM,27400161,Hb Thumb Post Long Opponens,145.8,51.03,,,0
CDM,27400161_L3808_274,Hb Thumb Post Long Opponens,145.8,51.03,,,0
CDM,27400162,Hb Thumb Post,376.92,131.92,,,0
CDM,27400162_L3913_274,Hb Thumb Post,376.92,131.92,,,0
CDM,27400163,Hb Thumb Spica,198.72,69.55,,,0
CDM,27400163_L3808_274,Hb Thumb Spica,198.72,69.55,,,0
CDM,27400164,Hb Trach Speak Valve,536.76,187.87,,,0
CDM,27400164_L8501_274,Hb Trach Speak Valve,536.76,187.87,,,0
CDM,27400165,Hb Universal Quad Cuff,38.88,13.61,,,0
CDM,27400166,Hb Wrist Cock Up,120.96,42.34,,,0
CDM,27400166_L3906_274,Hb Wrist Cock Up,120.96,42.34,,,0
CDM,27400171_72862,Hb Sup Rev 274 Hcpcs A4565,95.29,33.35,,,0
CDM,27400171_909,Hb Sup Rev 274 Hcpcs A4565,106.1,37.14,,,0
CDM,27400183_1765,Hb Sup Rev 274 Hcpcs L4210,90.19,31.57,,,0
CDM,27400183_1766,Hb Sup Rev 274 Hcpcs L4210,90.21,31.57,,,0
CDM,27400183_51913,Hb Sup Rev 274 Hcpcs L4210,105.85,37.05,,,0
CDM,27400183_72787,Hb Sup Rev 274 Hcpcs L4210,84.49,29.57,,,0
CDM,27400188_Q0501_274,Hb Vad Heartware Shower Kit,3832.65,1341.43,,,0
CDM,27400196_Q0489_274,Hb Module Power Heartmate Ii,35810.42,12533.65,,,0
CDM,27400197_Q0508_274,Hb Charger Battery Universal,33937.26,11878.04,,,0
CDM,27400198_Q0506_274,Hb Set Battery Li-Ion 14V,7473.05,2615.57,,,0
CDM,27400199_Q0497_274,Hb Set Clip Battery Li-Ion 1,5052.54,1768.39,,,0
CDM,27400206,Hb Catheter Foley 16,85.68,29.99,,,0
CDM,27400207,Hb Ak Nonwt Bearing Rigid Dsg,3255.12,1139.29,,,0
CDM,27400210,Hb Binder Vadelia Large T,802.44,280.85,,,0
CDM,27400211,Hb Wrist Cock Up,60.48,21.17,,,0
CDM,27400211_L3908_274,Hb Wrist Cock Up,60.48,21.17,,,0
CDM,27400212,Hb Lmb,56.16,19.66,,,0
CDM,27400212_L3925_274,Hb Lmb,56.16,19.66,,,0
CDM,27400213,Hb Push Orthotic - Adjusted,77.76,27.22,,,0
CDM,27400214,Hb Oval 8,30.24,10.58,,,0
CDM,27400214_L3927_274,Hb Oval 8,30.24,10.58,,,0
CDM,27400215,Hb Final Flexion Wrap,14.04,4.91,,,0
CDM,27400216,Hb Buddy Straps - 1X,9.72,3.4,,,0
CDM,27400217,Hb Shoulder Orthosis Figure 8 Design,801.36,280.48,,,0
CDM,27400218,Hb Dynamic Wrist Ext Outrigger Pre Fab,628.56,220.0,,,0
CDM,27400219,"Hb Foot, Molded Shoe, Plastazote, Custom",2517.48,881.12,,,0
CDM,27400220,Hb Knee Orthotic,1388.88,486.11,,,0
CDM,27400221,Hb Foot Arch Support Longitudinal/Metatarsal,1055.16,369.31,,,0
CDM,27400222,Hb Foot Arch Support Longitudinal,672.84,235.49,,,0
CDM,27400223,Hb Replacement Pads,1141.56,399.55,,,0
CDM,27400224,"Hb Brace, Afo, Spiral, Plastic Or Other, Prefab",3822.12,1337.74,,,0
CDM,27400225,"Hb Static Afo, Incl Soft Interface Material For Positioning",1938.6,678.51,,,0
CDM,27400225_L4396_274,"Hb Static Afo, Incl Soft Interface Material For Positioning",1938.6,678.51,,,0
CDM,27400226,Hb Bk Fork Strap (Addition To Le),1021.68,357.59,,,0
CDM,27400226_L5684_274,Hb Bk Fork Strap (Addition To Le),1021.68,357.59,,,0
CDM,27400227,"Hb Bk Waist Belt, Webbing (Addition To Le)",1293.84,452.84,,,0
CDM,27400227_L5688_274,"Hb Bk Waist Belt, Webbing (Addition To Le)",1293.84,452.84,,,0
CDM,27400228,Hb Donning Tube (Le Prosthesis Nos),909.36,318.28,,,0
CDM,27400228_L5999_274,Hb Donning Tube (Le Prosthesis Nos),909.36,318.28,,,0
CDM,27400229,"Hb Total Contact, Ak Or Knee Disarticulation Socket",4250.88,1487.81,,,0
CDM,27400229_L5650_274,"Hb Total Contact, Ak Or Knee Disarticulation Socket",4250.88,1487.81,,,0
CDM,27400230,"Hb Socket Insert, Ak (Addition To Le)",3165.48,1107.92,,,0
CDM,27400230_L5658_274,"Hb Socket Insert, Ak (Addition To Le)",3165.48,1107.92,,,0
CDM,27400231,"Hb Ak Or Knee Disarticulation, Silesian Bandage",1503.36,526.18,,,0
CDM,27400231_L5698_274,"Hb Ak Or Knee Disarticulation, Silesian Bandage",1503.36,526.18,,,0
CDM,27400232,"Hb Afo Ankle Gauntlet, Prefab",157.68,55.19,,,0
CDM,27400233,"Hb Whfo, W/O Joints, Prefab",2624.4,918.54,,,0
CDM,27400233_L3807_274,"Hb Whfo, W/O Joints, Prefab",2624.4,918.54,,,0
CDM,27400234,Hb Soft Protective Helmet Prefab,2039.04,713.66,,,0
CDM,27400234_A8000_274,Hb Soft Protective Helmet Prefab,2039.04,713.66,,,0
CDM,27400235,Hb Soft Interface Below Knee Section,1152.36,403.33,,,0
CDM,27400235_L2820_274,Hb Soft Interface Below Knee Section,1152.36,403.33,,,0
CDM,27400236_Q0491_274,Hb Power Module Backup Battery,1321.92,462.67,,,0
CDM,27400238,Hb Acromio/Clavicular Canvas & We,349.92,122.47,,,0
CDM,27400239,Hb Diab Shoe For Density Insert,196.56,68.8,,,0
CDM,27400240,Hb Multi Den Insert Direct Form Diabetics Only,82.08,28.73,,,0
CDM,27400241,Hb Rooke Bka Protector,279.72,97.9,,,0
CDM,27400241_L5450_274,Hb Rooke Bka Protector,279.72,97.9,,,0
CDM,27400242,"Hb Afo Plastic Or Other Mat, Custom",534.6,187.11,,,0
CDM,27400243,"Hb Add To Le, T Strap Or Malleolus Pad",54.0,18.9,,,0
CDM,27400244,"Hb Add To Le Orthosis, Tibial Length Sock",79.92,27.97,,,0
CDM,27400245,Hb Cerv Col Supp Adj Bar & Thor (Cto),516.24,180.68,,,0
CDM,27400245_L0200_274,Hb Cerv Col Supp Adj Bar & Thor (Cto),516.24,180.68,,,0
CDM,27400246,"Hb Ko, Immobilizer, Canvas Long, Prefab",108.0,37.8,,,0
CDM,27400247,Hb Afo Tib Fx Semi-Rigid,1465.56,512.95,,,0
CDM,27400248,Hb Hearing Aid Essential Monoaural,6178.68,2162.54,,,0
CDM,27400249,Hb Hearing Aid Standard Monoaural,6949.8,2432.43,,,0
CDM,27400250,Hb Hearing Aid Advanced Monoaural,8495.28,2973.35,,,0
CDM,27400251,Hb Hearing Aid Premium Monoaural,10039.68,3513.89,,,0
CDM,27400251_V5050_270,Hb Hearing Aid Premium Monoaural,9481.92,3318.67,,,0
CDM,27400251_V5050_274,Hb Hearing Aid Premium Monoaural,10039.68,3513.89,,,0
CDM,27400252,Hb Hearing Aid Cros Transmitter,4248.72,1487.05,,,0
CDM,27400252_270,Hb Hearing Aid Cros Transmitter,4012.68,1404.44,,,0
CDM,27400252_274,Hb Hearing Aid Cros Transmitter,4248.72,1487.05,,,0
CDM,27400253,Hb Hearing Aid Essential Binaural,8109.72,2838.4,,,0
CDM,27400254,Hb Hearing Aid Standard Binaural,9653.04,3378.56,,,0
CDM,27400255,Hb Hearing Aid Advanced Binaural,12742.92,4460.02,,,0
CDM,27400256,Hb Hearing Aid Premium Binaural,15830.64,5540.72,,,0
CDM,27400256_V5261_274,Hb Hearing Aid Premium Binaural,15830.64,5540.72,,,0
CDM,27400260_144340,Hb Sup Rev 274 Hcpcs L8000,768.1,268.84,,,0
CDM,27400261,Hb  Lo Sagitt Rigid Panel Prefab,456.84,159.89,,,0
CDM,27400262,Hb Hip Adj Flex Ext Abduct Cont,432.0,151.2,,,0
CDM,27400262_L2624_274,Hb Hip Adj Flex Ext Abduct Cont,432.0,151.2,,,0
CDM,27400263,Hb Rigid Eo Wo Joints,109.08,38.18,,,0
CDM,27400264,Hb Molded Inner Boot,502.2,175.77,,,0
CDM,27400265,Hb Bledsoe Boot,56.16,19.66,,,0
CDM,27400265_L4387_274,Hb Bledsoe Boot,56.16,19.66,,,0
CDM,27400266,Hb Bledsoe Boot (Hinged),172.8,60.48,,,0
CDM,27400267,Hb Ez-Boot,45.36,15.88,,,0
CDM,27400267_L4397_274,Hb Ez-Boot,45.36,15.88,,,0
CDM,27400268,Hb Heel-Strike Shoe,14.04,4.91,,,0
CDM,27400268_L3260_274,Hb Heel-Strike Shoe,14.04,4.91,,,0
CDM,27400269,Hb Sling And Swathe,8.64,3.02,,,0
CDM,27400269_L3660_274,Hb Sling And Swathe,8.64,3.02,,,0
CDM,27400270,Hb Sarmiento Brace,34.56,12.1,,,0
CDM,27400270_L3980_274,Hb Sarmiento Brace,34.56,12.1,,,0
CDM,27400271,Hb Sarmiento Brace (Over The  Shoulder),64.8,22.68,,,0
CDM,27400271_L3980_274,Hb Sarmiento Brace (Over The  Shoulder),64.8,22.68,,,0
CDM,27400272,Hb Bledsoe Elbo Brace,102.6,35.91,,,0
CDM,27400272_L3761_274,Hb Bledsoe Elbo Brace,102.6,35.91,,,0
CDM,27400273,Hb Soft-Foam Collar,4.32,1.51,,,0
CDM,27400273_L0120_274,Hb Soft-Foam Collar,4.32,1.51,,,0
CDM,27400274,Hb Cock-Up Wrist Splint,6.48,2.27,,,0
CDM,27400274_L3908_274,Hb Cock-Up Wrist Splint,6.48,2.27,,,0
CDM,27400275,Hb Ultrasling,48.6,17.01,,,0
CDM,27400275_L3670_274,Hb Ultrasling,48.6,17.01,,,0
CDM,27400276,Hb Shoulder Abduction Brace,54.0,18.9,,,0
CDM,27400276_L3670_274,Hb Shoulder Abduction Brace,54.0,18.9,,,0
CDM,27400277,Hb Air Gel Ankle Immobilizer,10.8,3.78,,,0
CDM,27400277_L4350_274,Hb Air Gel Ankle Immobilizer,10.8,3.78,,,0
CDM,27400278,Hb Stax Finger Splint,2.16,0.76,,,0
CDM,27400278_L3927_274,Hb Stax Finger Splint,2.16,0.76,,,0
CDM,27400279,Hb Neoprene Hinged Knee Brace,19.44,6.8,,,0
CDM,27400279_L1812_274,Hb Neoprene Hinged Knee Brace,19.44,6.8,,,0
CDM,27400280,Hb Pavlik Harness,28.08,9.83,,,0
CDM,27400280_L1620_274,Hb Pavlik Harness,28.08,9.83,,,0
CDM,27400281,Hb Figure Of 8 Brace,7.56,2.65,,,0
CDM,27400282,Hb Sierra Collar,11.88,4.16,,,0
CDM,27400282_L0172_274,Hb Sierra Collar,11.88,4.16,,,0
CDM,27400283,Hb T-Rom Knee Brace,100.44,35.15,,,0
CDM,27400283_L1833_274,Hb T-Rom Knee Brace,100.44,35.15,,,0
CDM,27400284,Hb Shoulder Immobilizer Abduction Brace,36.72,12.85,,,0
CDM,27400285,Hb Dorsiwedge Night Splint,25.92,9.07,,,0
CDM,27400286,Hb Bledsoe Knee Brace Showe Extender,105.84,37.04,,,0
CDM,27400286_L2180_274,Hb Bledsoe Knee Brace Showe Extender,105.84,37.04,,,0
CDM,27400287,Hb Ulnar Fracture Brace,47.52,16.63,,,0
CDM,27400288,Hb Cock-Up Wrist And Thumb Splint,19.44,6.8,,,0
CDM,27400288_L3908_274,Hb Cock-Up Wrist And Thumb Splint,19.44,6.8,,,0
CDM,27400289,Hb Coaptatoin Splint,4.32,1.51,,,0
CDM,27400289_272,Hb Coaptatoin Splint,4.08,1.43,,,0
CDM,27400289_274,Hb Coaptatoin Splint,4.32,1.51,,,0
CDM,27400290,Hb Aluminum Finger Splint,1.08,0.38,,,0
CDM,27400290_274,Hb Aluminum Finger Splint,1.08,0.38,,,0
CDM,27400291,Hb Airplane Sling,8.64,3.02,,,0
CDM,27400291_274,Hb Airplane Sling,8.64,3.02,,,0
CDM,27400292,Hb Abduction Pillow,44.88,15.71,,,0
CDM,27400293,Hb Crutches,11.22,3.93,,,0
CDM,27400293_E0114_272,Hb Crutches,10.85,3.8,,,0
CDM,27400295,Hb Tafo Sm/Md/Lrg,1222.56,427.9,,,0
CDM,27400296,Hb Tafo Tibial Ankle Foot Orthosis Prefab Metal,6.48,2.27,,,0
CDM,27400296_L2114_274,Hb Tafo Tibial Ankle Foot Orthosis Prefab Metal,6.48,2.27,,,0
CDM,27400297,Hb Splint- Thumb Spica,99.36,34.78,,,0
CDM,27400297_L3906_274,Hb Splint- Thumb Spica,99.36,34.78,,,0
CDM,27400298,Hb Mis Sup/Ac Imp Vad Nopay Med,3893.4,1362.69,,,0
CDM,27400299_172901,Hb Sup Rev 274 Hcpcs L8689,4685.26,1639.84,,,0
CDM,27400300,Hb Hm3 Lvad Controller Commercial,16453.8,5758.83,,,0
CDM,27400301,Hb Hm3 Lvad Modular Cable Commercial,14808.96,5183.14,,,0
CDM,27400302,Hb Custom Shoulder/ Humerus,896.4,313.74,,,0
CDM,27400303,Hb Custom -Dynamic Elbow Flexion,1952.64,683.42,,,0
CDM,27400304,Hb Dorsal Blocking,680.4,238.14,,,0
CDM,27400304_L3808_274,Hb Dorsal Blocking,680.4,238.14,,,0
CDM,27400305,Hb Ulnar Gutter(Fingers Included),680.4,238.14,,,0
CDM,27400305_L3808_274,Hb Ulnar Gutter(Fingers Included),680.4,238.14,,,0
CDM,27400306,Hb Wrist Dbs,773.28,270.65,,,0
CDM,27400306_L3906_274,Hb Wrist Dbs,773.28,270.65,,,0
CDM,27400307,Hb Ulnar Gutter To Dpc,773.28,270.65,,,0
CDM,27400308,Hb Ulnar Gutter(Hand Based),500.04,175.01,,,0
CDM,27400308_L3913_274,Hb Ulnar Gutter(Hand Based),500.04,175.01,,,0
CDM,27400309,Hb Mp Blocking,500.04,175.01,,,0
CDM,27400309_L3913_274,Hb Mp Blocking,500.04,175.01,,,0
CDM,27400310,Hb Palmar Resting,500.04,175.01,,,0
CDM,27400310_L3913_274,Hb Palmar Resting,500.04,175.01,,,0
CDM,27400311,Hb Mp Ulnar Deviation,500.04,175.01,,,0
CDM,27400312,Hb Custom Static Ho (W/O Fingers),486.0,170.1,,,0
CDM,27400312_L3919_274,Hb Custom Static Ho (W/O Fingers),486.0,170.1,,,0
CDM,27400313,Hb Custom-Dynamic Hfo,612.36,214.33,,,0
CDM,27400313_L3921_274,Hb Custom-Dynamic Hfo,612.36,214.33,,,0
CDM,27400314,Hb Ipj Dbs,396.36,138.73,,,0
CDM,27400314_L3933_274,Hb Ipj Dbs,396.36,138.73,,,0
CDM,27400315,Hb  Relative Motion - Rme/ Rmf,396.36,138.73,,,0
CDM,27400315_L3933_274,Hb  Relative Motion - Rme/ Rmf,396.36,138.73,,,0
CDM,27400316,Hb Pulley Ring,396.36,138.73,,,0
CDM,27400317,Hb Figure 8,396.36,138.73,,,0
CDM,27400317_L3933_274,Hb Figure 8,396.36,138.73,,,0
CDM,27400318,Hb Custom -Dynamic Fo,348.84,122.09,,,0
CDM,27400320,Hb Replacement Straps,274.32,96.01,,,0
CDM,27400321,Hb P/F-Static Whfow/O Joints),260.28,91.1,,,0
CDM,27400322,Hb Ulnar Drift,210.6,73.71,,,0
CDM,27400323,Hb Push Orthotic -Not Adjusted,151.2,52.92,,,0
CDM,27400324,Hb Comfort Cool,151.2,52.92,,,0
CDM,27400324_L3924_274,Hb Comfort Cool,151.2,52.92,,,0
CDM,27400325,Hb Joint Jack,143.64,50.27,,,0
CDM,27400328,Hb Arm Cradle,93.96,32.89,,,0
CDM,27400328_L3906_274,Hb Arm Cradle,93.96,32.89,,,0
CDM,27400329,Hb Foot Stump Orthosis,150.12,52.54,,,0
CDM,27400329_L4360_274,Hb Foot Stump Orthosis,150.12,52.54,,,0
CDM,27400330,Hb Achilles Wedge,11.88,4.16,,,0
CDM,27400343,Hb Custom - Static Whfo,680.4,238.14,,,0
CDM,27400344,Hb Custom -  Static Who,773.28,270.65,,,0
CDM,27400345,Hb Custom -  Static Hfo,500.04,175.01,,,0
CDM,27400346,Hb Custom Static Fo,396.36,138.73,,,0
CDM,27400347,"Hb Hfo P/F, C/ Fit",210.6,73.71,,,0
CDM,27400348,"Hb Hfo, P/F, Ots",151.2,52.92,,,0
CDM,27400349,Hb Pre Fab Static - Who,74.52,26.08,,,0
CDM,27400350,Hb Prefab Thumb Spica Splint,810.0,283.5,,,0
CDM,27400351,Hb Fab Dynamic Fo,157.68,55.19,,,0
CDM,27400352,Hb Fab Static Fo,108.0,37.8,,,0
CDM,27400353,Hb Custom - Static Ewhfo,3240.0,1134.0,,,0
CDM,27400354,Hb Custom -  Static Whfo Hinge,4590.0,1606.5,,,0
CDM,27400355,Hb Custom - Static Sewhfo,4860.0,1701.0,,,0
CDM,27400356,Hb Custom Dynamic Eo Hinge,2160.0,756.0,,,0
CDM,27500002_108364,Hb Sup Revenue Code 275,1399.2,489.72,,,0
CDM,27500002_108365,Hb Sup Revenue Code 275,1907.78,667.72,,,0
CDM,27500002_108373,Hb Sup Revenue Code 275,1695.19,593.32,,,0
CDM,27500002_108381,Hb Sup Revenue Code 275,133.28,46.65,,,0
CDM,27500002_108382,Hb Sup Revenue Code 275,133.27,46.64,,,0
CDM,27500002_111527,Hb Sup Revenue Code 275,7464.04,2612.41,,,0
CDM,27500002_87250,Hb Sup Revenue Code 275,33084.1,11579.44,,,0
CDM,27500002_87253,Hb Sup Revenue Code 275,33084.1,11579.44,,,0
CDM,27500003_176555,Hb Sup Rev 275 Hcpcs C1721,34403.4,12041.19,,,0
CDM,27500011_22837,Hb Sup Rev 275 Hcpcs C1898,1271.43,445.0,,,0
CDM,27500011_61017,Hb Sup Rev 275 Hcpcs C1898,1166.72,408.35,,,0
CDM,27500011_74199,Hb Sup Rev 275 Hcpcs C1898,1271.43,445.0,,,0
CDM,27500065_C1777_275,Hb Lead Sprint Quattro Secure 65,8974.8,3141.18,,,0
CDM,27500169_C1898_275,Hb Lead Novus 5076 52,565.85,198.05,,,0
CDM,27500170_C1898_275,Hb Lead Novus 5076 58,1166.72,408.35,,,0
CDM,27500186_C1898_275,Hb Lead Capsure Fix 52,1159.03,405.66,,,0
CDM,27500188_C1898_275,Hb Lead Capsure Fix 58,1166.72,408.35,,,0
CDM,27500190_C1898_275,Hb Lead Capsure Fixed Novus 45Cm,1166.72,408.35,,,0
CDM,27500201_C1898_275,Hb Lead Fineline Ii Ez 58Cm Silic,1047.06,366.47,,,0
CDM,27500219_C1900_275,Hb Lead Attain Ability 88Cm,4188.24,1465.88,,,0
CDM,27500254_275,Hb Cvc Pacemaker,38559.29,13495.75,,,0
CDM,27500254_278,Hb Cvc Pacemaker,86905.98,30417.09,,,0
CDM,27500271_C1900_275,Hb Lead Attain Ability 4296 88,6592.32,2307.31,,,0
CDM,27500329_168077,Hb Sup Rev 275 Hcpcs C2621,13462.2,4711.77,,,0
CDM,27500392_272,Hb Pump Set Impella Cp,70635.0,24722.25,,,0
CDM,27500392_278,Hb Pump Set Impella Cp,74790.0,26176.5,,,0
CDM,27500393_C1777_275,Hb Lead Sprint Quat Df4,8894.68,3113.14,,,0
CDM,27500401_C1714_275,Hb Dinali Ivc Filter Femoral,7887.24,2760.53,,,0
CDM,27500402_C1714_275,Hb Dinali Ivc Filter Jugular,5010.93,1753.83,,,0
CDM,27500402_C1714_278,Hb Dinali Ivc Filter Jugular,5010.93,1753.83,,,0
CDM,27500428_C1722_275,Hb Gen Fortify Assura Sr Df4,25428.6,8900.01,,,0
CDM,27500434_C1882_275,Hb Gen Unify Assura Crt-D Df1,46968.12,16438.84,,,0
CDM,27500442_275,Hb Lead Attain Performa 4298-88,5061.79,1771.63,,,0
CDM,27500445_275,Hb Icd  Unify Assura Crt-D  Df4,46968.12,16438.84,,,0
CDM,27500445_C1882_275,Hb Icd  Unify Assura Crt-D  Df4,46968.12,16438.84,,,0
CDM,27500469_C1900_275,Hb Lead Attain Performa 78,5061.79,1771.63,,,0
CDM,27500472_108842,Hb Sup Rev 275 Hcpcs C1768,2695.43,943.4,,,0
CDM,27500472_108860,Hb Sup Rev 275 Hcpcs C1768,2249.68,787.39,,,0
CDM,27500472_108863,Hb Sup Rev 275 Hcpcs C1768,2249.68,787.39,,,0
CDM,27500472_108868,Hb Sup Rev 275 Hcpcs C1768,8226.9,2879.42,,,0
CDM,27500472_108869,Hb Sup Rev 275 Hcpcs C1768,8226.9,2879.42,,,0
CDM,27500472_144415,Hb Sup Rev 275 Hcpcs C1768,7401.22,2590.43,,,0
CDM,27500472_98104,Hb Sup Rev 275 Hcpcs C1768,1238.4,433.44,,,0
CDM,27500489_C2628_275,Hb Plug Vascular System 6.5Mm,5833.62,2041.77,,,0
CDM,27500535_275,Hb Gen Allure Crt-P Rf,10096.92,3533.92,,,0
CDM,27500618_C1785_275,Hb Gen Accolade Mri Dr,8974.8,3141.18,,,0
CDM,27500631_275,Hb Centrimag Imp Pump Blood,32907.6,11517.66,,,0
CDM,27500631_76796,Hb Centrimag Imp Pump Blood,32907.6,11517.66,,,0
CDM,27500632_C1722_275,Hb Gen Emblem S-Icd Mri,59084.1,20679.44,,,0
CDM,27500648_C1777_275,Hb Lead Sprint Quattro Secure 55C,8974.8,3141.18,,,0
CDM,27500650_C1764_278,Hb Loop Recorder Biomonitor,12564.72,4397.65,,,0
CDM,27500655_C1785_275,Hb Gen Assurity Mri Dr,8077.32,2827.06,,,0
CDM,27500656_C1882_275,Hb Gen Quadra Assura  Mp Pr,46968.12,16438.84,,,0
CDM,27500672_C1898_275,Hb Lead Tendril Sts 46Cm,1271.43,445.0,,,0
CDM,27500673_C1898_275,Hb Lead Tendril Sts 52Cm,1243.81,435.33,,,0
CDM,27500674_C1898_275,Hb Lead Tendril Sts 58Cm,1210.94,423.83,,,0
CDM,27500675_C1898_275,Hb Lead Tendril Sts 65Cm,1271.43,445.0,,,0
CDM,27500686_C1777_275,Hb Lead Durata Df1 Tbp S Shk 65Cm,7778.16,2722.36,,,0
CDM,27500687_C1777_275,Hb Lead Durata Df4 Tbp S Shk 58Cm,7778.16,2722.36,,,0
CDM,27500688_C1777_275,Hb Lead Durata Df4 Tbp S Shk 65Cm,7467.08,2613.48,,,0
CDM,27500700_C1898_275,Hb Lead Tendril Mri 52Cm,1271.43,445.0,,,0
CDM,27500701_C1898_275,Hb Lead Tendril Mri 58Cm,1271.43,445.0,,,0
CDM,27500705_C1900_275,Hb Lead Lv Quickflex 86Cm,6207.57,2172.65,,,0
CDM,27500715_C1898_275,Hb Lead Select Secure Brady 59Cm,1196.64,418.82,,,0
CDM,27500716_C1898_275,Hb Lead Select Secure Brady 69Cm,1171.01,409.85,,,0
CDM,27500717_C1898_275,Hb Lead Select Secure Brady 74Cm,1196.64,418.82,,,0
CDM,27500721_C1898_275,Hb Lead Capsurefix Novus 65Cm,1166.72,408.35,,,0
CDM,27500724_C1898_275,Hb Lead Capsure Sense Brady 53Cm,1166.72,408.35,,,0
CDM,27500727_C1900_275,Hb Lead Lv Attain Performa 88Cm,5061.79,1771.63,,,0
CDM,27500791_C1785_275,Hb Gen Azure Xt Dr Mri,10622.31,3717.81,,,0
CDM,27500792_C1786_275,Hb Gen Azure Xt Sr Mri,8573.93,3000.88,,,0
CDM,27500793_C2621_275,Hb Gen Serena Mri Crt-P,17351.28,6072.95,,,0
CDM,27500800_C1777_275,Hb Lead Sprint Quattro S S 6935M,8974.8,3141.18,,,0
CDM,27500810_278,Hb Transcatheter Sapien 3 29Mm,97227.0,34029.45,,,0
CDM,27500811_C1900_275,Hb Lead Lv Attain Stability Quad  88,6192.61,2167.41,,,0
CDM,27500827_C1785_275,Hb Gen Edora 8 Dr-T Promri Cls,9124.38,3193.53,,,0
CDM,27500834_C1898_275,Hb Lead Solia S 53 Promri,1047.06,366.47,,,0
CDM,27500835_C1898_275,Hb Lead Solia S 60 Promri,1047.06,366.47,,,0
CDM,27500840_C1721_275,Hb Gen Rivacor 7 Dr-T Df4 Promri Cls,31959.26,11185.74,,,0
CDM,27500842_C1721_275,Hb Gen Ilivia Neo 7 Dr-T Df1 Promri Cls,31959.26,11185.74,,,0
CDM,27500850_C1722_275,Hb Gen Acticor 7 Vr-T Dx Df4 Promri,25428.6,8900.01,,,0
CDM,27500852_C1722_275,Hb Genintica Neo 7 Vr-T Dx Df1 Promri,25428.6,8900.01,,,0
CDM,27500862_C1777_275,Hb Lead Plexa  Df1 S Dx 65/15 Rv As,5983.2,2094.12,,,0
CDM,27500864_C1777_275,Hb Lead Plexa S Dx 65/15 Rv As,5983.2,2094.12,,,0
CDM,27500867_C1777_275,Hb Lead Plexa Promri S 60,5983.2,2094.12,,,0
CDM,27500870_C1777_275,Hb Lead Plexa Promri S 65,5983.2,2094.12,,,0
CDM,27500885_C1882_275,Hb Gen Acticor 7 Hf-T Crt-Dx Df4,45651.82,15978.14,,,0
CDM,27500887_C1882_275,Hb Gen Intica Neo 7 Hf-T Qp Df1,45651.82,15978.14,,,0
CDM,27500889_C1882_275,Hb Gen Intica Neo 7 Hf-T Df1 Promri,45651.82,15978.14,,,0
CDM,27500898_C1900_275,Hb Lead Sentus Promri Otw Qp L-85/49,4636.98,1622.94,,,0
CDM,27500919_C1721_275,Hb Gen Gallant Dr Icd,31959.26,11185.74,,,0
CDM,27500923_C1722_275,Hb Gen Gallant Vr Icd,25428.6,8900.01,,,0
CDM,27500929_C1898_275,Hb Lead Ingevity + 45Cm,1047.06,366.47,,,0
CDM,27500930_C1898_275,Hb Lead Ingevity + 52Cm,1138.74,398.56,,,0
CDM,27500931_C1898_275,Hb Lead Ingevity + 59Cm,1310.71,458.75,,,0
CDM,27500943_C1721_275,Hb Gen Vigilant El Dr Df4,34403.4,12041.19,,,0
CDM,27500944_C1721_275,Hb Gen Momentum El Dr,34403.4,12041.19,,,0
CDM,27500945_C1721_275,Hb Gen Perciva Dr Df4,34403.4,12041.19,,,0
CDM,27500949_C1722_275,Hb Gen Vigilant El Vr Df4,30663.9,10732.36,,,0
CDM,27500950_C1722_275,Hb Gen Momentum El Vr,30663.9,10732.36,,,0
CDM,27500962_C1895_275,Hb Lead Icd Reliance 4 Front 0672,8376.48,2931.77,,,0
CDM,27500963_C1895_275,Hb Lead Icd Reliance 4 Front 0673,8376.48,2931.77,,,0
CDM,27501006_C1882_275,Hb Gen Vigilant X4 Is4 Df4 Crt-D,46968.12,16438.84,,,0
CDM,27501007_C1882_275,Hb Gen Momentum X4 Is4 Df1 Crt-D,46968.12,16438.84,,,0
CDM,27501008_C1882_275,Hb Gen Momentum Is1 Df4 Crt-D,46968.12,16438.84,,,0
CDM,27501009_C1882_275,Hb Gen Momentum Is1 Df1 Crt-D,46968.12,16438.84,,,0
CDM,27501011_C2621_275,Hb Gen Visionist X4 Crt-P,14958.0,5235.3,,,0
CDM,27501012_C2621_275,Hb Gen Visionist Is-1 Crt-P,14958.0,5235.3,,,0
CDM,27501021_C1786_275,Hb Gen Aveir Vr Leadless 19.5F 38.5 Rv,26924.4,9423.54,,,0
CDM,27501022_C1764_275,Hb Icm Biomonitor Iiim,12564.72,4397.65,,,0
CDM,27501024_C2621_275,Hb Gen Quadra Allure Rf Crt-P Mri,13462.2,4711.77,,,0
CDM,27501026_C1786_275,Hb System Micra Av2 Leadless Pacing,36557.35,12795.07,,,0
CDM,27501027_C1786_275,Hb System Micra Vr2 Leadless Pacing,28150.96,9852.84,,,0
CDM,27501028_C1722_275,Hb Device Ev-Icd Aurora,59832.0,20941.2,,,0
CDM,27501029_C1896_275,Hb Lead Ev Epsila 63Cm,16124.72,5643.65,,,0
CDM,27501032_C1721_275,Hb Icd  Cobalt Xt Dr Mri Is1 Df1,39357.49,13775.12,,,0
CDM,27501034_C1721_275,Hb Icd  Cobalt Xt Dr Mri Is1 Df4,39357.49,13775.12,,,0
CDM,27501041_C1882_275,Hb Crtd Cobalt Xt Hf Mri Is1 Df1,55057.41,19270.09,,,0
CDM,27501043_C1882_275,Hb Crtd Cobalt Xt Hf Mri Is1 Df4,55057.41,19270.09,,,0
CDM,27501044_C1882_275,Hb Crtd Cobalt Xt Hf Quad Mri Is4 Df4,55057.41,19270.09,,,0
CDM,27501049_C2621_275,Hb Gen Percepta Surescan Mri Crt-P,18847.08,6596.48,,,0
CDM,27501050_C1785_275,Hb Gen Amvia Edge Dr-T,10347.94,3621.78,,,0
CDM,27501055_C1777_275,Hb Lead Pamira S Dx 65/15 Rv And Atrial Sensing,5983.2,2094.12,,,0
CDM,27501058_C1777_275,Hb Lead Pamira S 65,5983.2,2094.12,,,0
CDM,27501063_C1898_275,Hb Lead Ultipace 52Cm,636.26,222.69,,,0
CDM,27501069_C1605_275,Hb Gen Aveir Dr Leadless Pm 19.5F 32.2Mm Ra,37843.74,13245.31,,,0
CDM,27501070_C1605_275,Hb Gen Aveir Dr Leadless Pm 19.5F 38.0Mm Rv,26924.4,9423.54,,,0
CDM,27600001_113060,Hb Sup Revenue Code 276,383.12,134.09,,,0
CDM,27600001_21690,Hb Sup Revenue Code 276,329.08,115.18,,,0
CDM,27600001_27278,Hb Sup Revenue Code 276,538.49,188.47,,,0
CDM,27600001_27292,Hb Sup Revenue Code 276,329.08,115.18,,,0
CDM,27600001_27293,Hb Sup Revenue Code 276,329.08,115.18,,,0
CDM,27600001_27328,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27329,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27334,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27336,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27344,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27352,Hb Sup Revenue Code 276,329.08,115.18,,,0
CDM,27600001_27358,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27362,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27365,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27368,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27371,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27372,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27375,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27376,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27380,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600001_27381,Hb Sup Revenue Code 276,445.75,156.01,,,0
CDM,27600002_168488,Hb Intraocular Lens,538.49,188.47,,,0
CDM,27600002_168489,Hb Intraocular Lens,538.49,188.47,,,0
CDM,27600002_193262,Hb Intraocular Lens,3036.47,1062.76,,,0
CDM,27600002_193268,Hb Intraocular Lens,3036.47,1062.76,,,0
CDM,27600002_193269,Hb Intraocular Lens,3036.47,1062.76,,,0
CDM,27600002_193272,Hb Intraocular Lens,3036.47,1062.76,,,0
CDM,27600002_193276,Hb Intraocular Lens,3036.47,1062.76,,,0
CDM,27600002_193288,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193290,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193292,Hb Intraocular Lens,398.64,139.52,,,0
CDM,27600002_193293,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193294,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193297,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193298,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193299,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193301,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193302,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193303,Hb Intraocular Lens,418.82,146.59,,,0
CDM,27600002_193306,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193316,Hb Intraocular Lens,400.87,140.3,,,0
CDM,27600002_193334,Hb Intraocular Lens,3036.47,1062.76,,,0
CDM,27600002_193339,Hb Intraocular Lens,3036.47,1062.76,,,0
CDM,27600002_193342,Hb Intraocular Lens,3036.47,1062.76,,,0
CDM,27600002_193344,Hb Intraocular Lens,3141.18,1099.41,,,0
CDM,27600002_27270,Hb Intraocular Lens,445.76,156.02,,,0
CDM,27600002_276,Hb Intraocular Lens,1017.89,356.26,,,0
CDM,27600002_519,Hb Intraocular Lens,2964.6,1037.61,,,0
CDM,27600003_169526,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169527,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169529,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169530,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169532,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169533,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169534,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169536,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169537,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169538,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169539,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169540,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169541,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169542,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169543,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169544,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169545,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169546,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169547,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169548,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169549,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169550,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169551,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169552,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169553,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169554,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169555,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169556,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169557,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169558,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169559,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169560,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169561,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169562,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169563,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169564,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169565,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169566,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169567,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169568,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169569,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169570,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169571,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169572,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169573,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27600003_169574,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
CDM,27800032_100450,Hb Sup Revenue Code 278,1047.06,366.47,,,0
CDM,27800032_101606,Hb Sup Revenue Code 278,4534.96,1587.24,,,0
CDM,27800032_101864,Hb Sup Revenue Code 278,2767.23,968.53,,,0
CDM,27800032_1056,Hb Sup Revenue Code 278,191.46,67.01,,,0
CDM,27800032_10566,Hb Sup Revenue Code 278,3515.88,1230.56,,,0
CDM,27800032_10567,Hb Sup Revenue Code 278,3515.88,1230.56,,,0
CDM,27800032_1060,Hb Sup Revenue Code 278,1681.28,588.45,,,0
CDM,27800032_10611,Hb Sup Revenue Code 278,5334.02,1866.91,,,0
CDM,27800032_10635,Hb Sup Revenue Code 278,3839.72,1343.9,,,0
CDM,27800032_106352,Hb Sup Revenue Code 278,751.25,262.94,,,0
CDM,27800032_106354,Hb Sup Revenue Code 278,328.18,114.86,,,0
CDM,27800032_106355,Hb Sup Revenue Code 278,326.8,114.38,,,0
CDM,27800032_10636,Hb Sup Revenue Code 278,3839.72,1343.9,,,0
CDM,27800032_10647,Hb Sup Revenue Code 278,4729.72,1655.4,,,0
CDM,27800032_10648,Hb Sup Revenue Code 278,4729.72,1655.4,,,0
CDM,27800032_107662,Hb Sup Revenue Code 278,7099.07,2484.67,,,0
CDM,27800032_108366,Hb Sup Revenue Code 278,1907.78,667.72,,,0
CDM,27800032_108372,Hb Sup Revenue Code 278,1837.8,643.23,,,0
CDM,27800032_108374,Hb Sup Revenue Code 278,239.33,83.77,,,0
CDM,27800032_108375,Hb Sup Revenue Code 278,239.33,83.77,,,0
CDM,27800032_108376,Hb Sup Revenue Code 278,239.33,83.77,,,0
CDM,27800032_10841,Hb Sup Revenue Code 278,1020.14,357.05,,,0
CDM,27800032_108664,Hb Sup Revenue Code 278,261765.0,91617.75,,,0
CDM,27800032_109735,Hb Sup Revenue Code 278,19171.67,6710.08,,,0
CDM,27800032_109736,Hb Sup Revenue Code 278,18601.57,6510.55,,,0
CDM,27800032_109977,Hb Sup Revenue Code 278,107.7,37.7,,,0
CDM,27800032_109983,Hb Sup Revenue Code 278,30188.98,10566.14,,,0
CDM,27800032_109987,Hb Sup Revenue Code 278,13634.36,4772.03,,,0
CDM,27800032_110563,Hb Sup Revenue Code 278,12427.11,4349.49,,,0
CDM,27800032_111370,Hb Sup Revenue Code 278,3126.22,1094.18,,,0
CDM,27800032_111371,Hb Sup Revenue Code 278,3126.22,1094.18,,,0
CDM,27800032_111372,Hb Sup Revenue Code 278,3126.22,1094.18,,,0
CDM,27800032_111373,Hb Sup Revenue Code 278,3126.22,1094.18,,,0
CDM,27800032_111374,Hb Sup Revenue Code 278,3126.22,1094.18,,,0
CDM,27800032_113161,Hb Sup Revenue Code 278,1492.81,522.48,,,0
CDM,27800032_113540,Hb Sup Revenue Code 278,1421.01,497.35,,,0
CDM,27800032_113541,Hb Sup Revenue Code 278,2542.86,890.0,,,0
CDM,27800032_113542,Hb Sup Revenue Code 278,1974.46,691.06,,,0
CDM,27800032_114563,Hb Sup Revenue Code 278,747.9,261.76,,,0
CDM,27800032_114713,Hb Sup Revenue Code 278,8708.25,3047.89,,,0
CDM,27800032_11521,Hb Sup Revenue Code 278,6222.83,2177.99,,,0
CDM,27800032_116548,Hb Sup Revenue Code 278,2878.97,1007.64,,,0
CDM,27800032_11659,Hb Sup Revenue Code 278,3844.21,1345.47,,,0
CDM,27800032_116749,Hb Sup Revenue Code 278,1130.98,395.84,,,0
CDM,27800032_117384,Hb Sup Revenue Code 278,4188.24,1465.88,,,0
CDM,27800032_117385,Hb Sup Revenue Code 278,4188.24,1465.88,,,0
CDM,27800032_117397,Hb Sup Revenue Code 278,4816.48,1685.77,,,0
CDM,27800032_117402,Hb Sup Revenue Code 278,4816.48,1685.77,,,0
CDM,27800032_117423,Hb Sup Revenue Code 278,1256.47,439.76,,,0
CDM,27800032_117424,Hb Sup Revenue Code 278,209.41,73.29,,,0
CDM,27800032_117426,Hb Sup Revenue Code 278,2393.28,837.65,,,0
CDM,27800032_117427,Hb Sup Revenue Code 278,2393.28,837.65,,,0
CDM,27800032_117429,Hb Sup Revenue Code 278,2393.28,837.65,,,0
CDM,27800032_117430,Hb Sup Revenue Code 278,2393.28,837.65,,,0
CDM,27800032_117432,Hb Sup Revenue Code 278,2393.28,837.65,,,0
CDM,27800032_117433,Hb Sup Revenue Code 278,2617.65,916.18,,,0
CDM,27800032_117434,Hb Sup Revenue Code 278,2617.65,916.18,,,0
CDM,27800032_117435,Hb Sup Revenue Code 278,2393.28,837.65,,,0
CDM,27800032_117443,Hb Sup Revenue Code 278,382.92,134.02,,,0
CDM,27800032_117445,Hb Sup Revenue Code 278,382.92,134.02,,,0
CDM,27800032_117446,Hb Sup Revenue Code 278,382.92,134.02,,,0
CDM,27800032_117447,Hb Sup Revenue Code 278,382.92,134.02,,,0
CDM,27800032_117465,Hb Sup Revenue Code 278,614.52,215.08,,,0
CDM,27800032_117466,Hb Sup Revenue Code 278,613.98,214.89,,,0
CDM,27800032_117467,Hb Sup Revenue Code 278,614.52,215.08,,,0
CDM,27800032_117469,Hb Sup Revenue Code 278,2542.86,890.0,,,0
CDM,27800032_117474,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117475,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117476,Hb Sup Revenue Code 278,353.01,123.55,,,0
CDM,27800032_117477,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117478,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117484,Hb Sup Revenue Code 278,347.03,121.46,,,0
CDM,27800032_117485,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117486,Hb Sup Revenue Code 278,347.03,121.46,,,0
CDM,27800032_117487,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117488,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117489,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117490,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117491,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117500,Hb Sup Revenue Code 278,1720.17,602.06,,,0
CDM,27800032_117515,Hb Sup Revenue Code 278,2140.5,749.18,,,0
CDM,27800032_117528,Hb Sup Revenue Code 278,388.91,136.12,,,0
CDM,27800032_117530,Hb Sup Revenue Code 278,388.91,136.12,,,0
CDM,27800032_117531,Hb Sup Revenue Code 278,583.36,204.18,,,0
CDM,27800032_117532,Hb Sup Revenue Code 278,388.91,136.12,,,0
CDM,27800032_117533,Hb Sup Revenue Code 278,388.91,136.12,,,0
CDM,27800032_117534,Hb Sup Revenue Code 278,388.91,136.12,,,0
CDM,27800032_117577,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117578,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117579,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117580,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117581,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117582,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117583,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117584,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117585,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117586,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117592,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117593,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117594,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117595,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_117596,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_118245,Hb Sup Revenue Code 278,688.07,240.82,,,0
CDM,27800032_118461,Hb Sup Revenue Code 278,4361.75,1526.61,,,0
CDM,27800032_118462,Hb Sup Revenue Code 278,4361.75,1526.61,,,0
CDM,27800032_118858,Hb Sup Revenue Code 278,19171.67,6710.08,,,0
CDM,27800032_118883,Hb Sup Revenue Code 278,3136.99,1097.95,,,0
CDM,27800032_118885,Hb Sup Revenue Code 278,3841.21,1344.42,,,0
CDM,27800032_119395,Hb Sup Revenue Code 278,2094.12,732.94,,,0
CDM,27800032_119396,Hb Sup Revenue Code 278,3530.09,1235.53,,,0
CDM,27800032_119599,Hb Sup Revenue Code 278,49193.87,17217.85,,,0
CDM,27800032_119602,Hb Sup Revenue Code 278,49193.87,17217.85,,,0
CDM,27800032_119615,Hb Sup Revenue Code 278,46460.88,16261.31,,,0
CDM,27800032_119618,Hb Sup Revenue Code 278,49193.87,17217.85,,,0
CDM,27800032_119619,Hb Sup Revenue Code 278,49193.87,17217.85,,,0
CDM,27800032_119620,Hb Sup Revenue Code 278,46460.88,16261.31,,,0
CDM,27800032_119622,Hb Sup Revenue Code 278,49193.87,17217.85,,,0
CDM,27800032_119625,Hb Sup Revenue Code 278,49193.87,17217.85,,,0
CDM,27800032_121072,Hb Sup Revenue Code 278,8574.91,3001.22,,,0
CDM,27800032_121223,Hb Sup Revenue Code 278,44.87,15.7,,,0
CDM,27800032_121444,Hb Sup Revenue Code 278,430.79,150.78,,,0
CDM,27800032_121630,Hb Sup Revenue Code 278,2572.78,900.47,,,0
CDM,27800032_121632,Hb Sup Revenue Code 278,822.69,287.94,,,0
CDM,27800032_121634,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_121635,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_121636,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_121637,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_121638,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_121640,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_121681,Hb Sup Revenue Code 278,1854.79,649.18,,,0
CDM,27800032_121708,Hb Sup Revenue Code 278,2483.03,869.06,,,0
CDM,27800032_121948,Hb Sup Revenue Code 278,184.88,64.71,,,0
CDM,27800032_121949,Hb Sup Revenue Code 278,184.89,64.71,,,0
CDM,27800032_121950,Hb Sup Revenue Code 278,230.61,80.71,,,0
CDM,27800032_121951,Hb Sup Revenue Code 278,247.63,86.67,,,0
CDM,27800032_121952,Hb Sup Revenue Code 278,181.04,63.36,,,0
CDM,27800032_121953,Hb Sup Revenue Code 278,182.73,63.96,,,0
CDM,27800032_121959,Hb Sup Revenue Code 278,2449.67,857.38,,,0
CDM,27800032_121965,Hb Sup Revenue Code 278,2449.67,857.38,,,0
CDM,27800032_121968,Hb Sup Revenue Code 278,2378.32,832.41,,,0
CDM,27800032_121969,Hb Sup Revenue Code 278,2449.67,857.38,,,0
CDM,27800032_122291,Hb Sup Revenue Code 278,7778.16,2722.36,,,0
CDM,27800032_122896,Hb Sup Revenue Code 278,5167.99,1808.8,,,0
CDM,27800032_122900,Hb Sup Revenue Code 278,1574.87,551.2,,,0
CDM,27800032_122905,Hb Sup Revenue Code 278,5167.99,1808.8,,,0
CDM,27800032_122925,Hb Sup Revenue Code 278,4378.96,1532.64,,,0
CDM,27800032_122926,Hb Sup Revenue Code 278,5594.67,1958.13,,,0
CDM,27800032_122927,Hb Sup Revenue Code 278,6262.92,2192.02,,,0
CDM,27800032_126152,Hb Sup Revenue Code 278,3290.76,1151.77,,,0
CDM,27800032_126157,Hb Sup Revenue Code 278,3290.76,1151.77,,,0
CDM,27800032_126159,Hb Sup Revenue Code 278,3290.76,1151.77,,,0
CDM,27800032_126890,Hb Sup Revenue Code 278,25082.07,8778.72,,,0
CDM,27800032_127596,Hb Sup Revenue Code 278,11068.92,3874.12,,,0
CDM,27800032_127602,Hb Sup Revenue Code 278,11068.92,3874.12,,,0
CDM,27800032_127603,Hb Sup Revenue Code 278,11068.92,3874.12,,,0
CDM,27800032_127604,Hb Sup Revenue Code 278,11068.92,3874.12,,,0
CDM,27800032_128630,Hb Sup Revenue Code 278,19171.67,6710.08,,,0
CDM,27800032_128631,Hb Sup Revenue Code 278,18977.32,6642.06,,,0
CDM,27800032_128632,Hb Sup Revenue Code 278,19171.67,6710.08,,,0
CDM,27800032_128633,Hb Sup Revenue Code 278,19171.67,6710.08,,,0
CDM,27800032_128634,Hb Sup Revenue Code 278,23497.53,8224.14,,,0
CDM,27800032_128635,Hb Sup Revenue Code 278,23497.53,8224.14,,,0
CDM,27800032_128636,Hb Sup Revenue Code 278,23497.53,8224.14,,,0
CDM,27800032_128638,Hb Sup Revenue Code 278,24671.73,8635.11,,,0
CDM,27800032_128639,Hb Sup Revenue Code 278,24671.73,8635.11,,,0
CDM,27800032_128640,Hb Sup Revenue Code 278,24671.73,8635.11,,,0
CDM,27800032_128641,Hb Sup Revenue Code 278,4417.1,1545.98,,,0
CDM,27800032_128644,Hb Sup Revenue Code 278,4729.72,1655.4,,,0
CDM,27800032_128650,Hb Sup Revenue Code 278,3698.44,1294.45,,,0
CDM,27800032_128651,Hb Sup Revenue Code 278,3706.59,1297.31,,,0
CDM,27800032_128652,Hb Sup Revenue Code 278,3706.59,1297.31,,,0
CDM,27800032_128653,Hb Sup Revenue Code 278,3706.59,1297.31,,,0
CDM,27800032_128658,Hb Sup Revenue Code 278,3706.59,1297.31,,,0
CDM,27800032_128666,Hb Sup Revenue Code 278,3706.59,1297.31,,,0
CDM,27800032_128668,Hb Sup Revenue Code 278,3706.59,1297.31,,,0
CDM,27800032_129846,Hb Sup Revenue Code 278,4188.24,1465.88,,,0
CDM,27800032_129847,Hb Sup Revenue Code 278,1645.38,575.88,,,0
CDM,27800032_129848,Hb Sup Revenue Code 278,8226.9,2879.42,,,0
CDM,27800032_130207,Hb Sup Revenue Code 278,30906.96,10817.44,,,0
CDM,27800032_130208,Hb Sup Revenue Code 278,30054.36,10519.03,,,0
CDM,27800032_131195,Hb Sup Revenue Code 278,26221.37,9177.48,,,0
CDM,27800032_132026,Hb Sup Revenue Code 278,179.5,62.82,,,0
CDM,27800032_13259,Hb Sup Revenue Code 278,1397.08,488.98,,,0
CDM,27800032_133549,Hb Sup Revenue Code 278,6895.64,2413.47,,,0
CDM,27800032_134331,Hb Sup Revenue Code 278,2363.36,827.18,,,0
CDM,27800032_13438,Hb Sup Revenue Code 278,8447.38,2956.58,,,0
CDM,27800032_13460,Hb Sup Revenue Code 278,20142.75,7049.96,,,0
CDM,27800032_138229,Hb Sup Revenue Code 278,224.37,78.53,,,0
CDM,27800032_138235,Hb Sup Revenue Code 278,2542.86,890.0,,,0
CDM,27800032_138237,Hb Sup Revenue Code 278,747.9,261.76,,,0
CDM,27800032_138330,Hb Sup Revenue Code 278,7063.2,2472.12,,,0
CDM,27800032_138333,Hb Sup Revenue Code 278,1196.64,418.82,,,0
CDM,27800032_138334,Hb Sup Revenue Code 278,1495.8,523.53,,,0
CDM,27800032_138335,Hb Sup Revenue Code 278,299.16,104.71,,,0
CDM,27800032_138336,Hb Sup Revenue Code 278,299.16,104.71,,,0
CDM,27800032_138337,Hb Sup Revenue Code 278,2991.6,1047.06,,,0
CDM,27800032_138340,Hb Sup Revenue Code 278,747.9,261.76,,,0
CDM,27800032_138341,Hb Sup Revenue Code 278,747.9,261.76,,,0
CDM,27800032_138344,Hb Sup Revenue Code 278,149.58,52.35,,,0
CDM,27800032_138944,Hb Sup Revenue Code 278,3169.66,1109.38,,,0
CDM,27800032_138945,Hb Sup Revenue Code 278,5574.16,1950.96,,,0
CDM,27800032_139696,Hb Sup Revenue Code 278,2976.64,1041.82,,,0
CDM,27800032_140581,Hb Sup Revenue Code 278,11248.0,3936.8,,,0
CDM,27800032_140582,Hb Sup Revenue Code 278,6528.57,2285.0,,,0
CDM,27800032_144358,Hb Sup Revenue Code 278,1136.81,397.88,,,0
CDM,27800032_144359,Hb Sup Revenue Code 278,3697.62,1294.17,,,0
CDM,27800032_147469,Hb Sup Revenue Code 278,576.15,201.65,,,0
CDM,27800032_147470,Hb Sup Revenue Code 278,777.82,272.24,,,0
CDM,27800032_147471,Hb Sup Revenue Code 278,469.91,164.47,,,0
CDM,27800032_147472,Hb Sup Revenue Code 278,119.66,41.88,,,0
CDM,27800032_147489,Hb Sup Revenue Code 278,47865.6,16752.96,,,0
CDM,27800032_149750,Hb Sup Revenue Code 278,27133.62,9496.77,,,0
CDM,27800032_149752,Hb Sup Revenue Code 278,15354.3,5374.0,,,0
CDM,27800032_150608,Hb Sup Revenue Code 278,122655.6,42929.46,,,0
CDM,27800032_152865,Hb Sup Revenue Code 278,4409.8,1543.43,,,0
CDM,27800032_152866,Hb Sup Revenue Code 278,4509.0,1578.15,,,0
CDM,27800032_153808,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
CDM,27800032_153809,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
CDM,27800032_153810,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
CDM,27800032_153811,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
CDM,27800032_153812,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
CDM,27800032_153813,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
CDM,27800032_155104,Hb Sup Revenue Code 278,309.44,108.3,,,0
CDM,27800032_15628,Hb Sup Revenue Code 278,1462.53,511.89,,,0
CDM,27800032_157588,Hb Sup Revenue Code 278,26251.29,9187.95,,,0
CDM,27800032_160353,Hb Sup Revenue Code 278,65815.2,23035.32,,,0
CDM,27800032_160354,Hb Sup Revenue Code 278,29392.47,10287.36,,,0
CDM,27800032_160355,Hb Sup Revenue Code 278,448.74,157.06,,,0
CDM,27800032_160579,Hb Sup Revenue Code 278,3246.48,1136.27,,,0
CDM,27800032_160701,Hb Sup Revenue Code 278,49181.9,17213.66,,,0
CDM,27800032_160707,Hb Sup Revenue Code 278,49181.9,17213.66,,,0
CDM,27800032_160709,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160715,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160718,Hb Sup Revenue Code 278,49181.9,17213.66,,,0
CDM,27800032_160721,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160724,Hb Sup Revenue Code 278,49181.9,17213.66,,,0
CDM,27800032_160725,Hb Sup Revenue Code 278,49181.9,17213.66,,,0
CDM,27800032_160726,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160728,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160730,Hb Sup Revenue Code 278,49181.9,17213.66,,,0
CDM,27800032_160734,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160735,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160736,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160739,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160740,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160741,Hb Sup Revenue Code 278,49181.9,17213.66,,,0
CDM,27800032_160743,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160744,Hb Sup Revenue Code 278,49181.9,17213.66,,,0
CDM,27800032_160746,Hb Sup Revenue Code 278,49181.9,17213.66,,,0
CDM,27800032_160747,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160748,Hb Sup Revenue Code 278,46449.58,16257.35,,,0
CDM,27800032_160749,Hb Sup Revenue Code 278,41882.4,14658.84,,,0
CDM,27800032_160750,Hb Sup Revenue Code 278,41882.4,14658.84,,,0
CDM,27800032_160751,Hb Sup Revenue Code 278,41882.4,14658.84,,,0
CDM,27800032_160752,Hb Sup Revenue Code 278,41882.4,14658.84,,,0
CDM,27800032_160753,Hb Sup Revenue Code 278,41882.4,14658.84,,,0
CDM,27800032_160754,Hb Sup Revenue Code 278,41882.4,14658.84,,,0
CDM,27800032_16116,Hb Sup Revenue Code 278,5453.19,1908.62,,,0
CDM,27800032_16117,Hb Sup Revenue Code 278,18187.44,6365.6,,,0
CDM,27800032_162283,Hb Sup Revenue Code 278,1028.16,359.86,,,0
CDM,27800032_162284,Hb Sup Revenue Code 278,1028.16,359.86,,,0
CDM,27800032_162285,Hb Sup Revenue Code 278,1028.16,359.86,,,0
CDM,27800032_162286,Hb Sup Revenue Code 278,1028.16,359.86,,,0
CDM,27800032_162290,Hb Sup Revenue Code 278,971.04,339.86,,,0
CDM,27800032_163779,Hb Sup Revenue Code 278,25356.8,8874.88,,,0
CDM,27800032_163781,Hb Sup Revenue Code 278,25356.8,8874.88,,,0
CDM,27800032_163786,Hb Sup Revenue Code 278,25356.8,8874.88,,,0
CDM,27800032_163788,Hb Sup Revenue Code 278,13897.37,4864.08,,,0
CDM,27800032_163794,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163795,Hb Sup Revenue Code 278,14483.0,5069.05,,,0
CDM,27800032_163796,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163797,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163798,Hb Sup Revenue Code 278,13629.73,4770.41,,,0
CDM,27800032_163800,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163801,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163802,Hb Sup Revenue Code 278,14483.0,5069.05,,,0
CDM,27800032_163803,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163804,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163806,Hb Sup Revenue Code 278,13629.73,4770.41,,,0
CDM,27800032_163807,Hb Sup Revenue Code 278,13677.76,4787.22,,,0
CDM,27800032_163808,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163809,Hb Sup Revenue Code 278,14483.0,5069.05,,,0
CDM,27800032_163810,Hb Sup Revenue Code 278,13838.81,4843.58,,,0
CDM,27800032_163811,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163812,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163813,Hb Sup Revenue Code 278,12872.52,4505.38,,,0
CDM,27800032_163824,Hb Sup Revenue Code 278,23948.09,8381.83,,,0
CDM,27800032_163825,Hb Sup Revenue Code 278,26943.01,9430.05,,,0
CDM,27800032_163826,Hb Sup Revenue Code 278,26515.17,9280.31,,,0
CDM,27800032_163847,Hb Sup Revenue Code 278,14347.71,5021.7,,,0
CDM,27800032_163849,Hb Sup Revenue Code 278,13550.62,4742.72,,,0
CDM,27800032_163850,Hb Sup Revenue Code 278,13889.67,4861.38,,,0
CDM,27800032_163851,Hb Sup Revenue Code 278,15245.86,5336.05,,,0
CDM,27800032_163858,Hb Sup Revenue Code 278,13550.62,4742.72,,,0
CDM,27800032_163859,Hb Sup Revenue Code 278,13550.62,4742.72,,,0
CDM,27800032_16417,Hb Sup Revenue Code 278,254.29,89.0,,,0
CDM,27800032_1646,Hb Sup Revenue Code 278,245.01,85.75,,,0
CDM,27800032_165924,Hb Sup Revenue Code 278,104706.0,36647.1,,,0
CDM,27800032_165926,Hb Sup Revenue Code 278,20941.2,7329.42,,,0
CDM,27800032_16608,Hb Sup Revenue Code 278,2273.21,795.62,,,0
CDM,27800032_16609,Hb Sup Revenue Code 278,3778.66,1322.53,,,0
CDM,27800032_16610,Hb Sup Revenue Code 278,5473.33,1915.67,,,0
CDM,27800032_16831,Hb Sup Revenue Code 278,1138.36,398.43,,,0
CDM,27800032_16833,Hb Sup Revenue Code 278,1138.36,398.43,,,0
CDM,27800032_168341,Hb Sup Revenue Code 278,445.75,156.01,,,0
CDM,27800032_168422,Hb Sup Revenue Code 278,5310.09,1858.53,,,0
CDM,27800032_16845,Hb Sup Revenue Code 278,1183.9,414.36,,,0
CDM,27800032_168460,Hb Sup Revenue Code 278,107.85,37.75,,,0
CDM,27800032_168646,Hb Sup Revenue Code 278,1510.76,528.77,,,0
CDM,27800032_16866,Hb Sup Revenue Code 278,3431.53,1201.04,,,0
CDM,27800032_16867,Hb Sup Revenue Code 278,3431.53,1201.04,,,0
CDM,27800032_16871,Hb Sup Revenue Code 278,3431.53,1201.04,,,0
CDM,27800032_168764,Hb Sup Revenue Code 278,939.36,328.78,,,0
CDM,27800032_168785,Hb Sup Revenue Code 278,16023.01,5608.05,,,0
CDM,27800032_16879,Hb Sup Revenue Code 278,1138.36,398.43,,,0
CDM,27800032_16881,Hb Sup Revenue Code 278,1138.36,398.43,,,0
CDM,27800032_16882,Hb Sup Revenue Code 278,1138.36,398.43,,,0
CDM,27800032_16892,Hb Sup Revenue Code 278,1138.36,398.43,,,0
CDM,27800032_16900,Hb Sup Revenue Code 278,1138.36,398.43,,,0
CDM,27800032_170068,Hb Sup Revenue Code 278,2976.64,1041.82,,,0
CDM,27800032_170563,Hb Sup Revenue Code 278,22092.97,7732.54,,,0
CDM,27800032_170564,Hb Sup Revenue Code 278,22092.97,7732.54,,,0
CDM,27800032_170565,Hb Sup Revenue Code 278,22092.97,7732.54,,,0
CDM,27800032_170566,Hb Sup Revenue Code 278,22092.97,7732.54,,,0
CDM,27800032_170567,Hb Sup Revenue Code 278,22092.97,7732.54,,,0
CDM,27800032_170767,Hb Sup Revenue Code 278,8475.84,2966.54,,,0
CDM,27800032_170770,Hb Sup Revenue Code 278,8475.84,2966.54,,,0
CDM,27800032_170867,Hb Sup Revenue Code 278,5151.54,1803.04,,,0
CDM,27800032_170881,Hb Sup Revenue Code 278,34496.14,12073.65,,,0
CDM,27800032_170920,Hb Sup Revenue Code 278,5609.25,1963.24,,,0
CDM,27800032_172126,Hb Sup Revenue Code 278,2243.7,785.3,,,0
CDM,27800032_172827,Hb Sup Revenue Code 278,8870.09,3104.53,,,0
CDM,27800032_172828,Hb Sup Revenue Code 278,9767.57,3418.65,,,0
CDM,27800032_172908,Hb Sup Revenue Code 278,2976.64,1041.82,,,0
CDM,27800032_172909,Hb Sup Revenue Code 278,2976.64,1041.82,,,0
CDM,27800032_173480,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173482,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173483,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173484,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173486,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173487,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173488,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173489,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173490,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173491,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173492,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173493,Hb Sup Revenue Code 278,54922.95,19223.03,,,0
CDM,27800032_173494,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173495,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173496,Hb Sup Revenue Code 278,54922.95,19223.03,,,0
CDM,27800032_173497,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173498,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173499,Hb Sup Revenue Code 278,58153.71,20353.8,,,0
CDM,27800032_173501,Hb Sup Revenue Code 278,291.9,102.16,,,0
CDM,27800032_173525,Hb Sup Revenue Code 278,906.98,317.44,,,0
CDM,27800032_173526,Hb Sup Revenue Code 278,906.98,317.44,,,0
CDM,27800032_173527,Hb Sup Revenue Code 278,515.74,180.51,,,0
CDM,27800032_174028,Hb Sup Revenue Code 278,2913.09,1019.58,,,0
CDM,27800032_174136,Hb Sup Revenue Code 278,5854.8,2049.18,,,0
CDM,27800032_174137,Hb Sup Revenue Code 278,12193.76,4267.82,,,0
CDM,27800032_175080,Hb Sup Revenue Code 278,30906.96,10817.44,,,0
CDM,27800032_175188,Hb Sup Revenue Code 278,299.16,104.71,,,0
CDM,27800032_175379,Hb Sup Revenue Code 278,5235.3,1832.36,,,0
CDM,27800032_175380,Hb Sup Revenue Code 278,5983.2,2094.12,,,0
CDM,27800032_175381,Hb Sup Revenue Code 278,5983.2,2094.12,,,0
CDM,27800032_175382,Hb Sup Revenue Code 278,5983.2,2094.12,,,0
CDM,27800032_175383,Hb Sup Revenue Code 278,5422.28,1897.8,,,0
CDM,27800032_175948,Hb Sup Revenue Code 278,26251.29,9187.95,,,0
CDM,27800032_175949,Hb Sup Revenue Code 278,26251.29,9187.95,,,0
CDM,27800032_177101,Hb Sup Revenue Code 278,11667.24,4083.53,,,0
CDM,27800032_177791,Hb Sup Revenue Code 278,373.95,130.88,,,0
CDM,27800032_177857,Hb Sup Revenue Code 278,6804.93,2381.73,,,0
CDM,27800032_177858,Hb Sup Revenue Code 278,11792.95,4127.53,,,0
CDM,27800032_177859,Hb Sup Revenue Code 278,31680.96,11088.34,,,0
CDM,27800032_177860,Hb Sup Revenue Code 278,13527.53,4734.64,,,0
CDM,27800032_177861,Hb Sup Revenue Code 278,36040.86,12614.3,,,0
CDM,27800032_178024,Hb Sup Revenue Code 278,5534.46,1937.06,,,0
CDM,27800032_178025,Hb Sup Revenue Code 278,5534.46,1937.06,,,0
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CDM,27800032_178191,Hb Sup Revenue Code 278,13755.38,4814.38,,,0
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CDM,27800032_178193,Hb Sup Revenue Code 278,26062.82,9121.99,,,0
CDM,27800032_178243,Hb Sup Revenue Code 278,14958.0,5235.3,,,0
CDM,27800032_178853,Hb Sup Revenue Code 278,8376.48,2931.77,,,0
CDM,27800032_178863,Hb Sup Revenue Code 278,4509.0,1578.15,,,0
CDM,27800032_17948,Hb Sup Revenue Code 278,7710.85,2698.8,,,0
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CDM,27800032_17961,Hb Sup Revenue Code 278,6726.62,2354.32,,,0
CDM,27800032_17963,Hb Sup Revenue Code 278,6367.37,2228.58,,,0
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CDM,27800032_180335,Hb Sup Revenue Code 278,256.68,89.84,,,0
CDM,27800032_180336,Hb Sup Revenue Code 278,270.95,94.83,,,0
CDM,27800032_180339,Hb Sup Revenue Code 278,270.95,94.83,,,0
CDM,27800032_180340,Hb Sup Revenue Code 278,255.9,89.56,,,0
CDM,27800032_181074,Hb Sup Revenue Code 278,8781.91,3073.67,,,0
CDM,27800032_181075,Hb Sup Revenue Code 278,4509.0,1578.15,,,0
CDM,27800032_181076,Hb Sup Revenue Code 278,4509.0,1578.15,,,0
CDM,27800032_18124,Hb Sup Revenue Code 278,9456.45,3309.76,,,0
CDM,27800032_181627,Hb Sup Revenue Code 278,3391.39,1186.99,,,0
CDM,27800032_181661,Hb Sup Revenue Code 278,233.55,81.74,,,0
CDM,27800032_181662,Hb Sup Revenue Code 278,257.28,90.05,,,0
CDM,27800032_181663,Hb Sup Revenue Code 278,4248.07,1486.82,,,0
CDM,27800032_183931,Hb Sup Revenue Code 278,1522.84,532.99,,,0
CDM,27800032_183933,Hb Sup Revenue Code 278,2357.77,825.22,,,0
CDM,27800032_183936,Hb Sup Revenue Code 278,2357.77,825.22,,,0
CDM,27800032_183937,Hb Sup Revenue Code 278,3460.32,1211.11,,,0
CDM,27800032_183940,Hb Sup Revenue Code 278,3460.32,1211.11,,,0
CDM,27800032_183941,Hb Sup Revenue Code 278,7559.63,2645.87,,,0
CDM,27800032_183942,Hb Sup Revenue Code 278,10164.52,3557.58,,,0
CDM,27800032_183943,Hb Sup Revenue Code 278,1522.84,532.99,,,0
CDM,27800032_183948,Hb Sup Revenue Code 278,4606.22,1612.18,,,0
CDM,27800032_183949,Hb Sup Revenue Code 278,1522.84,532.99,,,0
CDM,27800032_184,Hb Sup Revenue Code 278,60.43,21.15,,,0
CDM,27800032_184058,Hb Sup Revenue Code 278,1136.81,397.88,,,0
CDM,27800032_184059,Hb Sup Revenue Code 278,2692.44,942.35,,,0
CDM,27800032_184060,Hb Sup Revenue Code 278,3889.08,1361.18,,,0
CDM,27800032_184061,Hb Sup Revenue Code 278,744.91,260.72,,,0
CDM,27800032_184062,Hb Sup Revenue Code 278,2916.81,1020.88,,,0
CDM,27800032_184064,Hb Sup Revenue Code 278,3141.18,1099.41,,,0
CDM,27800032_184065,Hb Sup Revenue Code 278,4487.4,1570.59,,,0
CDM,27800032_184068,Hb Sup Revenue Code 278,5968.24,2088.88,,,0
CDM,27800032_184069,Hb Sup Revenue Code 278,10051.78,3518.12,,,0
CDM,27800032_184070,Hb Sup Revenue Code 278,1346.22,471.18,,,0
CDM,27800032_184071,Hb Sup Revenue Code 278,6740.07,2359.02,,,0
CDM,27800032_184072,Hb Sup Revenue Code 278,11068.92,3874.12,,,0
CDM,27800032_184082,Hb Sup Revenue Code 278,1642.39,574.84,,,0
CDM,27800032_184518,Hb Sup Revenue Code 278,24626.14,8619.15,,,0
CDM,27800032_184821,Hb Sup Revenue Code 278,74790.0,26176.5,,,0
CDM,27800032_185084,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
CDM,27800032_185085,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
CDM,27800032_185086,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
CDM,27800032_185087,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
CDM,27800032_185091,Hb Sup Revenue Code 278,32907.6,11517.66,,,0
CDM,27800032_185092,Hb Sup Revenue Code 278,32907.6,11517.66,,,0
CDM,27800032_185093,Hb Sup Revenue Code 278,32907.6,11517.66,,,0
CDM,27800032_185095,Hb Sup Revenue Code 278,32907.6,11517.66,,,0
CDM,27800032_185102,Hb Sup Revenue Code 278,95731.2,33505.92,,,0
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CDM,27800032_185119,Hb Sup Revenue Code 278,95731.2,33505.92,,,0
CDM,27800032_185123,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
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CDM,27800032_185395,Hb Sup Revenue Code 278,2656.54,929.79,,,0
CDM,27800032_187292,Hb Sup Revenue Code 278,1256.47,439.76,,,0
CDM,27800032_187293,Hb Sup Revenue Code 278,1690.25,591.59,,,0
CDM,27800032_1874,Hb Sup Revenue Code 278,542.8,189.98,,,0
CDM,27800032_1876,Hb Sup Revenue Code 278,155.8,54.53,,,0
CDM,27800032_188528,Hb Sup Revenue Code 278,23334.48,8167.07,,,0
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CDM,27800032_189060,Hb Sup Revenue Code 278,4748.04,1661.81,,,0
CDM,27800032_189061,Hb Sup Revenue Code 278,4755.89,1664.56,,,0
CDM,27800032_189062,Hb Sup Revenue Code 278,5454.36,1909.03,,,0
CDM,27800032_189178,Hb Sup Revenue Code 278,5369.92,1879.47,,,0
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CDM,27800032_190,Hb Sup Revenue Code 278,58.63,20.52,,,0
CDM,27800032_190440,Hb Sup Revenue Code 278,44874.0,15705.9,,,0
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CDM,27800032_190579,Hb Sup Revenue Code 278,44874.0,15705.9,,,0
CDM,27800032_1909,Hb Sup Revenue Code 278,3446.08,1206.13,,,0
CDM,27800032_191299,Hb Sup Revenue Code 278,13647.68,4776.69,,,0
CDM,27800032_191307,Hb Sup Revenue Code 278,8319.64,2911.87,,,0
CDM,27800032_191378,Hb Sup Revenue Code 278,2695.43,943.4,,,0
CDM,27800032_191621,Hb Sup Revenue Code 278,9704.75,3396.66,,,0
CDM,27800032_191871,Hb Sup Revenue Code 278,6445.19,2255.82,,,0
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CDM,27800032_191883,Hb Sup Revenue Code 278,4490.69,1571.74,,,0
CDM,27800032_192105,Hb Sup Revenue Code 278,6683.23,2339.13,,,0
CDM,27800032_192106,Hb Sup Revenue Code 278,6255.44,2189.4,,,0
CDM,27800032_192349,Hb Sup Revenue Code 278,1071.85,375.15,,,0
CDM,27800032_192350,Hb Sup Revenue Code 278,364.59,127.61,,,0
CDM,27800032_192351,Hb Sup Revenue Code 278,2629.94,920.48,,,0
CDM,27800032_192353,Hb Sup Revenue Code 278,6677.25,2337.04,,,0
CDM,27800032_192354,Hb Sup Revenue Code 278,651.24,227.93,,,0
CDM,27800032_192355,Hb Sup Revenue Code 278,929.85,325.45,,,0
CDM,27800032_192356,Hb Sup Revenue Code 278,578.09,202.33,,,0
CDM,27800032_192357,Hb Sup Revenue Code 278,2892.69,1012.44,,,0
CDM,27800032_192358,Hb Sup Revenue Code 278,447.39,156.59,,,0
CDM,27800032_192359,Hb Sup Revenue Code 278,726.54,254.29,,,0
CDM,27800032_192360,Hb Sup Revenue Code 278,2179.89,762.96,,,0
CDM,27800032_192361,Hb Sup Revenue Code 278,402.76,140.97,,,0
CDM,27800032_192362,Hb Sup Revenue Code 278,879.5,307.82,,,0
CDM,27800032_192363,Hb Sup Revenue Code 278,2179.89,762.96,,,0
CDM,27800032_192365,Hb Sup Revenue Code 278,6607.85,2312.75,,,0
CDM,27800032_192366,Hb Sup Revenue Code 278,330.66,115.73,,,0
CDM,27800032_192367,Hb Sup Revenue Code 278,386.9,135.42,,,0
CDM,27800032_192368,Hb Sup Revenue Code 278,800.79,280.28,,,0
CDM,27800032_193297,Hb Sup Revenue Code 278,427.8,149.73,,,0
CDM,27800032_193306,Hb Sup Revenue Code 278,427.8,149.73,,,0
CDM,27800032_193337,Hb Sup Revenue Code 278,3036.47,1062.76,,,0
CDM,27800032_193838,Hb Sup Revenue Code 278,7419.17,2596.71,,,0
CDM,27800032_193839,Hb Sup Revenue Code 278,7419.17,2596.71,,,0
CDM,27800032_193840,Hb Sup Revenue Code 278,7419.17,2596.71,,,0
CDM,27800032_194097,Hb Sup Revenue Code 278,19445.4,6805.89,,,0
CDM,27800032_19476,Hb Sup Revenue Code 278,18187.44,6365.6,,,0
CDM,27800032_197619,Hb Sup Revenue Code 278,246.81,86.38,,,0
CDM,27800032_197651,Hb Sup Revenue Code 278,7419.17,2596.71,,,0
CDM,27800032_197842,Hb Sup Revenue Code 278,443.35,155.17,,,0
CDM,27800032_197843,Hb Sup Revenue Code 278,443.35,155.17,,,0
CDM,27800032_197844,Hb Sup Revenue Code 278,443.35,155.17,,,0
CDM,27800032_197845,Hb Sup Revenue Code 278,443.35,155.17,,,0
CDM,27800032_197846,Hb Sup Revenue Code 278,443.35,155.17,,,0
CDM,27800032_197847,Hb Sup Revenue Code 278,443.35,155.17,,,0
CDM,27800032_197912,Hb Sup Revenue Code 278,929.64,325.37,,,0
CDM,27800032_197913,Hb Sup Revenue Code 278,246.81,86.38,,,0
CDM,27800032_197920,Hb Sup Revenue Code 278,11771.95,4120.18,,,0
CDM,27800032_198114,Hb Sup Revenue Code 278,6805.89,2382.06,,,0
CDM,27800032_198219,Hb Sup Revenue Code 278,2059.72,720.9,,,0
CDM,27800032_1984,Hb Sup Revenue Code 278,733.13,256.6,,,0
CDM,27800032_19886,Hb Sup Revenue Code 278,4996.39,1748.74,,,0
CDM,27800032_19960,Hb Sup Revenue Code 278,7215.74,2525.51,,,0
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CDM,27800032_20217,Hb Sup Revenue Code 278,598.29,209.4,,,0
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CDM,27800032_203725,Hb Sup Revenue Code 278,16453.8,5758.83,,,0
CDM,27800032_203726,Hb Sup Revenue Code 278,7105.05,2486.77,,,0
CDM,27800032_208197,Hb Sup Revenue Code 278,30054.36,10519.03,,,0
CDM,27800032_21432,Hb Sup Revenue Code 278,4199.26,1469.74,,,0
CDM,27800032_21434,Hb Sup Revenue Code 278,2165.32,757.86,,,0
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CDM,27800032_2147,Hb Sup Revenue Code 278,110.48,38.67,,,0
CDM,27800032_21514,Hb Sup Revenue Code 278,1657.35,580.07,,,0
CDM,27800032_21542,Hb Sup Revenue Code 278,4203.2,1471.12,,,0
CDM,27800032_21544,Hb Sup Revenue Code 278,4194.89,1468.21,,,0
CDM,27800032_21550,Hb Sup Revenue Code 278,4472.44,1565.35,,,0
CDM,27800032_215954,Hb Sup Revenue Code 278,3531.6,1236.06,,,0
CDM,27800032_215955,Hb Sup Revenue Code 278,4120.2,1442.07,,,0
CDM,27800032_215956,Hb Sup Revenue Code 278,2684.02,939.41,,,0
CDM,27800032_216288,Hb Sup Revenue Code 278,1743.18,610.11,,,0
CDM,27800032_216290,Hb Sup Revenue Code 278,8767.79,3068.73,,,0
CDM,27800032_216292,Hb Sup Revenue Code 278,2872.24,1005.28,,,0
CDM,27800032_216298,Hb Sup Revenue Code 278,515.33,180.37,,,0
CDM,27800032_216299,Hb Sup Revenue Code 278,2573.27,900.64,,,0
CDM,27800032_216300,Hb Sup Revenue Code 278,395.4,138.39,,,0
CDM,27800032_216312,Hb Sup Revenue Code 278,3282.55,1148.89,,,0
CDM,27800032_216314,Hb Sup Revenue Code 278,2872.24,1005.28,,,0
CDM,27800032_217776,Hb Sup Revenue Code 278,3156.3,1104.7,,,0
CDM,27800032_218040,Hb Sup Revenue Code 278,598.32,209.41,,,0
CDM,27800032_218214,Hb Sup Revenue Code 278,653.81,228.83,,,0
CDM,27800032_218559,Hb Sup Revenue Code 278,245.34,85.87,,,0
CDM,27800032_218998,Hb Sup Revenue Code 278,3097.77,1084.22,,,0
CDM,27800032_219274,Hb Sup Revenue Code 278,13341.6,4669.56,,,0
CDM,27800032_219474,Hb Sup Revenue Code 278,4088.16,1430.86,,,0
CDM,27800032_219592,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_219594,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_219604,Hb Sup Revenue Code 278,696.95,243.93,,,0
CDM,27800032_219605,Hb Sup Revenue Code 278,3585.66,1254.98,,,0
CDM,27800032_219706,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_219707,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_219952,Hb Sup Revenue Code 278,2846.02,996.11,,,0
CDM,27800032_219953,Hb Sup Revenue Code 278,2846.02,996.11,,,0
CDM,27800032_220045,Hb Sup Revenue Code 278,1095.89,383.56,,,0
CDM,27800032_220048,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_220067,Hb Sup Revenue Code 278,463.9,162.36,,,0
CDM,27800032_220105,Hb Sup Revenue Code 278,7057.83,2470.24,,,0
CDM,27800032_220110,Hb Sup Revenue Code 278,2668.14,933.85,,,0
CDM,27800032_220115,Hb Sup Revenue Code 278,701.14,245.4,,,0
CDM,27800032_220116,Hb Sup Revenue Code 278,1351.14,472.9,,,0
CDM,27800032_220127,Hb Sup Revenue Code 278,3315.33,1160.37,,,0
CDM,27800032_220134,Hb Sup Revenue Code 278,245.59,85.96,,,0
CDM,27800032_220149,Hb Sup Revenue Code 278,1944.54,680.59,,,0
CDM,27800032_220151,Hb Sup Revenue Code 278,2822.3,987.8,,,0
CDM,27800032_220154,Hb Sup Revenue Code 278,1856.67,649.83,,,0
CDM,27800032_220157,Hb Sup Revenue Code 278,3315.33,1160.37,,,0
CDM,27800032_220215,Hb Sup Revenue Code 278,14126.4,4944.24,,,0
CDM,27800032_220261,Hb Sup Revenue Code 278,971.17,339.91,,,0
CDM,27800032_220292,Hb Sup Revenue Code 278,701.14,245.4,,,0
CDM,27800032_220293,Hb Sup Revenue Code 278,868.95,304.13,,,0
CDM,27800032_220294,Hb Sup Revenue Code 278,1897.34,664.07,,,0
CDM,27800032_220295,Hb Sup Revenue Code 278,1351.14,472.9,,,0
CDM,27800032_220307,Hb Sup Revenue Code 278,514.81,180.18,,,0
CDM,27800032_220361,Hb Sup Revenue Code 278,1180.62,413.22,,,0
CDM,27800032_220362,Hb Sup Revenue Code 278,169.46,59.31,,,0
CDM,27800032_220363,Hb Sup Revenue Code 278,2705.4,946.89,,,0
CDM,27800032_220364,Hb Sup Revenue Code 278,701.14,245.4,,,0
CDM,27800032_220365,Hb Sup Revenue Code 278,3471.93,1215.18,,,0
CDM,27800032_220366,Hb Sup Revenue Code 278,4708.8,1648.08,,,0
CDM,27800032_220367,Hb Sup Revenue Code 278,3884.76,1359.67,,,0
CDM,27800032_220369,Hb Sup Revenue Code 278,4058.1,1420.34,,,0
CDM,27800032_220370,Hb Sup Revenue Code 278,3390.34,1186.62,,,0
CDM,27800032_220371,Hb Sup Revenue Code 278,11018.59,3856.51,,,0
CDM,27800032_220388,Hb Sup Revenue Code 278,701.14,245.4,,,0
CDM,27800032_221193,Hb Sup Revenue Code 278,868.95,304.13,,,0
CDM,27800032_221252,Hb Sup Revenue Code 278,584.23,204.48,,,0
CDM,27800032_221255,Hb Sup Revenue Code 278,2668.32,933.91,,,0
CDM,27800032_221266,Hb Sup Revenue Code 278,518.82,181.59,,,0
CDM,27800032_221288,Hb Sup Revenue Code 278,1727.18,604.51,,,0
CDM,27800032_221334,Hb Sup Revenue Code 278,322.7,112.94,,,0
CDM,27800032_221361,Hb Sup Revenue Code 278,4157.3,1455.06,,,0
CDM,27800032_221362,Hb Sup Revenue Code 278,4157.3,1455.06,,,0
CDM,27800032_221363,Hb Sup Revenue Code 278,4157.3,1455.06,,,0
CDM,27800032_221364,Hb Sup Revenue Code 278,1268.91,444.12,,,0
CDM,27800032_221365,Hb Sup Revenue Code 278,2595.51,908.43,,,0
CDM,27800032_221366,Hb Sup Revenue Code 278,2587.89,905.76,,,0
CDM,27800032_221367,Hb Sup Revenue Code 278,2149.26,752.24,,,0
CDM,27800032_221368,Hb Sup Revenue Code 278,3108.7,1088.04,,,0
CDM,27800032_221381,Hb Sup Revenue Code 278,701.14,245.4,,,0
CDM,27800032_221441,Hb Sup Revenue Code 278,2486.25,870.19,,,0
CDM,27800032_221481,Hb Sup Revenue Code 278,7416.36,2595.73,,,0
CDM,27800032_221482,Hb Sup Revenue Code 278,1089.5,381.32,,,0
CDM,27800032_221483,Hb Sup Revenue Code 278,14126.4,4944.24,,,0
CDM,27800032_221488,Hb Sup Revenue Code 278,258.61,90.51,,,0
CDM,27800032_221498,Hb Sup Revenue Code 278,265.97,93.09,,,0
CDM,27800032_221510,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_221511,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_221532,Hb Sup Revenue Code 278,7416.36,2595.73,,,0
CDM,27800032_221540,Hb Sup Revenue Code 278,2919.42,1021.8,,,0
CDM,27800032_221561,Hb Sup Revenue Code 278,3796.58,1328.8,,,0
CDM,27800032_221597,Hb Sup Revenue Code 278,558.23,195.38,,,0
CDM,27800032_221599,Hb Sup Revenue Code 278,613.49,214.72,,,0
CDM,27800032_221623,Hb Sup Revenue Code 278,14126.4,4944.24,,,0
CDM,27800032_221652,Hb Sup Revenue Code 278,7416.36,2595.73,,,0
CDM,27800032_221656,Hb Sup Revenue Code 278,2822.3,987.8,,,0
CDM,27800032_221669,Hb Sup Revenue Code 278,613.49,214.72,,,0
CDM,27800032_221710,Hb Sup Revenue Code 278,319.27,111.74,,,0
CDM,27800032_221730,Hb Sup Revenue Code 278,1363.93,477.38,,,0
CDM,27800032_221777,Hb Sup Revenue Code 278,3060.72,1071.25,,,0
CDM,27800032_221782,Hb Sup Revenue Code 278,751.27,262.94,,,0
CDM,27800032_221789,Hb Sup Revenue Code 278,574.19,200.97,,,0
CDM,27800032_221790,Hb Sup Revenue Code 278,2822.3,987.8,,,0
CDM,27800032_221802,Hb Sup Revenue Code 278,3060.72,1071.25,,,0
CDM,27800032_221803,Hb Sup Revenue Code 278,2822.3,987.8,,,0
CDM,27800032_221811,Hb Sup Revenue Code 278,2407.91,842.77,,,0
CDM,27800032_221812,Hb Sup Revenue Code 278,2407.91,842.77,,,0
CDM,27800032_221813,Hb Sup Revenue Code 278,2549.56,892.35,,,0
CDM,27800032_221817,Hb Sup Revenue Code 278,2407.91,842.77,,,0
CDM,27800032_221821,Hb Sup Revenue Code 278,11772.0,4120.2,,,0
CDM,27800032_221830,Hb Sup Revenue Code 278,604.15,211.45,,,0
CDM,27800032_221839,Hb Sup Revenue Code 278,4944.24,1730.48,,,0
CDM,27800032_221859,Hb Sup Revenue Code 278,390.25,136.59,,,0
CDM,27800032_221870,Hb Sup Revenue Code 278,613.49,214.72,,,0
CDM,27800032_221891,Hb Sup Revenue Code 278,4463.91,1562.37,,,0
CDM,27800032_221967,Hb Sup Revenue Code 278,918.29,321.4,,,0
CDM,27800032_221985,Hb Sup Revenue Code 278,2342.18,819.76,,,0
CDM,27800032_221986,Hb Sup Revenue Code 278,2757.23,965.03,,,0
CDM,27800032_221987,Hb Sup Revenue Code 278,3909.3,1368.26,,,0
CDM,27800032_221993,Hb Sup Revenue Code 278,353.49,123.72,,,0
CDM,27800032_221996,Hb Sup Revenue Code 278,1727.18,604.51,,,0
CDM,27800032_222004,Hb Sup Revenue Code 278,2817.0,985.95,,,0
CDM,27800032_222006,Hb Sup Revenue Code 278,1675.35,586.37,,,0
CDM,27800032_222019,Hb Sup Revenue Code 278,4139.26,1448.74,,,0
CDM,27800032_222021,Hb Sup Revenue Code 278,1675.35,586.37,,,0
CDM,27800032_222022,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_222080,Hb Sup Revenue Code 278,744.96,260.74,,,0
CDM,27800032_222081,Hb Sup Revenue Code 278,597.77,209.22,,,0
CDM,27800032_222082,Hb Sup Revenue Code 278,588.44,205.95,,,0
CDM,27800032_222096,Hb Sup Revenue Code 278,245.34,85.87,,,0
CDM,27800032_222131,Hb Sup Revenue Code 278,9394.06,3287.92,,,0
CDM,27800032_222165,Hb Sup Revenue Code 278,1954.26,683.99,,,0
CDM,27800032_222166,Hb Sup Revenue Code 278,3668.98,1284.14,,,0
CDM,27800032_222167,Hb Sup Revenue Code 278,1832.12,641.24,,,0
CDM,27800032_222174,Hb Sup Revenue Code 278,1954.26,683.99,,,0
CDM,27800032_222200,Hb Sup Revenue Code 278,3417.82,1196.24,,,0
CDM,27800032_222216,Hb Sup Revenue Code 278,873.94,305.88,,,0
CDM,27800032_222219,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_222224,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_222249,Hb Sup Revenue Code 278,701.14,245.4,,,0
CDM,27800032_222257,Hb Sup Revenue Code 278,1170.02,409.51,,,0
CDM,27800032_222258,Hb Sup Revenue Code 278,5470.87,1914.8,,,0
CDM,27800032_222259,Hb Sup Revenue Code 278,1170.02,409.51,,,0
CDM,27800032_222261,Hb Sup Revenue Code 278,701.14,245.4,,,0
CDM,27800032_222262,Hb Sup Revenue Code 278,2982.7,1043.94,,,0
CDM,27800032_222267,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_222268,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_222282,Hb Sup Revenue Code 278,1180.62,413.22,,,0
CDM,27800032_222307,Hb Sup Revenue Code 278,1351.14,472.9,,,0
CDM,27800032_222310,Hb Sup Revenue Code 278,4139.26,1448.74,,,0
CDM,27800032_222313,Hb Sup Revenue Code 278,11743.01,4110.05,,,0
CDM,27800032_222314,Hb Sup Revenue Code 278,5470.87,1914.8,,,0
CDM,27800032_222329,Hb Sup Revenue Code 278,395.4,138.39,,,0
CDM,27800032_222341,Hb Sup Revenue Code 278,1276.08,446.63,,,0
CDM,27800032_222358,Hb Sup Revenue Code 278,11618.96,4066.64,,,0
CDM,27800032_222364,Hb Sup Revenue Code 278,15068.16,5273.86,,,0
CDM,27800032_222365,Hb Sup Revenue Code 278,482.1,168.74,,,0
CDM,27800032_222366,Hb Sup Revenue Code 278,3084.26,1079.49,,,0
CDM,27800032_222381,Hb Sup Revenue Code 278,474.72,166.15,,,0
CDM,27800032_222433,Hb Sup Revenue Code 278,2822.3,987.8,,,0
CDM,27800032_222462,Hb Sup Revenue Code 278,10138.05,3548.32,,,0
CDM,27800032_222480,Hb Sup Revenue Code 278,533.48,186.72,,,0
CDM,27800032_222493,Hb Sup Revenue Code 278,6677.08,2336.98,,,0
CDM,27800032_222495,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_222496,Hb Sup Revenue Code 278,322.95,113.03,,,0
CDM,27800032_222497,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_222498,Hb Sup Revenue Code 278,2825.28,988.85,,,0
CDM,27800032_222499,Hb Sup Revenue Code 278,1727.18,604.51,,,0
CDM,27800032_222508,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_222509,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_222524,Hb Sup Revenue Code 278,42708.82,14948.09,,,0
CDM,27800032_222535,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_222536,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_222538,Hb Sup Revenue Code 278,1151.77,403.12,,,0
CDM,27800032_222555,Hb Sup Revenue Code 278,1727.18,604.51,,,0
CDM,27800032_222556,Hb Sup Revenue Code 278,418.49,146.47,,,0
CDM,27800032_222622,Hb Sup Revenue Code 278,788.78,276.07,,,0
CDM,27800032_222623,Hb Sup Revenue Code 278,2518.28,881.4,,,0
CDM,27800032_222625,Hb Sup Revenue Code 278,2555.96,894.59,,,0
CDM,27800032_222626,Hb Sup Revenue Code 278,2982.7,1043.94,,,0
CDM,27800032_222627,Hb Sup Revenue Code 278,2919.42,1021.8,,,0
CDM,27800032_222650,Hb Sup Revenue Code 278,45769.54,16019.34,,,0
CDM,27800032_222659,Hb Sup Revenue Code 278,1468.8,514.08,,,0
CDM,27800032_222664,Hb Sup Revenue Code 278,490.8,171.78,,,0
CDM,27800032_222665,Hb Sup Revenue Code 278,510.07,178.52,,,0
CDM,27800032_222666,Hb Sup Revenue Code 278,1468.8,514.08,,,0
CDM,27800032_222667,Hb Sup Revenue Code 278,1468.8,514.08,,,0
CDM,27800032_222668,Hb Sup Revenue Code 278,1248.48,436.97,,,0
CDM,27800032_222669,Hb Sup Revenue Code 278,1248.48,436.97,,,0
CDM,27800032_222670,Hb Sup Revenue Code 278,1197.7,419.2,,,0
CDM,27800032_222673,Hb Sup Revenue Code 278,649.95,227.48,,,0
CDM,27800032_222702,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_222705,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_222706,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_222715,Hb Sup Revenue Code 278,1729.31,605.26,,,0
CDM,27800032_222761,Hb Sup Revenue Code 278,1395.36,488.38,,,0
CDM,27800032_222798,Hb Sup Revenue Code 278,3305.53,1156.94,,,0
CDM,27800032_222799,Hb Sup Revenue Code 278,2834.16,991.96,,,0
CDM,27800032_222800,Hb Sup Revenue Code 278,2380.75,833.26,,,0
CDM,27800032_222801,Hb Sup Revenue Code 278,1248.48,436.97,,,0
CDM,27800032_222803,Hb Sup Revenue Code 278,2537.7,888.2,,,0
CDM,27800032_222804,Hb Sup Revenue Code 278,858.89,300.61,,,0
CDM,27800032_222805,Hb Sup Revenue Code 278,736.19,257.67,,,0
CDM,27800032_222806,Hb Sup Revenue Code 278,1042.85,365.0,,,0
CDM,27800032_222831,Hb Sup Revenue Code 278,714.64,250.12,,,0
CDM,27800032_222887,Hb Sup Revenue Code 278,2727.43,954.6,,,0
CDM,27800032_222888,Hb Sup Revenue Code 278,2727.43,954.6,,,0
CDM,27800032_222889,Hb Sup Revenue Code 278,1738.92,608.62,,,0
CDM,27800032_222903,Hb Sup Revenue Code 278,564.86,197.7,,,0
CDM,27800032_222907,Hb Sup Revenue Code 278,458.24,160.38,,,0
CDM,27800032_222908,Hb Sup Revenue Code 278,3279.04,1147.66,,,0
CDM,27800032_222915,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_222961,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_222983,Hb Sup Revenue Code 278,2668.14,933.85,,,0
CDM,27800032_223035,Hb Sup Revenue Code 278,609.56,213.35,,,0
CDM,27800032_223056,Hb Sup Revenue Code 278,1675.35,586.37,,,0
CDM,27800032_223092,Hb Sup Revenue Code 278,11206.94,3922.43,,,0
CDM,27800032_223093,Hb Sup Revenue Code 278,14569.03,5099.16,,,0
CDM,27800032_223124,Hb Sup Revenue Code 278,1773.9,620.86,,,0
CDM,27800032_223126,Hb Sup Revenue Code 278,1180.62,413.22,,,0
CDM,27800032_223147,Hb Sup Revenue Code 278,42708.82,14948.09,,,0
CDM,27800032_223150,Hb Sup Revenue Code 278,613.49,214.72,,,0
CDM,27800032_223162,Hb Sup Revenue Code 278,1351.14,472.9,,,0
CDM,27800032_223183,Hb Sup Revenue Code 278,1180.62,413.22,,,0
CDM,27800032_223184,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_223189,Hb Sup Revenue Code 278,10973.47,3840.71,,,0
CDM,27800032_223213,Hb Sup Revenue Code 278,3136.06,1097.62,,,0
CDM,27800032_223240,Hb Sup Revenue Code 278,4153.16,1453.61,,,0
CDM,27800032_223241,Hb Sup Revenue Code 278,4153.16,1453.61,,,0
CDM,27800032_223242,Hb Sup Revenue Code 278,533.48,186.72,,,0
CDM,27800032_223255,Hb Sup Revenue Code 278,2982.7,1043.94,,,0
CDM,27800032_223256,Hb Sup Revenue Code 278,653.81,228.83,,,0
CDM,27800032_223257,Hb Sup Revenue Code 278,6827.76,2389.72,,,0
CDM,27800032_223258,Hb Sup Revenue Code 278,1415.89,495.56,,,0
CDM,27800032_223262,Hb Sup Revenue Code 278,2371.68,830.09,,,0
CDM,27800032_223263,Hb Sup Revenue Code 278,2919.42,1021.8,,,0
CDM,27800032_223277,Hb Sup Revenue Code 278,1209.85,423.45,,,0
CDM,27800032_223278,Hb Sup Revenue Code 278,2687.9,940.76,,,0
CDM,27800032_223306,Hb Sup Revenue Code 278,45769.54,16019.34,,,0
CDM,27800032_223320,Hb Sup Revenue Code 278,473.09,165.58,,,0
CDM,27800032_223326,Hb Sup Revenue Code 278,2739.85,958.95,,,0
CDM,27800032_223334,Hb Sup Revenue Code 278,543.38,190.18,,,0
CDM,27800032_223335,Hb Sup Revenue Code 278,613.49,214.72,,,0
CDM,27800032_223336,Hb Sup Revenue Code 278,2193.8,767.83,,,0
CDM,27800032_223337,Hb Sup Revenue Code 278,2687.36,940.58,,,0
CDM,27800032_223342,Hb Sup Revenue Code 278,140.33,49.12,,,0
CDM,27800032_223343,Hb Sup Revenue Code 278,132.91,46.52,,,0
CDM,27800032_223344,Hb Sup Revenue Code 278,138.93,48.63,,,0
CDM,27800032_223360,Hb Sup Revenue Code 278,367.9,128.76,,,0
CDM,27800032_223381,Hb Sup Revenue Code 278,1285.93,450.08,,,0
CDM,27800032_223382,Hb Sup Revenue Code 278,1465.7,513.0,,,0
CDM,27800032_223444,Hb Sup Revenue Code 278,2727.43,954.6,,,0
CDM,27800032_223447,Hb Sup Revenue Code 278,1856.67,649.83,,,0
CDM,27800032_223448,Hb Sup Revenue Code 278,2549.56,892.35,,,0
CDM,27800032_223466,Hb Sup Revenue Code 278,4153.16,1453.61,,,0
CDM,27800032_223491,Hb Sup Revenue Code 278,701.14,245.4,,,0
CDM,27800032_223508,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_223529,Hb Sup Revenue Code 278,1233.79,431.83,,,0
CDM,27800032_223539,Hb Sup Revenue Code 278,327.04,114.46,,,0
CDM,27800032_223542,Hb Sup Revenue Code 278,2575.91,901.57,,,0
CDM,27800032_223543,Hb Sup Revenue Code 278,2575.91,901.57,,,0
CDM,27800032_223590,Hb Sup Revenue Code 278,750.21,262.57,,,0
CDM,27800032_223591,Hb Sup Revenue Code 278,613.98,214.89,,,0
CDM,27800032_223592,Hb Sup Revenue Code 278,394.91,138.22,,,0
CDM,27800032_223602,Hb Sup Revenue Code 278,3796.58,1328.8,,,0
CDM,27800032_223603,Hb Sup Revenue Code 278,737.94,258.28,,,0
CDM,27800032_223617,Hb Sup Revenue Code 278,1521.78,532.62,,,0
CDM,27800032_223639,Hb Sup Revenue Code 278,851.75,298.11,,,0
CDM,27800032_223663,Hb Sup Revenue Code 278,2885.76,1010.02,,,0
CDM,27800032_223671,Hb Sup Revenue Code 278,2633.03,921.56,,,0
CDM,27800032_223696,Hb Sup Revenue Code 278,322.95,113.03,,,0
CDM,27800032_223721,Hb Sup Revenue Code 278,1590.93,556.83,,,0
CDM,27800032_223743,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_223749,Hb Sup Revenue Code 278,2707.56,947.65,,,0
CDM,27800032_223780,Hb Sup Revenue Code 278,192.79,67.48,,,0
CDM,27800032_223781,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_223796,Hb Sup Revenue Code 278,2479.95,867.98,,,0
CDM,27800032_223797,Hb Sup Revenue Code 278,804.43,281.55,,,0
CDM,27800032_223855,Hb Sup Revenue Code 278,2815.89,985.56,,,0
CDM,27800032_223857,Hb Sup Revenue Code 278,2555.96,894.59,,,0
CDM,27800032_223894,Hb Sup Revenue Code 278,210.72,73.75,,,0
CDM,27800032_223895,Hb Sup Revenue Code 278,86.66,30.33,,,0
CDM,27800032_223912,Hb Sup Revenue Code 278,696.95,243.93,,,0
CDM,27800032_22392,Hb Sup Revenue Code 278,4408.13,1542.85,,,0
CDM,27800032_223937,Hb Sup Revenue Code 278,5336.64,1867.82,,,0
CDM,27800032_223982,Hb Sup Revenue Code 278,2982.7,1043.94,,,0
CDM,27800032_224001,Hb Sup Revenue Code 278,832.81,291.48,,,0
CDM,27800032_224072,Hb Sup Revenue Code 278,1351.14,472.9,,,0
CDM,27800032_224091,Hb Sup Revenue Code 278,763.37,267.18,,,0
CDM,27800032_224118,Hb Sup Revenue Code 278,633.13,221.6,,,0
CDM,27800032_224125,Hb Sup Revenue Code 278,3305.53,1156.94,,,0
CDM,27800032_224173,Hb Sup Revenue Code 278,874.96,306.24,,,0
CDM,27800032_224176,Hb Sup Revenue Code 278,8240.36,2884.13,,,0
CDM,27800032_224186,Hb Sup Revenue Code 278,11301.12,3955.39,,,0
CDM,27800032_224235,Hb Sup Revenue Code 278,2822.3,987.8,,,0
CDM,27800032_224236,Hb Sup Revenue Code 278,3060.72,1071.25,,,0
CDM,27800032_224298,Hb Sup Revenue Code 278,851.75,298.11,,,0
CDM,27800032_224338,Hb Sup Revenue Code 278,1665.27,582.84,,,0
CDM,27800032_224377,Hb Sup Revenue Code 278,8358.12,2925.34,,,0
CDM,27800032_224395,Hb Sup Revenue Code 278,2479.95,867.98,,,0
CDM,27800032_224399,Hb Sup Revenue Code 278,867.65,303.68,,,0
CDM,27800032_224425,Hb Sup Revenue Code 278,851.75,298.11,,,0
CDM,27800032_224430,Hb Sup Revenue Code 278,2964.6,1037.61,,,0
CDM,27800032_224432,Hb Sup Revenue Code 278,510.07,178.52,,,0
CDM,27800032_224433,Hb Sup Revenue Code 278,1248.48,436.97,,,0
CDM,27800032_224434,Hb Sup Revenue Code 278,1248.48,436.97,,,0
CDM,27800032_224435,Hb Sup Revenue Code 278,490.8,171.78,,,0
CDM,27800032_224436,Hb Sup Revenue Code 278,1468.8,514.08,,,0
CDM,27800032_224437,Hb Sup Revenue Code 278,1468.8,514.08,,,0
CDM,27800032_224450,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_224452,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_224453,Hb Sup Revenue Code 278,463.53,162.24,,,0
CDM,27800032_224454,Hb Sup Revenue Code 278,481.74,168.61,,,0
CDM,27800032_224455,Hb Sup Revenue Code 278,1387.2,485.52,,,0
CDM,27800032_224456,Hb Sup Revenue Code 278,1387.2,485.52,,,0
CDM,27800032_224457,Hb Sup Revenue Code 278,1179.12,412.69,,,0
CDM,27800032_224458,Hb Sup Revenue Code 278,1179.12,412.69,,,0
CDM,27800032_224485,Hb Sup Revenue Code 278,3417.82,1196.24,,,0
CDM,27800032_224499,Hb Sup Revenue Code 278,21924.17,7673.46,,,0
CDM,27800032_224501,Hb Sup Revenue Code 278,2727.43,954.6,,,0
CDM,27800032_224502,Hb Sup Revenue Code 278,2727.43,954.6,,,0
CDM,27800032_224503,Hb Sup Revenue Code 278,2549.56,892.35,,,0
CDM,27800032_224524,Hb Sup Revenue Code 278,1248.48,436.97,,,0
CDM,27800032_224530,Hb Sup Revenue Code 278,1565.31,547.86,,,0
CDM,27800032_224531,Hb Sup Revenue Code 278,4166.32,1458.21,,,0
CDM,27800032_224537,Hb Sup Revenue Code 278,455.04,159.26,,,0
CDM,27800032_224552,Hb Sup Revenue Code 278,851.75,298.11,,,0
CDM,27800032_224587,Hb Sup Revenue Code 278,27593.57,9657.75,,,0
CDM,27800032_224594,Hb Sup Revenue Code 278,2727.43,954.6,,,0
CDM,27800032_224595,Hb Sup Revenue Code 278,2727.43,954.6,,,0
CDM,27800032_224618,Hb Sup Revenue Code 278,2727.43,954.6,,,0
CDM,27800032_224619,Hb Sup Revenue Code 278,2549.56,892.35,,,0
CDM,27800032_224626,Hb Sup Revenue Code 278,1131.16,395.91,,,0
CDM,27800032_224651,Hb Sup Revenue Code 278,751.27,262.94,,,0
CDM,27800032_224665,Hb Sup Revenue Code 278,1856.67,649.83,,,0
CDM,27800032_224677,Hb Sup Revenue Code 278,2914.7,1020.14,,,0
CDM,27800032_224694,Hb Sup Revenue Code 278,2848.82,997.09,,,0
CDM,27800032_224698,Hb Sup Revenue Code 278,613.49,214.72,,,0
CDM,27800032_224734,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_224735,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_224748,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_224753,Hb Sup Revenue Code 278,579.36,202.78,,,0
CDM,27800032_224768,Hb Sup Revenue Code 278,2542.75,889.96,,,0
CDM,27800032_224769,Hb Sup Revenue Code 278,998.78,349.57,,,0
CDM,27800032_224772,Hb Sup Revenue Code 278,851.75,298.11,,,0
CDM,27800032_224782,Hb Sup Revenue Code 278,3796.58,1328.8,,,0
CDM,27800032_224783,Hb Sup Revenue Code 278,737.94,258.28,,,0
CDM,27800032_224802,Hb Sup Revenue Code 278,2656.64,929.82,,,0
CDM,27800032_224807,Hb Sup Revenue Code 278,2371.68,830.09,,,0
CDM,27800032_224808,Hb Sup Revenue Code 278,1468.8,514.08,,,0
CDM,27800032_224809,Hb Sup Revenue Code 278,1365.7,478.0,,,0
CDM,27800032_224811,Hb Sup Revenue Code 278,2825.28,988.85,,,0
CDM,27800032_224814,Hb Sup Revenue Code 278,2253.1,788.58,,,0
CDM,27800032_224817,Hb Sup Revenue Code 278,2822.3,987.8,,,0
CDM,27800032_224818,Hb Sup Revenue Code 278,3060.72,1071.25,,,0
CDM,27800032_224819,Hb Sup Revenue Code 278,537.43,188.1,,,0
CDM,27800032_224826,Hb Sup Revenue Code 278,8240.4,2884.14,,,0
CDM,27800032_224833,Hb Sup Revenue Code 278,7354.56,2574.1,,,0
CDM,27800032_224835,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_224836,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_224843,Hb Sup Revenue Code 278,1774.02,620.91,,,0
CDM,27800032_224851,Hb Sup Revenue Code 278,1572.31,550.31,,,0
CDM,27800032_224852,Hb Sup Revenue Code 278,1446.03,506.11,,,0
CDM,27800032_224865,Hb Sup Revenue Code 278,2371.68,830.09,,,0
CDM,27800032_224867,Hb Sup Revenue Code 278,1956.64,684.82,,,0
CDM,27800032_224868,Hb Sup Revenue Code 278,1351.14,472.9,,,0
CDM,27800032_224871,Hb Sup Revenue Code 278,1468.8,514.08,,,0
CDM,27800032_224910,Hb Sup Revenue Code 278,2964.6,1037.61,,,0
CDM,27800032_224922,Hb Sup Revenue Code 278,392.95,137.53,,,0
CDM,27800032_224941,Hb Sup Revenue Code 278,3424.34,1198.52,,,0
CDM,27800032_224971,Hb Sup Revenue Code 278,1912.4,669.34,,,0
CDM,27800032_224976,Hb Sup Revenue Code 278,567.31,198.56,,,0
CDM,27800032_225,Hb Sup Revenue Code 278,733.12,256.59,,,0
CDM,27800032_225026,Hb Sup Revenue Code 278,1660.18,581.06,,,0
CDM,27800032_225063,Hb Sup Revenue Code 278,8240.36,2884.13,,,0
CDM,27800032_225087,Hb Sup Revenue Code 278,2825.28,988.85,,,0
CDM,27800032_225146,Hb Sup Revenue Code 278,3471.93,1215.18,,,0
CDM,27800032_225152,Hb Sup Revenue Code 278,390.5,136.68,,,0
CDM,27800032_225173,Hb Sup Revenue Code 278,1541.59,539.56,,,0
CDM,27800032_225193,Hb Sup Revenue Code 278,3732.76,1306.47,,,0
CDM,27800032_225205,Hb Sup Revenue Code 278,1051.51,368.03,,,0
CDM,27800032_225212,Hb Sup Revenue Code 278,129.68,45.39,,,0
CDM,27800032_225217,Hb Sup Revenue Code 278,1351.14,472.9,,,0
CDM,27800032_225235,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_225239,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_225244,Hb Sup Revenue Code 278,544.23,190.48,,,0
CDM,27800032_225290,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_225291,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_225294,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_225304,Hb Sup Revenue Code 278,589.42,206.3,,,0
CDM,27800032_225331,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_225332,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_225341,Hb Sup Revenue Code 278,1351.14,472.9,,,0
CDM,27800032_225344,Hb Sup Revenue Code 278,8358.12,2925.34,,,0
CDM,27800032_225354,Hb Sup Revenue Code 278,653.81,228.83,,,0
CDM,27800032_225369,Hb Sup Revenue Code 278,2865.7,1003.0,,,0
CDM,27800032_225381,Hb Sup Revenue Code 278,1885.49,659.92,,,0
CDM,27800032_225396,Hb Sup Revenue Code 278,3796.58,1328.8,,,0
CDM,27800032_225397,Hb Sup Revenue Code 278,737.94,258.28,,,0
CDM,27800032_225415,Hb Sup Revenue Code 278,2865.7,1003.0,,,0
CDM,27800032_225742,Hb Sup Revenue Code 278,463.53,162.24,,,0
CDM,27800032_225743,Hb Sup Revenue Code 278,82.22,28.78,,,0
CDM,27800032_225744,Hb Sup Revenue Code 278,1387.2,485.52,,,0
CDM,27800032_225745,Hb Sup Revenue Code 278,1387.2,485.52,,,0
CDM,27800032_225746,Hb Sup Revenue Code 278,1179.12,412.69,,,0
CDM,27800032_225747,Hb Sup Revenue Code 278,1131.16,395.91,,,0
CDM,27800032_225769,Hb Sup Revenue Code 278,1042.85,365.0,,,0
CDM,27800032_225771,Hb Sup Revenue Code 278,173.51,60.73,,,0
CDM,27800032_225772,Hb Sup Revenue Code 278,473.27,165.64,,,0
CDM,27800032_225778,Hb Sup Revenue Code 278,1912.4,669.34,,,0
CDM,27800032_225801,Hb Sup Revenue Code 278,1426.79,499.38,,,0
CDM,27800032_225820,Hb Sup Revenue Code 278,662.18,231.76,,,0
CDM,27800032_225827,Hb Sup Revenue Code 278,2982.7,1043.94,,,0
CDM,27800032_225892,Hb Sup Revenue Code 278,2407.91,842.77,,,0
CDM,27800032_225893,Hb Sup Revenue Code 278,2407.91,842.77,,,0
CDM,27800032_225942,Hb Sup Revenue Code 278,613.49,214.72,,,0
CDM,27800032_225957,Hb Sup Revenue Code 278,514.81,180.18,,,0
CDM,27800032_225977,Hb Sup Revenue Code 278,4139.26,1448.74,,,0
CDM,27800032_225994,Hb Sup Revenue Code 278,514.81,180.18,,,0
CDM,27800032_225997,Hb Sup Revenue Code 278,3625.78,1269.02,,,0
CDM,27800032_226037,Hb Sup Revenue Code 278,1664.8,582.68,,,0
CDM,27800032_226039,Hb Sup Revenue Code 278,3060.72,1071.25,,,0
CDM,27800032_226044,Hb Sup Revenue Code 278,2822.3,987.8,,,0
CDM,27800032_226083,Hb Sup Revenue Code 278,1276.08,446.63,,,0
CDM,27800032_226098,Hb Sup Revenue Code 278,1285.93,450.08,,,0
CDM,27800032_226099,Hb Sup Revenue Code 278,2344.68,820.64,,,0
CDM,27800032_226100,Hb Sup Revenue Code 278,2344.68,820.64,,,0
CDM,27800032_226108,Hb Sup Revenue Code 278,2490.26,871.59,,,0
CDM,27800032_226110,Hb Sup Revenue Code 278,15426.03,5399.11,,,0
CDM,27800032_226112,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_226113,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_226115,Hb Sup Revenue Code 278,3531.6,1236.06,,,0
CDM,27800032_226141,Hb Sup Revenue Code 278,2646.08,926.13,,,0
CDM,27800032_226148,Hb Sup Revenue Code 278,11866.18,4153.16,,,0
CDM,27800032_226232,Hb Sup Revenue Code 278,1954.26,683.99,,,0
CDM,27800032_226233,Hb Sup Revenue Code 278,1697.77,594.22,,,0
CDM,27800032_226234,Hb Sup Revenue Code 278,1832.12,641.24,,,0
CDM,27800032_226339,Hb Sup Revenue Code 278,1490.13,521.55,,,0
CDM,27800032_227571,Hb Sup Revenue Code 278,382.54,133.89,,,0
CDM,27800032_234,Hb Sup Revenue Code 278,4487.4,1570.59,,,0
CDM,27800032_23720,Hb Sup Revenue Code 278,1459.12,510.69,,,0
CDM,27800032_23758,Hb Sup Revenue Code 278,1121.85,392.65,,,0
CDM,27800032_24784,Hb Sup Revenue Code 278,4042.85,1415.0,,,0
CDM,27800032_24975,Hb Sup Revenue Code 278,4195.72,1468.5,,,0
CDM,27800032_25781,Hb Sup Revenue Code 278,2670.87,934.8,,,0
CDM,27800032_25798,Hb Sup Revenue Code 278,16154.64,5654.12,,,0
CDM,27800032_2590,Hb Sup Revenue Code 278,35.9,12.56,,,0
CDM,27800032_26180,Hb Sup Revenue Code 278,9603.04,3361.06,,,0
CDM,27800032_26181,Hb Sup Revenue Code 278,9603.04,3361.06,,,0
CDM,27800032_26553,Hb Sup Revenue Code 278,499.6,174.86,,,0
CDM,27800032_26556,Hb Sup Revenue Code 278,1821.88,637.66,,,0
CDM,27800032_26583,Hb Sup Revenue Code 278,5012.43,1754.35,,,0
CDM,27800032_26664,Hb Sup Revenue Code 278,4322.53,1512.89,,,0
CDM,27800032_26726,Hb Sup Revenue Code 278,2744.8,960.68,,,0
CDM,27800032_26748,Hb Sup Revenue Code 278,4729.72,1655.4,,,0
CDM,27800032_26749,Hb Sup Revenue Code 278,3839.72,1343.9,,,0
CDM,27800032_26776,Hb Sup Revenue Code 278,9456.45,3309.76,,,0
CDM,27800032_26821,Hb Sup Revenue Code 278,3530.09,1235.53,,,0
CDM,27800032_26949,Hb Sup Revenue Code 278,5078.25,1777.39,,,0
CDM,27800032_272,Hb Sup Revenue Code 278,2673.98,935.89,,,0
CDM,27800032_276,Hb Sup Revenue Code 278,388.91,136.12,,,0
CDM,27800032_27687,Hb Sup Revenue Code 278,23087.17,8080.51,,,0
CDM,27800032_27714,Hb Sup Revenue Code 278,852.61,298.41,,,0
CDM,27800032_278,Hb Sup Revenue Code 278,4003.06,1401.07,,,0
CDM,27800032_28102,Hb Sup Revenue Code 278,5779.77,2022.92,,,0
CDM,27800032_28118,Hb Sup Revenue Code 278,5779.77,2022.92,,,0
CDM,27800032_28397,Hb Sup Revenue Code 278,5700.5,1995.18,,,0
CDM,27800032_28398,Hb Sup Revenue Code 278,5700.5,1995.18,,,0
CDM,27800032_28436,Hb Sup Revenue Code 278,2228.74,780.06,,,0
CDM,27800032_28502,Hb Sup Revenue Code 278,9339.12,3268.69,,,0
CDM,27800032_28778,Hb Sup Revenue Code 278,13462.2,4711.77,,,0
CDM,27800032_2927,Hb Sup Revenue Code 278,600.86,210.3,,,0
CDM,27800032_29287,Hb Sup Revenue Code 278,4527.79,1584.73,,,0
CDM,27800032_29288,Hb Sup Revenue Code 278,4527.79,1584.73,,,0
CDM,27800032_29289,Hb Sup Revenue Code 278,4750.66,1662.73,,,0
CDM,27800032_29291,Hb Sup Revenue Code 278,5012.43,1754.35,,,0
CDM,27800032_29296,Hb Sup Revenue Code 278,4527.79,1584.73,,,0
CDM,27800032_29298,Hb Sup Revenue Code 278,4797.04,1678.96,,,0
CDM,27800032_29684,Hb Sup Revenue Code 278,1038.2,363.37,,,0
CDM,27800032_29736,Hb Sup Revenue Code 278,394.89,138.21,,,0
CDM,27800032_29737,Hb Sup Revenue Code 278,394.89,138.21,,,0
CDM,27800032_29747,Hb Sup Revenue Code 278,638.23,223.38,,,0
CDM,27800032_29749,Hb Sup Revenue Code 278,711.53,249.04,,,0
CDM,27800032_29756,Hb Sup Revenue Code 278,431.88,151.16,,,0
CDM,27800032_29757,Hb Sup Revenue Code 278,435.28,152.35,,,0
CDM,27800032_29758,Hb Sup Revenue Code 278,433.96,151.89,,,0
CDM,27800032_29759,Hb Sup Revenue Code 278,435.28,152.35,,,0
CDM,27800032_29760,Hb Sup Revenue Code 278,433.82,151.84,,,0
CDM,27800032_29761,Hb Sup Revenue Code 278,435.28,152.35,,,0
CDM,27800032_29793,Hb Sup Revenue Code 278,394.89,138.21,,,0
CDM,27800032_29827,Hb Sup Revenue Code 278,201.6,70.56,,,0
CDM,27800032_29844,Hb Sup Revenue Code 278,161.28,56.45,,,0
CDM,27800032_29861,Hb Sup Revenue Code 278,161.28,56.45,,,0
CDM,27800032_29863,Hb Sup Revenue Code 278,161.28,56.45,,,0
CDM,27800032_29864,Hb Sup Revenue Code 278,161.28,56.45,,,0
CDM,27800032_29865,Hb Sup Revenue Code 278,161.28,56.45,,,0
CDM,27800032_29866,Hb Sup Revenue Code 278,161.28,56.45,,,0
CDM,27800032_29870,Hb Sup Revenue Code 278,196.97,68.94,,,0
CDM,27800032_29880,Hb Sup Revenue Code 278,391.21,136.92,,,0
CDM,27800032_29910,Hb Sup Revenue Code 278,161.28,56.45,,,0
CDM,27800032_30266,Hb Sup Revenue Code 278,5383.12,1884.09,,,0
CDM,27800032_3047,Hb Sup Revenue Code 278,191.46,67.01,,,0
CDM,27800032_30498,Hb Sup Revenue Code 278,2270.62,794.72,,,0
CDM,27800032_30499,Hb Sup Revenue Code 278,4603.53,1611.24,,,0
CDM,27800032_3060,Hb Sup Revenue Code 278,751.64,263.07,,,0
CDM,27800032_3146,Hb Sup Revenue Code 278,191.46,67.01,,,0
CDM,27800032_318,Hb Sup Revenue Code 278,748.46,261.96,,,0
CDM,27800032_319,Hb Sup Revenue Code 278,614.67,215.13,,,0
CDM,27800032_32018,Hb Sup Revenue Code 278,448.74,157.06,,,0
CDM,27800032_32025,Hb Sup Revenue Code 278,2991.6,1047.06,,,0
CDM,27800032_32050,Hb Sup Revenue Code 278,448.74,157.06,,,0
CDM,27800032_32299,Hb Sup Revenue Code 278,342.24,119.78,,,0
CDM,27800032_32387,Hb Sup Revenue Code 278,24.68,8.64,,,0
CDM,27800032_3259,Hb Sup Revenue Code 278,491.22,171.93,,,0
CDM,27800032_32941,Hb Sup Revenue Code 278,79.16,27.71,,,0
CDM,27800032_32994,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_3314,Hb Sup Revenue Code 278,68.6,24.01,,,0
CDM,27800032_33240,Hb Sup Revenue Code 278,930.96,325.84,,,0
CDM,27800032_33241,Hb Sup Revenue Code 278,930.96,325.84,,,0
CDM,27800032_33266,Hb Sup Revenue Code 278,462.8,161.98,,,0
CDM,27800032_33267,Hb Sup Revenue Code 278,485.92,170.07,,,0
CDM,27800032_33270,Hb Sup Revenue Code 278,854.76,299.17,,,0
CDM,27800032_33287,Hb Sup Revenue Code 278,299.16,104.71,,,0
CDM,27800032_33699,Hb Sup Revenue Code 278,1048.91,367.12,,,0
CDM,27800032_33700,Hb Sup Revenue Code 278,960.81,336.28,,,0
CDM,27800032_33701,Hb Sup Revenue Code 278,1152.69,403.44,,,0
CDM,27800032_33705,Hb Sup Revenue Code 278,1999.2,699.72,,,0
CDM,27800032_33706,Hb Sup Revenue Code 278,2142.1,749.74,,,0
CDM,27800032_33710,Hb Sup Revenue Code 278,2497.84,874.24,,,0
CDM,27800032_33711,Hb Sup Revenue Code 278,2623.18,918.11,,,0
CDM,27800032_33713,Hb Sup Revenue Code 278,1301.95,455.68,,,0
CDM,27800032_33716,Hb Sup Revenue Code 278,1845.4,645.89,,,0
CDM,27800032_33717,Hb Sup Revenue Code 278,3085.05,1079.77,,,0
CDM,27800032_33719,Hb Sup Revenue Code 278,1966.28,688.2,,,0
CDM,27800032_33720,Hb Sup Revenue Code 278,2228.88,780.11,,,0
CDM,27800032_33721,Hb Sup Revenue Code 278,2151.84,753.14,,,0
CDM,27800032_34605,Hb Sup Revenue Code 278,7179.84,2512.94,,,0
CDM,27800032_34641,Hb Sup Revenue Code 278,4329.12,1515.19,,,0
CDM,27800032_34642,Hb Sup Revenue Code 278,4459.63,1560.87,,,0
CDM,27800032_34643,Hb Sup Revenue Code 278,4624.42,1618.55,,,0
CDM,27800032_34644,Hb Sup Revenue Code 278,4477.29,1567.05,,,0
CDM,27800032_34646,Hb Sup Revenue Code 278,8809.34,3083.27,,,0
CDM,27800032_35060,Hb Sup Revenue Code 278,1026.32,359.21,,,0
CDM,27800032_35061,Hb Sup Revenue Code 278,1026.32,359.21,,,0
CDM,27800032_35076,Hb Sup Revenue Code 278,4004.76,1401.67,,,0
CDM,27800032_35078,Hb Sup Revenue Code 278,3753.92,1313.87,,,0
CDM,27800032_35113,Hb Sup Revenue Code 278,393.4,137.69,,,0
CDM,27800032_35115,Hb Sup Revenue Code 278,393.4,137.69,,,0
CDM,27800032_35116,Hb Sup Revenue Code 278,393.4,137.69,,,0
CDM,27800032_35185,Hb Sup Revenue Code 278,393.4,137.69,,,0
CDM,27800032_35190,Hb Sup Revenue Code 278,393.4,137.69,,,0
CDM,27800032_35191,Hb Sup Revenue Code 278,393.4,137.69,,,0
CDM,27800032_35192,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_35193,Hb Sup Revenue Code 278,393.4,137.69,,,0
CDM,27800032_35194,Hb Sup Revenue Code 278,393.4,137.69,,,0
CDM,27800032_35197,Hb Sup Revenue Code 278,456.22,159.68,,,0
CDM,27800032_35202,Hb Sup Revenue Code 278,779.32,272.76,,,0
CDM,27800032_35209,Hb Sup Revenue Code 278,456.22,159.68,,,0
CDM,27800032_35211,Hb Sup Revenue Code 278,1513.75,529.81,,,0
CDM,27800032_35222,Hb Sup Revenue Code 278,1513.75,529.81,,,0
CDM,27800032_35223,Hb Sup Revenue Code 278,1513.75,529.81,,,0
CDM,27800032_35237,Hb Sup Revenue Code 278,456.22,159.68,,,0
CDM,27800032_35303,Hb Sup Revenue Code 278,2788.62,976.02,,,0
CDM,27800032_35304,Hb Sup Revenue Code 278,3128.12,1094.84,,,0
CDM,27800032_35305,Hb Sup Revenue Code 278,1184.01,414.4,,,0
CDM,27800032_35306,Hb Sup Revenue Code 278,1163.15,407.1,,,0
CDM,27800032_35307,Hb Sup Revenue Code 278,1350.59,472.71,,,0
CDM,27800032_35308,Hb Sup Revenue Code 278,1388.97,486.14,,,0
CDM,27800032_35309,Hb Sup Revenue Code 278,1432.35,501.32,,,0
CDM,27800032_35310,Hb Sup Revenue Code 278,1569.97,549.49,,,0
CDM,27800032_35311,Hb Sup Revenue Code 278,1439.68,503.89,,,0
CDM,27800032_35314,Hb Sup Revenue Code 278,1439.16,503.71,,,0
CDM,27800032_35318,Hb Sup Revenue Code 278,2106.9,737.42,,,0
CDM,27800032_35597,Hb Sup Revenue Code 278,1018.32,356.41,,,0
CDM,27800032_35710,Hb Sup Revenue Code 278,13715.2,4800.32,,,0
CDM,27800032_35735,Hb Sup Revenue Code 278,586.03,205.11,,,0
CDM,27800032_35739,Hb Sup Revenue Code 278,527.15,184.5,,,0
CDM,27800032_35740,Hb Sup Revenue Code 278,527.15,184.5,,,0
CDM,27800032_35741,Hb Sup Revenue Code 278,683.03,239.06,,,0
CDM,27800032_35742,Hb Sup Revenue Code 278,559.25,195.74,,,0
CDM,27800032_35743,Hb Sup Revenue Code 278,529.84,185.44,,,0
CDM,27800032_35745,Hb Sup Revenue Code 278,707.77,247.72,,,0
CDM,27800032_35746,Hb Sup Revenue Code 278,951.24,332.93,,,0
CDM,27800032_37440,Hb Sup Revenue Code 278,1037.24,363.03,,,0
CDM,27800032_37548,Hb Sup Revenue Code 278,184.88,64.71,,,0
CDM,27800032_37550,Hb Sup Revenue Code 278,196.43,68.75,,,0
CDM,27800032_37554,Hb Sup Revenue Code 278,369.76,129.42,,,0
CDM,27800032_37557,Hb Sup Revenue Code 278,311.99,109.2,,,0
CDM,27800032_37558,Hb Sup Revenue Code 278,439.11,153.69,,,0
CDM,27800032_37559,Hb Sup Revenue Code 278,439.11,153.69,,,0
CDM,27800032_38204,Hb Sup Revenue Code 278,8115.67,2840.48,,,0
CDM,27800032_38425,Hb Sup Revenue Code 278,394.89,138.21,,,0
CDM,27800032_38445,Hb Sup Revenue Code 278,211.47,74.01,,,0
CDM,27800032_38511,Hb Sup Revenue Code 278,376.52,131.78,,,0
CDM,27800032_38535,Hb Sup Revenue Code 278,283.39,99.19,,,0
CDM,27800032_38536,Hb Sup Revenue Code 278,283.39,99.19,,,0
CDM,27800032_38790,Hb Sup Revenue Code 278,306.64,107.32,,,0
CDM,27800032_38791,Hb Sup Revenue Code 278,224.37,78.53,,,0
CDM,27800032_39991,Hb Sup Revenue Code 278,283.39,99.19,,,0
CDM,27800032_41759,Hb Sup Revenue Code 278,70.3,24.6,,,0
CDM,27800032_42779,Hb Sup Revenue Code 278,1459.12,510.69,,,0
CDM,27800032_42786,Hb Sup Revenue Code 278,1459.12,510.69,,,0
CDM,27800032_42787,Hb Sup Revenue Code 278,363.3,127.16,,,0
CDM,27800032_42788,Hb Sup Revenue Code 278,363.3,127.16,,,0
CDM,27800032_42789,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_42790,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_42812,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_42814,Hb Sup Revenue Code 278,363.3,127.16,,,0
CDM,27800032_42815,Hb Sup Revenue Code 278,363.3,127.16,,,0
CDM,27800032_42816,Hb Sup Revenue Code 278,363.3,127.16,,,0
CDM,27800032_42840,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_42887,Hb Sup Revenue Code 278,448.2,156.87,,,0
CDM,27800032_42912,Hb Sup Revenue Code 278,448.2,156.87,,,0
CDM,27800032_42987,Hb Sup Revenue Code 278,448.2,156.87,,,0
CDM,27800032_43154,Hb Sup Revenue Code 278,448.2,156.87,,,0
CDM,27800032_43158,Hb Sup Revenue Code 278,448.2,156.87,,,0
CDM,27800032_43198,Hb Sup Revenue Code 278,1459.12,510.69,,,0
CDM,27800032_43200,Hb Sup Revenue Code 278,1459.12,510.69,,,0
CDM,27800032_43207,Hb Sup Revenue Code 278,1095.82,383.54,,,0
CDM,27800032_43208,Hb Sup Revenue Code 278,1095.82,383.54,,,0
CDM,27800032_43209,Hb Sup Revenue Code 278,1095.82,383.54,,,0
CDM,27800032_43814,Hb Sup Revenue Code 278,200.31,70.11,,,0
CDM,27800032_43815,Hb Sup Revenue Code 278,190.83,66.79,,,0
CDM,27800032_43816,Hb Sup Revenue Code 278,190.76,66.77,,,0
CDM,27800032_43817,Hb Sup Revenue Code 278,203.77,71.32,,,0
CDM,27800032_43818,Hb Sup Revenue Code 278,191.78,67.12,,,0
CDM,27800032_43819,Hb Sup Revenue Code 278,206.0,72.1,,,0
CDM,27800032_43820,Hb Sup Revenue Code 278,206.0,72.1,,,0
CDM,27800032_43821,Hb Sup Revenue Code 278,177.55,62.14,,,0
CDM,27800032_43823,Hb Sup Revenue Code 278,281.57,98.55,,,0
CDM,27800032_43824,Hb Sup Revenue Code 278,280.66,98.23,,,0
CDM,27800032_43825,Hb Sup Revenue Code 278,286.72,100.35,,,0
CDM,27800032_43826,Hb Sup Revenue Code 278,273.98,95.89,,,0
CDM,27800032_43827,Hb Sup Revenue Code 278,272.46,95.36,,,0
CDM,27800032_43828,Hb Sup Revenue Code 278,287.01,100.45,,,0
CDM,27800032_43829,Hb Sup Revenue Code 278,276.41,96.74,,,0
CDM,27800032_43831,Hb Sup Revenue Code 278,291.44,102.0,,,0
CDM,27800032_43832,Hb Sup Revenue Code 278,294.39,103.04,,,0
CDM,27800032_43833,Hb Sup Revenue Code 278,285.54,99.94,,,0
CDM,27800032_43834,Hb Sup Revenue Code 278,276.7,96.84,,,0
CDM,27800032_43839,Hb Sup Revenue Code 278,331.17,115.91,,,0
CDM,27800032_43840,Hb Sup Revenue Code 278,349.67,122.38,,,0
CDM,27800032_43841,Hb Sup Revenue Code 278,366.95,128.43,,,0
CDM,27800032_43842,Hb Sup Revenue Code 278,357.41,125.09,,,0
CDM,27800032_43843,Hb Sup Revenue Code 278,357.41,125.09,,,0
CDM,27800032_43844,Hb Sup Revenue Code 278,331.17,115.91,,,0
CDM,27800032_43845,Hb Sup Revenue Code 278,440.9,154.32,,,0
CDM,27800032_43846,Hb Sup Revenue Code 278,442.85,155.0,,,0
CDM,27800032_43847,Hb Sup Revenue Code 278,451.67,158.08,,,0
CDM,27800032_43848,Hb Sup Revenue Code 278,446.78,156.37,,,0
CDM,27800032_43849,Hb Sup Revenue Code 278,445.51,155.93,,,0
CDM,27800032_43850,Hb Sup Revenue Code 278,443.97,155.39,,,0
CDM,27800032_43851,Hb Sup Revenue Code 278,493.41,172.69,,,0
CDM,27800032_43852,Hb Sup Revenue Code 278,543.36,190.18,,,0
CDM,27800032_43854,Hb Sup Revenue Code 278,468.43,163.95,,,0
CDM,27800032_43855,Hb Sup Revenue Code 278,468.42,163.95,,,0
CDM,27800032_43856,Hb Sup Revenue Code 278,468.43,163.95,,,0
CDM,27800032_43861,Hb Sup Revenue Code 278,357.41,125.09,,,0
CDM,27800032_44055,Hb Sup Revenue Code 278,184.89,64.71,,,0
CDM,27800032_44624,Hb Sup Revenue Code 278,28.69,10.04,,,0
CDM,27800032_44635,Hb Sup Revenue Code 278,116.67,40.83,,,0
CDM,27800032_44638,Hb Sup Revenue Code 278,376.52,131.78,,,0
CDM,27800032_44696,Hb Sup Revenue Code 278,139.98,48.99,,,0
CDM,27800032_44726,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44824,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44831,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44832,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44834,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44900,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44901,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44902,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44903,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44911,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44936,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_44971,Hb Sup Revenue Code 278,125.73,44.01,,,0
CDM,27800032_44972,Hb Sup Revenue Code 278,125.73,44.01,,,0
CDM,27800032_44973,Hb Sup Revenue Code 278,125.73,44.01,,,0
CDM,27800032_44974,Hb Sup Revenue Code 278,125.73,44.01,,,0
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CDM,27800032_44976,Hb Sup Revenue Code 278,125.74,44.01,,,0
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CDM,27800032_44979,Hb Sup Revenue Code 278,125.73,44.01,,,0
CDM,27800032_4498,Hb Sup Revenue Code 278,2083.23,729.13,,,0
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CDM,27800032_44985,Hb Sup Revenue Code 278,125.73,44.01,,,0
CDM,27800032_45058,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_45059,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_45193,Hb Sup Revenue Code 278,78.74,27.56,,,0
CDM,27800032_45194,Hb Sup Revenue Code 278,194.45,68.06,,,0
CDM,27800032_45195,Hb Sup Revenue Code 278,78.22,27.38,,,0
CDM,27800032_45196,Hb Sup Revenue Code 278,194.45,68.06,,,0
CDM,27800032_45197,Hb Sup Revenue Code 278,78.74,27.56,,,0
CDM,27800032_45198,Hb Sup Revenue Code 278,77.97,27.29,,,0
CDM,27800032_45200,Hb Sup Revenue Code 278,78.74,27.56,,,0
CDM,27800032_4524,Hb Sup Revenue Code 278,844.23,295.48,,,0
CDM,27800032_45312,Hb Sup Revenue Code 278,171.06,59.87,,,0
CDM,27800032_45313,Hb Sup Revenue Code 278,159.24,55.73,,,0
CDM,27800032_45314,Hb Sup Revenue Code 278,174.88,61.21,,,0
CDM,27800032_45315,Hb Sup Revenue Code 278,157.33,55.07,,,0
CDM,27800032_45316,Hb Sup Revenue Code 278,154.58,54.1,,,0
CDM,27800032_45317,Hb Sup Revenue Code 278,143.6,50.26,,,0
CDM,27800032_45318,Hb Sup Revenue Code 278,143.6,50.26,,,0
CDM,27800032_45319,Hb Sup Revenue Code 278,143.6,50.26,,,0
CDM,27800032_45324,Hb Sup Revenue Code 278,143.6,50.26,,,0
CDM,27800032_45349,Hb Sup Revenue Code 278,174.32,61.01,,,0
CDM,27800032_45351,Hb Sup Revenue Code 278,174.32,61.01,,,0
CDM,27800032_45353,Hb Sup Revenue Code 278,179.31,62.76,,,0
CDM,27800032_45354,Hb Sup Revenue Code 278,176.46,61.76,,,0
CDM,27800032_45355,Hb Sup Revenue Code 278,174.32,61.01,,,0
CDM,27800032_45356,Hb Sup Revenue Code 278,174.32,61.01,,,0
CDM,27800032_45357,Hb Sup Revenue Code 278,184.46,64.56,,,0
CDM,27800032_45358,Hb Sup Revenue Code 278,171.79,60.13,,,0
CDM,27800032_45359,Hb Sup Revenue Code 278,169.24,59.23,,,0
CDM,27800032_45360,Hb Sup Revenue Code 278,174.32,61.01,,,0
CDM,27800032_45361,Hb Sup Revenue Code 278,174.32,61.01,,,0
CDM,27800032_45362,Hb Sup Revenue Code 278,174.32,61.01,,,0
CDM,27800032_45364,Hb Sup Revenue Code 278,169.24,59.23,,,0
CDM,27800032_45394,Hb Sup Revenue Code 278,360.79,126.28,,,0
CDM,27800032_45395,Hb Sup Revenue Code 278,350.85,122.8,,,0
CDM,27800032_45396,Hb Sup Revenue Code 278,350.85,122.8,,,0
CDM,27800032_45397,Hb Sup Revenue Code 278,359.43,125.8,,,0
CDM,27800032_45399,Hb Sup Revenue Code 278,362.74,126.96,,,0
CDM,27800032_45400,Hb Sup Revenue Code 278,360.78,126.27,,,0
CDM,27800032_45402,Hb Sup Revenue Code 278,360.78,126.27,,,0
CDM,27800032_4545,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_45460,Hb Sup Revenue Code 278,141.38,49.48,,,0
CDM,27800032_45461,Hb Sup Revenue Code 278,126.21,44.17,,,0
CDM,27800032_45463,Hb Sup Revenue Code 278,124.18,43.46,,,0
CDM,27800032_45464,Hb Sup Revenue Code 278,134.4,47.04,,,0
CDM,27800032_45465,Hb Sup Revenue Code 278,121.27,42.44,,,0
CDM,27800032_45466,Hb Sup Revenue Code 278,126.96,44.44,,,0
CDM,27800032_45467,Hb Sup Revenue Code 278,119.61,41.86,,,0
CDM,27800032_45468,Hb Sup Revenue Code 278,116.67,40.83,,,0
CDM,27800032_45469,Hb Sup Revenue Code 278,116.67,40.83,,,0
CDM,27800032_45470,Hb Sup Revenue Code 278,116.67,40.83,,,0
CDM,27800032_45471,Hb Sup Revenue Code 278,116.67,40.83,,,0
CDM,27800032_45472,Hb Sup Revenue Code 278,128.23,44.88,,,0
CDM,27800032_45473,Hb Sup Revenue Code 278,1389.3,486.26,,,0
CDM,27800032_45474,Hb Sup Revenue Code 278,126.96,44.44,,,0
CDM,27800032_45477,Hb Sup Revenue Code 278,137.26,48.04,,,0
CDM,27800032_45481,Hb Sup Revenue Code 278,137.26,48.04,,,0
CDM,27800032_45482,Hb Sup Revenue Code 278,98.18,34.36,,,0
CDM,27800032_45485,Hb Sup Revenue Code 278,90.79,31.78,,,0
CDM,27800032_45486,Hb Sup Revenue Code 278,131.93,46.18,,,0
CDM,27800032_45510,Hb Sup Revenue Code 278,836.51,292.78,,,0
CDM,27800032_45514,Hb Sup Revenue Code 278,809.52,283.33,,,0
CDM,27800032_45559,Hb Sup Revenue Code 278,362.16,126.76,,,0
CDM,27800032_45560,Hb Sup Revenue Code 278,362.16,126.76,,,0
CDM,27800032_45800,Hb Sup Revenue Code 278,497.74,174.21,,,0
CDM,27800032_45801,Hb Sup Revenue Code 278,864.76,302.67,,,0
CDM,27800032_45809,Hb Sup Revenue Code 278,1377.22,482.03,,,0
CDM,27800032_45810,Hb Sup Revenue Code 278,1377.22,482.03,,,0
CDM,27800032_45811,Hb Sup Revenue Code 278,1243.64,435.27,,,0
CDM,27800032_45814,Hb Sup Revenue Code 278,842.92,295.02,,,0
CDM,27800032_45815,Hb Sup Revenue Code 278,842.92,295.02,,,0
CDM,27800032_45816,Hb Sup Revenue Code 278,1021.01,357.35,,,0
CDM,27800032_45819,Hb Sup Revenue Code 278,1377.22,482.03,,,0
CDM,27800032_45820,Hb Sup Revenue Code 278,1377.22,482.03,,,0
CDM,27800032_46281,Hb Sup Revenue Code 278,864.75,302.66,,,0
CDM,27800032_46569,Hb Sup Revenue Code 278,1124.69,393.64,,,0
CDM,27800032_46570,Hb Sup Revenue Code 278,825.53,288.94,,,0
CDM,27800032_46571,Hb Sup Revenue Code 278,819.0,286.65,,,0
CDM,27800032_46574,Hb Sup Revenue Code 278,775.28,271.35,,,0
CDM,27800032_46575,Hb Sup Revenue Code 278,809.52,283.33,,,0
CDM,27800032_46577,Hb Sup Revenue Code 278,801.48,280.52,,,0
CDM,27800032_46580,Hb Sup Revenue Code 278,351.6,123.06,,,0
CDM,27800032_46602,Hb Sup Revenue Code 278,475.66,166.48,,,0
CDM,27800032_46603,Hb Sup Revenue Code 278,400.87,140.3,,,0
CDM,27800032_46604,Hb Sup Revenue Code 278,454.3,159.0,,,0
CDM,27800032_46605,Hb Sup Revenue Code 278,400.87,140.3,,,0
CDM,27800032_46615,Hb Sup Revenue Code 278,275.23,96.33,,,0
CDM,27800032_46694,Hb Sup Revenue Code 278,95.73,33.51,,,0
CDM,27800032_46710,Hb Sup Revenue Code 278,115.57,40.45,,,0
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CDM,27800032_46872,Hb Sup Revenue Code 278,688.07,240.82,,,0
CDM,27800032_47339,Hb Sup Revenue Code 278,224.37,78.53,,,0
CDM,27800032_47601,Hb Sup Revenue Code 278,394.89,138.21,,,0
CDM,27800032_47604,Hb Sup Revenue Code 278,394.89,138.21,,,0
CDM,27800032_47655,Hb Sup Revenue Code 278,320.1,112.04,,,0
CDM,27800032_480,Hb Sup Revenue Code 278,1109.88,388.46,,,0
CDM,27800032_48627,Hb Sup Revenue Code 278,2393.28,837.65,,,0
CDM,27800032_50107,Hb Sup Revenue Code 278,5600.78,1960.27,,,0
CDM,27800032_51451,Hb Sup Revenue Code 278,79.78,27.92,,,0
CDM,27800032_52002,Hb Sup Revenue Code 278,387.89,135.76,,,0
CDM,27800032_52003,Hb Sup Revenue Code 278,382.75,133.96,,,0
CDM,27800032_52004,Hb Sup Revenue Code 278,416.73,145.86,,,0
CDM,27800032_52005,Hb Sup Revenue Code 278,405.63,141.97,,,0
CDM,27800032_52686,Hb Sup Revenue Code 278,1415.69,495.49,,,0
CDM,27800032_52691,Hb Sup Revenue Code 278,1415.69,495.49,,,0
CDM,27800032_52694,Hb Sup Revenue Code 278,1415.69,495.49,,,0
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CDM,27800032_53628,Hb Sup Revenue Code 278,454.72,159.15,,,0
CDM,27800032_53630,Hb Sup Revenue Code 278,454.72,159.15,,,0
CDM,27800032_53648,Hb Sup Revenue Code 278,454.72,159.15,,,0
CDM,27800032_53666,Hb Sup Revenue Code 278,212.83,74.49,,,0
CDM,27800032_53671,Hb Sup Revenue Code 278,233.34,81.67,,,0
CDM,27800032_53672,Hb Sup Revenue Code 278,233.34,81.67,,,0
CDM,27800032_53674,Hb Sup Revenue Code 278,185.48,64.92,,,0
CDM,27800032_53683,Hb Sup Revenue Code 278,209.41,73.29,,,0
CDM,27800032_53685,Hb Sup Revenue Code 278,185.48,64.92,,,0
CDM,27800032_53723,Hb Sup Revenue Code 278,221.68,77.59,,,0
CDM,27800032_53724,Hb Sup Revenue Code 278,215.53,75.44,,,0
CDM,27800032_53725,Hb Sup Revenue Code 278,386.03,135.11,,,0
CDM,27800032_53726,Hb Sup Revenue Code 278,341.04,119.36,,,0
CDM,27800032_53738,Hb Sup Revenue Code 278,2106.09,737.13,,,0
CDM,27800032_53760,Hb Sup Revenue Code 278,3829.25,1340.24,,,0
CDM,27800032_53765,Hb Sup Revenue Code 278,3829.25,1340.24,,,0
CDM,27800032_53766,Hb Sup Revenue Code 278,3829.25,1340.24,,,0
CDM,27800032_53906,Hb Sup Revenue Code 278,12506.39,4377.24,,,0
CDM,27800032_53989,Hb Sup Revenue Code 278,2430.68,850.74,,,0
CDM,27800032_54018,Hb Sup Revenue Code 278,8153.61,2853.76,,,0
CDM,27800032_54060,Hb Sup Revenue Code 278,456.22,159.68,,,0
CDM,27800032_54120,Hb Sup Revenue Code 278,8705.56,3046.95,,,0
CDM,27800032_54287,Hb Sup Revenue Code 278,20135.35,7047.37,,,0
CDM,27800032_54300,Hb Sup Revenue Code 278,958.63,335.52,,,0
CDM,27800032_54302,Hb Sup Revenue Code 278,994.17,347.96,,,0
CDM,27800032_54396,Hb Sup Revenue Code 278,14748.59,5162.01,,,0
CDM,27800032_54433,Hb Sup Revenue Code 278,5600.78,1960.27,,,0
CDM,27800032_55098,Hb Sup Revenue Code 278,158.55,55.49,,,0
CDM,27800032_55135,Hb Sup Revenue Code 278,3664.71,1282.65,,,0
CDM,27800032_55248,Hb Sup Revenue Code 278,786.19,275.17,,,0
CDM,27800032_55250,Hb Sup Revenue Code 278,797.86,279.25,,,0
CDM,27800032_55251,Hb Sup Revenue Code 278,786.19,275.17,,,0
CDM,27800032_55253,Hb Sup Revenue Code 278,786.2,275.17,,,0
CDM,27800032_55254,Hb Sup Revenue Code 278,797.86,279.25,,,0
CDM,27800032_55255,Hb Sup Revenue Code 278,786.2,275.17,,,0
CDM,27800032_55256,Hb Sup Revenue Code 278,779.01,272.65,,,0
CDM,27800032_55257,Hb Sup Revenue Code 278,797.86,279.25,,,0
CDM,27800032_55258,Hb Sup Revenue Code 278,786.2,275.17,,,0
CDM,27800032_55259,Hb Sup Revenue Code 278,809.52,283.33,,,0
CDM,27800032_55263,Hb Sup Revenue Code 278,809.52,283.33,,,0
CDM,27800032_55264,Hb Sup Revenue Code 278,797.86,279.25,,,0
CDM,27800032_55265,Hb Sup Revenue Code 278,800.19,280.07,,,0
CDM,27800032_55266,Hb Sup Revenue Code 278,716.19,250.67,,,0
CDM,27800032_55267,Hb Sup Revenue Code 278,716.19,250.67,,,0
CDM,27800032_55269,Hb Sup Revenue Code 278,716.19,250.67,,,0
CDM,27800032_55270,Hb Sup Revenue Code 278,815.66,285.48,,,0
CDM,27800032_55271,Hb Sup Revenue Code 278,815.66,285.48,,,0
CDM,27800032_55272,Hb Sup Revenue Code 278,785.41,274.89,,,0
CDM,27800032_55273,Hb Sup Revenue Code 278,789.78,276.42,,,0
CDM,27800032_55274,Hb Sup Revenue Code 278,777.52,272.13,,,0
CDM,27800032_55275,Hb Sup Revenue Code 278,749.35,262.27,,,0
CDM,27800032_55276,Hb Sup Revenue Code 278,810.48,283.67,,,0
CDM,27800032_55277,Hb Sup Revenue Code 278,798.41,279.44,,,0
CDM,27800032_55278,Hb Sup Revenue Code 278,815.66,285.48,,,0
CDM,27800032_55279,Hb Sup Revenue Code 278,790.46,276.66,,,0
CDM,27800032_55280,Hb Sup Revenue Code 278,815.66,285.48,,,0
CDM,27800032_55282,Hb Sup Revenue Code 278,815.66,285.48,,,0
CDM,27800032_55284,Hb Sup Revenue Code 278,789.78,276.42,,,0
CDM,27800032_55286,Hb Sup Revenue Code 278,815.66,285.48,,,0
CDM,27800032_55352,Hb Sup Revenue Code 278,12908.37,4517.93,,,0
CDM,27800032_55360,Hb Sup Revenue Code 278,389.84,136.44,,,0
CDM,27800032_55395,Hb Sup Revenue Code 278,2348.95,822.13,,,0
CDM,27800032_55432,Hb Sup Revenue Code 278,815.66,285.48,,,0
CDM,27800032_55444,Hb Sup Revenue Code 278,1063.07,372.07,,,0
CDM,27800032_55978,Hb Sup Revenue Code 278,817.02,285.96,,,0
CDM,27800032_5599,Hb Sup Revenue Code 278,691.06,241.87,,,0
CDM,27800032_5600,Hb Sup Revenue Code 278,3209.99,1123.5,,,0
CDM,27800032_5606,Hb Sup Revenue Code 278,2925.78,1024.02,,,0
CDM,27800032_56083,Hb Sup Revenue Code 278,714.99,250.25,,,0
CDM,27800032_5609,Hb Sup Revenue Code 278,1322.29,462.8,,,0
CDM,27800032_56455,Hb Sup Revenue Code 278,831.66,291.08,,,0
CDM,27800032_56489,Hb Sup Revenue Code 278,260.81,91.28,,,0
CDM,27800032_56490,Hb Sup Revenue Code 278,297.67,104.18,,,0
CDM,27800032_56494,Hb Sup Revenue Code 278,1071.57,375.05,,,0
CDM,27800032_56498,Hb Sup Revenue Code 278,1108.41,387.94,,,0
CDM,27800032_56513,Hb Sup Revenue Code 278,653.37,228.68,,,0
CDM,27800032_56538,Hb Sup Revenue Code 278,332.91,116.52,,,0
CDM,27800032_56539,Hb Sup Revenue Code 278,409.73,143.41,,,0
CDM,27800032_56545,Hb Sup Revenue Code 278,411.22,143.93,,,0
CDM,27800032_56552,Hb Sup Revenue Code 278,631.65,221.08,,,0
CDM,27800032_56554,Hb Sup Revenue Code 278,1121.82,392.64,,,0
CDM,27800032_56618,Hb Sup Revenue Code 278,668.63,234.02,,,0
CDM,27800032_57134,Hb Sup Revenue Code 278,3460.32,1211.11,,,0
CDM,27800032_57344,Hb Sup Revenue Code 278,1197.23,419.03,,,0
CDM,27800032_57346,Hb Sup Revenue Code 278,4519.85,1581.95,,,0
CDM,27800032_57966,Hb Sup Revenue Code 278,996.2,348.67,,,0
CDM,27800032_57967,Hb Sup Revenue Code 278,1274.42,446.05,,,0
CDM,27800032_58532,Hb Sup Revenue Code 278,858.59,300.51,,,0
CDM,27800032_59061,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59062,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59139,Hb Sup Revenue Code 278,3998.28,1399.4,,,0
CDM,27800032_59319,Hb Sup Revenue Code 278,3652.74,1278.46,,,0
CDM,27800032_59374,Hb Sup Revenue Code 278,3652.74,1278.46,,,0
CDM,27800032_59384,Hb Sup Revenue Code 278,3652.74,1278.46,,,0
CDM,27800032_59397,Hb Sup Revenue Code 278,3652.74,1278.46,,,0
CDM,27800032_59400,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_59402,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_59404,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_59409,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59413,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59415,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59416,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59417,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59437,Hb Sup Revenue Code 278,5854.26,2048.99,,,0
CDM,27800032_59439,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59442,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59443,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_59444,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_59445,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59446,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_59455,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59461,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59464,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59466,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59539,Hb Sup Revenue Code 278,3068.87,1074.1,,,0
CDM,27800032_59540,Hb Sup Revenue Code 278,2951.81,1033.13,,,0
CDM,27800032_59551,Hb Sup Revenue Code 278,4225.34,1478.87,,,0
CDM,27800032_59584,Hb Sup Revenue Code 278,4264.82,1492.69,,,0
CDM,27800032_59595,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59606,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_59967,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_59968,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_59969,Hb Sup Revenue Code 278,2692.44,942.35,,,0
CDM,27800032_59972,Hb Sup Revenue Code 278,4225.34,1478.87,,,0
CDM,27800032_59976,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_59977,Hb Sup Revenue Code 278,4225.34,1478.87,,,0
CDM,27800032_59993,Hb Sup Revenue Code 278,107.82,37.74,,,0
CDM,27800032_59995,Hb Sup Revenue Code 278,4225.34,1478.87,,,0
CDM,27800032_60030,Hb Sup Revenue Code 278,1716.82,600.89,,,0
CDM,27800032_60031,Hb Sup Revenue Code 278,1882.43,658.85,,,0
CDM,27800032_60032,Hb Sup Revenue Code 278,811.32,283.96,,,0
CDM,27800032_60033,Hb Sup Revenue Code 278,931.4,325.99,,,0
CDM,27800032_60034,Hb Sup Revenue Code 278,1332.07,466.22,,,0
CDM,27800032_60039,Hb Sup Revenue Code 278,2684.22,939.48,,,0
CDM,27800032_60040,Hb Sup Revenue Code 278,1829.38,640.28,,,0
CDM,27800032_60041,Hb Sup Revenue Code 278,2019.72,706.9,,,0
CDM,27800032_60042,Hb Sup Revenue Code 278,1800.1,630.04,,,0
CDM,27800032_60043,Hb Sup Revenue Code 278,2135.85,747.55,,,0
CDM,27800032_60044,Hb Sup Revenue Code 278,3307.51,1157.63,,,0
CDM,27800032_60045,Hb Sup Revenue Code 278,3063.16,1072.11,,,0
CDM,27800032_60046,Hb Sup Revenue Code 278,5466.97,1913.44,,,0
CDM,27800032_60047,Hb Sup Revenue Code 278,5263.76,1842.32,,,0
CDM,27800032_60059,Hb Sup Revenue Code 278,2059.88,720.96,,,0
CDM,27800032_60347,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_60439,Hb Sup Revenue Code 278,309.99,108.5,,,0
CDM,27800032_60481,Hb Sup Revenue Code 278,1679.98,587.99,,,0
CDM,27800032_60682,Hb Sup Revenue Code 278,990.22,346.58,,,0
CDM,27800032_60802,Hb Sup Revenue Code 278,2692.44,942.35,,,0
CDM,27800032_60808,Hb Sup Revenue Code 278,1057.65,370.18,,,0
CDM,27800032_61116,Hb Sup Revenue Code 278,64.14,22.45,,,0
CDM,27800032_61186,Hb Sup Revenue Code 278,1102.41,385.84,,,0
CDM,27800032_61190,Hb Sup Revenue Code 278,6153.72,2153.8,,,0
CDM,27800032_61192,Hb Sup Revenue Code 278,6153.72,2153.8,,,0
CDM,27800032_61194,Hb Sup Revenue Code 278,6153.72,2153.8,,,0
CDM,27800032_61195,Hb Sup Revenue Code 278,6153.72,2153.8,,,0
CDM,27800032_61202,Hb Sup Revenue Code 278,1660.85,581.3,,,0
CDM,27800032_61218,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_61226,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_61227,Hb Sup Revenue Code 278,344.85,120.7,,,0
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CDM,27800032_61230,Hb Sup Revenue Code 278,227.78,79.72,,,0
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CDM,27800032_61244,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_61245,Hb Sup Revenue Code 278,227.78,79.72,,,0
CDM,27800032_61247,Hb Sup Revenue Code 278,2114.01,739.9,,,0
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CDM,27800032_61314,Hb Sup Revenue Code 278,1513.75,529.81,,,0
CDM,27800032_61338,Hb Sup Revenue Code 278,403.39,141.19,,,0
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CDM,27800032_61344,Hb Sup Revenue Code 278,403.36,141.18,,,0
CDM,27800032_61372,Hb Sup Revenue Code 278,3530.09,1235.53,,,0
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CDM,27800032_61388,Hb Sup Revenue Code 278,9456.45,3309.76,,,0
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CDM,27800032_61920,Hb Sup Revenue Code 278,1034.11,361.94,,,0
CDM,27800032_62117,Hb Sup Revenue Code 278,780.81,273.28,,,0
CDM,27800032_62118,Hb Sup Revenue Code 278,780.81,273.28,,,0
CDM,27800032_62123,Hb Sup Revenue Code 278,1260.06,441.02,,,0
CDM,27800032_62125,Hb Sup Revenue Code 278,1389.3,486.26,,,0
CDM,27800032_62126,Hb Sup Revenue Code 278,1258.26,440.39,,,0
CDM,27800032_62127,Hb Sup Revenue Code 278,1324.92,463.72,,,0
CDM,27800032_62128,Hb Sup Revenue Code 278,1191.86,417.15,,,0
CDM,27800032_62136,Hb Sup Revenue Code 278,1819.76,636.92,,,0
CDM,27800032_62137,Hb Sup Revenue Code 278,1358.25,475.39,,,0
CDM,27800032_62138,Hb Sup Revenue Code 278,1260.38,441.13,,,0
CDM,27800032_62139,Hb Sup Revenue Code 278,1308.26,457.89,,,0
CDM,27800032_624,Hb Sup Revenue Code 278,10373.46,3630.71,,,0
CDM,27800032_63875,Hb Sup Revenue Code 278,1906.58,667.3,,,0
CDM,27800032_63876,Hb Sup Revenue Code 278,415.98,145.59,,,0
CDM,27800032_63877,Hb Sup Revenue Code 278,418.28,146.4,,,0
CDM,27800032_63878,Hb Sup Revenue Code 278,418.28,146.4,,,0
CDM,27800032_63997,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_64004,Hb Sup Revenue Code 278,4225.34,1478.87,,,0
CDM,27800032_64054,Hb Sup Revenue Code 278,1958.75,685.56,,,0
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CDM,27800032_64170,Hb Sup Revenue Code 278,7560.37,2646.13,,,0
CDM,27800032_64193,Hb Sup Revenue Code 278,466.69,163.34,,,0
CDM,27800032_64201,Hb Sup Revenue Code 278,418.82,146.59,,,0
CDM,27800032_64212,Hb Sup Revenue Code 278,140.61,49.21,,,0
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CDM,27800032_64214,Hb Sup Revenue Code 278,454.72,159.15,,,0
CDM,27800032_64219,Hb Sup Revenue Code 278,869.66,304.38,,,0
CDM,27800032_64504,Hb Sup Revenue Code 278,29372.59,10280.41,,,0
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CDM,27800032_64589,Hb Sup Revenue Code 278,13255.78,4639.52,,,0
CDM,27800032_65098,Hb Sup Revenue Code 278,11218.5,3926.48,,,0
CDM,27800032_65102,Hb Sup Revenue Code 278,8272.97,2895.54,,,0
CDM,27800032_65159,Hb Sup Revenue Code 278,13255.78,4639.52,,,0
CDM,27800032_65223,Hb Sup Revenue Code 278,14338.74,5018.56,,,0
CDM,27800032_65224,Hb Sup Revenue Code 278,5062.83,1771.99,,,0
CDM,27800032_65233,Hb Sup Revenue Code 278,55.38,19.38,,,0
CDM,27800032_65540,Hb Sup Revenue Code 278,59.02,20.66,,,0
CDM,27800032_65790,Hb Sup Revenue Code 278,3183.06,1114.07,,,0
CDM,27800032_66052,Hb Sup Revenue Code 278,46.49,16.27,,,0
CDM,27800032_66058,Hb Sup Revenue Code 278,76.38,26.73,,,0
CDM,27800032_66363,Hb Sup Revenue Code 278,7591.84,2657.14,,,0
CDM,27800032_66371,Hb Sup Revenue Code 278,4261.66,1491.58,,,0
CDM,27800032_66444,Hb Sup Revenue Code 278,4104.48,1436.57,,,0
CDM,27800032_66543,Hb Sup Revenue Code 278,565.41,197.89,,,0
CDM,27800032_67270,Hb Sup Revenue Code 278,436.77,152.87,,,0
CDM,27800032_67271,Hb Sup Revenue Code 278,7454.95,2609.23,,,0
CDM,27800032_67788,Hb Sup Revenue Code 278,4487.4,1570.59,,,0
CDM,27800032_68186,Hb Sup Revenue Code 278,20.31,7.11,,,0
CDM,27800032_68440,Hb Sup Revenue Code 278,195.38,68.38,,,0
CDM,27800032_68518,Hb Sup Revenue Code 278,75.24,26.33,,,0
CDM,27800032_68588,Hb Sup Revenue Code 278,7236.68,2532.84,,,0
CDM,27800032_68615,Hb Sup Revenue Code 278,3158.15,1105.35,,,0
CDM,27800032_68647,Hb Sup Revenue Code 278,2079.16,727.71,,,0
CDM,27800032_68730,Hb Sup Revenue Code 278,5110.85,1788.8,,,0
CDM,27800032_68809,Hb Sup Revenue Code 278,2734.05,956.92,,,0
CDM,27800032_68810,Hb Sup Revenue Code 278,2734.05,956.92,,,0
CDM,27800032_68853,Hb Sup Revenue Code 278,11292.09,3952.23,,,0
CDM,27800032_69152,Hb Sup Revenue Code 278,565.41,197.89,,,0
CDM,27800032_69768,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_69769,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_69781,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_69791,Hb Sup Revenue Code 278,760.16,266.06,,,0
CDM,27800032_69834,Hb Sup Revenue Code 278,1054.65,369.13,,,0
CDM,27800032_69835,Hb Sup Revenue Code 278,2016.73,705.86,,,0
CDM,27800032_69836,Hb Sup Revenue Code 278,809.17,283.21,,,0
CDM,27800032_69837,Hb Sup Revenue Code 278,820.9,287.32,,,0
CDM,27800032_69839,Hb Sup Revenue Code 278,788.71,276.05,,,0
CDM,27800032_69840,Hb Sup Revenue Code 278,851.29,297.95,,,0
CDM,27800032_69841,Hb Sup Revenue Code 278,808.3,282.9,,,0
CDM,27800032_69842,Hb Sup Revenue Code 278,870.65,304.73,,,0
CDM,27800032_69849,Hb Sup Revenue Code 278,965.83,338.04,,,0
CDM,27800032_69850,Hb Sup Revenue Code 278,1084.92,379.72,,,0
CDM,27800032_69851,Hb Sup Revenue Code 278,1814.68,635.14,,,0
CDM,27800032_69857,Hb Sup Revenue Code 278,886.99,310.45,,,0
CDM,27800032_69858,Hb Sup Revenue Code 278,841.0,294.35,,,0
CDM,27800032_69865,Hb Sup Revenue Code 278,941.74,329.61,,,0
CDM,27800032_69866,Hb Sup Revenue Code 278,1047.83,366.74,,,0
CDM,27800032_69867,Hb Sup Revenue Code 278,1819.37,636.78,,,0
CDM,27800032_69868,Hb Sup Revenue Code 278,777.82,272.24,,,0
CDM,27800032_69871,Hb Sup Revenue Code 278,866.49,303.27,,,0
CDM,27800032_69872,Hb Sup Revenue Code 278,912.08,319.23,,,0
CDM,27800032_69873,Hb Sup Revenue Code 278,859.39,300.79,,,0
CDM,27800032_69874,Hb Sup Revenue Code 278,932.99,326.55,,,0
CDM,27800032_69875,Hb Sup Revenue Code 278,703.71,246.3,,,0
CDM,27800032_69878,Hb Sup Revenue Code 278,809.17,283.21,,,0
CDM,27800032_69881,Hb Sup Revenue Code 278,869.48,304.32,,,0
CDM,27800032_69908,Hb Sup Revenue Code 278,3628.69,1270.04,,,0
CDM,27800032_69958,Hb Sup Revenue Code 278,87.42,30.6,,,0
CDM,27800032_69967,Hb Sup Revenue Code 278,177.94,62.28,,,0
CDM,27800032_69968,Hb Sup Revenue Code 278,251.5,88.02,,,0
CDM,27800032_70002,Hb Sup Revenue Code 278,102.02,35.71,,,0
CDM,27800032_70003,Hb Sup Revenue Code 278,102.02,35.71,,,0
CDM,27800032_70004,Hb Sup Revenue Code 278,102.02,35.71,,,0
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CDM,27800032_70006,Hb Sup Revenue Code 278,102.02,35.71,,,0
CDM,27800032_70007,Hb Sup Revenue Code 278,102.02,35.71,,,0
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CDM,27800032_70012,Hb Sup Revenue Code 278,102.02,35.71,,,0
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CDM,27800032_70051,Hb Sup Revenue Code 278,75.93,26.58,,,0
CDM,27800032_70053,Hb Sup Revenue Code 278,177.94,62.28,,,0
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CDM,27800032_70055,Hb Sup Revenue Code 278,201.67,70.58,,,0
CDM,27800032_70056,Hb Sup Revenue Code 278,227.82,79.74,,,0
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CDM,27800032_70086,Hb Sup Revenue Code 278,730.79,255.78,,,0
CDM,27800032_70098,Hb Sup Revenue Code 278,1749.35,612.27,,,0
CDM,27800032_70100,Hb Sup Revenue Code 278,441.32,154.46,,,0
CDM,27800032_70101,Hb Sup Revenue Code 278,441.32,154.46,,,0
CDM,27800032_70102,Hb Sup Revenue Code 278,441.29,154.45,,,0
CDM,27800032_70103,Hb Sup Revenue Code 278,441.32,154.46,,,0
CDM,27800032_70104,Hb Sup Revenue Code 278,441.32,154.46,,,0
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CDM,27800032_70203,Hb Sup Revenue Code 278,125.73,44.01,,,0
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CDM,27800032_70219,Hb Sup Revenue Code 278,125.73,44.01,,,0
CDM,27800032_70220,Hb Sup Revenue Code 278,125.73,44.01,,,0
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CDM,27800032_70224,Hb Sup Revenue Code 278,125.74,44.01,,,0
CDM,27800032_70225,Hb Sup Revenue Code 278,125.73,44.01,,,0
CDM,27800032_70229,Hb Sup Revenue Code 278,125.73,44.01,,,0
CDM,27800032_70230,Hb Sup Revenue Code 278,125.73,44.01,,,0
CDM,27800032_70257,Hb Sup Revenue Code 278,106.26,37.19,,,0
CDM,27800032_70258,Hb Sup Revenue Code 278,101.59,35.56,,,0
CDM,27800032_70259,Hb Sup Revenue Code 278,125.26,43.84,,,0
CDM,27800032_70260,Hb Sup Revenue Code 278,70.01,24.5,,,0
CDM,27800032_70261,Hb Sup Revenue Code 278,101.57,35.55,,,0
CDM,27800032_70262,Hb Sup Revenue Code 278,104.45,36.56,,,0
CDM,27800032_70377,Hb Sup Revenue Code 278,142.49,49.87,,,0
CDM,27800032_70388,Hb Sup Revenue Code 278,101.78,35.62,,,0
CDM,27800032_70392,Hb Sup Revenue Code 278,169.62,59.37,,,0
CDM,27800032_70393,Hb Sup Revenue Code 278,170.55,59.69,,,0
CDM,27800032_70395,Hb Sup Revenue Code 278,101.78,35.62,,,0
CDM,27800032_70396,Hb Sup Revenue Code 278,120.26,42.09,,,0
CDM,27800032_70397,Hb Sup Revenue Code 278,144.94,50.73,,,0
CDM,27800032_70398,Hb Sup Revenue Code 278,120.26,42.09,,,0
CDM,27800032_70399,Hb Sup Revenue Code 278,120.26,42.09,,,0
CDM,27800032_70414,Hb Sup Revenue Code 278,133.19,46.62,,,0
CDM,27800032_70430,Hb Sup Revenue Code 278,111.71,39.1,,,0
CDM,27800032_70431,Hb Sup Revenue Code 278,70.0,24.5,,,0
CDM,27800032_70432,Hb Sup Revenue Code 278,104.1,36.44,,,0
CDM,27800032_70433,Hb Sup Revenue Code 278,97.32,34.06,,,0
CDM,27800032_70473,Hb Sup Revenue Code 278,137.26,48.04,,,0
CDM,27800032_70474,Hb Sup Revenue Code 278,137.26,48.04,,,0
CDM,27800032_70475,Hb Sup Revenue Code 278,155.8,54.53,,,0
CDM,27800032_70476,Hb Sup Revenue Code 278,137.26,48.04,,,0
CDM,27800032_70477,Hb Sup Revenue Code 278,116.83,40.89,,,0
CDM,27800032_70478,Hb Sup Revenue Code 278,57.43,20.1,,,0
CDM,27800032_70489,Hb Sup Revenue Code 278,809.52,283.33,,,0
CDM,27800032_70497,Hb Sup Revenue Code 278,786.2,275.17,,,0
CDM,27800032_70498,Hb Sup Revenue Code 278,786.2,275.17,,,0
CDM,27800032_70499,Hb Sup Revenue Code 278,786.2,275.17,,,0
CDM,27800032_70500,Hb Sup Revenue Code 278,783.09,274.08,,,0
CDM,27800032_70501,Hb Sup Revenue Code 278,765.37,267.88,,,0
CDM,27800032_70502,Hb Sup Revenue Code 278,809.52,283.33,,,0
CDM,27800032_70504,Hb Sup Revenue Code 278,795.53,278.44,,,0
CDM,27800032_70505,Hb Sup Revenue Code 278,809.52,283.33,,,0
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CDM,27800032_70508,Hb Sup Revenue Code 278,809.52,283.33,,,0
CDM,27800032_70509,Hb Sup Revenue Code 278,389.37,136.28,,,0
CDM,27800032_70510,Hb Sup Revenue Code 278,390.73,136.76,,,0
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CDM,27800032_70513,Hb Sup Revenue Code 278,610.63,213.72,,,0
CDM,27800032_70515,Hb Sup Revenue Code 278,387.65,135.68,,,0
CDM,27800032_70516,Hb Sup Revenue Code 278,389.15,136.2,,,0
CDM,27800032_70517,Hb Sup Revenue Code 278,385.07,134.77,,,0
CDM,27800032_70525,Hb Sup Revenue Code 278,413.83,144.84,,,0
CDM,27800032_70529,Hb Sup Revenue Code 278,452.12,158.24,,,0
CDM,27800032_70530,Hb Sup Revenue Code 278,452.12,158.24,,,0
CDM,27800032_70531,Hb Sup Revenue Code 278,452.12,158.24,,,0
CDM,27800032_70532,Hb Sup Revenue Code 278,452.12,158.24,,,0
CDM,27800032_70534,Hb Sup Revenue Code 278,451.07,157.87,,,0
CDM,27800032_7059,Hb Sup Revenue Code 278,8406.4,2942.24,,,0
CDM,27800032_70629,Hb Sup Revenue Code 278,120.62,42.22,,,0
CDM,27800032_70632,Hb Sup Revenue Code 278,120.63,42.22,,,0
CDM,27800032_70633,Hb Sup Revenue Code 278,120.63,42.22,,,0
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CDM,27800032_70635,Hb Sup Revenue Code 278,89.61,31.36,,,0
CDM,27800032_70637,Hb Sup Revenue Code 278,98.08,34.33,,,0
CDM,27800032_70638,Hb Sup Revenue Code 278,76.27,26.69,,,0
CDM,27800032_70639,Hb Sup Revenue Code 278,84.45,29.56,,,0
CDM,27800032_70641,Hb Sup Revenue Code 278,106.26,37.19,,,0
CDM,27800032_70683,Hb Sup Revenue Code 278,232.45,81.36,,,0
CDM,27800032_70684,Hb Sup Revenue Code 278,232.45,81.36,,,0
CDM,27800032_70700,Hb Sup Revenue Code 278,89.03,31.16,,,0
CDM,27800032_70727,Hb Sup Revenue Code 278,2979.09,1042.68,,,0
CDM,27800032_70731,Hb Sup Revenue Code 278,3859.41,1350.79,,,0
CDM,27800032_70750,Hb Sup Revenue Code 278,988.85,346.1,,,0
CDM,27800032_70752,Hb Sup Revenue Code 278,959.56,335.85,,,0
CDM,27800032_70755,Hb Sup Revenue Code 278,1052.35,368.32,,,0
CDM,27800032_70756,Hb Sup Revenue Code 278,1080.56,378.2,,,0
CDM,27800032_70758,Hb Sup Revenue Code 278,1079.22,377.73,,,0
CDM,27800032_70760,Hb Sup Revenue Code 278,1193.23,417.63,,,0
CDM,27800032_70783,Hb Sup Revenue Code 278,1449.96,507.49,,,0
CDM,27800032_70785,Hb Sup Revenue Code 278,1517.63,531.17,,,0
CDM,27800032_70787,Hb Sup Revenue Code 278,1604.51,561.58,,,0
CDM,27800032_7079,Hb Sup Revenue Code 278,14060.52,4921.18,,,0
CDM,27800032_70969,Hb Sup Revenue Code 278,1344.93,470.73,,,0
CDM,27800032_70971,Hb Sup Revenue Code 278,1564.34,547.52,,,0
CDM,27800032_70972,Hb Sup Revenue Code 278,1654.86,579.2,,,0
CDM,27800032_70974,Hb Sup Revenue Code 278,1765.81,618.03,,,0
CDM,27800032_70999,Hb Sup Revenue Code 278,1057.2,370.02,,,0
CDM,27800032_7115,Hb Sup Revenue Code 278,14060.52,4921.18,,,0
CDM,27800032_7119,Hb Sup Revenue Code 278,14060.52,4921.18,,,0
CDM,27800032_71311,Hb Sup Revenue Code 278,2327.1,814.48,,,0
CDM,27800032_71312,Hb Sup Revenue Code 278,2327.1,814.48,,,0
CDM,27800032_71382,Hb Sup Revenue Code 278,908.76,318.07,,,0
CDM,27800032_71383,Hb Sup Revenue Code 278,1096.9,383.92,,,0
CDM,27800032_71418,Hb Sup Revenue Code 278,259.73,90.91,,,0
CDM,27800032_71422,Hb Sup Revenue Code 278,259.73,90.91,,,0
CDM,27800032_71423,Hb Sup Revenue Code 278,252.55,88.39,,,0
CDM,27800032_71424,Hb Sup Revenue Code 278,267.21,93.52,,,0
CDM,27800032_71425,Hb Sup Revenue Code 278,242.78,84.97,,,0
CDM,27800032_71426,Hb Sup Revenue Code 278,243.18,85.11,,,0
CDM,27800032_71427,Hb Sup Revenue Code 278,228.77,80.07,,,0
CDM,27800032_71430,Hb Sup Revenue Code 278,228.77,80.07,,,0
CDM,27800032_71434,Hb Sup Revenue Code 278,3976.77,1391.87,,,0
CDM,27800032_71734,Hb Sup Revenue Code 278,2086.6,730.31,,,0
CDM,27800032_71735,Hb Sup Revenue Code 278,1978.91,692.62,,,0
CDM,27800032_71887,Hb Sup Revenue Code 278,101.58,35.55,,,0
CDM,27800032_71905,Hb Sup Revenue Code 278,169.62,59.37,,,0
CDM,27800032_72049,Hb Sup Revenue Code 278,101.77,35.62,,,0
CDM,27800032_72061,Hb Sup Revenue Code 278,133.19,46.62,,,0
CDM,27800032_72062,Hb Sup Revenue Code 278,99.82,34.94,,,0
CDM,27800032_72093,Hb Sup Revenue Code 278,3976.77,1391.87,,,0
CDM,27800032_72111,Hb Sup Revenue Code 278,1034.08,361.93,,,0
CDM,27800032_72325,Hb Sup Revenue Code 278,341.8,119.63,,,0
CDM,27800032_72327,Hb Sup Revenue Code 278,252.7,88.44,,,0
CDM,27800032_72328,Hb Sup Revenue Code 278,253.7,88.8,,,0
CDM,27800032_72390,Hb Sup Revenue Code 278,529.09,185.18,,,0
CDM,27800032_72398,Hb Sup Revenue Code 278,251.5,88.02,,,0
CDM,27800032_72403,Hb Sup Revenue Code 278,128.49,44.97,,,0
CDM,27800032_72405,Hb Sup Revenue Code 278,106.26,37.19,,,0
CDM,27800032_72406,Hb Sup Revenue Code 278,96.28,33.7,,,0
CDM,27800032_72506,Hb Sup Revenue Code 278,106.26,37.19,,,0
CDM,27800032_72508,Hb Sup Revenue Code 278,85.01,29.75,,,0
CDM,27800032_72513,Hb Sup Revenue Code 278,64.41,22.54,,,0
CDM,27800032_72514,Hb Sup Revenue Code 278,2757.75,965.21,,,0
CDM,27800032_72523,Hb Sup Revenue Code 278,841.88,294.66,,,0
CDM,27800032_72623,Hb Sup Revenue Code 278,151.16,52.91,,,0
CDM,27800032_72662,Hb Sup Revenue Code 278,796.19,278.67,,,0
CDM,27800032_72832,Hb Sup Revenue Code 278,254.18,88.96,,,0
CDM,27800032_72833,Hb Sup Revenue Code 278,251.55,88.04,,,0
CDM,27800032_72834,Hb Sup Revenue Code 278,247.66,86.68,,,0
CDM,27800032_72864,Hb Sup Revenue Code 278,70.01,24.5,,,0
CDM,27800032_72865,Hb Sup Revenue Code 278,87.23,30.53,,,0
CDM,27800032_72885,Hb Sup Revenue Code 278,2193.14,767.6,,,0
CDM,27800032_72910,Hb Sup Revenue Code 278,121.38,42.48,,,0
CDM,27800032_72938,Hb Sup Revenue Code 278,305.92,107.07,,,0
CDM,27800032_7304,Hb Sup Revenue Code 278,1794.96,628.24,,,0
CDM,27800032_73042,Hb Sup Revenue Code 278,128.22,44.88,,,0
CDM,27800032_73101,Hb Sup Revenue Code 278,169.62,59.37,,,0
CDM,27800032_73102,Hb Sup Revenue Code 278,146.52,51.28,,,0
CDM,27800032_73112,Hb Sup Revenue Code 278,155.8,54.53,,,0
CDM,27800032_73129,Hb Sup Revenue Code 278,797.86,279.25,,,0
CDM,27800032_73147,Hb Sup Revenue Code 278,106.26,37.19,,,0
CDM,27800032_73148,Hb Sup Revenue Code 278,120.76,42.27,,,0
CDM,27800032_73149,Hb Sup Revenue Code 278,70.01,24.5,,,0
CDM,27800032_73336,Hb Sup Revenue Code 278,327.43,114.6,,,0
CDM,27800032_73339,Hb Sup Revenue Code 278,327.43,114.6,,,0
CDM,27800032_73341,Hb Sup Revenue Code 278,327.43,114.6,,,0
CDM,27800032_73342,Hb Sup Revenue Code 278,327.43,114.6,,,0
CDM,27800032_73343,Hb Sup Revenue Code 278,327.43,114.6,,,0
CDM,27800032_73346,Hb Sup Revenue Code 278,134.86,47.2,,,0
CDM,27800032_73348,Hb Sup Revenue Code 278,149.58,52.35,,,0
CDM,27800032_73392,Hb Sup Revenue Code 278,2940.02,1029.01,,,0
CDM,27800032_73440,Hb Sup Revenue Code 278,85.79,30.03,,,0
CDM,27800032_73478,Hb Sup Revenue Code 278,92.96,32.54,,,0
CDM,27800032_73559,Hb Sup Revenue Code 278,2090.76,731.77,,,0
CDM,27800032_73565,Hb Sup Revenue Code 278,104.23,36.48,,,0
CDM,27800032_74078,Hb Sup Revenue Code 278,7454.95,2609.23,,,0
CDM,27800032_74656,Hb Sup Revenue Code 278,402.38,140.83,,,0
CDM,27800032_74694,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74695,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74696,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74697,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74698,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74699,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74700,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74701,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74702,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74703,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74704,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74705,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74706,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74707,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74708,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74709,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74710,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74711,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74712,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74713,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74714,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74715,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74716,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74717,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74718,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74719,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74725,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74726,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74727,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74728,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74729,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74730,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74731,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74732,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74733,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74734,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74735,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74736,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74740,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_74742,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_75042,Hb Sup Revenue Code 278,8972.62,3140.42,,,0
CDM,27800032_75043,Hb Sup Revenue Code 278,9401.12,3290.39,,,0
CDM,27800032_75059,Hb Sup Revenue Code 278,5761.82,2016.64,,,0
CDM,27800032_75060,Hb Sup Revenue Code 278,5761.82,2016.64,,,0
CDM,27800032_75165,Hb Sup Revenue Code 278,448.34,156.92,,,0
CDM,27800032_75166,Hb Sup Revenue Code 278,439.49,153.82,,,0
CDM,27800032_75167,Hb Sup Revenue Code 278,420.28,147.1,,,0
CDM,27800032_75168,Hb Sup Revenue Code 278,422.16,147.76,,,0
CDM,27800032_76819,Hb Sup Revenue Code 278,79.16,27.71,,,0
CDM,27800032_76881,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_76929,Hb Sup Revenue Code 278,3652.74,1278.46,,,0
CDM,27800032_76930,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_76938,Hb Sup Revenue Code 278,7957.66,2785.18,,,0
CDM,27800032_76940,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_76954,Hb Sup Revenue Code 278,4475.31,1566.36,,,0
CDM,27800032_76958,Hb Sup Revenue Code 278,6946.5,2431.28,,,0
CDM,27800032_76967,Hb Sup Revenue Code 278,7771.58,2720.05,,,0
CDM,27800032_78418,Hb Sup Revenue Code 278,89.75,31.41,,,0
CDM,27800032_78419,Hb Sup Revenue Code 278,107.91,37.77,,,0
CDM,27800032_78467,Hb Sup Revenue Code 278,794.96,278.24,,,0
CDM,27800032_78918,Hb Sup Revenue Code 278,10171.44,3560.0,,,0
CDM,27800032_78920,Hb Sup Revenue Code 278,10171.44,3560.0,,,0
CDM,27800032_78924,Hb Sup Revenue Code 278,10171.44,3560.0,,,0
CDM,27800032_78953,Hb Sup Revenue Code 278,4487.4,1570.59,,,0
CDM,27800032_78981,Hb Sup Revenue Code 278,2243.7,785.3,,,0
CDM,27800032_78983,Hb Sup Revenue Code 278,2243.7,785.3,,,0
CDM,27800032_78984,Hb Sup Revenue Code 278,2243.7,785.3,,,0
CDM,27800032_79498,Hb Sup Revenue Code 278,993.21,347.62,,,0
CDM,27800032_79510,Hb Sup Revenue Code 278,3903.5,1366.22,,,0
CDM,27800032_79516,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_79527,Hb Sup Revenue Code 278,5624.21,1968.47,,,0
CDM,27800032_79529,Hb Sup Revenue Code 278,4225.34,1478.87,,,0
CDM,27800032_79533,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_79534,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_79535,Hb Sup Revenue Code 278,3652.74,1278.46,,,0
CDM,27800032_79536,Hb Sup Revenue Code 278,3652.74,1278.46,,,0
CDM,27800032_79537,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_79538,Hb Sup Revenue Code 278,442.28,154.8,,,0
CDM,27800032_79570,Hb Sup Revenue Code 278,746.41,261.24,,,0
CDM,27800032_79587,Hb Sup Revenue Code 278,16415.03,5745.26,,,0
CDM,27800032_79595,Hb Sup Revenue Code 278,4292.95,1502.53,,,0
CDM,27800032_79596,Hb Sup Revenue Code 278,5110.65,1788.73,,,0
CDM,27800032_79602,Hb Sup Revenue Code 278,1138.36,398.43,,,0
CDM,27800032_79735,Hb Sup Revenue Code 278,8044.51,2815.58,,,0
CDM,27800032_79760,Hb Sup Revenue Code 278,2297.43,804.1,,,0
CDM,27800032_79830,Hb Sup Revenue Code 278,142.69,49.94,,,0
CDM,27800032_7986,Hb Sup Revenue Code 278,6294.33,2203.02,,,0
CDM,27800032_79881,Hb Sup Revenue Code 278,2181.35,763.47,,,0
CDM,27800032_80089,Hb Sup Revenue Code 278,688.07,240.82,,,0
CDM,27800032_80090,Hb Sup Revenue Code 278,448.74,157.06,,,0
CDM,27800032_80091,Hb Sup Revenue Code 278,448.74,157.06,,,0
CDM,27800032_80098,Hb Sup Revenue Code 278,448.74,157.06,,,0
CDM,27800032_80149,Hb Sup Revenue Code 278,239.33,83.77,,,0
CDM,27800032_80749,Hb Sup Revenue Code 278,113.48,39.72,,,0
CDM,27800032_8125,Hb Sup Revenue Code 278,1388.1,485.84,,,0
CDM,27800032_8126,Hb Sup Revenue Code 278,1633.41,571.69,,,0
CDM,27800032_8127,Hb Sup Revenue Code 278,1172.71,410.45,,,0
CDM,27800032_8128,Hb Sup Revenue Code 278,4376.71,1531.85,,,0
CDM,27800032_81459,Hb Sup Revenue Code 278,26221.37,9177.48,,,0
CDM,27800032_81460,Hb Sup Revenue Code 278,26221.37,9177.48,,,0
CDM,27800032_81660,Hb Sup Revenue Code 278,3874.12,1355.94,,,0
CDM,27800032_81752,Hb Sup Revenue Code 278,9794.78,3428.17,,,0
CDM,27800032_81795,Hb Sup Revenue Code 278,125.65,43.98,,,0
CDM,27800032_81796,Hb Sup Revenue Code 278,251.29,87.95,,,0
CDM,27800032_81797,Hb Sup Revenue Code 278,547.46,191.61,,,0
CDM,27800032_81798,Hb Sup Revenue Code 278,511.56,179.05,,,0
CDM,27800032_81799,Hb Sup Revenue Code 278,511.56,179.05,,,0
CDM,27800032_81807,Hb Sup Revenue Code 278,455.47,159.41,,,0
CDM,27800032_81811,Hb Sup Revenue Code 278,166.03,58.11,,,0
CDM,27800032_81812,Hb Sup Revenue Code 278,166.03,58.11,,,0
CDM,27800032_81817,Hb Sup Revenue Code 278,4130.56,1445.7,,,0
CDM,27800032_81823,Hb Sup Revenue Code 278,67.81,23.73,,,0
CDM,27800032_81965,Hb Sup Revenue Code 278,5600.78,1960.27,,,0
CDM,27800032_81966,Hb Sup Revenue Code 278,4475.31,1566.36,,,0
CDM,27800032_82023,Hb Sup Revenue Code 278,8480.29,2968.1,,,0
CDM,27800032_82045,Hb Sup Revenue Code 278,2884.5,1009.58,,,0
CDM,27800032_82046,Hb Sup Revenue Code 278,5072.55,1775.39,,,0
CDM,27800032_82047,Hb Sup Revenue Code 278,5072.55,1775.39,,,0
CDM,27800032_82048,Hb Sup Revenue Code 278,5149.74,1802.41,,,0
CDM,27800032_82054,Hb Sup Revenue Code 278,432.95,151.53,,,0
CDM,27800032_82057,Hb Sup Revenue Code 278,89.75,31.41,,,0
CDM,27800032_82058,Hb Sup Revenue Code 278,104.53,36.59,,,0
CDM,27800032_82059,Hb Sup Revenue Code 278,564.71,197.65,,,0
CDM,27800032_82060,Hb Sup Revenue Code 278,438.13,153.35,,,0
CDM,27800032_82061,Hb Sup Revenue Code 278,437.21,153.02,,,0
CDM,27800032_82062,Hb Sup Revenue Code 278,439.3,153.76,,,0
CDM,27800032_82063,Hb Sup Revenue Code 278,438.74,153.56,,,0
CDM,27800032_82064,Hb Sup Revenue Code 278,445.68,155.99,,,0
CDM,27800032_82065,Hb Sup Revenue Code 278,435.65,152.48,,,0
CDM,27800032_82066,Hb Sup Revenue Code 278,432.59,151.41,,,0
CDM,27800032_82067,Hb Sup Revenue Code 278,427.98,149.79,,,0
CDM,27800032_82068,Hb Sup Revenue Code 278,446.09,156.13,,,0
CDM,27800032_82069,Hb Sup Revenue Code 278,434.44,152.05,,,0
CDM,27800032_82072,Hb Sup Revenue Code 278,802.72,280.95,,,0
CDM,27800032_82073,Hb Sup Revenue Code 278,837.73,293.21,,,0
CDM,27800032_82099,Hb Sup Revenue Code 278,314.12,109.94,,,0
CDM,27800032_82100,Hb Sup Revenue Code 278,314.12,109.94,,,0
CDM,27800032_82102,Hb Sup Revenue Code 278,314.12,109.94,,,0
CDM,27800032_82112,Hb Sup Revenue Code 278,269.24,94.23,,,0
CDM,27800032_82959,Hb Sup Revenue Code 278,7299.74,2554.91,,,0
CDM,27800032_82960,Hb Sup Revenue Code 278,7299.74,2554.91,,,0
CDM,27800032_8396,Hb Sup Revenue Code 278,1462.53,511.89,,,0
CDM,27800032_8399,Hb Sup Revenue Code 278,535.26,187.34,,,0
CDM,27800032_8400,Hb Sup Revenue Code 278,497.57,174.15,,,0
CDM,27800032_8401,Hb Sup Revenue Code 278,589.91,206.47,,,0
CDM,27800032_84133,Hb Sup Revenue Code 278,14733.63,5156.77,,,0
CDM,27800032_85360,Hb Sup Revenue Code 278,26221.37,9177.48,,,0
CDM,27800032_85364,Hb Sup Revenue Code 278,13109.19,4588.22,,,0
CDM,27800032_86071,Hb Sup Revenue Code 278,6865.72,2403.0,,,0
CDM,27800032_8614,Hb Sup Revenue Code 278,7957.66,2785.18,,,0
CDM,27800032_86195,Hb Sup Revenue Code 278,1156.79,404.88,,,0
CDM,27800032_86267,Hb Sup Revenue Code 278,272.24,95.28,,,0
CDM,27800032_86271,Hb Sup Revenue Code 278,272.24,95.28,,,0
CDM,27800032_87257,Hb Sup Revenue Code 278,9420.55,3297.19,,,0
CDM,27800032_87258,Hb Sup Revenue Code 278,13507.07,4727.47,,,0
CDM,27800032_87261,Hb Sup Revenue Code 278,13507.07,4727.47,,,0
CDM,27800032_87872,Hb Sup Revenue Code 278,6581.52,2303.53,,,0
CDM,27800032_8823,Hb Sup Revenue Code 278,293.84,102.84,,,0
CDM,27800032_89250,Hb Sup Revenue Code 278,16453.8,5758.83,,,0
CDM,27800032_89253,Hb Sup Revenue Code 278,16453.8,5758.83,,,0
CDM,27800032_8930,Hb Sup Revenue Code 278,2544.46,890.56,,,0
CDM,27800032_89553,Hb Sup Revenue Code 278,205.8,72.03,,,0
CDM,27800032_9054,Hb Sup Revenue Code 278,3500.17,1225.06,,,0
CDM,27800032_914,Hb Sup Revenue Code 278,191.46,67.01,,,0
CDM,27800032_91431,Hb Sup Revenue Code 278,436.3,152.7,,,0
CDM,27800032_91441,Hb Sup Revenue Code 278,432.58,151.4,,,0
CDM,27800032_91442,Hb Sup Revenue Code 278,438.24,153.38,,,0
CDM,27800032_91443,Hb Sup Revenue Code 278,445.18,155.81,,,0
CDM,27800032_91444,Hb Sup Revenue Code 278,447.98,156.79,,,0
CDM,27800032_91447,Hb Sup Revenue Code 278,456.82,159.89,,,0
CDM,27800032_91448,Hb Sup Revenue Code 278,464.9,162.72,,,0
CDM,27800032_91449,Hb Sup Revenue Code 278,432.58,151.4,,,0
CDM,27800032_91450,Hb Sup Revenue Code 278,464.9,162.72,,,0
CDM,27800032_91452,Hb Sup Revenue Code 278,464.9,162.72,,,0
CDM,27800032_915,Hb Sup Revenue Code 278,191.46,67.01,,,0
CDM,27800032_916,Hb Sup Revenue Code 278,161.55,56.54,,,0
CDM,27800032_91825,Hb Sup Revenue Code 278,2695.43,943.4,,,0
CDM,27800032_91901,Hb Sup Revenue Code 278,1848.81,647.08,,,0
CDM,27800032_91902,Hb Sup Revenue Code 278,1848.81,647.08,,,0
CDM,27800032_91903,Hb Sup Revenue Code 278,1812.91,634.52,,,0
CDM,27800032_91904,Hb Sup Revenue Code 278,1812.91,634.52,,,0
CDM,27800032_91907,Hb Sup Revenue Code 278,1696.24,593.68,,,0
CDM,27800032_91908,Hb Sup Revenue Code 278,1696.24,593.68,,,0
CDM,27800032_91909,Hb Sup Revenue Code 278,1696.24,593.68,,,0
CDM,27800032_91976,Hb Sup Revenue Code 278,4648.95,1627.13,,,0
CDM,27800032_91996,Hb Sup Revenue Code 278,4648.95,1627.13,,,0
CDM,27800032_91999,Hb Sup Revenue Code 278,3380.51,1183.18,,,0
CDM,27800032_92002,Hb Sup Revenue Code 278,12744.22,4460.48,,,0
CDM,27800032_92003,Hb Sup Revenue Code 278,12744.22,4460.48,,,0
CDM,27800032_92012,Hb Sup Revenue Code 278,5010.93,1753.83,,,0
CDM,27800032_92013,Hb Sup Revenue Code 278,5010.93,1753.83,,,0
CDM,27800032_929,Hb Sup Revenue Code 278,191.46,67.01,,,0
CDM,27800032_930,Hb Sup Revenue Code 278,411.52,144.03,,,0
CDM,27800032_93820,Hb Sup Revenue Code 278,1040.12,364.04,,,0
CDM,27800032_93823,Hb Sup Revenue Code 278,2991.6,1047.06,,,0
CDM,27800032_93824,Hb Sup Revenue Code 278,2991.6,1047.06,,,0
CDM,27800032_93851,Hb Sup Revenue Code 278,6704.18,2346.46,,,0
CDM,27800032_93852,Hb Sup Revenue Code 278,12427.11,4349.49,,,0
CDM,27800032_945,Hb Sup Revenue Code 278,36.49,12.77,,,0
CDM,27800032_94600,Hb Sup Revenue Code 278,123.47,43.21,,,0
CDM,27800032_94601,Hb Sup Revenue Code 278,123.47,43.21,,,0
CDM,27800032_95504,Hb Sup Revenue Code 278,2991.6,1047.06,,,0
CDM,27800032_95506,Hb Sup Revenue Code 278,2991.6,1047.06,,,0
CDM,27800032_96026,Hb Sup Revenue Code 278,239.33,83.77,,,0
CDM,27800032_96973,Hb Sup Revenue Code 278,13985.73,4895.01,,,0
CDM,27800032_96979,Hb Sup Revenue Code 278,1630.42,570.65,,,0
CDM,27800032_97154,Hb Sup Revenue Code 278,11068.92,3874.12,,,0
CDM,27800032_97155,Hb Sup Revenue Code 278,11068.92,3874.12,,,0
CDM,27800032_98801,Hb Sup Revenue Code 278,448.74,157.06,,,0
CDM,27800032_98823,Hb Sup Revenue Code 278,2393.28,837.65,,,0
CDM,27800034_100440,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_10089,Hb Sup Rev 278 Hcpcs C1713,3522.43,1232.85,,,0
CDM,27800034_106352,Hb Sup Rev 278 Hcpcs C1713,751.25,262.94,,,0
CDM,27800034_106354,Hb Sup Rev 278 Hcpcs C1713,382.53,133.89,,,0
CDM,27800034_108366,Hb Sup Rev 278 Hcpcs C1713,1907.78,667.72,,,0
CDM,27800034_108368,Hb Sup Rev 278 Hcpcs C1713,2231.73,781.11,,,0
CDM,27800034_108369,Hb Sup Rev 278 Hcpcs C1713,1412.66,494.43,,,0
CDM,27800034_108374,Hb Sup Rev 278 Hcpcs C1713,239.33,83.77,,,0
CDM,27800034_108375,Hb Sup Rev 278 Hcpcs C1713,239.33,83.77,,,0
CDM,27800034_108376,Hb Sup Rev 278 Hcpcs C1713,239.33,83.77,,,0
CDM,27800034_108377,Hb Sup Rev 278 Hcpcs C1713,239.33,83.77,,,0
CDM,27800034_108378,Hb Sup Rev 278 Hcpcs C1713,239.33,83.77,,,0
CDM,27800034_10840,Hb Sup Rev 278 Hcpcs C1713,1121.85,392.65,,,0
CDM,27800034_114713,Hb Sup Rev 278 Hcpcs C1713,8708.25,3047.89,,,0
CDM,27800034_11521,Hb Sup Rev 278 Hcpcs C1713,6222.83,2177.99,,,0
CDM,27800034_11522,Hb Sup Rev 278 Hcpcs C1713,706.68,247.34,,,0
CDM,27800034_117423,Hb Sup Rev 278 Hcpcs C1713,1256.47,439.76,,,0
CDM,27800034_117424,Hb Sup Rev 278 Hcpcs C1713,209.41,73.29,,,0
CDM,27800034_117425,Hb Sup Rev 278 Hcpcs C1713,2631.75,921.11,,,0
CDM,27800034_117426,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_117429,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_117430,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_117431,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_117433,Hb Sup Rev 278 Hcpcs C1713,2617.65,916.18,,,0
CDM,27800034_117436,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_117441,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117442,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117443,Hb Sup Rev 278 Hcpcs C1713,307.14,107.5,,,0
CDM,27800034_117445,Hb Sup Rev 278 Hcpcs C1713,311.87,109.15,,,0
CDM,27800034_117446,Hb Sup Rev 278 Hcpcs C1713,382.92,134.02,,,0
CDM,27800034_117469,Hb Sup Rev 278 Hcpcs C1713,2542.86,890.0,,,0
CDM,27800034_117474,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117475,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117476,Hb Sup Rev 278 Hcpcs C1713,294.74,103.16,,,0
CDM,27800034_117478,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117479,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117480,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117482,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117484,Hb Sup Rev 278 Hcpcs C1713,278.97,97.64,,,0
CDM,27800034_117485,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117486,Hb Sup Rev 278 Hcpcs C1713,278.22,97.38,,,0
CDM,27800034_117487,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117488,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117489,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117490,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117491,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117516,Hb Sup Rev 278 Hcpcs C1713,320.1,112.04,,,0
CDM,27800034_117517,Hb Sup Rev 278 Hcpcs C1713,320.1,112.04,,,0
CDM,27800034_117518,Hb Sup Rev 278 Hcpcs C1713,320.1,112.04,,,0
CDM,27800034_117521,Hb Sup Rev 278 Hcpcs C1713,320.1,112.04,,,0
CDM,27800034_117522,Hb Sup Rev 278 Hcpcs C1713,320.1,112.04,,,0
CDM,27800034_117523,Hb Sup Rev 278 Hcpcs C1713,320.1,112.04,,,0
CDM,27800034_117524,Hb Sup Rev 278 Hcpcs C1713,320.1,112.04,,,0
CDM,27800034_117527,Hb Sup Rev 278 Hcpcs C1713,320.1,112.04,,,0
CDM,27800034_117530,Hb Sup Rev 278 Hcpcs C1713,388.91,136.12,,,0
CDM,27800034_117531,Hb Sup Rev 278 Hcpcs C1713,437.52,153.13,,,0
CDM,27800034_117532,Hb Sup Rev 278 Hcpcs C1713,388.91,136.12,,,0
CDM,27800034_117533,Hb Sup Rev 278 Hcpcs C1713,388.91,136.12,,,0
CDM,27800034_117537,Hb Sup Rev 278 Hcpcs C1713,388.91,136.12,,,0
CDM,27800034_117575,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117576,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117577,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117578,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117579,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117580,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117581,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117582,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117583,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117584,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117585,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117586,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117587,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117588,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117591,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117592,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117593,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117594,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117595,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117596,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117597,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117598,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117599,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117600,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_117601,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_118244,Hb Sup Rev 278 Hcpcs C1713,688.07,240.82,,,0
CDM,27800034_118883,Hb Sup Rev 278 Hcpcs C1713,3136.99,1097.95,,,0
CDM,27800034_119553,Hb Sup Rev 278 Hcpcs C1713,189.22,66.23,,,0
CDM,27800034_119559,Hb Sup Rev 278 Hcpcs C1713,189.22,66.23,,,0
CDM,27800034_119562,Hb Sup Rev 278 Hcpcs C1713,487.63,170.67,,,0
CDM,27800034_121616,Hb Sup Rev 278 Hcpcs C1713,2258.66,790.53,,,0
CDM,27800034_121617,Hb Sup Rev 278 Hcpcs C1713,2572.78,900.47,,,0
CDM,27800034_121641,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_121643,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_121644,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_121645,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_121646,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_121664,Hb Sup Rev 278 Hcpcs C1713,491.18,171.91,,,0
CDM,27800034_121665,Hb Sup Rev 278 Hcpcs C1713,491.18,171.91,,,0
CDM,27800034_121666,Hb Sup Rev 278 Hcpcs C1713,491.18,171.91,,,0
CDM,27800034_121671,Hb Sup Rev 278 Hcpcs C1713,3230.93,1130.83,,,0
CDM,27800034_121672,Hb Sup Rev 278 Hcpcs C1713,3545.05,1240.77,,,0
CDM,27800034_121674,Hb Sup Rev 278 Hcpcs C1713,3230.93,1130.83,,,0
CDM,27800034_121687,Hb Sup Rev 278 Hcpcs C1713,314.12,109.94,,,0
CDM,27800034_121688,Hb Sup Rev 278 Hcpcs C1713,314.12,109.94,,,0
CDM,27800034_121689,Hb Sup Rev 278 Hcpcs C1713,314.12,109.94,,,0
CDM,27800034_121707,Hb Sup Rev 278 Hcpcs C1713,2168.91,759.12,,,0
CDM,27800034_121709,Hb Sup Rev 278 Hcpcs C1713,2168.91,759.12,,,0
CDM,27800034_121711,Hb Sup Rev 278 Hcpcs C1713,3545.05,1240.77,,,0
CDM,27800034_121725,Hb Sup Rev 278 Hcpcs C1713,4352.78,1523.47,,,0
CDM,27800034_121728,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_121733,Hb Sup Rev 278 Hcpcs C1713,314.12,109.94,,,0
CDM,27800034_121942,Hb Sup Rev 278 Hcpcs C1713,462.21,161.77,,,0
CDM,27800034_121946,Hb Sup Rev 278 Hcpcs C1713,184.89,64.71,,,0
CDM,27800034_121948,Hb Sup Rev 278 Hcpcs C1713,184.88,64.71,,,0
CDM,27800034_121949,Hb Sup Rev 278 Hcpcs C1713,184.89,64.71,,,0
CDM,27800034_121950,Hb Sup Rev 278 Hcpcs C1713,184.88,64.71,,,0
CDM,27800034_121951,Hb Sup Rev 278 Hcpcs C1713,184.88,64.71,,,0
CDM,27800034_121952,Hb Sup Rev 278 Hcpcs C1713,184.89,64.71,,,0
CDM,27800034_121959,Hb Sup Rev 278 Hcpcs C1713,2449.67,857.38,,,0
CDM,27800034_121962,Hb Sup Rev 278 Hcpcs C1713,2449.67,857.38,,,0
CDM,27800034_121963,Hb Sup Rev 278 Hcpcs C1713,2449.67,857.38,,,0
CDM,27800034_121965,Hb Sup Rev 278 Hcpcs C1713,2449.67,857.38,,,0
CDM,27800034_121968,Hb Sup Rev 278 Hcpcs C1713,2449.67,857.38,,,0
CDM,27800034_123598,Hb Sup Rev 278 Hcpcs C1713,882.52,308.88,,,0
CDM,27800034_123935,Hb Sup Rev 278 Hcpcs C1713,16244.39,5685.54,,,0
CDM,27800034_131913,Hb Sup Rev 278 Hcpcs C1713,239.33,83.77,,,0
CDM,27800034_131992,Hb Sup Rev 278 Hcpcs C1713,1196.64,418.82,,,0
CDM,27800034_132010,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132011,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132012,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132013,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132014,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132016,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132017,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132018,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132019,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132020,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132022,Hb Sup Rev 278 Hcpcs C1713,1555.63,544.47,,,0
CDM,27800034_132029,Hb Sup Rev 278 Hcpcs C1713,373.95,130.88,,,0
CDM,27800034_132032,Hb Sup Rev 278 Hcpcs C1713,373.95,130.88,,,0
CDM,27800034_132034,Hb Sup Rev 278 Hcpcs C1713,373.95,130.88,,,0
CDM,27800034_132052,Hb Sup Rev 278 Hcpcs C1713,1630.42,570.65,,,0
CDM,27800034_132060,Hb Sup Rev 278 Hcpcs C1713,1047.06,366.47,,,0
CDM,27800034_132061,Hb Sup Rev 278 Hcpcs C1713,1047.06,366.47,,,0
CDM,27800034_132062,Hb Sup Rev 278 Hcpcs C1713,1047.06,366.47,,,0
CDM,27800034_132245,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_132246,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_132248,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_132249,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_132250,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_132251,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_132260,Hb Sup Rev 278 Hcpcs C1713,239.33,83.77,,,0
CDM,27800034_132261,Hb Sup Rev 278 Hcpcs C1713,239.33,83.77,,,0
CDM,27800034_132276,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_132280,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_144251,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_172826,Hb Sup Rev 278 Hcpcs C1713,2542.86,890.0,,,0
CDM,27800034_174822,Hb Sup Rev 278 Hcpcs C1713,1032.38,361.33,,,0
CDM,27800034_174828,Hb Sup Rev 278 Hcpcs C1713,811.45,284.01,,,0
CDM,27800034_174829,Hb Sup Rev 278 Hcpcs C1713,815.66,285.48,,,0
CDM,27800034_174830,Hb Sup Rev 278 Hcpcs C1713,815.66,285.48,,,0
CDM,27800034_174840,Hb Sup Rev 278 Hcpcs C1713,17599.11,6159.69,,,0
CDM,27800034_174842,Hb Sup Rev 278 Hcpcs C1713,11885.42,4159.9,,,0
CDM,27800034_174885,Hb Sup Rev 278 Hcpcs C1713,7164.88,2507.71,,,0
CDM,27800034_174890,Hb Sup Rev 278 Hcpcs C1713,463.7,162.3,,,0
CDM,27800034_174891,Hb Sup Rev 278 Hcpcs C1713,463.7,162.3,,,0
CDM,27800034_174892,Hb Sup Rev 278 Hcpcs C1713,463.7,162.3,,,0
CDM,27800034_174893,Hb Sup Rev 278 Hcpcs C1713,463.7,162.3,,,0
CDM,27800034_174905,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174907,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174908,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174909,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174910,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174915,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174916,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174917,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174918,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174920,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174921,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174923,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174925,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_174932,Hb Sup Rev 278 Hcpcs C1713,373.95,130.88,,,0
CDM,27800034_174933,Hb Sup Rev 278 Hcpcs C1713,373.95,130.88,,,0
CDM,27800034_174934,Hb Sup Rev 278 Hcpcs C1713,373.95,130.88,,,0
CDM,27800034_174957,Hb Sup Rev 278 Hcpcs C1713,373.95,130.88,,,0
CDM,27800034_174961,Hb Sup Rev 278 Hcpcs C1713,373.95,130.88,,,0
CDM,27800034_174962,Hb Sup Rev 278 Hcpcs C1713,373.95,130.88,,,0
CDM,27800034_174963,Hb Sup Rev 278 Hcpcs C1713,373.95,130.88,,,0
CDM,27800034_174997,Hb Sup Rev 278 Hcpcs C1713,293.18,102.61,,,0
CDM,27800034_174999,Hb Sup Rev 278 Hcpcs C1713,227.36,79.58,,,0
CDM,27800034_175001,Hb Sup Rev 278 Hcpcs C1713,299.16,104.71,,,0
CDM,27800034_175004,Hb Sup Rev 278 Hcpcs C1713,966.29,338.2,,,0
CDM,27800034_175005,Hb Sup Rev 278 Hcpcs C1713,966.29,338.2,,,0
CDM,27800034_175006,Hb Sup Rev 278 Hcpcs C1713,960.3,336.1,,,0
CDM,27800034_175007,Hb Sup Rev 278 Hcpcs C1713,957.38,335.08,,,0
CDM,27800034_175008,Hb Sup Rev 278 Hcpcs C1713,957.51,335.13,,,0
CDM,27800034_175009,Hb Sup Rev 278 Hcpcs C1713,962.87,337.0,,,0
CDM,27800034_175010,Hb Sup Rev 278 Hcpcs C1713,961.5,336.52,,,0
CDM,27800034_175011,Hb Sup Rev 278 Hcpcs C1713,960.3,336.1,,,0
CDM,27800034_175012,Hb Sup Rev 278 Hcpcs C1713,966.29,338.2,,,0
CDM,27800034_175014,Hb Sup Rev 278 Hcpcs C1713,966.29,338.2,,,0
CDM,27800034_175015,Hb Sup Rev 278 Hcpcs C1713,966.29,338.2,,,0
CDM,27800034_175016,Hb Sup Rev 278 Hcpcs C1713,957.31,335.06,,,0
CDM,27800034_175018,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_175022,Hb Sup Rev 278 Hcpcs C1713,956.92,334.92,,,0
CDM,27800034_175023,Hb Sup Rev 278 Hcpcs C1713,958.97,335.64,,,0
CDM,27800034_175024,Hb Sup Rev 278 Hcpcs C1713,962.46,336.86,,,0
CDM,27800034_175025,Hb Sup Rev 278 Hcpcs C1713,960.3,336.1,,,0
CDM,27800034_175026,Hb Sup Rev 278 Hcpcs C1713,966.29,338.2,,,0
CDM,27800034_175047,Hb Sup Rev 278 Hcpcs C1713,7164.88,2507.71,,,0
CDM,27800034_175065,Hb Sup Rev 278 Hcpcs C1713,12382.66,4333.93,,,0
CDM,27800034_175066,Hb Sup Rev 278 Hcpcs C1713,7849.84,2747.44,,,0
CDM,27800034_175067,Hb Sup Rev 278 Hcpcs C1713,7781.32,2723.46,,,0
CDM,27800034_175068,Hb Sup Rev 278 Hcpcs C1713,7759.91,2715.97,,,0
CDM,27800034_175069,Hb Sup Rev 278 Hcpcs C1713,7849.84,2747.44,,,0
CDM,27800034_175070,Hb Sup Rev 278 Hcpcs C1713,7845.56,2745.95,,,0
CDM,27800034_175071,Hb Sup Rev 278 Hcpcs C1713,7809.87,2733.45,,,0
CDM,27800034_175072,Hb Sup Rev 278 Hcpcs C1713,7809.87,2733.45,,,0
CDM,27800034_175073,Hb Sup Rev 278 Hcpcs C1713,4509.0,1578.15,,,0
CDM,27800034_175108,Hb Sup Rev 278 Hcpcs C1713,7778.16,2722.36,,,0
CDM,27800034_175112,Hb Sup Rev 278 Hcpcs C1713,1468.8,514.08,,,0
CDM,27800034_175113,Hb Sup Rev 278 Hcpcs C1713,1468.8,514.08,,,0
CDM,27800034_175174,Hb Sup Rev 278 Hcpcs C1713,7164.88,2507.71,,,0
CDM,27800034_175175,Hb Sup Rev 278 Hcpcs C1713,7164.88,2507.71,,,0
CDM,27800034_175190,Hb Sup Rev 278 Hcpcs C1713,4556.21,1594.67,,,0
CDM,27800034_175200,Hb Sup Rev 278 Hcpcs C1713,2369.35,829.27,,,0
CDM,27800034_175202,Hb Sup Rev 278 Hcpcs C1713,1023.13,358.1,,,0
CDM,27800034_175204,Hb Sup Rev 278 Hcpcs C1713,951.33,332.97,,,0
CDM,27800034_175211,Hb Sup Rev 278 Hcpcs C1713,1121.85,392.65,,,0
CDM,27800034_175212,Hb Sup Rev 278 Hcpcs C1713,1121.85,392.65,,,0
CDM,27800034_177102,Hb Sup Rev 278 Hcpcs C1713,270.14,94.55,,,0
CDM,27800034_177103,Hb Sup Rev 278 Hcpcs C1713,270.14,94.55,,,0
CDM,27800034_177105,Hb Sup Rev 278 Hcpcs C1713,163.11,57.09,,,0
CDM,27800034_177106,Hb Sup Rev 278 Hcpcs C1713,238.03,83.31,,,0
CDM,27800034_177107,Hb Sup Rev 278 Hcpcs C1713,200.56,70.2,,,0
CDM,27800034_177108,Hb Sup Rev 278 Hcpcs C1713,179.16,62.71,,,0
CDM,27800034_177109,Hb Sup Rev 278 Hcpcs C1713,160.43,56.15,,,0
CDM,27800034_177110,Hb Sup Rev 278 Hcpcs C1713,162.14,56.75,,,0
CDM,27800034_177111,Hb Sup Rev 278 Hcpcs C1713,205.91,72.07,,,0
CDM,27800034_177112,Hb Sup Rev 278 Hcpcs C1713,205.92,72.07,,,0
CDM,27800034_177114,Hb Sup Rev 278 Hcpcs C1713,205.92,72.07,,,0
CDM,27800034_177115,Hb Sup Rev 278 Hcpcs C1713,141.71,49.6,,,0
CDM,27800034_177116,Hb Sup Rev 278 Hcpcs C1713,141.71,49.6,,,0
CDM,27800034_177130,Hb Sup Rev 278 Hcpcs C1713,423.01,148.05,,,0
CDM,27800034_177132,Hb Sup Rev 278 Hcpcs C1713,4900.43,1715.15,,,0
CDM,27800034_177142,Hb Sup Rev 278 Hcpcs C1713,903.42,316.2,,,0
CDM,27800034_18357,Hb Sup Rev 278 Hcpcs C1713,4509.0,1578.15,,,0
CDM,27800034_189071,Hb Sup Rev 278 Hcpcs C1713,3039.47,1063.81,,,0
CDM,27800034_189074,Hb Sup Rev 278 Hcpcs C1713,780.49,273.17,,,0
CDM,27800034_1898,Hb Sup Rev 278 Hcpcs C1713,1020.14,357.05,,,0
CDM,27800034_192247,Hb Sup Rev 278 Hcpcs C1713,198.26,69.39,,,0
CDM,27800034_192249,Hb Sup Rev 278 Hcpcs C1713,195.33,68.37,,,0
CDM,27800034_192352,Hb Sup Rev 278 Hcpcs C1713,190.69,66.74,,,0
CDM,27800034_192364,Hb Sup Rev 278 Hcpcs C1713,37.79,13.23,,,0
CDM,27800034_197163,Hb Sup Rev 278 Hcpcs C1713,1047.06,366.47,,,0
CDM,27800034_197165,Hb Sup Rev 278 Hcpcs C1713,1047.06,366.47,,,0
CDM,27800034_197173,Hb Sup Rev 278 Hcpcs C1713,1615.46,565.41,,,0
CDM,27800034_197174,Hb Sup Rev 278 Hcpcs C1713,1615.46,565.41,,,0
CDM,27800034_197352,Hb Sup Rev 278 Hcpcs C1713,651.57,228.05,,,0
CDM,27800034_197390,Hb Sup Rev 278 Hcpcs C1713,125.05,43.77,,,0
CDM,27800034_197391,Hb Sup Rev 278 Hcpcs C1713,125.05,43.77,,,0
CDM,27800034_197393,Hb Sup Rev 278 Hcpcs C1713,125.05,43.77,,,0
CDM,27800034_197394,Hb Sup Rev 278 Hcpcs C1713,401.47,140.51,,,0
CDM,27800034_197395,Hb Sup Rev 278 Hcpcs C1713,401.47,140.51,,,0
CDM,27800034_197396,Hb Sup Rev 278 Hcpcs C1713,401.47,140.51,,,0
CDM,27800034_197447,Hb Sup Rev 278 Hcpcs C1713,401.47,140.51,,,0
CDM,27800034_197448,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197449,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197450,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197451,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197452,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197453,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197454,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197455,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197456,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197457,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197458,Hb Sup Rev 278 Hcpcs C1713,408.05,142.82,,,0
CDM,27800034_197459,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197460,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197461,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197462,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197463,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197464,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197465,Hb Sup Rev 278 Hcpcs C1713,408.05,142.82,,,0
CDM,27800034_197466,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197467,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197468,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197469,Hb Sup Rev 278 Hcpcs C1713,408.06,142.82,,,0
CDM,27800034_197471,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197472,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197473,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197474,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197475,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197476,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197477,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197478,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197479,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197480,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197481,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197482,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197483,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197484,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197485,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197486,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197487,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197488,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197489,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197490,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197491,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197492,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197493,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197494,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197561,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197562,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197563,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_197564,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197565,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197566,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197567,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197568,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197569,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197570,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197571,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197572,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197573,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197574,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197575,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197576,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197577,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197578,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197579,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197580,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197581,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197582,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197583,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197584,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197585,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197586,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197587,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197588,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197589,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197590,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197591,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197592,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197593,Hb Sup Rev 278 Hcpcs C1713,497.8,174.23,,,0
CDM,27800034_197594,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197595,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197596,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197597,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197598,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197599,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197600,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197601,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197602,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197604,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197605,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197606,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197607,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197608,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197609,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197705,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197706,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197707,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197708,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197709,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197710,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197711,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197712,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197713,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197714,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197715,Hb Sup Rev 278 Hcpcs C1713,95.73,33.51,,,0
CDM,27800034_197716,Hb Sup Rev 278 Hcpcs C1713,107.7,37.7,,,0
CDM,27800034_197717,Hb Sup Rev 278 Hcpcs C1713,107.7,37.7,,,0
CDM,27800034_197718,Hb Sup Rev 278 Hcpcs C1713,107.7,37.7,,,0
CDM,27800034_197719,Hb Sup Rev 278 Hcpcs C1713,107.7,37.7,,,0
CDM,27800034_197720,Hb Sup Rev 278 Hcpcs C1713,107.7,37.7,,,0
CDM,27800034_197723,Hb Sup Rev 278 Hcpcs C1713,302.75,105.96,,,0
CDM,27800034_197724,Hb Sup Rev 278 Hcpcs C1713,302.75,105.96,,,0
CDM,27800034_197725,Hb Sup Rev 278 Hcpcs C1713,302.75,105.96,,,0
CDM,27800034_197726,Hb Sup Rev 278 Hcpcs C1713,251.29,87.95,,,0
CDM,27800034_197730,Hb Sup Rev 278 Hcpcs C1713,251.29,87.95,,,0
CDM,27800034_197731,Hb Sup Rev 278 Hcpcs C1713,251.29,87.95,,,0
CDM,27800034_197732,Hb Sup Rev 278 Hcpcs C1713,251.29,87.95,,,0
CDM,27800034_197733,Hb Sup Rev 278 Hcpcs C1713,251.29,87.95,,,0
CDM,27800034_197734,Hb Sup Rev 278 Hcpcs C1713,251.29,87.95,,,0
CDM,27800034_197735,Hb Sup Rev 278 Hcpcs C1713,251.29,87.95,,,0
CDM,27800034_197736,Hb Sup Rev 278 Hcpcs C1713,287.19,100.52,,,0
CDM,27800034_197737,Hb Sup Rev 278 Hcpcs C1713,287.19,100.52,,,0
CDM,27800034_197738,Hb Sup Rev 278 Hcpcs C1713,193.44,67.7,,,0
CDM,27800034_197739,Hb Sup Rev 278 Hcpcs C1713,193.44,67.7,,,0
CDM,27800034_197740,Hb Sup Rev 278 Hcpcs C1713,193.44,67.7,,,0
CDM,27800034_197741,Hb Sup Rev 278 Hcpcs C1713,193.44,67.7,,,0
CDM,27800034_197742,Hb Sup Rev 278 Hcpcs C1713,193.44,67.7,,,0
CDM,27800034_197743,Hb Sup Rev 278 Hcpcs C1713,193.44,67.7,,,0
CDM,27800034_197744,Hb Sup Rev 278 Hcpcs C1713,193.44,67.7,,,0
CDM,27800034_197745,Hb Sup Rev 278 Hcpcs C1713,193.44,67.7,,,0
CDM,27800034_197746,Hb Sup Rev 278 Hcpcs C1713,193.44,67.7,,,0
CDM,27800034_197747,Hb Sup Rev 278 Hcpcs C1713,407.21,142.52,,,0
CDM,27800034_197748,Hb Sup Rev 278 Hcpcs C1713,407.21,142.52,,,0
CDM,27800034_197749,Hb Sup Rev 278 Hcpcs C1713,407.22,142.53,,,0
CDM,27800034_197750,Hb Sup Rev 278 Hcpcs C1713,407.22,142.53,,,0
CDM,27800034_197751,Hb Sup Rev 278 Hcpcs C1713,407.22,142.53,,,0
CDM,27800034_197752,Hb Sup Rev 278 Hcpcs C1713,407.21,142.52,,,0
CDM,27800034_197753,Hb Sup Rev 278 Hcpcs C1713,407.21,142.52,,,0
CDM,27800034_197754,Hb Sup Rev 278 Hcpcs C1713,407.21,142.52,,,0
CDM,27800034_197755,Hb Sup Rev 278 Hcpcs C1713,407.22,142.53,,,0
CDM,27800034_197756,Hb Sup Rev 278 Hcpcs C1713,407.21,142.52,,,0
CDM,27800034_197803,Hb Sup Rev 278 Hcpcs C1713,4846.39,1696.24,,,0
CDM,27800034_197812,Hb Sup Rev 278 Hcpcs C1713,2566.79,898.38,,,0
CDM,27800034_197813,Hb Sup Rev 278 Hcpcs C1713,2566.79,898.38,,,0
CDM,27800034_197956,Hb Sup Rev 278 Hcpcs C1713,2858.48,1000.47,,,0
CDM,27800034_198097,Hb Sup Rev 278 Hcpcs C1713,5296.92,1853.92,,,0
CDM,27800034_198099,Hb Sup Rev 278 Hcpcs C1713,5273.6,1845.76,,,0
CDM,27800034_198100,Hb Sup Rev 278 Hcpcs C1713,4888.58,1711.0,,,0
CDM,27800034_198101,Hb Sup Rev 278 Hcpcs C1713,2830.05,990.52,,,0
CDM,27800034_198102,Hb Sup Rev 278 Hcpcs C1713,2830.05,990.52,,,0
CDM,27800034_198103,Hb Sup Rev 278 Hcpcs C1713,2830.05,990.52,,,0
CDM,27800034_198105,Hb Sup Rev 278 Hcpcs C1713,2961.68,1036.59,,,0
CDM,27800034_198106,Hb Sup Rev 278 Hcpcs C1713,2830.05,990.52,,,0
CDM,27800034_198118,Hb Sup Rev 278 Hcpcs C1713,4277.99,1497.3,,,0
CDM,27800034_198119,Hb Sup Rev 278 Hcpcs C1713,4277.99,1497.3,,,0
CDM,27800034_198120,Hb Sup Rev 278 Hcpcs C1713,4277.99,1497.3,,,0
CDM,27800034_198121,Hb Sup Rev 278 Hcpcs C1713,4277.99,1497.3,,,0
CDM,27800034_198122,Hb Sup Rev 278 Hcpcs C1713,2858.48,1000.47,,,0
CDM,27800034_198123,Hb Sup Rev 278 Hcpcs C1713,4277.99,1497.3,,,0
CDM,27800034_198124,Hb Sup Rev 278 Hcpcs C1713,4277.99,1497.3,,,0
CDM,27800034_198127,Hb Sup Rev 278 Hcpcs C1713,3068.49,1073.97,,,0
CDM,27800034_198128,Hb Sup Rev 278 Hcpcs C1713,5273.6,1845.76,,,0
CDM,27800034_198129,Hb Sup Rev 278 Hcpcs C1713,5740.29,2009.1,,,0
CDM,27800034_198130,Hb Sup Rev 278 Hcpcs C1713,4293.54,1502.74,,,0
CDM,27800034_198131,Hb Sup Rev 278 Hcpcs C1713,4550.22,1592.58,,,0
CDM,27800034_198132,Hb Sup Rev 278 Hcpcs C1713,4293.54,1502.74,,,0
CDM,27800034_198134,Hb Sup Rev 278 Hcpcs C1713,4293.54,1502.74,,,0
CDM,27800034_198135,Hb Sup Rev 278 Hcpcs C1713,5296.92,1853.92,,,0
CDM,27800034_198198,Hb Sup Rev 278 Hcpcs C1713,4293.54,1502.74,,,0
CDM,27800034_198199,Hb Sup Rev 278 Hcpcs C1713,4130.2,1445.57,,,0
CDM,27800034_198200,Hb Sup Rev 278 Hcpcs C1713,4130.2,1445.57,,,0
CDM,27800034_198202,Hb Sup Rev 278 Hcpcs C1713,5541.94,1939.68,,,0
CDM,27800034_198207,Hb Sup Rev 278 Hcpcs C1713,5854.26,2048.99,,,0
CDM,27800034_198209,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_198210,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_198212,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_198214,Hb Sup Rev 278 Hcpcs C1713,4382.69,1533.94,,,0
CDM,27800034_198216,Hb Sup Rev 278 Hcpcs C1713,2450.12,857.54,,,0
CDM,27800034_198217,Hb Sup Rev 278 Hcpcs C1713,261.52,91.53,,,0
CDM,27800034_198225,Hb Sup Rev 278 Hcpcs C1713,3554.02,1243.91,,,0
CDM,27800034_198227,Hb Sup Rev 278 Hcpcs C1713,339.84,118.94,,,0
CDM,27800034_198228,Hb Sup Rev 278 Hcpcs C1713,1108.39,387.94,,,0
CDM,27800034_198229,Hb Sup Rev 278 Hcpcs C1713,700.03,245.01,,,0
CDM,27800034_198230,Hb Sup Rev 278 Hcpcs C1713,978.85,342.6,,,0
CDM,27800034_198232,Hb Sup Rev 278 Hcpcs C1713,2156.35,754.72,,,0
CDM,27800034_198233,Hb Sup Rev 278 Hcpcs C1713,2636.8,922.88,,,0
CDM,27800034_198234,Hb Sup Rev 278 Hcpcs C1713,2776.8,971.88,,,0
CDM,27800034_198235,Hb Sup Rev 278 Hcpcs C1713,6825.34,2388.87,,,0
CDM,27800034_198236,Hb Sup Rev 278 Hcpcs C1713,6918.67,2421.53,,,0
CDM,27800034_198238,Hb Sup Rev 278 Hcpcs C1713,6673.67,2335.78,,,0
CDM,27800034_198239,Hb Sup Rev 278 Hcpcs C1713,6743.66,2360.28,,,0
CDM,27800034_198240,Hb Sup Rev 278 Hcpcs C1713,6177.65,2162.18,,,0
CDM,27800034_198242,Hb Sup Rev 278 Hcpcs C1713,4130.2,1445.57,,,0
CDM,27800034_198243,Hb Sup Rev 278 Hcpcs C1713,4130.2,1445.57,,,0
CDM,27800034_198306,Hb Sup Rev 278 Hcpcs C1713,1568.86,549.1,,,0
CDM,27800034_198329,Hb Sup Rev 278 Hcpcs C1713,1468.8,514.08,,,0
CDM,27800034_198358,Hb Sup Rev 278 Hcpcs C1713,3903.5,1366.22,,,0
CDM,27800034_2062,Hb Sup Rev 278 Hcpcs C1713,1121.85,392.65,,,0
CDM,27800034_206530,Hb Sup Rev 278 Hcpcs C1713,2255.82,789.54,,,0
CDM,27800034_206712,Hb Sup Rev 278 Hcpcs C1713,765.46,267.91,,,0
CDM,27800034_206762,Hb Sup Rev 278 Hcpcs C1713,256.23,89.68,,,0
CDM,27800034_206962,Hb Sup Rev 278 Hcpcs C1713,577.38,202.08,,,0
CDM,27800034_206966,Hb Sup Rev 278 Hcpcs C1713,293.18,102.61,,,0
CDM,27800034_207015,Hb Sup Rev 278 Hcpcs C1713,496.3,173.7,,,0
CDM,27800034_207016,Hb Sup Rev 278 Hcpcs C1713,394.59,138.11,,,0
CDM,27800034_207028,Hb Sup Rev 278 Hcpcs C1713,5310.09,1858.53,,,0
CDM,27800034_207112,Hb Sup Rev 278 Hcpcs C1713,465.27,162.84,,,0
CDM,27800034_207163,Hb Sup Rev 278 Hcpcs C1713,299.42,104.8,,,0
CDM,27800034_207664,Hb Sup Rev 278 Hcpcs C1713,428.06,149.82,,,0
CDM,27800034_207665,Hb Sup Rev 278 Hcpcs C1713,390.85,136.8,,,0
CDM,27800034_207666,Hb Sup Rev 278 Hcpcs C1713,390.85,136.8,,,0
CDM,27800034_207667,Hb Sup Rev 278 Hcpcs C1713,428.06,149.82,,,0
CDM,27800034_207668,Hb Sup Rev 278 Hcpcs C1713,440.46,154.16,,,0
CDM,27800034_207699,Hb Sup Rev 278 Hcpcs C1713,4606.61,1612.31,,,0
CDM,27800034_208678,Hb Sup Rev 278 Hcpcs C1713,91.88,32.16,,,0
CDM,27800034_208793,Hb Sup Rev 278 Hcpcs C1713,1258.39,440.44,,,0
CDM,27800034_208794,Hb Sup Rev 278 Hcpcs C1713,1258.38,440.43,,,0
CDM,27800034_208795,Hb Sup Rev 278 Hcpcs C1713,1258.38,440.43,,,0
CDM,27800034_209569,Hb Sup Rev 278 Hcpcs C1713,676.92,236.92,,,0
CDM,27800034_209571,Hb Sup Rev 278 Hcpcs C1713,701.21,245.42,,,0
CDM,27800034_209579,Hb Sup Rev 278 Hcpcs C1713,743.2,260.12,,,0
CDM,27800034_209580,Hb Sup Rev 278 Hcpcs C1713,610.64,213.72,,,0
CDM,27800034_209586,Hb Sup Rev 278 Hcpcs C1713,743.2,260.12,,,0
CDM,27800034_209598,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_209688,Hb Sup Rev 278 Hcpcs C1713,7288.35,2550.92,,,0
CDM,27800034_209690,Hb Sup Rev 278 Hcpcs C1713,4875.47,1706.41,,,0
CDM,27800034_209692,Hb Sup Rev 278 Hcpcs C1713,2994.37,1048.03,,,0
CDM,27800034_209836,Hb Sup Rev 278 Hcpcs C1713,2.99,1.05,,,0
CDM,27800034_209911,Hb Sup Rev 278 Hcpcs C1713,743.2,260.12,,,0
CDM,27800034_209912,Hb Sup Rev 278 Hcpcs C1713,699.02,244.66,,,0
CDM,27800034_209926,Hb Sup Rev 278 Hcpcs C1713,8750.43,3062.65,,,0
CDM,27800034_209941,Hb Sup Rev 278 Hcpcs C1713,2.99,1.05,,,0
CDM,27800034_210021,Hb Sup Rev 278 Hcpcs C1713,2.99,1.05,,,0
CDM,27800034_210071,Hb Sup Rev 278 Hcpcs C1713,369.76,129.42,,,0
CDM,27800034_210087,Hb Sup Rev 278 Hcpcs C1713,369.76,129.42,,,0
CDM,27800034_210089,Hb Sup Rev 278 Hcpcs C1713,369.76,129.42,,,0
CDM,27800034_210192,Hb Sup Rev 278 Hcpcs C1713,598.32,209.41,,,0
CDM,27800034_210236,Hb Sup Rev 278 Hcpcs C1713,2.99,1.05,,,0
CDM,27800034_210238,Hb Sup Rev 278 Hcpcs C1713,804.27,281.49,,,0
CDM,27800034_210239,Hb Sup Rev 278 Hcpcs C1713,862.19,301.77,,,0
CDM,27800034_210240,Hb Sup Rev 278 Hcpcs C1713,813.18,284.61,,,0
CDM,27800034_210241,Hb Sup Rev 278 Hcpcs C1713,829.09,290.18,,,0
CDM,27800034_210242,Hb Sup Rev 278 Hcpcs C1713,953.21,333.62,,,0
CDM,27800034_210243,Hb Sup Rev 278 Hcpcs C1713,870.46,304.66,,,0
CDM,27800034_210244,Hb Sup Rev 278 Hcpcs C1713,818.75,286.56,,,0
CDM,27800034_210406,Hb Sup Rev 278 Hcpcs C1713,2.99,1.05,,,0
CDM,27800034_210494,Hb Sup Rev 278 Hcpcs C1713,577.38,202.08,,,0
CDM,27800034_210610,Hb Sup Rev 278 Hcpcs C1713,184.89,64.71,,,0
CDM,27800034_210614,Hb Sup Rev 278 Hcpcs C1713,138.66,48.53,,,0
CDM,27800034_210626,Hb Sup Rev 278 Hcpcs C1713,2.99,1.05,,,0
CDM,27800034_210631,Hb Sup Rev 278 Hcpcs C1713,1417.42,496.1,,,0
CDM,27800034_210637,Hb Sup Rev 278 Hcpcs C1713,2.99,1.05,,,0
CDM,27800034_210660,Hb Sup Rev 278 Hcpcs C1713,577.38,202.08,,,0
CDM,27800034_210709,Hb Sup Rev 278 Hcpcs C1713,107.85,37.75,,,0
CDM,27800034_210746,Hb Sup Rev 278 Hcpcs C1713,2369.35,829.27,,,0
CDM,27800034_210874,Hb Sup Rev 278 Hcpcs C1713,369.76,129.42,,,0
CDM,27800034_211197,Hb Sup Rev 278 Hcpcs C1713,1340.39,469.14,,,0
CDM,27800034_211293,Hb Sup Rev 278 Hcpcs C1713,523.53,183.24,,,0
CDM,27800034_211431,Hb Sup Rev 278 Hcpcs C1713,304.15,106.45,,,0
CDM,27800034_211433,Hb Sup Rev 278 Hcpcs C1713,655.16,229.31,,,0
CDM,27800034_211434,Hb Sup Rev 278 Hcpcs C1713,2.99,1.05,,,0
CDM,27800034_211509,Hb Sup Rev 278 Hcpcs C1713,347.18,121.51,,,0
CDM,27800034_211514,Hb Sup Rev 278 Hcpcs C1713,228.86,80.1,,,0
CDM,27800034_211515,Hb Sup Rev 278 Hcpcs C1713,341.79,119.63,,,0
CDM,27800034_211802,Hb Sup Rev 278 Hcpcs C1713,787.9,275.76,,,0
CDM,27800034_212253,Hb Sup Rev 278 Hcpcs C1713,847.37,296.58,,,0
CDM,27800034_212303,Hb Sup Rev 278 Hcpcs C1713,179.5,62.82,,,0
CDM,27800034_212363,Hb Sup Rev 278 Hcpcs C1713,645.59,225.96,,,0
CDM,27800034_212364,Hb Sup Rev 278 Hcpcs C1713,645.59,225.96,,,0
CDM,27800034_212374,Hb Sup Rev 278 Hcpcs C1713,787.9,275.76,,,0
CDM,27800034_21368,Hb Sup Rev 278 Hcpcs C1713,1307.08,457.48,,,0
CDM,27800034_23961,Hb Sup Rev 278 Hcpcs C1713,5624.21,1968.47,,,0
CDM,27800034_28399,Hb Sup Rev 278 Hcpcs C1713,3266.23,1143.18,,,0
CDM,27800034_29754,Hb Sup Rev 278 Hcpcs C1713,299.16,104.71,,,0
CDM,27800034_30559,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_30560,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_31686,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_31687,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_31724,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_32018,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_32027,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_32028,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_32029,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_32030,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_32032,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_32033,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_32038,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_32039,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_32047,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_32051,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_33709,Hb Sup Rev 278 Hcpcs C1713,2079.43,727.8,,,0
CDM,27800034_33714,Hb Sup Rev 278 Hcpcs C1713,1437.56,503.15,,,0
CDM,27800034_33756,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_33758,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_33790,Hb Sup Rev 278 Hcpcs C1713,2438.15,853.35,,,0
CDM,27800034_35344,Hb Sup Rev 278 Hcpcs C1713,335.12,117.29,,,0
CDM,27800034_35485,Hb Sup Rev 278 Hcpcs C1713,1806.27,632.19,,,0
CDM,27800034_35744,Hb Sup Rev 278 Hcpcs C1713,668.51,233.98,,,0
CDM,27800034_38590,Hb Sup Rev 278 Hcpcs C1713,389.96,136.49,,,0
CDM,27800034_38653,Hb Sup Rev 278 Hcpcs C1713,389.96,136.49,,,0
CDM,27800034_38654,Hb Sup Rev 278 Hcpcs C1713,389.96,136.49,,,0
CDM,27800034_38655,Hb Sup Rev 278 Hcpcs C1713,389.96,136.49,,,0
CDM,27800034_38656,Hb Sup Rev 278 Hcpcs C1713,389.96,136.49,,,0
CDM,27800034_38657,Hb Sup Rev 278 Hcpcs C1713,389.96,136.49,,,0
CDM,27800034_387,Hb Sup Rev 278 Hcpcs C1713,202.6,70.91,,,0
CDM,27800034_388,Hb Sup Rev 278 Hcpcs C1713,131.63,46.07,,,0
CDM,27800034_39883,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_39892,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_40031,Hb Sup Rev 278 Hcpcs C1713,2094.12,732.94,,,0
CDM,27800034_40032,Hb Sup Rev 278 Hcpcs C1713,2094.12,732.94,,,0
CDM,27800034_40075,Hb Sup Rev 278 Hcpcs C1713,2094.12,732.94,,,0
CDM,27800034_41759,Hb Sup Rev 278 Hcpcs C1713,70.3,24.6,,,0
CDM,27800034_42781,Hb Sup Rev 278 Hcpcs C1713,1459.12,510.69,,,0
CDM,27800034_42853,Hb Sup Rev 278 Hcpcs C1713,448.2,156.87,,,0
CDM,27800034_43156,Hb Sup Rev 278 Hcpcs C1713,448.2,156.87,,,0
CDM,27800034_43199,Hb Sup Rev 278 Hcpcs C1713,1459.12,510.69,,,0
CDM,27800034_43201,Hb Sup Rev 278 Hcpcs C1713,1459.12,510.69,,,0
CDM,27800034_4483,Hb Sup Rev 278 Hcpcs C1713,2964.6,1037.61,,,0
CDM,27800034_45352,Hb Sup Rev 278 Hcpcs C1713,174.32,61.01,,,0
CDM,27800034_45398,Hb Sup Rev 278 Hcpcs C1713,360.79,126.28,,,0
CDM,27800034_45462,Hb Sup Rev 278 Hcpcs C1713,130.67,45.73,,,0
CDM,27800034_45463,Hb Sup Rev 278 Hcpcs C1713,137.26,48.04,,,0
CDM,27800034_45483,Hb Sup Rev 278 Hcpcs C1713,117.38,41.08,,,0
CDM,27800034_45484,Hb Sup Rev 278 Hcpcs C1713,102.83,35.99,,,0
CDM,27800034_45487,Hb Sup Rev 278 Hcpcs C1713,107.49,37.62,,,0
CDM,27800034_45558,Hb Sup Rev 278 Hcpcs C1713,362.17,126.76,,,0
CDM,27800034_45752,Hb Sup Rev 278 Hcpcs C1713,1105.28,386.85,,,0
CDM,27800034_45753,Hb Sup Rev 278 Hcpcs C1713,858.98,300.64,,,0
CDM,27800034_45754,Hb Sup Rev 278 Hcpcs C1713,1351.58,473.05,,,0
CDM,27800034_45757,Hb Sup Rev 278 Hcpcs C1713,858.98,300.64,,,0
CDM,27800034_45761,Hb Sup Rev 278 Hcpcs C1713,858.98,300.64,,,0
CDM,27800034_45798,Hb Sup Rev 278 Hcpcs C1713,864.76,302.67,,,0
CDM,27800034_45812,Hb Sup Rev 278 Hcpcs C1713,842.92,295.02,,,0
CDM,27800034_45817,Hb Sup Rev 278 Hcpcs C1713,949.78,332.42,,,0
CDM,27800034_47634,Hb Sup Rev 278 Hcpcs C1713,1034.94,362.23,,,0
CDM,27800034_48449,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_48455,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_52225,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_52693,Hb Sup Rev 278 Hcpcs C1713,1415.69,495.49,,,0
CDM,27800034_53719,Hb Sup Rev 278 Hcpcs C1713,354.26,123.99,,,0
CDM,27800034_54199,Hb Sup Rev 278 Hcpcs C1713,354.26,123.99,,,0
CDM,27800034_54301,Hb Sup Rev 278 Hcpcs C1713,1147.93,401.78,,,0
CDM,27800034_54788,Hb Sup Rev 278 Hcpcs C1713,1841.03,644.36,,,0
CDM,27800034_55128,Hb Sup Rev 278 Hcpcs C1713,354.26,123.99,,,0
CDM,27800034_55130,Hb Sup Rev 278 Hcpcs C1713,354.26,123.99,,,0
CDM,27800034_55436,Hb Sup Rev 278 Hcpcs C1713,194.24,67.98,,,0
CDM,27800034_55447,Hb Sup Rev 278 Hcpcs C1713,970.63,339.72,,,0
CDM,27800034_55480,Hb Sup Rev 278 Hcpcs C1713,354.26,123.99,,,0
CDM,27800034_55481,Hb Sup Rev 278 Hcpcs C1713,354.26,123.99,,,0
CDM,27800034_55482,Hb Sup Rev 278 Hcpcs C1713,354.26,123.99,,,0
CDM,27800034_5599,Hb Sup Rev 278 Hcpcs C1713,691.06,241.87,,,0
CDM,27800034_5600,Hb Sup Rev 278 Hcpcs C1713,3209.99,1123.5,,,0
CDM,27800034_5608,Hb Sup Rev 278 Hcpcs C1713,1848.81,647.08,,,0
CDM,27800034_59284,Hb Sup Rev 278 Hcpcs C1713,69.43,24.3,,,0
CDM,27800034_59286,Hb Sup Rev 278 Hcpcs C1713,570.02,199.51,,,0
CDM,27800034_59311,Hb Sup Rev 278 Hcpcs C1713,378.83,132.59,,,0
CDM,27800034_59312,Hb Sup Rev 278 Hcpcs C1713,378.83,132.59,,,0
CDM,27800034_59313,Hb Sup Rev 278 Hcpcs C1713,378.83,132.59,,,0
CDM,27800034_59314,Hb Sup Rev 278 Hcpcs C1713,378.83,132.59,,,0
CDM,27800034_59317,Hb Sup Rev 278 Hcpcs C1713,378.83,132.59,,,0
CDM,27800034_59318,Hb Sup Rev 278 Hcpcs C1713,378.83,132.59,,,0
CDM,27800034_59335,Hb Sup Rev 278 Hcpcs C1713,279.13,97.7,,,0
CDM,27800034_59370,Hb Sup Rev 278 Hcpcs C1713,378.83,132.59,,,0
CDM,27800034_59375,Hb Sup Rev 278 Hcpcs C1713,670.96,234.84,,,0
CDM,27800034_59458,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59544,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59548,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59597,Hb Sup Rev 278 Hcpcs C1713,1311.76,459.12,,,0
CDM,27800034_59598,Hb Sup Rev 278 Hcpcs C1713,1211.87,424.15,,,0
CDM,27800034_59603,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59604,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59605,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59622,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59970,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59971,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59972,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59977,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59991,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_59995,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_60814,Hb Sup Rev 278 Hcpcs C1713,378.83,132.59,,,0
CDM,27800034_64004,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_69876,Hb Sup Rev 278 Hcpcs C1713,897.18,314.01,,,0
CDM,27800034_69990,Hb Sup Rev 278 Hcpcs C1713,704.67,246.63,,,0
CDM,27800034_69991,Hb Sup Rev 278 Hcpcs C1713,704.67,246.63,,,0
CDM,27800034_70260,Hb Sup Rev 278 Hcpcs C1713,108.34,37.92,,,0
CDM,27800034_70383,Hb Sup Rev 278 Hcpcs C1713,169.62,59.37,,,0
CDM,27800034_70394,Hb Sup Rev 278 Hcpcs C1713,101.78,35.62,,,0
CDM,27800034_70431,Hb Sup Rev 278 Hcpcs C1713,98.79,34.58,,,0
CDM,27800034_70514,Hb Sup Rev 278 Hcpcs C1713,509.18,178.21,,,0
CDM,27800034_70516,Hb Sup Rev 278 Hcpcs C1713,412.46,144.36,,,0
CDM,27800034_70518,Hb Sup Rev 278 Hcpcs C1713,389.15,136.2,,,0
CDM,27800034_70520,Hb Sup Rev 278 Hcpcs C1713,443.53,155.24,,,0
CDM,27800034_70522,Hb Sup Rev 278 Hcpcs C1713,384.12,134.44,,,0
CDM,27800034_70523,Hb Sup Rev 278 Hcpcs C1713,403.93,141.38,,,0
CDM,27800034_70524,Hb Sup Rev 278 Hcpcs C1713,390.06,136.52,,,0
CDM,27800034_70636,Hb Sup Rev 278 Hcpcs C1713,120.62,42.22,,,0
CDM,27800034_70998,Hb Sup Rev 278 Hcpcs C1713,1057.2,370.02,,,0
CDM,27800034_70999,Hb Sup Rev 278 Hcpcs C1713,1142.13,399.75,,,0
CDM,27800034_71310,Hb Sup Rev 278 Hcpcs C1713,2327.1,814.48,,,0
CDM,27800034_72509,Hb Sup Rev 278 Hcpcs C1713,120.63,42.22,,,0
CDM,27800034_72864,Hb Sup Rev 278 Hcpcs C1713,105.66,36.98,,,0
CDM,27800034_72892,Hb Sup Rev 278 Hcpcs C1713,360.34,126.12,,,0
CDM,27800034_72933,Hb Sup Rev 278 Hcpcs C1713,315.91,110.57,,,0
CDM,27800034_72936,Hb Sup Rev 278 Hcpcs C1713,357.8,125.23,,,0
CDM,27800034_72938,Hb Sup Rev 278 Hcpcs C1713,318.39,111.44,,,0
CDM,27800034_72947,Hb Sup Rev 278 Hcpcs C1713,587.1,205.48,,,0
CDM,27800034_72948,Hb Sup Rev 278 Hcpcs C1713,633.14,221.6,,,0
CDM,27800034_72949,Hb Sup Rev 278 Hcpcs C1713,633.14,221.6,,,0
CDM,27800034_73149,Hb Sup Rev 278 Hcpcs C1713,86.99,30.45,,,0
CDM,27800034_73399,Hb Sup Rev 278 Hcpcs C1713,2241.33,784.47,,,0
CDM,27800034_73527,Hb Sup Rev 278 Hcpcs C1713,416.34,145.72,,,0
CDM,27800034_73534,Hb Sup Rev 278 Hcpcs C1713,120.26,42.09,,,0
CDM,27800034_75165,Hb Sup Rev 278 Hcpcs C1713,445.66,155.98,,,0
CDM,27800034_75166,Hb Sup Rev 278 Hcpcs C1713,454.1,158.94,,,0
CDM,27800034_76804,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_76967,Hb Sup Rev 278 Hcpcs C1713,7771.58,2720.05,,,0
CDM,27800034_78418,Hb Sup Rev 278 Hcpcs C1713,114.23,39.98,,,0
CDM,27800034_79529,Hb Sup Rev 278 Hcpcs C1713,4225.34,1478.87,,,0
CDM,27800034_80090,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_80091,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_80095,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_80097,Hb Sup Rev 278 Hcpcs C1713,688.07,240.82,,,0
CDM,27800034_80098,Hb Sup Rev 278 Hcpcs C1713,448.74,157.06,,,0
CDM,27800034_80810,Hb Sup Rev 278 Hcpcs C1713,2757.8,965.23,,,0
CDM,27800034_81752,Hb Sup Rev 278 Hcpcs C1713,9794.78,3428.17,,,0
CDM,27800034_81811,Hb Sup Rev 278 Hcpcs C1713,166.03,58.11,,,0
CDM,27800034_82027,Hb Sup Rev 278 Hcpcs C1713,389.96,136.49,,,0
CDM,27800034_82057,Hb Sup Rev 278 Hcpcs C1713,109.83,38.44,,,0
CDM,27800034_82101,Hb Sup Rev 278 Hcpcs C1713,314.12,109.94,,,0
CDM,27800034_82103,Hb Sup Rev 278 Hcpcs C1713,314.12,109.94,,,0
CDM,27800034_82113,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_82114,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_82115,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_82117,Hb Sup Rev 278 Hcpcs C1713,269.24,94.23,,,0
CDM,27800034_86072,Hb Sup Rev 278 Hcpcs C1713,3739.5,1308.82,,,0
CDM,27800034_8673,Hb Sup Rev 278 Hcpcs C1713,3455.34,1209.37,,,0
CDM,27800034_930,Hb Sup Rev 278 Hcpcs C1713,411.52,144.03,,,0
CDM,27800034_934,Hb Sup Rev 278 Hcpcs C1713,472.03,165.21,,,0
CDM,27800034_935,Hb Sup Rev 278 Hcpcs C1713,472.03,165.21,,,0
CDM,27800034_936,Hb Sup Rev 278 Hcpcs C1713,472.03,165.21,,,0
CDM,27800034_93823,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_93824,Hb Sup Rev 278 Hcpcs C1713,2426.52,849.28,,,0
CDM,27800034_94587,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_94590,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_95503,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_95504,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_95505,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_95506,Hb Sup Rev 278 Hcpcs C1713,2632.61,921.41,,,0
CDM,27800034_95507,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_95508,Hb Sup Rev 278 Hcpcs C1713,2991.6,1047.06,,,0
CDM,27800034_95639,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_95640,Hb Sup Rev 278 Hcpcs C1713,2393.28,837.65,,,0
CDM,27800034_95641,Hb Sup Rev 278 Hcpcs C1713,2243.7,785.3,,,0
CDM,27800034_98381,Hb Sup Rev 278 Hcpcs C1713,10470.6,3664.71,,,0
CDM,27800034_98411,Hb Sup Rev 278 Hcpcs C1713,2.16,0.76,,,0
CDM,27800035_110568,Hb Sup Rev 278 Hcpcs C1762,9740.65,3409.23,,,0
CDM,27800036_113542,Hb Sup Rev 278 Hcpcs C1763,1974.46,691.06,,,0
CDM,27800036_114563,Hb Sup Rev 278 Hcpcs C1763,747.9,261.76,,,0
CDM,27800036_121421,Hb Sup Rev 278 Hcpcs C1763,1830.43,640.65,,,0
CDM,27800036_121422,Hb Sup Rev 278 Hcpcs C1763,2240.71,784.25,,,0
CDM,27800036_147045,Hb Sup Rev 278 Hcpcs C1763,1331.26,465.94,,,0
CDM,27800036_152064,Hb Sup Rev 278 Hcpcs C1763,882.52,308.88,,,0
CDM,27800036_152065,Hb Sup Rev 278 Hcpcs C1763,1765.04,617.76,,,0
CDM,27800036_175098,Hb Sup Rev 278 Hcpcs C1763,5806.7,2032.34,,,0
CDM,27800036_197804,Hb Sup Rev 278 Hcpcs C1763,6147.74,2151.71,,,0
CDM,27800036_197805,Hb Sup Rev 278 Hcpcs C1763,6147.74,2151.71,,,0
CDM,27800036_197807,Hb Sup Rev 278 Hcpcs C1763,7251.31,2537.96,,,0
CDM,27800036_197808,Hb Sup Rev 278 Hcpcs C1763,6147.74,2151.71,,,0
CDM,27800036_197809,Hb Sup Rev 278 Hcpcs C1763,6835.81,2392.53,,,0
CDM,27800036_197810,Hb Sup Rev 278 Hcpcs C1763,6835.81,2392.53,,,0
CDM,27800036_197811,Hb Sup Rev 278 Hcpcs C1763,6835.81,2392.53,,,0
CDM,27800036_200128,Hb Sup Rev 278 Hcpcs C1763,1045.05,365.77,,,0
CDM,27800036_56082,Hb Sup Rev 278 Hcpcs C1763,682.52,238.88,,,0
CDM,27800036_91389,Hb Sup Rev 278 Hcpcs C1763,1950.52,682.68,,,0
CDM,27800036_91390,Hb Sup Rev 278 Hcpcs C1763,8570.93,2999.83,,,0
CDM,27800037_129133,Hb Sup Rev 278 Hcpcs C1767,111554.88,39044.21,,,0
CDM,27800037_133415,Hb Sup Rev 278 Hcpcs C1767,105453.9,36908.86,,,0
CDM,27800037_138222,Hb Sup Rev 278 Hcpcs C1767,26326.08,9214.13,,,0
CDM,27800037_138226,Hb Sup Rev 278 Hcpcs C1767,51754.68,18114.14,,,0
CDM,27800037_1506,Hb Sup Rev 278 Hcpcs C1767,32159.7,11255.9,,,0
CDM,27800037_160352,Hb Sup Rev 278 Hcpcs C1767,52353.0,18323.55,,,0
CDM,27800037_160755,Hb Sup Rev 278 Hcpcs C1767,56825.44,19888.9,,,0
CDM,27800037_172898,Hb Sup Rev 278 Hcpcs C1767,47117.7,16491.2,,,0
CDM,27800037_200118,Hb Sup Rev 278 Hcpcs C1767,67011.84,23454.14,,,0
CDM,27800037_378,Hb Sup Rev 278 Hcpcs C1767,28487.67,9970.68,,,0
CDM,27800037_78229,Hb Sup Rev 278 Hcpcs C1767,25727.76,9004.72,,,0
CDM,27800037_78230,Hb Sup Rev 278 Hcpcs C1767,25727.76,9004.72,,,0
CDM,27800037_96810,Hb Sup Rev 278 Hcpcs C1767,54521.91,19082.67,,,0
CDM,27800037_C1767_278,Hb Sup Rev 278 Hcpcs C1767,1.08,0.38,,,0
CDM,27800038_107657,Hb Sup Rev 278 Hcpcs C1768,4757.54,1665.14,,,0
CDM,27800038_107658,Hb Sup Rev 278 Hcpcs C1768,4757.88,1665.26,,,0
CDM,27800038_107659,Hb Sup Rev 278 Hcpcs C1768,4771.6,1670.06,,,0
CDM,27800038_107660,Hb Sup Rev 278 Hcpcs C1768,4771.6,1670.06,,,0
CDM,27800038_107661,Hb Sup Rev 278 Hcpcs C1768,4771.6,1670.06,,,0
CDM,27800038_110567,Hb Sup Rev 278 Hcpcs C1768,9740.65,3409.23,,,0
CDM,27800038_110569,Hb Sup Rev 278 Hcpcs C1768,9740.65,3409.23,,,0
CDM,27800038_110570,Hb Sup Rev 278 Hcpcs C1768,19290.39,6751.64,,,0
CDM,27800038_110571,Hb Sup Rev 278 Hcpcs C1768,18974.72,6641.15,,,0
CDM,27800038_110572,Hb Sup Rev 278 Hcpcs C1768,21005.52,7351.93,,,0
CDM,27800038_113115,Hb Sup Rev 278 Hcpcs C1768,4248.07,1486.82,,,0
CDM,27800038_113116,Hb Sup Rev 278 Hcpcs C1768,4248.07,1486.82,,,0
CDM,27800038_113117,Hb Sup Rev 278 Hcpcs C1768,4248.07,1486.82,,,0
CDM,27800038_113118,Hb Sup Rev 278 Hcpcs C1768,4248.07,1486.82,,,0
CDM,27800038_113123,Hb Sup Rev 278 Hcpcs C1768,6994.36,2448.03,,,0
CDM,27800038_113124,Hb Sup Rev 278 Hcpcs C1768,6994.36,2448.03,,,0
CDM,27800038_113125,Hb Sup Rev 278 Hcpcs C1768,8840.18,3094.06,,,0
CDM,27800038_113126,Hb Sup Rev 278 Hcpcs C1768,6994.36,2448.03,,,0
CDM,27800038_113129,Hb Sup Rev 278 Hcpcs C1768,2695.43,943.4,,,0
CDM,27800038_116781,Hb Sup Rev 278 Hcpcs C1768,23798.77,8329.57,,,0
CDM,27800038_118230,Hb Sup Rev 278 Hcpcs C1768,5202.39,1820.84,,,0
CDM,27800038_119592,Hb Sup Rev 278 Hcpcs C1768,46460.88,16261.31,,,0
CDM,27800038_119595,Hb Sup Rev 278 Hcpcs C1768,46460.88,16261.31,,,0
CDM,27800038_119598,Hb Sup Rev 278 Hcpcs C1768,49193.87,17217.85,,,0
CDM,27800038_119600,Hb Sup Rev 278 Hcpcs C1768,49193.87,17217.85,,,0
CDM,27800038_119601,Hb Sup Rev 278 Hcpcs C1768,46460.88,16261.31,,,0
CDM,27800038_119605,Hb Sup Rev 278 Hcpcs C1768,49193.87,17217.85,,,0
CDM,27800038_119616,Hb Sup Rev 278 Hcpcs C1768,46460.88,16261.31,,,0
CDM,27800038_119617,Hb Sup Rev 278 Hcpcs C1768,49193.87,17217.85,,,0
CDM,27800038_119623,Hb Sup Rev 278 Hcpcs C1768,46460.88,16261.31,,,0
CDM,27800038_119624,Hb Sup Rev 278 Hcpcs C1768,49193.87,17217.85,,,0
CDM,27800038_119626,Hb Sup Rev 278 Hcpcs C1768,49193.87,17217.85,,,0
CDM,27800038_119627,Hb Sup Rev 278 Hcpcs C1768,46460.88,16261.31,,,0
CDM,27800038_121522,Hb Sup Rev 278 Hcpcs C1768,4263.03,1492.06,,,0
CDM,27800038_121609,Hb Sup Rev 278 Hcpcs C1768,33084.1,11579.44,,,0
CDM,27800038_121610,Hb Sup Rev 278 Hcpcs C1768,31246.1,10936.14,,,0
CDM,27800038_121611,Hb Sup Rev 278 Hcpcs C1768,31246.1,10936.14,,,0
CDM,27800038_144418,Hb Sup Rev 278 Hcpcs C1768,13154.07,4603.92,,,0
CDM,27800038_144428,Hb Sup Rev 278 Hcpcs C1768,2393.28,837.65,,,0
CDM,27800038_157716,Hb Sup Rev 278 Hcpcs C1768,1101.69,385.59,,,0
CDM,27800038_173550,Hb Sup Rev 278 Hcpcs C1768,10419.74,3646.91,,,0
CDM,27800038_175167,Hb Sup Rev 278 Hcpcs C1768,6832.81,2391.48,,,0
CDM,27800038_175220,Hb Sup Rev 278 Hcpcs C1768,1573.5,550.72,,,0
CDM,27800038_176095,Hb Sup Rev 278 Hcpcs C1768,6654.07,2328.92,,,0
CDM,27800038_189050,Hb Sup Rev 278 Hcpcs C1768,2695.43,943.4,,,0
CDM,27800038_1929,Hb Sup Rev 278 Hcpcs C1768,3691.63,1292.07,,,0
CDM,27800038_194023,Hb Sup Rev 278 Hcpcs C1768,905.76,317.02,,,0
CDM,27800038_194024,Hb Sup Rev 278 Hcpcs C1768,1115.9,390.56,,,0
CDM,27800038_194025,Hb Sup Rev 278 Hcpcs C1768,855.44,299.4,,,0
CDM,27800038_194028,Hb Sup Rev 278 Hcpcs C1768,1159.34,405.77,,,0
CDM,27800038_194030,Hb Sup Rev 278 Hcpcs C1768,1159.34,405.77,,,0
CDM,27800038_194034,Hb Sup Rev 278 Hcpcs C1768,1691.3,591.96,,,0
CDM,27800038_194035,Hb Sup Rev 278 Hcpcs C1768,1691.3,591.96,,,0
CDM,27800038_194036,Hb Sup Rev 278 Hcpcs C1768,1691.3,591.96,,,0
CDM,27800038_194039,Hb Sup Rev 278 Hcpcs C1768,1691.3,591.96,,,0
CDM,27800038_205110,Hb Sup Rev 278 Hcpcs C1768,5833.62,2041.77,,,0
CDM,27800038_205111,Hb Sup Rev 278 Hcpcs C1768,10515.47,3680.41,,,0
CDM,27800038_205112,Hb Sup Rev 278 Hcpcs C1768,3948.91,1382.12,,,0
CDM,27800038_20976,Hb Sup Rev 278 Hcpcs C1768,3248.88,1137.11,,,0
CDM,27800038_21013,Hb Sup Rev 278 Hcpcs C1768,4672.88,1635.51,,,0
CDM,27800038_21425,Hb Sup Rev 278 Hcpcs C1768,542.48,189.87,,,0
CDM,27800038_21426,Hb Sup Rev 278 Hcpcs C1768,1088.94,381.13,,,0
CDM,27800038_21454,Hb Sup Rev 278 Hcpcs C1768,4672.88,1635.51,,,0
CDM,27800038_21461,Hb Sup Rev 278 Hcpcs C1768,589.35,206.27,,,0
CDM,27800038_21529,Hb Sup Rev 278 Hcpcs C1768,3347.6,1171.66,,,0
CDM,27800038_21537,Hb Sup Rev 278 Hcpcs C1768,3245.89,1136.06,,,0
CDM,27800038_215563,Hb Sup Rev 278 Hcpcs C1768,8873.09,3105.58,,,0
CDM,27800038_21572,Hb Sup Rev 278 Hcpcs C1768,3248.88,1137.11,,,0
CDM,27800038_22832,Hb Sup Rev 278 Hcpcs C1768,1938.56,678.5,,,0
CDM,27800038_23694,Hb Sup Rev 278 Hcpcs C1768,5914.39,2070.04,,,0
CDM,27800038_23698,Hb Sup Rev 278 Hcpcs C1768,9740.65,3409.23,,,0
CDM,27800038_23894,Hb Sup Rev 278 Hcpcs C1768,4921.64,1722.57,,,0
CDM,27800038_23944,Hb Sup Rev 278 Hcpcs C1768,6335.88,2217.56,,,0
CDM,27800038_25051,Hb Sup Rev 278 Hcpcs C1768,8007.02,2802.46,,,0
CDM,27800038_25088,Hb Sup Rev 278 Hcpcs C1768,2856.98,999.94,,,0
CDM,27800038_25201,Hb Sup Rev 278 Hcpcs C1768,1902.66,665.93,,,0
CDM,27800038_25218,Hb Sup Rev 278 Hcpcs C1768,1708.2,597.87,,,0
CDM,27800038_25560,Hb Sup Rev 278 Hcpcs C1768,2590.73,906.76,,,0
CDM,27800038_25996,Hb Sup Rev 278 Hcpcs C1768,1926.59,674.31,,,0
CDM,27800038_27565,Hb Sup Rev 278 Hcpcs C1768,3090.32,1081.61,,,0
CDM,27800038_27566,Hb Sup Rev 278 Hcpcs C1768,2296.55,803.79,,,0
CDM,27800038_27567,Hb Sup Rev 278 Hcpcs C1768,2225.75,779.01,,,0
CDM,27800038_27568,Hb Sup Rev 278 Hcpcs C1768,2225.75,779.01,,,0
CDM,27800038_27570,Hb Sup Rev 278 Hcpcs C1768,2097.11,733.99,,,0
CDM,27800038_27576,Hb Sup Rev 278 Hcpcs C1768,3094.51,1083.08,,,0
CDM,27800038_27579,Hb Sup Rev 278 Hcpcs C1768,2097.11,733.99,,,0
CDM,27800038_27584,Hb Sup Rev 278 Hcpcs C1768,2695.43,943.4,,,0
CDM,27800038_27586,Hb Sup Rev 278 Hcpcs C1768,2695.43,943.4,,,0
CDM,27800038_27636,Hb Sup Rev 278 Hcpcs C1768,5402.83,1890.99,,,0
CDM,27800038_27638,Hb Sup Rev 278 Hcpcs C1768,8307.67,2907.68,,,0
CDM,27800038_27640,Hb Sup Rev 278 Hcpcs C1768,7601.66,2660.58,,,0
CDM,27800038_27641,Hb Sup Rev 278 Hcpcs C1768,6856.75,2399.86,,,0
CDM,27800038_27642,Hb Sup Rev 278 Hcpcs C1768,8558.97,2995.64,,,0
CDM,27800038_27644,Hb Sup Rev 278 Hcpcs C1768,3757.45,1315.11,,,0
CDM,27800038_27645,Hb Sup Rev 278 Hcpcs C1768,5402.83,1890.99,,,0
CDM,27800038_27648,Hb Sup Rev 278 Hcpcs C1768,10766.77,3768.37,,,0
CDM,27800038_28569,Hb Sup Rev 278 Hcpcs C1768,1647.04,576.46,,,0
CDM,27800038_28571,Hb Sup Rev 278 Hcpcs C1768,1691.3,591.96,,,0
CDM,27800038_28572,Hb Sup Rev 278 Hcpcs C1768,1663.64,582.27,,,0
CDM,27800038_28613,Hb Sup Rev 278 Hcpcs C1768,1159.34,405.77,,,0
CDM,27800038_28615,Hb Sup Rev 278 Hcpcs C1768,1617.53,566.14,,,0
CDM,27800038_28616,Hb Sup Rev 278 Hcpcs C1768,1654.42,579.05,,,0
CDM,27800038_28617,Hb Sup Rev 278 Hcpcs C1768,905.76,317.02,,,0
CDM,27800038_28618,Hb Sup Rev 278 Hcpcs C1768,886.01,310.1,,,0
CDM,27800038_28619,Hb Sup Rev 278 Hcpcs C1768,905.76,317.02,,,0
CDM,27800038_28783,Hb Sup Rev 278 Hcpcs C1768,33084.1,11579.44,,,0
CDM,27800038_28791,Hb Sup Rev 278 Hcpcs C1768,33084.1,11579.44,,,0
CDM,27800038_28799,Hb Sup Rev 278 Hcpcs C1768,33084.1,11579.44,,,0
CDM,27800038_28804,Hb Sup Rev 278 Hcpcs C1768,33084.1,11579.44,,,0
CDM,27800038_34597,Hb Sup Rev 278 Hcpcs C1768,7179.84,2512.94,,,0
CDM,27800038_34598,Hb Sup Rev 278 Hcpcs C1768,7179.84,2512.94,,,0
CDM,27800038_6622,Hb Sup Rev 278 Hcpcs C1768,6749.05,2362.17,,,0
CDM,27800038_75062,Hb Sup Rev 278 Hcpcs C1768,20656.31,7229.71,,,0
CDM,27800038_85198,Hb Sup Rev 278 Hcpcs C1768,20938.21,7328.37,,,0
CDM,27800039_10904,Hb Sup Rev 278 Hcpcs C1771,3851.09,1347.88,,,0
CDM,27800039_129130,Hb Sup Rev 278 Hcpcs C1771,3117.13,1091.0,,,0
CDM,27800039_143123,Hb Sup Rev 278 Hcpcs C1771,4903.35,1716.17,,,0
CDM,27800039_143125,Hb Sup Rev 278 Hcpcs C1771,3668.39,1283.94,,,0
CDM,27800039_143127,Hb Sup Rev 278 Hcpcs C1771,5677.89,1987.26,,,0
CDM,27800039_143128,Hb Sup Rev 278 Hcpcs C1771,4456.67,1559.83,,,0
CDM,27800039_143129,Hb Sup Rev 278 Hcpcs C1771,4522.07,1582.72,,,0
CDM,27800039_54396,Hb Sup Rev 278 Hcpcs C1771,15783.68,5524.29,,,0
CDM,27800039_93851,Hb Sup Rev 278 Hcpcs C1771,5772.29,2020.3,,,0
CDM,27800039_C1771_278,Hb Sup Rev 278 Hcpcs C1771,1.08,0.38,,,0
CDM,27800040_172911,Hb Sup Rev 278 Hcpcs C1772,32731.1,11455.88,,,0
CDM,27800040_200053,Hb Sup Rev 278 Hcpcs C1772,36332.98,12716.54,,,0
CDM,27800040_200054,Hb Sup Rev 278 Hcpcs C1772,36332.98,12716.54,,,0
CDM,27800041_138230,Hb Sup Rev 278 Hcpcs C1778,9685.74,3390.01,,,0
CDM,27800041_1507,Hb Sup Rev 278 Hcpcs C1778,7852.95,2748.53,,,0
CDM,27800041_172902,Hb Sup Rev 278 Hcpcs C1778,14524.22,5083.48,,,0
CDM,27800041_172904,Hb Sup Rev 278 Hcpcs C1778,14524.22,5083.48,,,0
CDM,27800041_172905,Hb Sup Rev 278 Hcpcs C1778,14524.22,5083.48,,,0
CDM,27800041_173229,Hb Sup Rev 278 Hcpcs C1778,6581.52,2303.53,,,0
CDM,27800041_177785,Hb Sup Rev 278 Hcpcs C1778,2991.6,1047.06,,,0
CDM,27800041_178859,Hb Sup Rev 278 Hcpcs C1778,10249.22,3587.23,,,0
CDM,27800041_188096,Hb Sup Rev 278 Hcpcs C1778,8376.48,2931.77,,,0
CDM,27800041_189367,Hb Sup Rev 278 Hcpcs C1778,19445.4,6805.89,,,0
CDM,27800041_25848,Hb Sup Rev 278 Hcpcs C1778,25558.29,8945.4,,,0
CDM,27800041_27256,Hb Sup Rev 278 Hcpcs C1778,7179.84,2512.94,,,0
CDM,27800041_60438,Hb Sup Rev 278 Hcpcs C1778,16603.38,5811.18,,,0
CDM,27800041_95455,Hb Sup Rev 278 Hcpcs C1778,13551.95,4743.18,,,0
CDM,27800041_96811,Hb Sup Rev 278 Hcpcs C1778,5833.62,2041.77,,,0
CDM,27800041_96812,Hb Sup Rev 278 Hcpcs C1778,10096.65,3533.83,,,0
CDM,27800042_109692,Hb Sup Rev 278 Hcpcs C1781,14718.67,5151.53,,,0
CDM,27800042_109693,Hb Sup Rev 278 Hcpcs C1781,23549.88,8242.46,,,0
CDM,27800042_109695,Hb Sup Rev 278 Hcpcs C1781,36796.68,12878.84,,,0
CDM,27800042_109697,Hb Sup Rev 278 Hcpcs C1781,88312.03,30909.21,,,0
CDM,27800042_116669,Hb Sup Rev 278 Hcpcs C1781,44156.02,15454.61,,,0
CDM,27800042_117169,Hb Sup Rev 278 Hcpcs C1781,297.37,104.08,,,0
CDM,27800042_117171,Hb Sup Rev 278 Hcpcs C1781,209.74,73.41,,,0
CDM,27800042_117172,Hb Sup Rev 278 Hcpcs C1781,686.06,240.12,,,0
CDM,27800042_117173,Hb Sup Rev 278 Hcpcs C1781,1322.61,462.91,,,0
CDM,27800042_117174,Hb Sup Rev 278 Hcpcs C1781,1731.18,605.91,,,0
CDM,27800042_117175,Hb Sup Rev 278 Hcpcs C1781,1322.61,462.91,,,0
CDM,27800042_117177,Hb Sup Rev 278 Hcpcs C1781,1322.61,462.91,,,0
CDM,27800042_117178,Hb Sup Rev 278 Hcpcs C1781,2121.7,742.6,,,0
CDM,27800042_117179,Hb Sup Rev 278 Hcpcs C1781,2099.6,734.86,,,0
CDM,27800042_117182,Hb Sup Rev 278 Hcpcs C1781,3224.76,1128.67,,,0
CDM,27800042_117188,Hb Sup Rev 278 Hcpcs C1781,964.43,337.55,,,0
CDM,27800042_118233,Hb Sup Rev 278 Hcpcs C1781,2853.03,998.56,,,0
CDM,27800042_118235,Hb Sup Rev 278 Hcpcs C1781,2853.03,998.56,,,0
CDM,27800042_118236,Hb Sup Rev 278 Hcpcs C1781,2853.03,998.56,,,0
CDM,27800042_121220,Hb Sup Rev 278 Hcpcs C1781,296.52,103.78,,,0
CDM,27800042_1261,Hb Sup Rev 278 Hcpcs C1781,149.99,52.5,,,0
CDM,27800042_147046,Hb Sup Rev 278 Hcpcs C1781,592.03,207.21,,,0
CDM,27800042_147047,Hb Sup Rev 278 Hcpcs C1781,558.53,195.49,,,0
CDM,27800042_147048,Hb Sup Rev 278 Hcpcs C1781,1098.81,384.58,,,0
CDM,27800042_147049,Hb Sup Rev 278 Hcpcs C1781,592.03,207.21,,,0
CDM,27800042_1511,Hb Sup Rev 278 Hcpcs C1781,650.84,227.79,,,0
CDM,27800042_157805,Hb Sup Rev 278 Hcpcs C1781,4487.4,1570.59,,,0
CDM,27800042_157809,Hb Sup Rev 278 Hcpcs C1781,6581.52,2303.53,,,0
CDM,27800042_1605,Hb Sup Rev 278 Hcpcs C1781,1289.56,451.35,,,0
CDM,27800042_1607,Hb Sup Rev 278 Hcpcs C1781,560.14,196.05,,,0
CDM,27800042_1608,Hb Sup Rev 278 Hcpcs C1781,339.1,118.68,,,0
CDM,27800042_1613,Hb Sup Rev 278 Hcpcs C1781,4281.01,1498.35,,,0
CDM,27800042_1654,Hb Sup Rev 278 Hcpcs C1781,472.37,165.33,,,0
CDM,27800042_1655,Hb Sup Rev 278 Hcpcs C1781,472.37,165.33,,,0
CDM,27800042_1659,Hb Sup Rev 278 Hcpcs C1781,178.5,62.48,,,0
CDM,27800042_173796,Hb Sup Rev 278 Hcpcs C1781,862.78,301.97,,,0
CDM,27800042_173797,Hb Sup Rev 278 Hcpcs C1781,862.78,301.97,,,0
CDM,27800042_175159,Hb Sup Rev 278 Hcpcs C1781,117.27,41.04,,,0
CDM,27800042_177684,Hb Sup Rev 278 Hcpcs C1781,9938.1,3478.34,,,0
CDM,27800042_177685,Hb Sup Rev 278 Hcpcs C1781,69043.44,24165.2,,,0
CDM,27800042_177686,Hb Sup Rev 278 Hcpcs C1781,19777.47,6922.11,,,0
CDM,27800042_177687,Hb Sup Rev 278 Hcpcs C1781,41689.74,14591.41,,,0
CDM,27800042_177688,Hb Sup Rev 278 Hcpcs C1781,3033.48,1061.72,,,0
CDM,27800042_177690,Hb Sup Rev 278 Hcpcs C1781,987.23,345.53,,,0
CDM,27800042_177691,Hb Sup Rev 278 Hcpcs C1781,972.27,340.29,,,0
CDM,27800042_177692,Hb Sup Rev 278 Hcpcs C1781,1358.78,475.57,,,0
CDM,27800042_177695,Hb Sup Rev 278 Hcpcs C1781,972.27,340.29,,,0
CDM,27800042_191862,Hb Sup Rev 278 Hcpcs C1781,3425.38,1198.88,,,0
CDM,27800042_191864,Hb Sup Rev 278 Hcpcs C1781,8451.27,2957.94,,,0
CDM,27800042_191865,Hb Sup Rev 278 Hcpcs C1781,12687.38,4440.58,,,0
CDM,27800042_191866,Hb Sup Rev 278 Hcpcs C1781,6031.07,2110.87,,,0
CDM,27800042_191867,Hb Sup Rev 278 Hcpcs C1781,20259.12,7090.69,,,0
CDM,27800042_191869,Hb Sup Rev 278 Hcpcs C1781,22474.69,7866.14,,,0
CDM,27800042_191870,Hb Sup Rev 278 Hcpcs C1781,12771.14,4469.9,,,0
CDM,27800042_192003,Hb Sup Rev 278 Hcpcs C1781,24304.28,8506.5,,,0
CDM,27800042_204421,Hb Sup Rev 278 Hcpcs C1781,679.09,237.68,,,0
CDM,27800042_206514,Hb Sup Rev 278 Hcpcs C1781,688.07,240.82,,,0
CDM,27800042_206515,Hb Sup Rev 278 Hcpcs C1781,688.07,240.82,,,0
CDM,27800042_212324,Hb Sup Rev 278 Hcpcs C1781,2342.61,819.91,,,0
CDM,27800042_213535,Hb Sup Rev 278 Hcpcs C1781,20462.54,7161.89,,,0
CDM,27800042_215565,Hb Sup Rev 278 Hcpcs C1781,2.16,0.76,,,0
CDM,27800042_2395,Hb Sup Rev 278 Hcpcs C1781,631.73,221.11,,,0
CDM,27800042_2396,Hb Sup Rev 278 Hcpcs C1781,2230.48,780.67,,,0
CDM,27800042_2413,Hb Sup Rev 278 Hcpcs C1781,1254.0,438.9,,,0
CDM,27800042_3198,Hb Sup Rev 278 Hcpcs C1781,247.1,86.48,,,0
CDM,27800042_35669,Hb Sup Rev 278 Hcpcs C1781,5832.62,2041.42,,,0
CDM,27800042_35671,Hb Sup Rev 278 Hcpcs C1781,5758.83,2015.59,,,0
CDM,27800042_56414,Hb Sup Rev 278 Hcpcs C1781,4697.14,1644.0,,,0
CDM,27800042_56506,Hb Sup Rev 278 Hcpcs C1781,1432.98,501.54,,,0
CDM,27800042_57493,Hb Sup Rev 278 Hcpcs C1781,4014.73,1405.16,,,0
CDM,27800042_60290,Hb Sup Rev 278 Hcpcs C1781,3218.63,1126.52,,,0
CDM,27800042_60899,Hb Sup Rev 278 Hcpcs C1781,406.94,142.43,,,0
CDM,27800042_60904,Hb Sup Rev 278 Hcpcs C1781,296.52,103.78,,,0
CDM,27800042_63937,Hb Sup Rev 278 Hcpcs C1781,2542.86,890.0,,,0
CDM,27800042_87317,Hb Sup Rev 278 Hcpcs C1781,961.89,336.66,,,0
CDM,27800042_87769,Hb Sup Rev 278 Hcpcs C1781,2668.3,933.9,,,0
CDM,27800042_91672,Hb Sup Rev 278 Hcpcs C1781,1011.5,354.02,,,0
CDM,27800042_91673,Hb Sup Rev 278 Hcpcs C1781,1249.08,437.18,,,0
CDM,27800042_91674,Hb Sup Rev 278 Hcpcs C1781,1604.39,561.54,,,0
CDM,27800042_94771,Hb Sup Rev 278 Hcpcs C1781,5151.54,1803.04,,,0
CDM,27800042_94787,Hb Sup Rev 278 Hcpcs C1781,1839.83,643.94,,,0
CDM,27800043_162889,Hb Sup Rev 278 Hcpcs C1783,2539.87,888.95,,,0
CDM,27800044_147467,Hb Sup Rev 278 Hcpcs C1788,9528.25,3334.89,,,0
CDM,27800044_1528,Hb Sup Rev 278 Hcpcs C1788,733.3,256.66,,,0
CDM,27800044_175186,Hb Sup Rev 278 Hcpcs C1788,1076.98,376.94,,,0
CDM,27800044_177143,Hb Sup Rev 278 Hcpcs C1788,10249.22,3587.23,,,0
CDM,27800044_34811,Hb Sup Rev 278 Hcpcs C1788,583.36,204.18,,,0
CDM,27800044_91845,Hb Sup Rev 278 Hcpcs C1788,673.11,235.59,,,0
CDM,27800045_122290,Hb Sup Rev 278 Hcpcs C1789,2198.83,769.59,,,0
CDM,27800045_151731,Hb Sup Rev 278 Hcpcs C1789,2976.64,1041.82,,,0
CDM,27800045_151732,Hb Sup Rev 278 Hcpcs C1789,2976.64,1041.82,,,0
CDM,27800045_151733,Hb Sup Rev 278 Hcpcs C1789,2976.64,1041.82,,,0
CDM,27800045_151737,Hb Sup Rev 278 Hcpcs C1789,2976.64,1041.82,,,0
CDM,27800045_151740,Hb Sup Rev 278 Hcpcs C1789,2976.64,1041.82,,,0
CDM,27800045_151751,Hb Sup Rev 278 Hcpcs C1789,2976.64,1041.82,,,0
CDM,27800045_28973,Hb Sup Rev 278 Hcpcs C1789,2198.83,769.59,,,0
CDM,27800045_28974,Hb Sup Rev 278 Hcpcs C1789,2198.83,769.59,,,0
CDM,27800045_28975,Hb Sup Rev 278 Hcpcs C1789,2198.83,769.59,,,0
CDM,27800046_109983,Hb Sup Rev 278 Hcpcs C1813,30188.98,10566.14,,,0
CDM,27800046_109989,Hb Sup Rev 278 Hcpcs C1813,26585.78,9305.02,,,0
CDM,27800046_109990,Hb Sup Rev 278 Hcpcs C1813,30054.36,10519.03,,,0
CDM,27800046_110563,Hb Sup Rev 278 Hcpcs C1813,13109.19,4588.22,,,0
CDM,27800046_119435,Hb Sup Rev 278 Hcpcs C1813,1286.39,450.24,,,0
CDM,27800046_130206,Hb Sup Rev 278 Hcpcs C1813,30054.36,10519.03,,,0
CDM,27800046_130207,Hb Sup Rev 278 Hcpcs C1813,30906.96,10817.44,,,0
CDM,27800046_130208,Hb Sup Rev 278 Hcpcs C1813,27973.21,9790.62,,,0
CDM,27800046_130209,Hb Sup Rev 278 Hcpcs C1813,30906.96,10817.44,,,0
CDM,27800046_130210,Hb Sup Rev 278 Hcpcs C1813,30054.36,10519.03,,,0
CDM,27800046_131195,Hb Sup Rev 278 Hcpcs C1813,24130.25,8445.59,,,0
CDM,27800046_133924,Hb Sup Rev 278 Hcpcs C1813,24854.21,8698.97,,,0
CDM,27800046_133926,Hb Sup Rev 278 Hcpcs C1813,24854.21,8698.97,,,0
CDM,27800046_141988,Hb Sup Rev 278 Hcpcs C1813,27189.6,9516.36,,,0
CDM,27800046_141989,Hb Sup Rev 278 Hcpcs C1813,24190.23,8466.58,,,0
CDM,27800046_144269,Hb Sup Rev 278 Hcpcs C1813,24854.21,8698.97,,,0
CDM,27800046_175080,Hb Sup Rev 278 Hcpcs C1813,29604.09,10361.43,,,0
CDM,27800046_179715,Hb Sup Rev 278 Hcpcs C1813,47305.78,16557.02,,,0
CDM,27800046_207081,Hb Sup Rev 278 Hcpcs C1813,30906.96,10817.44,,,0
CDM,27800046_208197,Hb Sup Rev 278 Hcpcs C1813,30054.36,10519.03,,,0
CDM,27800046_75059,Hb Sup Rev 278 Hcpcs C1813,5501.64,1925.57,,,0
CDM,27800046_75060,Hb Sup Rev 278 Hcpcs C1813,4321.64,1512.57,,,0
CDM,27800046_81459,Hb Sup Rev 278 Hcpcs C1813,24854.21,8698.97,,,0
CDM,27800046_81460,Hb Sup Rev 278 Hcpcs C1813,25992.02,9097.21,,,0
CDM,27800046_85360,Hb Sup Rev 278 Hcpcs C1813,24046.15,8416.15,,,0
CDM,27800046_85364,Hb Sup Rev 278 Hcpcs C1813,12861.16,4501.41,,,0
CDM,27800046_93848,Hb Sup Rev 278 Hcpcs C1813,1.08,0.38,,,0
CDM,27800046_93849,Hb Sup Rev 278 Hcpcs C1813,25537.79,8938.23,,,0
CDM,27800046_93850,Hb Sup Rev 278 Hcpcs C1813,24854.21,8698.97,,,0
CDM,27800046_93852,Hb Sup Rev 278 Hcpcs C1813,13109.19,4588.22,,,0
CDM,27800047_1904,Hb Sup Rev 278 Hcpcs C1815,8015.62,2805.47,,,0
CDM,27800048_147468,Hb Sup Rev 278 Hcpcs C1820,4509.0,1578.15,,,0
CDM,27800048_172899,Hb Sup Rev 278 Hcpcs C1820,47117.7,16491.2,,,0
CDM,27800048_200119,Hb Sup Rev 278 Hcpcs C1820,7063.2,2472.12,,,0
CDM,27800048_202508,Hb Sup Rev 278 Hcpcs C1820,71050.5,24867.68,,,0
CDM,27800049_109625,Hb Sup Rev 278 Hcpcs C1874,3515.13,1230.3,,,0
CDM,27800049_109626,Hb Sup Rev 278 Hcpcs C1874,4472.44,1565.35,,,0
CDM,27800049_109675,Hb Sup Rev 278 Hcpcs C1874,1935.75,677.51,,,0
CDM,27800049_109676,Hb Sup Rev 278 Hcpcs C1874,1935.75,677.51,,,0
CDM,27800049_109677,Hb Sup Rev 278 Hcpcs C1874,3515.13,1230.3,,,0
CDM,27800049_110594,Hb Sup Rev 278 Hcpcs C1874,11006.1,3852.14,,,0
CDM,27800049_115609,Hb Sup Rev 278 Hcpcs C1874,5968.24,2088.88,,,0
CDM,27800049_115610,Hb Sup Rev 278 Hcpcs C1874,4472.44,1565.35,,,0
CDM,27800049_115611,Hb Sup Rev 278 Hcpcs C1874,5968.24,2088.88,,,0
CDM,27800049_115612,Hb Sup Rev 278 Hcpcs C1874,3515.13,1230.3,,,0
CDM,27800049_115613,Hb Sup Rev 278 Hcpcs C1874,4472.44,1565.35,,,0
CDM,27800049_115614,Hb Sup Rev 278 Hcpcs C1874,5369.92,1879.47,,,0
CDM,27800049_115616,Hb Sup Rev 278 Hcpcs C1874,5968.24,2088.88,,,0
CDM,27800049_119431,Hb Sup Rev 278 Hcpcs C1874,11006.1,3852.14,,,0
CDM,27800049_119432,Hb Sup Rev 278 Hcpcs C1874,11006.1,3852.14,,,0
CDM,27800049_120612,Hb Sup Rev 278 Hcpcs C1874,9207.98,3222.79,,,0
CDM,27800049_120613,Hb Sup Rev 278 Hcpcs C1874,9207.98,3222.79,,,0
CDM,27800049_120614,Hb Sup Rev 278 Hcpcs C1874,11006.1,3852.14,,,0
CDM,27800049_120615,Hb Sup Rev 278 Hcpcs C1874,20462.54,7161.89,,,0
CDM,27800049_129138,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129139,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129141,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129142,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_129143,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129144,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129145,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129151,Hb Sup Rev 278 Hcpcs C1874,10826.6,3789.31,,,0
CDM,27800049_129153,Hb Sup Rev 278 Hcpcs C1874,10826.6,3789.31,,,0
CDM,27800049_129157,Hb Sup Rev 278 Hcpcs C1874,10826.6,3789.31,,,0
CDM,27800049_129158,Hb Sup Rev 278 Hcpcs C1874,10826.6,3789.31,,,0
CDM,27800049_129159,Hb Sup Rev 278 Hcpcs C1874,10826.6,3789.31,,,0
CDM,27800049_129160,Hb Sup Rev 278 Hcpcs C1874,10826.6,3789.31,,,0
CDM,27800049_129161,Hb Sup Rev 278 Hcpcs C1874,10826.6,3789.31,,,0
CDM,27800049_129163,Hb Sup Rev 278 Hcpcs C1874,10826.6,3789.31,,,0
CDM,27800049_129178,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129179,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129180,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129182,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129185,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_129186,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129187,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_129188,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_129190,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129197,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129198,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129200,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_129202,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_129204,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_129205,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_136536,Hb Sup Rev 278 Hcpcs C1874,10123.92,3543.37,,,0
CDM,27800049_143787,Hb Sup Rev 278 Hcpcs C1874,7454.95,2609.23,,,0
CDM,27800049_151003,Hb Sup Rev 278 Hcpcs C1874,15391.33,5386.97,,,0
CDM,27800049_156043,Hb Sup Rev 278 Hcpcs C1874,13557.93,4745.28,,,0
CDM,27800049_156639,Hb Sup Rev 278 Hcpcs C1874,14943.04,5230.06,,,0
CDM,27800049_160840,Hb Sup Rev 278 Hcpcs C1874,8376.48,2931.77,,,0
CDM,27800049_160841,Hb Sup Rev 278 Hcpcs C1874,8376.48,2931.77,,,0
CDM,27800049_160842,Hb Sup Rev 278 Hcpcs C1874,8376.48,2931.77,,,0
CDM,27800049_166612,Hb Sup Rev 278 Hcpcs C1874,6880.68,2408.24,,,0
CDM,27800049_166613,Hb Sup Rev 278 Hcpcs C1874,6880.68,2408.24,,,0
CDM,27800049_166614,Hb Sup Rev 278 Hcpcs C1874,6880.68,2408.24,,,0
CDM,27800049_166619,Hb Sup Rev 278 Hcpcs C1874,7464.04,2612.41,,,0
CDM,27800049_166620,Hb Sup Rev 278 Hcpcs C1874,6880.68,2408.24,,,0
CDM,27800049_169614,Hb Sup Rev 278 Hcpcs C1874,11277.58,3947.15,,,0
CDM,27800049_170807,Hb Sup Rev 278 Hcpcs C1874,14943.04,5230.06,,,0
CDM,27800049_173472,Hb Sup Rev 278 Hcpcs C1874,9123.22,3193.13,,,0
CDM,27800049_173474,Hb Sup Rev 278 Hcpcs C1874,10766.77,3768.37,,,0
CDM,27800049_173475,Hb Sup Rev 278 Hcpcs C1874,9123.22,3193.13,,,0
CDM,27800049_173476,Hb Sup Rev 278 Hcpcs C1874,10766.77,3768.37,,,0
CDM,27800049_173477,Hb Sup Rev 278 Hcpcs C1874,9659.88,3380.96,,,0
CDM,27800049_173478,Hb Sup Rev 278 Hcpcs C1874,9659.88,3380.96,,,0
CDM,27800049_173479,Hb Sup Rev 278 Hcpcs C1874,10766.77,3768.37,,,0
CDM,27800049_190838,Hb Sup Rev 278 Hcpcs C1874,7454.95,2609.23,,,0
CDM,27800049_190839,Hb Sup Rev 278 Hcpcs C1874,7454.95,2609.23,,,0
CDM,27800049_194175,Hb Sup Rev 278 Hcpcs C1874,7770.62,2719.72,,,0
CDM,27800049_194185,Hb Sup Rev 278 Hcpcs C1874,7338.92,2568.62,,,0
CDM,27800049_194186,Hb Sup Rev 278 Hcpcs C1874,7338.92,2568.62,,,0
CDM,27800049_194192,Hb Sup Rev 278 Hcpcs C1874,7338.92,2568.62,,,0
CDM,27800049_194194,Hb Sup Rev 278 Hcpcs C1874,7770.62,2719.72,,,0
CDM,27800049_194196,Hb Sup Rev 278 Hcpcs C1874,7167.93,2508.78,,,0
CDM,27800049_194198,Hb Sup Rev 278 Hcpcs C1874,7167.93,2508.78,,,0
CDM,27800049_194200,Hb Sup Rev 278 Hcpcs C1874,7167.93,2508.78,,,0
CDM,27800049_199980,Hb Sup Rev 278 Hcpcs C1874,9659.88,3380.96,,,0
CDM,27800049_199981,Hb Sup Rev 278 Hcpcs C1874,10766.77,3768.37,,,0
CDM,27800049_199982,Hb Sup Rev 278 Hcpcs C1874,12247.61,4286.66,,,0
CDM,27800049_199983,Hb Sup Rev 278 Hcpcs C1874,9659.88,3380.96,,,0
CDM,27800049_199984,Hb Sup Rev 278 Hcpcs C1874,9659.88,3380.96,,,0
CDM,27800049_199985,Hb Sup Rev 278 Hcpcs C1874,10766.77,3768.37,,,0
CDM,27800049_199986,Hb Sup Rev 278 Hcpcs C1874,12247.61,4286.66,,,0
CDM,27800049_199987,Hb Sup Rev 278 Hcpcs C1874,9659.88,3380.96,,,0
CDM,27800049_199988,Hb Sup Rev 278 Hcpcs C1874,10766.77,3768.37,,,0
CDM,27800049_199989,Hb Sup Rev 278 Hcpcs C1874,12247.61,4286.66,,,0
CDM,27800049_203413,Hb Sup Rev 278 Hcpcs C1874,8223.91,2878.37,,,0
CDM,27800049_203414,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_203415,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_203416,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_203418,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_203419,Hb Sup Rev 278 Hcpcs C1874,8223.91,2878.37,,,0
CDM,27800049_203420,Hb Sup Rev 278 Hcpcs C1874,8223.91,2878.37,,,0
CDM,27800049_203421,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_203422,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_203423,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_203424,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_203425,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_203426,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_203427,Hb Sup Rev 278 Hcpcs C1874,10826.6,3789.31,,,0
CDM,27800049_203428,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_203429,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_203430,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_203431,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_203432,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_203433,Hb Sup Rev 278 Hcpcs C1874,10826.6,3789.31,,,0
CDM,27800049_203434,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_203435,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_203436,Hb Sup Rev 278 Hcpcs C1874,9179.72,3212.9,,,0
CDM,27800049_203437,Hb Sup Rev 278 Hcpcs C1874,9719.71,3401.9,,,0
CDM,27800049_203438,Hb Sup Rev 278 Hcpcs C1874,10225.12,3578.79,,,0
CDM,27800049_203545,Hb Sup Rev 278 Hcpcs C1874,9671.09,3384.88,,,0
CDM,27800049_209349,Hb Sup Rev 278 Hcpcs C1874,13249.8,4637.43,,,0
CDM,27800049_209350,Hb Sup Rev 278 Hcpcs C1874,13249.8,4637.43,,,0
CDM,27800049_209351,Hb Sup Rev 278 Hcpcs C1874,38519.84,13481.94,,,0
CDM,27800049_210844,Hb Sup Rev 278 Hcpcs C1874,9501.32,3325.46,,,0
CDM,27800049_214260,Hb Sup Rev 278 Hcpcs C1874,11536.56,4037.8,,,0
CDM,27800049_214261,Hb Sup Rev 278 Hcpcs C1874,9432.99,3301.55,,,0
CDM,27800049_214262,Hb Sup Rev 278 Hcpcs C1874,11536.56,4037.8,,,0
CDM,27800049_27617,Hb Sup Rev 278 Hcpcs C1874,9749.62,3412.37,,,0
CDM,27800049_27621,Hb Sup Rev 278 Hcpcs C1874,12442.06,4354.72,,,0
CDM,27800049_27624,Hb Sup Rev 278 Hcpcs C1874,9749.62,3412.37,,,0
CDM,27800049_27633,Hb Sup Rev 278 Hcpcs C1874,10766.77,3768.37,,,0
CDM,27800049_47833,Hb Sup Rev 278 Hcpcs C1874,8374.18,2930.96,,,0
CDM,27800049_47835,Hb Sup Rev 278 Hcpcs C1874,7167.93,2508.78,,,0
CDM,27800049_50003,Hb Sup Rev 278 Hcpcs C1874,5002.04,1750.71,,,0
CDM,27800049_51471,Hb Sup Rev 278 Hcpcs C1874,7167.93,2508.78,,,0
CDM,27800049_51509,Hb Sup Rev 278 Hcpcs C1874,7770.62,2719.72,,,0
CDM,27800049_51513,Hb Sup Rev 278 Hcpcs C1874,7167.93,2508.78,,,0
CDM,27800049_51515,Hb Sup Rev 278 Hcpcs C1874,7338.92,2568.62,,,0
CDM,27800049_55502,Hb Sup Rev 278 Hcpcs C1874,9749.62,3412.37,,,0
CDM,27800049_55503,Hb Sup Rev 278 Hcpcs C1874,9749.62,3412.37,,,0
CDM,27800049_55906,Hb Sup Rev 278 Hcpcs C1874,6160.09,2156.03,,,0
CDM,27800049_55907,Hb Sup Rev 278 Hcpcs C1874,6160.09,2156.03,,,0
CDM,27800049_55920,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55922,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55923,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55924,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55925,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55926,Hb Sup Rev 278 Hcpcs C1874,9574.85,3351.2,,,0
CDM,27800049_55927,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55928,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55929,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55935,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55936,Hb Sup Rev 278 Hcpcs C1874,9574.85,3351.2,,,0
CDM,27800049_55937,Hb Sup Rev 278 Hcpcs C1874,9574.85,3351.2,,,0
CDM,27800049_55938,Hb Sup Rev 278 Hcpcs C1874,9574.85,3351.2,,,0
CDM,27800049_55944,Hb Sup Rev 278 Hcpcs C1874,9574.85,3351.2,,,0
CDM,27800049_55945,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55946,Hb Sup Rev 278 Hcpcs C1874,9574.85,3351.2,,,0
CDM,27800049_55952,Hb Sup Rev 278 Hcpcs C1874,9574.85,3351.2,,,0
CDM,27800049_55953,Hb Sup Rev 278 Hcpcs C1874,10138.08,3548.33,,,0
CDM,27800049_55954,Hb Sup Rev 278 Hcpcs C1874,9574.85,3351.2,,,0
CDM,27800049_64409,Hb Sup Rev 278 Hcpcs C1874,24884.45,8709.56,,,0
CDM,27800049_64410,Hb Sup Rev 278 Hcpcs C1874,24884.45,8709.56,,,0
CDM,27800049_64414,Hb Sup Rev 278 Hcpcs C1874,24884.45,8709.56,,,0
CDM,27800049_64419,Hb Sup Rev 278 Hcpcs C1874,24884.45,8709.56,,,0
CDM,27800049_64423,Hb Sup Rev 278 Hcpcs C1874,23501.98,8225.69,,,0
CDM,27800049_64428,Hb Sup Rev 278 Hcpcs C1874,23501.98,8225.69,,,0
CDM,27800049_64443,Hb Sup Rev 278 Hcpcs C1874,6160.09,2156.03,,,0
CDM,27800049_67006,Hb Sup Rev 278 Hcpcs C1874,7454.95,2609.23,,,0
CDM,27800049_67007,Hb Sup Rev 278 Hcpcs C1874,7454.95,2609.23,,,0
CDM,27800049_75873,Hb Sup Rev 278 Hcpcs C1874,12442.06,4354.72,,,0
CDM,27800049_84573,Hb Sup Rev 278 Hcpcs C1874,29257.85,10240.25,,,0
CDM,27800049_84574,Hb Sup Rev 278 Hcpcs C1874,29257.85,10240.25,,,0
CDM,27800049_84576,Hb Sup Rev 278 Hcpcs C1874,29257.85,10240.25,,,0
CDM,27800049_84579,Hb Sup Rev 278 Hcpcs C1874,29257.85,10240.25,,,0
CDM,27800049_84580,Hb Sup Rev 278 Hcpcs C1874,29257.85,10240.25,,,0
CDM,27800049_84582,Hb Sup Rev 278 Hcpcs C1874,29257.85,10240.25,,,0
CDM,27800049_84584,Hb Sup Rev 278 Hcpcs C1874,29257.85,10240.25,,,0
CDM,27800049_84585,Hb Sup Rev 278 Hcpcs C1874,29257.85,10240.25,,,0
CDM,27800049_84590,Hb Sup Rev 278 Hcpcs C1874,12564.72,4397.65,,,0
CDM,27800049_84591,Hb Sup Rev 278 Hcpcs C1874,12564.72,4397.65,,,0
CDM,27800049_87246,Hb Sup Rev 278 Hcpcs C1874,8374.18,2930.96,,,0
CDM,27800049_91620,Hb Sup Rev 278 Hcpcs C1874,5369.92,1879.47,,,0
CDM,27800049_91621,Hb Sup Rev 278 Hcpcs C1874,5369.92,1879.47,,,0
CDM,27800049_94722,Hb Sup Rev 278 Hcpcs C1874,7299.74,2554.91,,,0
CDM,27800049_96374,Hb Sup Rev 278 Hcpcs C1874,5369.92,1879.47,,,0
CDM,27800049_96375,Hb Sup Rev 278 Hcpcs C1874,5369.92,1879.47,,,0
CDM,27800049_96806,Hb Sup Rev 278 Hcpcs C1874,11006.1,3852.14,,,0
CDM,27800049_C1874_278,Hb Sup Rev 278 Hcpcs C1874,10859.51,3800.83,,,0
CDM,27800052_136525,Hb Sup Rev 278 Hcpcs C1876,4606.61,1612.31,,,0
CDM,27800052_143788,Hb Sup Rev 278 Hcpcs C1876,7591.84,2657.14,,,0
CDM,27800052_144345,Hb Sup Rev 278 Hcpcs C1876,4509.0,1578.15,,,0
CDM,27800052_144460,Hb Sup Rev 278 Hcpcs C1876,7718.33,2701.42,,,0
CDM,27800052_144461,Hb Sup Rev 278 Hcpcs C1876,7718.33,2701.42,,,0
CDM,27800052_144463,Hb Sup Rev 278 Hcpcs C1876,7718.33,2701.42,,,0
CDM,27800052_144464,Hb Sup Rev 278 Hcpcs C1876,7718.33,2701.42,,,0
CDM,27800052_144466,Hb Sup Rev 278 Hcpcs C1876,7718.33,2701.42,,,0
CDM,27800052_144467,Hb Sup Rev 278 Hcpcs C1876,7718.33,2701.42,,,0
CDM,27800052_173524,Hb Sup Rev 278 Hcpcs C1876,614.52,215.08,,,0
CDM,27800052_173563,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_173568,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_202529,Hb Sup Rev 278 Hcpcs C1876,6825.06,2388.77,,,0
CDM,27800052_3877,Hb Sup Rev 278 Hcpcs C1876,5650.56,1977.7,,,0
CDM,27800052_49997,Hb Sup Rev 278 Hcpcs C1876,7591.84,2657.14,,,0
CDM,27800052_51484,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_51488,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_53136,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_53138,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_53152,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_54309,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_54312,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_54313,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_54316,Hb Sup Rev 278 Hcpcs C1876,3555.39,1244.39,,,0
CDM,27800052_54317,Hb Sup Rev 278 Hcpcs C1876,3555.39,1244.39,,,0
CDM,27800052_54318,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_54319,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_54321,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_54324,Hb Sup Rev 278 Hcpcs C1876,3440.34,1204.12,,,0
CDM,27800052_65863,Hb Sup Rev 278 Hcpcs C1876,1828.21,639.87,,,0
CDM,27800052_68610,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_68611,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_68613,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_68616,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_68618,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_68619,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_68621,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_68644,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_69431,Hb Sup Rev 278 Hcpcs C1876,1935.75,677.51,,,0
CDM,27800052_69432,Hb Sup Rev 278 Hcpcs C1876,1828.21,639.87,,,0
CDM,27800052_77124,Hb Sup Rev 278 Hcpcs C1876,3724.54,1303.59,,,0
CDM,27800052_77128,Hb Sup Rev 278 Hcpcs C1876,3724.54,1303.59,,,0
CDM,27800052_77138,Hb Sup Rev 278 Hcpcs C1876,3724.54,1303.59,,,0
CDM,27800052_80775,Hb Sup Rev 278 Hcpcs C1876,876.96,306.94,,,0
CDM,27800052_80776,Hb Sup Rev 278 Hcpcs C1876,876.96,306.94,,,0
CDM,27800052_80777,Hb Sup Rev 278 Hcpcs C1876,876.96,306.94,,,0
CDM,27800052_80778,Hb Sup Rev 278 Hcpcs C1876,876.96,306.94,,,0
CDM,27800052_80779,Hb Sup Rev 278 Hcpcs C1876,1053.32,368.66,,,0
CDM,27800052_80785,Hb Sup Rev 278 Hcpcs C1876,876.96,306.94,,,0
CDM,27800052_80786,Hb Sup Rev 278 Hcpcs C1876,1079.57,377.85,,,0
CDM,27800055_138232,Hb Sup Rev 278 Hcpcs C1883,2551.66,893.08,,,0
CDM,27800055_138233,Hb Sup Rev 278 Hcpcs C1883,2393.28,837.65,,,0
CDM,27800055_138326,Hb Sup Rev 278 Hcpcs C1883,8376.48,2931.77,,,0
CDM,27800055_138327,Hb Sup Rev 278 Hcpcs C1883,8376.48,2931.77,,,0
CDM,27800055_17054,Hb Sup Rev 278 Hcpcs C1883,1780.0,623.0,,,0
CDM,27800055_188097,Hb Sup Rev 278 Hcpcs C1883,2599.7,909.9,,,0
CDM,27800055_190573,Hb Sup Rev 278 Hcpcs C1883,6506.73,2277.36,,,0
CDM,27800056_1505,Hb Sup Rev 278 Hcpcs C1897,1106.89,387.41,,,0
CDM,27800056_173219,Hb Sup Rev 278 Hcpcs C1897,2393.28,837.65,,,0
CDM,27800056_177772,Hb Sup Rev 278 Hcpcs C1897,4708.8,1648.08,,,0
CDM,27800056_356,Hb Sup Rev 278 Hcpcs C1897,179.5,62.82,,,0
CDM,27800057_113070,Hb Sup Rev 278 Hcpcs C2617,212.1,74.24,,,0
CDM,27800057_144281,Hb Sup Rev 278 Hcpcs C2617,1426.5,499.28,,,0
CDM,27800057_144294,Hb Sup Rev 278 Hcpcs C2617,1426.5,499.28,,,0
CDM,27800057_146048,Hb Sup Rev 278 Hcpcs C2617,2964.6,1037.61,,,0
CDM,27800057_1466,Hb Sup Rev 278 Hcpcs C2617,851.95,298.18,,,0
CDM,27800057_154028,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159496,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159497,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159500,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159501,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159502,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159504,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159505,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159506,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159507,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159508,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159511,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159512,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159513,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159514,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159515,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159520,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159521,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159522,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159523,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159524,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159525,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159526,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159527,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159530,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159531,Hb Sup Rev 278 Hcpcs C2617,595.33,208.37,,,0
CDM,27800057_159537,Hb Sup Rev 278 Hcpcs C2617,2359.82,825.94,,,0
CDM,27800057_174073,Hb Sup Rev 278 Hcpcs C2617,3156.14,1104.65,,,0
CDM,27800057_175152,Hb Sup Rev 278 Hcpcs C2617,4967.78,1738.72,,,0
CDM,27800057_178030,Hb Sup Rev 278 Hcpcs C2617,469.92,164.47,,,0
CDM,27800057_178031,Hb Sup Rev 278 Hcpcs C2617,426.24,149.18,,,0
CDM,27800057_180327,Hb Sup Rev 278 Hcpcs C2617,969.41,339.29,,,0
CDM,27800057_2231,Hb Sup Rev 278 Hcpcs C2617,184.44,64.55,,,0
CDM,27800057_48238,Hb Sup Rev 278 Hcpcs C2617,297.84,104.24,,,0
CDM,27800057_51646,Hb Sup Rev 278 Hcpcs C2617,297.84,104.24,,,0
CDM,27800057_52062,Hb Sup Rev 278 Hcpcs C2617,297.84,104.24,,,0
CDM,27800057_52090,Hb Sup Rev 278 Hcpcs C2617,382.54,133.89,,,0
CDM,27800057_52091,Hb Sup Rev 278 Hcpcs C2617,851.02,297.86,,,0
CDM,27800057_52092,Hb Sup Rev 278 Hcpcs C2617,382.54,133.89,,,0
CDM,27800057_52093,Hb Sup Rev 278 Hcpcs C2617,382.54,133.89,,,0
CDM,27800057_52096,Hb Sup Rev 278 Hcpcs C2617,435.18,152.31,,,0
CDM,27800057_53717,Hb Sup Rev 278 Hcpcs C2617,382.54,133.89,,,0
CDM,27800057_54307,Hb Sup Rev 278 Hcpcs C2617,299.49,104.82,,,0
CDM,27800057_74642,Hb Sup Rev 278 Hcpcs C2617,165.43,57.9,,,0
CDM,27800057_74643,Hb Sup Rev 278 Hcpcs C2617,165.43,57.9,,,0
CDM,27800057_C2617_278,Hb Sup Rev 278 Hcpcs C2617,165.24,57.83,,,0
CDM,27800058_147414,Hb Sup Rev 278 Hcpcs C2625,2797.74,979.21,,,0
CDM,27800058_174063,Hb Sup Rev 278 Hcpcs C2625,2797.74,979.21,,,0
CDM,27800058_175094,Hb Sup Rev 278 Hcpcs C2625,2742.14,959.75,,,0
CDM,27800058_51675,Hb Sup Rev 278 Hcpcs C2625,356.0,124.6,,,0
CDM,27800058_53628,Hb Sup Rev 278 Hcpcs C2625,408.85,143.1,,,0
CDM,27800058_53629,Hb Sup Rev 278 Hcpcs C2625,454.72,159.15,,,0
CDM,27800058_74655,Hb Sup Rev 278 Hcpcs C2625,402.38,140.83,,,0
CDM,27800058_74657,Hb Sup Rev 278 Hcpcs C2625,402.38,140.83,,,0
CDM,27800058_74658,Hb Sup Rev 278 Hcpcs C2625,402.38,140.83,,,0
CDM,27800058_74659,Hb Sup Rev 278 Hcpcs C2625,402.38,140.83,,,0
CDM,27800058_74660,Hb Sup Rev 278 Hcpcs C2625,402.38,140.83,,,0
CDM,27800058_74661,Hb Sup Rev 278 Hcpcs C2625,402.38,140.83,,,0
CDM,27800058_74662,Hb Sup Rev 278 Hcpcs C2625,402.38,140.83,,,0
CDM,27800058_74663,Hb Sup Rev 278 Hcpcs C2625,402.38,140.83,,,0
CDM,27800058_95980,Hb Sup Rev 278 Hcpcs C2625,2797.74,979.21,,,0
CDM,27800058_95981,Hb Sup Rev 278 Hcpcs C2625,2797.74,979.21,,,0
CDM,27800059_143121,Hb Sup Rev 278 Hcpcs C2631,4509.0,1578.15,,,0
CDM,27800059_144259,Hb Sup Rev 278 Hcpcs C2631,4509.0,1578.15,,,0
CDM,27800062_55111,Hb Sup Rev 278 Hcpcs C9356,7074.59,2476.11,,,0
CDM,27800062_55112,Hb Sup Rev 278 Hcpcs C9356,10756.0,3764.6,,,0
CDM,27800067_176060,Hb Sup Rev 278 Hcpcs L8606,3440.34,1204.12,,,0
CDM,27800068_142563,Hb Sup Rev 278 Hcpcs L8614,50558.04,17695.31,,,0
CDM,27800068_142564,Hb Sup Rev 278 Hcpcs L8614,54147.96,18951.79,,,0
CDM,27800068_144275,Hb Sup Rev 278 Hcpcs L8614,44077.66,15427.18,,,0
CDM,27800069_118441,Hb Sup Rev 278 Hcpcs L8690,10564.24,3697.48,,,0
CDM,27800069_118442,Hb Sup Rev 278 Hcpcs L8690,10564.24,3697.48,,,0
CDM,27800069_118461,Hb Sup Rev 278 Hcpcs L8690,4361.75,1526.61,,,0
CDM,27800069_118462,Hb Sup Rev 278 Hcpcs L8690,4361.75,1526.61,,,0
CDM,27800069_192754,Hb Sup Rev 278 Hcpcs L8690,13556.38,4744.73,,,0
CDM,27800069_87346,Hb Sup Rev 278 Hcpcs L8690,8992.75,3147.46,,,0
CDM,27800070,Hb Aero Covd Trach Stent,6225.12,2178.79,,,0
CDM,27800071,Hb Brachytherapy Yttrium 90,46390.32,16236.61,,,0
CDM,27800071_C2616_278,Hb Brachytherapy Yttrium 90,46390.32,16236.61,,,0
CDM,27800073,Hb Halo Pin Replacement,147.96,51.79,,,0
CDM,27800073_278,Hb Halo Pin Replacement,147.96,51.79,,,0
CDM,27800074,Hb Peritoneal Catheter,335.88,117.56,,,0
CDM,27800074_A4300_278,Hb Peritoneal Catheter,335.88,117.56,,,0
CDM,27800075,Hb Stent Airway Polyflex,5447.52,1906.63,,,0
CDM,27800076,Hb Stent Dynamic Y,10892.88,3812.51,,,0
CDM,27800077,Hb Stent Ultraflex Tb,5229.36,1830.28,,,0
CDM,27800078,Hb Test Stimulation Lead Kit,957.96,335.29,,,0
CDM,27800102_278,Hb Ccl Coil .018 2X10,207.26,72.54,,,0
CDM,27800379_278,Hb Coil Inzone Detach Syst,707.77,247.72,,,0
CDM,27800437_278,Hb Coil Pusher 16,542.71,189.95,,,0
CDM,27800459_278,Hb Coil Target 360 Soft 3X6,5780.7,2023.24,,,0
CDM,27800460_278,Hb Coil Target 360 Soft 3X8,5780.7,2023.24,,,0
CDM,27800461_278,Hb Coil Target 360 Soft 4X10,5780.7,2023.24,,,0
CDM,27800463_278,Hb Coil Target 360 Soft 4X8,5780.7,2023.24,,,0
CDM,27800465_278,Hb Coil Target 360 Soft 5X15,5760.45,2016.16,,,0
CDM,27800467_278,Hb Coil Target 360 Soft 6X15,5780.7,2023.24,,,0
CDM,27800468_278,Hb Coil Target 360 Soft 7X15,5780.7,2023.24,,,0
CDM,27800469_278,Hb Coil Target 360 Soft 7X20,5780.7,2023.24,,,0
CDM,27800470_278,Hb Coil Target 360 Soft 8X20,5780.7,2023.24,,,0
CDM,27800473_278,Hb Coil Target 360 Std 10X30,5719.94,2001.98,,,0
CDM,27800486_278,Hb Coil Target 360 Std 7X20,5719.94,2001.98,,,0
CDM,27800490_278,Hb Coil Target 360 Ultra 2.5X4,5780.7,2023.24,,,0
CDM,27800491_278,Hb Coil Target 360 Ultra 2X3,5760.45,2016.16,,,0
CDM,27800492_278,Hb Coil Target 360 Ultra 2X4,5750.32,2012.61,,,0
CDM,27800494_278,Hb Coil Target 360 Ultra 3X6,5760.45,2016.16,,,0
CDM,27800495_278,Hb Coil Target 360 Ultra 3X8,5719.94,2001.98,,,0
CDM,27800496_278,Hb Coil Target 360 Ultra 4X10,5780.7,2023.24,,,0
CDM,27800498_278,Hb Coil Target 360 Ultra 4X8,5780.7,2023.24,,,0
CDM,27800499_278,Hb Coil Target 360 Ultra 5X10,5780.7,2023.24,,,0
CDM,27800559_278,Hb Coil Vortx .018 2X3,266.82,93.39,,,0
CDM,27800560_278,Hb Coil Vortx .018 2X4,250.04,87.51,,,0
CDM,27800563_C1889_278,Hb Embosphere 100 300,2881.59,1008.56,,,0
CDM,27800564_278,Hb Embosphere 300 500,2193.8,767.83,,,0
CDM,27800564_C1889_278,Hb Embosphere 300 500,2886.98,1010.44,,,0
CDM,27800565_C1889_278,Hb Embosphere 500 700 2Ml,2883.71,1009.3,,,0
CDM,27800566_C1889_278,Hb Embosphere 700 900,2881.59,1008.56,,,0
CDM,27800568_278,Hb Glue Onyx 18 Pre Mixed,6910.6,2418.71,,,0
CDM,27800569_278,Hb Glue Onyx 34 Pre Mixed,6910.6,2418.71,,,0
CDM,27800570_278,Hb Glue Trufil Kit Double,30830.11,10790.54,,,0
CDM,27800571_278,Hb Lc Bead 100 300,4786.56,1675.3,,,0
CDM,27800574_278,Hb Lc Bead 700 900,9417.6,3296.16,,,0
CDM,27800597_C1788_278,Hb Port Smart Ct 8F,693.02,242.56,,,0
CDM,27800598_C1788_278,Hb Port Smart Ct 9.6F,609.0,213.15,,,0
CDM,27800599_C1788_278,Hb Port Smart Lp 6.6F,583.36,204.18,,,0
CDM,27800600_C1788_278,Hb Port Smart Mini 6.6F,643.19,225.12,,,0
CDM,27800613_C1817_278,Hboccluder Amplatzer Septal 10Mm,22260.5,7791.18,,,0
CDM,27800614_C1817_278,Hb Occluder Amplatzer Septal 12Mm,24079.39,8427.79,,,0
CDM,27800621_C1817_278,Hb Occluder Amplatzer Septal 24Mm,24079.39,8427.79,,,0
CDM,27800622_C1817_278,Hb Occluder Amplatzer Septal 26Mm,24079.39,8427.79,,,0
CDM,27800630_C1817_278,Hb Delivery System Amplatzer 10X80,2812.1,984.24,,,0
CDM,27800631_C1817_278,Hb Delivery System Amplatzer 12X80,2812.1,984.24,,,0
CDM,27800632_C1773_272,Hb Delivery System Amplatzer 9X80,2655.88,929.56,,,0
CDM,27800632_C1773_278,Hb Delivery System Amplatzer 9X80,2829.16,990.21,,,0
CDM,27800636_C1817_278,Hb Occ Amplatzer Cribriform 35Mm,24079.39,8427.79,,,0
CDM,27800652_C1874_278,Hb Ccl Graft Viabahn Hep 8X10X120,11006.1,3852.14,,,0
CDM,27800685_C1874_278,Hb Stent Covered Icast 7X38X80,7770.62,2719.72,,,0
CDM,27800690_C1874_278,Hb Stent Covered Icast 9X59X120,8374.18,2930.96,,,0
CDM,27800779_C1874_278,Hb Stent Graft Viatorr 10X5,16519.62,5781.87,,,0
CDM,27800780_C1874_278,Hb Stent Graft Viatorr 10X6,16519.62,5781.87,,,0
CDM,27800781_C1874_278,Hb Stent Graft Viatorr 10X7,16519.62,5781.87,,,0
CDM,27800782_C1874_278,Hb Stent Graft Viatorr 10X8,16519.62,5781.87,,,0
CDM,27800785_C1874_278,Hb Stent Icast 5X22X120,7589.57,2656.35,,,0
CDM,27800792_C1874_278,Hb Stent Icast 9X38X120,7770.62,2719.72,,,0
CDM,27800905_C1874_278,Hb Stent Ptfe Fluency Plus 10X80,6470.83,2264.79,,,0
CDM,27801141_C1876_278,Hb Stent Express 8X57X60X75,3440.34,1204.12,,,0
CDM,27801152_C1876_278,Hb Stent Express Ld 8X37X75,3440.34,1204.12,,,0
CDM,27801153_C1876_278,Hb Stent Express Ld 9X37X135,3440.34,1204.12,,,0
CDM,27801158_C1876_278,Hb Ccl Stent Express Sd 5X15X90,3732.02,1306.21,,,0
CDM,27801160_C1876_278,Hb Stent Express Sd 6X14X90,3290.76,1151.77,,,0
CDM,27801168_C1876_278,Hb Ccl Stent Luminexx 10X40X80,2773.21,970.62,,,0
CDM,27801169_C1876_278,Hb Ccl Stent Luminexx 10X60X80,2773.21,970.62,,,0
CDM,27801170_C1876_278,Hb Ccl Stent Luminexx 10X80X80,2773.21,970.62,,,0
CDM,27801171_C1876_278,Hb Ccl Stent Luminexx 14X40X80,2773.21,970.62,,,0
CDM,27801172_C1876_278,Hb Ccl Stent Luminexx 14X80X80,2773.21,970.62,,,0
CDM,27801173_C1876_278,Hb Ccl Stent Luminexx 7X40X80,2773.21,970.62,,,0
CDM,27801177_C1876_278,Hb Stent Luminexx 8X40X80,2773.21,970.62,,,0
CDM,27801178_C1876_278,Hb Ccl Stent Luminexx 8X60X80,2773.21,970.62,,,0
CDM,27801198_C1876_278,Hb Ccl Stent Xact 8 6Mmx30,6431.94,2251.18,,,0
CDM,27801512_C1876_278,Hb Stent Luminexx 10X120X80,2773.21,970.62,,,0
CDM,27801514_C1876_278,Hb Stent Luminexx 10X30X80,2773.21,970.62,,,0
CDM,27801518_C1876_278,Hb Stent Luminexx 12X40X80,2773.21,970.62,,,0
CDM,27801519_C1876_278,Hb Stent Luminexx 12X60X80,2773.21,970.62,,,0
CDM,27801520_C1876_278,Hb Stent Luminexx 12X80X80,2773.21,970.62,,,0
CDM,27801521_C1876_278,Hb Stent Luminexx 14X100X80,2773.21,970.62,,,0
CDM,27801522_C1876_278,Hb Stent Luminexx 14X120X80,2773.21,970.62,,,0
CDM,27801527_C1876_278,Hb Stent Luminexx 14X60X80,2773.21,970.62,,,0
CDM,27801745_C1876_278,Hb Stent Zilver 10X40X80,1935.75,677.51,,,0
CDM,27801747_C1876_278,Hb Stent Zilver 10X80X80,1935.75,677.51,,,0
CDM,27801749_C1876_278,Hb Stent Zilver 12X60X80,1935.75,677.51,,,0
CDM,27801750_C1876_278,Hb Stent Zilver 12X80X80,1935.75,677.51,,,0
CDM,27801756_C1876_278,Hb Stent Zilver 7X60X125,1935.75,677.51,,,0
CDM,27801757_C1876_278,Hb Stent Zilver 7X80X125,1935.75,677.51,,,0
CDM,27801758_C1876_278,Hb Stent Zilver 8X40X80,1935.75,677.51,,,0
CDM,27801764_C1876_278,Hb Stentwall 6Mmx22Mmx135Cm,6716.14,2350.65,,,0
CDM,27801765_C1876_278,Hb Stentwall 8Mmx21Mmx135Cm,6716.14,2350.65,,,0
CDM,27801766_C1876_278,Hb Stentwall 8Mmx29Mmx135Cm,6716.14,2350.65,,,0
CDM,27801766_C1876_624,Hb Stentwall 8Mmx29Mmx135Cm,6343.02,2220.06,,,0
CDM,27801767_C1876_278,Hb Stentwall 8Mmx36Mmx135Cm,6716.14,2350.65,,,0
CDM,27801777_C1880_278,Hb Ccl Filter Tulip Fem,2630.75,920.76,,,0
CDM,27801778_C1880_278,Hb Ccl Filter Tulip Jug,2630.75,920.76,,,0
CDM,27801779_C1880_278,Hb Ccl Filter Vena Tech,3410.42,1193.65,,,0
CDM,27801789_C1883_278,Hb Lead Extender Bulldog,1047.06,366.47,,,0
CDM,27801790_C2617_278,Hb Stent Nephroureteral 10Fx22Cm,297.84,104.24,,,0
CDM,27801791_C2617_278,Hb Stent Nephroureteral 10Fx28Cm,297.84,104.24,,,0
CDM,27801792_C2617_278,Hb Stent Nephroureteral 8X22,302.3,105.8,,,0
CDM,27801794_C2617_278,Hb Stent Nephrouretheral 10 X 24,297.84,104.24,,,0
CDM,27801795_C2617_278,Hb Stent Nephrouretheral 10 X 26,297.84,104.24,,,0
CDM,27801796_C2617_278,Hb Stent Nephrouretheral 8 X 24,299.04,104.66,,,0
CDM,27801797_C2617_278,Hb Stent Nephrouretheral 8X28,297.84,104.24,,,0
CDM,27801799_C2617_278,Hb Stent Ureteral 10Fx22Cm,297.84,104.24,,,0
CDM,27801800_C2617_278,Hb Stent Ureteral 10Fx24Cm,297.84,104.24,,,0
CDM,27801801_C2617_278,Hb Stent Ureteral 10Fx26Cm,297.84,104.24,,,0
CDM,27801802_C2617_278,Hb Stent Ureteral 10Fx28Cm,369.76,129.42,,,0
CDM,27801803_C2617_278,Hb Stent Ureteral 8 X 20,297.84,104.24,,,0
CDM,27801804_C2617_278,Hb Stent Ureteral 8Frx28Cm,297.84,104.24,,,0
CDM,27801805_C2617_278,Hb Stent Ureteral 8X22,297.84,104.24,,,0
CDM,27801806_C2617_278,Hb Ureteral 8Frx24Cm,297.84,104.24,,,0
CDM,27801807_C2617_278,Hb Ureteral 8Frx26Cm,302.98,106.04,,,0
CDM,27801808_C2625_278,Hb Stent Ureteral 8.5X10,340.96,119.34,,,0
CDM,27801817_278,Hb Cvc Stent,13361.04,4676.36,,,0
CDM,27801818_102756,Hb Other Implants,7778.16,2722.36,,,0
CDM,27801818_102757,Hb Other Implants,7778.16,2722.36,,,0
CDM,27801818_102758,Hb Other Implants,7778.16,2722.36,,,0
CDM,27801818_106158,Hb Other Implants,6880.68,2408.24,,,0
CDM,27801818_106159,Hb Other Implants,6880.68,2408.24,,,0
CDM,27801818_106160,Hb Other Implants,6880.68,2408.24,,,0
CDM,27801818_106164,Hb Other Implants,6880.68,2408.24,,,0
CDM,27801818_106165,Hb Other Implants,6880.68,2408.24,,,0
CDM,27801818_106166,Hb Other Implants,6880.68,2408.24,,,0
CDM,27801818_106168,Hb Other Implants,6880.68,2408.24,,,0
CDM,27801818_10648,Hb Other Implants,3775.7,1321.5,,,0
CDM,27801818_109677,Hb Other Implants,3515.13,1230.3,,,0
CDM,27801818_109735,Hb Other Implants,19171.67,6710.08,,,0
CDM,27801818_109736,Hb Other Implants,10620.18,3717.06,,,0
CDM,27801818_115736,Hb Other Implants,6064.87,2122.7,,,0
CDM,27801818_115778,Hb Other Implants,6501.74,2275.61,,,0
CDM,27801818_116202,Hb Other Implants,110.92,38.82,,,0
CDM,27801818_116237,Hb Other Implants,628.59,220.01,,,0
CDM,27801818_116238,Hb Other Implants,628.59,220.01,,,0
CDM,27801818_116239,Hb Other Implants,628.59,220.01,,,0
CDM,27801818_116405,Hb Other Implants,628.59,220.01,,,0
CDM,27801818_116462,Hb Other Implants,320.46,112.16,,,0
CDM,27801818_116463,Hb Other Implants,320.46,112.16,,,0
CDM,27801818_116466,Hb Other Implants,320.46,112.16,,,0
CDM,27801818_116670,Hb Other Implants,2548.34,891.92,,,0
CDM,27801818_116683,Hb Other Implants,1241.51,434.53,,,0
CDM,27801818_11669,Hb Other Implants,3844.21,1345.47,,,0
CDM,27801818_120870,Hb Other Implants,5983.2,2094.12,,,0
CDM,27801818_122896,Hb Other Implants,3589.92,1256.47,,,0
CDM,27801818_122901,Hb Other Implants,3589.92,1256.47,,,0
CDM,27801818_122902,Hb Other Implants,3589.92,1256.47,,,0
CDM,27801818_122914,Hb Other Implants,3589.92,1256.47,,,0
CDM,27801818_122923,Hb Other Implants,4936.14,1727.65,,,0
CDM,27801818_122925,Hb Other Implants,3589.92,1256.47,,,0
CDM,27801818_122927,Hb Other Implants,6282.36,2198.83,,,0
CDM,27801818_126149,Hb Other Implants,3290.76,1151.77,,,0
CDM,27801818_126166,Hb Other Implants,5235.3,1832.36,,,0
CDM,27801818_127983,Hb Other Implants,1309.58,458.35,,,0
CDM,27801818_127985,Hb Other Implants,1001.44,350.5,,,0
CDM,27801818_130206,Hb Other Implants,30054.36,10519.03,,,0
CDM,27801818_130209,Hb Other Implants,38602.86,13511.0,,,0
CDM,27801818_131195,Hb Other Implants,24130.25,8445.59,,,0
CDM,27801818_134319,Hb Other Implants,3859.16,1350.71,,,0
CDM,27801818_139696,Hb Other Implants,2976.64,1041.82,,,0
CDM,27801818_140578,Hb Other Implants,6421.35,2247.47,,,0
CDM,27801818_140580,Hb Other Implants,7809.55,2733.34,,,0
CDM,27801818_140582,Hb Other Implants,6528.57,2285.0,,,0
CDM,27801818_141385,Hb Other Implants,1794.96,628.24,,,0
CDM,27801818_141486,Hb Other Implants,1346.22,471.18,,,0
CDM,27801818_141555,Hb Other Implants,692.79,242.48,,,0
CDM,27801818_141690,Hb Other Implants,3585.81,1255.03,,,0
CDM,27801818_141773,Hb Other Implants,1972.06,690.22,,,0
CDM,27801818_141787,Hb Other Implants,3936.7,1377.84,,,0
CDM,27801818_141796,Hb Other Implants,338.95,118.63,,,0
CDM,27801818_141991,Hb Other Implants,30188.98,10566.14,,,0
CDM,27801818_142548,Hb Other Implants,3072.49,1075.37,,,0
CDM,27801818_142560,Hb Other Implants,7852.95,2748.53,,,0
CDM,27801818_142814,Hb Other Implants,233.34,81.67,,,0
CDM,27801818_143634,Hb Other Implants,852.61,298.41,,,0
CDM,27801818_1461,Hb Other Implants,115.59,40.46,,,0
CDM,27801818_147469,Hb Other Implants,658.15,230.35,,,0
CDM,27801818_159508,Hb Other Implants,595.33,208.37,,,0
CDM,27801818_161445,Hb Other Implants,8376.48,2931.77,,,0
CDM,27801818_161446,Hb Other Implants,8376.48,2931.77,,,0
CDM,27801818_168190,Hb Other Implants,4582.22,1603.78,,,0
CDM,27801818_168213,Hb Other Implants,1429.35,500.27,,,0
CDM,27801818_168218,Hb Other Implants,2542.86,890.0,,,0
CDM,27801818_168246,Hb Other Implants,107.85,37.75,,,0
CDM,27801818_168247,Hb Other Implants,107.85,37.75,,,0
CDM,27801818_168250,Hb Other Implants,4606.61,1612.31,,,0
CDM,27801818_168262,Hb Other Implants,6147.28,2151.55,,,0
CDM,27801818_168267,Hb Other Implants,539.23,188.73,,,0
CDM,27801818_168268,Hb Other Implants,539.23,188.73,,,0
CDM,27801818_168269,Hb Other Implants,539.23,188.73,,,0
CDM,27801818_168270,Hb Other Implants,539.23,188.73,,,0
CDM,27801818_168366,Hb Other Implants,95.73,33.51,,,0
CDM,27801818_168367,Hb Other Implants,95.73,33.51,,,0
CDM,27801818_168368,Hb Other Implants,95.73,33.51,,,0
CDM,27801818_168369,Hb Other Implants,95.73,33.51,,,0
CDM,27801818_168385,Hb Other Implants,6087.91,2130.77,,,0
CDM,27801818_168408,Hb Other Implants,1217.13,426.0,,,0
CDM,27801818_168409,Hb Other Implants,908.99,318.15,,,0
CDM,27801818_168411,Hb Other Implants,908.99,318.15,,,0
CDM,27801818_168452,Hb Other Implants,1070.61,374.71,,,0
CDM,27801818_168488,Hb Other Implants,538.49,188.47,,,0
CDM,27801818_168511,Hb Other Implants,1309.58,458.35,,,0
CDM,27801818_168531,Hb Other Implants,7778.16,2722.36,,,0
CDM,27801818_168544,Hb Other Implants,5384.88,1884.71,,,0
CDM,27801818_168598,Hb Other Implants,79.19,27.72,,,0
CDM,27801818_168609,Hb Other Implants,2233.98,781.89,,,0
CDM,27801818_168646,Hb Other Implants,1510.76,528.77,,,0
CDM,27801818_168647,Hb Other Implants,1450.93,507.83,,,0
CDM,27801818_168729,Hb Other Implants,2079.16,727.71,,,0
CDM,27801818_168745,Hb Other Implants,194.45,68.06,,,0
CDM,27801818_168764,Hb Other Implants,939.36,328.78,,,0
CDM,27801818_168766,Hb Other Implants,712.99,249.55,,,0
CDM,27801818_168767,Hb Other Implants,3019.72,1056.9,,,0
CDM,27801818_168785,Hb Other Implants,10694.22,3742.98,,,0
CDM,27801818_168833,Hb Other Implants,2638.59,923.51,,,0
CDM,27801818_168834,Hb Other Implants,2638.59,923.51,,,0
CDM,27801818_168837,Hb Other Implants,2638.59,923.51,,,0
CDM,27801818_168838,Hb Other Implants,2764.24,967.48,,,0
CDM,27801818_168839,Hb Other Implants,2638.59,923.51,,,0
CDM,27801818_168841,Hb Other Implants,2638.59,923.51,,,0
CDM,27801818_170864,Hb Other Implants,11039.0,3863.65,,,0
CDM,27801818_170865,Hb Other Implants,11039.0,3863.65,,,0
CDM,27801818_170867,Hb Other Implants,5151.54,1803.04,,,0
CDM,27801818_170870,Hb Other Implants,10126.57,3544.3,,,0
CDM,27801818_170871,Hb Other Implants,2635.6,922.46,,,0
CDM,27801818_170872,Hb Other Implants,5908.41,2067.94,,,0
CDM,27801818_170874,Hb Other Implants,7867.91,2753.77,,,0
CDM,27801818_170877,Hb Other Implants,50076.39,17526.74,,,0
CDM,27801818_170881,Hb Other Implants,36712.92,12849.52,,,0
CDM,27801818_170884,Hb Other Implants,4783.57,1674.25,,,0
CDM,27801818_170885,Hb Other Implants,4852.38,1698.33,,,0
CDM,27801818_170886,Hb Other Implants,4852.38,1698.33,,,0
CDM,27801818_170920,Hb Other Implants,5609.25,1963.24,,,0
CDM,27801818_170921,Hb Other Implants,7449.08,2607.18,,,0
CDM,27801818_170922,Hb Other Implants,2842.02,994.71,,,0
CDM,27801818_170923,Hb Other Implants,4113.45,1439.71,,,0
CDM,27801818_170928,Hb Other Implants,2893.47,1012.71,,,0
CDM,27801818_170929,Hb Other Implants,1866.76,653.37,,,0
CDM,27801818_172130,Hb Other Implants,1756.78,614.87,,,0
CDM,27801818_175106,Hb Other Implants,38890.8,13611.78,,,0
CDM,27801818_177018,Hb Other Implants,1828.21,639.87,,,0
CDM,27801818_177122,Hb Other Implants,598.32,209.41,,,0
CDM,27801818_177123,Hb Other Implants,598.32,209.41,,,0
CDM,27801818_178030,Hb Other Implants,469.92,164.47,,,0
CDM,27801818_178191,Hb Other Implants,13755.38,4814.38,,,0
CDM,27801818_178192,Hb Other Implants,6910.6,2418.71,,,0
CDM,27801818_178193,Hb Other Implants,26062.82,9121.99,,,0
CDM,27801818_178194,Hb Other Implants,42845.7,14996.0,,,0
CDM,27801818_178195,Hb Other Implants,88389.81,30936.43,,,0
CDM,27801818_178236,Hb Other Implants,1350.85,472.8,,,0
CDM,27801818_178238,Hb Other Implants,5238.29,1833.4,,,0
CDM,27801818_178240,Hb Other Implants,3081.35,1078.47,,,0
CDM,27801818_178251,Hb Other Implants,454.13,158.95,,,0
CDM,27801818_178840,Hb Other Implants,8051.56,2818.05,,,0
CDM,27801818_178842,Hb Other Implants,12077.36,4227.08,,,0
CDM,27801818_178844,Hb Other Implants,10784.72,3774.65,,,0
CDM,27801818_178846,Hb Other Implants,6832.4,2391.34,,,0
CDM,27801818_178847,Hb Other Implants,11085.11,3879.79,,,0
CDM,27801818_178849,Hb Other Implants,8376.48,2931.77,,,0
CDM,27801818_178850,Hb Other Implants,8376.48,2931.77,,,0
CDM,27801818_178852,Hb Other Implants,8376.48,2931.77,,,0
CDM,27801818_178853,Hb Other Implants,8376.48,2931.77,,,0
CDM,27801818_17951,Hb Other Implants,6746.06,2361.12,,,0
CDM,27801818_17952,Hb Other Implants,6746.06,2361.12,,,0
CDM,27801818_17953,Hb Other Implants,6746.06,2361.12,,,0
CDM,27801818_181618,Hb Other Implants,3876.22,1356.68,,,0
CDM,27801818_181622,Hb Other Implants,52753.87,18463.85,,,0
CDM,27801818_181625,Hb Other Implants,56690.82,19841.79,,,0
CDM,27801818_181627,Hb Other Implants,3389.52,1186.33,,,0
CDM,27801818_181628,Hb Other Implants,6408.82,2243.09,,,0
CDM,27801818_181661,Hb Other Implants,230.12,80.54,,,0
CDM,27801818_181662,Hb Other Implants,257.28,90.05,,,0
CDM,27801818_181663,Hb Other Implants,4248.07,1486.82,,,0
CDM,27801818_184515,Hb Other Implants,6656.31,2329.71,,,0
CDM,27801818_184516,Hb Other Implants,6656.31,2329.71,,,0
CDM,27801818_184517,Hb Other Implants,13362.54,4676.89,,,0
CDM,27801818_184518,Hb Other Implants,22185.71,7765.0,,,0
CDM,27801818_191378,Hb Other Implants,2656.21,929.67,,,0
CDM,27801818_191432,Hb Other Implants,3171.69,1110.09,,,0
CDM,27801818_191877,Hb Other Implants,77992.74,27297.46,,,0
CDM,27801818_193231,Hb Other Implants,400.87,140.3,,,0
CDM,27801818_193249,Hb Other Implants,3036.47,1062.76,,,0
CDM,27801818_193253,Hb Other Implants,3036.47,1062.76,,,0
CDM,27801818_193264,Hb Other Implants,3036.47,1062.76,,,0
CDM,27801818_193270,Hb Other Implants,3036.47,1062.76,,,0
CDM,27801818_193272,Hb Other Implants,3036.47,1062.76,,,0
CDM,27801818_193274,Hb Other Implants,3036.47,1062.76,,,0
CDM,27801818_193275,Hb Other Implants,3036.47,1062.76,,,0
CDM,27801818_193284,Hb Other Implants,3036.47,1062.76,,,0
CDM,27801818_193287,Hb Other Implants,427.8,149.73,,,0
CDM,27801818_193291,Hb Other Implants,414.34,145.02,,,0
CDM,27801818_193292,Hb Other Implants,400.87,140.3,,,0
CDM,27801818_193293,Hb Other Implants,414.34,145.02,,,0
CDM,27801818_193294,Hb Other Implants,400.87,140.3,,,0
CDM,27801818_193296,Hb Other Implants,400.87,140.3,,,0
CDM,27801818_193298,Hb Other Implants,400.87,140.3,,,0
CDM,27801818_193301,Hb Other Implants,400.87,140.3,,,0
CDM,27801818_193302,Hb Other Implants,400.87,140.3,,,0
CDM,27801818_193303,Hb Other Implants,400.87,140.3,,,0
CDM,27801818_193304,Hb Other Implants,427.8,149.73,,,0
CDM,27801818_193305,Hb Other Implants,400.87,140.3,,,0
CDM,27801818_193347,Hb Other Implants,3141.18,1099.41,,,0
CDM,27801818_193353,Hb Other Implants,3036.47,1062.76,,,0
CDM,27801818_193380,Hb Other Implants,3141.18,1099.41,,,0
CDM,27801818_193383,Hb Other Implants,3141.18,1099.41,,,0
CDM,27801818_193385,Hb Other Implants,3141.18,1099.41,,,0
CDM,27801818_193392,Hb Other Implants,3036.47,1062.76,,,0
CDM,27801818_194038,Hb Other Implants,1580.64,553.22,,,0
CDM,27801818_194094,Hb Other Implants,19445.4,6805.89,,,0
CDM,27801818_194097,Hb Other Implants,19445.4,6805.89,,,0
CDM,27801818_194098,Hb Other Implants,19445.4,6805.89,,,0
CDM,27801818_194100,Hb Other Implants,19445.4,6805.89,,,0
CDM,27801818_194175,Hb Other Implants,7338.92,2568.62,,,0
CDM,27801818_194182,Hb Other Implants,7167.93,2508.78,,,0
CDM,27801818_194183,Hb Other Implants,7167.93,2508.78,,,0
CDM,27801818_194185,Hb Other Implants,7338.92,2568.62,,,0
CDM,27801818_194186,Hb Other Implants,7338.92,2568.62,,,0
CDM,27801818_194192,Hb Other Implants,7770.62,2719.72,,,0
CDM,27801818_194198,Hb Other Implants,7167.93,2508.78,,,0
CDM,27801818_194200,Hb Other Implants,7589.57,2656.35,,,0
CDM,27801818_197619,Hb Other Implants,233.38,81.68,,,0
CDM,27801818_197851,Hb Other Implants,11730.06,4105.52,,,0
CDM,27801818_19968,Hb Other Implants,7215.74,2525.51,,,0
CDM,27801818_200553,Hb Other Implants,7322.18,2562.76,,,0
CDM,27801818_200842,Hb Other Implants,1468.8,514.08,,,0
CDM,27801818_200934,Hb Other Implants,2841.75,994.61,,,0
CDM,27801818_200984,Hb Other Implants,119.66,41.88,,,0
CDM,27801818_201601,Hb Other Implants,876.96,306.94,,,0
CDM,27801818_201621,Hb Other Implants,1465.88,513.06,,,0
CDM,27801818_201891,Hb Other Implants,2381.76,833.62,,,0
CDM,27801818_202218,Hb Other Implants,2692.44,942.35,,,0
CDM,27801818_202406,Hb Other Implants,4418.82,1546.59,,,0
CDM,27801818_202507,Hb Other Implants,1465.88,513.06,,,0
CDM,27801818_202688,Hb Other Implants,2260.1,791.04,,,0
CDM,27801818_202695,Hb Other Implants,884.64,309.62,,,0
CDM,27801818_202874,Hb Other Implants,4509.0,1578.15,,,0
CDM,27801818_203392,Hb Other Implants,4509.0,1578.15,,,0
CDM,27801818_203414,Hb Other Implants,9719.71,3401.9,,,0
CDM,27801818_203421,Hb Other Implants,9179.72,3212.9,,,0
CDM,27801818_203423,Hb Other Implants,9179.72,3212.9,,,0
CDM,27801818_203424,Hb Other Implants,9179.72,3212.9,,,0
CDM,27801818_203428,Hb Other Implants,9179.72,3212.9,,,0
CDM,27801818_203429,Hb Other Implants,9179.72,3212.9,,,0
CDM,27801818_203431,Hb Other Implants,9719.71,3401.9,,,0
CDM,27801818_203432,Hb Other Implants,9719.71,3401.9,,,0
CDM,27801818_203433,Hb Other Implants,10826.6,3789.31,,,0
CDM,27801818_203434,Hb Other Implants,9719.71,3401.9,,,0
CDM,27801818_203436,Hb Other Implants,9179.72,3212.9,,,0
CDM,27801818_203437,Hb Other Implants,9719.71,3401.9,,,0
CDM,27801818_203438,Hb Other Implants,10826.6,3789.31,,,0
CDM,27801818_203724,Hb Other Implants,3515.13,1230.3,,,0
CDM,27801818_203725,Hb Other Implants,16453.8,5758.83,,,0
CDM,27801818_203726,Hb Other Implants,7105.05,2486.77,,,0
CDM,27801818_203777,Hb Other Implants,648.43,226.95,,,0
CDM,27801818_203919,Hb Other Implants,342.6,119.91,,,0
CDM,27801818_204271,Hb Other Implants,2757.8,965.23,,,0
CDM,27801818_205207,Hb Other Implants,1555.63,544.47,,,0
CDM,27801818_205209,Hb Other Implants,1555.63,544.47,,,0
CDM,27801818_205210,Hb Other Implants,1555.63,544.47,,,0
CDM,27801818_205211,Hb Other Implants,1555.63,544.47,,,0
CDM,27801818_205428,Hb Other Implants,2834.16,991.96,,,0
CDM,27801818_205462,Hb Other Implants,1802.6,630.91,,,0
CDM,27801818_205634,Hb Other Implants,379.51,132.83,,,0
CDM,27801818_206198,Hb Other Implants,365.6,127.96,,,0
CDM,27801818_206280,Hb Other Implants,2549.56,892.35,,,0
CDM,27801818_207059,Hb Other Implants,897.48,314.12,,,0
CDM,27801818_207843,Hb Other Implants,3787.79,1325.73,,,0
CDM,27801818_207928,Hb Other Implants,3290.76,1151.77,,,0
CDM,27801818_207945,Hb Other Implants,5624.21,1968.47,,,0
CDM,27801818_208197,Hb Other Implants,30054.36,10519.03,,,0
CDM,27801818_209517,Hb Other Implants,373.95,130.88,,,0
CDM,27801818_209684,Hb Other Implants,8480.29,2968.1,,,0
CDM,27801818_209691,Hb Other Implants,5868.62,2054.02,,,0
CDM,27801818_209726,Hb Other Implants,2213.78,774.82,,,0
CDM,27801818_209727,Hb Other Implants,2213.78,774.82,,,0
CDM,27801818_209767,Hb Other Implants,5833.41,2041.69,,,0
CDM,27801818_210034,Hb Other Implants,302.75,105.96,,,0
CDM,27801818_210236,Hb Other Implants,1035.96,362.59,,,0
CDM,27801818_210238,Hb Other Implants,746.34,261.22,,,0
CDM,27801818_210241,Hb Other Implants,746.34,261.22,,,0
CDM,27801818_210245,Hb Other Implants,1730.34,605.62,,,0
CDM,27801818_210659,Hb Other Implants,577.38,202.08,,,0
CDM,27801818_210660,Hb Other Implants,577.38,202.08,,,0
CDM,27801818_210703,Hb Other Implants,577.38,202.08,,,0
CDM,27801818_210740,Hb Other Implants,2815.45,985.41,,,0
CDM,27801818_210818,Hb Other Implants,3773.76,1320.82,,,0
CDM,27801818_210822,Hb Other Implants,1324.71,463.65,,,0
CDM,27801818_210871,Hb Other Implants,2702.27,945.79,,,0
CDM,27801818_211088,Hb Other Implants,508.42,177.95,,,0
CDM,27801818_211292,Hb Other Implants,1959.5,685.82,,,0
CDM,27801818_211430,Hb Other Implants,7953.92,2783.87,,,0
CDM,27801818_211433,Hb Other Implants,618.76,216.57,,,0
CDM,27801818_211509,Hb Other Implants,350.02,122.51,,,0
CDM,27801818_211514,Hb Other Implants,454.72,159.15,,,0
CDM,27801818_211515,Hb Other Implants,454.72,159.15,,,0
CDM,27801818_211518,Hb Other Implants,454.72,159.15,,,0
CDM,27801818_212426,Hb Other Implants,897.48,314.12,,,0
CDM,27801818_212453,Hb Other Implants,897.48,314.12,,,0
CDM,27801818_212802,Hb Other Implants,2300.54,805.19,,,0
CDM,27801818_213499,Hb Other Implants,2992.98,1047.54,,,0
CDM,27801818_213537,Hb Other Implants,5444.71,1905.65,,,0
CDM,27801818_213538,Hb Other Implants,2677.48,937.12,,,0
CDM,27801818_213591,Hb Other Implants,1465.88,513.06,,,0
CDM,27801818_213739,Hb Other Implants,4418.82,1546.59,,,0
CDM,27801818_213866,Hb Other Implants,6237.49,2183.12,,,0
CDM,27801818_213870,Hb Other Implants,7858.93,2750.63,,,0
CDM,27801818_213874,Hb Other Implants,7900.82,2765.29,,,0
CDM,27801818_213877,Hb Other Implants,9261.99,3241.7,,,0
CDM,27801818_214013,Hb Other Implants,998.78,349.57,,,0
CDM,27801818_214325,Hb Other Implants,2964.6,1037.61,,,0
CDM,27801818_214478,Hb Other Implants,2964.6,1037.61,,,0
CDM,27801818_214522,Hb Other Implants,2825.28,988.85,,,0
CDM,27801818_215105,Hb Other Implants,1794.96,628.24,,,0
CDM,27801818_215144,Hb Other Implants,505.92,177.07,,,0
CDM,27801818_215373,Hb Other Implants,2490.26,871.59,,,0
CDM,27801818_215526,Hb Other Implants,32907.6,11517.66,,,0
CDM,27801818_215528,Hb Other Implants,81.86,28.65,,,0
CDM,27801818_215529,Hb Other Implants,4113.45,1439.71,,,0
CDM,27801818_215684,Hb Other Implants,3859.16,1350.71,,,0
CDM,27801818_216324,Hb Other Implants,258.61,90.51,,,0
CDM,27801818_216393,Hb Other Implants,7288.35,2550.92,,,0
CDM,27801818_216837,Hb Other Implants,692.22,242.28,,,0
CDM,27801818_216854,Hb Other Implants,2393.28,837.65,,,0
CDM,27801818_217045,Hb Other Implants,1346.22,471.18,,,0
CDM,27801818_217283,Hb Other Implants,1944.54,680.59,,,0
CDM,27801818_217356,Hb Other Implants,1944.54,680.59,,,0
CDM,27801818_217819,Hb Other Implants,430.79,150.78,,,0
CDM,27801818_217820,Hb Other Implants,554.64,194.12,,,0
CDM,27801818_217821,Hb Other Implants,969.28,339.25,,,0
CDM,27801818_217862,Hb Other Implants,1377.39,482.09,,,0
CDM,27801818_217917,Hb Other Implants,708.47,247.96,,,0
CDM,27801818_217918,Hb Other Implants,656.79,229.88,,,0
CDM,27801818_218573,Hb Other Implants,1465.88,513.06,,,0
CDM,27801818_218616,Hb Other Implants,1465.88,513.06,,,0
CDM,27801818_218760,Hb Other Implants,29227.93,10229.78,,,0
CDM,27801818_219136,Hb Other Implants,1346.22,471.18,,,0
CDM,27801818_219571,Hb Other Implants,1346.22,471.18,,,0
CDM,27801818_220139,Hb Other Implants,4258.5,1490.48,,,0
CDM,27801818_220175,Hb Other Implants,527.42,184.6,,,0
CDM,27801818_220286,Hb Other Implants,1358.49,475.47,,,0
CDM,27801818_221191,Hb Other Implants,2964.6,1037.61,,,0
CDM,27801818_221431,Hb Other Implants,822.69,287.94,,,0
CDM,27801818_221499,Hb Other Implants,4139.26,1448.74,,,0
CDM,27801818_222105,Hb Other Implants,747.9,261.76,,,0
CDM,27801818_222236,Hb Other Implants,1468.8,514.08,,,0
CDM,27801818_222640,Hb Other Implants,5543.43,1940.2,,,0
CDM,27801818_222641,Hb Other Implants,5543.43,1940.2,,,0
CDM,27801818_222655,Hb Other Implants,1794.96,628.24,,,0
CDM,27801818_223084,Hb Other Implants,1468.8,514.08,,,0
CDM,27801818_223817,Hb Other Implants,526.52,184.28,,,0
CDM,27801818_224193,Hb Other Implants,4803.18,1681.11,,,0
CDM,27801818_224717,Hb Other Implants,2964.6,1037.61,,,0
CDM,27801818_225159,Hb Other Implants,2430.97,850.84,,,0
CDM,27801818_25812,Hb Other Implants,431.36,150.98,,,0
CDM,27801818_26583,Hb Other Implants,2954.96,1034.24,,,0
CDM,27801818_26664,Hb Other Implants,897.48,314.12,,,0
CDM,27801818_26776,Hb Other Implants,9456.45,3309.76,,,0
CDM,27801818_270,Hb Other Implants,1271.43,445.0,,,0
CDM,27801818_272,Hb Other Implants,1317.01,460.95,,,0
CDM,27801818_276,Hb Other Implants,538.49,188.47,,,0
CDM,27801818_27654,Hb Other Implants,2383.93,834.38,,,0
CDM,27801818_278,Hb Other Implants,3425.63,1198.97,,,0
CDM,27801818_28455,Hb Other Implants,2229.34,780.27,,,0
CDM,27801818_35197,Hb Other Implants,456.21,159.67,,,0
CDM,27801818_378,Hb Other Implants,18748.98,6562.14,,,0
CDM,27801818_38204,Hb Other Implants,7695.9,2693.56,,,0
CDM,27801818_43845,Hb Other Implants,473.21,165.62,,,0
CDM,27801818_51471,Hb Other Implants,7167.93,2508.78,,,0
CDM,27801818_51515,Hb Other Implants,7338.92,2568.62,,,0
CDM,27801818_57966,Hb Other Implants,950.64,332.72,,,0
CDM,27801818_61371,Hb Other Implants,897.48,314.12,,,0
CDM,27801818_623,Hb Other Implants,1271.43,445.0,,,0
CDM,27801818_624,Hb Other Implants,15048.36,5266.93,,,0
CDM,27801818_65224,Hb Other Implants,3070.09,1074.53,,,0
CDM,27801818_67788,Hb Other Implants,4487.4,1570.59,,,0
CDM,27801818_68588,Hb Other Implants,7236.68,2532.84,,,0
CDM,27801818_74078,Hb Other Implants,7454.95,2609.23,,,0
CDM,27801818_74125,Hb Other Implants,7591.84,2657.14,,,0
CDM,27801818_74127,Hb Other Implants,7299.74,2554.91,,,0
CDM,27801818_74128,Hb Other Implants,7299.74,2554.91,,,0
CDM,27801818_74129,Hb Other Implants,7241.16,2534.41,,,0
CDM,27801818_74644,Hb Other Implants,165.43,57.9,,,0
CDM,27801818_74648,Hb Other Implants,165.43,57.9,,,0
CDM,27801818_74649,Hb Other Implants,165.43,57.9,,,0
CDM,27801818_74683,Hb Other Implants,7299.74,2554.91,,,0
CDM,27801818_74686,Hb Other Implants,7241.16,2534.41,,,0
CDM,27801818_75059,Hb Other Implants,5761.82,2016.64,,,0
CDM,27801818_75060,Hb Other Implants,5761.82,2016.64,,,0
CDM,27801818_78951,Hb Other Implants,897.48,314.12,,,0
CDM,27801818_79595,Hb Other Implants,3775.4,1321.39,,,0
CDM,27801818_79940,Hb Other Implants,4449.59,1557.36,,,0
CDM,27801818_81460,Hb Other Implants,26221.37,9177.48,,,0
CDM,27801818_81753,Hb Other Implants,5624.21,1968.47,,,0
CDM,27801818_85360,Hb Other Implants,24854.21,8698.97,,,0
CDM,27801818_91213,Hb Other Implants,29841.21,10444.42,,,0
CDM,27801818_91635,Hb Other Implants,6416.98,2245.94,,,0
CDM,27801818_91636,Hb Other Implants,6416.98,2245.94,,,0
CDM,27801818_91811,Hb Other Implants,1241.51,434.53,,,0
CDM,27801818_91825,Hb Other Implants,2348.11,821.84,,,0
CDM,27801818_92251,Hb Other Implants,3515.88,1230.56,,,0
CDM,27801818_94600,Hb Other Implants,123.47,43.21,,,0
CDM,27801818_94601,Hb Other Implants,123.47,43.21,,,0
CDM,27801818_94616,Hb Other Implants,628.59,220.01,,,0
CDM,27801818_94617,Hb Other Implants,628.59,220.01,,,0
CDM,27801818_94628,Hb Other Implants,320.46,112.16,,,0
CDM,27801818_94641,Hb Other Implants,71.8,25.13,,,0
CDM,27801818_95459,Hb Other Implants,1256.47,439.76,,,0
CDM,27801818_96237,Hb Other Implants,2518.93,881.63,,,0
CDM,27801818_97049,Hb Other Implants,5983.2,2094.12,,,0
CDM,27801818_97050,Hb Other Implants,5983.2,2094.12,,,0
CDM,27801822_278,Hb Blood Pump 42X12,47386.94,16585.43,,,0
CDM,27802042_218129,Hb Sup Rev 278 Hcpcs C2641,1329.59,465.36,,,0
CDM,27802043,Hb I-125 Seed 0.1-.99 Mg,332.64,116.42,,,0
CDM,27802044,Hb I-125 Seed 1.0 - 2.99 Mg,331.56,116.05,,,0
CDM,27802044_C2639_278,Hb I-125 Seed 1.0 - 2.99 Mg,331.56,116.05,,,0
CDM,27802045,Hb I-125 Seed 3.0 - 5.99 Mg,332.64,116.42,,,0
CDM,27802046,Hb Iridium Seed 0.1 - 0.99 Mg,1458.0,510.3,,,0
CDM,27802047,Hb Iridium Seed 1.0 - 1.99 Mg,1458.0,510.3,,,0
CDM,27802048,Hb Iridium Seed 2.0 - 3.99 Mg,1458.0,510.3,,,0
CDM,27802049,Hb Iridium Seed 4.0 - 4.99Mg,1458.0,510.3,,,0
CDM,27802050,Hb Iridium Seed 5.0 And Over,1458.0,510.3,,,0
CDM,27802051,Hb Pd-103 Seeds,213.84,74.84,,,0
CDM,27802051_C2641_278,Hb Pd-103 Seeds,213.84,74.84,,,0
CDM,27802053_C1876_278,Hb Stent Luminexx 12X100X80,2773.21,970.62,,,0
CDM,27802054_C1876_278,Hb Stent Luminexx 12X120X80,2773.21,970.62,,,0
CDM,27802055_C1817_278,Hb Occluder Amplatzer Septal 11Mm,24079.39,8427.79,,,0
CDM,27802057_278,Hb Coil Embo Nester 10Mm X 14Cm,565.41,197.89,,,0
CDM,27802058_278,Hb Coil Embo Nester 12Mm X 14Cm,565.41,197.89,,,0
CDM,27802064_278,Hb Coil Embo Tornado 5/3,565.41,197.89,,,0
CDM,27802080_C1874_278,Hb Stent Graft Viabahn 8X5X120,9749.62,3412.37,,,0
CDM,27802087_C1876_278,Hb Stent Formula 418 6X12X80,2643.83,925.34,,,0
CDM,27802092_C1876_278,Hb Stent Formula 418 6X20X135,2643.83,925.34,,,0
CDM,27802093_C1876_278,Hb Stent Formula 418 7X12X80,2643.83,925.34,,,0
CDM,27802100_C1876_278,Hb Stent Formula 418 8X20X135,2643.83,925.34,,,0
CDM,27802106_C2625_278,Hb Stent Ureteral 8.5X12,340.96,119.34,,,0
CDM,27802107_C2625_278,Hb Stent Ureteral 8.5X16,816.71,285.85,,,0
CDM,27802110_272,Hb Lead End Cap Set,70.64,24.72,,,0
CDM,27802125_278,Hb Coil Target 360 Std 4X15,5780.7,2023.24,,,0
CDM,27802132_278,Hb Coil Target 360 Soft 4X15,5899.48,2064.82,,,0
CDM,27802133_278,Hb Coil Target 360 Soft 5X20,5771.24,2019.93,,,0
CDM,27802134_278,Hb Coil Target 360 Soft 6X20,5780.7,2023.24,,,0
CDM,27802135_278,Hb Coil Target 360 Soft 6X30,5780.7,2023.24,,,0
CDM,27802136_278,Hb Coil Target 360 Soft 7X30,5780.7,2023.24,,,0
CDM,27802138_278,Hb Coil Target 360 Ultra 2X6,5772.02,2020.21,,,0
CDM,27802139_278,Hb Coil Target 360 Ultra 3X10,5819.38,2036.78,,,0
CDM,27802140_278,Hb Coil Target 360 Ultra 4X15,5834.44,2042.05,,,0
CDM,27802141_278,Hb Coil Target 360 Ultra 5X15,5840.09,2044.03,,,0
CDM,27802368_278,Hb Coil Target 360 Ultra 1X2,5776.36,2021.73,,,0
CDM,27802369_278,Hb Coil Target 360 Ultra 1X3,5745.26,2010.84,,,0
CDM,27802371_278,Hb Coil Target 360 Ultra 1.5X3,5756.4,2014.74,,,0
CDM,27802372_278,Hb Coil Target 360 Ultra 1.5X4,5760.45,2016.16,,,0
CDM,27802392_278,Hb Coil Nester .018 14X4,259.37,90.78,,,0
CDM,27802401_272,Hb Envelope Anti Bac Aigis Pm,2811.27,983.94,,,0
CDM,27802401_278,Hb Envelope Anti Bac Aigis Pm,2976.64,1041.82,,,0
CDM,27802402_272,Hb Envelope Anti Bac Aigis Icd,2778.03,972.31,,,0
CDM,27802402_278,Hb Envelope Anti Bac Aigis Icd,2918.91,1021.62,,,0
CDM,27802402_C1889_272,Hb Envelope Anti Bac Aigis Icd,2528.73,885.06,,,0
CDM,27802402_C1889_278,Hb Envelope Anti Bac Aigis Icd,2689.45,941.31,,,0
CDM,27802716_278,Hb Stent Solitaire 2 4X20,20492.46,7172.36,,,0
CDM,27802732_C1876_278,Hb Stent Formula 418 6X16X135,2643.83,925.34,,,0
CDM,27802762_278,Hb Coil Target Xl 360 Soft 6 X 20Cm,7851.44,2748.0,,,0
CDM,27802763_278,Hb Coil Target Xl 360 Soft 7 X 20Cm,8072.5,2825.38,,,0
CDM,27802764_278,Hb Coil Target Xl 360 Soft 8 X 30Cm,7909.97,2768.49,,,0
CDM,27802766_278,Hb Coil Target Xl 360 Soft 10 X 40Cm,7909.97,2768.49,,,0
CDM,27802767_278,Hb Coil Target Xl 360 Soft 12 X 45Cm,7909.97,2768.49,,,0
CDM,27802769_278,Hb Coil Target Xl 360 Soft 16 X 50Cm,7770.17,2719.56,,,0
CDM,27802770_278,Hb Coil Target Xl 360 Soft 18 X 50Cm,7770.17,2719.56,,,0
CDM,27802771_278,Hb Coil Target Xl 360 Soft 20 X 50Cm,7909.97,2768.49,,,0
CDM,27802778_278,Hb Coil Axium Prime 3D 5X10,4936.14,1727.65,,,0
CDM,27802781_278,Hb Coil Axium Prime 3D 6X15,4936.14,1727.65,,,0
CDM,27802941_C1874_278,Hb Stent Silver Ptx 6X80X125,5369.92,1879.47,,,0
CDM,27802943_149189,Hb Sup Rev 278 Hcpcs C1817,24079.39,8427.79,,,0
CDM,27802948_109984,Hb Sup Rev 278 Hcpcs C2622,30188.98,10566.14,,,0
CDM,27802948_126887,Hb Sup Rev 278 Hcpcs C2622,28989.23,10146.23,,,0
CDM,27802948_126889,Hb Sup Rev 278 Hcpcs C2622,29789.06,10426.17,,,0
CDM,27802948_126891,Hb Sup Rev 278 Hcpcs C2622,30188.98,10566.14,,,0
CDM,27802948_126892,Hb Sup Rev 278 Hcpcs C2622,28189.4,9866.29,,,0
CDM,27802948_144248,Hb Sup Rev 278 Hcpcs C2622,2.16,0.76,,,0
CDM,27802948_144267,Hb Sup Rev 278 Hcpcs C2622,2.16,0.76,,,0
CDM,27802948_144420,Hb Sup Rev 278 Hcpcs C2622,2.16,0.76,,,0
CDM,27802948_144421,Hb Sup Rev 278 Hcpcs C2622,2.16,0.76,,,0
CDM,27802948_175081,Hb Sup Rev 278 Hcpcs C2622,2.16,0.76,,,0
CDM,27802948_27686,Hb Sup Rev 278 Hcpcs C2622,22676.93,7936.93,,,0
CDM,27802948_27688,Hb Sup Rev 278 Hcpcs C2622,22341.27,7819.44,,,0
CDM,27803043_C1874_278,Hb Stent Graft Fluency Plus 9X60X80,6470.83,2264.79,,,0
CDM,27803044_C1874_278,Hb Stent Graft Fluency Plus 9X80X80,6470.83,2264.79,,,0
CDM,27803045_C1874_278,Hb Stent Graft Fluency Plus 9X100X80,6470.83,2264.79,,,0
CDM,27803046_C1874_278,Hb Stent Graft Fluency Plus 9X120X80,6470.83,2264.79,,,0
CDM,27803047_C1874_278,Hb Stent Graft Fluency Plus 10X40X80,6470.83,2264.79,,,0
CDM,27803048_C1874_278,Hb Stent Graft Fluency Plus 10X60X80,7075.99,2476.6,,,0
CDM,27803050_C1874_278,Hb Stent Graft Fluency Plus 10X100X80,6470.83,2264.79,,,0
CDM,27803051_C1874_278,Hb Stent Graft Fluency Plus 10X120X80,6470.83,2264.79,,,0
CDM,27803052_C1874_278,Hb Stent Graft Fluency Plus 12X40X80,6931.54,2426.04,,,0
CDM,27803053_C1874_278,Hb Stent Graft Fluency Plus 12X60X80,6933.04,2426.56,,,0
CDM,27803054_C1874_278,Hb Stent Graft Fluency Plus 12X80X80,6933.04,2426.56,,,0
CDM,27803056_C1874_278,Hb Stent Graft Fluency Plus 12X120X80,6933.04,2426.56,,,0
CDM,27803057_C1874_278,Hb Stent Graft Fluency Plus 13.5X40X80,6933.04,2426.56,,,0
CDM,27803058_C1874_278,Hb Stent Graft Fluency Plus 13.5X60X80,6933.04,2426.56,,,0
CDM,27803060_278,Hb Stent Graft Fluency Plus 13.5X100X80,6933.04,2426.56,,,0
CDM,27803061_278,Hb Stent Graft Fluency Plus 13.5X120X80,6933.04,2426.56,,,0
CDM,27803067_C1874_278,Hb Stent Graft Fluency Plus 7X40X80,6470.83,2264.79,,,0
CDM,27803069_C1874_278,Hb Stent Graft Fluency Plus 7X80X80,6470.83,2264.79,,,0
CDM,27803072_C1874_278,Hb Stent Graft Fluency Plus 8X40X80,6470.83,2264.79,,,0
CDM,27803073_C1874_278,Hb Stent Graft Fluency Plus 8X60X80,6470.83,2264.79,,,0
CDM,27803074_C1874_278,Hb Stent Graft Fluency Plus 8X80X80,6470.83,2264.79,,,0
CDM,27803076_C1874_278,Hb Stent Graft Fluency Plus 8X120X80,6470.83,2264.79,,,0
CDM,27803078_278,Hb Coil Detachable Nano 2X3,5780.7,2023.24,,,0
CDM,27803079_278,Hb Coil Detachable Nano 2X4,5780.7,2023.24,,,0
CDM,27803080_278,Hb Coil Detachable Nano 2.5X4,5780.7,2023.24,,,0
CDM,27803081_278,Hb Coil Detachable Nano 3X4,5760.45,2016.16,,,0
CDM,27803082_278,Hb Coil Detachable Nano 3X6,5780.7,2023.24,,,0
CDM,27803085_278,Hb Coil Target 360 Ultra  4.5X10,5780.7,2023.24,,,0
CDM,27803086_C1874_278,Hb Stent Graft Fluency Plus 9X40X80,6470.83,2264.79,,,0
CDM,27803148_C1874_278,Hb Stent Zilver Ptx 6X100X125,5369.92,1879.47,,,0
CDM,27803151,Hb Needle Reflector Savi Scout L7.5Cm Lf,1196.64,418.82,,,0
CDM,27803151_A4648_278,Hb Needle Reflector Savi Scout L7.5Cm Lf,1196.64,418.82,,,0
CDM,27803209_C1876_278,Hb Stent Formula 418 5X16X80,2643.83,925.34,,,0
CDM,27803212_278,Hb Stent Solitaire 2 4X40,20492.46,7172.36,,,0
CDM,27803363_C1874_278,Hb Stent Zilver Ptx 6X40,3515.13,1230.3,,,0
CDM,27803364_C1874_278,Hb Stent Zilver Ptx 6X60,4472.44,1565.35,,,0
CDM,27803365_C1876_278,Hb Stent Formula 5X12X80,2767.23,968.53,,,0
CDM,27803375_278,Hb Coil Axium Prime Bare 3D 1X3 Es,5534.46,1937.06,,,0
CDM,27803376_278,Hb Coil Axium Prime Bare 3D 1X4 Es,5534.46,1937.06,,,0
CDM,27803388_278,Hb Coil Concerto Helix Coil 2X4 Nylon,1944.54,680.59,,,0
CDM,27803389_278,Hb Coil Concerto Helix Coil 2X6 Nylon,1944.54,680.59,,,0
CDM,27803390_278,Hb Coil Concerto Helix Coil 2X8 Nylon,1944.54,680.59,,,0
CDM,27803391_278,Hb Coil Concerto Helix Coil 3X4 Nylon,1944.54,680.59,,,0
CDM,27803392_278,Hb Coil Concerto Helix Coil 3X8 Nylon,1944.54,680.59,,,0
CDM,27803393_278,Hb Coil Concerto Helix Coil 4X8 Nylon,1944.54,680.59,,,0
CDM,27803394_278,Hb Coil Concerto Helix Coil 4X10 Nylon,1944.54,680.59,,,0
CDM,27803396_278,Hb Coil Concerto Helix Coil 5X20,1944.54,680.59,,,0
CDM,27803397_278,Hb Coil Concerto Helix Coil 6X20,1944.54,680.59,,,0
CDM,27803399_278,Hb Coil Concerto Helix Coil 8X30,1944.54,680.59,,,0
CDM,27803401_278,Hb Coil Concerto Helix Coil 10X30,1944.54,680.59,,,0
CDM,27803430_C1876_278,Hb Stent Formula 6X20X80,2643.83,925.34,,,0
CDM,27803431_C1876_278,Hb Stent Formula 7X20X80,2643.83,925.34,,,0
CDM,27803433_C1874_278,Hb Stent Zilver Ptx 6X120X125,5968.24,2088.88,,,0
CDM,27803434_C1874_278,Hb Stent Zilver Ptx 7X60X125,4472.44,1565.35,,,0
CDM,27803436_C1874_278,Hb Stent Zilver Ptx 8X40X125,3515.13,1230.3,,,0
CDM,27803437_C1874_278,Hb Stent Zilver Ptx 8X60X125,4472.44,1565.35,,,0
CDM,27803521_107294,Hb Sup Rev 278 Hcpcs Q4118,3829.25,1340.24,,,0
CDM,27803534_278,Hb Coil Target Xl 360 Soft 3X6,7909.97,2768.49,,,0
CDM,27803535_278,Hb Coil Target Xl 360 Soft 3X9,7909.97,2768.49,,,0
CDM,27803537_278,Hb Coil Target Xl 360 Soft 4X12,7909.97,2768.49,,,0
CDM,27803539_278,Hb Coil Target Xl 360 Soft 5X15,7909.97,2768.49,,,0
CDM,27803540_193264,Hb Sup Rev 278 Hcpcs V2788,3036.47,1062.76,,,0
CDM,27803540_193340,Hb Sup Rev 278 Hcpcs V2788,3036.47,1062.76,,,0
CDM,27803545_C1874_278,Hb Stent Viabahn 7X5X120,9749.62,3412.37,,,0
CDM,27803560_C1874_278,Hb Stent Viabahn 6X2.5X120,9749.62,3412.37,,,0
CDM,27803561_C1874_278,Hb Stent Viabahn 6X10X120,11006.1,3852.14,,,0
CDM,27803578_C1874_278,Hb Stent Zilver Ptx 7X40X125,3515.13,1230.3,,,0
CDM,27803613_C1876_278,Hb Stent Prot?G? Gps 10X20X80,3141.18,1099.41,,,0
CDM,27803635_C1876_278,Hb Stent Formula 418 8X16X80,6339.2,2218.72,,,0
CDM,27803651_C1788_278,Hb Port Clearvue 8Fr Slim Bumped,822.69,287.94,,,0
CDM,27803654_278,Hb Occluder Pfo 35 Mm,29901.04,10465.36,,,0
CDM,27803655_67254,Hb Sup Rev 278 Hcpcs V2785,9689.57,3391.35,,,0
CDM,27803660_278,Hb Stent Resolute Onyx 2.25X18,1346.22,471.18,,,0
CDM,27803661_278,Hb Stent Resolute Onyx 2.25X22,1346.22,471.18,,,0
CDM,27803671_278,Hb Stent Resolute Onyx 2.5X26,1346.22,471.18,,,0
CDM,27803686_278,Hb Stent Resolute Onyx 3.00X15,1346.22,471.18,,,0
CDM,27803692_278,Hb Stent Resolute Onyx 3.00X38,1346.22,471.18,,,0
CDM,27803697_278,Hb Stent Resolute Onyx 3.50X22,1346.22,471.18,,,0
CDM,27803725_278,Hb Vertaplex Cement Reg,1121.97,392.69,,,0
CDM,27803726_278,Hb Vertaplex Cement Hv,1257.43,440.1,,,0
CDM,27803727_278,Hb Coil Ruby Standard 10X35,3859.16,1350.71,,,0
CDM,27803728_278,Hb Coil Ruby Standard 12X40,3859.16,1350.71,,,0
CDM,27803729_278,Hb Coil Ruby Standard 12X60,3859.16,1350.71,,,0
CDM,27803730_278,Hb Coil Ruby Standard 14X60,3859.16,1350.71,,,0
CDM,27803731_278,Hb Coil Ruby Standard 16X60,3859.16,1350.71,,,0
CDM,27803732_278,Hb Coil Ruby Standard 18X57,3859.16,1350.71,,,0
CDM,27803733_278,Hb Coil Ruby Standard 20X60,3859.16,1350.71,,,0
CDM,27803734_278,Hb Coil Ruby Standard 24X57,3859.16,1350.71,,,0
CDM,27803735_278,Hb Coil Ruby Standard 28X60,3859.16,1350.71,,,0
CDM,27803736_278,Hb Coil Ruby Standard 32X60,3859.16,1350.71,,,0
CDM,27803737_278,Hb Coil Ruby Soft 2X1,2363.36,827.18,,,0
CDM,27803738_278,Hb Coil Ruby Soft 2X2,2363.36,827.18,,,0
CDM,27803739_278,Hb Coil Ruby Soft 2X4,2363.36,827.18,,,0
CDM,27803740_278,Hb Coil Ruby Soft 3X5,2363.36,827.18,,,0
CDM,27803741_272,Hb Coil Ruby Soft 3X15,2797.15,979.0,,,0
CDM,27803741_278,Hb Coil Ruby Soft 3X15,2961.68,1036.59,,,0
CDM,27803742_278,Hb Coil Ruby Soft 4X6,2363.36,827.18,,,0
CDM,27803743_272,Hb Coil Ruby Soft 4X15,2797.15,979.0,,,0
CDM,27803743_278,Hb Coil Ruby Soft 4X15,2961.68,1036.59,,,0
CDM,27803744_272,Hb Coil Ruby Soft 6X20,2797.15,979.0,,,0
CDM,27803744_278,Hb Coil Ruby Soft 6X20,2961.68,1036.59,,,0
CDM,27803745_272,Hb Coil Ruby Soft 6X30,3644.77,1275.67,,,0
CDM,27803745_278,Hb Coil Ruby Soft 6X30,3859.16,1350.71,,,0
CDM,27803746_278,Hb Coil Ruby Soft 8X35,3859.16,1350.71,,,0
CDM,27803747_278,Hb Coil Ruby Soft 8X60,3859.16,1350.71,,,0
CDM,27803748_278,Hb Coil Ruby Soft 16X50,3859.16,1350.71,,,0
CDM,27803749_278,Hb Coil Ruby Soft 20X60,3859.16,1350.71,,,0
CDM,27803750_278,Hb Coil Pod 4,5354.96,1874.24,,,0
CDM,27803751_278,Hb Coil Pod 5,5354.96,1874.24,,,0
CDM,27803752_278,Hb Coil Pod 6,5354.96,1874.24,,,0
CDM,27803753_278,Hb Coil Pod 8,5354.96,1874.24,,,0
CDM,27803754_278,Hb Coil Pod Packing J Soft 15,2961.68,1036.59,,,0
CDM,27803755_278,Hb Coil Pod Packing J Soft 30,3859.16,1350.71,,,0
CDM,27803756_278,Hb Coil Pod Packing J Soft 45,3859.16,1350.71,,,0
CDM,27803757_278,Hb Coil Pod Packing J Soft 60,3859.16,1350.71,,,0
CDM,27803841_127296,Hb Hm3 Lvad Implant Kit Commercial,292958.41,102535.44,,,0
CDM,27803845_C1817_278,Hb Occluder Duct Ii 6/4,15655.04,5479.26,,,0
CDM,27803851_278,Hb Kit Protekduo Dl31,55344.6,19370.61,,,0
CDM,27803852_107295,Hb Sup Rev 278 Hcpcs Q4166,7012.31,2454.31,,,0
CDM,27803852_109696,Hb Sup Rev 278 Hcpcs Q4166,66234.02,23181.91,,,0
CDM,27803852_116668,Hb Sup Rev 278 Hcpcs Q4166,5842.59,2044.91,,,0
CDM,27803853_78535,Hb Sup Rev 278 Hcpcs Q4118,1663.33,582.17,,,0
CDM,27803854_278,Hb Stent Solitaire Fr3 6X40,20492.46,7172.36,,,0
CDM,27803857_C1817_278,Hb Occluder Cardioform 30Mm,31348.15,10971.85,,,0
CDM,27803859_C1817_278,Hb Occluder Cardioform 25Mm,30740.59,10759.21,,,0
CDM,27803877_B4088_272,Hb Tube Mic-Key G 20Fr X 3.5Cm,262.97,92.04,,,0
CDM,27803885_C1874_278,Hb Stent Zilver Ptx 6Mmx140Mm,7164.88,2507.71,,,0
CDM,27803894_C1874_278,Hb Stent Xience Sierra Rx 2.50X08,2617.65,916.18,,,0
CDM,27803933_C1874_278,Hb Stent Xience Sierra Rx 3.50X38,2617.65,916.18,,,0
CDM,27803941_C1874_278,Hb Stent Xience Sierra Rx 4.00X38,2617.65,916.18,,,0
CDM,27804008_C2624_278,Hb Cardiomems Pa Sensor And Delivery Sys,59817.04,20935.96,,,0
CDM,27804009_109732,Hb Sup Rev 278 Hcpcs C1776,19171.67,6710.08,,,0
CDM,27804009_109735,Hb Sup Rev 278 Hcpcs C1776,19171.67,6710.08,,,0
CDM,27804009_109736,Hb Sup Rev 278 Hcpcs C1776,14507.22,5077.53,,,0
CDM,27804009_109737,Hb Sup Rev 278 Hcpcs C1776,19171.67,6710.08,,,0
CDM,27804009_109742,Hb Sup Rev 278 Hcpcs C1776,23497.53,8224.14,,,0
CDM,27804009_109743,Hb Sup Rev 278 Hcpcs C1776,23497.53,8224.14,,,0
CDM,27804009_109748,Hb Sup Rev 278 Hcpcs C1776,24671.73,8635.11,,,0
CDM,27804009_110283,Hb Sup Rev 278 Hcpcs C1776,10509.49,3678.32,,,0
CDM,27804009_115433,Hb Sup Rev 278 Hcpcs C1776,14658.84,5130.59,,,0
CDM,27804009_11660,Hb Sup Rev 278 Hcpcs C1776,3844.21,1345.47,,,0
CDM,27804009_11661,Hb Sup Rev 278 Hcpcs C1776,3844.21,1345.47,,,0
CDM,27804009_11662,Hb Sup Rev 278 Hcpcs C1776,3844.21,1345.47,,,0
CDM,27804009_11667,Hb Sup Rev 278 Hcpcs C1776,3844.8,1345.68,,,0
CDM,27804009_11668,Hb Sup Rev 278 Hcpcs C1776,3844.21,1345.47,,,0
CDM,27804009_11669,Hb Sup Rev 278 Hcpcs C1776,3844.21,1345.47,,,0
CDM,27804009_11670,Hb Sup Rev 278 Hcpcs C1776,3844.21,1345.47,,,0
CDM,27804009_117384,Hb Sup Rev 278 Hcpcs C1776,4188.24,1465.88,,,0
CDM,27804009_117385,Hb Sup Rev 278 Hcpcs C1776,4188.24,1465.88,,,0
CDM,27804009_117397,Hb Sup Rev 278 Hcpcs C1776,4816.48,1685.77,,,0
CDM,27804009_118858,Hb Sup Rev 278 Hcpcs C1776,18560.85,6496.3,,,0
CDM,27804009_122888,Hb Sup Rev 278 Hcpcs C1776,10226.79,3579.38,,,0
CDM,27804009_122889,Hb Sup Rev 278 Hcpcs C1776,5167.99,1808.8,,,0
CDM,27804009_122891,Hb Sup Rev 278 Hcpcs C1776,6262.92,2192.02,,,0
CDM,27804009_122901,Hb Sup Rev 278 Hcpcs C1776,4773.48,1670.72,,,0
CDM,27804009_122902,Hb Sup Rev 278 Hcpcs C1776,5167.99,1808.8,,,0
CDM,27804009_122903,Hb Sup Rev 278 Hcpcs C1776,4641.97,1624.69,,,0
CDM,27804009_122909,Hb Sup Rev 278 Hcpcs C1776,10226.79,3579.38,,,0
CDM,27804009_122914,Hb Sup Rev 278 Hcpcs C1776,5881.06,2058.37,,,0
CDM,27804009_122922,Hb Sup Rev 278 Hcpcs C1776,4641.97,1624.69,,,0
CDM,27804009_122923,Hb Sup Rev 278 Hcpcs C1776,5728.32,2004.91,,,0
CDM,27804009_126144,Hb Sup Rev 278 Hcpcs C1776,4247.21,1486.52,,,0
CDM,27804009_126149,Hb Sup Rev 278 Hcpcs C1776,3290.76,1151.77,,,0
CDM,27804009_126150,Hb Sup Rev 278 Hcpcs C1776,3290.76,1151.77,,,0
CDM,27804009_126151,Hb Sup Rev 278 Hcpcs C1776,3290.76,1151.77,,,0
CDM,27804009_126152,Hb Sup Rev 278 Hcpcs C1776,3290.76,1151.77,,,0
CDM,27804009_126153,Hb Sup Rev 278 Hcpcs C1776,3290.76,1151.77,,,0
CDM,27804009_126154,Hb Sup Rev 278 Hcpcs C1776,3290.76,1151.77,,,0
CDM,27804009_126155,Hb Sup Rev 278 Hcpcs C1776,3290.76,1151.77,,,0
CDM,27804009_126156,Hb Sup Rev 278 Hcpcs C1776,3290.76,1151.77,,,0
CDM,27804009_126166,Hb Sup Rev 278 Hcpcs C1776,5400.89,1890.31,,,0
CDM,27804009_126167,Hb Sup Rev 278 Hcpcs C1776,5579.33,1952.77,,,0
CDM,27804009_134495,Hb Sup Rev 278 Hcpcs C1776,24531.12,8585.89,,,0
CDM,27804009_13459,Hb Sup Rev 278 Hcpcs C1776,2871.19,1004.92,,,0
CDM,27804009_149496,Hb Sup Rev 278 Hcpcs C1776,4509.0,1578.15,,,0
CDM,27804009_174826,Hb Sup Rev 278 Hcpcs C1776,5030.11,1760.54,,,0
CDM,27804009_175054,Hb Sup Rev 278 Hcpcs C1776,6677.25,2337.04,,,0
CDM,27804009_175055,Hb Sup Rev 278 Hcpcs C1776,6677.25,2337.04,,,0
CDM,27804009_175056,Hb Sup Rev 278 Hcpcs C1776,6677.25,2337.04,,,0
CDM,27804009_175116,Hb Sup Rev 278 Hcpcs C1776,6677.25,2337.04,,,0
CDM,27804009_175117,Hb Sup Rev 278 Hcpcs C1776,6677.25,2337.04,,,0
CDM,27804009_175128,Hb Sup Rev 278 Hcpcs C1776,19292.83,6752.49,,,0
CDM,27804009_175129,Hb Sup Rev 278 Hcpcs C1776,19292.83,6752.49,,,0
CDM,27804009_175130,Hb Sup Rev 278 Hcpcs C1776,19292.83,6752.49,,,0
CDM,27804009_175131,Hb Sup Rev 278 Hcpcs C1776,19292.83,6752.49,,,0
CDM,27804009_175142,Hb Sup Rev 278 Hcpcs C1776,7254.63,2539.12,,,0
CDM,27804009_175143,Hb Sup Rev 278 Hcpcs C1776,7254.63,2539.12,,,0
CDM,27804009_175144,Hb Sup Rev 278 Hcpcs C1776,7254.63,2539.12,,,0
CDM,27804009_175145,Hb Sup Rev 278 Hcpcs C1776,7254.63,2539.12,,,0
CDM,27804009_175146,Hb Sup Rev 278 Hcpcs C1776,8376.48,2931.77,,,0
CDM,27804009_175198,Hb Sup Rev 278 Hcpcs C1776,4556.21,1594.67,,,0
CDM,27804009_175201,Hb Sup Rev 278 Hcpcs C1776,4556.21,1594.67,,,0
CDM,27804009_175205,Hb Sup Rev 278 Hcpcs C1776,18960.26,6636.09,,,0
CDM,27804009_175206,Hb Sup Rev 278 Hcpcs C1776,6955.47,2434.41,,,0
CDM,27804009_175208,Hb Sup Rev 278 Hcpcs C1776,6955.47,2434.41,,,0
CDM,27804009_175209,Hb Sup Rev 278 Hcpcs C1776,7008.46,2452.96,,,0
CDM,27804009_175210,Hb Sup Rev 278 Hcpcs C1776,9326.53,3264.29,,,0
CDM,27804009_176068,Hb Sup Rev 278 Hcpcs C1776,33075.13,11576.3,,,0
CDM,27804009_177120,Hb Sup Rev 278 Hcpcs C1776,598.32,209.41,,,0
CDM,27804009_177121,Hb Sup Rev 278 Hcpcs C1776,598.32,209.41,,,0
CDM,27804009_177122,Hb Sup Rev 278 Hcpcs C1776,598.32,209.41,,,0
CDM,27804009_177123,Hb Sup Rev 278 Hcpcs C1776,598.32,209.41,,,0
CDM,27804009_177124,Hb Sup Rev 278 Hcpcs C1776,598.32,209.41,,,0
CDM,27804009_177136,Hb Sup Rev 278 Hcpcs C1776,2834.55,992.09,,,0
CDM,27804009_177137,Hb Sup Rev 278 Hcpcs C1776,17874.81,6256.18,,,0
CDM,27804009_177138,Hb Sup Rev 278 Hcpcs C1776,13432.28,4701.3,,,0
CDM,27804009_177139,Hb Sup Rev 278 Hcpcs C1776,9881.25,3458.44,,,0
CDM,27804009_177140,Hb Sup Rev 278 Hcpcs C1776,4479.93,1567.98,,,0
CDM,27804009_190565,Hb Sup Rev 278 Hcpcs C1776,5983.2,2094.12,,,0
CDM,27804009_190566,Hb Sup Rev 278 Hcpcs C1776,5983.2,2094.12,,,0
CDM,27804009_190567,Hb Sup Rev 278 Hcpcs C1776,3589.92,1256.47,,,0
CDM,27804009_190568,Hb Sup Rev 278 Hcpcs C1776,2991.6,1047.06,,,0
CDM,27804009_190569,Hb Sup Rev 278 Hcpcs C1776,5983.2,2094.12,,,0
CDM,27804009_190570,Hb Sup Rev 278 Hcpcs C1776,3589.92,1256.47,,,0
CDM,27804009_190571,Hb Sup Rev 278 Hcpcs C1776,2991.6,1047.06,,,0
CDM,27804009_197406,Hb Sup Rev 278 Hcpcs C1776,25952.13,9083.25,,,0
CDM,27804009_197408,Hb Sup Rev 278 Hcpcs C1776,5650.56,1977.7,,,0
CDM,27804009_197410,Hb Sup Rev 278 Hcpcs C1776,11966.4,4188.24,,,0
CDM,27804009_197411,Hb Sup Rev 278 Hcpcs C1776,14958.0,5235.3,,,0
CDM,27804009_197412,Hb Sup Rev 278 Hcpcs C1776,14958.0,5235.3,,,0
CDM,27804009_197413,Hb Sup Rev 278 Hcpcs C1776,14958.0,5235.3,,,0
CDM,27804009_197817,Hb Sup Rev 278 Hcpcs C1776,7953.92,2783.87,,,0
CDM,27804009_197818,Hb Sup Rev 278 Hcpcs C1776,7953.92,2783.87,,,0
CDM,27804009_197819,Hb Sup Rev 278 Hcpcs C1776,7953.92,2783.87,,,0
CDM,27804009_197822,Hb Sup Rev 278 Hcpcs C1776,11932.0,4176.2,,,0
CDM,27804009_197823,Hb Sup Rev 278 Hcpcs C1776,11932.0,4176.2,,,0
CDM,27804009_197824,Hb Sup Rev 278 Hcpcs C1776,11932.0,4176.2,,,0
CDM,27804009_197825,Hb Sup Rev 278 Hcpcs C1776,11932.0,4176.2,,,0
CDM,27804009_197829,Hb Sup Rev 278 Hcpcs C1776,28102.35,9835.82,,,0
CDM,27804009_197831,Hb Sup Rev 278 Hcpcs C1776,28102.35,9835.82,,,0
CDM,27804009_197832,Hb Sup Rev 278 Hcpcs C1776,28102.35,9835.82,,,0
CDM,27804009_197833,Hb Sup Rev 278 Hcpcs C1776,28102.35,9835.82,,,0
CDM,27804009_197834,Hb Sup Rev 278 Hcpcs C1776,28102.35,9835.82,,,0
CDM,27804009_197836,Hb Sup Rev 278 Hcpcs C1776,28102.35,9835.82,,,0
CDM,27804009_197838,Hb Sup Rev 278 Hcpcs C1776,30850.88,10797.81,,,0
CDM,27804009_197839,Hb Sup Rev 278 Hcpcs C1776,30850.88,10797.81,,,0
CDM,27804009_197840,Hb Sup Rev 278 Hcpcs C1776,30850.88,10797.81,,,0
CDM,27804009_197850,Hb Sup Rev 278 Hcpcs C1776,11730.06,4105.52,,,0
CDM,27804009_197851,Hb Sup Rev 278 Hcpcs C1776,11730.06,4105.52,,,0
CDM,27804009_197852,Hb Sup Rev 278 Hcpcs C1776,11730.06,4105.52,,,0
CDM,27804009_197853,Hb Sup Rev 278 Hcpcs C1776,11730.06,4105.52,,,0
CDM,27804009_197854,Hb Sup Rev 278 Hcpcs C1776,11730.06,4105.52,,,0
CDM,27804009_197856,Hb Sup Rev 278 Hcpcs C1776,11730.06,4105.52,,,0
CDM,27804009_197914,Hb Sup Rev 278 Hcpcs C1776,4475.31,1566.36,,,0
CDM,27804009_197915,Hb Sup Rev 278 Hcpcs C1776,4475.31,1566.36,,,0
CDM,27804009_197916,Hb Sup Rev 278 Hcpcs C1776,4474.23,1565.98,,,0
CDM,27804009_197917,Hb Sup Rev 278 Hcpcs C1776,4474.23,1565.98,,,0
CDM,27804009_197925,Hb Sup Rev 278 Hcpcs C1776,8645.72,3026.0,,,0
CDM,27804009_197926,Hb Sup Rev 278 Hcpcs C1776,8645.72,3026.0,,,0
CDM,27804009_197927,Hb Sup Rev 278 Hcpcs C1776,11932.0,4176.2,,,0
CDM,27804009_197928,Hb Sup Rev 278 Hcpcs C1776,1146.26,401.19,,,0
CDM,27804009_197929,Hb Sup Rev 278 Hcpcs C1776,4636.98,1622.94,,,0
CDM,27804009_197930,Hb Sup Rev 278 Hcpcs C1776,4636.98,1622.94,,,0
CDM,27804009_197932,Hb Sup Rev 278 Hcpcs C1776,37006.09,12952.13,,,0
CDM,27804009_197934,Hb Sup Rev 278 Hcpcs C1776,37006.09,12952.13,,,0
CDM,27804009_197935,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197936,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197937,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197939,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197940,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197941,Hb Sup Rev 278 Hcpcs C1776,20902.31,7315.81,,,0
CDM,27804009_197943,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197944,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197945,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197947,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197948,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197949,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197950,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_197952,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_198107,Hb Sup Rev 278 Hcpcs C1776,3821.77,1337.62,,,0
CDM,27804009_198108,Hb Sup Rev 278 Hcpcs C1776,3821.77,1337.62,,,0
CDM,27804009_198109,Hb Sup Rev 278 Hcpcs C1776,6077.44,2127.1,,,0
CDM,27804009_198110,Hb Sup Rev 278 Hcpcs C1776,3664.71,1282.65,,,0
CDM,27804009_198111,Hb Sup Rev 278 Hcpcs C1776,3664.71,1282.65,,,0
CDM,27804009_198112,Hb Sup Rev 278 Hcpcs C1776,3664.71,1282.65,,,0
CDM,27804009_198113,Hb Sup Rev 278 Hcpcs C1776,3874.12,1355.94,,,0
CDM,27804009_198204,Hb Sup Rev 278 Hcpcs C1776,5779.77,2022.92,,,0
CDM,27804009_198218,Hb Sup Rev 278 Hcpcs C1776,4162.81,1456.98,,,0
CDM,27804009_198297,Hb Sup Rev 278 Hcpcs C1776,928.86,325.1,,,0
CDM,27804009_198327,Hb Sup Rev 278 Hcpcs C1776,1713.06,599.57,,,0
CDM,27804009_198343,Hb Sup Rev 278 Hcpcs C1776,2942.24,1029.78,,,0
CDM,27804009_198344,Hb Sup Rev 278 Hcpcs C1776,2942.24,1029.78,,,0
CDM,27804009_198346,Hb Sup Rev 278 Hcpcs C1776,18057.3,6320.06,,,0
CDM,27804009_198347,Hb Sup Rev 278 Hcpcs C1776,16008.8,5603.08,,,0
CDM,27804009_198349,Hb Sup Rev 278 Hcpcs C1776,5375.91,1881.57,,,0
CDM,27804009_198350,Hb Sup Rev 278 Hcpcs C1776,36123.57,12643.25,,,0
CDM,27804009_198351,Hb Sup Rev 278 Hcpcs C1776,36123.57,12643.25,,,0
CDM,27804009_198352,Hb Sup Rev 278 Hcpcs C1776,3769.42,1319.3,,,0
CDM,27804009_198353,Hb Sup Rev 278 Hcpcs C1776,5081.45,1778.51,,,0
CDM,27804009_198363,Hb Sup Rev 278 Hcpcs C1776,5624.21,1968.47,,,0
CDM,27804009_198365,Hb Sup Rev 278 Hcpcs C1776,5624.21,1968.47,,,0
CDM,27804009_198366,Hb Sup Rev 278 Hcpcs C1776,5624.21,1968.47,,,0
CDM,27804009_198367,Hb Sup Rev 278 Hcpcs C1776,9052.58,3168.4,,,0
CDM,27804009_198368,Hb Sup Rev 278 Hcpcs C1776,5624.21,1968.47,,,0
CDM,27804009_198369,Hb Sup Rev 278 Hcpcs C1776,5624.21,1968.47,,,0
CDM,27804009_198370,Hb Sup Rev 278 Hcpcs C1776,5624.21,1968.47,,,0
CDM,27804009_198371,Hb Sup Rev 278 Hcpcs C1776,5624.21,1968.47,,,0
CDM,27804009_198376,Hb Sup Rev 278 Hcpcs C1776,1466.15,513.15,,,0
CDM,27804009_198377,Hb Sup Rev 278 Hcpcs C1776,1466.15,513.15,,,0
CDM,27804009_19958,Hb Sup Rev 278 Hcpcs C1776,7215.74,2525.51,,,0
CDM,27804009_19959,Hb Sup Rev 278 Hcpcs C1776,7215.74,2525.51,,,0
CDM,27804009_19961,Hb Sup Rev 278 Hcpcs C1776,7215.74,2525.51,,,0
CDM,27804009_19966,Hb Sup Rev 278 Hcpcs C1776,7215.74,2525.51,,,0
CDM,27804009_19968,Hb Sup Rev 278 Hcpcs C1776,7215.74,2525.51,,,0
CDM,27804009_19969,Hb Sup Rev 278 Hcpcs C1776,7215.74,2525.51,,,0
CDM,27804009_207059,Hb Sup Rev 278 Hcpcs C1776,226.61,79.31,,,0
CDM,27804009_207690,Hb Sup Rev 278 Hcpcs C1776,5500.2,1925.07,,,0
CDM,27804009_207763,Hb Sup Rev 278 Hcpcs C1776,11607.98,4062.79,,,0
CDM,27804009_207822,Hb Sup Rev 278 Hcpcs C1776,2.99,1.05,,,0
CDM,27804009_207908,Hb Sup Rev 278 Hcpcs C1776,3787.79,1325.73,,,0
CDM,27804009_209563,Hb Sup Rev 278 Hcpcs C1776,4467.96,1563.79,,,0
CDM,27804009_209758,Hb Sup Rev 278 Hcpcs C1776,11607.98,4062.79,,,0
CDM,27804009_209759,Hb Sup Rev 278 Hcpcs C1776,2.99,1.05,,,0
CDM,27804009_209769,Hb Sup Rev 278 Hcpcs C1776,5833.41,2041.69,,,0
CDM,27804009_210062,Hb Sup Rev 278 Hcpcs C1776,5833.62,2041.77,,,0
CDM,27804009_210171,Hb Sup Rev 278 Hcpcs C1776,30741.68,10759.59,,,0
CDM,27804009_210174,Hb Sup Rev 278 Hcpcs C1776,11015.07,3855.27,,,0
CDM,27804009_210764,Hb Sup Rev 278 Hcpcs C1776,2.99,1.05,,,0
CDM,27804009_210819,Hb Sup Rev 278 Hcpcs C1776,2815.45,985.41,,,0
CDM,27804009_210822,Hb Sup Rev 278 Hcpcs C1776,2.99,1.05,,,0
CDM,27804009_210823,Hb Sup Rev 278 Hcpcs C1776,2350.54,822.69,,,0
CDM,27804009_210862,Hb Sup Rev 278 Hcpcs C1776,1136.81,397.88,,,0
CDM,27804009_211091,Hb Sup Rev 278 Hcpcs C1776,2.99,1.05,,,0
CDM,27804009_211430,Hb Sup Rev 278 Hcpcs C1776,3978.46,1392.46,,,0
CDM,27804009_212202,Hb Sup Rev 278 Hcpcs C1776,2.99,1.05,,,0
CDM,27804009_212207,Hb Sup Rev 278 Hcpcs C1776,20902.31,7315.81,,,0
CDM,27804009_212426,Hb Sup Rev 278 Hcpcs C1776,450.24,157.58,,,0
CDM,27804009_212453,Hb Sup Rev 278 Hcpcs C1776,599.32,209.76,,,0
CDM,27804009_21366,Hb Sup Rev 278 Hcpcs C1776,3248.42,1136.95,,,0
CDM,27804009_21369,Hb Sup Rev 278 Hcpcs C1776,3328.01,1164.8,,,0
CDM,27804009_21370,Hb Sup Rev 278 Hcpcs C1776,3328.01,1164.8,,,0
CDM,27804009_21449,Hb Sup Rev 278 Hcpcs C1776,2165.32,757.86,,,0
CDM,27804009_21490,Hb Sup Rev 278 Hcpcs C1776,2308.47,807.96,,,0
CDM,27804009_21558,Hb Sup Rev 278 Hcpcs C1776,4203.2,1471.12,,,0
CDM,27804009_22361,Hb Sup Rev 278 Hcpcs C1776,2165.32,757.86,,,0
CDM,27804009_22833,Hb Sup Rev 278 Hcpcs C1776,2165.32,757.86,,,0
CDM,27804009_23480,Hb Sup Rev 278 Hcpcs C1776,2931.77,1026.12,,,0
CDM,27804009_23768,Hb Sup Rev 278 Hcpcs C1776,2670.87,934.8,,,0
CDM,27804009_23947,Hb Sup Rev 278 Hcpcs C1776,2670.87,934.8,,,0
CDM,27804009_23948,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_23958,Hb Sup Rev 278 Hcpcs C1776,4475.31,1566.36,,,0
CDM,27804009_24975,Hb Sup Rev 278 Hcpcs C1776,4203.2,1471.12,,,0
CDM,27804009_25781,Hb Sup Rev 278 Hcpcs C1776,2670.87,934.8,,,0
CDM,27804009_26146,Hb Sup Rev 278 Hcpcs C1776,1429.98,500.49,,,0
CDM,27804009_27187,Hb Sup Rev 278 Hcpcs C1776,5624.21,1968.47,,,0
CDM,27804009_28101,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_28108,Hb Sup Rev 278 Hcpcs C1776,1429.98,500.49,,,0
CDM,27804009_28111,Hb Sup Rev 278 Hcpcs C1776,1429.98,500.49,,,0
CDM,27804009_28133,Hb Sup Rev 278 Hcpcs C1776,1429.98,500.49,,,0
CDM,27804009_28137,Hb Sup Rev 278 Hcpcs C1776,1429.98,500.49,,,0
CDM,27804009_28145,Hb Sup Rev 278 Hcpcs C1776,2670.87,934.8,,,0
CDM,27804009_28150,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_28152,Hb Sup Rev 278 Hcpcs C1776,4475.31,1566.36,,,0
CDM,27804009_28437,Hb Sup Rev 278 Hcpcs C1776,2228.74,780.06,,,0
CDM,27804009_28445,Hb Sup Rev 278 Hcpcs C1776,2228.74,780.06,,,0
CDM,27804009_28454,Hb Sup Rev 278 Hcpcs C1776,2228.74,780.06,,,0
CDM,27804009_28463,Hb Sup Rev 278 Hcpcs C1776,2228.74,780.06,,,0
CDM,27804009_35710,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_50104,Hb Sup Rev 278 Hcpcs C1776,5600.78,1960.27,,,0
CDM,27804009_51893,Hb Sup Rev 278 Hcpcs C1776,5600.78,1960.27,,,0
CDM,27804009_52020,Hb Sup Rev 278 Hcpcs C1776,370.96,129.84,,,0
CDM,27804009_53720,Hb Sup Rev 278 Hcpcs C1776,5600.78,1960.27,,,0
CDM,27804009_53755,Hb Sup Rev 278 Hcpcs C1776,370.96,129.84,,,0
CDM,27804009_54433,Hb Sup Rev 278 Hcpcs C1776,5600.78,1960.27,,,0
CDM,27804009_55117,Hb Sup Rev 278 Hcpcs C1776,8638.25,3023.39,,,0
CDM,27804009_55125,Hb Sup Rev 278 Hcpcs C1776,5600.78,1960.27,,,0
CDM,27804009_55126,Hb Sup Rev 278 Hcpcs C1776,370.96,129.84,,,0
CDM,27804009_58636,Hb Sup Rev 278 Hcpcs C1776,4475.31,1566.36,,,0
CDM,27804009_59813,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_60908,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_60909,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_60910,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_60971,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_63977,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_63982,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_63983,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_63984,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_63986,Hb Sup Rev 278 Hcpcs C1776,2951.22,1032.93,,,0
CDM,27804009_63987,Hb Sup Rev 278 Hcpcs C1776,4475.31,1566.36,,,0
CDM,27804009_74182,Hb Sup Rev 278 Hcpcs C1776,3075.14,1076.3,,,0
CDM,27804009_74398,Hb Sup Rev 278 Hcpcs C1776,8815.67,3085.48,,,0
CDM,27804009_76817,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_76918,Hb Sup Rev 278 Hcpcs C1776,14353.93,5023.88,,,0
CDM,27804009_76954,Hb Sup Rev 278 Hcpcs C1776,4475.31,1566.36,,,0
CDM,27804009_76955,Hb Sup Rev 278 Hcpcs C1776,13715.2,4800.32,,,0
CDM,27804009_79527,Hb Sup Rev 278 Hcpcs C1776,5624.21,1968.47,,,0
CDM,27804009_81753,Hb Sup Rev 278 Hcpcs C1776,5624.21,1968.47,,,0
CDM,27804009_82012,Hb Sup Rev 278 Hcpcs C1776,5717.69,2001.19,,,0
CDM,27804009_84753,Hb Sup Rev 278 Hcpcs C1776,15556.32,5444.71,,,0
CDM,27804009_91901,Hb Sup Rev 278 Hcpcs C1776,1848.81,647.08,,,0
CDM,27804009_91902,Hb Sup Rev 278 Hcpcs C1776,1848.81,647.08,,,0
CDM,27804009_91904,Hb Sup Rev 278 Hcpcs C1776,1812.91,634.52,,,0
CDM,27804009_91907,Hb Sup Rev 278 Hcpcs C1776,1696.24,593.68,,,0
CDM,27804009_91908,Hb Sup Rev 278 Hcpcs C1776,1696.24,593.68,,,0
CDM,27804009_91909,Hb Sup Rev 278 Hcpcs C1776,1696.24,593.68,,,0
CDM,27804009_91974,Hb Sup Rev 278 Hcpcs C1776,4648.95,1627.13,,,0
CDM,27804009_91975,Hb Sup Rev 278 Hcpcs C1776,4648.95,1627.13,,,0
CDM,27804009_91995,Hb Sup Rev 278 Hcpcs C1776,4648.95,1627.13,,,0
CDM,27804009_91996,Hb Sup Rev 278 Hcpcs C1776,4648.95,1627.13,,,0
CDM,27804009_92001,Hb Sup Rev 278 Hcpcs C1776,12744.22,4460.48,,,0
CDM,27804009_92002,Hb Sup Rev 278 Hcpcs C1776,12744.22,4460.48,,,0
CDM,27804009_92003,Hb Sup Rev 278 Hcpcs C1776,12744.22,4460.48,,,0
CDM,27804009_92004,Hb Sup Rev 278 Hcpcs C1776,12744.22,4460.48,,,0
CDM,27804009_92011,Hb Sup Rev 278 Hcpcs C1776,5010.93,1753.83,,,0
CDM,27804009_92012,Hb Sup Rev 278 Hcpcs C1776,5010.93,1753.83,,,0
CDM,27804009_92047,Hb Sup Rev 278 Hcpcs C1776,5010.93,1753.83,,,0
CDM,27804016_278,Hb Valve Tvar Evolut Pro 26Mm,89748.0,31411.8,,,0
CDM,27804057_C1817_278,Hb Occluder Amplatzer Septal 8Mm,24079.39,8427.79,,,0
CDM,27804062_C1817_278,Hb Duct Occluder Ii Amplatzer 5X6Mm,15755.26,5514.34,,,0
CDM,27804063_C1817_278,Hb Duct Occluder Ii Amplatzer 6X6Mm,15655.04,5479.26,,,0
CDM,27804088_C1982_278,Hb Trinav Infusion System 120Cm,36493.2,12772.62,,,0
CDM,27804089_C1982_278,Hb Trinav Infusion System 150Cm,36493.2,12772.62,,,0
CDM,27804114_278,Hb System Mitraclip G4,95132.88,33296.51,,,0
CDM,27804122_C1764_278,Hb Loop Recorder Reveal Linq,14494.3,5073.0,,,0
CDM,27804124_213859,Hb Sup Rev 278 Hcpcs Q4100,4487.4,1570.59,,,0
CDM,27804124_213860,Hb Sup Rev 278 Hcpcs Q4100,5268.21,1843.87,,,0
CDM,27804124_213862,Hb Sup Rev 278 Hcpcs Q4100,6010.12,2103.54,,,0
CDM,27804124_213864,Hb Sup Rev 278 Hcpcs Q4100,6341.0,2219.35,,,0
CDM,27804124_213866,Hb Sup Rev 278 Hcpcs Q4100,6586.01,2305.1,,,0
CDM,27804124_213868,Hb Sup Rev 278 Hcpcs Q4100,7395.24,2588.33,,,0
CDM,27804124_213870,Hb Sup Rev 278 Hcpcs Q4100,7858.93,2750.63,,,0
CDM,27804124_213872,Hb Sup Rev 278 Hcpcs Q4100,7484.98,2619.74,,,0
CDM,27804124_213874,Hb Sup Rev 278 Hcpcs Q4100,7900.82,2765.29,,,0
CDM,27804124_213879,Hb Sup Rev 278 Hcpcs Q4100,9713.73,3399.81,,,0
CDM,27804124_213881,Hb Sup Rev 278 Hcpcs Q4100,10165.46,3557.91,,,0
CDM,27804124_213886,Hb Sup Rev 278 Hcpcs Q4100,11293.29,3952.65,,,0
CDM,27804125_278,Hb Sys Loop Recorder Reveal Linq Ii,21624.18,7568.46,,,0
CDM,27804127_278,Hb Del Sys Thv Sapien 3 Ultra 23Mm,97227.0,34029.45,,,0
CDM,27804128_278,Hb Del Sys Thv Sapien 3 Ultra 26Mm,97227.0,34029.45,,,0
CDM,27804135_278,Hb Ls Protekduo Kit - Dl31,58336.2,20417.67,,,0
CDM,27804136_278,Hb Watchman Flx Laa Closure Dev 20,50857.2,17800.02,,,0
CDM,27804137_278,Hb Watchman Flx Laa Closure Dev 24,50857.2,17800.02,,,0
CDM,27804138_278,Hb Watchman Flx Laa Closure Dev 27,50857.2,17800.02,,,0
CDM,27804139_278,Hb Watchman Flx Laa Closure Dev 31,50857.2,17800.02,,,0
CDM,27804140_278,Hb Watchman Flx Laa Closure Dev 35,50857.2,17800.02,,,0
CDM,27804143_C1817_278,Hb Occluder Cardioform Asd 37Mm,25877.34,9057.07,,,0
CDM,27804151_C1874_278,Hb Stent Synergy Xd Mr Us 4.00X8,2243.7,785.3,,,0
CDM,27804158_C1874_278,Hb Stent Synergy Xd Mr Us 4.50X12,2243.7,785.3,,,0
CDM,27804160_C1874_278,Hb Stent Synergy Xd Mr Us 2.25X16,2243.7,785.3,,,0
CDM,27804161_C1874_278,Hb Stent Synergy Xd Mr Us 2.50X16,2243.7,785.3,,,0
CDM,27804171_C1874_278,Hb Stent Synergy Xd Mr Us 3.00X20,2243.7,785.3,,,0
CDM,27804172_C1874_278,Hb Stent Synergy Xd Mr Us 3.50X20,2243.7,785.3,,,0
CDM,27804177_C1874_278,Hb Stent Synergy Xd Mr Us 2.50X24,2243.7,785.3,,,0
CDM,27804178_C1874_278,Hb Stent Synergy Xd Mr Us 2.75X24,2243.7,785.3,,,0
CDM,27804185_C1874_278,Hb Stent Synergy Xd Mr Us 2.50X28,2243.7,785.3,,,0
CDM,27804206_C1874_278,Hb Stent Synergy Xd Mr Us 2.50X48,3036.47,1062.76,,,0
CDM,27804207_C1874_278,Hb Stent Synergy Xd Mr Us 2.75X48,3036.47,1062.76,,,0
CDM,27804208_C1874_278,Hb Stent Synergy Xd Mr Us 3.00X48,3036.47,1062.76,,,0
CDM,27804213_C1874_278,Hb Stent Xience Skypoint Rx 2.25X08,1645.38,575.88,,,0
CDM,27804214_C1874_278,Hb Stent Xience Skypoint Rx 2.25X12,1645.38,575.88,,,0
CDM,27804215_C1874_278,Hb Stent Xience Skypoint Rx 2.25X15,1645.38,575.88,,,0
CDM,27804216_C1874_278,Hb Stent Xience Skypoint Rx 2.25X18,1645.38,575.88,,,0
CDM,27804217_C1874_278,Hb Stent Xience Skypoint Rx 2.25X23,2200.96,770.34,,,0
CDM,27804218_C1874_278,Hb Stent Xience Skypoint Rx 2.25X28,1645.38,575.88,,,0
CDM,27804219_C1874_278,Hb Stent Xience Skypoint Rx 2.25X33,1645.38,575.88,,,0
CDM,27804220_C1874_278,Hb Stent Xience Skypoint Rx 2.25X38,1645.38,575.88,,,0
CDM,27804221_C1874_278,Hb Stent Xience Skypoint Rx 2.50X08,1645.38,575.88,,,0
CDM,27804222_C1874_278,Hb Stent Xience Skypoint Rx 2.50X12,1645.38,575.88,,,0
CDM,27804223_C1874_278,Hb Stent Xience Skypoint Rx 2.50X15,1645.38,575.88,,,0
CDM,27804224_C1874_278,Hb Stent Xience Skypoint Rx 2.50X18,1645.38,575.88,,,0
CDM,27804225_C1874_278,Hb Stent Xience Skypoint Rx 2.50X23,1645.38,575.88,,,0
CDM,27804226_C1874_278,Hb Stent Xience Skypoint Rx 2.50X28,1645.38,575.88,,,0
CDM,27804227_C1874_278,Hb Stent Xience Skypoint Rx 2.50X33,1645.38,575.88,,,0
CDM,27804228_C1874_278,Hb Stent Xience Skypoint Rx 2.50X38,1645.38,575.88,,,0
CDM,27804230_C1874_278,Hb Stent Xience Skypoint Rx 2.75X12,1645.38,575.88,,,0
CDM,27804231_C1874_278,Hb Stent Xience Skypoint Rx 2.75X15,1645.38,575.88,,,0
CDM,27804232_C1874_278,Hb Stent Xience Skypoint Rx 2.75X18,1645.38,575.88,,,0
CDM,27804233_C1874_278,Hb Stent Xience Skypoint Rx 2.75X23,1645.38,575.88,,,0
CDM,27804234_C1874_278,Hb Stent Xience Skypoint Rx 2.75X28,1645.38,575.88,,,0
CDM,27804235_C1874_278,Hb Stent Xience Skypoint Rx 2.75X33,1645.38,575.88,,,0
CDM,27804236_C1874_278,Hb Stent Xience Skypoint Rx 2.75X38,1645.38,575.88,,,0
CDM,27804237_C1874_278,Hb Stent Xience Skypoint Rx 3.00X08,1645.38,575.88,,,0
CDM,27804238_C1874_278,Hb Stent Xience Skypoint Rx 3.00X12,1645.38,575.88,,,0
CDM,27804239_C1874_278,Hb Stent Xience Skypoint Rx 3.00X15,1645.38,575.88,,,0
CDM,27804240_C1874_278,Hb Stent Xience Skypoint Rx 3.00X18,1645.38,575.88,,,0
CDM,27804241_C1874_278,Hb Stent Xience Skypoint Rx 3.00X23,1645.38,575.88,,,0
CDM,27804242_C1874_278,Hb Stent Xience Skypoint Rx 3.00X28,1645.38,575.88,,,0
CDM,27804243_C1874_278,Hb Stent Xience Skypoint Rx 3.00X33,1645.38,575.88,,,0
CDM,27804244_C1874_278,Hb Stent Xience Skypoint Rx 3.00X38,1645.38,575.88,,,0
CDM,27804246_C1874_278,Hb Stent Xience Skypoint Rx 3.25X12,1645.38,575.88,,,0
CDM,27804247_C1874_278,Hb Stent Xience Skypoint Rx 3.25X15,1645.38,575.88,,,0
CDM,27804248_C1874_278,Hb Stent Xience Skypoint Rx 3.25X18,1645.38,575.88,,,0
CDM,27804249_C1874_278,Hb Stent Xience Skypoint Rx 3.25X23,1645.38,575.88,,,0
CDM,27804250_C1874_278,Hb Stent Xience Skypoint Rx 3.25X28,1645.38,575.88,,,0
CDM,27804251_C1874_278,Hb Stent Xience Skypoint Rx 3.25X33,1645.38,575.88,,,0
CDM,27804252_C1874_278,Hb Stent Xience Skypoint Rx 3.25X38,1645.38,575.88,,,0
CDM,27804254_C1874_278,Hb Stent Xience Skypoint Rx 3.50X12,1645.38,575.88,,,0
CDM,27804255_C1874_278,Hb Stent Xience Skypoint Rx 3.50X15,1645.38,575.88,,,0
CDM,27804256_C1874_278,Hb Stent Xience Skypoint Rx 3.50X18,1645.38,575.88,,,0
CDM,27804257_C1874_278,Hb Stent Xience Skypoint Rx 3.50X23,1645.38,575.88,,,0
CDM,27804258_C1874_278,Hb Stent Xience Skypoint Rx 3.50X28,1645.38,575.88,,,0
CDM,27804259_C1874_278,Hb Stent Xience Skypoint Rx 3.50X33,1645.38,575.88,,,0
CDM,27804260_C1874_278,Hb Stent Xience Skypoint Rx 3.50X38,1645.38,575.88,,,0
CDM,27804261_C1874_278,Hb Stent Xience Skypoint Rx 4.00X08,1645.38,575.88,,,0
CDM,27804262_C1874_278,Hb Stent Xience Skypoint Rx 4.00X12,1645.38,575.88,,,0
CDM,27804263_C1874_278,Hb Stent Xience Skypoint Rx 4.00X15,1645.38,575.88,,,0
CDM,27804264_C1874_278,Hb Stent Xience Skypoint Rx 4.00X18,1645.38,575.88,,,0
CDM,27804265_C1874_278,Hb Stent Xience Skypoint Rx 4.00X23,1645.38,575.88,,,0
CDM,27804266_C1874_278,Hb Stent Xience Skypoint Rx 4.00X28,1645.38,575.88,,,0
CDM,27804267_C1874_278,Hb Stent Xience Skypoint Rx 4.00X33,1645.38,575.88,,,0
CDM,27804268_C1874_278,Hb Stent Xience Skypoint Rx 4.00X38,1645.38,575.88,,,0
CDM,27804269_116749,Hb Sup Rev 278 Hcpcs L8613,1130.98,395.84,,,0
CDM,27804270_C1760_272,Hb Closure Device Vascade Mvp,2687.9,940.76,,,0
CDM,27804270_C1760_278,Hb Closure Device Vascade Mvp,2846.02,996.11,,,0
CDM,27804271_C1874_278,Hb Stent Zilver Ptx 7X140X125,11277.58,3947.15,,,0
CDM,27804318_278,Hb Stent Pipeline Flex Shield 3 X 18,41463.58,14512.25,,,0
CDM,27804329_278,Hb Stent Pipeline Flex Shield 3.50 X 16,41463.58,14512.25,,,0
CDM,27804330_278,Hb Stent Pipeline Flex Shield 3.50 X 18,41463.58,14512.25,,,0
CDM,27804335_278,Hb Stent Pipeline Flex Shield 3.75 X 16,41463.58,14512.25,,,0
CDM,27804370_278,Hb Coil Hydrosoft 3D Adv 1.5Mmx2Cm,6622.66,2317.93,,,0
CDM,27804371_278,Hb Coil Hydrosoft 3D Adv 1.5Mmx3Cm,6622.66,2317.93,,,0
CDM,27804372_278,Hb Coil Hydrosoft 3D Adv 2Mmx6Cm,6622.66,2317.93,,,0
CDM,27804373_278,Hb Coil Hydroframe 10 Adv 5Mmx10Cm,6622.66,2317.93,,,0
CDM,27804374_278,Hb Coil Hydroframe 10 Adv 5Mmx20Cm,6622.66,2317.93,,,0
CDM,27804375_278,Hb Coil Hydroframe 10 Adv 6Mmx12Cm,6622.66,2317.93,,,0
CDM,27804376_278,Hb Coil Hydroframe 10 Adv 7Mmx15Cm,6622.66,2317.93,,,0
CDM,27804377_278,Hb Coil Hydroframe 10 Adv 7Mmx28Cm,6622.66,2317.93,,,0
CDM,27804378_278,Hb Coil Hydroframe 10 Adv 8Mmx33Cm,6622.66,2317.93,,,0
CDM,27804381_278,Hb Coil Hydroframe 18 Adv 10X36Cm,8137.15,2848.0,,,0
CDM,27804385_278,Hb Sys Web 17 Single Layer 4Mmx2Mm,49346.44,17271.25,,,0
CDM,27804386_278,Hb Sys Web 17 Single Layer 4Mmx3Mm,49346.44,17271.25,,,0
CDM,27804387_278,Hb Sys Web 17 Single Layer 4.5Mmx2Mm,49346.44,17271.25,,,0
CDM,27804389_278,Hb Sys Web 17 Single Layer 5Mmx2Mm,49346.44,17271.25,,,0
CDM,27804390_278,Hb Sys Web 17 Single Layer 5Mmx3Mm,49346.44,17271.25,,,0
CDM,27804393_278,Hb Sys Web 17 Single Layer 7Mmx3Mm,49346.44,17271.25,,,0
CDM,27804396_278,Hb Coil Hydrosoft 3D 10 1Mm/3Cm,6622.66,2317.93,,,0
CDM,27804397_278,Hb Coil Hydrosoft 3D 10 1.5Mm/4Cm,6622.66,2317.93,,,0
CDM,27804398_278,Hb Coil Hydrosoft 3D 10 2Mm/8Cm,6622.66,2317.93,,,0
CDM,27804399_278,Hb Coil Hydrosoft 3D 10 2Mm/2Cm,6622.66,2317.93,,,0
CDM,27804400_278,Hb Coil Hydrosoft 3D 10 2Mm/4Cm,6622.66,2317.93,,,0
CDM,27804402_278,Hb Coil Hydrosoft 3D 10 2.5Mm/8Cm,6622.66,2317.93,,,0
CDM,27804403_278,Hb Coil Hydrosoft 3D 10 3Mm/8Cm,6622.66,2317.93,,,0
CDM,27804404_278,Hb Coil Hydrosoft 3D 10 3Mm/10Cm,6622.66,2317.93,,,0
CDM,27804405_278,Hb Coil Hydroframe 10 4Mm/15Cm,6622.66,2317.93,,,0
CDM,27804406_278,Hb Coil Hydroframe 10 5Mm/15Cm,6622.66,2317.93,,,0
CDM,27804407_278,Hb Coil Hydroframe 10 6Mm/19Cm,6622.66,2317.93,,,0
CDM,27804408_278,Hb Coil Hydroframe 18 6Mm/19Cm,8137.15,2848.0,,,0
CDM,27804409_278,Hb Coil Hydroframe 18 8Mm/27Cm,8137.15,2848.0,,,0
CDM,27804410_278,Hb Coil Hydroframe 18 11Mm/39Cm,8137.15,2848.0,,,0
CDM,27804412_278,Hb Coil Hydroframe 18 14Mm/45Cm,8137.15,2848.0,,,0
CDM,27804421_278,Hb Stent Neuroform Atlas Wo Tip 4.5X30,23365.59,8177.96,,,0
CDM,27804422_C1760_272,Hb Closure Vessel Prostyle,2758.25,965.39,,,0
CDM,27804422_C1760_278,Hb Closure Vessel Prostyle,2797.75,979.21,,,0
CDM,27804431_173882,Hb Sup Rev 278 Hcpcs Q4107,8379.47,2932.81,,,0
CDM,27804431_173883,Hb Sup Rev 278 Hcpcs Q4107,9294.9,3253.22,,,0
CDM,27804431_173884,Hb Sup Rev 278 Hcpcs Q4107,8278.2,2897.37,,,0
CDM,27804431_173885,Hb Sup Rev 278 Hcpcs Q4107,10668.05,3733.82,,,0
CDM,27804434_278,Hb Thv Sapien 3 Certitude 26Mm,97227.0,34029.45,,,0
CDM,27804459_100379,Hb Sup Rev 278 Hcpcs C1889,5983.2,2094.12,,,0
CDM,27804459_10566,Hb Sup Rev 278 Hcpcs C1889,3515.88,1230.56,,,0
CDM,27804459_10567,Hb Sup Rev 278 Hcpcs C1889,3515.88,1230.56,,,0
CDM,27804459_10568,Hb Sup Rev 278 Hcpcs C1889,3515.88,1230.56,,,0
CDM,27804459_10569,Hb Sup Rev 278 Hcpcs C1889,3515.88,1230.56,,,0
CDM,27804459_1058,Hb Sup Rev 278 Hcpcs C1889,20561.12,7196.39,,,0
CDM,27804459_1066,Hb Sup Rev 278 Hcpcs C1889,1361.18,476.41,,,0
CDM,27804459_110094,Hb Sup Rev 278 Hcpcs C1889,6717.64,2351.17,,,0
CDM,27804459_110573,Hb Sup Rev 278 Hcpcs C1889,4771.6,1670.06,,,0
CDM,27804459_111370,Hb Sup Rev 278 Hcpcs C1889,3132.44,1096.35,,,0
CDM,27804459_111371,Hb Sup Rev 278 Hcpcs C1889,3130.21,1095.57,,,0
CDM,27804459_111372,Hb Sup Rev 278 Hcpcs C1889,3145.67,1100.98,,,0
CDM,27804459_111374,Hb Sup Rev 278 Hcpcs C1889,3126.22,1094.18,,,0
CDM,27804459_119108,Hb Sup Rev 278 Hcpcs C1889,4433.55,1551.74,,,0
CDM,27804459_121072,Hb Sup Rev 278 Hcpcs C1889,8975.72,3141.5,,,0
CDM,27804459_121444,Hb Sup Rev 278 Hcpcs C1889,430.79,150.78,,,0
CDM,27804459_122291,Hb Sup Rev 278 Hcpcs C1889,7778.16,2722.36,,,0
CDM,27804459_123821,Hb Sup Rev 278 Hcpcs C1889,12062.13,4221.75,,,0
CDM,27804459_123823,Hb Sup Rev 278 Hcpcs C1889,1585.55,554.94,,,0
CDM,27804459_123824,Hb Sup Rev 278 Hcpcs C1889,6807.56,2382.65,,,0
CDM,27804459_124001,Hb Sup Rev 278 Hcpcs C1889,5232.31,1831.31,,,0
CDM,27804459_126091,Hb Sup Rev 278 Hcpcs C1889,15354.45,5374.06,,,0
CDM,27804459_127296,Hb Sup Rev 278 Hcpcs C1889,316395.08,110738.28,,,0
CDM,27804459_12914,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_12915,Hb Sup Rev 278 Hcpcs C1889,12756.68,4464.84,,,0
CDM,27804459_12916,Hb Sup Rev 278 Hcpcs C1889,9420.55,3297.19,,,0
CDM,27804459_12918,Hb Sup Rev 278 Hcpcs C1889,12756.68,4464.84,,,0
CDM,27804459_12919,Hb Sup Rev 278 Hcpcs C1889,12756.68,4464.84,,,0
CDM,27804459_12920,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_12921,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_12922,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_12923,Hb Sup Rev 278 Hcpcs C1889,12756.68,4464.84,,,0
CDM,27804459_12924,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_12925,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_12926,Hb Sup Rev 278 Hcpcs C1889,9420.55,3297.19,,,0
CDM,27804459_12927,Hb Sup Rev 278 Hcpcs C1889,8897.18,3114.01,,,0
CDM,27804459_131905,Hb Sup Rev 278 Hcpcs C1889,14658.84,5130.59,,,0
CDM,27804459_131952,Hb Sup Rev 278 Hcpcs C1889,523.53,183.24,,,0
CDM,27804459_131953,Hb Sup Rev 278 Hcpcs C1889,523.53,183.24,,,0
CDM,27804459_131954,Hb Sup Rev 278 Hcpcs C1889,523.53,183.24,,,0
CDM,27804459_131957,Hb Sup Rev 278 Hcpcs C1889,523.53,183.24,,,0
CDM,27804459_131959,Hb Sup Rev 278 Hcpcs C1889,523.53,183.24,,,0
CDM,27804459_132023,Hb Sup Rev 278 Hcpcs C1889,179.5,62.82,,,0
CDM,27804459_132026,Hb Sup Rev 278 Hcpcs C1889,179.5,62.82,,,0
CDM,27804459_132036,Hb Sup Rev 278 Hcpcs C1889,1630.42,570.65,,,0
CDM,27804459_132050,Hb Sup Rev 278 Hcpcs C1889,13985.73,4895.01,,,0
CDM,27804459_132083,Hb Sup Rev 278 Hcpcs C1889,15556.32,5444.71,,,0
CDM,27804459_132142,Hb Sup Rev 278 Hcpcs C1889,1794.96,628.24,,,0
CDM,27804459_132160,Hb Sup Rev 278 Hcpcs C1889,1047.06,366.47,,,0
CDM,27804459_132162,Hb Sup Rev 278 Hcpcs C1889,1047.06,366.47,,,0
CDM,27804459_132163,Hb Sup Rev 278 Hcpcs C1889,1794.96,628.24,,,0
CDM,27804459_133549,Hb Sup Rev 278 Hcpcs C1889,6895.64,2413.47,,,0
CDM,27804459_134319,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134321,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134322,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134323,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134324,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134325,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134326,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134327,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134328,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134331,Hb Sup Rev 278 Hcpcs C1889,2363.36,827.18,,,0
CDM,27804459_134333,Hb Sup Rev 278 Hcpcs C1889,2961.68,1036.59,,,0
CDM,27804459_134334,Hb Sup Rev 278 Hcpcs C1889,2363.36,827.18,,,0
CDM,27804459_134335,Hb Sup Rev 278 Hcpcs C1889,2961.68,1036.59,,,0
CDM,27804459_134336,Hb Sup Rev 278 Hcpcs C1889,2961.68,1036.59,,,0
CDM,27804459_134337,Hb Sup Rev 278 Hcpcs C1889,3644.77,1275.67,,,0
CDM,27804459_134338,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134339,Hb Sup Rev 278 Hcpcs C1889,3644.77,1275.67,,,0
CDM,27804459_134340,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_134341,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_135662,Hb Sup Rev 278 Hcpcs C1889,20642.04,7224.71,,,0
CDM,27804459_135663,Hb Sup Rev 278 Hcpcs C1889,20642.04,7224.71,,,0
CDM,27804459_135664,Hb Sup Rev 278 Hcpcs C1889,18996.66,6648.83,,,0
CDM,27804459_135665,Hb Sup Rev 278 Hcpcs C1889,20642.04,7224.71,,,0
CDM,27804459_135666,Hb Sup Rev 278 Hcpcs C1889,19146.24,6701.18,,,0
CDM,27804459_135667,Hb Sup Rev 278 Hcpcs C1889,19146.24,6701.18,,,0
CDM,27804459_135668,Hb Sup Rev 278 Hcpcs C1889,19146.24,6701.18,,,0
CDM,27804459_135674,Hb Sup Rev 278 Hcpcs C1889,26026.92,9109.42,,,0
CDM,27804459_135675,Hb Sup Rev 278 Hcpcs C1889,26026.92,9109.42,,,0
CDM,27804459_13794,Hb Sup Rev 278 Hcpcs C1889,1794.96,628.24,,,0
CDM,27804459_16608,Hb Sup Rev 278 Hcpcs C1889,2361.81,826.63,,,0
CDM,27804459_16609,Hb Sup Rev 278 Hcpcs C1889,3967.57,1388.65,,,0
CDM,27804459_16610,Hb Sup Rev 278 Hcpcs C1889,5606.83,1962.39,,,0
CDM,27804459_16817,Hb Sup Rev 278 Hcpcs C1889,1161.13,406.4,,,0
CDM,27804459_16818,Hb Sup Rev 278 Hcpcs C1889,1177.39,412.09,,,0
CDM,27804459_16821,Hb Sup Rev 278 Hcpcs C1889,1168.72,409.05,,,0
CDM,27804459_16822,Hb Sup Rev 278 Hcpcs C1889,1183.9,414.36,,,0
CDM,27804459_16824,Hb Sup Rev 278 Hcpcs C1889,1138.36,398.43,,,0
CDM,27804459_16826,Hb Sup Rev 278 Hcpcs C1889,1161.13,406.4,,,0
CDM,27804459_16831,Hb Sup Rev 278 Hcpcs C1889,1147.47,401.61,,,0
CDM,27804459_16833,Hb Sup Rev 278 Hcpcs C1889,1138.36,398.43,,,0
CDM,27804459_16834,Hb Sup Rev 278 Hcpcs C1889,1138.36,398.43,,,0
CDM,27804459_16835,Hb Sup Rev 278 Hcpcs C1889,1183.9,414.36,,,0
CDM,27804459_16837,Hb Sup Rev 278 Hcpcs C1889,1138.36,398.43,,,0
CDM,27804459_16866,Hb Sup Rev 278 Hcpcs C1889,3477.28,1217.05,,,0
CDM,27804459_16867,Hb Sup Rev 278 Hcpcs C1889,3490.35,1221.62,,,0
CDM,27804459_16869,Hb Sup Rev 278 Hcpcs C1889,3431.53,1201.04,,,0
CDM,27804459_16870,Hb Sup Rev 278 Hcpcs C1889,3500.16,1225.06,,,0
CDM,27804459_16871,Hb Sup Rev 278 Hcpcs C1889,3458.98,1210.64,,,0
CDM,27804459_16872,Hb Sup Rev 278 Hcpcs C1889,3431.53,1201.04,,,0
CDM,27804459_16873,Hb Sup Rev 278 Hcpcs C1889,3483.0,1219.05,,,0
CDM,27804459_16875,Hb Sup Rev 278 Hcpcs C1889,1183.9,414.36,,,0
CDM,27804459_16876,Hb Sup Rev 278 Hcpcs C1889,1183.9,414.36,,,0
CDM,27804459_16877,Hb Sup Rev 278 Hcpcs C1889,1168.72,409.05,,,0
CDM,27804459_16881,Hb Sup Rev 278 Hcpcs C1889,1161.13,406.4,,,0
CDM,27804459_16884,Hb Sup Rev 278 Hcpcs C1889,1183.9,414.36,,,0
CDM,27804459_16891,Hb Sup Rev 278 Hcpcs C1889,1174.79,411.18,,,0
CDM,27804459_16892,Hb Sup Rev 278 Hcpcs C1889,1161.13,406.4,,,0
CDM,27804459_16894,Hb Sup Rev 278 Hcpcs C1889,1138.36,398.43,,,0
CDM,27804459_16896,Hb Sup Rev 278 Hcpcs C1889,1138.36,398.43,,,0
CDM,27804459_16900,Hb Sup Rev 278 Hcpcs C1889,1168.72,409.05,,,0
CDM,27804459_16904,Hb Sup Rev 278 Hcpcs C1889,1161.13,406.4,,,0
CDM,27804459_16910,Hb Sup Rev 278 Hcpcs C1889,1138.36,398.43,,,0
CDM,27804459_16915,Hb Sup Rev 278 Hcpcs C1889,1183.9,414.36,,,0
CDM,27804459_16916,Hb Sup Rev 278 Hcpcs C1889,1161.13,406.4,,,0
CDM,27804459_16920,Hb Sup Rev 278 Hcpcs C1889,1183.9,414.36,,,0
CDM,27804459_170154,Hb Sup Rev 278 Hcpcs C1889,1690.25,591.59,,,0
CDM,27804459_17060,Hb Sup Rev 278 Hcpcs C1889,341.38,119.48,,,0
CDM,27804459_17248,Hb Sup Rev 278 Hcpcs C1889,312.33,109.32,,,0
CDM,27804459_173501,Hb Sup Rev 278 Hcpcs C1889,309.44,108.3,,,0
CDM,27804459_174832,Hb Sup Rev 278 Hcpcs C1889,8973.47,3140.71,,,0
CDM,27804459_174833,Hb Sup Rev 278 Hcpcs C1889,38519.84,13481.94,,,0
CDM,27804459_175188,Hb Sup Rev 278 Hcpcs C1889,299.16,104.71,,,0
CDM,27804459_175192,Hb Sup Rev 278 Hcpcs C1889,45.87,16.05,,,0
CDM,27804459_175196,Hb Sup Rev 278 Hcpcs C1889,951.33,332.97,,,0
CDM,27804459_175197,Hb Sup Rev 278 Hcpcs C1889,951.33,332.97,,,0
CDM,27804459_175213,Hb Sup Rev 278 Hcpcs C1889,47.75,16.71,,,0
CDM,27804459_184,Hb Sup Rev 278 Hcpcs C1889,60.43,21.15,,,0
CDM,27804459_1854,Hb Sup Rev 278 Hcpcs C1889,156.16,54.66,,,0
CDM,27804459_1858,Hb Sup Rev 278 Hcpcs C1889,4509.0,1578.15,,,0
CDM,27804459_18596,Hb Sup Rev 278 Hcpcs C1889,8897.18,3114.01,,,0
CDM,27804459_19326,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_19327,Hb Sup Rev 278 Hcpcs C1889,8897.18,3114.01,,,0
CDM,27804459_19409,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_19410,Hb Sup Rev 278 Hcpcs C1889,12756.68,4464.84,,,0
CDM,27804459_197149,Hb Sup Rev 278 Hcpcs C1889,1181.68,413.59,,,0
CDM,27804459_197227,Hb Sup Rev 278 Hcpcs C1889,897.48,314.12,,,0
CDM,27804459_197228,Hb Sup Rev 278 Hcpcs C1889,1450.93,507.83,,,0
CDM,27804459_197229,Hb Sup Rev 278 Hcpcs C1889,1450.93,507.83,,,0
CDM,27804459_197230,Hb Sup Rev 278 Hcpcs C1889,179.5,62.82,,,0
CDM,27804459_197231,Hb Sup Rev 278 Hcpcs C1889,179.5,62.82,,,0
CDM,27804459_197232,Hb Sup Rev 278 Hcpcs C1889,1346.22,471.18,,,0
CDM,27804459_197239,Hb Sup Rev 278 Hcpcs C1889,13985.73,4895.01,,,0
CDM,27804459_197240,Hb Sup Rev 278 Hcpcs C1889,13985.73,4895.01,,,0
CDM,27804459_197241,Hb Sup Rev 278 Hcpcs C1889,1630.42,570.65,,,0
CDM,27804459_197242,Hb Sup Rev 278 Hcpcs C1889,1630.42,570.65,,,0
CDM,27804459_197244,Hb Sup Rev 278 Hcpcs C1889,1630.42,570.65,,,0
CDM,27804459_197245,Hb Sup Rev 278 Hcpcs C1889,1630.42,570.65,,,0
CDM,27804459_197252,Hb Sup Rev 278 Hcpcs C1889,1346.22,471.18,,,0
CDM,27804459_197253,Hb Sup Rev 278 Hcpcs C1889,1346.22,471.18,,,0
CDM,27804459_197255,Hb Sup Rev 278 Hcpcs C1889,179.5,62.82,,,0
CDM,27804459_197397,Hb Sup Rev 278 Hcpcs C1889,8973.47,3140.71,,,0
CDM,27804459_198859,Hb Sup Rev 278 Hcpcs C1889,109193.4,38217.69,,,0
CDM,27804459_198916,Hb Sup Rev 278 Hcpcs C1889,600.23,210.08,,,0
CDM,27804459_198918,Hb Sup Rev 278 Hcpcs C1889,600.23,210.08,,,0
CDM,27804459_198919,Hb Sup Rev 278 Hcpcs C1889,600.23,210.08,,,0
CDM,27804459_198920,Hb Sup Rev 278 Hcpcs C1889,600.23,210.08,,,0
CDM,27804459_198921,Hb Sup Rev 278 Hcpcs C1889,600.23,210.08,,,0
CDM,27804459_198922,Hb Sup Rev 278 Hcpcs C1889,600.23,210.08,,,0
CDM,27804459_198924,Hb Sup Rev 278 Hcpcs C1889,600.23,210.08,,,0
CDM,27804459_198925,Hb Sup Rev 278 Hcpcs C1889,566.89,198.41,,,0
CDM,27804459_198926,Hb Sup Rev 278 Hcpcs C1889,600.23,210.08,,,0
CDM,27804459_198927,Hb Sup Rev 278 Hcpcs C1889,600.23,210.08,,,0
CDM,27804459_198928,Hb Sup Rev 278 Hcpcs C1889,876.96,306.94,,,0
CDM,27804459_198929,Hb Sup Rev 278 Hcpcs C1889,876.96,306.94,,,0
CDM,27804459_198931,Hb Sup Rev 278 Hcpcs C1889,600.23,210.08,,,0
CDM,27804459_198932,Hb Sup Rev 278 Hcpcs C1889,876.96,306.94,,,0
CDM,27804459_198933,Hb Sup Rev 278 Hcpcs C1889,876.96,306.94,,,0
CDM,27804459_198935,Hb Sup Rev 278 Hcpcs C1889,876.96,306.94,,,0
CDM,27804459_198936,Hb Sup Rev 278 Hcpcs C1889,876.96,306.94,,,0
CDM,27804459_198937,Hb Sup Rev 278 Hcpcs C1889,876.96,306.94,,,0
CDM,27804459_198938,Hb Sup Rev 278 Hcpcs C1889,876.96,306.94,,,0
CDM,27804459_200123,Hb Sup Rev 278 Hcpcs C1889,1214.59,425.11,,,0
CDM,27804459_200124,Hb Sup Rev 278 Hcpcs C1889,2243.7,785.3,,,0
CDM,27804459_200125,Hb Sup Rev 278 Hcpcs C1889,1293.12,452.59,,,0
CDM,27804459_200126,Hb Sup Rev 278 Hcpcs C1889,615.21,215.32,,,0
CDM,27804459_200127,Hb Sup Rev 278 Hcpcs C1889,4436.54,1552.79,,,0
CDM,27804459_203204,Hb Sup Rev 278 Hcpcs C1889,104706.0,36647.1,,,0
CDM,27804459_203206,Hb Sup Rev 278 Hcpcs C1889,104706.0,36647.1,,,0
CDM,27804459_203208,Hb Sup Rev 278 Hcpcs C1889,104706.0,36647.1,,,0
CDM,27804459_203211,Hb Sup Rev 278 Hcpcs C1889,104706.0,36647.1,,,0
CDM,27804459_203221,Hb Sup Rev 278 Hcpcs C1889,104706.0,36647.1,,,0
CDM,27804459_203225,Hb Sup Rev 278 Hcpcs C1889,104706.0,36647.1,,,0
CDM,27804459_203227,Hb Sup Rev 278 Hcpcs C1889,104706.0,36647.1,,,0
CDM,27804459_203500,Hb Sup Rev 278 Hcpcs C1889,828.24,289.88,,,0
CDM,27804459_204973,Hb Sup Rev 278 Hcpcs C1889,110.69,38.74,,,0
CDM,27804459_206217,Hb Sup Rev 278 Hcpcs C1889,86756.4,30364.74,,,0
CDM,27804459_206220,Hb Sup Rev 278 Hcpcs C1889,4614.62,1615.12,,,0
CDM,27804459_20638,Hb Sup Rev 278 Hcpcs C1889,9420.55,3297.19,,,0
CDM,27804459_209779,Hb Sup Rev 278 Hcpcs C1889,4.91,1.72,,,0
CDM,27804459_210081,Hb Sup Rev 278 Hcpcs C1889,2213.78,774.82,,,0
CDM,27804459_213538,Hb Sup Rev 278 Hcpcs C1889,2677.48,937.12,,,0
CDM,27804459_213913,Hb Sup Rev 278 Hcpcs C1889,324.18,113.46,,,0
CDM,27804459_214034,Hb Sup Rev 278 Hcpcs C1889,20642.04,7224.71,,,0
CDM,27804459_214039,Hb Sup Rev 278 Hcpcs C1889,50857.2,17800.02,,,0
CDM,27804459_21505,Hb Sup Rev 278 Hcpcs C1889,3406.84,1192.39,,,0
CDM,27804459_215204,Hb Sup Rev 278 Hcpcs C1889,3859.16,1350.71,,,0
CDM,27804459_215682,Hb Sup Rev 278 Hcpcs C1889,2961.68,1036.59,,,0
CDM,27804459_216521,Hb Sup Rev 278 Hcpcs C1889,5354.96,1874.24,,,0
CDM,27804459_2590,Hb Sup Rev 278 Hcpcs C1889,41.88,14.66,,,0
CDM,27804459_2925,Hb Sup Rev 278 Hcpcs C1889,1280.32,448.11,,,0
CDM,27804459_30625,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30626,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30627,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30628,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30629,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30927,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30928,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30929,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30930,Hb Sup Rev 278 Hcpcs C1889,532.08,186.23,,,0
CDM,27804459_30931,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30932,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30933,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30934,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30937,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30939,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30941,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30943,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_30945,Hb Sup Rev 278 Hcpcs C1889,538.49,188.47,,,0
CDM,27804459_31080,Hb Sup Rev 278 Hcpcs C1889,897.48,314.12,,,0
CDM,27804459_31082,Hb Sup Rev 278 Hcpcs C1889,897.48,314.12,,,0
CDM,27804459_31086,Hb Sup Rev 278 Hcpcs C1889,897.48,314.12,,,0
CDM,27804459_32293,Hb Sup Rev 278 Hcpcs C1889,2895.87,1013.55,,,0
CDM,27804459_32298,Hb Sup Rev 278 Hcpcs C1889,342.24,119.78,,,0
CDM,27804459_32299,Hb Sup Rev 278 Hcpcs C1889,342.24,119.78,,,0
CDM,27804459_32454,Hb Sup Rev 278 Hcpcs C1889,523.53,183.24,,,0
CDM,27804459_33287,Hb Sup Rev 278 Hcpcs C1889,299.16,104.71,,,0
CDM,27804459_33483,Hb Sup Rev 278 Hcpcs C1889,580.07,203.02,,,0
CDM,27804459_33726,Hb Sup Rev 278 Hcpcs C1889,3566.29,1248.2,,,0
CDM,27804459_33943,Hb Sup Rev 278 Hcpcs C1889,2389.39,836.29,,,0
CDM,27804459_3440,Hb Sup Rev 278 Hcpcs C1889,1346.22,471.18,,,0
CDM,27804459_34604,Hb Sup Rev 278 Hcpcs C1889,7179.84,2512.94,,,0
CDM,27804459_34605,Hb Sup Rev 278 Hcpcs C1889,7179.84,2512.94,,,0
CDM,27804459_34606,Hb Sup Rev 278 Hcpcs C1889,7179.84,2512.94,,,0
CDM,27804459_34607,Hb Sup Rev 278 Hcpcs C1889,7179.84,2512.94,,,0
CDM,27804459_34608,Hb Sup Rev 278 Hcpcs C1889,7179.84,2512.94,,,0
CDM,27804459_34610,Hb Sup Rev 278 Hcpcs C1889,7179.84,2512.94,,,0
CDM,27804459_3554,Hb Sup Rev 278 Hcpcs C1889,12863.88,4502.36,,,0
CDM,27804459_35670,Hb Sup Rev 278 Hcpcs C1889,5980.21,2093.07,,,0
CDM,27804459_37948,Hb Sup Rev 278 Hcpcs C1889,687.8,240.73,,,0
CDM,27804459_3934,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_44620,Hb Sup Rev 278 Hcpcs C1889,116.86,40.9,,,0
CDM,27804459_47264,Hb Sup Rev 278 Hcpcs C1889,358.99,125.65,,,0
CDM,27804459_480,Hb Sup Rev 278 Hcpcs C1889,1109.88,388.46,,,0
CDM,27804459_481,Hb Sup Rev 278 Hcpcs C1889,870.56,304.7,,,0
CDM,27804459_482,Hb Sup Rev 278 Hcpcs C1889,493.61,172.76,,,0
CDM,27804459_483,Hb Sup Rev 278 Hcpcs C1889,942.35,329.82,,,0
CDM,27804459_51451,Hb Sup Rev 278 Hcpcs C1889,95.73,33.51,,,0
CDM,27804459_51916,Hb Sup Rev 278 Hcpcs C1889,254.29,89.0,,,0
CDM,27804459_55361,Hb Sup Rev 278 Hcpcs C1889,2348.95,822.13,,,0
CDM,27804459_55395,Hb Sup Rev 278 Hcpcs C1889,2348.95,822.13,,,0
CDM,27804459_5606,Hb Sup Rev 278 Hcpcs C1889,2925.78,1024.02,,,0
CDM,27804459_5609,Hb Sup Rev 278 Hcpcs C1889,1322.29,462.8,,,0
CDM,27804459_5610,Hb Sup Rev 278 Hcpcs C1889,1462.89,512.01,,,0
CDM,27804459_5611,Hb Sup Rev 278 Hcpcs C1889,2040.27,714.09,,,0
CDM,27804459_5616,Hb Sup Rev 278 Hcpcs C1889,2219.77,776.92,,,0
CDM,27804459_5617,Hb Sup Rev 278 Hcpcs C1889,2198.83,769.59,,,0
CDM,27804459_5629,Hb Sup Rev 278 Hcpcs C1889,1382.12,483.74,,,0
CDM,27804459_5630,Hb Sup Rev 278 Hcpcs C1889,601.31,210.46,,,0
CDM,27804459_5631,Hb Sup Rev 278 Hcpcs C1889,1774.02,620.91,,,0
CDM,27804459_57967,Hb Sup Rev 278 Hcpcs C1889,1300.84,455.29,,,0
CDM,27804459_61125,Hb Sup Rev 278 Hcpcs C1889,2921.78,1022.62,,,0
CDM,27804459_6165,Hb Sup Rev 278 Hcpcs C1889,8974.8,3141.18,,,0
CDM,27804459_65787,Hb Sup Rev 278 Hcpcs C1889,367.97,128.79,,,0
CDM,27804459_68483,Hb Sup Rev 278 Hcpcs C1889,10373.7,3630.8,,,0
CDM,27804459_68853,Hb Sup Rev 278 Hcpcs C1889,11292.09,3952.23,,,0
CDM,27804459_68855,Hb Sup Rev 278 Hcpcs C1889,11292.09,3952.23,,,0
CDM,27804459_68856,Hb Sup Rev 278 Hcpcs C1889,10373.7,3630.8,,,0
CDM,27804459_68858,Hb Sup Rev 278 Hcpcs C1889,2348.95,822.13,,,0
CDM,27804459_79498,Hb Sup Rev 278 Hcpcs C1889,993.21,347.62,,,0
CDM,27804459_79587,Hb Sup Rev 278 Hcpcs C1889,17197.3,6019.06,,,0
CDM,27804459_79902,Hb Sup Rev 278 Hcpcs C1889,1138.36,398.43,,,0
CDM,27804459_79906,Hb Sup Rev 278 Hcpcs C1889,1183.9,414.36,,,0
CDM,27804459_81658,Hb Sup Rev 278 Hcpcs C1889,2677.48,937.12,,,0
CDM,27804459_81798,Hb Sup Rev 278 Hcpcs C1889,511.56,179.05,,,0
CDM,27804459_81799,Hb Sup Rev 278 Hcpcs C1889,511.56,179.05,,,0
CDM,27804459_8645,Hb Sup Rev 278 Hcpcs C1889,13408.35,4692.92,,,0
CDM,27804459_8646,Hb Sup Rev 278 Hcpcs C1889,18387.0,6435.45,,,0
CDM,27804459_8647,Hb Sup Rev 278 Hcpcs C1889,20438.61,7153.51,,,0
CDM,27804459_87256,Hb Sup Rev 278 Hcpcs C1889,8897.18,3114.01,,,0
CDM,27804459_87257,Hb Sup Rev 278 Hcpcs C1889,8897.18,3114.01,,,0
CDM,27804459_87258,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_87259,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_87260,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_87261,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_87262,Hb Sup Rev 278 Hcpcs C1889,13507.07,4727.47,,,0
CDM,27804459_87263,Hb Sup Rev 278 Hcpcs C1889,12756.68,4464.84,,,0
CDM,27804459_89254,Hb Sup Rev 278 Hcpcs C1889,16453.8,5758.83,,,0
CDM,27804459_8930,Hb Sup Rev 278 Hcpcs C1889,2544.46,890.56,,,0
CDM,27804459_89855,Hb Sup Rev 278 Hcpcs C1889,1860.78,651.27,,,0
CDM,27804459_9054,Hb Sup Rev 278 Hcpcs C1889,3500.17,1225.06,,,0
CDM,27804459_945,Hb Sup Rev 278 Hcpcs C1889,80.77,28.27,,,0
CDM,27804459_9629,Hb Sup Rev 278 Hcpcs C1889,2426.78,849.37,,,0
CDM,27804459_97071,Hb Sup Rev 278 Hcpcs C1889,1346.22,471.18,,,0
CDM,27804459_97151,Hb Sup Rev 278 Hcpcs C1889,11068.92,3874.12,,,0
CDM,27804459_97152,Hb Sup Rev 278 Hcpcs C1889,11068.92,3874.12,,,0
CDM,27804459_97153,Hb Sup Rev 278 Hcpcs C1889,11068.92,3874.12,,,0
CDM,27804459_97155,Hb Sup Rev 278 Hcpcs C1889,11068.92,3874.12,,,0
CDM,27804459_97162,Hb Sup Rev 278 Hcpcs C1889,11068.92,3874.12,,,0
CDM,27804459_99007,Hb Sup Rev 278 Hcpcs C1889,1794.96,628.24,,,0
CDM,27804459_99009,Hb Sup Rev 278 Hcpcs C1889,1794.96,628.24,,,0
CDM,27804459_C1889_278,Hb Sup Rev 278 Hcpcs C1889,50.01,17.5,,,0
CDM,27804463_C1874_278,Hb Stent Onys Frontier Rx 2X8Mm,1346.22,471.18,,,0
CDM,27804464_C1874_278,Hb Stent Onys Frontier Rx 2X12Mm,1346.22,471.18,,,0
CDM,27804465_C1874_278,Hb Stent Onys Frontier Rx 2X15Mm,1346.22,471.18,,,0
CDM,27804466_C1874_278,Hb Stent Onys Frontier Rx 2X18Mm,1346.22,471.18,,,0
CDM,27804467_C1874_278,Hb Stent Onys Frontier Rx 2X22Mm,1346.22,471.18,,,0
CDM,27804468_C1874_278,Hb Stent Onys Frontier Rx 2X26Mm,1346.22,471.18,,,0
CDM,27804469_C1874_278,Hb Stent Onys Frontier Rx 2X30Mm,1346.22,471.18,,,0
CDM,27804470_C1874_278,Hb Stent Onys Frontier Rx 2.25X8Mm,1346.22,471.18,,,0
CDM,27804471_C1874_278,Hb Stent Onys Frontier Rx 2.25X12Mm,1346.22,471.18,,,0
CDM,27804472_C1874_278,Hb Stent Onys Frontier Rx 2.25X15Mm,1346.22,471.18,,,0
CDM,27804473_C1874_278,Hb Stent Onys Frontier Rx 2.25X18Mm,1346.19,471.17,,,0
CDM,27804474_C1874_278,Hb Stent Onys Frontier Rx 2.25X22Mm,1346.22,471.18,,,0
CDM,27804475_C1874_278,Hb Stent Onys Frontier Rx 2.25X26Mm,1346.22,471.18,,,0
CDM,27804476_C1874_278,Hb Stent Onys Frontier Rx 2.25X30Mm,1346.22,471.18,,,0
CDM,27804477_C1874_278,Hb Stent Onys Frontier Rx 2.25X34Mm,1346.22,471.18,,,0
CDM,27804478_C1874_278,Hb Stent Onys Frontier Rx 2.25X38Mm,1346.22,471.18,,,0
CDM,27804479_C1874_278,Hb Stent Onys Frontier Rx 2.50X8Mm,1346.22,471.18,,,0
CDM,27804480_C1874_278,Hb Stent Onys Frontier Rx 2.50X12Mm,1346.22,471.18,,,0
CDM,27804481_C1874_278,Hb Stent Onys Frontier Rx 2.50X15Mm,1346.22,471.18,,,0
CDM,27804482_C1874_278,Hb Stent Onys Frontier Rx 2.50X18Mm,1346.22,471.18,,,0
CDM,27804483_C1874_278,Hb Stent Onys Frontier Rx 2.50X22Mm,1346.22,471.18,,,0
CDM,27804484_C1874_278,Hb Stent Onys Frontier Rx 2.50X26Mm,1346.22,471.18,,,0
CDM,27804485_C1874_278,Hb Stent Onys Frontier Rx 2.50X30Mm,1346.22,471.18,,,0
CDM,27804486_C1874_278,Hb Stent Onys Frontier Rx 2.50X34Mm,1346.22,471.18,,,0
CDM,27804487_C1874_278,Hb Stent Onys Frontier Rx 2.50X38Mm,1346.22,471.18,,,0
CDM,27804488_C1874_278,Hb Stent Onys Frontier Rx 2.75X8Mm,1346.22,471.18,,,0
CDM,27804489_C1874_278,Hb Stent Onys Frontier Rx 2.75X12Mm,1346.22,471.18,,,0
CDM,27804490_C1874_278,Hb Stent Onys Frontier Rx 2.75X15Mm,1346.22,471.18,,,0
CDM,27804491_C1874_278,Hb Stent Onys Frontier Rx 2.75X18Mm,1346.22,471.18,,,0
CDM,27804492_C1874_278,Hb Stent Onys Frontier Rx 2.75X22Mm,1346.22,471.18,,,0
CDM,27804493_C1874_278,Hb Stent Onys Frontier Rx 2.75X26Mm,1346.22,471.18,,,0
CDM,27804494_C1874_278,Hb Stent Onys Frontier Rx 2.75X30Mm,1346.22,471.18,,,0
CDM,27804495_C1874_278,Hb Stent Onys Frontier Rx 2.75X34Mm,1346.22,471.18,,,0
CDM,27804496_C1874_278,Hb Stent Onys Frontier Rx 2.75X38Mm,1346.22,471.18,,,0
CDM,27804497_C1874_278,Hb Stent Onys Frontier Rx 3.0X8Mm,1346.22,471.18,,,0
CDM,27804498_C1874_278,Hb Stent Onys Frontier Rx 3.0X12Mm,1346.22,471.18,,,0
CDM,27804499_C1874_278,Hb Stent Onys Frontier Rx 3.0X15Mm,1346.22,471.18,,,0
CDM,27804500_C1874_278,Hb Stent Onys Frontier Rx 3.0X18Mm,1346.22,471.18,,,0
CDM,27804501_C1874_278,Hb Stent Onys Frontier Rx 3.0X22Mm,1346.22,471.18,,,0
CDM,27804502_C1874_278,Hb Stent Onys Frontier Rx 3.0X26Mm,1346.22,471.18,,,0
CDM,27804503_C1874_278,Hb Stent Onys Frontier Rx 3.0X30Mm,1346.22,471.18,,,0
CDM,27804504_C1874_278,Hb Stent Onys Frontier Rx 3.0X34Mm,1346.22,471.18,,,0
CDM,27804505_C1874_278,Hb Stent Onys Frontier Rx 3.0X38Mm,1346.22,471.18,,,0
CDM,27804506_C1874_278,Hb Stent Onys Frontier Rx 3.5X8Mm,1346.22,471.18,,,0
CDM,27804507_C1874_278,Hb Stent Onys Frontier Rx 3.5X12Mm,1346.22,471.18,,,0
CDM,27804508_C1874_278,Hb Stent Onys Frontier Rx 3.5X15Mm,1346.22,471.18,,,0
CDM,27804509_C1874_278,Hb Stent Onys Frontier Rx 3.5X18Mm,1346.82,471.39,,,0
CDM,27804510_C1874_278,Hb Stent Onys Frontier Rx 3.5X22Mm,1346.22,471.18,,,0
CDM,27804511_C1874_278,Hb Stent Onys Frontier Rx 3.5X26Mm,1346.22,471.18,,,0
CDM,27804512_C1874_278,Hb Stent Onys Frontier Rx 3.5X30Mm,1346.22,471.18,,,0
CDM,27804513_C1874_278,Hb Stent Onys Frontier Rx 3.5X34Mm,1346.22,471.18,,,0
CDM,27804514_C1874_278,Hb Stent Onys Frontier Rx 3.5X38Mm,1346.22,471.18,,,0
CDM,27804515_C1874_278,Hb Stent Onys Frontier Rx 4.0X8Mm,1346.22,471.18,,,0
CDM,27804516_C1874_278,Hb Stent Onys Frontier Rx 4.0X12Mm,1346.22,471.18,,,0
CDM,27804517_C1874_278,Hb Stent Onys Frontier Rx 4.0X15Mm,1346.22,471.18,,,0
CDM,27804518_C1874_278,Hb Stent Onys Frontier Rx 4.0X18Mm,1346.22,471.18,,,0
CDM,27804519_C1874_278,Hb Stent Onys Frontier Rx 4.0X22Mm,1346.22,471.18,,,0
CDM,27804520_C1874_278,Hb Stent Onys Frontier Rx 4.0X26Mm,1346.22,471.18,,,0
CDM,27804521_C1874_278,Hb Stent Onys Frontier Rx 4.0X30Mm,1346.22,471.18,,,0
CDM,27804522_C1874_278,Hb Stent Onys Frontier Rx 4.0X34Mm,1346.22,471.18,,,0
CDM,27804523_C1874_278,Hb Stent Onys Frontier Rx 4.0X38Mm,1346.22,471.18,,,0
CDM,27804524_C1874_278,Hb Stent Onys Frontier Rx 4.5X12Mm,1346.22,471.18,,,0
CDM,27804525_C1874_278,Hb Stent Onys Frontier Rx 4.5X15Mm,1346.22,471.18,,,0
CDM,27804526_C1874_278,Hb Stent Onys Frontier Rx 4.5X18Mm,1346.22,471.18,,,0
CDM,27804527_C1874_278,Hb Stent Onys Frontier Rx 4.5X22Mm,1346.22,471.18,,,0
CDM,27804531_C1874_278,Hb Stent Onys Frontier Rx 5.0X15Mm,1346.22,471.18,,,0
CDM,27804532_C1874_278,Hb Stent Onys Frontier Rx 5.0X18Mm,1346.22,471.18,,,0
CDM,27804533_C1874_278,Hb Stent Onys Frontier Rx 5.0X22Mm,1346.22,471.18,,,0
CDM,27804547_278,Hb Watchman Access Sys Fxd Curve Sgl,2991.6,1047.06,,,0
CDM,27804548_278,Hb Watchman Access Sys Fxd Curve Dbl,2991.6,1047.06,,,0
CDM,27804550_184090,Hb Sup Rev 278 Hcpcs C1825,104706.0,36647.1,,,0
CDM,27804551_278,Hb Valve Tavr Evolut Fx 23Mm,89748.0,31411.8,,,0
CDM,27804552_278,Hb Valve Tavr Evolut Fx 26Mm,89748.0,31411.8,,,0
CDM,27804553_278,Hb Valve Tavr Evolut Fx 29Mm,89748.0,31411.8,,,0
CDM,27804554_278,Hb Valve Tavr Evolut Fx 34Mm,89748.0,31411.8,,,0
CDM,27804555_278,Hb Sys Delivery Evolut Fx 23-29Mm,9935.57,3477.45,,,0
CDM,27804556_278,Hb Sys Delivery Evolut Fx 34Mm,5121.66,1792.58,,,0
CDM,27804561_C1876_278,Hb Stent Venousabre 14Mm X 80Mm,4861.35,1701.47,,,0
CDM,27804562_C1876_278,Hb Stent Venousabre 14Mm X 100Mm,4861.35,1701.47,,,0
CDM,27804563_C1876_278,Hb Stent Venousabre 14Mm X 120Mm,4861.35,1701.47,,,0
CDM,27804564_C1876_278,Hb Stent Venousabre 16Mm X 60Mm,4861.35,1701.47,,,0
CDM,27804565_C1876_278,Hb Stent Venousabre 16Mm X 80Mm,4861.35,1701.47,,,0
CDM,27804568_C1876_278,Hb Stent Venousabre 18Mm X 60Mm,4861.35,1701.47,,,0
CDM,27804569_C1876_278,Hb Stent Venousabre 18Mm X 80Mm,4861.35,1701.47,,,0
CDM,27804570_C1876_278,Hb Stent Venousabre 20Mm X 60Mm,4861.35,1701.47,,,0
CDM,27804571_C1876_278,Hb Stent Venousabre 20Mm X 80Mm,4861.35,1701.47,,,0
CDM,27804572_C1876_278,Hb Stent Venousabre 20Mm X 100Mm,4861.35,1701.47,,,0
CDM,27804573_C1876_278,Hb Stent Venousabre 20Mm X 120Mm,4861.35,1701.47,,,0
CDM,27804731_C1876_278,Hb Stent Zilver 9X40X80,1935.75,677.51,,,0
CDM,27804871_C1874_278,Hb Stent Viabahn 9X5 120Cm 8Fr,9659.88,3380.96,,,0
CDM,27804873_C1874_278,Hb Stent Viabahn 10X5 120Cm 8Fr,9659.88,3380.96,,,0
CDM,27804875_C1874_278,Hb Stent Viabahn 11X5 120Cm 10Fr,9659.88,3380.96,,,0
CDM,27804876_C1874_278,Hb Stent Viabahn 13X5 120Cm 10Fr,9659.88,3380.96,,,0
CDM,27804892_278,Hb Cath Tempo 5Frx100Cm 5/Bx,309.44,108.3,,,0
CDM,27804923_278,Hb Cath Iab Rediguard 8Fr 40Cc,3893.0,1362.55,,,0
CDM,27804924_278,Hb Cath Iab Rediguard 7Fr 30Cc,3863.57,1352.25,,,0
CDM,27804925_278,Hb Cath Iab Ultraflex 8Fr 50Cc,8452.3,2958.3,,,0
CDM,27804928_278,Hb Coil I-Ed Complex Silkysoft 1X2,2946.73,1031.36,,,0
CDM,27804929_278,Hb Coil I-Ed Complex Silkysoft 1X3,2946.73,1031.36,,,0
CDM,27804931_278,Hb Coil I-Ed Complex Silkysoft 1.5X3,2946.73,1031.36,,,0
CDM,27804933_278,Hb Coil I-Ed Complex Silkysoft 2X4,2976.64,1041.82,,,0
CDM,27804934_278,Hb Coil I-Ed Complex Silkysoft 2X6,2976.64,1041.82,,,0
CDM,27804935_278,Hb Coil I-Ed Complex Silkysoft 2X8,3156.14,1104.65,,,0
CDM,27804940_278,Hb Coil I-Ed Complex Silkysoft 3X8,3156.14,1104.65,,,0
CDM,27804943_278,Hb Coil I-Ed Complex Extrasoft 3.5X8,3156.14,1104.65,,,0
CDM,27804944_278,Hb Coil I-Ed Complex Soft 4X10,3156.14,1104.65,,,0
CDM,27804945_278,Hb Coil I-Ed Complex Soft 5X10,3245.89,1136.06,,,0
CDM,27804946_278,Hb Coil I-Ed Complex Soft 5X15,3305.72,1157.0,,,0
CDM,27804947_278,Hb Coil I-Ed Complex Soft 6X20,3545.05,1240.77,,,0
CDM,27804948_278,Hb Coil I-Ed Complex Soft 7X30,3844.21,1345.47,,,0
CDM,27804949_278,Hb Coil I-Ed Complex Soft 8X40,4352.78,1523.47,,,0
CDM,27804950_278,Hb Coil I-Ed Complex Soft 9X40,4352.78,1523.47,,,0
CDM,27804951_278,Hb Coil I-Ed Complex Mediumsoft 10X40,4352.78,1523.47,,,0
CDM,27804955_278,Hb Coil I-Ed Cx Infini Silkysoft 2-3X6,3589.92,1256.47,,,0
CDM,27804956_278,Hb Coil I-Ed Cx Infini Silkysoft 2-3X10,3589.92,1256.47,,,0
CDM,27804957_278,Hb Coil I-Ed Cx Infini Silkysoft 3-5X15,3739.5,1308.82,,,0
CDM,27804958_278,Hb Coil I-Ed Cx Infini Silkysoft 3-5X20,3739.5,1308.82,,,0
CDM,27804959_278,Hb Coil I-Ed 14 Infini Extrasoft 4-8X10,3874.12,1355.94,,,0
CDM,27804960_278,Hb Coil I-Ed 14 Infini Extrasoft 4-8X15,3874.12,1355.94,,,0
CDM,27804961_278,Hb Coil I-Ed 14 Infini Extrasoft 4-8X30,4173.28,1460.65,,,0
CDM,27804962_278,Hb Coil I-Ed 14 Infini Soft 5-12X30,4173.28,1460.65,,,0
CDM,27804963_278,Hb Coil I-Ed 14 Infini Soft 5-12X50,4472.44,1565.35,,,0
CDM,27804964_278,Hb Coil I-Ed 14 Infini Soft 12-20X50,4472.44,1565.35,,,0
CDM,27804969_278,Hb Detacher Edg V4,673.11,235.59,,,0
CDM,27804971_278,Hb Coil Hydrosoft 3D Adv 10 2.5X4,6622.66,2317.93,,,0
CDM,27804972_278,Hb Coil Hydrosoft 3D Adv 10 3Mmx6Cm,6622.66,2317.93,,,0
CDM,27804975_278,Hb Coil Hydroframe 10 Adv 8Mmx17Cm,6622.66,2317.93,,,0
CDM,27804976_278,Hb Coil Hydroframe Framing 10 9X31,6622.66,2317.93,,,0
CDM,27804977_278,Hb Coil Hydroframe 10 Adv 10X36,6622.66,2317.93,,,0
CDM,27804979_278,Hb Coil Hydrosoft 3D Adv 10 1Mmx2Cm,6622.66,2317.93,,,0
CDM,27804980_278,Hb Coil Hydrosoft 3D Adv 10 2Mmx3Cm,6622.66,2317.93,,,0
CDM,27804981_278,Hb Coil Hydrosoft 3D Adv 10 3Mmx4Cm,6622.66,2317.93,,,0
CDM,27804990_278,Hb Sys Web Sl 27 Single Layer 8X3,42488.2,14870.87,,,0
CDM,27804994_278,Hb Sys Web Sl 27 Single Layer 9X4,42488.2,14870.87,,,0
CDM,27805006_278,Hb Set Pump Impella Rp Flex Smart Ast,74790.0,26176.5,,,0
CDM,27805011_C1817_278,Hb Occluder Amplatzer Talisman 25Mm,29901.04,10465.36,,,0
CDM,27805014_278,Hb Coil Target Tetra 1.5Mmx2.0Cm,5827.75,2039.71,,,0
CDM,27805015_278,Hb Coil Target Tetra 1.5Mmx3.0Cm,5839.73,2043.91,,,0
CDM,27805016_278,Hb Coil Target Tetra 2.0Mmx2.5Cm,5719.94,2001.98,,,0
CDM,27805017_278,Hb Coil Target Tetra 2.0Mmx3.5Cm,5863.69,2052.29,,,0
CDM,27805018_278,Hb Coil Target Tetra 2.0Mmx4.5Cm,5863.69,2052.29,,,0
CDM,27805019_278,Hb Coil Target Tetra 2.0Mmx6.0Cm,5719.94,2001.98,,,0
CDM,27805020_278,Hb Coil Target Tetra 2.5Mmx3.5Cm,5863.69,2052.29,,,0
CDM,27805021_278,Hb Coil Target Tetra 2.5Mmx4.5Cm,5815.77,2035.52,,,0
CDM,27805022_278,Hb Coil Target Tetra 2.5Mmx6.0Cm,5802.08,2030.73,,,0
CDM,27805023_278,Hb Coil Target Tetra 3.0Mmx4.5Cm,5791.81,2027.13,,,0
CDM,27805024_278,Hb Coil Target Tetra 3.0Mmx6.0Cm,5839.73,2043.91,,,0
CDM,27805025_278,Hb Coil Target Tetra 3.0Mmx8.0Cm,5822.62,2037.92,,,0
CDM,27805026_278,Hb Coil Target Tetra 3.0Mmx10Cm,5802.08,2030.73,,,0
CDM,27805027_278,Hb Coil Target Tetra 3.5Mmx6.0Cm,5767.86,2018.75,,,0
CDM,27805028_278,Hb Coil Target Tetra 3.5Mmx8.0Cm,5815.77,2035.52,,,0
CDM,27805029_278,Hb Coil Target Tetra 3.5Mmx10Cm,5815.77,2035.52,,,0
CDM,27805030_278,Hb Coil Embold Fibered 2X4,2843.62,995.27,,,0
CDM,27805031_278,Hb Coil Embold Fibered 2X6,3048.52,1066.98,,,0
CDM,27805032_278,Hb Coil Embold Fibered 3X6,2742.44,959.85,,,0
CDM,27805033_278,Hb Coil Embold Fibered 3X12,3077.76,1077.22,,,0
CDM,27805034_278,Hb Coil Embold Fibered 4X8,2696.63,943.82,,,0
CDM,27805035_278,Hb Coil Embold Fibered 4X15,3362.56,1176.9,,,0
CDM,27805036_278,Hb Coil Embold Fibered 5X8,2950.71,1032.75,,,0
CDM,27805037_278,Hb Coil Embold Fibered 6X10,3184.97,1114.74,,,0
CDM,27805038_278,Hb Coil Embold Fibered 6X20,3281.04,1148.36,,,0
CDM,27805039_278,Hb Coil Embold Fibered 8X20,3362.56,1176.9,,,0
CDM,27805040,Hb Kit 200 Patient Kit Evaheart2,298637.28,104523.05,,,0
CDM,27805041,Hb Kit 100 Hospital Kit Evaheart2,99530.64,34835.72,,,0
CDM,27805047_C2617_272,Hb Stent Nephrouretheral 8/26,1139.21,398.72,,,0
CDM,27805073_278,Hb Coil Nester .018 10Mmx14Cm,270.95,94.83,,,0
CDM,27805074_278,Hb Coil Nester .018 3Mmx14Cm,270.95,94.83,,,0
CDM,27805076_278,Hb Coil Nester .018 6Mmx14Cm,270.95,94.83,,,0
CDM,27805077_278,Hb Coil Nester .018 2Mmx7Cm,256.68,89.84,,,0
CDM,27805078_278,Hb Coil Nester .018 3Mmx7Cm,256.68,89.84,,,0
CDM,27805079_278,Hb Coil Nester .018 4Mmx7Cm,256.68,89.84,,,0
CDM,27805082_272,Hb Coil Nester .035 4Mmx14Cm,255.9,89.56,,,0
CDM,27805082_278,Hb Coil Nester .035 4Mmx14Cm,270.95,94.83,,,0
CDM,27805083_272,Hb Coil Nester .035 6Mmx14Cm,255.9,89.56,,,0
CDM,27805083_278,Hb Coil Nester .035 6Mmx14Cm,270.95,94.83,,,0
CDM,27805084_278,Hb Coil Nester .035 8Mmx14Cm,270.95,94.83,,,0
CDM,27805085_278,Hb Coil Nester .035 10Mmx20Cm,338.83,118.59,,,0
CDM,27805086_278,Hb Coil Nester .035 12Mmx20Cm,338.83,118.59,,,0
CDM,27805088_278,Hb Coil Nester .035 16Mmx120Cm,338.83,118.59,,,0
CDM,27805089_278,Hb Coil Nester .035 20Mmx20Cm,338.83,118.59,,,0
CDM,27805091_278,Hb Coil Nester  .035 4Mmx7Cm,256.68,89.84,,,0
CDM,27805100_189365,Hb Sup Rev 278 Hcpcs C1827,88252.2,30888.27,,,0
CDM,27805101_278,Hb Coil Hydroframe 10 Adv 4Mm X 8Cm,6622.66,2317.93,,,0
CDM,27805102_278,Hb Coil Hydroframe 10 Adv 4Mm X 8Cm,6622.66,2317.93,,,0
CDM,27805104_190761,Hb Sup Rev 278 Hcpcs C1734,11022.16,3857.76,,,0
CDM,27805105,Hb Needle Reflector Savi Scout L5Cm Lf,1196.64,418.82,,,0
CDM,27805105_A4648_278,Hb Needle Reflector Savi Scout L5Cm Lf,1196.64,418.82,,,0
CDM,27805106,Hb Needle Reflector Savi Scout L10Cm Lf,1196.64,418.82,,,0
CDM,27805106_A4648_278,Hb Needle Reflector Savi Scout L10Cm Lf,1196.64,418.82,,,0
CDM,27805127_L8606_278,Hb Bulkamid Urethral Bulking System,3440.34,1204.12,,,0
CDM,27805134_278,Hb Valve Tavi Navitor 25Mm,78529.5,27485.32,,,0
CDM,27805135_278,Hb Valve Tavi Navitor 27Mm,78529.5,27485.32,,,0
CDM,27805136_278,Hb Valve Tavi Navitor 29Mm,78529.5,27485.32,,,0
CDM,27805137_C1876_278,Hb Stent Self-Expand Zilver Vena Venous 16X100,7769.52,2719.33,,,0
CDM,27805139_197614,Hb Sup Rev 278 Hcpcs L8610,822.69,287.94,,,0
CDM,27805139_197618,Hb Sup Rev 278 Hcpcs L8610,822.69,287.94,,,0
CDM,27805141_26140,Hb Sup Rev 278 Hcpcs L8607,2034.29,712.0,,,0
CDM,27805143_C1817_278,Hb Occluder Laa Amplatzer Amulet 18Mm Ww,58037.04,20312.96,,,0
CDM,27805144_C1817_278,Hb Occluder Laa Amplatzer Amulet 20Mm Ww,58037.04,20312.96,,,0
CDM,27805145_C1817_278,Hb Occluder Laa Amplatzer Amulet 22Mm Ww,58037.04,20312.96,,,0
CDM,27805146_C1817_278,Hb Occluder Laa Amplatzer Amulet 25Mm Ww,58037.04,20312.96,,,0
CDM,27805148_C1817_278,Hb Occluder Laa Amplatzer Amulet 31Mm Ww,58037.04,20312.96,,,0
CDM,27805220_200120,Hb Sup Rev 278 Hcpcs Q4158,17801.52,6230.53,,,0
CDM,27805220_200121,Hb Sup Rev 278 Hcpcs Q4158,7766.19,2718.17,,,0
CDM,27805220_200122,Hb Sup Rev 278 Hcpcs Q4158,8894.03,3112.91,,,0
CDM,27805220_213536,Hb Sup Rev 278 Hcpcs Q4158,4654.93,1629.23,,,0
CDM,27805220_213537,Hb Sup Rev 278 Hcpcs Q4158,5444.71,1905.65,,,0
CDM,27805220_215571,Hb Sup Rev 278 Hcpcs Q4158,30963.06,10837.07,,,0
CDM,27805222_C1874_278,Hb Stent Xience Skypoint Rx 4.5Mm X 15Mm,2589.84,906.44,,,0
CDM,27805223_C1874_278,Hb Stent Xience Skypoint Rx 4.5Mm X 28Mm,2589.84,906.44,,,0
CDM,27805224_C1889_278,Hb Watchman Flx Pro Laa Closure 20Mm Us,50857.2,17800.02,,,0
CDM,27805225_C1889_278,Hb Watchman Flx Pro Laa Closure 24Mm Us,50857.2,17800.02,,,0
CDM,27805226_C1889_278,Hb Watchman Flx Pro Laa Closure 27Mm Us,50857.2,17800.02,,,0
CDM,27805227_C1889_278,Hb Watchman Flx Pro Laa Closure 31Mm Us,50857.2,17800.02,,,0
CDM,27805228_C1889_278,Hb Watchman Flx Pro Laa Closure 35Mm Us,50857.2,17800.02,,,0
CDM,27805229_C1889_278,Hb Watchman Flx Pro Laa Closure 40Mm Us,50857.2,17800.02,,,0
CDM,27805232_C1889_272,Hb Cath Micro Imaging Vis Rx Gentuity Disc 50%,3335.4,1167.39,,,0
CDM,27805232_C1889_278,Hb Cath Micro Imaging Vis Rx Gentuity Disc 50%,3134.4,1097.04,,,0
CDM,27805233_C1889_278,Hb Embolic Obsidio Conformable 1Ml Syr,12697.68,4444.19,,,0
CDM,27805235_C1889_278,Hb Pump Set Impelle Cp C9 + Companion Sheath,74790.0,26176.5,,,0
CDM,27805236_C1889_278,Hb Valve Tav Evolute Fx Plus 23Mm,89748.0,31411.8,,,0
CDM,27805237_C1889_278,Hb Valve Tav Evolute Fx Plus 26Mm,89748.0,31411.8,,,0
CDM,27805238_C1889_278,Hb Valve Tav Evolute Fx Plus 29Mm,89748.0,31411.8,,,0
CDM,27805239_C1889_278,Hb Valve Tav Evolute Fx Plus 34Mm,89748.0,31411.8,,,0
CDM,27805328_C1889_278,Hb Glue Trufill N-Bca-1 Gram Set,19973.22,6990.63,,,0
CDM,27805329_C1889_278,Hb System Triclip G4,116672.4,40835.34,,,0
CDM,27805330_C1764_278,Hb System Triclip Hb Loop Recorder Biomonitor Iv,12564.72,4397.65,,,0
CDM,27805331_C1874_278,Hb Stent Xience Skypoint Rx 2.50X48,1645.38,575.88,,,0
CDM,27805333_C1874_278,Hb Stent Xience Skypoint Rx 3.00X48,1645.38,575.88,,,0
CDM,27805334_C1874_278,Hb Stent Xience Skypoint Rx 3.50X48,1645.38,575.88,,,0
CDM,27805403_C1889_278,Hb Coil Embold Soft 2X2,3057.42,1070.1,,,0
CDM,27805405_C1889_278,Hb Coil Embold Soft 2X6,3057.42,1070.1,,,0
CDM,27805406_C1889_278,Hb Coil Embold Soft 2X8,3057.42,1070.1,,,0
CDM,27805408_C1889_278,Hb Coil Embold Soft 3X8,3057.42,1070.1,,,0
CDM,27805412_C1889_278,Hb Coil Embold Soft 4X10,3362.56,1176.9,,,0
CDM,27805415_C1889_278,Hb Coil Embold Soft 5X15,3362.56,1176.9,,,0
CDM,27805419_C1889_278,Hb Coil Embold Soft 4X30,4203.2,1471.12,,,0
CDM,27805420_C1889_278,Hb Coil Embold Soft 5X30,4203.2,1471.12,,,0
CDM,27805425_C1889_278,Hb Coil Embold Packing Us 15,3811.3,1333.96,,,0
CDM,27805426_C1889_278,Hb Coil Embold Packing Us 30,4651.94,1628.18,,,0
CDM,27805429_C1889_278,Hb Coil Peripheral Vasc Ruby Standard 0.020 4X20,2961.68,1036.59,,,0
CDM,27805431_C1889_278,Hb Coil Peripheral Vasc Ruby Standard 0.020 6X30,3859.16,1350.71,,,0
CDM,27805432_C1889_278,Hb Coil Peripheral Vasc Ruby Standard 0.020 7X25,2961.68,1036.59,,,0
CDM,27805433_C1889_278,Hb Coil Peripheral Vasc Ruby Standard 0.020 8X25,2961.68,1036.59,,,0
CDM,27805434_C1889_278,Hb Coil Peripheral Vasc Ruby Standard 0.020 8X40,3859.16,1350.71,,,0
CDM,27805435_C1889_278,Hb Coil Peripheral Vasc Ruby Pod 8-10Mmx60,5354.96,1874.24,,,0
CDM,27805436_C1887_278,Hb Cath Diagnostic For Lantern Delivery,1944.54,680.59,,,0
CDM,27805437_C1889_278,Hb Coil Peripheral Vasc Ruby Lp 1X2,2363.36,827.18,,,0
CDM,27805452_C1889_278,Hb Coil Embold Fibered 5Mm X 15Cm,3036.47,1062.76,,,0
CDM,29000001,Hb Moleskin,63.24,22.13,,,0
CDM,30000001,Hb Venipuncture Draw,38.0,13.3,,,0
CDM,30000002,Hb Secretin Test,2185.0,764.75,,,0
CDM,30000004,Hb Specimen Collection Port,870.0,304.5,,,0
CDM,30000005,Hb Cell Saver,2500.0,875.0,,,0
CDM,30000006,Hb Transcutaneous Bilirubin Tot,43.0,15.05,,,0
CDM,30000007,Hb Urinalysis Nonauto W Scope,119.0,41.65,,,0
CDM,30000008,Hb Smear Wet Mount Saline Ink,175.0,61.25,,,0
CDM,30000009,Hb Capillary Blood Draw,38.0,13.3,,,0
CDM,30000010,Hb Drug Screen Quant Everolimus,315.0,110.25,,,0
CDM,30000011,Hb Rapid Strep Test In Office,103.0,36.05,,,0
CDM,30000012,Hb Cell Count W Diff Csf,294.0,102.9,,,0
CDM,30000013,Hb Rvp 2.1,143.0,50.05,,,0
CDM,30000014,Hb Cell Count W Diff Csf,294.0,102.9,,,0
CDM,30000015,Hb Rvp 2.1,143.0,50.05,,,0
CDM,30000016,Hb C-Reactive Protein (Crp),390.0,136.5,,,0
CDM,30000017,Hb C-Reactive Protein (Crp),390.0,136.5,,,0
CDM,30000018,Hb C-Reactive Protein (Crp),390.0,136.5,,,0
CDM,30000019,Hb Hdl Cholesterol,536.0,187.6,,,0
CDM,30100001,Hb Ionized Calcium,380.0,133.0,,,0
CDM,30100002,Hb Carbon Monoxide,377.0,131.95,,,0
CDM,30100003,Hb Blood Ph,308.0,107.8,,,0
CDM,30100004,Hb Blood Gas,1006.0,352.1,,,0
CDM,30100005,Hb Blood Gases W O2 Saturation,1006.0,352.1,,,0
CDM,30100007,Hb Chloride,184.0,64.4,,,0
CDM,30100008,Hb Creatinine,296.0,103.6,,,0
CDM,30100009,Hb Glucose,380.0,133.0,,,0
CDM,30100010,Hb Lactate Lactic Acid,440.0,154.0,,,0
CDM,30100011,Hb Ionized Magnesium,366.0,128.1,,,0
CDM,30100012,Hb Potassium,185.0,64.75,,,0
CDM,30100013,Hb Sodium,195.0,68.25,,,0
CDM,30100014,Hb Bun,195.0,68.25,,,0
CDM,30100015,Hb Guaiac Occult Blood Feces,27.0,9.45,,,0
CDM,30100016,Hb H Pylori Drug Admin,121.0,42.35,,,0
CDM,30100017,Hb Assay Of Urine Sulfate,89.0,31.15,,,0
CDM,30100018,Hb Salicylates,396.0,138.6,,,0
CDM,30100019,Hb Creatinine,296.0,103.6,,,0
CDM,30100020,Hb Electrolyte Profile,290.0,101.5,,,0
CDM,30100021,Hb Glucose,380.0,133.0,,,0
CDM,30100022,Hb Ast Got,236.0,82.6,,,0
CDM,30100023,Hb Alt Gpt,147.0,51.45,,,0
CDM,30100024,Hb Potassium,185.0,64.75,,,0
CDM,30100025,Hb Ldh,232.0,81.2,,,0
CDM,30100026,Hb Lipase,447.0,156.45,,,0
CDM,30100027,Hb Albumin Serum,232.0,81.2,,,0
CDM,30100028,Hb Sodium,195.0,68.25,,,0
CDM,30100029,Hb Proteiin Fluid,471.0,164.85,,,0
CDM,30100030,Hb Bilirubin Total,201.0,70.35,,,0
CDM,30100031,Hb Triglycerides,296.0,103.6,,,0
CDM,30100032,Hb Basic Metabolic Panel,315.0,110.25,,,0
CDM,30100033,Hb T4 Free,365.0,127.75,,,0
CDM,30100034,Hb Acetaminophen,430.0,150.5,,,0
CDM,30100035,Hb Phenobarbital,448.0,156.8,,,0
CDM,30100036,Hb Cholesterol Total,226.0,79.1,,,0
CDM,30100037,Hb Protein Serum,471.0,164.85,,,0
CDM,30100038,Hb Magnesium,366.0,128.1,,,0
CDM,30100039,Hb Alk Phosphatase,167.0,58.45,,,0
CDM,30100040,Hb Preg Test Beta Serum,317.0,110.95,,,0
CDM,30100041,Hb Guaiac Occult Blood Feces,51.0,17.85,,,0
CDM,30100042,Hb Gastric Occult Blood,64.0,22.4,,,0
CDM,30100043,Hb B Natriuretic Peptide,533.0,186.55,,,0
CDM,30100044,Hb Ck Mb,511.0,178.85,,,0
CDM,30100045,Hb Chloride Spot Urine,218.0,76.3,,,0
CDM,30100046,Hb Potassium Spot Urine,154.0,53.9,,,0
CDM,30100047,Hb Sodium Spot Urine,186.0,65.1,,,0
CDM,30100048,Hb Cpk,493.0,172.55,,,0
CDM,30100049,Hb Phenytoin,336.0,117.6,,,0
CDM,30100050,Hb Chloride,184.0,64.4,,,0
CDM,30100051,Hb Amylase,461.0,161.35,,,0
CDM,30100052,Hb Ammonia,441.0,154.35,,,0
CDM,30100053,Hb Bun,195.0,68.25,,,0
CDM,30100054,Hb Calcium,338.0,118.3,,,0
CDM,30100055,Hb Co2,922.0,322.7,,,0
CDM,30100056,Hb Bilirubin Direct Conj,197.0,68.95,,,0
CDM,30100057,Hb Creatinine Clrnce,454.0,158.9,,,0
CDM,30100058,Hb Hepatic Function Panel,391.0,136.85,,,0
CDM,30100059,Hb Valproic Acid; Total,523.0,183.05,,,0
CDM,30100060,Hb Ionized Calcium,380.0,133.0,,,0
CDM,30100061,Hb Comprehensive Metabolic Panel,685.0,239.75,,,0
CDM,30100062,Hb Blood Gas,1006.0,352.1,,,0
CDM,30100063,Hb Lactate Lactic Acid,367.0,128.45,,,0
CDM,30100064,Hb Oxycodone Qualitative Screen Urine,196.0,68.6,,,0
CDM,30100065,Hb Fluid Glucose,366.0,128.1,,,0
CDM,30100066,Hb Beta Hcg,562.0,196.7,,,0
CDM,30100067,Hb Creatinine Urine,248.0,86.8,,,0
CDM,30100068,Hb Methadone,196.0,68.6,,,0
CDM,30100069,Hb Ldl Direct,195.0,68.25,,,0
CDM,30100070,Hb Prostate Specific Antigen,478.0,167.3,,,0
CDM,30100071,Hb Tsh,493.0,172.55,,,0
CDM,30100072,Hb Digoxin; Total,125.0,43.75,,,0
CDM,30100073,Hb Urine Calcium,300.0,105.0,,,0
CDM,30100074,Hb Amphetamine Pro,196.0,68.6,,,0
CDM,30100075,Hb Renal Function Panel,326.0,114.1,,,0
CDM,30100076,Hb Ethanol Pro,410.0,143.5,,,0
CDM,30100077,Hb Cocaine Pro,196.0,68.6,,,0
CDM,30100078,Hb Cannabinoid Pro,196.0,68.6,,,0
CDM,30100079,Hb Benzodiazepine Pro,196.0,68.6,,,0
CDM,30100080,Hb Troponin I,745.0,260.75,,,0
CDM,30100081,Hb Barbiturate Pro,196.0,68.6,,,0
CDM,30100082,Hb Hdl Profile Lipid Panel,341.0,119.35,,,0
CDM,30100083,Hb Opiates Pro,196.0,68.6,,,0
CDM,30100084,Hb Hgb A1C,652.0,228.2,,,0
CDM,30100085,Hb Protein Urine,253.0,88.55,,,0
CDM,30100086,Hb Metabolic Panel Ionized Ca,385.0,134.75,,,0
CDM,30100087,Hb Electrolyte Profile,290.0,101.5,,,0
CDM,30100088,Hb Abga,1006.0,352.1,,,0
CDM,30100089,Hb Abgv,1006.0,352.1,,,0
CDM,30100090,Hb Gases Blood O2 Saturation Only Direct Meas,191.0,66.85,,,0
CDM,30100091,Hb Hemoglobin Methemoglobin Quantitative,156.0,54.6,,,0
CDM,30100092,Hb Spectrophotometry,200.0,70.0,,,0
CDM,30100093,Hb Pth Intact,253.0,88.55,,,0
CDM,30100094,Hb Salicylates,396.0,138.6,,,0
CDM,30100095,Hb Creatinine,296.0,103.6,,,0
CDM,30100096,Hb Electrolyte Profile,290.0,101.5,,,0
CDM,30100097,Hb Glucose,380.0,133.0,,,0
CDM,30100098,Hb Ast Got,236.0,82.6,,,0
CDM,30100099,Hb Alt Gpt,147.0,51.45,,,0
CDM,30100100,Hb Potassium,185.0,64.75,,,0
CDM,30100101,Hb Ldh,232.0,81.2,,,0
CDM,30100102,Hb Lipase,447.0,156.45,,,0
CDM,30100103,Hb Albumin Serum,232.0,81.2,,,0
CDM,30100104,Hb Sodium,195.0,68.25,,,0
CDM,30100105,Hb Proteiin Fluid,471.0,164.85,,,0
CDM,30100106,Hb Bilirubin Total,201.0,70.35,,,0
CDM,30100107,Hb Triglycerides,296.0,103.6,,,0
CDM,30100108,Hb Basic Metabolic Panel,315.0,110.25,,,0
CDM,30100109,Hb T4 Free,365.0,127.75,,,0
CDM,30100110,Hb Acetaminophen,430.0,150.5,,,0
CDM,30100111,Hb Phenobarbital,448.0,156.8,,,0
CDM,30100112,Hb Cholesterol Total,226.0,79.1,,,0
CDM,30100113,Hb Protein Serum,471.0,164.85,,,0
CDM,30100114,Hb Magnesium,366.0,128.1,,,0
CDM,30100115,Hb Alk Phosphatase,167.0,58.45,,,0
CDM,30100116,Hb Preg Test Beta Serum,317.0,110.95,,,0
CDM,30100117,Hb Guaiac Occult Blood Feces,51.0,17.85,,,0
CDM,30100118,Hb Gastric Occult Blood,64.0,22.4,,,0
CDM,30100119,Hb B Natriuretic Peptide,533.0,186.55,,,0
CDM,30100120,Hb Ck Mb,511.0,178.85,,,0
CDM,30100121,Hb Chloride Spot Urine,218.0,76.3,,,0
CDM,30100122,Hb Potassium Spot Urine,154.0,53.9,,,0
CDM,30100123,Hb Sodium Spot Urine,186.0,65.1,,,0
CDM,30100124,Hb Cpk,493.0,172.55,,,0
CDM,30100125,Hb Phenytoin,336.0,117.6,,,0
CDM,30100126,Hb Chloride,184.0,64.4,,,0
CDM,30100127,Hb Amylase,461.0,161.35,,,0
CDM,30100128,Hb Ammonia,441.0,154.35,,,0
CDM,30100129,Hb Bun,195.0,68.25,,,0
CDM,30100130,Hb Calcium,338.0,118.3,,,0
CDM,30100131,Hb Co2,922.0,322.7,,,0
CDM,30100132,Hb Bilirubin Direct Conj,197.0,68.95,,,0
CDM,30100133,Hb Creatinine Clrnce,454.0,158.9,,,0
CDM,30100134,Hb Hepatic Function Panel,391.0,136.85,,,0
CDM,30100135,Hb Valproic Acid; Total,523.0,183.05,,,0
CDM,30100136,Hb Ionized Calcium,380.0,133.0,,,0
CDM,30100137,Hb Comprehensive Metabolic Panel,685.0,239.75,,,0
CDM,30100138,Hb Blood Gas,1006.0,352.1,,,0
CDM,30100139,Hb Lactate Lactic Acid,367.0,128.45,,,0
CDM,30100140,Hb Oxycodone Qualitative Screen Urine,196.0,68.6,,,0
CDM,30100141,Hb Fluid Glucose,366.0,128.1,,,0
CDM,30100142,Hb Beta Hcg,562.0,196.7,,,0
CDM,30100143,Hb Creatinine Urine,248.0,86.8,,,0
CDM,30100144,Hb Methadone,196.0,68.6,,,0
CDM,30100145,Hb Ldl Direct,195.0,68.25,,,0
CDM,30100146,Hb Prostate Specific Antigen,478.0,167.3,,,0
CDM,30100147,Hb Tsh,493.0,172.55,,,0
CDM,30100148,Hb Digoxin; Total,125.0,43.75,,,0
CDM,30100149,Hb Urine Calcium,300.0,105.0,,,0
CDM,30100150,Hb Amphetamine Pro,196.0,68.6,,,0
CDM,30100151,Hb Renal Function Panel,326.0,114.1,,,0
CDM,30100152,Hb Ethanol Pro,410.0,143.5,,,0
CDM,30100153,Hb Cocaine Pro,196.0,68.6,,,0
CDM,30100154,Hb Cannabinoid Pro,196.0,68.6,,,0
CDM,30100155,Hb Benzodiazepine Pro,196.0,68.6,,,0
CDM,30100156,Hb Troponin I,745.0,260.75,,,0
CDM,30100157,Hb Barbiturate Pro,196.0,68.6,,,0
CDM,30100158,Hb Hdl Profile Lipid Panel,341.0,119.35,,,0
CDM,30100159,Hb Opiates Pro,196.0,68.6,,,0
CDM,30100160,Hb Hgb A1C,652.0,228.2,,,0
CDM,30100161,Hb Protein Urine,253.0,88.55,,,0
CDM,30100163,Hb Complete Metabolic Panel Poc,32.0,11.2,,,0
CDM,30100164,Hb Magnesium Poc,21.0,7.35,,,0
CDM,30100165,"Hb Troponin High Sensitivity, Plasma",701.0,245.35,,,0
CDM,30100166,"Hb Troponin High Sensitivity, Plasma",701.0,245.35,,,0
CDM,30100167,Hb Ketones In Blood,214.0,74.9,,,0
CDM,30200001,Hb Tb Intradermal Test,83.0,29.049999999999997,,,0
CDM,30200002,Hb Candida Skin Test,83.0,29.05,,,0
CDM,30200003,Hb Poc Strep Test,217.0,75.95,,,0
CDM,30200004,Hb Monospot,277.0,96.95,,,0
CDM,30200005,Hb Hiv 1 Ag W Hiv 1 2 Ab,112.0,39.2,,,0
CDM,30200006,Hb Crp High Sensitivity,390.0,136.5,,,0
CDM,30200007,Hb Hepatitis C Antibody,360.0,126.0,,,0
CDM,30200008,Hb Monospot,277.0,96.95,,,0
CDM,30200009,Hb Hiv 1 Ag W Hiv 1 2 Ab,112.0,39.2,,,0
CDM,30200010,Hb Crp High Sensitivity,390.0,136.5,,,0
CDM,30200011,Hb Hepatitis C Antibody,360.0,126.0,,,0
CDM,30500001,Hb Coagulation Time Activated Poc,346.0,121.1,,,0
CDM,30500002,Hb Hematocrit,182.0,63.7,,,0
CDM,30500003,Hb Hemoglobin,136.0,47.6,,,0
CDM,30500005,Hb D Dimer Quant,626.0,219.1,,,0
CDM,30500006,Hb Prothrombin Time W Inr,187.0,65.45,,,0
CDM,30500007,Hb Cbc,351.0,122.85,,,0
CDM,30500008,Hb Hemogram,288.0,100.8,,,0
CDM,30500009,Hb Sed Rate Esr,266.0,93.1,,,0
CDM,30500010,Hb Bl Smear W/Diff Wbc Count,72.0,25.2,,,0
CDM,30500011,Hb Fibrinogen Level,358.0,125.3,,,0
CDM,30500012,Hb Hematocrit,182.0,63.7,,,0
CDM,30500013,Hb Aptt,217.0,75.95,,,0
CDM,30500014,Hb Hemoglobin,136.0,47.6,,,0
CDM,30500015,Hb D Dimer Quant,626.0,219.1,,,0
CDM,30500016,Hb Prothrombin Time W Inr,187.0,65.45,,,0
CDM,30500017,Hb Cbc,351.0,122.85,,,0
CDM,30500018,Hb Hemogram,288.0,100.8,,,0
CDM,30500019,Hb Sed Rate Esr,266.0,93.1,,,0
CDM,30500020,Hb Bl Smear W/Diff Wbc Count,72.0,25.2,,,0
CDM,30500021,Hb Fibrinogen Level,358.0,125.3,,,0
CDM,30500022,Hb Hematocrit,182.0,63.7,,,0
CDM,30500023,Hb Aptt,217.0,75.95,,,0
CDM,30500024,Hb Hemoglobin,136.0,47.6,,,0
CDM,30600001,Hb Culture Aerobic Identify,193.0,67.55,,,0
CDM,30600006,Hb Gram Stain Only,181.0,63.35,,,0
CDM,30600007,Hb Wet Prep,202.0,70.7,,,0
CDM,30600017,Hb Group A Strep Pcr,218.0,76.3,,,0
CDM,30600018,Hb Strep Complete Pcr,410.0,143.5,,,0
CDM,30600019,Hb Chlamydia Pneumoniae Pcr,1352.0,473.2,,,0
CDM,30600020,Hb Mycoplasma Pcr,770.0,269.5,,,0
CDM,30600021,Hb Respiratory Virus Panel 12-25 Targets,1477.0,516.95,,,0
CDM,30600022,Hb Bordetella Pertusis Pcr,1764.0,617.4,,,0
CDM,30600023,Hb Bacterial Vaginosis,106.0,37.1,,,0
CDM,30600024,Hb Trichonomonas,113.0,39.55,,,0
CDM,30600025,Hb Influenza Pcr,498.0,174.3,,,0
CDM,30600026,Hb Solana Rsv Dna/Rna Amp Probe,97.0,33.95,,,0
CDM,30600027,Hb Solana Detect Agent Nos Dna Amp,48.0,16.8,,,0
CDM,30600028,Hb Solana Mini Respiratory Panel,178.0,62.3,,,0
CDM,30600029,Hb Cns Pathogen Panel,996.0,348.6,,,0
CDM,30600030,Hb Covid Pcr,373.0,130.55,,,0
CDM,30600031,Hb Sars-Cov-2 Covid-19 Amp Prb,286.0,100.1,,,0
CDM,30600032,Hb Gram Stain Only,181.0,63.35,,,0
CDM,30600033,Hb Wet Prep,202.0,70.7,,,0
CDM,30600034,Hb Group A Strep Pcr,218.0,76.3,,,0
CDM,30600035,Hb Strep Complete Pcr,410.0,143.5,,,0
CDM,30600036,Hb Chlamydia Pneumoniae Pcr,1352.0,473.2,,,0
CDM,30600037,Hb Mycoplasma Pcr,770.0,269.5,,,0
CDM,30600038,Hb Respiratory Virus Panel 12-25 Targets,1477.0,516.95,,,0
CDM,30600039,Hb Bordetella Pertusis Pcr,1764.0,617.4,,,0
CDM,30600040,Hb Bacterial Vaginosis,106.0,37.1,,,0
CDM,30600041,Hb Trichonomonas,113.0,39.55,,,0
CDM,30600042,Hb Influenza Pcr,498.0,174.3,,,0
CDM,30600043,Hb Solana Rsv Dna/Rna Amp Probe,97.0,33.95,,,0
CDM,30600044,Hb Solana Detect Agent Nos Dna Amp,48.0,16.8,,,0
CDM,30600045,Hb Solana Mini Respiratory Panel,178.0,62.3,,,0
CDM,30600046,Hb Cns Pathogen Panel,996.0,348.6,,,0
CDM,30600047,Hb Covid Pcr,373.0,130.55,,,0
CDM,30600048,Hb Sars-Cov-2 Covid-19 Amp Prb,286.0,100.1,,,0
CDM,30600049,Hhb Respiratory Viral Panel,210.0,73.5,,,0
CDM,30600050,Hb Iadna Streptococcus Group A Amplified Probe Tq,195.0,68.25,,,0
CDM,30600051,Available To Use,244.0,85.4,,,0
CDM,30700001,Hb Urine Pregnancy Test Poc,231.0,80.85,,,0
CDM,30700002,Hb Urinalysis Automated W/Micro,177.0,61.95,,,0
CDM,30700003,Hb Urinalysis Dip Stick W/O Micro,63.0,22.05,,,0
CDM,30700004,Hb Urinalysis Automated W/O Micro,122.0,42.7,,,0
CDM,30700005,Hb Urinalysis Automated W/O Micro,152.0,53.2,,,0
CDM,30700006,Hb Urinalysis Automated W/Micro,177.0,61.95,,,0
CDM,30700007,Hb Ua With Microscopy,177.0,61.95,,,0
CDM,30700008,Hb Preg Test Beta Urine,231.0,80.85,,,0
CDM,30700009,Hb Ua With Microscopy,177.0,61.95,,,0
CDM,30700010,Hb Preg Test Beta Urine,231.0,80.85,,,0
CDM,30700011,Hb Urinalysis Bedside Auto,63.0,22.05,,,0
CDM,31654,Noncdm Charge Record,290.0,101.5,,,0
CDM,32000001,Hb Hysterosalpingography,2861.0,1001.35,,,0
CDM,32000002,Hb Xray Pancreas Endoscopy,2679.0,937.65,,,0
CDM,32000003,Hb Fluoroscopy Up To 1 Hour,2113.0,739.55,,,0
CDM,32000004,Hb Myelogram Cpa,4453.0,1558.55,,,0
CDM,32000005,Hb Xray Mandible Limited,665.0,232.75,,,0
CDM,32000006,Hb Xray Mandible Routine,1320.0,462.0,,,0
CDM,32000007,Hb Xray Mastoids Routine,591.0,206.85,,,0
CDM,32000008,Hb Xray Facial Bones Limited,460.0,161.0,,,0
CDM,32000009,Hb Xray Facial Bones Routine,913.0,319.55,,,0
CDM,32000010,Hb Xray Nasal Bones Routine,586.0,205.1,,,0
CDM,32000011,Hb Xray Orbits Routine,788.0,275.8,,,0
CDM,32000012,Hb Xray Sinuses Limited,474.0,165.9,,,0
CDM,32000013,Hb Xray Sinuses Routine,947.0,331.45,,,0
CDM,32000014,Hb Xray Skull Limited,590.0,206.5,,,0
CDM,32000015,Hb Xray Skull Routine,1183.0,414.05,,,0
CDM,32000016,Hb Xray Tm Joints Bilateral,557.0,194.95,,,0
CDM,32000017,Hb Xray Mandible Panorex,449.0,157.15,,,0
CDM,32000018,Hb Xray Neck Soft Tissues,1284.0,449.4,,,0
CDM,32000019,Hb Esophagram Eval Video,1830.0,640.5,,,0
CDM,32000020,Hb Sialogram,898.0,314.3,,,0
CDM,32000021,Hb Xray Ribs Unilat W Pa Chest,830.0,290.5,,,0
CDM,32000022,Hb Xray Ribs Bilat W Pa Chest,980.0,343.0,,,0
CDM,32000023,Hb Xray Sternum,393.0,137.55,,,0
CDM,32000024,Hb Xray Sternoclavicular Joint,393.0,137.55,,,0
CDM,32000025,Hb Xray Spine 1 View,500.0,175.0,,,0
CDM,32000026,Hb Xray Spine Cervical Limited,795.0,278.25,,,0
CDM,32000027,Hb Xray Spine Cervical Routine,862.0,301.7,,,0
CDM,32000028,Hb Xray Spine Cervical W Flex Ext,1116.0,390.6,,,0
CDM,32000029,Hb Xray Spine Scoliosis 1 View,136.0,47.6,,,0
CDM,32000030,Hb Xray T Spine Limited,765.0,267.75,,,0
CDM,32000031,Hb Xray T Spine Routine,869.0,304.15,,,0
CDM,32000032,Hb Xray Spine Thoracolumbar Ltd,868.0,303.8,,,0
CDM,32000033,Hb Xray Spine Lumbar Limited,707.0,247.45,,,0
CDM,32000034,Hb Xray Spine Lumbar Routine,1416.0,495.6,,,0
CDM,32000035,Hb Xray Spine Lumbar W Flex Ext,1592.0,557.2,,,0
CDM,32000036,Hb Xray Spine Lumbar Flex Ext Only,1096.0,383.6,,,0
CDM,32000037,Hb Xray Pelvis Limited,589.0,206.15,,,0
CDM,32000038,Hb Xray Pelvis Routine,1343.0,470.05,,,0
CDM,32000039,Hb Xray Sacroiliac Joint Routine,429.0,150.15,,,0
CDM,32000040,Hb Xray Sacrum And Coccyx Limited,670.0,234.5,,,0
CDM,32000041,Hb Myelogram Cervical,7408.0,2592.8,,,0
CDM,32000042,Hb Myelogram Thoracic,6790.0,2376.5,,,0
CDM,32000043,Hb Myelogram Lumbar,7391.0,2586.85,,,0
CDM,32000044,Hb Myelogram Total,12239.0,4283.65,,,0
CDM,32000045,Hb Xray Clavicle,570.0,199.5,,,0
CDM,32000046,Hb Xray Scapula,691.0,241.85,,,0
CDM,32000047,Hb Xray Shoulder 1 View,135.0,47.25,,,0
CDM,32000048,Hb Xray Shoulder Routine,691.0,241.85,,,0
CDM,32000049,Hb Xray Arthrogram Shoulder,4310.0,1508.5,,,0
CDM,32000050,Hb Xray Ac Joints,794.0,277.9,,,0
CDM,32000051,Hb Xray Humerus,659.0,230.65,,,0
CDM,32000052,Hb Xray Elbow Limited,431.0,150.85,,,0
CDM,32000053,Hb Xray Elbow Routine,861.0,301.35,,,0
CDM,32000054,Hb Xray Arthrogram Elbow,3707.0,1297.45,,,0
CDM,32000055,Hb Xray Forearm,634.0,221.9,,,0
CDM,32000056,Hb Xray Arm Infant,406.0,142.1,,,0
CDM,32000057,Hb Xray Wrist Limited,386.0,135.1,,,0
CDM,32000058,Hb Xray Wrist Routine,765.0,267.75,,,0
CDM,32000059,Hb Xray Arthrogram Wrist,1068.0,373.8,,,0
CDM,32000060,Hb Xray Hand Limited,637.0,222.95,,,0
CDM,32000061,Hb Xray Hand Routine,765.0,267.75,,,0
CDM,32000062,Hb Xray Finger,484.0,169.4,,,0
CDM,32000063,Hb Xray Exam Hip Uni 2-3 Views,236.0,82.6,,,0
CDM,32000065,Hb Xray Arthrogram Hip,2561.0,896.35,,,0
CDM,32000068,Hb Xray Femur 2 Views,736.0,257.6,,,0
CDM,32000069,Hb Xray Knee Limited,643.0,225.05,,,0
CDM,32000070,Hb Xray Knee 3 Views,713.0,249.55,,,0
CDM,32000071,Hb Xray Knee Routine,786.0,275.1,,,0
CDM,32000072,Hb Xray Bilateral Knees,938.0,328.3,,,0
CDM,32000073,Hb Xray Arthrogram Knee,2001.0,700.35,,,0
CDM,32000074,Hb Xray Tibia And Fibula,685.0,239.75,,,0
CDM,32000075,Hb Xray Leg Infant,443.0,155.05,,,0
CDM,32000076,Hb Xray Ankle Limited,343.0,120.05,,,0
CDM,32000077,Hb Xray Ankle Routine,682.0,238.7,,,0
CDM,32000078,Hb Xray Arthrogram Ankle,1963.0,687.05,,,0
CDM,32000079,Hb Xray Foot Limited,342.0,119.7,,,0
CDM,32000080,Hb Xray Foot Routine,684.0,239.4,,,0
CDM,32000081,Hb Xray Calcaneus Heel,576.0,201.6,,,0
CDM,32000082,Hb Xray Toes,466.0,163.1,,,0
CDM,32000083,Hb Xray Abdomen 1 View,885.0,309.75,,,0
CDM,32000084,Hb Xray Exam Abdomen 2 Views,1088.0,380.8,,,0
CDM,32000085,Hb Xray Abdomen Series,1950.0,682.5,,,0
CDM,32000086,Hb Xray Esophagus,1180.0,413.0,,,0
CDM,32000087,Hb Xray Esophagus Video,1655.0,579.25,,,0
CDM,32000088,Hb Xray Upper Gi Tract,1536.0,537.6,,,0
CDM,32000090,Hb Xray Upper Gi Tract Cont,2602.0,910.7,,,0
CDM,32000092,Hb Xray Small Bowel,1582.0,553.7,,,0
CDM,32000093,Hb Xray Small Bowel Enteroclysis,2679.0,937.65,,,0
CDM,32000094,Hb Xray Colon Contrast,2556.0,894.6,,,0
CDM,32000095,Hb Xray Colon Air Contrast,2664.0,932.4,,,0
CDM,32000096,Hb Xray Enema Intussusception,1825.0,638.75,,,0
CDM,32000097,Hb Xray Cholangiogram,1796.0,628.6,,,0
CDM,32000099,Hb Xray Guide Gi Tube Multi,1085.0,379.75,,,0
CDM,32000100,Hb Xray Ivp,3259.0,1140.65,,,0
CDM,32000101,Hb Xray Ivp Nephrotomogram,4493.0,1572.55,,,0
CDM,32000102,Hb Xray Retro Urography,1861.0,651.35,,,0
CDM,32000103,Hb Xray Antegrade Urography,2715.0,950.25,,,0
CDM,32000104,Hb Xray Cystogram Static,1105.0,386.75,,,0
CDM,32000105,Hb Xray Cavernosogram,387.0,135.45,,,0
CDM,32000106,Hb Xray Urethrocysto Rad,1802.0,630.7,,,0
CDM,32000107,Hb Xray Urethrocysto Voiding,1833.0,641.55,,,0
CDM,32000116,Hb Xray Shunt Study,1310.0,458.5,,,0
CDM,32000117,Hb Xray Venogram Unilateral,6427.0,2249.45,,,0
CDM,32000118,Hb Xray Venogram Bilateral,7120.0,2492.0,,,0
CDM,32000121,Hb Xray Nose To Rectum Child,512.0,179.2,,,0
CDM,32000122,Hb Xray Fistula Sinus Tract,1941.0,679.35,,,0
CDM,32000123,Hb Xray Mammogram Specimen,366.0,128.1,,,0
CDM,32000124,Hb Xray Tomograms,3514.0,1229.9,,,0
CDM,32000125,Hb Fluoro Guide Needle Cath,2180.0,763.0,,,0
CDM,32000127,Hb Mammo Guide For Needle Breast 1St Lesion,2156.0,754.6,,,0
CDM,32000128,Hb Xray Joint Stress View,132.0,46.2,,,0
CDM,32000129,Hb Xray Bone Age Study,441.0,154.35,,,0
CDM,32000130,Hb Xray Bone Length Study,327.0,114.45,,,0
CDM,32000131,Hb Xray Bone Survey Limited,907.0,317.45,,,0
CDM,32000132,Hb Xray Bone Survey Complete,969.0,339.15,,,0
CDM,32000133,Hb Xray Bone Survey Infant,679.0,237.65,,,0
CDM,32000134,Hb Xray Joint Survey,293.0,102.55,,,0
CDM,32000135,Hb Dxa Bone Density Axial,687.0,240.45,,,0
CDM,32000136,Hb Dxa Bone Density Peripheral,551.0,192.85,,,0
CDM,32000137,Hb 70010 Myelogram Cpa,4453.0,1558.55,,,0
CDM,32000138,Hb 70390 Sialogram,898.0,314.3,,,0
CDM,32000140,Hb 72240 Myelogram Cervical,7408.0,2592.8,,,0
CDM,32000141,Hb 72255 Myelogram Thoracic,6790.0,2376.5,,,0
CDM,32000142,Hb 72265 Myelogram Lumbar,7391.0,2586.85,,,0
CDM,32000143,Hb 72270 Myelogram Total,12239.0,4283.65,,,0
CDM,32000145,Hb 72295 Xr Diskogram Lumbar Spine,2058.0,720.3,,,0
CDM,32000146,Hb 73115 Xray Arthrogram Wrist,1068.0,373.8,,,0
CDM,32000147,Hb 74190 Xray Peritneogram S And I,1622.0,567.7,,,0
CDM,32000151,Hb 74340 Xray Guide Gi Tube Multi,1085.0,379.75,,,0
CDM,32000152,Hb 74360 Esophageal Dilation,2101.0,735.35,,,0
CDM,32000153,Hb 74363 Perc Biliary Dilat Sup Int,5490.0,1921.5,,,0
CDM,32000154,Hb 74420 Xray Retro Urography,1861.0,651.35,,,0
CDM,32000155,Hb 74425 Xray Antegrade Urography,2715.0,950.25,,,0
CDM,32000156,Hb 74430 Xray Cystogram Static,1105.0,386.75,,,0
CDM,32000157,Hb 74450 Xray Urethrocysto Rad,1802.0,630.7,,,0
CDM,32000158,Hb 74455 Xray Urethrocysto Voiding,1833.0,641.55,,,0
CDM,32000159,Hb 74470 Xray Renal Cyst Sup Int,4586.0,1605.1,,,0
CDM,32000162,Hb 74485 Dilation Of Nephro Sup Int,1984.0,694.4,,,0
CDM,32000163,Hb 74740 Hysterosalpingography,2861.0,1001.35,,,0
CDM,32000164,Hb 74742 Xray Fallopian Tube,1575.0,551.25,,,0
CDM,32000165,Hb 75600 Xray Thoracic Sup And Int,10780.0,3773.0,,,0
CDM,32000166,Hb 75605 Xray Thoracic Aortagram,14581.0,5103.35,,,0
CDM,32000167,Hb 75625 Xray Abdominal Aortagram,12920.0,4522.0,,,0
CDM,32000168,Hb 75630 Xray Aorta Leg Arteries,15712.0,5499.2,,,0
CDM,32000178,Hb 75705 Xray Spinal Selective,20059.0,7020.65,,,0
CDM,32000179,Hb 75710 Xray Angio Extremity Unil,10039.0,3513.65,,,0
CDM,32000180,Hb 75716 Xray Angio Extremity Bilat,13378.0,4682.3,,,0
CDM,32000183,Hb 75726 Xray Visceral,14956.0,5234.6,,,0
CDM,32000184,Hb 75731 Xray Adrenal Unilat,5759.0,2015.65,,,0
CDM,32000185,Hb 75733 Xray Adrenal Bilat,7882.0,2758.7,,,0
CDM,32000186,Hb 75736 Xray Pelvic Artery,14543.0,5090.05,,,0
CDM,32000187,Hb 75741 Xray Pulmonary Unilat,10493.0,3672.55,,,0
CDM,32000188,Hb 75743 Xray Pulmonary Bilat,14162.0,4956.7,,,0
CDM,32000189,Hb 75746 Xray Pulmonary Nonselect,9802.0,3430.7,,,0
CDM,32000190,Hb 75756 Xray Chest,4505.0,1576.75,,,0
CDM,32000191,Hb 75774 Xray Addl Angiography,7066.0,2473.1,,,0
CDM,32000193,Hb 75801 Xray Lymph Vessel Ex Uni,1992.0,697.2,,,0
CDM,32000194,Hb 75805 Xray Lymph Vessel Trunk,1723.0,603.05,,,0
CDM,32000195,Hb 75809 Xray Shunt Study,1310.0,458.5,,,0
CDM,32000196,Hb 75810 Xray Splenoportagraphy,7216.0,2525.6,,,0
CDM,32000197,Hb 75820 Xray Venogram Unilateral,6427.0,2249.45,,,0
CDM,32000198,Hb 75822 Xray Venogram Bilateral,7120.0,2492.0,,,0
CDM,32000199,Hb 75825 Xray Inferior Vena Cava,9320.0,3262.0,,,0
CDM,32000200,Hb 75827 Xray Superior Vena Cava,9367.0,3278.45,,,0
CDM,32000201,Hb 75831 Xray Renal Vein Unilat,6640.0,2324.0,,,0
CDM,32000202,Hb 75833 Xray Renal Vein Bilat,6835.0,2392.25,,,0
CDM,32000203,Hb 75840 Xray Adrenal Vein Unilat,5983.0,2094.05,,,0
CDM,32000204,Hb 75842 Xray Adrenal Vein Bilat,6028.0,2109.8,,,0
CDM,32000205,Hb 75860 Xray Sinus Or Jugular Vein,5160.0,1806.0,,,0
CDM,32000206,Hb 75870 Xray Sup Sagittal Sinus,7960.0,2786.0,,,0
CDM,32000207,Hb 75872 Xray Epidural Vein,4562.0,1596.7,,,0
CDM,32000208,Hb 75880 Xray Orbital Venogram,2256.0,789.6,,,0
CDM,32000209,Hb 75885 Xray T Hep Portal W Hemo,13914.0,4869.9,,,0
CDM,32000210,Hb 75887 Xray T Hep Portal Wo Hemo,8976.0,3141.6,,,0
CDM,32000211,Hb 75889 Xray Hepatic Vein W Hemo,10532.0,3686.2,,,0
CDM,32000212,Hb 75891 Xray Hepatic Vein Wo Hemo,10466.0,3663.1,,,0
CDM,32000213,Hb 75893 Venous Sampling Cath,6349.0,2222.15,,,0
CDM,32000214,Hb 75894 Transcath Embolization,9676.0,3386.6,,,0
CDM,32000216,Hb 75898 Transcath Follow Up Angio,3504.0,1226.4,,,0
CDM,32000218,Hb 75901 Remove Cva Device Obstruct,821.0,287.35,,,0
CDM,32000219,Hb 75902 Remove Cva Lumen Obstruct,1105.0,386.75,,,0
CDM,32000226,Hb 75957 Endovasc Thor Ao Repr,15522.0,5432.7,,,0
CDM,32000233,Hb 75970 Transcatheter Biopsy,7795.0,2728.25,,,0
CDM,32000237,Hb 75984 Change Tube Or Cath Drain,3045.0,1065.75,,,0
CDM,32000238,Hb 76000 Fluoroscopy Up To 1 Hour,2113.0,739.55,,,0
CDM,32000239,Hb 76080 Xray Fistula Sinus Tract,1941.0,679.35,,,0
CDM,32000240,Hb 76499 Diag Radiograph Proc,13885.0,4859.75,,,0
CDM,32000241,Hb 77001 Fluoro Guide For Vad,2621.0,917.35,,,0
CDM,32000242,Hb 77002 Fluoro Guide Needle Place,2803.0,981.05,,,0
CDM,32000243,Hb 77003 Fluoro Guide Needle Cath,2180.0,763.0,,,0
CDM,32000244,Hb 77021 Mr Guidance Needle Place,2187.0,765.45,,,0
CDM,32000245,Hb 36251 Ins Cath Ren Art 1St Unilat,17231.0,6030.85,,,0
CDM,32000246,Hb 36252 Ins Cath Ren Art 1St Bilat,21617.0,7565.95,,,0
CDM,32000247,Hb 36253 Ins Cath Ren Art 2Nd Unilat,17231.0,6030.85,,,0
CDM,32000248,Hb 36254 Ins Cath Ren Art 2Nd Bilat,21617.0,7565.95,,,0
CDM,32000249,Hb 37191 Ins Endovas Vena Cava Filter,18921.0,6622.35,,,0
CDM,32000250,Hb 37192 Redo Endovas Vena Cava Filter,10335.0,3617.25,,,0
CDM,32000251,Hb 37193 Rem Endovas Vena Cava Filter,12403.0,4341.05,,,0
CDM,32000252,Hb 76496 Fluoro Imaging,1973.0,690.55,,,0
CDM,32000255,Hb 36221 Place Cath Thoracic Aorta,15292.0,5352.2,,,0
CDM,32000256,Hb 36222 Place Cath Carotid Inom Art Extra,14801.0,5180.35,,,0
CDM,32000257,Hb 36223 Place Cath Carotid Inom Art Intra,14830.0,5190.5,,,0
CDM,32000258,Hb 36224 Place Cath Carotid Art,17795.0,6228.25,,,0
CDM,32000259,Hb 36225 Place Cath Subclavian Art,15292.0,5352.2,,,0
CDM,32000260,Hb 36226 Place Cath Vertebral Art,18350.0,6422.5,,,0
CDM,32000261,Hb 36227 Place Cath External Carotid,26738.0,9358.3,,,0
CDM,32000262,Hb 36228 Place Cath Intracranial Art,17550.0,6142.5,,,0
CDM,32000263,Hb 37197 Remove Intravas Foreign Body,10557.0,3694.95,,,0
CDM,32000264,Hb 37211 Thrombolytic Art Therapy,5510.0,1928.5,,,0
CDM,32000265,Hb 37212 Thrombolytic Venous Therapy,8722.0,3052.7,,,0
CDM,32000266,Hb 37213 Thrombolytic Art Ven Therapy,8722.0,3052.7,,,0
CDM,32000267,Hb 37214 Cessj Therapy Cath Removal,5510.0,1928.5,,,0
CDM,32000268,Hb Hysterosalpingography Usf Ivf,2861.0,1001.35,,,0
CDM,32000269,Hb Injection For Hip X-Ray,4069.0,1424.15,,,0
CDM,32000270,Hb Stereotact Guide For Needle Breast 1St Lesion,2156.0,754.6,,,0
CDM,32000271,Hb Discography Cerv/Thor Sp,3249.0,1137.15,,,0
CDM,32000272,Hb X-Ray Of Lower Spine Disk,2058.0,720.3,,,0
CDM,32000276,Hb Fluoro Guide Needle Place,2803.0,981.05,,,0
CDM,32000277,Hb 75807 Lymph Vessel X-Ray Trunk Bilat,2029.0,710.15,,,0
CDM,32000278,Hb Xray Spine Scoliosis 2-3 Views,225.0,78.75,,,0
CDM,32000279,Hb Xray Spine Scoliosis 4-5 Views,427.0,149.45,,,0
CDM,32000284,Hb Xray Exam Hip Uni 1 View,136.0,47.6,,,0
CDM,32000285,Hb Xray Exam Hip Uni 4 Or More Views,427.0,149.45,,,0
CDM,32000286,Hb Fluoro Guide For Vad,2621.0,917.35,,,0
CDM,32000288,Hb X-Ray Bile Duct Endoscopy,2346.0,821.1,,,0
CDM,32000289,Hb X-Ray Bile/Panc Endoscopy,3113.0,1089.55,,,0
CDM,32000290,Hb Xray Exam Abdomen 3+ Views,1506.0,527.1,,,0
CDM,32000291,Hb Change Tube Or Cath Drain,3045.0,1065.75,,,0
CDM,32000292,Hb 75803 Lymph Vessel X-Ray Arms / Legs,4012.0,1404.2,,,0
CDM,32000293,Hb 75625 Xray Abdominal Aortagram,12920.0,4522.0,,,0
CDM,32000294,Hb 75630 Xray Aorta Leg Arteries,15712.0,5499.2,,,0
CDM,32000295,Hb 75710 Xray Angio Extremity Unil,10039.0,3513.65,,,0
CDM,32000296,Hb 75716 Xray Angio Extremity Bilat,13378.0,4682.3,,,0
CDM,32000297,Hb 75726 Xray Visceral,14956.0,5234.6,,,0
CDM,32000298,Hb 75736 Xray Pelvic Artery,14543.0,5090.05,,,0
CDM,32000299,Hb 75774 Xray Addl Angiography,7066.0,2473.1,,,0
CDM,32000300,Hb 76000 Fluoroscopy Up To 1 Hour,2113.0,739.55,,,0
CDM,32000301,Hb 36251 Ins Cath Ren Art 1St Unilat,17231.0,6030.85,,,0
CDM,32000302,Hb 36252 Ins Cath Ren Art 1St Bilat,21617.0,7565.95,,,0
CDM,32000303,Hb 36253 Ins Cath Ren Art 2Nd Unilat,17231.0,6030.85,,,0
CDM,32000304,Hb 36254 Ins Cath Ren Art 2Nd Bilat,21617.0,7565.95,,,0
CDM,32000305,Hb 36221 Place Cath Thoracic Aorta,15292.0,5352.2,,,0
CDM,32000306,Hb 36222 Place Cath Carotid Inom Art Extra,14801.0,5180.35,,,0
CDM,32000307,Hb 36223 Place Cath Carotid Inom Art Intra,14830.0,5190.5,,,0
CDM,32000308,Hb 36224 Place Cath Carotid Art,17795.0,6228.25,,,0
CDM,32000309,Hb 36225 Place Cath Subclavian Art,15292.0,5352.2,,,0
CDM,32000310,Hb 36226 Place Cath Vertebral Art,18350.0,6422.5,,,0
CDM,32000311,Hb 36227 Place Cath External Carotid,26738.0,9358.3,,,0
CDM,32000312,Hb 36228 Place Cath Intracranial Art,17550.0,6142.5,,,0
CDM,32000313,Hb 37197 Remove Intravas Foreign Body,10557.0,3694.95,,,0
CDM,32000315,Hb 74240 X-Ray Xm Upr Gi Trc 1Cntrst,3215.0,1125.25,,,0
CDM,32000316,Hb X-Ray Sm Int F-Thru Std,366.0,128.1,,,0
CDM,32000317,Hb X-Ray Xm Esophagus 2Cntrst,483.0,169.05,,,0
CDM,32000318,Hb Needle Localization By Xray Add On,1726.0,604.1,,,0
CDM,32000322_G1004_272,Hb Cdsm Ndsc,16432.4,5751.34,,,0
CDM,32000338,Hb Core Needle Bx Lung/Mediastinum Perq W/Img,10621.0,3717.35,,,0
CDM,32000339,Hb Xray Aorta Leg Arteries,19849.0,6947.15,,,0
CDM,32000340,Hb Pvb Thoracic Cont Catheter Infusion W/Img Gid,9546.0,3341.1,,,0
CDM,32000341,Hb 64454 Injection Aa&/Strd Genicular Nrv Branches W/Img,5556.0,1944.6,,,0
CDM,32000342,Hb 64624 Destruction Neurolytic Agt Genicular Nerve W/Img,10189.0,3566.15,,,0
CDM,32000343,Hb 64640 Dstrj Neurolytic Agent Other Peripheral Nerve,5493.0,1922.55,,,0
CDM,32000344,Hb 64417 Injection Aa&/Strd Axillary Nerve,5662.0,1981.7,,,0
CDM,32000345,Hb 64450 Injection Aa&/Strd Other Peripheral Nerve/Branch,4354.0,1523.9,,,0
CDM,32000346,Hb Anatomic Model 3D Printed 1St Compnt Antmc Strux,5948.0,2081.8,,,0
CDM,32000347,Hb Anatomic Model 3D Printed Ea Addl Component,233.0,81.55,,,0
CDM,32000348,Hb Anatomic Guide 3D Printed 1St Anatomic Guide,6342.0,2219.7,,,0
CDM,32000349,Hb Anatomic Guide 3D Printed Ea Addl Anatomic Guide,195.0,68.25,,,0
CDM,32000350,Hb 76000 Fluoroscopy Up To 1 Hour,2041.0,714.35,,,0
CDM,32000351,Hb 75822 Xray Venogram Bilateral,7120.0,2492.0,,,0
CDM,32000352,Hb 75820 Xray Venogram Unilateral,6427.0,2249.45,,,0
CDM,32000353,Hb 75822 Xray Venogram Bilateral,7120.0,2492.0,,,0
CDM,32000354,Hb 75820 Xray Venogram Unilateral,6427.0,2249.45,,,0
CDM,32000361,Hb Radex Ribs Unilateral 2 Views,625.0,218.75,,,0
CDM,32000363,Hb Radex Hips Bilateral With Pelvis 2 Views,828.0,289.8,,,0
CDM,32000365,Hb Radex Hips Bilateral With Pelvis Minimum 5 Views,2385.0,834.75,,,0
CDM,32000412,"""""""Hb Mammary Ductogram Or Galactogram Multiple""",1925.0,673.75,,,0
CDM,32000413,Hb Myelography Via Lumbar Injection Rs&I Thoracic,5326.0,1864.1,,,0
CDM,32300001,Hb G0275 Renal Angio Ns W Cath,6725.0,2353.75,,,0
CDM,32300002,Hb G0278 Iliac Angio Ns W Cath,6086.0,2130.1,,,0
CDM,32400001,Hb Xray Chest 1 View,721.0,252.35,,,0
CDM,32400002,Hb Xray Chest 2 Views,732.0,256.2,,,0
CDM,32400003,Hb Xray Exam Chest 3 Views,734.0,256.9,,,0
CDM,32400004,Hb Xray Exam Chest 4+ Views,840.0,294.0,,,0
CDM,33100001,Hb Lumbar Puncture Chemo Inj,992.0,347.2,,,0
CDM,33100002,Hb Chemo Sq Im Anti Neoplas,1113.0,389.55,,,0
CDM,33100003,Hb Chemo Sq Im Hormonal,1034.0,361.9,,,0
CDM,33100004,Hb Chemo Iv Push Sngl Drug,1113.0,389.55,,,0
CDM,33100005,Hb Chemo Iv Push Addl Drug,1113.0,389.55,,,0
CDM,33100006,Hb Chemo Ia Push,1034.0,361.9,,,0
CDM,33100007,Hb Chemo Inj Subarachnoid Resvoir,1034.0,361.9,,,0
CDM,33100008,Hb 96401 Chemo Sq Im Anti Neoplas,1113.0,389.55,,,0
CDM,33100009,Hb 96409 Chemo Iv Push Sngl Drug,1113.0,389.55,,,0
CDM,33100010,Hb 96411 Chemo Iv Push Addl Drug,1113.0,389.55,,,0
CDM,33100011,Hb 96420 Chemo Ia Push,1034.0,361.9,,,0
CDM,33100012,Hb Chemo Pleural Cavity,1306.0,457.1,,,0
CDM,33100013,Hb Chemotherapy Unspecified,579.0,202.65,,,0
CDM,33100014,Hb 96549 Chemotherapy Unspecified,579.0,202.65,,,0
CDM,33100015,Hb 96405 Chemo Intralesional Up To 7,883.0,309.05,,,0
CDM,33300002,Hb Interstitial Radiation Complex,10350.0,3622.5,,,0
CDM,33300003,Hb Therapeutic Rad Sim Simple,1656.0,579.6,,,0
CDM,33300004,Hb Therapeutic Rad Sim Intermed,2494.0,872.9,,,0
CDM,33300005,Hb Therapeutic Rad Sim Complex,3364.0,1177.4,,,0
CDM,33300006,Hb Therapeutic Rad Sim 3D,9244.0,3235.4,,,0
CDM,33300007,Hb Radiation Therapy Dose Plan,880.0,308.0,,,0
CDM,33300008,Hb Radiotherapy Dose Plan Imrt,12678.0,4437.3,,,0
CDM,33300009,Hb Teletx Isodose Plan Simple,1170.0,409.5,,,0
CDM,33300011,Hb Teletx Isodose Plan Complex,2418.0,846.3,,,0
CDM,33300012,Hb Brachytx Isodose Calc Simple,1428.0,499.8,,,0
CDM,33300013,Hb Brachytx Isodose Calc Intermed,2444.0,855.4,,,0
CDM,33300014,Hb Brachytx Isodose Calc Complex,2648.0,926.8,,,0
CDM,33300015,Hb Special Radiation Dosimetry,2559.0,895.65,,,0
CDM,33300016,Hb Treatment Device Simple,1157.0,404.95,,,0
CDM,33300017,Hb Treatment Device Intermed,1422.0,497.7,,,0
CDM,33300018,Hb Treatment Device Complex,2250.0,787.5,,,0
CDM,33300019,Hb Radiation Cont Physics Consult,815.0,285.25,,,0
CDM,33300020,Hb Radiation Physicist Consult,1829.0,640.15,,,0
CDM,33300021,Hb Rad Trmt Simple,1327.0,464.45,,,0
CDM,33300023,Hb Rad Trmt Intermed,1507.0,527.45,,,0
CDM,33300025,Hb Rad Trmt Complex,1784.0,624.4,,,0
CDM,33300028,Hb Radiation Tx Delivery Imrt,4691.0,1641.85,,,0
CDM,33300031,Hb Special Treatment Procedure,4412.0,1544.2,,,0
CDM,33300032,Hb Intracavitary Radiation Simple,884.0,309.4,,,0
CDM,33300033,Hb Intracavitary Radiation Intermed,1365.0,477.75,,,0
CDM,33300034,Hb Intracavitary Radiation Complex,2571.0,899.85,,,0
CDM,33300035,Hb Interstitial Radiation Simple,5486.0,1920.1,,,0
CDM,33300036,Hb Interstitial Radiation Intermed,8006.0,2802.1,,,0
CDM,33300037,Hb Apply Surface Ldr Radionuclide,467.0,163.45,,,0
CDM,33300038,Hb Radiation Handling,754.0,263.9,,,0
CDM,33300039,Hb 77280 Therapeutic Rad Simulation,1656.0,579.6,,,0
CDM,33300040,Hb 77370 Rad Physicist Consult,1829.0,640.15,,,0
CDM,33300046,Hb Design Mlc Device Imrt,3085.0,1079.75,,,0
CDM,33300049,Hb Special Teletherapy Port Plan,1796.0,628.6,,,0
CDM,33300057,Hb Hdr Brachytx 1 Channel,9285.0,3249.75,,,0
CDM,33300058,Hb Hdr Brachytx 2-12 Channel,11325.0,3963.75,,,0
CDM,33300059,Hb Hdr Brachytx Over 12 Channel,13048.0,4566.8,,,0
CDM,33300060,Hb Radiation Delivery Stereotactic Cranial Linear,39310.0,13758.5,,,0
CDM,33300061,Hb Stereotactic Body Radiation Delivery,39310.0,13758.5,,,0
CDM,33300062,Hb Rad Trmt 6 To 10 Mev Complex-59,1784.0,624.4,,,0
CDM,33300063,Hb Insert Uteri Tandem Ovoids,7550.0,2642.5,,,0
CDM,33300064,Hb Ins Vag Brachytx Device,1215.0,425.25,,,0
CDM,33300066,Hb Place Endorectal App,4469.0,1564.15,,,0
CDM,33300068,Hb Place Device Marker Non Pro,8148.0,2851.8,,,0
CDM,33300071,Hb Diag Bronchoscope Catheter,7518.0,2631.3,,,0
CDM,33300075,Hb Place Of Breast Tube Cath For Rad,29087.0,10180.45,,,0
CDM,33300076,Hb Place Of Rad Cath Breast After Mastec,13443.0,4705.05,,,0
CDM,33300077,Hb Place Of Rad Cath Breast Conc Mastec,16134.0,5646.9,,,0
CDM,33300078,Hb Transperi Needle Place Pros,16444.0,5755.4,,,0
CDM,33300079,Hb Respirator Motion Mgmt Simul,14059.0,4920.65,,,0
CDM,33300082,Hb Intensity Modul Rad Tx Dlvr Smpl,7069.0,2474.15,,,0
CDM,33300083,Hb Tprnl Plmt Biodegradable Matrl 1/Mlt Njx,15502.0,5425.7,,,0
CDM,33300084,Hb Guidance For Radj Tx Dlvr,1675.0,586.25,,,0
CDM,33300086,Hb Therapeutic Radiology Port Images(S),796.0,278.6,,,0
CDM,33300087,Hb Neutron Beam Tx Complex,4884.0,1709.4,,,0
CDM,33300088,Hb Proton Trmt Simple W/O Comp,5797.0,2028.95,,,0
CDM,33300089,Hb Proton Trmt Simple W/Comp,15647.0,5476.45,,,0
CDM,33300090,Hb Proton Trmt Intermediate,11147.0,3901.45,,,0
CDM,33300091,Hb Proton Treatment Complex,11227.0,3929.45,,,0
CDM,33300097,Hb Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care,1871.0,654.85,,,0
CDM,33300105,Hb Hdr Rdncl Skn Surf Brachytx Les,5282.0,1848.7,,,0
CDM,33300106,Hb Hdr Rdncl Sk Srf Brchytx Les >2Cm&2Chan/Mlt Les,6600.0,2310.0,,,0
CDM,33300107,Hb Interstitial Dev Plmt Radiation Therapy 1/Mlt,7928.0,2774.8,,,0
CDM,33300108,Hb Echo Guide For Biopsy,1529.0,535.15,,,0
CDM,33300109,Hb Unlisted Procedure Clinical Brachytherapy,24129.0,8445.15,,,0
CDM,33300110,Hb Rp Therapy Intravenous Administration,2102.0,735.7,,,0
CDM,33500001,Hb Chemo Iv Infus 1 Hr,1335.0,467.25,,,0
CDM,33500002,Hb Chemo Iv Infus Addl Hr,640.5,224.17499999999998,,,0
CDM,33500003,Hb Chemo Iv Prolong W Pump,1684.0,589.4,,,0
CDM,33500004,Hb Chemo Iv Seq Infusion Addl,1128.0,394.8,,,0
CDM,33500005,Hb Chemo Ia Infusion 1St Hour,1653.0,578.55,,,0
CDM,33500006,Hb Chemo Ia Infusion Addl Hour,830.0,290.5,,,0
CDM,33500007,Hb Chemo Ia Infus Prolong Pump Init,1653.0,578.55,,,0
CDM,33500008,Hb Chemo Admin Peritoneal Cavity,1415.0,495.25,,,0
CDM,33500009,Hb 96413 Chemo Iv Infus 1 Hr,1846.0,646.1,,,0
CDM,33500010,Hb 96415 Chemo Iv Infus Addl Hr,1029.0,360.15,,,0
CDM,33500011,Hb 96416 Chemo Iv Prolong W Pump,1684.0,589.4,,,0
CDM,33500012,Hb 96417 Chemo Iv Seq Infusion Addl,939.0,328.65,,,0
CDM,33500014,Hb 96446 Chemo Admin Peritoneal Cavity,1415.0,495.25,,,0
CDM,34100001,Hb Thyroid Imaging W Uptake Sngl,1812.0,634.2,,,0
CDM,34100002,Hb Thyroid Imaging W Uptake Mult,2682.0,938.7,,,0
CDM,34100003,Hb Thyroid Mets Img Whole Body,3890.0,1361.5,,,0
CDM,34100004,Hb Thyroid Mets Uptake,253.0,88.55,,,0
CDM,34100005,Hb Parathyroid Scan,2887.0,1010.45,,,0
CDM,34100006,Hb Lymphoscintigraphy,3336.0,1167.6,,,0
CDM,34100007,Hb Liver Spleen Scan,2264.0,792.4,,,0
CDM,34100008,Hb Liver Spleen Scan W Flow,3772.0,1320.2,,,0
CDM,34100009,Hb Hepatobiliary Imaging,3497.0,1223.95,,,0
CDM,34100010,Hb Gastric Emptying Imag Study,3157.0,1104.95,,,0
CDM,34100011,Hb C 14 Breath Analysis,512.0,179.2,,,0
CDM,34100012,Hb Gi Bleeding Scan,2466.0,863.1,,,0
CDM,34100013,Hb Meckels Scan,3292.0,1152.2,,,0
CDM,34100014,Hb Leveen Shunt Patency Exam,2844.0,995.4,,,0
CDM,34100015,Hb Bone Scan Whole Body,3553.0,1243.55,,,0
CDM,34100016,Hb Bone Scan 3 Phase Study,4015.0,1405.25,,,0
CDM,34100018,Hb Heart Scan Sngl Study Spect,7612.0,2664.2,,,0
CDM,34100019,Hb Heart Scan Mult Study Spect,10666.0,3733.1,,,0
CDM,34100020,Hb Heart Scan Sngl Study Planar,3042.0,1064.7,,,0
CDM,34100021,Hb Heart Scan Mult Study Planar,4650.0,1627.5,,,0
CDM,34100022,Hb Venogram Unilateral,523.0,183.05,,,0
CDM,34100023,Hb Venogram Bilateral,538.0,188.3,,,0
CDM,34100024,Hb Gated Heart Planar Single,3748.0,1311.8,,,0
CDM,34100025,Hb Gated Heart Planar Multiple,4224.0,1478.4,,,0
CDM,34100026,Hb Lung Perfusion Scan,2591.0,906.85,,,0
CDM,34100027,Hb Ventilation Lung Scan,2591.0,906.85,,,0
CDM,34100028,Hb Lung Quantification,1513.0,529.55,,,0
CDM,34100029,Hb Brain Image W Flow,1316.0,460.6,,,0
CDM,34100031,Hb Cisternogram,1646.0,576.1,,,0
CDM,34100032,Hb Csf Leak Detection,980.0,343.0,,,0
CDM,34100033,Hb Kidney Scan W Flow Wo Drug,3524.0,1233.4,,,0
CDM,34100034,Hb Kidney Scan W Flow W Drug,3862.0,1351.7,,,0
CDM,34100035,Hb Kidney Scan W Flow Mult,7405.0,2591.75,,,0
CDM,34100036,Hb Voiding Cystogram,1117.0,390.95,,,0
CDM,34100037,Hb Rp Loclzj Tum Plnr 2+Ar 1+D Img/1 Ar Img>2+D,1904.0,666.4,,,0
CDM,34100038,Hb Rp Loclzj Tum Whole Body Sng Day Img,3761.0,1316.35,,,0
CDM,34100039,Hb Rp Loclzj Tum Spect 1 Area Sng Day Img,4153.0,1453.55,,,0
CDM,34100041,Hb Pulmonary Vent And Perfusion Imaging,5178.0,1812.3,,,0
CDM,34100042,Hb Parathyroid Scan W Spect,2982.0,1043.7,,,0
CDM,34100043,Hb Heart Symp Image Plnr,3511.0,1228.85,,,0
CDM,34100044,Hb Csf Shunt Evaluation,2272.0,795.2,,,0
CDM,34100045,Hb Injection Into Brain Canal,3364.0,1177.4,,,0
CDM,34100046,Hb 78291 Leveen Shunt Patency Exam,2844.0,995.4,,,0
CDM,34100047,Hb Tumor Imaging Whole Body Req 2/> Day,4646.0,1626.1,,,0
CDM,34100048,Hb Urinary Bladder Retention,1133.0,396.55,,,0
CDM,34100051,Hb Bone &/Joint Imaging Limited Area,2371.0,829.85,,,0
CDM,34100052,Hb Bone &/Joint Imaging Multiple Areas,2281.0,798.35,,,0
CDM,34100055,Hb Rp Loclzj Tum Plnr 1 Area Sng Day Img,2888.0,1010.8,,,0
CDM,34100058,Hb Rp Loclzj Tum Spect W/Ct 1 Ar 1 Day Img,3816.0,1335.6,,,0
CDM,34100059,Hb Rp Loclzj Tum Spect 2 Ar 1D Img/1 Ar Img>2+D,3816.0,1335.6,,,0
CDM,34100060,Hb Rp Loclzj Tum Spect Ct 2 Ar 1D Img/1 Ar Img>2+D,4327.0,1514.45,,,0
CDM,34100061,Hb Parathyrd Planar W/Spect & Ct,3833.0,1341.55,,,0
CDM,34100062,Hb Esophageal Motility Study,1582.0,553.7,,,0
CDM,34100064,Hb Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas,2387.0,835.45,,,0
CDM,34100068,Hb Plasma Vol Radiopharm Vol Dilute Spx Mult Smples,3769.0,1319.15,,,0
CDM,34100069,Hb Red Cell Volume Determination Spx Mult Samplings,1513.0,529.55,,,0
CDM,34200001,Hb Nuclear Rx Oral Admin,6438.0,2253.3,,,0
CDM,34200002,Hb Nuclear Rx Iv Admin,1109.0,388.15,,,0
CDM,34200003,Hb Nuclear Rx Intra Arterial,3108.0,1087.8,,,0
CDM,34200004,Hb Brach Ther Non Stranded Nos,743.04,260.06,,,0
CDM,34200005,Hb Brach Ther Stranded Nos,743.04,260.06,,,0
CDM,34200006,Hb Cs 137 Sources,1927.8,674.73,,,0
CDM,34200007,Hb Place Endorectal Applicator,4469.0,1564.15,,,0
CDM,34200008,Hb Rxt Breast Appl Place Remove,8549.0,2992.15,,,0
CDM,34300001,Hb Datscan Dose,12853.0,4498.55,,,0
CDM,34300002,Hb 99Mtc Sestamibi,1129.0,395.15,,,0
CDM,34300003,Hb Mdp Dose,127.0,44.45,,,0
CDM,34300004,Hb Thallium Dose 4Mci,1244.0,435.4,,,0
CDM,34300005,Hb Mibg Dose,12941.0,4529.35,,,0
CDM,34300006,Hb Disofenin Dose,122.0,42.7,,,0
CDM,34300007,Hb Tc04 Per Mci,7.0,2.45,,,0
CDM,34300008,Hb I 123 Dose,1207.0,422.45,,,0
CDM,34300009,Hb I 131 Capsule Diag Per Mci,624.0,218.4,,,0
CDM,34300010,Hb Dtpa Dose,390.0,136.5,,,0
CDM,34300011,Hb Tc99M Maa,149.0,52.15,,,0
CDM,34300012,Hb Tc 99M Sulfur Colloid Dose,509.0,178.15,,,0
CDM,34300013,Hb In 111 Dtpa,4445.0,1555.75,,,0
CDM,34300014,Hb Dmsa Dose,1396.0,488.6,,,0
CDM,34300015,Hb Fdg Dose,770.0,269.5,,,0
CDM,34300016,Hb Gallium Tumor Dose 10 Mci,854.0,298.9,,,0
CDM,34300017,Hb Gallium Scan Abscess Dose 5Mci,854.0,298.9,,,0
CDM,34300018,Hb Tc99M Hmpao,5058.0,1770.3,,,0
CDM,34300019,Hb Xe 133 Gas,508.0,177.8,,,0
CDM,34300020,Hb Tagged Rbc,508.0,177.8,,,0
CDM,34300021,Hb Mag 3 Dose,1526.0,534.1,,,0
CDM,34300022,Hb In 111 Tagged Wbc,5431.0,1900.85,,,0
CDM,34300023,Hb Octreoscan Dose,13224.0,4628.4,,,0
CDM,34300024,Hb I 123 Adreview Mibg Dose,14824.0,5188.4,,,0
CDM,34300025,Hb Xofigo Dose,569.0,199.15,,,0
CDM,34300026,Hb Tc99 Tilmanocept Diag .05Mci,1952.0,683.2,,,0
CDM,34300027,Hb Tc99M Pyrophosphate =< 25 Mci,450.0,157.5,,,0
CDM,34300029,Hb Tc99M Exametazime,1682.0,588.7,,,0
CDM,34300032,"Hb I131 Serum Albumin, Dx",965.0,337.75,,,0
CDM,34300033,Hb Iodine I-123 Sod Iodide Mil Initial,1616.0,565.6,,,0
CDM,34300034,Hb Iodine I-123 Sod Iodide Mil Each Addl,500.0,175.0,,,0
CDM,34400001,Hb I 131 Cap Ther Initial Mci,593.0,207.55,,,0
CDM,34400002,Hb I 131 Cap Ther Each Addl Mci,64.0,22.4,,,0
CDM,34400003,Hb Sodium P 32 Per Mci,34924.0,12223.4,,,0
CDM,34400004,Hb Chromic Phos P 32 Dose Per Mci,5218.0,1826.3,,,0
CDM,34400005,Hb Sr 89 Dose,9902.0,3465.7,,,0
CDM,34400006,Hb Quadramet Dose,34241.0,11984.35,,,0
CDM,34400007,Hb Pluvicto; Radium Ra223 Dichloride Ther,863.0,302.05,,,0
CDM,34400008,Hb Xofigo; Lutetium Lu 177 Vipivotide,632.1,221.24,,,0
CDM,34400009,Hb Lutatheral; Lutetium Lu 177 Dotatat Ther,1067.0,373.45,,,0
CDM,35000001,Hb Cta Chest,6855.0,2399.25,,,0
CDM,35000002,Hb Cta Pelvis,4539.0,1588.65,,,0
CDM,35000003,Hb Ct Upr Extremity Wo Cont,2319.0,811.65,,,0
CDM,35000004,Hb Ct Upr Extremity W Cont,2687.0,940.45,,,0
CDM,35000005,Hb Ct Upr Extremity Wo And W Cont,5009.0,1753.15,,,0
CDM,35000006,Hb Cta Upper Extremities,8905.0,3116.75,,,0
CDM,35000007,Hb Ct Lower Extremity Wo Cont,3025.0,1058.75,,,0
CDM,35000008,Hb Ct Lower Extremity W Cont,3498.0,1224.3,,,0
CDM,35000009,Hb Ct Lower Extremity Wo And W Cont,6521.0,2282.35,,,0
CDM,35000010,Hb Cta Lower Extremities,8443.0,2955.05,,,0
CDM,35000011,Hb Cta Abdomen,6373.0,2230.55,,,0
CDM,35000012,Hb Ct Colonography Dx Wo Cont,2034.0,711.9,,,0
CDM,35000014,Hb Ct Colonography Screening,1778.0,622.3,,,0
CDM,35000015,Hb Ct Cardiac Scoring,976.0,341.6,,,0
CDM,35000016,Hb Ct Hrt W/3D Image,3098.0,1084.3,,,0
CDM,35000017,Hb Cta Coronary Artery,3623.0,1268.05,,,0
CDM,35000018,Hb Cta Abdominal Arteries,9489.0,3321.15,,,0
CDM,35000019,Hb 3D Render Wo Postprocess,3326.0,1164.1,,,0
CDM,35000020,Hb 3D Render W Postprocess,2916.0,1020.6,,,0
CDM,35000021,Hb Ct Limited Follow Up Study,976.0,341.6,,,0
CDM,35000022,Hb Special Order Ct Scan,13885.0,4859.75,,,0
CDM,35000023,Hb Ct Guide Stereotactic,2010.0,703.5,,,0
CDM,35000024,Hb Ct Guide For Needle Place,3717.0,1300.95,,,0
CDM,35000025,Hb Ct Guide For Tissue Ablation,3003.0,1051.05,,,0
CDM,35000026,Hb Ct Guide Therapy Planning,1416.0,495.6,,,0
CDM,35000027,Hb Ct Guide For Drain,5578.0,1952.3,,,0
CDM,35000028,Hb 75989 Ct Guide For Drain,5578.0,1952.3,,,0
CDM,35000029,Hb Cta Abdomen And Pelvis,10910.0,3818.5,,,0
CDM,35000030,Hb Ct Hrt W/3D Image Congen,2660.0,931.0,,,0
CDM,35000031,Hb Perq Dev Soft Tiss 1St Imag,4469.0,1564.15,,,0
CDM,35000032,Hb Perq Dev Soft Tiss Eachadd Imag,2632.0,921.2,,,0
CDM,35000033,Hb Core Ndl Bx Lng/Med Perq,4922.0,1722.7,,,0
CDM,35000034,Hb Plmt Ntrstl Dev Radj Thx Gid Prq Intrathrc 1/Mlt,7285.0,2549.75,,,0
CDM,35000035,Hb Pleura Perc Biopsy,2273.0,795.55,,,0
CDM,35000036,Hb Ablation Ther 1+ Pulm Tumors Perq Cryoablation,19414.0,6794.9,,,0
CDM,35100001,Hb Brain Perfusion Ct,1927.0,674.45,,,0
CDM,35100002,Hb Ct Head Or Brain Wo Cont,3705.0,1296.75,,,0
CDM,35100003,Hb Ct Head Or Brain W Cont,4594.0,1607.9,,,0
CDM,35100004,Hb Ct Head Or Brain Wo And W Cont,5740.0,2009.0,,,0
CDM,35100005,Hb Ct Orbit Ear Fossa Wo Cont,5343.0,1870.05,,,0
CDM,35100006,Hb Ct Orbit Ear Fossa W Cont,6213.0,2174.55,,,0
CDM,35100007,Hb Ct Orbit Ear Fossa Wo And W Cont,11553.0,4043.55,,,0
CDM,35100008,Hb Ct Sinuses Wo Cont,4294.0,1502.9,,,0
CDM,35100009,Hb Ct Sinuses W Cont,4750.0,1662.5,,,0
CDM,35100010,Hb Ct Sinuses Wo And W Cont,10503.0,3676.05,,,0
CDM,35100011,Hb Ct Neck Wo Cont,2830.0,990.5,,,0
CDM,35100012,Hb Ct Neck W Cont,3512.0,1229.2,,,0
CDM,35100013,Hb Ct Neck Wo And W Cont,6165.0,2157.75,,,0
CDM,35100014,Hb Cta Head,6614.0,2314.9,,,0
CDM,35100015,Hb Cta Neck,8331.0,2915.85,,,0
CDM,35100016,Hb 70496 Cta Head,6614.0,2314.9,,,0
CDM,35100017,Hb 70498 Cta Neck,8331.0,2915.85,,,0
CDM,35200001,Hb Ct Thorax Wo Cont,2415.0,845.25,,,0
CDM,35200002,Hb Ct Thorax W Cont,2516.0,880.6,,,0
CDM,35200003,Hb Ct Thorax Wo And W Cont,2612.0,914.2,,,0
CDM,35200004,Hb Ct Cervical Spine Wo Cont,4393.0,1537.55,,,0
CDM,35200005,Hb Ct Cervical Spine W Cont,4697.0,1643.95,,,0
CDM,35200006,Hb Ct Cervical Spine Wo And W Cont,9088.0,3180.8,,,0
CDM,35200007,Hb Ct Thoracic Spine Wo Cont,2573.0,900.55,,,0
CDM,35200008,Hb Ct Thoracic Spine W Cont,2995.0,1048.25,,,0
CDM,35200009,Hb Ct Thoracic Spine Wo And W Cont,5570.0,1949.5,,,0
CDM,35200010,Hb Ct Lumbar Spine Wo Cont,1776.0,621.6,,,0
CDM,35200011,Hb Ct Lumbar Spine W Cont,1793.0,627.55,,,0
CDM,35200012,Hb Ct Lumbar Spine Wo And W Cont,3569.0,1249.15,,,0
CDM,35200013,Hb Ct Pelvis Wo Cont,2867.0,1003.45,,,0
CDM,35200014,Hb Ct Pelvis W Cont,4241.0,1484.35,,,0
CDM,35200015,Hb Ct Pelvis Wo And W Cont,7110.0,2488.5,,,0
CDM,35200016,Hb Ct Abdomen Wo Cont,3274.0,1145.9,,,0
CDM,35200017,Hb Ct Abdomen W Cont,3857.0,1349.95,,,0
CDM,35200018,Hb Ct Abdomen Wo And W Cont,7000.0,2450.0,,,0
CDM,35200019,Hb Ct Abdomen And Pelvis Wo Cont,6140.0,2149.0,,,0
CDM,35200020,Hb Ct Abdomen And Pelvis W Cont,8097.0,2833.95,,,0
CDM,35200021,Hb Ct Abd Pelv Wo And W Cont,14110.0,4938.5,,,0
CDM,35200022,Hb 74176 Ct Abd And Pelvis Wo Cont,6140.0,2149.0,,,0
CDM,35200023,Hb 74177 Ct Abd And Pelvis W Cont,8097.0,2833.95,,,0
CDM,35200024,Hb 74178 Ct Abd Pelv Wo And W Cont,14110.0,4938.5,,,0
CDM,35200025,Hb Ct Thorax Lung Cancer Scr C-,1180.0,413.0,,,0
CDM,36000001,Hb Or General Level 1 First Min,3129.0,1095.15,,,0
CDM,36000002,Hb Or General Level 1 Addl Min,228.0,79.8,,,0
CDM,36000003,Hb Or General Level 2 First Min,3410.0,1193.5,,,0
CDM,36000004,Hb Or General Level 2 Addl Min,373.0,130.55,,,0
CDM,36000005,Hb Or General Level 3 First Min,3486.0,1220.1,,,0
CDM,36000006,Hb Or General Level 3 Addl Min,392.0,137.2,,,0
CDM,36000007,Hb Or Major Cmplx Level 1 First Min,3483.0,1219.05,,,0
CDM,36000008,Hb Or Major Cmplx Level 1 Addl Min,392.0,137.2,,,0
CDM,36000009,Hb Or Major Cmplx Level 2 First Min,3745.0,1310.75,,,0
CDM,36000010,Hb Or Major Cmplx Level 2 Addl Min,435.0,152.25,,,0
CDM,36000011,Hb Or Major Cmplx Level 3 First Min,3960.0,1386.0,,,0
CDM,36000012,Hb Or Major Cmplx Level 3 Addl Min,499.0,174.65,,,0
CDM,36000013,Hb Or Specialty Level 1 First Min,3402.0,1190.7,,,0
CDM,36000014,Hb Or Specialty Level 1 Addl Min,373.0,130.55,,,0
CDM,36000015,Hb Or Specialty Level 2 First Min,3483.0,1219.05,,,0
CDM,36000016,Hb Or Specialty Level 2 Addl Min,392.0,137.2,,,0
CDM,36000017,Hb Or Specialty Level 3 First Min,3745.0,1310.75,,,0
CDM,36000018,Hb Or Specialty Level 3 Addl Min,435.0,152.25,,,0
CDM,36000019,Hb Cryoablation Lung Ct,10293.0,3602.55,,,0
CDM,36000020,Hb Pericardiocentesis,1264.0,442.4,,,0
CDM,36000021,Hb Ablation Liver,5257.0,1839.95,,,0
CDM,36000022,Hb Cryoablation Liver,15295.0,5353.25,,,0
CDM,36000024,Hb 0075T Carotid Artery Stent Ins,37127.0,12994.45,,,0
CDM,36000025,Hb 0076T Carotid Art Stent Ins Add,26007.0,9102.45,,,0
CDM,36000027,Hb 10160 Puncture Aspiration,1932.0,676.2,,,0
CDM,36000028,Hb 11400 Excision Benign Lesion,13860.0,4851.0,,,0
CDM,36000029,Hb 21501 Drain Neck Thorax,13729.0,4805.15,,,0
CDM,36000030,Hb 22513 Kypho Vert Body Thor,22192.0,7767.2,,,0
CDM,36000031,Hb 22514 Kypho Vert Body Lumbar,22192.0,7767.2,,,0
CDM,36000032,Hb 22515 Addl Kypho Vert Body,22192.0,7767.2,,,0
CDM,36000033,Hb 27096 Inject Sacroiliac Joint,3112.0,1089.2,,,0
CDM,36000034,Hb 27324 Biopsy Tissue Thigh Deep,19021.0,6657.35,,,0
CDM,36000035,Hb 31630 Bronch Dilate Fx Repr,10375.0,3631.25,,,0
CDM,36000036,Hb 31636 Bronchoscopy Bronch Stents,11106.0,3887.1,,,0
CDM,36000037,Hb 32550 Insert Pleural Cath,16623.0,5818.05,,,0
CDM,36000038,Hb 32552 Remove Pleural Cath,5018.0,1756.3,,,0
CDM,36000039,Hb 32999 Thoracic Procedure,4535.0,1587.25,,,0
CDM,36000041,Hb 33206 Pacer Ra Lead Implant,41272.0,14445.2,,,0
CDM,36000042,Hb 33207 Pacer Rv Lead Implant,43332.0,15166.2,,,0
CDM,36000043,Hb 33208 Pacer Ra Rv Leads Implant,53449.0,18707.15,,,0
CDM,36000044,Hb 33210 Insert Temp Pacemaker,9551.0,3342.85,,,0
CDM,36000045,Hb 33211 Insert Temp Dual Electrode,15470.0,5414.5,,,0
CDM,36000046,Hb 33212 Pacer Gen Replace Single,35810.0,12533.5,,,0
CDM,36000047,Hb 33213 Pacer Gen Replace Dual,41676.0,14586.6,,,0
CDM,36000048,Hb 33214 Ppm Sngl To Dual W Leads,50906.0,17817.1,,,0
CDM,36000049,Hb 33215 Pacer Icd Lead Reposition,4314.0,1509.9,,,0
CDM,36000050,Hb 33216 Pacer Icd Ra Or Rv Lead,9551.0,3342.85,,,0
CDM,36000051,Hb 33217 Pacer Icd Ra Or Rv Leads,11119.0,3891.65,,,0
CDM,36000052,Hb 33218 Pace Icd Lead Repair Sg,14198.0,4969.3,,,0
CDM,36000053,Hb 33220 Pace Icd Lead Repair Dl,17525.0,6133.75,,,0
CDM,36000054,Hb 33222 Ppm Pocket Revision Relo,6806.0,2382.1,,,0
CDM,36000055,Hb 33223 Icd Pocket Revision,6340.0,2219.0,,,0
CDM,36000056,Hb 33224 Insert Pacing Lead,24266.0,8493.1,,,0
CDM,36000057,Hb 33225 L Vent Pacing Lead Add On,6471.0,2264.85,,,0
CDM,36000058,Hb 33226 Reposition L Ventric Lead,9519.0,3331.65,,,0
CDM,36000059,Hb 33233 Pacer Gen Removal,4314.0,1509.9,,,0
CDM,36000060,Hb 33234 Pacer Lead Removal Sngl,4314.0,1509.9,,,0
CDM,36000061,Hb 33235 Pacer Lead Removal Dual,11384.0,3984.4,,,0
CDM,36000062,Hb 33240 Icd Gen Insert,20386.0,7135.1,,,0
CDM,36000063,Hb 33241 Icd Gen Removal,6340.0,2219.0,,,0
CDM,36000064,Hb 33244 Removal Icd Lead,8622.0,3017.7,,,0
CDM,36000065,Hb 33249 Ins Repo Icd Ld Or New Gen,25521.0,8932.35,,,0
CDM,36000066,Hb 33285 Insert Loop Recorder,12871.0,4504.85,,,0
CDM,36000067,Hb 33286 Remove Loop Recorder,8400.0,2940.0,,,0
CDM,36000068,Hb 33881 Endovasc Repr Wo Subcl,19216.0,6725.6,,,0
CDM,36000069,Hb 33968 Remove Aortic Device,5827.0,2039.45,,,0
CDM,36000070,Hb 33970 Insert Aortic Bln Assist,8190.0,2866.5,,,0
CDM,36000071,Hb 33973 Insert Bln Intra Aortic,8503.0,2976.05,,,0
CDM,36000072,Hb 33975 Vad Insert Ventricle,9675.0,3386.25,,,0
CDM,36000073,Hb 33977 Vad Removal Ventricle,8563.0,2997.05,,,0
CDM,36000075,Hb 35321 Thromb Axill Brach,17897.0,6263.95,,,0
CDM,36000076,Hb 36470 Inj Sclero Vein Sgl,12209.0,4273.15,,,0
CDM,36000077,Hb 36555 Central Venous Cath Ls 5Yr,5266.0,1843.1,,,0
CDM,36000078,Hb 36557 Cath Tunled Wo Port Ls 5Yr,12856.0,4499.6,,,0
CDM,36000079,Hb 36558 Cath Tunled Wo Port Gr 5Yr,16200.0,5670.0,,,0
CDM,36000080,Hb 36560 Port Tunled Vad Less 5Yr,30129.0,10545.15,,,0
CDM,36000081,Hb 36561 Port Tunled Vad Over 5Yr,33575.0,11751.25,,,0
CDM,36000082,Hb 36563 Insert Tunneled Cv Cath,25597.0,8958.95,,,0
CDM,36000083,Hb 36565 Tesio Tunled To Cath Site,31666.0,11083.1,,,0
CDM,36000084,Hb 36568 Picc Placement Less 5 Yrs,13497.0,4723.95,,,0
CDM,36000085,Hb 36569 Picc Placement Over 5Yrs,13497.0,4723.95,,,0
CDM,36000086,Hb 36571 Insert Picvad Cath,11374.0,3980.9,,,0
CDM,36000087,Hb 36575 Picc Or Central Cath Rep,5216.0,1825.6,,,0
CDM,36000088,Hb 36576 Repair Cath Cv W Port,18000.0,6300.0,,,0
CDM,36000089,Hb 36578 Replace Tunneled Cv Cath,4555.0,1594.25,,,0
CDM,36000090,Hb 36580 Replace Cvad Cath,11376.0,3981.6,,,0
CDM,36000091,Hb 36581 Rep Tunled Cv Cath Wo Port,13497.0,4723.95,,,0
CDM,36000092,Hb 36582 Rep Tunled Cv Cath W Port,30129.0,10545.15,,,0
CDM,36000093,Hb 36585 Tesio Replace Periph Vad,13497.0,4723.95,,,0
CDM,36000094,Hb 36589 Perm Cath Removal,5216.0,1825.6,,,0
CDM,36000095,Hb 36590 Port Removal,8789.0,3076.15,,,0
CDM,36000096,Hb 36595 Mechan Rem Pericath Obst,11427.0,3999.45,,,0
CDM,36000097,Hb 36596 Mechan Rem Intracath Obs,12951.0,4532.85,,,0
CDM,36000098,Hb 36597 Reposition Venous Cath,2664.0,932.4,,,0
CDM,36000099,Hb 36620 Art Line Plmt Monitoring,865.0,302.75,,,0
CDM,36000100,Hb 36818 Anast Av Cephalic Open,15962.0,5586.7,,,0
CDM,36000101,Hb 37188 Venous Mech Thromb Add On,26601.0,9310.35,,,0
CDM,36000102,Hb 37195 Thrombolysis Cerebral Iv,5799.0,2029.65,,,0
CDM,36000103,Hb 37215 Transcath Stent Cca Eps,6240.0,2184.0,,,0
CDM,36000104,Hb 37216 Transcath Stent Cca Wo Eps,6240.0,2184.0,,,0
CDM,36000105,Hb 37220 Revasc Iliac Unilat,16557.0,5794.95,,,0
CDM,36000106,Hb 37221 Revasc Iliac W Stent,16557.0,5794.95,,,0
CDM,36000107,Hb 37222 Revasc Iliac Ea Addl,16557.0,5794.95,,,0
CDM,36000108,Hb 37223 Rev Iliac W Stent Ea Add,16557.0,5794.95,,,0
CDM,36000109,Hb 37224 Revas Fem Popl W Tla,16557.0,5794.95,,,0
CDM,36000110,Hb 37225 Revas Fem Popl W Ather,35151.0,12302.85,,,0
CDM,36000111,Hb 37226 Revas Fem Popl W Stent,35151.0,12302.85,,,0
CDM,36000112,Hb 37227 Rev Fem Popl W Stent Ath,60874.0,21305.9,,,0
CDM,36000113,Hb 37228 Revasc Tib Per W Tla,16557.0,5794.95,,,0
CDM,36000114,Hb 37229 Revasc Tib Per W Ather,35151.0,12302.85,,,0
CDM,36000115,Hb 37230 Revasc Tib Per W Stent,35151.0,12302.85,,,0
CDM,36000116,Hb 37231 Rev Tib Per W Stent Ather,60874.0,21305.9,,,0
CDM,36000117,Hb 37232 Rev Tib Per W Tla Add On,16557.0,5794.95,,,0
CDM,36000118,Hb 37233 Rev Tib Per W Ather Add On,21523.0,7533.05,,,0
CDM,36000119,Hb 37234 Rev Opn Prq Tib Per Stnt,21523.0,7533.05,,,0
CDM,36000120,Hb 37235 Revasc Tib Per Stnt Ather,27982.0,9793.7,,,0
CDM,36000121,Hb 37616 Ligation Chest Artery,10358.0,3625.3,,,0
CDM,36000123,Hb 47399 Hepatic Cyst Ablation,15295.0,5353.25,,,0
CDM,36000124,Hb 49441 Perc Place J Tube,7906.0,2767.1,,,0
CDM,36000125,Hb 49442 Insert C Tube Perc Fluor,10602.0,3710.7,,,0
CDM,36000126,Hb 49446 Chg G Tube To Gj Perc,8616.0,3015.6,,,0
CDM,36000127,Hb 49450 Change Gastro Cecos Tube,3458.0,1210.3,,,0
CDM,36000128,Hb 49451 Replace Duo J Tube Perc,3290.0,1151.5,,,0
CDM,36000129,Hb 49452 Replace Gj Tube Perc,2722.0,952.7,,,0
CDM,36000130,Hb 49460 Remove Obs Mat Gi Tube,3293.0,1152.55,,,0
CDM,36000131,Hb 49465 Inj Cont W Fluoro Tube,1407.0,492.45,,,0
CDM,36000132,Hb 50396 Whitaker Test,938.0,328.3,,,0
CDM,36000133,Hb 50551 Kidney Endoscopy,5406.0,1892.1,,,0
CDM,36000134,Hb 52332 Cysto Indwel Stent Uret,14873.0,5205.55,,,0
CDM,36000135,Hb 61070 Punct For Asp Inj Shunt,2862.0,1001.7,,,0
CDM,36000136,Hb 61635 Angioplast Intracran Stent,30357.0,10624.95,,,0
CDM,36000137,Hb 62267 Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss,5432.0,1901.2,,,0
CDM,36000138,Hb 64483 Inj Anes Epidural Lum Sac,7143.0,2500.05,,,0
CDM,36000139,Hb 92953 Transcutaneous Pacing,2629.0,920.15,,,0
CDM,36000144,Hb Yag Laser Treatment Room,8423.0,2948.05,,,0
CDM,36000145,Hb 49418 Insert Tun Ip Cath Perc,24421.0,8547.35,,,0
CDM,36000146,Hb 0200T Perc Sac Augmt Unila Inj,20122.0,7042.7,,,0
CDM,36000147,Hb 0236T Trlml Perip Ath Abd Aorta,48687.0,17040.45,,,0
CDM,36000148,Hb 49435 Ins Subq Ext To Ip Cath,9158.0,3205.3,,,0
CDM,36000149,Hb 36471 Inj Therapy Veins,3619.0,1266.65,,,0
CDM,36000150,Hb 33221 Insert Pulse Gen W Mult Leads,39611.0,13863.85,,,0
CDM,36000151,Hb 33227 Remv And Repl Pm Gen Single,36120.0,12642.0,,,0
CDM,36000152,Hb 33228 Remv And Repl Gen Dual Lead,39611.0,13863.85,,,0
CDM,36000153,Hb 33229 Remv And Repl Pm Gen Mult Leads,39611.0,13863.85,,,0
CDM,36000154,Hb 33230 Insert Pulse Gen W Dual Leads,52780.0,18473.0,,,0
CDM,36000155,Hb 33231 Insert Pulse Gen W Mult Leads,52780.0,18473.0,,,0
CDM,36000156,Hb 33262 Remv And Repl Cvd Gen Sing Lead,52777.0,18471.95,,,0
CDM,36000157,Hb 33263 Remv And Repl Cvd Gen Dual Lead,52777.0,18471.95,,,0
CDM,36000158,Hb 33264 Remv And Repl Cvd Gen Mult Lead,52777.0,18471.95,,,0
CDM,36000159,Hb 37619 Ligation Of Inf Vena Cava,12717.0,4450.95,,,0
CDM,36000160,Hb 64999 Nervous System Procedure,10187.0,3565.45,,,0
CDM,36000161,Hb 62273 Inj Epidural Patch,4152.0,1453.2,,,0
CDM,36000162,Hb 27041 Biopsy Soft Tissues,6725.0,2353.75,,,0
CDM,36000163,Hb Closed Adrenal Gland Biopsy,14370.0,5029.5,,,0
CDM,36000164,Hb 62320 Inj Spine Cervical Thoracic,5573.0,1950.55,,,0
CDM,36000165,Hb 62284 Inj For Myelogram,1525.0,533.75,,,0
CDM,36000166,Hb 0201T Perq Sacral Augmt Bilat Inj,25164.0,8807.4,,,0
CDM,36000167,Hb 36566 Insert Tunneled Cv Cath,37484.0,13119.4,,,0
CDM,36000168,Hb 64479 Inj Foramen Epidural,8478.0,2967.3,,,0
CDM,36000169,Hb Esophagomyotomy Abd,9526.0,3334.1,,,0
CDM,36000170,Hb 43213 Dilate Esophagus,1902.0,665.7,,,0
CDM,36000171,Hb Head Surgery Procedure,3158.0,1105.3,,,0
CDM,36000172,Hb 20500 Inj Sinus Tract,3338.0,1168.3,,,0
CDM,36000173,Hb Abdomen Surgery Procedure,4235.0,1482.25,,,0
CDM,36000174,Hb Whole Body Cooling,5323.0,1863.05,,,0
CDM,36000175,Hb 33361 Replace Aortic Valve Perq,58214.0,20374.9,,,0
CDM,36000176,Hb 33362 Replace Aortic Valve Open Femoral,5790.0,2026.5,,,0
CDM,36000177,Hb 33363 Replace Aortic Valve Open Axillary,5995.0,2098.25,,,0
CDM,36000178,Hb 33364 Replace Aortic Valve Open Iliac,6374.0,2230.9,,,0
CDM,36000179,Hb 33365 Replace Aortic Valve Transaortic,7033.0,2461.55,,,0
CDM,36000180,Hb 33367 Replace Aortic Valve W Bypass Perc,2475.0,866.25,,,0
CDM,36000181,Hb 33368 Replace Aortic Valve W Bypass Open,2999.0,1049.65,,,0
CDM,36000182,Hb 33369 Replace Aortic Valve W Bypass Central,3961.0,1386.35,,,0
CDM,36000183,Hb 33366 Replace Aortic Valve Thoracic,3146.0,1101.1,,,0
CDM,36000184,Hb 33990 Insert Vad Artery Access,1722.0,602.7,,,0
CDM,36000185,Hb 33991 Insert Vad Art & Vein Access,2510.0,878.5,,,0
CDM,36000186,Hb 33992 Remove Vad Diff Session,823.0,288.05,,,0
CDM,36000187,Hb 33993 Reposition Vad Diff Session,722.0,252.7,,,0
CDM,36000196,Hb 61107 Drill Skull For Implantation,2060.0,721.0,,,0
CDM,36000197,Hb Larynx Surgery Procedure,2578.0,902.3,,,0
CDM,36000198,Hb Drain Spinal Cord Cyst,3710.0,1298.5,,,0
CDM,36000199,Hb Anoscopy Submucosal Solesta,17741.0,6209.35,,,0
CDM,36000200,Hb 36800 Insertion Of Cannula,12345.0,4320.75,,,0
CDM,36000201,Hb Nervous System Procedure,10187.0,3565.45,,,0
CDM,36000202,Hb Perq Abltj Lvr Cryoablation 1 Or More,20453.0,7158.55,,,0
CDM,36000203,Hb 47383 Perq Abltj Lvr Cryoablation 1 Or More,20453.0,7158.55,,,0
CDM,36000204,Hb Bronchoscopy Bronch Stents,11106.0,3887.1,,,0
CDM,36000205,Hb Cath Tunled Wo Port Gr 5Yr,16200.0,5670.0,,,0
CDM,36000206,Hb Ecmo/Ecls Insj Prph Cannula 6Yrs Greater,1782.0,623.7,,,0
CDM,36000207,Hb Ecmo/Ecls Initiation Artery,13579.0,4752.65,,,0
CDM,36000208,Hb 33340 Laa Closure W/Implant,25854.0,9048.9,,,0
CDM,36000209,Hb Punct For Asp Inj Shunt,2862.0,1001.7,,,0
CDM,36000210,Hb Inject Sacroiliac Joint,2873.0,1005.55,,,0
CDM,36000211,Hb Change Gastro Cecos Tube,3458.0,1210.3,,,0
CDM,36000212,Hb 33952 Ecmo/Ecls Insj Prph Cannula 6Yrs Greater,1782.0,623.7,,,0
CDM,36000213,Hb 33418 Repair Tcat Mitral Valve Initial,35708.0,12497.8,,,0
CDM,36000214,Hb Fxjl Abl Lsr 1St 100 Sq Cm,2376.0,831.6,,,0
CDM,36000215,Hb Fxjl Abl Lsr Ea Addl 100Sqcm,1190.0,416.5,,,0
CDM,36000216,Hb 33419 Repair Tcat Mitral Valve Addtl,11866.0,4153.1,,,0
CDM,36000217,Hb 36620 Art Line Plmt Monitoring,865.0,302.75,,,0
CDM,36000218,Hb 37215 Transcath Stent Cca Eps,6240.0,2184.0,,,0
CDM,36000219,Hb 37216 Transcath Stent Cca Wo Eps,6240.0,2184.0,,,0
CDM,36000220,Hb 37220 Revasc Iliac Unilat,16557.0,5794.95,,,0
CDM,36000221,Hb 37221 Revasc Iliac W Stent,16557.0,5794.95,,,0
CDM,36000222,Hb 37222 Revasc Iliac Ea Addl,16557.0,5794.95,,,0
CDM,36000223,Hb 37223 Rev Iliac W Stent Ea Add,16557.0,5794.95,,,0
CDM,36000224,Hb 37224 Revas Fem Popl W Tla,16557.0,5794.95,,,0
CDM,36000225,Hb 37225 Revas Fem Popl W Ather,35151.0,12302.85,,,0
CDM,36000226,Hb 37226 Revas Fem Popl W Stent,35151.0,12302.85,,,0
CDM,36000227,Hb 37227 Rev Fem Popl W Stent Ath,60874.0,21305.9,,,0
CDM,36000228,Hb 37228 Revasc Tib Per W Tla,16557.0,5794.95,,,0
CDM,36000229,Hb 37229 Revasc Tib Per W Ather,35151.0,12302.85,,,0
CDM,36000230,Hb 37230 Revasc Tib Per W Stent,35151.0,12302.85,,,0
CDM,36000231,Hb 37231 Rev Tib Per W Stent Ather,60874.0,21305.9,,,0
CDM,36000232,Hb 37232 Rev Tib Per W Tla Add On,16557.0,5794.95,,,0
CDM,36000233,Hb 37233 Rev Tib Per W Ather Add On,21523.0,7533.05,,,0
CDM,36000234,Hb 37234 Rev Opn Prq Tib Per Stnt,21523.0,7533.05,,,0
CDM,36000235,Hb 37235 Revasc Tib Per Stnt Ather,27982.0,9793.7,,,0
CDM,36000236,Hb 61635 Angioplast Intracran Stent,30357.0,10624.95,,,0
CDM,36000237,Hb G0269 Angioseal With Intervent,9469.0,3314.15,,,0
CDM,36000238,Hb Repair Of Abdominal Wall,16549.0,5792.15,,,0
CDM,36000239,Hb Thoracotomy W/ Ctrl Tramtc Hemm And/Or Rpr Lng Tear,25151.0,8802.85,,,0
CDM,36000240,Hb Intestinal Stricturoplasty For Obstruct,28865.0,10102.75,,,0
CDM,36000241,Hb Surg Tx Septic Abortion,2152.0,753.2,,,0
CDM,36000243,Hb 10005 Fna Bx W/Us Gdn 1St Les,4241.0,1484.35,,,0
CDM,36000244,Hb 10006 Fna Bx W/Us Gdn Ea Addl,4241.0,1484.35,,,0
CDM,36000245,Hb 10007 Fna Bx W/Fluor Gdn 1St Les,4241.0,1484.35,,,0
CDM,36000246,Hb 10008 Fna Bx W/Fluor Gdn Ea Addl,4241.0,1484.35,,,0
CDM,36000247,Hb 10009 Fna Bx W/Ct Gdn 1St Les,4241.0,1484.35,,,0
CDM,36000248,Hb 10010 Fna Bx W/Ct Gdn Ea Addl,4241.0,1484.35,,,0
CDM,36000249,Hb 10011 Fna Bx W/Mr Gdn 1St Les,4241.0,1484.35,,,0
CDM,36000250,Hb 10012 Fna Bx W/Mr Gdn Ea Addl,4241.0,1484.35,,,0
CDM,36000251,Hb 43762 Rplc Gtube No Revj Trc,4178.0,1462.3,,,0
CDM,36000252,Hb 43763 Rplc Gtube Revj Gstrst Trc,5621.0,1967.35,,,0
CDM,36000253,Hb 34707 Evasc Rpr Ilio-Iliac Ndgft,4154.0,1453.9,,,0
CDM,36000254,Hb 0442T Abltj Perc Plex/Trncl Nrv,18214.0,6374.9,,,0
CDM,36000255,Hb 64425 N Block Inj Ilio-Ing/Hypogi,3880.0,1358.0,,,0
CDM,36000256,Hb 33286 Rmvl Subq Car Rhythm Mntr,8400.0,2940.0,,,0
CDM,36000257,Hb 36572 Insert Picc Rs&I <5 Yr,13844.0,4845.4,,,0
CDM,36000258,Hb 36573 Insert Picc Rs&I 5 Yr+,15920.0,5572.0,,,0
CDM,36000259,Hb 0441T Abltj Perc Lxtr/Perph Nrv,14444.0,5055.4,,,0
CDM,36000260,Hb 254T Evasc Rpr Iliac Art Bifur,8781.0,3073.35,,,0
CDM,36000261,Hb 37617 Ligation Major Artery;Abdomen,19739.0,6908.65,,,0
CDM,36000262,Hb Reduce Volvulus Intussusception,30878.0,10807.3,,,0
CDM,36000263,Hb 0483T Tmvi W/Prosthetic Valve Percutaneous Approach,39672.0,13885.2,,,0
CDM,36000264,Hb 49402 Remove Foreign Body Adbomen,15454.0,5408.9,,,0
CDM,36000265,Hb Pericardiocentesis W/Imaging,5392.0,1887.2,,,0
CDM,36000266,Hb 33016 Pericardiocentesis W/Imaging,5392.0,1887.2,,,0
CDM,36000267,Hb 33017 Prcrd Drg 6Yr+ W/O Cgen Car,1746.0,611.1,,,0
CDM,36000268,Hb 33017 Prcrd Drg 6Yr+ W/O Cgen Car,1746.0,611.1,,,0
CDM,36000273,Hb G2171 Rf Magnetic-Guide Av Fistula,44075.0,15426.25,,,0
CDM,36000274,"Hb G2170 Perc Av Fistula, Direct",42279.0,14797.65,,,0
CDM,36000276,Hb Ecmo/Ecls Rmvl Prph Cannula 6Yrs&Older,36548.0,12791.8,,,0
CDM,36000277,Hb Percutaneous Insertion Ia,6016.0,2105.6,,,0
CDM,36000278,Hb 62230 Replace Csf Shunt Valve Or Distal Cath,27897.0,9763.95,,,0
CDM,36000279,Hb Remove Vad Diff Session,823.0,288.05,,,0
CDM,36000280,Hb 33995 Hb Insj Perq Vad R Hrt Venous,2510.0,878.5,,,0
CDM,36000281,Hb Evj Gstr/Jj Anast W/Rcnstj W/O Vgtmy,7049.0,2467.15,,,0
CDM,36000282,Hb 0569T Ttvr Perq Appr 1St Prosth,43853.0,15348.55,,,0
CDM,36000283,Hb 0570T Ttvr Perq Ea Addl Prosth,21927.0,7674.45,,,0
CDM,36000284,Hb Ecmo/Ecls Insj Prph Cannula,1509.0,528.15,,,0
CDM,36000285,Hb Elaps Abltj Uterine Fibroids W/Intraop Us Gdn,5912.0,2069.2,,,0
CDM,36000286,Hb Drainage Abdom Abscess Open,11418.0,3996.3,,,0
CDM,36000287,Hb Exploratory Laparotomy Celiotomy W/Wo Bx Spx,20149.0,7052.15,,,0
CDM,36000288,Hb Cesarean Delivery Only,7733.0,2706.55,,,0
CDM,36000289,Hb G2171 Rf Magnetic-Guide Av Fistula,38326.0,13414.1,,,0
CDM,36000290,"Hb G2170 Perc Av Fistula, Direct",36764.0,12867.4,,,0
CDM,36000291,Hb 34710 Dlyd Plmt Xtn Prosth 1St Vsl,20040.0,7014.0,,,0
CDM,36000292,Hb Mrgfus Strtctc Les Abltj,133604.0,46761.4,,,0
CDM,36000293,Hb 47550 Biliary Ndsc Intraoperative,20345.0,7120.75,,,0
CDM,36000294,Hb 33894 Injection Aa&/Strd Genicular Nrv Branches W/Img,22665.0,7932.75,,,0
CDM,36000295,Hb 33895 Evasc St Rpr Coarcj Thrc/Aa Xcrsg Maj Side Brnch,22665.0,7932.75,,,0
CDM,36000296,Hb 33897 Perq Transluminal Angioplasty Native/Recr Coa,22665.0,7932.75,,,0
CDM,36000297,Hb C9764 Revasc Intravasc Lithotripsy,22085.0,7729.75,,,0
CDM,36000299,Hb Repositioning Perq R/L Vad W/Img Gdn Sep Insj,628.0,219.8,,,0
CDM,36000300,Hb 33947 Ecmo/Ecls Initiation Artery,13579.0,4752.65,,,0
CDM,36000302,Hb C9765 Revasc Intra Lithotrip-Stent,41715.0,14600.25,,,0
CDM,36000303,Hb 33966 Hb Ecmo/Ecls Rmvl Prph Cannula 6Yrs&Older,36548.0,12791.8,,,0
CDM,36000304,Hb 32999 Thoracic Procedure,4535.0,1587.25,,,0
CDM,36000305,Hb S2095 Tc Occl/Emboliz W Y-90,27867.0,9753.45,,,0
CDM,36000306,Hb C9772  Revasc Lithotrip Tibi/Perone,33086.0,11580.1,,,0
CDM,36000307,Hb C9773  Revasc Lithotr-Stent Tib/Per,40427.0,14149.45,,,0
CDM,36000308,Hb C9774  Revasc Lithotr-Ather Tib/Per,34930.0,12225.5,,,0
CDM,36000309,Hb C9775 Revasc Lith-Sten-Ath Tib/Per,69140.0,24199.0,,,0
CDM,36000310,Hb 33206 Pacer Ra Lead Implant,41272.0,14445.2,,,0
CDM,36000311,Hb 33207 Pacer Rv Lead Implant,43332.0,15166.2,,,0
CDM,36000312,Hb 33208 Pacer Ra Rv Leads Implant,53449.0,18707.15,,,0
CDM,36000313,Hb 33210 Insert Temp Pacemaker,9551.0,3342.85,,,0
CDM,36000314,Hb 33211 Insert Temp Dual Electrode,15470.0,5414.5,,,0
CDM,36000315,Hb 33212 Pacer Gen Replace Single,35810.0,12533.5,,,0
CDM,36000316,Hb 33213 Pacer Gen Replace Dual,41676.0,14586.6,,,0
CDM,36000317,Hb 33214 Ppm Sngl To Dual W Leads,50906.0,17817.1,,,0
CDM,36000318,Hb 33215 Pacer Icd Lead Reposition,4314.0,1509.9,,,0
CDM,36000319,Hb 33216 Pacer Icd Ra Or Rv Lead,9551.0,3342.85,,,0
CDM,36000320,Hb 33217 Pacer Icd Ra Or Rv Leads,11119.0,3891.65,,,0
CDM,36000321,Hb 33218 Pace Icd Lead Repair Sg,14198.0,4969.3,,,0
CDM,36000322,Hb 33220 Pace Icd Lead Repair Dl,17525.0,6133.75,,,0
CDM,36000323,Hb 33222 Ppm Pocket Revision Relo,6806.0,2382.1,,,0
CDM,36000324,Hb 33223 Icd Pocket Revision,6340.0,2219.0,,,0
CDM,36000325,Hb 33224 Insert Pacing Lead,24266.0,8493.1,,,0
CDM,36000326,Hb 33225 L Vent Pacing Lead Add On,6471.0,2264.85,,,0
CDM,36000327,Hb 33226 Reposition L Ventric Lead,9519.0,3331.65,,,0
CDM,36000328,Hb 33233 Pacer Gen Removal,4314.0,1509.9,,,0
CDM,36000329,Hb 33234 Pacer Lead Removal Sngl,4314.0,1509.9,,,0
CDM,36000330,Hb 33235 Pacer Lead Removal Dual,11384.0,3984.4,,,0
CDM,36000331,Hb 33240 Icd Gen Insert,20386.0,7135.1,,,0
CDM,36000332,Hb 33241 Icd Gen Removal,6340.0,2219.0,,,0
CDM,36000333,Hb 33244 Removal Icd Lead,8622.0,3017.7,,,0
CDM,36000334,Hb 33249 Ins Repo Icd Ld Or New Gen,25521.0,8932.35,,,0
CDM,36000335,Hb 33285 Insert Loop Recorder,12871.0,4504.85,,,0
CDM,36000336,Hb 33286 Remove Loop Recorder,8400.0,2940.0,,,0
CDM,36000337,Hb 92953 Transcutaneous Pacing,2629.0,920.15,,,0
CDM,36000338,Hb 33221 Insert Pulse Gen W Mult Leads,39611.0,13863.85,,,0
CDM,36000339,Hb 33227 Remv And Repl Pm Gen Single,36120.0,12642.0,,,0
CDM,36000340,Hb 33228 Remv And Repl Gen Dual Lead,39611.0,13863.85,,,0
CDM,36000341,Hb 33229 Remv And Repl Pm Gen Mult Leads,39611.0,13863.85,,,0
CDM,36000342,Hb 33230 Insert Pulse Gen W Dual Leads,52780.0,18473.0,,,0
CDM,36000343,Hb 33231 Insert Pulse Gen W Mult Leads,52780.0,18473.0,,,0
CDM,36000344,Hb 33262 Remv And Repl Cvd Gen Sing Lead,52777.0,18471.95,,,0
CDM,36000345,Hb 33263 Remv And Repl Cvd Gen Dual Lead,52777.0,18471.95,,,0
CDM,36000346,Hb 33264 Remv And Repl Cvd Gen Mult Lead,52777.0,18471.95,,,0
CDM,36000347,Hb 33340 Laa Closure W/Implant,25854.0,9048.9,,,0
CDM,36000348,Hb 33952 Ecmo/Ecls Insj Prph Cannula 6Yrs Greater,1782.0,623.7,,,0
CDM,36000349,Hb 36620 Art Line Plmt Monitoring,865.0,302.75,,,0
CDM,36000350,Hb 33016 Pericardiocentesis W/Imaging,5392.0,1887.2,,,0
CDM,36000351,Hb 33947 Ecmo/Ecls Initiation Artery,13579.0,4752.65,,,0
CDM,36000352,Hb 0823T Tcat Ins 1Chmbr Ldls Pm Ra,46463.0,16262.05,,,0
CDM,36000353,Hb 0824T Tcat Rmv 1Chmbr Ldls Pm Ra,7603.0,2661.05,,,0
CDM,36000354,Hb 0825T Tcat Rmv&Rpl1Chmb Ldls Pm Ra,46463.0,16262.05,,,0
CDM,36000355,Hb 0826T Prgrmg Evl Ldls Pm 1Chmbr Ip,90.0,31.5,,,0
CDM,36000356,Hb 0571T Insj/Rplcmt Icds W/Substernal Electrode,26818.0,9386.3,,,0
CDM,36000357,Hb 0572T Insj Substernal Implantable Defibrillator Eltrd,20407.0,7142.45,,,0
CDM,36000358,Hb 0573T Rmvl Substernal Implantable Defibrillator Eltrd,4532.0,1586.2,,,0
CDM,36000359,Hb 0574T Repos Prev Impl Ss Impltbl Dfb Pacing Eltrd,8378.0,2932.3,,,0
CDM,36000360,Hb 0580T Rmvl Substernal Impltbl Dfb Pulse Generator Only,4532.0,1586.2,,,0
CDM,36000361,Hb 0614T Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg,57046.0,19966.1,,,0
CDM,36000362,Hb 33997 Removal Perq R Heart Vad Venous Cannula Sep Insj,4605.0,1611.75,,,0
CDM,36000363,Hb 62269 Biopsy Spinal Cord Percutaneous Needle,7753.0,2713.55,,,0
CDM,36000364,Hb 92972 Perq Trluml Coronry Lithotrp,22804.0,7981.4,,,0
CDM,36000365,Hb 92972 Perq Trluml Coronry Lithotrp,22804.0,7981.4,,,0
CDM,36000366,Hb 33958 Ecmo/Ecls Repos Perph Cannula Prq 6 Yrs & Older,1782.0,623.7,,,0
CDM,36000367,Hb 33276 Insertion Phrenic Nerve Stimulator System,112502.0,39375.7,,,0
CDM,36000369,Hb 33278 Removal Phrenic Nerve Stimulator System,8105.0,2836.75,,,0
CDM,36000370,Hb 33279 Rmvl Phrnc Nrv Stimulator Transvns Stimj/Snsg Ld,8105.0,2836.75,,,0
CDM,36000371,Hb 33280 Rmvl Phrenic Nrv Stimulator Pulse Generator Only,8105.0,2836.75,,,0
CDM,36000372,Hb 33287 Rmvl&Rplcmt Phrenic Nrv Stimulator Pls Generator,73966.0,25888.1,,,0
CDM,36000373,Hb 33288 Rmvl&Rplcmt Phrnc Nrv Stim Trnsvns Stimj/Snsg Ld,32448.0,11356.8,,,0
CDM,36000374,Hb 33281 Repositioning Phrenic Nrv Stimulator Transvns Ld,8105.0,2836.75,,,0
CDM,36000375,Hb 33288 Rmvl&Rplcmt Phrnc Nrv Stim Trnsvns Stimj/Snsg Ld,32448.0,11356.8,,,0
CDM,36000376,Hb C7508 Perq Lumb&Thor Vert Aug,19878.0,6957.3,,,0
CDM,36000377,Hb Removal Foreign Body Muscle/Tendon Sheath Simplet,12262.0,4291.7,,,0
CDM,36000378,Hb Robotic Surgical System,11039.0,3863.65,,,0
CDM,36000378_S2900_272,Hb Robotic Surgical System,11259.78,3940.92,,,0
CDM,36000379,Hb C7535 Fem/Pop Revasc W/Stent & Us,34998.0,12249.3,,,0
CDM,36000417,Hb Perq Abltj Lvr Cryoablation 1 Or More,5456.0,1909.6,,,0
CDM,36000418,Hb Closure Gastrostomy Surg,14418.0,5046.3,,,0
CDM,36000419,Hb C9797 Vasc Emb/Occ W/Prs Cath,41769.0,14619.15,,,0
CDM,36000420,Hb 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt,18943.0,6630.05,,,0
CDM,36000421,Hb Rplcmt/Irrigation Ventricular Catheter,16230.0,5680.5,,,0
CDM,36000422,Hb 49406 Perc Drain Append Absces,6969.0,2439.15,,,0
CDM,36000424,Hb Unlisted Procedure Humerus/Elbow,10774.0,3770.9,,,0
CDM,36000425,Hb 60699 Closed Adrenal Gland Biopsy,14370.0,5029.5,,,0
CDM,36000426,Hb 34713 Perq Access & Closure Fem Art For Delivery Ndgft,10271.0,3594.85,,,0
CDM,36000428,Hb Lmtd Oph Xm&Eval General Anes W/Wo Mnpj Globe,7807.0,2732.45,,,0
CDM,36100001,Hb On Q Pump Implant,4870.0,1704.5,,,0
CDM,36100002,Hb Interscalene Block,2370.0,829.5,,,0
CDM,36100003,Hb Open Cardiac Massage,7735.0,2707.25,,,0
CDM,36100004,Hb Insert Umbilical Vein Cath,2017.0,705.95,,,0
CDM,36100005,Hb Insert Umbilical Artery Cath,3906.0,1367.1,,,0
CDM,36200001,Hb Trnsplj Allogeneic Hematopoietic Cells Per Donor,15089.0,5281.15,,,0
CDM,36200002,Hb Trnsplj Autologous Hematopoietic Cells Per Donor,14446.0,5056.1,,,0
CDM,37000001,Hb Mod Sed Less 5 Yrs 1St 15 Min,2045.0,715.75,,,0
CDM,37000002,Hb Mod Sed 5 Yrs Or Gt 1St 15 Min,1457.0,509.95,,,0
CDM,37000003,Hb Mod Sed Each Addl 15 Min,551.0,192.85,,,0
CDM,37000004,Hb Anesthesia Block Regional 1Min,117.0,40.95,,,0
CDM,37000005,Hb Anesthesia General 1Min,233.0,81.55,,,0
CDM,37000006,Hb Anesthesia Local 1Min,45.0,15.75,,,0
CDM,37000007,Hb Anesthesia Mac 1Min,70.0,24.5,,,0
CDM,37000008,Hb Anesthesia Ob Epidural,2675.0,936.25,,,0
CDM,37000009,Hb Anesthesia Spinal Epi 1Min,117.0,40.95,,,0
CDM,37000010,Hb Consc Sed Iv Im Inh Op,752.0,263.2,,,0
CDM,37000011,Hb Consc Sed Or Rec Nas Op,464.0,162.4,,,0
CDM,37000012,Hb N Block Inj Fem Sngl,3698.0,1294.3,,,0
CDM,37000013,Hb Mod Sed Less 5 Yrs 1St 30 Min Other Md,2045.0,715.75,,,0
CDM,37000014,Hb Mod Sed 5 Yrs Or Gt 1St 30 Min Other Md,1457.0,509.95,,,0
CDM,37000015,Hb Mod Sed Each Addl 15 Min Other Md,551.0,192.85,,,0
CDM,37000016,Hb Inject Anes Sciatic Nerve Cont Infusion Cath,6909.0,2418.15,,,0
CDM,37000017,Hb Inject Anes Lumbar Plexus Post Cont Nfs Cath,9143.0,3200.05,,,0
CDM,37000018,Hb N Block Inj Pudendal,9536.0,3337.6,,,0
CDM,39100001,Hb Transfusion Blood Or Comp,2362.5,826.875,,,0
CDM,40100002,Hb Mammo Ductogram,425.0,148.75,,,0
CDM,40100003,Hb Mammo Unilateral,302.0,105.7,,,0
CDM,40100004,Hb Mammo Bilateral,465.0,162.75,,,0
CDM,40100005,Hb Digital Breast Tomosynthesis Unilat,254.0,88.9,,,0
CDM,40100006,Hb Digital Breast Tomosynthesis Bilat,213.0,74.55,,,0
CDM,40200001,Hb Gyn Fetal 3D 4D,3326.0,1164.1,,,0
CDM,40200002,Hb Gyn Fetal 3D 4D Volume Image,2916.0,1020.6,,,0
CDM,40200003,Hb Usound A Scan Quantitative,240.0,84.0,,,0
CDM,40200004,Hb Usound B Scan,646.0,226.1,,,0
CDM,40200005,Hb Corneal Pachymetry,211.0,73.85,,,0
CDM,40200006,Hb Usound Biometry A Scan,240.0,84.0,,,0
CDM,40200007,Hb Usound A Scan W Iol Power,350.0,122.5,,,0
CDM,40200008,Hb Ob Us Complete Less 14 Wks 1St Gest,494.0,172.9,,,0
CDM,40200009,Hb Ob Us Multigest Less 14 Wks Ea Addl,900.0,315.0,,,0
CDM,40200010,Hb Ob Us Complete Over 14 Wks 1St Gest,608.0,212.8,,,0
CDM,40200011,Hb Ob Us Multigest Over 14 Wks Ea Addl,1182.0,413.7,,,0
CDM,40200012,Hb Ob Us Detailed,684.0,239.4,,,0
CDM,40200013,Hb Ob Us Each Addl Gest,791.0,276.85,,,0
CDM,40200014,Hb Ob Us Nuchal Translucency,772.0,270.2,,,0
CDM,40200015,Hb Ob Us Each Addl Nuchal Trans,374.0,130.9,,,0
CDM,40200016,Hb Ob Us Ltd Plac Afi Viab Hr,1075.0,376.25,,,0
CDM,40200017,Hb Ob Us Estimated Fetal Weight,1075.0,376.25,,,0
CDM,40200018,Hb Ob Us Transvaginal,856.0,299.6,,,0
CDM,40200019,Hb Biophys Bpp Nonstress,1238.0,433.3,,,0
CDM,40200020,Hb Biophys Profile Bpp,1033.0,361.55,,,0
CDM,40200021,Hb Dopp Umbilical Artery,1748.0,611.8,,,0
CDM,40200022,Hb Dopp Mid Cerebral Artery,1748.0,611.8,,,0
CDM,40200023,Hb Fetal Echo With 2D,2496.0,873.6,,,0
CDM,40200024,Hb Fetal Echo Followup Or Rpt,2249.0,787.15,,,0
CDM,40200025,Hb Dopp Echo Fetal,1254.0,438.9,,,0
CDM,40200026,Hb Doppler Followup Or Repeat,683.0,239.05,,,0
CDM,40200027,Hb Transvaginal Non Preg Sono,1494.0,522.9,,,0
CDM,40200028,Hb Saline Infusion Sono,1648.0,576.8,,,0
CDM,40200029,Hb Pelviscomplete Non Ob Sono,1321.0,462.35,,,0
CDM,40200030,Hb Pelvis Ltd Non Ob Sono,1091.0,381.85,,,0
CDM,40200031,Hb Echo Guide Chorion,365.0,127.75,,,0
CDM,40200032,Hb Echo Guided Amniocentesis,1111.0,388.85,,,0
CDM,40200033,Hb Transrectal Sono,1949.0,682.15,,,0
CDM,40200034,Hb Echo Exam Of Head,836.0,292.6,,,0
CDM,40200035,Hb Us Exam Of Head And Neck,1277.0,446.95,,,0
CDM,40200036,Hb Us Exam Of Chest,947.0,331.45,,,0
CDM,40200037,Hb Us Exam Of Breast Complete,1258.0,440.3,,,0
CDM,40200038,Hb Us Exam Of Breast Limited,904.0,316.4,,,0
CDM,40200039,Hb Us Exam Of Abdomen Complete,1756.0,614.6,,,0
CDM,40200040,Hb Us Exam Of Abdomen Limited,1536.0,537.6,,,0
CDM,40200041,Hb Us Exam Abdo Back Wall Limited,1494.0,522.9,,,0
CDM,40200042,Hb Us Exam Transplanted Kidney,1122.0,392.7,,,0
CDM,40200043,Hb Us Exam Spinal Canal,964.0,337.4,,,0
CDM,40200044,Hb Scrotal Testicular Sono,1292.0,452.2,,,0
CDM,40200045,Hb Us Extremitynon Vasc Ltd,1096.0,383.6,,,0
CDM,40200046,Hb Us Exam Infant Hips Dynamic,1573.0,550.55,,,0
CDM,40200047,Hb Us Exam Infant Hips Static,1384.0,484.4,,,0
CDM,40200048,Hb Echo Guide For Heart Biopsy,1431.0,500.85,,,0
CDM,40200049,Hb Echo Guide For Artery Repair,3901.0,1365.35,,,0
CDM,40200050,Hb Echo Guide Iu Fetal Transfuse,852.0,298.2,,,0
CDM,40200051,Hb Echo Guide For Biopsy,1595.0,558.25,,,0
CDM,40200052,Hb Echo Guide For Ova,587.0,205.45,,,0
CDM,40200053,Hb Echo Non Vascular Guide,1674.0,585.9,,,0
CDM,40200054,Hb Us Guide Vascular Access,2944.0,1030.4,,,0
CDM,40200055,Hb Echo Guidance Radiotherapy,1625.0,568.75,,,0
CDM,40200056,Hb 76376 3D Render Wo Postprocess,3326.0,1164.1,,,0
CDM,40200057,Hb 76377 3D Render W Postprocess,2916.0,1020.6,,,0
CDM,40200058,Hb 76775 Us Exam Abdo Back Wall Ltd,1494.0,522.9,,,0
CDM,40200060,Hb 76937 Us Guide Vascular Access,2944.0,1030.4,,,0
CDM,40200061,Hb 76942 Echo Guide For Biopsy,1595.0,558.25,,,0
CDM,40200062,Hb Aorta Screen Us,445.0,155.75,,,0
CDM,40200063,Hb Ob Us Followup Ea Addl Fetus,1075.0,376.25,,,0
CDM,40200064,Hb Us Penile Duplex,1183.0,414.05,,,0
CDM,40200065,Hb Echograp Transrec Pros Study,752.0,263.2,,,0
CDM,40200066,Hb Us Compl Joint R-T W/Img,1338.0,468.3,,,0
CDM,40200067,Hb 76937 Us Guide Vascular Access,2944.0,1030.4,,,0
CDM,40200068,Hb Us Elastography Parenchyma,667.0,233.45,,,0
CDM,40200069,Hb Us Elastography 1St Target Lesion,667.0,233.45,,,0
CDM,40200070,Hb Us Elastography Ea Addl Target Lesion,494.0,172.9,,,0
CDM,40200071,Hb Us Retroperitoneal Realtime W/Img Comp,1440.0,504.0,,,0
CDM,40200072,Hb 76937 Us Guide Vascular Access,2944.0,1030.4,,,0
CDM,40200073,Hb Unlisted Us Procedure,770.0,269.5,,,0
CDM,40300003,Hb Mammo Screen Bi 2-View Breast Inc Cad,581.0,203.35,,,0
CDM,40300004,Hb Screening Digital Breast Tomosynthesis Bi,159.0,55.65,,,0
CDM,40400001,Hb Pet General,7135.0,2497.25,,,0
CDM,40400002,Hb Wb Pet Melanoma Other Nuc,11291.0,3951.85,,,0
CDM,40400003,Hb Pet Breast Initial Nuc,3909.0,1368.15,,,0
CDM,40400004,Hb Pet Image Cervical Ovarian,13632.0,4771.2,,,0
CDM,40400005,Hb Pet Not Otherwise Specified,7631.0,2670.85,,,0
CDM,40400006,Hb Brain Imaging Pet Metabolic Evaluation,10372.0,3630.2,,,0
CDM,40400007,Hb Pet Imaging Ct For Attenuation Limited Area,9197.0,3218.95,,,0
CDM,40400008,Hb Pet Imaging Ct Attenuation Skull Base Mid-Thigh,10582.0,3703.7,,,0
CDM,40400009,Hb Pet Imaging For Ct Attenuation Whole Body,10799.0,3779.65,,,0
CDM,41000001,Hb Ventilation Asst & Mgmt Inpt Ea Sbsq Da,4034.0,1411.9,,,0
CDM,41000002,Hb Airway Inhalation Treatment,802.0,280.7,,,0
CDM,41000003,Hb Aerosol Inhalation Of Pentamidine,812.0,284.2,,,0
CDM,41000004,Hb Cpap Ventilation Cpap Initiation & Mgmt,2649.0,927.15,,,0
CDM,41000005,Hb Evaluate Pt Use Of Inhaler,341.0,119.35,,,0
CDM,41000006,Hb Chest Wall Manipulation,477.0,166.95,,,0
CDM,41000007,Hb Incentive Spirometer Demo,295.0,103.25,,,0
CDM,41000008,Hb Therap Procd Resp Func,423.0,148.05,,,0
CDM,41000009,Hb Therap Procd Strg Endur,574.0,200.9,,,0
CDM,41000010,Hb Ventilation Asst & Mgmt Inpt 1St Day,4942.0,1729.7,,,0
CDM,41000011,Hb Aerosol Cont Init Hr,512.0,179.2,,,0
CDM,41000012,Hb Aerosol Cont Ea Addl Hour,103.0,36.05,,,0
CDM,41000013,Hb Airway Inhalation Treat Subseq,802.0,280.7,,,0
CDM,41000014,Hb Chest Wall Manip Initial,563.0,197.05,,,0
CDM,41000015,Hb Chest Wall Manipulation 30 Min,1245.0,435.75,,,0
CDM,41000016,Hb Resp Fcn/Strengh 2/> Indiv,415.0,145.25,,,0
CDM,41000017,Hb Trach Team Education/Assessment,431.0,150.85,,,0
CDM,42000001,Hb Manual Therapy Tech Ea 15 Min,194.0,67.9,,,0
CDM,42000002,Hb Strapping Shoulder,226.0,79.1,,,0
CDM,42000003,Hb Strapping Knee,210.0,73.5,,,0
CDM,42000004,Hb Strapping Low Back,205.5,71.92500000000001,,,0
CDM,42000006,Hb Biofeedback Any Modality,283.0,99.05,,,0
CDM,42000008,Hb Mmt Eval Extremity Excl Hand,182.0,63.7,,,0
CDM,42000009,Hb Mmt Eval Hand,150.0,52.5,,,0
CDM,42000010,Hb Mmt Eval Total Body Excl Hand,142.0,49.7,,,0
CDM,42000011,Hb Mmt Eval Total Body Incl Hand,213.0,74.55,,,0
CDM,42000012,Hb Rom Eval Excl Hand,281.0,98.35,,,0
CDM,42000013,Hb Rom Eval Hand,256.0,89.6,,,0
CDM,42000014,Hb Hot Or Cold Packs Therapy,108.0,37.8,,,0
CDM,42000015,Hb Mechanical Traction Therapy,138.0,48.3,,,0
CDM,42000016,Hb Vasopneumatic Device Therapy,166.0,58.1,,,0
CDM,42000017,Hb Paraffin Bath Therapy,183.0,64.05,,,0
CDM,42000018,Hb Wp Simple Approx 30Min,140.0,49.0,,,0
CDM,42000019,Hb Electrical Stimulation Ea 15 Min,209.0,73.15,,,0
CDM,42000020,Hb Iontophoresis Therapy Ea 15 Min,276.0,96.6,,,0
CDM,42000021,Hb Contrast Bath Therapy Ea 15 Min,172.0,60.2,,,0
CDM,42000022,Hb Ultrasound Therapy Ea 15 Min,202.0,70.7,,,0
CDM,42000023,Hb Hydrotherapy Hubb Tank Ea 15 Min,183.0,64.05,,,0
CDM,42000024,Hb Therapeutic Exercises Ea 15 Min,244.0,85.4,,,0
CDM,42000025,Hb Neuromuscular Re Edu Ea 15 Min,247.0,86.45,,,0
CDM,42000026,Hb Gait Training Stairs Ea 15 Min,196.0,68.6,,,0
CDM,42000027,Hb Massage Therapy Ea 15 Min,201.0,70.35,,,0
CDM,42000029,Hb Therapeutic Activites Ea 15 Min,206.0,72.1,,,0
CDM,42000030,Hb Cog Skill Develop Ea 15 Min,94.0,32.9,,,0
CDM,42000031,Hb Sensory Integration Ea 15 Min,174.0,60.9,,,0
CDM,42000032,Hb Self Care Training Ea 15 Min,217.0,75.95,,,0
CDM,42000033,Hb Comm Work Reint Ea 15 Min,186.0,65.1,,,0
CDM,42000034,Hb Wheelchair Training Ea 15 Min,237.0,82.95,,,0
CDM,42000035,Hb Work Hardening Init 2 Hrs,420.0,147.0,,,0
CDM,42000036,Hb Work Hardening Ea Addl 1 Hr,183.0,64.05,,,0
CDM,42000037,Hb Wound Care Init 20 Cm,1086.0,380.1,,,0
CDM,42000038,Hb Wound Care Ea Addl 20 Cm,913.5,319.725,,,0
CDM,42000039,Hb Wound Care Non Selective,763.0,267.05,,,0
CDM,42000040,Hb Phys Perform Test Ea 15 Min,94.0,32.9,,,0
CDM,42000041,Hb Assit Tech Assess Ea 15 Min,164.0,57.4,,,0
CDM,42000042,Hb Orthotic Mgmt Train Ea 15 Min,192.0,67.2,,,0
CDM,42000043,Hb Prosthetic Train Ea 15 Min,200.0,70.0,,,0
CDM,42000044,Hb Ck Orth Pros Use Ea 15 Min,194.0,67.9,,,0
CDM,42000045,Hb Rehab Procedure,34.0,11.9,,,0
CDM,42000046,Hb Elec Stim Unatten,416.0,145.6,,,0
CDM,42000047,Hb Canalith Repositioning,733.0,256.55,,,0
CDM,42000066,Hb Ther Ivntj Cog Funcj 1St 15 Minutes,143.0,50.05,,,0
CDM,42000067,Hb Ther Ivntj Cog Funcj Ea Addl 15 Minutes,89.0,31.15,,,0
CDM,42000068,Hb Bfb Traing W/Emg &/Manometry 1St 15 Min,481.0,168.35,,,0
CDM,42000069,Hb Bfb Traing W/Emg&/Manometry Addl 15 Min,481.0,168.35,,,0
CDM,42000070,Hb Unlist Modality Spec Type&Time Constant Attend,170.0,59.5,,,0
CDM,42300001,Hb Group Therapeutic Procedures,245.0,85.75,,,0
CDM,42400002,Hb Physical Therapy Re Evaluation 20 Mins,307.0,107.45,,,0
CDM,42400003,Hb Physical Therapy Eval Low Complex 20 Mins,535.0,187.25,,,0
CDM,42400004,Hb Physical Therapy Eval Mod Complex 30 Mins,802.0,280.7,,,0
CDM,42400005,Hb Physical Therapy Eval High Complex 45 Mins,1201.0,420.35,,,0
CDM,43400002,Hb Occupational Therapy Re Eval 30 Mins,307.0,107.45,,,0
CDM,43400003,Hb Occupational Therapy Eval Low Complex 30 Mins,601.0,210.35,,,0
CDM,43400004,Hb Occupational Therapy Eval Mod Complex 45 Mins,902.0,315.7,,,0
CDM,43400005,Hb Occupational Therapy Eval High Complex 60 Mins,1203.0,421.05,,,0
CDM,44000001,Hb Indiv Speech Hearing Therapy,682.0,238.7,,,0
CDM,44000002,Hb Laryngeal Function Study,835.0,292.25,,,0
CDM,44000003,Hb Swallow Dysfunction Tx,871.0,304.85,,,0
CDM,44000004,Hb Sgd Program And Modify,599.0,209.65,,,0
CDM,44300001,Hb Group Speech Hearing Therapy,592.0,207.2,,,0
CDM,44400001,Hb Sgd Eval Initl 1 Hour,817.0,285.95,,,0
CDM,44400002,Hb Sgd Eval Addl 30 Min,749.0,262.15,,,0
CDM,44400003,Hb Eval Swallow Function,494.0,172.9,,,0
CDM,44400004,Hb Fluoroscopy Eval Swallow Funct,1069.0,374.15,,,0
CDM,44400005,Hb Endoscopy Eval Swallow Fees,1337.0,467.95,,,0
CDM,44400006,Hb Evaluation Of Speech Fluency,1355.0,474.25,,,0
CDM,44400007,Hb Evaluate Speech Production,1355.0,474.25,,,0
CDM,44400008,Hb Speech Sound Lang Comprehen,1355.0,474.25,,,0
CDM,44400009,Hb Behavral Qualit Analys Voice,1355.0,474.25,,,0
CDM,45000001,Hb Er Level I,542.0,189.7,,,0
CDM,45000002,Hb Er Level Ii,965.0,337.75,,,0
CDM,45000003,Hb Er Level Iii,1714.0,599.9,,,0
CDM,45000004,Hb Er Level Iv,2738.0,958.3,,,0
CDM,45000005,Hb Er Level V,5045.0,1765.75,,,0
CDM,45000006,Hb Critical Care First Hour,5431.0,1900.85,,,0
CDM,45000007,Hb Critical Care Addl 30 Min,719.0,251.65,,,0
CDM,45000011,Hb Intubation Endotracheal Emergency Procedure,2778.0,972.3,,,0
CDM,45000012,Hb Anoscopy,7117.0,2490.95,,,0
CDM,45000013,Hb Insertion Catheter Artery,1037.0,362.95,,,0
CDM,45000014,Hb Bladder Foley Cath,1754.0,613.9,,,0
CDM,45000015,Hb Bladder Str Cath,1754.0,613.9,,,0
CDM,45000017,Hb Blood Transfusion,3235.0,1132.25,,,0
CDM,45000018,Hb Burn Dressing,1129.0,395.15,,,0
CDM,45000019,Hb Cardioversion,5887.0,2060.45,,,0
CDM,45000020,Hb Central Line Access,6486.0,2270.1,,,0
CDM,45000021,Hb Chest Tube Insert,3331.0,1165.85,,,0
CDM,45000022,Hb Closed Fract Splint Or Cast,1754.0,613.9,,,0
CDM,45000024,Hb Cysto,15128.0,5294.8,,,0
CDM,45000025,Hb Dental Block,1802.0,630.7,,,0
CDM,45000026,Hb Digital Block,2165.0,757.75,,,0
CDM,45000027,Hb Drainage Joint,1754.0,613.9,,,0
CDM,45000030,Hb Eye Exam With Slit Lamp,2641.0,924.35,,,0
CDM,45000031,Hb Feeding Tube Placement,3381.0,1183.35,,,0
CDM,45000033,Hb Hemorrhoidectomy,4451.0,1557.85,,,0
CDM,45000037,Hb Injection Of Joint,1636.0,572.6,,,0
CDM,45000038,Hb Laceration Skin Repair,2252.0,788.2,,,0
CDM,45000039,Hb Lumbar Puncture,3024.0,1058.4,,,0
CDM,45000040,Hb Nasal Cautery Pkg,1754.0,613.9,,,0
CDM,45000041,Hb Ng Tube Insert,1660.0,581.0,,,0
CDM,45000042,Hb Open Fract Dislocate,19237.0,6732.95,,,0
CDM,45000044,Hb Paracentesis,4195.0,1468.25,,,0
CDM,45000045,Hb Pericardiocentesis,4195.0,1468.25,,,0
CDM,45000046,Hb Peritoneal Abd Proc Dpl,16029.0,5610.15,,,0
CDM,45000047,Hb Pin Insert Skeletal Traction,12285.0,4299.75,,,0
CDM,45000048,Hb Remove Fb,4195.0,1468.25,,,0
CDM,45000049,Hb Splint Application,859.0,300.65,,,0
CDM,45000050,Hb Temp Ext Pacing,4200.0,1470.0,,,0
CDM,45000052,Hb Transvenous Cath,8163.0,2857.05,,,0
CDM,45000053,Hb Transvenous Pacemkr Insert,16303.0,5706.05,,,0
CDM,45000054,Hb Vaginal Delivery,17312.0,6059.2,,,0
CDM,45000057,Hb Wound Closure Dermabond,1437.0,502.95,,,0
CDM,45000058,Hb Removal Impacted Cerumen-Ed,842.0,294.7,,,0
CDM,45000059,Hb Thoractomy,13183.0,4614.05,,,0
CDM,45000060,Hb Open Heart Massage,10647.0,3726.45,,,0
CDM,45000061,Hb Irrig Corpora Cavernosa,2524.0,883.4,,,0
CDM,45000062,Hb Ed Type In Procedure,4073.39,1425.69,,,0
CDM,45000063,Hb Laceration Repair Simple,764.0,267.4,,,0
CDM,45000064,Hb Laceration Repair Intermediate,2219.0,776.65,,,0
CDM,45000065,Hb Laceration Repair Complex,3471.0,1214.85,,,0
CDM,45000067,Hb Rem Fb Ext Eye; Corneal Wo Slit Lamp,948.0,331.8,,,0
CDM,45000068,Hb Treatment Closed Elbow Dislocation Req Anes,12494.0,4372.9,,,0
CDM,45000069,Hb Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us,4284.0,1499.4,,,0
CDM,45000070,Hb Cl Tx Radial Hd/Neck Fx; W Manip,7634.0,2671.9,,,0
CDM,45000071,Hb Dbrdmt Fx&/Dislc Subq T/M/F Bone,16562.0,5796.7,,,0
CDM,45000072,Hb Incise Thrombosed Hemorrhoid Ext,2415.0,845.25,,,0
CDM,45000073,Hb 	Pericardiotomy To Rem Clot Or Fb,15870.0,5554.5,,,0
CDM,45000074,Hb Debr Necrotiz Stiss - Abd Wall,25185.0,8814.75,,,0
CDM,45000075,Hb Ext Ecg>7D<15D Rec Scan A/R,8987.0,3145.45,,,0
CDM,45000076,Hb Cltx Interphalangeal Joint Dislocation W/O Anes,1421.0,497.35,,,0
CDM,45000077,"""""""Hb Drainage Of Pilonida Cyst-Complicated""",5133.0,1796.55,,,0
CDM,45000078,Hb Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea,1221.0,427.35,,,0
CDM,45000079,Hb Deb Musc/Fascia Add-On,3852.0,1348.2,,,0
CDM,45000080,Hb Cltx Tibial Fx Proximal W/Wo Manj W/Skel Tracj,7967.0,2788.45,,,0
CDM,45000081,Hb Closed Tx Patellar Dislocation W/Anesthesia,2343.0,820.05,,,0
CDM,45000082,Hb Control Nasal Hemorrhage Anterior Complex,1191.0,416.85,,,0
CDM,45000083,Hb Cltx Interphalangeal Joint Dislocation Req Anes,2977.0,1041.95,,,0
CDM,45000084,Hb Thrombolysis Cerebral Iv Infusion,5799.0,2029.65,,,0
CDM,45000085,Hb Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes,4466.0,1563.1,,,0
CDM,45381,Noncdm Charge Record,1057.0,369.95,,,0
CDM,46000001,Hb Pulse Oximetry Single,166.0,58.1,,,0
CDM,46000002,Hb Spirometry Test,483.0,169.05,,,0
CDM,46000003,Hb Pre And Post Spirometry,2274.5,796.075,,,0
CDM,46000004,Hb Bronchospasm Eval,2367.0,828.45,,,0
CDM,46000005,Hb Vital Capacity,319.0,111.65,,,0
CDM,46000006,Hb Max Voluntary Ventilation,800.0,280.0,,,0
CDM,46000007,Hb Functional Residual Capacity,1100.0,385.0,,,0
CDM,46000008,Hb Thoracic Gas Volume,931.0,325.85,,,0
CDM,46000009,Hb Nitrogen Washout Curve,686.0,240.1,,,0
CDM,46000010,Hb Pulmonary Stress Test Simple,1795.0,628.25,,,0
CDM,46000011,Hb Cardiopulm Exercise Testing,4053.0,1418.55,,,0
CDM,46000012,Hb Exhaled Air Analysis O2 And Co2,1661.0,581.35,,,0
CDM,46000013,Hb Monoxide Diffusing Capacity,1436.0,502.6,,,0
CDM,46000014,Hb Pulse Oximetry Multiple,1226.0,429.1,,,0
CDM,46000015,Hb Pulse Oximetry Cont Monitor,776.0,271.6,,,0
CDM,46000016,Hb Exhaled Carbon Dioxide Test,488.0,170.8,,,0
CDM,46000017,Hb Pulmonary Rehab Session,506.0,177.1,,,0
CDM,46000018,Hb Cpap Bipap Mgmt Pt Owned Equip,2668.0,933.8,,,0
CDM,46000019,Hb Ambulation W O2,294.0,102.9,,,0
CDM,46000020,Hb Asthma Training Session,421.0,147.35,,,0
CDM,46000022,Hb Pulmonary Rehab Phase Iii,77.0,26.95,,,0
CDM,46000023,Hb Pulmonary Funct Test Oscillometry,1063.0,372.05,,,0
CDM,46000024,Hb Car Seat Init 60 Min,255.0,89.25,,,0
CDM,46000025,Hb Car Seat Ea Addl 30 Min,240.0,84.0,,,0
CDM,46000026,Hb Surfactant Admin,360.0,126.0,,,0
CDM,46000027,Hb Home O2 Evaluation,1226.0,429.1,,,0
CDM,46000028,Hb Exhaled Air Analysis,1343.0,470.05,,,0
CDM,46000029,Hb Exercise Tst Brncspsm,862.0,301.7,,,0
CDM,46000030,Hb Heated High Flow Management,2335.0,817.25,,,0
CDM,46000031,Hb Hb Phys/Qhp Svcs Op Pulm Rehab Wo Cont Oximtry Mntr,199.0,69.65,,,0
CDM,46000032,Hb Phy/Qhp Op Pulm Rhb W/Mntr,199.0,69.65,,,0
CDM,47100001,Hb Tympanometry Impedance Test,254.0,88.9,,,0
CDM,47100002,Hb Facial Nerve Study,903.0,316.05,,,0
CDM,47100003,Hb Spontaneous Nystagmus,278.0,97.3,,,0
CDM,47100004,Hb Positional Nystagmus,211.0,73.85,,,0
CDM,47100005,Hb Caloric Vstblr Test W/Rec Bilat/Bithermal,276.0,96.6,,,0
CDM,47100006,Hb Opk Nystagmus Test,296.0,103.6,,,0
CDM,47100007,Hb Osc Tracking Test,276.0,96.6,,,0
CDM,47100008,Hb Vertical Leads,267.0,93.45,,,0
CDM,47100009,Hb Pure Tone Hearing Test,139.0,48.65,,,0
CDM,47100010,Hb Pure Tone Audiometry,194.0,67.9,,,0
CDM,47100011,Hb Comprehensive Audiometry,532.0,186.2,,,0
CDM,47100012,Hb Stenger Pure Tone Test,190.0,66.5,,,0
CDM,47100013,Hb Acoustic Reflex Test,180.0,63.0,,,0
CDM,47100014,Hb Acoustic Immitance Testing Comprehensive,181.0,63.35,,,0
CDM,47100015,Hb Visual Reinforce Audiometry,342.0,119.7,,,0
CDM,47100016,Hb Condition Play Audiometry,342.0,119.7,,,0
CDM,47100017,Hb Evoked Response Audiometry,1521.0,532.35,,,0
CDM,47100018,Hb Evoked Response Audio Limited,466.0,163.1,,,0
CDM,47100019,Hb Otoacoustic Emissions Limited,307.0,107.45,,,0
CDM,47100020,Hb Otoacoustic Emissions Comp,272.0,95.2,,,0
CDM,47100021,Hb Hearing Aid Exam Monaural,185.0,64.75,,,0
CDM,47100022,Hb Hearing Aid Exam Binaural,109.0,38.15,,,0
CDM,47100023,Hb Hearing Aid Check Binaural,185.0,64.75,,,0
CDM,47100024,Hb Electroacoustic Eval Mono,111.0,38.85,,,0
CDM,47100025,Hb Eval Central Aud Fn Initl 1 Hr,274.0,95.9,,,0
CDM,47100026,Hb Eval Central Aud Fn Addl 15 Min,288.0,100.8,,,0
CDM,47100027,Hb Assessment Of Tinnitus,1148.0,401.8,,,0
CDM,47100028,Hb Assessment Of Hearing Aid,166.0,58.1,,,0
CDM,47100029,Hb Dispensing Fee Hearing Aid,319.0,111.65,,,0
CDM,47100030,Hb Oral Speech Device Eval,1063.0,372.05,,,0
CDM,47100031,Hb Tympanometry And Reflex Thresh,371.0,129.85,,,0
CDM,47100032,Hb Caloric Vstblr Test W/Rec Bilat/Monothermal,276.0,96.6,,,0
CDM,47100033,Hb Aep Scr Auditory Potential,517.0,180.95,,,0
CDM,47100034,Hb Aep Hearing Status Deter I&R,584.0,204.4,,,0
CDM,47100035,Hb Aep Thrshld Est Mlt Freq I&R,1947.0,681.45,,,0
CDM,47100036,Hb Aep Neurodiagnostic I&R,1085.0,379.75,,,0
CDM,47100037,Hb Pta; Air And Bone,490.0,171.5,,,0
CDM,47100038,Hb Speech Audiom Threshold,219.0,76.65,,,0
CDM,47100039,Hb Evoked Auditory Test Qual,365.0,127.75,,,0
CDM,47100040,Hb Office Visit Out Of Warranty,150.0,52.5,,,0
CDM,47100041,Hb Hearing Aid Replacement In Warranty,350.0,122.5,,,0
CDM,48000001,Hb Icd Device Interrogate,177.0,61.95,,,0
CDM,48000002,Hb Vad Interrogation,544.0,190.4,,,0
CDM,48000003,Hb Cardioversion,5887.0,2060.45,,,0
CDM,48000004,Hb Analysis S Pacer W Prog,157.0,54.95,,,0
CDM,48000005,Hb Analysis D Pacer W Prog,144.0,50.4,,,0
CDM,48000006,Hb Analysis M Pacer W Prog,104.0,36.4,,,0
CDM,48000007,Hb Icd Ck W Reprog Sing,836.0,292.6,,,0
CDM,48000008,Hb Icd Ck W Reprog Dual,1045.0,365.75,,,0
CDM,48000009,Hb Icd Ck W Reprog Mult,1045.0,365.75,,,0
CDM,48000010,Hb Wearable Icd Ck,342.0,119.7,,,0
CDM,48000011,Hb Echo Transthoracic Complete Wo Cont,2624.0,918.4,,,0
CDM,48000012,Hb Echo Transthoracic Limited Wo Cont,2225.0,778.75,,,0
CDM,48000013,Hb Echo W Doppler W Color Flow Wo Cont,6246.0,2186.1,,,0
CDM,48000014,Hb Echo Limited Wo Cont,2945.0,1030.75,,,0
CDM,48000015,Hb Echo Transesophageal Wo Cont,5020.0,1757.0,,,0
CDM,48000016,Hb Trans Esoph Probe Plcmt Only,2115.0,740.25,,,0
CDM,48000017,Hb Echo Trans Esoph For Congenital Wo Cont,2665.0,932.75,,,0
CDM,48000018,Hb Doppler Echo,1955.0,684.25,,,0
CDM,48000019,Hb Doppler Echo Follow Up,1350.0,472.5,,,0
CDM,48000020,Hb Doppler Echo W Color Flow Map,1532.0,536.2,,,0
CDM,48000021,Hb Stress Echo Wo Cont,5495.0,1923.25,,,0
CDM,48000022,Hb Biopsy Of Heart,8541.0,2989.35,,,0
CDM,48000023,Hb Tilt Table Eval,4707.0,1647.45,,,0
CDM,48000024,Hb Resuscitation Cpr,2426.0,849.1,,,0
CDM,48000025,Hb 93279 Analysis S Pacer W Prog,157.0,54.95,,,0
CDM,48000026,Hb 93280 Analysis D Pacer W Prog,144.0,50.4,,,0
CDM,48000027,Hb 93281 Analysis M Pacer W Prog,104.0,36.4,,,0
CDM,48000028,Hb 93282 Icd Ck W Reprog Sing,836.0,292.6,,,0
CDM,48000029,Hb 93283 Icd Ck W Reprog Dual,1045.0,365.75,,,0
CDM,48000030,Hb 93284 Icd Ck W Reprog Mult,1045.0,365.75,,,0
CDM,48000031,Hb 93285 Loop Recorder Ck W Prog,235.0,82.25,,,0
CDM,48000032,Hb 93287 Preop Icd Device Eval,661.0,231.35,,,0
CDM,48000033,Hb 93288 Analysis Pacer Wo Prog,226.0,79.1,,,0
CDM,48000034,Hb 93289 Icd Device Interrogate,180.0,63.0,,,0
CDM,48000035,Hb 93291 Loop Recorder Ck Wo Prog,342.0,119.7,,,0
CDM,48000036,Hb 93292 Wearable Icd Ck,342.0,119.7,,,0
CDM,48000037,Hb 93451 Right Heart Cath,17560.0,6146.0,,,0
CDM,48000038,Hb 93452 Left Heart Cath W Vent,24190.0,8466.5,,,0
CDM,48000039,Hb 93453 Rl Heart Cath W Vent,27877.0,9756.95,,,0
CDM,48000040,Hb 93454 Coronary Art Angio Sup Int,20043.0,7015.05,,,0
CDM,48000041,Hb 93455 Coronary Art Graft Sup Int,24654.0,8628.9,,,0
CDM,48000042,Hb 93456 R Hrt Coronary Art Angio,31636.0,11072.6,,,0
CDM,48000043,Hb 93457 R Hrt Art Graft Angio,35551.0,12442.85,,,0
CDM,48000044,Hb 93458 L Hrt Artery Vent Angio,30491.0,10671.85,,,0
CDM,48000045,Hb 93459 L Hrt Artery Graft Angio,33466.0,11713.1,,,0
CDM,48000046,Hb 93460 Rl Hrt Artery Vent Angio,34280.0,11998.0,,,0
CDM,48000047,Hb 93461 Rl Hrt Art Vent Angio By,37692.0,13192.2,,,0
CDM,48000048,Hb 93503 Insert Place Heart Cath,5291.0,1851.85,,,0
CDM,48000049,Hb 93505 Biopsy Of Heart,8541.0,2989.35,,,0
CDM,48000050,Hb 93510 Left Heart Cath,42292.0,14802.2,,,0
CDM,48000051,Hb 93545 Inj Coronary Angio,10134.0,3546.9,,,0
CDM,48000052,Hb 93556 Imging For Aortography,10012.0,3504.2,,,0
CDM,48000053,Hb 93563 Inj Congen Card Cath,7075.0,2476.25,,,0
CDM,48000054,Hb 93564 Inj Hrt Congen Art Grft,7075.0,2476.25,,,0
CDM,48000055,Hb 93565 Inj L Vent Atrial Angio,7075.0,2476.25,,,0
CDM,48000056,Hb 93566 Inj R Vent Atrial Angio,7075.0,2476.25,,,0
CDM,48000057,Hb 93567 Inj Suprvlv Aortograph,7075.0,2476.25,,,0
CDM,48000058,Hb 93568 Inj Pulm Art Hrt Cath,7075.0,2476.25,,,0
CDM,48000059,Hb 93613 Electrophys 3D Mapping,20453.0,7158.55,,,0
CDM,48000060,Hb 93618 Induct Arrhythmia Pacing,11129.0,3895.15,,,0
CDM,48000061,Hb 93620 Eps Cardiac Eval,24048.0,8416.8,,,0
CDM,48000062,Hb 93641 Eps Eval New Icd System,4744.0,1660.4,,,0
CDM,48000063,Hb 93662 Ice Intracardiac Ecg,11593.0,4057.55,,,0
CDM,48000064,Hb 93770 Measure Venous Press,640.0,224.0,,,0
CDM,48000065,Hb 93462 L Hrt Cath Trnsptl Punct,11944.0,4180.4,,,0
CDM,48000067,Hb Del/Birth Room Nb Cpr,1961.0,686.35,,,0
CDM,48000068,Hb Echo Transthoracic Complete W Cont,2624.0,918.4,,,0
CDM,48000069,Hb Echo Transthoracic Limited W Cont,2225.0,778.75,,,0
CDM,48000070,Hb Echo W Doppler W Color Flow W Cont,6754.0,2363.9,,,0
CDM,48000071,Hb Echo Limited W Cont,2945.0,1030.75,,,0
CDM,48000072,Hb Echotransesophageal W Cont,5020.0,1757.0,,,0
CDM,48000073,Hb Echo Trans Esoph For Congenital W Cont,2665.0,932.75,,,0
CDM,48000074,Hb Stress Echo W Cont,5495.0,1923.25,,,0
CDM,48000075,Hb Eps Eval New Icd System,4744.0,1660.4,,,0
CDM,48000076,Hb Echo Transesoph Monitor,2785.0,974.75,,,0
CDM,48000077,Hb Cardioversion Internal,3283.0,1149.05,,,0
CDM,48000078,Hb Analysis Pacer Wo Prog,226.0,79.1,,,0
CDM,48000079,Hb Icm Device Eval In Person,172.5,60.375,,,0
CDM,48000080,Hb Loop Recorder Ck Wo Prog,273.0,95.55000000000001,,,0
CDM,48000081,Hb Pm Device Interrogate Remote 90D,412.0,144.2,,,0
CDM,48000082,Hb Icd Device Interrogate Remote 90D,412.0,144.2,,,0
CDM,48000083,Hb Pm Icd Remote Tech Serv 90D,412.0,144.2,,,0
CDM,48000084,Hb Icm Device Interrogat Remote 30D,440.0,154.0,,,0
CDM,48000086,Hb Loop Recorder Ck W Prog,235.0,82.25,,,0
CDM,48000087,Hb 93290 Icm Device Eval,220.0,77.0,,,0
CDM,48000088,Hb 93293 Pm Phone R-Strip Device Eval,462.0,161.7,,,0
CDM,48000089,Hb 93296 Pm/Icd Remote Tech Serv,412.0,144.2,,,0
CDM,48000091,Hb 93286 Peri-Px Pacemaker Device Evl,641.0,224.35,,,0
CDM,48000092,Hb Ice Intracardiac Ecg,11593.0,4057.55,,,0
CDM,48000093,Hb Ambulatory Bp Recording,714.0,249.9,,,0
CDM,48000094,Hb Remote 30 Day Ecg Rev/Report,454.0,158.9,,,0
CDM,48000095,Hb Cardiovascular Stress Test,610.0,213.5,,,0
CDM,48000096,Hb Tee For Intracardiac Intervention,2912.0,1019.2,,,0
CDM,48000097,Hb Ecg/Monitoring And Analysis,454.0,158.9,,,0
CDM,48000100,Hb Implant Subq Defib Sys Dev Eval,297.5,104.125,,,0
CDM,48000101,Hb Implant Subq Defib Interrogate,172.0,60.2,,,0
CDM,48000102,Hb 93463 Drug Admin & Hemodynmic Meas,1990.0,696.5,,,0
CDM,48000103,Hb Tte W/O Doppler Complete,2111.0,738.85,,,0
CDM,48000105,Hb 93297 Rem Interrog Icpms <30 D Phys/Qhp,383.0,134.05,,,0
CDM,48000107,Hb 93298 Rem Interrog Scrms <30 D Phys/Qhp,263.0,92.05,,,0
CDM,48000109,Hb 33477 Implant Tcat Pulm Vlv Perq,54329.0,19015.15,,,0
CDM,48000110,Hb Myocrd Strain Img Spckl Trck,826.0,289.1,,,0
CDM,48000112,Hb 3D Echo Img&Pst-Pxessing Tee/Tte Cgen Car Anomal,146.0,51.1,,,0
CDM,48000113,Hb 33370 Transcatheter Placement&Sbsq Removal Cepd Perq,5129.0,1795.15,,,0
CDM,48000126,Hb Non-Invasive Est Cor Ffr Cta Software Aly,6286.0,2200.1,,,0
CDM,48000127,Hb 93279 Analysis S Pacer W Prog,157.0,54.95,,,0
CDM,48000128,Hb 93280 Analysis D Pacer W Prog,144.0,50.4,,,0
CDM,48000129,Hb 93281 Analysis M Pacer W Prog,104.0,36.4,,,0
CDM,48000130,Hb 93282 Icd Ck W Reprog Sing,836.0,292.6,,,0
CDM,48000131,Hb 93283 Icd Ck W Reprog Dual,1045.0,365.75,,,0
CDM,48000132,Hb 93284 Icd Ck W Reprog Mult,1045.0,365.75,,,0
CDM,48000133,Hb 93285 Loop Recorder Ck W Prog,235.0,82.25,,,0
CDM,48000134,Hb 93287 Preop Icd Device Eval,661.0,231.35,,,0
CDM,48000135,Hb 93288 Analysis Pacer Wo Prog,226.0,79.1,,,0
CDM,48000136,Hb 93289 Icd Device Interrogate,180.0,63.0,,,0
CDM,48000137,Hb 93291 Loop Recorder Ck Wo Prog,342.0,119.7,,,0
CDM,48000138,Hb 93292 Wearable Icd Ck,342.0,119.7,,,0
CDM,48000139,Hb 93451 Right Heart Cath,17560.0,6146.0,,,0
CDM,48000140,Hb 93453 Rl Heart Cath W Vent,27877.0,9756.95,,,0
CDM,48000141,Hb 93503 Insert Place Heart Cath,5291.0,1851.85,,,0
CDM,48000142,Hb 93505 Biopsy Of Heart,8541.0,2989.35,,,0
CDM,48000143,Hb 93510 Left Heart Cath,42292.0,14802.2,,,0
CDM,48000144,Hb 93641 Eps Eval New Icd System,4744.0,1660.4,,,0
CDM,48000145,Hb 93662 Ice Intracardiac Ecg,11593.0,4057.55,,,0
CDM,48000146,Hb 93462 L Hrt Cath Trnsptl Punct,11944.0,4180.4,,,0
CDM,48000147,Hb 93290 Icm Device Eval,220.0,77.0,,,0
CDM,48000148,Hb 93286 Peri-Px Pacemaker Device Evl,641.0,224.35,,,0
CDM,48000149,Hb 93613 Electrophys 3D Mapping,20453.0,7158.55,,,0
CDM,48000150,Hb 93618 Induct Arrhythmia Pacing,11129.0,3895.15,,,0
CDM,48000151,Hb 93620 Eps Cardiac Eval,28858.0,10100.3,,,0
CDM,48000152,Hb G0448 Place Perm Pacing Cardiovert,22425.0,7848.75,,,0
CDM,48000153,Hb 0424T Insj/Rplc Nstim Sys Sleep Apnea Compl,82513.0,28879.55,,,0
CDM,48000154,Hb 0425T Insj/Rplc Nstim System Sleep Apnea Sensing Lead,3726.0,1304.1,,,0
CDM,48000155,Hb 0426T Insj/Rplc Nstim System Sleep Apnea Stimj Lead,93816.0,32835.6,,,0
CDM,48000156,Hb 0427T Insj/Rplc Nstim System Sleep Apnea Pls Generator,91432.0,32001.2,,,0
CDM,48000157,Hb 0428T Removal Nstim System Sleep Apnea Pls Generator,16567.0,5798.45,,,0
CDM,48000158,Hb 0429T Removal Nstim System Sleep Apnea Sensing Lead,16477.0,5766.95,,,0
CDM,48000159,Hb 0430T Removal Nstim System Sleep Apnea Stimj Lead,16477.0,5766.95,,,0
CDM,48000160,Hb 0431T Rmvl/Rplc Nstim System Sleep Apnea Pls Generator,87966.0,30788.1,,,0
CDM,48000161,Hb 0432T Repos Nstim System Sleep Apnea Stimj Lead,14581.0,5103.35,,,0
CDM,48000163,Hb 93621 Coronary Sinus Recording,40261.0,14091.35,,,0
CDM,48000164,Hb 93623 Eps Iv Drug Infusion,19394.0,6787.9,,,0
CDM,48000165,Hb 0575T Programming Dev Eval Icds W/Ss Eltrd In Person,16978.0,5942.3,,,0
CDM,48000166,Hb 0576T Interrogation Dev Eval Icds W/Ss Eltrd In Person,88.0,30.8,,,0
CDM,48000167,Hb 0577T Electrophysiologic Eval Icds W/Ss Electrode,3584.0,1254.4,,,0
CDM,48000168,Hb 93750 Vad Interrogation,544.0,190.4,,,0
CDM,48100001,Hb 33967 Percutaneous Insertion Ia,6016.0,2105.6,,,0
CDM,48100002,Hb 92950 Cpr Clsd Chest Card Mas,2426.0,849.1,,,0
CDM,48100003,Hb 92960 Cardioversion,5887.0,2060.45,,,0
CDM,48100004,Hb 92973 Percut Cardio Thrombectomy,4866.0,1703.1,,,0
CDM,48100005,Hb 92975 Ic Thrombolytic Infusion,4265.0,1492.75,,,0
CDM,48100006,Hb 92977 Iv Thrombolytic Infusion,1944.0,680.4,,,0
CDM,48100007,Hb 92978 Ivus Cor Int Vessel,10040.0,3514.0,,,0
CDM,48100008,Hb 92979 Ivus Cor Ea Addl Vessel,10040.0,3514.0,,,0
CDM,48100013,Hb 92986 Percut Balloon Val Aortic,26956.0,9434.6,,,0
CDM,48100014,Hb 92987 Percut Balloon Val Mitral,39042.0,13664.7,,,0
CDM,48100015,Hb 92992 Atrial Septectomy,15308.0,5357.8,,,0
CDM,48100042,Hb 93571 Iv Pressure Wire Int Ves,7444.0,2605.4,,,0
CDM,48100043,Hb 93572 Iv Pressure Wire Addl Ves,2765.0,967.75,,,0
CDM,48100044,Hb 93580 Transcath Asd Closure,44673.0,15635.55,,,0
CDM,48100045,Hb 93581 Transcath Vsd Closure,43804.0,15331.4,,,0
CDM,48100046,Hb 93600 His Recording,7063.0,2472.05,,,0
CDM,48100047,Hb 93602 Intra Atrial Recording,7063.0,2472.05,,,0
CDM,48100048,Hb 93603 Rv Recording,16726.0,5854.1,,,0
CDM,48100049,Hb 93609 Map Tachycardia,18003.0,6301.05,,,0
CDM,48100050,Hb 93610 Intra Atrial Pacing,10564.0,3697.4,,,0
CDM,48100051,Hb 93612 Intra Ventricular Pacing,10564.0,3697.4,,,0
CDM,48100052,Hb 93619 Ep Complete Wo Arrhythmia,21505.0,7526.75,,,0
CDM,48100053,Hb 93621 Coronary Sinus Recording,33551.0,11742.85,,,0
CDM,48100054,Hb 93622 Lv Pacing,21505.0,7526.75,,,0
CDM,48100055,Hb 93623 Eps Iv Drug Infusion,19394.0,6787.9,,,0
CDM,48100056,Hb 93624 Eps Followup Study,13481.0,4718.35,,,0
CDM,48100057,Hb 93640 Eps Eval Int Imp Rplcd Icd,6444.0,2255.4,,,0
CDM,48100058,Hb 93642 Eps Eval Icd Sys Prev Imp,4744.0,1660.4,,,0
CDM,48100059,Hb 93650 Ep Catheter Ablation,34885.0,12209.75,,,0
CDM,48100062,Hb 93660 Tilt Table Eval,4707.0,1647.45,,,0
CDM,48100063,Hb 93724 Analysis Anti Tachy Pcr,2294.0,802.9,,,0
CDM,48100064,Hb 93799 Cardiovascular Svc Or Proc,2644.0,925.4,,,0
CDM,48100065,Hb G0269 Angioseal With Intervent,9469.0,3314.15,,,0
CDM,48100068,Hb 93653 Ep Ablate Supravent Arrhyt,41862.0,14651.7,,,0
CDM,48100069,Hb 93654 Ep Ablate Ventric Tachy,34885.0,12209.75,,,0
CDM,48100070,Hb 93655 Ablate Arrhythmia Add On,34885.0,12209.75,,,0
CDM,48100071,Hb 93656 Tx Atrial Fib Pulm Vein Isol,34885.0,12209.75,,,0
CDM,48100072,Hb 93657 Tx L R Atrial Fib Addl,34885.0,12209.75,,,0
CDM,48100079,Hb 92920 Perq Cardiac Angioplast 1 Art,20232.0,7081.2,,,0
CDM,48100080,Hb 92921 Perq Cardiac Angio Addl Art,20232.0,7081.2,,,0
CDM,48100081,Hb 92924 Perq Cardiac Angio Athrect 1 Art,38574.0,13500.9,,,0
CDM,48100082,Hb 92925 Perq Cardiac Angio Athrect Addl,38574.0,13500.9,,,0
CDM,48100083,Hb 92928 Perq Card Stent W Angio 1 Vsl,30727.0,10754.45,,,0
CDM,48100084,Hb 92929 Perq Card Stent W Angio Addl,30727.0,10754.45,,,0
CDM,48100085,Hb 92933 Perq Card Stent Ath Angio,30727.0,10754.45,,,0
CDM,48100086,Hb 92934 Perq Card Stent Ath Angio Addl,30727.0,10754.45,,,0
CDM,48100087,Hb 92937 Perq Revasc Byp Graft 1 Vsl,30727.0,10754.45,,,0
CDM,48100088,Hb 92938 Perq Revasc Byp Graft Addl,30727.0,10754.45,,,0
CDM,48100089,Hb 92941 Perq Card Revasc Mi 1 Vsl,30727.0,10754.45,,,0
CDM,48100090,Hb 92943 Perq Card Revasc Chronic 1 Vsl,30727.0,10754.45,,,0
CDM,48100091,Hb 92944 Perq Card Revasc Chronic Addl,30727.0,10754.45,,,0
CDM,48100092,Hb C9600 Perc Drug El Cor Stent Single,39039.0,13663.65,,,0
CDM,48100093,Hb C9601 Perc Drug El Cor Stent Addl,39039.0,13663.65,,,0
CDM,48100094,Hb C9602 Perc D E Cor Stent Ather Single,39039.0,13663.65,,,0
CDM,48100095,Hb C9603 Perc D E Cor Stent Ather Addl,39039.0,13663.65,,,0
CDM,48100096,Hb C9604 Perc D E Cor Revasc T Cabg Single,39039.0,13663.65,,,0
CDM,48100097,Hb C9605 Perc D E Cor Revasc T Cabg Addl,39039.0,13663.65,,,0
CDM,48100098,Hb C9606 Perc D E Cor Revasc W Ami Single,46846.0,16396.1,,,0
CDM,48100099,Hb C9607 Perc D E Cor Revasc Chro Single,46846.0,16396.1,,,0
CDM,48100100,Hb C9608 Perc D E Cor Revasc Chro Addl,39039.0,13663.65,,,0
CDM,48100101,Hb 33270 Insert Subq Defib W Subcut Elect,113199.0,39619.65,,,0
CDM,48100102,Hb 33271 Insert Subq Defib W Defib Elect,18938.0,6628.3,,,0
CDM,48100106,Hb 33272 Remove Subq Defib Electrode,8465.0,2962.75,,,0
CDM,48100107,Hb 33273 Repos Subq Defib Electrode Gen,8465.0,2962.75,,,0
CDM,48100108,Hb 93644 Ephys Eval Subq Implant Defib,5369.0,1879.15,,,0
CDM,48100109,Hb 93261 Implant Subq Defib Interrogate,172.0,60.2,,,0
CDM,48100110,Hb 93260 Implant Subq Defib Sys Dev Eval,423.0,148.05,,,0
CDM,48100111,"""""""Hb 92997""",21991.0,7696.85,,,0
CDM,48100112,Hb 92990 Revision Of Pulmonary Valve,19490.0,6821.5,,,0
CDM,48100114,Hb 93590 Perq Transcath Cls Mitral,45924.0,16073.4,,,0
CDM,48100115,Hb 33274 Tcat Insj/Rpl Perm Ldls Pm,48874.0,17105.9,,,0
CDM,48100116,Hb 33275 Tcat Rmvl Perm Ldls Pm,56205.0,19671.75,,,0
CDM,48100117,Hb 0523T Ntrapx C Ffr W/3D Funcjl Map,1058.0,370.3,,,0
CDM,48100118,Hb 93591 Perq Transcath Cls Aortic,46934.0,16426.9,,,0
CDM,48100119,Hb 93592 Perq Transcath Cls Aortic,14534.0,5086.9,,,0
CDM,48100120,Hb 33289 Tcat Impl Wrls P-Art Prs Snr,39773.0,13920.55,,,0
CDM,48100121,Hb 34701 Evasc Rpr A-Ao Ndgft,31389.0,10986.15,,,0
CDM,48100122,Hb 93464 Exercise Study W/Hemodynamic Meas,2567.0,898.45,,,0
CDM,48100123,Hb 0644T Tcat Rmvl/Dblk Icar Mas Perq,16389.0,5736.15,,,0
CDM,48100124,Hb 93593 R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj,22782.0,7973.7,,,0
CDM,48100125,Hb 93594 R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj,13834.0,4841.9,,,0
CDM,48100126,Hb 93596 R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj,17482.0,6118.7,,,0
CDM,48100127,Hb 93597 R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj,19499.0,6824.65,,,0
CDM,48100128,Hb 93598 Car Outp Meas Drg Car Cath Eval Cgen Hrt Defect,1317.0,460.95,,,0
CDM,48100129,Hb 93595 L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj,4486.0,1570.1,,,0
CDM,48100130,Hb 34711 Dlyd Placement Xtn Prosth For Evasc Rpr Ea Addl,7473.0,2615.55,,,0
CDM,48100131,Hb 0646T Ttvi/Rplcmt W/Prstc Vlv Perq,23163.0,8107.05,,,0
CDM,48100132,Hb C9774 Revasc Lithotr-Ather Tib/Per,59344.0,20770.4,,,0
CDM,48100133,Hb 93569 Njx Drg C-Cathj Slctv P-Art Angiography Uni,5971.0,2089.85,,,0
CDM,48100134,Hb 93573 Njx Drg C-Cathj Slctv P-Art Angiography Bi,7173.0,2510.55,,,0
CDM,48100135,Hb 93574 Njx Drg C-Cathj Slctv Pulm Ven Angiography,4294.0,1502.9,,,0
CDM,48100136,Hb 93575 Njx Drg C-Cathj Slctv Pulm Angrph Mapca Chd Ea,4614.0,1614.9,,,0
CDM,48100137,Hb 92960 Cardioversion,5887.0,2060.45,,,0
CDM,48100138,Hb 93640 Eps Eval Int Imp Rplcd Icd,6444.0,2255.4,,,0
CDM,48100139,Hb 93642 Eps Eval Icd Sys Prev Imp,4744.0,1660.4,,,0
CDM,48100140,Hb 33270 Insert Subq Defib W Subcut Elect,113199.0,39619.65,,,0
CDM,48100141,Hb 33271 Insert Subq Defib W Defib Elect,18938.0,6628.3,,,0
CDM,48100142,Hb 33272 Remove Subq Defib Electrode,8465.0,2962.75,,,0
CDM,48100143,Hb 33273 Repos Subq Defib Electrode Gen,8465.0,2962.75,,,0
CDM,48100144,Hb 93644 Ephys Eval Subq Implant Defib,5369.0,1879.15,,,0
CDM,48100145,Hb 93261 Implant Subq Defib Interrogate,172.0,60.2,,,0
CDM,48100146,Hb 93260 Implant Subq Defib Sys Dev Eval,423.0,148.05,,,0
CDM,48100147,Hb 33274 Tcat Insj/Rpl Perm Ldls Pm,48874.0,17105.9,,,0
CDM,48100148,Hb 33275 Tcat Rmvl Perm Ldls Pm,56205.0,19671.75,,,0
CDM,48100149,Hb 93600 His Recording,7063.0,2472.05,,,0
CDM,48100150,Hb 93603 Rv Recording,16726.0,5854.1,,,0
CDM,48100151,Hb 93609 Map Tachycardia,18003.0,6301.05,,,0
CDM,48100152,Hb 93610 Intra Atrial Pacing,10564.0,3697.4,,,0
CDM,48100153,Hb 93612 Intra Ventricular Pacing,10564.0,3697.4,,,0
CDM,48100154,Hb 93619 Ep Complete Wo Arrhythmia,25806.0,9032.1,,,0
CDM,48100155,Hb 93622 Lv Pacing,25806.0,9032.1,,,0
CDM,48100156,Hb 93624 Eps Followup Study,16177.0,5661.95,,,0
CDM,48100157,Hb 93650 Ep Catheter Ablation,34885.0,12209.75,,,0
CDM,48100158,Hb 93653 Ep Ablate Supravent Arrhyt,41862.0,14651.7,,,0
CDM,48100159,Hb 93654 Ep Ablate Ventric Tachy,34885.0,12209.75,,,0
CDM,48100160,Hb 93655 Ablate Arrhythmia Add On,34885.0,12209.75,,,0
CDM,48100161,Hb 93656 Tx Atrial Fib Pulm Vein Isol,34885.0,12209.75,,,0
CDM,48100162,Hb 93657 Tx L R Atrial Fib Addl,34885.0,12209.75,,,0
CDM,48100163,Hb 0339T Transcatheter Renal Sympath Denervation Bilat,51836.0,18142.6,,,0
CDM,48100164,Hb 0505T Tev Fempop Artl Revsc Tcat Plmt Iv St Grf & Clsr,64746.0,22661.1,,,0
CDM,48100165,Hb 92997 Prq Trluml Pulmonary Art Balloon Angiop 1 Vsl,17593.0,6157.55,,,0
CDM,48100166,Hb 92998 Prq Trluml Pulmonary Art Balloon Angiop Ea Vsl,10825.0,3788.75,,,0
CDM,48100167,Hb 0795T Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys,66675.0,23336.25,,,0
CDM,48100168,Hb 0408T Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd,89570.0,31349.5,,,0
CDM,48100169,Hb 0409T Insj/Rplc Cardiac Modulj Sys Pls Generator Only,98151.0,34352.85,,,0
CDM,48100170,Hb 0410T Insj/Rplc Cardiac Modulj Sys Atr Electrode Only,20690.0,7241.5,,,0
CDM,48100171,Hb 0411T Insj/Rplc Car Modulj Sys Ventr Electrode Only,22256.0,7789.6,,,0
CDM,48100172,Hb 0412T Removal Cardiac Modulj Sys Pls Generator Only,17467.0,6113.45,,,0
CDM,48100173,Hb 0413T Removal Cardiac Modulj Sys Transvenous Electrode,9935.0,3477.25,,,0
CDM,48100174,Hb 0414T Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only,56116.0,19640.6,,,0
CDM,48100175,Hb 0415T Repos Cardiac Modulj Transvenous Electrode,13840.0,4844.0,,,0
CDM,48100176,Hb 0416T Reloc Skin Pocket Cardiac Modulj Pulse Generator,4574.0,1600.9,,,0
CDM,48100177,Hb 0417T Prgrmg Device Evaluation Cardiac Modulj System,284.0,99.4,,,0
CDM,48100178,Hb 0418T Interro Device Evaluation Cardiac Modulj System,234.0,81.9,,,0
CDM,48100179,Hb 92998 Prq Trluml Pulmonary Art Balloon Angiop Ea Vsl,10825.0,3788.75,,,0
CDM,48100180,Hb 0801T Tcat Rmvl&Rplcmt Perm 2Chmbr Ldls Pm 2Chmbr Sys,34320.0,12012.0,,,0
CDM,48100182,Hb 0913T Prq Tcat Ther Rx Ntrac Balo1,14254.0,4988.9,,,0
CDM,48100183,Hb 0914T Prq Tcat Thr Rx Ntrc Bal Sep,18353.0,6423.55,,,0
CDM,48100184,Hb 0796T Tcat Insj Perm 2Chmbr Ldls Pm R Atr Pm Compnt,62165.0,21757.75,,,0
CDM,48100185,Hb C9765 Revasc Intra Lithotrip-Stent,56719.0,19851.65,,,0
CDM,48200001,Hb Cardiovascular Stress Test,2332.0,816.2,,,0
CDM,48200002,Hb Drug Induced Stress Test,1944.0,680.4,,,0
CDM,48200003,Hb Cv Strs Tst Xers&/Or Rx Cont Ecg W/O I&R,164.0,57.4,,,0
CDM,48200004,Hb Cv Strs Tst Xers&/Or Rx Cont Ecg I&R Only,166.0,58.1,,,0
CDM,51000002,Hb New Office O/P Sf 15-29 Min,774.0,270.9,,,0
CDM,51000003,Hb New Office O/P Low 30-44 Min,602.5,210.875,,,0
CDM,51000004,Hb New Office O/P Mod 45-59 Min,672.0,235.2,,,0
CDM,51000005,Hb New Office O/P High 60-74 Min,1078.5,377.475,,,0
CDM,51000006,Hb Off/Otpt Est Pt May Not Req Phys/Qhp,376.0,131.6,,,0
CDM,51000007,Hb Est Office/Op Sf 10-19 Min,439.5,153.825,,,0
CDM,51000008,Hb Est Office/Op Low 20-29 Min,534.0,186.9,,,0
CDM,51000009,Hb Est Office/Op Mod 30-39 Min,673.0,235.55,,,0
CDM,51000010,Hb Est Office/Op High 40-54 Min,762.0,266.7,,,0
CDM,51000011,Hb New Pt Prevent Infant,100.0,35.0,,,0
CDM,51000012,Hb New Pt Prevent 1 To 4Yr,113.0,39.55,,,0
CDM,51000013,Hb New Pt Prevent 5 To 11Yr,127.0,44.45,,,0
CDM,51000014,Hb New Pt Prevent 12 To 17Yr,161.0,56.35,,,0
CDM,51000015,Hb New Pt Prevent 18 To 39Yr,199.0,69.65,,,0
CDM,51000016,Hb New Pt Prevent 40 To 64Yr,222.0,77.7,,,0
CDM,51000017,Hb New Pt Prevent 65 And Up,289.0,101.15,,,0
CDM,51000018,Hb Est Pt. Prevent Infant,64.0,22.4,,,0
CDM,51000019,Hb Est Pt Prevent 1 To 4Yr,90.0,31.5,,,0
CDM,51000020,Hb Est Pt Prevent 5 To 11Yr,125.0,43.75,,,0
CDM,51000021,Hb Est Pt Prevent 12 To 17Yr,156.0,54.6,,,0
CDM,51000022,Hb Est Pt Prevent 18 To 39Yr,191.0,66.85,,,0
CDM,51000023,Hb Est Pt Prevent 40 To 64Yr,217.0,75.95,,,0
CDM,51000024,Hb Est Pt Prevent 65 And Up,281.0,98.35,,,0
CDM,51000025,Hb Pharm Med Mgt New 15 Min,66.0,23.1,,,0
CDM,51000026,Hb Pharm Med Mgt Est 15 Min,40.0,14.0,,,0
CDM,51000027,Hb Pharm Med Mgt Ea Addl 15 Min,20.0,7.0,,,0
CDM,51000028,Hb Patient Consult Focused,281.0,98.35,,,0
CDM,51000029,Hb Patient Consult Expanded,402.0,140.7,,,0
CDM,51000030,Hb Patient Consult Detailed,451.0,157.85,,,0
CDM,51000031,Hb Patient Consult Comp,503.0,176.05,,,0
CDM,51000032,Hb Patient Consult Comp Compl,674.0,235.9,,,0
CDM,51000033,Hb Pt-Focused Hlth Risk Assmt,81.0,28.35,,,0
CDM,54000001,Hb H1 Lift Off Only,27085.0,9479.75,,,0
CDM,54000002,Hb H1 Lift Off Only Scene,27085.0,9479.75,,,0
CDM,54000003,Hb H1 Per Mile 1 Way Interfacility,272.0,95.2,,,0
CDM,54000004,Hb H1 Per Mile 1 Way Scene,272.0,95.2,,,0
CDM,54000005,Hb H2 Lift Off Only,27085.0,9479.75,,,0
CDM,54000006,Hb H2 Lift Off Only Scene,27085.0,9479.75,,,0
CDM,54000007,Hb H2 Per Mile 1 Way Interfacility,272.0,95.2,,,0
CDM,54000008,Hb H2 Per Mile 1 Way Scene,272.0,95.2,,,0
CDM,54000009,Hb H4 Lift Off Only,27085.0,9479.75,,,0
CDM,54000010,Hb H4 Lift Off Only Scene,27085.0,9479.75,,,0
CDM,54000011,Hb H4 Per Mile 1 Way Interfacility,272.0,95.2,,,0
CDM,54000012,Hb H4 Per Mile 1 Way Scene,272.0,95.2,,,0
CDM,54000013,Hb H5 Lift Off Only,27085.0,9479.75,,,0
CDM,54000014,Hb H5 Lift Off Only Scene,27085.0,9479.75,,,0
CDM,54000015,Hb H5 Per Mile 1 Way Interfacility,272.0,95.2,,,0
CDM,54000016,Hb H5 Per Mile 1 Way Scene,272.0,95.2,,,0
CDM,54000017,Hb Bls Non Emergency,1142.0,399.7,,,0
CDM,54000018,Hb Bls Emergency,1255.0,439.25,,,0
CDM,54000019,Hb Als Non Emergency,1522.0,532.7,,,0
CDM,54000020,Hb Als Emergency,1733.0,606.55,,,0
CDM,54000021,Hb Als 2,2234.0,781.9,,,0
CDM,54000022,Hb Specialty Care Transport,2986.0,1045.1,,,0
CDM,54000023,Hb Ground Mileage,32.0,11.2,,,0
CDM,61000002,Hb Mri Tm Joints,1804.0,631.4,,,0
CDM,61000003,Hb Mri Chest Wo Cont,2958.0,1035.3,,,0
CDM,61000004,Hb Mri Chest W Cont,3143.0,1100.05,,,0
CDM,61000005,Hb Mri Chest Wo And W Cont,3730.0,1305.5,,,0
CDM,61000006,Hb Mri Joint Upr Extrem Wo Cont,2880.0,1008.0,,,0
CDM,61000007,Hb Mri Joint Upr Extrem W Cont,3371.0,1179.85,,,0
CDM,61000008,Hb Mri Joint Upr Extr Wo And W Cont,3976.0,1391.6,,,0
CDM,61000009,Hb Mra Upr Extremity Wo Or W Cont,2575.0,901.25,,,0
CDM,61000010,Hb Mri Jnt Lwr Extre Wo Cont,1802.0,630.7,,,0
CDM,61000011,Hb Mri Jnt Lwr Extre W Cont,2105.0,736.75,,,0
CDM,61000012,Hb Mri Jnt Lwr Extre Wo And W Cont,6270.0,2194.5,,,0
CDM,61000013,Hb Mri Abdomen Wo Cont,2584.0,904.4,,,0
CDM,61000014,Hb Mri Abdomen W Cont,2848.0,996.8,,,0
CDM,61000015,Hb Mri Abdomen Wo And W Cont,4314.0,1509.9,,,0
CDM,61000016,Hb Mri Cardiac Mri Wo Contrast,2460.0,861.0,,,0
CDM,61000017,Hb Mri Cardiac Mri W Stress Img,2916.0,1020.6,,,0
CDM,61000018,Hb Mri Cardiac Mri Wo And W Cont,2907.0,1017.45,,,0
CDM,61000019,Hb Mri Cardiac Mri Stress Img Cont,3364.0,1177.4,,,0
CDM,61000020,Hb Mri Velocity Flow Mapping,1009.0,353.15,,,0
CDM,61000021,Hb Mri Spectroscopy,2334.0,816.9,,,0
CDM,61000022,Hb Mr Guidance Needle Place,2187.0,765.45,,,0
CDM,61000025,Hb Bone Marrow Blood Supply,1746.0,611.1,,,0
CDM,61000026,Hb Mrv Abdomen W Cont,1804.0,631.4,,,0
CDM,61000027,Hb Mra Abdomen W Cont,1804.0,631.4,,,0
CDM,61000028,Hb Mrv Abdomen Wo Cont,1804.0,631.4,,,0
CDM,61000029,Hb Mrv Abdomen Wo And W Cont,1804.0,631.4,,,0
CDM,61000030,Hb Mra Abdomen Wo And W Cont,1804.0,631.4,,,0
CDM,61000031,Hb Mra Chest W Cont,2271.0,794.85,,,0
CDM,61000032,Hb Mra Chest Wo Cont,1804.0,631.4,,,0
CDM,61000033,Hb Mra Chest Wo And W Cont,2948.0,1031.8,,,0
CDM,61000034,Hb Mra Lower Ext W Cont,6802.0,2380.7,,,0
CDM,61000035,Hb Mra Lower Ext Wo Cont,5482.0,1918.7,,,0
CDM,61000036,Hb Mrv Lower Ext Wo And W Cont,7490.0,2621.5,,,0
CDM,61000037,Hb Mra Lower Ext Wo And W Cont,7490.0,2621.5,,,0
CDM,61000038,Hb Mrv Pelvis W Cont,2464.0,862.4,,,0
CDM,61000039,Hb Mrv Pelvis Wo Cont,2151.0,752.85,,,0
CDM,61000040,Hb Mra Pelvis Wo Cont,2151.0,752.85,,,0
CDM,61000041,Hb Mra Pelvis Wo And W Cont,3014.0,1054.9,,,0
CDM,61000042,Hb Mrv Pelvis Wo And W Cont,3014.0,1054.9,,,0
CDM,61000043,Hb Mri Breast C- Unilateral,2467.0,863.45,,,0
CDM,61000044,Hb Mri Breast C-+ W/Cad Uni,2467.0,863.45,,,0
CDM,61000045,Hb Mri Breast C- Bilateral,3206.0,1122.1,,,0
CDM,61000046,Hb Mri Breast C-+ W/Cad Bi,3206.0,1122.1,,,0
CDM,61000047,Hb Mri Fetal Sngl/1St Gestation,2791.0,976.85,,,0
CDM,61000049,Hb Magnetic Resonance Elastography,1979.0,692.65,,,0
CDM,61000050,Hb Mri Upper Extremity W/O Dye,4048.0,1416.8,,,0
CDM,61000051,Hb Mri Upper Extremity W/Dye,4255.0,1489.25,,,0
CDM,61000052,Hb Mri Uppr Extremity W/O&W/Dye,5690.0,1991.5,,,0
CDM,61000053,Hb Mri Lower Extremity W/O Dye,4164.0,1457.4,,,0
CDM,61000054,Hb Mri Lower Extremity W/Dye,4560.0,1596.0,,,0
CDM,61000055,Hb Mri Lower Extrem Oth/Thn Jt W/O & W/Contr Matr,5702.0,1995.7,,,0
CDM,61000056,"Hb Mra W/O Cont, Abd",4713.0,1649.55,,,0
CDM,61000057,"Hb Mra W/O Fol W/Cont, Abd",7863.0,2752.05,,,0
CDM,61000058,Hb Whole Body Mri,4563.0,1597.05,,,0
CDM,61000059,Hb Mr Sfty Mplt&/Fb Asmt Stf Ea,31.0,10.85,,,0
CDM,61000060,Hb Mr Safety Deter Phys/Qhp,221.0,77.35,,,0
CDM,61000061,Hb Mr Sfty Med Physics Xm Cstmz,605.0,211.75,,,0
CDM,61000062,Hb Mr Safety Implant Elec Prepj,230.0,80.5,,,0
CDM,61000063,Hb Mr Safety Implt Pos&/Immoblj,149.0,52.15,,,0
CDM,61000064,Hb Mr Sfty Implt&/Fb Asmt Stf 1,62.0,21.7,,,0
CDM,61100001,Hb Mri Orbit Face Neck Wo Cont,3667.0,1283.45,,,0
CDM,61100002,Hb Mri Orbit Face Neck W Cont,4111.0,1438.85,,,0
CDM,61100003,Hb Mri Orb Face Neck Wo And W Cont,7762.0,2716.7,,,0
CDM,61100004,Hb Mra Head Wo Cont,3491.0,1221.85,,,0
CDM,61100005,Hb Mra Head W Cont,3711.0,1298.85,,,0
CDM,61100006,Hb Mra Head Wo And W Cont,5048.0,1766.8,,,0
CDM,61100007,Hb Mra Neck Wo Cont,3491.0,1221.85,,,0
CDM,61100008,Hb Mra Neck W Cont,3707.0,1297.45,,,0
CDM,61100009,Hb Mra Neck Wo And W Cont,5048.0,1766.8,,,0
CDM,61100010,Hb Mri Brain Wo Cont,4349.0,1522.15,,,0
CDM,61100011,Hb Mri Brain W Cont,4518.0,1581.3,,,0
CDM,61100012,Hb Mri Brain Wo And W Cont,5830.0,2040.5,,,0
CDM,61100013,Hb Functional Mri Brain By Tech,2964.0,1037.4,,,0
CDM,61200001,Hb Mri Cervical Spine Wo Cont,3365.0,1177.75,,,0
CDM,61200002,Hb Mri Cervical Spine W Cont,4037.0,1412.95,,,0
CDM,61200003,Hb Mri Thoracic Spine Wo Cont,4264.0,1492.4,,,0
CDM,61200004,Hb Mri Thoracic Spine W Cont,3924.0,1373.4,,,0
CDM,61200005,Hb Mri Lumbar Spine Wo Cont,3694.0,1292.9,,,0
CDM,61200006,Hb Mri Lumbar Spine W Cont,4065.0,1422.75,,,0
CDM,61200007,Hb Mri Cervical Spine Wo And W Cont,7030.0,2460.5,,,0
CDM,61200008,Hb Mri Thoracic Spine Wo And W Cont,6830.0,2390.5,,,0
CDM,61200009,Hb Mri Lumbar Spine Wo And W Cont,7167.0,2508.45,,,0
CDM,61200010,Hb Mra Spine Wo And W Cont,2500.0,875.0,,,0
CDM,61200011,Hb  Mri Pelvis W/O Contrast,3806.0,1332.1,,,0
CDM,61200012,Hb Mri Pelvis W Cont,4148.0,1451.8,,,0
CDM,61200013,Hb Mri Pelvis Wo And W Cont,4821.0,1687.35,,,0
CDM,62100001,Hb Ablation Electrode,10261.2,3591.42,,,0
CDM,62100001_621,Hb Ablation Electrode,10261.2,3591.42,,,0
CDM,62100002,Hb Ablation Electrode Flex,13005.0,4551.75,,,0
CDM,62100005,Hb Biopsy Kit I,229.5,80.32,,,0
CDM,62100005_272,Hb Biopsy Kit I,229.5,80.32,,,0
CDM,62100005_621,Hb Biopsy Kit I,229.5,80.32,,,0
CDM,62100006,Hb Biopsy Needle,428.4,149.94,,,0
CDM,62100006_272,Hb Biopsy Needle,428.4,149.94,,,0
CDM,62100006_621,Hb Biopsy Needle,428.4,149.94,,,0
CDM,62100007,Hb Chiba Needle,341.7,119.6,,,0
CDM,62100009,Hb Drainage Bag,97.92,34.27,,,0
CDM,62100010,Hb Film Dup,60.18,21.06,,,0
CDM,62100012,Hb Molnar Disk,232.56,81.4,,,0
CDM,62100013,Hb Procedure Tray,163.2,57.12,,,0
CDM,62100013_272,Hb Procedure Tray,163.2,57.12,,,0
CDM,62100013_621,Hb Procedure Tray,163.2,57.12,,,0
CDM,62100015,Hb Vanson Sump Kit,1083.24,379.13,,,0
CDM,62100015_272,Hb Vanson Sump Kit,1083.24,379.13,,,0
CDM,62100015_621,Hb Vanson Sump Kit,1083.24,379.13,,,0
CDM,62200002,Hb Therapy Vest,808.86,283.1,,,0
CDM,62400001_160709,Hb Sup Revenue Code 624,46449.58,16257.35,,,0
CDM,62400001_160716,Hb Sup Revenue Code 624,46449.58,16257.35,,,0
CDM,62400001_160728,Hb Sup Revenue Code 624,46449.58,16257.35,,,0
CDM,62400001_163781,Hb Sup Revenue Code 624,23948.09,8381.83,,,0
CDM,62400001_163788,Hb Sup Revenue Code 624,14483.0,5069.05,,,0
CDM,62400001_163802,Hb Sup Revenue Code 624,14483.0,5069.05,,,0
CDM,62400001_163809,Hb Sup Revenue Code 624,14483.0,5069.05,,,0
CDM,62400001_163812,Hb Sup Revenue Code 624,12872.52,4505.38,,,0
CDM,62400001_163827,Hb Sup Revenue Code 624,26943.01,9430.05,,,0
CDM,62400001_163851,Hb Sup Revenue Code 624,15245.86,5336.05,,,0
CDM,62400001_194027,Hb Sup Revenue Code 624,855.44,299.4,,,0
CDM,62400001_194186,Hb Sup Revenue Code 624,7338.92,2568.62,,,0
CDM,62400001_194198,Hb Sup Revenue Code 624,7167.93,2508.78,,,0
CDM,62400001_194200,Hb Sup Revenue Code 624,7167.93,2508.78,,,0
CDM,62400001_203414,Hb Sup Revenue Code 624,9179.72,3212.9,,,0
CDM,62400001_203421,Hb Sup Revenue Code 624,9179.72,3212.9,,,0
CDM,62400001_203428,Hb Sup Revenue Code 624,9179.72,3212.9,,,0
CDM,62400001_203434,Hb Sup Revenue Code 624,9179.72,3212.9,,,0
CDM,62400001_21425,Hb Sup Revenue Code 624,542.48,189.87,,,0
CDM,62400001_51514,Hb Sup Revenue Code 624,7338.92,2568.62,,,0
CDM,62400001_55927,Hb Sup Revenue Code 624,9574.85,3351.2,,,0
CDM,62400001_624,Hb Sup Revenue Code 624,8059.1,2820.68,,,0
CDM,62400001_69431,Hb Sup Revenue Code 624,1828.21,639.87,,,0
CDM,62400001_75062,Hb Sup Revenue Code 624,19508.73,6828.06,,,0
CDM,62400004,Hb Research Device-Provided By Sponsor,1.03,0.36,,,0
CDM,63600045_19989,Hb Sup Rev 636 Hcpcs Q4108,9676.86,3386.9,,,0
CDM,63600048_190582,Hb Sup Rev 636 Hcpcs Q4116,14371.65,5030.08,,,0
CDM,63600164,Hb Brachytx Non Str Hdr Ir 192,1449.36,507.28,,,0
CDM,63600164_C1717_278,Hb Brachytx Non Str Hdr Ir 192,1449.36,507.28,,,0
CDM,68100001,Hb Trauma Alert A,10273.0,3595.55,,,0
CDM,71000001,Hb Recovery Room 2 Min,154.0,53.9,,,0
CDM,71000002,Hb Recovery Room Non Or 2 Min,154.0,53.9,,,0
CDM,72000001,Hb Delivery Svc Limited Use,907.0,317.45,,,0
CDM,72000002,Hb Insert Cervical Dilator,2290.0,801.5,,,0
CDM,72000003,Hb Fetal Monitoring,1576.0,551.6,,,0
CDM,72000004,Hb Retained Placental Extraction,8778.0,3072.3,,,0
CDM,72000005,Hb Fetal Contraction Stress Test,2614.0,914.9,,,0
CDM,72000006,Hb Amniocentesis Therapeutic,4396.0,1538.6,,,0
CDM,72000007,Episiotomy Or Vaginal Repair,8999.0,3149.65,,,0
CDM,72200001,Hb Delivery Svc Vag Del,1819.0,636.65,,,0
CDM,72200002,Hb Vaginal Delivery Only,7551.0,2642.85,,,0
CDM,72200003,Hb Vaginal Delivery After Cesarean Delivery,11555.0,4044.25,,,0
CDM,72300001,Hb Circumcision,4279.5,1497.825,,,0
CDM,73000001,Hb Ekg 80 Lead,2105.0,736.75,,,0
CDM,73000003,Hb Rhythm Strip Ekg,367.0,128.45,,,0
CDM,73000004,Hb Signal Average Ekg,850.0,297.5,,,0
CDM,73000005,Hb Pt Event Recording Per Month,559.0,195.65,,,0
CDM,73000006,Hb Electrocardiogram Complete,365.0,127.75,,,0
CDM,73000007,Hb 93005 Electrocardiogram Tracing,535.0,187.25,,,0
CDM,73000008,Hb 93041 Rhythm Strip Ekg,367.0,128.45,,,0
CDM,73000009,Hb 0897T N-Invas Augmnt Arrhyt Alys,2554.0,893.9,,,0
CDM,73100003,Hb Pt Event Monitor Month,1131.0,395.85,,,0
CDM,73100004,Hb Ecg Monit Reprt Up To 48 Hrs,470.0,164.5,,,0
CDM,73100005,Hb Remote 30 Day Ecg Rev Report,475.0,166.25,,,0
CDM,73100006,Hb Remote 30 Day Ecg Tech Supp,514.0,179.9,,,0
CDM,73100007,Hb 93225 Holter Monitor Recording,1638.0,573.3,,,0
CDM,73100008,Hb 93226 Holter Monitor Scanning,1322.0,462.7,,,0
CDM,74000001,Hb Multiple Sleep Latency Test,6719.0,2351.65,,,0
CDM,74000002,Hb Sleep Study Unattended,1326.0,464.1,,,0
CDM,74000003,Hb Polysomnography 4 Up 6Yr Up,10093.0,3532.55,,,0
CDM,74000004,Hb Polysomnography W Cpap 6Yr Up,11100.0,3885.0,,,0
CDM,74000005,Hb Extended Eeg Monitoring Less 1Hr,925.0,323.75,,,0
CDM,74000006,Hb Extended Eeg Monitoring Over 1Hr,1292.0,452.2,,,0
CDM,74000007,Hb Eeg Record Awake And Drowsy,1666.0,583.1,,,0
CDM,74000008,Hb Eeg Record Awake And Asleep,1998.0,699.3,,,0
CDM,74000009,Hb Eeg Record In Come Or Sleep,1666.0,583.1,,,0
CDM,74000010,Hb Eeg Braindeath Evaluation,2220.0,777.0,,,0
CDM,74000011,Hb Electrocorticogram At Surg,4936.0,1727.6,,,0
CDM,74000012,Hb Insert Electrodes For Eeg,1346.0,471.1,,,0
CDM,74000013,Hb Intraop Neurophys Test Each 15 Min,1850.0,647.5,,,0
CDM,74000016,Hb Eeg During Surgery,4465.0,1562.75,,,0
CDM,74000018,Hb Eeg Digital Analysis,1205.0,421.75,,,0
CDM,74000019,Hb Eeg Wada Activation Test,2094.0,732.9,,,0
CDM,74000020,Hb Functional Cortical Map 1St Hr,3003.0,1051.05,,,0
CDM,74000021,Hb Funct Cortical Map Ea Addl Hr,2980.0,1043.0,,,0
CDM,74000024,Hb Special Order Eeg,149.0,52.15,,,0
CDM,74000025,Hb Cardio Resp Nap Study,2913.0,1019.55,,,0
CDM,74000026,Hb Cardio Resp Nap Study Abbrev,2253.0,788.55,,,0
CDM,74000027,Hb Eeg Awake Drowsy Port,1666.0,583.1,,,0
CDM,74000028,Hb Eeg Awake Asleep Port,1666.0,583.1,,,0
CDM,74000029,Hb Polysomnography 4 Up Ls 6Yr,3266.0,1143.1,,,0
CDM,74000030,Hb Polysomnography W Cpap Ls 6Yr,3266.0,1143.1,,,0
CDM,74000032,Hb Home Sleep Test/Type 3 Porta,1546.0,541.1,,,0
CDM,74000033,Hb Alys Simpl Cn Npgt Prgrmg,994.0,347.9,,,0
CDM,74000034,Hb Alys Cplx Cn Npgt Prgrmg,1450.0,507.5,,,0
CDM,74000035,Hb Actigraphy Testing 73 Hrs-14 Cons Days,487.0,170.45,,,0
CDM,74000036,Hb Veeg Ea 12-26 Hr Unmntr,11317.0,3960.95,,,0
CDM,74000037,Hb Veeg By Tech 2-12 Hours Unmonitored,5658.0,1980.3,,,0
CDM,74000038,Hb Eeg Wo Vid Ea 12-26Hr Unmntr,4709.0,1648.15,,,0
CDM,74000039,Hb Eeg W/O Vid 2-12 Hr Unmntr,2354.0,823.9,,,0
CDM,74000040,Hb Eeg Cont Rec W/Video By Tech Setup,1518.0,531.3,,,0
CDM,74000041,Hb Veeg By Tech Ea Incr 12-26 Hr Cont R-T Mntr,8125.0,2843.75,,,0
CDM,74000042,Hb Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time,1647.0,576.45,,,0
CDM,75000001,Hb Bone Marrow Aspiration,2488.0,870.8,,,0
CDM,75000002,Hb Bone Marrow Biopsy,5505.0,1926.75,,,0
CDM,75000003,Hb Esophagus Endoscopy,1464.0,512.4,,,0
CDM,75000004,Hb Esophagoscopy W Biopsy,1902.0,665.7,,,0
CDM,75000005,Hb Esoph Endo W Remove Fb,1902.0,665.7,,,0
CDM,75000006,Hb Esoph Endo W Balloon Dilation,1902.0,665.7,,,0
CDM,75000007,Hb Esoph Endo W Gd Wire Dilation,1902.0,665.7,,,0
CDM,75000008,Hb Esoph Endoscopy Ablation,1902.0,665.7,,,0
CDM,75000009,Hb Esoph Encoscopy W Us Fn Bx,1902.0,665.7,,,0
CDM,75000011,Hb Egd,1434.0,501.9,,,0
CDM,75000012,Hb Egd W Injection,2018.0,706.3,,,0
CDM,75000013,Hb Egd W Transendo Us,2018.0,706.3,,,0
CDM,75000014,Hb Egd W Biopsy,2018.0,706.3,,,0
CDM,75000015,Hb Egd W Drain Cyst,2018.0,706.3,,,0
CDM,75000016,Hb Egd W Place Peg,2018.0,706.3,,,0
CDM,75000017,Hb Egd W Aspir Biopsy,2018.0,706.3,,,0
CDM,75000018,Hb Egd W Sclerosis Inject,2018.0,706.3,,,0
CDM,75000019,Hb Egd W Banding,2018.0,706.3,,,0
CDM,75000020,Hb Egd W Dilation,2018.0,706.3,,,0
CDM,75000021,Hb Egd W Place Tube,2220.0,777.0,,,0
CDM,75000022,Hb Egd W Remove Fb,2018.0,706.3,,,0
CDM,75000023,Hb Egd W Gd Wire Dilation,2018.0,706.3,,,0
CDM,75000024,Hb Egd W Balloon Dilation,2018.0,706.3,,,0
CDM,75000025,Hb Egd W Rem Tumr Polyp Forcep,2018.0,706.3,,,0
CDM,75000026,Hb Egd W Rem Tumr Polyp Snare,2018.0,706.3,,,0
CDM,75000027,Hb Egd W Control Bleed,2018.0,706.3,,,0
CDM,75000028,Hb Egd W Place Stent,2018.0,706.3,,,0
CDM,75000029,Hb Egd W Ablation Tumor,2018.0,706.3,,,0
CDM,75000030,Hb Egd W Endo Us,2018.0,706.3,,,0
CDM,75000031,Hb Ercp,3351.0,1172.85,,,0
CDM,75000032,Hb Ercp W Biopsy,4356.0,1524.6,,,0
CDM,75000033,Hb Ercp W Sphinct Papill,4356.0,1524.6,,,0
CDM,75000034,Hb Ercp W Pressure Measure,3351.0,1172.85,,,0
CDM,75000035,Hb Ercp W Remove Stones,4356.0,1524.6,,,0
CDM,75000036,Hb Ercp W Lithotripsy,5664.0,1982.4,,,0
CDM,75000038,Hb Ercp W Insert Stent,5664.0,1982.4,,,0
CDM,75000040,Hb Ercp W Balloon Dilation,4356.0,1524.6,,,0
CDM,75000041,Hb Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire,4356.0,1524.6,,,0
CDM,75000042,Hb Endoscopic Pancreatoscopy,17340.0,6069.0,,,0
CDM,75000043,Hb Esoph Dilation Sound Or Bougie,3781.0,1323.35,,,0
CDM,75000044,Hb Esoph Dilation Over Guidewire,5125.0,1793.75,,,0
CDM,75000045,Hb Esoph Dilation W Balloon,1902.0,665.7,,,0
CDM,75000046,Hb Esoph Dilat W Balloon Over 30Mm,10035.0,3512.25,,,0
CDM,75000047,Hb Nasal Orogastric Tube Placement,1690.0,591.5,,,0
CDM,75000048,Hb Gastric Intubation Treatment,1461.0,511.35,,,0
CDM,75000049,Hb Gastric Analysis Single,8030.0,2810.5,,,0
CDM,75000050,Hb Gastric Analysis Multiple,763.0,267.05,,,0
CDM,75000052,Hb Reposition Gastric Tube,6462.0,2261.7,,,0
CDM,75000053,Hb Enteroscopy,7607.0,2662.45,,,0
CDM,75000054,Hb Enteroscopy W Biopsy,9890.0,3461.5,,,0
CDM,75000055,Hb Enteroscopy W Remove Fb,7607.0,2662.45,,,0
CDM,75000056,Hb Enteroscopy W Remove Snare,9890.0,3461.5,,,0
CDM,75000057,Hb Enteroscopy W Remove Forcep,9890.0,3461.5,,,0
CDM,75000058,Hb Enteroscopy W Control Bleed,9890.0,3461.5,,,0
CDM,75000059,Hb Enteroscopy W Ablation Tumor,9890.0,3461.5,,,0
CDM,75000060,Hb Enteroscopy W Place Stent,12856.0,4499.6,,,0
CDM,75000061,Hb Enteroscopy W Place Tube,9890.0,3461.5,,,0
CDM,75000062,Hb Enteroscopy W Ileum,10690.0,3741.5,,,0
CDM,75000063,Hb Enteroscopy Ileum W Bx,11166.0,3908.1,,,0
CDM,75000064,Hb Enteroscopy Ileum W Contrl Bleed,8106.0,2837.1,,,0
CDM,75000065,Hb Ileoscopy Via Stoma,5732.0,2006.2,,,0
CDM,75000066,Hb Ileoscopy Via Stoma W Biopsy,6593.0,2307.55,,,0
CDM,75000067,Hb Ileo Via Stoma W Place Stent,19562.0,6846.7,,,0
CDM,75000068,Hb Endo Eval Sm Intest Pouch,7375.0,2581.25,,,0
CDM,75000069,Hb Endo Eval Sm Intest Pouch W Bx,7375.0,2581.25,,,0
CDM,75000070,Hb Colonoscopy Via Stoma,1988.0,695.8,,,0
CDM,75000071,Hb Colonoscopy Via Stoma W Bx,2585.0,904.75,,,0
CDM,75000072,Hb Colonoscopy Stoma W Remove Fb,2585.0,904.75,,,0
CDM,75000073,Hb Colonoscopy Stoma W Contrl Bleed,2585.0,904.75,,,0
CDM,75000074,Hb Colonoscopy Stoma W Polypectomy,2585.0,904.75,,,0
CDM,75000075,Hb Colonoscopy Stoma W Ablat Tumor,2585.0,904.75,,,0
CDM,75000076,Hb Colo Stom W Rem Tum Pol Snare,2585.0,904.75,,,0
CDM,75000077,Hb Colonoscopy Stoma W Place Stent,3361.0,1176.35,,,0
CDM,75000078,Hb Intestine Procedure,7201.0,2520.35,,,0
CDM,75000079,Hb Anorectal Wall Biopsy,24034.0,8411.9,,,0
CDM,75000080,Hb Proctosigmoidoscopy Rigid,873.0,305.55,,,0
CDM,75000081,Hb Proctosigmoidoscopy W Bx,3394.0,1187.9,,,0
CDM,75000082,Hb Proctosigmoid W Remove Snare,3276.0,1146.6,,,0
CDM,75000083,Hb Sigmoidoscopy,856.0,299.6,,,0
CDM,75000084,Hb Sigmoidoscopy W Biopsy,1113.0,389.55,,,0
CDM,75000085,Hb Sigmoidoscopy W Remove Fb,1113.0,389.55,,,0
CDM,75000086,Hb Sigmoid W Rem Tum Polyp Forcep,1113.0,389.55,,,0
CDM,75000087,Hb Sigmoidoscopy W Control Bleed,1113.0,389.55,,,0
CDM,75000088,Hb Sigmoidoscopy W Inj Submucosal,1113.0,389.55,,,0
CDM,75000089,Hb Sigmoid W Rem Tum Polyp Snare,1113.0,389.55,,,0
CDM,75000090,Hb Sigmoidoscopy W Ablation Tumor,1113.0,389.55,,,0
CDM,75000091,Hb Sigmoidoscopy W Balloon Dilat,1113.0,389.55,,,0
CDM,75000092,Hb Sigmoidoscopy W Endo Us,1113.0,389.55,,,0
CDM,75000093,Hb Sigmoidoscopy W Ndl Aspir Bx,1113.0,389.55,,,0
CDM,75000094,Hb Sigmoidoscopy W Place Stent,1113.0,389.55,,,0
CDM,75000095,Hb Colonoscopy,3266.0,1143.1,,,0
CDM,75000096,Hb Colonoscopy W Remove Fb,3266.0,1143.1,,,0
CDM,75000097,Hb Colonoscopy W Biopsy,3411.0,1193.85,,,0
CDM,75000098,Hb Colonoscopy W Inj Submucosal,3411.0,1193.85,,,0
CDM,75000099,Hb Colonoscopy W Control Bleed,3411.0,1193.85,,,0
CDM,75000100,Hb Colonoscopy W Ablat Tumor,3411.0,1193.85,,,0
CDM,75000101,Hb Colon W Rem Tum Pol Forcep,3966.0,1388.1,,,0
CDM,75000102,Hb Colon W Rem Tum Pol Snare,3966.0,1388.1,,,0
CDM,75000103,Hb Colonoscopy W Balloon Dilat,3411.0,1193.85,,,0
CDM,75000104,Hb Colonoscopy W Place Stent,3411.0,1193.85,,,0
CDM,75000105,Hb Colonoscopy W Endo Us,3411.0,1193.85,,,0
CDM,75000106,Hb Colonoscopy W Transendo Us,3411.0,1193.85,,,0
CDM,75000107,Hb Place Anal Seton,18221.0,6377.35,,,0
CDM,75000108,Hb Anoscopy,6478.0,2267.3,,,0
CDM,75000109,Hb Anoscopy W Remove Fb,8419.0,2946.65,,,0
CDM,75000110,Hb Anoscopy W Rem Tum Poly Forcep,8419.0,2946.65,,,0
CDM,75000111,Hb Anoscopy W Rem Tum Poly Snare,8419.0,2946.65,,,0
CDM,75000112,Hb Anosco W Rem Multi Tum Polyp,8419.0,2946.65,,,0
CDM,75000113,Hb Anoscopy W Control Bleed,8419.0,2946.65,,,0
CDM,75000114,Hb Anoscopy W Ablat Tumor,8419.0,2946.65,,,0
CDM,75000115,Hb Hemorrhoid Ligation,9257.0,3239.95,,,0
CDM,75000116,Hb Liver Biopsy,6868.0,2403.8,,,0
CDM,75000117,Hb Esophageal Dilation,2101.0,735.35,,,0
CDM,75000118,Hb Esophageal Motility,5428.0,1899.8,,,0
CDM,75000119,Hb Esophageal Motility W Stim,3109.0,1088.15,,,0
CDM,75000120,Hb Gastroesophageal Reflux Test,5151.0,1802.85,,,0
CDM,75000121,Hb Gesoph Reflux Test W Electrod,10892.0,3812.2,,,0
CDM,75000122,Hb Hydrogen Breath Test,3902.0,1365.7,,,0
CDM,75000123,Hb Gastro Capsule Endoscopy,10525.0,3683.75,,,0
CDM,75000124,Hb Anal Motility,4637.0,1622.95,,,0
CDM,75000125,Hb Agile Patency Procedure,3849.0,1347.15,,,0
CDM,75000126,Hb Stomach Procedure,6801.0,2380.35,,,0
CDM,75000127,Hb Perc Place Gastro Tube,5026.0,1759.1,,,0
CDM,75000128,Hb Esoph Motility W Imped Test,4203.0,1471.05,,,0
CDM,75000129,Hb Bronchoscopy,9575.0,3351.25,,,0
CDM,75000130,Hb Bronchoscopy W Tumor Destruct,10375.0,3631.25,,,0
CDM,75000131,Hb Esophagus Procedure,12411.0,4343.85,,,0
CDM,75000132,Hb Enteroscopy W Tube Conversion,9890.0,3461.5,,,0
CDM,75000133,Hb Proctosigmoidoscopy W Dilat,1329.0,465.15,,,0
CDM,75000134,Hb 38221 Bone Marrow Biopsy,5505.0,1926.75,,,0
CDM,75000135,Hb 44372 Enteroscopy W Place Tube,9890.0,3461.5,,,0
CDM,75000136,Hb 49406 Perc Drain Append Absces,6969.0,2439.15,,,0
CDM,75000137,Hb Botox Injection Ge,21230.0,7430.5,,,0
CDM,75000138,Hb Colon Decompression,2755.0,964.25,,,0
CDM,75000139,Hb Colon Cancer Scr Sigmoid,1067.0,373.45,,,0
CDM,75000140,Hb Colon Ca Scrn Hi Rsk Ind,3333.0,1166.55,,,0
CDM,75000141,Hb Colon Ca Scren Not Hi Rsk Ind,1750.0,612.5,,,0
CDM,75000142,Hb Egd W Esoph Us,2018.0,706.3,,,0
CDM,75000143,Hb Hemorrhoid Ligation 2 Or More,12675.0,4436.25,,,0
CDM,75000144,Hb Esophageal Motility W 3D,7400.0,2590.0,,,0
CDM,75000145,Hb Egd W Thermal Treatment,2220.0,777.0,,,0
CDM,75000146,Hb Rectal Sensation Test,5124.0,1793.4,,,0
CDM,75000147,Hb 43753 Gastric Intubation Tx,1461.0,511.35,,,0
CDM,75000148,Hb Esoph Imped Functn Test > 1Hr,7518.0,2631.3,,,0
CDM,75000149,Hb Esoph W Insert Stent,1902.0,665.7,,,0
CDM,75000150,Hb Abdomen Procedure,10407.0,3642.45,,,0
CDM,75000151,Hb Gi Transit And Pres Meas Wireless Capsule W Interp,3293.0,1152.55,,,0
CDM,75000152,Hb Dilation Of Anal Sphincter,10244.0,3585.4,,,0
CDM,75000153,Hb Anorectal Exam Surg Req Anesth,14537.0,5087.95,,,0
CDM,75000156,Hb Ercp Remove Forgn Body Duct,4356.0,1524.6,,,0
CDM,75000158,Hb 43220 Esophagoscopy Balloon <30Mm,1902.0,665.7,,,0
CDM,75000159,Hb 43201 Esoph Scope W/Submucous Inj,1902.0,665.7,,,0
CDM,75000160,Hb Egd Endo Mucosal Resection,2018.0,706.3,,,0
CDM,75000161,Hb Ercp Stent Exchange W/Dilate,5664.0,1982.4,,,0
CDM,75000162,Hb Esophageal Capsule Endoscopy,9440.0,3304.0,,,0
CDM,75000165,Hb Egd Us Transmural Injxn/Mark,2018.0,706.3,,,0
CDM,75000166,Hb Sigmoidoscopy W Band Ligation,1113.0,389.55,,,0
CDM,75000167,Hb Chemodenervation Of Anal Sphincter,8434.0,2951.9,,,0
CDM,75000168,Hb Colonoscopy W/Band Ligation,2026.0,709.1,,,0
CDM,75000169,Hb Unlisted Colon Procedure,3946.0,1381.1,,,0
CDM,75000170,Hb Colonoscopy Stoma W/ Injection,2585.0,904.75,,,0
CDM,75000171,Hb Colonoscopy Stoma W/ Balloon Dilat,2585.0,904.75,,,0
CDM,75000172,Hb Colonoscopy W/Resection,3411.0,1193.85,,,0
CDM,75000173,Hb Sigmoidoscopy W/Resection,1113.0,389.55,,,0
CDM,75000174,Hb Esoph Scope W/Submucous Inj,1902.0,665.7,,,0
CDM,75000175,Hb Chg G Tube To Gj Perc,8616.0,3015.6,,,0
CDM,75000176,Hb Ileoscopy Via Stoma W Ballon Dilat,6593.0,2307.55,,,0
CDM,75000177,Hb Colonoscopy W/Resection,2585.0,904.75,,,0
CDM,75000178,Hb Esophagoscopy Flexible Transoral Ultrasound Exam,5423.0,1898.05,,,0
CDM,75000179,Hb Proctosgmdsc Rigid W/Rmvl Foreign Body,8240.0,2884.0,,,0
CDM,75000180,Hb Coloscopy Flexible With Decompression,4269.0,1494.15,,,0
CDM,75000181,Hb Gastrostomy Tube Change W/O Revision,4178.0,1462.3,,,0
CDM,75000182,Hb Gastrostomy Tube Change W Revision,5621.0,1967.35,,,0
CDM,75000183,Hb 43278 Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire,4356.0,1524.6,,,0
CDM,75000184,"""""""Hb 43999 Unlisted Procedure Stomach""",6069.0,2124.15,,,0
CDM,76100001,Hb Fna Bx W/O Img Fdn 1St Les,1817.0,635.95,,,0
CDM,76100002,Hb Drainage Abscess Simple,3526.0,1234.1,,,0
CDM,76100003,Hb Drainage Abscess Comp Or Multi,4064.5,1422.575,,,0
CDM,76100004,Hb Rem Foreign Body Simple,2203.5,771.225,,,0
CDM,76100005,Hb Rem Foreign Body Complex,8234.0,2881.9,,,0
CDM,76100006,Hb Drainage Hematoma Or Seroma,5518.5,1931.475,,,0
CDM,76100007,Hb Puncture Aspiration,1932.0,676.2,,,0
CDM,76100008,Hb Drainage Comp Postop Wound Infec,7343.0,2570.05,,,0
CDM,76100011,Hb Deb Subq Tissue 1St 20 Sq Cm,1805.0,631.75,,,0
CDM,76100012,Hb Pare Cut Single Lesion,386.0,135.1,,,0
CDM,76100013,Hb Pare Cut 2 To 4 Lesions,501.0,175.35,,,0
CDM,76100014,Hb Pare Cut Over 4 Lesions,651.5,228.02499999999998,,,0
CDM,76100017,Hb Removal Skin Tags Up To 15,363.0,127.05,,,0
CDM,76100018,Hb Removal Skin Tags Addl 10,325.0,113.75,,,0
CDM,76100019,Hb Shv Les Tr 0.5 Cm Or Less,134.0,46.9,,,0
CDM,76100020,Hb Shv Les Tr 0.6 To 1.0 Cm,172.0,60.2,,,0
CDM,76100021,Hb Shv Les Tr 1.1 To 2.0 Cm,226.0,79.1,,,0
CDM,76100022,Hb Shv Les Neck 0.5Cm Or Less,227.0,79.45,,,0
CDM,76100023,Hb Shv Les Head 0.5Cm Or Less,276.0,96.6,,,0
CDM,76100024,Hb Shv Les Head 0.6 To 1.0 Cm,291.0,101.85,,,0
CDM,76100025,Hb Exc Ben Les Tr Ext To 0.5 Cm,10071.5,3525.025,,,0
CDM,76100026,Hb Exc Ben Les Tr Ext 0.6 To 1.0 Cm,6453.0,2258.55,,,0
CDM,76100027,Hb Exc Ben Les Tr Ext 1.1 To 2.0 Cm,6759.0,2365.65,,,0
CDM,76100028,Hb Exc Ben Les Tr Ext 2.1 To 3.0 Cm,7011.5,2454.0249999999996,,,0
CDM,76100029,Hb Exc Ben Les Tr Ext 3.1 To 4.0 Cm,7631.0,2670.85,,,0
CDM,76100030,Hb Exc Ben Les Tr Ext Over 4.0 Cm,9396.5,3288.7749999999996,,,0
CDM,76100031,Hb Exc Ben Les Snhfg To 0.5 Cm,7510.0,2628.5,,,0
CDM,76100032,Hb Exc Ben Les Snhfg 0.6 To 1.0 Cm,8078.5,2827.475,,,0
CDM,76100033,Hb Exc Ben Les Snhfg 1.1 To 2.0 Cm,9354.5,3274.075,,,0
CDM,76100034,Hb Exc Ben Les Snhfg 2.1 To 3.0 Cm,9786.5,3425.275,,,0
CDM,76100035,Hb Exc Ben Les Snhfg 3.1 To 4.0 Cm,9125.0,3193.75,,,0
CDM,76100036,Hb Exc Ben Les Snhfg Over 4.0 Cm,9582.0,3353.7,,,0
CDM,76100037,Hb Exc Ben Les Feenlm To 0.5 Cm,7235.0,2532.25,,,0
CDM,76100038,Hb Exc Ben Les Feenlm 0.6 To 1.0 Cm,7594.0,2657.9,,,0
CDM,76100039,Hb Exc Ben Les Feenlm 1.1 To 2.0 Cm,7975.0,2791.25,,,0
CDM,76100040,Hb Exc Ben Les Feenlm 2.1 To 3.0 Cm,8375.0,2931.25,,,0
CDM,76100041,Hb Exc Ben Les Feenlm 3.1 To 4.0 Cm,8793.0,3077.55,,,0
CDM,76100042,Hb Exc Ben Les Feenlm Over 4.0 Cm,9232.0,3231.2,,,0
CDM,76100043,Hb Exc Mal Les Tr Ext To 0.5 Cm,6770.0,2369.5,,,0
CDM,76100044,Hb Exc Mal Les Tr Ext 0.6 To 1.0 Cm,7105.0,2486.75,,,0
CDM,76100045,Hb Exc Mal Les Tr Ext 1.1 To 2.0 Cm,7463.0,2612.05,,,0
CDM,76100046,Hb Exc Mal Les Tr Ext 2.1 To 3.0 Cm,6328.5,2214.975,,,0
CDM,76100047,Hb Exc Mal Les Tr Ext 3.1 To 4.0 Cm,8229.0,2880.15,,,0
CDM,76100048,Hb Exc Mal Les Tr Ext Over 4.0 Cm,8640.0,3024.0,,,0
CDM,76100049,Hb Exc Mal Les Snhfg To 0.5 Cm,9232.0,3231.2,,,0
CDM,76100050,Hb Exc Mal Les Snhfg 0.6 To 1.0 Cm,9692.0,3392.2,,,0
CDM,76100051,Hb Exc Mal Les Snhfg 1.1 To 2.0 Cm,10177.0,3561.95,,,0
CDM,76100052,Hb Exc Mal Les Snhfg 2.1 To 3.0 Cm,10682.0,3738.7,,,0
CDM,76100053,Hb Exc Mal Les Snhfg 3.1 To 4.0 Cm,11221.0,3927.35,,,0
CDM,76100054,Hb Exc Mal Les Snhfg Over 4.0 Cm,11782.0,4123.7,,,0
CDM,76100055,Hb Exc Mal Les Feenlm To 0.5 Cm,9112.0,3189.2,,,0
CDM,76100056,Hb Exc Mal Les Feenlm 0.6 To 1.0 Cm,9573.0,3350.55,,,0
CDM,76100057,Hb Exc Mal Les Feenlm 1.1 To 2.0 Cm,10045.0,3515.75,,,0
CDM,76100058,Hb Exc Mal Les Feenlm 2.1 To 3.0 Cm,10546.0,3691.1,,,0
CDM,76100059,Hb Exc Mal Les Feenlm 3.1 To 4.0 Cm,11078.0,3877.3,,,0
CDM,76100060,Hb Exc Mal Les Feenlm Over 4.0 Cm,11627.0,4069.45,,,0
CDM,76100061,Hb Trim Nails,70.0,24.5,,,0
CDM,76100062,Hb Debride Nails 1 To 5,650.5,227.675,,,0
CDM,76100063,Hb Debride Nails 6 Or More,169.0,59.15,,,0
CDM,76100064,Hb Avulsion Of Nail Plate,263.0,92.05,,,0
CDM,76100065,Hb Avulse 2Nd Nail,126.0,44.1,,,0
CDM,76100066,Hb Excise Nail,624.5,218.575,,,0
CDM,76100067,Hb Inject Intralesional 1 To 7,99.5,34.825,,,0
CDM,76100068,Hb Sq Inject Filling Matl To 1Cc,168.5,58.975,,,0
CDM,76100069,Hb Sq Inj Filling Matl 1.1 To 5Cc,224.0,78.4,,,0
CDM,76100070,Hb Sq Inj Filling Matl 5.1 To 10Cc,325.0,113.75,,,0
CDM,76100071,Hb Norplant Removal,970.0,339.5,,,0
CDM,76100072,Hb Rep Simp Tsnge 2.5Cm Or Less,779.0,272.65,,,0
CDM,76100073,Hb Rep Sim Tsnge 2.6 To 7.5 Cm,824.0,288.4,,,0
CDM,76100074,Hb Rep Sim Tsnge 7.6 To 12.5 Cm,1295.0,453.25,,,0
CDM,76100075,Hb Rep Sim Tsnge 12.6 To 20.0 Cm,905.0,316.75,,,0
CDM,76100076,Hb Rep Sim Tsnge 20.1 To 30.0 Cm,1585.5,554.925,,,0
CDM,76100077,Hb Rep Sim Tsnge Over 30.0 Cm,1642.0,574.7,,,0
CDM,76100078,Hb Rep Sim Feenlm 2.5Cm Or Less,1116.0,390.59999999999997,,,0
CDM,76100079,Hb Rep Sim Feenlm 2.6 To 5.0 Cm,707.0,247.45,,,0
CDM,76100080,Hb Rep Sim Feenlm 5.1 To 7.5 Cm,1248.0,436.79999999999995,,,0
CDM,76100081,Hb Rep Sim Feenlm 7.6 To 12.5 Cm,1371.5,480.025,,,0
CDM,76100082,Hb Rep Sim Feenlm 12.6 To 20.0 Cm,1552.0,543.2,,,0
CDM,76100083,Hb Rep Sim Feenlm 20.1 To 30.0 Cm,1606.0,562.1,,,0
CDM,76100084,Hb Rep Sim Feenlm Over 30.0 Cm,3221.5,1127.525,,,0
CDM,76100085,Hb Burn Wound Care Small Less 5,697.0,243.95,,,0
CDM,76100086,Hb Dest Premalig 1St Les,2041.0,714.3499999999999,,,0
CDM,76100087,Hb Dest Premalig 2Nd To 14 Les,386.0,135.1,,,0
CDM,76100088,Hb Dest Premalig 15 Or More Les,2318.5,811.475,,,0
CDM,76100089,Hb Cryotherapy Up To 14 Les,5070.0,1774.5,,,0
CDM,76100090,Hb Cryotherapy 15 Or More Les,5290.0,1851.5,,,0
CDM,76100091,Hb Chemical Cauterization,841.0,294.35,,,0
CDM,76100092,Hb Dest Mal Lesion Less 0.5 Cm,232.0,81.2,,,0
CDM,76100093,Hb Dest Mal Lesion 1.1 To 2 Cm,406.0,142.1,,,0
CDM,76100094,Hb Dest Mal Lesion 2.1 To 3 Cm,887.0,310.45,,,0
CDM,76100095,Hb Biopsy Of Breast Aspiration,7995.5,2798.4249999999997,,,0
CDM,76100096,Hb Inj Ther Carpal Tunnel,904.0,316.4,,,0
CDM,76100097,Hb Inj Tendon Or Ligament,1067.0,373.45,,,0
CDM,76100098,Hb Inj Tendon Origin Or Insertion,1850.0,647.5,,,0
CDM,76100099,Hb Inj Trigger Pts 1 To 2 Muscles,2448.0,856.8,,,0
CDM,76100100,Hb Inj Trigger Pts 3 Or More Muscle,3329.5,1165.325,,,0
CDM,76100101,Hb Arthrocentesis Sm Joint,157.5,55.125,,,0
CDM,76100102,Hb Arthrocentesis Int Joint,1382.0,483.70000000000005,,,0
CDM,76100103,Hb Arthrocentesis Maj Joint,1692.0,592.2,,,0
CDM,76100104,Hb Arch Bar Removal,8259.0,2890.65,,,0
CDM,76100105,Hb Drain Wrist Abscess Or Hematoma,5790.0,2026.5,,,0
CDM,76100106,Hb Apply Cast Shoulder To Hand,945.5,330.925,,,0
CDM,76100107,Hb Apply Cast Elbow To Finger,879.5,307.825,,,0
CDM,76100108,Hb Apply Splint Shoulder To Hand,988.0,345.8,,,0
CDM,76100109,Hb Apply Splint Forearm To Hand,1026.0,359.1,,,0
CDM,76100110,Hb Apply Splint Finger Static,895.5,313.42499999999995,,,0
CDM,76100111,Hb Apply Cast Thigh To Toes,1805.0,631.75,,,0
CDM,76100112,Hb Apply Cast Walk Thigh To Toes,827.0,289.45,,,0
CDM,76100113,Hb Apply Cast Cyl Thigh To Ankle,2178.0,762.3,,,0
CDM,76100114,Hb Apply Cast Below Knee To Toes,933.0,326.54999999999995,,,0
CDM,76100115,Hb Apply Cast Short Leg Walk,467.0,163.45,,,0
CDM,76100116,Hb Apply Cast Ptb,2376.0,831.6,,,0
CDM,76100117,Hb Apply Cast Rigd Tot Leg Con,827.0,289.45,,,0
CDM,76100118,Hb Apply Splint Thigh To Ankle,911.0,318.85,,,0
CDM,76100119,Hb Apply Splint Calf To Foot,1078.0,377.29999999999995,,,0
CDM,76100120,Hb Strapping Ankle Or Foot,360.0,126.0,,,0
CDM,76100121,Hb Strapping Toes,114.0,39.9,,,0
CDM,76100122,Hb Strapping Unna Boot,404.0,141.4,,,0
CDM,76100123,Hb Remove Cast Full Arm Or Leg,705.0,246.75,,,0
CDM,76100124,Hb Biopsy Intranasal,1349.0,472.15,,,0
CDM,76100125,Hb Lysis Intranasal Synechia,802.0,280.7,,,0
CDM,76100126,Hb Nasal Endoscopy Diag,5769.5,2019.325,,,0
CDM,76100127,Hb Nasal Endo W Max Sinuscopy,509.0,178.15,,,0
CDM,76100128,Hb Nasal Endo W Sph Sinuscopy,8686.0,3040.1,,,0
CDM,76100129,Hb Nasal Endo W Debridement,9574.0,3350.9,,,0
CDM,76100130,Hb Tracheostomy Tube Change,1352.0,473.2,,,0
CDM,76100131,Hb Laryngoscopy Flex,763.0,267.05,,,0
CDM,76100132,Hb Laryngoscopy W Biopsies,10758.0,3765.3,,,0
CDM,76100133,Hb Laryngoscopy W Stroboscopy,2350.5,822.675,,,0
CDM,76100134,Hb Biopsy Lip,802.0,280.7,,,0
CDM,76100135,Hb Bx Vestible Of Mouth,556.0,194.6,,,0
CDM,76100136,Hb Bx Tongue Anterior 2/3,611.0,213.85,,,0
CDM,76100137,Hb Biopsy Floor Of Mouth,532.0,186.2,,,0
CDM,76100138,Hb Biopsy Palate Uvula,4276.5,1496.775,,,0
CDM,76100139,Hb Biopsy Oropharynx,3307.0,1157.45,,,0
CDM,76100140,Hb Bx Nasopharynx Les Simple,3307.0,1157.45,,,0
CDM,76100141,Hb Ligature Hemorrhoidectomy,5719.5,2001.825,,,0
CDM,76100142,Hb Anoscopy W Dilation,8419.0,2946.65,,,0
CDM,76100143,Hb Anoscopy W Biopsy,8419.0,2946.65,,,0
CDM,76100144,Hb Ult Int Hemorrhoidectomy,2453.0,858.55,,,0
CDM,76100145,Hb Bladder Aspiration Needle,5052.0,1768.2,,,0
CDM,76100146,Hb Bladder Aspirate Cath,7318.5,2561.475,,,0
CDM,76100147,Hb Bladder Irrigation,328.0,114.80000000000001,,,0
CDM,76100148,Hb Bladder Cath Non Indwelling,962.0,336.7,,,0
CDM,76100149,Hb Simple Cmg,1156.0,404.6,,,0
CDM,76100150,Hb Bladder Scan,559.0,195.65,,,0
CDM,76100151,Hb Cystourethroscopy W Cath,610.0,213.5,,,0
CDM,76100152,Hb Prostate Biopsy,6136.0,2147.6,,,0
CDM,76100153,Hb Drainage Barth Gland Abs,1294.5,453.07500000000005,,,0
CDM,76100154,Hb Destruct Lesion Vulva,5510.0,1928.5,,,0
CDM,76100155,Hb Destruct Vulva Lesion Ext,4669.5,1634.325,,,0
CDM,76100156,Hb Vulva Biopsy 1 Lesion,8375.5,2931.425,,,0
CDM,76100157,Hb Biopsy Of Vulva Addl,583.0,204.05,,,0
CDM,76100158,Hb Dest Lesions Vaginal Simp,8086.0,2830.1,,,0
CDM,76100159,Hb Destruct Vaginal Lesion,8675.0,3036.25,,,0
CDM,76100160,Hb Vaginal Biopsy Simple,8355.0,2924.25,,,0
CDM,76100161,Hb Fitting And Insertion Of Pess,244.0,85.4,,,0
CDM,76100162,Hb Diaphragm Fit W Inst,385.0,134.75,,,0
CDM,76100163,Hb Colposcopy Of Vagina,1073.5,375.725,,,0
CDM,76100164,Hb Colpo Of Vagina W Bx,2239.0,783.65,,,0
CDM,76100165,Hb Colposcopy,4166.0,1458.1,,,0
CDM,76100166,Hb Colpo Cervix W Biopsy Ecc,4376.0,1531.6,,,0
CDM,76100167,Hb Colpo W Biopsy Of Cervix,4590.0,1606.5,,,0
CDM,76100168,Hb Colpo Cervix W Ecc,4823.0,1688.05,,,0
CDM,76100169,Hb Colposcopy W Leep,5062.0,1771.7,,,0
CDM,76100170,Hb Cervical Biopsy,11447.5,4006.625,,,0
CDM,76100171,Hb Endocervical Curretage,9709.0,3398.15,,,0
CDM,76100172,Hb Cryocautery Of Cervix,212.0,74.2,,,0
CDM,76100173,Hb Loop Excision,7001.5,2450.5249999999996,,,0
CDM,76100174,Hb Endometrial Biopsy,3811.0,1333.85,,,0
CDM,76100175,Hb Bx Endometrial Icw Colpo,572.0,200.2,,,0
CDM,76100176,Hb Iud Insertion,1755.0,614.25,,,0
CDM,76100177,Hb Iud Removal,335.0,117.25,,,0
CDM,76100178,Hb Cath For Sis Or Hso,1657.0,579.95,,,0
CDM,76100179,Hb Amniocentesis,3388.0,1185.8,,,0
CDM,76100180,Hb Chor Vill Sample,1542.0,539.7,,,0
CDM,76100181,Hb Fetal Nonstress Test,1428.0,499.8,,,0
CDM,76100182,Hb Inj Peripheral Nerve Block,1505.5,526.925,,,0
CDM,76100183,Hb Conjunctival Fb Removal,377.0,131.95,,,0
CDM,76100184,Hb Removal Of Corneal Fb,865.0,302.75,,,0
CDM,76100185,Hb Corneal Lesion Excision,3738.0,1308.3,,,0
CDM,76100186,Hb Corneal Scraping,968.0,338.8,,,0
CDM,76100187,Hb Corneal Debridement,1436.0,502.6,,,0
CDM,76100188,Hb Injection Anterior Chamber,3498.0,1224.3,,,0
CDM,76100189,Hb Injection Retrobulbar,2203.5,771.225,,,0
CDM,76100190,Hb Injection Tenons Capsule,576.0,201.6,,,0
CDM,76100191,Hb Biopsy Eyelid,1224.0,428.4,,,0
CDM,76100192,Hb Epilation By Forceps,611.0,213.85,,,0
CDM,76100193,Hb Injection Subconjunctival,194.0,67.9,,,0
CDM,76100194,Hb Lacrimal Punctum Dilation,287.0,100.45,,,0
CDM,76100195,Hb Nasolacrimal Duct Probing,1892.0,662.2,,,0
CDM,76100196,Hb Lacrimal Canaliculi Probing,432.0,151.2,,,0
CDM,76100197,Hb Biopsy Ear External,325.0,113.75,,,0
CDM,76100198,Hb Remove Foreign Body In Ear,527.0,184.45,,,0
CDM,76100199,"Hb Removal Impacted Cerumen Requiring Instrumentation, Unilateral",1110.0,388.5,,,0
CDM,76100200,Hb Tympanostomy W Tube,7159.0,2505.65,,,0
CDM,76100201,Hb New Opthalm Intermediate,172.0,60.2,,,0
CDM,76100202,Hb New Opthalm Comprehensive,172.0,60.2,,,0
CDM,76100203,Hb Est Opthalm Intermediate,146.0,51.1,,,0
CDM,76100204,Hb Est Opthalm Comprehensive,178.0,62.3,,,0
CDM,76100205,Hb Refraction,153.0,53.55,,,0
CDM,76100206,Hb Gonioscopy,199.0,69.65,,,0
CDM,76100207,Hb Bandage Cl W Fitting,301.0,105.35,,,0
CDM,76100210,Hb Binocular Microscopy,347.0,121.45,,,0
CDM,76100212,Hb Nasopharyngoscopy,993.0,347.55,,,0
CDM,76100213,Hb Sq Im Ther Proph Dx Injection,201.5,70.525,,,0
CDM,76100214,Hb Irrigation Implanted Port,301.5,105.525,,,0
CDM,76100215,Hb Fluoride Varnish App,212.0,74.2,,,0
CDM,76100217,Hb Thoracentesis,4672.0,1635.2,,,0
CDM,76100218,Hb Port Access Bloodwork,461.5,161.525,,,0
CDM,76100219,Hb Bile Tract Surgery,9018.0,3156.3,,,0
CDM,76100220,Hb Pancreas Percut Biopsy,5697.0,1993.95,,,0
CDM,76100221,Hb Paracentesis Wo Imaging,4224.0,1478.4,,,0
CDM,76100222,Hb First Degree Burn Care,531.0,185.85,,,0
CDM,76100223,Hb Burn Wound Care Medium 5 To 10,907.5,317.625,,,0
CDM,76100224,Hb Burn Wound Care Large Over 10,1305.0,456.75,,,0
CDM,76100225,Hb Apply Cast Hand Lower Forearm,1179.0,412.65,,,0
CDM,76100226,Hb Apply Cast Hip,3609.0,1263.15,,,0
CDM,76100227,Hb Insert Temp Bladder Cath,215.0,75.25,,,0
CDM,76100228,Hb Spinal Puncture Diagnostic,6979.0,2442.65,,,0
CDM,76100229,Hb Spinal Puncture Therapeutic,2265.0,792.75,,,0
CDM,76100230,Hb Blood Patch,4152.0,1453.2,,,0
CDM,76100231,Hb Remove Intrathecal Epi Cath,2253.0,788.55,,,0
CDM,76100232,Hb Implant Replace Device,13917.0,4870.95,,,0
CDM,76100233,Hb Electronic Analysis Pump,2192.0,767.2,,,0
CDM,76100234,Hb Reprogram Pump,2846.0,996.1,,,0
CDM,76100235,Hb Inj Trigeminal Nerve Block,1613.5,564.7249999999999,,,0
CDM,76100236,Hb Inj Occipital Nerve Block,1914.0,669.9,,,0
CDM,76100237,Hb Inj Suprascapular Nerve Block,1793.0,627.55,,,0
CDM,76100238,Hb Inj Sphenopalatine Gangl Block,1026.0,359.1,,,0
CDM,76100239,Hb Botox Injection,439.0,153.65,,,0
CDM,76100240,Hb Apply Cast Ptb Plaster,4261.0,1491.35,,,0
CDM,76100241,Hb Apply Cast Ptb Fiberglass,4471.0,1564.85,,,0
CDM,76100242,Hb Apply Cast Clb Foot Plaster,3648.0,1276.8,,,0
CDM,76100243,Hb Declot Catheter Or Device,2541.0,889.35,,,0
CDM,76100244,Hb Im Sq Injections,1966.0,688.1,,,0
CDM,76100245,Hb Mammo Ductogram Injection,1024.0,358.4,,,0
CDM,76100246,Hb Us Imag Guide For Brst Bx W Placement 1St Lesion,2480.0,868.0,,,0
CDM,76100250,Hb Stereotact Guide For Brst Bx W Placement 1St Lesion,2480.0,868.0,,,0
CDM,76100251,Hb Needle Biopsy Muscle,3535.0,1237.25,,,0
CDM,76100252,Hb Bone Biopsy Superficial,6050.0,2117.5,,,0
CDM,76100253,Hb Bone Biopsy Deep,7862.0,2751.7,,,0
CDM,76100254,Hb Biopsy Neck Thorax,3616.0,1265.6,,,0
CDM,76100255,Hb Inject For Shldr Arthrogram,1666.0,583.1,,,0
CDM,76100256,Hb Inject For Elbow Arthrogram,1578.0,552.3,,,0
CDM,76100257,Hb Inject Wrist Arthrogram,982.0,343.7,,,0
CDM,76100258,Hb Inject For Hip Arthrogram,916.0,320.6,,,0
CDM,76100260,Hb Inject For Ankle Arthrogram,901.0,315.35,,,0
CDM,76100262,Hb Lung Perc Biopsy,2566.0,898.1,,,0
CDM,76100263,Hb Place Fiducial Marker Ct,2904.0,1016.4,,,0
CDM,76100264,Hb Intro Needle Or Intracat Vein,768.0,268.8,,,0
CDM,76100265,Hb Inj Thrombin Pseudoaneurysm,2847.0,996.45,,,0
CDM,76100266,Hb Uob Cordocentesis,2375.0,831.25,,,0
CDM,76100267,Hb Vascular Sono Init Vessel,5383.0,1884.05,,,0
CDM,76100268,Hb Vascular Sono Ea Addl Ves,5270.0,1844.5,,,0
CDM,76100269,Hb Lymph Node Biopsy,5591.0,1956.85,,,0
CDM,76100270,Hb Blood/Lymph System Procedure,8933.0,3126.55,,,0
CDM,76100271,Hb Biopsy Salivary Gland W Needle,3369.0,1179.15,,,0
CDM,76100272,Hb Inject For Sialogram,983.0,344.05,,,0
CDM,76100274,Hb Drain Rectal Abscess,14589.0,5106.15,,,0
CDM,76100276,Hb Inj Perc Transhep Cholangio,3866.0,1353.1,,,0
CDM,76100277,Hb Inject Cholangio Exist Cath,6324.0,2213.4,,,0
CDM,76100278,Hb Ablation Pancr Tumor W Tnf,12496.0,4373.6,,,0
CDM,76100283,Hb Abdomen Retro Biopsy Percut,4895.0,1713.25,,,0
CDM,76100284,Hb Insert Tun Intraperi Cath,8187.0,2865.45,,,0
CDM,76100285,Hb Exch Absc Cyst Drain Cath,8363.0,2927.05,,,0
CDM,76100287,Hb Renal Perc Biopsy,6645.0,2325.75,,,0
CDM,76100288,Hb Inject For Kidney Xray New Access,3064.0,1072.4,,,0
CDM,76100289,Hb Ablation Renal Tumor,17544.0,6140.4,,,0
CDM,76100290,Hb Cryoablation Renal Tumor,26284.0,9199.4,,,0
CDM,76100291,Hb Inject For Urethrogram,3466.0,1213.1,,,0
CDM,76100292,Hb Inject For Cystogram,1356.0,474.6,,,0
CDM,76100293,Hb Urethrocystogram Retro,1306.0,457.1,,,0
CDM,76100294,Hb Complex Cmg,4891.0,1711.85,,,0
CDM,76100295,Hb Ureter Pressure Profile,1932.0,676.2,,,0
CDM,76100296,Hb Retrieval Of Oocyte,10488.0,3670.8,,,0
CDM,76100297,Hb Cervical Puncture,4141.0,1449.35,,,0
CDM,76100298,Hb Or Sterotatic Brain Biopsy,12434.0,4351.9,,,0
CDM,76100299,Hb Or Stereotatic Cranial,12434.0,4351.9,,,0
CDM,76100300,Hb Or Stereotatic Spine,12434.0,4351.9,,,0
CDM,76100301,Hb Spinal Puncture,1525.0,533.75,,,0
CDM,76100303,Hb Nerve Block Intercostal Multi,2386.0,835.1,,,0
CDM,76100304,Hb Nerve Block Sciatic,1776.0,621.6,,,0
CDM,76100305,Hb Facet Nerve Block Ct 1 Lev,6374.0,2230.9,,,0
CDM,76100306,Hb Facet Nerve Block Ct 2 Lev,1919.0,671.65,,,0
CDM,76100307,Hb Facet Nerve Block Ct Over 3 Lev,2734.0,956.9,,,0
CDM,76100308,Hb Facet Nerve Block Ls 1 Lev,9534.0,3336.9,,,0
CDM,76100309,Hb Facet Nerve Block Ls 2 Lev,1919.0,671.65,,,0
CDM,76100310,Hb Facet Nerve Block Ls Over 3 Lev,3837.0,1342.95,,,0
CDM,76100311,Hb Block Nerve Celiac Plexus,3405.0,1191.75,,,0
CDM,76100312,Hb Implant Neuroelectrodes,1597.0,558.95,,,0
CDM,76100313,Hb Thyrogen Injection,439.0,153.65,,,0
CDM,76100314,Hb Transfusion Exchange Blood,3072.0,1075.2,,,0
CDM,76100315,Hb Central Venous Cath Ls 5Yr,5266.0,1843.1,,,0
CDM,76100316,Hb Picc Placement Less 5 Yrs,13497.0,4723.95,,,0
CDM,76100317,Hb Picc Placement Over 5Yrs,13497.0,4723.95,,,0
CDM,76100318,Hb Picc Or Central Cath Rep,5216.0,1825.6,,,0
CDM,76100319,Hb Replace Picc Line Same Vein,6887.0,2410.45,,,0
CDM,76100320,Hb Perm Cath Removal,3238.5,1133.475,,,0
CDM,76100322,Hb Chemo Bladder Instillation,420.0,147.0,,,0
CDM,76100323,Hb Cytoscopy,11473.0,4015.55,,,0
CDM,76100324,Hb Cordocentesis,1988.0,695.8,,,0
CDM,76100325,Hb External Cephalic Version,2371.0,829.85,,,0
CDM,76100326,Hb Cerclage Removal,547.0,191.45,,,0
CDM,76100327,Hb Injection Pharmacologic,406.0,142.1,,,0
CDM,76100328,Hb Endotracheal Intubation,1475.0,516.25,,,0
CDM,76100329,Hb Laryngoscopy Indirect,209.0,73.15,,,0
CDM,76100330,Hb Bronchoscopy Thru Trach,6836.0,2392.6,,,0
CDM,76100331,Hb Endobronchial Us Addon,15302.0,5355.7,,,0
CDM,76100332,Hb Bronchoscopy W Brushing,10375.0,3631.25,,,0
CDM,76100333,Hb Bronchoscopy W Alveolar Lavage,10375.0,3631.25,,,0
CDM,76100334,Hb Bronchoscopy W Biopsy,10375.0,3631.25,,,0
CDM,76100335,Hb Bronchoscopy W Lung Biopsy,10375.0,3631.25,,,0
CDM,76100336,Hb Bronchoscopy W Needle Asp Biopsy,10375.0,3631.25,,,0
CDM,76100337,Hb Bronchoscopy Dilate Fx Repr,10375.0,3631.25,,,0
CDM,76100338,Hb Bronch Trachial Dilate W Stent,10375.0,3631.25,,,0
CDM,76100339,Hb Bronchoscopy W Lung Biopsy Addl,4976.0,1741.6,,,0
CDM,76100340,Hb Bronch W Foreign Body Remove,10375.0,3631.25,,,0
CDM,76100341,Hb Bronchoscopy W Tumor Excise,10375.0,3631.25,,,0
CDM,76100342,Hb Bronch W Asp Tree Initial,10375.0,3631.25,,,0
CDM,76100343,Hb Bronch W Asp Tree Subsequent,8461.0,2961.35,,,0
CDM,76100344,Hb Unlisted Procedure Trachea Bronchi,2939.0,1028.65,,,0
CDM,76100345,Hb Trans Trach Dilate Stent Place,2563.0,897.05,,,0
CDM,76100346,Hb Thoracoscopy Wo Biopsy,20932.0,7326.2,,,0
CDM,76100347,Hb Thoracoscopy W Biopsy,25722.0,9002.7,,,0
CDM,76100348,Hb 0238T Iliac Atherectomy,23625.0,8268.75,,,0
CDM,76100349,Hb 10021 Fna Bx W/O Img Fdn 1St Les,1817.0,635.95,,,0
CDM,76100350,Hb 10120 Inc Removal Fb Sq Tiss,3177.0,1111.95,,,0
CDM,76100351,Hb 10140 Drain Hematoma Or Seroma,6136.0,2147.6,,,0
CDM,76100352,Hb 11042 Debride Skin Tissue,3177.0,1111.95,,,0
CDM,76100353,Hb 17250 Chemical Cautery Tissue,938.0,328.3,,,0
CDM,76100354,Hb 20206 Needle Biopsy Muscle,3535.0,1237.25,,,0
CDM,76100355,Hb 20220 Bone Biopsy Superficial,6050.0,2117.5,,,0
CDM,76100356,Hb 20225 Bone Biopsy Deep,7862.0,2751.7,,,0
CDM,76100357,Hb 20501 Inject Sinus Tract,1104.0,386.4,,,0
CDM,76100358,Hb 20610 Arthrocentesis Maj Joint,1692.0,592.2,,,0
CDM,76100359,Hb 22510 Vertebro Uni Bi Inj Thor,6015.0,2105.25,,,0
CDM,76100360,Hb 22511 Vertebro Uni Bi Inj Lumb,6015.0,2105.25,,,0
CDM,76100361,Hb 22512 Addl Vertebral Body,4652.0,1628.2,,,0
CDM,76100362,Hb 22899 Unlisted Spine Surgery,19639.0,6873.65,,,0
CDM,76100363,Hb 25246 Inject Wrist Arthrogram,982.0,343.7,,,0
CDM,76100364,Hb 25999 Forearm Or Wrist Procedure,22404.0,7841.4,,,0
CDM,76100365,Hb 31631 Trachial Dilate W Stent,10375.0,3631.25,,,0
CDM,76100367,Hb 32400 Pleura Perc Biopsy,2614.0,914.9,,,0
CDM,76100368,Hb 32405 Lung Perc Biopsy,2566.0,898.1,,,0
CDM,76100371,Hb 32551 Insertion Of Chest Tube,3656.0,1279.6,,,0
CDM,76100372,Hb 33915 Pulmonary Embolectomy,9152.0,3203.2,,,0
CDM,76100373,Hb 33999 Cardiac Procedure,1761.0,616.35,,,0
CDM,76100374,Hb 34101 Emb Thr Ax Sc Art Via Arm,12050.0,4217.5,,,0
CDM,76100375,Hb 34111 Emb Thr Rad Ulnar Via Arm,12050.0,4217.5,,,0
CDM,76100376,Hb 34201 Emb Thr Femoropop Via Leg,12050.0,4217.5,,,0
CDM,76100377,Hb 34203 Emb Thr Popliteal Via Leg,8991.0,3146.85,,,0
CDM,76100378,Hb 34421 Emb Thr Vena Cava Via Leg,12050.0,4217.5,,,0
CDM,76100379,Hb 34490 Emb Thr Ax Sc Vein Via Arm,12050.0,4217.5,,,0
CDM,76100381,Hb 34812 Femoral Artery Cutdown,18215.0,6375.25,,,0
CDM,76100388,Hb 36000 Intro Needle Intracat Vein,768.0,268.8,,,0
CDM,76100389,Hb 36002 Inj Thrombin Pseudoaneurys,2847.0,996.45,,,0
CDM,76100390,Hb 36005 Venography Inj Procedure,4003.0,1401.05,,,0
CDM,76100391,Hb 36010 Vena Cava Superior Infer,9504.0,3326.4,,,0
CDM,76100392,Hb 36011 Venous 1St Order,5630.0,1970.5,,,0
CDM,76100393,Hb 36012 Venous 2Nd Order,4115.0,1440.25,,,0
CDM,76100394,Hb 36013 Place Cath Rt Heart Pulm,7999.0,2799.65,,,0
CDM,76100395,Hb 36014 Place Cath Lt Rt Pulm Art,3802.0,1330.7,,,0
CDM,76100396,Hb 36015 Place Cath Seg Sub Pulm,3916.0,1370.6,,,0
CDM,76100397,Hb 36100 Intro Needle Intracat Art,9364.0,3277.4,,,0
CDM,76100399,Hb 36140 Extremity Artery Retro,7427.0,2599.45,,,0
CDM,76100402,Hb 36160 Aorta Translumbar,4045.0,1415.75,,,0
CDM,76100403,Hb 36200 Place Cath Aorta,7973.0,2790.55,,,0
CDM,76100404,Hb 36215 Arterial Thorac 1St Order,7591.0,2656.85,,,0
CDM,76100405,Hb 36216 Arterial Thorac 2Nd Order,10900.0,3815.0,,,0
CDM,76100406,Hb 36217 Arterial Thorac 3Rd Order,10829.0,3790.15,,,0
CDM,76100407,Hb 36218 Arterial Thorac Ea Addl,5473.0,1915.55,,,0
CDM,76100408,Hb 36245 Abd Pelvic Low 1St Order,10104.0,3536.4,,,0
CDM,76100409,Hb 36246 Abd Pelvic Low 2Nd Order,12529.0,4385.15,,,0
CDM,76100410,Hb 36247 Abd Pelvic Low 3Rd Order,13498.0,4724.3,,,0
CDM,76100411,Hb 36248 Abd Pelvic Low Ea Addl,3779.0,1322.65,,,0
CDM,76100412,Hb 36299 Vessel Inj Procedure,2409.0,843.15,,,0
CDM,76100413,Hb 36481 Percut Portal Vein,4045.0,1415.75,,,0
CDM,76100414,Hb 36500 Venous Sampling,3722.0,1302.7,,,0
CDM,76100415,Hb 36556 Central Venous Cath Gr 5Yr,6617.0,2315.95,,,0
CDM,76100416,Hb 36584 Replace Picc Line,6887.0,2410.45,,,0
CDM,76100417,Hb 36593 Declot Catheter Or Device,4185.0,1464.75,,,0
CDM,76100418,Hb 36598 Inj W Fluor Eval Cv Devic,668.0,233.8,,,0
CDM,76100419,Hb 36625 Insert Catheter Artery,1855.0,649.25,,,0
CDM,76100420,Hb 36819 Av Fuse Uppr Arm Basilic,25178.0,8812.3,,,0
CDM,76100421,Hb 36821 Av Fusion Dir Any Site,18007.0,6302.45,,,0
CDM,76100422,Hb 36830 Av Nonautograft,33008.0,11552.8,,,0
CDM,76100423,Hb 36832 Av Fistula Revision Open,28864.0,10102.4,,,0
CDM,76100424,Hb 36860 Declot Av Shunt Wo Ball,6340.0,2219.0,,,0
CDM,76100425,Hb 36861 Declot Av Shunt W Balloon,7090.0,2481.5,,,0
CDM,76100427,Hb 37182 Tips Procedure,14085.0,4929.75,,,0
CDM,76100428,Hb 37183 Tips Revision Procedure,14788.0,5175.8,,,0
CDM,76100429,Hb 37184 Prim Art Mech Thromb,32050.0,11217.5,,,0
CDM,76100430,Hb 37185 Prim Art M Thromb Add On,13053.0,4568.55,,,0
CDM,76100431,Hb 37186 Sec Art M Thromb Add On,12287.0,4300.45,,,0
CDM,76100432,Hb 37187 Venous Mech Thrombectomy,26303.0,9206.05,,,0
CDM,76100433,Hb 37200 Transcatheter Biopsy,6734.0,2356.9,,,0
CDM,76100435,Hb 61650 Infusion Nonthrombolytic Initial,8199.0,2869.65,,,0
CDM,76100442,Hb 37252 Vascular Sono Init Vessel,5383.0,1884.05,,,0
CDM,76100443,Hb 37253 Vascular Sono Ea Addl Ves,5270.0,1844.5,,,0
CDM,76100445,Hb 37799 Vascular Surg Proc,10358.0,3625.3,,,0
CDM,76100446,Hb 38200 Splenoportography,6366.0,2228.1,,,0
CDM,76100447,Hb 38790 Lymphangiography,3910.0,1368.5,,,0
CDM,76100448,Hb 42550 Inject For Sialogram,983.0,344.05,,,0
CDM,76100449,Hb 43245 Egd W Dilation,2018.0,706.3,,,0
CDM,76100450,Hb 43246 Egd W Place Tube,2220.0,777.0,,,0
CDM,76100451,Hb 43248 Egd W Gd Wire Dilation,2018.0,706.3,,,0
CDM,76100452,Hb 43458 Esoph Dilation W Balloon,10035.0,3512.25,,,0
CDM,76100453,Hb 43460 Tamponade Esoph W Blln,4238.0,1483.3,,,0
CDM,76100454,Hb 43752 Nasal Orogastric W Stent,1690.0,591.5,,,0
CDM,76100455,Hb 43761 Reposition Gastric Tube,6462.0,2261.7,,,0
CDM,76100456,Hb 44500 Intro Lg Tube Mill Abb,3027.0,1059.45,,,0
CDM,76100457,Hb 44799 Intestine Procedure,7201.0,2520.35,,,0
CDM,76100458,Hb 47000 Liver Biopsy,6868.0,2403.8,,,0
CDM,76100459,Hb 47001 Liver Biopsy Add On,11740.0,4109.0,,,0
CDM,76100460,Hb 47010 Liver Abcess Drain,11580.0,4053.0,,,0
CDM,76100462,Hb 47490 Perc Cholecystostomy,5144.0,1800.4,,,0
CDM,76100463,Hb 47532 Inj Perc Transhep Cholang,3866.0,1353.1,,,0
CDM,76100464,Hb 47531 T Tube Cholang Exist Cath,6324.0,2213.4,,,0
CDM,76100465,Hb 47533 Perc Biliary Drain Cath Ext,16618.0,5816.3,,,0
CDM,76100466,Hb 47538 Perc Biliary Drain Stent Existing Access,28684.0,10039.4,,,0
CDM,76100467,Hb 47536 Chng Of Biliary Drn Cath,7154.0,2503.9,,,0
CDM,76100469,Hb 47552 Biliary Endo Thru Skin,6241.0,2184.35,,,0
CDM,76100470,Hb 47553 Biliary Endo Skin W Biopsy,8113.0,2839.55,,,0
CDM,76100471,Hb 47554 Biliary Endo Rem Calc,8113.0,2839.55,,,0
CDM,76100472,Hb 47555 Perc Dil Biliary Wo Stent,7766.0,2718.1,,,0
CDM,76100473,Hb 47556 Perc Dil Biliary W Stent,8509.0,2978.15,,,0
CDM,76100474,Hb 47544 Biliary Stone Removal,11557.0,4044.95,,,0
CDM,76100475,Hb 47999 Bile Tract Surgery Proc,9018.0,3156.3,,,0
CDM,76100476,Hb 48102 Pancreas Percut Biopsy,5697.0,1993.95,,,0
CDM,76100477,Hb 48511 Perc Drain Pancr Pseudoc,2758.0,965.3,,,0
CDM,76100479,Hb 49040 Drain Subdia Abscess,17440.0,6104.0,,,0
CDM,76100484,Hb 49180 Abdomen Retro Biopsy Per,4895.0,1713.25,,,0
CDM,76100485,Hb 49400 Inj Air Contr Perit Cavity,3675.0,1286.25,,,0
CDM,76100486,Hb 49421 Insert Tun Intraperi Cath,8187.0,2865.45,,,0
CDM,76100487,Hb 49422 Remove Tun Intraperi Cath,18143.0,6350.05,,,0
CDM,76100488,Hb 49423 Exch Absc Cyst Drain Cath,8363.0,2927.05,,,0
CDM,76100489,Hb 49424 Contrast Inj Ab Cy Drain,2125.0,743.75,,,0
CDM,76100490,Hb 49440 Perc Place Gastro Tube,5026.0,1759.1,,,0
CDM,76100491,Hb 49999 Peritoneal Abd Proc,10407.0,3642.45,,,0
CDM,76100492,Hb 50020 Renal Abcess Drain,2008.0,702.8,,,0
CDM,76100494,Hb 50080 Remove Kidney Stone,18642.0,6524.7,,,0
CDM,76100495,Hb 50200 Renal Perc Biopsy,6645.0,2325.75,,,0
CDM,76100496,Hb 50382 Change Ureter Stent Perc,14085.0,4929.75,,,0
CDM,76100497,Hb 50384 Remove Ureter Stent Perc,14085.0,4929.75,,,0
CDM,76100498,Hb 50387Change Ext Int Ureter Stent,5250.0,1837.5,,,0
CDM,76100499,Hb 50389 Remove Renal Tube W Fluor,1415.0,495.25,,,0
CDM,76100500,Hb 50390 Renal Cyst Aspiration,5937.0,2077.95,,,0
CDM,76100501,Hb 50432 Perc Drain Renal Pelvis,4905.0,1716.75,,,0
CDM,76100503,Hb 50430 Inject For Kidney Xray New Access,3064.0,1072.4,,,0
CDM,76100504,Hb 50436 Dilitation Of Each Neph,5409.0,1893.15,,,0
CDM,76100505,Hb 50435 Nephrostomy Tube Change,3046.0,1066.1,,,0
CDM,76100506,Hb 50684 Inject For Ureterogram,3466.0,1213.1,,,0
CDM,76100507,Hb 50688 Change Ureterostomy Tube,3123.0,1093.05,,,0
CDM,76100508,Hb 50690 Loopogram,1930.0,675.5,,,0
CDM,76100509,Hb 51102 Bladder Aspirate Cath,10718.0,3751.3,,,0
CDM,76100510,Hb 51600 Inject For Cystogram,1356.0,474.6,,,0
CDM,76100511,Hb 51610 Urethrocystogram Retro,1306.0,457.1,,,0
CDM,76100512,Hb 51703 Insert Bladder Cath Cmpx,1678.0,587.3,,,0
CDM,76100513,Hb 51705 Change Cystostomy Tube,1266.0,443.1,,,0
CDM,76100514,Hb 51710 Change Cystostomy Cmpx,4019.0,1406.65,,,0
CDM,76100515,Hb 52005 Cystourethroscopy W Cath,13361.0,4676.35,,,0
CDM,76100516,Hb 52235 Cystoscopy And Treatment,21784.0,7624.4,,,0
CDM,76100517,Hb 52334 Cysto Guide Wire Uret,18778.0,6572.3,,,0
CDM,76100518,Hb 52351 Cystourethroscopy Diag,9425.0,3298.75,,,0
CDM,76100519,Hb 53899 Urology Surg Proc,14676.0,5136.6,,,0
CDM,76100520,Hb 55700 Prostate Biopsy,6136.0,2147.6,,,0
CDM,76100521,Hb 58340 Cath For Sis Or Hso,1657.0,579.95,,,0
CDM,76100522,Hb 58345 Reopen Fallopian Tube,9060.0,3171.0,,,0
CDM,76100524,Hb 60100 Thyroid Perc Biopsy,4958.0,1735.3,,,0
CDM,76100525,Hb 61055 Cervical Puncture,4141.0,1449.35,,,0
CDM,76100526,Hb 61623 Endovas Temp Vessel Occl,19736.0,6907.6,,,0
CDM,76100527,Hb 61624 Embolization Neuro Spinal,26274.0,9195.9,,,0
CDM,76100528,Hb 61626 Embolization Extracranial,25017.0,8755.95,,,0
CDM,76100529,Hb 61630 Intracranial Angioplasty,18895.0,6613.25,,,0
CDM,76100530,Hb 61640 Dilate Ic Vasospasm Init,30357.0,10624.95,,,0
CDM,76100531,Hb 61641 Dilate Ic Vas Ea Add Svf,15927.0,5574.45,,,0
CDM,76100532,Hb 61642 Dilate Ic Vas Ea Add Dvf,15774.0,5520.9,,,0
CDM,76100533,Hb 62270 Spinal Puncture Diagnostic,6979.0,2442.65,,,0
CDM,76100534,Hb 62272 Spinal Puncture Therap,2265.0,792.75,,,0
CDM,76100535,Hb 62290 Inj Disk Lumbar Ea Lvl,4106.0,1437.1,,,0
CDM,76100536,Hb 62322 Inject Spine Lumb Sacral,3182.0,1113.7,,,0
CDM,76100537,Hb 64420 Interc Sngl Nerve Block,1255.0,439.25,,,0
CDM,76100538,Hb 96372 Sq Im Ther Proph Dx Inj,252.0,88.2,,,0
CDM,76100539,Hb 96523 Irrigation Implanted Port,376.0,131.6,,,0
CDM,76100540,Hb Crt Trt Rm Dua,3206.0,1122.1,,,0
CDM,76100541,Hb Debridement Rm Sv,2743.0,960.05,,,0
CDM,76100542,Hb Ecmo/Ecls Daily Mgmt-Venous,24045.0,8415.75,,,0
CDM,76100543,Hb Ecmo/Ecls Initiation Venous,59574.0,20850.9,,,0
CDM,76100544,Hb Electroconvulsive Therapy,4562.0,1596.7,,,0
CDM,76100545,Hb Genitfemoral Block,1878.0,657.3,,,0
CDM,76100546,Hb Saphenous Nerve Block,1878.0,657.3,,,0
CDM,76100547,Hb Spec Proced Rmccu,1411.0,493.85,,,0
CDM,76100548,Hb Cystoscopy,2962.0,1036.7,,,0
CDM,76100549,Hb 38505 Lymph Node Biopsy,5591.0,1956.85,,,0
CDM,76100550,Hb Insert Pleural Catheter,16623.0,5818.05,,,0
CDM,76100551,Hb Central Venous Cath 5Yr Greater,6617.0,2315.95,,,0
CDM,76100552,Hb Sq Im Ea Addl Inj,15.0,5.25,,,0
CDM,76100553,Hb Tonopen Reading,360.0,126.0,,,0
CDM,76100554,Hb Remove Foreign Body Nose,632.0,221.2,,,0
CDM,76100555,Hb Facial Nerve Block,1841.0,644.35,,,0
CDM,76100556,Hb Plasmapheresis,10130.0,3545.5,,,0
CDM,76100557,Hb Paracentesis W Imaging,7896.0,2763.6,,,0
CDM,76100558,Hb Peritoneal Lavage,4224.0,1478.4,,,0
CDM,76100559,Hb Thoracoscopy W Biopsy Lung Infiltrate,22121.0,7742.35,,,0
CDM,76100560,Hb Thoracoscopy W Biopsy Lung Nodule,22121.0,7742.35,,,0
CDM,76100561,Hb Thoracoscopy W Biopsy Pleura,22121.0,7742.35,,,0
CDM,76100562,Hb 49082 Paracentesis Wo Imaging,4224.0,1478.4,,,0
CDM,76100563,Hb 49083 Paracentesis W Imaging,7896.0,2763.6,,,0
CDM,76100564,Hb 49084 Peritoneal Lavage,4224.0,1478.4,,,0
CDM,76100565,Hb Apply Dynamic Short Arm Splint,1779.0,622.65,,,0
CDM,76100566,Hb Drainage Finger Abscess Simple,2093.0,732.55,,,0
CDM,76100567,Hb Collect Blood From Picc,870.0,304.5,,,0
CDM,76100568,Hb Rectum Procedure,5044.0,1765.4,,,0
CDM,76100569,Hb I&D Vulva Perineum,2832.0,991.2,,,0
CDM,76100570,Hb I&D Abscess Peritonsillar,2534.0,886.9,,,0
CDM,76100571,Hb Induced Abortion,5243.0,1835.05,,,0
CDM,76100572,Hb Apheresis Platelets,8154.0,2853.9,,,0
CDM,76100573,Hb Cystoscopy And Tx,15308.0,5357.8,,,0
CDM,76100574,Hb Biopsy Soft Tissues,6725.0,2353.75,,,0
CDM,76100575,Hb Drainage Eye,4367.0,1528.45,,,0
CDM,76100576,Hb Tracheostomy 2 Yrs Gt,10164.0,3557.4,,,0
CDM,76100577,Hb Repair Detached Retina,5900.0,2065.0,,,0
CDM,76100578,Hb Skin Tissue Procedure,1230.0,430.5,,,0
CDM,76100579,Hb Debride Mastoid Cavity,10491.0,3671.85,,,0
CDM,76100580,Hb Const Speech Prosthesis,14057.0,4919.95,,,0
CDM,76100581,Hb Chest Tube Insertion,3656.0,1279.6,,,0
CDM,76100582,Hb Tracheostomy Ls 2 Yrs,10164.0,3557.4,,,0
CDM,76100583,Hb Arterial Puncture,365.0,127.75,,,0
CDM,76100585,Hb Neg Pressure 50 Sq Cm Or Ls,736.5,257.775,,,0
CDM,76100586,Hb Neg Pressure Gt 50 Sq Cm,1133.0,396.55,,,0
CDM,76100587,Hb Insert Cath Complicated,1678.0,587.3,,,0
CDM,76100588,Hb Refill Maint Port Pump,606.0,212.1,,,0
CDM,76100589,Hb Attendance Delivery,823.0,288.05,,,0
CDM,76100590,Hb Bronch W Needle Asp Bx Ea Addl,7304.0,2556.4,,,0
CDM,76100591,Hb Cerclage Cervix,3939.0,1378.65,,,0
CDM,76100592,Hb Treatment Nasal Fracture,5739.0,2008.65,,,0
CDM,76100593,Hb Intro Lg Tube Mill Abb,3027.0,1059.45,,,0
CDM,76100594,Hb Insertion Catheter Artery,865.0,302.75,,,0
CDM,76100595,Hb Biopsy Soft Tissue Thigh Or Knee,8576.0,3001.6,,,0
CDM,76100596,Hb Eye Procedure,230.0,80.5,,,0
CDM,76100597,Hb Vagina Repair,10373.0,3630.55,,,0
CDM,76100598,Hb Excision Chalazion Single,1084.0,379.4,,,0
CDM,76100599,Hb Excision Chalazion Mult Same Lid,653.0,228.55,,,0
CDM,76100600,Hb Excision Chalazion Mult Diff Lid,809.0,283.15,,,0
CDM,76100601,Hb Drainage Eyelid Abscess,1760.0,616.0,,,0
CDM,76100602,Hb Epilation Other Than Forceps,1843.0,645.05,,,0
CDM,76100603,Hb Conjunctiva Biopsy,1366.5,478.275,,,0
CDM,76100604,Hb Excision Eyelid Lesion Up To 1Cm,2310.0,808.5,,,0
CDM,76100605,Hb Excision Eyelid Lesion Over 1Cm,3018.0,1056.3,,,0
CDM,76100606,Hb Repair Symblepharon Wo Graft,2076.0,726.6,,,0
CDM,76100607,Hb Division Symblepharon W Or Wo Contact,1738.0,608.3,,,0
CDM,76100608,Hb Close Tear Duct By Cautery,1637.0,572.95,,,0
CDM,76100609,Hb Close Tear Duct By Plug,858.0,300.3,,,0
CDM,76100610,Hb Inject Spine Lumb Sacral,3182.0,1113.7,,,0
CDM,76100611,Hb Transfusion Exchange Newborn,3072.0,1075.2,,,0
CDM,76100612,Hb 32554 Aspirate Pleura Wo Imaging,3159.0,1105.65,,,0
CDM,76100613,Hb 32555 Aspirate Pleura W Imaging,3159.0,1105.65,,,0
CDM,76100615,Hb 32556 Insert Cath Pleura Wo Image,3750.0,1312.5,,,0
CDM,76100616,Hb 32557 Insert Cath Pleura W Image,3750.0,1312.5,,,0
CDM,76100617,Hb 64615 Chemodenerv Musc Migraine,1079.0,377.65,,,0
CDM,76100618,Hb Aspirate Pleura Wo Imaging,3159.0,1105.65,,,0
CDM,76100619,Hb Inj Spine Serv Thoracic,5573.0,1950.55,,,0
CDM,76100620,Hb Analyze Neurostim No Program,1059.0,370.65,,,0
CDM,76100621,Hb Closed Reduc Shoulder W-O Anest,2062.0,721.7,,,0
CDM,76100622,Hb Deb Subq Tissue Ea Additional 20 Sq Cm,433.0,151.55,,,0
CDM,76100623,Hb Acne Surgery,446.0,156.1,,,0
CDM,76100624,Hb Incision And Drain Of Pilonidal Cyst,1417.0,495.95,,,0
CDM,76100625,Hb Shav Trunk Arm Leg Lesion Dia Over 2.0 Cm,291.0,101.85,,,0
CDM,76100626,Hb Shav Extremity Lesion Dia 0.6 To 1.0 Cm,291.0,101.85,,,0
CDM,76100627,Hb Shav Extremity Lesion Dia 1.1 To 2.0 Cm,382.0,133.7,,,0
CDM,76100628,Hb Shav Extremity Lesion Dia Over 2.0 Cm,491.0,171.85,,,0
CDM,76100629,Hb Shav Facial Lesion Dia 1.1 To 2.0 Cm,302.0,105.7,,,0
CDM,76100630,Hb Shav Facial Lesion Dia Over 2.0 Cm,321.0,112.35,,,0
CDM,76100631,Hb Evacuation Of Subungual Hematoma,887.0,310.45,,,0
CDM,76100632,Hb Biopsy Of Nail Unit,1499.0,524.65,,,0
CDM,76100633,Hb Excision Of Pilonidal Cyst Or Sinus Simple,6158.0,2155.3,,,0
CDM,76100634,Hb Trmt Suprfcl Wound Dehiscence Simple,3123.0,1093.05,,,0
CDM,76100635,Hb Trmt Suprfcl Wound Dehiscence Packing,3269.0,1144.15,,,0
CDM,76100636,Hb Chemical Destruct Penis Lesion,687.0,240.45,,,0
CDM,76100638,Hb Osteopath Mani 1 To 2 Regions,82.0,28.7,,,0
CDM,76100639,Hb Osteopath Mani 3 To 4 Regions,130.0,45.5,,,0
CDM,76100640,Hb Osteopath Mani 5 To 6 Regions,184.0,64.4,,,0
CDM,76100641,Hb Osteopath Mani 7 To 8 Regions,232.0,81.2,,,0
CDM,76100642,Hb Osteopath Mani 9 To 10 Regions,285.0,99.75,,,0
CDM,76100643,Hb Insert Nasal Septal Prosthesis,2566.0,898.1,,,0
CDM,76100644,Hb Tunneled Cv Cath Removal,5627.5,1969.625,,,0
CDM,76100645,Hb Adjustment Gastric Band,3199.0,1119.65,,,0
CDM,76100646,Hb Perc Drain Pancr Pseudoc,2758.0,965.3,,,0
CDM,76100647,Hb Skin Full Graft Sclp Arm Leg,3415.0,1195.25,,,0
CDM,76100648,Hb Dx Laryngoscopy Excl Nb,3971.0,1389.85,,,0
CDM,76100649,Hb Cranio Maxillofacial Surgery,8384.5,2934.5750000000003,,,0
CDM,76100650,Hb Iridotomy Iridectomy By Laser Surg,3080.0,1078.0,,,0
CDM,76100651,Hb Removal Of Support Implant,13367.5,4678.625,,,0
CDM,76100652,Hb Tx Fracture Radius/Ulna,1227.5,429.625,,,0
CDM,76100654,Hb Bronchial Valve Remov Init,10375.0,3631.25,,,0
CDM,76100655,Hb Bronchial Valve Remov Addl,5383.0,1884.05,,,0
CDM,76100656,Hb Puncture Aspiration Cyst Breast,2170.0,759.5,,,0
CDM,76100657,Hb Nasal Surgery Procedure,1354.0,473.9,,,0
CDM,76100658,Hb Treat Fracture Radius/Ulna,3469.0,1214.15,,,0
CDM,76100659,Hb 43499 Esophagus Procedure,12411.0,4343.85,,,0
CDM,76100660,Hb Removal/Revision Of Cast,1211.0,423.85,,,0
CDM,76100661,Hb Treatment Of Retinal Lesion,1153.0,403.55,,,0
CDM,76100662,Hb Postop Follow-Up Visit,21.0,7.35,,,0
CDM,76100663,Hb Remove Vagina Lesion,8894.0,3112.9,,,0
CDM,76100664,Hb Bronchial Valve Init Insert,10375.0,3631.25,,,0
CDM,76100665,Hb Bronchial Valve Addl Insert,11074.0,3875.9,,,0
CDM,76100666,Hb 32998 Perq Rf Ablate Tx Pul Tumor,17486.0,6120.1,,,0
CDM,76100667,Hb Repair Extensor Tendon Finger Wo Graft Ea,10104.0,3536.4,,,0
CDM,76100668,Hb Anoscopy Submucosal Inj,18945.0,6630.75,,,0
CDM,76100669,Hb Revision Of Ileostomy,15709.0,5498.15,,,0
CDM,76100670,Hb Insert Drug Implant Device,3895.0,1363.25,,,0
CDM,76100671,Hb Remove Drug Implant Device,4693.0,1642.55,,,0
CDM,76100672,Hb Remove/Insert Drug Implant,5267.0,1843.45,,,0
CDM,76100673,Hb Dressing Change Not For Burn,11760.0,4116.0,,,0
CDM,76100674,Hb Repair Tongue Laceration,1876.0,656.6,,,0
CDM,76100675,Hb Chemodenerv 1 Extremity 1-4,892.0,312.2,,,0
CDM,76100676,Hb Chemodenerv 1 Extrem 1-4 Ea Addl,892.0,312.2,,,0
CDM,76100677,Hb Chemodenerv 1 Extrem 5/> Mus,892.0,312.2,,,0
CDM,76100678,Hb Chemodenerv 1 Extrem 5/> Ea Addl,892.0,312.2,,,0
CDM,76100679,Hb Chemodenerv Trunk Musc 1-5,892.0,312.2,,,0
CDM,76100680,Hb Chemodenerv Trunk Musc 6/>,892.0,312.2,,,0
CDM,76100681,Hb Low Frequency Non-Thermal Us,461.0,161.35,,,0
CDM,76100683,Hb Remove Pleural Cath,5018.0,1756.3,,,0
CDM,76100684,Hb Exam Of Vulva W/Scope,1319.0,461.65,,,0
CDM,76100685,Hb Exam/Biopsy Of Vulva W/Scope,2729.0,955.15,,,0
CDM,76100690,Hb Conz Of Cervix W/Scope Leep,5062.0,1771.7,,,0
CDM,76100693,Hb Treatment Of Urethra Lesion,11230.0,3930.5,,,0
CDM,76100694,Hb Hysteroscopy Biopsy,14617.0,5115.95,,,0
CDM,76100695,Hb Abortion,9301.0,3255.35,,,0
CDM,76100696,Hb N Block Inj Ilio-Ing/Hypogi,3880.0,1358.0,,,0
CDM,76100698,Hb 37243 Vasc Embolize/Occlude Organ,50353.0,17623.55,,,0
CDM,76100699,Hb Image Cath Fluid Peri/Retro,6969.0,2439.15,,,0
CDM,76100700,Hb 37238 Open/Perq Place Stent Same,41612.0,14564.2,,,0
CDM,76100701,Hb 37241 Vasc Embolize/Occlude Venous,50353.0,17623.55,,,0
CDM,76100702,Hb Vascu Embolize/Occlude Organ,50353.0,17623.55,,,0
CDM,76100703,Hb 37242 Vasc Embolize/Occlude Artery,50353.0,17623.55,,,0
CDM,76100704,Hb Throat Surgery Procedure,8162.0,2856.7,,,0
CDM,76100705,Hb 37239 Open Perq Place Stent Ea Add,16772.0,5870.2,,,0
CDM,76100706,Hb Wound Prep F/N/Hf/G,4557.0,1594.95,,,0
CDM,76100707,Hb 37244 Vasc Embolize/Occlude Bleed,50353.0,17623.55,,,0
CDM,76100708,Hb 43276 Ercp Stent Exchange W/Dilate,5664.0,1982.4,,,0
CDM,76100709,Hb Slitting Of Prepuce,13914.0,4869.9,,,0
CDM,76100710,Hb 49425 Insert Abdomen-Venous Drain,4493.0,1572.55,,,0
CDM,76100711,Hb Chemodenerv Musc Migraine,1079.0,377.65,,,0
CDM,76100712,Hb 49405 Image Cath Fluid Colxn Visc,6969.0,2439.15,,,0
CDM,76100713,Hb 37236 Open/Perq Place Stent 1St,39877.0,13956.95,,,0
CDM,76100714,Hb Fetal Fluid Drainage W/Us,1081.0,378.35,,,0
CDM,76100715,Hb Review/Report Bp Recording,91.0,31.85,,,0
CDM,76100716,Hb Intmd Rpr N-Hf/Genit7.6-12.5,3694.0,1292.9,,,0
CDM,76100717,Hb Chemodenerv Musc Neck Dyston,1622.0,567.7,,,0
CDM,76100718,Hb Strapping Of Elbow Or Wrist,291.5,102.025,,,0
CDM,76100719,Hb Egd Balloon Dil Esoph30 Mm/>,2018.0,706.3,,,0
CDM,76100720,Hb Excision Breast Lesion,1668.0,583.8,,,0
CDM,76100721,Hb 43195 Esophagoscopy Rigid Balloon,2768.0,968.8,,,0
CDM,76100722,Hb 32561 Lyse Chest Fibrin Init Day,3745.0,1310.75,,,0
CDM,76100723,Hb Replace Duo J Tube Perc,3290.0,1151.5,,,0
CDM,76100724,Hb Guide Cathet Fluid Drainage,7313.0,2559.55,,,0
CDM,76100725,Hb Chemodenerv Eccrine Glands,1974.0,690.9,,,0
CDM,76100726,Hb Insert Cath Pleura W Image,3750.0,1312.5,,,0
CDM,76100727,Hb 93631 Heart Pacing Mapping,11145.0,3900.75,,,0
CDM,76100731,Hb Thyroid Perc Biopsy,4958.0,1735.3,,,0
CDM,76100732,Hb Destroy Nerve Face Muscle,2137.0,747.95,,,0
CDM,76100733,Hb 37237 Open/Perq Place Stent Ea Add,16772.0,5870.2,,,0
CDM,76100734,Hb Inj For Sacroiliac Jt Anesth,8199.0,2869.65,,,0
CDM,76100735,Hb Intmd Rpr Face/Mm 2.5 Cm/<,2988.0,1045.8,,,0
CDM,76100736,Hb Image Cath Fluid Colxn Visc,6969.0,2439.15,,,0
CDM,76100737,Hb Replace Gj Tube Perc,2722.0,952.7,,,0
CDM,76100738,Hb Glucose Monitoring Cont,521.0,182.35,,,0
CDM,76100739,Hb Us Imag Guide For Brst Bx W Placement Each Addl Lesion,2480.0,868.0,,,0
CDM,76100740,Hb Mr Imag Guide For Brst Bx W Placement 1St Lesion,2480.0,868.0,,,0
CDM,76100741,Hb 49429 Removal Of Shunt,21921.0,7672.35,,,0
CDM,76100742,Hb Bronch Thermoplsty 1 Lobe,13232.0,4631.2,,,0
CDM,76100743,Hb Bronch Thermoplsty 2 Or More Lobes,13232.0,4631.2,,,0
CDM,76100744,Hb 43200 Esophagus Endoscopy,1464.0,512.4,,,0
CDM,76100745,Hb Injection Of Sinus Tract,3338.0,1168.3,,,0
CDM,76100746,Hb 50605 Insert Ureteral Support,3439.0,1203.65,,,0
CDM,76100747,Hb Eye Surgery Procedure,4824.0,1688.4,,,0
CDM,76100748,Hb Stereotact Guide For Brst Bx W Placement Each Addl Lesion,2480.0,868.0,,,0
CDM,76100749,Hb Mr Imag Guide For Brst Bx W Placement  Each Addl Lesion,2480.0,868.0,,,0
CDM,76100750,Hb Mammo Guide For Needle Breast Each Addl Lesion,2156.0,754.6,,,0
CDM,76100751,Hb Stereotact Guide For Needle Breast Each Addl Lesion,2156.0,754.6,,,0
CDM,76100752,Hb Us Imag Guide For Needle Breast 1St Lesion,2156.0,754.6,,,0
CDM,76100753,Hb Us Imag Guide For Needle Breast Each Addl Lesion,2156.0,754.6,,,0
CDM,76100754,Hb Mr Imag For Needle Breast 1St Lesion,2156.0,754.6,,,0
CDM,76100755,Hb Mr Imag For Needle Breast Each Addl Lesion,2156.0,754.6,,,0
CDM,76100756,Hb Navigational Bronchoscopy,7375.0,2581.25,,,0
CDM,76100757,Hb Closed Tx Nose Fx W/ Stabl,11836.0,4142.6,,,0
CDM,76100758,Hb 49427 Injection Abdominal Shunt,1779.0,622.65,,,0
CDM,76100759,Hb Bronchoscopy W/Markers,13776.0,4821.6,,,0
CDM,76100760,Hb Destruction Of Skin Lesions < 10 Sq Cm,3946.0,1381.1,,,0
CDM,76100761,Hb Destruction Of Skin Lesions 10 To 50 Sq Cm,4526.0,1584.1,,,0
CDM,76100762,Hb Destruction Of Skin Lesions > 50 Sq Cm,5104.0,1786.4,,,0
CDM,76100763,Hb Preparation For Bladder Xray,3428.0,1199.8,,,0
CDM,76100764,Hb Surgery For Vulva Lesion,19367.0,6778.45,,,0
CDM,76100765,Hb Vulvectomy,19269.0,6744.15,,,0
CDM,76100766,Hb Dilation Of Cervical Canal,11648.0,4076.8,,,0
CDM,76100767,Hb Dilation And Curettage,15672.0,5485.2,,,0
CDM,76100768,Hb 50386 Remove Stent Via Transureth,10131.0,3545.85,,,0
CDM,76100769,Hb 49426 Revise Abdomen-Venous Shunt,26023.0,9108.05,,,0
CDM,76100770,Hb Perc Place J Tube,7906.0,2767.1,,,0
CDM,76100771,"Hb Injection Into Skin Lesions, 8 Or More",606.0,212.1,,,0
CDM,76100772,Hb Puncture Aspiration Cyst Breast Each Addl Cyst,1515.0,530.25,,,0
CDM,76100773,Hb Incision Of Breast Lesion,14697.0,5143.95,,,0
CDM,76100774,Hb Circumcision 28 Days Or Older,7468.0,2613.8,,,0
CDM,76100775,Hb Pelvis/Hip Joint Surgery,15762.0,5516.7,,,0
CDM,76100776,Hb Repair Detached Retina,6974.0,2440.9,,,0
CDM,76100778,Hb 38999 Blood/Lymph System Procedure,8933.0,3126.55,,,0
CDM,76100779,Hb Instll Rx Agnt Into Rnal Tub,1594.0,557.9,,,0
CDM,76100780,Hb Insert Tissue Expander(S),14825.0,5188.75,,,0
CDM,76100781,Hb Myelography Lumbar Injection,4709.0,1648.15,,,0
CDM,76100782,Hb 37218 Stent Placemt Ante Carotid,4165.0,1457.75,,,0
CDM,76100783,Hb Removal Of Breast Lesion,18695.0,6543.25,,,0
CDM,76100784,Hb Incision Of Anal Abscess,7702.0,2695.7,,,0
CDM,76100785,Hb Intmd Rpr N-Hf/Genit 2.6-7.5Cm,2837.0,992.95,,,0
CDM,76100786,Hb Release Of Eye Fluid,10090.0,3531.5,,,0
CDM,76100787,Hb Drainage Of Eye,6037.0,2112.95,,,0
CDM,76100788,Hb Neg Press Wnd Tx </=50 Sq Cm,1173.0,410.55,,,0
CDM,76100789,Hb Treat Humerus Fracture,3405.0,1191.75,,,0
CDM,76100790,Hb Destruction Of Skin Lesions,887.0,310.45,,,0
CDM,76100791,Hb Inject For Kidney Xray Existing Access,3064.0,1072.4,,,0
CDM,76100792,Hb 50431 Inject For Kidney Xray Existing Access,3064.0,1072.4,,,0
CDM,76100793,Hb 61651 Infusion Nonthrombolytic Ea Addtl,3146.0,1101.1,,,0
CDM,76100794,Hb 47535 Conversion Of Biliary Drn Cath,10830.0,3790.5,,,0
CDM,76100795,Hb 47534 Perc Biliary Drain Cath Int Ext,26462.0,9261.7,,,0
CDM,76100796,Hb 47539 Perc Biliary Drain Stent New Wo Sep Drn Cath,20481.0,7168.35,,,0
CDM,76100797,Hb 47540 Perc Biliary Drain Stent New W Sep Drn Cath,20481.0,7168.35,,,0
CDM,76100798,Hb 47537 Removal Perc Biliary Drain Cath,2404.0,841.4,,,0
CDM,76100799,Hb 50693 Perc Stent Place Ureter Existing Neph Tract,17123.0,5993.05,,,0
CDM,76100800,Hb 50694 Perc Stent Place Ureter New Wo Neph Cath,17123.0,5993.05,,,0
CDM,76100801,Hb 50695 Perc Stent Place Ureter New W Neph Cath,17123.0,5993.05,,,0
CDM,76100802,Hb 50433 Perc Nephroureteral Cath Place New,7495.0,2623.25,,,0
CDM,76100803,Hb 50434 Convert Perc Nephrostomy Cath Existing,2610.0,913.5,,,0
CDM,76100804,Hb Remove Gastric Port Open,17836.0,6242.6,,,0
CDM,76100805,Hb 10030 Guide Cathet Fluid Drainage,7313.0,2559.55,,,0
CDM,76100806,Hb Extraction Erupted Tooth/Exr,3439.0,1203.65,,,0
CDM,76100807,Hb Remove Impacted Ear Wax Uni,421.0,147.35,,,0
CDM,76100808,Hb Biopsy Soft Tissue Of Back,9329.0,3265.15,,,0
CDM,76100809,Hb Bronch Ebus Samplng 1/2 Node,12199.0,4269.65,,,0
CDM,76100810,Hb 47542 Dilate Biliary Duct/Ampulla,10826.0,3789.1,,,0
CDM,76100811,Hb 61645 Perq Art M-Thrombect &/Nfs,12063.0,4222.05,,,0
CDM,76100812,Hb 47541 Plmt Access Bil Tree Sm Bwl,10830.0,3790.5,,,0
CDM,76100813,Hb 47543 Endoluminal Bx Biliary Tree,9233.0,3231.55,,,0
CDM,76100814,Hb 49185 Sclerotx Fluid Collection,7041.0,2464.35,,,0
CDM,76100815,Hb 50606 Endoluminal Bx Urtr Rnl Plvs,2791.0,976.85,,,0
CDM,76100816,Hb 50705 Ureteral Embolization/Occl,8914.0,3119.9,,,0
CDM,76100817,Hb 50706 Balloon Dilate Urtrl Strix,4023.0,1408.05,,,0
CDM,76100818,Hb Circumcision Neonate,7468.0,2613.8,,,0
CDM,76100819,Hb Dilation Of Vagina,12183.0,4264.05,,,0
CDM,76100820,Hb Bronch W/Balloon Occlusion,20194.0,7067.9,,,0
CDM,76100821,Hb Laryngoscop W/Vc Inj + Scope,16480.0,5768.0,,,0
CDM,76100822,Hb 52310 Cytoscopy,12748.0,4461.8,,,0
CDM,76100823,Hb Arthrocentesis Maj Joint W/ Us Guide,1792.0,627.2,,,0
CDM,76100824,Hb Renal Cyst Aspiration,5937.0,2077.95,,,0
CDM,76100825,Hb Pierce Skull Implant Device,20355.0,7124.25,,,0
CDM,76100826,Hb Dest Mal Lesion S/N/H/F/G  2.1 To 3 Cm,1988.0,695.8,,,0
CDM,76100827,Hb Treatment Of Retinal Lesion Cryotherapy,4762.0,1666.7,,,0
CDM,76100828,Hb Ablate Bone Tumor(S) Perq,29442.0,10304.7,,,0
CDM,76100829,Hb Dest Mal Lesion Head 1.1 To 2 Cm,1833.0,641.55,,,0
CDM,76100830,Hb Inj Anes Epidural Lum Sac,7143.0,2500.05,,,0
CDM,76100831,Hb Inj Foramen Epidural Add-On,4639.0,1623.65,,,0
CDM,76100832,Hb Intro Of Needle Or Intracatheter Upr/Lxtr Artery,602.0,210.7,,,0
CDM,76100833,Hb Incision Of Eyelid Fold,5182.0,1813.7,,,0
CDM,76100834,Hb Treat Spinal Canal Lesion,7304.0,2556.4,,,0
CDM,76100835,Hb Inj Spine W/Cath Crv/Thrc,8935.0,3127.25,,,0
CDM,76100836,Hb Inj N Block Cont Infuse B Plex,6482.0,2268.7,,,0
CDM,76100837,Hb N Block Inj Axillary,6944.0,2430.4,,,0
CDM,76100838,Hb Pvb Thoracic Single Inj Site,4476.0,1566.6,,,0
CDM,76100839,Hb Pvb Thoracic 2Nd+ Inj Site,3670.0,1284.5,,,0
CDM,76100840,Hb Tap Block Unil By Injection,1928.0,674.8,,,0
CDM,76100841,Hb Tap Block Bi Injection,2374.0,830.9,,,0
CDM,76100842,Hb N Block Inj Fem Cont Inf,7540.0,2639.0,,,0
CDM,76100843,Hb Treatment Of Tibia Fracture,9496.0,3323.6,,,0
CDM,76100844,Hb Treat Dislocation/Fracture,5107.0,1787.45,,,0
CDM,76100845,Hb Bronch Ebus Samplng 3/> Node,13118.0,4591.3,,,0
CDM,76100846,Hb Treatment Of Miscarriage,16440.0,5754.0,,,0
CDM,76100847,Hb 36902 Intro Cath Dial Circ W/Trluml Balo Angiop,14984.0,5244.4,,,0
CDM,76100848,Hb 36905 Perq Thrmbc/Nfs Dial Circ Trluml Balo Angiop,30285.0,10599.75,,,0
CDM,76100849,Hb 36907 Trluml Balo Angiop Ctr Dialysis Seg W/Img S&I,2367.0,828.45,,,0
CDM,76100850,Hb 37246 Trluml Balo Angiop 1St Art,14984.0,5244.4,,,0
CDM,76100851,Hb 37247 Trlml Balo Angiop Open/Perq Img S&I Ea Addl Art,2828.0,989.8,,,0
CDM,76100852,Hb 37248 Trluml Balo Angiop 1St Vein,14984.0,5244.4,,,0
CDM,76100853,Hb 37249 Trluml Balo Angiop Addl Vein,2080.0,728.0,,,0
CDM,76100854,Hb 36904 Perq Thrmbc/Nfs Dial Circuit Img Dx Angrph,14984.0,5244.4,,,0
CDM,76100855,Hb 36906 Perq Thrmbc/Nfs Dial Circuit Tcat Plmt Iv Stent,45903.0,16066.05,,,0
CDM,76100856,Hb 36901 Intro Cath Dial Circuit Dx Angrph Fluor S&I,2125.0,743.75,,,0
CDM,76100857,Hb 36903 Intro Cath Dial Circuit W/Tcat Plmt Iv Stent,30285.0,10599.75,,,0
CDM,76100858,Hb Injection Treatment Of Nerve,8919.0,3121.65,,,0
CDM,76100859,Hb 36908 Stent Plmt Ctr Dialysis Seg,10382.0,3633.7,,,0
CDM,76100860,Hb Myelography Lumbar Inj Rs&I Cervical,4709.0,1648.15,,,0
CDM,76100861,Hb 36909 Dialysis Circuit Embolj,7584.0,2654.4,,,0
CDM,76100862,Hb Inj Cont W Fluoro Tube,1407.0,492.45,,,0
CDM,76100863,Hb 62304 Myelography Lumbar Injection,4709.0,1648.15,,,0
CDM,76100864,Hb 96450 Lumbar Puncture Chemo Inj,992.0,347.2,,,0
CDM,76100865,Hb Remove Sutures Same Surgeon,14052.0,4918.2,,,0
CDM,76100866,Hb Stab Phleb Veins Xtr 10-20,22363.0,7827.05,,,0
CDM,76100867,Hb Endovenous Rf 1St Vein,16109.0,5638.15,,,0
CDM,76100868,Hb Tamponade Esoph W Blln,4238.0,1483.3,,,0
CDM,76100869,Hb Treat Hip Dislocation,3074.0,1075.9,,,0
CDM,76100870,Hb Treat Fracture Of Radius,4901.0,1715.35,,,0
CDM,76100871,Hb Repair Intermediate S/A/T/E 2.5 Cm/<,4625.0,1618.75,,,0
CDM,76100872,Hb Treat Elbow Dislocation,1646.0,576.1,,,0
CDM,76100873,Hb Suture Wound Of The Eyelid,8090.0,2831.5,,,0
CDM,76100874,Hb Treatment Of Ankle Fracture,4379.0,1532.65,,,0
CDM,76100875,Hb Treat Lower Leg Fracture,9780.0,3423.0,,,0
CDM,76100876,Hb Remove Cerclage Suture,14984.0,5244.4,,,0
CDM,76100877,Hb Treat Finger Dislocation W Man Under Anes,5521.0,1932.35,,,0
CDM,76100878,Hb Inject Anes Lmbr/Thrc Paravertbrl Sympathetic,8820.0,3087.0,,,0
CDM,76100879,Hb Amputation Toe Interphalangeal Joint,17922.0,6272.7,,,0
CDM,76100880,Hb Inj Spine Lower Back Or Sacrum W Guid,3880.0,1358.0,,,0
CDM,76100881,Hb Inj Spine Upper Or Middle Back W Guid,3880.0,1358.0,,,0
CDM,76100882,Hb Insert Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn,4890.0,1711.5,,,0
CDM,76100883,Hb Insert Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn,4890.0,1711.5,,,0
CDM,76100884,Hb Insert Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,4890.0,1711.5,,,0
CDM,76100885,Hb Treat Hip Dislocation W/ Anes,11304.0,3956.4,,,0
CDM,76100886,Hb Repair Intermediate S/A/T/E 2.5 Cm/<,5140.0,1799.0,,,0
CDM,76100887,Hb Nundsc Icra Plmt Ventr Cath Shunt Sys,26797.0,9378.95,,,0
CDM,76100888,Hb I&D Soft Tissue Abscess Subfasc,9496.0,3323.6,,,0
CDM,76100889,Hb Dx Bone Marrow Bx & Aspir,6120.0,2142.0,,,0
CDM,76100890,Hb Biopsy/Removal Lymph Nodes Open,20686.0,7240.1,,,0
CDM,76100891,Hb Myelography Lumbar Injection 2+ Regions,9790.0,3426.5,,,0
CDM,76100892,Hb 20982 Ablate Bone Tumor(S) Rf Perq W/Img,35264.0,12342.4,,,0
CDM,76100893,Hb Liver Elastography W/O Imag W/I&R,988.0,345.8,,,0
CDM,76100894,Hb 62323 Inj Spine Lower Back Or Sacrum W Guid,3880.0,1358.0,,,0
CDM,76100895,Hb Treat Shoulder Dislocation,10090.0,3531.5,,,0
CDM,76100896,Hb Remove Sutures Diff Surgeon,11585.0,4054.75,,,0
CDM,76100897,Hb Repair Of Nail Bed,5282.0,1848.7,,,0
CDM,76100898,Hb Removal Of Implant From Hand,18876.0,6606.6,,,0
CDM,76100899,Hb Amputation Of Toe,18497.0,6473.95,,,0
CDM,76100900,Hb Guide Nerv Destr Needle Emg,664.0,232.4,,,0
CDM,76100901,Hb Control Of Nosebleed,1643.0,575.05,,,0
CDM,76100902,Hb Transabdom Amnioinfus W/Us Guid,1242.0,434.7,,,0
CDM,76100903,Hb Fetal Shunt Placement W/Us  Guid,1242.0,434.7,,,0
CDM,76100904,Hb  Fetal Invas Px W/Us,744.0,260.4,,,0
CDM,76100905,Hb Bronchoscopy Revise Stent,15704.0,5496.4,,,0
CDM,76100906,Hb Gastric Motility Studies,5663.0,1982.05,,,0
CDM,76100907,Hb Dental Surgery Procedure,13104.0,4586.4,,,0
CDM,76100908,Hb Drainage Of Scrotum,18517.0,6480.95,,,0
CDM,76100909,Hb Gi Tract Capsule Endoscopy,6328.0,2214.8,,,0
CDM,76100910,Hb 10120 Inc Removal Fb Sq Tiss,3177.0,1111.95,,,0
CDM,76100911,Hb 10140 Drain Hematoma Or Seroma,6136.0,2147.6,,,0
CDM,76100912,Hb 34812 Femoral Artery Cutdown,18215.0,6375.25,,,0
CDM,76100913,Hb 36011 Venous 1St Order,5630.0,1970.5,,,0
CDM,76100914,Hb 36012 Venous 2Nd Order,4115.0,1440.25,,,0
CDM,76100915,Hb 36013 Place Cath Rt Heart Pulm,7999.0,2799.65,,,0
CDM,76100916,Hb 36014 Place Cath Lt Rt Pulm Art,3802.0,1330.7,,,0
CDM,76100917,Hb 36015 Place Cath Seg Sub Pulm,3916.0,1370.6,,,0
CDM,76100918,Hb 36140 Extremity Artery Retro,7427.0,2599.45,,,0
CDM,76100919,Hb 36215 Arterial Thorac 1St Order,7591.0,2656.85,,,0
CDM,76100920,Hb 36216 Arterial Thorac 2Nd Order,10900.0,3815.0,,,0
CDM,76100921,Hb 36217 Arterial Thorac 3Rd Order,10829.0,3790.15,,,0
CDM,76100922,Hb 36218 Arterial Thorac Ea Addl,5473.0,1915.55,,,0
CDM,76100923,Hb 36245 Abd Pelvic Low 1St Order,10104.0,3536.4,,,0
CDM,76100924,Hb 36246 Abd Pelvic Low 2Nd Order,12529.0,4385.15,,,0
CDM,76100925,Hb 36247 Abd Pelvic Low 3Rd Order,13498.0,4724.3,,,0
CDM,76100926,Hb 36248 Abd Pelvic Low Ea Addl,3779.0,1322.65,,,0
CDM,76100927,Hb 36299 Vessel Inj Procedure,2409.0,843.15,,,0
CDM,76100928,Hb 37252 Vascular Sono Init Vessel,5383.0,1884.05,,,0
CDM,76100929,Hb 37253 Vascular Sono Ea Addl Ves,5270.0,1844.5,,,0
CDM,76100930,Hb 37799 Vascular Surg Proc,10358.0,3625.3,,,0
CDM,76100931,Hb 37236 Open/Perq Place Stent 1St,39877.0,13956.95,,,0
CDM,76100932,Hb 37237 Open/Perq Place Stent Ea Add,16772.0,5870.2,,,0
CDM,76100933,Hb 37246 Trluml Balo Angiop 1St Art,14984.0,5244.4,,,0
CDM,76100934,Hb 37247 Trlml Balo Angiop Open/Perq Img S&I Ea Addl Art,2828.0,989.8,,,0
CDM,76100935,Hb 37248 Trluml Balo Angiop 1St Vein,14984.0,5244.4,,,0
CDM,76100936,Hb 37249 Trluml Balo Angiop Addl Vein,2080.0,728.0,,,0
CDM,76100937,Hb 20983 Ablate Bone Tumor(S) Perq,29442.0,10304.7,,,0
CDM,76100938,Hb Refill/Maint Pump/Resvr Syst,1608.0,562.8,,,0
CDM,76100939,Hb Amputate Fing/Th Sgl; W Dir Close,25094.0,8782.9,,,0
CDM,76100940,Hb Sclerotx Fluid Collection,7041.0,2464.35,,,0
CDM,76100941,Hb Irrigate Corpora Cavernosa For Priapism,3800.0,1330.0,,,0
CDM,76100942,Hb Cl Tx Ip Jnt D W Manip ; Wo Anesth,3274.0,1145.9,,,0
CDM,76100943,Hb Drainage External Ear Abscess/Hematoma Simple,5032.0,1761.2,,,0
CDM,76100944,Hb Chemodenerv Paratid And Submandibl Salivary Glnd,2489.0,871.15,,,0
CDM,76100945,Hb Part Exc Bone; Distal Phalanx,19389.0,6786.15,,,0
CDM,76100946,Hb Drain Finger Absc; Complicated,11541.0,4039.35,,,0
CDM,76100947,Hb Surg Tx Missed Abort; 1St Trimester,19253.0,6738.55,,,0
CDM,76100948,Hb Cl Tx Radial & Ulna Fx W Manip,6696.0,2343.6,,,0
CDM,76100949,Hb Wedge Exc Nail Fold,1302.0,455.7,,,0
CDM,76100950,Hb Place Needle Intraosseous Infusion,1552.0,543.2,,,0
CDM,76100951,Hb Repair Detached Retina Pc,7620.0,2667.0,,,0
CDM,76100952,Hb Explore Of Penetrating Wound; Extremity,15984.0,5594.4,,,0
CDM,76100953,Hb Place Rt Device/Marker Pros,7779.0,2722.65,,,0
CDM,76100954,Hb Fit Contact Lens Ocular Surface,372.0,130.2,,,0
CDM,76100955,Hb Tangntl Bx Skin Single Les,511.0,178.85,,,0
CDM,76100956,Hb Punch Bx Skin Single Lesion,511.0,178.85,,,0
CDM,76100957,Hb Incal Bx Skn Single Les,511.0,178.85,,,0
CDM,76100958,Hb Tangntl Bx Skin Ea Sep/Addl,222.0,77.7,,,0
CDM,76100959,Hb Punch Bx Skin Ea Sep/Addl,196.0,68.6,,,0
CDM,76100960,Hb Incal Bx Skn Ea Sep/Addl,222.0,77.7,,,0
CDM,76100961,"Hb Fine Needle Aspiration W Ct Image, 1St Lesion",4241.0,1484.35,,,0
CDM,76100962,"Hb Fine Needle Aspiration W Ct Image, Ea Adtl Lesion",4241.0,1484.35,,,0
CDM,76100963,"Hb Fine Needle Aspiration W Us Image, 1St Lesion",4241.0,1484.35,,,0
CDM,76100964,"Hb Fine Needle Aspiration W Us Image, Ea Adtl Lesion",4241.0,1484.35,,,0
CDM,76100965,Hb Non-Routine Bl Draw 3/> Yrs,627.0,219.45,,,0
CDM,76100966,Hb Dr Absc/Hematoma Nasal Septum,11780.0,4123.0,,,0
CDM,76100967,Hb Recons Extra Finger,10033.0,3511.55,,,0
CDM,76100968,Hb Crep E/N/E/L; 2.6-7.5Cm,4276.0,1496.6,,,0
CDM,76100969,Hb 50437 Dilat Xst Trc New Access Rcs,6517.0,2280.95,,,0
CDM,76100970,Hb Destr Mles T/A/L; 3.1-4.0 Cm,1690.0,591.5,,,0
CDM,76100971,Hb Hernia Repair W/Mesh,13222.0,4627.7,,,0
CDM,76100973,Hb Ra Tracer Id Of Sentinl Node,2518.0,881.3,,,0
CDM,76100974,Hb Njx Sclrsnt 1 Incmptnt Vein,12209.0,4273.15,,,0
CDM,76100975,Hb Njx Sclrsnt Mlt Incmptnt Vn,3619.0,1266.65,,,0
CDM,76100976,Hb Ins Tunneled Cvad W Port Age 5 Yrs/>,33575.0,11751.25,,,0
CDM,76100977,Hb Partial Mastectomy,17056.0,5969.6,,,0
CDM,76100978,Hb Exc Breast Les N Loc; Ea Addtl,8754.0,3063.9,,,0
CDM,76100979,Hb Open - Incis Breast Bx,43155.0,15104.25,,,0
CDM,76100980,Hb Lcl Surg Wnd/Deh Extens,28674.0,10035.9,,,0
CDM,76100981,Hb Unlisted Procedure Maternity Care & Del,804.0,281.4,,,0
CDM,76100982,Hb 62323 Inj Spine Lower Back Or Sacrum W Guid,3880.0,1358.0,,,0
CDM,76100983,Hb Skin Tissue Rearrangement 30.1-60.0 Sq Cm,14384.0,5034.4,,,0
CDM,76100984,"Hb Induced Abortion, By Dilation And Evacuation",14054.0,4918.9,,,0
CDM,76100985,Hb Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm,3535.0,1237.25,,,0
CDM,76100986,Hb Cl Tx Phalang Shft Fx;W Manip,3002.0,1050.7,,,0
CDM,76100987,Hb Cl Tx Mtp Jnt Disloc; Wo Anesth,2450.0,857.5,,,0
CDM,76100988,Hb Cl Tx Ulnar Shft Fx W Manip,14723.0,5153.05,,,0
CDM,76100989,Hb Closed Tx Ulnar Fracture Proximal End W Mnp,9748.0,3411.8,,,0
CDM,76100990,Hb Repair Blood Vessel Direct; Upr Extrem,12609.0,4413.15,,,0
CDM,76100991,Hb 	Bone Biopsy Open Superficial,18283.0,6399.05,,,0
CDM,76100992,Hb Trim Dystrophic Nail Any Number,302.0,105.7,,,0
CDM,76100993,Hb I&D Ua/Elbow Deep Abscess/Hematoma,26159.0,9155.65,,,0
CDM,76100996,Hb Hb Inj To See Ileal Conduit /Ureteropyelogr,1678.0,587.3,,,0
CDM,76100997,Hb I&D Vaginal Hematoma Ob/Postpartum,19883.0,6959.05,,,0
CDM,76100998,Hb Curettage Postpartum,13319.0,4661.65,,,0
CDM,76100999,Hb Cl Tx Mc Fx Sgl; W Manip,3350.0,1172.5,,,0
CDM,76101000,Hb Cl Tx D Phal Fx Fgrr/Thmb; W Manip,3177.0,1111.95,,,0
CDM,76101001,Hb Expl P Wnd; Abd/Flank,22992.0,8047.2,,,0
CDM,76101002,Hb Vasc Embolize/Occlude Bleed,50353.0,17623.55,,,0
CDM,76101003,Hb Inj Anesth; Sphenopalatine Ganglion,2715.0,950.25,,,0
CDM,76101004,Hb Change Cystostomy Tube,1266.0,443.1,,,0
CDM,76101005,Hb Rx Cl Elbow Disloc Wo Anesth,3177.0,1111.95,,,0
CDM,76101006,Hb Probe Nasolacrimal Duct W/Wo Irrg Insj Tube/Stnt,8461.0,2961.35,,,0
CDM,76101007,Hb Debr Exz/Inf Skin; 10% Bs,3144.0,1100.4,,,0
CDM,76101008,Hb Closed Tx Bimalleolar Ankle Fracture W/Manj,6251.0,2187.85,,,0
CDM,76101009,Hb Cl Tx Nasal Septal Fx,17863.0,6252.05,,,0
CDM,76101010,Hb Rpr 1St Ingun Hrna Age 5 Yrs/> Reducible,34844.0,12195.4,,,0
CDM,76101011,Hb Crep E/N/E/L; 1.1-2.5Cm,5437.0,1902.95,,,0
CDM,76101012,Hb Esophagus Endoscopy/Ligation,4370.0,1529.5,,,0
CDM,76101013,Hb Cl Tx Fx Phalanx/Phalang; W Manip,3174.0,1110.9,,,0
CDM,76101014,Hb Cl Tx Ankle Dislocation; Wo Anesth,3221.0,1127.35,,,0
CDM,76101015,Hb Cl Tx Humeral Epicondylar Fx Medial/Lat W/Manj,21515.0,7530.25,,,0
CDM,76101016,Hb Reduction Of Procidentia Under Anesth,5175.0,1811.25,,,0
CDM,76101017,Hb Foreskn Manj W/Lss Preputial Ads&Stretching,4497.0,1573.95,,,0
CDM,76101018,Hbcntrl Post Epistax Init,1766.0,618.1,,,0
CDM,76101019,Hb Rem Sutures By Md,197.0,68.95,,,0
CDM,76101020,Hb Unlisted Procedure Conjunctiva,8284.0,2899.4,,,0
CDM,76101021,Hb Puncture Asp Cyst Breast;Initial,4160.0,1456.0,,,0
CDM,76101022,Hb Cltx Dstl Fibular Fx Lat Malls W/Manj,3837.0,1342.95,,,0
CDM,76101023,Hb Rmvl Fecal Impaction/Fb Spx Under Anes,15901.0,5565.35,,,0
CDM,76101024,Hb Rmvl Fecal Impaction/Fb Spx Under Anes,9248.0,3236.8,,,0
CDM,76101025,Hb Unlisted Procedure Nervous System,1157.0,404.95,,,0
CDM,76101026,Hb Cast Wedge (Spacers),32.0,11.2,,,0
CDM,76101027,Hb Incision Thrombosed Hemorrhoid External,2415.0,845.25,,,0
CDM,76101028,Hb Removal Foreign Body Foot Deep,23448.0,8206.8,,,0
CDM,76101029,Hb Bx Anorectal Wall Anal Approach,23603.0,8261.05,,,0
CDM,76101030,Hb 	Plastic Repair Canaliculi,7129.0,2495.15,,,0
CDM,76101031,Hb Intmd Repair N/H/F/Xtrnl Gent >30.0 Cm,16916.0,5920.6,,,0
CDM,76101032,Hb Cl Tx Scapular Fx; W Manip,7740.0,2709.0,,,0
CDM,76101033,Hb Opscpy Extnd Rta Draw Uni/Bi,229.0,80.15,,,0
CDM,76101034,Hb Opscpy Extnd On/Mac Draw,229.0,80.15,,,0
CDM,76101035,Hb Cltx Fx Grt Toe Phlx/Phlg W/Manj,2619.0,916.65,,,0
CDM,76101036,Hb Cl Tx Artfx Mcp/Ip Jnt; W Manip,7313.0,2559.55,,,0
CDM,76101037,Hb Dx Lmbr Spi Pnxr W/Fluor/Ct,4438.0,1553.3,,,0
CDM,76101038,Hb Cl Tx Mcp Disloc W Manip & Anesth,8608.0,3012.8,,,0
CDM,76101039,Hb Rem Fb Up Arm Or Elbow; Sq,22911.0,8018.85,,,0
CDM,76101040,Hb Sialolithotomy; Sm Uncomplicated,22983.0,8044.05,,,0
CDM,76101041,Hb Clsed Tx Patellar Dislocation W/O Anest,2381.0,833.35,,,0
CDM,76101042,Hb Picc Placement <5Yrs W/Img,8599.0,3009.65,,,0
CDM,76101043,Hb Picc Placement 5Yrs/> W/Img,11278.0,3947.3,,,0
CDM,76101044,Hb Bl Draw <3 Yrs Scalp Vein,321.0,112.35,,,0
CDM,76101045,Hb Rpr Lip Full Thickness Vermilion Only,5453.0,1908.55,,,0
CDM,76101046,Hb Conjunctivoplas W Conjunctiv Grft/Exten,9862.0,3451.7,,,0
CDM,76101047,Hb Cltx Cmc Disl Manj Ea W/O Anes,2301.0,805.35,,,0
CDM,76101048,Hb Ther Spi Pnxr Csf Fluor/Ct,1746.0,611.1,,,0
CDM,76101049,Hb Skin Sub Graft Face/Nk/Hf/G M/D <100Sq Cm 1St 25 Sq Cm,7255.0,2539.25,,,0
CDM,76101050,Hb Unlisted Procedure Tongue Floor Mouth,14117.0,4940.95,,,0
CDM,76101051,Hb Cl Tx Talotarsal Joint Disl;W/Anes,18052.0,6318.2,,,0
CDM,76101052,Hb Bx Soft Tissue Upper Arm/Elbow Superficial,16656.0,5829.6,,,0
CDM,76101053,Hb 	Replace Non-Tunneled Cv Cath,11376.0,3981.6,,,0
CDM,76101054,Hb Drill Skull For Implantation,2060.0,721.0,,,0
CDM,76101055,Hb I&D Absc/Cys Fom; Submandib,19571.0,6849.85,,,0
CDM,76101056,Hb Insert Tunneled Cv Cath Sq Pump,25597.0,8958.95,,,0
CDM,76101057,Hb Insert Flow Directed Cath Monitoring,5291.0,1851.85,,,0
CDM,76101058,Hb Place Cath Rt Heart Pulm,7999.0,2799.65,,,0
CDM,76101059,Hb Cl Tx Mcp Disloc Sgl W Manip,2737.0,957.95,,,0
CDM,76101060,Hb Dr Absc Cyst Hematom - Dentoalveolar,2170.0,759.5,,,0
CDM,76101061,Hb Repair Intmd Wnd N-Hf/Genit =< 2.5 Cm,3409.0,1193.15,,,0
CDM,76101062,Hb Remove Aortic Device,5827.0,2039.45,,,0
CDM,76101063,Hb Proph Rta Dtchmnt W/O Drg 1/> Sess,3470.0,1214.5,,,0
CDM,76101064,Hb Repair Extensor Tendon Distal Inser W/O Grf,24458.0,8560.3,,,0
CDM,76101065,Hb Cl Tx Tmj Dislocation; Initial,3032.0,1061.2,,,0
CDM,76101066,Hb Cl Tx Trauma Hip Dicloc Wo Anesth,3640.0,1274.0,,,0
CDM,76101067,Hb Wound Prep Trk/Arm/Leg 100 Sq Cm/1% Ba,9219.0,3226.65,,,0
CDM,76101068,Hb Rep Lacer Conj Dir Cl,15041.0,5264.35,,,0
CDM,76101071,Hb  Closed Tx Of Ulnar Styloid Fx,3034.0,1061.9,,,0
CDM,76101072,Hb Debridement Bone Muscle &/Fascia 20 Sq Cm/<,11576.0,4051.6,,,0
CDM,76101073,Hb Venipuncture Cutdown Age 1 Yr/>,1417.0,495.95,,,0
CDM,76101074,Hb 38525 Bx/Exc Lymph Node Open Deep Axillary Node,13178.0,4612.3,,,0
CDM,76101075,Hb Exc Thrombosed Hemorrhoid Xtrnl,15059.0,5270.65,,,0
CDM,76101076,Hb Dcmprn Fasct Leg Ant&/Lat Compartments Only,22174.0,7760.9,,,0
CDM,76101077,Hb  Deb Musc/Fascia 20 Sq Cm/<,5261.0,1841.35,,,0
CDM,76101078,Hb Rem Fb Ntranasal; W Anesth,12735.0,4457.25,,,0
CDM,76101079,Hb Excise Excess Skin & Subq Tissue; Other,16257.0,5689.95,,,0
CDM,76101080,Hb Excise Excess Skin & Subq Tissue; Other,19984.0,6994.4,,,0
CDM,76101081,Hb Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt,28357.0,9924.95,,,0
CDM,76101082,Hb Apply Interdental Fixation Device,1049.0,367.15,,,0
CDM,76101083,Hb Cl Tx Cmc Disloc Thumb W Manip,2350.0,822.5,,,0
CDM,76101084,Hb Tracheostomy Emerg; Cricothyroid,3685.0,1289.75,,,0
CDM,76101085,Hb Unlisted Procedure Female Genital Sys,12601.0,4410.35,,,0
CDM,76101086,Hb 38794 	Cannulation Thoracic Duct,11130.0,3895.5,,,0
CDM,76101087,Hb 10121 Inc & Rem Fb Sq; Complt,16854.0,5898.9,,,0
CDM,76101088,Hb Removal Foreign Body Foot Subcutaneous,6501.0,2275.35,,,0
CDM,76101089,Hb 33992 Remove Vad Diff Session,823.0,288.05,,,0
CDM,76101090,Hb Laps Gastric Restrictive Px Remove Device & Port,25654.0,8978.9,,,0
CDM,76101091,Hb Fna Bx W/Fluor Gdn 1St Les,3686.0,1290.1,,,0
CDM,76101092,Hb Change Cystostomy Tube Complicated,3494.0,1222.9,,,0
CDM,76101093,Hb Rpr Lip Full Thickness Half/< Vertical Height,5515.0,1930.25,,,0
CDM,76101094,Hb Cl Tx Prox Tib-Fib Jnt Disl; Wo Anesth,4936.0,1727.6,,,0
CDM,76101095,Hb Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam,28316.0,9910.6,,,0
CDM,76101096,Hb Expl P Wnd; Chest,23994.0,8397.9,,,0
CDM,76101097,Hb Cysto W Removal Of Calculus,13130.0,4595.5,,,0
CDM,76101098,Hb Manipulate Knee Jnt Under Anesth,13122.0,4592.7,,,0
CDM,76101099,Hb Rmvl Vad  Impltable Icorp 1 Vntrc,6382.0,2233.7,,,0
CDM,76101100,Hb Hemorrhoidectomy Int/Ext Hem 1 Group,21043.0,7365.05,,,0
CDM,76101101,Hb 20552 Inj Trigger Pts 1 To 2 Muscles,2549.0,892.15,,,0
CDM,76101102,Hb Lap Surg W/Asp Cyst Single/Multi,24695.0,8643.25,,,0
CDM,76101103,Hb Open Tx Distal Phalang Fract Ea,19325.0,6763.75,,,0
CDM,76101104,Hb 10060 Drainage Abscess Simple,4757.0,1664.95,,,0
CDM,76101105,Hb Trachelorrhaphy Plstc Rpr Uterine Cervix Vag,12485.0,4369.75,,,0
CDM,76101106,Hb Remove Foreign Body Pharynx,2144.0,750.4,,,0
CDM,76101107,Hb Secdnry Clsr Surg Wnd/Deh Extsv/Complic,25006.0,8752.1,,,0
CDM,76101108,Hb Proctopexy Perineal Approach,18836.0,6592.6,,,0
CDM,76101109,Hb 62321 Inj Spine Upper Or Middle Back W Guid,3880.0,1358.0,,,0
CDM,76101110,Hb Repr Foot Extensor Tendon Ea,22332.0,7816.2,,,0
CDM,76101111,Hb Cl Tx Knee Disl; Wo Anesth,3287.0,1150.45,,,0
CDM,76101112,Hb Inj Corpora Cavernosa W Pharm Agents,1741.0,609.35,,,0
CDM,76101113,Hb Rmvl Embedded Fb Vestibule Mouth Smpl,3295.0,1153.25,,,0
CDM,76101114,Hb Cystostomy Cystotomy W/Drainage,15003.0,5251.05,,,0
CDM,76101115,Hb Ins Picc Device W Port 5 Yrs/>,11374.0,3980.9,,,0
CDM,76101116,Hb Adrainage Abscess Palate Uvula,2147.0,751.45,,,0
CDM,76101117,Hb Reconstr Toe(S); Polydactyly,15385.0,5384.75,,,0
CDM,76101119,Hb Cl Tx Shdr Disloc W Nk Fx W Manip,7098.0,2484.3,,,0
CDM,76101120,Hb 	Escharotomy First Incision,5006.0,1752.1,,,0
CDM,76101121,Hb Sm Int Endo >2Nd Prtn W/Ileum W/Wo Collj Spec Spx,9134.0,3196.9,,,0
CDM,76101122,Hb St Bx Fa/Wrist; Superficial,20656.0,7229.6,,,0
CDM,76101124,Hb Cl Tx Trauma Hip Disloc W Anesth,6536.0,2287.6,,,0
CDM,76101125,Hb Vessel Inj Procedure,2409.0,843.15,,,0
CDM,76101126,Hb Esophagoscopy Flexible Mucosal Resect,4873.0,1705.55,,,0
CDM,76101127,Hb Drg Absc Cyst Hemat-Mouth; Simple,3149.0,1102.15,,,0
CDM,76101128,Hb Removal Ext Fix Sys W Anesth,23046.0,8066.1,,,0
CDM,76101129,Hb Fundus Photography I & R,524.0,183.4,,,0
CDM,76101130,Hv I&D Ischiorct/Intramural Absc W/Wo Seton,21384.0,7484.4,,,0
CDM,76101131,Hb Incision Lingual Frenum Frenotomy,9555.0,3344.25,,,0
CDM,76101132,Hb Rep Lac; Apply Tiss Glue Scl/Corn Wnds,4662.0,1631.7,,,0
CDM,76101133,Hb Dstrj Lesion Choroid Pc 1/> Sess,3594.0,1257.9,,,0
CDM,76101134,Hb Fna Bx W/O Img Gdn Ea Addl,4563.0,1597.05,,,0
CDM,76101135,Hb Treatment X10Sv Retinopathy,3452.0,1208.2,,,0
CDM,76101136,Hb Aspirate/Inj Ganglion Cyst Any Locatj,1173.0,410.55,,,0
CDM,76101137,Hb 51040 Cystostomy Cystotomy W/Drainage,13046.0,4566.1,,,0
CDM,76101138,Hb 12020 Trmt Suprfcl Wound Dehiscence Simple,2716.0,950.6,,,0
CDM,76101139,Hb Insert Temp Pacemaker,9551.0,3342.85,,,0
CDM,76101141,Hb Drainage Scrotal Wall Abscess,11713.0,4099.55,,,0
CDM,76101142,Hb Missed Abortion 2Nd Trimester Surgical,13869.0,4854.15,,,0
CDM,76101143,Hb 62328 Dx Lmbr Spi Pnxr W/Fluor/Ct,4438.0,1553.3,,,0
CDM,76101144,Hb Prq Skel Fixj Interphalangeal Joint Dislc W/Manj,12050.0,4217.5,,,0
CDM,76101145,Hb Feeding Tube Placement,3157.0,1104.95,,,0
CDM,76101146,Hb Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level,8057.0,2819.95,,,0
CDM,76101147,Hb Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 2Nd Level,4501.0,1575.35,,,0
CDM,76101149,Hb 62281 Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic,26534.0,9286.9,,,0
CDM,76101150,Hb 62282 Treat Spinal Canal Lesion,7304.0,2556.4,,,0
CDM,76101151,Hb 62325 Insert Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn,4890.0,1711.5,,,0
CDM,76101152,Hb 62327 Insert Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,4890.0,1711.5,,,0
CDM,76101153,Hb 64480 Njx Aa&/Strd Tfrml Epi Cervical/Thoracic Ea Addl,4697.0,1643.95,,,0
CDM,76101154,Hb 64484 Inj Foramen Epidural Add-On,4639.0,1623.65,,,0
CDM,76101155,Hb 64517 Injection Anes Superior Hypogastric Plexus,8889.0,3111.15,,,0
CDM,76101156,Hb Injection Anes Superior Hypogastric Plexus,8889.0,3111.15,,,0
CDM,76101157,Hb Rpr Lip Full Thkns >One-Half Vert Height/Comple,6648.0,2326.8,,,0
CDM,76101158,Hb 38222 Dx Bone Marrow Bx & Aspir,6120.0,2142.0,,,0
CDM,76101159,Hb 	Simple Repair F/E/E/N/L/M 2.5Cm/<,1382.0,483.7,,,0
CDM,76101160,Hb Excision Eyelid Lesion Up To 1Cm,7591.0,2656.85,,,0
CDM,76101161,Hb Cmplx Rpr F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm,2826.0,989.1,,,0
CDM,76101162,Hb Cmplx Rpr F/C/C/M/N/Ax/G/H/F Ea Addl 5 Cm/<,3224.0,1128.4,,,0
CDM,76101163,Hb Cmplx Rpr  Eyelid/Nose/Ear/Lip Ea Addl 5 Cm/<,3703.0,1296.05,,,0
CDM,76101164,Hb Excision Lesion Tongue W/O Closure,17615.0,6165.25,,,0
CDM,76101165,Hb Complx Rpr  Scalp/Arm/Leg 2.6-7.5 Cm,3550.0,1242.5,,,0
CDM,76101166,Hb Complx Rpr  Scalp/Arm/Leg Ea Addl 5 Cm/<,4197.0,1468.95,,,0
CDM,76101167,Hb Laryngoscopy Flx Rmvl Foreign Body(S),5402.0,1890.7,,,0
CDM,76101168,Hb 36410 Non-Routine Bl Draw 3/> Yrs,482.0,168.7,,,0
CDM,76101169,Hb 12001 Rep Simp Tsnge 2.5Cm Or Less,599.0,209.65,,,0
CDM,76101170,Hb  Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol,14111.0,4938.85,,,0
CDM,76101171,Hb Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap,15566.0,5448.1,,,0
CDM,76101172,Hb 	Repair Complex F/C/C/M/N/Ax/G/H/F 1.1-2.5 Cm,2836.0,992.6,,,0
CDM,76101173,Hb Partial Excision Proximal/Middle Phalanx Finger,9585.0,3354.75,,,0
CDM,76101174,Hb Dise Dyn Eval Sleep Disordered Breathing Flx Dx,421.0,147.35,,,0
CDM,76101175,Hb Unlisted Procedure Muscskeletal System General,11527.0,4034.45,,,0
CDM,76101176,Hb Urology Surgery Procedure,12761.0,4466.35,,,0
CDM,76101177,Hb Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr,12774.0,4470.9,,,0
CDM,76101178,Hb Instlj Via Chest Tube/Cath Agent For Pleurodesis,4745.0,1660.75,,,0
CDM,76101179,Hb Unlisted Procedure Vascular Surgery,7835.0,2742.25,,,0
CDM,76101180,Hb Closed Tx Talus Fracture W/Manipulation,7656.0,2679.6,,,0
CDM,76101181,Hb Lyse Chest Fibrin Init Day,2880.0,1008.0,,,0
CDM,76101182,Hb Lyse Chest Fibrin Subq Day,1962.0,686.7,,,0
CDM,76101183,Hb Treat Metatarsal Fracture,5382.0,1883.7,,,0
CDM,76101184,Hb Repair Intermediate S/A/T/E 12.6-20.0Cm,5101.0,1785.35,,,0
CDM,76101185,Hb Cltx Sprcndylr/Transcndylr Humeral Fx W/Manj,6028.0,2109.8,,,0
CDM,76101186,Hb 	Unlisted Procedure Hands/Fingers,6130.0,2145.5,,,0
CDM,76101187,Hb Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/<,9333.0,3266.55,,,0
CDM,76101188,Hb Removal Tissue Expander W/O Insertion Implant,13779.0,4822.65,,,0
CDM,76101189,Hb Insert Cath Pleura Wo Image,3750.0,1312.5,,,0
CDM,76101190,Hb C9766 Revasc Intra Lithotrip-Ather,41147.0,14401.45,,,0
CDM,76101191,Hb Closed Tx Monteggia Fx Dislocation Elbow W/Manj,7501.0,2625.35,,,0
CDM,76101192,Hb Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss,5432.0,1901.2,,,0
CDM,76101193,Hb Rmvl Embedded Fb From Dentalvlr Struxs Soft Tiss,6449.0,2257.15,,,0
CDM,76101194,Hb Scalp Cooling 1St Measurement & Cap Calibration,3412.0,1194.2,,,0
CDM,76101195,Hb Scalp Cooling Placement Mntr & Removal Of Device,1365.0,477.75,,,0
CDM,76101196,Hb Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us,1396.0,488.6,,,0
CDM,76101197,Hb Rpr Aa Hernia Recr < 3 Cm Reducible,5527.0,1934.45,,,0
CDM,76101198,Hb Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated,8291.0,2901.85,,,0
CDM,76101199,Hb Rpr Aa Hernia Recr 3-10 Cm Reducible,3721.0,1302.35,,,0
CDM,76101200,Hb Rpr Aa Hernia Recr 3-10 Cm Ncrc8/Strangulated,4006.0,1402.1,,,0
CDM,76101201,Hb Rpr Aa Hernia Recr > 10 Cm Reducible,2697.0,943.95,,,0
CDM,76101202,Hb Rpr Aa Hernia Recr > 10 Cm Ncrc8/Strangulated,5219.0,1826.65,,,0
CDM,76101203,Hb Removal Sutures Or Staples Not Requiring Anesthesia,699.0,244.65,,,0
CDM,76101204,Hb Removal Sutures & Staples Not Requiring Anesthesia,699.0,244.65,,,0
CDM,76101205,Hb Prolonged Office/Outpatient E/M Svc Ea 15 Min,135.0,47.25,,,0
CDM,76101207,Hb 49411 Interstitial Dev Plmt Radiation Therapy 1/Mlt,7928.0,2774.8,,,0
CDM,76101208,Hb Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal,3123.0,1093.05,,,0
CDM,76101209,Hb Smpl Rpr Scalp/Neck/Ax/Genit/Trunk,2344.0,820.4,,,0
CDM,76101210,Hb Ventricular Puncture Previous Burr Hole W/O Njx,3924.0,1373.4,,,0
CDM,76101211,Hb Laryngoscope W/ Vc Inj,11612.0,4064.2,,,0
CDM,76101212,Hb Explore Neck Vessels,20065.0,7022.75,,,0
CDM,76101214,Hb Dilatn Of Rectal Narrowng Under Anes,1871.0,654.85,,,0
CDM,76101215,Hb Rmvl Fecal Impactn/Fb Under Anes,12158.0,4255.3,,,0
CDM,76101216,Hb Esophagosc Flex Dx Brush,3733.0,1306.55,,,0
CDM,76101217,Hb Esophagosc Flex Trnsn Bx,10390.0,3636.5,,,0
CDM,76101218,Hb Egd Flx Transnsl Dx Br/Wa,547.0,191.45,,,0
CDM,76101219,Hb Egd Flx Transnsl Bx 1/Mlt,3589.0,1256.15,,,0
CDM,76101220,Hb Egd Flx Transnsl Tube/Cath,5320.0,1862.0,,,0
CDM,76101225,Hb Remove Brain Cavity Fluid,3738.0,1308.3,,,0
CDM,76101226,"Hb Injection, Platelet Rich Plasma",10136.0,3547.6,,,0
CDM,76101227,Hb C9759 Transcath Intraop Microinfusion,25.0,8.75,,,0
CDM,76101228,Hb Rpr Blood Vessel Direct Lower Extremity,9361.0,3276.35,,,0
CDM,76101229,Hb 36819 Av Fuse Uppr Arm Basilic,25178.0,8812.3,,,0
CDM,76101230,Hb 36821 Av Fusion Dir Any Site,18007.0,6302.45,,,0
CDM,76101231,Hb 36830 Av Nonautograft,33008.0,11552.8,,,0
CDM,76101232,Hb 36832 Av Fistula Revision Open,28864.0,10102.4,,,0
CDM,76101233,Hb 20983 Ablate Bone Tumor(S) Perq,29442.0,10304.7,,,0
CDM,76101234,Hb 62329 Ther Spi Pnxr Csf Fluor/Ct,1518.0,531.3,,,0
CDM,76101235,Hb Esoph Balloon Distension Tst,5471.0,1914.85,,,0
CDM,76101236,Hb Egd Flx Trnsorl Rmvl Balo,7278.0,2547.3,,,0
CDM,76101237,Hb 36140 Extremity Artery Retro,7427.0,2599.45,,,0
CDM,76101238,Hb 37238 Open/Perq Place Stent Same,41612.0,14564.2,,,0
CDM,76101239,Hb 37239 Open Perq Place Stent Ea Add,16772.0,5870.2,,,0
CDM,76101240,Hb 37248 Trluml Balo Angiop 1St Vein,14984.0,5244.4,,,0
CDM,76101241,Hb 37249 Trluml Balo Angiop Addl Vein,2080.0,728.0,,,0
CDM,76101242,Hb 37238 Open/Perq Place Stent Same,41612.0,14564.2,,,0
CDM,76101243,Hb 37239 Open Perq Place Stent Ea Add,16772.0,5870.2,,,0
CDM,76101244,Hb Anoscopy Dx W/Hra &Chem Agnts Enhancement,575.0,201.25,,,0
CDM,76101245,Hb Repair Extensr Tendon Hand W/O Graft Ea,12062.0,4221.7,,,0
CDM,76101246,Hb Cltx Medial Ankle Fx,1510.0,528.5,,,0
CDM,76101247,Hb Image Fluid Collxn Drainag Cath Transrec/Vaginal,5709.0,1998.15,,,0
CDM,76101248,Hb Biopsy Muscle Superficial,11320.0,3962.0,,,0
CDM,76101249,Hb C9764 Revasc Intravasc Lithotripsy,25232.0,8831.2,,,0
CDM,76101250,Hb 62328 Dx Lmbr Spi Pnxr W/Fluor/Ct,4438.0,1553.3,,,0
CDM,76101251,Hb Incision Conjunctiva Drainage Of Cyst,2984.0,1044.4,,,0
CDM,76101252,Hb Laryngoscopy Flexible W/Injection Agmntj Uni,7019.0,2456.65,,,0
CDM,76101253,Hb Renal Abscess Open Drain,2008.0,702.8,,,0
CDM,76101254,Hb Incision Drainage Lacrimal Sac,9119.0,3191.65,,,0
CDM,76101255,Hb 33946 Ecmo/Ecls Initiation Venous,39716.0,13900.6,,,0
CDM,76101256,Hb Extensive Retinopathy 1/> Sess Preterm Infant,2012.0,704.2,,,0
CDM,76101257,Hb Temporary Closure Eyelids Suture,8630.0,3020.5,,,0
CDM,76101258,Hb 17999 Skin Tissue Procedure,1230.0,430.5,,,0
CDM,76101259,Hb Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp,16073.0,5625.55,,,0
CDM,76101286,Hb 50435 Nephrostomy Tube Change,13711.0,4798.85,,,0
CDM,76101316,Hb 62329 Ther Spi Pnxr Csf Fluor/Ct,1518.0,531.3,,,0
CDM,76101319,Hb Unlisted Procedure Breast,7115.0,2490.25,,,0
CDM,76101320,Hb 12031 Repair Intermediate S/A/T/E 2.5 Cm/<,3558.0,1245.3,,,0
CDM,76101321,Hb Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor,631.0,220.85,,,0
CDM,76101323,Hb Repair Intermediate S/A/T/E 7.6-12.5 Cm,2893.0,1012.55,,,0
CDM,76101324,Hb Antiobiotic Instillation Via Chest Tube,6729.0,2355.15,,,0
CDM,76101325,Hb Blood Patch Pleurodesis,6729.0,2355.15,,,0
CDM,76101326,Hb 37242 Vasc Embolize/Occlude Artery,50353.0,17623.55,,,0
CDM,76101328,Hb 64421 Nerve Block Intercostal Multi,2386.0,835.1,,,0
CDM,76101329,"""""""Hb Incise Finger Tendon Sheath""",7652.0,2678.2,,,0
CDM,76101330,"""""""Hb Thrc Fascial Pln Blk Uni Njx""",4340.0,1519.0,,,0
CDM,76101331,Hb Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm,1947.0,681.45,,,0
CDM,76101332,"""""""Hb Thrc Fascial Pln Blk Bi Njx""",7716.0,2700.6,,,0
CDM,76101333,Hb Needle Insertion W/O Injection 1 Or 2 Muscles,79.0,27.65,,,0
CDM,76101334,Hb Needle Insertion W/O Injection 3 Or More Muscles,100.0,35.0,,,0
CDM,76200001,Hb Observation Per Hour,158.0,55.3,,,0
CDM,77100002,Hb Immunization Admin,138.5,48.475,,,0
CDM,77100003,Hb Flu Virus Vaccine Admin,138.5,48.475,,,0
CDM,77100004,Hb Pneumo Vaccine Admin,138.5,48.475,,,0
CDM,77100005,Hb Each Addl Immunization Admin,126.0,44.099999999999994,,,0
CDM,77100006,Hb Ea Addl Flu Virus Vaccine Admin,126.0,44.099999999999994,,,0
CDM,77100007,Hb Each Addl Pneumo Vaccine Admin,126.0,44.099999999999994,,,0
CDM,77100008,Hb Immunization Nasal Oral Admin,49.0,17.15,,,0
CDM,77100009,Hb Ea Addl Immunization Nasal Oral,37.0,12.95,,,0
CDM,77100010,Hb Immun Admin,395.0,138.25,,,0
CDM,77100011,Hb Hep B Vaccine Admin,138.5,48.475,,,0
CDM,77100016,Hb Adm Sarscov2 5X10^Vp/.5Ml 1,77.7,27.2,,,0
CDM,77100017,Hb Adm Sarscov2 5X10^Vp/.5Ml 2,77.7,27.2,,,0
CDM,77100029,Hb Adm Sarscov2 100Mcg/0.5Ml3Rd,105.0,36.75,,,0
CDM,77100030,Hb Tixagev And Cilgav Inj,376.0,131.6,,,0
CDM,77100031,Hb Tixagev And Cilgav Inj Hm,627.0,219.45,,,0
CDM,77100033,Hb Bebtelovimab Injection,878.0,307.3,,,0
CDM,77100034,Hb Bebtelovimab Injection Home,1378.0,482.3,,,0
CDM,77100039,Hb Im Adm Thru 18Yr Any Rte 1St/Only Compt Vac/Tox,76.0,26.6,,,0
CDM,77100040,Hb Im Adm Thru 18Yr Any Rte Addl Vac/Tox Compt,57.0,19.95,,,0
CDM,77100041,Hb Im Adm Prq Id Subq/Im Njxs 1 Vaccine,157.0,54.95,,,0
CDM,77100042,Hb Im Adm Prq Id Subq/Im Njxs Ea Vaccine,77.0,26.95,,,0
CDM,77100043,Hb Adm Sarscv2 Bvl 10Mcg/.2Ml B,100.0,35.0,,,0
CDM,77100044,Hb Adm Srscv2 Bvl 25Mcg/.25Ml B,100.0,35.0,,,0
CDM,77100045,Hb Adm Sarscv2 Bvl 30Mcg/.3Ml B,100.0,35.0,,,0
CDM,77100051,Admn Sarscov2 Vacc 1 Dose,100.0,35.0,,,0
CDM,78000001,Hb Telehealth Facility Fee,82.0,28.7,,,0
CDM,80000001,Hb Crrt/Pirrt,4076.0,1426.6,,,0
CDM,80100001,Hb Acute Dialysis Bedside,7314.0,2559.9,,,0
CDM,80100002,Hb Acute Dialysis Bedside Svc Fee,1373.0,480.55,,,0
CDM,80200001,Hb Ip Peritoneal Dialysis,2783.0,974.05,,,0
CDM,80300001,Hb Capd Treatment,2390.0,836.5,,,0
CDM,80400001,Hb Ccpd Treatment,2103.0,736.05,,,0
CDM,81003,Noncdm Charge Record,57.0,19.95,,,0
CDM,81025,Noncdm Charge Record,53.0,18.55,,,0
CDM,81100001,Hb Kidney Acquisition L Donor,112000.0,39200.0,,,0
CDM,81100001_73740,Hb Kidney Acquisition L Donor,112000.0,39200.0,,,0
CDM,81200001,Hb Heart Acquisition,205000.0,71750.0,,,0
CDM,81200001_73738,Hb Heart Acquisition,205000.0,71750.0,,,0
CDM,81200002,Hb Kidney Acquisition C Donor,145000.0,50750.0,,,0
CDM,81200002_73739,Hb Kidney Acquisition C Donor,145000.0,50750.0,,,0
CDM,81200003,Hb Kidney Heart Acquisition,255000.0,89250.0,,,0
CDM,81200003_73743,Hb Kidney Heart Acquisition,255000.0,89250.0,,,0
CDM,81200004,Hb Kidney Liver Acquisition,190000.0,66500.0,,,0
CDM,81200004_73744,Hb Kidney Liver Acquisition,190000.0,66500.0,,,0
CDM,81200005,Hb Kidney Pancreas Acquisition,200000.0,70000.0,,,0
CDM,81200005_73742,Hb Kidney Pancreas Acquisition,200000.0,70000.0,,,0
CDM,81200006,Hb Liver Acquisition Adult C Donor,162000.0,56700.0,,,0
CDM,81200006_73736,Hb Liver Acquisition Adult C Donor,162000.0,56700.0,,,0
CDM,81200007,Hb Lung Acquisition,254000.0,88900.0,,,0
CDM,81200007_73737,Hb Lung Acquisition,160000.0,56000.0,,,0
CDM,81200008,Hb Pancreas Acquisition,100000.0,35000.0,,,0
CDM,81200009,Hb Ocs Lung Perfusion Kit,99807.0,34932.45,,,0
CDM,81200010,Hb Ocs Liver Perfusion Kit,63036.0,22062.6,,,0
CDM,81200011,Hb Ocs Heart Perfusion Kit,91402.2,31990.77,,,0
CDM,81200013,Hb Ocs Lung Solution Set,2889.66,1011.38,,,0
CDM,81200014,Hb Ocs Lung Monitoring Gas,840.48,294.17,,,0
CDM,81200015,Hb Ocs Lung Preservation Gas,840.48,294.17,,,0
CDM,81200015_149255,Hb Ocs Lung Preservation Gas,816.0,285.6,,,0
CDM,81200016,Hb Paragonix Sherpapak Cardiac Transport Sys,31518.0,11031.3,,,0
CDM,81200017,Hb Evlp Using Xps With Steen Solution,73542.0,25739.7,,,0
CDM,81200018,Hb Liver Acquisition Adult L Donor,125000.0,43750.0,,,0
CDM,81200018_73736,Hb Liver Acquisition Adult L Donor,125000.0,43750.0,,,0
CDM,81200019,Hb Donor Hepatectomy Cadaver Donor,7000.0,2450.0,,,0
CDM,81200020,Hb Donor Cardiectomy,7000.0,2450.0,,,0
CDM,81200021,Hb Donor Pneumonectomy From Cadaver Donor,7000.0,2450.0,,,0
CDM,82000001,Hb Dialysis Service Fee Acute,2944.0,1030.4,,,0
CDM,82100001,Hb Dial Ser Fee Chronic,2806.0,982.1,,,0
CDM,83000001,Hb Peritoneal Dialysis,2783.0,974.05,,,0
CDM,83036,Noncdm Charge Record,68.0,23.8,,,0
CDM,85100001,Hb Esrd Home Pt Serv Per Mo Under 2 Yrs,3429.0,1200.15,,,0
CDM,85100002,Hb Esrd Home Pt Serv Per Mo 2 To 11 Yrs,3429.0,1200.15,,,0
CDM,85100003,Hb Esrd Home Pt Serv Per Mo 12 To 19 Yrs,3429.0,1200.15,,,0
CDM,85100004,Hb Esrd Home Pt Serv Per Mo 20 Yrs And Up,3429.0,1200.15,,,0
CDM,85100005,Hb Esrd Home Pt Serv Per Day Under 2 Yrs,116.0,40.6,,,0
CDM,85100006,Hb Esrd Home Pt Serv Per Day 2 To 11 Yrs,116.0,40.6,,,0
CDM,85100007,Hb Esrd Home Pt Serv Per Day 12 To 19 Yrs,116.0,40.6,,,0
CDM,85100008,Hb Esrd Home Pt Serv Per Day 20 Yrs And Up,116.0,40.6,,,0
CDM,85100009,Hb Dialysis Training Complete Qty 1,1143.0,400.05,,,0
CDM,85100010,Hb Dialysis Train Retrain Incompl Per Session,47.0,16.45,,,0
CDM,85200001,Hb Drain Bag Bottle,2.04,0.71,,,0
CDM,85200002,Hb Dialys Sol Fld Vol 4999Cc To 5999Cc,2.04,0.71,,,0
CDM,85200003,Hb Dialys Sol Fld Vol Over 5999Cc,2.04,0.71,,,0
CDM,85200004,Hb Disposable Cycler Set,2.04,0.71,,,0
CDM,85200005,Hb Disposable Catheter Tips Per 10,2.04,0.71,,,0
CDM,85200006,Hb Alcohol Wipes Per Box,2.04,0.71,,,0
CDM,85200007,Hb Non Sterile Gloves Per 100,2.04,0.71,,,0
CDM,85200008,Hb Non Sterile Gauze 4X4,2.04,0.71,,,0
CDM,85200009,Hb Misc Dialysis Supplies Noc,2.04,0.71,,,0
CDM,85200010,Hb Tubing Y Set,2.04,0.71,,,0
CDM,85200011,Hb Dialys Sol Fld Vol 1999Cc To 2999Cc,2.04,0.71,,,0
CDM,85200012,Hb Dialys Sol Fld Vol 2999Cc To 3999Cc,2.04,0.71,,,0
CDM,85300001,Hb Cycler Dialysis Machine,11858.0,4150.3,,,0
CDM,85300002,Hb Automatic Bp Dial Monitor,1089.0,381.15,,,0
CDM,87100001,Hb Car-T Therapy Hrvg Bld Drv T Lmphcyt Pr Day,8833.0,3091.55,,,0
CDM,87200001,Hb Car-T Therapy Prepj Bld Drv T Lmphcyt F/Trns,8618.0,3016.3,,,0
CDM,87300001,Hb Car-T Therapy Receipt & Prep Car-T Cells F/Admn,10529.0,3685.15,,,0
CDM,87400001,Hb Car-T Therapy Autologous Cell Administration,8030.0,2810.5,,,0
CDM,87804,Noncdm Charge Record,133.0,46.55,,,0
CDM,89100001,Hb Kymriah Car-Pos T,5133733.5,1796806.72,,,0
CDM,89100002,Hb Kymriah Car-Pos T Daily,0.01,0.0035,,,0
CDM,89100003,Hb Breyanzi,5547276.0,1941546.6,,,0
CDM,89100004,Hb Abecma,5579175.0,1952711.25,,,0
CDM,90000001,Hb Psych Consult,459.0,160.65,,,0
CDM,90000003,Hb Interactive Complexity Add On,393.0,137.55,,,0
CDM,90000009,Hb Cognitive Test By Hc Pro Per Hour,774.0,270.9,,,0
CDM,91100001,Hb Psy Biofeedback 20 To 30 Min,241.0,84.35,,,0
CDM,91100002,Hb Psy Biofeedback 45 To 50 Min,494.0,172.9,,,0
CDM,91400010,Hb Psychotx Pt 30 Min,208.0,72.8,,,0
CDM,91400011,Hb Psychotx Pt 45 Min,413.0,144.55,,,0
CDM,91400012,Hb Psychotx Pt 60 Min,562.0,196.7,,,0
CDM,91400013,Hb Psychotx For Crisis 60 Min,621.0,217.35,,,0
CDM,91400014,Hb Psychotx For Crisis Addl 30 Min,328.0,114.8,,,0
CDM,91400015,Hb Hlth Bhv Ivntj Indiv 1St 30,318.0,111.3,,,0
CDM,91400016,Hb Hlth Bhv Ivntj Indiv Ea Addl,113.0,39.55,,,0
CDM,91500001,Hb Group Psy Tx,459.0,160.65,,,0
CDM,91500003,Hb Hlth Bhv Ivntj Grp 1St 30,48.0,16.8,,,0
CDM,91500004,Hb Hlth Bhv Ivntj Grp Ea Addl,22.0,7.7,,,0
CDM,91600001,Hb Family Psy Tx Wo Pt 50 Min,251.0,87.85,,,0
CDM,91600002,Hb Family Psy Tx W Pt 50 Min,432.0,151.2,,,0
CDM,91600005,Hb Multi-Family Group Psychotherapy,168.0,58.8,,,0
CDM,91600006,Hb Hlth Bhv Ivntj Fam 1St 30,343.0,120.05,,,0
CDM,91600007,Hb Hlth Bhv Ivntj Grp Ea Addl,123.0,43.05,,,0
CDM,91600008,Hb Hlth Bhv Ivntj Fam W/O Pt 1St,213.0,74.55,,,0
CDM,91600009,Hbhlth Bhv Ivntj Fam W/O Pt Ea,106.0,37.1,,,0
CDM,91800001,Hb Psy Testing Phy 1 Hour,814.0,284.9,,,0
CDM,91800002,Hb Psy Testing Tech 1 Hour,586.0,205.1,,,0
CDM,91800003,Hb Psy Testing Comp,385.0,134.75,,,0
CDM,91800004,Hb Assess Aphasia 1 Hour,551.0,192.85,,,0
CDM,91800005,Hb Developmental Test Limited,657.0,229.95,,,0
CDM,91800006,Hb Developmental Test Extended,707.0,247.45,,,0
CDM,91800007,Hb Neurobehav Status Exam Phy 1 Hr,804.0,281.4,,,0
CDM,91800008,Hb Neuropsy Status Exam Phy 1 Hr,803.0,281.05,,,0
CDM,91800009,Hb Neuropsy Status Exam Tech 1 Hr,586.0,205.1,,,0
CDM,91800010,Hb Neuropsy Status Exam Comp,385.0,134.75,,,0
CDM,91800011,Hb Health Behavior Assessment/Re-Assessment,143.0,50.05,,,0
CDM,91800013,Hb Devel Tst Phys/Qhp 1St Hr,618.0,216.3,,,0
CDM,91800014,Hb Devel Tst Phys/Qhp Ea Addl,284.0,99.4,,,0
CDM,91800015,Hb Nubhvl Xm Phy/Qhp Ea Addl Hr,339.0,118.65,,,0
CDM,91800016,Hb Psycl Tst Eval Phys/Qhp 1St,814.0,284.9,,,0
CDM,91800017,Hb Psycl Tst Eval Phys/Qhp Ea,814.0,284.9,,,0
CDM,91800018,Hb Nrpsyc Tst Eval Phys/Qhp 1St,466.0,163.1,,,0
CDM,91800019,Hb Nrpsyc Tst Eval Phys/Qhp Ea,358.0,125.3,,,0
CDM,91800020,Hb Psycl/Nrpsyc Tst Phy/Qhp 1St,814.0,284.9,,,0
CDM,91800021,Hb Psycl/Nrpsyc Tst Phy/Qhp Ea,814.0,284.9,,,0
CDM,91800022,Hb Psycl/Nrpsyc Tech 1St,814.0,284.9,,,0
CDM,91800023,Hb Psycl/Nrpsyc Tst Tech Ea,814.0,284.9,,,0
CDM,91800024,Hb Psycl/Nrpsyc Tst Auto Result,11.0,3.85,,,0
CDM,91900001,Hb Nutrition Cardiac Transp Wrkup,476.0,166.6,,,0
CDM,92000001,Hb Intermediate Visual Field,153.0,53.55,,,0
CDM,92000002,Hb Extended Visual Field,267.0,93.45,,,0
CDM,92000003,Hb External Photography,113.0,39.55,,,0
CDM,92000004,Hb 24 Hr Amb Bp Monitor,516.5,180.775,,,0
CDM,92000005,Hb Study Vp Bladder,2581.0,903.35,,,0
CDM,92000006,Hb Cmpx Electro Uroflowmetry,2877.0,1006.95,,,0
CDM,92000008,Hb Intraabdominal Pressure Test,4052.0,1418.2,,,0
CDM,92000009,Hb Tensilon Test,920.0,322.0,,,0
CDM,92000010,Hb Nitrogen Balance Study,249.0,87.15,,,0
CDM,92000011,Hb Screening Visual Acuity,74.0,25.9,,,0
CDM,92000012,Hb Functional Brain Mapping,1572.0,550.2,,,0
CDM,92000013,Hb Analyze Neurostim Simple,994.0,347.9,,,0
CDM,92000015,Hb Analyze Neurostim Complex,1450.0,507.5,,,0
CDM,92000016,Hb Analyze Gastric Neurostim W Prgm,1510.0,528.5,,,0
CDM,92000018,Hb Cystometrogram W/Vp&Up,3805.0,1331.75,,,0
CDM,92000019,Hb Io Anal Gast N-Stim Subsq,533.0,186.55,,,0
CDM,92000020,Hb Io Ga N-Stim Subsq W/Reprog,810.0,283.5,,,0
CDM,92000021,Hb 93150 Ther Activation Impl Phrenic Nrv Stimulator Sys,255.0,89.25,,,0
CDM,92000022,Hb 93151 Interrog&Prgrmg Impl Phrenic Nrv Stimulator Sys,255.0,89.25,,,0
CDM,92000023,Hb 93152 Interrog&Prgrmg Ipnss During Polysomnography,785.0,274.75,,,0
CDM,92000024,Hb 93153 Interrogation Without Programming Ipnss,255.0,89.25,,,0
CDM,92100001,Hb Dopp Extracranial Bilat,2591.0,906.85,,,0
CDM,92100002,Hb Dopp Extracranial Unilat,1915.0,670.25,,,0
CDM,92100003,Hb Dopp Cerebral Tcd Complete,2656.0,929.6,,,0
CDM,92100004,Hb Dopp Cerebral Tcd Limited,1116.0,390.6,,,0
CDM,92100005,Hb Dopp Upr Lwr Extremity Art,2536.0,887.6,,,0
CDM,92100006,Hb Dopp Arterial W Exercise,1740.0,609.0,,,0
CDM,92100007,Hb Dopp Arterial Lower Bilat,2314.0,809.9,,,0
CDM,92100008,Hb Dopp Arterial Lower Unilat,1505.0,526.75,,,0
CDM,92100009,Hb Dopp Arterial Upper Bilat,2501.0,875.35,,,0
CDM,92100010,Hb Dopp Arterial Upper Unilat,1505.0,526.75,,,0
CDM,92100011,Hb Dopp Venous Extremity Bilat,2269.0,794.15,,,0
CDM,92100012,Hb Dopp Venous Extremity Unilat,1638.0,573.3,,,0
CDM,92100013,Hb Dopp Abdomen Vascular Complt,2622.0,917.7,,,0
CDM,92100014,Hb Dopp Abdomen Vascular Ltd,2167.0,758.45,,,0
CDM,92100015,Hb Dopp Aorta Vascular Complt,1872.0,655.2,,,0
CDM,92100016,Hb Dopp Hemodialysis Access,2868.0,1003.8,,,0
CDM,92100017,Hb 93971 Dopp Venous Extremity,1638.0,573.3,,,0
CDM,92100018,Hb Upr Lxtr Art Stdy 3+ Lvls,1637.0,572.95,,,0
CDM,92200001,Hb Emg Anal Non Needle,2937.0,1027.95,,,0
CDM,92200002,Hb Emg 1 Extremity,1692.0,592.2,,,0
CDM,92200003,Hb Emg 2 Extremities,1778.0,622.3,,,0
CDM,92200004,Hb Emg 3 Extremities,1872.0,655.2,,,0
CDM,92200005,Hb Emg 4 Extremities,1963.0,687.05,,,0
CDM,92200006,Hb Emg Cranial Unilateral,2836.0,992.6,,,0
CDM,92200007,Hb Emg Cranial Bilateral,3337.0,1167.95,,,0
CDM,92200008,Hb Emg Thoracic Paraspinal,1327.0,464.45,,,0
CDM,92200009,Hb Emg Non Paraspinal Limited,943.0,330.05,,,0
CDM,92200010,Hb Emg Single Fiber,2133.0,746.55,,,0
CDM,92200014,Hb Emg Anal Needle,4241.0,1484.35,,,0
CDM,92200015,Hb Evok Somatosensory Test Upper,3016.0,1055.6,,,0
CDM,92200016,Hb Evok Somatosensory Test Lower,3016.0,1055.6,,,0
CDM,92200017,Hb Evok Somat Test Trunk Or Head,1383.0,484.05,,,0
CDM,92200018,Hb Central Motor Evok Upper,1302.0,455.7,,,0
CDM,92200019,Hb Central Motor Evok Lower,1383.0,484.05,,,0
CDM,92200020,Hb Visual Evoked Potential Test,2655.0,929.25,,,0
CDM,92200022,Hb Neuromuscular Junction Test,870.0,304.5,,,0
CDM,92200023,Hb Evok Somato Upper And Lower,6025.0,2108.75,,,0
CDM,92200024,Hb Central Motor Evok Upper And Lower,2677.0,936.95,,,0
CDM,92200025,Hb Emg Done W Nerv Test Limited,1025.0,358.75,,,0
CDM,92200026,Hb Emg Done W Nerv Test Complete,1025.0,358.75,,,0
CDM,92200027,Hb Emg Done W Nerv Test Nonextremity,1025.0,358.75,,,0
CDM,92200028,Hb Nerve Conduction 1-2 Studies,598.0,209.3,,,0
CDM,92200029,Hb Nerve Conduction 3-4 Studies,1195.0,418.25,,,0
CDM,92200030,Hb Nerve Conduction 5-6 Studies,1791.0,626.85,,,0
CDM,92200031,Hb Nerve Conduction 7-8 Studies,2388.0,835.8,,,0
CDM,92200032,Hb Nerve Conduction 9-10 Studies,2987.0,1045.45,,,0
CDM,92200033,Hb Nerve Conduction 11-12 Studies,3581.0,1253.35,,,0
CDM,92200034,Hb Nerve Conduction 13 Or More Studies,4181.0,1463.35,,,0
CDM,92200035,Hb Guide Nerv Destr Elec Stim,256.0,89.6,,,0
CDM,94000001,Hb Itb Pump Refill Maint,644.0,225.4,,,0
CDM,94000002,Hb Spin/Brain Pump Refil & Main,1041.0,364.35,,,0
CDM,94100001,Hb Comm Re Entry Rh,186.0,65.1,,,0
CDM,94100002,Hb Audio Visual Psy Act,47.0,16.45,,,0
CDM,94200001,Hb Med Nutrition Therp Init 15 Min,370.0,129.5,,,0
CDM,94200002,Hb Med Nutr Therp Follow Up 15 Min,227.0,79.45,,,0
CDM,94200003,Hb Med Nutrition Therp Group 30 Min,227.0,79.45,,,0
CDM,94200004,Hb Diab Self Mgmt Educ 30Min,20.0,7.0,,,0
CDM,94200005,Hb Diab Self Mgt Ind 30 Min,116.0,40.6,,,0
CDM,94200006,Hb Dialysis Education Ind Per Hr,1123.0,393.05,,,0
CDM,94200007,Hb Mnt Reassess Grp 30 Min,86.0,30.1,,,0
CDM,94200008,Hb Mnt Reassess Ind 15 Min,53.0,18.55,,,0
CDM,94200009,Hb Behav Chng Smoking 3-10 Min,115.0,40.25,,,0
CDM,94200010,Hb Behav Chng Smoking >10 Min,155.0,54.25,,,0
CDM,94200011,Hb Caregiver Traing 1St 30 Min,195.0,68.25,,,0
CDM,94300001,Hb Outpatient Cardiac Rehab W/O Cont Ecg Monitor,151.0,52.85,,,0
CDM,94300002,Hb Cardiac Rehab W Ecg Monitor,422.0,147.7,,,0
CDM,98500001,Hb Pt Event Transmit Month,1041.0,364.35,,,0
CDM,99700001,Hb Willow Non Formulary,54.75,19.16,,,0
CDM,99990059,Hb Dale Abdominal Binder Medium 40-62 Cm,39.0,13.65,,,0
CDM,99990060,Hb Dale Abdominal Binder Large 60-75 Cm,50.0,17.5,,,0
CDM,99990061,Hb Dale Abdominal Binder Xlarge 72-84 Cm,59.0,20.65,,,0
CDM,99990062,Hb Pedometer,35.0,12.25,,,0
CDM,99990065,Hb Surgical Consult,250.0,87.5,,,0
CDM,99990066,Hb Lap Band Adjustment ?,298.0,104.3,,,0
CDM,99990068,Hb Diet History Class,34.0,11.9,,,0
CDM,99990069,Hb 30 Min Consultation W Rd,50.0,17.5,,,0
CDM,99990070,Hb 60 Min Consultation W Rd,158.0,55.3,,,0
CDM,99990082,Hb Lap Band Port Removal,298.0,104.3,,,0
CDM,99990086,Hb Bariatric Program Fee,496.0,173.6,,,0
CDM,99990087,Hb Wellness Program Fee,496.0,173.6,,,0
CDM,99990088,Hb Administrative Processing Fee,496.0,173.6,,,0
CDM,99990096,Hb New Consult,231.0,80.85,,,0
CDM,99990097,Hb Established Visit,152.0,53.2,,,0
CDM,99990098,Hb Bf Multi Chew Orange 120 Ct,27.0,9.45,,,0
CDM,99990099,Hb Bf Multi Chew Tropical 120 Ct,27.0,9.45,,,0
CDM,99990100,Hb Bf Multi Chew Mixed Berry 120 Ct,27.0,9.45,,,0
CDM,99990101,Hb Bf Multi Chew Strawberry 120 Ct,27.0,9.45,,,0
CDM,99990102,Hb Bf Multi Chew Wild Cherry 120 Ct,27.0,9.45,,,0
CDM,99990103,Hb Bf Soft Chew Mixed Berry 90 Ct,29.0,10.15,,,0
CDM,99990104,Hb Bf Soft Chew Tropical 90 Ct,29.0,10.15,,,0
CDM,99990105,Hb Bf Protein Shaker Cup,10.0,3.5,,,0
CDM,99990108,Hb Bf Iron Soft Chew 45Mg 60 Ct,26.0,9.1,,,0
CDM,99990110,Hb Bf Hpmr Chocolate Tub,40.0,14.0,,,0
CDM,99990111,Hb Bf Hpmr Vanilla Tub,40.0,14.0,,,0
CDM,99990112,Hb Bf Hpmr Strawberry Tub,40.0,14.0,,,0
CDM,99990114,Hb Bf Hpmr Orange Cream Tub,48.0,16.8,,,0
CDM,99990115,Hb Bf Hpmr Cappucinno Tub,40.0,14.0,,,0
CDM,99990119,Hb Bf Hpmr Cinnamon Tub,68.0,23.8,,,0
CDM,99990122,Hb Bf Hpmr Unflavored Tub,39.0,13.65,,,0
CDM,99990248,Hb Bf Chicken Soup Tub,39.0,13.65,,,0
CDM,99990257,Hb Hpmr Chocolate Peanut Butter Tub,40.0,14.0,,,0
CDM,99990258,Hb Earmold Monoaural,142.0,49.7,,,0
CDM,99990259,Hb Earmold Binaural,286.0,100.1,,,0
CDM,99990260,Hb Rechargeable Batteries Monoaural,475.0,166.25,,,0
CDM,99990261,Hb Rechargeable Batteries Binaural,952.0,333.2,,,0
CDM,99990262,Hb Receivers,298.0,104.3,,,0
CDM,99990263,Hb Domes Single,4.5,1.58,,,0
CDM,99990264,Hb Domes Pack,14.0,4.9,,,0
CDM,99990265,Hb Tube Change Monoaural,24.0,8.4,,,0
CDM,99990266,Hb Tube Change Binaural,48.0,16.8,,,0
CDM,99990267,Hb Battery Door,48.0,16.8,,,0
CDM,99990268,Hb In Office Clean/Check (Out Of Warranty),82.0,28.7,,,0
CDM,99990269,Hb Hearing Aid Clean/Check/Reprogram Binaural (Out Of Warranty),142.0,49.7,,,0
CDM,99990270,Hb Hearing Aid Clean/Check/Reprogram Mono (Out Of Warranty),189.0,66.15,,,0
CDM,99990271,Hb Hearing Aid Clean/Check (Not Purcahsed At Tgh),358.0,125.3,,,0
CDM,99990272,Hb Hearing Aid Fitting (Monoaural),595.0,208.25,,,0
CDM,99990273,Hb Hearing Aid Programming,595.0,208.25,,,0
CDM,99990274,Hb Hearing Aid Repair With 6 Mth Warranty,595.0,208.25,,,0
CDM,99990275,Hb Hearing Aid Repair With 12 Mth Warranty,714.0,249.9,,,0
CDM,99990276,Hb 30 Min Consultation W Phd,50.0,17.5,,,0
CDM,99990277,Hb 60 Min Consultation W Phd,100.0,35.0,,,0
CDM,99990278,Hb Tgh Wellness Assessment Arnp,288.0,100.8,,,0
CDM,99990279,Hb Tgh Wellness Assessment Phd,251.0,87.85,,,0
CDM,99990280,Hb Tgh Wellness Assessment Rd,179.0,62.65,,,0
CDM,99990281,Hb Records Review Arnp,180.0,63.0,,,0
CDM,99990282,Hb Records Review Phd,144.0,50.4,,,0
CDM,99990283,Hb Records Review Rd,108.0,37.8,,,0
CDM,99990284,Hb Psych Adolescent Counseling,34.0,11.9,,,0
CDM,99990285,Hb Diet Adolescent Counseling,17.0,5.95,,,0
CDM,99990287,Hb Multivitamin Capsule With Iron 30,22.5,7.875,,,0
CDM,99990288,Hb Multivitamin Capsule With Iron 90,54.0,18.9,,,0
CDM,99990289,Hb Calcium Soft Chew Fruitpunch,25.0,8.75,,,0
CDM,99990290,Hb Calcium Soft Chew Caramel,28.0,9.8,,,0
CDM,99990291,Hb Hair Skin Nails Rejuvenator,20.0,7.0,,,0
CDM,99990292,Hb Bf Watermelon Soft Chew 60 Count,29.0,10.15,,,0
CDM,99990293,Hb Hpmr Strawberry Banana Tub,40.0,14.0,,,0
CDM,99990294,Hb Blue Box Protein Start Kit,20.0,7.0,,,0
CDM,99990295,Hb Caramel Hprm Tub,40.0,14.0,,,0
CDM,99990296,Hb Grape Iron Soft Chew,26.0,9.1,,,0
CDM,C1776_C1776_278,Noncdm Charge Record Medical Supplies,14958.0,5235.3,,,0
CDM,G0463,Noncdm Charge Record,190.0,66.5,,,0
CDM,RSCH001,Pr Research Charges In Merge Ctms,1.25,0.44,,,0
HCPCS,0001U,Rbc dna hea 35 ag 11 bld grp,,,720.0,1440.0,19
HCPCS,0002M,Liver dis 10 assays w/ash,,,503.4,1006.8,19
HCPCS,0002U,Onc clrct 3 ur metab alg plp,,,25.0,50.0,19
HCPCS,0003M,Liver dis 10 assays w/nash,,,503.4,1006.8,19
HCPCS,0003U,Onc ovar 5 prtn ser alg scor,,,950.0,1900.0,19
HCPCS,0004M,Scoliosis dna alys,,,79.0,158.0,19
HCPCS,0005U,Onco prst8 3 gene ur alg,,,760.0,1520.0,19
HCPCS,0006M,Onc hep gene risk classifier,,,150.0,300.0,19
HCPCS,0007M,Onc gastro 51 gene nomogram,,,375.0,750.0,19
HCPCS,0007U,Rx test prsmv ur w/def conf,,,114.43,228.86,19
HCPCS,0008U,Hpylori detcj abx rstnc dna,,,597.91,1195.82,19
HCPCS,0009U,Onc brst ca erbb2 amp/nonamp,,,107.0,214.0,19
HCPCS,0010U,Nfct ds strn typ whl gen seq,,,427.26,854.52,19
HCPCS,0011M,Onc prst8 ca mrna 12 gen alg,,,760.0,1520.0,19
HCPCS,0011U,Rx mntr lc-ms/ms oral fluid,,,114.43,228.86,19
HCPCS,0013A,Hb Adm Sarscov2 100Mcg/0.5Ml3Rd,105.0,36.75,,,0
HCPCS,0015M,Adrnl cortcl tum bchm asy 25,,,1305.37,2610.74,19
HCPCS,0016M,Onc bladder mrna 209 gen alg,,,3489.63,6979.26,19
HCPCS,0016U,Onc hmtlmf neo rna bcr/abl1,,,163.96,327.92,19
HCPCS,0017M,Onc dlbcl mrna 20 genes alg,,,2510.21,5020.42,19
HCPCS,0017U,Onc hmtlmf neo jak2 mut dna,,,91.66,183.32,19
HCPCS,0018M,Trnsplj rnl meas cd154+cll,,,640.73,1281.46,19
HCPCS,0018U,Onc thyr 10 microrna seq alg,,,3002.09,6004.18,19
HCPCS,0019M,Cv ds plasma alys prtn bmrk,,,712.4,1424.8,19
HCPCS,0019U,Onc rna tiss predict alg,,,3675.0,7350.0,19
HCPCS,0021A,Hb Adm Sarscov2 5X10^Vp/.5Ml 1,77.7,27.2,,,0
HCPCS,0021U,Onc prst8 detcj 8 autoantb,,,760.0,1520.0,19
HCPCS,0022A,Hb Adm Sarscov2 5X10^Vp/.5Ml 2,77.7,27.2,,,0
HCPCS,0022U,Trgt gen seq dna&rna 23 gene,,,1950.0,3900.0,19
HCPCS,0023U,Onc aml dna detcj/nondetcj,,,248.51,497.02,19
HCPCS,0024U,Glyca nuc mr spectrsc quan,,,34.19,68.38,19
HCPCS,0025U,Tenofovir liq chrom ur quan,,,114.43,228.86,19
HCPCS,0026U,Onc thyr dna&mrna 112 genes,,,3600.0,7200.0,19
HCPCS,0027U,Jak2 gene trgt seq alys,,,121.91,243.82,19
HCPCS,0029U,Rx metab advrs trgt seq alys,,,742.27,1484.54,19
HCPCS,0030U,Rx metab warf trgt seq alys,,,134.13,268.26,19
HCPCS,0031U,Cyp1a2 gene,,,174.81,349.62,19
HCPCS,0032U,Comt gene,,,174.81,349.62,19
HCPCS,0034U,Tpmt nudt15 genes,,,466.17,932.34,19
HCPCS,0035U,Neuro csf prion prtn qual,,,540.99,1081.98,19
HCPCS,0036U,Xome tum & nml spec seq alys,,,4780.0,9560.0,19
HCPCS,0037U,Trgt gen seq dna 324 genes,,,3500.0,7000.0,19
HCPCS,0038U,Vitamin d srm microsamp quan,,,29.6,59.2,19
HCPCS,0039U,Dna antb 2strand hi avidity,,,13.74,27.48,19
HCPCS,0040U,Bcr/abl1 gene major bp quan,,,409.9,819.8,19
HCPCS,0041U,B brgdrferi antb 5 prtn igm,,,17.21,34.42,19
HCPCS,0042T,Hb Brain Perfusion Ct,1927.0,674.45,,,0
HCPCS,0042U,B brgdrferi antb 12 prtn igg,,,17.21,34.42,19
HCPCS,0043U,Tbrf b grp antb 4 prtn igm,,,14.86,29.72,19
HCPCS,0044U,Tbrf b grp antb 4 prtn igg,,,14.86,29.72,19
HCPCS,0045U,Onc brst dux carc is 12 gene,,,3873.0,7746.0,19
HCPCS,0046U,Flt3 gene itd variants quan,,,407.43,814.86,19
HCPCS,0047U,Onc prst8 mrna 17 gene alg,,,3873.0,7746.0,19
HCPCS,0048U,Onc sld org neo dna 468 gene,,,2919.6,5839.2,19
HCPCS,0049U,Npm1 gene analysis quan,,,407.43,814.86,19
HCPCS,0050U,Trgt gen seq dna 194 genes,,,2916.6,5833.2,19
HCPCS,0051U,Rx mntr lc-ms/ms ur 31 pnl,,,246.92,493.84,19
HCPCS,0052U,Lpoprtn bld w/5 maj classes,,,33.86,67.72,19
HCPCS,0054T,Bone srgry cmptr fluor image,,,704.0,972.0,2
HCPCS,0054U,Rx mntr 14+ drugs & sbsts,,,198.74,397.48,19
HCPCS,0055T,Bone srgry cmptr ct/mri imag,,,704.0,972.0,2
HCPCS,0055U,Card hrt trnspl 96 dna seq,,,3240.0,6480.0,19
HCPCS,0058U,Onc merkel cll carc srm quan,,,322.96,645.92,19
HCPCS,0059U,Onc merkel cll carc srm +/-,,,322.96,645.92,19
HCPCS,0060U,Twn zyg gen seq alys chrms2,,,759.05,1518.1,19
HCPCS,0061U,Tc meas 5 bmrk sfdi m-s alys,,,25.1,50.2,19
HCPCS,0062U,Ai sle igg&igm alys 80 bmrk,,,380.72,761.44,19
HCPCS,0063U,Neuro autism 32 amines alg,,,750.0,1500.0,19
HCPCS,0064U,Antb tp total&rpr ia qual,,,31.33,62.66,19
HCPCS,0065U,Syfls tst nontreponemal antb,,,18.09,36.18,19
HCPCS,0067U,Onc brst imhchem prfl 4 bmrk,,,1897.0,3794.0,19
HCPCS,0068U,Candida species pnl amp prb,,,142.63,285.26,19
HCPCS,0069U,Onc clrct microrna mir-31-3p,,,380.0,760.0,19
HCPCS,0070U,Cyp2d6 gen com&slct rar vrnt,,,676.37,1352.74,19
HCPCS,0071T,Us leiomyomata ablate <200,,,3380.46,6760.92,23
HCPCS,0071U,Cyp2d6 full gene sequence,,,600.0,1200.0,19
HCPCS,0072T,Us leiomyomata ablate >200,,,3380.46,6760.92,23
HCPCS,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,450.91,901.82,19
HCPCS,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,450.91,901.82,19
HCPCS,0074U,Cyp2d6 nonduplicated gene,,,450.91,901.82,19
HCPCS,0075T,Hb 0075T Carotid Artery Stent Ins,37127.0,12994.45,,,0
HCPCS,0075T,Perq Stent/Chest Vert Art,,,3613.0,4992.0,2
HCPCS,0075U,Cyp2d6 5' gene dup/mlt,,,450.91,901.82,19
HCPCS,0076T,Hb 0076T Carotid Art Stent Ins Add,26007.0,9102.45,,,0
HCPCS,0076T,S&I Stent/Chest Vert Art,,,3613.0,4992.0,2
HCPCS,0076U,Cyp2d6 3' gene dup/mlt,,,450.91,901.82,19
HCPCS,0077U,Ig paraprotein qual bld/ur,,,43.43,86.86,19
HCPCS,0080U,Onc lng 5 clin rsk factr alg,,,3520.0,7040.0,19
HCPCS,0082U,Rx test def 90+ rx/sbsts ur,,,246.92,493.84,19
HCPCS,0083U,Onc rspse chemo cntrst tomog,,,167.35,334.7,19
HCPCS,0084U,Rbc dna gnotyp 10 bld groups,,,720.0,1440.0,19
HCPCS,0086U,Hb Accelerate Phenotest,1316.0,460.6,,,0
HCPCS,0086U,Nfct ds bact&fng org id 6+,,,200.0,400.0,19
HCPCS,0087U,Crd hrt trnspl mrna 1283 gen,,,3159.42,6318.84,19
HCPCS,0087U,Hb Crd Hrt Mrna,2201.95,770.68,,,0
HCPCS,0088U,Trnsplj kdn algrft rej 1494,,,3159.42,6318.84,19
HCPCS,0089U,Onc mlnma prame & linc00518,,,760.0,1520.0,19
HCPCS,0090U,Onc cutan mlnma mrna 23 gene,,,1950.0,3900.0,19
HCPCS,0092U,Onc lng 3 prtn bmrk plsm alg,,,2488.0,4976.0,19
HCPCS,0093U,Rx mntr 65 com drugs urine,,,62.14,124.28,19
HCPCS,0094U,Genome rapid sequence alys,,,7582.2,15164.4,19
HCPCS,0095U,Inflm ee elisa alys alg,,,771.98,1543.96,19
HCPCS,0096U,Hpv hi risk types male urine,,,35.09,70.18,19
HCPCS,0100T,Prosth Retina Receive&Gen,,,5282.0,99846.0,4
HCPCS,0101T,Extracorp shockwv tx hi enrg,,,257.59,6490.0,23
HCPCS,0101U,Hered colon ca do 15 genes,,,1743.95,3487.9,19
HCPCS,0102T,Extracorp shockwv tx anesth,,,3416.88,6833.76,23
HCPCS,0102U,Hered brst ca rltd do 17 gen,,,1303.95,2607.9,19
HCPCS,0103U,Hered ova ca pnl 24 genes,,,1743.95,3487.9,19
HCPCS,0105U,Neph ckd mult eclia tum nec,,,950.0,1900.0,19
HCPCS,0106T,Touch Quant Sensory Test,,,39.0,78.01,19
HCPCS,0106U,Gstr emptg 7 timed brth spec,,,874.49,1748.98,19
HCPCS,0107T,Vibrate Quant Sensory Test,,,39.0,78.01,19
HCPCS,0107U,C diff tox ag detcj ia stool,,,16.0,32.0,19
HCPCS,0108T,Cool Quant Sensory Test,,,61.6,123.21,19
HCPCS,0108U,Gi barrett esoph 9 prtn bmrk,,,4950.0,9900.0,19
HCPCS,0109T,Heat Quant Sensory Test,,,39.0,78.01,19
HCPCS,0109U,Id aspergillus dna 4 species,,,142.63,285.26,19
HCPCS,0110T,Nos Quant Sensory Test,,,138.94,277.88,19
HCPCS,0110U,Rx mntr 1+oral onc rx&sbsts,,,27.11,54.22,19
HCPCS,0111U,Onc colon ca kras&nras alys,,,682.29,1364.58,19
HCPCS,0112U,Iadi 16s&18s rrna genes,,,356.13,712.26,19
HCPCS,0113U,Onc prst8 pca3&tmprss2-erg,,,760.0,1520.0,19
HCPCS,0114U,Gi barretts esoph vim&ccna1,,,1938.01,3876.02,19
HCPCS,0115U,Respir iadna 18 viral&2 bact,,,275.35,550.7,19
HCPCS,0116U,Rx mntr nzm ia 35+oral flu,,,246.92,493.84,19
HCPCS,0117U,Pain mgmt 11 endogenous anal,,,840.65,1681.3,19
HCPCS,0118U,Trnsplj don-drv cll-fr dna,,,2753.25,5506.5,19
HCPCS,0119U,Crd ceramides liq chrom plsm,,,83.76,167.52,19
HCPCS,0120U,Onc b cll lymphm mrna 58 gen,,,2510.21,5020.42,19
HCPCS,0121U,Sc dis vcam-1 whole blood,,,509.2,1018.4,19
HCPCS,0122U,Sc dis p-selectin whl blood,,,526.23,1052.46,19
HCPCS,0123U,Mchnl fragility rbc prflg,,,357.63,715.26,19
HCPCS,0129U,Hered brst ca rltd do panel,,,1303.95,2607.9,19
HCPCS,0130U,Hered colon ca do mrna pnl,,,584.9,1169.8,19
HCPCS,0133U,Hered prst8 ca rltd do 11,,,690.29,1380.58,19
HCPCS,0134U,Hered pan ca mrna pnl 18 gen,,,748.39,1496.78,19
HCPCS,0136U,Atm mrna seq alys,,,407.43,814.86,19
HCPCS,0137U,Palb2 mrna seq alys,,,282.88,565.76,19
HCPCS,0138U,Brca1 brca2 mrna seq alys,,,468.33,936.66,19
HCPCS,0140U,Nfct ds fungi dna 15 trgt,,,156.75,313.5,19
HCPCS,0141U,Nfct ds bact&fng gram pos,,,156.75,313.5,19
HCPCS,0142U,Nfct ds bact&fng gram neg,,,156.75,313.5,19
HCPCS,0152U,Nfct bct fng prst dna >1000,,,2126.2,4252.4,19
HCPCS,0153U,Onc breast mrna 101 genes,,,3159.42,6318.84,19
HCPCS,0154A,Hb Adm Sarscv2 Bvl 10Mcg/.2Ml B,100.0,35.0,,,0
HCPCS,0154A,Hb Adm Sarscv2 Bvl 30Mcg/.3Ml B,100.0,35.0,,,0
HCPCS,0154A,Hb Adm Srscv2 Bvl 25Mcg/.25Ml B,100.0,35.0,,,0
HCPCS,0154U,Fgfr3 gene analysis,,,482.14,964.28,19
HCPCS,0155U,Pik3ca gene analysis,,,274.83,549.66,19
HCPCS,0156U,Copy number sequence alys,,,1740.0,3480.0,19
HCPCS,0157U,Apc mrna seq alys,,,282.88,565.76,19
HCPCS,0158U,Mlh1 mrna seq alys,,,282.88,565.76,19
HCPCS,0159U,Msh2 mrna seq alys,,,282.88,565.76,19
HCPCS,0160U,Msh6 mrna seq alys,,,282.88,565.76,19
HCPCS,0161U,Pms2 mrna seq alys,,,282.88,565.76,19
HCPCS,0162U,Hered colon ca trgt mrna pnl,,,486.54,973.08,19
HCPCS,0164T,Remove Lumb Artif Disc Addl,,,704.0,972.0,2
HCPCS,0164U,Gi ibs ia anti-cdtb&vinculin,,,112.02,224.04,19
HCPCS,0165T,Revise Lumb Artif Disc Addl,,,704.0,972.0,2
HCPCS,0165U,Peanut allg spec asmt 64 epi,,,463.76,927.52,19
HCPCS,0166U,Liver ds 10 biochem asy srm,,,503.4,1006.8,19
HCPCS,0169U,Nudt15&tpmt gene com vrnt,,,466.17,932.34,19
HCPCS,0170U,Neuro asd rna next gen seq,,,1950.0,3900.0,19
HCPCS,0171U,Trgt gen seq alys pnl dna 23,,,1519.06,3038.12,19
HCPCS,0172U,Onc sld tum alys brca1 brca2,,,3030.0,6060.0,19
HCPCS,0173U,Psyc gen alys panel 14 genes,,,466.17,932.34,19
HCPCS,0174U,Onc solid tumor 30 prtn trgt,,,1305.37,2610.74,19
HCPCS,0175U,Psyc gen alys panel 15 genes,,,1336.09,2672.18,19
HCPCS,0176U,Cdtb&vinculin igg antb ia,,,64.19,128.38,19
HCPCS,0177U,Onc brst ca dna pik3ca 11,,,274.83,549.66,19
HCPCS,0178U,Peanut allg asmt epi clin rx,,,459.86,919.72,19
HCPCS,0179U,Onc nonsm cll lng ca alys 23,,,1943.21,3886.42,19
HCPCS,0180U,Abo gnotyp abo 7 exons,,,274.83,549.66,19
HCPCS,0181U,Co gnotyp aqp1 exon 1,,,185.2,370.4,19
HCPCS,0182U,Crom gnotyp cd55 exons 1-10,,,301.35,602.7,19
HCPCS,0183U,Di gnotyp slc4a1 exon 19,,,185.2,370.4,19
HCPCS,0184T,Exc rectal tumor endoscopic,,,4698.0,12679.42,21
HCPCS,0184U,Do gnotyp art4 exon 2,,,185.2,370.4,19
HCPCS,0185U,Fut1 gnotyp fut1 exon 4,,,185.2,370.4,19
HCPCS,0186U,Fut2 gnotyp fut2 exon 2,,,185.2,370.4,19
HCPCS,0187U,Fy gnotyp ackr1 exons 1-2,,,274.83,549.66,19
HCPCS,0188U,Ge gnotyp gypc exons 1-4,,,274.83,549.66,19
HCPCS,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,274.83,549.66,19
HCPCS,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,274.83,549.66,19
HCPCS,0191U,In gnotyp cd44 exons 2 3 6,,,274.83,549.66,19
HCPCS,0192U,Jk gnotyp slc14a1 exon 9,,,274.83,549.66,19
HCPCS,0193U,Jr gnotyp abcg2 exons 2-26,,,282.88,565.76,19
HCPCS,0194U,Kel gnotyp kel exon 8,,,185.2,370.4,19
HCPCS,0195U,Klf1 targeted sequencing,,,375.25,750.5,19
HCPCS,0196U,Lu gnotyp bcam exon 3,,,185.2,370.4,19
HCPCS,0197U,Lw gnotyp icam4 exon 1,,,185.2,370.4,19
HCPCS,0198T,Hb Tonopen Reading,360.0,126.0,,,0
HCPCS,0198T,Ocular blood flow measure,,,138.94,277.88,19
HCPCS,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,282.88,565.76,19
HCPCS,0199U,Sc gnotyp ermap exons 4 12,,,274.83,549.66,19
HCPCS,0200T,Hb 0200T Perc Sac Augmt Unila Inj,20122.0,7042.7,,,0
HCPCS,0200T,Perq sacral augmt unilat inj,,,4370.0,15155.02,23
HCPCS,0200U,Xk gnotyp xk exons 1-3,,,274.83,549.66,19
HCPCS,0201T,Hb 0201T Perq Sacral Augmt Bilat Inj,25164.0,8807.4,,,0
HCPCS,0201T,Perq sacral augmt bilat inj,,,4698.0,15155.02,23
HCPCS,0201U,Yt gnotyp ache exon 2,,,185.2,370.4,19
HCPCS,0202T,Post vert arthrplst 1 lumbar,,,10145.0,26814.33,21
HCPCS,0202U,Hb Rvp 2.1,143.0,50.05,,,0
HCPCS,0202U,Nfct ds 22 trgt sars-cov-2,,,416.78,833.56,19
HCPCS,0203U,Ai ibd mrna xprsn prfl 17,,,760.0,1520.0,19
HCPCS,0205U,Oph amd alys 3 gene variants,,,47.0,94.0,19
HCPCS,0206U,Neuro alzheimer cell aggregj,,,2215.4,4430.8,19
HCPCS,0207T,Clear eyelid gland w/heat,,,138.94,972.0,21
HCPCS,0208T,Audiometry air only,,,39.0,78.01,19
HCPCS,0209T,Audiometry air & bone,,,39.0,78.01,19
HCPCS,0209U,Cytog const alys interrog,,,787.15,1574.3,19
HCPCS,0210T,Speech audiometry threshold,,,39.0,78.01,19
HCPCS,0210U,Syphilis tst antb ia quan,,,18.63,37.26,19
HCPCS,0211T,Speech audiom thresh & recog,,,39.0,78.01,19
HCPCS,0211U,Onc pan-tum dna&rna gnrj seq,,,8455.0,16910.0,19
HCPCS,0212T,Compre audiometry evaluation,,,134.37,268.74,19
HCPCS,0212U,Rare ds gen dna alys proband,,,5475.2,10950.4,19
HCPCS,0213T,Njx paravert w/us cer/thor,,,923.64,1847.27,23
HCPCS,0213U,Rare ds gen dna alys ea comp,,,2709.95,5419.9,19
HCPCS,0214T,Njx paravert w/us cer/thor,,,704.0,972.0,2
HCPCS,0214U,Rare ds xom dna alys proband,,,5224.6,10449.2,19
HCPCS,0215T,Njx paravert w/us cer/thor,,,704.0,972.0,2
HCPCS,0215U,Rare ds xom dna alys ea comp,,,2574.65,5149.3,19
HCPCS,0216T,Njx paravert w/us lumb/sac,,,923.64,1847.27,23
HCPCS,0216U,Neuro inh ataxia dna 12 com,,,1537.02,3074.04,19
HCPCS,0217T,Njx paravert w/us lumb/sac,,,704.0,972.0,2
HCPCS,0217U,Neuro inh ataxia dna 51 gene,,,2198.35,4396.7,19
HCPCS,0218T,Njx paravert w/us lumb/sac,,,704.0,972.0,2
HCPCS,0218U,Neuro musc dys dmd seq alys,,,2279.0,4558.0,19
HCPCS,0219T,Plmt post facet implt cerv,,,10145.0,26814.33,21
HCPCS,0219U,Nfct agt hiv gnrj seq alys,,,725.0,1450.0,19
HCPCS,0220T,Plmt post facet implt thor,,,10145.0,26814.33,21
HCPCS,0220U,Onc brst ca ai assmt 12 feat,,,706.25,1412.5,19
HCPCS,0221T,Plmt post facet implt lumb,,,4698.0,15155.02,23
HCPCS,0221U,Abo gnotyp next gnrj seq abo,,,274.83,549.66,19
HCPCS,0222T,Plmt post facet implt addl,,,704.0,972.0,2
HCPCS,0222U,Rhd&rhce gntyp next gnrj seq,,,282.88,565.76,19
HCPCS,0223U,Nfct ds 22 trgt sars-cov-2,,,416.78,833.56,19
HCPCS,0224U,Antibody sars-cov-2 titer(s),,,51.43,102.86,19
HCPCS,0225U,Nfct ds dna&rna 21 sarscov2,,,416.78,833.56,19
HCPCS,0226U,Svnt sarscov2 elisa plsm srm,,,42.28,84.56,19
HCPCS,0227U,Rx asy prsmv 30+rx/metablt,,,62.14,124.28,19
HCPCS,0228U,Onc prst8 ma molec prfl alg,,,173.03,346.06,19
HCPCS,0229U,Bcat1 promoter mthyltn alys,,,384.0,768.0,19
HCPCS,0230U,Ar full sequence analysis,,,301.35,602.7,19
HCPCS,0231U,Cacna1a full gene analysis,,,846.27,1692.54,19
HCPCS,0232T,"Hb Injection, Platelet Rich Plasma",10136.0,3547.6,,,0
HCPCS,0232T,Njx platelet plasma,,,466.5,972.0,21
HCPCS,0232U,Cstb full gene analysis,,,274.83,549.66,19
HCPCS,0233U,Fxn gene analysis,,,274.83,549.66,19
HCPCS,0234T,Trluml perip athrc renal art,,,10842.0,24110.71,21
HCPCS,0234U,Mecp2 full gene analysis,,,527.87,1055.74,19
HCPCS,0235T,Trluml perip athrc visceral,,,3613.0,4992.0,2
HCPCS,0235U,Pten full gene analysis,,,600.0,1200.0,19
HCPCS,0236T,Hb 0236T Trlml Perip Ath Abd Aorta,48687.0,17040.45,,,0
HCPCS,0236T,Trluml perip athrc abd aorta,,,10842.0,24110.71,21
HCPCS,0236U,Smn1&smn2 full gene analysis,,,602.7,1205.4,19
HCPCS,0237T,Trluml perip athrc brchiocph,,,10842.0,24110.71,21
HCPCS,0237U,Car ion chnlpthy gen seq pnl,,,584.9,1169.8,19
HCPCS,0238T,Hb 0238T Iliac Atherectomy,23625.0,8268.75,,,0
HCPCS,0238T,Trluml perip athrc iliac art,,,10842.0,38286.69,21
HCPCS,0238U,Onc lnch syn gen dna seq aly,,,584.9,1169.8,19
HCPCS,0239U,Trgt gen seq alys pnl 311+,,,3500.0,7000.0,19
HCPCS,0240U,Hb Flu/Sars-Cov2 Multiplex Pcr,400.0,140.0,,,0
HCPCS,0241U,Hb Flu/Rsv/Sars-Cov2 Multiplex Pcr,500.0,175.0,,,0
HCPCS,0242U,Trgt gen seq alys pnl 55-74,,,5000.0,10000.0,19
HCPCS,0243U,Ob pe biochem assay pgf alg,,,64.41,128.82,19
HCPCS,0244U,Onc solid orgn dna 257 genes,,,3500.0,7000.0,19
HCPCS,0245U,Onc thyr mut alys 10 gen&37,,,1266.07,2532.14,19
HCPCS,0246U,Rbc dna gnotyp 16 bld groups,,,720.0,1440.0,19
HCPCS,0247U,Ob prtrm brth ibp4 shbg meas,,,750.0,1500.0,19
HCPCS,0248U,Onc brn sphrd cll 12 rx pnl,,,3033.86,6067.72,19
HCPCS,0249U,Onc brst alys 32 phsprtn alg,,,2219.13,4438.26,19
HCPCS,0250U,Onc sld org neo dna 505 gene,,,2919.6,5839.2,19
HCPCS,0251U,Hepcidin-25 elisa serum/plsm,,,17.27,34.54,19
HCPCS,0252U,Ftl aneuploidy str alys dna,,,759.05,1518.1,19
HCPCS,0253T,Insert aqueous drain device,,,4316.45,9732.0,23
HCPCS,0253U,Rprdtve med rna gen prfl 238,,,3159.42,6318.84,19
HCPCS,0254T,Hb 254T Evasc Rpr Iliac Art Bifur,8781.0,3073.35,,,0
HCPCS,0254U,Reprdtve med alys 24 chrmsm,,,759.05,1518.1,19
HCPCS,0255U,Andrology infertility assmt,,,31.6,63.2,19
HCPCS,0256U,Tma/tmao prfl ms/ms ur alg,,,159.95,319.9,19
HCPCS,0257U,Vlcad leuk nzm actv whl bld,,,712.47,1424.94,19
HCPCS,0258U,Ai psor mrna 50-100 gen alg,,,3675.0,7350.0,19
HCPCS,0259U,Neph ckd nuc mrs meas gfr,,,52.71,105.42,19
HCPCS,0260U,Rare ds id opt genome mapg,,,1263.53,2527.06,19
HCPCS,0261U,Onc clrct ca img alys w/ai,,,2513.25,5026.5,19
HCPCS,0262U,Onc sld tum rt-pcr 7 gen,,,3200.0,6400.0,19
HCPCS,0263T,Im b1 mrw cel ther cmpl,,,4548.36,9732.0,21
HCPCS,0263U,Neuro asd meas 16 c metblt,,,750.0,1500.0,19
HCPCS,0264T,Im b1 mrw cel ther xcl hrvst,,,4548.36,9732.0,21
HCPCS,0264U,Rare ds id opt genome mapg,,,1263.53,2527.06,19
HCPCS,0265T,Im b1 mrw cel ther hrvst onl,,,4548.36,9732.0,21
HCPCS,0265U,Rar do whl gn&mtcdrl dna als,,,5475.8,10951.6,19
HCPCS,0266T,Implt/rpl crtd sns dev total,,,27101.0,37440.0,2
HCPCS,0266U,Unxpl cnst hrtbl do gn xprsn,,,3200.0,6400.0,19
HCPCS,0267T,Implt/rpl crtd sns dev lead,,,4698.0,6490.0,2
HCPCS,0267U,Rare do id opt gen mapg&seq,,,6739.33,13478.66,19
HCPCS,0268T,Implt/rpl crtd sns dev gen,,,27101.0,37440.0,2
HCPCS,0268U,Hem ahus gen seq alys 15 gen,,,608.17,1216.34,19
HCPCS,0269T,Rev/remvl crtd sns dev total,,,10145.0,14016.0,2
HCPCS,0269U,Hem aut dm cgen trmbctpna 14,,,608.17,1216.34,19
HCPCS,0270T,Rev/remvl crtd sns dev lead,,,4698.0,6490.0,2
HCPCS,0270U,Hem cgen coagj do 20 genes,,,608.17,1216.34,19
HCPCS,0271T,Rev/remvl crtd sns dev gen,,,4698.0,6490.0,2
HCPCS,0271U,Hem cgen neutropenia 23 gen,,,608.17,1216.34,19
HCPCS,0272U,Hem genetic bld do 51 genes,,,608.17,1216.34,19
HCPCS,0273U,Hem gen hyprfibrnlysis 8 gen,,,608.17,1216.34,19
HCPCS,0274T,Perq lamot/lam crv/thrc,,,5282.0,15155.02,23
HCPCS,0274U,Hem gen pltlt do 43 genes,,,608.17,1216.34,19
HCPCS,0275T,Perq lamot/lam lumbar,,,5282.0,14016.0,4
HCPCS,0275U,Hem heprn nduc trmbctpna srm,,,18.37,36.74,19
HCPCS,0276U,Hem inh thrombocytopenia 23,,,2448.56,4897.12,19
HCPCS,0277U,Hem gen pltlt funcj do 31,,,608.17,1216.34,19
HCPCS,0278T,Tempr,,,134.37,972.0,21
HCPCS,0278U,Hem gen thrombosis 12 genes,,,608.17,1216.34,19
HCPCS,0279U,Hem vw factor&clgn iii bndg,,,11.53,23.06,19
HCPCS,0280U,Hem vw factor&clgn iv bndg,,,17.27,34.54,19
HCPCS,0281U,Hem vwd propeptide ag lvl,,,17.27,34.54,19
HCPCS,0282U,Rbc dna gntyp 12 bld grp gen,,,720.0,1440.0,19
HCPCS,0283U,Vw factor type 2b eval plsm,,,18.4,36.8,19
HCPCS,0284U,Vw factor type 2n eval plsm,,,17.27,34.54,19
HCPCS,0285U,Onc rsps radj cll fr dna tox,,,443.31,886.62,19
HCPCS,0286U,Cep72 nudt15&tpmt gene alys,,,134.13,268.26,19
HCPCS,0287U,Onc thyr dna&mrna 112 genes,,,3600.0,7200.0,19
HCPCS,0288U,Onc lung mrna quan pcr 11&3,,,3873.0,7746.0,19
HCPCS,0289U,Neuro alzheimer mrna 24 gen,,,760.0,1520.0,19
HCPCS,0290U,Pain mgmt mrna gen xprsn 36,,,760.0,1520.0,19
HCPCS,0291U,Psyc mood do mrna 144 genes,,,1755.0,3510.0,19
HCPCS,0292U,Psyc strs do mrna 72 genes,,,1755.0,3510.0,19
HCPCS,0293U,Psyc suicidal idea mrna 54,,,760.0,1520.0,19
HCPCS,0295U,Onc brst dux carc 7 proteins,,,5435.0,10870.0,19
HCPCS,0296U,Onc orl&/orop ca 20 mlc feat,,,1950.0,3900.0,19
HCPCS,0297U,Onc pan tum whl gen seq dna,,,2919.6,5839.2,19
HCPCS,0298U,Onc pan tum whl trns seq rna,,,2919.6,5839.2,19
HCPCS,0299U,Onc pan tum whl gen opt mapg,,,1863.22,3726.44,19
HCPCS,0300U,Onc pan tum whl gen seq&opt,,,4183.13,8366.26,19
HCPCS,0301U,Iadna bartonella ddpcr,,,262.72,525.44,19
HCPCS,0302U,Iadna brtnla ddpcr flwg liq,,,361.37,722.74,19
HCPCS,0303U,Hem rbc ads whl bld hypoxic,,,2201.62,4403.24,19
HCPCS,0304U,Hem rbc ads whl bld normoxic,,,2075.8,4151.6,19
HCPCS,0305U,Hem rbc fnclty&dfrm shr strs,,,662.58,1325.16,19
HCPCS,0306U,Onc mrd nxt-gnrj alys 1st,,,3878.45,7756.9,19
HCPCS,0307U,Onc mrd nxt-gnrj alys sbsq,,,794.49,1588.98,19
HCPCS,0308T,Insj ocular telescope prosth,,,5282.0,37440.0,23
HCPCS,0308U,Crd cad alys 3 prtn plsm alg,,,390.75,781.5,19
HCPCS,0309U,Crd cv ds aly 4 prtn plm alg,,,390.75,781.5,19
HCPCS,0310U,Ped vsclts kd alys 3 bmrks,,,390.75,781.5,19
HCPCS,0311U,Nfct ds bct quan antmcrb sc,,,8.08,16.16,19
HCPCS,0312U,Ai ds sle alys 8 igg autoant,,,840.65,1681.3,19
HCPCS,0313U,Onc pncrs dna&mrna seq 74,,,3600.0,7200.0,19
HCPCS,0314U,Onc cutan mlnma mrna 35 gene,,,1950.0,3900.0,19
HCPCS,0315U,Onc cutan sq cll ca mrna 40,,,8500.0,17000.0,19
HCPCS,0316U,B brgdrferi lyme ds ospa evl,,,18.66,37.32,19
HCPCS,0317U,Onc lung ca 4-prb fish assay,,,2030.0,4060.0,19
HCPCS,0318U,Ped whl gen mthyltn alys 50+,,,1770.48,3540.96,19
HCPCS,0319U,Neph rna pretrnspl perph bld,,,2650.0,5300.0,19
HCPCS,0320U,Neph rna psttrnspl perph bld,,,2650.0,5300.0,19
HCPCS,0321U,Iadna gu pthgn 20bct&fng org,,,634.84,1269.68,19
HCPCS,0322U,Neuro asd meas 14 acyl carn,,,750.0,1500.0,19
HCPCS,0323U,Iadna cns pthgn next gen seq,,,2126.2,4252.4,19
HCPCS,0328U,Drug assay 120+ rx&metablt,,,114.43,228.86,19
HCPCS,0330T,Tear film img uni/bi w/i&r,,,39.0,78.01,19
HCPCS,0330U,Iadna vag pthgn panel 27 org,,,416.78,833.56,19
HCPCS,0331T,Hb Heart Symp Image Plnr,3511.0,1228.85,,,0
HCPCS,0331T,Heart symp image plnr,,,1351.97,2703.95,19
HCPCS,0332T,Heart symp image plnr spect,,,1351.97,2703.95,19
HCPCS,0332U,Onc pan tum gen prflg 8 dna,,,1142.06,2284.12,19
HCPCS,0333U,Onc lvr surveilanc hcc cfdna,,,662.32,1324.64,19
HCPCS,0334U,Onc sld orgn tgsa dna 84/+,,,3500.0,7000.0,19
HCPCS,0335T,Extraosseous joint stblztion,,,3760.0,15155.02,23
HCPCS,0335U,Rare ds whl gen seq fetal,,,5224.6,10449.2,19
HCPCS,0336U,Rare ds whl gen seq bld/slv,,,2574.65,5149.3,19
HCPCS,0337U,Onc plsm cell do&myeloma id,,,2435.0,4870.0,19
HCPCS,0338T,Trnscth renal symp denrv unl,,,4698.0,11887.16,23
HCPCS,0338U,Onc sld tum crcg tum cl slct,,,2435.0,4870.0,19
HCPCS,0339T,Hb 0339T Transcatheter Renal Sympath Denervation Bilat,51836.0,18142.6,,,0
HCPCS,0339T,Trnscth renal symp denrv bil,,,4698.0,11887.16,23
HCPCS,0339U,Onc prst8 mrna hoxc6 & dlx1,,,760.0,1520.0,19
HCPCS,0340U,Onc pan ca alys mrd plasma,,,3590.0,7180.0,19
HCPCS,0341U,Ftl aneup dna seq cmpr alys,,,1900.2,3800.4,19
HCPCS,0342T,Thxp apheresis w/hdl delip,,,4548.36,9732.0,21
HCPCS,0343U,Onc prst8 xom aly 442 sncrna,,,760.0,1520.0,19
HCPCS,0344U,Hep nafld semiq evl 28 lipid,,,792.17,1584.34,19
HCPCS,0345T,Transcath mtral vlve repair,,,3613.0,4992.0,2
HCPCS,0345U,Psyc genom alys pnl 15 gen,,,1336.09,2672.18,19
HCPCS,0347T,Ins bone device for rsa,,,61.6,972.0,21
HCPCS,0347U,Rx metab/pcx dna 16 gen alys,,,1336.09,2672.18,19
HCPCS,0348T,RSA spine exam,,,109.17,218.35,19
HCPCS,0348U,Rx metab/pcx dna 25 gen alys,,,742.27,1484.54,19
HCPCS,0349T,RSA upper extr exam,,,109.17,218.35,19
HCPCS,0349U,Rx metab/pcx dna 27gen rx ia,,,742.27,1484.54,19
HCPCS,0350T,RSA lower extr exam,,,90.88,181.76,19
HCPCS,0350U,Rx metab/pcx dna 27 gen alys,,,1336.09,2672.18,19
HCPCS,0351U,Nfct ds bct/viral trail ip10,,,260.5,521.0,19
HCPCS,0355U,Apol1 risk variants,,,137.0,274.0,19
HCPCS,0356U,Onc orop 17 dna ddpcr alg,,,1800.0,3600.0,19
HCPCS,0358T,BIA whole body,,,30.2,60.41,19
HCPCS,0358U,Neuro alys b-amyl 1-42&1-40,,,260.5,521.0,19
HCPCS,0359U,Onc prst8 ca alys all psa,,,760.0,1520.0,19
HCPCS,0360U,Onc lung elisa 7 autoant alg,,,840.65,1681.3,19
HCPCS,0362U,Onc pap thyr ca rna 82&10,,,3600.0,7200.0,19
HCPCS,0363U,Onc urthl mrna 5 gen alg,,,760.0,1520.0,19
HCPCS,0364U,Onc hl neo gen seq alys alg,,,2007.25,4014.5,19
HCPCS,0365U,Onc bldr 10 prb bldr ca,,,897.0,1794.0,19
HCPCS,0366U,Onc bldr 10 prb recr bldr ca,,,897.0,1794.0,19
HCPCS,0367U,Onc bldr 10 flwg trurl rescj,,,902.18,1804.36,19
HCPCS,0371U,Iadna gu pthgn semiq dna16&1,,,416.78,833.56,19
HCPCS,0372U,Nfct ds gu pthgn arg detcj,,,416.78,833.56,19
HCPCS,0375U,Onc ovrn bchm asy 7 prtn alg,,,897.0,1794.0,19
HCPCS,0376U,Onc prst8 ca img alys 128,,,706.25,1412.5,19
HCPCS,0377T,Hb Anoscopy Submucosal Inj,18945.0,6630.75,,,0
HCPCS,0377U,Cv ds quan advsrm/plsm lprtn,,,47.58,95.16,19
HCPCS,0378U,Rfc1 repeat xpnsj vrnt alys,,,137.0,274.0,19
HCPCS,0379T,Vis field assmnt tech suppt,,,39.0,78.01,19
HCPCS,0379U,Tgsap sl or neo dna523&rna55,,,3288.51,6577.02,19
HCPCS,0381U,Maple syrup ur ds mntr quan,,,44.12,88.24,19
HCPCS,0382U,Hyprphenylalninmia mntr quan,,,51.64,103.28,19
HCPCS,0383U,Tyrosinemia typ i mntr quan,,,52.05,104.1,19
HCPCS,0384U,Neph ckd rsk hi stg kdn ds,,,750.0,1500.0,19
HCPCS,0385U,Neph ckd alg rsk dbtc kdn ds,,,390.75,781.5,19
HCPCS,0387U,Onc mlnma ambra1&amlo,,,948.5,1897.0,19
HCPCS,0388U,Onc nonsm cll lng ca 37 gen,,,3500.0,7000.0,19
HCPCS,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,70.2,140.4,19
HCPCS,0390U,Ob pe kdr eng&rbp4 ia alg,,,64.41,128.82,19
HCPCS,0391U,Onc sld tum dna&rna 437 gen,,,3600.0,7200.0,19
HCPCS,0392U,Rx metab genrx ia 16 genes,,,1336.09,2672.18,19
HCPCS,0393U,Neu prksn msfl ?-syncln prtn,,,540.99,1081.98,19
HCPCS,0394U,Pfas 16 pfas compnd lc ms/ms,,,198.74,397.48,19
HCPCS,0395T,Hdr elctr ntrst/ntrcv brchtx,,,727.31,1454.63,19
HCPCS,0395U,Onc lng multiomics plsm alg,,,797.45,1594.9,19
HCPCS,0397T,Ercp w/optical endomicroscpy,,,704.0,2121.0,4
HCPCS,0398U,Gi baret esph dna mthyln aly,,,1755.0,3510.0,19
HCPCS,0399U,Neuro cere folate defncy srm,,,300.0,600.0,19
HCPCS,0401U,Crd c hrt ds 9 gen 12 vrnts,,,489.68,979.36,19
HCPCS,0402T,Collagen crosslinking cornea,,,2428.0,5195.0,23
HCPCS,0402U,Nfct agt sti mult amp prb tq,,,142.63,285.26,19
HCPCS,0403U,Onc prst8 mrna 18 gen dre ur,,,760.0,1520.0,19
HCPCS,0404U,Onc brst semiq meas thym kn,,,322.96,645.92,19
HCPCS,0405U,Onc pncrtc 59 mthltn blk mrk,,,1770.48,3540.96,19
HCPCS,0406U,Onc lung flow cytmtry 5 mrk,,,760.0,1520.0,19
HCPCS,0407U,Neph dbtc ckd mult eclia alg,,,950.0,1900.0,19
HCPCS,0408T,Hb 0408T Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd,89570.0,31349.5,,,0
HCPCS,0408T,Insj/rplc cardiac modulj sys,,,32778.73,99846.0,21
HCPCS,0408U,Iaad blk ac wv bsnsr sarscv2,,,14.13,28.26,19
HCPCS,0409T,Hb 0409T Insj/Rplc Cardiac Modulj Sys Pls Generator Only,98151.0,34352.85,,,0
HCPCS,0409T,Insj/rplc car modulj pls gn,,,23228.5,99846.0,21
HCPCS,0409U,Onc sld tum dna 80 & rna 36,,,2919.6,5839.2,19
HCPCS,0410T,Hb 0410T Insj/Rplc Cardiac Modulj Sys Atr Electrode Only,20690.0,7241.5,,,0
HCPCS,0410T,Insj/rplc car modulj atr elt,,,8641.82,17283.63,21
HCPCS,0410U,Onc pncrtc dna whl gn seq 5-,,,1160.0,2320.0,19
HCPCS,0411T,Hb 0411T Insj/Rplc Car Modulj Sys Ventr Electrode Only,22256.0,7789.6,,,0
HCPCS,0411T,Insj/rplc car modulj vnt elt,,,8641.82,17283.63,21
HCPCS,0411U,Psyc genom alys pnl 15 gen,,,1336.09,2672.18,19
HCPCS,0412T,Hb 0412T Removal Cardiac Modulj Sys Pls Generator Only,17467.0,6113.45,,,0
HCPCS,0412T,Rmvl cardiac modulj pls gen,,,3902.43,7804.86,23
HCPCS,0412U,Beta amyloid a?42/40 imprcip,,,750.0,1500.0,19
HCPCS,0413T,Hb 0413T Removal Cardiac Modulj Sys Transvenous Electrode,9935.0,3477.25,,,0
HCPCS,0413T,Rmvl car modulj tranvns elt,,,3902.43,7804.86,23
HCPCS,0413U,Onc hl neo opt gen mapg dna,,,1263.53,2527.06,19
HCPCS,0414T,Hb 0414T Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only,56116.0,19640.6,,,0
HCPCS,0414T,Rmvl & rpl car modulj pls gn,,,23228.5,99846.0,21
HCPCS,0414U,Onc lng aug alg aly whl sld8,,,706.25,1412.5,19
HCPCS,0415T,Hb 0415T Repos Cardiac Modulj Transvenous Electrode,13840.0,4844.0,,,0
HCPCS,0415T,Repos car modulj tranvns elt,,,655.08,3112.0,23
HCPCS,0415U,Cv ds acs bld alg 5 yr score,,,390.75,781.5,19
HCPCS,0416T,Hb 0416T Reloc Skin Pocket Cardiac Modulj Pulse Generator,4574.0,1600.9,,,0
HCPCS,0416T,Reloc skin pocket pls gen,,,2116.0,4499.0,23
HCPCS,0417T,Hb 0417T Prgrmg Device Evaluation Cardiac Modulj System,284.0,99.4,,,0
HCPCS,0417T,Prgrmg eval cardiac modulj,,,38.97,77.95,19
HCPCS,0417U,Rare ds alys 335 nuc genes,,,2842.53,5685.06,19
HCPCS,0418T,Hb 0418T Interro Device Evaluation Cardiac Modulj System,234.0,81.9,,,0
HCPCS,0418T,Interro eval cardiac modulj,,,38.97,77.95,19
HCPCS,0418U,Onc brst aug alg aly whl sl8,,,706.25,1412.5,19
HCPCS,0419T,Dstrj neurofibroma xtnsv,,,704.0,1543.59,23
HCPCS,0419U,Nrpsyc gen seq vrnt aly 13,,,1336.09,2672.18,19
HCPCS,0420T,Dstrj neurofibroma xtnsv,,,704.0,1543.59,23
HCPCS,0420U,Onc urthl mrna xprsn 6 snp,,,1328.32,2656.64,19
HCPCS,0421T,Waterjet prostate abltj cmpl,,,7046.0,9732.0,2
HCPCS,0422T,Tactile breast img uni/bi,,,90.88,181.76,19
HCPCS,0422U,Onc pan solid tum alys dna,,,1943.21,3886.42,19
HCPCS,0423U,Psyc genomic alys pnl 26 gen,,,416.78,833.56,19
HCPCS,0424T,Hb 0424T Insj/Rplc Nstim Sys Sleep Apnea Compl,82513.0,28879.55,,,0
HCPCS,0424U,Onc prst8 xom alys 53 sncrna,,,760.0,1520.0,19
HCPCS,0425T,Hb 0425T Insj/Rplc Nstim System Sleep Apnea Sensing Lead,3726.0,1304.1,,,0
HCPCS,0425U,Genom rpd seq alys ea cmprtr,,,4094.39,8188.78,19
HCPCS,0426T,Hb 0426T Insj/Rplc Nstim System Sleep Apnea Stimj Lead,93816.0,32835.6,,,0
HCPCS,0426U,Genome ultra-rapid seq alys,,,7582.2,15164.4,19
HCPCS,0427T,Hb 0427T Insj/Rplc Nstim System Sleep Apnea Pls Generator,91432.0,32001.2,,,0
HCPCS,0427U,Monocyte dstrbj wdth whl bld,,,4.48,8.96,19
HCPCS,0428T,Hb 0428T Removal Nstim System Sleep Apnea Pls Generator,16567.0,5798.45,,,0
HCPCS,0429T,Hb 0429T Removal Nstim System Sleep Apnea Sensing Lead,16477.0,5766.95,,,0
HCPCS,0429U,Hpv orop swab 14 hi-risk typ,,,35.09,70.18,19
HCPCS,0430T,Hb 0430T Removal Nstim System Sleep Apnea Stimj Lead,16477.0,5766.95,,,0
HCPCS,0430U,Gi malabs aat calpro pncrtc,,,61.54,123.08,19
HCPCS,0431T,Hb 0431T Rmvl/Rplc Nstim System Sleep Apnea Pls Generator,87966.0,30788.1,,,0
HCPCS,0431U,Gly rcptr alpha1 igg srm/csf,,,36.57,73.14,19
HCPCS,0432T,Hb 0432T Repos Nstim System Sleep Apnea Stimj Lead,14581.0,5103.35,,,0
HCPCS,0432U,Klhl11 antb sr/csf asy qual,,,36.57,73.14,19
HCPCS,0433U,Onc prst8 5 dna reg mrk pcr,,,760.0,1520.0,19
HCPCS,0434U,Rx metab advrs vrnt alys 25,,,416.78,833.56,19
HCPCS,0435U,Onc chemo rx cytox csc 14 rx,,,3033.86,6067.72,19
HCPCS,0436U,Onc lng plsm alys 388 prtn,,,1504.24,3008.48,19
HCPCS,0437T,Impltj synth rnfcmt abdl wal,,,704.0,972.0,2
HCPCS,0437U,Psyc anxiety do mrna 15 bmrk,,,760.0,1520.0,19
HCPCS,0438U,Rx metab advrs vrnt alys 33,,,416.78,833.56,19
HCPCS,0439U,Crd chd dna alys 5 snp 3 dna,,,854.0,1708.0,19
HCPCS,0440T,Abltj perc uxtr/perph nrv,,,2039.19,9732.0,21
HCPCS,0440U,Crd chd dna alys 10 snp 6dna,,,854.0,1708.0,19
HCPCS,0441T,Abltj perc lxtr/perph nrv,,,2039.19,9732.0,21
HCPCS,0441T,Hb 0441T Abltj Perc Lxtr/Perph Nrv,14444.0,5055.4,,,0
HCPCS,0441U,Nfct ds bct fngl/viral semiq,,,444.08,888.16,19
HCPCS,0442T,Abltj perc plex/trncl nrv,,,7046.0,18328.87,21
HCPCS,0442T,Hb 0442T Abltj Perc Plex/Trncl Nrv,18214.0,6374.9,,,0
HCPCS,0442U,Nfct ds respir nfctj mxa&crp,,,41.38,82.76,19
HCPCS,0443T,R-t spctrl alys prst8 tiss,,,704.0,972.0,2
HCPCS,0443U,Neurflmnt lt chn ultrsens ia,,,116.23,232.46,19
HCPCS,0444T,1st plmt drug elut oc ins,,,704.0,972.0,2
HCPCS,0444U,Onc sld orgn neo tgsap 361,,,2919.6,5839.2,19
HCPCS,0445T,Sbsqt plmt drug elut oc ins,,,704.0,972.0,2
HCPCS,0445U,Abeta42 & ptau181 eclia csf,,,260.5,521.0,19
HCPCS,0446T,Insj impltbl glucose sensor,,,704.0,8689.21,23
HCPCS,0446U,Ai ds sle alys 10 cytokine,,,840.65,1681.3,19
HCPCS,0447T,Rmvl impltbl glucose sensor,,,209.52,972.0,21
HCPCS,0447U,Ai ds sle alys 11 cytokine,,,840.65,1681.3,19
HCPCS,0448T,Remvl insj impltbl gluc sens,,,704.0,8689.21,23
HCPCS,0449T,Insj aqueous drain dev 1st,,,5556.93,11113.85,21
HCPCS,0450T,Insj aqueous drain dev each,,,704.0,972.0,2
HCPCS,0452U,Onc bldr mthyl penk lte-qmsp,,,192.0,384.0,19
HCPCS,0453U,Onc clrct ca cfdna qpcr asy,,,192.0,384.0,19
HCPCS,0454U,U rare ds id opt genome mapg,,,1263.53,2527.06,19
HCPCS,0455U,Nfct agt sti mult amp prb ur,,,142.63,285.26,19
HCPCS,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,198.74,397.48,19
HCPCS,0458U,Onc brst ca s100 a8&a9 elisa,,,260.5,521.0,19
HCPCS,0459U,Abeta42 & ttau eclia csf,,,260.5,521.0,19
HCPCS,0460U,Onc whl bld/bucc rtpcr 24gen,,,917.08,1834.16,19
HCPCS,0461U,Onc rxgenom alys rtpcr 24gen,,,917.08,1834.16,19
HCPCS,0462U,Melatonin lvl tst slp std7/9,,,17.27,34.54,19
HCPCS,0463U,Onc crvx mrna genxprsn 14bmk,,,760.0,1520.0,19
HCPCS,0464T,Visual ep test for glaucoma,,,134.37,268.74,19
HCPCS,0464U,Onc clrct scr qrtsa dna mrk,,,591.92,1183.84,19
HCPCS,0465U,Onc urthl carc dna qmsp 2gen,,,1938.01,3876.02,19
HCPCS,0466U,Crd cad dna gwas 564856 snp,,,345.43,690.86,19
HCPCS,0467U,Onc bldr dna ngs 60gen&aneup,,,1519.06,3038.12,19
HCPCS,0468U,Hep nash mir34a5p ?2m ykl40,,,251.7,503.4,19
HCPCS,0469U,Rare ds whl gen seq ftl samp,,,1197.94,2395.88,19
HCPCS,0470U,Onc orop detcj mrd 8 dna hpv,,,597.91,1195.82,19
HCPCS,0471U,Onc clrc ca 35 vrn kras&nras,,,760.0,1520.0,19
HCPCS,0472U,Ca vi psp&sp1 antb sj?gren,,,27.9,55.8,19
HCPCS,0473T,Reprgrmg io rta eltrd ra,,,99.28,198.56,19
HCPCS,0473U,Onc sld tum bld/slv 648 gene,,,4500.0,9000.0,19
HCPCS,0474T,Insj aqueous drg dev io rsvr,,,7046.0,9732.0,2
HCPCS,0474U,Hered pan ca gsap 88gene ngs,,,1303.95,2607.9,19
HCPCS,0475U,Hered prst8 ca gsap 23 genes,,,1303.95,2607.9,19
HCPCS,0476U,Rx metab psyc 14gen&cyp2d6,,,416.78,833.56,19
HCPCS,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,416.78,833.56,19
HCPCS,0478U,Onc nsclc dna&rna dpcr 9 gen,,,552.99,1105.98,19
HCPCS,0479T,Fxjl abl lsr 1st 100 sq cm,,,771.8,1543.59,23
HCPCS,0479T,Hb Fxjl Abl Lsr 1St 100 Sq Cm,2376.0,831.6,,,0
HCPCS,0479U,Tau phosphorylated ptau217,,,17.27,34.54,19
HCPCS,0480T,Fxjl abl lsr ea addl 100sqcm,,,704.0,972.0,2
HCPCS,0480T,Hb Fxjl Abl Lsr Ea Addl 100Sqcm,1190.0,416.5,,,0
HCPCS,0480U,Nfct ds csf metag ngs alys,,,2126.2,4252.4,19
HCPCS,0481T,Njx autol wbc concentrate,,,466.5,1502.0,23
HCPCS,0481U,Idh1 idh2&tert promoter ngs,,,674.24,1348.48,19
HCPCS,0482U,Ob pe biochem asy sfit1&pigf,,,128.82,257.64,19
HCPCS,0483T,Hb 0483T Tmvi W/Prosthetic Valve Percutaneous Approach,39672.0,13885.2,,,0
HCPCS,0483T,Tmvi percutaneous approach,,,3613.0,4992.0,2
HCPCS,0483U,Nfct ds ng gyra s91f pt mut,,,35.09,70.18,19
HCPCS,0484T,Tmvi transthoracic exposure,,,3613.0,4992.0,2
HCPCS,0484U,Nfct ds mgen 23s rrna pt mut,,,35.09,70.18,19
HCPCS,0485T,Oct mid ear i&r unilateral,,,39.0,78.01,19
HCPCS,0485U,Onc sol tum cfdna&rna ngs gm,,,3649.48,7298.96,19
HCPCS,0486T,Oct mid ear i&r bilateral,,,39.0,78.01,19
HCPCS,0486U,Onc pan sol tum ngs cfctdna,,,1644.25,3288.5,19
HCPCS,0487U,Onc sol tum cfcdna tgsap 84,,,2919.6,5839.2,19
HCPCS,0489T,Regn cell tx scldr hands,,,3613.0,4992.0,2
HCPCS,0490T,Regn cell tx scldr h mlt inj,,,3613.0,4992.0,2
HCPCS,0490U,Onc cutan/uveal mlnma cd146,,,2435.0,4870.0,19
HCPCS,0491U,Onc sol tum ctc slct er prtn,,,2435.0,4870.0,19
HCPCS,0492U,Onc sol tum ctc slctn pd-l1,,,2435.0,4870.0,19
HCPCS,0493U,Trnspl med quan dd-cfdna ngs,,,2753.25,5506.5,19
HCPCS,0494T,Prep & cannulj cdvr don lung,,,3613.0,4992.0,2
HCPCS,0494U,Rbc ag ftl rhd gene alys ngs,,,759.05,1518.1,19
HCPCS,0495T,Mntr cdvr don lng 1st 2 hrs,,,3613.0,4992.0,2
HCPCS,0495U,Onc prst8 alys crcg plsm prt,,,760.0,1520.0,19
HCPCS,0496T,Mntr cdvr don lng ea addl hr,,,3613.0,4992.0,2
HCPCS,0496U,Onc clrct cfdna 8/7 genes,,,485.86,971.72,19
HCPCS,0497U,Onc prst8 mrna rt-pcr 6 gene,,,3873.0,7746.0,19
HCPCS,0498U,Onc clrct ngs mut detc 43gen,,,1345.31,2690.62,19
HCPCS,0499U,Onc clrct&lng dna ngs 8gene,,,597.91,1195.82,19
HCPCS,0500U,Autoinflam ds vexas synd dna,,,175.4,350.8,19
HCPCS,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,35.09,70.18,19
HCPCS,0503T,Hb Non-Invasive Est Cor Ffr Cta Software Aly,6286.0,2200.1,,,0
HCPCS,0503U,Neuro alz ds ?amyl&tau prtn,,,750.0,1500.0,19
HCPCS,0504U,Nfct ds uti id 17 path orgs,,,416.78,833.56,19
HCPCS,0505T,Ev fempop artl revsc,,,10842.0,24110.71,21
HCPCS,0505T,Hb 0505T Tev Fempop Artl Revsc Tcat Plmt Iv St Grf & Clsr,64746.0,22661.1,,,0
HCPCS,0505U,Nfct ds vag infctj id 32orgs,,,679.77,1359.54,19
HCPCS,0506T,Mac pgmt opt dns meas hfp,,,61.6,123.21,19
HCPCS,0506U,Gi barretts esophgl cell 89,,,1938.01,3876.02,19
HCPCS,0507T,Near ifr 2img mibmn glnd i&r,,,61.6,123.21,19
HCPCS,0507U,Onc ovr dna whole gen w/5hmc,,,1160.0,2320.0,19
HCPCS,0509T,Pattern erg w/i&r,,,225.48,450.97,19
HCPCS,0510T,Rmvl sinus tarsi implant,,,3416.88,6833.76,21
HCPCS,0510U,Onc pncrtc ca alg alys 16gen,,,473.91,947.82,19
HCPCS,0511T,Rmvl&rinsj sinus tarsi implt,,,3760.0,15155.02,21
HCPCS,0511U,Onc sol tum 3dmicroenvir 36+,,,3033.86,6067.72,19
HCPCS,0512T,Esw integ wnd hlg 1st wnd,,,209.52,1502.0,23
HCPCS,0512U,Onc prst8 alys dgtz img msi,,,706.25,1412.5,19
HCPCS,0513T,Esw integ wnd hlg ea addl,,,704.0,972.0,2
HCPCS,0513U,Onc prst8 alg alys msi&hrd,,,706.25,1412.5,19
HCPCS,0514U,Gi ibd ia quan deter adl lvl,,,38.57,77.14,19
HCPCS,0515T,Insj wcs lv compl sys,,,23228.5,99846.0,21
HCPCS,0515U,Gi ibd ia quan deter ifx lvl,,,38.57,77.14,19
HCPCS,0516T,Insj wcs lv eltrd only,,,10842.0,21829.6,21
HCPCS,0516U,Rx metab rxgenomic gnotyp 40,,,416.78,833.56,19
HCPCS,0517T,Insj wcs lv pg compnt,,,10842.0,21829.6,21
HCPCS,0517U,Ther rx mntr 80+ psyactiv rx,,,246.92,493.84,19
HCPCS,0518T,Rmvl pg compnt wcs,,,3902.43,7804.86,21
HCPCS,0518U,Ther rx mntr 90+ pn&mtl hlth,,,246.92,493.84,19
HCPCS,0519T,Rmvl & rplcmt pg compnt wcs,,,4698.0,21829.6,21
HCPCS,0519U,Ther rx mntr meds p/d/a 110+,,,246.92,493.84,19
HCPCS,0520T,Rmvl&rplcmt pg wcs new eltrd,,,10914.8,99846.0,21
HCPCS,0520U,Ther rx mntr 200+ rx/sbsts,,,246.92,493.84,19
HCPCS,0521T,Interrog dev eval wcs ip,,,30.2,60.41,19
HCPCS,0521U,Rf iga&igm ccp antb sr-a ia,,,51.8,103.6,19
HCPCS,0522T,Prgrmg dev eval wcs ip,,,38.97,77.95,19
HCPCS,0522U,Ca vi psp&sp1 antb cl semiql,,,260.5,521.0,19
HCPCS,0523T,Hb 0523T Ntrapx C Ffr W/3D Funcjl Map,1058.0,370.3,,,0
HCPCS,0523T,Ntrapx c ffr w/3d funcjl map,,,704.0,972.0,2
HCPCS,0523U,Onc soltum dna ngs snv 22gen,,,1352.09,2704.18,19
HCPCS,0524T,Ev cath dir chem abltj w/img,,,3297.29,6594.58,21
HCPCS,0524U,Ob pe sflt-1/plgf ia srm/pls,,,128.82,257.64,19
HCPCS,0525T,Insj/rplcmt compl iims,,,10842.0,40229.16,21
HCPCS,0525U,Onc sphrd cell cul 11-rx pnl,,,3033.86,6067.72,19
HCPCS,0526T,Insj/rplcmt iims eltrd only,,,8641.82,17283.63,21
HCPCS,0527T,Insj/rplcmt iims implt mntr,,,8641.82,17283.63,21
HCPCS,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,142.63,285.26,19
HCPCS,0528T,Prgrmg dev eval iims ip,,,38.97,77.95,19
HCPCS,0528U,Lrt iad 18bct/8vir&7arg rna,,,634.84,1269.68,19
HCPCS,0529T,Interrog dev eval iims ip,,,38.97,77.95,19
HCPCS,0530T,Removal complete iims,,,3902.43,7804.86,21
HCPCS,0530U,Onc pan-sol tum ctdna 77 gen,,,2919.6,5839.2,19
HCPCS,0531T,Removal iims electrode only,,,3902.43,7804.86,21
HCPCS,0532T,Removal iims implt mntr only,,,3902.43,7804.86,21
HCPCS,0532U,Rare ds whlgen&mitochdrl dna,,,5031.2,10062.4,19
HCPCS,0533U,Rx metab advrs gnotyp 16gens,,,416.78,833.56,19
HCPCS,0535U,Pfas lc-ms/ms plsm/srm quan,,,62.14,124.28,19
HCPCS,0536U,Rbcag ftl rhd pcr alys exon4,,,192.0,384.0,19
HCPCS,0537U,Onc clrct ca cfdna >2500 dmr,,,1495.0,2990.0,19
HCPCS,0538U,Onc sol tum ngts ffpe 600gen,,,2989.55,5979.1,19
HCPCS,0539U,Onc sol tumor cfctdna 152gen,,,3288.51,6577.02,19
HCPCS,0540U,Trnsplj med quan dd-cfdna,,,2753.25,5506.5,19
HCPCS,0541T,Myocardial imaging mcg,,,389.68,779.36,19
HCPCS,0543T,Ta mv rpr w/artif chord tend,,,3613.0,4992.0,2
HCPCS,0543U,Onc sol tum ngs dna 517 gens,,,2989.55,5979.1,19
HCPCS,0544T,Tcat mv annulus rcnstj,,,3613.0,4992.0,2
HCPCS,0545T,Tcat tv annulus rcnstj,,,3613.0,4992.0,2
HCPCS,0545U,Achr antb id imfluor livecll,,,37.73,75.46,19
HCPCS,0546U,Ldns lrp4 antb imflr livecll,,,37.73,75.46,19
HCPCS,0547U,Neurflmnt lt chn cleia plsm,,,116.23,232.46,19
HCPCS,0548U,Gfap cleia plasma,,,116.23,232.46,19
HCPCS,0549U,Onc urthl dna mthyltd rt pcr,,,760.0,1520.0,19
HCPCS,0552T,Low-level laser therapy,,,1457.0,1502.0,2
HCPCS,0553U,Repr med pga embry te strux,,,759.05,1518.1,19
HCPCS,0554U,Repr med pga 24chrm te bx qc,,,759.05,1518.1,19
HCPCS,0555T,B1 str&fx rsk transmis data,,,30.2,60.41,19
HCPCS,0555U,Repr med pga embryonic te qc,,,759.05,1518.1,19
HCPCS,0556T,B1 str & fx rsk assessment,,,249.17,498.33,19
HCPCS,0556U,Nfct ds p-s dna&rna 12 trgts,,,142.63,285.26,19
HCPCS,0557U,Nfct ds bv dna mrk vag fluid,,,262.99,525.98,19
HCPCS,0558T,Ct scan f/biomchn ct alys,,,90.88,181.76,19
HCPCS,0558U,Onc clrct elisa bf7 ag serum,,,20.81,41.62,19
HCPCS,0559T,Antmc mdl 3d print 1st cmpnt,,,138.94,277.88,19
HCPCS,0559T,Hb Anatomic Model 3D Printed 1St Compnt Antmc Strux,5948.0,2081.8,,,0
HCPCS,0559U,Onc brs quan elisa bf9ag srm,,,20.81,41.62,19
HCPCS,0560T,Hb Anatomic Model 3D Printed Ea Addl Component,233.0,81.55,,,0
HCPCS,0560U,Onc mrd gsa cfdna baseline,,,3878.45,7756.9,19
HCPCS,0561T,Antmc guide 3d print 1st gd,,,138.94,277.88,19
HCPCS,0561T,Hb Anatomic Guide 3D Printed 1St Anatomic Guide,6342.0,2219.7,,,0
HCPCS,0561U,Onc mrd gsa cfdna subsequent,,,794.49,1588.98,19
HCPCS,0562T,Hb Anatomic Guide 3D Printed Ea Addl Anatomic Guide,195.0,68.25,,,0
HCPCS,0562U,Onc sol tum tgsa 33gens snvs,,,597.91,1195.82,19
HCPCS,0563T,Evac meibomian glnd heat bi,,,61.6,972.0,21
HCPCS,0563U,Nfct ds pthgn-sna 11vir&4bct,,,416.78,833.56,19
HCPCS,0564U,Nfct ds pthgn-sna 10vir&4bct,,,416.78,833.56,19
HCPCS,0565T,Autol cell implt adps hrvg,,,704.0,972.0,2
HCPCS,0565U,Onc hcc ngs detc 6626epigalt,,,1160.0,2320.0,19
HCPCS,0566T,Autol cell implt adps njx,,,704.0,1502.0,4
HCPCS,0566U,Onc lng qpcr-bsd alys 13dmrs,,,416.78,833.56,19
HCPCS,0567U,Rare ds whl gen seq srs&lrs,,,5031.2,10062.4,19
HCPCS,0568T,Intro mix saline&air f/ssg,,,1457.0,1502.0,2
HCPCS,0568U,Neurol dementia ?amyl ptau,,,897.0,1794.0,19
HCPCS,0569T,Hb 0569T Ttvr Perq Appr 1St Prosth,43853.0,15348.55,,,0
HCPCS,0569T,Ttvr perq appr 1st prosth,,,3613.0,4992.0,2
HCPCS,0570T,Hb 0570T Ttvr Perq Ea Addl Prosth,21927.0,7674.45,,,0
HCPCS,0570T,Ttvr perq ea addl prosth,,,3613.0,4992.0,2
HCPCS,0570U,Neurol tbi alys gfap&uch-l1,,,260.5,521.0,19
HCPCS,0571T,Hb 0571T Insj/Rplcmt Icds W/Substernal Electrode,26818.0,9386.3,,,0
HCPCS,0571T,Insj/rplcmt icds ss eltrd,,,32778.73,99846.0,21
HCPCS,0571U,Onc sol tum dna80&rna10g ngs,,,2919.6,5839.2,19
HCPCS,0572T,Hb 0572T Insj Substernal Implantable Defibrillator Eltrd,20407.0,7142.45,,,0
HCPCS,0572T,Insertion ss dfb electrode,,,8641.82,17283.63,21
HCPCS,0573T,Hb 0573T Rmvl Substernal Implantable Defibrillator Eltrd,4532.0,1586.2,,,0
HCPCS,0573T,Removal ss dfb electrode,,,3902.43,7804.86,21
HCPCS,0574T,Hb 0574T Repos Prev Impl Ss Impltbl Dfb Pacing Eltrd,8378.0,2932.3,,,0
HCPCS,0574T,Repos prev ss impl dfb eltrd,,,3902.43,7804.86,21
HCPCS,0575T,Hb 0575T Programming Dev Eval Icds W/Ss Eltrd In Person,16978.0,5942.3,,,0
HCPCS,0575T,Prgrmg dev eval icds ss ip,,,38.97,77.95,19
HCPCS,0575U,Trnsplj med lar rtpcr 4genes,,,380.0,760.0,19
HCPCS,0576T,Hb 0576T Interrogation Dev Eval Icds W/Ss Eltrd In Person,88.0,30.8,,,0
HCPCS,0576T,Interrog dev eval icds ss ip,,,38.97,77.95,19
HCPCS,0576U,Trnsplj med lar quan ddcfdna,,,3240.0,6480.0,19
HCPCS,0577T,Ephys eval icds ss,,,1271.45,2542.9,19
HCPCS,0577T,Hb 0577T Electrophysiologic Eval Icds W/Ss Electrode,3584.0,1254.4,,,0
HCPCS,0577U,Onc ovr serum alys 39 gps,,,246.92,493.84,19
HCPCS,0578U,Onc cutan mln rna qpcr 10gen,,,3873.0,7746.0,19
HCPCS,0579T,Rem interrog dev icds tech,,,38.97,77.95,19
HCPCS,0579U,Nfro dbtc ckd elisa apoa4,,,390.75,781.5,19
HCPCS,0580T,Hb 0580T Rmvl Substernal Impltbl Dfb Pulse Generator Only,4532.0,1586.2,,,0
HCPCS,0580T,Rmvl ss impl dfb pg only,,,3902.43,7804.86,21
HCPCS,0580U,Bbrgdrferi antb detc 24rprtn,,,17.21,34.42,19
HCPCS,0581T,Abltj mal brst tum perq crtx,,,3760.0,8177.61,21
HCPCS,0581U,Trnspl med antb nohla 39trgt,,,325.8,651.6,19
HCPCS,0582T,Trurl abltj mal prst8 tiss,,,3613.0,27555.3,21
HCPCS,0582U,Rare ds rpd whlgen dna vrnts,,,7582.2,15164.4,19
HCPCS,0583T,Tmpst auto tube dlvr sys,,,1457.0,3240.57,23
HCPCS,0583U,Rare ds rpd whlgen cmptr dna,,,3791.1,7582.2,19
HCPCS,0584T,Perq islet cell transplant,,,3613.0,4992.0,2
HCPCS,0584U,Neuro csf prion prtn qual,,,540.99,1081.98,19
HCPCS,0585T,Laps islet cell transplant,,,3613.0,4992.0,2
HCPCS,0585U,Tgsap so neo cfdna 521 genes,,,2919.6,5839.2,19
HCPCS,0586T,Open islet cell transplant,,,3613.0,4992.0,2
HCPCS,0586U,Onc mrna gen xprsn 216 genes,,,2919.6,5839.2,19
HCPCS,0587T,Perq impltj/rplcmt isdns ptn,,,940.0,13310.37,23
HCPCS,0587U,Ther rx mntr 60-150rx&metabl,,,114.43,228.86,19
HCPCS,0588T,Revision/removal isdns ptn,,,3650.91,7301.82,21
HCPCS,0588U,Nfct ds bct/vir 32genes mrna,,,760.0,1520.0,19
HCPCS,0589T,Elec alys smpl prgrmg iins,,,99.28,198.56,19
HCPCS,0589U,Pfas24cmpnd hi-perf lc-ms/ms,,,198.74,397.48,19
HCPCS,0590T,Elec alys cplx prgrmg iins,,,99.28,198.56,19
HCPCS,0591U,Onc prst8 ca 3prtns plsm srm,,,760.0,1520.0,19
HCPCS,0592U,Onc hl neo dna tgs 417 genes,,,2919.6,5839.2,19
HCPCS,0593U,Nfct ds gu pthgn dna 46trgt,,,634.84,1269.68,19
HCPCS,0594T,Osteot hum xtrnl lngth dev,,,7577.51,15155.02,21
HCPCS,0595U,Nfct ds tfp vctrbrn&zoonotic,,,262.99,525.98,19
HCPCS,0596T,Temp fml iu vlv-pmp 1st insj,,,728.17,2121.0,23
HCPCS,0597T,Temp fml iu valve-pmp rplcmt,,,728.17,2121.0,23
HCPCS,0598T,Ncntc r-t fluor wnd img 1st,,,225.48,450.97,19
HCPCS,0598U,Gi ibs igg antb 18food items,,,300.0,600.0,19
HCPCS,0599U,Onc pncrtc ca mult ia serum,,,897.0,1794.0,19
HCPCS,0600T,Ire abltj 1+tum organ perq,,,10145.0,22201.02,21
HCPCS,0601T,Ire abltj 1+tumors open,,,10145.0,22201.02,21
HCPCS,0609T,Mrs disc pain acquisj data,,,249.17,498.33,19
HCPCS,0611T,Mrs disc pain alg alys data,,,249.17,498.33,19
HCPCS,0613T,Perq tcat intratrl septl sht,,,3613.0,4992.0,2
HCPCS,0614T,Hb 0614T Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg,57046.0,19966.1,,,0
HCPCS,0614T,Rmvl&rplcmt ss impl dfb pg,,,23228.5,99846.0,21
HCPCS,0615T,Eye mvmt alys w/o calbrj i&r,,,138.94,277.88,19
HCPCS,0616T,Insertion of iris prosthesis,,,4250.0,4376.0,2
HCPCS,0617T,Insj iris prosth w/rmvl&insj,,,4250.0,4376.0,2
HCPCS,0618T,Insj iris prosth sec io lens,,,4250.0,4376.0,2
HCPCS,0619T,Cysto w/prst8 commissurotomy,,,3760.0,5282.0,4
HCPCS,0620T,Evasc ven artlz tibl/prnl vn,,,10842.0,91993.62,21
HCPCS,0621T,Trabeculostomy interno laser,,,3613.0,8632.89,21
HCPCS,0622T,Trabeculostomy int lsr w/scp,,,3613.0,4992.0,2
HCPCS,0627T,Perq njx algc fluor lmbr 1st,,,10145.0,26814.33,21
HCPCS,0628T,Perq njx algc fluor lmbr ea,,,704.0,972.0,2
HCPCS,0629T,Perq njx algc ct lmbr 1st,,,10145.0,26814.33,21
HCPCS,0630T,Perq njx algc ct lmbr ea,,,704.0,972.0,2
HCPCS,0632T,Perq tcat us abltj nrv p-art,,,10842.0,38286.69,21
HCPCS,0633T,Ct breast w/3d uni c-,,,109.17,218.35,19
HCPCS,0634T,Ct breast w/3d uni c+,,,183.17,366.33,19
HCPCS,0635T,Ct breast w/3d uni c-/c+,,,183.17,366.33,19
HCPCS,0636T,Ct breast w/3d bi c-,,,249.17,498.33,19
HCPCS,0637T,Ct breast w/3d bi c+,,,364.32,728.64,19
HCPCS,0638T,Ct breast w/3d bi c-/c+,,,364.32,728.64,19
HCPCS,0640T,Ncntc nr ifr spctrsc wnd,,,39.0,78.01,19
HCPCS,0643T,Tcat l ventr rstrj dev implt,,,3613.0,4992.0,2
HCPCS,0644T,Hb 0644T Tcat Rmvl/Dblk Icar Mas Perq,16389.0,5736.15,,,0
HCPCS,0644T,Tcat rmvl/dblk icar mas perq,,,5943.58,14016.0,21
HCPCS,0645T,Tcat impltj c sins rdctj dev,,,10842.0,38286.69,21
HCPCS,0646T,Hb 0646T Ttvi/Rplcmt W/Prstc Vlv Perq,23163.0,8107.05,,,0
HCPCS,0646T,Ttvi/rplcmt w/prstc vlv perq,,,3613.0,4992.0,2
HCPCS,0647T,Insj gtube perq mag gastrpxy,,,2003.87,4499.0,23
HCPCS,0650T,Prgrmg dev eval scrms remote,,,38.97,77.95,19
HCPCS,0651T,Mag ctrld capsule endoscopy,,,947.15,3369.0,23
HCPCS,0652T,Egd flx transnasal dx br/wa,,,2003.87,4007.75,23
HCPCS,0652T,Hb Egd Flx Transnsl Dx Br/Wa,547.0,191.45,,,0
HCPCS,0653T,Egd flx transnasal bx 1/ml,,,2003.87,4007.75,23
HCPCS,0653T,Hb Egd Flx Transnsl Bx 1/Mlt,3589.0,1256.15,,,0
HCPCS,0654T,Egd flx transnasal tube/cath,,,2116.0,8052.38,23
HCPCS,0654T,Hb Egd Flx Transnsl Tube/Cath,5320.0,1862.0,,,0
HCPCS,0655T,Tprnl focal abltj mal prst8,,,3760.0,11198.42,23
HCPCS,0656T,Vrt bdy tethering ant,,,3613.0,36620.39,21
HCPCS,0657T,Vrt bdy tethering ant 8+ seg,,,3613.0,36620.39,21
HCPCS,0658T,Elec impd spectrsc 1+skn les,,,61.6,123.21,19
HCPCS,0659T,Tcat intra-c nfs supersat o2,,,3613.0,4992.0,2
HCPCS,0660T,Implt ant sgm io nbio rx sys,,,3613.0,8632.89,23
HCPCS,0661T,Rmvl&Rimpltj ant sgm implt,,,3613.0,8632.89,23
HCPCS,0662T,Hb Scalp Cooling 1St Measurement & Cap Calibration,3412.0,1194.2,,,0
HCPCS,0663T,Hb Scalp Cooling Placement Mntr & Removal Of Device,1365.0,477.75,,,0
HCPCS,0664T,Don hysterectomy open cdvr,,,3613.0,4992.0,2
HCPCS,0665T,Don hysterectomy open liv,,,3613.0,4992.0,2
HCPCS,0666T,Don hysterectomy laps liv,,,3613.0,4992.0,2
HCPCS,0667T,Don hysterectomy rcp uter,,,3613.0,4992.0,2
HCPCS,0668T,Bkbench prep don uter algrft,,,3613.0,4992.0,2
HCPCS,0669T,Bkbench rcnstj don uter ven,,,3613.0,4992.0,2
HCPCS,0670T,Bkbench rcnstj don uter artl,,,3613.0,4992.0,2
HCPCS,0671T,Insj ant sgm aq drg dev 1+,,,3760.0,11113.85,23
HCPCS,0672T,Ndovag cryg rf remdl tiss,,,3613.0,4992.0,2
HCPCS,0673T,Abltj b9 thyr ndul perq lasr,,,1724.73,4499.0,23
HCPCS,0674T,Laps insj nw/rpcmt prm isdss,,,3613.0,64448.09,21
HCPCS,0675T,Laps insj nw/rpcmt isdss 1ld,,,3613.0,23272.17,21
HCPCS,0676T,Laps insj nw/rpcmt isdss ea,,,3613.0,4992.0,2
HCPCS,0677T,Laps repos lead isdss 1st ld,,,3613.0,22201.02,21
HCPCS,0678T,Laps repos lead isdss ea add,,,3613.0,4992.0,2
HCPCS,0679T,Laps rmvl lead isdss,,,3613.0,22201.02,21
HCPCS,0680T,Insj/rplcmt pg only isdss,,,3613.0,40518.26,21
HCPCS,0681T,Rlcj pulse gen only isdss,,,3613.0,7301.82,21
HCPCS,0682T,Removal pulse gen only isdss,,,3613.0,7301.82,21
HCPCS,0683T,Prgrmg dev eval isdss ip,,,38.97,77.95,19
HCPCS,0685T,Interrog dev eval isdss ip,,,38.97,77.95,19
HCPCS,0689T,Quan us tis charac w/o dx us,,,90.88,181.76,19
HCPCS,0692T,Therapeutic ultrafiltration,,,1626.39,3252.78,19
HCPCS,0696T,Bdy surf mapg pm/cvdfb f/up,,,38.97,77.95,19
HCPCS,0699T,Njx pst chmbr eye medication,,,2410.01,5282.0,23
HCPCS,0707T,Njx b1 sub mtrl sbchdrl dfct,,,3416.88,6833.76,23
HCPCS,0708T,Id ca immntx prep & 1st njx,,,3613.0,4992.0,2
HCPCS,0709T,Id ca immntx each addl njx,,,3613.0,4992.0,2
HCPCS,0712T,N-nvs artl plaq alys quan,,,225.48,450.97,19
HCPCS,0714T,Tprnl lsr ablt b9 prst8 hypr,,,3760.0,11198.42,21
HCPCS,0716T,Car acous wavfrm rec cad rsk,,,61.6,972.0,21
HCPCS,0717T,Adrc ther prtl rc tear,,,3700.64,7401.27,21
HCPCS,0718T,Adrc ther prtl rc tear njx,,,3700.64,7401.27,21
HCPCS,0719T,Pst vrt jt rplcmt lmbr 1 sgm,,,3613.0,4992.0,2
HCPCS,0720T,Prq elc nrv stim cn wo implt,,,2116.0,2923.0,2
HCPCS,0725T,Vestibular dev impltj uni,,,3613.0,4992.0,2
HCPCS,0726T,Rmvl implt vstibular dev uni,,,3613.0,4992.0,2
HCPCS,0727T,Rmvl&rplcmt implt vstblr dev,,,3613.0,4992.0,2
HCPCS,0730T,Trabeculotomy lsr w/oct gdn,,,3613.0,4992.0,2
HCPCS,0731T,Augmnt ai-based fcl phnt a/r,,,61.6,123.21,19
HCPCS,0732T,Immntx admn electroporatn im,,,3613.0,4992.0,2
HCPCS,0735T,Prep tum cav iort prim crnot,,,704.0,972.0,2
HCPCS,0736T,Colonic lavage 35+l water,,,134.37,972.0,21
HCPCS,0737T,Xenograft impltj artclr surf,,,3613.0,26814.33,21
HCPCS,0739T,Abltj mal prst8 mag fld ndct,,,3613.0,4992.0,2
HCPCS,0740T,Rem auton alg nsln cal setup,,,61.6,123.21,19
HCPCS,0741T,Rem auton alg nsln data coll,,,38.97,77.95,19
HCPCS,0743T,B1 str & fx rsk vrt fx assmt,,,249.17,498.33,19
HCPCS,0744T,Insj bioprostc vlv fem vn,,,5810.88,14016.0,21
HCPCS,0745T,Car ablt rad arr n-invas loc,,,3613.0,4992.0,2
HCPCS,0746T,Car ablt rad arr cnv loc map,,,3613.0,4992.0,2
HCPCS,0747T,Car ablt rad arrhyt dlvr rad,,,3613.0,4992.0,2
HCPCS,0748T,Njx stm cl prdct anl sft tis,,,3613.0,4992.0,2
HCPCS,0764T,Asstv alg ecg rsk asmt cncrt,,,138.94,277.88,19
HCPCS,0765T,Asstv alg ecg rsk asmt prev,,,138.94,277.88,19
HCPCS,0766T,Tc mag stimj pn 1st tx 1nrv,,,225.48,450.97,19
HCPCS,0778T,Smmg cncrnt appl imu snr,,,134.37,268.74,19
HCPCS,0779T,Gi myoelectrical actv study,,,389.68,779.36,19
HCPCS,0780T,Instlj fecal microbiota ssp,,,138.94,972.0,21
HCPCS,0781T,Brnchsc rf dstrj pulm nrv bi,,,3613.0,5282.0,4
HCPCS,0782T,Brnchsc rf dstrj plm nrv uni,,,3613.0,5282.0,4
HCPCS,0783T,Tc auriculr neurostimulation,,,134.37,268.74,19
HCPCS,0784T,Ins/rplmt eltrd ra spi nstim,,,10842.0,23272.17,21
HCPCS,0785T,Revj/rmvl nea spi w/nstim,,,3650.91,7301.82,23
HCPCS,0786T,Insj/rplcmt prq ra sac nstim,,,10842.0,23272.17,21
HCPCS,0787T,Revj/rmvl nea sac w/nstim,,,3650.91,7301.82,23
HCPCS,0788T,Elec aly smp iins sp/sac nrv,,,99.28,198.56,19
HCPCS,0789T,Elec aly cpx iins sp/sac nrv,,,99.28,198.56,19
HCPCS,0790T,Revj rplcmt/rmvl vrt tethrg,,,3613.0,36620.39,21
HCPCS,0793T,Prq tcat thrm ablt nrv p-art,,,10842.0,38286.69,21
HCPCS,0794T,Pt spec alg rx-onc tx option,,,61.6,972.0,21
HCPCS,0795T,Hb 0795T Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys,66675.0,23336.25,,,0
HCPCS,0795T,Tcat ins 2chmbr ldls pm cmpl,,,10842.0,40229.16,21
HCPCS,0796T,Hb 0796T Tcat Insj Perm 2Chmbr Ldls Pm R Atr Pm Compnt,62165.0,21757.75,,,0
HCPCS,0796T,Tcat ins 2chmbr ldls pm ra,,,10842.0,40229.16,21
HCPCS,0797T,Tcat ins 2chmbr ldls pm rv,,,10842.0,40229.16,21
HCPCS,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,3297.29,6594.58,23
HCPCS,0799T,Tcat rmvl 2chmbr ldls pm ra,,,3297.29,6594.58,23
HCPCS,0800T,Tcat rmvl 2chmbr ldls pm rv,,,3297.29,6594.58,23
HCPCS,0801T,Hb 0801T Tcat Rmvl&Rplcmt Perm 2Chmbr Ldls Pm 2Chmbr Sys,34320.0,12012.0,,,0
HCPCS,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,10842.0,40229.16,21
HCPCS,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,10842.0,40229.16,21
HCPCS,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,10842.0,40229.16,21
HCPCS,0804T,Prgrmg evl ldls pm 2chmbr ip,,,38.97,77.95,19
HCPCS,0805T,Tcat s&ivc prstc vl impl prq,,,3613.0,4992.0,2
HCPCS,0806T,Tcat s&ivc prstc vl impl opn,,,3613.0,4992.0,2
HCPCS,0807T,Pulm tiss vntj alys prev ct,,,225.48,450.97,19
HCPCS,0808T,Pulm tiss vntj alys w/ct,,,225.48,450.97,19
HCPCS,0810T,Subrta njx rx agt w/vtrc,,,4344.61,9732.0,23
HCPCS,0812T,Rem mlt day uroflow dev sply,,,134.37,268.74,19
HCPCS,0813T,Egd vol adjmt bariatric balo,,,947.15,3369.0,23
HCPCS,0814T,Prq njx biod osteo matrl fem,,,3613.0,4992.0,2
HCPCS,0816T,Opn insj/rplcmt ins ptn subq,,,10842.0,40518.26,21
HCPCS,0817T,Opn insj/rplcmt ins ptn subf,,,10842.0,40518.26,21
HCPCS,0818T,Revj/rmvl ins ptn subq,,,3650.91,7301.82,23
HCPCS,0819T,Revj/rmvl ins ptn subf,,,3650.91,7301.82,23
HCPCS,0823T,Hb 0823T Tcat Ins 1Chmbr Ldls Pm Ra,46463.0,16262.05,,,0
HCPCS,0823T,Tcat ins 1chmbr ldls pm ra,,,10842.0,40229.16,21
HCPCS,0824T,Hb 0824T Tcat Rmv 1Chmbr Ldls Pm Ra,7603.0,2661.05,,,0
HCPCS,0824T,Tcat rmv 1chmbr ldls pm ra,,,3297.29,6594.58,23
HCPCS,0825T,Hb 0825T Tcat Rmv&Rpl1Chmb Ldls Pm Ra,46463.0,16262.05,,,0
HCPCS,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,10842.0,40229.16,21
HCPCS,0826T,Hb 0826T Prgrmg Evl Ldls Pm 1Chmbr Ip,90.0,31.5,,,0
HCPCS,0826T,Prgrmg evl ldls pm 1chmbr ip,,,38.97,77.95,19
HCPCS,0857T,Opto-acoustic img breast uni,,,109.17,218.35,19
HCPCS,0861T,Rmvl pg wcs lv both compnt,,,3902.43,7804.86,23
HCPCS,0862T,Rlcj pg wcs lv battery only,,,2116.0,5282.0,23
HCPCS,0863T,Rlcj pg wcs lv trnsmtr only,,,2116.0,5282.0,23
HCPCS,0864T,Low ntsty eswt corpus cvrnsm,,,260.91,521.82,19
HCPCS,0865T,Quan mri alys brn w/o dx mri,,,249.17,498.33,19
HCPCS,0866T,Quan mri alys brn w/dx mri,,,249.17,498.33,19
HCPCS,0867T,Tpla b9 prst8 hyprplsa>=50ml,,,5599.21,14016.0,21
HCPCS,0868T,Hi-res gastric ep mapping,,,389.68,779.36,19
HCPCS,0869T,Njx b1 sub mtrl hw fixj aug,,,3416.88,6833.76,21
HCPCS,0870T,Imp subq prtl ascts pmp sys,,,3613.0,4992.0,2
HCPCS,0871T,Rplcmt subq prtl ascites pmp,,,3613.0,4992.0,2
HCPCS,0872T,Rplcmt ndwllg bldr&prtl cath,,,3613.0,4992.0,2
HCPCS,0873T,Revj subq prtl asct pmp sys,,,3613.0,4992.0,2
HCPCS,0874T,Rmvl pertl ascites pmp sys,,,3613.0,4992.0,2
HCPCS,0881T,Cryotherapy oral cavity,,,466.5,933.01,19
HCPCS,0882T,Intraop ther estim pn ue 1st,,,704.0,972.0,2
HCPCS,0883T,Intraop ther estim pn ue ea,,,704.0,972.0,2
HCPCS,0884T,Esphgsc flx 1st tndsc dilat,,,4698.0,12679.42,21
HCPCS,0885T,Colsc flx 1st tndsc dilat,,,4698.0,12679.42,21
HCPCS,0886T,Sgmdsc flx 1st tndsc dilat,,,4698.0,12679.42,21
HCPCS,0893T,N-invas assmt bld oxygnation,,,138.94,277.88,19
HCPCS,0894T,Cannulation liver allograft,,,3613.0,4992.0,2
HCPCS,0897T,Hb 0897T N-Invas Augmnt Arrhyt Alys,2554.0,893.9,,,0
HCPCS,0897T,N-invas augmnt arrhyt alys,,,896.76,1793.53,19
HCPCS,0898T,N-invas prst8 cancer est map,,,896.76,1793.53,19
HCPCS,0901T,Plmt bone marrow smplg port,,,3613.0,4992.0,2
HCPCS,0902T,Qtc ntrvl augmnt alg aly ecg,,,138.94,277.88,19
HCPCS,0904T,Ecg alg 12 ld rdcd trcg only,,,61.6,123.21,19
HCPCS,0906T,Coms ther 1st appl<=50 sq cm,,,209.52,419.04,19
HCPCS,0908T,Opn imp int nstm sys vgs nrv,,,3613.0,64448.09,21
HCPCS,0909T,Rplcmt int nstim sys vgs nrv,,,3613.0,64448.09,21
HCPCS,0910T,Rmvl int nstim sys vagus nrv,,,3613.0,7301.82,21
HCPCS,0911T,Elec aly nstm sys vgs nrv wo,,,61.6,123.21,19
HCPCS,0912T,Elec alys nstim sys vgs smpl,,,99.28,198.56,19
HCPCS,0913T,Hb 0913T Prq Tcat Ther Rx Ntrac Balo1,14254.0,4988.9,,,0
HCPCS,0913T,Prq tcat ther rx ntrac balo1,,,10145.0,24110.71,21
HCPCS,0914T,Hb 0914T Prq Tcat Thr Rx Ntrc Bal Sep,18353.0,6423.55,,,0
HCPCS,0914T,Prq tcat thr rx ntrc bal sep,,,704.0,972.0,2
HCPCS,0915T,Insj perm ccm-d sys pg&eltrd,,,32778.73,99846.0,21
HCPCS,0916T,Insj perm ccm-d sys pg only,,,23228.5,99846.0,21
HCPCS,0917T,Insj perm ccm-d sys 1 lead,,,8641.82,17283.63,21
HCPCS,0918T,Insj perm ccm-d sys dual ld,,,8641.82,17283.63,21
HCPCS,0919T,Rmvl perm ccm-d sys pg only,,,3902.43,7804.86,21
HCPCS,0920T,Rmvl perm ccm-d sys 1 pac ld,,,3902.43,7804.86,21
HCPCS,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,3902.43,7804.86,21
HCPCS,0922T,Rmvl perm ccm-d sys dual ld,,,3902.43,7804.86,21
HCPCS,0923T,Rmvl&rplcmt perm ccm-d pg,,,23228.5,99846.0,21
HCPCS,0924T,Rpos prv ccm-d trnsvns eltrd,,,655.08,1310.16,21
HCPCS,0925T,Rlcj skin pocket ccm-d pg,,,2116.0,4309.28,21
HCPCS,0926T,Prgrmg dev eval ccm-d ip,,,38.97,77.95,19
HCPCS,0927T,Interrog dev eval ccm-d ip,,,38.97,77.95,19
HCPCS,0929T,Rem interrog dev ccm-d tech,,,38.97,77.95,19
HCPCS,0930T,Ephys eval ccm-d ld 1st impl,,,1271.45,2923.0,21
HCPCS,0931T,Ephys eval ccm-d ld separate,,,1271.45,2923.0,21
HCPCS,0933T,Tcat impl wrls l atr prs snr,,,3385.48,9732.0,21
HCPCS,0935T,Cysto w/rnl pel symp dnrvtj,,,3613.0,4992.0,2
HCPCS,0941T,Cysto flx ins&xpns urtl scaf,,,3613.0,4992.0,2
HCPCS,0942T,Cysto flx rmv&rplc urtl scaf,,,3613.0,4992.0,2
HCPCS,0943T,Cysto flx rmvl urtl scaffold,,,3613.0,4992.0,2
HCPCS,0944T,3d cntr simula trgt lvr les,,,249.17,498.33,19
HCPCS,0945T,Intraop assmt abnl tum tiss,,,3613.0,4992.0,2
HCPCS,0946T,Ortho impl mvmt alys pair ct,,,109.17,218.35,19
HCPCS,0949T,Rem interrog dev ccm tech,,,38.97,77.95,19
HCPCS,0950T,Abltj b9 prst8 tissue hifu,,,9885.63,19771.25,19
HCPCS,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,1679.19,3358.38,19
HCPCS,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,3416.88,6833.76,19
HCPCS,0959T,Rmv/rplc magnet coil assem,,,1724.73,3449.46,19
HCPCS,0962T,Asstv alg alys acous&ecg rec,,,138.94,277.88,19
HCPCS,0963T,Anosc sbmcsl njx bulking agt,,,1249.63,2499.25,19
HCPCS,0964T,I&cust prep jaw xpnsj 1arch,,,3462.26,6924.53,19
HCPCS,0965T,I&cst prp jw xpn dl arch non,,,3462.26,6924.53,19
HCPCS,0966T,I&cst prp jw xpn dl arch fxd,,,3462.26,6924.53,19
HCPCS,0967T,Tranal ins tmp clrc anst dev,,,1249.63,2499.25,19
HCPCS,0970T,Ablt b9 brst tum perq lsr ea,,,4088.81,8177.61,19
HCPCS,0971T,Ablt mal brst tum pq lsr uni,,,4088.81,8177.61,19
HCPCS,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,424.52,849.03,19
HCPCS,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,424.52,849.03,19
HCPCS,0977T,Upr gi bld detcj snr capsule,,,947.15,1894.29,19
HCPCS,0981T,Tcat impl wrls ivc snr,,,19143.34,38286.69,19
HCPCS,0983T,Rem mntr impl ivc snr phys,,,38.97,77.95,19
HCPCS,0989T,Revj/rmvl ins ptn subq&subf,,,3650.91,7301.82,19
HCPCS,0991T,Cysto lo-nrg lithtrp&mcrsphr,,,9885.63,19771.25,19
HCPCS,0992T,N-invas assmt car rsk w/o ct,,,249.17,498.33,19
HCPCS,0993T,N-invas assmt car rsk w/ct,,,249.17,498.33,19
HCPCS,0996T,Ins&sclr fix caps bag prosth,,,2410.01,4820.02,19
HCPCS,10004,Fna bx w/o img gdn ea addl,,,704.0,972.0,2
HCPCS,10004,Hb Fna Bx W/O Img Gdn Ea Addl,4563.0,1597.05,,,0
HCPCS,10005,Fna bx w/us gdn 1st les,,,739.49,1502.0,23
HCPCS,10005,Hb 10005 Fna Bx W/Us Gdn 1St Les,4241.0,1484.35,,,0
HCPCS,10005,"Hb Fine Needle Aspiration W Us Image, 1St Lesion",4241.0,1484.35,,,0
HCPCS,10006,Fna bx w/us gdn ea addl,,,704.0,972.0,2
HCPCS,10006,Hb 10006 Fna Bx W/Us Gdn Ea Addl,4241.0,1484.35,,,0
HCPCS,10006,"Hb Fine Needle Aspiration W Us Image, Ea Adtl Lesion",4241.0,1484.35,,,0
HCPCS,10007,Fna bx w/fluor gdn 1st les,,,739.49,1502.0,23
HCPCS,10007,Hb 10007 Fna Bx W/Fluor Gdn 1St Les,4241.0,1484.35,,,0
HCPCS,10007,Hb Fna Bx W/Fluor Gdn 1St Les,3686.0,1290.1,,,0
HCPCS,10008,Fna bx w/fluor gdn ea addl,,,704.0,972.0,2
HCPCS,10008,Hb 10008 Fna Bx W/Fluor Gdn Ea Addl,4241.0,1484.35,,,0
HCPCS,10009,Fna bx w/ct gdn 1st les,,,739.49,1502.0,23
HCPCS,10009,Hb 10009 Fna Bx W/Ct Gdn 1St Les,4241.0,1484.35,,,0
HCPCS,10009,"Hb Fine Needle Aspiration W Ct Image, 1St Lesion",4241.0,1484.35,,,0
HCPCS,10010,Fna bx w/ct gdn ea addl,,,704.0,972.0,2
HCPCS,10010,Hb 10010 Fna Bx W/Ct Gdn Ea Addl,4241.0,1484.35,,,0
HCPCS,10010,"Hb Fine Needle Aspiration W Ct Image, Ea Adtl Lesion",4241.0,1484.35,,,0
HCPCS,10011,Fna bx w/mr gdn 1st les,,,739.49,1502.0,23
HCPCS,10011,Hb 10011 Fna Bx W/Mr Gdn 1St Les,4241.0,1484.35,,,0
HCPCS,10012,Fna bx w/mr gdn ea addl,,,704.0,972.0,2
HCPCS,10012,Hb 10012 Fna Bx W/Mr Gdn Ea Addl,4241.0,1484.35,,,0
HCPCS,10021,Fna w/o image,,,424.52,972.0,21
HCPCS,10021,Hb 10021 Fna Bx W/O Img Fdn 1St Les,1817.0,635.95,,,0
HCPCS,10021,Hb Fna Bx W/O Img Fdn 1St Les,1817.0,635.95,,,0
HCPCS,1002T,Air displacmnt plethysmograp,,,30.2,60.41,19
HCPCS,10030,Guide cathet fluid drainage,,,739.49,1478.98,21
HCPCS,10030,Hb 10030 Guide Cathet Fluid Drainage,7313.0,2559.55,,,0
HCPCS,10030,Hb Guide Cathet Fluid Drainage,7313.0,2559.55,,,0
HCPCS,10035,Hb Perq Dev Soft Tiss 1St Imag,4469.0,1564.15,,,0
HCPCS,10035,Perq dev soft tiss 1st imag,,,739.49,2121.0,23
HCPCS,10036,Hb Perq Dev Soft Tiss Eachadd Imag,2632.0,921.2,,,0
HCPCS,10036,Perq dev soft tiss add imag,,,704.0,972.0,2
HCPCS,1003T,Arthrp 1st crp/mtcrpl prostc,,,13407.17,26814.33,19
HCPCS,10040,Acne surgery,,,209.52,972.0,21
HCPCS,10040,Hb Acne Surgery,446.0,156.1,,,0
HCPCS,1004T,Elec alys s-scl eeg wo prgrm,,,138.94,277.88,19
HCPCS,1005T,Elec alys s-scl eeg prgr 1st,,,99.28,198.56,19
HCPCS,10060,Drainage of skin abscess,,,209.52,972.0,21
HCPCS,10060,Hb 10060 Drainage Abscess Simple,4757.0,1664.95,,,0
HCPCS,10060,Hb Drainage Abscess Simple,3526.0,1234.1,,,0
HCPCS,10061,Drainage of skin abscess,,,424.52,1502.0,23
HCPCS,10061,Hb Drainage Abscess Comp Or Multi,4064.5,1422.575,,,0
HCPCS,10080,Drainage of pilonidal cyst,,,739.49,1478.98,21
HCPCS,10080,Hb Incision And Drain Of Pilonidal Cyst,1417.0,495.95,,,0
HCPCS,10081,Drainage of pilonidal cyst,,,739.49,1478.98,21
HCPCS,1010T,Cptr oph alys monoc eye mvmt,,,138.94,277.88,19
HCPCS,10120,Hb 10120 Inc Removal Fb Sq Tiss,3177.0,1111.95,,,0
HCPCS,10120,Hb Rem Foreign Body Simple,2203.5,771.225,,,0
HCPCS,10120,Remove foreign body,,,424.52,972.0,21
HCPCS,10121,Hb 10121 Inc & Rem Fb Sq; Complt,16854.0,5898.9,,,0
HCPCS,10121,Hb Rem Foreign Body Complex,8234.0,2881.9,,,0
HCPCS,10121,Remove foreign body,,,1326.84,3449.46,27
HCPCS,1012T,Mtrz ab ntrno trph scl/tr mw,,,4316.45,8632.89,19
HCPCS,1013T,Lap srg imp/rpl eso nea&pg/r,,,20259.13,40518.26,19
HCPCS,10140,Drainage of hematoma/fluid,,,1724.73,3449.46,21
HCPCS,10140,Hb 10140 Drain Hematoma Or Seroma,6136.0,2147.6,,,0
HCPCS,10140,Hb Drainage Hematoma Or Seroma,5518.5,1931.475,,,0
HCPCS,1014T,Lap rv/rmv eso sph nstm eltr,,,11636.08,23272.17,19
HCPCS,1015T,Rev/rmv lw esoph sphnc npg/r,,,3650.91,7301.82,19
HCPCS,10160,Hb 10160 Puncture Aspiration,1932.0,676.2,,,0
HCPCS,10160,Hb Puncture Aspiration,1932.0,676.2,,,0
HCPCS,10160,Puncture drainage of lesion,,,424.52,972.0,21
HCPCS,1017T,Elec aly npgs esoph sbsq w/o,,,61.6,123.21,19
HCPCS,10180,Complex drainage wound,,,1326.84,6066.67,27
HCPCS,10180,Hb Drainage Comp Postop Wound Infec,7343.0,2570.05,,,0
HCPCS,1018T,Elec alys npgs esoph sbsq w/,,,38.97,77.95,19
HCPCS,1019T,Lymphovenous bypass per xtr,,,6934.19,13868.38,19
HCPCS,1020T,Raman spectroscopy 1+skn les,,,61.6,123.21,19
HCPCS,1021T,Active thrc irrigation spx,,,655.08,1310.16,19
HCPCS,1025T,Alt elec fld dos&dlv sim mdl,,,140.36,280.72,19
HCPCS,11000,Debride infected skin,,,424.52,972.0,21
HCPCS,11000,Hb Debr Exz/Inf Skin; 10% Bs,3144.0,1100.4,,,0
HCPCS,11001,Debride infected skin add-on,,,704.0,972.0,2
HCPCS,11004,Debride genitalia & perineum,,,3613.0,4992.0,4
HCPCS,11005,Debride abdom wall,,,3613.0,4992.0,4
HCPCS,11005,Hb Debr Necrotiz Stiss - Abd Wall,25185.0,8814.75,,,0
HCPCS,11006,Debride genit/per/abdom wall,,,3613.0,4992.0,4
HCPCS,11008,Remove mesh from abd wall,,,3885.0,6490.0,4
HCPCS,11010,Debride skin at fx site,,,739.49,2121.0,27
HCPCS,11011,Debride skin musc at fx site,,,739.49,2121.0,27
HCPCS,11012,Deb skin bone at fx site,,,748.26,6066.67,27
HCPCS,11012,Hb Dbrdmt Fx&/Dislc Subq T/M/F Bone,16562.0,5796.7,,,0
HCPCS,11042,Deb subq tissue 20 sq cm/<,,,424.52,2121.0,27
HCPCS,11042,Hb 11042 Debride Skin Tissue,3177.0,1111.95,,,0
HCPCS,11042,Hb Deb Subq Tissue 1St 20 Sq Cm,1805.0,631.75,,,0
HCPCS,11043,Deb musc/fascia 20 sq cm/<,,,489.15,2121.0,27
HCPCS,11043,Hb  Deb Musc/Fascia 20 Sq Cm/<,5261.0,1841.35,,,0
HCPCS,11044,Deb bone 20 sq cm/<,,,940.0,3449.46,27
HCPCS,11044,Hb Debridement Bone Muscle &/Fascia 20 Sq Cm/<,11576.0,4051.6,,,0
HCPCS,11045,Deb subq tissue add-on,,,704.0,972.0,2
HCPCS,11045,Hb Deb Subq Tissue Ea Additional 20 Sq Cm,433.0,151.55,,,0
HCPCS,11046,Deb musc/fascia add-on,,,704.0,972.0,2
HCPCS,11046,Hb Deb Musc/Fascia Add-On,3852.0,1348.2,,,0
HCPCS,11047,Deb bone add-on,,,704.0,972.0,2
HCPCS,11055,Hb Pare Cut Single Lesion,386.0,135.1,,,0
HCPCS,11055,Trim skin lesion,,,209.52,972.0,21
HCPCS,11056,Hb Pare Cut 2 To 4 Lesions,501.0,175.35,,,0
HCPCS,11056,Trim skin lesions 2 to 4,,,209.52,972.0,21
HCPCS,11057,Hb Pare Cut Over 4 Lesions,651.5,228.02499999999998,,,0
HCPCS,11057,Trim skin lesions over 4,,,209.52,972.0,21
HCPCS,11102,Hb Tangntl Bx Skin Single Les,511.0,178.85,,,0
HCPCS,11102,Tangntl bx skin single les,,,424.52,972.0,21
HCPCS,11103,Hb Tangntl Bx Skin Ea Sep/Addl,222.0,77.7,,,0
HCPCS,11103,Tangntl bx skin ea sep/addl,,,704.0,972.0,2
HCPCS,11104,Hb Punch Bx Skin Single Lesion,511.0,178.85,,,0
HCPCS,11104,Punch bx skin single lesion,,,424.52,972.0,21
HCPCS,11105,Hb Punch Bx Skin Ea Sep/Addl,196.0,68.6,,,0
HCPCS,11105,Punch bx skin ea sep/addl,,,704.0,972.0,2
HCPCS,11106,Hb Incal Bx Skn Single Les,511.0,178.85,,,0
HCPCS,11106,Incal bx skn single les,,,771.8,1543.59,23
HCPCS,11107,Hb Incal Bx Skn Ea Sep/Addl,222.0,77.7,,,0
HCPCS,11107,Incal bx skn ea sep/addl,,,704.0,972.0,2
HCPCS,11200,Hb Removal Skin Tags Up To 15,363.0,127.05,,,0
HCPCS,11200,Removal of skin tags <w/15,,,209.52,1500.0,23
HCPCS,11201,Hb Removal Skin Tags Addl 10,325.0,113.75,,,0
HCPCS,11201,Remove skin tags add-on,,,704.0,1500.0,4
HCPCS,11300,Hb Shv Les Tr 0.5 Cm Or Less,134.0,46.9,,,0
HCPCS,11300,Shave skin lesion 0.5 cm/<,,,424.52,972.0,21
HCPCS,11301,Hb Shv Les Tr 0.6 To 1.0 Cm,172.0,60.2,,,0
HCPCS,11301,Shave skin lesion 0.6-1.0 cm,,,209.52,972.0,21
HCPCS,11302,Hb Shv Les Tr 1.1 To 2.0 Cm,226.0,79.1,,,0
HCPCS,11302,Shave skin lesion 1.1-2.0 cm,,,209.52,972.0,21
HCPCS,11303,Hb Shav Trunk Arm Leg Lesion Dia Over 2.0 Cm,291.0,101.85,,,0
HCPCS,11303,Shave skin lesion >2.0 cm,,,424.52,972.0,21
HCPCS,11305,Hb Shv Les Neck 0.5Cm Or Less,227.0,79.45,,,0
HCPCS,11305,Shave skin lesion 0.5 cm/<,,,209.52,972.0,21
HCPCS,11306,Hb Shav Extremity Lesion Dia 0.6 To 1.0 Cm,291.0,101.85,,,0
HCPCS,11306,Shave skin lesion 0.6-1.0 cm,,,209.52,972.0,21
HCPCS,11307,Hb Shav Extremity Lesion Dia 1.1 To 2.0 Cm,382.0,133.7,,,0
HCPCS,11307,Shave skin lesion 1.1-2.0 cm,,,209.52,972.0,21
HCPCS,11308,Hb Shav Extremity Lesion Dia Over 2.0 Cm,491.0,171.85,,,0
HCPCS,11308,Shave skin lesion >2.0 cm,,,424.52,972.0,21
HCPCS,11310,Hb Shv Les Head 0.5Cm Or Less,276.0,96.6,,,0
HCPCS,11310,Shave skin lesion 0.5 cm/<,,,209.52,972.0,21
HCPCS,11311,Hb Shv Les Head 0.6 To 1.0 Cm,291.0,101.85,,,0
HCPCS,11311,Shave skin lesion 0.6-1.0 cm,,,209.52,972.0,21
HCPCS,11312,Hb Shav Facial Lesion Dia 1.1 To 2.0 Cm,302.0,105.7,,,0
HCPCS,11312,Shave skin lesion 1.1-2.0 cm,,,424.52,972.0,21
HCPCS,11313,Hb Shav Facial Lesion Dia Over 2.0 Cm,321.0,112.35,,,0
HCPCS,11313,Shave skin lesion >2.0 cm,,,424.52,972.0,21
HCPCS,11400,Exc tr-ext b9+marg 0.5 cm<,,,739.49,1502.0,25
HCPCS,11400,Hb 11400 Excision Benign Lesion,13860.0,4851.0,,,0
HCPCS,11400,Hb Exc Ben Les Tr Ext To 0.5 Cm,10071.5,3525.025,,,0
HCPCS,11401,Exc tr-ext b9+marg 0.6-1 cm,,,424.52,1502.0,25
HCPCS,11401,Hb Exc Ben Les Tr Ext 0.6 To 1.0 Cm,6453.0,2258.55,,,0
HCPCS,11402,Exc tr-ext b9+marg 1.1-2 cm,,,739.49,1502.0,25
HCPCS,11402,Hb Exc Ben Les Tr Ext 1.1 To 2.0 Cm,6759.0,2365.65,,,0
HCPCS,11403,Exc tr-ext b9+marg 2.1-3cm/<,,,739.49,1502.0,25
HCPCS,11403,Hb Exc Ben Les Tr Ext 2.1 To 3.0 Cm,7011.5,2454.0249999999996,,,0
HCPCS,11404,Exc tr-ext b9+marg 3.1-4 cm,,,990.66,3449.46,27
HCPCS,11404,Hb Exc Ben Les Tr Ext 3.1 To 4.0 Cm,7631.0,2670.85,,,0
HCPCS,11406,Exc tr-ext b9+marg >4.0 cm,,,1326.84,3449.46,27
HCPCS,11406,Hb Exc Ben Les Tr Ext Over 4.0 Cm,9396.5,3288.7749999999996,,,0
HCPCS,11420,Exc h-f-nk-sp b9+marg 0.5/<,,,940.0,3449.46,25
HCPCS,11420,Hb Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/<,9333.0,3266.55,,,0
HCPCS,11420,Hb Exc Ben Les Snhfg To 0.5 Cm,7510.0,2628.5,,,0
HCPCS,11421,Exc h-f-nk-sp b9+marg 0.6-1,,,739.49,1502.0,25
HCPCS,11421,Hb Exc Ben Les Snhfg 0.6 To 1.0 Cm,8078.5,2827.475,,,0
HCPCS,11422,Exc h-f-nk-sp b9+marg 1.1-2,,,940.0,3449.46,25
HCPCS,11422,Hb Exc Ben Les Snhfg 1.1 To 2.0 Cm,9354.5,3274.075,,,0
HCPCS,11423,Exc h-f-nk-sp b9+marg 2.1-3,,,1425.0,3449.46,25
HCPCS,11423,Hb Exc Ben Les Snhfg 2.1 To 3.0 Cm,9786.5,3425.275,,,0
HCPCS,11424,Exc h-f-nk-sp b9+marg 3.1-4,,,1326.84,3449.46,27
HCPCS,11424,Hb Exc Ben Les Snhfg 3.1 To 4.0 Cm,9125.0,3193.75,,,0
HCPCS,11426,Exc h-f-nk-sp b9+marg >4 cm,,,1326.84,6066.67,27
HCPCS,11426,Hb Exc Ben Les Snhfg Over 4.0 Cm,9582.0,3353.7,,,0
HCPCS,11440,Exc face-mm b9+marg 0.5 cm/<,,,739.49,1502.0,25
HCPCS,11440,Hb Exc Ben Les Feenlm To 0.5 Cm,7235.0,2532.25,,,0
HCPCS,11441,Exc face-mm b9+marg 0.6-1 cm,,,739.49,1502.0,25
HCPCS,11441,Hb Exc Ben Les Feenlm 0.6 To 1.0 Cm,7594.0,2657.9,,,0
HCPCS,11442,Exc face-mm b9+marg 1.1-2 cm,,,739.49,1502.0,25
HCPCS,11442,Hb Exc Ben Les Feenlm 1.1 To 2.0 Cm,7975.0,2791.25,,,0
HCPCS,11443,Exc face-mm b9+marg 2.1-3 cm,,,940.0,3449.46,25
HCPCS,11443,Hb Exc Ben Les Feenlm 2.1 To 3.0 Cm,8375.0,2931.25,,,0
HCPCS,11444,Exc face-mm b9+marg 3.1-4 cm,,,940.0,3449.46,27
HCPCS,11444,Hb Exc Ben Les Feenlm 3.1 To 4.0 Cm,8793.0,3077.55,,,0
HCPCS,11446,Exc face-mm b9+marg >4 cm,,,1326.84,6066.67,27
HCPCS,11446,Hb Exc Ben Les Feenlm Over 4.0 Cm,9232.0,3231.2,,,0
HCPCS,11450,Removal sweat gland lesion,,,1326.84,6066.67,27
HCPCS,11451,Removal sweat gland lesion,,,1326.84,6066.67,27
HCPCS,11462,Removal sweat gland lesion,,,1326.84,6066.67,27
HCPCS,11463,Removal sweat gland lesion,,,1326.84,6066.67,27
HCPCS,11470,Removal sweat gland lesion,,,1326.84,6066.67,27
HCPCS,11471,Removal sweat gland lesion,,,1326.84,6066.67,27
HCPCS,11600,Exc tr-ext mal+marg 0.5 cm/<,,,739.49,1502.0,25
HCPCS,11600,Hb Exc Mal Les Tr Ext To 0.5 Cm,6770.0,2369.5,,,0
HCPCS,11601,Exc tr-ext mal+marg 0.6-1 cm,,,739.49,1502.0,25
HCPCS,11601,Hb Exc Mal Les Tr Ext 0.6 To 1.0 Cm,7105.0,2486.75,,,0
HCPCS,11602,Exc tr-ext mal+marg 1.1-2 cm,,,424.52,1502.0,25
HCPCS,11602,Hb Exc Mal Les Tr Ext 1.1 To 2.0 Cm,7463.0,2612.05,,,0
HCPCS,11603,Exc tr-ext mal+marg 2.1-3 cm,,,739.49,1502.0,25
HCPCS,11603,Hb Exc Mal Les Tr Ext 2.1 To 3.0 Cm,6328.5,2214.975,,,0
HCPCS,11604,Exc tr-ext mal+marg 3.1-4 cm,,,739.49,2121.0,27
HCPCS,11604,Hb Exc Mal Les Tr Ext 3.1 To 4.0 Cm,8229.0,2880.15,,,0
HCPCS,11606,Exc tr-ext mal+marg >4 cm,,,1326.84,3449.46,27
HCPCS,11606,Hb Exc Mal Les Tr Ext Over 4.0 Cm,8640.0,3024.0,,,0
HCPCS,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,940.0,3449.46,25
HCPCS,11620,Hb Exc Mal Les Snhfg To 0.5 Cm,9232.0,3231.2,,,0
HCPCS,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,739.49,1502.0,25
HCPCS,11621,Hb Exc Mal Les Snhfg 0.6 To 1.0 Cm,9692.0,3392.2,,,0
HCPCS,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,739.49,1502.0,25
HCPCS,11622,Hb Exc Mal Les Snhfg 1.1 To 2.0 Cm,10177.0,3561.95,,,0
HCPCS,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,940.0,3449.46,23
HCPCS,11623,Hb Exc Mal Les Snhfg 2.1 To 3.0 Cm,10682.0,3738.7,,,0
HCPCS,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,1326.84,3449.46,27
HCPCS,11624,Hb Exc Mal Les Snhfg 3.1 To 4.0 Cm,11221.0,3927.35,,,0
HCPCS,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,1326.84,6066.67,27
HCPCS,11626,Hb Exc Mal Les Snhfg Over 4.0 Cm,11782.0,4123.7,,,0
HCPCS,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,739.49,1502.0,25
HCPCS,11640,Hb Exc Mal Les Feenlm To 0.5 Cm,9112.0,3189.2,,,0
HCPCS,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,739.49,1502.0,25
HCPCS,11641,Hb Exc Mal Les Feenlm 0.6 To 1.0 Cm,9573.0,3350.55,,,0
HCPCS,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,739.49,1502.0,25
HCPCS,11642,Hb Exc Mal Les Feenlm 1.1 To 2.0 Cm,10045.0,3515.75,,,0
HCPCS,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,940.0,3449.46,25
HCPCS,11643,Hb Exc Mal Les Feenlm 2.1 To 3.0 Cm,10546.0,3691.1,,,0
HCPCS,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,1326.84,3449.46,27
HCPCS,11644,Hb Exc Mal Les Feenlm 3.1 To 4.0 Cm,11078.0,3877.3,,,0
HCPCS,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,1326.84,6066.67,27
HCPCS,11646,Hb Exc Mal Les Feenlm Over 4.0 Cm,11627.0,4069.45,,,0
HCPCS,11719,Hb Trim Nails,70.0,24.5,,,0
HCPCS,11719,Trim nail(s) any number,,,61.6,972.0,21
HCPCS,11720,Debride nail 1-5,,,61.6,972.0,21
HCPCS,11720,Hb Debride Nails 1 To 5,650.5,227.675,,,0
HCPCS,11721,Debride nail 6 or more,,,61.6,972.0,21
HCPCS,11721,Hb Debride Nails 6 Or More,169.0,59.15,,,0
HCPCS,11730,Hb Avulsion Of Nail Plate,263.0,92.05,,,0
HCPCS,11730,Removal of nail plate,,,209.52,972.0,21
HCPCS,11732,Hb Avulse 2Nd Nail,126.0,44.1,,,0
HCPCS,11732,Remove nail plate add-on,,,704.0,972.0,2
HCPCS,11740,Drain blood from under nail,,,138.94,972.0,21
HCPCS,11740,Hb Evacuation Of Subungual Hematoma,887.0,310.45,,,0
HCPCS,11750,Hb Excise Nail,624.5,218.575,,,0
HCPCS,11750,Removal of nail bed,,,424.52,1502.0,25
HCPCS,11755,Biopsy nail unit,,,739.49,1502.0,23
HCPCS,11755,Hb Biopsy Of Nail Unit,1499.0,524.65,,,0
HCPCS,11760,Hb Repair Of Nail Bed,5282.0,1848.7,,,0
HCPCS,11760,Repair of nail bed,,,704.0,1543.59,21
HCPCS,11762,Reconstruction of nail bed,,,2116.0,4309.28,21
HCPCS,11765,Excision of nail fold toe,,,424.52,972.0,21
HCPCS,11765,Hb Wedge Exc Nail Fold,1302.0,455.7,,,0
HCPCS,11770,Hb Excision Of Pilonidal Cyst Or Sinus Simple,6158.0,2155.3,,,0
HCPCS,11770,Remove pilonidal cyst simple,,,1517.25,6066.67,27
HCPCS,11771,Remove pilonidal cyst exten,,,1517.25,6066.67,27
HCPCS,11772,Remove pilonidal cyst compl,,,1517.25,6066.67,27
HCPCS,11900,Hb Inject Intralesional 1 To 7,99.5,34.825,,,0
HCPCS,11900,Inject skin lesions <=w 7,,,209.52,972.0,21
HCPCS,11901,"Hb Injection Into Skin Lesions, 8 Or More",606.0,212.1,,,0
HCPCS,11901,Inject skin lesions >7,,,209.52,972.0,21
HCPCS,11920,Correct skin color 6.0 cm/<,,,704.0,1543.59,21
HCPCS,11921,Correct skn color 6.1-20.0cm,,,704.0,1543.59,21
HCPCS,11922,Correct skin color ea 20.0cm,,,704.0,972.0,2
HCPCS,11950,Hb Sq Inject Filling Matl To 1Cc,168.5,58.975,,,0
HCPCS,11950,Tx contour defects 1 cc/<,,,209.52,972.0,21
HCPCS,11951,Hb Sq Inj Filling Matl 1.1 To 5Cc,224.0,78.4,,,0
HCPCS,11951,Tx contour defects 1.1-5.0cc,,,704.0,1543.59,21
HCPCS,11952,Hb Sq Inj Filling Matl 5.1 To 10Cc,325.0,113.75,,,0
HCPCS,11952,Tx contour defects 5.1-10cc,,,704.0,1543.59,21
HCPCS,11954,Tx contour defects >10.0 cc,,,771.8,1543.59,21
HCPCS,11960,Hb Insert Tissue Expander(S),14825.0,5188.75,,,0
HCPCS,11960,Insert tissue expander(s),,,1326.84,7401.27,27
HCPCS,11970,Replace tissue expander,,,1517.25,15155.02,27
HCPCS,11971,Hb Removal Tissue Expander W/O Insertion Implant,13779.0,4822.65,,,0
HCPCS,11971,Remove tissue expander(s),,,990.66,6066.67,27
HCPCS,11976,Hb Norplant Removal,970.0,339.5,,,0
HCPCS,11976,Remove contraceptive capsule,,,739.49,1502.0,23
HCPCS,11980,Implant hormone pellet(s),,,466.5,972.0,21
HCPCS,11981,Hb Insert Drug Implant Device,3895.0,1363.25,,,0
HCPCS,11981,Hb On Q Pump Implant,4870.0,1704.5,,,0
HCPCS,11981,Insert drug implant device,,,138.94,972.0,21
HCPCS,11982,Hb Remove Drug Implant Device,4693.0,1642.55,,,0
HCPCS,11982,Remove drug implant device,,,466.5,972.0,21
HCPCS,11983,Hb Remove/Insert Drug Implant,5267.0,1843.45,,,0
HCPCS,11983,Remove/insert drug implant,,,466.5,972.0,21
HCPCS,12001,Hb 12001 Rep Simp Tsnge 2.5Cm Or Less,599.0,209.65,,,0
HCPCS,12001,Hb Rep Simp Tsnge 2.5Cm Or Less,779.0,272.65,,,0
HCPCS,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,209.52,972.0,21
HCPCS,12002,Hb Rep Sim Tsnge 2.6 To 7.5 Cm,824.0,288.4,,,0
HCPCS,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,209.52,972.0,21
HCPCS,12004,Hb Rep Sim Tsnge 7.6 To 12.5 Cm,1295.0,453.25,,,0
HCPCS,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,209.52,972.0,21
HCPCS,12005,Hb Rep Sim Tsnge 12.6 To 20.0 Cm,905.0,316.75,,,0
HCPCS,12005,Hb Smpl Rpr Scalp/Neck/Ax/Genit/Trunk,2344.0,820.4,,,0
HCPCS,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,271.44,2121.0,27
HCPCS,12006,Hb Rep Sim Tsnge 20.1 To 30.0 Cm,1585.5,554.925,,,0
HCPCS,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,271.44,2121.0,27
HCPCS,12007,Hb Rep Sim Tsnge Over 30.0 Cm,1642.0,574.7,,,0
HCPCS,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,209.52,2121.0,27
HCPCS,12011,Hb 	Simple Repair F/E/E/N/L/M 2.5Cm/<,1382.0,483.7,,,0
HCPCS,12011,Hb Rep Sim Feenlm 2.5Cm Or Less,1116.0,390.59999999999997,,,0
HCPCS,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,209.52,972.0,21
HCPCS,12013,Hb Rep Sim Feenlm 2.6 To 5.0 Cm,707.0,247.45,,,0
HCPCS,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,209.52,972.0,21
HCPCS,12014,Hb Rep Sim Feenlm 5.1 To 7.5 Cm,1248.0,436.79999999999995,,,0
HCPCS,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,209.52,972.0,21
HCPCS,12015,Hb Rep Sim Feenlm 7.6 To 12.5 Cm,1371.5,480.025,,,0
HCPCS,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,209.52,972.0,21
HCPCS,12016,Hb Rep Sim Feenlm 12.6 To 20.0 Cm,1552.0,543.2,,,0
HCPCS,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,271.44,2121.0,27
HCPCS,12017,Hb Rep Sim Feenlm 20.1 To 30.0 Cm,1606.0,562.1,,,0
HCPCS,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,271.44,2121.0,27
HCPCS,12018,Hb Rep Sim Feenlm Over 30.0 Cm,3221.5,1127.525,,,0
HCPCS,12018,Rpr f/e/e/n/l/m >30.0 cm,,,209.52,2121.0,27
HCPCS,12020,Closure of split wound,,,271.44,1543.59,27
HCPCS,12020,Hb 12020 Trmt Suprfcl Wound Dehiscence Simple,2716.0,950.6,,,0
HCPCS,12020,Hb Trmt Suprfcl Wound Dehiscence Simple,3123.0,1093.05,,,0
HCPCS,12021,Closure of split wound,,,271.44,1502.0,27
HCPCS,12021,Hb Trmt Suprfcl Wound Dehiscence Packing,3269.0,1144.15,,,0
HCPCS,12031,Hb 12031 Repair Intermediate S/A/T/E 2.5 Cm/<,3558.0,1245.3,,,0
HCPCS,12031,Hb Repair Intermediate S/A/T/E 2.5 Cm/<,4625.0,1618.75,,,0
HCPCS,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,424.52,972.0,21
HCPCS,12032,Hb Repair Intermediate S/A/T/E 2.5 Cm/<,5140.0,1799.0,,,0
HCPCS,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,424.52,972.0,21
HCPCS,12034,Hb Repair Intermediate S/A/T/E 7.6-12.5 Cm,2893.0,1012.55,,,0
HCPCS,12034,Intmd rpr s/tr/ext 7.6-12.5,,,271.44,2121.0,27
HCPCS,12035,Hb Repair Intermediate S/A/T/E 12.6-20.0Cm,5101.0,1785.35,,,0
HCPCS,12035,Intmd rpr s/a/t/ext 12.6-20,,,271.44,2121.0,27
HCPCS,12036,Intmd rpr s/a/t/ext 20.1-30,,,271.44,2121.0,27
HCPCS,12037,Intmd rpr s/tr/ext >30.0 cm,,,961.74,4309.28,27
HCPCS,12041,Hb Repair Intmd Wnd N-Hf/Genit =< 2.5 Cm,3409.0,1193.15,,,0
HCPCS,12041,Intmd rpr n-hf/genit 2.5cm/<,,,424.52,972.0,21
HCPCS,12042,Hb Intmd Rpr N-Hf/Genit 2.6-7.5Cm,2837.0,992.95,,,0
HCPCS,12042,Intmd rpr n-hf/genit2.6-7.5,,,424.52,972.0,21
HCPCS,12044,Hb Intmd Rpr N-Hf/Genit7.6-12.5,3694.0,1292.9,,,0
HCPCS,12044,Intmd rpr n-hf/genit7.6-12.5,,,271.44,2121.0,27
HCPCS,12045,Intmd rpr n-hf/genit12.6-20,,,271.44,2121.0,27
HCPCS,12046,Intmd rpr n-hf/genit20.1-30,,,271.44,2121.0,27
HCPCS,12047,Hb Intmd Repair N/H/F/Xtrnl Gent >30.0 Cm,16916.0,5920.6,,,0
HCPCS,12047,Intmd rpr n-hf/genit >30.0cm,,,961.74,4309.28,27
HCPCS,12051,Hb Intmd Rpr Face/Mm 2.5 Cm/<,2988.0,1045.8,,,0
HCPCS,12051,Intmd rpr face/mm 2.5 cm/<,,,424.52,972.0,21
HCPCS,12052,Hb Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm,1947.0,681.45,,,0
HCPCS,12052,Intmd rpr face/mm 2.6-5.0 cm,,,424.52,972.0,21
HCPCS,12053,Hb Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm,3535.0,1237.25,,,0
HCPCS,12053,Intmd rpr face/mm 5.1-7.5 cm,,,424.52,972.0,21
HCPCS,12054,Intmd rpr face/mm 7.6-12.5cm,,,271.44,2121.0,27
HCPCS,12055,Intmd rpr face/mm 12.6-20 cm,,,271.44,2121.0,27
HCPCS,12056,Intmd rpr face/mm 20.1-30.0,,,271.44,2121.0,27
HCPCS,12057,Intmd rpr face/mm >30.0 cm,,,424.52,2121.0,27
HCPCS,13100,Cmplx rpr trunk 1.1-2.5 cm,,,704.0,2121.0,27
HCPCS,13101,Cmplx rpr trunk 2.6-7.5 cm,,,704.0,2500.0,27
HCPCS,13102,Cmplx rpr trunk addl 5cm/<,,,271.44,972.0,4
HCPCS,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,271.44,2121.0,27
HCPCS,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,271.44,2500.0,27
HCPCS,13121,Hb Complx Rpr  Scalp/Arm/Leg 2.6-7.5 Cm,3550.0,1242.5,,,0
HCPCS,13122,Cmplx rpr s/a/l addl 5 cm/>,,,271.44,972.0,4
HCPCS,13122,Hb Complx Rpr  Scalp/Arm/Leg Ea Addl 5 Cm/<,4197.0,1468.95,,,0
HCPCS,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,271.44,2121.0,27
HCPCS,13131,Hb 	Repair Complex F/C/C/M/N/Ax/G/H/F 1.1-2.5 Cm,2836.0,992.6,,,0
HCPCS,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,271.44,2500.0,27
HCPCS,13132,Hb Cmplx Rpr F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm,2826.0,989.1,,,0
HCPCS,13133,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,271.44,972.0,4
HCPCS,13133,Hb Cmplx Rpr F/C/C/M/N/Ax/G/H/F Ea Addl 5 Cm/<,3224.0,1128.4,,,0
HCPCS,13150,Repair of wound or lesion,,,2375.0,2500.0,2
HCPCS,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,704.0,2500.0,27
HCPCS,13151,Hb Crep E/N/E/L; 1.1-2.5Cm,5437.0,1902.95,,,0
HCPCS,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,704.0,2500.0,27
HCPCS,13152,Hb Crep E/N/E/L; 2.6-7.5Cm,4276.0,1496.6,,,0
HCPCS,13153,Cmplx rpr e/n/e/l addl 5cm/<,,,271.44,972.0,4
HCPCS,13153,Hb Cmplx Rpr  Eyelid/Nose/Ear/Lip Ea Addl 5 Cm/<,3703.0,1296.05,,,0
HCPCS,13160,Hb Lcl Surg Wnd/Deh Extens,28674.0,10035.9,,,0
HCPCS,13160,Hb Secdnry Clsr Surg Wnd/Deh Extsv/Complic,25006.0,8752.1,,,0
HCPCS,13160,Late closure of wound,,,1326.84,7401.27,27
HCPCS,14000,Tis trnfr trunk 10 sq cm/<,,,1326.84,4309.28,27
HCPCS,14001,Tis trnfr trunk 10.1-30sqcm,,,1517.25,4309.28,27
HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,1517.25,4309.28,27
HCPCS,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,1517.25,4309.28,27
HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,1326.84,4309.28,27
HCPCS,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,1517.25,4309.28,27
HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,1517.25,4309.28,27
HCPCS,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,1517.25,4309.28,27
HCPCS,14300,Skin tissue rearrangement,,,2850.0,3000.0,2
HCPCS,14301,Hb Skin Tissue Rearrangement 30.1-60.0 Sq Cm,14384.0,5034.4,,,0
HCPCS,14301,Tis trnfr any 30.1-60 sq cm,,,3700.64,7401.27,23
HCPCS,14302,Tis trnfr addl 30 sq cm/<,,,704.0,972.0,2
HCPCS,14350,Filleted finger/toe flap,,,1517.25,4309.28,27
HCPCS,15000,Skin graft,,,1900.0,2000.0,2
HCPCS,15001,Skin graft add-on,,,1425.0,1500.0,2
HCPCS,15002,Hb Wound Prep Trk/Arm/Leg 100 Sq Cm/1% Ba,9219.0,3226.65,,,0
HCPCS,15002,Wound prep trk/arm/leg,,,771.8,2923.0,25
HCPCS,15003,Wound prep addl 100 cm,,,704.0,1168.37,4
HCPCS,15004,Hb Wound Prep F/N/Hf/G,4557.0,1594.95,,,0
HCPCS,15004,Wound prep f/n/hf/g,,,424.52,2121.0,25
HCPCS,15005,Wnd prep f/n/hf/g addl cm,,,704.0,1168.37,4
HCPCS,15011,Hrv skn cll ssp agrft 1st 25,,,2116.0,4309.28,23
HCPCS,15012,Hrv skn cll ssp agrft ea add,,,704.0,3993.0,4
HCPCS,15013,Prepj skn cll ssp agrft 1st,,,3885.0,14822.05,23
HCPCS,15014,Prepj skn cll ssp agrft ea,,,704.0,3993.0,4
HCPCS,15015,App skn cl ssp agrft t/a/l 1,,,2116.0,4309.28,23
HCPCS,15016,App skn cl ssp agrf t/a/l ea,,,704.0,3993.0,4
HCPCS,15017,App skn cll ssp f/n/g/hf 1st,,,2116.0,4309.28,23
HCPCS,15018,App skn cll ssp f/n/g/hf ea,,,704.0,3993.0,4
HCPCS,15040,Harvest cultured skin graft,,,271.44,4309.28,27
HCPCS,15050,Skin pinch graft,,,704.0,2121.0,27
HCPCS,15100,Skin splt grft trnk/arm/leg,,,1326.84,4309.28,27
HCPCS,15101,Skin splt grft t/a/l add-on,,,704.0,2500.0,6
HCPCS,15110,Epidrm autogrft trnk/arm/leg,,,1326.84,4309.28,27
HCPCS,15111,Epidrm autogrft t/a/l add-on,,,704.0,1500.0,6
HCPCS,15115,Epidrm a-grft face/nck/hf/g,,,1326.84,4309.28,27
HCPCS,15116,Epidrm a-grft f/n/hf/g addl,,,704.0,1500.0,6
HCPCS,15120,Skn splt a-grft fac/nck/hf/g,,,1326.84,7401.27,27
HCPCS,15121,Skn splt a-grft f/n/hf/g add,,,704.0,2500.0,6
HCPCS,15130,Derm autograft trnk/arm/leg,,,1326.84,5195.0,27
HCPCS,15131,Derm autograft t/a/l add-on,,,704.0,1500.0,6
HCPCS,15135,Derm autograft face/nck/hf/g,,,1326.84,7401.27,27
HCPCS,15136,Derm autograft f/n/hf/g add,,,704.0,1500.0,6
HCPCS,15150,Cult skin grft t/arm/leg,,,1326.84,4309.28,27
HCPCS,15151,Cult skin grft t/a/l addl,,,704.0,1500.0,6
HCPCS,15152,Cult skin graft t/a/l +%,,,704.0,1500.0,6
HCPCS,15155,Cult skin graft f/n/hf/g,,,1326.84,7401.27,27
HCPCS,15156,Cult skin grft f/n/hfg add,,,704.0,1500.0,6
HCPCS,15157,Cult epiderm grft f/n/hfg +%,,,704.0,1500.0,6
HCPCS,15200,Skin full graft trunk,,,1517.25,5195.0,27
HCPCS,15201,Skin full graft trunk add-on,,,704.0,2000.0,6
HCPCS,15220,Hb Skin Full Graft Sclp Arm Leg,3415.0,1195.25,,,0
HCPCS,15220,Skin full graft sclp/arm/leg,,,1326.84,4309.28,27
HCPCS,15221,Skin full graft add-on,,,704.0,2000.0,6
HCPCS,15240,Skin full grft face/genit/hf,,,1517.25,4309.28,27
HCPCS,15241,Skin full graft add-on,,,704.0,2500.0,6
HCPCS,15260,Skin full graft een & lips,,,1326.84,4309.28,27
HCPCS,15261,Skin full graft add-on,,,704.0,2000.0,6
HCPCS,15271,Skin sub graft trnk/arm/leg,,,771.8,2923.0,23
HCPCS,15272,Skin sub graft t/a/l add-on,,,704.0,972.0,2
HCPCS,15273,Skin sub grft t/arm/lg child,,,1457.0,6490.0,23
HCPCS,15274,Skn sub grft t/a/l child add,,,704.0,972.0,2
HCPCS,15275,Hb Skin Sub Graft Face/Nk/Hf/G M/D <100Sq Cm 1St 25 Sq Cm,7255.0,2539.25,,,0
HCPCS,15275,Skin sub graft face/nk/hf/g,,,771.8,2923.0,23
HCPCS,15276,Skin sub graft f/n/hf/g addl,,,704.0,972.0,2
HCPCS,15277,Skn sub grft f/n/hf/g child,,,1457.0,4309.28,23
HCPCS,15278,Skn sub grft f/n/hf/g ch add,,,704.0,972.0,2
HCPCS,15300,"Apply skinallogrft, t/arm",,,1900.0,2000.0,2
HCPCS,15301,Apply sknallogrft t/a/l a,,,1425.0,1500.0,2
HCPCS,15320,Apply skin allogrft f/n/h,,,1900.0,2000.0,2
HCPCS,15321,Aply sknallogrft f/n/hfg,,,1425.0,1500.0,2
HCPCS,15330,Aply acell alogrft t/arm/,,,1900.0,2000.0,2
HCPCS,15331,Aply acell grft t/a/l add,,,1425.0,1500.0,2
HCPCS,15335,"Apply acell graft, f/n/hf",,,1900.0,2000.0,2
HCPCS,15336,Aply acell grft f/n/hf/g,,,1425.0,1500.0,2
HCPCS,15400,Skin heterograft,,,1900.0,2000.0,2
HCPCS,15401,Skin heterograft add-on,,,1900.0,2000.0,2
HCPCS,15420,"Apply skin xgraft, f/n/hf",,,1900.0,2000.0,2
HCPCS,15421,Apply skn xgrft f/n/hf/g,,,1425.0,1500.0,2
HCPCS,15430,Apply acellular xenograft,,,1900.0,2000.0,2
HCPCS,15431,Apply acellular xgraft ad,,,1425.0,1500.0,2
HCPCS,15570,Skin pedicle flap trunk,,,1517.25,4309.28,27
HCPCS,15572,Skin pedicle flap arms/legs,,,1517.25,7401.27,27
HCPCS,15574,Pedcle fh/ch/ch/m/n/ax/g/h/f,,,1517.25,4309.28,27
HCPCS,15576,Pedicle e/n/e/l/ntroral,,,1517.25,4309.28,27
HCPCS,15600,Delay flap trunk,,,1517.25,7401.27,27
HCPCS,15610,Delay flap arms/legs,,,1517.25,5195.0,27
HCPCS,15620,Delay flap f/c/c/n/ax/g/h/f,,,1874.25,4309.28,27
HCPCS,15630,Delay flap eye/nos/ear/lip,,,1517.25,4309.28,27
HCPCS,15650,Transfer skin pedicle flap,,,2116.0,4309.28,25
HCPCS,15730,Mdfc flap w/prsrv vasc pedcl,,,3700.64,7401.27,23
HCPCS,15731,Forehead Flap w/Vasc Pedicle,,,1517.25,7401.27,25
HCPCS,15732,Muscle-skin graft head/neck,,,1517.25,2500.0,4
HCPCS,15733,Musc myoq/fscq flp h&n pedcl,,,3700.64,7401.27,23
HCPCS,15734,Muscle-skin graft trunk,,,1517.25,7401.27,27
HCPCS,15736,Muscle-skin graft arm,,,1517.25,4309.28,27
HCPCS,15738,Muscle-skin graft leg,,,1517.25,7401.27,27
HCPCS,15740,Island pedicle flap graft,,,1326.84,4309.28,27
HCPCS,15750,Neurovascular pedicle flap,,,1326.84,7401.27,27
HCPCS,15756,Free myo/skin flap microvasc,,,3760.0,5195.0,4
HCPCS,15757,Free skin flap microvasc,,,3760.0,5195.0,4
HCPCS,15758,Free fascial flap microvasc,,,3760.0,5195.0,4
HCPCS,15760,Composite skin graft,,,1326.84,4309.28,27
HCPCS,15769,Grfg autol soft tiss dir exc,,,3700.64,7401.27,23
HCPCS,15770,Derma-fat-fascia graft,,,1517.25,7401.27,27
HCPCS,15771,Grfg autol fat lipo 50 cc/<,,,3700.64,7401.27,23
HCPCS,15772,Grfg autol fat lipo ea addl,,,704.0,972.0,2
HCPCS,15773,Grfg autol fat lipo 25 cc/<,,,2116.0,5282.0,23
HCPCS,15774,Gfrg autol fat lipo ea addl,,,704.0,972.0,2
HCPCS,15775,Hair trnspl 1-15 punch grfts,,,424.52,2500.0,27
HCPCS,15776,Hair trnspl >15 punch grafts,,,424.52,2500.0,27
HCPCS,15777,Acellular derm matrix implt,,,704.0,972.0,2
HCPCS,15778,Impl absrb msh/prsth dly cls,,,3613.0,4992.0,4
HCPCS,15780,Dermabrasion total face,,,3033.33,6066.67,23
HCPCS,15781,Dermabrasion segmental face,,,739.49,1502.0,23
HCPCS,15782,Dermabrasion other than face,,,940.0,6066.67,23
HCPCS,15783,Dermabrasion suprfl any site,,,424.52,1502.0,23
HCPCS,15786,Abrasion lesion single,,,209.52,972.0,21
HCPCS,15787,Abrasion lesions add-on,,,704.0,972.0,2
HCPCS,15788,Chemical peel face epiderm,,,424.52,972.0,21
HCPCS,15789,Chemical peel face dermal,,,704.0,1543.59,21
HCPCS,15792,Chemical peel nonfacial,,,771.8,1543.59,21
HCPCS,15793,Chemical peel nonfacial,,,424.52,972.0,21
HCPCS,15819,Plastic surgery neck,,,1457.0,1502.0,2
HCPCS,15820,Revision of lower eyelid,,,1517.25,4309.28,27
HCPCS,15821,Revision of lower eyelid,,,1517.25,4309.28,27
HCPCS,15822,Revision of upper eyelid,,,1517.25,4309.28,27
HCPCS,15823,Revision of upper eyelid,,,2116.0,4309.28,25
HCPCS,15824,Removal of forehead wrinkles,,,1517.25,4309.28,27
HCPCS,15825,Removal of neck wrinkles,,,1517.25,7401.27,27
HCPCS,15826,Removal of brow wrinkles,,,1517.25,7401.27,27
HCPCS,15828,Removal of face wrinkles,,,1517.25,7401.27,27
HCPCS,15829,Removal of skin wrinkles,,,2133.06,7401.27,25
HCPCS,15830,Exc Skin Abd,,,1517.25,13868.38,25
HCPCS,15831,Excise excessive skin tissue,,,2375.0,2500.0,2
HCPCS,15832,Excise excessive skin thigh,,,1517.25,6066.67,27
HCPCS,15833,Excise excessive skin leg,,,1517.25,6066.67,27
HCPCS,15834,Excise excessive skin hip,,,1517.25,6066.67,27
HCPCS,15835,Excise excessive skin buttck,,,961.74,6066.67,27
HCPCS,15836,Excise excessive skin arm,,,1517.25,6066.67,27
HCPCS,15837,Excise excess skin arm/hand,,,2116.0,6066.67,23
HCPCS,15838,Excise excess skin fat pad,,,2116.0,6066.67,23
HCPCS,15839,Excise excess skin & tissue,,,1517.25,6066.67,27
HCPCS,15839,Hb Excise Excess Skin & Subq Tissue; Other,16257.0,5689.95,,,0
HCPCS,15840,Nerve palsy fascial graft,,,1874.25,7401.27,27
HCPCS,15841,Nerve palsy muscle graft,,,1874.25,7401.27,27
HCPCS,15842,Nerve palsy microsurg graft,,,2116.0,4309.28,23
HCPCS,15845,Skin and muscle repair face,,,1874.25,7401.27,27
HCPCS,15847,Exc Skin Abd Add-on,,,704.0,1843.23,4
HCPCS,15850,Hb Remove Sutures Same Surgeon,14052.0,4918.2,,,0
HCPCS,15851,Hb Remove Sutures Diff Surgeon,11585.0,4054.75,,,0
HCPCS,15851,Remove sutures diff surgeon,,,1457.0,4309.28,23
HCPCS,15852,Dressing change not for burn,,,704.0,1543.59,21
HCPCS,15852,Hb Dressing Change Not For Burn,11760.0,4116.0,,,0
HCPCS,15853,Hb Removal Sutures Or Staples Not Requiring Anesthesia,699.0,244.65,,,0
HCPCS,15853,Removal sutr/stapl xreq anes,,,704.0,972.0,2
HCPCS,15854,Hb Removal Sutures & Staples Not Requiring Anesthesia,699.0,244.65,,,0
HCPCS,15854,Removal sutr&stapl xreq anes,,,704.0,972.0,2
HCPCS,15860,Test for blood flow in graft,,,466.5,972.0,21
HCPCS,15876,Suction lipectomy head&neck,,,1517.25,7401.27,27
HCPCS,15877,Suction lipectomy trunk,,,1517.25,7401.27,27
HCPCS,15878,Suction lipectomy upr extrem,,,1517.25,4309.28,27
HCPCS,15879,Suction lipectomy lwr extrem,,,1517.25,7401.27,27
HCPCS,15920,Removal of tail bone ulcer,,,748.26,6066.67,27
HCPCS,15922,Removal of tail bone ulcer,,,1874.25,7401.27,27
HCPCS,15931,Remove sacrum pressure sore,,,1517.25,6066.67,27
HCPCS,15933,Remove sacrum pressure sore,,,1517.25,6066.67,27
HCPCS,15934,Remove sacrum pressure sore,,,1517.25,7401.27,27
HCPCS,15935,Remove sacrum pressure sore,,,1874.25,7401.27,27
HCPCS,15936,Remove sacrum pressure sore,,,1874.25,4309.28,27
HCPCS,15937,Remove sacrum pressure sore,,,1874.25,4309.28,27
HCPCS,15940,Remove hip pressure sore,,,1517.25,6066.67,27
HCPCS,15941,Remove hip pressure sore,,,1517.25,6066.67,27
HCPCS,15944,Remove hip pressure sore,,,1517.25,7401.27,27
HCPCS,15945,Remove hip pressure sore,,,1874.25,4309.28,27
HCPCS,15946,Remove hip pressure sore,,,1874.25,5195.0,27
HCPCS,15950,Remove thigh pressure sore,,,1517.25,5195.0,27
HCPCS,15951,Remove thigh pressure sore,,,1874.25,6066.67,27
HCPCS,15952,Remove thigh pressure sore,,,1517.25,5195.0,27
HCPCS,15953,Remove thigh pressure sore,,,1874.25,7401.27,27
HCPCS,15956,Remove thigh pressure sore,,,1517.25,4309.28,27
HCPCS,15958,Remove thigh pressure sore,,,1874.25,7401.27,27
HCPCS,15999,Removal of pressure sore,,,739.49,3993.0,23
HCPCS,16000,Hb First Degree Burn Care,531.0,185.85,,,0
HCPCS,16000,Initial treatment of burn(s),,,209.52,972.0,21
HCPCS,16020,Dress/debrid p-thick burn s,,,209.52,1502.0,23
HCPCS,16020,Hb Burn Wound Care Small Less 5,697.0,243.95,,,0
HCPCS,16025,Dress/debrid p-thick burn m,,,199.65,2121.0,27
HCPCS,16025,Hb Burn Wound Care Medium 5 To 10,907.5,317.625,,,0
HCPCS,16030,Dress/debrid p-thick burn l,,,297.0,2121.0,27
HCPCS,16030,Hb Burn Wound Care Large Over 10,1305.0,456.75,,,0
HCPCS,16035,Hb 	Escharotomy First Incision,5006.0,1752.1,,,0
HCPCS,16035,Incision of burn scab initi,,,424.52,3993.0,23
HCPCS,16036,Escharotomy addl incision,,,2116.0,3993.0,4
HCPCS,16280,Hb Dressing Mepilex Ag Trans 8 20,979.31,342.76,,,0
HCPCS,17000,Destruct premalg lesion,,,209.52,972.0,21
HCPCS,17000,Hb Dest Premalig 1St Les,2041.0,714.3499999999999,,,0
HCPCS,17003,Destruct premalg les 2-14,,,704.0,972.0,2
HCPCS,17003,Hb Dest Premalig 2Nd To 14 Les,386.0,135.1,,,0
HCPCS,17004,Destroy premal lesions 15/>,,,424.52,1502.0,23
HCPCS,17004,Hb Dest Premalig 15 Or More Les,2318.5,811.475,,,0
HCPCS,17106,Destruction of skin lesions,,,424.52,1502.0,23
HCPCS,17106,Hb Destruction Of Skin Lesions < 10 Sq Cm,3946.0,1381.1,,,0
HCPCS,17107,Destruction of skin lesions,,,704.0,1543.59,23
HCPCS,17107,Hb Destruction Of Skin Lesions 10 To 50 Sq Cm,4526.0,1584.1,,,0
HCPCS,17108,Destruction of skin lesions,,,1457.0,4309.28,23
HCPCS,17108,Hb Destruction Of Skin Lesions > 50 Sq Cm,5104.0,1786.4,,,0
HCPCS,17110,Destruct b9 lesion 1-14,,,209.52,972.0,21
HCPCS,17110,Hb Cryotherapy Up To 14 Les,5070.0,1774.5,,,0
HCPCS,17111,Destruct lesion 15 or more,,,209.52,972.0,21
HCPCS,17111,Hb Cryotherapy 15 Or More Les,5290.0,1851.5,,,0
HCPCS,17250,Chemical cautery tissue,,,209.52,972.0,21
HCPCS,17250,Hb 17250 Chemical Cautery Tissue,938.0,328.3,,,0
HCPCS,17250,Hb Chemical Cauterization,841.0,294.35,,,0
HCPCS,17260,Destruction of skin lesions,,,209.52,972.0,21
HCPCS,17260,Hb Dest Mal Lesion Less 0.5 Cm,232.0,81.2,,,0
HCPCS,17261,Destruction of skin lesions,,,209.52,972.0,21
HCPCS,17261,Hb Destruction Of Skin Lesions,887.0,310.45,,,0
HCPCS,17262,Destruction of skin lesions,,,209.52,972.0,21
HCPCS,17262,Hb Dest Mal Lesion 1.1 To 2 Cm,406.0,142.1,,,0
HCPCS,17263,Destruction of skin lesions,,,209.52,972.0,21
HCPCS,17263,Hb Dest Mal Lesion 2.1 To 3 Cm,887.0,310.45,,,0
HCPCS,17264,Destruction of skin lesions,,,424.52,972.0,21
HCPCS,17264,Hb Destr Mles T/A/L; 3.1-4.0 Cm,1690.0,591.5,,,0
HCPCS,17266,Destruction of skin lesions,,,424.52,1502.0,23
HCPCS,17270,Destruction of skin lesions,,,209.52,972.0,21
HCPCS,17271,Destruction of skin lesions,,,209.52,972.0,21
HCPCS,17272,Destruction of skin lesions,,,209.52,972.0,21
HCPCS,17273,Destruction of skin lesions,,,424.52,972.0,21
HCPCS,17273,Hb Dest Mal Lesion S/N/H/F/G  2.1 To 3 Cm,1988.0,695.8,,,0
HCPCS,17274,Destruction of skin lesions,,,424.52,1502.0,23
HCPCS,17276,Destruction of skin lesions,,,424.52,1502.0,23
HCPCS,17280,Destruction of skin lesions,,,209.52,972.0,21
HCPCS,17281,Destruction of skin lesions,,,209.52,972.0,21
HCPCS,17282,Destruction of skin lesions,,,209.52,972.0,21
HCPCS,17282,Hb Dest Mal Lesion Head 1.1 To 2 Cm,1833.0,641.55,,,0
HCPCS,17283,Destruction of skin lesions,,,424.52,972.0,21
HCPCS,17284,Destruction of skin lesions,,,704.0,1543.59,23
HCPCS,17286,Destruction of skin lesions,,,704.0,1543.59,21
HCPCS,17311,Mohs 1 stage h/n/hf/g,,,704.0,1543.59,23
HCPCS,17312,Mohs Addl Stage,,,704.0,972.0,2
HCPCS,17313,Mohs 1 stage t/a/l,,,704.0,1543.59,23
HCPCS,17314,Mohs addl stage t/a/l,,,704.0,972.0,2
HCPCS,17315,Mohs surg addl block,,,704.0,972.0,2
HCPCS,17340,Cryotherapy of skin,,,61.6,972.0,21
HCPCS,17360,Skin peel therapy,,,209.52,972.0,21
HCPCS,17380,Hair removal by electrolysis,,,704.0,1543.59,21
HCPCS,17999,Hb 17999 Skin Tissue Procedure,1230.0,430.5,,,0
HCPCS,17999,Hb Skin Tissue Procedure,1230.0,430.5,,,0
HCPCS,17999,Skin tissue procedure,,,209.52,3993.0,23
HCPCS,19000,Drainage of breast lesion,,,739.49,1502.0,23
HCPCS,19000,Hb Puncture Asp Cyst Breast;Initial,4160.0,1456.0,,,0
HCPCS,19000,Hb Puncture Aspiration Cyst Breast,2170.0,759.5,,,0
HCPCS,19001,Drain breast lesion add-on,,,704.0,972.0,2
HCPCS,19001,Hb Puncture Aspiration Cyst Breast Each Addl Cyst,1515.0,530.25,,,0
HCPCS,19020,Hb Incision Of Breast Lesion,14697.0,5143.95,,,0
HCPCS,19020,Incision of breast lesion,,,1326.84,5195.0,27
HCPCS,19030,Hb Mammo Ductogram Injection,1024.0,358.4,,,0
HCPCS,19030,Injection for breast x-ray,,,704.0,972.0,2
HCPCS,19081,Bx breast 1st lesion strtctc,,,1724.73,3449.46,23
HCPCS,19081,Hb Stereotact Guide For Brst Bx W Placement 1St Lesion,2480.0,868.0,,,0
HCPCS,19082,Bx breast add lesion strtctc,,,704.0,972.0,2
HCPCS,19082,Hb Stereotact Guide For Brst Bx W Placement Each Addl Lesion,2480.0,868.0,,,0
HCPCS,19083,Bx breast 1st lesion us imag,,,1724.73,3449.46,23
HCPCS,19083,Hb Us Imag Guide For Brst Bx W Placement 1St Lesion,2480.0,868.0,,,0
HCPCS,19084,Bx breast add lesion us imag,,,704.0,972.0,2
HCPCS,19084,Hb Us Imag Guide For Brst Bx W Placement Each Addl Lesion,2480.0,868.0,,,0
HCPCS,19085,Bx breast 1st lesion mr imag,,,1724.73,3449.46,23
HCPCS,19085,Hb Mr Imag Guide For Brst Bx W Placement 1St Lesion,2480.0,868.0,,,0
HCPCS,19086,Bx breast add lesion mr imag,,,704.0,972.0,2
HCPCS,19086,Hb Mr Imag Guide For Brst Bx W Placement  Each Addl Lesion,2480.0,868.0,,,0
HCPCS,19100,Bx breast percut w/o image,,,714.0,3449.46,27
HCPCS,19100,Hb Biopsy Of Breast Aspiration,7995.5,2798.4249999999997,,,0
HCPCS,19101,Biopsy of breast open,,,1326.84,8177.61,27
HCPCS,19101,Hb Open - Incis Breast Bx,43155.0,15104.25,,,0
HCPCS,19102,Bx Breast Percut W/Image,,,1900.0,2000.0,2
HCPCS,19103,Bx Breast Percut W/Device,,,1900.0,2000.0,2
HCPCS,19105,Cryosurg ablate fa each,,,4088.81,8177.61,23
HCPCS,19110,Nipple exploration,,,1326.84,8177.61,27
HCPCS,19112,Excise breast duct fistula,,,1517.25,8177.61,27
HCPCS,19120,Hb Removal Of Breast Lesion,18695.0,6543.25,,,0
HCPCS,19120,Removal of breast lesion,,,1517.25,8177.61,27
HCPCS,19125,Excision breast lesion,,,1517.25,8177.61,27
HCPCS,19125,Hb Excision Breast Lesion,1668.0,583.8,,,0
HCPCS,19126,Excision addl breast lesion,,,704.0,2500.0,6
HCPCS,19126,Hb Exc Breast Les N Loc; Ea Addtl,8754.0,3063.9,,,0
HCPCS,19140,Removal of breast tissue,,,2850.0,3000.0,2
HCPCS,19160,Removal of breast tissue,,,2375.0,2500.0,2
HCPCS,19180,Removal of breast,,,2850.0,3000.0,2
HCPCS,19182,Removal of breast,,,2850.0,3000.0,2
HCPCS,19281,Hb Mammo Guide For Needle Breast 1St Lesion,2156.0,754.6,,,0
HCPCS,19281,Perq device breast 1st imag,,,1457.0,3449.46,23
HCPCS,19282,Hb Mammo Guide For Needle Breast Each Addl Lesion,2156.0,754.6,,,0
HCPCS,19282,Perq device breast ea imag,,,704.0,972.0,2
HCPCS,19283,Hb Stereotact Guide For Needle Breast 1St Lesion,2156.0,754.6,,,0
HCPCS,19283,Perq dev breast 1st strtctc,,,739.49,1502.0,23
HCPCS,19284,Hb Stereotact Guide For Needle Breast Each Addl Lesion,2156.0,754.6,,,0
HCPCS,19284,Perq dev breast add strtctc,,,704.0,972.0,2
HCPCS,19285,Hb Us Imag Guide For Needle Breast 1St Lesion,2156.0,754.6,,,0
HCPCS,19285,Perq dev breast 1st us imag,,,739.49,1502.0,23
HCPCS,19286,Hb Us Imag Guide For Needle Breast Each Addl Lesion,2156.0,754.6,,,0
HCPCS,19286,Perq dev breast add us imag,,,704.0,972.0,2
HCPCS,19287,Hb Mr Imag For Needle Breast 1St Lesion,2156.0,754.6,,,0
HCPCS,19287,Perq dev breast 1st mr guide,,,739.49,1502.0,23
HCPCS,19288,Hb Mr Imag For Needle Breast Each Addl Lesion,2156.0,754.6,,,0
HCPCS,19288,Perq dev breast add mr guide,,,704.0,972.0,2
HCPCS,19290,"Place needle wire, breast",,,1425.0,1500.0,2
HCPCS,19291,"Place needle wire, breast",,,1425.0,1500.0,2
HCPCS,19294,Prep tum cav iort prtl mast,,,704.0,972.0,2
HCPCS,19296,Hb Place Of Rad Cath Breast After Mastec,13443.0,4705.05,,,0
HCPCS,19296,Place po breast cath for rad,,,3983.52,17070.6,25
HCPCS,19297,Hb Place Of Rad Cath Breast Conc Mastec,16134.0,5646.9,,,0
HCPCS,19297,Place breast cath for rad,,,3983.52,14016.0,4
HCPCS,19298,Hb Place Of Breast Tube Cath For Rad,29087.0,10180.45,,,0
HCPCS,19298,Place breast rad tube/caths,,,1425.0,28782.32,27
HCPCS,19300,Removal of Breast Tissue,,,1874.25,8177.61,25
HCPCS,19301,Hb Partial Mastectomy,17056.0,5969.6,,,0
HCPCS,19301,Partial Mastectomy,,,1517.25,8177.61,25
HCPCS,19302,P-Mastectomy w/LN Removal,,,2960.1,13868.38,25
HCPCS,19303,Mast simple complete,,,1874.25,13868.38,25
HCPCS,19304,Mast subq,,,1874.25,2276.93,2
HCPCS,19305,Mast radical,,,3613.0,4992.0,4
HCPCS,19306,Mast rad urban type,,,3613.0,4992.0,4
HCPCS,19307,Mast mod rad,,,5282.0,13868.38,23
HCPCS,19316,Suspension of breast,,,1874.25,13868.38,27
HCPCS,19318,Reduction of large breast,,,1874.25,13868.38,27
HCPCS,19324,Enlarge breast,,,1874.25,3000.0,4
HCPCS,19325,Enlarge breast with implant,,,3983.52,17070.6,25
HCPCS,19328,Removal of breast implant,,,990.66,8177.61,27
HCPCS,19330,Removal of implant material,,,990.66,8177.61,27
HCPCS,19340,Immediate breast prosthesis,,,1326.84,17070.6,27
HCPCS,19342,Delayed breast prosthesis,,,1517.25,17070.6,27
HCPCS,19350,Breast reconstruction,,,1874.25,8177.61,27
HCPCS,19355,Correct inverted nipple(s),,,1874.25,8177.61,27
HCPCS,19357,Breast reconstruction,,,2133.06,28782.32,25
HCPCS,19361,Breast reconstr w/lat flap,,,3613.0,4992.0,4
HCPCS,19364,Breast reconstruction,,,3885.0,9732.0,4
HCPCS,19366,Breast reconstruction,,,2133.06,2591.35,2
HCPCS,19367,Breast reconstruction,,,3885.0,9732.0,4
HCPCS,19368,Breast reconstruction,,,3885.0,9732.0,4
HCPCS,19369,Breast reconstruction,,,3885.0,9732.0,4
HCPCS,19370,Surgery of breast capsule,,,1874.25,8177.61,27
HCPCS,19371,Removal of breast capsule,,,1874.25,8177.61,27
HCPCS,19380,Revise breast reconstruction,,,2133.06,13868.38,25
HCPCS,19396,Design custom breast implant,,,3885.0,8177.61,23
HCPCS,19499,Breast surgery procedure,,,3760.0,8177.61,23
HCPCS,19499,Hb Unlisted Procedure Breast,7115.0,2490.25,,,0
HCPCS,20005,Hb I&D Soft Tissue Abscess Subfasc,9496.0,3323.6,,,0
HCPCS,20005,I&d abscess subfascial,,,1326.84,2000.0,4
HCPCS,20100,Explore wound neck,,,563.21,1502.0,23
HCPCS,20101,Explore wound chest,,,2116.0,4309.28,23
HCPCS,20101,Hb Expl P Wnd; Chest,23994.0,8397.9,,,0
HCPCS,20102,Explore wound abdomen,,,2116.0,4309.28,23
HCPCS,20102,Hb Expl P Wnd; Abd/Flank,22992.0,8047.2,,,0
HCPCS,20103,Explore wound extremity,,,940.0,3449.46,23
HCPCS,20103,Hb Explore Of Penetrating Wound; Extremity,15984.0,5594.4,,,0
HCPCS,20150,Excise epiphyseal bar,,,3416.88,9732.0,23
HCPCS,20200,Hb Biopsy Muscle Superficial,11320.0,3962.0,,,0
HCPCS,20200,Muscle biopsy,,,1326.84,3449.46,27
HCPCS,20205,Deep muscle biopsy,,,1517.25,6066.67,27
HCPCS,20206,Hb 20206 Needle Biopsy Muscle,3535.0,1237.25,,,0
HCPCS,20206,Hb Needle Biopsy Muscle,3535.0,1237.25,,,0
HCPCS,20206,Needle biopsy muscle,,,714.0,3449.46,27
HCPCS,20220,Bone biopsy trocar/needle,,,748.26,3449.46,27
HCPCS,20220,Hb 20220 Bone Biopsy Superficial,6050.0,2117.5,,,0
HCPCS,20220,Hb Bone Biopsy Superficial,6050.0,2117.5,,,0
HCPCS,20225,Bone biopsy trocar/needle,,,1245.0,3449.46,27
HCPCS,20225,Hb 20225 Bone Biopsy Deep,7862.0,2751.7,,,0
HCPCS,20225,Hb Bone Biopsy Deep,7862.0,2751.7,,,0
HCPCS,20240,Bone biopsy open superficial,,,1326.84,6066.67,27
HCPCS,20240,Hb 	Bone Biopsy Open Superficial,18283.0,6399.05,,,0
HCPCS,20245,Bone biopsy open deep,,,1517.25,6066.67,27
HCPCS,20250,Open bone biopsy,,,1517.25,6833.76,27
HCPCS,20251,Open bone biopsy,,,1517.25,15155.02,27
HCPCS,20500,Hb 20500 Inj Sinus Tract,3338.0,1168.3,,,0
HCPCS,20500,Hb Injection Of Sinus Tract,3338.0,1168.3,,,0
HCPCS,20500,Injection of sinus tract,,,1620.29,3240.57,21
HCPCS,20501,Hb 20501 Inject Sinus Tract,1104.0,386.4,,,0
HCPCS,20501,Inject sinus tract for x-ray,,,704.0,972.0,2
HCPCS,20520,Hb Removal Foreign Body Muscle/Tendon Sheath Simplet,12262.0,4291.7,,,0
HCPCS,20520,Removal of foreign body,,,940.0,3449.46,23
HCPCS,20525,Hb Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp,16073.0,5625.55,,,0
HCPCS,20525,Removal of foreign body,,,1517.25,6066.67,27
HCPCS,20526,Hb Inj Ther Carpal Tunnel,904.0,316.4,,,0
HCPCS,20526,Ther injection carp tunnel,,,320.54,1502.0,23
HCPCS,20527,Inj dupuytren cord w/enzyme,,,320.54,972.0,21
HCPCS,20550,Hb Inj Tendon Or Ligament,1067.0,373.45,,,0
HCPCS,20550,Inj tendon sheath/ligament,,,320.54,1502.0,23
HCPCS,20551,Hb Inj Tendon Origin Or Insertion,1850.0,647.5,,,0
HCPCS,20551,Inj tendon origin/insertion,,,320.54,1502.0,23
HCPCS,20552,Hb 20552 Inj Trigger Pts 1 To 2 Muscles,2549.0,892.15,,,0
HCPCS,20552,Hb Inj Trigger Pts 1 To 2 Muscles,2448.0,856.8,,,0
HCPCS,20552,Inj trigger point 1/2 muscl,,,320.54,1502.0,23
HCPCS,20553,Hb Inj Trigger Pts 3 Or More Muscle,3329.5,1165.325,,,0
HCPCS,20553,Inject trigger points 3/>,,,320.54,1502.0,23
HCPCS,20555,Place ndl musc/tis for rt,,,3416.88,6833.76,23
HCPCS,20560,Hb Needle Insertion W/O Injection 1 Or 2 Muscles,79.0,27.65,,,0
HCPCS,20560,Ndl insj w/o njx 1 or 2 musc,,,30.2,972.0,21
HCPCS,20561,Hb Needle Insertion W/O Injection 3 Or More Muscles,100.0,35.0,,,0
HCPCS,20561,Ndl insj w/o njx 3+ musc,,,30.2,972.0,21
HCPCS,20600,Drain/inj joint/bursa w/o us,,,320.54,1502.0,23
HCPCS,20600,Hb Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us,1396.0,488.6,,,0
HCPCS,20600,Hb Arthrocentesis Sm Joint,157.5,55.125,,,0
HCPCS,20604,Drain/inj joint/bursa w/us,,,320.54,972.0,21
HCPCS,20605,Drain/inj joint/bursa w/o us,,,320.54,1502.0,23
HCPCS,20605,Hb Arthrocentesis Int Joint,1382.0,483.70000000000005,,,0
HCPCS,20606,Drain/inj joint/bursa w/us,,,737.14,1474.27,21
HCPCS,20606,Hb Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us,4284.0,1499.4,,,0
HCPCS,20610,Drain/inj joint/bursa w/o us,,,320.54,1502.0,23
HCPCS,20610,Hb 20610 Arthrocentesis Maj Joint,1692.0,592.2,,,0
HCPCS,20610,Hb Arthrocentesis Maj Joint,1692.0,592.2,,,0
HCPCS,20611,Drain/inj joint/bursa w/us,,,320.54,972.0,21
HCPCS,20611,Hb Arthrocentesis Maj Joint W/ Us Guide,1792.0,627.2,,,0
HCPCS,20612,Aspirate/inj ganglion cyst,,,320.54,1502.0,23
HCPCS,20612,Hb Aspirate/Inj Ganglion Cyst Any Locatj,1173.0,410.55,,,0
HCPCS,20615,Treatment of bone cyst,,,739.49,1478.98,21
HCPCS,20650,Insert and remove bone pin,,,1517.25,6833.76,27
HCPCS,20660,Apply rem fixation device,,,1679.19,3993.0,23
HCPCS,20661,Application of head brace,,,704.0,3993.0,23
HCPCS,20662,Application of pelvis brace,,,1679.19,5195.0,23
HCPCS,20663,Application of thigh brace,,,2428.0,6833.76,23
HCPCS,20664,Application of halo,,,1679.19,3993.0,23
HCPCS,20665,Removal of fixation device,,,466.5,972.0,21
HCPCS,20670,Hb Removal Of Support Implant,13367.5,4678.625,,,0
HCPCS,20670,Removal of support implant,,,990.66,3449.46,27
HCPCS,20680,Hb Arch Bar Removal,8259.0,2890.65,,,0
HCPCS,20680,Removal of support implant,,,1517.25,6066.67,27
HCPCS,20690,Apply bone fixation device,,,1326.84,15155.02,27
HCPCS,20692,Apply bone fixation device,,,1517.25,26814.33,27
HCPCS,20693,Adjust bone fixation device,,,1517.25,15155.02,27
HCPCS,20694,Hb Removal Ext Fix Sys W Anesth,23046.0,8066.1,,,0
HCPCS,20694,Remove bone fixation device,,,990.66,3358.38,27
HCPCS,20696,Comp multiplane ext fixation,,,4698.0,56670.98,23
HCPCS,20697,Comp ext fixate strut change,,,940.0,4499.0,23
HCPCS,20700,Mnl prep&insj dp rx dlvr dev,,,704.0,972.0,2
HCPCS,20701,Rmvl deep rx delivery device,,,704.0,972.0,2
HCPCS,20702,Mnl prep&insj imed rx dev,,,704.0,972.0,2
HCPCS,20703,Rmvl imed rx delivery device,,,704.0,972.0,2
HCPCS,20704,Mnl prep&insj i-artic rx dev,,,704.0,972.0,2
HCPCS,20705,Rmvl i-artic rx delivery dev,,,704.0,972.0,2
HCPCS,20802,Replantation arm complete,,,3885.0,36620.39,23
HCPCS,20805,Replant forearm complete,,,3885.0,36620.39,23
HCPCS,20808,Replantation hand complete,,,3885.0,36620.39,23
HCPCS,20816,Replantation digit complete,,,1679.19,14016.0,23
HCPCS,20822,Replantation digit complete,,,1679.19,5195.0,23
HCPCS,20824,Replantation thumb complete,,,1679.19,14016.0,23
HCPCS,20827,Replantation thumb complete,,,1679.19,14016.0,23
HCPCS,20838,Replantation foot complete,,,3885.0,36620.39,23
HCPCS,20900,Removal of bone for graft,,,1517.25,15155.02,27
HCPCS,20902,Removal of bone for graft,,,1874.25,15155.02,27
HCPCS,20910,Remove cartilage for graft,,,704.0,2500.0,27
HCPCS,20912,Remove cartilage for graft,,,1517.25,7401.27,27
HCPCS,20920,Removal of fascia for graft,,,1874.25,4309.28,27
HCPCS,20922,Removal of fascia for graft,,,1517.25,5195.0,27
HCPCS,20924,Removal of tendon for graft,,,1874.25,15155.02,27
HCPCS,20926,Removal of tissue for graft,,,1874.25,3000.0,4
HCPCS,20930,Sp bone algrft morsel add-on,,,704.0,972.0,2
HCPCS,20931,Sp bone algrft struct add-on,,,704.0,972.0,2
HCPCS,20932,Osteoart algrft w/surf & b1,,,704.0,972.0,2
HCPCS,20933,Hemicrt intrclry algrft prtl,,,704.0,972.0,2
HCPCS,20934,Intercalary algrft compl,,,704.0,972.0,2
HCPCS,20936,Sp bone agrft local add-on,,,4698.0,6490.0,2
HCPCS,20937,Sp bone agrft morsel add-on,,,4698.0,6490.0,2
HCPCS,20938,Sp bone agrft struct add-on,,,4698.0,6490.0,2
HCPCS,20939,Bone marrow aspir bone grfg,,,704.0,972.0,2
HCPCS,20950,Fluid pressure muscle,,,739.49,1502.0,23
HCPCS,20955,Fibula bone graft microvasc,,,3885.0,15155.02,23
HCPCS,20956,Iliac bone graft microvasc,,,3885.0,15155.02,23
HCPCS,20957,Mt bone graft microvasc,,,3885.0,15155.02,23
HCPCS,20962,Other bone graft microvasc,,,3885.0,15155.02,23
HCPCS,20969,Bone/skin graft microvasc,,,3885.0,15155.02,23
HCPCS,20970,Bone/skin graft iliac crest,,,3885.0,15155.02,23
HCPCS,20972,Bone/skin graft metatarsal,,,3036.0,15155.02,23
HCPCS,20973,Bone/skin graft great toe,,,3036.0,15155.02,23
HCPCS,20974,Electrical bone stimulation,,,52.34,972.0,21
HCPCS,20975,Electrical bone stimulation,,,111.6,2000.0,6
HCPCS,20979,Us bone stimulation,,,30.2,972.0,21
HCPCS,20982,Ablate bone tumor(s) perq,,,3885.0,36620.39,23
HCPCS,20982,Hb 20982 Ablate Bone Tumor(S) Rf Perq W/Img,35264.0,12342.4,,,0
HCPCS,20983,Ablate bone tumor(s) perq,,,3885.0,15155.02,23
HCPCS,20983,Hb 20983 Ablate Bone Tumor(S) Perq,29442.0,10304.7,,,0
HCPCS,20983,Hb Ablate Bone Tumor(S) Perq,29442.0,10304.7,,,0
HCPCS,20985,Cptr-asst dir ms px,,,704.0,972.0,2
HCPCS,20999,Hb Unlisted Procedure Muscskeletal System General,11527.0,4034.45,,,0
HCPCS,20999,Musculoskeletal surgery,,,257.59,3993.0,23
HCPCS,21010,Incision of jaw joint,,,1326.84,6924.53,27
HCPCS,21011,Exc face les sc <2 cm,,,940.0,3449.46,21
HCPCS,21012,Exc face les sbq 2 cm/>,,,940.0,3449.46,23
HCPCS,21013,Exc face tum deep < 2 cm,,,940.0,3449.46,23
HCPCS,21014,Exc face tum deep 2 cm/>,,,940.0,6066.67,23
HCPCS,21015,Resect face/scalp tum < 2 cm,,,1517.25,6066.67,27
HCPCS,21016,Resect face/scalp tum 2 cm/>,,,3033.33,6066.67,23
HCPCS,21025,Excision of bone lower jaw,,,1326.84,12363.91,27
HCPCS,21026,Excision of facial bone(s),,,1326.84,12363.91,27
HCPCS,21029,Contour of face bone lesion,,,1326.84,6924.53,27
HCPCS,21030,Excise max/zygoma b9 tumor,,,3760.0,12363.91,23
HCPCS,21031,Remove exostosis mandible,,,3462.26,6924.53,23
HCPCS,21032,Remove exostosis maxilla,,,3462.26,6924.53,23
HCPCS,21034,Excise max/zygoma mal tumor,,,1517.25,12363.91,27
HCPCS,21040,Excise mandible lesion,,,1326.84,6924.53,27
HCPCS,21044,Removal of jaw bone lesion,,,1326.84,12363.91,27
HCPCS,21045,Extensive jaw surgery,,,3885.0,12363.91,23
HCPCS,21046,Remove mandible cyst complex,,,1326.84,12363.91,27
HCPCS,21047,Excise lwr jaw cyst w/repair,,,1326.84,12363.91,27
HCPCS,21048,Remove maxilla cyst complex,,,2428.0,12363.91,23
HCPCS,21049,Excis uppr jaw cyst w/repair,,,2428.0,12363.91,23
HCPCS,21050,Removal of jaw joint,,,1517.25,12363.91,27
HCPCS,21060,Remove jaw joint cartilage,,,1326.84,12363.91,27
HCPCS,21070,Remove coronoid process,,,1517.25,12363.91,27
HCPCS,21073,Mnpj of tmj w/anesth,,,1620.29,3240.57,21
HCPCS,21076,Prepare face/oral prosthesis,,,1620.29,3993.0,23
HCPCS,21077,Prepare face/oral prosthesis,,,3885.0,12363.91,23
HCPCS,21079,Prepare face/oral prosthesis,,,3462.26,9732.0,23
HCPCS,21080,Prepare face/oral prosthesis,,,3462.26,9732.0,23
HCPCS,21081,Prepare face/oral prosthesis,,,3885.0,12363.91,23
HCPCS,21082,Prepare face/oral prosthesis,,,3462.26,9732.0,23
HCPCS,21083,Prepare face/oral prosthesis,,,3462.26,9732.0,23
HCPCS,21084,Prepare face/oral prosthesis,,,3462.26,9732.0,23
HCPCS,21085,Prepare face/oral prosthesis,,,247.34,3993.0,23
HCPCS,21086,Prepare face/oral prosthesis,,,3462.26,9732.0,23
HCPCS,21087,Prepare face/oral prosthesis,,,3885.0,12363.91,23
HCPCS,21088,Prepare face/oral prosthesis,,,3462.26,9732.0,23
HCPCS,21089,Prepare face/oral prosthesis,,,247.34,3993.0,23
HCPCS,21100,Maxillofacial fixation,,,1326.84,12363.91,27
HCPCS,21110,Hb Apply Interdental Fixation Device,1049.0,367.15,,,0
HCPCS,21110,Interdental fixation,,,1457.0,3240.57,23
HCPCS,21116,Injection jaw joint x-ray,,,704.0,972.0,2
HCPCS,21120,Reconstruction of chin,,,2960.1,12363.91,25
HCPCS,21121,Reconstruction of chin,,,2960.1,6924.53,25
HCPCS,21122,Reconstruction of chin,,,2960.1,12363.91,25
HCPCS,21123,Reconstruction of chin,,,2960.1,6924.53,25
HCPCS,21125,Augmentation lower jaw bone,,,2960.1,12363.91,25
HCPCS,21127,Augmentation lower jaw bone,,,3983.52,12363.91,25
HCPCS,21137,Reduction of forehead,,,3462.26,6924.53,23
HCPCS,21138,Reduction of forehead,,,3885.0,12363.91,23
HCPCS,21139,Reduction of forehead,,,3885.0,12363.91,23
HCPCS,21141,Lefort i-1 piece w/o graft,,,3885.0,12363.91,23
HCPCS,21142,Lefort i-2 piece w/o graft,,,3885.0,12363.91,23
HCPCS,21143,Lefort i-3/> piece w/o graft,,,3885.0,12363.91,23
HCPCS,21145,Lefort i-1 piece w/ graft,,,3885.0,12363.91,23
HCPCS,21146,Lefort i-2 piece w/ graft,,,3885.0,12363.91,23
HCPCS,21147,Lefort i-3/> piece w/ graft,,,3885.0,12363.91,23
HCPCS,21150,Lefort ii anterior intrusion,,,3885.0,12363.91,23
HCPCS,21151,Lefort ii w/bone grafts,,,3885.0,12363.91,23
HCPCS,21154,Lefort iii w/o lefort i,,,3885.0,12363.91,23
HCPCS,21155,Lefort iii w/ lefort i,,,3885.0,12363.91,23
HCPCS,21159,Lefort iii w/fhdw/o lefort i,,,3885.0,12363.91,23
HCPCS,21160,Lefort iii w/fhd w/ lefort i,,,3885.0,12363.91,23
HCPCS,21172,Reconstruct orbit/forehead,,,3885.0,12363.91,23
HCPCS,21175,Reconstruct orbit/forehead,,,3885.0,12363.91,23
HCPCS,21179,Reconstruct entire forehead,,,3885.0,12363.91,23
HCPCS,21180,Reconstruct entire forehead,,,3885.0,12363.91,23
HCPCS,21181,Contour cranial bone lesion,,,2960.1,12363.91,25
HCPCS,21182,Reconstruct cranial bone,,,3885.0,12363.91,23
HCPCS,21183,Reconstruct cranial bone,,,3885.0,12363.91,23
HCPCS,21184,Reconstruct cranial bone,,,3885.0,12363.91,23
HCPCS,21188,Reconstruction of midface,,,3885.0,12363.91,23
HCPCS,21193,Reconst lwr jaw w/o graft,,,3885.0,12363.91,23
HCPCS,21194,Reconst lwr jaw w/graft,,,3885.0,12363.91,23
HCPCS,21195,Reconst lwr jaw w/o fixation,,,3885.0,12363.91,23
HCPCS,21196,Reconst lwr jaw w/fixation,,,3885.0,12363.91,23
HCPCS,21198,Reconstr lwr jaw segment,,,3760.0,12363.91,23
HCPCS,21199,Reconstr Lwr Jaw W/Advance,,,3885.0,12363.91,23
HCPCS,21206,Reconstruct upper jaw bone,,,2133.06,12363.91,25
HCPCS,21208,Augmentation of facial bones,,,2960.1,12363.91,25
HCPCS,21209,Reduction of facial bones,,,2133.06,12363.91,25
HCPCS,21210,Face bone graft,,,2960.1,12363.91,25
HCPCS,21215,Lower jaw bone graft,,,2960.1,12363.91,25
HCPCS,21230,Rib cartilage graft,,,2960.1,12363.91,25
HCPCS,21235,Ear cartilage graft,,,2116.0,12363.91,25
HCPCS,21240,Reconstruction of jaw joint,,,1874.25,12363.91,27
HCPCS,21242,Reconstruction of jaw joint,,,2133.06,12363.91,25
HCPCS,21243,Reconstruction of jaw joint,,,2133.06,56670.98,25
HCPCS,21244,Reconstruction of lower jaw,,,2960.1,12363.91,25
HCPCS,21245,Reconstruction of jaw,,,2960.1,12363.91,25
HCPCS,21246,Reconstruction of jaw,,,2960.1,12363.91,25
HCPCS,21247,Reconstruct lower jaw bone,,,3885.0,12363.91,23
HCPCS,21248,Reconstruction of jaw,,,2960.1,12363.91,25
HCPCS,21249,Reconstruction of jaw,,,2960.1,12363.91,25
HCPCS,21255,Reconstruct lower jaw bone,,,3885.0,12363.91,23
HCPCS,21256,Reconstruction of orbit,,,3885.0,12363.91,23
HCPCS,21260,Revise eye sockets,,,3885.0,12363.91,23
HCPCS,21261,Revise eye sockets,,,3885.0,12363.91,23
HCPCS,21263,Revise eye sockets,,,3885.0,12363.91,23
HCPCS,21267,Revise eye sockets,,,2960.1,12363.91,25
HCPCS,21268,Revise eye sockets,,,3885.0,12363.91,23
HCPCS,21270,Augmentation cheek bone,,,2133.06,12363.91,25
HCPCS,21275,Revision orbitofacial bones,,,2960.1,12363.91,25
HCPCS,21280,Revision of eyelid,,,2133.06,9732.0,25
HCPCS,21282,Revision of eyelid,,,2116.0,6924.53,25
HCPCS,21295,Revision of jaw muscle/bone,,,990.66,3240.57,27
HCPCS,21296,Revision of jaw muscle/bone,,,990.66,6924.53,27
HCPCS,21299,Cranio/maxillofacial surgery,,,247.34,3993.0,23
HCPCS,21299,Hb Cranio Maxillofacial Surgery,8384.5,2934.5750000000003,,,0
HCPCS,21300,Treatment of skull fracture,,,1900.0,2000.0,2
HCPCS,21310,Closed tx nose fx w/o manj,,,448.38,2000.0,4
HCPCS,21315,Closed tx nose fx w/o stablj,,,448.38,3240.57,27
HCPCS,21315,Hb Treatment Nasal Fracture,5739.0,2008.65,,,0
HCPCS,21320,Closed tx nose fx w/ stablj,,,1326.84,6924.53,27
HCPCS,21320,Hb Closed Tx Nose Fx W/ Stabl,11836.0,4142.6,,,0
HCPCS,21325,Open tx nose fx uncomplicatd,,,1874.25,6924.53,27
HCPCS,21330,Open tx nose fx w/skele fixj,,,2133.06,12363.91,25
HCPCS,21335,Open tx nose & septal fx,,,2960.1,6924.53,25
HCPCS,21336,Open tx septal fx w/wo stabj,,,1874.25,6833.76,27
HCPCS,21337,Closed tx septal&nose fx,,,1326.84,6924.53,27
HCPCS,21337,Hb Cl Tx Nasal Septal Fx,17863.0,6252.05,,,0
HCPCS,21338,Open nasoethmoid fx w/o fixj,,,1874.25,12363.91,27
HCPCS,21339,Open nasoethmoid fx w/ fixj,,,2133.06,12363.91,25
HCPCS,21340,Perq tx nasoethmoid fx,,,1874.25,9732.0,27
HCPCS,21343,Open tx dprsd front sinus fx,,,3885.0,12363.91,23
HCPCS,21344,Open tx compl front sinus fx,,,3885.0,12363.91,23
HCPCS,21345,Closed tx nose/jaw fx,,,1620.29,4499.0,25
HCPCS,21346,Opn tx nasomax fx w/fixj,,,3760.0,12363.91,23
HCPCS,21347,Opn tx nasomax fx multple,,,3885.0,12363.91,23
HCPCS,21348,Opn tx nasomax fx w/graft,,,3885.0,12363.91,23
HCPCS,21355,Perq tx malar fracture,,,1517.25,9732.0,27
HCPCS,21356,Opn tx dprsd zygomatic arch,,,1517.25,12363.91,25
HCPCS,21360,Opn tx dprsd malar fracture,,,3760.0,12363.91,23
HCPCS,21365,Opn tx complx malar fx,,,4370.0,12363.91,23
HCPCS,21366,Opn tx complx malar w/grft,,,3885.0,12363.91,23
HCPCS,21385,Opn tx orbit fx transantral,,,5282.0,12363.91,23
HCPCS,21386,Opn tx orbit fx periorbital,,,3885.0,12363.91,23
HCPCS,21387,Opn tx orbit fx combined,,,3885.0,12363.91,23
HCPCS,21390,Opn tx orbit periorbtl implt,,,4370.0,12363.91,23
HCPCS,21395,Opn tx orbit periorbt w/grft,,,3885.0,12363.91,23
HCPCS,21400,Closed tx orbit w/o manipulj,,,563.21,2121.0,27
HCPCS,21401,Closed tx orbit w/manipulj,,,1517.25,3240.57,27
HCPCS,21406,Opn tx orbit fx w/o implant,,,3036.0,12363.91,23
HCPCS,21407,Opn tx orbit fx w/implant,,,3278.0,12363.91,23
HCPCS,21408,Opn tx orbit fx w/bone grft,,,3278.0,12363.91,23
HCPCS,21421,Treat mouth roof fracture,,,1874.25,6924.53,27
HCPCS,21422,Treat mouth roof fracture,,,3885.0,12363.91,23
HCPCS,21423,Treat mouth roof fracture,,,3885.0,12363.91,23
HCPCS,21431,Treat craniofacial fracture,,,3885.0,12363.91,23
HCPCS,21432,Treat craniofacial fracture,,,3885.0,12363.91,23
HCPCS,21433,Treat craniofacial fracture,,,3885.0,12363.91,23
HCPCS,21435,Treat craniofacial fracture,,,3885.0,12363.91,23
HCPCS,21436,Treat craniofacial fracture,,,3885.0,12363.91,23
HCPCS,21440,Treat dental ridge fracture,,,2428.0,6924.53,23
HCPCS,21445,Treat dental ridge fracture,,,1874.25,12363.91,27
HCPCS,21450,Treat lower jaw fracture,,,448.38,2500.0,27
HCPCS,21451,Treat lower jaw fracture,,,1380.84,3240.57,27
HCPCS,21452,Treat lower jaw fracture,,,1326.84,12363.91,27
HCPCS,21453,Treat lower jaw fracture,,,1517.25,12363.91,27
HCPCS,21454,Treat lower jaw fracture,,,2133.06,12363.91,25
HCPCS,21461,Treat lower jaw fracture,,,1874.25,12363.91,27
HCPCS,21462,Treat lower jaw fracture,,,2133.06,12363.91,25
HCPCS,21465,Treat lower jaw fracture,,,1874.25,12363.91,27
HCPCS,21470,Treat lower jaw fracture,,,3278.0,12363.91,23
HCPCS,21480,Hb Cl Tx Tmj Dislocation; Initial,3032.0,1061.2,,,0
HCPCS,21480,Reset dislocated jaw,,,257.59,1502.0,27
HCPCS,21485,Reset dislocated jaw,,,1326.84,3240.57,27
HCPCS,21490,Repair dislocated jaw,,,1517.25,9732.0,27
HCPCS,21497,Interdental wiring,,,1326.84,3240.57,27
HCPCS,21499,Hb Head Surgery Procedure,3158.0,1105.3,,,0
HCPCS,21499,Head surgery procedure,,,247.34,3993.0,23
HCPCS,21501,Drain neck/chest lesion,,,1326.84,6066.67,27
HCPCS,21501,Hb 21501 Drain Neck Thorax,13729.0,4805.15,,,0
HCPCS,21502,Drain chest lesion,,,1326.84,6833.76,27
HCPCS,21510,Drainage of bone lesion,,,3416.88,9732.0,23
HCPCS,21550,Biopsy of neck/chest,,,1457.0,3449.46,23
HCPCS,21550,Hb Biopsy Neck Thorax,3616.0,1265.6,,,0
HCPCS,21552,Exc neck les sc 3 cm/>,,,3033.33,6066.67,23
HCPCS,21554,Exc neck tum deep 5 cm/>,,,3033.33,6066.67,23
HCPCS,21555,Exc neck les sc < 3 cm,,,1326.84,3449.46,27
HCPCS,21556,Exc neck tum deep < 5 cm,,,1326.84,6066.67,27
HCPCS,21557,Resect neck thorax tumor<5cm,,,2116.0,6066.67,23
HCPCS,21558,Resect neck tumor 5 cm/>,,,3033.33,6066.67,23
HCPCS,21600,Partial removal of rib,,,1326.84,15155.02,27
HCPCS,21601,Exc chest wall tumor w/ribs,,,3033.33,6066.67,23
HCPCS,21602,Exc ch wal tum w/o lymphadec,,,3885.0,15155.02,23
HCPCS,21603,Exc ch wal tum w/lymphadec,,,3885.0,15155.02,23
HCPCS,21610,Partial removal of rib,,,1326.84,6833.76,27
HCPCS,21615,Removal of rib,,,3885.0,15155.02,23
HCPCS,21616,Removal of rib and nerves,,,3885.0,15155.02,23
HCPCS,21620,Partial removal of sternum,,,3416.88,9732.0,23
HCPCS,21627,Sternal debridement,,,3416.88,14016.0,23
HCPCS,21630,Extensive sternum surgery,,,3885.0,15155.02,23
HCPCS,21685,Hyoid myotomy & suspension,,,1457.0,12363.91,23
HCPCS,21700,Revision of neck muscle,,,1326.84,15155.02,27
HCPCS,21705,Revision of neck muscle/rib,,,3885.0,15155.02,23
HCPCS,21720,Revision of neck muscle,,,1517.25,6833.76,27
HCPCS,21725,Revision of neck muscle,,,263.16,2500.0,27
HCPCS,21740,Reconstruction of sternum,,,3885.0,15155.02,23
HCPCS,21742,Repair stern/nuss w/o scope,,,2428.0,9732.0,23
HCPCS,21743,Repair sternum/nuss w/scope,,,2428.0,9732.0,23
HCPCS,21750,Repair of sternum separation,,,3885.0,15155.02,23
HCPCS,21800,Treatment of rib fracture,,,1425.0,1500.0,2
HCPCS,21805,Treatment of rib fracture,,,1900.0,2000.0,2
HCPCS,21811,Optx of rib fx w/fixj scope,,,3760.0,15155.02,23
HCPCS,21812,Treatment of rib fracture,,,3760.0,15155.02,23
HCPCS,21813,Treatment of rib fracture,,,1679.19,5282.0,23
HCPCS,21820,Treat sternum fracture,,,257.59,1502.0,27
HCPCS,21825,Treat sternum fracture,,,3885.0,15155.02,23
HCPCS,21899,Neck/chest surgery procedure,,,247.34,3993.0,23
HCPCS,21920,Biopsy soft tissue of back,,,940.0,3449.46,23
HCPCS,21920,Hb Biopsy Soft Tissue Of Back,9329.0,3265.15,,,0
HCPCS,21925,Biopsy soft tissue of back,,,1326.84,5195.0,27
HCPCS,21930,Exc back les sc < 3 cm,,,1326.84,3449.46,27
HCPCS,21931,Exc back les sc 3 cm/>,,,1724.73,5282.0,23
HCPCS,21932,Exc back tum deep < 5 cm,,,2116.0,6066.67,23
HCPCS,21933,Exc back tum deep 5 cm/>,,,3033.33,6066.67,23
HCPCS,21935,Resect back tum < 5 cm,,,1517.25,6066.67,27
HCPCS,21936,Resect back tum 5 cm/>,,,3033.33,6066.67,23
HCPCS,22010,I&d p-spine c/t/cerv-thor,,,3885.0,15155.02,23
HCPCS,22015,I&d abscess p-spine l/s/ls,,,3885.0,15155.02,23
HCPCS,22100,Remove part of neck vertebra,,,5282.0,15155.02,23
HCPCS,22101,Remove part thorax vertebra,,,5282.0,15155.02,23
HCPCS,22102,Remove part lumbar vertebra,,,5282.0,15155.02,23
HCPCS,22103,Remove extra spine segment,,,704.0,5282.0,4
HCPCS,22110,Remove part of neck vertebra,,,3885.0,15155.02,23
HCPCS,22112,Remove part thorax vertebra,,,3885.0,15155.02,23
HCPCS,22114,Remove part lumbar vertebra,,,3885.0,15155.02,23
HCPCS,22116,Remove extra spine segment,,,704.0,3993.0,4
HCPCS,22206,Incis spine 3 column thorac,,,3885.0,15155.02,23
HCPCS,22207,Incis spine 3 column lumbar,,,3885.0,15155.02,23
HCPCS,22208,Incis spine 3 column adl seg,,,704.0,3993.0,4
HCPCS,22210,Incis 1 vertebral seg cerv,,,3885.0,15155.02,23
HCPCS,22212,Incis 1 vertebral seg thorac,,,3885.0,15155.02,23
HCPCS,22214,Incis 1 vertebral seg lumbar,,,3885.0,15155.02,23
HCPCS,22216,Incis addl spine segment,,,704.0,3993.0,4
HCPCS,22220,Incis w/discectomy cervical,,,3885.0,15155.02,23
HCPCS,22222,Incis w/discectomy thoracic,,,3885.0,15155.02,23
HCPCS,22224,Incis w/discectomy lumbar,,,3885.0,15155.02,23
HCPCS,22226,Revise extra spine segment,,,704.0,3993.0,4
HCPCS,22305,Treat spine process fracture,,,1425.0,1500.0,2
HCPCS,22310,Closed tx vert fx w/o manj,,,257.59,1502.0,27
HCPCS,22315,Closed tx vert fx w/manj,,,308.28,6833.76,27
HCPCS,22318,Treat odontoid fx w/o graft,,,3885.0,26814.33,23
HCPCS,22319,Treat odontoid fx w/graft,,,3885.0,26814.33,23
HCPCS,22325,Treat spine fracture,,,3885.0,26814.33,23
HCPCS,22326,Treat neck spine fracture,,,3885.0,26814.33,23
HCPCS,22327,Treat thorax spine fracture,,,3885.0,26814.33,23
HCPCS,22328,Treat each add spine fx,,,704.0,3993.0,4
HCPCS,22505,Manipulation of spine,,,1326.84,3358.38,27
HCPCS,22510,Hb 22510 Vertebro Uni Bi Inj Thor,6015.0,2105.25,,,0
HCPCS,22510,Perq cervicothoracic inject,,,3416.88,6833.76,23
HCPCS,22511,Hb 22511 Vertebro Uni Bi Inj Lumb,6015.0,2105.25,,,0
HCPCS,22511,Perq lumbosacral injection,,,3416.88,6833.76,23
HCPCS,22512,Hb 22512 Addl Vertebral Body,4652.0,1628.2,,,0
HCPCS,22512,Vertebroplasty addl inject,,,704.0,5282.0,4
HCPCS,22513,Hb 22513 Kypho Vert Body Thor,22192.0,7767.2,,,0
HCPCS,22513,Perq vertebral augmentation,,,3885.0,15155.02,23
HCPCS,22514,Hb 22514 Kypho Vert Body Lumbar,22192.0,7767.2,,,0
HCPCS,22514,Perq vertebral augmentation,,,3885.0,15155.02,23
HCPCS,22515,Hb 22515 Addl Kypho Vert Body,22192.0,7767.2,,,0
HCPCS,22515,Perq vertebral augmentation,,,704.0,3993.0,4
HCPCS,22526,Idet single level,,,4698.0,6490.0,4
HCPCS,22527,Idet 1 or more levels,,,4698.0,6490.0,4
HCPCS,22532,Lat thorax spine fusion,,,3885.0,26814.33,23
HCPCS,22533,Lat lumbar spine fusion,,,3885.0,36620.39,23
HCPCS,22534,Lat thor/lumb addl seg,,,704.0,3993.0,4
HCPCS,22548,Neck spine fusion,,,3885.0,26814.33,23
HCPCS,22551,Neck spine fuse&remov bel c2,,,3885.0,26814.33,23
HCPCS,22552,Addl neck spine fusion,,,7046.0,9732.0,2
HCPCS,22554,Neck spine fusion,,,3885.0,26814.33,23
HCPCS,22556,Thorax spine fusion,,,3885.0,36620.39,23
HCPCS,22558,Lumbar spine fusion,,,3885.0,56670.98,23
HCPCS,22585,Additional spinal fusion,,,10145.0,14016.0,2
HCPCS,22586,Prescrl fuse w/ instr l5-s1,,,3885.0,36620.39,23
HCPCS,22590,Spine & skull spinal fusion,,,3885.0,26814.33,23
HCPCS,22595,Neck spinal fusion,,,3885.0,26814.33,23
HCPCS,22600,Neck spine fusion,,,3885.0,36620.39,23
HCPCS,22610,Thorax spine fusion,,,3885.0,36620.39,23
HCPCS,22612,Lumbar spine fusion,,,3885.0,36620.39,23
HCPCS,22614,Spine fusion extra segment,,,704.0,972.0,2
HCPCS,22630,Lumbar spine fusion,,,3885.0,56670.98,23
HCPCS,22632,Spine fusion extra segment,,,704.0,3993.0,4
HCPCS,22633,Lumbar spine fusion combined,,,3885.0,56670.98,23
HCPCS,22634,Spine fusion extra segment,,,704.0,972.0,2
HCPCS,22800,Post fusion <=6 vert seg,,,3885.0,36620.39,23
HCPCS,22802,Post fusion 7-12 vert seg,,,3885.0,36620.39,23
HCPCS,22804,Post fusion 13/> vert seg,,,3885.0,36620.39,23
HCPCS,22808,Ant fusion 2-3 vert seg,,,3885.0,36620.39,23
HCPCS,22810,Ant fusion 4-7 vert seg,,,3885.0,36620.39,23
HCPCS,22812,Ant fusion 8/> vert seg,,,3885.0,36620.39,23
HCPCS,22818,Kyphectomy 1-2 segments,,,3885.0,36620.39,23
HCPCS,22819,Kyphectomy 3 or more,,,3885.0,36620.39,23
HCPCS,22830,Exploration of spinal fusion,,,3885.0,15155.02,23
HCPCS,22836,Ant thrc vrt body tethrg <7,,,3613.0,36620.39,23
HCPCS,22837,Ant thrc vrt body tethrg 8+,,,3613.0,36620.39,23
HCPCS,22838,Rev rplc/rmv thrc vrt tethrg,,,3613.0,36620.39,23
HCPCS,22840,Insert spine fixation device,,,704.0,972.0,2
HCPCS,22841,Insert spine fixation device,,,704.0,3993.0,4
HCPCS,22842,Insert spine fixation device,,,704.0,972.0,2
HCPCS,22843,Insert spine fixation device,,,704.0,3993.0,4
HCPCS,22844,Insert spine fixation device,,,704.0,3993.0,4
HCPCS,22845,Insert spine fixation device,,,10145.0,14016.0,2
HCPCS,22846,Insert spine fixation device,,,3885.0,14016.0,4
HCPCS,22847,Insert spine fixation device,,,3885.0,14016.0,4
HCPCS,22848,Insert pelv fixation device,,,704.0,3993.0,4
HCPCS,22849,Reinsert spinal fixation,,,3885.0,26814.33,23
HCPCS,22850,Remove spine fixation device,,,3885.0,15155.02,23
HCPCS,22852,Remove spine fixation device,,,3885.0,15155.02,23
HCPCS,22853,Insj biomechanical device,,,704.0,972.0,2
HCPCS,22854,Insj biomechanical device,,,704.0,972.0,2
HCPCS,22855,Remove spine fixation device,,,3885.0,15155.02,23
HCPCS,22856,Cerv artific diskectomy,,,3885.0,36620.39,23
HCPCS,22857,Lumbar Artif Diskectomy,,,3885.0,36620.39,23
HCPCS,22858,Second level cer diskectomy,,,704.0,972.0,2
HCPCS,22859,Insj biomechanical device,,,704.0,972.0,2
HCPCS,22860,Tot disc arthrp 2ntrspc lmbr,,,3613.0,4992.0,4
HCPCS,22861,Revise cerv artific disc,,,3885.0,36620.39,23
HCPCS,22862,Revise Lumbar Artif Disc,,,3885.0,36620.39,23
HCPCS,22864,Remove cerv artif disc,,,3885.0,15155.02,23
HCPCS,22865,Remove Lumb Artif Disc,,,3885.0,15155.02,23
HCPCS,22867,Insj stablj dev w/dcmprn,,,3885.0,36620.39,23
HCPCS,22868,Insj stablj dev w/dcmprn,,,704.0,972.0,2
HCPCS,22869,Insj stablj dev w/o dcmprn,,,3885.0,26814.33,23
HCPCS,22870,Insj stablj dev w/o dcmprn,,,704.0,972.0,2
HCPCS,22899,Hb 22899 Unlisted Spine Surgery,19639.0,6873.65,,,0
HCPCS,22899,Spine surgery procedure,,,257.59,3993.0,23
HCPCS,22900,Exc abdl tum deep < 5 cm,,,1874.25,6066.67,27
HCPCS,22901,Exc abdl tum deep 5 cm/>,,,3033.33,6066.67,23
HCPCS,22902,Exc abd les sc < 3 cm,,,1724.73,4499.0,23
HCPCS,22903,Exc abd les sc 3 cm/>,,,3033.33,6066.67,23
HCPCS,22904,Radical resect abd tumor<5cm,,,2116.0,6066.67,23
HCPCS,22905,Rad resect abd tumor 5 cm/>,,,3033.33,6066.67,23
HCPCS,22999,Abdomen surgery procedure,,,257.59,3993.0,23
HCPCS,22999,Hb Abdomen Surgery Procedure,4235.0,1482.25,,,0
HCPCS,23000,Removal of calcium deposits,,,1326.84,6066.67,27
HCPCS,23020,Release shoulder joint,,,1326.84,6833.76,27
HCPCS,23030,Drain shoulder lesion,,,990.66,6066.67,27
HCPCS,23031,Drain shoulder bursa,,,1517.25,6066.67,27
HCPCS,23035,Drain shoulder bone lesion,,,1517.25,5195.0,27
HCPCS,23040,Exploratory shoulder surgery,,,1517.25,6833.76,27
HCPCS,23044,Exploratory shoulder surgery,,,1874.25,6833.76,27
HCPCS,23065,Biopsy shoulder tissues,,,940.0,3449.46,23
HCPCS,23065,Hb Rmvl Fecal Impaction/Fb Spx Under Anes,9248.0,3236.8,,,0
HCPCS,23066,Biopsy shoulder tissues,,,1326.84,6066.67,27
HCPCS,23071,Exc shoulder les sc 3 cm/>,,,1724.73,5282.0,23
HCPCS,23073,Exc shoulder tum deep 5 cm/>,,,3033.33,6066.67,23
HCPCS,23075,Exc shoulder les sc < 3 cm,,,1326.84,3449.46,27
HCPCS,23076,Exc shoulder tum deep < 5 cm,,,1326.84,6066.67,27
HCPCS,23077,Resect shoulder tumor < 5 cm,,,1517.25,6066.67,27
HCPCS,23078,Resect shoulder tumor 5 cm/>,,,3033.33,6066.67,23
HCPCS,23100,Biopsy of shoulder joint,,,1326.84,6833.76,27
HCPCS,23101,Shoulder joint surgery,,,2960.1,6833.76,25
HCPCS,23105,Remove shoulder joint lining,,,1874.25,15155.02,27
HCPCS,23106,Incision of collarbone joint,,,1874.25,6833.76,27
HCPCS,23107,Explore treat shoulder joint,,,1874.25,15155.02,27
HCPCS,23120,Partial removal collar bone,,,2133.06,6833.76,25
HCPCS,23125,Removal of collar bone,,,2133.06,6833.76,25
HCPCS,23130,Remove shoulder bone part,,,2133.06,9732.0,25
HCPCS,23140,Removal of bone lesion,,,1874.25,6833.76,27
HCPCS,23145,Removal of bone lesion,,,2133.06,6833.76,25
HCPCS,23146,Removal of bone lesion,,,2133.06,15155.02,25
HCPCS,23150,Removal of humerus lesion,,,1874.25,6833.76,27
HCPCS,23155,Removal of humerus lesion,,,2133.06,15155.02,25
HCPCS,23156,Removal of humerus lesion,,,2133.06,15155.02,25
HCPCS,23170,Remove collar bone lesion,,,1326.84,6833.76,27
HCPCS,23172,Remove shoulder blade lesion,,,1326.84,6833.76,27
HCPCS,23174,Remove humerus lesion,,,1326.84,15155.02,27
HCPCS,23180,Remove collar bone lesion,,,1874.25,15155.02,27
HCPCS,23182,Remove shoulder blade lesion,,,1874.25,15155.02,27
HCPCS,23184,Remove humerus lesion,,,1874.25,15155.02,27
HCPCS,23190,Partial removal of scapula,,,1874.25,6833.76,27
HCPCS,23195,Removal of head of humerus,,,2133.06,15155.02,25
HCPCS,23200,Resect clavicle tumor,,,3885.0,15155.02,23
HCPCS,23210,Resect scapula tumor,,,3885.0,15155.02,23
HCPCS,23220,Resect prox humerus tumor,,,3885.0,15155.02,23
HCPCS,23330,Remove shoulder foreign body,,,940.0,3449.46,27
HCPCS,23331,Remove shoulder foreign body,,,1425.0,1500.0,2
HCPCS,23333,Remove shoulder fb deep,,,940.0,6066.67,23
HCPCS,23334,Shoulder prosthesis removal,,,3760.0,15155.02,23
HCPCS,23335,Shoulder prosthesis removal,,,3760.0,15155.02,23
HCPCS,23350,Hb Inject For Shldr Arthrogram,1666.0,583.1,,,0
HCPCS,23350,Injection for shoulder x-ray,,,704.0,972.0,2
HCPCS,23395,Muscle transfer shoulder/arm,,,2133.06,15155.02,25
HCPCS,23397,Muscle transfers,,,2960.1,15155.02,25
HCPCS,23400,Fixation of shoulder blade,,,2960.1,15155.02,25
HCPCS,23405,Incision of tendon & muscle,,,1326.84,15155.02,27
HCPCS,23406,Incise tendon(s) & muscle(s),,,1326.84,15155.02,27
HCPCS,23410,Repair rotator cuff acute,,,2133.06,15155.02,25
HCPCS,23412,Repair rotator cuff chronic,,,2960.1,15155.02,25
HCPCS,23415,Release of shoulder ligament,,,2133.06,15155.02,25
HCPCS,23420,Repair of shoulder,,,2960.1,15155.02,25
HCPCS,23430,Repair biceps tendon,,,1874.25,15155.02,27
HCPCS,23440,Remove/transplant tendon,,,1874.25,15155.02,27
HCPCS,23450,Repair shoulder capsule,,,2133.06,15155.02,25
HCPCS,23455,Repair shoulder capsule,,,2960.1,15155.02,25
HCPCS,23460,Repair shoulder capsule,,,2133.06,15155.02,25
HCPCS,23462,Repair shoulder capsule,,,2960.1,15155.02,25
HCPCS,23465,Repair shoulder capsule,,,2133.06,15155.02,25
HCPCS,23466,Repair shoulder capsule,,,2960.1,15155.02,25
HCPCS,23470,Reconstruct shoulder joint,,,3885.0,26814.33,23
HCPCS,23472,Reconstruct shoulder joint,,,3885.0,36620.39,23
HCPCS,23473,Revis reconst shoulder joint,,,5506.0,26814.33,23
HCPCS,23474,Revis reconst shoulder joint,,,5506.0,26814.33,23
HCPCS,23480,Revision of collar bone,,,1874.25,15155.02,27
HCPCS,23485,Revision of collar bone,,,2960.1,26814.33,25
HCPCS,23490,Reinforce clavicle,,,1517.25,15155.02,27
HCPCS,23491,Reinforce shoulder bones,,,1517.25,26814.33,27
HCPCS,23500,Treat clavicle fracture,,,257.59,1502.0,27
HCPCS,23505,Treat clavicle fracture,,,308.28,3358.38,27
HCPCS,23515,Treat clavicle fracture,,,1517.25,15155.02,27
HCPCS,23520,Treat clavicle dislocation,,,308.28,3358.38,27
HCPCS,23525,Treat clavicle dislocation,,,257.59,1502.0,27
HCPCS,23530,Treat clavicle dislocation,,,1517.25,15155.02,27
HCPCS,23532,Treat clavicle dislocation,,,1874.25,15155.02,27
HCPCS,23540,Treat clavicle dislocation,,,257.59,1502.0,27
HCPCS,23545,Treat clavicle dislocation,,,257.59,1502.0,27
HCPCS,23550,Treat clavicle dislocation,,,1517.25,15155.02,27
HCPCS,23552,Treat clavicle dislocation,,,1874.25,15155.02,27
HCPCS,23570,Treat shoulder blade fx,,,257.59,1502.0,27
HCPCS,23575,Hb Cl Tx Scapular Fx; W Manip,7740.0,2709.0,,,0
HCPCS,23575,Treat shoulder blade fx,,,308.28,3358.38,27
HCPCS,23585,Treat scapula fracture,,,1517.25,15155.02,27
HCPCS,23600,Treat humerus fracture,,,257.59,1502.0,23
HCPCS,23605,Treat humerus fracture,,,308.28,5195.0,27
HCPCS,23615,Treat humerus fracture,,,1874.25,26814.33,27
HCPCS,23616,Treat humerus fracture,,,1874.25,36620.39,27
HCPCS,23620,Treat humerus fracture,,,257.59,1502.0,23
HCPCS,23625,Treat humerus fracture,,,308.28,3358.38,27
HCPCS,23630,Treat humerus fracture,,,2133.06,15155.02,25
HCPCS,23650,Hb Closed Reduc Shoulder W-O Anest,2062.0,721.7,,,0
HCPCS,23650,Treat shoulder dislocation,,,257.59,1502.0,27
HCPCS,23655,Hb Treat Shoulder Dislocation,10090.0,3531.5,,,0
HCPCS,23655,Treat shoulder dislocation,,,990.66,3358.38,27
HCPCS,23660,Treat shoulder dislocation,,,1517.25,15155.02,27
HCPCS,23665,Hb Treat Dislocation/Fracture,5107.0,1787.45,,,0
HCPCS,23665,Treat dislocation/fracture,,,308.28,3358.38,27
HCPCS,23670,Treat dislocation/fracture,,,1517.25,15155.02,27
HCPCS,23675,Hb Cl Tx Shdr Disloc W Nk Fx W Manip,7098.0,2484.3,,,0
HCPCS,23675,Treat dislocation/fracture,,,308.28,3358.38,27
HCPCS,23680,Treat dislocation/fracture,,,1517.25,26814.33,27
HCPCS,23700,Fixation of shoulder,,,990.66,3358.38,27
HCPCS,23800,Fusion of shoulder joint,,,1874.25,15155.02,27
HCPCS,23802,Fusion of shoulder joint,,,2960.1,26814.33,25
HCPCS,23900,Amputation of arm & girdle,,,3885.0,26814.33,23
HCPCS,23920,Amputation at shoulder joint,,,3885.0,26814.33,23
HCPCS,23921,Amputation follow-up surgery,,,961.74,4309.28,27
HCPCS,23929,Shoulder surgery procedure,,,257.59,3993.0,23
HCPCS,23930,Drainage of arm lesion,,,990.66,6066.67,27
HCPCS,23930,Hb I&D Ua/Elbow Deep Abscess/Hematoma,26159.0,9155.65,,,0
HCPCS,23931,Drainage of arm bursa,,,1326.84,3449.46,27
HCPCS,23935,Drain arm/elbow bone lesion,,,1326.84,6833.76,27
HCPCS,24000,Exploratory elbow surgery,,,1874.25,6833.76,27
HCPCS,24006,Release elbow joint,,,1874.25,6833.76,27
HCPCS,24065,Biopsy arm/elbow soft tissue,,,1457.0,3449.46,23
HCPCS,24065,Hb Bx Soft Tissue Upper Arm/Elbow Superficial,16656.0,5829.6,,,0
HCPCS,24066,Biopsy arm/elbow soft tissue,,,1326.84,6066.67,27
HCPCS,24071,Exc arm/elbow les sc 3 cm/>,,,3033.33,6066.67,23
HCPCS,24073,Ex arm/elbow tum deep 5 cm/>,,,3033.33,6066.67,23
HCPCS,24075,Exc arm/elbow les sc < 3 cm,,,1326.84,3449.46,27
HCPCS,24076,Ex arm/elbow tum deep < 5 cm,,,1326.84,6066.67,27
HCPCS,24077,Resect arm/elbow tum < 5 cm,,,1517.25,6066.67,27
HCPCS,24079,Resect arm/elbow tum 5 cm/>,,,3033.33,6066.67,23
HCPCS,24100,Biopsy elbow joint lining,,,990.66,6833.76,27
HCPCS,24101,Explore/treat elbow joint,,,1874.25,6833.76,27
HCPCS,24102,Remove elbow joint lining,,,1874.25,6833.76,27
HCPCS,24105,Removal of elbow bursa,,,1517.25,6833.76,27
HCPCS,24110,Remove humerus lesion,,,1326.84,6833.76,27
HCPCS,24115,Remove/graft bone lesion,,,1517.25,15155.02,27
HCPCS,24116,Remove/graft bone lesion,,,1517.25,15155.02,27
HCPCS,24120,Remove elbow lesion,,,1517.25,6833.76,27
HCPCS,24125,Remove/graft bone lesion,,,1517.25,6833.76,27
HCPCS,24126,Remove/graft bone lesion,,,1517.25,15155.02,27
HCPCS,24130,Removal of head of radius,,,1517.25,6833.76,27
HCPCS,24134,Removal of arm bone lesion,,,1326.84,15155.02,27
HCPCS,24136,Remove radius bone lesion,,,1326.84,6833.76,27
HCPCS,24138,Remove elbow bone lesion,,,1326.84,15155.02,27
HCPCS,24140,Partial removal of arm bone,,,1517.25,6833.76,27
HCPCS,24145,Partial removal of radius,,,1517.25,15155.02,27
HCPCS,24147,Partial removal of elbow,,,1326.84,6833.76,27
HCPCS,24149,Radical resection of elbow,,,3885.0,15155.02,23
HCPCS,24150,Resect distal humerus tumor,,,2428.0,15155.02,23
HCPCS,24152,Resect radius tumor,,,2428.0,15155.02,23
HCPCS,24155,Removal of elbow joint,,,1517.25,6833.76,27
HCPCS,24160,Remove elbow joint implant,,,1326.84,6833.76,27
HCPCS,24164,Remove radius head implant,,,1517.25,6833.76,27
HCPCS,24200,Hb Rem Fb Up Arm Or Elbow; Sq,22911.0,8018.85,,,0
HCPCS,24200,Removal of arm foreign body,,,940.0,3449.46,23
HCPCS,24201,Removal of arm foreign body,,,1326.84,6066.67,27
HCPCS,24220,Hb Inject For Elbow Arthrogram,1578.0,552.3,,,0
HCPCS,24220,Injection for elbow x-ray,,,704.0,972.0,2
HCPCS,24300,Manipulate elbow w/anesth,,,1679.19,3358.38,23
HCPCS,24301,Muscle/tendon transfer,,,1874.25,15155.02,27
HCPCS,24305,Arm tendon lengthening,,,1874.25,6833.76,27
HCPCS,24310,Revision of arm tendon,,,1517.25,6833.76,27
HCPCS,24320,Repair of arm tendon,,,1517.25,15155.02,27
HCPCS,24330,Revision of arm muscles,,,1517.25,15155.02,27
HCPCS,24331,Revision of arm muscles,,,1517.25,15155.02,27
HCPCS,24332,Tenolysis triceps,,,2428.0,6833.76,23
HCPCS,24340,Repair of biceps tendon,,,1517.25,15155.02,27
HCPCS,24341,Repair arm tendon/muscle,,,1517.25,15155.02,27
HCPCS,24342,Repair of ruptured tendon,,,1517.25,15155.02,27
HCPCS,24343,Repr elbow lat ligmnt w/tiss,,,2428.0,6833.76,23
HCPCS,24344,Reconstruct elbow lat ligmnt,,,2428.0,15155.02,23
HCPCS,24345,Repr elbw med ligmnt w/tissu,,,1326.84,15155.02,27
HCPCS,24346,Reconstruct elbow med ligmnt,,,2428.0,26814.33,23
HCPCS,24350,Repair of tennis elbow,,,2375.0,2500.0,2
HCPCS,24351,Repair of tennis elbow,,,2375.0,2500.0,2
HCPCS,24352,Repair of tennis elbow,,,2375.0,2500.0,2
HCPCS,24354,Repair of tennis elbow,,,2375.0,2500.0,2
HCPCS,24356,Revision of tennis elbow,,,2375.0,2500.0,2
HCPCS,24357,Repair elbow perc,,,3416.88,6833.76,23
HCPCS,24358,Repair elbow w/deb open,,,3416.88,6833.76,23
HCPCS,24359,Repair elbow deb/attch open,,,3416.88,6833.76,23
HCPCS,24360,Reconstruct elbow joint,,,2133.06,15155.02,25
HCPCS,24361,Reconstruct elbow joint,,,2133.06,36620.39,25
HCPCS,24362,Reconstruct elbow joint,,,2133.06,26814.33,25
HCPCS,24363,Replace elbow joint,,,2960.1,36620.39,25
HCPCS,24365,Reconstruct head of radius,,,2133.06,26814.33,25
HCPCS,24366,Reconstruct head of radius,,,2133.06,26814.33,25
HCPCS,24370,Revise reconst elbow joint,,,5506.0,26814.33,23
HCPCS,24371,Revise reconst elbow joint,,,5506.0,36620.39,23
HCPCS,24400,Revision of humerus,,,1874.25,15155.02,27
HCPCS,24410,Revision of humerus,,,1874.25,26814.33,27
HCPCS,24420,Revision of humerus,,,1517.25,15155.02,27
HCPCS,24430,Repair of humerus,,,1517.25,26814.33,27
HCPCS,24435,Repair humerus with graft,,,1874.25,26814.33,27
HCPCS,24470,Revision of elbow joint,,,1517.25,9732.0,27
HCPCS,24495,Decompression of forearm,,,1326.84,15155.02,27
HCPCS,24498,Reinforce humerus,,,1517.25,26814.33,27
HCPCS,24500,Treat humerus fracture,,,257.59,1502.0,27
HCPCS,24505,Hb Treat Humerus Fracture,3405.0,1191.75,,,0
HCPCS,24505,Treat humerus fracture,,,308.28,3358.38,27
HCPCS,24515,Treat humerus fracture,,,1874.25,26814.33,27
HCPCS,24516,Treat humerus fracture,,,1874.25,26814.33,27
HCPCS,24530,Treat humerus fracture,,,257.59,1502.0,27
HCPCS,24535,Hb Cltx Sprcndylr/Transcndylr Humeral Fx W/Manj,6028.0,2109.8,,,0
HCPCS,24535,Treat humerus fracture,,,308.28,3358.38,27
HCPCS,24538,Treat humerus fracture,,,1326.84,15155.02,27
HCPCS,24545,Treat humerus fracture,,,1874.25,26814.33,27
HCPCS,24546,Treat humerus fracture,,,2133.06,26814.33,25
HCPCS,24560,Treat humerus fracture,,,257.59,1502.0,27
HCPCS,24565,Hb Cl Tx Humeral Epicondylar Fx Medial/Lat W/Manj,21515.0,7530.25,,,0
HCPCS,24565,Treat humerus fracture,,,308.28,3358.38,27
HCPCS,24566,Treat humerus fracture,,,1326.84,5195.0,27
HCPCS,24575,Treat humerus fracture,,,1517.25,26814.33,27
HCPCS,24576,Treat humerus fracture,,,257.59,1502.0,27
HCPCS,24577,Treat humerus fracture,,,308.28,3358.38,27
HCPCS,24579,Treat humerus fracture,,,1517.25,26814.33,27
HCPCS,24582,Treat humerus fracture,,,1326.84,15155.02,27
HCPCS,24586,Treat elbow fracture,,,1874.25,26814.33,27
HCPCS,24587,Treat elbow fracture,,,2133.06,26814.33,25
HCPCS,24600,Hb Rx Cl Elbow Disloc Wo Anesth,3177.0,1111.95,,,0
HCPCS,24600,Treat elbow dislocation,,,257.59,1502.0,27
HCPCS,24605,Hb Treatment Closed Elbow Dislocation Req Anes,12494.0,4372.9,,,0
HCPCS,24605,Treat elbow dislocation,,,1326.84,3358.38,27
HCPCS,24615,Treat elbow dislocation,,,1517.25,15155.02,27
HCPCS,24620,Hb Closed Tx Monteggia Fx Dislocation Elbow W/Manj,7501.0,2625.35,,,0
HCPCS,24620,Treat elbow fracture,,,308.28,3358.38,27
HCPCS,24635,Treat elbow fracture,,,1517.25,15155.02,27
HCPCS,24640,Hb Treat Elbow Dislocation,1646.0,576.1,,,0
HCPCS,24640,Treat elbow dislocation,,,257.59,1502.0,23
HCPCS,24650,Treat radius fracture,,,257.59,972.0,21
HCPCS,24655,Hb Cl Tx Radial Hd/Neck Fx; W Manip,7634.0,2671.9,,,0
HCPCS,24655,Treat radius fracture,,,308.28,3358.38,27
HCPCS,24665,Treat radius fracture,,,1874.25,15155.02,27
HCPCS,24666,Treat radius fracture,,,1874.25,26814.33,27
HCPCS,24670,Treat ulnar fracture,,,257.59,1502.0,27
HCPCS,24675,Hb Closed Tx Ulnar Fracture Proximal End W Mnp,9748.0,3411.8,,,0
HCPCS,24675,Treat ulnar fracture,,,308.28,3358.38,27
HCPCS,24685,Treat ulnar fracture,,,1517.25,15155.02,27
HCPCS,24800,Fusion of elbow joint,,,1874.25,15155.02,27
HCPCS,24802,Fusion/graft of elbow joint,,,2133.06,26814.33,25
HCPCS,24900,Amputation of upper arm,,,3885.0,26814.33,23
HCPCS,24920,Amputation of upper arm,,,3885.0,26814.33,23
HCPCS,24925,Amputation follow-up surgery,,,1517.25,6833.76,27
HCPCS,24930,Amputation follow-up surgery,,,3885.0,15155.02,23
HCPCS,24931,Amputate upper arm & implant,,,3885.0,26814.33,23
HCPCS,24935,Revision of amputation,,,3885.0,15155.02,23
HCPCS,24940,Revision of upper arm,,,3885.0,26814.33,23
HCPCS,24999,Hb Unlisted Procedure Humerus/Elbow,10774.0,3770.9,,,0
HCPCS,24999,Upper arm/elbow surgery,,,257.59,3993.0,23
HCPCS,25000,Incision of tendon sheath,,,1517.25,5195.0,27
HCPCS,25001,Incise flexor carpi radialis,,,2428.0,6833.76,23
HCPCS,25020,Decompress forearm 1 space,,,1517.25,6490.0,27
HCPCS,25023,Decompress forearm 1 space,,,1517.25,6833.76,27
HCPCS,25024,Decompress forearm 2 spaces,,,1517.25,6833.76,27
HCPCS,25025,Decompress forearm 2 spaces,,,1517.25,5195.0,27
HCPCS,25028,Drainage of forearm lesion,,,990.66,6833.76,27
HCPCS,25028,Hb Drain Wrist Abscess Or Hematoma,5790.0,2026.5,,,0
HCPCS,25031,Drainage of forearm bursa,,,1326.84,5195.0,27
HCPCS,25035,Treat forearm bone lesion,,,1326.84,15155.02,27
HCPCS,25040,Explore/treat wrist joint,,,2133.06,6833.76,25
HCPCS,25065,Biopsy forearm soft tissues,,,940.0,3449.46,23
HCPCS,25065,Hb St Bx Fa/Wrist; Superficial,20656.0,7229.6,,,0
HCPCS,25066,Biopsy forearm soft tissues,,,1326.84,6066.67,27
HCPCS,25071,Exc forearm les sc 3 cm/>,,,1724.73,5282.0,23
HCPCS,25073,Exc forearm tum deep 3 cm/>,,,3033.33,6066.67,23
HCPCS,25075,Exc forearm les sc < 3 cm,,,1326.84,3449.46,27
HCPCS,25076,Exc forearm tum deep < 3 cm,,,1517.25,3449.46,27
HCPCS,25077,Resect forearm/wrist tum<3cm,,,1517.25,6066.67,27
HCPCS,25078,Resect forarm/wrist tum 3cm>,,,3033.33,6066.67,23
HCPCS,25085,Incision of wrist capsule,,,1517.25,6833.76,27
HCPCS,25100,Biopsy of wrist joint,,,1326.84,6833.76,27
HCPCS,25101,Explore/treat wrist joint,,,1517.25,6833.76,27
HCPCS,25105,Remove wrist joint lining,,,1874.25,6833.76,27
HCPCS,25107,Remove wrist joint cartilage,,,1517.25,6833.76,27
HCPCS,25109,Excise tendon forearm/wrist,,,2428.0,6833.76,23
HCPCS,25110,Remove wrist tendon lesion,,,1517.25,5195.0,27
HCPCS,25111,Remove wrist tendon lesion,,,1517.25,5195.0,27
HCPCS,25112,Reremove wrist tendon lesion,,,1679.19,5195.0,27
HCPCS,25115,Remove wrist/forearm lesion,,,1679.19,5195.0,27
HCPCS,25116,Remove wrist/forearm lesion,,,1874.25,6833.76,27
HCPCS,25118,Excise wrist tendon sheath,,,1326.84,5195.0,27
HCPCS,25119,Partial removal of ulna,,,1517.25,6833.76,27
HCPCS,25120,Removal of forearm lesion,,,1517.25,6833.76,27
HCPCS,25125,Remove/graft forearm lesion,,,1517.25,5195.0,27
HCPCS,25126,Remove/graft forearm lesion,,,1517.25,6833.76,27
HCPCS,25130,Removal of wrist lesion,,,1517.25,6833.76,27
HCPCS,25135,Remove & graft wrist lesion,,,1517.25,15155.02,27
HCPCS,25136,Remove & graft wrist lesion,,,1517.25,15155.02,27
HCPCS,25145,Remove forearm bone lesion,,,1326.84,6833.76,27
HCPCS,25150,Partial removal of ulna,,,1326.84,6833.76,27
HCPCS,25151,Partial removal of radius,,,1326.84,6833.76,27
HCPCS,25170,Resect radius/ulnar tumor,,,2428.0,15155.02,23
HCPCS,25210,Removal of wrist bone,,,1517.25,6833.76,27
HCPCS,25215,Removal of wrist bones,,,1874.25,6833.76,27
HCPCS,25230,Partial removal of radius,,,1874.25,6833.76,27
HCPCS,25240,Partial removal of ulna,,,1874.25,6833.76,27
HCPCS,25246,Hb 25246 Inject Wrist Arthrogram,982.0,343.7,,,0
HCPCS,25246,Hb Inject Wrist Arthrogram,982.0,343.7,,,0
HCPCS,25246,Injection for wrist x-ray,,,704.0,972.0,2
HCPCS,25248,Remove forearm foreign body,,,1326.84,5195.0,27
HCPCS,25250,Removal of wrist prosthesis,,,990.66,3358.38,27
HCPCS,25251,Removal of wrist prosthesis,,,990.66,6833.76,27
HCPCS,25259,Manipulate wrist w/anesthes,,,1679.19,3358.38,23
HCPCS,25260,Repair forearm tendon/muscle,,,1874.25,6833.76,27
HCPCS,25263,Repair forearm tendon/muscle,,,1326.84,15155.02,27
HCPCS,25265,Repair forearm tendon/muscle,,,1517.25,6833.76,27
HCPCS,25270,Repair forearm tendon/muscle,,,1874.25,6833.76,27
HCPCS,25272,Repair forearm tendon/muscle,,,1517.25,6833.76,27
HCPCS,25274,Repair forearm tendon/muscle,,,1874.25,6833.76,27
HCPCS,25275,Repair forearm tendon sheath,,,1874.25,6833.76,27
HCPCS,25280,Revise wrist/forearm tendon,,,1874.25,6833.76,27
HCPCS,25290,Incise wrist/forearm tendon,,,1517.25,6833.76,27
HCPCS,25295,Release wrist/forearm tendon,,,1517.25,6833.76,27
HCPCS,25300,Fusion of tendons at wrist,,,1517.25,6833.76,27
HCPCS,25301,Fusion of tendons at wrist,,,1517.25,6833.76,27
HCPCS,25310,Transplant forearm tendon,,,1517.25,6833.76,27
HCPCS,25312,Transplant forearm tendon,,,1874.25,9732.0,27
HCPCS,25315,Revise palsy hand tendon(s),,,1517.25,15155.02,27
HCPCS,25316,Revise palsy hand tendon(s),,,1517.25,15155.02,27
HCPCS,25320,Repair/revise wrist joint,,,1517.25,15155.02,27
HCPCS,25332,Revise wrist joint,,,2133.06,9732.0,25
HCPCS,25335,Realignment of hand,,,1517.25,9732.0,27
HCPCS,25337,Reconstruct ulna/radioulnar,,,2133.06,15155.02,25
HCPCS,25350,Revision of radius,,,1517.25,15155.02,27
HCPCS,25355,Revision of radius,,,1517.25,9732.0,27
HCPCS,25360,Revision of ulna,,,1517.25,15155.02,27
HCPCS,25365,Revise radius & ulna,,,1517.25,26814.33,27
HCPCS,25370,Revise radius or ulna,,,1517.25,9732.0,27
HCPCS,25375,Revise radius & ulna,,,1874.25,9732.0,27
HCPCS,25390,Shorten radius or ulna,,,1517.25,15155.02,27
HCPCS,25391,Lengthen radius or ulna,,,1874.25,26814.33,27
HCPCS,25392,Shorten radius & ulna,,,1517.25,15155.02,27
HCPCS,25393,Lengthen radius & ulna,,,1874.25,15155.02,27
HCPCS,25394,Repair carpal bone shorten,,,3036.0,9732.0,23
HCPCS,25400,Repair radius or ulna,,,1517.25,15155.02,27
HCPCS,25405,Repair/graft radius or ulna,,,1874.25,15155.02,27
HCPCS,25415,Repair radius & ulna,,,1517.25,15155.02,27
HCPCS,25420,Repair/graft radius & ulna,,,1874.25,15155.02,27
HCPCS,25425,Repair/graft radius or ulna,,,1517.25,15155.02,27
HCPCS,25426,Repair/graft radius & ulna,,,1874.25,9732.0,27
HCPCS,25430,Vasc graft into carpal bone,,,2428.0,9732.0,23
HCPCS,25431,Repair nonunion carpal bone,,,2428.0,15155.02,23
HCPCS,25440,Repair/graft wrist bone,,,1874.25,15155.02,27
HCPCS,25441,Reconstruct wrist joint,,,2133.06,26814.33,25
HCPCS,25442,Reconstruct wrist joint,,,2133.06,36620.39,25
HCPCS,25443,Reconstruct wrist joint,,,2133.06,15155.02,25
HCPCS,25444,Reconstruct wrist joint,,,2133.06,26814.33,25
HCPCS,25445,Reconstruct wrist joint,,,2133.06,15155.02,25
HCPCS,25446,Wrist replacement,,,2960.1,36620.39,25
HCPCS,25447,Repair wrist joints,,,2133.06,9732.0,25
HCPCS,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,3416.88,6833.76,23
HCPCS,25449,Remove wrist joint implant,,,2133.06,15155.02,25
HCPCS,25450,Revision of wrist joint,,,1517.25,9732.0,27
HCPCS,25455,Revision of wrist joint,,,1517.25,9732.0,27
HCPCS,25490,Reinforce radius,,,1517.25,15155.02,27
HCPCS,25491,Reinforce ulna,,,1517.25,26814.33,27
HCPCS,25492,Reinforce radius and ulna,,,1517.25,9732.0,27
HCPCS,25500,Treat fracture of radius,,,257.59,972.0,21
HCPCS,25505,Hb Treat Fracture Of Radius,4901.0,1715.35,,,0
HCPCS,25505,Treat fracture of radius,,,308.28,3358.38,27
HCPCS,25515,Treat fracture of radius,,,1517.25,15155.02,27
HCPCS,25520,Treat fracture of radius,,,308.28,3358.38,27
HCPCS,25525,Treat fracture of radius,,,1874.25,15155.02,27
HCPCS,25526,Treat fracture of radius,,,2133.06,15155.02,25
HCPCS,25530,Treat fracture of ulna,,,257.59,972.0,21
HCPCS,25535,Hb Cl Tx Ulnar Shft Fx W Manip,14723.0,5153.05,,,0
HCPCS,25535,Treat fracture of ulna,,,257.59,1502.0,27
HCPCS,25545,Treat fracture of ulna,,,1517.25,15155.02,27
HCPCS,25560,Treat fracture radius & ulna,,,257.59,972.0,21
HCPCS,25565,Hb Cl Tx Radial & Ulna Fx W Manip,6696.0,2343.6,,,0
HCPCS,25565,Treat fracture radius & ulna,,,308.28,3358.38,27
HCPCS,25574,Treat fracture radius & ulna,,,1517.25,15155.02,27
HCPCS,25575,Treat fracture radius/ulna,,,1517.25,15155.02,27
HCPCS,25600,Hb Tx Fracture Radius/Ulna,1227.5,429.625,,,0
HCPCS,25600,Treat fracture radius/ulna,,,257.59,972.0,21
HCPCS,25605,Hb Treat Fracture Radius/Ulna,3469.0,1214.15,,,0
HCPCS,25605,Treat fracture radius/ulna,,,308.28,3358.38,27
HCPCS,25606,Treat Fx Distal Radial,,,1517.25,6833.76,25
HCPCS,25607,Treat Fx Rad Extra-Articul,,,2133.06,15155.02,25
HCPCS,25608,Treat Fx Rad Intra-Articul,,,2133.06,15155.02,25
HCPCS,25609,Treat Fx Radial 3+ Frag,,,2133.06,15155.02,25
HCPCS,25611,Treat fracture radius/ulna,,,2375.0,2500.0,2
HCPCS,25622,Treat wrist bone fracture,,,257.59,972.0,21
HCPCS,25624,Treat wrist bone fracture,,,308.28,3358.38,27
HCPCS,25628,Treat wrist bone fracture,,,1517.25,15155.02,27
HCPCS,25630,Treat wrist bone fracture,,,257.59,972.0,21
HCPCS,25635,Treat wrist bone fracture,,,308.28,3358.38,27
HCPCS,25645,Treat wrist bone fracture,,,1517.25,14016.0,27
HCPCS,25650,Hb  Closed Tx Of Ulnar Styloid Fx,3034.0,1061.9,,,0
HCPCS,25650,Treat wrist bone fracture,,,257.59,972.0,21
HCPCS,25651,Pin ulnar styloid fracture,,,2428.0,6833.76,23
HCPCS,25652,Treat fracture ulnar styloid,,,2428.0,15155.02,23
HCPCS,25660,Treat wrist dislocation,,,257.59,1502.0,27
HCPCS,25670,Treat wrist dislocation,,,1517.25,15155.02,27
HCPCS,25671,Pin radioulnar dislocation,,,990.66,6833.76,27
HCPCS,25675,Treat wrist dislocation,,,257.59,1502.0,27
HCPCS,25676,Treat wrist dislocation,,,1326.84,15155.02,27
HCPCS,25680,Treat wrist fracture,,,257.59,2121.0,27
HCPCS,25685,Treat wrist fracture,,,1517.25,15155.02,27
HCPCS,25690,Treat wrist dislocation,,,308.28,3358.38,27
HCPCS,25695,Treat wrist dislocation,,,1326.84,15155.02,27
HCPCS,25800,Fusion of wrist joint,,,1874.25,15155.02,27
HCPCS,25805,Fusion/graft of wrist joint,,,2133.06,15155.02,25
HCPCS,25810,Fusion/graft of wrist joint,,,2133.06,26814.33,25
HCPCS,25820,Fusion of hand bones,,,1874.25,15155.02,27
HCPCS,25825,Fuse hand bones with graft,,,2133.06,15155.02,25
HCPCS,25830,Fusion radioulnar jnt/ulna,,,2133.06,15155.02,25
HCPCS,25900,Amputation of forearm,,,3885.0,15155.02,23
HCPCS,25905,Amputation of forearm,,,3885.0,15155.02,23
HCPCS,25907,Amputation follow-up surgery,,,1517.25,6833.76,27
HCPCS,25909,Amputation follow-up surgery,,,3760.0,15155.02,23
HCPCS,25915,Amputation of forearm,,,3885.0,15155.02,23
HCPCS,25920,Amputate hand at wrist,,,3416.88,14016.0,23
HCPCS,25922,Amputate hand at wrist,,,1517.25,5195.0,27
HCPCS,25924,Amputation follow-up surgery,,,3416.88,14016.0,23
HCPCS,25927,Amputation of hand,,,3416.88,6833.76,23
HCPCS,25929,Amputation follow-up surgery,,,1517.25,4309.28,27
HCPCS,25931,Amputation follow-up surgery,,,3416.88,6833.76,23
HCPCS,25999,Forearm or wrist surgery,,,257.59,3993.0,23
HCPCS,25999,Hb 25999 Forearm Or Wrist Procedure,22404.0,7841.4,,,0
HCPCS,26010,Drainage of finger abscess,,,209.52,972.0,21
HCPCS,26010,Hb Drainage Finger Abscess Simple,2093.0,732.55,,,0
HCPCS,26011,Drainage of finger abscess,,,990.66,3449.46,27
HCPCS,26011,Hb Drain Finger Absc; Complicated,11541.0,4039.35,,,0
HCPCS,26020,Drain hand tendon sheath,,,1326.84,6833.76,27
HCPCS,26025,Drainage of palm bursa,,,990.66,6833.76,27
HCPCS,26030,Drainage of palm bursas,,,1326.84,6833.76,27
HCPCS,26034,Treat hand bone lesion,,,1326.84,3358.38,27
HCPCS,26035,Decompress fingers/hand,,,2116.0,6833.76,23
HCPCS,26037,Decompress fingers/hand,,,2116.0,6833.76,23
HCPCS,26040,Release palm contracture,,,1679.19,3358.38,27
HCPCS,26045,Release palm contracture,,,1517.25,6833.76,27
HCPCS,26055,Incise finger tendon sheath,,,1326.84,3358.38,27
HCPCS,26060,Incision of finger tendon,,,1326.84,3358.38,27
HCPCS,26070,Explore/treat hand joint,,,1326.84,3358.38,27
HCPCS,26075,Explore/treat finger joint,,,1874.25,6833.76,27
HCPCS,26080,Explore/treat finger joint,,,1679.19,3358.38,27
HCPCS,26100,Biopsy hand joint lining,,,1326.84,6833.76,27
HCPCS,26105,Biopsy finger joint lining,,,990.66,6833.76,27
HCPCS,26110,Biopsy finger joint lining,,,990.66,3358.38,27
HCPCS,26111,Exc hand les sc 1.5 cm/>,,,1724.73,5282.0,23
HCPCS,26113,Exc hand tum deep 1.5 cm/>,,,1724.73,5282.0,23
HCPCS,26115,Exc hand les sc < 1.5 cm,,,1326.84,3449.46,27
HCPCS,26116,Exc hand tum deep < 1.5 cm,,,1326.84,3449.46,27
HCPCS,26117,Rad resect hand tumor < 3 cm,,,1517.25,6066.67,27
HCPCS,26118,Rad resect hand tumor 3 cm/>,,,3033.33,6066.67,23
HCPCS,26121,Release palm contracture,,,1874.25,6833.76,27
HCPCS,26123,Release palm contracture,,,1874.25,6833.76,27
HCPCS,26125,Release palm contracture,,,704.0,3000.0,6
HCPCS,26130,Remove wrist joint lining,,,1517.25,6833.76,27
HCPCS,26135,Revise finger joint each,,,1874.25,6833.76,27
HCPCS,26140,Revise finger joint each,,,1326.84,3358.38,27
HCPCS,26145,Tendon excision palm/finger,,,1517.25,3358.38,27
HCPCS,26160,Remove tendon sheath lesion,,,1517.25,3358.38,27
HCPCS,26170,Removal of palm tendon each,,,1517.25,3358.38,27
HCPCS,26180,Removal of finger tendon,,,1517.25,3358.38,27
HCPCS,26185,Remove finger bone,,,1679.19,3358.38,27
HCPCS,26200,Remove hand bone lesion,,,1326.84,3358.38,27
HCPCS,26205,Remove/graft bone lesion,,,1517.25,15155.02,27
HCPCS,26210,Removal of finger lesion,,,1326.84,3358.38,27
HCPCS,26215,Remove/graft finger lesion,,,1517.25,6833.76,27
HCPCS,26230,Partial removal of hand bone,,,2116.0,6833.76,25
HCPCS,26235,Hb Partial Excision Proximal/Middle Phalanx Finger,9585.0,3354.75,,,0
HCPCS,26235,Partial removal finger bone,,,1517.25,3358.38,27
HCPCS,26236,Hb Part Exc Bone; Distal Phalanx,19389.0,6786.15,,,0
HCPCS,26236,Partial removal finger bone,,,1517.25,3358.38,27
HCPCS,26250,Extensive hand surgery,,,1517.25,6833.76,27
HCPCS,26255,Extensive hand surgery,,,2375.0,2500.0,2
HCPCS,26260,Resect prox finger tumor,,,1517.25,6833.76,27
HCPCS,26261,Extensive finger surgery,,,2375.0,2500.0,2
HCPCS,26262,Resect distal finger tumor,,,1326.84,3358.38,27
HCPCS,26320,Hb Removal Of Implant From Hand,18876.0,6606.6,,,0
HCPCS,26320,Removal of implant from hand,,,1326.84,3449.46,27
HCPCS,26340,Manipulate finger w/anesth,,,704.0,3358.38,23
HCPCS,26341,Manipulat palm cord post inj,,,257.59,1502.0,23
HCPCS,26350,Repair finger/hand tendon,,,990.66,6833.76,27
HCPCS,26352,Repair/graft hand tendon,,,1874.25,15155.02,27
HCPCS,26356,Repair finger/hand tendon,,,1874.25,6833.76,27
HCPCS,26357,Repair finger/hand tendon,,,1874.25,6833.76,27
HCPCS,26358,Repair/graft hand tendon,,,1874.25,15155.02,27
HCPCS,26370,Repair finger/hand tendon,,,1874.25,6833.76,27
HCPCS,26372,Repair/graft hand tendon,,,1874.25,15155.02,27
HCPCS,26373,Repair finger/hand tendon,,,1517.25,6833.76,27
HCPCS,26390,Revise hand/finger tendon,,,1874.25,15155.02,27
HCPCS,26392,Repair/graft hand tendon,,,1517.25,15155.02,27
HCPCS,26410,Hb Repair Extensr Tendon Hand W/O Graft Ea,12062.0,4221.7,,,0
HCPCS,26410,Repair hand tendon,,,1517.25,3358.38,27
HCPCS,26412,Repair/graft hand tendon,,,1517.25,6833.76,27
HCPCS,26415,Excision hand/finger tendon,,,1874.25,6833.76,27
HCPCS,26416,Graft hand or finger tendon,,,1517.25,6833.76,27
HCPCS,26418,Hb Repair Extensor Tendon Finger Wo Graft Ea,10104.0,3536.4,,,0
HCPCS,26418,Repair finger tendon,,,1679.19,3358.38,27
HCPCS,26420,Repair/graft finger tendon,,,1874.25,6833.76,27
HCPCS,26426,Repair finger/hand tendon,,,1517.25,6833.76,27
HCPCS,26428,Repair/graft finger tendon,,,1517.25,6833.76,27
HCPCS,26432,Repair finger tendon,,,1517.25,3358.38,27
HCPCS,26433,Hb Repair Extensor Tendon Distal Inser W/O Grf,24458.0,8560.3,,,0
HCPCS,26433,Repair finger tendon,,,1517.25,6833.76,27
HCPCS,26434,Repair/graft finger tendon,,,1517.25,6833.76,27
HCPCS,26437,Realignment of tendons,,,1517.25,6833.76,27
HCPCS,26440,Release palm/finger tendon,,,1517.25,3358.38,27
HCPCS,26442,Release palm & finger tendon,,,1517.25,6833.76,27
HCPCS,26445,Release hand/finger tendon,,,1517.25,6833.76,27
HCPCS,26449,Release forearm/hand tendon,,,1517.25,6833.76,27
HCPCS,26450,Incision of palm tendon,,,1517.25,6833.76,27
HCPCS,26455,Incision of finger tendon,,,1517.25,3358.38,27
HCPCS,26460,Incise hand/finger tendon,,,1517.25,3358.38,27
HCPCS,26471,Fusion of finger tendons,,,1326.84,6833.76,27
HCPCS,26474,Fusion of finger tendons,,,1326.84,3358.38,27
HCPCS,26476,Tendon lengthening,,,990.66,6833.76,27
HCPCS,26477,Tendon shortening,,,990.66,6833.76,27
HCPCS,26478,Lengthening of hand tendon,,,990.66,6833.76,27
HCPCS,26479,Shortening of hand tendon,,,990.66,6833.76,27
HCPCS,26480,Transplant hand tendon,,,1517.25,6833.76,27
HCPCS,26483,Transplant/graft hand tendon,,,1517.25,6833.76,27
HCPCS,26485,Transplant palm tendon,,,1326.84,6833.76,27
HCPCS,26489,Transplant/graft palm tendon,,,1517.25,6833.76,27
HCPCS,26490,Revise thumb tendon,,,1517.25,6833.76,27
HCPCS,26492,Tendon transfer with graft,,,1517.25,6833.76,27
HCPCS,26494,Hand tendon/muscle transfer,,,1517.25,6833.76,27
HCPCS,26496,Revise thumb tendon,,,1517.25,6833.76,27
HCPCS,26497,Finger tendon transfer,,,1517.25,6833.76,27
HCPCS,26498,Finger tendon transfer,,,1874.25,6833.76,27
HCPCS,26499,Revision of finger,,,1517.25,6833.76,27
HCPCS,26500,Hand tendon reconstruction,,,1874.25,15155.02,27
HCPCS,26502,Hand tendon reconstruction,,,1874.25,6833.76,27
HCPCS,26504,Hand tendon reconstruction,,,2850.0,3000.0,2
HCPCS,26508,Release thumb contracture,,,1517.25,6833.76,27
HCPCS,26510,Thumb tendon transfer,,,1517.25,6833.76,27
HCPCS,26516,Fusion of knuckle joint,,,990.66,6833.76,27
HCPCS,26517,Fusion of knuckle joints,,,1517.25,6833.76,27
HCPCS,26518,Fusion of knuckle joints,,,1517.25,15155.02,27
HCPCS,26520,Release knuckle contracture,,,1517.25,6833.76,27
HCPCS,26525,Release finger contracture,,,1517.25,3358.38,27
HCPCS,26530,Revise knuckle joint,,,1517.25,15155.02,27
HCPCS,26531,Revise knuckle with implant,,,2960.1,15155.02,25
HCPCS,26535,Revise finger joint,,,2133.06,9732.0,25
HCPCS,26536,Revise/implant finger joint,,,2133.06,15155.02,25
HCPCS,26540,Repair hand joint,,,1874.25,6833.76,27
HCPCS,26541,Repair hand joint with graft,,,2960.1,6833.76,25
HCPCS,26542,Repair hand joint with graft,,,1874.25,6833.76,27
HCPCS,26545,Reconstruct finger joint,,,1874.25,6833.76,27
HCPCS,26546,Repair nonunion hand,,,1874.25,15155.02,27
HCPCS,26548,Reconstruct finger joint,,,1874.25,6833.76,27
HCPCS,26550,Construct thumb replacement,,,1326.84,6833.76,27
HCPCS,26551,Great toe-hand transfer,,,3885.0,15155.02,23
HCPCS,26553,Single transfer toe-hand,,,3885.0,15155.02,23
HCPCS,26554,Double transfer toe-hand,,,3885.0,15155.02,23
HCPCS,26555,Positional change of finger,,,1517.25,15155.02,27
HCPCS,26556,Toe joint transfer,,,3885.0,15155.02,23
HCPCS,26560,Repair of web finger,,,1326.84,3358.38,27
HCPCS,26561,Repair of web finger,,,1517.25,6833.76,27
HCPCS,26562,Repair of web finger,,,1874.25,6833.76,27
HCPCS,26565,Correct metacarpal flaw,,,2133.06,6833.76,25
HCPCS,26567,Correct finger deformity,,,2133.06,6833.76,25
HCPCS,26568,Lengthen metacarpal/finger,,,1517.25,15155.02,27
HCPCS,26580,Repair hand deformity,,,2116.0,6833.76,25
HCPCS,26587,Hb Recons Extra Finger,10033.0,3511.55,,,0
HCPCS,26587,Reconstruct extra finger,,,2116.0,6833.76,25
HCPCS,26590,Repair finger deformity,,,1679.19,3369.0,25
HCPCS,26591,Repair muscles of hand,,,1517.25,6833.76,27
HCPCS,26593,Release muscles of hand,,,1517.25,6833.76,27
HCPCS,26596,Excision constricting tissue,,,1326.84,6833.76,27
HCPCS,26600,Treat metacarpal fracture,,,257.59,972.0,21
HCPCS,26605,Hb Cl Tx Mc Fx Sgl; W Manip,3350.0,1172.5,,,0
HCPCS,26605,Treat metacarpal fracture,,,257.59,2121.0,27
HCPCS,26607,Treat metacarpal fracture,,,308.28,6833.76,27
HCPCS,26608,Treat metacarpal fracture,,,1874.25,6833.76,27
HCPCS,26615,Treat metacarpal fracture,,,1874.25,14016.0,27
HCPCS,26641,Hb Cl Tx Cmc Disloc Thumb W Manip,2350.0,822.5,,,0
HCPCS,26641,Treat thumb dislocation,,,257.59,972.0,21
HCPCS,26645,Treat thumb fracture,,,308.28,3358.38,27
HCPCS,26650,Treat thumb fracture,,,1326.84,6833.76,27
HCPCS,26665,Treat thumb fracture,,,1874.25,14016.0,27
HCPCS,26670,Hb Cltx Cmc Disl Manj Ea W/O Anes,2301.0,805.35,,,0
HCPCS,26670,Treat hand dislocation,,,257.59,972.0,21
HCPCS,26675,Treat hand dislocation,,,308.28,3358.38,27
HCPCS,26676,Pin hand dislocation,,,1326.84,6833.76,27
HCPCS,26685,Treat hand dislocation,,,1517.25,6833.76,27
HCPCS,26686,Treat hand dislocation,,,1517.25,14016.0,27
HCPCS,26700,Hb Cl Tx Mcp Disloc Sgl W Manip,2737.0,957.95,,,0
HCPCS,26700,Treat knuckle dislocation,,,257.59,972.0,21
HCPCS,26705,Hb Cl Tx Mcp Disloc W Manip & Anesth,8608.0,3012.8,,,0
HCPCS,26705,Treat knuckle dislocation,,,308.28,3358.38,27
HCPCS,26706,Pin knuckle dislocation,,,308.28,6833.76,27
HCPCS,26715,Treat knuckle dislocation,,,1874.25,6833.76,27
HCPCS,26720,Treat finger fracture each,,,257.59,972.0,21
HCPCS,26725,Hb Cl Tx Phalang Shft Fx;W Manip,3002.0,1050.7,,,0
HCPCS,26725,Treat finger fracture each,,,257.59,972.0,21
HCPCS,26727,Treat finger fracture each,,,2960.1,6833.76,25
HCPCS,26735,Treat finger fracture each,,,1874.25,6833.76,27
HCPCS,26740,Treat finger fracture each,,,257.59,972.0,21
HCPCS,26742,Hb Cl Tx Artfx Mcp/Ip Jnt; W Manip,7313.0,2559.55,,,0
HCPCS,26742,Treat finger fracture each,,,308.28,3358.38,27
HCPCS,26746,Treat finger fracture each,,,2133.06,6833.76,25
HCPCS,26750,Hb Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea,1221.0,427.35,,,0
HCPCS,26750,Treat finger fracture each,,,257.59,972.0,21
HCPCS,26755,Hb Cl Tx D Phal Fx Fgrr/Thmb; W Manip,3177.0,1111.95,,,0
HCPCS,26755,Treat finger fracture each,,,257.59,972.0,21
HCPCS,26756,Pin finger fracture each,,,1326.84,6833.76,27
HCPCS,26765,Hb Open Tx Distal Phalang Fract Ea,19325.0,6763.75,,,0
HCPCS,26765,Treat finger fracture each,,,1874.25,6833.76,27
HCPCS,26770,Hb Cl Tx Ip Jnt D W Manip ; Wo Anesth,3274.0,1145.9,,,0
HCPCS,26770,Treat finger dislocation,,,257.59,972.0,21
HCPCS,26775,Hb Treat Finger Dislocation W Man Under Anes,5521.0,1932.35,,,0
HCPCS,26775,Treat finger dislocation,,,292.08,3993.0,23
HCPCS,26776,Pin finger dislocation,,,1326.84,6833.76,27
HCPCS,26785,Treat finger dislocation,,,1326.84,6833.76,27
HCPCS,26820,Thumb fusion with graft,,,2133.06,15155.02,25
HCPCS,26841,Fusion of thumb,,,1874.25,15155.02,27
HCPCS,26842,Thumb fusion with graft,,,1874.25,15155.02,27
HCPCS,26843,Fusion of hand joint,,,1517.25,15155.02,27
HCPCS,26844,Fusion/graft of hand joint,,,1517.25,15155.02,27
HCPCS,26850,Fusion of knuckle,,,1874.25,15155.02,27
HCPCS,26852,Fusion of knuckle with graft,,,1874.25,15155.02,27
HCPCS,26860,Fusion of finger joint,,,1517.25,6833.76,27
HCPCS,26861,Fusion of finger jnt add-on,,,704.0,2000.0,6
HCPCS,26862,Fusion/graft of finger joint,,,1874.25,6833.76,27
HCPCS,26863,Fuse/graft added joint,,,704.0,2500.0,6
HCPCS,26910,Amputate metacarpal bone,,,1517.25,6833.76,27
HCPCS,26951,Amputation of finger/thumb,,,1326.84,6833.76,27
HCPCS,26951,Hb Amputate Fing/Th Sgl; W Dir Close,25094.0,8782.9,,,0
HCPCS,26952,Amputation of finger/thumb,,,1874.25,6833.76,27
HCPCS,26952,Hb Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap,15566.0,5448.1,,,0
HCPCS,26989,Hand/finger surgery,,,257.59,3993.0,23
HCPCS,26990,Drainage of pelvis lesion,,,990.66,6833.76,27
HCPCS,26991,Drainage of pelvis bursa,,,990.66,5195.0,27
HCPCS,26992,Drainage of bone lesion,,,3416.88,9732.0,23
HCPCS,27000,Incision of hip tendon,,,1326.84,5195.0,27
HCPCS,27001,Incision of hip tendon,,,1517.25,6833.76,27
HCPCS,27003,Incision of hip tendon,,,1517.25,15155.02,27
HCPCS,27005,Incision of hip tendon,,,3416.88,14016.0,23
HCPCS,27006,Incision of hip tendons,,,3416.88,6833.76,23
HCPCS,27025,Incision of hip/thigh fascia,,,3416.88,14016.0,23
HCPCS,27027,Buttock fasciotomy,,,4698.0,15155.02,23
HCPCS,27030,Drainage of hip joint,,,3885.0,15155.02,23
HCPCS,27033,Exploration of hip joint,,,1517.25,15155.02,27
HCPCS,27035,Denervation of hip joint,,,1874.25,6833.76,27
HCPCS,27036,Excision of hip joint/muscle,,,3885.0,15155.02,23
HCPCS,27040,Biopsy of soft tissues,,,940.0,3449.46,27
HCPCS,27040,Hb Perq Abltj Lvr Cryoablation 1 Or More,5456.0,1909.6,,,0
HCPCS,27041,Biopsy of soft tissues,,,940.0,3449.46,27
HCPCS,27041,Hb 27041 Biopsy Soft Tissues,6725.0,2353.75,,,0
HCPCS,27041,Hb Biopsy Soft Tissues,6725.0,2353.75,,,0
HCPCS,27043,Exc hip pelvis les sc 3 cm/>,,,3033.33,6066.67,23
HCPCS,27045,Exc hip/pelv tum deep 5 cm/>,,,3033.33,6066.67,23
HCPCS,27047,Exc hip/pelvis les sc < 3 cm,,,1326.84,6066.67,27
HCPCS,27048,Exc hip/pelv tum deep < 5 cm,,,1517.25,6066.67,27
HCPCS,27049,Resect hip/pelv tum < 5 cm,,,1517.25,6066.67,27
HCPCS,27050,Biopsy of sacroiliac joint,,,1517.25,5195.0,27
HCPCS,27052,Biopsy of hip joint,,,1517.25,5195.0,27
HCPCS,27054,Removal of hip joint lining,,,3416.88,6833.76,23
HCPCS,27057,Buttock fasciotomy w/dbrdmt,,,1679.19,5282.0,23
HCPCS,27059,Resect hip/pelv tum 5 cm/>,,,3033.33,6066.67,23
HCPCS,27060,Removal of ischial bursa,,,2133.06,15155.02,25
HCPCS,27062,Remove femur lesion/bursa,,,2133.06,6833.76,25
HCPCS,27065,Remove hip bone les super,,,2133.06,15155.02,25
HCPCS,27066,Remove hip bone les deep,,,2133.06,6833.76,25
HCPCS,27067,Remove/graft hip bone lesion,,,2133.06,15155.02,25
HCPCS,27070,Part remove hip bone super,,,3416.88,14016.0,23
HCPCS,27071,Part removal hip bone deep,,,3416.88,14016.0,23
HCPCS,27075,Resect hip tumor,,,3885.0,15155.02,23
HCPCS,27076,Resect hip tum incl acetabul,,,3885.0,15155.02,23
HCPCS,27077,Resect hip tum w/innom bone,,,3885.0,15155.02,23
HCPCS,27078,Rsect hip tum incl femur,,,3885.0,15155.02,23
HCPCS,27080,Removal of tail bone,,,1326.84,6833.76,27
HCPCS,27086,Remove hip foreign body,,,990.66,6066.67,27
HCPCS,27087,Remove hip foreign body,,,1517.25,6833.76,27
HCPCS,27090,Removal of hip prosthesis,,,3760.0,15155.02,23
HCPCS,27091,Removal of hip prosthesis,,,3760.0,26814.33,23
HCPCS,27093,Hb Inject For Hip Arthrogram,916.0,320.6,,,0
HCPCS,27093,Injection for hip x-ray,,,704.0,972.0,2
HCPCS,27095,Hb Injection For Hip X-Ray,4069.0,1424.15,,,0
HCPCS,27095,Injection for hip x-ray,,,704.0,972.0,2
HCPCS,27096,Hb 27096 Inject Sacroiliac Joint,3112.0,1089.2,,,0
HCPCS,27096,Hb Inject Sacroiliac Joint,2873.0,1005.55,,,0
HCPCS,27096,Inject sacroiliac joint,,,704.0,972.0,2
HCPCS,27097,Revision of hip tendon,,,1517.25,6833.76,27
HCPCS,27098,Transfer tendon to pelvis,,,1517.25,6833.76,27
HCPCS,27100,Transfer of abdominal muscle,,,1874.25,15155.02,27
HCPCS,27105,Transfer of spinal muscle,,,1874.25,9732.0,27
HCPCS,27110,Transfer of iliopsoas muscle,,,1874.25,15155.02,27
HCPCS,27111,Transfer of iliopsoas muscle,,,1874.25,9732.0,27
HCPCS,27120,Reconstruction of hip socket,,,3885.0,26814.33,23
HCPCS,27122,Reconstruction of hip socket,,,3885.0,15155.02,23
HCPCS,27125,Partial hip replacement,,,3885.0,26814.33,23
HCPCS,27130,Total hip arthroplasty,,,3885.0,26814.33,23
HCPCS,27132,Total hip arthroplasty,,,3885.0,26814.33,23
HCPCS,27134,Revise hip joint replacement,,,3885.0,26814.33,23
HCPCS,27137,Revise hip joint replacement,,,3885.0,26814.33,23
HCPCS,27138,Revise hip joint replacement,,,3885.0,26814.33,23
HCPCS,27140,Transplant femur ridge,,,3885.0,15155.02,23
HCPCS,27146,Incision of hip bone,,,3885.0,15155.02,23
HCPCS,27147,Revision of hip bone,,,3885.0,15155.02,23
HCPCS,27151,Incision of hip bones,,,3885.0,15155.02,23
HCPCS,27156,Revision of hip bones,,,3885.0,15155.02,23
HCPCS,27158,Revision of pelvis,,,3885.0,15155.02,23
HCPCS,27161,Incision of neck of femur,,,3885.0,15155.02,23
HCPCS,27165,Incision/fixation of femur,,,3885.0,15155.02,23
HCPCS,27170,Repair/graft femur head/neck,,,3885.0,15155.02,23
HCPCS,27175,Treat slipped epiphysis,,,3416.88,14016.0,23
HCPCS,27176,Treat slipped epiphysis,,,3416.88,14016.0,23
HCPCS,27177,Treat slipped epiphysis,,,3416.88,14016.0,23
HCPCS,27178,Treat slipped epiphysis,,,3416.88,14016.0,23
HCPCS,27179,Revise head/neck of femur,,,3885.0,15155.02,23
HCPCS,27181,Treat slipped epiphysis,,,3885.0,15155.02,23
HCPCS,27185,Revision of femur epiphysis,,,3416.88,14016.0,23
HCPCS,27187,Reinforce hip bones,,,3885.0,15155.02,23
HCPCS,27193,Treat pelvic ring fracture,,,1425.0,1500.0,2
HCPCS,27194,Treat pelvic ring fracture,,,1900.0,2000.0,2
HCPCS,27197,Clsd tx pelvic ring fx,,,257.59,1502.0,23
HCPCS,27198,Clsd tx pelvic ring fx,,,257.59,1502.0,23
HCPCS,27200,Treat tail bone fracture,,,257.59,972.0,21
HCPCS,27202,Treat tail bone fracture,,,1326.84,14016.0,27
HCPCS,27215,Treat pelvic fracture(s),,,940.0,3993.0,4
HCPCS,27216,Treat pelvic ring fracture,,,3885.0,6490.0,4
HCPCS,27217,Treat pelvic ring fracture,,,2116.0,3993.0,4
HCPCS,27218,Treat pelvic ring fracture,,,2116.0,3993.0,4
HCPCS,27220,Treat hip socket fracture,,,257.59,972.0,21
HCPCS,27222,Treat hip socket fracture,,,257.59,3993.0,23
HCPCS,27226,Treat hip wall fracture,,,3885.0,15155.02,23
HCPCS,27227,Treat hip fracture(s),,,3885.0,15155.02,23
HCPCS,27228,Treat hip fracture(s),,,3885.0,15155.02,23
HCPCS,27230,Treat thigh fracture,,,257.59,1502.0,27
HCPCS,27232,Treat thigh fracture,,,1679.19,3993.0,23
HCPCS,27235,Treat thigh fracture,,,3885.0,15155.02,23
HCPCS,27236,Treat thigh fracture,,,3885.0,15155.02,23
HCPCS,27238,Treat thigh fracture,,,308.28,3358.38,27
HCPCS,27240,Treat thigh fracture,,,1679.19,3993.0,23
HCPCS,27244,Treat thigh fracture,,,3885.0,15155.02,23
HCPCS,27245,Treat thigh fracture,,,3885.0,15155.02,23
HCPCS,27246,Treat thigh fracture,,,257.59,1502.0,27
HCPCS,27248,Treat thigh fracture,,,3885.0,15155.02,23
HCPCS,27250,Hb Cl Tx Trauma Hip Dicloc Wo Anesth,3640.0,1274.0,,,0
HCPCS,27250,Treat hip dislocation,,,257.59,1502.0,27
HCPCS,27252,Hb Cl Tx Trauma Hip Disloc W Anesth,6536.0,2287.6,,,0
HCPCS,27252,Treat hip dislocation,,,940.0,3358.38,27
HCPCS,27253,Treat hip dislocation,,,3416.88,6833.76,23
HCPCS,27254,Treat hip dislocation,,,3885.0,15155.02,23
HCPCS,27256,Treat hip dislocation,,,257.59,972.0,21
HCPCS,27257,Treat hip dislocation,,,940.0,3358.38,27
HCPCS,27258,Treat hip dislocation,,,3416.88,6833.76,23
HCPCS,27259,Treat hip dislocation,,,3416.88,6833.76,23
HCPCS,27265,Hb Treat Hip Dislocation,3074.0,1075.9,,,0
HCPCS,27265,Treat hip dislocation,,,257.59,1502.0,27
HCPCS,27266,Hb Treat Hip Dislocation W/ Anes,11304.0,3956.4,,,0
HCPCS,27266,Treat hip dislocation,,,1326.84,3358.38,27
HCPCS,27267,Cltx thigh fx,,,1457.0,6833.76,23
HCPCS,27268,Cltx thigh fx w/mnpj,,,1679.19,6490.0,23
HCPCS,27269,Optx thigh fx,,,2116.0,15155.02,23
HCPCS,27275,Manipulation of hip joint,,,1326.84,3358.38,27
HCPCS,27278,Arthrd si jt prq wo tfxj dev,,,3885.0,36620.39,23
HCPCS,27279,Arthrodesis sacroiliac joint,,,3885.0,36620.39,23
HCPCS,27280,Fusion of sacroiliac joint,,,3885.0,36620.39,23
HCPCS,27282,Fusion of pubic bones,,,3416.88,14016.0,23
HCPCS,27284,Fusion of hip joint,,,3885.0,26814.33,23
HCPCS,27286,Fusion of hip joint,,,3885.0,26814.33,23
HCPCS,27290,Amputation of leg at hip,,,3885.0,36620.39,23
HCPCS,27295,Amputation of leg at hip,,,3885.0,36620.39,23
HCPCS,27299,Hb Pelvis/Hip Joint Surgery,15762.0,5516.7,,,0
HCPCS,27299,Pelvis/hip joint surgery,,,257.59,3993.0,23
HCPCS,27301,Drain thigh/knee lesion,,,1517.25,6066.67,27
HCPCS,27303,Drainage of bone lesion,,,3416.88,9732.0,23
HCPCS,27305,Incise thigh tendon & fascia,,,1326.84,6833.76,27
HCPCS,27306,Incision of thigh tendon,,,1517.25,6833.76,27
HCPCS,27307,Incision of thigh tendons,,,1517.25,6833.76,27
HCPCS,27310,Exploration of knee joint,,,1874.25,6833.76,27
HCPCS,27315,"Partial removal, thigh nerve",,,1900.0,2000.0,2
HCPCS,27320,"Partial removal, thigh nerve",,,1900.0,2000.0,2
HCPCS,27323,Biopsy thigh soft tissues,,,940.0,3449.46,27
HCPCS,27323,Hb Biopsy Soft Tissue Thigh Or Knee,8576.0,3001.6,,,0
HCPCS,27324,Biopsy thigh soft tissues,,,990.66,6066.67,27
HCPCS,27324,Hb 27324 Biopsy Tissue Thigh Deep,19021.0,6657.35,,,0
HCPCS,27325,Neurectomy hamstring,,,1326.84,4078.38,25
HCPCS,27326,Neurectomy popliteal,,,1326.84,4078.38,25
HCPCS,27327,Exc thigh/knee les sc < 3 cm,,,1326.84,5195.0,27
HCPCS,27328,Exc thigh/knee tum deep <5cm,,,1517.25,6066.67,27
HCPCS,27329,Resect thigh/knee tum < 5 cm,,,1874.25,6066.67,27
HCPCS,27330,Biopsy knee joint lining,,,1874.25,6833.76,27
HCPCS,27331,Explore/treat knee joint,,,1874.25,6833.76,27
HCPCS,27332,Removal of knee cartilage,,,1874.25,6833.76,27
HCPCS,27333,Removal of knee cartilage,,,1874.25,6833.76,27
HCPCS,27334,Remove knee joint lining,,,1874.25,6833.76,27
HCPCS,27335,Remove knee joint lining,,,1874.25,15155.02,27
HCPCS,27337,Exc thigh/knee les sc 3 cm/>,,,3033.33,6066.67,23
HCPCS,27339,Exc thigh/knee tum dep 5cm/>,,,3033.33,6066.67,23
HCPCS,27340,Removal of kneecap bursa,,,1517.25,6833.76,27
HCPCS,27345,Removal of knee cyst,,,1874.25,6833.76,27
HCPCS,27347,Remove knee cyst,,,1874.25,6833.76,27
HCPCS,27350,Removal of kneecap,,,1874.25,15155.02,27
HCPCS,27355,Remove femur lesion,,,1517.25,6833.76,27
HCPCS,27356,Remove femur lesion/graft,,,1874.25,26814.33,27
HCPCS,27357,Remove femur lesion/graft,,,2133.06,15155.02,25
HCPCS,27358,Remove femur lesion/fixation,,,704.0,2591.35,4
HCPCS,27360,Partial removal leg bone(s),,,2133.06,6833.76,25
HCPCS,27364,Resect thigh/knee tum 5 cm/>,,,3033.33,6066.67,23
HCPCS,27365,Resect femur/knee tumor,,,3416.88,14016.0,23
HCPCS,27369,Njx cntrst kne arthg/ct/mri,,,704.0,972.0,2
HCPCS,27372,Removal of foreign body,,,2960.1,6066.67,25
HCPCS,27380,Repair of kneecap tendon,,,990.66,15155.02,27
HCPCS,27381,Repair/graft kneecap tendon,,,1517.25,15155.02,27
HCPCS,27385,Repair of thigh muscle,,,1517.25,15155.02,27
HCPCS,27386,Repair/graft of thigh muscle,,,1517.25,15155.02,27
HCPCS,27390,Incision of thigh tendon,,,990.66,6833.76,27
HCPCS,27391,Incision of thigh tendons,,,1326.84,6833.76,27
HCPCS,27392,Incision of thigh tendons,,,1517.25,6833.76,27
HCPCS,27393,Lengthening of thigh tendon,,,1326.84,15155.02,27
HCPCS,27394,Lengthening of thigh tendons,,,1517.25,15155.02,27
HCPCS,27395,Lengthening of thigh tendons,,,1517.25,9732.0,27
HCPCS,27396,Transplant of thigh tendon,,,1517.25,15155.02,27
HCPCS,27397,Transplants of thigh tendons,,,1517.25,15155.02,27
HCPCS,27400,Revise thigh muscles/tendons,,,1517.25,15155.02,27
HCPCS,27403,Repair of knee cartilage,,,1874.25,15155.02,27
HCPCS,27405,Repair of knee ligament,,,1874.25,15155.02,27
HCPCS,27407,Repair of knee ligament,,,1874.25,15155.02,27
HCPCS,27409,Repair of knee ligaments,,,1874.25,15155.02,27
HCPCS,27412,Autochondrocyte implant knee,,,3885.0,15155.02,23
HCPCS,27415,Osteochondral knee allograft,,,3885.0,26814.33,23
HCPCS,27416,Osteochondral knee autograft,,,5282.0,15155.02,23
HCPCS,27418,Repair degenerated kneecap,,,1517.25,15155.02,27
HCPCS,27420,Revision of unstable kneecap,,,1517.25,15155.02,27
HCPCS,27422,Revision of unstable kneecap,,,2960.1,15155.02,25
HCPCS,27424,Revision/removal of kneecap,,,1517.25,15155.02,27
HCPCS,27425,Lat retinacular release open,,,2960.1,6833.76,25
HCPCS,27427,Reconstruction knee,,,1517.25,15155.02,27
HCPCS,27428,Reconstruction knee,,,1874.25,26814.33,27
HCPCS,27429,Reconstruction knee,,,1874.25,26814.33,27
HCPCS,27430,Revision of thigh muscles,,,1874.25,15155.02,27
HCPCS,27435,Incision of knee joint,,,1874.25,6833.76,27
HCPCS,27437,Revise kneecap,,,1874.25,15155.02,27
HCPCS,27438,Revise kneecap with implant,,,2133.06,26814.33,25
HCPCS,27440,Revision of knee joint,,,3278.0,26814.33,23
HCPCS,27441,Revision of knee joint,,,2133.06,26814.33,25
HCPCS,27442,Revision of knee joint,,,2133.06,26814.33,25
HCPCS,27443,Revision of knee joint,,,2133.06,26814.33,25
HCPCS,27445,Revision of knee joint,,,3885.0,14016.0,4
HCPCS,27446,Revision of knee joint,,,3885.0,26814.33,23
HCPCS,27447,Total knee arthroplasty,,,3885.0,26814.33,23
HCPCS,27448,Incision of thigh,,,3885.0,15155.02,23
HCPCS,27450,Incision of thigh,,,3885.0,15155.02,23
HCPCS,27454,Realignment of thigh bone,,,3885.0,15155.02,23
HCPCS,27455,Realignment of knee,,,3885.0,15155.02,23
HCPCS,27457,Realignment of knee,,,3885.0,15155.02,23
HCPCS,27458,Osteot femur imed lngth dev,,,7577.51,15155.02,19
HCPCS,27465,Shortening of thigh bone,,,3885.0,15155.02,23
HCPCS,27466,Lengthening of thigh bone,,,3885.0,15155.02,23
HCPCS,27468,Shorten/lengthen thighs,,,3885.0,14016.0,4
HCPCS,27470,Repair of thigh,,,3885.0,15155.02,23
HCPCS,27472,Repair/graft of thigh,,,3885.0,15155.02,23
HCPCS,27475,Surgery to stop leg growth,,,3885.0,15155.02,23
HCPCS,27477,Surgery to stop leg growth,,,3885.0,15155.02,23
HCPCS,27479,Surgery to stop leg growth,,,3885.0,15155.02,23
HCPCS,27485,Surgery to stop leg growth,,,3885.0,15155.02,23
HCPCS,27486,Revise/replace knee joint,,,3885.0,26814.33,23
HCPCS,27487,Revise/replace knee joint,,,3885.0,36620.39,23
HCPCS,27488,Removal of knee prosthesis,,,3885.0,26814.33,23
HCPCS,27495,Reinforce thigh,,,3885.0,15155.02,23
HCPCS,27496,Decompression of thigh/knee,,,2133.06,6833.76,25
HCPCS,27497,Decompression of thigh/knee,,,1517.25,6833.76,27
HCPCS,27498,Decompression of thigh/knee,,,1517.25,6490.0,27
HCPCS,27499,Decompression of thigh/knee,,,1517.25,15155.02,27
HCPCS,27500,Treatment of thigh fracture,,,257.59,1502.0,27
HCPCS,27501,Treatment of thigh fracture,,,257.59,2121.0,27
HCPCS,27502,Treatment of thigh fracture,,,308.28,3358.38,27
HCPCS,27503,Treatment of thigh fracture,,,308.28,3358.38,27
HCPCS,27506,Treatment of thigh fracture,,,3885.0,15155.02,23
HCPCS,27507,Treatment of thigh fracture,,,3885.0,15155.02,23
HCPCS,27508,Treatment of thigh fracture,,,257.59,1502.0,27
HCPCS,27509,Treatment of thigh fracture,,,1517.25,15155.02,27
HCPCS,27510,Treatment of thigh fracture,,,308.28,3358.38,27
HCPCS,27511,Treatment of thigh fracture,,,3885.0,26814.33,23
HCPCS,27513,Treatment of thigh fracture,,,3885.0,26814.33,23
HCPCS,27514,Treatment of thigh fracture,,,3885.0,26814.33,23
HCPCS,27516,Treat thigh fx growth plate,,,257.59,1502.0,27
HCPCS,27517,Treat thigh fx growth plate,,,308.28,3358.38,27
HCPCS,27519,Treat thigh fx growth plate,,,3885.0,15155.02,23
HCPCS,27520,Treat kneecap fracture,,,257.59,1502.0,27
HCPCS,27524,Treat kneecap fracture,,,2428.0,15155.02,23
HCPCS,27530,Treat knee fracture,,,257.59,1502.0,27
HCPCS,27532,Hb Cltx Tibial Fx Proximal W/Wo Manj W/Skel Tracj,7967.0,2788.45,,,0
HCPCS,27532,Treat knee fracture,,,308.28,6833.76,27
HCPCS,27535,Treat knee fracture,,,3885.0,15155.02,23
HCPCS,27536,Treat knee fracture,,,3885.0,15155.02,23
HCPCS,27538,Treat knee fracture(s),,,257.59,1502.0,27
HCPCS,27540,Treat knee fracture,,,3885.0,15155.02,23
HCPCS,27550,Hb Cl Tx Knee Disl; Wo Anesth,3287.0,1150.45,,,0
HCPCS,27550,Treat knee dislocation,,,257.59,1502.0,27
HCPCS,27552,Treat knee dislocation,,,990.66,3358.38,27
HCPCS,27556,Treat knee dislocation,,,3885.0,15155.02,23
HCPCS,27557,Treat knee dislocation,,,3885.0,15155.02,23
HCPCS,27558,Treat knee dislocation,,,3885.0,15155.02,23
HCPCS,27560,Hb Clsed Tx Patellar Dislocation W/O Anest,2381.0,833.35,,,0
HCPCS,27560,Treat kneecap dislocation,,,257.59,1502.0,27
HCPCS,27562,Hb Closed Tx Patellar Dislocation W/Anesthesia,2343.0,820.05,,,0
HCPCS,27562,Treat kneecap dislocation,,,257.59,1502.0,27
HCPCS,27566,Treat kneecap dislocation,,,1326.84,15155.02,27
HCPCS,27570,Fixation of knee joint,,,990.66,3358.38,27
HCPCS,27570,Hb Manipulate Knee Jnt Under Anesth,13122.0,4592.7,,,0
HCPCS,27580,Fusion of knee,,,3885.0,26814.33,23
HCPCS,27590,Amputate leg at thigh,,,3416.88,14979.0,23
HCPCS,27591,Amputate leg at thigh,,,3416.88,14979.0,23
HCPCS,27592,Amputate leg at thigh,,,3416.88,14979.0,23
HCPCS,27594,Amputation follow-up surgery,,,1517.25,6833.76,27
HCPCS,27596,Amputation follow-up surgery,,,3416.88,14016.0,23
HCPCS,27598,Amputate lower leg at knee,,,3416.88,14016.0,23
HCPCS,27599,Leg surgery procedure,,,257.59,3993.0,25
HCPCS,27600,Decompression of lower leg,,,1517.25,6833.76,27
HCPCS,27600,Hb Dcmprn Fasct Leg Ant&/Lat Compartments Only,22174.0,7760.9,,,0
HCPCS,27601,Decompression of lower leg,,,1517.25,6833.76,27
HCPCS,27602,Decompression of lower leg,,,1517.25,6833.76,27
HCPCS,27602,Hb Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt,28357.0,9924.95,,,0
HCPCS,27603,Drain lower leg lesion,,,1326.84,6066.67,27
HCPCS,27604,Drain lower leg bursa,,,1326.84,6833.76,27
HCPCS,27605,Incision of achilles tendon,,,990.66,5195.0,27
HCPCS,27606,Incision of achilles tendon,,,990.66,6833.76,27
HCPCS,27607,Treat lower leg bone lesion,,,1326.84,6833.76,27
HCPCS,27610,Explore/treat ankle joint,,,1326.84,6833.76,27
HCPCS,27612,Exploration of ankle joint,,,1517.25,6833.76,27
HCPCS,27613,Biopsy lower leg soft tissue,,,940.0,3449.46,23
HCPCS,27614,Biopsy lower leg soft tissue,,,1326.84,6066.67,27
HCPCS,27615,Resect leg/ankle tum < 5 cm,,,1517.25,6066.67,27
HCPCS,27616,Resect leg/ankle tum 5 cm/>,,,3033.33,6066.67,23
HCPCS,27618,Exc leg/ankle tum < 3 cm,,,1326.84,3449.46,27
HCPCS,27619,Exc leg/ankle tum deep <5 cm,,,1517.25,6066.67,27
HCPCS,27620,Explore/treat ankle joint,,,1874.25,6833.76,27
HCPCS,27625,Remove ankle joint lining,,,1874.25,6833.76,27
HCPCS,27626,Remove ankle joint lining,,,1874.25,6833.76,27
HCPCS,27630,Removal of tendon lesion,,,1517.25,6833.76,27
HCPCS,27632,Exc leg/ankle les sc 3 cm/>,,,3033.33,6066.67,23
HCPCS,27634,Exc leg/ankle tum dep 5 cm/>,,,3033.33,6066.67,23
HCPCS,27635,Remove lower leg bone lesion,,,1517.25,6833.76,27
HCPCS,27637,Remove/graft leg bone lesion,,,1517.25,15155.02,27
HCPCS,27638,Remove/graft leg bone lesion,,,1517.25,15155.02,27
HCPCS,27640,Partial removal of tibia,,,1326.84,6833.76,27
HCPCS,27641,Partial removal of fibula,,,1326.84,6833.76,27
HCPCS,27645,Resect tibia tumor,,,3416.88,14016.0,23
HCPCS,27646,Resect fibula tumor,,,3416.88,14016.0,23
HCPCS,27647,Resect talus/calcaneus tum,,,1517.25,6833.76,27
HCPCS,27648,Hb Inject For Ankle Arthrogram,901.0,315.35,,,0
HCPCS,27648,Injection for ankle x-ray,,,704.0,972.0,2
HCPCS,27650,Repair achilles tendon,,,1517.25,15155.02,27
HCPCS,27652,Repair/graft achilles tendon,,,1517.25,15155.02,27
HCPCS,27654,Repair of achilles tendon,,,1517.25,15155.02,27
HCPCS,27656,Repair leg fascia defect,,,1326.84,6833.76,27
HCPCS,27658,Repair of leg tendon each,,,990.66,6833.76,27
HCPCS,27659,Repair of leg tendon each,,,1326.84,15155.02,27
HCPCS,27664,Repair of leg tendon each,,,1326.84,15155.02,27
HCPCS,27665,Repair of leg tendon each,,,1326.84,15155.02,27
HCPCS,27675,Repair lower leg tendons,,,1326.84,6833.76,27
HCPCS,27676,Repair lower leg tendons,,,1517.25,15155.02,27
HCPCS,27680,Release of lower leg tendon,,,1517.25,6833.76,27
HCPCS,27681,Release of lower leg tendons,,,1326.84,6833.76,27
HCPCS,27685,Revision of lower leg tendon,,,1517.25,6833.76,27
HCPCS,27686,Revise lower leg tendons,,,1517.25,6833.76,27
HCPCS,27687,Revision of calf tendon,,,1517.25,6833.76,27
HCPCS,27690,Revise lower leg tendon,,,1874.25,15155.02,27
HCPCS,27691,Revise lower leg tendon,,,1874.25,15155.02,27
HCPCS,27692,Revise additional leg tendon,,,704.0,2500.0,6
HCPCS,27695,Repair of ankle ligament,,,1326.84,15155.02,27
HCPCS,27696,Repair of ankle ligaments,,,1326.84,15155.02,27
HCPCS,27698,Repair of ankle ligament,,,1326.84,15155.02,27
HCPCS,27700,Revision of ankle joint,,,2133.06,15155.02,25
HCPCS,27702,Reconstruct ankle joint,,,3885.0,56670.98,23
HCPCS,27703,Reconstruction ankle joint,,,3885.0,36620.39,23
HCPCS,27704,Removal of ankle implant,,,1326.84,6833.76,27
HCPCS,27705,Incision of tibia,,,1326.84,15155.02,27
HCPCS,27707,Incision of fibula,,,1326.84,6833.76,27
HCPCS,27709,Incision of tibia & fibula,,,1326.84,26814.33,27
HCPCS,27712,Realignment of lower leg,,,3885.0,26814.33,23
HCPCS,27713,Osteot tibia imed lngth dev,,,7577.51,15155.02,19
HCPCS,27715,Revision of lower leg,,,3885.0,26814.33,23
HCPCS,27720,Repair of tibia,,,5282.0,15155.02,23
HCPCS,27722,Repair/graft of tibia,,,5282.0,15155.02,23
HCPCS,27724,Repair/graft of tibia,,,3885.0,15155.02,23
HCPCS,27725,Repair of lower leg,,,3885.0,15155.02,23
HCPCS,27726,Repair fibula nonunion,,,5282.0,15155.02,23
HCPCS,27727,Repair of lower leg,,,3416.88,14016.0,23
HCPCS,27730,Repair of tibia epiphysis,,,1326.84,6833.76,27
HCPCS,27732,Repair of fibula epiphysis,,,1326.84,6833.76,27
HCPCS,27734,Repair lower leg epiphyses,,,1326.84,6833.76,27
HCPCS,27740,Repair of leg epiphyses,,,1326.84,6833.76,27
HCPCS,27742,Repair of leg epiphyses,,,1326.84,9732.0,27
HCPCS,27745,Reinforce tibia,,,1517.25,15155.02,27
HCPCS,27750,Treatment of tibia fracture,,,257.59,1502.0,27
HCPCS,27752,Hb Treatment Of Tibia Fracture,9496.0,3323.6,,,0
HCPCS,27752,Treatment of tibia fracture,,,308.28,3358.38,27
HCPCS,27756,Treatment of tibia fracture,,,1517.25,15155.02,27
HCPCS,27758,Treatment of tibia fracture,,,1874.25,26814.33,27
HCPCS,27759,Treatment of tibia fracture,,,1874.25,26814.33,27
HCPCS,27760,Cltx medial ankle fx,,,257.59,1502.0,27
HCPCS,27760,Hb Cltx Medial Ankle Fx,1510.0,528.5,,,0
HCPCS,27762,Cltx med ankle fx w/mnpj,,,308.28,3358.38,27
HCPCS,27766,Optx medial ankle fx,,,1517.25,15155.02,27
HCPCS,27767,Cltx post ankle fx,,,257.59,1502.0,23
HCPCS,27768,Cltx post ankle fx w/mnpj,,,704.0,3358.38,23
HCPCS,27769,Optx post ankle fx,,,5282.0,15155.02,23
HCPCS,27780,Treatment of fibula fracture,,,257.59,1502.0,27
HCPCS,27781,Treatment of fibula fracture,,,308.28,3358.38,27
HCPCS,27784,Treatment of fibula fracture,,,1517.25,15155.02,27
HCPCS,27786,Treatment of ankle fracture,,,257.59,1502.0,27
HCPCS,27788,Hb Cltx Dstl Fibular Fx Lat Malls W/Manj,3837.0,1342.95,,,0
HCPCS,27788,Treatment of ankle fracture,,,257.59,1502.0,27
HCPCS,27792,Treatment of ankle fracture,,,1517.25,15155.02,27
HCPCS,27808,Treatment of ankle fracture,,,257.59,1502.0,27
HCPCS,27810,Hb Closed Tx Bimalleolar Ankle Fracture W/Manj,6251.0,2187.85,,,0
HCPCS,27810,Treatment of ankle fracture,,,308.28,3358.38,27
HCPCS,27814,Treatment of ankle fracture,,,1517.25,15155.02,27
HCPCS,27816,Treatment of ankle fracture,,,257.59,1502.0,27
HCPCS,27818,Hb Treatment Of Ankle Fracture,4379.0,1532.65,,,0
HCPCS,27818,Treatment of ankle fracture,,,308.28,3358.38,27
HCPCS,27822,Treatment of ankle fracture,,,1517.25,15155.02,27
HCPCS,27823,Treatment of ankle fracture,,,1517.25,15155.02,27
HCPCS,27824,Treat lower leg fracture,,,257.59,1502.0,27
HCPCS,27825,Hb Treat Lower Leg Fracture,9780.0,3423.0,,,0
HCPCS,27825,Treat lower leg fracture,,,308.28,3358.38,27
HCPCS,27826,Treat lower leg fracture,,,1517.25,15155.02,27
HCPCS,27827,Treat lower leg fracture,,,1517.25,26814.33,27
HCPCS,27828,Treat lower leg fracture,,,1874.25,26814.33,27
HCPCS,27829,Treat lower leg joint,,,1326.84,15155.02,27
HCPCS,27830,Hb Cl Tx Prox Tib-Fib Jnt Disl; Wo Anesth,4936.0,1727.6,,,0
HCPCS,27830,Treat lower leg dislocation,,,257.59,1502.0,27
HCPCS,27831,Treat lower leg dislocation,,,308.28,6833.76,27
HCPCS,27832,Treat lower leg dislocation,,,1326.84,15155.02,27
HCPCS,27840,Hb Cl Tx Ankle Dislocation; Wo Anesth,3221.0,1127.35,,,0
HCPCS,27840,Treat ankle dislocation,,,257.59,1502.0,27
HCPCS,27842,Treat ankle dislocation,,,990.66,3358.38,27
HCPCS,27846,Treat ankle dislocation,,,1517.25,15155.02,27
HCPCS,27848,Treat ankle dislocation,,,1517.25,15155.02,27
HCPCS,27860,Fixation of ankle joint,,,990.66,6833.76,27
HCPCS,27870,Fusion of ankle joint open,,,1874.25,26814.33,27
HCPCS,27871,Fusion of tibiofibular joint,,,1874.25,26814.33,27
HCPCS,27880,Amputation of lower leg,,,3885.0,15155.02,23
HCPCS,27881,Amputation of lower leg,,,3416.88,14016.0,23
HCPCS,27882,Amputation of lower leg,,,3416.88,14016.0,23
HCPCS,27884,Amputation follow-up surgery,,,1517.25,6833.76,27
HCPCS,27886,Amputation follow-up surgery,,,3416.88,14016.0,23
HCPCS,27888,Amputation of foot at ankle,,,3416.88,14016.0,23
HCPCS,27889,Amputation of foot at ankle,,,1517.25,15155.02,27
HCPCS,27892,Decompression of leg,,,1517.25,6833.76,27
HCPCS,27893,Decompression of leg,,,1517.25,15155.02,27
HCPCS,27894,Decompression of leg,,,1517.25,6833.76,27
HCPCS,27899,Leg/ankle surgery procedure,,,257.59,3993.0,23
HCPCS,28001,Drainage of bursa of foot,,,1724.73,3993.0,23
HCPCS,28002,Treatment of foot infection,,,1517.25,5195.0,27
HCPCS,28003,Treatment of foot infection,,,1517.25,6833.76,27
HCPCS,28005,Treat foot bone lesion,,,1517.25,6833.76,27
HCPCS,28008,Incision of foot fascia,,,1517.25,6833.76,27
HCPCS,28010,Incision of toe tendon,,,1679.19,5195.0,25
HCPCS,28011,Incision of toe tendons,,,1517.25,5195.0,27
HCPCS,28020,Exploration of foot joint,,,1326.84,6833.76,27
HCPCS,28022,Exploration of foot joint,,,1326.84,6833.76,27
HCPCS,28024,Exploration of toe joint,,,1326.84,5195.0,27
HCPCS,28030,Removal of foot nerve,,,2850.0,3000.0,2
HCPCS,28035,Decompression of tibia nerve,,,1874.25,5195.0,27
HCPCS,28039,Exc foot/toe tum sc 1.5 cm/>,,,2064.0,6066.67,23
HCPCS,28041,Exc foot/toe tum dep 1.5cm/>,,,2064.0,6066.67,23
HCPCS,28043,Exc foot/toe tum sc < 1.5 cm,,,1326.84,3449.46,27
HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,1517.25,6066.67,27
HCPCS,28046,Resect foot/toe tumor < 3 cm,,,1517.25,6066.67,27
HCPCS,28047,Resect foot/toe tumor 3 cm/>,,,3033.33,6066.67,23
HCPCS,28050,Biopsy of foot joint lining,,,1326.84,6833.76,27
HCPCS,28052,Biopsy of foot joint lining,,,1326.84,6833.76,27
HCPCS,28054,Biopsy of toe joint lining,,,1326.84,6833.76,27
HCPCS,28055,Neurectomy foot,,,1874.25,5195.0,25
HCPCS,28060,Partial removal foot fascia,,,1326.84,6833.76,27
HCPCS,28062,Removal of foot fascia,,,1517.25,6833.76,27
HCPCS,28070,Removal of foot joint lining,,,1517.25,15155.02,27
HCPCS,28072,Removal of foot joint lining,,,1517.25,6833.76,27
HCPCS,28080,Removal of foot lesion,,,1517.25,5195.0,27
HCPCS,28086,Excise foot tendon sheath,,,1326.84,6833.76,27
HCPCS,28088,Excise foot tendon sheath,,,1326.84,6833.76,27
HCPCS,28090,Removal of foot lesion,,,1517.25,5195.0,27
HCPCS,28092,Removal of toe lesions,,,1517.25,5195.0,27
HCPCS,28100,Removal of ankle/heel lesion,,,1326.84,6833.76,27
HCPCS,28102,Remove/graft foot lesion,,,1517.25,15155.02,27
HCPCS,28103,Remove/graft foot lesion,,,1517.25,15155.02,27
HCPCS,28104,Removal of foot lesion,,,1326.84,6833.76,27
HCPCS,28106,Remove/graft foot lesion,,,1517.25,15155.02,27
HCPCS,28107,Remove/graft foot lesion,,,1517.25,15155.02,27
HCPCS,28108,Removal of toe lesions,,,1326.84,5195.0,27
HCPCS,28110,Part removal of metatarsal,,,1517.25,6833.76,27
HCPCS,28111,Part removal of metatarsal,,,1517.25,6833.76,27
HCPCS,28112,Part removal of metatarsal,,,1517.25,6833.76,27
HCPCS,28113,Part removal of metatarsal,,,1517.25,6833.76,27
HCPCS,28114,Removal of metatarsal heads,,,1517.25,6833.76,27
HCPCS,28116,Revision of foot,,,1517.25,6833.76,27
HCPCS,28118,Removal of heel bone,,,1874.25,6833.76,27
HCPCS,28119,Removal of heel spur,,,1874.25,6833.76,27
HCPCS,28120,Part removal of ankle/heel,,,2960.1,6833.76,25
HCPCS,28122,Partial removal of foot bone,,,1517.25,6833.76,27
HCPCS,28124,Partial removal of toe,,,2428.0,6833.76,23
HCPCS,28126,Partial removal of toe,,,1517.25,6833.76,27
HCPCS,28130,Removal of ankle bone,,,1517.25,15155.02,27
HCPCS,28140,Removal of metatarsal,,,1517.25,6833.76,27
HCPCS,28150,Removal of toe,,,1517.25,6833.76,27
HCPCS,28153,Partial removal of toe,,,1517.25,6833.76,27
HCPCS,28160,Partial removal of toe,,,1517.25,6833.76,27
HCPCS,28171,Resect tarsal tumor,,,1517.25,6833.76,27
HCPCS,28173,Resect metatarsal tumor,,,1517.25,6833.76,27
HCPCS,28175,Resect phalanx of toe tumor,,,1517.25,5195.0,27
HCPCS,28190,Hb Removal Foreign Body Foot Subcutaneous,6501.0,2275.35,,,0
HCPCS,28190,Removal of foot foreign body,,,739.49,1502.0,23
HCPCS,28192,Hb Removal Foreign Body Foot Deep,23448.0,8206.8,,,0
HCPCS,28192,Removal of foot foreign body,,,1326.84,3449.46,27
HCPCS,28193,Removal of foot foreign body,,,940.0,3449.46,27
HCPCS,28200,Repair of foot tendon,,,1517.25,6833.76,27
HCPCS,28202,Repair/graft of foot tendon,,,1517.25,15155.02,27
HCPCS,28208,Hb Repr Foot Extensor Tendon Ea,22332.0,7816.2,,,0
HCPCS,28208,Repair of foot tendon,,,1517.25,6833.76,27
HCPCS,28210,Repair/graft of foot tendon,,,1517.25,15155.02,27
HCPCS,28220,Release of foot tendon,,,1679.19,5195.0,23
HCPCS,28222,Release of foot tendons,,,990.66,6833.76,27
HCPCS,28225,Release of foot tendon,,,990.66,6833.76,27
HCPCS,28226,Release of foot tendons,,,990.66,6833.76,27
HCPCS,28230,Incision of foot tendon(s),,,1679.19,5195.0,25
HCPCS,28232,Incision of toe tendon,,,1679.19,5195.0,25
HCPCS,28234,Incision of foot tendon,,,1326.84,5195.0,27
HCPCS,28238,Hb Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr,12774.0,4470.9,,,0
HCPCS,28238,Revision of foot tendon,,,1517.25,15155.02,27
HCPCS,28240,Release of big toe,,,1326.84,6833.76,27
HCPCS,28250,Revision of foot fascia,,,1517.25,6833.76,27
HCPCS,28260,Release of midfoot joint,,,1517.25,6833.76,27
HCPCS,28261,Revision of foot tendon,,,1517.25,5195.0,27
HCPCS,28262,Revision of foot and ankle,,,1874.25,15155.02,27
HCPCS,28264,Release of midfoot joint,,,990.66,9732.0,27
HCPCS,28270,Release of foot contracture,,,1517.25,6833.76,27
HCPCS,28272,Release of toe joint each,,,1679.19,5195.0,25
HCPCS,28280,Fusion of toes,,,1326.84,6833.76,27
HCPCS,28285,Repair of hammertoe,,,1517.25,6833.76,27
HCPCS,28286,Repair of hammertoe,,,1874.25,6833.76,27
HCPCS,28288,Partial removal of foot bone,,,1517.25,6833.76,27
HCPCS,28289,Corrj halux rigdus w/o implt,,,1517.25,6833.76,27
HCPCS,28290,Correction of bunion,,,1900.0,2000.0,2
HCPCS,28291,Corrj halux rigdus w/implt,,,3885.0,15155.02,23
HCPCS,28292,Correction hallux valgus,,,1326.84,6833.76,27
HCPCS,28293,Correction of bunion,,,2375.0,2500.0,2
HCPCS,28294,Correction of bunion,,,2375.0,2500.0,2
HCPCS,28295,Correction hallux valgus,,,2428.0,6833.76,23
HCPCS,28296,Correction hallux valgus,,,1517.25,6833.76,27
HCPCS,28297,Correction hallux valgus,,,1517.25,26814.33,27
HCPCS,28298,Correction hallux valgus,,,1517.25,15155.02,27
HCPCS,28299,Correction hallux valgus,,,2133.06,15155.02,25
HCPCS,28300,Incision of heel bone,,,1326.84,15155.02,27
HCPCS,28302,Incision of ankle bone,,,1326.84,15155.02,27
HCPCS,28304,Incision of midfoot bones,,,1326.84,15155.02,27
HCPCS,28305,Incise/graft midfoot bones,,,1517.25,15155.02,27
HCPCS,28306,Incision of metatarsal,,,1874.25,15155.02,27
HCPCS,28307,Incision of metatarsal,,,1874.25,15155.02,27
HCPCS,28308,Incision of metatarsal,,,1326.84,6833.76,27
HCPCS,28309,Incision of metatarsals,,,1874.25,15155.02,27
HCPCS,28310,Revision of big toe,,,1517.25,15155.02,27
HCPCS,28312,Revision of toe,,,1517.25,6833.76,27
HCPCS,28313,Repair deformity of toe,,,1326.84,6833.76,27
HCPCS,28315,Removal of sesamoid bone,,,1874.25,6833.76,27
HCPCS,28320,Repair of foot bones,,,1874.25,26814.33,27
HCPCS,28322,Repair of metatarsals,,,1874.25,15155.02,27
HCPCS,28340,Resect enlarged toe tissue,,,1874.25,6833.76,27
HCPCS,28341,Resect enlarged toe,,,1874.25,6833.76,27
HCPCS,28344,Hb Reconstr Toe(S); Polydactyly,15385.0,5384.75,,,0
HCPCS,28344,Repair extra toe(s),,,1874.25,6833.76,27
HCPCS,28345,Repair webbed toe(s),,,1679.19,5195.0,27
HCPCS,28360,Reconstruct cleft foot,,,3885.0,15155.02,23
HCPCS,28400,Treatment of heel fracture,,,257.59,1502.0,27
HCPCS,28405,Treatment of heel fracture,,,257.59,2121.0,27
HCPCS,28406,Treatment of heel fracture,,,1326.84,15155.02,27
HCPCS,28415,Treat heel fracture,,,1517.25,15155.02,27
HCPCS,28420,Treat/graft heel fracture,,,1874.25,26814.33,27
HCPCS,28430,Treatment of ankle fracture,,,257.59,972.0,21
HCPCS,28435,Hb Closed Tx Talus Fracture W/Manipulation,7656.0,2679.6,,,0
HCPCS,28435,Treatment of ankle fracture,,,308.28,3358.38,27
HCPCS,28436,Treatment of ankle fracture,,,1326.84,15155.02,27
HCPCS,28445,Treat ankle fracture,,,1517.25,15155.02,27
HCPCS,28446,Osteochondral talus autogrft,,,5282.0,15155.02,23
HCPCS,28450,Treat midfoot fracture each,,,257.59,972.0,21
HCPCS,28455,Treat midfoot fracture each,,,704.0,3358.38,21
HCPCS,28456,Treat midfoot fracture,,,1326.84,15155.02,27
HCPCS,28465,Treat midfoot fracture each,,,1517.25,15155.02,27
HCPCS,28470,Treat metatarsal fracture,,,257.59,972.0,21
HCPCS,28475,Hb Treat Metatarsal Fracture,5382.0,1883.7,,,0
HCPCS,28475,Treat metatarsal fracture,,,257.59,972.0,21
HCPCS,28476,Treat metatarsal fracture,,,1326.84,6833.76,27
HCPCS,28485,Treat metatarsal fracture,,,1874.25,15155.02,27
HCPCS,28490,Treat big toe fracture,,,257.59,972.0,21
HCPCS,28495,Hb Cltx Fx Grt Toe Phlx/Phlg W/Manj,2619.0,916.65,,,0
HCPCS,28495,Treat big toe fracture,,,257.59,972.0,21
HCPCS,28496,Treat big toe fracture,,,1326.84,6833.76,27
HCPCS,28505,Treat big toe fracture,,,1517.25,6833.76,27
HCPCS,28510,Treatment of toe fracture,,,257.59,972.0,21
HCPCS,28515,Hb Cl Tx Fx Phalanx/Phalang; W Manip,3174.0,1110.9,,,0
HCPCS,28515,Treatment of toe fracture,,,257.59,972.0,21
HCPCS,28525,Treat toe fracture,,,1517.25,6833.76,27
HCPCS,28530,Treat sesamoid bone fracture,,,257.59,972.0,21
HCPCS,28531,Treat sesamoid bone fracture,,,1517.25,15155.02,27
HCPCS,28540,Treat foot dislocation,,,257.59,972.0,21
HCPCS,28545,Treat foot dislocation,,,990.66,6833.76,27
HCPCS,28546,Treat foot dislocation,,,1326.84,5195.0,27
HCPCS,28555,Repair foot dislocation,,,1326.84,15155.02,27
HCPCS,28570,Treat foot dislocation,,,257.59,972.0,21
HCPCS,28575,Hb Cl Tx Talotarsal Joint Disl;W/Anes,18052.0,6318.2,,,0
HCPCS,28575,Treat foot dislocation,,,308.28,6833.76,27
HCPCS,28576,Treat foot dislocation,,,1517.25,15155.02,27
HCPCS,28585,Repair foot dislocation,,,1517.25,15155.02,27
HCPCS,28600,Treat foot dislocation,,,257.59,972.0,21
HCPCS,28605,Treat foot dislocation,,,257.59,1502.0,27
HCPCS,28606,Treat foot dislocation,,,1326.84,6833.76,27
HCPCS,28615,Repair foot dislocation,,,1517.25,15155.02,27
HCPCS,28630,Hb Cl Tx Mtp Jnt Disloc; Wo Anesth,2450.0,857.5,,,0
HCPCS,28630,Treat toe dislocation,,,257.59,972.0,21
HCPCS,28635,Treat toe dislocation,,,990.66,3358.38,27
HCPCS,28636,Treat toe dislocation,,,1517.25,6833.76,27
HCPCS,28645,Repair toe dislocation,,,1517.25,6833.76,27
HCPCS,28660,Hb Cltx Interphalangeal Joint Dislocation W/O Anes,1421.0,497.35,,,0
HCPCS,28660,Treat toe dislocation,,,257.59,972.0,21
HCPCS,28665,Hb Cltx Interphalangeal Joint Dislocation Req Anes,2977.0,1041.95,,,0
HCPCS,28665,Treat toe dislocation,,,292.08,1502.0,27
HCPCS,28666,Hb Prq Skel Fixj Interphalangeal Joint Dislc W/Manj,12050.0,4217.5,,,0
HCPCS,28666,Treat toe dislocation,,,1517.25,6833.76,27
HCPCS,28675,Repair of toe dislocation,,,1517.25,6833.76,27
HCPCS,28705,Fusion of foot bones,,,1874.25,36620.39,27
HCPCS,28715,Fusion of foot bones,,,1874.25,26814.33,27
HCPCS,28725,Fusion of foot bones,,,1874.25,26814.33,27
HCPCS,28730,Fusion of foot bones,,,1874.25,26814.33,27
HCPCS,28735,Fusion of foot bones,,,1874.25,26814.33,27
HCPCS,28737,Revision of foot bones,,,2133.06,26814.33,25
HCPCS,28740,Fusion of foot bones,,,1874.25,15155.02,27
HCPCS,28750,Fusion of big toe joint,,,1874.25,15155.02,27
HCPCS,28755,Fusion of big toe joint,,,1874.25,15155.02,27
HCPCS,28760,Fusion of big toe joint,,,1874.25,15155.02,27
HCPCS,28800,Amputation of midfoot,,,3416.88,6833.76,23
HCPCS,28805,Amputation thru metatarsal,,,3416.88,6833.76,23
HCPCS,28810,Amputation toe & metatarsal,,,1326.84,6833.76,27
HCPCS,28820,Amputation of toe,,,1326.84,6833.76,27
HCPCS,28820,Hb Amputation Of Toe,18497.0,6473.95,,,0
HCPCS,28825,Hb Amputation Toe Interphalangeal Joint,17922.0,6272.7,,,0
HCPCS,28825,Partial amputation of toe,,,1326.84,6833.76,27
HCPCS,28890,Hi enrgy eswt plantar fascia,,,1679.19,6490.0,23
HCPCS,28899,Foot/toes surgery procedure,,,257.59,3993.0,23
HCPCS,29000,Application of body cast,,,292.08,1502.0,23
HCPCS,29010,Application of body cast,,,292.08,972.0,21
HCPCS,29015,Application of body cast,,,292.08,972.0,21
HCPCS,29035,Application of body cast,,,292.08,972.0,21
HCPCS,29040,Application of body cast,,,292.08,972.0,21
HCPCS,29044,Application of body cast,,,169.7,972.0,21
HCPCS,29046,Application of body cast,,,292.08,972.0,21
HCPCS,29049,Application of figure eight,,,292.08,972.0,21
HCPCS,29055,Application of shoulder cast,,,292.08,972.0,21
HCPCS,29058,Application of shoulder cast,,,292.08,972.0,21
HCPCS,29065,Application of long arm cast,,,292.08,972.0,21
HCPCS,29065,Hb Apply Cast Shoulder To Hand,945.5,330.925,,,0
HCPCS,29075,Application of forearm cast,,,292.08,972.0,21
HCPCS,29075,Hb Apply Cast Elbow To Finger,879.5,307.825,,,0
HCPCS,29085,Apply hand/wrist cast,,,169.7,972.0,21
HCPCS,29085,Hb Apply Cast Hand Lower Forearm,1179.0,412.65,,,0
HCPCS,29086,Apply finger cast,,,169.7,972.0,21
HCPCS,29105,Apply long arm splint,,,169.7,972.0,21
HCPCS,29105,Hb Apply Splint Shoulder To Hand,988.0,345.8,,,0
HCPCS,29125,Apply forearm splint,,,138.94,972.0,21
HCPCS,29125,Hb Apply Splint Forearm To Hand,1026.0,359.1,,,0
HCPCS,29126,Apply forearm splint,,,138.94,972.0,21
HCPCS,29126,Hb Apply Dynamic Short Arm Splint,1779.0,622.65,,,0
HCPCS,29130,Application of finger splint,,,138.94,972.0,21
HCPCS,29130,Hb Apply Splint Finger Static,895.5,313.42499999999995,,,0
HCPCS,29131,Application of finger splint,,,61.6,972.0,21
HCPCS,29200,Strapping of chest,,,169.7,972.0,21
HCPCS,29240,Hb Strapping Shoulder,226.0,79.1,,,0
HCPCS,29240,Strapping of shoulder,,,138.94,972.0,21
HCPCS,29260,Hb Strapping Of Elbow Or Wrist,291.5,102.025,,,0
HCPCS,29260,Strapping of elbow or wrist,,,61.6,972.0,21
HCPCS,29280,Strapping of hand or finger,,,61.6,972.0,21
HCPCS,29305,Application of hip cast,,,292.08,972.0,21
HCPCS,29305,Hb Apply Cast Hip,3609.0,1263.15,,,0
HCPCS,29325,Application of hip casts,,,292.08,972.0,21
HCPCS,29345,Application of long leg cast,,,292.08,972.0,21
HCPCS,29345,Hb Apply Cast Thigh To Toes,1805.0,631.75,,,0
HCPCS,29355,Application of long leg cast,,,292.08,972.0,21
HCPCS,29355,Hb Apply Cast Walk Thigh To Toes,827.0,289.45,,,0
HCPCS,29358,Apply long leg cast brace,,,292.08,972.0,21
HCPCS,29365,Application of long leg cast,,,292.08,972.0,21
HCPCS,29365,Hb Apply Cast Cyl Thigh To Ankle,2178.0,762.3,,,0
HCPCS,29405,Apply short leg cast,,,292.08,972.0,21
HCPCS,29405,Hb Apply Cast Below Knee To Toes,933.0,326.54999999999995,,,0
HCPCS,29425,Apply short leg cast,,,292.08,972.0,21
HCPCS,29425,Hb Apply Cast Short Leg Walk,467.0,163.45,,,0
HCPCS,29435,Apply short leg cast,,,292.08,972.0,21
HCPCS,29435,Hb Apply Cast Ptb,2376.0,831.6,,,0
HCPCS,29435,Hb Apply Cast Ptb Fiberglass,4471.0,1564.85,,,0
HCPCS,29435,Hb Apply Cast Ptb Plaster,4261.0,1491.35,,,0
HCPCS,29440,Addition of walker to cast,,,169.7,972.0,21
HCPCS,29445,Apply rigid leg cast,,,292.08,972.0,21
HCPCS,29445,Hb Apply Cast Rigd Tot Leg Con,827.0,289.45,,,0
HCPCS,29450,Application of leg cast,,,169.7,972.0,21
HCPCS,29450,Hb Apply Cast Clb Foot Plaster,3648.0,1276.8,,,0
HCPCS,29505,Application long leg splint,,,169.7,972.0,21
HCPCS,29505,Hb Apply Splint Thigh To Ankle,911.0,318.85,,,0
HCPCS,29515,Application lower leg splint,,,169.7,972.0,21
HCPCS,29515,Hb Apply Splint Calf To Foot,1078.0,377.29999999999995,,,0
HCPCS,29520,Strapping of hip,,,138.94,972.0,21
HCPCS,29530,Hb Strapping Knee,210.0,73.5,,,0
HCPCS,29530,Strapping of knee,,,138.94,972.0,21
HCPCS,29540,Hb Strapping Ankle Or Foot,360.0,126.0,,,0
HCPCS,29540,Strapping of ankle and/or ft,,,169.7,972.0,21
HCPCS,29550,Hb Strapping Toes,114.0,39.9,,,0
HCPCS,29550,Strapping of toes,,,61.6,972.0,21
HCPCS,29580,Application of paste boot,,,169.7,972.0,21
HCPCS,29580,Hb Strapping Unna Boot,404.0,141.4,,,0
HCPCS,29581,Apply multlay comprs lwr leg,,,169.7,972.0,21
HCPCS,29584,Appl multlay comprs arm/hand,,,169.7,972.0,21
HCPCS,29689,Hb 	Unlisted Procedure Hands/Fingers,6130.0,2145.5,,,0
HCPCS,29700,Removal/revision of cast,,,292.08,972.0,21
HCPCS,29705,Hb Remove Cast Full Arm Or Leg,705.0,246.75,,,0
HCPCS,29705,Removal/revision of cast,,,292.08,972.0,21
HCPCS,29710,Hb Removal/Revision Of Cast,1211.0,423.85,,,0
HCPCS,29710,Removal/revision of cast,,,292.08,972.0,21
HCPCS,29720,Repair of body cast,,,169.7,972.0,21
HCPCS,29730,Windowing of cast,,,169.7,972.0,21
HCPCS,29740,Wedging of cast,,,292.08,972.0,21
HCPCS,29750,Hb Cast Wedge (Spacers),32.0,11.2,,,0
HCPCS,29750,Wedging of clubfoot cast,,,292.08,972.0,21
HCPCS,29799,Casting/strapping procedure,,,169.7,972.0,21
HCPCS,29799,Hb Strapping Low Back,205.5,71.92500000000001,,,0
HCPCS,29800,Jaw arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29804,Jaw arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29805,Shoulder arthroscopy dx,,,1517.25,6833.76,27
HCPCS,29806,Shoulder arthroscopy/surgery,,,1517.25,15155.02,27
HCPCS,29807,Shoulder arthroscopy/surgery,,,1517.25,15155.02,27
HCPCS,29819,Shoulder arthroscopy/surgery,,,1517.25,14016.0,27
HCPCS,29820,Shoulder arthroscopy/surgery,,,1517.25,15155.02,27
HCPCS,29821,Shoulder arthroscopy/surgery,,,1517.25,14016.0,27
HCPCS,29822,Shoulder arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29823,Shoulder arthroscopy/surgery,,,1517.25,14016.0,27
HCPCS,29824,Shoulder arthroscopy/surgery,,,2133.06,14016.0,25
HCPCS,29825,Shoulder arthroscopy/surgery,,,1517.25,14016.0,27
HCPCS,29826,Shoulder arthroscopy/surgery,,,704.0,5766.0,8
HCPCS,29827,Arthroscop rotator cuff repr,,,2133.06,15155.02,25
HCPCS,29828,Arthroscopy biceps tenodesis,,,5506.0,15155.02,23
HCPCS,29830,Elbow arthroscopy,,,1517.25,14016.0,27
HCPCS,29834,Elbow arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29835,Elbow arthroscopy/surgery,,,1517.25,14016.0,27
HCPCS,29836,Elbow arthroscopy/surgery,,,1517.25,15155.02,27
HCPCS,29837,Elbow arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29838,Elbow arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29840,Wrist arthroscopy,,,1517.25,6833.76,27
HCPCS,29843,Wrist arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29844,Wrist arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29845,Wrist arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29846,Wrist arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29847,Wrist arthroscopy/surgery,,,1517.25,15155.02,27
HCPCS,29848,Wrist endoscopy/surgery,,,1679.19,6490.0,25
HCPCS,29850,Knee arthroscopy/surgery,,,1679.19,6490.0,27
HCPCS,29851,Knee arthroscopy/surgery,,,1679.19,9732.0,27
HCPCS,29855,Tibial arthroscopy/surgery,,,1874.25,15155.02,27
HCPCS,29856,Tibial arthroscopy/surgery,,,1874.25,26814.33,27
HCPCS,29860,Hip arthroscopy dx,,,1874.25,15155.02,27
HCPCS,29861,Hip arthro w/fb removal,,,1874.25,15155.02,27
HCPCS,29862,Hip arthr0 w/debridement,,,3983.52,15155.02,25
HCPCS,29863,Hip arthr0 w/synovectomy,,,1874.25,14016.0,27
HCPCS,29866,Autgrft implnt knee w/scope,,,5506.0,15155.02,23
HCPCS,29867,Allgrft implnt knee w/scope,,,5506.0,26814.33,23
HCPCS,29868,Meniscal trnspl knee w/scpe,,,5506.0,15155.02,23
HCPCS,29870,Knee arthroscopy dx,,,1517.25,6833.76,27
HCPCS,29871,Knee arthroscopy/drainage,,,1517.25,6833.76,27
HCPCS,29873,Knee arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29874,Knee arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29875,Knee arthroscopy/surgery,,,1874.25,6833.76,27
HCPCS,29876,Knee arthroscopy/surgery,,,1874.25,6833.76,27
HCPCS,29877,Knee arthroscopy/surgery,,,1874.25,6833.76,27
HCPCS,29879,Knee arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29880,Knee arthroscopy/surgery,,,1874.25,6833.76,27
HCPCS,29881,Knee arthroscopy/surgery,,,1874.25,6833.76,27
HCPCS,29882,Knee arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29883,Knee arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29884,Knee arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29885,Knee arthroscopy/surgery,,,1517.25,15155.02,27
HCPCS,29886,Knee arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29887,Knee arthroscopy/surgery,,,1517.25,15155.02,27
HCPCS,29888,Knee arthroscopy/surgery,,,1517.25,15155.02,27
HCPCS,29889,Knee arthroscopy/surgery,,,1517.25,26814.33,27
HCPCS,29891,Ankle arthroscopy/surgery,,,1517.25,14016.0,27
HCPCS,29892,Ankle arthroscopy/surgery,,,1517.25,15155.02,27
HCPCS,29893,Scope plantar fasciotomy,,,3416.88,6833.76,25
HCPCS,29894,Ankle arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29895,Ankle arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29897,Ankle arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29898,Ankle arthroscopy/surgery,,,1517.25,6833.76,27
HCPCS,29899,Ankle arthroscopy/surgery,,,1517.25,15155.02,27
HCPCS,29900,Mcp joint arthroscopy dx,,,1517.25,6833.76,27
HCPCS,29901,Mcp joint arthroscopy surg,,,1517.25,14016.0,27
HCPCS,29902,Mcp joint arthroscopy surg,,,1517.25,6490.0,27
HCPCS,29904,Subtalar arthro w/fb rmvl,,,3416.88,6833.76,23
HCPCS,29905,Subtalar arthro w/exc,,,4698.0,15155.02,23
HCPCS,29906,Subtalar arthro w/deb,,,3416.88,6833.76,23
HCPCS,29907,Subtalar arthro w/fusion,,,5506.0,26814.33,23
HCPCS,29914,Hip arthro w/femoroplasty,,,5506.0,15155.02,23
HCPCS,29915,Hip arthro acetabuloplasty,,,5506.0,15155.02,23
HCPCS,29916,Hip arthro w/labral repair,,,5506.0,15155.02,23
HCPCS,29999,Arthroscopy of joint,,,257.59,5766.0,23
HCPCS,30000,Drainage of nose lesion,,,247.34,972.0,21
HCPCS,30020,Drainage of nose lesion,,,563.21,1126.42,21
HCPCS,30020,Hb Dr Absc/Hematoma Nasal Septum,11780.0,4123.0,,,0
HCPCS,30100,Hb Biopsy Intranasal,1349.0,472.15,,,0
HCPCS,30100,Intranasal biopsy,,,1457.0,3240.57,23
HCPCS,30110,Removal of nose polyp(s),,,1620.29,3993.0,23
HCPCS,30115,Removal of nose polyp(s),,,1326.84,6924.53,27
HCPCS,30117,Removal of intranasal lesion,,,1517.25,6924.53,27
HCPCS,30118,Removal of intranasal lesion,,,1517.25,6924.53,27
HCPCS,30120,Revision of nose,,,990.66,6924.53,27
HCPCS,30124,Removal of nose lesion,,,1457.0,3240.57,23
HCPCS,30125,Removal of nose lesion,,,1326.84,12363.91,27
HCPCS,30130,Excise inferior turbinate,,,1517.25,6924.53,27
HCPCS,30140,Resect inferior turbinate,,,1326.84,6924.53,27
HCPCS,30150,Partial removal of nose,,,1517.25,12363.91,27
HCPCS,30160,Removal of nose,,,1874.25,12363.91,27
HCPCS,30200,Injection treatment of nose,,,563.21,1502.0,23
HCPCS,30210,Nasal sinus therapy,,,1457.0,3240.57,23
HCPCS,30220,Hb Insert Nasal Septal Prosthesis,2566.0,898.1,,,0
HCPCS,30220,Insert nasal septal button,,,1380.84,3240.57,27
HCPCS,30300,Hb Remove Foreign Body Nose,632.0,221.2,,,0
HCPCS,30300,Remove nasal foreign body,,,138.94,972.0,21
HCPCS,30310,Hb Rem Fb Ntranasal; W Anesth,12735.0,4457.25,,,0
HCPCS,30310,Remove nasal foreign body,,,990.66,6924.53,27
HCPCS,30320,Remove nasal foreign body,,,1326.84,3240.57,27
HCPCS,30400,Reconstruction of nose,,,1874.25,12363.91,27
HCPCS,30410,Reconstruction of nose,,,2133.06,12363.91,25
HCPCS,30420,Reconstruction of nose,,,2133.06,12363.91,25
HCPCS,30430,Revision of nose,,,1517.25,12363.91,27
HCPCS,30435,Revision of nose,,,2133.06,12363.91,25
HCPCS,30450,Revision of nose,,,2960.1,12363.91,25
HCPCS,30460,Revision of nose,,,2960.1,12363.91,25
HCPCS,30462,Revision of nose,,,3983.52,12363.91,25
HCPCS,30465,Repair Nasal Stenosis,,,3983.52,12363.91,25
HCPCS,30468,Rpr nsl vlv collapse w/implt,,,5282.0,12363.91,23
HCPCS,30469,Rpr nsl vlv collapse w/rmdlg,,,5282.0,12363.91,23
HCPCS,30520,Repair of nasal septum,,,1874.25,6924.53,27
HCPCS,30540,Repair nasal defect,,,2133.06,12363.91,25
HCPCS,30545,Repair nasal defect,,,2133.06,12363.91,25
HCPCS,30560,Hb Lysis Intranasal Synechia,802.0,280.7,,,0
HCPCS,30560,Release of nasal adhesions,,,448.38,2121.0,27
HCPCS,30580,Repair upper jaw fistula,,,1874.25,12363.91,27
HCPCS,30600,Repair mouth/nose fistula,,,1874.25,12363.91,27
HCPCS,30620,Intranasal reconstruction,,,2960.1,12363.91,25
HCPCS,30630,Repair nasal septum defect,,,2960.1,6924.53,25
HCPCS,30801,Ablate inf turbinate superf,,,990.66,3240.57,27
HCPCS,30802,Ablate inf turbinate submuc,,,990.66,3240.57,27
HCPCS,30901,Control of nosebleed,,,138.94,972.0,21
HCPCS,30901,Hb Control Of Nosebleed,1643.0,575.05,,,0
HCPCS,30903,Control of nosebleed,,,138.94,1502.0,27
HCPCS,30903,Hb Control Nasal Hemorrhage Anterior Complex,1191.0,416.85,,,0
HCPCS,30905,Control of nosebleed,,,138.94,1502.0,27
HCPCS,30905,Hbcntrl Post Epistax Init,1766.0,618.1,,,0
HCPCS,30906,Repeat control of nosebleed,,,215.64,1502.0,27
HCPCS,30915,Ligation nasal sinus artery,,,1326.84,6594.58,27
HCPCS,30920,Ligation upper jaw artery,,,1517.25,6594.58,27
HCPCS,30930,Ther fx nasal inf turbinate,,,1874.25,6924.53,27
HCPCS,30999,Hb Nasal Surgery Procedure,1354.0,473.9,,,0
HCPCS,30999,Nasal surgery procedure,,,247.34,3993.0,23
HCPCS,31000,Irrigation maxillary sinus,,,247.34,972.0,21
HCPCS,31002,Irrigation sphenoid sinus,,,1457.0,3240.57,23
HCPCS,31020,Exploration maxillary sinus,,,1326.84,6924.53,27
HCPCS,31030,Exploration maxillary sinus,,,1517.25,12363.91,27
HCPCS,31032,Explore sinus remove polyps,,,1874.25,12363.91,27
HCPCS,31040,Exploration behind upper jaw,,,3760.0,12363.91,23
HCPCS,31050,Exploration sphenoid sinus,,,1326.84,12363.91,27
HCPCS,31051,Sphenoid sinus surgery,,,1874.25,12363.91,27
HCPCS,31070,Exploration of frontal sinus,,,1326.84,12363.91,27
HCPCS,31075,Exploration of frontal sinus,,,1874.25,12363.91,27
HCPCS,31080,Removal of frontal sinus,,,1874.25,12363.91,27
HCPCS,31081,Removal of frontal sinus,,,1874.25,12363.91,27
HCPCS,31084,Removal of frontal sinus,,,1874.25,12363.91,27
HCPCS,31085,Removal of frontal sinus,,,1874.25,12363.91,27
HCPCS,31086,Removal of frontal sinus,,,1874.25,12363.91,27
HCPCS,31087,Removal of frontal sinus,,,1874.25,12363.91,27
HCPCS,31090,Exploration of sinuses,,,2133.06,12363.91,25
HCPCS,31200,Removal of ethmoid sinus,,,1326.84,12363.91,27
HCPCS,31201,Removal of ethmoid sinus,,,1620.29,3369.0,25
HCPCS,31205,Removal of ethmoid sinus,,,1517.25,6924.53,27
HCPCS,31225,Removal of upper jaw,,,3613.0,4992.0,4
HCPCS,31230,Removal of upper jaw,,,3613.0,4992.0,4
HCPCS,31231,Hb Nasal Endoscopy Diag,5769.5,2019.325,,,0
HCPCS,31231,Nasal endoscopy dx,,,208.45,972.0,21
HCPCS,31233,Hb Nasal Endo W Max Sinuscopy,509.0,178.15,,,0
HCPCS,31233,Nasal/sinus endoscopy dx,,,257.01,2121.0,27
HCPCS,31235,Hb Nasal Endo W Sph Sinuscopy,8686.0,3040.1,,,0
HCPCS,31235,Nasal/sinus endoscopy dx,,,990.66,3717.42,27
HCPCS,31237,Hb Nasal Endo W Debridement,9574.0,3350.9,,,0
HCPCS,31237,Nasal/sinus endoscopy surg,,,1326.84,3717.42,27
HCPCS,31238,Nasal/sinus endoscopy surg,,,990.66,3717.42,27
HCPCS,31239,Nasal/sinus endoscopy surg,,,1874.25,7786.87,27
HCPCS,31240,Nasal/sinus endoscopy surg,,,1326.84,5195.0,27
HCPCS,31241,Nsl/sins ndsc w/artery lig,,,1858.71,5195.0,23
HCPCS,31242,Nsl/sinus ndsc rf abltj pnn,,,3885.0,12363.91,23
HCPCS,31243,Nsl/sinus ndsc cryoabltj pnn,,,3885.0,12363.91,23
HCPCS,31253,Nsl/sins ndsc total,,,4698.0,14739.91,23
HCPCS,31254,Revision of ethmoid sinus,,,1517.25,14739.91,27
HCPCS,31255,Removal of ethmoid sinus,,,2133.06,14739.91,25
HCPCS,31256,Exploration maxillary sinus,,,1517.25,7786.87,27
HCPCS,31257,Nsl/sins ndsc tot w/sphendt,,,4698.0,14739.91,23
HCPCS,31259,Nsl/sins ndsc sphn tiss rmvl,,,4698.0,14739.91,23
HCPCS,31267,Endoscopy maxillary sinus,,,1517.25,14739.91,27
HCPCS,31276,Sinus endoscopy surgical,,,1517.25,14739.91,27
HCPCS,31287,Nasal/sinus endoscopy surg,,,1517.25,14739.91,27
HCPCS,31288,Nasal/sinus endoscopy surg,,,1517.25,14739.91,27
HCPCS,31290,Nasal/sinus endoscopy surg,,,3613.0,4992.0,4
HCPCS,31291,Nasal/sinus endoscopy surg,,,3613.0,4992.0,4
HCPCS,31292,Nasal/sinus endoscopy surg,,,3885.0,14739.91,23
HCPCS,31293,Nasal/sinus endoscopy surg,,,3885.0,14739.91,23
HCPCS,31294,Nasal/sinus endoscopy surg,,,3885.0,14739.91,23
HCPCS,31295,Sinus endo w/balloon dil,,,4698.0,14739.91,23
HCPCS,31296,Sinus endo w/balloon dil,,,4698.0,14739.91,23
HCPCS,31297,Sinus endo w/balloon dil,,,3760.0,14739.91,23
HCPCS,31298,Nsl/sins ndsc w/sins dilat,,,4698.0,14739.91,23
HCPCS,31299,Sinus surgery procedure,,,247.34,3993.0,23
HCPCS,31300,Removal of larynx lesion,,,2133.06,6924.53,25
HCPCS,31320,Diagnostic incision larynx,,,1326.84,2000.0,4
HCPCS,31360,Removal of larynx,,,3613.0,4992.0,4
HCPCS,31365,Removal of larynx,,,3613.0,4992.0,4
HCPCS,31367,Partial removal of larynx,,,3613.0,4992.0,4
HCPCS,31368,Partial removal of larynx,,,3613.0,4992.0,4
HCPCS,31370,Partial removal of larynx,,,3613.0,4992.0,4
HCPCS,31375,Partial removal of larynx,,,3613.0,4992.0,4
HCPCS,31380,Partial removal of larynx,,,3613.0,4992.0,4
HCPCS,31382,Partial removal of larynx,,,3613.0,4992.0,4
HCPCS,31390,Removal of larynx & pharynx,,,3613.0,4992.0,4
HCPCS,31395,Reconstruct larynx & pharynx,,,3613.0,4992.0,4
HCPCS,31400,Revision of larynx,,,1326.84,12363.91,27
HCPCS,31420,Removal of epiglottis,,,1326.84,12363.91,27
HCPCS,31500,Hb Endotracheal Intubation,1475.0,516.25,,,0
HCPCS,31500,Hb Intubation Endotracheal Emergency Procedure,2778.0,972.3,,,0
HCPCS,31500,Insert emergency airway,,,247.34,1502.0,23
HCPCS,31502,Change of windpipe airway,,,247.34,1502.0,23
HCPCS,31502,Hb Tracheostomy Tube Change,1352.0,473.2,,,0
HCPCS,31505,Diagnostic laryngoscopy,,,208.45,1500.0,23
HCPCS,31505,Hb Laryngoscopy Indirect,209.0,73.15,,,0
HCPCS,31510,Laryngoscopy with biopsy,,,1326.84,7786.87,27
HCPCS,31511,Remove foreign body larynx,,,208.45,2121.0,27
HCPCS,31512,Removal of larynx lesion,,,1326.84,7786.87,27
HCPCS,31513,Injection into vocal cord,,,257.01,2121.0,27
HCPCS,31515,Laryngoscopy for aspiration,,,408.44,1502.0,27
HCPCS,31520,Dx laryngoscopy newborn,,,408.44,972.0,21
HCPCS,31525,Dx laryngoscopy excl nb,,,990.66,3717.42,27
HCPCS,31525,Hb Dx Laryngoscopy Excl Nb,3971.0,1389.85,,,0
HCPCS,31526,Dx laryngoscopy w/oper scope,,,1326.84,3717.42,27
HCPCS,31527,Laryngoscopy for treatment,,,990.66,7786.87,27
HCPCS,31528,Laryngoscopy and dilation,,,1326.84,7786.87,27
HCPCS,31529,Laryngoscopy and dilation,,,1326.84,7786.87,27
HCPCS,31530,Laryngoscopy w/fb removal,,,1326.84,3717.42,27
HCPCS,31531,Laryngoscopy w/fb & op scope,,,1517.25,7786.87,27
HCPCS,31535,Laryngoscopy w/biopsy,,,1326.84,7786.87,27
HCPCS,31536,Laryngoscopy w/bx & op scope,,,1517.25,7786.87,27
HCPCS,31540,Laryngoscopy w/exc of tumor,,,1517.25,7786.87,27
HCPCS,31541,Larynscop w/tumr exc + scope,,,1874.25,7786.87,27
HCPCS,31545,Remove vc lesion w/scope,,,1874.25,7786.87,27
HCPCS,31546,Remove vc lesion scope/graft,,,1874.25,14739.91,27
HCPCS,31551,Laryngoplasty laryngeal sten,,,3885.0,12363.91,23
HCPCS,31552,Laryngoplasty laryngeal sten,,,3885.0,12363.91,23
HCPCS,31553,Laryngoplasty laryngeal sten,,,3885.0,12363.91,23
HCPCS,31554,Laryngoplasty laryngeal sten,,,3885.0,12363.91,23
HCPCS,31560,Laryngoscop w/arytenoidectom,,,2133.06,14739.91,25
HCPCS,31561,Larynscop remve cart + scop,,,2133.06,14739.91,25
HCPCS,31570,Hb Laryngoscope W/ Vc Inj,11612.0,4064.2,,,0
HCPCS,31570,Laryngoscope w/vc inj,,,1326.84,7786.87,27
HCPCS,31571,Hb Laryngoscop W/Vc Inj + Scope,16480.0,5768.0,,,0
HCPCS,31571,Laryngoscop w/vc inj + scope,,,1326.84,7786.87,27
HCPCS,31572,Largsc w/laser dstrj les,,,3760.0,7786.87,23
HCPCS,31573,Largsc w/ther injection,,,1858.71,4499.0,23
HCPCS,31574,Hb Laryngoscopy Flexible W/Injection Agmntj Uni,7019.0,2456.65,,,0
HCPCS,31574,Largsc w/njx augmentation,,,1858.71,4499.0,23
HCPCS,31575,Diagnostic laryngoscopy,,,208.45,972.0,21
HCPCS,31575,Hb Laryngoscopy Flex,763.0,267.05,,,0
HCPCS,31576,Hb Laryngoscopy W Biopsies,10758.0,3765.3,,,0
HCPCS,31576,Laryngoscopy with biopsy,,,1326.84,3717.42,27
HCPCS,31577,Hb Laryngoscopy Flx Rmvl Foreign Body(S),5402.0,1890.7,,,0
HCPCS,31577,Largsc w/rmvl foreign bdy(s),,,408.44,2121.0,27
HCPCS,31578,Largsc w/removal lesion,,,1326.84,7786.87,27
HCPCS,31579,Hb Laryngoscopy W Stroboscopy,2350.5,822.675,,,0
HCPCS,31579,Laryngoscopy telescopic,,,408.44,1502.0,23
HCPCS,31580,Laryngoplasty laryngeal web,,,2133.06,12363.91,25
HCPCS,31584,Laryngoplasty fx rdctj fixj,,,3885.0,12363.91,23
HCPCS,31587,Laryngoplasty cricoid split,,,3885.0,12363.91,23
HCPCS,31590,Reinnervate larynx,,,2133.06,12363.91,25
HCPCS,31591,Laryngoplasty medialization,,,3885.0,12363.91,23
HCPCS,31592,Cricotracheal resection,,,3885.0,12363.91,23
HCPCS,31595,Larynx nerve surgery,,,1326.84,2000.0,4
HCPCS,31599,Hb Larynx Surgery Procedure,2578.0,902.3,,,0
HCPCS,31599,Larynx surgery procedure,,,247.34,3993.0,23
HCPCS,31600,Hb Tracheostomy 2 Yrs Gt,10164.0,3557.4,,,0
HCPCS,31600,Incision of windpipe,,,2064.0,6924.53,23
HCPCS,31601,Hb Tracheostomy Ls 2 Yrs,10164.0,3557.4,,,0
HCPCS,31601,Incision of windpipe,,,3760.0,12363.91,23
HCPCS,31603,Incision of windpipe,,,990.66,3240.57,27
HCPCS,31605,Hb Tracheostomy Emerg; Cricothyroid,3685.0,1289.75,,,0
HCPCS,31605,Incision of windpipe,,,247.34,1502.0,23
HCPCS,31610,Hb Excise Excess Skin & Subq Tissue; Other,19984.0,6994.4,,,0
HCPCS,31610,Incision of windpipe,,,3760.0,12363.91,23
HCPCS,31611,Hb Const Speech Prosthesis,14057.0,4919.95,,,0
HCPCS,31611,Surgery/speech prosthesis,,,1517.25,6924.53,27
HCPCS,31612,Puncture/clear windpipe,,,990.66,6924.53,27
HCPCS,31613,Repair windpipe opening,,,1326.84,6924.53,27
HCPCS,31614,Repair windpipe opening,,,1326.84,12363.91,27
HCPCS,31615,Hb Bronchoscopy Thru Trach,6836.0,2392.6,,,0
HCPCS,31615,Visualization of windpipe,,,563.21,1502.0,27
HCPCS,31622,Dx bronchoscope/wash,,,990.66,3717.42,27
HCPCS,31622,Hb Bronchoscopy,9575.0,3351.25,,,0
HCPCS,31623,Dx bronchoscope/brush,,,1326.84,3717.42,27
HCPCS,31623,Hb Bronchoscopy W Brushing,10375.0,3631.25,,,0
HCPCS,31624,Dx bronchoscope/lavage,,,1326.84,3717.42,27
HCPCS,31624,Hb Bronchoscopy W Alveolar Lavage,10375.0,3631.25,,,0
HCPCS,31625,Bronchoscopy w/biopsy(s),,,1326.84,3717.42,27
HCPCS,31625,Hb Bronchoscopy W Biopsy,10375.0,3631.25,,,0
HCPCS,31626,Bronchoscopy w/markers,,,2428.0,14739.91,23
HCPCS,31626,Hb Bronchoscopy W/Markers,13776.0,4821.6,,,0
HCPCS,31627,Hb Navigational Bronchoscopy,7375.0,2581.25,,,0
HCPCS,31627,Navigational bronchoscopy,,,704.0,972.0,2
HCPCS,31628,Bronchoscopy/lung bx each,,,1326.84,7786.87,27
HCPCS,31628,Hb Bronchoscopy W Lung Biopsy,10375.0,3631.25,,,0
HCPCS,31629,Bronchoscopy/needle bx each,,,1326.84,7786.87,27
HCPCS,31629,Hb Bronchoscopy W Needle Asp Biopsy,10375.0,3631.25,,,0
HCPCS,31630,Bronchoscopy dilate/fx repr,,,1326.84,7786.87,27
HCPCS,31630,Hb 31630 Bronch Dilate Fx Repr,10375.0,3631.25,,,0
HCPCS,31630,Hb Bronchoscopy Dilate Fx Repr,10375.0,3631.25,,,0
HCPCS,31631,Bronchoscopy dilate w/stent,,,1326.84,14739.91,27
HCPCS,31631,Hb 31631 Trachial Dilate W Stent,10375.0,3631.25,,,0
HCPCS,31631,Hb Bronch Trachial Dilate W Stent,10375.0,3631.25,,,0
HCPCS,31632,Bronchoscopy/lung bx addl,,,704.0,2121.0,4
HCPCS,31632,Hb Bronchoscopy W Lung Biopsy Addl,4976.0,1741.6,,,0
HCPCS,31633,Bronchoscopy/needle bx addl,,,704.0,2121.0,4
HCPCS,31633,Hb Bronch W Needle Asp Bx Ea Addl,7304.0,2556.4,,,0
HCPCS,31634,Bronch w/balloon occlusion,,,2428.0,14739.91,23
HCPCS,31634,Hb Bronch W/Balloon Occlusion,20194.0,7067.9,,,0
HCPCS,31635,Bronchoscopy w/fb removal,,,1326.84,3717.42,27
HCPCS,31635,Hb Bronch W Foreign Body Remove,10375.0,3631.25,,,0
HCPCS,31636,Bronchoscopy bronch stents,,,1326.84,14739.91,27
HCPCS,31636,Hb 31636 Bronchoscopy Bronch Stents,11106.0,3887.1,,,0
HCPCS,31636,Hb Bronchoscopy Bronch Stents,11106.0,3887.1,,,0
HCPCS,31637,Bronchoscopy stent add-on,,,704.0,1502.0,8
HCPCS,31638,Bronchoscopy revise stent,,,1326.84,14739.91,27
HCPCS,31638,Hb Bronchoscopy Revise Stent,15704.0,5496.4,,,0
HCPCS,31640,Bronchoscopy w/tumor excise,,,1326.84,7786.87,27
HCPCS,31640,Hb Bronchoscopy W Tumor Excise,10375.0,3631.25,,,0
HCPCS,31641,Bronchoscopy treat blockage,,,1326.84,7786.87,27
HCPCS,31641,Hb Bronchoscopy W Tumor Destruct,10375.0,3631.25,,,0
HCPCS,31643,Diag bronchoscope/catheter,,,1326.84,3717.42,27
HCPCS,31643,Hb Diag Bronchoscope Catheter,7518.0,2631.3,,,0
HCPCS,31645,Bronchoscopy clear airways,,,990.66,3717.42,27
HCPCS,31645,Hb Bronch W Asp Tree Initial,10375.0,3631.25,,,0
HCPCS,31646,Bronchoscopy reclear airway,,,408.44,1502.0,27
HCPCS,31646,Hb Bronch W Asp Tree Subsequent,8461.0,2961.35,,,0
HCPCS,31647,Bronchial valve init insert,,,4370.0,14739.91,23
HCPCS,31647,Hb Bronchial Valve Init Insert,10375.0,3631.25,,,0
HCPCS,31648,Bronchial valve remov init,,,3893.43,7786.87,23
HCPCS,31648,Hb Bronchial Valve Remov Init,10375.0,3631.25,,,0
HCPCS,31649,Bronchial valve remov addl,,,1858.71,3717.42,23
HCPCS,31649,Hb Bronchial Valve Remov Addl,5383.0,1884.05,,,0
HCPCS,31651,Bronchial valve addl insert,,,704.0,4499.0,4
HCPCS,31651,Hb Bronchial Valve Addl Insert,11074.0,3875.9,,,0
HCPCS,31652,Bronch ebus samplng 1/2 node,,,3760.0,7786.87,23
HCPCS,31652,Hb Bronch Ebus Samplng 1/2 Node,12199.0,4269.65,,,0
HCPCS,31653,Bronch ebus samplng 3/> node,,,3760.0,7786.87,23
HCPCS,31653,Hb Bronch Ebus Samplng 3/> Node,13118.0,4591.3,,,0
HCPCS,31654,Bronch ebus ivntj perph les,,,704.0,2121.0,4
HCPCS,31654,Hb Endobronchial Us Addon,15302.0,5355.7,,,0
HCPCS,31654,Noncdm Charge Record,290.0,101.5,,,0
HCPCS,31656,"Bronchoscopy, inj for xray",,,1425.0,1500.0,2
HCPCS,31660,Bronch thermoplsty 1 lobe,,,4698.0,14739.91,23
HCPCS,31660,Hb Bronch Thermoplsty 1 Lobe,13232.0,4631.2,,,0
HCPCS,31661,Bronch thermoplsty 2/> lobes,,,4698.0,14739.91,23
HCPCS,31661,Hb Bronch Thermoplsty 2 Or More Lobes,13232.0,4631.2,,,0
HCPCS,31700,Insertion of airway catheter,,,1425.0,1500.0,2
HCPCS,31717,Bronchial brush biopsy,,,408.44,1502.0,27
HCPCS,31720,Clearance of airways,,,140.79,1502.0,27
HCPCS,31725,Clearance of airways,,,3613.0,4992.0,4
HCPCS,31730,Hb Trans Trach Dilate Stent Place,2563.0,897.05,,,0
HCPCS,31730,Intro windpipe wire/tube,,,703.35,3717.42,27
HCPCS,31750,Repair of windpipe,,,2133.06,12363.91,25
HCPCS,31755,Repair of windpipe,,,1326.84,12363.91,27
HCPCS,31760,Repair of windpipe,,,3613.0,4992.0,4
HCPCS,31766,Reconstruction of windpipe,,,3613.0,4992.0,4
HCPCS,31770,Repair/graft of bronchus,,,3613.0,4992.0,4
HCPCS,31775,Reconstruct bronchus,,,3613.0,4992.0,4
HCPCS,31780,Reconstruct windpipe,,,3613.0,4992.0,4
HCPCS,31781,Reconstruct windpipe,,,3613.0,4992.0,4
HCPCS,31785,Remove windpipe lesion,,,3036.0,12363.91,23
HCPCS,31786,Remove windpipe lesion,,,3613.0,4992.0,4
HCPCS,31800,Repair of windpipe injury,,,2116.0,3993.0,4
HCPCS,31805,Repair of windpipe injury,,,3613.0,4992.0,4
HCPCS,31820,Closure of windpipe lesion,,,990.66,6924.53,27
HCPCS,31825,Repair of windpipe defect,,,1326.84,6924.53,27
HCPCS,31830,Revise windpipe scar,,,1326.84,6924.53,27
HCPCS,31899,Airways surgical procedure,,,208.45,3993.0,23
HCPCS,31899,Hb Unlisted Procedure Trachea Bronchi,2939.0,1028.65,,,0
HCPCS,32000,Drainage of chest,,,1425.0,1500.0,2
HCPCS,32035,Thoracostomy w/rib resection,,,3613.0,4992.0,4
HCPCS,32036,Thoracostomy w/flap drainage,,,3613.0,4992.0,4
HCPCS,32096,Open wedge/bx lung infiltr,,,3613.0,4992.0,4
HCPCS,32097,Open wedge/bx lung nodule,,,3613.0,4992.0,4
HCPCS,32098,Open biopsy of lung pleura,,,3613.0,4992.0,4
HCPCS,32100,Exploration of chest,,,3613.0,4992.0,4
HCPCS,32110,Explore/repair chest,,,3613.0,4992.0,4
HCPCS,32110,Hb Thoracotomy W/ Ctrl Tramtc Hemm And/Or Rpr Lng Tear,25151.0,8802.85,,,0
HCPCS,32120,Re-exploration of chest,,,3613.0,4992.0,4
HCPCS,32124,Explore chest free adhesions,,,3613.0,4992.0,4
HCPCS,32140,Removal of lung lesion(s),,,3613.0,4992.0,4
HCPCS,32141,Remove/treat lung lesions,,,3613.0,4992.0,4
HCPCS,32150,Removal of lung lesion(s),,,3613.0,4992.0,4
HCPCS,32151,Remove lung foreign body,,,3613.0,4992.0,4
HCPCS,32160,Hb Open Cardiac Massage,7735.0,2707.25,,,0
HCPCS,32160,Open chest heart massage,,,3613.0,4992.0,4
HCPCS,32200,Drain open lung lesion,,,3613.0,4992.0,4
HCPCS,32215,Treat chest lining,,,3613.0,4992.0,4
HCPCS,32220,Release of lung,,,3613.0,4992.0,4
HCPCS,32225,Partial release of lung,,,3613.0,4992.0,4
HCPCS,32310,Removal of chest lining,,,3613.0,4992.0,4
HCPCS,32320,Free/remove chest lining,,,3613.0,4992.0,4
HCPCS,32400,Hb 32400 Pleura Perc Biopsy,2614.0,914.9,,,0
HCPCS,32400,Hb Pleura Perc Biopsy,2273.0,795.55,,,0
HCPCS,32400,Needle biopsy chest lining,,,990.66,3449.46,27
HCPCS,32405,Hb 32405 Lung Perc Biopsy,2566.0,898.1,,,0
HCPCS,32405,Hb Lung Perc Biopsy,2566.0,898.1,,,0
HCPCS,32405,Percut bx lung/mediastinum,,,990.66,1500.0,4
HCPCS,32408,Core ndl bx lng/med perq,,,1724.73,4499.0,23
HCPCS,32408,Hb Core Needle Bx Lung/Mediastinum Perq W/Img,10621.0,3717.35,,,0
HCPCS,32408,Hb Xray Aorta Leg Arteries,19849.0,6947.15,,,0
HCPCS,32420,Puncture/clear lung,,,1425.0,1500.0,2
HCPCS,32440,Remove lung pneumonectomy,,,3613.0,4992.0,4
HCPCS,32442,Sleeve pneumonectomy,,,3613.0,4992.0,4
HCPCS,32445,Removal of lung extrapleural,,,3613.0,4992.0,4
HCPCS,32480,Hb Core Ndl Bx Lng/Med Perq,4922.0,1722.7,,,0
HCPCS,32480,Partial removal of lung,,,3613.0,4992.0,4
HCPCS,32482,Bilobectomy,,,3613.0,4992.0,4
HCPCS,32484,Segmentectomy,,,3613.0,4992.0,4
HCPCS,32486,Sleeve lobectomy,,,3613.0,4992.0,4
HCPCS,32488,Completion pneumonectomy,,,3613.0,4992.0,4
HCPCS,32491,Lung volume reduction,,,3613.0,4992.0,4
HCPCS,32501,Repair bronchus add-on,,,3613.0,4992.0,4
HCPCS,32503,Resect apical lung tumor,,,3613.0,4992.0,4
HCPCS,32504,Resect apical lung tum/chest,,,3613.0,4992.0,4
HCPCS,32505,Wedge resect of lung initial,,,3613.0,4992.0,4
HCPCS,32506,Wedge resect of lung add-on,,,3613.0,4992.0,4
HCPCS,32507,Wedge resect of lung diag,,,3613.0,4992.0,4
HCPCS,32540,Removal of lung lesion,,,3613.0,4992.0,4
HCPCS,32550,Hb 32550 Insert Pleural Cath,16623.0,5818.05,,,0
HCPCS,32550,Hb Insert Pleural Catheter,16623.0,5818.05,,,0
HCPCS,32550,Insert pleural cath,,,3738.94,7477.87,23
HCPCS,32551,Hb 32551 Insertion Of Chest Tube,3656.0,1279.6,,,0
HCPCS,32551,Hb Chest Tube Insertion,3656.0,1279.6,,,0
HCPCS,32551,Insertion of chest tube,,,940.0,3287.71,23
HCPCS,32552,Hb 32552 Remove Pleural Cath,5018.0,1756.3,,,0
HCPCS,32552,Hb Remove Pleural Cath,5018.0,1756.3,,,0
HCPCS,32552,Remove lung catheter,,,655.08,1310.16,21
HCPCS,32553,Hb Plmt Ntrstl Dev Radj Thx Gid Prq Intrathrc 1/Mlt,7285.0,2549.75,,,0
HCPCS,32553,Ins mark thor for rt perq,,,1445.42,3369.0,23
HCPCS,32554,Aspirate pleura w/o imaging,,,655.08,1502.0,23
HCPCS,32554,Hb 32554 Aspirate Pleura Wo Imaging,3159.0,1105.65,,,0
HCPCS,32554,Hb Aspirate Pleura Wo Imaging,3159.0,1105.65,,,0
HCPCS,32555,Aspirate pleura w/ imaging,,,655.08,1502.0,23
HCPCS,32555,Hb 32555 Aspirate Pleura W Imaging,3159.0,1105.65,,,0
HCPCS,32555,Hb Thoracentesis,4672.0,1635.2,,,0
HCPCS,32556,Hb 32556 Insert Cath Pleura Wo Image,3750.0,1312.5,,,0
HCPCS,32556,Hb Insert Cath Pleura Wo Image,3750.0,1312.5,,,0
HCPCS,32556,Insert cath pleura w/o image,,,1457.0,4007.75,23
HCPCS,32557,Hb 32557 Insert Cath Pleura W Image,3750.0,1312.5,,,0
HCPCS,32557,Hb Insert Cath Pleura W Image,3750.0,1312.5,,,0
HCPCS,32557,Insert cath pleura w/ image,,,940.0,3287.71,23
HCPCS,32560,Hb Instlj Via Chest Tube/Cath Agent For Pleurodesis,4745.0,1660.75,,,0
HCPCS,32560,Treat pleurodesis w/agent,,,655.08,1502.0,23
HCPCS,32561,Hb 32561 Lyse Chest Fibrin Init Day,3745.0,1310.75,,,0
HCPCS,32561,Hb Lyse Chest Fibrin Init Day,2880.0,1008.0,,,0
HCPCS,32561,Lyse chest fibrin init day,,,655.08,1502.0,23
HCPCS,32562,Hb Lyse Chest Fibrin Subq Day,1962.0,686.7,,,0
HCPCS,32562,Lyse chest fibrin subq day,,,655.08,1502.0,23
HCPCS,32601,Hb Thoracoscopy Wo Biopsy,20932.0,7326.2,,,0
HCPCS,32601,Thoracoscopy diagnostic,,,3885.0,12626.43,23
HCPCS,32602,Hb Thoracoscopy W Biopsy,25722.0,9002.7,,,0
HCPCS,32604,Thoracoscopy wbx sac,,,3885.0,22201.02,23
HCPCS,32606,Thoracoscopy w/bx med space,,,3885.0,12626.43,23
HCPCS,32607,Hb Thoracoscopy W Biopsy Lung Infiltrate,22121.0,7742.35,,,0
HCPCS,32607,Thoracoscopy w/bx infiltrate,,,5282.0,22201.02,23
HCPCS,32608,Hb Thoracoscopy W Biopsy Lung Nodule,22121.0,7742.35,,,0
HCPCS,32608,Thoracoscopy w/bx nodule,,,5282.0,22201.02,23
HCPCS,32609,Hb Thoracoscopy W Biopsy Pleura,22121.0,7742.35,,,0
HCPCS,32609,Thoracoscopy w/bx pleura,,,5282.0,12626.43,23
HCPCS,32650,Thoracoscopy w/pleurodesis,,,3885.0,14979.0,4
HCPCS,32651,Thoracoscopy remove cortex,,,3885.0,14979.0,4
HCPCS,32652,Thoracoscopy rem totl cortex,,,3885.0,14979.0,4
HCPCS,32653,Thoracoscopy remov fb/fibrin,,,3885.0,14016.0,4
HCPCS,32654,Thoracoscopy contrl bleeding,,,3613.0,4992.0,4
HCPCS,32655,Thoracoscopy resect bullae,,,3885.0,14979.0,4
HCPCS,32656,Thoracoscopy w/pleurectomy,,,3885.0,14979.0,4
HCPCS,32658,Thoracoscopy w/sac fb remove,,,3613.0,4992.0,4
HCPCS,32659,Thoracoscopy w/sac drainage,,,3613.0,4992.0,4
HCPCS,32661,Thoracoscopy w/pericard exc,,,3613.0,4992.0,4
HCPCS,32662,Thoracoscopy w/mediast exc,,,3613.0,4992.0,4
HCPCS,32663,Thoracoscopy w/lobectomy,,,3613.0,4992.0,4
HCPCS,32664,Thoracoscopy w/ th nrv exc,,,3885.0,6490.0,4
HCPCS,32665,Thoracoscop w/esoph musc exc,,,3613.0,4992.0,4
HCPCS,32666,Thoracoscopy w/wedge resect,,,3613.0,4992.0,4
HCPCS,32667,Thoracoscopy w/w resect addl,,,3613.0,4992.0,4
HCPCS,32668,Thoracoscopy w/w resect diag,,,3613.0,4992.0,4
HCPCS,32669,Thoracoscopy remove segment,,,3613.0,4992.0,4
HCPCS,32670,Thoracoscopy bilobectomy,,,3613.0,4992.0,4
HCPCS,32671,Thoracoscopy pneumonectomy,,,3613.0,4992.0,4
HCPCS,32672,Thoracoscopy for lvrs,,,3613.0,4992.0,4
HCPCS,32673,Thoracoscopy w/thymus resect,,,3613.0,4992.0,4
HCPCS,32674,Thoracoscopy lymph node exc,,,3613.0,4992.0,4
HCPCS,32701,Thorax stereo rad targetw/tx,,,3885.0,3993.0,2
HCPCS,32800,Repair lung hernia,,,3613.0,4992.0,4
HCPCS,32810,Close chest after drainage,,,3613.0,4992.0,4
HCPCS,32815,Close bronchial fistula,,,3613.0,4992.0,4
HCPCS,32820,Reconstruct injured chest,,,3613.0,4992.0,4
HCPCS,32850,Donor pneumonectomy,,,3613.0,4992.0,4
HCPCS,32850,Hb Donor Pneumonectomy From Cadaver Donor,7000.0,2450.0,,,0
HCPCS,32851,Lung transplant single,,,3613.0,4992.0,4
HCPCS,32852,Lung transplant with bypass,,,3613.0,4992.0,4
HCPCS,32853,Lung transplant double,,,3613.0,4992.0,4
HCPCS,32854,Lung transplant with bypass,,,3613.0,4992.0,4
HCPCS,32855,Prepare donor lung single,,,3613.0,4992.0,4
HCPCS,32856,Prepare donor lung double,,,3613.0,4992.0,4
HCPCS,32900,Removal of rib(s),,,3613.0,4992.0,4
HCPCS,32905,Revise & repair chest wall,,,3613.0,4992.0,4
HCPCS,32906,Revise & repair chest wall,,,3613.0,4992.0,4
HCPCS,32940,Revision of lung,,,3613.0,4992.0,4
HCPCS,32960,Therapeutic pneumothorax,,,655.08,1502.0,23
HCPCS,32994,Ablate pulm tumor perq crybl,,,3885.0,22201.02,23
HCPCS,32994,Hb Ablation Ther 1+ Pulm Tumors Perq Cryoablation,19414.0,6794.9,,,0
HCPCS,32997,Total lung lavage,,,2116.0,3993.0,4
HCPCS,32998,Hb 32998 Perq Rf Ablate Tx Pul Tumor,17486.0,6120.1,,,0
HCPCS,32998,Perq rf ablate tx pul tumor,,,5282.0,14016.0,23
HCPCS,32999,Chest surgery procedure,,,655.08,3993.0,23
HCPCS,32999,Hb 32999 Thoracic Procedure,4535.0,1587.25,,,0
HCPCS,32999,Hb Antiobiotic Instillation Via Chest Tube,6729.0,2355.15,,,0
HCPCS,32999,Hb Blood Patch Pleurodesis,6729.0,2355.15,,,0
HCPCS,32999,Hb Cryoablation Lung Ct,10293.0,3602.55,,,0
HCPCS,32999,Hb Place Fiducial Marker Ct,2904.0,1016.4,,,0
HCPCS,33010,Drainage of heart sac,,,662.76,2000.0,4
HCPCS,33010,Hb Pericardiocentesis,1264.0,442.4,,,0
HCPCS,33011,Repeat drainage of heart sac,,,662.76,2000.0,4
HCPCS,33016,Hb 33016 Pericardiocentesis W/Imaging,5392.0,1887.2,,,0
HCPCS,33016,Hb Pericardiocentesis W/Imaging,5392.0,1887.2,,,0
HCPCS,33016,Pericardiocentesis w/imaging,,,940.0,4499.0,23
HCPCS,33017,Hb 33017 Prcrd Drg 6Yr+ W/O Cgen Car,1746.0,611.1,,,0
HCPCS,33017,Prcrd drg 6yr+ w/o cgen car,,,3613.0,4992.0,4
HCPCS,33018,Prcrd drg 0-5yr or w/anomly,,,3613.0,4992.0,4
HCPCS,33019,Perq prcrd drg insj cath ct,,,3613.0,4992.0,4
HCPCS,33020,Hb 	Pericardiotomy To Rem Clot Or Fb,15870.0,5554.5,,,0
HCPCS,33020,Incision of heart sac,,,3613.0,4992.0,4
HCPCS,33025,Incision of heart sac,,,3613.0,4992.0,4
HCPCS,33030,Partial removal of heart sac,,,3613.0,4992.0,4
HCPCS,33031,Partial removal of heart sac,,,3613.0,4992.0,4
HCPCS,33050,Resect heart sac lesion,,,3613.0,4992.0,4
HCPCS,33120,Removal of heart lesion,,,3613.0,4992.0,4
HCPCS,33130,Removal of heart lesion,,,3613.0,4992.0,4
HCPCS,33140,Heart revascularize (tmr),,,3613.0,4992.0,4
HCPCS,33141,Heart Tmr W/Other Procedure,,,3613.0,4992.0,4
HCPCS,33202,Insert epicard eltrd open,,,3613.0,4992.0,4
HCPCS,33203,Insert epicard eltrd endo,,,3613.0,4992.0,4
HCPCS,33206,Hb 33206 Pacer Ra Lead Implant,41272.0,14445.2,,,0
HCPCS,33206,Insert heart pm atrial,,,3885.0,21829.6,23
HCPCS,33207,Hb 33207 Pacer Rv Lead Implant,43332.0,15166.2,,,0
HCPCS,33207,Insert heart pm ventricular,,,3885.0,21829.6,23
HCPCS,33208,Hb 33208 Pacer Ra Rv Leads Implant,53449.0,18707.15,,,0
HCPCS,33208,Insrt heart pm atrial & vent,,,3885.0,24962.0,23
HCPCS,33210,Hb 33210 Insert Temp Pacemaker,9551.0,3342.85,,,0
HCPCS,33210,Hb Insert Temp Pacemaker,9551.0,3342.85,,,0
HCPCS,33210,Insert electrd/pm cath sngl,,,3885.0,17283.63,23
HCPCS,33211,Hb 33211 Insert Temp Dual Electrode,15470.0,5414.5,,,0
HCPCS,33211,Insert card electrodes dual,,,3885.0,17283.63,23
HCPCS,33212,Hb 33212 Pacer Gen Replace Single,35810.0,12533.5,,,0
HCPCS,33212,Insert pulse gen sngl lead,,,1517.25,17283.63,27
HCPCS,33213,Hb 33213 Pacer Gen Replace Dual,41676.0,14586.6,,,0
HCPCS,33213,Insert pulse gen dual leads,,,1517.25,21829.6,27
HCPCS,33214,Hb 33214 Ppm Sngl To Dual W Leads,50906.0,17817.1,,,0
HCPCS,33214,Upgrade of pacemaker system,,,3885.0,24962.0,23
HCPCS,33215,Hb 33215 Pacer Icd Lead Reposition,4314.0,1509.9,,,0
HCPCS,33215,Reposition pacing-defib lead,,,3297.29,6594.58,23
HCPCS,33216,Hb 33216 Pacer Icd Ra Or Rv Lead,9551.0,3342.85,,,0
HCPCS,33216,Insert 1 electrode pm-defib,,,3885.0,17283.63,23
HCPCS,33217,Hb 33217 Pacer Icd Ra Or Rv Leads,11119.0,3891.65,,,0
HCPCS,33217,Insert 2 electrode pm-defib,,,3885.0,17283.63,23
HCPCS,33218,Hb 33218 Pace Icd Lead Repair Sg,14198.0,4969.3,,,0
HCPCS,33218,Repair lead pace-defib one,,,3885.0,7804.86,23
HCPCS,33220,Hb 33220 Pace Icd Lead Repair Dl,17525.0,6133.75,,,0
HCPCS,33220,Repair lead pace-defib dual,,,3885.0,7804.86,23
HCPCS,33221,Hb 33221 Insert Pulse Gen W Mult Leads,39611.0,13863.85,,,0
HCPCS,33221,Insert pulse gen mult leads,,,3885.0,40229.16,23
HCPCS,33222,Hb 33222 Ppm Pocket Revision Relo,6806.0,2382.1,,,0
HCPCS,33222,Relocation pocket pacemaker,,,1326.84,4309.28,27
HCPCS,33223,Hb 33223 Icd Pocket Revision,6340.0,2219.0,,,0
HCPCS,33223,Relocate pocket for defib,,,1326.84,4309.28,27
HCPCS,33224,Hb 33224 Insert Pacing Lead,24266.0,8493.1,,,0
HCPCS,33224,Insert pacing lead & connect,,,3885.0,24962.0,23
HCPCS,33225,Hb 33225 L Vent Pacing Lead Add On,6471.0,2264.85,,,0
HCPCS,33225,L ventric pacing lead add-on,,,3885.0,24962.0,4
HCPCS,33226,Hb 33226 Reposition L Ventric Lead,9519.0,3331.65,,,0
HCPCS,33226,Reposition l ventric lead,,,3297.29,6594.58,23
HCPCS,33227,Hb 33227 Remv And Repl Pm Gen Single,36120.0,12642.0,,,0
HCPCS,33227,Remove&replace pm gen singl,,,3885.0,17283.63,23
HCPCS,33228,Hb 33228 Remv And Repl Gen Dual Lead,39611.0,13863.85,,,0
HCPCS,33228,Remv&replc pm gen dual lead,,,3885.0,21829.6,23
HCPCS,33229,Hb 33229 Remv And Repl Pm Gen Mult Leads,39611.0,13863.85,,,0
HCPCS,33229,Remv&replc pm gen mult leads,,,3885.0,40229.16,23
HCPCS,33230,Hb 33230 Insert Pulse Gen W Dual Leads,52780.0,18473.0,,,0
HCPCS,33230,Insrt pulse gen w/dual leads,,,3885.0,99846.0,23
HCPCS,33231,Hb 33231 Insert Pulse Gen W Mult Leads,52780.0,18473.0,,,0
HCPCS,33231,Insrt pulse gen w/mult leads,,,3885.0,99846.0,23
HCPCS,33233,Hb 33233 Pacer Gen Removal,4314.0,1509.9,,,0
HCPCS,33233,Removal of pm generator,,,1326.84,17283.63,27
HCPCS,33234,Hb 33234 Pacer Lead Removal Sngl,4314.0,1509.9,,,0
HCPCS,33234,Removal of pacemaker system,,,3885.0,7804.86,23
HCPCS,33235,Hb 33235 Pacer Lead Removal Dual,11384.0,3984.4,,,0
HCPCS,33235,Removal pacemaker electrode,,,3885.0,7804.86,23
HCPCS,33236,Remove electrode/thoracotomy,,,3613.0,4992.0,4
HCPCS,33237,Remove electrode/thoracotomy,,,3613.0,4992.0,4
HCPCS,33238,Remove electrode/thoracotomy,,,3613.0,4992.0,4
HCPCS,33240,Hb 33240 Icd Gen Insert,20386.0,7135.1,,,0
HCPCS,33240,Insrt pulse gen w/singl lead,,,3885.0,99846.0,23
HCPCS,33241,Hb 33241 Icd Gen Removal,6340.0,2219.0,,,0
HCPCS,33241,Remove pulse generator,,,3885.0,7804.86,23
HCPCS,33243,Remove eltrd/thoracotomy,,,3885.0,9732.0,4
HCPCS,33244,Hb 33244 Removal Icd Lead,8622.0,3017.7,,,0
HCPCS,33244,Remove elctrd transvenously,,,3885.0,7804.86,23
HCPCS,33249,Hb 33249 Ins Repo Icd Ld Or New Gen,25521.0,8932.35,,,0
HCPCS,33249,Insj/rplcmt defib w/lead(s),,,3885.0,99846.0,23
HCPCS,33250,Ablate heart dysrhythm focus,,,3613.0,4992.0,4
HCPCS,33251,Ablate heart dysrhythm focus,,,3613.0,4992.0,4
HCPCS,33254,Ablate atria lmtd,,,3613.0,4992.0,4
HCPCS,33255,Ablate atria w/o bypass ext,,,3613.0,4992.0,4
HCPCS,33256,Ablate atria w/bypass exten,,,3613.0,4992.0,4
HCPCS,33257,Ablate atria lmtd add-on,,,3613.0,4992.0,4
HCPCS,33258,Ablate atria x10sv add-on,,,3613.0,4992.0,4
HCPCS,33259,Ablate atria w/bypass add-on,,,3613.0,4992.0,4
HCPCS,33261,Ablate heart dysrhythm focus,,,3613.0,4992.0,4
HCPCS,33262,Hb 33262 Remv And Repl Cvd Gen Sing Lead,52777.0,18471.95,,,0
HCPCS,33262,Rmvl& replc pulse gen 1 lead,,,3885.0,99846.0,23
HCPCS,33263,Hb 33263 Remv And Repl Cvd Gen Dual Lead,52777.0,18471.95,,,0
HCPCS,33263,Rmvl & rplcmt dfb gen 2 lead,,,3885.0,99846.0,23
HCPCS,33264,Hb 33264 Remv And Repl Cvd Gen Mult Lead,52777.0,18471.95,,,0
HCPCS,33264,Rmvl & rplcmt dfb gen mlt ld,,,3885.0,99846.0,23
HCPCS,33265,Ablate atria lmtd endo,,,3613.0,4992.0,4
HCPCS,33266,Ablate atria x10sv endo,,,3613.0,4992.0,4
HCPCS,33267,Excl laa open any method,,,3613.0,4992.0,4
HCPCS,33268,Excl laa opn oth px any meth,,,3613.0,4992.0,4
HCPCS,33269,Excl laa thrscp any method,,,3613.0,4992.0,4
HCPCS,33270,Hb 33270 Insert Subq Defib W Subcut Elect,113199.0,39619.65,,,0
HCPCS,33270,Ins/rep subq defibrillator,,,3885.0,99846.0,23
HCPCS,33271,Hb 33271 Insert Subq Defib W Defib Elect,18938.0,6628.3,,,0
HCPCS,33271,Insj subq impltbl dfb elctrd,,,3885.0,17283.63,23
HCPCS,33272,Hb 33272 Remove Subq Defib Electrode,8465.0,2962.75,,,0
HCPCS,33272,Rmvl of subq defibrillator,,,3885.0,7804.86,23
HCPCS,33273,Hb 33273 Repos Subq Defib Electrode Gen,8465.0,2962.75,,,0
HCPCS,33273,Repos prev impltbl subq dfb,,,3902.43,7804.86,23
HCPCS,33274,Hb 33274 Tcat Insj/Rpl Perm Ldls Pm,48874.0,17105.9,,,0
HCPCS,33274,Tcat insj/rpl perm ldls pm,,,3885.0,40229.16,23
HCPCS,33275,Hb 33275 Tcat Rmvl Perm Ldls Pm,56205.0,19671.75,,,0
HCPCS,33275,Tcat rmvl perm ldls pm,,,3297.29,6594.58,23
HCPCS,33276,Hb 33276 Insertion Phrenic Nerve Stimulator System,112502.0,39375.7,,,0
HCPCS,33276,Insj phrnc nrv stim sys,,,3885.0,99846.0,23
HCPCS,33277,Insj phrnc nrv stim transvns,,,704.0,972.0,2
HCPCS,33278,Hb 33278 Removal Phrenic Nerve Stimulator System,8105.0,2836.75,,,0
HCPCS,33278,Rmvl phrnc nrv stim sys,,,3650.91,7301.82,23
HCPCS,33279,Hb 33279 Rmvl Phrnc Nrv Stimulator Transvns Stimj/Snsg Ld,8105.0,2836.75,,,0
HCPCS,33279,Rmvl phrnc nrv stim transvns,,,3650.91,7301.82,23
HCPCS,33280,Hb 33280 Rmvl Phrenic Nrv Stimulator Pulse Generator Only,8105.0,2836.75,,,0
HCPCS,33280,Rmvl phrnc nrv stim pg only,,,3650.91,7301.82,23
HCPCS,33281,Hb 33281 Repositioning Phrenic Nrv Stimulator Transvns Ld,8105.0,2836.75,,,0
HCPCS,33281,Reposg phrnc nrv stim trnsvn,,,3650.91,7301.82,23
HCPCS,33285,Hb 33285 Insert Loop Recorder,12871.0,4504.85,,,0
HCPCS,33285,Insj subq car rhythm mntr,,,3885.0,17283.63,23
HCPCS,33286,Hb 33286 Remove Loop Recorder,8400.0,2940.0,,,0
HCPCS,33286,Hb 33286 Rmvl Subq Car Rhythm Mntr,8400.0,2940.0,,,0
HCPCS,33286,Rmvl subq car rhythm mntr,,,739.49,2121.0,23
HCPCS,33287,Hb 33287 Rmvl&Rplcmt Phrenic Nrv Stimulator Pls Generator,73966.0,25888.1,,,0
HCPCS,33287,Rmv&rplcmt phrnc nrv stim pg,,,3885.0,64448.09,23
HCPCS,33288,Hb 33288 Rmvl&Rplcmt Phrnc Nrv Stim Trnsvns Stimj/Snsg Ld,32448.0,11356.8,,,0
HCPCS,33288,Rmv&rplcmt phrnc nrv stim ld,,,3885.0,23272.17,23
HCPCS,33289,Hb 33289 Tcat Impl Wrls P-Art Prs Snr,39773.0,13920.55,,,0
HCPCS,33289,Tcat impl wrls p-art prs snr,,,3885.0,99846.0,23
HCPCS,33300,Repair of heart wound,,,3613.0,4992.0,4
HCPCS,33305,Repair of heart wound,,,3613.0,4992.0,4
HCPCS,33310,Exploratory heart surgery,,,3613.0,4992.0,4
HCPCS,33315,Exploratory heart surgery,,,3613.0,4992.0,4
HCPCS,33320,Repair major blood vessel(s),,,3613.0,4992.0,4
HCPCS,33321,Repair major vessel,,,3613.0,4992.0,4
HCPCS,33322,Repair major blood vessel(s),,,3613.0,4992.0,4
HCPCS,33330,Insert major vessel graft,,,3613.0,4992.0,4
HCPCS,33335,Insert major vessel graft,,,3613.0,4992.0,4
HCPCS,33340,Hb 33340 Laa Closure W/Implant,25854.0,9048.9,,,0
HCPCS,33340,Perq clsr tcat l atr apndge,,,3613.0,4992.0,4
HCPCS,33361,Hb 33361 Replace Aortic Valve Perq,58214.0,20374.9,,,0
HCPCS,33361,Replace aortic valve perq,,,3613.0,4992.0,4
HCPCS,33362,Hb 33362 Replace Aortic Valve Open Femoral,5790.0,2026.5,,,0
HCPCS,33362,Replace aortic valve open,,,3613.0,4992.0,4
HCPCS,33363,Hb 33363 Replace Aortic Valve Open Axillary,5995.0,2098.25,,,0
HCPCS,33363,Replace aortic valve open,,,3613.0,4992.0,4
HCPCS,33364,Hb 33364 Replace Aortic Valve Open Iliac,6374.0,2230.9,,,0
HCPCS,33364,Replace aortic valve open,,,3613.0,4992.0,4
HCPCS,33365,Hb 33365 Replace Aortic Valve Transaortic,7033.0,2461.55,,,0
HCPCS,33365,Replace aortic valve open,,,3613.0,4992.0,4
HCPCS,33366,Hb 33366 Replace Aortic Valve Thoracic,3146.0,1101.1,,,0
HCPCS,33366,Trcath replace aortic valve,,,3613.0,4992.0,4
HCPCS,33367,Hb 33367 Replace Aortic Valve W Bypass Perc,2475.0,866.25,,,0
HCPCS,33367,Replace aortic valve w/byp,,,3613.0,4992.0,4
HCPCS,33368,Hb 33368 Replace Aortic Valve W Bypass Open,2999.0,1049.65,,,0
HCPCS,33368,Replace aortic valve w/byp,,,3613.0,4992.0,4
HCPCS,33369,Hb 33369 Replace Aortic Valve W Bypass Central,3961.0,1386.35,,,0
HCPCS,33369,Replace aortic valve w/byp,,,3613.0,4992.0,4
HCPCS,33370,Hb 33370 Transcatheter Placement&Sbsq Removal Cepd Perq,5129.0,1795.15,,,0
HCPCS,33370,Tcat plmt&rmvl cepd perq,,,704.0,972.0,2
HCPCS,33390,Valvuloplasty aortic valve,,,3613.0,4992.0,4
HCPCS,33391,Valvuloplasty aortic valve,,,3613.0,4992.0,4
HCPCS,33404,Prepare heart-aorta conduit,,,3613.0,4992.0,4
HCPCS,33405,Replacement aortic valve opn,,,3613.0,4992.0,4
HCPCS,33406,Replacement aortic valve opn,,,3613.0,4992.0,4
HCPCS,33410,Replacement aortic valve opn,,,3613.0,4992.0,4
HCPCS,33411,Replacement of aortic valve,,,3613.0,4992.0,4
HCPCS,33412,Replacement of aortic valve,,,3613.0,4992.0,4
HCPCS,33413,Replacement of aortic valve,,,3613.0,4992.0,4
HCPCS,33414,Repair of aortic valve,,,3613.0,4992.0,4
HCPCS,33415,Revision subvalvular tissue,,,3613.0,4992.0,4
HCPCS,33416,Revise ventricle muscle,,,3613.0,4992.0,4
HCPCS,33417,Repair of aortic valve,,,3613.0,4992.0,4
HCPCS,33418,Hb 33418 Repair Tcat Mitral Valve Initial,35708.0,12497.8,,,0
HCPCS,33418,Repair tcat mitral valve,,,3613.0,4992.0,4
HCPCS,33419,Hb 33419 Repair Tcat Mitral Valve Addtl,11866.0,4153.1,,,0
HCPCS,33419,Repair tcat mitral valve,,,704.0,972.0,2
HCPCS,33420,Revision of mitral valve,,,3613.0,4992.0,4
HCPCS,33422,Revision of mitral valve,,,3613.0,4992.0,4
HCPCS,33425,Repair of mitral valve,,,3613.0,4992.0,4
HCPCS,33426,Repair of mitral valve,,,3613.0,4992.0,4
HCPCS,33427,Repair of mitral valve,,,3613.0,4992.0,4
HCPCS,33430,Replacement of mitral valve,,,3613.0,4992.0,4
HCPCS,33440,Rplcmt a-valve tlcj autol pv,,,3613.0,4992.0,4
HCPCS,33460,Revision of tricuspid valve,,,3613.0,4992.0,4
HCPCS,33463,Valvuloplasty tricuspid,,,3613.0,4992.0,4
HCPCS,33464,Valvuloplasty tricuspid,,,3613.0,4992.0,4
HCPCS,33465,Replace tricuspid valve,,,3613.0,4992.0,4
HCPCS,33468,Revision of tricuspid valve,,,3613.0,4992.0,4
HCPCS,33474,Revision of pulmonary valve,,,3613.0,4992.0,4
HCPCS,33475,Replacement pulmonary valve,,,3613.0,4992.0,4
HCPCS,33476,Revision of heart chamber,,,3613.0,4992.0,4
HCPCS,33477,Hb 33477 Implant Tcat Pulm Vlv Perq,54329.0,19015.15,,,0
HCPCS,33477,Implant tcat pulm vlv perq,,,3613.0,4992.0,4
HCPCS,33478,Revision of heart chamber,,,3613.0,4992.0,4
HCPCS,33496,Repair prosth valve clot,,,3613.0,4992.0,4
HCPCS,33500,Repair heart vessel fistula,,,3613.0,4992.0,4
HCPCS,33501,Repair heart vessel fistula,,,3613.0,4992.0,4
HCPCS,33502,Coronary artery correction,,,3613.0,4992.0,4
HCPCS,33503,Coronary artery graft,,,3613.0,4992.0,4
HCPCS,33504,Coronary artery graft,,,3613.0,4992.0,4
HCPCS,33505,Repair artery w/tunnel,,,3613.0,4992.0,4
HCPCS,33506,Repair artery translocation,,,3613.0,4992.0,4
HCPCS,33507,Repair art intramural,,,3613.0,4992.0,4
HCPCS,33508,Endoscopic vein harvest,,,704.0,972.0,2
HCPCS,33509,Ndsc hrv uxtr art 1 sgm cab,,,3613.0,4992.0,4
HCPCS,33510,Cabg vein single,,,3613.0,4992.0,4
HCPCS,33511,Cabg vein two,,,3613.0,4992.0,4
HCPCS,33512,Cabg vein three,,,3613.0,4992.0,4
HCPCS,33513,Cabg vein four,,,3613.0,4992.0,4
HCPCS,33514,Cabg vein five,,,3613.0,4992.0,4
HCPCS,33516,Cabg vein six or more,,,3613.0,4992.0,4
HCPCS,33517,Cabg artery-vein single,,,3613.0,4992.0,4
HCPCS,33518,Cabg artery-vein two,,,3613.0,4992.0,4
HCPCS,33519,Cabg artery-vein three,,,3613.0,4992.0,4
HCPCS,33521,Cabg artery-vein four,,,3613.0,4992.0,4
HCPCS,33522,Cabg artery-vein five,,,3613.0,4992.0,4
HCPCS,33523,Cabg art-vein six or more,,,3613.0,4992.0,4
HCPCS,33530,Coronary artery bypass/reop,,,3613.0,4992.0,4
HCPCS,33533,Cabg arterial single,,,3613.0,4992.0,4
HCPCS,33534,Cabg arterial two,,,3613.0,4992.0,4
HCPCS,33535,Cabg arterial three,,,3613.0,4992.0,4
HCPCS,33536,Cabg arterial four or more,,,3613.0,4992.0,4
HCPCS,33542,Removal of heart lesion,,,3613.0,4992.0,4
HCPCS,33545,Repair of heart damage,,,3613.0,4992.0,4
HCPCS,33548,Restore/remodel ventricle,,,3613.0,4992.0,4
HCPCS,33572,Open coronary endarterectomy,,,3613.0,4992.0,4
HCPCS,33600,Closure of valve,,,3613.0,4992.0,4
HCPCS,33602,Closure of valve,,,3613.0,4992.0,4
HCPCS,33606,Anastomosis/artery-aorta,,,3613.0,4992.0,4
HCPCS,33608,Repair anomaly w/conduit,,,3613.0,4992.0,4
HCPCS,33610,Repair by enlargement,,,3613.0,4992.0,4
HCPCS,33611,Repair double ventricle,,,3613.0,4992.0,4
HCPCS,33612,Repair double ventricle,,,3613.0,4992.0,4
HCPCS,33615,Repair modified fontan,,,3613.0,4992.0,4
HCPCS,33617,Repair single ventricle,,,3613.0,4992.0,4
HCPCS,33619,Repair single ventricle,,,3613.0,4992.0,4
HCPCS,33620,Apply r&l pulm art bands,,,3613.0,4992.0,4
HCPCS,33621,Transthor cath for stent,,,3613.0,4992.0,4
HCPCS,33622,Redo compl cardiac anomaly,,,3613.0,4992.0,4
HCPCS,33641,Repair heart septum defect,,,3613.0,4992.0,4
HCPCS,33645,Revision of heart veins,,,3613.0,4992.0,4
HCPCS,33647,Repair heart septum defects,,,3613.0,4992.0,4
HCPCS,33660,Repair of heart defects,,,3613.0,4992.0,4
HCPCS,33665,Repair of heart defects,,,3613.0,4992.0,4
HCPCS,33670,Repair of heart chambers,,,3613.0,4992.0,4
HCPCS,33675,Close Mult Vsd,,,3613.0,4992.0,4
HCPCS,33676,Close mult vsd w/resection,,,3613.0,4992.0,4
HCPCS,33677,Cl mult vsd w/rem pul band,,,3613.0,4992.0,4
HCPCS,33681,Repair heart septum defect,,,3613.0,4992.0,4
HCPCS,33684,Repair heart septum defect,,,3613.0,4992.0,4
HCPCS,33688,Repair heart septum defect,,,3613.0,4992.0,4
HCPCS,33690,Reinforce pulmonary artery,,,3613.0,4992.0,4
HCPCS,33692,Repair of heart defects,,,3613.0,4992.0,4
HCPCS,33694,Repair of heart defects,,,3613.0,4992.0,4
HCPCS,33697,Repair of heart defects,,,3613.0,4992.0,4
HCPCS,33702,Repair of heart defects,,,3613.0,4992.0,4
HCPCS,33710,Repair of heart defects,,,3613.0,4992.0,4
HCPCS,33720,Repair of heart defect,,,3613.0,4992.0,4
HCPCS,33724,Repair Venous Anomaly,,,3613.0,4992.0,4
HCPCS,33726,Repair Pul Venous Stenosis,,,3613.0,4992.0,4
HCPCS,33730,Repair heart-vein defect(s),,,3613.0,4992.0,4
HCPCS,33732,Repair heart-vein defect,,,3613.0,4992.0,4
HCPCS,33735,Revision of heart chamber,,,3613.0,4992.0,4
HCPCS,33736,Revision of heart chamber,,,3613.0,4992.0,4
HCPCS,33741,Tas congenital car anomal,,,3613.0,4992.0,4
HCPCS,33745,Tis cgen car anomal 1st shnt,,,3613.0,4992.0,4
HCPCS,33746,Tis cgen car anomal ea addl,,,3613.0,4992.0,4
HCPCS,33750,Major vessel shunt,,,3613.0,4992.0,4
HCPCS,33755,Major vessel shunt,,,3613.0,4992.0,4
HCPCS,33762,Major vessel shunt,,,3613.0,4992.0,4
HCPCS,33764,Major vessel shunt & graft,,,3613.0,4992.0,4
HCPCS,33766,Major vessel shunt,,,3613.0,4992.0,4
HCPCS,33767,Major vessel shunt,,,3613.0,4992.0,4
HCPCS,33768,Cavopulmonary shunting,,,3613.0,4992.0,4
HCPCS,33770,Repair great vessels defect,,,3613.0,4992.0,4
HCPCS,33771,Repair great vessels defect,,,3613.0,4992.0,4
HCPCS,33774,Repair great vessels defect,,,3613.0,4992.0,4
HCPCS,33775,Repair great vessels defect,,,3613.0,4992.0,4
HCPCS,33776,Repair great vessels defect,,,3613.0,4992.0,4
HCPCS,33777,Repair great vessels defect,,,3613.0,4992.0,4
HCPCS,33778,Repair great vessels defect,,,3613.0,4992.0,4
HCPCS,33779,Repair great vessels defect,,,3613.0,4992.0,4
HCPCS,33780,Repair great vessels defect,,,3613.0,4992.0,4
HCPCS,33781,Repair great vessels defect,,,3613.0,4992.0,4
HCPCS,33782,Nikaidoh proc,,,3613.0,4992.0,4
HCPCS,33783,Nikaidoh proc w/ostia implt,,,3613.0,4992.0,4
HCPCS,33786,Repair arterial trunk,,,3613.0,4992.0,4
HCPCS,33788,Revision of pulmonary artery,,,3613.0,4992.0,4
HCPCS,33800,Aortic suspension,,,3613.0,4992.0,4
HCPCS,33802,Repair vessel defect,,,3613.0,4992.0,4
HCPCS,33803,Repair vessel defect,,,3613.0,4992.0,4
HCPCS,33814,Repair septal defect,,,3613.0,4992.0,4
HCPCS,33820,Revise major vessel,,,3885.0,24962.0,4
HCPCS,33822,Revise major vessel,,,3885.0,14979.0,4
HCPCS,33824,Revise major vessel,,,3885.0,24962.0,4
HCPCS,33840,Remove aorta constriction,,,3613.0,4992.0,4
HCPCS,33845,Remove aorta constriction,,,3613.0,4992.0,4
HCPCS,33851,Remove aorta constriction,,,3613.0,4992.0,4
HCPCS,33852,Repair septal defect,,,3613.0,4992.0,4
HCPCS,33853,Repair septal defect,,,3613.0,4992.0,4
HCPCS,33858,As-aort grf f/aortic dsj,,,3613.0,4992.0,4
HCPCS,33859,As-aort grf f/ds oth/thn dsj,,,3613.0,4992.0,4
HCPCS,33863,Ascending aortic graft,,,3613.0,4992.0,4
HCPCS,33864,Ascending aortic graft,,,3613.0,4992.0,4
HCPCS,33866,Aortic hemiarch graft,,,704.0,972.0,2
HCPCS,33871,Transvrs a-arch grf hypthrm,,,3613.0,4992.0,4
HCPCS,33875,Thoracic aortic graft,,,3613.0,4992.0,4
HCPCS,33877,Thoracoabdominal graft,,,3613.0,4992.0,4
HCPCS,33880,Endovasc taa repr incl subcl,,,3613.0,4992.0,4
HCPCS,33881,Endovasc taa repr w/o subcl,,,3613.0,4992.0,4
HCPCS,33881,Hb 33881 Endovasc Repr Wo Subcl,19216.0,6725.6,,,0
HCPCS,33883,Insert endovasc prosth taa,,,3613.0,4992.0,4
HCPCS,33884,Endovasc prosth taa add-on,,,3613.0,4992.0,4
HCPCS,33886,Endovasc prosth delayed,,,3613.0,4992.0,4
HCPCS,33889,Artery transpose/endovas taa,,,3613.0,4992.0,4
HCPCS,33891,Car-car bp grft/endovas taa,,,3613.0,4992.0,4
HCPCS,33894,Evasc st rpr thrc/aa acrs br,,,3613.0,4992.0,4
HCPCS,33894,Hb 33894 Injection Aa&/Strd Genicular Nrv Branches W/Img,22665.0,7932.75,,,0
HCPCS,33895,Evasc st rpr thrc/aa x crsg,,,3613.0,4992.0,4
HCPCS,33895,Hb 33895 Evasc St Rpr Coarcj Thrc/Aa Xcrsg Maj Side Brnch,22665.0,7932.75,,,0
HCPCS,33897,Hb 33897 Perq Transluminal Angioplasty Native/Recr Coa,22665.0,7932.75,,,0
HCPCS,33897,Perq trluml angp nt/recr coa,,,3613.0,4992.0,4
HCPCS,33900,Perq p-art revsc 1 nm nt uni,,,3885.0,24110.71,23
HCPCS,33901,Perq p-art revsc 1 nm nt bi,,,3885.0,24110.71,23
HCPCS,33902,Perq p-art revsc 1 abnor uni,,,3885.0,38286.69,23
HCPCS,33903,Perq p-art revsc 1 abnor bi,,,3885.0,24110.71,23
HCPCS,33904,Perq p-art revsc each addl,,,704.0,972.0,2
HCPCS,33910,Remove lung artery emboli,,,3613.0,4992.0,4
HCPCS,33915,Hb 33915 Pulmonary Embolectomy,9152.0,3203.2,,,0
HCPCS,33915,Remove lung artery emboli,,,3613.0,4992.0,4
HCPCS,33916,Surgery of great vessel,,,3613.0,4992.0,4
HCPCS,33917,Repair pulmonary artery,,,3613.0,4992.0,4
HCPCS,33920,Repair pulmonary atresia,,,3613.0,4992.0,4
HCPCS,33922,Transect pulmonary artery,,,3613.0,4992.0,4
HCPCS,33924,Remove pulmonary shunt,,,3613.0,4992.0,4
HCPCS,33925,Rpr pul art unifocal w/o cpb,,,3613.0,4992.0,4
HCPCS,33926,Repr pul art unifocal w/cpb,,,3613.0,4992.0,4
HCPCS,33927,Impltj tot rplcmt hrt sys,,,3613.0,4992.0,4
HCPCS,33928,Rmvl & rplcmt tot hrt sys,,,3613.0,4992.0,4
HCPCS,33929,Rmvl rplcmt hrt sys f/trnspl,,,3613.0,4992.0,4
HCPCS,33930,Removal of donor heart/lung,,,3613.0,4992.0,4
HCPCS,33933,Prepare donor heart/lung,,,3613.0,4992.0,4
HCPCS,33935,Transplantation heart/lung,,,3613.0,4992.0,4
HCPCS,33940,Hb Donor Cardiectomy,7000.0,2450.0,,,0
HCPCS,33940,Removal of donor heart,,,3613.0,4992.0,4
HCPCS,33944,Prepare donor heart,,,3613.0,4992.0,4
HCPCS,33945,Transplantation of heart,,,3613.0,4992.0,4
HCPCS,33946,Ecmo/ecls initiation venous,,,3613.0,4992.0,4
HCPCS,33946,Hb 33946 Ecmo/Ecls Initiation Venous,39716.0,13900.6,,,0
HCPCS,33947,Ecmo/ecls initiation artery,,,3613.0,4992.0,4
HCPCS,33947,Hb 33947 Ecmo/Ecls Initiation Artery,13579.0,4752.65,,,0
HCPCS,33947,Hb Ecmo/Ecls Initiation Artery,13579.0,4752.65,,,0
HCPCS,33948,Ecmo/ecls daily mgmt-venous,,,3613.0,4992.0,4
HCPCS,33948,Hb Ecmo/Ecls Daily Mgmt-Venous,24045.0,8415.75,,,0
HCPCS,33949,Ecmo/ecls daily mgmt artery,,,3613.0,4992.0,4
HCPCS,33951,Ecmo/ecls insj prph cannula,,,3613.0,4992.0,4
HCPCS,33951,Hb Ecmo/Ecls Insj Prph Cannula,1509.0,528.15,,,0
HCPCS,33952,Ecmo/ecls insj prph cannula,,,3613.0,4992.0,4
HCPCS,33952,Hb 33952 Ecmo/Ecls Insj Prph Cannula 6Yrs Greater,1782.0,623.7,,,0
HCPCS,33952,Hb Ecmo/Ecls Insj Prph Cannula 6Yrs Greater,1782.0,623.7,,,0
HCPCS,33953,Ecmo/ecls insj prph cannula,,,3613.0,4992.0,4
HCPCS,33954,Ecmo/ecls insj prph cannula,,,3613.0,4992.0,4
HCPCS,33955,Ecmo/ecls insj ctr cannula,,,3613.0,4992.0,4
HCPCS,33956,Ecmo/ecls insj ctr cannula,,,3613.0,4992.0,4
HCPCS,33957,Ecmo/ecls repos perph cnula,,,3613.0,4992.0,4
HCPCS,33958,Ecmo/ecls repos perph cnula,,,3613.0,4992.0,4
HCPCS,33958,Hb 33958 Ecmo/Ecls Repos Perph Cannula Prq 6 Yrs & Older,1782.0,623.7,,,0
HCPCS,33959,Ecmo/ecls repos perph cnula,,,3613.0,4992.0,4
HCPCS,33962,Ecmo/ecls repos perph cnula,,,3613.0,4992.0,4
HCPCS,33963,Ecmo/ecls repos perph cnula,,,3613.0,4992.0,4
HCPCS,33964,Ecmo/ecls repos perph cnula,,,3613.0,4992.0,4
HCPCS,33965,Ecmo/ecls rmvl perph cannula,,,3613.0,4992.0,4
HCPCS,33966,Ecmo/ecls rmvl prph cannula,,,3613.0,4992.0,4
HCPCS,33966,Hb 33966 Hb Ecmo/Ecls Rmvl Prph Cannula 6Yrs&Older,36548.0,12791.8,,,0
HCPCS,33966,Hb Ecmo/Ecls Rmvl Prph Cannula 6Yrs&Older,36548.0,12791.8,,,0
HCPCS,33967,Hb 33967 Percutaneous Insertion Ia,6016.0,2105.6,,,0
HCPCS,33967,Hb Percutaneous Insertion Ia,6016.0,2105.6,,,0
HCPCS,33967,Insert i-aort percut device,,,3885.0,37440.0,4
HCPCS,33968,Hb 33968 Remove Aortic Device,5827.0,2039.45,,,0
HCPCS,33968,Hb Remove Aortic Device,5827.0,2039.45,,,0
HCPCS,33968,Remove aortic assist device,,,3885.0,37440.0,4
HCPCS,33969,Ecmo/ecls rmvl perph cannula,,,3613.0,4992.0,4
HCPCS,33970,Aortic circulation assist,,,3613.0,4992.0,4
HCPCS,33970,Hb 33970 Insert Aortic Bln Assist,8190.0,2866.5,,,0
HCPCS,33971,Aortic circulation assist,,,3613.0,4992.0,4
HCPCS,33973,Hb 33973 Insert Bln Intra Aortic,8503.0,2976.05,,,0
HCPCS,33973,Insert balloon device,,,3613.0,4992.0,4
HCPCS,33974,Remove intra-aortic balloon,,,3613.0,4992.0,4
HCPCS,33975,Hb 33975 Vad Insert Ventricle,9675.0,3386.25,,,0
HCPCS,33975,Implant ventricular device,,,3613.0,4992.0,4
HCPCS,33976,Implant ventricular device,,,3613.0,4992.0,4
HCPCS,33977,Hb 33977 Vad Removal Ventricle,8563.0,2997.05,,,0
HCPCS,33977,Remove ventricular device,,,3613.0,4992.0,4
HCPCS,33978,Remove ventricular device,,,3613.0,4992.0,4
HCPCS,33979,Insert intracorporeal device,,,3613.0,4992.0,4
HCPCS,33980,Hb Rmvl Vad  Impltable Icorp 1 Vntrc,6382.0,2233.7,,,0
HCPCS,33980,Remove intracorporeal device,,,3613.0,4992.0,4
HCPCS,33981,Replace vad pump ext,,,3613.0,4992.0,4
HCPCS,33982,Replace vad intra w/o bp,,,3613.0,4992.0,4
HCPCS,33983,Replace vad intra w/bp,,,3613.0,4992.0,4
HCPCS,33984,Ecmo/ecls rmvl prph cannula,,,3613.0,4992.0,4
HCPCS,33985,Ecmo/ecls rmvl ctr cannula,,,3613.0,4992.0,4
HCPCS,33986,Ecmo/ecls rmvl ctr cannula,,,3613.0,4992.0,4
HCPCS,33987,Artery expos/graft artery,,,3613.0,4992.0,4
HCPCS,33988,Insertion of left heart vent,,,3613.0,4992.0,4
HCPCS,33989,Removal of left heart vent,,,3613.0,4992.0,4
HCPCS,33990,Hb 33990 Insert Vad Artery Access,1722.0,602.7,,,0
HCPCS,33990,Insert vad artery access,,,3613.0,4992.0,4
HCPCS,33991,Hb 33991 Insert Vad Art & Vein Access,2510.0,878.5,,,0
HCPCS,33991,Insert vad art&vein access,,,3613.0,4992.0,4
HCPCS,33992,Hb 33992 Remove Vad Diff Session,823.0,288.05,,,0
HCPCS,33992,Hb Remove Vad Diff Session,823.0,288.05,,,0
HCPCS,33992,Remove vad different session,,,3613.0,4992.0,4
HCPCS,33993,Hb 33993 Reposition Vad Diff Session,722.0,252.7,,,0
HCPCS,33993,Hb Repositioning Perq R/L Vad W/Img Gdn Sep Insj,628.0,219.8,,,0
HCPCS,33993,Reposition vad diff session,,,3613.0,4992.0,4
HCPCS,33995,Hb 33995 Hb Insj Perq Vad R Hrt Venous,2510.0,878.5,,,0
HCPCS,33995,Insj perq vad r hrt venous,,,3613.0,4992.0,4
HCPCS,33997,Hb 33997 Removal Perq R Heart Vad Venous Cannula Sep Insj,4605.0,1611.75,,,0
HCPCS,33997,Rmvl perq right heart vad,,,3613.0,4992.0,4
HCPCS,33999,Cardiac surgery procedure,,,655.08,3993.0,23
HCPCS,33999,Hb 33999 Cardiac Procedure,1761.0,616.35,,,0
HCPCS,34001,Removal of artery clot,,,3613.0,4992.0,4
HCPCS,34051,Removal of artery clot,,,3613.0,4992.0,4
HCPCS,34101,Hb 34101 Emb Thr Ax Sc Art Via Arm,12050.0,4217.5,,,0
HCPCS,34101,Removal of artery clot,,,2428.0,14016.0,23
HCPCS,34111,Hb 34111 Emb Thr Rad Ulnar Via Arm,12050.0,4217.5,,,0
HCPCS,34111,Removal of arm artery clot,,,3885.0,14016.0,23
HCPCS,34151,Removal of artery clot,,,3613.0,4992.0,4
HCPCS,34201,Hb 34201 Emb Thr Femoropop Via Leg,12050.0,4217.5,,,0
HCPCS,34201,Removal of artery clot,,,3885.0,14016.0,23
HCPCS,34203,Hb 34203 Emb Thr Popliteal Via Leg,8991.0,3146.85,,,0
HCPCS,34203,Removal of leg artery clot,,,3885.0,14016.0,23
HCPCS,34401,Removal of vein clot,,,3613.0,4992.0,4
HCPCS,34421,Hb 34421 Emb Thr Vena Cava Via Leg,12050.0,4217.5,,,0
HCPCS,34421,Removal of vein clot,,,3297.29,6594.58,23
HCPCS,34451,Removal of vein clot,,,3613.0,4992.0,4
HCPCS,34471,Removal of vein clot,,,655.08,3993.0,23
HCPCS,34490,Hb 34490 Emb Thr Ax Sc Vein Via Arm,12050.0,4217.5,,,0
HCPCS,34490,Removal of vein clot,,,3297.29,6594.58,23
HCPCS,34501,Repair valve femoral vein,,,3885.0,14016.0,23
HCPCS,34502,Reconstruct vena cava,,,3613.0,4992.0,4
HCPCS,34510,Transposition of vein valve,,,3885.0,14016.0,23
HCPCS,34520,Cross-over vein graft,,,3885.0,14016.0,23
HCPCS,34530,Leg vein fusion,,,3297.29,6594.58,23
HCPCS,34701,Evasc rpr a-ao ndgft,,,3613.0,4992.0,4
HCPCS,34701,Hb 34701 Evasc Rpr A-Ao Ndgft,31389.0,10986.15,,,0
HCPCS,34702,Evasc rpr a-ao ndgft rpt,,,3613.0,4992.0,4
HCPCS,34703,Evasc rpr a-unilac ndgft,,,3613.0,4992.0,4
HCPCS,34704,Evasc rpr a-unilac ndgft rpt,,,3613.0,4992.0,4
HCPCS,34705,Evac rpr a-biiliac ndgft,,,3613.0,4992.0,4
HCPCS,34706,Evasc rpr a-biiliac rpt,,,3613.0,4992.0,4
HCPCS,34707,Evasc rpr ilio-iliac ndgft,,,3613.0,4992.0,4
HCPCS,34707,Hb 34707 Evasc Rpr Ilio-Iliac Ndgft,4154.0,1453.9,,,0
HCPCS,34708,Evasc rpr ilio-iliac rpt,,,3613.0,4992.0,4
HCPCS,34709,Plmt xtn prosth evasc rpr,,,3613.0,4992.0,4
HCPCS,34710,Dlyd plmt xtn prosth 1st vsl,,,3613.0,4992.0,4
HCPCS,34710,Hb 34710 Dlyd Plmt Xtn Prosth 1St Vsl,20040.0,7014.0,,,0
HCPCS,34711,Dlyd plmt xtn prosth ea addl,,,3613.0,4992.0,4
HCPCS,34711,Hb 34711 Dlyd Placement Xtn Prosth For Evasc Rpr Ea Addl,7473.0,2615.55,,,0
HCPCS,34712,Tcat dlvr enhncd fixj dev,,,3613.0,4992.0,4
HCPCS,34713,Hb 34713 Perq Access & Closure Fem Art For Delivery Ndgft,10271.0,3594.85,,,0
HCPCS,34713,Perq access & clsr fem art,,,704.0,972.0,2
HCPCS,34714,Opn fem art expos cndt crtj,,,704.0,972.0,2
HCPCS,34715,Opn ax/subcla art expos,,,704.0,972.0,2
HCPCS,34716,Opn ax/subcla art expos cndt,,,704.0,972.0,2
HCPCS,34717,Evasc rpr a-iliac ndgft,,,3613.0,4992.0,4
HCPCS,34718,Evasc rpr n/a a-iliac ndgft,,,3613.0,4992.0,4
HCPCS,34808,Endovas iliac a device addon,,,3613.0,4992.0,4
HCPCS,34812,Hb 34812 Femoral Artery Cutdown,18215.0,6375.25,,,0
HCPCS,34812,Xpose for endoprosth femorl,,,3613.0,4992.0,4
HCPCS,34813,Femoral endovas graft add-on,,,3613.0,4992.0,4
HCPCS,34820,Xpose for endoprosth iliac,,,3613.0,4992.0,4
HCPCS,34830,Open Aortic Tube Prosth Repr,,,3613.0,4992.0,4
HCPCS,34831,Open Aortoiliac Prosth Repr,,,3613.0,4992.0,4
HCPCS,34832,Open Aortofemor Prosth Repr,,,3613.0,4992.0,4
HCPCS,34833,Xpose for endoprosth iliac,,,3613.0,4992.0,4
HCPCS,34834,Xpose endoprosth brachial,,,3613.0,4992.0,4
HCPCS,34839,Plnning pt spec fenest graft,,,3885.0,3993.0,2
HCPCS,34841,Endovasc visc aorta 1 graft,,,3613.0,4992.0,4
HCPCS,34842,Endovasc visc aorta 2 graft,,,3613.0,4992.0,4
HCPCS,34843,Endovasc visc aorta 3 graft,,,3613.0,4992.0,4
HCPCS,34844,Endovasc visc aorta 4 graft,,,3613.0,4992.0,4
HCPCS,34845,Visc & infraren abd 1 prosth,,,3613.0,4992.0,4
HCPCS,34846,Visc & infraren abd 2 prosth,,,3613.0,4992.0,4
HCPCS,34847,Visc & infraren abd 3 prosth,,,3613.0,4992.0,4
HCPCS,34848,Visc & infraren abd 4+ prost,,,3613.0,4992.0,4
HCPCS,35001,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35002,Repair artery rupture neck,,,3613.0,4992.0,4
HCPCS,35005,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35011,Repair defect of artery,,,3885.0,14016.0,23
HCPCS,35013,Repair artery rupture arm,,,3613.0,4992.0,4
HCPCS,35021,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35022,Repair artery rupture chest,,,3613.0,4992.0,4
HCPCS,35045,Repair defect of arm artery,,,3885.0,14016.0,23
HCPCS,35081,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35082,Repair artery rupture aorta,,,3613.0,4992.0,4
HCPCS,35091,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35092,Repair artery rupture aorta,,,3613.0,4992.0,4
HCPCS,35102,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35103,Repair artery rupture aorta,,,3613.0,4992.0,4
HCPCS,35111,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35112,Repair artery rupture spleen,,,3613.0,4992.0,4
HCPCS,35121,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35122,Repair artery rupture belly,,,3613.0,4992.0,4
HCPCS,35131,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35132,Repair artery rupture groin,,,3613.0,4992.0,4
HCPCS,35141,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35142,Repair artery rupture thigh,,,3613.0,4992.0,4
HCPCS,35151,Repair defect of artery,,,3613.0,4992.0,4
HCPCS,35152,Repair ruptd popliteal art,,,3613.0,4992.0,4
HCPCS,35180,Repair blood vessel lesion,,,940.0,3993.0,23
HCPCS,35182,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35184,Repair blood vessel lesion,,,3297.29,6594.58,23
HCPCS,35188,Repair blood vessel lesion,,,1874.25,14016.0,27
HCPCS,35189,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35190,Repair blood vessel lesion,,,3885.0,14016.0,23
HCPCS,35201,Repair blood vessel lesion,,,3885.0,14016.0,23
HCPCS,35206,Hb Repair Blood Vessel Direct; Upr Extrem,12609.0,4413.15,,,0
HCPCS,35206,Repair blood vessel lesion,,,3297.29,6594.58,23
HCPCS,35207,Repair blood vessel lesion,,,1874.25,6594.58,27
HCPCS,35211,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35216,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35221,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35226,Hb Rpr Blood Vessel Direct Lower Extremity,9361.0,3276.35,,,0
HCPCS,35226,Repair blood vessel lesion,,,739.49,3993.0,23
HCPCS,35231,Repair blood vessel lesion,,,3297.29,6594.58,23
HCPCS,35236,Repair blood vessel lesion,,,3885.0,14016.0,23
HCPCS,35241,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35246,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35251,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35256,Repair blood vessel lesion,,,3885.0,14016.0,23
HCPCS,35261,Repair blood vessel lesion,,,3297.29,6594.58,23
HCPCS,35266,Repair blood vessel lesion,,,3885.0,14016.0,23
HCPCS,35271,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35276,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35281,Repair blood vessel lesion,,,3613.0,4992.0,4
HCPCS,35286,Repair blood vessel lesion,,,3885.0,14016.0,23
HCPCS,35301,Rechanneling of artery,,,3613.0,4992.0,4
HCPCS,35302,Rechanneling of Artery,,,3613.0,4992.0,4
HCPCS,35303,Rechanneling of Artery,,,3613.0,4992.0,4
HCPCS,35304,Rechanneling of Artery,,,3613.0,4992.0,4
HCPCS,35305,Rechanneling of Artery,,,3613.0,4992.0,4
HCPCS,35306,Rechanneling of Artery,,,3613.0,4992.0,4
HCPCS,35311,Rechanneling of artery,,,3613.0,4992.0,4
HCPCS,35321,Hb 35321 Thromb Axill Brach,17897.0,6263.95,,,0
HCPCS,35321,Rechanneling of artery,,,3885.0,14016.0,23
HCPCS,35331,Rechanneling of artery,,,3613.0,4992.0,4
HCPCS,35341,Rechanneling of artery,,,3613.0,4992.0,4
HCPCS,35351,Rechanneling of artery,,,3613.0,4992.0,4
HCPCS,35355,Rechanneling of artery,,,3613.0,4992.0,4
HCPCS,35361,Rechanneling of artery,,,3613.0,4992.0,4
HCPCS,35363,Rechanneling of artery,,,3613.0,4992.0,4
HCPCS,35371,Rechanneling of artery,,,3613.0,4992.0,4
HCPCS,35372,Rechanneling of artery,,,3885.0,14016.0,23
HCPCS,35390,Reoperation carotid add-on,,,3613.0,4992.0,4
HCPCS,35400,Angioscopy,,,3613.0,4992.0,4
HCPCS,35500,Harvest vein for bypass,,,704.0,972.0,2
HCPCS,35501,Art byp grft ipsilat carotid,,,3613.0,4992.0,4
HCPCS,35506,Art byp grft subclav-carotid,,,3613.0,4992.0,4
HCPCS,35508,Art byp grft carotid-vertbrl,,,3613.0,4992.0,4
HCPCS,35509,Art byp grft contral carotid,,,3613.0,4992.0,4
HCPCS,35510,Art byp grft carotid-brchial,,,3613.0,4992.0,4
HCPCS,35511,Art byp grft subclav-subclav,,,3613.0,4992.0,4
HCPCS,35512,Art byp grft subclav-brchial,,,3613.0,4992.0,4
HCPCS,35515,Art byp grft subclav-vertbrl,,,3613.0,4992.0,4
HCPCS,35516,Art byp grft subclav-axilary,,,3613.0,4992.0,4
HCPCS,35518,Art byp grft axillary-axilry,,,3613.0,4992.0,4
HCPCS,35521,Art byp grft axill-femoral,,,3613.0,4992.0,4
HCPCS,35522,Art byp grft axill-brachial,,,3613.0,4992.0,4
HCPCS,35523,Art byp grft brchl-ulnr-rdl,,,3613.0,4992.0,4
HCPCS,35525,Art byp grft brachial-brchl,,,3613.0,4992.0,4
HCPCS,35526,Art byp grft aor/carot/innom,,,3613.0,4992.0,4
HCPCS,35531,Art byp grft aorcel/aormesen,,,3613.0,4992.0,4
HCPCS,35533,Art byp grft axill/fem/fem,,,3613.0,4992.0,4
HCPCS,35535,Art byp grft hepatorenal,,,3613.0,4992.0,4
HCPCS,35536,Art byp grft splenorenal,,,3613.0,4992.0,4
HCPCS,35537,Art byp grft aortoiliac,,,3613.0,4992.0,4
HCPCS,35538,Art byp grft aortobi-iliac,,,3613.0,4992.0,4
HCPCS,35539,Art byp grft aortofemoral,,,3613.0,4992.0,4
HCPCS,35540,Art byp grft aortbifemoral,,,3613.0,4992.0,4
HCPCS,35556,Art byp grft fem-popliteal,,,3613.0,4992.0,4
HCPCS,35558,Art byp grft fem-femoral,,,3613.0,4992.0,4
HCPCS,35560,Art byp grft aortorenal,,,3613.0,4992.0,4
HCPCS,35563,Art byp grft ilioiliac,,,3613.0,4992.0,4
HCPCS,35565,Art byp grft iliofemoral,,,3613.0,4992.0,4
HCPCS,35566,Art byp fem-ant-post tib/prl,,,3613.0,4992.0,4
HCPCS,35570,Art byp tibial-tib/peroneal,,,3613.0,4992.0,4
HCPCS,35571,Art byp pop-tibl-prl-other,,,3613.0,4992.0,4
HCPCS,35572,Harvest femoropopliteal vein,,,704.0,972.0,2
HCPCS,35583,Vein byp grft fem-popliteal,,,3613.0,4992.0,4
HCPCS,35585,Vein byp fem-tibial peroneal,,,3613.0,4992.0,4
HCPCS,35587,Vein byp pop-tibl peroneal,,,3613.0,4992.0,4
HCPCS,35600,Harvest art for cabg add-on,,,3613.0,4992.0,4
HCPCS,35601,Art byp common ipsi carotid,,,3613.0,4992.0,4
HCPCS,35606,Art byp carotid-subclavian,,,3613.0,4992.0,4
HCPCS,35612,Art byp subclav-subclavian,,,3613.0,4992.0,4
HCPCS,35616,Art byp subclav-axillary,,,3613.0,4992.0,4
HCPCS,35621,Art byp axillary-femoral,,,3613.0,4992.0,4
HCPCS,35623,Art byp axillary-pop-tibial,,,3613.0,4992.0,4
HCPCS,35626,Art byp aorsubcl/carot/innom,,,3613.0,4992.0,4
HCPCS,35631,Art byp aor-celiac-msn-renal,,,3613.0,4992.0,4
HCPCS,35632,Art byp ilio-celiac,,,3613.0,4992.0,4
HCPCS,35633,Art byp ilio-mesenteric,,,3613.0,4992.0,4
HCPCS,35634,Art byp iliorenal,,,3613.0,4992.0,4
HCPCS,35636,Art byp spenorenal,,,3613.0,4992.0,4
HCPCS,35637,Art byp aortoiliac,,,3613.0,4992.0,4
HCPCS,35638,Art byp aortobi-iliac,,,3613.0,4992.0,4
HCPCS,35642,Art byp carotid-vertebral,,,3613.0,4992.0,4
HCPCS,35645,Art byp subclav-vertebrl,,,3613.0,4992.0,4
HCPCS,35646,Art byp aortobifemoral,,,3613.0,4992.0,4
HCPCS,35647,Art byp aortofemoral,,,3613.0,4992.0,4
HCPCS,35650,Art byp axillary-axillary,,,3613.0,4992.0,4
HCPCS,35654,Art byp axill-fem-femoral,,,3613.0,4992.0,4
HCPCS,35656,Art byp femoral-popliteal,,,3613.0,4992.0,4
HCPCS,35661,Art byp femoral-femoral,,,3613.0,4992.0,4
HCPCS,35663,Art byp ilioiliac,,,3613.0,4992.0,4
HCPCS,35665,Art byp iliofemoral,,,3613.0,4992.0,4
HCPCS,35666,Art byp fem-ant-post tib/prl,,,3613.0,4992.0,4
HCPCS,35671,Art byp pop-tibl-prl-other,,,3613.0,4992.0,4
HCPCS,35681,Composite byp grft pros&vein,,,3613.0,4992.0,4
HCPCS,35682,Composite byp grft 2 veins,,,3613.0,4992.0,4
HCPCS,35683,Composite byp grft 3/> segmt,,,3613.0,4992.0,4
HCPCS,35685,Bypass graft patency/patch,,,704.0,972.0,2
HCPCS,35686,Bypass graft/av fist patency,,,704.0,972.0,2
HCPCS,35691,Art trnsposj vertbrl carotid,,,3613.0,4992.0,4
HCPCS,35693,Art trnsposj subclavian,,,3613.0,4992.0,4
HCPCS,35694,Art trnsposj subclav carotid,,,3613.0,4992.0,4
HCPCS,35695,Art trnsposj carotid subclav,,,3613.0,4992.0,4
HCPCS,35697,Reimplant artery each,,,3613.0,4992.0,4
HCPCS,35700,Reoperation bypass graft,,,3613.0,4992.0,4
HCPCS,35701,Exploration carotid artery,,,3613.0,4992.0,4
HCPCS,35702,Expl n/flwd surg uxtr art,,,3613.0,4992.0,4
HCPCS,35703,Expl n/flwd surg lxtr art,,,3613.0,4992.0,4
HCPCS,35800,Explore neck vessels,,,3885.0,14016.0,23
HCPCS,35800,Hb Explore Neck Vessels,20065.0,7022.75,,,0
HCPCS,35820,Explore chest vessels,,,3613.0,4992.0,4
HCPCS,35840,Explore abdominal vessels,,,3613.0,4992.0,4
HCPCS,35860,Explore limb vessels,,,3297.29,6594.58,23
HCPCS,35870,Repair vessel graft defect,,,3613.0,4992.0,4
HCPCS,35875,Removal of clot in graft,,,3983.52,14016.0,25
HCPCS,35876,Removal of clot in graft,,,3983.52,14016.0,25
HCPCS,35879,Revise graft w/vein,,,3885.0,14016.0,23
HCPCS,35881,Revise graft w/vein,,,3885.0,14016.0,23
HCPCS,35883,Revise Graft w/Nonauto Graft,,,5282.0,14016.0,23
HCPCS,35884,Revise graft w/vein,,,5282.0,14016.0,23
HCPCS,35901,Excision graft neck,,,3613.0,4992.0,4
HCPCS,35903,Excision graft extremity,,,3297.29,6594.58,23
HCPCS,35905,Excision graft thorax,,,3613.0,4992.0,4
HCPCS,35907,Excision graft abdomen,,,3613.0,4992.0,4
HCPCS,36000,Hb 36000 Intro Needle Intracat Vein,768.0,268.8,,,0
HCPCS,36000,Hb Intro Needle Or Intracat Vein,768.0,268.8,,,0
HCPCS,36000,Place needle in vein,,,704.0,972.0,2
HCPCS,36002,Hb 36002 Inj Thrombin Pseudoaneurys,2847.0,996.45,,,0
HCPCS,36002,Hb Inj Thrombin Pseudoaneurysm,2847.0,996.45,,,0
HCPCS,36002,Pseudoaneurysm injection trt,,,655.08,1502.0,23
HCPCS,36005,Hb 36005 Venography Inj Procedure,4003.0,1401.05,,,0
HCPCS,36005,Injection ext venography,,,704.0,972.0,2
HCPCS,36010,Hb 36010 Vena Cava Superior Infer,9504.0,3326.4,,,0
HCPCS,36010,Place catheter in vein,,,704.0,972.0,2
HCPCS,36011,Hb 36011 Venous 1St Order,5630.0,1970.5,,,0
HCPCS,36011,Place catheter in vein,,,704.0,972.0,2
HCPCS,36012,Hb 36012 Venous 2Nd Order,4115.0,1440.25,,,0
HCPCS,36012,Place catheter in vein,,,704.0,972.0,2
HCPCS,36013,Hb 36013 Place Cath Rt Heart Pulm,7999.0,2799.65,,,0
HCPCS,36013,Hb Place Cath Rt Heart Pulm,7999.0,2799.65,,,0
HCPCS,36013,Place catheter in artery,,,704.0,972.0,2
HCPCS,36014,Hb 36014 Place Cath Lt Rt Pulm Art,3802.0,1330.7,,,0
HCPCS,36014,Place catheter in artery,,,704.0,972.0,2
HCPCS,36015,Hb 36015 Place Cath Seg Sub Pulm,3916.0,1370.6,,,0
HCPCS,36015,Place catheter in artery,,,704.0,972.0,2
HCPCS,36100,Establish access to artery,,,704.0,972.0,2
HCPCS,36100,Hb 36100 Intro Needle Intracat Art,9364.0,3277.4,,,0
HCPCS,36140,Establish access to artery,,,704.0,972.0,2
HCPCS,36140,Hb 36140 Extremity Artery Retro,7427.0,2599.45,,,0
HCPCS,36140,Hb Intro Of Needle Or Intracatheter Upr/Lxtr Artery,602.0,210.7,,,0
HCPCS,36160,Establish access to aorta,,,704.0,972.0,2
HCPCS,36160,Hb 36160 Aorta Translumbar,4045.0,1415.75,,,0
HCPCS,36200,Hb 36200 Place Cath Aorta,7973.0,2790.55,,,0
HCPCS,36200,Place catheter in aorta,,,704.0,972.0,2
HCPCS,36215,Hb 36215 Arterial Thorac 1St Order,7591.0,2656.85,,,0
HCPCS,36215,Place catheter in artery,,,704.0,972.0,2
HCPCS,36216,Hb 36216 Arterial Thorac 2Nd Order,10900.0,3815.0,,,0
HCPCS,36216,Place catheter in artery,,,704.0,972.0,2
HCPCS,36217,Hb 36217 Arterial Thorac 3Rd Order,10829.0,3790.15,,,0
HCPCS,36217,Place catheter in artery,,,704.0,972.0,2
HCPCS,36218,Hb 36218 Arterial Thorac Ea Addl,5473.0,1915.55,,,0
HCPCS,36218,Place catheter in artery,,,704.0,972.0,2
HCPCS,36221,Hb 36221 Place Cath Thoracic Aorta,15292.0,5352.2,,,0
HCPCS,36221,Place cath thoracic aorta,,,3297.29,6594.58,23
HCPCS,36222,Hb 36222 Place Cath Carotid Inom Art Extra,14801.0,5180.35,,,0
HCPCS,36222,Place cath carotid/inom art,,,3297.29,6594.58,23
HCPCS,36223,Hb 36223 Place Cath Carotid Inom Art Intra,14830.0,5190.5,,,0
HCPCS,36223,Place cath carotid/inom art,,,3885.0,14016.0,23
HCPCS,36224,Hb 36224 Place Cath Carotid Art,17795.0,6228.25,,,0
HCPCS,36224,Place cath carotd art,,,3885.0,14016.0,23
HCPCS,36225,Hb 36225 Place Cath Subclavian Art,15292.0,5352.2,,,0
HCPCS,36225,Place cath subclavian art,,,3297.29,6594.58,23
HCPCS,36226,Hb 36226 Place Cath Vertebral Art,18350.0,6422.5,,,0
HCPCS,36226,Place cath vertebral art,,,3885.0,14016.0,23
HCPCS,36227,Hb 36227 Place Cath External Carotid,26738.0,9358.3,,,0
HCPCS,36227,Place cath xtrnl carotid,,,704.0,3993.0,4
HCPCS,36228,Hb 36228 Place Cath Intracranial Art,17550.0,6142.5,,,0
HCPCS,36228,Place cath intracranial art,,,704.0,3993.0,4
HCPCS,36245,Hb 36245 Abd Pelvic Low 1St Order,10104.0,3536.4,,,0
HCPCS,36245,Ins cath abd/l-ext art 1st,,,704.0,972.0,2
HCPCS,36246,Hb 36246 Abd Pelvic Low 2Nd Order,12529.0,4385.15,,,0
HCPCS,36246,Ins cath abd/l-ext art 2nd,,,704.0,972.0,2
HCPCS,36247,Hb 36247 Abd Pelvic Low 3Rd Order,13498.0,4724.3,,,0
HCPCS,36247,Ins cath abd/l-ext art 3rd,,,704.0,972.0,2
HCPCS,36248,Hb 36248 Abd Pelvic Low Ea Addl,3779.0,1322.65,,,0
HCPCS,36248,Ins cath abd/l-ext art addl,,,704.0,972.0,2
HCPCS,36251,Hb 36251 Ins Cath Ren Art 1St Unilat,17231.0,6030.85,,,0
HCPCS,36251,Ins cath ren art 1st unilat,,,3297.29,6594.58,23
HCPCS,36252,Hb 36252 Ins Cath Ren Art 1St Bilat,21617.0,7565.95,,,0
HCPCS,36252,Ins cath ren art 1st bilat,,,3297.29,6594.58,23
HCPCS,36253,Hb 36253 Ins Cath Ren Art 2Nd Unilat,17231.0,6030.85,,,0
HCPCS,36253,Ins cath ren art 2nd+ unilat,,,3885.0,14016.0,23
HCPCS,36254,Hb 36254 Ins Cath Ren Art 2Nd Bilat,21617.0,7565.95,,,0
HCPCS,36254,Ins cath ren art 2nd+ bilat,,,3297.29,6594.58,23
HCPCS,36260,Insertion of infusion pump,,,1517.25,14016.0,27
HCPCS,36261,Revision of infusion pump,,,1326.84,7804.86,27
HCPCS,36262,Removal of infusion pump,,,990.66,7804.86,27
HCPCS,36299,Hb 36299 Vessel Inj Procedure,2409.0,843.15,,,0
HCPCS,36299,Hb Vessel Inj Procedure,2409.0,843.15,,,0
HCPCS,36299,Vessel injection procedure,,,704.0,972.0,2
HCPCS,36406,Hb Bl Draw <3 Yrs Scalp Vein,321.0,112.35,,,0
HCPCS,36410,Hb 36410 Non-Routine Bl Draw 3/> Yrs,482.0,168.7,,,0
HCPCS,36410,Hb Non-Routine Bl Draw 3/> Yrs,627.0,219.45,,,0
HCPCS,36410,Non-routine bl draw 3/> yrs,,,3885.0,3993.0,2
HCPCS,36415,Hb Venipuncture Draw,38.0,13.3,,,0
HCPCS,36415,Routine venipuncture,,,9.34,3993.0,21
HCPCS,36416,Capillary blood draw,,,3885.0,3993.0,2
HCPCS,36416,Hb Capillary Blood Draw,38.0,13.3,,,0
HCPCS,36420,Vein access cutdown < 1 yr,,,138.94,972.0,21
HCPCS,36425,Hb Venipuncture Cutdown Age 1 Yr/>,1417.0,495.95,,,0
HCPCS,36425,Vein access cutdown > 1 yr,,,466.5,972.0,21
HCPCS,36430,Blood transfusion service,,,460.71,1502.0,23
HCPCS,36430,Hb Transfusion Blood Or Comp,2362.5,826.875,,,0
HCPCS,36440,Bl push transfuse 2 yr/<,,,460.71,1502.0,23
HCPCS,36450,Bl exchange/transfuse nb,,,460.71,1502.0,23
HCPCS,36450,Hb Transfusion Exchange Newborn,3072.0,1075.2,,,0
HCPCS,36455,Bl exchange/transfuse non-nb,,,460.71,1502.0,23
HCPCS,36455,Hb Transfusion Exchange Blood,3072.0,1075.2,,,0
HCPCS,36456,Prtl exchange transfuse nb,,,460.71,1502.0,23
HCPCS,36460,Hb Uob Cordocentesis,2375.0,831.25,,,0
HCPCS,36460,Transfusion service fetal,,,460.71,1502.0,23
HCPCS,36465,Njx noncmpnd sclrsnt 1 vein,,,2116.0,5282.0,23
HCPCS,36466,Njx noncmpnd sclrsnt mlt vn,,,2116.0,5282.0,23
HCPCS,36468,Injection(s) spider veins,,,424.52,972.0,21
HCPCS,36470,Hb 36470 Inj Sclero Vein Sgl,12209.0,4273.15,,,0
HCPCS,36470,Hb Njx Sclrsnt 1 Incmptnt Vein,12209.0,4273.15,,,0
HCPCS,36470,Injection therapy of vein,,,424.52,972.0,21
HCPCS,36471,Hb 36471 Inj Therapy Veins,3619.0,1266.65,,,0
HCPCS,36471,Hb Njx Sclrsnt Mlt Incmptnt Vn,3619.0,1266.65,,,0
HCPCS,36471,Injection therapy of veins,,,424.52,1500.0,23
HCPCS,36473,Endovenous mchnchem 1st vein,,,3297.29,6594.58,21
HCPCS,36474,Endovenous mchnchem add-on,,,704.0,972.0,2
HCPCS,36475,Endovenous rf 1st vein,,,2375.0,6594.58,27
HCPCS,36475,Hb Endovenous Rf 1St Vein,16109.0,5638.15,,,0
HCPCS,36476,Endovenous rf vein add-on,,,704.0,4839.39,6
HCPCS,36478,Endovenous laser 1st vein,,,2375.0,6594.58,27
HCPCS,36479,Endovenous laser vein addon,,,704.0,4839.39,6
HCPCS,36481,Hb 36481 Percut Portal Vein,4045.0,1415.75,,,0
HCPCS,36481,Insertion of catheter vein,,,704.0,972.0,2
HCPCS,36482,Endoven ther chem adhes 1st,,,3885.0,14016.0,23
HCPCS,36483,Endoven ther chem adhes sbsq,,,704.0,972.0,2
HCPCS,36500,Hb 36500 Venous Sampling,3722.0,1302.7,,,0
HCPCS,36500,Insertion of catheter vein,,,704.0,972.0,2
HCPCS,36510,Hb Insert Umbilical Vein Cath,2017.0,705.95,,,0
HCPCS,36510,Insertion of catheter vein,,,704.0,972.0,2
HCPCS,36511,Apheresis wbc,,,1626.39,3993.0,23
HCPCS,36511,Hb Leukocyte Collection 077,12344.0,4320.4,,,0
HCPCS,36511,Hb Thera Pheresis Ldl 279,12344.0,4320.4,,,0
HCPCS,36512,Apheresis rbc,,,1626.39,3993.0,23
HCPCS,36512,Hb Thera Pheresis Red Cell Ex 278,15385.0,5384.75,,,0
HCPCS,36513,Apheresis platelets,,,460.71,3993.0,23
HCPCS,36513,Hb Apheresis Platelets,8154.0,2853.9,,,0
HCPCS,36514,Apheresis plasma,,,1626.39,3993.0,23
HCPCS,36514,Hb Plasmapheresis,10130.0,3545.5,,,0
HCPCS,36514,Hb Ther Pher Plasma Exchg 051,15385.0,5384.75,,,0
HCPCS,36514,Hb Ther Pher Plasma Reduct 052,15385.0,5384.75,,,0
HCPCS,36516,Apheresis selective,,,3885.0,9732.0,23
HCPCS,36516,Hb Immunoadsorptn Ther 076,18754.0,6563.9,,,0
HCPCS,36522,Hb Photopheresis Proc 078,16396.0,5738.6,,,0
HCPCS,36522,Photopheresis,,,1900.0,9732.0,25
HCPCS,36555,Hb 36555 Central Venous Cath Ls 5Yr,5266.0,1843.1,,,0
HCPCS,36555,Hb Central Venous Cath Ls 5Yr,5266.0,1843.1,,,0
HCPCS,36555,Insert non-tunnel cv cath,,,940.0,6594.58,27
HCPCS,36556,Hb 36556 Central Venous Cath Gr 5Yr,6617.0,2315.95,,,0
HCPCS,36556,Hb Central Venous Cath 5Yr Greater,6617.0,2315.95,,,0
HCPCS,36556,Insert non-tunnel cv cath,,,940.0,6594.58,27
HCPCS,36557,Hb 36557 Cath Tunled Wo Port Ls 5Yr,12856.0,4499.6,,,0
HCPCS,36557,Insert tunneled cv cath,,,1326.84,14016.0,27
HCPCS,36558,Hb 36558 Cath Tunled Wo Port Gr 5Yr,16200.0,5670.0,,,0
HCPCS,36558,Hb Cath Tunled Wo Port Gr 5Yr,16200.0,5670.0,,,0
HCPCS,36558,Insert tunneled cv cath,,,1326.84,6594.58,27
HCPCS,36560,Hb 36560 Port Tunled Vad Less 5Yr,30129.0,10545.15,,,0
HCPCS,36560,Insert tunneled cv cath,,,1517.25,6594.58,27
HCPCS,36561,Hb 36561 Port Tunled Vad Over 5Yr,33575.0,11751.25,,,0
HCPCS,36561,Hb Ins Tunneled Cvad W Port Age 5 Yrs/>,33575.0,11751.25,,,0
HCPCS,36561,Insert tunneled cv cath,,,1517.25,6594.58,27
HCPCS,36563,Hb 36563 Insert Tunneled Cv Cath,25597.0,8958.95,,,0
HCPCS,36563,Hb Insert Tunneled Cv Cath Sq Pump,25597.0,8958.95,,,0
HCPCS,36563,Insert tunneled cv cath,,,1517.25,14016.0,27
HCPCS,36565,Hb 36565 Tesio Tunled To Cath Site,31666.0,11083.1,,,0
HCPCS,36565,Insert tunneled cv cath,,,1517.25,6594.58,27
HCPCS,36566,Hb 36566 Insert Tunneled Cv Cath,37484.0,13119.4,,,0
HCPCS,36566,Insert tunneled cv cath,,,1517.25,14016.0,27
HCPCS,36568,Hb 36568 Picc Placement Less 5 Yrs,13497.0,4723.95,,,0
HCPCS,36568,Hb Picc Placement Less 5 Yrs,13497.0,4723.95,,,0
HCPCS,36568,Insert picc cath,,,940.0,3287.71,27
HCPCS,36569,Hb 36569 Picc Placement Over 5Yrs,13497.0,4723.95,,,0
HCPCS,36569,Hb Picc Placement Over 5Yrs,13497.0,4723.95,,,0
HCPCS,36569,Insert picc cath,,,940.0,3287.71,27
HCPCS,36570,Insert picvad cath,,,1517.25,6594.58,27
HCPCS,36571,Hb 36571 Insert Picvad Cath,11374.0,3980.9,,,0
HCPCS,36571,Hb Ins Picc Device W Port 5 Yrs/>,11374.0,3980.9,,,0
HCPCS,36571,Insert picvad cath,,,1517.25,6594.58,27
HCPCS,36572,Hb 36572 Insert Picc Rs&I <5 Yr,13844.0,4845.4,,,0
HCPCS,36572,Hb Picc Placement <5Yrs W/Img,8599.0,3009.65,,,0
HCPCS,36572,Insj picc rs&i <5 yr,,,655.08,2494.0,23
HCPCS,36573,Hb 36573 Insert Picc Rs&I 5 Yr+,15920.0,5572.0,,,0
HCPCS,36573,Hb Picc Placement 5Yrs/> W/Img,11278.0,3947.3,,,0
HCPCS,36573,Insj picc rs&i 5 yr+,,,1643.86,3648.0,23
HCPCS,36575,Hb 36575 Picc Or Central Cath Rep,5216.0,1825.6,,,0
HCPCS,36575,Hb Picc Or Central Cath Rep,5216.0,1825.6,,,0
HCPCS,36575,Repair tunneled cv cath,,,655.08,2121.0,27
HCPCS,36576,Hb 36576 Repair Cath Cv W Port,18000.0,6300.0,,,0
HCPCS,36576,Repair tunneled cv cath,,,940.0,3287.71,27
HCPCS,36578,Hb 36578 Replace Tunneled Cv Cath,4555.0,1594.25,,,0
HCPCS,36578,Replace tunneled cv cath,,,1326.84,6594.58,27
HCPCS,36580,Hb 	Replace Non-Tunneled Cv Cath,11376.0,3981.6,,,0
HCPCS,36580,Hb 36580 Replace Cvad Cath,11376.0,3981.6,,,0
HCPCS,36580,Replace cvad cath,,,940.0,3287.71,27
HCPCS,36581,Hb 36581 Rep Tunled Cv Cath Wo Port,13497.0,4723.95,,,0
HCPCS,36581,Replace tunneled cv cath,,,1326.84,6594.58,27
HCPCS,36582,Hb 36582 Rep Tunled Cv Cath W Port,30129.0,10545.15,,,0
HCPCS,36582,Replace tunneled cv cath,,,1517.25,6594.58,27
HCPCS,36583,Replace tunneled cv cath,,,1517.25,14016.0,27
HCPCS,36584,Hb 36584 Replace Picc Line,6887.0,2410.45,,,0
HCPCS,36584,Hb Replace Picc Line Same Vein,6887.0,2410.45,,,0
HCPCS,36584,Replace picc cath,,,940.0,3287.71,27
HCPCS,36585,Hb 36585 Tesio Replace Periph Vad,13497.0,4723.95,,,0
HCPCS,36585,Replace picvad cath,,,1517.25,6594.58,27
HCPCS,36589,Hb 36589 Perm Cath Removal,5216.0,1825.6,,,0
HCPCS,36589,Hb Perm Cath Removal,3238.5,1133.475,,,0
HCPCS,36589,Removal tunneled cv cath,,,655.08,1502.0,27
HCPCS,36590,Hb 36590 Port Removal,8789.0,3076.15,,,0
HCPCS,36590,Hb Tunneled Cv Cath Removal,5627.5,1969.625,,,0
HCPCS,36590,Removal tunneled cv cath,,,990.66,3287.71,27
HCPCS,36591,Draw blood off venous device,,,138.94,972.0,21
HCPCS,36591,Hb Port Access Bloodwork,461.5,161.525,,,0
HCPCS,36592,Collect blood from picc,,,138.94,972.0,21
HCPCS,36592,Hb Collect Blood From Picc,870.0,304.5,,,0
HCPCS,36592,Hb Specimen Collection Port,870.0,304.5,,,0
HCPCS,36593,Declot vascular device,,,344.93,972.0,21
HCPCS,36593,Hb 36593 Declot Catheter Or Device,4185.0,1464.75,,,0
HCPCS,36593,Hb Declot Catheter Or Device,2541.0,889.35,,,0
HCPCS,36595,Hb 36595 Mechan Rem Pericath Obst,11427.0,3999.45,,,0
HCPCS,36595,Mech remov tunneled cv cath,,,1457.0,6594.58,23
HCPCS,36596,Hb 36596 Mechan Rem Intracath Obs,12951.0,4532.85,,,0
HCPCS,36596,Mech remov tunneled cv cath,,,940.0,3287.71,23
HCPCS,36597,Hb 36597 Reposition Venous Cath,2664.0,932.4,,,0
HCPCS,36597,Reposition venous catheter,,,940.0,3287.71,23
HCPCS,36598,Hb 36598 Inj W Fluor Eval Cv Devic,668.0,233.8,,,0
HCPCS,36598,Inj w/fluor eval cv device,,,222.12,1502.0,23
HCPCS,36600,Hb Arterial Puncture,365.0,127.75,,,0
HCPCS,36600,Withdrawal of arterial blood,,,138.94,972.0,21
HCPCS,36620,Hb 36620 Art Line Plmt Monitoring,865.0,302.75,,,0
HCPCS,36620,Hb Insertion Catheter Artery,951.0,332.85,,,0
HCPCS,36620,Insertion catheter artery,,,704.0,972.0,2
HCPCS,36625,Hb 36625 Insert Catheter Artery,1855.0,649.25,,,0
HCPCS,36625,Insertion catheter artery,,,704.0,972.0,2
HCPCS,36640,Insertion catheter artery,,,990.66,6594.58,27
HCPCS,36660,Hb Insert Umbilical Artery Cath,3906.0,1367.1,,,0
HCPCS,36660,Insertion catheter artery,,,3613.0,4992.0,4
HCPCS,36680,Hb Place Needle Intraosseous Infusion,1552.0,543.2,,,0
HCPCS,36680,Insert needle bone cavity,,,466.5,972.0,21
HCPCS,36800,Hb 36800 Insertion Of Cannula,12345.0,4320.75,,,0
HCPCS,36800,Insertion of cannula,,,1517.25,14016.0,27
HCPCS,36810,Insertion of cannula,,,1517.25,6594.58,27
HCPCS,36815,Insertion of cannula,,,1517.25,14016.0,27
HCPCS,36818,Av fuse uppr arm cephalic,,,1517.25,14016.0,25
HCPCS,36818,Hb 36818 Anast Av Cephalic Open,15962.0,5586.7,,,0
HCPCS,36819,Av fuse uppr arm basilic,,,1517.25,14016.0,27
HCPCS,36819,Hb 36819 Av Fuse Uppr Arm Basilic,25178.0,8812.3,,,0
HCPCS,36820,Av fusion/forearm vein,,,1517.25,14016.0,27
HCPCS,36821,Av fusion direct any site,,,1517.25,6594.58,27
HCPCS,36821,Hb 36821 Av Fusion Dir Any Site,18007.0,6302.45,,,0
HCPCS,36823,Insertion of cannula(s),,,3760.0,5195.0,4
HCPCS,36825,Artery-vein autograft,,,1874.25,14016.0,27
HCPCS,36830,Artery-vein nonautograft,,,1874.25,14016.0,27
HCPCS,36830,Hb 36830 Av Nonautograft,33008.0,11552.8,,,0
HCPCS,36831,Open thrombect av fistula,,,3983.52,14016.0,25
HCPCS,36832,Av fistula revision open,,,1874.25,14016.0,27
HCPCS,36832,Hb 36832 Av Fistula Revision Open,28864.0,10102.4,,,0
HCPCS,36833,Av fistula revision,,,1874.25,14016.0,27
HCPCS,36834,Repair A-V aneurysm,,,2375.0,2500.0,2
HCPCS,36835,Artery to vein shunt,,,1874.25,6594.58,27
HCPCS,36836,Prq av fstl crtj uxtr 1 acs,,,3885.0,38286.69,23
HCPCS,36837,Prq av fstl crt uxtr sep acs,,,3885.0,38286.69,23
HCPCS,36838,Dist revas ligation hemo,,,3885.0,14016.0,23
HCPCS,36860,External cannula declotting,,,379.02,3287.71,27
HCPCS,36860,Hb 36860 Declot Av Shunt Wo Ball,6340.0,2219.0,,,0
HCPCS,36861,Cannula declotting,,,1517.25,14016.0,27
HCPCS,36861,Hb 36861 Declot Av Shunt W Balloon,7090.0,2481.5,,,0
HCPCS,36901,Hb 36901 Intro Cath Dial Circuit Dx Angrph Fluor S&I,2125.0,743.75,,,0
HCPCS,36901,Intro cath dialysis circuit,,,1643.86,3287.71,21
HCPCS,36902,Hb 36902 Intro Cath Dial Circ W/Trluml Balo Angiop,14984.0,5244.4,,,0
HCPCS,36902,Intro cath dialysis circuit,,,3885.0,14016.0,23
HCPCS,36903,Hb 36903 Intro Cath Dial Circuit W/Tcat Plmt Iv Stent,30285.0,10599.75,,,0
HCPCS,36903,Intro cath dialysis circuit,,,3885.0,24110.71,23
HCPCS,36904,Hb 36904 Perq Thrmbc/Nfs Dial Circuit Img Dx Angrph,14984.0,5244.4,,,0
HCPCS,36904,Thrmbc/nfs dialysis circuit,,,3885.0,14016.0,23
HCPCS,36905,Hb 36905 Perq Thrmbc/Nfs Dial Circ Trluml Balo Angiop,30285.0,10599.75,,,0
HCPCS,36905,Thrmbc/nfs dialysis circuit,,,3885.0,24110.71,23
HCPCS,36906,Hb 36906 Perq Thrmbc/Nfs Dial Circuit Tcat Plmt Iv Stent,45903.0,16066.05,,,0
HCPCS,36906,Thrmbc/nfs dialysis circuit,,,3885.0,38286.69,23
HCPCS,36907,Balo angiop ctr dialysis seg,,,704.0,972.0,2
HCPCS,36907,Hb 36907 Trluml Balo Angiop Ctr Dialysis Seg W/Img S&I,2367.0,828.45,,,0
HCPCS,36908,Hb 36908 Stent Plmt Ctr Dialysis Seg,10382.0,3633.7,,,0
HCPCS,36908,Stent plmt ctr dialysis seg,,,704.0,972.0,2
HCPCS,36909,Dialysis circuit embolj,,,704.0,972.0,2
HCPCS,36909,Hb 36909 Dialysis Circuit Embolj,7584.0,2654.4,,,0
HCPCS,37140,Revision of circulation,,,3613.0,4992.0,4
HCPCS,37145,Revision of circulation,,,3613.0,4992.0,4
HCPCS,37160,Revision of circulation,,,3613.0,4992.0,4
HCPCS,37180,Revision of circulation,,,3613.0,4992.0,4
HCPCS,37181,Splice spleen/kidney veins,,,3613.0,4992.0,4
HCPCS,37182,Hb 37182 Tips Procedure,14085.0,4929.75,,,0
HCPCS,37182,Insert hepatic shunt (tips),,,3885.0,38286.69,23
HCPCS,37183,Hb 37183 Tips Revision Procedure,14788.0,5175.8,,,0
HCPCS,37183,Remove hepatic shunt (tips),,,3885.0,14979.0,23
HCPCS,37184,Hb 37184 Prim Art Mech Thromb,32050.0,11217.5,,,0
HCPCS,37184,Prim art m-thrmbc 1st vsl,,,5282.0,38286.69,23
HCPCS,37185,Hb 37185 Prim Art M Thromb Add On,13053.0,4568.55,,,0
HCPCS,37185,Prim art m-thrmbc sbsq vsl,,,704.0,972.0,2
HCPCS,37186,Hb 37186 Sec Art M Thromb Add On,12287.0,4300.45,,,0
HCPCS,37186,Sec art thrombectomy add-on,,,704.0,972.0,2
HCPCS,37187,Hb 37187 Venous Mech Thrombectomy,26303.0,9206.05,,,0
HCPCS,37187,Venous mech thrombectomy,,,5282.0,24110.71,23
HCPCS,37188,Hb 37188 Venous Mech Thromb Add On,26601.0,9310.35,,,0
HCPCS,37188,Venous m-thrombectomy add-on,,,3297.29,6594.58,23
HCPCS,37191,Hb 37191 Ins Endovas Vena Cava Filter,18921.0,6622.35,,,0
HCPCS,37191,Ins endovas vena cava filtr,,,3885.0,14016.0,23
HCPCS,37192,Hb 37192 Redo Endovas Vena Cava Filter,10335.0,3617.25,,,0
HCPCS,37192,Redo endovas vena cava filtr,,,3297.29,6594.58,23
HCPCS,37193,Hb 37193 Rem Endovas Vena Cava Filter,12403.0,4341.05,,,0
HCPCS,37193,Rem endovas vena cava filter,,,3297.29,6594.58,23
HCPCS,37195,Hb 37195 Thrombolysis Cerebral Iv,5799.0,2029.65,,,0
HCPCS,37195,Hb Thrombolysis Cerebral Iv Infusion,5799.0,2029.65,,,0
HCPCS,37195,Thrombolytic therapy stroke,,,344.93,1502.0,23
HCPCS,37197,Hb 37197 Remove Intravas Foreign Body,10557.0,3694.95,,,0
HCPCS,37197,Remove intrvas foreign body,,,3297.29,6594.58,23
HCPCS,37200,Hb 37200 Transcatheter Biopsy,6734.0,2356.9,,,0
HCPCS,37200,Transcatheter biopsy,,,1457.0,14016.0,23
HCPCS,37211,Hb 37211 Thrombolytic Art Therapy,5510.0,1928.5,,,0
HCPCS,37211,Thrombolytic art therapy,,,3036.0,14016.0,23
HCPCS,37212,Hb 37212 Thrombolytic Venous Therapy,8722.0,3052.7,,,0
HCPCS,37212,Thrombolytic venous therapy,,,3036.0,6594.58,23
HCPCS,37213,Hb 37213 Thrombolytic Art Ven Therapy,8722.0,3052.7,,,0
HCPCS,37213,Thromblytic art/ven therapy,,,940.0,6594.58,23
HCPCS,37214,Cessj therapy cath removal,,,940.0,6594.58,23
HCPCS,37214,Hb 37214 Cessj Therapy Cath Removal,5510.0,1928.5,,,0
HCPCS,37215,Hb 37215 Transcath Stent Cca Eps,6240.0,2184.0,,,0
HCPCS,37215,Transcath stent cca w/eps,,,3613.0,4992.0,4
HCPCS,37216,Hb 37216 Transcath Stent Cca Wo Eps,6240.0,2184.0,,,0
HCPCS,37216,Transcath stent cca w/o eps,,,3613.0,4992.0,4
HCPCS,37217,Stent placemt retro carotid,,,3613.0,4992.0,4
HCPCS,37218,Hb 37218 Stent Placemt Ante Carotid,4165.0,1457.75,,,0
HCPCS,37218,Stent placemt ante carotid,,,3613.0,4992.0,4
HCPCS,37220,Hb 37220 Revasc Iliac Unilat,16557.0,5794.95,,,0
HCPCS,37220,Iliac revasc,,,3885.0,14016.0,4
HCPCS,37221,Hb 37221 Revasc Iliac W Stent,16557.0,5794.95,,,0
HCPCS,37221,Iliac revasc w/stent,,,3885.0,14979.0,4
HCPCS,37222,Hb 37222 Revasc Iliac Ea Addl,16557.0,5794.95,,,0
HCPCS,37222,Iliac revasc add-on,,,10145.0,14016.0,2
HCPCS,37223,Hb 37223 Rev Iliac W Stent Ea Add,16557.0,5794.95,,,0
HCPCS,37223,Iliac revasc w/stent add-on,,,10145.0,14016.0,2
HCPCS,37224,Fem/popl revas w/tla,,,3885.0,14016.0,4
HCPCS,37224,Hb 37224 Revas Fem Popl W Tla,16557.0,5794.95,,,0
HCPCS,37225,Fem/popl revas w/ather,,,3885.0,14979.0,4
HCPCS,37225,Hb 37225 Revas Fem Popl W Ather,35151.0,12302.85,,,0
HCPCS,37226,Fem/popl revasc w/stent,,,3885.0,14979.0,4
HCPCS,37226,Hb 37226 Revas Fem Popl W Stent,35151.0,12302.85,,,0
HCPCS,37227,Fem/popl revasc stnt & ather,,,3885.0,37440.0,4
HCPCS,37227,Hb 37227 Rev Fem Popl W Stent Ath,60874.0,21305.9,,,0
HCPCS,37228,Hb 37228 Revasc Tib Per W Tla,16557.0,5794.95,,,0
HCPCS,37228,Tib/per revasc w/tla,,,3885.0,14016.0,4
HCPCS,37229,Hb 37229 Revasc Tib Per W Ather,35151.0,12302.85,,,0
HCPCS,37229,Tib/per revasc w/ather,,,3885.0,14979.0,4
HCPCS,37230,Hb 37230 Revasc Tib Per W Stent,35151.0,12302.85,,,0
HCPCS,37230,Tib/per revasc w/stent,,,3885.0,14979.0,4
HCPCS,37231,Hb 37231 Rev Tib Per W Stent Ather,60874.0,21305.9,,,0
HCPCS,37231,Tib/per revasc stent & ather,,,3885.0,37440.0,4
HCPCS,37232,Hb 37232 Rev Tib Per W Tla Add On,16557.0,5794.95,,,0
HCPCS,37232,Tib/per revasc add-on,,,10145.0,14016.0,2
HCPCS,37233,Hb 37233 Rev Tib Per W Ather Add On,21523.0,7533.05,,,0
HCPCS,37233,Tibper revasc w/ather add-on,,,10842.0,14979.0,2
HCPCS,37234,Hb 37234 Rev Opn Prq Tib Per Stnt,21523.0,7533.05,,,0
HCPCS,37234,Revsc opn/prq tib/pero stent,,,10145.0,14016.0,2
HCPCS,37235,Hb 37235 Revasc Tib Per Stnt Ather,27982.0,9793.7,,,0
HCPCS,37235,Tib/per revasc stnt & ather,,,10145.0,14016.0,2
HCPCS,37236,Hb 37236 Open/Perq Place Stent 1St,39877.0,13956.95,,,0
HCPCS,37236,Open/perq place stent 1st,,,3885.0,24110.71,23
HCPCS,37237,Hb 37237 Open/Perq Place Stent Ea Add,16772.0,5870.2,,,0
HCPCS,37237,Open/perq place stent ea add,,,10145.0,14016.0,2
HCPCS,37238,Hb 37238 Open/Perq Place Stent Same,41612.0,14564.2,,,0
HCPCS,37238,Open/perq place stent same,,,3885.0,24110.71,23
HCPCS,37239,Hb 37239 Open Perq Place Stent Ea Add,16772.0,5870.2,,,0
HCPCS,37239,Open/perq place stent ea add,,,10145.0,14016.0,2
HCPCS,37241,Hb 37241 Vasc Embolize/Occlude Venous,50353.0,17623.55,,,0
HCPCS,37241,Vasc embolize/occlude venous,,,3885.0,24110.71,23
HCPCS,37242,Hb 37242 Vasc Embolize/Occlude Artery,50353.0,17623.55,,,0
HCPCS,37242,Vasc embolize/occlude artery,,,3885.0,38286.69,23
HCPCS,37243,Hb 37243 Vasc Embolize/Occlude Organ,50353.0,17623.55,,,0
HCPCS,37243,Hb Vascu Embolize/Occlude Organ,50353.0,17623.55,,,0
HCPCS,37243,Vasc embolize/occlude organ,,,3885.0,24110.71,23
HCPCS,37244,Hb 37244 Vasc Embolize/Occlude Bleed,50353.0,17623.55,,,0
HCPCS,37244,Hb Vasc Embolize/Occlude Bleed,50353.0,17623.55,,,0
HCPCS,37244,Vasc embolize/occlude bleed,,,3885.0,24110.71,23
HCPCS,37246,Hb 37246 Trluml Balo Angiop 1St Art,14984.0,5244.4,,,0
HCPCS,37246,Trluml balo angiop 1st art,,,3885.0,14016.0,23
HCPCS,37247,Hb 37247 Trlml Balo Angiop Open/Perq Img S&I Ea Addl Art,2828.0,989.8,,,0
HCPCS,37247,Trluml balo angiop addl art,,,704.0,972.0,2
HCPCS,37248,Hb 37248 Trluml Balo Angiop 1St Vein,14984.0,5244.4,,,0
HCPCS,37248,Trluml balo angiop 1st vein,,,3885.0,14016.0,23
HCPCS,37249,Hb 37249 Trluml Balo Angiop Addl Vein,2080.0,728.0,,,0
HCPCS,37249,Trluml balo angiop addl vein,,,704.0,972.0,2
HCPCS,37252,Hb 37252 Vascular Sono Init Vessel,5383.0,1884.05,,,0
HCPCS,37252,Hb Vascular Sono Init Vessel,5383.0,1884.05,,,0
HCPCS,37252,Intrvasc us noncoronary 1st,,,704.0,972.0,2
HCPCS,37253,Hb 37253 Vascular Sono Ea Addl Ves,5270.0,1844.5,,,0
HCPCS,37253,Hb Vascular Sono Ea Addl Ves,5270.0,1844.5,,,0
HCPCS,37253,Intrvasc us noncoronary addl,,,704.0,972.0,2
HCPCS,37254,Revsc evasc ivt angio sf 1st,,,5943.58,11887.16,19
HCPCS,37256,Revsc evasc ivt angio cplx 1,,,5943.58,11887.16,19
HCPCS,37258,Revsc evasc ivt stent sf 1st,,,12055.35,24110.71,19
HCPCS,37260,Revsc evasc ivt st cplx 1st,,,12055.35,24110.71,19
HCPCS,37263,Revsc evasc fpvt angio sf 1,,,5943.58,11887.16,19
HCPCS,37265,Revsc evsc fpvt angio cplx 1,,,5943.58,11887.16,19
HCPCS,37267,Revsc evsc fpvt stent sf 1st,,,12055.35,24110.71,19
HCPCS,37269,Revsc evasc fpvt st cplx 1st,,,12055.35,24110.71,19
HCPCS,37271,Revsc evsc fpvt athrc sf 1st,,,19143.34,38286.69,19
HCPCS,37273,Revsc evsc fpvt athrc cplx 1,,,19143.34,38286.69,19
HCPCS,37275,Rvsc evsc fpvt st athrc sf 1,,,19143.34,38286.69,19
HCPCS,37277,Rvsc evsc fpvt st athr cpx 1,,,19143.34,38286.69,19
HCPCS,37280,Revsc evsc tpvt angio sf 1st,,,12055.35,24110.71,19
HCPCS,37282,Rvsc evsc tpvt angio cplx 1,,,12055.35,24110.71,19
HCPCS,37284,Revsc evasc tpvt st sf 1st,,,19143.34,38286.69,19
HCPCS,37286,Revsc evasc tpvt st cplx 1st,,,19143.34,38286.69,19
HCPCS,37288,Revsc evsc tpvt athrc sf 1st,,,19143.34,38286.69,19
HCPCS,37290,Revsc evsc tpvt athrc cplx 1,,,19143.34,38286.69,19
HCPCS,37292,Rvsc evsc tpvt st athrc sf 1,,,19143.34,38286.69,19
HCPCS,37294,Rvsc evsc tpvt st athr cpx 1,,,19143.34,38286.69,19
HCPCS,37296,Revsc evasc imvt angio sf 1,,,12055.35,24110.71,19
HCPCS,37298,Revsc evsc imvt angio cplx 1,,,12055.35,24110.71,19
HCPCS,37500,Endoscopy ligate perf veins,,,1517.25,14016.0,8
HCPCS,37501,Vascular endoscopy procedure,,,655.08,3993.0,23
HCPCS,37565,Ligation of neck vein,,,940.0,6594.58,23
HCPCS,37600,Ligation of neck artery,,,3297.29,6594.58,23
HCPCS,37605,Ligation of neck artery,,,3297.29,6594.58,23
HCPCS,37606,Ligation of neck artery,,,3297.29,6594.58,23
HCPCS,37607,Ligation of a-v fistula,,,1517.25,6594.58,27
HCPCS,37609,Temporal artery procedure,,,1326.84,3449.46,27
HCPCS,37615,Ligation of neck artery,,,940.0,6594.58,23
HCPCS,37616,Hb 37616 Ligation Chest Artery,10358.0,3625.3,,,0
HCPCS,37616,Ligation of chest artery,,,3613.0,4992.0,4
HCPCS,37617,Hb 37617 Ligation Major Artery;Abdomen,19739.0,6908.65,,,0
HCPCS,37617,Ligation of abdomen artery,,,3885.0,11621.75,23
HCPCS,37618,Ligation of extremity artery,,,3613.0,4992.0,4
HCPCS,37619,Hb 37619 Ligation Of Inf Vena Cava,12717.0,4450.95,,,0
HCPCS,37619,Ligation of inf vena cava,,,3885.0,14016.0,23
HCPCS,37650,Revision of major vein,,,1326.84,6594.58,27
HCPCS,37660,Revision of major vein,,,3613.0,4992.0,4
HCPCS,37700,Revise leg vein,,,1326.84,6594.58,27
HCPCS,37718,Ligate/strip short leg vein,,,1517.25,6594.58,27
HCPCS,37722,Ligate/strip long leg vein,,,1517.25,6594.58,27
HCPCS,37735,Removal of leg veins/lesion,,,1517.25,6594.58,27
HCPCS,37760,Ligate leg veins radical,,,1517.25,6594.58,27
HCPCS,37761,Ligate leg veins open,,,940.0,6594.58,23
HCPCS,37765,Hb Stab Phleb Veins Xtr 10-20,22363.0,7827.05,,,0
HCPCS,37765,Stab phleb veins xtr 10-20,,,2428.0,6594.58,23
HCPCS,37766,Phleb veins - extrem 20+,,,2428.0,6594.58,23
HCPCS,37780,Revision of leg vein,,,940.0,6594.58,27
HCPCS,37785,Ligate/divide/excise vein,,,1517.25,6594.58,27
HCPCS,37788,Revascularization penis,,,3613.0,4992.0,4
HCPCS,37790,Penile venous occlusion,,,1517.25,7362.13,27
HCPCS,37799,Hb 37799 Vascular Surg Proc,10358.0,3625.3,,,0
HCPCS,37799,Hb Unlisted Procedure Vascular Surgery,7835.0,2742.25,,,0
HCPCS,37799,Vascular surgery procedure,,,655.08,3993.0,23
HCPCS,38100,Removal of spleen total,,,3613.0,4992.0,4
HCPCS,38101,Removal of spleen partial,,,3613.0,4992.0,4
HCPCS,38102,Removal of spleen total,,,3613.0,4992.0,4
HCPCS,38115,Repair of ruptured spleen,,,3613.0,4992.0,4
HCPCS,38120,Laparoscopy splenectomy,,,5506.0,22201.02,23
HCPCS,38129,Laparoscope proc spleen,,,5506.0,12626.43,23
HCPCS,38200,Hb 38200 Splenoportography,6366.0,2228.1,,,0
HCPCS,38200,Injection for spleen x-ray,,,704.0,972.0,2
HCPCS,38205,Harvest allogeneic stem cell,,,704.0,3993.0,4
HCPCS,38206,Harvest auto stem cells,,,1626.39,3993.0,23
HCPCS,38206,Hb  Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol,14111.0,4938.85,,,0
HCPCS,38207,Cryopreserve stem cells,,,460.71,1502.0,23
HCPCS,38207,Hb Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor,7245.0,2535.75,,,0
HCPCS,38208,Hb Trnspl Prep Hematop Progen Thaw Prev Hrv Per Dnr,4904.0,1716.4,,,0
HCPCS,38208,Thaw preserved stem cells,,,460.71,1502.0,23
HCPCS,38209,Wash harvest stem cells,,,460.71,1502.0,23
HCPCS,38210,T-cell depletion of harvest,,,460.71,1502.0,23
HCPCS,38211,Tumor cell deplete of harvst,,,460.71,1502.0,23
HCPCS,38212,Rbc depletion of harvest,,,460.71,1502.0,23
HCPCS,38213,Platelet deplete of harvest,,,460.71,1502.0,23
HCPCS,38214,Volume deplete of harvest,,,460.71,1502.0,23
HCPCS,38215,Harvest stem cell concentrte,,,460.71,1502.0,23
HCPCS,38220,Bone marrow aspiration,,,940.0,3449.46,23
HCPCS,38220,Hb Bone Marrow Aspiration,2488.0,870.8,,,0
HCPCS,38221,Bone marrow biopsy,,,940.0,3449.46,23
HCPCS,38221,Hb 38221 Bone Marrow Biopsy,5505.0,1926.75,,,0
HCPCS,38221,Hb Bone Marrow Biopsy,5505.0,1926.75,,,0
HCPCS,38222,Dx bone marrow bx & aspir,,,1457.0,6066.67,23
HCPCS,38222,Hb 38222 Dx Bone Marrow Bx & Aspir,6120.0,2142.0,,,0
HCPCS,38222,Hb Dx Bone Marrow Bx & Aspir,6120.0,2142.0,,,0
HCPCS,38225,Car-t hrv bld-drv t lymphcyt,,,3613.0,4992.0,4
HCPCS,38225,Hb Car-T Therapy Hrvg Bld Drv T Lmphcyt Pr Day,8833.0,3091.55,,,0
HCPCS,38226,Car-t prep t lymphcyt f/trns,,,3613.0,4992.0,4
HCPCS,38226,Hb Car-T Therapy Prepj Bld Drv T Lmphcyt F/Trns,8618.0,3016.3,,,0
HCPCS,38227,Car-t receipt&prepj admn,,,3613.0,4992.0,4
HCPCS,38227,Hb Car-T Therapy Receipt & Prep Car-T Cells F/Admn,10529.0,3685.15,,,0
HCPCS,38228,Car-t admn autologous,,,344.93,3993.0,23
HCPCS,38228,Hb Car-T Therapy Autologous Cell Administration,8030.0,2810.5,,,0
HCPCS,38230,Bone marrow harvest allogen,,,1626.39,3993.0,23
HCPCS,38232,Bone marrow harvest autolog,,,4548.36,9732.0,23
HCPCS,38240,Hb Trnsplj Allogeneic Hematopoietic Cells Per Donor,15089.0,5281.15,,,0
HCPCS,38240,Transplt allo hct/donor,,,3885.0,131372.63,23
HCPCS,38241,Hb Trnsplj Autologous Hematopoietic Cells Per Donor,14446.0,5056.1,,,0
HCPCS,38241,Transplt autol hct/donor,,,1626.39,3993.0,23
HCPCS,38242,Transplt allo lymphocytes,,,1626.39,3993.0,23
HCPCS,38243,Transplj hematopoietic boost,,,1626.39,3252.78,21
HCPCS,38300,Drainage lymph node lesion,,,990.66,6066.67,27
HCPCS,38305,Drainage lymph node lesion,,,1326.84,6066.67,27
HCPCS,38308,Incision of lymph channels,,,1326.84,8177.61,27
HCPCS,38380,Thoracic duct procedure,,,3613.0,4992.0,4
HCPCS,38381,Thoracic duct procedure,,,3613.0,4992.0,4
HCPCS,38382,Thoracic duct procedure,,,3613.0,4992.0,4
HCPCS,38500,Biopsy/removal lymph nodes,,,1326.84,8177.61,27
HCPCS,38500,Hb Biopsy/Removal Lymph Nodes Open,20686.0,7240.1,,,0
HCPCS,38505,Hb 38505 Lymph Node Biopsy,5591.0,1956.85,,,0
HCPCS,38505,Hb Lymph Node Biopsy,5591.0,1956.85,,,0
HCPCS,38505,Needle biopsy lymph nodes,,,714.0,3449.46,27
HCPCS,38510,Biopsy/removal lymph nodes,,,1326.84,8177.61,27
HCPCS,38520,Biopsy/removal lymph nodes,,,1326.84,8177.61,27
HCPCS,38525,Biopsy/removal lymph nodes,,,1326.84,8177.61,27
HCPCS,38525,Hb 38525 Bx/Exc Lymph Node Open Deep Axillary Node,13178.0,4612.3,,,0
HCPCS,38530,Biopsy/removal lymph nodes,,,1326.84,8177.61,27
HCPCS,38531,Open bx/exc inguinofem nodes,,,3885.0,8177.61,23
HCPCS,38542,Explore deep node(s) neck,,,1326.84,14016.0,27
HCPCS,38550,Removal neck/armpit lesion,,,1517.25,8177.61,27
HCPCS,38555,Removal neck/armpit lesion,,,1874.25,13868.38,27
HCPCS,38562,Removal pelvic lymph nodes,,,3885.0,17070.6,23
HCPCS,38564,Removal abdomen lymph nodes,,,3613.0,4992.0,4
HCPCS,38570,Laparoscopy lymph node biop,,,3983.52,14016.0,25
HCPCS,38571,Laparoscopy lymphadenectomy,,,3983.52,22201.02,25
HCPCS,38572,Laparoscopy lymphadenectomy,,,3983.52,22201.02,25
HCPCS,38573,Laps pelvic lymphadec,,,5506.0,22201.02,23
HCPCS,38589,Laparoscope proc lymphatic,,,5506.0,12626.43,23
HCPCS,38700,Removal of lymph nodes neck,,,2064.0,13868.38,23
HCPCS,38720,Removal of lymph nodes neck,,,3760.0,13868.38,23
HCPCS,38724,Removal of lymph nodes neck,,,3760.0,5195.0,4
HCPCS,38740,Remove armpit lymph nodes,,,1326.84,14016.0,27
HCPCS,38745,Remove armpit lymph nodes,,,1874.25,14016.0,27
HCPCS,38746,Remove thoracic lymph nodes,,,3613.0,4992.0,4
HCPCS,38747,Remove abdominal lymph nodes,,,3613.0,4992.0,4
HCPCS,38760,Remove groin lymph nodes,,,1326.84,13868.38,27
HCPCS,38765,Remove groin lymph nodes,,,3613.0,4992.0,4
HCPCS,38770,Remove pelvis lymph nodes,,,3613.0,4992.0,4
HCPCS,38780,Remove abdomen lymph nodes,,,3613.0,4992.0,4
HCPCS,38790,Hb 38790 Lymphangiography,3910.0,1368.5,,,0
HCPCS,38790,Inject for lymphatic x-ray,,,704.0,972.0,2
HCPCS,38792,Hb Ra Tracer Id Of Sentinl Node,2518.0,881.3,,,0
HCPCS,38792,Ra tracer id of sentinl node,,,417.47,1502.0,23
HCPCS,38794,Access thoracic lymph duct,,,704.0,972.0,2
HCPCS,38794,Hb 38794 	Cannulation Thoracic Duct,11130.0,3895.5,,,0
HCPCS,38900,Io map of sent lymph node,,,704.0,972.0,2
HCPCS,38999,Blood/lymph system procedure,,,460.71,3993.0,23
HCPCS,38999,Hb 38999 Blood/Lymph System Procedure,8933.0,3126.55,,,0
HCPCS,38999,Hb Blood/Lymph System Procedure,8933.0,3126.55,,,0
HCPCS,39000,Exploration of chest,,,3613.0,4992.0,4
HCPCS,39010,Exploration of chest,,,3613.0,4992.0,4
HCPCS,39200,Resect mediastinal cyst,,,3613.0,4992.0,4
HCPCS,39220,Resect mediastinal tumor,,,3613.0,4992.0,4
HCPCS,39401,Mediastinoscpy w/medstnl bx,,,3885.0,12626.43,23
HCPCS,39402,Mediastinoscpy w/lmph nod bx,,,3885.0,12626.43,23
HCPCS,39446,Hb Ecmo/Ecls Initiation Venous,59574.0,20850.9,,,0
HCPCS,39499,Chest procedure,,,3613.0,4992.0,4
HCPCS,39501,Repair diaphragm laceration,,,3613.0,4992.0,4
HCPCS,39503,Repair of diaphragm hernia,,,3613.0,4992.0,4
HCPCS,39540,Repair of diaphragm hernia,,,3613.0,4992.0,4
HCPCS,39541,Repair of diaphragm hernia,,,3613.0,4992.0,4
HCPCS,39545,Revision of diaphragm,,,3613.0,4992.0,4
HCPCS,39560,Resect diaphragm simple,,,3613.0,4992.0,4
HCPCS,39561,Resect diaphragm complex,,,3613.0,4992.0,4
HCPCS,39599,Diaphragm surgery procedure,,,3613.0,4992.0,4
HCPCS,40490,Biopsy of lip,,,247.34,972.0,21
HCPCS,40490,Hb Biopsy Lip,802.0,280.7,,,0
HCPCS,40500,Partial excision of lip,,,1326.84,6924.53,27
HCPCS,40510,Partial excision of lip,,,1326.84,6924.53,27
HCPCS,40520,Partial excision of lip,,,1326.84,6924.53,27
HCPCS,40525,Reconstruct lip with flap,,,1326.84,6924.53,27
HCPCS,40527,Reconstruct lip with flap,,,1326.84,12363.91,27
HCPCS,40530,Partial removal of lip,,,1326.84,6924.53,27
HCPCS,40650,Hb Rpr Lip Full Thickness Vermilion Only,5453.0,1908.55,,,0
HCPCS,40650,Repair lip,,,563.21,2500.0,27
HCPCS,40652,Hb Rpr Lip Full Thickness Half/< Vertical Height,5515.0,1930.25,,,0
HCPCS,40652,Repair lip,,,563.21,2500.0,27
HCPCS,40654,Hb Rpr Lip Full Thkns >One-Half Vert Height/Comple,6648.0,2326.8,,,0
HCPCS,40654,Repair lip,,,1380.84,3240.57,27
HCPCS,40700,Repair cleft lip/nasal,,,2960.1,12363.91,25
HCPCS,40701,Repair cleft lip/nasal,,,2960.1,12363.91,25
HCPCS,40702,Repair cleft lip/nasal,,,3885.0,12363.91,23
HCPCS,40720,Repair cleft lip/nasal,,,2960.1,9732.0,25
HCPCS,40761,Repair cleft lip/nasal,,,1517.25,12363.91,27
HCPCS,40799,Lip surgery procedure,,,247.34,3993.0,23
HCPCS,40800,Drainage of mouth lesion,,,739.49,1478.98,21
HCPCS,40800,Hb Drg Absc Cyst Hemat-Mouth; Simple,3149.0,1102.15,,,0
HCPCS,40801,Drainage of mouth lesion,,,563.21,2121.0,27
HCPCS,40804,Hb Rmvl Embedded Fb Vestibule Mouth Smpl,3295.0,1153.25,,,0
HCPCS,40804,Removal foreign body mouth,,,947.15,2923.0,21
HCPCS,40805,Removal foreign body mouth,,,563.21,2121.0,23
HCPCS,40806,Incision of lip fold,,,563.21,1126.42,21
HCPCS,40808,Biopsy of mouth lesion,,,563.21,1126.42,21
HCPCS,40808,Hb Bx Vestible Of Mouth,556.0,194.6,,,0
HCPCS,40810,Excision of mouth lesion,,,2116.0,6924.53,23
HCPCS,40812,Excise/repair mouth lesion,,,1620.29,3993.0,23
HCPCS,40814,Excise/repair mouth lesion,,,1326.84,6924.53,27
HCPCS,40816,Excision of mouth lesion,,,1326.84,6924.53,27
HCPCS,40818,Excise oral mucosa for graft,,,448.38,1502.0,27
HCPCS,40819,Excise lip or cheek fold,,,990.66,3240.57,27
HCPCS,40820,Treatment of mouth lesion,,,1457.0,6924.53,23
HCPCS,40830,Repair mouth laceration,,,247.34,972.0,21
HCPCS,40831,Repair mouth laceration,,,563.21,1502.0,27
HCPCS,40840,Reconstruction of mouth,,,1326.84,12363.91,27
HCPCS,40842,Reconstruction of mouth,,,1517.25,12363.91,27
HCPCS,40843,Reconstruction of mouth,,,1517.25,12363.91,27
HCPCS,40844,Reconstruction of mouth,,,2133.06,12363.91,25
HCPCS,40845,Reconstruction of mouth,,,2133.06,12363.91,25
HCPCS,40899,Mouth surgery procedure,,,247.34,3993.0,23
HCPCS,41000,Drainage of mouth lesion,,,563.21,1502.0,23
HCPCS,41005,Drainage of mouth lesion,,,247.34,1502.0,27
HCPCS,41006,Drainage of mouth lesion,,,990.66,3240.57,27
HCPCS,41007,Drainage of mouth lesion,,,990.66,3240.57,27
HCPCS,41008,Drainage of mouth lesion,,,990.66,6924.53,27
HCPCS,41008,Hb I&D Absc/Cys Fom; Submandib,19571.0,6849.85,,,0
HCPCS,41009,Drainage of mouth lesion,,,448.38,1502.0,27
HCPCS,41010,Hb Incision Lingual Frenum Frenotomy,9555.0,3344.25,,,0
HCPCS,41010,Incision of tongue fold,,,990.66,3240.57,27
HCPCS,41015,Drainage of mouth lesion,,,448.38,1502.0,27
HCPCS,41016,Drainage of mouth lesion,,,990.66,12363.91,27
HCPCS,41017,Drainage of mouth lesion,,,990.66,6924.53,27
HCPCS,41018,Drainage of mouth lesion,,,990.66,3240.57,27
HCPCS,41019,Place needles h&n for rt,,,3760.0,12363.91,23
HCPCS,41100,Biopsy of tongue,,,563.21,2000.0,25
HCPCS,41100,Hb Bx Tongue Anterior 2/3,611.0,213.85,,,0
HCPCS,41105,Biopsy of tongue,,,2064.0,6924.53,23
HCPCS,41108,Biopsy of floor of mouth,,,940.0,3449.46,23
HCPCS,41108,Hb Biopsy Floor Of Mouth,532.0,186.2,,,0
HCPCS,41110,Excision of tongue lesion,,,1457.0,6924.53,23
HCPCS,41110,Hb Excision Lesion Tongue W/O Closure,17615.0,6165.25,,,0
HCPCS,41112,Excision of tongue lesion,,,1326.84,6924.53,27
HCPCS,41113,Excision of tongue lesion,,,1326.84,6924.53,27
HCPCS,41114,Excision of tongue lesion,,,1326.84,6924.53,27
HCPCS,41115,Excision of tongue fold,,,1457.0,3240.57,23
HCPCS,41116,Excision of mouth lesion,,,990.66,6924.53,27
HCPCS,41120,Partial removal of tongue,,,2133.06,12363.91,25
HCPCS,41130,Partial removal of tongue,,,3613.0,4992.0,4
HCPCS,41135,Tongue and neck surgery,,,3760.0,5195.0,4
HCPCS,41140,Removal of tongue,,,3613.0,4992.0,4
HCPCS,41145,Tongue removal neck surgery,,,3613.0,4992.0,4
HCPCS,41150,Tongue mouth jaw surgery,,,3613.0,4992.0,4
HCPCS,41153,Tongue mouth neck surgery,,,3613.0,4992.0,4
HCPCS,41155,Tongue jaw & neck surgery,,,3613.0,4992.0,4
HCPCS,41250,Hb Repair Tongue Laceration,1876.0,656.6,,,0
HCPCS,41250,Repair tongue laceration,,,448.38,2121.0,27
HCPCS,41251,Repair tongue laceration,,,247.34,2121.0,27
HCPCS,41252,Repair tongue laceration,,,247.34,2121.0,27
HCPCS,41500,Fixation of tongue,,,990.66,1500.0,4
HCPCS,41510,Tongue to lip surgery,,,990.66,6924.53,27
HCPCS,41512,Tongue suspension,,,2428.0,12363.91,23
HCPCS,41520,Reconstruction tongue fold,,,1326.84,9732.0,27
HCPCS,41530,Tongue base vol reduction,,,3462.26,6924.53,23
HCPCS,41599,Hb Unlisted Procedure Tongue Floor Mouth,14117.0,4940.95,,,0
HCPCS,41599,Tongue and mouth surgery,,,247.34,3993.0,23
HCPCS,41800,Drainage of gum lesion,,,138.94,1502.0,27
HCPCS,41800,Hb Dr Absc Cyst Hematom - Dentoalveolar,2170.0,759.5,,,0
HCPCS,41805,Hb Rmvl Embedded Fb From Dentalvlr Struxs Soft Tiss,6449.0,2257.15,,,0
HCPCS,41805,Removal foreign body gum,,,1457.0,3240.57,23
HCPCS,41806,Removal foreign body jawbone,,,1457.0,3240.57,23
HCPCS,41820,Excision gum each quadrant,,,1457.0,6924.53,23
HCPCS,41821,Excision of gum flap,,,1457.0,3240.57,23
HCPCS,41822,Excision of gum lesion,,,1620.29,3993.0,23
HCPCS,41823,Excision of gum lesion,,,3760.0,12363.91,23
HCPCS,41825,Excision of gum lesion,,,2116.0,6924.53,23
HCPCS,41826,Excision of gum lesion,,,1900.0,6924.53,25
HCPCS,41827,Excision of gum lesion,,,1326.84,12363.91,27
HCPCS,41828,Excision of gum lesion,,,1620.29,3993.0,23
HCPCS,41830,Removal of gum tissue,,,3462.26,6924.53,23
HCPCS,41850,Treatment of gum lesion,,,1620.29,3993.0,23
HCPCS,41870,Gum graft,,,1620.29,3993.0,23
HCPCS,41872,Repair gum,,,3462.26,9732.0,23
HCPCS,41874,Repair tooth socket,,,2116.0,6924.53,23
HCPCS,41899,Dental surgery procedure,,,247.34,3993.0,23
HCPCS,41899,Hb Dental Surgery Procedure,13104.0,4586.4,,,0
HCPCS,42000,Drainage mouth roof lesion,,,247.34,2121.0,27
HCPCS,42000,Hb Adrainage Abscess Palate Uvula,2147.0,751.45,,,0
HCPCS,42100,Biopsy roof of mouth,,,1457.0,3240.57,23
HCPCS,42100,Hb Biopsy Palate Uvula,4276.5,1496.775,,,0
HCPCS,42104,Excision lesion mouth roof,,,2064.0,6924.53,23
HCPCS,42106,Excision lesion mouth roof,,,2064.0,6924.53,23
HCPCS,42107,Excision lesion mouth roof,,,1326.84,12363.91,27
HCPCS,42120,Remove palate/lesion,,,1874.25,12363.91,27
HCPCS,42140,Excision of uvula,,,1326.84,6924.53,27
HCPCS,42145,Repair palate pharynx/uvula,,,2133.06,12363.91,25
HCPCS,42160,Treatment mouth roof lesion,,,1457.0,6924.53,23
HCPCS,42180,Repair palate,,,448.38,1502.0,27
HCPCS,42182,Repair palate,,,1326.84,12363.91,27
HCPCS,42200,Reconstruct cleft palate,,,2133.06,12363.91,25
HCPCS,42205,Reconstruct cleft palate,,,2133.06,9732.0,25
HCPCS,42210,Reconstruct cleft palate,,,2133.06,12363.91,25
HCPCS,42215,Reconstruct cleft palate,,,2960.1,12363.91,25
HCPCS,42220,Reconstruct cleft palate,,,2133.06,12363.91,25
HCPCS,42225,Reconstruct cleft palate,,,3278.0,12363.91,23
HCPCS,42226,Lengthening of palate,,,2133.06,12363.91,25
HCPCS,42227,Lengthening of palate,,,3885.0,12363.91,23
HCPCS,42235,Repair palate,,,2133.06,12363.91,25
HCPCS,42260,Repair nose to lip fistula,,,1874.25,12363.91,27
HCPCS,42280,Preparation palate mold,,,563.21,1126.42,21
HCPCS,42281,Insertion palate prosthesis,,,2116.0,12363.91,23
HCPCS,42299,Palate/uvula surgery,,,247.34,3993.0,23
HCPCS,42300,Drainage of salivary gland,,,990.66,3240.57,27
HCPCS,42305,Drainage of salivary gland,,,1326.84,6924.53,27
HCPCS,42310,Drainage of salivary gland,,,448.38,1502.0,27
HCPCS,42320,Drainage of salivary gland,,,448.38,1502.0,27
HCPCS,42330,Hb Sialolithotomy; Sm Uncomplicated,22983.0,8044.05,,,0
HCPCS,42330,Removal of salivary stone,,,2116.0,6924.53,23
HCPCS,42335,Removal of salivary stone,,,2428.0,6924.53,23
HCPCS,42340,Removal of salivary stone,,,1326.84,6924.53,27
HCPCS,42400,Biopsy of salivary gland,,,739.49,1502.0,23
HCPCS,42400,Hb Biopsy Salivary Gland W Needle,3369.0,1179.15,,,0
HCPCS,42405,Biopsy of salivary gland,,,1326.84,3240.57,27
HCPCS,42408,Excision of salivary cyst,,,1517.25,6924.53,27
HCPCS,42409,Drainage of salivary cyst,,,1517.25,6924.53,27
HCPCS,42410,Excise parotid gland/lesion,,,1517.25,12363.91,27
HCPCS,42415,Excise parotid gland/lesion,,,2960.1,12363.91,25
HCPCS,42420,Excise parotid gland/lesion,,,2960.1,12363.91,25
HCPCS,42425,Excise parotid gland/lesion,,,2960.1,12363.91,25
HCPCS,42426,Excise parotid gland/lesion,,,3760.0,5195.0,4
HCPCS,42440,Excise submaxillary gland,,,1517.25,12363.91,27
HCPCS,42450,Excise sublingual gland,,,1326.84,12363.91,27
HCPCS,42500,Repair salivary duct,,,1517.25,12363.91,27
HCPCS,42505,Repair salivary duct,,,1874.25,12363.91,27
HCPCS,42507,Parotid duct diversion,,,1517.25,12363.91,27
HCPCS,42508,Parotid duct diversion,,,2850.0,3000.0,2
HCPCS,42509,Parotid duct diversion,,,1874.25,12363.91,27
HCPCS,42510,Parotid duct diversion,,,1874.25,9732.0,27
HCPCS,42550,Hb 42550 Inject For Sialogram,983.0,344.05,,,0
HCPCS,42550,Hb Inject For Sialogram,983.0,344.05,,,0
HCPCS,42550,Injection for salivary x-ray,,,704.0,972.0,2
HCPCS,42600,Closure of salivary fistula,,,990.66,6924.53,27
HCPCS,42650,Dilation of salivary duct,,,1457.0,3240.57,23
HCPCS,42660,Dilation of salivary duct,,,563.21,1126.42,21
HCPCS,42665,Ligation of salivary duct,,,2960.1,6924.53,25
HCPCS,42699,Salivary surgery procedure,,,247.34,3993.0,23
HCPCS,42700,Drainage of tonsil abscess,,,247.34,1502.0,27
HCPCS,42700,Hb I&D Abscess Peritonsillar,2534.0,886.9,,,0
HCPCS,42720,Drainage of throat abscess,,,990.66,6924.53,27
HCPCS,42725,Drainage of throat abscess,,,1326.84,12363.91,27
HCPCS,42800,Biopsy of throat,,,940.0,3993.0,23
HCPCS,42800,Hb Biopsy Oropharynx,3307.0,1157.45,,,0
HCPCS,42802,Biopsy of throat,,,1425.0,1500.0,2
HCPCS,42804,Biopsy of upper nose/throat,,,990.66,6924.53,27
HCPCS,42804,Hb Bx Nasopharynx Les Simple,3307.0,1157.45,,,0
HCPCS,42806,Biopsy of upper nose/throat,,,1326.84,6924.53,27
HCPCS,42808,Excise pharynx lesion,,,1326.84,6924.53,27
HCPCS,42809,Hb Remove Foreign Body Pharynx,2144.0,750.4,,,0
HCPCS,42809,Remove pharynx foreign body,,,466.5,1502.0,23
HCPCS,42810,Excision of neck cyst,,,1517.25,6924.53,27
HCPCS,42815,Excision of neck cyst,,,2133.06,12363.91,25
HCPCS,42820,Remove tonsils and adenoids,,,1517.25,12363.91,27
HCPCS,42821,Remove tonsils and adenoids,,,2133.06,6924.53,25
HCPCS,42825,Removal of tonsils,,,1874.25,12363.91,27
HCPCS,42826,Removal of tonsils,,,1874.25,6924.53,27
HCPCS,42830,Removal of adenoids,,,1874.25,6924.53,27
HCPCS,42831,Removal of adenoids,,,1874.25,6924.53,27
HCPCS,42835,Removal of adenoids,,,1874.25,6924.53,27
HCPCS,42836,Removal of adenoids,,,1874.25,6924.53,27
HCPCS,42842,Extensive surgery of throat,,,3760.0,12363.91,23
HCPCS,42844,Extensive surgery of throat,,,3885.0,12363.91,23
HCPCS,42845,Extensive surgery of throat,,,3613.0,4992.0,4
HCPCS,42860,Excision of tonsil tags,,,1517.25,6924.53,27
HCPCS,42870,Excision of lingual tonsil,,,1517.25,12363.91,27
HCPCS,42890,Partial removal of pharynx,,,2960.1,12363.91,25
HCPCS,42892,Revision of pharyngeal walls,,,2960.1,12363.91,25
HCPCS,42894,Revision of pharyngeal walls,,,3613.0,4992.0,4
HCPCS,42900,Repair throat wound,,,990.66,3240.57,27
HCPCS,42950,Reconstruction of throat,,,1326.84,12363.91,27
HCPCS,42953,Repair throat esophagus,,,3613.0,4992.0,4
HCPCS,42955,Surgical opening of throat,,,1326.84,3240.57,27
HCPCS,42960,Control throat bleeding,,,215.64,1502.0,27
HCPCS,42961,Control throat bleeding,,,3760.0,5195.0,4
HCPCS,42962,Control throat bleeding,,,1326.84,6924.53,27
HCPCS,42970,Control nose/throat bleeding,,,247.34,972.0,21
HCPCS,42971,Control nose/throat bleeding,,,3613.0,4992.0,4
HCPCS,42972,Control nose/throat bleeding,,,1517.25,6924.53,27
HCPCS,42975,Dise eval slp do brth flx dx,,,704.0,3717.42,21
HCPCS,42975,Hb Dise Dyn Eval Sleep Disordered Breathing Flx Dx,421.0,147.35,,,0
HCPCS,42999,Hb Throat Surgery Procedure,8162.0,2856.7,,,0
HCPCS,42999,Throat surgery procedure,,,247.34,3993.0,23
HCPCS,43020,Incision of esophagus,,,1457.0,3240.57,23
HCPCS,43030,Throat muscle surgery,,,3885.0,12363.91,23
HCPCS,43045,Incision of esophagus,,,3613.0,4992.0,4
HCPCS,43100,Excision of esophagus lesion,,,3613.0,4992.0,4
HCPCS,43101,Excision of esophagus lesion,,,3613.0,4992.0,4
HCPCS,43107,Removal of esophagus,,,3613.0,4992.0,4
HCPCS,43108,Removal of esophagus,,,3613.0,4992.0,4
HCPCS,43112,Removal of esophagus,,,3613.0,4992.0,4
HCPCS,43113,Removal of esophagus,,,3613.0,4992.0,4
HCPCS,43116,Partial removal of esophagus,,,3613.0,4992.0,4
HCPCS,43117,Partial removal of esophagus,,,3613.0,4992.0,4
HCPCS,43118,Partial removal of esophagus,,,3613.0,4992.0,4
HCPCS,43121,Partial removal of esophagus,,,3613.0,4992.0,4
HCPCS,43122,Partial removal of esophagus,,,3613.0,4992.0,4
HCPCS,43123,Partial removal of esophagus,,,3613.0,4992.0,4
HCPCS,43124,Removal of esophagus,,,3613.0,4992.0,4
HCPCS,43130,Removal of esophagus pouch,,,3885.0,12363.91,23
HCPCS,43135,Removal of esophagus pouch,,,3613.0,4992.0,4
HCPCS,43180,Esophagoscopy rigid trnso,,,3760.0,12363.91,23
HCPCS,43191,Esophagoscopy rigid trnso dx,,,2003.87,4007.75,23
HCPCS,43192,Esophagoscp rig trnso inject,,,2003.87,4007.75,23
HCPCS,43193,Esophagoscp rig trnso biopsy,,,2003.87,4007.75,23
HCPCS,43194,Esophagoscp rig trnso rem fb,,,2003.87,4007.75,23
HCPCS,43195,Esophagoscopy rigid balloon,,,2116.0,8052.38,23
HCPCS,43195,Hb 43195 Esophagoscopy Rigid Balloon,2768.0,968.8,,,0
HCPCS,43196,Esophagoscp guide wire dilat,,,2003.87,4007.75,23
HCPCS,43197,Esophagoscopy flex dx brush,,,947.15,2923.0,23
HCPCS,43197,Hb Esophagosc Flex Dx Brush,3733.0,1306.55,,,0
HCPCS,43198,Esophagosc flex trnsn biopsy,,,947.15,2923.0,23
HCPCS,43198,Hb Esophagosc Flex Trnsn Bx,10390.0,3636.5,,,0
HCPCS,43200,Esophagoscopy flexible brush,,,947.15,2923.0,27
HCPCS,43200,Hb 43200 Esophagus Endoscopy,1464.0,512.4,,,0
HCPCS,43200,Hb Esophagus Endoscopy,1464.0,512.4,,,0
HCPCS,43201,Esoph scope w/submucous inj,,,990.66,4007.75,27
HCPCS,43201,Hb 43201 Esoph Scope W/Submucous Inj,1902.0,665.7,,,0
HCPCS,43201,Hb Esoph Scope W/Submucous Inj,1902.0,665.7,,,0
HCPCS,43202,Esophagoscopy flex biopsy,,,990.66,4007.75,27
HCPCS,43202,Hb Esophagoscopy W Biopsy,1902.0,665.7,,,0
HCPCS,43204,Esoph scope w/sclerosis inj,,,990.66,4007.75,27
HCPCS,43205,Esophagus endoscopy/ligation,,,990.66,4007.75,27
HCPCS,43205,Hb Esophagus Endoscopy/Ligation,4370.0,1529.5,,,0
HCPCS,43206,Esoph optical endomicroscopy,,,2003.87,4007.75,23
HCPCS,43210,Egd esophagogastrc fndoplsty,,,4698.0,22201.02,23
HCPCS,43211,Esophagoscop mucosal resect,,,2003.87,4007.75,23
HCPCS,43211,Hb Esophagoscopy Flexible Mucosal Resect,4873.0,1705.55,,,0
HCPCS,43212,Esophagoscop stent placement,,,4698.0,12679.42,23
HCPCS,43212,Hb Esoph W Insert Stent,1902.0,665.7,,,0
HCPCS,43213,Esophagoscopy retro balloon,,,2003.87,4007.75,23
HCPCS,43213,Hb 43213 Dilate Esophagus,1902.0,665.7,,,0
HCPCS,43213,Hb Esoph Dilation W Balloon,1902.0,665.7,,,0
HCPCS,43214,Esophagosc dilate balloon 30,,,2003.87,4007.75,23
HCPCS,43215,Esophagoscopy flex remove fb,,,990.66,4007.75,27
HCPCS,43215,Hb Esoph Endo W Remove Fb,1902.0,665.7,,,0
HCPCS,43216,Esophagoscopy lesion removal,,,990.66,5195.0,27
HCPCS,43217,Esophagoscopy snare les remv,,,990.66,4007.75,27
HCPCS,43219,Esophagus endoscopy,,,1425.0,1500.0,2
HCPCS,43220,Esophagoscopy balloon <30mm,,,990.66,4007.75,27
HCPCS,43220,Hb 43220 Esophagoscopy Balloon <30Mm,1902.0,665.7,,,0
HCPCS,43220,Hb Esoph Endo W Balloon Dilation,1902.0,665.7,,,0
HCPCS,43226,Esoph endoscopy dilation,,,990.66,4007.75,27
HCPCS,43226,Hb Esoph Endo W Gd Wire Dilation,1902.0,665.7,,,0
HCPCS,43227,Esophagoscopy control bleed,,,1326.84,4007.75,27
HCPCS,43228,"Esoph endoscopy, ablation",,,1900.0,2000.0,2
HCPCS,43229,Esophagoscopy lesion ablate,,,3760.0,8052.38,23
HCPCS,43229,Hb Esoph Endoscopy Ablation,1902.0,665.7,,,0
HCPCS,43231,Esophagoscop ultrasound exam,,,1326.84,4007.75,27
HCPCS,43231,Hb Esophagoscopy Flexible Transoral Ultrasound Exam,5423.0,1898.05,,,0
HCPCS,43232,Esophagoscopy w/us needle bx,,,1326.84,4007.75,27
HCPCS,43232,Hb Esoph Encoscopy W Us Fn Bx,1902.0,665.7,,,0
HCPCS,43233,Egd balloon dil esoph30 mm/>,,,2003.87,4007.75,23
HCPCS,43233,Hb Egd Balloon Dil Esoph30 Mm/>,2018.0,706.3,,,0
HCPCS,43234,"Upper GI endoscopy, exam",,,1425.0,1500.0,2
HCPCS,43235,Egd diagnostic brush wash,,,947.15,2923.0,27
HCPCS,43235,Hb Egd,1434.0,501.9,,,0
HCPCS,43236,Hb Egd W Injection,2018.0,706.3,,,0
HCPCS,43236,Uppr gi scope w/submuc inj,,,947.15,2923.0,27
HCPCS,43237,Endoscopic us exam esoph,,,1326.84,4007.75,27
HCPCS,43237,Hb Egd W Esoph Us,2018.0,706.3,,,0
HCPCS,43238,Egd us fine needle bx/aspir,,,1326.84,4007.75,27
HCPCS,43238,Hb Egd W Transendo Us,2018.0,706.3,,,0
HCPCS,43239,Egd biopsy single/multiple,,,947.15,2923.0,27
HCPCS,43239,Hb Egd W Biopsy,2018.0,706.3,,,0
HCPCS,43240,Egd w/transmural drain cyst,,,1326.84,12679.42,27
HCPCS,43240,Hb Egd W Drain Cyst,2018.0,706.3,,,0
HCPCS,43241,Egd tube/cath insertion,,,1326.84,4007.75,27
HCPCS,43241,Hb Egd W Place Peg,2018.0,706.3,,,0
HCPCS,43242,Egd us fine needle bx/aspir,,,1326.84,4007.75,27
HCPCS,43242,Hb Egd W Aspir Biopsy,2018.0,706.3,,,0
HCPCS,43243,Egd injection varices,,,1326.84,4007.75,27
HCPCS,43243,Hb Egd W Sclerosis Inject,2018.0,706.3,,,0
HCPCS,43244,Egd varices ligation,,,1326.84,4007.75,27
HCPCS,43244,Hb Egd W Banding,2018.0,706.3,,,0
HCPCS,43245,Egd dilate stricture,,,1326.84,4007.75,27
HCPCS,43245,Hb 43245 Egd W Dilation,2018.0,706.3,,,0
HCPCS,43245,Hb Egd W Dilation,2018.0,706.3,,,0
HCPCS,43246,Egd place gastrostomy tube,,,1326.84,4007.75,27
HCPCS,43246,Hb 43246 Egd W Place Tube,2220.0,777.0,,,0
HCPCS,43246,Hb Egd W Place Tube,2220.0,777.0,,,0
HCPCS,43247,Egd remove foreign body,,,947.15,2923.0,27
HCPCS,43247,Hb Egd W Remove Fb,2018.0,706.3,,,0
HCPCS,43248,Egd guide wire insertion,,,947.15,2923.0,27
HCPCS,43248,Hb 43248 Egd W Gd Wire Dilation,2018.0,706.3,,,0
HCPCS,43248,Hb Egd W Gd Wire Dilation,2018.0,706.3,,,0
HCPCS,43249,Esoph egd dilation <30 mm,,,1326.84,4007.75,27
HCPCS,43249,Hb Egd W Balloon Dilation,2018.0,706.3,,,0
HCPCS,43250,Egd cautery tumor polyp,,,1326.84,4007.75,27
HCPCS,43250,Hb Egd W Rem Tumr Polyp Forcep,2018.0,706.3,,,0
HCPCS,43251,Egd remove lesion snare,,,1326.84,4007.75,27
HCPCS,43251,Hb Egd W Rem Tumr Polyp Snare,2018.0,706.3,,,0
HCPCS,43252,Egd optical endomicroscopy,,,2003.87,4007.75,23
HCPCS,43253,Egd us transmural injxn/mark,,,2003.87,4007.75,23
HCPCS,43253,Hb Egd Us Transmural Injxn/Mark,2018.0,706.3,,,0
HCPCS,43254,Egd endo mucosal resection,,,2003.87,4007.75,23
HCPCS,43254,Hb Egd Endo Mucosal Resection,2018.0,706.3,,,0
HCPCS,43255,Egd control bleeding any,,,1326.84,4007.75,27
HCPCS,43255,Hb Egd W Control Bleed,2018.0,706.3,,,0
HCPCS,43256,Uppr Gi Endoscopy W Stent,,,2375.0,2500.0,2
HCPCS,43257,Egd w/thrml txmnt gerd,,,1517.25,8052.38,25
HCPCS,43257,Hb Egd W Thermal Treatment,2220.0,777.0,,,0
HCPCS,43258,Operative upper GI endoscopy,,,2375.0,2500.0,2
HCPCS,43259,Egd us exam duodenum/jejunum,,,1517.25,4007.75,27
HCPCS,43259,Hb Egd W Endo Us,2018.0,706.3,,,0
HCPCS,43260,Ercp w/specimen collection,,,1326.84,8052.38,27
HCPCS,43260,Hb Ercp,3351.0,1172.85,,,0
HCPCS,43261,Endo cholangiopancreatograph,,,1326.84,8052.38,27
HCPCS,43261,Hb Ercp W Biopsy,4356.0,1524.6,,,0
HCPCS,43262,Endo cholangiopancreatograph,,,1326.84,8052.38,27
HCPCS,43262,Hb Ercp W Sphinct Papill,4356.0,1524.6,,,0
HCPCS,43263,Ercp sphincter pressure meas,,,1326.84,5195.0,27
HCPCS,43263,Hb Ercp W Pressure Measure,3351.0,1172.85,,,0
HCPCS,43264,Ercp remove duct calculi,,,1326.84,8052.38,27
HCPCS,43264,Hb Ercp W Remove Stones,4356.0,1524.6,,,0
HCPCS,43265,Ercp lithotripsy calculi,,,1326.84,12679.42,27
HCPCS,43265,Hb Ercp W Lithotripsy,5664.0,1982.4,,,0
HCPCS,43266,Egd endoscopic stent place,,,4698.0,12679.42,23
HCPCS,43266,Hb Egd W Place Stent,2018.0,706.3,,,0
HCPCS,43267,Endo cholangiopancreatograph,,,1900.0,2000.0,2
HCPCS,43268,Endo cholangiopancreatograph,,,1900.0,2000.0,2
HCPCS,43269,Endo cholangiopancreatograph,,,1900.0,2000.0,2
HCPCS,43270,Egd lesion ablation,,,2003.87,4007.75,23
HCPCS,43270,Hb Egd W Ablation Tumor,2018.0,706.3,,,0
HCPCS,43271,Endo cholangiopancreatograph,,,1900.0,2000.0,2
HCPCS,43272,Endo cholangiopancreatograph,,,1900.0,2000.0,2
HCPCS,43273,Endoscopic pancreatoscopy,,,704.0,5282.0,4
HCPCS,43273,Hb Endoscopic Pancreatoscopy,17340.0,6069.0,,,0
HCPCS,43274,Ercp duct stent placement,,,3760.0,12679.42,23
HCPCS,43274,Hb Ercp W Insert Stent,5664.0,1982.4,,,0
HCPCS,43275,Ercp remove forgn body duct,,,2003.87,5282.0,23
HCPCS,43275,Hb Ercp Remove Forgn Body Duct,4356.0,1524.6,,,0
HCPCS,43276,Ercp stent exchange w/dilate,,,3760.0,12679.42,23
HCPCS,43276,Hb 43276 Ercp Stent Exchange W/Dilate,5664.0,1982.4,,,0
HCPCS,43276,Hb Ercp Stent Exchange W/Dilate,5664.0,1982.4,,,0
HCPCS,43277,Ercp ea duct/ampulla dilate,,,3760.0,8052.38,23
HCPCS,43277,Hb Ercp W Balloon Dilation,4356.0,1524.6,,,0
HCPCS,43278,Ercp lesion ablate w/dilate,,,3760.0,8052.38,23
HCPCS,43278,Hb 43278 Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire,4356.0,1524.6,,,0
HCPCS,43278,Hb Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire,4356.0,1524.6,,,0
HCPCS,43279,Lap myotomy heller,,,5506.0,14016.0,4
HCPCS,43280,Laparoscopy fundoplasty,,,5506.0,22201.02,23
HCPCS,43281,Lap paraesophag hern repair,,,5506.0,22201.02,23
HCPCS,43282,Lap paraesoph her rpr w/mesh,,,5506.0,22201.02,23
HCPCS,43283,Lap esoph lengthening,,,3613.0,5766.0,4
HCPCS,43284,Laps esophgl sphnctr agmntj,,,5506.0,22201.02,23
HCPCS,43285,Rmvl esophgl sphnctr dev,,,5506.0,14016.0,23
HCPCS,43286,Esphg tot w/laps moblj,,,3613.0,4992.0,4
HCPCS,43287,Esphg dstl 2/3 w/laps moblj,,,3613.0,4992.0,4
HCPCS,43288,Esphg thrsc moblj,,,3613.0,4992.0,4
HCPCS,43289,Laparoscope proc esoph,,,5506.0,12626.43,23
HCPCS,43290,Egd flx trnsorl dplmnt balo,,,2003.87,4499.0,23
HCPCS,43291,Egd flx trnsorl rmvl balo,,,947.15,3369.0,23
HCPCS,43291,Hb Egd Flx Trnsorl Rmvl Balo,7278.0,2547.3,,,0
HCPCS,43300,Repair of esophagus,,,3613.0,4992.0,4
HCPCS,43305,Repair esophagus and fistula,,,3613.0,4992.0,4
HCPCS,43310,Repair of esophagus,,,3613.0,4992.0,4
HCPCS,43312,Repair esophagus and fistula,,,3613.0,4992.0,4
HCPCS,43313,Esophagoplasty congenital,,,3613.0,4992.0,4
HCPCS,43314,Tracheo-esophagoplasty cong,,,3613.0,4992.0,4
HCPCS,43320,Fuse esophagus & stomach,,,3613.0,4992.0,4
HCPCS,43325,Revise esophagus & stomach,,,3613.0,4992.0,4
HCPCS,43327,Esoph fundoplasty lap,,,3613.0,4992.0,4
HCPCS,43328,Esoph fundoplasty thor,,,3613.0,4992.0,4
HCPCS,43330,Esophagomyotomy abdominal,,,3613.0,4992.0,4
HCPCS,43330,Hb Esophagomyotomy Abd,9526.0,3334.1,,,0
HCPCS,43331,Esophagomyotomy thoracic,,,3613.0,4992.0,4
HCPCS,43332,Transab esoph hiat hern rpr,,,3613.0,4992.0,4
HCPCS,43333,Transab esoph hiat hern rpr,,,3613.0,4992.0,4
HCPCS,43334,Transthor diaphrag hern rpr,,,3613.0,4992.0,4
HCPCS,43335,Transthor diaphrag hern rpr,,,3613.0,4992.0,4
HCPCS,43336,Thorabd diaphr hern repair,,,3613.0,4992.0,4
HCPCS,43337,Thorabd diaphr hern repair,,,3613.0,4992.0,4
HCPCS,43338,Esoph lengthening,,,3613.0,4992.0,4
HCPCS,43340,Fuse esophagus & intestine,,,3613.0,4992.0,4
HCPCS,43341,Fuse esophagus & intestine,,,3613.0,4992.0,4
HCPCS,43351,Surgical opening esophagus,,,3613.0,4992.0,4
HCPCS,43352,Surgical opening esophagus,,,3613.0,4992.0,4
HCPCS,43360,Gastrointestinal repair,,,3613.0,4992.0,4
HCPCS,43361,Gastrointestinal repair,,,3613.0,4992.0,4
HCPCS,43400,Ligate esophagus veins,,,3885.0,14016.0,4
HCPCS,43405,Ligate/staple esophagus,,,3613.0,4992.0,4
HCPCS,43410,Repair esophagus wound,,,3613.0,4992.0,4
HCPCS,43415,Repair esophagus wound,,,3613.0,4992.0,4
HCPCS,43420,Repair esophagus opening,,,3462.26,6924.53,23
HCPCS,43425,Repair esophagus opening,,,3613.0,4992.0,4
HCPCS,43450,Dilate esophagus 1/mult pass,,,947.15,2923.0,27
HCPCS,43450,Hb Esoph Dilation Sound Or Bougie,3781.0,1323.35,,,0
HCPCS,43453,Dilate esophagus,,,990.66,4007.75,27
HCPCS,43453,Hb Esoph Dilation Over Guidewire,5125.0,1793.75,,,0
HCPCS,43456,Dilate esophagus,,,1900.0,2000.0,2
HCPCS,43458,Dilate esophagus,,,1900.0,2000.0,2
HCPCS,43458,Hb 43458 Esoph Dilation W Balloon,10035.0,3512.25,,,0
HCPCS,43458,Hb Esoph Dilat W Balloon Over 30Mm,10035.0,3512.25,,,0
HCPCS,43460,Hb 43460 Tamponade Esoph W Blln,4238.0,1483.3,,,0
HCPCS,43460,Hb Tamponade Esoph W Blln,4238.0,1483.3,,,0
HCPCS,43460,Pressure treatment esophagus,,,3613.0,4992.0,4
HCPCS,43496,Free jejunum flap microvasc,,,3613.0,4992.0,4
HCPCS,43497,Transorl lwr esophgl myotomy,,,3760.0,12679.42,23
HCPCS,43499,Esophagus surgery procedure,,,947.15,3993.0,23
HCPCS,43499,Hb 43499 Esophagus Procedure,12411.0,4343.85,,,0
HCPCS,43499,Hb Esophagus Procedure,12411.0,4343.85,,,0
HCPCS,43500,Surgical opening of stomach,,,3613.0,4992.0,4
HCPCS,43501,Surgical repair of stomach,,,3613.0,4992.0,4
HCPCS,43502,Surgical repair of stomach,,,3613.0,4992.0,4
HCPCS,43510,Surgical opening of stomach,,,947.15,3993.0,23
HCPCS,43520,Incision of pyloric muscle,,,3613.0,4992.0,4
HCPCS,43600,Biopsy of stomach,,,1425.0,1500.0,2
HCPCS,43605,Biopsy of stomach,,,3760.0,5195.0,4
HCPCS,43610,Excision of stomach lesion,,,3613.0,4992.0,4
HCPCS,43611,Excision of stomach lesion,,,3613.0,4992.0,4
HCPCS,43620,Removal of stomach,,,3613.0,4992.0,4
HCPCS,43621,Removal of stomach,,,3613.0,4992.0,4
HCPCS,43622,Removal of stomach,,,3613.0,4992.0,4
HCPCS,43631,Removal of stomach partial,,,3613.0,4992.0,4
HCPCS,43632,Removal of stomach partial,,,3613.0,4992.0,4
HCPCS,43633,Removal of stomach partial,,,3613.0,4992.0,4
HCPCS,43634,Removal of stomach partial,,,3613.0,4992.0,4
HCPCS,43635,Removal of stomach partial,,,3613.0,4992.0,4
HCPCS,43640,Vagotomy & pylorus repair,,,3613.0,4992.0,4
HCPCS,43641,Vagotomy & pylorus repair,,,3613.0,4992.0,4
HCPCS,43644,Lap gastric bypass/roux-en-y,,,5506.0,14016.0,4
HCPCS,43645,Lap gastr bypass incl smll i,,,5506.0,14016.0,4
HCPCS,43647,Lap impl electrode antrum,,,5506.0,23272.17,23
HCPCS,43648,Lap revise/remv eltrd antrum,,,5506.0,22201.02,23
HCPCS,43651,Laparoscopy vagus nerve,,,5506.0,14016.0,23
HCPCS,43652,Laparoscopy vagus nerve,,,5506.0,14016.0,23
HCPCS,43653,Laparoscopy gastrostomy,,,3983.52,14016.0,25
HCPCS,43659,Laparoscope proc stom,,,5506.0,12626.43,23
HCPCS,43750,Place gastrostomy tube,,,1900.0,2000.0,2
HCPCS,43752,Hb 43752 Nasal Orogastric W Stent,1690.0,591.5,,,0
HCPCS,43752,Hb Nasal Orogastric Tube Placement,1690.0,591.5,,,0
HCPCS,43752,Nasal/orogastric w/tube plmt,,,466.5,972.0,21
HCPCS,43753,Hb 43753 Gastric Intubation Tx,1461.0,511.35,,,0
HCPCS,43753,Hb Gastric Intubation Treatment,1461.0,511.35,,,0
HCPCS,43753,Tx gastro intub w/asp,,,225.48,1502.0,23
HCPCS,43754,Dx gastr intub w/asp spec,,,225.48,1502.0,23
HCPCS,43754,Hb Gastric Analysis Single,8030.0,2810.5,,,0
HCPCS,43755,Dx gastr intub w/asp specs,,,134.37,1502.0,23
HCPCS,43755,Hb Gastric Analysis Multiple,763.0,267.05,,,0
HCPCS,43756,Dx duod intub w/asp spec,,,947.15,2923.0,23
HCPCS,43757,Dx duod intub w/asp specs,,,947.15,2923.0,23
HCPCS,43760,Change gastrostomy tube,,,431.31,1500.0,4
HCPCS,43761,Hb 43761 Reposition Gastric Tube,6462.0,2261.7,,,0
HCPCS,43761,Hb Reposition Gastric Tube,6462.0,2261.7,,,0
HCPCS,43761,Reposition gastrostomy tube,,,260.91,1502.0,25
HCPCS,43762,Hb 43762 Rplc Gtube No Revj Trc,4178.0,1462.3,,,0
HCPCS,43762,Hb Gastrostomy Tube Change W/O Revision,4178.0,1462.3,,,0
HCPCS,43762,Rplc gtube no revj trc,,,260.91,1502.0,23
HCPCS,43763,Hb 43763 Rplc Gtube Revj Gstrst Trc,5621.0,1967.35,,,0
HCPCS,43763,Hb Gastrostomy Tube Change W Revision,5621.0,1967.35,,,0
HCPCS,43763,Rplc gtube  revj gstrst trc,,,260.91,1502.0,23
HCPCS,43770,Lap place gastr adj device,,,5506.0,22201.02,23
HCPCS,43771,Lap revise gastr adj device,,,4698.0,6490.0,4
HCPCS,43772,Lap rmvl gastr adj device,,,4026.19,8052.38,23
HCPCS,43773,Lap replace gastr adj device,,,5506.0,12626.43,23
HCPCS,43774,Hb Laps Gastric Restrictive Px Remove Device & Port,25654.0,8978.9,,,0
HCPCS,43774,Lap rmvl gastr adj all parts,,,4026.19,14979.0,23
HCPCS,43775,Lap sleeve gastrectomy,,,5506.0,14016.0,4
HCPCS,43800,Reconstruction of pylorus,,,3613.0,4992.0,4
HCPCS,43810,Fusion of stomach and bowel,,,3613.0,4992.0,4
HCPCS,43820,Fusion of stomach and bowel,,,3613.0,4992.0,4
HCPCS,43825,Fusion of stomach and bowel,,,3613.0,4992.0,4
HCPCS,43830,Place gastrostomy tube,,,2003.87,5195.0,23
HCPCS,43831,Place gastrostomy tube,,,947.15,3993.0,23
HCPCS,43832,Place gastrostomy tube,,,3613.0,4992.0,4
HCPCS,43840,Repair of stomach lesion,,,3885.0,8052.38,23
HCPCS,43842,V-band gastroplasty,,,3613.0,4992.0,4
HCPCS,43843,Gastroplasty w/o v-band,,,3885.0,9732.0,4
HCPCS,43845,Gastroplasty duodenal switch,,,3613.0,4992.0,4
HCPCS,43846,Gastric bypass for obesity,,,3613.0,4992.0,4
HCPCS,43847,Gastric bypass incl small i,,,3613.0,4992.0,4
HCPCS,43848,Revision gastroplasty,,,3613.0,4992.0,4
HCPCS,43860,Hb Evj Gstr/Jj Anast W/Rcnstj W/O Vgtmy,7049.0,2467.15,,,0
HCPCS,43860,Revise stomach-bowel fusion,,,3613.0,4992.0,4
HCPCS,43865,Revise stomach-bowel fusion,,,3613.0,4992.0,4
HCPCS,43870,Hb Closure Gastrostomy Surg,14418.0,5046.3,,,0
HCPCS,43870,Repair stomach opening,,,990.66,8052.38,27
HCPCS,43880,Repair stomach-bowel fistula,,,3613.0,4992.0,4
HCPCS,43881,Impl/redo electrd antrum,,,3613.0,4992.0,4
HCPCS,43882,Revise/remove electrd antrum,,,3613.0,4992.0,4
HCPCS,43886,Revise gastric port open,,,1457.0,7401.27,23
HCPCS,43887,Hb Remove Gastric Port Open,17836.0,6242.6,,,0
HCPCS,43887,Remove gastric port open,,,1457.0,4309.28,23
HCPCS,43888,Change gastric port open,,,2064.0,7401.27,23
HCPCS,43889,Gstr rstcv px trnsorl esg,,,11100.51,22201.02,19
HCPCS,43999,Hb Stomach Procedure,6801.0,2380.35,,,0
HCPCS,43999,Stomach surgery procedure,,,947.15,3993.0,23
HCPCS,44005,Freeing of bowel adhesion,,,3613.0,4992.0,4
HCPCS,44010,Incision of small bowel,,,3613.0,4992.0,4
HCPCS,44015,Insert needle cath bowel,,,3613.0,4992.0,4
HCPCS,44020,Explore small intestine,,,3613.0,4992.0,4
HCPCS,44021,Decompress small bowel,,,3613.0,4992.0,4
HCPCS,44025,Incision of large bowel,,,3613.0,4992.0,4
HCPCS,44050,Hb Reduce Volvulus Intussusception,30878.0,10807.3,,,0
HCPCS,44050,Reduce bowel obstruction,,,3613.0,4992.0,4
HCPCS,44055,Correct malrotation of bowel,,,3613.0,4992.0,4
HCPCS,44100,Biopsy of bowel,,,947.15,2923.0,27
HCPCS,44110,Excise intestine lesion(s),,,3613.0,4992.0,4
HCPCS,44111,Excision of bowel lesion(s),,,3613.0,4992.0,4
HCPCS,44120,Removal of small intestine,,,3613.0,4992.0,4
HCPCS,44121,Removal of small intestine,,,3613.0,4992.0,4
HCPCS,44125,Removal of small intestine,,,3613.0,4992.0,4
HCPCS,44126,Enterectomy w/o taper cong,,,3613.0,4992.0,4
HCPCS,44127,Enterectomy w/taper cong,,,3613.0,4992.0,4
HCPCS,44128,Enterectomy cong add-on,,,3613.0,4992.0,4
HCPCS,44130,Bowel to bowel fusion,,,3613.0,4992.0,4
HCPCS,44132,Enterectomy cadaver donor,,,3613.0,4992.0,4
HCPCS,44133,Enterectomy live donor,,,3613.0,4992.0,4
HCPCS,44135,Intestine transplnt cadaver,,,3613.0,4992.0,4
HCPCS,44136,Intestine transplant live,,,3613.0,4992.0,4
HCPCS,44137,Remove intestinal allograft,,,3613.0,4992.0,4
HCPCS,44139,Mobilization of colon,,,3613.0,4992.0,4
HCPCS,44140,Partial removal of colon,,,3613.0,4992.0,4
HCPCS,44141,Partial removal of colon,,,3613.0,4992.0,4
HCPCS,44143,Partial removal of colon,,,3613.0,4992.0,4
HCPCS,44144,Partial removal of colon,,,3613.0,4992.0,4
HCPCS,44145,Partial removal of colon,,,3613.0,4992.0,4
HCPCS,44146,Partial removal of colon,,,3613.0,4992.0,4
HCPCS,44147,Partial removal of colon,,,3613.0,4992.0,4
HCPCS,44150,Removal of colon,,,3613.0,4992.0,4
HCPCS,44151,Removal of colon/ileostomy,,,3613.0,4992.0,4
HCPCS,44155,Removal of colon/ileostomy,,,3613.0,4992.0,4
HCPCS,44156,Removal of colon/ileostomy,,,3613.0,4992.0,4
HCPCS,44157,Colectomy w/Ileoanal Anast,,,3613.0,4992.0,4
HCPCS,44158,Colectomy w/Neo-Rectum Pouch,,,3613.0,4992.0,4
HCPCS,44160,Removal of colon,,,3613.0,4992.0,4
HCPCS,44180,Lap enterolysis,,,5506.0,14016.0,23
HCPCS,44186,Lap jejunostomy,,,5506.0,14016.0,23
HCPCS,44187,Lap ileo/jejuno-stomy,,,3613.0,5766.0,4
HCPCS,44188,Lap colostomy,,,3613.0,5766.0,4
HCPCS,44202,Lap enterectomy,,,5506.0,9732.0,4
HCPCS,44203,Lap resect s/intestine addl,,,5506.0,9732.0,4
HCPCS,44204,Laparo partial colectomy,,,5506.0,9732.0,4
HCPCS,44205,Lap colectomy part w/ileum,,,3613.0,5766.0,4
HCPCS,44206,Lap part colectomy w/stoma,,,3613.0,5766.0,4
HCPCS,44207,L colectomy/coloproctostomy,,,3613.0,5766.0,4
HCPCS,44208,L colectomy/coloproctostomy,,,3613.0,5766.0,4
HCPCS,44210,Laparo total proctocolectomy,,,3613.0,5766.0,4
HCPCS,44211,Lap colectomy w/proctectomy,,,3613.0,5766.0,4
HCPCS,44212,Laparo total proctocolectomy,,,3613.0,5766.0,4
HCPCS,44213,Lap mobil splenic fl add-on,,,3613.0,5766.0,4
HCPCS,44227,Lap close enterostomy,,,3613.0,5766.0,4
HCPCS,44238,Laparoscope proc intestine,,,5506.0,12626.43,23
HCPCS,44300,Open bowel to skin,,,2003.87,4007.75,23
HCPCS,44310,Ileostomy/jejunostomy,,,3613.0,4992.0,4
HCPCS,44312,Hb Revision Of Ileostomy,15709.0,5498.15,,,0
HCPCS,44312,Revision of ileostomy,,,990.66,7401.27,27
HCPCS,44314,Revision of ileostomy,,,3700.64,7401.27,23
HCPCS,44316,Devise bowel pouch,,,3613.0,4992.0,4
HCPCS,44320,Colostomy,,,3613.0,4992.0,4
HCPCS,44322,Colostomy with biopsies,,,3613.0,4992.0,4
HCPCS,44340,Revision of colostomy,,,1517.25,7401.27,27
HCPCS,44345,Revision of colostomy,,,3700.64,7401.27,23
HCPCS,44346,Revision of colostomy,,,3700.64,7401.27,23
HCPCS,44360,Hb Enteroscopy,7607.0,2662.45,,,0
HCPCS,44360,Small bowel endoscopy,,,1326.84,4007.75,27
HCPCS,44361,Hb Enteroscopy W Biopsy,9890.0,3461.5,,,0
HCPCS,44361,Small bowel endoscopy/biopsy,,,1326.84,4007.75,27
HCPCS,44363,Hb Enteroscopy W Remove Fb,7607.0,2662.45,,,0
HCPCS,44363,Small bowel endoscopy,,,1326.84,4007.75,27
HCPCS,44364,Hb Enteroscopy W Remove Snare,9890.0,3461.5,,,0
HCPCS,44364,Small bowel endoscopy,,,1326.84,4007.75,27
HCPCS,44365,Hb Enteroscopy W Remove Forcep,9890.0,3461.5,,,0
HCPCS,44365,Small bowel endoscopy,,,1326.84,4007.75,27
HCPCS,44366,Hb Enteroscopy W Control Bleed,9890.0,3461.5,,,0
HCPCS,44366,Small bowel endoscopy,,,1326.84,4007.75,27
HCPCS,44369,Hb Enteroscopy W Ablation Tumor,9890.0,3461.5,,,0
HCPCS,44369,Small bowel endoscopy,,,1326.84,4007.75,27
HCPCS,44370,Hb Enteroscopy W Place Stent,12856.0,4499.6,,,0
HCPCS,44370,Small Bowel Endoscopy/Stent,,,3983.52,12679.42,25
HCPCS,44372,Hb 44372 Enteroscopy W Place Tube,9890.0,3461.5,,,0
HCPCS,44372,Hb Enteroscopy W Place Tube,9890.0,3461.5,,,0
HCPCS,44372,Small bowel endoscopy,,,1326.84,4007.75,27
HCPCS,44373,Hb Enteroscopy W Tube Conversion,9890.0,3461.5,,,0
HCPCS,44373,Small bowel endoscopy,,,1326.84,4007.75,27
HCPCS,44376,Hb Enteroscopy W Ileum,10690.0,3741.5,,,0
HCPCS,44376,Hb Sm Int Endo >2Nd Prtn W/Ileum W/Wo Collj Spec Spx,9134.0,3196.9,,,0
HCPCS,44376,Small bowel endoscopy,,,1326.84,4007.75,27
HCPCS,44377,Hb Enteroscopy Ileum W Bx,11166.0,3908.1,,,0
HCPCS,44377,Small bowel endoscopy/biopsy,,,1326.84,4007.75,27
HCPCS,44378,Hb Enteroscopy Ileum W Contrl Bleed,8106.0,2837.1,,,0
HCPCS,44378,Small bowel endoscopy,,,1326.84,4007.75,27
HCPCS,44379,S Bowel Endoscope W/Stent,,,3983.52,12679.42,25
HCPCS,44380,Hb Ileoscopy Via Stoma,5732.0,2006.2,,,0
HCPCS,44380,Small bowel endoscopy br/wa,,,947.15,2923.0,27
HCPCS,44381,Hb Ileoscopy Via Stoma W Ballon Dilat,6593.0,2307.55,,,0
HCPCS,44381,Small bowel endoscopy br/wa,,,2003.87,4007.75,23
HCPCS,44382,Hb Ileoscopy Via Stoma W Biopsy,6593.0,2307.55,,,0
HCPCS,44382,Small bowel endoscopy,,,947.15,2923.0,27
HCPCS,44384,Hb Ileo Via Stoma W Place Stent,19562.0,6846.7,,,0
HCPCS,44384,Small bowel endoscopy,,,2003.87,4007.75,23
HCPCS,44385,Endoscopy of bowel pouch,,,971.14,2923.0,27
HCPCS,44385,Hb Endo Eval Sm Intest Pouch,7375.0,2581.25,,,0
HCPCS,44386,Endoscopy bowel pouch/biop,,,971.14,2923.0,27
HCPCS,44386,Hb Endo Eval Sm Intest Pouch W Bx,7375.0,2581.25,,,0
HCPCS,44388,Colonoscopy thru stoma spx,,,971.14,2923.0,27
HCPCS,44388,Hb Colonoscopy Via Stoma,1988.0,695.8,,,0
HCPCS,44389,Colonoscopy with biopsy,,,990.66,2923.0,27
HCPCS,44389,Hb Colonoscopy Via Stoma W Bx,2585.0,904.75,,,0
HCPCS,44390,Colonoscopy for foreign body,,,971.14,2923.0,27
HCPCS,44390,Hb Colonoscopy Stoma W Remove Fb,2585.0,904.75,,,0
HCPCS,44391,Colonoscopy for bleeding,,,990.66,2923.0,27
HCPCS,44391,Hb Colonoscopy Stoma W Contrl Bleed,2585.0,904.75,,,0
HCPCS,44392,Colonoscopy & polypectomy,,,990.66,2923.0,27
HCPCS,44392,Hb Colonoscopy Stoma W Polypectomy,2585.0,904.75,,,0
HCPCS,44393,"Colonoscopy, lesion removal",,,1425.0,1500.0,2
HCPCS,44394,Colonoscopy w/snare,,,990.66,2923.0,27
HCPCS,44394,Hb Colo Stom W Rem Tum Pol Snare,2585.0,904.75,,,0
HCPCS,44397,Colonoscopy W Stent,,,1425.0,1500.0,2
HCPCS,44401,Colonoscopy with ablation,,,1249.63,3112.0,23
HCPCS,44401,Hb Colonoscopy Stoma W Ablat Tumor,2585.0,904.75,,,0
HCPCS,44402,Colonoscopy w/stent plcmt,,,2116.0,12679.42,23
HCPCS,44402,Hb Colonoscopy Stoma W Place Stent,3361.0,1176.35,,,0
HCPCS,44403,Colonoscopy w/resection,,,1249.63,3112.0,23
HCPCS,44403,Hb Colonoscopy W/Resection,2585.0,904.75,,,0
HCPCS,44404,Colonoscopy w/injection,,,1249.63,3112.0,23
HCPCS,44404,Hb Colonoscopy Stoma W/ Injection,2585.0,904.75,,,0
HCPCS,44405,Colonoscopy w/dilation,,,1249.63,3112.0,23
HCPCS,44405,Hb Colonoscopy Stoma W/ Balloon Dilat,2585.0,904.75,,,0
HCPCS,44406,Colonoscopy w/ultrasound,,,1249.63,3112.0,23
HCPCS,44407,Colonoscopy w/ndl aspir/bx,,,1249.63,3112.0,23
HCPCS,44408,Colonoscopy w/decompression,,,971.14,3112.0,23
HCPCS,44500,Hb 44500 Intro Lg Tube Mill Abb,3027.0,1059.45,,,0
HCPCS,44500,Hb Intro Lg Tube Mill Abb,3027.0,1059.45,,,0
HCPCS,44500,Intro gastrointestinal tube,,,947.15,2923.0,23
HCPCS,44602,Suture small intestine,,,3760.0,8052.38,23
HCPCS,44603,Suture small intestine,,,3613.0,4992.0,4
HCPCS,44604,Suture large intestine,,,3613.0,4992.0,4
HCPCS,44605,Repair of bowel lesion,,,3613.0,4992.0,4
HCPCS,44615,Hb Intestinal Stricturoplasty For Obstruct,28865.0,10102.75,,,0
HCPCS,44615,Intestinal stricturoplasty,,,3613.0,4992.0,4
HCPCS,44620,Repair bowel opening,,,3613.0,4992.0,4
HCPCS,44625,Repair bowel opening,,,3613.0,4992.0,4
HCPCS,44626,Repair bowel opening,,,3613.0,4992.0,4
HCPCS,44640,Repair bowel-skin fistula,,,3613.0,4992.0,4
HCPCS,44650,Repair bowel fistula,,,3613.0,4992.0,4
HCPCS,44660,Repair bowel-bladder fistula,,,3613.0,4992.0,4
HCPCS,44661,Repair bowel-bladder fistula,,,3613.0,4992.0,4
HCPCS,44680,Surgical revision intestine,,,3613.0,4992.0,4
HCPCS,44700,Suspend bowel w/prosthesis,,,3613.0,4992.0,4
HCPCS,44701,Intraop colon lavage add-on,,,704.0,972.0,2
HCPCS,44705,Prepare fecal microbiota,,,3885.0,3993.0,2
HCPCS,44715,Prepare donor intestine,,,3613.0,4992.0,4
HCPCS,44720,Prep donor intestine/venous,,,3613.0,4992.0,4
HCPCS,44721,Prep donor intestine/artery,,,3613.0,4992.0,4
HCPCS,44799,Hb 44799 Intestine Procedure,7201.0,2520.35,,,0
HCPCS,44799,Hb Intestine Procedure,7201.0,2520.35,,,0
HCPCS,44799,Unlisted px small intestine,,,947.15,3993.0,23
HCPCS,44800,Excision of bowel pouch,,,3613.0,4992.0,4
HCPCS,44820,Excision of mesentery lesion,,,3613.0,4992.0,4
HCPCS,44850,Repair of mesentery,,,3613.0,4992.0,4
HCPCS,44899,Bowel surgery procedure,,,3613.0,4992.0,4
HCPCS,44900,Drain appendix abscess open,,,3613.0,4992.0,4
HCPCS,44950,Appendectomy,,,3885.0,13520.95,23
HCPCS,44955,Appendectomy add-on,,,704.0,972.0,2
HCPCS,44960,Appendectomy,,,3613.0,4992.0,4
HCPCS,44970,Laparoscopy appendectomy,,,5506.0,14016.0,23
HCPCS,44979,Laparoscope proc app,,,5506.0,12626.43,23
HCPCS,45000,Drainage of pelvic abscess,,,928.41,2923.0,27
HCPCS,45005,Drainage of rectal abscess,,,1249.63,2923.0,27
HCPCS,45020,Drainage of rectal abscess,,,1326.84,5797.13,27
HCPCS,45100,Biopsy of rectum,,,990.66,5797.13,27
HCPCS,45100,Hb Anorectal Wall Biopsy,24034.0,8411.9,,,0
HCPCS,45100,Hb Bx Anorectal Wall Anal Approach,23603.0,8261.05,,,0
HCPCS,45108,Removal of anorectal lesion,,,1326.84,5797.13,27
HCPCS,45110,Removal of rectum,,,3613.0,4992.0,4
HCPCS,45111,Partial removal of rectum,,,3613.0,4992.0,4
HCPCS,45112,Removal of rectum,,,3613.0,4992.0,4
HCPCS,45113,Partial proctectomy,,,3613.0,4992.0,4
HCPCS,45114,Partial removal of rectum,,,3613.0,4992.0,4
HCPCS,45116,Partial removal of rectum,,,3613.0,4992.0,4
HCPCS,45119,Remove rectum w/reservoir,,,3613.0,4992.0,4
HCPCS,45120,Removal of rectum,,,3613.0,4992.0,4
HCPCS,45121,Removal of rectum and colon,,,3613.0,4992.0,4
HCPCS,45123,Partial proctectomy,,,3885.0,14016.0,4
HCPCS,45126,Pelvic exenteration,,,3613.0,4992.0,4
HCPCS,45130,Excision of rectal prolapse,,,3613.0,4992.0,4
HCPCS,45135,Excision of rectal prolapse,,,3613.0,4992.0,4
HCPCS,45136,Excise ileoanal reservior,,,3613.0,4992.0,4
HCPCS,45150,Excision of rectal stricture,,,1249.63,2923.0,27
HCPCS,45160,Excision of rectal lesion,,,1326.84,5797.13,27
HCPCS,45170,Excision of rectal lesion,,,1900.0,2000.0,2
HCPCS,45171,Exc rect tum transanal part,,,2898.56,5797.13,23
HCPCS,45172,Exc rect tum transanal full,,,2898.56,6490.0,23
HCPCS,45190,Destruction rectal tumor,,,2898.56,5797.13,25
HCPCS,45300,Hb Proctosigmoidoscopy Rigid,873.0,305.55,,,0
HCPCS,45300,Proctosigmoidoscopy dx,,,940.0,1942.27,23
HCPCS,45303,Hb Proctosigmoidoscopy W Dilat,1329.0,465.15,,,0
HCPCS,45303,Proctosigmoidoscopy dilate,,,1249.63,2923.0,23
HCPCS,45305,Hb Proctosigmoidoscopy W Bx,3394.0,1187.9,,,0
HCPCS,45305,Proctosigmoidoscopy w/bx,,,990.66,2923.0,27
HCPCS,45307,Hb Proctosgmdsc Rigid W/Rmvl Foreign Body,8240.0,2884.0,,,0
HCPCS,45307,Proctosigmoidoscopy fb,,,990.66,5797.13,27
HCPCS,45308,Proctosigmoidoscopy removal,,,990.66,5797.13,27
HCPCS,45309,Hb Proctosigmoid W Remove Snare,3276.0,1146.6,,,0
HCPCS,45309,Proctosigmoidoscopy removal,,,990.66,2923.0,27
HCPCS,45315,Proctosigmoidoscopy removal,,,990.66,2923.0,27
HCPCS,45317,Proctosigmoidoscopy bleed,,,990.66,2923.0,27
HCPCS,45320,Proctosigmoidoscopy ablate,,,990.66,5797.13,27
HCPCS,45321,Proctosigmoidoscopy volvul,,,990.66,5797.13,27
HCPCS,45327,Proctosigmoidoscopy W/Stent,,,990.66,12679.42,27
HCPCS,45330,Diagnostic sigmoidoscopy,,,940.0,1942.27,25
HCPCS,45330,Hb Sigmoidoscopy,856.0,299.6,,,0
HCPCS,45331,Hb Sigmoidoscopy W Biopsy,1113.0,389.55,,,0
HCPCS,45331,Sigmoidoscopy and biopsy,,,890.25,1942.27,27
HCPCS,45332,Hb Sigmoidoscopy W Remove Fb,1113.0,389.55,,,0
HCPCS,45332,Sigmoidoscopy w/fb removal,,,890.25,2923.0,27
HCPCS,45333,Hb Sigmoid W Rem Tum Polyp Forcep,1113.0,389.55,,,0
HCPCS,45333,Sigmoidoscopy & polypectomy,,,940.0,1942.27,27
HCPCS,45334,Hb Sigmoidoscopy W Control Bleed,1113.0,389.55,,,0
HCPCS,45334,Sigmoidoscopy for bleeding,,,990.66,2923.0,27
HCPCS,45335,Hb Sigmoidoscopy W Inj Submucosal,1113.0,389.55,,,0
HCPCS,45335,Sigmoidoscopy w/submuc inj,,,890.25,1942.27,27
HCPCS,45337,Sigmoidoscopy & decompress,,,890.25,2923.0,27
HCPCS,45338,Hb Sigmoid W Rem Tum Polyp Snare,1113.0,389.55,,,0
HCPCS,45338,Sigmoidoscopy w/tumr remove,,,990.66,2923.0,27
HCPCS,45339,Sigmoidoscopy,,,1425.0,1500.0,2
HCPCS,45340,Hb Sigmoidoscopy W Balloon Dilat,1113.0,389.55,,,0
HCPCS,45340,Sig w/tndsc balloon dilation,,,990.66,2923.0,27
HCPCS,45341,Hb Sigmoidoscopy W Endo Us,1113.0,389.55,,,0
HCPCS,45341,Sigmoidoscopy W/Ultrasound,,,971.14,2923.0,27
HCPCS,45342,Hb Sigmoidoscopy W Ndl Aspir Bx,1113.0,389.55,,,0
HCPCS,45342,Sigmoidoscopy W/Us Guide Bx,,,990.66,2923.0,27
HCPCS,45345,Sigmodoscopy W/Stent,,,1425.0,1500.0,2
HCPCS,45346,Hb Sigmoidoscopy W Ablation Tumor,1113.0,389.55,,,0
HCPCS,45346,Sigmoidoscopy w/ablation,,,1249.63,3112.0,23
HCPCS,45347,Hb Sigmoidoscopy W Place Stent,1113.0,389.55,,,0
HCPCS,45347,Sigmoidoscopy w/plcmt stent,,,2116.0,12679.42,23
HCPCS,45349,Hb Sigmoidoscopy W/Resection,1113.0,389.55,,,0
HCPCS,45349,Sigmoidoscopy w/resection,,,2116.0,5797.13,23
HCPCS,45350,Hb Sigmoidoscopy W Band Ligation,1113.0,389.55,,,0
HCPCS,45350,Sgmdsc w/band ligation,,,1249.63,3112.0,23
HCPCS,45355,Surgical colonoscopy,,,1425.0,1500.0,2
HCPCS,45378,Diagnostic colonoscopy,,,971.14,2923.0,27
HCPCS,45378,Hb Colonoscopy,3266.0,1143.1,,,0
HCPCS,45379,Colonoscopy w/fb removal,,,1249.63,2923.0,27
HCPCS,45379,Hb Colonoscopy W Remove Fb,3266.0,1143.1,,,0
HCPCS,45380,Colonoscopy and biopsy,,,1249.63,2923.0,27
HCPCS,45380,Hb Colonoscopy W Biopsy,3411.0,1193.85,,,0
HCPCS,45381,Colonoscopy submucous njx,,,1249.63,2923.0,27
HCPCS,45381,Hb Colonoscopy W Inj Submucosal,3411.0,1193.85,,,0
HCPCS,45381,Noncdm Charge Record,1057.0,369.95,,,0
HCPCS,45382,Colonoscopy w/control bleed,,,1249.63,2923.0,27
HCPCS,45382,Hb Colonoscopy W Control Bleed,3411.0,1193.85,,,0
HCPCS,45383,Lesion removal colonoscopy,,,1900.0,2000.0,2
HCPCS,45384,Colonoscopy w/lesion removal,,,1249.63,2923.0,27
HCPCS,45384,Hb Colon W Rem Tum Pol Forcep,3966.0,1388.1,,,0
HCPCS,45385,Colonoscopy w/lesion removal,,,1249.63,2923.0,27
HCPCS,45385,Hb Colon W Rem Tum Pol Snare,3966.0,1388.1,,,0
HCPCS,45386,Colonoscopy w/balloon dilat,,,1249.63,2923.0,27
HCPCS,45386,Hb Colonoscopy W Balloon Dilat,3411.0,1193.85,,,0
HCPCS,45387,Colonoscopy W/Stent,,,1425.0,1500.0,2
HCPCS,45388,Colonoscopy w/ablation,,,1249.63,3112.0,23
HCPCS,45388,Hb Colonoscopy W Ablat Tumor,3411.0,1193.85,,,0
HCPCS,45389,Colonoscopy w/stent plcmt,,,2116.0,12679.42,23
HCPCS,45389,Hb Colonoscopy W Place Stent,3411.0,1193.85,,,0
HCPCS,45390,Colonoscopy w/resection,,,2116.0,5797.13,23
HCPCS,45390,Hb Colonoscopy W/Resection,3411.0,1193.85,,,0
HCPCS,45391,Colonoscopy w/endoscope us,,,1249.63,2923.0,27
HCPCS,45391,Hb Colonoscopy W Endo Us,3411.0,1193.85,,,0
HCPCS,45392,Colonoscopy w/endoscopic fnb,,,1249.63,2923.0,27
HCPCS,45392,Hb Colonoscopy W Transendo Us,3411.0,1193.85,,,0
HCPCS,45393,Colonoscopy w/decompression,,,1249.63,3112.0,23
HCPCS,45393,Hb Coloscopy Flexible With Decompression,4269.0,1494.15,,,0
HCPCS,45395,Lap removal of rectum,,,3613.0,5766.0,4
HCPCS,45397,Lap remove rectum w/pouch,,,3613.0,5766.0,4
HCPCS,45398,Colonoscopy w/band ligation,,,1249.63,3112.0,23
HCPCS,45398,Hb Colonoscopy W/Band Ligation,2026.0,709.1,,,0
HCPCS,45399,Hb Unlisted Colon Procedure,3946.0,1381.1,,,0
HCPCS,45399,Unlisted procedure colon,,,971.14,3369.0,23
HCPCS,45400,Laparoscopic proc,,,3613.0,5766.0,4
HCPCS,45402,Lap proctopexy w/sig resect,,,3613.0,5766.0,4
HCPCS,45499,Laparoscope proc rectum,,,5506.0,12626.43,23
HCPCS,45500,Repair of rectum,,,1326.84,5797.13,27
HCPCS,45505,Repair of rectum,,,1326.84,6490.0,27
HCPCS,45520,Treatment of rectal prolapse,,,940.0,1942.27,21
HCPCS,45540,Correct rectal prolapse,,,3613.0,4992.0,4
HCPCS,45541,Correct rectal prolapse,,,2898.56,6490.0,23
HCPCS,45541,Hb Proctopexy Perineal Approach,18836.0,6592.6,,,0
HCPCS,45550,Repair rectum/remove sigmoid,,,3613.0,4992.0,4
HCPCS,45560,Repair of rectocele,,,1326.84,6490.0,27
HCPCS,45562,Exploration/repair of rectum,,,3613.0,4992.0,4
HCPCS,45563,Exploration/repair of rectum,,,3613.0,4992.0,4
HCPCS,45800,Repair rect/bladder fistula,,,3613.0,4992.0,4
HCPCS,45805,Repair fistula w/colostomy,,,3613.0,4992.0,4
HCPCS,45820,Repair rectourethral fistula,,,3613.0,4992.0,4
HCPCS,45825,Repair fistula w/colostomy,,,3613.0,4992.0,4
HCPCS,45900,Hb Reduction Of Procidentia Under Anesth,5175.0,1811.25,,,0
HCPCS,45900,Reduction of rectal prolapse,,,928.41,1942.27,27
HCPCS,45905,Dilation of anal sphincter,,,990.66,2923.0,27
HCPCS,45905,Hb Dilation Of Anal Sphincter,10244.0,3585.4,,,0
HCPCS,45910,Dilation of rectal narrowing,,,990.66,2923.0,27
HCPCS,45910,Hb Dilatn Of Rectal Narrowng Under Anes,1871.0,654.85,,,0
HCPCS,45915,Hb Rmvl Fecal Impactn/Fb Under Anes,12158.0,4255.3,,,0
HCPCS,45915,Remove rectal obstruction,,,928.41,2923.0,27
HCPCS,45990,Hb Anorectal Exam Surg Req Anesth,14537.0,5087.95,,,0
HCPCS,45990,Surg dx exam anorectal,,,928.41,5797.13,27
HCPCS,45999,Hb Rectum Procedure,5044.0,1765.4,,,0
HCPCS,45999,Rectum surgery procedure,,,940.0,3993.0,23
HCPCS,46020,Hb Place Anal Seton,18221.0,6377.35,,,0
HCPCS,46020,Placement of seton,,,1517.25,5797.13,27
HCPCS,46030,Removal of rectal marker,,,928.41,2923.0,27
HCPCS,46040,Hb Drain Rectal Abscess,14589.0,5106.15,,,0
HCPCS,46040,Incision of rectal abscess,,,1249.63,2923.0,27
HCPCS,46045,Incision of rectal abscess,,,1326.84,5797.13,27
HCPCS,46050,Hb Incision Of Anal Abscess,7702.0,2695.7,,,0
HCPCS,46050,Incision of anal abscess,,,928.41,1942.27,27
HCPCS,46060,Hv I&D Ischiorct/Intramural Absc W/Wo Seton,21384.0,7484.4,,,0
HCPCS,46060,Incision of rectal abscess,,,1326.84,5797.13,27
HCPCS,46070,Incision of anal septum,,,2116.0,5797.13,23
HCPCS,46080,Incision of anal sphincter,,,1517.25,5797.13,27
HCPCS,46083,Hb Incise Thrombosed Hemorrhoid Ext,2415.0,845.25,,,0
HCPCS,46083,Hb Incision Thrombosed Hemorrhoid External,2415.0,845.25,,,0
HCPCS,46083,Incise external hemorrhoid,,,260.91,1502.0,23
HCPCS,46200,Removal of anal fissure,,,1326.84,5797.13,27
HCPCS,46210,Removal of anal crypt,,,1900.0,2000.0,2
HCPCS,46211,Removal of anal crypts,,,1900.0,2000.0,2
HCPCS,46220,Excise anal ext tag/papilla,,,990.66,2923.0,27
HCPCS,46221,Hb Ligature Hemorrhoidectomy,5719.5,2001.825,,,0
HCPCS,46221,Ligation of hemorrhoid(s),,,940.0,1942.27,23
HCPCS,46230,Removal of anal tags,,,990.66,5797.13,27
HCPCS,46250,Remove ext hem groups 2+,,,1517.25,5797.13,27
HCPCS,46255,Hb Hemorrhoidectomy Int/Ext Hem 1 Group,21043.0,7365.05,,,0
HCPCS,46255,Remove int/ext hem 1 group,,,1517.25,5797.13,27
HCPCS,46257,Remove in/ex hem grp & fiss,,,1517.25,5797.13,27
HCPCS,46258,Remove in/ex hem grp w/fistu,,,1517.25,5797.13,27
HCPCS,46260,Remove in/ex hem groups 2+,,,1517.25,5797.13,27
HCPCS,46261,Remove in/ex hem grps & fiss,,,1874.25,5797.13,27
HCPCS,46262,Remove in/ex hem grps w/fist,,,1874.25,5797.13,27
HCPCS,46270,Remove anal fist subq,,,1517.25,5797.13,27
HCPCS,46275,Remove anal fist inter,,,1517.25,5797.13,27
HCPCS,46280,Remove anal fist complex,,,1874.25,5797.13,27
HCPCS,46285,Remove anal fist 2 stage,,,990.66,5797.13,27
HCPCS,46288,Repair anal fistula,,,1874.25,6490.0,27
HCPCS,46320,Hb Exc Thrombosed Hemorrhoid Xtrnl,15059.0,5270.65,,,0
HCPCS,46320,Removal of hemorrhoid clot,,,1249.63,2923.0,23
HCPCS,46500,Injection into hemorrhoid(s),,,940.0,3993.0,23
HCPCS,46505,Chemodenervation anal musc,,,1249.63,2923.0,23
HCPCS,46505,Hb Chemodenervation Of Anal Sphincter,8434.0,2951.9,,,0
HCPCS,46600,Diagnostic anoscopy spx,,,138.94,972.0,21
HCPCS,46600,Hb Anoscopy,6478.0,2267.3,,,0
HCPCS,46601,Diagnostic anoscopy,,,466.5,1502.0,23
HCPCS,46601,Hb Anoscopy Dx W/Hra &Chem Agnts Enhancement,575.0,201.25,,,0
HCPCS,46604,Anoscopy and dilation,,,1249.63,3993.0,23
HCPCS,46604,Hb Anoscopy W Dilation,8419.0,2946.65,,,0
HCPCS,46606,Anoscopy and biopsy,,,1249.63,3993.0,25
HCPCS,46606,Hb Anoscopy W Biopsy,8419.0,2946.65,,,0
HCPCS,46607,Diagnostic anoscopy & biopsy,,,1249.63,3112.0,23
HCPCS,46608,Anoscopy remove for body,,,971.14,2923.0,27
HCPCS,46608,Hb Anoscopy W Remove Fb,8419.0,2946.65,,,0
HCPCS,46610,Anoscopy remove lesion,,,990.66,5797.13,27
HCPCS,46610,Hb Anoscopy W Rem Tum Poly Forcep,8419.0,2946.65,,,0
HCPCS,46611,Anoscopy,,,971.14,2923.0,27
HCPCS,46611,Hb Anoscopy W Rem Tum Poly Snare,8419.0,2946.65,,,0
HCPCS,46612,Anoscopy remove lesions,,,990.66,5797.13,27
HCPCS,46612,Hb Anosco W Rem Multi Tum Polyp,8419.0,2946.65,,,0
HCPCS,46614,Anoscopy control bleeding,,,1249.63,3993.0,23
HCPCS,46614,Hb Anoscopy W Control Bleed,8419.0,2946.65,,,0
HCPCS,46615,Anoscopy,,,1326.84,5797.13,27
HCPCS,46615,Hb Anoscopy W Ablat Tumor,8419.0,2946.65,,,0
HCPCS,46700,Repair of anal stricture,,,1517.25,5797.13,27
HCPCS,46705,Repair of anal stricture,,,3613.0,4992.0,4
HCPCS,46706,Repr of anal fistula w/glue,,,990.66,5797.13,27
HCPCS,46707,Repair anorectal fist w/plug,,,2898.56,6490.0,23
HCPCS,46710,Repr per/vag pouch sngl proc,,,3613.0,4992.0,4
HCPCS,46712,Repr per/vag pouch dbl proc,,,3613.0,4992.0,4
HCPCS,46715,Rep perf anoper fistu,,,3613.0,4992.0,4
HCPCS,46716,Rep perf anoper/vestib fistu,,,3613.0,4992.0,4
HCPCS,46730,Construction of absent anus,,,3613.0,4992.0,4
HCPCS,46735,Construction of absent anus,,,3613.0,4992.0,4
HCPCS,46740,Construction of absent anus,,,3613.0,4992.0,4
HCPCS,46742,Repair of imperforated anus,,,3613.0,4992.0,4
HCPCS,46744,Repair of cloacal anomaly,,,3613.0,4992.0,4
HCPCS,46746,Repair of cloacal anomaly,,,3613.0,4992.0,4
HCPCS,46748,Repair of cloacal anomaly,,,3613.0,4992.0,4
HCPCS,46750,Repair of anal sphincter,,,1517.25,6490.0,27
HCPCS,46751,Repair of anal sphincter,,,3613.0,4992.0,4
HCPCS,46753,Reconstruction of anus,,,1517.25,5797.13,27
HCPCS,46754,Removal of suture from anus,,,1326.84,5797.13,27
HCPCS,46760,Repair of anal sphincter,,,1326.84,6490.0,27
HCPCS,46761,Repair of anal sphincter,,,1517.25,6490.0,27
HCPCS,46762,Implant artificial sphincter,,,2960.1,3596.08,2
HCPCS,46900,Destruction anal lesion(s),,,424.52,1502.0,23
HCPCS,46910,Destruction anal lesion(s),,,2116.0,4309.28,23
HCPCS,46916,Cryosurgery anal lesion(s),,,209.52,972.0,21
HCPCS,46917,Laser surgery anal lesions,,,990.66,5797.13,27
HCPCS,46922,Excision of anal lesion(s),,,990.66,5797.13,27
HCPCS,46924,Destruction anal lesion(s),,,990.66,5797.13,27
HCPCS,46930,Destroy internal hemorrhoids,,,940.0,3369.0,23
HCPCS,46930,Hb Ult Int Hemorrhoidectomy,2453.0,858.55,,,0
HCPCS,46937,Cryotherapy of rectal lesion,,,1900.0,2000.0,2
HCPCS,46938,Cryotherapy of rectal lesion,,,1900.0,2000.0,2
HCPCS,46940,Treatment of anal fissure,,,2116.0,5797.13,23
HCPCS,46942,Treatment of anal fissure,,,940.0,1942.27,23
HCPCS,46945,Hb Hemorrhoid Ligation,9257.0,3239.95,,,0
HCPCS,46945,Remove by ligat int hem grp,,,2898.56,5797.13,23
HCPCS,46946,Hb Hemorrhoid Ligation 2 Or More,12675.0,4436.25,,,0
HCPCS,46946,Remove by ligat int hem grps,,,990.66,5797.13,25
HCPCS,46947,Hemorrhoidopexy by stapling,,,2375.0,6490.0,27
HCPCS,46948,Int hrhc tranal dartlzj 2+,,,2898.56,5797.13,23
HCPCS,46999,Anus surgery procedure,,,940.0,3993.0,23
HCPCS,46999,Hb Anoscopy Submucosal Solesta,17741.0,6209.35,,,0
HCPCS,47000,Hb 47000 Liver Biopsy,6868.0,2403.8,,,0
HCPCS,47000,Hb Liver Biopsy,6868.0,2403.8,,,0
HCPCS,47000,Needle biopsy of liver,,,990.66,3449.46,27
HCPCS,47001,Hb 47001 Liver Biopsy Add On,11740.0,4109.0,,,0
HCPCS,47001,Needle biopsy liver add-on,,,704.0,972.0,2
HCPCS,47010,Hb 47010 Liver Abcess Drain,11580.0,4053.0,,,0
HCPCS,47010,Open drainage liver lesion,,,3613.0,4992.0,4
HCPCS,47015,Inject/aspirate liver cyst,,,2116.0,3993.0,4
HCPCS,47100,Wedge biopsy of liver,,,3760.0,5195.0,4
HCPCS,47120,Partial removal of liver,,,3613.0,4992.0,4
HCPCS,47122,Extensive removal of liver,,,3613.0,4992.0,4
HCPCS,47125,Partial removal of liver,,,3613.0,4992.0,4
HCPCS,47130,Partial removal of liver,,,3613.0,4992.0,4
HCPCS,47133,Hb Donor Hepatectomy Cadaver Donor,7000.0,2450.0,,,0
HCPCS,47133,Removal of donor liver,,,3613.0,4992.0,4
HCPCS,47135,Transplantation of liver,,,3613.0,4992.0,4
HCPCS,47140,Partial removal donor liver,,,3613.0,4992.0,4
HCPCS,47141,Partial removal donor liver,,,3613.0,4992.0,4
HCPCS,47142,Partial removal donor liver,,,3613.0,4992.0,4
HCPCS,47143,Prep donor liver whole,,,3613.0,4992.0,4
HCPCS,47144,Prep donor liver 3-segment,,,3613.0,4992.0,4
HCPCS,47145,Prep donor liver lobe split,,,3613.0,4992.0,4
HCPCS,47146,Prep donor liver/venous,,,3613.0,4992.0,4
HCPCS,47147,Prep donor liver/arterial,,,3613.0,4992.0,4
HCPCS,47300,Surgery for liver lesion,,,3613.0,4992.0,4
HCPCS,47350,Repair liver wound,,,3613.0,4992.0,4
HCPCS,47360,Repair liver wound,,,3613.0,4992.0,4
HCPCS,47361,Repair liver wound,,,3613.0,4992.0,4
HCPCS,47362,Repair liver wound,,,3613.0,4992.0,4
HCPCS,47370,Laparo ablate liver tumor rf,,,5506.0,22201.02,23
HCPCS,47371,Laparo ablate liver cryosurg,,,5506.0,22201.02,23
HCPCS,47379,Laparoscope procedure liver,,,5506.0,12626.43,23
HCPCS,47380,Open ablate liver tumor rf,,,3613.0,4992.0,4
HCPCS,47381,Open ablate liver tumor cryo,,,3613.0,4992.0,4
HCPCS,47382,Hb Ablation Liver,5257.0,1839.95,,,0
HCPCS,47382,Percut ablate liver rf,,,3885.0,14016.0,23
HCPCS,47383,Hb 47383 Perq Abltj Lvr Cryoablation 1 Or More,20453.0,7158.55,,,0
HCPCS,47383,Hb Perq Abltj Lvr Cryoablation 1 Or More,20453.0,7158.55,,,0
HCPCS,47383,Perq abltj lvr cryoablation,,,5282.0,22201.02,23
HCPCS,47384,Abltj ire liver 1+ tum perq,,,11100.51,22201.02,19
HCPCS,47399,Hb 47399 Hepatic Cyst Ablation,15295.0,5353.25,,,0
HCPCS,47399,Hb Cryoablation Liver,15295.0,5353.25,,,0
HCPCS,47399,Liver surgery procedure,,,739.49,3993.0,23
HCPCS,47400,Incision of liver duct,,,3613.0,4992.0,4
HCPCS,47420,Incision of bile duct,,,3613.0,4992.0,4
HCPCS,47425,Incision of bile duct,,,3613.0,4992.0,4
HCPCS,47460,Incise bile duct sphincter,,,3613.0,4992.0,4
HCPCS,47480,Incision of gallbladder,,,3613.0,4992.0,4
HCPCS,47490,Hb 47490 Perc Cholecystostomy,5144.0,1800.4,,,0
HCPCS,47490,Incision of gallbladder,,,3738.94,7477.87,23
HCPCS,47510,"Insert catheter, bile duct",,,1900.0,2000.0,2
HCPCS,47525,Change bile duct catheter,,,1425.0,1500.0,2
HCPCS,47530,Revise/reinsert bile tube,,,1425.0,1500.0,2
HCPCS,47531,Hb 47531 T Tube Cholang Exist Cath,6324.0,2213.4,,,0
HCPCS,47531,Hb Inject Cholangio Exist Cath,6324.0,2213.4,,,0
HCPCS,47531,Injection for cholangiogram,,,1457.0,7477.87,23
HCPCS,47532,Hb 47532 Inj Perc Transhep Cholang,3866.0,1353.1,,,0
HCPCS,47532,Hb Inj Perc Transhep Cholangio,3866.0,1353.1,,,0
HCPCS,47532,Injection for cholangiogram,,,3738.94,7477.87,23
HCPCS,47533,Hb 47533 Perc Biliary Drain Cath Ext,16618.0,5816.3,,,0
HCPCS,47533,Plmt biliary drainage cath,,,3738.94,7477.87,23
HCPCS,47534,Hb 47534 Perc Biliary Drain Cath Int Ext,26462.0,9261.7,,,0
HCPCS,47534,Plmt biliary drainage cath,,,3738.94,7477.87,23
HCPCS,47535,Conversion ext bil drg cath,,,3738.94,7477.87,23
HCPCS,47535,Hb 47535 Conversion Of Biliary Drn Cath,10830.0,3790.5,,,0
HCPCS,47536,Exchange biliary drg cath,,,3738.94,7477.87,23
HCPCS,47536,Hb 47536 Chng Of Biliary Drn Cath,7154.0,2503.9,,,0
HCPCS,47537,Hb 47537 Removal Perc Biliary Drain Cath,2404.0,841.4,,,0
HCPCS,47537,Removal biliary drg cath,,,947.15,2923.0,23
HCPCS,47538,Hb 47538 Perc Biliary Drain Stent Existing Access,28684.0,10039.4,,,0
HCPCS,47538,Perq plmt bile duct stent,,,5282.0,14016.0,23
HCPCS,47539,Hb 47539 Perc Biliary Drain Stent New Wo Sep Drn Cath,20481.0,7168.35,,,0
HCPCS,47539,Perq plmt bile duct stent,,,5282.0,14016.0,23
HCPCS,47540,Hb 47540 Perc Biliary Drain Stent New W Sep Drn Cath,20481.0,7168.35,,,0
HCPCS,47540,Perq plmt bile duct stent,,,5282.0,14016.0,23
HCPCS,47541,Hb 47541 Plmt Access Bil Tree Sm Bwl,10830.0,3790.5,,,0
HCPCS,47541,Plmt access bil tree sm bwl,,,4698.0,13520.95,23
HCPCS,47542,Dilate biliary duct/ampulla,,,704.0,972.0,2
HCPCS,47542,Hb 47542 Dilate Biliary Duct/Ampulla,10826.0,3789.1,,,0
HCPCS,47543,Endoluminal bx biliary tree,,,704.0,972.0,2
HCPCS,47543,Hb 47543 Endoluminal Bx Biliary Tree,9233.0,3231.55,,,0
HCPCS,47544,Hb 47544 Biliary Stone Removal,11557.0,4044.95,,,0
HCPCS,47544,Removal duct glbldr calculi,,,704.0,972.0,2
HCPCS,47550,Bile duct endoscopy add-on,,,704.0,3993.0,4
HCPCS,47550,Hb 47550 Biliary Ndsc Intraoperative,20345.0,7120.75,,,0
HCPCS,47552,Biliary endo perq dx w/speci,,,1326.84,13520.95,27
HCPCS,47552,Hb 47552 Biliary Endo Thru Skin,6241.0,2184.35,,,0
HCPCS,47553,Biliary endoscopy thru skin,,,1517.25,14016.0,27
HCPCS,47553,Hb 47553 Biliary Endo Skin W Biopsy,8113.0,2839.55,,,0
HCPCS,47554,Biliary endoscopy thru skin,,,1517.25,22201.02,27
HCPCS,47554,Hb 47554 Biliary Endo Rem Calc,8113.0,2839.55,,,0
HCPCS,47555,Biliary endoscopy thru skin,,,1517.25,13520.95,27
HCPCS,47555,Hb 47555 Perc Dil Biliary Wo Stent,7766.0,2718.1,,,0
HCPCS,47556,Biliary endoscopy thru skin,,,3706.38,22201.02,25
HCPCS,47556,Hb 47556 Perc Dil Biliary W Stent,8509.0,2978.15,,,0
HCPCS,47560,Laparoscopy w/cholangio,,,2375.0,2500.0,2
HCPCS,47561,Laparo w/cholangio/biopsy,,,2375.0,2500.0,2
HCPCS,47562,Laparoscopic cholecystectomy,,,5282.0,14016.0,23
HCPCS,47563,Laparo cholecystectomy/graph,,,5506.0,14016.0,23
HCPCS,47564,Laparo cholecystectomy/explr,,,5506.0,22201.02,23
HCPCS,47570,Laparo cholecystoenterostomy,,,3613.0,5766.0,4
HCPCS,47579,Laparoscope proc biliary,,,5506.0,12626.43,23
HCPCS,47600,Removal of gallbladder,,,3613.0,5766.0,4
HCPCS,47605,Removal of gallbladder,,,3613.0,5766.0,4
HCPCS,47610,Removal of gallbladder,,,3613.0,5766.0,4
HCPCS,47612,Removal of gallbladder,,,3613.0,5766.0,4
HCPCS,47620,Removal of gallbladder,,,3613.0,5766.0,4
HCPCS,47630,Remove bile duct stone,,,2375.0,2500.0,2
HCPCS,47700,Exploration of bile ducts,,,3613.0,4992.0,4
HCPCS,47701,Bile duct revision,,,3613.0,4992.0,4
HCPCS,47711,Excision of bile duct tumor,,,3613.0,4992.0,4
HCPCS,47712,Excision of bile duct tumor,,,3613.0,4992.0,4
HCPCS,47715,Excision of bile duct cyst,,,3613.0,4992.0,4
HCPCS,47720,Fuse gallbladder & bowel,,,3613.0,5766.0,4
HCPCS,47721,Fuse upper gi structures,,,3613.0,5766.0,4
HCPCS,47740,Fuse gallbladder & bowel,,,3613.0,5766.0,4
HCPCS,47741,Fuse gallbladder & bowel,,,3613.0,5766.0,4
HCPCS,47760,Fuse bile ducts and bowel,,,3613.0,4992.0,4
HCPCS,47765,Fuse liver ducts & bowel,,,3613.0,4992.0,4
HCPCS,47780,Fuse bile ducts and bowel,,,3613.0,4992.0,4
HCPCS,47785,Fuse bile ducts and bowel,,,3613.0,4992.0,4
HCPCS,47800,Reconstruction of bile ducts,,,3613.0,4992.0,4
HCPCS,47801,Placement bile duct support,,,3613.0,4992.0,4
HCPCS,47900,Suture bile duct injury,,,3613.0,4992.0,4
HCPCS,47999,Bile tract surgery procedure,,,947.15,3993.0,23
HCPCS,47999,Hb 47999 Bile Tract Surgery Proc,9018.0,3156.3,,,0
HCPCS,47999,Hb Bile Tract Surgery,9018.0,3156.3,,,0
HCPCS,48000,Drainage of abdomen,,,3613.0,4992.0,4
HCPCS,48001,Placement of drain pancreas,,,3613.0,4992.0,4
HCPCS,48020,Removal of pancreatic stone,,,3613.0,4992.0,4
HCPCS,48100,Biopsy of pancreas open,,,3613.0,4992.0,4
HCPCS,48102,Hb 48102 Pancreas Percut Biopsy,5697.0,1993.95,,,0
HCPCS,48102,Hb Pancreas Percut Biopsy,5697.0,1993.95,,,0
HCPCS,48102,Needle biopsy pancreas,,,990.66,3449.46,27
HCPCS,48105,Resect/Debride Pancreas,,,3613.0,4992.0,4
HCPCS,48120,Removal of pancreas lesion,,,3613.0,4992.0,4
HCPCS,48140,Partial removal of pancreas,,,3613.0,4992.0,4
HCPCS,48145,Partial removal of pancreas,,,3613.0,4992.0,4
HCPCS,48146,Pancreatectomy,,,3613.0,4992.0,4
HCPCS,48148,Removal of pancreatic duct,,,3613.0,4992.0,4
HCPCS,48150,Partial removal of pancreas,,,3613.0,4992.0,4
HCPCS,48152,Pancreatectomy,,,3613.0,4992.0,4
HCPCS,48153,Pancreatectomy,,,3613.0,4992.0,4
HCPCS,48154,Pancreatectomy,,,3613.0,4992.0,4
HCPCS,48155,Removal of pancreas,,,3613.0,4992.0,4
HCPCS,48160,Pancreas removal/transplant,,,3613.0,4992.0,4
HCPCS,48400,Injection intraop add-on,,,3613.0,4992.0,4
HCPCS,48500,Surgery of pancreatic cyst,,,3613.0,4992.0,4
HCPCS,48510,Drain pancreatic pseudocyst,,,3613.0,4992.0,4
HCPCS,48511,Hb 48511 Perc Drain Pancr Pseudoc,2758.0,965.3,,,0
HCPCS,48511,Hb Perc Drain Pancr Pseudoc,2758.0,965.3,,,0
HCPCS,48520,Fuse pancreas cyst and bowel,,,3613.0,4992.0,4
HCPCS,48540,Fuse pancreas cyst and bowel,,,3613.0,4992.0,4
HCPCS,48545,Pancreatorrhaphy,,,3613.0,4992.0,4
HCPCS,48547,Duodenal exclusion,,,3613.0,4992.0,4
HCPCS,48548,Fuse Pancreas and Bowel,,,3613.0,4992.0,4
HCPCS,48550,Donor pancreatectomy,,,3885.0,3993.0,2
HCPCS,48551,Prep donor pancreas,,,3885.0,3993.0,2
HCPCS,48552,Prep donor pancreas/venous,,,3885.0,3993.0,2
HCPCS,48554,Transpl allograft pancreas,,,3885.0,3993.0,2
HCPCS,48556,Removal allograft pancreas,,,3885.0,3993.0,2
HCPCS,48999,Hb Ablation Pancr Tumor W Tnf,12496.0,4373.6,,,0
HCPCS,48999,Pancreas surgery procedure,,,739.49,3993.0,23
HCPCS,49000,Exploration of abdomen,,,3885.0,6490.0,4
HCPCS,49000,Hb Exploratory Laparotomy Celiotomy W/Wo Bx Spx,20149.0,7052.15,,,0
HCPCS,49002,Reopening of abdomen,,,3613.0,4992.0,4
HCPCS,49010,Exploration behind abdomen,,,3885.0,13520.95,23
HCPCS,49013,Prpertl pel pack hemrrg trma,,,3613.0,4992.0,4
HCPCS,49014,Reexploration pelvic wound,,,3613.0,4992.0,4
HCPCS,49020,Drainage abdom abscess open,,,3613.0,4992.0,4
HCPCS,49020,Hb Drainage Abdom Abscess Open,11418.0,3996.3,,,0
HCPCS,49040,Drain open abdom abscess,,,3613.0,4992.0,4
HCPCS,49040,Hb 49040 Drain Subdia Abscess,17440.0,6104.0,,,0
HCPCS,49060,Drain open retroperi abscess,,,3613.0,4992.0,4
HCPCS,49062,Drain to peritoneal cavity,,,3613.0,4992.0,4
HCPCS,49080,"Puncture, peritoneal cavity",,,1900.0,2000.0,2
HCPCS,49081,Removal of abdominal fluid,,,1900.0,2000.0,2
HCPCS,49082,Abd paracentesis,,,947.15,2923.0,23
HCPCS,49082,Hb 49082 Paracentesis Wo Imaging,4224.0,1478.4,,,0
HCPCS,49082,Hb Paracentesis Wo Imaging,4224.0,1478.4,,,0
HCPCS,49083,Abd paracentesis w/imaging,,,947.15,2923.0,23
HCPCS,49083,Hb 49083 Paracentesis W Imaging,7896.0,2763.6,,,0
HCPCS,49083,Hb Paracentesis W Imaging,7896.0,2763.6,,,0
HCPCS,49084,Hb 49084 Peritoneal Lavage,4224.0,1478.4,,,0
HCPCS,49084,Hb Peritoneal Lavage,4224.0,1478.4,,,0
HCPCS,49084,Peritoneal lavage,,,947.15,2923.0,23
HCPCS,49085,Remove abdomen foreign body,,,1900.0,2000.0,2
HCPCS,49180,Biopsy abdominal mass,,,990.66,3449.46,27
HCPCS,49180,Hb 49180 Abdomen Retro Biopsy Per,4895.0,1713.25,,,0
HCPCS,49180,Hb Abdomen Retro Biopsy Percut,4895.0,1713.25,,,0
HCPCS,49185,Hb 49185 Sclerotx Fluid Collection,7041.0,2464.35,,,0
HCPCS,49185,Hb Sclerotx Fluid Collection,7041.0,2464.35,,,0
HCPCS,49185,Sclerotx fluid collection,,,940.0,4499.0,23
HCPCS,49186,Opn exc/dstr ntra-abd 5 cm/<,,,3613.0,4992.0,4
HCPCS,49187,Opn exc/dstr ntra-abd 5.1-10,,,3613.0,4992.0,4
HCPCS,49188,Opn exc/dst ntra-abd 10.1-20,,,3613.0,4992.0,4
HCPCS,49189,Opn exc/dst ntra-abd 20.1-30,,,3613.0,4992.0,4
HCPCS,49190,Opn exc/dstr ntra-abd >30 cm,,,3613.0,4992.0,4
HCPCS,49215,Excise sacral spine tumor,,,3613.0,4992.0,4
HCPCS,49250,Excision of umbilicus,,,1874.25,7477.87,27
HCPCS,49255,Removal of omentum,,,3760.0,13520.95,23
HCPCS,49320,Diag laparo separate proc,,,1517.25,12626.43,27
HCPCS,49321,Laparoscopy biopsy,,,1874.25,12626.43,27
HCPCS,49322,Hb Lap Surg W/Asp Cyst Single/Multi,24695.0,8643.25,,,0
HCPCS,49322,Laparoscopy aspiration,,,1874.25,12626.43,27
HCPCS,49323,Laparo drain lymphocele,,,5506.0,12626.43,23
HCPCS,49324,Lap insert tunnel ip cath,,,5506.0,12626.43,23
HCPCS,49325,Lap Revision Perm IP Cath,,,5506.0,12626.43,23
HCPCS,49326,Lap w/Omentopexy Add-on,,,704.0,5766.0,4
HCPCS,49327,Lap ins device for rt,,,704.0,5766.0,4
HCPCS,49329,Laparo proc abdm/per/oment,,,5506.0,12626.43,23
HCPCS,49400,Air injection into abdomen,,,704.0,972.0,2
HCPCS,49400,Hb 49400 Inj Air Contr Perit Cavity,3675.0,1286.25,,,0
HCPCS,49402,Hb 49402 Remove Foreign Body Adbomen,15454.0,5408.9,,,0
HCPCS,49402,Remove foreign body adbomen,,,1326.84,7477.87,25
HCPCS,49405,Hb 49405 Image Cath Fluid Colxn Visc,6969.0,2439.15,,,0
HCPCS,49405,Hb Image Cath Fluid Colxn Visc,6969.0,2439.15,,,0
HCPCS,49405,Image cath fluid colxn visc,,,1724.73,5282.0,23
HCPCS,49406,Hb 49406 Perc Drain Append Absces,6969.0,2439.15,,,0
HCPCS,49406,Hb Image Cath Fluid Peri/Retro,6969.0,2439.15,,,0
HCPCS,49406,Image cath fluid peri/retro,,,1724.73,5282.0,23
HCPCS,49407,Hb Image Fluid Collxn Drainag Cath Transrec/Vaginal,5709.0,1998.15,,,0
HCPCS,49407,Image cath fluid trns/vgnl,,,1724.73,3449.46,23
HCPCS,49411,Hb 49411 Interstitial Dev Plmt Radiation Therapy 1/Mlt,7928.0,2774.8,,,0
HCPCS,49411,Hb Interstitial Dev Plmt Radiation Therapy 1/Mlt,7928.0,2774.8,,,0
HCPCS,49411,Ins mark abd/pel for rt perq,,,1445.42,2923.0,23
HCPCS,49412,Ins device for rt guide open,,,3613.0,4992.0,4
HCPCS,49418,Hb 49418 Insert Tun Ip Cath Perc,24421.0,8547.35,,,0
HCPCS,49418,Insert tun ip cath perc,,,3738.94,7477.87,23
HCPCS,49419,Insert tun ip cath w/port,,,990.66,14016.0,27
HCPCS,49420,Insert abdominal drain,,,1425.0,1500.0,2
HCPCS,49421,Hb 49421 Insert Tun Intraperi Cath,8187.0,2865.45,,,0
HCPCS,49421,Hb Insert Tun Intraperi Cath,8187.0,2865.45,,,0
HCPCS,49421,Ins tun ip cath for dial opn,,,990.66,7477.87,27
HCPCS,49422,Hb 49422 Remove Tun Intraperi Cath,18143.0,6350.05,,,0
HCPCS,49422,Remove tunneled ip cath,,,990.66,6594.58,27
HCPCS,49423,Exchange drainage catheter,,,2003.87,4007.75,23
HCPCS,49423,Hb 49423 Exch Absc Cyst Drain Cath,8363.0,2927.05,,,0
HCPCS,49423,Hb Exch Absc Cyst Drain Cath,8363.0,2927.05,,,0
HCPCS,49424,Assess cyst contrast inject,,,704.0,972.0,2
HCPCS,49424,Hb 49424 Contrast Inj Ab Cy Drain,2125.0,743.75,,,0
HCPCS,49425,Hb 49425 Insert Abdomen-Venous Drain,4493.0,1572.55,,,0
HCPCS,49425,Insert abdomen-venous drain,,,2116.0,3993.0,4
HCPCS,49426,Hb 49426 Revise Abdomen-Venous Shunt,26023.0,9108.05,,,0
HCPCS,49426,Revise abdomen-venous shunt,,,1326.84,7477.87,27
HCPCS,49427,Hb 49427 Injection Abdominal Shunt,1779.0,622.65,,,0
HCPCS,49427,Injection abdominal shunt,,,704.0,972.0,2
HCPCS,49428,Ligation of shunt,,,2116.0,3993.0,4
HCPCS,49429,Hb 49429 Removal Of Shunt,21921.0,7672.35,,,0
HCPCS,49429,Removal of shunt,,,3297.29,6594.58,23
HCPCS,49435,Hb 49435 Ins Subq Ext To Ip Cath,9158.0,3205.3,,,0
HCPCS,49435,Insert Subq Exten to IP Cath,,,2116.0,2923.0,2
HCPCS,49436,Embedded IP Cath Exit-Site,,,2003.87,4007.75,23
HCPCS,49440,Hb 49440 Perc Place Gastro Tube,5026.0,1759.1,,,0
HCPCS,49440,Hb Perc Place Gastro Tube,5026.0,1759.1,,,0
HCPCS,49440,Place gastrostomy tube perc,,,1457.0,4007.75,23
HCPCS,49441,Hb 49441 Perc Place J Tube,7906.0,2767.1,,,0
HCPCS,49441,Hb Perc Place J Tube,7906.0,2767.1,,,0
HCPCS,49441,Place duod/jej tube perc,,,1457.0,4007.75,23
HCPCS,49442,Hb 49442 Insert C Tube Perc Fluor,10602.0,3710.7,,,0
HCPCS,49442,Place cecostomy tube perc,,,1249.63,3369.0,23
HCPCS,49446,Change g-tube to g-j perc,,,1457.0,4007.75,23
HCPCS,49446,Hb 49446 Chg G Tube To Gj Perc,8616.0,3015.6,,,0
HCPCS,49446,Hb Chg G Tube To Gj Perc,8616.0,3015.6,,,0
HCPCS,49450,Hb 49450 Change Gastro Cecos Tube,3458.0,1210.3,,,0
HCPCS,49450,Hb Change Gastro Cecos Tube,3458.0,1210.3,,,0
HCPCS,49450,Replace g/c tube perc,,,947.15,2923.0,23
HCPCS,49451,Hb 49451 Replace Duo J Tube Perc,3290.0,1151.5,,,0
HCPCS,49451,Hb Replace Duo J Tube Perc,3290.0,1151.5,,,0
HCPCS,49451,Replace duod/jej tube perc,,,947.15,2923.0,23
HCPCS,49452,Hb 49452 Replace Gj Tube Perc,2722.0,952.7,,,0
HCPCS,49452,Hb Replace Gj Tube Perc,2722.0,952.7,,,0
HCPCS,49452,Replace g-j tube perc,,,947.15,2923.0,23
HCPCS,49460,Fix g/colon tube w/device,,,947.15,2923.0,23
HCPCS,49460,Hb 49460 Remove Obs Mat Gi Tube,3293.0,1152.55,,,0
HCPCS,49465,Fluoro exam of g/colon tube,,,249.17,972.0,21
HCPCS,49465,Hb 49465 Inj Cont W Fluoro Tube,1407.0,492.45,,,0
HCPCS,49465,Hb Inj Cont W Fluoro Tube,1407.0,492.45,,,0
HCPCS,49491,Rpr hern preemie reduc,,,3885.0,12626.43,23
HCPCS,49492,Rpr ing hern premie blocked,,,3738.94,7477.87,23
HCPCS,49495,Rpr ing hernia baby reduc,,,1874.25,7477.87,27
HCPCS,49496,Rpr ing hernia baby blocked,,,1874.25,7477.87,27
HCPCS,49500,Rpr ing hernia init reduce,,,1874.25,13520.95,27
HCPCS,49501,Rpr ing hernia init blocked,,,3738.94,7477.87,25
HCPCS,49505,Hb Rpr 1St Ingun Hrna Age 5 Yrs/> Reducible,34844.0,12195.4,,,0
HCPCS,49505,Prp i/hern init reduc >5 yr,,,1874.25,7477.87,27
HCPCS,49507,Prp i/hern init block >5 yr,,,3738.94,7477.87,25
HCPCS,49515,Hb Rmvl Fecal Impaction/Fb Spx Under Anes,15901.0,5565.35,,,0
HCPCS,49520,Rerepair ing hernia reduce,,,2960.1,7477.87,25
HCPCS,49521,Rerepair ing hernia blocked,,,3983.52,13520.95,25
HCPCS,49525,Repair ing hernia sliding,,,1874.25,7477.87,27
HCPCS,49540,Repair lumbar hernia,,,1326.84,12626.43,27
HCPCS,49550,Rpr rem hernia init reduce,,,2133.06,7477.87,25
HCPCS,49553,Rpr fem hernia init blocked,,,3738.94,7477.87,25
HCPCS,49555,Rerepair fem hernia reduce,,,2133.06,7477.87,25
HCPCS,49557,Rerepair fem hernia blocked,,,3738.94,7477.87,25
HCPCS,49560,Rpr ventral hern init reduc,,,1874.25,3000.0,4
HCPCS,49561,Rpr ventral hern init block,,,3983.52,4839.39,2
HCPCS,49565,Rerepair ventrl hern reduce,,,1874.25,3000.0,4
HCPCS,49566,Rerepair ventrl hern block,,,3983.52,4839.39,2
HCPCS,49568,Hb Hernia Repair W/Mesh,13222.0,4627.7,,,0
HCPCS,49568,Hernia repair w/mesh,,,2960.1,3596.08,2
HCPCS,49570,Rpr epigastric hern reduce,,,1874.25,3000.0,4
HCPCS,49572,Rpr epigastric hern blocked,,,3983.52,4839.39,2
HCPCS,49580,Rpr umbil hern reduc < 5 yr,,,1874.25,3000.0,4
HCPCS,49582,Rpr umbil hern block < 5 yr,,,3983.52,4839.39,2
HCPCS,49585,Rpr umbil hern reduc > 5 yr,,,1874.25,3000.0,4
HCPCS,49587,Rpr umbil hern block > 5 yr,,,3983.52,4839.39,2
HCPCS,49590,Repair spigelian hernia,,,1517.25,2500.0,4
HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,3036.0,7477.87,23
HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,5282.0,14016.0,23
HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,3036.0,13520.95,23
HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,5282.0,14016.0,23
HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,3036.0,13520.95,23
HCPCS,49596,Rpr aa hrn 1st > 10 ncr/strn,,,5282.0,14016.0,4
HCPCS,49600,Repair umbilical lesion,,,1874.25,7477.87,27
HCPCS,49605,Repair umbilical lesion,,,3613.0,4992.0,4
HCPCS,49606,Repair umbilical lesion,,,3613.0,4992.0,4
HCPCS,49610,Repair umbilical lesion,,,3613.0,4992.0,4
HCPCS,49611,Repair umbilical lesion,,,3613.0,4992.0,4
HCPCS,49613,Hb Rpr Aa Hernia Recr < 3 Cm Reducible,5527.0,1934.45,,,0
HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,3036.0,7477.87,23
HCPCS,49614,Hb Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated,8291.0,2901.85,,,0
HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,5282.0,14016.0,23
HCPCS,49615,Hb Rpr Aa Hernia Recr 3-10 Cm Reducible,3721.0,1302.35,,,0
HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,3036.0,13520.95,23
HCPCS,49616,Hb Rpr Aa Hernia Recr 3-10 Cm Ncrc8/Strangulated,4006.0,1402.1,,,0
HCPCS,49616,Rpr aa hrn rcr 3-10 ncr/strn,,,5282.0,14016.0,4
HCPCS,49617,Hb Rpr Aa Hernia Recr > 10 Cm Reducible,2697.0,943.95,,,0
HCPCS,49617,Rpr aa hrn rcr > 10 rdc,,,3036.0,14016.0,4
HCPCS,49618,Hb Rpr Aa Hernia Recr > 10 Cm Ncrc8/Strangulated,5219.0,1826.65,,,0
HCPCS,49618,Rpr aa hrn rcr > 10 ncr/strn,,,5282.0,14016.0,4
HCPCS,49621,Rpr parastomal hernia rdc,,,3036.0,14016.0,4
HCPCS,49622,Rpr parastomal hrna ncr/strn,,,5282.0,14016.0,4
HCPCS,49623,Rmvl ninfct mesh hernia rpr,,,704.0,972.0,2
HCPCS,49650,Lap ing hernia repair init,,,1874.25,14016.0,27
HCPCS,49651,Lap ing hernia repair recur,,,2960.1,14016.0,25
HCPCS,49659,Laparo proc hernia repair,,,5506.0,12626.43,23
HCPCS,49900,Hb Repair Of Abdominal Wall,16549.0,5792.15,,,0
HCPCS,49900,Repair of abdominal wall,,,3613.0,4992.0,4
HCPCS,49904,Omental flap extra-abdom,,,3613.0,4992.0,4
HCPCS,49905,Omental flap intra-abdom,,,3613.0,4992.0,4
HCPCS,49906,Free omental flap microvasc,,,3613.0,4992.0,4
HCPCS,49999,Abdomen surgery procedure,,,947.15,3993.0,23
HCPCS,49999,Hb 49999 Peritoneal Abd Proc,10407.0,3642.45,,,0
HCPCS,49999,Hb Abdomen Procedure,10407.0,3642.45,,,0
HCPCS,50010,Exploration of kidney,,,3613.0,4992.0,4
HCPCS,50020,Hb 50020 Renal Abcess Drain,2008.0,702.8,,,0
HCPCS,50020,Hb Renal Abscess Open Drain,2008.0,702.8,,,0
HCPCS,50020,Renal abscess open drain,,,2182.94,5195.0,23
HCPCS,50040,Drainage of kidney,,,3760.0,5195.0,4
HCPCS,50045,Exploration of kidney,,,3613.0,4992.0,4
HCPCS,50060,Removal of kidney stone,,,3613.0,4992.0,4
HCPCS,50065,Incision of kidney,,,3613.0,4992.0,4
HCPCS,50070,Incision of kidney,,,3613.0,4992.0,4
HCPCS,50075,Removal of kidney stone,,,3613.0,4992.0,4
HCPCS,50080,Hb 50080 Remove Kidney Stone,18642.0,6524.7,,,0
HCPCS,50080,Removal of kidney stone,,,3885.0,19771.25,23
HCPCS,50081,Removal of kidney stone,,,3885.0,19771.25,23
HCPCS,50100,Revise kidney blood vessels,,,3613.0,4992.0,4
HCPCS,50120,Exploration of kidney,,,3613.0,4992.0,4
HCPCS,50125,Explore and drain kidney,,,3613.0,4992.0,4
HCPCS,50130,Removal of kidney stone,,,3613.0,4992.0,4
HCPCS,50200,Hb 50200 Renal Perc Biopsy,6645.0,2325.75,,,0
HCPCS,50200,Hb Renal Perc Biopsy,6645.0,2325.75,,,0
HCPCS,50200,Renal biopsy perq,,,990.66,3449.46,27
HCPCS,50205,Renal biopsy open,,,2375.0,4992.0,6
HCPCS,50220,Remove kidney open,,,3613.0,4992.0,4
HCPCS,50225,Removal kidney open complex,,,3613.0,4992.0,4
HCPCS,50230,Removal kidney open radical,,,3613.0,4992.0,4
HCPCS,50234,Removal of kidney & ureter,,,3613.0,4992.0,4
HCPCS,50236,Removal of kidney & ureter,,,3613.0,4992.0,4
HCPCS,50240,Partial removal of kidney,,,3613.0,4992.0,4
HCPCS,50250,Cryoablate renal mass open,,,3613.0,4992.0,4
HCPCS,50280,Removal of kidney lesion,,,3613.0,4992.0,4
HCPCS,50290,Removal of kidney lesion,,,3613.0,4992.0,4
HCPCS,50300,Remove cadaver donor kidney,,,3613.0,4992.0,4
HCPCS,50320,Remove kidney living donor,,,3613.0,4992.0,4
HCPCS,50323,Prep cadaver renal allograft,,,3613.0,4992.0,4
HCPCS,50325,Prep donor renal graft,,,3613.0,4992.0,4
HCPCS,50327,Prep renal graft/venous,,,3613.0,4992.0,4
HCPCS,50328,Prep renal graft/arterial,,,3613.0,4992.0,4
HCPCS,50329,Prep renal graft/ureteral,,,3613.0,4992.0,4
HCPCS,50340,Removal of kidney,,,3613.0,4992.0,4
HCPCS,50360,Transplantation of kidney,,,3613.0,4992.0,4
HCPCS,50365,Transplantation of kidney,,,3613.0,4992.0,4
HCPCS,50370,Remove transplanted kidney,,,3613.0,4992.0,4
HCPCS,50380,Reimplantation of kidney,,,3613.0,4992.0,4
HCPCS,50382,Change ureter stent percut,,,2064.0,5195.0,23
HCPCS,50382,Hb 50382 Change Ureter Stent Perc,14085.0,4929.75,,,0
HCPCS,50384,Hb 50384 Remove Ureter Stent Perc,14085.0,4929.75,,,0
HCPCS,50384,Remove ureter stent percut,,,1457.0,5195.0,23
HCPCS,50385,Change stent via transureth,,,2182.94,5195.0,23
HCPCS,50386,Hb 50386 Remove Stent Via Transureth,10131.0,3545.85,,,0
HCPCS,50386,Remove stent via transureth,,,1457.0,5195.0,23
HCPCS,50387,Change nephroureteral cath,,,2064.0,4365.89,23
HCPCS,50387,Hb 50387Change Ext Int Ureter Stent,5250.0,1837.5,,,0
HCPCS,50389,Hb 50389 Remove Renal Tube W Fluor,1415.0,495.25,,,0
HCPCS,50389,Remove renal tube w/fluoro,,,728.17,1502.0,23
HCPCS,50390,Drainage of kidney lesion,,,739.49,1502.0,27
HCPCS,50390,Hb 50390 Renal Cyst Aspiration,5937.0,2077.95,,,0
HCPCS,50390,Hb Renal Cyst Aspiration,5937.0,2077.95,,,0
HCPCS,50391,Hb Instll Rx Agnt Into Rnal Tub,1594.0,557.9,,,0
HCPCS,50391,Instll rx agnt into rnal tub,,,260.91,1502.0,23
HCPCS,50392,Insert kidney drain,,,1425.0,1500.0,2
HCPCS,50393,Insert ureteral tube,,,1425.0,1500.0,2
HCPCS,50395,Create passage to kidney,,,990.66,1500.0,4
HCPCS,50396,Hb 50396 Whitaker Test,938.0,328.3,,,0
HCPCS,50396,Measure kidney pressure,,,391.2,1502.0,27
HCPCS,50398,Change kidney tube,,,1425.0,1500.0,2
HCPCS,50400,Revision of kidney/ureter,,,3885.0,6490.0,4
HCPCS,50405,Revision of kidney/ureter,,,3885.0,6490.0,4
HCPCS,50430,Hb 50430 Inject For Kidney Xray New Access,3064.0,1072.4,,,0
HCPCS,50430,Hb Inject For Kidney Xray New Access,3064.0,1072.4,,,0
HCPCS,50430,Njx px nfrosgrm &/urtrgrm,,,728.17,2494.0,23
HCPCS,50431,Hb 50431 Inject For Kidney Xray Existing Access,3064.0,1072.4,,,0
HCPCS,50431,Hb Inject For Kidney Xray Existing Access,3064.0,1072.4,,,0
HCPCS,50431,Njx px nfrosgrm &/urtrgrm,,,728.17,2494.0,23
HCPCS,50432,Hb 50432 Perc Drain Renal Pelvis,4905.0,1716.75,,,0
HCPCS,50432,Plmt nephrostomy catheter,,,2182.94,5195.0,23
HCPCS,50433,Hb 50433 Perc Nephroureteral Cath Place New,7495.0,2623.25,,,0
HCPCS,50433,Plmt nephroureteral catheter,,,3681.06,7362.13,23
HCPCS,50434,Convert nephrostomy catheter,,,940.0,4365.89,23
HCPCS,50434,Hb 50434 Convert Perc Nephrostomy Cath Existing,2610.0,913.5,,,0
HCPCS,50435,Exchange nephrostomy cath,,,940.0,4365.89,23
HCPCS,50435,Hb 50435 Nephrostomy Tube Change,8378.5,2932.4750000000004,,,0
HCPCS,50436,Dilat xst trc ndurlgc px,,,3681.06,7362.13,23
HCPCS,50436,Hb 50436 Dilitation Of Each Neph,5409.0,1893.15,,,0
HCPCS,50437,Dilat xst trc new access rcs,,,3681.06,7362.13,23
HCPCS,50437,Hb 50437 Dilat Xst Trc New Access Rcs,6517.0,2280.95,,,0
HCPCS,50500,Repair of kidney wound,,,3613.0,4992.0,4
HCPCS,50520,Close kidney-skin fistula,,,940.0,3993.0,4
HCPCS,50525,Close nephrovisceral fistula,,,3613.0,4992.0,4
HCPCS,50526,Close nephrovisceral fistula,,,3613.0,4992.0,4
HCPCS,50540,Revision of horseshoe kidney,,,3613.0,4992.0,4
HCPCS,50541,Laparo ablate renal cyst,,,5506.0,22201.02,23
HCPCS,50542,Laparo ablate renal mass,,,5506.0,22201.02,23
HCPCS,50543,Laparo partial nephrectomy,,,5506.0,22201.02,23
HCPCS,50544,Laparoscopy pyeloplasty,,,5506.0,22201.02,23
HCPCS,50545,Laparo Radical Nephrectomy,,,3613.0,5766.0,4
HCPCS,50546,Laparoscopic nephrectomy,,,3613.0,5766.0,4
HCPCS,50547,Laparo removal donor kidney,,,3613.0,5766.0,4
HCPCS,50548,Laparo remove w/ureter,,,3613.0,5766.0,4
HCPCS,50549,Laparoscope proc renal,,,5506.0,12626.43,23
HCPCS,50551,Hb 50551 Kidney Endoscopy,5406.0,1892.1,,,0
HCPCS,50551,Kidney endoscopy,,,990.66,11198.42,27
HCPCS,50553,Kidney endoscopy,,,990.66,11198.42,27
HCPCS,50555,Kidney endoscopy & biopsy,,,990.66,19771.25,27
HCPCS,50557,Kidney endoscopy & treatment,,,990.66,19771.25,27
HCPCS,50561,Kidney endoscopy & treatment,,,990.66,11198.42,27
HCPCS,50562,Renal scope w/tumor resect,,,940.0,19771.25,23
HCPCS,50570,Kidney endoscopy,,,940.0,7362.13,23
HCPCS,50572,Kidney endoscopy,,,728.17,1502.0,23
HCPCS,50574,Kidney endoscopy & biopsy,,,940.0,7362.13,23
HCPCS,50575,Kidney endoscopy,,,3885.0,11198.42,23
HCPCS,50576,Kidney endoscopy & treatment,,,2116.0,19771.25,23
HCPCS,50580,Kidney endoscopy & treatment,,,2116.0,11198.42,23
HCPCS,50590,Fragmenting of kidney stone,,,3681.06,14016.0,23
HCPCS,50592,Hb Ablation Renal Tumor,17544.0,6140.4,,,0
HCPCS,50592,Perc rf ablate renal tumor,,,1457.0,14016.0,23
HCPCS,50593,Hb Cryoablation Renal Tumor,26284.0,9199.4,,,0
HCPCS,50593,Perc cryo ablate renal tum,,,5282.0,22201.02,23
HCPCS,50600,Exploration of ureter,,,3613.0,4992.0,4
HCPCS,50605,Hb 50605 Insert Ureteral Support,3439.0,1203.65,,,0
HCPCS,50605,Insert ureteral support,,,3613.0,4992.0,4
HCPCS,50606,Endoluminal bx urtr rnl plvs,,,704.0,972.0,2
HCPCS,50606,Hb 50606 Endoluminal Bx Urtr Rnl Plvs,2791.0,976.85,,,0
HCPCS,50610,Removal of ureter stone,,,3613.0,4992.0,4
HCPCS,50620,Removal of ureter stone,,,3613.0,4992.0,4
HCPCS,50630,Removal of ureter stone,,,3613.0,4992.0,4
HCPCS,50650,Removal of ureter,,,3613.0,4992.0,4
HCPCS,50660,Removal of ureter,,,3613.0,4992.0,4
HCPCS,50684,Hb 50684 Inject For Ureterogram,3466.0,1213.1,,,0
HCPCS,50684,Hb Inject For Urethrogram,3466.0,1213.1,,,0
HCPCS,50684,Injection for ureter x-ray,,,704.0,972.0,2
HCPCS,50686,Measure ureter pressure,,,134.37,972.0,21
HCPCS,50688,Change of ureter tube/stent,,,990.66,4365.89,27
HCPCS,50688,Hb 50688 Change Ureterostomy Tube,3123.0,1093.05,,,0
HCPCS,50688,Hb Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal,3123.0,1093.05,,,0
HCPCS,50690,Hb 50690 Loopogram,1930.0,675.5,,,0
HCPCS,50690,Hb Hb Inj To See Ileal Conduit /Ureteropyelogr,1678.0,587.3,,,0
HCPCS,50690,Injection for ureter x-ray,,,704.0,972.0,2
HCPCS,50693,Hb 50693 Perc Stent Place Ureter Existing Neph Tract,17123.0,5993.05,,,0
HCPCS,50693,Plmt ureteral stent prq,,,3681.06,7362.13,23
HCPCS,50694,Hb 50694 Perc Stent Place Ureter New Wo Neph Cath,17123.0,5993.05,,,0
HCPCS,50694,Plmt ureteral stent prq,,,3681.06,7362.13,23
HCPCS,50695,Hb 50695 Perc Stent Place Ureter New W Neph Cath,17123.0,5993.05,,,0
HCPCS,50695,Plmt ureteral stent prq,,,3681.06,7362.13,23
HCPCS,50700,Revision of ureter,,,3613.0,4992.0,4
HCPCS,50705,Hb 50705 Ureteral Embolization/Occl,8914.0,3119.9,,,0
HCPCS,50705,Ureteral embolization/occl,,,704.0,972.0,2
HCPCS,50706,Balloon dilate urtrl strix,,,704.0,972.0,2
HCPCS,50706,Hb 50706 Balloon Dilate Urtrl Strix,4023.0,1408.05,,,0
HCPCS,50715,Release of ureter,,,3613.0,4992.0,4
HCPCS,50722,Release of ureter,,,3613.0,4992.0,4
HCPCS,50725,Release/revise ureter,,,3613.0,4992.0,4
HCPCS,50727,Revise ureter,,,3681.06,7362.13,23
HCPCS,50728,Revise ureter,,,3613.0,4992.0,4
HCPCS,50740,Fusion of ureter & kidney,,,3613.0,4992.0,4
HCPCS,50750,Fusion of ureter & kidney,,,3613.0,4992.0,4
HCPCS,50760,Fusion of ureters,,,3613.0,4992.0,4
HCPCS,50770,Splicing of ureters,,,3613.0,4992.0,4
HCPCS,50780,Reimplant ureter in bladder,,,3760.0,5195.0,4
HCPCS,50782,Reimplant ureter in bladder,,,3613.0,4992.0,4
HCPCS,50783,Reimplant ureter in bladder,,,3613.0,4992.0,4
HCPCS,50785,Reimplant ureter in bladder,,,3613.0,4992.0,4
HCPCS,50800,Implant ureter in bowel,,,3613.0,4992.0,4
HCPCS,50810,Fusion of ureter & bowel,,,3613.0,4992.0,4
HCPCS,50815,Urine shunt to intestine,,,3613.0,4992.0,4
HCPCS,50820,Construct bowel bladder,,,3613.0,4992.0,4
HCPCS,50825,Construct bowel bladder,,,3613.0,4992.0,4
HCPCS,50830,Revise urine flow,,,3613.0,4992.0,4
HCPCS,50840,Replace ureter by bowel,,,3613.0,4992.0,4
HCPCS,50845,Appendico-vesicostomy,,,3613.0,4992.0,4
HCPCS,50860,Transplant ureter to skin,,,3613.0,4992.0,4
HCPCS,50900,Repair of ureter,,,3613.0,4992.0,4
HCPCS,50920,Closure ureter/skin fistula,,,3613.0,4992.0,4
HCPCS,50930,Closure ureter/bowel fistula,,,3613.0,4992.0,4
HCPCS,50940,Release of ureter,,,3613.0,4992.0,4
HCPCS,50945,Laparoscopy ureterolithotomy,,,5506.0,14016.0,23
HCPCS,50947,Laparo New Ureter/Bladder,,,3983.52,22201.02,25
HCPCS,50948,Laparo New Ureter/Bladder,,,3983.52,22201.02,25
HCPCS,50949,Laparoscope proc ureter,,,5506.0,12626.43,23
HCPCS,50951,Endoscopy of ureter,,,940.0,7362.13,27
HCPCS,50953,Endoscopy of ureter,,,990.66,7362.13,27
HCPCS,50955,Ureter endoscopy & biopsy,,,990.66,11198.42,27
HCPCS,50957,Ureter endoscopy & treatment,,,990.66,11198.42,27
HCPCS,50961,Ureter endoscopy & treatment,,,990.66,11198.42,27
HCPCS,50970,Ureter endoscopy,,,940.0,7362.13,27
HCPCS,50972,Ureter endoscopy & catheter,,,940.0,7362.13,27
HCPCS,50974,Ureter endoscopy & biopsy,,,990.66,11198.42,27
HCPCS,50976,Ureter endoscopy & treatment,,,990.66,11198.42,27
HCPCS,50980,Ureter endoscopy & treatment,,,990.66,11198.42,27
HCPCS,51010,Drainage of bladder,,,1425.0,1500.0,2
HCPCS,51020,Incise & treat bladder,,,1874.25,7362.13,27
HCPCS,51030,Incise & treat bladder,,,1874.25,3112.0,6
HCPCS,51040,Hb 51040 Cystostomy Cystotomy W/Drainage,13046.0,4566.1,,,0
HCPCS,51040,Hb Cystostomy Cystotomy W/Drainage,15003.0,5251.05,,,0
HCPCS,51040,Incise & drain bladder,,,1874.25,5195.0,27
HCPCS,51045,Incise bladder/drain ureter,,,940.0,4365.89,27
HCPCS,51050,Removal of bladder stone,,,1874.25,11198.42,27
HCPCS,51060,Removal of ureter stone,,,2182.94,9732.0,23
HCPCS,51065,Remove ureter calculus,,,1874.25,7362.13,27
HCPCS,51080,Drainage of bladder abscess,,,990.66,6066.67,27
HCPCS,51100,Drain bladder by needle,,,260.91,972.0,21
HCPCS,51100,Hb Bladder Aspiration Needle,5052.0,1768.2,,,0
HCPCS,51101,Drain bladder by trocar/cath,,,896.76,2923.0,21
HCPCS,51102,Drain bl w/cath insertion,,,2064.0,5195.0,23
HCPCS,51102,Hb 51102 Bladder Aspirate Cath,10718.0,3751.3,,,0
HCPCS,51102,Hb Bladder Aspirate Cath,7318.5,2561.475,,,0
HCPCS,51500,Removal of bladder cyst,,,1874.25,12626.43,27
HCPCS,51520,Removal of bladder lesion,,,1874.25,7362.13,27
HCPCS,51525,Removal of bladder lesion,,,3885.0,6490.0,4
HCPCS,51530,Removal of bladder lesion,,,3885.0,6490.0,4
HCPCS,51535,Repair of ureter lesion,,,3681.06,7362.13,23
HCPCS,51550,Partial removal of bladder,,,3613.0,4992.0,4
HCPCS,51555,Partial removal of bladder,,,3613.0,4992.0,4
HCPCS,51565,Revise bladder & ureter(s),,,3613.0,4992.0,4
HCPCS,51570,Removal of bladder,,,3613.0,4992.0,4
HCPCS,51575,Removal of bladder & nodes,,,3613.0,4992.0,4
HCPCS,51580,Remove bladder/revise tract,,,3613.0,4992.0,4
HCPCS,51585,Removal of bladder & nodes,,,3613.0,4992.0,4
HCPCS,51590,Remove bladder/revise tract,,,3613.0,4992.0,4
HCPCS,51595,Remove bladder/revise tract,,,3613.0,4992.0,4
HCPCS,51596,Remove bladder/create pouch,,,3613.0,4992.0,4
HCPCS,51597,Removal of pelvic structures,,,3613.0,4992.0,4
HCPCS,51600,Hb 51600 Inject For Cystogram,1356.0,474.6,,,0
HCPCS,51600,Hb Inject For Cystogram,1356.0,474.6,,,0
HCPCS,51600,Injection for bladder x-ray,,,704.0,972.0,2
HCPCS,51605,Hb Preparation For Bladder Xray,3428.0,1199.8,,,0
HCPCS,51605,Preparation for bladder xray,,,704.0,972.0,2
HCPCS,51610,Hb 51610 Urethrocystogram Retro,1306.0,457.1,,,0
HCPCS,51610,Hb Urethrocystogram Retro,1306.0,457.1,,,0
HCPCS,51610,Injection for bladder x-ray,,,704.0,972.0,2
HCPCS,51700,Hb Bladder Irrigation,328.0,114.80000000000001,,,0
HCPCS,51700,Irrigation of bladder,,,260.91,972.0,21
HCPCS,51701,Hb Bladder Cath Non Indwelling,962.0,336.7,,,0
HCPCS,51701,Insert bladder catheter,,,138.94,972.0,21
HCPCS,51702,Hb Insert Temp Bladder Cath,215.0,75.25,,,0
HCPCS,51702,Insert temp bladder cath,,,138.94,972.0,21
HCPCS,51703,Hb 51703 Insert Bladder Cath Cmpx,1678.0,587.3,,,0
HCPCS,51703,Hb Insert Cath Complicated,1678.0,587.3,,,0
HCPCS,51703,Insert bladder cath complex,,,134.37,1502.0,23
HCPCS,51705,Change of bladder tube,,,260.91,1502.0,23
HCPCS,51705,Hb 51705 Change Cystostomy Tube,1266.0,443.1,,,0
HCPCS,51705,Hb Change Cystostomy Tube,1266.0,443.1,,,0
HCPCS,51710,Change of bladder tube,,,728.17,1502.0,27
HCPCS,51710,Hb 51710 Change Cystostomy Cmpx,4019.0,1406.65,,,0
HCPCS,51710,Hb Change Cystostomy Tube Complicated,3494.0,1222.9,,,0
HCPCS,51715,Endoscopic injection/implant,,,1517.25,7362.13,27
HCPCS,51720,Hb Chemo Bladder Instillation,420.0,147.0,,,0
HCPCS,51720,Treatment of bladder lesion,,,704.0,1502.0,23
HCPCS,51721,Ins trurl ablt trnsdc thr us,,,3613.0,4992.0,4
HCPCS,51725,Hb Simple Cmg,1156.0,404.6,,,0
HCPCS,51725,Simple cystometrogram,,,260.91,1502.0,23
HCPCS,51726,Complex cystometrogram,,,260.91,1502.0,27
HCPCS,51726,Hb Complex Cmg,4891.0,1711.85,,,0
HCPCS,51727,Cystometrogram w/up,,,728.17,1456.35,21
HCPCS,51727,Hb Ureter Pressure Profile,1932.0,676.2,,,0
HCPCS,51728,Cystometrogram w/vp,,,728.17,1456.35,21
HCPCS,51728,Hb Study Vp Bladder,2581.0,903.35,,,0
HCPCS,51729,Cystometrogram w/vp&up,,,728.17,1456.35,21
HCPCS,51729,Hb Cystometrogram W/Vp&Up,3805.0,1331.75,,,0
HCPCS,51736,Urine flow measurement,,,138.94,972.0,21
HCPCS,51741,Electro-uroflowmetry first,,,225.48,972.0,21
HCPCS,51741,Hb Cmpx Electro Uroflowmetry,2877.0,1006.95,,,0
HCPCS,51772,Urethra pressure profile,,,1425.0,1500.0,2
HCPCS,51784,Anal/urinary muscle study,,,134.37,972.0,21
HCPCS,51784,Hb Emg Anal Non Needle,2937.0,1027.95,,,0
HCPCS,51785,Anal/urinary muscle study,,,199.08,1502.0,27
HCPCS,51785,Hb Emg Anal Needle,4241.0,1484.35,,,0
HCPCS,51792,Urinary reflex study,,,61.6,972.0,21
HCPCS,51797,Hb Intraabdominal Pressure Test,4052.0,1418.2,,,0
HCPCS,51797,Intraabdominal pressure test,,,704.0,972.0,2
HCPCS,51798,Hb Bladder Scan,559.0,195.65,,,0
HCPCS,51798,Us urine capacity measure,,,61.6,972.0,21
HCPCS,51800,Revision of bladder/urethra,,,3613.0,4992.0,4
HCPCS,51820,Revision of urinary tract,,,3613.0,4992.0,4
HCPCS,51840,Attach bladder/urethra,,,3760.0,10447.91,23
HCPCS,51841,Attach bladder/urethra,,,3760.0,5195.0,4
HCPCS,51845,Repair bladder neck,,,3885.0,10447.91,23
HCPCS,51860,Repair of bladder wound,,,3760.0,19771.25,23
HCPCS,51865,Repair of bladder wound,,,3885.0,6490.0,4
HCPCS,51880,Repair of bladder opening,,,990.66,7362.13,27
HCPCS,51900,Repair bladder/vagina lesion,,,3885.0,6490.0,4
HCPCS,51920,Close bladder-uterus fistula,,,3760.0,5195.0,4
HCPCS,51925,Hysterectomy/bladder repair,,,3613.0,4992.0,4
HCPCS,51940,Correction of bladder defect,,,3613.0,4992.0,4
HCPCS,51960,Revision of bladder & bowel,,,3613.0,4992.0,4
HCPCS,51980,Construct bladder opening,,,3760.0,5195.0,4
HCPCS,51990,Laparo urethral suspension,,,5506.0,14016.0,23
HCPCS,51992,Laparo sling operation,,,2133.06,14016.0,25
HCPCS,51999,Laparoscope proc bla,,,5506.0,12626.43,23
HCPCS,52000,Cystoscopy,,,728.17,1502.0,27
HCPCS,52000,Hb Cystoscopy,2962.0,1036.7,,,0
HCPCS,52001,Cystoscopy removal of clots,,,1187.73,7362.13,27
HCPCS,52005,Cystoscopy & ureter catheter,,,1326.84,5195.0,27
HCPCS,52005,Hb 52005 Cystourethroscopy W Cath,13361.0,4676.35,,,0
HCPCS,52005,Hb Cystourethroscopy W Cath,610.0,213.5,,,0
HCPCS,52007,Cystoscopy and biopsy,,,1326.84,7362.13,27
HCPCS,52010,Cystoscopy & duct catheter,,,728.17,2121.0,27
HCPCS,52204,Cystoscopy w/biopsy(s),,,1326.84,5195.0,27
HCPCS,52214,Cystoscopy and treatment,,,1326.84,7362.13,27
HCPCS,52224,Cystoscopy and treatment,,,1326.84,7362.13,27
HCPCS,52234,Cystoscopy and treatment,,,1326.84,7362.13,27
HCPCS,52235,Cystoscopy and treatment,,,1517.25,7362.13,27
HCPCS,52235,Hb 52235 Cystoscopy And Treatment,21784.0,7624.4,,,0
HCPCS,52240,Cystoscopy and treatment,,,1517.25,11198.42,27
HCPCS,52250,Cystoscopy and radiotracer,,,1874.25,7362.13,27
HCPCS,52260,Cystoscopy and treatment,,,1326.84,4365.89,27
HCPCS,52265,Cystoscopy and treatment,,,940.0,4365.89,23
HCPCS,52270,Cystoscopy & revise urethra,,,1326.84,4365.89,27
HCPCS,52275,Cystoscopy & revise urethra,,,1326.84,5195.0,27
HCPCS,52276,Cystoscopy and treatment,,,1517.25,5195.0,27
HCPCS,52277,Cystoscopy and treatment,,,1326.84,7362.13,27
HCPCS,52281,Cystoscopy and treatment,,,1326.84,4365.89,27
HCPCS,52281,Hb Cystoscopy And Tx,15308.0,5357.8,,,0
HCPCS,52282,Cystoscopy implant stent,,,3681.06,7362.13,25
HCPCS,52283,Cystoscopy and treatment,,,1326.84,5195.0,27
HCPCS,52284,Cysto rx balo cath urtl strx,,,3760.0,11198.42,23
HCPCS,52285,Cystoscopy and treatment,,,728.17,2923.0,27
HCPCS,52287,Cystoscopy chemodenervation,,,2116.0,4365.89,23
HCPCS,52290,Cystoscopy and treatment,,,1326.84,5195.0,27
HCPCS,52300,Cystoscopy and treatment,,,1326.84,7362.13,27
HCPCS,52301,Cystoscopy and treatment,,,1517.25,7362.13,27
HCPCS,52305,Cystoscopy and treatment,,,1326.84,11198.42,27
HCPCS,52310,Cystoscopy and treatment,,,1187.73,4365.89,27
HCPCS,52310,Hb 52310 Cytoscopy,12748.0,4461.8,,,0
HCPCS,52310,Hb Cytoscopy,11473.0,4015.55,,,0
HCPCS,52315,Cystoscopy and treatment,,,1326.84,5195.0,27
HCPCS,52317,Remove bladder stone,,,990.66,7362.13,27
HCPCS,52318,Remove bladder stone,,,1326.84,7362.13,27
HCPCS,52320,Cystoscopy and treatment,,,2133.06,7362.13,25
HCPCS,52320,Hb Cysto W Removal Of Calculus,13130.0,4595.5,,,0
HCPCS,52325,Cystoscopy stone removal,,,1874.25,11198.42,27
HCPCS,52327,Cystoscopy inject material,,,1326.84,11198.42,27
HCPCS,52330,Cystoscopy and treatment,,,1326.84,7362.13,27
HCPCS,52332,Cystoscopy and treatment,,,1326.84,7362.13,27
HCPCS,52332,Hb 52332 Cysto Indwel Stent Uret,14873.0,5205.55,,,0
HCPCS,52334,Create passage to kidney,,,1517.25,7362.13,27
HCPCS,52334,Hb 52334 Cysto Guide Wire Uret,18778.0,6572.3,,,0
HCPCS,52341,Cysto W/Ureter Stricture Tx,,,1517.25,7362.13,27
HCPCS,52342,Cysto W/Up Stricture Tx,,,1517.25,7362.13,27
HCPCS,52343,Cysto W/Renal Stricture Tx,,,1517.25,7362.13,27
HCPCS,52344,Cysto/uretero stricture tx,,,1517.25,7362.13,27
HCPCS,52345,Cysto/Uretero W/Up Stricture,,,1517.25,7362.13,27
HCPCS,52346,Cystouretero W/Renal Strict,,,1517.25,11198.42,27
HCPCS,52351,Cystouretero & or pyeloscope,,,1517.25,7362.13,27
HCPCS,52351,Hb 52351 Cystourethroscopy Diag,9425.0,3298.75,,,0
HCPCS,52352,Cystouretero w/stone remove,,,1874.25,7362.13,27
HCPCS,52353,Cystouretero W/Lithotripsy,,,1874.25,11198.42,27
HCPCS,52354,Cystouretero W/Biopsy,,,1874.25,11198.42,27
HCPCS,52355,Cystouretero W/Excise Tumor,,,1874.25,11198.42,27
HCPCS,52356,Cysto/uretero w/lithotripsy,,,5282.0,11198.42,23
HCPCS,52356,Hb 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt,18943.0,6630.05,,,0
HCPCS,52400,Cystouretero W/Congen Repr,,,1517.25,7362.13,27
HCPCS,52402,Cystourethro cut ejacul duct,,,1517.25,7362.13,27
HCPCS,52441,Cystourethro w/implant,,,704.0,3993.0,4
HCPCS,52442,Cystourethro w/addl implant,,,704.0,3993.0,4
HCPCS,52443,Cysto 1st trurl prst8 comis,,,9885.63,19771.25,19
HCPCS,52450,Incision of prostate,,,1517.25,7362.13,27
HCPCS,52500,Revision of bladder neck,,,1517.25,7362.13,27
HCPCS,52510,Dilation prostatic urethra,,,2375.0,2500.0,2
HCPCS,52597,Trurl rbtc wtrjt rescj prst8,,,9885.63,19771.25,19
HCPCS,52601,Prostatectomy (TURP),,,1874.25,11198.42,27
HCPCS,52606,Control postop bleeding,,,1425.0,1500.0,2
HCPCS,52612,"Prostatectomy, first stage",,,1900.0,2000.0,2
HCPCS,52614,"Prostatectomy, second stage",,,1425.0,1500.0,2
HCPCS,52620,Remove residual prostate,,,1425.0,1500.0,2
HCPCS,52630,Remove prostate regrowth,,,1326.84,11198.42,27
HCPCS,52640,Relieve bladder contracture,,,1326.84,7362.13,27
HCPCS,52647,Laser surgery of prostate,,,3983.52,9732.0,6
HCPCS,52648,Laser surgery of prostate,,,3983.52,11198.42,25
HCPCS,52649,Prostate laser enucleation,,,5282.0,11198.42,23
HCPCS,52700,Drainage of prostate abscess,,,1326.84,7362.13,27
HCPCS,53000,Incision of urethra,,,990.66,5195.0,27
HCPCS,53010,Incision of urethra,,,990.66,11198.42,27
HCPCS,53020,Incision of urethra,,,990.66,5195.0,27
HCPCS,53025,Incision of urethra,,,2182.94,5195.0,23
HCPCS,53040,Drainage of urethra abscess,,,1326.84,7362.13,27
HCPCS,53060,Drainage of urethra abscess,,,2182.94,5195.0,23
HCPCS,53080,Drainage of urinary leakage,,,728.17,5195.0,27
HCPCS,53085,Drainage of urinary leakage,,,2182.94,5195.0,23
HCPCS,53200,Biopsy of urethra,,,990.66,5195.0,27
HCPCS,53210,Removal of urethra,,,2133.06,7362.13,25
HCPCS,53215,Removal of urethra,,,2133.06,11198.42,25
HCPCS,53220,Treatment of urethra lesion,,,1326.84,7362.13,27
HCPCS,53230,Removal of urethra lesion,,,1326.84,11198.42,27
HCPCS,53235,Removal of urethra lesion,,,1517.25,11198.42,27
HCPCS,53240,Surgery for urethra pouch,,,1326.84,7362.13,27
HCPCS,53250,Removal of urethra gland,,,1326.84,7362.13,27
HCPCS,53260,Hb Treatment Of Urethra Lesion,11230.0,3930.5,,,0
HCPCS,53260,Treatment of urethra lesion,,,1326.84,7362.13,27
HCPCS,53265,Treatment of urethra lesion,,,1326.84,5195.0,27
HCPCS,53270,Removal of urethra gland,,,1326.84,7362.13,27
HCPCS,53275,Repair of urethra defect,,,1326.84,7362.13,27
HCPCS,53400,Revise urethra stage 1,,,1517.25,11198.42,27
HCPCS,53405,Revise urethra stage 2,,,1326.84,11198.42,27
HCPCS,53410,Reconstruction of urethra,,,1326.84,11198.42,27
HCPCS,53415,Reconstruction of urethra,,,3885.0,9732.0,4
HCPCS,53420,Reconstruct urethra stage 1,,,1517.25,11198.42,27
HCPCS,53425,Reconstruct urethra stage 2,,,1326.84,11198.42,27
HCPCS,53430,Reconstruction of urethra,,,1326.84,11198.42,27
HCPCS,53431,Reconstruct urethra/bladder,,,1326.84,11198.42,27
HCPCS,53440,Male sling procedure,,,1326.84,27555.3,27
HCPCS,53442,Remove/revise male sling,,,990.66,11198.42,27
HCPCS,53444,Insert tandem cuff,,,1326.84,43287.71,27
HCPCS,53445,Insert uro/ves nck sphincter,,,990.66,43287.71,27
HCPCS,53446,Remove uro sphincter,,,990.66,14016.0,27
HCPCS,53447,Remove/replace ur sphincter,,,990.66,43287.71,27
HCPCS,53448,Remov/replc ur sphinctr comp,,,940.0,3993.0,4
HCPCS,53449,Repair uro sphincter,,,990.66,19771.25,27
HCPCS,53450,Revision of urethra,,,990.66,7362.13,27
HCPCS,53451,Tprnl balo cntnc dev bi,,,3885.0,27555.3,23
HCPCS,53452,Tprnl balo cntnc dev uni,,,3760.0,19771.25,23
HCPCS,53453,Tprnl balo cntnc dev rmvl ea,,,3681.06,7362.13,23
HCPCS,53454,Tprnl balo cntnc dev adjmt,,,260.91,1502.0,23
HCPCS,53460,Revision of urethra,,,990.66,7362.13,27
HCPCS,53500,Urethrlys transvag w/ scope,,,3681.06,7362.13,23
HCPCS,53502,Repair of urethra injury,,,1326.84,7362.13,27
HCPCS,53505,Repair of urethra injury,,,1326.84,11198.42,27
HCPCS,53510,Repair of urethra injury,,,1326.84,11198.42,27
HCPCS,53515,Repair of urethra injury,,,1326.84,11198.42,27
HCPCS,53520,Repair of urethra defect,,,1326.84,11198.42,27
HCPCS,53600,Dilate urethra stricture,,,260.91,1502.0,25
HCPCS,53601,Dilate urethra stricture,,,138.94,1502.0,25
HCPCS,53605,Dilate urethra stricture,,,1326.84,7362.13,27
HCPCS,53620,Dilate urethra stricture,,,728.17,3993.0,25
HCPCS,53621,Dilate urethra stricture,,,260.91,1502.0,25
HCPCS,53660,Dilation of urethra,,,134.37,1500.0,23
HCPCS,53661,Dilation of urethra,,,138.94,1500.0,23
HCPCS,53665,Dilation of urethra,,,990.66,5195.0,27
HCPCS,53850,Prostatic microwave thermotx,,,2116.0,7362.13,23
HCPCS,53852,Prostatic rf thermotx,,,3681.06,9732.0,23
HCPCS,53854,Trurl dstrj prst8 tiss rf wv,,,3681.06,7362.13,23
HCPCS,53855,Insert prost urethral stent,,,940.0,4365.89,21
HCPCS,53860,Transurethral rf treatment,,,2116.0,4499.0,23
HCPCS,53865,Cysto insj dev ischmc rmdlg,,,3760.0,19771.25,23
HCPCS,53866,Cathj rmvl dev ischmc rmdlg,,,260.91,3993.0,23
HCPCS,53899,Hb 53899 Urology Surg Proc,14676.0,5136.6,,,0
HCPCS,53899,Hb Urology Surgery Procedure,12761.0,4466.35,,,0
HCPCS,53899,Urology surgery procedure,,,260.91,3993.0,23
HCPCS,54000,Slitting of prepuce,,,1326.84,7362.13,27
HCPCS,54001,Hb Slitting Of Prepuce,13914.0,4869.9,,,0
HCPCS,54001,Slitting of prepuce,,,1326.84,5195.0,27
HCPCS,54015,Drain penis lesion,,,1724.73,3449.46,27
HCPCS,54050,Destruction penis lesion(s),,,424.52,972.0,21
HCPCS,54050,Hb Chemical Destruct Penis Lesion,687.0,240.45,,,0
HCPCS,54055,Destruction penis lesion(s),,,2116.0,4309.28,23
HCPCS,54056,Cryosurgery penis lesion(s),,,209.52,972.0,21
HCPCS,54057,Laser surg penis lesion(s),,,990.66,4309.28,27
HCPCS,54060,Excision of penis lesion(s),,,990.66,4309.28,27
HCPCS,54065,Destruction penis lesion(s),,,990.66,4309.28,27
HCPCS,54100,Biopsy of penis,,,990.66,3449.46,27
HCPCS,54105,Biopsy of penis,,,990.66,6066.67,27
HCPCS,54110,Treatment of penis lesion,,,1326.84,9732.0,27
HCPCS,54111,Treat penis lesion graft,,,1326.84,11198.42,27
HCPCS,54112,Treat penis lesion graft,,,1326.84,19771.25,27
HCPCS,54115,Treatment of penis lesion,,,990.66,6066.67,27
HCPCS,54120,Partial removal of penis,,,1326.84,7362.13,27
HCPCS,54125,Removal of penis,,,2116.0,3993.0,4
HCPCS,54130,Remove penis & nodes,,,3613.0,4992.0,4
HCPCS,54135,Remove penis & nodes,,,3613.0,4992.0,4
HCPCS,54150,Circumcision w/regionl block,,,990.66,5195.0,27
HCPCS,54150,Hb Circumcision,4279.5,1497.825,,,0
HCPCS,54152,Circumcision,,,1425.0,1500.0,2
HCPCS,54160,Circumcision neonate,,,728.17,5195.0,27
HCPCS,54160,Hb Circumcision Neonate,7468.0,2613.8,,,0
HCPCS,54161,Circum 28 days or older,,,1326.84,5195.0,27
HCPCS,54161,Hb Circumcision 28 Days Or Older,7468.0,2613.8,,,0
HCPCS,54162,Lysis penil circumic lesion,,,1326.84,5195.0,27
HCPCS,54163,Repair of circumcision,,,1326.84,5195.0,27
HCPCS,54164,Frenulotomy of penis,,,1326.84,5195.0,27
HCPCS,54200,Treatment of penis lesion,,,260.91,1502.0,23
HCPCS,54205,Treatment of penis lesion,,,1874.25,11198.42,27
HCPCS,54220,Hb Irrigate Corpora Cavernosa For Priapism,3800.0,1330.0,,,0
HCPCS,54220,Treatment of penis lesion,,,260.91,1502.0,27
HCPCS,54230,Prepare penis study,,,704.0,972.0,2
HCPCS,54231,Dynamic cavernosometry,,,260.91,3993.0,23
HCPCS,54235,Hb Inj Corpora Cavernosa W Pharm Agents,1741.0,609.35,,,0
HCPCS,54235,Penile injection,,,260.91,972.0,21
HCPCS,54240,Penis study,,,225.48,972.0,21
HCPCS,54250,Penis study,,,260.91,972.0,21
HCPCS,54300,Revision of penis,,,1517.25,9732.0,27
HCPCS,54304,Revision of penis,,,1517.25,9732.0,27
HCPCS,54308,Reconstruction of urethra,,,1517.25,11198.42,27
HCPCS,54312,Reconstruction of urethra,,,1517.25,7362.13,27
HCPCS,54316,Reconstruction of urethra,,,1517.25,19771.25,27
HCPCS,54318,Reconstruction of urethra,,,1517.25,7362.13,27
HCPCS,54322,Reconstruction of urethra,,,1517.25,7362.13,27
HCPCS,54324,Reconstruction of urethra,,,1517.25,9732.0,27
HCPCS,54326,Reconstruction of urethra,,,1517.25,7362.13,27
HCPCS,54328,Revise penis/urethra,,,1517.25,9732.0,27
HCPCS,54332,Revise penis/urethra,,,3681.06,7362.13,23
HCPCS,54336,Revise penis/urethra,,,3681.06,7362.13,23
HCPCS,54340,Secondary urethral surgery,,,1517.25,7362.13,27
HCPCS,54344,Secondary urethral surgery,,,1517.25,19771.25,27
HCPCS,54348,Secondary urethral surgery,,,1517.25,11198.42,27
HCPCS,54352,Reconstruct urethra/penis,,,1517.25,11198.42,27
HCPCS,54360,Penis plastic surgery,,,1517.25,9732.0,27
HCPCS,54380,Repair penis,,,1517.25,6490.0,27
HCPCS,54385,Repair penis,,,1517.25,6490.0,27
HCPCS,54390,Repair penis and bladder,,,3885.0,9732.0,4
HCPCS,54400,Insert semi-rigid prosthesis,,,1517.25,27555.3,27
HCPCS,54401,Insert self-contd prosthesis,,,1517.25,43287.71,27
HCPCS,54405,Insert multi-comp penis pros,,,1517.25,43287.71,27
HCPCS,54406,Remove muti-comp penis pros,,,1517.25,7362.13,27
HCPCS,54408,Repair multi-comp penis pros,,,1517.25,11198.42,27
HCPCS,54410,Remove/replace penis prosth,,,1517.25,43287.71,27
HCPCS,54411,Remov/replc penis pros comp,,,704.0,43287.71,23
HCPCS,54415,Remove self-contd penis pros,,,1517.25,7362.13,27
HCPCS,54416,Remv/repl penis contain pros,,,1517.25,43287.71,27
HCPCS,54417,Remv/replc penis pros compl,,,940.0,43287.71,23
HCPCS,54420,Revision of penis,,,1874.25,7362.13,27
HCPCS,54430,Revision of penis,,,3613.0,4992.0,4
HCPCS,54435,Revision of penis,,,1874.25,7362.13,27
HCPCS,54437,Repair corporeal tear,,,3681.06,7362.13,23
HCPCS,54440,Repair of penis,,,1874.25,7362.13,27
HCPCS,54450,Hb Foreskn Manj W/Lss Preputial Ads&Stretching,4497.0,1573.95,,,0
HCPCS,54450,Preputial stretching,,,260.91,1502.0,27
HCPCS,54500,Biopsy of testis,,,990.66,6066.67,27
HCPCS,54505,Biopsy of testis,,,990.66,7362.13,27
HCPCS,54512,Excise Lesion Testis,,,1326.84,7362.13,27
HCPCS,54520,Removal of testis,,,1517.25,7362.13,27
HCPCS,54522,Orchiectomy partial,,,1517.25,7362.13,27
HCPCS,54530,Removal of testis,,,1874.25,7477.87,27
HCPCS,54535,Extensive testis surgery,,,3681.06,7362.13,23
HCPCS,54550,Exploration for testis,,,1874.25,7477.87,27
HCPCS,54560,Exploration for testis,,,2182.94,5195.0,23
HCPCS,54600,Reduce testis torsion,,,1874.25,7362.13,27
HCPCS,54620,Suspension of testis,,,1517.25,7362.13,27
HCPCS,54640,Suspension of testis,,,1874.25,7477.87,27
HCPCS,54650,Orchiopexy (Fowler-Stephens),,,3738.94,7477.87,23
HCPCS,54660,Revision of testis,,,1326.84,11198.42,27
HCPCS,54670,Repair testis injury,,,1517.25,7362.13,27
HCPCS,54680,Relocation of testis(es),,,1517.25,7362.13,27
HCPCS,54690,Laparoscopy orchiectomy,,,3983.52,14016.0,25
HCPCS,54692,Laparoscopy orchiopexy,,,5506.0,14016.0,23
HCPCS,54699,Laparoscope proc testis,,,5506.0,12626.43,23
HCPCS,54700,Drainage of scrotum,,,1326.84,5195.0,27
HCPCS,54700,Hb Drainage Of Scrotum,18517.0,6480.95,,,0
HCPCS,54800,Biopsy of epididymis,,,378.3,3449.46,27
HCPCS,54820,Exploration of epididymis,,,1425.0,1500.0,2
HCPCS,54830,Remove epididymis lesion,,,1517.25,7362.13,27
HCPCS,54840,Remove epididymis lesion,,,1874.25,5195.0,27
HCPCS,54860,Removal of epididymis,,,1517.25,7362.13,27
HCPCS,54861,Removal of epididymis,,,1874.25,7362.13,27
HCPCS,54865,Explore Epididymis,,,990.66,7362.13,25
HCPCS,54900,Fusion of spermatic ducts,,,1874.25,5195.0,27
HCPCS,54901,Fusion of spermatic ducts,,,1874.25,7362.13,27
HCPCS,55000,Drainage of hydrocele,,,739.49,1478.98,21
HCPCS,55040,Removal of hydrocele,,,1517.25,7477.87,27
HCPCS,55041,Removal of hydroceles,,,2133.06,7477.87,25
HCPCS,55060,Repair of hydrocele,,,1874.25,7362.13,27
HCPCS,55100,Drainage of scrotum abscess,,,990.66,3449.46,27
HCPCS,55100,Hb Drainage Scrotal Wall Abscess,11713.0,4099.55,,,0
HCPCS,55110,Explore scrotum,,,1326.84,7362.13,27
HCPCS,55120,Removal of scrotum lesion,,,1326.84,5195.0,27
HCPCS,55150,Removal of scrotum,,,990.66,7362.13,27
HCPCS,55175,Revision of scrotum,,,990.66,9732.0,27
HCPCS,55180,Revision of scrotum,,,1326.84,11198.42,27
HCPCS,55200,Incision of sperm duct,,,1326.84,7362.13,27
HCPCS,55250,Removal of sperm duct(s),,,1326.84,5195.0,27
HCPCS,55300,Prepare sperm duct x-ray,,,704.0,972.0,2
HCPCS,55400,Repair of sperm duct,,,990.66,7362.13,27
HCPCS,55500,Removal of hydrocele,,,1517.25,7362.13,27
HCPCS,55520,Removal of sperm cord lesion,,,1874.25,7362.13,27
HCPCS,55530,Revise spermatic cord veins,,,1874.25,7362.13,27
HCPCS,55535,Revise spermatic cord veins,,,1874.25,13520.95,27
HCPCS,55540,Revise hernia & sperm veins,,,2133.06,7477.87,25
HCPCS,55550,Laparo ligate spermatic vein,,,3983.52,14016.0,25
HCPCS,55559,Laparo proc spermatic cord,,,5506.0,12626.43,23
HCPCS,55600,Incise sperm duct pouch,,,1457.0,5195.0,23
HCPCS,55605,Incise sperm duct pouch,,,940.0,3993.0,4
HCPCS,55650,Remove sperm duct pouch,,,940.0,3993.0,4
HCPCS,55680,Remove sperm pouch lesion,,,990.66,7362.13,27
HCPCS,55700,Biopsy of prostate,,,1028.85,2923.0,8
HCPCS,55700,Hb 55700 Prostate Biopsy,6136.0,2147.6,,,0
HCPCS,55700,Hb Prostate Biopsy,6136.0,2147.6,,,0
HCPCS,55705,Biopsy of prostate,,,1028.85,7362.13,27
HCPCS,55706,Prostate saturation sampling,,,2116.0,7362.13,23
HCPCS,55707,Bx prst8 trct us guided,,,3681.06,7362.13,19
HCPCS,55708,Bx prst8 trct us w/mri fus 1,,,3681.06,7362.13,19
HCPCS,55709,Bx prst8 tprnl us guided,,,3681.06,7362.13,19
HCPCS,55710,Bx prst8 tprn us w/mri fus 1,,,3681.06,7362.13,19
HCPCS,55711,Bx prst8 trct mri-us 1st,,,3681.06,7362.13,19
HCPCS,55712,Bx prst8 tprnl mri-us 1st,,,3681.06,7362.13,19
HCPCS,55713,Bx prst8 in-bore ct/mri bx 1,,,5599.21,11198.42,19
HCPCS,55714,Bx prst8 in-bore ct/mri 1,,,5599.21,11198.42,19
HCPCS,55720,Drainage of prostate abscess,,,990.66,7362.13,27
HCPCS,55725,Drainage of prostate abscess,,,1326.84,7362.13,27
HCPCS,55801,Removal of prostate,,,3613.0,4992.0,4
HCPCS,55810,Extensive prostate surgery,,,3613.0,4992.0,4
HCPCS,55812,Extensive prostate surgery,,,3613.0,4992.0,4
HCPCS,55815,Extensive prostate surgery,,,3613.0,4992.0,4
HCPCS,55821,Removal of prostate,,,3613.0,4992.0,4
HCPCS,55831,Removal of prostate,,,3613.0,4992.0,4
HCPCS,55840,Extensive prostate surgery,,,3613.0,4992.0,4
HCPCS,55842,Extensive prostate surgery,,,3613.0,4992.0,4
HCPCS,55845,Extensive prostate surgery,,,3613.0,4992.0,4
HCPCS,55860,Surgical exposure prostate,,,3760.0,11198.42,23
HCPCS,55862,Extensive prostate surgery,,,3613.0,4992.0,4
HCPCS,55865,Extensive prostate surgery,,,3613.0,4992.0,4
HCPCS,55866,Laparo radical prostatectomy,,,5506.0,22201.02,23
HCPCS,55867,Laps surg prst8ect smpl stot,,,5506.0,22201.02,23
HCPCS,55868,Lap srg prst8ct lymph nod bx,,,11100.51,22201.02,19
HCPCS,55869,Lap srg prst8ct bi pl lmphad,,,11100.51,22201.02,19
HCPCS,55870,Electroejaculation,,,940.0,1923.67,23
HCPCS,55873,Cryoablate Prostate,,,3983.52,19771.25,25
HCPCS,55874,Hb Tprnl Plmt Biodegradable Matrl 1/Mlt Njx,15502.0,5425.7,,,0
HCPCS,55874,Tprnl plmt biodegrdabl matrl,,,5282.0,14016.0,23
HCPCS,55875,Hb Transperi Needle Place Pros,16444.0,5755.4,,,0
HCPCS,55875,Transperi needle place pros,,,3983.52,11198.42,25
HCPCS,55876,Hb Place Rt Device/Marker Pros,7779.0,2722.65,,,0
HCPCS,55876,Place rt device/marker pros,,,1445.42,2923.0,23
HCPCS,55877,Abltj ire prst8 1+ tum perq,,,11100.51,22201.02,19
HCPCS,55880,Abltj mal prst8 tiss hifu,,,3760.0,19771.25,23
HCPCS,55881,Ablt trurl prst8 tis thrm us,,,3613.0,4992.0,4
HCPCS,55882,Ablt trurl prst8 tis trnsdcr,,,3885.0,27555.3,23
HCPCS,55899,Genital surgery procedure,,,260.91,3993.0,23
HCPCS,55920,Place needles pelvic for rt,,,4698.0,10447.91,23
HCPCS,55970,Sex transformation m to f,,,3885.0,10447.91,21
HCPCS,55980,Sex transformation f to m,,,3681.06,7362.13,21
HCPCS,56405,Hb I&D Vulva Perineum,2832.0,991.2,,,0
HCPCS,56405,I & D of vulva/perineum,,,318.22,2121.0,23
HCPCS,56420,Drainage of gland abscess,,,211.12,1502.0,23
HCPCS,56420,Hb Drainage Barth Gland Abs,1294.5,453.07500000000005,,,0
HCPCS,56440,Hb Surgery For Vulva Lesion,19367.0,6778.45,,,0
HCPCS,56440,Surgery for vulva lesion,,,1326.84,6760.92,27
HCPCS,56441,Lysis of labial lesion(s),,,990.66,6760.92,27
HCPCS,56442,Hymenotomy,,,990.66,6760.92,25
HCPCS,56501,Destroy vulva lesions sim,,,1900.0,4309.28,25
HCPCS,56501,Hb Destruct Lesion Vulva,5510.0,1928.5,,,0
HCPCS,56515,Destroy vulva lesion/s compl,,,1517.25,4309.28,27
HCPCS,56515,Hb Destruct Vulva Lesion Ext,4669.5,1634.325,,,0
HCPCS,56605,Biopsy of vulva/perineum,,,940.0,1923.67,23
HCPCS,56605,Hb Vulva Biopsy 1 Lesion,8375.5,2931.425,,,0
HCPCS,56606,Biopsy of vulva/perineum,,,704.0,972.0,2
HCPCS,56606,Hb Biopsy Of Vulva Addl,583.0,204.05,,,0
HCPCS,56620,Partial removal of vulva,,,2133.06,6760.92,25
HCPCS,56625,Complete removal of vulva,,,2960.1,6760.92,25
HCPCS,56630,Extensive vulva surgery,,,3885.0,10447.91,23
HCPCS,56630,Hb Vulvectomy,19269.0,6744.15,,,0
HCPCS,56631,Extensive vulva surgery,,,3885.0,14979.0,4
HCPCS,56632,Extensive vulva surgery,,,3885.0,14979.0,4
HCPCS,56633,Extensive vulva surgery,,,3885.0,14979.0,4
HCPCS,56634,Extensive vulva surgery,,,3885.0,14979.0,4
HCPCS,56637,Extensive vulva surgery,,,3885.0,14979.0,4
HCPCS,56640,Extensive vulva surgery,,,3613.0,4992.0,4
HCPCS,56700,Partial removal of hymen,,,990.66,6760.92,27
HCPCS,56720,Incision of hymen,,,1425.0,1500.0,2
HCPCS,56740,Remove vagina gland lesion,,,1517.25,6760.92,27
HCPCS,56800,Repair of vagina,,,1517.25,6760.92,27
HCPCS,56805,Repair clitoris,,,3380.46,6760.92,23
HCPCS,56810,Repair of perineum,,,2133.06,6760.92,25
HCPCS,56820,Exam of vulva w/scope,,,211.12,972.0,21
HCPCS,56820,Hb Exam Of Vulva W/Scope,1319.0,461.65,,,0
HCPCS,56821,Exam/biopsy of vulva w/scope,,,318.22,1502.0,23
HCPCS,56821,Hb Exam/Biopsy Of Vulva W/Scope,2729.0,955.15,,,0
HCPCS,57000,Exploration of vagina,,,990.66,6760.92,27
HCPCS,57010,Drainage of pelvic abscess,,,1326.84,6760.92,27
HCPCS,57020,Drainage of pelvic fluid,,,1217.76,10447.91,27
HCPCS,57022,Hb I&D Vaginal Hematoma Ob/Postpartum,19883.0,6959.05,,,0
HCPCS,57022,I & d vaginal hematoma pp,,,2116.0,6066.67,23
HCPCS,57023,I & d vag hematoma non-ob,,,990.66,6066.67,27
HCPCS,57061,Destroy vag lesions simple,,,3380.46,6760.92,23
HCPCS,57061,Hb Dest Lesions Vaginal Simp,8086.0,2830.1,,,0
HCPCS,57065,Destroy vag lesions complex,,,990.66,6760.92,27
HCPCS,57065,Hb Destruct Vaginal Lesion,8675.0,3036.25,,,0
HCPCS,57100,Biopsy of vagina,,,940.0,1923.67,23
HCPCS,57100,Hb Vaginal Biopsy Simple,8355.0,2924.25,,,0
HCPCS,57105,Biopsy of vagina,,,1326.84,6760.92,27
HCPCS,57106,Remove vagina wall partial,,,3380.46,6760.92,23
HCPCS,57107,Remove vagina tissue part,,,3380.46,6760.92,23
HCPCS,57109,Vaginectomy partial w/nodes,,,3380.46,6760.92,23
HCPCS,57110,Remove vagina wall complete,,,3613.0,4992.0,4
HCPCS,57111,Remove vagina tissue compl,,,3885.0,6490.0,4
HCPCS,57120,Closure of vagina,,,3885.0,10447.91,23
HCPCS,57130,Remove vagina lesion,,,1326.84,6760.92,27
HCPCS,57135,Hb Remove Vagina Lesion,8894.0,3112.9,,,0
HCPCS,57135,Remove vagina lesion,,,1326.84,6760.92,27
HCPCS,57150,Treat vagina infection,,,61.6,972.0,21
HCPCS,57155,Hb Insert Uteri Tandem Ovoids,7550.0,2642.5,,,0
HCPCS,57155,Insert uteri tandem/ovoids,,,940.0,10447.91,27
HCPCS,57156,Hb Ins Vag Brachytx Device,1215.0,425.25,,,0
HCPCS,57156,Ins vag brachytx device,,,318.22,1502.0,23
HCPCS,57160,Hb Fitting And Insertion Of Pess,244.0,85.4,,,0
HCPCS,57160,Insert pessary/other device,,,211.12,972.0,21
HCPCS,57170,Fitting of diaphragm/cap,,,211.12,972.0,21
HCPCS,57170,Hb Diaphragm Fit W Inst,385.0,134.75,,,0
HCPCS,57180,Treat vaginal bleeding,,,211.12,1502.0,27
HCPCS,57200,Hb Vagina Repair,10373.0,3630.55,,,0
HCPCS,57200,Repair of vagina,,,990.66,6760.92,27
HCPCS,57210,Repair vagina/perineum,,,1326.84,6760.92,27
HCPCS,57220,Revision of urethra,,,1517.25,10447.91,27
HCPCS,57230,Repair of urethral lesion,,,1517.25,6760.92,27
HCPCS,57240,Repair bladder & vagina,,,2133.06,10447.91,25
HCPCS,57250,Repair rectum & vagina,,,2133.06,10447.91,25
HCPCS,57260,Repair of vagina,,,2133.06,10447.91,25
HCPCS,57265,Extensive repair of vagina,,,2960.1,10447.91,25
HCPCS,57267,Insert mesh/pelvic flr addon,,,704.0,3596.08,4
HCPCS,57268,Repair of bowel bulge,,,1517.25,10447.91,27
HCPCS,57270,Repair of bowel pouch,,,3760.0,5195.0,4
HCPCS,57280,Suspension of vagina,,,3760.0,5195.0,4
HCPCS,57282,Colpopexy extraperitoneal,,,3885.0,15487.57,23
HCPCS,57283,Colpopexy intraperitoneal,,,3885.0,15487.57,23
HCPCS,57284,Repair paravag defect open,,,3885.0,10447.91,23
HCPCS,57285,Repair paravag defect vag,,,5282.0,15487.57,23
HCPCS,57287,Revise/Remove Sling Repair,,,3380.46,6760.92,23
HCPCS,57288,Repair bladder defect,,,2133.06,10447.91,25
HCPCS,57289,Repair bladder & vagina,,,2133.06,15487.57,25
HCPCS,57291,Construction of vagina,,,2133.06,10447.91,25
HCPCS,57292,Construct vagina with graft,,,3885.0,10447.91,23
HCPCS,57295,Revise vag graft via vagina,,,2428.0,6760.92,23
HCPCS,57296,Revise vag graft open abd,,,3613.0,4992.0,4
HCPCS,57300,Repair rectum-vagina fistula,,,1517.25,6760.92,27
HCPCS,57305,Repair rectum-vagina fistula,,,3613.0,4992.0,4
HCPCS,57307,Fistula repair & colostomy,,,3613.0,4992.0,4
HCPCS,57308,Fistula repair transperine,,,3760.0,5195.0,4
HCPCS,57310,Repair urethrovaginal lesion,,,2428.0,15487.57,23
HCPCS,57311,Repair urethrovaginal lesion,,,3885.0,6490.0,4
HCPCS,57320,Repair bladder-vagina lesion,,,2428.0,10447.91,23
HCPCS,57330,Repair bladder-vagina lesion,,,3885.0,15487.57,23
HCPCS,57335,Repair vagina,,,3760.0,10447.91,23
HCPCS,57400,Dilation of vagina,,,1326.84,6760.92,27
HCPCS,57400,Hb Dilation Of Vagina,12183.0,4264.05,,,0
HCPCS,57410,Pelvic examination,,,1326.84,6760.92,27
HCPCS,57415,Remove vaginal foreign body,,,1326.84,6760.92,27
HCPCS,57420,Exam of vagina w/scope,,,318.22,1502.0,23
HCPCS,57420,Hb Colposcopy Of Vagina,1073.5,375.725,,,0
HCPCS,57421,Exam/biopsy of vag w/scope,,,940.0,1923.67,23
HCPCS,57421,Hb Colpo Of Vagina W Bx,2239.0,783.65,,,0
HCPCS,57423,Repair paravag defect lap,,,5506.0,22201.02,23
HCPCS,57425,Laparoscopy surg colpopexy,,,5506.0,22201.02,23
HCPCS,57426,Revise prosth vag graft lap,,,4698.0,15487.57,23
HCPCS,57452,Exam of cervix w/scope,,,211.12,1502.0,23
HCPCS,57452,Hb Colposcopy,4166.0,1458.1,,,0
HCPCS,57454,Bx/curett of cervix w/scope,,,318.22,1502.0,23
HCPCS,57454,Hb Colpo Cervix W Biopsy Ecc,4376.0,1531.6,,,0
HCPCS,57455,Biopsy of cervix w/scope,,,318.22,1502.0,23
HCPCS,57455,Hb Colpo W Biopsy Of Cervix,4590.0,1606.5,,,0
HCPCS,57456,Endocerv curettage w/scope,,,318.22,1502.0,23
HCPCS,57456,Hb Colpo Cervix W Ecc,4823.0,1688.05,,,0
HCPCS,57460,Bx of cervix w/scope leep,,,3380.46,6760.92,23
HCPCS,57460,Hb Colposcopy W Leep,5062.0,1771.7,,,0
HCPCS,57461,Conz of cervix w/scope leep,,,2064.0,6760.92,23
HCPCS,57461,Hb Conz Of Cervix W/Scope Leep,5062.0,1771.7,,,0
HCPCS,57465,Cam cervix uteri drg colp,,,704.0,972.0,2
HCPCS,57500,Biopsy of cervix,,,940.0,1923.67,23
HCPCS,57500,Hb Cervical Biopsy,11447.5,4006.625,,,0
HCPCS,57505,Endocervical curettage,,,940.0,1923.67,23
HCPCS,57505,Hb Endocervical Curretage,9709.0,3398.15,,,0
HCPCS,57510,Cauterization of cervix,,,3380.46,6760.92,23
HCPCS,57511,Cryocautery of cervix,,,318.22,1502.0,23
HCPCS,57511,Hb Cryocautery Of Cervix,212.0,74.2,,,0
HCPCS,57513,Laser surgery of cervix,,,1326.84,6760.92,27
HCPCS,57520,Conization of cervix,,,1326.84,6760.92,27
HCPCS,57522,Conization of cervix,,,1326.84,6760.92,27
HCPCS,57522,Hb Loop Excision,7001.5,2450.5249999999996,,,0
HCPCS,57530,Removal of cervix,,,1517.25,10447.91,27
HCPCS,57531,Removal of cervix radical,,,3613.0,4992.0,4
HCPCS,57540,Removal of residual cervix,,,3613.0,4992.0,4
HCPCS,57545,Remove cervix/repair pelvis,,,3613.0,4992.0,4
HCPCS,57550,Removal of residual cervix,,,1517.25,10447.91,27
HCPCS,57555,Remove cervix/repair vagina,,,3885.0,10447.91,23
HCPCS,57556,Remove cervix repair bowel,,,2133.06,10447.91,25
HCPCS,57558,D&C oF Cervical Stump,,,1517.25,6760.92,25
HCPCS,57700,Revision of cervix,,,990.66,6760.92,27
HCPCS,57720,Hb Trachelorrhaphy Plstc Rpr Uterine Cervix Vag,12485.0,4369.75,,,0
HCPCS,57720,Revision of cervix,,,1517.25,6760.92,27
HCPCS,57800,Dilation of cervical canal,,,1457.0,6760.92,23
HCPCS,57800,Hb Dilation Of Cervical Canal,11648.0,4076.8,,,0
HCPCS,57820,D & c of residual cervix,,,2375.0,2500.0,2
HCPCS,58100,Biopsy of uterus lining,,,211.12,972.0,21
HCPCS,58100,Hb Endometrial Biopsy,3811.0,1333.85,,,0
HCPCS,58110,Bx done w/colposcopy add-on,,,704.0,972.0,2
HCPCS,58110,Hb Bx Endometrial Icw Colpo,572.0,200.2,,,0
HCPCS,58120,Dilation and curettage,,,1326.84,6760.92,27
HCPCS,58120,Hb Dilation And Curettage,15672.0,5485.2,,,0
HCPCS,58140,Myomectomy abdom method,,,3885.0,6490.0,4
HCPCS,58145,Myomectomy vag method,,,2133.06,6760.92,25
HCPCS,58146,Myomectomy abdom complex,,,3885.0,6490.0,4
HCPCS,58150,Total hysterectomy,,,3885.0,6490.0,4
HCPCS,58152,Total hysterectomy,,,3613.0,4992.0,4
HCPCS,58180,Partial hysterectomy,,,3885.0,6490.0,4
HCPCS,58200,Extensive hysterectomy,,,3613.0,4992.0,4
HCPCS,58210,Extensive hysterectomy,,,3613.0,4992.0,4
HCPCS,58240,Removal of pelvis contents,,,3613.0,4992.0,4
HCPCS,58260,Vaginal hysterectomy,,,4698.0,10447.91,23
HCPCS,58262,Vag hyst including t/o,,,4698.0,10447.91,23
HCPCS,58263,Vag hyst w/t/o & vag repair,,,4698.0,10447.91,23
HCPCS,58267,Vag hyst w/urinary repair,,,3885.0,6490.0,4
HCPCS,58270,Vag hyst w/enterocele repair,,,4698.0,10447.91,23
HCPCS,58275,Hysterectomy/revise vagina,,,3885.0,6490.0,4
HCPCS,58280,Hysterectomy/revise vagina,,,3885.0,6490.0,4
HCPCS,58285,Extensive hysterectomy,,,3613.0,4992.0,4
HCPCS,58290,Vag hyst complex,,,3885.0,15487.57,23
HCPCS,58291,Vag hyst incl t/o complex,,,3885.0,10447.91,23
HCPCS,58292,Vag hyst t/o & repair compl,,,3885.0,15487.57,23
HCPCS,58294,Vag hyst w/enterocele compl,,,3885.0,10447.91,23
HCPCS,58300,Hb Iud Insertion,1755.0,614.25,,,0
HCPCS,58300,Insert intrauterine device,,,704.0,972.0,2
HCPCS,58301,Hb Iud Removal,335.0,117.25,,,0
HCPCS,58301,Remove intrauterine device,,,318.22,1502.0,23
HCPCS,58321,Artificial insemination,,,318.22,1502.0,23
HCPCS,58322,Artificial insemination,,,211.12,1502.0,23
HCPCS,58323,Sperm washing,,,211.12,1502.0,23
HCPCS,58340,Catheter for hysterography,,,704.0,972.0,2
HCPCS,58340,Hb 58340 Cath For Sis Or Hso,1657.0,579.95,,,0
HCPCS,58340,Hb Cath For Sis Or Hso,1657.0,579.95,,,0
HCPCS,58345,Hb 58345 Reopen Fallopian Tube,9060.0,3171.0,,,0
HCPCS,58345,Reopen fallopian tube,,,3380.46,6760.92,23
HCPCS,58346,Insert heyman uteri capsule,,,1326.84,10447.91,27
HCPCS,58350,Reopen fallopian tube,,,1517.25,10447.91,27
HCPCS,58353,Endometr ablate thermal,,,2850.0,10447.91,27
HCPCS,58356,Endometrial cryoablation,,,3885.0,10447.91,23
HCPCS,58400,Suspension of uterus,,,3885.0,6490.0,4
HCPCS,58410,Suspension of uterus,,,3613.0,4992.0,4
HCPCS,58520,Repair of ruptured uterus,,,3613.0,4992.0,4
HCPCS,58540,Revision of uterus,,,3613.0,4992.0,4
HCPCS,58541,Lsh uterus 250 g or less,,,5506.0,22201.02,23
HCPCS,58542,Lsh w/t/o ut 250 g or less,,,5506.0,22201.02,23
HCPCS,58543,LSH Uterus Above 250 g,,,5506.0,22201.02,23
HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,5506.0,22201.02,23
HCPCS,58545,Laparoscopic myomectomy,,,3983.52,12626.43,25
HCPCS,58546,Laparo-myomectomy complex,,,3983.52,22201.02,25
HCPCS,58548,Lap Radical Hyst,,,5506.0,9732.0,4
HCPCS,58550,Laparo-asst vag hysterectomy,,,3983.52,14016.0,25
HCPCS,58552,Laparo-vag hyst incl t/o,,,5506.0,22201.02,23
HCPCS,58553,Laparo-vag hyst complex,,,5506.0,22201.02,23
HCPCS,58554,Laparo-vag hyst w/t/o compl,,,5506.0,22201.02,23
HCPCS,58555,Hysteroscopy dx sep proc,,,990.66,6760.92,27
HCPCS,58558,Hb Hysteroscopy Biopsy,14617.0,5115.95,,,0
HCPCS,58558,Hysteroscopy biopsy,,,1517.25,6760.92,27
HCPCS,58559,Hysteroscopy lysis,,,1326.84,10447.91,27
HCPCS,58560,Hysteroscopy resect septum,,,1517.25,10447.91,27
HCPCS,58561,Hysteroscopy remove myoma,,,1517.25,10447.91,27
HCPCS,58562,Hysteroscopy remove fb,,,1517.25,6760.92,27
HCPCS,58563,Hysteroscopy ablation,,,2850.0,10447.91,27
HCPCS,58565,Hysteroscopy sterilization,,,2850.0,10447.91,27
HCPCS,58570,Tlh uterus 250 g or less,,,5506.0,22201.02,23
HCPCS,58571,Tlh w/t/o 250 g or less,,,5506.0,22201.02,23
HCPCS,58572,Tlh uterus over 250 g,,,5506.0,22201.02,23
HCPCS,58573,Tlh w/t/o uterus over 250 g,,,5506.0,22201.02,23
HCPCS,58575,Laps tot hyst resj mal,,,4698.0,6490.0,4
HCPCS,58578,Laparo proc uterus,,,5506.0,12626.43,23
HCPCS,58579,Hysteroscope procedure,,,211.12,3993.0,23
HCPCS,58580,Transcrv abltj utrn fibrd rf,,,3885.0,15487.57,23
HCPCS,58600,Division of fallopian tube,,,2375.0,6760.92,25
HCPCS,58605,Division of fallopian tube,,,2116.0,3993.0,4
HCPCS,58611,Ligate oviduct(s) add-on,,,3613.0,4992.0,4
HCPCS,58615,Occlude fallopian tube(s),,,3380.46,6760.92,23
HCPCS,58660,Laparoscopy lysis,,,2133.06,14016.0,25
HCPCS,58661,Laparoscopy remove adnexa,,,2133.06,14016.0,25
HCPCS,58662,Laparoscopy excise lesions,,,2133.06,14016.0,25
HCPCS,58670,Laparoscopy tubal cautery,,,1517.25,14016.0,27
HCPCS,58671,Laparoscopy tubal block,,,1517.25,14016.0,27
HCPCS,58672,Laparoscopy fimbrioplasty,,,2133.06,14016.0,25
HCPCS,58673,Laparoscopy salpingostomy,,,2133.06,22201.02,25
HCPCS,58674,Hb Elaps Abltj Uterine Fibroids W/Intraop Us Gdn,5912.0,2069.2,,,0
HCPCS,58674,Laps abltj uterine fibroids,,,5506.0,22201.02,23
HCPCS,58679,Laparo proc oviduct-ovary,,,5506.0,12626.43,23
HCPCS,58700,Removal of fallopian tube,,,3885.0,6490.0,4
HCPCS,58720,Removal of ovary/tube(s),,,3885.0,9732.0,4
HCPCS,58740,Adhesiolysis tube ovary,,,3760.0,5195.0,4
HCPCS,58750,Repair oviduct,,,3885.0,6490.0,4
HCPCS,58752,Revise ovarian tube(s),,,3885.0,6490.0,4
HCPCS,58760,Fimbrioplasty,,,3885.0,6490.0,4
HCPCS,58770,Create new tubal opening,,,3380.46,6760.92,23
HCPCS,58800,Drainage of ovarian cyst(s),,,1517.25,6760.92,27
HCPCS,58805,Drainage of ovarian cyst(s),,,3380.46,6760.92,23
HCPCS,58820,Drain ovary abscess open,,,1517.25,6760.92,27
HCPCS,58822,Drain ovary abscess percut,,,3885.0,6490.0,4
HCPCS,58825,Transposition ovary(s),,,3885.0,6490.0,4
HCPCS,58900,Biopsy of ovary(s),,,1517.25,6760.92,27
HCPCS,58920,Partial removal of ovary(s),,,3885.0,15487.57,23
HCPCS,58925,Removal of ovarian cyst(s),,,3885.0,10447.91,23
HCPCS,58940,Removal of ovary(s),,,3885.0,6490.0,4
HCPCS,58943,Removal of ovary(s),,,3885.0,6490.0,4
HCPCS,58950,Resect ovarian malignancy,,,3885.0,6490.0,4
HCPCS,58951,Resect ovarian malignancy,,,3613.0,4992.0,4
HCPCS,58952,Resect ovarian malignancy,,,3613.0,4992.0,4
HCPCS,58953,Tah rad dissect for debulk,,,3613.0,4992.0,4
HCPCS,58954,Tah rad debulk/lymph remove,,,3613.0,4992.0,4
HCPCS,58956,Bso omentectomy w/tah,,,3613.0,4992.0,4
HCPCS,58958,Resect Recur Gyn Mal w/Lym,,,3613.0,4992.0,4
HCPCS,58960,Exploration of abdomen,,,3885.0,14016.0,4
HCPCS,58970,Hb Retrieval Of Oocyte,10488.0,3670.8,,,0
HCPCS,58970,Retrieval of oocyte,,,731.61,5766.0,27
HCPCS,58974,Transfer of embryo,,,731.61,5766.0,27
HCPCS,58976,Transfer of embryo,,,318.22,5766.0,27
HCPCS,58999,Genital surgery procedure,,,211.12,3993.0,23
HCPCS,58999,Hb Unlisted Procedure Female Genital Sys,12601.0,4410.35,,,0
HCPCS,59000,Amniocentesis diagnostic,,,940.0,1923.67,23
HCPCS,59000,Hb Amniocentesis,3388.0,1185.8,,,0
HCPCS,59001,Amniocentesis therapeutic,,,318.22,972.0,21
HCPCS,59001,Hb Amniocentesis Therapeutic,4396.0,1538.6,,,0
HCPCS,59012,Fetal cord puncture prenatal,,,318.22,972.0,21
HCPCS,59012,Hb Cordocentesis,1988.0,695.8,,,0
HCPCS,59015,Chorion biopsy,,,940.0,1923.67,21
HCPCS,59015,Hb Chor Vill Sample,1542.0,539.7,,,0
HCPCS,59020,Fetal contract stress test,,,211.12,972.0,21
HCPCS,59020,Hb Fetal Contraction Stress Test,2614.0,914.9,,,0
HCPCS,59025,Fetal non-stress test,,,211.12,972.0,21
HCPCS,59025,Hb Fetal Nonstress Test,1428.0,499.8,,,0
HCPCS,59030,Fetal scalp blood sample,,,318.22,972.0,21
HCPCS,59050,Fetal monitor w/report,,,704.0,3993.0,4
HCPCS,59050,Hb Fetal Monitoring,1576.0,551.6,,,0
HCPCS,59051,Fetal monitor/interpret only,,,3613.0,4992.0,4
HCPCS,59070,Hb Transabdom Amnioinfus W/Us Guid,1242.0,434.7,,,0
HCPCS,59070,Transabdom amnioinfus w/us,,,318.22,1502.0,23
HCPCS,59072,Umbilical cord occlud w/us,,,318.22,1502.0,23
HCPCS,59074,Fetal fluid drainage w/us,,,318.22,1502.0,23
HCPCS,59074,Hb Fetal Fluid Drainage W/Us,1081.0,378.35,,,0
HCPCS,59076,Fetal shunt placement w/us,,,318.22,1502.0,23
HCPCS,59076,Hb Fetal Shunt Placement W/Us  Guid,1242.0,434.7,,,0
HCPCS,59100,Remove uterus lesion,,,2428.0,10447.91,23
HCPCS,59120,Treat ectopic pregnancy,,,3885.0,6490.0,4
HCPCS,59121,Treat ectopic pregnancy,,,3885.0,6490.0,4
HCPCS,59130,Treat ectopic pregnancy,,,3613.0,4992.0,4
HCPCS,59136,Treat ectopic pregnancy,,,3613.0,4992.0,4
HCPCS,59140,Treat ectopic pregnancy,,,3613.0,4992.0,4
HCPCS,59150,Treat ectopic pregnancy,,,5506.0,14016.0,23
HCPCS,59151,Treat ectopic pregnancy,,,5506.0,14016.0,23
HCPCS,59160,D & c after delivery,,,1517.25,6760.92,27
HCPCS,59160,Hb Curettage Postpartum,13319.0,4661.65,,,0
HCPCS,59200,Hb Insert Cervical Dilator,2290.0,801.5,,,0
HCPCS,59200,Insert cervical dilator,,,318.22,1502.0,23
HCPCS,59300,Episiotomy Or Vaginal Repair,8999.0,3149.65,,,0
HCPCS,59300,Episiotomy or vaginal repair,,,3380.46,6760.92,23
HCPCS,59320,Hb Cerclage Cervix,3939.0,1378.65,,,0
HCPCS,59320,Revision of cervix,,,990.66,6760.92,27
HCPCS,59325,Revision of cervix,,,3613.0,4992.0,4
HCPCS,59350,Repair of uterus,,,3885.0,3993.0,2
HCPCS,59400,Obstetrical care,,,3885.0,3993.0,2
HCPCS,59409,Hb Vaginal Delivery Only,7551.0,2642.85,,,0
HCPCS,59409,Obstetrical care,,,3380.46,6760.92,23
HCPCS,59410,Obstetrical care,,,3885.0,3993.0,2
HCPCS,59412,Antepartum manipulation,,,1457.0,6760.92,23
HCPCS,59412,Hb External Cephalic Version,2371.0,829.85,,,0
HCPCS,59414,Deliver placenta,,,3380.46,6760.92,23
HCPCS,59414,Hb Retained Placental Extraction,8778.0,3072.3,,,0
HCPCS,59510,Cesarean delivery,,,3885.0,3993.0,2
HCPCS,59514,Cesarean delivery only,,,3885.0,3993.0,2
HCPCS,59514,Hb Cesarean Delivery Only,7733.0,2706.55,,,0
HCPCS,59515,Cesarean delivery,,,3885.0,3993.0,2
HCPCS,59525,Remove uterus after cesarean,,,3885.0,3993.0,2
HCPCS,59610,Vbac delivery,,,3885.0,3993.0,2
HCPCS,59612,Hb Vaginal Delivery After Cesarean Delivery,11555.0,4044.25,,,0
HCPCS,59612,Vbac delivery only,,,3380.46,6760.92,23
HCPCS,59614,Vbac care after delivery,,,3885.0,3993.0,2
HCPCS,59618,Attempted vbac delivery,,,3885.0,3993.0,2
HCPCS,59620,Attempted vbac delivery only,,,3885.0,3993.0,2
HCPCS,59622,Attempted vbac after care,,,3885.0,3993.0,2
HCPCS,59812,Hb Treatment Of Miscarriage,16440.0,5754.0,,,0
HCPCS,59812,Treatment of miscarriage,,,2133.06,6760.92,25
HCPCS,59820,Care of miscarriage,,,2133.06,6760.92,25
HCPCS,59820,Hb Surg Tx Missed Abort; 1St Trimester,19253.0,6738.55,,,0
HCPCS,59821,Hb Missed Abortion 2Nd Trimester Surgical,13869.0,4854.15,,,0
HCPCS,59821,Treatment of miscarriage,,,2133.06,6760.92,25
HCPCS,59830,Hb Surg Tx Septic Abortion,2152.0,753.2,,,0
HCPCS,59830,Treat uterus infection,,,3613.0,4992.0,4
HCPCS,59840,Abortion,,,2133.06,6760.92,25
HCPCS,59840,Hb Abortion,9301.0,3255.35,,,0
HCPCS,59841,Abortion,,,2133.06,6760.92,25
HCPCS,59841,"Hb Induced Abortion, By Dilation And Evacuation",14054.0,4918.9,,,0
HCPCS,59850,Abortion,,,2064.0,4992.0,4
HCPCS,59851,Abortion,,,2064.0,4992.0,4
HCPCS,59852,Abortion,,,3613.0,4992.0,4
HCPCS,59855,Abortion,,,3613.0,4992.0,4
HCPCS,59855,Hb Induced Abortion,5243.0,1835.05,,,0
HCPCS,59856,Abortion,,,2116.0,3993.0,4
HCPCS,59857,Abortion,,,3613.0,4992.0,4
HCPCS,59866,Abortion (mpr),,,318.22,1502.0,23
HCPCS,59870,Evacuate mole of uterus,,,2133.06,6760.92,25
HCPCS,59871,Hb Remove Cerclage Suture,14984.0,5244.4,,,0
HCPCS,59871,Remove cerclage suture,,,2133.06,6760.92,25
HCPCS,59897,Fetal invas px w/us,,,211.12,3993.0,23
HCPCS,59897,Hb  Fetal Invas Px W/Us,744.0,260.4,,,0
HCPCS,59898,Laparo proc ob care/deliver,,,5506.0,12626.43,23
HCPCS,59899,Hb Cerclage Removal,547.0,191.45,,,0
HCPCS,59899,Hb Unlisted Procedure Maternity Care & Del,804.0,281.4,,,0
HCPCS,59899,Maternity care procedure,,,211.12,3993.0,23
HCPCS,60000,Drain thyroid/tongue cyst,,,990.66,3240.57,27
HCPCS,60100,Biopsy of thyroid,,,739.49,1502.0,23
HCPCS,60100,Hb 60100 Thyroid Perc Biopsy,4958.0,1735.3,,,0
HCPCS,60100,Hb Thyroid Perc Biopsy,4958.0,1735.3,,,0
HCPCS,60200,Remove thyroid lesion,,,1326.84,14016.0,27
HCPCS,60210,Partial thyroid excision,,,3885.0,14016.0,23
HCPCS,60212,Partial thyroid excision,,,3885.0,14016.0,23
HCPCS,60220,Partial removal of thyroid,,,2064.0,14016.0,23
HCPCS,60225,Partial removal of thyroid,,,2428.0,14016.0,23
HCPCS,60240,Removal of thyroid,,,3885.0,14016.0,23
HCPCS,60252,Removal of thyroid,,,3885.0,12363.91,23
HCPCS,60254,Extensive thyroid surgery,,,3760.0,5195.0,4
HCPCS,60260,Repeat thyroid surgery,,,3885.0,12363.91,23
HCPCS,60270,Removal of thyroid,,,2116.0,3993.0,4
HCPCS,60271,Removal of thyroid,,,3885.0,12363.91,23
HCPCS,60280,Remove thyroid duct lesion,,,1874.25,14016.0,27
HCPCS,60281,Remove thyroid duct lesion,,,1874.25,14016.0,27
HCPCS,60300,Aspir/inj thyroid cyst,,,739.49,1478.98,21
HCPCS,60500,Explore parathyroid glands,,,3885.0,12363.91,23
HCPCS,60502,Re-explore parathyroids,,,5282.0,12363.91,23
HCPCS,60505,Explore parathyroid glands,,,3613.0,4992.0,4
HCPCS,60512,Autotransplant parathyroid,,,704.0,972.0,2
HCPCS,60520,Removal of thymus gland,,,3885.0,12363.91,23
HCPCS,60521,Removal of thymus gland,,,3613.0,4992.0,4
HCPCS,60522,Removal of thymus gland,,,3613.0,4992.0,4
HCPCS,60540,Explore adrenal gland,,,3613.0,4992.0,4
HCPCS,60545,Explore adrenal gland,,,3613.0,4992.0,4
HCPCS,60600,Remove carotid body lesion,,,3613.0,4992.0,4
HCPCS,60605,Remove carotid body lesion,,,3613.0,4992.0,4
HCPCS,60650,Laparoscopy adrenalectomy,,,5506.0,9732.0,4
HCPCS,60659,Laparo proc endocrine,,,5506.0,12626.43,23
HCPCS,60660,Abltj 1/+thyr ndul 1lobe prq,,,1724.73,3993.0,23
HCPCS,60661,Abltj 1/+thyr ndul addl prq,,,704.0,3993.0,4
HCPCS,60699,Endocrine surgery procedure,,,3885.0,14016.0,23
HCPCS,60699,Hb 60699 Closed Adrenal Gland Biopsy,14370.0,5029.5,,,0
HCPCS,60699,Hb Closed Adrenal Gland Biopsy,14370.0,5029.5,,,0
HCPCS,61000,Remove cranial cavity fluid,,,737.14,1502.0,23
HCPCS,61001,Remove cranial cavity fluid,,,737.14,1502.0,23
HCPCS,61020,Hb Remove Brain Cavity Fluid,3738.0,1308.3,,,0
HCPCS,61020,Hb Ventricular Puncture Previous Burr Hole W/O Njx,3924.0,1373.4,,,0
HCPCS,61020,Remove brain cavity fluid,,,546.9,1847.27,27
HCPCS,61026,Hb Injection Into Brain Canal,3364.0,1177.4,,,0
HCPCS,61026,Injection into brain canal,,,546.9,1502.0,27
HCPCS,61050,Remove brain canal fluid,,,320.54,1502.0,27
HCPCS,61055,Hb 61055 Cervical Puncture,4141.0,1449.35,,,0
HCPCS,61055,Hb Cervical Puncture,4141.0,1449.35,,,0
HCPCS,61055,Injection into brain canal,,,320.54,1502.0,27
HCPCS,61070,Brain canal shunt procedure,,,546.9,1502.0,27
HCPCS,61070,Hb 61070 Punct For Asp Inj Shunt,2862.0,1001.7,,,0
HCPCS,61070,Hb Punct For Asp Inj Shunt,2862.0,1001.7,,,0
HCPCS,61105,Twist drill hole,,,3613.0,4992.0,4
HCPCS,61107,Drill skull for implantation,,,3613.0,4992.0,4
HCPCS,61107,Hb 61107 Drill Skull For Implantation,2060.0,721.0,,,0
HCPCS,61107,Hb Drill Skull For Implantation,2060.0,721.0,,,0
HCPCS,61108,Drill skull for drainage,,,3613.0,4992.0,4
HCPCS,61120,Burr hole for puncture,,,3613.0,4992.0,4
HCPCS,61140,Pierce skull for biopsy,,,3613.0,4992.0,4
HCPCS,61150,Pierce skull for drainage,,,3613.0,4992.0,4
HCPCS,61151,Pierce skull for drainage,,,3613.0,4992.0,4
HCPCS,61154,Pierce skull & remove clot,,,3613.0,4992.0,4
HCPCS,61156,Pierce skull for drainage,,,3613.0,4992.0,4
HCPCS,61210,Hb Pierce Skull Implant Device,20355.0,7124.25,,,0
HCPCS,61210,Pierce skull implant device,,,3613.0,4992.0,4
HCPCS,61215,Insert brain-fluid device,,,1517.25,18328.87,27
HCPCS,61250,Pierce skull & explore,,,3613.0,4992.0,4
HCPCS,61253,Pierce skull & explore,,,3613.0,4992.0,4
HCPCS,61304,Open skull for exploration,,,3613.0,4992.0,4
HCPCS,61305,Open skull for exploration,,,3613.0,4992.0,4
HCPCS,61312,Open skull for drainage,,,3613.0,4992.0,4
HCPCS,61313,Open skull for drainage,,,3613.0,4992.0,4
HCPCS,61314,Open skull for drainage,,,3613.0,4992.0,4
HCPCS,61315,Open skull for drainage,,,3613.0,4992.0,4
HCPCS,61316,Implt cran bone flap to abdo,,,3613.0,4992.0,4
HCPCS,61320,Open skull for drainage,,,3613.0,4992.0,4
HCPCS,61321,Open skull for drainage,,,3613.0,4992.0,4
HCPCS,61322,Decompressive craniotomy,,,3613.0,4992.0,4
HCPCS,61323,Decompressive lobectomy,,,3613.0,4992.0,4
HCPCS,61330,Decompress eye socket,,,3462.26,9732.0,23
HCPCS,61333,Explore orbit/remove lesion,,,3613.0,4992.0,4
HCPCS,61340,Subtemporal decompression,,,3613.0,4992.0,4
HCPCS,61343,Incise skull (press relief),,,3613.0,4992.0,4
HCPCS,61345,Relieve cranial pressure,,,3613.0,4992.0,4
HCPCS,61450,Incise skull for surgery,,,3613.0,4992.0,4
HCPCS,61458,Incise skull for brain wound,,,3613.0,4992.0,4
HCPCS,61460,Incise skull for surgery,,,3613.0,4992.0,4
HCPCS,61500,Removal of skull lesion,,,3885.0,14016.0,4
HCPCS,61501,Remove infected skull bone,,,3613.0,4992.0,4
HCPCS,61510,Removal of brain lesion,,,3613.0,4992.0,4
HCPCS,61512,Remove brain lining lesion,,,3613.0,4992.0,4
HCPCS,61514,Removal of brain abscess,,,3613.0,4992.0,4
HCPCS,61516,Removal of brain lesion,,,3613.0,4992.0,4
HCPCS,61517,Implt brain chemotx add-on,,,3613.0,4992.0,4
HCPCS,61518,Removal of brain lesion,,,3613.0,4992.0,4
HCPCS,61519,Remove brain lining lesion,,,3613.0,4992.0,4
HCPCS,61520,Removal of brain lesion,,,3613.0,4992.0,4
HCPCS,61521,Removal of brain lesion,,,3613.0,4992.0,4
HCPCS,61522,Removal of brain abscess,,,3613.0,4992.0,4
HCPCS,61524,Removal of brain lesion,,,3613.0,4992.0,4
HCPCS,61526,Removal of brain lesion,,,3613.0,4992.0,4
HCPCS,61530,Removal of brain lesion,,,3613.0,4992.0,4
HCPCS,61531,Implant brain electrodes,,,2116.0,3993.0,4
HCPCS,61533,Implant brain electrodes,,,3613.0,4992.0,4
HCPCS,61534,Removal of brain lesion,,,3613.0,4992.0,4
HCPCS,61535,Remove brain electrodes,,,3613.0,4992.0,4
HCPCS,61536,Removal of brain lesion,,,3613.0,4992.0,4
HCPCS,61537,Removal of brain tissue,,,3613.0,4992.0,4
HCPCS,61538,Removal of brain tissue,,,3613.0,4992.0,4
HCPCS,61539,Removal of brain tissue,,,3613.0,4992.0,4
HCPCS,61540,Removal of brain tissue,,,3613.0,4992.0,4
HCPCS,61541,Incision of brain tissue,,,3613.0,4992.0,4
HCPCS,61543,Removal of brain tissue,,,3613.0,4992.0,4
HCPCS,61544,Remove & treat brain lesion,,,3613.0,4992.0,4
HCPCS,61545,Excision of brain tumor,,,3613.0,4992.0,4
HCPCS,61546,Removal of pituitary gland,,,3613.0,4992.0,4
HCPCS,61548,Removal of pituitary gland,,,3613.0,4992.0,4
HCPCS,61550,Release of skull seams,,,3613.0,4992.0,4
HCPCS,61552,Release of skull seams,,,3613.0,4992.0,4
HCPCS,61556,Incise skull/sutures,,,3613.0,4992.0,4
HCPCS,61557,Incise skull/sutures,,,3613.0,4992.0,4
HCPCS,61558,Excision of skull/sutures,,,3613.0,4992.0,4
HCPCS,61559,Excision of skull/sutures,,,3613.0,4992.0,4
HCPCS,61563,Excision of skull tumor,,,3613.0,4992.0,4
HCPCS,61564,Excision of skull tumor,,,3613.0,4992.0,4
HCPCS,61566,Removal of brain tissue,,,3613.0,4992.0,4
HCPCS,61567,Incision of brain tissue,,,3613.0,4992.0,4
HCPCS,61570,Remove foreign body brain,,,3613.0,4992.0,4
HCPCS,61571,Incise skull for brain wound,,,3613.0,4992.0,4
HCPCS,61575,Skull base/brainstem surgery,,,3613.0,4992.0,4
HCPCS,61576,Skull base/brainstem surgery,,,3613.0,4992.0,4
HCPCS,61580,Craniofacial approach skull,,,3613.0,4992.0,4
HCPCS,61581,Craniofacial approach skull,,,3613.0,4992.0,4
HCPCS,61582,Craniofacial approach skull,,,3613.0,4992.0,4
HCPCS,61583,Craniofacial approach skull,,,3613.0,4992.0,4
HCPCS,61584,Orbitocranial approach/skull,,,3613.0,4992.0,4
HCPCS,61585,Orbitocranial approach/skull,,,3613.0,4992.0,4
HCPCS,61586,Resect nasopharynx skull,,,3613.0,4992.0,4
HCPCS,61590,Infratemporal approach/skull,,,3613.0,4992.0,4
HCPCS,61591,Infratemporal approach/skull,,,3613.0,4992.0,4
HCPCS,61592,Orbitocranial approach/skull,,,3613.0,4992.0,4
HCPCS,61595,Transtemporal approach/skull,,,3613.0,4992.0,4
HCPCS,61596,Transcochlear approach/skull,,,3613.0,4992.0,4
HCPCS,61597,Transcondylar approach/skull,,,3613.0,4992.0,4
HCPCS,61598,Transpetrosal approach/skull,,,3613.0,4992.0,4
HCPCS,61600,Resect/excise cranial lesion,,,3613.0,4992.0,4
HCPCS,61601,Resect/excise cranial lesion,,,3613.0,4992.0,4
HCPCS,61605,Resect/excise cranial lesion,,,3613.0,4992.0,4
HCPCS,61606,Resect/excise cranial lesion,,,3613.0,4992.0,4
HCPCS,61607,Resect/excise cranial lesion,,,3613.0,4992.0,4
HCPCS,61608,Resect/excise cranial lesion,,,3613.0,4992.0,4
HCPCS,61611,Transect artery sinus,,,3613.0,4992.0,4
HCPCS,61613,Remove aneurysm sinus,,,3613.0,4992.0,4
HCPCS,61615,Resect/excise lesion skull,,,3613.0,4992.0,4
HCPCS,61616,Resect/excise lesion skull,,,3613.0,4992.0,4
HCPCS,61618,Repair dura,,,3613.0,4992.0,4
HCPCS,61619,Repair dura,,,3613.0,4992.0,4
HCPCS,61623,Endovasc tempory vessel occl,,,3885.0,24110.71,23
HCPCS,61623,Hb 61623 Endovas Temp Vessel Occl,19736.0,6907.6,,,0
HCPCS,61624,Hb 61624 Embolization Neuro Spinal,26274.0,9195.9,,,0
HCPCS,61624,Transcath occlusion cns,,,3885.0,38286.69,23
HCPCS,61626,Hb 61626 Embolization Extracranial,25017.0,8755.95,,,0
HCPCS,61626,Transcath occlusion non-cns,,,3885.0,24110.71,23
HCPCS,61630,Hb 61630 Intracranial Angioplasty,18895.0,6613.25,,,0
HCPCS,61630,Intracranial angioplasty,,,2428.0,4992.0,4
HCPCS,61635,Hb 61635 Angioplast Intracran Stent,30357.0,10624.95,,,0
HCPCS,61635,Intracran angioplsty w/stent,,,2428.0,4992.0,4
HCPCS,61640,Dilate ic vasospasm init,,,2428.0,4992.0,4
HCPCS,61640,Hb 61640 Dilate Ic Vasospasm Init,30357.0,10624.95,,,0
HCPCS,61641,Dilate ic vasospasm add-on,,,2064.0,4992.0,4
HCPCS,61641,Hb 61641 Dilate Ic Vas Ea Add Svf,15927.0,5574.45,,,0
HCPCS,61642,Dilate ic vasospasm add-on,,,2064.0,4992.0,4
HCPCS,61642,Hb 61642 Dilate Ic Vas Ea Add Dvf,15774.0,5520.9,,,0
HCPCS,61645,Hb 61645 Perq Art M-Thrombect &/Nfs,12063.0,4222.05,,,0
HCPCS,61645,Perq art m-thrombect &/nfs,,,3613.0,4992.0,4
HCPCS,61650,Evasc prlng admn rx agnt 1st,,,3613.0,4992.0,4
HCPCS,61650,Hb 61650 Infusion Nonthrombolytic Initial,8199.0,2869.65,,,0
HCPCS,61651,Evasc prlng admn rx agnt add,,,3613.0,4992.0,4
HCPCS,61651,Hb 61651 Infusion Nonthrombolytic Ea Addtl,3146.0,1101.1,,,0
HCPCS,61680,Intracranial vessel surgery,,,3613.0,4992.0,4
HCPCS,61682,Intracranial vessel surgery,,,3613.0,4992.0,4
HCPCS,61684,Intracranial vessel surgery,,,3613.0,4992.0,4
HCPCS,61686,Intracranial vessel surgery,,,3613.0,4992.0,4
HCPCS,61690,Intracranial vessel surgery,,,3613.0,4992.0,4
HCPCS,61692,Intracranial vessel surgery,,,3613.0,4992.0,4
HCPCS,61697,Brain aneurysm repr complx,,,3613.0,4992.0,4
HCPCS,61698,Brain aneurysm repr complx,,,3613.0,4992.0,4
HCPCS,61700,Brain aneurysm repr simple,,,3613.0,4992.0,4
HCPCS,61702,Inner skull vessel surgery,,,3613.0,4992.0,4
HCPCS,61703,Clamp neck artery,,,3613.0,4992.0,4
HCPCS,61705,Revise circulation to head,,,3613.0,4992.0,4
HCPCS,61708,Revise circulation to head,,,3613.0,4992.0,4
HCPCS,61710,Revise circulation to head,,,3613.0,4992.0,4
HCPCS,61711,Fusion of skull arteries,,,3613.0,4992.0,4
HCPCS,61715,Hb Mrgfus Strtctc Les Abltj,133604.0,46761.4,,,0
HCPCS,61715,Mrgfus strtctc ablt trgt icr,,,3885.0,23272.17,23
HCPCS,61720,Incise skull/brain surgery,,,3885.0,18328.87,23
HCPCS,61735,Incise skull/brain surgery,,,3613.0,4992.0,4
HCPCS,61736,Litt icr 1 traj 1 smpl les,,,3613.0,4992.0,4
HCPCS,61737,Litt icr mlt trj mlt/cplx ls,,,3613.0,4992.0,4
HCPCS,61750,Incise skull/brain biopsy,,,3613.0,4992.0,4
HCPCS,61751,Brain biopsy w/ct/mr guide,,,3613.0,4992.0,4
HCPCS,61760,Implant brain electrodes,,,2116.0,3993.0,4
HCPCS,61770,Incise skull for treatment,,,3567.41,9732.0,23
HCPCS,61781,Hb Or Sterotatic Brain Biopsy,12434.0,4351.9,,,0
HCPCS,61781,Scan proc cranial intra,,,704.0,972.0,2
HCPCS,61782,Hb Or Stereotatic Cranial,12434.0,4351.9,,,0
HCPCS,61782,Scan proc cranial extra,,,704.0,972.0,2
HCPCS,61783,Hb Or Stereotatic Spine,12434.0,4351.9,,,0
HCPCS,61783,Scan proc spinal,,,704.0,972.0,2
HCPCS,61790,Treat trigeminal nerve,,,1517.25,5195.0,27
HCPCS,61791,Treat trigeminal tract,,,1046.97,5195.0,27
HCPCS,61796,Srs cranial lesion simple,,,3885.0,14016.0,4
HCPCS,61797,Srs cran les simple addl,,,2116.0,3993.0,4
HCPCS,61798,Srs cranial lesion complex,,,3885.0,14016.0,4
HCPCS,61799,Srs cran les complex addl,,,2116.0,3993.0,4
HCPCS,61800,Apply srs headframe add-on,,,704.0,3993.0,4
HCPCS,61850,Implant neuroelectrodes,,,3613.0,4992.0,4
HCPCS,61860,Implant neuroelectrodes,,,3613.0,4992.0,4
HCPCS,61863,Implant neuroelectrode,,,3613.0,4992.0,4
HCPCS,61864,Implant neuroelectrde addl,,,3613.0,4992.0,4
HCPCS,61867,Implant neuroelectrode,,,3613.0,4992.0,4
HCPCS,61868,Implant neuroelectrde addl,,,3613.0,4992.0,4
HCPCS,61880,Revise/remove neuroelectrode,,,3650.91,7301.82,23
HCPCS,61885,Insrt/redo neurostim 1 array,,,1326.84,64448.09,27
HCPCS,61886,Implant neurostim arrays,,,1517.25,99846.0,27
HCPCS,61888,Revise/remove neuroreceiver,,,990.66,23272.17,27
HCPCS,61889,Ins sk-mnt crnl nstm pg/rcvr,,,3613.0,4992.0,4
HCPCS,61891,Rev/rplcmt sk-mnt crnl nstm,,,3885.0,64448.09,23
HCPCS,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,3416.88,6833.76,23
HCPCS,62000,Treat skull fracture,,,3462.26,9732.0,23
HCPCS,62005,Treat skull fracture,,,3613.0,4992.0,4
HCPCS,62010,Treatment of head injury,,,3613.0,4992.0,4
HCPCS,62100,Repair brain fluid leakage,,,3613.0,4992.0,4
HCPCS,62115,Reduction of skull defect,,,3613.0,4992.0,4
HCPCS,62117,Reduction of skull defect,,,3613.0,4992.0,4
HCPCS,62120,Repair skull cavity lesion,,,3613.0,4992.0,4
HCPCS,62121,Incise skull repair,,,3613.0,4992.0,4
HCPCS,62140,Repair of skull defect,,,3613.0,4992.0,4
HCPCS,62141,Repair of skull defect,,,3613.0,4992.0,4
HCPCS,62142,Remove skull plate/flap,,,3613.0,4992.0,4
HCPCS,62143,Replace skull plate/flap,,,3613.0,4992.0,4
HCPCS,62145,Repair of skull & brain,,,3613.0,4992.0,4
HCPCS,62146,Repair of skull with graft,,,3613.0,4992.0,4
HCPCS,62147,Repair of skull with graft,,,3613.0,4992.0,4
HCPCS,62148,Retr bone flap to fix skull,,,3613.0,4992.0,4
HCPCS,62160,Hb Nundsc Icra Plmt Ventr Cath Shunt Sys,26797.0,9378.95,,,0
HCPCS,62160,Neuroendoscopy add-on,,,704.0,972.0,2
HCPCS,62161,Dissect brain w/scope,,,3613.0,4992.0,4
HCPCS,62162,Remove colloid cyst w/scope,,,3613.0,4992.0,4
HCPCS,62164,Remove brain tumor w/scope,,,3613.0,4992.0,4
HCPCS,62165,Remove pituit tumor w/scope,,,3613.0,4992.0,4
HCPCS,62180,Establish brain cavity shunt,,,3613.0,4992.0,4
HCPCS,62190,Establish brain cavity shunt,,,3613.0,4992.0,4
HCPCS,62192,Establish brain cavity shunt,,,3613.0,4992.0,4
HCPCS,62194,Replace/irrigate catheter,,,990.66,5195.0,27
HCPCS,62200,Establish brain cavity shunt,,,3613.0,4992.0,4
HCPCS,62201,Brain cavity shunt w/scope,,,3613.0,4992.0,4
HCPCS,62220,Establish brain cavity shunt,,,3613.0,4992.0,4
HCPCS,62223,Establish brain cavity shunt,,,3613.0,4992.0,4
HCPCS,62225,Hb Rplcmt/Irrigation Ventricular Catheter,16230.0,5680.5,,,0
HCPCS,62225,Replace/irrigate catheter,,,990.66,7134.82,27
HCPCS,62230,Hb 62230 Replace Csf Shunt Valve Or Distal Cath,27897.0,9763.95,,,0
HCPCS,62230,Replace/revise brain shunt,,,1326.84,18328.87,27
HCPCS,62252,Csf Shunt Reprogram,,,320.74,1502.0,23
HCPCS,62256,Remove brain cavity shunt,,,2116.0,3993.0,4
HCPCS,62258,Replace brain cavity shunt,,,3613.0,4992.0,4
HCPCS,62263,Epidural lysis mult sessions,,,923.64,1847.27,27
HCPCS,62264,Epidural lysis on single day,,,923.64,1847.27,27
HCPCS,62267,Hb 62267 Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss,5432.0,1901.2,,,0
HCPCS,62267,Hb Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss,5432.0,1901.2,,,0
HCPCS,62267,Interdiscal perq aspir dx,,,739.49,1502.0,23
HCPCS,62268,Drain spinal cord cyst,,,546.9,1847.27,27
HCPCS,62268,Hb Drain Spinal Cord Cyst,3710.0,1298.5,,,0
HCPCS,62269,Hb 62269 Biopsy Spinal Cord Percutaneous Needle,7753.0,2713.55,,,0
HCPCS,62269,Needle biopsy spinal cord,,,990.66,3449.46,27
HCPCS,62270,Hb 62270 Spinal Puncture Diagnostic,6979.0,2442.65,,,0
HCPCS,62270,Hb Spinal Puncture Diagnostic,6979.0,2442.65,,,0
HCPCS,62270,Spinal fluid tap diagnostic,,,413.52,1502.0,27
HCPCS,62272,Drain cerebro spinal fluid,,,413.52,1502.0,27
HCPCS,62272,Hb 62272 Spinal Puncture Therap,2265.0,792.75,,,0
HCPCS,62272,Hb Spinal Puncture Therapeutic,2265.0,792.75,,,0
HCPCS,62273,Hb 62273 Inj Epidural Patch,4152.0,1453.2,,,0
HCPCS,62273,Hb Blood Patch,4152.0,1453.2,,,0
HCPCS,62273,Inject epidural patch,,,737.14,1502.0,27
HCPCS,62280,Treat spinal cord lesion,,,923.64,1847.27,27
HCPCS,62281,Hb 62281 Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic,26534.0,9286.9,,,0
HCPCS,62281,Treat spinal cord lesion,,,923.64,1847.27,27
HCPCS,62282,Hb 62282 Treat Spinal Canal Lesion,7304.0,2556.4,,,0
HCPCS,62282,Hb Treat Spinal Canal Lesion,7304.0,2556.4,,,0
HCPCS,62282,Treat spinal canal lesion,,,923.64,1847.27,27
HCPCS,62284,Hb 62284 Inj For Myelogram,1525.0,533.75,,,0
HCPCS,62284,Hb Spinal Puncture,1525.0,533.75,,,0
HCPCS,62284,Injection for myelogram,,,704.0,972.0,2
HCPCS,62287,Percutaneous diskectomy,,,2039.19,6490.0,25
HCPCS,62290,Hb 62290 Inj Disk Lumbar Ea Lvl,4106.0,1437.1,,,0
HCPCS,62290,Inject for spine disk x-ray,,,704.0,972.0,2
HCPCS,62291,Inject for spine disk x-ray,,,704.0,972.0,2
HCPCS,62292,Injection into disk lesion,,,1457.0,5195.0,23
HCPCS,62294,Injection into spinal artery,,,546.9,2500.0,27
HCPCS,62302,Hb Myelography Lumbar Inj Rs&I Cervical,4709.0,1648.15,,,0
HCPCS,62302,Myelography lumbar injection,,,818.63,3112.0,23
HCPCS,62303,Hb Myelography Via Lumbar Injection Rs&I Thoracic,5326.0,1864.1,,,0
HCPCS,62303,Myelography lumbar injection,,,818.63,3112.0,23
HCPCS,62304,Hb 62304 Myelography Lumbar Injection,4709.0,1648.15,,,0
HCPCS,62304,Hb Myelography Lumbar Injection,4709.0,1648.15,,,0
HCPCS,62304,Myelography lumbar injection,,,818.63,3112.0,23
HCPCS,62305,Hb Myelography Lumbar Injection 2+ Regions,9790.0,3426.5,,,0
HCPCS,62305,Myelography lumbar injection,,,818.63,3112.0,23
HCPCS,62310,Inject spine c/t,,,1425.0,1500.0,2
HCPCS,62311,Inject spine l/s (cd),,,1425.0,1500.0,2
HCPCS,62318,"Inject spine w/cath, c/t",,,1425.0,1500.0,2
HCPCS,62319,Inject spine w/cath l/s (cd),,,1425.0,1500.0,2
HCPCS,62320,Hb 62320 Inj Spine Cervical Thoracic,5573.0,1950.55,,,0
HCPCS,62320,Hb Inj Spine Serv Thoracic,5573.0,1950.55,,,0
HCPCS,62320,Njx interlaminar crv/thrc,,,737.14,1502.0,23
HCPCS,62321,Hb 62321 Inj Spine Upper Or Middle Back W Guid,3880.0,1358.0,,,0
HCPCS,62321,Hb Inj Spine Upper Or Middle Back W Guid,3880.0,1358.0,,,0
HCPCS,62321,Njx interlaminar crv/thrc,,,737.14,1502.0,23
HCPCS,62322,Hb 62322 Inject Spine Lumb Sacral,3182.0,1113.7,,,0
HCPCS,62322,Hb Inject Spine Lumb Sacral,3182.0,1113.7,,,0
HCPCS,62322,Njx interlaminar lmbr/sac,,,923.64,1847.27,23
HCPCS,62323,Hb 62323 Inj Spine Lower Back Or Sacrum W Guid,3880.0,1358.0,,,0
HCPCS,62323,Hb Inj Spine Lower Back Or Sacrum W Guid,3880.0,1358.0,,,0
HCPCS,62323,Njx interlaminar lmbr/sac,,,737.14,1502.0,23
HCPCS,62324,Hb Inj Spine W/Cath Crv/Thrc,8935.0,3127.25,,,0
HCPCS,62324,Njx interlaminar crv/thrc,,,923.64,2121.0,23
HCPCS,62325,Hb 62325 Insert Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn,4890.0,1711.5,,,0
HCPCS,62325,Hb Insert Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn,4890.0,1711.5,,,0
HCPCS,62325,Njx interlaminar crv/thrc,,,923.64,2121.0,23
HCPCS,62326,Hb Insert Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn,4890.0,1711.5,,,0
HCPCS,62326,Njx interlaminar lmbr/sac,,,923.64,2121.0,23
HCPCS,62327,Hb 62327 Insert Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,4890.0,1711.5,,,0
HCPCS,62327,Hb Insert Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,4890.0,1711.5,,,0
HCPCS,62327,Njx interlaminar lmbr/sac,,,923.64,2121.0,23
HCPCS,62328,Dx lmbr spi pnxr w/fluor/ct,,,737.14,1502.0,23
HCPCS,62328,Hb 62328 Dx Lmbr Spi Pnxr W/Fluor/Ct,4438.0,1553.3,,,0
HCPCS,62328,Hb Dx Lmbr Spi Pnxr W/Fluor/Ct,4438.0,1553.3,,,0
HCPCS,62329,Hb 62329 Ther Spi Pnxr Csf Fluor/Ct,1518.0,531.3,,,0
HCPCS,62329,Hb Ther Spi Pnxr Csf Fluor/Ct,1746.0,611.1,,,0
HCPCS,62329,Ther spi pnxr csf fluor/ct,,,737.14,1502.0,23
HCPCS,62330,Dcmprn prq rmv lig flv 1lmbr,,,7577.51,15155.02,19
HCPCS,62350,Hb Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam,28316.0,9910.6,,,0
HCPCS,62350,Implant spinal canal cath,,,1326.84,18328.87,27
HCPCS,62351,Implant spinal canal cath,,,5282.0,15155.02,23
HCPCS,62355,Hb Remove Intrathecal Epi Cath,2253.0,788.55,,,0
HCPCS,62355,Remove spinal canal catheter,,,1326.84,5195.0,27
HCPCS,62360,Hb Implant Replace Device,13917.0,4870.95,,,0
HCPCS,62360,Insert spine infusion device,,,1326.84,37643.86,27
HCPCS,62361,Implant spine infusion pump,,,1326.84,37643.86,27
HCPCS,62362,Implant spine infusion pump,,,1326.84,37643.86,27
HCPCS,62365,Remove spine infusion device,,,1326.84,14016.0,27
HCPCS,62367,Analyze spine infus pump,,,320.74,2121.0,23
HCPCS,62367,Hb Electronic Analysis Pump,2192.0,767.2,,,0
HCPCS,62368,Analyze sp inf pump w/reprog,,,320.74,2121.0,23
HCPCS,62368,Hb Reprogram Pump,2846.0,996.1,,,0
HCPCS,62369,Anal sp inf pmp w/reprg&fill,,,320.74,972.0,21
HCPCS,62370,Anl sp inf pmp w/mdreprg&fil,,,320.74,972.0,21
HCPCS,62380,Ndsc dcmprn 1 ntrspc lumbar,,,3885.0,15155.02,23
HCPCS,63001,Remove spine lamina 1/2 crvl,,,5282.0,15155.02,23
HCPCS,63003,Remove spine lamina 1/2 thrc,,,5282.0,15155.02,23
HCPCS,63005,Remove spine lamina 1/2 lmbr,,,5282.0,15155.02,23
HCPCS,63011,Remove spine lamina 1/2 scrl,,,5282.0,15155.02,23
HCPCS,63012,Remove lamina/facets lumbar,,,5282.0,15155.02,23
HCPCS,63015,Remove spine lamina >2 crvcl,,,5282.0,15155.02,23
HCPCS,63016,Remove spine lamina >2 thrc,,,5282.0,15155.02,23
HCPCS,63017,Remove spine lamina >2 lmbr,,,5282.0,15155.02,23
HCPCS,63020,Neck spine disk surgery,,,5282.0,15155.02,23
HCPCS,63030,Low back disk surgery,,,5282.0,15155.02,23
HCPCS,63035,Spinal disk surgery add-on,,,704.0,5282.0,4
HCPCS,63040,Laminotomy single cervical,,,5282.0,15155.02,23
HCPCS,63042,Laminotomy single lumbar,,,5282.0,15155.02,23
HCPCS,63043,Laminotomy addl cervical,,,4698.0,6490.0,4
HCPCS,63044,Laminotomy addl lumbar,,,4698.0,6490.0,4
HCPCS,63045,Remove spine lamina 1 crvl,,,5282.0,15155.02,23
HCPCS,63046,Remove spine lamina 1 thrc,,,5282.0,15155.02,23
HCPCS,63047,Remove spine lamina 1 lmbr,,,5282.0,15155.02,23
HCPCS,63048,Remove spinal lamina add-on,,,704.0,5282.0,4
HCPCS,63050,Cervical laminoplsty 2/> seg,,,3613.0,4992.0,4
HCPCS,63051,C-laminoplasty w/graft/plate,,,3613.0,4992.0,4
HCPCS,63052,Lam facetc/frmt arthrd lum 1,,,704.0,5282.0,4
HCPCS,63053,Lam factc/frmt arthrd lum ea,,,704.0,5282.0,4
HCPCS,63055,Decompress spinal cord thrc,,,5282.0,15155.02,23
HCPCS,63056,Decompress spinal cord lmbr,,,5282.0,15155.02,23
HCPCS,63057,Decompress spine cord add-on,,,704.0,972.0,2
HCPCS,63064,Decompress spinal cord thrc,,,5282.0,15155.02,23
HCPCS,63066,Decompress spine cord add-on,,,704.0,972.0,2
HCPCS,63075,Neck spine disk surgery,,,3885.0,15155.02,23
HCPCS,63076,Neck spine disk surgery,,,704.0,972.0,2
HCPCS,63077,Spine disk surgery thorax,,,3613.0,4992.0,4
HCPCS,63078,Spine disk surgery thorax,,,3613.0,4992.0,4
HCPCS,63081,Remove vert body dcmprn crvl,,,3885.0,14016.0,4
HCPCS,63082,Remove vertebral body add-on,,,3613.0,4992.0,4
HCPCS,63085,Remove vert body dcmprn thrc,,,3613.0,4992.0,4
HCPCS,63086,Remove vertebral body add-on,,,3613.0,4992.0,4
HCPCS,63087,Remov vertbr dcmprn thrclmbr,,,3613.0,4992.0,4
HCPCS,63088,Remove vertebral body add-on,,,3613.0,4992.0,4
HCPCS,63090,Remove vert body dcmprn lmbr,,,3613.0,4992.0,4
HCPCS,63091,Remove vertebral body add-on,,,3613.0,4992.0,4
HCPCS,63101,Remove vert body dcmprn thrc,,,3613.0,4992.0,4
HCPCS,63102,Remove vert body dcmprn lmbr,,,3613.0,4992.0,4
HCPCS,63103,Remove vertebral body add-on,,,3613.0,4992.0,4
HCPCS,63170,Incise spinal cord tract(s),,,3613.0,5282.0,4
HCPCS,63172,Drainage of spinal cyst,,,3613.0,5282.0,4
HCPCS,63173,Drainage of spinal cyst,,,3613.0,5282.0,4
HCPCS,63185,Incise spine nrv half segmnt,,,5282.0,14979.0,4
HCPCS,63190,Incise spine nrv >2 segmnts,,,5282.0,14979.0,4
HCPCS,63191,Incise spine accessory nerve,,,5282.0,14979.0,4
HCPCS,63197,Incise spine&cord 2 trx thrc,,,3613.0,5282.0,4
HCPCS,63200,Release spinal cord lumbar,,,5282.0,14979.0,4
HCPCS,63250,Revise spinal cord vsls crvl,,,3613.0,5282.0,4
HCPCS,63251,Revise spinal cord vsls thrc,,,3613.0,5282.0,4
HCPCS,63252,Revise spine cord vsl thrlmb,,,5282.0,14979.0,4
HCPCS,63265,Excise intraspinl lesion crv,,,5282.0,15155.02,23
HCPCS,63266,Excise intrspinl lesion thrc,,,5282.0,15155.02,23
HCPCS,63267,Excise intrspinl lesion lmbr,,,3760.0,15155.02,23
HCPCS,63268,Excise intrspinl lesion scrl,,,5282.0,15155.02,23
HCPCS,63270,Excise intrspinl lesion crvl,,,3613.0,5282.0,4
HCPCS,63271,Excise intrspinl lesion thrc,,,3613.0,5282.0,4
HCPCS,63272,Excise intrspinl lesion lmbr,,,5282.0,14979.0,4
HCPCS,63273,Excise intrspinl lesion scrl,,,3613.0,5282.0,4
HCPCS,63275,Bx/exc xdrl spine lesn crvl,,,3613.0,5282.0,4
HCPCS,63276,Bx/exc xdrl spine lesn thrc,,,3613.0,5282.0,4
HCPCS,63277,Bx/exc xdrl spine lesn lmbr,,,5282.0,14979.0,4
HCPCS,63278,Bx/exc xdrl spine lesn scrl,,,3613.0,5282.0,4
HCPCS,63280,Bx/exc idrl spine lesn crvl,,,3613.0,5282.0,4
HCPCS,63281,Bx/exc idrl spine lesn thrc,,,3613.0,5282.0,4
HCPCS,63282,Bx/exc idrl spine lesn lmbr,,,5282.0,14979.0,4
HCPCS,63283,Bx/exc idrl spine lesn scrl,,,3613.0,5282.0,4
HCPCS,63285,Bx/exc idrl imed lesn cervl,,,3613.0,5282.0,4
HCPCS,63286,Bx/exc idrl imed lesn thrc,,,3613.0,5282.0,4
HCPCS,63287,Bx/exc idrl imed lesn thrlmb,,,5282.0,14979.0,4
HCPCS,63290,Bx/exc xdrl/idrl lsn any lvl,,,5282.0,14979.0,4
HCPCS,63295,Repair laminectomy defect,,,3613.0,5282.0,4
HCPCS,63300,Remove vert xdrl body crvcl,,,3613.0,4992.0,4
HCPCS,63301,Remove vert xdrl body thrc,,,3613.0,4992.0,4
HCPCS,63302,Remove vert xdrl body thrlmb,,,3613.0,4992.0,4
HCPCS,63303,Remov vert xdrl bdy lmbr/sac,,,3613.0,4992.0,4
HCPCS,63304,Remove vert idrl body crvcl,,,3613.0,4992.0,4
HCPCS,63305,Remove vert idrl body thrc,,,3613.0,4992.0,4
HCPCS,63306,Remov vert idrl bdy thrclmbr,,,3613.0,4992.0,4
HCPCS,63307,Remov vert idrl bdy lmbr/sac,,,3613.0,4992.0,4
HCPCS,63308,Remove vertebral body add-on,,,3613.0,4992.0,4
HCPCS,63600,Remove spinal cord lesion,,,1326.84,5195.0,27
HCPCS,63610,Stimulation of spinal cord,,,990.66,4078.38,27
HCPCS,63620,Srs spinal lesion,,,3885.0,14016.0,4
HCPCS,63621,Srs spinal lesion addl,,,2116.0,3993.0,4
HCPCS,63650,Implant neuroelectrodes,,,1326.84,14016.0,27
HCPCS,63655,Implant neuroelectrodes,,,5282.0,40518.26,23
HCPCS,63660,Revise/remove neuroelectrode,,,1425.0,1500.0,2
HCPCS,63661,Remove spine eltrd perq aray,,,2039.19,5195.0,23
HCPCS,63662,Remove spine eltrd plate,,,3650.91,7301.82,23
HCPCS,63663,Revise spine eltrd perq aray,,,4370.0,14016.0,23
HCPCS,63664,Revise spine eltrd plate,,,4370.0,23272.17,23
HCPCS,63685,Insrt/redo spine n generator,,,1326.84,64448.09,27
HCPCS,63688,Revise/remove neuroreceiver,,,990.66,7301.82,27
HCPCS,63700,Repair of spinal herniation,,,3613.0,4992.0,4
HCPCS,63702,Repair of spinal herniation,,,3613.0,4992.0,4
HCPCS,63704,Repair of spinal herniation,,,3613.0,4992.0,4
HCPCS,63706,Repair of spinal herniation,,,3613.0,4992.0,4
HCPCS,63707,Repair spinal fluid leakage,,,3613.0,4992.0,4
HCPCS,63709,Repair spinal fluid leakage,,,3613.0,4992.0,4
HCPCS,63710,Graft repair of spine defect,,,3613.0,4992.0,4
HCPCS,63740,Install spinal shunt,,,3613.0,4992.0,4
HCPCS,63741,Install spinal shunt,,,3885.0,18328.87,23
HCPCS,63744,Revision of spinal shunt,,,1517.25,9732.0,27
HCPCS,63746,Removal of spinal shunt,,,1326.84,5195.0,27
HCPCS,64400,Hb Inj Trigeminal Nerve Block,1613.5,564.7249999999999,,,0
HCPCS,64400,N block inj trigeminal,,,320.54,1502.0,23
HCPCS,64402,Hb Facial Nerve Block,1841.0,644.35,,,0
HCPCS,64405,Hb Inj Occipital Nerve Block,1914.0,669.9,,,0
HCPCS,64405,N block inj occipital,,,320.54,1502.0,23
HCPCS,64408,N block inj vagus,,,320.54,1502.0,23
HCPCS,64410,N block inj phrenic,,,990.66,1500.0,4
HCPCS,64415,Hb Interscalene Block,2370.0,829.5,,,0
HCPCS,64415,N block inj brachial plexus,,,413.52,1847.27,27
HCPCS,64416,Hb Inj N Block Cont Infuse B Plex,6482.0,2268.7,,,0
HCPCS,64416,N block cont infuse b plex,,,923.64,1847.27,23
HCPCS,64417,Hb 64417 Injection Aa&/Strd Axillary Nerve,5662.0,1981.7,,,0
HCPCS,64417,Hb N Block Inj Axillary,6944.0,2430.4,,,0
HCPCS,64417,N block inj axillary,,,413.52,1847.27,27
HCPCS,64418,Hb Inj Suprascapular Nerve Block,1793.0,627.55,,,0
HCPCS,64418,N block inj suprascapular,,,737.14,1502.0,23
HCPCS,64420,Hb 64420 Interc Sngl Nerve Block,1255.0,439.25,,,0
HCPCS,64420,N block inj intercost sng,,,413.52,1502.0,27
HCPCS,64421,Hb 64421 Nerve Block Intercostal Multi,2386.0,835.1,,,0
HCPCS,64421,Hb Nerve Block Intercostal Multi,2386.0,835.1,,,0
HCPCS,64421,N block inj intercost mlt,,,923.64,1847.27,27
HCPCS,64425,Hb 64425 N Block Inj Ilio-Ing/Hypogi,3880.0,1358.0,,,0
HCPCS,64425,Hb N Block Inj Ilio-Ing/Hypogi,3880.0,1358.0,,,0
HCPCS,64425,N block inj ilio-ing/hypogi,,,737.14,1502.0,23
HCPCS,64430,Hb N Block Inj Pudendal,9536.0,3337.6,,,0
HCPCS,64430,N block inj pudendal,,,413.52,1847.27,27
HCPCS,64435,N block inj paracervical,,,737.14,1502.0,23
HCPCS,64445,Hb Nerve Block Sciatic,1776.0,621.6,,,0
HCPCS,64445,N block inj sciatic sng,,,737.14,1502.0,23
HCPCS,64446,Hb Inject Anes Sciatic Nerve Cont Infusion Cath,6909.0,2418.15,,,0
HCPCS,64446,N blk inj sciatic cont inf,,,923.64,1847.27,23
HCPCS,64447,Hb N Block Inj Fem Sngl,3698.0,1294.3,,,0
HCPCS,64447,N block inj fem single,,,737.14,1502.0,23
HCPCS,64448,Hb N Block Inj Fem Cont Inf,7540.0,2639.0,,,0
HCPCS,64448,N block inj fem cont inf,,,923.64,1847.27,23
HCPCS,64449,Hb Inject Anes Lumbar Plexus Post Cont Nfs Cath,9143.0,3200.05,,,0
HCPCS,64449,N block inj lumbar plexus,,,923.64,1847.27,23
HCPCS,64450,Hb 64450 Injection Aa&/Strd Other Peripheral Nerve/Branch,4354.0,1523.9,,,0
HCPCS,64450,Hb Genitfemoral Block,1878.0,657.3,,,0
HCPCS,64450,Hb Inj Peripheral Nerve Block,1505.5,526.925,,,0
HCPCS,64450,Hb Saphenous Nerve Block,1878.0,657.3,,,0
HCPCS,64450,N block other peripheral,,,737.14,1502.0,23
HCPCS,64451,Njx aa&/strd nrv nrvtg si jt,,,737.14,1502.0,23
HCPCS,64454,Hb 64454 Injection Aa&/Strd Genicular Nrv Branches W/Img,5556.0,1944.6,,,0
HCPCS,64454,Njx aa&/strd gnclr nrv brnch,,,737.14,1502.0,23
HCPCS,64455,N block inj plantar digit,,,320.54,972.0,21
HCPCS,64461,Hb Pvb Thoracic Single Inj Site,4476.0,1566.6,,,0
HCPCS,64461,Pvb thoracic single inj site,,,737.14,1474.27,21
HCPCS,64462,Hb Pvb Thoracic 2Nd+ Inj Site,3670.0,1284.5,,,0
HCPCS,64462,Pvb thoracic 2nd+ inj site,,,704.0,972.0,2
HCPCS,64463,Hb Pvb Thoracic Cont Catheter Infusion W/Img Gid,9546.0,3341.1,,,0
HCPCS,64463,Pvb thoracic cont infusion,,,737.14,1474.27,21
HCPCS,64466,Thrc fascial pln blk uni njx,,,704.0,3993.0,4
HCPCS,64467,Thrc fascial pln blk uni nfs,,,704.0,3993.0,4
HCPCS,64468,Thrc fascial pln blk bi njx,,,704.0,3993.0,4
HCPCS,64469,Thrc fascial pln blk bi nfs,,,704.0,3993.0,4
HCPCS,64470,Inj paravertebral c/t,,,1425.0,1500.0,2
HCPCS,64472,Inj paravertebral c/t add-on,,,1425.0,1500.0,2
HCPCS,64473,Lwr xtr fscl pln blk uni njx,,,704.0,3993.0,4
HCPCS,64474,Lwr xtr fscl pln blk uni nfs,,,704.0,3993.0,4
HCPCS,64475,Inj paravertebral l/s,,,1425.0,1500.0,2
HCPCS,64476,Inj paravertebral l/s add-on,,,1425.0,1500.0,2
HCPCS,64479,Hb 64479 Inj Foramen Epidural,8478.0,2967.3,,,0
HCPCS,64479,Inj foramen epidural c/t,,,923.64,1847.27,27
HCPCS,64480,Hb 64480 Njx Aa&/Strd Tfrml Epi Cervical/Thoracic Ea Addl,4697.0,1643.95,,,0
HCPCS,64480,Inj foramen epidural add-on,,,704.0,1500.0,6
HCPCS,64483,Hb 64483 Inj Anes Epidural Lum Sac,7143.0,2500.05,,,0
HCPCS,64483,Hb Inj Anes Epidural Lum Sac,7143.0,2500.05,,,0
HCPCS,64483,Inj foramen epidural l/s,,,923.64,1847.27,27
HCPCS,64484,Hb 64484 Inj Foramen Epidural Add-On,4639.0,1623.65,,,0
HCPCS,64484,Hb Inj Foramen Epidural Add-On,4639.0,1623.65,,,0
HCPCS,64484,Inj foramen epidural add-on,,,704.0,1500.0,6
HCPCS,64486,Hb Tap Block Unil By Injection,1928.0,674.8,,,0
HCPCS,64486,Tap block unil by injection,,,704.0,972.0,2
HCPCS,64487,Tap block uni by infusion,,,704.0,972.0,2
HCPCS,64488,Hb Tap Block Bi Injection,2374.0,830.9,,,0
HCPCS,64488,Tap block bi injection,,,704.0,972.0,2
HCPCS,64489,Tap block bi by infusion,,,704.0,972.0,2
HCPCS,64490,Hb Facet Nerve Block Ct 1 Lev,6374.0,2230.9,,,0
HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,923.64,1847.27,23
HCPCS,64491,Hb Facet Nerve Block Ct 2 Lev,1919.0,671.65,,,0
HCPCS,64491,Inj paravert f jnt c/t 2 lev,,,704.0,972.0,2
HCPCS,64492,Hb Facet Nerve Block Ct Over 3 Lev,2734.0,956.9,,,0
HCPCS,64492,Inj paravert f jnt c/t 3 lev,,,704.0,972.0,2
HCPCS,64493,Hb Facet Nerve Block Ls 1 Lev,9534.0,3336.9,,,0
HCPCS,64493,Hb Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level,8057.0,2819.95,,,0
HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,923.64,1847.27,23
HCPCS,64494,Hb Facet Nerve Block Ls 2 Lev,1919.0,671.65,,,0
HCPCS,64494,Hb Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 2Nd Level,4501.0,1575.35,,,0
HCPCS,64494,Inj paravert f jnt l/s 2 lev,,,704.0,972.0,2
HCPCS,64495,Hb Facet Nerve Block Ls Over 3 Lev,3837.0,1342.95,,,0
HCPCS,64495,Inj paravert f jnt l/s 3 lev,,,704.0,972.0,2
HCPCS,64505,Hb Inj Anesth; Sphenopalatine Ganglion,2715.0,950.25,,,0
HCPCS,64505,N block spenopalatine gangl,,,320.54,1502.0,23
HCPCS,64510,N block stellate ganglion,,,923.64,1847.27,27
HCPCS,64517,Hb 64517 Injection Anes Superior Hypogastric Plexus,8889.0,3111.15,,,0
HCPCS,64517,Hb Injection Anes Superior Hypogastric Plexus,8889.0,3111.15,,,0
HCPCS,64517,N block inj hypogas plxs,,,413.52,2121.0,27
HCPCS,64520,Hb Inject Anes Lmbr/Thrc Paravertbrl Sympathetic,8820.0,3087.0,,,0
HCPCS,64520,N block lumbar/thoracic,,,923.64,1847.27,27
HCPCS,64530,Hb Block Nerve Celiac Plexus,3405.0,1191.75,,,0
HCPCS,64530,N block inj celiac pelus,,,923.64,1847.27,27
HCPCS,64553,Implant neuroelectrodes,,,990.66,23272.17,27
HCPCS,64555,Implant neuroelectrodes,,,3885.0,14016.0,23
HCPCS,64561,Hb Implant Neuroelectrodes,1597.0,558.95,,,0
HCPCS,64561,Implant neuroelectrodes,,,1517.25,14016.0,27
HCPCS,64566,Neuroeltrd stim post tibial,,,320.54,1502.0,23
HCPCS,64567,Perq elec nrv field stimj cn,,,947.15,1894.29,19
HCPCS,64568,Inc for vagus n elect impl,,,3885.0,99846.0,23
HCPCS,64569,Revise/repl vagus n eltrd,,,4370.0,23272.17,23
HCPCS,64570,Remove vagus n eltrd,,,3567.41,14016.0,23
HCPCS,64573,Implant neuroelectrodes,,,1425.0,1500.0,2
HCPCS,64575,Implant neuroelectrodes,,,990.66,23272.17,27
HCPCS,64577,Implant neuroelectrodes,,,1425.0,1500.0,2
HCPCS,64580,Implant neuroelectrodes,,,990.66,40518.26,27
HCPCS,64581,Implant neuroelectrodes,,,1517.25,14979.0,27
HCPCS,64582,Opn mpltj hpglsl nstm ary pg,,,3885.0,64448.09,23
HCPCS,64583,Rev/rplct hpglsl nstm ary pg,,,3885.0,23272.17,23
HCPCS,64584,Rmvl hpglsl nstim ary pg,,,3567.41,14016.0,23
HCPCS,64585,Revise/remove neuroelectrode,,,990.66,7301.82,27
HCPCS,64590,Insrt/redo pn/gastr stimul,,,1326.84,40518.26,27
HCPCS,64595,Revise/rmv pn/gastr stimul,,,990.66,7301.82,27
HCPCS,64596,Ins/rplcmt prq eltrd ra pn 1,,,3885.0,23272.17,23
HCPCS,64597,Ins/rplcm prq eltrd ra pn ea,,,704.0,972.0,2
HCPCS,64598,Revj/rmvl nea pn w/int nstim,,,3650.91,7301.82,23
HCPCS,64600,Injection treatment of nerve,,,923.64,1847.27,27
HCPCS,64605,Injection treatment of nerve,,,990.66,5195.0,27
HCPCS,64610,Injection treatment of nerve,,,990.66,5195.0,27
HCPCS,64611,Chemodenerv saliv glands,,,320.54,972.0,21
HCPCS,64611,Hb Chemodenerv Paratid And Submandibl Salivary Glnd,2489.0,871.15,,,0
HCPCS,64612,Destroy nerve face muscle,,,320.54,1502.0,23
HCPCS,64612,Hb Destroy Nerve Face Muscle,2137.0,747.95,,,0
HCPCS,64615,Chemodenerv musc migraine,,,320.54,972.0,21
HCPCS,64615,Hb 64615 Chemodenerv Musc Migraine,1079.0,377.65,,,0
HCPCS,64615,Hb Chemodenerv Musc Migraine,1079.0,377.65,,,0
HCPCS,64616,Chemodenerv musc neck dyston,,,320.54,972.0,21
HCPCS,64616,Hb Chemodenerv Musc Neck Dyston,1622.0,567.7,,,0
HCPCS,64617,Chemodener muscle larynx emg,,,737.14,1474.27,21
HCPCS,64620,Injection treatment of nerve,,,923.64,1847.27,27
HCPCS,64622,Destr paravertebrl nerve l/s,,,1425.0,1500.0,2
HCPCS,64623,Destr paravertebral n add-on,,,1425.0,1500.0,2
HCPCS,64624,Dstrj nulyt agt gnclr nrv,,,1457.0,5195.0,23
HCPCS,64624,Hb 64624 Destruction Neurolytic Agt Genicular Nerve W/Img,10189.0,3566.15,,,0
HCPCS,64625,Rf abltj nrv nrvtg si jt,,,2039.19,5195.0,23
HCPCS,64626,Destr paravertebrl nerve c/t,,,1425.0,1500.0,2
HCPCS,64627,Destr paravertebral n add-on,,,1425.0,1500.0,2
HCPCS,64628,Trml dstrj ios bvn 1st 2 l/s,,,3885.0,26814.33,23
HCPCS,64629,Trml dstrj ios bvn ea addl,,,704.0,972.0,2
HCPCS,64630,Injection treatment of nerve,,,923.64,2121.0,27
HCPCS,64632,N block inj common digit,,,320.54,972.0,21
HCPCS,64633,Destroy cerv/thor facet jnt,,,1457.0,5195.0,23
HCPCS,64634,Destroy c/th facet jnt addl,,,704.0,972.0,2
HCPCS,64635,Destroy lumb/sac facet jnt,,,2039.19,5195.0,23
HCPCS,64636,Destroy l/s facet jnt addl,,,704.0,972.0,2
HCPCS,64640,Hb 64640 Dstrj Neurolytic Agent Other Peripheral Nerve,5493.0,1922.55,,,0
HCPCS,64640,Injection treatment of nerve,,,923.64,1847.27,23
HCPCS,64642,Chemodenerv 1 extremity 1-4,,,737.14,1474.27,21
HCPCS,64642,Hb Chemodenerv 1 Extremity 1-4,892.0,312.2,,,0
HCPCS,64643,Chemodenerv 1 extrem 1-4 ea,,,704.0,972.0,2
HCPCS,64643,Hb Chemodenerv 1 Extrem 1-4 Ea Addl,892.0,312.2,,,0
HCPCS,64644,Chemodenerv 1 extrem 5/> mus,,,737.14,1474.27,21
HCPCS,64644,Hb Chemodenerv 1 Extrem 5/> Mus,892.0,312.2,,,0
HCPCS,64645,Chemodenerv 1 extrem 5/> ea,,,704.0,972.0,2
HCPCS,64645,Hb Chemodenerv 1 Extrem 5/> Ea Addl,892.0,312.2,,,0
HCPCS,64646,Chemodenerv trunk musc 1-5,,,737.14,1474.27,21
HCPCS,64646,Hb Chemodenerv Trunk Musc 1-5,892.0,312.2,,,0
HCPCS,64647,Chemodenerv trunk musc 6/>,,,737.14,1474.27,21
HCPCS,64647,Hb Chemodenerv Trunk Musc 6/>,892.0,312.2,,,0
HCPCS,64650,Chemodenerv eccrine glands,,,320.54,1502.0,23
HCPCS,64650,Hb Chemodenerv Eccrine Glands,1974.0,690.9,,,0
HCPCS,64653,Chemodenerv eccrine glands,,,320.54,1502.0,23
HCPCS,64655,Revj/rplcmt bat mod sys lead,,,3650.91,7301.82,19
HCPCS,64656,Revj/rplcmt bat mod sys pg,,,32224.05,64448.09,19
HCPCS,64657,Rmvl bat modulj sys tot sys,,,3567.41,7134.82,19
HCPCS,64658,Rmvl bat modul sys lead only,,,3650.91,7301.82,19
HCPCS,64659,Rmvl bat modulj sys pg only,,,3650.91,7301.82,19
HCPCS,64680,Hb Injection Treatment Of Nerve,8919.0,3121.65,,,0
HCPCS,64680,Injection treatment of nerve,,,923.64,2121.0,27
HCPCS,64681,Injection treatment of nerve,,,923.64,2121.0,27
HCPCS,64702,Revise finger/toe nerve,,,990.66,5195.0,27
HCPCS,64704,Revise hand/foot nerve,,,990.66,5195.0,27
HCPCS,64708,Revise arm/leg nerve,,,1326.84,5195.0,27
HCPCS,64712,Revision of sciatic nerve,,,1326.84,5195.0,27
HCPCS,64713,Revision of arm nerve(s),,,1326.84,5195.0,27
HCPCS,64714,Revise low back nerve(s),,,1326.84,5195.0,27
HCPCS,64716,Revision of cranial nerve,,,1517.25,5195.0,27
HCPCS,64718,Revise ulnar nerve at elbow,,,1326.84,5195.0,27
HCPCS,64719,Revise ulnar nerve at wrist,,,1326.84,5195.0,27
HCPCS,64721,Carpal tunnel surgery,,,1326.84,5195.0,27
HCPCS,64722,Relieve pressure on nerve(s),,,990.66,5195.0,27
HCPCS,64726,Release foot/toe nerve,,,990.66,5195.0,27
HCPCS,64727,Internal nerve revision,,,704.0,1500.0,6
HCPCS,64728,Dcmprn median nrv carpl tunl,,,2039.19,4078.38,19
HCPCS,64732,Incision of brow nerve,,,1326.84,4078.38,27
HCPCS,64734,Incision of cheek nerve,,,1326.84,4078.38,27
HCPCS,64736,Incision of chin nerve,,,1326.84,4078.38,27
HCPCS,64738,Incision of jaw nerve,,,1326.84,4078.38,27
HCPCS,64740,Incision of tongue nerve,,,1326.84,5195.0,27
HCPCS,64742,Incision of facial nerve,,,1326.84,5195.0,27
HCPCS,64744,Incise nerve back of head,,,1326.84,5195.0,27
HCPCS,64746,Incise diaphragm nerve,,,1326.84,4078.38,27
HCPCS,64755,Incision of stomach nerves,,,3613.0,4992.0,4
HCPCS,64760,Incision of vagus nerve,,,3613.0,4992.0,4
HCPCS,64763,Incise hip/thigh nerve,,,2039.19,4078.38,23
HCPCS,64766,Incise hip/thigh nerve,,,2039.19,6490.0,23
HCPCS,64771,Sever cranial nerve,,,1326.84,5195.0,27
HCPCS,64772,Incision of spinal nerve,,,1326.84,5195.0,27
HCPCS,64774,Remove skin nerve lesion,,,1326.84,5195.0,27
HCPCS,64776,Remove digit nerve lesion,,,1517.25,5195.0,27
HCPCS,64778,Digit nerve surgery add-on,,,704.0,2000.0,6
HCPCS,64782,Remove limb nerve lesion,,,1517.25,5195.0,27
HCPCS,64783,Limb nerve surgery add-on,,,704.0,2000.0,6
HCPCS,64784,Remove nerve lesion,,,1517.25,5195.0,27
HCPCS,64786,Remove sciatic nerve lesion,,,1517.25,9732.0,27
HCPCS,64787,Implant nerve end,,,704.0,2000.0,6
HCPCS,64788,Remove skin nerve lesion,,,1517.25,5195.0,27
HCPCS,64790,Removal of nerve lesion,,,1517.25,5195.0,27
HCPCS,64792,Removal of nerve lesion,,,1517.25,9732.0,27
HCPCS,64795,Biopsy of nerve,,,1326.84,5195.0,27
HCPCS,64802,Sympathectomy cervical,,,1326.84,4078.38,27
HCPCS,64804,Remove sympathetic nerves,,,2039.19,4078.38,23
HCPCS,64809,Remove sympathetic nerves,,,3613.0,4992.0,4
HCPCS,64818,Remove sympathetic nerves,,,3613.0,4992.0,4
HCPCS,64820,Sympathectomy digital artery,,,2039.19,5195.0,23
HCPCS,64821,Remove sympathetic nerves,,,1874.25,6833.76,27
HCPCS,64822,Remove sympathetic nerves,,,2428.0,6833.76,23
HCPCS,64823,Sympathectomy supfc palmar,,,2064.0,6833.76,23
HCPCS,64831,Repair of digit nerve,,,1874.25,6490.0,27
HCPCS,64832,Repair nerve add-on,,,704.0,1500.0,6
HCPCS,64834,Repair of hand or foot nerve,,,1326.84,9732.0,27
HCPCS,64835,Repair of hand or foot nerve,,,1517.25,9732.0,27
HCPCS,64836,Repair of hand or foot nerve,,,1517.25,9732.0,27
HCPCS,64837,Repair nerve add-on,,,704.0,1500.0,6
HCPCS,64840,Repair of leg nerve,,,1326.84,18328.87,27
HCPCS,64856,Repair/transpose nerve,,,1326.84,18328.87,27
HCPCS,64857,Repair arm/leg nerve,,,1326.84,9732.0,27
HCPCS,64858,Repair sciatic nerve,,,1326.84,6490.0,27
HCPCS,64859,Nerve surgery,,,704.0,1500.0,6
HCPCS,64861,Repair of arm nerves,,,1517.25,6490.0,27
HCPCS,64862,Repair of low back nerves,,,1517.25,9732.0,27
HCPCS,64864,Repair of facial nerve,,,1517.25,18328.87,27
HCPCS,64865,Repair of facial nerve,,,1874.25,9732.0,27
HCPCS,64866,Fusion of facial/other nerve,,,3613.0,4992.0,4
HCPCS,64868,Fusion of facial/other nerve,,,3613.0,4992.0,4
HCPCS,64870,Fusion of facial/other nerve,,,2850.0,3000.0,2
HCPCS,64872,Subsequent repair of nerve,,,704.0,2000.0,6
HCPCS,64874,Repair & revise nerve add-on,,,704.0,2500.0,6
HCPCS,64876,Repair nerve/shorten bone,,,704.0,2500.0,6
HCPCS,64885,Nerve graft head/neck <=4 cm,,,1326.84,18328.87,27
HCPCS,64886,Nerve graft head/neck >4 cm,,,1326.84,18328.87,27
HCPCS,64890,Nerve graft hand/foot <=4 cm,,,1326.84,18328.87,27
HCPCS,64891,Nerve graft hand/foot >4 cm,,,1326.84,18328.87,27
HCPCS,64892,Nerve graft arm/leg <4 cm,,,1326.84,18328.87,27
HCPCS,64893,Nerve graft arm/leg >4 cm,,,1326.84,9732.0,27
HCPCS,64895,Nerve graft hand/foot <=4 cm,,,1517.25,18328.87,27
HCPCS,64896,Nerve graft hand/foot >4 cm,,,1517.25,18328.87,27
HCPCS,64897,Nerve graft arm/leg <=4 cm,,,1517.25,18328.87,27
HCPCS,64898,Nerve graft arm/leg >4 cm,,,1517.25,18328.87,27
HCPCS,64901,Nerve graft add-on,,,704.0,2000.0,6
HCPCS,64902,Nerve graft add-on,,,704.0,2000.0,6
HCPCS,64905,Nerve pedicle transfer,,,1326.84,18328.87,27
HCPCS,64907,Nerve pedicle transfer,,,990.66,18328.87,27
HCPCS,64910,Nerve repair w/allograft,,,3278.0,18328.87,23
HCPCS,64911,Neurorraphy w/vein autograft,,,3278.0,18328.87,23
HCPCS,64912,Nrv rpr w/nrv algrft 1st,,,3885.0,18328.87,23
HCPCS,64913,Nrv rpr w/nrv algrft ea addl,,,704.0,972.0,2
HCPCS,64999,Hb 64999 Nervous System Procedure,10187.0,3565.45,,,0
HCPCS,64999,Hb Inj Sphenopalatine Gangl Block,1026.0,359.1,,,0
HCPCS,64999,Hb Nervous System Procedure,10187.0,3565.45,,,0
HCPCS,64999,Hb Unlisted Procedure Nervous System,1157.0,404.95,,,0
HCPCS,64999,Nervous system surgery,,,320.54,3993.0,23
HCPCS,65091,Revise eye,,,1517.25,8210.95,27
HCPCS,65093,Revise eye with implant,,,1517.25,8210.95,27
HCPCS,65101,Removal of eye,,,1517.25,8210.95,27
HCPCS,65103,Remove eye/insert implant,,,1517.25,8210.95,27
HCPCS,65105,Remove eye/attach implant,,,1874.25,8210.95,27
HCPCS,65110,Removal of eye,,,2133.06,8210.95,25
HCPCS,65112,Remove eye/revise socket,,,2960.1,8210.95,25
HCPCS,65114,Remove eye/revise socket,,,2960.1,8210.95,25
HCPCS,65125,Revise ocular implant,,,2482.76,5195.0,23
HCPCS,65130,Insert ocular implant,,,1517.25,8210.95,27
HCPCS,65135,Insert ocular implant,,,1326.84,8210.95,27
HCPCS,65140,Attach ocular implant,,,1517.25,8210.95,27
HCPCS,65150,Revise ocular implant,,,1326.84,8210.95,27
HCPCS,65155,Reinsert ocular implant,,,1517.25,8210.95,27
HCPCS,65175,Removal of ocular implant,,,990.66,8210.95,27
HCPCS,65205,Hb Conjunctival Fb Removal,377.0,131.95,,,0
HCPCS,65205,Remove foreign body from eye,,,138.94,972.0,21
HCPCS,65210,Hb Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor,631.0,220.85,,,0
HCPCS,65210,Remove foreign body from eye,,,466.5,972.0,21
HCPCS,65220,Hb Rem Fb Ext Eye; Corneal Wo Slit Lamp,948.0,331.8,,,0
HCPCS,65220,Remove foreign body from eye,,,466.5,972.0,21
HCPCS,65222,Hb Removal Of Corneal Fb,865.0,302.75,,,0
HCPCS,65222,Remove foreign body from eye,,,138.94,972.0,21
HCPCS,65235,Remove foreign body from eye,,,1326.84,5195.0,27
HCPCS,65260,Remove foreign body from eye,,,704.0,4820.02,27
HCPCS,65265,Remove foreign body from eye,,,1874.25,5195.0,27
HCPCS,65270,Hb Rep Lacer Conj Dir Cl,15041.0,5264.35,,,0
HCPCS,65270,Repair of eye wound,,,1326.84,5195.0,27
HCPCS,65272,Repair of eye wound,,,1326.84,5195.0,27
HCPCS,65273,Repair of eye wound,,,3613.0,4992.0,4
HCPCS,65275,Repair of eye wound,,,1874.25,8210.95,27
HCPCS,65280,Repair of eye wound,,,1874.25,11113.85,27
HCPCS,65285,Repair of eye wound,,,1874.25,11113.85,27
HCPCS,65286,Hb Rep Lac; Apply Tiss Glue Scl/Corn Wnds,4662.0,1631.7,,,0
HCPCS,65286,Repair of eye wound,,,1457.0,4820.02,23
HCPCS,65290,Repair of eye socket wound,,,1517.25,8210.95,27
HCPCS,65400,Hb Corneal Lesion Excision,3738.0,1308.3,,,0
HCPCS,65400,Removal of eye lesion,,,990.66,2923.0,27
HCPCS,65410,Biopsy of cornea,,,940.0,4965.52,27
HCPCS,65420,Removal of eye lesion,,,1326.84,5195.0,27
HCPCS,65426,Removal of eye lesion,,,2133.06,5195.0,25
HCPCS,65430,Corneal smear,,,466.5,972.0,21
HCPCS,65430,Hb Corneal Scraping,968.0,338.8,,,0
HCPCS,65435,Curette/treat cornea,,,1041.02,2923.0,23
HCPCS,65435,Hb Corneal Debridement,1436.0,502.6,,,0
HCPCS,65436,Curette/treat cornea,,,2482.76,5195.0,21
HCPCS,65450,Treatment of corneal lesion,,,331.46,972.0,21
HCPCS,65600,Revision of cornea,,,2482.76,5195.0,23
HCPCS,65710,Corneal transplant,,,2960.1,11113.85,25
HCPCS,65730,Corneal transplant,,,2960.1,9732.0,25
HCPCS,65750,Corneal transplant,,,2960.1,11113.85,25
HCPCS,65755,Corneal transplant,,,2960.1,9732.0,25
HCPCS,65756,Corneal trnspl endothelial,,,4316.45,9732.0,23
HCPCS,65757,Prep corneal endo allograft,,,704.0,972.0,2
HCPCS,65760,Revision of cornea,,,3760.0,5195.0,2
HCPCS,65765,Revision of cornea,,,3760.0,5195.0,2
HCPCS,65767,Corneal tissue transplant,,,3760.0,5195.0,2
HCPCS,65770,Revise cornea with implant,,,2960.1,30296.84,25
HCPCS,65771,Radial keratotomy,,,3760.0,5195.0,2
HCPCS,65772,Correction of astigmatism,,,1041.02,3112.0,27
HCPCS,65775,Correction of astigmatism,,,1874.25,5195.0,27
HCPCS,65778,Cover eye w/membrane,,,1041.02,2923.0,23
HCPCS,65779,Cover eye w/membrane suture,,,2064.0,8210.95,23
HCPCS,65780,Ocular reconst transplant,,,2133.06,8210.95,25
HCPCS,65781,Ocular reconst transplant,,,2133.06,11113.85,25
HCPCS,65782,Ocular reconst transplant,,,2133.06,8210.95,25
HCPCS,65785,Impltj ntrstrml crnl rng seg,,,3885.0,9732.0,23
HCPCS,65800,Drainage of eye,,,704.0,4820.02,27
HCPCS,65800,Hb Drainage Eye,4367.0,1528.45,,,0
HCPCS,65805,Drainage of eye,,,1425.0,1500.0,2
HCPCS,65810,Drainage of eye,,,1517.25,5195.0,27
HCPCS,65810,Hb Drainage Of Eye,6037.0,2112.95,,,0
HCPCS,65815,Drainage of eye,,,1326.84,5195.0,27
HCPCS,65820,Relieve inner eye pressure,,,990.66,8632.89,27
HCPCS,65850,Incision of eye,,,1874.25,5195.0,27
HCPCS,65855,Trabeculoplasty laser surg,,,574.35,1502.0,23
HCPCS,65860,Incise inner eye adhesions,,,574.35,1502.0,23
HCPCS,65865,Incise inner eye adhesions,,,990.66,5195.0,27
HCPCS,65870,Incise inner eye adhesions,,,1874.25,5195.0,27
HCPCS,65875,Incise inner eye adhesions,,,1874.25,5195.0,27
HCPCS,65880,Incise inner eye adhesions,,,1874.25,8632.89,27
HCPCS,65900,Remove eye lesion,,,2133.06,5195.0,25
HCPCS,65920,Remove implant of eye,,,2410.01,5195.0,25
HCPCS,65930,Remove blood clot from eye,,,2133.06,5195.0,25
HCPCS,66020,Injection treatment of eye,,,990.66,4820.02,27
HCPCS,66030,Hb Injection Anterior Chamber,3498.0,1224.3,,,0
HCPCS,66030,Injection treatment of eye,,,990.66,4820.02,27
HCPCS,66130,Remove eye lesion,,,2482.76,5195.0,25
HCPCS,66150,Glaucoma surgery,,,1874.25,8632.89,27
HCPCS,66155,Glaucoma surgery,,,1874.25,8632.89,27
HCPCS,66160,Glaucoma surgery,,,1326.84,5195.0,27
HCPCS,66165,Glaucoma surgery,,,2850.0,3000.0,2
HCPCS,66170,Glaucoma surgery,,,1874.25,5195.0,27
HCPCS,66172,Incision of eye,,,1874.25,5195.0,27
HCPCS,66174,Translum dil eye canal,,,3278.0,9732.0,23
HCPCS,66175,Trnslum dil eye canal w/stnt,,,3278.0,11113.85,23
HCPCS,66179,Aqueous shunt eye w/o graft,,,5282.0,11113.85,23
HCPCS,66180,Aqueous shunt eye w/graft,,,2133.06,11113.85,25
HCPCS,66183,Insert ant drainage device,,,4316.45,9732.0,23
HCPCS,66184,Revision of aqueous shunt,,,2410.01,5282.0,23
HCPCS,66185,Revise aqueous shunt eye,,,1326.84,5195.0,27
HCPCS,66220,Repair eye lesion,,,1517.25,2500.0,4
HCPCS,66225,Repair/graft eye lesion,,,1874.25,11113.85,27
HCPCS,66250,Follow-up surgery of eye,,,1326.84,5195.0,27
HCPCS,66500,Incision of iris,,,704.0,4820.02,27
HCPCS,66505,Incision of iris,,,990.66,4820.02,27
HCPCS,66600,Remove iris and lesion,,,1517.25,8632.89,27
HCPCS,66605,Removal of iris,,,1517.25,9732.0,27
HCPCS,66625,Removal of iris,,,1109.49,4820.02,27
HCPCS,66630,Removal of iris,,,1517.25,4820.02,27
HCPCS,66635,Removal of iris,,,1517.25,5195.0,27
HCPCS,66680,Repair iris & ciliary body,,,1517.25,5195.0,27
HCPCS,66682,Repair iris & ciliary body,,,1326.84,5195.0,27
HCPCS,66683,Implantation iris prosthesis,,,3885.0,34379.39,23
HCPCS,66700,Destruction ciliary body,,,1326.84,4820.02,27
HCPCS,66710,Ciliary transsleral therapy,,,1326.84,5195.0,27
HCPCS,66711,Ciliary endoscopic ablation,,,1326.84,5195.0,27
HCPCS,66720,Destruction ciliary body,,,1326.84,5195.0,27
HCPCS,66740,Destruction ciliary body,,,1326.84,5195.0,27
HCPCS,66761,Hb Iridotomy Iridectomy By Laser Surg,3080.0,1078.0,,,0
HCPCS,66761,Revision of iris,,,574.35,1502.0,23
HCPCS,66762,Revision of iris,,,574.35,1502.0,25
HCPCS,66770,Removal of inner eye lesion,,,574.35,1502.0,23
HCPCS,66820,Incision secondary cataract,,,704.0,4820.02,23
HCPCS,66821,After cataract laser surgery,,,574.35,2121.0,27
HCPCS,66825,Reposition intraocular lens,,,1874.25,5195.0,27
HCPCS,66830,Removal of lens lesion,,,1109.49,5195.0,27
HCPCS,66840,Removal of lens material,,,1874.25,5195.0,27
HCPCS,66850,Removal of lens material,,,2410.01,5195.0,25
HCPCS,66852,Removal of lens material,,,1874.25,9732.0,27
HCPCS,66920,Extraction of lens,,,1874.25,5195.0,27
HCPCS,66930,Extraction of lens,,,2133.06,8632.89,25
HCPCS,66940,Extraction of lens,,,2116.0,4820.02,25
HCPCS,66982,Cataract surgery complex,,,2410.01,5195.0,25
HCPCS,66983,Cataract surg w/iol 1 stage,,,2410.01,5195.0,25
HCPCS,66984,Cataract surg w/iol 1 stage,,,2410.01,5195.0,25
HCPCS,66985,Insert lens prosthesis,,,2410.01,5195.0,25
HCPCS,66986,Exchange lens prosthesis,,,2410.01,5195.0,25
HCPCS,66987,Xcapsl ctrc rmvl cplx w/ecp,,,4316.45,9732.0,23
HCPCS,66988,Xcapsl ctrc rmvl w/ecp,,,4316.45,9732.0,23
HCPCS,66989,Xcpsl ctrc rmvl cplx insj 1+,,,4250.0,11113.85,23
HCPCS,66990,Ophthalmic endoscope add-on,,,704.0,972.0,2
HCPCS,66991,Xcapsl ctrc rmvl insj 1+,,,4250.0,11113.85,23
HCPCS,66999,Eye surgery procedure,,,2116.0,4820.02,23
HCPCS,67005,Partial removal of eye fluid,,,1874.25,5195.0,27
HCPCS,67010,Partial removal of eye fluid,,,1874.25,5195.0,27
HCPCS,67015,Hb Release Of Eye Fluid,10090.0,3531.5,,,0
HCPCS,67015,Release of eye fluid,,,990.66,5195.0,27
HCPCS,67025,Replace eye fluid,,,990.66,5195.0,27
HCPCS,67027,Implant eye drug system,,,1874.25,29141.56,27
HCPCS,67028,Hb Injection Pharmacologic,406.0,142.1,,,0
HCPCS,67028,Injection eye drug,,,344.93,1502.0,23
HCPCS,67030,Incise inner eye strands,,,990.66,5195.0,27
HCPCS,67031,Laser surgery eye strands,,,574.35,2121.0,27
HCPCS,67036,Removal of inner eye fluid,,,1874.25,9732.0,27
HCPCS,67039,Laser treatment of retina,,,2960.1,9732.0,25
HCPCS,67040,Laser treatment of retina,,,2960.1,9732.0,25
HCPCS,67041,Vit for macular pucker,,,4316.45,9732.0,23
HCPCS,67042,Vit for macular hole,,,4316.45,9732.0,23
HCPCS,67043,Vit for membrane dissect,,,4316.45,9732.0,23
HCPCS,67101,Hb Repair Detached Retina,6974.0,2440.9,,,0
HCPCS,67101,Repair detached retina crtx,,,1457.0,5195.0,25
HCPCS,67105,Hb Repair Detached Retina Pc,7620.0,2667.0,,,0
HCPCS,67105,Repair detached retina pc,,,574.35,1502.0,23
HCPCS,67107,Repair detached retina,,,2133.06,9732.0,25
HCPCS,67108,Repair detached retina,,,2960.1,9732.0,25
HCPCS,67110,Hb Repair Detached Retina,5900.0,2065.0,,,0
HCPCS,67110,Repair detached retina,,,2410.01,5195.0,23
HCPCS,67113,Repair retinal detach cplx,,,5282.0,11113.85,23
HCPCS,67115,Release encircling material,,,1326.84,8632.89,27
HCPCS,67120,Remove eye implant material,,,1326.84,5195.0,27
HCPCS,67121,Remove eye implant material,,,1326.84,6490.0,27
HCPCS,67141,Treatment of retina,,,331.46,2121.0,27
HCPCS,67145,Hb Proph Rta Dtchmnt W/O Drg 1/> Sess,3470.0,1214.5,,,0
HCPCS,67145,Treatment of retina,,,574.35,1502.0,23
HCPCS,67208,Hb Treatment Of Retinal Lesion Cryotherapy,4762.0,1666.7,,,0
HCPCS,67208,Treatment of retinal lesion,,,331.46,1502.0,25
HCPCS,67210,Hb Treatment Of Retinal Lesion,1153.0,403.55,,,0
HCPCS,67210,Treatment of retinal lesion,,,574.35,1502.0,23
HCPCS,67218,Treatment of retinal lesion,,,2133.06,8210.95,25
HCPCS,67220,Hb Dstrj Lesion Choroid Pc 1/> Sess,3594.0,1257.9,,,0
HCPCS,67220,Treatment of choroid lesion,,,574.35,1502.0,23
HCPCS,67221,Ocular Photodynamic Ther,,,574.35,1502.0,23
HCPCS,67225,Eye photodynamic ther add-on,,,704.0,972.0,2
HCPCS,67227,Dstrj extensive retinopathy,,,990.66,8210.95,27
HCPCS,67228,Hb Treatment X10Sv Retinopathy,3452.0,1208.2,,,0
HCPCS,67228,Treatment x10sv retinopathy,,,574.35,1502.0,23
HCPCS,67229,Hb Extensive Retinopathy 1/> Sess Preterm Infant,2012.0,704.2,,,0
HCPCS,67229,Tr retinal les preterm inf,,,574.35,1297.0,21
HCPCS,67250,Reinforce eye wall,,,1517.25,5195.0,27
HCPCS,67255,Reinforce/graft eye wall,,,1517.25,8632.89,27
HCPCS,67299,Eye surgery procedure,,,2116.0,4820.02,23
HCPCS,67299,Hb Eye Surgery Procedure,4824.0,1688.4,,,0
HCPCS,67311,Revise eye muscle,,,1517.25,5195.0,27
HCPCS,67312,Revise two eye muscles,,,1874.25,8210.95,27
HCPCS,67314,Revise eye muscle,,,1874.25,5195.0,27
HCPCS,67316,Revise two eye muscles,,,1874.25,5195.0,27
HCPCS,67318,Revise eye muscle(s),,,1874.25,5195.0,27
HCPCS,67320,Revise eye muscle(s) add-on,,,704.0,3000.0,6
HCPCS,67331,Eye surgery follow-up add-on,,,704.0,3000.0,6
HCPCS,67332,Rerevise eye muscles add-on,,,704.0,3000.0,6
HCPCS,67334,Revise eye muscle w/suture,,,704.0,3000.0,6
HCPCS,67335,Eye suture during surgery,,,704.0,3000.0,6
HCPCS,67340,Revise eye muscle add-on,,,704.0,3000.0,6
HCPCS,67343,Release eye tissue,,,2482.76,5195.0,25
HCPCS,67345,Destroy nerve of eye muscle,,,331.46,1502.0,23
HCPCS,67346,Biopsy eye muscle,,,990.66,8210.95,25
HCPCS,67350,Biopsy eye muscle,,,1425.0,1500.0,2
HCPCS,67399,Unlisted px extraocular musc,,,331.46,3993.0,23
HCPCS,67400,Explore/biopsy eye socket,,,1517.25,8210.95,27
HCPCS,67405,Explore/drain eye socket,,,1874.25,5195.0,27
HCPCS,67412,Explore/treat eye socket,,,2133.06,5195.0,25
HCPCS,67413,Explore/treat eye socket,,,2133.06,5195.0,25
HCPCS,67414,Explr/decompress eye socket,,,3885.0,8210.95,23
HCPCS,67415,Aspiration orbital contents,,,990.66,5195.0,27
HCPCS,67420,Explore/treat eye socket,,,2133.06,8210.95,25
HCPCS,67430,Explore/treat eye socket,,,2133.06,8210.95,25
HCPCS,67440,Explore/drain eye socket,,,2133.06,8210.95,25
HCPCS,67445,Explr/decompress eye socket,,,2133.06,8210.95,25
HCPCS,67450,Explore/biopsy eye socket,,,2133.06,8210.95,25
HCPCS,67500,Hb Injection Retrobulbar,2203.5,771.225,,,0
HCPCS,67500,Inject/treat eye socket,,,331.46,972.0,21
HCPCS,67505,Inject/treat eye socket,,,331.46,1502.0,23
HCPCS,67515,Hb Injection Tenons Capsule,576.0,201.6,,,0
HCPCS,67515,Inject/treat eye socket,,,331.46,1502.0,23
HCPCS,67516,Sprchoroidal spc njx rx agt,,,344.93,972.0,21
HCPCS,67550,Insert eye socket implant,,,1874.25,8210.95,27
HCPCS,67560,Revise eye socket implant,,,1326.84,8210.95,27
HCPCS,67570,Decompress optic nerve,,,1874.25,8210.95,27
HCPCS,67599,Orbit surgery procedure,,,331.46,3993.0,23
HCPCS,67700,Drainage of eyelid abscess,,,331.46,1502.0,23
HCPCS,67700,Hb Drainage Eyelid Abscess,1760.0,616.0,,,0
HCPCS,67710,Incision of eyelid,,,1041.02,2923.0,23
HCPCS,67715,Hb Incision Of Eyelid Fold,5182.0,1813.7,,,0
HCPCS,67715,Incision of eyelid fold,,,990.66,5195.0,27
HCPCS,67800,Hb Excision Chalazion Single,1084.0,379.4,,,0
HCPCS,67800,Remove eyelid lesion,,,331.46,2000.0,25
HCPCS,67801,Hb Excision Chalazion Mult Same Lid,653.0,228.55,,,0
HCPCS,67801,Remove eyelid lesions,,,1041.02,2923.0,25
HCPCS,67805,Hb Excision Chalazion Mult Diff Lid,809.0,283.15,,,0
HCPCS,67805,Remove eyelid lesions,,,331.46,1502.0,23
HCPCS,67808,Remove eyelid lesion(s),,,1326.84,5195.0,27
HCPCS,67810,Biopsy eyelid & lid margin,,,331.46,1502.0,23
HCPCS,67810,Hb Biopsy Eyelid,1224.0,428.4,,,0
HCPCS,67820,Hb Epilation By Forceps,611.0,213.85,,,0
HCPCS,67820,Revise eyelashes,,,138.94,972.0,21
HCPCS,67825,Hb Epilation Other Than Forceps,1843.0,645.05,,,0
HCPCS,67825,Revise eyelashes,,,331.46,1502.0,23
HCPCS,67830,Revise eyelashes,,,1041.02,2923.0,27
HCPCS,67835,Revise eyelashes,,,1326.84,5195.0,27
HCPCS,67840,Remove eyelid lesion,,,1041.02,2923.0,23
HCPCS,67850,Treat eyelid lesion,,,1041.02,2923.0,23
HCPCS,67875,Closure of eyelid by suture,,,1041.02,2923.0,23
HCPCS,67875,Hb Temporary Closure Eyelids Suture,8630.0,3020.5,,,0
HCPCS,67880,Revision of eyelid,,,1517.25,5195.0,27
HCPCS,67882,Revision of eyelid,,,1517.25,5195.0,27
HCPCS,67900,Repair brow defect,,,1874.25,5195.0,27
HCPCS,67901,Repair eyelid defect,,,2133.06,5195.0,25
HCPCS,67902,Repair eyelid defect,,,2133.06,8210.95,25
HCPCS,67903,Repair eyelid defect,,,1874.25,5195.0,27
HCPCS,67904,Repair eyelid defect,,,1874.25,5195.0,27
HCPCS,67906,Repair eyelid defect,,,2133.06,8210.95,25
HCPCS,67908,Repair eyelid defect,,,1874.25,5195.0,27
HCPCS,67909,Revise eyelid defect,,,1874.25,5195.0,27
HCPCS,67911,Revise eyelid defect,,,1517.25,5195.0,27
HCPCS,67912,Correction eyelid w/implant,,,1517.25,5195.0,27
HCPCS,67914,Repair eyelid defect,,,1517.25,5195.0,27
HCPCS,67915,Repair eyelid defect,,,1457.0,5195.0,23
HCPCS,67916,Repair eyelid defect,,,1874.25,5195.0,27
HCPCS,67917,Repair eyelid defect,,,1874.25,5195.0,27
HCPCS,67921,Repair eyelid defect,,,1517.25,5195.0,27
HCPCS,67922,Repair eyelid defect,,,2482.76,5195.0,23
HCPCS,67923,Repair eyelid defect,,,1874.25,5195.0,27
HCPCS,67924,Repair eyelid defect,,,1874.25,5195.0,27
HCPCS,67930,Repair eyelid wound,,,2482.76,5195.0,23
HCPCS,67935,Hb Suture Wound Of The Eyelid,8090.0,2831.5,,,0
HCPCS,67935,Repair eyelid wound,,,1326.84,5195.0,27
HCPCS,67938,Remove eyelid foreign body,,,331.46,972.0,21
HCPCS,67950,Revision of eyelid,,,1326.84,5195.0,27
HCPCS,67961,Revision of eyelid,,,1517.25,5195.0,27
HCPCS,67966,Revision of eyelid,,,1517.25,5195.0,27
HCPCS,67971,Reconstruction of eyelid,,,1517.25,5195.0,27
HCPCS,67973,Reconstruction of eyelid,,,1517.25,5195.0,27
HCPCS,67974,Reconstruction of eyelid,,,1517.25,8210.95,27
HCPCS,67975,Reconstruction of eyelid,,,1517.25,5195.0,27
HCPCS,67999,Revision of eyelid,,,331.46,3993.0,23
HCPCS,68020,Hb Incision Conjunctiva Drainage Of Cyst,2984.0,1044.4,,,0
HCPCS,68020,Incise/drain eyelid lining,,,1041.02,3993.0,23
HCPCS,68040,Treatment of eyelid lesions,,,331.46,972.0,21
HCPCS,68100,Biopsy of eyelid lining,,,940.0,4965.52,23
HCPCS,68100,Hb Conjunctiva Biopsy,1366.5,478.275,,,0
HCPCS,68110,Hb Excision Eyelid Lesion Up To 1Cm,4950.5,1732.675,,,0
HCPCS,68110,Remove eyelid lining lesion,,,1457.0,5195.0,23
HCPCS,68115,Hb Excision Eyelid Lesion Over 1Cm,3018.0,1056.3,,,0
HCPCS,68115,Remove eyelid lining lesion,,,1326.84,5195.0,27
HCPCS,68130,Remove eyelid lining lesion,,,1326.84,5195.0,27
HCPCS,68135,Remove eyelid lining lesion,,,1457.0,5195.0,23
HCPCS,68200,Hb Injection Subconjunctival,194.0,67.9,,,0
HCPCS,68200,Treat eyelid by injection,,,466.5,972.0,21
HCPCS,68320,Hb Conjunctivoplas W Conjunctiv Grft/Exten,9862.0,3451.7,,,0
HCPCS,68320,Revise/graft eyelid lining,,,1874.25,5195.0,27
HCPCS,68325,Revise/graft eyelid lining,,,1874.25,8210.95,27
HCPCS,68326,Revise/graft eyelid lining,,,1874.25,8210.95,27
HCPCS,68328,Revise/graft eyelid lining,,,1874.25,5195.0,27
HCPCS,68330,Hb Repair Symblepharon Wo Graft,2076.0,726.6,,,0
HCPCS,68330,Revise eyelid lining,,,1874.25,5195.0,27
HCPCS,68335,Revise/graft eyelid lining,,,1874.25,8210.95,27
HCPCS,68340,Hb Division Symblepharon W Or Wo Contact,1738.0,608.3,,,0
HCPCS,68340,Separate eyelid adhesions,,,1874.25,5195.0,27
HCPCS,68360,Revise eyelid lining,,,1326.84,8210.95,27
HCPCS,68362,Revise eyelid lining,,,1326.84,5195.0,27
HCPCS,68371,Harvest eye tissue alograft,,,1326.84,5195.0,27
HCPCS,68399,Eyelid lining surgery,,,331.46,3993.0,23
HCPCS,68399,Hb Unlisted Procedure Conjunctiva,8284.0,2899.4,,,0
HCPCS,68400,Incise/drain tear gland,,,1041.02,2923.0,23
HCPCS,68420,Hb Incision Drainage Lacrimal Sac,9119.0,3191.65,,,0
HCPCS,68420,Incise/drain tear sac,,,940.0,4965.52,23
HCPCS,68440,Incise tear duct opening,,,331.46,1502.0,23
HCPCS,68500,Removal of tear gland,,,1517.25,8210.95,27
HCPCS,68505,Partial removal tear gland,,,1517.25,8210.95,27
HCPCS,68510,Biopsy of tear gland,,,990.66,5195.0,27
HCPCS,68520,Removal of tear sac,,,1517.25,8210.95,27
HCPCS,68525,Biopsy of tear sac,,,990.66,5195.0,27
HCPCS,68530,Clearance of tear duct,,,331.46,972.0,21
HCPCS,68540,Remove tear gland lesion,,,1517.25,5195.0,27
HCPCS,68550,Remove tear gland lesion,,,1517.25,8210.95,27
HCPCS,68700,Hb 	Plastic Repair Canaliculi,7129.0,2495.15,,,0
HCPCS,68700,Repair tear ducts,,,1326.84,5195.0,27
HCPCS,68705,Revise tear duct opening,,,331.46,1502.0,23
HCPCS,68720,Create tear sac drain,,,1874.25,8210.95,27
HCPCS,68745,Create tear duct drain,,,1874.25,8210.95,27
HCPCS,68750,Create tear duct drain,,,1874.25,8210.95,27
HCPCS,68760,Close tear duct opening,,,331.46,972.0,21
HCPCS,68760,Hb Close Tear Duct By Cautery,1637.0,572.95,,,0
HCPCS,68761,Close tear duct opening,,,331.46,972.0,21
HCPCS,68761,Hb Close Tear Duct By Plug,858.0,300.3,,,0
HCPCS,68770,Close tear system fistula,,,940.0,4965.52,27
HCPCS,68801,Dilate tear duct opening,,,466.5,972.0,21
HCPCS,68801,Hb Lacrimal Punctum Dilation,287.0,100.45,,,0
HCPCS,68810,Hb Nasolacrimal Duct Probing,1892.0,662.2,,,0
HCPCS,68810,Probe nasolacrimal duct,,,331.46,1502.0,27
HCPCS,68811,Probe nasolacrimal duct,,,1326.84,5195.0,27
HCPCS,68815,Hb Probe Nasolacrimal Duct W/Wo Irrg Insj Tube/Stnt,8461.0,2961.35,,,0
HCPCS,68815,Probe nasolacrimal duct,,,1326.84,5195.0,27
HCPCS,68816,Probe nl duct w/balloon,,,2482.76,5195.0,23
HCPCS,68840,Explore/irrigate tear ducts,,,331.46,972.0,21
HCPCS,68840,Hb Lacrimal Canaliculi Probing,432.0,151.2,,,0
HCPCS,68841,Insj rx elut implt lac canal,,,1457.0,5195.0,23
HCPCS,68850,Injection for tear sac x-ray,,,704.0,972.0,2
HCPCS,68899,Tear duct system surgery,,,331.46,3993.0,23
HCPCS,69000,Drain external ear lesion,,,739.49,1478.98,21
HCPCS,69000,Hb Drainage External Ear Abscess/Hematoma Simple,5032.0,1761.2,,,0
HCPCS,69005,Drain external ear lesion,,,1724.73,3993.0,23
HCPCS,69020,Drain outer ear canal lesion,,,739.49,1478.98,21
HCPCS,69090,Pierce earlobes,,,3613.0,4992.0,2
HCPCS,69100,Biopsy of external ear,,,247.34,1502.0,23
HCPCS,69100,Hb Biopsy Ear External,325.0,113.75,,,0
HCPCS,69105,Biopsy of external ear canal,,,1620.29,3993.0,23
HCPCS,69110,Remove external ear partial,,,990.66,6066.67,27
HCPCS,69120,Removal of external ear,,,1326.84,12363.91,27
HCPCS,69140,Remove ear canal lesion(s),,,1326.84,12363.91,27
HCPCS,69145,Remove ear canal lesion(s),,,1326.84,6066.67,27
HCPCS,69150,Extensive ear canal surgery,,,1380.84,12363.91,27
HCPCS,69155,Extensive ear/neck surgery,,,3613.0,4992.0,4
HCPCS,69200,Clear outer ear canal,,,138.94,972.0,21
HCPCS,69200,Hb Remove Foreign Body In Ear,527.0,184.45,,,0
HCPCS,69205,Clear outer ear canal,,,990.66,3449.46,27
HCPCS,69209,Hb Remove Impacted Ear Wax Uni,421.0,147.35,,,0
HCPCS,69209,Remove impacted ear wax uni,,,61.6,972.0,21
HCPCS,69210,"Hb Removal Impacted Cerumen Requiring Instrumentation, Unilateral",1110.0,388.5,,,0
HCPCS,69210,Remove impacted ear wax uni,,,61.6,972.0,21
HCPCS,69220,Clean out mastoid cavity,,,209.52,972.0,21
HCPCS,69222,Clean out mastoid cavity,,,563.21,3993.0,23
HCPCS,69222,Hb Debride Mastoid Cavity,10491.0,3671.85,,,0
HCPCS,69300,Revise external ear,,,1517.25,6924.53,27
HCPCS,69310,Rebuild outer ear canal,,,1517.25,12363.91,27
HCPCS,69320,Rebuild outer ear canal,,,2960.1,12363.91,25
HCPCS,69399,Outer ear surgery procedure,,,247.34,972.0,21
HCPCS,69420,Incision of eardrum,,,247.34,1502.0,25
HCPCS,69421,Incision of eardrum,,,1517.25,6924.53,27
HCPCS,69424,Remove ventilating tube,,,1457.0,6924.53,23
HCPCS,69433,Create eardrum opening,,,563.21,1502.0,23
HCPCS,69433,Hb Tympanostomy W Tube,7159.0,2505.65,,,0
HCPCS,69436,Create eardrum opening,,,1517.25,3240.57,27
HCPCS,69440,Exploration of middle ear,,,1517.25,6924.53,27
HCPCS,69450,Eardrum revision,,,990.66,9732.0,27
HCPCS,69501,Mastoidectomy,,,2960.1,12363.91,25
HCPCS,69502,Mastoidectomy,,,2960.1,12363.91,25
HCPCS,69505,Remove mastoid structures,,,2960.1,12363.91,25
HCPCS,69511,Extensive mastoid surgery,,,2960.1,12363.91,25
HCPCS,69530,Extensive mastoid surgery,,,2960.1,12363.91,25
HCPCS,69535,Remove part of temporal bone,,,3613.0,4992.0,4
HCPCS,69540,Remove ear lesion,,,1620.29,3993.0,23
HCPCS,69550,Remove ear lesion,,,2133.06,12363.91,25
HCPCS,69552,Remove ear lesion,,,2960.1,12363.91,25
HCPCS,69554,Remove ear lesion,,,3613.0,4992.0,4
HCPCS,69601,Mastoid surgery revision,,,2960.1,12363.91,25
HCPCS,69602,Mastoid surgery revision,,,2960.1,12363.91,25
HCPCS,69603,Mastoid surgery revision,,,2960.1,12363.91,25
HCPCS,69604,Mastoid surgery revision,,,2960.1,12363.91,25
HCPCS,69605,Mastoid surgery revision,,,2960.1,3596.08,2
HCPCS,69610,Repair of eardrum,,,1620.29,5195.0,23
HCPCS,69620,Repair of eardrum,,,1326.84,6924.53,27
HCPCS,69631,Repair eardrum structures,,,2133.06,12363.91,25
HCPCS,69632,Rebuild eardrum structures,,,2133.06,12363.91,25
HCPCS,69633,Rebuild eardrum structures,,,2133.06,12363.91,25
HCPCS,69635,Repair eardrum structures,,,2960.1,12363.91,25
HCPCS,69636,Rebuild eardrum structures,,,2960.1,12363.91,25
HCPCS,69637,Rebuild eardrum structures,,,2960.1,12363.91,25
HCPCS,69641,Revise middle ear & mastoid,,,2960.1,12363.91,25
HCPCS,69642,Revise middle ear & mastoid,,,2960.1,12363.91,25
HCPCS,69643,Revise middle ear & mastoid,,,2960.1,12363.91,25
HCPCS,69644,Revise middle ear & mastoid,,,2960.1,12363.91,25
HCPCS,69645,Revise middle ear & mastoid,,,2960.1,12363.91,25
HCPCS,69646,Revise middle ear & mastoid,,,2960.1,12363.91,25
HCPCS,69650,Release middle ear bone,,,2960.1,6924.53,25
HCPCS,69660,Revise middle ear bone,,,2133.06,12363.91,25
HCPCS,69661,Revise middle ear bone,,,2133.06,12363.91,25
HCPCS,69662,Revise middle ear bone,,,2133.06,12363.91,25
HCPCS,69666,Repair middle ear structures,,,1874.25,6924.53,27
HCPCS,69667,Repair middle ear structures,,,1874.25,6924.53,27
HCPCS,69670,Remove mastoid air cells,,,1517.25,12363.91,27
HCPCS,69676,Remove middle ear nerve,,,1517.25,6924.53,27
HCPCS,69700,Close mastoid fistula,,,1517.25,3240.57,27
HCPCS,69705,Nps surg dilat eust tube uni,,,5282.0,12363.91,23
HCPCS,69706,Nps surg dilat eust tube bi,,,5282.0,12363.91,23
HCPCS,69710,Implant/replace hearing aid,,,2428.0,9732.0,4
HCPCS,69711,Remove/repair hearing aid,,,990.66,9732.0,27
HCPCS,69714,Implant Temple Bone W/Stimul,,,3885.0,26814.33,25
HCPCS,69715,Temple Bne Implnt W/Stimulat,,,3983.52,4839.39,2
HCPCS,69716,Impltj oi implt skl tc esp,,,3885.0,26814.33,23
HCPCS,69717,Temple Bone Implant Revision,,,3885.0,15155.02,25
HCPCS,69718,Revise Temple Bone Implant,,,3983.52,4839.39,2
HCPCS,69719,Revj/rplcmt oi implt tc esp,,,3885.0,26814.33,23
HCPCS,69720,Release facial nerve,,,2133.06,12363.91,25
HCPCS,69725,Release facial nerve,,,3885.0,12363.91,23
HCPCS,69726,Rmvl oi implt skl perq esp,,,3416.88,6833.76,23
HCPCS,69727,Rmvl oi implt skl tc esp,,,3416.88,6833.76,23
HCPCS,69728,Rmv ntr oi imp sktc esp>=100,,,3416.88,6833.76,23
HCPCS,69729,Impl oi implt sk tc esp>=100,,,3885.0,26814.33,23
HCPCS,69730,Rplc oi implt sk tc esp>=100,,,3885.0,26814.33,23
HCPCS,69740,Repair facial nerve,,,2133.06,12363.91,25
HCPCS,69745,Repair facial nerve,,,2133.06,12363.91,25
HCPCS,69799,Middle ear surgery procedure,,,247.34,3993.0,23
HCPCS,69801,Incise inner ear,,,1620.29,3369.0,25
HCPCS,69805,Explore inner ear,,,2960.1,12363.91,25
HCPCS,69806,Explore inner ear,,,2960.1,12363.91,25
HCPCS,69820,Establish inner ear window,,,2133.06,2591.35,2
HCPCS,69840,Revise inner ear window,,,2133.06,2591.35,2
HCPCS,69905,Remove inner ear,,,2960.1,12363.91,25
HCPCS,69910,Remove inner ear & mastoid,,,2960.1,12363.91,25
HCPCS,69915,Incise inner ear nerve,,,2960.1,9732.0,25
HCPCS,69930,Implant cochlear device,,,2960.1,99846.0,25
HCPCS,69949,Inner ear surgery procedure,,,247.34,3993.0,23
HCPCS,69950,Incise inner ear nerve,,,3613.0,4992.0,4
HCPCS,69955,Release facial nerve,,,3885.0,12363.91,23
HCPCS,69960,Release inner ear canal,,,3885.0,12363.91,23
HCPCS,69970,Remove inner ear lesion,,,3885.0,12363.91,23
HCPCS,69979,Temporal bone surgery,,,247.34,3993.0,23
HCPCS,69990,Microsurgery add-on,,,704.0,972.0,2
HCPCS,70010,Contrast x-ray of brain,,,364.32,728.64,19
HCPCS,70010,Hb 70010 Myelogram Cpa,4453.0,1558.55,,,0
HCPCS,70010,Hb Myelogram Cpa,4453.0,1558.55,,,0
HCPCS,70015,Contrast x-ray of brain,,,818.63,1637.26,19
HCPCS,70030,X-ray eye for foreign body,,,90.88,181.76,19
HCPCS,70100,Hb Xray Mandible Limited,665.0,232.75,,,0
HCPCS,70100,X-ray exam of jaw <4views,,,90.88,181.76,19
HCPCS,70110,Hb Xray Mandible Routine,1320.0,462.0,,,0
HCPCS,70110,X-ray exam of jaw 4/> views,,,109.17,218.35,19
HCPCS,70120,X-ray exam of mastoids,,,109.17,218.35,19
HCPCS,70130,Hb Xray Mastoids Routine,591.0,206.85,,,0
HCPCS,70130,X-ray exam of mastoids,,,109.17,218.35,19
HCPCS,70134,X-ray exam of middle ear,,,570.61,1141.22,19
HCPCS,70140,Hb Xray Facial Bones Limited,460.0,161.0,,,0
HCPCS,70140,X-ray exam of facial bones,,,90.88,181.76,19
HCPCS,70150,Hb Xray Facial Bones Routine,913.0,319.55,,,0
HCPCS,70150,X-ray exam of facial bones,,,109.17,218.35,19
HCPCS,70160,Hb Xray Nasal Bones Routine,586.0,205.1,,,0
HCPCS,70160,X-ray exam of nasal bones,,,90.88,181.76,19
HCPCS,70170,X-ray exam of tear duct,,,249.17,498.33,19
HCPCS,70190,X-ray exam of eye sockets,,,90.88,181.76,19
HCPCS,70200,Hb Xray Orbits Routine,788.0,275.8,,,0
HCPCS,70200,X-ray exam of eye sockets,,,109.17,218.35,19
HCPCS,70210,Hb Xray Sinuses Limited,474.0,165.9,,,0
HCPCS,70210,X-ray exam of sinuses,,,90.88,181.76,19
HCPCS,70220,Hb Xray Sinuses Routine,947.0,331.45,,,0
HCPCS,70220,X-ray exam of sinuses,,,90.88,181.76,19
HCPCS,70240,X-ray exam pituitary saddle,,,90.88,181.76,19
HCPCS,70250,Hb Xray Skull Limited,590.0,206.5,,,0
HCPCS,70250,X-ray exam of skull,,,109.17,218.35,19
HCPCS,70260,Hb Xray Skull Routine,1183.0,414.05,,,0
HCPCS,70260,X-ray exam of skull,,,109.17,218.35,19
HCPCS,70300,X-ray exam of teeth,,,90.88,181.76,19
HCPCS,70310,X-ray exam of teeth,,,249.17,498.33,19
HCPCS,70320,Full mouth x-ray of teeth,,,249.17,498.33,19
HCPCS,70328,X-ray exam of jaw joint,,,90.88,181.76,19
HCPCS,70330,Hb Xray Tm Joints Bilateral,557.0,194.95,,,0
HCPCS,70330,X-ray exam of jaw joints,,,90.88,181.76,19
HCPCS,70332,X-ray exam of jaw joint,,,249.17,498.33,19
HCPCS,70336,Hb Mri Tm Joints,1804.0,631.4,,,0
HCPCS,70336,Magnetic image jaw joint,,,249.17,498.33,19
HCPCS,70350,X-ray head for orthodontia,,,90.88,181.76,19
HCPCS,70355,Hb Xray Mandible Panorex,449.0,157.15,,,0
HCPCS,70355,Panoramic x-ray of jaws,,,90.88,181.76,19
HCPCS,70360,Hb Xray Neck Soft Tissues,1284.0,449.4,,,0
HCPCS,70360,X-ray exam of neck,,,90.88,181.76,19
HCPCS,70370,Throat x-ray & fluoroscopy,,,90.88,181.76,19
HCPCS,70371,Hb Esophagram Eval Video,1830.0,640.5,,,0
HCPCS,70371,Speech evaluation complex,,,249.17,498.33,19
HCPCS,70380,X-ray exam of salivary gland,,,90.88,181.76,19
HCPCS,70390,Hb 70390 Sialogram,898.0,314.3,,,0
HCPCS,70390,Hb Sialogram,898.0,314.3,,,0
HCPCS,70390,X-ray exam of salivary duct,,,249.17,498.33,19
HCPCS,70450,Ct head/brain w/o dye,,,109.17,218.35,19
HCPCS,70450,Hb Ct Head Or Brain Wo Cont,3705.0,1296.75,,,0
HCPCS,70460,Ct head/brain w/dye,,,183.17,366.33,19
HCPCS,70460,Hb Ct Head Or Brain W Cont,4594.0,1607.9,,,0
HCPCS,70470,Ct head/brain w/o & w/dye,,,183.17,366.33,19
HCPCS,70470,Hb Ct Head Or Brain Wo And W Cont,5740.0,2009.0,,,0
HCPCS,70471,Cta h&n c+ w/noncontrast img,,,364.32,728.64,19
HCPCS,70473,Ct cere prfu aly c+wo ct/cta,,,183.17,366.33,19
HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,109.17,218.35,19
HCPCS,70480,Hb Ct Orbit Ear Fossa Wo Cont,5343.0,1870.05,,,0
HCPCS,70481,Ct orbit/ear/fossa w/dye,,,183.17,366.33,19
HCPCS,70481,Hb Ct Orbit Ear Fossa W Cont,6213.0,2174.55,,,0
HCPCS,70482,Ct orbit/ear/fossa w/o&w/dye,,,183.17,366.33,19
HCPCS,70482,Hb Ct Orbit Ear Fossa Wo And W Cont,11553.0,4043.55,,,0
HCPCS,70486,Ct maxillofacial w/o dye,,,109.17,218.35,19
HCPCS,70486,Hb Ct Sinuses Wo Cont,4294.0,1502.9,,,0
HCPCS,70487,Ct maxillofacial w/dye,,,183.17,366.33,19
HCPCS,70487,Hb Ct Sinuses W Cont,4750.0,1662.5,,,0
HCPCS,70488,Ct maxillofacial w/o & w/dye,,,183.17,366.33,19
HCPCS,70488,Hb Ct Sinuses Wo And W Cont,10503.0,3676.05,,,0
HCPCS,70490,Ct soft tissue neck w/o dye,,,109.17,218.35,19
HCPCS,70490,Hb Ct Neck Wo Cont,2830.0,990.5,,,0
HCPCS,70491,Ct soft tissue neck w/dye,,,183.17,366.33,19
HCPCS,70491,Hb Ct Neck W Cont,3512.0,1229.2,,,0
HCPCS,70492,Ct sft tsue nck w/o & w/dye,,,183.17,366.33,19
HCPCS,70492,Hb Ct Neck Wo And W Cont,6165.0,2157.75,,,0
HCPCS,70496,Ct angiography head,,,183.17,366.33,19
HCPCS,70496,Hb 70496 Cta Head,6614.0,2314.9,,,0
HCPCS,70496,Hb Cta Head,6614.0,2314.9,,,0
HCPCS,70498,Ct angiography neck,,,183.17,366.33,19
HCPCS,70498,Hb 70498 Cta Neck,8331.0,2915.85,,,0
HCPCS,70498,Hb Cta Neck,8331.0,2915.85,,,0
HCPCS,70540,Hb Mri Orbit Face Neck Wo Cont,3667.0,1283.45,,,0
HCPCS,70540,Mri orbit/face/neck w/o dye,,,249.17,498.33,19
HCPCS,70542,Hb Mri Orbit Face Neck W Cont,4111.0,1438.85,,,0
HCPCS,70542,Mri Orbit/Face/Neck W/Dye,,,364.32,728.64,19
HCPCS,70543,Hb Mri Orb Face Neck Wo And W Cont,7762.0,2716.7,,,0
HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,364.32,728.64,19
HCPCS,70544,Hb Mra Head Wo Cont,3491.0,1221.85,,,0
HCPCS,70544,Mr Angiography Head W/O Dye,,,249.17,498.33,19
HCPCS,70545,Hb Mra Head W Cont,3711.0,1298.85,,,0
HCPCS,70545,Mr Angiography Head W/Dye,,,364.32,728.64,19
HCPCS,70546,Hb Mra Head Wo And W Cont,5048.0,1766.8,,,0
HCPCS,70546,Mr angiograph head w/o&w/dye,,,364.32,728.64,19
HCPCS,70547,Hb Mra Neck Wo Cont,3491.0,1221.85,,,0
HCPCS,70547,Mr Angiography Neck W/O Dye,,,249.17,498.33,19
HCPCS,70548,Hb Mra Neck W Cont,3707.0,1297.45,,,0
HCPCS,70548,Mr Angiography Neck W/Dye,,,364.32,728.64,19
HCPCS,70549,Hb Mra Neck Wo And W Cont,5048.0,1766.8,,,0
HCPCS,70549,Mr angiograph neck w/o&w/dye,,,364.32,728.64,19
HCPCS,70551,Hb Mri Brain Wo Cont,4349.0,1522.15,,,0
HCPCS,70551,Mri brain stem w/o dye,,,249.17,498.33,19
HCPCS,70552,Hb Mri Brain W Cont,4518.0,1581.3,,,0
HCPCS,70552,Mri brain stem w/dye,,,364.32,728.64,19
HCPCS,70553,Hb Mri Brain Wo And W Cont,5830.0,2040.5,,,0
HCPCS,70553,Mri brain stem w/o & w/dye,,,364.32,728.64,19
HCPCS,70554,Fmri brain by tech,,,249.17,498.33,19
HCPCS,70554,Hb Functional Mri Brain By Tech,2964.0,1037.4,,,0
HCPCS,70555,Fmri brain by phys/psych,,,249.17,498.33,19
HCPCS,70557,Mri brain w/o dye,,,570.61,1141.22,19
HCPCS,70558,Mri brain w/dye,,,183.17,366.33,19
HCPCS,70559,Mri brain w/o & w/dye,,,183.17,366.33,19
HCPCS,71045,Hb Xray Chest 1 View,721.0,252.35,,,0
HCPCS,71045,X-ray exam chest 1 view,,,90.88,181.76,19
HCPCS,71046,Hb Xray Chest 2 Views,732.0,256.2,,,0
HCPCS,71046,X-ray exam chest 2 views,,,90.88,181.76,19
HCPCS,71047,Hb Xray Exam Chest 3 Views,734.0,256.9,,,0
HCPCS,71047,X-ray exam chest 3 views,,,90.88,181.76,19
HCPCS,71048,Hb Xray Exam Chest 4+ Views,840.0,294.0,,,0
HCPCS,71048,X-ray exam chest 4+ views,,,109.17,218.35,19
HCPCS,71100,Hb Radex Ribs Unilateral 2 Views,625.0,218.75,,,0
HCPCS,71100,X-ray exam ribs uni 2 views,,,90.88,181.76,19
HCPCS,71101,Hb Xray Ribs Unilat W Pa Chest,830.0,290.5,,,0
HCPCS,71101,X-ray exam unilat ribs/chest,,,109.17,218.35,19
HCPCS,71110,X-ray exam ribs bil 3 views,,,109.17,218.35,19
HCPCS,71111,Hb Xray Ribs Bilat W Pa Chest,980.0,343.0,,,0
HCPCS,71111,X-ray exam ribs/chest4/> vws,,,109.17,218.35,19
HCPCS,71120,Hb Xray Sternum,393.0,137.55,,,0
HCPCS,71120,X-ray exam breastbone 2/>vws,,,90.88,181.76,19
HCPCS,71130,Hb Xray Sternoclavicular Joint,393.0,137.55,,,0
HCPCS,71130,X-ray strenoclavic jt 3/>vws,,,90.88,181.76,19
HCPCS,71250,Ct thorax w/o dye,,,109.17,218.35,19
HCPCS,71250,Hb Ct Thorax Wo Cont,2415.0,845.25,,,0
HCPCS,71260,Ct thorax w/dye,,,183.17,366.33,19
HCPCS,71260,Hb Ct Thorax W Cont,2516.0,880.6,,,0
HCPCS,71270,Ct thorax w/o & w/dye,,,183.17,366.33,19
HCPCS,71270,Hb Ct Thorax Wo And W Cont,2612.0,914.2,,,0
HCPCS,71271,Ct thorax lung cancer scr c-,,,109.17,218.35,19
HCPCS,71271,Hb Ct Thorax Lung Cancer Scr C-,1180.0,413.0,,,0
HCPCS,71275,Ct angiography chest,,,183.17,366.33,19
HCPCS,71275,Hb Cta Chest,6855.0,2399.25,,,0
HCPCS,71550,Hb Mri Chest Wo Cont,2958.0,1035.3,,,0
HCPCS,71550,Mri chest w/o dye,,,249.17,498.33,19
HCPCS,71551,Hb Mri Chest W Cont,3143.0,1100.05,,,0
HCPCS,71551,Mri Chest W/Dye,,,818.63,1637.26,19
HCPCS,71552,Hb Mri Chest Wo And W Cont,3730.0,1305.5,,,0
HCPCS,71552,Mri chest w/o & w/dye,,,364.32,728.64,19
HCPCS,71555,Hb Mra Chest W Cont,2271.0,794.85,,,0
HCPCS,71555,Hb Mra Chest Wo And W Cont,2948.0,1031.8,,,0
HCPCS,71555,Hb Mra Chest Wo Cont,1804.0,631.4,,,0
HCPCS,72020,Hb Xray Spine 1 View,500.0,175.0,,,0
HCPCS,72020,X-ray exam of spine 1 view,,,90.88,181.76,19
HCPCS,72040,Hb Xray Spine Cervical Limited,795.0,278.25,,,0
HCPCS,72040,X-ray exam neck spine 2-3 vw,,,90.88,181.76,19
HCPCS,72050,Hb Xray Spine Cervical Routine,862.0,301.7,,,0
HCPCS,72050,X-ray exam neck spine 4/5vws,,,109.17,218.35,19
HCPCS,72052,Hb Xray Spine Cervical W Flex Ext,1116.0,390.6,,,0
HCPCS,72052,X-ray exam neck spine 6/>vws,,,109.17,218.35,19
HCPCS,72070,Hb Xray T Spine Limited,765.0,267.75,,,0
HCPCS,72070,X-ray exam thorac spine 2vws,,,109.17,218.35,19
HCPCS,72072,Hb Xray T Spine Routine,869.0,304.15,,,0
HCPCS,72072,X-ray exam thorac spine 3vws,,,109.17,218.35,19
HCPCS,72074,X-ray exam thorac spine4/>vw,,,109.17,218.35,19
HCPCS,72080,Hb Xray Spine Thoracolumbar Ltd,868.0,303.8,,,0
HCPCS,72080,X-ray exam thoracolmb 2/> vw,,,90.88,181.76,19
HCPCS,72081,Hb Xray Spine Scoliosis 1 View,136.0,47.6,,,0
HCPCS,72081,X-ray exam entire spi 1 vw,,,90.88,181.76,19
HCPCS,72082,Hb Xray Spine Scoliosis 2-3 Views,225.0,78.75,,,0
HCPCS,72082,X-ray exam entire spi 2/3 vw,,,109.17,218.35,19
HCPCS,72083,Hb Xray Spine Scoliosis 4-5 Views,427.0,149.45,,,0
HCPCS,72083,X-ray exam entire spi 4/5 vw,,,109.17,218.35,19
HCPCS,72084,X-ray exam entire spi 6/> vw,,,109.17,218.35,19
HCPCS,72100,Hb Xray Spine Lumbar Limited,707.0,247.45,,,0
HCPCS,72100,X-ray exam l-s spine 2/3 vws,,,109.17,218.35,19
HCPCS,72110,Hb Xray Spine Lumbar Routine,1416.0,495.6,,,0
HCPCS,72110,X-ray exam l-2 spine 4/>vws,,,109.17,218.35,19
HCPCS,72114,Hb Xray Spine Lumbar W Flex Ext,1592.0,557.2,,,0
HCPCS,72114,X-ray exam l-s spine bending,,,109.17,218.35,19
HCPCS,72120,Hb Xray Spine Lumbar Flex Ext Only,1096.0,383.6,,,0
HCPCS,72120,X-ray bend only l-s spine,,,109.17,218.35,19
HCPCS,72125,Ct neck spine w/o dye,,,109.17,218.35,19
HCPCS,72125,Hb Ct Cervical Spine Wo Cont,4393.0,1537.55,,,0
HCPCS,72126,Ct neck spine w/dye,,,364.32,728.64,19
HCPCS,72126,Hb Ct Cervical Spine W Cont,4697.0,1643.95,,,0
HCPCS,72127,Ct neck spine w/o & w/dye,,,183.17,366.33,19
HCPCS,72127,Hb Ct Cervical Spine Wo And W Cont,9088.0,3180.8,,,0
HCPCS,72128,Ct chest spine w/o dye,,,109.17,218.35,19
HCPCS,72128,Hb Ct Thoracic Spine Wo Cont,2573.0,900.55,,,0
HCPCS,72129,Ct chest spine w/dye,,,183.17,366.33,19
HCPCS,72129,Hb Ct Thoracic Spine W Cont,2995.0,1048.25,,,0
HCPCS,72130,Ct chest spine w/o & w/dye,,,183.17,366.33,19
HCPCS,72130,Hb Ct Thoracic Spine Wo And W Cont,5570.0,1949.5,,,0
HCPCS,72131,Ct lumbar spine w/o dye,,,109.17,218.35,19
HCPCS,72131,Hb Ct Lumbar Spine Wo Cont,1776.0,621.6,,,0
HCPCS,72132,Ct lumbar spine w/dye,,,364.32,728.64,19
HCPCS,72132,Hb Ct Lumbar Spine W Cont,1793.0,627.55,,,0
HCPCS,72133,Ct lumbar spine w/o & w/dye,,,183.17,366.33,19
HCPCS,72133,Hb Ct Lumbar Spine Wo And W Cont,3569.0,1249.15,,,0
HCPCS,72141,Hb Mri Cervical Spine Wo Cont,3365.0,1177.75,,,0
HCPCS,72141,Mri neck spine w/o dye,,,249.17,498.33,19
HCPCS,72142,Hb Mri Cervical Spine W Cont,4037.0,1412.95,,,0
HCPCS,72142,Mri neck spine w/dye,,,364.32,728.64,19
HCPCS,72146,Hb Mri Thoracic Spine Wo Cont,4264.0,1492.4,,,0
HCPCS,72146,Mri chest spine w/o dye,,,249.17,498.33,19
HCPCS,72147,Hb Mri Thoracic Spine W Cont,3924.0,1373.4,,,0
HCPCS,72147,Mri chest spine w/dye,,,364.32,728.64,19
HCPCS,72148,Hb Mri Lumbar Spine Wo Cont,3694.0,1292.9,,,0
HCPCS,72148,Mri lumbar spine w/o dye,,,249.17,498.33,19
HCPCS,72149,Hb Mri Lumbar Spine W Cont,4065.0,1422.75,,,0
HCPCS,72149,Mri lumbar spine w/dye,,,364.32,728.64,19
HCPCS,72156,Hb Mri Cervical Spine Wo And W Cont,7030.0,2460.5,,,0
HCPCS,72156,Mri neck spine w/o & w/dye,,,364.32,728.64,19
HCPCS,72157,Hb Mri Thoracic Spine Wo And W Cont,6830.0,2390.5,,,0
HCPCS,72157,Mri chest spine w/o & w/dye,,,364.32,728.64,19
HCPCS,72158,Hb Mri Lumbar Spine Wo And W Cont,7167.0,2508.45,,,0
HCPCS,72158,Mri lumbar spine w/o & w/dye,,,364.32,728.64,19
HCPCS,72159,Hb Mra Spine Wo And W Cont,2500.0,875.0,,,0
HCPCS,72170,Hb Xray Pelvis Limited,589.0,206.15,,,0
HCPCS,72170,X-ray exam of pelvis,,,109.17,218.35,19
HCPCS,72190,Hb Xray Pelvis Routine,1343.0,470.05,,,0
HCPCS,72190,X-ray exam of pelvis,,,109.17,218.35,19
HCPCS,72191,Ct angiograph pelv w/o&w/dye,,,183.17,366.33,19
HCPCS,72191,Hb Cta Pelvis,4539.0,1588.65,,,0
HCPCS,72192,Ct pelvis w/o dye,,,109.17,218.35,19
HCPCS,72192,Hb Ct Pelvis Wo Cont,2867.0,1003.45,,,0
HCPCS,72193,Ct pelvis w/dye,,,183.17,366.33,19
HCPCS,72193,Hb Ct Pelvis W Cont,4241.0,1484.35,,,0
HCPCS,72194,Ct pelvis w/o & w/dye,,,183.17,366.33,19
HCPCS,72194,Hb Ct Pelvis Wo And W Cont,7110.0,2488.5,,,0
HCPCS,72195,Hb  Mri Pelvis W/O Contrast,3806.0,1332.1,,,0
HCPCS,72195,Mri Pelvis W/O Dye,,,249.17,498.33,19
HCPCS,72196,Hb Mri Pelvis W Cont,4148.0,1451.8,,,0
HCPCS,72196,Mri pelvis w/dye,,,364.32,728.64,19
HCPCS,72197,Hb Mri Pelvis Wo And W Cont,4821.0,1687.35,,,0
HCPCS,72197,Mri pelvis w/o & w/dye,,,364.32,728.64,19
HCPCS,72198,Hb Mra Pelvis Wo And W Cont,3014.0,1054.9,,,0
HCPCS,72198,Hb Mra Pelvis Wo Cont,2151.0,752.85,,,0
HCPCS,72198,Hb Mrv Pelvis W Cont,2464.0,862.4,,,0
HCPCS,72198,Hb Mrv Pelvis Wo And W Cont,3014.0,1054.9,,,0
HCPCS,72198,Hb Mrv Pelvis Wo Cont,2151.0,752.85,,,0
HCPCS,72200,X-ray exam si joints,,,109.17,218.35,19
HCPCS,72202,Hb Xray Sacroiliac Joint Routine,429.0,150.15,,,0
HCPCS,72202,X-ray exam si joints 3/> vws,,,109.17,218.35,19
HCPCS,72220,Hb Xray Sacrum And Coccyx Limited,670.0,234.5,,,0
HCPCS,72220,X-ray exam sacrum tailbone,,,90.88,181.76,19
HCPCS,72240,Hb 72240 Myelogram Cervical,7408.0,2592.8,,,0
HCPCS,72240,Hb Myelogram Cervical,7408.0,2592.8,,,0
HCPCS,72240,Myelography neck spine,,,818.63,1637.26,19
HCPCS,72255,Hb 72255 Myelogram Thoracic,6790.0,2376.5,,,0
HCPCS,72255,Hb Myelogram Thoracic,6790.0,2376.5,,,0
HCPCS,72255,Myelography thoracic spine,,,818.63,1637.26,19
HCPCS,72265,Hb 72265 Myelogram Lumbar,7391.0,2586.85,,,0
HCPCS,72265,Hb Myelogram Lumbar,7391.0,2586.85,,,0
HCPCS,72265,Myelography l-s spine,,,818.63,1637.26,19
HCPCS,72270,Hb 72270 Myelogram Total,12239.0,4283.65,,,0
HCPCS,72270,Hb Myelogram Total,12239.0,4283.65,,,0
HCPCS,72270,Myelogphy 2/> spine regions,,,818.63,1637.26,19
HCPCS,72285,Discography cerv/thor spine,,,2039.19,4078.38,19
HCPCS,72285,Hb Discography Cerv/Thor Sp,3249.0,1137.15,,,0
HCPCS,72295,Hb 72295 Xr Diskogram Lumbar Spine,2058.0,720.3,,,0
HCPCS,72295,Hb X-Ray Of Lower Spine Disk,2058.0,720.3,,,0
HCPCS,72295,X-ray of lower spine disk,,,2039.19,4078.38,19
HCPCS,73000,Hb Xray Clavicle,570.0,199.5,,,0
HCPCS,73000,X-ray exam of collar bone,,,90.88,181.76,19
HCPCS,73010,Hb Xray Scapula,691.0,241.85,,,0
HCPCS,73010,X-ray exam of shoulder blade,,,109.17,218.35,19
HCPCS,73020,Hb Xray Shoulder 1 View,135.0,47.25,,,0
HCPCS,73020,X-ray exam of shoulder,,,90.88,181.76,19
HCPCS,73030,Hb Xray Shoulder Routine,691.0,241.85,,,0
HCPCS,73030,X-ray exam of shoulder,,,90.88,181.76,19
HCPCS,73040,Contrast x-ray of shoulder,,,364.32,728.64,19
HCPCS,73040,Hb Xray Arthrogram Shoulder,4310.0,1508.5,,,0
HCPCS,73050,Hb Xray Ac Joints,794.0,277.9,,,0
HCPCS,73050,X-ray exam of shoulders,,,90.88,181.76,19
HCPCS,73060,Hb Xray Humerus,659.0,230.65,,,0
HCPCS,73060,X-ray exam of humerus,,,90.88,181.76,19
HCPCS,73070,Hb Xray Elbow Limited,431.0,150.85,,,0
HCPCS,73070,X-ray exam of elbow,,,90.88,181.76,19
HCPCS,73080,Hb Xray Elbow Routine,861.0,301.35,,,0
HCPCS,73080,X-ray exam of elbow,,,90.88,181.76,19
HCPCS,73085,Contrast x-ray of elbow,,,364.32,728.64,19
HCPCS,73085,Hb Xray Arthrogram Elbow,3707.0,1297.45,,,0
HCPCS,73090,Hb Xray Forearm,634.0,221.9,,,0
HCPCS,73090,X-ray exam of forearm,,,90.88,181.76,19
HCPCS,73092,Hb Xray Arm Infant,406.0,142.1,,,0
HCPCS,73092,X-ray exam of arm infant,,,109.17,218.35,19
HCPCS,73100,Hb Xray Wrist Limited,386.0,135.1,,,0
HCPCS,73100,X-ray exam of wrist,,,90.88,181.76,19
HCPCS,73110,Hb Xray Wrist Routine,765.0,267.75,,,0
HCPCS,73110,X-ray exam of wrist,,,90.88,181.76,19
HCPCS,73115,Contrast x-ray of wrist,,,364.32,728.64,19
HCPCS,73115,Hb 73115 Xray Arthrogram Wrist,1068.0,373.8,,,0
HCPCS,73115,Hb Xray Arthrogram Wrist,1068.0,373.8,,,0
HCPCS,73120,Hb Xray Hand Limited,637.0,222.95,,,0
HCPCS,73120,X-ray exam of hand,,,109.17,218.35,19
HCPCS,73130,Hb Xray Hand Routine,765.0,267.75,,,0
HCPCS,73130,X-ray exam of hand,,,90.88,181.76,19
HCPCS,73140,Hb Xray Finger,484.0,169.4,,,0
HCPCS,73140,X-ray exam of finger(s),,,90.88,181.76,19
HCPCS,73200,Ct upper extremity w/o dye,,,109.17,218.35,19
HCPCS,73200,Hb Ct Upr Extremity Wo Cont,2319.0,811.65,,,0
HCPCS,73201,Ct upper extremity w/dye,,,364.32,728.64,19
HCPCS,73201,Hb Ct Upr Extremity W Cont,2687.0,940.45,,,0
HCPCS,73202,Ct uppr extremity w/o&w/dye,,,183.17,366.33,19
HCPCS,73202,Hb Ct Upr Extremity Wo And W Cont,5009.0,1753.15,,,0
HCPCS,73206,Ct angio upr extrm w/o&w/dye,,,183.17,366.33,19
HCPCS,73206,Hb Cta Upper Extremities,8905.0,3116.75,,,0
HCPCS,73218,Hb Mri Upper Extremity W/O Dye,4048.0,1416.8,,,0
HCPCS,73218,Mri Upper Extremity W/O Dye,,,249.17,498.33,19
HCPCS,73219,Hb Mri Upper Extremity W/Dye,4255.0,1489.25,,,0
HCPCS,73219,Mri Upper Extremity W/Dye,,,364.32,728.64,19
HCPCS,73220,Hb Mri Uppr Extremity W/O&W/Dye,5690.0,1991.5,,,0
HCPCS,73220,Mri uppr extremity w/o&w/dye,,,364.32,728.64,19
HCPCS,73221,Hb Mri Joint Upr Extrem Wo Cont,2880.0,1008.0,,,0
HCPCS,73221,Mri joint upr extrem w/o dye,,,249.17,498.33,19
HCPCS,73222,Hb Mri Joint Upr Extrem W Cont,3371.0,1179.85,,,0
HCPCS,73222,Mri joint upr extrem w/dye,,,818.63,1637.26,19
HCPCS,73223,Hb Mri Joint Upr Extr Wo And W Cont,3976.0,1391.6,,,0
HCPCS,73223,Mri joint upr extr w/o&w/dye,,,364.32,728.64,19
HCPCS,73225,Hb Mra Upr Extremity Wo Or W Cont,2575.0,901.25,,,0
HCPCS,73501,Hb Xray Exam Hip Uni 1 View,136.0,47.6,,,0
HCPCS,73501,X-ray exam hip uni 1 view,,,90.88,181.76,19
HCPCS,73502,Hb Xray Exam Hip Uni 2-3 Views,236.0,82.6,,,0
HCPCS,73502,X-ray exam hip uni 2-3 views,,,90.88,181.76,19
HCPCS,73503,Hb Xray Exam Hip Uni 4 Or More Views,427.0,149.45,,,0
HCPCS,73503,X-ray exam hip uni 4/> views,,,109.17,218.35,19
HCPCS,73521,Hb Radex Hips Bilateral With Pelvis 2 Views,828.0,289.8,,,0
HCPCS,73521,X-ray exam hips bi 2 views,,,109.17,218.35,19
HCPCS,73522,X-ray exam hips bi 3-4 views,,,109.17,218.35,19
HCPCS,73523,Hb Radex Hips Bilateral With Pelvis Minimum 5 Views,2385.0,834.75,,,0
HCPCS,73523,X-ray exam hips bi 5/> views,,,109.17,218.35,19
HCPCS,73525,Contrast x-ray of hip,,,364.32,728.64,19
HCPCS,73525,Hb Xray Arthrogram Hip,2561.0,896.35,,,0
HCPCS,73551,X-ray exam of femur 1,,,90.88,181.76,19
HCPCS,73552,Hb Xray Femur 2 Views,736.0,257.6,,,0
HCPCS,73552,X-ray exam of femur 2/>,,,90.88,181.76,19
HCPCS,73560,Hb Xray Knee Limited,643.0,225.05,,,0
HCPCS,73560,X-ray exam of knee 1 or 2,,,90.88,181.76,19
HCPCS,73562,Hb Xray Knee 3 Views,713.0,249.55,,,0
HCPCS,73562,X-ray exam of knee 3,,,90.88,181.76,19
HCPCS,73564,Hb Xray Knee Routine,786.0,275.1,,,0
HCPCS,73564,X-ray exam knee 4 or more,,,109.17,218.35,19
HCPCS,73565,Hb Xray Bilateral Knees,938.0,328.3,,,0
HCPCS,73565,X-ray exam of knees,,,90.88,181.76,19
HCPCS,73580,Contrast x-ray of knee joint,,,364.32,728.64,19
HCPCS,73580,Hb Xray Arthrogram Knee,2001.0,700.35,,,0
HCPCS,73590,Hb Xray Tibia And Fibula,685.0,239.75,,,0
HCPCS,73590,X-ray exam of lower leg,,,90.88,181.76,19
HCPCS,73592,Hb Xray Leg Infant,443.0,155.05,,,0
HCPCS,73592,X-ray exam of leg infant,,,90.88,181.76,19
HCPCS,73600,Hb Xray Ankle Limited,343.0,120.05,,,0
HCPCS,73600,X-ray exam of ankle,,,90.88,181.76,19
HCPCS,73610,Hb Xray Ankle Routine,682.0,238.7,,,0
HCPCS,73610,X-ray exam of ankle,,,90.88,181.76,19
HCPCS,73615,Contrast x-ray of ankle,,,364.32,728.64,19
HCPCS,73615,Hb Xray Arthrogram Ankle,1963.0,687.05,,,0
HCPCS,73620,Hb Xray Foot Limited,342.0,119.7,,,0
HCPCS,73620,X-ray exam of foot,,,90.88,181.76,19
HCPCS,73630,Hb Xray Foot Routine,684.0,239.4,,,0
HCPCS,73630,X-ray exam of foot,,,90.88,181.76,19
HCPCS,73650,Hb Xray Calcaneus Heel,576.0,201.6,,,0
HCPCS,73650,X-ray exam of heel,,,90.88,181.76,19
HCPCS,73660,Hb Xray Toes,466.0,163.1,,,0
HCPCS,73660,X-ray exam of toe(s),,,90.88,181.76,19
HCPCS,73700,Ct lower extremity w/o dye,,,109.17,218.35,19
HCPCS,73700,Hb Ct Lower Extremity Wo Cont,3025.0,1058.75,,,0
HCPCS,73701,Ct lower extremity w/dye,,,183.17,366.33,19
HCPCS,73701,Hb Ct Lower Extremity W Cont,3498.0,1224.3,,,0
HCPCS,73702,Ct lwr extremity w/o&w/dye,,,183.17,366.33,19
HCPCS,73702,Hb Ct Lower Extremity Wo And W Cont,6521.0,2282.35,,,0
HCPCS,73706,Ct angio lwr extr w/o&w/dye,,,183.17,366.33,19
HCPCS,73706,Hb Cta Lower Extremities,8443.0,2955.05,,,0
HCPCS,73718,Hb Mri Lower Extremity W/O Dye,4164.0,1457.4,,,0
HCPCS,73718,Mri Lower Extremity W/O Dye,,,249.17,498.33,19
HCPCS,73719,Hb Mri Lower Extremity W/Dye,4560.0,1596.0,,,0
HCPCS,73719,Mri Lower Extremity W/Dye,,,364.32,728.64,19
HCPCS,73720,Hb Mri Lower Extrem Oth/Thn Jt W/O & W/Contr Matr,5702.0,1995.7,,,0
HCPCS,73720,Mri lwr extremity w/o&w/dye,,,364.32,728.64,19
HCPCS,73721,Hb Mri Jnt Lwr Extre Wo Cont,1802.0,630.7,,,0
HCPCS,73721,Mri jnt of lwr extre w/o dye,,,249.17,498.33,19
HCPCS,73722,Hb Mri Jnt Lwr Extre W Cont,2105.0,736.75,,,0
HCPCS,73722,Mri Joint Of Lwr Extr W/Dye,,,818.63,1637.26,19
HCPCS,73723,Hb Mri Jnt Lwr Extre Wo And W Cont,6270.0,2194.5,,,0
HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,364.32,728.64,19
HCPCS,73725,Hb Mra Lower Ext W Cont,6802.0,2380.7,,,0
HCPCS,73725,Hb Mra Lower Ext Wo And W Cont,7490.0,2621.5,,,0
HCPCS,73725,Hb Mra Lower Ext Wo Cont,5482.0,1918.7,,,0
HCPCS,73725,Hb Mrv Lower Ext Wo And W Cont,7490.0,2621.5,,,0
HCPCS,74018,Hb Xray Abdomen 1 View,885.0,309.75,,,0
HCPCS,74018,X-ray exam abdomen 1 view,,,90.88,181.76,19
HCPCS,74019,Hb Xray Exam Abdomen 2 Views,1088.0,380.8,,,0
HCPCS,74019,X-ray exam abdomen 2 views,,,109.17,218.35,19
HCPCS,74021,Hb Xray Exam Abdomen 3+ Views,1506.0,527.1,,,0
HCPCS,74021,X-ray exam abdomen 3+ views,,,109.17,218.35,19
HCPCS,74022,Hb Xray Abdomen Series,1950.0,682.5,,,0
HCPCS,74022,X-ray exam series abdomen,,,109.17,218.35,19
HCPCS,74150,Ct abdomen w/o dye,,,109.17,218.35,19
HCPCS,74150,Hb Ct Abdomen Wo Cont,3274.0,1145.9,,,0
HCPCS,74160,Ct abdomen w/dye,,,183.17,366.33,19
HCPCS,74160,Hb Ct Abdomen W Cont,3857.0,1349.95,,,0
HCPCS,74170,Ct abdomen w/o & w/dye,,,183.17,366.33,19
HCPCS,74170,Hb Ct Abdomen Wo And W Cont,7000.0,2450.0,,,0
HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,364.32,728.64,19
HCPCS,74174,Hb Cta Abdomen And Pelvis,10910.0,3818.5,,,0
HCPCS,74175,Ct angio abdom w/o & w/dye,,,183.17,366.33,19
HCPCS,74175,Hb Cta Abdomen,6373.0,2230.55,,,0
HCPCS,74176,Ct abd & pelvis w/o contrast,,,249.17,498.33,19
HCPCS,74176,Hb 74176 Ct Abd And Pelvis Wo Cont,6140.0,2149.0,,,0
HCPCS,74176,Hb Ct Abdomen And Pelvis Wo Cont,6140.0,2149.0,,,0
HCPCS,74177,Ct abd & pelv w/contrast,,,364.32,728.64,19
HCPCS,74177,Hb 74177 Ct Abd And Pelvis W Cont,8097.0,2833.95,,,0
HCPCS,74177,Hb Ct Abdomen And Pelvis W Cont,8097.0,2833.95,,,0
HCPCS,74178,Ct abd & pelv 1/> regns,,,364.32,728.64,19
HCPCS,74178,Hb 74178 Ct Abd Pelv Wo And W Cont,14110.0,4938.5,,,0
HCPCS,74178,Hb Ct Abd Pelv Wo And W Cont,14110.0,4938.5,,,0
HCPCS,74181,Hb Mri Abdomen Wo Cont,2584.0,904.4,,,0
HCPCS,74181,Mri abdomen w/o dye,,,249.17,498.33,19
HCPCS,74182,Hb Mri Abdomen W Cont,2848.0,996.8,,,0
HCPCS,74182,Mri Abdomen W/Dye,,,364.32,728.64,19
HCPCS,74183,Hb Mri Abdomen Wo And W Cont,4314.0,1509.9,,,0
HCPCS,74183,Mri abdomen w/o & w/dye,,,364.32,728.64,19
HCPCS,74185,Hb Mra Abdomen W Cont,1804.0,631.4,,,0
HCPCS,74185,Hb Mra Abdomen Wo And W Cont,1804.0,631.4,,,0
HCPCS,74185,Hb Mrv Abdomen W Cont,1804.0,631.4,,,0
HCPCS,74185,Hb Mrv Abdomen Wo And W Cont,1804.0,631.4,,,0
HCPCS,74185,Hb Mrv Abdomen Wo Cont,1804.0,631.4,,,0
HCPCS,74190,Hb 74190 Xray Peritneogram S And I,1622.0,567.7,,,0
HCPCS,74190,X-ray exam of peritoneum,,,570.61,1141.22,19
HCPCS,74210,Contrst x-ray exam of throat,,,183.17,366.33,19
HCPCS,74220,Contrast x-ray esophagus,,,183.17,366.33,19
HCPCS,74220,Hb Xray Esophagus,1180.0,413.0,,,0
HCPCS,74221,Hb X-Ray Xm Esophagus 2Cntrst,483.0,169.05,,,0
HCPCS,74221,X-ray xm esophagus 2cntrst,,,183.17,366.33,19
HCPCS,74230,Cine/vid x-ray throat/esoph,,,183.17,366.33,19
HCPCS,74230,Hb Xray Esophagus Video,1655.0,579.25,,,0
HCPCS,74240,Hb 74240 X-Ray Xm Upr Gi Trc 1Cntrst,3215.0,1125.25,,,0
HCPCS,74240,Hb Xray Upper Gi Tract,1536.0,537.6,,,0
HCPCS,74240,X-ray upper gi delay w/o kub,,,183.17,366.33,19
HCPCS,74246,Contrst x-ray uppr gi tract,,,183.17,366.33,19
HCPCS,74246,Hb Xray Upper Gi Tract Cont,2602.0,910.7,,,0
HCPCS,74248,Hb X-Ray Sm Int F-Thru Std,366.0,128.1,,,0
HCPCS,74250,Hb Xray Small Bowel,1582.0,553.7,,,0
HCPCS,74250,X-ray exam of small bowel,,,183.17,366.33,19
HCPCS,74251,Hb Xray Small Bowel Enteroclysis,2679.0,937.65,,,0
HCPCS,74251,X-ray exam of small bowel,,,183.17,366.33,19
HCPCS,74261,Ct colonography dx,,,109.17,218.35,19
HCPCS,74261,Hb Ct Colonography Dx Wo Cont,2034.0,711.9,,,0
HCPCS,74262,Ct colonography dx w/dye,,,183.17,366.33,19
HCPCS,74263,Ct colonography screening,,,249.17,498.33,19
HCPCS,74263,Hb Ct Colonography Screening,1778.0,622.3,,,0
HCPCS,74270,Contrast x-ray exam of colon,,,183.17,366.33,19
HCPCS,74270,Hb Xray Colon Contrast,2556.0,894.6,,,0
HCPCS,74280,Contrast x-ray exam of colon,,,183.17,366.33,19
HCPCS,74280,Hb Xray Colon Air Contrast,2664.0,932.4,,,0
HCPCS,74283,Contrast x-ray exam of colon,,,183.17,366.33,19
HCPCS,74283,Hb Xray Enema Intussusception,1825.0,638.75,,,0
HCPCS,74290,Contrast x-ray gallbladder,,,183.17,366.33,19
HCPCS,74300,Hb Xray Cholangiogram,1796.0,628.6,,,0
HCPCS,74328,Hb X-Ray Bile Duct Endoscopy,2346.0,821.1,,,0
HCPCS,74329,Hb Xray Pancreas Endoscopy,2679.0,937.65,,,0
HCPCS,74330,Hb X-Ray Bile/Panc Endoscopy,3113.0,1089.55,,,0
HCPCS,74340,Hb 74340 Xray Guide Gi Tube Multi,1085.0,379.75,,,0
HCPCS,74340,Hb Xray Guide Gi Tube Multi,1085.0,379.75,,,0
HCPCS,74360,Hb 74360 Esophageal Dilation,2101.0,735.35,,,0
HCPCS,74360,Hb Esophageal Dilation,2101.0,735.35,,,0
HCPCS,74363,Hb 74363 Perc Biliary Dilat Sup Int,5490.0,1921.5,,,0
HCPCS,74400,Contrst x-ray urinary tract,,,183.17,366.33,19
HCPCS,74400,Hb Xray Ivp,3259.0,1140.65,,,0
HCPCS,74410,Contrst x-ray urinary tract,,,183.17,366.33,19
HCPCS,74415,Contrst x-ray urinary tract,,,183.17,366.33,19
HCPCS,74415,Hb Xray Ivp Nephrotomogram,4493.0,1572.55,,,0
HCPCS,74420,Contrst x-ray urinary tract,,,364.32,728.64,19
HCPCS,74420,Hb 74420 Xray Retro Urography,1861.0,651.35,,,0
HCPCS,74420,Hb Xray Retro Urography,1861.0,651.35,,,0
HCPCS,74425,Contrst x-ray urinary tract,,,364.32,728.64,19
HCPCS,74425,Hb 74425 Xray Antegrade Urography,2715.0,950.25,,,0
HCPCS,74425,Hb Xray Antegrade Urography,2715.0,950.25,,,0
HCPCS,74430,Contrast x-ray bladder,,,364.32,728.64,19
HCPCS,74430,Hb 74430 Xray Cystogram Static,1105.0,386.75,,,0
HCPCS,74430,Hb Xray Cystogram Static,1105.0,386.75,,,0
HCPCS,74440,X-ray male genital tract,,,249.17,498.33,19
HCPCS,74445,Hb Xray Cavernosogram,387.0,135.45,,,0
HCPCS,74445,X-ray exam of penis,,,109.17,218.35,19
HCPCS,74450,Hb 74450 Xray Urethrocysto Rad,1802.0,630.7,,,0
HCPCS,74450,Hb Xray Urethrocysto Rad,1802.0,630.7,,,0
HCPCS,74450,X-ray urethra/bladder,,,249.17,498.33,19
HCPCS,74455,Hb 74455 Xray Urethrocysto Voiding,1833.0,641.55,,,0
HCPCS,74455,Hb Xray Urethrocysto Voiding,1833.0,641.55,,,0
HCPCS,74455,X-ray urethra/bladder,,,249.17,498.33,19
HCPCS,74470,Hb 74470 Xray Renal Cyst Sup Int,4586.0,1605.1,,,0
HCPCS,74470,X-ray exam of kidney lesion,,,570.61,1141.22,19
HCPCS,74485,Hb 74485 Dilation Of Nephro Sup Int,1984.0,694.4,,,0
HCPCS,74485,X-ray guide gu dilation,,,2182.94,4365.89,19
HCPCS,74712,Hb Mri Fetal Sngl/1St Gestation,2791.0,976.85,,,0
HCPCS,74712,Mri fetal sngl/1st gestation,,,249.17,498.33,19
HCPCS,74740,Hb 74740 Hysterosalpingography,2861.0,1001.35,,,0
HCPCS,74740,Hb Hysterosalpingography,2861.0,1001.35,,,0
HCPCS,74740,Hb Hysterosalpingography Usf Ivf,2861.0,1001.35,,,0
HCPCS,74740,X-ray female genital tract,,,249.17,498.33,19
HCPCS,74742,Hb 74742 Xray Fallopian Tube,1575.0,551.25,,,0
HCPCS,74775,X-ray exam of perineum,,,249.17,498.33,19
HCPCS,75557,Cardiac mri for morph,,,249.17,498.33,19
HCPCS,75557,Hb Mri Cardiac Mri Wo Contrast,2460.0,861.0,,,0
HCPCS,75559,Cardiac mri w/stress img,,,570.61,1141.22,19
HCPCS,75559,Hb Mri Cardiac Mri W Stress Img,2916.0,1020.6,,,0
HCPCS,75561,Cardiac mri for morph w/dye,,,364.32,728.64,19
HCPCS,75561,Hb Mri Cardiac Mri Wo And W Cont,2907.0,1017.45,,,0
HCPCS,75563,Card mri w/stress img & dye,,,818.63,1637.26,19
HCPCS,75563,Hb Mri Cardiac Mri Stress Img Cont,3364.0,1177.4,,,0
HCPCS,75565,Hb Mri Velocity Flow Mapping,1009.0,353.15,,,0
HCPCS,75571,Ct hrt w/o dye w/ca test,,,90.88,181.76,19
HCPCS,75571,Hb Ct Cardiac Scoring,976.0,341.6,,,0
HCPCS,75572,Ct hrt w/3d image,,,364.32,728.64,19
HCPCS,75572,Hb Ct Hrt W/3D Image,3098.0,1084.3,,,0
HCPCS,75573,Ct hrt w/3d image congen,,,364.32,728.64,19
HCPCS,75573,Hb Ct Hrt W/3D Image Congen,2660.0,931.0,,,0
HCPCS,75574,Ct angio hrt w/3d image,,,364.32,728.64,19
HCPCS,75574,Hb Cta Coronary Artery,3623.0,1268.05,,,0
HCPCS,75580,N-invas est c ffr sw aly cta,,,896.76,1793.53,19
HCPCS,75600,Contrast exam thoracic aorta,,,3297.29,6594.58,19
HCPCS,75600,Hb 75600 Xray Thoracic Sup And Int,10780.0,3773.0,,,0
HCPCS,75605,Contrast exam thoracic aorta,,,5810.88,11621.75,19
HCPCS,75605,Hb 75605 Xray Thoracic Aortagram,14581.0,5103.35,,,0
HCPCS,75625,Contrast exam abdominl aorta,,,3297.29,6594.58,19
HCPCS,75625,Hb 75625 Xray Abdominal Aortagram,12920.0,4522.0,,,0
HCPCS,75630,Hb 75630 Xray Aorta Leg Arteries,15712.0,5499.2,,,0
HCPCS,75630,X-ray aorta leg arteries,,,3297.29,6594.58,19
HCPCS,75635,Ct Angio Abdominal Arteries,,,183.17,366.33,19
HCPCS,75635,Hb Cta Abdominal Arteries,9489.0,3321.15,,,0
HCPCS,75705,Artery x-rays spine,,,5810.88,11621.75,19
HCPCS,75705,Hb 75705 Xray Spinal Selective,20059.0,7020.65,,,0
HCPCS,75710,Artery x-rays arm/leg,,,3297.29,6594.58,19
HCPCS,75710,Hb 75710 Xray Angio Extremity Unil,10039.0,3513.65,,,0
HCPCS,75716,Artery x-rays arms/legs,,,3297.29,6594.58,19
HCPCS,75716,Hb 75716 Xray Angio Extremity Bilat,13378.0,4682.3,,,0
HCPCS,75726,Artery x-rays abdomen,,,5810.88,11621.75,19
HCPCS,75726,Hb 75726 Xray Visceral,14956.0,5234.6,,,0
HCPCS,75731,Artery x-rays adrenal gland,,,3297.29,6594.58,19
HCPCS,75731,Hb 75731 Xray Adrenal Unilat,5759.0,2015.65,,,0
HCPCS,75733,Artery x-rays adrenals,,,3297.29,6594.58,19
HCPCS,75733,Hb 75733 Xray Adrenal Bilat,7882.0,2758.7,,,0
HCPCS,75736,Artery x-rays pelvis,,,5810.88,11621.75,19
HCPCS,75736,Hb 75736 Xray Pelvic Artery,14543.0,5090.05,,,0
HCPCS,75741,Artery x-rays lung,,,3297.29,6594.58,19
HCPCS,75741,Hb 75741 Xray Pulmonary Unilat,10493.0,3672.55,,,0
HCPCS,75743,Artery x-rays lungs,,,3297.29,6594.58,19
HCPCS,75743,Hb 75743 Xray Pulmonary Bilat,14162.0,4956.7,,,0
HCPCS,75746,Artery x-rays lung,,,3297.29,6594.58,19
HCPCS,75746,Hb 75746 Xray Pulmonary Nonselect,9802.0,3430.7,,,0
HCPCS,75756,Artery x-rays chest,,,3297.29,6594.58,19
HCPCS,75756,Hb 75756 Xray Chest,4505.0,1576.75,,,0
HCPCS,75774,Hb 75774 Xray Addl Angiography,7066.0,2473.1,,,0
HCPCS,75801,Hb 75801 Xray Lymph Vessel Ex Uni,1992.0,697.2,,,0
HCPCS,75801,Lymph vessel x-ray arm/leg,,,655.08,1310.16,19
HCPCS,75803,Hb 75803 Lymph Vessel X-Ray Arms / Legs,4012.0,1404.2,,,0
HCPCS,75803,Lymph vessel x-ray arms/legs,,,1643.86,3287.71,19
HCPCS,75805,Hb 75805 Xray Lymph Vessel Trunk,1723.0,603.05,,,0
HCPCS,75805,Lymph vessel x-ray trunk,,,3297.29,6594.58,19
HCPCS,75807,Hb 75807 Lymph Vessel X-Ray Trunk Bilat,2029.0,710.15,,,0
HCPCS,75807,Lymph vessel x-ray trunk,,,3297.29,6594.58,19
HCPCS,75809,Hb 75809 Xray Shunt Study,1310.0,458.5,,,0
HCPCS,75809,Hb Xray Shunt Study,1310.0,458.5,,,0
HCPCS,75809,Nonvascular shunt x-ray,,,109.17,218.35,19
HCPCS,75810,Hb 75810 Xray Splenoportagraphy,7216.0,2525.6,,,0
HCPCS,75810,Vein x-ray spleen/liver,,,3297.29,6594.58,19
HCPCS,75820,Hb 75820 Xray Venogram Unilateral,6427.0,2249.45,,,0
HCPCS,75820,Hb Xray Venogram Unilateral,6427.0,2249.45,,,0
HCPCS,75820,Vein x-ray arm/leg,,,1643.86,3287.71,19
HCPCS,75822,Hb 75822 Xray Venogram Bilateral,7120.0,2492.0,,,0
HCPCS,75822,Hb Xray Venogram Bilateral,7120.0,2492.0,,,0
HCPCS,75822,Vein x-ray arms/legs,,,1643.86,3287.71,19
HCPCS,75825,Hb 75825 Xray Inferior Vena Cava,9320.0,3262.0,,,0
HCPCS,75825,Vein x-ray trunk,,,3297.29,6594.58,19
HCPCS,75827,Hb 75827 Xray Superior Vena Cava,9367.0,3278.45,,,0
HCPCS,75827,Vein x-ray chest,,,1643.86,3287.71,19
HCPCS,75831,Hb 75831 Xray Renal Vein Unilat,6640.0,2324.0,,,0
HCPCS,75831,Vein x-ray kidney,,,3297.29,6594.58,19
HCPCS,75833,Hb 75833 Xray Renal Vein Bilat,6835.0,2392.25,,,0
HCPCS,75833,Vein x-ray kidneys,,,3297.29,6594.58,19
HCPCS,75840,Hb 75840 Xray Adrenal Vein Unilat,5983.0,2094.05,,,0
HCPCS,75840,Vein x-ray adrenal gland,,,3297.29,6594.58,19
HCPCS,75842,Hb 75842 Xray Adrenal Vein Bilat,6028.0,2109.8,,,0
HCPCS,75860,Hb 75860 Xray Sinus Or Jugular Vein,5160.0,1806.0,,,0
HCPCS,75860,Vein x-ray neck,,,3297.29,6594.58,19
HCPCS,75870,Hb 75870 Xray Sup Sagittal Sinus,7960.0,2786.0,,,0
HCPCS,75870,Vein x-ray skull,,,3297.29,6594.58,19
HCPCS,75872,Hb 75872 Xray Epidural Vein,4562.0,1596.7,,,0
HCPCS,75872,Vein x-ray skull epidural,,,655.08,1310.16,19
HCPCS,75880,Hb 75880 Xray Orbital Venogram,2256.0,789.6,,,0
HCPCS,75880,Vein x-ray eye socket,,,655.08,1310.16,19
HCPCS,75885,Hb 75885 Xray T Hep Portal W Hemo,13914.0,4869.9,,,0
HCPCS,75885,Vein x-ray liver w/hemodynam,,,3297.29,6594.58,19
HCPCS,75887,Hb 75887 Xray T Hep Portal Wo Hemo,8976.0,3141.6,,,0
HCPCS,75887,Vein x-ray liver w/o hemodyn,,,3297.29,6594.58,19
HCPCS,75889,Hb 75889 Xray Hepatic Vein W Hemo,10532.0,3686.2,,,0
HCPCS,75889,Vein x-ray liver w/hemodynam,,,3297.29,6594.58,19
HCPCS,75891,Hb 75891 Xray Hepatic Vein Wo Hemo,10466.0,3663.1,,,0
HCPCS,75891,Vein x-ray liver,,,3297.29,6594.58,19
HCPCS,75893,Hb 75893 Venous Sampling Cath,6349.0,2222.15,,,0
HCPCS,75893,Venous sampling by catheter,,,5810.88,11621.75,19
HCPCS,75894,Hb 75894 Transcath Embolization,9676.0,3386.6,,,0
HCPCS,75898,Follow-up angiography,,,3297.29,6594.58,19
HCPCS,75898,Hb 75898 Transcath Follow Up Angio,3504.0,1226.4,,,0
HCPCS,75901,Hb 75901 Remove Cva Device Obstruct,821.0,287.35,,,0
HCPCS,75902,Hb 75902 Remove Cva Lumen Obstruct,1105.0,386.75,,,0
HCPCS,75957,Hb 75957 Endovasc Thor Ao Repr,15522.0,5432.7,,,0
HCPCS,75970,Hb 75970 Transcatheter Biopsy,7795.0,2728.25,,,0
HCPCS,75984,Hb 75984 Change Tube Or Cath Drain,3045.0,1065.75,,,0
HCPCS,75984,Hb Change Tube Or Cath Drain,3045.0,1065.75,,,0
HCPCS,75989,Hb 75989 Ct Guide For Drain,5578.0,1952.3,,,0
HCPCS,75989,Hb Ct Guide For Drain,5578.0,1952.3,,,0
HCPCS,76000,Fluoroscope examination,,,249.17,498.33,19
HCPCS,76000,Hb 76000 Fluoroscopy Up To 1 Hour,2077.0,726.95,,,0
HCPCS,76000,Hb Fluoroscopy Up To 1 Hour,2113.0,739.55,,,0
HCPCS,76010,Hb Xray Nose To Rectum Child,512.0,179.2,,,0
HCPCS,76010,X-ray nose to rectum,,,90.88,181.76,19
HCPCS,76014,Hb Mr Sfty Implt&/Fb Asmt Stf 1,62.0,21.7,,,0
HCPCS,76014,Mr sfty implt&/fb asmt stf 1,,,30.2,60.41,19
HCPCS,76015,Hb Mr Sfty Mplt&/Fb Asmt Stf Ea,31.0,10.85,,,0
HCPCS,76016,Hb Mr Safety Deter Phys/Qhp,221.0,77.35,,,0
HCPCS,76016,Mr safety deter phys/qhp,,,90.88,181.76,19
HCPCS,76017,Hb Mr Sfty Med Physics Xm Cstmz,605.0,211.75,,,0
HCPCS,76017,Mr sfty med physics xm cstmz,,,249.17,498.33,19
HCPCS,76018,Hb Mr Safety Implant Elec Prepj,230.0,80.5,,,0
HCPCS,76018,Mr safety implant elec prepj,,,99.28,198.56,19
HCPCS,76019,Hb Mr Safety Implt Pos&/Immoblj,149.0,52.15,,,0
HCPCS,76019,Mr safety implt pos&/immoblj,,,61.6,123.21,19
HCPCS,76080,Hb 76080 Xray Fistula Sinus Tract,1941.0,679.35,,,0
HCPCS,76080,Hb Xray Fistula Sinus Tract,1941.0,679.35,,,0
HCPCS,76080,X-ray exam of fistula,,,570.61,1141.22,19
HCPCS,76098,Hb Xray Mammogram Specimen,366.0,128.1,,,0
HCPCS,76098,X-ray exam breast specimen,,,570.61,1141.22,19
HCPCS,76100,Hb Xray Tomograms,3514.0,1229.9,,,0
HCPCS,76100,X-ray exam of body section,,,109.17,218.35,19
HCPCS,76120,Cine/video x-rays,,,109.17,218.35,19
HCPCS,76145,Med physic dos eval rad exps,,,389.68,779.36,19
HCPCS,76376,Hb 3D Render Wo Postprocess,3326.0,1164.1,,,0
HCPCS,76376,Hb 76376 3D Render Wo Postprocess,3326.0,1164.1,,,0
HCPCS,76376,Hb Gyn Fetal 3D 4D,3326.0,1164.1,,,0
HCPCS,76377,Hb 3D Render W Postprocess,2916.0,1020.6,,,0
HCPCS,76377,Hb 76377 3D Render W Postprocess,2916.0,1020.6,,,0
HCPCS,76377,Hb Gyn Fetal 3D 4D Volume Image,2916.0,1020.6,,,0
HCPCS,76380,CAT scan follow-up study,,,90.88,181.76,19
HCPCS,76380,Hb Ct Limited Follow Up Study,976.0,341.6,,,0
HCPCS,76390,Hb Mri Spectroscopy,2334.0,816.9,,,0
HCPCS,76390,Mr spectroscopy,,,90.88,181.76,19
HCPCS,76391,Hb Magnetic Resonance Elastography,1979.0,692.65,,,0
HCPCS,76391,Mr elastography,,,249.17,498.33,19
HCPCS,76496,Fluoroscopic procedure,,,90.88,181.76,19
HCPCS,76496,Hb 76496 Fluoro Imaging,1973.0,690.55,,,0
HCPCS,76497,Ct procedure,,,90.88,181.76,19
HCPCS,76498,Hb Whole Body Mri,4563.0,1597.05,,,0
HCPCS,76498,Mri procedure,,,90.88,181.76,19
HCPCS,76499,Hb 76499 Diag Radiograph Proc,13885.0,4859.75,,,0
HCPCS,76499,Hb Special Order Ct Scan,13885.0,4859.75,,,0
HCPCS,76499,Radiographic procedure,,,90.88,181.76,19
HCPCS,76506,Echo exam of head,,,109.17,218.35,19
HCPCS,76506,Hb Echo Exam Of Head,836.0,292.6,,,0
HCPCS,76510,Ophth us b & quant a,,,138.94,277.88,19
HCPCS,76511,Hb Usound A Scan Quantitative,240.0,84.0,,,0
HCPCS,76511,Ophth us quant a only,,,109.17,218.35,19
HCPCS,76512,Hb Usound B Scan,646.0,226.1,,,0
HCPCS,76512,Ophth us b w/non-quant a,,,109.17,218.35,19
HCPCS,76513,Echo exam of eye water bath,,,109.17,218.35,19
HCPCS,76514,Echo exam of eye thickness,,,30.2,60.41,19
HCPCS,76514,Hb Corneal Pachymetry,211.0,73.85,,,0
HCPCS,76516,Echo exam of eye,,,109.17,218.35,19
HCPCS,76516,Hb Usound Biometry A Scan,240.0,84.0,,,0
HCPCS,76519,Echo exam of eye,,,109.17,218.35,19
HCPCS,76519,Hb Usound A Scan W Iol Power,350.0,122.5,,,0
HCPCS,76529,Echo exam of eye,,,90.88,181.76,19
HCPCS,76536,Hb Us Exam Of Head And Neck,1277.0,446.95,,,0
HCPCS,76536,Us exam of head and neck,,,109.17,218.35,19
HCPCS,76604,Hb Us Exam Of Chest,947.0,331.45,,,0
HCPCS,76604,Us exam chest,,,109.17,218.35,19
HCPCS,76641,Hb Us Exam Of Breast Complete,1258.0,440.3,,,0
HCPCS,76641,Ultrasound breast complete,,,109.17,218.35,19
HCPCS,76642,Hb Us Exam Of Breast Limited,904.0,316.4,,,0
HCPCS,76642,Ultrasound breast limited,,,90.88,181.76,19
HCPCS,76700,Hb Us Exam Of Abdomen Complete,1756.0,614.6,,,0
HCPCS,76700,Us exam abdom complete,,,109.17,218.35,19
HCPCS,76705,Echo exam of abdomen,,,109.17,218.35,19
HCPCS,76705,Hb Us Exam Of Abdomen Limited,1536.0,537.6,,,0
HCPCS,76706,Hb Aorta Screen Us,445.0,155.75,,,0
HCPCS,76706,Us abdl aorta screen aaa,,,109.17,218.35,19
HCPCS,76770,Hb Us Retroperitoneal Realtime W/Img Comp,1440.0,504.0,,,0
HCPCS,76770,Us exam abdo back wall comp,,,109.17,218.35,19
HCPCS,76775,Hb 76775 Us Exam Abdo Back Wall Ltd,1494.0,522.9,,,0
HCPCS,76775,Hb Us Exam Abdo Back Wall Limited,1494.0,522.9,,,0
HCPCS,76775,Us exam abdo back wall lim,,,109.17,218.35,19
HCPCS,76776,Hb Us Exam Transplanted Kidney,1122.0,392.7,,,0
HCPCS,76776,Us exam k transpl w/doppler,,,109.17,218.35,19
HCPCS,76800,Hb Us Exam Spinal Canal,964.0,337.4,,,0
HCPCS,76800,Us exam spinal canal,,,109.17,218.35,19
HCPCS,76801,Hb Ob Us Complete Less 14 Wks 1St Gest,494.0,172.9,,,0
HCPCS,76801,Ob us < 14 wks single fetus,,,109.17,218.35,19
HCPCS,76802,Hb Ob Us Multigest Less 14 Wks Ea Addl,900.0,315.0,,,0
HCPCS,76805,Hb Ob Us Complete Over 14 Wks 1St Gest,608.0,212.8,,,0
HCPCS,76805,Ob us >/= 14 wks sngl fetus,,,109.17,218.35,19
HCPCS,76810,Hb Ob Us Multigest Over 14 Wks Ea Addl,1182.0,413.7,,,0
HCPCS,76811,Hb Ob Us Detailed,684.0,239.4,,,0
HCPCS,76811,Ob us detailed sngl fetus,,,249.17,498.33,19
HCPCS,76812,Hb Ob Us Each Addl Gest,791.0,276.85,,,0
HCPCS,76813,Hb Ob Us Nuchal Translucency,772.0,270.2,,,0
HCPCS,76813,Ob us nuchal meas 1 gest,,,109.17,218.35,19
HCPCS,76814,Hb Ob Us Each Addl Nuchal Trans,374.0,130.9,,,0
HCPCS,76815,Hb Ob Us Ltd Plac Afi Viab Hr,1075.0,376.25,,,0
HCPCS,76815,Ob us limited fetus(s),,,109.17,218.35,19
HCPCS,76816,Hb Ob Us Estimated Fetal Weight,1075.0,376.25,,,0
HCPCS,76816,Hb Ob Us Followup Ea Addl Fetus,1075.0,376.25,,,0
HCPCS,76816,Ob us follow-up per fetus,,,109.17,218.35,19
HCPCS,76817,Hb Ob Us Transvaginal,856.0,299.6,,,0
HCPCS,76817,Transvaginal us obstetric,,,109.17,218.35,19
HCPCS,76818,Fetal biophys profile w/nst,,,109.17,218.35,19
HCPCS,76818,Hb Biophys Bpp Nonstress,1238.0,433.3,,,0
HCPCS,76819,Fetal biophys profil w/o nst,,,109.17,218.35,19
HCPCS,76819,Hb Biophys Profile Bpp,1033.0,361.55,,,0
HCPCS,76820,Hb Dopp Umbilical Artery,1748.0,611.8,,,0
HCPCS,76820,Umbilical artery echo,,,109.17,218.35,19
HCPCS,76821,Hb Dopp Mid Cerebral Artery,1748.0,611.8,,,0
HCPCS,76821,Middle cerebral artery echo,,,109.17,218.35,19
HCPCS,76825,Echo exam of fetal heart,,,570.61,1141.22,19
HCPCS,76825,Hb Fetal Echo With 2D,2496.0,873.6,,,0
HCPCS,76826,Echo exam of fetal heart,,,249.17,498.33,19
HCPCS,76826,Hb Fetal Echo Followup Or Rpt,2249.0,787.15,,,0
HCPCS,76827,Echo exam of fetal heart,,,109.17,218.35,19
HCPCS,76827,Hb Dopp Echo Fetal,1254.0,438.9,,,0
HCPCS,76828,Echo exam of fetal heart,,,109.17,218.35,19
HCPCS,76828,Hb Doppler Followup Or Repeat,683.0,239.05,,,0
HCPCS,76830,Hb Transvaginal Non Preg Sono,1494.0,522.9,,,0
HCPCS,76830,Transvaginal us non-ob,,,109.17,218.35,19
HCPCS,76831,Echo exam uterus,,,249.17,498.33,19
HCPCS,76831,Hb Saline Infusion Sono,1648.0,576.8,,,0
HCPCS,76856,Hb Pelviscomplete Non Ob Sono,1321.0,462.35,,,0
HCPCS,76856,Us exam pelvic complete,,,109.17,218.35,19
HCPCS,76857,Hb Pelvis Ltd Non Ob Sono,1091.0,381.85,,,0
HCPCS,76857,Us exam pelvic limited,,,109.17,218.35,19
HCPCS,76870,Hb Scrotal Testicular Sono,1292.0,452.2,,,0
HCPCS,76870,Us exam scrotum,,,109.17,218.35,19
HCPCS,76872,Hb Transrectal Sono,1949.0,682.15,,,0
HCPCS,76872,Us transrectal,,,109.17,218.35,19
HCPCS,76873,Echograp trans r pros study,,,109.17,218.35,19
HCPCS,76873,Hb Echograp Transrec Pros Study,752.0,263.2,,,0
HCPCS,76881,Hb Us Compl Joint R-T W/Img,1338.0,468.3,,,0
HCPCS,76881,Us xtr non-vasc complete,,,109.17,218.35,19
HCPCS,76882,Hb Us Extremitynon Vasc Ltd,1096.0,383.6,,,0
HCPCS,76882,Us xtr non-vasc lmtd,,,109.17,218.35,19
HCPCS,76883,Us nrv&acc strux 1xtr compre,,,109.17,218.35,19
HCPCS,76885,Hb Us Exam Infant Hips Dynamic,1573.0,550.55,,,0
HCPCS,76885,Us exam infant hips dynamic,,,90.88,181.76,19
HCPCS,76886,Hb Us Exam Infant Hips Static,1384.0,484.4,,,0
HCPCS,76886,Us exam infant hips static,,,90.88,181.76,19
HCPCS,76932,Hb Echo Guide For Heart Biopsy,1431.0,500.85,,,0
HCPCS,76936,Echo guide for artery repair,,,225.48,450.97,19
HCPCS,76936,Hb Echo Guide For Artery Repair,3901.0,1365.35,,,0
HCPCS,76937,Hb 76937 Us Guide Vascular Access,2944.0,1030.4,,,0
HCPCS,76937,Hb Us Guide Vascular Access,2944.0,1030.4,,,0
HCPCS,76941,Hb Echo Guide Iu Fetal Transfuse,852.0,298.2,,,0
HCPCS,76942,Hb 76942 Echo Guide For Biopsy,1595.0,558.25,,,0
HCPCS,76942,Hb Echo Guide For Biopsy,1562.0,546.7,,,0
HCPCS,76945,Hb Echo Guide Chorion,365.0,127.75,,,0
HCPCS,76946,Hb Echo Guided Amniocentesis,1111.0,388.85,,,0
HCPCS,76948,Hb Echo Guide For Ova,587.0,205.45,,,0
HCPCS,76965,Hb Echo Guidance Radiotherapy,1625.0,568.75,,,0
HCPCS,76975,GI endoscopic ultrasound,,,249.17,498.33,19
HCPCS,76977,Us bone density measure,,,109.17,218.35,19
HCPCS,76978,Us trgt dyn mbubb 1st les,,,364.32,728.64,19
HCPCS,76981,Hb Us Elastography Parenchyma,667.0,233.45,,,0
HCPCS,76981,Use parenchyma,,,109.17,218.35,19
HCPCS,76982,Hb Us Elastography 1St Target Lesion,667.0,233.45,,,0
HCPCS,76982,Use 1st target lesion,,,109.17,218.35,19
HCPCS,76983,Hb Us Elastography Ea Addl Target Lesion,494.0,172.9,,,0
HCPCS,76998,Hb Echo Non Vascular Guide,1674.0,585.9,,,0
HCPCS,76999,Echo examination procedure,,,90.88,181.76,19
HCPCS,76999,Hb Unlisted Us Procedure,770.0,269.5,,,0
HCPCS,77001,Hb 77001 Fluoro Guide For Vad,2621.0,917.35,,,0
HCPCS,77001,Hb Fluoro Guide For Vad,2621.0,917.35,,,0
HCPCS,77002,Hb 77002 Fluoro Guide Needle Place,2803.0,981.05,,,0
HCPCS,77002,Hb Fluoro Guide Needle Place,2803.0,981.05,,,0
HCPCS,77002,Hb Needle Localization By Xray Add On,1726.0,604.1,,,0
HCPCS,77003,Hb 77003 Fluoro Guide Needle Cath,2180.0,763.0,,,0
HCPCS,77003,Hb Fluoro Guide Needle Cath,2180.0,763.0,,,0
HCPCS,77011,Hb Ct Guide Stereotactic,2010.0,703.5,,,0
HCPCS,77012,Hb Ct Guide For Needle Place,3717.0,1300.95,,,0
HCPCS,77013,Hb Ct Guide For Tissue Ablation,3003.0,1051.05,,,0
HCPCS,77014,Hb Ct Guide Therapy Planning,1416.0,495.6,,,0
HCPCS,77021,Hb 77021 Mr Guidance Needle Place,2187.0,765.45,,,0
HCPCS,77021,Hb Mr Guidance Needle Place,2187.0,765.45,,,0
HCPCS,77046,Hb Mri Breast C- Unilateral,2467.0,863.45,,,0
HCPCS,77046,Mri breast c- unilateral,,,249.17,498.33,19
HCPCS,77047,Hb Mri Breast C- Bilateral,3206.0,1122.1,,,0
HCPCS,77047,Mri breast c- bilateral,,,249.17,498.33,19
HCPCS,77048,Hb Mri Breast C-+ W/Cad Uni,2467.0,863.45,,,0
HCPCS,77049,Hb Mri Breast C-+ W/Cad Bi,3206.0,1122.1,,,0
HCPCS,77053,Hb Mammo Ductogram,425.0,148.75,,,0
HCPCS,77053,X-Ray of Mammary Duct,,,249.17,498.33,19
HCPCS,77054,X-ray of mammary ducts,,,249.17,498.33,19
HCPCS,77061,Hb Digital Breast Tomosynthesis Unilat,254.0,88.9,,,0
HCPCS,77062,Hb Digital Breast Tomosynthesis Bilat,213.0,74.55,,,0
HCPCS,77063,Breast tomosynthesis bi,,,23.68,47.36,19
HCPCS,77063,Hb Screening Digital Breast Tomosynthesis Bi,159.0,55.65,,,0
HCPCS,77065,Dx mammo incl cad uni,,,87.56,175.12,19
HCPCS,77065,Hb Mammo Unilateral,302.0,105.7,,,0
HCPCS,77066,Dx mammo incl cad bi,,,112.53,225.06,19
HCPCS,77066,Hb Mammo Bilateral,465.0,162.75,,,0
HCPCS,77067,Hb Mammo Screen Bi 2-View Breast Inc Cad,581.0,203.35,,,0
HCPCS,77067,Scr mammo bi incl cad,,,87.36,174.72,19
HCPCS,77071,Hb Xray Joint Stress View,132.0,46.2,,,0
HCPCS,77071,X-Ray Stress View,,,90.88,181.76,19
HCPCS,77072,Hb Xray Bone Age Study,441.0,154.35,,,0
HCPCS,77072,X-Rays for Bone Age,,,109.17,218.35,19
HCPCS,77073,Hb Xray Bone Length Study,327.0,114.45,,,0
HCPCS,77073,X-rays bone length studies,,,109.17,218.35,19
HCPCS,77074,Hb Xray Bone Survey Limited,907.0,317.45,,,0
HCPCS,77074,X-rays bone survey limited,,,109.17,218.35,19
HCPCS,77075,Hb Xray Bone Survey Complete,969.0,339.15,,,0
HCPCS,77075,X-rays bone survey complete,,,109.17,218.35,19
HCPCS,77076,Hb Xray Bone Survey Infant,679.0,237.65,,,0
HCPCS,77076,X-rays bone survey infant,,,109.17,218.35,19
HCPCS,77077,Hb Xray Joint Survey,293.0,102.55,,,0
HCPCS,77077,Joint survey single view,,,109.17,218.35,19
HCPCS,77078,Ct bone density axial,,,90.88,181.76,19
HCPCS,77080,Dxa bone density axial,,,109.17,218.35,19
HCPCS,77080,Hb Dxa Bone Density Axial,687.0,240.45,,,0
HCPCS,77081,Dxa bone density/peripheral,,,90.88,181.76,19
HCPCS,77081,Hb Dxa Bone Density Peripheral,551.0,192.85,,,0
HCPCS,77084,Hb Bone Marrow Blood Supply,1746.0,611.1,,,0
HCPCS,77084,Magnetic image bone marrow,,,249.17,498.33,19
HCPCS,77085,Dxa bone density study,,,109.17,218.35,19
HCPCS,77086,Fracture assessment via dxa,,,90.88,181.76,19
HCPCS,77090,Tbs techl prep&transmis data,,,90.88,181.76,19
HCPCS,77091,Tbs techl calculation only,,,90.88,181.76,19
HCPCS,77280,Hb 77280 Therapeutic Rad Simulation,1656.0,579.6,,,0
HCPCS,77280,Hb Therapeutic Rad Sim Simple,1656.0,579.6,,,0
HCPCS,77280,Set radiation therapy field,,,140.36,280.72,19
HCPCS,77285,Hb Therapeutic Rad Sim Intermed,2494.0,872.9,,,0
HCPCS,77285,Set radiation therapy field,,,391.01,782.02,19
HCPCS,77290,Hb Therapeutic Rad Sim Complex,3364.0,1177.4,,,0
HCPCS,77290,Set radiation therapy field,,,391.01,782.02,19
HCPCS,77293,Hb Respirator Motion Mgmt Simul,14059.0,4920.65,,,0
HCPCS,77295,3-d radiotherapy plan,,,1445.42,2890.84,19
HCPCS,77295,Hb Therapeutic Rad Sim 3D,9244.0,3235.4,,,0
HCPCS,77299,Radiation therapy planning,,,140.36,280.72,19
HCPCS,77300,Hb Radiation Therapy Dose Plan,880.0,308.0,,,0
HCPCS,77300,Radiation therapy dose plan,,,140.36,280.72,19
HCPCS,77301,Hb Radiotherapy Dose Plan Imrt,12678.0,4437.3,,,0
HCPCS,77301,Radiotherapy dose plan imrt,,,1445.42,2890.84,19
HCPCS,77306,Hb Teletx Isodose Plan Simple,1170.0,409.5,,,0
HCPCS,77306,Telethx isodose plan simple,,,391.01,782.02,19
HCPCS,77307,Hb Teletx Isodose Plan Complex,2418.0,846.3,,,0
HCPCS,77307,Telethx isodose plan cplx,,,391.01,782.02,19
HCPCS,77316,Brachytx isodose plan simple,,,391.01,782.02,19
HCPCS,77316,Hb Brachytx Isodose Calc Simple,1428.0,499.8,,,0
HCPCS,77317,Brachytx isodose intermed,,,391.01,782.02,19
HCPCS,77317,Hb Brachytx Isodose Calc Intermed,2444.0,855.4,,,0
HCPCS,77318,Brachytx isodose complex,,,391.01,782.02,19
HCPCS,77318,Hb Brachytx Isodose Calc Complex,2648.0,926.8,,,0
HCPCS,77321,Hb Special Teletherapy Port Plan,1796.0,628.6,,,0
HCPCS,77321,Special teletx port plan,,,391.01,782.02,19
HCPCS,77331,Hb Special Radiation Dosimetry,2559.0,895.65,,,0
HCPCS,77331,Special radiation dosimetry,,,140.36,280.72,19
HCPCS,77332,Hb Treatment Device Simple,1157.0,404.95,,,0
HCPCS,77332,Radiation treatment aid(s),,,140.36,280.72,19
HCPCS,77333,Hb Treatment Device Intermed,1422.0,497.7,,,0
HCPCS,77333,Radiation treatment aid(s),,,140.36,280.72,19
HCPCS,77334,Hb Treatment Device Complex,2250.0,787.5,,,0
HCPCS,77334,Radiation treatment aid(s),,,391.01,782.02,19
HCPCS,77336,Hb Radiation Cont Physics Consult,815.0,285.25,,,0
HCPCS,77336,Radiation physics consult,,,140.36,280.72,19
HCPCS,77338,Design mlc device for imrt,,,391.01,782.02,19
HCPCS,77338,Hb Design Mlc Device Imrt,3085.0,1079.75,,,0
HCPCS,77370,Hb 77370 Rad Physicist Consult,1829.0,640.15,,,0
HCPCS,77370,Hb Radiation Physicist Consult,1829.0,640.15,,,0
HCPCS,77370,Radiation physics consult,,,140.36,280.72,19
HCPCS,77371,Srs multisource,,,7691.42,15382.84,19
HCPCS,77372,Hb Radiation Delivery Stereotactic Cranial Linear,39310.0,13758.5,,,0
HCPCS,77372,Srs linear based,,,7691.42,15382.84,19
HCPCS,77373,Hb Stereotactic Body Radiation Delivery,39310.0,13758.5,,,0
HCPCS,77373,SBRT Delivery,,,1867.22,3734.45,19
HCPCS,77385,Hb Intensity Modul Rad Tx Dlvr Smpl,7069.0,2474.15,,,0
HCPCS,77386,Hb Radiation Tx Delivery Imrt,4691.0,1641.85,,,0
HCPCS,77387,Hb Guidance For Radj Tx Dlvr,1675.0,586.25,,,0
HCPCS,77399,External radiation dosimetry,,,140.36,280.72,19
HCPCS,77402,Hb Rad Trmt Simple,1327.0,464.45,,,0
HCPCS,77402,Radiation treatment delivery,,,106.55,213.1,19
HCPCS,77407,Hb Rad Trmt Intermed,1507.0,527.45,,,0
HCPCS,77407,Radiation treatment delivery,,,402.77,805.55,19
HCPCS,77412,Hb Rad Trmt 6 To 10 Mev Complex-59,1784.0,624.4,,,0
HCPCS,77412,Hb Rad Trmt Complex,1784.0,624.4,,,0
HCPCS,77412,Radiation treatment delivery,,,577.01,1154.02,19
HCPCS,77417,Hb Therapeutic Radiology Port Images(S),796.0,278.6,,,0
HCPCS,77423,Hb Neutron Beam Tx Complex,4884.0,1709.4,,,0
HCPCS,77423,Neutron beam tx complex,,,577.01,1154.02,19
HCPCS,77424,Io rad tx delivery by x-ray,,,7691.42,15382.84,19
HCPCS,77425,Io rad tx deliver by elctrns,,,7691.42,15382.84,19
HCPCS,77436,Surf radj ther tx planning,,,39.0,78.01,19
HCPCS,77437,Surf radj ther supfc<=150kv,,,106.55,213.1,19
HCPCS,77438,Surf rad thr orthvlt>150-500,,,106.55,213.1,19
HCPCS,77470,Hb Special Treatment Procedure,4412.0,1544.2,,,0
HCPCS,77470,Special radiation treatment,,,577.01,1154.02,19
HCPCS,77520,Hb Proton Trmt Simple W/O Comp,5797.0,2028.95,,,0
HCPCS,77520,Proton trmt simple w/o comp,,,577.01,1154.02,19
HCPCS,77522,Hb Proton Trmt Simple W/Comp,15647.0,5476.45,,,0
HCPCS,77523,Hb Proton Trmt Intermediate,11147.0,3901.45,,,0
HCPCS,77525,Hb Proton Treatment Complex,11227.0,3929.45,,,0
HCPCS,77600,Hyperthermia treatment,,,402.77,805.55,19
HCPCS,77605,Hyperthermia treatment,,,727.31,1454.63,19
HCPCS,77610,Hyperthermia treatment,,,577.01,1154.02,19
HCPCS,77615,Hyperthermia treatment,,,577.01,1154.02,19
HCPCS,77620,Hyperthermia treatment,,,577.01,1154.02,19
HCPCS,77750,Hb Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care,1871.0,654.85,,,0
HCPCS,77750,Infuse radioactive materials,,,402.77,805.55,19
HCPCS,77761,Apply intrcav radiat simple,,,577.01,1154.02,19
HCPCS,77761,Hb Intracavitary Radiation Simple,884.0,309.4,,,0
HCPCS,77762,Apply intrcav radiat interm,,,577.01,1154.02,19
HCPCS,77762,Hb Intracavitary Radiation Intermed,1365.0,477.75,,,0
HCPCS,77763,Apply intrcav radiat compl,,,727.31,1454.63,19
HCPCS,77763,Hb Intracavitary Radiation Complex,2571.0,899.85,,,0
HCPCS,77767,Hb Hdr Rdncl Skn Surf Brachytx Les,5282.0,1848.7,,,0
HCPCS,77767,Hdr rdncl skn surf brachytx,,,402.77,805.55,19
HCPCS,77768,Hb Hdr Rdncl Sk Srf Brchytx Les >2Cm&2Chan/Mlt Les,6600.0,2310.0,,,0
HCPCS,77768,Hdr rdncl skn surf brachytx,,,402.77,805.55,19
HCPCS,77770,Hb Hdr Brachytx 1 Channel,9285.0,3249.75,,,0
HCPCS,77770,Hdr rdncl ntrstl/icav brchtx,,,727.31,1454.63,19
HCPCS,77771,Hb Hdr Brachytx 2-12 Channel,11325.0,3963.75,,,0
HCPCS,77771,Hdr rdncl ntrstl/icav brchtx,,,727.31,1454.63,19
HCPCS,77772,Hb Hdr Brachytx Over 12 Channel,13048.0,4566.8,,,0
HCPCS,77772,Hdr rdncl ntrstl/icav brchtx,,,727.31,1454.63,19
HCPCS,77778,Apply interstit radiat compl,,,727.31,1454.63,19
HCPCS,77778,Hb Interstitial Radiation Complex,10350.0,3622.5,,,0
HCPCS,77789,Apply surf ldr radionuclide,,,106.55,213.1,19
HCPCS,77789,Hb Apply Surface Ldr Radionuclide,467.0,163.45,,,0
HCPCS,77790,Hb Radiation Handling,754.0,263.9,,,0
HCPCS,77799,Hb Interstitial Radiation Intermed,8006.0,2802.1,,,0
HCPCS,77799,Hb Interstitial Radiation Simple,5486.0,1920.1,,,0
HCPCS,77799,Hb Unlisted Procedure Clinical Brachytherapy,24129.0,8445.15,,,0
HCPCS,77799,Radium/radioisotope therapy,,,106.55,213.1,19
HCPCS,78012,Hb Thyroid Imaging W Uptake Mult,2682.0,938.7,,,0
HCPCS,78012,Hb Thyroid Imaging W Uptake Sngl,1812.0,634.2,,,0
HCPCS,78012,Thyroid uptake measurement,,,417.47,834.95,19
HCPCS,78013,Thyroid imaging w/blood flow,,,417.47,834.95,19
HCPCS,78014,Hb Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas,2387.0,835.45,,,0
HCPCS,78014,Thyroid imaging w/blood flow,,,417.47,834.95,19
HCPCS,78015,Thyroid met imaging,,,417.47,834.95,19
HCPCS,78016,Thyroid met imaging/studies,,,417.47,834.95,19
HCPCS,78018,Hb Thyroid Mets Img Whole Body,3890.0,1361.5,,,0
HCPCS,78018,Thyroid met imaging body,,,567.01,1134.02,19
HCPCS,78020,Hb Thyroid Mets Uptake,253.0,88.55,,,0
HCPCS,78070,Hb Parathyroid Scan,2887.0,1010.45,,,0
HCPCS,78070,Parathyroid planar imaging,,,417.47,834.95,19
HCPCS,78071,Hb Parathyroid Scan W Spect,2982.0,1043.7,,,0
HCPCS,78071,Parathyrd planar w/wo subtrj,,,417.47,834.95,19
HCPCS,78072,Hb Parathyrd Planar W/Spect & Ct,3833.0,1341.55,,,0
HCPCS,78072,Parathyrd planar w/spect&ct,,,567.01,1134.02,19
HCPCS,78075,Adrenal cortex & medulla img,,,1351.97,2703.95,19
HCPCS,78099,Endocrine nuclear procedure,,,417.47,834.95,19
HCPCS,78102,Bone marrow imaging ltd,,,417.47,834.95,19
HCPCS,78103,Bone marrow imaging mult,,,417.47,834.95,19
HCPCS,78104,Bone marrow imaging body,,,417.47,834.95,19
HCPCS,78110,Plasma volume single,,,1351.97,2703.95,19
HCPCS,78111,Hb Plasma Vol Radiopharm Vol Dilute Spx Mult Smples,3769.0,1319.15,,,0
HCPCS,78111,Plasma volume multiple,,,1351.97,2703.95,19
HCPCS,78120,Red cell mass single,,,417.47,834.95,19
HCPCS,78121,Hb Red Cell Volume Determination Spx Mult Samplings,1513.0,529.55,,,0
HCPCS,78121,Red cell mass multiple,,,567.01,1134.02,19
HCPCS,78122,Blood volume,,,567.01,1134.02,19
HCPCS,78130,Red cell survival study,,,417.47,834.95,19
HCPCS,78140,Red cell sequestration,,,417.47,834.95,19
HCPCS,78185,Spleen imaging,,,417.47,834.95,19
HCPCS,78191,Platelet survival,,,417.47,834.95,19
HCPCS,78195,Hb Lymphoscintigraphy,3336.0,1167.6,,,0
HCPCS,78195,Lymph system imaging,,,567.01,1134.02,19
HCPCS,78199,Blood/lymph nuclear exam,,,417.47,834.95,19
HCPCS,78201,Liver imaging,,,567.01,1134.02,19
HCPCS,78202,Liver imaging with flow,,,567.01,1134.02,19
HCPCS,78215,Hb Liver Spleen Scan,2264.0,792.4,,,0
HCPCS,78215,Liver and spleen imaging,,,417.47,834.95,19
HCPCS,78216,Hb Liver Spleen Scan W Flow,3772.0,1320.2,,,0
HCPCS,78216,Liver & spleen image/flow,,,417.47,834.95,19
HCPCS,78226,Hepatobiliary system imaging,,,417.47,834.95,19
HCPCS,78227,Hb Hepatobiliary Imaging,3497.0,1223.95,,,0
HCPCS,78227,Hepatobil syst image w/drug,,,567.01,1134.02,19
HCPCS,78230,Salivary gland imaging,,,417.47,834.95,19
HCPCS,78231,Serial salivary imaging,,,417.47,834.95,19
HCPCS,78232,Salivary gland function exam,,,417.47,834.95,19
HCPCS,78258,Esophageal motility study,,,417.47,834.95,19
HCPCS,78258,Hb Esophageal Motility Study,1582.0,553.7,,,0
HCPCS,78261,Gastric mucosa imaging,,,417.47,834.95,19
HCPCS,78262,Gastroesophageal reflux exam,,,417.47,834.95,19
HCPCS,78264,Gastric emptying imag study,,,417.47,834.95,19
HCPCS,78264,Hb Gastric Emptying Imag Study,3157.0,1104.95,,,0
HCPCS,78265,Gastric emptying imag study,,,417.47,834.95,19
HCPCS,78266,Gastric emptying imag study,,,567.01,1134.02,19
HCPCS,78267,Breath tst attain/anal c-14,,,11.06,22.12,19
HCPCS,78268,Breath test analysis c-14,,,94.41,188.82,19
HCPCS,78268,Hb C 14 Breath Analysis,512.0,179.2,,,0
HCPCS,78278,Acute GI blood loss imaging,,,417.47,834.95,19
HCPCS,78278,Hb Gi Bleeding Scan,2466.0,863.1,,,0
HCPCS,78282,GI protein loss exam,,,417.47,834.95,19
HCPCS,78290,Hb Meckels Scan,3292.0,1152.2,,,0
HCPCS,78290,Meckels divert exam,,,417.47,834.95,19
HCPCS,78291,Hb 78291 Leveen Shunt Patency Exam,2844.0,995.4,,,0
HCPCS,78291,Hb Leveen Shunt Patency Exam,2844.0,995.4,,,0
HCPCS,78291,Leveen/shunt patency exam,,,417.47,834.95,19
HCPCS,78299,GI nuclear procedure,,,417.47,834.95,19
HCPCS,78300,Bone imaging limited area,,,417.47,834.95,19
HCPCS,78300,Hb Bone &/Joint Imaging Limited Area,2371.0,829.85,,,0
HCPCS,78305,Bone imaging multiple areas,,,417.47,834.95,19
HCPCS,78305,Hb Bone &/Joint Imaging Multiple Areas,2281.0,798.35,,,0
HCPCS,78306,Bone imaging whole body,,,417.47,834.95,19
HCPCS,78306,Hb Bone Scan Whole Body,3553.0,1243.55,,,0
HCPCS,78315,Bone imaging 3 phase,,,417.47,834.95,19
HCPCS,78315,Hb Bone Scan 3 Phase Study,4015.0,1405.25,,,0
HCPCS,78399,Musculoskeletal nuclear exam,,,417.47,834.95,19
HCPCS,78414,Non-imaging heart function,,,567.01,1134.02,19
HCPCS,78428,Cardiac shunt imaging,,,417.47,834.95,19
HCPCS,78445,Vascular flow imaging,,,417.47,834.95,19
HCPCS,78451,Hb Heart Scan Sngl Study Spect,7612.0,2664.2,,,0
HCPCS,78451,Ht muscle image spect sing,,,1351.97,2703.95,19
HCPCS,78452,Hb Heart Scan Mult Study Spect,10666.0,3733.1,,,0
HCPCS,78452,Ht muscle image spect mult,,,1351.97,2703.95,19
HCPCS,78453,Hb Heart Scan Sngl Study Planar,3042.0,1064.7,,,0
HCPCS,78453,Ht muscle image planar sing,,,1351.97,2703.95,19
HCPCS,78454,Hb Heart Scan Mult Study Planar,4650.0,1627.5,,,0
HCPCS,78454,Ht musc image planar mult,,,1351.97,2703.95,19
HCPCS,78456,Acute venous thrombus image,,,1351.97,2703.95,19
HCPCS,78457,Hb Venogram Unilateral,523.0,183.05,,,0
HCPCS,78457,Venous thrombosis imaging,,,567.01,1134.02,19
HCPCS,78458,Hb Venogram Bilateral,538.0,188.3,,,0
HCPCS,78458,Ven thrombosis images bilat,,,417.47,834.95,19
HCPCS,78459,Heart muscle imaging (PET),,,1351.97,2703.95,19
HCPCS,78466,Heart infarct image,,,417.47,834.95,19
HCPCS,78468,Heart infarct image (ef),,,567.01,1134.02,19
HCPCS,78469,Heart infarct image (3D),,,567.01,1134.02,19
HCPCS,78472,Gated heart planar single,,,417.47,834.95,19
HCPCS,78472,Hb Gated Heart Planar Single,3748.0,1311.8,,,0
HCPCS,78473,Gated heart multiple,,,417.47,834.95,19
HCPCS,78473,Hb Gated Heart Planar Multiple,4224.0,1478.4,,,0
HCPCS,78481,Heart first pass single,,,567.01,1134.02,19
HCPCS,78483,Heart first pass multiple,,,567.01,1134.02,19
HCPCS,78494,Heart image spect,,,417.47,834.95,19
HCPCS,78499,Cardiovascular nuclear exam,,,417.47,834.95,19
HCPCS,78579,Hb Ventilation Lung Scan,2591.0,906.85,,,0
HCPCS,78579,Lung ventilation imaging,,,417.47,834.95,19
HCPCS,78580,Hb Lung Perfusion Scan,2591.0,906.85,,,0
HCPCS,78580,Lung perfusion imaging,,,417.47,834.95,19
HCPCS,78582,Hb Pulmonary Vent And Perfusion Imaging,5178.0,1812.3,,,0
HCPCS,78582,Lung ventilat&perfus imaging,,,567.01,1134.02,19
HCPCS,78597,Lung perfusion differential,,,417.47,834.95,19
HCPCS,78598,Hb Lung Quantification,1513.0,529.55,,,0
HCPCS,78598,Lung perf&ventilat diferentl,,,567.01,1134.02,19
HCPCS,78599,Respiratory nuclear exam,,,417.47,834.95,19
HCPCS,78600,Brain image < 4 views,,,417.47,834.95,19
HCPCS,78601,Brain image w/flow < 4 views,,,417.47,834.95,19
HCPCS,78601,Hb Brain Image W Flow,1316.0,460.6,,,0
HCPCS,78605,Brain image 4+ views,,,567.01,1134.02,19
HCPCS,78606,Brain image w/flow 4 + views,,,567.01,1134.02,19
HCPCS,78608,Hb Brain Imaging Pet Metabolic Evaluation,10372.0,3630.2,,,0
HCPCS,78610,Brain flow imaging only,,,567.01,1134.02,19
HCPCS,78630,Cerebrospinal fluid scan,,,567.01,1134.02,19
HCPCS,78630,Hb Cisternogram,1646.0,576.1,,,0
HCPCS,78635,CSF ventriculography,,,567.01,1134.02,19
HCPCS,78645,CSF shunt evaluation,,,567.01,1134.02,19
HCPCS,78645,Hb Csf Shunt Evaluation,2272.0,795.2,,,0
HCPCS,78650,CSF leakage imaging,,,1351.97,2703.95,19
HCPCS,78650,Hb Csf Leak Detection,980.0,343.0,,,0
HCPCS,78660,Nuclear exam of tear flow,,,417.47,834.95,19
HCPCS,78699,Nervous system nuclear exam,,,417.47,834.95,19
HCPCS,78700,Kidney imaging morphol,,,417.47,834.95,19
HCPCS,78701,Kidney imaging with flow,,,417.47,834.95,19
HCPCS,78707,Hb Kidney Scan W Flow Wo Drug,3524.0,1233.4,,,0
HCPCS,78707,K flow/funct image w/o drug,,,567.01,1134.02,19
HCPCS,78708,Hb Kidney Scan W Flow W Drug,3862.0,1351.7,,,0
HCPCS,78708,K flow/funct image w/drug,,,567.01,1134.02,19
HCPCS,78709,Hb Kidney Scan W Flow Mult,7405.0,2591.75,,,0
HCPCS,78709,K flow/funct image multiple,,,567.01,1134.02,19
HCPCS,78725,Kidney function study,,,417.47,834.95,19
HCPCS,78730,Hb Urinary Bladder Retention,1133.0,396.55,,,0
HCPCS,78740,Hb Voiding Cystogram,1117.0,390.95,,,0
HCPCS,78740,Ureteral reflux study,,,417.47,834.95,19
HCPCS,78761,Testicular imaging w/flow,,,417.47,834.95,19
HCPCS,78799,Genitourinary nuclear exam,,,417.47,834.95,19
HCPCS,78800,Hb Rp Loclzj Tum Plnr 1 Area Sng Day Img,2888.0,1010.8,,,0
HCPCS,78800,Tumor imaging limited area,,,417.47,834.95,19
HCPCS,78801,Hb Rp Loclzj Tum Plnr 2+Ar 1+D Img/1 Ar Img>2+D,1904.0,666.4,,,0
HCPCS,78801,Tumor imaging mult areas,,,417.47,834.95,19
HCPCS,78802,Hb Rp Loclzj Tum Whole Body Sng Day Img,3761.0,1316.35,,,0
HCPCS,78802,Tumor imaging whole body,,,567.01,1134.02,19
HCPCS,78803,Hb Rp Loclzj Tum Spect 1 Area Sng Day Img,4153.0,1453.55,,,0
HCPCS,78803,Tumor imaging (3D),,,567.01,1134.02,19
HCPCS,78804,Hb Tumor Imaging Whole Body Req 2/> Day,4646.0,1626.1,,,0
HCPCS,78804,Tumor imaging whole body,,,567.01,1134.02,19
HCPCS,78808,Iv inj ra drug dx study,,,417.47,834.95,19
HCPCS,78811,Pet image ltd area,,,1351.97,2703.95,19
HCPCS,78812,Hb Pet General,7135.0,2497.25,,,0
HCPCS,78814,Hb Pet Imaging Ct For Attenuation Limited Area,9197.0,3218.95,,,0
HCPCS,78815,Hb Pet Imaging Ct Attenuation Skull Base Mid-Thigh,10582.0,3703.7,,,0
HCPCS,78816,Hb Pet Imaging For Ct Attenuation Whole Body,10799.0,3779.65,,,0
HCPCS,78830,Hb Rp Loclzj Tum Spect W/Ct 1 Ar 1 Day Img,3816.0,1335.6,,,0
HCPCS,78830,Rp loclzj tum spect w/ct 1,,,1351.97,2703.95,19
HCPCS,78831,Hb Rp Loclzj Tum Spect 2 Ar 1D Img/1 Ar Img>2+D,3816.0,1335.6,,,0
HCPCS,78831,Rp loclzj tum spect 2 areas,,,1351.97,2703.95,19
HCPCS,78832,Hb Rp Loclzj Tum Spect Ct 2 Ar 1D Img/1 Ar Img>2+D,4327.0,1514.45,,,0
HCPCS,78999,Nuclear diagnostic exam,,,417.47,834.95,19
HCPCS,79005,Hb Nuclear Rx Oral Admin,6438.0,2253.3,,,0
HCPCS,79005,Nuclear rx oral admin,,,243.67,487.34,19
HCPCS,79101,Hb Nuclear Rx Iv Admin,1109.0,388.15,,,0
HCPCS,79101,Hb Rp Therapy Intravenous Administration,2102.0,735.7,,,0
HCPCS,79101,Nuclear rx iv admin,,,243.67,487.34,19
HCPCS,79200,Nuclear rx intracav admin,,,243.67,487.34,19
HCPCS,79300,Nuclr rx interstit colloid,,,243.67,487.34,19
HCPCS,79403,Hematopoietic nuclear tx,,,243.67,487.34,19
HCPCS,79440,Nuclear rx intra-articular,,,243.67,487.34,19
HCPCS,79445,Hb Nuclear Rx Intra Arterial,3108.0,1087.8,,,0
HCPCS,79445,Nuclear rx intra-arterial,,,243.67,487.34,19
HCPCS,79999,Nuclear medicine therapy,,,243.67,487.34,19
HCPCS,80047,Hb Basic Metabolic Panel Ionized Ca,300.0,105.0,,,0
HCPCS,80047,Hb Metabolic Panel Ionized Ca,385.0,134.75,,,0
HCPCS,80047,Metabolic panel ionized ca,,,13.73,27.46,19
HCPCS,80048,Hb Basic Metabolic Panel,315.0,110.25,,,0
HCPCS,80048,Metabolic panel total ca,,,8.46,16.92,19
HCPCS,80051,Electrolyte panel,,,7.01,14.02,19
HCPCS,80051,Hb Electrolyte Profile,290.0,101.5,,,0
HCPCS,80051,Hb Electrolytes Bedside,31.0,10.85,,,0
HCPCS,80053,Comprehen metabolic panel,,,10.56,21.12,19
HCPCS,80053,Hb Complete Metabolic Panel,32.0,11.2,,,0
HCPCS,80053,Hb Complete Metabolic Panel Poc,32.0,11.2,,,0
HCPCS,80053,Hb Comprehensive Metabolic Panel,685.0,239.75,,,0
HCPCS,80053,Hb Comprehensive Metabolic Panel (General Health Panel Only),64.0,22.4,,,0
HCPCS,80053,Hb Magnesium,21.0,7.35,,,0
HCPCS,80055,Hb Obstetric Panel,457.0,159.95,,,0
HCPCS,80055,Obstetric panel,,,47.81,95.62,19
HCPCS,80061,Hb Hdl Profile Lipid Panel,341.0,119.35,,,0
HCPCS,80061,Lipid panel,,,13.39,26.78,19
HCPCS,80069,Hb Renal Function Panel,326.0,114.1,,,0
HCPCS,80069,Renal function panel,,,8.68,17.36,19
HCPCS,80074,Acute hepatitis panel,,,47.63,95.26,19
HCPCS,80074,Hb Hepatitis Panel Acute,856.0,299.6,,,0
HCPCS,80076,Hb Hepatic Function Panel,391.0,136.85,,,0
HCPCS,80076,Hepatic function panel,,,8.17,16.34,19
HCPCS,80081,Obstetric panel,,,74.86,149.72,19
HCPCS,80143,Drug assay acetaminophen,,,18.64,37.28,19
HCPCS,80145,Drug assay adalimumab,,,38.57,77.14,19
HCPCS,80145,Hb Adalimumab Level And Anti-Drug Antibody,213.0,74.55,,,0
HCPCS,80150,Assay of amikacin,,,15.08,30.16,19
HCPCS,80150,Hb Amikacin,338.0,118.3,,,0
HCPCS,80151,Drug assay amiodarone,,,18.64,37.28,19
HCPCS,80151,Hb Drug Assay Amiodarone,13.97,4.89,,,0
HCPCS,80155,Drug assay caffeine,,,38.57,77.14,19
HCPCS,80156,Assay carbamazepine total,,,14.57,29.14,19
HCPCS,80156,Hb Carbamazepine,427.0,149.45,,,0
HCPCS,80157,Assay carbamazepine free,,,13.25,26.5,19
HCPCS,80157,Hb Free Carbamazepine,26.25,9.19,,,0
HCPCS,80158,Drug assay cyclosporine,,,18.05,36.1,19
HCPCS,80158,Hb Cyclosporine,546.0,191.1,,,0
HCPCS,80159,Drug assay clozapine,,,20.15,40.3,19
HCPCS,80161,"Asy carbamazepin 10,11-epxid",,,18.64,37.28,19
HCPCS,80162,Assay of digoxin total,,,13.28,26.56,19
HCPCS,80162,Hb Digoxin; Total,125.0,43.75,,,0
HCPCS,80163,Assay of digoxin free,,,13.28,26.56,19
HCPCS,80164,Assay dipropylacetic acd tot,,,13.54,27.08,19
HCPCS,80164,Hb Valproic Acid; Total,523.0,183.05,,,0
HCPCS,80165,Dipropylacetic acid free,,,13.54,27.08,19
HCPCS,80165,Hb Free Valproic Acid,25.3,8.86,,,0
HCPCS,80167,Drug assay felbamate,,,18.64,37.28,19
HCPCS,80168,Assay of ethosuximide,,,16.34,32.68,19
HCPCS,80168,Hb Ethosuximide,21.1,7.38,,,0
HCPCS,80169,Drug assay everolimus,,,13.73,27.46,19
HCPCS,80169,Hb Drug Screen Quant Everolimus,315.0,110.25,,,0
HCPCS,80170,Assay of gentamicin,,,16.38,32.76,19
HCPCS,80170,Hb Gentamicin,526.0,184.1,,,0
HCPCS,80171,Drug screen quant gabapentin,,,21.67,43.34,19
HCPCS,80171,"Hb Gabapentin, Whole Blood, Serum, Or Plasma",21.5,7.52,,,0
HCPCS,80173,Assay Of Haloperidol,,,15.78,31.56,19
HCPCS,80175,Drug screen quan lamotrigine,,,13.25,26.5,19
HCPCS,80175,Hb Lamontrigine,7.54,2.64,,,0
HCPCS,80176,Assay of lidocaine,,,14.69,29.38,19
HCPCS,80176,Hb Lidocaine,296.0,103.6,,,0
HCPCS,80177,Drug scrn quan levetiracetam,,,13.25,26.5,19
HCPCS,80177,Hb Levetiracetam,22.84,7.99,,,0
HCPCS,80178,Assay of lithium,,,6.61,13.22,19
HCPCS,80178,Hb Lithium,296.0,103.6,,,0
HCPCS,80179,Drug assay salicylate,,,18.64,37.28,19
HCPCS,80180,Drug scrn quan mycophenolate,,,18.05,36.1,19
HCPCS,80180,Hb Mycophenolic Acid,42.52,14.88,,,0
HCPCS,80181,Drug assay flecainide,,,18.64,37.28,19
HCPCS,80183,Drug scrn quant oxcarbazepin,,,13.25,26.5,19
HCPCS,80184,Assay of phenobarbital,,,15.3,30.6,19
HCPCS,80184,Hb Phenobarbital,448.0,156.8,,,0
HCPCS,80185,Assay of phenytoin total,,,13.25,26.5,19
HCPCS,80185,Hb Phenytoin,336.0,117.6,,,0
HCPCS,80186,Assay of phenytoin free,,,13.76,27.52,19
HCPCS,80186,Hb Dilantin Free,193.0,67.55,,,0
HCPCS,80187,Drug assay posaconazole,,,27.11,54.22,19
HCPCS,80188,Assay of primidone,,,16.59,33.18,19
HCPCS,80188,Hb Primadone,62.0,21.7,,,0
HCPCS,80189,Drug assay itraconzaole,,,27.11,54.22,19
HCPCS,80190,Assay of procainamide,,,60.0,120.0,19
HCPCS,80192,Assay of procainamide,,,16.75,33.5,19
HCPCS,80192,Hb Procainamide,8.8,3.08,,,0
HCPCS,80193,Drug assay leflunomide,,,38.57,77.14,19
HCPCS,80194,Assay of quinidine,,,14.6,29.2,19
HCPCS,80195,Assay of sirolimus,,,13.73,27.46,19
HCPCS,80195,Hb Rapamune Sirolimus,296.0,103.6,,,0
HCPCS,80197,Assay of tacrolimus,,,13.73,27.46,19
HCPCS,80197,Hb Tacrolimus Fk506,444.0,155.4,,,0
HCPCS,80198,Assay of theophylline,,,14.14,28.28,19
HCPCS,80198,Hb Theophylline,236.0,82.6,,,0
HCPCS,80199,Drug screen quant tiagabine,,,27.11,54.22,19
HCPCS,80200,Assay of tobramycin,,,16.13,32.26,19
HCPCS,80200,Hb Tobramycin,284.0,99.4,,,0
HCPCS,80201,Assay of topiramate,,,11.92,23.84,19
HCPCS,80201,Hb Topiramate,20.0,7.0,,,0
HCPCS,80202,Assay of vancomycin,,,13.54,27.08,19
HCPCS,80202,Hb Vancomycin,288.0,100.8,,,0
HCPCS,80203,Drug screen quant zonisamide,,,13.25,26.5,19
HCPCS,80203,Hb Zonegran Level,34.65,12.13,,,0
HCPCS,80204,Drug assay methotrexate,,,38.57,77.14,19
HCPCS,80210,Drug assay rufinamide,,,27.11,54.22,19
HCPCS,80220,Drug asy hydroxychloroquine,,,18.64,37.28,19
HCPCS,80230,Drug assay infliximab,,,38.57,77.14,19
HCPCS,80230,Hb Infliximab Level And Anti-Drug Antibody Ibd,213.0,74.55,,,0
HCPCS,80235,Drug assay lacosamide,,,27.11,54.22,19
HCPCS,80280,Drug assay vedolizumab,,,38.57,77.14,19
HCPCS,80285,Drug assay voriconazole,,,27.11,54.22,19
HCPCS,80299,Hb Amiodarone,13.97,4.89,,,0
HCPCS,80299,Hb Dexamethasone,85.6,29.96,,,0
HCPCS,80299,Hb Leflunomide Metabolite,114.54,40.09,,,0
HCPCS,80299,Hb Methotrexate,91.0,31.85,,,0
HCPCS,80299,Hb Oxcarbazepine,24.85,8.7,,,0
HCPCS,80299,Hb Voriconazole Hplc,119.34,41.77,,,0
HCPCS,80299,Quantitative assay drug,,,18.64,37.28,19
HCPCS,80305,Drug test prsmv dir opt obs,,,12.6,25.2,19
HCPCS,80305,Hb Urine Drugscreen Bedside,60.0,21.0,,,0
HCPCS,80306,Drug test prsmv instrmnt,,,17.14,34.28,19
HCPCS,80307,Drug test prsmv chem anlyzr,,,62.14,124.28,19
HCPCS,80307,Hb Amphetamine Pro,196.0,68.6,,,0
HCPCS,80307,Hb Barbiturate Pro,196.0,68.6,,,0
HCPCS,80307,Hb Benzodiazepine Pro,196.0,68.6,,,0
HCPCS,80307,Hb Cannabinoid Pro,196.0,68.6,,,0
HCPCS,80307,Hb Cocaine Pro,196.0,68.6,,,0
HCPCS,80307,Hb Drug Screening,196.0,68.6,,,0
HCPCS,80307,Hb Methadone,196.0,68.6,,,0
HCPCS,80307,Hb Opiates Pro,196.0,68.6,,,0
HCPCS,80307,Hb Oxycodone Qualitative Screen Urine,196.0,68.6,,,0
HCPCS,80307,Hb Pcp Pro,196.0,68.6,,,0
HCPCS,80320,Hb Drug Screen Quantalcohols,5.0,1.75,,,0
HCPCS,80321,Hb Alcohol,410.0,143.5,,,0
HCPCS,80321,Hb Alcohols Biomarkers 1Or 2,5.0,1.75,,,0
HCPCS,80321,Hb Ethanol Pro,410.0,143.5,,,0
HCPCS,80321,Hb Phosphatidylethanol (Peth),70.0,24.5,,,0
HCPCS,80323,Hb Nicotine,70.2,24.57,,,0
HCPCS,80326,Hb Amphetamines 5 Or More,5.0,1.75,,,0
HCPCS,80327,Hb Dht,209.0,73.15,,,0
HCPCS,80329,Hb Acetaminophen,430.0,150.5,,,0
HCPCS,80329,Hb Salicylates,396.0,138.6,,,0
HCPCS,80330,Hb Analgesics Non-Opioid 3-5,5.0,1.75,,,0
HCPCS,80333,Hb Antidepressants Class 3-5,5.0,1.75,,,0
HCPCS,80335,Hb Amitriptyline,11.2,3.92,,,0
HCPCS,80335,Hb Desipramine,61.58,21.55,,,0
HCPCS,80335,Hb Imipramine,42.39,14.84,,,0
HCPCS,80337,Hb Tricyclic & Cyclicals 6/More,5.0,1.75,,,0
HCPCS,80337,Hb Tricyclics Quant Serum,145.0,50.75,,,0
HCPCS,80338,Hb Antidepressant Not Specified,5.0,1.75,,,0
HCPCS,80340,Hb Antiepileptics Nos 4-6,5.0,1.75,,,0
HCPCS,80344,Hb Antipsychotics Nos 7/More,5.0,1.75,,,0
HCPCS,80345,Hb Pentobarbital,35.56,12.45,,,0
HCPCS,80346,Hb Benzodiazepines 1-12,5.0,1.75,,,0
HCPCS,80348,Hb Drug Screening Buprenorphine,5.0,1.75,,,0
HCPCS,80349,Hb Cannabinoids Natural,5.0,1.75,,,0
HCPCS,80353,Hb Cocaine Confirmation Urine,65.27,22.84,,,0
HCPCS,80353,Hb Drug Screening Cocaine,5.0,1.75,,,0
HCPCS,80354,Hb Drug Screening Fentanyl,5.0,1.75,,,0
HCPCS,80355,Hb Gabapentin Non-Blood,5.0,1.75,,,0
HCPCS,80356,Hb Heroin Metabolite,5.0,1.75,,,0
HCPCS,80357,Hb Ketamine And Norketamine,5.0,1.75,,,0
HCPCS,80359,Hb Methylenedioxyamphetamines,5.0,1.75,,,0
HCPCS,80360,Hb Methylphenidate,5.0,1.75,,,0
HCPCS,80361,Hb Opiates 1 Or More,5.0,1.75,,,0
HCPCS,80364,Hb Opioid &Opiate Analog 5/More,5.0,1.75,,,0
HCPCS,80365,Hb Drug Screening Oxycodone,5.0,1.75,,,0
HCPCS,80366,Hb Drug Screening Pregabalin,5.0,1.75,,,0
HCPCS,80367,Hb Drug Screening Propoxyphene,5.0,1.75,,,0
HCPCS,80368,Hb Sedative Hypnotics,5.0,1.75,,,0
HCPCS,80370,Hb Skel Musc Relaxant 3 Or More,5.0,1.75,,,0
HCPCS,80372,Hb Drug Screening Tapentadol,5.0,1.75,,,0
HCPCS,80373,Hb Drug Screening Tramadol,5.0,1.75,,,0
HCPCS,80375,Hb Tpmt Activity,285.03,99.76,,,0
HCPCS,80377,Hb Drug/Substance Nos 7/More,5.0,1.75,,,0
HCPCS,80400,Acth stimulation panel,,,32.62,65.24,19
HCPCS,80402,Acth stimulation panel,,,86.96,173.92,19
HCPCS,80406,Acth stimulation panel,,,78.26,156.52,19
HCPCS,80408,Aldosterone suppression eval,,,125.5,251.0,19
HCPCS,80410,Calcitonin stimul panel,,,80.37,160.74,19
HCPCS,80412,CRH stimulation panel,,,801.62,1603.24,19
HCPCS,80414,Testosterone response,,,51.64,103.28,19
HCPCS,80415,Estradiol response panel,,,55.89,111.78,19
HCPCS,80416,Renin stimulation panel,,,209.32,418.64,19
HCPCS,80417,Renin stimulation panel,,,43.99,87.98,19
HCPCS,80418,Pituitary evaluation panel,,,579.48,1158.96,19
HCPCS,80420,Dexamethasone panel,,,161.88,323.76,19
HCPCS,80422,Glucagon tolerance panel,,,46.07,92.14,19
HCPCS,80424,Glucagon tolerance panel,,,50.5,101.0,19
HCPCS,80426,Gonadotropin hormone panel,,,148.41,296.82,19
HCPCS,80428,Growth hormone panel,,,66.7,133.4,19
HCPCS,80430,Growth hormone panel,,,129.33,258.66,19
HCPCS,80432,Insulin suppression panel,,,165.61,331.22,19
HCPCS,80434,Insulin tolerance panel,,,285.03,570.06,19
HCPCS,80435,Insulin tolerance panel,,,103.0,206.0,19
HCPCS,80436,Metyrapone panel,,,91.16,182.32,19
HCPCS,80438,TRH stimulation panel,,,50.41,100.82,19
HCPCS,80439,TRH stimulation panel,,,67.21,134.42,19
HCPCS,80503,Hb Pathology Clinical Consultation Sf Mdm 5-20 Min,127.0,44.45,,,0
HCPCS,80503,Path clin consltj sf 5-20,,,54.42,108.84,19
HCPCS,80504,Hb Pathology Clinical Consultation Mod Mdm 21-40Min,381.0,133.35,,,0
HCPCS,80504,Path clin consltj mod 21-40,,,177.91,355.83,19
HCPCS,80505,Hb Pathology Clinical Consultation Hi Mdm 41-60 Min,381.0,133.35,,,0
HCPCS,80505,Path clin consltj high 41-60,,,177.91,355.83,19
HCPCS,80506,Hb Pathology Clinical Consltj Prolng Svc Ea Addl 30,191.0,66.85,,,0
HCPCS,81000,Hb Urinalysis Nonauto W Scope,119.0,41.65,,,0
HCPCS,81000,Urinalysis nonauto w/scope,,,4.02,8.04,19
HCPCS,81001,Hb Ua With Microscopy,177.0,61.95,,,0
HCPCS,81001,Hb Urinalysis Automated W/Micro,177.0,61.95,,,0
HCPCS,81001,Urinalysis auto w/scope,,,3.17,6.34,19
HCPCS,81002,Hb Urinalysis Bedside Manual,63.0,22.05,,,0
HCPCS,81002,Hb Urinalysis Dip Stick W/O Micro,63.0,22.05,,,0
HCPCS,81002,Urinalysis nonauto w/o scope,,,3.48,6.96,19
HCPCS,81003,Hb Ketones Urine,152.0,53.2,,,0
HCPCS,81003,Hb Spec Gravity Urn,152.0,53.2,,,0
HCPCS,81003,Hb Urinalysis Automated W/O Micro,137.0,47.95,,,0
HCPCS,81003,Hb Urinalysis Bedside Auto,63.0,22.05,,,0
HCPCS,81003,Noncdm Charge Record,57.0,19.95,,,0
HCPCS,81003,Urinalysis auto w/o scope,,,2.25,4.5,19
HCPCS,81005,Urinalysis,,,2.17,4.34,19
HCPCS,81007,Urine screen for bacteria,,,29.98,59.96,19
HCPCS,81015,Microscopic exam of urine,,,3.05,6.1,19
HCPCS,81020,Urinalysis glass test,,,4.7,9.4,19
HCPCS,81025,Hb Hcg Urine Bedside,34.0,11.9,,,0
HCPCS,81025,Hb Preg Test Beta Urine,231.0,80.85,,,0
HCPCS,81025,Hb Urine Pregnancy Test Poc,231.0,80.85,,,0
HCPCS,81025,Noncdm Charge Record,53.0,18.55,,,0
HCPCS,81025,Urine pregnancy test,,,8.61,17.22,19
HCPCS,81050,Hb Volume Measurement,49.0,17.15,,,0
HCPCS,81050,Urinalysis volume measure,,,3.64,7.28,19
HCPCS,81105,Hpa-1 genotyping,,,122.22,244.44,19
HCPCS,81106,Hpa-2 genotyping,,,122.22,244.44,19
HCPCS,81107,Hpa-3 genotyping,,,122.22,244.44,19
HCPCS,81108,Hpa-4 genotyping,,,122.22,244.44,19
HCPCS,81109,Hpa-5 genotyping,,,122.22,244.44,19
HCPCS,81110,Hpa-6 genotyping,,,122.22,244.44,19
HCPCS,81111,Hpa-9 genotyping,,,122.22,244.44,19
HCPCS,81112,Hpa-15 genotyping,,,122.22,244.44,19
HCPCS,81120,Idh1 common variants,,,193.25,386.5,19
HCPCS,81121,Idh2 common variants,,,295.79,591.58,19
HCPCS,81161,DMD dup/delet analysis,,,279.0,558.0,19
HCPCS,81162,Brca1&2 seq & full dup/del,,,1824.88,3649.76,19
HCPCS,81163,Brca1&2 gene full seq alys,,,468.0,936.0,19
HCPCS,81164,Brca1&2 gen ful dup/del alys,,,584.23,1168.46,19
HCPCS,81165,Brca1 gene full seq alys,,,282.88,565.76,19
HCPCS,81166,Brca1 gene full dup/del alys,,,301.35,602.7,19
HCPCS,81167,Brca2 gene full dup/del alys,,,282.88,565.76,19
HCPCS,81168,Ccnd1/igh translocation alys,,,207.31,414.62,19
HCPCS,81170,Abl1 gene,,,300.0,600.0,19
HCPCS,81171,Aff2 gene detc abnor alleles,,,137.0,274.0,19
HCPCS,81172,Aff2 gene charac alleles,,,274.83,549.66,19
HCPCS,81173,Ar gene full gene sequence,,,301.35,602.7,19
HCPCS,81174,Ar gene known famil variant,,,185.2,370.4,19
HCPCS,81175,Asxl1 full gene sequence,,,676.5,1353.0,19
HCPCS,81176,Asxl1 gene target seq alys,,,241.9,483.8,19
HCPCS,81177,Atn1 gene detc abnor alleles,,,137.0,274.0,19
HCPCS,81178,Atxn1 gene detc abnor allele,,,137.0,274.0,19
HCPCS,81179,Atxn2 gene detc abnor allele,,,137.0,274.0,19
HCPCS,81180,Atxn3 gene detc abnor allele,,,137.0,274.0,19
HCPCS,81181,Atxn7 gene detc abnor allele,,,137.0,274.0,19
HCPCS,81182,Atxn8os gen detc abnor allel,,,137.0,274.0,19
HCPCS,81183,Atxn10 gene detc abnor allel,,,137.0,274.0,19
HCPCS,81184,Cacna1a gen detc abnor allel,,,137.0,274.0,19
HCPCS,81185,Cacna1a gene full gene seq,,,846.27,1692.54,19
HCPCS,81186,Cacna1a gen known famil vrnt,,,185.2,370.4,19
HCPCS,81187,Cnbp gene detc abnor allele,,,137.0,274.0,19
HCPCS,81188,Cstb gene detc abnor allele,,,137.0,274.0,19
HCPCS,81189,Cstb gene full gene sequence,,,274.83,549.66,19
HCPCS,81190,Cstb gene known famil vrnt,,,185.2,370.4,19
HCPCS,81191,Ntrk1 translocation analysis,,,207.31,414.62,19
HCPCS,81192,Ntrk2 translocation analysis,,,207.31,414.62,19
HCPCS,81193,Ntrk3 translocation analysis,,,207.31,414.62,19
HCPCS,81194,Ntrk translocation analysis,,,518.28,1036.56,19
HCPCS,81195,Cytog genom-wid alys hem mal,,,1863.22,3726.44,19
HCPCS,81200,Aspa gene,,,47.25,94.5,19
HCPCS,81201,Apc gene full sequence,,,780.0,1560.0,19
HCPCS,81202,Apc gene known fam variants,,,280.0,560.0,19
HCPCS,81203,Apc gene dup/delet variants,,,200.0,400.0,19
HCPCS,81204,Ar gene charac alleles,,,137.0,274.0,19
HCPCS,81205,Bckdhb gene,,,94.99,189.98,19
HCPCS,81206,Bcr/abl1 gene major bp,,,163.96,327.92,19
HCPCS,81206,Hb Bcr/Abl1 Major Breakpoint Analysis,974.0,340.9,,,0
HCPCS,81207,Bcr/abl1 gene minor bp,,,144.84,289.68,19
HCPCS,81207,Hb Bcr/Abl 1 Minor Breakpoint Analysis,585.0,204.75,,,0
HCPCS,81208,Bcr/abl1 gene other bp,,,214.62,429.24,19
HCPCS,81209,Blm gene,,,39.31,78.62,19
HCPCS,81210,Braf gene,,,175.4,350.8,19
HCPCS,81210,Hb Braf Gene Analysis,585.0,204.75,,,0
HCPCS,81212,Brca1&2 185&5385&6174 var,,,440.0,880.0,19
HCPCS,81215,Brca1 gene known fam variant,,,375.25,750.5,19
HCPCS,81216,Brca2 gene full sequence,,,185.12,370.24,19
HCPCS,81217,Brca2 gene known fam variant,,,375.25,750.5,19
HCPCS,81218,Cebpa gene full sequence,,,241.9,483.8,19
HCPCS,81219,Calr gene com variants,,,121.63,243.26,19
HCPCS,81220,Cftr gene com variants,,,556.6,1113.2,19
HCPCS,81221,Cftr gene known fam variants,,,97.22,194.44,19
HCPCS,81222,Cftr gene dup/delet variants,,,435.07,870.14,19
HCPCS,81223,Cftr gene full sequence,,,499.0,998.0,19
HCPCS,81224,Cftr gene intron poly t,,,168.75,337.5,19
HCPCS,81225,Cyp2c19 gene com variants,,,291.36,582.72,19
HCPCS,81226,Cyp2d6 gene com variants,,,450.91,901.82,19
HCPCS,81227,Cyp2c9 gene com variants,,,174.81,349.62,19
HCPCS,81228,Cytogen micrarray copy nmbr,,,900.0,1800.0,19
HCPCS,81229,Cytogen m array copy no&snp,,,1160.0,2320.0,19
HCPCS,81230,Cyp3a4 gene common variants,,,174.81,349.62,19
HCPCS,81231,Cyp3a5 gene common variants,,,174.81,349.62,19
HCPCS,81232,Dpyd gene common variants,,,174.81,349.62,19
HCPCS,81233,Btk gene common variants,,,175.4,350.8,19
HCPCS,81234,Dmpk gene detc abnor allele,,,137.0,274.0,19
HCPCS,81235,Egfr gene com variants,,,324.58,649.16,19
HCPCS,81236,Ezh2 gene full gene sequence,,,282.88,565.76,19
HCPCS,81237,Ezh2 gene common variants,,,175.4,350.8,19
HCPCS,81238,F9 full gene sequence,,,600.0,1200.0,19
HCPCS,81239,Dmpk gene charac alleles,,,274.83,549.66,19
HCPCS,81240,F2 gene,,,65.69,131.38,19
HCPCS,81240,Hb Factor 2 Panel,940.0,329.0,,,0
HCPCS,81241,F5 gene,,,73.37,146.74,19
HCPCS,81241,Hb Factor 5 Probe,940.0,329.0,,,0
HCPCS,81242,Fancc gene,,,36.62,73.24,19
HCPCS,81243,Fmr1 gene detection,,,57.04,114.08,19
HCPCS,81244,Fmr1 gene characterization,,,44.89,89.78,19
HCPCS,81245,Flt3 gene,,,165.51,331.02,19
HCPCS,81246,Flt3 gene analysis,,,83.0,166.0,19
HCPCS,81247,G6pd gene alys cmn variant,,,174.81,349.62,19
HCPCS,81248,G6pd known familial variant,,,375.25,750.5,19
HCPCS,81249,G6pd full gene sequence,,,600.0,1200.0,19
HCPCS,81250,G6pc gene,,,58.49,116.98,19
HCPCS,81251,Gba gene,,,47.25,94.5,19
HCPCS,81252,Gjb2 gene full sequence,,,101.12,202.24,19
HCPCS,81253,Gjb2 gene known fam variants,,,61.52,123.04,19
HCPCS,81254,Gjb6 gene com variants,,,35.0,70.0,19
HCPCS,81255,Hexa gene,,,51.45,102.9,19
HCPCS,81256,Hb Hfe Separation,100.0,35.0,,,0
HCPCS,81256,Hfe gene,,,65.36,130.72,19
HCPCS,81257,Hb Alpha-Globin Common Mutation,314.18,109.96,,,0
HCPCS,81257,Hba1/hba2 gene,,,102.26,204.52,19
HCPCS,81258,Hba1/hba2 gene fam vrnt,,,375.25,750.5,19
HCPCS,81259,Hba1/hba2 full gene sequence,,,600.0,1200.0,19
HCPCS,81260,Ikbkap gene,,,39.31,78.62,19
HCPCS,81261,Hb Pcr B Cell Rearrangement,839.0,293.65,,,0
HCPCS,81261,Igh gene rearrange amp meth,,,197.99,395.98,19
HCPCS,81262,Igh gene rearrang dir probe,,,68.55,137.1,19
HCPCS,81263,Igh vari regional mutation,,,294.52,589.04,19
HCPCS,81264,Hb Pcr B Cell Igk,595.0,208.25,,,0
HCPCS,81264,Igk rearrangeabn clonal pop,,,172.73,345.46,19
HCPCS,81265,Str markers specimen anal,,,233.07,466.14,19
HCPCS,81266,Str markers spec anal addl,,,304.81,609.62,19
HCPCS,81267,Chimerism anal no cell selec,,,207.46,414.92,19
HCPCS,81268,Chimerism anal w/cell select,,,260.79,521.58,19
HCPCS,81269,Hba1/hba2 gene dup/del vrnts,,,202.4,404.8,19
HCPCS,81270,Hb Jak 2 Nucleic Acid Probe,830.0,290.5,,,0
HCPCS,81270,Jak2 gene,,,91.66,183.32,19
HCPCS,81271,Htt gene detc abnor alleles,,,137.0,274.0,19
HCPCS,81272,Kit gene targeted seq analys,,,329.51,659.02,19
HCPCS,81273,Kit gene analys d816 variant,,,124.87,249.74,19
HCPCS,81274,Htt gene charac alleles,,,274.83,549.66,19
HCPCS,81275,Hb Kras,634.0,221.9,,,0
HCPCS,81275,Kras gene variants exon 2,,,193.25,386.5,19
HCPCS,81276,Kras gene addl variants,,,193.25,386.5,19
HCPCS,81277,Cytogenomic neo microra alys,,,1160.0,2320.0,19
HCPCS,81278,Igh@/bcl2 translocation alys,,,207.31,414.62,19
HCPCS,81279,Jak2 gene trgt sequence alys,,,185.2,370.4,19
HCPCS,81283,Ifnl3 gene,,,73.37,146.74,19
HCPCS,81284,Fxn gene detc abnor alleles,,,137.0,274.0,19
HCPCS,81285,Fxn gene charac alleles,,,274.83,549.66,19
HCPCS,81286,Fxn gene full gene sequence,,,274.83,549.66,19
HCPCS,81287,Mgmt gene methylation anal,,,124.64,249.28,19
HCPCS,81288,Mlh1 gene,,,192.32,384.64,19
HCPCS,81289,Fxn gene known famil variant,,,185.2,370.4,19
HCPCS,81290,Mcoln1 gene,,,39.31,78.62,19
HCPCS,81291,Hb Methylene Tetrohydrofolate Mutation,100.0,35.0,,,0
HCPCS,81291,Mthfr gene,,,65.34,130.68,19
HCPCS,81292,Mlh1 gene full seq,,,675.4,1350.8,19
HCPCS,81293,Mlh1 gene known variants,,,331.0,662.0,19
HCPCS,81294,Mlh1 gene dup/delete variant,,,202.4,404.8,19
HCPCS,81295,Msh2 gene full seq,,,381.7,763.4,19
HCPCS,81296,Msh2 gene known variants,,,337.73,675.46,19
HCPCS,81297,Msh2 gene dup/delete variant,,,213.3,426.6,19
HCPCS,81298,Msh6 gene full seq,,,641.85,1283.7,19
HCPCS,81299,Msh6 gene known variants,,,308.0,616.0,19
HCPCS,81300,Msh6 gene dup/delete variant,,,238.0,476.0,19
HCPCS,81301,Microsatellite instability,,,348.56,697.12,19
HCPCS,81302,Mecp2 gene full seq,,,527.87,1055.74,19
HCPCS,81303,Mecp2 gene known variant,,,120.0,240.0,19
HCPCS,81304,Mecp2 gene dup/delet variant,,,150.0,300.0,19
HCPCS,81305,Myd88 gene p.leu265pro vrnt,,,175.4,350.8,19
HCPCS,81306,Nudt15 gene common variants,,,291.36,582.72,19
HCPCS,81307,Palb2 gene full gene seq,,,676.5,1353.0,19
HCPCS,81308,Palb2 gene known famil vrnt,,,301.35,602.7,19
HCPCS,81309,Pik3ca gene trgt seq alys,,,274.83,549.66,19
HCPCS,81310,Npm1 gene,,,246.52,493.04,19
HCPCS,81311,Nras gene variants exon 2&3,,,295.79,591.58,19
HCPCS,81312,Pabpn1 gene detc abnor allel,,,137.0,274.0,19
HCPCS,81313,Pca3/klk3 antigen,,,255.05,510.1,19
HCPCS,81314,Pdgfra gene,,,329.51,659.02,19
HCPCS,81315,Pml/raralpha com breakpoints,,,207.31,414.62,19
HCPCS,81316,Pml/raralpha 1 breakpoint,,,207.31,414.62,19
HCPCS,81317,Pms2 gene full seq analysis,,,676.5,1353.0,19
HCPCS,81318,Pms2 known familial variants,,,331.0,662.0,19
HCPCS,81319,Pms2 gene dup/delet variants,,,203.5,407.0,19
HCPCS,81320,Plcg2 gene common variants,,,291.36,582.72,19
HCPCS,81321,Pten gene full sequence,,,600.0,1200.0,19
HCPCS,81322,Pten gene known fam variant,,,46.6,93.2,19
HCPCS,81323,Pten gene dup/delet variant,,,300.0,600.0,19
HCPCS,81324,Pmp22 gene dup/delet,,,758.36,1516.72,19
HCPCS,81325,Pmp22 gene full sequence,,,769.58,1539.16,19
HCPCS,81326,Pmp22 gene known fam variant,,,46.6,93.2,19
HCPCS,81327,Sept9 methylation analysis,,,192.0,384.0,19
HCPCS,81328,Slco1b1 gene com variants,,,174.81,349.62,19
HCPCS,81329,Smn1 gene dos/deletion alys,,,137.0,274.0,19
HCPCS,81330,Smpd1 gene common variants,,,47.0,94.0,19
HCPCS,81331,Snrpn/ube3a gene,,,51.07,102.14,19
HCPCS,81332,Hb A1Atp Separation Id,158.46,55.46,,,0
HCPCS,81332,Hb Alpha-1 Antitrypsin Mutation Analysis,135.0,47.25,,,0
HCPCS,81332,Serpina1 gene,,,43.65,87.3,19
HCPCS,81333,Tgfbi gene common variants,,,137.0,274.0,19
HCPCS,81334,Runx1 gene targeted seq alys,,,329.51,659.02,19
HCPCS,81335,Tpmt gene com variants,,,174.81,349.62,19
HCPCS,81336,Smn1 gene full gene sequence,,,301.35,602.7,19
HCPCS,81337,Smn1 gen nown famil seq vrnt,,,185.2,370.4,19
HCPCS,81338,Mpl gene common variants,,,150.33,300.66,19
HCPCS,81339,Mpl gene seq alys exon 10,,,185.2,370.4,19
HCPCS,81340,Hb T Cell Interpretation And Report,1666.0,583.1,,,0
HCPCS,81340,Trb@ gene rearrange amplify,,,208.92,417.84,19
HCPCS,81341,Trb@ gene rearrange dirprobe,,,49.59,99.18,19
HCPCS,81342,Hb T Cell Electrophoresis,839.0,293.65,,,0
HCPCS,81342,Trg gene rearrangement anal,,,201.5,403.0,19
HCPCS,81343,Ppp2r2b gen detc abnor allel,,,137.0,274.0,19
HCPCS,81344,Tbp gene detc abnor alleles,,,137.0,274.0,19
HCPCS,81345,Tert gene targeted seq alys,,,185.2,370.4,19
HCPCS,81346,Tyms gene com variants,,,174.81,349.62,19
HCPCS,81347,Sf3b1 gene common variants,,,193.25,386.5,19
HCPCS,81348,Srsf2 gene common variants,,,175.4,350.8,19
HCPCS,81349,Cytog alys chrml abnr lw-ps,,,1197.94,2395.88,19
HCPCS,81350,Ugt1a1 gene,,,234.0,468.0,19
HCPCS,81351,Tp53 gene full gene sequence,,,641.85,1283.7,19
HCPCS,81352,Tp53 gene trgt sequence alys,,,329.51,659.02,19
HCPCS,81353,Tp53 gene known famil vrnt,,,308.0,616.0,19
HCPCS,81354,Cytog alys chrml abnor ogm,,,1263.53,2527.06,19
HCPCS,81355,Vkorc1 gene,,,88.2,176.4,19
HCPCS,81357,U2af1 gene common variants,,,193.25,386.5,19
HCPCS,81360,Zrsr2 gene common variants,,,193.25,386.5,19
HCPCS,81361,Hbb gene com variants,,,174.81,349.62,19
HCPCS,81362,Hbb gene known fam variant,,,375.25,750.5,19
HCPCS,81363,Hbb gene dup/del variants,,,202.4,404.8,19
HCPCS,81364,Hbb full gene sequence,,,324.58,649.16,19
HCPCS,81370,Hla i & ii typing lr,,,402.12,804.24,19
HCPCS,81371,Hla i & ii type verify lr,,,404.52,809.04,19
HCPCS,81372,Hla i typing complete lr,,,403.59,807.18,19
HCPCS,81373,Hla i typing 1 locus lr,,,127.43,254.86,19
HCPCS,81374,Hla i typing 1 antigen lr,,,74.33,148.66,19
HCPCS,81375,Hla ii typing ag equiv lr,,,220.74,441.48,19
HCPCS,81376,Hb Hla Dq2/Dq8 Typing For Celiac Disease,87.5,30.62,,,0
HCPCS,81376,Hla ii typing 1 locus lr,,,122.22,244.44,19
HCPCS,81377,Hla ii type 1 ag equiv lr,,,94.74,189.48,19
HCPCS,81378,Hla i & ii typing hr,,,345.57,691.14,19
HCPCS,81379,Hla i typing complete hr,,,335.38,670.76,19
HCPCS,81380,Hla i typing 1 locus hr,,,177.25,354.5,19
HCPCS,81381,Hla i typing 1 allele hr,,,169.9,339.8,19
HCPCS,81382,Hb Hla Class Ii Typing High Resolution One Locus Ea,87.5,30.62,,,0
HCPCS,81382,Hla ii typing 1 loc hr,,,123.68,247.36,19
HCPCS,81383,Hla ii typing 1 allele hr,,,109.13,218.26,19
HCPCS,81400,Hb Ace Polymorphism,210.0,73.5,,,0
HCPCS,81400,Mopath procedure level 1,,,63.96,127.92,19
HCPCS,81401,Hb Tpmt Genotype,210.0,73.5,,,0
HCPCS,81401,Mopath procedure level 2,,,137.0,274.0,19
HCPCS,81402,Mopath procedure level 3,,,150.33,300.66,19
HCPCS,81403,Hb Rhe Genotyping,318.0,111.3,,,0
HCPCS,81403,Hb Sma Isolation And Extraction,1854.0,648.9,,,0
HCPCS,81403,Mopath procedure level 4,,,185.2,370.4,19
HCPCS,81404,Hb Beta Globin Complete,698.0,244.3,,,0
HCPCS,81404,Mopath procedure level 5,,,274.83,549.66,19
HCPCS,81405,Mopath procedure level 6,,,301.35,602.7,19
HCPCS,81406,Mopath procedure level 7,,,282.88,565.76,19
HCPCS,81407,Mopath procedure level 8,,,846.27,1692.54,19
HCPCS,81408,Mopath procedure level 9,,,2000.0,4000.0,19
HCPCS,81410,Aortic dysfunction/dilation,,,504.0,1008.0,19
HCPCS,81411,Aortic dysfunction/dilation,,,1350.19,2700.38,19
HCPCS,81412,Ashkenazi jewish assoc dis,,,2448.56,4897.12,19
HCPCS,81413,Car ion chnnlpath inc 10 gns,,,584.9,1169.8,19
HCPCS,81414,Car ion chnnlpath inc 2 gns,,,584.9,1169.8,19
HCPCS,81415,Exome sequence analysis,,,4780.0,9560.0,19
HCPCS,81416,Exome sequence analysis,,,12000.0,24000.0,19
HCPCS,81417,Exome re-evaluation,,,320.0,640.0,19
HCPCS,81418,Rx metab gen seq alys pnl 6,,,917.08,1834.16,19
HCPCS,81419,Epilepsy gen seq alys panel,,,2448.56,4897.12,19
HCPCS,81420,Fetal chrmoml aneuploidy,,,759.05,1518.1,19
HCPCS,81422,Fetal chrmoml microdeltj,,,759.05,1518.1,19
HCPCS,81425,Genome sequence analysis,,,5031.2,10062.4,19
HCPCS,81426,Genome sequence analysis,,,2709.95,5419.9,19
HCPCS,81427,Genome re-evaluation,,,2337.65,4675.3,19
HCPCS,81430,Hearing loss sequence analys,,,1625.0,3250.0,19
HCPCS,81431,Hearing loss dup/del analys,,,679.57,1359.14,19
HCPCS,81432,Hrdtry brst ca-rlatd dsordrs,,,1303.95,2607.9,19
HCPCS,81434,Hereditary retinal disorders,,,597.91,1195.82,19
HCPCS,81435,Hereditary colon ca dsordrs,,,1303.95,2607.9,19
HCPCS,81437,Heredtry nurondcrn tum dsrdr,,,1303.95,2607.9,19
HCPCS,81439,Inherited cardmypthy 5 gns,,,584.9,1169.8,19
HCPCS,81440,Mitochondrial gene,,,3324.0,6648.0,19
HCPCS,81441,Ibmfs seq alys pnl 30 genes,,,2448.56,4897.12,19
HCPCS,81442,Noonan spectrum disorders,,,2143.6,4287.2,19
HCPCS,81443,Genetic tstg severe inh cond,,,2448.56,4897.12,19
HCPCS,81445,Targeted genomic seq analys,,,597.91,1195.82,19
HCPCS,81448,Hrdtry perph neurphy panel,,,584.9,1169.8,19
HCPCS,81449,Tgsap so neo 5-50 rna alys,,,597.91,1195.82,19
HCPCS,81450,Targeted genomic seq analys,,,759.53,1519.06,19
HCPCS,81451,Tgsap hl neo 5-50 rna alys,,,759.53,1519.06,19
HCPCS,81455,Targeted genomic seq analys,,,2919.6,5839.2,19
HCPCS,81456,Tgsap so/hl 51/< rna alys,,,2919.6,5839.2,19
HCPCS,81457,So neo gsap dna mcrstl ins,,,896.87,1793.74,19
HCPCS,81458,So gsap dna cpy nmbr&mcrstl,,,1046.35,2092.7,19
HCPCS,81459,So neo gsap dna/dna&rna,,,2989.55,5979.1,19
HCPCS,81460,Whole mitochondrial genome,,,1287.0,2574.0,19
HCPCS,81462,So gsap cll fr dna/dna&rna,,,1195.83,2391.66,19
HCPCS,81463,So gsap cl fr cpy nmbr&mcrst,,,1345.31,2690.62,19
HCPCS,81464,So gsap cll fr mcrstl ins,,,3288.51,6577.02,19
HCPCS,81465,Whole mitochondrial genome,,,936.0,1872.0,19
HCPCS,81470,X-linked intellectual dblt,,,914.0,1828.0,19
HCPCS,81471,X-linked intellectual dblt,,,914.0,1828.0,19
HCPCS,81490,Autoimmune rheumatoid arthr,,,840.65,1681.3,19
HCPCS,81493,Cor artery disease mrna,,,1050.0,2100.0,19
HCPCS,81500,Onco (ovar) two proteins,,,260.5,521.0,19
HCPCS,81503,Onco (ovar) five proteins,,,897.0,1794.0,19
HCPCS,81504,Oncology tissue of origin,,,520.0,1040.0,19
HCPCS,81506,Endo assay seven anal,,,68.92,137.84,19
HCPCS,81507,Fetal aneuploidy trisom risk,,,795.0,1590.0,19
HCPCS,81508,Ftl cgen abnor two proteins,,,54.3,108.6,19
HCPCS,81509,Ftl cgen abnor 3 proteins,,,1487.37,2974.74,19
HCPCS,81510,Ftl cgen abnor three anal,,,55.54,111.08,19
HCPCS,81511,Ftl cgen abnor four anal,,,153.5,307.0,19
HCPCS,81512,Ftl cgen abnor five anal,,,69.52,139.04,19
HCPCS,81513,Nfct ds bv rna vag flu alg,,,142.63,285.26,19
HCPCS,81514,Nfct ds bv&vaginitis dna alg,,,262.99,525.98,19
HCPCS,81515,Nfct ds bv&vaginitis dna alg,,,262.99,525.98,19
HCPCS,81517,Liver ds alys 3 bmrk srm alg,,,176.19,352.38,19
HCPCS,81518,Onc brst mrna 11 genes,,,3873.0,7746.0,19
HCPCS,81519,Oncology breast mrna,,,3873.0,7746.0,19
HCPCS,81520,Onc breast mrna 58 genes,,,2510.21,5020.42,19
HCPCS,81521,Onc breast mrna 70 genes,,,3873.0,7746.0,19
HCPCS,81522,Onc breast mrna 12 genes,,,3873.0,7746.0,19
HCPCS,81523,Onc brst mrna 70 cnt 31 gene,,,3873.0,7746.0,19
HCPCS,81525,Oncology colon mrna,,,3116.0,6232.0,19
HCPCS,81528,Oncology colorectal scr,,,508.87,1017.74,19
HCPCS,81529,Onc cutan mlnma mrna 31 gene,,,7193.0,14386.0,19
HCPCS,81535,Oncology gynecologic,,,579.46,1158.92,19
HCPCS,81536,Oncology gynecologic,,,177.56,355.12,19
HCPCS,81538,Oncology lung,,,2871.0,5742.0,19
HCPCS,81539,Oncology prostate prob score,,,760.0,1520.0,19
HCPCS,81540,Oncology tum unknown origin,,,3750.0,7500.0,19
HCPCS,81541,Onc prostate mrna 46 genes,,,3873.0,7746.0,19
HCPCS,81542,Onc prostate mrna 22 cnt gen,,,3873.0,7746.0,19
HCPCS,81546,"Onc thyr mrna 10,196 gen alg",,,3600.0,7200.0,19
HCPCS,81551,Onc prostate 3 genes,,,2030.0,4060.0,19
HCPCS,81552,Onc uveal mlnma mrna 15 gene,,,7776.0,15552.0,19
HCPCS,81554,Pulm ds ipf mrna 190 gen alg,,,5409.6,10819.2,19
HCPCS,81558,Trnspl rej kdn mrna qpcr 139,,,3240.0,6480.0,19
HCPCS,81560,Trnsplj pd lvr&bwl cd154+cll,,,640.73,1281.46,19
HCPCS,81595,Cardiology hrt trnspl mrna,,,3240.0,6480.0,19
HCPCS,81596,Nfct ds chrnc hcv 6 assays,,,72.19,144.38,19
HCPCS,82009,Test for acetone/ketones,,,4.52,9.04,19
HCPCS,82010,Acetone assay,,,8.17,16.34,19
HCPCS,82010,Hb Beta Hydroxy Butyrate,277.0,96.95,,,0
HCPCS,82010,Hb Ketones In Blood,214.0,74.9,,,0
HCPCS,82010,Hb Poc Ketone Quantitative,214.0,74.9,,,0
HCPCS,82013,Acetylcholinesterase assay,,,12.29,24.58,19
HCPCS,82016,Acylcarnitines qual,,,16.49,32.98,19
HCPCS,82017,Acylcarnitines quant,,,16.87,33.74,19
HCPCS,82017,Hb Acylcarnitine Plasma,309.86,108.45,,,0
HCPCS,82024,Assay of acth,,,38.62,77.24,19
HCPCS,82024,Hb Acth,14.83,5.19,,,0
HCPCS,82030,Assay of adp & amp,,,25.8,51.6,19
HCPCS,82040,Assay of serum albumin,,,4.95,9.9,19
HCPCS,82040,Hb Albumin Serum,232.0,81.2,,,0
HCPCS,82042,Assay of urine albumin,,,7.78,15.56,19
HCPCS,82042,Hb Albumin Csf,167.0,58.45,,,0
HCPCS,82043,Hb Microalbumin Urine,270.0,94.5,,,0
HCPCS,82043,Microalbumin quantitative,,,5.78,11.56,19
HCPCS,82044,Hb Urine Albumin Semiquantitative,112.0,39.2,,,0
HCPCS,82044,Microalbumin semiquant,,,6.23,12.46,19
HCPCS,82045,Albumin ischemia modified,,,33.94,67.88,19
HCPCS,82075,Assay of breath ethanol,,,30.0,60.0,19
HCPCS,82077,Assay spec xcp ur&breath ia,,,17.27,34.54,19
HCPCS,82085,Assay of aldolase,,,9.71,19.42,19
HCPCS,82085,Hb Aldolase,5.97,2.09,,,0
HCPCS,82088,Assay of aldosterone,,,40.75,81.5,19
HCPCS,82088,Hb Aldosterone Serum,15.6,5.46,,,0
HCPCS,82088,Hb Aldosterone Urine,16.95,5.93,,,0
HCPCS,82103,Alpha-1-antitrypsin total,,,13.44,26.88,19
HCPCS,82103,Hb Alph I Antitrypsn,8.0,2.8,,,0
HCPCS,82104,Alpha-1-antitrypsin pheno,,,14.46,28.92,19
HCPCS,82105,Alpha-fetoprotein serum,,,16.77,33.54,19
HCPCS,82105,Hb Afp Maternal Serum,36.0,12.6,,,0
HCPCS,82105,Hb Afp Serum,32.0,11.2,,,0
HCPCS,82105,Hb Afp Tumor Marker,482.0,168.7,,,0
HCPCS,82106,Alpha-fetoprotein amniotic,,,17.0,34.0,19
HCPCS,82106,Hb Afp Amniotic Fluid,57.0,19.95,,,0
HCPCS,82107,Alpha-Fetoprotein L3,,,64.41,128.82,19
HCPCS,82108,Assay of aluminum,,,25.48,50.96,19
HCPCS,82120,Amines vaginal fluid qual,,,5.99,11.98,19
HCPCS,82127,Amino acid single qual,,,14.18,28.36,19
HCPCS,82128,Amino acids mult qual,,,13.87,27.74,19
HCPCS,82131,Amino acids single quant,,,22.98,45.96,19
HCPCS,82131,Hb Methymalonic Acid,28.0,9.8,,,0
HCPCS,82135,Assay aminolevulinic acid,,,16.45,32.9,19
HCPCS,82135,Hb Aminolevulinic Ac,80.54,28.19,,,0
HCPCS,82136,Amino acids quant 2-5,,,19.61,39.22,19
HCPCS,82139,Amino acids quan 6 or more,,,16.87,33.74,19
HCPCS,82139,Hb Amino Acid Quant Urine,436.58,152.8,,,0
HCPCS,82139,Hb Amino Acids Quant Serum,436.58,152.8,,,0
HCPCS,82140,Assay of ammonia,,,14.57,29.14,19
HCPCS,82140,Hb Ammonia,441.0,154.35,,,0
HCPCS,82143,Amniotic fluid scan,,,9.35,18.7,19
HCPCS,82150,Assay of amylase,,,6.48,12.96,19
HCPCS,82150,Hb Amylase,461.0,161.35,,,0
HCPCS,82150,Hb Amylase Timed Urine,461.0,161.35,,,0
HCPCS,82154,Androstanediol glucuronide,,,28.83,57.66,19
HCPCS,82157,Assay of androstenedione,,,29.28,58.56,19
HCPCS,82157,Hb Androstenedione,17.6,6.16,,,0
HCPCS,82160,Assay of androsterone,,,25.55,51.1,19
HCPCS,82163,Assay of angiotensin II,,,20.52,41.04,19
HCPCS,82164,Angiotensin I enzyme test,,,14.6,29.2,19
HCPCS,82164,Hb Angiotensin Enzyme,11.73,4.11,,,0
HCPCS,82164,Hb Csf Angiotnesin Enzyme,11.83,4.14,,,0
HCPCS,82166,Assay anti-mullerian horm,,,38.62,77.24,19
HCPCS,82172,Assay of apolipoprotein,,,21.09,42.18,19
HCPCS,82172,Hb Apolipoprotein A1,12.39,4.34,,,0
HCPCS,82172,Hb Apolipoprotein B,12.39,4.34,,,0
HCPCS,82172,Hb Assay Of Apolipoprotein,48.12,16.84,,,0
HCPCS,82175,Assay of arsenic,,,18.97,37.94,19
HCPCS,82175,Hb Arsenic Blood,37.21,13.02,,,0
HCPCS,82175,Hb Arsenic Urine,37.21,13.02,,,0
HCPCS,82180,Assay of ascorbic acid,,,9.89,19.78,19
HCPCS,82180,"Hb Vitamin C, Lc/Ms",35.0,12.25,,,0
HCPCS,82190,Atomic absorption,,,15.9,31.8,19
HCPCS,82232,Assay of beta-2 protein,,,16.18,32.36,19
HCPCS,82232,Hb B2 Microglobulin,120.0,42.0,,,0
HCPCS,82232,Hb Beta 2 Microglobulin S,8.0,2.8,,,0
HCPCS,82232,Hb Beta 2 Microglobulin U,8.0,2.8,,,0
HCPCS,82233,Beta-amyloid 1-40 (abeta 40),,,128.92,257.84,19
HCPCS,82234,Beta-amyloid 1-42 (abeta 42),,,128.92,257.84,19
HCPCS,82239,Bile acids total,,,17.12,34.24,19
HCPCS,82240,Bile acids cholylglycine,,,26.58,53.16,19
HCPCS,82240,Hb Bile Acid,42.25,14.79,,,0
HCPCS,82247,Bilirubin total,,,5.02,10.04,19
HCPCS,82247,Hb Bilirubin Total,201.0,70.35,,,0
HCPCS,82248,Bilirubin direct,,,5.02,10.04,19
HCPCS,82248,Hb Bilirubin Direct Conj,197.0,68.95,,,0
HCPCS,82252,Fecal bilirubin test,,,4.56,9.12,19
HCPCS,82261,Assay of biotinidase,,,16.87,33.74,19
HCPCS,82261,Hb Biotinidase Serum,78.17,27.36,,,0
HCPCS,82270,Hb Guaiac Occult Blood Feces,39.0,13.65,,,0
HCPCS,82270,Hb Guaiac Occult Blood Feces Bedside,51.0,17.85,,,0
HCPCS,82270,Occult blood feces,,,4.38,8.76,19
HCPCS,82271,Hb Gastric Occult Blood,64.0,22.4,,,0
HCPCS,82271,Hb Occult Blood Gastric Bedside,64.0,22.4,,,0
HCPCS,82271,Occult blood other sources,,,5.32,10.64,19
HCPCS,82272,Hb Occult Bld Feces 1-3 Tests,156.0,54.6,,,0
HCPCS,82272,Occult bld feces 1-3 tests,,,4.23,8.46,19
HCPCS,82274,Assay test for blood fecal,,,15.92,31.84,19
HCPCS,82274,Hb Immunoassay Fecal Occult Blood,464.0,162.4,,,0
HCPCS,82274,Hb Immunoassay Fecal Occult Blood Bedside,467.0,163.45,,,0
HCPCS,82286,Assay of bradykinin,,,5.16,10.32,19
HCPCS,82300,Assay of cadmium,,,23.64,47.28,19
HCPCS,82306,Hb Vitamin D,219.0,76.65,,,0
HCPCS,82306,Vitamin d 25 hydroxy,,,29.6,59.2,19
HCPCS,82308,Assay of calcitonin,,,26.79,53.58,19
HCPCS,82308,Hb Assay Of Calcitonin,203.0,71.05,,,0
HCPCS,82308,Hb Calcitonin,14.4,5.04,,,0
HCPCS,82310,Assay of calcium,,,5.16,10.32,19
HCPCS,82310,Hb Calcium,338.0,118.3,,,0
HCPCS,82310,Hb Fluid Calcium,338.0,118.3,,,0
HCPCS,82330,Assay of calcium,,,13.68,27.36,19
HCPCS,82330,Hb Ionized Calcium,380.0,133.0,,,0
HCPCS,82331,Calcium infusion test,,,13.34,26.68,19
HCPCS,82340,Assay of calcium in urine,,,6.03,12.06,19
HCPCS,82340,Hb Calcium 24Hr Urine,300.0,105.0,,,0
HCPCS,82340,Hb Urine Calcium,300.0,105.0,,,0
HCPCS,82355,Calculus analysis qual,,,11.58,23.16,19
HCPCS,82360,Calculus assay quant,,,12.87,25.74,19
HCPCS,82365,Calculus spectroscopy,,,12.9,25.8,19
HCPCS,82365,Hb Calculus Analysis,13.6,4.76,,,0
HCPCS,82370,X-ray assay calculus,,,12.52,25.04,19
HCPCS,82373,Assay c-d transfer measure,,,18.06,36.12,19
HCPCS,82374,Assay blood carbon dioxide,,,4.88,9.76,19
HCPCS,82374,Hb Co2,922.0,322.7,,,0
HCPCS,82375,Assay carboxyhb quant,,,12.32,24.64,19
HCPCS,82375,Hb Carbon Monoxide,377.0,131.95,,,0
HCPCS,82376,Assay carboxyhb qual,,,14.07,28.14,19
HCPCS,82378,Carcinoembryonic antigen,,,18.96,37.92,19
HCPCS,82378,Hb C E A,365.0,127.75,,,0
HCPCS,82379,Assay of carnitine,,,16.87,33.74,19
HCPCS,82379,Hb Carnitine,309.86,108.45,,,0
HCPCS,82380,Assay of carotene,,,9.22,18.44,19
HCPCS,82380,Hb Carotene,11.2,3.92,,,0
HCPCS,82382,Assay urine catecholamines,,,27.3,54.6,19
HCPCS,82383,Assay blood catecholamines,,,29.08,58.16,19
HCPCS,82384,Assay three catecholamines,,,25.25,50.5,19
HCPCS,82384,Hb Catechol Plasma,25.0,8.75,,,0
HCPCS,82384,Hb Catecholamines Ran Urine,17.33,6.07,,,0
HCPCS,82384,Hb Catecholamines Urine,25.0,8.75,,,0
HCPCS,82387,Assay of cathepsin-d,,,18.06,36.12,19
HCPCS,82390,Assay of ceruloplasmin,,,10.74,21.48,19
HCPCS,82390,Hb Ceruloplasmin,309.0,108.15,,,0
HCPCS,82397,Chemiluminescent assay,,,14.12,28.24,19
HCPCS,82397,Hb Inhibin B,88.0,30.8,,,0
HCPCS,82415,Assay of chloramphenicol,,,12.67,25.34,19
HCPCS,82435,Assay of blood chloride,,,4.6,9.2,19
HCPCS,82435,Hb Chloride,184.0,64.4,,,0
HCPCS,82436,Assay of urine chloride,,,5.75,11.5,19
HCPCS,82436,Hb Chloride 24Hr Urine,218.0,76.3,,,0
HCPCS,82436,Hb Chloride Spot Urine,218.0,76.3,,,0
HCPCS,82438,Assay other fluid chlorides,,,5.0,10.0,19
HCPCS,82438,Hb Chloride Fecal,14.95,5.23,,,0
HCPCS,82438,Hb Chloride Fluid,377.0,131.95,,,0
HCPCS,82438,Hb Chloride Sweat,377.0,131.95,,,0
HCPCS,82441,Test for chlorohydrocarbons,,,6.01,12.02,19
HCPCS,82465,Assay bld/serum cholesterol,,,4.35,8.7,19
HCPCS,82465,Hb Cholesterol Total,226.0,79.1,,,0
HCPCS,82480,Assay serum cholinesterase,,,7.87,15.74,19
HCPCS,82480,Hb Psuedocholinesterase,7.51,2.63,,,0
HCPCS,82482,Assay rbc cholinesterase,,,9.81,19.62,19
HCPCS,82485,Assay chondroitin sulfate,,,20.65,41.3,19
HCPCS,82495,Assay of chromium,,,20.28,40.56,19
HCPCS,82507,Assay of citrate,,,27.8,55.6,19
HCPCS,82507,Hb Citric Acid 24 Hr Ur,168.16,58.86,,,0
HCPCS,82523,Collagen crosslinks,,,18.68,37.36,19
HCPCS,82525,Assay of copper,,,12.41,24.82,19
HCPCS,82525,Hb Copper Serum,38.0,13.3,,,0
HCPCS,82525,Hb Copper Urine,8.74,3.06,,,0
HCPCS,82528,Assay of corticosterone,,,22.52,45.04,19
HCPCS,82530,Cortisol free,,,16.71,33.42,19
HCPCS,82530,Hb Cortisol Urine,9.6,3.36,,,0
HCPCS,82530,"Hb Cortisol, Saliva",38.0,13.3,,,0
HCPCS,82533,Hb Cortisol,494.0,172.9,,,0
HCPCS,82533,Hb Cortisol Post Dose 1 Hour,494.0,172.9,,,0
HCPCS,82533,Hb Cortisol Post Dose 30 Min,494.0,172.9,,,0
HCPCS,82533,Total cortisol,,,16.3,32.6,19
HCPCS,82540,Assay of creatine,,,4.64,9.28,19
HCPCS,82542,Col chromotography qual/quan,,,24.09,48.18,19
HCPCS,82542,Hb Iodine Serum Or Plasma,96.0,33.6,,,0
HCPCS,82550,Assay of ck (cpk),,,6.51,13.02,19
HCPCS,82550,Hb Cpk,493.0,172.55,,,0
HCPCS,82552,Assay of cpk in blood,,,13.39,26.78,19
HCPCS,82553,Creatine mb fraction,,,11.55,23.1,19
HCPCS,82553,Hb Ck Mb,511.0,178.85,,,0
HCPCS,82553,Hb Er Ckmb,511.0,178.85,,,0
HCPCS,82554,Creatine isoforms,,,11.87,23.74,19
HCPCS,82565,Assay of creatinine,,,5.12,10.24,19
HCPCS,82565,Hb Creatinine,296.0,103.6,,,0
HCPCS,82565,Hb Creatinine Bedside,34.0,11.9,,,0
HCPCS,82570,Assay of urine creatinine,,,5.18,10.36,19
HCPCS,82570,Hb Creatinine 24Hr Urine,248.0,86.8,,,0
HCPCS,82570,Hb Creatinine Urine,248.0,86.8,,,0
HCPCS,82570,"Hb Creatinine, Random Urine",194.88,68.21,,,0
HCPCS,82570,Hb Fluid Creatinine,248.0,86.8,,,0
HCPCS,82575,Creatinine clearance test,,,9.46,18.92,19
HCPCS,82575,Hb Creatinine Clrnce,454.0,158.9,,,0
HCPCS,82585,Assay of cryofibrinogen,,,14.14,28.28,19
HCPCS,82595,Assay of cryoglobulin,,,6.47,12.94,19
HCPCS,82595,Hb Cryoglobulin,14.0,4.9,,,0
HCPCS,82600,Assay of cyanide,,,19.4,38.8,19
HCPCS,82600,Hb Cyanide,68.8,24.08,,,0
HCPCS,82607,Hb Vitamin B12,479.0,167.65,,,0
HCPCS,82607,Vitamin B-12,,,15.08,30.16,19
HCPCS,82608,B-12 binding capacity,,,14.32,28.64,19
HCPCS,82610,Cystatin c,,,18.52,37.04,19
HCPCS,82615,Test for urine cystines,,,9.55,19.1,19
HCPCS,82626,Dehydroepiandrosterone,,,25.27,50.54,19
HCPCS,82627,Dehydroepiandrosterone,,,22.23,44.46,19
HCPCS,82627,Hb Dhea S,71.54,25.04,,,0
HCPCS,82633,Desoxycorticosterone,,,30.98,61.96,19
HCPCS,82634,Deoxycortisol,,,29.28,58.56,19
HCPCS,82638,Assay of dibucaine number,,,12.25,24.5,19
HCPCS,82638,Hb Dubuciane Inhibition,48.3,16.9,,,0
HCPCS,82642,Dihydrotestosterone,,,29.28,58.56,19
HCPCS,82652,Hb Vitamin D3,17.0,5.95,,,0
HCPCS,82652,Vit d 1 25-dihydroxy,,,38.5,77.0,19
HCPCS,82653,El-1 fecal quantitative,,,22.97,45.94,19
HCPCS,82656,Hb Pancreatic Elastase 1,179.2,62.72,,,0
HCPCS,82656,Pancreatic elastase fecal,,,11.53,23.06,19
HCPCS,82657,Enzyme cell activity,,,22.17,44.34,19
HCPCS,82657,Hb Lactase,120.0,42.0,,,0
HCPCS,82657,Hb Maltase,120.0,42.0,,,0
HCPCS,82657,"Hb Neutrophil Function, Oxidative Burst",112.0,39.2,,,0
HCPCS,82657,Hb Palatinase,120.0,42.0,,,0
HCPCS,82657,Hb Sucrase,120.0,42.0,,,0
HCPCS,82658,Enzyme cell activity ra,,,44.03,88.06,19
HCPCS,82664,Electrophoretic test,,,61.5,123.0,19
HCPCS,82668,Assay of erythropoietin,,,18.79,37.58,19
HCPCS,82668,Hb Erythropoietin,15.2,5.32,,,0
HCPCS,82670,Assay of estradiol,,,27.94,55.88,19
HCPCS,82670,Hb Estradiol Serum,234.125,81.945,,,0
HCPCS,82671,Assay of estrogens,,,32.3,64.6,19
HCPCS,82672,Assay of estrogen,,,21.7,43.4,19
HCPCS,82672,Hb Estrogen Total,18.0,6.3,,,0
HCPCS,82677,Assay of estriol,,,24.18,48.36,19
HCPCS,82677,Hb Estriol,17.25,6.04,,,0
HCPCS,82679,Assay of estrone,,,24.95,49.9,19
HCPCS,82679,Hb Estrone,30.5,10.68,,,0
HCPCS,82681,Assay dir meas fr estradiol,,,27.94,55.88,19
HCPCS,82693,Assay of ethylene glycol,,,14.9,29.8,19
HCPCS,82693,Hb Ethylene Glycol Blood,6.4,2.24,,,0
HCPCS,82696,Assay of etiocholanolone,,,26.24,52.48,19
HCPCS,82705,Fats/lipids feces qual,,,5.1,10.2,19
HCPCS,82710,Fats/lipids feces quant,,,16.8,33.6,19
HCPCS,82715,Assay of fecal fat,,,22.97,45.94,19
HCPCS,82725,Assay of blood fatty acids,,,18.77,37.54,19
HCPCS,82726,Long chain fatty acids,,,19.75,39.5,19
HCPCS,82728,Assay of ferritin,,,13.63,27.26,19
HCPCS,82728,Hb Ferritin,346.0,121.1,,,0
HCPCS,82731,Assay of fetal fibronectin,,,64.41,128.82,19
HCPCS,82731,Hb Fibronectin Fetal,1755.0,614.25,,,0
HCPCS,82735,Assay of fluoride,,,18.54,37.08,19
HCPCS,82746,Assay of folic acid serum,,,14.7,29.4,19
HCPCS,82746,Hb Folate,395.0,138.25,,,0
HCPCS,82747,Assay of folic acid rbc,,,17.65,35.3,19
HCPCS,82747,Hb Rbc Folate,4.8,1.68,,,0
HCPCS,82757,Assay of semen fructose,,,17.34,34.68,19
HCPCS,82759,Assay of rbc galactokinase,,,21.48,42.96,19
HCPCS,82760,Assay of galactose,,,11.2,22.4,19
HCPCS,82775,Assay galactose transferase,,,21.07,42.14,19
HCPCS,82776,Galactose transferase test,,,11.74,23.48,19
HCPCS,82777,Galectin-3,,,44.25,88.5,19
HCPCS,82784,Assay iga/igd/igg/igm each,,,9.3,18.6,19
HCPCS,82784,Hb Assay Of Gammaglobulin Iga Igd Igg Igm Each,187.3,65.56,,,0
HCPCS,82784,Hb Igg Csf,366.0,128.1,,,0
HCPCS,82784,Hb Immunoglobulin A,366.0,128.1,,,0
HCPCS,82784,Hb Immunoglobulin G,366.0,128.1,,,0
HCPCS,82784,Hb Immunoglobulin M,366.0,128.1,,,0
HCPCS,82785,Assay of ige,,,16.46,32.92,19
HCPCS,82785,Hb Ige,35.0,12.25,,,0
HCPCS,82785,Hb Immunoglobulin E,366.0,128.1,,,0
HCPCS,82787,Hb Igg Subclasses,40.23,14.08,,,0
HCPCS,82787,Igg 1 2 3 or 4 each,,,8.02,16.04,19
HCPCS,82800,Blood pH,,,11.0,22.0,19
HCPCS,82800,Hb Blood Ph,308.0,107.8,,,0
HCPCS,82803,Blood gases any combination,,,26.07,52.14,19
HCPCS,82803,Hb Blood Gas,1006.0,352.1,,,0
HCPCS,82805,Blood gases w/o2 saturation,,,78.77,157.54,19
HCPCS,82805,Hb Abga,1006.0,352.1,,,0
HCPCS,82805,Hb Abgv,1006.0,352.1,,,0
HCPCS,82805,Hb Blood Gases W O2 Saturation,1006.0,352.1,,,0
HCPCS,82810,Blood gases o2 sat only,,,9.77,19.54,19
HCPCS,82810,Hb Gases Blood O2 Sat Only,255.0,89.25,,,0
HCPCS,82810,Hb Gases Blood O2 Saturation Only Direct Meas,191.0,66.85,,,0
HCPCS,82820,Hemoglobin-oxygen affinity,,,13.34,26.68,19
HCPCS,82930,Gastric analy w/ph ea spec,,,6.71,13.42,19
HCPCS,82938,Gastrin test,,,17.69,35.38,19
HCPCS,82938,Hb Secretin Test,2185.0,764.75,,,0
HCPCS,82941,Assay of gastrin,,,17.63,35.26,19
HCPCS,82941,Hb Gastrin,9.6,3.36,,,0
HCPCS,82943,Assay of glucagon,,,14.29,28.58,19
HCPCS,82943,Hb Glucagon,33.43,11.7,,,0
HCPCS,82945,Glucose Other Fluid,,,3.93,7.86,19
HCPCS,82945,Hb Fluid Glucose,366.0,128.1,,,0
HCPCS,82945,Hb Glucose 24Hr Urine,366.0,128.1,,,0
HCPCS,82946,Glucagon tolerance test,,,17.77,35.54,19
HCPCS,82947,Assay glucose blood quant,,,3.93,7.86,19
HCPCS,82947,Hb Glucose,380.0,133.0,,,0
HCPCS,82947,Hb Glucose Bedside,28.0,9.8,,,0
HCPCS,82948,"Hb Glucose; Blood, Reagent Strip",79.0,27.65,,,0
HCPCS,82948,Reagent strip/blood glucose,,,5.04,10.08,19
HCPCS,82950,Glucose test,,,4.75,9.5,19
HCPCS,82950,Hb Gdm Screen,296.0,103.6,,,0
HCPCS,82950,Hb Glucose Challenge Test,296.0,103.6,,,0
HCPCS,82950,Hb O Sullivan Test,296.0,103.6,,,0
HCPCS,82950,Hb Post Prandial 2Hr Glucose,296.0,103.6,,,0
HCPCS,82951,Glucose tolerance test (GTT),,,12.87,25.74,19
HCPCS,82951,Hb Gluc Tol Three Samples Blood,277.0,96.95,,,0
HCPCS,82952,GTT-added samples,,,3.92,7.84,19
HCPCS,82952,Hb Gluc Tol Additional Blood,127.0,44.45,,,0
HCPCS,82955,Assay of g6pd enzyme,,,9.7,19.4,19
HCPCS,82955,Hb G 6Pd Level,6.4,2.24,,,0
HCPCS,82960,Test for G6PD enzyme,,,6.05,12.1,19
HCPCS,82962,Glucose blood test,,,3.28,6.56,19
HCPCS,82962,Hb Glucose Blood Test,86.0,30.1,,,0
HCPCS,82963,Assay of glucosidase,,,21.48,42.96,19
HCPCS,82965,Assay of gdh enzyme,,,13.15,26.3,19
HCPCS,82977,Assay of GGT,,,7.2,14.4,19
HCPCS,82977,Hb Ggt,326.0,114.1,,,0
HCPCS,82978,Assay of glutathione,,,15.45,30.9,19
HCPCS,82979,Assay rbc glutathione,,,9.44,18.88,19
HCPCS,82985,Assay of glycated protein,,,16.76,33.52,19
HCPCS,82985,Hb Fructosamine,4.67,1.63,,,0
HCPCS,83001,Assay of gonadotropin (fsh),,,18.58,37.16,19
HCPCS,83001,Hb Follicle Stimulating Hormone,575.0,201.25,,,0
HCPCS,83002,Assay of gonadotropin (lh),,,18.52,37.04,19
HCPCS,83002,Hb Luteneizing Hormone,585.0,204.75,,,0
HCPCS,83003,Assay growth hormone (hgh),,,16.67,33.34,19
HCPCS,83003,Hb Human Growth Hormone,6.4,2.24,,,0
HCPCS,83006,Growth stimulation gene 2,,,75.6,151.2,19
HCPCS,83009,H pylori (c-13) blood,,,67.36,134.72,19
HCPCS,83010,Assay of haptoglobin quant,,,12.58,25.16,19
HCPCS,83010,Hb Haptoglobin,265.0,92.75,,,0
HCPCS,83012,Assay of haptoglobins,,,26.89,53.78,19
HCPCS,83013,H pylori (c-13) breath,,,67.36,134.72,19
HCPCS,83014,H pylori drug admin,,,7.86,15.72,19
HCPCS,83014,Hb H Pylori Drug Admin,121.0,42.35,,,0
HCPCS,83015,Heavy metal qual any anal,,,20.94,41.88,19
HCPCS,83018,Hb Arsenic Quant,19.25,6.74,,,0
HCPCS,83018,Hb Mercury Quant,19.25,6.74,,,0
HCPCS,83018,Heavy metal quant each nes,,,21.96,43.92,19
HCPCS,83020,Hb Hbg Electrophorsis,245.0,85.75,,,0
HCPCS,83020,Hemoglobin electrophoresis,,,12.87,25.74,19
HCPCS,83021,Hemoglobin chromotography,,,18.06,36.12,19
HCPCS,83026,Hemoglobin copper sulfate,,,4.01,8.02,19
HCPCS,83030,Fetal hemoglobin chemical,,,10.74,21.48,19
HCPCS,83033,Fetal hemoglobin assay qual,,,8.0,16.0,19
HCPCS,83033,Hb Apt Downy Hgb,162.0,56.7,,,0
HCPCS,83036,Glycosylated hemoglobin test,,,9.71,19.42,19
HCPCS,83036,Hb Hgb A1C,652.0,228.2,,,0
HCPCS,83036,Hb Hgba1C Poc,72.0,25.2,,,0
HCPCS,83036,Noncdm Charge Record,68.0,23.8,,,0
HCPCS,83037,Glycosylated hb home device,,,9.71,19.42,19
HCPCS,83045,Blood methemoglobin test,,,6.49,12.98,19
HCPCS,83050,Blood methemoglobin assay,,,8.2,16.4,19
HCPCS,83050,Hb Hemoglobin Methemoglobin Quantitative,156.0,54.6,,,0
HCPCS,83051,Assay of plasma hemoglobin,,,7.31,14.62,19
HCPCS,83051,Hb Hemoglobin Plasma Free,395.0,138.25,,,0
HCPCS,83060,Blood sulfhemoglobin assay,,,8.8,17.6,19
HCPCS,83065,Assay of hemoglobin heat,,,9.0,18.0,19
HCPCS,83068,Hemoglobin stability screen,,,9.47,18.94,19
HCPCS,83069,Assay of urine hemoglobin,,,3.95,7.9,19
HCPCS,83070,Assay of hemosiderin qual,,,4.75,9.5,19
HCPCS,83070,Hb Hemosiderin Scrn,44.0,15.4,,,0
HCPCS,83080,Assay of b hexosaminidase,,,16.87,33.74,19
HCPCS,83088,Assay of histamine,,,29.53,59.06,19
HCPCS,83090,Assay Of Homocystine,,,17.92,35.84,19
HCPCS,83090,Hb Homocysteine,715.0,250.25,,,0
HCPCS,83150,Assay of homovanillic acid,,,22.41,44.82,19
HCPCS,83150,Hb Hva,35.84,12.54,,,0
HCPCS,83491,Assay of corticosteroids 17,,,17.9,35.8,19
HCPCS,83497,Assay of 5-hiaa,,,12.9,25.8,19
HCPCS,83497,Hb 5 Hiaa,8.73,3.06,,,0
HCPCS,83498,Assay of progesterone 17-d,,,27.17,54.34,19
HCPCS,83498,Hb 17 Hydroxyprog,14.43,5.05,,,0
HCPCS,83500,Assay free hydroxyproline,,,22.65,45.3,19
HCPCS,83505,Assay total hydroxyproline,,,24.3,48.6,19
HCPCS,83516,Hb Gliadin Iga Ab,20.6,7.21,,,0
HCPCS,83516,Hb Gliadin Igg Ab,20.6,7.21,,,0
HCPCS,83516,Hb Ihibin Level,37.0,12.95,,,0
HCPCS,83516,Hb Smooth Muscle Ab,7.17,2.51,,,0
HCPCS,83516,Hb Tissue Transglut Iga,32.15,11.25,,,0
HCPCS,83516,Hb Tissue Transglut Igg,32.15,11.25,,,0
HCPCS,83516,Immunoassay nonantibody,,,11.53,23.06,19
HCPCS,83518,Immunoassay dipstick,,,9.64,19.28,19
HCPCS,83519,Hb Acet Recept Antibody,50.0,17.5,,,0
HCPCS,83519,Hb Acetylcholine Receptor Modulating Antibody,68.0,23.8,,,0
HCPCS,83519,Hb Anti Gad Antibodies,435.85,152.55,,,0
HCPCS,83519,Hb Pth Related Protein,40.0,14.0,,,0
HCPCS,83519,Hb Ria Nonantibody,215.5,75.42500000000001,,,0
HCPCS,83519,Hb Trypsinogen,23.0,8.05,,,0
HCPCS,83519,Hb Voltage Gated Calcium Channel Antibody,86.45,30.26,,,0
HCPCS,83519,Ria nonantibody,,,18.4,36.8,19
HCPCS,83520,Hb Adalimumab Level And Anti-Drug Antibody,213.0,74.55,,,0
HCPCS,83520,Hb Anti Gbm,28.0,9.8,,,0
HCPCS,83520,Hb Anti-Mullerian Hormone,81.6,28.56,,,0
HCPCS,83520,Hb C1 Functional Inhibitor,16.5,5.78,,,0
HCPCS,83520,Hb Immunoassay Quant Nos Nonab,55.0,19.25,,,0
HCPCS,83520,Hb Infliximab Level And Anti-Drug Antibody Ibd,213.0,74.55,,,0
HCPCS,83520,"Hb Interleukin 2 Receptor, Soluble, Serum",90.0,31.5,,,0
HCPCS,83520,Hb Interleukin 6,127.0,44.45,,,0
HCPCS,83520,Hb Interleukin 6 Quant,360.0,126.0,,,0
HCPCS,83520,"Hb Interleukin-1 Receptor, Eia",112.86,39.5,,,0
HCPCS,83520,"Hb Interleukin-2 Receptor, Soluble, Csf",90.0,31.5,,,0
HCPCS,83520,Hb Mannose Binding Lectin,80.0,28.0,,,0
HCPCS,83520,Hb Nse,86.68,30.34,,,0
HCPCS,83520,Hb Phospholipase A2 Receptor Panel,75.0,26.25,,,0
HCPCS,83520,Hb Tryptase,41.0,14.35,,,0
HCPCS,83520,Hb Von Willebrand Factor Collagen Binding Assay,220.0,77.0,,,0
HCPCS,83520,Immunoassay quant nos nonab,,,17.27,34.54,19
HCPCS,83521,Ig light chains free each,,,17.27,34.54,19
HCPCS,83525,Assay of insulin,,,11.43,22.86,19
HCPCS,83525,Hb Insulin,6.4,2.24,,,0
HCPCS,83527,Assay of insulin,,,12.95,25.9,19
HCPCS,83528,Assay of intrinsic factor,,,19.82,39.64,19
HCPCS,83529,Asay of interleukin-6 (il-6),,,17.27,34.54,19
HCPCS,83540,Assay of iron,,,6.47,12.94,19
HCPCS,83540,Hb Iron,253.0,88.55,,,0
HCPCS,83550,Hb Iron Binding Capacity,62.0,21.7,,,0
HCPCS,83550,Iron binding test,,,8.74,17.48,19
HCPCS,83570,Assay of idh enzyme,,,8.85,17.7,19
HCPCS,83582,Assay of ketogenic steroids,,,15.47,30.94,19
HCPCS,83586,Assay 17- ketosteroids,,,12.8,25.6,19
HCPCS,83593,Fractionation ketosteroids,,,28.5,57.0,19
HCPCS,83605,Assay of lactic acid,,,11.57,23.14,19
HCPCS,83605,Hb Lactate Lactic Acid,403.5,141.225,,,0
HCPCS,83615,Hb Ldh,232.0,81.2,,,0
HCPCS,83615,Lactate (LD) (LDH) enzyme,,,6.04,12.08,19
HCPCS,83625,Assay of ldh enzymes,,,12.79,25.58,19
HCPCS,83630,Lactoferrin fecal (qual),,,19.7,39.4,19
HCPCS,83631,Lactoferrin fecal (quant),,,19.63,39.26,19
HCPCS,83632,Placental lactogen,,,20.22,40.44,19
HCPCS,83633,Test urine for lactose,,,11.25,22.5,19
HCPCS,83655,Assay of lead,,,12.11,24.22,19
HCPCS,83655,Hb Assay Of Lead,193.0,67.55,,,0
HCPCS,83655,Hb Bedside Lead Assay,80.0,28.0,,,0
HCPCS,83655,Hb Lead Blood,6.4,2.24,,,0
HCPCS,83655,Hb Lead Quant,6.4,2.24,,,0
HCPCS,83655,Hb Lead Urine,6.4,2.24,,,0
HCPCS,83661,L/s ratio fetal lung,,,21.99,43.98,19
HCPCS,83662,Foam stability fetal lung,,,18.91,37.82,19
HCPCS,83663,Fluoro polarize fetal lung,,,18.91,37.82,19
HCPCS,83663,Hb Fetal Maturity Test Flm,595.0,208.25,,,0
HCPCS,83664,Hb Lamellar Body Count,346.0,121.1,,,0
HCPCS,83664,Lamellar bdy fetal lung,,,19.32,38.64,19
HCPCS,83670,Assay of lap enzyme,,,9.81,19.62,19
HCPCS,83690,Assay of lipase,,,6.89,13.78,19
HCPCS,83690,Hb Lipase,229.805,80.42999999999999,,,0
HCPCS,83695,Assay of lipoprotein(a),,,14.32,28.64,19
HCPCS,83698,Assay Lipoprotein Pla2,,,46.31,92.62,19
HCPCS,83698,Hb Lp Pla2 Plac,428.0,149.8,,,0
HCPCS,83698,Hb Plac 2,50.0,17.5,,,0
HCPCS,83700,Hb Lipid Electrophor,68.0,23.8,,,0
HCPCS,83700,Lipopro bld electrophoretic,,,11.26,22.52,19
HCPCS,83701,Lipoprotein bld hr fraction,,,33.86,67.72,19
HCPCS,83704,Lipoprotein bld quan part,,,34.19,68.38,19
HCPCS,83718,Assay of lipoprotein,,,8.19,16.38,19
HCPCS,83718,Hb Hdl Cholesterol,536.0,187.6,,,0
HCPCS,83719,Assay of blood lipoprotein,,,12.75,25.5,19
HCPCS,83721,Assay of blood lipoprotein,,,10.5,21.0,19
HCPCS,83721,Hb Ldl Direct,195.0,68.25,,,0
HCPCS,83722,Lipoprtn dir meas sd ldl chl,,,34.19,68.38,19
HCPCS,83727,Assay of lrh hormone,,,17.19,34.38,19
HCPCS,83735,Assay of magnesium,,,6.7,13.4,19
HCPCS,83735,Hb Ionized Magnesium,366.0,128.1,,,0
HCPCS,83735,Hb Magnesium,348.5,121.975,,,0
HCPCS,83735,Hb Magnesium 24Hr Urine,15.64,5.47,,,0
HCPCS,83735,Hb Magnesium Poc,21.0,7.35,,,0
HCPCS,83735,Hb Rbc Magnesium,66.0,23.1,,,0
HCPCS,83775,Assay malate dehydrogenase,,,7.37,14.74,19
HCPCS,83785,Assay of manganese,,,26.65,53.3,19
HCPCS,83789,Hb Hypoglycemic Panel,110.0,38.5,,,0
HCPCS,83789,Mass spectrometry qual/quan,,,24.11,48.22,19
HCPCS,83825,Assay of mercury,,,16.26,32.52,19
HCPCS,83825,Hb Mercury Blood,25.38,8.88,,,0
HCPCS,83825,Hb Mercury Urine,31.96,11.19,,,0
HCPCS,83835,Assay of metanephrines,,,16.94,33.88,19
HCPCS,83835,Hb Metanephrines Plasma,64.75,22.66,,,0
HCPCS,83835,Hb Metanephrines Urine 24Hr,15.62,5.47,,,0
HCPCS,83835,Hb Metanephrines Urine Ran,19.98,6.99,,,0
HCPCS,83857,Assay of methemalbumin,,,10.74,21.48,19
HCPCS,83861,Microfluid analy tears,,,22.48,44.96,19
HCPCS,83864,Mucopolysaccharides,,,28.5,57.0,19
HCPCS,83872,Assay synovial fluid mucin,,,5.86,11.72,19
HCPCS,83873,Assay of csf protein,,,17.2,34.4,19
HCPCS,83873,Hb Myelin Bas Pro Cs,11.2,3.92,,,0
HCPCS,83874,Assay of myoglobin,,,12.92,25.84,19
HCPCS,83874,Hb Er Myoglobin,457.0,159.95,,,0
HCPCS,83874,Hb Myoglobin,457.0,159.95,,,0
HCPCS,83874,Hb Myoglobulin Urine,457.0,159.95,,,0
HCPCS,83876,Assay myeloperoxidase,,,50.86,101.72,19
HCPCS,83880,Assay of natriuretic peptide,,,39.26,78.52,19
HCPCS,83880,Hb B Natriuretic Peptide,533.0,186.55,,,0
HCPCS,83880,Nt-Probnp,129.0,45.15,,,0
HCPCS,83883,Assay nephelometry not spec,,,13.6,27.2,19
HCPCS,83883,Hb Assay Nephelometry Not Spec,48.13,16.85,,,0
HCPCS,83883,Hb C1 Esterase Inhibit Total,12.2,4.27,,,0
HCPCS,83883,Hb Free Kappa Serum,232.0,81.2,,,0
HCPCS,83883,Hb Free Kappa Urine,232.0,81.2,,,0
HCPCS,83883,Hb Free Lambda Serum,232.0,81.2,,,0
HCPCS,83883,Hb Free Lambda Urine,232.0,81.2,,,0
HCPCS,83883,Hb Kappa Free Serum,240.0,84.0,,,0
HCPCS,83883,Hb Kappa Free Urine,56.0,19.6,,,0
HCPCS,83883,Hb Kappa Light Chain,232.0,81.2,,,0
HCPCS,83883,Hb Lambda Free Serum,240.0,84.0,,,0
HCPCS,83883,Hb Lambda Free Urine,56.0,19.6,,,0
HCPCS,83883,Hb Lambda Light Chain,232.0,81.2,,,0
HCPCS,83884,Assay neurflmnt light chain,,,116.23,232.46,19
HCPCS,83885,Assay of nickel,,,24.51,49.02,19
HCPCS,83915,Assay of nucleotidase,,,11.15,22.3,19
HCPCS,83915,Hb Nucleotidase,51.25,17.94,,,0
HCPCS,83916,Hb Oligoclonal Bands,685.0,239.75,,,0
HCPCS,83916,Oligoclonal bands,,,27.39,54.78,19
HCPCS,83918,"Hb Organic Acids, Full Panel, Quantitative Random Urine",194.88,68.21,,,0
HCPCS,83918,Organic acids total quant,,,23.6,47.2,19
HCPCS,83919,Organic acids qual each,,,16.45,32.9,19
HCPCS,83921,Organic acid single quant,,,21.21,42.42,19
HCPCS,83930,Assay of blood osmolality,,,6.61,13.22,19
HCPCS,83930,Hb Osmolality,286.0,100.1,,,0
HCPCS,83935,Assay of urine osmolality,,,6.82,13.64,19
HCPCS,83935,Hb Osmolality Urine,286.0,100.1,,,0
HCPCS,83937,Assay of osteocalcin,,,29.85,59.7,19
HCPCS,83945,Assay of oxalate,,,14.45,28.9,19
HCPCS,83945,Hb Oxalate,19.21,6.72,,,0
HCPCS,83950,Oncoprotein her-2/neu,,,64.41,128.82,19
HCPCS,83951,Hb Des Gamma Carboxy  Prothrombin,159.54,55.84,,,0
HCPCS,83951,Oncoprotein dcp,,,64.41,128.82,19
HCPCS,83970,Assay of parathormone,,,41.28,82.56,19
HCPCS,83970,Hb Pth Intact,420.0,147.0,,,0
HCPCS,83986,Assay ph body fluid nos,,,3.58,7.16,19
HCPCS,83986,Hb Fecal Ph,17.0,5.95,,,0
HCPCS,83986,Hb Ph Bedside,186.0,65.1,,,0
HCPCS,83986,Hb Ph By Electrode,186.0,65.1,,,0
HCPCS,83986,Hb Urine Ph,186.0,65.1,,,0
HCPCS,83987,Exhaled breath condensate,,,3.58,7.16,19
HCPCS,83992,Hb Assay For Phencyclidine,4.0,1.4,,,0
HCPCS,83993,Assay for calprotectin fecal,,,19.63,39.26,19
HCPCS,83993,"Hb Calprotectin, Stool",140.0,49.0,,,0
HCPCS,84030,Assay of blood pku,,,5.5,11.0,19
HCPCS,84030,Hb Pku Newborn Screen Test,30.0,10.5,,,0
HCPCS,84035,Assay of phenylketones,,,3.98,7.96,19
HCPCS,84060,Assay acid phosphatase,,,7.64,15.28,19
HCPCS,84066,Assay prostate phosphatase,,,9.66,19.32,19
HCPCS,84075,Assay alkaline phosphatase,,,5.18,10.36,19
HCPCS,84075,Hb Alk Phosphatase,167.0,58.45,,,0
HCPCS,84078,Assay alkaline phosphatase,,,8.26,16.52,19
HCPCS,84078,Hb Alk Phos Heat Stable,170.0,59.5,,,0
HCPCS,84080,Assay alkaline phosphatases,,,14.78,29.56,19
HCPCS,84081,Assay phosphatidylglycerol,,,16.52,33.04,19
HCPCS,84081,Hb Amniostat,122.0,42.7,,,0
HCPCS,84085,Assay of rbc pg6d enzyme,,,9.44,18.88,19
HCPCS,84087,Assay phosphohexose enzymes,,,10.73,21.46,19
HCPCS,84100,Assay of phosphorus,,,4.74,9.48,19
HCPCS,84100,Hb Phosphorus,218.0,76.3,,,0
HCPCS,84105,Assay of urine phosphorus,,,5.78,11.56,19
HCPCS,84105,Hb Phosphate 24Hr Urine,226.0,79.1,,,0
HCPCS,84105,Hb Urine Phosphorus,226.0,79.1,,,0
HCPCS,84106,Test for porphobilinogen,,,5.82,11.64,19
HCPCS,84110,Assay of porphobilinogen,,,8.44,16.88,19
HCPCS,84110,Hb Porphobilinogen,34.45,12.06,,,0
HCPCS,84112,Eval amniotic fluid protein,,,98.11,196.22,19
HCPCS,84119,Test urine for porphyrins,,,13.36,26.72,19
HCPCS,84120,Assay of urine porphyrins,,,14.71,29.42,19
HCPCS,84120,Hb Porphyrin,33.43,11.7,,,0
HCPCS,84126,Assay of feces porphyrins,,,39.11,78.22,19
HCPCS,84132,Assay of serum potassium,,,4.76,9.52,19
HCPCS,84132,Hb Potassium,185.0,64.75,,,0
HCPCS,84133,Assay of urine potassium,,,4.73,9.46,19
HCPCS,84133,Hb Potassium 24Hr Urine,154.0,53.9,,,0
HCPCS,84133,Hb Potassium Spot Urine,154.0,53.9,,,0
HCPCS,84134,Assay of prealbumin,,,14.59,29.18,19
HCPCS,84134,Hb Pre Albumin,365.0,127.75,,,0
HCPCS,84135,Assay of pregnanediol,,,21.27,42.54,19
HCPCS,84138,Assay of pregnanetriol,,,21.05,42.1,19
HCPCS,84140,Assay of pregnenolone,,,20.67,41.34,19
HCPCS,84143,Assay of 17-hydroxypregneno,,,22.81,45.62,19
HCPCS,84144,Assay of progesterone,,,20.86,41.72,19
HCPCS,84144,Hb Progesterone,181.0,63.35,,,0
HCPCS,84145,Hb Procalcitonin,678.0,237.3,,,0
HCPCS,84145,Procalcitonin (PCT),,,27.22,54.44,19
HCPCS,84146,Assay of prolactin,,,19.38,38.76,19
HCPCS,84146,Hb Prolactin,661.0,231.35,,,0
HCPCS,84150,Assay of prostaglandin,,,41.77,83.54,19
HCPCS,84152,Assay of psa complexed,,,18.39,36.78,19
HCPCS,84153,Assay of psa total,,,18.39,36.78,19
HCPCS,84153,Hb Prostate Specific Antigen,478.0,167.3,,,0
HCPCS,84154,Assay of psa free,,,18.39,36.78,19
HCPCS,84154,Hb Free Psa,6.78,2.37,,,0
HCPCS,84155,Assay of protein serum,,,3.67,7.34,19
HCPCS,84155,Hb Protein Serum,471.0,164.85,,,0
HCPCS,84156,Assay of protein urine,,,3.67,7.34,19
HCPCS,84156,Hb Protein Urine,253.0,88.55,,,0
HCPCS,84157,Assay of protein other,,,4.0,8.0,19
HCPCS,84157,Hb Proteiin Fluid,471.0,164.85,,,0
HCPCS,84160,Assay of protein any source,,,5.61,11.22,19
HCPCS,84160,Hb Protein Refractometer,72.0,25.2,,,0
HCPCS,84163,Pappa serum,,,15.05,30.1,19
HCPCS,84165,Hb Protein Electrophoresis,296.0,103.6,,,0
HCPCS,84165,Protein e-phoresis serum,,,10.74,21.48,19
HCPCS,84166,Hb Protein Electro Fluid,300.0,105.0,,,0
HCPCS,84166,Protein e-phoresis/urine/csf,,,17.83,35.66,19
HCPCS,84181,Western blot test,,,17.03,34.06,19
HCPCS,84182,Hb 14 3 3 Protein Spinal Fl,153.0,53.55,,,0
HCPCS,84182,Protein western blot test,,,29.21,58.42,19
HCPCS,84202,Assay RBC protoporphyrin,,,14.35,28.7,19
HCPCS,84202,Hb Erythrcyt Protpor,33.43,11.7,,,0
HCPCS,84203,Test RBC protoporphyrin,,,9.74,19.48,19
HCPCS,84206,Assay of proinsulin,,,26.69,53.38,19
HCPCS,84206,Hb Proinsulin,39.6,13.86,,,0
HCPCS,84207,Assay of vitamin b-6,,,28.1,56.2,19
HCPCS,84207,Hb Vitamin B6,11.2,3.92,,,0
HCPCS,84210,Assay of pyruvate,,,14.48,28.96,19
HCPCS,84220,Assay of pyruvate kinase,,,9.44,18.88,19
HCPCS,84228,Assay of quinine,,,11.63,23.26,19
HCPCS,84233,Assay of estrogen,,,87.88,175.76,19
HCPCS,84234,Assay of progesterone,,,64.88,129.76,19
HCPCS,84235,Assay of endocrine hormone,,,71.23,142.46,19
HCPCS,84238,Assay nonendocrine receptor,,,36.57,73.14,19
HCPCS,84238,Hb Soluble Transferrin Rec,45.0,15.75,,,0
HCPCS,84244,Assay of renin,,,21.99,43.98,19
HCPCS,84244,Hb Renin Single,14.4,5.04,,,0
HCPCS,84252,Assay of vitamin b-2,,,20.24,40.48,19
HCPCS,84255,Assay of selenium,,,25.53,51.06,19
HCPCS,84260,Assay of serotonin,,,30.98,61.96,19
HCPCS,84270,Assay of sex hormone globul,,,21.73,43.46,19
HCPCS,84275,Assay of sialic acid,,,13.44,26.88,19
HCPCS,84285,Assay of silica,,,25.21,50.42,19
HCPCS,84295,Assay of serum sodium,,,4.81,9.62,19
HCPCS,84295,Hb Sodium,195.0,68.25,,,0
HCPCS,84300,Assay of urine sodium,,,5.06,10.12,19
HCPCS,84300,Hb Sodium 24Hr Urine,186.0,65.1,,,0
HCPCS,84300,Hb Sodium Spot Urine,186.0,65.1,,,0
HCPCS,84302,Assay of sweat sodium,,,4.86,9.72,19
HCPCS,84302,Hb Sodium Fecal,10.0,3.5,,,0
HCPCS,84305,Assay of somatomedin,,,21.26,42.52,19
HCPCS,84305,Hb Somatomedin C,57.4,20.09,,,0
HCPCS,84307,Assay of somatostatin,,,18.28,36.56,19
HCPCS,84307,Hb Somatostatin,57.4,20.09,,,0
HCPCS,84311,Hb Spectrophotometry,200.0,70.0,,,0
HCPCS,84311,Spectrophotometry,,,8.1,16.2,19
HCPCS,84315,Body fluid specific gravity,,,3.28,6.56,19
HCPCS,84375,Chromatogram assay sugars,,,39.0,78.0,19
HCPCS,84376,Hb Reducing Substances,161.0,56.35,,,0
HCPCS,84376,Sugars single qual,,,5.5,11.0,19
HCPCS,84377,Sugars multiple qual,,,5.5,11.0,19
HCPCS,84378,Sugars single quant,,,11.53,23.06,19
HCPCS,84379,Sugars multiple quant,,,11.53,23.06,19
HCPCS,84392,Assay of urine sulfate,,,5.49,10.98,19
HCPCS,84392,Hb Assay Of Urine Sulfate,89.0,31.15,,,0
HCPCS,84393,Tau phosphorylated ea,,,128.92,257.84,19
HCPCS,84394,Total tau,,,128.92,257.84,19
HCPCS,84402,Assay of free testosterone,,,25.47,50.94,19
HCPCS,84402,Hb Testosterone Free,15.2,5.32,,,0
HCPCS,84403,Assay of total testosterone,,,25.81,51.62,19
HCPCS,84403,Hb Testosterone Total,167.0,58.45,,,0
HCPCS,84410,Testosterone bioavailable,,,51.28,102.56,19
HCPCS,84425,Assay of vitamin b-1,,,21.23,42.46,19
HCPCS,84425,Hb Thiamine Vit B1,30.93,10.83,,,0
HCPCS,84430,Assay of thiocyanate,,,11.63,23.26,19
HCPCS,84431,Thromboxane urine,,,35.11,70.22,19
HCPCS,84432,Assay of thyroglobulin,,,16.06,32.12,19
HCPCS,84432,Hb Assay Of Thyroglobulin,11.0,3.85,,,0
HCPCS,84432,"Hb Bile Acid, Total",19.5,6.82,,,0
HCPCS,84432,Hb Thyroglobulin,357.0,124.95,,,0
HCPCS,84432,"Hb Thyroglobulin, Fna",60.0,21.0,,,0
HCPCS,84433,Asy thiopurin s-mthyltrnsfrs,,,22.17,44.34,19
HCPCS,84436,Assay of total thyroxine,,,6.87,13.74,19
HCPCS,84436,Hb T4 Total,401.0,140.35,,,0
HCPCS,84437,Assay of neonatal thyroxine,,,6.47,12.94,19
HCPCS,84439,Assay of free thyroxine,,,9.02,18.04,19
HCPCS,84439,Hb T4 Free,365.0,127.75,,,0
HCPCS,84442,Assay of thyroid activity,,,14.78,29.56,19
HCPCS,84442,Hb Thyroid Bind Glob,16.0,5.6,,,0
HCPCS,84443,Assay thyroid stim hormone,,,16.8,33.6,19
HCPCS,84443,Hb Tsh,493.0,172.55,,,0
HCPCS,84443,Hb Tsh (General Health Panel Only),112.0,39.2,,,0
HCPCS,84445,Assay of tsi globulin,,,50.86,101.72,19
HCPCS,84445,Hb Thyroid Stim Immglob,40.0,14.0,,,0
HCPCS,84446,Assay of vitamin e,,,14.18,28.36,19
HCPCS,84446,Hb Vitamin E,11.2,3.92,,,0
HCPCS,84449,Assay of transcortin,,,18.0,36.0,19
HCPCS,84450,Hb Ast Got,236.0,82.6,,,0
HCPCS,84450,Transferase (AST) (SGOT),,,5.18,10.36,19
HCPCS,84460,Alanine amino (ALT) (SGPT),,,5.3,10.6,19
HCPCS,84460,Hb Alt Gpt,147.0,51.45,,,0
HCPCS,84466,Assay of transferrin,,,12.76,25.52,19
HCPCS,84466,Hb Transferrin,253.0,88.55,,,0
HCPCS,84478,Assay of triglycerides,,,5.74,11.48,19
HCPCS,84478,Hb Triglycerides,296.0,103.6,,,0
HCPCS,84479,Assay of thyroid (t3 or t4),,,6.47,12.94,19
HCPCS,84479,Hb T3 Uptake,314.0,109.9,,,0
HCPCS,84480,Assay triiodothyronine (t3),,,14.18,28.36,19
HCPCS,84480,Hb T3 Total,479.0,167.65,,,0
HCPCS,84481,Free assay (FT-3),,,16.94,33.88,19
HCPCS,84481,Hb T3 Free,116.0,40.6,,,0
HCPCS,84482,Hb T3 Reverse,42.0,14.7,,,0
HCPCS,84482,T3 reverse,,,15.76,31.52,19
HCPCS,84484,Assay of troponin quant,,,12.47,24.94,19
HCPCS,84484,"Hb Troponin High Sensitivity, Plasma",701.0,245.35,,,0
HCPCS,84484,Hb Troponin I,745.0,260.75,,,0
HCPCS,84485,Assay duodenal fluid trypsin,,,7.2,14.4,19
HCPCS,84488,Test feces for trypsin,,,7.3,14.6,19
HCPCS,84490,Assay of feces for trypsin,,,9.93,19.86,19
HCPCS,84510,Assay of tyrosine,,,10.63,21.26,19
HCPCS,84512,Assay of troponin qual,,,10.09,20.18,19
HCPCS,84520,Assay of urea nitrogen,,,3.95,7.9,19
HCPCS,84520,Hb Bun,195.0,68.25,,,0
HCPCS,84520,Hb Bun Bedside,28.0,9.8,,,0
HCPCS,84525,Urea nitrogen semi-quant,,,5.13,10.26,19
HCPCS,84540,Assay of urine/urea-n,,,5.56,11.12,19
HCPCS,84540,Hb Urea Nitrogen 24Hr Urine,161.0,56.35,,,0
HCPCS,84540,Hb Urine Urea Nitrogen,161.0,56.35,,,0
HCPCS,84545,Urea-N clearance test,,,7.2,14.4,19
HCPCS,84550,Assay of blood/uric acid,,,4.52,9.04,19
HCPCS,84550,Hb Uric Acid,247.0,86.45,,,0
HCPCS,84560,Assay of urine/uric acid,,,5.08,10.16,19
HCPCS,84560,Hb Fluid Uric Acid,336.0,117.6,,,0
HCPCS,84560,Hb Uric Acid 24Hr Urine,336.0,117.6,,,0
HCPCS,84577,Assay of feces/urobilinogen,,,16.8,33.6,19
HCPCS,84578,Test urine urobilinogen,,,4.47,8.94,19
HCPCS,84580,Assay of urine urobilinogen,,,9.55,19.1,19
HCPCS,84583,Assay of urine urobilinogen,,,6.05,12.1,19
HCPCS,84585,Assay of urine vma,,,15.5,31.0,19
HCPCS,84585,Hb Vma Quantitative,12.7,4.44,,,0
HCPCS,84585,Hb Vma Random Urine,9.6,3.36,,,0
HCPCS,84586,Assay of vip,,,35.33,70.66,19
HCPCS,84586,Hb Vasoactive Immunopeptide,17.45,6.11,,,0
HCPCS,84588,Assay of vasopressin,,,33.94,67.88,19
HCPCS,84590,Assay of vitamin a,,,11.61,23.22,19
HCPCS,84590,Hb Vitamin A,11.2,3.92,,,0
HCPCS,84591,Assay Of Nos Vitamin,,,17.06,34.12,19
HCPCS,84597,Assay of vitamin k,,,13.72,27.44,19
HCPCS,84600,Assay of volatiles,,,17.11,34.22,19
HCPCS,84600,Hb Volatiles,23.25,8.14,,,0
HCPCS,84620,Xylose tolerance test,,,12.91,25.82,19
HCPCS,84630,Assay of zinc,,,11.39,22.78,19
HCPCS,84630,Hb Zinc,53.26,18.64,,,0
HCPCS,84630,Hb Zinc Rbc,75.23,26.33,,,0
HCPCS,84681,Assay of c-peptide,,,20.81,41.62,19
HCPCS,84681,Hb C Peptide,168.0,58.8,,,0
HCPCS,84702,Chorionic gonadotropin test,,,15.05,30.1,19
HCPCS,84702,Hb Bedside Hcg Quantitative Analysis Blood,508.0,177.8,,,0
HCPCS,84702,Hb Beta Hcg,562.0,196.7,,,0
HCPCS,84702,Hb Hcg,53.0,18.55,,,0
HCPCS,84703,Chorionic gonadotropin assay,,,7.52,15.04,19
HCPCS,84703,Hb Bedside Hcg Qualitative Analysis Blood,253.0,88.55,,,0
HCPCS,84703,Hb Hcg Poc,288.0,100.8,,,0
HCPCS,84703,Hb Preg Test Beta Serum,317.0,110.95,,,0
HCPCS,84704,Hb Hcg Tumor Marker Quantitative,43.0,15.05,,,0
HCPCS,84704,Hcg free betachain test,,,15.29,30.58,19
HCPCS,84830,Ovulation tests,,,12.7,25.4,19
HCPCS,84999,Hb Fecal Osmolality,16.38,5.73,,,0
HCPCS,84999,Hb Potassium Fecal,14.95,5.23,,,0
HCPCS,85002,Bleeding time test,,,4.82,9.64,19
HCPCS,85004,Automated diff wbc count,,,6.47,12.94,19
HCPCS,85007,Bl smear w/diff wbc count,,,3.8,7.6,19
HCPCS,85007,Hb Bl Smear W/Diff Wbc Count,72.0,25.2,,,0
HCPCS,85007,Hb Bl Smear W/Diff Wbc Count (General Health Panel Only),86.0,30.1,,,0
HCPCS,85008,Bl smear w/o diff wbc count,,,3.43,6.86,19
HCPCS,85008,Hb Bl Smear W/O Diff Wbc Count,69.0,24.15,,,0
HCPCS,85008,Hb Wri St Periph Smr,247.0,86.45,,,0
HCPCS,85009,Hb Wright Stain Buffy Coat,114.0,39.9,,,0
HCPCS,85009,Manual diff wbc count b-coat,,,5.07,10.14,19
HCPCS,85013,Spun microhematocrit,,,7.0,14.0,19
HCPCS,85014,Hb Hematocrit,182.0,63.7,,,0
HCPCS,85014,Hematocrit,,,2.37,4.74,19
HCPCS,85018,Hb Hemoglobin,136.0,47.6,,,0
HCPCS,85018,Hb Hemoglobin Bedside,136.0,47.6,,,0
HCPCS,85018,Hb Hemoglobin Concentration,123.0,43.05,,,0
HCPCS,85018,Hemoglobin,,,2.37,4.74,19
HCPCS,85025,Complete cbc w/auto diff wbc,,,7.77,15.54,19
HCPCS,85025,Hb Cbc,351.0,122.85,,,0
HCPCS,85025,Hb Cbc (General Health Panel Only),86.0,30.1,,,0
HCPCS,85027,Complete cbc automated,,,6.47,12.94,19
HCPCS,85027,Hb Complete Cbc Automated,288.0,100.8,,,0
HCPCS,85027,Hb Complete Cbc Automated (General Health Panel Only),86.0,30.1,,,0
HCPCS,85027,Hb Hemogram,288.0,100.8,,,0
HCPCS,85032,Manual cell count each,,,4.31,8.62,19
HCPCS,85041,Automated rbc count,,,3.02,6.04,19
HCPCS,85044,Manual reticulocyte count,,,4.31,8.62,19
HCPCS,85045,Automated reticulocyte count,,,3.99,7.98,19
HCPCS,85046,Hb Reticulated Hemoglobin Mean,214.0,74.9,,,0
HCPCS,85046,Hb Reticulocyte Cnt,140.0,49.0,,,0
HCPCS,85046,Reticyte/hgb concentrate,,,5.57,11.14,19
HCPCS,85048,Automated leukocyte count,,,2.54,5.08,19
HCPCS,85049,Automated platelet count,,,4.48,8.96,19
HCPCS,85049,Hb Citrated Platelet Count,183.0,64.05,,,0
HCPCS,85049,Hb Platelet Count,183.0,64.05,,,0
HCPCS,85055,Hb Immature Paltelet Fraction,221.0,77.35,,,0
HCPCS,85055,Reticulated platelet assay,,,35.74,71.48,19
HCPCS,85097,Bone marrow interpretation,,,841.35,1682.71,19
HCPCS,85097,Hb Cytogenetic Report,39.0,13.65,,,0
HCPCS,85097,Hb Sma Intrep And Report,56.0,19.6,,,0
HCPCS,85130,Chromogenic substrate assay,,,11.89,23.78,19
HCPCS,85170,Blood clot retraction,,,16.3,32.6,19
HCPCS,85175,Blood clot lysis time,,,20.37,40.74,19
HCPCS,85175,Hb Clot Lysis Time,231.0,80.85,,,0
HCPCS,85175,Hb Clot Lysis Time Teg,231.0,80.85,,,0
HCPCS,85210,Clot factor ii prothrom spec,,,12.98,25.96,19
HCPCS,85220,Blooc clot factor v test,,,17.65,35.3,19
HCPCS,85220,Hb Factor V Level,552.0,193.2,,,0
HCPCS,85230,Clot factor vii proconvertin,,,17.9,35.8,19
HCPCS,85230,Hb Factor Vii Level,543.0,190.05,,,0
HCPCS,85240,Clot factor viii ahg 1 stage,,,17.9,35.8,19
HCPCS,85240,Hb Factor Viii,543.0,190.05,,,0
HCPCS,85244,Clot factor viii reltd antgn,,,20.42,40.84,19
HCPCS,85244,Hb Chromatin Antibody,46.25,16.19,,,0
HCPCS,85245,Clot factor viii vw ristoctn,,,22.94,45.88,19
HCPCS,85245,Hb Vwf Activity,15.3,5.36,,,0
HCPCS,85246,Clot factor viii vw antigen,,,22.94,45.88,19
HCPCS,85246,Hb Factor Viii Ag,15.3,5.36,,,0
HCPCS,85247,Clot factor viii multimetric,,,22.94,45.88,19
HCPCS,85247,Hb Vwf Multimeric Anal,41.2,14.42,,,0
HCPCS,85250,Clot factor ix ptc/chrstmas,,,19.04,38.08,19
HCPCS,85250,Hb Factor Ix,543.0,190.05,,,0
HCPCS,85260,Clot factor x stuart-power,,,17.9,35.8,19
HCPCS,85270,Clot factor xi pta,,,17.9,35.8,19
HCPCS,85270,Hb Factor Xi Level,552.0,193.2,,,0
HCPCS,85280,Clot factor xii hageman,,,19.35,38.7,19
HCPCS,85280,Hb Factor Xii Level,543.0,190.05,,,0
HCPCS,85290,Clot factor xiii fibrin stab,,,16.34,32.68,19
HCPCS,85290,"Hb Factor Xiii, Functional",60.49,21.17,,,0
HCPCS,85291,Clot factor xiii fibrin scrn,,,9.11,18.22,19
HCPCS,85291,Hb Factor Xiii,56.0,19.6,,,0
HCPCS,85292,Clot factor fletcher fact,,,18.93,37.86,19
HCPCS,85293,Clot factor wght kininogen,,,18.93,37.86,19
HCPCS,85300,Antithrombin iii activity,,,11.85,23.7,19
HCPCS,85300,Hb Antithrombin Iii,643.0,225.05,,,0
HCPCS,85301,Antithrombin iii antigen,,,10.81,21.62,19
HCPCS,85302,Clot inhibit prot c antigen,,,12.01,24.02,19
HCPCS,85302,Hb Protein C Antigen,17.25,6.04,,,0
HCPCS,85303,Clot inhibit prot c activity,,,13.84,27.68,19
HCPCS,85303,Hb Protein C Activity,645.0,225.75,,,0
HCPCS,85305,Clot inhibit prot s total,,,11.61,23.22,19
HCPCS,85305,Hb Protein S,17.25,6.04,,,0
HCPCS,85306,Clot inhibit prot s free,,,15.32,30.64,19
HCPCS,85306,Hb Protein S Free Activity,657.0,229.95,,,0
HCPCS,85307,Assay Activated Protein C,,,15.32,30.64,19
HCPCS,85307,Hb Protein C Inhib Activated,26.35,9.22,,,0
HCPCS,85335,Factor inhibitor test,,,12.87,25.74,19
HCPCS,85335,Hb Adamts13 Inhibitor,220.0,77.0,,,0
HCPCS,85335,Hb Factor Inhibitor Assay,1350.0,472.5,,,0
HCPCS,85337,Thrombomodulin,,,17.27,34.54,19
HCPCS,85345,Coagulation time lee & white,,,4.69,9.38,19
HCPCS,85347,Coagulation time activated,,,4.28,8.56,19
HCPCS,85347,Hb Act Bedside,346.0,121.1,,,0
HCPCS,85347,Hb Act Platelet Mapping Asp And Plav,58.0,20.3,,,0
HCPCS,85347,Hb Act Platelet Mapping For Asp,51.0,17.85,,,0
HCPCS,85347,Hb Activated Clot,346.0,121.1,,,0
HCPCS,85347,Hb Activated Clotting Timer,346.0,121.1,,,0
HCPCS,85347,Hb Activated Coagulation Time,346.0,121.1,,,0
HCPCS,85347,Hb Coagulation Time Activated Poc,346.0,121.1,,,0
HCPCS,85347,Hb Rapid Teg R,346.0,121.1,,,0
HCPCS,85348,Coagulation time otr method,,,4.49,8.98,19
HCPCS,85360,Euglobulin lysis,,,8.41,16.82,19
HCPCS,85362,Fibrin degradation products,,,6.89,13.78,19
HCPCS,85362,Hb Fibrin Split Prod,526.0,184.1,,,0
HCPCS,85366,Fibrinogen test,,,80.46,160.92,19
HCPCS,85370,Fibrinogen test,,,12.43,24.86,19
HCPCS,85378,Fibrin degrade semiquant,,,9.72,19.44,19
HCPCS,85379,Fibrin degradation quant,,,10.18,20.36,19
HCPCS,85379,Hb D Dimer Quant,626.0,219.1,,,0
HCPCS,85379,Hb Neodmr Hepzyme Treated Ddimer,256.0,89.6,,,0
HCPCS,85380,Fibrin degradj d-dimer,,,10.18,20.36,19
HCPCS,85380,Hb D Dimer Ultra Sensitive,626.0,219.1,,,0
HCPCS,85384,Fibrinogen activity,,,9.72,19.44,19
HCPCS,85384,Hb Fibrinogen Activity K,358.0,125.3,,,0
HCPCS,85384,Hb Fibrinogen Activity Platelet Mapping Asp And Plav,116.0,40.6,,,0
HCPCS,85384,Hb Fibrinogen Activity Platelet Mapping For Asp,98.0,34.3,,,0
HCPCS,85384,Hb Fibrinogen Level,358.0,125.3,,,0
HCPCS,85384,Hb Fibrinogen Teg,358.0,125.3,,,0
HCPCS,85384,Hb Neofib Hepzyme Treated Fibrinogen,204.0,71.4,,,0
HCPCS,85384,Hb Rapid Teg K,358.0,125.3,,,0
HCPCS,85385,Fibrinogen antigen,,,14.46,28.92,19
HCPCS,85390,Fibrinolysins screen i&r,,,15.48,30.96,19
HCPCS,85390,Hb Fibrinolysins Screen Platelet Mapping  Asp And Plav,58.0,20.3,,,0
HCPCS,85390,Hb Fibrinolysins Screen Platelet Mapping For Asp,51.0,17.85,,,0
HCPCS,85390,Hb Fibrinolysis,427.0,149.45,,,0
HCPCS,85390,Hb Fibrinolysis Ly30,427.0,149.45,,,0
HCPCS,85390,Hb Rapid Teg Lysis,427.0,149.45,,,0
HCPCS,85397,Clotting funct activity,,,30.86,61.72,19
HCPCS,85397,Hb Adamts13 Activity,77.0,26.95,,,0
HCPCS,85400,Fibrinolytic plasmin,,,7.71,15.42,19
HCPCS,85410,Fibrinolytic antiplasmin,,,7.71,15.42,19
HCPCS,85415,Fibrinolytic plasminogen,,,17.19,34.38,19
HCPCS,85415,Hb Tissue Plasminogen Activator,150.0,52.5,,,0
HCPCS,85420,Fibrinolytic plasminogen,,,6.53,13.06,19
HCPCS,85420,Hb Plasminogen,26.91,9.42,,,0
HCPCS,85421,Fibrinolytic plasminogen,,,10.18,20.36,19
HCPCS,85441,Hb Heinz Body Prep,74.0,25.9,,,0
HCPCS,85441,Heinz bodies direct,,,4.2,8.4,19
HCPCS,85445,Heinz bodies induced,,,6.82,13.64,19
HCPCS,85460,Hb Kliehauer Betke Ftl Stain 187,493.0,172.55,,,0
HCPCS,85460,Hemoglobin fetal,,,7.73,15.46,19
HCPCS,85461,Hb Fetal Fmh Screen 034,189.0,66.15,,,0
HCPCS,85461,Hemoglobin fetal,,,9.36,18.72,19
HCPCS,85475,Hemolysin acid,,,8.87,17.74,19
HCPCS,85520,Hb Heparin Anti Xa,451.0,157.85,,,0
HCPCS,85520,Hb Heparin Assay,451.0,157.85,,,0
HCPCS,85520,Hb Heplmw Anti Xa Low Molecular,299.0,104.65,,,0
HCPCS,85520,Hb Hepuf Anti Xa For Unfractionated Heparin,299.0,104.65,,,0
HCPCS,85520,Heparin assay,,,13.09,26.18,19
HCPCS,85525,Hb Heparin Neutralization,150.0,52.5,,,0
HCPCS,85525,Heparin neutralization,,,11.84,23.68,19
HCPCS,85530,Hb Heparin-Protamine Tolerance,451.0,157.85,,,0
HCPCS,85530,Heparin-protamine tolerance,,,13.09,26.18,19
HCPCS,85536,Iron Stain Peripheral Blood,,,6.88,13.76,19
HCPCS,85540,Wbc alkaline phosphatase,,,8.6,17.2,19
HCPCS,85547,RBC mechanical fragility,,,8.6,17.2,19
HCPCS,85549,Muramidase,,,18.75,37.5,19
HCPCS,85555,RBC osmotic fragility,,,7.47,14.94,19
HCPCS,85557,RBC osmotic fragility,,,13.36,26.72,19
HCPCS,85576,Blood platelet aggregation,,,24.91,49.82,19
HCPCS,85576,Hb Blood Platelet Aggregation Ma,590.0,206.5,,,0
HCPCS,85576,Hb Blood Platelet Aggregation Platelet Mapping For Asp,109.0,38.15,,,0
HCPCS,85576,Hb Blood Platelet Aggregation Platelet Mapping For Asp And Plav,125.0,43.75,,,0
HCPCS,85576,Hb P2Y12 Verifynow,590.0,206.5,,,0
HCPCS,85576,Hb Platelet Agg Adp,590.0,206.5,,,0
HCPCS,85576,Hb Platelet Agg Asa,590.0,206.5,,,0
HCPCS,85576,Hb Platelet Agg Collagen,590.0,206.5,,,0
HCPCS,85576,Hb Platelet Aggregation,590.0,206.5,,,0
HCPCS,85576,Hb Plt Funct Adp,590.0,206.5,,,0
HCPCS,85576,Hb Plt Funct Epi,590.0,206.5,,,0
HCPCS,85576,Hb Rapid Teg Ma,590.0,206.5,,,0
HCPCS,85576,Hb Verifynow Aspirin Test,590.0,206.5,,,0
HCPCS,85597,Hb Hexagonal Phase Confirm,12.76,4.47,,,0
HCPCS,85597,Hb Hexagonal Phospholipid,278.0,97.3,,,0
HCPCS,85597,Phospholipid pltlt neutraliz,,,17.98,35.96,19
HCPCS,85598,Hexagnal phosph pltlt neutrl,,,17.98,35.96,19
HCPCS,85610,Hb Bedside Pt Inr,187.0,65.45,,,0
HCPCS,85610,Hb Neopt Hepzyme Treated Pt,105.0,36.75,,,0
HCPCS,85610,Hb Prothrombin Time W Inr,187.0,65.45,,,0
HCPCS,85610,Hb Protime Bedside,187.0,65.45,,,0
HCPCS,85610,Prothrombin time,,,4.29,8.58,19
HCPCS,85611,Hb Mixing Study Pt,66.0,23.1,,,0
HCPCS,85611,Prothrombin test,,,3.94,7.88,19
HCPCS,85612,Viper venom prothrombin time,,,17.49,34.98,19
HCPCS,85613,Hb Drvvt Confirm,30.07,10.52,,,0
HCPCS,85613,Hb Lupus Confirm,273.0,95.55,,,0
HCPCS,85613,Hb Lupus Drvvt Screen,21.89,7.66,,,0
HCPCS,85613,Hb Russels Viper Venom,273.0,95.55,,,0
HCPCS,85613,Russell viper venom diluted,,,9.58,19.16,19
HCPCS,85635,Reptilase test,,,9.85,19.7,19
HCPCS,85651,Hb Sed Rate Esr,266.0,93.1,,,0
HCPCS,85651,Rbc sed rate nonautomated,,,4.27,8.54,19
HCPCS,85652,Hb Sed Rate Esr,266.0,93.1,,,0
HCPCS,85652,Rbc sed rate automated,,,2.7,5.4,19
HCPCS,85660,Hb Hemoglobin S Testing 188,259.0,90.65,,,0
HCPCS,85660,Hb Sickle Cell Scrn,124.0,43.4,,,0
HCPCS,85660,RBC sickle cell test,,,5.51,11.02,19
HCPCS,85670,Hb Thrombin Time,181.0,63.35,,,0
HCPCS,85670,Thrombin time plasma,,,5.77,11.54,19
HCPCS,85675,Thrombin time titer,,,6.85,13.7,19
HCPCS,85705,Thromboplastin inhibition,,,9.63,19.26,19
HCPCS,85730,Hb Aptt,217.0,75.95,,,0
HCPCS,85730,Hb Lupus Ptt,9.6,3.36,,,0
HCPCS,85730,Hb Neonatal Ptt,217.0,75.95,,,0
HCPCS,85730,Hb Neoptt Hepzyme Treated Ptt,145.0,50.75,,,0
HCPCS,85730,Thromboplastin time partial,,,6.01,12.02,19
HCPCS,85732,Hb Inhibitor Scrn W Incub,645.0,225.75,,,0
HCPCS,85732,Hb Mixing Study Ptt,645.0,225.75,,,0
HCPCS,85732,Thromboplastin time partial,,,6.47,12.94,19
HCPCS,85810,Blood viscosity examination,,,11.67,23.34,19
HCPCS,85810,Hb Viscosity,26.79,9.38,,,0
HCPCS,86000,Agglutinins febrile antigen,,,6.98,13.96,19
HCPCS,86001,Allergen Specific Igg,,,7.82,15.64,19
HCPCS,86003,Allergen specific IgE,,,5.22,10.44,19
HCPCS,86003,Hb Food Allergy Panel X15,107.0,37.45,,,0
HCPCS,86003,Hb Rast,5.14,1.8,,,0
HCPCS,86005,Allergen specific IgE,,,7.97,15.94,19
HCPCS,86008,Allg spec ige recomb ea,,,17.93,35.86,19
HCPCS,86015,Actin antibody each,,,12.05,24.1,19
HCPCS,86021,Hb C Anca,242.0,84.7,,,0
HCPCS,86021,Hb Hla Class I Ab Id,183.0,64.05,,,0
HCPCS,86021,Hb Hla Class I I Ab Id Dr Dq,183.0,64.05,,,0
HCPCS,86021,Hb Myeloperoxidase Ab,27.15,9.5,,,0
HCPCS,86021,Hb P Anca,242.0,84.7,,,0
HCPCS,86021,Hb Proteinase Ab,27.15,9.5,,,0
HCPCS,86021,WBC antibody identification,,,15.05,30.1,19
HCPCS,86022,Hb Anti Plat Ab,120.0,42.0,,,0
HCPCS,86022,Hb Hit Flow Antibody,480.0,168.0,,,0
HCPCS,86022,Hb Luminex Platelet Antibody Screen,420.0,147.0,,,0
HCPCS,86022,Hb Platelet Antibody Screen 199,2034.0,711.9,,,0
HCPCS,86022,Hb Plt Antibody Workup 059,630.0,220.5,,,0
HCPCS,86022,Hb Serotonin Release Assay,120.0,42.0,,,0
HCPCS,86022,Platelet antibodies,,,18.37,36.74,19
HCPCS,86023,Immunoglobulin assay,,,12.46,24.92,19
HCPCS,86036,Anca screen each antibody,,,12.05,24.1,19
HCPCS,86036,Hb Antineutrophil Cytoplasmic Antb Screen Ea Antb,59.35,20.77,,,0
HCPCS,86037,Anca titer each antibody,,,12.05,24.1,19
HCPCS,86037,Hb Antineutrophil Cytoplasmic Antb Titer Ea Antb,19.41,6.79,,,0
HCPCS,86038,Antinuclear antibodies,,,12.09,24.18,19
HCPCS,86038,Hb Centromere Antibody,9.09,3.18,,,0
HCPCS,86038,Hb Fana,425.0,148.75,,,0
HCPCS,86039,Antinuclear antibodies (ANA),,,11.16,22.32,19
HCPCS,86039,Hb Fana Titer,164.0,57.4,,,0
HCPCS,86041,Acetylcholn rcptr bndng antb,,,18.4,36.8,19
HCPCS,86042,Acetylcholn rcptr blckg antb,,,18.4,36.8,19
HCPCS,86043,Acetylcholn rcptr modlg antb,,,12.05,24.1,19
HCPCS,86051,Aquaporin-4 antb elisa,,,11.53,23.06,19
HCPCS,86052,Aquaporin-4 antb cba each,,,12.05,24.1,19
HCPCS,86053,Aqaprn-4 antb flo cytmtry ea,,,37.73,75.46,19
HCPCS,86060,Antistreptolysin o titer,,,7.3,14.6,19
HCPCS,86060,Hb Anti Strep O Aso,4.8,1.68,,,0
HCPCS,86063,Antistreptolysin o screen,,,5.77,11.54,19
HCPCS,86077,Phys blood bank serv xmatch,,,30.2,60.41,19
HCPCS,86078,Phys blood bank serv reactj,,,177.91,355.83,19
HCPCS,86079,Phys blood bank serv authrj,,,54.42,108.84,19
HCPCS,86140,C-reactive protein,,,5.18,10.36,19
HCPCS,86140,Hb C-Reactive Protein (Crp),390.0,136.5,,,0
HCPCS,86141,C-reactive protein hs,,,12.95,25.9,19
HCPCS,86141,Hb Crp High Sensitivity,390.0,136.5,,,0
HCPCS,86146,Beta-2 glycoprotein antibody,,,25.45,50.9,19
HCPCS,86146,Hb B2 Glycoprotein Iga Ab,38.01,13.3,,,0
HCPCS,86146,Hb B2 Glycoprotein Igg Ab,38.01,13.3,,,0
HCPCS,86146,Hb B2 Glycoprotein Igm Ab,38.01,13.3,,,0
HCPCS,86146,Hb Beta 2 Glyoprot Igg,178.0,62.3,,,0
HCPCS,86146,Hb Beta 2 Glyoprot Igm,178.0,62.3,,,0
HCPCS,86147,Cardiolipin antibody ea ig,,,25.45,50.9,19
HCPCS,86147,Hb Cardiolipin Ab Iga,385.0,134.75,,,0
HCPCS,86147,Hb Cardiolipin Ab Igg,385.0,134.75,,,0
HCPCS,86147,Hb Cardiolipin Ab Igm,385.0,134.75,,,0
HCPCS,86148,Anti-phospholipid antibody,,,16.07,32.14,19
HCPCS,86152,Cell enumeration & id,,,250.78,501.56,19
HCPCS,86155,Chemotaxis assay,,,15.99,31.98,19
HCPCS,86156,Cold agglutinin screen,,,8.07,16.14,19
HCPCS,86156,Hb Cold Agglutinin,3.2,1.12,,,0
HCPCS,86157,Cold agglutinin titer,,,8.06,16.12,19
HCPCS,86160,Complement antigen,,,12.0,24.0,19
HCPCS,86160,Hb C1Q Serum,30.45,10.66,,,0
HCPCS,86160,Hb C2 Serum,23.76,8.32,,,0
HCPCS,86160,Hb Complement C3,378.0,132.3,,,0
HCPCS,86160,Hb Complement C4,378.0,132.3,,,0
HCPCS,86161,Complement/function activity,,,12.0,24.0,19
HCPCS,86162,Complement total (ch50),,,20.32,40.64,19
HCPCS,86162,Hb Alternative Pathway,57.3,20.06,,,0
HCPCS,86162,Hb Total Complement,7.2,2.52,,,0
HCPCS,86171,Complement fixation each,,,10.01,20.02,19
HCPCS,86200,Ccp antibody,,,12.95,25.9,19
HCPCS,86200,Hb Ccp Antibody Igg,346.0,121.1,,,0
HCPCS,86215,Deoxyribonuclease antibody,,,13.25,26.5,19
HCPCS,86225,Dna antibody native,,,13.74,27.48,19
HCPCS,86225,Hb Anti Nuclear Dna,397.0,138.95,,,0
HCPCS,86226,Dna antibody single strand,,,12.11,24.22,19
HCPCS,86231,Ema each ig class,,,12.09,24.18,19
HCPCS,86231,Hb Endomysial Antibody Each Immunoglobulin Class,12.0,4.2,,,0
HCPCS,86235,Hb Extractable Antigen Rnp,234.0,81.9,,,0
HCPCS,86235,Hb Extractable Antigen Sm,234.0,81.9,,,0
HCPCS,86235,Hb Extractable Antigen Ss A,234.0,81.9,,,0
HCPCS,86235,Hb Extractable Antigen Ss B,234.0,81.9,,,0
HCPCS,86235,Hb Jo 1 Antibody,16.42,5.75,,,0
HCPCS,86235,Hb Scl 70 Antibody,10.26,3.59,,,0
HCPCS,86235,Nuclear antigen antibody,,,17.93,35.86,19
HCPCS,86255,Fluorescent antibody screen,,,12.05,24.1,19
HCPCS,86255,Hb Anti Histone Ab,15.0,5.25,,,0
HCPCS,86255,"Hb Aquaporin-4 Antibody With Reflex To Titer, Csf",529.0,185.15,,,0
HCPCS,86255,"Hb Aquaporin-4 Antibody With Reflex To Titer, Serum",529.0,185.15,,,0
HCPCS,86255,Hb Copeptin,13.6,4.76,,,0
HCPCS,86255,Hb Endomysial Iga Antibody,27.88,9.76,,,0
HCPCS,86255,Hb Fluorescent Ab; Scrn Ea Ab,1425.0,498.75,,,0
HCPCS,86255,Hb Hu Antibody Csf,62.04,21.71,,,0
HCPCS,86255,Hb Hu Antibody Serum,31.57,11.05,,,0
HCPCS,86255,Hb Mitochondrial Ab,27.88,9.76,,,0
HCPCS,86255,"Hb Myelin Oligodendrocyte Glycoprotein (Mog) Antibdy W/Rflx To Titer, Csf",529.0,185.15,,,0
HCPCS,86255,"Hb Myelin Oligodendrocyte Glycoprotein (Mog) Antibdy W/Rflx To Titer, Serum",529.0,185.15,,,0
HCPCS,86255,Hb Parietal Cell Ab,18.2,6.37,,,0
HCPCS,86255,Hb Ri Antibody Screen W/Reflex,95.0,33.25,,,0
HCPCS,86255,Hb Yo Antibody Csf,140.0,49.0,,,0
HCPCS,86255,Hb Yo Antiibodt Serum,90.0,31.5,,,0
HCPCS,86256,Fluorescent antibody titer,,,12.05,24.1,19
HCPCS,86258,Dgp antibody each ig class,,,12.05,24.1,19
HCPCS,86277,Growth hormone antibody,,,15.74,31.48,19
HCPCS,86280,Hemagglutination inhibition,,,8.19,16.38,19
HCPCS,86294,Immunoassay tumor qual,,,25.57,51.14,19
HCPCS,86300,Hb Ca 15 3,325.0,113.75,,,0
HCPCS,86300,Hb Ca27.29,9.6,3.36,,,0
HCPCS,86300,Immunoassay tumor ca 15-3,,,20.81,41.62,19
HCPCS,86301,Hb Ca199,156.0,54.6,,,0
HCPCS,86301,Immunoassay tumor ca 19-9,,,20.81,41.62,19
HCPCS,86304,Hb Ca 125,629.0,220.15,,,0
HCPCS,86304,Hb Fluid Ca 125,547.0,191.45,,,0
HCPCS,86304,Immunoassay tumor ca 125,,,20.81,41.62,19
HCPCS,86305,Human epididymis protein 4,,,20.81,41.62,19
HCPCS,86308,Hb Bedside Mononucleosis Screen,263.0,92.05,,,0
HCPCS,86308,Hb Monospot,277.0,96.95,,,0
HCPCS,86308,Heterophile antibody screen,,,5.18,10.36,19
HCPCS,86309,Heterophile antibody titer,,,6.47,12.94,19
HCPCS,86310,Heterophile antibody absrbj,,,7.37,14.74,19
HCPCS,86316,Hb Chromogranin A,56.0,19.6,,,0
HCPCS,86316,Immunoassay tumor other,,,20.81,41.62,19
HCPCS,86317,Hb Streptococcus Pneumo Antibody 23 Serotypes,96.49,33.77,,,0
HCPCS,86317,Immunoassay infectious agent,,,14.99,29.98,19
HCPCS,86318,Immunoassay infectious agent,,,18.09,36.18,19
HCPCS,86320,Serum immunoelectrophoresis,,,29.92,59.84,19
HCPCS,86325,Other immunoelectrophoresis,,,23.13,46.26,19
HCPCS,86328,Ia nfct ab sarscov2 covid19,,,45.28,90.56,19
HCPCS,86329,Immunodiffusion nes,,,14.05,28.1,19
HCPCS,86331,Immunodiffusion ouchterlony,,,11.98,23.96,19
HCPCS,86332,Immune complex assay,,,24.37,48.74,19
HCPCS,86334,Hb Immunofixation Serum,832.0,291.2,,,0
HCPCS,86334,Hb Immunofixj Electrophoresis Serum,187.29,65.55,,,0
HCPCS,86334,Immunofix e-phoresis serum,,,22.34,44.68,19
HCPCS,86335,Hb Beta 2 Transferrin Csf,193.17,67.61,,,0
HCPCS,86335,Hb Immunofixation Fluid,832.0,291.2,,,0
HCPCS,86335,Immunfix e-phorsis/urine/csf,,,29.35,58.7,19
HCPCS,86336,Hb Inhibin A,23.0,8.05,,,0
HCPCS,86336,Inhibin A,,,15.59,31.18,19
HCPCS,86337,Hb Insulin Autoantibody,75.0,26.25,,,0
HCPCS,86337,Insulin antibodies,,,21.41,42.82,19
HCPCS,86340,Hb Intrinsic Factor Ab,12.5,4.38,,,0
HCPCS,86340,Intrinsic factor antibody,,,15.08,30.16,19
HCPCS,86341,Hb Islet Cell Ab,15.2,5.32,,,0
HCPCS,86341,Hb Islet Cell Antibody,90.0,31.5,,,0
HCPCS,86341,Islet cell antibody,,,23.57,47.14,19
HCPCS,86343,Hb Histamine Release,100.0,35.0,,,0
HCPCS,86343,Leukocyte histamine release,,,12.46,24.92,19
HCPCS,86344,Leukocyte phagocytosis,,,10.39,20.78,19
HCPCS,86352,Cell function assay w/stim,,,135.86,271.72,19
HCPCS,86352,Hb Immune Cell Function,107.21,37.52,,,0
HCPCS,86353,Hb Lymphocyte Transformation,216.0,75.6,,,0
HCPCS,86353,Lymphocyte transformation,,,49.03,98.06,19
HCPCS,86355,B cells total count,,,37.73,75.46,19
HCPCS,86355,Hb B Cell Marker,638.0,223.3,,,0
HCPCS,86356,Mononuclear cell antigen,,,26.78,53.56,19
HCPCS,86357,Hb Nk Cell Marker,199.0,69.65,,,0
HCPCS,86357,Nk cells total count,,,37.73,75.46,19
HCPCS,86359,Hb T3 Marker,638.0,223.3,,,0
HCPCS,86359,Hb Total T Cell,638.0,223.3,,,0
HCPCS,86359,T cells total count,,,37.73,75.46,19
HCPCS,86360,Hb Cd4 And Cd8 Count W Ratio,601.0,210.35,,,0
HCPCS,86360,T cell absolute count/ratio,,,46.98,93.96,19
HCPCS,86361,Hb Cd4 Count,305.0,106.75,,,0
HCPCS,86361,T cell absolute count,,,26.78,53.56,19
HCPCS,86362,Mog-igg1 antb cba each,,,12.05,24.1,19
HCPCS,86363,Mog-igg1 antb flo cytmtry ea,,,37.73,75.46,19
HCPCS,86364,Tiss trnsgltmnase ea ig clas,,,11.53,23.06,19
HCPCS,86366,Muscle-specific kinase antb,,,18.4,36.8,19
HCPCS,86367,Hb Stem Cell (Cd34 + Hsc) Quantification,234.0,81.9,,,0
HCPCS,86367,Stem cells total count,,,77.78,155.56,19
HCPCS,86376,Hb Liver Kidney Micro Ab,14.3,5.0,,,0
HCPCS,86376,Hb Peroxidase Ab,14.05,4.92,,,0
HCPCS,86376,Hb Thyroid Microsomal Ab,362.0,126.7,,,0
HCPCS,86376,Microsomal antibody each,,,14.55,29.1,19
HCPCS,86381,Mitochondrial antibody each,,,25.45,50.9,19
HCPCS,86382,Neutralization test viral,,,16.91,33.82,19
HCPCS,86384,Nitroblue tetrazolium dye,,,13.61,27.22,19
HCPCS,86386,Nuclear matrix protein 22,,,21.78,43.56,19
HCPCS,86403,Hb Beta Strep B Ag,464.0,162.4,,,0
HCPCS,86403,Hb Haem Influ B Ag,464.0,162.4,,,0
HCPCS,86403,Hb Neis Men Ay Ag,464.0,162.4,,,0
HCPCS,86403,Hb Neis Men Be Coli K1 Ag,464.0,162.4,,,0
HCPCS,86403,Hb Neis Men Cw 135 Ag,464.0,162.4,,,0
HCPCS,86403,Hb Poc Strep Test,217.0,75.95,,,0
HCPCS,86403,Hb Str Pneumoniae Ag,464.0,162.4,,,0
HCPCS,86403,Hb Strept Gp B Ag,464.0,162.4,,,0
HCPCS,86403,Particle agglut antbdy scrn,,,11.54,23.08,19
HCPCS,86406,Particle agglut antbdy titr,,,10.64,21.28,19
HCPCS,86408,Neutrlzg antb sarscov2 scr,,,42.13,84.26,19
HCPCS,86409,Neutrlzg antb sarscov2 titer,,,79.61,159.22,19
HCPCS,86413,Sars-cov-2 antb quantitative,,,51.43,102.86,19
HCPCS,86430,Rheumatoid factor test qual,,,6.14,12.28,19
HCPCS,86431,Hb Ra Factor Quant,217.0,75.95,,,0
HCPCS,86431,Rheumatoid factor quant,,,5.67,11.34,19
HCPCS,86480,Hb Quantiferon Tb Test,332.0,116.2,,,0
HCPCS,86480,Tb test cell immun measure,,,61.98,123.96,19
HCPCS,86481,Tb ag response t-cell susp,,,100.0,200.0,19
HCPCS,86485,Hb Candida Skin Test,83.0,29.05,,,0
HCPCS,86485,Skin test candida,,,30.2,60.41,19
HCPCS,86486,Skin test nos antigen,,,30.2,60.41,19
HCPCS,86510,Histoplasmosis skin test,,,39.0,78.01,19
HCPCS,86580,Hb Tb Intradermal Test,83.0,29.049999999999997,,,0
HCPCS,86580,TB intradermal test,,,30.2,60.41,19
HCPCS,86581,Strptcs pneum antb serot ia,,,92.03,184.06,19
HCPCS,86590,Streptokinase antibody,,,12.66,25.32,19
HCPCS,86592,Hb Rpr Screen,242.0,84.7,,,0
HCPCS,86592,"Hb Vdlr, Csf",23.0,8.05,,,0
HCPCS,86592,Hb Vdrl Csf,242.0,84.7,,,0
HCPCS,86592,Syphilis test non-trep qual,,,4.27,8.54,19
HCPCS,86593,Hb Rpr Titer,182.0,63.7,,,0
HCPCS,86593,Syphilis test non-trep quant,,,4.4,8.8,19
HCPCS,86596,Voltage-gtd ca chnl antb ea,,,12.05,24.1,19
HCPCS,86602,Antinomyces antibody,,,10.18,20.36,19
HCPCS,86603,Adenovirus antibody,,,12.87,25.74,19
HCPCS,86606,Aspergillus antibody,,,15.05,30.1,19
HCPCS,86609,Bacterium antibody,,,12.88,25.76,19
HCPCS,86611,Bartonella Antibody,,,10.18,20.36,19
HCPCS,86611,Hb R Henselae Ab Igg,4.96,1.74,,,0
HCPCS,86611,Hb R Henselae Ab Igm,4.96,1.74,,,0
HCPCS,86611,Hb R Quintana Ab Igg,4.96,1.74,,,0
HCPCS,86611,Hb R Quintana Ab Igm,4.97,1.74,,,0
HCPCS,86612,Blastomyces antibody,,,12.9,25.8,19
HCPCS,86615,Bordetella antibody,,,13.19,26.38,19
HCPCS,86617,Hb Lyme Western Blot,21.6,7.56,,,0
HCPCS,86617,Lyme disease antibody,,,15.49,30.98,19
HCPCS,86618,Hb Lyme Ab Total Serum,7.5,2.62,,,0
HCPCS,86618,Hb Lyme Antibody Csf,124.0,43.4,,,0
HCPCS,86618,Lyme disease antibody,,,17.03,34.06,19
HCPCS,86619,Borrelia antibody,,,13.38,26.76,19
HCPCS,86622,Brucella antibody,,,8.93,17.86,19
HCPCS,86622,Hb Brucella Antibody Igg,36.0,12.6,,,0
HCPCS,86622,Hb Brucella Antibody Igm,36.0,12.6,,,0
HCPCS,86625,Campylobacter antibody,,,13.12,26.24,19
HCPCS,86628,Candida antibody,,,12.01,24.02,19
HCPCS,86631,Chlamydia antibody,,,11.82,23.64,19
HCPCS,86631,Hb Chlamydia Igg Antibody,105.0,36.75,,,0
HCPCS,86632,Chlamydia igm antibody,,,12.68,25.36,19
HCPCS,86632,Hb  Chlamydia Igm Antibody,105.0,36.75,,,0
HCPCS,86635,Coccidioides antibody,,,11.47,22.94,19
HCPCS,86635,Hb Coccidiodes Iga,35.67,12.48,,,0
HCPCS,86635,Hb Coccidiodes Igm,35.67,12.48,,,0
HCPCS,86635,Hb Coccidioides Igg,35.67,12.48,,,0
HCPCS,86638,Hb Q Fever Igg Phase I Ab,30.0,10.5,,,0
HCPCS,86638,Hb Q Fever Igg Phase Ii Ab,30.0,10.5,,,0
HCPCS,86638,Hb Q Fever Igm Phase I Ab,30.0,10.5,,,0
HCPCS,86638,Hb Q Fever Igm Phase Ii Ab,30.0,10.5,,,0
HCPCS,86638,Q fever antibody,,,12.12,24.24,19
HCPCS,86641,Cryptococcus antibody,,,14.41,28.82,19
HCPCS,86644,CMV antibody,,,14.39,28.78,19
HCPCS,86644,Hb Cmv Igg,298.0,104.3,,,0
HCPCS,86644,Hb Cmv Neg Component 080,362.0,126.7,,,0
HCPCS,86644,Hb Cytomegalovirus Igg,80.86,28.3,,,0
HCPCS,86644,"Hb Donor, Cytomegalovirus (Cmv) Total Antibodies",100.52,35.18,,,0
HCPCS,86645,Cmv antibody igm,,,16.85,33.7,19
HCPCS,86645,Hb Cmv Igm,22.8,7.98,,,0
HCPCS,86645,Hb Cmv Igm Fluid,298.0,104.3,,,0
HCPCS,86648,Diphtheria antibody,,,15.21,30.42,19
HCPCS,86648,Hb Antibody Diphtheria,20.0,7.0,,,0
HCPCS,86651,Encephalitis californ antbdy,,,13.19,26.38,19
HCPCS,86651,Hb California Encephalitis Igg,29.42,10.3,,,0
HCPCS,86651,Hb California Encephalitis Igm,29.43,10.3,,,0
HCPCS,86652,Encephaltis east eqne anbdy,,,13.19,26.38,19
HCPCS,86652,Hb Eastern Equine Enceph Igg,29.42,10.3,,,0
HCPCS,86652,Hb Eastern Equine Enceph Igm,29.43,10.3,,,0
HCPCS,86653,Encephaltis st louis antbody,,,13.19,26.38,19
HCPCS,86653,Hb St Louis Encephalitis Igg,29.42,10.3,,,0
HCPCS,86653,Hb St Louis Encephalitis Igm,29.43,10.3,,,0
HCPCS,86654,Encephaltis west eqne antbdy,,,13.19,26.38,19
HCPCS,86654,Hb Western Equine Enceph Igg,29.42,10.3,,,0
HCPCS,86654,Hb Western Equine Enceph Igm,29.43,10.3,,,0
HCPCS,86658,Enterovirus antibody,,,13.03,26.06,19
HCPCS,86658,Hb Coxsackie B 1 Antibody,23.91,8.37,,,0
HCPCS,86658,Hb Coxsackie B 2 Antibody,23.91,8.37,,,0
HCPCS,86658,Hb Coxsackie B 3 Antibody,23.91,8.37,,,0
HCPCS,86658,Hb Coxsackie B 4 Antibody,23.91,8.37,,,0
HCPCS,86658,Hb Coxsackie B 5 Antibody,23.91,8.37,,,0
HCPCS,86658,Hb Coxsackie B 6 Antibody,23.91,8.37,,,0
HCPCS,86663,Epstein-barr antibody,,,13.12,26.24,19
HCPCS,86664,Epstein-barr nuclear antigen,,,15.29,30.58,19
HCPCS,86665,Epstein-barr capsid vca,,,18.14,36.28,19
HCPCS,86665,Hb Ebv Vca Ab Igg,320.0,112.0,,,0
HCPCS,86665,Hb Ebv Vca Igm,267.0,93.45,,,0
HCPCS,86666,Ehrlichia Antibody,,,10.18,20.36,19
HCPCS,86668,Francisella tularensis,,,14.16,28.32,19
HCPCS,86671,Fungus nes antibody,,,12.25,24.5,19
HCPCS,86674,Giardia lamblia antibody,,,14.72,29.44,19
HCPCS,86677,Helicobacter pylori antibody,,,16.85,33.7,19
HCPCS,86682,Hb Cysticercosis Antibody,62.0,21.7,,,0
HCPCS,86682,Hb Strongyloides Igg Ab,45.4,15.89,,,0
HCPCS,86682,Helminth antibody,,,13.01,26.02,19
HCPCS,86684,Hemophilus influenza antibdy,,,15.84,31.68,19
HCPCS,86687,Htlv-i antibody,,,9.09,18.18,19
HCPCS,86688,Htlv-ii antibody,,,14.0,28.0,19
HCPCS,86689,Hb Western Blot Hiv1 043,454.0,158.9,,,0
HCPCS,86689,Hb Western Blot Hiv2 095,566.0,198.1,,,0
HCPCS,86689,Hb Wstrn Blot Htlv I Or Ii 090,524.0,183.4,,,0
HCPCS,86689,Htlv/hiv confirmj antibody,,,19.35,38.7,19
HCPCS,86692,Hb Hepatitis D Antibody,11.2,3.92,,,0
HCPCS,86692,Hepatitis delta agent antbdy,,,17.16,34.32,19
HCPCS,86694,Herpes simplex nes antbdy,,,14.39,28.78,19
HCPCS,86695,Hb Herpes Simplex Igg,360.0,126.0,,,0
HCPCS,86695,Herpes simplex type 1 test,,,13.19,26.38,19
HCPCS,86696,Herpes simplex type 2 test,,,19.35,38.7,19
HCPCS,86698,Histoplasma antibody,,,13.79,27.58,19
HCPCS,86701,Hb Hiv Ag Test 069,332.0,116.2,,,0
HCPCS,86701,Hb Hiv Antibody Stat Screen,418.0,146.3,,,0
HCPCS,86701,Hb Hiv1 Fa 183,454.0,158.9,,,0
HCPCS,86701,Hb Multispot Hiv-1 Panel,179.0,62.65,,,0
HCPCS,86701,Hiv-1antibody,,,8.89,17.78,19
HCPCS,86702,Hb Multispot Hiv-2 Panel,269.0,94.15,,,0
HCPCS,86702,Hiv-2 antibody,,,13.52,27.04,19
HCPCS,86703,Hb Anti Hiv I Or Ii Test 042,408.0,142.8,,,0
HCPCS,86703,"Hb Donor, Hiv-1/Hiv-2 Plus O Antibody Screen",100.52,35.18,,,0
HCPCS,86703,Hb Hiv 1 Or 2,512.0,179.2,,,0
HCPCS,86703,Hiv-1/hiv-2 1 result antbdy,,,13.71,27.42,19
HCPCS,86704,Hb Anti Hbcore Test 251,486.0,170.1,,,0
HCPCS,86704,"Hb Donor, Hepatitis B Core Total Antibody",100.52,35.18,,,0
HCPCS,86704,Hb Hepatitis B Core Total Ab,452.0,158.2,,,0
HCPCS,86704,Hep b core antibody total,,,12.05,24.1,19
HCPCS,86705,Hb Hepatitis B Core Igm,449.0,157.15,,,0
HCPCS,86705,Hep b core antibody igm,,,11.77,23.54,19
HCPCS,86706,Hb Hbsab Quantitative,535.0,187.25,,,0
HCPCS,86706,Hb Hbsag Confirmation Test 163,569.0,199.15,,,0
HCPCS,86706,Hb Hepatitis B Surface Ab,535.0,187.25,,,0
HCPCS,86706,Hep b surface antibody,,,10.74,21.48,19
HCPCS,86707,Hb Hepatitis Be Abdy,6.4,2.24,,,0
HCPCS,86707,Hepatitis be antibody,,,11.57,23.14,19
HCPCS,86708,Hb Hepatitis A Antibody,296.0,103.6,,,0
HCPCS,86708,Hb Heptatis A Antibody Total,62.4,21.84,,,0
HCPCS,86708,Hb Treponemal Ab,281.0,98.35,,,0
HCPCS,86708,Hepatitis a antibody,,,12.39,24.78,19
HCPCS,86709,Hb Hepatitis A Igm,397.0,138.95,,,0
HCPCS,86709,Hepatitis a igm antibody,,,11.26,22.52,19
HCPCS,86710,Influenza virus antibody,,,13.55,27.1,19
HCPCS,86711,John cunningham antibody,,,16.89,33.78,19
HCPCS,86713,Hb Legionella Ab,318.0,111.3,,,0
HCPCS,86713,Hb Legionella Lgg Ab,102.6,35.91,,,0
HCPCS,86713,Legionella antibody,,,15.3,30.6,19
HCPCS,86717,Leishmania antibody,,,12.25,24.5,19
HCPCS,86720,Leptospira antibody,,,16.2,32.4,19
HCPCS,86723,Listeria monocytogenes,,,13.19,26.38,19
HCPCS,86727,Lymph choriomeningitis ab,,,12.87,25.74,19
HCPCS,86732,Mucormycosis antibody,,,15.0,30.0,19
HCPCS,86735,Hb Mumps Igg Ab,86.0,30.1,,,0
HCPCS,86735,Mumps antibody,,,13.05,26.1,19
HCPCS,86738,Hb Mycoplasma Igg,19.72,6.9,,,0
HCPCS,86738,Hb Mycoplasma Igm,266.0,93.1,,,0
HCPCS,86738,Hb Mycoplasma Igm Ab,142.4,49.84,,,0
HCPCS,86738,Mycoplasma antibody,,,13.24,26.48,19
HCPCS,86741,Neisseria meningitidis,,,13.19,26.38,19
HCPCS,86744,Nocardia antibody,,,15.99,31.98,19
HCPCS,86747,Hb Parvovirus B19 Igg Ab,16.0,5.6,,,0
HCPCS,86747,Hb Parvovirus B19 Igm Ab,16.0,5.6,,,0
HCPCS,86747,Parvovirus antibody,,,15.03,30.06,19
HCPCS,86750,Malaria antibody,,,13.19,26.38,19
HCPCS,86753,Hb Chagas Donor Screen,45.0,15.75,,,0
HCPCS,86753,Hb E Histol Ab Iha,44.0,15.4,,,0
HCPCS,86753,Protozoa antibody nos,,,12.39,24.78,19
HCPCS,86756,Respiratory virus antibody,,,15.89,31.78,19
HCPCS,86757,Rickettsia Antibody,,,19.35,38.7,19
HCPCS,86759,Rotavirus antibody,,,18.23,36.46,19
HCPCS,86762,Hb Rbella Igg Ab,11.97,4.19,,,0
HCPCS,86762,Hb Rubella Igg,172.0,60.2,,,0
HCPCS,86762,Hb Rubella Igg Fluid,172.0,60.2,,,0
HCPCS,86762,Hb Rubella Igm Antibody,7.08,2.48,,,0
HCPCS,86762,Rubella antibody,,,14.39,28.78,19
HCPCS,86765,Hb Measle Fluid,158.0,55.3,,,0
HCPCS,86765,Hb Measle Igg,158.0,55.3,,,0
HCPCS,86765,Rubeola antibody,,,12.88,25.76,19
HCPCS,86768,Salmonella antibody,,,13.19,26.38,19
HCPCS,86769,Hb Sars Cov-2 Spike Protein Igg,65.0,22.75,,,0
HCPCS,86769,Hb Sars Cov2 Igg Antibody,150.0,52.5,,,0
HCPCS,86769,Hb Sars Cov2 Igm Antibody,180.0,63.0,,,0
HCPCS,86769,Hb Sars-Cov Igg Antibody,65.0,22.75,,,0
HCPCS,86769,Sars-cov-2 covid-19 antibody,,,42.13,84.26,19
HCPCS,86771,Shigella antibody,,,24.48,48.96,19
HCPCS,86774,Hb Antibody Tetanus,20.0,7.0,,,0
HCPCS,86774,Tetanus antibody,,,14.8,29.6,19
HCPCS,86777,Hb Toxoplasma Gondii Igg Antibody Fluid,53.0,18.55,,,0
HCPCS,86777,Hb Toxoplasma Igg,280.0,98.0,,,0
HCPCS,86777,Hb Toxoplasma Igg Ab Blood,7.2,2.52,,,0
HCPCS,86777,Toxoplasma antibody,,,14.39,28.78,19
HCPCS,86778,Hb Toxo Ab Igm,187.0,65.45,,,0
HCPCS,86778,Hb Toxoplasma Gondii Igm Antibody Fluid,37.0,12.95,,,0
HCPCS,86778,Toxoplasma antibody igm,,,14.41,28.82,19
HCPCS,86780,"Hb Donor, Treponema Pallidum",100.53,35.19,,,0
HCPCS,86780,Hb Fta 182,190.0,66.5,,,0
HCPCS,86780,Hb Treponema Pallidum Igg  (Neonatal) Antibody Panel,23.0,8.05,,,0
HCPCS,86780,Hb Treponema Pallidum Igm  (Neonatal) Antibody Panel,23.0,8.05,,,0
HCPCS,86780,Hb Treponemal Ab,281.0,98.35,,,0
HCPCS,86780,Treponema pallidum,,,13.24,26.48,19
HCPCS,86784,Trichinella antibody,,,12.56,25.12,19
HCPCS,86787,Hb Varicella Zoster Virus Igm Ant,8.4,2.94,,,0
HCPCS,86787,Hb Vzv Igg,229.0,80.15,,,0
HCPCS,86787,Hb Vzv Igg Fluid,23.0,8.05,,,0
HCPCS,86787,Hb Vzv Igm,8.4,2.94,,,0
HCPCS,86787,Varicella-zoster antibody,,,12.88,25.76,19
HCPCS,86788,Hb West Nile Igm,39.2,13.72,,,0
HCPCS,86788,Hb West Nile Igm Csf,39.0,13.65,,,0
HCPCS,86788,West nile virus ab igm,,,16.85,33.7,19
HCPCS,86789,Hb West Nile Igg,39.2,13.72,,,0
HCPCS,86789,Hb West Nile Igg Csf,39.0,13.65,,,0
HCPCS,86789,West Nile Virus Antibody,,,14.39,28.78,19
HCPCS,86790,Hb Dengue Fever Igg,54.25,18.99,,,0
HCPCS,86790,Hb Dengue Fever Igm,54.25,18.99,,,0
HCPCS,86790,"Hb Donor, Htlv-I/Ii Antibody Screen",100.52,35.18,,,0
HCPCS,86790,Hb Hepatitis A Igg,83.0,29.05,,,0
HCPCS,86790,Hb Hepatitis E Antibodies Igg,88.12,30.84,,,0
HCPCS,86790,Hb Hepatitis E Antibodies Igm,88.12,30.84,,,0
HCPCS,86790,Hb Herpes Virus 6,70.7,24.74,,,0
HCPCS,86790,Hb Hltv12 Antibody,19.66,6.88,,,0
HCPCS,86790,Virus antibody nos,,,12.88,25.76,19
HCPCS,86793,Yersinia antibody,,,13.19,26.38,19
HCPCS,86794,Zika virus igm antibody,,,16.85,33.7,19
HCPCS,86800,Hb Ab: Thyroglobulin,10.0,3.5,,,0
HCPCS,86800,Hb Thyroglobulin Ab,168.895,59.115,,,0
HCPCS,86800,Thyroglobulin antibody,,,15.91,31.82,19
HCPCS,86803,"Hb Donor, Hepatitis C Antibody (Anti-Hcv)",100.52,35.18,,,0
HCPCS,86803,Hb Focus Hcv Antibody,360.0,126.0,,,0
HCPCS,86803,Hb Hepatitis C Antibody,360.0,126.0,,,0
HCPCS,86803,Hb Riba Hcv 2.0 098,385.0,134.75,,,0
HCPCS,86803,Hb Riba Hcv 3.0 Strip Immun 192,384.0,134.4,,,0
HCPCS,86803,Hepatitis c ab test,,,14.27,28.54,19
HCPCS,86804,Hep c ab test confirm,,,15.49,30.98,19
HCPCS,86805,Lymphocytotoxicity assay,,,189.51,379.02,19
HCPCS,86806,Lymphocytotoxicity assay,,,47.59,95.18,19
HCPCS,86807,Cytotoxic antibody screening,,,78.65,157.3,19
HCPCS,86807,Hb Hla Class I Donor Ab Scr,138.0,48.3,,,0
HCPCS,86807,Hb Hla Class Ii Donor Ab Scr,138.0,48.3,,,0
HCPCS,86808,Cytotoxic antibody screening,,,29.68,59.36,19
HCPCS,86808,Hb Hla Antibody Intermediate Resolution,516.0,180.6,,,0
HCPCS,86812,Hb Hla B27,13.7,4.8,,,0
HCPCS,86812,Hb Hla Typing Anti B27 181,1423.0,498.05,,,0
HCPCS,86812,Hla typing a b or c,,,25.81,51.62,19
HCPCS,86813,Hla typing a b or c,,,58.0,116.0,19
HCPCS,86816,Hla typing dr/dq,,,30.17,60.34,19
HCPCS,86817,Hla typing dr/dq,,,106.14,212.28,19
HCPCS,86821,Lymphocyte culture mixed,,,36.56,73.12,19
HCPCS,86825,Hla x-math non-cytotoxic,,,109.49,218.98,19
HCPCS,86826,Hla x-match noncytotoxc addl,,,36.53,73.06,19
HCPCS,86828,Hla class i&ii antibody qual,,,64.19,128.38,19
HCPCS,86829,Hla class i/ii antibody qual,,,64.19,128.38,19
HCPCS,86830,Hla class i phenotype qual,,,95.52,191.04,19
HCPCS,86831,Hla class ii phenotype qual,,,81.88,163.76,19
HCPCS,86832,Hb C1Q- Class I Antibody Identification,690.0,241.5,,,0
HCPCS,86832,Hla class i high defin qual,,,323.75,647.5,19
HCPCS,86833,Hb C1Q- Class Ii Antibody Identification,598.0,209.3,,,0
HCPCS,86833,Hb Supplemental Class Ii Antibody Identification,395.0,138.25,,,0
HCPCS,86833,Hla class ii high defin qual,,,325.8,651.6,19
HCPCS,86834,Hla class i semiquant panel,,,357.56,715.12,19
HCPCS,86835,Hla class ii semiquant panel,,,322.96,645.92,19
HCPCS,86850,Hb Antibody Screen 032,1985.0,694.75,,,0
HCPCS,86850,Hb Antibody Screen Blood,108.0,37.8,,,0
HCPCS,86850,RBC antibody screen,,,54.42,108.84,19
HCPCS,86860,Hb Cell Elution Id 063,213.0,74.55,,,0
HCPCS,86860,Hb Cell Elution Id Cap 415,213.0,74.55,,,0
HCPCS,86860,RBC antibody elution,,,177.91,355.83,19
HCPCS,86870,Hb Antibody Id 061,165.0,57.75,,,0
HCPCS,86870,Hb Antibody Id Cap 413,165.0,57.75,,,0
HCPCS,86870,RBC antibody identification,,,374.32,748.64,19
HCPCS,86880,Coombs test direct,,,61.6,123.21,19
HCPCS,86880,Hb Antiglob Direct Cap 416,84.0,29.4,,,0
HCPCS,86880,Hb Antiglobulin Direct 066,84.0,29.4,,,0
HCPCS,86880,Hb Direct Antigloublin Dat C3,26.0,9.1,,,0
HCPCS,86885,Coombs test indirect qual,,,177.91,355.83,19
HCPCS,86885,Hb Antiglobulin Indir 067,80.0,28.0,,,0
HCPCS,86886,Coombs test indirect titer,,,177.91,355.83,19
HCPCS,86886,Hb Antibody Titra Cap 414,165.0,57.75,,,0
HCPCS,86886,Hb Antibody Titration 062,165.0,57.75,,,0
HCPCS,86890,Autologous blood process,,,177.91,355.83,19
HCPCS,86890,Hb Autologous Service 004,422.0,147.7,,,0
HCPCS,86891,Autologous blood op salvage,,,841.35,1682.71,19
HCPCS,86891,Hb Cell Saver,2500.0,875.0,,,0
HCPCS,86900,Blood typing serologic abo,,,138.94,277.88,19
HCPCS,86900,"Hb Blood Typing, Serologic; Abo",35.0,12.25,,,0
HCPCS,86901,Blood typing serologic rh(d),,,39.0,78.01,19
HCPCS,86901,"Hb Rh Typing, Serologic",39.5,13.825,,,0
HCPCS,86902,Blood type antigen donor ea,,,374.32,748.64,19
HCPCS,86904,Blood typing patient serum,,,61.6,123.21,19
HCPCS,86905,Blood typing rbc antigens,,,374.32,748.64,19
HCPCS,86905,"Hb Antigen Testing 068, Serologic",156.0,54.6,,,0
HCPCS,86905,Hb Patient Complete Phneotype,212.0,74.2,,,0
HCPCS,86906,Bld typing serologic rh phnt,,,39.0,78.01,19
HCPCS,86920,Compatibility test spin,,,177.91,355.83,19
HCPCS,86920,Hb Platelet Crossmatch 058; Crossmatch Immediate Spin,1072.0,375.2,,,0
HCPCS,86920,Hb Plt Crossmatch Pm 200,1072.0,375.2,,,0
HCPCS,86921,Compatibility test incubate,,,177.91,355.83,19
HCPCS,86922,Compatibility test antiglob,,,177.91,355.83,19
HCPCS,86922,Hb Xmatch Serologic 031,347.0,121.45,,,0
HCPCS,86923,Compatibility test electric,,,177.91,355.83,19
HCPCS,86923,Hb Xmatch Electronic 039,149.0,52.15,,,0
HCPCS,86927,Plasma fresh frozen,,,177.91,355.83,19
HCPCS,86930,Frozen blood prep,,,177.91,355.83,19
HCPCS,86931,Frozen blood thaw,,,177.91,355.83,19
HCPCS,86931,Hb Component Thawing Fee 296,54.0,18.9,,,0
HCPCS,86932,Frozen blood freeze/thaw,,,39.0,78.01,19
HCPCS,86932,Hb Freeze Deglyc Proc 033,1333.0,466.55,,,0
HCPCS,86940,Hemolysins/agglutinins auto,,,8.77,17.54,19
HCPCS,86941,Hb Donath Landesteiner 340,4493.0,1572.55,,,0
HCPCS,86941,Hemolysins/agglutinins,,,12.11,24.22,19
HCPCS,86945,Blood product/irradiation,,,39.0,78.01,19
HCPCS,86945,Hb Irradiation 036,133.0,46.55,,,0
HCPCS,86945,Hb Irradiation Per Platelet 273,133.0,46.55,,,0
HCPCS,86950,Hb Leukocytes 020,206.0,72.1,,,0
HCPCS,86950,Leukacyte transfusion,,,177.91,355.83,19
HCPCS,86960,Hb Volume Reduction 029,198.0,69.3,,,0
HCPCS,86960,Vol reduction of blood/prod,,,177.91,355.83,19
HCPCS,86965,Hb Pool Plt Cryo 045,58.0,20.3,,,0
HCPCS,86965,Pooling blood platelets,,,177.91,355.83,19
HCPCS,86970,Rbc pretx incubatj w/chemicl,,,61.6,123.21,19
HCPCS,86971,Rbc pretx incubatj w/enzymes,,,177.91,355.83,19
HCPCS,86972,Rbc pretx incubatj w/density,,,177.91,355.83,19
HCPCS,86975,Hb Drug Studies Per Drug 341,4493.0,1572.55,,,0
HCPCS,86975,Rbc serum pretx incubj drugs,,,466.5,933.01,19
HCPCS,86976,Rbc serum pretx id dilution,,,30.2,60.41,19
HCPCS,86977,Hb Chemical Treatment 438,122.0,42.7,,,0
HCPCS,86977,Rbc serum pretx incubj/inhib,,,177.91,355.83,19
HCPCS,86978,Hb Pretx Serum Rbc Antibody Id Diffial Each Absorption,169.0,59.15,,,0
HCPCS,86978,Rbc pretreatment serum,,,61.6,123.21,19
HCPCS,86985,Hb Splitting Service 081,58.0,20.3,,,0
HCPCS,86985,Split blood or products,,,177.91,355.83,19
HCPCS,86999,Hb Rbc Genotype 366,637.0,222.95,,,0
HCPCS,86999,Transfusion procedure,,,30.2,60.41,19
HCPCS,87003,Small animal inoculation,,,16.84,33.68,19
HCPCS,87015,Hb Concentration,164.0,57.4,,,0
HCPCS,87015,Specimen infect agnt concntj,,,6.68,13.36,19
HCPCS,87040,Blood culture for bacteria,,,10.32,20.64,19
HCPCS,87040,Hb Aer Ana Bld Cult Ped,505.0,176.75,,,0
HCPCS,87040,Hb Aer Bld Culture Ped,505.0,176.75,,,0
HCPCS,87040,Hb Bld Cult For Hacek Org,505.0,176.75,,,0
HCPCS,87040,Hb Blood Culture Rx Removed,505.0,176.75,,,0
HCPCS,87045,Feces culture aerobic bact,,,9.44,18.88,19
HCPCS,87045,Hb Fecal Culture,316.0,110.6,,,0
HCPCS,87046,Hb Camplobacter Cult,496.0,173.6,,,0
HCPCS,87046,Hb E Coli 015 H7 Culture,496.0,173.6,,,0
HCPCS,87046,Hb Vibrio Culture,496.0,173.6,,,0
HCPCS,87046,Hb Yersinia Culture,496.0,173.6,,,0
HCPCS,87046,Stool cultr aerobic bact ea,,,9.44,18.88,19
HCPCS,87070,Culture othr specimn aerobic,,,8.62,17.24,19
HCPCS,87070,Hb Aerobic Ortho Culture,598.0,209.3,,,0
HCPCS,87070,Hb Cerebrospinal (Csf) Culture,598.0,209.3,,,0
HCPCS,87070,Hb Environmental Cul,598.0,209.3,,,0
HCPCS,87070,Hb Eye Culture,598.0,209.3,,,0
HCPCS,87070,Hb Fluid Cult Bactec,598.0,209.3,,,0
HCPCS,87070,Hb Fluid Culture,598.0,209.3,,,0
HCPCS,87070,Hb Genital Culture,598.0,209.3,,,0
HCPCS,87070,Hb Resp Cult Lower,598.0,209.3,,,0
HCPCS,87070,Hb Resp Cult Upper,598.0,209.3,,,0
HCPCS,87070,Hb Resp Cyst Fibrosis Culture,598.0,209.3,,,0
HCPCS,87070,Hb Resp Lung Transplant Cult,598.0,209.3,,,0
HCPCS,87070,Hb Wound Lesion Fld,598.0,209.3,,,0
HCPCS,87071,Culture aerobic quant other,,,9.89,19.78,19
HCPCS,87071,Hb Bal Quantitative Culture,602.0,210.7,,,0
HCPCS,87071,Hb Quant Bronch Brush Cult,602.0,210.7,,,0
HCPCS,87071,Hb Quant Cath Tip Cult,602.0,210.7,,,0
HCPCS,87071,Hb Wound Culture Quant,602.0,210.7,,,0
HCPCS,87073,Culture Bacteria Anaerobic,,,9.66,19.32,19
HCPCS,87075,Cultr bacteria except blood,,,9.47,18.94,19
HCPCS,87075,Hb Anaerobic Culture,1102.0,385.7,,,0
HCPCS,87075,Hb Anaerobic Ortho Culture,1102.0,385.7,,,0
HCPCS,87076,Culture anaerobe ident each,,,8.08,16.16,19
HCPCS,87076,Hb Anaerobic Identification,181.0,63.35,,,0
HCPCS,87077,Culture Aerobic Identify,,,8.08,16.16,19
HCPCS,87077,Hb Bacterial Identification,193.0,67.55,,,0
HCPCS,87077,Hb Culture Aerobic Identify,193.0,67.55,,,0
HCPCS,87077,Hb Urine Bacteria Identification,193.0,67.55,,,0
HCPCS,87081,Culture screen only,,,6.63,13.26,19
HCPCS,87081,Hb Acanthamoeba Culture,403.0,141.05,,,0
HCPCS,87081,Hb Bord Pertussis Cult,403.0,141.05,,,0
HCPCS,87081,Hb Clost Diff Cult,403.0,141.05,,,0
HCPCS,87081,Hb Gc Culture,403.0,141.05,,,0
HCPCS,87081,Hb Helicobacter Pylori Culture,68.5,23.98,,,0
HCPCS,87081,Hb Kleb Pneu Carbapenemase Cult,403.0,141.05,,,0
HCPCS,87081,Hb Legionella Culture,403.0,141.05,,,0
HCPCS,87081,Hb Mrsa Vre Screen,403.0,141.05,,,0
HCPCS,87081,Hb Nocardia Culture,403.0,141.05,,,0
HCPCS,87081,Hb Sporodex Culture,403.0,141.05,,,0
HCPCS,87081,Hb Strep Screen Gp A,403.0,141.05,,,0
HCPCS,87081,Hb Strp B Screen Culture,403.0,141.05,,,0
HCPCS,87084,Culture of specimen by kit,,,27.07,54.14,19
HCPCS,87086,Hb Urine Culture,350.0,122.5,,,0
HCPCS,87086,Urine culture/colony count,,,8.07,16.14,19
HCPCS,87088,"Hb Presumptive Identification Urine, Per Isolate",37.0,12.95,,,0
HCPCS,87088,Urine bacteria culture,,,8.09,16.18,19
HCPCS,87101,Hb Fungal Hair Skin Nails,676.0,236.6,,,0
HCPCS,87101,Skin fungi culture,,,7.71,15.42,19
HCPCS,87102,Fungus isolation culture,,,8.41,16.82,19
HCPCS,87102,Hb Fungal Culture,676.0,236.6,,,0
HCPCS,87103,Blood fungus culture,,,20.46,40.92,19
HCPCS,87103,Hb Fungal Blood Culture,1085.0,379.75,,,0
HCPCS,87106,Fungi identification yeast,,,10.32,20.64,19
HCPCS,87106,Hb Fungal Identification,144.0,50.4,,,0
HCPCS,87107,Fungi identification mold,,,10.32,20.64,19
HCPCS,87107,Hb Mold Id,144.0,50.4,,,0
HCPCS,87109,Hb Myco Urea Plasma Cult,30.49,10.67,,,0
HCPCS,87109,Mycoplasma,,,15.39,30.78,19
HCPCS,87110,Chlamydia culture,,,19.6,39.2,19
HCPCS,87110,Hb Chlamydia Culture,227.0,79.45,,,0
HCPCS,87116,Hb Afb Blood Culture,53.78,18.82,,,0
HCPCS,87116,Hb Afb Culture,757.0,264.95,,,0
HCPCS,87116,Hb Afb Ortho Culture,757.0,264.95,,,0
HCPCS,87116,Mycobacteria culture,,,10.8,21.6,19
HCPCS,87118,"Hb Mycobacterium Culture, Definitive Id, Each Isolate",37.0,12.95,,,0
HCPCS,87118,Mycobacteric identification,,,14.61,29.22,19
HCPCS,87140,Culture type immunofluoresc,,,5.57,11.14,19
HCPCS,87143,Culture typing glc/hplc,,,12.52,25.04,19
HCPCS,87147,Culture type immunologic,,,5.18,10.36,19
HCPCS,87147,Hb Culture Typing Immunologic Oth/Thn Immunofluores,14.0,4.9,,,0
HCPCS,87147,Hb Serological Id,208.0,72.8,,,0
HCPCS,87149,Dna/rna direct probe,,,20.05,40.1,19
HCPCS,87149,Hb Culture Typing: Identification,86.0,30.1,,,0
HCPCS,87150,Dna/rna amplified probe,,,35.09,70.18,19
HCPCS,87150,Hb B Cepacia Pcr,1765.0,617.75,,,0
HCPCS,87150,Hb Bacterial Strain Pvl,612.0,214.2,,,0
HCPCS,87150,Hb Bacterial Strain Typing,612.0,214.2,,,0
HCPCS,87150,Hb Klebsiella Pneumo Kpc Pcr,1765.0,617.75,,,0
HCPCS,87150,Hb Staph Strain Typing,612.0,214.2,,,0
HCPCS,87152,Culture Type Pulse Field Gel,,,7.74,15.48,19
HCPCS,87152,Hb Pulse Field Identification,446.0,156.1,,,0
HCPCS,87153,Dna/rna sequencing,,,115.36,230.72,19
HCPCS,87153,Hb 16S Rrna Gene Sequencing,427.0,149.45,,,0
HCPCS,87153,Hb Rpob Gene Sequencing,427.0,149.45,,,0
HCPCS,87153,Hb Sequencing 16S Rrna Gene,632.0,221.2,,,0
HCPCS,87154,Cul typ id bld pthgn 6+ trgt,,,218.06,436.12,19
HCPCS,87154,Hb Cul Typ Id Bld Pthgn 6+ Trgt,1048.0,366.8,,,0
HCPCS,87158,Culture typing added method,,,7.74,15.48,19
HCPCS,87164,Dark field examination,,,10.74,21.48,19
HCPCS,87166,Dark field examination,,,11.3,22.6,19
HCPCS,87168,Macroscopic Exam Arthropod,,,4.27,8.54,19
HCPCS,87169,Hb Macroscopic Exam Parasite,90.0,31.5,,,0
HCPCS,87169,Macroscopic exam parasite,,,4.31,8.62,19
HCPCS,87172,Hb Pinworm Exam,497.0,173.95,,,0
HCPCS,87172,Pinworm Exam,,,4.27,8.54,19
HCPCS,87176,Hb Tissue Homogenization For Culture,94.0,32.9,,,0
HCPCS,87176,Tissue homogenization cultr,,,5.88,11.76,19
HCPCS,87177,Hb Ova And Parasite,6.0,2.1,,,0
HCPCS,87177,Ova and parasites smears,,,8.9,17.8,19
HCPCS,87181,Hb Etest,313.0,109.55,,,0
HCPCS,87181,Microbe susceptible diffuse,,,4.75,9.5,19
HCPCS,87183,Sc std carbapenem resist gen,,,35.09,70.18,19
HCPCS,87184,Hb Susc Kirby Bauer,239.0,83.65,,,0
HCPCS,87184,Hb Topical Antibiot,239.0,83.65,,,0
HCPCS,87184,Microbe susceptible disk,,,7.48,14.96,19
HCPCS,87185,Hb Beta Lactamase,46.0,16.1,,,0
HCPCS,87185,Hb Senstitivity - Enzyme Detect,31.0,10.85,,,0
HCPCS,87185,Microbe susceptible enzyme,,,4.75,9.5,19
HCPCS,87186,Hb Mic Susc Yeast,492.0,172.2,,,0
HCPCS,87186,"Hb Sensitivity, Ntm13",420.0,147.0,,,0
HCPCS,87186,"Hb Sensitivity, Ntm15",540.0,189.0,,,0
HCPCS,87186,"Hb Sensitivity, Ntm4",390.0,136.5,,,0
HCPCS,87186,"Hb Sensitivity, Ntm6",545.0,190.75,,,0
HCPCS,87186,Hb Susc Mic,492.0,172.2,,,0
HCPCS,87186,Hb Susceptibility Studies; Microdilution Mic Or Breakpoint,49.0,17.15,,,0
HCPCS,87186,Microbe susceptible mic,,,8.65,17.3,19
HCPCS,87187,Hb Susc Mbc,562.0,196.7,,,0
HCPCS,87187,Microbe susceptible mlc,,,40.17,80.34,19
HCPCS,87188,Microbe suscept macrobroth,,,6.64,13.28,19
HCPCS,87190,Hb Afb Susceptibility,139.0,48.65,,,0
HCPCS,87190,Microbe suscept mycobacteri,,,7.31,14.62,19
HCPCS,87197,Bactericidal level serum,,,15.02,30.04,19
HCPCS,87205,Hb Giemsa Stain,181.0,63.35,,,0
HCPCS,87205,Hb Gram Stain Only,181.0,63.35,,,0
HCPCS,87205,Hb Gram Stain Ortho,181.0,63.35,,,0
HCPCS,87205,Hb Wright Stain,181.0,63.35,,,0
HCPCS,87205,Smear gram stain,,,4.27,8.54,19
HCPCS,87206,Hb Acrid Orange Smr,479.0,167.65,,,0
HCPCS,87206,Hb Afb Kinyoun Smr,479.0,167.65,,,0
HCPCS,87206,Hb Afb Ortho Smear,479.0,167.65,,,0
HCPCS,87206,Hb Afb Smear,479.0,167.65,,,0
HCPCS,87206,Hb Cryptosporidium Smr,479.0,167.65,,,0
HCPCS,87206,Hb Nocardia Smear,479.0,167.65,,,0
HCPCS,87206,Smear fluorescent/acid stai,,,5.39,10.78,19
HCPCS,87207,Hb Malaria Smear,366.0,128.1,,,0
HCPCS,87207,Hb Microsporidia Stain,24.9,8.72,,,0
HCPCS,87207,Smear special stain,,,5.99,11.98,19
HCPCS,87209,Hb Trichrome Stain,5.52,1.93,,,0
HCPCS,87209,Smear complex stain,,,17.98,35.96,19
HCPCS,87210,Hb India Ink Prep,202.0,70.7,,,0
HCPCS,87210,Hb Smear Wet Mount Saline Ink,175.0,61.25,,,0
HCPCS,87210,Hb Wet Prep,202.0,70.7,,,0
HCPCS,87210,Smear wet mount saline/ink,,,5.82,11.64,19
HCPCS,87220,Hb Koh Prep,88.0,30.8,,,0
HCPCS,87220,Tissue exam for fungi,,,4.27,8.54,19
HCPCS,87230,Assay toxin or antitoxin,,,19.74,39.48,19
HCPCS,87250,Virus inoculate eggs/animal,,,19.56,39.12,19
HCPCS,87252,Hb Cmv Blood Culture,758.0,265.3,,,0
HCPCS,87252,Hb Cmv Culture,758.0,265.3,,,0
HCPCS,87252,Hb Enterovirus Cult,758.0,265.3,,,0
HCPCS,87252,Hb Resp Viral Panel Cult,758.0,265.3,,,0
HCPCS,87252,Hb Viral Clt Typing,758.0,265.3,,,0
HCPCS,87252,Hb Vzv Culture,758.0,265.3,,,0
HCPCS,87252,Virus inoculation tissue,,,26.07,52.14,19
HCPCS,87253,Hb Hemadsorption 1,161.0,56.35,,,0
HCPCS,87253,Hb Hemadsorption 2,161.0,56.35,,,0
HCPCS,87253,Virus inoculate tissue addl,,,20.2,40.4,19
HCPCS,87254,Hb Shell Vial Virus Id W Stain,300.0,105.0,,,0
HCPCS,87254,Virus inoculation shell via,,,19.56,39.12,19
HCPCS,87255,Genet virus isolate hsv,,,33.86,67.72,19
HCPCS,87260,Adenovirus ag if,,,14.43,28.86,19
HCPCS,87260,Hb Adenvirus By Dfa Id,140.0,49.0,,,0
HCPCS,87265,Hb Bord Pertussis Smr,1063.0,372.05,,,0
HCPCS,87265,Pertussis ag if,,,11.98,23.96,19
HCPCS,87267,Enterovirus antibody dfa,,,13.42,26.84,19
HCPCS,87269,Giardia ag if,,,13.61,27.22,19
HCPCS,87270,Chlamydia trachomatis ag if,,,11.98,23.96,19
HCPCS,87271,Cytomegalovirus dfa,,,13.42,26.84,19
HCPCS,87271,Hb Cmv Smear,394.0,137.9,,,0
HCPCS,87272,Cryptosporidium ag if,,,11.98,23.96,19
HCPCS,87273,Hb Hsv 2 By Dfa,287.0,100.45,,,0
HCPCS,87273,Herpes simplex 2 ag if,,,11.98,23.96,19
HCPCS,87274,Hb Herpes Type 1 Smear,311.0,108.85,,,0
HCPCS,87274,Herpes simplex 1 ag if,,,11.98,23.96,19
HCPCS,87275,Hb Influ B By Dfa Id,140.0,49.0,,,0
HCPCS,87275,Influenza b ag if,,,12.25,24.5,19
HCPCS,87276,Hb Influ A By Dfa Id,140.0,49.0,,,0
HCPCS,87276,Influenza a ag if,,,16.07,32.14,19
HCPCS,87278,Hb Legionella Smear,746.0,261.1,,,0
HCPCS,87278,Legion pneumophilia ag if,,,15.6,31.2,19
HCPCS,87279,Hb Parainfluenza Dfa Ab,140.0,49.0,,,0
HCPCS,87279,Parainfluenza ag if,,,16.43,32.86,19
HCPCS,87280,Hb Resp Sync Vir Smr,311.0,108.85,,,0
HCPCS,87280,Hb Rsv By Dfa Id,311.0,108.85,,,0
HCPCS,87280,Respiratory syncytial ag if,,,13.42,26.84,19
HCPCS,87281,Pneumocystis carinii ag if,,,11.98,23.96,19
HCPCS,87283,Rubeola ag if,,,60.8,121.6,19
HCPCS,87285,Treponema pallidum ag if,,,12.18,24.36,19
HCPCS,87290,Hb Vzv Smear,412.0,144.2,,,0
HCPCS,87290,Varicella zoster ag if,,,13.42,26.84,19
HCPCS,87299,Antibody detection nos if,,,16.1,32.2,19
HCPCS,87300,Ag detection polyval if,,,11.98,23.96,19
HCPCS,87300,Hb Respiratory Viral Panel,426.0,149.1,,,0
HCPCS,87300,Hb Viral Smear,426.0,149.1,,,0
HCPCS,87301,Adenovirus ag ia,,,11.98,23.96,19
HCPCS,87305,Aspergillus ag ia,,,11.98,23.96,19
HCPCS,87305,Hb Aspergillus Antigen,58.5,20.48,,,0
HCPCS,87305,"Hb Aspergillus Antigen, Eia, Bal",59.0,20.65,,,0
HCPCS,87320,Chylmd trach ag ia,,,15.0,30.0,19
HCPCS,87324,Clostridium ag ia,,,11.98,23.96,19
HCPCS,87324,Hb Clost Diff Toxin Test,392.0,137.2,,,0
HCPCS,87327,Cryptococcus neoform ag ia,,,13.42,26.84,19
HCPCS,87327,Hb Cryptococcal Ag Blood Only,366.0,128.1,,,0
HCPCS,87328,Cryptosporidium ag ia,,,13.82,27.64,19
HCPCS,87328,Hb Cryptosporidium Antigen,100.0,35.0,,,0
HCPCS,87329,Giardia ag ia,,,11.98,23.96,19
HCPCS,87329,Hb Giardia Antigen,100.0,35.0,,,0
HCPCS,87332,Cytomegalovirus ag ia,,,11.98,23.96,19
HCPCS,87335,E coli 0157 ag ia,,,12.66,25.32,19
HCPCS,87336,Entamoeb hist dispr ag ia,,,16.0,32.0,19
HCPCS,87337,Entamoeb hist group ag ia,,,11.98,23.96,19
HCPCS,87338,Hb Helico Pylori Antigen,344.0,120.4,,,0
HCPCS,87338,Hpylori stool ia,,,14.38,28.76,19
HCPCS,87339,H pylori ag ia,,,16.0,32.0,19
HCPCS,87340,"Hb Donor, Hepatitis B Surface Antigen Reflex To Confirmation",100.52,35.18,,,0
HCPCS,87340,Hb Hepatitis B Surface Antigen,228.0,79.8,,,0
HCPCS,87340,Hepatitis b surface ag ia,,,10.33,20.66,19
HCPCS,87341,Hb Hep B Surface Ag Conf,112.0,39.2,,,0
HCPCS,87341,Hepatitis b surface ag ia,,,10.33,20.66,19
HCPCS,87350,Hb Hepatitis Be Antgn,6.4,2.24,,,0
HCPCS,87350,Hepatitis be ag ia,,,11.53,23.06,19
HCPCS,87380,Hepatitis delta ag ia,,,18.36,36.72,19
HCPCS,87385,Hb Histoplasma Antigen,103.0,36.05,,,0
HCPCS,87385,Histoplasma capsul ag ia,,,13.25,26.5,19
HCPCS,87389,Hb Focus Hiv Antigen Antibody Combo,112.0,39.2,,,0
HCPCS,87389,Hb Hiv 1 Ag W Hiv 1 2 Ab,112.0,39.2,,,0
HCPCS,87389,Hiv-1 ag w/hiv-1 & hiv-2 ab,,,24.08,48.16,19
HCPCS,87390,Hiv-1 ag ia,,,24.06,48.12,19
HCPCS,87391,Hiv-2 ag ia,,,21.9,43.8,19
HCPCS,87400,Hb Influ A Antigen,256.0,89.6,,,0
HCPCS,87400,Hb Influ B Antigen,256.0,89.6,,,0
HCPCS,87400,Influenza a/b ag ia,,,14.13,28.26,19
HCPCS,87420,Hb Rsv Antigen Test,292.0,102.2,,,0
HCPCS,87420,Resp syncytial ag ia,,,13.91,27.82,19
HCPCS,87425,Hb Rotavirus Antigen,234.0,81.9,,,0
HCPCS,87425,Rotavirus ag ia,,,11.98,23.96,19
HCPCS,87426,Coronavirus ag ia,,,35.33,70.66,19
HCPCS,87426,Hb Iaad Ia Severe Aqt Respir Synd Coronavirus,62.0,21.7,,,0
HCPCS,87427,Hb Shiga Toxin Test,188.0,65.8,,,0
HCPCS,87427,Shiga-like toxin ag ia,,,11.98,23.96,19
HCPCS,87428,Hb Iaad Ia Sarscov & Influenza Virus Types A&B,176.0,61.6,,,0
HCPCS,87428,Sarscov & inf vir a&b ag ia,,,70.29,140.58,19
HCPCS,87430,Hb Strep A Screen Bs,275.0,96.25,,,0
HCPCS,87430,Hb Strep Group A Antigen,275.0,96.25,,,0
HCPCS,87430,Strep a ag ia,,,16.81,33.62,19
HCPCS,87449,Ag detect nos ia mult,,,11.98,23.96,19
HCPCS,87449,"Hb 1,3 Beta D Glucan Assay, Fungitell",65.0,22.75,,,0
HCPCS,87449,Hb Clost Diff Antigen Test,226.0,79.1,,,0
HCPCS,87451,Ag detect polyval ia mult,,,10.51,21.02,19
HCPCS,87467,Hepatitis b surface ag quan,,,25.32,50.64,19
HCPCS,87468,Anaplsma phgcytophlm amp prb,,,35.09,70.18,19
HCPCS,87469,Babesia microti amp prb,,,35.09,70.18,19
HCPCS,87471,Bartonella dna amp probe,,,35.09,70.18,19
HCPCS,87472,Bartonella dna quant,,,42.84,85.68,19
HCPCS,87475,Lyme dis dna dir probe,,,20.05,40.1,19
HCPCS,87476,Lyme dis dna amp probe,,,35.09,70.18,19
HCPCS,87478,Borrelia miyamotoi amp prb,,,35.09,70.18,19
HCPCS,87480,Candida dna dir probe,,,20.05,40.1,19
HCPCS,87481,Candida dna amp probe,,,35.09,70.18,19
HCPCS,87481,Hb Candida Pcr,208.0,72.8,,,0
HCPCS,87481,Hb Candida Pcr Speciation,208.0,72.8,,,0
HCPCS,87481,Hb Candida Pcr Speciation 2,208.0,72.8,,,0
HCPCS,87482,Candida dna quant,,,55.74,111.48,19
HCPCS,87483,Cns dna amp probe type 12-25,,,416.78,833.56,19
HCPCS,87483,Hb Cns Pathogen Panel,996.0,348.6,,,0
HCPCS,87484,Ehrlicha chaffeensis amp prb,,,35.09,70.18,19
HCPCS,87485,Chylmd pneum dna dir probe,,,20.05,40.1,19
HCPCS,87486,Chylmd pneum dna amp probe,,,35.09,70.18,19
HCPCS,87486,Hb Chlamydia Pneumoniae Pcr,1352.0,473.2,,,0
HCPCS,87487,Chylmd pneum dna quant,,,42.84,85.68,19
HCPCS,87490,Chylmd trach dna dir probe,,,22.75,45.5,19
HCPCS,87491,Chylmd trach dna amp probe,,,35.09,70.18,19
HCPCS,87491,Hb Pcr Chlamydia Trachomitis,355.0,124.25,,,0
HCPCS,87492,Chylmd trach dna quant,,,53.47,106.94,19
HCPCS,87493,C diff amplified probe,,,37.27,74.54,19
HCPCS,87493,Hb C Difficile Toxin Pcr,676.0,236.6,,,0
HCPCS,87493,Hb Stat C. Diff Pcr,676.0,236.6,,,0
HCPCS,87494,Chlmy trch&neisra gonor mult,,,70.18,140.36,19
HCPCS,87495,Cytomeg dna dir probe,,,30.03,60.06,19
HCPCS,87496,Cytomeg dna amp probe,,,35.09,70.18,19
HCPCS,87496,Hb Cmv Nasba Pp67,770.0,269.5,,,0
HCPCS,87496,Hb Cmv Pcr,770.0,269.5,,,0
HCPCS,87496,Hb Congenital Cmv Pcr (Newborns),210.0,73.5,,,0
HCPCS,87497,Cytomeg dna quant,,,42.84,85.68,19
HCPCS,87497,Hb Cmv Pcr Quant Transplant,676.0,236.6,,,0
HCPCS,87497,Hb Cmv Quant Pcr,676.0,236.6,,,0
HCPCS,87498,Enterovirus probe&revrs trns,,,35.09,70.18,19
HCPCS,87498,Hb Enterovirus Pcr,868.33,303.92,,,0
HCPCS,87500,Hb Van A Pcr,1765.0,617.75,,,0
HCPCS,87500,Vanomycin dna amp probe,,,35.09,70.18,19
HCPCS,87501,Influenza dna amp prob 1+,,,51.31,102.62,19
HCPCS,87502,Hb Influenza Pcr,498.0,174.3,,,0
HCPCS,87502,Hb Stat Influenza Pcr,498.0,174.3,,,0
HCPCS,87502,Influenza dna amp probe,,,95.8,191.6,19
HCPCS,87503,Hb Flu Typing,840.0,294.0,,,0
HCPCS,87503,Influenza dna amp prob addl,,,29.22,58.44,19
HCPCS,87505,Hb Gastrointestinal Pathogen Panel 3-5 Targets,407.0,142.45,,,0
HCPCS,87505,Nfct agent detection gi,,,128.29,256.58,19
HCPCS,87506,Hb Gastrointestinal Pathogen Panel 6-11 Targets,722.0,252.7,,,0
HCPCS,87506,Iadna-dna/rna probe tq 6-11,,,262.99,525.98,19
HCPCS,87507,Hb Gastrointestinal Pathogen Panel 12-25 Targets,1477.0,516.95,,,0
HCPCS,87507,Iadna-dna/rna probe tq 12-25,,,416.78,833.56,19
HCPCS,87510,Gardner vag dna dir probe,,,20.05,40.1,19
HCPCS,87511,Gardner vag dna amp probe,,,35.09,70.18,19
HCPCS,87512,Gardner vag dna quant,,,41.76,83.52,19
HCPCS,87513,H pylri clrthmcn rst amp prb,,,35.09,70.18,19
HCPCS,87516,Hb Hepatiitis B Pcr Qualitative,692.0,242.2,,,0
HCPCS,87516,Hepatitis b dna amp probe,,,35.09,70.18,19
HCPCS,87517,Hb Hepatitis B Pcr Quantification,631.0,220.85,,,0
HCPCS,87517,Hb Hepatitis B Pcr Quantitative,1014.0,354.9,,,0
HCPCS,87517,Hepatitis b dna quant,,,42.84,85.68,19
HCPCS,87520,Hepatitis c rna dir probe,,,31.22,62.44,19
HCPCS,87521,Hb Hcv Qual Pcr,727.0,254.45,,,0
HCPCS,87521,Hepatitis c probe&rvrs trnsc,,,35.09,70.18,19
HCPCS,87522,Hb Focus Hcv Quant,631.0,220.85,,,0
HCPCS,87522,Hb Hcv Rna Quantitative,631.0,220.85,,,0
HCPCS,87522,Hepatitis c revrs trnscrpj,,,42.84,85.68,19
HCPCS,87523,Hepatitis d quantification,,,42.84,85.68,19
HCPCS,87525,Hepatitis g dna dir probe,,,29.8,59.6,19
HCPCS,87526,Hepatitis g dna amp probe,,,39.26,78.52,19
HCPCS,87527,Hepatitis g dna quant,,,41.76,83.52,19
HCPCS,87528,Hsv dna dir probe,,,20.05,40.1,19
HCPCS,87529,Hb Hsv Qual Pcr Blood,1352.0,473.2,,,0
HCPCS,87529,Hb Hsv Qual Pcr Non Blood,1352.0,473.2,,,0
HCPCS,87529,Hsv dna amp probe,,,35.09,70.18,19
HCPCS,87530,Hsv dna quant,,,42.84,85.68,19
HCPCS,87531,Hhv-6 dna dir probe,,,58.0,116.0,19
HCPCS,87532,Hb Hhv6 Pcr,70.7,24.74,,,0
HCPCS,87532,Hb Human Herpes Virus 6 Pcr,1352.0,473.2,,,0
HCPCS,87532,Hhv-6 dna amp probe,,,35.09,70.18,19
HCPCS,87533,"Hb Herpesvirus 6 (Hhv-6)Dna, Quantitative Rt Pcr",275.0,96.25,,,0
HCPCS,87533,Hhv-6 dna quant,,,41.76,83.52,19
HCPCS,87534,Hiv-1 dna dir probe,,,21.92,43.84,19
HCPCS,87535,Hb Hiv Pcr,593.0,207.55,,,0
HCPCS,87535,Hiv-1 probe&reverse trnscrpj,,,35.09,70.18,19
HCPCS,87536,Hb Hiv Viral Load,1256.0,439.6,,,0
HCPCS,87536,Hiv-1 quant&revrse trnscrpj,,,85.1,170.2,19
HCPCS,87537,Hiv-2 dna dir probe,,,21.92,43.84,19
HCPCS,87538,Hiv-2 probe&revrse trnscripj,,,35.09,70.18,19
HCPCS,87539,Hiv-2 quant&revrse trnscripj,,,58.62,117.24,19
HCPCS,87540,Legion pneumo dna dir prob,,,20.05,40.1,19
HCPCS,87541,Hb Legionella Pcr,1352.0,473.2,,,0
HCPCS,87541,Legion pneumo dna amp prob,,,35.09,70.18,19
HCPCS,87542,Legion pneumo dna quant,,,41.76,83.52,19
HCPCS,87550,Mycobacteria dna dir probe,,,20.05,40.1,19
HCPCS,87551,Hb Mycobacaterium Abscessus Complex Pcr,776.0,271.6,,,0
HCPCS,87551,Hb Mycobacaterium Cheloneae Complex Pcr,776.0,271.6,,,0
HCPCS,87551,Hb Mycobacaterium Fortuitum Complex Pcr,776.0,271.6,,,0
HCPCS,87551,Hb Mycobacaterium Species Pcr,776.0,271.6,,,0
HCPCS,87551,Mycobacteria dna amp probe,,,48.24,96.48,19
HCPCS,87552,Mycobacteria dna quant,,,42.84,85.68,19
HCPCS,87555,M.tuberculo dna dir probe,,,26.88,53.76,19
HCPCS,87556,Hb M Tuberculosis Pcr,568.0,198.8,,,0
HCPCS,87556,Hb M. Tuberculosis Complex Assay,271.0,94.85,,,0
HCPCS,87556,Hb Mycobacterium Tuberculosis Rifampin Resistance Pcr Assay,236.0,82.6,,,0
HCPCS,87556,M.tuberculo dna amp probe,,,41.68,83.36,19
HCPCS,87557,M.tuberculo dna quant,,,42.84,85.68,19
HCPCS,87560,M.avium-intra dna dir prob,,,27.29,54.58,19
HCPCS,87561,Hb M Avium Pcr,182.0,63.7,,,0
HCPCS,87561,M.avium-intra dna amp prob,,,35.09,70.18,19
HCPCS,87562,M.avium-intra dna quant,,,42.84,85.68,19
HCPCS,87563,M. genitalium amp probe,,,35.09,70.18,19
HCPCS,87564,Mtb rifampin rst amp prb tq,,,76.77,153.54,19
HCPCS,87580,M.pneumon dna dir probe,,,20.05,40.1,19
HCPCS,87581,Hb Mycoplasma Pcr,770.0,269.5,,,0
HCPCS,87581,M.pneumon dna amp probe,,,35.09,70.18,19
HCPCS,87582,M.pneumon dna quant,,,302.62,605.24,19
HCPCS,87590,N.gonorrhoeae dna dir prob,,,26.88,53.76,19
HCPCS,87591,Hb Pcr Gc,413.0,144.55,,,0
HCPCS,87591,N.gonorrhoeae dna amp prob,,,35.09,70.18,19
HCPCS,87592,N.gonorrhoeae dna quant,,,42.84,85.68,19
HCPCS,87593,Hb Orthopoxvirus Amp Prb Each,108.0,37.8,,,0
HCPCS,87593,Orthopoxvirus amp prb each,,,51.31,102.62,19
HCPCS,87594,Pneumcysts jirovecii amp prb,,,35.09,70.18,19
HCPCS,87623,Hpv low-risk types,,,35.09,70.18,19
HCPCS,87624,Hb Hpv High Risk Dna Analysis,28.0,9.8,,,0
HCPCS,87624,Hpv high-risk types,,,35.09,70.18,19
HCPCS,87625,Hpv types 16 & 18 only,,,40.55,81.1,19
HCPCS,87626,Hb Alinity M Hpv Assay,35.09,12.28,,,0
HCPCS,87626,Hpv sep hi-rsk typ&pool rslt,,,70.2,140.4,19
HCPCS,87627,Jt spc pthgn&rx rsist gen26+,,,679.77,1359.54,19
HCPCS,87631,Hb Respiratory Virus Panel 3-5 Targets,438.0,153.3,,,0
HCPCS,87631,Hb Solana Mini Respiratory Panel,308.0,107.80000000000001,,,0
HCPCS,87631,Hhb Respiratory Viral Panel,210.0,73.5,,,0
HCPCS,87631,Resp virus 3-5 targets,,,142.63,285.26,19
HCPCS,87632,Hb Respiratory Virus Panel 6-11 Targets,730.0,255.5,,,0
HCPCS,87632,Resp virus 6-11 targets,,,218.06,436.12,19
HCPCS,87633,Hb Covid Pcr,373.0,130.55,,,0
HCPCS,87633,Hb Respiratory Virus Panel 12-25 Targets,1477.0,516.95,,,0
HCPCS,87633,Resp virus 12-25 targets,,,416.78,833.56,19
HCPCS,87634,Hb Solana Rsv Dna/Rna Amp Probe,97.0,33.95,,,0
HCPCS,87634,Rsv dna/rna amp probe,,,70.2,140.4,19
HCPCS,87635,Hb Sars-Cov-2 Covid-19 Amp Prb,329.5,115.325,,,0
HCPCS,87635,Sars-cov-2 covid-19 amp prb,,,51.31,102.62,19
HCPCS,87636,Sarscov2 & inf a&b amp prb,,,142.63,285.26,19
HCPCS,87637,Sarscov2&inf a&b&rsv amp prb,,,142.63,285.26,19
HCPCS,87640,Staph a dna amp probe,,,35.09,70.18,19
HCPCS,87641,Hb Mrsa Dna Probe,706.0,247.1,,,0
HCPCS,87641,Hb Stat Mrsa Pcr,706.0,247.1,,,0
HCPCS,87641,Mr-staph dna amp probe,,,35.09,70.18,19
HCPCS,87650,Strep a dna dir probe,,,20.05,40.1,19
HCPCS,87651,Hb Group A Strep Pcr,218.0,76.3,,,0
HCPCS,87651,Hb Iadna Streptococcus Group A Amplified Probe Tq,195.0,68.25,,,0
HCPCS,87651,Hb Strep Pcr Group A,218.0,76.3,,,0
HCPCS,87651,Strep a dna amp probe,,,35.09,70.18,19
HCPCS,87652,Strep a dna quant,,,41.76,83.52,19
HCPCS,87653,Hb Group B Strep Pcr,436.0,152.6,,,0
HCPCS,87653,Strep b dna amp probe,,,35.09,70.18,19
HCPCS,87660,Trichomonas vagin dir probe,,,20.05,40.1,19
HCPCS,87661,Hb Trichomonas Vaginalis Pcr Amp Prob,182.0,63.7,,,0
HCPCS,87661,Trichomonas vaginalis amplif,,,35.09,70.18,19
HCPCS,87662,Zika virus dna/rna amp probe,,,51.31,102.62,19
HCPCS,87797,Detect agent nos dna dir,,,30.03,60.06,19
HCPCS,87798,Detect agent nos dna amp,,,35.09,70.18,19
HCPCS,87798,Hb Adenovirus Pcr,1765.0,617.75,,,0
HCPCS,87798,Hb Bk Jc Virus Pcr,989.0,346.15,,,0
HCPCS,87798,Hb Bordetella Pertusis Pcr,1764.0,617.4,,,0
HCPCS,87798,Hb C Auris Pcr,1049.0,367.15,,,0
HCPCS,87798,Hb Carbapenemase Multiplex Pcr,42.0,14.7,,,0
HCPCS,87798,Hb Coronavirus Pcr,1765.0,617.75,,,0
HCPCS,87798,Hb Drug Resistance Markers Of Various Ntm,134.0,46.9,,,0
HCPCS,87798,Hb Epstein Barr Virus Pcr,1765.0,617.75,,,0
HCPCS,87798,Hb Gastrointestinal Pcr,996.0,348.6,,,0
HCPCS,87798,Hb Herpes Zoster Virus Pcb Blood,1352.0,473.2,,,0
HCPCS,87798,Hb Herpes Zoster Virus Pco Non Blood,1352.0,473.2,,,0
HCPCS,87798,Hb Human Metapneumovirus Pcr,1050.0,367.5,,,0
HCPCS,87798,Hb Line Probe Assay Identification,427.0,149.45,,,0
HCPCS,87798,Hb Parainfluenza Pcr,1765.0,617.75,,,0
HCPCS,87798,Hb Parvovirus B19 Pcr,1764.0,617.4,,,0
HCPCS,87798,Hb Rapid Id Of Multidrug Resistance (Mtb4T),124.0,43.4,,,0
HCPCS,87798,Hb Rhinovirus Pcr,1352.0,473.2,,,0
HCPCS,87798,Hb Rsv Pcr,1765.0,617.75,,,0
HCPCS,87798,Hb Six Plex Multidrug Resistant Pcr,1049.0,367.15,,,0
HCPCS,87798,Hb Solana Detect Agent Nos Dna Amp,82.0,28.700000000000003,,,0
HCPCS,87798,Hb Strep Complete Pcr,410.0,143.5,,,0
HCPCS,87798,Hb Strep Pcr Group C And G,218.0,76.3,,,0
HCPCS,87798,Hb Streptococcus Pneumoniae,77.0,26.95,,,0
HCPCS,87798,Hb Toxoplamsa Pcr,1127.0,394.45,,,0
HCPCS,87798,Hb West Nile Virus Rna Bld,210.79,73.78,,,0
HCPCS,87798,Hb Zika Fee Aphresis Platelets,397.0,138.95,,,0
HCPCS,87798,Hb Zika Fee Rbc,397.0,138.95,,,0
HCPCS,87798,Hb Zika Virus Pcr,373.0,130.55,,,0
HCPCS,87799,Detect agent nos dna quant,,,42.84,85.68,19
HCPCS,87799,Hb Adenovirus Qnt Pcr Adenovirus,275.0,96.25,,,0
HCPCS,87799,Hb Bk Virus Pcr Quantitative,989.0,346.15,,,0
HCPCS,87799,Hb Ebv Pcr Quantitative,989.0,346.15,,,0
HCPCS,87799,"Hb Jc Virus Dna,Quant,Csf",989.0,346.15,,,0
HCPCS,87799,"Hb Jc Virus Dna,Quant,Serum/Plasma",989.0,346.15,,,0
HCPCS,87799,"Hb Jc Virus Dna,Quant,Urine",989.0,346.15,,,0
HCPCS,87799,Hb Parvovirus B19Dna Qnt Pcr,179.0,62.65,,,0
HCPCS,87800,Detect agnt mult dna direc,,,43.67,87.34,19
HCPCS,87801,Detect agnt mult dna ampli,,,70.2,140.4,19
HCPCS,87801,"Hb Borrelia Species Dna, Qualitative Real-Time Pcr, Csf/Synovial/Blood",45.25,15.84,,,0
HCPCS,87801,"Hb Donor, Detect Agnt Mult Dna Ampli",100.52,35.18,,,0
HCPCS,87801,Hb Gc Pcr Testing,768.0,268.8,,,0
HCPCS,87802,Strep b assay w/optic,,,12.73,25.46,19
HCPCS,87803,Clostridium toxin a w/optic,,,16.0,32.0,19
HCPCS,87804,Hb Influenza A Bedside,140.0,49.0,,,0
HCPCS,87804,Hb Influenza B Bedside,140.0,49.0,,,0
HCPCS,87804,Influenza assay w/optic,,,16.55,33.1,19
HCPCS,87804,Noncdm Charge Record,133.0,46.55,,,0
HCPCS,87806,Hiv antigen w/hiv antibodies,,,32.77,65.54,19
HCPCS,87807,Hb Rapid Respiratory Syncitial Virus Screen,65.0,22.75,,,0
HCPCS,87807,Rsv assay w/optic,,,13.1,26.2,19
HCPCS,87808,Hb Trichonomonas,113.0,39.55,,,0
HCPCS,87808,Trichomonas assay w/optic,,,15.29,30.58,19
HCPCS,87809,Adenovirus assay w/optic,,,21.76,43.52,19
HCPCS,87810,Chylmd trach assay w/optic,,,35.29,70.58,19
HCPCS,87811,Sars-cov-2 covid19 w/optic,,,41.38,82.76,19
HCPCS,87812,Sarscov2&inf typ a&b w/optic,,,74.48,148.96,19
HCPCS,87850,N. gonorrhoeae assay w/optic,,,24.56,49.12,19
HCPCS,87880,Hb Rapid Strep Test In Office,103.0,36.05,,,0
HCPCS,87880,Hb Strep A Immunoassay Bedside,275.0,96.25,,,0
HCPCS,87880,Strep a assay w/optic,,,16.53,33.06,19
HCPCS,87899,Agent nos assay w/optic,,,16.07,32.14,19
HCPCS,87899,Hb Crypto Ag,366.0,128.1,,,0
HCPCS,87899,Hb Crypto Agg Titer,366.0,128.1,,,0
HCPCS,87899,Hb Legionella Antigen,234.0,81.9,,,0
HCPCS,87899,Hb Strep Pneumo Antigen,234.0,81.9,,,0
HCPCS,87900,Phenotype infect agent drug,,,130.35,260.7,19
HCPCS,87901,Genotype dna hiv reverse t,,,257.45,514.9,19
HCPCS,87901,Hb Hiv Genotype,201.35,70.47,,,0
HCPCS,87902,Genotype dna/rna hep c,,,257.45,514.9,19
HCPCS,87902,Hb Hepatitis C Genotype,755.0,264.25,,,0
HCPCS,87903,Phenotype dna hiv w/culture,,,488.66,977.32,19
HCPCS,87904,Phenotype dna hiv w/clt add,,,26.07,52.14,19
HCPCS,87905,Hb Bacterial Vaginosis,106.0,37.1,,,0
HCPCS,87905,Sialidase enzyme assay,,,12.22,24.44,19
HCPCS,87906,Genotype dna/rna hiv,,,128.73,257.46,19
HCPCS,87910,Genotype cytomegalovirus,,,257.45,514.9,19
HCPCS,87912,Genotype dna hepatitis b,,,257.45,514.9,19
HCPCS,87999,Hb Direct Parasite Examination,202.0,70.7,,,0
HCPCS,88029,Hb Pediatric Autopsy,1224.0,428.4,,,0
HCPCS,88104,Cytopath fl nongyn smears,,,39.0,78.01,19
HCPCS,88104,Hb Cytology Non Gyn Smear,368.0,128.8,,,0
HCPCS,88106,Cytopath fl nongyn filter,,,30.2,60.41,19
HCPCS,88108,Cytopath concentrate tech,,,39.0,78.01,19
HCPCS,88108,Hb Cytology Fluid Thin Prep,282.0,98.7,,,0
HCPCS,88108,Hb Cytopath Concentration Technique,228.0,79.8,,,0
HCPCS,88112,Cytopath cell enhance tech,,,54.42,108.84,19
HCPCS,88112,Hb Cytopathology Complex,540.0,189.0,,,0
HCPCS,88120,Cytp urne 3-5 probes ea spec,,,177.91,355.83,19
HCPCS,88120,Hb Cep 17 Fish Urovision,659.0,230.65,,,0
HCPCS,88120,Hb Cep 3 Fish Urovision,659.0,230.65,,,0
HCPCS,88120,Hb Cep 7 Fish Urovysion,659.0,230.65,,,0
HCPCS,88120,Hb Lsi 9Q21 Fish Urovision,659.0,230.65,,,0
HCPCS,88121,Cytp urine 3-5 probes cmptr,,,177.91,355.83,19
HCPCS,88125,Forensic cytopathology,,,54.42,108.84,19
HCPCS,88130,Sex chromatin identification,,,17.98,35.96,19
HCPCS,88140,Sex chromatin identification,,,7.99,15.98,19
HCPCS,88141,Hb Abnormal Gyn Physician Review,210.0,73.5,,,0
HCPCS,88142,Cytopath c/v thin layer,,,20.26,40.52,19
HCPCS,88142,Hb Thin Prep Pap Smear,240.0,84.0,,,0
HCPCS,88143,Cytopath c/v thin layer redo,,,23.04,46.08,19
HCPCS,88147,Cytopath c/v automated,,,50.56,101.12,19
HCPCS,88148,Cytopath c/v auto rescreen,,,18.54,37.08,19
HCPCS,88150,Cytopath c/v manual,,,18.54,37.08,19
HCPCS,88152,Cytopath c/v auto redo,,,27.64,55.28,19
HCPCS,88153,Cytopath c/v redo,,,24.03,48.06,19
HCPCS,88155,Cytopath c/v index add-on,,,14.65,29.3,19
HCPCS,88155,Hb Cyto Pap Smr And Mi,215.0,75.25,,,0
HCPCS,88160,Cytopath smear other source,,,30.2,60.41,19
HCPCS,88161,Cytopath smear other source,,,30.2,60.41,19
HCPCS,88161,Hb Touch Prep,306.0,107.1,,,0
HCPCS,88162,Cytopath smear other source,,,54.42,108.84,19
HCPCS,88162,Hb Ext Stdy Over 5 Slides,242.0,84.7,,,0
HCPCS,88164,Cytopath tbs c/v manual,,,18.54,37.08,19
HCPCS,88164,Hb Cyto Pap Smr,166.0,58.1,,,0
HCPCS,88165,Cytopath tbs c/v redo,,,42.22,84.44,19
HCPCS,88165,Hb High Risk Pap,113.0,39.55,,,0
HCPCS,88166,Cytopath tbs c/v auto redo,,,18.54,37.08,19
HCPCS,88167,Cytopath tbs c/v select,,,18.54,37.08,19
HCPCS,88172,Cytp dx eval fna 1st ea site,,,177.91,355.83,19
HCPCS,88172,Hb Fna Immediate Interpretation,722.0,252.7,,,0
HCPCS,88173,Cytopath eval fna report,,,54.42,108.84,19
HCPCS,88173,Hb Fna Interpretation And Report,693.0,242.55,,,0
HCPCS,88174,Cytopath c/v auto in fluid,,,25.37,50.74,19
HCPCS,88175,Cytopath c/v auto fluid redo,,,26.61,53.22,19
HCPCS,88177,Hb Fna Additional Slides,722.0,252.7,,,0
HCPCS,88182,Cell marker study,,,54.42,108.84,19
HCPCS,88184,Flowcytometry/ tc 1 marker,,,374.32,748.64,19
HCPCS,88184,Hb 7Aad Viability,704.0,246.4,,,0
HCPCS,88184,Hb Cd 19 Lqtp,704.0,246.4,,,0
HCPCS,88184,Hb Cd 55 Pnh,704.0,246.4,,,0
HCPCS,88184,Hb Cd45 Marker,704.0,246.4,,,0
HCPCS,88184,Hb Cd45 Pnh Panel,704.0,246.4,,,0
HCPCS,88184,Hb Flowcytometry/ Tc 1 Marker,47.5,16.62,,,0
HCPCS,88184,Hb Kb Stain Flow,704.0,246.4,,,0
HCPCS,88185,Hb 16 Marker Bm,704.0,246.4,,,0
HCPCS,88185,Hb 7Aad Viability,704.0,246.4,,,0
HCPCS,88185,Hb Cd 20 Lqtp,704.0,246.4,,,0
HCPCS,88185,Hb Cd 52 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd 59 Pnh,704.0,246.4,,,0
HCPCS,88185,Hb Cd 64 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd1 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd10 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd103 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd117 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd11B Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd11C Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd123 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd13 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd138 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd14 Maker,704.0,246.4,,,0
HCPCS,88185,Hb Cd14 Pnh Panel,704.0,246.4,,,0
HCPCS,88185,Hb Cd15 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd15 Pnh Panel,704.0,246.4,,,0
HCPCS,88185,Hb Cd16 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd19 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd2 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd20 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd200,704.0,246.4,,,0
HCPCS,88185,Hb Cd22 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd23 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd235 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd235A Glycophorin Pnh Panel,704.0,246.4,,,0
HCPCS,88185,Hb Cd24 Pnh Panel,704.0,246.4,,,0
HCPCS,88185,Hb Cd25 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd26 Maker,704.0,246.4,,,0
HCPCS,88185,Hb Cd3 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd30 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd33 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd34 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd36 Es,704.0,246.4,,,0
HCPCS,88185,Hb Cd38 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd4 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd41 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd42B Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd43 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd5 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd56 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd57 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd58 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd59 Pnh Panel,704.0,246.4,,,0
HCPCS,88185,Hb Cd61 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd62 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd64 Pnh Panel,704.0,246.4,,,0
HCPCS,88185,Hb Cd7 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd71 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd79A Marker,704.0,246.4,,,0
HCPCS,88185,Hb Cd8 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Dr Marker,704.0,246.4,,,0
HCPCS,88185,Hb Flaer Marker,704.0,246.4,,,0
HCPCS,88185,Hb Flowcytometry/Tc Add-On,23.75,8.31,,,0
HCPCS,88185,Hb Fmc7 Marker,704.0,246.4,,,0
HCPCS,88185,Hb Kappa,704.0,246.4,,,0
HCPCS,88185,Hb Kappa Intra Cellular,704.0,246.4,,,0
HCPCS,88185,Hb Lambda,704.0,246.4,,,0
HCPCS,88185,Hb Lamdba Intracellular,704.0,246.4,,,0
HCPCS,88185,Hb Myeloperoxidase,704.0,246.4,,,0
HCPCS,88185,Hb Tcr Alpha/Beta Es,704.0,246.4,,,0
HCPCS,88185,Hb Tcr Gamma/Delta Es,704.0,246.4,,,0
HCPCS,88185,Hb Tdt,704.0,246.4,,,0
HCPCS,88187,Hb Interpretation 2-8 Flow Markers; Pnh Panel,304.0,106.4,,,0
HCPCS,88199,Cytopathology procedure,,,54.42,108.84,19
HCPCS,88199,Hb Cytology Slide Prep,45.0,15.75,,,0
HCPCS,88230,Hb Sma Tissue Culture,253.0,88.55,,,0
HCPCS,88230,Hb Tissue Culture Bl,259.0,90.65,,,0
HCPCS,88230,Tissue culture lymphocyte,,,116.49,232.98,19
HCPCS,88233,Hb Tissue Culture Poc,259.0,90.65,,,0
HCPCS,88233,Tissue culture skin/biopsy,,,140.73,281.46,19
HCPCS,88235,Hb Tissue Culture Am,259.0,90.65,,,0
HCPCS,88235,Tissue culture placenta,,,150.3,300.6,19
HCPCS,88237,Tissue culture bone marrow,,,143.75,287.5,19
HCPCS,88239,Tissue culture tumor,,,147.52,295.04,19
HCPCS,88240,Cell cryopreserve/storage,,,13.07,26.14,19
HCPCS,88241,Frozen cell preparation,,,12.09,24.18,19
HCPCS,88245,Chromosome analysis 20-25,,,173.17,346.34,19
HCPCS,88248,Chromosome analysis 50-100,,,173.17,346.34,19
HCPCS,88249,Chromosome analysis 100,,,173.17,346.34,19
HCPCS,88261,Chromosome analysis 5,,,264.34,528.68,19
HCPCS,88262,Chromosome analysis 15-20,,,125.49,250.98,19
HCPCS,88262,Hb 2 Karyotypes Poc,244.0,85.4,,,0
HCPCS,88262,Hb Two Karyotypes Bl,244.0,85.4,,,0
HCPCS,88263,Chromosome analysis 45,,,150.29,300.58,19
HCPCS,88264,Chromosome analysis 20-25,,,144.61,289.22,19
HCPCS,88267,Chromosome analys placenta,,,188.57,377.14,19
HCPCS,88267,Hb One Karyotype Am,159.0,55.65,,,0
HCPCS,88269,Chromosome analys amniotic,,,173.66,347.32,19
HCPCS,88271,Cytogenetics dna probe,,,21.42,42.84,19
HCPCS,88271,Hb Fish For 13,45.0,15.75,,,0
HCPCS,88271,Hb Fish For 18,45.0,15.75,,,0
HCPCS,88271,Hb Fish For 21,45.0,15.75,,,0
HCPCS,88272,Cytogenetics 3-5,,,40.7,81.4,19
HCPCS,88273,Cytogenetics 10-30,,,34.81,69.62,19
HCPCS,88274,Cytogenetics 25-99,,,42.38,84.76,19
HCPCS,88275,Cytogenetics 100-300,,,51.19,102.38,19
HCPCS,88275,Hb In Situ Hybrid Insight,130.0,45.5,,,0
HCPCS,88280,Chromosome karyotype study,,,33.47,66.94,19
HCPCS,88280,Hb Additional Karyotype Bl,101.0,35.35,,,0
HCPCS,88280,Hb Additional Karyotype Poc,101.0,35.35,,,0
HCPCS,88280,Hb Additional Karyotypes Am,101.0,35.35,,,0
HCPCS,88283,Chromosome banding study,,,68.6,137.2,19
HCPCS,88285,Chromosome count additional,,,26.91,53.82,19
HCPCS,88289,Chromosome study additional,,,34.43,68.86,19
HCPCS,88299,Cytogenetic study,,,54.42,108.84,19
HCPCS,88300,Hb Gross Exam Only,156.0,54.6,,,0
HCPCS,88300,Surgical path gross,,,30.2,60.41,19
HCPCS,88302,Hb Gross And Micro A,672.0,235.2,,,0
HCPCS,88302,Tissue exam by pathologist,,,39.0,78.01,19
HCPCS,88304,Hb Gross And Micro B,819.0,286.65,,,0
HCPCS,88304,Tissue exam by pathologist,,,54.42,108.84,19
HCPCS,88305,Hb Cytology Cell Block,1061.0,371.35,,,0
HCPCS,88305,Hb Gross And Micro C,1061.0,371.35,,,0
HCPCS,88305,Tissue exam by pathologist,,,54.42,108.84,19
HCPCS,88307,Hb Gross And Micro D,1203.0,421.05,,,0
HCPCS,88307,Tissue exam by pathologist,,,374.32,748.64,19
HCPCS,88309,Hb Gross And Micro E,1296.0,453.6,,,0
HCPCS,88309,Tissue exam by pathologist,,,841.35,1682.71,19
HCPCS,88311,Hb Histology Decal,231.0,80.85,,,0
HCPCS,88312,Hb Special Stain Gp1,373.0,130.55,,,0
HCPCS,88312,Special stains group 1,,,54.42,108.84,19
HCPCS,88313,Hb Special Stain Gp2,430.0,150.5,,,0
HCPCS,88313,Special stains group 2,,,138.94,277.88,19
HCPCS,88314,Hb Histochemical Stain,462.0,161.7,,,0
HCPCS,88319,Enzyme histochemistry,,,841.35,1682.71,19
HCPCS,88319,Hb Histo Cytochemistry Stain,612.0,214.2,,,0
HCPCS,88319,Hb Peroxidase Stain,505.0,176.75,,,0
HCPCS,88321,Microslide consultation,,,39.0,78.01,19
HCPCS,88323,Hb Consltj&Reprt Material Requiring Prepj Slides,250.0,87.5,,,0
HCPCS,88323,Microslide consultation,,,54.42,108.84,19
HCPCS,88325,Comprehensive review of data,,,177.91,355.83,19
HCPCS,88325,Hb Outside Consultation,1254.0,438.9,,,0
HCPCS,88329,Path consult introp,,,61.6,123.21,19
HCPCS,88331,Hb Frozen Consu,838.0,293.3,,,0
HCPCS,88331,Path consult intraop 1 bloc,,,177.91,355.83,19
HCPCS,88332,Hb Ea Add Frozen,811.0,283.85,,,0
HCPCS,88333,Hb Touch Prep Initial Site,145.0,50.75,,,0
HCPCS,88333,Intraop cyto path consult 1,,,841.35,1682.71,19
HCPCS,88334,Hb Touch Prep Additional Site,123.0,43.05,,,0
HCPCS,88341,Hb Immunohisto Anitbody Add Slide Single,133.0,46.55,,,0
HCPCS,88342,Hb Immunohisto Antibody 1St Slide Single,897.0,313.95,,,0
HCPCS,88342,Immunohisto antb 1st stain,,,177.91,355.83,19
HCPCS,88344,Hb Immunohisto Antibody Slide Complex,897.0,313.95,,,0
HCPCS,88344,Immunohisto antibody slide,,,374.32,748.64,19
HCPCS,88346,Hb Immunofluor Antb 1St Stain,629.0,220.15,,,0
HCPCS,88346,Immunofluor antb 1st stain,,,177.91,355.83,19
HCPCS,88348,Electron microscopy,,,841.35,1682.71,19
HCPCS,88348,Hb Electron Microscopy Diagnostic,4058.0,1420.3,,,0
HCPCS,88350,Hb Immunofluor Antb Addl Stain,811.0,283.85,,,0
HCPCS,88355,Analysis skeletal muscle,,,177.91,355.83,19
HCPCS,88356,Analysis nerve,,,54.42,108.84,19
HCPCS,88358,Analysis tumor,,,177.91,355.83,19
HCPCS,88360,Hb Ihc With Manual Count,944.0,330.4,,,0
HCPCS,88360,Tumor immunohistochem/manual,,,177.91,355.83,19
HCPCS,88361,Hb Image Analysis,520.0,182.0,,,0
HCPCS,88361,Tumor immunohistochem/comput,,,374.32,748.64,19
HCPCS,88362,Nerve teasing preparations,,,841.35,1682.71,19
HCPCS,88363,Xm archive tissue molec anal,,,30.2,60.41,19
HCPCS,88364,Hb In Situ Hybrization Additional Test,559.0,195.65,,,0
HCPCS,88365,Hb In Situ Hybridization,559.0,195.65,,,0
HCPCS,88365,Insitu hybridization (fish),,,177.91,355.83,19
HCPCS,88366,Insitu hybridization (fish),,,177.91,355.83,19
HCPCS,88367,Hb Sma In Situ Hybridization,265.0,92.75,,,0
HCPCS,88367,Insitu hybridization auto,,,374.32,748.64,19
HCPCS,88368,Hb 1P/19Q Deletion Fish 1P Probe,1332.0,466.2,,,0
HCPCS,88368,Insitu hybridization manual,,,374.32,748.64,19
HCPCS,88369,Hb 1P/19Q Deletion Fish 19Q Probe,1332.0,466.2,,,0
HCPCS,88374,M/phmtrc alys ishquant/semiq,,,177.91,355.83,19
HCPCS,88377,Hb Abl Probe,659.0,230.65,,,0
HCPCS,88377,Hb Bcl2 Dna Probe Fish,552.0,193.2,,,0
HCPCS,88377,Hb Bcr Dna Probe,659.0,230.65,,,0
HCPCS,88377,Hb Ccnd1 Dna Probe,552.0,193.2,,,0
HCPCS,88377,Hb Her2/Neu Amplification By Fish Cep17 Probe,659.0,230.65,,,0
HCPCS,88377,Hb Her2/Neu Amplification By Fish Her2 Probe,659.0,230.65,,,0
HCPCS,88377,Hb Igh Dna Probe Fish,552.0,193.2,,,0
HCPCS,88377,Hb Myc Dna Probe Fish,552.0,193.2,,,0
HCPCS,88377,Hb Pancreatobiliary Urovision Fish,496.0,173.6,,,0
HCPCS,88377,Hb Pml Dna Probe Fish,552.0,193.2,,,0
HCPCS,88377,Hb Rara Dna Probe Fish,552.0,193.2,,,0
HCPCS,88377,M/phmtrc alys ishquant/semiq,,,177.91,355.83,19
HCPCS,88399,Surgical pathology procedure,,,54.42,108.84,19
HCPCS,88720,Bilirubin total transcut,,,5.02,10.04,19
HCPCS,88720,Hb Transcutaneous Bilirubin Tot,43.0,15.05,,,0
HCPCS,88738,Hgb quant transcutaneous,,,5.02,10.04,19
HCPCS,88740,Transcutaneous carboxyhb,,,9.37,18.74,19
HCPCS,88741,Transcutaneous methb,,,9.37,18.74,19
HCPCS,89049,Chct for mal hyperthermia,,,177.91,355.83,19
HCPCS,89050,Body fluid cell count,,,4.72,9.44,19
HCPCS,89050,Hb Csf Cell Count Only,100.0,35.0,,,0
HCPCS,89051,Body fluid cell count,,,5.6,11.2,19
HCPCS,89051,Hb Cell Count W Diff Csf,294.0,102.9,,,0
HCPCS,89051,Hb Cell Count W Diff Fld,294.0,102.9,,,0
HCPCS,89055,Hb Wright Stain Fecl,288.0,100.8,,,0
HCPCS,89055,Leukocyte assessment fecal,,,4.27,8.54,19
HCPCS,89060,Exam synovial fluid crystals,,,7.33,14.66,19
HCPCS,89060,Hb Crystals Micro Ex,222.0,77.7,,,0
HCPCS,89125,Hb Fecal Fat Stain,87.0,30.45,,,0
HCPCS,89125,Specimen fat stain,,,5.88,11.76,19
HCPCS,89160,Exam feces for meat fibers,,,4.85,9.7,19
HCPCS,89190,Hb Eosinophil Smear,185.0,64.75,,,0
HCPCS,89190,Nasal smear for eosinophils,,,5.79,11.58,19
HCPCS,89220,Sputum specimen collection,,,177.91,355.83,19
HCPCS,89230,Collect sweat for test,,,54.42,108.84,19
HCPCS,89230,Hb Iontophoresis,899.0,314.65,,,0
HCPCS,89240,Pathology lab procedure,,,54.42,108.84,19
HCPCS,89250,Cultr oocyte/embryo <4 days,,,177.91,355.83,19
HCPCS,89251,Cultr oocyte/embryo <4 days,,,177.91,355.83,19
HCPCS,89253,Embryo hatching,,,177.91,355.83,19
HCPCS,89254,Oocyte identification,,,177.91,355.83,19
HCPCS,89255,Prepare embryo for transfer,,,54.42,108.84,19
HCPCS,89257,Sperm identification,,,54.42,108.84,19
HCPCS,89258,Cryopreservation embryo(s),,,841.35,1682.71,19
HCPCS,89259,Cryopreservation sperm,,,177.91,355.83,19
HCPCS,89260,Sperm isolation simple,,,54.42,108.84,19
HCPCS,89261,Sperm isolation complex,,,54.42,108.84,19
HCPCS,89264,Identify sperm tissue,,,54.42,108.84,19
HCPCS,89268,Insemination of oocytes,,,177.91,355.83,19
HCPCS,89272,Extended culture of oocytes,,,841.35,1682.71,19
HCPCS,89280,Assist oocyte fertilization,,,841.35,1682.71,19
HCPCS,89281,Assist oocyte fertilization,,,177.91,355.83,19
HCPCS,89290,Biopsy oocyte polar body,,,177.91,355.83,19
HCPCS,89291,Biopsy oocyte polar body,,,177.91,355.83,19
HCPCS,89300,Semen analysis w/huhner,,,9.84,19.68,19
HCPCS,89310,Semen analysis w/count,,,8.61,17.22,19
HCPCS,89320,Semen anal vol/count/mot,,,12.31,24.62,19
HCPCS,89321,Semen anal sperm detection,,,12.05,24.1,19
HCPCS,89322,Semen anal strict criteria,,,15.5,31.0,19
HCPCS,89325,Sperm antibody test,,,10.67,21.34,19
HCPCS,89329,Sperm evaluation test,,,19.59,39.18,19
HCPCS,89330,Evaluation cervical mucus,,,10.38,20.76,19
HCPCS,89331,Retrograde ejaculation anal,,,19.59,39.18,19
HCPCS,89335,Cryopreserve testicular tiss,,,54.42,108.84,19
HCPCS,89337,Cryopreservation oocyte(s),,,177.91,355.83,19
HCPCS,89342,Storage/year embryo(s),,,177.91,355.83,19
HCPCS,89343,Storage/year sperm/semen,,,177.91,355.83,19
HCPCS,89344,Storage/year reprod tissue,,,177.91,355.83,19
HCPCS,89346,Storage/year oocyte(s),,,177.91,355.83,19
HCPCS,89352,Thawing cryopresrved embryo,,,177.91,355.83,19
HCPCS,89353,Thawing cryopresrved sperm,,,54.42,108.84,19
HCPCS,89354,Thaw cryoprsvrd reprod tiss,,,177.91,355.83,19
HCPCS,89356,Thawing cryopresrved oocyte,,,177.91,355.83,19
HCPCS,89398,Unlisted reprod med lab proc,,,54.42,108.84,19
HCPCS,90281,Human ig im,,,72.88,72.88,2
HCPCS,90283,Human ig iv,,,111.61,111.61,2
HCPCS,90284,Human ig sc,,,28.06,28.06,2
HCPCS,90291,Cmv ig iv,,,2572.03,2572.03,2
HCPCS,90371,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE [111127],943.14,330.1,,,0
HCPCS,90371,"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION [91047]",927.93,324.78,,,0
HCPCS,90371,Hep b ig im,,,134.19,268.39,24
HCPCS,90375,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [178970],2745.715,961.0,,,0
HCPCS,90375,Rabies ig im/sc,,,279.85,559.71,24
HCPCS,90376,Rabies ig heat treated,,,352.44,704.88,21
HCPCS,90377,Rabies ig ht&sol human im/sc,,,222.25,444.49,24
HCPCS,90378,Rsv mab im 50mg,,,436.75,878.24,21
HCPCS,90380,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [199040],3425.0,1198.75,,,0
HCPCS,90380,Rsv monoc antb seasn .5ml im,,,1521.83,1521.83,2
HCPCS,90381,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [199041],1712.5,599.38,,,0
HCPCS,90381,Rsv monoc antb seasnl 1ml im,,,760.91,760.91,2
HCPCS,90384,Rh ig full-dose im,,,146.16,146.16,2
HCPCS,90385,Rh ig minidose im,,,73.52,160.0,21
HCPCS,90386,Rh ig iv,,,808.53,808.53,2
HCPCS,90389,Tetanus ig im,,,950.38,950.38,2
HCPCS,90396,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [14757]",503.78,176.32,,,0
HCPCS,90396,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION [170692],2299.49,804.82,,,0
HCPCS,90396,Varicella-zoster ig im,,,2361.82,4723.64,21
HCPCS,90399,Immune globulin,,,522.03,522.03,2
HCPCS,90460,Hb Im Adm Thru 18Yr Any Rte 1St/Only Compt Vac/Tox,76.0,26.6,,,0
HCPCS,90461,Hb Im Adm Thru 18Yr Any Rte Addl Vac/Tox Compt,57.0,19.95,,,0
HCPCS,90471,Hb Flu Virus Vaccine Admin,138.5,48.475,,,0
HCPCS,90471,Hb Hep B Vaccine Admin,138.5,48.475,,,0
HCPCS,90471,Hb Im Adm Prq Id Subq/Im Njxs 1 Vaccine,157.0,54.95,,,0
HCPCS,90471,Hb Immunization Admin,138.5,48.475,,,0
HCPCS,90471,Hb Pneumo Vaccine Admin,138.5,48.475,,,0
HCPCS,90471,Immunization admin,,,75.19,150.38,19
HCPCS,90472,Hb Ea Addl Flu Virus Vaccine Admin,126.0,44.099999999999994,,,0
HCPCS,90472,Hb Each Addl Immunization Admin,126.0,44.099999999999994,,,0
HCPCS,90472,Hb Each Addl Pneumo Vaccine Admin,126.0,44.099999999999994,,,0
HCPCS,90472,Hb Im Adm Prq Id Subq/Im Njxs Ea Vaccine,77.0,26.95,,,0
HCPCS,90473,Hb Immunization Nasal Oral Admin,49.0,17.15,,,0
HCPCS,90473,Immune admin oral/nasal,,,75.19,150.38,19
HCPCS,90474,Hb Ea Addl Immunization Nasal Oral,37.0,12.95,,,0
HCPCS,90480,Admn Sarscov2 Vacc 1 Dose,100.0,35.0,,,0
HCPCS,90480,Admn sarscov2 vacc 1 dose,,,42.44,84.88,19
HCPCS,90581,Anthrax vaccine sc or im,,,141.59,141.59,2
HCPCS,90585,Bcg vaccine percut,,,248.71,248.71,2
HCPCS,90586,Bcg vaccine intravesical,,,156.96,211.61,5
HCPCS,90587,Dengue vacc quad 3 dose subq,,,96.62,96.62,2
HCPCS,90611,Smallpox&monkeypox vac 0.5ml,,,0.01,0.02,21
HCPCS,90619,Menacwy-tt vaccine im,,,251.58,251.58,2
HCPCS,90620,Menb rp w/omv vaccine im,,,303.96,303.96,2
HCPCS,90621,Menb rlp vaccine im,,,278.36,278.36,2
HCPCS,90622,Vaccinia vrs vac 0.3 ml perq,,,0.01,0.02,21
HCPCS,90623,Menacwy-tt menb-fhbp vacc im,,,336.72,336.72,2
HCPCS,90632,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [111392]",272.6,95.41,,,0
HCPCS,90632,Hepa vaccine adult im,,,72.16,87.36,5
HCPCS,90633,Hepa vacc ped/adol 2 dose im,,,51.22,51.22,2
HCPCS,90634,Hepa vacc ped/adol 3 dose,,,35.51,35.51,2
HCPCS,90636,Hep a/hep b vacc adult im,,,157.78,157.78,2
HCPCS,90644,Hib-mency vacc 6wk-18m0 im,,,26.84,26.84,2
HCPCS,90647,Hib prp-omp vacc 3 dose im,,,44.58,44.58,2
HCPCS,90648,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],85.04,29.76,,,0
HCPCS,90648,Hib prp-t vaccine 4 dose im,,,19.01,19.01,2
HCPCS,90649,4vhpv vaccine 3 dose im,,,128.26,128.26,2
HCPCS,90651,9vhpv vaccine 3 dose im,,,450.16,450.16,2
HCPCS,90653,Iiv adjuvant vaccine im,,,83.49,101.86,3
HCPCS,90655,Iiv3 vacc no prsv 0.25 ml im,,,15.71,15.71,2
HCPCS,90656,FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE [202357],342.0,119.7,,,0
HCPCS,90656,Iiv3 vacc no prsv 0.5 ml im,,,22.35,27.27,3
HCPCS,90657,Iiv3 vaccine splt 0.25 ml im,,,10.93,13.33,3
HCPCS,90658,Iiv3 vaccine splt 0.5 ml im,,,21.86,26.67,3
HCPCS,90660,Laiv3 vaccine intranasal,,,28.87,35.22,3
HCPCS,90661,Cciiv3 vac no prsv 0.5 ml im,,,36.85,44.96,3
HCPCS,90662,Iiv no prsv increased ag im,,,83.49,101.86,3
HCPCS,90670,Pcv13 vaccine im,,,257.99,314.75,3
HCPCS,90671,Pcv15 vaccine im,,,261.15,309.34,3
HCPCS,90672,Laiv4 vaccine intranasal,,,37.08,37.08,2
HCPCS,90673,Riv3 vaccine no preserv im,,,83.49,101.86,3
HCPCS,90675,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]",1224.94,428.73,,,0
HCPCS,90675,Rabies vaccine im,,,313.68,627.36,24
HCPCS,90676,Rabies vaccine id,,,236.86,473.72,21
HCPCS,90677,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [192186],506.43,177.25,,,0
HCPCS,90677,Pcv20 vaccine im,,,312.9,363.61,3
HCPCS,90678,Rsv vacc pref bivalent im,,,431.88,431.88,2
HCPCS,90679,Rsv vacc pref recomb adjt im,,,430.42,430.42,2
HCPCS,90680,Rv5 vacc 3 dose live oral,,,144.48,144.48,2
HCPCS,90681,Rv1 vacc 2 dose live oral,,,135.29,135.29,2
HCPCS,90683,Rsv vacc mrna lipid nano im,,,424.56,424.56,2
HCPCS,90684,Pcv21 vaccine im,,,327.89,400.03,5
HCPCS,90690,Typhoid vaccine oral,,,110.11,110.11,2
HCPCS,90691,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE [14678],238.36,83.43,,,0
HCPCS,90691,Typhoid vaccine im,,,144.14,144.14,2
HCPCS,90696,Dtap-ipv vaccine 4-6 yrs im,,,186.14,186.14,2
HCPCS,90697,Dtap-ipv-hib-hepb vaccine im,,,456.51,456.51,2
HCPCS,90698,Dtap-ipv/hib vaccine im,,,164.69,164.69,2
HCPCS,90700,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [112304]",188.42,65.95,,,0
HCPCS,90700,Dtap vaccine < 7 yrs im,,,43.16,43.16,2
HCPCS,90702,Dt vaccine under 7 yrs im,,,20.52,20.52,2
HCPCS,90703,"TETANUS TOXOID,ADSORBED (PF) 5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION [112479]",345.3,120.86,,,0
HCPCS,90707,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [10512]",628.76,220.06,,,0
HCPCS,90707,Mmr vaccine sc,,,136.85,136.85,2
HCPCS,90710,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT [42622]",611.8,214.13,,,0
HCPCS,90710,Mmrv vaccine sc,,,406.49,406.49,2
HCPCS,90713,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [102806],76.02,26.61,,,0
HCPCS,90713,Poliovirus ipv sc/im,,,65.31,65.31,2
HCPCS,90714,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP [112409],320.82,112.28999999999999,,,0
HCPCS,90714,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [112408],320.82,112.28999999999999,,,0
HCPCS,90714,Td vacc no presv 7 yrs+ im,,,33.96,49.43,5
HCPCS,90715,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [163376]",604.5,211.58,,,0
HCPCS,90715,"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [163377]",173.94,60.879999999999995,,,0
HCPCS,90715,Tdap vaccine 7 yrs/> im,,,39.07,47.13,5
HCPCS,90716,Var vaccine live subq,,,267.73,267.73,2
HCPCS,90717,Yellow fever vaccine subq,,,215.43,215.43,2
HCPCS,90723,Dtap-hep b-ipv vaccine im,,,138.85,138.85,2
HCPCS,90732,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037],770.49,269.67,,,0
HCPCS,90732,Ppsv23 vacc 2 yrs+ subq/im,,,133.47,162.83,3
HCPCS,90733,Mpsv4 vaccine subq,,,101.42,101.42,2
HCPCS,90734,"MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION [40540]",399.42,139.8,,,0
HCPCS,90734,Mcv4 menacwy vaccine im,,,221.78,221.78,2
HCPCS,90736,Hzv vaccine live subq,,,162.19,162.19,2
HCPCS,90738,Inactivated je vacc im,,,372.97,372.97,2
HCPCS,90739,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE [182784],972.84,340.49,,,0
HCPCS,90739,Hepb vacc 2 dose adult im,,,177.56,205.33,3
HCPCS,90740,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP [111321],395.55,138.44,,,0
HCPCS,90740,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP [112538],735.7,257.49,,,0
HCPCS,90740,Hepb vacc 3 dose immunsup im,,,164.42,192.94,3
HCPCS,90743,Hepb vacc 2 dose adolesc im,,,75.15,91.68,3
HCPCS,90744,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [111317],194.57,68.1,,,0
HCPCS,90744,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP [111318],260.26,91.09,,,0
HCPCS,90744,Hepb vacc 3 dose ped/adol im,,,31.67,37.54,3
HCPCS,90746,Hepb vaccine 3 dose adult im,,,70.38,85.86,3
HCPCS,90747,Hepb vacc 4 dose immunsup im,,,140.75,171.72,3
HCPCS,90748,HEPAT B-HIB/OMPC CONJ-VAC (PF) 5 MCG-7.5 MCG-125 MCG/0.5 ML IM SUSP [112373],260.26,91.09,,,0
HCPCS,90748,Hib-hepb vaccine im,,,56.44,56.44,2
HCPCS,90750,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT [180420]",566.03,198.11,,,0
HCPCS,90759,Hep b vac 3ag 10mcg 3 dos im,,,73.82,90.06,3
HCPCS,90785,Hb Interactive Complexity Add On,393.0,137.55,,,0
HCPCS,90791,Hb Psych Consult,459.0,160.65,,,0
HCPCS,90832,Hb Psychotx Pt 30 Min,208.0,72.8,,,0
HCPCS,90834,Hb Psychotx Pt 45 Min,413.0,144.55,,,0
HCPCS,90837,Hb Psychotx Pt 60 Min,562.0,196.7,,,0
HCPCS,90839,Hb Psychotx For Crisis 60 Min,621.0,217.35,,,0
HCPCS,90840,Hb Psychotx For Crisis Addl 30 Min,328.0,114.8,,,0
HCPCS,90846,Hb Family Psy Tx Wo Pt 50 Min,251.0,87.85,,,0
HCPCS,90847,Hb Family Psy Tx W Pt 50 Min,432.0,151.2,,,0
HCPCS,90849,Hb Multi-Family Group Psychotherapy,168.0,58.8,,,0
HCPCS,90853,Hb Group Psy Tx,459.0,160.65,,,0
HCPCS,90867,Tcranial magn stim tx plan,,,225.48,450.97,19
HCPCS,90868,Tcranial magn stim tx deli,,,225.48,450.97,19
HCPCS,90869,Tcran magn stim redetemine,,,225.48,450.97,19
HCPCS,90870,Electroconvulsive therapy,,,896.76,1793.53,19
HCPCS,90870,Hb Electroconvulsive Therapy,4562.0,1596.7,,,0
HCPCS,90875,Hb Psy Biofeedback 20 To 30 Min,241.0,84.35,,,0
HCPCS,90876,Hb Psy Biofeedback 45 To 50 Min,494.0,172.9,,,0
HCPCS,90887,Hb Nutrition Cardiac Transp Wrkup,476.0,166.6,,,0
HCPCS,90901,Hb Biofeedback Any Modality,283.0,99.05,,,0
HCPCS,90912,Bfb training 1st 15 min,,,38.0,76.0,19
HCPCS,90912,Hb Bfb Traing W/Emg &/Manometry 1St 15 Min,481.0,168.35,,,0
HCPCS,90913,Bfb training ea addl 15 min,,,21.4,42.8,19
HCPCS,90913,Hb Bfb Traing W/Emg&/Manometry Addl 15 Min,481.0,168.35,,,0
HCPCS,90935,Hb Acute Dialysis Bedside Svc Fee,1373.0,480.55,,,0
HCPCS,90935,Hb Dial Ser Fee Chronic,2806.0,982.1,,,0
HCPCS,90935,Hb Dialysis Service Fee Acute,2944.0,1030.4,,,0
HCPCS,90935,Hemodialysis one evaluation,,,716.7,1433.41,19
HCPCS,90945,Dialysis one evaluation,,,435.74,871.48,19
HCPCS,90945,Hb Ccpd Treatment,2103.0,736.05,,,0
HCPCS,90945,Hb Crrt/Pirrt,4076.0,1426.6,,,0
HCPCS,90945,Hb Ip Peritoneal Dialysis,2783.0,974.05,,,0
HCPCS,90945,Hb Peritoneal Dialysis,2783.0,974.05,,,0
HCPCS,90963,Hb Esrd Home Pt Serv Per Mo Under 2 Yrs,3429.0,1200.15,,,0
HCPCS,90964,Hb Esrd Home Pt Serv Per Mo 2 To 11 Yrs,3429.0,1200.15,,,0
HCPCS,90965,Hb Esrd Home Pt Serv Per Mo 12 To 19 Yrs,3429.0,1200.15,,,0
HCPCS,90966,Hb Esrd Home Pt Serv Per Mo 20 Yrs And Up,3429.0,1200.15,,,0
HCPCS,90967,Hb Esrd Home Pt Serv Per Day Under 2 Yrs,116.0,40.6,,,0
HCPCS,90968,Hb Esrd Home Pt Serv Per Day 2 To 11 Yrs,116.0,40.6,,,0
HCPCS,90969,Hb Esrd Home Pt Serv Per Day 12 To 19 Yrs,116.0,40.6,,,0
HCPCS,90970,Hb Esrd Home Pt Serv Per Day 20 Yrs And Up,116.0,40.6,,,0
HCPCS,90989,Hb Dialysis Training Complete Qty 1,1143.0,400.05,,,0
HCPCS,90993,Hb Dialysis Train Retrain Incompl Per Session,47.0,16.45,,,0
HCPCS,91010,Esophagus motility study,,,389.68,972.0,21
HCPCS,91010,Hb Esophageal Motility,5428.0,1899.8,,,0
HCPCS,91013,Esophgl motil w/stim/perfus,,,704.0,972.0,2
HCPCS,91013,Hb Esophageal Motility W Stim,3109.0,1088.15,,,0
HCPCS,91020,Gastric motility studies,,,389.68,972.0,21
HCPCS,91020,Hb Gastric Motility Studies,5663.0,1982.05,,,0
HCPCS,91022,Duodenal motility study,,,389.68,972.0,21
HCPCS,91030,Acid perfusion of esophagus,,,389.68,972.0,21
HCPCS,91034,Gastroesophageal reflux test,,,389.68,972.0,21
HCPCS,91034,Hb Gastroesophageal Reflux Test,5151.0,1802.85,,,0
HCPCS,91035,G-esoph reflx tst w/electrod,,,704.0,1793.53,21
HCPCS,91035,Hb Gesoph Reflux Test W Electrod,10892.0,3812.2,,,0
HCPCS,91037,Esoph imped function test,,,225.48,972.0,21
HCPCS,91037,Hb Esoph Motility W Imped Test,4203.0,1471.05,,,0
HCPCS,91038,Esoph imped funct test > 1hr,,,389.68,972.0,21
HCPCS,91038,Hb Esoph Imped Functn Test > 1Hr,7518.0,2631.3,,,0
HCPCS,91040,Esoph balloon distension tst,,,389.68,972.0,21
HCPCS,91040,Hb Esoph Balloon Distension Tst,5471.0,1914.85,,,0
HCPCS,91065,Breath hydrogen/methane test,,,225.48,972.0,21
HCPCS,91065,Hb Hydrogen Breath Test,3902.0,1365.7,,,0
HCPCS,91110,Gi tract capsule endoscopy,,,947.15,2923.0,21
HCPCS,91110,Hb Gastro Capsule Endoscopy,10525.0,3683.75,,,0
HCPCS,91111,Esophageal Capsule Endoscopy,,,947.15,2923.0,21
HCPCS,91111,Hb Esophageal Capsule Endoscopy,9440.0,3304.0,,,0
HCPCS,91112,Gi wireless capsule measure,,,947.15,2923.0,21
HCPCS,91112,Hb Gi Transit And Pres Meas Wireless Capsule W Interp,3293.0,1152.55,,,0
HCPCS,91113,Gi trc img intral colon i&r,,,971.14,1942.27,19
HCPCS,91113,Hb Gi Tract Capsule Endoscopy,6328.0,2214.8,,,0
HCPCS,91117,Colon motility 6 hr study,,,225.48,972.0,21
HCPCS,91120,Hb Rectal Sensation Test,5124.0,1793.4,,,0
HCPCS,91120,Rectal sensation test,,,704.0,972.0,2
HCPCS,91122,Anal pressure record,,,704.0,972.0,2
HCPCS,91122,Hb Anal Motility,4637.0,1622.95,,,0
HCPCS,91124,Rct snsatn tone&cmplianc std,,,225.48,450.97,19
HCPCS,91125,Anrct mano rct snsatn&balo,,,389.68,779.36,19
HCPCS,91132,Electrogastrography,,,225.48,972.0,21
HCPCS,91133,Electrogastrography W/Test,,,138.94,972.0,21
HCPCS,91200,Hb Liver Elastography W/O Imag W/I&R,988.0,345.8,,,0
HCPCS,91200,Liver elastography,,,134.37,268.74,19
HCPCS,91299,Gastroenterology procedure,,,134.37,972.0,21
HCPCS,91299,Hb Agile Patency Procedure,3849.0,1347.15,,,0
HCPCS,91299,Hb Esophageal Motility W 3D,7400.0,2590.0,,,0
HCPCS,91304,Coronavirus vaccine 5,,,161.54,197.08,3
HCPCS,91318,Sarscov2 vac 3mcg trs-suc im,,,65.55,79.97,3
HCPCS,91319,Sarscv2 vac 10mcg trs-suc im,,,87.78,107.09,3
HCPCS,91320,Sarscv2 vac 30mcg trs-suc im,,,155.9,190.2,3
HCPCS,91321,Sarscov2 vac 25 mcg/.25ml im,,,147.06,179.41,3
HCPCS,91322,Sarscov2 vac 50 mcg/0.5ml im,,,161.65,197.21,3
HCPCS,92002,Hb New Opthalm Intermediate,172.0,60.2,,,0
HCPCS,92004,Hb New Opthalm Comprehensive,172.0,60.2,,,0
HCPCS,92012,Hb Est Opthalm Intermediate,146.0,51.1,,,0
HCPCS,92014,Hb Est Opthalm Comprehensive,178.0,62.3,,,0
HCPCS,92015,Hb Refraction,153.0,53.55,,,0
HCPCS,92018,New eye exam & treatment,,,2482.76,5195.0,21
HCPCS,92019,Eye exam & treatment,,,2482.76,5195.0,21
HCPCS,92019,Hb Lmtd Oph Xm&Eval General Anes W/Wo Mnpj Globe,7807.0,2732.45,,,0
HCPCS,92020,Hb Gonioscopy,199.0,69.65,,,0
HCPCS,92020,Special eye evaluation,,,138.94,277.88,19
HCPCS,92025,Corneal Topography,,,61.6,123.21,19
HCPCS,92060,Special eye evaluation,,,61.6,123.21,19
HCPCS,92066,Orthop traing supvj phys/qhp,,,61.6,123.21,19
HCPCS,92070,Hb Bandage Cl W Fitting,301.0,105.35,,,0
HCPCS,92071,Hb Fit Contact Lens Ocular Surface,372.0,130.2,,,0
HCPCS,92081,Visual field examination(s),,,61.6,123.21,19
HCPCS,92082,Hb Intermediate Visual Field,153.0,53.55,,,0
HCPCS,92082,Visual field examination(s),,,61.6,123.21,19
HCPCS,92083,Hb Extended Visual Field,267.0,93.45,,,0
HCPCS,92083,Visual field examination(s),,,138.94,277.88,19
HCPCS,92132,Cmptr ophth dx img ant segmt,,,61.6,123.21,19
HCPCS,92133,Cmptr ophth img optic nerve,,,61.6,123.21,19
HCPCS,92134,Cptr ophth dx img post segmt,,,61.6,123.21,19
HCPCS,92136,Ophthalmic biometry,,,138.94,277.88,19
HCPCS,92137,Cptrz oph img pst sg rta oct,,,225.48,450.97,19
HCPCS,92145,Corneal hysteresis deter,,,61.6,123.21,19
HCPCS,92201,Hb Opscpy Extnd Rta Draw Uni/Bi,229.0,80.15,,,0
HCPCS,92201,Opscpy extnd rta draw uni/bi,,,61.6,123.21,19
HCPCS,92202,Hb Opscpy Extnd On/Mac Draw,229.0,80.15,,,0
HCPCS,92202,Opscpy extnd on/mac draw,,,61.6,123.21,19
HCPCS,92227,Remote dx retinal imaging,,,61.6,123.21,19
HCPCS,92228,Remote retinal imaging mgmt,,,39.0,78.01,19
HCPCS,92229,Img rta detc/mntr ds poc aly,,,61.6,123.21,19
HCPCS,92230,Eye exam with photos,,,389.68,779.36,19
HCPCS,92235,Fluorescein angrph uni/bi,,,225.48,450.97,19
HCPCS,92240,Icg angiography uni/bi,,,225.48,450.97,19
HCPCS,92242,Fluorescein icg angiography,,,225.48,450.97,19
HCPCS,92250,Eye exam with photos,,,138.94,277.88,19
HCPCS,92250,Hb Fundus Photography I & R,524.0,183.4,,,0
HCPCS,92260,Ophthalmoscopy/dynamometry,,,39.0,78.01,19
HCPCS,92265,Eye muscle evaluation,,,61.6,123.21,19
HCPCS,92270,Electro-oculography,,,138.94,277.88,19
HCPCS,92273,Full field erg w/i&r,,,225.48,450.97,19
HCPCS,92274,Multifocal erg w/i&r,,,134.37,268.74,19
HCPCS,92283,Color vision examination,,,61.6,123.21,19
HCPCS,92284,Dark adaptation eye exam,,,466.5,933.01,19
HCPCS,92285,Eye photography,,,39.0,78.01,19
HCPCS,92285,Hb External Photography,113.0,39.55,,,0
HCPCS,92286,Internal eye photography,,,138.94,277.88,19
HCPCS,92287,Internal eye photography,,,138.94,277.88,19
HCPCS,92311,Contact lens fitting,,,466.5,933.01,19
HCPCS,92312,Contact lens fitting,,,138.94,277.88,19
HCPCS,92313,Contact lens fitting,,,138.94,277.88,19
HCPCS,92315,Rx cntact lens aphakia 1 eye,,,138.94,277.88,19
HCPCS,92316,Rx cntact lens aphakia 2 eye,,,138.94,277.88,19
HCPCS,92317,Rx corneoscleral cntact lens,,,39.0,78.01,19
HCPCS,92325,Modification of contact lens,,,138.94,277.88,19
HCPCS,92326,Replacement of contact lens,,,61.6,123.21,19
HCPCS,92352,Fit aphakia spectcl monofocl,,,61.6,123.21,19
HCPCS,92353,Fit aphakia spectcl multifoc,,,61.6,123.21,19
HCPCS,92354,Fit spectacles single system,,,39.0,78.01,19
HCPCS,92355,Fit spectacles compound lens,,,39.0,78.01,19
HCPCS,92358,Aphakia prosth service temp,,,61.6,123.21,19
HCPCS,92371,Repair & adjust spectacles,,,61.6,123.21,19
HCPCS,92499,Eye service or procedure,,,30.2,60.41,19
HCPCS,92499,Hb Eye Procedure,230.0,80.5,,,0
HCPCS,92502,Ear and throat examination,,,563.21,1126.42,21
HCPCS,92504,Hb Binocular Microscopy,347.0,121.45,,,0
HCPCS,92507,Hb Indiv Speech Hearing Therapy,682.0,238.7,,,0
HCPCS,92507,Speech/hearing therapy,,,74.9,149.8,19
HCPCS,92508,Hb Group Speech Hearing Therapy,592.0,207.2,,,0
HCPCS,92508,Speech/hearing therapy,,,25.08,50.16,19
HCPCS,92511,Nasopharyngoscopy,,,208.45,416.89,19
HCPCS,92512,Nasal function studies,,,225.48,450.97,19
HCPCS,92516,Facial nerve function test,,,225.48,450.97,19
HCPCS,92516,Hb Facial Nerve Study,903.0,316.05,,,0
HCPCS,92517,Vemp test i&r cervical,,,134.37,268.74,19
HCPCS,92518,Vemp test i&r ocular,,,134.37,268.74,19
HCPCS,92519,Vemp tst i&r cervical&ocular,,,225.48,450.97,19
HCPCS,92520,Hb Laryngeal Function Study,835.0,292.25,,,0
HCPCS,92520,Laryngeal function studies,,,138.94,277.88,19
HCPCS,92521,Evaluation of speech fluency,,,136.16,272.32,19
HCPCS,92521,Hb Evaluation Of Speech Fluency,1355.0,474.25,,,0
HCPCS,92522,Evaluate speech production,,,110.52,221.04,19
HCPCS,92522,Hb Evaluate Speech Production,1355.0,474.25,,,0
HCPCS,92523,Hb Speech Sound Lang Comprehen,1355.0,474.25,,,0
HCPCS,92523,Speech sound lang comprehen,,,222.32,444.64,19
HCPCS,92524,Behavral qualit analys voice,,,110.94,221.88,19
HCPCS,92524,Hb Behavral Qualit Analys Voice,1355.0,474.25,,,0
HCPCS,92526,Hb Swallow Dysfunction Tx,871.0,304.85,,,0
HCPCS,92526,Oral function therapy,,,82.62,165.24,19
HCPCS,92537,Caloric vstblr test w/rec,,,134.37,268.74,19
HCPCS,92537,Hb Caloric Vstblr Test W/Rec Bilat/Bithermal,276.0,96.6,,,0
HCPCS,92538,Caloric vstblr test w/rec,,,225.48,450.97,19
HCPCS,92538,Hb Caloric Vstblr Test W/Rec Bilat/Monothermal,276.0,96.6,,,0
HCPCS,92540,Basic vestibular evaluation,,,225.48,450.97,19
HCPCS,92541,Hb Spontaneous Nystagmus,278.0,97.3,,,0
HCPCS,92541,Spontaneous nystagmus test,,,138.94,277.88,19
HCPCS,92542,Hb Positional Nystagmus,211.0,73.85,,,0
HCPCS,92542,Positional nystagmus test,,,138.94,277.88,19
HCPCS,92544,Hb Opk Nystagmus Test,296.0,103.6,,,0
HCPCS,92544,Optokinetic nystagmus test,,,134.37,268.74,19
HCPCS,92545,Hb Osc Tracking Test,276.0,96.6,,,0
HCPCS,92545,Oscillating tracking test,,,225.48,450.97,19
HCPCS,92546,Sinusoidal rotational test,,,134.37,268.74,19
HCPCS,92547,Hb Vertical Leads,267.0,93.45,,,0
HCPCS,92548,Posturography,,,138.94,277.88,19
HCPCS,92549,Cdp-sot 6 cond w/i&r mct&adt,,,138.94,277.88,19
HCPCS,92550,Hb Tympanometry And Reflex Thresh,371.0,129.85,,,0
HCPCS,92550,Tympanometry & reflex thresh,,,225.48,450.97,19
HCPCS,92551,Hb Nasopharyngoscopy,993.0,347.55,,,0
HCPCS,92552,Hb Pure Tone Audiometry,194.0,67.9,,,0
HCPCS,92552,Pure tone audiometry air,,,138.94,277.88,19
HCPCS,92553,Audiometry air & bone,,,134.37,268.74,19
HCPCS,92553,Hb Pta; Air And Bone,490.0,171.5,,,0
HCPCS,92555,Hb Speech Audiom Threshold,219.0,76.65,,,0
HCPCS,92555,Speech threshold audiometry,,,61.6,123.21,19
HCPCS,92556,Speech audiometry complete,,,61.6,123.21,19
HCPCS,92557,Comprehensive hearing test,,,134.37,268.74,19
HCPCS,92557,Hb Comprehensive Audiometry,532.0,186.2,,,0
HCPCS,92558,Hb Evoked Auditory Test Qual,365.0,127.75,,,0
HCPCS,92562,Loudness balance test,,,225.48,450.97,19
HCPCS,92563,Tone decay hearing test,,,39.0,78.01,19
HCPCS,92565,Hb Stenger Pure Tone Test,190.0,66.5,,,0
HCPCS,92565,Stenger test pure tone,,,61.6,123.21,19
HCPCS,92567,Hb Tympanometry Impedance Test,254.0,88.9,,,0
HCPCS,92567,Tympanometry,,,39.0,78.01,19
HCPCS,92568,Acoustic refl threshold tst,,,39.0,78.01,19
HCPCS,92568,Hb Acoustic Reflex Test,180.0,63.0,,,0
HCPCS,92570,Acoustic immitance testing,,,134.37,268.74,19
HCPCS,92570,Hb Acoustic Immitance Testing Comprehensive,181.0,63.35,,,0
HCPCS,92571,Filtered speech hearing test,,,39.0,78.01,19
HCPCS,92572,Staggered spondaic word test,,,134.37,268.74,19
HCPCS,92575,Sensorineural acuity test,,,39.0,78.01,19
HCPCS,92576,Synthetic sentence test,,,39.0,78.01,19
HCPCS,92577,Stenger test speech,,,389.68,779.36,19
HCPCS,92579,Hb Visual Reinforce Audiometry,342.0,119.7,,,0
HCPCS,92579,Visual audiometry (vra),,,225.48,450.97,19
HCPCS,92582,Conditioning play audiometry,,,134.37,268.74,19
HCPCS,92582,Hb Condition Play Audiometry,342.0,119.7,,,0
HCPCS,92583,Select picture audiometry,,,61.6,123.21,19
HCPCS,92584,Electrocochleography,,,134.37,268.74,19
HCPCS,92585,Hb Evoked Response Audiometry,1521.0,532.35,,,0
HCPCS,92586,Hb Evoked Response Audio Limited,466.0,163.1,,,0
HCPCS,92587,Evoked auditory test limited,,,225.48,450.97,19
HCPCS,92587,Hb Otoacoustic Emissions Limited,307.0,107.45,,,0
HCPCS,92588,Evoked auditory tst complete,,,389.68,779.36,19
HCPCS,92588,Hb Otoacoustic Emissions Comp,272.0,95.2,,,0
HCPCS,92590,Hb Hearing Aid Exam Monaural,185.0,64.75,,,0
HCPCS,92591,Hb Hearing Aid Exam Binaural,109.0,38.15,,,0
HCPCS,92591,Hb Pure Tone Hearing Test,139.0,48.65,,,0
HCPCS,92593,Hb Hearing Aid Check Binaural,185.0,64.75,,,0
HCPCS,92594,Hb Electroacoustic Eval Mono,111.0,38.85,,,0
HCPCS,92596,Ear protector evaluation,,,39.0,78.01,19
HCPCS,92597,Hb Oral Speech Device Eval,1063.0,372.05,,,0
HCPCS,92597,Oral speech device eval,,,72.07,144.14,19
HCPCS,92601,Cochlear implt f/up exam <7,,,134.37,268.74,19
HCPCS,92602,Reprogram cochlear implt 7/>,,,134.37,268.74,19
HCPCS,92603,Cochlear implt f/up exam 7/>,,,134.37,268.74,19
HCPCS,92604,Reprogram cochlear implt 7/>,,,134.37,268.74,19
HCPCS,92607,Ex for speech device rx 1hr,,,123.3,246.6,19
HCPCS,92607,Hb Sgd Eval Initl 1 Hour,817.0,285.95,,,0
HCPCS,92608,Ex for speech device rx addl,,,48.76,97.52,19
HCPCS,92608,Hb Sgd Eval Addl 30 Min,749.0,262.15,,,0
HCPCS,92609,Hb Sgd Program And Modify,599.0,209.65,,,0
HCPCS,92609,Use of speech device service,,,105.19,210.38,19
HCPCS,92610,Evaluate swallowing function,,,58.87,117.74,19
HCPCS,92610,Hb Eval Swallow Function,494.0,172.9,,,0
HCPCS,92611,Hb Fluoroscopy Eval Swallow Funct,1069.0,374.15,,,0
HCPCS,92611,Motion fluoroscopy/swallow,,,93.47,186.94,19
HCPCS,92612,Endoscopy swallow (fees) vid,,,57.11,114.22,19
HCPCS,92612,Hb Endoscopy Eval Swallow Fees,1337.0,467.95,,,0
HCPCS,92614,Laryngoscopic sensory vid,,,55.87,111.74,19
HCPCS,92616,Fees w/laryngeal sense test,,,84.07,168.14,19
HCPCS,92620,Auditory function 60 min,,,134.37,268.74,19
HCPCS,92620,Hb Eval Central Aud Fn Initl 1 Hr,274.0,95.9,,,0
HCPCS,92621,Hb Eval Central Aud Fn Addl 15 Min,288.0,100.8,,,0
HCPCS,92622,Dx aly aud oi snd prcsr 1st,,,134.37,268.74,19
HCPCS,92625,Hb Assessment Of Tinnitus,1148.0,401.8,,,0
HCPCS,92625,Tinnitus assessment,,,134.37,268.74,19
HCPCS,92626,Eval aud rehab status,,,134.37,268.74,19
HCPCS,92640,Aud brainstem implt programg,,,134.37,268.74,19
HCPCS,92650,Hb Aep Scr Auditory Potential,517.0,180.95,,,0
HCPCS,92651,Aep hearing status deter i&r,,,225.48,450.97,19
HCPCS,92652,Aep thrshld est mlt freq i&r,,,225.48,450.97,19
HCPCS,92652,Hb Aep Thrshld Est Mlt Freq I&R,1947.0,681.45,,,0
HCPCS,92653,Aep neurodiagnostic i&r,,,225.48,450.97,19
HCPCS,92653,Hb Aep Neurodiagnostic I&R,1085.0,379.75,,,0
HCPCS,92700,Ent procedure/service,,,30.2,60.41,19
HCPCS,92920,Hb 92920 Perq Cardiac Angioplast 1 Art,20232.0,7081.2,,,0
HCPCS,92920,Prq cardiac angioplast 1 art,,,5943.58,14016.0,21
HCPCS,92921,Hb 92921 Perq Cardiac Angio Addl Art,20232.0,7081.2,,,0
HCPCS,92921,Prq cardiac angio addl art,,,10145.0,14016.0,2
HCPCS,92924,Hb 92924 Perq Cardiac Angio Athrect 1 Art,38574.0,13500.9,,,0
HCPCS,92924,Prq card angio/athrect 1 art,,,10842.0,24110.71,21
HCPCS,92925,Hb 92925 Perq Cardiac Angio Athrect Addl,38574.0,13500.9,,,0
HCPCS,92925,Prq card angio/athrect addl,,,10842.0,14979.0,2
HCPCS,92928,Hb 92928 Perq Card Stent W Angio 1 Vsl,30727.0,10754.45,,,0
HCPCS,92928,Prq card stent w/angio 1 vsl,,,10145.0,24110.71,21
HCPCS,92929,Hb 92929 Perq Card Stent W Angio Addl,30727.0,10754.45,,,0
HCPCS,92929,Prq card stent w/angio addl,,,10145.0,14016.0,2
HCPCS,92930,Prq tcat plmt ntrac st 2+les,,,19143.34,38286.69,19
HCPCS,92933,Hb 92933 Perq Card Stent Ath Angio,30727.0,10754.45,,,0
HCPCS,92933,Prq card stent/ath/angio,,,10145.0,38286.69,21
HCPCS,92934,Hb 92934 Perq Card Stent Ath Angio Addl,30727.0,10754.45,,,0
HCPCS,92934,Prq card stent/ath/angio,,,10145.0,14016.0,2
HCPCS,92937,Hb 92937 Perq Revasc Byp Graft 1 Vsl,30727.0,10754.45,,,0
HCPCS,92937,Prq revasc byp graft 1 vsl,,,10145.0,24110.71,21
HCPCS,92938,Hb 92938 Perq Revasc Byp Graft Addl,30727.0,10754.45,,,0
HCPCS,92938,Prq revasc byp graft addl,,,10145.0,14016.0,2
HCPCS,92941,Hb 92941 Perq Card Revasc Mi 1 Vsl,30727.0,10754.45,,,0
HCPCS,92941,Prq card revasc mi 1 vsl,,,10145.0,14016.0,2
HCPCS,92943,Hb 92943 Perq Card Revasc Chronic 1 Vsl,30727.0,10754.45,,,0
HCPCS,92943,Prq card revasc chronic 1vsl,,,10145.0,24110.71,21
HCPCS,92944,Hb 92944 Perq Card Revasc Chronic Addl,30727.0,10754.45,,,0
HCPCS,92944,Prq card revasc chronic addl,,,10145.0,14016.0,2
HCPCS,92945,Prq trl rvs ch occ ant&rtrgr,,,12055.35,24110.71,19
HCPCS,92950,Hb 92950 Cpr Clsd Chest Card Mas,2426.0,849.1,,,0
HCPCS,92950,Hb Resuscitation Cpr,2426.0,849.1,,,0
HCPCS,92950,Heart/lung resuscitation cpr,,,225.48,972.0,21
HCPCS,92953,Hb 92953 Transcutaneous Pacing,2629.0,920.15,,,0
HCPCS,92953,Temporary external pacing,,,690.21,1380.42,21
HCPCS,92960,Cardioversion electric ext,,,690.21,1380.42,21
HCPCS,92960,Hb 92960 Cardioversion,5887.0,2060.45,,,0
HCPCS,92960,Hb Cardioversion,5887.0,2060.45,,,0
HCPCS,92961,Cardioversion electric int,,,690.21,1380.42,21
HCPCS,92961,Hb Cardioversion Internal,3283.0,1149.05,,,0
HCPCS,92970,Cardioassist internal,,,3613.0,4992.0,2
HCPCS,92971,Cardioassist external,,,3613.0,4992.0,2
HCPCS,92972,Hb 92972 Perq Trluml Coronry Lithotrp,22804.0,7981.4,,,0
HCPCS,92973,Hb 92973 Percut Cardio Thrombectomy,4866.0,1703.1,,,0
HCPCS,92973,Prq coronary mech thrombect,,,704.0,972.0,2
HCPCS,92974,Cath place cardio brachytx,,,704.0,972.0,2
HCPCS,92975,Dissolve clot heart vessel,,,3613.0,4992.0,2
HCPCS,92975,Hb 92975 Ic Thrombolytic Infusion,4265.0,1492.75,,,0
HCPCS,92977,Dissolve clot heart vessel,,,704.0,972.0,2
HCPCS,92977,Hb 92977 Iv Thrombolytic Infusion,1944.0,680.4,,,0
HCPCS,92978,Endoluminl ivus oct c 1st,,,704.0,972.0,2
HCPCS,92978,Hb 92978 Ivus Cor Int Vessel,10040.0,3514.0,,,0
HCPCS,92979,Endoluminl ivus oct c ea,,,704.0,972.0,2
HCPCS,92979,Hb 92979 Ivus Cor Ea Addl Vessel,10040.0,3514.0,,,0
HCPCS,92986,Hb 92986 Percut Balloon Val Aortic,26956.0,9434.6,,,0
HCPCS,92986,Revision of aortic valve,,,5943.58,14016.0,21
HCPCS,92987,Hb 92987 Percut Balloon Val Mitral,39042.0,13664.7,,,0
HCPCS,92987,Revision of mitral valve,,,10145.0,24110.71,21
HCPCS,92990,Hb 92990 Revision Of Pulmonary Valve,19490.0,6821.5,,,0
HCPCS,92990,Revision of pulmonary valve,,,10145.0,24110.71,21
HCPCS,92992,Hb 92992 Atrial Septectomy,15308.0,5357.8,,,0
HCPCS,92997,Hb 92997 Prq Trluml Pulmonary Art Balloon Angiop 1 Vsl,17593.0,6157.55,,,0
HCPCS,92997,Pul art balloon repr percut,,,10145.0,24110.71,21
HCPCS,92998,Hb 92998 Prq Trluml Pulmonary Art Balloon Angiop Ea Vsl,10825.0,3788.75,,,0
HCPCS,92998,Pul art balloon repr percut,,,10145.0,14016.0,2
HCPCS,93000,Hb Electrocardiogram Complete,365.0,127.75,,,0
HCPCS,93005,Electrocardiogram tracing,,,61.6,123.21,19
HCPCS,93005,Hb 93005 Electrocardiogram Tracing,535.0,187.25,,,0
HCPCS,93015,Hb Cardiovascular Stress Test,610.0,213.5,,,0
HCPCS,93016,Hb Cv Strs Tst Xers&/Or Rx Cont Ecg W/O I&R,164.0,57.4,,,0
HCPCS,93017,Cardiovascular stress test,,,225.48,450.97,19
HCPCS,93017,Hb Cardiovascular Stress Test,2332.0,816.2,,,0
HCPCS,93017,Hb Drug Induced Stress Test,1944.0,680.4,,,0
HCPCS,93018,Hb Cv Strs Tst Xers&/Or Rx Cont Ecg I&R Only,166.0,58.1,,,0
HCPCS,93024,Cardiac drug stress test,,,466.5,933.01,19
HCPCS,93025,Microvolt t-wave assess,,,134.37,268.74,19
HCPCS,93041,Hb 93041 Rhythm Strip Ekg,367.0,128.45,,,0
HCPCS,93041,Hb Rhythm Strip Ekg,367.0,128.45,,,0
HCPCS,93041,Rhythm ecg tracing,,,61.6,123.21,19
HCPCS,93050,Art pressure waveform analys,,,30.2,60.41,19
HCPCS,93145,Interrog crtd sins bat ip wo,,,134.37,268.74,19
HCPCS,93146,Interrog crtd sins bat ip w/,,,134.37,268.74,19
HCPCS,93150,Therapy activation ipnss,,,99.28,198.56,19
HCPCS,93151,Interrog&prgrmg ipnss,,,99.28,198.56,19
HCPCS,93153,Interrog w/o prgrmg ipnss,,,99.28,198.56,19
HCPCS,93224,Hb Ecg Monit Reprt Up To 48 Hrs,470.0,164.5,,,0
HCPCS,93225,Ecg monit/reprt up to 48 hrs,,,138.94,277.88,19
HCPCS,93225,Hb 93225 Holter Monitor Recording,1638.0,573.3,,,0
HCPCS,93226,Ecg monit/reprt up to 48 hrs,,,61.6,123.21,19
HCPCS,93226,Hb 93226 Holter Monitor Scanning,1322.0,462.7,,,0
HCPCS,93228,Hb Remote 30 Day Ecg Rev Report,475.0,166.25,,,0
HCPCS,93229,Hb Remote 30 Day Ecg Tech Supp,514.0,179.9,,,0
HCPCS,93229,Remote 30 day ecg tech supp,,,389.68,779.36,19
HCPCS,93242,Ext ecg>48hr<7d recording,,,39.0,78.01,19
HCPCS,93243,Ext ecg>48hr<7d scan a/r,,,138.94,277.88,19
HCPCS,93245,Hb Ext Ecg>7D<15D Rec Scan A/R,8987.0,3145.45,,,0
HCPCS,93246,Ext ecg>7d<15d recording,,,39.0,78.01,19
HCPCS,93247,Ext ecg>7d<15d scan a/r,,,138.94,277.88,19
HCPCS,93260,Hb 93260 Implant Subq Defib Sys Dev Eval,423.0,148.05,,,0
HCPCS,93260,Hb Implant Subq Defib Sys Dev Eval,297.5,104.125,,,0
HCPCS,93260,Prgrmg dev eval impltbl sys,,,38.97,77.95,19
HCPCS,93261,Hb 93261 Implant Subq Defib Interrogate,172.0,60.2,,,0
HCPCS,93261,Hb Implant Subq Defib Interrogate,172.0,60.2,,,0
HCPCS,93261,Interrogate subq defib,,,38.97,77.95,19
HCPCS,93264,Rem mntr wrls p-art prs snr,,,38.97,77.95,19
HCPCS,93268,Hb Pt Event Recording Per Month,559.0,195.65,,,0
HCPCS,93270,Hb Remote 30 Day Ecg Rev/Report,454.0,158.9,,,0
HCPCS,93270,Remote 30 day ecg rev/report,,,38.97,77.95,19
HCPCS,93271,Ecg/monitoring and analysis,,,99.28,198.56,19
HCPCS,93271,Hb Ecg/Monitoring And Analysis,454.0,158.9,,,0
HCPCS,93278,ECG/signal-averaged,,,61.6,123.21,19
HCPCS,93278,Hb Signal Average Ekg,850.0,297.5,,,0
HCPCS,93279,Hb 93279 Analysis S Pacer W Prog,157.0,54.95,,,0
HCPCS,93279,Hb Analysis S Pacer W Prog,157.0,54.95,,,0
HCPCS,93279,Pm device progr eval sngl,,,38.97,77.95,19
HCPCS,93280,Hb 93280 Analysis D Pacer W Prog,144.0,50.4,,,0
HCPCS,93280,Hb Analysis D Pacer W Prog,144.0,50.4,,,0
HCPCS,93280,Pm device progr eval dual,,,38.97,77.95,19
HCPCS,93281,Hb 93281 Analysis M Pacer W Prog,104.0,36.4,,,0
HCPCS,93281,Hb Analysis M Pacer W Prog,104.0,36.4,,,0
HCPCS,93281,Pm device progr eval multi,,,38.97,77.95,19
HCPCS,93282,Hb 93282 Icd Ck W Reprog Sing,836.0,292.6,,,0
HCPCS,93282,Hb Icd Ck W Reprog Sing,836.0,292.6,,,0
HCPCS,93282,Prgrmg eval implantable dfb,,,38.97,77.95,19
HCPCS,93283,Hb 93283 Icd Ck W Reprog Dual,1045.0,365.75,,,0
HCPCS,93283,Hb Icd Ck W Reprog Dual,1045.0,365.75,,,0
HCPCS,93283,Prgrmg eval implantable dfb,,,38.97,77.95,19
HCPCS,93284,Hb 93284 Icd Ck W Reprog Mult,1045.0,365.75,,,0
HCPCS,93284,Hb Icd Ck W Reprog Mult,1045.0,365.75,,,0
HCPCS,93284,Prgrmg eval implantable dfb,,,38.97,77.95,19
HCPCS,93285,Hb 93285 Loop Recorder Ck W Prog,235.0,82.25,,,0
HCPCS,93285,Hb Loop Recorder Ck W Prog,235.0,82.25,,,0
HCPCS,93285,Ilr device eval progr,,,38.97,77.95,19
HCPCS,93286,Hb 93286 Peri-Px Pacemaker Device Evl,641.0,224.35,,,0
HCPCS,93287,Hb 93287 Preop Icd Device Eval,661.0,231.35,,,0
HCPCS,93288,Hb 93288 Analysis Pacer Wo Prog,226.0,79.1,,,0
HCPCS,93288,Hb Analysis Pacer Wo Prog,226.0,79.1,,,0
HCPCS,93288,Pm device eval in person,,,38.97,77.95,19
HCPCS,93289,Hb 93289 Icd Device Interrogate,180.0,63.0,,,0
HCPCS,93289,Hb Icd Device Interrogate,177.0,61.95,,,0
HCPCS,93289,Interrog device eval heart,,,38.97,77.95,19
HCPCS,93290,Hb 93290 Icm Device Eval,220.0,77.0,,,0
HCPCS,93290,Hb Icm Device Eval In Person,172.5,60.375,,,0
HCPCS,93290,Icm device eval,,,38.97,77.95,19
HCPCS,93291,Hb 93291 Loop Recorder Ck Wo Prog,342.0,119.7,,,0
HCPCS,93291,Hb Loop Recorder Ck Wo Prog,273.0,95.55000000000001,,,0
HCPCS,93291,Ilr device interrogate,,,30.2,60.41,19
HCPCS,93292,Hb 93292 Wearable Icd Ck,342.0,119.7,,,0
HCPCS,93292,Hb Wearable Icd Ck,342.0,119.7,,,0
HCPCS,93292,Wcd device interrogate,,,38.97,77.95,19
HCPCS,93293,Hb 93293 Pm Phone R-Strip Device Eval,462.0,161.7,,,0
HCPCS,93293,Pm phone r-strip device eval,,,38.97,77.95,19
HCPCS,93294,Hb Pm Device Interrogate Remote 90D,412.0,144.2,,,0
HCPCS,93295,Hb Icd Device Interrogate Remote 90D,412.0,144.2,,,0
HCPCS,93296,Hb 93296 Pm/Icd Remote Tech Serv,412.0,144.2,,,0
HCPCS,93296,Hb Pm Icd Remote Tech Serv 90D,412.0,144.2,,,0
HCPCS,93296,Pm/icd remote tech serv,,,38.97,77.95,19
HCPCS,93297,Hb 93297 Rem Interrog Icpms <30 D Phys/Qhp,383.0,134.05,,,0
HCPCS,93297,Hb Icm Device Interrogat Remote 30D,440.0,154.0,,,0
HCPCS,93297,Icm device interrogat remote,,,38.97,77.95,19
HCPCS,93298,Hb 93298 Rem Interrog Scrms <30 D Phys/Qhp,263.0,92.05,,,0
HCPCS,93298,Ilr device interrogat remote,,,38.97,77.95,19
HCPCS,93303,Echo transthoracic,,,570.61,1141.22,19
HCPCS,93303,Hb Echo Transthoracic Complete W Cont,2624.0,918.4,,,0
HCPCS,93303,Hb Echo Transthoracic Complete Wo Cont,2624.0,918.4,,,0
HCPCS,93304,Echo transthoracic,,,570.61,1141.22,19
HCPCS,93304,Hb Echo Transthoracic Limited W Cont,2225.0,778.75,,,0
HCPCS,93304,Hb Echo Transthoracic Limited Wo Cont,2225.0,778.75,,,0
HCPCS,93306,Hb Echo W Doppler W Color Flow W Cont,6754.0,2363.9,,,0
HCPCS,93306,Hb Echo W Doppler W Color Flow Wo Cont,6246.0,2186.1,,,0
HCPCS,93306,Tte w/doppler complete,,,570.61,1141.22,19
HCPCS,93307,Hb Tte W/O Doppler Complete,2111.0,738.85,,,0
HCPCS,93307,Tte w/o doppler complete,,,249.17,498.33,19
HCPCS,93308,Hb Echo Limited W Cont,2945.0,1030.75,,,0
HCPCS,93308,Hb Echo Limited Wo Cont,2945.0,1030.75,,,0
HCPCS,93308,Tte f-up or lmtd,,,249.17,498.33,19
HCPCS,93312,Echo transesophageal,,,570.61,1141.22,19
HCPCS,93312,Hb Echo Transesophageal Wo Cont,5020.0,1757.0,,,0
HCPCS,93312,Hb Echotransesophageal W Cont,5020.0,1757.0,,,0
HCPCS,93313,Echo transesophageal,,,570.61,1141.22,19
HCPCS,93313,Hb Trans Esoph Probe Plcmt Only,2115.0,740.25,,,0
HCPCS,93315,Echo transesophageal,,,570.61,1141.22,19
HCPCS,93315,Hb Echo Trans Esoph For Congenital W Cont,2665.0,932.75,,,0
HCPCS,93315,Hb Echo Trans Esoph For Congenital Wo Cont,2665.0,932.75,,,0
HCPCS,93316,Echo transesophageal,,,570.61,1141.22,19
HCPCS,93318,Echo Transesophageal Intraop,,,570.61,1141.22,19
HCPCS,93318,Hb Echo Transesoph Monitor,2785.0,974.75,,,0
HCPCS,93319,Hb 3D Echo Img&Pst-Pxessing Tee/Tte Cgen Car Anomal,146.0,51.1,,,0
HCPCS,93320,Hb Doppler Echo,1955.0,684.25,,,0
HCPCS,93321,Hb Doppler Echo Follow Up,1350.0,472.5,,,0
HCPCS,93325,Hb Doppler Echo W Color Flow Map,1532.0,536.2,,,0
HCPCS,93350,Hb Stress Echo W Cont,5495.0,1923.25,,,0
HCPCS,93350,Hb Stress Echo Wo Cont,5495.0,1923.25,,,0
HCPCS,93350,Stress tte only,,,570.61,1141.22,19
HCPCS,93351,Stress tte complete,,,570.61,1141.22,19
HCPCS,93355,Hb Tee For Intracardiac Intervention,2912.0,1019.2,,,0
HCPCS,93356,Hb Myocrd Strain Img Spckl Trck,826.0,289.1,,,0
HCPCS,93451,Hb 93451 Right Heart Cath,17560.0,6146.0,,,0
HCPCS,93451,Right heart cath,,,3385.48,9732.0,21
HCPCS,93452,Hb 93452 Left Heart Cath W Vent,24190.0,8466.5,,,0
HCPCS,93452,Left hrt cath w/ventrclgrphy,,,3385.48,9732.0,21
HCPCS,93453,Hb 93453 Rl Heart Cath W Vent,27877.0,9756.95,,,0
HCPCS,93453,R&l hrt cath w/ventriclgrphy,,,3385.48,9732.0,21
HCPCS,93454,Coronary artery angio s&i,,,3385.48,9732.0,21
HCPCS,93454,Hb 93454 Coronary Art Angio Sup Int,20043.0,7015.05,,,0
HCPCS,93455,Coronary art/grft angio s&i,,,3385.48,9732.0,21
HCPCS,93455,Hb 93455 Coronary Art Graft Sup Int,24654.0,8628.9,,,0
HCPCS,93456,Hb 93456 R Hrt Coronary Art Angio,31636.0,11072.6,,,0
HCPCS,93456,R hrt coronary artery angio,,,3385.48,9732.0,21
HCPCS,93457,Hb 93457 R Hrt Art Graft Angio,35551.0,12442.85,,,0
HCPCS,93457,R hrt art/grft angio,,,3385.48,9732.0,21
HCPCS,93458,Hb 93458 L Hrt Artery Vent Angio,30491.0,10671.85,,,0
HCPCS,93458,L hrt artery/ventricle angio,,,3385.48,9732.0,21
HCPCS,93459,Hb 93459 L Hrt Artery Graft Angio,33466.0,11713.1,,,0
HCPCS,93459,L hrt art/grft angio,,,3385.48,9732.0,21
HCPCS,93460,Hb 93460 Rl Hrt Artery Vent Angio,34280.0,11998.0,,,0
HCPCS,93460,R&l hrt art/ventricle angio,,,3385.48,9732.0,21
HCPCS,93461,Hb 93461 Rl Hrt Art Vent Angio By,37692.0,13192.2,,,0
HCPCS,93461,R&l hrt art/ventricle angio,,,3385.48,9732.0,21
HCPCS,93462,Hb 93462 L Hrt Cath Trnsptl Punct,11944.0,4180.4,,,0
HCPCS,93462,L hrt cath trnsptl puncture,,,704.0,972.0,2
HCPCS,93463,Drug admin & hemodynmic meas,,,704.0,972.0,2
HCPCS,93463,Hb 93463 Drug Admin & Hemodynmic Meas,1990.0,696.5,,,0
HCPCS,93464,Exercise w/hemodynamic meas,,,704.0,972.0,2
HCPCS,93464,Hb 93464 Exercise Study W/Hemodynamic Meas,2567.0,898.45,,,0
HCPCS,93503,Hb 93503 Insert Place Heart Cath,5291.0,1851.85,,,0
HCPCS,93503,Hb Insert Flow Directed Cath Monitoring,5291.0,1851.85,,,0
HCPCS,93503,Insert/place heart catheter,,,940.0,3287.71,21
HCPCS,93505,Biopsy of heart lining,,,3297.29,6594.58,21
HCPCS,93505,Hb 93505 Biopsy Of Heart,8541.0,2989.35,,,0
HCPCS,93505,Hb Biopsy Of Heart,8541.0,2989.35,,,0
HCPCS,93510,Hb 93510 Left Heart Cath,42292.0,14802.2,,,0
HCPCS,93545,Hb 93545 Inj Coronary Angio,10134.0,3546.9,,,0
HCPCS,93556,Hb 93556 Imging For Aortography,10012.0,3504.2,,,0
HCPCS,93563,Hb 93563 Inj Congen Card Cath,7075.0,2476.25,,,0
HCPCS,93563,Inject congenital card cath,,,704.0,972.0,2
HCPCS,93564,Hb 93564 Inj Hrt Congen Art Grft,7075.0,2476.25,,,0
HCPCS,93564,Inject hrt congntl art/grft,,,704.0,972.0,2
HCPCS,93565,Hb 93565 Inj L Vent Atrial Angio,7075.0,2476.25,,,0
HCPCS,93565,Inject l ventr/atrial angio,,,704.0,972.0,2
HCPCS,93566,Hb 93566 Inj R Vent Atrial Angio,7075.0,2476.25,,,0
HCPCS,93566,Inject r ventr/atrial angio,,,704.0,972.0,2
HCPCS,93567,Hb 93567 Inj Suprvlv Aortograph,7075.0,2476.25,,,0
HCPCS,93567,Inject suprvlv aortography,,,704.0,972.0,2
HCPCS,93568,Hb 93568 Inj Pulm Art Hrt Cath,7075.0,2476.25,,,0
HCPCS,93568,Inject pulm art hrt cath,,,704.0,972.0,2
HCPCS,93569,Hb 93569 Njx Drg C-Cathj Slctv P-Art Angiography Uni,5971.0,2089.85,,,0
HCPCS,93569,Njx cth slct p-art angrp uni,,,704.0,972.0,2
HCPCS,93571,Hb 93571 Iv Pressure Wire Int Ves,7444.0,2605.4,,,0
HCPCS,93571,Heart flow reserve measure,,,704.0,972.0,2
HCPCS,93572,Hb 93572 Iv Pressure Wire Addl Ves,2765.0,967.75,,,0
HCPCS,93572,Heart flow reserve measure,,,704.0,972.0,2
HCPCS,93573,Hb 93573 Njx Drg C-Cathj Slctv P-Art Angiography Bi,7173.0,2510.55,,,0
HCPCS,93573,Njx cath slct p-art angrp bi,,,704.0,972.0,2
HCPCS,93574,Hb 93574 Njx Drg C-Cathj Slctv Pulm Ven Angiography,4294.0,1502.9,,,0
HCPCS,93574,Njx cath slct pulm vn angrph,,,704.0,972.0,2
HCPCS,93575,Hb 93575 Njx Drg C-Cathj Slctv Pulm Angrph Mapca Chd Ea,4614.0,1614.9,,,0
HCPCS,93575,Njx cath slct p angrph mapca,,,704.0,972.0,2
HCPCS,93580,Hb 93580 Transcath Asd Closure,44673.0,15635.55,,,0
HCPCS,93580,Transcath closure of asd,,,18066.0,38286.69,21
HCPCS,93581,Hb 93581 Transcath Vsd Closure,43804.0,15331.4,,,0
HCPCS,93581,Transcath closure of vsd,,,18066.0,38286.69,21
HCPCS,93582,Perq transcath closure pda,,,18066.0,38286.69,21
HCPCS,93583,Perq transcath septal reduxn,,,3613.0,4992.0,2
HCPCS,93590,Hb 93590 Perq Transcath Cls Mitral,45924.0,16073.4,,,0
HCPCS,93590,Perq transcath cls mitral,,,19143.34,38286.69,21
HCPCS,93591,Hb 93591 Perq Transcath Cls Aortic,46934.0,16426.9,,,0
HCPCS,93591,Perq transcath cls aortic,,,19143.34,38286.69,21
HCPCS,93592,Hb 93592 Perq Transcath Cls Aortic,14534.0,5086.9,,,0
HCPCS,93592,Perq transcath closure each,,,704.0,972.0,2
HCPCS,93593,Hb 93593 R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj,22782.0,7973.7,,,0
HCPCS,93593,R hrt cath chd nml nt cnj,,,3385.48,9732.0,21
HCPCS,93594,Hb 93594 R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj,13834.0,4841.9,,,0
HCPCS,93594,R hrt cath chd abnl nt cnj,,,3385.48,9732.0,21
HCPCS,93595,Hb 93595 L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj,4486.0,1570.1,,,0
HCPCS,93595,L hrt cath chd nm/abn nt cnj,,,3385.48,9732.0,21
HCPCS,93596,Hb 93596 R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj,17482.0,6118.7,,,0
HCPCS,93596,R&l hrt cath chd nml nt cnj,,,3385.48,9732.0,21
HCPCS,93597,Hb 93597 R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj,19499.0,6824.65,,,0
HCPCS,93597,R&l hrt cath chd abnl nt cnj,,,3385.48,9732.0,21
HCPCS,93598,Car outp meas drg cath chd,,,704.0,972.0,2
HCPCS,93598,Hb 93598 Car Outp Meas Drg Car Cath Eval Cgen Hrt Defect,1317.0,460.95,,,0
HCPCS,93600,Bundle of His recording,,,2116.0,16290.05,21
HCPCS,93600,Hb 93600 His Recording,7063.0,2472.05,,,0
HCPCS,93602,Hb 93602 Intra Atrial Recording,7063.0,2472.05,,,0
HCPCS,93602,Intra-atrial recording,,,2116.0,16290.05,21
HCPCS,93603,Hb 93603 Rv Recording,16726.0,5854.1,,,0
HCPCS,93603,Right ventricular recording,,,1271.45,2923.0,21
HCPCS,93609,Hb 93609 Map Tachycardia,18003.0,6301.05,,,0
HCPCS,93609,Map tachycardia add-on,,,704.0,972.0,2
HCPCS,93610,Hb 93610 Intra Atrial Pacing,10564.0,3697.4,,,0
HCPCS,93610,Intra-atrial pacing,,,2116.0,16290.05,21
HCPCS,93612,Hb 93612 Intra Ventricular Pacing,10564.0,3697.4,,,0
HCPCS,93612,Intraventricular pacing,,,2116.0,16290.05,21
HCPCS,93613,Electrophys map 3d add-on,,,704.0,972.0,2
HCPCS,93613,Hb 93613 Electrophys 3D Mapping,20453.0,7158.55,,,0
HCPCS,93615,Esophageal recording,,,1271.45,2923.0,21
HCPCS,93616,Esophageal recording,,,1271.45,2923.0,21
HCPCS,93618,Hb 93618 Induct Arrhythmia Pacing,11129.0,3895.15,,,0
HCPCS,93618,Heart rhythm pacing,,,1271.45,2923.0,21
HCPCS,93619,Electrophysiology evaluation,,,8145.02,16290.05,21
HCPCS,93619,Hb 93619 Ep Complete Wo Arrhythmia,23655.5,8279.425,,,0
HCPCS,93620,Electrophysiology evaluation,,,8145.02,16290.05,21
HCPCS,93620,Hb 93620 Eps Cardiac Eval,26453.0,9258.55,,,0
HCPCS,93621,Electrophysiology evaluation,,,704.0,972.0,2
HCPCS,93621,Hb 93621 Coronary Sinus Recording,36906.0,12917.1,,,0
HCPCS,93622,Electrophysiology evaluation,,,704.0,972.0,2
HCPCS,93622,Hb 93622 Lv Pacing,23655.5,8279.425,,,0
HCPCS,93623,Hb 93623 Eps Iv Drug Infusion,19394.0,6787.9,,,0
HCPCS,93623,Stimulation pacing heart,,,704.0,972.0,2
HCPCS,93624,Electrophysiologic study,,,8145.02,16290.05,21
HCPCS,93624,Hb 93624 Eps Followup Study,14829.0,5190.15,,,0
HCPCS,93631,Hb 93631 Heart Pacing Mapping,11145.0,3900.75,,,0
HCPCS,93631,Heart pacing mapping,,,704.0,972.0,2
HCPCS,93640,Evaluation heart device,,,704.0,972.0,2
HCPCS,93640,Hb 93640 Eps Eval Int Imp Rplcd Icd,6444.0,2255.4,,,0
HCPCS,93641,Electrophysiology evaluation,,,704.0,972.0,2
HCPCS,93641,Hb 93641 Eps Eval New Icd System,4744.0,1660.4,,,0
HCPCS,93641,Hb Eps Eval New Icd System,4744.0,1660.4,,,0
HCPCS,93642,Electrophysiology evaluation,,,1271.45,2923.0,21
HCPCS,93642,Hb 93642 Eps Eval Icd Sys Prev Imp,4744.0,1660.4,,,0
HCPCS,93644,Electrophysiology evaluation,,,704.0,972.0,2
HCPCS,93644,Hb 93644 Ephys Eval Subq Implant Defib,5369.0,1879.15,,,0
HCPCS,93650,Ablate heart dysrhythm focus,,,8145.02,16290.05,21
HCPCS,93650,Hb 93650 Ep Catheter Ablation,34885.0,12209.75,,,0
HCPCS,93653,Ep & ablate supravent arrhyt,,,18066.0,54590.43,21
HCPCS,93653,Hb 93653 Ep Ablate Supravent Arrhyt,41862.0,14651.7,,,0
HCPCS,93654,Ep & ablate ventric tachy,,,18066.0,54590.43,21
HCPCS,93654,Hb 93654 Ep Ablate Ventric Tachy,34885.0,12209.75,,,0
HCPCS,93655,Ablate arrhythmia add on,,,704.0,972.0,2
HCPCS,93655,Hb 93655 Ablate Arrhythmia Add On,34885.0,12209.75,,,0
HCPCS,93656,Hb 93656 Tx Atrial Fib Pulm Vein Isol,34885.0,12209.75,,,0
HCPCS,93656,Tx atrial fib pulm vein isol,,,18066.0,54590.43,21
HCPCS,93657,Hb 93657 Tx L R Atrial Fib Addl,34885.0,12209.75,,,0
HCPCS,93657,Tx l/r atrial fib addl,,,704.0,972.0,2
HCPCS,93660,Hb 93660 Tilt Table Eval,4707.0,1647.45,,,0
HCPCS,93660,Hb Tilt Table Eval,4707.0,1647.45,,,0
HCPCS,93660,Tilt table evaluation,,,389.68,972.0,21
HCPCS,93662,Hb 93662 Ice Intracardiac Ecg,11593.0,4057.55,,,0
HCPCS,93662,Hb Ice Intracardiac Ecg,11593.0,4057.55,,,0
HCPCS,93662,Intracardiac Ecg (Ice),,,704.0,972.0,2
HCPCS,93668,Peripheral Vascular Rehab,,,61.6,123.21,19
HCPCS,93701,Bioimpedance cv analysis,,,138.94,277.88,19
HCPCS,93702,Bis xtracell fluid analysis,,,134.37,268.74,19
HCPCS,93724,Hb 93724 Analysis Anti Tachy Pcr,2294.0,802.9,,,0
HCPCS,93740,Temperature gradient studies,,,134.37,268.74,19
HCPCS,93745,Set-up cardiovert-defibrill,,,320.74,972.0,21
HCPCS,93750,Hb 93750 Vad Interrogation,544.0,190.4,,,0
HCPCS,93750,Hb Vad Interrogation,544.0,190.4,,,0
HCPCS,93750,Interrogation vad in person,,,99.28,972.0,21
HCPCS,93770,Hb 93770 Measure Venous Press,640.0,224.0,,,0
HCPCS,93784,Hb 24 Hr Amb Bp Monitor,516.5,180.775,,,0
HCPCS,93786,Ambulatory BP recording,,,138.94,277.88,19
HCPCS,93786,Hb Ambulatory Bp Recording,714.0,249.9,,,0
HCPCS,93788,Ambulatory BP analysis,,,138.94,277.88,19
HCPCS,93797,Cardiac rehab,,,134.62,269.23,19
HCPCS,93797,Hb Outpatient Cardiac Rehab W/O Cont Ecg Monitor,151.0,52.85,,,0
HCPCS,93798,Cardiac rehab/monitor,,,134.62,269.23,19
HCPCS,93798,Hb Cardiac Rehab W Ecg Monitor,422.0,147.7,,,0
HCPCS,93799,Cardiovascular procedure,,,134.37,972.0,21
HCPCS,93799,Hb 93799 Cardiovascular Svc Or Proc,2644.0,925.4,,,0
HCPCS,93880,Extracranial bilat study,,,249.17,498.33,19
HCPCS,93880,Hb Dopp Extracranial Bilat,2591.0,906.85,,,0
HCPCS,93882,Extracranial uni/ltd study,,,109.17,218.35,19
HCPCS,93882,Hb Dopp Extracranial Unilat,1915.0,670.25,,,0
HCPCS,93886,Hb Dopp Cerebral Tcd Complete,2656.0,929.6,,,0
HCPCS,93886,Intracranial complete study,,,249.17,498.33,19
HCPCS,93888,Hb Dopp Cerebral Tcd Limited,1116.0,390.6,,,0
HCPCS,93888,Intracranial limited study,,,109.17,218.35,19
HCPCS,93892,Tcd emboli detect w/o inj,,,109.17,218.35,19
HCPCS,93893,Tcd emboli detect w/inj,,,109.17,218.35,19
HCPCS,93922,Hb Dopp Upr Lwr Extremity Art,2536.0,887.6,,,0
HCPCS,93922,Upr/l xtremity art 2 levels,,,138.94,277.88,19
HCPCS,93923,Hb Upr Lxtr Art Stdy 3+ Lvls,1637.0,572.95,,,0
HCPCS,93923,Upr/lxtr art stdy 3+ lvls,,,225.48,450.97,19
HCPCS,93924,Hb Dopp Arterial W Exercise,1740.0,609.0,,,0
HCPCS,93924,Lwr xtr vasc stdy bilat,,,225.48,450.97,19
HCPCS,93925,Hb Dopp Arterial Lower Bilat,2314.0,809.9,,,0
HCPCS,93925,Lower extremity study,,,249.17,498.33,19
HCPCS,93926,Hb Dopp Arterial Lower Unilat,1505.0,526.75,,,0
HCPCS,93926,Lower extremity study,,,109.17,218.35,19
HCPCS,93930,Hb Dopp Arterial Upper Bilat,2501.0,875.35,,,0
HCPCS,93930,Upper extremity study,,,249.17,498.33,19
HCPCS,93931,Hb Dopp Arterial Upper Unilat,1505.0,526.75,,,0
HCPCS,93931,Upper extremity study,,,109.17,218.35,19
HCPCS,93970,Extremity study,,,249.17,498.33,19
HCPCS,93970,Hb Dopp Venous Extremity Bilat,2269.0,794.15,,,0
HCPCS,93971,Extremity study,,,109.17,218.35,19
HCPCS,93971,Hb 93971 Dopp Venous Extremity,1638.0,573.3,,,0
HCPCS,93971,Hb Dopp Venous Extremity Unilat,1638.0,573.3,,,0
HCPCS,93975,Hb Dopp Abdomen Vascular Complt,2622.0,917.7,,,0
HCPCS,93975,Vascular study,,,249.17,498.33,19
HCPCS,93976,Hb Dopp Abdomen Vascular Ltd,2167.0,758.45,,,0
HCPCS,93976,Vascular study,,,109.17,218.35,19
HCPCS,93978,Hb Dopp Aorta Vascular Complt,1872.0,655.2,,,0
HCPCS,93978,Vascular study,,,249.17,498.33,19
HCPCS,93979,Vascular study,,,109.17,218.35,19
HCPCS,93980,Hb Us Penile Duplex,1183.0,414.05,,,0
HCPCS,93980,Penile vascular study,,,109.17,218.35,19
HCPCS,93981,Penile vascular study,,,109.17,218.35,19
HCPCS,93985,Dup-scan hemo compl bi std,,,249.17,498.33,19
HCPCS,93986,Dup-scan hemo compl uni std,,,109.17,218.35,19
HCPCS,93990,Doppler flow testing,,,109.17,218.35,19
HCPCS,93990,Hb Dopp Hemodialysis Access,2868.0,1003.8,,,0
HCPCS,93998,Noninvas vasc dx study proc,,,30.2,60.41,19
HCPCS,94002,Hb Ventilation Asst & Mgmt Inpt 1St Day,4942.0,1729.7,,,0
HCPCS,94002,Vent mgmt inpat init day,,,645.14,1290.29,19
HCPCS,94003,Hb Ventilation Asst & Mgmt Inpt Ea Sbsq Da,4034.0,1411.9,,,0
HCPCS,94003,Vent mgmt inpat subq day,,,645.14,1290.29,19
HCPCS,94010,Breathing capacity test,,,225.48,450.97,19
HCPCS,94010,Hb Spirometry Test,483.0,169.05,,,0
HCPCS,94011,Spirometry up to 2 yrs old,,,134.37,268.74,19
HCPCS,94012,Spirmtry w/brnchdil inf-2 yr,,,225.48,450.97,19
HCPCS,94013,Meas lung vol thru 2 yrs,,,389.68,779.36,19
HCPCS,94014,Patient recorded spirometry,,,466.5,933.01,19
HCPCS,94015,Patient recorded spirometry,,,225.48,450.97,19
HCPCS,94060,Evaluation of wheezing,,,389.68,779.36,19
HCPCS,94060,Hb Pre And Post Spirometry,2274.5,796.075,,,0
HCPCS,94070,Evaluation of wheezing,,,389.68,779.36,19
HCPCS,94070,Hb Bronchospasm Eval,2367.0,828.45,,,0
HCPCS,94150,Hb Vital Capacity,319.0,111.65,,,0
HCPCS,94150,Vital capacity test,,,134.37,268.74,19
HCPCS,94200,Hb Max Voluntary Ventilation,800.0,280.0,,,0
HCPCS,94200,Lung function test (MBC/MVV),,,61.6,123.21,19
HCPCS,94240,Hb Functional Residual Capacity,1100.0,385.0,,,0
HCPCS,94375,Respiratory flow volume loop,,,225.48,450.97,19
HCPCS,94450,Hypoxia response curve,,,134.37,268.74,19
HCPCS,94452,Hast w/report,,,138.94,277.88,19
HCPCS,94453,Hast w/oxygen titrate,,,138.94,277.88,19
HCPCS,94610,Hb Surfactant Admin,360.0,126.0,,,0
HCPCS,94610,Surfactant Admin Thru Tube,,,228.67,457.35,19
HCPCS,94617,Exercise tst brncspsm,,,138.94,277.88,19
HCPCS,94617,Hb Exercise Tst Brncspsm,862.0,301.7,,,0
HCPCS,94618,Hb Pulmonary Stress Test Simple,1795.0,628.25,,,0
HCPCS,94618,Pulmonary stress testing,,,138.94,277.88,19
HCPCS,94619,Exercise tst brncspsm wo ecg,,,61.6,123.21,19
HCPCS,94621,Hb Cardiopulm Exercise Testing,4053.0,1418.55,,,0
HCPCS,94621,Pulm stress test/complex,,,389.68,779.36,19
HCPCS,94625,Hb Hb Phys/Qhp Svcs Op Pulm Rehab Wo Cont Oximtry Mntr,199.0,69.65,,,0
HCPCS,94625,Phy/qhp op pulm rhb w/o mntr,,,61.6,123.21,19
HCPCS,94626,Hb Phy/Qhp Op Pulm Rhb W/Mntr,199.0,69.65,,,0
HCPCS,94626,Phy/qhp op pulm rhb w/mntr,,,61.6,123.21,19
HCPCS,94640,Airway inhalation treatment,,,228.67,457.35,19
HCPCS,94640,Hb Airway Inhalation Treat Subseq,802.0,280.7,,,0
HCPCS,94640,Hb Airway Inhalation Treatment,802.0,280.7,,,0
HCPCS,94642,Aerosol inhalation treatment,,,228.67,457.35,19
HCPCS,94642,Hb Aerosol Inhalation Of Pentamidine,812.0,284.2,,,0
HCPCS,94644,Cbt 1st hour,,,138.94,277.88,19
HCPCS,94644,Hb Aerosol Cont Init Hr,512.0,179.2,,,0
HCPCS,94645,Hb Aerosol Cont Ea Addl Hour,103.0,36.05,,,0
HCPCS,94660,Hb Cpap Ventilation Cpap Initiation & Mgmt,2649.0,927.15,,,0
HCPCS,94660,Pos airway pressure cpap,,,228.67,457.35,19
HCPCS,94664,Evaluate pt use of inhaler,,,228.67,457.35,19
HCPCS,94664,Hb Evaluate Pt Use Of Inhaler,341.0,119.35,,,0
HCPCS,94667,Chest wall manipulation,,,138.94,277.88,19
HCPCS,94667,Hb Chest Wall Manip Initial,563.0,197.05,,,0
HCPCS,94668,Chest wall manipulation,,,138.94,277.88,19
HCPCS,94668,Hb Chest Wall Manipulation,477.0,166.95,,,0
HCPCS,94669,Hb Chest Wall Manipulation 30 Min,1245.0,435.75,,,0
HCPCS,94669,Mechanical chest wall oscill,,,228.67,457.35,19
HCPCS,94680,Exhaled air analysis o2,,,134.37,268.74,19
HCPCS,94681,Exhaled air analysis o2/co2,,,389.68,779.36,19
HCPCS,94681,Hb Exhaled Air Analysis O2 And Co2,1661.0,581.35,,,0
HCPCS,94690,Exhaled air analysis,,,61.6,123.21,19
HCPCS,94690,Hb Exhaled Air Analysis,1343.0,470.05,,,0
HCPCS,94726,Hb Thoracic Gas Volume,931.0,325.85,,,0
HCPCS,94726,Pulm funct tst plethysmograp,,,389.68,779.36,19
HCPCS,94727,Hb Nitrogen Washout Curve,686.0,240.1,,,0
HCPCS,94727,Pulm function test by gas,,,225.48,450.97,19
HCPCS,94728,Hb Pulmonary Funct Test Oscillometry,1063.0,372.05,,,0
HCPCS,94728,Pulm funct test oscillometry,,,134.37,268.74,19
HCPCS,94729,Hb Monoxide Diffusing Capacity,1436.0,502.6,,,0
HCPCS,94760,Hb Pulse Oximetry Single,166.0,58.1,,,0
HCPCS,94761,Hb Ambulation W O2,294.0,102.9,,,0
HCPCS,94761,Hb Home O2 Evaluation,1226.0,429.1,,,0
HCPCS,94761,Hb Pulse Oximetry Multiple,1226.0,429.1,,,0
HCPCS,94762,Hb Pulse Oximetry Cont Monitor,776.0,271.6,,,0
HCPCS,94762,Measure blood oxygen level,,,134.37,268.74,19
HCPCS,94770,Hb Exhaled Carbon Dioxide Test,488.0,170.8,,,0
HCPCS,94772,Breath recording infant,,,389.68,779.36,19
HCPCS,94775,Ped home apnea rec hk-up,,,134.37,268.74,19
HCPCS,94776,Ped home apnea rec downld,,,134.37,268.74,19
HCPCS,94780,Car seat/bed test 60 min,,,39.0,78.01,19
HCPCS,94780,Hb Car Seat Init 60 Min,255.0,89.25,,,0
HCPCS,94781,Hb Car Seat Ea Addl 30 Min,240.0,84.0,,,0
HCPCS,94799,Hb Cpap Bipap Mgmt Pt Owned Equip,2668.0,933.8,,,0
HCPCS,94799,Hb Heated High Flow Management,2335.0,817.25,,,0
HCPCS,94799,Hb Incentive Spirometer Demo,295.0,103.25,,,0
HCPCS,94799,Hb Pulmonary Rehab Phase Iii,77.0,26.95,,,0
HCPCS,94799,Hb Pulmonary Rehab Session,506.0,177.1,,,0
HCPCS,94799,Hb Trach Team Education/Assessment,431.0,150.85,,,0
HCPCS,94799,Pulmonary service/procedure,,,134.37,268.74,19
HCPCS,95004,Percut allergy skin tests,,,896.76,1793.53,19
HCPCS,95012,Exhaled Nitric Oxide Meas,,,39.0,78.01,19
HCPCS,95017,Perq & icut allg test venoms,,,30.2,60.41,19
HCPCS,95018,Perq&ic allg test drugs/biol,,,39.0,78.01,19
HCPCS,95024,Icut allergy test drug/bug,,,61.6,123.21,19
HCPCS,95027,Icut allergy titrate-airborn,,,30.2,60.41,19
HCPCS,95028,Icut allergy test-delayed,,,39.0,78.01,19
HCPCS,95044,Allergy patch tests,,,896.76,1793.53,19
HCPCS,95052,Photo patch test,,,61.6,123.21,19
HCPCS,95056,Photosensitivity tests,,,138.94,277.88,19
HCPCS,95060,Eye allergy tests,,,138.94,277.88,19
HCPCS,95065,Nose allergy test,,,39.0,78.01,19
HCPCS,95070,Bronchial allergy tests,,,389.68,779.36,19
HCPCS,95076,Ingest challenge ini 120 min,,,389.68,779.36,19
HCPCS,95115,Immunotherapy one injection,,,48.9,97.8,19
HCPCS,95117,Immunotherapy injections,,,48.9,97.8,19
HCPCS,95144,Antigen therapy services,,,48.9,97.8,19
HCPCS,95145,Antigen therapy services,,,48.9,97.8,19
HCPCS,95146,Antigen therapy services,,,48.9,97.8,19
HCPCS,95147,Antigen therapy services,,,75.19,150.38,19
HCPCS,95148,Antigen therapy services,,,75.19,150.38,19
HCPCS,95149,Antigen therapy services,,,75.19,150.38,19
HCPCS,95165,Antigen therapy services,,,48.9,97.8,19
HCPCS,95170,Antigen therapy services,,,48.9,97.8,19
HCPCS,95180,Rapid desensitization,,,466.5,933.01,19
HCPCS,95199,Allergy immunology services,,,30.2,60.41,19
HCPCS,95249,Cont gluc mntr pt prov eqp,,,61.6,123.21,19
HCPCS,95250,Hb Glucose Monitoring Cont,521.0,182.35,,,0
HCPCS,95700,Eeg cont rec w/vid eeg tech,,,225.48,450.97,19
HCPCS,95700,Hb Eeg Cont Rec W/Video By Tech Setup,1518.0,531.3,,,0
HCPCS,95705,Eeg w/o vid 2-12 hr unmntr,,,225.48,450.97,19
HCPCS,95705,Hb Eeg W/O Vid 2-12 Hr Unmntr,2354.0,823.9,,,0
HCPCS,95706,Eeg wo vid 2-12hr intmt mntr,,,225.48,450.97,19
HCPCS,95707,Eeg w/o vid 2-12hr cont mntr,,,225.48,450.97,19
HCPCS,95708,Eeg wo vid ea 12-26hr unmntr,,,389.68,779.36,19
HCPCS,95708,Hb Eeg Wo Vid Ea 12-26Hr Unmntr,4709.0,1648.15,,,0
HCPCS,95709,Eeg w/o vid ea 12-26hr intmt,,,389.68,779.36,19
HCPCS,95710,Eeg w/o vid ea 12-26hr cont,,,389.68,779.36,19
HCPCS,95711,Hb Veeg By Tech 2-12 Hours Unmonitored,5658.0,1980.3,,,0
HCPCS,95711,Veeg 2-12 hr unmonitored,,,225.48,450.97,19
HCPCS,95712,Veeg 2-12 hr intmt mntr,,,389.68,779.36,19
HCPCS,95713,Veeg 2-12 hr cont mntr,,,389.68,779.36,19
HCPCS,95714,Hb Veeg Ea 12-26 Hr Unmntr,11317.0,3960.95,,,0
HCPCS,95714,Veeg ea 12-26 hr unmntr,,,389.68,779.36,19
HCPCS,95715,Veeg ea 12-26hr intmt mntr,,,389.68,779.36,19
HCPCS,95716,Hb Veeg By Tech Ea Incr 12-26 Hr Cont R-T Mntr,8125.0,2843.75,,,0
HCPCS,95716,Veeg ea 12-26hr cont mntr,,,896.76,1793.53,19
HCPCS,95782,Hb Polysomnography 4 Up Ls 6Yr,3266.0,1143.1,,,0
HCPCS,95782,Polysom <6 yrs 4/> paramtrs,,,896.76,1793.53,19
HCPCS,95783,Hb Polysomnography W Cpap Ls 6Yr,3266.0,1143.1,,,0
HCPCS,95783,Polysom <6 yrs cpap/bilvl,,,896.76,1793.53,19
HCPCS,95800,Hb Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time,1647.0,576.45,,,0
HCPCS,95800,Slp stdy unattended,,,225.48,450.97,19
HCPCS,95801,Slp stdy unatnd w/anal,,,61.6,123.21,19
HCPCS,95803,Actigraphy testing,,,61.6,123.21,19
HCPCS,95803,Hb Actigraphy Testing 73 Hrs-14 Cons Days,487.0,170.45,,,0
HCPCS,95805,Hb Multiple Sleep Latency Test,6719.0,2351.65,,,0
HCPCS,95805,Multiple sleep latency test,,,896.76,1793.53,19
HCPCS,95806,Hb Sleep Study Unattended,1326.0,464.1,,,0
HCPCS,95806,Sleep study unatt&resp efft,,,225.48,450.97,19
HCPCS,95807,Hb Cardio Resp Nap Study,2913.0,1019.55,,,0
HCPCS,95807,Hb Cardio Resp Nap Study Abbrev,2253.0,788.55,,,0
HCPCS,95807,Sleep study attended,,,389.68,779.36,19
HCPCS,95808,Polysom any age 1-3> param,,,896.76,1793.53,19
HCPCS,95810,Hb Polysomnography 4 Up 6Yr Up,10093.0,3532.55,,,0
HCPCS,95810,Polysom 6/> yrs 4/> param,,,896.76,1793.53,19
HCPCS,95811,Hb Polysomnography W Cpap 6Yr Up,11100.0,3885.0,,,0
HCPCS,95811,Polysom 6/>yrs cpap 4/> parm,,,896.76,1793.53,19
HCPCS,95812,Eeg 41-60 minutes,,,225.48,450.97,19
HCPCS,95812,Hb Extended Eeg Monitoring Less 1Hr,925.0,323.75,,,0
HCPCS,95813,Eeg over 1 hour,,,225.48,450.97,19
HCPCS,95813,Hb Extended Eeg Monitoring Over 1Hr,1292.0,452.2,,,0
HCPCS,95816,Eeg awake and drowsy,,,225.48,450.97,19
HCPCS,95816,Hb Eeg Awake Drowsy Port,1666.0,583.1,,,0
HCPCS,95816,Hb Eeg Record Awake And Drowsy,1666.0,583.1,,,0
HCPCS,95819,Eeg awake and asleep,,,225.48,450.97,19
HCPCS,95819,Hb Eeg Awake Asleep Port,1666.0,583.1,,,0
HCPCS,95819,Hb Eeg Record Awake And Asleep,1998.0,699.3,,,0
HCPCS,95822,Eeg coma or sleep only,,,225.48,450.97,19
HCPCS,95822,Hb Eeg Record In Come Or Sleep,1666.0,583.1,,,0
HCPCS,95824,Eeg cerebral death only,,,389.68,779.36,19
HCPCS,95824,Hb Eeg Braindeath Evaluation,2220.0,777.0,,,0
HCPCS,95829,Hb Electrocorticogram At Surg,4936.0,1727.6,,,0
HCPCS,95830,Hb Insert Electrodes For Eeg,1346.0,471.1,,,0
HCPCS,95831,Hb Mmt Eval Extremity Excl Hand,182.0,63.7,,,0
HCPCS,95832,Hb Mmt Eval Hand,150.0,52.5,,,0
HCPCS,95833,Hb Mmt Eval Total Body Excl Hand,142.0,49.7,,,0
HCPCS,95834,Hb Mmt Eval Total Body Incl Hand,213.0,74.55,,,0
HCPCS,95836,Ecog impltd brn npgt <=30 d,,,38.97,77.95,19
HCPCS,95851,Hb Rom Eval Excl Hand,281.0,98.35,,,0
HCPCS,95851,Range of motion measurements,,,6.8,13.6,19
HCPCS,95852,Hb Rom Eval Hand,256.0,89.6,,,0
HCPCS,95852,Range of motion measurements,,,5.56,11.12,19
HCPCS,95857,Cholinesterase challenge,,,225.48,450.97,19
HCPCS,95857,Hb Tensilon Test,920.0,322.0,,,0
HCPCS,95860,Hb Emg 1 Extremity,1692.0,592.2,,,0
HCPCS,95860,Muscle test one limb,,,138.94,277.88,19
HCPCS,95861,Hb Emg 2 Extremities,1778.0,622.3,,,0
HCPCS,95861,Muscle test 2 limbs,,,138.94,277.88,19
HCPCS,95863,Hb Emg 3 Extremities,1872.0,655.2,,,0
HCPCS,95863,Muscle test 3 limbs,,,134.37,268.74,19
HCPCS,95864,Hb Emg 4 Extremities,1963.0,687.05,,,0
HCPCS,95864,Muscle test 4 limbs,,,134.37,268.74,19
HCPCS,95865,Muscle test larynx,,,138.94,277.88,19
HCPCS,95866,Muscle test hemidiaphragm,,,134.37,268.74,19
HCPCS,95867,Hb Emg Cranial Unilateral,2836.0,992.6,,,0
HCPCS,95867,Muscle test cran nerv unilat,,,225.48,450.97,19
HCPCS,95868,Hb Emg Cranial Bilateral,3337.0,1167.95,,,0
HCPCS,95868,Muscle test cran nerve bilat,,,225.48,450.97,19
HCPCS,95869,Hb Emg Thoracic Paraspinal,1327.0,464.45,,,0
HCPCS,95869,Muscle test thor paraspinal,,,225.48,450.97,19
HCPCS,95870,Hb Emg Non Paraspinal Limited,943.0,330.05,,,0
HCPCS,95870,Muscle test nonparaspinal,,,138.94,277.88,19
HCPCS,95872,Hb Emg Single Fiber,2133.0,746.55,,,0
HCPCS,95872,Muscle test one fiber,,,225.48,450.97,19
HCPCS,95873,Hb Guide Nerv Destr Elec Stim,256.0,89.6,,,0
HCPCS,95874,Hb Guide Nerv Destr Needle Emg,664.0,232.4,,,0
HCPCS,95875,Limb exercise test,,,134.37,268.74,19
HCPCS,95885,Hb Emg Done W Nerv Test Limited,1025.0,358.75,,,0
HCPCS,95886,Hb Emg Done W Nerv Test Complete,1025.0,358.75,,,0
HCPCS,95887,Hb Emg Done W Nerv Test Nonextremity,1025.0,358.75,,,0
HCPCS,95905,Motor &/ sens nrve cndj test,,,466.5,933.01,19
HCPCS,95907,Hb Nerve Conduction 1-2 Studies,598.0,209.3,,,0
HCPCS,95907,Nvr cndj tst 1-2 studies,,,225.48,450.97,19
HCPCS,95908,Hb Nerve Conduction 3-4 Studies,1195.0,418.25,,,0
HCPCS,95908,Nrv cndj tst 3-4 studies,,,225.48,450.97,19
HCPCS,95909,Hb Nerve Conduction 5-6 Studies,1791.0,626.85,,,0
HCPCS,95909,Nrv cndj tst 5-6 studies,,,225.48,450.97,19
HCPCS,95910,Hb Nerve Conduction 7-8 Studies,2388.0,835.8,,,0
HCPCS,95910,Nrv cndj test 7-8 studies,,,389.68,779.36,19
HCPCS,95911,Hb Nerve Conduction 9-10 Studies,2987.0,1045.45,,,0
HCPCS,95911,Nrv cndj test 9-10 studies,,,389.68,779.36,19
HCPCS,95912,Hb Nerve Conduction 11-12 Studies,3581.0,1253.35,,,0
HCPCS,95912,Nrv cndj test 11-12 studies,,,389.68,779.36,19
HCPCS,95913,Hb Nerve Conduction 13 Or More Studies,4181.0,1463.35,,,0
HCPCS,95913,Nrv cndj test 13/> studies,,,389.68,779.36,19
HCPCS,95919,Quan puplmtry phy/qhp uni/bi,,,138.94,277.88,19
HCPCS,95921,Autonomic nrv parasym inervj,,,134.37,268.74,19
HCPCS,95922,Autonomic nrv adrenrg inervj,,,138.94,277.88,19
HCPCS,95923,Autonomic nrv syst funj test,,,138.94,277.88,19
HCPCS,95924,Ans parasymp & symp w/tilt,,,225.48,450.97,19
HCPCS,95925,Hb Evok Somatosensory Test Upper,3016.0,1055.6,,,0
HCPCS,95925,Somatosensory testing,,,225.48,450.97,19
HCPCS,95926,Hb Evok Somatosensory Test Lower,3016.0,1055.6,,,0
HCPCS,95926,Somatosensory testing,,,225.48,450.97,19
HCPCS,95927,Hb Evok Somat Test Trunk Or Head,1383.0,484.05,,,0
HCPCS,95927,Somatosensory testing,,,225.48,450.97,19
HCPCS,95928,C motor evoked uppr limbs,,,896.76,1793.53,19
HCPCS,95928,Hb Central Motor Evok Upper,1302.0,455.7,,,0
HCPCS,95929,C motor evoked lwr limbs,,,389.68,779.36,19
HCPCS,95929,Hb Central Motor Evok Lower,1383.0,484.05,,,0
HCPCS,95930,Hb Visual Evoked Potential Test,2655.0,929.25,,,0
HCPCS,95930,Visual evoked potential test,,,225.48,450.97,19
HCPCS,95933,Blink reflex test,,,61.6,123.21,19
HCPCS,95937,Hb Neuromuscular Junction Test,870.0,304.5,,,0
HCPCS,95937,Neuromuscular junction test,,,134.37,268.74,19
HCPCS,95938,Hb Evok Somato Upper And Lower,6025.0,2108.75,,,0
HCPCS,95938,Somatosensory testing,,,896.76,1793.53,19
HCPCS,95939,C motor evoked upr&lwr limbs,,,896.76,1793.53,19
HCPCS,95939,Hb Central Motor Evok Upper And Lower,2677.0,936.95,,,0
HCPCS,95940,Hb Intraop Neurophys Test Each 15 Min,1850.0,647.5,,,0
HCPCS,95954,EEG monitoring/giving drugs,,,389.68,779.36,19
HCPCS,95955,Hb Eeg During Surgery,4465.0,1562.75,,,0
HCPCS,95957,Hb Eeg Digital Analysis,1205.0,421.75,,,0
HCPCS,95958,EEG monitoring/function test,,,896.76,1793.53,19
HCPCS,95958,Hb Eeg Wada Activation Test,2094.0,732.9,,,0
HCPCS,95961,Electrode stimulation brain,,,896.76,1793.53,19
HCPCS,95961,Hb Functional Cortical Map 1St Hr,3003.0,1051.05,,,0
HCPCS,95962,Hb Funct Cortical Map Ea Addl Hr,2980.0,1043.0,,,0
HCPCS,95965,Meg spontaneous,,,896.76,1793.53,19
HCPCS,95966,Meg evoked single,,,896.76,1793.53,19
HCPCS,95970,Analyze neurostim no prog,,,138.94,277.88,19
HCPCS,95970,Hb Analyze Neurostim No Program,1059.0,370.65,,,0
HCPCS,95971,Analyze neurostim simple,,,99.28,198.56,19
HCPCS,95971,Hb Analyze Neurostim Simple,994.0,347.9,,,0
HCPCS,95972,Analyze neurostim complex,,,99.28,198.56,19
HCPCS,95972,Hb Analyze Neurostim Complex,1450.0,507.5,,,0
HCPCS,95976,Alys smpl cn npgt prgrmg,,,38.97,77.95,19
HCPCS,95976,Hb Alys Simpl Cn Npgt Prgrmg,994.0,347.9,,,0
HCPCS,95977,Alys cplx cn npgt prgrmg,,,99.28,198.56,19
HCPCS,95977,Hb Alys Cplx Cn Npgt Prgrmg,1450.0,507.5,,,0
HCPCS,95980,Hb Analyze Gastric Neurostim W Prgm,1510.0,528.5,,,0
HCPCS,95981,Hb Io Anal Gast N-Stim Subsq,533.0,186.55,,,0
HCPCS,95981,Io anal gast n-stim subsq,,,61.6,123.21,19
HCPCS,95982,Hb Io Ga N-Stim Subsq W/Reprog,810.0,283.5,,,0
HCPCS,95982,Io ga n-stim subsq w/reprog,,,38.97,77.95,19
HCPCS,95983,Alys brn npgt prgrmg 15 min,,,99.28,198.56,19
HCPCS,95990,Hb Itb Pump Refill Maint,644.0,225.4,,,0
HCPCS,95990,Spin/brain pump refil & main,,,344.93,972.0,21
HCPCS,95991,Hb Spin/Brain Pump Refil & Main,1041.0,364.35,,,0
HCPCS,95991,Spin/brain pump refil & main,,,320.54,972.0,21
HCPCS,95992,Hb Canalith Repositioning,733.0,256.55,,,0
HCPCS,95999,Neurological procedure,,,134.37,268.74,19
HCPCS,96000,Motion analysis video/3d,,,389.68,779.36,19
HCPCS,96001,Motion test w/ft press meas,,,896.76,1793.53,19
HCPCS,96002,Dynamic surface emg,,,225.48,450.97,19
HCPCS,96020,Hb Functional Brain Mapping,1572.0,550.2,,,0
HCPCS,96101,Hb Psy Testing Phy 1 Hour,814.0,284.9,,,0
HCPCS,96102,Hb Psy Testing Tech 1 Hour,586.0,205.1,,,0
HCPCS,96103,Hb Psy Testing Comp,385.0,134.75,,,0
HCPCS,96105,Assessment of aphasia,,,99.03,198.06,19
HCPCS,96105,Hb Assess Aphasia 1 Hour,551.0,192.85,,,0
HCPCS,96110,Hb Developmental Test Limited,657.0,229.95,,,0
HCPCS,96111,Hb Developmental Test Extended,707.0,247.45,,,0
HCPCS,96112,Devel tst phys/qhp 1st hr,,,134.37,268.74,19
HCPCS,96112,Hb Devel Tst Phys/Qhp 1St Hr,618.0,216.3,,,0
HCPCS,96113,Hb Devel Tst Phys/Qhp Ea Addl,284.0,99.4,,,0
HCPCS,96116,Hb Neurobehav Status Exam Phy 1 Hr,804.0,281.4,,,0
HCPCS,96116,Neurobehavioral status exam,,,225.48,450.97,19
HCPCS,96118,Hb Neuropsy Status Exam Phy 1 Hr,803.0,281.05,,,0
HCPCS,96119,Hb Neuropsy Status Exam Tech 1 Hr,586.0,205.1,,,0
HCPCS,96120,Hb Neuropsy Status Exam Comp,385.0,134.75,,,0
HCPCS,96121,Hb Nubhvl Xm Phy/Qhp Ea Addl Hr,339.0,118.65,,,0
HCPCS,96125,Cognitive test by hc pro,,,101.58,203.16,19
HCPCS,96125,Hb Cognitive Test By Hc Pro Per Hour,774.0,270.9,,,0
HCPCS,96127,Brief emotional/behav assmt,,,39.0,78.01,19
HCPCS,96130,Hb Psycl Tst Eval Phys/Qhp 1St,814.0,284.9,,,0
HCPCS,96130,Psycl tst eval phys/qhp 1st,,,225.48,450.97,19
HCPCS,96131,Hb Psycl Tst Eval Phys/Qhp Ea,814.0,284.9,,,0
HCPCS,96132,Hb Nrpsyc Tst Eval Phys/Qhp 1St,466.0,163.1,,,0
HCPCS,96132,Nrpsyc tst eval phys/qhp 1st,,,389.68,779.36,19
HCPCS,96133,Hb Nrpsyc Tst Eval Phys/Qhp Ea,358.0,125.3,,,0
HCPCS,96136,Hb Psycl/Nrpsyc Tst Phy/Qhp 1St,814.0,284.9,,,0
HCPCS,96136,Psycl/nrpsyc tst phy/qhp 1st,,,138.94,277.88,19
HCPCS,96137,Hb Psycl/Nrpsyc Tst Phy/Qhp Ea,814.0,284.9,,,0
HCPCS,96138,Hb Psycl/Nrpsyc Tech 1St,814.0,284.9,,,0
HCPCS,96138,Psycl/nrpsyc tech 1st,,,466.5,933.01,19
HCPCS,96139,Hb Psycl/Nrpsyc Tst Tech Ea,814.0,284.9,,,0
HCPCS,96146,Hb Psycl/Nrpsyc Tst Auto Result,11.0,3.85,,,0
HCPCS,96146,Psycl/nrpsyc tst auto result,,,30.2,60.41,19
HCPCS,96156,Hb Health Behavior Assessment/Re-Assessment,143.0,50.05,,,0
HCPCS,96158,Hb Hlth Bhv Ivntj Indiv 1St 30,318.0,111.3,,,0
HCPCS,96159,Hb Hlth Bhv Ivntj Indiv Ea Addl,113.0,39.55,,,0
HCPCS,96160,Hb Pt-Focused Hlth Risk Assmt,81.0,28.35,,,0
HCPCS,96164,Hb Hlth Bhv Ivntj Grp 1St 30,48.0,16.8,,,0
HCPCS,96165,Hb Hlth Bhv Ivntj Grp Ea Addl,22.0,7.7,,,0
HCPCS,96167,Hb Hlth Bhv Ivntj Fam 1St 30,343.0,120.05,,,0
HCPCS,96168,Hb Hlth Bhv Ivntj Grp Ea Addl,123.0,43.05,,,0
HCPCS,96170,Hb Hlth Bhv Ivntj Fam W/O Pt 1St,213.0,74.55,,,0
HCPCS,96171,Hbhlth Bhv Ivntj Fam W/O Pt Ea,106.0,37.1,,,0
HCPCS,96202,Mlt fam grp bhv train 1st 60,,,17.67,35.34,19
HCPCS,96203,Mlt fam grp bhv train ea add,,,5.55,11.1,19
HCPCS,96251,Hb Aep Hearing Status Deter I&R,584.0,204.4,,,0
HCPCS,96360,Hb 96360 Hydrate Iv Infusion Init,1079.0,377.65,,,0
HCPCS,96360,Hb Hydrate Iv Infusion Init,675.5,236.42499999999998,,,0
HCPCS,96360,Hydration iv infusion init,,,222.12,444.24,21
HCPCS,96361,Hb 96361 Hydrate Iv Infus Add On,430.0,150.5,,,0
HCPCS,96361,Hb Hydrate Iv Infus Add On,269.5,94.325,,,0
HCPCS,96361,Hydrate iv infusion add-on,,,48.9,97.8,21
HCPCS,96365,Hb 96365 Iv Infus Ther Proph Dx Int,672.0,235.2,,,0
HCPCS,96365,Hb Iv Infus Ther Proph Dx Initial,492.0,172.2,,,0
HCPCS,96365,Ther/proph/diag iv inf init,,,222.12,444.24,19
HCPCS,96366,Hb 96366 Iv Ther Proph Dx Add On,372.0,130.2,,,0
HCPCS,96366,Hb Iv Infus Ther Proph Dx Add On,162.0,56.7,,,0
HCPCS,96366,Ther/proph/diag iv inf addon,,,48.9,97.8,19
HCPCS,96367,Hb 96367 Iv Infus Ther Proph Dx Seq,1072.0,375.2,,,0
HCPCS,96367,Hb Iv Infus Ther Proph Dx Seq,312.0,109.2,,,0
HCPCS,96367,Tx/proph/dg addl seq iv inf,,,75.19,150.38,19
HCPCS,96368,Hb 96368 Iv Ther Proph Dx Concur,1079.0,377.65,,,0
HCPCS,96368,Hb Iv Infus Ther Proph Dx Concur,401.0,140.35,,,0
HCPCS,96369,Hb Sc Infusion Initial 1 Hr W/Pump Set-Up,665.0,232.75,,,0
HCPCS,96369,Sc ther infusion up to 1 hr,,,222.12,444.24,19
HCPCS,96370,Hb Sc Infusion Each Addl Hr,267.0,93.45,,,0
HCPCS,96370,Sc ther infusion addl hr,,,48.9,97.8,19
HCPCS,96371,Sc ther infusion reset pump,,,75.19,150.38,19
HCPCS,96372,Hb 96372 Sq Im Ther Proph Dx Inj,252.0,88.2,,,0
HCPCS,96372,Hb Botox Injection,439.0,153.65,,,0
HCPCS,96372,Hb Sq Im Ea Addl Inj,15.0,5.25,,,0
HCPCS,96372,Hb Sq Im Ther Proph Dx Injection,201.5,70.525,,,0
HCPCS,96372,Hb Thyrogen Injection,439.0,153.65,,,0
HCPCS,96372,Ther/proph/diag inj sc/im,,,75.19,150.38,19
HCPCS,96373,Hb 96373 Ia Ther Proph Dx Inj,600.0,210.0,,,0
HCPCS,96373,Hb Ia Ther Proph Dx Inj,600.0,210.0,,,0
HCPCS,96373,Ther/proph/diag inj ia,,,222.12,444.24,19
HCPCS,96374,Hb 96374 Iv Push Int Ther Proph Dx,585.0,204.75,,,0
HCPCS,96374,Hb Bubble Contrast Media Stdy Inj,1217.0,425.95,,,0
HCPCS,96374,Hb Iv Push Initial Ther Proph Dx,585.0,204.75,,,0
HCPCS,96374,Ther/proph/diag inj iv push,,,222.12,444.24,19
HCPCS,96375,Hb 96375 Iv Push Addl New Drug,540.0,189.0,,,0
HCPCS,96375,Hb Iv Push Addl New Drug,365.5,127.925,,,0
HCPCS,96375,Tx/pro/dx inj new drug addon,,,48.9,97.8,19
HCPCS,96376,Hb Iv Push Addl Same Drug,368.0,128.8,,,0
HCPCS,96377,Applicaton on-body injector,,,48.9,97.8,19
HCPCS,96377,Hb Appl On-Body Inject For Timed Subq Injection,105.0,36.75,,,0
HCPCS,96379,Hb 96379 Unlisted Ther Proph Dx Inj,451.0,157.85,,,0
HCPCS,96379,Hb Unlisted Ther Proph Dx Inj,310.0,108.5,,,0
HCPCS,96379,Ther/prop/diag inj/inf proc,,,48.9,97.8,19
HCPCS,96401,Chemo anti-neopl sq/im,,,75.19,150.38,19
HCPCS,96401,Hb 96401 Chemo Sq Im Anti Neoplas,1113.0,389.55,,,0
HCPCS,96401,Hb Chemo Sq Im Anti Neoplas,1113.0,389.55,,,0
HCPCS,96402,Chemo hormon antineopl sq/im,,,75.19,150.38,19
HCPCS,96402,Hb Chemo Sq Im Hormonal,1034.0,361.9,,,0
HCPCS,96405,Chemo intralesional up to 7,,,75.19,150.38,19
HCPCS,96405,Hb 96405 Chemo Intralesional Up To 7,883.0,309.05,,,0
HCPCS,96406,Chemo intralesional over 7,,,222.12,444.24,19
HCPCS,96409,Chemo iv push sngl drug,,,344.93,689.86,19
HCPCS,96409,Hb 96409 Chemo Iv Push Sngl Drug,1113.0,389.55,,,0
HCPCS,96409,Hb Chemo Iv Push Sngl Drug,1113.0,389.55,,,0
HCPCS,96411,Chemo iv push addl drug,,,75.19,150.38,19
HCPCS,96411,Hb 96411 Chemo Iv Push Addl Drug,1113.0,389.55,,,0
HCPCS,96411,Hb Chemo Iv Push Addl Drug,1113.0,389.55,,,0
HCPCS,96413,Chemo iv infusion 1 hr,,,344.93,689.86,19
HCPCS,96413,Hb 96413 Chemo Iv Infus 1 Hr,1846.0,646.1,,,0
HCPCS,96413,Hb Chemo Iv Infus 1 Hr,1335.0,467.25,,,0
HCPCS,96415,Chemo iv infusion addl hr,,,75.19,150.38,19
HCPCS,96415,Hb 96415 Chemo Iv Infus Addl Hr,1029.0,360.15,,,0
HCPCS,96415,Hb Chemo Iv Infus Addl Hr,640.5,224.17499999999998,,,0
HCPCS,96416,Chemo prolong infuse w/pump,,,344.93,689.86,19
HCPCS,96416,Hb 96416 Chemo Iv Prolong W Pump,1684.0,589.4,,,0
HCPCS,96416,Hb Chemo Iv Prolong W Pump,1684.0,589.4,,,0
HCPCS,96417,Chemo iv infus each addl seq,,,75.19,150.38,19
HCPCS,96417,Hb 96417 Chemo Iv Seq Infusion Addl,939.0,328.65,,,0
HCPCS,96417,Hb Chemo Iv Seq Infusion Addl,1128.0,394.8,,,0
HCPCS,96420,Chemo ia push tecnique,,,344.93,689.86,19
HCPCS,96420,Hb 96420 Chemo Ia Push,1034.0,361.9,,,0
HCPCS,96420,Hb Chemo Ia Push,1034.0,361.9,,,0
HCPCS,96422,Chemo ia infusion up to 1 hr,,,344.93,689.86,19
HCPCS,96422,Hb Chemo Ia Infusion 1St Hour,1653.0,578.55,,,0
HCPCS,96423,Chemo ia infuse each addl hr,,,48.9,97.8,19
HCPCS,96423,Hb Chemo Ia Infusion Addl Hour,830.0,290.5,,,0
HCPCS,96425,Chemotherapy infusion method,,,344.93,689.86,19
HCPCS,96425,Hb Chemo Ia Infus Prolong Pump Init,1653.0,578.55,,,0
HCPCS,96440,Chemotherapy intracavitary,,,344.93,689.86,19
HCPCS,96440,Hb Chemo Pleural Cavity,1306.0,457.1,,,0
HCPCS,96446,Chemotx admn prtl cavity,,,344.93,689.86,19
HCPCS,96446,Hb 96446 Chemo Admin Peritoneal Cavity,1415.0,495.25,,,0
HCPCS,96446,Hb Chemo Admin Peritoneal Cavity,1415.0,495.25,,,0
HCPCS,96450,Chemotherapy into cns,,,344.93,689.86,19
HCPCS,96450,Hb 96450 Lumbar Puncture Chemo Inj,992.0,347.2,,,0
HCPCS,96450,Hb Lumbar Puncture Chemo Inj,992.0,347.2,,,0
HCPCS,96521,Hb Refill Maint Port Pump,606.0,212.1,,,0
HCPCS,96521,Refill/maint portable pump,,,222.12,444.24,19
HCPCS,96522,Hb Refill/Maint Pump/Resvr Syst,1608.0,562.8,,,0
HCPCS,96522,Refill/maint pump/resvr syst,,,222.12,444.24,19
HCPCS,96523,Hb 96523 Irrigation Implanted Port,376.0,131.6,,,0
HCPCS,96523,Hb Irrigation Implanted Port,301.5,105.525,,,0
HCPCS,96523,Irrig drug delivery device,,,61.6,123.21,19
HCPCS,96542,Chemotherapy injection,,,344.93,689.86,19
HCPCS,96542,Hb Chemo Inj Subarachnoid Resvoir,1034.0,361.9,,,0
HCPCS,96547,Intraop hipec px 1st 60 min,,,704.0,972.0,2
HCPCS,96548,Ntraop hipec px ea add 30min,,,704.0,972.0,2
HCPCS,96549,Chemotherapy unspecified,,,48.9,97.8,19
HCPCS,96549,Hb 96549 Chemotherapy Unspecified,579.0,202.65,,,0
HCPCS,96549,Hb Chemotherapy Unspecified,579.0,202.65,,,0
HCPCS,96567,Photodynamic tx skin,,,209.52,972.0,21
HCPCS,96570,Photodynmc tx 30 min add-on,,,704.0,972.0,2
HCPCS,96571,Photodynamic tx addl 15 min,,,704.0,972.0,2
HCPCS,96573,Pdt dstr prmlg les phys/qhp,,,209.52,972.0,21
HCPCS,96574,Dbrdmt prmlg les w/pdt,,,209.52,972.0,21
HCPCS,96900,Ultraviolet light therapy,,,39.0,78.01,19
HCPCS,96910,Photochemotherapy with UV-B,,,61.6,123.21,19
HCPCS,96912,Photochemotherapy with UV-A,,,61.6,123.21,19
HCPCS,96913,Photochemotherapy uv-a or b,,,424.52,849.03,19
HCPCS,96920,Laser tx skin < 250 sq cm,,,209.52,419.04,19
HCPCS,96921,Laser tx skin 250-500 sq cm,,,209.52,419.04,19
HCPCS,96922,Laser tx skin >500 sq cm,,,424.52,849.03,19
HCPCS,96999,Dermatological procedure,,,209.52,419.04,19
HCPCS,97010,Hb Hot Or Cold Packs Therapy,108.0,37.8,,,0
HCPCS,97012,Hb Mechanical Traction Therapy,138.0,48.3,,,0
HCPCS,97012,Mechanical traction therapy,,,14.27,28.54,19
HCPCS,97016,Hb Vasopneumatic Device Therapy,166.0,58.1,,,0
HCPCS,97016,Vasopneumatic device therapy,,,11.94,23.88,19
HCPCS,97018,Hb Paraffin Bath Therapy,183.0,64.05,,,0
HCPCS,97018,Paraffin bath therapy,,,6.67,13.34,19
HCPCS,97022,Hb Wp Simple Approx 30Min,140.0,49.0,,,0
HCPCS,97022,Whirlpool therapy,,,16.61,33.22,19
HCPCS,97024,Diathermy eg microwave,,,7.68,15.36,19
HCPCS,97026,Infrared therapy,,,7.01,14.02,19
HCPCS,97028,Ultraviolet therapy,,,8.28,16.56,19
HCPCS,97032,Electrical stimulation,,,15.04,30.08,19
HCPCS,97032,Hb Electrical Stimulation Ea 15 Min,209.0,73.15,,,0
HCPCS,97033,Electric current therapy,,,19.96,39.92,19
HCPCS,97033,Hb Iontophoresis Therapy Ea 15 Min,276.0,96.6,,,0
HCPCS,97034,Contrast bath therapy,,,14.81,29.62,19
HCPCS,97034,Hb Contrast Bath Therapy Ea 15 Min,172.0,60.2,,,0
HCPCS,97035,Hb Ultrasound Therapy Ea 15 Min,202.0,70.7,,,0
HCPCS,97035,Ultrasound therapy,,,15.16,30.32,19
HCPCS,97036,Hb Hydrotherapy Hubb Tank Ea 15 Min,183.0,64.05,,,0
HCPCS,97036,Hydrotherapy,,,36.27,72.54,19
HCPCS,97037,Appl modality 1+lllt po pain,,,39.0,78.01,19
HCPCS,97039,Hb Unlist Modality Spec Type&Time Constant Attend,170.0,59.5,,,0
HCPCS,97110,Hb Therapeutic Exercises Ea 15 Min,244.0,85.4,,,0
HCPCS,97110,Therapeutic exercises,,,29.51,59.02,19
HCPCS,97112,Hb Neuromuscular Re Edu Ea 15 Min,247.0,86.45,,,0
HCPCS,97112,Neuromuscular reeducation,,,32.21,64.42,19
HCPCS,97113,Aquatic therapy/exercises,,,38.43,76.86,19
HCPCS,97116,Gait training therapy,,,30.13,60.26,19
HCPCS,97116,Hb Gait Training Stairs Ea 15 Min,196.0,68.6,,,0
HCPCS,97124,Hb Massage Therapy Ea 15 Min,201.0,70.35,,,0
HCPCS,97124,Massage therapy,,,29.12,58.24,19
HCPCS,97127,Hb Cog Skill Develop Ea 15 Min,94.0,32.9,,,0
HCPCS,97129,Hb Ther Ivntj Cog Funcj 1St 15 Minutes,143.0,50.05,,,0
HCPCS,97129,Ther ivntj 1st 15 min,,,20.33,40.66,19
HCPCS,97130,Hb Ther Ivntj Cog Funcj Ea Addl 15 Minutes,89.0,31.15,,,0
HCPCS,97130,Ther ivntj ea addl 15 min,,,18.47,36.94,19
HCPCS,97139,Hb Audio Visual Psy Act,47.0,16.45,,,0
HCPCS,97140,Hb Manual Therapy Tech Ea 15 Min,194.0,67.9,,,0
HCPCS,97140,Manual therapy 1/> regions,,,28.77,57.54,19
HCPCS,97150,Group therapeutic procedures,,,17.85,35.7,19
HCPCS,97150,Hb Group Therapeutic Procedures,245.0,85.75,,,0
HCPCS,97161,Hb Physical Therapy Eval Low Complex 20 Mins,535.0,187.25,,,0
HCPCS,97161,Pt eval low complex 20 min,,,98.73,197.46,19
HCPCS,97162,Hb Physical Therapy Eval Mod Complex 30 Mins,802.0,280.7,,,0
HCPCS,97162,Pt eval mod complex 30 min,,,96.0,192.0,19
HCPCS,97163,Hb Physical Therapy Eval High Complex 45 Mins,1201.0,420.35,,,0
HCPCS,97163,Pt eval high complex 45 min,,,100.27,200.54,19
HCPCS,97164,Hb Physical Therapy Re Evaluation 20 Mins,307.0,107.45,,,0
HCPCS,97164,Pt re-eval est plan care,,,66.09,132.18,19
HCPCS,97165,Hb Occupational Therapy Eval Low Complex 30 Mins,601.0,210.35,,,0
HCPCS,97165,Ot eval low complex 30 min,,,98.56,197.12,19
HCPCS,97166,Hb Occupational Therapy Eval Mod Complex 45 Mins,902.0,315.7,,,0
HCPCS,97166,Ot eval mod complex 45 min,,,98.56,197.12,19
HCPCS,97167,Hb Occupational Therapy Eval High Complex 60 Mins,1203.0,421.05,,,0
HCPCS,97167,Ot eval high complex 60 min,,,98.56,197.12,19
HCPCS,97168,Hb Occupational Therapy Re Eval 30 Mins,307.0,107.45,,,0
HCPCS,97168,Ot re-eval est plan care,,,69.21,138.42,19
HCPCS,97530,Hb Therapeutic Activites Ea 15 Min,206.0,72.1,,,0
HCPCS,97530,Therapeutic activities,,,36.4,72.8,19
HCPCS,97533,Hb Sensory Integration Ea 15 Min,174.0,60.9,,,0
HCPCS,97533,Sensory Integration,,,63.12,126.24,19
HCPCS,97535,Hb Self Care Training Ea 15 Min,217.0,75.95,,,0
HCPCS,97535,Self care mngment training,,,31.82,63.64,19
HCPCS,97537,Community/work reintegration,,,33.22,66.44,19
HCPCS,97537,Hb Comm Re Entry Rh,186.0,65.1,,,0
HCPCS,97537,Hb Comm Work Reint Ea 15 Min,186.0,65.1,,,0
HCPCS,97542,Hb Wheelchair Training Ea 15 Min,237.0,82.95,,,0
HCPCS,97542,Wheelchair mngment training,,,32.18,64.36,19
HCPCS,97545,Hb Work Hardening Init 2 Hrs,420.0,147.0,,,0
HCPCS,97546,Hb Work Hardening Ea Addl 1 Hr,183.0,64.05,,,0
HCPCS,97597,Hb Wound Care Init 20 Cm,1086.0,380.1,,,0
HCPCS,97597,Rmvl devital tis 20 cm/<,,,209.52,972.0,21
HCPCS,97598,Hb Wound Care Ea Addl 20 Cm,913.5,319.725,,,0
HCPCS,97598,Rmvl devital tis addl 20cm/<,,,704.0,972.0,2
HCPCS,97602,Hb Wound Care Non Selective,763.0,267.05,,,0
HCPCS,97602,Wound(s) care non-selective,,,209.52,419.04,19
HCPCS,97605,Hb Neg Pressure 50 Sq Cm Or Ls,736.5,257.775,,,0
HCPCS,97605,Neg press wound tx <=50 cm,,,209.52,419.04,19
HCPCS,97606,Hb Neg Pressure Gt 50 Sq Cm,1133.0,396.55,,,0
HCPCS,97606,Neg press wound tx >50 cm,,,424.52,849.03,19
HCPCS,97607,Hb Neg Press Wnd Tx </=50 Sq Cm,1173.0,410.55,,,0
HCPCS,97607,Neg press wnd tx <=50 sq cm,,,424.52,849.03,19
HCPCS,97608,Neg press wound tx >50 cm,,,424.52,849.03,19
HCPCS,97610,Hb Low Frequency Non-Thermal Us,461.0,161.35,,,0
HCPCS,97610,Low frequency non-thermal us,,,209.52,419.04,19
HCPCS,97750,Hb Phys Perform Test Ea 15 Min,94.0,32.9,,,0
HCPCS,97750,Physical performance test,,,34.24,68.48,19
HCPCS,97755,Assistive technology assess,,,38.23,76.46,19
HCPCS,97755,Hb Assit Tech Assess Ea 15 Min,164.0,57.4,,,0
HCPCS,97760,Hb Orthotic Mgmt Train Ea 15 Min,192.0,67.2,,,0
HCPCS,97760,Orthotic mgmt and training,,,47.8,95.6,19
HCPCS,97761,Hb Prosthetic Train Ea 15 Min,200.0,70.0,,,0
HCPCS,97761,Prosthetic training,,,40.99,81.98,19
HCPCS,97763,Hb Ck Orth Pros Use Ea 15 Min,194.0,67.9,,,0
HCPCS,97763,Orthc/prostc mgmt sbsq enc,,,48.79,97.58,19
HCPCS,97799,Hb Rehab Procedure,34.0,11.9,,,0
HCPCS,97802,Hb Med Nutrition Therp Init 15 Min,370.0,129.5,,,0
HCPCS,97802,Medical nutrition indiv in,,,26.77,53.54,19
HCPCS,97803,Hb Med Nutr Therp Follow Up 15 Min,227.0,79.45,,,0
HCPCS,97803,Med nutrition indiv subseq,,,22.4,44.8,19
HCPCS,97804,Hb Med Nutrition Therp Group 30 Min,227.0,79.45,,,0
HCPCS,97804,Medical nutrition group,,,12.36,24.72,19
HCPCS,97810,Acupunct w/o stimul 15 min,,,30.2,60.41,19
HCPCS,97813,Acupunct w/stimul 15 min,,,30.2,60.41,19
HCPCS,98925,Hb Osteopath Mani 1 To 2 Regions,82.0,28.7,,,0
HCPCS,98926,Hb Osteopath Mani 3 To 4 Regions,130.0,45.5,,,0
HCPCS,98927,Hb Osteopath Mani 5 To 6 Regions,184.0,64.4,,,0
HCPCS,98928,Hb Osteopath Mani 7 To 8 Regions,232.0,81.2,,,0
HCPCS,98929,Hb Osteopath Mani 9 To 10 Regions,285.0,99.75,,,0
HCPCS,98960,Hb Asthma Training Session,421.0,147.35,,,0
HCPCS,98976,Rem ther mntr dev sply resp,,,38.97,77.95,19
HCPCS,98977,Rem ther mntr dv sply mscskl,,,38.97,77.95,19
HCPCS,98978,Rem ther mntr dev sply cbt,,,38.97,77.95,19
HCPCS,98984,Rtm dev sply resp sys 2-15 d,,,38.97,77.95,19
HCPCS,98985,Rtm dev sply mscsk sys 2-15d,,,38.97,77.95,19
HCPCS,98986,Rtm dev sply cbt 2-15 d,,,38.97,77.95,19
HCPCS,99024,Hb Postop Follow-Up Visit,21.0,7.35,,,0
HCPCS,99151,Hb Mod Sed Less 5 Yrs 1St 15 Min,2045.0,715.75,,,0
HCPCS,99152,Hb Mod Sed 5 Yrs Or Gt 1St 15 Min,1457.0,509.95,,,0
HCPCS,99153,Hb Mod Sed Each Addl 15 Min,551.0,192.85,,,0
HCPCS,99155,Hb Mod Sed Less 5 Yrs 1St 30 Min Other Md,2045.0,715.75,,,0
HCPCS,99156,Hb Mod Sed 5 Yrs Or Gt 1St 30 Min Other Md,1457.0,509.95,,,0
HCPCS,99157,Hb Mod Sed Each Addl 15 Min Other Md,551.0,192.85,,,0
HCPCS,99170,Anogenital exam child w imag,,,211.12,422.25,19
HCPCS,99173,Hb Screening Visual Acuity,74.0,25.9,,,0
HCPCS,99184,Hb Whole Body Cooling,5323.0,1863.05,,,0
HCPCS,99188,Hb Fluoride Varnish App,212.0,74.2,,,0
HCPCS,99195,Hb Ther Phleb W/Fluid 440,2255.0,789.25,,,0
HCPCS,99195,Hb Thera Phlebotomy Ip 086,2245.0,785.75,,,0
HCPCS,99195,Phlebotomy,,,138.94,277.88,19
HCPCS,99202,Hb New Office O/P Sf 15-29 Min,774.0,270.9,,,0
HCPCS,99203,Hb New Office O/P Low 30-44 Min,602.5,210.875,,,0
HCPCS,99204,Hb New Office O/P Mod 45-59 Min,672.0,235.2,,,0
HCPCS,99205,Hb New Office O/P High 60-74 Min,1078.5,377.475,,,0
HCPCS,99211,Hb Off/Otpt Est Pt May Not Req Phys/Qhp,376.0,131.6,,,0
HCPCS,99212,Hb Est Office/Op Sf 10-19 Min,439.5,153.825,,,0
HCPCS,99213,Hb Est Office/Op Low 20-29 Min,534.0,186.9,,,0
HCPCS,99214,Hb Est Office/Op Mod 30-39 Min,673.0,235.55,,,0
HCPCS,99215,Hb Est Office/Op High 40-54 Min,762.0,266.7,,,0
HCPCS,99241,Hb Patient Consult Focused,281.0,98.35,,,0
HCPCS,99242,Hb Patient Consult Expanded,402.0,140.7,,,0
HCPCS,99243,Hb Patient Consult Detailed,451.0,157.85,,,0
HCPCS,99244,Hb Patient Consult Comp,503.0,176.05,,,0
HCPCS,99245,Hb Patient Consult Comp Compl,674.0,235.9,,,0
HCPCS,99281,Emergency dept visit,,,88.06,176.11,19
HCPCS,99281,Hb Er Level I,542.0,189.7,,,0
HCPCS,99282,Emergency dept visit,,,160.34,320.69,19
HCPCS,99282,Hb Er Level Ii,965.0,337.75,,,0
HCPCS,99283,Emergency dept visit,,,285.06,570.13,19
HCPCS,99283,Hb Er Level Iii,1714.0,599.9,,,0
HCPCS,99284,Emergency dept visit,,,435.74,871.48,19
HCPCS,99284,Hb Er Level Iv,2738.0,958.3,,,0
HCPCS,99285,Emergency dept visit,,,621.9,1243.8,19
HCPCS,99285,Hb Er Level V,5045.0,1765.75,,,0
HCPCS,99291,Critical care first hour,,,862.6,1725.21,19
HCPCS,99291,Hb Critical Care First Hour,5431.0,1900.85,,,0
HCPCS,99292,Hb Critical Care Addl 30 Min,719.0,251.65,,,0
HCPCS,99381,Hb New Pt Prevent Infant,100.0,35.0,,,0
HCPCS,99382,Hb New Pt Prevent 1 To 4Yr,113.0,39.55,,,0
HCPCS,99383,Hb New Pt Prevent 5 To 11Yr,127.0,44.45,,,0
HCPCS,99384,Hb New Pt Prevent 12 To 17Yr,161.0,56.35,,,0
HCPCS,99385,Hb New Pt Prevent 18 To 39Yr,199.0,69.65,,,0
HCPCS,99386,Hb New Pt Prevent 40 To 64Yr,222.0,77.7,,,0
HCPCS,99387,Hb New Pt Prevent 65 And Up,289.0,101.15,,,0
HCPCS,99391,Hb Est Pt. Prevent Infant,64.0,22.4,,,0
HCPCS,99392,Hb Est Pt Prevent 1 To 4Yr,90.0,31.5,,,0
HCPCS,99393,Hb Est Pt Prevent 5 To 11Yr,125.0,43.75,,,0
HCPCS,99394,Hb Est Pt Prevent 12 To 17Yr,156.0,54.6,,,0
HCPCS,99395,Hb Est Pt Prevent 18 To 39Yr,191.0,66.85,,,0
HCPCS,99396,Hb Est Pt Prevent 40 To 64Yr,217.0,75.95,,,0
HCPCS,99397,Hb Est Pt Prevent 65 And Up,281.0,98.35,,,0
HCPCS,99406,Hb Behav Chng Smoking 3-10 Min,115.0,40.25,,,0
HCPCS,99407,Hb Behav Chng Smoking >10 Min,155.0,54.25,,,0
HCPCS,99417,Hb Prolonged Office/Outpatient E/M Svc Ea 15 Min,135.0,47.25,,,0
HCPCS,99445,Rem mntr physiol param 2-15,,,38.97,77.95,19
HCPCS,99454,Rem mntr physiol param dev,,,38.97,77.95,19
HCPCS,99464,Hb Attendance Delivery,823.0,288.05,,,0
HCPCS,99465,Hb Del/Birth Room Nb Cpr,1961.0,686.35,,,0
HCPCS,99465,Nb resuscitation,,,690.21,1380.42,19
HCPCS,99473,Self-meas bp pt educaj/train,,,30.2,60.41,19
HCPCS,99605,Hb Pharm Med Mgt New 15 Min,66.0,23.1,,,0
HCPCS,99606,Hb Pharm Med Mgt Est 15 Min,40.0,14.0,,,0
HCPCS,99607,Hb Pharm Med Mgt Ea Addl 15 Min,20.0,7.0,,,0
HCPCS,A0425,Hb Ground Mileage,32.0,11.2,,,0
HCPCS,A0426,Hb Als Non Emergency,1522.0,532.7,,,0
HCPCS,A0427,Hb Als Emergency,1733.0,606.55,,,0
HCPCS,A0428,Hb Bls Non Emergency,1142.0,399.7,,,0
HCPCS,A0429,Hb Bls Emergency,1255.0,439.25,,,0
HCPCS,A0431,Hb H1 Lift Off Only,27085.0,9479.75,,,0
HCPCS,A0431,Hb H1 Lift Off Only Scene,27085.0,9479.75,,,0
HCPCS,A0431,Hb H2 Lift Off Only,27085.0,9479.75,,,0
HCPCS,A0431,Hb H2 Lift Off Only Scene,27085.0,9479.75,,,0
HCPCS,A0431,Hb H4 Lift Off Only,27085.0,9479.75,,,0
HCPCS,A0431,Hb H4 Lift Off Only Scene,27085.0,9479.75,,,0
HCPCS,A0431,Hb H5 Lift Off Only,27085.0,9479.75,,,0
HCPCS,A0431,Hb H5 Lift Off Only Scene,27085.0,9479.75,,,0
HCPCS,A0433,Hb Als 2,2234.0,781.9,,,0
HCPCS,A0434,Hb Specialty Care Transport,2986.0,1045.1,,,0
HCPCS,A0436,Hb H1 Per Mile 1 Way Interfacility,272.0,95.2,,,0
HCPCS,A0436,Hb H1 Per Mile 1 Way Scene,272.0,95.2,,,0
HCPCS,A0436,Hb H2 Per Mile 1 Way Interfacility,272.0,95.2,,,0
HCPCS,A0436,Hb H2 Per Mile 1 Way Scene,272.0,95.2,,,0
HCPCS,A0436,Hb H4 Per Mile 1 Way Interfacility,272.0,95.2,,,0
HCPCS,A0436,Hb H4 Per Mile 1 Way Scene,272.0,95.2,,,0
HCPCS,A0436,Hb H5 Per Mile 1 Way Interfacility,272.0,95.2,,,0
HCPCS,A0436,Hb H5 Per Mile 1 Way Scene,272.0,95.2,,,0
HCPCS,A2001,Miscellaneous M >=66.50,,,129.95,1343.71,21
HCPCS,A2002,Miscellaneous M >=55.50 and M <66.50,,,129.95,259.91,21
HCPCS,A2004,Miscellaneous M <46.50 and A >=77.50,,,19.03,19.03,2
HCPCS,A2005,Miscellaneous M <46.50 and A <77.50,,,129.95,310.58,21
HCPCS,A2007,"Restrata, per sq cm",,,98.26,259.91,21
HCPCS,A2008,"Theragenesis, per sq cm",,,109.7,259.91,21
HCPCS,A2009,"Symphony, per sq cm",,,129.95,259.91,21
HCPCS,A2013,"Innovamatrix fs, per sq cm",,,129.95,1498.79,21
HCPCS,A2014,Omeza collag per 100 mg,,,86.93,86.93,2
HCPCS,A2015,"Phoenix wnd mtrx, per sq cm",,,129.95,1755.17,21
HCPCS,A2019,Kerecis marigen shld sq cm,,,129.95,833.6,21
HCPCS,A2021,Neomatrix per sq cm,,,129.95,1636.13,21
HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,129.95,1578.51,21
HCPCS,A2023,"Innovamatrix pd, 1 mg",,,18.15,18.15,2
HCPCS,A2024,Resolve matrix per sq cm,,,129.95,2367.76,21
HCPCS,A2025,Miro3d per cubic cm,,,303.46,303.46,2
HCPCS,A4216,Hb Sterile Saline Or Water < 5 Cc,48.96,17.14,,,0
HCPCS,A4216,NDC Description Not Available,48.96,17.14,,,0
HCPCS,A4216,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",2.885,1.01,,,0
HCPCS,A4220,Hb Isomed Cather Access Kit,114.24,39.98,,,0
HCPCS,A4220,Hb Sup Rev 272 Hcpcs A4220,580.125,203.04,,,0
HCPCS,A4245,Hb Alcohol Wipes Per Box,2.04,0.71,,,0
HCPCS,A4300,Hb Peritoneal Catheter,335.88,117.56,,,0
HCPCS,A4300,Hb Sup Rev 272 Hcpcs A4300,2452.71,858.45,,,0
HCPCS,A4310,Hb Insertion Tray Only,19.38,6.78,,,0
HCPCS,A4311,Hb Insertion Tray Cath Only,45.9,16.06,,,0
HCPCS,A4311,Hb Sup Rev 272 Hcpcs A4311,386.58,135.3,,,0
HCPCS,A4311,Hb Tray Cath U-Meter W Temp 16Fr,447.03,156.46,,,0
HCPCS,A4314,Hb Insertion Tray W Bag And Cath,78.54,27.49,,,0
HCPCS,A4314,Hb Sup Rev 272 Hcpcs A4314,429.42,150.3,,,0
HCPCS,A4314,Hb Tray Cath U Meter W Temp 14Fr,587.8,205.73,,,0
HCPCS,A4338,Hb Cath Foley 2Way 3Cc 10Fr,174.42,61.05,,,0
HCPCS,A4338,Hb Cath Foley 2Way 3Cc 8Fr,174.42,61.05,,,0
HCPCS,A4338,Hb Cath Foley 2Way 3Ml 8Fr,152.86,53.5,,,0
HCPCS,A4338,Hb Cath Foley Silic 5Cc 18Fr,174.42,61.05,,,0
HCPCS,A4338,Hb Cath Foley Silic 5Cc 20Fr,174.42,61.05,,,0
HCPCS,A4338,Hb Catheter Foley 16,85.68,29.99,,,0
HCPCS,A4338,Hb Sup Rev 272 Hcpcs A4338,174.195,60.97,,,0
HCPCS,A4340,Hb Cath Drain Malecot 32Fr,272.07,95.22,,,0
HCPCS,A4340,Hb Sup Rev 272 Hcpcs A4340,506.86,177.4,,,0
HCPCS,A4344,Hb Cath Foley 2Way 5Ml Lf 14Fr,163.53,57.24,,,0
HCPCS,A4344,Hb Sup Rev 272 Hcpcs A4344,86.285,30.2,,,0
HCPCS,A4346,Hb Cath 3Way 5Ml 16Fr,206.66,72.33,,,0
HCPCS,A4346,Hb Sup Rev 272 Hcpcs A4346,342.70500000000004,119.94500000000001,,,0
HCPCS,A4351,Hb Cath Urethal Str Foley,174.42,61.05,,,0
HCPCS,A4351,Hb Intermit Cath Straight,7.14,2.5,,,0
HCPCS,A4351,Hb Sup Rev 272 Hcpcs A4351,42.15,14.75,,,0
HCPCS,A4358,Hb Bag Leg W Tubing Deluxe,106.08,37.13,,,0
HCPCS,A4362,Hb Wafer Stoma Cover 4X4,30.6,10.71,,,0
HCPCS,A4363,Hb Closure Tail Coloplasty,20.4,7.14,,,0
HCPCS,A4364,Hb Spray Med Adhesive 3.2 Oz,267.24,93.53,,,0
HCPCS,A4364,Hb Sup Rev 272 Hcpcs A4364,193.07,67.57,,,0
HCPCS,A4367,Hb Belt Ostomy Appliance,65.88,23.06,,,0
HCPCS,A4371,Hb Ostomy Powder 1Oz,14.94,5.23,,,0
HCPCS,A4371,Hb Powder Stomahesive 1 Oz,65.88,23.06,,,0
HCPCS,A4385,Hb Eakin Seals,65.28,22.85,,,0
HCPCS,A4400,Hb Sup Rev 271 Hcpcs A4400,422.15,147.75,,,0
HCPCS,A4406,Hb Paste Stomahesive,89.76,31.42,,,0
HCPCS,A4414,Hb Wafer Stoma Flange 1 3/4,24.48,8.57,,,0
HCPCS,A4414,Hb Wafer Stoma Flange 2 1/4,24.48,8.57,,,0
HCPCS,A4415,Hb Wafer Stoma Flange 2 3/4,24.48,8.57,,,0
HCPCS,A4415,Hb Wafer Stoma Flange 4 6X6,49.98,17.49,,,0
HCPCS,A4450,Hb Non-Waterproof Tape,2.04,0.71,,,0
HCPCS,A4550,Hb Sup Rev 272 Hcpcs A4550,1261.66,441.58,,,0
HCPCS,A4550,Hb Tray Biopsy Soft Tissue 16Ga,588.54,205.99,,,0
HCPCS,A4550,Hb Tray Bone Marrow Bx 11Ga,1261.66,441.58,,,0
HCPCS,A4562,Hb Pessary Non Rubber Supply Item,333.72,116.8,,,0
HCPCS,A4565,Hb Giv-Mohr Sling,9.18,3.21,,,0
HCPCS,A4565,Hb Leg Lifter,91.8,32.13,,,0
HCPCS,A4565,Hb Sling,66.3,23.2,,,0
HCPCS,A4565,Hb Sling Arm Small W Foam Pa,75.89,26.56,,,0
HCPCS,A4565,Hb Sling Universal,147.96,51.79,,,0
HCPCS,A4565,Hb Sup Rev 274 Hcpcs A4565,100.695,35.245000000000005,,,0
HCPCS,A4566,Hb Shoulder Immobilizer,274.05,95.92,,,0
HCPCS,A4570,Hb D Ring,89.76,31.42,,,0
HCPCS,A4570,Hb Splint,1670.76,584.77,,,0
HCPCS,A4570,Hb Splint Dorsal,124.44,43.55,,,0
HCPCS,A4570,Hb Splint Elbow,158.1,55.34,,,0
HCPCS,A4570,Hb Splint La Sgtng,137.7,48.2,,,0
HCPCS,A4570,Hb Splint Ll Post,477.36,167.08,,,0
HCPCS,A4570,Hb Splint Ll Stirrup,477.36,167.08,,,0
HCPCS,A4570,Hb Splint Radial Gutr,91.8,32.13,,,0
HCPCS,A4570,Hb Splint Removable Posterior Le,91.8,32.13,,,0
HCPCS,A4570,Hb Splint Sh Sgtng Lo,241.74,84.61,,,0
HCPCS,A4570,Hb Splint Sh Sgtng Up,215.22,75.33,,,0
HCPCS,A4570,Hb Splint Sl Post,321.3,112.46,,,0
HCPCS,A4570,Hb Splint Ulnar Gutr,111.18,38.91,,,0
HCPCS,A4570,Hb Splint Volar,107.1,37.48,,,0
HCPCS,A4580,Hb Cast Supplies Plaster,334.8,117.18,,,0
HCPCS,A4590,Hb Cast Supplies Fiberglass,508.68,178.04,,,0
HCPCS,A4593,Neuromod sti sys adj rehab,,,52.81,105.62,19
HCPCS,A4596,Ces system monthly supp,,,58.9,58.9,2
HCPCS,A4605,Hb Cath Sx 8Fr,309.06,108.17,,,0
HCPCS,A4623,Hb Tracheostomy Inner Canula,178.2,62.37,,,0
HCPCS,A4642,In111 satumomab,,,1980.63,1980.63,2
HCPCS,A4648,Hb Needle Reflector Savi Scout L10Cm Lf,1196.64,418.82,,,0
HCPCS,A4648,Hb Needle Reflector Savi Scout L5Cm Lf,1196.64,418.82,,,0
HCPCS,A4648,Hb Needle Reflector Savi Scout L7.5Cm Lf,1196.64,418.82,,,0
HCPCS,A4657,Hb Syringe W/Wo Needle,2.04,0.71,,,0
HCPCS,A4670,"Hb Automatic Bp Monitor, Dial",2.04,0.71,,,0
HCPCS,A4671,Hb Disposable Cycler Set,2.04,0.71,,,0
HCPCS,A4680,Hb Absorba 300,2428.62,850.02,,,0
HCPCS,A4690,Hb Dialyzer,125.46,43.91,,,0
HCPCS,A4690,Hb Dialyzer Cahp 130,1237.26,433.04,,,0
HCPCS,A4690,Hb Dialyzer F4 Cs 12,440.7,154.24,,,0
HCPCS,A4690,Hb Dialyzer Revaclear,474.3,166.0,,,0
HCPCS,A4719,Hb Tubing Y Set,2.04,0.71,,,0
HCPCS,A4722,Hb Dialys Sol Fld Vol 1999Cc To 2999Cc,2.04,0.71,,,0
HCPCS,A4723,Hb Dialys Sol Fld Vol 2999Cc To 3999Cc,2.04,0.71,,,0
HCPCS,A4725,Hb Dialys Sol Fld Vol 4999Cc To 5999Cc,2.04,0.71,,,0
HCPCS,A4726,Hb Dialys Sol Fld Vol Over 5999Cc,2.04,0.71,,,0
HCPCS,A4860,Hb Disposable Catheter Tips Per 10,2.04,0.71,,,0
HCPCS,A4911,Hb Drain Bag Bottle,2.04,0.71,,,0
HCPCS,A4913,Hb Misc Dialysis Supplies Noc,2.04,0.71,,,0
HCPCS,A4927,Hb Non Sterile Gloves Per 100,2.04,0.71,,,0
HCPCS,A4930,"Hb Sterile, Gloves Per Pair",2.04,0.71,,,0
HCPCS,A4931,Hb Reusable Oral Thermometer,2.04,0.71,,,0
HCPCS,A5061,Hb Pouch Drain One Piece 2.5,30.24,10.58,,,0
HCPCS,A5063,Hb Pouch Colostomy Transpar 4,22.68,7.94,,,0
HCPCS,A5105,Hb Sup Rev 271 Hcpcs A5105,327.18,114.51,,,0
HCPCS,A5500,Hb Diab Shoe For Density Insert,196.56,68.8,,,0
HCPCS,A5512,Hb Multi Den Insert Direct Form Diabetics Only,82.08,28.73,,,0
HCPCS,A6010,Hb Sup Rev 272 Hcpcs A6010,2852.25,998.29,,,0
HCPCS,A6154,Hb Eakin Fistula Wnd Pch 6.9 X 4.3,65.37,22.88,,,0
HCPCS,A6197,Hb Dressing Aquacel 6X6,178.5,62.48,,,0
HCPCS,A6198,Hb Drsg Aquacel Ag 8X12,512.04,179.21,,,0
HCPCS,A6199,Hb Dressing Aquacel Rope,103.02,36.06,,,0
HCPCS,A6207,Hb Sup Rev 272 Hcpcs A6207,497.55,174.14,,,0
HCPCS,A6208,Hb Sup Rev 272 Hcpcs A6208,207.82,72.74,,,0
HCPCS,A6216,Hb Non Sterile Gauze 4X4,2.04,0.71,,,0
HCPCS,A6242,Hb Dressing Carra Gauze 4X4,41.82,14.64,,,0
HCPCS,A6250,Hb Oint Natl Care 2 Oz,49.98,17.49,,,0
HCPCS,A6251,Hb Dressing Central Line Disc,72.42,25.35,,,0
HCPCS,A6251,Hb Sup Rev 272 Hcpcs A6251,235.58499999999998,82.455,,,0
HCPCS,A6252,Hb Drsg Island Silverlon 3X4,317.3,111.06,,,0
HCPCS,A6252,Hb Sup Rev 272 Hcpcs A6252,717.81,251.23,,,0
HCPCS,A6254,Hb Drsg Island Silverlon 4X4,264.42,92.55,,,0
HCPCS,A6254,Hb Sup Rev 272 Hcpcs A6254,251.43,88.0,,,0
HCPCS,A6255,Hb Drsg Island Silverlon 4X6,313.16,109.61,,,0
HCPCS,A6255,Hb Sup Rev 272 Hcpcs A6255,289.7,101.4,,,0
HCPCS,A6256,Hb Sup Rev 272 Hcpcs A6256,579.18,202.71,,,0
HCPCS,A6260,Hb Wound Cleanser Any Type/Size,2.04,0.71,,,0
HCPCS,A6266,Hb Packing Strip Iodo .25 In X 5 Yd,43.86,15.35,,,0
HCPCS,A6266,Hb Packing Strip Iodo .5 In X 5 Yd,46.92,16.42,,,0
HCPCS,A6407,Hb Packing Strip Pln .25 In X 5 Yd,35.7,12.5,,,0
HCPCS,A6407,Hb Packing Strip Pln .5 In X 5 Yd,35.7,12.5,,,0
HCPCS,A6407,Hb Packing Strip Pln 1 In X 5 Yd,41.82,14.64,,,0
HCPCS,A6452,Hb Hip Spica Dressing,580.38,203.13,,,0
HCPCS,A6501,Hb Burn Garm Custom Bodysuit,543.66,190.28,,,0
HCPCS,A6502,Hb Burn Garm Custom Chin Strap,109.14,38.2,,,0
HCPCS,A6503,Hb Burn Garm Custom Face Hood,158.1,55.34,,,0
HCPCS,A6504,Hb Burn Garm Custom Glove Wrist,96.9,33.92,,,0
HCPCS,A6505,Hb Burn Garm Custom Glove Elbow,185.64,64.97,,,0
HCPCS,A6506,Hb Burn Garm Custom Glove Axilla,205.02,71.76,,,0
HCPCS,A6507,Hb Burn Garm Custom Foot To Knee,96.9,33.92,,,0
HCPCS,A6508,Hb Burn Garm Custom Foot To Thigh,121.38,42.48,,,0
HCPCS,A6509,Hb Custom Burn Garm Body Vest Sleeveless,190.74,66.76,,,0
HCPCS,A6510,Hb Burn Garm Vest With Sleeves,448.8,157.08,,,0
HCPCS,A6511,Hb Custom Burn Garm Body Brief And Thigh,230.52,80.68,,,0
HCPCS,A6512,Hb Anklet,65.28,22.85,,,0
HCPCS,A6512,Hb Burn Garm Brief,143.82,50.34,,,0
HCPCS,A6512,Hb Burn Garm Custom Belly Band,195.84,68.54,,,0
HCPCS,A6512,Hb Burn Garm Custom Expansion Panels,47.94,16.78,,,0
HCPCS,A6512,Hb Burn Garm Custom Foot Glove,195.84,68.54,,,0
HCPCS,A6512,Hb Burn Garm Custom Head Band,281.52,98.53,,,0
HCPCS,A6512,Hb Burn Garm Custom Insert,23.46,8.21,,,0
HCPCS,A6512,"Hb Burn Garm Custom Lining, Pad Or Pocket",24.48,8.57,,,0
HCPCS,A6512,Hb Burn Garm Custom Pocket And Pad Combo,27.54,9.64,,,0
HCPCS,A6512,Hb Burn Garm Custom Two Legs To Waist,418.2,146.37,,,0
HCPCS,A6512,Hb Burn Garm Custom Velcro Tab,13.26,4.64,,,0
HCPCS,A6512,Hb Burn Garm Custom Velcro Zipper Stop,13.26,4.64,,,0
HCPCS,A6512,Hb Burn Garm Gauntlet To Wrist,36.72,12.85,,,0
HCPCS,A6512,Hb Burn Garm Glove To Wrist,137.7,48.2,,,0
HCPCS,A6512,Hb Burn Garm Sleeve Wrist To Axilla,102.0,35.7,,,0
HCPCS,A6512,Hb Burn Garm Stocking To Knee (Pair),109.14,38.2,,,0
HCPCS,A6512,Hb Burn Garm Stocking To Knee (Pair) W Silicone Border,137.7,48.2,,,0
HCPCS,A6512,Hb Burn Garm Stocking To Thigh (Pair),155.04,54.26,,,0
HCPCS,A6512,Hb Burn Garm Two Legs To Waist,190.74,66.76,,,0
HCPCS,A6512,Hb Burn Garm Type In Capability,95.88,33.56,,,0
HCPCS,A6512,Hb Custom Body Brief Sleeveless,538.56,188.5,,,0
HCPCS,A6512,Hb Custom Burn Gar Brief,120.36,42.13,,,0
HCPCS,A6512,Hb Custom Burn Gar Gauntlet To Elbow,154.02,53.91,,,0
HCPCS,A6512,Hb Custom Burn Gar Gauntlet To Wrist,83.64,29.27,,,0
HCPCS,A6512,Hb Custom Burn Gar Press Sleeve Full Arm,106.08,37.13,,,0
HCPCS,A6512,Hb Custom Burn Gar Stocking Knee To Thigh,82.62,28.92,,,0
HCPCS,A6512,Hb Custom Burn Gar Stocking To Knee,94.86,33.2,,,0
HCPCS,A6512,Hb Custom Burn Gar Stocking To Thigh,112.2,39.27,,,0
HCPCS,A6512,Hb Custom Burn Garm Leg And Panty To Waist,392.7,137.44,,,0
HCPCS,A6512,Hb Custom Burn Garm Press Sleeve Arm Half,79.56,27.85,,,0
HCPCS,A6512,Hb Custom Burn Garm Sternal Strap,123.42,43.2,,,0
HCPCS,A6512,Hb Zipper,26.52,9.28,,,0
HCPCS,A6513,Hb Burn Garm Custom Face Mask,190.74,66.76,,,0
HCPCS,A6520,G com garmnt glove nghttime,,,126.45,252.9,19
HCPCS,A6521,G com garmnt glove nght cust,,,501.75,1003.5,19
HCPCS,A6522,G com garment arm nighttime,,,307.26,614.52,19
HCPCS,A6523,G com garment arm nght custm,,,729.02,1458.04,19
HCPCS,A6524,G com garmnt lwr leg/ft nght,,,383.34,766.68,19
HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,773.9,1547.8,19
HCPCS,A6526,G com garmt full leg/ft nght,,,693.06,1386.12,19
HCPCS,A6527,G garmt full leg/ft nght cus,,,1274.45,2548.9,19
HCPCS,A6528,G com garment bra nighttime,,,666.42,1332.84,19
HCPCS,A6529,G com garmt bra night custm,,,1053.04,2106.08,19
HCPCS,A6530,Compression stocking bk18-30,,,39.07,78.14,19
HCPCS,A6530,Hb Elastic Support Stocking Bk,70.38,24.63,,,0
HCPCS,A6531,Compression stocking bk30-40,,,61.66,123.32,19
HCPCS,A6532,Compression stocking bk40-50,,,86.88,173.76,19
HCPCS,A6533,Gc stocking thighlngth 18-30,,,54.86,109.72,19
HCPCS,A6533,Hb Elastic Support Stocking Ak,91.8,32.13,,,0
HCPCS,A6534,Gc stocking thighlngth 30-40,,,62.65,125.3,19
HCPCS,A6535,Gc stocking thighlngth 40-50,,,72.13,144.26,19
HCPCS,A6536,Gc stocking full lngth 18-30,,,73.95,147.9,19
HCPCS,A6537,Gc stocking full lngth 30-40,,,87.67,175.34,19
HCPCS,A6538,Gc stocking full lngth 40-50,,,102.65,205.3,19
HCPCS,A6539,Gc stocking waistlngth 18-30,,,97.86,195.72,19
HCPCS,A6540,Gc stocking waistlngth 30-40,,,116.68,233.36,19
HCPCS,A6541,Gc stocking waistlngth 40-50,,,138.21,276.42,19
HCPCS,A6545,Grad comp non-elastic BK,,,121.41,242.82,19
HCPCS,A6550,Hb Sup Rev 272 Hcpcs A6550,461.44,161.5,,,0
HCPCS,A6552,Grad com stocking bk 30-40,,,57.97,115.94,19
HCPCS,A6553,G com stcking bk 30-40 custm,,,226.38,452.76,19
HCPCS,A6554,Grad com stocking bk 40+,,,79.72,159.44,19
HCPCS,A6555,G com stcking bk 40+ custm,,,226.38,452.76,19
HCPCS,A6556,G com stcking thgh18-30 cust,,,310.25,620.5,19
HCPCS,A6557,G com stcking thgh30-40 cust,,,310.25,620.5,19
HCPCS,A6558,G com stcking thgh 40+ cust,,,320.17,640.34,19
HCPCS,A6562,G com stckng waist18-30 cust,,,1015.37,2030.74,19
HCPCS,A6563,G com stckng waist30-40 cust,,,1015.37,2030.74,19
HCPCS,A6564,G com stckng waist 40+ cust,,,1093.78,2187.56,19
HCPCS,A6565,Grad comp gauntlet custom,,,175.45,350.9,19
HCPCS,A6566,Grad com garment neck/head,,,254.75,509.5,19
HCPCS,A6567,G com garment neck/head cust,,,800.42,1600.84,19
HCPCS,A6568,G com garment torso/shldr,,,166.26,332.52,19
HCPCS,A6569,G com garmnt torso/shdr cust,,,946.74,1893.48,19
HCPCS,A6570,Grad com garment genital,,,113.28,226.56,19
HCPCS,A6571,G com garment genital custm,,,680.84,1361.68,19
HCPCS,A6572,Grad com garment toe caps,,,105.11,210.22,19
HCPCS,A6573,Grad com garmnt toe cap cust,,,249.43,498.86,19
HCPCS,A6574,Custom gradient sleev/glov,,,317.99,635.98,19
HCPCS,A6575,Gradient comp sleev/glov,,,103.05,206.1,19
HCPCS,A6576,Custom grad com sleeve med,,,195.16,390.32,19
HCPCS,A6577,Custom grad cm sleeve heavy,,,161.53,323.06,19
HCPCS,A6578,Gradient comp sleeve,,,79.55,159.1,19
HCPCS,A6579,Custom grad com glove med,,,313.26,626.52,19
HCPCS,A6580,Custom grad com glove heavy,,,310.96,621.92,19
HCPCS,A6581,Gradient comp glove,,,72.99,145.98,19
HCPCS,A6582,Gradient comp gauntlet,,,48.68,97.36,19
HCPCS,A6583,Grad com wrap w straps bk,,,160.13,320.26,19
HCPCS,A6585,Grad com wrap w straps ak,,,189.6,379.2,19
HCPCS,A6586,Grad com wrap w straps leg,,,558.59,1117.18,19
HCPCS,A6587,Grad com wrap w straps foot,,,73.17,146.34,19
HCPCS,A6588,Grad com wrap w straps arm,,,243.87,487.74,19
HCPCS,A6589,Grad com wrap w straps bra,,,96.27,192.54,19
HCPCS,A6594,G comp bandge liner lwr extr,,,35.05,70.1,19
HCPCS,A6595,G comp bandge liner upr extr,,,34.48,68.96,19
HCPCS,A6596,G comp bandge conform gauze,,,0.18,0.36,19
HCPCS,A6597,G comp bandage long stretch,,,1.55,3.1,19
HCPCS,A6598,G comp bandage med stretch,,,0.75,1.5,19
HCPCS,A6599,G comp bandage short stretch,,,1.7,3.4,19
HCPCS,A6600,G com bandge hgh dn foam sht,,,3.07,6.14,19
HCPCS,A6601,G com bandge hgh dn foam pad,,,3.45,6.9,19
HCPCS,A6602,G com bandge hgh dn foamroll,,,5.03,10.06,19
HCPCS,A6603,G com bandge low dn foamchnl,,,2.36,4.72,19
HCPCS,A6604,G com bandge low dn foam flt,,,1.38,2.76,19
HCPCS,A6605,G com bandage padded foam,,,1.57,3.14,19
HCPCS,A6606,G com bandage padded textile,,,4.67,9.34,19
HCPCS,A6607,G com bandage tub protct lyr,,,1.25,2.5,19
HCPCS,A6608,G com bandage tub protct pad,,,5.21,10.42,19
HCPCS,A6610,G com stcking bk 18-30 custm,,,226.38,452.76,19
HCPCS,A7041,Hb Drain Dry Single W Ac,526.56,184.3,,,0
HCPCS,A7041,Hb Sup Rev 272 Hcpcs A7041,828.24,289.88,,,0
HCPCS,A7048,Hb Sup Rev 272 Hcpcs A7048,846.54,296.29,,,0
HCPCS,A7520,Hb Sup Rev 272 Hcpcs A7520,616.49,215.775,,,0
HCPCS,A7520,Hb Trach Noncuffed,302.94,106.03,,,0
HCPCS,A7520,Hb Tube Trach Shiley 6 Cfn Uncuff,595.3,208.36,,,0
HCPCS,A7521,Hb Sup Rev 272 Hcpcs A7521,698.61,244.51,,,0
HCPCS,A7521,Hb Trach Cuffed,302.94,106.03,,,0
HCPCS,A7521,Hb Tube Trach Shiley 4 Cfs Uncuff,639.25,223.74,,,0
HCPCS,A7521,Hb Tube Trach Shiley 4 Dct Cuff,557.23,195.03,,,0
HCPCS,A7521,Hb Tube Trach Shiley 5 Sct,513.53,179.74,,,0
HCPCS,A7521,Hb Tube Trach Shiley 6 Cfs Uncuff,632.1,221.24,,,0
HCPCS,A7521,Hb Tube Trach Shiley 6 Dct Cuff,660.27,231.09,,,0
HCPCS,A7521,Hb Tube Trach Shiley 6 Dfen Cuff,607.89,212.76,,,0
HCPCS,A7521,Hb Tube Trach Shiley 8 Cfs Uncuff,637.68,223.19,,,0
HCPCS,A7521,Hb Tube Trach Shiley 8 Dct Cuff,666.66,233.33,,,0
HCPCS,A7521,Hb Tube Trach Shiley Xlt Dist 6.0,877.26,307.04,,,0
HCPCS,A7521,Hb Tube Trach Shiley Xlt Dist 7.0,877.26,307.04,,,0
HCPCS,A7521,Hb Tube Trach Shiley Xlt Dist 8.0,877.26,307.04,,,0
HCPCS,A7521,Hb Tube Trach Shiley Xlt Prox 6.0,877.26,307.04,,,0
HCPCS,A7521,Hb Tube Trach Shiley Xlt Prox 8.0,877.26,307.04,,,0
HCPCS,A8000,Hb Soft Protective Helmet Prefab,2039.04,713.66,,,0
HCPCS,A9272,Hb Drsg Pico 14 10 X 40Cm,2725.44,953.9,,,0
HCPCS,A9272,Hb Sup Rev 272 Hcpcs A9272,2799.9,979.96,,,0
HCPCS,A9300,Hb Exercise Squeeze Ball,20.4,7.14,,,0
HCPCS,A9500,Hb 99Mtc Sestamibi,1129.0,395.15,,,0
HCPCS,A9500,Tc99m sestamibi,,,549.71,549.71,2
HCPCS,A9502,Tc99m tetrofosmin,,,192.58,192.58,2
HCPCS,A9503,Hb Mdp Dose,127.0,44.45,,,0
HCPCS,A9503,Tc99m medronate,,,72.21,72.21,2
HCPCS,A9504,Tc99m apcitide,,,621.14,621.14,2
HCPCS,A9505,Hb Thallium Dose 4Mci,1244.0,435.4,,,0
HCPCS,A9505,Tl201 thallium,,,52.48,52.48,2
HCPCS,A9506,Tc-99m graphite crucible,,,328.6,657.2,21
HCPCS,A9507,In111 capromab,,,1602.58,3460.58,21
HCPCS,A9508,Hb Mibg Dose,12941.0,4529.35,,,0
HCPCS,A9508,"I131 iodobenguate, dx",,,953.01,1906.02,21
HCPCS,A9509,Hb Iodine I-123 Sod Iodide Mil Each Addl,500.0,175.0,,,0
HCPCS,A9509,Hb Iodine I-123 Sod Iodide Mil Initial,1616.0,565.6,,,0
HCPCS,A9509,Iodine I-123 sod iodide mil,,,187.84,187.84,2
HCPCS,A9510,Hb Disofenin Dose,122.0,42.7,,,0
HCPCS,A9510,Tc99m disofenin,,,73.0,73.0,2
HCPCS,A9512,Hb Tc04 Per Mci,7.0,2.45,,,0
HCPCS,A9512,Tc99m pertechnetate,,,14.99,14.99,2
HCPCS,A9513,Hb Lutatheral; Lutetium Lu 177 Dotatat Ther,1067.0,373.45,,,0
HCPCS,A9513,Lutetium lu 177 dotatat ther,,,316.99,633.97,21
HCPCS,A9515,Choline c-11,,,2516.43,5032.86,21
HCPCS,A9516,Hb I 123 Dose,1207.0,422.45,,,0
HCPCS,A9516,Iodine I-123 sod iodide mic,,,136.15,136.15,2
HCPCS,A9517,Hb I 131 Cap Ther Each Addl Mci,64.0,22.4,,,0
HCPCS,A9517,Hb I 131 Cap Ther Initial Mci,593.0,207.55,,,0
HCPCS,A9517,"I131 iodide cap, rx",,,24.07,48.14,21
HCPCS,A9520,Hb Tc99 Tilmanocept Diag .05Mci,1952.0,683.2,,,0
HCPCS,A9521,Hb Tc99M Exametazime,1682.0,588.7,,,0
HCPCS,A9521,Tc99m exametazime,,,927.71,1855.42,21
HCPCS,A9524,"Hb I131 Serum Albumin, Dx",965.0,337.75,,,0
HCPCS,A9524,"I131 serum albumin, dx",,,439.61,439.61,2
HCPCS,A9526,Nitrogen n-13 ammonia,,,897.38,897.38,2
HCPCS,A9527,Iodine I-125 sodium iodide,,,254.47,792.64,21
HCPCS,A9528,Hb I 131 Capsule Diag Per Mci,624.0,218.4,,,0
HCPCS,A9528,"Iodine i-131 iodide cap, dx",,,115.23,115.23,2
HCPCS,A9530,"I131 iodide sol, rx",,,20.77,41.54,21
HCPCS,A9531,I131 max 100uci,,,5.14,5.14,2
HCPCS,A9532,"I125 serum albumin, dx",,,250.2,938.12,21
HCPCS,A9536,Tc99m depreotide,,,945.93,945.93,2
HCPCS,A9537,Tc99m mebrofenin,,,138.42,138.42,2
HCPCS,A9538,Hb Tc99M Pyrophosphate =< 25 Mci,450.0,157.5,,,0
HCPCS,A9538,Tc99m pyrophosphate,,,46.96,46.96,2
HCPCS,A9539,Hb Dtpa Dose,390.0,136.5,,,0
HCPCS,A9539,Tc99m pentetate,,,30.78,30.78,2
HCPCS,A9540,Hb Tc99M Maa,149.0,52.15,,,0
HCPCS,A9540,Tc99m maa,,,35.92,35.92,2
HCPCS,A9541,Hb Tc 99M Sulfur Colloid Dose,509.0,178.15,,,0
HCPCS,A9541,Tc99m sulfur colloid,,,916.71,916.71,2
HCPCS,A9542,"In111 ibritumomab, dx",,,973.58,973.58,2
HCPCS,A9543,"Y90 ibritumomab, rx",,,56824.55,113649.1,21
HCPCS,A9546,Co57/58,,,1.57,1.57,2
HCPCS,A9547,In111 oxyquinoline,,,831.46,1662.92,21
HCPCS,A9548,Hb In 111 Dtpa,4445.0,1555.75,,,0
HCPCS,A9548,In111 pentetate,,,745.62,1491.24,21
HCPCS,A9551,Hb Dmsa Dose,1396.0,488.6,,,0
HCPCS,A9551,Tc99m succimer,,,659.93,1319.86,21
HCPCS,A9552,F18 fdg,,,509.46,509.46,2
HCPCS,A9552,Hb Fdg Dose,770.0,269.5,,,0
HCPCS,A9553,Cr51 chromate,,,396.6,3835.92,21
HCPCS,A9554,"I125 iothalamate, dx",,,47.36,1299.28,21
HCPCS,A9555,Rb82 rubidium,,,551.68,551.68,2
HCPCS,A9556,Ga67 gallium,,,26.84,26.84,2
HCPCS,A9556,Hb Gallium Scan Abscess Dose 5Mci,854.0,298.9,,,0
HCPCS,A9556,Hb Gallium Tumor Dose 10 Mci,854.0,298.9,,,0
HCPCS,A9557,Hb Tc99M Hmpao,5058.0,1770.3,,,0
HCPCS,A9557,Tc99m bicisate,,,775.52,1551.04,21
HCPCS,A9558,Hb Xe 133 Gas,508.0,177.8,,,0
HCPCS,A9558,Xe133 xenon 10mci,,,316.49,316.49,2
HCPCS,A9559,Co57 cyano,,,307.42,307.42,2
HCPCS,A9560,Hb Tagged Rbc,508.0,177.8,,,0
HCPCS,A9560,Tc99m labeled rbc,,,128.65,128.65,2
HCPCS,A9561,Tc99m oxidronate,,,61.56,61.56,2
HCPCS,A9562,Hb Mag 3 Dose,1526.0,534.1,,,0
HCPCS,A9562,Tc99m mertiatide,,,937.24,937.24,2
HCPCS,A9563,Hb Sodium P 32 Per Mci,34924.0,12223.4,,,0
HCPCS,A9563,P32 na phosphate,,,218.53,556.48,21
HCPCS,A9564,Hb Chromic Phos P 32 Dose Per Mci,5218.0,1826.3,,,0
HCPCS,A9564,P32 chromic phosphate,,,184.68,184.68,2
HCPCS,A9567,Technetium tc-99m aerosol,,,24.86,24.86,2
HCPCS,A9568,Technetium tc99m arcitumomab,,,987.6,987.6,2
HCPCS,A9569,Technetium TC-99m auto WBC,,,934.13,1868.26,21
HCPCS,A9570,Hb In 111 Tagged Wbc,5431.0,1900.85,,,0
HCPCS,A9570,Indium In-111 auto WBC,,,1103.19,2206.38,21
HCPCS,A9571,Indium IN-111 auto platelet,,,5212.63,5212.63,2
HCPCS,A9572,Hb Octreoscan Dose,13224.0,4628.4,,,0
HCPCS,A9572,Indium In-111 pentetreotide,,,2000.94,4001.88,21
HCPCS,A9573,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION [196331],11.3,3.95,,,0
HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,3.47,4.72,5
HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,0.12,0.15,5
HCPCS,A9576,Inj prohance multipack,,,1.43,1.78,5
HCPCS,A9577,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION [41137],24.69,8.64,,,0
HCPCS,A9577,Inj multihance,,,1.82,2.22,5
HCPCS,A9578,Inj multihance multipack,,,1.81,2.18,5
HCPCS,A9579,GADOVERSETAMIDE 10 MMOL/20 ML (330.9 MG/ML) INTRAVENOUS SYRINGE [109929],27.465,9.615,,,0
HCPCS,A9579,GADOVERSETAMIDE 15 MMOL/30 ML (330.9MG/ML) INTRAVENOUS SYRINGE [109931],50.25,17.59,,,0
HCPCS,A9579,GADOVERSETAMIDE 2.5 MMOL/5 ML (330.9 MG/ML) INTRAVENOUS SOLUTION [109945],50.25,17.59,,,0
HCPCS,A9579,GADOVERSETAMIDE 7.5 MMOL/15 ML(330.9 MG/ML) INTRAVENOUS SYRINGE [109930],50.25,17.59,,,0
HCPCS,A9579,"Gad-base MR contrast NOS,1ml",,,1.49,1.81,5
HCPCS,A9580,Sodium fluoride F-18,,,319.65,319.65,2
HCPCS,A9581,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [93574],202.28,70.8,,,0
HCPCS,A9581,Gadoxetate disodium inj,,,14.71,17.93,5
HCPCS,A9582,Hb I 123 Adreview Mibg Dose,14824.0,5188.4,,,0
HCPCS,A9582,Iodine I-123 iobenguane,,,2317.5,4635.0,21
HCPCS,A9584,Hb Datscan Dose,12853.0,4498.55,,,0
HCPCS,A9584,Iodine i-123 ioflupane,,,1387.74,2775.48,21
HCPCS,A9585,Gadobutrol injection,,,0.26,0.34,5
HCPCS,A9586,Florbetapir F18,,,1825.64,3651.28,21
HCPCS,A9587,Gallium ga-68,,,49.63,99.26,21
HCPCS,A9588,Fluciclovine f-18,,,322.27,644.54,21
HCPCS,A9589,Insti hexaminolevulinate hcl,,,1378.41,1682.03,5
HCPCS,A9591,Fluoroestradiol f 18,,,460.42,920.84,21
HCPCS,A9592,Copper cu 64 dotatate diag,,,594.28,1188.56,21
HCPCS,A9593,Gallium ga-68 psma-11 ucsf,,,550.13,1100.26,21
HCPCS,A9594,"Gallium ga-68 psma-11, ucla",,,363.5,727.0,21
HCPCS,A9595,"Piflu f-18, dia 1 millicurie",,,346.49,692.98,21
HCPCS,A9596,Gallium illuccix 1 millicure,,,478.52,1265.64,21
HCPCS,A9600,Hb Sr 89 Dose,9902.0,3465.7,,,0
HCPCS,A9600,Sr89 strontium,,,4146.34,8292.67,21
HCPCS,A9601,Flortaucipir inj 1 millicuri,,,3710.0,7420.0,21
HCPCS,A9602,Fluorodopa f-18 diag per mci,,,608.32,1711.1,21
HCPCS,A9604,Hb Quadramet Dose,34241.0,11984.35,,,0
HCPCS,A9604,Sm 153 lexidronam,,,3159.8,6319.6,21
HCPCS,A9606,Hb Pluvicto; Radium Ra223 Dichloride Ther,863.0,302.05,,,0
HCPCS,A9606,Hb Xofigo Dose,569.0,199.15,,,0
HCPCS,A9606,Radium ra223 dichloride ther,,,164.1,344.44,22
HCPCS,A9607,Hb Xofigo; Lutetium Lu 177 Vipivotide,632.1,221.24,,,0
HCPCS,A9607,Lutetium lu 177 vipivotide,,,255.84,511.68,21
HCPCS,A9608,Flotufolastat f18 diag 1 mci,,,671.22,1342.44,21
HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,37.51,75.02,21
HCPCS,A9697,"Inj, magtrace per study dose",,,1254.0,2508.0,21
HCPCS,A9699,Radiopharm rx agent noc,,,55169.68,55169.68,2
HCPCS,A9800,Gallium locametz 1 millicuri,,,362.5,1065.6,21
HCPCS,A9999,Hb Moleskin,63.24,22.13,,,0
HCPCS,B4087,Hb Dobbhoff Kit,271.32,94.96,,,0
HCPCS,B4087,Hb Sup Rev 272 Hcpcs B4087,1504.8,526.68,,,0
HCPCS,B4087,Hb Tube J 14F,1493.13,522.6,,,0
HCPCS,B4088,Hb Sup Rev 272 Hcpcs B4088,832.32,291.31,,,0
HCPCS,B4088,Hb Tube G-J Mic-Key 22Fx2.3X45,2861.03,1001.36,,,0
HCPCS,B4088,Hb Tube Mic-Key G 20Fr X 3.5Cm,262.97,92.04,,,0
HCPCS,C1605,Hb Gen Aveir Dr Leadless Pm 19.5F 32.2Mm Ra,37843.74,13245.31,,,0
HCPCS,C1605,Hb Gen Aveir Dr Leadless Pm 19.5F 38.0Mm Rv,26924.4,9423.54,,,0
HCPCS,C1713,Hb Sup Rev 278 Hcpcs C1713,812.315,286.02,,,0
HCPCS,C1714,Hb Dinali Ivc Filter Femoral,7887.24,2760.53,,,0
HCPCS,C1714,Hb Dinali Ivc Filter Jugular,5010.93,1753.83,,,0
HCPCS,C1717,"Brachytx, non-str,hdr ir-192",,,357.49,714.98,19
HCPCS,C1717,Hb Brachytx Non Str Hdr Ir 192,1449.36,507.28,,,0
HCPCS,C1719,Hb Iridium Seed 0.1 - 0.99 Mg,1458.0,510.3,,,0
HCPCS,C1719,Hb Iridium Seed 1.0 - 1.99 Mg,1458.0,510.3,,,0
HCPCS,C1719,Hb Iridium Seed 2.0 - 3.99 Mg,1458.0,510.3,,,0
HCPCS,C1719,Hb Iridium Seed 4.0 - 4.99Mg,1458.0,510.3,,,0
HCPCS,C1719,Hb Iridium Seed 5.0 And Over,1458.0,510.3,,,0
HCPCS,C1721,Hb Gen Gallant Dr Icd,31959.26,11185.74,,,0
HCPCS,C1721,Hb Gen Ilivia Neo 7 Dr-T Df1 Promri Cls,31959.26,11185.74,,,0
HCPCS,C1721,Hb Gen Momentum El Dr,34403.4,12041.19,,,0
HCPCS,C1721,Hb Gen Perciva Dr Df4,34403.4,12041.19,,,0
HCPCS,C1721,Hb Gen Rivacor 7 Dr-T Df4 Promri Cls,31959.26,11185.74,,,0
HCPCS,C1721,Hb Gen Vigilant El Dr Df4,34403.4,12041.19,,,0
HCPCS,C1721,Hb Icd  Cobalt Xt Dr Mri Is1 Df1,39357.49,13775.12,,,0
HCPCS,C1721,Hb Icd  Cobalt Xt Dr Mri Is1 Df4,39357.49,13775.12,,,0
HCPCS,C1721,Hb Sup Rev 275 Hcpcs C1721,34403.4,12041.19,,,0
HCPCS,C1722,Hb Device Ev-Icd Aurora,59832.0,20941.2,,,0
HCPCS,C1722,Hb Gen Acticor 7 Vr-T Dx Df4 Promri,25428.6,8900.01,,,0
HCPCS,C1722,Hb Gen Emblem S-Icd Mri,59084.1,20679.44,,,0
HCPCS,C1722,Hb Gen Fortify Assura Sr Df4,25428.6,8900.01,,,0
HCPCS,C1722,Hb Gen Gallant Vr Icd,25428.6,8900.01,,,0
HCPCS,C1722,Hb Gen Momentum El Vr,30663.9,10732.36,,,0
HCPCS,C1722,Hb Gen Vigilant El Vr Df4,30663.9,10732.36,,,0
HCPCS,C1722,Hb Genintica Neo 7 Vr-T Dx Df1 Promri,25428.6,8900.01,,,0
HCPCS,C1724,Hb Cath Rotapro 1.25X135,8872.16,3105.26,,,0
HCPCS,C1724,Hb Rotapro 1.50Mm,8872.16,3105.26,,,0
HCPCS,C1724,Hb Rotapro 1.75Mm,8872.16,3105.26,,,0
HCPCS,C1725,Hb Balloon Advance 14Lp 2.5Mmx12Cm,2308.79,808.08,,,0
HCPCS,C1725,Hb Balloon Advance 14Lp 2.5Mmx4Cm,2308.79,808.08,,,0
HCPCS,C1725,Hb Baln Cath Ptca Takeru 1.5X20Mm,1526.88,534.41,,,0
HCPCS,C1725,Hb Cath Balloon 35Lp 10X2.0X135,1304.8,456.68,,,0
HCPCS,C1725,Hb Cath Balloon Er-Reboa,9138.18,3198.36,,,0
HCPCS,C1725,Hb Cath Balloon Mustang 10X80X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Balloon Zmed 20X4X100,2128.21,744.87,,,0
HCPCS,C1725,Hb Cath Balloon Zmed 23X4X100,3320.42,1162.15,,,0
HCPCS,C1725,Hb Cath Baln Sapphire Ii Pro 1X15X140,2519.91,881.97,,,0
HCPCS,C1725,Hb Cath Bl Sterling Mrl 6X100X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Angiosculpt 5X40X50,4424.96,1548.74,,,0
HCPCS,C1725,Hb Cath Bln Angiosculpt Rx 2.5X6,3557.76,1245.22,,,0
HCPCS,C1725,Hb Cath Bln Atlas 12X2X120,2456.3,859.7,,,0
HCPCS,C1725,Hb Cath Bln Atlas 12X4X75,2474.19,865.97,,,0
HCPCS,C1725,Hb Cath Bln Atlas 14X2X120,2456.3,859.7,,,0
HCPCS,C1725,Hb Cath Bln Atlas 14X4X120,2456.3,859.7,,,0
HCPCS,C1725,Hb Cath Bln Atlas 14X4X75,2490.81,871.78,,,0
HCPCS,C1725,Hb Cath Bln Atlas 16X2X120,2456.3,859.7,,,0
HCPCS,C1725,Hb Cath Bln Atlas 16X4X75,2490.94,871.83,,,0
HCPCS,C1725,Hb Cath Bln Atlas 18X2X120,2456.3,859.7,,,0
HCPCS,C1725,Hb Cath Bln Atlas 18X4X75,2476.32,866.71,,,0
HCPCS,C1725,Hb Cath Bln Atlas 20X4X75,2763.34,967.17,,,0
HCPCS,C1725,Hb Cath Bln Atlas 22X4X75,3132.13,1096.25,,,0
HCPCS,C1725,Hb Cath Bln Atlas 24X4X75,3947.63,1381.67,,,0
HCPCS,C1725,Hb Cath Bln Aviator Plus 4X20,2351.92,823.17,,,0
HCPCS,C1725,Hb Cath Bln Aviator Plus 4X30,2351.92,823.17,,,0
HCPCS,C1725,Hb Cath Bln Aviator Plus 4X40,2351.92,823.17,,,0
HCPCS,C1725,Hb Cath Bln Aviator Plus 5X20,2351.92,823.17,,,0
HCPCS,C1725,Hb Cath Bln Aviator Plus 5X30,2351.92,823.17,,,0
HCPCS,C1725,Hb Cath Bln Aviator Plus 5X40,2351.92,823.17,,,0
HCPCS,C1725,Hb Cath Bln Aviator Plus 6X20,2351.92,823.17,,,0
HCPCS,C1725,Hb Cath Bln Aviator Plus 6X30,2351.92,823.17,,,0
HCPCS,C1725,Hb Cath Bln Aviator Plus 6X40,2351.92,823.17,,,0
HCPCS,C1725,Hb Cath Bln Conquest 100Mmx8Cm,2191.77,767.12,,,0
HCPCS,C1725,Hb Cath Bln Conquest 10X4X75,2223.96,778.39,,,0
HCPCS,C1725,Hb Cath Bln Conquest 6X4X75,2191.77,767.12,,,0
HCPCS,C1725,Hb Cath Bln Conquest 7X4X75,2246.46,786.26,,,0
HCPCS,C1725,Hb Cath Bln Conquest 7X8X75,2191.77,767.12,,,0
HCPCS,C1725,Hb Cath Bln Conquest 8X4X75,2201.28,770.45,,,0
HCPCS,C1725,Hb Cath Bln Conquest 8X8X75,2191.77,767.12,,,0
HCPCS,C1725,Hb Cath Bln Conquest 9X4X75,2219.34,776.77,,,0
HCPCS,C1725,Hb Cath Bln Coyote 3.5X60X150,2469.93,864.48,,,0
HCPCS,C1725,Hb Cath Bln Euphora 1.5X10 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 1.5X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 1.5X15 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 1.5X20 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.0X10 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.0X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.0X15 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.0X20 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.0X25 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.0X30 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.25X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.5X10 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.5X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.5X15 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.5X20 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 2.5X30 Rx,1392.24,487.28,,,0
HCPCS,C1725,Hb Cath Bln Euphora 3.0X10 Rx,1567.94,548.78,,,0
HCPCS,C1725,Hb Cath Bln Euphora 3.0X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 3.0X15 Rx,1408.21,492.87,,,0
HCPCS,C1725,Hb Cath Bln Euphora 3.0X20 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 3.0X25 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 3.5X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 3.5X20 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 3.5X25 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Euphora 4.0S20 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Impact Admiral 6.0X150X130,7960.49,2786.17,,,0
HCPCS,C1725,Hb Cath Bln In Pact Admiral 4.0X40X130,6626.33,2319.22,,,0
HCPCS,C1725,Hb Cath Bln In Pact Admiral 4.0X60X130,6626.33,2319.22,,,0
HCPCS,C1725,Hb Cath Bln In Pact Admiral 6.0X120X130,7293.41,2552.69,,,0
HCPCS,C1725,Hb Cath Bln In Pact Admiral 6.0X40X130,6626.33,2319.22,,,0
HCPCS,C1725,Hb Cath Bln In Pact Admiral 6.0X80X130,6626.33,2319.22,,,0
HCPCS,C1725,Hb Cath Bln Inoue Mv 28Mm,12007.44,4202.6,,,0
HCPCS,C1725,Hb Cath Bln Lutonix Av 10X60X75,7787.05,2725.47,,,0
HCPCS,C1725,Hb Cath Bln Lutonix Av 12X40X75,7787.05,2725.47,,,0
HCPCS,C1725,Hb Cath Bln Mini Trek Ii Otw 1.2X8,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Mini Trek Ii Otw 1.5X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Mini Trek Ii Otw 1.5X6,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Mini Trek Ii Otw 1.5X8,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Mini Trek Ii Otw 2.0X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Mini Trek Ii Otw 2.0X15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Mini Trek Ii Otw 2.0X8,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Mini Trek Rx 1.20Mm X 8Mm,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Mustang 10.0 X2X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 10.0 X4X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 10.0 X4X75,1910.5,668.68,,,0
HCPCS,C1725,Hb Cath Bln Mustang 10.0 X8X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 12.0 X4X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 12.0 X4X75,1813.89,634.86,,,0
HCPCS,C1725,Hb Cath Bln Mustang 12.0X80X75Cm,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 4.0 X10X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 4.0 X15X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 4.0 X2X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 4.0 X2X75,1940.14,679.05,,,0
HCPCS,C1725,Hb Cath Bln Mustang 4.0 X4X135,2088.35,730.92,,,0
HCPCS,C1725,Hb Cath Bln Mustang 4.0 X4X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 4.0 X8X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 5.0 X12X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 5.0 X15X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 5.0 X20X135,2071.93,725.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 5.0 X2X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 5.0 X4X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 5.0 X4X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 5.0 X8X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 6.0 X10X135,1910.5,668.68,,,0
HCPCS,C1725,Hb Cath Bln Mustang 6.0 X15X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 6.0 X20X135,2810.61,983.71,,,0
HCPCS,C1725,Hb Cath Bln Mustang 6.0 X4X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 6.0 X4X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 6.0 X6X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 6.0 X8X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 6.0 X8X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 7.0 X2X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 7.0 X4X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 7.0 X4X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 7.0 X8X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 8.0 X2X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 8.0 X4X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 8.0 X4X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 8.0 X8X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 8.0 X8X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 9.0 X2X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 9.0 X4X135,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 9.0 X4X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Mustang 9.0 X8X75,1791.94,627.18,,,0
HCPCS,C1725,Hb Cath Bln Nanocross 2.0X60X150,2555.1,894.28,,,0
HCPCS,C1725,Hb Cath Bln Nanocross 2.5X100X150,2555.1,894.28,,,0
HCPCS,C1725,Hb Cath Bln Nanocross 2.5X150X150,2980.95,1043.33,,,0
HCPCS,C1725,Hb Cath Bln Nanocross 3.5X60X150,2555.1,894.28,,,0
HCPCS,C1725,Hb Cath Bln Nanocross 3.5X80X150,2555.1,894.28,,,0
HCPCS,C1725,Hb Cath Bln Nanocross 4.0X80X150,2555.1,894.28,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 2.0X08 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 2.0X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 2.25X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 2.5X08 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 2.5X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 2.5X15 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 2.5X20 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 2.75X08 Rx,3313.16,1159.61,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 2.75X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 2.75X15 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.0X06 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.0X08 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.0X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.0X15 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.0X20 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.25X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.5X06 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.5X08 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.5X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.5X15 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 3.5X20 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 4.0X06 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 4.0X08 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 4.0X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 4.0X15 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 4.0X20 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 4.5X08 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 5.0X08 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Euphora 5.0X12 Rx,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.25 X 12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.25 X 15,1233.62,431.77,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.25 X 20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.25 X 6,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.25 X 8,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.50 X 12,1230.39,430.64,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.50 X 15,1241.98,434.69,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.50 X 20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.50 X 8,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.50?X 6,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.75  X 12,1243.14,435.1,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.75 X 15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.75 X 20,1235.74,432.51,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.75 X 6,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 2.75 X 8,1220.74,427.26,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.00 X 12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.00 X 15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.00 X 20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.00 X 25,1226.58,429.3,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.00 X 6,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.00 X 8,1242.17,434.76,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.25 X 12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.25 X 15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.25 X 20,1236.92,432.92,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.25 X 6,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.25 X 8,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.50 X 12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.50 X 15,1246.12,436.14,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.50 X 20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.50 X 25,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.50 X 6,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.50 X 8,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.75 X 12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.75 X 15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.75 X 20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 3.75 X 8,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 4.00 X 12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 4.00 X 15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 4.00 X 20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 4.00 X 8,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 4.50 X 12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 4.50 X 15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 4.50 X 8,1240.48,434.17,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 5.00 X 12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 5.00 X 15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 5.00 X 8,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 6.00 X 12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Nc Trek Neo Rx 6.00 X 15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Sprinter 2.25X6,1735.94,607.58,,,0
HCPCS,C1725,Hb Cath Bln Sterling Mrl 4X20X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Mrl 5X20X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Mrl 6X20X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Otw 4X20X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Otw 4X20X80,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Otw 4X40X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Otw 4X40X80,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Otw 5X20X80,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Otw 5X40X80,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Otw 6X40X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Otw 6X40X80,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Sterling Otw 7X40X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Strlng Mr 3.5X40X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Strlng Mr 3X60X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Strlng Mr 7X60X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Strlng Mrl 3.5X20X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Strlng Mrl 4X40X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Strlng Mrl 5X40X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Strlng Mrl 6X40X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Strlng Otw 5X80X135,2342.18,819.76,,,0
HCPCS,C1725,Hb Cath Bln Trek Otw 2.25X08,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Otw 2.5X08,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Otw 2.5X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Otw 2.5X15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Otw 3.0X08,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 1.50X08,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 1.50X20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 1.5X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 1.5X15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.0X08,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.0X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.0X15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.0X20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.0X25,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.0X30,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.25X08,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.25X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.25X15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.25X20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.50X25,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.5X08,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.5X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.5X15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.5X20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.5X30,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 2.75X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 3.0X08,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 3.0X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 3.0X15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 3.0X20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 3.0X25,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 3.0X30,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 3.5X08,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 3.5X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 3.5X15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 3.5X20,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 4.0X08,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 4.0X12,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln Trek Rx 4.0X15,1248.48,436.97,,,0
HCPCS,C1725,Hb Cath Bln True Dil 20X4.5X110,4318.59,1511.51,,,0
HCPCS,C1725,Hb Cath Bln True Dil 21X4.5X110,4587.9,1605.76,,,0
HCPCS,C1725,Hb Cath Bln True Dil 25X4.5X110,4914.43,1720.05,,,0
HCPCS,C1725,Hb Cath Bln Ultraverse 018 3X150X150,2364.8,827.68,,,0
HCPCS,C1725,Hb Cath Bln Ultraverse 018 3X40X150,2364.8,827.68,,,0
HCPCS,C1725,Hb Cath Bln Ultraverse 035 4X40X130,1211.24,423.93,,,0
HCPCS,C1725,Hb Cath Bln Ultraverse 035 4X80X130,1399.95,489.98,,,0
HCPCS,C1725,Hb Cath Bln Ultraverse 035 5X100X130,1211.24,423.93,,,0
HCPCS,C1725,Hb Cath Bln Ultraverse 035 6X40X130,1211.24,423.93,,,0
HCPCS,C1725,Hb Cath Bln Ultraverse 035 7X100X130,1211.24,423.93,,,0
HCPCS,C1725,Hb Cath Bln Ultraverse 035 7X60X130,1211.24,423.93,,,0
HCPCS,C1725,Hb Cath Bln Viatrac 6Mmx40Mm,2384.76,834.67,,,0
HCPCS,C1725,Hb Cath Bln Wolverine 2.00X10,3113.04,1089.56,,,0
HCPCS,C1725,Hb Cath Bln Wolverine 2.25X10,3113.04,1089.56,,,0
HCPCS,C1725,Hb Cath Bln Wolverine 2.50X10,3113.04,1089.56,,,0
HCPCS,C1725,Hb Cath Bln Wolverine 2.50X6,3113.04,1089.56,,,0
HCPCS,C1725,Hb Cath Bln Wolverine 3.00X10,3113.04,1089.56,,,0
HCPCS,C1725,Hb Cath Bln Wolverine 3.00X15,3113.04,1089.56,,,0
HCPCS,C1725,Hb Cath Bln Wolverine 3.00X6,3113.04,1089.56,,,0
HCPCS,C1725,Hb Cath Bln Wolverine 3.50X10,3113.04,1089.56,,,0
HCPCS,C1725,Hb Cath Dil Pta Atlas Gold .035 18X40X120,2456.3,859.7,,,0
HCPCS,C1725,Hb Cath Dil Pta Atlas Gold .035 20X40X120,2862.88,1002.01,,,0
HCPCS,C1725,Hb Cath Dil Pta Atlas Gold .035 22X40X120,2862.88,1002.01,,,0
HCPCS,C1725,Hb Cath Dil Pta Atlas Gold .035 26X20X120,2862.88,1002.01,,,0
HCPCS,C1725,Hb Cath Dil Pta Atlas Gold .035 26X40X120,2862.88,1002.01,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 1.75Mmx15Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 1.75Mmx20Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 2.00Mmx15Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 2.25Mmx10Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 2.25Mmx15Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 2.50Mmx15Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 2.50Mmx20Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 2.75Mmx10Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 2.75Mmx15Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 3.00Mmx10Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 3.00Mmx15Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 3.50Mmx15Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Scoreflex Nc Scoring Ptca 3.50Mmx20Mm,3335.4,1167.39,,,0
HCPCS,C1725,Hb Cath Shockwave M5+Ivl 5.0X60,15342.84,5369.99,,,0
HCPCS,C1725,Hb Cath Shockwave M5+Ivl 6.0X60,15342.84,5369.99,,,0
HCPCS,C1725,"Hb Cath Support Cxi  Angled .018, 2.6Fx150",2274.96,796.24,,,0
HCPCS,C1725,"Hb Cath Support Cxi  Angled .035, 4Fx135",2062.33,721.82,,,0
HCPCS,C1725,"Hb Cath Support Cxi Straight .018, 2.6Fx150",2273.52,795.73,,,0
HCPCS,C1725,"Hb Cath Support Cxi Straight .035, 4Fx135",2049.29,717.25,,,0
HCPCS,C1725,"Hb Cath Support Cxi Straight .035, 4Fx90",2057.28,720.05,,,0
HCPCS,C1725,Hb Ccl Cath Bln Cutting 6X20X90,3128.61,1095.01,,,0
HCPCS,C1725,Hb Ccl Cath Bln Cutting 7X20X90,3128.61,1095.01,,,0
HCPCS,C1725,Hb Kit Shockwave S4 Ivl 2.5X40,12229.8,4280.43,,,0
HCPCS,C1725,Hb Kit Shockwave S4 Ivl 3.0X40,12229.8,4280.43,,,0
HCPCS,C1725,Hb Lutonix 035 130Cm4X150Mm,7787.05,2725.47,,,0
HCPCS,C1725,Hb Lutonix 035 130Cm6X120Mm,7099.95,2484.98,,,0
HCPCS,C1725,Hb Lutonix 035 130Cm6X60Mm,6412.86,2244.5,,,0
HCPCS,C1725,Hb Sup Rev 272 Hcpcs C1725,2800.255,980.085,,,0
HCPCS,C1726,Hb Balloon Cre Pulmonary 10-12Mm,2587.64,905.67,,,0
HCPCS,C1726,Hb Cath Balloon Dilation 18-20,2161.07,756.37,,,0
HCPCS,C1726,Hb Cath Bln Scepter Xc 4X11,7998.74,2799.56,,,0
HCPCS,C1726,Hb Cath Dilatation Cre 30-36Fr,1916.81,670.88,,,0
HCPCS,C1726,Hb Cre Pulmonary Balloon,2629.56,920.35,,,0
HCPCS,C1726,Hb Sup Rev 272 Hcpcs C1726,2689.785,941.42,,,0
HCPCS,C1727,Hb Sup Rev 272 Hcpcs C1727,3586.34,1255.22,,,0
HCPCS,C1729,Hb Accudrain Special W/ Rflx Vlv,2428.41,849.94,,,0
HCPCS,C1729,Hb Cath Biliary 14Fr,996.01,348.6,,,0
HCPCS,C1729,Hb Cath Biliary Drain 16F X 40,1270.26,444.59,,,0
HCPCS,C1729,Hb Cath Drain 12Fx30,1061.05,371.37,,,0
HCPCS,C1729,Hb Cath Drain 8Fx30,1037.63,363.17,,,0
HCPCS,C1729,Hb Cath Drain Dawson Meuller 10.2,913.05,319.57,,,0
HCPCS,C1729,Hb Cath Drain Dawson Mueller 6F,913.05,319.57,,,0
HCPCS,C1729,Hb Cath Drain Dawson Mueller 8.5F,913.05,319.57,,,0
HCPCS,C1729,Hb Cath Drain Flexima 8Fr Firm,996.01,348.6,,,0
HCPCS,C1729,Hb Cath Drain Skater 16F,950.64,332.72,,,0
HCPCS,C1729,Hb Cath Drainage Skater 10F X 30Cm,957.17,335.01,,,0
HCPCS,C1729,Hb Cath Drainage Skater 8F X 30Cm,930.24,325.58,,,0
HCPCS,C1729,Hb Cath Evd Bactiseal Clr 1.9Id,2514.535,880.0899999999999,,,0
HCPCS,C1729,Hb Cath Expel Apd Drain 14X25,929.42,325.3,,,0
HCPCS,C1729,Hb Cath Expel Neph Drain 8X25,1303.97,456.39,,,0
HCPCS,C1729,Hb Cath Mac-Loc Blry Ult10.2-38-40-P-32S-Clb-Rh,1002.39,350.84,,,0
HCPCS,C1729,Hb Cath Mac-Loc Drain Dawson-Mueller,913.05,319.57,,,0
HCPCS,C1729,Hb Cath Mariner Kumpe 4Fx100,648.64,227.02,,,0
HCPCS,C1729,Hb Cath Mariner Kumpe 5Fx100,647.78,226.72,,,0
HCPCS,C1729,Hb Cath Mariner Kumpe 5Fx40,650.93,227.83,,,0
HCPCS,C1729,Hb Cath Mariner Kumpe 5Fx65,647.92,226.77,,,0
HCPCS,C1729,Hb Cath Nephrostomy 10,996.01,348.6,,,0
HCPCS,C1729,Hb Cath Set Drain Pericardio 8.3,1345.07,470.77,,,0
HCPCS,C1729,Hb Cath Surgical Drain 10Fx25Cm,977.7,342.2,,,0
HCPCS,C1729,Hb Cath Surgical Drain 12Fx25Cm,977.7,342.2,,,0
HCPCS,C1729,Hb Cath Surgical Drain 14Fx25Cm,977.7,342.2,,,0
HCPCS,C1729,Hb Cath Surgical Drain 8.5Fx25Cm,977.7,342.2,,,0
HCPCS,C1729,Hb Cath Trocar 12Fr 9In,301.69,105.59,,,0
HCPCS,C1729,Hb Cath Trocar 20Fr 16In,340.04,119.01,,,0
HCPCS,C1729,Hb Cath Trocar 24Fr 16In,340.04,119.01,,,0
HCPCS,C1729,Hb Cath Ultrathane Biliary 12Fr X 40Cm,1002.39,350.84,,,0
HCPCS,C1729,Hb Cath Ultrathane Biliary 14Fr X 40Cm,1002.39,350.84,,,0
HCPCS,C1729,Hb Cath Ultrathane Biliary 8.5Fr X 40Cm,1002.39,350.84,,,0
HCPCS,C1729,Hb Cath Ultrathane Bilry 10Frx40Cm W/Ext Sideprt,1002.39,350.84,,,0
HCPCS,C1729,Hb Cath Ultrathane Bilry 12Frx40Cm W/Ext Sideprt,1002.39,350.84,,,0
HCPCS,C1729,Hb Ccl Cath Drain Bentec 16F,1735.94,607.58,,,0
HCPCS,C1729,Hb Ccl Cath Drain Bentec 18F,1735.94,607.58,,,0
HCPCS,C1729,Hb Kit Pericarial Aspiration,1404.99,491.75,,,0
HCPCS,C1729,Hb Kit Pleura-Seal Thoracentsis,964.92,337.72,,,0
HCPCS,C1729,Hb Needle Yeuh Pigtail 5F,545.31,190.86,,,0
HCPCS,C1729,Hb Skater 10F,899.64,314.87,,,0
HCPCS,C1729,Hb Skater 12F,899.64,314.87,,,0
HCPCS,C1729,Hb Skater 14 Fr,899.64,314.87,,,0
HCPCS,C1729,Hb Sup Rev 272 Hcpcs C1729,667.7,287.95,,,0
HCPCS,C1729,Hb Tray Catheter Wayne,3049.8,1067.43,,,0
HCPCS,C1729,Hb Tray Thoracentesis W Cath,597.79,209.23,,,0
HCPCS,C1729,Hb Valve 5Fr 7Cm Locking Hub  Osc-5F-7Lt,387.6,135.66,,,0
HCPCS,C1730,Hb Cath Achieve Mapping,4424.96,1548.74,,,0
HCPCS,C1730,Hb Cath Cournard2 5Fr,984.91,344.72,,,0
HCPCS,C1730,Hb Cath Ez Steer Nav Df,2358.35,825.42,,,0
HCPCS,C1730,Hb Cath Josephson 6Fr,984.91,344.72,,,0
HCPCS,C1730,Hb Cath Mapping Achieve Adv 25Mm,4647.32,1626.56,,,0
HCPCS,C1730,Hb Cath Swan Ganz Str Tip 5Fr,1256.95,439.93,,,0
HCPCS,C1731,Hb Cath Dou Deca 7Fr,3762.33,1316.82,,,0
HCPCS,C1731,Hb Cath Dx 20 10Mm,4438.31,1553.41,,,0
HCPCS,C1731,Hb Cath Lasso 20 Pole 15Mm,7824.85,2738.7,,,0
HCPCS,C1731,Hb Cath Livewire 7Fr X 115,3762.33,1316.82,,,0
HCPCS,C1731,Hb Cath Mapping Octaray 2Cm D 33333,10935.98,3827.59,,,0
HCPCS,C1731,Hb Catheter Cable Octaray,5216.57,1825.8,,,0
HCPCS,C1732,Hb Cath Hd Grid Df,9339.12,3268.69,,,0
HCPCS,C1732,Hb Cath Mapping Optrell With Trueref 36 D-F 2.4X2.4Mm,10766.67,3768.33,,,0
HCPCS,C1732,Hb Cath Pentaray Nav D Curv 2-6-2,7485.7,2620.0,,,0
HCPCS,C1732,Hb Cath Qdot Micro Bi Tc D-F Curve,16937.53,5928.14,,,0
HCPCS,C1732,Hb Cath Smarttouch St Sf D/F,13962.4,4886.84,,,0
HCPCS,C1732,Hb Electrodes Optrell 48 D-F,10942.02,3829.71,,,0
HCPCS,C1733,Hb Arctic Front Advance Cryoablation Catheter,20012.4,7004.34,,,0
HCPCS,C1733,Hb Cath Cryo Artic Front Adv Pro 23Mm,20012.4,7004.34,,,0
HCPCS,C1733,Hb Catheter Pulseselect Pfa Loop,29593.23,10357.63,,,0
HCPCS,C1733,Hb Microcatheter Direxion Hi Flo J 130,2584.94,904.73,,,0
HCPCS,C1734,Hb Sup Rev 278 Hcpcs C1734,11022.16,3857.76,,,0
HCPCS,C1747,Hb Sup Rev 272 Hcpcs C1747,11001.36,3850.4750000000004,,,0
HCPCS,C1748,"Inactive - Hb Endoscope, Single, Ugi",8894.4,3113.04,,,0
HCPCS,C1750,Hb Cath Bioflo Dialysis 28Cm,2555.1,894.28,,,0
HCPCS,C1750,Hb Cath Dialy Bas 2Lum Sil 12.4F 24Cm,2553.51,893.73,,,0
HCPCS,C1750,Hb Cath Dialysis 10Fr X 24Cm,3236.46,1132.76,,,0
HCPCS,C1750,Hb Cath Dialysis 11.5Fr X 15Cm,915.55,320.44,,,0
HCPCS,C1750,Hb Cath Dialysis 9Fr 15Cm Du,915.55,320.44,,,0
HCPCS,C1750,Hb Cath Dialysis Duramax 55Cm,2614.18,914.96,,,0
HCPCS,C1750,Hb Cath Glidepath Dialysis 19Cm,2763.51,967.23,,,0
HCPCS,C1750,Hb Cath Vasc Duo Flow 14F X 24Cm,1175.96,411.59,,,0
HCPCS,C1750,Hb Sup Rev 272 Hcpcs C1750,638.48,223.47,,,0
HCPCS,C1751,Hb 1.4 Fr Poly Picc Catheter Only (28Cm),616.08,215.63,,,0
HCPCS,C1751,Hb 1.4 Fr Poly Picc Complete Kit,1353.54,473.74,,,0
HCPCS,C1751,Hb 1.9 Fr Poly Picc Catheter Only (28Cm),599.76,209.92,,,0
HCPCS,C1751,Hb 1.9 Fr Poly Picc Catheter Only -Dual Lumen,932.28,326.3,,,0
HCPCS,C1751,Hb 1.9 Fr Poly Picc Complete Kit,1317.84,461.24,,,0
HCPCS,C1751,Hb 1.9Fr Poly Dual Lumen Complete Kit,1433.1,501.58,,,0
HCPCS,C1751,Hb 3Fr Single Power Midline,1922.7,672.94,,,0
HCPCS,C1751,Hb 3Fr Single Ppic W/3Cg,2830.5,990.68,,,0
HCPCS,C1751,Hb 4Fr Dual Ppic W/3Cg,2932.5,1026.38,,,0
HCPCS,C1751,Hb 4Fr Single Ppic W/3Cg,2658.6,930.51,,,0
HCPCS,C1751,Hb Cath Dual Lumen 8Frx20Cm,1326.3,464.2,,,0
HCPCS,C1751,Hb Cath Dual Pedi 13Cm X 4Fr,529.75,185.41,,,0
HCPCS,C1751,Hb Cath Infusion 5F X 10 X 135,1669.86,584.45,,,0
HCPCS,C1751,Hb Cath Infusion 5F X 10 X 90,1829.89,640.46,,,0
HCPCS,C1751,Hb Cath Infusion 5F X 20 X 135,1669.86,584.45,,,0
HCPCS,C1751,Hb Cath Infusion 5F X 20 X 90,2694.06,942.92,,,0
HCPCS,C1751,Hb Cath Infusion 5F X 30 X 90,1669.86,584.45,,,0
HCPCS,C1751,Hb Cath Infusion 5F X 50 X 90,1669.86,584.45,,,0
HCPCS,C1751,Hb Cath Mac Multi Lumen,1645.04,575.76,,,0
HCPCS,C1751,Hb Cath Multi Access 11.5,1423.92,498.37,,,0
HCPCS,C1751,Hb Cath Picc 2Lum 2.6Frx50Cm,828.24,289.88,,,0
HCPCS,C1751,Hb Cath Pig 5F X100 Marker,1321.55,462.54,,,0
HCPCS,C1751,Hb Cath Pig 5Fx70 Marker,1343.41,470.19,,,0
HCPCS,C1751,Hb Cath Powerline 5F Sl,2197.39,769.09,,,0
HCPCS,C1751,Hb Cath Powerline 6F Dl,2367.73,828.71,,,0
HCPCS,C1751,Hb Cath Radial Artery 20Ga,257.2,90.02,,,0
HCPCS,C1751,Hb Cath Set Radial Artery 22Ga,238.87,83.6,,,0
HCPCS,C1751,Hb Cath Swan Ganz Ptd 7Fr,2171.84,760.14,,,0
HCPCS,C1751,Hb Cath Swan Ganz Tip Fem Ins,1130.55,395.69,,,0
HCPCS,C1751,Hb Cath Swan Ganz Vip 7.5 Fr,988.37,345.93,,,0
HCPCS,C1751,Hb Cath Swan Ganz Vol Oximetry,2456.07,859.62,,,0
HCPCS,C1751,Hb Cath Vasc Dual Split 15Cm R,1256.6,439.81,,,0
HCPCS,C1751,Hb Cath Vasc Dual Split 20Cm L,1256.6,439.81,,,0
HCPCS,C1751,Hb Cath Vasc Dual Split 25Cm,1547.79,541.73,,,0
HCPCS,C1751,Hb Cath Vasc Duo-Flow 14F X 15Cm,1539.94,538.98,,,0
HCPCS,C1751,Hb Catheter Single Lumen Wedge 6Fr,1239.57,433.85,,,0
HCPCS,C1751,Hb Ccl Cath Infusion 5F X 50 X 135,1925.91,674.07,,,0
HCPCS,C1751,Hb Kit Femoral Arterial Cath 18G,619.5350000000001,216.84,,,0
HCPCS,C1751,Hb Kit Pedi Tri Lumen 8Cm,845.5,295.92,,,0
HCPCS,C1751,Hb Kit Single Lumen 12.7 X 20G,551.82,193.14,,,0
HCPCS,C1751,Hb Kit Single Lumen 12.7X20G,555.68,194.49,,,0
HCPCS,C1751,Hb Kit Single Lumen 16G X 8In,575.23,201.33,,,0
HCPCS,C1751,Hb Presep Catheter,3010.02,1053.51,,,0
HCPCS,C1751,Hb Sup Rev 272 Hcpcs C1751,1408.395,492.935,,,0
HCPCS,C1751,Hb Tray Cvc Tri Lumen 7Fr X 16Cm,1662.47,581.86,,,0
HCPCS,C1751,Hb Tray Cvc Tri Lumen 7Fr X 20Cm,1422.43,497.84999999999997,,,0
HCPCS,C1751,Hb Tray Cvc Tri Lumen 9Frx15Cm,1598.92,559.62,,,0
HCPCS,C1751,Hb Tray Cvc Tri Lumen 9Frx20Cm,1377.55,482.14,,,0
HCPCS,C1751,Hb Tray Picc Insertion,415.14,145.295,,,0
HCPCS,C1751,Inactive - Hb Cath Seldinger 4Fr,452.88,158.51,,,0
HCPCS,C1751,Inactive - Hb Cath Trilumen 7Frx20,1223.26,428.14,,,0
HCPCS,C1751,Inactive-Hb Cath Picc Sl 4Fr,829.26,290.24,,,0
HCPCS,C1752,Hb Cath Dialysis Schon 15Cm,1206.86,422.4,,,0
HCPCS,C1752,Hb Cath Dialysis Schon 20Cm,1208.51,422.98,,,0
HCPCS,C1752,Hb Cath Dialysis Schon 24Cm,1267.55,443.64,,,0
HCPCS,C1753,Hb Cath Eagle Eye Platinum 5Fx150,3324.28,1163.5,,,0
HCPCS,C1753,Hb Cath Ivus Opticross,2668.32,933.91,,,0
HCPCS,C1753,Hb Cath Opticross 6 Hd,3446.58,1206.3,,,0
HCPCS,C1753,Hb Cath Visions Pv.035,5328.09,1864.83,,,0
HCPCS,C1753,Hb Ccl Cath Visions Volcan Pv 0.018,3001.86,1050.65,,,0
HCPCS,C1753,Hb Sup Rev 272 Hcpcs C1753,5181.455,1813.51,,,0
HCPCS,C1755,Hb Sup Rev 272 Hcpcs C1755,4575.21,1601.325,,,0
HCPCS,C1757,Hb Cath Angiojet Zelante Dvt,20679.48,7237.82,,,0
HCPCS,C1757,Hb Cath Export Aspiration,3832.65,1341.43,,,0
HCPCS,C1757,Hb Cath Fogarty 5.5F,1147.63,401.67,,,0
HCPCS,C1757,Hb Cath Fogarty 7Fr 80 Cm,1147.63,401.67,,,0
HCPCS,C1757,Hb Cath Fogarty Adherent Clot 4F,2183.84,764.34,,,0
HCPCS,C1757,Hb Cath Fogrt Embol 3Fr 80Cm,615.17,215.31,,,0
HCPCS,C1757,Hb Cath Fogrt Embol 4Fr 80Cm,615.17,215.31,,,0
HCPCS,C1757,Hb Cath Indigo 12 115Cm Htorq Ltg Asp Tubing,30285.43,10599.9,,,0
HCPCS,C1757,Hb Cath Indigo 7 130Cm Torq Ltg Bolt Asp Tubing,35310.77,12358.77,,,0
HCPCS,C1757,Hb Cath Indigo 7 130Cm Xtorq Ltg Bolt Asp Tubing,24948.79,8732.08,,,0
HCPCS,C1757,Hb Cath Litng Flash Htorq Tubing 100Cm Select H1,43449.14,15207.2,,,0
HCPCS,C1757,Hb Cath Litng Flash Htorq Tubing 115Cm Select H1,43449.14,15207.2,,,0
HCPCS,C1757,Hb Cath Litng Flash Htorq Tubing 80Cm Select H1,43449.14,15207.2,,,0
HCPCS,C1757,Hb Cath Ltg Flash 100 Asp Tub 6F 135 H1,43449.14,15207.2,,,0
HCPCS,C1757,Hb Cath Ltg Flash 100 Asp Tub 6F 135Ber,43451.05,15207.87,,,0
HCPCS,C1757,Hb Cath Ltg Flash 80 Asp Tub 6F 105Ber,43449.14,15207.2,,,0
HCPCS,C1757,Hb Cath Reperfusion 032,7248.94,2537.13,,,0
HCPCS,C1757,Hb Cath Xpedior 6F X 120Cm,11562.72,4046.95,,,0
HCPCS,C1757,Hb Cath Zoom 55 Reperfusion 137Cm,11940.73,4179.26,,,0
HCPCS,C1757,Hb Ccl Catheter Fogarty 4Fr,1147.63,401.67,,,0
HCPCS,C1757,Hb Device Embotrap Iii 5.0Mmx22Mm,29498.63,10324.52,,,0
HCPCS,C1757,Hb Device Embotrap Iii 5.0Mmx37Mm,29498.63,10324.52,,,0
HCPCS,C1757,Hb Kit Dvt Price Per Procedure,40024.8,14008.68,,,0
HCPCS,C1757,Hb Kit Vte Price Per Procedure,53366.4,18678.24,,,0
HCPCS,C1757,Hb Sup Rev 272 Hcpcs C1757,2683.88,939.36,,,0
HCPCS,C1758,Hb Cath Urethral Access 6Fr,88.14,30.85,,,0
HCPCS,C1758,Hb Sup Rev 272 Hcpcs C1758,302.145,105.755,,,0
HCPCS,C1759,Hb Cath Acunav G 10F-90,10757.78,3765.22,,,0
HCPCS,C1759,Hb Cath Acunav Ultrasound 10Fr,11244.0,3935.4,,,0
HCPCS,C1759,Hb Cath Soundstar Vivid 10F,11013.91,3854.87,,,0
HCPCS,C1760,Hb Closure Dev Angioseal 8F,2786.72,975.35,,,0
HCPCS,C1760,Hb Closure Dev Angioseal Vip 6F,2708.5950000000003,948.01,,,0
HCPCS,C1760,Hb Closure Device Celt Acd 5Fr,2183.92,764.37,,,0
HCPCS,C1760,Hb Closure Device Celt Acd 6Fr,2183.92,764.37,,,0
HCPCS,C1760,Hb Closure Device Vascade Mvp,2766.96,968.435,,,0
HCPCS,C1760,Hb Closure Vessel Prostyle,2778.0,972.3,,,0
HCPCS,C1760,Hb Device Closure Perclose,2768.02,968.81,,,0
HCPCS,C1760,Hb Sup Rev 278 Hcpcs C1760,2786.72,975.35,,,0
HCPCS,C1760,Inactive - Hb Sup Rev 272 Hcpcs C1760,2491.91,872.165,,,0
HCPCS,C1761,Hb Cath Shockwave C2 6F 4.0 12X138,20901.84,7315.64,,,0
HCPCS,C1761,Hb Cath Shockwave C2+ 6F 2.5 12X138,20901.84,7315.64,,,0
HCPCS,C1761,Hb Cath Shockwave C2+ 6F 3.0 12X138,20901.84,7315.64,,,0
HCPCS,C1761,Hb Cath Shockwave C2+ 6F 3.5 12X138,20901.84,7315.64,,,0
HCPCS,C1761,Hb Cath Shockwave C2+ 6F 4.0 12X138,20901.84,7315.64,,,0
HCPCS,C1762,Hb Sup Rev 278 Hcpcs C1762,9740.65,3409.23,,,0
HCPCS,C1763,Hb Sup Rev 278 Hcpcs C1763,1950.52,682.68,,,0
HCPCS,C1764,Hb Icm Biomonitor Iiim,12564.72,4397.65,,,0
HCPCS,C1764,Hb Loop Recorder Biomonitor,12564.72,4397.65,,,0
HCPCS,C1764,Hb Loop Recorder Reveal Linq,14494.3,5073.0,,,0
HCPCS,C1764,Hb System Triclip Hb Loop Recorder Biomonitor Iv,12564.72,4397.65,,,0
HCPCS,C1766,Hb Sheath Steerable Flexcath Contour 10F 13Mm,5781.36,2023.48,,,0
HCPCS,C1766,Hb Sheath Steerable Flexcath Contour 10F 20Mm,5781.49,2023.52,,,0
HCPCS,C1766,Hb Sheath Steerable Flexcath Contour 12F 13Mm,5781.36,2023.48,,,0
HCPCS,C1766,Hb Sheath Steerable Flexcath Contour 12F 20Mm,5781.36,2023.48,,,0
HCPCS,C1766,Hb Sup Rev 272 Hcpcs C1766,3832.65,1341.43,,,0
HCPCS,C1766,Hb Sys Transseptal Access Flexcath Cross Fcc 65Cm  10F,4240.64,1484.22,,,0
HCPCS,C1766,Hb Sys Transseptal Access Flexcath Cross Fcc 65Cm  12F,3577.14,1252.0,,,0
HCPCS,C1767,Hb Sup Rev 278 Hcpcs C1767,51754.68,18114.14,,,0
HCPCS,C1768,Hb Sup Rev 275 Hcpcs C1768,2695.43,943.4,,,0
HCPCS,C1768,Hb Sup Rev 278 Hcpcs C1768,4672.88,1635.51,,,0
HCPCS,C1769,"""Hb Guide Wire 35"""" X 300Cm""",1179.12,412.69,,,0
HCPCS,C1769,Hb Amplatzer Guidewire .035 In,873.94,305.88,,,0
HCPCS,C1769,Hb Cath Glide 5Frx65Cm Angled,737.72,258.2,,,0
HCPCS,C1769,Hb Ccl Guidewire .014 Transend,1915.24,670.33,,,0
HCPCS,C1769,Hb Ccl Guidewire .035 260St,161.69,56.59,,,0
HCPCS,C1769,Hb Ccl Guidewire 180Cm Prowater,1040.4,364.14,,,0
HCPCS,C1769,Hb Ccl Guidewire 3 300 Miraclebros,1399.95,489.98,,,0
HCPCS,C1769,Hb Ccl Guidewire Bmw 190,971.04,339.86,,,0
HCPCS,C1769,Hb Ccl Guidewire Cougar Xt 014X190,943.3,330.16,,,0
HCPCS,C1769,Hb Ccl Guidewire Loc .035X115Cm,1495.15,523.3,,,0
HCPCS,C1769,Hb Ccl Wire Amplatz .035X145,486.85,170.4,,,0
HCPCS,C1769,Hb Ccl Wire Glide Stiff Str,754.8,264.18,,,0
HCPCS,C1769,Hb Ccl Wire Nitinol .018X80,924.84,323.69,,,0
HCPCS,C1769,Hb Control Guidewire V-18 300Cm 12Cm Poly Tip,1165.25,407.84,,,0
HCPCS,C1769,Hb Glidewire Angle Tip .035X180Cm,711.11,248.89,,,0
HCPCS,C1769,Hb Guide Wire Support Amplatz Extra-Stiff,427.25,149.54,,,0
HCPCS,C1769,Hb Guidewire .025 X145,170.21,59.57,,,0
HCPCS,C1769,Hb Guidewire .035 X145 Mc,167.85,58.75,,,0
HCPCS,C1769,Hb Guidewire .035 X260J,158.42,55.45,,,0
HCPCS,C1769,Hb Guidewire .035Dia 260 Cm 3Mm J Tip,207.59,72.66,,,0
HCPCS,C1769,Hb Guidewire 3 180 Miraclebros,1399.95,489.98,,,0
HCPCS,C1769,Hb Guidewire 300Cm Prowater,1040.4,364.14,,,0
HCPCS,C1769,Hb Guidewire Amplantz 180Cm,480.35,168.12,,,0
HCPCS,C1769,Hb Guidewire Aplatz  Extra Stiff .35X250,521.88,182.66,,,0
HCPCS,C1769,Hb Guidewire Aplatz Extra Stiff .35X180,371.12,129.89,,,0
HCPCS,C1769,Hb Guidewire Aplatz Xtr Stiff 300,617.81,216.23,,,0
HCPCS,C1769,Hb Guidewire Aristotle 24 Soft,3313.16,1159.61,,,0
HCPCS,C1769,Hb Guidewire Aristotle 24 Standard,3313.16,1159.61,,,0
HCPCS,C1769,Hb Guidewire Aristotle 24 Support,3313.16,1159.61,,,0
HCPCS,C1769,Hb Guidewire Bmw 300,971.04,339.86,,,0
HCPCS,C1769,Hb Guidewire Brecker Curve,2183.92,764.37,,,0
HCPCS,C1769,Hb Guidewire Choice Pt Extra Supp,971.04,339.86,,,0
HCPCS,C1769,Hb Guidewire Choice Xs 182,971.04,339.86,,,0
HCPCS,C1769,Hb Guidewire Circulo Tavi Extra Small,662.18,231.76,,,0
HCPCS,C1769,Hb Guidewire Diag .035 X145 St,163.96,57.39,,,0
HCPCS,C1769,Hb Guidewire Fielder Xt-A Ptca 190Cm,2779.5,972.82,,,0
HCPCS,C1769,Hb Guidewire Hi Torque 145Cm,1041.09,364.38,,,0
HCPCS,C1769,Hb Guidewire J .035In / 0.89Mm,222.36,77.83,,,0
HCPCS,C1769,Hb Guidewire Lunderquist Str 0.35X300Cm,353.46,123.71,,,0
HCPCS,C1769,Hb Guidewire Miraclebros 6 Ptca 180Cm,2779.5,972.82,,,0
HCPCS,C1769,Hb Guidewire Optpwire Iii Str Tip 180Cm,2668.32,933.91,,,0
HCPCS,C1769,Hb Guidewire Pressure Pre-Shape Savvywire X-Sml,4239.8,1483.93,,,0
HCPCS,C1769,Hb Guidewire Provox,801.72,280.6,,,0
HCPCS,C1769,Hb Guidewire Pt Plus 014 St 300Cm,971.04,339.86,,,0
HCPCS,C1769,Hb Guidewire Rosen 035X180Cm,396.39,138.74,,,0
HCPCS,C1769,Hb Guidewire Rosen Xtra Stiff,467.17,163.51,,,0
HCPCS,C1769,Hb Guidewire Transcend Std Ex 014,2277.19,797.02,,,0
HCPCS,C1769,Hb Guidewire Transend .010,3233.78,1131.82,,,0
HCPCS,C1769,Hb Guidewire Whisper 190,971.04,339.86,,,0
HCPCS,C1769,Hb Guidewire Whisper 300,971.04,339.86,,,0
HCPCS,C1769,Hb Guidewire Wholey 260Cm,1248.48,436.97,,,0
HCPCS,C1769,Hb Guidewire Wiggle 300Cm,971.04,339.86,,,0
HCPCS,C1769,Hb Gw Aristotle 14 Standard 200,2334.78,817.17,,,0
HCPCS,C1769,Hb Gw Aristotle 18 Standard 200Cm,2868.44,1003.95,,,0
HCPCS,C1769,Hb Gw Gaia Next 3 190Cm Preshape,1399.95,489.98,,,0
HCPCS,C1769,Hb Gw Gladius Mongo 14 190Cm Str,1567.94,548.78,,,0
HCPCS,C1769,Hb Gw Hi-Torque Pilot-50 Str .014 X 190Cm,971.04,339.86,,,0
HCPCS,C1769,Hb Gw Hi-Torque Supra Core 190Cm,1109.76,388.42,,,0
HCPCS,C1769,Hb Gw Hi-Torque Versacore Floppy 260,1040.4,364.14,,,0
HCPCS,C1769,Hb Gw Hi-Torque Versacore Mod J 145,824.16,288.46,,,0
HCPCS,C1769,Hb Gw Hybrid 007 Str Tip,4030.53,1410.69,,,0
HCPCS,C1769,Hb Gw Hybrid 008 Str Tip,3912.22,1369.28,,,0
HCPCS,C1769,Hb Gw Safari2 Extra Sm Curve Tavr,2512.52,879.38,,,0
HCPCS,C1769,Hb Gw Synchro Select 14 Sft Ps 215Cm,2612.7,914.44,,,0
HCPCS,C1769,Hb Gw Synchro Select 14 Sft St 215Cm,2614.68,915.14,,,0
HCPCS,C1769,Hb Gw Synchro Select 14 Std St 215Cm,2598.62,909.52,,,0
HCPCS,C1769,Hb Gw Synchro Select 14 Std St 300Cm,3291.05,1151.87,,,0
HCPCS,C1769,Hb Gw Synchro Select 14 Sup Ps 215Cm,2626.95,919.43,,,0
HCPCS,C1769,Hb Gw Zoom Wire 14 Support,2445.96,856.09,,,0
HCPCS,C1769,Hb Gwire Amplatz Ex-Stiff .032X180Cm,523.51,183.23,,,0
HCPCS,C1769,Hb Jagwire Pulmonary Guidewire,1242.36,434.83,,,0
HCPCS,C1769,Hb Kit Powerwire Rf Gw 110 Ang 40G,9847.37,3446.58,,,0
HCPCS,C1769,Hb Kit Trach Percu 6Mm,2324.55,813.59,,,0
HCPCS,C1769,Hb Kit Trach Percu 8Mm,2808.04,982.81,,,0
HCPCS,C1769,Hb Or-Guidewire Rosen 035X260Cm,381.96,133.69,,,0
HCPCS,C1769,Hb Stroke Wire 18 Support Guidewire,2868.44,1003.95,,,0
HCPCS,C1769,Hb Sup Rev 272 Hcpcs C1769,820.865,287.3,,,0
HCPCS,C1769,Hb Wire Amplatz .035X260,469.23,164.23,,,0
HCPCS,C1769,Hb Wire Amplatz Ss .035X145 3Mm J,430.42,150.65,,,0
HCPCS,C1769,Hb Wire Amplatz Ssj .035X260,430.42,150.65,,,0
HCPCS,C1769,Hb Wire Converter Piggyback 145Cm,4411.62,1544.07,,,0
HCPCS,C1769,Hb Wire Fathom .014X200 F Shape,2381.78,833.62,,,0
HCPCS,C1769,Hb Wire Fathom .014X200 Preshape,2381.78,833.62,,,0
HCPCS,C1769,Hb Wire Fathom 16,2321.65,812.58,,,0
HCPCS,C1769,"Hb Wire Fielder Xt, 300Cm",1399.95,489.98,,,0
HCPCS,C1769,Hb Wire Fielder Xt-A 300Cm,1399.95,489.98,,,0
HCPCS,C1769,Hb Wire Glide .025X150 Angled,743.13,260.1,,,0
HCPCS,C1769,Hb Wire Glide .035/260 1.5J,755.46,264.41,,,0
HCPCS,C1769,Hb Wire Glide .035X150 Angled,536.37,187.73,,,0
HCPCS,C1769,Hb Wire Glide .035X150 Stiff,804.55,281.59,,,0
HCPCS,C1769,Hb Wire Glide .035X180 Angled,719.55,251.84,,,0
HCPCS,C1769,Hb Wire Glide .035X260 Angled,787.05,275.47,,,0
HCPCS,C1769,Hb Wire Glide .038X260 Angled,789.35,276.27,,,0
HCPCS,C1769,Hb Wire Glide 1.5 J,719.39,251.79,,,0
HCPCS,C1769,Hb Wire Glide Advantage 180Cm,2358.83,825.59,,,0
HCPCS,C1769,Hb Wire Glide Advantage 260Cm,2578.87,902.6,,,0
HCPCS,C1769,Hb Wire Glide Gt .018X180 Ang,2090.83,731.79,,,0
HCPCS,C1769,Hb Wire Glide Gt .018X180 Str,2083.13,729.1,,,0
HCPCS,C1769,Hb Wire Glide Gt Double Ang .018X180,2113.92,739.87,,,0
HCPCS,C1769,Hb Wire Glide Stiffang .035X260,759.75,265.91,,,0
HCPCS,C1769,Hb Wire Guide .025 X 260J,279.77,97.92,,,0
HCPCS,C1769,Hb Wire Guide Asahi Astato Xs20,1679.94,587.98,,,0
HCPCS,C1769,Hb Wire Guide Bmw .014X190,971.04,339.86,,,0
HCPCS,C1769,Hb Wire Guide Bmw St 300Cm,943.3,330.16,,,0
HCPCS,C1769,Hb Wire Guide Cto Approach 18G X300,1713.65,599.78,,,0
HCPCS,C1769,Hb Wire Guide Cto Approach 25Gx300,1713.65,599.78,,,0
HCPCS,C1769,Hb Wire Guide Fc .035X145,169.35,59.27,,,0
HCPCS,C1769,Hb Wire Guide Hybrid 88,1791.94,627.18,,,0
HCPCS,C1769,Hb Wire Guide Rg3 330Cm,1399.95,489.98,,,0
HCPCS,C1769,Hb Wire Illumax .018X180,1189.77,416.42,,,0
HCPCS,C1769,Hb Wire Illumax .018X80,1010.21,353.57,,,0
HCPCS,C1769,Hb Wire Lunderquist Dcurve 260Cm,1567.94,548.78,,,0
HCPCS,C1769,Hb Wire Lunderquist Str .035X260,1401.07,490.37,,,0
HCPCS,C1769,"Hb Wire Miracle Bros 12, 300Cm",1399.95,489.98,,,0
HCPCS,C1769,Hb Wire Navicross 135,2459.15,860.7,,,0
HCPCS,C1769,Hb Wire Navicross 150,2425.84,849.04,,,0
HCPCS,C1769,Hb Wire Nitinol .018X180,1294.68,453.14,,,0
HCPCS,C1769,Hb Wire Pilot 200 300Cm,971.04,339.86,,,0
HCPCS,C1769,Hb Wire Pilot 50 300Cm,971.04,339.86,,,0
HCPCS,C1769,Hb Wire Pressure Aeris 175Cm,3000.0550000000003,1050.02,,,0
HCPCS,C1769,Hb Wire Protrack 230 Cm,2127.92,744.77,,,0
HCPCS,C1769,Hb Wire Q 0.35X80 J,157.67,55.18,,,0
HCPCS,C1769,"Hb Wire R350, 350Cm",2351.92,823.17,,,0
HCPCS,C1769,Hb Wire Sion Blue 180Cm,1317.84,461.24,,,0
HCPCS,C1769,"Hb Wire Sion, 300Cm",1399.95,489.98,,,0
HCPCS,C1769,Hb Wire Sv 5X180,924.57,323.6,,,0
HCPCS,C1769,Hb Wire Sv 5X300,924.57,323.6,,,0
HCPCS,C1769,Hb Wire Synchro 10,2602.0,910.7,,,0
HCPCS,C1769,Hb Wire Transcend 300 Floppy,2615.95,915.58,,,0
HCPCS,C1769,Hb Wire V 18 150Cm,1320.73,462.26,,,0
HCPCS,C1769,Hb Wire V 18 300Cm,1281.54,448.54,,,0
HCPCS,C1769,Hb Wire Viper Coronary,2351.92,823.17,,,0
HCPCS,C1769,Hb Wire Whisper Es 190Cm,971.04,339.86,,,0
HCPCS,C1769,Hb Wire Whisper Es 300Cm,971.04,339.86,,,0
HCPCS,C1769,Hb Wire Wholey,998.78,349.57,,,0
HCPCS,C1771,Hb Sup Rev 278 Hcpcs C1771,4489.37,1571.275,,,0
HCPCS,C1772,Hb Sup Rev 278 Hcpcs C1772,34532.04,12086.21,,,0
HCPCS,C1773,Hb Catheter Retrieval Aveir Vr,2668.32,933.91,,,0
HCPCS,C1773,Hb Delivery System Amplatzer 9X80,2742.52,959.885,,,0
HCPCS,C1773,Hb Filter Retriever,2367.47,828.61,,,0
HCPCS,C1773,Hb Kit Se-Loop Snare Halo 20Mm 6F,2351.92,823.17,,,0
HCPCS,C1773,Hb Kit Single Loop Snare Retrieval,2214.42,775.05,,,0
HCPCS,C1773,Hb Lead Locking Device #1,2549.71,892.4,,,0
HCPCS,C1773,Hb Lead Locking Device #2,2579.36,902.78,,,0
HCPCS,C1773,Hb Retriever Cloversnare 4-Loop 6F 90Cm,2858.12,1000.34,,,0
HCPCS,C1773,Hb Snare Ensnare 12 20,2825.44,988.9,,,0
HCPCS,C1773,Hb Snare Ensnare 18 30,2827.24,989.53,,,0
HCPCS,C1773,Hb Snare Ensnare 2 4,2912.92,1019.52,,,0
HCPCS,C1773,Hb Snare Ensnare 27 45,2833.32,991.66,,,0
HCPCS,C1773,Hb Snare Ensnare 4 8,2912.92,1019.52,,,0
HCPCS,C1773,Hb Snare Ensnare 6 10,2819.13,986.7,,,0
HCPCS,C1773,Hb Snare Gooseneck 20Mm,2597.68,909.19,,,0
HCPCS,C1773,Hb Snare Gooseneck 2Mm,2619.4,916.79,,,0
HCPCS,C1773,Hb Snare Micro Gooseneck 7X200,2846.21,996.17,,,0
HCPCS,C1773,Hb Snare Retrieval 20Mm,8004.96,2801.74,,,0
HCPCS,C1773,Hb Sup Rev 272 Hcpcs C1773,2826.22,989.18,,,0
HCPCS,C1776,Hb Sup Rev 278 Hcpcs C1776,5400.89,1890.31,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies,14958.0,5235.3,,,0
HCPCS,C1777,Hb Lead Durata Df1 Tbp S Shk 65Cm,7778.16,2722.36,,,0
HCPCS,C1777,Hb Lead Durata Df4 Tbp S Shk 58Cm,7778.16,2722.36,,,0
HCPCS,C1777,Hb Lead Durata Df4 Tbp S Shk 65Cm,7467.08,2613.48,,,0
HCPCS,C1777,Hb Lead Pamira S 65,5983.2,2094.12,,,0
HCPCS,C1777,Hb Lead Plexa  Df1 S Dx 65/15 Rv As,5983.2,2094.12,,,0
HCPCS,C1777,Hb Lead Plexa Promri S 60,5983.2,2094.12,,,0
HCPCS,C1777,Hb Lead Plexa Promri S 65,5983.2,2094.12,,,0
HCPCS,C1777,Hb Lead Plexa S Dx 65/15 Rv As,5983.2,2094.12,,,0
HCPCS,C1777,Hb Lead Sprint Quat Df4,8894.68,3113.14,,,0
HCPCS,C1777,Hb Lead Sprint Quattro S S 6935M,8974.8,3141.18,,,0
HCPCS,C1777,Hb Lead Sprint Quattro Secure 55C,8974.8,3141.18,,,0
HCPCS,C1777,Hb Lead Sprint Quattro Secure 65,8974.8,3141.18,,,0
HCPCS,C1778,Hb Sup Rev 278 Hcpcs C1778,9891.195,3461.92,,,0
HCPCS,C1781,Hb Sup Rev 278 Hcpcs C1781,2099.6,734.86,,,0
HCPCS,C1782,Hb Sup Rev 272 Hcpcs C1782,4373.07,1530.57,,,0
HCPCS,C1783,Hb Sup Rev 278 Hcpcs C1783,2539.87,888.95,,,0
HCPCS,C1785,Hb Gen Accolade Mri Dr,8974.8,3141.18,,,0
HCPCS,C1785,Hb Gen Amvia Edge Dr-T,10347.94,3621.78,,,0
HCPCS,C1785,Hb Gen Assurity Mri Dr,8077.32,2827.06,,,0
HCPCS,C1785,Hb Gen Azure Xt Dr Mri,10622.31,3717.81,,,0
HCPCS,C1785,Hb Gen Edora 8 Dr-T Promri Cls,9124.38,3193.53,,,0
HCPCS,C1786,Hb Gen Aveir Vr Leadless 19.5F 38.5 Rv,17353.5,6073.725,,,0
HCPCS,C1786,Hb Gen Azure Xt Sr Mri,8573.93,3000.88,,,0
HCPCS,C1786,Hb Lead Pamira S Dx 65/15 Rv And Atrial Sensing,5983.2,2094.12,,,0
HCPCS,C1786,Hb System Micra Av2 Leadless Pacing,36557.35,12795.07,,,0
HCPCS,C1786,Hb System Micra Vr2 Leadless Pacing,28150.96,9852.84,,,0
HCPCS,C1787,Hb Sup Rev 272 Hcpcs C1787,7211.135,2523.9,,,0
HCPCS,C1788,Hb Port Clearvue 8Fr Slim Bumped,822.69,287.94,,,0
HCPCS,C1788,Hb Port Powerflow Single 9.6F,3046.33,1066.22,,,0
HCPCS,C1788,Hb Port Smart Ct 8F,693.02,242.56,,,0
HCPCS,C1788,Hb Port Smart Ct 9.6F,609.0,213.15,,,0
HCPCS,C1788,Hb Port Smart Lp 6.6F,583.36,204.18,,,0
HCPCS,C1788,Hb Port Smart Mini 6.6F,643.19,225.12,,,0
HCPCS,C1788,Hb Sup Rev 278 Hcpcs C1788,905.14,316.8,,,0
HCPCS,C1789,Hb Sup Rev 278 Hcpcs C1789,2587.7349999999997,905.7049999999999,,,0
HCPCS,C1813,Hb Sup Rev 278 Hcpcs C1813,25196.0,8818.599999999999,,,0
HCPCS,C1815,Hb Sup Rev 278 Hcpcs C1815,8015.62,2805.47,,,0
HCPCS,C1817,Hb Delivery System Amplatzer 10X80,2812.1,984.24,,,0
HCPCS,C1817,Hb Delivery System Amplatzer 12X80,2812.1,984.24,,,0
HCPCS,C1817,Hb Duct Occluder Ii Amplatzer 5X6Mm,15755.26,5514.34,,,0
HCPCS,C1817,Hb Duct Occluder Ii Amplatzer 6X6Mm,15655.04,5479.26,,,0
HCPCS,C1817,Hb Occ Amplatzer Cribriform 35Mm,24079.39,8427.79,,,0
HCPCS,C1817,Hb Occluder Amplatzer Septal 11Mm,24079.39,8427.79,,,0
HCPCS,C1817,Hb Occluder Amplatzer Septal 12Mm,24079.39,8427.79,,,0
HCPCS,C1817,Hb Occluder Amplatzer Septal 24Mm,24079.39,8427.79,,,0
HCPCS,C1817,Hb Occluder Amplatzer Septal 26Mm,24079.39,8427.79,,,0
HCPCS,C1817,Hb Occluder Amplatzer Septal 8Mm,24079.39,8427.79,,,0
HCPCS,C1817,Hb Occluder Amplatzer Talisman 25Mm,29901.04,10465.36,,,0
HCPCS,C1817,Hb Occluder Cardioform 25Mm,30740.59,10759.21,,,0
HCPCS,C1817,Hb Occluder Cardioform 30Mm,31348.15,10971.85,,,0
HCPCS,C1817,Hb Occluder Cardioform Asd 37Mm,25877.34,9057.07,,,0
HCPCS,C1817,Hb Occluder Duct Ii 6/4,15655.04,5479.26,,,0
HCPCS,C1817,Hb Occluder Laa Amplatzer Amulet 18Mm Ww,58037.04,20312.96,,,0
HCPCS,C1817,Hb Occluder Laa Amplatzer Amulet 20Mm Ww,58037.04,20312.96,,,0
HCPCS,C1817,Hb Occluder Laa Amplatzer Amulet 22Mm Ww,58037.04,20312.96,,,0
HCPCS,C1817,Hb Occluder Laa Amplatzer Amulet 25Mm Ww,58037.04,20312.96,,,0
HCPCS,C1817,Hb Occluder Laa Amplatzer Amulet 31Mm Ww,58037.04,20312.96,,,0
HCPCS,C1817,Hb Sup Rev 278 Hcpcs C1817,24079.39,8427.79,,,0
HCPCS,C1817,Hboccluder Amplatzer Septal 10Mm,22260.5,7791.18,,,0
HCPCS,C1820,Hb Sup Rev 278 Hcpcs C1820,27090.449999999997,9481.66,,,0
HCPCS,C1825,Hb Sup Rev 278 Hcpcs C1825,104706.0,36647.1,,,0
HCPCS,C1827,Hb Sup Rev 278 Hcpcs C1827,88252.2,30888.27,,,0
HCPCS,C1874,Hb Ccl Graft Viabahn Hep 8X10X120,11006.1,3852.14,,,0
HCPCS,C1874,Hb Graft Stent Covera Fl 10X60X80Cm,7129.9,2495.46,,,0
HCPCS,C1874,Hb Graft Stent Covera St 10X60X80Cm,6693.37,2342.68,,,0
HCPCS,C1874,Hb Graft Stent Covera St 8X40X80Cm,6693.37,2342.68,,,0
HCPCS,C1874,Hb Graft Stent Covera St 9X40X80Cm,6693.37,2342.68,,,0
HCPCS,C1874,Hb Stent Airway Polyflex,5447.52,1906.63,,,0
HCPCS,C1874,Hb Stent Covered Icast 7X38X80,7770.62,2719.72,,,0
HCPCS,C1874,Hb Stent Covered Icast 9X59X120,8374.18,2930.96,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 10X100X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 10X120X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 10X40X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 10X60X80,7075.99,2476.6,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 12X120X80,6933.04,2426.56,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 12X40X80,6931.54,2426.04,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 12X60X80,6933.04,2426.56,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 12X80X80,6933.04,2426.56,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 13.5X100X80,6933.04,2426.56,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 13.5X120X80,6933.04,2426.56,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 13.5X40X80,6933.04,2426.56,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 13.5X60X80,6933.04,2426.56,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 7X40X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 7X80X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 8X120X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 8X40X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 8X60X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 8X80X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 9X100X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 9X120X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 9X40X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 9X60X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Fluency Plus 9X80X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Graft Viabahn 8X5X120,9749.62,3412.37,,,0
HCPCS,C1874,Hb Stent Graft Viatorr 10X5,16519.62,5781.87,,,0
HCPCS,C1874,Hb Stent Graft Viatorr 10X6,16519.62,5781.87,,,0
HCPCS,C1874,Hb Stent Graft Viatorr 10X7,16519.62,5781.87,,,0
HCPCS,C1874,Hb Stent Graft Viatorr 10X8,16519.62,5781.87,,,0
HCPCS,C1874,Hb Stent Icast 5X22X120,7589.57,2656.35,,,0
HCPCS,C1874,Hb Stent Icast 9X38X120,7770.62,2719.72,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.25X12Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.25X15Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.25X18Mm,1346.19,471.17,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.25X22Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.25X26Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.25X30Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.25X34Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.25X38Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.25X8Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.50X12Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.50X15Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.50X18Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.50X22Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.50X26Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.50X30Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.50X34Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.50X38Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.50X8Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.75X12Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.75X15Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.75X18Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.75X22Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.75X26Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.75X30Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.75X34Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.75X38Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2.75X8Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2X12Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2X15Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2X18Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2X22Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2X26Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2X30Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 2X8Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.0X12Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.0X15Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.0X18Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.0X22Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.0X26Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.0X30Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.0X34Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.0X38Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.0X8Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.5X12Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.5X15Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.5X18Mm,1346.82,471.39,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.5X22Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.5X26Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.5X30Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.5X34Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.5X38Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 3.5X8Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.0X12Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.0X15Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.0X18Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.0X22Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.0X26Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.0X30Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.0X34Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.0X38Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.0X8Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.5X12Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.5X15Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.5X18Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 4.5X22Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 5.0X15Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 5.0X18Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Onys Frontier Rx 5.0X22Mm,1346.22,471.18,,,0
HCPCS,C1874,Hb Stent Ptfe Fluency Plus 10X80,6470.83,2264.79,,,0
HCPCS,C1874,Hb Stent Silver Ptx 6X80X125,5369.92,1879.47,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 2.25X16,2243.7,785.3,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 2.50X16,2243.7,785.3,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 2.50X24,2243.7,785.3,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 2.50X28,2243.7,785.3,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 2.50X48,3036.47,1062.76,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 2.75X24,2243.7,785.3,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 2.75X48,3036.47,1062.76,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 3.00X20,2243.7,785.3,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 3.00X48,3036.47,1062.76,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 3.50X20,2243.7,785.3,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 4.00X8,2243.7,785.3,,,0
HCPCS,C1874,Hb Stent Synergy Xd Mr Us 4.50X12,2243.7,785.3,,,0
HCPCS,C1874,Hb Stent Ultraflex Tb,5229.36,1830.28,,,0
HCPCS,C1874,Hb Stent Viabahn 10X5 120Cm 8Fr,9659.88,3380.96,,,0
HCPCS,C1874,Hb Stent Viabahn 11X5 120Cm 10Fr,9659.88,3380.96,,,0
HCPCS,C1874,Hb Stent Viabahn 13X5 120Cm 10Fr,9659.88,3380.96,,,0
HCPCS,C1874,Hb Stent Viabahn 6X10X120,11006.1,3852.14,,,0
HCPCS,C1874,Hb Stent Viabahn 6X2.5X120,9749.62,3412.37,,,0
HCPCS,C1874,Hb Stent Viabahn 7X5X120,9749.62,3412.37,,,0
HCPCS,C1874,Hb Stent Viabahn 9X5 120Cm 8Fr,9659.88,3380.96,,,0
HCPCS,C1874,Hb Stent Xience Sierra Rx 2.50X08,2617.65,916.18,,,0
HCPCS,C1874,Hb Stent Xience Sierra Rx 3.50X38,2617.65,916.18,,,0
HCPCS,C1874,Hb Stent Xience Sierra Rx 4.00X38,2617.65,916.18,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.25X08,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.25X12,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.25X15,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.25X18,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.25X23,2200.96,770.34,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.25X28,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.25X33,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.25X38,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.50X08,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.50X12,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.50X15,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.50X18,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.50X23,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.50X28,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.50X33,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.50X38,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.50X48,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.75X12,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.75X15,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.75X18,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.75X23,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.75X28,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.75X33,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 2.75X38,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.00X08,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.00X12,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.00X15,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.00X18,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.00X23,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.00X28,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.00X33,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.00X38,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.00X48,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.25X12,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.25X15,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.25X18,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.25X23,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.25X28,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.25X33,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.25X38,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.50X12,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.50X15,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.50X18,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.50X23,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.50X28,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.50X33,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.50X38,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 3.50X48,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 4.00X08,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 4.00X12,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 4.00X15,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 4.00X18,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 4.00X23,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 4.00X28,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 4.00X33,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 4.00X38,1645.38,575.88,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 4.5Mm X 15Mm,2589.84,906.44,,,0
HCPCS,C1874,Hb Stent Xience Skypoint Rx 4.5Mm X 28Mm,2589.84,906.44,,,0
HCPCS,C1874,Hb Stent Zilver Ptx 6Mmx140Mm,7164.88,2507.71,,,0
HCPCS,C1874,Hb Stent Zilver Ptx 6X100X125,5369.92,1879.47,,,0
HCPCS,C1874,Hb Stent Zilver Ptx 6X120X125,5968.24,2088.88,,,0
HCPCS,C1874,Hb Stent Zilver Ptx 6X40,3515.13,1230.3,,,0
HCPCS,C1874,Hb Stent Zilver Ptx 6X60,4472.44,1565.35,,,0
HCPCS,C1874,Hb Stent Zilver Ptx 7X140X125,11277.58,3947.15,,,0
HCPCS,C1874,Hb Stent Zilver Ptx 7X40X125,3515.13,1230.3,,,0
HCPCS,C1874,Hb Stent Zilver Ptx 7X60X125,4472.44,1565.35,,,0
HCPCS,C1874,Hb Stent Zilver Ptx 8X40X125,3515.13,1230.3,,,0
HCPCS,C1874,Hb Stent Zilver Ptx 8X60X125,4472.44,1565.35,,,0
HCPCS,C1874,Hb Sup Rev 278 Hcpcs C1874,9665.485,3382.92,,,0
HCPCS,C1875,Hb Aero Covd Trach Stent,6225.12,2178.79,,,0
HCPCS,C1875,Hb Stent Dynamic Y,10892.88,3812.51,,,0
HCPCS,C1876,Hb Ccl Stent Express Sd 5X15X90,3732.02,1306.21,,,0
HCPCS,C1876,Hb Ccl Stent Luminexx 10X40X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Ccl Stent Luminexx 10X60X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Ccl Stent Luminexx 10X80X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Ccl Stent Luminexx 14X40X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Ccl Stent Luminexx 14X80X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Ccl Stent Luminexx 7X40X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Ccl Stent Luminexx 8X60X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Ccl Stent Xact 8 6Mmx30,6431.94,2251.18,,,0
HCPCS,C1876,Hb Stent Express 8X57X60X75,3440.34,1204.12,,,0
HCPCS,C1876,Hb Stent Express Ld 8X37X75,3440.34,1204.12,,,0
HCPCS,C1876,Hb Stent Express Ld 9X37X135,3440.34,1204.12,,,0
HCPCS,C1876,Hb Stent Express Sd 6X14X90,3290.76,1151.77,,,0
HCPCS,C1876,Hb Stent Formula 418 5X16X80,2643.83,925.34,,,0
HCPCS,C1876,Hb Stent Formula 418 6X12X80,2643.83,925.34,,,0
HCPCS,C1876,Hb Stent Formula 418 6X16X135,2643.83,925.34,,,0
HCPCS,C1876,Hb Stent Formula 418 6X20X135,2643.83,925.34,,,0
HCPCS,C1876,Hb Stent Formula 418 7X12X80,2643.83,925.34,,,0
HCPCS,C1876,Hb Stent Formula 418 8X16X80,6339.2,2218.72,,,0
HCPCS,C1876,Hb Stent Formula 418 8X20X135,2643.83,925.34,,,0
HCPCS,C1876,Hb Stent Formula 5X12X80,2767.23,968.53,,,0
HCPCS,C1876,Hb Stent Formula 6X20X80,2643.83,925.34,,,0
HCPCS,C1876,Hb Stent Formula 7X20X80,2643.83,925.34,,,0
HCPCS,C1876,Hb Stent Luminexx 10X120X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Luminexx 10X30X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Luminexx 12X100X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Luminexx 12X120X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Luminexx 12X40X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Luminexx 12X60X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Luminexx 12X80X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Luminexx 14X100X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Luminexx 14X120X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Luminexx 14X60X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Luminexx 8X40X80,2773.21,970.62,,,0
HCPCS,C1876,Hb Stent Prot?G? Gps 10X20X80,3141.18,1099.41,,,0
HCPCS,C1876,Hb Stent Self-Expand Zilver Vena Venous 16X100,7769.52,2719.33,,,0
HCPCS,C1876,Hb Stent Venousabre 14Mm X 100Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Venousabre 14Mm X 120Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Venousabre 14Mm X 80Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Venousabre 16Mm X 60Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Venousabre 16Mm X 80Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Venousabre 18Mm X 60Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Venousabre 18Mm X 80Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Venousabre 20Mm X 100Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Venousabre 20Mm X 120Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Venousabre 20Mm X 60Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Venousabre 20Mm X 80Mm,4861.35,1701.47,,,0
HCPCS,C1876,Hb Stent Zilver 10X40X80,1935.75,677.51,,,0
HCPCS,C1876,Hb Stent Zilver 10X80X80,1935.75,677.51,,,0
HCPCS,C1876,Hb Stent Zilver 12X60X80,1935.75,677.51,,,0
HCPCS,C1876,Hb Stent Zilver 12X80X80,1935.75,677.51,,,0
HCPCS,C1876,Hb Stent Zilver 7X60X125,1935.75,677.51,,,0
HCPCS,C1876,Hb Stent Zilver 7X80X125,1935.75,677.51,,,0
HCPCS,C1876,Hb Stent Zilver 8X40X80,1935.75,677.51,,,0
HCPCS,C1876,Hb Stent Zilver 9X40X80,1935.75,677.51,,,0
HCPCS,C1876,Hb Stentwall 6Mmx22Mmx135Cm,6716.14,2350.65,,,0
HCPCS,C1876,Hb Stentwall 8Mmx21Mmx135Cm,6716.14,2350.65,,,0
HCPCS,C1876,Hb Stentwall 8Mmx29Mmx135Cm,6529.58,2285.355,,,0
HCPCS,C1876,Hb Stentwall 8Mmx36Mmx135Cm,6716.14,2350.65,,,0
HCPCS,C1876,Hb Sup Rev 278 Hcpcs C1876,3555.39,1244.39,,,0
HCPCS,C1880,Hb Ccl Filter Tulip Fem,2630.75,920.76,,,0
HCPCS,C1880,Hb Ccl Filter Tulip Jug,2630.75,920.76,,,0
HCPCS,C1880,Hb Ccl Filter Vena Tech,3410.42,1193.65,,,0
HCPCS,C1882,Hb Crtd Cobalt Xt Hf Mri Is1 Df1,55057.41,19270.09,,,0
HCPCS,C1882,Hb Crtd Cobalt Xt Hf Mri Is1 Df4,55057.41,19270.09,,,0
HCPCS,C1882,Hb Crtd Cobalt Xt Hf Quad Mri Is4 Df4,55057.41,19270.09,,,0
HCPCS,C1882,Hb Gen Acticor 7 Hf-T Crt-Dx Df4,45651.82,15978.14,,,0
HCPCS,C1882,Hb Gen Intica Neo 7 Hf-T Df1 Promri,45651.82,15978.14,,,0
HCPCS,C1882,Hb Gen Intica Neo 7 Hf-T Qp Df1,45651.82,15978.14,,,0
HCPCS,C1882,Hb Gen Momentum Is1 Df1 Crt-D,46968.12,16438.84,,,0
HCPCS,C1882,Hb Gen Momentum Is1 Df4 Crt-D,46968.12,16438.84,,,0
HCPCS,C1882,Hb Gen Momentum X4 Is4 Df1 Crt-D,46968.12,16438.84,,,0
HCPCS,C1882,Hb Gen Quadra Assura  Mp Pr,46968.12,16438.84,,,0
HCPCS,C1882,Hb Gen Unify Assura Crt-D Df1,46968.12,16438.84,,,0
HCPCS,C1882,Hb Gen Vigilant X4 Is4 Df4 Crt-D,46968.12,16438.84,,,0
HCPCS,C1882,Hb Icd  Unify Assura Crt-D  Df4,46968.12,16438.84,,,0
HCPCS,C1883,Hb Lead Extender Bulldog,1047.06,366.47,,,0
HCPCS,C1883,Hb Sup Rev 278 Hcpcs C1883,2575.68,901.49,,,0
HCPCS,C1884,Hb Ccl Emboshield Nav 6 5.0,7560.24,2646.08,,,0
HCPCS,C1884,Hb Ccl Emboshield Nav 6 7.2,8322.74,2912.96,,,0
HCPCS,C1884,Hb Filter Embolic Spiderx 40,7093.28,2482.65,,,0
HCPCS,C1884,Hb Filter Embolic Spiderx 50,7093.28,2482.65,,,0
HCPCS,C1884,Hb Sup Rev 272 Hcpcs C1884,12018.325,4206.415,,,0
HCPCS,C1884,Hb Sys Sentinel Cerebral Protection,17788.8,6226.08,,,0
HCPCS,C1885,Hb Cath Elca Rx 0.9,15542.96,5440.04,,,0
HCPCS,C1885,Hb Cath Laser 1.7 Cos,15542.96,5440.04,,,0
HCPCS,C1886,Hb Sup Rev 272 Hcpcs C1886,22925.32,8023.86,,,0
HCPCS,C1887,"Hb Attain Select Ii 90, .",1791.94,627.18,,,0
HCPCS,C1887,Hb Baln Guide Cath .087 Id Walrus 90Cm,7782.6,2723.91,,,0
HCPCS,C1887,Hb Baln Guide Cath .087 Id Walrus 95Cm,7782.6,2723.91,,,0
HCPCS,C1887,Hb Cath Al1 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Al2 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Al3 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Ar Mod 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Ar1 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Attain Command 45S,2239.92,783.97,,,0
HCPCS,C1887,Hb Cath Attain Command Am,2239.92,783.97,,,0
HCPCS,C1887,Hb Cath Attain Command Mpr,2239.92,783.97,,,0
HCPCS,C1887,Hb Cath Attain Select Ii 6248V,1791.94,627.18,,,0
HCPCS,C1887,Hb Cath Baln Trapliner 6F,3269.8,1144.43,,,0
HCPCS,C1887,Hb Cath C2 5Fx100,292.25,102.29,,,0
HCPCS,C1887,Hb Cath C2 5Fx65 0 Sh,292.25,102.29,,,0
HCPCS,C1887,Hb Cath C2 5Fx65 W Sh,292.25,102.29,,,0
HCPCS,C1887,Hb Cath C315His02 Rightsite,2198.79,769.58,,,0
HCPCS,C1887,Hb Cath C315S10  Rightsite,2222.94,778.03,,,0
HCPCS,C1887,Hb Cath C315S402,2222.94,778.03,,,0
HCPCS,C1887,Hb Cath C315S502,2222.94,778.03,,,0
HCPCS,C1887,Hb Cath Carrier Delivery Med,9761.6,3416.56,,,0
HCPCS,C1887,"Hb Cath Cross Boss,",4869.68,1704.39,,,0
HCPCS,C1887,Hb Cath Delivery Selectra 3D-55-39,2799.9,979.96,,,0
HCPCS,C1887,Hb Cath Delivery Selectra 3D-55-42,2799.9,979.96,,,0
HCPCS,C1887,Hb Cath Delivery Selectra 3D-65-39,2799.9,979.96,,,0
HCPCS,C1887,Hb Cath Delivery Selectra 3D-65-42,2799.9,979.96,,,0
HCPCS,C1887,Hb Cath Diag Al 1 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diag Al2 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diag Ar1 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diag Fl6 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diag Fr5 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diag Fr6 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diag Pig 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diag Pig 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diag Pig Ang 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diag Rcb 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diag Williams Right 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Diagnostic For Lantern Delivery,1944.54,680.59,,,0
HCPCS,C1887,Hb Cath Echelon 10 45,3517.74,1231.21,,,0
HCPCS,C1887,Hb Cath Envoy 5F Mpc,3657.2,1280.02,,,0
HCPCS,C1887,Hb Cath Envoy 5F Mpd,3657.2,1280.02,,,0
HCPCS,C1887,Hb Cath Envoy 6F Mpd,3657.2,1280.02,,,0
HCPCS,C1887,Hb Cath Excel Xt-27 Pre-Sh 150/6,4704.25,1646.49,,,0
HCPCS,C1887,Hb Cath Excelsior Xt 17 Straight 7.5Cm X 150Cm,4554.33,1594.02,,,0
HCPCS,C1887,Hb Cath Fl3.5 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fl3.5 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fl4 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fl4 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fl4.5 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fl4.5 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fl5 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fl5 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fr3.5 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fr3.5 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fr4 125Cm,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fr4 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Fr4 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Glide Angled 4Fx120,749.23,262.23,,,0
HCPCS,C1887,Hb Cath Glide H1 5Fx100,737.72,258.2,,,0
HCPCS,C1887,Hb Cath Glidepath Dialysis 23Cm,2223.66,778.28,,,0
HCPCS,C1887,Hb Cath Glidepath Dialysis 27Cm,2622.09,917.73,,,0
HCPCS,C1887,Hb Cath Glidepath Dialysis 50Cm,2365.76,828.02,,,0
HCPCS,C1887,Hb Cath Glidepath Exchange 19Cm,2057.93,720.28,,,0
HCPCS,C1887,Hb Cath Glidepath Exchange 23Cm,2148.61,752.01,,,0
HCPCS,C1887,Hb Cath Glidepath Exchange 27Cm,2103.67,736.28,,,0
HCPCS,C1887,Hb Cath Guide 3Drc 6F,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide 3Drc Sh 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide 5F Ebu35,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide 5F Jl4,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide 5F Jr4,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide 7F Al1,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide 7F Ebu35,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide 8F Al1,762.96,267.04,,,0
HCPCS,C1887,Hb Cath Guide 8F Al20,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide 8F Ebu35,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide 8F Ebu375,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide 8F Ebu40,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide Al 1 Sh 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Al.75 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Al1 Launcher 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Al1.5 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Al2 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Al2 7Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ar1 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ar2 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Benchmark 105 Straight,4336.02,1517.61,,,0
HCPCS,C1887,Hb Cath Guide Benchmark 95 Straight,4336.02,1517.61,,,0
HCPCS,C1887,Hb Cath Guide Benchmark 95Mp,4336.02,1517.61,,,0
HCPCS,C1887,Hb Cath Guide Biopsy 7F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Cath Ebu3 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Cath Ebu3.5 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Cath Ebu4 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Cath Jl3.5 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Cath Jl4 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Cath Jr4 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Champ 0.5 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Champ 1 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Champ 2 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Eaucath Power Backup 3.5 7.5F,1455.95,509.58,,,0
HCPCS,C1887,Hb Cath Guide Eaucath Power Backup 4.0 7.5F,1455.95,509.58,,,0
HCPCS,C1887,Hb Cath Guide Ebu3 Sh 8Fx90,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide Ebu3.5 Sh 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ebu3.5 Sh 8Fx90,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide Ebu3.75 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ebu3.75 7Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ebu35 6F X 90Cm,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ebu35 7F X 90Cm,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ebu35 8F X 90Cm,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ebu4 7F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ebu4 8F X 90Cm,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ebu4 Sh 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ebu4.5 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ebu4Sh 7F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Hsi 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Hsi Sh,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Il3.5 6F,1316.58,460.8,,,0
HCPCS,C1887,Hb Cath Guide Il4.0 5F,1317.84,461.24,,,0
HCPCS,C1887,Hb Cath Guide Il4.0 6F,1317.84,461.24,,,0
HCPCS,C1887,Hb Cath Guide Ima 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Ima 7F,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide Ima 8Fx90,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide Ima 90Cm 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Jl3.5 Sh 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Jl4 7Fr,761.51,266.53,,,0
HCPCS,C1887,Hb Cath Guide Jl4 Sh 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Jl4.5 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Jl4.5Sh 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Jl5.0 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Jr3.5 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Jr4 7Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Jr4 8F 90Cm,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide Jr4 Sh 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Jr4 Sh 7Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Jr4.0 8F,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide Lcb 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Mp1 6F,768.87,269.1,,,0
HCPCS,C1887,Hb Cath Guide Mp1 7F,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guide Rbu3.5 6F,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Rcb 6Fr,695.29,243.35,,,0
HCPCS,C1887,Hb Cath Guide Rdc 6F,827.73,289.71,,,0
HCPCS,C1887,Hb Cath Guideliner 3.5 5.5F,3440.87,1204.3,,,0
HCPCS,C1887,Hb Cath Guideliner 6F,3202.39,1120.84,,,0
HCPCS,C1887,Hb Cath Guideliner 7F,2601.6,910.56,,,0
HCPCS,C1887,Hb Cath H1 5Fx100,320.09,112.03,,,0
HCPCS,C1887,Hb Cath Im 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Im 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Im T 5F,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Jb2 5Fx100,320.09,112.03,,,0
HCPCS,C1887,Hb Cath Kumpe 5Fx40 038,301.25,105.44,,,0
HCPCS,C1887,Hb Cath Kumpe 5Fx65 038,300.68,105.24,,,0
HCPCS,C1887,Hb Cath Lcb 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Lcb 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Mariner Beren 4Fx130,1281.77,448.62,,,0
HCPCS,C1887,Hb Cath Mariner Beren 5Fx130,1273.65,445.78,,,0
HCPCS,C1887,Hb Cath Mariner C1 5Fx65,641.49,224.52,,,0
HCPCS,C1887,Hb Cath Mariner C2 4Fx65,638.34,223.42,,,0
HCPCS,C1887,Hb Cath Mariner C2 5Fx65,633.62,221.77,,,0
HCPCS,C1887,Hb Cath Mariner Hawkins Hp 4Fx90,638.34,223.42,,,0
HCPCS,C1887,Hb Cath Mariner Kumpe 4Fx65,645.22,225.83,,,0
HCPCS,C1887,Hb Cath Mariner Mikaelsson 5Fx80,641.23,224.43,,,0
HCPCS,C1887,Hb Cath Mariner Shep Hook 4Fx65,625.76,219.02,,,0
HCPCS,C1887,Hb Cath Micro Caravel 135Cm,3619.72,1266.9,,,0
HCPCS,C1887,Hb Cath Micro Caravel 150Cm,3619.72,1266.9,,,0
HCPCS,C1887,Hb Cath Micro Corsair Pro 135Cm,3780.12,1323.04,,,0
HCPCS,C1887,Hb Cath Micro Turnpike Lp 135Cm,2650.53,927.69,,,0
HCPCS,C1887,Hb Cath Micro Turnpike Spiral 135Cm,3130.83,1095.79,,,0
HCPCS,C1887,Hb Cath Mpa (1) 5Fx80,292.25,102.29,,,0
HCPCS,C1887,Hb Cath Mpa 1 6Fx80,291.97,102.19,,,0
HCPCS,C1887,Hb Cath Mpa1 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Mpa1 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Mpa2 5F 125Cm,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Mpa2 6Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Multipak 5Fr,553.2,193.62,,,0
HCPCS,C1887,Hb Cath Multipak 6Fr,553.2,193.62,,,0
HCPCS,C1887,Hb Cath Multipak Ang 6F,553.2,193.62,,,0
HCPCS,C1887,Hb Cath Omni Flush 5Fx65,302.03,105.71,,,0
HCPCS,C1887,Hb Cath Onesnare 4F 10Mm,2469.93,864.48,,,0
HCPCS,C1887,Hb Cath Onesnare 4F 5Mm,2469.93,864.48,,,0
HCPCS,C1887,Hb Cath Onesnare 6F 20Mm,2478.21,867.37,,,0
HCPCS,C1887,Hb Cath Onesnare 6F 35Mm,2485.42,869.9,,,0
HCPCS,C1887,Hb Cath Pig 5F 125Cm,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Pig 5Fx65,300.58,105.2,,,0
HCPCS,C1887,Hb Cath Pig 5Fx90,300.63,105.22,,,0
HCPCS,C1887,Hb Cath Pig 6Fx110,299.79,104.93,,,0
HCPCS,C1887,Hb Cath Pigtail 145 Angled 6F,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Progreat 110,2867.39,1003.59,,,0
HCPCS,C1887,Hb Cath Progreat 130 W Wire,2508.91,878.12,,,0
HCPCS,C1887,Hb Cath Progreat 24F 130Cm,2831.61,991.06,,,0
HCPCS,C1887,Hb Cath Prowler Plus Str,4376.27,1531.69,,,0
HCPCS,C1887,Hb Cath Prowler Select Lp 45,4694.55,1643.09,,,0
HCPCS,C1887,Hb Cath Prowler Select Plus Str,4376.27,1531.69,,,0
HCPCS,C1887,Hb Cath Radial Rist 7F 100Cm,5203.22,1821.13,,,0
HCPCS,C1887,Hb Cath Radial Tiger 5F 4.0 110Cm,744.96,260.74,,,0
HCPCS,C1887,Hb Cath Radial Tiger 6F 4.0,744.96,260.74,,,0
HCPCS,C1887,Hb Cath Rcb 5Fr,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Rebar 18,2631.91,921.17,,,0
HCPCS,C1887,Hb Cath Renagade 150,2398.13,839.35,,,0
HCPCS,C1887,Hb Cath Renagade 150 10,2790.42,976.65,,,0
HCPCS,C1887,Hb Cath Renagade Neuro 150Cm,5105.22,1786.83,,,0
HCPCS,C1887,Hb Cath Renagade W Wire 105 10,2383.7,834.3,,,0
HCPCS,C1887,Hb Cath Renagade W Wire 115 10,2383.7,834.3,,,0
HCPCS,C1887,Hb Cath Renagade W Wire 135 10,2383.7,834.3,,,0
HCPCS,C1887,Hb Cath Renagade W Wire 135 20,2383.7,834.3,,,0
HCPCS,C1887,Hb Cath Renagade W Wire 150 10,2383.7,834.3,,,0
HCPCS,C1887,Hb Cath Renagade W Wire 150 20,2383.7,834.3,,,0
HCPCS,C1887,Hb Cath Renegade Hi Flo 105,2790.42,976.65,,,0
HCPCS,C1887,Hb Cath Renegade Hi Flo 135,2821.8,987.63,,,0
HCPCS,C1887,Hb Cath Rim 5Fx65,296.89,103.91,,,0
HCPCS,C1887,Hb Cath Selectsite His,3130.83,1095.79,,,0
HCPCS,C1887,Hb Cath Shephard Hook 5Fx65,298.22,104.38,,,0
HCPCS,C1887,Hb Cath Sofia 5F 115Cm,5674.63,1986.12,,,0
HCPCS,C1887,Hb Cath Sofia 5F 125Cm,5674.63,1986.12,,,0
HCPCS,C1887,Hb Cath Sofia 6F 115Cm,9339.12,3268.69,,,0
HCPCS,C1887,Hb Cath Sofia 6F 125Cm,9339.12,3268.69,,,0
HCPCS,C1887,Hb Cath Sofia 6F 131Cm,9339.12,3268.69,,,0
HCPCS,C1887,Hb Cath Sos 2 5Fx80,302.0,105.7,,,0
HCPCS,C1887,"Hb Cath Stringray,",6181.61,2163.56,,,0
HCPCS,C1887,Hb Cath Viewflex Z Ice,10228.56,3580.0,,,0
HCPCS,C1887,Hb Cath Williams Right 6F,184.4,64.54,,,0
HCPCS,C1887,Hb Cath Zoom 35 Reperfusion 158Cm,8382.97,2934.04,,,0
HCPCS,C1887,Hb Cath Zoom 45 Reperfusion 144Cm,11940.73,4179.26,,,0
HCPCS,C1887,Hb Cath Zoom 71 Reperfusion 137Cm,11940.73,4179.26,,,0
HCPCS,C1887,Hb Cath Zoom 88 Ldp Support 100Cm,14208.8,4973.08,,,0
HCPCS,C1887,Hb Cath Zoom Rdl Radial Access 103Cm,14208.8,4973.08,,,0
HCPCS,C1887,Hb Catheter Armadillo 7R 95Cm 27Cm,7782.6,2723.91,,,0
HCPCS,C1887,Hb Catheter Cereglide 71 132Cm,11321.46,3962.51,,,0
HCPCS,C1887,Hb Catheter Cps Locator 3D Large,2980.95,1043.33,,,0
HCPCS,C1887,Hb Catheter Cps Locator 3D Medium,2980.95,1043.33,,,0
HCPCS,C1887,Hb Catheter Cps Locator 3D Medium Extra Long,2980.95,1043.33,,,0
HCPCS,C1887,Hb Catheter Delivery Aveir Leadless Dr,8240.4,2884.14,,,0
HCPCS,C1887,Hb Catheter Distal Access .038 136Cm,5178.32,1812.41,,,0
HCPCS,C1887,Hb Catheter Renal Curve Adult (Rdc Ii),1122.66,392.93,,,0
HCPCS,C1887,Hb Catheter Support 4.0X35X150,2046.17,716.16,,,0
HCPCS,C1887,Hb Catheter Support 4.0X35X90,2061.46,721.51,,,0
HCPCS,C1887,Hb Ccl Cath C2 4Fx65,292.25,102.29,,,0
HCPCS,C1887,Hb Ccl Cath Glide Angled 4Fx100,2269.72,794.4,,,0
HCPCS,C1887,Hb Ccl Cath Glide Sim 2 5Fx100,742.47,259.86,,,0
HCPCS,C1887,Hb Ccl Cath Quick Cross .035X135,1691.7,592.1,,,0
HCPCS,C1887,Hb Ccl Cath Sos 0 4Fx80,303.19,106.12,,,0
HCPCS,C1887,Hb Ccl Cath Sos 0 5Fx80,301.05,105.37,,,0
HCPCS,C1887,Hb Ccl Cath Sos 2 4Fx80,300.82,105.29,,,0
HCPCS,C1887,Hb Ccl Cath Str Flush 4Fx70,1421.44,497.5,,,0
HCPCS,C1887,Hb Glidecath 5Fr Ang,740.93,259.33,,,0
HCPCS,C1887,Hb Microcath Headway Duo Str 167Cm,3243.56,1135.25,,,0
HCPCS,C1887,Hb Microcath Progreat 1.9F Tri Ang  165Cm,3671.16,1284.91,,,0
HCPCS,C1887,Hb Microcath Via 2.4F .017 45Deg 154Cm,3941.43,1379.5,,,0
HCPCS,C1887,Hb Microcath Via 2.4F 0.017 Str 154Cm,3941.43,1379.5,,,0
HCPCS,C1887,Hb Microcatheter Diag Corasir Pro Xs 150Cm,3780.12,1323.04,,,0
HCPCS,C1887,Hb Microcatheter Direxion J 130,2584.94,904.73,,,0
HCPCS,C1887,Hb Microcatheter Headway Duo 156Cm,3920.21,1372.07,,,0
HCPCS,C1887,Hb Microcatheter Vasc Corsair Pro Xs 135Cm,3699.26,1294.74,,,0
HCPCS,C1887,Hb Microcatheter Wedge 2F 160Cm,11118.0,3891.3,,,0
HCPCS,C1887,Hb Set Portal Vein Access Traveler 16,4258.5,1490.48,,,0
HCPCS,C1887,Hb Set Portal Vein Access Traveler 21,3198.38,1119.43,,,0
HCPCS,C1887,Hb Sheath Destination Slender 6F 105Cm,2570.0,899.5,,,0
HCPCS,C1887,Hb Sheath Destination Slender 6F 85Cm,2570.0,899.5,,,0
HCPCS,C1887,Hb Sheath Tourguide Aptus 8.5X55X17,3832.65,1341.43,,,0
HCPCS,C1887,Hb Sup Rev 272 Hcpcs C1887,2050.4,717.64,,,0
HCPCS,C1887,Hb Sys Cat Direxion 130 Gw Fathom 16,3539.97,1238.99,,,0
HCPCS,C1887,Hb Sys Cat Direxion 155 Gw Fathom 16,3539.97,1238.99,,,0
HCPCS,C1887,Hb Tracstar 6F 088 Ldpt 95Cm,5314.4,1860.04,,,0
HCPCS,C1887,Hb Zoom 88-T 6F 088 Ldp 100Cm,14042.03,4914.71,,,0
HCPCS,C1888,Hb Sup Rev 272 Hcpcs C1888,4251.1050000000005,1487.8899999999999,,,0
HCPCS,C1889,Hb Cath Micro Imaging Vis Rx Gentuity Disc 50%,3234.9,1132.2150000000001,,,0
HCPCS,C1889,Hb Coil Embold Fibered 5Mm X 15Cm,3036.47,1062.76,,,0
HCPCS,C1889,Hb Coil Embold Packing Us 15,3811.3,1333.96,,,0
HCPCS,C1889,Hb Coil Embold Packing Us 30,4651.94,1628.18,,,0
HCPCS,C1889,Hb Coil Embold Soft 2X2,3057.42,1070.1,,,0
HCPCS,C1889,Hb Coil Embold Soft 2X6,3057.42,1070.1,,,0
HCPCS,C1889,Hb Coil Embold Soft 2X8,3057.42,1070.1,,,0
HCPCS,C1889,Hb Coil Embold Soft 3X8,3057.42,1070.1,,,0
HCPCS,C1889,Hb Coil Embold Soft 4X10,3362.56,1176.9,,,0
HCPCS,C1889,Hb Coil Embold Soft 4X30,4203.2,1471.12,,,0
HCPCS,C1889,Hb Coil Embold Soft 5X15,3362.56,1176.9,,,0
HCPCS,C1889,Hb Coil Embold Soft 5X30,4203.2,1471.12,,,0
HCPCS,C1889,Hb Coil Peripheral Vasc Ruby Lp 1X2,2363.36,827.18,,,0
HCPCS,C1889,Hb Coil Peripheral Vasc Ruby Pod 8-10Mmx60,5354.96,1874.24,,,0
HCPCS,C1889,Hb Coil Peripheral Vasc Ruby Standard 0.020 4X20,2961.68,1036.59,,,0
HCPCS,C1889,Hb Coil Peripheral Vasc Ruby Standard 0.020 6X30,3859.16,1350.71,,,0
HCPCS,C1889,Hb Coil Peripheral Vasc Ruby Standard 0.020 7X25,2961.68,1036.59,,,0
HCPCS,C1889,Hb Coil Peripheral Vasc Ruby Standard 0.020 8X25,2961.68,1036.59,,,0
HCPCS,C1889,Hb Coil Peripheral Vasc Ruby Standard 0.020 8X40,3859.16,1350.71,,,0
HCPCS,C1889,Hb Embolic Obsidio Conformable 1Ml Syr,12697.68,4444.19,,,0
HCPCS,C1889,Hb Embosphere 100 300,2881.59,1008.56,,,0
HCPCS,C1889,Hb Embosphere 300 500,2540.3900000000003,889.135,,,0
HCPCS,C1889,Hb Embosphere 500 700 2Ml,2883.71,1009.3,,,0
HCPCS,C1889,Hb Embosphere 700 900,2881.59,1008.56,,,0
HCPCS,C1889,Hb Embosphere 900 1200,2193.8,767.83,,,0
HCPCS,C1889,Hb Envelope Anti Bac Aigis Icd,2733.74,956.81,,,0
HCPCS,C1889,Hb Glue Trufill N-Bca-1 Gram Set,19973.22,6990.63,,,0
HCPCS,C1889,Hb Hm 3 Kit Mini Apical Cuff,1690.25,591.59,,,0
HCPCS,C1889,Hb Pump Set Impelle Cp C9 + Companion Sheath,74790.0,26176.5,,,0
HCPCS,C1889,Hb Sup Rev 278 Hcpcs C1889,2362.585,826.63,,,0
HCPCS,C1889,Hb System Triclip G4,116672.4,40835.34,,,0
HCPCS,C1889,Hb Valve Tav Evolute Fx Plus 23Mm,89748.0,31411.8,,,0
HCPCS,C1889,Hb Valve Tav Evolute Fx Plus 26Mm,89748.0,31411.8,,,0
HCPCS,C1889,Hb Valve Tav Evolute Fx Plus 29Mm,89748.0,31411.8,,,0
HCPCS,C1889,Hb Valve Tav Evolute Fx Plus 34Mm,89748.0,31411.8,,,0
HCPCS,C1889,Hb Watchman Flx Pro Laa Closure 20Mm Us,50857.2,17800.02,,,0
HCPCS,C1889,Hb Watchman Flx Pro Laa Closure 24Mm Us,50857.2,17800.02,,,0
HCPCS,C1889,Hb Watchman Flx Pro Laa Closure 27Mm Us,50857.2,17800.02,,,0
HCPCS,C1889,Hb Watchman Flx Pro Laa Closure 31Mm Us,50857.2,17800.02,,,0
HCPCS,C1889,Hb Watchman Flx Pro Laa Closure 35Mm Us,50857.2,17800.02,,,0
HCPCS,C1889,Hb Watchman Flx Pro Laa Closure 40Mm Us,50857.2,17800.02,,,0
HCPCS,C1892,Hb  Interoducer Prelude Snap Splittable Sheath 9F 25Cm Long,762.96,267.04,,,0
HCPCS,C1892,Hb  Introducer Prelud Snap Splittable Sheath 7F 13Cm Short,768.7,269.04,,,0
HCPCS,C1892,Hb  Introducer Prelude Snap Splittable Sheath 6F 13Cm Short,788.11,275.84,,,0
HCPCS,C1892,Hb  Introducer Prelude Snap Splittable Sheath 7F 25Cm Long,762.96,267.04,,,0
HCPCS,C1892,Hb  Introducer Prelude Snap Splittable Sheath 8F 25Cm Long,762.96,267.04,,,0
HCPCS,C1892,Hb  Introducer Prelude Snap Splittable Sheath 9F 13Cm Short,762.96,267.04,,,0
HCPCS,C1892,Hb Intro 1000093003 Optiseal Glbl8Fr13Cm,579.41,202.79,,,0
HCPCS,C1892,Hb Introducer Peel Away 26Fr,702.08,245.73,,,0
HCPCS,C1892,Hb Sheath Introducer 20Fr X 40Cm,3304.6,1156.61,,,0
HCPCS,C1892,Hb Sheath Peel Away 16F,710.8,248.78,,,0
HCPCS,C1892,Hb Sheath Peel Away 18Fr,702.08,245.73,,,0
HCPCS,C1892,Hb Sheath Peel Away 20 Fr,702.08,245.73,,,0
HCPCS,C1892,Hb Sheath Peel Away 24Fr,702.08,245.73,,,0
HCPCS,C1892,Hb Sheath Peel Away 7Fr,847.85,296.75,,,0
HCPCS,C1892,Hb Sheath Peel Away 8F,847.85,296.75,,,0
HCPCS,C1892,Hb Sheath Peel Away22Fr,702.08,245.73,,,0
HCPCS,C1892,Hb Sup Rev 272 Hcpcs C1892,844.435,295.555,,,0
HCPCS,C1893,Hb Introducer Sl1 8.5F,1679.94,587.98,,,0
HCPCS,C1893,Hb Kit Versacross Large Access,4869.68,1704.39,,,0
HCPCS,C1893,Hb Kit Versacross Ts Sheath,4024.72,1408.65,,,0
HCPCS,C1893,Hb Needle Nrg Transeptal Kit,3668.94,1284.13,,,0
HCPCS,C1893,Hb Sheath Neck,687.48,240.62,,,0
HCPCS,C1893,Hb Sheath Sl 1 10F,2188.87,766.1,,,0
HCPCS,C1893,Hb Sheath Sl2 63Cm 8.5F,1702.34,595.82,,,0
HCPCS,C1893,Hb Sheath Sro 8.5F,1679.94,587.98,,,0
HCPCS,C1893,Hb Sup Rev 272 Hcpcs C1893,4564.09,1597.435,,,0
HCPCS,C1893,Hb Versacross Connect Laac 230P D0,4869.68,1704.39,,,0
HCPCS,C1894,Hb  Introducer Sheath Sentrant 18X28,1903.93,666.38,,,0
HCPCS,C1894,Hb 1.4 Fr Picc Sheath Introducer Only,1309.885,458.46,,,0
HCPCS,C1894,Hb 1.9 Fr Picc Sheath Introducer Only,580.38,203.13,,,0
HCPCS,C1894,Hb Ccl Sheath Pinnacle 25Cm 11Fr,553.62,193.77,,,0
HCPCS,C1894,Hb Ccl Sheath Pinnacle 6Frx45 Hs,1172.22,410.28,,,0
HCPCS,C1894,Hb Ccl Sheath Pinnacle R O 4X10,453.91,158.87,,,0
HCPCS,C1894,Hb Ccl Sheath Pinnacle R O 9X25,581.9,203.66,,,0
HCPCS,C1894,Hb Ccl Sheath Pinnacle W Wire 5Fr,242.28,84.8,,,0
HCPCS,C1894,Hb Intro Checkflow 18Fr 30Cm,1322.32,462.81,,,0
HCPCS,C1894,Hb Intro Kit Tearaway 2Fr 3Cm,595.68,208.49,,,0
HCPCS,C1894,Hb Introducer Hi Flex Ansel 6Frx7,1213.11,424.59,,,0
HCPCS,C1894,Hb Introducer Set Perc 8.5Fr,743.81,260.33500000000004,,,0
HCPCS,C1894,Hb Introducer Set Percut 9Fr,694.02,242.91,,,0
HCPCS,C1894,Hb Introducer Sheath Sentrant 14X28,1903.93,666.38,,,0
HCPCS,C1894,Hb Introducer Sheath Sentrant 16X28,1903.93,666.38,,,0
HCPCS,C1894,Hb Kit Accustick Nitinol,1291.48,452.02,,,0
HCPCS,C1894,Hb Kit Introducer Aveir Vr 25F Id 50Cm,2668.32,933.91,,,0
HCPCS,C1894,Hb Micro Puncture 4Fr,408.22,142.88,,,0
HCPCS,C1894,Hb Micro Puncture 5Fr,411.62,144.07,,,0
HCPCS,C1894,Hb Micropuncture Mini Stick Stiff 4F,448.43,156.95,,,0
HCPCS,C1894,Hb Micropuncture Mini Stick Stiff 5F,438.39,153.44,,,0
HCPCS,C1894,Hb Micropuncture Stiff 5F,739.33,258.77,,,0
HCPCS,C1894,Hb Needle Accustial,232.34,81.32,,,0
HCPCS,C1894,Hb Set Tlab Liver Biopsy,4258.5,1490.48,,,0
HCPCS,C1894,Hb Set Transjugular Liver Access,3832.57,1341.4,,,0
HCPCS,C1894,Hb Sheath 10F,185.56,64.95,,,0
HCPCS,C1894,Hb Sheath 11Fr,186.08,65.13,,,0
HCPCS,C1894,Hb Sheath 12Fr,185.56,64.95,,,0
HCPCS,C1894,Hb Sheath 14Fr,185.56,64.95,,,0
HCPCS,C1894,Hb Sheath 9.5,449.51,157.33,,,0
HCPCS,C1894,Hb Sheath Ansel 12F X45,1066.06,373.12,,,0
HCPCS,C1894,Hb Sheath Ansel 4F,1011.27,353.94,,,0
HCPCS,C1894,Hb Sheath Ansel 5F,1017.57,356.15,,,0
HCPCS,C1894,Hb Sheath Ansel 6F,1018.05,356.32,,,0
HCPCS,C1894,Hb Sheath Ansel 6Fx70,1220.15,427.05,,,0
HCPCS,C1894,Hb Sheath Ansel 7F,1011.27,353.94,,,0
HCPCS,C1894,Hb Sheath Ansel 7Fx70,1213.11,424.59,,,0
HCPCS,C1894,Hb Sheath Ansel 8F,1011.27,353.94,,,0
HCPCS,C1894,Hb Sheath Ansel 8Fx70,1213.11,424.59,,,0
HCPCS,C1894,Hb Sheath Ansel Hi Flex 5X90,1502.54,525.89,,,0
HCPCS,C1894,Hb Sheath Ansel Hi Flex 6X90,1511.12,528.89,,,0
HCPCS,C1894,Hb Sheath Ansel Hi Flex 8Fx55,1073.48,375.72,,,0
HCPCS,C1894,Hb Sheath Ansel Hi-Flex 5Fx70,1215.62,425.47,,,0
HCPCS,C1894,Hb Sheath Ansel Hi-Flex 6Fx55,1066.06,373.12,,,0
HCPCS,C1894,Hb Sheath Ansel Straight 9Fx45,1018.41,356.44,,,0
HCPCS,C1894,Hb Sheath Checkflo 10Fx40,1008.46,352.96,,,0
HCPCS,C1894,Hb Sheath Checkflo 12X13,703.59,246.26,,,0
HCPCS,C1894,Hb Sheath Checkflo 14X13,703.59,246.26,,,0
HCPCS,C1894,Hb Sheath Checkflo Hausdorf 12F,1327.83,464.74,,,0
HCPCS,C1894,Hb Sheath Checkflow 12Frx30Cm,1045.95,366.08,,,0
HCPCS,C1894,Hb Sheath Dryseal   14Frx33,2881.79,1008.63,,,0
HCPCS,C1894,Hb Sheath Dryseal  16Frx33,2881.79,1008.63,,,0
HCPCS,C1894,Hb Sheath Dryseal  18Frx33,3815.7,1335.5,,,0
HCPCS,C1894,Hb Sheath Dryseal  20Frx33,3815.7,1335.5,,,0
HCPCS,C1894,Hb Sheath Dryseal  24Frx33,3815.7,1335.5,,,0
HCPCS,C1894,Hb Sheath Dryseal 12Frx33,2881.79,1008.63,,,0
HCPCS,C1894,Hb Sheath Flexor Ansel1 Mp 6Fr X 55Cm,1011.27,353.94,,,0
HCPCS,C1894,Hb Sheath Glide Slender Kit,839.26,293.74,,,0
HCPCS,C1894,Hb Sheath Intro 16 Fr,1322.13,462.75,,,0
HCPCS,C1894,Hb Sheath Introducer 14Fr,1331.3,465.96,,,0
HCPCS,C1894,Hb Sheath Mini Tightrail 11F,7910.88,2768.81,,,0
HCPCS,C1894,Hb Sheath Pinnacle 10Cm 6Fr,455.83,159.54,,,0
HCPCS,C1894,Hb Sheath Pinnacle 10Cm 7Fr,455.04,159.26,,,0
HCPCS,C1894,Hb Sheath Pinnacle 10Cm 8Fr,457.17,160.01,,,0
HCPCS,C1894,Hb Sheath Pinnacle 10Fx10,254.09,88.93,,,0
HCPCS,C1894,Hb Sheath Pinnacle 10Fx25,554.61,194.11,,,0
HCPCS,C1894,Hb Sheath Pinnacle 11Cm 8Fr,242.1,84.74,,,0
HCPCS,C1894,Hb Sheath Pinnacle 11Fx10,252.88,88.51,,,0
HCPCS,C1894,Hb Sheath Pinnacle 25Cm 8Fr,580.34,203.12,,,0
HCPCS,C1894,Hb Sheath Pinnacle 5F,242.6,84.91,,,0
HCPCS,C1894,Hb Sheath Pinnacle 6F,243.35,85.17,,,0
HCPCS,C1894,Hb Sheath Pinnacle 6Frx45 Mp,1170.36,409.63,,,0
HCPCS,C1894,Hb Sheath Pinnacle 6Frx45 St,1172.46,410.36,,,0
HCPCS,C1894,Hb Sheath Pinnacle 6Fx25,582.17,203.76,,,0
HCPCS,C1894,Hb Sheath Pinnacle 6Fx45 Rdc,1170.36,409.63,,,0
HCPCS,C1894,Hb Sheath Pinnacle 6Fx6,417.18,146.01,,,0
HCPCS,C1894,Hb Sheath Pinnacle 7F,242.77,84.97,,,0
HCPCS,C1894,Hb Sheath Pinnacle 7Frx45 Hs,1170.36,409.63,,,0
HCPCS,C1894,Hb Sheath Pinnacle 7Frx45 Mp,1173.72,410.8,,,0
HCPCS,C1894,Hb Sheath Pinnacle 7Frx45 St,1170.36,409.63,,,0
HCPCS,C1894,Hb Sheath Pinnacle 7Fx25,581.75,203.61,,,0
HCPCS,C1894,Hb Sheath Pinnacle 7Fx6,418.67,146.53,,,0
HCPCS,C1894,Hb Sheath Pinnacle Mp 7X90 Ccv,1427.95,499.78,,,0
HCPCS,C1894,Hb Sheath Pinnacle R O 5X10,456.49,159.77,,,0
HCPCS,C1894,Hb Sheath Pinnacle R O 5X25,580.92,203.32,,,0
HCPCS,C1894,Hb Sheath Pinnacle R O 9X10,456.79,159.88,,,0
HCPCS,C1894,Hb Sheath Pinnacle W Wire 6Fr,243.18,85.11,,,0
HCPCS,C1894,Hb Sheath Pinnacle W Wire 7Fr,243.79,85.33,,,0
HCPCS,C1894,Hb Sheath Pinnacle W Wire 8Fr,243.94,85.38,,,0
HCPCS,C1894,Hb Sheath Pinnacle W/Wire 9F,241.43,84.5,,,0
HCPCS,C1894,Hb Sheath Prelude 6X4 No Wire,440.7,154.24,,,0
HCPCS,C1894,Hb Sheath Prelude 7X4 No Wire,440.7,154.24,,,0
HCPCS,C1894,Hb Sheath Raabe 6Fx55,901.68,315.59,,,0
HCPCS,C1894,Hb Sheath Raabe 6Fx70,901.68,315.59,,,0
HCPCS,C1894,Hb Sheath Raabe 6Fx90,901.68,315.59,,,0
HCPCS,C1894,Hb Sheath Raabe 7Fx55,908.58,318.0,,,0
HCPCS,C1894,Hb Sheath Raabe 7Fx70,901.68,315.59,,,0
HCPCS,C1894,Hb Sheath Raabe 7Fx90,901.68,315.59,,,0
HCPCS,C1894,Hb Sheath Raabe 8Fx70,901.68,315.59,,,0
HCPCS,C1894,Hb Sheath Raabe 9Fx70,901.68,315.59,,,0
HCPCS,C1894,Hb Sheath Shuttle 6Fx90,1495.37,523.38,,,0
HCPCS,C1894,Hb Sheath Shuttle 6X80,1495.37,523.38,,,0
HCPCS,C1894,Hb Sheath Shuttle 7Fx90,1495.37,523.38,,,0
HCPCS,C1894,Hb Sheath Super Flex 8X35,1197.77,419.22,,,0
HCPCS,C1894,Hb Sheath Super Flex 8X80,1551.14,542.9,,,0
HCPCS,C1894,Hb Sheath Tightrail 11F,9733.81,3406.83,,,0
HCPCS,C1894,Hb Sheath Tightrail 13F,9781.37,3423.48,,,0
HCPCS,C1894,Hb Sheath Tightrail 9F,9672.66,3385.43,,,0
HCPCS,C1894,Hb Sheath Tightrail Sub-C 13F,8009.41,2803.29,,,0
HCPCS,C1894,Hb Sup Rev 272 Hcpcs C1894,969.1,339.62,,,0
HCPCS,C1894,Hb Sys Introducer Lead Safesheath 9Fr 23Cm,1791.94,627.18,,,0
HCPCS,C1895,Hb Lead Icd Reliance 4 Front 0672,8376.48,2931.77,,,0
HCPCS,C1895,Hb Lead Icd Reliance 4 Front 0673,8376.48,2931.77,,,0
HCPCS,C1896,Hb Lead Ev Epsila 63Cm,16124.72,5643.65,,,0
HCPCS,C1897,Hb Sup Rev 278 Hcpcs C1897,1750.085,612.53,,,0
HCPCS,C1897,Hb Test Stimulation Lead Kit,957.96,335.29,,,0
HCPCS,C1898,Hb Lead Capsure Fix 52,1159.03,405.66,,,0
HCPCS,C1898,Hb Lead Capsure Fix 58,1166.72,408.35,,,0
HCPCS,C1898,Hb Lead Capsure Fixed Novus 45Cm,1166.72,408.35,,,0
HCPCS,C1898,Hb Lead Capsure Sense Brady 53Cm,1166.72,408.35,,,0
HCPCS,C1898,Hb Lead Capsurefix Novus 65Cm,1166.72,408.35,,,0
HCPCS,C1898,Hb Lead Fineline Ii Ez 58Cm Silic,1047.06,366.47,,,0
HCPCS,C1898,Hb Lead Ingevity + 45Cm,1047.06,366.47,,,0
HCPCS,C1898,Hb Lead Ingevity + 52Cm,1138.74,398.56,,,0
HCPCS,C1898,Hb Lead Ingevity + 59Cm,1310.71,458.75,,,0
HCPCS,C1898,Hb Lead Novus 5076 52,565.85,198.05,,,0
HCPCS,C1898,Hb Lead Novus 5076 58,1166.72,408.35,,,0
HCPCS,C1898,Hb Lead Select Secure Brady 59Cm,1196.64,418.82,,,0
HCPCS,C1898,Hb Lead Select Secure Brady 69Cm,1171.01,409.85,,,0
HCPCS,C1898,Hb Lead Select Secure Brady 74Cm,1196.64,418.82,,,0
HCPCS,C1898,Hb Lead Solia S 53 Promri,1047.06,366.47,,,0
HCPCS,C1898,Hb Lead Solia S 60 Promri,1047.06,366.47,,,0
HCPCS,C1898,Hb Lead Tendril Mri 52Cm,1271.43,445.0,,,0
HCPCS,C1898,Hb Lead Tendril Mri 58Cm,1271.43,445.0,,,0
HCPCS,C1898,Hb Lead Tendril Sts 46Cm,1271.43,445.0,,,0
HCPCS,C1898,Hb Lead Tendril Sts 52Cm,1243.81,435.33,,,0
HCPCS,C1898,Hb Lead Tendril Sts 58Cm,1210.94,423.83,,,0
HCPCS,C1898,Hb Lead Tendril Sts 65Cm,1271.43,445.0,,,0
HCPCS,C1898,Hb Lead Ultipace 52Cm,636.26,222.69,,,0
HCPCS,C1898,Hb Sup Rev 275 Hcpcs C1898,1219.075,426.675,,,0
HCPCS,C1900,Hb Lead Attain Ability 4296 88,6592.32,2307.31,,,0
HCPCS,C1900,Hb Lead Attain Ability 88Cm,4188.24,1465.88,,,0
HCPCS,C1900,Hb Lead Attain Performa 78,5061.79,1771.63,,,0
HCPCS,C1900,Hb Lead Lv Attain Performa 88Cm,5061.79,1771.63,,,0
HCPCS,C1900,Hb Lead Lv Attain Stability Quad  88,6192.61,2167.41,,,0
HCPCS,C1900,Hb Lead Lv Quickflex 86Cm,6207.57,2172.65,,,0
HCPCS,C1900,Hb Lead Sentus Promri Otw Qp L-85/49,4636.98,1622.94,,,0
HCPCS,C1982,Hb Trinav Infusion System 120Cm,36493.2,12772.62,,,0
HCPCS,C1982,Hb Trinav Infusion System 150Cm,36493.2,12772.62,,,0
HCPCS,C2596,Hb Sup Rev 272 Hcpcs C2596,15962.83,5586.99,,,0
HCPCS,C2616,"Brachytx, non-str,Yttrium-90",,,17771.01,35542.02,19
HCPCS,C2616,Hb Brachytherapy Yttrium 90,46390.32,16236.61,,,0
HCPCS,C2617,Hb Stent Nephroureteral 10Fx22Cm,297.84,104.24,,,0
HCPCS,C2617,Hb Stent Nephroureteral 10Fx28Cm,297.84,104.24,,,0
HCPCS,C2617,Hb Stent Nephroureteral 8X22,302.3,105.8,,,0
HCPCS,C2617,Hb Stent Nephrouretheral 10 X 24,297.84,104.24,,,0
HCPCS,C2617,Hb Stent Nephrouretheral 10 X 26,297.84,104.24,,,0
HCPCS,C2617,Hb Stent Nephrouretheral 8 X 24,299.04,104.66,,,0
HCPCS,C2617,Hb Stent Nephrouretheral 8/26,1139.21,398.72,,,0
HCPCS,C2617,Hb Stent Nephrouretheral 8X28,297.84,104.24,,,0
HCPCS,C2617,Hb Stent Ureteral 10Fx22Cm,297.84,104.24,,,0
HCPCS,C2617,Hb Stent Ureteral 10Fx24Cm,297.84,104.24,,,0
HCPCS,C2617,Hb Stent Ureteral 10Fx26Cm,297.84,104.24,,,0
HCPCS,C2617,Hb Stent Ureteral 10Fx28Cm,369.76,129.42,,,0
HCPCS,C2617,Hb Stent Ureteral 8 X 20,297.84,104.24,,,0
HCPCS,C2617,Hb Stent Ureteral 8Frx28Cm,297.84,104.24,,,0
HCPCS,C2617,Hb Stent Ureteral 8X22,297.84,104.24,,,0
HCPCS,C2617,Hb Sup Rev 278 Hcpcs C2617,469.92,164.47,,,0
HCPCS,C2617,Hb Ureteral 8Frx24Cm,297.84,104.24,,,0
HCPCS,C2617,Hb Ureteral 8Frx26Cm,302.98,106.04,,,0
HCPCS,C2618,Hb Cryoprobe,4391.1,1536.88,,,0
HCPCS,C2618,Hb Galil Ct Probe,5481.48,1918.52,,,0
HCPCS,C2618,Hb Sup Rev 272 Hcpcs C2618,12452.16,4358.26,,,0
HCPCS,C2621,Hb Gen Allure Crt-P Rf,10096.92,3533.92,,,0
HCPCS,C2621,Hb Gen Percepta Surescan Mri Crt-P,18847.08,6596.48,,,0
HCPCS,C2621,Hb Gen Quadra Allure Rf Crt-P Mri,13462.2,4711.77,,,0
HCPCS,C2621,Hb Gen Serena Mri Crt-P,17351.28,6072.95,,,0
HCPCS,C2621,Hb Gen Visionist Is-1 Crt-P,14958.0,5235.3,,,0
HCPCS,C2621,Hb Gen Visionist X4 Crt-P,14958.0,5235.3,,,0
HCPCS,C2621,Hb Sup Rev 275 Hcpcs C2621,13462.2,4711.77,,,0
HCPCS,C2622,Hb Sup Rev 278 Hcpcs C2622,28189.4,9866.29,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 4X120,7293.41,2552.69,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 4X40,6501.81,2275.63,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 4X60,6626.33,2319.22,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 4X80,6626.33,2319.22,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 5X100,6003.72,2101.3,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 5X120,7293.41,2552.69,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 5X40,6626.33,2319.22,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 5X80,6315.02,2210.26,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 6X150,7960.49,2786.17,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 6X40,6626.33,2319.22,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 6X60,6626.33,2319.22,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 6X80,6626.33,2319.22,,,0
HCPCS,C2623,Hb Baln Cath Inpact Adm Dcb  018 7X40,6626.33,2319.22,,,0
HCPCS,C2623,Hb Baln Drug-Coated Coronary Agent 3.00X30Mm,15963.51,5587.23,,,0
HCPCS,C2623,Hb Baln Drug-Coated Coronary Agent 4.00X20Mm,15963.51,5587.23,,,0
HCPCS,C2623,Hb Cath Bln In Pact Admiral 4.0X120X130,7293.41,2552.69,,,0
HCPCS,C2623,Hb Sup Rev 272 Hcpcs C2623,6648.56,2327.0,,,0
HCPCS,C2624,Hb Cardiomems Pa Sensor And Delivery Sys,59817.04,20935.96,,,0
HCPCS,C2625,Hb Stent Ureteral 8.5X10,340.96,119.34,,,0
HCPCS,C2625,Hb Stent Ureteral 8.5X12,340.96,119.34,,,0
HCPCS,C2625,Hb Stent Ureteral 8.5X16,816.71,285.85,,,0
HCPCS,C2625,Hb Sup Rev 278 Hcpcs C2625,431.785,151.125,,,0
HCPCS,C2627,Hb Sup Rev 272 Hcpcs C2627,1891.39,661.99,,,0
HCPCS,C2628,Hb Balloon Occlusion Lg 10X40X120,4075.39,1426.39,,,0
HCPCS,C2628,Hb Balloon Occlusion Lg 9Fr X35X120,4075.39,1426.39,,,0
HCPCS,C2628,Hb Baln Ocln Scepter Mini 2.2X9 165Cm,8334.93,2917.23,,,0
HCPCS,C2628,Hb Bln Dual Lumen Eclipse 6Mmx15Mm,8222.87,2878.0,,,0
HCPCS,C2628,Hb Bln Dual Lumen Eclipse 6Mmx20Mm,8227.32,2879.56,,,0
HCPCS,C2628,Hb Bln Dual Lumen Eclipse 6Mmx9Mm,8222.87,2878.0,,,0
HCPCS,C2628,Hb Cath Bln Hyperglide 3X15,6226.08,2179.13,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 2 10Mm,2486.35,870.22,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 2 12Mm,2734.99,957.25,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 2 16Mm,2734.99,957.25,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 2 18Mm,2497.65,874.18,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 2 22Mm,2734.99,957.25,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 2 4Mm,2260.32,791.11,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 2 6Mm,2260.32,791.11,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 2 8Mm,2734.99,957.25,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 4Mm,3249.21,1137.22,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 6Mm,2401.59,840.5550000000001,,,0
HCPCS,C2628,Hb Plug Vascular Amplatzer 8Mm,3249.21,1137.22,,,0
HCPCS,C2628,Hb Plug Vascular System 6.5Mm,5833.62,2041.77,,,0
HCPCS,C2628,Hb Sup Rev 272 Hcpcs C2628,2843.765,995.32,,,0
HCPCS,C2629,Hb Kit Sheath Glidelight 14F,13319.36,4661.78,,,0
HCPCS,C2629,Hb Kit Sheath Glidelight 16F,13509.96,4728.49,,,0
HCPCS,C2630,Hb Cath Ablation Tactiflex Bid Curve D-F,19645.76,6876.02,,,0
HCPCS,C2630,"Hb Thermocool Smart Touch D-F Curve,",13372.73,4680.46,,,0
HCPCS,C2631,Hb Sup Rev 278 Hcpcs C2631,4509.0,1578.15,,,0
HCPCS,C2639,Hb I-125 Seed 0.1-.99 Mg,332.64,116.42,,,0
HCPCS,C2639,Hb I-125 Seed 1.0 - 2.99 Mg,331.56,116.05,,,0
HCPCS,C2639,Hb I-125 Seed 3.0 - 5.99 Mg,332.64,116.42,,,0
HCPCS,C2641,Hb Pd-103 Seeds,213.84,74.84,,,0
HCPCS,C2641,Hb Sup Rev 278 Hcpcs C2641,1329.59,465.36,,,0
HCPCS,C2698,Hb Brach Ther Stranded Nos,743.04,260.06,,,0
HCPCS,C2699,Hb Brach Ther Non Stranded Nos,743.04,260.06,,,0
HCPCS,C2699,Hb Cs 137 Sources,1927.8,674.73,,,0
HCPCS,C5271,Low cost skin substitute app,,,704.0,1502.0,4
HCPCS,C5272,Low cost skin substitute app,,,704.0,972.0,2
HCPCS,C5273,Low cost skin substitute app,,,2116.0,5282.0,4
HCPCS,C5274,Low cost skin substitute app,,,704.0,972.0,2
HCPCS,C5275,Low cost skin substitute app,,,704.0,1502.0,4
HCPCS,C5276,Low cost skin substitute app,,,704.0,972.0,2
HCPCS,C5277,Low cost skin substitute app,,,704.0,1502.0,4
HCPCS,C5278,Low cost skin substitute app,,,704.0,972.0,2
HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,3613.0,4992.0,4
HCPCS,C7501,Perc bx breast lesions stero,,,3613.0,4992.0,4
HCPCS,C7502,Perc bx breast lesions mr,,,3613.0,4992.0,4
HCPCS,C7503,Open exc cerv node(s) w/ id,,,3613.0,4992.0,2
HCPCS,C7504,Perq cvt&ls inj vert bodies,,,3613.0,4992.0,2
HCPCS,C7505,Perq ls&cvt inj vert bodies,,,3613.0,4992.0,2
HCPCS,C7506,Fusion of finger joints,,,3613.0,4992.0,2
HCPCS,C7507,Perq thor&lumb vert aug,,,3613.0,4992.0,2
HCPCS,C7508,Hb C7508 Perq Lumb&Thor Vert Aug,19878.0,6957.3,,,0
HCPCS,C7508,Perq lumb&thor vert aug,,,3613.0,4992.0,2
HCPCS,C7509,Dx bronch w/ navigation,,,3613.0,5282.0,4
HCPCS,C7510,Bronch/lavag w/ navigation,,,3613.0,5282.0,4
HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,3613.0,5282.0,4
HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,3613.0,5282.0,4
HCPCS,C7513,Cath/angio dialcir w/aplasty,,,3613.0,5282.0,4
HCPCS,C7514,Cath/angio dial cir w/stents,,,3613.0,5282.0,4
HCPCS,C7515,Cath/angio dial cir w/embol,,,3613.0,5282.0,4
HCPCS,C7516,Cor angio w/ ivus or oct,,,3613.0,4992.0,2
HCPCS,C7517,Cor angio w/ilic/fem angio,,,3613.0,4992.0,2
HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,3613.0,4992.0,2
HCPCS,C7519,Cor/gft angio w/ flow resrv,,,3613.0,4992.0,2
HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,3613.0,4992.0,2
HCPCS,C7521,R hrt angio w/ ivus or oct,,,3613.0,4992.0,2
HCPCS,C7522,R hrt angio w/flow resrv,,,3613.0,4992.0,2
HCPCS,C7523,L hrt angio w/ ivus or oct,,,3613.0,4992.0,2
HCPCS,C7524,L hrt angio w/flow resrv,,,3613.0,4992.0,2
HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,3613.0,4992.0,2
HCPCS,C7526,L hrt gft ang w/flow resrv,,,3613.0,4992.0,2
HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,3613.0,4992.0,2
HCPCS,C7528,R&l hrt angio w/flow resrv,,,3613.0,4992.0,2
HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,3613.0,4992.0,2
HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,3613.0,4992.0,2
HCPCS,C7531,Angio fem/pop w/ us,,,3613.0,4992.0,2
HCPCS,C7532,Angio w/ us non-coronary,,,3613.0,4992.0,2
HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,3613.0,4992.0,2
HCPCS,C7534,Fem/pop revasc w/arthr & us,,,3613.0,4992.0,2
HCPCS,C7535,Fem/pop revasc w/stent & us,,,3613.0,4992.0,2
HCPCS,C7535,Hb C7535 Fem/Pop Revasc W/Stent & Us,34998.0,12249.3,,,0
HCPCS,C7537,Insrt atril pm w/l vent lead,,,3613.0,4992.0,2
HCPCS,C7538,Insrt vent pm w/l vent lead,,,3613.0,4992.0,2
HCPCS,C7539,Insrt a & v pm w/l vent lead,,,3613.0,4992.0,2
HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,3613.0,4992.0,2
HCPCS,C7541,Ercp w/ pancreatoscopy,,,3613.0,4992.0,2
HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,3613.0,4992.0,2
HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,3613.0,4992.0,2
HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,3613.0,4992.0,2
HCPCS,C7545,Exch bil cath w/ rmv calculi,,,3613.0,4992.0,2
HCPCS,C7546,Rep nph/urt cath w/dil stric,,,3613.0,5282.0,4
HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,3613.0,5282.0,4
HCPCS,C7548,Exch neph cath w/ dil stric,,,3613.0,5282.0,4
HCPCS,C7549,Chge urtr stent w/ dil stric,,,3613.0,5282.0,4
HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,3613.0,5282.0,4
HCPCS,C7551,Exc neuroma w/ implnt nv end,,,3613.0,4992.0,2
HCPCS,C7552,R hrt art/grft ang hrt flow,,,3613.0,4992.0,2
HCPCS,C7553,R&l hrt art/vent ang drg ad,,,3613.0,4992.0,2
HCPCS,C7554,Cystureth blu li cyst fl img,,,3613.0,4992.0,4
HCPCS,C7555,Rmvl thyrd w/autotran parath,,,3613.0,4992.0,2
HCPCS,C7556,Bronch lavage w/ebus,,,5282.0,5282.0,2
HCPCS,C7557,Cor angio/vent w/ffr,,,3613.0,4992.0,2
HCPCS,C7560,Ercp remove forgn body&endo,,,3613.0,5282.0,4
HCPCS,C7562,R&l hrt angio w/ffr & 3d map,,,3613.0,4992.0,2
HCPCS,C7563,Trluml ballo angiop all art,,,3613.0,4992.0,2
HCPCS,C7564,Vein mech throm w/intrvas us,,,3613.0,4992.0,2
HCPCS,C7565,Rpr aa hrn < 3 rdc w/ rmvl,,,3613.0,4992.0,2
HCPCS,C8001,3d anat seg imaging preop,,,134.37,268.74,19
HCPCS,C8003,Imp extar knee shck absrb,,,10842.0,36620.39,21
HCPCS,C8004,Sim ang w/prs cath rad emb,,,12055.35,24110.71,19
HCPCS,C8006,Inst pleu-perit shnt w pump,,,6760.47,13520.95,19
HCPCS,C8900,"Mra w/cont, abd",,,364.32,728.64,19
HCPCS,C8901,"Hb Mra W/O Cont, Abd",4713.0,1649.55,,,0
HCPCS,C8901,"Mra w/o cont, abd",,,249.17,498.33,19
HCPCS,C8902,"Hb Mra W/O Fol W/Cont, Abd",7863.0,2752.05,,,0
HCPCS,C8902,"Mra w/o fol w/cont, abd",,,364.32,728.64,19
HCPCS,C8903,"Mri w/cont, breast,  uni",,,183.17,366.33,19
HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,364.32,728.64,19
HCPCS,C8906,"Mri w/cont, breast,  bi",,,364.32,728.64,19
HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,364.32,728.64,19
HCPCS,C8909,"MRA w/cont, chest",,,364.32,728.64,19
HCPCS,C8910,"MRA w/o cont, chest",,,249.17,498.33,19
HCPCS,C8911,"MRA w/o fol w/cont, chest",,,364.32,728.64,19
HCPCS,C8912,"Mra w/cont, lwr ext",,,364.32,728.64,19
HCPCS,C8913,"Mra w/o cont, lwr ext",,,249.17,498.33,19
HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,364.32,728.64,19
HCPCS,C8918,"MRA w/cont, pelvis",,,364.32,728.64,19
HCPCS,C8919,"MRA w/o cont, pelvis",,,249.17,498.33,19
HCPCS,C8920,"Mra w/o fol w/cont, pelvis",,,364.32,728.64,19
HCPCS,C8921,"Tte w or w/o fol w/cont, com",,,818.63,1637.26,19
HCPCS,C8922,"Tte w or w/o fol w/cont, f/u",,,818.63,1637.26,19
HCPCS,C8923,"2d tte w or w/o fol w/con,co",,,818.63,1637.26,19
HCPCS,C8924,"2d tte w or w/o fol w/con,fu",,,364.32,728.64,19
HCPCS,C8925,"2d tee w or w/o fol w/con,in",,,818.63,1637.26,19
HCPCS,C8926,"Tee w or w/o fol w/cont,cong",,,818.63,1637.26,19
HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,818.63,1637.26,19
HCPCS,C8928,"Tte w or w/o fol w/con,stres",,,818.63,1637.26,19
HCPCS,C8929,"TTE w or wo fol wcon,Doppler",,,818.63,1637.26,19
HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,818.63,1637.26,19
HCPCS,C8931,"MRA, w/dye, spinal canal",,,364.32,728.64,19
HCPCS,C8932,"MRA, w/o dye, spinal canal",,,249.17,498.33,19
HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,364.32,728.64,19
HCPCS,C8934,"MRA, w/dye, upper extremity",,,364.32,728.64,19
HCPCS,C8935,"MRA, w/o dye, upper extr",,,249.17,498.33,19
HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,364.32,728.64,19
HCPCS,C8957,Hb Non-Chemo Iv Prolong W Pump,2386.0,835.1,,,0
HCPCS,C8957,"Prolonged iv inf, req pump",,,222.12,444.24,19
HCPCS,C9067,Gallium ga-68 dotatoc,,,3.61,7.22,21
HCPCS,C9088,"Instill, bupivac and meloxic",,,0.94,0.94,2
HCPCS,C9089,BUPIVACAINE HCL 100 MG IMPLANT [190067],881.51,308.53,,,0
HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,1.61,1.61,2
HCPCS,C9113,PANTOPRAZOLE 80MG/100ML 0.9% NS PHARMACY PREMIX [409882],579.8,202.93,,,0
HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.61,0.61,2
HCPCS,C9145,"Inj, aponvie, 1 mg",,,1.91,3.82,21
HCPCS,C9173,"Inj, nypozi, 1 mcg",,,0.66,0.66,2
HCPCS,C9248,"Inj, clevidipine butyrate",,,3.42,3.42,2
HCPCS,C9250,Artiss fibrin sealant,,,141.89,283.79,21
HCPCS,C9250,THROMBIN(HUM PLAS)-FIBRIN-APROT-CA 2.5 TO 6.5 UNIT/ML(2ML) TOPICAL SYR [112897],1380.72,483.25,,,0
HCPCS,C9257,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [38022],896.6,313.81,,,0
HCPCS,C9257,BEVACIZUMAB 25 MG/ML INTRAVITREAL STANDARD SYRINGE [150633],7347.77,2571.72,,,0
HCPCS,C9257,Bevacizumab injection,,,1.83,3.66,21
HCPCS,C9279,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [76780],139.15,48.7,,,0
HCPCS,C9356,Hb Sup Rev 278 Hcpcs C9356,8915.295,3120.355,,,0
HCPCS,C9399,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION [181206],5448.87,1907.1,,,0
HCPCS,C9399,TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [196136],3283.62,1149.27,,,0
HCPCS,C9460,CANGRELOR 50 MG INTRAVENOUS SOLUTION [170853],4335.5,1517.42,,,0
HCPCS,C9460,"Injection, cangrelor",,,19.98,39.96,21
HCPCS,C9482,Sotalol hydrochloride IV,,,25.05,50.1,21
HCPCS,C9600,Hb C9600 Perc Drug El Cor Stent Single,39039.0,13663.65,,,0
HCPCS,C9600,Perc drug-el cor stent sing,,,10842.0,24110.71,21
HCPCS,C9601,Hb C9601 Perc Drug El Cor Stent Addl,39039.0,13663.65,,,0
HCPCS,C9601,Perc drug-el cor stent bran,,,704.0,972.0,2
HCPCS,C9602,Hb C9602 Perc D E Cor Stent Ather Single,39039.0,13663.65,,,0
HCPCS,C9602,Perc d-e cor stent ather s,,,10842.0,38286.69,21
HCPCS,C9603,Hb C9603 Perc D E Cor Stent Ather Addl,39039.0,13663.65,,,0
HCPCS,C9603,Perc d-e cor stent ather br,,,704.0,972.0,2
HCPCS,C9604,Hb C9604 Perc D E Cor Revasc T Cabg Single,39039.0,13663.65,,,0
HCPCS,C9604,Perc d-e cor revasc t cabg s,,,10842.0,24110.71,21
HCPCS,C9605,Hb C9605 Perc D E Cor Revasc T Cabg Addl,39039.0,13663.65,,,0
HCPCS,C9605,Perc d-e cor revasc t cabg b,,,704.0,972.0,2
HCPCS,C9606,Hb C9606 Perc D E Cor Revasc W Ami Single,46846.0,16396.1,,,0
HCPCS,C9606,Perc d-e cor revasc w AMI s,,,3613.0,4992.0,2
HCPCS,C9607,Hb C9607 Perc D E Cor Revasc Chro Single,46846.0,16396.1,,,0
HCPCS,C9607,Perc d-e cor revasc chro sin,,,10842.0,38286.69,21
HCPCS,C9608,Hb C9608 Perc D E Cor Revasc Chro Addl,39039.0,13663.65,,,0
HCPCS,C9608,Perc d-e cor revasc chro add,,,704.0,972.0,2
HCPCS,C9675,Hb C9765 Revasc Intra Lithotrip-Stent,56719.0,19851.65,,,0
HCPCS,C9725,Hb Place Endorectal App,4469.0,1564.15,,,0
HCPCS,C9725,Hb Place Endorectal Applicator,4469.0,1564.15,,,0
HCPCS,C9725,Place endorectal app,,,940.0,1942.27,21
HCPCS,C9726,Hb Rxt Breast Appl Place Remove,8549.0,2992.15,,,0
HCPCS,C9726,Rxt breast appl place/remov,,,704.0,972.0,2
HCPCS,C9727,Insert palate implants,,,1620.29,3240.57,21
HCPCS,C9728,Hb Place Device Marker Non Pro,8148.0,2851.8,,,0
HCPCS,C9728,"Place device/marker, non pro",,,1445.42,2890.84,19
HCPCS,C9733,Non-ophthalmic FVA,,,364.32,728.64,19
HCPCS,C9734,"U/s trtmt, not leiomyomata",,,5282.0,26814.33,21
HCPCS,C9738,Blue light cysto imag agent,,,704.0,972.0,2
HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,3760.0,11198.42,23
HCPCS,C9740,Cysto impl 4 or more,,,9885.63,19771.25,21
HCPCS,C9744,Hb C9774 Revasc Lithotr-Ather Tib/Per,59344.0,20770.4,,,0
HCPCS,C9751,"Microwave bronch, 3d, ebus",,,7046.0,9732.0,2
HCPCS,C9756,Fluorescence lymph map w/ICG,,,704.0,972.0,2
HCPCS,C9757,Spine/lumbar disk surgery,,,5282.0,26814.33,23
HCPCS,C9758,Interatrial shunt IDE,,,17887.96,37440.0,21
HCPCS,C9759,Hb C9759 Transcath Intraop Microinfusion,25.0,8.75,,,0
HCPCS,C9759,Transcath intraop microinf,,,704.0,972.0,2
HCPCS,C9760,Non-blind interatrial shunt,,,28109.36,99846.0,21
HCPCS,C9761,"Cysto, litho, vacuum kidney",,,3760.0,19771.25,23
HCPCS,C9762,Cardiac MRI seg dys strain,,,570.61,1141.22,19
HCPCS,C9763,Cardiac MRI seg dys stress,,,570.61,1141.22,19
HCPCS,C9764,Hb C9764 Revasc Intravasc Lithotripsy,23658.5,8280.475,,,0
HCPCS,C9764,Revasc intravasc lithotripsy,,,10145.0,24110.71,21
HCPCS,C9765,Hb C9765 Revasc Intra Lithotrip-Stent,41715.0,14600.25,,,0
HCPCS,C9765,Revasc intra lithotrip-stent,,,10842.0,38286.69,21
HCPCS,C9766,Hb C9766 Revasc Intra Lithotrip-Ather,41147.0,14401.45,,,0
HCPCS,C9766,Revasc intra lithotrip-ather,,,10842.0,38286.69,21
HCPCS,C9767,Revasc lithotrip-stent-ather,,,10842.0,38286.69,21
HCPCS,C9769,Cysto w/temp pros implant,,,5282.0,5282.0,2
HCPCS,C9772,Hb C9772  Revasc Lithotrip Tibi/Perone,33086.0,11580.1,,,0
HCPCS,C9772,Revasc lithotrip tibi/perone,,,10842.0,24110.71,21
HCPCS,C9773,Hb C9773  Revasc Lithotr-Stent Tib/Per,40427.0,14149.45,,,0
HCPCS,C9773,Revasc lithotr-stent tib/per,,,10842.0,38286.69,21
HCPCS,C9774,Hb C9774  Revasc Lithotr-Ather Tib/Per,34930.0,12225.5,,,0
HCPCS,C9774,Revasc lithotr-ather tib/per,,,10842.0,38286.69,21
HCPCS,C9775,Hb C9775 Revasc Lith-Sten-Ath Tib/Per,69140.0,24199.0,,,0
HCPCS,C9775,Revasc lith-sten-ath tib/per,,,10842.0,38286.69,21
HCPCS,C9777,Esophag mucosal integ add-on,,,3760.0,8052.38,23
HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,3760.0,10447.91,21
HCPCS,C9779,ESD endoscopy or colonoscopy,,,3760.0,8052.38,23
HCPCS,C9780,Insert cv cath inf & sup app,,,8433.17,16866.33,21
HCPCS,C9781,Arthro/shoul surg; w/spacer,,,10145.0,26814.33,21
HCPCS,C9782,Blind myocar trpl bon marrow,,,17887.96,37440.0,21
HCPCS,C9783,Blind cor sinus reducer impl,,,10842.0,24110.71,21
HCPCS,C9784,Endo sleeve gastro w/tube,,,10145.0,14016.0,2
HCPCS,C9785,Endo outlet restrict w/tube,,,10145.0,22201.02,21
HCPCS,C9789,Instill pharm renal pelvis,,,1278.19,5282.0,23
HCPCS,C9792,Blind/nonblind trans atrial,,,9966.38,19932.75,21
HCPCS,C9793,Pre-plan 3d model w/ccta,,,896.76,1793.53,19
HCPCS,C9796,Rpr intst excl anrect fist,,,2898.56,5797.13,21
HCPCS,C9797,Hb C9797 Vasc Emb/Occ W/Prs Cath,41769.0,14619.15,,,0
HCPCS,C9797,Vasc emb/occ w/prs cath,,,10842.0,38286.69,21
HCPCS,C9901,Endo defect closure GI tract,,,10842.0,22201.02,21
HCPCS,D0210,Intraor complete film series,,,249.17,498.33,19
HCPCS,D0220,Intraoral periapical first,,,90.88,181.76,19
HCPCS,D0240,Intraoral occlusal film,,,90.88,181.76,19
HCPCS,D0250,Extraoral 2d project image,,,90.88,181.76,19
HCPCS,D0251,Extraoral posterior image,,,90.88,181.76,19
HCPCS,D0270,Dental bitewing single image,,,90.88,181.76,19
HCPCS,D0272,Dental bitewings two images,,,90.88,181.76,19
HCPCS,D0273,Bitewings - three images,,,249.17,498.33,19
HCPCS,D0274,Bitewings four images,,,249.17,498.33,19
HCPCS,D0277,Vert bitewings 7 to 8 images,,,249.17,498.33,19
HCPCS,D0310,Dental saliography,,,249.17,498.33,19
HCPCS,D0320,Dental tmj arthrogram incl i,,,249.17,498.33,19
HCPCS,D0321,Other tmj images by report,,,90.88,181.76,19
HCPCS,D0322,Dental tomographic survey,,,109.17,218.35,19
HCPCS,D0330,Panoramic image,,,249.17,498.33,19
HCPCS,D0340,2d cephalometric image,,,90.88,181.76,19
HCPCS,D0350,Oral/facial photo images,,,90.88,181.76,19
HCPCS,D0364,Cone beam ct capt & interp,,,109.17,218.35,19
HCPCS,D0365,Cone beam ct interprete man,,,109.17,218.35,19
HCPCS,D0366,Cone beam ct interprete max,,,109.17,218.35,19
HCPCS,D0367,Cone beam ct interp both jaw,,,109.17,218.35,19
HCPCS,D0368,Cone beam ct interprete TMJ,,,109.17,218.35,19
HCPCS,D0369,Max MRI capture & interprete,,,109.17,218.35,19
HCPCS,D0370,Max ultrasound capt & interp,,,109.17,218.35,19
HCPCS,D0371,Sialoendoscopy capt & interp,,,90.88,181.76,19
HCPCS,D0380,Cone beam ct capture limited,,,109.17,218.35,19
HCPCS,D0381,Cone beam ct capt mandible,,,109.17,218.35,19
HCPCS,D0382,Cone beam ct capt maxilla,,,109.17,218.35,19
HCPCS,D0383,Cone beam ct both jaws,,,109.17,218.35,19
HCPCS,D0384,Cone beam ct capture TMJ,,,109.17,218.35,19
HCPCS,D0385,Max MRI image capture,,,109.17,218.35,19
HCPCS,D0386,Max ultrasound image capture,,,109.17,218.35,19
HCPCS,D0393,Trtmnt simulation 3d image,,,90.88,181.76,19
HCPCS,D0394,Digital sub 2 or more images,,,90.88,181.76,19
HCPCS,D0395,Fusion 2 or more 3d images,,,90.88,181.76,19
HCPCS,D0701,Fracture of lower extremity M >=61.50,,,90.88,181.76,19
HCPCS,D0702,Fracture of lower extremity M >=52.50 and M <61.50,,,90.88,181.76,19
HCPCS,D0703,Fracture of lower extremity M >=41.50 and M <52.50,,,90.88,181.76,19
HCPCS,D0705,Extra oral post radio image,,,90.88,181.76,19
HCPCS,D0706,Intraoral occlus radio image,,,90.88,181.76,19
HCPCS,D0707,Intraoral periap radio image,,,90.88,181.76,19
HCPCS,D0708,Intraoral bite radio image,,,90.88,181.76,19
HCPCS,D0709,Intraoral cmplt radio images,,,90.88,181.76,19
HCPCS,D2956,Indirect rest remov,,,3613.0,4992.0,2
HCPCS,D2989,Excavate tooth non-restorabl,,,3613.0,4992.0,2
HCPCS,D3471,Surg rep root res anterior,,,675.11,4992.0,21
HCPCS,D3472,Surg rep root res premolar,,,675.11,4992.0,21
HCPCS,D3473,Surg rep root res molar,,,675.11,4992.0,21
HCPCS,D3501,Surg exp root surf anterior,,,675.11,4992.0,21
HCPCS,D3502,Surg exp root surf premolar,,,675.11,4992.0,21
HCPCS,D3503,Surg exp root surf molar,,,675.11,4992.0,21
HCPCS,D3921,D?cor or submerg erupt tooth,,,675.11,4992.0,21
HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,3462.26,6924.53,19
HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,3462.26,6924.53,19
HCPCS,D4212,Gingivectomy/plasty rest,,,3462.26,6924.53,19
HCPCS,D4230,Ana crown exp 4 or> per quad,,,3462.26,6924.53,19
HCPCS,D4231,Ana crown exp 1-3 per quad,,,1620.29,3240.57,19
HCPCS,D4240,Gingival flap proc w/ planin,,,3462.26,6924.53,19
HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,1620.29,3240.57,19
HCPCS,D4245,Apically positioned flap,,,1620.29,3240.57,19
HCPCS,D4260,Osseous surgery 4 or more,,,6181.95,12363.91,19
HCPCS,D4261,Osseous surg 1 to 3 teeth,,,3462.26,6924.53,19
HCPCS,D4266,Guided tiss regen resorble,,,1620.29,3240.57,19
HCPCS,D4267,Guided tiss regen nonresorb,,,1620.29,3240.57,19
HCPCS,D4270,Pedicle soft tissue graft pr,,,1620.29,3240.57,19
HCPCS,D4273,Auto tissue graft 1st tooth,,,1620.29,3240.57,19
HCPCS,D4275,Non-auto graft 1st tooth,,,1620.29,3240.57,19
HCPCS,D4276,Con tissue w dble ped graft,,,1620.29,3240.57,19
HCPCS,D4277,Soft tissue graft firsttooth,,,1620.29,3240.57,19
HCPCS,D4286,Remove non-resorb barrier,,,3613.0,4992.0,2
HCPCS,D4999,Unspecified periodontal proc,,,247.34,494.67,19
HCPCS,D5995,"Peri medicament w/seal, max",,,3613.0,4992.0,2
HCPCS,D5996,"Peri medicament w/seal, mand",,,3613.0,4992.0,2
HCPCS,D6089,Access/retorq implant screw,,,3613.0,4992.0,2
HCPCS,D6105,Remove implant body,,,3613.0,4992.0,2
HCPCS,D6106,Tissue regen resorbable,,,3613.0,4992.0,2
HCPCS,D6107,Tissue regen non-resorbable,,,3613.0,4992.0,2
HCPCS,D6191,Semi precision abutment,,,3613.0,4992.0,2
HCPCS,D6192,Semi precision attachment,,,3613.0,4992.0,2
HCPCS,D6193,Replace implnt screw,,,3613.0,4992.0,2
HCPCS,D6197,Replace material prosthesis,,,3613.0,4992.0,2
HCPCS,D6198,Remove interim implant,,,3613.0,4992.0,2
HCPCS,D7140,Hb Extraction Erupted Tooth/Exr,3439.0,1203.65,,,0
HCPCS,D7210,Rem imp tooth w mucoper flp,,,1620.29,3240.57,19
HCPCS,D7251,Coronectomy,,,1620.29,3240.57,19
HCPCS,D7252,Part extract for implant,,,3613.0,4992.0,2
HCPCS,D7259,Nerve dissection,,,3613.0,4992.0,2
HCPCS,D7284,Exc biopsy of saliv glands,,,3613.0,4992.0,2
HCPCS,D7298,Remove screw retained plate,,,3613.0,4992.0,2
HCPCS,D7299,Rem anchorage device w/flap,,,3613.0,4992.0,2
HCPCS,D7300,Rem anchorage dev w/o flap,,,3613.0,4992.0,2
HCPCS,D7310,Alveoplasty w/ extraction,,,1620.29,3240.57,19
HCPCS,D7311,Alveoloplasty w/extract 1-3,,,1620.29,3240.57,19
HCPCS,D7320,Alveoplasty w/o extraction,,,1620.29,3240.57,19
HCPCS,D7321,Alveoloplasty not w/extracts,,,1620.29,3240.57,19
HCPCS,D7340,Vestibuloplasty ridge extens,,,6181.95,12363.91,19
HCPCS,D7350,Vestibuloplasty exten graft,,,6181.95,12363.91,19
HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,1620.29,3240.57,19
HCPCS,D7411,Excision benign lesion>1.25c,,,1620.29,3240.57,19
HCPCS,D7412,Excision benign lesion compl,,,1620.29,3240.57,19
HCPCS,D7413,Excision malig lesion<=1.25c,,,1620.29,3240.57,19
HCPCS,D7414,Excision malig lesion>1.25cm,,,1620.29,3240.57,19
HCPCS,D7415,Excision malig les complicat,,,1620.29,3240.57,19
HCPCS,D7440,Malig tumor exc to 1.25 cm,,,3462.26,6924.53,19
HCPCS,D7441,Malig tumor > 1.25 cm,,,3462.26,6924.53,19
HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,3462.26,6924.53,19
HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,3462.26,6924.53,19
HCPCS,D7471,Rem exostosis any site,,,3462.26,6924.53,19
HCPCS,D7485,Surg reduct osseoustuberosit,,,6181.95,12363.91,19
HCPCS,D7509,Marsupialization odon cyst,,,3613.0,4992.0,2
HCPCS,D7510,I&d absc intraoral soft tiss,,,739.49,1478.98,19
HCPCS,D7511,Incision/drain abscess intra,,,739.49,1478.98,19
HCPCS,D7520,I&d abscess extraoral,,,739.49,1478.98,19
HCPCS,D7521,Incision/drain abscess extra,,,739.49,1478.98,19
HCPCS,D7670,Closd rductn splint alveolus,,,3462.26,6924.53,19
HCPCS,D7671,Alveolus open reduction,,,6181.95,12363.91,19
HCPCS,D7770,Open reduc compd alveolus fx,,,6181.95,12363.91,19
HCPCS,D7771,Alveolus clsd reduc stblz te,,,3462.26,6924.53,19
HCPCS,D7874,Tmj arthroscopy disc reposit,,,3416.88,6833.76,19
HCPCS,D7939,Indexing for osteotomy,,,3613.0,4992.0,2
HCPCS,D7950,Mandible graft,,,6181.95,12363.91,19
HCPCS,D7956,Tiss regen edent resorb,,,3613.0,4992.0,2
HCPCS,D7957,Tiss regen edent nonresorb,,,3613.0,4992.0,2
HCPCS,D7961,Buccal/labial frenectomy,,,3613.0,4992.0,2
HCPCS,D7962,Lingual frenectomy,,,3613.0,4992.0,2
HCPCS,D7993,Surg place craniofacial impl,,,3613.0,4992.0,2
HCPCS,D7994,Surg place zygomatic impl,,,3613.0,4992.0,2
HCPCS,D9949,Repair sleep apnea appliance,,,3613.0,4992.0,2
HCPCS,E0114,Hb Crutches,11.035,3.865,,,0
HCPCS,E0190,Hb Abduction Pillow,44.88,15.71,,,0
HCPCS,E0201,Penile contractur devic manu,,,146.52,293.04,19
HCPCS,E0210,Hb Electric Heat Pad Standard,2.04,0.71,,,0
HCPCS,E0736,Transcut tibial nerv stimula,,,52.38,104.76,19
HCPCS,E0738,Upper extremity rehab,,,2039.64,4079.28,19
HCPCS,E0739,Rehab sys active assist rt,,,1597.66,3195.32,19
HCPCS,E0776,Hb Iv Pole,2.04,0.71,,,0
HCPCS,E1594,Hb Cycler Dialysis Machine,11858.0,4150.3,,,0
HCPCS,E1639,Hb Dialysis Scale,2.0,0.7,,,0
HCPCS,E1699,Hb Dialysis Equipment Noc,2.0,0.7,,,0
HCPCS,E1905,Vr cbt therapy,,,674.77,1349.54,19
HCPCS,E2104,Glucose monitor w cartridge,,,54.52,109.04,19
HCPCS,G0008,Admin influenza virus vac,,,48.9,97.8,19
HCPCS,G0009,Admin pneumococcal vaccine,,,48.9,97.8,19
HCPCS,G0010,Admin hepatitis b vaccine,,,48.9,97.8,19
HCPCS,G0012,Injection of hiv prep drug,,,75.19,150.38,19
HCPCS,G0027,Semen analysis,,,6.5,13.0,19
HCPCS,G0103,Hb Psa Medicare Screen,338.0,118.3,,,0
HCPCS,G0103,PSA Screening,,,19.31,38.62,19
HCPCS,G0104,CA screen;flexi sigmoidscope,,,940.0,1942.27,21
HCPCS,G0104,Hb Colon Cancer Scr Sigmoid,1067.0,373.45,,,0
HCPCS,G0105,Colorectal scrn; hi risk ind,,,940.0,2121.0,27
HCPCS,G0105,Hb Colon Ca Scrn Hi Rsk Ind,3333.0,1166.55,,,0
HCPCS,G0108,Diab manage trn  per indiv,,,57.18,114.36,19
HCPCS,G0108,Hb Diab Self Mgt Ind 30 Min,116.0,40.6,,,0
HCPCS,G0109,Diab manage trn ind/group,,,16.84,33.68,19
HCPCS,G0109,Hb Diab Self Mgmt Educ 30Min,20.0,7.0,,,0
HCPCS,G0117,Glaucoma scrn hgh risk direc,,,30.2,60.41,19
HCPCS,G0118,Glaucoma scrn hgh risk direc,,,39.0,78.01,19
HCPCS,G0121,Colon ca scrn not hi rsk ind,,,940.0,2121.0,27
HCPCS,G0121,Hb Colon Ca Scren Not Hi Rsk Ind,1750.0,612.5,,,0
HCPCS,G0123,Hb Pap Thin Prep Med Screen,135.0,47.25,,,0
HCPCS,G0123,Screen cerv/vag thin layer,,,20.26,40.52,19
HCPCS,G0127,Hb Trim Dystrophic Nail Any Number,302.0,105.7,,,0
HCPCS,G0127,Trim nail(s),,,61.6,972.0,21
HCPCS,G0130,Single energy x-ray study,,,109.17,218.35,19
HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,27.05,54.1,19
HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,43.97,87.94,19
HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,26.49,52.98,19
HCPCS,G0147,"Scr c/v cyto, automated sys",,,18.54,37.08,19
HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,31.94,63.88,19
HCPCS,G0166,"Extrnl counterpulse, per tx",,,138.94,1502.0,21
HCPCS,G0168,Wound closure by adhesive,,,704.0,972.0,2
HCPCS,G0175,"Opps service,sched team conf",,,435.74,871.48,19
HCPCS,G0183,Software meas of cardiac vol,,,90.88,181.76,19
HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,574.35,1502.0,23
HCPCS,G0219,Hb Wb Pet Melanoma Other Nuc,11291.0,3951.85,,,0
HCPCS,G0235,Hb Pet Not Otherwise Specified,7631.0,2670.85,,,0
HCPCS,G0235,PET not otherwise specified,,,417.47,834.95,19
HCPCS,G0237,Hb Therap Procd Strg Endur,574.0,200.9,,,0
HCPCS,G0237,Therapeutic procd strg endur,,,30.2,60.41,19
HCPCS,G0238,Hb Therap Procd Resp Func,423.0,148.05,,,0
HCPCS,G0238,"Oth resp proc, indiv",,,30.2,60.41,19
HCPCS,G0239,Hb Resp Fcn/Strengh 2/> Indiv,415.0,145.25,,,0
HCPCS,G0239,"Oth resp proc, group",,,39.0,78.01,19
HCPCS,G0247,Routine footcare pt w lops,,,209.52,419.04,19
HCPCS,G0252,Hb Pet Breast Initial Nuc,3909.0,1368.15,,,0
HCPCS,G0257,Unsched dialysis ESRD pt hos,,,716.7,1433.41,19
HCPCS,G0259,Inject for sacroiliac joint,,,704.0,972.0,2
HCPCS,G0260,Hb Inj For Sacroiliac Jt Anesth,8199.0,2869.65,,,0
HCPCS,G0260,Inj for sacroiliac jt anesth,,,737.14,1502.0,27
HCPCS,G0268,Removal of impacted wax md,,,704.0,972.0,2
HCPCS,G0269,Hb G0269 Angioseal With Intervent,9469.0,3314.15,,,0
HCPCS,G0269,Occlusive device in vein art,,,704.0,972.0,2
HCPCS,G0270,Hb Mnt Reassess Ind 15 Min,53.0,18.55,,,0
HCPCS,G0270,MNT subs tx for change dx,,,22.83,45.66,19
HCPCS,G0271,Group MNT 2 or more 30 mins,,,13.02,26.04,19
HCPCS,G0271,Hb Mnt Reassess Grp 30 Min,86.0,30.1,,,0
HCPCS,G0275,Hb G0275 Renal Angio Ns W Cath,6725.0,2353.75,,,0
HCPCS,G0276,Pild/placebo control clin tr,,,7577.51,15155.02,21
HCPCS,G0277,"Hbot, full body chamber, 30m",,,143.7,287.41,19
HCPCS,G0278,Hb G0278 Iliac Angio Ns W Cath,6086.0,2130.1,,,0
HCPCS,G0279,"Tomosynthesis, mammo",,,12.86,25.72,19
HCPCS,G0281,Elec stim unattend for press,,,12.42,24.84,19
HCPCS,G0283,Elec stim other than wound,,,13.46,26.92,19
HCPCS,G0283,Hb Elec Stim Unatten,416.0,145.6,,,0
HCPCS,G0289,"Arthro, loose body + chondro",,,704.0,972.0,2
HCPCS,G0293,"Non-cov surg proc,clin trial",,,39.0,78.01,19
HCPCS,G0294,"Non-cov proc, clinical trial",,,39.0,78.01,19
HCPCS,G0302,Pre-op service LVRS complete,,,389.68,779.36,19
HCPCS,G0303,Pre-op service LVRS 10-15dos,,,225.48,450.97,19
HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,389.68,779.36,19
HCPCS,G0305,Post op service LVRS min 6,,,389.68,779.36,19
HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.77,15.54,19
HCPCS,G0307,CBC without platelet,,,6.47,12.94,19
HCPCS,G0328,Fecal blood scrn immunoassay,,,18.05,36.1,19
HCPCS,G0328,Hb Fecal Blood Scrn Immunoassay,96.0,33.6,,,0
HCPCS,G0328,Hb Fecal Blood Scrn Immunoassy Bedside,96.0,33.6,,,0
HCPCS,G0329,Electromagntic tx for ulcers,,,11.54,23.08,19
HCPCS,G0330,Facility svs dental rehab,,,3462.26,6924.53,21
HCPCS,G0339,"Robot lin-radsurg com, first",,,7046.0,9732.0,2
HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,4698.0,6490.0,2
HCPCS,G0342,Laparoscopy islet cell trans,,,5506.0,5766.0,2
HCPCS,G0379,Direct refer hospital observ,,,621.9,1243.8,19
HCPCS,G0390,Hb Trauma Alert A,10273.0,3595.55,,,0
HCPCS,G0390,Trauma Respons w/hosp criti,,,1391.93,2783.86,19
HCPCS,G0398,Home sleep test/type 2 porta,,,225.48,450.97,19
HCPCS,G0399,Hb Home Sleep Test/Type 3 Porta,1546.0,541.1,,,0
HCPCS,G0399,Home sleep test/type 3 porta,,,225.48,450.97,19
HCPCS,G0400,Home sleep test/type 4 porta,,,225.48,450.97,19
HCPCS,G0404,EKG tracing for initial prev,,,30.2,60.41,19
HCPCS,G0404,Hb Review/Report Bp Recording,91.0,31.85,,,0
HCPCS,G0412,Open tx iliac spine uni/bil,,,7577.51,15155.02,21
HCPCS,G0413,Pelvic ring fracture uni/bil,,,4698.0,15155.02,23
HCPCS,G0414,Pelvic ring fx treat int fix,,,7577.51,15155.02,21
HCPCS,G0415,Open tx post pelvic fxcture,,,3416.88,14016.0,21
HCPCS,G0416,"Prostate biopsy, any mthd",,,374.32,748.64,19
HCPCS,G0420,Hb Dialysis Education Ind Per Hr,1123.0,393.05,,,0
HCPCS,G0422,Intens cardiac rehab w/exerc,,,134.62,269.23,19
HCPCS,G0423,Intens cardiac rehab no exer,,,134.62,269.23,19
HCPCS,G0428,Collagen Meniscus Implant,,,3613.0,4992.0,2
HCPCS,G0429,Dermal filler injection(s),,,2154.64,4309.28,19
HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,19.57,39.14,19
HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,18.29,36.58,19
HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,11.98,23.96,19
HCPCS,G0448,Hb G0448 Place Perm Pacing Cardiovert,22425.0,7848.75,,,0
HCPCS,G0448,Place perm pacing cardiovert,,,3613.0,4992.0,2
HCPCS,G0453,Cont intraop neuro monitor,,,704.0,972.0,2
HCPCS,G0455,FECAL MICROBIOTA TRANSPLANT TGH CUSTOM [409375],10.22,3.58,,,0
HCPCS,G0455,Fecal microbiota prep instil,,,971.14,1942.27,19
HCPCS,G0460,Autologous PRP for ulcers,,,2154.64,4309.28,19
HCPCS,G0463,Noncdm Charge Record,190.0,66.5,,,0
HCPCS,G0472,Hep c screen high risk/other,,,46.35,92.7,19
HCPCS,G0475,Hiv combination assay,,,24.08,48.16,19
HCPCS,G0476,Hpv combo assay ca screen,,,35.09,70.18,19
HCPCS,G0480,Drug test def 1-7 classes,,,114.43,228.86,19
HCPCS,G0481,Drug test def 8-14 classes,,,156.59,313.18,19
HCPCS,G0482,Drug test def 15-21 classes,,,198.74,397.48,19
HCPCS,G0483,Drug test def 22+ classes,,,246.92,493.84,19
HCPCS,G0498,Chemo extend iv infus w/pump,,,344.93,689.86,19
HCPCS,G0499,Hepb screen high risk indiv,,,28.27,56.54,19
HCPCS,G0516,"Insert drug del implant, >4",,,466.5,1502.0,23
HCPCS,G0517,Remove drug implant,,,466.5,1502.0,23
HCPCS,G0518,Remove w insert drug implant,,,466.5,1502.0,23
HCPCS,G0541,No pt prsnt train initial 30,,,30.2,60.41,19
HCPCS,G0543,Group train w/o patient,,,30.2,60.41,19
HCPCS,G0555,Replacment pt electronic sys,,,896.76,1793.53,19
HCPCS,G0561,"Temp tube delivery, unil",,,704.0,972.0,2
HCPCS,G0564,365 d implant glucose sensor,,,4698.0,6490.0,2
HCPCS,G0565,Rem/ins glu snsr 365 dif sit,,,4698.0,6490.0,2
HCPCS,G0566,3d bn img algor drvd fr mri,,,134.37,268.74,19
HCPCS,G0567,Screening Hep C detect,,,35.09,70.18,19
HCPCS,G0659,Drug test def simple all cl,,,62.14,124.28,19
HCPCS,G1004,Hb Cdsm Ndsc,16432.4,5751.34,,,0
HCPCS,G2000,Blinded conv. Tx MDD clin tr,,,389.68,779.36,19
HCPCS,G2011,Alcohol/sub abuse assess,,,30.2,60.41,19
HCPCS,G2170,"Hb G2170 Perc Av Fistula, Direct",39521.5,13832.525,,,0
HCPCS,G2171,Hb G2171 Rf Magnetic-Guide Av Fistula,41200.5,14420.175,,,0
HCPCS,G9017,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION [365],14.17,4.96,,,0
HCPCS,J0121,"Inj., omadacycline, 1 mg",,,3.87,8.04,24
HCPCS,J0122,"Inj., eravacycline, 1 mg",,,1.21,2.6,24
HCPCS,J0129,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [70287],3016.48,1055.77,,,0
HCPCS,J0129,Abatacept injection,,,43.38,88.22,24
HCPCS,J0130,Abciximab injection,,,681.52,681.52,2
HCPCS,J0131,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [148497]",0.73,0.25,,,0
HCPCS,J0131,Acetaminophen injection,,,0.05,0.06,5
HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],27.0,9.45,,,0
HCPCS,J0132,Acetylcysteine injection,,,0.45,0.67,5
HCPCS,J0133,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],33.26,11.64,,,0
HCPCS,J0133,Acyclovir injection,,,0.02,0.06,5
HCPCS,J0134,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [148497]",0.73,0.25,,,0
HCPCS,J0134,Inj acetaminophen -fresenius,,,0.05,0.05,5
HCPCS,J0136,"Inj, acetaminophen (b braun)",,,0.05,0.06,5
HCPCS,J0137,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [148497]",0.73,0.25,,,0
HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.03,0.06,5
HCPCS,J0138,"Injection, acetaminoph 10 mg",,,0.04,0.34,22
HCPCS,J0139,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE KIT [34652],7990.88,2796.81,,,0
HCPCS,J0139,"Inj, adalimumab, 1 mg",,,111.91,111.91,2
HCPCS,J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],249.96,87.48,,,0
HCPCS,J0153,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],249.96,87.48,,,0
HCPCS,J0153,Adenosine inj 1mg,,,0.39,0.44,5
HCPCS,J0165,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [151040],126.27,44.19,,,0
HCPCS,J0165,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [2850],126.27,44.19,,,0
HCPCS,J0167,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
HCPCS,J0171,Adrenalin epinephrine inject,,,0.73,0.94,5
HCPCS,J0171,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE [180712],2.145,0.75,,,0
HCPCS,J0171,EPINEPHRINE HCL 100 MCG/10 ML(10 MCG/ML) IN 0.9 % SOD CHLOR IV SYRINGE [174390],2.6,0.91,,,0
HCPCS,J0171,EPINEPHRINE IV 15MG/250ML NS (CONCENTRATED) PHARMACY PREMIX [409641],2020.26,707.09,,,0
HCPCS,J0171,EPINEPHRINE IV 7.5MG/250ML NS (STANDARD) PHARMACY PREMIX [409644],1010.13,353.55,,,0
HCPCS,J0172,ADUCANUMAB-AVWA 100 MG/ML INTRAVENOUS SOLUTION [191989],1937.38,678.08,,,0
HCPCS,J0172,"Inj, aducanumab-avwa, 2 mg",,,5.98,7.3,5
HCPCS,J0173,"Inj, epinephrine (belcher)",,,2.25,2.9,5
HCPCS,J0174,"Inj, lecanemab-irmb",,,1.32,2.65,24
HCPCS,J0174,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [196950],440.77,154.27,,,0
HCPCS,J0175,DONANEMAB-AZBT 17.5 MG/ML INTRAVENOUS SOLUTION [202402],120.33,42.12,,,0
HCPCS,J0175,"Inj, donanemab-azbt, 2 mg",,,4.13,8.27,24
HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,311.38,622.76,24
HCPCS,J0178,Aflibercept injection,,,771.56,1543.12,24
HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,339.99,692.21,24
HCPCS,J0180,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION [35775],31464.34,11012.52,,,0
HCPCS,J0180,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION [38494],4494.91,1573.22,,,0
HCPCS,J0180,Agalsidase beta injection,,,222.84,460.31,24
HCPCS,J0184,"Inj, amisulpride, 1 mg",,,9.61,19.23,21
HCPCS,J0185,"Inj., aprepitant, 1 mg",,,1.64,3.28,24
HCPCS,J0202,ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION [168452],58225.06,20378.77,,,0
HCPCS,J0202,"Injection, alemtuzumab",,,2429.89,4859.78,24
HCPCS,J0205,Alglucerase injection,,,36.7,36.7,2
HCPCS,J0206,Inj allopurinol sodium 1 mg,,,4.45,9.44,24
HCPCS,J0207,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION [20803],2642.58,924.9,,,0
HCPCS,J0207,Amifostine,,,993.21,993.21,2
HCPCS,J0208,Inj sodium thiosulfate 100mg,,,95.11,190.22,21
HCPCS,J0209,"Inj, sod thiosulfate (hope)",,,0.88,1.76,21
HCPCS,J0210,Methyldopate hcl injection,,,61.0,61.0,2
HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,2.23,4.47,21
HCPCS,J0215,Alefacept,,,30.78,30.78,2
HCPCS,J0216,"Inj, alfentanil hcl, 500mcg",,,5.51,5.51,2
HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,444.98,930.47,24
HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,381.24,787.32,24
HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,77.82,161.82,24
HCPCS,J0221,Lumizyme injection,,,201.57,413.18,24
HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,99.04,199.93,24
HCPCS,J0222,PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION [182835],8595.3,3008.36,,,0
HCPCS,J0223,Inj givosiran 0.5 mg,,,116.47,234.72,24
HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,318.85,658.1,24
HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,4956.31,10007.28,24
HCPCS,J0225,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE [194876],1014483.5,355069.22,,,0
HCPCS,J0248,"Inj, remdesivir, 1 mg?",,,6.35,13.46,24
HCPCS,J0248,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION [409086],1798.99,629.65,,,0
HCPCS,J0256,Alpha 1 proteinase inhibitor,,,5.16,10.91,24
HCPCS,J0257,Glassia injection,,,5.45,11.28,24
HCPCS,J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],5240.07,1834.03,,,0
HCPCS,J0270,Alprostadil for injection,,,0.57,0.57,2
HCPCS,J0278,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [147620]",512.15,179.25,,,0
HCPCS,J0278,Amikacin sulfate injection,,,0.6,0.88,5
HCPCS,J0280,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [107465],8.25,2.89,,,0
HCPCS,J0280,Aminophyllin 250 MG inj,,,6.31,11.05,5
HCPCS,J0281,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],1.39,0.49,,,0
HCPCS,J0281,Inj aminocaproic acid 1 gram,,,1.3,1.3,1
HCPCS,J0282,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
HCPCS,J0282,AMIODARONE IV 450MG/250ML D5W INFUSION STANDARD (PHARMACY PREMIX) [408594],2551.11,892.89,,,0
HCPCS,J0282,AMIODARONE IV 900MG/250ML D5W INFUSION DOUBLE (PHARMACY PREMIX) [408595],5102.22,1785.78,,,0
HCPCS,J0282,Amiodarone HCl,,,0.33,0.48,3
HCPCS,J0283,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [152106]",1.74,0.61,,,0
HCPCS,J0283,"Inj, amiodarone (nexterone)",,,2.59,3.07,5
HCPCS,J0285,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],535.99,187.6,,,0
HCPCS,J0285,Amphotericin B,,,50.07,61.09,5
HCPCS,J0287,Amphotericin b lipid complex,,,10.3,20.6,22
HCPCS,J0288,Ampho b cholesteryl sulfate,,,86.42,86.42,2
HCPCS,J0289,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION [21900],179.09,62.68,,,0
HCPCS,J0289,Amphotericin b liposome inj,,,21.48,42.97,24
HCPCS,J0290,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.73000000000002,51.355,,,0
HCPCS,J0290,AMPICILLIN 125 MG SOLUTION FOR INJECTION [471],146.88,51.41,,,0
HCPCS,J0290,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],286.77,100.37,,,0
HCPCS,J0290,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],73.44,25.7,,,0
HCPCS,J0290,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],73.44,25.7,,,0
HCPCS,J0290,Ampicillin 500 MG inj,,,0.6,0.89,5
HCPCS,J0291,"Inj., plazomicin, 5 mg",,,3.5,7.01,24
HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
HCPCS,J0295,Ampicillin sodium per 1.5 gm,,,1.57,2.28,5
HCPCS,J0300,AMOBARBITAL 500 MG SOLUTION FOR INJECTION [9075],171.36,59.98,,,0
HCPCS,J0300,Amobarbital 125 MG inj,,,13.81,13.81,2
HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
HCPCS,J0330,Succinycholine chloride inj,,,1.93,1.93,2
HCPCS,J0348,Anidulafungin injection,,,0.47,0.62,5
HCPCS,J0349,"Inj, rezafungin, 1 mg",,,10.42,21.25,24
HCPCS,J0360,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
HCPCS,J0360,Hydralazine hcl injection,,,4.4,4.98,5
HCPCS,J0364,Apomorphine hydrochloride,,,64.7,64.7,2
HCPCS,J0365,"Aprotonin, 10,000 kiu",,,3.16,3.16,2
HCPCS,J0380,Inj metaraminol bitartrate,,,1.18,1.18,2
HCPCS,J0391,"Inj, artesunate, 1mg",,,51.83,103.66,21
HCPCS,J0400,Aripiprazole injection,,,0.39,0.39,2
HCPCS,J0401,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE [161615]",2719.23,951.73,,,0
HCPCS,J0401,Inj aripiprazole ext rel 1mg,,,7.03,14.55,24
HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,5.87,12.05,24
HCPCS,J0456,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
HCPCS,J0456,Azithromycin,,,2.22,2.6,5
HCPCS,J0457,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],129.27,45.24,,,0
HCPCS,J0457,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],193.89999999999998,67.865,,,0
HCPCS,J0457,"Injection, aztreonam, 100 mg",,,2.23,2.53,5
HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.575,4.4,,,0
HCPCS,J0461,ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],51.54,18.04,,,0
HCPCS,J0461,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION [190365],73.84,25.845,,,0
HCPCS,J0461,Atropine sulfate injection,,,0.11,0.13,5
HCPCS,J0470,DIMERCAPROL 100 MG/ML INTRAMUSCULAR SOLUTION [9872],107.36500000000001,37.58,,,0
HCPCS,J0470,Dimecaprol injection,,,78.3,78.3,2
HCPCS,J0475,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [9208]",263.33,92.17,,,0
HCPCS,J0475,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION [9209],69.51,24.33,,,0
HCPCS,J0475,Baclofen 10 mg injection,,,174.8,362.44,24
HCPCS,J0476,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION [21880],127.36,44.57,,,0
HCPCS,J0476,Baclofen intrathecal trial,,,49.31,53.82,5
HCPCS,J0480,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION [23082],10411.14,3643.9,,,0
HCPCS,J0480,Basiliximab,,,4686.85,9373.71,24
HCPCS,J0485,BELATACEPT 250 MG INTRAVENOUS SOLUTION [152147],4113.98,1439.89,,,0
HCPCS,J0485,Belatacept injection,,,3.89,7.77,24
HCPCS,J0490,BELIMUMAB 120 MG INTRAVENOUS SOLUTION [149975],2656.54,929.79,,,0
HCPCS,J0490,BELIMUMAB 400 MG INTRAVENOUS SOLUTION [149976],8855.12,3099.29,,,0
HCPCS,J0490,Belimumab injection,,,54.97,112.14,24
HCPCS,J0491,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION [192406],7958.02,2785.31,,,0
HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,17.78,36.16,24
HCPCS,J0500,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],252.53,88.39,,,0
HCPCS,J0500,Dicyclomine injection,,,12.86,18.18,5
HCPCS,J0515,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],52.83,18.49,,,0
HCPCS,J0515,Inj benztropine mesylate,,,16.77,20.61,5
HCPCS,J0517,BENRALIZUMAB 10 MG/0.5 ML SUBCUTANEOUS SYRINGE [201624],13092.86,4582.5,,,0
HCPCS,J0517,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS AUTO-INJECTOR [186299],25975.2,9091.32,,,0
HCPCS,J0517,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE [180718],25975.2,9091.32,,,0
HCPCS,J0517,"Inj., benralizumab, 1 mg",,,163.3,329.18,24
HCPCS,J0558,PenG benzathine/procaine inj,,,17.37,39.05,24
HCPCS,J0561,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [106251]",106.29499999999999,37.2,,,0
HCPCS,J0561,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE [106250]",309.22,108.23,,,0
HCPCS,J0561,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE [10897]",141.73,49.6,,,0
HCPCS,J0561,Penicillin g benzathine inj,,,26.98,60.02,24
HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,39.83,79.65,24
HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,120.36,240.73,21
HCPCS,J0571,Buprenorphine oral 1mg,,,1.71,1.71,2
HCPCS,J0572,Bupren/nal up to 3mg bupreno,,,8.71,8.71,2
HCPCS,J0573,Bupren/nal 3.1 to 6mg bupren,,,13.77,13.77,2
HCPCS,J0574,Bupren/nal 6.1 to 10mg bupre,,,14.1,14.1,2
HCPCS,J0575,Bupren/nal over 10mg bupreno,,,22.57,22.57,2
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,420.64,841.27,24
HCPCS,J0578,"Inj brixadi, more than 7 day",,,1682.54,3365.09,24
HCPCS,J0583,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],2787.93,975.775,,,0
HCPCS,J0583,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [187403],80.2,28.07,,,0
HCPCS,J0583,Bivalirudin,,,0.15,0.2,5
HCPCS,J0584,"Injection, burosumab-twza 1m",,,469.74,968.28,24
HCPCS,J0585,"Injection,onabotulinumtoxina",,,6.48,12.99,24
HCPCS,J0585,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [32700],1255.88,439.56,,,0
HCPCS,J0586,Abobotulinumtoxina,,,8.75,17.5,24
HCPCS,J0587,"Inj, rimabotulinumtoxinb",,,13.0,26.58,24
HCPCS,J0587,"RIMABOTULINUMTOXINB 10,000 UNIT/2 ML INTRAMUSCULAR SOLUTION [102732]",2334.65,817.13,,,0
HCPCS,J0587,"RIMABOTULINUMTOXINB 5,000 UNIT/ML INTRAMUSCULAR SOLUTION [29449]",4251.84,1488.14,,,0
HCPCS,J0588,Incobotulinumtoxin a,,,5.33,11.14,24
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,2.99,6.3,22
HCPCS,J0592,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [110148],69.58,24.35,,,0
HCPCS,J0592,Buprenorphine hydrochloride,,,4.18,5.25,5
HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,84.8,174.57,22
HCPCS,J0594,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],681.62,238.57,,,0
HCPCS,J0594,Busulfan injection,,,0.88,1.8,24
HCPCS,J0595,BUTORPHANOL 2 MG/ML INJECTION SOLUTION [9334],177.8,62.23,,,0
HCPCS,J0595,Butorphanol tartrate 1 mg,,,4.6,6.93,5
HCPCS,J0596,"Injection, ruconest",,,34.75,73.53,24
HCPCS,J0597,"C-1 esterase, berinert",,,72.27,151.72,24
HCPCS,J0597,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT [155896],10554.08,3693.93,,,0
HCPCS,J0597,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SOLUTION [156688],8957.7,3135.2,,,0
HCPCS,J0598,"C-1 esterase, cinryze",,,63.88,131.25,24
HCPCS,J0599,"Inj., haegarda 10 units",,,17.63,17.63,2
HCPCS,J0600,Edetate calcium disodium inj,,,6408.38,12816.75,22
HCPCS,J0601,Sevelamer carbonate 20 mg,,,0.13,0.13,2
HCPCS,J0602,Sevelamer carbonate pdr 20mg,,,0.37,0.37,2
HCPCS,J0603,Sevelamer hydrochloride 20mg,,,0.24,0.24,2
HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,1.21,1.21,2
HCPCS,J0605,Sucroferric oxyhydroxide 5mg,,,0.26,0.26,2
HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,2.29,5.76,21
HCPCS,J0607,Lanthanum carbonate oral 5mg,,,0.11,0.11,2
HCPCS,J0608,Lanthanum carbonate pwdr 5mg,,,0.1,0.1,2
HCPCS,J0609,Ferric citrate orl 3 mg iron,,,0.04,0.04,2
HCPCS,J0610,CALCIUM CHLORIDE 1 G IN SODIUM CHLORIDE 0.9% 100ML [408256],5.914999999999999,2.0700000000000003,,,0
HCPCS,J0612,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [184196]",7.36,2.58,,,0
HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
HCPCS,J0612,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION [185254]",5.085,1.78,,,0
HCPCS,J0612,Calcium glucon (fresenius),,,0.05,0.05,5
HCPCS,J0613,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION [185254]",7.36,2.58,,,0
HCPCS,J0613,Calcium glucon (wg critical),,,0.08,0.13,5
HCPCS,J0615,"Calcium acetate, oral, 23 mg",,,0.04,0.04,2
HCPCS,J0620,Calcium glycer & lact/10 ML,,,13.42,13.42,2
HCPCS,J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],6360.8,2226.28,,,0
HCPCS,J0630,Calcitonin salmon injection,,,1327.99,1393.74,4
HCPCS,J0636,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION [9348],171.36,59.98,,,0
HCPCS,J0636,Inj calcitriol per 0.1 mcg,,,1.31,1.31,2
HCPCS,J0637,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],4200.3,1470.11,,,0
HCPCS,J0637,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION [29568],5880.42,2058.15,,,0
HCPCS,J0637,Caspofungin acetate,,,3.34,7.15,5
HCPCS,J0638,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION [178000],74850.0,26197.5,,,0
HCPCS,J0638,Canakinumab injection,,,136.56,283.21,24
HCPCS,J0640,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION [4392],83.85,29.35,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION [15426],121.11,42.39,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],95.555,33.445,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION [4394],34.6,12.11,,,0
HCPCS,J0640,Leucovorin calcium injection,,,3.51,5.76,5
HCPCS,J0641,Levoleucovorin injection,,,0.02,0.29,5
HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,1.18,1.95,5
HCPCS,J0650,"Inj, levothyroxine nos 10mcg",,,6.58,7.26,3
HCPCS,J0650,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [153980],305.21999999999997,106.83,,,0
HCPCS,J0650,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION [4419],658.54,230.49,,,0
HCPCS,J0651,"Inj, levothyroxine, freskabi",,,4.66,13.66,22
HCPCS,J0651,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION [185024],76.7,26.85,,,0
HCPCS,J0652,"Inj, levothyroxine, hikma",,,5.14,6.27,3
HCPCS,J0665,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
HCPCS,J0665,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],13.944999999999999,4.88,,,0
HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],114.99,40.25,,,0
HCPCS,J0665,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [102417],0.05,0.02,,,0
HCPCS,J0665,"Inj, bupivacaine, nos, 0.5mg",,,0.01,0.01,5
HCPCS,J0666,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153726],52.93,18.53,,,0
HCPCS,J0666,"Inj, bupivacaine liposome",,,1.42,2.94,22
HCPCS,J0670,Inj mepivacaine HCL/10 ml,,,3.63,4.33,5
HCPCS,J0670,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [112610],2.1,0.74,,,0
HCPCS,J0670,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [112609],3.16,1.1,,,0
HCPCS,J0687,Inj cefazolin (wg crit care),,,0.97,1.35,5
HCPCS,J0688,"Inj cefazolin sodium, hikma",,,0.98,1.22,5
HCPCS,J0689,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [25365],88.11,30.84,,,0
HCPCS,J0689,CEFAZOLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [172692],1.76,0.62,,,0
HCPCS,J0689,"Inj cefazolin sodium, baxter",,,1.25,1.5,5
HCPCS,J0690,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
HCPCS,J0690,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
HCPCS,J0690,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [154641],84.88000000000001,29.705,,,0
HCPCS,J0690,CEFAZOLIN 500 MG SOLUTION FOR INJECTION [1448],44.05,15.42,,,0
HCPCS,J0690,Cefazolin sodium injection,,,0.83,0.99,5
HCPCS,J0691,Inj lefamulin 1 mg,,,1.0,1.0,2
HCPCS,J0692,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],194.86499999999998,68.205,,,0
HCPCS,J0692,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],669.3249999999999,234.265,,,0
HCPCS,J0692,CEFEPIME 40MG/ML PEDIATRIC SYRINGE (PREMIX BBRAUN) [411170],4.41,1.54,,,0
HCPCS,J0692,Cefepime hcl for injection,,,1.2,1.51,5
HCPCS,J0694,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],155.9,54.57,,,0
HCPCS,J0694,"CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK [91039]",155.9,54.57,,,0
HCPCS,J0694,CEFOXITIN 2 GRAM/50 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [91040],311.8,109.13,,,0
HCPCS,J0694,CEFOXITIN 40 MG/ML PEDIATRIC SYRINGE (PREMIX BBRAUN) [411269],6.24,2.18,,,0
HCPCS,J0694,Cefoxitin sodium injection,,,5.01,5.43,5
HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION [168581],406.78,142.37,,,0
HCPCS,J0695,Inj ceftolozane tazobactam,,,8.04,18.13,24
HCPCS,J0696,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
HCPCS,J0696,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK [9492],241.29,84.45,,,0
HCPCS,J0696,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],482.58,168.9,,,0
HCPCS,J0696,CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9493],482.58,168.9,,,0
HCPCS,J0696,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],81.82,28.634999999999998,,,0
HCPCS,J0696,CEFTRIAXONE 40MG/ML PEDIATRIC SYRINGE (PREMIX BBRAUN) [411187],9.65,3.38,,,0
HCPCS,J0696,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],120.64,42.23,,,0
HCPCS,J0696,Ceftriaxone sodium injection,,,0.49,0.55,5
HCPCS,J0697,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [103648],484.45,169.56,,,0
HCPCS,J0697,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],242.23,84.78,,,0
HCPCS,J0697,Sterile cefuroxime injection,,,2.01,2.31,5
HCPCS,J0698,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION [9452],51.82,18.14,,,0
HCPCS,J0698,CEFOTAXIME 2 GRAM SOLUTION FOR INJECTION [9454],103.64,36.27,,,0
HCPCS,J0698,Cefotaxime sodium injection,,,7.37,7.37,2
HCPCS,J0699,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION [187410],656.46,229.76,,,0
HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,2.28,4.84,24
HCPCS,J0701,Inj. cefepime hcl (baxter),,,5.8,7.0,5
HCPCS,J0702,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [9266],157.70499999999998,55.19499999999999,,,0
HCPCS,J0702,Betamethasone acet&sod phosp,,,6.85,9.16,5
HCPCS,J0703,CEFEPIME 1 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [144775],110.14,38.55,,,0
HCPCS,J0703,CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [144776],220.29,77.1,,,0
HCPCS,J0703,"Inj, cefepime hcl (b braun)",,,5.04,6.0,5
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
HCPCS,J0706,Caffeine citrate injection,,,2.45,2.45,2
HCPCS,J0712,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION [148283],315.11,110.29,,,0
HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [148284],472.67,165.44,,,0
HCPCS,J0712,Ceftaroline fosamil inj,,,3.99,8.46,24
HCPCS,J0713,CEFTAZIDIME 1 GRAM INTRAVENOUS SOLUTION [27290],155.9,54.57,,,0
HCPCS,J0713,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],155.9,54.57,,,0
HCPCS,J0713,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],467.70000000000005,163.695,,,0
HCPCS,J0713,Inj ceftazidime per 500 mg,,,1.6,2.01,5
HCPCS,J0714,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [169701],1270.38,444.63,,,0
HCPCS,J0714,Ceftazidime and avibactam,,,100.5,209.46,24
HCPCS,J0716,Centruroides immune f(ab),,,4871.94,9743.88,21
HCPCS,J0717,Certolizumab pegol inj 1mg,,,3.91,7.83,24
HCPCS,J0720,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION [25518],118.54,41.49,,,0
HCPCS,J0720,Chloramphenicol sodium injec,,,50.26,100.52,21
HCPCS,J0725,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION [1676]",1123.33,393.165,,,0
HCPCS,J0725,Chorionic gonadotropin/1000u,,,18.25,24.0,5
HCPCS,J0735,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",23.05,7.875,,,0
HCPCS,J0735,"CLONIDINE (PF) 5,000 MCG/10 ML EPIDURAL SOLUTION [27113]",1.29,0.45,,,0
HCPCS,J0735,Clonidine hydrochloride,,,16.2,20.8,5
HCPCS,J0736,CLINDAMYCIN 12 MG/ML PEDIATRIC SYRINGE (PREMIX SANDOZ) [411312],12.28,4.3,,,0
HCPCS,J0736,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],191.94,67.175,,,0
HCPCS,J0736,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9625],8.19,2.865,,,0
HCPCS,J0736,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],11.82,4.14,,,0
HCPCS,J0736,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],9.209999999999999,3.2249999999999996,,,0
HCPCS,J0736,"Inj, clindamycin phosp 300mg",,,1.61,2.8,5
HCPCS,J0737,"Inj, clindamycin (baxter)",,,2.53,3.19,5
HCPCS,J0739,"Injection, cabotegravir 1 mg",,,6.89,14.04,22
HCPCS,J0740,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378],1552.05,543.22,,,0
HCPCS,J0740,Cidofovir injection,,,367.34,1092.59,24
HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,23.13,47.3,24
HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,2.5,3.05,5
HCPCS,J0743,Cilastatin sodium injection,,,7.34,8.78,5
HCPCS,J0743,IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION [9602],206.15,72.15,,,0
HCPCS,J0743,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],412.3,144.3,,,0
HCPCS,J0744,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [91237],247.9,86.765,,,0
HCPCS,J0744,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],493.34999999999997,172.675,,,0
HCPCS,J0744,CIPROFLOXACIN 400 MG/40 ML INTRAVENOUS SOLUTION [9609],490.89,171.81,,,0
HCPCS,J0744,Ciprofloxacin iv,,,1.01,2.1,5
HCPCS,J0745,Inj codeine phosphate /30 MG,,,1.18,1.18,2
HCPCS,J0750,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [39255],37.46,13.11,,,0
HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,1.28,3.47,22
HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,71.27,142.65,22
HCPCS,J0770,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],188.07,65.825,,,0
HCPCS,J0770,Colistimethate sodium inj,,,11.94,14.84,5
HCPCS,J0775,"Collagenase, clost hist inj",,,73.38,151.81,24
HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
HCPCS,J0780,Prochlorperazine injection,,,2.92,4.14,5
HCPCS,J0791,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION [186676],907.63,317.67,,,0
HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,129.48,258.96,24
HCPCS,J0795,CORTICORELIN OVINE TRIFLUTATE 100 MCG INTRAVENOUS SOLUTION [21285],3183.7,1114.29,,,0
HCPCS,J0795,Corticorelin ovine triflutal,,,5.14,5.14,2
HCPCS,J0801,Inj. acthar gel to 40 units,,,3893.43,8269.24,24
HCPCS,J0802,"Inj. (ani), up to 40 units",,,3445.58,7069.2,24
HCPCS,J0834,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],440.64,154.23,,,0
HCPCS,J0834,Cosyntropin cortrosyn inj,,,28.4,40.78,5
HCPCS,J0840,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [29313],4908.94,1718.13,,,0
HCPCS,J0840,Crotalidae poly immune fab,,,1755.81,3657.43,24
HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,1043.55,2090.3,24
HCPCS,J0850,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],141.37,49.48,,,0
HCPCS,J0850,Cytomegalovirus imm IV /vial,,,1808.64,3617.29,24
HCPCS,J0870,IMETELSTAT 188 MG INTRAVENOUS SOLUTION [202122],34194.69,11968.14,,,0
HCPCS,J0870,"Injection, imetelstat, 1 mg",,,55.51,114.05,22
HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.05,0.05,5
HCPCS,J0873,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
HCPCS,J0873,"Inj, daptomycin (xellia)",,,0.03,0.05,5
HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.07,0.09,5
HCPCS,J0875,"Injection, dalbavancin",,,15.57,31.23,24
HCPCS,J0877,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
HCPCS,J0877,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
HCPCS,J0877,"Inj, daptomycin (hospira)",,,0.05,0.06,5
HCPCS,J0878,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1320.65,462.225,,,0
HCPCS,J0878,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
HCPCS,J0878,Daptomycin injection,,,0.03,0.05,5
HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.16,0.16,2
HCPCS,J0881,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION [110897],2699.58,944.85,,,0
HCPCS,J0881,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION [76962],674.9,236.21,,,0
HCPCS,J0881,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE [110869],13497.91,4724.27,,,0
HCPCS,J0881,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION [76963],1079.83,377.94,,,0
HCPCS,J0881,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE [76334],13497.91,4724.27,,,0
HCPCS,J0881,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION [110896],1619.75,566.91,,,0
HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,2.92,5.85,24
HCPCS,J0882,"Darbepoetin alfa, esrd use",,,2.92,5.85,24
HCPCS,J0883,ARGATROBAN 1 MG/ML INFUSION FOR EKOS [410383],23.47,8.22,,,0
HCPCS,J0883,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],2628.41,919.94,,,0
HCPCS,J0883,ARGATROBAN 50 MG/50 ML (1 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [152130],26.28,9.2,,,0
HCPCS,J0883,Argatroban nonesrd use 1mg,,,0.8,1.59,22
HCPCS,J0884,Argatroban esrd dialysis 1mg,,,0.95,0.98,3
HCPCS,J0885,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION [9939]",210.26,73.59,,,0
HCPCS,J0885,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION [14643]",2190.8450000000003,766.7950000000001,,,0
HCPCS,J0885,"Epoetin alfa, non-esrd",,,7.08,17.09,24
HCPCS,J0887,Epoetin beta esrd use,,,1.26,1.49,5
HCPCS,J0888,Epoetin beta non esrd,,,1.26,1.48,5
HCPCS,J0891,ARGATROBAN 1 MG/ML INFUSION FOR EKOS [410383],23.47,8.22,,,0
HCPCS,J0891,Argatroban nonesrd (accord),,,1.82,3.63,21
HCPCS,J0892,Argatroban dialysis (accord),,,5.8,5.8,2
HCPCS,J0893,"Inj, decitabine (sun pharma)",,,0.78,45.04,3
HCPCS,J0894,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
HCPCS,J0894,Decitabine injection,,,1.77,2.84,5
HCPCS,J0895,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],148.17,51.86,,,0
HCPCS,J0895,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],148.17,51.86,,,0
HCPCS,J0895,Deferoxamine mesylate inj,,,7.67,10.91,5
HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,41.24,83.96,24
HCPCS,J0896,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION [186656],17206.0,6022.1,,,0
HCPCS,J0896,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION [186657],51618.0,18066.3,,,0
HCPCS,J0897,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [148402],6782.12,2373.74,,,0
HCPCS,J0897,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [144734],5998.68,2099.54,,,0
HCPCS,J0897,Denosumab injection,,,27.81,58.76,24
HCPCS,J0898,Argatroban nonesrd (auromed),,,1.34,1.73,3
HCPCS,J0899,ARGATROBAN 1 MG/ML INFUSION FOR EKOS [410383],23.47,8.22,,,0
HCPCS,J0899,"Argatroban dialysis, auromed",,,1.34,6.43,3
HCPCS,J0901,Vadadustat oral 1mg for esrd,,,0.21,0.21,2
HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,6.41,12.82,21
HCPCS,J0945,Brompheniramine maleate inj,,,0.39,0.39,2
HCPCS,J1000,Depo-estradiol cypionate inj,,,42.32,47.15,5
HCPCS,J1010,"Inj, methylpred acetate 1 mg",,,0.11,0.15,5
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],117.88499999999999,41.260000000000005,,,0
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],121.11,42.39,,,0
HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
HCPCS,J1050,Medroxyprogesterone acetate,,,0.61,0.61,2
HCPCS,J1071,Inj testosterone cypionate,,,0.03,0.04,5
HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],168.29,58.9,,,0
HCPCS,J1094,Inj dexamethasone acetate,,,0.39,0.39,2
HCPCS,J1095,"Injection, dexamethasone 9%",,,3.31,3.31,2
HCPCS,J1096,Dexametha opth insert 0.1 mg,,,102.94,205.87,22
HCPCS,J1097,Phenylep ketorolac opth soln,,,96.91,193.82,21
HCPCS,J1100,DEXAMETHASONE 12 MG IN 0.9% NS 100 ML INFUSION IVPB [410325],5.08,1.78,,,0
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [111053],80.2,28.07,,,0
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],78.75,27.56,,,0
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
HCPCS,J1100,Dexamethasone sodium phos,,,0.09,0.17,5
HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,0.79,0.79,2
HCPCS,J1110,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [9859],302.78,105.97,,,0
HCPCS,J1110,Inj dihydroergotamine mesylt,,,50.07,85.75,5
HCPCS,J1120,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],325.18,113.81,,,0
HCPCS,J1120,Acetazolamid sodium injectio,,,19.06,26.77,5
HCPCS,J1160,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION [9853],202.69,70.94,,,0
HCPCS,J1160,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [102724],31.57,11.05,,,0
HCPCS,J1160,Digoxin injection,,,4.88,17.8,5
HCPCS,J1162,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432],3726.16,1304.16,,,0
HCPCS,J1162,Digoxin immune fab (ovine),,,4968.58,10336.46,24
HCPCS,J1165,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],154.61,54.11,,,0
HCPCS,J1165,Phenytoin sodium injection,,,0.5,0.57,5
HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION [102776],20.55,7.19,,,0
HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE [3757],20.55,7.19,,,0
HCPCS,J1171,HYDROMORPHONE (PF) 10 MG/50 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE [159095],2.99,1.05,,,0
HCPCS,J1171,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
HCPCS,J1171,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE [111619],41.11,14.39,,,0
HCPCS,J1171,HYDROMORPHONE (PF) 4 MG/ML INJECTION SYRINGE [111618],82.22,28.78,,,0
HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION SOLUTION [176807],10.71,3.75,,,0
HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE [106243],20.55,7.19,,,0
HCPCS,J1171,HYDROMORPHONE 4 MG/ML INJECTION SYRINGE [3759],82.22,28.78,,,0
HCPCS,J1171,HYDROMORPHONE 55 MG/55 ML IN 0.9% SODIUM CHLORIDE PCA SYRINGE (PHARMACY PREMIX) [410206],20.55,7.19,,,0
HCPCS,J1171,HYDROMORPHONE IN NS 10 MG/50 ML (0.2 MG/ML) IV INFUSION [408678],3.0250000000000004,1.06,,,0
HCPCS,J1171,"Inj, hydromorphone, 0.1 mg",,,0.1,0.14,5
HCPCS,J1190,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],335.425,117.4,,,0
HCPCS,J1190,Dexrazoxane hcl injection,,,63.06,126.12,24
HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],33.87,11.855,,,0
HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SYRINGE [104982],67.0,23.45,,,0
HCPCS,J1200,DIPHENHYDRAMINE 50MG/50ML IN 0.9% SODIUM CHLORIDE IVPB [410294],43.0,15.05,,,0
HCPCS,J1200,Diphenhydramine hcl injectio,,,0.66,0.89,5
HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,15.62,33.03,24
HCPCS,J1202,Miglustat oral 65 mg,,,48.31,48.31,2
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,89.85,182.43,24
HCPCS,J1205,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],1660.7849999999999,581.275,,,0
HCPCS,J1205,Chlorothiazide sodium inj,,,32.48,73.76,5
HCPCS,J1212,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION [112827],378.8,132.58,,,0
HCPCS,J1212,Dimethyl sulfoxide 50% 50 ML,,,714.72,1497.69,24
HCPCS,J1230,METHADONE 10 MG/ML INJECTION SOLUTION [10546],206.25,72.19,,,0
HCPCS,J1230,Methadone injection,,,20.91,25.21,5
HCPCS,J1240,Dimenhydrinate injection,,,8.35,10.58,5
HCPCS,J1245,Dipyridamole injection,,,3.84,4.72,5
HCPCS,J1250,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV [15982]",2.8,0.98,,,0
HCPCS,J1250,DOBUTAMINE 125MG/125ML (1MG/ML) IN D5W [411242],1.54,0.54,,,0
HCPCS,J1250,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],91.99499999999999,32.199999999999996,,,0
HCPCS,J1250,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS [15981],1.54,0.54,,,0
HCPCS,J1250,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [18315]",175.23,61.33,,,0
HCPCS,J1250,Inj dobutamine HCL/250 mg,,,8.15,9.02,5
HCPCS,J1260,Dolasetron mesylate,,,4.34,4.34,2
HCPCS,J1265,DOPAMINE 16 MG/20 ML (0.8 MG/ML) IN D5W NICU ONLY [409464],2.58,0.9,,,0
HCPCS,J1265,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [112990],0.45,0.16,,,0
HCPCS,J1265,DOPAMINE 32 MG/20 ML (1.6 MG/ML) IN D5W NICU ONLY [409156],2.13,0.75,,,0
HCPCS,J1265,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14845]",0.93,0.33,,,0
HCPCS,J1265,DOPAMINE 400 MG/5 ML (80 MG/ML) INTRAVENOUS SOLUTION [112987],46.56,16.29,,,0
HCPCS,J1265,DOPAMINE 64 MG/20 ML (3.2 MG/ML) IN D5W NICU ONLY [409157],2.58,0.9,,,0
HCPCS,J1265,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14846]",1.86,0.65,,,0
HCPCS,J1265,Dopamine injection,,,0.71,0.94,5
HCPCS,J1267,DORIPENEM 250 MG INTRAVENOUS SOLUTION [148329],96.63,33.82,,,0
HCPCS,J1267,DORIPENEM 500 MG INTRAVENOUS SOLUTION [88615],96.82000000000001,33.885,,,0
HCPCS,J1267,Doripenem injection,,,0.79,0.79,2
HCPCS,J1270,"Injection, doxercalciferol",,,0.38,0.46,5
HCPCS,J1271,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],297.63,104.17,,,0
HCPCS,J1271,Inj doxycycline hyclate 1 mg,,,0.12,0.12,1
HCPCS,J1290,ECALLANTIDE 10 MG/ML (1 ML) SUBCUTANEOUS SOLUTION [100698],11812.31,4134.31,,,0
HCPCS,J1290,Ecallantide injection,,,564.64,1159.93,24
HCPCS,J1299,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [81696],1024.61,358.61,,,0
HCPCS,J1299,"Inj, eculizumab, 2 mg",,,44.81,89.64,20
HCPCS,J1300,Eculizumab injection,,,254.3,273.48,4
HCPCS,J1301,"Injection, edaravone, 1 mg",,,20.41,41.98,24
HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,18.13,37.72,24
HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,220.32,450.21,24
HCPCS,J1303,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [189514],11431.14,4000.9,,,0
HCPCS,J1304,Inj tofersen intrathec 1 mg,,,155.34,318.8,24
HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,186.31,387.52,24
HCPCS,J1306,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE [193424],10968.08,3838.83,,,0
HCPCS,J1306,"Injection, inclisiran, 1 mg",,,12.27,24.64,24
HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,551.51,1103.02,21
HCPCS,J1308,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
HCPCS,J1308,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [10009],43.26,15.14,,,0
HCPCS,J1308,"Inj, famotidine, 0.25 mg",,,0.01,0.01,1
HCPCS,J1322,"Elosulfase alfa, injection",,,293.94,617.37,24
HCPCS,J1323,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION [199168],23763.31,8317.16,,,0
HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,182.98,368.14,24
HCPCS,J1324,Enfuvirtide injection,,,0.98,0.98,2
HCPCS,J1325,EPOPROSTENOL (VELETRI) INHALATION SOLUTION 40 MCG/ML (PHARMACY PREMIX) [411333],432.3,151.3,,,0
HCPCS,J1325,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION [153876],167.68,58.69,,,0
HCPCS,J1325,Epoprostenol injection,,,16.08,20.06,5
HCPCS,J1327,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],23.55,8.24,,,0
HCPCS,J1327,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION [23124],62.8,21.98,,,0
HCPCS,J1327,Eptifibatide injection,,,2.99,30.91,21
HCPCS,J1335,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],448.38,156.93,,,0
HCPCS,J1335,Ertapenem injection,,,9.18,13.43,5
HCPCS,J1364,"ERYTHROMYCIN LACTOBIONATE 1,000 MG INTRAVENOUS SOLUTION [2902]",584.95,204.73,,,0
HCPCS,J1364,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],292.48,102.37,,,0
HCPCS,J1364,Erythro lactobionate /500 MG,,,65.96,75.81,5
HCPCS,J1380,Estradiol valerate 10 MG inj,,,7.3,9.69,5
HCPCS,J1410,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION [9972],655.81,229.53,,,0
HCPCS,J1410,Inj estrogen conjugate 25 MG,,,382.89,784.13,24
HCPCS,J1411,"Inj, hemgenix, per tx dose",,,3685266.67,7370533.33,21
HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,12553.71,25107.43,21
HCPCS,J1412,VALOCTOCOGENE ROXAPARVOVEC-RVOX 2X10EXP13 VG/ML INTRAVENOUS SUSPENSION [198795],261271.88,91445.16,,,0
HCPCS,J1413,Inj delandistrogene mox rokl,,,3316462.59,6632925.18,21
HCPCS,J1414,"Inj, beqvez, per tx dose",,,4526200.0,4526200.0,2
HCPCS,J1426,"Injection, casimersen, 10 mg",,,166.06,332.12,21
HCPCS,J1427,Inj. viltolarsen,,,82.57,82.57,2
HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,167.35,334.69,21
HCPCS,J1429,Inj golodirsen 10 mg,,,234.24,234.24,2
HCPCS,J1430,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION [9984],359.47,125.82,,,0
HCPCS,J1430,Ethanolamine oleate 100 mg,,,497.7,1017.93,24
HCPCS,J1434,"Inj, focinvez, 1mg",,,2.84,5.68,22
HCPCS,J1435,Injection estrone per 1 MG,,,0.39,0.39,2
HCPCS,J1437,FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION [189312],1481.8,518.63,,,0
HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,20.83,44.04,24
HCPCS,J1438,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE [39837],5400.28,1890.1,,,0
HCPCS,J1438,Etanercept injection,,,964.75,964.75,2
HCPCS,J1439,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION [163592],275.93,96.58,,,0
HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,1.11,2.21,24
HCPCS,J1440,Fecal?microbiota jslm 1 ml,,,63.84,127.68,24
HCPCS,J1442,Inj filgrastim excl biosimil,,,0.98,1.99,24
HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.28,0.56,24
HCPCS,J1447,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE [164500],2683.8,939.33,,,0
HCPCS,J1447,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE [164501],2683.8,939.33,,,0
HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.39,10.93,24
HCPCS,J1448,TRILACICLIB 300 MG INTRAVENOUS SOLUTION [190675],4901.1,1715.38,,,0
HCPCS,J1449,EFLAPEGRASTIM-XNST 13.2 MG/0.6 ML SUBCUTANEOUS SYRINGE [196148],25947.0,9081.45,,,0
HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,20.87,41.75,24
HCPCS,J1450,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.87,0.305,,,0
HCPCS,J1450,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
HCPCS,J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2 MG/ML CUSTOM [408748],0.89,0.31,,,0
HCPCS,J1450,Fluconazole,,,2.92,3.58,5
HCPCS,J1451,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [22185],3380.0,1183.0,,,0
HCPCS,J1451,"Fomepizole, 15 mg",,,6.28,12.55,21
HCPCS,J1453,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],521.64,182.57500000000002,,,0
HCPCS,J1453,Fosaprepitant injection,,,0.12,0.2,5
HCPCS,J1454,"Inj fosnetupitant, palonoset",,,575.5,1151.01,24
HCPCS,J1455,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],0.6,0.21,,,0
HCPCS,J1455,Foscarnet sodium injection,,,21.63,46.7,3
HCPCS,J1456,"Inj, fosaprepitant (teva)",,,0.54,2.9,24
HCPCS,J1457,Gallium nitrate injection,,,1.57,1.57,2
HCPCS,J1458,Galsulfase injection,,,484.88,1017.52,24
HCPCS,J1459,"IMMUNE GLOB, 10% NICU SYRINGE [409384]",50.56,17.69,,,0
HCPCS,J1459,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [170502]",50.56,17.69,,,0
HCPCS,J1459,Inj IVIG privigen 500 mg,,,49.18,101.47,24
HCPCS,J1460,Gamma globulin 1 CC inj,,,48.89,98.07,24
HCPCS,J1551,Inj cutaquig 100 mg,,,14.23,28.46,24
HCPCS,J1552,"Inj, alyglo, 500 mg",,,130.24,260.47,22
HCPCS,J1554,"IMMUNE GLOBULIN,GAMMA(IGG)-SLRA HUMAN 10 % INTRAVENOUS SOLUTION [186677]",267.31,93.56,,,0
HCPCS,J1554,Inj. asceniv,,,496.68,993.48,24
HCPCS,J1555,"Inj cuvitru, 100 mg",,,16.68,33.68,24
HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,77.3,154.78,24
HCPCS,J1557,Gammaplex injection,,,57.48,127.37,24
HCPCS,J1558,"Inj. xembify, 100 mg",,,14.28,29.69,24
HCPCS,J1559,Hizentra injection,,,13.64,28.67,24
HCPCS,J1560,Gamma globulin > 10 CC inj,,,170.48,602.88,24
HCPCS,J1561,Gamunex-c/gammaked,,,48.35,97.93,24
HCPCS,J1561,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [148493],50.11,17.54,,,0
HCPCS,J1561,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [148494],50.11,17.54,,,0
HCPCS,J1561,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [148492],50.11,17.54,,,0
HCPCS,J1562,"Vivaglobin, inj",,,11.05,11.05,2
HCPCS,J1566,"Immune globulin, powder",,,78.8,157.59,24
HCPCS,J1568,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION [167944]",68.67,24.03,,,0
HCPCS,J1568,Octagam injection,,,47.52,95.05,24
HCPCS,J1569,Gammagard liquid injection,,,45.13,90.63,24
HCPCS,J1569,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [170501]",54.78,19.17,,,0
HCPCS,J1570,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],300.21,105.07,,,0
HCPCS,J1570,Ganciclovir sodium injection,,,32.09,51.53,5
HCPCS,J1571,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN [110643],565.885,198.06,,,0
HCPCS,J1571,HepaGam B IM injection,,,65.15,133.28,24
HCPCS,J1572,Flebogamma injection,,,54.34,54.34,2
HCPCS,J1573,"Hepagam B intravenous, inj",,,65.15,133.28,22
HCPCS,J1574,"Inj, ganciclovir (exela)",,,73.2,73.2,2
HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,17.57,36.3,24
HCPCS,J1576,"Inj, panzyga, 500 mg",,,70.43,145.99,24
HCPCS,J1580,GENTAMICIN 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [15912],1.31,0.46,,,0
HCPCS,J1580,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],93.735,32.805,,,0
HCPCS,J1580,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [15906],1.29,0.45,,,0
HCPCS,J1580,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [111972],128.84,45.1,,,0
HCPCS,J1580,Garamycin gentamicin inj,,,2.47,3.1,5
HCPCS,J1595,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE [167935],1397.95,489.28,,,0
HCPCS,J1595,Injection glatiramer acetate,,,209.32,209.32,2
HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
HCPCS,J1596,"Inj, glycopyrrolate, 0.1 mg",,,0.51,0.71,5
HCPCS,J1597,"Inj glycopyrrolate, glyrx-pf",,,2.39,2.39,2
HCPCS,J1598,Inj glycopyrrolate fres kabi,,,1.66,2.46,5
HCPCS,J1600,Gold sodium thiomaleate inj,,,16.18,16.18,2
HCPCS,J1602,Golimumab for iv use 1mg,,,10.77,22.08,24
HCPCS,J1610,Glucagon hydrochloride/1 mg,,,182.45,364.89,24
HCPCS,J1611,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [170587],766.62,268.32,,,0
HCPCS,J1611,"Inj glucagon hcl, fresenius",,,123.31,297.98,24
HCPCS,J1626,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [112332],95.34,33.37,,,0
HCPCS,J1626,Granisetron hcl injection,,,0.26,0.41,5
HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,4.29,8.58,24
HCPCS,J1628,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [202967],6728.3,2354.9,,,0
HCPCS,J1628,"Inj., guselkumab, 1 mg",,,70.43,151.94,22
HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
HCPCS,J1630,Haloperidol injection,,,0.78,1.48,5
HCPCS,J1631,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],170.075,59.525,,,0
HCPCS,J1631,Haloperidol decanoate inj,,,4.61,7.68,5
HCPCS,J1632,"Inj., brexanolone, 1 mg",,,109.07,109.07,2
HCPCS,J1640,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION [179235],34779.2,12172.72,,,0
HCPCS,J1640,"Hemin, 1 mg",,,33.07,68.36,24
HCPCS,J1642,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",2.84,0.99,,,0
HCPCS,J1642,Inj heparin sodium per 10 u,,,0.02,0.02,5
HCPCS,J1643,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
HCPCS,J1643,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
HCPCS,J1643,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [110555]",7.09,2.48,,,0
HCPCS,J1643,"Inj heparin, pfizer, 1000u",,,2.94,4.29,5
HCPCS,J1644,HEPARIN (IMPELLA) 25 UNITS/ML IN DEXTROSE 5 % 500 ML (PHARMACY PREMIX) [411231],1.13,0.39,,,0
HCPCS,J1644,"HEPARIN (NO BASE SPECIFIED) 2,000 UNIT/20 ML NICU SYRINGE DOUBLE CONC [408978]",2.05,0.72,,,0
HCPCS,J1644,"HEPARIN (NO BASE SPECIFIED) 25,000 UNIT/250 ML IV [408181]",2.05,0.72,,,0
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",0.68,0.24,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 10,000 UNIT/ML FOR THERAPEUTIC DOSES SUBQ [409812]",708.64,248.02,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION [10178]",14.17,4.96,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [15846]",2.05,0.72,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",1.73,0.61,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15848]",0.74,0.26,,,0
HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
HCPCS,J1644,"HEPARIN 10,000 UNITS/1000 ML 0.9% SODIUM CHLORIDE IRRIGATION (PHARMACY PREMIX) [411239]",308.13,107.845,,,0
HCPCS,J1644,"HEPARIN 2,000 UNITS/500 ML 0.9% SODIUM CHLORIDE IRRIGATION (PHARMACY PREMIX) [411238]",157.645,55.18,,,0
HCPCS,J1644,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [110555]",7.09,2.48,,,0
HCPCS,J1644,Hb Inj Heparin Sodium Per 1000U,2.71,0.95,,,0
HCPCS,J1644,Inj heparin sodium per 1000u,,,0.22,0.25,5
HCPCS,J1644,NEONATAL TPN HOLIDAY FLUIDS 1/4 NS + HEPARIN (TGH COMPOUND) 100 ML [408454],0.02,0.0077,,,0
HCPCS,J1645,Dalteparin sodium,,,16.04,19.48,5
HCPCS,J1650,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
HCPCS,J1650,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
HCPCS,J1650,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
HCPCS,J1650,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [104989],427.73,149.7,,,0
HCPCS,J1650,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
HCPCS,J1650,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
HCPCS,J1650,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],214.26500000000001,74.99,,,0
HCPCS,J1650,Inj enoxaparin sodium,,,0.52,0.68,5
HCPCS,J1652,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [109787],1449.495,507.32000000000005,,,0
HCPCS,J1652,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],1127.385,394.58500000000004,,,0
HCPCS,J1652,FONDAPARINUX 2.5 MG/0.5 ML SYRINGE (DOSE < 2.5 MG) [409450],1610.55,563.69,,,0
HCPCS,J1652,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [109786],1610.55,563.69,,,0
HCPCS,J1652,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [39803],1610.55,563.69,,,0
HCPCS,J1652,Fondaparinux sodium,,,0.82,1.04,5
HCPCS,J1655,Tinzaparin sodium injection,,,4.34,4.34,2
HCPCS,J1670,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE [112573],1494.59,523.11,,,0
HCPCS,J1670,Tetanus immune globulin inj,,,575.76,1186.01,24
HCPCS,J1675,Histrelin acetate,,,1.18,1.18,2
HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [144624],63.13,22.1,,,0
HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION [144623],63.13,22.1,,,0
HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION [144622],63.13,22.1,,,0
HCPCS,J1720,Hydrocortisone sodium succ i,,,20.58,25.55,5
HCPCS,J1726,"Makena, 10 mg",,,16.86,16.86,2
HCPCS,J1729,Inj hydroxyprogst capoat nos,,,41.64,41.64,2
HCPCS,J1730,Diazoxide injection,,,119.96,119.96,2
HCPCS,J1738,Inj. meloxicam 1 mg,,,4.59,4.59,2
HCPCS,J1740,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [70544],869.7,304.39,,,0
HCPCS,J1740,Ibandronate sodium injection,,,22.22,30.94,5
HCPCS,J1741,Ibuprofen injection,,,2.98,3.62,3
HCPCS,J1742,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [16156],1700.74,595.26,,,0
HCPCS,J1742,Ibutilide fumarate injection,,,172.31,344.61,21
HCPCS,J1743,Idursulfase injection,,,542.57,1116.91,24
HCPCS,J1744,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE [152449],12233.29,4281.65,,,0
HCPCS,J1744,Icatibant injection,,,125.32,164.77,3
HCPCS,J1745,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [23796],3756.52,1314.78,,,0
HCPCS,J1745,Infliximab not biosimil 10mg,,,30.52,62.18,24
HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,76.95,158.52,24
HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,61.43,131.46,24
HCPCS,J1747,SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION [195867],3408.87,1193.1,,,0
HCPCS,J1748,"Inj, zymfentra, 10 mg",,,99.76,318.7,21
HCPCS,J1749,"Inj, iloprost, 0.1 mcg",,,8.05,8.05,2
HCPCS,J1750,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [181942],219.03,76.66,,,0
HCPCS,J1750,Inj iron dextran,,,17.23,36.21,24
HCPCS,J1756,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],51.54,18.04,,,0
HCPCS,J1756,IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [152458],54.11,18.94,,,0
HCPCS,J1756,IRON SUCROSE 300MG/100ML IN NS (PHARMACY PREMIX) ADULT [411363],7.73,2.71,,,0
HCPCS,J1756,Iron sucrose injection,,,0.24,0.28,5
HCPCS,J1786,Imuglucerase injection,,,43.14,86.38,24
HCPCS,J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],36.4,12.74,,,0
HCPCS,J1790,Droperidol injection,,,8.57,14.87,3
HCPCS,J1800,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],141.73,49.6,,,0
HCPCS,J1800,Propranolol injection,,,12.32,12.32,2
HCPCS,J1805,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],200.89999999999998,70.315,,,0
HCPCS,J1805,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",6.82,2.39,,,0
HCPCS,J1805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",4.91,1.72,,,0
HCPCS,J1805,"Inj, esmolol hcl, 10mg",,,0.22,0.28,5
HCPCS,J1806,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN STERILE WATER INTRAVENOUS SOLN [181409]",2.85,1.0,,,0
HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.41,0.44,5
HCPCS,J1808,FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],83.88,29.36,,,0
HCPCS,J1808,"Inj, folic acid, 0.1 mg",,,0.06,0.06,1
HCPCS,J1811,Fiasp for insulin pump use,,,6.67,9.64,5
HCPCS,J1812,Inj. Insulin (fiasp),,,2.34,2.34,2
HCPCS,J1813,Lyumjev for insulin pump use,,,15.33,18.89,5
HCPCS,J1814,Inj. insulin (lyumjev),,,2.44,2.44,2
HCPCS,J1815,HUMALOG (LISPRO) INSULIN FOR PUMP REFILL [409093],771.77,270.12,,,0
HCPCS,J1815,INSULIN ASPAR PROT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS PEN [33666],300.21,105.07,,,0
HCPCS,J1815,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [106823],100.07,35.02,,,0
HCPCS,J1815,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION [28534],72.02,25.21,,,0
HCPCS,J1815,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [172414],222.6,77.91,,,0
HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [111670],100.93,35.32,,,0
HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [28282],740.85,259.3,,,0
HCPCS,J1815,INSULIN GLARGINE (U-300) CONC. 300 UNIT/ML (1.5 ML) SUBCUTANEOUS PEN [169685],709.74,248.41,,,0
HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN [105425],59.265,20.745,,,0
HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [17405],424.475,148.565,,,0
HCPCS,J1815,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN [105612],71.04,24.86,,,0
HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [106569],185.535,64.94,,,0
HCPCS,J1815,INSULIN NPH-REGULAR 70-30 U-100 INSULIN 100 UNIT/ML SUBCUTANEOUS PEN [110033],100.07,35.02,,,0
HCPCS,J1815,INSULIN REGULAR 1 UNIT/ML ENDOTOOL INFUSION (PHARMACY PREMIX) [408597],19.76,6.91,,,0
HCPCS,J1815,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION [186027],0.93,0.33,,,0
HCPCS,J1815,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN [174062],394.3,138.01,,,0
HCPCS,J1815,INSULIN REGULAR HUMAN U-500(CONCENTRATE) 500 UNIT/ML SUBCUTANEOUS SOLN [19180],1256.22,439.68,,,0
HCPCS,J1815,INSULIN REGULAR U-100 (HUMULIN R/NOVOLIN R) 10 UNITS/0.1 ML INJECTION SYRINGE [410201],19.76,6.91,,,0
HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION [10289],108.66,38.025,,,0
HCPCS,J1815,Insulin injection,,,0.68,0.68,2
HCPCS,J1815,NOVOLOG (ASPART) INSULIN FOR PUMP REFILL [409094],72.02,25.21,,,0
HCPCS,J1815,REGULAR INSULIN FOR PUMP REFILL [409092],19.76,6.91,,,0
HCPCS,J1815,U-500 INSULIN FOR PUMP REFILL [409095],1256.22,439.68,,,0
HCPCS,J1817,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS HALF-UNIT PEN [180005],35.36,12.38,,,0
HCPCS,J1817,Insulin for insulin pump use,,,2.49,2.9,5
HCPCS,J1823,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION [188502],18340.0,6419.0,,,0
HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,484.4,991.09,24
HCPCS,J1826,Interferon Beta-1A inj,,,2687.83,2687.83,2
HCPCS,J1830,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT [112966],382.67,133.93,,,0
HCPCS,J1830,Interferon beta-1b / .25 MG,,,597.54,597.54,2
HCPCS,J1833,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION [169746],1063.1,372.09,,,0
HCPCS,J1833,"Injection, isavuconazonium",,,1.0,2.01,21
HCPCS,J1835,Itraconazole injection,,,1109.69,1109.69,2
HCPCS,J1836,"Inj, metronidazole, 10 mg",,,0.02,0.04,5
HCPCS,J1836,METRONIDAZOLE 5 MG/ML PEDIATRIC SYRINGE (PREMIX) [411310],3.33,1.16,,,0
HCPCS,J1836,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],3.33,1.16,,,0
HCPCS,J1885,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],98.10499999999999,34.335,,,0
HCPCS,J1885,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
HCPCS,J1885,Ketorolac tromethamine inj,,,0.3,0.92,24
HCPCS,J1920,"Inj, labetalol hcl, 5mg",,,0.3,0.42,5
HCPCS,J1920,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [154396],32.31,11.31,,,0
HCPCS,J1920,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],30.2,10.57,,,0
HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,1.38,1.85,5
HCPCS,J1930,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],79860.0,27951.0,,,0
HCPCS,J1930,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE [88570],99825.0,34938.75,,,0
HCPCS,J1930,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE [87860],99825.0,34938.75,,,0
HCPCS,J1930,Lanreotide injection,,,34.05,70.71,24
HCPCS,J1931,Laronidase injection,,,38.61,79.74,24
HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,25.42,59.69,24
HCPCS,J1932,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],79860.0,27951.0,,,0
HCPCS,J1938,FUROSEMIDE (LASIX) 2 MG/ML IV SYRINGE NICU [152910],14.02,4.91,,,0
HCPCS,J1938,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
HCPCS,J1938,FUROSEMIDE 10 MG/ML INJECTION SYRINGE [105420],15.23,5.335000000000001,,,0
HCPCS,J1938,FUROSEMIDE 300MG/100ML IN NS (PHARMACY PREMIX) [408578],444.52,155.58,,,0
HCPCS,J1938,"Inj, furosemide, 1 mg",,,0.02,0.02,1
HCPCS,J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],6.4399999999999995,2.25,,,0
HCPCS,J1939,"Inj, bumetanide, 0.5 mg",,,0.57,0.71,5
HCPCS,J1940,FUROSEMIDE 80MG/50ML IVPB [411307],14.82,5.19,,,0
HCPCS,J1940,Furosemide injection,,,0.44,0.48,4
HCPCS,J1941,"Inj, furoscix, 20 mg",,,346.76,346.76,2
HCPCS,J1943,"Inj., aristada initio, 1 mg",,,3.14,6.49,24
HCPCS,J1944,Aripirazole lauroxil 1 mg,,,3.26,6.69,24
HCPCS,J1945,Lepirudin,,,177.19,177.19,2
HCPCS,J1950,LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21044],15648.29,5476.9,,,0
HCPCS,J1950,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT [13691],6512.19,2279.27,,,0
HCPCS,J1950,Leuprolide acetate /3.75 mg,,,1670.3,3460.65,24
HCPCS,J1951,Inj fensolvi 0.25 mg,,,134.26,281.98,24
HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,52.38,157.83,24
HCPCS,J1953,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],71.795,25.13,,,0
HCPCS,J1953,Levetiracetam injection,,,0.05,0.06,5
HCPCS,J1954,Leuprolide depot cipla 7.5mg,,,220.74,1413.33,24
HCPCS,J1955,Inj levocarnitine per 1 gm,,,24.38,31.38,5
HCPCS,J1955,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],187.08,65.47999999999999,,,0
HCPCS,J1956,LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION [18925],293.76,102.82,,,0
HCPCS,J1956,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107002],149.82,52.44,,,0
HCPCS,J1956,LEVOFLOXACIN 5 MG/ML PEDIATRIC SYRINGE (PREMIX SAGENT) [411360],5.88,2.06,,,0
HCPCS,J1956,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [18924],5.88,2.06,,,0
HCPCS,J1956,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107001],5.88,2.06,,,0
HCPCS,J1956,Levofloxacin injection,,,1.03,2.31,5
HCPCS,J1960,Levorphanol tartrate inj,,,3.55,3.55,2
HCPCS,J1961,"Inj, lenacapavir, 1 mg",,,22.03,44.31,24
HCPCS,J1980,Hyoscyamine sulfate inj,,,11.05,11.05,2
HCPCS,J1990,Chlordiazepoxide injection,,,24.46,24.46,2
HCPCS,J2002,"Inj, lidocaine in d5w, 1 mg",,,0.01,0.01,2
HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION [14868],0.88,0.31,,,0
HCPCS,J2003,"Inj, lidocaine hcl, 1 mg",,,0.07,0.07,2
HCPCS,J2003,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],1.16,0.41,,,0
HCPCS,J2003,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],2.84,0.99,,,0
HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [110675],6.44,2.25,,,0
HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION [110678],6.44,2.25,,,0
HCPCS,J2003,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION [4455],17.78,6.22,,,0
HCPCS,J2003,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [110677],225.48,78.92,,,0
HCPCS,J2003,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
HCPCS,J2003,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],4.57,1.5999999999999999,,,0
HCPCS,J2003,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],7.17,2.51,,,0
HCPCS,J2003,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION [4451],4.51,1.58,,,0
HCPCS,J2003,LIDOCAINE INJECTION [333888],14.88,5.21,,,0
HCPCS,J2004,"Inj, lidocaine w epinephrine",,,0.04,0.04,2
HCPCS,J2010,Lincomycin injection,,,6.24,10.6,5
HCPCS,J2020,LINEZOLID 2 MG/ML PEDIATRIC SYRINGE (PREMIX) [411046],2.87,1.01,,,0
HCPCS,J2020,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
HCPCS,J2020,Linezolid injection,,,3.47,3.64,5
HCPCS,J2021,"Inj, linezolid (hospira)",,,6.34,16.72,5
HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.60499999999999,27.51,,,0
HCPCS,J2060,Lorazepam injection,,,1.57,1.65,5
HCPCS,J2062,Loxapine for inhalation 1 mg,,,15.9,31.8,21
HCPCS,J2150,MANNITOL 25 % INTRAVENOUS SOLUTION [4750],55.195,19.32,,,0
HCPCS,J2150,Mannitol injection,,,2.26,3.1,5
HCPCS,J2170,Mecasermin injection,,,206.02,206.02,2
HCPCS,J2175,MEPERIDINE (PF) 100 MG/ML INJECTION SOLUTION [110368],68.08,23.83,,,0
HCPCS,J2175,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE [110369],68.08,23.83,,,0
HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],68.08,23.83,,,0
HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE [110365],68.08,23.83,,,0
HCPCS,J2175,Meperidine hydrochl /100 MG,,,7.38,10.14,5
HCPCS,J2180,Meperidine/promethazine inj,,,9.08,9.08,2
HCPCS,J2182,"Injection, mepolizumab, 1mg",,,30.54,62.54,24
HCPCS,J2182,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION [172678],14608.65,5113.03,,,0
HCPCS,J2182,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE [185327],14608.65,5113.03,,,0
HCPCS,J2183,Inj meropenem (wg crit care),,,1.6,2.01,5
HCPCS,J2183,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION [200008],419.66,146.88,,,0
HCPCS,J2184,"Inj, meropenem (b. braun)",,,2.09,2.53,5
HCPCS,J2184,MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [172420],466.29,163.2,,,0
HCPCS,J2184,MEROPENEM 20 MG/ML PEDIATRIC SYRINGE (PREMIX BBRAUN) [411313],9.33,3.26,,,0
HCPCS,J2184,MEROPENEM 500 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [172419],233.15,81.6,,,0
HCPCS,J2185,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
HCPCS,J2185,MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],209.77,73.42,,,0
HCPCS,J2185,Meropenem,,,0.4,0.48,5
HCPCS,J2186,"Inj., meropenem, vaborbactam",,,2.18,4.37,21
HCPCS,J2210,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],46.38,16.23,,,0
HCPCS,J2210,Methylergonovin maleate inj,,,21.29,26.62,5
HCPCS,J2212,Methylnaltrexone injection,,,2.2,2.2,2
HCPCS,J2246,"Inj, micafungin (baxter)",,,0.64,1.13,3
HCPCS,J2247,"Inj, micafungin (par pharm)",,,0.31,0.4,5
HCPCS,J2247,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],1417.28,496.05,,,0
HCPCS,J2248,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],1417.28,496.05,,,0
HCPCS,J2248,Micafungin sodium injection,,,0.28,0.34,5
HCPCS,J2249,"Inj, remimazolam, 1 mg",,,3.07,3.07,2
HCPCS,J2250,Inj midazolam hydrochloride,,,0.13,0.16,5
HCPCS,J2250,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION [188813]",25.74,9.01,,,0
HCPCS,J2250,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [164137],25.74,9.01,,,0
HCPCS,J2250,MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE [111887],25.74,9.01,,,0
HCPCS,J2250,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [164138],128.72,45.05,,,0
HCPCS,J2250,MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],25.74,9.01,,,0
HCPCS,J2250,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
HCPCS,J2250,MIDAZOLAM IV 5 MG/ML INFUSION 60ML BAG BURST SUPPRESS [408986],128.72,45.05,,,0
HCPCS,J2250,MIDAZOLAM IV 5 MG/ML INFUSION 60ML BAG HIGH DOSE SEDATION [410094],128.72,45.05,,,0
HCPCS,J2251,Inj midazolam (wg crit care),,,0.17,0.21,5
HCPCS,J2251,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [172557],25.0,8.75,,,0
HCPCS,J2252,Inj midazolam in 0.8% nacl,,,0.1,0.1,2
HCPCS,J2260,Inj milrinone lactate / 5 mg,,,1.57,1.6,5
HCPCS,J2260,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],16.63,5.82,,,0
HCPCS,J2260,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [14961],252.455,88.36,,,0
HCPCS,J2260,MILRINONE 200 MCG/ML PEDIATRIC SYRINGE (PREMIX) [411045],2.48,0.87,,,0
HCPCS,J2260,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
HCPCS,J2265,Minocycline hydrochloride,,,2.67,5.34,21
HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,43.05,86.1,24
HCPCS,J2267,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION [200059],2212.58,774.4,,,0
HCPCS,J2270,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [27390],52.83,18.49,,,0
HCPCS,J2270,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [165655],52.83,18.49,,,0
HCPCS,J2270,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION [172455],52.83,18.49,,,0
HCPCS,J2270,MORPHINE 4 MG/ML INTRAVENOUS SYRINGE [165656],52.83,18.49,,,0
HCPCS,J2270,MORPHINE 55 MG/55 ML IN 0.9 % SODIUM CHLORIDE INJECTABLE PCA SYRINGE [110293],5.76,2.02,,,0
HCPCS,J2270,Morphine sulfate injection,,,4.63,5.59,5
HCPCS,J2272,"Inj, morphine (fresenius)",,,4.95,6.64,5
HCPCS,J2272,MORPHINE 2 MG/ML INJECTION SOLUTION [102091],52.83,18.49,,,0
HCPCS,J2272,MORPHINE 2 MG/ML INJECTION SYRINGE [5170],52.83,18.49,,,0
HCPCS,J2272,MORPHINE 4 MG/ML INJECTION SOLUTION [181936],52.83,18.49,,,0
HCPCS,J2272,MORPHINE 4 MG/ML INJECTION SYRINGE [5172],52.83,18.49,,,0
HCPCS,J2274,In morphine preservativ free,,,9.82,14.09,5
HCPCS,J2274,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION [29464],339.44,118.80499999999999,,,0
HCPCS,J2274,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],61.72,21.6,,,0
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,25.22,50.44,24
HCPCS,J2278,Ziconotide injection,,,9.7,20.28,24
HCPCS,J2280,"Inj, moxifloxacin 100 mg",,,8.57,10.55,5
HCPCS,J2280,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [31906],1.5,0.53,,,0
HCPCS,J2281,Inj moxifloxacin (fres kabi),,,7.1,8.17,5
HCPCS,J2290,"Inj, nafcillin sodium, 20 mg",,,0.34,0.34,2
HCPCS,J2300,Inj nalbuphine hydrochloride,,,3.08,4.18,5
HCPCS,J2300,NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],42.52,14.88,,,0
HCPCS,J2300,NALBUPHINE 20 MG/ML INJECTION SOLUTION [5340],85.04,29.76,,,0
HCPCS,J2305,"Inj, nitroglycerin, 5 mg",,,1.34,1.72,5
HCPCS,J2305,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [5599],358.51,125.48,,,0
HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],1.43,0.5,,,0
HCPCS,J2310,Inj naloxone hydrochloride,,,9.21,10.61,5
HCPCS,J2311,"Inj, naloxone hcl (zimhi)",,,1.5,1.83,5
HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],52.05,18.22,,,0
HCPCS,J2312,NALOXONE 1 MG/ML INJECTION SYRINGE [5374],130.13,45.55,,,0
HCPCS,J2315,"Naltrexone, depot form",,,4.12,8.48,24
HCPCS,J2320,Nandrolone decanoate 50 MG,,,4.73,4.73,2
HCPCS,J2323,Natalizumab injection,,,24.0,47.99,24
HCPCS,J2325,Nesiritide injection,,,35.51,35.51,2
HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,1280.25,2560.5,21
HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,14.86,29.88,24
HCPCS,J2327,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [194884],3160.83,1106.29,,,0
HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,68.66,141.51,24
HCPCS,J2329,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION [196893],5669.9,1984.46,,,0
HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,57.81,118.83,24
HCPCS,J2350,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [178074],6569.98,2299.49,,,0
HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,45.19,94.47,20
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [169321]",9266.58,3243.3,,,0
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [169319]",18533.15,6486.6,,,0
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [169320]",27799.73,9729.91,,,0
HCPCS,J2353,"Octreotide injection, depot",,,203.58,407.17,24
HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],77.8,27.23,,,0
HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],1136.28,397.70000000000005,,,0
HCPCS,J2354,"Octreotide inj, non-depot",,,0.59,1.22,5
HCPCS,J2355,Oprelvekin injection,,,292.02,292.02,2
HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,17.77,36.02,24
HCPCS,J2357,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION [36151],6215.4,2175.39,,,0
HCPCS,J2357,Omalizumab injection,,,40.12,89.19,24
HCPCS,J2358,Olanzapine long-acting inj,,,2.92,3.56,5
HCPCS,J2359,"Inj. olanzapine, 0.5mg",,,0.92,1.03,5
HCPCS,J2359,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [38263],139.15,48.7,,,0
HCPCS,J2360,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],112.095,39.23,,,0
HCPCS,J2360,Orphenadrine injection,,,9.95,17.07,5
HCPCS,J2371,Inj phenylephrine hcl 20 mcg,,,0.01,0.01,2
HCPCS,J2371,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [144861],5.8,2.03,,,0
HCPCS,J2371,PHENYLEPHRINE 10 MG/100 ML NS (ANESTHESIA) PHARMACY PREMIX [409994],57.98,20.29,,,0
HCPCS,J2371,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],30.99,10.844999999999999,,,0
HCPCS,J2371,PHENYLEPHRINE 100 MG/250 ML NS (PHARMACY PREMIX) [409634],579.8,202.93,,,0
HCPCS,J2371,PHENYLEPHRINE 2 MG/10 ML (200 MCG/ML) INJECTION SYRINGE FOR PRIAPISM [410226],5.8,2.03,,,0
HCPCS,J2371,PHENYLEPHRINE 2.5 MG/10 ML (250 MCG/ML) INJECTION SYRINGE FOR PRIAPISM [410228],0.08,0.03,,,0
HCPCS,J2371,PHENYLEPHRINE 25 MG/250 ML NS (PHARMACY PREMIX) [409637],144.95,50.73,,,0
HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.18,0.21,5
HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.14,0.17,5
HCPCS,J2401,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION [1635],14.17,4.96,,,0
HCPCS,J2401,Chloroprocaine hcl injection,,,0.04,0.04,5
HCPCS,J2402,Chloroprocaine (clorotekal),,,0.45,0.45,2
HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.58,1.17,24
HCPCS,J2404,"Inj, nicardipine 0.1 mg",,,0.09,0.61,5
HCPCS,J2404,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
HCPCS,J2404,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],6.655,2.33,,,0
HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE [111111],180.38,63.13,,,0
HCPCS,J2405,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [10777],0.4,0.14,,,0
HCPCS,J2405,Ondansetron hcl injection,,,0.09,0.11,5
HCPCS,J2406,"Injection, oritavancin 10 mg",,,42.48,84.96,24
HCPCS,J2407,"Injection, oritavancin",,,28.53,57.36,24
HCPCS,J2410,Oxymorphone hcl injection,,,2.76,2.76,2
HCPCS,J2425,PALIFERMIN 6.25 MG INTRAVENOUS SOLUTION [40400],13490.0,4721.5,,,0
HCPCS,J2425,Palifermin injection,,,33.99,71.11,22
HCPCS,J2426,Paliperidone palmitate inj,,,14.74,30.22,24
HCPCS,J2427,"Inj, invega hafyera/trinza",,,12.67,25.99,24
HCPCS,J2430,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],4.85,1.7,,,0
HCPCS,J2430,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],109.0,38.15,,,0
HCPCS,J2430,Pamidronate disodium /30 mg,,,13.88,17.85,5
HCPCS,J2440,PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],28.99,10.15,,,0
HCPCS,J2440,Papaverin hcl injection,,,56.05,56.05,2
HCPCS,J2468,"Inj, palonosetron (avyxa)",,,58.24,116.47,22
HCPCS,J2469,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],217.37,76.08,,,0
HCPCS,J2469,Palonosetron hcl,,,0.5,0.87,5
HCPCS,J2470,Inj pantoprazole sodium 40mg,,,11.93,11.93,2
HCPCS,J2470,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
HCPCS,J2471,Inj pantoprazole(hikma) 40mg,,,9.52,9.52,2
HCPCS,J2472,"Inj, pantoprazole sodium chl",,,11.69,11.69,2
HCPCS,J2501,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION [31688],8.51,2.98,,,0
HCPCS,J2501,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [22960],43.81,15.33,,,0
HCPCS,J2501,Paricalcitol,,,0.81,1.1,5
HCPCS,J2502,"Inj, pasireotide long acting",,,526.94,1145.92,22
HCPCS,J2502,PASIREOTIDE PAMOATE 20 MG IM SUSPENSION [169371],15945.99,5581.1,,,0
HCPCS,J2502,PASIREOTIDE PAMOATE 40 MG IM SUSPENSION [169372],15945.99,5581.1,,,0
HCPCS,J2502,PASIREOTIDE PAMOATE 60 MG IM SUSPENSION [169373],15945.99,5581.1,,,0
HCPCS,J2503,Pegaptanib sodium injection,,,1107.32,1107.32,2
HCPCS,J2504,"Pegademase bovine, 25 iu",,,188.64,188.64,2
HCPCS,J2506,Inj pegfilgrast ex bio 0.5mg,,,19.98,178.69,24
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR [169456],48777.2,17072.02,,,0
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [32267],48777.2,17072.02,,,0
HCPCS,J2507,Pegloticase injection,,,3565.32,7321.67,24
HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,226.93,456.31,24
HCPCS,J2510,PENICILLIN G PROCAINE 1.2 MILLION UNIT/2 ML INTRAMUSCULAR SYRINGE [104262],97.92,34.27,,,0
HCPCS,J2510,"PENICILLIN G PROCAINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE [10904]",97.92,34.27,,,0
HCPCS,J2510,Penicillin g procaine inj,,,57.57,57.57,2
HCPCS,J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION [6097],152.67,53.44,,,0
HCPCS,J2515,Pentobarbital sodium inj,,,27.99,82.37,21
HCPCS,J2540,PENICILLIN G IV 5 MU MBP SIMPLE RECORD [409402],659.44,230.8,,,0
HCPCS,J2540,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK [15960],4.39,1.54,,,0
HCPCS,J2540,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],1463.67,512.28,,,0
HCPCS,J2540,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],365.92,128.07,,,0
HCPCS,J2540,Penicillin g potassium inj,,,0.78,1.15,5
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
HCPCS,J2543,Piperacillin/tazobactam,,,1.12,1.39,5
HCPCS,J2545,PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],734.41,257.04,,,0
HCPCS,J2545,Pentamidine non-comp unit,,,79.5,96.86,5
HCPCS,J2547,"Injection, peramivir",,,1.68,3.36,21
HCPCS,J2550,PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],67.0,23.45,,,0
HCPCS,J2550,Promethazine hcl injection,,,3.31,4.36,5
HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],76.02,26.61,,,0
HCPCS,J2560,Phenobarbital sodium inj,,,29.44,37.53,5
HCPCS,J2561,"Inj, sezaby, 1 mg",,,0.79,2.39,21
HCPCS,J2562,Plerixafor injection,,,24.98,71.42,24
HCPCS,J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
HCPCS,J2590,OXYTOCIN 15 UNITS/250 ML IN SODIUM CHLORIDE (INDUCTION) [411243],0.34,0.12,,,0
HCPCS,J2590,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [109869],0.38,0.13,,,0
HCPCS,J2590,OXYTOCIN 30 UNITS/500 ML IN SODIUM CHLORIDE (INDUCTION) [408316],0.34,0.12,,,0
HCPCS,J2590,Oxytocin injection,,,2.45,2.45,2
HCPCS,J2597,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
HCPCS,J2597,Inj desmopressin acetate,,,4.49,6.13,5
HCPCS,J2598,"Inj, vasopressin, 1 unit",,,1.42,1.99,5
HCPCS,J2598,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION [193676],13.305,4.654999999999999,,,0
HCPCS,J2598,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [168412],209.44,73.31,,,0
HCPCS,J2598,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV [179319],6.4,2.24,,,0
HCPCS,J2599,Inj vasopressin (am reg) 1 u,,,1.33,1.5,5
HCPCS,J2601,"Inj, vasopressin (baxter)",,,2.01,4.43,22
HCPCS,J2601,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV [179319],8.55,2.995,,,0
HCPCS,J2675,Inj progesterone per 50 MG,,,0.66,1.09,5
HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,7.15,9.38,5
HCPCS,J2680,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],908.35,317.92,,,0
HCPCS,J2680,Fluphenazine decanoate 25 MG,,,8.83,11.56,5
HCPCS,J2690,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],9.08,3.18,,,0
HCPCS,J2690,Procainamide hcl injection,,,223.3,618.19,24
HCPCS,J2700,OXACILLIN 1 GRAM SOLUTION FOR INJECTION [103765],78.44,27.45,,,0
HCPCS,J2700,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],153.135,53.595,,,0
HCPCS,J2700,Oxacillin sodium injeciton,,,0.64,1.31,5
HCPCS,J2704,"Inj, propofol, 10 mg",,,0.09,0.1,5
HCPCS,J2704,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INJECTION SOLUTION [5489],15.84,5.54,,,0
HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [163426],35.71,12.5,,,0
HCPCS,J2710,Neostigmine methylslfte inj,,,2.03,2.03,2
HCPCS,J2720,Inj protamine sulfate/10 MG,,,1.22,1.4,5
HCPCS,J2720,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],77.305,27.060000000000002,,,0
HCPCS,J2724,Protein C concentrate,,,15.02,30.08,24
HCPCS,J2730,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [6462],331.93,116.17,,,0
HCPCS,J2730,Pralidoxime chloride inj,,,126.93,126.93,2
HCPCS,J2760,PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],903.23,316.13,,,0
HCPCS,J2760,Phentolaine mesylate inj,,,415.61,864.04,24
HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],46.38,16.235,,,0
HCPCS,J2765,Metoclopramide hcl injection,,,1.13,1.26,5
HCPCS,J2770,QUINUPRISTIN-DALFOPRISTIN 500 MG INTRAVENOUS SOLUTION [26335],365.92,128.07,,,0
HCPCS,J2770,Quinupristin/dalfopristin,,,5.2,5.2,2
HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,33.88,67.75,24
HCPCS,J2778,Ranibizumab injection,,,86.38,172.77,24
HCPCS,J2779,"Inj, susvimo 0.1 mg",,,78.93,157.87,24
HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,139.18,278.36,24
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,105.12,210.25,24
HCPCS,J2783,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [33591],3764.81,1317.68,,,0
HCPCS,J2783,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION [76868],1254.94,439.23,,,0
HCPCS,J2783,Rasburicase,,,370.46,755.04,24
HCPCS,J2785,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],180.38,63.13,,,0
HCPCS,J2785,Regadenoson injection,,,3.26,4.65,5
HCPCS,J2786,"Injection, reslizumab, 1mg",,,10.49,21.9,24
HCPCS,J2786,RESLIZUMAB 10 MG/ML INTRAVENOUS SOLUTION [174455],486.46,170.26,,,0
HCPCS,J2787,Riboflavin 5?phos opth<=3ml,,,3337.92,3337.92,2
HCPCS,J2788,Rho d immune globulin 50 mcg,,,23.62,29.96,5
HCPCS,J2790,Rho d immune globulin inj,,,77.16,101.7,5
HCPCS,J2791,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE [38072]",697.6049999999999,244.16,,,0
HCPCS,J2791,Rhophylac injection,,,4.88,5.97,5
HCPCS,J2792,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN [70575]",693.18,242.61,,,0
HCPCS,J2792,"RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT (1,000 MCG)/4.4 ML INJ. SOLN [70574]",1971.89,690.16,,,0
HCPCS,J2792,"Rho(D) immune globulin h, sd",,,25.46,50.91,24
HCPCS,J2793,Rilonacept injection,,,32.94,32.94,2
HCPCS,J2794,"Risperidone, long acting",,,10.5,21.96,24
HCPCS,J2795,ROPIVACAINE (PF) 0.1 % IN 0.9 % SODIUM CHLORIDE EPIDURAL SOLUTION [110257],204.86,71.7,,,0
HCPCS,J2795,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.23,4.279999999999999,,,0
HCPCS,J2795,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.29,2.25,,,0
HCPCS,J2795,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION [18193],36.39,12.735,,,0
HCPCS,J2795,ROPIVACAINE 0.1% IN NS 250 ML EPIDURAL (ADS) [409659],2.58,0.9,,,0
HCPCS,J2795,ROPIVACAINE 0.2% IN NS EPIDURAL 250 ML (ADS) [409590],1.05,0.37,,,0
HCPCS,J2795,ROPIVACAINE 0.2% IN NS NERVE BLOCK 250 ML (ADS) [409591],1.05,0.37,,,0
HCPCS,J2795,Ropivacaine HCl injection,,,0.06,0.09,5
HCPCS,J2796,Romiplostim injection,,,143.0,143.0,2
HCPCS,J2798,"Inj., perseris, 0.5 mg",,,12.14,24.28,24
HCPCS,J2799,"Inj, uzedy, 1 mg",,,24.62,50.08,24
HCPCS,J2800,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],21.4,7.49,,,0
HCPCS,J2800,Methocarbamol injection,,,6.36,8.21,5
HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,13.03,26.06,21
HCPCS,J2802,"Inj, romiplostim 1 microgram",,,10.52,22.03,22
HCPCS,J2802,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION [186689],1192.5,417.38,,,0
HCPCS,J2802,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION [93566],5069.85,1774.45,,,0
HCPCS,J2802,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION [93567],2961.0,1036.35,,,0
HCPCS,J2804,"Inj, rifampin, 1 mg",,,0.14,0.14,1
HCPCS,J2804,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],673.72,235.8,,,0
HCPCS,J2805,SINCALIDE 5 MCG SOLUTION FOR INJECTION [11368],803.98,281.39,,,0
HCPCS,J2805,Sincalide injection,,,139.56,143.26,5
HCPCS,J2810,Inj theophylline per 40 MG,,,1.28,1.28,2
HCPCS,J2810,THEOPHYLLINE 400 MG/500 ML IN DEXTROSE 5 % INTRAVENOUS [105072],0.04,0.01,,,0
HCPCS,J2820,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],3799.6,1329.86,,,0
HCPCS,J2820,Sargramostim injection,,,50.36,100.73,24
HCPCS,J2840,Inj sebelipase alfa 1 mg,,,539.91,1079.83,21
HCPCS,J2850,Inj secretin synthetic human,,,40.52,81.04,21
HCPCS,J2860,"Injection, siltuximab",,,163.37,331.66,24
HCPCS,J2860,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION [166351],4442.86,1555.0,,,0
HCPCS,J2860,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION [166352],17771.43,6220.0,,,0
HCPCS,J2865,Inj sulfameth/trim 5 mg/1 mg,,,0.06,0.06,1
HCPCS,J2865,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],2.175,0.765,,,0
HCPCS,J2916,Na ferric gluconate complex,,,1.94,2.48,5
HCPCS,J2916,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],247.38,86.58000000000001,,,0
HCPCS,J2919,"Inj, methylpred sod succ 5mg",,,0.25,0.35,5
HCPCS,J2919,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION [113949]",687.2,240.52,,,0
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [113947],42.95,15.03,,,0
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [113946],67.0,23.45,,,0
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION [113948],343.6,120.26,,,0
HCPCS,J2919,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",687.2,240.52,,,0
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION [10578],7.6,2.66,,,0
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10581],343.6,120.26,,,0
HCPCS,J2930,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG/2 ML SOLUTION FOR INJECTION [106779],85.9,30.07,,,0
HCPCS,J2941,SOMATROPIN 5 MG SUBCUTANEOUS SOLUTION [27314],1977.75,692.21,,,0
HCPCS,J2941,Somatropin injection,,,59.68,59.68,2
HCPCS,J2993,Reteplase injection,,,2904.58,5809.15,21
HCPCS,J2995,Inj streptokinase /250000 IU,,,86.82,86.82,2
HCPCS,J2997,ALTEPLASE 100 MG INTRAVENOUS SOLUTION [9002],26155.26,9154.34,,,0
HCPCS,J2997,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [31310],498.2,174.37,,,0
HCPCS,J2997,ALTEPLASE 50 MG INTRAVENOUS SOLUTION [9003],13077.63,4577.17,,,0
HCPCS,J2997,Alteplase recombinant,,,91.46,188.89,24
HCPCS,J2998,Inj plasminogen tvmh 1mg,,,32.77,65.53,21
HCPCS,J3000,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION [7508],30.92,10.82,,,0
HCPCS,J3000,Streptomycin injection,,,25.59,37.07,5
HCPCS,J3010,"FENTANYL (PF) 1,000 MCG/20 ML (50 MCG/ML) INTRAVENOUS PCA SYRINGE [180935]",26.02,9.11,,,0
HCPCS,J3010,"FENTANYL (PF) 1,250 MCG/25 ML (50 MCG/ML) IN 0.9 % NACL PCA SYRINGE [110275]",22.15,7.75,,,0
HCPCS,J3010,FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE [113124],23.0,8.05,,,0
HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],10.95,3.83,,,0
HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INTRAVENOUS PCA SYRINGE [113225],22.15,7.75,,,0
HCPCS,J3010,FENTANYL 3 MCG/ML IN NS EPIDURAL 250 ML (ADS) [409592],2.11,0.74,,,0
HCPCS,J3010,"FENTANYL IN NS (PF) 1,250 MCG/25 ML CONT INFUSION [408650]",22.15,7.75,,,0
HCPCS,J3010,FENTANYL IN NS (PF) 50 MCG/ML CONT INFUSION [409958],22.83,7.99,,,0
HCPCS,J3010,FENTANYL IV 10 MCG/ML 0.9% NS INJECTION (NICU) [410237],24.61,8.61,,,0
HCPCS,J3010,Fentanyl citrate injeciton,,,0.84,1.04,5
HCPCS,J3030,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97342],732.48,256.365,,,0
HCPCS,J3030,Sumatriptan succinate / 6 MG,,,197.55,197.55,2
HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,4.94,4.94,2
HCPCS,J3032,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION [187526],5430.71,1900.75,,,0
HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,19.32,39.95,24
HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,70.0,145.24,24
HCPCS,J3055,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION [199140],35841.46,12544.51,,,0
HCPCS,J3055,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION [199139],1792.07,627.23,,,0
HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,40.64,82.22,24
HCPCS,J3070,Pentazocine injection,,,32.35,32.35,2
HCPCS,J3090,Inj tedizolid phosphate,,,1.8,3.93,24
HCPCS,J3095,Telavancin injection,,,7.09,14.23,24
HCPCS,J3101,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [181599],23405.55,8191.94,,,0
HCPCS,J3101,Tenecteplase injection,,,162.46,344.44,24
HCPCS,J3105,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],190.69,66.74,,,0
HCPCS,J3105,Terbutaline sulfate inj,,,1.41,2.61,5
HCPCS,J3110,Teriparatide injection,,,85.38,85.38,2
HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,,,11.49,24.14,24
HCPCS,J3121,Inj testostero enanthate 1mg,,,0.05,0.06,5
HCPCS,J3145,Testosterone undecanoate 1mg,,,2.02,4.14,24
HCPCS,J3230,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],56.045,19.615000000000002,,,0
HCPCS,J3230,Chlorpromazine hcl injection,,,29.04,37.19,5
HCPCS,J3240,THYROTROPIN ALFA 1.1 MG (0.9 MG/ML FINAL CONC.) INTRAMUSCULAR SOLUTION [24409],5111.23,1788.93,,,0
HCPCS,J3240,Thyrotropin injection,,,2078.71,4232.65,24
HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,352.56,718.38,24
HCPCS,J3241,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION [187231],57372.97,20080.54,,,0
HCPCS,J3243,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
HCPCS,J3243,Tigecycline injection,,,0.3,0.77,5
HCPCS,J3244,Inj. tigecycline (accord),,,4.12,4.12,2
HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,127.45,254.91,24
HCPCS,J3246,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS [113057],8.79,3.08,,,0
HCPCS,J3246,Tirofiban hcl,,,3.55,4.42,5
HCPCS,J3247,Inj secukinumab intrav 1mg,,,17.73,35.69,24
HCPCS,J3250,TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION [102759],76.02,26.61,,,0
HCPCS,J3250,Trimethobenzamide hcl inj,,,50.04,62.16,5
HCPCS,J3260,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],1762.58,616.9,,,0
HCPCS,J3260,TOBRAMYCIN 100MG/100 ML IVPB (STANDARD DOSING) [411407],4.73,1.65,,,0
HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
HCPCS,J3260,Tobramycin sulfate injection,,,1.6,2.57,5
HCPCS,J3262,Tocilizumab injection,,,5.71,11.42,24
HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,39.1,78.82,24
HCPCS,J3263,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION [200070],5127.15,1794.5,,,0
HCPCS,J3280,Thiethylperazine maleate inj,,,5.53,5.53,2
HCPCS,J3285,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION [32931],21.07,7.37,,,0
HCPCS,J3285,Treprostinil injection,,,54.71,109.41,24
HCPCS,J3299,Inj xipere 1 mg,,,47.97,95.95,24
HCPCS,J3300,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION [89128],716.37,250.73,,,0
HCPCS,J3300,Triamcinolone A inj PRS-free,,,24.5,49.0,22
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION [11584],470.28,164.6,,,0
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],2069.23,724.23,,,0
HCPCS,J3301,Triamcinolone acet inj nos,,,0.87,1.1,5
HCPCS,J3302,Triamcinolone diacetate inj,,,0.39,0.39,2
HCPCS,J3303,Triamcinolone hexacetonl inj,,,11.9,11.9,2
HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,18.01,36.59,24
HCPCS,J3315,Triptorelin pamoate,,,471.63,949.68,24
HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,3506.04,7634.55,22
HCPCS,J3355,"Urofollitropin, 75 iu",,,72.21,72.21,2
HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,181.03,190.17,4
HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,12.81,25.99,24
HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION SOLUTION [2401],77.31,27.06,,,0
HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106139],77.31,27.06,,,0
HCPCS,J3360,Diazepam injection,,,5.79,10.43,5
HCPCS,J3370,Vancomycin hcl injection,,,1.95,2.45,5
HCPCS,J3371,"Inj, vancomycin hcl (mylan)",,,6.31,7.84,5
HCPCS,J3372,"Inj, vancomycin hcl (xellia)",,,6.54,7.78,5
HCPCS,J3373,VANCOMYCIN 1 GRAM/200 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK [175221],2.15,0.75,,,0
HCPCS,J3373,VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [92895],2.15,0.75,,,0
HCPCS,J3373,VANCOMYCIN 1 GRAM/250 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS [409401],356.44,124.75,,,0
HCPCS,J3373,VANCOMYCIN 1 GRAM/250 ML IN DEXTROSE 5 % INTRAVENOUS [411105],0.63,0.22,,,0
HCPCS,J3373,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
HCPCS,J3373,VANCOMYCIN 1.5 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN [174531],0.47,0.17,,,0
HCPCS,J3373,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],827.6949999999999,289.69,,,0
HCPCS,J3373,VANCOMYCIN 1250MG/250ML NS-(PHARMACY PREMIX) [408615],0.79,0.28,,,0
HCPCS,J3373,VANCOMYCIN 1750MG/500ML NS-(PHARMACY PREMIX) [408617],0.55,0.19,,,0
HCPCS,J3373,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [145355],0.62,0.22,,,0
HCPCS,J3373,VANCOMYCIN 2000MG/500ML NS-(PHARMACY PREMIX) [408618],0.63,0.22,,,0
HCPCS,J3373,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],788.28,275.9,,,0
HCPCS,J3373,VANCOMYCIN 5 MG/ML PEDIATRIC SYRINGE (PREMIX BAXTER) [411309],2.15,0.75,,,0
HCPCS,J3373,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
HCPCS,J3373,VANCOMYCIN 750MG/250ML NS-(PHARMACY PREMIX) [408648],0.47,0.17,,,0
HCPCS,J3380,"Injection, vedolizumab",,,21.16,42.62,24
HCPCS,J3380,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [166472],21275.6,7446.46,,,0
HCPCS,J3385,Velaglucerase alfa,,,374.36,762.72,24
HCPCS,J3392,"Inj, exagamglogene autotem",,,2332000.0,4664000.0,21
HCPCS,J3393,"Inj, betibeglogene autotemce",,,2945740.0,5891480.0,21
HCPCS,J3394,"Inj, lovotibeglogene autotem",,,3248445.72,6496891.43,21
HCPCS,J3396,Verteporfin injection,,,11.52,23.08,24
HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,279.93,559.86,21
HCPCS,J3398,Inj luxturna 1 billion vec g,,,3002.58,6005.17,21
HCPCS,J3399,Inj onase abepar-xioi treat,,,2455110.6,4910221.21,21
HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,1016.67,2050.87,22
HCPCS,J3410,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION [3770],118.54,41.49,,,0
HCPCS,J3410,Hydroxyzine hcl injection,,,14.04,17.76,5
HCPCS,J3411,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
HCPCS,J3411,Thiamine hcl 100 mg,,,1.76,2.15,5
HCPCS,J3415,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION [6744],2.58,0.9,,,0
HCPCS,J3415,Pyridoxine hcl 100 mg,,,12.57,19.97,5
HCPCS,J3420,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",45.1,15.78,,,0
HCPCS,J3420,Vitamin b12 injection,,,0.67,1.55,5
HCPCS,J3424,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION [154258],2556.01,894.6,,,0
HCPCS,J3424,Inj hydroxocobalamin iv 25mg,,,5.18,10.37,21
HCPCS,J3425,"HYDROXOCOBALAMIN 1,000 MCG/ML INTRAMUSCULAR SOLUTION [3768]",0.76,0.26,,,0
HCPCS,J3425,"Inj, hydroxocobalamin",,,0.01,0.01,5
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION PF TGH NEWBORN/NICU [410427],65.22,22.83,,,0
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION [102266],38.31,13.41,,,0
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION TGH NEWBORN/NICU [409548],38.31,13.41,,,0
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],38.65,13.53,,,0
HCPCS,J3430,Vitamin k phytonadione inj,,,2.45,2.84,5
HCPCS,J3465,"Injection, voriconazole",,,0.88,1.18,5
HCPCS,J3465,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [33010],1106.8249999999998,387.39,,,0
HCPCS,J3470,Hyaluronidase injection,,,32.17,36.69,3
HCPCS,J3471,HYALURONIDASE (OVINE) 200 UNIT/ML INJECTION SOLUTION [40449],283.45500000000004,99.21000000000001,,,0
HCPCS,J3471,"Ovine, up to 999 usp units",,,0.45,0.5,3
HCPCS,J3472,"Ovine, 1000 USP units",,,129.83,129.83,2
HCPCS,J3473,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION [76338]",575.98,201.59,,,0
HCPCS,J3473,Hyaluronidase recombinant,,,0.36,0.45,5
HCPCS,J3475,Inj magnesium sulfate,,,0.49,0.6,5
HCPCS,J3475,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [16162],1.03,0.36,,,0
HCPCS,J3475,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [112209],4.12,1.44,,,0
HCPCS,J3475,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [112310],3.805,1.33,,,0
HCPCS,J3475,MAGNESIUM SULFATE 20 GRAMS/500ML IN NS INTRAVENOUS SOLUTION [409014],2.67,0.93,,,0
HCPCS,J3475,MAGNESIUM SULFATE 3G IN D5 IVPB (MAG SULF 1G X 3 BAGS) [411513],1.03,0.36,,,0
HCPCS,J3475,MAGNESIUM SULFATE 4G IN SW IVPB (MAG SULF 2G X 2 BAGS) [411514],4.12,1.44,,,0
HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],50.31,17.61,,,0
HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE [106195],51.54,18.04,,,0
HCPCS,J3480,Inj potassium chloride,,,0.12,0.21,5
HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11074],0.19,0.07,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11076],0.39,0.14,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36046],0.13,0.05,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],293.76,102.82,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION [9791],279.78,97.92,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ IVPB (KCL 20 MEQ/100 ML X 2 BAGS) [411516],0.39,0.14,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11079],0.77,0.27,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0.29,0.1,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 80 MEQ IVPB (KCL 40 MEQ/100 ML X 2 BAGS) - ICU/CENTRAL LINE ONLY [410205],0.77,0.27,,,0
HCPCS,J3485,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [11691],14.17,4.96,,,0
HCPCS,J3485,Zidovudine,,,1.51,3.03,24
HCPCS,J3486,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [33175],695.76,243.51,,,0
HCPCS,J3486,Ziprasidone mesylate,,,5.18,8.77,5
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK [163733],6.23,2.18,,,0
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],29.42,10.3,,,0
HCPCS,J3489,Zoledronic acid 1mg,,,6.83,9.52,5
HCPCS,J3490,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE [31784],1087.89,380.76,,,0
HCPCS,J3520,Edetate disodium per 150 mg,,,0.39,0.39,2
HCPCS,J7030,Normal saline solution infus,,,2.47,3.05,5
HCPCS,J7040,Normal saline solution infus,,,1.24,1.53,5
HCPCS,J7042,5% dextrose/normal saline,,,1.25,1.44,5
HCPCS,J7050,Normal saline solution infus,,,0.62,0.77,5
HCPCS,J7060,5% dextrose/water,,,1.82,2.2,5
HCPCS,J7070,D5w infusion,,,3.64,4.39,5
HCPCS,J7100,DEXTRAN 40 10 % IN 5 % DEXTROSE INTRAVENOUS [18010],121.11,42.39,,,0
HCPCS,J7100,Dextran 40 infusion,,,62.87,62.87,2
HCPCS,J7120,Ringers lactate infusion,,,2.3,2.94,5
HCPCS,J7121,5% dextrose in lac ringers,,,7.38,7.38,2
HCPCS,J7131,Hypertonic saline sol,,,0.11,0.11,2
HCPCS,J7165,"Inj, human-lans, per i.u",,,1.55,3.09,21
HCPCS,J7168,"HUM PROTHROMBIN CPLX, 4-FACTOR 1,000 UNIT (800-1,240 UNIT) IV SOLUTION [166620]",11174.52,3911.08,,,0
HCPCS,J7168,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [166446]",1923.09,673.085,,,0
HCPCS,J7168,Prothrombin complex kcentra,,,2.14,4.28,21
HCPCS,J7169,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION [184235]",8824.98,3088.74,,,0
HCPCS,J7169,"Inj andexxa, 10 mg",,,131.38,262.75,21
HCPCS,J7170,EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION [180731],46554.0,16293.9,,,0
HCPCS,J7170,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION [180732],46554.0,16293.9,,,0
HCPCS,J7170,EMICIZUMAB-KXWH 60 MG/0.4 ML SUBCUTANEOUS SOLUTION [180730],16263.7,5692.3,,,0
HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,51.98,112.2,24
HCPCS,J7171,"Inj, adzynma, 10 iu",,,34.52,71.17,24
HCPCS,J7175,"Inj, factor x, (human), 1iu",,,9.53,19.55,24
HCPCS,J7177,"Inj., fibryga, 1 mg",,,1.1,2.45,24
HCPCS,J7178,Human fibrinogen conc inj,,,1.48,3.04,24
HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,1.83,3.7,24
HCPCS,J7180,Factor XIII anti-hem factor,,,10.48,21.51,24
HCPCS,J7181,Factor xiii recomb a-subunit,,,17.34,36.31,24
HCPCS,J7182,Factor viii recomb novoeight,,,1.4,3.08,24
HCPCS,J7183,Wilate injection,,,1.28,2.57,24
HCPCS,J7185,Xyntha inj,,,1.49,3.35,24
HCPCS,J7186,Antihemophilic viii/vwf comp,,,1.2,2.49,24
HCPCS,J7187,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION [70404],7730.62,2705.72,,,0
HCPCS,J7187,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION [70405]",15461.24,5411.43,,,0
HCPCS,J7187,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT IV (FACTOR VIII) [408726]",15461.24,5411.43,,,0
HCPCS,J7187,"Humate-P, inj",,,1.45,2.98,24
HCPCS,J7188,Factor viii recomb obizur,,,3.23,6.45,24
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853]",18038.11,6313.34,,,0
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855]",90190.56,31566.7,,,0
HCPCS,J7189,Factor viia,,,2.53,5.31,24
HCPCS,J7190,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT IV (FVIII) [408727],7730.62,2705.72,,,0
HCPCS,J7190,Factor viii,,,1.08,2.17,24
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [24926]",4073.91,1425.87,,,0
HCPCS,J7192,ANTIHEMOPHILIC FACTOR (RECOMB) 250 (+/-) UNIT INTRAVENOUS SOLUTION [24924],1018.48,356.47,,,0
HCPCS,J7192,ANTIHEMOPHILIC FACTOR (RECOMB) 500 (+/-) UNIT INTRAVENOUS SOLUTION [24925],2036.96,712.93,,,0
HCPCS,J7192,Factor viii recombinant nos,,,1.56,3.23,24
HCPCS,J7193,Factor ix non-recombinant,,,1.38,2.79,24
HCPCS,J7194,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [10008]",5521.87,1932.65,,,0
HCPCS,J7194,Factor ix complex,,,1.66,3.39,24
HCPCS,J7195,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION [164072]",14172.8,4960.48,,,0
HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION [164076],7086.4,2480.24,,,0
HCPCS,J7195,Factor ix recombinant nos,,,1.85,3.7,24
HCPCS,J7197,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],7730.62,2705.72,,,0
HCPCS,J7197,Antithrombin iii injection,,,3.94,8.21,24
HCPCS,J7198,"ANTI-INHIBITOR COAGULANT COMPLEX 700 UNIT-1,300 UNIT INTRAVENOUS SOLN [186024]",13.44,4.7,,,0
HCPCS,J7198,Anti-inhibitor,,,2.4,4.83,24
HCPCS,J7200,Factor ix recombinan rixubis,,,1.63,3.38,24
HCPCS,J7201,Factor ix alprolix recomb,,,3.55,7.19,24
HCPCS,J7202,Factor ix idelvion inj,,,5.18,10.64,24
HCPCS,J7203,Factor ix recomb gly rebinyn,,,4.32,8.92,24
HCPCS,J7204,Inj recombin esperoct per iu,,,2.14,4.45,24
HCPCS,J7205,Factor viii fc fusion recomb,,,2.32,4.85,24
HCPCS,J7207,Factor viii pegylated recomb,,,2.1,4.19,24
HCPCS,J7208,Inj. jivi 1 iu,,,2.45,5.29,24
HCPCS,J7209,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 1,000 UNIT IV SOLUTION [172623]",9000.0,3150.0,,,0
HCPCS,J7209,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 500 UNIT IV SOLUTION [172622]",4500.0,1575.0,,,0
HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.12,2.23,24
HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.51,3.14,24
HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.49,3.13,24
HCPCS,J7212,Factor viia recomb sevenfact,,,2.37,4.74,24
HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.91,3.83,24
HCPCS,J7214,Altuviiio per factor viii iu,,,4.6,9.33,24
HCPCS,J7294,Seg acet and eth estr yearly,,,3543.69,3543.69,2
HCPCS,J7295,Eth estr and eton monthly,,,228.08,228.08,2
HCPCS,J7296,"Kyleena, 19.5 mg",,,1693.54,1693.54,2
HCPCS,J7297,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE [169837],2308.08,807.83,,,0
HCPCS,J7297,"Liletta, 52 mg",,,1299.09,1299.09,2
HCPCS,J7298,"Mirena, 52 mg",,,1693.54,1693.54,2
HCPCS,J7300,COPPER 380 SQUARE MM INTRAUTERINE DEVICE [163477],2724.12,953.44,,,0
HCPCS,J7300,Intraut copper contraceptive,,,1666.52,1666.52,2
HCPCS,J7301,"Skyla, 13.5 mg",,,1410.15,1410.15,2
HCPCS,J7306,Levonorgestrel implant sys,,,458.56,458.56,2
HCPCS,J7307,ETONOGESTREL 68 MG SUBDERMAL IMPLANT [77012],2853.84,998.85,,,0
HCPCS,J7307,Etonogestrel implant system,,,1778.22,1778.22,2
HCPCS,J7308,Aminolevulinic acid hcl top,,,392.09,784.18,24
HCPCS,J7310,Ganciclovir long act implant,,,5007.82,5007.82,2
HCPCS,J7311,FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT [41193],81349.31,28472.26,,,0
HCPCS,J7311,Fluocinolone acetonide implt,,,340.04,680.63,24
HCPCS,J7312,Dexamethasone intra implant,,,204.61,409.22,24
HCPCS,J7313,Fluocinol acet intravit imp,,,490.77,996.27,24
HCPCS,J7314,"Inj., yutiq, 0.01 mg",,,524.57,1059.78,24
HCPCS,J7318,"Inj, durolane 1 mg",,,6.77,13.55,24
HCPCS,J7320,"Genvisc 850, inj, 1mg",,,5.77,11.55,24
HCPCS,J7321,Hyalgan/supartz inj per dose,,,73.96,89.1,5
HCPCS,J7322,Hymovis injection 1 mg,,,17.5,35.24,24
HCPCS,J7323,Euflexxa inj per dose,,,112.45,224.91,24
HCPCS,J7324,Orthovisc inj per dose,,,112.41,229.07,24
HCPCS,J7325,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE [17381],2241.88,784.66,,,0
HCPCS,J7325,Synvisc or Synvisc-One,,,7.95,15.9,24
HCPCS,J7326,Gel-one,,,529.26,1058.52,24
HCPCS,J7327,Monovisc inj per dose,,,636.59,1273.18,24
HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.59,1.39,24
HCPCS,J7329,"Inj, trivisc 1 mg",,,4.69,9.38,24
HCPCS,J7330,Cultured chondrocytes implnt,,,88813.56,88813.56,2
HCPCS,J7331,"Synojoynt, inj., 1 mg",,,8.43,10.86,5
HCPCS,J7332,"Inj., triluron, 1 mg",,,10.27,20.54,24
HCPCS,J7336,Capsaicin 8% patch,,,3.38,6.84,24
HCPCS,J7340,Carbidopa levodopa ent 100ml,,,235.77,487.21,24
HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,41.46,41.46,2
HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.78,3.59,24
HCPCS,J7351,Inj bimatoprost itc imp 1mcg,,,209.91,427.68,24
HCPCS,J7352,"Afamelanotide implant, 1 mg",,,2943.42,5886.84,21
HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,58.31,116.62,21
HCPCS,J7354,"Cantharidin top, applicator",,,654.76,1309.51,24
HCPCS,J7355,Inj travoprost intra impl,,,194.41,391.44,22
HCPCS,J7402,Mometasone sinus sinuva,,,11.34,22.69,24
HCPCS,J7500,AZATHIOPRINE 50 MG TABLET [9183],0.47,0.175,,,0
HCPCS,J7500,Azathioprine oral 50mg,,,1.01,1.82,5
HCPCS,J7501,Azathioprine parenteral,,,254.07,508.13,21
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],10.39,2.59,,,0
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION [28844],56.044999999999995,19.615,,,0
HCPCS,J7502,Cyclosporine oral 100 mg,,,2.02,2.7,5
HCPCS,J7503,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR [171648]",4.925,1.72,,,0
HCPCS,J7503,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR [171649]",6.57,2.3,,,0
HCPCS,J7503,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR [171650]",26.27,9.19,,,0
HCPCS,J7503,Tacrol envarsus ex rel oral,,,1.81,2.2,5
HCPCS,J7504,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [10475]",213191.98,74617.19499999999,,,0
HCPCS,J7504,Lymphocyte immune globulin,,,4376.29,10270.18,24
HCPCS,J7505,Monoclonal antibodies,,,1059.57,1059.57,2
HCPCS,J7507,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",1.6400000000000001,0.57,,,0
HCPCS,J7507,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",2.44,0.855,,,0
HCPCS,J7507,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",11.96,4.18,,,0
HCPCS,J7507,Tacrolimus imme rel oral 1mg,,,0.19,0.29,5
HCPCS,J7508,"TACROLIMUS XL 0.5 MG CAPSULE,EXTENDED RELEASE 24 HR [163699]",2.72,0.95,,,0
HCPCS,J7508,"TACROLIMUS XL 1 MG CAPSULE,EXTENDED RELEASE 24 HR [163700]",5.44,1.91,,,0
HCPCS,J7508,"TACROLIMUS XL 5 MG CAPSULE,EXTENDED RELEASE 24 HR [163701]",27.23,9.53,,,0
HCPCS,J7508,Tacrol astagraf ex rel oral,,,0.57,0.7,5
HCPCS,J7509,METHYLPREDNISOLONE 16 MG TABLET [4992],2.855,1.0,,,0
HCPCS,J7509,METHYLPREDNISOLONE 2 MG TABLET [10573],1.64,0.57,,,0
HCPCS,J7509,METHYLPREDNISOLONE 32 MG TABLET [10575],4.28,1.5,,,0
HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLET [4993],1.67,0.58,,,0
HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK [4991],0.71,0.25,,,0
HCPCS,J7509,METHYLPREDNISOLONE 8 MG TABLET [10576],1.7000000000000002,0.595,,,0
HCPCS,J7509,Methylprednisolone oral,,,0.24,0.31,5
HCPCS,J7510,PREDNISOLONE 10 MG DISINTEGRATING TABLET [77790],11.51,4.03,,,0
HCPCS,J7510,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION [11117],1.55,0.54,,,0
HCPCS,J7510,PREDNISOLONE 5 MG TABLET [6483],13.21,4.625,,,0
HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],213.51,74.73,,,0
HCPCS,J7510,Prednisolone oral per 5 mg,,,0.43,0.7,5
HCPCS,J7511,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION [24585],2209.37,773.28,,,0
HCPCS,J7511,Antithymocyte globuln rabbit,,,939.35,1998.73,24
HCPCS,J7512,PREDNISONE 1 MG TABLET [6493],0.2,0.07,,,0
HCPCS,J7512,PREDNISONE 10 MG TABLET [6494],0.11,0.04,,,0
HCPCS,J7512,PREDNISONE 2.5 MG TABLET [6495],0.13,0.045,,,0
HCPCS,J7512,PREDNISONE 20 MG TABLET [6496],0.185,0.065,,,0
HCPCS,J7512,PREDNISONE 5 MG TABLET [6497],0.09,0.045,,,0
HCPCS,J7512,PREDNISONE 5 MG/5 ML ORAL SOLUTION [6492],2.06,0.72,,,0
HCPCS,J7512,PREDNISONE 50 MG TABLET [6498],0.335,0.12,,,0
HCPCS,J7512,Prednisone ir or dr oral 1mg,,,0.01,0.01,2
HCPCS,J7513,"Daclizumab, parenteral",,,457.38,457.38,2
HCPCS,J7514,Mycophenol (myhibbin) 100 mg,,,3.2,3.2,2
HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],2.6100000000000003,0.915,,,0
HCPCS,J7515,Cyclosporine oral 25 mg,,,0.74,1.01,5
HCPCS,J7516,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],63.39,22.19,,,0
HCPCS,J7516,Cyclosporin parenteral 250mg,,,71.4,87.06,3
HCPCS,J7517,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],36.08,12.63,,,0
HCPCS,J7517,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],0.55,0.19,,,0
HCPCS,J7517,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],1.1,0.38,,,0
HCPCS,J7517,Mycophenolate mofetil oral,,,0.15,0.2,5
HCPCS,J7518,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE [38062]",3.385,1.185,,,0
HCPCS,J7518,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE [38063]",8.93,3.13,,,0
HCPCS,J7518,Mycophenolic acid,,,0.38,0.59,5
HCPCS,J7519,Inj. mycophenolate mofetil,,,0.31,0.59,5
HCPCS,J7519,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],752.19,263.27,,,0
HCPCS,J7520,SIROLIMUS 0.5 MG TABLET [144827],10.775,3.7699999999999996,,,0
HCPCS,J7520,SIROLIMUS 1 MG TABLET [28958],21.89,7.66,,,0
HCPCS,J7520,SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],60.56,21.19,,,0
HCPCS,J7520,SIROLIMUS 2 MG TABLET [35262],13.5,4.73,,,0
HCPCS,J7520,"Sirolimus, oral",,,1.14,1.5,5
HCPCS,J7521,Tacrolim granules oral susp,,,1.33,1.33,1
HCPCS,J7525,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION [12935],452.24,158.28,,,0
HCPCS,J7525,Tacrolimus injection,,,255.06,526.3,24
HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET [144525],10.13,3.55,,,0
HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET [144523],30.39,10.64,,,0
HCPCS,J7527,Oral everolimus,,,2.02,2.83,3
HCPCS,J7601,Ensifentrine inh 3 mg,,,52.12,71.98,3
HCPCS,J7605,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],11.595,4.0600000000000005,,,0
HCPCS,J7605,Arformoterol non-comp unit,,,0.69,0.99,5
HCPCS,J7606,"Formoterol fumarate, inh",,,1.7,2.7,5
HCPCS,J7608,ACETYLCYSTEINE 20% (200 MG/ML) ORAL SOLN [152975],6.04,2.12,,,0
HCPCS,J7608,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],6.04,2.12,,,0
HCPCS,J7608,Acetylcysteine non-comp unit,,,8.44,9.94,5
HCPCS,J7611,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION [109390],21.48,7.52,,,0
HCPCS,J7611,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251],23.62,8.27,,,0
HCPCS,J7611,Albuterol non-comp con,,,0.18,0.2,5
HCPCS,J7612,Levalbuterol non-comp con,,,0.26,0.35,5
HCPCS,J7613,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
HCPCS,J7613,Albuterol non-comp unit,,,0.08,0.09,5
HCPCS,J7614,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
HCPCS,J7614,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],18.04,6.31,,,0
HCPCS,J7614,Levalbuterol non-comp unit,,,0.09,0.11,5
HCPCS,J7615,Levalbuterol comp unit,,,2.37,2.37,2
HCPCS,J7620,Albuterol ipratrop non-comp,,,0.19,0.23,5
HCPCS,J7620,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [30510],18.04,6.31,,,0
HCPCS,J7626,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],36.53,12.78,,,0
HCPCS,J7626,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],22.32,7.81,,,0
HCPCS,J7626,Budesonide non-comp unit,,,1.19,1.72,5
HCPCS,J7627,Budesonide comp unit,,,5.53,5.53,2
HCPCS,J7631,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION [9690],15.56,5.45,,,0
HCPCS,J7631,Cromolyn sodium noncomp unit,,,0.26,0.49,5
HCPCS,J7632,Cromolyn sodium comp unit,,,0.39,0.39,2
HCPCS,J7639,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [12211],276.53000000000003,96.785,,,0
HCPCS,J7639,Dornase alfa non-comp unit,,,53.59,65.38,5
HCPCS,J7641,Flunisolide comp unit,,,12.24,12.24,2
HCPCS,J7644,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],9.2,3.22,,,0
HCPCS,J7644,Ipratropium bromide non-comp,,,0.36,0.45,5
HCPCS,J7665,Mannitol for inhaler,,,1.44,1.44,2
HCPCS,J7674,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN [189071],2525.84,884.045,,,0
HCPCS,J7674,"Methacholine chloride, neb",,,1.63,1.96,5
HCPCS,J7677,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION [183818],45.65,15.98,,,0
HCPCS,J7677,Revefenacin inh non-com 1mcg,,,0.2,0.24,5
HCPCS,J7680,Terbutaline sulf comp con,,,15.4,15.4,2
HCPCS,J7681,Terbutaline sulf comp unit,,,15.4,15.4,2
HCPCS,J7682,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],60.34,21.12,,,0
HCPCS,J7682,Tobramycin non-comp unit,,,14.8,19.52,5
HCPCS,J7683,Triamcinolone comp con,,,5.53,5.53,2
HCPCS,J7685,Tobramycin comp unit,,,70.64,70.64,2
HCPCS,J7686,"Treprostinil, non-comp unit",,,760.4,927.38,5
HCPCS,J8501,Oral aprepitant,,,3.04,3.71,5
HCPCS,J8510,BUSULFAN 2 MG TABLET [9325],23.42,8.2,,,0
HCPCS,J8510,Oral busulfan,,,10.12,102.74,21
HCPCS,J8515,"Cabergoline, oral 0.25mg",,,22.36,22.36,2
HCPCS,J8522,CAPECITABINE 500 MG TABLET [22994],30.255,10.59,,,0
HCPCS,J8522,"Capecitabine, oral, 50 mg",,,0.04,0.09,24
HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG CAPSULE [166193],5.0,1.75,,,0
HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG CAPSULE [166194],7.0,2.45,,,0
HCPCS,J8530,Cyclophosphamide oral 25 MG,,,1.02,1.25,5
HCPCS,J8540,DEXAMETHASONE 0.5 MG TABLET [2322],6.525,2.2849999999999997,,,0
HCPCS,J8540,DEXAMETHASONE 0.75 MG TABLET [2323],0.215,0.07500000000000001,,,0
HCPCS,J8540,DEXAMETHASONE 1 MG TABLET [2324],0.26,0.09,,,0
HCPCS,J8540,DEXAMETHASONE 2 MG TABLET [2326],0.62,0.22,,,0
HCPCS,J8540,DEXAMETHASONE 4 MG TABLET [2327],0.99,0.19499999999999998,,,0
HCPCS,J8540,Oral dexamethasone,,,0.05,0.07,5
HCPCS,J8541,"Oral, hemady, 0.25 mg",,,0.5,0.5,2
HCPCS,J8560,ETOPOSIDE 50 MG CAPSULE [10001],75.33,26.37,,,0
HCPCS,J8560,Etoposide oral 50 mg,,,76.46,154.92,24
HCPCS,J8565,Gefitinib oral,,,355.02,355.02,2
HCPCS,J8600,Melphalan oral 2 MG,,,15.74,15.74,2
HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG TABLET [4973],2.98,1.04,,,0
HCPCS,J8610,Methotrexate oral 2.5 MG,,,0.2,0.25,5
HCPCS,J8611,Oral methotrexate (jylamvo),,,18.47,36.93,21
HCPCS,J8612,Oral methotrexate (xatmep),,,22.68,45.36,21
HCPCS,J8650,Nabilone oral,,,18.54,18.54,2
HCPCS,J8655,Netupitant palonosetron oral,,,409.01,845.79,24
HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.79,3.71,24
HCPCS,J8700,TEMOZOLOMIDE 100 MG CAPSULE [25894],244.72,85.65,,,0
HCPCS,J8700,TEMOZOLOMIDE 20 MG CAPSULE [25893],38.8,13.58,,,0
HCPCS,J8700,Temozolomide,,,0.33,0.38,5
HCPCS,J8705,Topotecan oral,,,124.83,249.66,24
HCPCS,J8999,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION [166424],49.57,17.35,,,0
HCPCS,J9000,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],15.25,5.34,,,0
HCPCS,J9000,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION [112881],18.9,6.61,,,0
HCPCS,J9000,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],381.38,133.48,,,0
HCPCS,J9000,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [112879],15.25,5.34,,,0
HCPCS,J9000,Doxorubicin hcl injection,,,3.15,4.68,5
HCPCS,J9000,ZZ DOXORUBICIN 2 MG/ML PEDS INTRAVENOUS INFUSION [115100015],15.25,5.34,,,0
HCPCS,J9015,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION [8993],3371.84,1180.14,,,0
HCPCS,J9015,Aldesleukin injection,,,3338.87,6677.74,21
HCPCS,J9017,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],280.68,98.24,,,0
HCPCS,J9017,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION [180972],801.09,280.38,,,0
HCPCS,J9017,Arsenic trioxide injection,,,4.79,10.19,5
HCPCS,J9019,Erwinaze injection,,,590.11,590.11,2
HCPCS,J9020,"Asparaginase, nos",,,62.35,62.35,2
HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,54.38,110.95,24
HCPCS,J9022,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [175376]",698.48,244.47,,,0
HCPCS,J9022,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION [184573],2317.71,811.2,,,0
HCPCS,J9022,"Inj, atezolizumab,10 mg",,,89.39,182.68,24
HCPCS,J9023,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION [178056],838.05,293.32,,,0
HCPCS,J9023,"Injection, avelumab, 10 mg",,,97.14,200.17,24
HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,30.88,63.17,20
HCPCS,J9025,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4276.38,1496.7350000000001,,,0
HCPCS,J9025,Azacitidine injection,,,0.32,0.45,5
HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,1564.64,3129.27,22
HCPCS,J9027,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],531.89,186.16,,,0
HCPCS,J9027,Clofarabine injection,,,4.19,20.34,24
HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,94.58,189.32,22
HCPCS,J9029,"Inj, adstiladrin, per tx dos",,,63235.61,126684.56,22
HCPCS,J9030,BCG LIVE 50 MG INTRAVESICAL SUSPENSION [21570],884.73,309.65,,,0
HCPCS,J9030,BCG LIVE 81 MG INTRAVESICAL SUSPENSION [14234],794.9,278.22,,,0
HCPCS,J9030,Bcg live intravesical 1mg,,,3.14,6.52,24
HCPCS,J9032,"Injection, belinostat, 10mg",,,50.92,104.95,24
HCPCS,J9033,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [91300],12497.84,4374.24,,,0
HCPCS,J9033,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION [100581],3382.15,1183.75,,,0
HCPCS,J9033,"Inj., treanda 1 mg",,,1.24,7.68,24
HCPCS,J9034,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [172857],3519.1,1231.68,,,0
HCPCS,J9034,"Inj., bendeka 1 mg",,,13.49,26.98,24
HCPCS,J9035,BEVACIZUMAB (AVASTIN) 25MG/ML INTRALESIONAL INJ [409913],918.47,321.46,,,0
HCPCS,J9035,Bevacizumab injection,,,72.73,146.4,24
HCPCS,J9036,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [172857],3519.1,1231.68,,,0
HCPCS,J9036,Inj. belrapzo/bendamustine,,,12.28,24.57,22
HCPCS,J9037,Inj belantamab mafodont blmf,,,50.91,50.91,2
HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS KIT [168516],14150.72,4952.75,,,0
HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS SOLUTION [179177],14150.72,4952.75,,,0
HCPCS,J9039,"Injection, blinatumomab",,,152.28,328.51,24
HCPCS,J9040,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],2217.4,776.09,,,0
HCPCS,J9040,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],4434.8,1552.18,,,0
HCPCS,J9040,Bleomycin sulfate injection,,,21.56,34.94,5
HCPCS,J9041,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],10552.3,3693.3,,,0
HCPCS,J9041,Bortezomib injection,,,2.22,2.71,5
HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [152163],26705.0,9346.75,,,0
HCPCS,J9042,Brentuximab vedotin inj,,,248.93,517.28,24
HCPCS,J9043,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [144888],9707.1,3397.48,,,0
HCPCS,J9043,Cabazitaxel injection,,,221.71,454.55,24
HCPCS,J9045,CARBOPLATIN 10 MG/ML IN SWFI CHEMO SYRINGE HIPEC PROTOCOL [115100057],37.45,13.11,,,0
HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
HCPCS,J9045,Carboplatin injection,,,2.93,4.82,5
HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,3.46,6.92,21
HCPCS,J9047,CARFILZOMIB 10 MG INTRAVENOUS SOLUTION [182772],1255.89,439.56,,,0
HCPCS,J9047,CARFILZOMIB 30 MG INTRAVENOUS SOLUTION [175520],3767.66,1318.68,,,0
HCPCS,J9047,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION [157997],125.59,43.96,,,0
HCPCS,J9047,"Injection, carfilzomib, 1 mg",,,51.85,111.29,24
HCPCS,J9048,"Inj, bortezomib freseniuskab",,,6.97,20.13,21
HCPCS,J9049,"Inj, bortezomib, hospira",,,1.43,2.12,5
HCPCS,J9050,CARMUSTINE 100 MG INTRAVENOUS SOLUTION [28911],519.24,181.73,,,0
HCPCS,J9050,Carmustine injection,,,145.6,476.91,24
HCPCS,J9052,"Inj, carmustine (accord)",,,0.06,519.4,21
HCPCS,J9055,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION [37989],60.01,21.0,,,0
HCPCS,J9055,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION [113003],60.01,21.0,,,0
HCPCS,J9055,Cetuximab injection,,,77.52,156.74,24
HCPCS,J9056,"Inj, bendamustine, 1 mg",,,27.24,59.7,24
HCPCS,J9057,"Inj., copanlisib, 1 mg",,,108.78,108.78,2
HCPCS,J9058,Inj apotex/bendamustine 1 mg,,,21.54,21.54,2
HCPCS,J9059,"Inj bendamustine, baxter 1mg",,,21.54,21.54,2
HCPCS,J9060,CISPLATIN 1 MG/ML IN SWFI CHEMO SYRINGE HIPEC PROTOCOL [115100058],5.36,1.88,,,0
HCPCS,J9060,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
HCPCS,J9060,Cisplatin 10 mg injection,,,2.86,3.36,5
HCPCS,J9061,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [191759],2250.5,787.68,,,0
HCPCS,J9061,"Inj, amivantamab-vmjw",,,21.51,45.08,24
HCPCS,J9063,"Inj, elahere, 1 mg",,,68.07,138.97,24
HCPCS,J9063,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION [196389],1075.94,376.58,,,0
HCPCS,J9065,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],54.76,19.17,,,0
HCPCS,J9065,Inj cladribine per 1 mg,,,10.2,21.36,24
HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.63,1.64,24
HCPCS,J9072,Inj cyclophos dr.reddy's 5mg,,,9.05,18.21,22
HCPCS,J9073,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION [189068],719.59,251.86,,,0
HCPCS,J9073,Inj cyclophosphamd (ingenus),,,0.78,2.67,24
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,3.94,7.87,22
HCPCS,J9075,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],2129.23,745.23,,,0
HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],1064.62,372.62,,,0
HCPCS,J9075,"Inj, cyclophosphamide, nos",,,0.48,1.43,24
HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,5.01,10.03,21
HCPCS,J9098,Cytarabine liposome inj,,,498.81,498.81,2
HCPCS,J9100,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION [113295],14.48,5.07,,,0
HCPCS,J9100,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],72.4,25.34,,,0
HCPCS,J9100,Cytarabine hcl 100 mg inj,,,0.81,1.1,5
HCPCS,J9118,Inj. calaspargase pegol-mknl,,,76.53,164.15,24
HCPCS,J9119,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [408338],5255.98,1839.59,,,0
HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,28.92,58.59,24
HCPCS,J9120,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2850.75,997.76,,,0
HCPCS,J9120,Dactinomycin injection,,,288.8,656.68,24
HCPCS,J9130,DACARBAZINE 100 MG INTRAVENOUS SOLUTION [2090],128.84,45.1,,,0
HCPCS,J9130,DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],127.05,44.47,,,0
HCPCS,J9130,Dacarbazine 100 mg inj,,,4.5,6.05,5
HCPCS,J9144,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [188129]",1944.26,680.49,,,0
HCPCS,J9144,"Daratumumab, hyaluronidase",,,52.99,111.13,24
HCPCS,J9145,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [172747],435.72,152.505,,,0
HCPCS,J9145,"Injection, daratumumab 10 mg",,,67.63,142.74,24
HCPCS,J9150,DAUNORUBICIN 20 MG INTRAVENOUS SOLUTION [9721],886.44,310.26,,,0
HCPCS,J9150,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],33.54,11.74,,,0
HCPCS,J9150,Daunorubicin injection,,,26.4,34.58,5
HCPCS,J9151,Daunorubicin citrate inj,,,63.14,63.14,2
HCPCS,J9153,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION [179999],32273.74,11295.81,,,0
HCPCS,J9153,"Inj daunorubicin, cytarabine",,,249.02,512.17,24
HCPCS,J9155,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [96987],3972.78,1390.47,,,0
HCPCS,J9155,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION [96986],2648.52,926.98,,,0
HCPCS,J9155,Degarelix injection,,,4.36,8.9,24
HCPCS,J9171,DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLUTION [150060],342.51,119.88,,,0
HCPCS,J9171,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION [150059],342.51,119.88,,,0
HCPCS,J9171,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [148171],2396.49,838.77,,,0
HCPCS,J9171,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
HCPCS,J9171,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION [150058],930.0,325.5,,,0
HCPCS,J9171,Docetaxel injection,,,0.61,1.13,5
HCPCS,J9172,"Docetaxel (ingenus), 1 mg",,,50.78,101.56,22
HCPCS,J9173,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [179044],2050.57,717.7,,,0
HCPCS,J9173,"Inj., durvalumab, 10 mg",,,83.87,170.24,24
HCPCS,J9175,Elliotts b solution per ml,,,14.08,14.08,2
HCPCS,J9176,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [172819],7652.58,2678.4,,,0
HCPCS,J9176,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION [172820],10203.44,3571.2,,,0
HCPCS,J9176,"Injection, elotuzumab, 1mg",,,7.73,15.77,24
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [186954],8124.63,2843.62,,,0
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION [186955],12186.95,4265.43,,,0
HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,36.64,73.49,24
HCPCS,J9178,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [13671],41.13,14.4,,,0
HCPCS,J9178,"Inj, epirubicin hcl, 2 mg",,,1.62,2.3,5
HCPCS,J9179,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [148361],2778.67,972.53,,,0
HCPCS,J9179,Eribulin mesylate injection,,,89.34,192.15,24
HCPCS,J9181,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION [17451],157.54,55.14,,,0
HCPCS,J9181,Etoposide injection,,,1.07,1.95,5
HCPCS,J9185,FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],1591.53,557.03,,,0
HCPCS,J9185,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION [41294],604.94,211.73,,,0
HCPCS,J9185,Fludarabine phosphate inj,,,59.53,205.33,5
HCPCS,J9190,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [82204],4.7,1.65,,,0
HCPCS,J9190,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],0.85,0.3,,,0
HCPCS,J9190,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],0.13,0.05,,,0
HCPCS,J9190,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [82200],2.435,0.855,,,0
HCPCS,J9190,Fluorouracil injection,,,2.21,3.39,5
HCPCS,J9196,GEMCITABINE 100 MG/ML INTRAVENOUS SOLUTION [181162],34.22,11.98,,,0
HCPCS,J9196,Inj gemcitabine hcl (accord),,,8.65,12.06,5
HCPCS,J9200,FLOXURIDINE 0.5 GRAM SOLUTION FOR INJECTION [3177],677.72,237.2,,,0
HCPCS,J9200,Floxuridine injection,,,3988.33,8256.04,24
HCPCS,J9201,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],4090.79,1431.78,,,0
HCPCS,J9201,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION [154385],22.83,7.99,,,0
HCPCS,J9201,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
HCPCS,J9201,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION [154388],22.83,7.99,,,0
HCPCS,J9201,Gemcitabine hcl injection,,,2.98,3.96,5
HCPCS,J9202,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT [16254],14429.2,5050.22,,,0
HCPCS,J9202,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT [10137],4809.73,1683.41,,,0
HCPCS,J9202,Goserelin acetate implant,,,705.14,1467.33,24
HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN [180062],32521.31,11382.46,,,0
HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,233.12,473.23,24
HCPCS,J9204,"Inj mogamulizumab-kpkc, 1 mg",,,243.63,496.99,24
HCPCS,J9205,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS [172592],1202.3,420.8,,,0
HCPCS,J9205,Inj irinotecan liposome 1 mg,,,65.28,132.0,24
HCPCS,J9206,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [17450],690.345,241.62,,,0
HCPCS,J9206,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [91055],1150.57,402.7,,,0
HCPCS,J9206,Irinotecan injection,,,1.64,3.54,5
HCPCS,J9207,IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],6377.49,2232.12,,,0
HCPCS,J9207,IXABEPILONE 45 MG INTRAVENOUS SOLUTION [88653],19132.47,6696.36,,,0
HCPCS,J9207,Ixabepilone injection,,,136.21,278.42,24
HCPCS,J9208,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],706.2099999999999,247.17499999999998,,,0
HCPCS,J9208,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION [87922],1.61,0.56,,,0
HCPCS,J9208,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],1160.47,406.16,,,0
HCPCS,J9208,Ifosfamide injection,,,24.62,35.27,5
HCPCS,J9209,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
HCPCS,J9209,Mesna injection,,,1.36,2.67,5
HCPCS,J9210,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION [184197],5358.35,1875.42,,,0
HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,381.5,769.7,24
HCPCS,J9211,CHEMOEMBOLIZATION IDARUBICIN STANDARD TACE TGH [409382],416.47,145.77,,,0
HCPCS,J9211,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [22144],437.29,153.05,,,0
HCPCS,J9211,Idarubicin hcl injection,,,43.51,66.11,5
HCPCS,J9212,INTERFERON ALFACON-1 9 MCG/0.3 ML SUBCUTANEOUS SOLUTION [21850],405.86,142.05,,,0
HCPCS,J9212,Interferon alfacon-1 inj,,,7.5,7.5,2
HCPCS,J9213,Interferon alfa-2a inj,,,41.43,41.43,2
HCPCS,J9214,INTERFERON ALFA-2B 10 MILLION UNIT (1 ML) SOLUTION FOR INJECTION [10299],150.97,52.84,,,0
HCPCS,J9214,INTERFERON ALFA-2B 10 MILLION UNIT/ML INJECTION SOLUTION [19898],1211.13,423.9,,,0
HCPCS,J9214,Interferon alfa-2b inj,,,15.4,15.4,2
HCPCS,J9215,Interferon alfa-n3 inj,,,44.09,44.09,2
HCPCS,J9216,INTERFERON GAMMA-1B 100 MCG (2 MILLION UNIT)/0.5 ML SUBCUTANEOUS SOLN [10307],846.5,296.28,,,0
HCPCS,J9216,Interferon gamma 1-b inj,,,11920.03,11920.03,2
HCPCS,J9217,LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21045],12519.75,4381.91,,,0
HCPCS,J9217,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],6937.41,2428.09,,,0
HCPCS,J9217,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE [35236],16693.0,5842.55,,,0
HCPCS,J9217,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE [32893],4173.25,1460.64,,,0
HCPCS,J9217,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT [152471],4173.25,1460.64,,,0
HCPCS,J9217,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],25039.5,8763.82,,,0
HCPCS,J9217,Leuprolide acetate suspnsion,,,172.29,352.89,24
HCPCS,J9218,Leuprolide acetate injeciton,,,10.87,13.02,4
HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,205.04,414.25,24
HCPCS,J9223,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [188506],24094.9,8433.22,,,0
HCPCS,J9225,Vantas implant,,,5564.25,5564.25,2
HCPCS,J9226,Supprelin LA implant,,,45020.65,90041.3,24
HCPCS,J9227,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION [187556],500.58500000000004,175.20499999999998,,,0
HCPCS,J9227,Inj. isatuximab-irfc 10 mg,,,78.86,163.8,24
HCPCS,J9228,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [150124],3332.63,1166.42,,,0
HCPCS,J9228,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [150123],3332.63,1166.42,,,0
HCPCS,J9228,Ipilimumab injection,,,180.22,366.96,24
HCPCS,J9229,INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN [180016],85132.48,29796.37,,,0
HCPCS,J9229,Inj inotuzumab ozogam 0.1 mg,,,2658.13,5396.11,24
HCPCS,J9230,Mechlorethamine hcl inj,,,154.7,154.7,2
HCPCS,J9245,Inj melphalan hydrochl 50 MG,,,95.9,217.28,24
HCPCS,J9245,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],7741.66,2709.58,,,0
HCPCS,J9246,"Inj., evomela, 1 mg",,,18.5,36.99,24
HCPCS,J9246,MELPHALAN 50 MG-BETADEX SULFOBUTYL ETHER SODIUM INTRAVENOUS SOLUTION [177483],12000.0,4200.0,,,0
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,773.8,1590.0,22
HCPCS,J9260,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [82178],90.19,31.57,,,0
HCPCS,J9260,Methotrexate sodium inj,,,2.58,4.11,5
HCPCS,J9261,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION [70267],519.24,181.73,,,0
HCPCS,J9261,Nelarabine injection,,,63.18,159.72,24
HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,4.82,4.82,2
HCPCS,J9263,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],53.31,18.66,,,0
HCPCS,J9263,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [41598],53.75,18.81,,,0
HCPCS,J9263,Oxaliplatin,,,0.05,0.1,5
HCPCS,J9264,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [40475],12240.15,4284.05,,,0
HCPCS,J9264,Paclitaxel protein bound,,,10.54,21.09,24
HCPCS,J9266,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519],5875.76,2056.52,,,0
HCPCS,J9266,Pegaspargase injection,,,27070.53,56848.12,24
HCPCS,J9267,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
HCPCS,J9267,Paclitaxel injection,,,0.13,0.15,5
HCPCS,J9268,PENTOSTATIN 10 MG INTRAVENOUS SOLUTION [10910],4406.45,1542.26,,,0
HCPCS,J9268,Pentostatin injection,,,2608.16,5216.31,24
HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,338.53,713.86,24
HCPCS,J9271,Inj pembrolizumab,,,59.35,120.58,24
HCPCS,J9271,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [169490],4719.09,1651.68,,,0
HCPCS,J9272,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [191444],3587.39,1255.59,,,0
HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,240.14,487.42,24
HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,188.65,377.52,24
HCPCS,J9273,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION [192713],508.99,178.15,,,0
HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,214.76,434.18,24
HCPCS,J9274,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION [193621],193340.0,67669.0,,,0
HCPCS,J9280,MITOMYCIN 1 MG/ML IN NS CHEMO SYRINGE HIPEC PROTOCOL [115100059],5197.92,1819.27,,,0
HCPCS,J9280,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],5197.92,1819.27,,,0
HCPCS,J9280,MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],1299.48,454.82,,,0
HCPCS,J9280,Mitomycin injection,,,20.35,60.15,24
HCPCS,J9281,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [187951],53440.0,18704.0,,,0
HCPCS,J9281,Mitomycin instillation,,,313.0,637.06,24
HCPCS,J9285,"Inj, olaratumab, 10 mg",,,71.91,71.91,2
HCPCS,J9285,OLARATUMAB 10 MG/ML INTRAVENOUS SOLUTION [176961],200.38,70.13,,,0
HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,2767.88,5535.76,24
HCPCS,J9292,"Inj, pemetrexed (avyxa) 10mg",,,82.34,164.68,21
HCPCS,J9293,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [10634]",888.41,310.94,,,0
HCPCS,J9293,Mitoxantrone hydrochl / 5 MG,,,23.88,77.34,24
HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,0.87,7.09,24
HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.73,11.46,24
HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.74,19.47,22
HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,1.74,1.87,5
HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,194.08,395.66,24
HCPCS,J9298,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [194013],2368.83,829.09,,,0
HCPCS,J9299,"Injection, nivolumab",,,32.35,65.93,24
HCPCS,J9299,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [168602],1374.78,481.17,,,0
HCPCS,J9299,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [181190],1374.78,481.17,,,0
HCPCS,J9299,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [168601],1374.78,481.17,,,0
HCPCS,J9301,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [164450]",767.48,268.62,,,0
HCPCS,J9301,Obinutuzumab inj,,,75.21,157.99,24
HCPCS,J9302,"OFATUMUMAB 1,000 MG/50 ML INTRAVENOUS SOLUTION [152577]",669.45,234.31,,,0
HCPCS,J9302,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION [100265],669.45,234.31,,,0
HCPCS,J9302,Ofatumumab injection,,,62.23,124.47,21
HCPCS,J9303,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [77484],771.77,270.12,,,0
HCPCS,J9303,Panitumumab injection,,,164.92,346.06,24
HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,46.32,92.64,24
HCPCS,J9305,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],15583.95,5454.38,,,0
HCPCS,J9305,Pemetrexed injection,,,3.77,8.71,24
HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,16.23,34.03,24
HCPCS,J9306,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [157349],1235.86,432.55,,,0
HCPCS,J9307,PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [99982],29140.0,10199.0,,,0
HCPCS,J9307,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [113705],30452.4,10658.34,,,0
HCPCS,J9307,Pralatrexate injection,,,373.77,785.26,24
HCPCS,J9308,"Injection, ramucirumab",,,73.37,148.72,24
HCPCS,J9308,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [166367],433.01,151.55,,,0
HCPCS,J9309,"Inj, polatuzumab vedotin 1mg",,,132.73,273.33,24
HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [185337],79184.49,27714.57,,,0
HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION [189431],3546.44,1241.25,,,0
HCPCS,J9311,"Inj rituximab, hyaluronidase",,,36.69,73.39,24
HCPCS,J9312,"Inj., rituximab, 10 mg",,,75.22,150.44,24
HCPCS,J9312,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]",310.32,108.61,,,0
HCPCS,J9313,"Inj., lumoxiti, 0.01 mg",,,23.39,46.79,21
HCPCS,J9313,MOXETUMOMAB PASUDOTOX-TDFK 1 MG INTRAVENOUS SOLUTION [183328],11403.5,3991.225,,,0
HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,7.82,31.09,24
HCPCS,J9314,PEMETREXED 25 MG/ML INTRAVENOUS SOLUTION [193533],1155.0,404.25,,,0
HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,62.1,124.2,24
HCPCS,J9317,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [187946],7749.2,2712.22,,,0
HCPCS,J9317,Sacituzumab govitecan-hziy,,,35.8,72.55,24
HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,28.52,57.03,21
HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,30.78,61.55,24
HCPCS,J9319,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344],15629.97,5470.49,,,0
HCPCS,J9320,STREPTOZOCIN 1 GRAM INTRAVENOUS SOLUTION [11436],1245.92,436.07,,,0
HCPCS,J9320,Streptozocin injection,,,511.28,511.28,2
HCPCS,J9321,EPCORITAMAB-BYSP 4 MG/0.8 ML SUBCUTANEOUS SOLUTION [198173],5486.93,1920.42,,,0
HCPCS,J9321,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION [198172],65842.93,23045.02,,,0
HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,54.86,111.68,24
HCPCS,J9323,Inj pemetrexed ditromethamin,,,0.12,12.87,22
HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,75.81,151.62,22
HCPCS,J9325,Inj talimogene laherparepvec,,,70.38,147.87,24
HCPCS,J9328,TEMOZOLOMIDE 100 MG INTRAVENOUS SOLUTION [97260],587.53,205.63,,,0
HCPCS,J9328,Temozolomide injection,,,10.39,20.78,24
HCPCS,J9329,"Inj, tislelizumab-jsgr",,,57.44,672.98,21
HCPCS,J9329,TISLELIZUMAB-JSGR 10 MG/ML INTRAVENOUS SOLUTION [202625],1800.38,630.13,,,0
HCPCS,J9330,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],1522.93,533.03,,,0
HCPCS,J9330,Temsirolimus injection,,,26.71,53.42,24
HCPCS,J9331,Inj sirolimus prot part 1 mg,,,84.57,169.14,24
HCPCS,J9331,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION [193305],55244.0,19335.4,,,0
HCPCS,J9332,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION [193443],1029.23,360.23,,,0
HCPCS,J9332,Inj efgartigimod 2mg,,,32.15,64.29,24
HCPCS,J9333,Inj ronzanolixizum-noli 1 mg,,,22.84,46.33,24
HCPCS,J9334,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN [198543]",13395.6,4688.46,,,0
HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,33.37,67.78,24
HCPCS,J9340,Thiotepa injection,,,245.05,295.77,5
HCPCS,J9342,THIOTEPA 15 MG SOLUTION FOR INJECTION [7901],143.02,50.06,,,0
HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,29.74,61.11,24
HCPCS,J9345,RETIFANLIMAB-DLWR 500 MG/20 ML INTRAVENOUS SOLUTION [197587],2463.24,862.13,,,0
HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,138.24,281.79,24
HCPCS,J9347,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [196215],13868.2,4853.87,,,0
HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,641.83,1372.0,24
HCPCS,J9349,"Inj., tafasitamab-cxix",,,13.93,28.62,24
HCPCS,J9349,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION [189078],4620.64,1617.22,,,0
HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,640.96,1309.26,24
HCPCS,J9350,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION [196693],2055.21,719.32,,,0
HCPCS,J9351,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION [149783],279.7,97.9,,,0
HCPCS,J9351,Topotecan injection,,,1.27,2.3,5
HCPCS,J9352,Injection trabectedin 0.1mg,,,363.83,782.14,24
HCPCS,J9352,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION [172409],11691.32,4091.96,,,0
HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,48.53,104.97,24
HCPCS,J9353,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [190827],718.56,251.5,,,0
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [161667],16028.15,5609.85,,,0
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION [161720],25645.04,8975.77,,,0
HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,41.11,84.32,24
HCPCS,J9355,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [178977],7123.22,2493.13,,,0
HCPCS,J9355,Trastuzumab injection,,,75.03,150.05,24
HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,61.44,122.87,24
HCPCS,J9356,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION [184803]",5106.0,1787.1,,,0
HCPCS,J9357,Valrubicin injection,,,1323.34,2646.69,24
HCPCS,J9358,Inj fam-trastu deru-nxki 1mg,,,28.9,59.96,24
HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,212.0,433.81,24
HCPCS,J9359,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [191436],128473.33,44965.67,,,0
HCPCS,J9360,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION [8594],34.11,11.94,,,0
HCPCS,J9360,Vinblastine sulfate inj,,,5.14,6.27,5
HCPCS,J9361,EFBEMALENOGRASTIM ALFA-VUXW 20 MG/ML SUBCUTANEOUS SYRINGE [206282],15914.16,5569.96,,,0
HCPCS,J9370,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],100.45,35.16,,,0
HCPCS,J9370,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [112836],100.45,35.16,,,0
HCPCS,J9370,Vincristine sulfate 1 MG inj,,,8.2,11.63,5
HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,91.73,183.46,21
HCPCS,J9380,Inj teclistamab cqyv 0.5 mg,,,32.42,67.15,24
HCPCS,J9380,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION [196219],590.0,206.5,,,0
HCPCS,J9380,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION [196218],5310.0,1858.5,,,0
HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,37.31,75.32,24
HCPCS,J9381,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION [196401],6925.0,2423.75,,,0
HCPCS,J9382,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION [203881],4382.16,1533.76,,,0
HCPCS,J9390,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],170.73499999999999,59.760000000000005,,,0
HCPCS,J9390,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [41673],278.18,97.36,,,0
HCPCS,J9390,Vinorelbine tartrate inj,,,6.59,10.74,5
HCPCS,J9393,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
HCPCS,J9393,"Inj, fulvestrant (teva)",,,25.86,83.34,21
HCPCS,J9394,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,3.32,75.0,24
HCPCS,J9395,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],658.89,230.61,,,0
HCPCS,J9395,"Injection, Fulvestrant",,,6.9,10.62,5
HCPCS,J9400,"Inj, ziv-aflibercept, 1mg",,,7.88,15.76,24
HCPCS,J9400,ZIV-AFLIBERCEPT 100 MG/4 ML (25 MG/ML) INTRAVENOUS SOLUTION [157765],1698.09,594.33,,,0
HCPCS,J9600,Porfimer sodium injection,,,24228.42,48456.84,21
HCPCS,J9999,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [159625],2.58,0.9,,,0
HCPCS,L0112,Cranial cervical orthosis,,,1729.39,3458.78,19
HCPCS,L0113,Cranial cervical torticollis,,,352.38,704.76,19
HCPCS,L0120,Cerv flex n/adj foam pre ots,,,34.57,69.14,19
HCPCS,L0120,Hb Cervical Collar Flex,65.88,23.06,,,0
HCPCS,L0120,Hb Soft-Foam Collar,4.32,1.51,,,0
HCPCS,L0130,Flex thermoplastic collar mo,,,249.97,499.94,19
HCPCS,L0130,Hb Newport Collar,446.04,156.11,,,0
HCPCS,L0140,Cervical semi-rigid adjustab,,,86.25,172.5,19
HCPCS,L0140,Hb Neck Splint,171.72,60.1,,,0
HCPCS,L0140,Hb Pedi Neck Splint,60.48,21.17,,,0
HCPCS,L0150,Cerv semi-rig adj molded chn,,,143.84,287.68,19
HCPCS,L0160,Cerv sr wire occ/man pre ots,,,204.81,409.62,19
HCPCS,L0170,Cervical collar molded to pt,,,866.65,1733.3,19
HCPCS,L0172,Cerv col sr foam 2pc pre ots,,,175.72,351.44,19
HCPCS,L0172,Hb Aspen Collar,334.8,117.18,,,0
HCPCS,L0172,Hb Sierra Collar,11.88,4.16,,,0
HCPCS,L0172,Hb Vista Collar,1818.72,636.55,,,0
HCPCS,L0174,Cerv sr 2pc thor ext pre ots,,,315.67,631.34,19
HCPCS,L0174,Hb Cerv Col Foam 2 Piece W/Thor,1864.08,652.43,,,0
HCPCS,L0180,Cer post col occ/man sup adj,,,429.3,858.6,19
HCPCS,L0190,Cerv collar supp adj cerv ba,,,646.26,1292.52,19
HCPCS,L0190,Hb Cervical Multi Post Somi Denis,2607.12,912.49,,,0
HCPCS,L0200,Cerv col supp adj bar & thor,,,593.42,1186.84,19
HCPCS,L0200,Hb Cerv Col Supp Adj Bar & Thor (Cto),516.24,180.68,,,0
HCPCS,L0220,Thor rib belt custom fabrica,,,140.73,281.46,19
HCPCS,L0450,Tlso flex trunk/thor pre ots,,,145.1,290.2,19
HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,428.54,857.08,19
HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,269.37,538.74,19
HCPCS,L0456,Tlso flex trnk sj-ss pre cst,,,1228.92,2457.84,19
HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,772.46,1544.92,19
HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,1101.98,2203.96,19
HCPCS,L0460,Hb Tlso2  Mod Symphysis-Stern Pre,739.8,258.93,,,0
HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1240.37,2480.74,19
HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1542.8,3085.6,19
HCPCS,L0464,TLSO 4Mod sacro-scap pre,,,1836.64,3673.28,19
HCPCS,L0466,Tlso r fram soft ant pre cst,,,472.27,944.54,19
HCPCS,L0467,Tlso r fram soft pre ots,,,302.1,604.2,19
HCPCS,L0468,Tlso rig fram pelvic pre cst,,,592.16,1184.32,19
HCPCS,L0469,Tlso rig fram pelvic pre ots,,,384.93,769.86,19
HCPCS,L0470,TLSO rigid frame pre subclav,,,843.0,1686.0,19
HCPCS,L0472,Hb Tlso Rigid Frame Hyperex Pre,602.64,210.92,,,0
HCPCS,L0472,TLSO rigid frame hyperex pre,,,529.16,1058.32,19
HCPCS,L0480,TLSO rigid plastic custom fa,,,1636.27,3272.54,19
HCPCS,L0482,TLSO rigid lined custom fab,,,1875.79,3751.58,19
HCPCS,L0484,TLSO rigid plastic cust fab,,,2187.12,4374.24,19
HCPCS,L0486,Hb Tlso Rigid Lined Cust Fab,4501.44,1575.5,,,0
HCPCS,L0486,TLSO rigidlined cust fab two,,,2166.6,4333.2,19
HCPCS,L0488,TLSO rigid lined pre one pie,,,1240.37,2480.74,19
HCPCS,L0490,TLSO rigid plastic pre one,,,349.51,699.02,19
HCPCS,L0491,Hb Brace Tlso Body Jacket Pre Fab,3813.48,1334.72,,,0
HCPCS,L0491,TLSO 2 piece rigid shell,,,948.92,1897.84,19
HCPCS,L0492,TLSO 3 piece rigid shell,,,614.99,1229.98,19
HCPCS,L0621,Sio flex pelvic/sacr pre ots,,,76.5,153.0,19
HCPCS,L0622,Sio flex pelvisacral custom,,,298.76,597.52,19
HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,137.13,274.26,19
HCPCS,L0625,Hb Brace Aspen Lso,534.6,187.11,,,0
HCPCS,L0625,Hb Brace Lso Corset,257.04,89.96,,,0
HCPCS,L0625,Hb Brace Lso Elastic Rig Post Pan,270.0,94.5,,,0
HCPCS,L0625,Lo flex l1-below l5 pre ots,,,42.8,85.6,19
HCPCS,L0626,Lo sag rig pnl stays pre cst,,,96.32,192.64,19
HCPCS,L0627,Hb  Lo Sagitt Rigid Panel Prefab,456.84,159.89,,,0
HCPCS,L0627,Lo sag ri an/pos pnl pre cst,,,507.93,1015.86,19
HCPCS,L0628,Lso flex no ri stays pre ots,,,65.17,130.34,19
HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,200.07,400.14,19
HCPCS,L0631,Hb Lso Sag-Coro Rigid Panel Pre,3079.6499999999996,1077.875,,,0
HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1268.47,2536.94,19
HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,354.33,708.66,19
HCPCS,L0635,Lso sagit rigid panel prefab,,,1313.9,2627.8,19
HCPCS,L0636,Lso sagittal rigid panel cus,,,1938.77,3877.54,19
HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1682.1,3364.2,19
HCPCS,L0638,Hb Lso Sag-Coronal Panel Custom,3174.12,1110.94,,,0
HCPCS,L0638,Lso sag-coronal panel custom,,,1629.67,3259.34,19
HCPCS,L0639,Lso s/c shell/panel prefab,,,1682.1,3364.2,19
HCPCS,L0640,Lso s/c shell/panel custom,,,1292.96,2585.92,19
HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,60.55,121.1,19
HCPCS,L0642,Lo sag ri an/pos pnl pre ots,,,319.33,638.66,19
HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,125.81,251.62,19
HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,797.49,1594.98,19
HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,222.77,445.54,19
HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,922.75,1845.5,19
HCPCS,L0651,LSO sag-co shell pnl pre ots,,,922.75,1845.5,19
HCPCS,L0700,Ctlso a-p-l control molded,,,2660.31,5320.62,19
HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2903.9,5807.8,19
HCPCS,L0710,Hb Ctlso A-P-L Control W/Inter,3702.24,1295.78,,,0
HCPCS,L0720,Ctlso a-p-l control custom,,,2265.94,4531.88,19
HCPCS,L0810,Halo cervical into jckt vest,,,3084.99,6169.98,19
HCPCS,L0810,Hb Halo,6815.88,2385.56,,,0
HCPCS,L0820,Halo cervical into body jack,,,2495.61,4991.22,19
HCPCS,L0830,Halo cerv into milwaukee typ,,,3603.4,7206.8,19
HCPCS,L0859,Hb Halo Mri Compatible,3094.2,1082.97,,,0
HCPCS,L0859,MRI compatible system,,,1399.89,2799.78,19
HCPCS,L0861,Halo repl liner/interface,,,266.32,532.64,19
HCPCS,L0861,Hb Halo Liner Replacement,1577.88,552.26,,,0
HCPCS,L0970,Tlso corset front,,,131.34,262.68,19
HCPCS,L0972,Lso corset front,,,134.25,268.5,19
HCPCS,L0974,Hb Brace Tlso Dorsolumbar Crst,274.32,96.01,,,0
HCPCS,L0974,Tlso full corset,,,274.31,548.62,19
HCPCS,L0976,Lso full corset,,,244.99,489.98,19
HCPCS,L0978,Axillary crutch extension,,,221.2,442.4,19
HCPCS,L0980,Peroneal straps pair pre ots,,,20.07,40.14,19
HCPCS,L0982,Stocking sup grips 4 pre ots,,,21.87,43.74,19
HCPCS,L0984,Protect body sock ea pre ots,,,69.77,139.54,19
HCPCS,L1000,Ctlso milwauke initial model,,,2332.97,4665.94,19
HCPCS,L1005,Tension based scoliosis orth,,,3954.81,7909.62,19
HCPCS,L1010,Ctlso axilla sling,,,93.95,187.9,19
HCPCS,L1020,Kyphosis pad,,,128.37,256.74,19
HCPCS,L1025,Kyphosis pad floating,,,145.9,291.8,19
HCPCS,L1030,Lumbar bolster pad,,,97.47,194.94,19
HCPCS,L1040,Lumbar or lumbar rib pad,,,117.32,234.64,19
HCPCS,L1050,Sternal pad,,,101.56,203.12,19
HCPCS,L1060,Thoracic pad,,,114.57,229.14,19
HCPCS,L1070,Trapezius sling,,,117.15,234.3,19
HCPCS,L1080,Outrigger,,,81.17,162.34,19
HCPCS,L1085,Outrigger bil w/ vert extens,,,225.49,450.98,19
HCPCS,L1090,Lumbar sling,,,105.33,210.66,19
HCPCS,L1100,Ring flange plastic/leather,,,185.94,371.88,19
HCPCS,L1110,Ring flange plas/leather mol,,,314.94,629.88,19
HCPCS,L1120,Covers for upright each,,,50.16,100.32,19
HCPCS,L1200,Furnsh initial orthosis only,,,1997.03,3994.06,19
HCPCS,L1210,Lateral thoracic extension,,,300.68,601.36,19
HCPCS,L1220,Anterior thoracic extension,,,254.58,509.16,19
HCPCS,L1230,Milwaukee type superstructur,,,653.22,1306.44,19
HCPCS,L1240,Lumbar derotation pad,,,112.41,224.82,19
HCPCS,L1250,Anterior asis pad,,,110.69,221.38,19
HCPCS,L1260,Anterior thoracic derotation,,,113.77,227.54,19
HCPCS,L1270,Abdominal pad,,,113.64,227.28,19
HCPCS,L1280,Rib gusset (elastic) each,,,101.29,202.58,19
HCPCS,L1290,Lateral trochanteric pad,,,114.83,229.66,19
HCPCS,L1300,Body jacket mold to patient,,,1919.53,3839.06,19
HCPCS,L1310,Post-operative body jacket,,,1975.19,3950.38,19
HCPCS,L1600,Ho flex frejka w/cov pre cst,,,148.08,296.16,19
HCPCS,L1610,Ho frejka cov only pre cst,,,50.45,100.9,19
HCPCS,L1620,Hb Pavlik Harness,28.08,9.83,,,0
HCPCS,L1620,Ho flex pavlik harns pre cst,,,166.13,332.26,19
HCPCS,L1630,Abduct control hip semi-flex,,,198.25,396.5,19
HCPCS,L1640,Pelv band/spread bar thigh c,,,530.24,1060.48,19
HCPCS,L1650,HO abduction hip adjustable,,,281.19,562.38,19
HCPCS,L1652,HO bi thighcuffs w sprdr bar,,,440.48,880.96,19
HCPCS,L1660,HO abduction static plastic,,,196.66,393.32,19
HCPCS,L1680,Pelvic & hip control thigh c,,,1616.8,3233.6,19
HCPCS,L1681,Ho bilateral hip abduction,,,2289.0,4578.0,19
HCPCS,L1685,Post-op hip abduct custom fa,,,1705.99,3411.98,19
HCPCS,L1686,HO post-op hip abduction,,,1144.5,2289.0,19
HCPCS,L1686,Hb Brace Hip Abduction,1460.16,511.06,,,0
HCPCS,L1690,Combination bilateral HO,,,2389.39,4778.78,19
HCPCS,L1700,Leg perthes orth toronto typ,,,1987.82,3975.64,19
HCPCS,L1710,Legg perthes orth newington,,,2336.55,4673.1,19
HCPCS,L1720,Legg perthes orthosis trilat,,,1726.01,3452.02,19
HCPCS,L1730,Legg perthes orth scottish r,,,1302.22,2604.44,19
HCPCS,L1755,Legg perthes patten bottom t,,,1895.44,3790.88,19
HCPCS,L1810,Ko elastic with joints,,,149.59,299.18,19
HCPCS,L1812,Hb Neoprene Hinged Knee Brace,19.44,6.8,,,0
HCPCS,L1812,Ko elastic w/joints pre ots,,,85.71,171.42,19
HCPCS,L1820,Hb Knee Orthotic,1388.88,486.11,,,0
HCPCS,L1820,Ko elas w/ condyle pads & jo,,,148.99,297.98,19
HCPCS,L1830,Hb Immobilzer Knee Univ 24In,273.83,95.84,,,0
HCPCS,L1830,Hb Knee Immobilizer,179.28,62.75,,,0
HCPCS,L1830,"Hb Ko, Immobilizer, Canvas Long, Prefab",108.0,37.8,,,0
HCPCS,L1830,Ko immob canvas long pre ots,,,77.23,154.46,19
HCPCS,L1831,Knee orth pos locking joint,,,363.64,727.28,19
HCPCS,L1832,Ko adj jnt pos r sup pre cst,,,931.51,1863.02,19
HCPCS,L1833,Hb Bledsoe Knee/Leg Brace,969.84,339.44,,,0
HCPCS,L1833,Hb T-Rom Knee Brace,100.44,35.15,,,0
HCPCS,L1833,Ko adj jnt pos r sup pre ots,,,556.31,1112.62,19
HCPCS,L1834,Hb Knee Splint,231.12,80.89,,,0
HCPCS,L1834,Hb Pedi Knee Splint,78.84,27.59,,,0
HCPCS,L1834,Ko w/0 joint rigid molded to,,,1095.91,2191.82,19
HCPCS,L1836,Ko rigid w/o joints pre ots,,,109.2,218.4,19
HCPCS,L1840,Ko derot ant cruciate custom,,,1151.99,2303.98,19
HCPCS,L1843,Ko single upright pre cst,,,1108.66,2217.32,19
HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1921.07,3842.14,19
HCPCS,L1845,Ko double upright pre cst,,,1157.34,2314.68,19
HCPCS,L1846,Ko w adj flex/ext rotat mold,,,1468.46,2936.92,19
HCPCS,L1847,Ko dbl upright w/air pre cst,,,710.72,1421.44,19
HCPCS,L1848,Ko dbl upright w/air pre ots,,,710.72,1421.44,19
HCPCS,L1850,Hb Orthosis Swedish Type Knee,1954.8,684.18,,,0
HCPCS,L1850,Hb Swedish Knee Cage,428.76,150.07,,,0
HCPCS,L1850,Ko swedish type pre ots,,,251.5,503.0,19
HCPCS,L1851,Ko single upright prefab ots,,,734.28,1468.56,19
HCPCS,L1852,Ko double upright prefab ots,,,700.49,1400.98,19
HCPCS,L1860,Ko supracondylar socket mold,,,1282.92,2565.84,19
HCPCS,L1900,Afo sprng wir drsflx calf bd,,,347.57,695.14,19
HCPCS,L1902,Afo ankle gauntlet pre ots,,,94.39,188.78,19
HCPCS,L1902,"Hb Afo Ankle Gauntlet, Prefab",157.68,55.19,,,0
HCPCS,L1904,Afo molded ankle gauntlet,,,540.36,1080.72,19
HCPCS,L1906,Afo multilig ank sup pre ots,,,157.92,315.84,19
HCPCS,L1907,AFO supramalleolar custom,,,695.27,1390.54,19
HCPCS,L1910,Afo sing bar clasp attach sh,,,307.3,614.6,19
HCPCS,L1920,Afo sing upright w/ adjust s,,,401.73,803.46,19
HCPCS,L1930,Afo plastic,,,271.84,543.68,19
HCPCS,L1930,Hb Afo Plastic,604.8,211.68,,,0
HCPCS,L1932,Afo rig ant tib prefab TCF/=,,,1102.62,2205.24,19
HCPCS,L1932,Hb Brace Afo Rig Ant Tib Prefab,2446.2,856.17,,,0
HCPCS,L1933,Afo rig ant tib tcf/= ots,,,1102.62,2205.24,19
HCPCS,L1940,Afo molded to patient plasti,,,614.33,1228.66,19
HCPCS,L1940,"Hb Afo Plastic Or Other Mat, Custom",534.6,187.11,,,0
HCPCS,L1945,Afo molded plas rig ant tib,,,1128.15,2256.3,19
HCPCS,L1950,Afo spiral molded to pt plas,,,855.92,1711.84,19
HCPCS,L1951,AFO spiral prefabricated,,,1037.71,2075.42,19
HCPCS,L1951,"Hb Brace, Afo, Spiral, Plastic Or Other, Prefab",3822.12,1337.74,,,0
HCPCS,L1952,Afo spiral prefab ots,,,1037.71,2075.42,19
HCPCS,L1960,Afo pos solid ank plastic mo,,,636.95,1273.9,19
HCPCS,L1960,Hb Brace Afo Solid Ankle,1657.8,580.23,,,0
HCPCS,L1970,Afo plastic molded w/ankle j,,,942.1,1884.2,19
HCPCS,L1970,Hb Afo Plastic Molded W/Ankle Jts,2068.2,723.87,,,0
HCPCS,L1971,"AFO w/ankle joint, prefab",,,579.17,1158.34,19
HCPCS,L1980,Afo sing solid stirrup calf,,,421.73,843.46,19
HCPCS,L1990,Afo doub solid stirrup calf,,,541.86,1083.72,19
HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1165.54,2331.08,19
HCPCS,L2005,KAFO sng/dbl mechanical act,,,5063.24,10126.48,19
HCPCS,L2010,Kafo sng solid stirrup w/o j,,,1062.5,2125.0,19
HCPCS,L2020,Hb Kafo Metal,1711.8,599.13,,,0
HCPCS,L2020,Kafo dbl solid stirrup band/,,,1341.77,2683.54,19
HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1164.11,2328.22,19
HCPCS,L2034,Kafo pla sin up w/wo k/a cus,,,2537.13,5074.26,19
HCPCS,L2035,KAFO plastic pediatric size,,,214.06,428.12,19
HCPCS,L2036,Hb Kafo Plastic,2719.44,951.8,,,0
HCPCS,L2036,Kafo plas doub free knee mol,,,2131.99,4263.98,19
HCPCS,L2037,Kafo plas sing free knee mol,,,1964.76,3929.52,19
HCPCS,L2038,Kafo w/o joint multi-axis an,,,1642.94,3285.88,19
HCPCS,L2040,Hkafo torsion bil rot straps,,,209.85,419.7,19
HCPCS,L2050,Hkafo torsion cable hip pelv,,,558.87,1117.74,19
HCPCS,L2060,Hkafo torsion ball bearing j,,,717.28,1434.56,19
HCPCS,L2070,Hkafo torsion unilat rot str,,,206.05,412.1,19
HCPCS,L2080,Hkafo unilat torsion cable,,,439.45,878.9,19
HCPCS,L2090,Hkafo unilat torsion ball br,,,541.63,1083.26,19
HCPCS,L2106,Afo tib fx cast plaster mold,,,781.31,1562.62,19
HCPCS,L2106,Hb Foot Splint,244.08,85.43,,,0
HCPCS,L2106,Hb Pedi Foot Splint,60.48,21.17,,,0
HCPCS,L2108,Afo tib fx cast molded to pt,,,1227.78,2455.56,19
HCPCS,L2112,Afo tibial fracture soft,,,582.98,1165.96,19
HCPCS,L2114,Afo tib fx semi-rigid,,,666.99,1333.98,19
HCPCS,L2114,Hb Afo Tib Fx Semi-Rigid,1465.56,512.95,,,0
HCPCS,L2114,Hb Tafo Tibial Ankle Foot Orthosis Prefab Metal,6.48,2.27,,,0
HCPCS,L2116,Afo tibial fracture rigid,,,878.76,1757.52,19
HCPCS,L2116,Hb Cast Sarmiento Ptb Rigid,1327.32,464.56,,,0
HCPCS,L2126,Hb Knee Ankle Foot Splint,1699.92,594.97,,,0
HCPCS,L2126,Hb Pedi Knee Ankle Foot Splt,118.8,41.58,,,0
HCPCS,L2126,Kafo fem fx cast thermoplas,,,1563.58,3127.16,19
HCPCS,L2128,Hb Kafo Femoral Fx,1442.88,505.01,,,0
HCPCS,L2128,Kafo fem fx cast molded to p,,,1970.44,3940.88,19
HCPCS,L2132,Kafo femoral fx cast soft,,,926.98,1853.96,19
HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1111.41,2222.82,19
HCPCS,L2136,Kafo femoral fx cast rigid,,,1358.95,2717.9,19
HCPCS,L2180,Hb Bledsoe Knee Brace Showe Extender,105.84,37.04,,,0
HCPCS,L2180,Plas shoe insert w ank joint,,,134.58,269.16,19
HCPCS,L2182,Drop lock knee,,,105.33,210.66,19
HCPCS,L2184,Limited motion knee joint,,,189.8,379.6,19
HCPCS,L2186,Adj motion knee jnt lerman t,,,210.31,420.62,19
HCPCS,L2188,Quadrilateral brim,,,458.87,917.74,19
HCPCS,L2190,Waist belt,,,119.18,238.36,19
HCPCS,L2192,Pelvic band & belt thigh fla,,,409.73,819.46,19
HCPCS,L2200,Hb Limited Motion Ankle Joint,481.68,168.59,,,0
HCPCS,L2200,Limited ankle motion ea jnt,,,54.63,109.26,19
HCPCS,L2210,Dorsiflexion assist each joi,,,88.64,177.28,19
HCPCS,L2210,Hb Dorsiflexiion Assist Ankle Jt,654.48,229.07,,,0
HCPCS,L2220,Dorsi & plantar flex ass/res,,,101.79,203.58,19
HCPCS,L2220,Hb Dorsi & Plantar Flexion Assist/Resist,754.92,264.22,,,0
HCPCS,L2230,Split flat caliper stirr & p,,,88.17,176.34,19
HCPCS,L2232,Hb Brace Afo Rocker Bott Contact,882.36,308.83,,,0
HCPCS,L2232,"Rocker bottom, contact AFO",,,119.38,238.76,19
HCPCS,L2240,Round caliper and plate atta,,,96.11,192.22,19
HCPCS,L2250,Foot plate molded stirrup at,,,408.31,816.62,19
HCPCS,L2260,Reinforced solid stirrup,,,230.35,460.7,19
HCPCS,L2265,Long tongue stirrup,,,135.33,270.66,19
HCPCS,L2270,"Hb Add To Le, T Strap Or Malleolus Pad",54.0,18.9,,,0
HCPCS,L2270,Varus/valgus strap padded/li,,,61.71,123.42,19
HCPCS,L2275,Hb Plastic Mod Low Ext Pad/Line,1109.16,388.21,,,0
HCPCS,L2275,Plastic mod low ext pad/line,,,150.16,300.32,19
HCPCS,L2280,Hb Molded Inner Boot,502.2,175.77,,,0
HCPCS,L2280,Molded inner boot,,,557.83,1115.66,19
HCPCS,L2300,Abduction bar jointed adjust,,,314.89,629.78,19
HCPCS,L2310,Abduction bar-straight,,,141.37,282.74,19
HCPCS,L2320,Non-molded lacer,,,236.44,472.88,19
HCPCS,L2330,Lacer molded to patient mode,,,451.21,902.42,19
HCPCS,L2335,Anterior swing band,,,265.43,530.86,19
HCPCS,L2340,Hb Custom Pre Tibial Shell,2775.6,971.46,,,0
HCPCS,L2340,Pre-tibial shell molded to p,,,626.36,1252.72,19
HCPCS,L2350,Prosthetic type socket molde,,,1023.92,2047.84,19
HCPCS,L2360,Extended steel shank,,,59.45,118.9,19
HCPCS,L2370,Patten bottom,,,294.98,589.96,19
HCPCS,L2375,Torsion ank & half solid sti,,,129.84,259.68,19
HCPCS,L2380,Torsion straight knee joint,,,141.47,282.94,19
HCPCS,L2385,Straight knee joint heavy du,,,153.92,307.84,19
HCPCS,L2387,Add le poly knee custom kafo,,,208.88,417.76,19
HCPCS,L2390,Offset knee joint each,,,125.79,251.58,19
HCPCS,L2395,Offset knee joint heavy duty,,,192.05,384.1,19
HCPCS,L2397,Suspension sleeve lower ext,,,134.68,269.36,19
HCPCS,L2405,Knee joint drop lock ea jnt,,,107.74,215.48,19
HCPCS,L2415,Knee joint cam lock each joi,,,150.1,300.2,19
HCPCS,L2425,Knee disc/dial lock/adj flex,,,177.12,354.24,19
HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,177.12,354.24,19
HCPCS,L2492,Knee lift loop drop lock rin,,,117.18,234.36,19
HCPCS,L2500,Thi/glut/ischia wgt bearing,,,362.52,725.04,19
HCPCS,L2510,Th/wght bear quad-lat brim m,,,970.6,1941.2,19
HCPCS,L2520,Th/wght bear quad-lat brim c,,,529.38,1058.76,19
HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1816.17,3632.34,19
HCPCS,L2526,Th/wght bear nar m-l brim cu,,,978.93,1957.86,19
HCPCS,L2530,Thigh/wght bear lacer non-mo,,,269.99,539.98,19
HCPCS,L2540,Thigh/wght bear lacer molded,,,485.83,971.66,19
HCPCS,L2550,Thigh/wght bear high roll cu,,,330.04,660.08,19
HCPCS,L2570,Hip clevis type 2 posit jnt,,,729.78,1459.56,19
HCPCS,L2580,Pelvic control pelvic sling,,,691.79,1383.58,19
HCPCS,L2600,Hip clevis/thrust bearing fr,,,236.01,472.02,19
HCPCS,L2610,Hip clevis/thrust bearing lo,,,279.07,558.14,19
HCPCS,L2620,Pelvic control hip heavy dut,,,307.25,614.5,19
HCPCS,L2622,Hip joint adjustable flexion,,,352.39,704.78,19
HCPCS,L2624,Hb Bi Planar Control Hip Joint,2123.28,743.15,,,0
HCPCS,L2624,Hb Hip Adj Flex Ext Abduct Cont,432.0,151.2,,,0
HCPCS,L2624,Hip adj flex ext abduct cont,,,479.06,958.12,19
HCPCS,L2627,Plastic mold recipro hip & c,,,1973.72,3947.44,19
HCPCS,L2628,Metal frame recipro hip & ca,,,2318.48,4636.96,19
HCPCS,L2630,Pelvic control band & belt u,,,284.55,569.1,19
HCPCS,L2640,Pelvic control band & belt b,,,386.17,772.34,19
HCPCS,L2650,Pelv & thor control gluteal,,,137.9,275.8,19
HCPCS,L2660,Thoracic control thoracic ba,,,214.17,428.34,19
HCPCS,L2670,Thorac cont paraspinal uprig,,,196.02,392.04,19
HCPCS,L2680,Thorac cont lat support upri,,,179.82,359.64,19
HCPCS,L2750,Plating chrome/nickel pr bar,,,96.05,192.1,19
HCPCS,L2755,Carbon graphite lamination,,,161.49,322.98,19
HCPCS,L2760,Extension per extension per,,,69.82,139.64,19
HCPCS,L2768,Ortho sidebar disconnect,,,161.0,322.0,19
HCPCS,L2780,Non-corrosive finish,,,82.59,165.18,19
HCPCS,L2785,Drop lock retainer each,,,48.56,97.12,19
HCPCS,L2795,Knee control full kneecap,,,97.65,195.3,19
HCPCS,L2800,Knee cap medial or lateral p,,,122.57,245.14,19
HCPCS,L2810,Knee control condylar pad,,,89.75,179.5,19
HCPCS,L2820,Hb Soft Interface Below Knee Section,1152.36,403.33,,,0
HCPCS,L2820,Soft interface below knee se,,,99.79,199.58,19
HCPCS,L2830,Soft interface above knee se,,,112.21,224.42,19
HCPCS,L2840,"Hb Add To Le Orthosis, Tibial Length Sock",79.92,27.97,,,0
HCPCS,L2840,Tibial length sock fx or equ,,,62.64,125.28,19
HCPCS,L2850,Femoral lgth sock fx or equa,,,71.15,142.3,19
HCPCS,L2999,Hb Liners Cto,885.6,309.96,,,0
HCPCS,L2999,Hb Liners Hip Abd Brace,885.6,309.96,,,0
HCPCS,L2999,Hb Liners Lso,885.6,309.96,,,0
HCPCS,L2999,Hb Liners Miami J,885.6,309.96,,,0
HCPCS,L2999,Hb Liners Tlso,885.6,309.96,,,0
HCPCS,L3000,Ft insert ucb berkeley shell,,,388.16,776.32,19
HCPCS,L3001,Foot insert remov molded spe,,,163.43,326.86,19
HCPCS,L3002,Foot insert plastazote or eq,,,199.55,399.1,19
HCPCS,L3003,Foot insert silicone gel eac,,,215.29,430.58,19
HCPCS,L3010,Foot longitudinal arch suppo,,,215.29,430.58,19
HCPCS,L3020,Foot longitud/metatarsal sup,,,245.15,490.3,19
HCPCS,L3020,Hb Foot Insert Orthosis,157.68,55.19,,,0
HCPCS,L3030,Foot arch support remov prem,,,94.31,188.62,19
HCPCS,L3031,Foot lamin/prepreg composite,,,151.32,302.64,19
HCPCS,L3040,Ft arch suprt premold longit,,,58.15,116.3,19
HCPCS,L3040,Hb Foot Arch Support Longitudinal,672.84,235.49,,,0
HCPCS,L3050,Foot arch supp premold metat,,,58.15,116.3,19
HCPCS,L3060,Foot arch supp longitud/meta,,,91.14,182.28,19
HCPCS,L3060,Hb Foot Arch Support Longitudinal/Metatarsal,1055.16,369.31,,,0
HCPCS,L3070,Arch suprt att to sho longit,,,39.28,78.56,19
HCPCS,L3080,Arch supp att to shoe metata,,,39.28,78.56,19
HCPCS,L3090,Arch supp att to shoe long/m,,,50.31,100.62,19
HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,53.41,106.82,19
HCPCS,L3140,Abduction rotation bar shoe,,,110.03,220.06,19
HCPCS,L3150,Abduct rotation bar w/o shoe,,,100.58,201.16,19
HCPCS,L3170,Foot plas heel stabi pre ots,,,62.87,125.74,19
HCPCS,L3224,Woman's shoe oxford brace,,,67.57,135.14,19
HCPCS,L3225,Man's shoe oxford brace,,,77.73,155.46,19
HCPCS,L3253,Hb Cast Shoe Ea Custom Fitted,93.96,32.89,,,0
HCPCS,L3253,"Hb Foot, Molded Shoe, Plastazote, Custom",2517.48,881.12,,,0
HCPCS,L3260,Hb Amb Surgical Boot (Puzzle Shoe),58.14,20.35,,,0
HCPCS,L3260,Hb Cast Shoe,5.1,1.78,,,0
HCPCS,L3260,Hb Cuff And Collar Sling,5.1,1.78,,,0
HCPCS,L3260,Hb Heel-Strike Shoe,14.04,4.91,,,0
HCPCS,L3260,Hb Post-Op Shoe,5.1,1.78,,,0
HCPCS,L3265,Hb Sandal Post Op Ea,147.96,51.79,,,0
HCPCS,L3300,Sho lift taper to metatarsal,,,64.41,128.82,19
HCPCS,L3310,Shoe lift elev heel/sole neo,,,100.58,201.16,19
HCPCS,L3330,Lifts elevation metal extens,,,699.28,1398.56,19
HCPCS,L3332,Hb Achilles Wedge,11.88,4.16,,,0
HCPCS,L3332,Shoe lifts tapered to one-ha,,,91.14,182.28,19
HCPCS,L3334,Hb Heel Lift,47.52,16.63,,,0
HCPCS,L3334,Shoe lifts elevation heel /i,,,47.13,94.26,19
HCPCS,L3340,Shoe wedge sach,,,105.33,210.66,19
HCPCS,L3350,Hb Heel Cups,85.32,29.86,,,0
HCPCS,L3350,Shoe heel wedge,,,28.26,56.52,19
HCPCS,L3360,Shoe sole wedge outside sole,,,44.0,88.0,19
HCPCS,L3370,Shoe sole wedge between sole,,,61.3,122.6,19
HCPCS,L3380,Shoe clubfoot wedge,,,61.3,122.6,19
HCPCS,L3390,Shoe outflare wedge,,,61.3,122.6,19
HCPCS,L3400,Shoe metatarsal bar wedge ro,,,50.31,100.62,19
HCPCS,L3410,Shoe metatarsal bar between,,,114.74,229.48,19
HCPCS,L3420,Full sole/heel wedge btween,,,67.55,135.1,19
HCPCS,L3430,Sho heel count plast reinfor,,,198.0,396.0,19
HCPCS,L3440,Heel leather reinforced,,,94.31,188.62,19
HCPCS,L3450,Shoe heel sach cushion type,,,130.4,260.8,19
HCPCS,L3455,Shoe heel new leather standa,,,50.31,100.62,19
HCPCS,L3460,Shoe heel new rubber standar,,,42.41,84.82,19
HCPCS,L3465,Shoe heel thomas with wedge,,,72.28,144.56,19
HCPCS,L3470,Shoe heel thomas extend to b,,,76.99,153.98,19
HCPCS,L3480,Shoe heel pad & depress for,,,76.99,153.98,19
HCPCS,L3500,Ortho shoe add leather insol,,,36.18,72.36,19
HCPCS,L3510,Orthopedic shoe add rub insl,,,36.18,72.36,19
HCPCS,L3520,O shoe add felt w leath insl,,,39.28,78.56,19
HCPCS,L3530,Ortho shoe add half sole,,,39.28,78.56,19
HCPCS,L3540,Ortho shoe add full sole,,,62.87,125.74,19
HCPCS,L3550,O shoe add standard toe tap,,,11.02,22.04,19
HCPCS,L3560,O shoe add horseshoe toe tap,,,28.26,56.52,19
HCPCS,L3570,O shoe add instep extension,,,105.33,210.66,19
HCPCS,L3580,O shoe add instep velcro clo,,,80.14,160.28,19
HCPCS,L3590,O shoe convert to sof counte,,,66.01,132.02,19
HCPCS,L3595,Ortho shoe add march bar,,,51.85,103.7,19
HCPCS,L3600,Trans shoe calip plate exist,,,94.31,188.62,19
HCPCS,L3610,Trans shoe caliper plate new,,,124.12,248.24,19
HCPCS,L3620,Trans shoe solid stirrup exi,,,94.31,188.62,19
HCPCS,L3630,Trans shoe solid stirrup new,,,124.12,248.24,19
HCPCS,L3640,Shoe dennis browne splint bo,,,53.41,106.82,19
HCPCS,L3650,Hb Figure Of 8 Brace,7.56,2.65,,,0
HCPCS,L3650,So 8 abd restraint pre ots,,,67.31,134.62,19
HCPCS,L3660,Hb Shoulder Orthosis Figure 8 Design,801.36,280.48,,,0
HCPCS,L3660,Hb Sling And Swathe,8.64,3.02,,,0
HCPCS,L3660,So 8 ab rstr can/web pre ots,,,115.57,231.14,19
HCPCS,L3670,Hb Acromio/Clavicular Canvas & We,349.92,122.47,,,0
HCPCS,L3670,Hb Shoulder Abduction Brace,54.0,18.9,,,0
HCPCS,L3670,Hb Shoulder Immobilizer Abduction Brace,36.72,12.85,,,0
HCPCS,L3670,Hb Ultrasling,48.6,17.01,,,0
HCPCS,L3670,So acro/clav can web pre ots,,,161.08,322.16,19
HCPCS,L3671,Hb Custom Shoulder/ Humerus,896.4,313.74,,,0
HCPCS,L3671,SO cap design w/o jnts CF,,,1013.24,2026.48,19
HCPCS,L3674,SO airplane w/wo joint CF,,,1329.23,2658.46,19
HCPCS,L3675,So vest canvas/web pre ots,,,197.34,394.68,19
HCPCS,L3702,EO w/o joints CF,,,324.72,649.44,19
HCPCS,L3702,Hb Custom -Static Eo (Wrist Free),196.56,68.8,,,0
HCPCS,L3710,Eo elas w/metal jnts pre ots,,,163.06,326.12,19
HCPCS,L3720,Forearm/arm cuffs free motio,,,813.4,1626.8,19
HCPCS,L3720,Hb Custom Dynamic Eo Hinge,2160.0,756.0,,,0
HCPCS,L3730,Forearm/arm cuffs ext/flex a,,,1070.75,2141.5,19
HCPCS,L3730,Hb Custom -Dynamic Elbow Flexion,1952.64,683.42,,,0
HCPCS,L3740,Cuffs adj lock w/ active con,,,1203.36,2406.72,19
HCPCS,L3760,"EO withjoint, Prefabricated",,,562.35,1124.7,19
HCPCS,L3761,"Eo, adj lock joint prefab ot",,,562.35,1124.7,19
HCPCS,L3761,Hb Bledsoe Elbo Brace,102.6,35.91,,,0
HCPCS,L3762,Eo rigid w/o joints pre ots,,,120.93,241.86,19
HCPCS,L3762,Hb Rigid Eo Wo Joints,109.08,38.18,,,0
HCPCS,L3763,EWHO rigid w/o jnts CF,,,892.81,1785.62,19
HCPCS,L3763,Hb Cast Forearm Sarmiento,745.2,260.82,,,0
HCPCS,L3763,Hb Custom -Static Ewho (To Dpc),1677.24,587.03,,,0
HCPCS,L3763,Hb Pedi Elbow Splint,60.48,21.17,,,0
HCPCS,L3763,Hb Pedi Elbow Wrist Splint,78.84,27.59,,,0
HCPCS,L3764,EWHO w/joint(s) CF,,,890.38,1780.76,19
HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1441.9,2883.8,19
HCPCS,L3765,Hb Custom - Static Ewhfo,3240.0,1134.0,,,0
HCPCS,L3766,EWHFO w/joint(s) CF,,,1526.89,3053.78,19
HCPCS,L3806,Hb Custom- Dynamic Whfo,343.44,120.2,,,0
HCPCS,L3806,WHFO w/joint(s) custom fab,,,510.8,1021.6,19
HCPCS,L3807,Hb Prefab Thumb Spica Splint,810.0,283.5,,,0
HCPCS,L3807,"Hb Whfo, W/O Joints, Prefab",2624.4,918.54,,,0
HCPCS,L3807,Whfo w/o joints pre cst,,,281.19,562.38,19
HCPCS,L3808,Hb Custom - Static Whfo,680.4,238.14,,,0
HCPCS,L3808,Hb Dorsal Blocking,680.4,238.14,,,0
HCPCS,L3808,Hb Pedi Resting Hand Splint,66.96,23.44,,,0
HCPCS,L3808,Hb Pedi Thumb Post Long Opp,78.84,27.59,,,0
HCPCS,L3808,Hb Pedi Thumb Spica,198.72,69.55,,,0
HCPCS,L3808,Hb Resting Hand Splint,198.72,69.55,,,0
HCPCS,L3808,Hb Thumb Post Long Opponens,145.8,51.03,,,0
HCPCS,L3808,Hb Thumb Spica,198.72,69.55,,,0
HCPCS,L3808,Hb Ulnar Gutter(Fingers Included),680.4,238.14,,,0
HCPCS,L3808,Inactive - Hb Resting Hand Splint,198.72,69.55,,,0
HCPCS,L3808,"WHFO, rigid w/o joints",,,375.59,751.18,19
HCPCS,L3809,Hb P/F-Static Whfow/O Joints),260.28,91.1,,,0
HCPCS,L3809,Whfo w/o joints pre ots,,,281.19,562.38,19
HCPCS,L3900,Hb Custom -  Static Whfo Hinge,4590.0,1606.5,,,0
HCPCS,L3900,Hinge extension/flex wrist/f,,,1756.7,3513.4,19
HCPCS,L3901,Hinge ext/flex wrist finger,,,1969.72,3939.44,19
HCPCS,L3904,Whfo electric custom fitted,,,4009.81,8019.62,19
HCPCS,L3905,Hb Custom -Dynamic Who,231.12,80.89,,,0
HCPCS,L3905,Who w/nontorsion jnt(s) cf,,,1115.21,2230.42,19
HCPCS,L3906,Hb Arm Cradle,93.96,32.89,,,0
HCPCS,L3906,Hb Custom -  Static Who,773.28,270.65,,,0
HCPCS,L3906,Hb Nicu Wrist Cock Up,49.68,17.39,,,0
HCPCS,L3906,Hb Splint- Thumb Spica,99.36,34.78,,,0
HCPCS,L3906,Hb Ulnar Gutter To Dpc,773.28,270.65,,,0
HCPCS,L3906,Hb Wrist Cock Up,120.96,42.34,,,0
HCPCS,L3906,Hb Wrist Dbs,773.28,270.65,,,0
HCPCS,L3906,Who w/o joints cf,,,474.38,948.76,19
HCPCS,L3908,Hb Cock-Up Wrist And Thumb Splint,19.44,6.8,,,0
HCPCS,L3908,Hb Cock-Up Wrist Splint,6.48,2.27,,,0
HCPCS,L3908,Hb D Ring,74.52,26.08,,,0
HCPCS,L3908,Hb Futura Wrist Brace,68.04,23.81,,,0
HCPCS,L3908,Hb Pedi Wrist Cock Up,66.96,23.44,,,0
HCPCS,L3908,Hb Pre Fab Static - Who,74.52,26.08,,,0
HCPCS,L3908,Hb Universal Quad Cuff,38.88,13.61,,,0
HCPCS,L3908,Hb Wrist Cock Up,60.48,21.17,,,0
HCPCS,L3908,Hb Wrist Immobilizer Cock Up,171.72,60.1,,,0
HCPCS,L3908,Who cock-up nonmolde pre ots,,,67.37,134.74,19
HCPCS,L3912,Hfo flexion glove pre ots,,,108.07,216.14,19
HCPCS,L3913,HFO w/o joints CF,,,304.58,609.16,19
HCPCS,L3913,Hb Custom -  Static Hfo,500.04,175.01,,,0
HCPCS,L3913,Hb Mp Blocking,500.04,175.01,,,0
HCPCS,L3913,Hb Mp Ulnar Deviation,500.04,175.01,,,0
HCPCS,L3913,Hb Palmar Resting,500.04,175.01,,,0
HCPCS,L3913,Hb Pedi Thumb Post Sh Oppon,52.92,18.52,,,0
HCPCS,L3913,Hb Thumb Post,376.92,131.92,,,0
HCPCS,L3913,Hb Ulnar Gutter(Hand Based),500.04,175.01,,,0
HCPCS,L3915,Who nontorsion jnts pre cst,,,597.78,1195.56,19
HCPCS,L3916,Who nontorsion jnts pre ots,,,597.78,1195.56,19
HCPCS,L3917,Metacarp fx orthosis pre cst,,,118.79,237.58,19
HCPCS,L3918,Metacarp fx orthosis pre ots,,,118.79,237.58,19
HCPCS,L3919,HO w/o joints CF,,,304.58,609.16,19
HCPCS,L3919,Hb Custom Static Ho (W/O Fingers),486.0,170.1,,,0
HCPCS,L3921,HFO w/joint(s) CF,,,361.18,722.36,19
HCPCS,L3921,Hb Custom-Dynamic Hfo,612.36,214.33,,,0
HCPCS,L3923,"Hb Hfo P/F, C/ Fit",210.6,73.71,,,0
HCPCS,L3923,Hb Push Orthotic - Adjusted,77.76,27.22,,,0
HCPCS,L3923,Hb Ulnar Drift,210.6,73.71,,,0
HCPCS,L3923,Hfo without joints pre cst,,,97.81,195.62,19
HCPCS,L3923,Inactive - Hb Finger Gutter,66.96,23.44,,,0
HCPCS,L3924,Hb Comfort Cool,151.2,52.92,,,0
HCPCS,L3924,"Hb Hfo, P/F, Ots",151.2,52.92,,,0
HCPCS,L3924,Hb Push Orthotic -Not Adjusted,151.2,52.92,,,0
HCPCS,L3924,Hfo without joints pre ots,,,97.81,195.62,19
HCPCS,L3925,Fo pip dip jnt/sprng pre ots,,,59.39,118.78,19
HCPCS,L3925,Hb Fab Dynamic Fo,157.68,55.19,,,0
HCPCS,L3925,Hb Joint Jack,143.64,50.27,,,0
HCPCS,L3925,Hb Lmb,56.16,19.66,,,0
HCPCS,L3927,Fo pip dip no jt spr pre ots,,,39.34,78.68,19
HCPCS,L3927,Hb Buddy Straps - 1X,9.72,3.4,,,0
HCPCS,L3927,Hb Fab Static Fo,108.0,37.8,,,0
HCPCS,L3927,Hb Final Flexion Wrap,14.04,4.91,,,0
HCPCS,L3927,Hb Oval 8,30.24,10.58,,,0
HCPCS,L3927,Hb Silver Ring Splint,224.64,78.62,,,0
HCPCS,L3927,Hb Stax Finger Splint,2.16,0.76,,,0
HCPCS,L3927,Hb Stax Splint,14.04,4.91,,,0
HCPCS,L3929,Hfo nontorsion jnts pre cst,,,94.67,189.34,19
HCPCS,L3930,Hfo nontorsion jnts pre ots,,,94.67,189.34,19
HCPCS,L3931,Hb Dynamic Wrist Ext Outrigger Pre Fab,628.56,220.0,,,0
HCPCS,L3931,Hb Pedi Dynamic Wrist Ext,91.8,32.13,,,0
HCPCS,L3931,WHFO nontorsion joint prefab,,,229.01,458.02,19
HCPCS,L3933,FO w/o joints CF,,,239.92,479.84,19
HCPCS,L3933,Hb  Relative Motion - Rme/ Rmf,396.36,138.73,,,0
HCPCS,L3933,Hb Custom Static Fo,396.36,138.73,,,0
HCPCS,L3933,Hb Figure 8,396.36,138.73,,,0
HCPCS,L3933,Hb Finger Gutter,66.96,23.44,,,0
HCPCS,L3933,Hb Ipj Dbs,396.36,138.73,,,0
HCPCS,L3933,Hb Pedi Finger Gutter Spl,27.0,9.45,,,0
HCPCS,L3933,Hb Pulley Ring,396.36,138.73,,,0
HCPCS,L3935,FO nontorsion joint CF,,,248.47,496.94,19
HCPCS,L3935,Hb Custom -Dynamic Fo,348.84,122.09,,,0
HCPCS,L3960,Hb Gunslinger Sewho,1648.08,576.83,,,0
HCPCS,L3960,Sewho airplan desig abdu pos,,,926.91,1853.82,19
HCPCS,L3961,Hb Custom - Static Sewhfo,4860.0,1701.0,,,0
HCPCS,L3961,Sewho cap design w/o jnts cf,,,1889.33,3778.66,19
HCPCS,L3962,Sewho erbs palsey design abd,,,965.12,1930.24,19
HCPCS,L3967,Sewho airplane w/o jnts cf,,,2230.66,4461.32,19
HCPCS,L3971,Sewho cap design w/jnt(s) cf,,,2117.37,4234.74,19
HCPCS,L3973,Sewho airplane w/jnt(s) cf,,,2230.66,4461.32,19
HCPCS,L3975,Sewhfo cap design w/o jnt cf,,,1889.33,3778.66,19
HCPCS,L3976,Sewhfo airplane w/o jnts cf,,,1889.33,3778.66,19
HCPCS,L3977,Sewhfo cap desgn w/jnt(s) cf,,,2117.37,4234.74,19
HCPCS,L3978,Sewhfo airplane w/jnt(s) cf,,,2230.66,4461.32,19
HCPCS,L3980,Hb Humeral Fx Brace,781.92,273.67,,,0
HCPCS,L3980,Hb Humeral Orthosis,196.56,68.8,,,0
HCPCS,L3980,Hb Sarmiento Brace,34.56,12.1,,,0
HCPCS,L3980,Hb Sarmiento Brace (Over The  Shoulder),64.8,22.68,,,0
HCPCS,L3980,Up ext fx orthos humeral nos,,,347.63,695.26,19
HCPCS,L3981,Ue fx orth shoul cap forearm,,,1131.9,2263.8,19
HCPCS,L3982,Hb Fx Orthosis Radius Ulna,172.8,60.48,,,0
HCPCS,L3982,Hb Ulnar Fracture Brace,47.52,16.63,,,0
HCPCS,L3982,Upper ext fx orthosis rad/ul,,,429.48,858.96,19
HCPCS,L3984,Hb Fx Orthosis Wrist,209.52,73.33,,,0
HCPCS,L3984,Hb Wrist Immobilizer,138.24,48.38,,,0
HCPCS,L3984,Upper ext fx orthosis wrist,,,458.44,916.88,19
HCPCS,L3995,Sock fracture or equal each,,,38.45,76.9,19
HCPCS,L3999,Hb Aircast Arm Band,66.3,23.2,,,0
HCPCS,L4000,Repl girdle milwaukee orth,,,1499.07,2998.14,19
HCPCS,L4002,Hb Replacement Straps,274.32,96.01,,,0
HCPCS,L4010,Replace trilateral socket br,,,843.58,1687.16,19
HCPCS,L4020,Replace quadlat socket brim,,,1053.71,2107.42,19
HCPCS,L4030,Replace socket brim cust fit,,,580.17,1160.34,19
HCPCS,L4040,Replace molded thigh lacer,,,469.07,938.14,19
HCPCS,L4045,Replace non-molded thigh lac,,,376.94,753.88,19
HCPCS,L4050,Replace molded calf lacer,,,474.4,948.8,19
HCPCS,L4055,Replace non-molded calf lace,,,307.2,614.4,19
HCPCS,L4060,Replace high roll cuff,,,365.19,730.38,19
HCPCS,L4070,Replace prox & dist upright,,,348.4,696.8,19
HCPCS,L4080,Repl met band kafo-afo prox,,,122.83,245.66,19
HCPCS,L4090,Repl met band kafo-afo calf/,,,108.72,217.44,19
HCPCS,L4100,Repl leath cuff kafo prox th,,,122.63,245.26,19
HCPCS,L4110,Repl leath cuff kafo-afo cal,,,97.45,194.9,19
HCPCS,L4130,Replace pretibial shell,,,670.68,1341.36,19
HCPCS,L4205,Hb Repair Ortho Device 15M,158.76,55.57,,,0
HCPCS,L4205,Ortho dvc repair per 15 min,,,29.95,59.9,19
HCPCS,L4210,Hb Repair Ortho Dev Minor,52.92,18.52,,,0
HCPCS,L4210,Hb Replacement Pads,1141.56,399.55,,,0
HCPCS,L4210,Hb Sup Rev 274 Hcpcs L4210,90.19999999999999,31.57,,,0
HCPCS,L4350,Ankle control ortho pre ots,,,120.83,241.66,19
HCPCS,L4350,Hb Air Gel Ankle Immobilizer,10.8,3.78,,,0
HCPCS,L4350,Hb Ankle Air Gel Cast,644.76,225.67,,,0
HCPCS,L4360,Hb Bledsoe Hinged Boot,690.12,241.54,,,0
HCPCS,L4360,Hb Foot Stump Orthosis,150.12,52.54,,,0
HCPCS,L4360,Pneumat walking boot pre cst,,,338.06,676.12,19
HCPCS,L4361,Pneuma/vac walk boot pre ots,,,338.06,676.12,19
HCPCS,L4370,Pneum full leg splnt pre ots,,,216.94,433.88,19
HCPCS,L4386,Non-pneum walk boot pre cst,,,195.89,391.78,19
HCPCS,L4387,Hb Bledsoe Boot,56.16,19.66,,,0
HCPCS,L4387,Hb Bledsoe Boot (Hinged),172.8,60.48,,,0
HCPCS,L4387,Non-pneum walk boot pre ots,,,195.89,391.78,19
HCPCS,L4392,Replace AFO soft interface,,,29.1,58.2,19
HCPCS,L4394,Replace foot drop spint,,,21.24,42.48,19
HCPCS,L4396,Hb Dorsiwedge Night Splint,25.92,9.07,,,0
HCPCS,L4396,"Hb Static Afo, Incl Soft Interface Material For Positioning",1938.6,678.51,,,0
HCPCS,L4396,Static or dynami afo pre cst,,,207.41,414.82,19
HCPCS,L4397,Hb Ez-Boot,45.36,15.88,,,0
HCPCS,L4397,Static or dynami afo pre ots,,,207.41,414.82,19
HCPCS,L4398,Foot drop splint pre ots,,,95.45,190.9,19
HCPCS,L4398,Hb Recumbent Positioning Device,1652.4,578.34,,,0
HCPCS,L4398,Hb Tafo Sm/Md/Lrg,1222.56,427.9,,,0
HCPCS,L4631,"Afo, walk boot type, cus fab",,,1843.94,3687.88,19
HCPCS,L5000,Sho insert w arch toe filler,,,647.9,1295.8,19
HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1564.83,3129.66,19
HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,2657.4,5314.8,19
HCPCS,L5050,Ank symes mold sckt sach ft,,,2939.57,5879.14,19
HCPCS,L5060,Symes met fr leath socket ar,,,3381.38,6762.76,19
HCPCS,L5100,Molded socket shin sach foot,,,2946.06,5892.12,19
HCPCS,L5105,Plast socket jts/thgh lacer,,,4252.97,8505.94,19
HCPCS,L5150,Mold sckt ext knee shin sach,,,4299.18,8598.36,19
HCPCS,L5160,Mold socket bent knee shin s,,,4676.12,9352.24,19
HCPCS,L5200,Kne sing axis fric shin sach,,,4478.06,8956.12,19
HCPCS,L5210,No knee/ankle joints w/ ft b,,,2970.73,5941.46,19
HCPCS,L5220,No knee joint with artic ali,,,3376.78,6753.56,19
HCPCS,L5230,Fem focal defic constant fri,,,4657.24,9314.48,19
HCPCS,L5250,Hip canad sing axi cons fric,,,6352.07,12704.14,19
HCPCS,L5270,Tilt table locking hip sing,,,6323.89,12647.78,19
HCPCS,L5280,Hemipelvect canad sing axis,,,6275.46,12550.92,19
HCPCS,L5301,Bk mold socket sach ft endo,,,3367.55,6735.1,19
HCPCS,L5312,"Knee disart, SACH ft, endo",,,4820.42,9640.84,19
HCPCS,L5321,Ak open end sach,,,4881.34,9762.68,19
HCPCS,L5331,Hip disart canadian sach ft,,,6219.83,12439.66,19
HCPCS,L5341,Hemipelvectomy canadian sach,,,6474.88,12949.76,19
HCPCS,L5400,Hb Cast Pylon Bka,2054.16,718.96,,,0
HCPCS,L5400,Postop dress & 1 cast chg bk,,,1667.22,3334.44,19
HCPCS,L5410,Postop dsg bk ea add cast ch,,,511.51,1023.02,19
HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,2043.12,4086.24,19
HCPCS,L5430,Postop dsg ak ea add cast ch,,,616.07,1232.14,19
HCPCS,L5450,Hb Cast Post Op Fiberg Bka,618.84,216.59,,,0
HCPCS,L5450,Hb Post Op App Non-Wgt Bear Dsg,2214.0,774.9,,,0
HCPCS,L5450,Hb Rooke Bka Protector,279.72,97.9,,,0
HCPCS,L5450,Postop app non-wgt bear dsg,,,501.19,1002.38,19
HCPCS,L5460,Hb Ak Nonwt Bearing Rigid Dsg,3255.12,1139.29,,,0
HCPCS,L5460,Postop app non-wgt bear dsg,,,667.75,1335.5,19
HCPCS,L5500,Init bk ptb plaster direct,,,1572.33,3144.66,19
HCPCS,L5505,Init ak ischal plstr direct,,,2174.6,4349.2,19
HCPCS,L5510,Prep BK ptb plaster molded,,,1782.34,3564.68,19
HCPCS,L5520,Perp BK ptb thermopls direct,,,1760.53,3521.06,19
HCPCS,L5530,Prep BK ptb thermopls molded,,,2114.56,4229.12,19
HCPCS,L5535,Prep BK ptb open end socket,,,2076.09,4152.18,19
HCPCS,L5540,Prep BK ptb laminated socket,,,2215.83,4431.66,19
HCPCS,L5560,Prep AK ischial plast molded,,,2379.43,4758.86,19
HCPCS,L5570,Prep AK ischial direct form,,,2473.76,4947.52,19
HCPCS,L5580,Prep AK ischial thermo mold,,,2887.94,5775.88,19
HCPCS,L5585,Prep AK ischial open end,,,3554.08,7108.16,19
HCPCS,L5590,Prep AK ischial laminated,,,2943.01,5886.02,19
HCPCS,L5595,Hip disartic sach thermopls,,,5199.23,10398.46,19
HCPCS,L5600,Hip disart sach laminat mold,,,5588.93,11177.86,19
HCPCS,L5610,Above knee hydracadence,,,2534.66,5069.32,19
HCPCS,L5611,Ak 4 bar link w/fric swing,,,1972.47,3944.94,19
HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,3083.91,6167.82,19
HCPCS,L5614,4-bar link above knee w/swng,,,2089.13,4178.26,19
HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,6841.95,13683.9,19
HCPCS,L5616,Ak univ multiplex sys frict,,,1666.52,3333.04,19
HCPCS,L5617,AK/BK self-aligning unit ea,,,692.69,1385.38,19
HCPCS,L5618,Test socket symes,,,366.46,732.92,19
HCPCS,L5620,Test socket below knee,,,340.36,680.72,19
HCPCS,L5622,Test socket knee disarticula,,,443.82,887.64,19
HCPCS,L5624,Test socket above knee,,,445.08,890.16,19
HCPCS,L5626,Test socket hip disarticulat,,,583.7,1167.4,19
HCPCS,L5628,Test socket hemipelvectomy,,,624.13,1248.26,19
HCPCS,L5629,Below knee acrylic socket,,,389.06,778.12,19
HCPCS,L5630,Syme typ expandabl wall sckt,,,549.44,1098.88,19
HCPCS,L5631,Ak/knee disartic acrylic soc,,,537.91,1075.82,19
HCPCS,L5632,Symes type ptb brim design s,,,300.21,600.42,19
HCPCS,L5634,Symes type poster opening so,,,372.4,744.8,19
HCPCS,L5636,Symes type medial opening so,,,311.94,623.88,19
HCPCS,L5637,Below knee total contact,,,353.67,707.34,19
HCPCS,L5638,Below knee leather socket,,,616.08,1232.16,19
HCPCS,L5639,Below knee wood socket,,,1372.6,2745.2,19
HCPCS,L5640,Knee disarticulat leather so,,,782.83,1565.66,19
HCPCS,L5642,Above knee leather socket,,,758.5,1517.0,19
HCPCS,L5643,Hip flex inner socket ext fr,,,1905.46,3810.92,19
HCPCS,L5644,Above knee wood socket,,,723.09,1446.18,19
HCPCS,L5645,Bk flex inner socket ext fra,,,976.81,1953.62,19
HCPCS,L5646,Below knee cushion socket,,,670.77,1341.54,19
HCPCS,L5647,Below knee suction socket,,,973.84,1947.68,19
HCPCS,L5648,Above knee cushion socket,,,806.01,1612.02,19
HCPCS,L5649,Isch containmt/narrow m-l so,,,2920.65,5841.3,19
HCPCS,L5650,"Hb Total Contact, Ak Or Knee Disarticulation Socket",4250.88,1487.81,,,0
HCPCS,L5650,Tot contact ak/knee disart s,,,597.66,1195.32,19
HCPCS,L5651,Ak flex inner socket ext fra,,,1470.22,2940.44,19
HCPCS,L5652,Suction susp ak/knee disart,,,533.75,1067.5,19
HCPCS,L5653,Knee disart expand wall sock,,,712.51,1425.02,19
HCPCS,L5654,Socket insert symes,,,406.02,812.04,19
HCPCS,L5655,Socket insert below knee,,,344.08,688.16,19
HCPCS,L5656,Socket insert knee articulat,,,461.57,923.14,19
HCPCS,L5658,"Hb Socket Insert, Ak (Addition To Le)",3165.48,1107.92,,,0
HCPCS,L5658,Socket insert above knee,,,445.13,890.26,19
HCPCS,L5661,Multi-durometer symes,,,745.01,1490.02,19
HCPCS,L5665,Multi-durometer below knee,,,626.84,1253.68,19
HCPCS,L5666,Below knee cuff suspension,,,85.69,171.38,19
HCPCS,L5668,Bk molded distal cushion,,,138.23,276.46,19
HCPCS,L5668,Hb Cushion Molded Distal,1026.0,359.1,,,0
HCPCS,L5670,Bk molded supracondylar susp,,,332.2,664.4,19
HCPCS,L5671,Bk/ak locking mechanism,,,703.98,1407.96,19
HCPCS,L5672,Bk removable medial brim sus,,,365.06,730.12,19
HCPCS,L5673,Socket insert w lock mech,,,870.51,1741.02,19
HCPCS,L5676,Bk knee joints single axis p,,,443.63,887.26,19
HCPCS,L5677,Bk knee joints polycentric p,,,603.62,1207.24,19
HCPCS,L5678,Bk joint covers pair,,,48.61,97.22,19
HCPCS,L5679,Socket insert w/o lock mech,,,725.39,1450.78,19
HCPCS,L5680,Bk thigh lacer non-molded,,,405.77,811.54,19
HCPCS,L5681,Intl custm cong/latyp insert,,,1628.51,3257.02,19
HCPCS,L5682,Bk thigh lacer glut/ischia m,,,765.63,1531.26,19
HCPCS,L5683,Initial custom socket insert,,,1628.51,3257.02,19
HCPCS,L5684,Bk fork strap,,,58.93,117.86,19
HCPCS,L5684,Hb Bk Fork Strap (Addition To Le),1021.68,357.59,,,0
HCPCS,L5685,Below knee sus/seal sleeve,,,158.57,317.14,19
HCPCS,L5686,Bk back check,,,62.55,125.1,19
HCPCS,L5688,Bk waist belt webbing,,,74.78,149.56,19
HCPCS,L5688,"Hb Bk Waist Belt, Webbing (Addition To Le)",1293.84,452.84,,,0
HCPCS,L5690,Bk waist belt padded and lin,,,119.8,239.6,19
HCPCS,L5692,Ak pelvic control belt light,,,162.67,325.34,19
HCPCS,L5694,Ak pelvic control belt pad/l,,,222.1,444.2,19
HCPCS,L5695,Ak sleeve susp neoprene/equa,,,205.01,410.02,19
HCPCS,L5696,Ak/knee disartic pelvic join,,,226.51,453.02,19
HCPCS,L5697,Ak/knee disartic pelvic band,,,98.28,196.56,19
HCPCS,L5698,Ak/knee disartic silesian ba,,,160.7,321.4,19
HCPCS,L5698,"Hb Ak Or Knee Disarticulation, Silesian Bandage",1503.36,526.18,,,0
HCPCS,L5699,Shoulder harness,,,289.51,579.02,19
HCPCS,L5700,Replace socket below knee,,,3507.7,7015.4,19
HCPCS,L5701,Replace socket above knee,,,4212.49,8424.98,19
HCPCS,L5702,Replace socket hip,,,5329.4,10658.8,19
HCPCS,L5703,Symes ankle w/o (sach) foot,,,2758.03,5516.06,19
HCPCS,L5704,Custom shape cover bk,,,656.22,1312.44,19
HCPCS,L5705,Custom shape cover ak,,,1172.55,2345.1,19
HCPCS,L5706,Custom shape cvr knee disart,,,1149.39,2298.78,19
HCPCS,L5707,Custom shape cvr hip disart,,,1515.28,3030.56,19
HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,457.86,915.72,19
HCPCS,L5711,Knee-shin exo mnl lock ultra,,,639.88,1279.76,19
HCPCS,L5712,Knee-shin exo frict swg & st,,,536.15,1072.3,19
HCPCS,L5714,Knee-shin exo variable frict,,,550.71,1101.42,19
HCPCS,L5716,Knee-shin exo mech stance ph,,,892.28,1784.56,19
HCPCS,L5718,Knee-shin exo frct swg & sta,,,1115.26,2230.52,19
HCPCS,L5722,Knee-shin pneum swg frct exo,,,1178.22,2356.44,19
HCPCS,L5724,Knee-shin exo fluid swing ph,,,1847.9,3695.8,19
HCPCS,L5726,Knee-shin ext jnts fld swg e,,,2129.66,4259.32,19
HCPCS,L5728,Knee-shin fluid swg & stance,,,2913.09,5826.18,19
HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1401.65,2803.3,19
HCPCS,L5781,Lower limb pros vacuum pump,,,4953.58,9907.16,19
HCPCS,L5782,HD low limb pros vacuum pump,,,5222.21,10444.42,19
HCPCS,L5783,Add low ext mec limb vol sys,,,3150.07,6300.14,19
HCPCS,L5785,Exoskeletal bk ultralt mater,,,787.9,1575.8,19
HCPCS,L5790,Exoskeletal ak ultra-light m,,,880.26,1760.52,19
HCPCS,L5795,Exoskel hip ultra-light mate,,,1752.61,3505.22,19
HCPCS,L5810,Endoskel knee-shin mnl lock,,,596.04,1192.08,19
HCPCS,L5811,Endo knee-shin mnl lck ultra,,,892.86,1785.72,19
HCPCS,L5812,Endo knee-shin frct swg & st,,,692.06,1384.12,19
HCPCS,L5814,Endo knee-shin hydral swg ph,,,4597.89,9195.78,19
HCPCS,L5816,Endo knee-shin polyc mch sta,,,1047.44,2094.88,19
HCPCS,L5818,Endo knee-shin frct swg & st,,,1175.67,2351.34,19
HCPCS,L5822,Endo knee-shin pneum swg frc,,,2084.77,4169.54,19
HCPCS,L5824,Endo knee-shin fluid swing p,,,1877.46,3754.92,19
HCPCS,L5826,Miniature knee joint,,,3866.22,7732.44,19
HCPCS,L5827,Endo knee shin single axis,,,7007.5,14015.0,19
HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3457.19,6914.38,19
HCPCS,L5830,Endo knee-shin pneum/swg pha,,,2323.05,4646.1,19
HCPCS,L5840,Multi-axial knee/shin system,,,4295.32,8590.64,19
HCPCS,L5841,Addition endoskletl knee-shi,,,2870.47,5740.94,19
HCPCS,L5845,Knee-shin sys stance flexion,,,2219.05,4438.1,19
HCPCS,L5848,Knee-shin sys hydraul stance,,,1331.26,2662.52,19
HCPCS,L5850,Endo ak/hip knee extens assi,,,156.61,313.22,19
HCPCS,L5855,Mech hip extension assist,,,420.83,841.66,19
HCPCS,L5856,Elec knee-shin swing/stance,,,29719.96,59439.92,19
HCPCS,L5857,Elec knee-shin swing only,,,10545.73,21091.46,19
HCPCS,L5858,Stance phase only,,,23009.05,46018.1,19
HCPCS,L5859,Knee-shin pro flex/ext cont,,,17962.99,35925.98,19
HCPCS,L5910,Endo below knee alignable sy,,,443.39,886.78,19
HCPCS,L5920,Endo ak/hip alignable system,,,649.58,1299.16,19
HCPCS,L5925,Above knee manual lock,,,548.48,1096.96,19
HCPCS,L5926,Endoskel posit rotat unit,,,697.41,1394.82,19
HCPCS,L5930,High activity knee frame,,,4167.07,8334.14,19
HCPCS,L5940,Endo bk ultra-light material,,,614.1,1228.2,19
HCPCS,L5950,Endo ak ultra-light material,,,960.18,1920.36,19
HCPCS,L5960,Endo hip ultra-light materia,,,1180.22,2360.44,19
HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5627.8,11255.6,19
HCPCS,L5962,Below knee flex cover system,,,776.72,1553.44,19
HCPCS,L5964,Above knee flex cover system,,,1146.54,2293.08,19
HCPCS,L5966,Hip flexible cover system,,,1460.97,2921.94,19
HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4498.91,8997.82,19
HCPCS,L5970,Foot external keel sach foot,,,248.63,497.26,19
HCPCS,L5971,"SACH foot, replacement",,,248.63,497.26,19
HCPCS,L5972,Flexible keel foot,,,464.44,928.88,19
HCPCS,L5973,Ank-foot sys dors-plant flex,,,21299.94,42599.88,19
HCPCS,L5974,Foot single axis ankle/foot,,,285.29,570.58,19
HCPCS,L5975,Combo ankle/foot prosthesis,,,573.98,1147.96,19
HCPCS,L5976,Energy storing foot,,,685.61,1371.22,19
HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,357.27,714.54,19
HCPCS,L5979,Multi-axial ankle/ft prosth,,,2793.44,5586.88,19
HCPCS,L5980,Flex foot system,,,4539.15,9078.3,19
HCPCS,L5981,Flex-walk sys low ext prosth,,,3667.02,7334.04,19
HCPCS,L5982,Exoskeletal axial rotation u,,,707.75,1415.5,19
HCPCS,L5984,Endoskeletal axial rotation,,,697.41,1394.82,19
HCPCS,L5985,Lwr ext dynamic prosth pylon,,,349.58,699.16,19
HCPCS,L5986,Multi-axial rotation unit,,,775.79,1551.58,19
HCPCS,L5987,Shank ft w vert load pylon,,,8906.07,17812.14,19
HCPCS,L5988,Vertical shock reducing pylo,,,2473.19,4946.38,19
HCPCS,L5990,User adjustable heel height,,,2246.04,4492.08,19
HCPCS,L5991,Low pros ext osseo connector,,,11755.04,23510.08,19
HCPCS,L5999,Hb Donning Tube (Le Prosthesis Nos),909.36,318.28,,,0
HCPCS,L6000,Part hand thumb rem,,,1626.65,3253.3,19
HCPCS,L6010,Part hand little/ring,,,1810.19,3620.38,19
HCPCS,L6020,Part hand no fingers,,,1687.71,3375.42,19
HCPCS,L6026,Part hand myo exclu term dev,,,6119.92,12239.84,19
HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,2325.6,4651.2,19
HCPCS,L6055,Wrst mold sock w/exp interfa,,,3241.3,6482.6,19
HCPCS,L6100,Elb mold sock flex hinge pad,,,2356.19,4712.38,19
HCPCS,L6110,Elbow mold sock suspension t,,,2499.14,4998.28,19
HCPCS,L6120,Elbow mold doub splt soc ste,,,2912.39,5824.78,19
HCPCS,L6130,Elbow stump activated lock h,,,3169.22,6338.44,19
HCPCS,L6200,Elbow mold outsid lock hinge,,,3339.85,6679.7,19
HCPCS,L6205,Elbow molded w/ expand inter,,,4458.17,8916.34,19
HCPCS,L6250,Elbow inter loc elbow forarm,,,3499.39,6998.78,19
HCPCS,L6300,Shlder disart int lock elbow,,,4561.09,9122.18,19
HCPCS,L6310,Shoulder passive restor comp,,,3938.3,7876.6,19
HCPCS,L6320,Shoulder passive restor cap,,,2151.39,4302.78,19
HCPCS,L6350,Thoracic intern lock elbow,,,4795.29,9590.58,19
HCPCS,L6360,Thoracic passive restor comp,,,4312.59,8625.18,19
HCPCS,L6370,Thoracic passive restor cap,,,2580.53,5161.06,19
HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1495.35,2990.7,19
HCPCS,L6382,Postop dsg cast chg elb dis/,,,2249.69,4499.38,19
HCPCS,L6384,Postop dsg cast chg shlder/t,,,3112.22,6224.44,19
HCPCS,L6386,Postop ea cast chg & realign,,,491.64,983.28,19
HCPCS,L6388,Postop applicat rigid dsg on,,,538.21,1076.42,19
HCPCS,L6400,Below elbow prosth tiss shap,,,2840.74,5681.48,19
HCPCS,L6450,Elb disart prosth tiss shap,,,3795.18,7590.36,19
HCPCS,L6500,Above elbow prosth tiss shap,,,3970.5,7941.0,19
HCPCS,L6550,Shldr disar prosth tiss shap,,,4772.61,9545.22,19
HCPCS,L6570,Scap thorac prosth tiss shap,,,5358.37,10716.74,19
HCPCS,L6580,Wrist/elbow bowden cable mol,,,2045.72,4091.44,19
HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,1852.87,3705.74,19
HCPCS,L6584,Elbow fair lead cable molded,,,2905.79,5811.58,19
HCPCS,L6586,Elbow fair lead cable dir fo,,,2719.34,5438.68,19
HCPCS,L6588,Shdr fair lead cable molded,,,3573.15,7146.3,19
HCPCS,L6590,Shdr fair lead cable direct,,,3393.93,6787.86,19
HCPCS,L6600,Polycentric hinge pair,,,229.64,459.28,19
HCPCS,L6605,Single pivot hinge pair,,,226.75,453.5,19
HCPCS,L6610,Flexible metal hinge pair,,,217.74,435.48,19
HCPCS,L6611,"Additional switch, ext power",,,509.7,1019.4,19
HCPCS,L6615,Disconnect locking wrist uni,,,234.61,469.22,19
HCPCS,L6616,Disconnect insert locking wr,,,86.93,173.86,19
HCPCS,L6620,Flexion/extension wrist unit,,,375.39,750.78,19
HCPCS,L6621,Flex/ext wrist w/wo friction,,,2831.71,5663.42,19
HCPCS,L6623,Spring-ass rot wrst w/ latch,,,1047.08,2094.16,19
HCPCS,L6624,Flex/ext/rotation wrist unit,,,4662.49,9324.98,19
HCPCS,L6625,Rotation wrst w/ cable lock,,,743.95,1487.9,19
HCPCS,L6628,Quick disconn hook adapter o,,,586.48,1172.96,19
HCPCS,L6629,Lamination collar w/ couplin,,,179.11,358.22,19
HCPCS,L6630,Stainless steel any wrist,,,263.85,527.7,19
HCPCS,L6632,Latex suspension sleeve each,,,91.64,183.28,19
HCPCS,L6635,Lift assist for elbow,,,215.63,431.26,19
HCPCS,L6637,Nudge control elbow lock,,,459.92,919.84,19
HCPCS,L6638,Elec lock on manual pw elbow,,,3095.98,6191.96,19
HCPCS,L6640,Shoulder abduction joint pai,,,408.59,817.18,19
HCPCS,L6641,Excursion amplifier pulley t,,,196.4,392.8,19
HCPCS,L6642,Excursion amplifier lever ty,,,266.21,532.42,19
HCPCS,L6645,Shoulder flexion-abduction j,,,491.37,982.74,19
HCPCS,L6646,Multipo locking shoulder jnt,,,3904.74,7809.48,19
HCPCS,L6647,Shoulder lock actuator,,,642.83,1285.66,19
HCPCS,L6648,Ext pwrd shlder lock/unlock,,,4027.16,8054.32,19
HCPCS,L6650,Shoulder universal joint,,,510.16,1020.32,19
HCPCS,L6655,Standard control cable extra,,,100.26,200.52,19
HCPCS,L6660,Heavy duty control cable,,,112.37,224.74,19
HCPCS,L6665,Teflon or equal cable lining,,,56.38,112.76,19
HCPCS,L6670,Hook to hand cable adapter,,,62.34,124.68,19
HCPCS,L6672,Harness chest/shlder saddle,,,247.39,494.78,19
HCPCS,L6675,Harness figure of 8 sing con,,,147.02,294.04,19
HCPCS,L6676,Harness figure of 8 dual con,,,169.95,339.9,19
HCPCS,L6677,UE triple control harness,,,367.3,734.6,19
HCPCS,L6680,Test sock wrist disart/bel e,,,284.03,568.06,19
HCPCS,L6682,Test sock elbw disart/above,,,314.04,628.08,19
HCPCS,L6684,Test socket shldr disart/tho,,,426.74,853.48,19
HCPCS,L6686,Suction socket,,,963.67,1927.34,19
HCPCS,L6687,Frame typ socket bel elbow/w,,,706.16,1412.32,19
HCPCS,L6688,Frame typ sock above elb/dis,,,701.89,1403.78,19
HCPCS,L6689,Frame typ socket shoulder di,,,840.96,1681.92,19
HCPCS,L6690,Frame typ sock interscap-tho,,,916.41,1832.82,19
HCPCS,L6691,Removable insert each,,,424.15,848.3,19
HCPCS,L6692,Silicone gel insert or equal,,,684.63,1369.26,19
HCPCS,L6693,Lockingelbow forearm cntrbal,,,3514.73,7029.46,19
HCPCS,L6694,Elbow socket ins use w/lock,,,870.51,1741.02,19
HCPCS,L6695,Elbow socket ins use w/o lck,,,725.39,1450.78,19
HCPCS,L6696,Cus elbo skt in for con/atyp,,,1628.51,3257.02,19
HCPCS,L6697,Cus elbo skt in not con/atyp,,,1628.51,3257.02,19
HCPCS,L6698,Below/above elbow lock mech,,,703.98,1407.96,19
HCPCS,L6700,Ue add ext power myoel,,,29510.19,59020.38,19
HCPCS,L6703,"Term dev, passive hand mitt",,,445.07,890.14,19
HCPCS,L6704,"Term dev, sport/rec/work att",,,716.96,1433.92,19
HCPCS,L6706,Term dev mech hook vol open,,,427.16,854.32,19
HCPCS,L6707,Term dev mech hook vol close,,,1574.47,3148.94,19
HCPCS,L6708,Term dev mech hand vol open,,,1029.27,2058.54,19
HCPCS,L6709,Term dev mech hand vol close,,,1483.22,2966.44,19
HCPCS,L6711,"Ped term dev, hook, vol open",,,832.33,1664.66,19
HCPCS,L6712,"Ped term dev, hook, vol clos",,,1532.52,3065.04,19
HCPCS,L6713,"Ped term dev, hand, vol open",,,1934.13,3868.26,19
HCPCS,L6714,"Ped term dev, hand, vol clos",,,1638.27,3276.54,19
HCPCS,L6715,"Term device, multi art digit",,,3908.64,7817.28,19
HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2911.82,5823.64,19
HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2510.19,5020.38,19
HCPCS,L6805,Term dev modifier wrist unit,,,416.53,833.06,19
HCPCS,L6810,Term dev precision pinch dev,,,236.08,472.16,19
HCPCS,L6880,Elec hand ind art digits,,,29579.67,59159.34,19
HCPCS,L6881,Term dev auto grasp feature,,,5061.33,10122.66,19
HCPCS,L6882,Microprocessor control uplmb,,,3839.33,7678.66,19
HCPCS,L6883,Replc sockt below e/w disa,,,1942.73,3885.46,19
HCPCS,L6884,Replc sockt above elbow disa,,,2883.44,5766.88,19
HCPCS,L6885,Replc sockt shldr dis/interc,,,4312.59,8625.18,19
HCPCS,L6890,Prefab glove for term device,,,208.23,416.46,19
HCPCS,L6895,Custom glove for term device,,,766.02,1532.04,19
HCPCS,L6900,Hand restorat thumb/1 finger,,,2186.02,4372.04,19
HCPCS,L6905,Hand restoration multiple fi,,,2173.6,4347.2,19
HCPCS,L6910,Hand restoration no fingers,,,1858.64,3717.28,19
HCPCS,L6915,Hand restoration replacmnt g,,,937.1,1874.2,19
HCPCS,L6920,Wrist disarticul switch ctrl,,,8170.29,16340.58,19
HCPCS,L6925,Wrist disart myoelectronic c,,,10998.63,21997.26,19
HCPCS,L6930,Below elbow switch control,,,8220.96,16441.92,19
HCPCS,L6935,Below elbow myoelectronic ct,,,11169.31,22338.62,19
HCPCS,L6940,Elbow disarticulation switch,,,10741.21,21482.42,19
HCPCS,L6945,Elbow disart myoelectronic c,,,13124.47,26248.94,19
HCPCS,L6950,Above elbow switch control,,,12208.9,24417.8,19
HCPCS,L6955,Above elbow myoelectronic ct,,,14621.82,29243.64,19
HCPCS,L6960,Shldr disartic switch contro,,,16562.87,33125.74,19
HCPCS,L6965,Shldr disartic myoelectronic,,,17664.91,35329.82,19
HCPCS,L6970,Interscapular-thor switch ct,,,18407.12,36814.24,19
HCPCS,L6975,Interscap-thor myoelectronic,,,20131.45,40262.9,19
HCPCS,L7007,Adult electric hand,,,4212.72,8425.44,19
HCPCS,L7008,Pediatric electric hand,,,6630.37,13260.74,19
HCPCS,L7009,Adult electric hook,,,4298.3,8596.6,19
HCPCS,L7040,Prehensile actuator,,,3451.37,6902.74,19
HCPCS,L7045,Pediatric electric hook,,,1978.79,3957.58,19
HCPCS,L7170,Electronic elbow hosmer swit,,,9111.07,18222.14,19
HCPCS,L7180,Electronic elbow sequential,,,39992.59,79985.18,19
HCPCS,L7181,Electronic elbo simultaneous,,,49605.45,99210.9,19
HCPCS,L7185,Electron elbow adolescent sw,,,8997.32,17994.64,19
HCPCS,L7186,Electron elbow child switch,,,10829.14,21658.28,19
HCPCS,L7190,Elbow adolescent myoelectron,,,9450.26,18900.52,19
HCPCS,L7191,Elbow child myoelectronic ct,,,11315.81,22631.62,19
HCPCS,L7259,Electronic wrist rotator any,,,3912.59,7825.18,19
HCPCS,L7360,Six volt bat otto bock/eq ea,,,292.13,584.26,19
HCPCS,L7362,Battery chrgr six volt otto,,,306.73,613.46,19
HCPCS,L7364,Twelve volt battery utah/equ,,,487.84,975.68,19
HCPCS,L7366,Battery chrgr 12 volt utah/e,,,657.13,1314.26,19
HCPCS,L7367,Replacemnt lithium ionbatter,,,481.97,963.94,19
HCPCS,L7368,Lithium ion battery charger,,,624.83,1249.66,19
HCPCS,L7400,"Add ue prost be/wd, ultlite",,,379.46,758.92,19
HCPCS,L7401,Add ue prost a/e ultlite mat,,,424.81,849.62,19
HCPCS,L7402,Add ue prost s/d ultlite mat,,,458.7,917.4,19
HCPCS,L7403,Add UE prost b/e acrylic,,,455.94,911.88,19
HCPCS,L7404,Add UE prost a/e acrylic,,,688.07,1376.14,19
HCPCS,L7405,Add UE prost s/d acrylic,,,899.94,1799.88,19
HCPCS,L7406,Add to upp extr user adj mec,,,3150.07,6300.14,19
HCPCS,L7520,Repair prosthesis per 15 min,,,40.67,81.34,19
HCPCS,L7700,Pros soc insert gasket/seal,,,138.17,276.34,19
HCPCS,L8000,Hb Sup Rev 274 Hcpcs L8000,768.1,268.84,,,0
HCPCS,L8000,Mastectomy bra,,,53.85,107.7,19
HCPCS,L8001,Breast prosthesis bra & form,,,155.28,310.56,19
HCPCS,L8002,Brst prsth bra & bilat form,,,204.28,408.56,19
HCPCS,L8010,Hb Sleeve Mastectomy,861.84,301.64,,,0
HCPCS,L8015,Ext breastprosthesis garment,,,74.19,148.38,19
HCPCS,L8020,Mastectomy form,,,279.11,558.22,19
HCPCS,L8030,Breast prosthes w/o adhesive,,,403.72,807.44,19
HCPCS,L8031,Breast prosthesis w adhesive,,,403.72,807.44,19
HCPCS,L8032,Reusable nipple prosthesis,,,48.49,96.98,19
HCPCS,L8035,Custom breast prosthesis,,,4535.66,9071.32,19
HCPCS,L8040,Nasal prosthesis,,,2992.53,5985.06,19
HCPCS,L8041,Midfacial prosthesis,,,3606.94,7213.88,19
HCPCS,L8042,Orbital prosthesis,,,4052.7,8105.4,19
HCPCS,L8043,Upper facial prosthesis,,,4539.05,9078.1,19
HCPCS,L8044,Hemi-facial prosthesis,,,5025.35,10050.7,19
HCPCS,L8045,Auricular prosthesis,,,3147.02,6294.04,19
HCPCS,L8046,Partial facial prosthesis,,,3242.18,6484.36,19
HCPCS,L8047,Nasal septal prosthesis,,,1661.59,3323.18,19
HCPCS,L8300,Truss single w/ standard pad,,,119.24,238.48,19
HCPCS,L8310,Truss double w/ standard pad,,,183.33,366.66,19
HCPCS,L8320,Truss addition to std pad wa,,,80.07,160.14,19
HCPCS,L8330,Truss add to std pad scrotal,,,79.38,158.76,19
HCPCS,L8400,Sheath below knee,,,23.21,46.42,19
HCPCS,L8410,Sheath above knee,,,26.4,52.8,19
HCPCS,L8415,Sheath upper limb,,,26.24,52.48,19
HCPCS,L8417,Pros sheath/sock w gel cushn,,,93.1,186.2,19
HCPCS,L8420,Hb Sock Multi Ply Below Knee,381.24,133.43,,,0
HCPCS,L8420,Prosthetic sock multi ply BK,,,30.67,61.34,19
HCPCS,L8430,Hb Prosthetic Sock Above Knee,38.88,13.61,,,0
HCPCS,L8430,Hb Sock Multi Ply Above Knee,467.64,163.67,,,0
HCPCS,L8430,Prosthetic sock multi ply AK,,,33.75,67.5,19
HCPCS,L8435,Pros sock multi ply upper lm,,,30.27,60.54,19
HCPCS,L8440,Hb Stump Shrinker Bka,83.16,29.11,,,0
HCPCS,L8440,Shrinker below knee,,,64.18,128.36,19
HCPCS,L8460,Hb Stump Shrinker Aka,114.48,40.07,,,0
HCPCS,L8460,Shrinker above knee,,,89.33,178.66,19
HCPCS,L8465,Hb Shrinker Upper Limb,708.48,247.97,,,0
HCPCS,L8465,Shrinker upper limb,,,79.62,159.24,19
HCPCS,L8470,Hb Sock Single Ply Below Knee,100.44,35.15,,,0
HCPCS,L8470,Pros sock single ply BK,,,8.17,16.34,19
HCPCS,L8480,Hb Sock Single Ply Above Knee,155.52,54.43,,,0
HCPCS,L8480,Pros sock single ply AK,,,11.27,22.54,19
HCPCS,L8485,Pros sock single ply upper l,,,13.62,27.24,19
HCPCS,L8500,Artificial larynx,,,807.95,1615.9,19
HCPCS,L8500,Hb Blom Singer Pros,77.76,27.22,,,0
HCPCS,L8501,Hb Trach Speak Valve,536.76,187.87,,,0
HCPCS,L8501,Tracheostomy speaking valve,,,179.42,358.84,19
HCPCS,L8507,Trach-esoph voice pros pt in,,,51.86,103.72,19
HCPCS,L8509,Hb Prosthesis Voice Pro V Si,2747.88,961.76,,,0
HCPCS,L8509,Hb Prosthesis Voice Provox,2472.48,865.37,,,0
HCPCS,L8509,Hb Prosthesis Voice Provox2,2832.54,991.39,,,0
HCPCS,L8509,Trach-esoph voice pros md in,,,135.22,270.44,19
HCPCS,L8510,Voice amplifier,,,312.86,625.72,19
HCPCS,L8511,Indwelling trach insert,,,90.05,180.1,19
HCPCS,L8512,Gel cap for trach voice pros,,,2.7,5.4,19
HCPCS,L8513,Trach pros cleaning device,,,6.47,12.94,19
HCPCS,L8514,Repl trach puncture dilator,,,116.74,233.48,19
HCPCS,L8515,Gel cap app device for trach,,,78.14,156.28,19
HCPCS,L8605,Inj bulking agent anal canal,,,1256.77,1256.77,2
HCPCS,L8606,Hb Bulkamid Urethral Bulking System,3440.34,1204.12,,,0
HCPCS,L8606,Hb Sup Rev 278 Hcpcs L8606,3440.34,1204.12,,,0
HCPCS,L8607,Hb Sup Rev 278 Hcpcs L8607,2034.29,712.0,,,0
HCPCS,L8607,Inj vocal cord bulking agent,,,75.26,75.26,2
HCPCS,L8610,Hb Sup Rev 278 Hcpcs L8610,822.69,287.94,,,0
HCPCS,L8613,Hb Sup Rev 278 Hcpcs L8613,1130.98,395.84,,,0
HCPCS,L8614,Hb Sup Rev 278 Hcpcs L8614,50558.04,17695.31,,,0
HCPCS,L8615,Coch implant headset replace,,,558.37,1116.74,19
HCPCS,L8616,Coch implant microphone repl,,,130.06,260.12,19
HCPCS,L8617,Coch implant trans coil repl,,,113.64,227.28,19
HCPCS,L8618,Coch implant tran cable repl,,,32.46,64.92,19
HCPCS,L8619,Coch imp ext proc/contr rplc,,,10053.97,20107.94,19
HCPCS,L8621,Repl zinc air battery,,,0.77,1.54,19
HCPCS,L8622,Repl alkaline battery,,,0.4,0.8,19
HCPCS,L8623,"Lith ion batt cid,non-earlvl",,,80.07,160.14,19
HCPCS,L8624,"Lith ion batt cid, ear level",,,199.62,399.24,19
HCPCS,L8625,Charger coch impl/aoi battry,,,233.81,467.62,19
HCPCS,L8627,CID ext speech process repl,,,8522.43,17044.86,19
HCPCS,L8628,CID ext controller repl,,,1531.57,3063.14,19
HCPCS,L8629,CID transmit coil and cable,,,221.67,443.34,19
HCPCS,L8681,Pt prgrm for implt neurostim,,,1398.33,2796.66,19
HCPCS,L8683,Radiofq trsmtr for implt neu,,,6496.7,12993.4,19
HCPCS,L8684,Radiof trsmtr implt scrl neu,,,853.14,1706.28,19
HCPCS,L8689,External recharg sys intern,,,2135.51,4271.02,19
HCPCS,L8689,Hb Sup Rev 274 Hcpcs L8689,4685.26,1639.84,,,0
HCPCS,L8690,Hb Sup Rev 278 Hcpcs L8690,9778.494999999999,3422.4700000000003,,,0
HCPCS,L8691,Osseointegrated snd proc rpl,,,2132.09,4264.18,19
HCPCS,L8694,Aoi transducer/actuator repl,,,1169.21,2338.42,19
HCPCS,L8695,External recharg sys extern,,,20.61,41.22,19
HCPCS,L8701,Pow ue rom dev ewh uprt cust,,,34970.13,69940.26,19
HCPCS,L8702,Pow ue rom dev ewhf uprt cus,,,68801.71,137603.42,19
HCPCS,M0220,Hb Tixagev And Cilgav Inj,376.0,131.6,,,0
HCPCS,M0221,Hb Tixagev And Cilgav Inj Hm,627.0,219.45,,,0
HCPCS,M0222,Hb Bebtelovimab Injection,878.0,307.3,,,0
HCPCS,M0223,Hb Bebtelovimab Injection Home,1378.0,482.3,,,0
HCPCS,M0239,"Hb Intravenous Infusion,Bamlanivimab-Xxx",774.0,270.9,,,0
HCPCS,M0243,"Hb Intravenous Infusion,Casirivimab And Imdevimab",774.0,270.9,,,0
HCPCS,M0244,Hb Casirivi And Imdevi Infus Hm,1875.0,656.25,,,0
HCPCS,M0245,"Hb Intravenous Infusion,Bamlanivimab And Etesevimab",777.0,271.95,,,0
HCPCS,M0247,Hb Intravenous Infusion Sotrovimab,1125.0,393.75,,,0
HCPCS,P2028,Cephalin floculation test,,,4.95,9.9,19
HCPCS,P2029,Congo red blood test,,,4.95,9.9,19
HCPCS,P2033,Blood thymol turbidity,,,4.95,9.9,19
HCPCS,P2038,Blood mucoprotein,,,4.95,9.9,19
HCPCS,P3000,Hb Pap Medicare Screen,101.0,35.35,,,0
HCPCS,P3000,Screen pap by tech w md supv,,,18.54,37.08,19
HCPCS,P9010,Hb Autologous Wbc 005,422.0,147.7,,,0
HCPCS,P9010,Hb Directed Wbc 173,422.0,147.7,,,0
HCPCS,P9010,Hb Leukored Whole Blood Auto 379,573.0,200.55,,,0
HCPCS,P9010,Hb Leukored Whole Blood Dir 380,573.0,200.55,,,0
HCPCS,P9010,Hb Leukoreduced Whole Blood 378,573.0,200.55,,,0
HCPCS,P9010,Hb Whole Blood 001,399.0,139.65,,,0
HCPCS,P9010,Whole blood for transfusion,,,189.84,379.68,19
HCPCS,P9011,Blood split unit,,,155.84,311.68,19
HCPCS,P9011,Hb Kiddie Pack 024,187.0,65.45,,,0
HCPCS,P9011,Hb Pedi Plasma 013,265.0,92.75,,,0
HCPCS,P9011,Hb Pedicells 003,264.0,92.4,,,0
HCPCS,P9011,Hb Platelet Pheresis Pedi D 363,1673.0,585.55,,,0
HCPCS,P9012,Hb Cryoprecipitate Ahf 014,204.0,71.4,,,0
HCPCS,P9012,Hb Pool Cryoprec (10),3820.0,1337.0,,,0
HCPCS,P9012,Hb Pool Cryoprec (5),2292.0,802.2,,,0
HCPCS,P9016,Hb Leukoreduced Rbc Auto 381,573.0,200.55,,,0
HCPCS,P9016,Hb Leukoreduced Rbc Directed 382,573.0,200.55,,,0
HCPCS,P9016,Hb Leukoreduced Red Cell 094,573.0,200.55,,,0
HCPCS,P9016,Rbc leukocytes reduced,,,184.91,369.82,19
HCPCS,P9017,Hb Directed Ffp 172,422.0,147.7,,,0
HCPCS,P9017,Hb Fresh Frozen Plasma 012,318.0,111.3,,,0
HCPCS,P9019,Hb Platelets 015,222.0,77.7,,,0
HCPCS,P9020,Hb Platelet Rich Plasma Each Unit,763.0,267.05,,,0
HCPCS,P9021,Hb Autologous Rbc 006,422.0,147.7,,,0
HCPCS,P9021,Hb Directed Rbc 170,422.0,147.7,,,0
HCPCS,P9021,Hb Frozen Rbc 007,502.0,175.7,,,0
HCPCS,P9021,Hb Red Blood Cells 002,422.0,147.7,,,0
HCPCS,P9022,Hb Cell Washing Proc 035,956.0,334.6,,,0
HCPCS,P9022,Hb Rbc Washed Each Unit,1279.0,447.65,,,0
HCPCS,P9022,Washed red blood cells unit,,,368.58,737.16,19
HCPCS,P9026,Hb Fbrngen Cmplx Path Rdcd Prcfc 10,515.0,180.25,,,0
HCPCS,P9026,Hb Fbrngen Cmplx Path Rdcd Prcfc 15,1030.0,360.5,,,0
HCPCS,P9026,Hb Fbrngen Cmplx Path Rdcd Prcfc 20,1545.0,540.75,,,0
HCPCS,P9026,Hb Fbrngen Cmplx Path Rdcd Prcfc 30,2060.0,721.0,,,0
HCPCS,P9026,Hb Fbrngen Cmplx Path Rdcd Prcfc 40,2575.0,901.25,,,0
HCPCS,P9031,Hb Platelets Leukoreduced,921.0,322.35,,,0
HCPCS,P9031,Hb Pooled 5Wbder Plt Pr 410,921.0,322.35,,,0
HCPCS,P9032,Hb Platelets Irradiated,373.0,130.55,,,0
HCPCS,P9033,Hb Platelets Leukoreduced Irrad,1052.0,368.2,,,0
HCPCS,P9035,Hb Platelet Pheresis Pedi W 364,1673.0,585.55,,,0
HCPCS,P9035,Hb Platelets Pheresis 017,2008.0,702.8,,,0
HCPCS,P9035,Hb Plt Pheresis Divided 021,2321.0,812.35,,,0
HCPCS,P9035,Platelet pheres leukoreduced,,,511.59,1023.18,19
HCPCS,P9037,Hb Platelet Pheresis Lkrd Irrad,2333.0,816.55,,,0
HCPCS,P9038,Hb Red Blood Cells Irradiated,605.0,211.75,,,0
HCPCS,P9039,Hb Red Blood Cells Deglycerolized,1754.0,613.9,,,0
HCPCS,P9040,Hb Rbc Leukoreduced Irrad,1244.0,435.4,,,0
HCPCS,P9040,RBC leukoreduced irradiated,,,265.41,530.82,19
HCPCS,P9041,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.415,1.1949999999999998,,,0
HCPCS,P9041,"Albumin (human),5%, 50ml",,,10.62,21.23,22
HCPCS,P9044,Hb Cryo Poor Plasma 023,209.0,73.15,,,0
HCPCS,P9045,"Albumin (human), 5%, 250 ml",,,53.08,106.15,22
HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,21.23,42.46,22
HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
HCPCS,P9047,"Albumin (human), 25%, 50ml",,,53.08,106.15,22
HCPCS,P9050,Hb Granulocytes 018,6339.0,2218.65,,,0
HCPCS,P9051,Hb Blood Leukoreduced Cmv Neg,1288.0,450.8,,,0
HCPCS,P9052,Hb Hla Platelet Pheresis 270,2362.0,826.7,,,0
HCPCS,P9052,Hb Plt Hla Match Pher Leukored,2440.0,854.0,,,0
HCPCS,P9052,"Platelets, hla-m, l/r, unit",,,708.06,1416.12,19
HCPCS,P9053,Hb Plt Pher Leukored Cmv Neg Irra,2395.0,838.25,,,0
HCPCS,P9054,"Blood, l/r, froz/degly/wash",,,265.19,530.38,19
HCPCS,P9054,Hb Blood Lkrd Froz Degly Washed,3290.0,1151.5,,,0
HCPCS,P9055,Hb Plt Aph Pher Leukored Cmv Neg,2238.0,783.3,,,0
HCPCS,P9056,Hb Whole Blood Leukored Irrad,1232.0,431.2,,,0
HCPCS,P9057,Hb Rbc Fz Degly Wsh Lkrd Irrad,3436.0,1202.6,,,0
HCPCS,P9057,"RBC, frz/deg/wsh, l/r, irrad",,,422.69,845.38,19
HCPCS,P9058,Hb Rbc Leukored Cmv Neg Irrad,1433.0,501.55,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) In Pas Leukoreduced Bact Lvds 36  Hrs,605.0,211.75,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact 24 Hours - 1St Step Of 2 Step Process,535.0,187.25,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact 24 Hours - 2Nd Step Of 2 Step Process,570.0,199.5,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact 24Hrs-1St Step Of 2 Step Process Wastage,535.0,187.25,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact 24Hrs-2Nd Step Of 2 Step Process Wastage,570.0,199.5,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36 Hours,605.0,211.75,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36 Hours Divided,345.0,120.75,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36 Hours Divided Wastage,345.0,120.75,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36 Hours Pedi Platelet,680.0,238.0,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36 Hours Pedi Platelet Wastage,680.0,238.0,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 36Hrs Wastage,605.0,211.75,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hours,605.0,211.75,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hours Divided,345.0,120.75,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hours Divided Wastage,345.0,120.75,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hours Pedi Platelet,680.0,238.0,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hours Pedi Platelet Wastage,680.0,238.0,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Leukoreduced Bact Lvds 48 Hrs Wastage,605.0,211.75,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Prt Leukoreduced,670.0,234.5,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Prt Leukoreduced Divided,335.0,117.25,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Prt Leukoreduced Divided Wastage,335.0,117.25,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Prt Leukoreduced Wastage,670.0,234.5,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Prt Leukoreduced Wastage In Pas,670.0,234.5,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Prt Pediplatelet,503.0,176.05,,,0
HCPCS,P9073,Hb Apheresis Platelets (Sdp) Prt Pediplatelet Wastage,503.0,176.05,,,0
HCPCS,P9073,Hb Pooled Platelets Leukoreduced Bact Lvds 36 Hours,580.0,203.0,,,0
HCPCS,P9073,Hb Pooled Platelets Leukoreduced Bact Lvds 36 Hours Wastage,580.0,203.0,,,0
HCPCS,P9073,Hb Prt Treatment Fee,1882.0,658.7,,,0
HCPCS,P9073,"Platelets, pathogen reduced",,,607.43,1214.86,19
HCPCS,P9100,Pathogen test for platelets,,,61.6,123.21,19
HCPCS,P9612,Catheterize for urine spec,,,9.34,18.68,19
HCPCS,Q0035,Cardiokymography,,,39.0,78.01,19
HCPCS,Q0091,Obtaining screen pap smear,,,30.2,60.41,19
HCPCS,Q0111,Wet mounts/ w preparations,,,18.54,37.08,19
HCPCS,Q0112,Potassium hydroxide preps,,,5.83,11.66,19
HCPCS,Q0113,Pinworm examinations,,,4.27,8.54,19
HCPCS,Q0114,Fern test,,,9.74,19.48,19
HCPCS,Q0115,Post-coital mucous exam,,,25.0,50.0,19
HCPCS,Q0138,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [98312],267.12,93.49,,,0
HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.32,0.65,24
HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.32,0.65,24
HCPCS,Q0144,"Azithromycin dihydrate, oral",,,15.4,15.4,2
HCPCS,Q0155,Dronabinol (syndros) 0.1 mg,,,4.75,4.75,2
HCPCS,Q0161,CHLORPROMAZINE 10 MG TABLET [1653],2.495,0.875,,,0
HCPCS,Q0161,CHLORPROMAZINE 200 MG TABLET [1655],13.899999999999999,4.865,,,0
HCPCS,Q0161,CHLORPROMAZINE 25 MG TABLET [1656],4.63,1.62,,,0
HCPCS,Q0161,CHLORPROMAZINE 50 MG TABLET [1657],8.515,2.98,,,0
HCPCS,Q0162,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],0.535,0.185,,,0
HCPCS,Q0162,ONDANSETRON HCL 4 MG TABLET [10778],0.5,0.17,,,0
HCPCS,Q0162,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],45.415,15.895,,,0
HCPCS,Q0162,ONDANSETRON HCL 8 MG TABLET [10779],0.7,0.24,,,0
HCPCS,Q0162,Ondansetron oral,,,0.01,0.01,5
HCPCS,Q0163,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR [2511],0.74,0.26,,,0
HCPCS,Q0163,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
HCPCS,Q0163,DIPHENHYDRAMINE 50 MG CAPSULE [2510],0.035,0.014375,,,0
HCPCS,Q0163,Diphenhydramine HCl 50mg,,,1.59,1.59,2
HCPCS,Q0164,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0.5650000000000001,0.195,,,0
HCPCS,Q0164,PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],0.4,0.14,,,0
HCPCS,Q0164,Prochlorperazine maleate 5mg,,,0.96,0.96,2
HCPCS,Q0166,GRANISETRON HCL 1 MG TABLET [14720],52.45,18.36,,,0
HCPCS,Q0166,Granisetron HCl 1 mg oral,,,62.95,62.95,2
HCPCS,Q0167,DRONABINOL 2.5 MG CAPSULE [9904],4.72,1.725,,,0
HCPCS,Q0167,Dronabinol 2.5mg oral,,,1.48,2.74,5
HCPCS,Q0169,PROMETHAZINE 25 MG TABLET [6622],0.285,0.1,,,0
HCPCS,Q0169,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0.64,0.23,,,0
HCPCS,Q0169,Promethazine HCl 12.5mg oral,,,0.34,0.34,2
HCPCS,Q0173,TRIMETHOBENZAMIDE 300 MG CAPSULE [32311],1.33,0.46499999999999997,,,0
HCPCS,Q0173,Trimethobenzamide HCl 250mg,,,0.79,0.79,2
HCPCS,Q0174,Thiethylperazine maleate10mg,,,0.79,0.79,2
HCPCS,Q0175,PERPHENAZINE 2 MG TABLET [6157],1.5350000000000001,0.535,,,0
HCPCS,Q0175,PERPHENAZINE 4 MG TABLET [6158],1.75,0.61,,,0
HCPCS,Q0175,PERPHENAZINE 8 MG TABLET [6159],2.11,0.74,,,0
HCPCS,Q0175,Perphenazine 4mg oral,,,0.79,0.79,2
HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,2.37,2.37,2
HCPCS,Q0180,Dolasetron mesylate oral,,,175.4,175.4,2
HCPCS,Q0220,"Tixagev and cilgav, 300mg",,,0.01,0.01,4
HCPCS,Q0221,"Tixagev and cilgav, 600mg",,,0.01,0.01,4
HCPCS,Q0222,Bebtelovimab 175 mg,,,3074.4,3074.4,2
HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,6583.5,8031.87,3
HCPCS,Q0240,Casirivi and imdevi 600 mg,,,0.01,0.01,4
HCPCS,Q0243,Casirivimab and imdevimab,,,0.01,0.01,4
HCPCS,Q0244,Casirivi and imdevi 1200 mg,,,0.01,0.01,4
HCPCS,Q0245,Bamlanivimab and etesevima,,,0.01,0.01,4
HCPCS,Q0247,Sotrovimab,,,0.01,3074.4,4
HCPCS,Q0249,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [113941],504.58,176.6,,,0
HCPCS,Q0249,TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [99452],529.8,185.43,,,0
HCPCS,Q0249,Tocilizumab for covid-19,,,7.57,9.24,3
HCPCS,Q0477,Pwr module pt cable lvad rpl,,,960.54,1921.08,19
HCPCS,Q0478,"Power adapter, combo vad",,,227.5,455.0,19
HCPCS,Q0479,"Power module combo vad, rep",,,14835.04,29670.08,19
HCPCS,Q0480,"driver pneumatic vad, rep",,,111502.61,223005.22,19
HCPCS,Q0481,Hb Controller Pocket Heartmate,25898.4,9064.44,,,0
HCPCS,Q0481,Hb Hm3 Lvad Controller Commercial,21176.1,7411.635,,,0
HCPCS,Q0481,Hb Sup Rev 274 Hcpcs Q0481,25898.4,9064.44,,,0
HCPCS,Q0481,"microprcsr cu elec vad, rep",,,17989.68,35979.36,19
HCPCS,Q0482,"microprcsr cu combo vad, rep",,,5634.71,11269.42,19
HCPCS,Q0483,"monitor elec vad, rep",,,23212.4,46424.8,19
HCPCS,Q0484,monitor elec or comb vad rep,,,4507.79,9015.58,19
HCPCS,Q0485,"monitor cable elec vad, rep",,,435.21,870.42,19
HCPCS,Q0486,mon cable elec/pneum vad rep,,,362.21,724.42,19
HCPCS,Q0487,"leads any type vad, rep only",,,422.6,845.2,19
HCPCS,Q0489,Hb Module Power Heartmate Ii,35810.42,12533.65,,,0
HCPCS,Q0489,"pwr pck base combo vad, rep",,,20123.89,40247.78,19
HCPCS,Q0490,"emr pwr source elec vad, rep",,,870.47,1740.94,19
HCPCS,Q0491,Hb Power Module Backup Battery,1321.92,462.67,,,0
HCPCS,Q0491,emr pwr source combo vad rep,,,1368.43,2736.86,19
HCPCS,Q0492,"emr pwr cbl elec vad, rep",,,110.28,220.56,19
HCPCS,Q0493,"emr pwr cbl combo vad, rep",,,313.85,627.7,19
HCPCS,Q0494,"emr hd pmp elec/combo, rep",,,265.6,531.2,19
HCPCS,Q0495,"charger elec/combo vad, rep",,,5171.38,10342.76,19
HCPCS,Q0496,"battery elec/combo vad, rep",,,1856.1,3712.2,19
HCPCS,Q0497,Hb Set Clip Battery Li-Ion 1,5052.54,1768.39,,,0
HCPCS,Q0497,"bat clps elec/comb vad, rep",,,579.54,1159.08,19
HCPCS,Q0498,"holster elec/combo vad, rep",,,635.9,1271.8,19
HCPCS,Q0499,belt/vest elec/combo vad rep,,,206.62,413.24,19
HCPCS,Q0500,"filters elec/combo vad, rep",,,37.8,75.6,19
HCPCS,Q0501,Hb Vad Heartware Shower Kit,3832.65,1341.43,,,0
HCPCS,Q0501,"shwr cov elec/combo vad, rep",,,632.25,1264.5,19
HCPCS,Q0502,"mobility cart pneum vad, rep",,,804.93,1609.86,19
HCPCS,Q0503,battery pneum vad replacemnt,,,1609.89,3219.78,19
HCPCS,Q0504,"pwr adpt pneum vad, rep veh",,,849.48,1698.96,19
HCPCS,Q0506,Hb Set Battery Li-Ion 14V,7473.05,2615.57,,,0
HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,1057.44,2114.88,19
HCPCS,Q0508,Hb Charger Battery Universal,33937.26,11878.04,,,0
HCPCS,Q0508,Hb Hm3 Lvad Modular Cable Commercial,14808.96,5183.14,,,0
HCPCS,Q0508,Hb Sup Rev 274 Hcpcs Q0508,23308.56,8158.0,,,0
HCPCS,Q0508,Hb Vad Heartware Travel Ca,1849.91,647.47,,,0
HCPCS,Q0509,Hb Mis Sup/Ac Imp Vad Nopay Med,3893.4,1362.69,,,0
HCPCS,Q0515,Sermorelin acetate injection,,,1.57,1.57,2
HCPCS,Q2004,Bladder calculi irrig sol,,,16.97,16.97,2
HCPCS,Q2004,CITRIC ACID-GLUCONOLAC-MAG CARB 6.602 G-0.198 G/100 ML IRRIGATION SOLN [9613],190.69,66.74,,,0
HCPCS,Q2009,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
HCPCS,Q2009,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
HCPCS,Q2009,Fosphenytoin inj pe,,,1.47,10.19,21
HCPCS,Q2017,TENIPOSIDE 50 MG/5 ML INTRAVENOUS SOLUTION [11501],498.62,174.52,,,0
HCPCS,Q2017,"Teniposide, 50 mg",,,3654.07,3654.07,2
HCPCS,Q2026,Radiesse injection,,,349.19,698.38,21
HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,1.22,4.32,21
HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,30.23,30.23,2
HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,14.6,14.6,2
HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,60.54,60.54,2
HCPCS,Q2041,Axicabtagene ciloleucel car+,,,502840.73,1066460.34,22
HCPCS,Q2042,Hb Kymriah Car-Pos T,5133733.5,1796806.72,,,0
HCPCS,Q2042,Hb Kymriah Car-Pos T Daily,0.01,0.0035,,,0
HCPCS,Q2042,Tisagenlecleucel car-pos t,,,578771.12,1183452.4,22
HCPCS,Q2043,Sipuleucel-t auto cd54+,,,55272.32,110544.65,24
HCPCS,Q2049,Imported Lipodox inj,,,298.74,645.21,21
HCPCS,Q2050,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
HCPCS,Q2050,Doxorubicin inj 10mg,,,108.47,216.94,24
HCPCS,Q2053,Brexucabtagene car pos t,,,489304.61,978609.22,22
HCPCS,Q2054,Hb Breyanzi,5547276.0,1941546.6,,,0
HCPCS,Q2054,Lisocabtagene mara car pos t,,,516442.29,1125076.37,22
HCPCS,Q2055,Hb Abecma,5579175.0,1952711.25,,,0
HCPCS,Q2055,Idecabtagene vicleucel car,,,527622.46,1114635.87,22
HCPCS,Q2056,Ciltacabtagene car-pos t,,,553169.3,1131737.89,22
HCPCS,Q3001,Brachytherapy radioelements,,,73.0,73.0,2
HCPCS,Q3014,Hb Telehealth Facility Fee,82.0,28.7,,,0
HCPCS,Q3027,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE KIT [36417],7947.93,2781.78,,,0
HCPCS,Q3027,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE [159550],2867.35,1003.57,,,0
HCPCS,Q3027,Inj beta interferon im 1 mcg,,,63.66,67.86,4
HCPCS,Q3028,INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE [22532],997.99,349.3,,,0
HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,57.17,57.17,2
HCPCS,Q4005,Hb Cast La Plaster Age 11 And Over,173.4,60.69,,,0
HCPCS,Q4006,Hb Cast La Fibergl Age 11 And Over,335.58,117.45,,,0
HCPCS,Q4007,Hb Cast La Plast Age 0 To 10,130.56,45.7,,,0
HCPCS,Q4008,Hb Cast La Fibergl Age 0 To 10,169.32,59.26,,,0
HCPCS,Q4009,Hb Cast Sa Plast Age 11 And Over,85.68,29.99,,,0
HCPCS,Q4009,Hb Cast Sa Plaster 11+ Yrs,64.26,22.49,,,0
HCPCS,Q4010,Hb Cast Sa Fibergl Age 11 And Over,167.28,58.55,,,0
HCPCS,Q4010,Hb Cast Sa Fiberglass 11+ Yrs,154.02,53.91,,,0
HCPCS,Q4011,Hb Cast Sa Plast Age 0 To 10,85.68,29.99,,,0
HCPCS,Q4011,Hb Cast Sa Plaster 0 To 10 Yrs,64.26,22.49,,,0
HCPCS,Q4012,Hb Cast Sa Fibergl Age 0 To 10,150.96,52.84,,,0
HCPCS,Q4012,Hb Cast Sa Fiberglass 0 To 10 Yrs,153.0,53.55,,,0
HCPCS,Q4017,Hb Cast La Plaster 11+ Yrs,95.88,33.56,,,0
HCPCS,Q4018,Hb Cast La Fiberglass 11+ Yrs,233.58,81.75,,,0
HCPCS,Q4019,Hb Cast La Plaster 0 To 10 Yrs,95.88,33.56,,,0
HCPCS,Q4020,Hb Cast La Fiberglass 0 To 10 Yrs,232.56,81.4,,,0
HCPCS,Q4021,Hb Cast Sa Thmb Plaster 11+,66.3,23.2,,,0
HCPCS,Q4022,Hb Cast Sa Thmb Fibglass 11+,156.06,54.62,,,0
HCPCS,Q4023,Hb Cast Sa Thmb Plaster 0 To 10,67.32,23.56,,,0
HCPCS,Q4024,Hb Cast Sa Thmb Fibglass 0 To 10,155.04,54.26,,,0
HCPCS,Q4026,Hb Cast Hip Sp 1.5 Fibglass 11+,772.14,270.25,,,0
HCPCS,Q4028,Hb Cast Hip Sp 1.5 Fibglass 0 To 10,772.14,270.25,,,0
HCPCS,Q4029,Hb Cast Ll Plaster 11+ Yrs,189.72,66.4,,,0
HCPCS,Q4029,Hb Cast Ll Plaster Age 11 And Over,1422.36,497.83,,,0
HCPCS,Q4030,Hb Cast La Thmb Plaster 11+,113.22,39.63,,,0
HCPCS,Q4030,Hb Cast Ll Cyl Fiberglass 11+,406.98,142.44,,,0
HCPCS,Q4030,Hb Cast Ll Fibergl Age 11 And Over,366.18,128.16,,,0
HCPCS,Q4030,Hb Cast Ll Fiberglass 11+ Yrs,480.42,168.15,,,0
HCPCS,Q4031,Hb Cast Ll Plast Age 0 To 10,130.56,45.7,,,0
HCPCS,Q4031,Hb Cast Ll Plaster 0 To 10 Yrs,190.74,66.76,,,0
HCPCS,Q4032,Hb Cast La Thmb Plaster 0 To 10,114.24,39.98,,,0
HCPCS,Q4032,Hb Cast Ll Cyl Fiberglass 0 To 10,406.98,142.44,,,0
HCPCS,Q4032,Hb Cast Ll Fibergl Age 0 To 10,250.92,87.82,,,0
HCPCS,Q4032,Hb Cast Ll Fiberglass 0 To 10 Yrs,480.42,168.15,,,0
HCPCS,Q4037,Hb Cast Sl Plaster 11+ Yrs,128.52,44.98,,,0
HCPCS,Q4037,Hb Cast Sl Plaster Age 11 And Over,924.48,323.57,,,0
HCPCS,Q4038,Hb Cast Sl Fibergl Age 11 And Over,331.5,116.02,,,0
HCPCS,Q4038,Hb Cast Sl Fiberglass 11+ Yrs,307.02,107.46,,,0
HCPCS,Q4038,Hb Total Contact Cast,1144.44,400.55,,,0
HCPCS,Q4039,Hb Cast Sl Plast Age 0 To 10,114.24,39.98,,,0
HCPCS,Q4039,Hb Cast Sl Plaster 0 To 10 Yrs,129.54,45.34,,,0
HCPCS,Q4040,Hb Cast Sl Fibergl Age 0 To 10,169.32,59.26,,,0
HCPCS,Q4040,Hb Cast Sl Fiberglass 0 To 10 Yrs,307.02,107.46,,,0
HCPCS,Q4049,Hb Finger Splint,189.72,66.4,,,0
HCPCS,Q4074,Iloprost non-comp unit dose,,,148.76,180.85,5
HCPCS,Q4081,"Epoetin alfa, 100 units ESRD",,,0.71,0.85,5
HCPCS,Q4100,Hb Sup Rev 278 Hcpcs Q4100,7440.11,2604.035,,,0
HCPCS,Q4101,Apligraf,,,30.36,259.91,24
HCPCS,Q4102,Oasis wound matrix,,,12.01,259.91,24
HCPCS,Q4103,Oasis burn matrix,,,12.53,259.91,24
HCPCS,Q4104,Integra bmwd,,,49.79,259.91,24
HCPCS,Q4105,Integra drt or omnigraft,,,23.25,259.91,24
HCPCS,Q4106,Dermagraft,,,62.15,62.15,2
HCPCS,Q4107,Graftjacket,,,129.95,259.91,21
HCPCS,Q4107,Hb Sup Rev 278 Hcpcs Q4107,8837.185,3093.015,,,0
HCPCS,Q4108,Hb Sup Rev 636 Hcpcs Q4108,9676.86,3386.9,,,0
HCPCS,Q4108,Integra matrix,,,50.48,259.91,24
HCPCS,Q4110,Primatrix,,,65.41,259.91,24
HCPCS,Q4111,Gammagraft,,,7.6,259.91,24
HCPCS,Q4113,Graftjacket xpress,,,2436.95,2436.95,2
HCPCS,Q4114,Integra flowable wound matri,,,1494.35,1952.74,5
HCPCS,Q4115,Alloskin,,,12.38,259.91,24
HCPCS,Q4116,Hb Sup Rev 636 Hcpcs Q4116,14371.65,5030.08,,,0
HCPCS,Q4117,Hyalomatrix,,,36.51,259.91,21
HCPCS,Q4118,Hb Sup Rev 278 Hcpcs Q4118,2746.29,961.2049999999999,,,0
HCPCS,Q4118,Matristem micromatrix,,,2.55,3.1,5
HCPCS,Q4121,Theraskin,,,51.79,259.91,24
HCPCS,Q4122,Dermacell,,,129.95,259.91,21
HCPCS,Q4123,Alloskin,,,71.55,259.91,22
HCPCS,Q4124,Oasis tri-layer wound matrix,,,9.09,259.91,24
HCPCS,Q4126,Memoderm/derma/tranz/integup,,,63.3,259.91,24
HCPCS,Q4127,Talymed,,,68.49,259.91,24
HCPCS,Q4128,Flexhd/allopatchhd/matrixhd,,,24.47,259.91,24
HCPCS,Q4132,Grafix core,,,37.5,259.91,24
HCPCS,Q4133,Grafix prime,,,129.95,259.91,24
HCPCS,Q4137,"Amnioexcel or biodexcel, 1cm",,,102.18,259.91,24
HCPCS,Q4138,"Biodfence dryflex, 1cm",,,94.26,259.91,22
HCPCS,Q4140,Biodfence 1cm,,,129.95,259.91,22
HCPCS,Q4141,"Alloskin ac, 1 cm",,,37.87,259.91,22
HCPCS,Q4143,"Repriza, 1cm",,,33.92,259.91,24
HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,129.95,1923.06,23
HCPCS,Q4148,"Neox 1k, 1cm",,,128.43,259.91,24
HCPCS,Q4149,"Excellagen, 0.1 cc",,,212.28,212.28,2
HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,82.76,259.91,24
HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,129.95,259.91,24
HCPCS,Q4152,Dermapure 1 square cm,,,52.44,259.91,24
HCPCS,Q4153,"Dermavest, plurivest sq cm",,,128.08,283.91,24
HCPCS,Q4154,Biovance 1 square cm,,,129.95,259.91,24
HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,26.31,35.04,5
HCPCS,Q4156,Neox 100 1 square cm,,,64.75,259.91,24
HCPCS,Q4157,Revitalon 1 square cm,,,129.95,259.91,21
HCPCS,Q4158,Hb Sup Rev 278 Hcpcs Q4158,8330.11,2915.54,,,0
HCPCS,Q4158,Marigen 1 square cm,,,63.62,259.91,24
HCPCS,Q4159,Affinity1 square cm,,,129.95,321.29,24
HCPCS,Q4160,Nushield 1 square cm,,,92.65,259.91,24
HCPCS,Q4161,Bio-connekt per square cm,,,129.95,3552.73,24
HCPCS,Q4162,Amnio bio and woundex flow,,,3131.34,3131.34,2
HCPCS,Q4163,Amnio bio and woundex sq cm,,,129.95,259.91,24
HCPCS,Q4164,"Helicoll, per square cm",,,129.95,1851.02,24
HCPCS,Q4165,"Keramatrix, per square cm",,,54.42,259.91,21
HCPCS,Q4166,"Cytal, per square centimeter",,,21.5,259.91,24
HCPCS,Q4166,Hb Sup Rev 278 Hcpcs Q4166,7012.31,2454.31,,,0
HCPCS,Q4167,"Truskin, per sq centimeter",,,129.95,259.91,21
HCPCS,Q4169,"Artacent wound, per sq cm",,,129.95,4190.53,21
HCPCS,Q4170,"Cygnus, per sq cm",,,129.95,938.34,24
HCPCS,Q4171,"Interfyl, 1 mg",,,12.13,14.53,5
HCPCS,Q4173,Palingen or palingen xplus,,,129.95,1390.24,24
HCPCS,Q4174,Palingen or promatrx,,,1758.63,1758.63,2
HCPCS,Q4175,Miroderm,,,68.56,259.91,24
HCPCS,Q4176,"Neopatch, per sq centimeter",,,129.95,259.91,21
HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,219.6,219.6,2
HCPCS,Q4178,"Floweramniopatch, per sq cm",,,92.03,259.91,24
HCPCS,Q4180,"Revita, per sq cm",,,129.95,2035.2,24
HCPCS,Q4181,"Amnio wound, per square cm",,,129.95,259.91,21
HCPCS,Q4183,"Surgigraft, 1 sq cm",,,129.95,259.91,21
HCPCS,Q4184,"Cellesta, 1 sq cm",,,80.04,761.69,24
HCPCS,Q4186,Epifix 1 sq cm,,,129.95,259.91,24
HCPCS,Q4187,Epicord 1 sq cm,,,129.95,296.13,24
HCPCS,Q4188,Amnioarmor 1 sq cm,,,129.95,818.11,24
HCPCS,Q4190,Artacent ac 1 sq cm,,,129.95,287.54,24
HCPCS,Q4191,Restorigin 1 sq cm,,,129.95,1429.78,24
HCPCS,Q4193,Coll-e-derm 1 sq cm,,,129.95,2856.03,24
HCPCS,Q4194,Novachor 1 sq cm,,,129.95,1047.88,24
HCPCS,Q4195,Puraply 1 sq cm,,,100.17,259.91,22
HCPCS,Q4196,Puraply am 1 sq cm,,,105.46,259.91,24
HCPCS,Q4197,Puraply xt 1 sq cm,,,73.54,259.91,24
HCPCS,Q4199,"Cygnus matrix, per sq cm",,,129.95,443.82,24
HCPCS,Q4201,Matrion 1 sq cm,,,86.35,259.91,24
HCPCS,Q4203,"Derma-gide, 1 sq cm",,,129.95,366.22,22
HCPCS,Q4204,Xwrap 1 sq cm,,,129.95,4174.07,24
HCPCS,Q4205,Membrane graft or wrap sq cm,,,129.95,1483.52,24
HCPCS,Q4213,"Ascent, 0.5 mg",,,84.16,84.16,2
HCPCS,Q4217,Woundfix biowound plus xplus,,,129.95,452.45,24
HCPCS,Q4219,Surgigraft dual per sq cm,,,129.95,962.57,21
HCPCS,Q4221,Amniowrap2 per sq cm,,,129.95,2343.3,24
HCPCS,Q4222,"Progenamatrix, per sq cm",,,129.95,259.91,24
HCPCS,Q4225,"Amniobind, per sq cm",,,129.95,1780.65,24
HCPCS,Q4227,Amniocore per sq cm,,,129.95,1534.05,24
HCPCS,Q4229,Cogenex amnio memb per sq cm,,,129.95,1060.13,24
HCPCS,Q4231,"Corplex p, per cc",,,656.14,1235.99,3
HCPCS,Q4232,"Corplex, per sq cm",,,129.95,323.47,24
HCPCS,Q4234,"Xcellerate, per sq cm",,,129.95,619.03,24
HCPCS,Q4235,Amniorepair or altiply sq cm,,,94.93,259.91,24
HCPCS,Q4236,Carepatch per sq cm,,,129.95,748.59,24
HCPCS,Q4237,"cryo-cord, per sq cm",,,129.95,609.29,21
HCPCS,Q4238,"Derm-maxx, per sq cm",,,129.95,1900.75,24
HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,129.95,3081.37,24
HCPCS,Q4246,"Coretext or protext, per cc",,,3928.4,3928.4,2
HCPCS,Q4247,"Amniotext patch, per sq cm",,,129.95,2778.07,21
HCPCS,Q4248,Dermacyte Amn mem allo sq cm,,,129.95,3290.78,24
HCPCS,Q4249,"Amniply, per sq cm",,,129.95,3296.64,21
HCPCS,Q4250,AmnioAMP-MP per sq cm,,,129.95,3483.56,22
HCPCS,Q4251,"Vim, per square centimeter",,,129.95,259.91,21
HCPCS,Q4252,"Vendaje, per square centimet",,,93.9,259.91,24
HCPCS,Q4253,Zenith amniotic membrane psc,,,71.5,259.91,24
HCPCS,Q4256,"Mlg complet, per sq cm",,,129.95,1186.85,24
HCPCS,Q4257,"Relese, per sq cm",,,129.95,636.1,24
HCPCS,Q4258,"Enverse, per sq cm",,,71.82,259.91,24
HCPCS,Q4259,Celera per sq cm,,,129.95,1562.5,24
HCPCS,Q4261,"Tag, per square centimeter",,,129.95,883.55,21
HCPCS,Q4262,"Dual layer impax, per sq cm",,,129.95,369.07,24
HCPCS,Q4263,"Surgraft tl, per sq cm",,,129.95,1713.0,24
HCPCS,Q4264,"Cocoon membrane, per sq cm",,,129.95,3952.63,22
HCPCS,Q4265,Neostim tl per sq cm,,,129.95,2579.93,24
HCPCS,Q4266,Neostim per sq cm,,,129.95,1746.4,24
HCPCS,Q4267,Neostim dl per sq cm,,,129.95,453.0,24
HCPCS,Q4268,Surgraft ft per sq cm,,,129.95,1603.35,23
HCPCS,Q4269,Surgraft xt per sq cm,,,129.95,2862.0,22
HCPCS,Q4270,Complete sl per sq cm,,,129.95,3370.8,20
HCPCS,Q4271,Complete ft per sq cm,,,129.95,1880.76,24
HCPCS,Q4272,"Esano a, per sq cm",,,129.95,427.12,21
HCPCS,Q4274,"Esano ac, per sq cm",,,129.95,2600.39,22
HCPCS,Q4275,"Esano aca, per sq cm",,,129.95,3138.6,22
HCPCS,Q4276,"Orion, per sq cm",,,129.95,1001.52,24
HCPCS,Q4278,"Epieffect, per sq cm",,,129.95,373.41,24
HCPCS,Q4279,"Vendaje ac, per sq cm",,,129.95,2909.7,24
HCPCS,Q4280,Xcell amnio matrix per sq cm,,,129.95,3600.0,24
HCPCS,Q4281,Barrera slor dl per sq cm,,,129.95,1083.49,24
HCPCS,Q4282,Cygnus dual per sq cm,,,129.95,734.74,24
HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,129.95,905.66,24
HCPCS,Q4285,Nudyn dl or dl mesh pr sq cm,,,129.95,259.91,21
HCPCS,Q4286,"Nudyn sl or slw, per sq cm",,,129.95,309.15,21
HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,129.95,2268.59,22
HCPCS,Q4290,Membrane wrap hydr per sq cm,,,129.95,2707.69,24
HCPCS,Q4291,"Lamellas xt, per sq cm",,,129.95,4254.09,21
HCPCS,Q4292,"Lamellas, per sq cm",,,129.95,1794.33,21
HCPCS,Q4293,"Acesso dl, per sq cm",,,129.95,1822.44,24
HCPCS,Q4294,"Amnio quad-core, per sq cm",,,129.95,3660.81,24
HCPCS,Q4295,"Amnio tri-core, per sq cm",,,129.95,3221.51,24
HCPCS,Q4296,"Rebound matrix, per sq cm",,,129.95,3296.83,24
HCPCS,Q4297,"Emerge matrix, per sq cm",,,129.95,2580.0,24
HCPCS,Q4298,"Amnicore pro, per sq cm",,,129.95,2650.34,22
HCPCS,Q4299,"Amnicore pro+, per sq cm",,,129.95,3039.02,24
HCPCS,Q4300,"Acesso tl, per sq cm",,,129.95,2579.93,24
HCPCS,Q4301,"Activate matrix, per sq cm",,,129.95,2700.0,24
HCPCS,Q4302,"Complete aca, per sq cm",,,129.95,2450.61,24
HCPCS,Q4303,"Complete aa, per sq cm",,,129.95,4163.6,24
HCPCS,Q4304,"Grafix plus, per sq cm",,,129.95,1318.57,24
HCPCS,Q4309,"Via matrix, per sq cm",,,129.95,2563.28,22
HCPCS,Q4310,"Procenta, per 100 mg",,,2213.14,2760.37,5
HCPCS,Q4313,"Dermabind fm, per sq cm",,,129.95,4229.0,22
HCPCS,Q4319,"Sanograft, per sq cm",,,129.95,2650.0,22
HCPCS,Q4320,"Pellograft, per sq cm",,,129.95,1098.48,21
HCPCS,Q4322,"Caregraft, per sq cm",,,129.95,2880.05,22
HCPCS,Q4323,"Alloply, per sq cm",,,129.95,2391.74,22
HCPCS,Q4324,"Amniotx, per sq cm",,,129.95,2366.34,21
HCPCS,Q4325,"Acapatch, per sq cm",,,129.95,3453.41,22
HCPCS,Q4326,"Woundplus, per sq cm",,,129.95,2291.68,21
HCPCS,Q4328,"Most, per sq cm",,,129.95,4262.83,22
HCPCS,Q4331,"Axolotl graft, per sq cm",,,129.95,2478.13,21
HCPCS,Q4332,"Axolotl dualgraft, per sq cm",,,129.95,2478.98,24
HCPCS,Q4333,"Ardeograft, per sq cm",,,129.95,1044.83,21
HCPCS,Q4339,"Artacent vericlen, per sq cm",,,129.95,3469.56,21
HCPCS,Q4341,"Simplimax, per sq cm",,,129.95,4307.32,21
HCPCS,Q4342,"Theramend, per sq cm",,,129.95,5171.13,21
HCPCS,Q4343,Dermacyte ac matrx per sq cm,,,129.95,3399.3,22
HCPCS,Q4344,"Tri membrane wrap, per sq cm",,,129.95,3732.22,21
HCPCS,Q4346,Shelter dm matrix per sq cm,,,129.95,5128.4,21
HCPCS,Q4348,Sentry sl matrix per sq cm,,,129.95,2857.25,21
HCPCS,Q4349,Mantle dl matrix per sq cm,,,129.95,5128.4,21
HCPCS,Q4350,Palisade dm matrix per sq cm,,,129.95,5128.4,21
HCPCS,Q4351,"Enclose tl matrix, per sq cm",,,129.95,5494.72,21
HCPCS,Q4352,"Overlay sl matrix, per sq cm",,,129.95,2857.25,21
HCPCS,Q4353,Xceed tl matrix per sq cm,,,129.95,4329.1,21
HCPCS,Q5101,Inj filgrastim gcsf biosimil,,,0.33,0.92,24
HCPCS,Q5103,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION [176812],3824.06,1338.42,,,0
HCPCS,Q5103,"Injection, inflectra",,,13.43,39.98,24
HCPCS,Q5104,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [179338],3019.79,1056.93,,,0
HCPCS,Q5104,"Injection, renflexis",,,27.0,54.0,24
HCPCS,Q5105,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [182221]",643.8,225.33,,,0
HCPCS,Q5105,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION [182218]",128.76,45.07,,,0
HCPCS,Q5105,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION [190085]",1287.6,450.66,,,0
HCPCS,Q5105,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [182220]",257.52,90.13,,,0
HCPCS,Q5105,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [182222]",2575.2,901.32,,,0
HCPCS,Q5105,Inj Retacrit esrd on dialysi,,,0.71,0.92,5
HCPCS,Q5106,Inj Retacrit non-esrd use,,,7.07,15.7,24
HCPCS,Q5107,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [185244],652.09,228.23,,,0
HCPCS,Q5107,Inj mvasi 10 mg,,,27.86,55.72,24
HCPCS,Q5108,"Injection, fulphila",,,99.13,198.26,24
HCPCS,Q5108,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [182492],33916.68,11870.84,,,0
HCPCS,Q5110,Nivestym,,,0.29,0.61,24
HCPCS,Q5111,"Injection, udenyca 0.5 mg",,,106.33,212.67,24
HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR [200602],27860.0,9751.0,,,0
HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [183757],26793.3,9377.66,,,0
HCPCS,Q5112,Inj ontruzant 10 mg,,,19.0,42.42,24
HCPCS,Q5112,TRASTUZUMAB-DTTB 150 MG INTRAVENOUS SOLUTION [187847],1324.66,463.63,,,0
HCPCS,Q5112,TRASTUZUMAB-DTTB 420 MG INTRAVENOUS SOLUTION [187900],3709.04,1298.16,,,0
HCPCS,Q5113,Inj herzuma 10 mg,,,69.37,138.74,24
HCPCS,Q5113,TRASTUZUMAB-PKRB 150 MG INTRAVENOUS SOLUTION [187581],1402.5,490.88,,,0
HCPCS,Q5113,TRASTUZUMAB-PKRB 420 MG INTRAVENOUS SOLUTION [187401],3927.0,1374.45,,,0
HCPCS,Q5114,Inj  ogivri 10 mg,,,40.29,80.59,24
HCPCS,Q5114,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION [186586],5191.135,1816.895,,,0
HCPCS,Q5114,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION [186583],14535.18,5087.3150000000005,,,0
HCPCS,Q5115,Inj truxima 10 mg,,,29.38,58.76,24
HCPCS,Q5115,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION [186584],325.58,113.95,,,0
HCPCS,Q5116,"Inj., trazimera, 10 mg",,,19.94,55.98,24
HCPCS,Q5116,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION [187402],3391.08,1186.88,,,0
HCPCS,Q5117,"Inj., kanjinti, 10 mg",,,27.68,95.09,24
HCPCS,Q5117,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION [186405],6397.65,2239.18,,,0
HCPCS,Q5117,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [185359],3808.18,1332.86,,,0
HCPCS,Q5118,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION [187130],894.86,313.2,,,0
HCPCS,Q5118,"Inj., zirabev, 10 mg",,,25.77,51.53,24
HCPCS,Q5119,"Inj ruxience, 10 mg",,,24.9,55.69,24
HCPCS,Q5119,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [187132],276.01,96.6,,,0
HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,24.71,60.65,22
HCPCS,Q5120,PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [186644],23766.36,8318.22,,,0
HCPCS,Q5121,"Inj. avsola, 10 mg",,,19.75,40.81,24
HCPCS,Q5122,"Inj, nyvepria",,,131.16,262.32,24
HCPCS,Q5122,PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [190062],23763.13,8317.09,,,0
HCPCS,Q5123,"Inj. riabni, 10 mg",,,26.51,53.02,24
HCPCS,Q5123,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION [190176],247.96499999999997,86.785,,,0
HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,61.8,206.42,24
HCPCS,Q5125,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE [193919],1890.0,661.5,,,0
HCPCS,Q5125,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE [193920],1890.0,661.5,,,0
HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.38,0.75,24
HCPCS,Q5126,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION [194802],621.52,217.53,,,0
HCPCS,Q5126,Inj alymsys 10 mg,,,37.82,77.06,24
HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,184.91,432.54,24
HCPCS,Q5127,PEGFILGRASTIM-FPGK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [196550],42470.4,14864.64,,,0
HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,86.16,227.56,24
HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,39.96,79.93,24
HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,137.96,275.93,24
HCPCS,Q5130,PEGFILGRASTIM-PBBK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [195806],26550.0,9292.5,,,0
HCPCS,Q5133,"Inj, tofidence, 1 mg",,,5.54,11.07,22
HCPCS,Q5135,"Inj, tyenne, 1 mg",,,4.07,8.83,22
HCPCS,Q5137,"Inj, wezlana, sub cu, 1 mg",,,269.22,269.22,2
HCPCS,Q5138,"Inj, wezlana, iv, 1 mg",,,11.64,414.95,21
HCPCS,Q5140,"Inj adalimumab-fkjp, 1 mg",,,106.31,106.31,2
HCPCS,Q5141,"Inj adalimumab-aaty, 1 mg",,,53.16,53.16,2
HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,12.86,12.86,2
HCPCS,Q5143,"Inj adalimumab-adbm, 1 mg",,,12.72,12.72,2
HCPCS,Q5144,"Inj, idacio, 1 mg",,,18.32,18.32,2
HCPCS,Q5145,"Inj, abrilada, 1 mg",,,156.25,156.25,2
HCPCS,Q5146,"Inj, hercessi, 10 mg",,,40.02,129.14,21
HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,795.86,1718.73,20
HCPCS,Q9950,Inj sulf hexa lipid microsph,,,18.72,22.79,5
HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION [171776],420.38,147.13,,,0
HCPCS,Q9956,"Inj octafluoropropane mic,ml",,,41.88,50.76,5
HCPCS,Q9957,"Inj perflutren lip micros,ml",,,41.88,50.76,5
HCPCS,Q9957,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [31270],431.63,151.07,,,0
HCPCS,Q9958,"HOCM <=149 mg/ml iodine, 1ml",,,0.08,0.09,5
HCPCS,Q9958,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION [10330],0.66,0.23,,,0
HCPCS,Q9961,"HOCM 250-299mg/ml iodine,1ml",,,0.29,0.35,3
HCPCS,Q9961,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION [10333],1.23,0.43,,,0
HCPCS,Q9962,IOTHALAMATE MEGLUMINE 30 % INTRAVENOUS SOLUTION [10331],1.29,0.45,,,0
HCPCS,Q9963,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828],2.34,0.82,,,0
HCPCS,Q9963,"HOCM 350-399mg/ml iodine,1ml",,,0.22,0.27,5
HCPCS,Q9965,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION [10319],18.04,6.31,,,0
HCPCS,Q9965,"LOCM 100-199mg/ml iodine,1ml",,,0.93,1.76,5
HCPCS,Q9966,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION [17594],101.195,35.42,,,0
HCPCS,Q9966,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],18.48,6.47,,,0
HCPCS,Q9966,IOHEXOL 240 MG IODINE/ML ORAL SOLUTION [409813],18.48,6.47,,,0
HCPCS,Q9966,"LOCM 200-299mg/ml iodine,1ml",,,0.41,0.5,5
HCPCS,Q9967,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],3.97,1.39,,,0
HCPCS,Q9967,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
HCPCS,Q9967,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],4.005,1.4,,,0
HCPCS,Q9967,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [10328],6.44,2.25,,,0
HCPCS,Q9967,IOVERSOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [14356],6.44,2.25,,,0
HCPCS,Q9967,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [39700],0.28,0.1,,,0
HCPCS,Q9967,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [13178],6.44,2.25,,,0
HCPCS,Q9967,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SYRINGE [106277],6.44,2.25,,,0
HCPCS,Q9967,"LOCM 300-399mg/ml iodine,1ml",,,0.14,0.17,5
HCPCS,Q9968,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],690.6,241.71,,,0
HCPCS,Q9968,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [10358],1845.04,645.76,,,0
HCPCS,Q9968,Visualization adjunct,,,8.72,17.45,21
HCPCS,Q9969,Non-HEU TC-99M add-on/dose,,,12.2,12.2,2
HCPCS,Q9982,flutemetamol f18 diagnostic,,,1066.77,3888.02,21
HCPCS,Q9983,florbetaben f18 diagnostic,,,1553.99,3169.34,21
HCPCS,Q9991,Buprenorph xr 100 mg or less,,,1925.23,4032.85,24
HCPCS,Q9992,Buprenorphine xr over 100 mg,,,1925.23,4032.85,24
HCPCS,S0156,EXEMESTANE 25 MG TABLET [26551],7.095,2.485,,,0
HCPCS,S0630,Hb Rem Sutures By Md,197.0,68.95,,,0
HCPCS,S2079,Heller esophagomyotomy,,,5506.0,5766.0,2
HCPCS,S2083,Hb Adjustment Gastric Band,3199.0,1119.65,,,0
HCPCS,S2095,Hb S2095 Tc Occl/Emboliz W Y-90,27867.0,9753.45,,,0
HCPCS,S2112,"arthroscopy, harvest cartilage",,,5506.0,5766.0,2
HCPCS,S2300,"Arthroscopy, shoulder, surgi",,,5506.0,5766.0,2
HCPCS,S2342,Nasal endoscop po debrid,,,2064.0,2121.0,2
HCPCS,S2900,Hb Robotic Surgical System,11149.39,3902.285,,,0
HCPCS,S8424,Hb Ready Gradient Sleeve,531.42,186.0,,,0
HCPCS,S8427,Hb Ready Gradient Glove,639.54,223.84,,,0
HCPCS,U0001,2019 nCoV diagnostic P,,,35.92,71.84,19
HCPCS,U0002,COVID-19 lab test non-CDC,,,51.31,102.62,19
HCPCS,U0002,Hb Covid-19 Lab Test Non-Cdc,345.0,120.75,,,0
HCPCS,V2524,Cntct lens hydrophil photoch,,,154.45,308.9,19
HCPCS,V2632,Hb Sup Rev 276 Hcpcs  V2632,445.75,156.01,,,0
HCPCS,V2785,Hb Sup Rev 278 Hcpcs V2785,9689.57,3391.35,,,0
HCPCS,V2788,Hb Sup Rev 278 Hcpcs V2788,3036.47,1062.76,,,0
HCPCS,V2790,Hb Sup Rev 272 Hcpcs V2790,2540.03,889.01,,,0
HCPCS,V5010,Hb Assessment Of Hearing Aid,166.0,58.1,,,0
HCPCS,V5030,Hb Pocket Talker,196.56,68.8,,,0
HCPCS,V5050,Hb Hearing Aid Advanced Monoaural,8495.28,2973.35,,,0
HCPCS,V5050,Hb Hearing Aid Cros Transmitter,4248.72,1487.05,,,0
HCPCS,V5050,Hb Hearing Aid Essential Monoaural,6178.68,2162.54,,,0
HCPCS,V5050,Hb Hearing Aid Premium Monoaural,9760.8,3416.2799999999997,,,0
HCPCS,V5050,Hb Hearing Aid Standard Monoaural,6949.8,2432.43,,,0
HCPCS,V5090,Hb Dispensing Fee Hearing Aid,319.0,111.65,,,0
HCPCS,V5261,Hb Hearing Aid Advanced Binaural,12742.92,4460.02,,,0
HCPCS,V5261,Hb Hearing Aid Essential Binaural,8109.72,2838.4,,,0
HCPCS,V5261,Hb Hearing Aid Premium Binaural,15830.64,5540.72,,,0
HCPCS,V5261,Hb Hearing Aid Standard Binaural,9653.04,3378.56,,,0
HCPCS,V5264,Hb Ear Mold,87.48,30.62,,,0
HCPCS,V5299,Hb Hearing Aid Replacement In Warranty,350.0,122.5,,,0
HCPCS,V5299,Hb Office Visit Out Of Warranty,150.0,52.5,,,0
HCPCS,c9088,BUPIVACAINE-MELOXICAM ER 400 MG-12 MG/14 ML SURGICAL SITE INSTILL SOLN [191745],182.29,63.8,,,0
HCPCS,j3370,VANCOMYCIN W/HEPARIN LINE LOCK SOLUTION (SIMPLE) [411186],1.82,0.64,,,0
MS-DRG,001,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,226035.36,703906.5,45
MS-DRG,002,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,88433.09,563659.48,45
MS-DRG,003,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,171977.36,558092.87,45
MS-DRG,004,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,113386.03,353100.34,45
MS-DRG,005,Liver Transplant With Mcc Or Intestinal Transplant,,,85455.02,305793.48,45
MS-DRG,006,Liver Transplant Without Mcc,,,38912.42,305793.48,45
MS-DRG,007,Lung Transplant,,,104869.9,326579.89,45
MS-DRG,008,Simultaneous Pancreas And Kidney Transplant,,,43662.42,162626.48,45
MS-DRG,009,Bone marrow transplant,,,,,0
MS-DRG,010,Pancreas Transplant,,,63980.12,199243.25,45
MS-DRG,011,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,43299.69,134841.44,45
MS-DRG,012,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,32929.79,107442.08,45
MS-DRG,013,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,21264.65,107442.08,45
MS-DRG,014,Allogeneic Bone Marrow Transplant,,,98874.39,327404.59,45
MS-DRG,016,Autologous Bone Marrow Transplant With Cc/Mcc,,,48434.89,223995.7,45
MS-DRG,017,Autologous Bone Marrow Transplant Without Cc/Mcc,,,48434.89,223995.7,45
MS-DRG,018,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,98874.39,942415.61,45
MS-DRG,019,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,63611.77,198096.16,45
MS-DRG,020,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,64685.51,201439.96,45
MS-DRG,021,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,44356.58,201069.26,45
MS-DRG,022,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,28331.46,201069.26,45
MS-DRG,023,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,45780.22,142566.16,45
MS-DRG,024,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,30506.24,124139.14,45
MS-DRG,025,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,35887.8,111759.75,45
MS-DRG,026,Craniotomy And Endovascular Intracranial Procedures With Cc,,,24543.66,94328.93,45
MS-DRG,027,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,19802.49,91095.89,45
MS-DRG,028,Spinal Procedures With Mcc,,,37554.52,151922.79,45
MS-DRG,029,Spinal Procedures With Cc Or Spinal Neurostimulators,,,26935.91,85078.15,45
MS-DRG,030,Spinal Procedures Without Cc/Mcc,,,17801.27,55609.97,45
MS-DRG,031,Ventricular Shunt Procedures With Mcc,,,27692.65,104719.79,45
MS-DRG,032,Ventricular Shunt Procedures With Cc,,,17137.39,62736.51,45
MS-DRG,033,Ventricular Shunt Procedures Without Cc/Mcc,,,12803.09,39870.64,45
MS-DRG,034,Carotid Artery Stent Procedures With Mcc,,,21933.84,97177.5,45
MS-DRG,035,Carotid Artery Stent Procedures With Cc,,,18253.67,56844.53,45
MS-DRG,036,Carotid Artery Stent Procedures Without Cc/Mcc,,,14709.83,49690.19,45
MS-DRG,037,Extracranial Procedures With Mcc,,,20500.6,82987.61,45
MS-DRG,038,Extracranial Procedures With Cc,,,12929.08,46443.23,45
MS-DRG,039,Extracranial Procedures Without Cc/Mcc,,,9134.06,29929.96,45
MS-DRG,040,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,30268.7,94261.05,45
MS-DRG,041,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,18125.27,73195.84,45
MS-DRG,042,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,14103.94,43921.68,45
MS-DRG,043,Hyphema,,,,,0
MS-DRG,044,Acute Major Eye Infections,,,,,0
MS-DRG,045,Neurological eye disorders,,,,,0
MS-DRG,046,Other Disorders of the Eye Age >17 w CC,,,,,0
MS-DRG,047,Other Disorders of the Eye Age >17 w/o CC,,,,,0
MS-DRG,048,Other Disorders of the Eye Age 0-17,,,,,0
MS-DRG,049,Major Head & Neck Procedures,,,,,0
MS-DRG,050,Sialoadenectomy,,,,,0
MS-DRG,051,Salivary Gland Procedures Except Sialoadenectomy,,,,,0
MS-DRG,052,Spinal Disorders And Injuries With Cc/Mcc,,,16149.51,50291.89,45
MS-DRG,053,Spinal Disorders And Injuries Without Cc/Mcc,,,7393.43,37175.75,45
MS-DRG,054,Nervous System Neoplasms With Mcc,,,12030.28,37464.01,45
MS-DRG,055,Nervous System Neoplasms Without Mcc,,,8754.47,27262.68,45
MS-DRG,056,Degenerative Nervous System Disorders With Mcc,,,11087.38,62577.46,45
MS-DRG,057,Degenerative Nervous System Disorders Without Mcc,,,10710.97,33355.49,45
MS-DRG,058,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,9992.17,46125.89,45
MS-DRG,059,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,9818.59,30576.49,45
MS-DRG,060,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,7161.51,22636.83,45
MS-DRG,061,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,21693.18,67555.67,45
MS-DRG,062,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,14290.92,62580.56,45
MS-DRG,063,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,11272.72,62580.56,45
MS-DRG,064,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,14326.33,49709.6,45
MS-DRG,065,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,8161.43,32455.68,45
MS-DRG,066,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,5523.61,32455.68,45
MS-DRG,067,Precerebral Occlusion Without Infarction With Mcc,,,9033.39,36381.9,45
MS-DRG,068,Precerebral Occlusion Without Infarction Without Mcc,,,7074.84,22032.07,45
MS-DRG,069,Transient Ischemia Without Thrombolytic,,,6421.61,20155.66,45
MS-DRG,070,Other Cerebrovascular Disorders With Mcc,,,13953.07,43451.85,45
MS-DRG,071,Other Cerebrovascular Disorders With Cc,,,8456.75,33046.03,45
MS-DRG,072,Other Cerebrovascular Disorders Without Cc/Mcc,,,6019.55,18745.75,45
MS-DRG,073,Cranial And Peripheral Nerve Disorders With Mcc,,,11977.32,38623.59,45
MS-DRG,074,Cranial And Peripheral Nerve Disorders Without Mcc,,,8304.48,26050.62,45
MS-DRG,075,Viral Meningitis With Cc/Mcc,,,13822.26,43044.5,45
MS-DRG,076,Viral Meningitis Without Cc/Mcc,,,7358.12,40581.43,45
MS-DRG,077,Hypertensive Encephalopathy With Mcc,,,12337.48,38641.08,16
MS-DRG,078,Hypertensive Encephalopathy With Cc,,,8007.35,27950.03,16
MS-DRG,079,Hypertensive Encephalopathy Without Cc/Mcc,,,5350.27,27950.03,16
MS-DRG,080,Nontraumatic Stupor And Coma With Mcc,,,9918.41,49677.11,45
MS-DRG,081,Nontraumatic Stupor And Coma Without Mcc,,,7261.02,22611.86,45
MS-DRG,082,Traumatic Stupor And Coma >1 Hour With Mcc,,,16611.41,57981.62,45
MS-DRG,083,Traumatic Stupor And Coma >1 Hour With Cc,,,11157.16,37632.44,45
MS-DRG,084,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,7671.9,37632.44,45
MS-DRG,085,Traumatic Stupor And Coma <1 Hour With Mcc,,,16728.18,56627.11,45
MS-DRG,086,Traumatic Stupor And Coma <1 Hour With Cc,,,10525.59,37896.98,45
MS-DRG,087,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,7094.1,22092.04,45
MS-DRG,088,Concussion With Mcc,,,11265.62,35252.3,45
MS-DRG,089,Concussion With Cc,,,8603.6,26792.85,45
MS-DRG,090,Concussion Without Cc/Mcc,,,6428.72,21422.29,45
MS-DRG,091,Other Disorders Of Nervous System With Mcc,,,12382.96,45553.59,45
MS-DRG,092,Other Disorders Of Nervous System With Cc,,,8496.87,28053.07,45
MS-DRG,093,Other Disorders Of Nervous System Without Cc/Mcc,,,6334.13,19725.4,45
MS-DRG,094,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,29278.41,91177.16,45
MS-DRG,095,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,19235.93,77314.41,45
MS-DRG,096,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,19235.93,77314.41,45
MS-DRG,097,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,28768.02,89587.74,45
MS-DRG,098,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,17407.03,77314.41,45
MS-DRG,099,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,11180.43,77314.41,45
MS-DRG,100,Seizures With Mcc,,,12503.42,49612.13,45
MS-DRG,101,Seizures Without Mcc,,,7351.85,23031.71,45
MS-DRG,102,Headaches With Mcc,,,7351.85,28974.57,45
MS-DRG,103,Headaches Without Mcc,,,6822.86,21247.35,45
MS-DRG,104,Cardiac Valve & Oth Major Cardiothoracic Proc w Cardiac Cath,,,,,0
MS-DRG,105,Cardiac Valve & Oth Major Cardiothoracic Proc w/o Cardiac Cath,,,,,0
MS-DRG,106,Coronary Bypass w PTCA,,,,,0
MS-DRG,107,No Longer Valid,,,,,0
MS-DRG,108,Other Cardiothoracic Procedures,,,,,0
MS-DRG,109,No Longer Valid,,,,,0
MS-DRG,110,Major Cardiovascular Procedures w CC,,,,,0
MS-DRG,111,Major Cardiovascular Procedures w/o CC,,,,,0
MS-DRG,112,No Longer Valid,,,,,0
MS-DRG,113,Orbital Procedures With Cc/Mcc,,,13889.96,56394.69,45
MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,9486.35,31467.11,45
MS-DRG,115,Extraocular Procedures Except Orbit,,,10158.11,38258.72,45
MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,8131.16,41697.48,45
MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,7746.42,26955.29,45
MS-DRG,118,Cardiac Pacemaker Device Replacement,,,,,0
MS-DRG,119,Vein ligation & stripping,,,,,0
MS-DRG,120,Other circulatory system O.R. procedures,,,,,0
MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,8056.18,29067.03,45
MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,5443.36,18250.92,45
MS-DRG,123,Neurological Eye Disorders,,,6445.68,20072.77,45
MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,9786.89,32583.27,45
MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,6198.86,20635.07,45
MS-DRG,126,Acute & Subacute Endocarditis,,,,,0
MS-DRG,127,Heart Failure & Shock,,,,,0
MS-DRG,128,Deep Vein Thrombophlebitis,,,,,0
MS-DRG,129,Major Head & Neck Procedures W Cc/Mcc Or Major Device,,,,,0
MS-DRG,130,Major Head & Neck Procedures W/O Cc/Mcc,,,,,0
MS-DRG,131,Cranial/Facial Procedures W Cc/Mcc,,,,,0
MS-DRG,132,Cranial/Facial Procedures W/O Cc/Mcc,,,,,0
MS-DRG,133,"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc",,,,,0
MS-DRG,134,"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc",,,,,0
MS-DRG,135,Sinus And Mastoid Procedures With Cc/Mcc,,,14471.37,60250.8,45
MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,5921.06,24446.2,45
MS-DRG,137,Mouth Procedures With Cc/Mcc,,,11222.96,36150.98,45
MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,6528.34,20330.18,45
MS-DRG,139,Salivary Gland Procedures,,,10027.81,34310.14,45
MS-DRG,140,Major Head And Neck Procedures With Mcc,,,21694.15,105686.94,45
MS-DRG,141,Major Head And Neck Procedures With Cc,,,17240.11,53688.17,45
MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,12617.71,49147.17,45
MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,16862.17,82512.78,45
MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,14096.72,43899.19,45
MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,9507.22,37707.62,45
MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,15142.51,57326.85,45
MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,9988.72,34304.72,45
MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,6425.62,34304.72,45
MS-DRG,149,Dysequilibrium,,,5998.69,18680.77,45
MS-DRG,150,Epistaxis With Mcc,,,6804.85,34540.06,45
MS-DRG,151,Epistaxis Without Mcc,,,6082.95,18943.18,45
MS-DRG,152,Otitis Media And Uri With Mcc,,,9105.97,28357.29,45
MS-DRG,153,Otitis Media And Uri Without Mcc,,,5711.39,18615.72,45
MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,9825.0,40640.36,45
MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,7492.14,23331.6,45
MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,5396.01,18654.71,45
MS-DRG,157,Dental And Oral Diseases With Mcc,,,10644.87,40920.26,45
MS-DRG,158,Dental And Oral Diseases With Cc,,,7547.51,24115.5,45
MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,5293.29,21910.02,45
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,,,36986.42,115181.02,45
MS-DRG,164,Major Chest Procedures With Cc,,,20197.32,89377.73,45
MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,14957.8,89377.73,45
MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,30904.28,96240.34,45
MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,14662.48,83900.23,45
MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,10864.25,34574.84,45
MS-DRG,169,Mouth Procedures w/o CC,,,,,0
MS-DRG,171,Other Digestive System O.R. Procedures w/o CC,,,,,0
MS-DRG,173,Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism,,,24623.91,85629.53,45
MS-DRG,174,G.I. hemorrhage w CC,,,,,0
MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,11308.03,37022.59,45
MS-DRG,176,Pulmonary Embolism Without Mcc,,,6536.36,37022.59,45
MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,12972.41,47601.66,45
MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,7961.6,47601.66,45
MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,6176.84,42263.39,45
MS-DRG,180,Respiratory Neoplasms With Mcc,,,14025.29,43676.77,45
MS-DRG,181,Respiratory Neoplasms With Cc,,,8909.36,39865.77,45
MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,6720.94,39865.77,45
MS-DRG,183,Major Chest Trauma With Mcc,,,12049.85,39665.72,45
MS-DRG,184,Major Chest Trauma With Cc,,,8570.7,27298.41,45
MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,6240.24,19433.0,45
MS-DRG,186,Pleural Effusion With Mcc,,,12679.5,39485.78,45
MS-DRG,187,Pleural Effusion With Cc,,,8056.3,34761.41,45
MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,5891.15,18849.63,45
MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,9930.94,39771.09,45
MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,9014.48,28072.39,45
MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,6894.28,25415.96,45
MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,5193.78,25415.96,45
MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,10575.35,32933.14,45
MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,6580.5,29520.6,45
MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,4997.97,22102.16,45
MS-DRG,196,Interstitial Lung Disease With Mcc,,,15114.24,47088.04,45
MS-DRG,197,Interstitial Lung Disease With Cc,,,7943.95,34240.67,45
MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,5620.71,20726.52,45
MS-DRG,199,Pneumothorax With Mcc,,,14165.73,44114.11,45
MS-DRG,200,Pneumothorax With Cc,,,8886.89,33483.23,45
MS-DRG,201,Pneumothorax Without Cc/Mcc,,,5432.12,16916.41,45
MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,7757.77,24158.8,45
MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,5587.81,20874.11,45
MS-DRG,204,Respiratory Signs And Symptoms,,,6507.47,20265.2,45
MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,10576.04,47175.51,45
MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,6400.44,22636.85,45
MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,48249.79,161634.29,45
MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,21539.9,109307.83,45
MS-DRG,209,Complex Aortic Arch Procedures,,,102476.4,184457.52,29
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,,,87417.13,299931.68,45
MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,52913.23,95243.81,29
MS-DRG,214,No Longer Valid,,,,,0
MS-DRG,215,Other Heart Assist System Implant,,,85018.46,324359.07,45
MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,77444.46,241173.15,45
MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,51820.64,218351.11,45
MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,47741.53,218351.11,45
MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,62089.43,193355.37,45
MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,42502.81,158159.82,45
MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,36853.21,158159.82,45
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,,,39987.77,154063.53,45
MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,24926.45,154063.53,45
MS-DRG,230,Other cardiothoracic procedures w/o CC/MCC,,,,,0
MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,67999.04,211758.74,45
MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,49019.11,207170.54,45
MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,62721.8,195324.66,45
MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,42692.2,132949.62,45
MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,47217.5,147042.05,45
MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,32997.2,102757.99,45
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,,,32836.85,125867.17,45
MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,23368.8,74390.48,45
MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,12116.15,74390.48,45
MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,27220.8,86345.19,45
MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,18077.92,86345.19,45
MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,14482.72,58467.56,45
MS-DRG,245,Aicd Generator Procedures,,,38113.8,122118.52,45
MS-DRG,246,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0
MS-DRG,247,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc,,,,,0
MS-DRG,248,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0
MS-DRG,249,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc,,,,,0
MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,18559.42,57796.69,45
MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,12539.06,47309.27,45
MS-DRG,252,Other Vascular Procedures With Mcc,,,27527.36,86205.96,45
MS-DRG,253,Other Vascular Procedures With Cc,,,20487.02,86205.96,45
MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,14038.13,57701.77,45
MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,20661.62,65383.95,45
MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,13591.14,46808.02,45
MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,7157.5,46808.02,45
MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,17625.5,70109.75,45
MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,14104.74,43924.18,45
MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,16411.05,85139.34,45
MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,15226.64,47417.92,45
MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,12179.54,37928.84,45
MS-DRG,263,Vein Ligation And Stripping,,,16690.08,67023.36,45
MS-DRG,264,Other Circulatory System O.R. Procedures,,,28046.57,87341.05,45
MS-DRG,265,Aicd Lead Procedures,,,28624.37,89140.4,45
MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,48072.96,250400.22,45
MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,37752.81,188014.59,45
MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,51105.22,166620.0,45
MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,28105.66,103972.56,45
MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,41190.72,128273.8,45
MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,27641.31,115776.69,45
MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,20078.55,63672.17,45
MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,31377.75,97714.81,45
MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,20728.0,77991.91,45
MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,56708.66,195925.92,45
MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,49706.85,154794.25,45
MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,37333.91,138970.45,45
MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,40148.27,125027.47,45
MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,25713.71,89127.11,45
MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,13173.04,43962.06,45
MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,7397.45,43962.06,45
MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,5818.93,28518.11,45
MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,15692.09,48867.4,45
MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,5945.72,44229.39,45
MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,4504.43,44229.39,45
MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,17297.3,55312.58,45
MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,8744.04,28977.59,45
MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,21918.68,74730.21,45
MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,12652.22,74730.21,45
MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,7856.48,74730.21,45
MS-DRG,291,Heart Failure And Shock With Mcc,,,10471.82,32610.76,45
MS-DRG,292,Heart Failure And Shock With Cc,,,6911.93,28133.82,45
MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,4405.73,28133.82,45
MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,8997.74,30686.45,16
MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,6338.15,20384.0,16
MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,12548.9,40942.76,45
MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,5652.81,28429.0,45
MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,3543.84,28429.0,45
MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,11528.67,40427.94,45
MS-DRG,300,Peripheral Vascular Disorders With Cc,,,8590.76,26752.87,45
MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,5724.23,17826.08,45
MS-DRG,302,Atherosclerosis With Mcc,,,7956.61,29069.53,45
MS-DRG,303,Atherosclerosis Without Mcc,,,5396.01,16803.95,45
MS-DRG,304,Hypertension With Mcc,,,7146.57,29359.43,45
MS-DRG,305,Hypertension Without Mcc,,,6024.37,18760.74,45
MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,11220.14,37421.52,45
MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,7433.56,23149.16,45
MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,9678.15,30139.15,45
MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,5932.88,22895.8,45
MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,4489.99,13982.46,45
MS-DRG,311,Angina Pectoris,,,5605.46,17456.21,45
MS-DRG,312,Syncope And Collapse,,,6992.18,21774.66,45
MS-DRG,313,Chest Pain,,,5724.23,17826.08,45
MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,14768.84,53815.62,45
MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,7722.46,33458.17,45
MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,5477.87,17058.86,45
MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,49642.65,172261.54,45
MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,23903.43,43026.17,29
MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,33157.67,109772.97,45
MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,18574.67,57844.17,45
MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,22844.77,80051.77,45
MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,14518.03,50776.22,45
MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,34180.08,115286.58,45
MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,25639.88,82666.6,45
MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,22967.55,73635.82,45
MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,40756.57,126921.79,45
MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,19485.5,121187.36,45
MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,12787.04,39820.66,45
MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,36848.39,114751.17,45
MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,18968.69,98389.02,45
MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,13249.28,41945.94,45
MS-DRG,332,Rectal Resection With Mcc,,,27834.71,86681.28,45
MS-DRG,333,Rectal Resection With Cc,,,17053.93,77314.41,45
MS-DRG,334,Rectal Resection Without Cc/Mcc,,,13308.66,44535.71,45
MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,29081.8,90564.88,45
MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,16952.01,82101.31,45
MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,12318.38,38361.19,45
MS-DRG,338,Appendectomy With Complicated Principal Diagnosis With Mcc,,,,,0
MS-DRG,339,Appendectomy With Complicated Principal Diagnosis With Cc,,,,,0
MS-DRG,340,Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,341,Appendectomy Without Complicated Principal Diagnosis With Mcc,,,,,0
MS-DRG,342,Appendectomy Without Complicated Principal Diagnosis With Cc,,,,,0
MS-DRG,343,Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,21622.56,67335.75,45
MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,11950.83,54237.6,45
MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,9992.73,32419.48,45
MS-DRG,347,Anal And Stomal Procedures With Mcc,,,15486.69,59143.7,45
MS-DRG,348,Anal And Stomal Procedures With Cc,,,10101.87,35084.44,45
MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,7069.22,22014.57,45
MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,13982.15,60473.22,45
MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,12075.22,37603.96,45
MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,8492.54,27552.58,45
MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,16739.25,73293.6,45
MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,13651.33,42512.19,45
MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,9409.53,33315.5,45
MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,34229.84,106596.61,45
MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,18071.5,85044.74,45
MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,10873.88,33862.81,45
MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,32880.07,59184.13,29
MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,23833.66,42900.59,29
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,,,13400.95,41732.47,45
MS-DRG,369,Major Esophageal Disorders With Cc,,,8166.24,30982.57,45
MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,5600.65,30982.57,45
MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,14030.11,43691.77,45
MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,8260.13,37253.72,45
MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,5820.53,37253.72,45
MS-DRG,374,Digestive Malignancy With Mcc,,,16944.79,52768.5,45
MS-DRG,375,Digestive Malignancy With Cc,,,9860.32,38944.03,45
MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,7085.27,22064.55,45
MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,12164.16,45436.14,45
MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,7911.85,27557.39,45
MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,5108.72,15909.27,45
MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,13383.53,48090.18,45
MS-DRG,381,Complicated Peptic Ulcer With Cc,,,8740.03,30319.81,45
MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,6013.13,30319.81,45
MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,10145.21,31593.62,45
MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,6978.54,21732.17,45
MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,13038.22,40602.88,45
MS-DRG,386,Inflammatory Bowel Disease With Cc,,,7964.01,30264.12,45
MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,5379.16,30264.12,45
MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,11757.3,36736.77,45
MS-DRG,389,Gastrointestinal Obstruction With Cc,,,6433.64,26635.66,45
MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,4390.48,14583.47,45
MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,9759.85,32110.94,45
MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,6261.91,19500.48,45
MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,13288.6,41382.6,45
MS-DRG,394,Other Digestive System Diagnoses With Cc,,,7553.93,33129.58,45
MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,5107.11,31327.88,45
MS-DRG,396,Red Blood Cell Disorders Age 0-17,,,,,0
MS-DRG,397,Appendix Procedures With Mcc,,,19882.74,62561.07,45
MS-DRG,398,Appendix Procedures With Cc,,,12144.23,42140.87,45
MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,9020.9,30996.5,45
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,,,31531.83,109416.43,45
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",,,43562.91,135661.14,45
MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,22535.81,128650.36,45
MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,17138.19,53370.78,45
MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,28096.33,97701.2,45
MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,16822.81,97701.2,45
MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,12446.78,48158.6,45
MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,21959.61,85944.2,45
MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,17105.29,85944.2,45
MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,13340.76,44864.3,45
MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,28116.39,87558.47,45
MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,15873.45,71700.46,45
MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,10995.86,34242.67,45
MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,19071.41,59391.11,45
MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,13309.46,51269.11,45
MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,10573.74,32928.14,45
MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,28321.83,88584.09,45
MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,13140.94,88584.09,45
MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,11791.13,69812.43,45
MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,32638.48,105779.61,45
MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,18321.88,105779.61,45
MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,12404.24,105779.61,45
MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,84114.84,291881.12,45
MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,56967.07,197677.5,45
MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,44179.23,153303.3,45
MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,66928.5,232243.98,45
MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,43897.55,152325.87,45
MS-DRG,431,Childhood Mental Disorders,,,,,0
MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,15721.78,48959.87,45
MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,8584.34,37011.45,45
MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,5588.61,37011.45,45
MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,14641.61,45596.08,45
MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,9048.99,37947.11,45
MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,6300.43,37947.11,45
MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,13352.0,41580.03,45
MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,6903.11,33547.28,45
MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,4936.18,33547.28,45
MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,15004.84,47240.49,45
MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,7753.76,33992.83,45
MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,5638.37,20333.88,45
MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,13518.11,42097.34,45
MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,8702.31,30965.86,45
MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,6397.53,19922.83,45
MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,53801.21,186691.86,45
MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,32767.68,113704.87,45
MS-DRG,449,Poisoning & toxic Effects of Drugs Age >17 w CC,,,,,0
MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,41326.34,143403.7,45
MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,24763.55,85930.27,45
MS-DRG,452,Complications of treatment w CC,,,,,0
MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,,,0
MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,,,0
MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,,,0
MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,62368.38,211638.78,45
MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,46055.48,143423.35,45
MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,34649.54,141292.89,45
MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,,,0
MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,,,0
MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,36958.36,153362.27,45
MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,22980.39,83727.57,45
MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,39340.55,134968.89,45
MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,23662.52,89124.32,45
MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,13930.6,89124.32,45
MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,30517.35,127311.65,45
MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,27484.82,85591.68,45
MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,21051.18,69135.75,45
MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,24145.18,81683.08,45
MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,15131.14,54699.86,45
MS-DRG,471,Cervical Spinal Fusion With Mcc,,,28577.67,121381.29,45
MS-DRG,472,Cervical Spinal Fusion With Cc,,,23248.43,72398.93,45
MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,17448.49,59158.7,45
MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,23891.96,112069.64,45
MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,17310.73,54126.21,45
MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,9333.08,54126.21,45
MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,27596.37,85939.05,45
MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,18765.66,64527.07,45
MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,14249.99,64527.07,45
MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,21514.69,73498.53,45
MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,16651.07,51853.83,45
MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,12730.86,39645.72,45
MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,20101.11,63679.57,45
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,,,25869.39,80560.99,45
MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,17018.62,76537.48,45
MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,12680.3,43285.38,45
MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,15108.1,49114.81,45
MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,9939.77,34226.75,45
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",,,19051.37,88743.04,45
MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,19051.37,60003.39,45
MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,12230.54,47120.53,45
MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,22353.0,87975.82,45
MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,15832.52,50639.77,45
MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,10777.58,33562.91,45
MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,16714.66,63094.78,45
MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,9315.42,37866.35,45
MS-DRG,500,Soft Tissue Procedures With Mcc,,,19546.74,79183.98,45
MS-DRG,501,Soft Tissue Procedures With Cc,,,14323.82,44606.44,45
MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,9737.72,34914.93,45
MS-DRG,503,Foot Procedures With Mcc,,,13722.79,66138.68,45
MS-DRG,504,Foot Procedures With Cc,,,13722.79,43874.2,45
MS-DRG,505,Foot Procedures Without Cc/Mcc,,,13722.79,43874.2,45
MS-DRG,506,Major Thumb Or Joint Procedures,,,12029.48,37461.51,45
MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,11951.51,48435.06,45
MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,10357.07,32253.38,45
MS-DRG,509,Arthroscopy,,,11716.73,43896.69,16
MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,9461.15,71424.28,45
MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,9461.15,49017.35,45
MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,9461.15,40178.03,45
MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,8778.95,37623.95,45
MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,8182.29,25480.82,45
MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,24814.91,77277.17,45
MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,16143.09,58325.54,45
MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,11978.12,37301.57,45
MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,28760.0,89562.75,45
MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,15822.89,49274.75,45
MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,11500.63,35814.6,45
MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,23389.67,72838.77,45
MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,16918.31,54699.86,45
MS-DRG,523,Alc/Drug Abuse or Depend w/o Rehabilitation therapy w/o CC,,,,,0
MS-DRG,524,Transient ischemia,,,,,0
MS-DRG,525,Other heart assist system implant,,,,,0
MS-DRG,526,No Longer Valid,,,,,0
MS-DRG,527,No Longer Valid,,,,,0
MS-DRG,528,Intracranial Vascular Proc w Pdx Hemorrhage,,,,,0
MS-DRG,529,Ventricular shunt procedures w CC,,,,,0
MS-DRG,530,Ventricular Shunt Procedures w/o CC,,,,,0
MS-DRG,531,Spinal Procedures w CC,,,,,0
MS-DRG,532,Spinal Procedures w/o CC,,,,,0
MS-DRG,533,Fractures Of Femur With Mcc,,,9381.25,38106.28,45
MS-DRG,534,Fractures Of Femur Without Mcc,,,6531.55,21252.83,45
MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,8467.96,33235.53,45
MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,6507.47,20265.2,45
MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,6545.49,22964.23,45
MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,5388.79,16781.46,45
MS-DRG,539,Osteomyelitis With Mcc,,,16232.17,50549.3,45
MS-DRG,540,Osteomyelitis With Cc,,,10387.56,39414.64,45
MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,7020.27,39414.64,45
MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,12331.33,46605.72,45
MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,8512.92,27936.11,45
MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,6064.49,27936.11,45
MS-DRG,545,Connective Tissue Disorders With Mcc,,,16830.21,63144.76,45
MS-DRG,546,Connective Tissue Disorders With Cc,,,9290.54,38128.11,45
MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,5988.26,18648.28,45
MS-DRG,548,Septic Arthritis With Mcc,,,13463.43,50344.37,45
MS-DRG,549,Septic Arthritis With Cc,,,9670.13,30500.82,45
MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,6918.35,30500.82,45
MS-DRG,551,Medical Back Problems With Mcc,,,8978.08,42642.14,45
MS-DRG,552,Medical Back Problems Without Mcc,,,7734.5,24086.33,45
MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,8791.24,32645.74,45
MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,6697.67,20857.49,45
MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,6867.54,33650.38,45
MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,6552.41,20405.15,45
MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,10030.27,38728.55,45
MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,6932.0,22723.15,45
MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,8338.89,46385.8,45
MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,8338.89,28459.75,45
MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,6561.24,20432.64,45
MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,9092.39,36579.33,45
MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,7171.94,22334.46,45
MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,10020.44,39215.88,45
MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,8182.29,25480.82,45
MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,6002.7,22700.87,45
MS-DRG,567,"Stomach, Esophageal & Duodenal Proc Age > 17 w CC w Major Gi Dx",,,,,0
MS-DRG,568,"Stomach, Esophageal & Duodenal Procedures Proc Age > 17 w CC w/o Major Gi Dx",,,,,0
MS-DRG,569,Major Small & Large Bowel Procedures w CC w Major Gi Dx,,,,,0
MS-DRG,570,Skin Debridement With Mcc,,,24158.46,75232.91,45
MS-DRG,571,Skin Debridement With Cc,,,13440.27,57281.28,45
MS-DRG,572,Skin Debridement Without Cc/Mcc,,,9167.76,30851.69,45
MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,25284.64,153889.58,45
MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,25284.64,86586.32,45
MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,13618.31,49894.53,45
MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,20644.41,134823.95,45
MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,20644.41,66541.04,45
MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,10342.49,42242.29,45
MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,21794.95,81448.17,45
MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,14227.52,49375.52,45
MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,11548.78,35964.55,45
MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,10796.06,43761.74,45
MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,8547.86,41047.72,45
MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,11357.81,51164.07,45
MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,10771.48,49607.14,45
MS-DRG,592,Skin Ulcers With Mcc,,,12740.66,51386.49,45
MS-DRG,593,Skin Ulcers With Cc,,,9811.37,30554.0,45
MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,6810.02,28863.42,45
MS-DRG,595,Major Skin Disorders With Mcc,,,12596.84,52855.97,45
MS-DRG,596,Major Skin Disorders Without Mcc,,,6930.23,27015.27,45
MS-DRG,597,Malignant Breast Disorders With Mcc,,,14095.91,43896.69,45
MS-DRG,598,Malignant Breast Disorders With Cc,,,8658.17,33213.12,45
MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,6860.57,21364.81,45
MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,7681.53,23921.39,45
MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,4810.99,19584.8,45
MS-DRG,602,Cellulitis With Mcc,,,10489.99,36721.78,45
MS-DRG,603,Cellulitis Without Mcc,,,7069.22,22014.57,45
MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,8531.88,37129.13,45
MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,5645.72,23084.19,45
MS-DRG,606,Minor Skin Disorders With Mcc,,,8791.24,40238.01,45
MS-DRG,607,Minor Skin Disorders Without Mcc,,,5167.56,21599.72,45
MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,18287.37,62218.55,45
MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,11499.02,62218.55,45
MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,26178.27,96587.72,45
MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,15505.91,59305.76,45
MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,9991.13,59305.76,45
MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,21879.36,68135.46,45
MS-DRG,620,O.R. Procedures For Obesity With Cc,,,12815.12,60121.67,45
MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,11730.14,60121.67,45
MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,24054.21,93566.3,45
MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,15359.85,54493.79,45
MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,8049.88,54493.79,45
MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,11767.13,71646.7,45
MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,11767.13,37716.42,45
MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,10166.07,31658.6,45
MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,31669.06,98621.98,45
MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,18057.05,74886.15,45
MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,11244.63,36365.4,45
MS-DRG,637,Diabetes With Mcc,,,9351.75,36394.39,45
MS-DRG,638,Diabetes With Cc,,,7360.53,22921.75,45
MS-DRG,639,Diabetes Without Cc/Mcc,,,5028.47,20765.51,45
MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,10589.56,33190.55,45
MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,6203.77,19530.47,45
MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,9959.83,31016.33,45
MS-DRG,643,Endocrine Disorders With Mcc,,,13299.83,41417.58,45
MS-DRG,644,Endocrine Disorders With Cc,,,8293.84,31308.38,45
MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,6251.48,19467.99,45
MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,36971.18,115133.54,45
MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,27864.41,92669.25,45
MS-DRG,652,Kidney Transplant,,,24646.38,92669.25,45
MS-DRG,653,Major Bladder Procedures With Mcc,,,41125.34,139304.83,45
MS-DRG,654,Major Bladder Procedures With Cc,,,22645.75,93167.71,45
MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,16669.53,93167.71,45
MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,26143.04,81413.18,45
MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,14669.7,69294.47,45
MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,12068.8,69294.47,45
MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,20738.21,68553.74,45
MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,10752.7,68553.74,45
MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,8238.47,32029.62,45
MS-DRG,662,Minor Bladder Procedures With Mcc,,,20768.56,77956.93,45
MS-DRG,663,Minor Bladder Procedures With Cc,,,12256.58,47050.29,45
MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,8665.4,26985.28,45
MS-DRG,665,Prostatectomy With Mcc,,,15964.85,85804.1,45
MS-DRG,666,Prostatectomy With Cc,,,13218.78,41165.18,45
MS-DRG,667,Prostatectomy Without Cc/Mcc,,,7436.66,25683.25,45
MS-DRG,668,Transurethral Procedures With Mcc,,,13971.09,72876.26,45
MS-DRG,669,Transurethral Procedures With Cc,,,12418.69,38673.57,45
MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,7322.34,23881.4,45
MS-DRG,671,Urethral Procedures With Cc/Mcc,,,13253.23,43074.49,45
MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,8093.05,27347.65,45
MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,26489.26,104712.29,45
MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,18524.11,60010.29,45
MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,12560.73,60010.29,45
MS-DRG,682,Renal Failure With Mcc,,,12053.55,38275.7,45
MS-DRG,683,Renal Failure With Cc,,,7133.42,38275.7,45
MS-DRG,684,Renal Failure Without Cc/Mcc,,,4875.19,38275.7,45
MS-DRG,685,Admit For Renal Dialysis,,,,,0
MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,14409.91,47123.03,45
MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,8447.12,32645.04,45
MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,5811.71,18098.48,45
MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,9392.46,29249.47,45
MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,6440.87,20057.78,45
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,,,5435.52,36744.27,45
MS-DRG,694,Urinary Stones Without Mcc,,,5435.52,19527.97,45
MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,7788.21,28182.35,45
MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,5064.3,17286.27,45
MS-DRG,697,Urethral Stricture,,,8039.45,25035.98,45
MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,13078.69,42007.37,45
MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,8183.9,29629.21,45
MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,5570.15,22018.62,45
MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,15572.51,48495.04,45
MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,11896.26,37046.66,45
MS-DRG,709,Penis Procedures With Cc/Mcc,,,13897.34,56154.78,45
MS-DRG,710,Penis Procedures Without Cc/Mcc,,,12047.93,37518.99,45
MS-DRG,711,Testes Procedures With Cc/Mcc,,,14985.18,47747.8,45
MS-DRG,712,Testes Procedures Without Cc/Mcc,,,8583.54,32177.21,45
MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,10608.0,36134.49,45
MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,7204.34,23481.54,45
MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,14432.04,56434.68,45
MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,11389.08,35467.23,45
MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,11245.95,46368.3,45
MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,9885.2,30783.91,45
MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,12665.68,43204.44,45
MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,9011.27,28693.55,45
MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,5847.02,18208.44,45
MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,8601.94,31566.13,45
MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,5074.14,18600.8,45
MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,8805.99,36719.28,45
MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,6557.23,20420.15,45
MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,8442.15,27510.09,45
MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,2900.91,15202.84,45
MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,16874.17,52548.58,45
MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,9740.75,51497.46,45
MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,29967.9,98397.06,45
MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,16036.36,67890.99,45
MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,12172.32,67890.99,45
MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,18827.66,99481.67,45
MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,14591.06,45438.64,45
MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,11022.34,34325.14,45
MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,14629.94,45648.56,45
MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,9618.77,29954.21,45
MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,13476.95,48829.91,45
MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,8224.02,25610.78,45
MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,10472.78,41847.43,45
MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,7664.68,23868.9,45
MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,9145.25,34042.74,45
MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,20771.91,64686.7,45
MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,10348.24,55716.28,45
MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,14518.83,45213.72,45
MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,8908.55,35362.91,45
MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,7088.8,23863.91,45
MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,11356.98,35367.26,45
MS-DRG,758,"Infections, Female Reproductive System With Cc",,,8179.88,31620.27,45
MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,5135.2,31620.27,45
MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,6860.17,24628.63,45
MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,5087.05,15841.79,45
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,,,8797.81,35502.14,45
MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,7083.88,34724.99,45
MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,4610.73,26887.82,45
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,,,5217.95,17828.58,45
MS-DRG,777,Ectopic Pregnancy,,,,,0
MS-DRG,778,Threatened Abortion,,,,,0
MS-DRG,779,Abortion Without D&C,,,4021.94,23359.09,45
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,,,13295.03,46033.42,45
MS-DRG,784,Cesarean Section With Sterilization With Cc,,,8691.08,30119.32,45
MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,7021.07,21864.63,45
MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,12966.8,40380.46,45
MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,8520.95,30119.32,45
MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,7262.63,22616.86,45
MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,14466.67,49525.89,45
MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,47708.63,154659.45,45
MS-DRG,791,Prematurity With Major Problems,,,30042.88,101465.96,45
MS-DRG,792,Prematurity Without Major Problems,,,7010.13,61222.95,45
MS-DRG,793,Full Term Neonate With Major Problems,,,6282.44,104227.46,45
MS-DRG,794,Neonate With Other Significant Problems,,,2303.52,36891.71,45
MS-DRG,795,Normal Newborn,,,1473.81,7696.15,45
MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,6897.04,31903.51,45
MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,6897.04,24196.29,45
MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,6897.04,24196.29,45
MS-DRG,799,Splenic Procedures With Mcc,,,38154.86,118819.71,45
MS-DRG,800,Splenic Procedures With Cc,,,23381.64,94379.05,45
MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,13174.64,41027.72,45
MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,22409.55,89582.74,45
MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,14283.7,50767.87,45
MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,8871.64,50767.87,45
MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,6045.21,24938.52,45
MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,5806.09,18080.99,45
MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,4079.71,15924.27,45
MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,15608.38,57239.39,45
MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,9938.96,35360.12,45
MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,7637.39,35360.12,45
MS-DRG,811,Red Blood Cell Disorders With Mcc,,,11289.57,35157.34,45
MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,7406.27,23064.19,45
MS-DRG,813,Coagulation Disorders,,,12421.9,38683.57,45
MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,16080.39,52238.69,45
MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,8154.2,36429.45,45
MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,5291.69,18587.87,45
MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,4260.41,63354.68,45
MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,4260.41,32188.41,45
MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,3749.06,20405.15,45
MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,41603.5,145495.1,45
MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,17913.41,94250.96,45
MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,9177.39,35897.57,45
MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,36759.23,116937.89,45
MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,17649.38,83276.45,45
MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,9876.37,32285.81,45
MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,36801.02,119337.02,45
MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,18936.59,83371.13,45
MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,12862.47,40055.57,45
MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,24745.89,77062.25,45
MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,11735.76,61664.4,45
MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,4260.41,28762.14,45
MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,4260.41,18675.77,45
MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,3749.06,12990.32,45
MS-DRG,834,Acute Leukemia With Mcc,,,44353.37,138122.76,45
MS-DRG,835,Acute Leukemia With Cc,,,17139.8,109505.54,45
MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,10197.37,53148.78,45
MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,40179.57,136132.84,45
MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,16275.5,136132.84,45
MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,10996.66,136132.84,45
MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,22837.31,79706.3,45
MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,12582.4,51736.94,45
MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,8440.7,26285.53,45
MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,15192.13,47310.46,45
MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,9590.68,38690.62,45
MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,6714.52,20909.97,45
MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,12280.94,63817.02,45
MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,10196.57,31753.56,45
MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,6571.67,27821.94,45
MS-DRG,849,Radiotherapy,,,14227.99,66748.46,45
MS-DRG,850,Acute Leukemia With Other Procedures,,,73920.68,256507.07,45
MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,40137.04,124992.49,45
MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,16035.56,108789.87,45
MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,13044.64,108789.87,45
MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,36203.18,112741.9,45
MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,17485.67,108789.87,45
MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,10339.41,108789.87,45
MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,12898.0,45948.45,45
MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,8024.2,29219.86,45
MS-DRG,864,Fever And Inflammatory Conditions,,,7205.65,23998.54,45
MS-DRG,865,Viral Illness With Mcc,,,8161.89,36884.22,45
MS-DRG,866,Viral Illness Without Mcc,,,5847.3,22109.54,45
MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,17207.21,53585.7,45
MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,8426.25,51141.02,45
MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,5773.99,51141.02,45
MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,19945.0,173849.89,45
MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,15747.46,49039.84,45
MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,8273.78,45184.54,45
MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,30137.53,98199.64,45
MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,7692.77,23956.37,45
MS-DRG,881,Depressive Neuroses,,,6466.82,22844.27,45
MS-DRG,882,Neuroses Except Depressive,,,6573.76,24038.84,45
MS-DRG,883,Disorders Of Personality And Impulse Control,,,8901.87,46393.29,45
MS-DRG,884,Organic Disturbances And Intellectual Disability,,,10284.72,41737.47,45
MS-DRG,885,Psychoses,,,9435.34,35224.81,45
MS-DRG,886,Behavioral And Developmental Disorders,,,7886.55,44893.83,45
MS-DRG,887,Other Mental Disorder Diagnoses,,,8727.32,29721.8,45
MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,3549.93,15596.88,45
MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,9040.77,36184.47,45
MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,4913.11,44503.97,45
MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,4913.11,22047.06,45
MS-DRG,901,Wound Debridements For Injuries With Mcc,,,25574.74,110715.13,45
MS-DRG,902,Wound Debridements For Injuries With Cc,,,15226.64,57938.47,45
MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,9782.48,57938.47,45
MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,23762.89,96487.75,45
MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,13226.0,53833.82,45
MS-DRG,906,Hand Procedures For Injuries,,,11425.41,54540.36,45
MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,31103.68,99551.65,45
MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,16186.43,70464.05,45
MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,10177.31,31693.59,45
MS-DRG,913,Traumatic Injury With Mcc,,,8944.89,40440.44,45
MS-DRG,914,Traumatic Injury Without Mcc,,,5796.91,22899.25,45
MS-DRG,915,Allergic Reactions With Mcc,,,5930.89,43429.36,45
MS-DRG,916,Allergic Reactions Without Mcc,,,1196.01,16594.02,45
MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,10213.42,40975.24,45
MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,5087.66,22102.04,45
MS-DRG,919,Complications Of Treatment With Mcc,,,12441.96,45568.59,45
MS-DRG,920,Complications Of Treatment With Cc,,,8151.8,28186.73,45
MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,5517.99,17183.81,45
MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,10684.21,42214.8,45
MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,5691.2,25485.82,45
MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,174213.29,592856.49,45
MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,53594.96,166902.39,45
MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,22842.22,79476.38,45
MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,18430.62,108128.56,45
MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,15939.04,53623.19,45
MS-DRG,935,Non-Extensive Burns,,,16816.69,54887.73,45
MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,14704.92,79316.44,45
MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,14704.92,52763.5,45
MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,14704.92,48837.41,45
MS-DRG,945,Rehabilitation With Cc/Mcc,,,12249.36,38146.26,45
MS-DRG,946,Rehabilitation Without Cc/Mcc,,,8959.11,33764.49,45
MS-DRG,947,Signs And Symptoms With Mcc,,,8358.56,32140.93,45
MS-DRG,948,Signs And Symptoms Without Mcc,,,5688.74,19855.35,45
MS-DRG,949,Aftercare With Cc/Mcc,,,7886.55,26962.79,45
MS-DRG,950,Aftercare Without Cc/Mcc,,,4703.45,15162.69,45
MS-DRG,951,Other Factors Influencing Health Status,,,4549.37,14167.4,45
MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,54793.9,170636.05,45
MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,30673.16,95520.6,45
MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,59896.19,186525.33,45
MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,32978.74,147277.21,45
MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,21215.69,147277.21,45
MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,21800.72,67890.55,45
MS-DRG,964,Other Multiple Significant Trauma With Cc,,,12039.11,54538.35,45
MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,7322.81,54538.35,45
MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,50749.3,158040.58,45
MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,21291.93,144706.94,45
MS-DRG,974,Hiv With Major Related Condition With Mcc,,,23290.88,74623.13,45
MS-DRG,975,Hiv With Major Related Condition With Cc,,,11405.93,52764.5,45
MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,8048.27,52764.5,45
MS-DRG,977,Hiv With Or Without Other Related Condition,,,11570.45,36032.02,45
MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,38153.26,118814.71,45
MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,19649.21,107923.83,45
MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,13386.5,107923.83,45
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,,,24052.99,87543.47,45
MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,13770.9,54491.01,45
MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,9272.09,54491.01,45
MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0
MS-DRG,999,Ungroupable,,,,,0
NDC,0000-1139-14,PRISMASATE BGK 2/0 DIALYSIS SOLUTION [408464],185.34,64.87,,,0
NDC,0000-1139-16,PRISMASATE BGK 4/2.5 DIALYSIS SOLUTION [161122],177.22,62.03,,,0
NDC,0000-1139-17,PRISMASATE B22GK 4/0 DIALYSIS SOLUTION [408462],185.34,64.87,,,0
NDC,0000-1139-19,PRISMASATE BGK 4/0/1.2 DIALYSIS SOLUTION [408463],185.34,64.87,,,0
NDC,00000-0921-38,LIDOCAINE INJECTION [333888],14.88,5.21,,,0
NDC,0002-1407-01,QUINIDINE GLUCONATE 80 MG/ML INJECTION SOLUTION [6775],43.29,15.15,,,0
NDC,0002-3004-75,"FLUOXETINE 90 MG CAPSULE,DELAYED RELEASE [29800]",36.3,12.7,,,0
NDC,0002-3227-30,ATOMOXETINE 10 MG CAPSULE [34444],13.18,4.61,,,0
NDC,0002-3228-30,ATOMOXETINE 25 MG CAPSULE [34446],13.18,4.61,,,0
NDC,0002-3229-30,ATOMOXETINE 40 MG CAPSULE [34447],14.32,5.01,,,0
NDC,0002-3235-60,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",8.34,2.92,,,0
NDC,0002-3237-33,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",4.31,1.51,,,0
NDC,0002-3239-30,ATOMOXETINE 60 MG CAPSULE [34448],14.32,5.01,,,0
NDC,0002-3240-01,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",7.27,2.54,,,0
NDC,0002-3240-30,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",9.35,3.27,,,0
NDC,0002-3240-33,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",7.27,2.54,,,0
NDC,0002-3251-30,ATOMOXETINE 100 MG CAPSULE [70509],15.45,5.41,,,0
NDC,0002-3270-01,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",7.27,2.54,,,0
NDC,0002-3270-30,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",9.35,3.27,,,0
NDC,0002-3270-33,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",7.27,2.54,,,0
NDC,0002-4112-01,OLANZAPINE 2.5 MG TABLET [21057],10.37,3.63,,,0
NDC,0002-4112-33,OLANZAPINE 2.5 MG TABLET [21057],10.37,3.63,,,0
NDC,0002-4115-01,OLANZAPINE 5 MG TABLET [17936],12.24,4.28,,,0
NDC,0002-4115-30,OLANZAPINE 5 MG TABLET [17936],15.75,5.51,,,0
NDC,0002-4115-33,OLANZAPINE 5 MG TABLET [17936],12.24,4.28,,,0
NDC,0002-4116-01,OLANZAPINE 7.5 MG TABLET [17938],14.89,5.21,,,0
NDC,0002-4116-33,OLANZAPINE 7.5 MG TABLET [17938],14.89,5.21,,,0
NDC,0002-4117-01,OLANZAPINE 10 MG TABLET [17937],18.44,6.45,,,0
NDC,0002-4117-30,OLANZAPINE 10 MG TABLET [17937],23.73,8.31,,,0
NDC,0002-4117-33,OLANZAPINE 10 MG TABLET [17937],18.44,6.45,,,0
NDC,0002-4165-02,RALOXIFENE 60 MG TABLET [22143],6.6,2.31,,,0
NDC,0002-4165-30,RALOXIFENE 60 MG TABLET [22143],6.6,2.31,,,0
NDC,0002-4420-01,OLANZAPINE 20 MG TABLET [28158],36.88,12.91,,,0
NDC,0002-4453-01,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],16.73,5.86,,,0
NDC,0002-4453-85,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],16.73,5.86,,,0
NDC,0002-4454-01,OLANZAPINE 10 MG DISINTEGRATING TABLET [28160],24.71,8.65,,,0
NDC,0002-4454-85,OLANZAPINE 10 MG DISINTEGRATING TABLET [28160],24.71,8.65,,,0
NDC,0002-4456-01,OLANZAPINE 20 MG DISINTEGRATING TABLET [28162],48.44,16.95,,,0
NDC,0002-4456-85,OLANZAPINE 20 MG DISINTEGRATING TABLET [28162],48.44,16.95,,,0
NDC,0002-4759-01,PRASUGREL HCL 10 MG TABLET [98373],6.38,2.23,,,0
NDC,0002-4759-77,PRASUGREL HCL 10 MG TABLET [98373],6.38,2.23,,,0
NDC,0002-4760-30,PRASUGREL HCL 5 MG TABLET [98372],6.38,2.23,,,0
NDC,0002-4760-76,PRASUGREL HCL 5 MG TABLET [98372],6.38,2.23,,,0
NDC,0002-5121-01,PRASUGREL HCL 5 MG TABLET [98372],15.3,5.36,,,0
NDC,0002-5121-52,PRASUGREL HCL 5 MG TABLET [98372],15.3,5.36,,,0
NDC,0002-5123-01,PRASUGREL HCL 10 MG TABLET [98373],15.3,5.36,,,0
NDC,0002-5123-77,PRASUGREL HCL 10 MG TABLET [98373],15.3,5.36,,,0
NDC,0002-7501-01,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
NDC,0002-7502-01,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],4090.79,1431.78,,,0
NDC,0002-7510-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [17405],771.77,270.12,,,0
NDC,0002-7510-17,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [17405],77.18,27.01,,,0
NDC,0002-7575-01,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION [200059],2212.58,774.4,,,0
NDC,0002-7597-01,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [38263],139.15,48.7,,,0
NDC,0002-7623-01,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],15583.95,5454.38,,,0
NDC,0002-7669-01,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [166367],433.01,151.55,,,0
NDC,0002-7678-01,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [166367],433.01,151.55,,,0
NDC,0002-7714-59,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS HALF-UNIT PEN [180005],35.36,12.38,,,0
NDC,0002-7715-59,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [111670],100.93,35.32,,,0
NDC,0002-8215-01,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION [10289],19.76,6.91,,,0
NDC,0002-8501-01,INSULIN REGULAR HUMAN U-500(CONCENTRATE) 500 UNIT/ML SUBCUTANEOUS SOLN [19180],1256.22,439.68,,,0
NDC,0002-8730-01,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [106569],278.3,97.41,,,0
NDC,0002-8730-59,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [106569],92.77,32.47,,,0
NDC,0002-8770-01,INSULIN NPH-REGULAR 70-30 U-100 INSULIN 100 UNIT/ML SUBCUTANEOUS PEN [110033],100.07,35.02,,,0
NDC,0002-8770-59,INSULIN NPH-REGULAR 70-30 U-100 INSULIN 100 UNIT/ML SUBCUTANEOUS PEN [110033],100.07,35.02,,,0
NDC,0002-8794-59,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN [105612],71.04,24.86,,,0
NDC,0002-8797-01,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN [105612],71.04,24.86,,,0
NDC,0002-8797-59,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN [105612],71.04,24.86,,,0
NDC,0002-8799-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN [105425],29.63,10.37,,,0
NDC,0002-8799-59,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN [105425],88.9,31.12,,,0
NDC,0002-8803-01,INSULIN NPH-REGULAR 70-30 U-100 INSULIN 100 UNIT/ML SUBCUTANEOUS PEN [110033],100.07,35.02,,,0
NDC,0002-8803-59,INSULIN NPH-REGULAR 70-30 U-100 INSULIN 100 UNIT/ML SUBCUTANEOUS PEN [110033],100.07,35.02,,,0
NDC,0002-8805-01,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [106569],92.77,32.47,,,0
NDC,0002-8805-59,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [106569],92.77,32.47,,,0
NDC,0002-8824-01,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN [174062],394.3,138.01,,,0
NDC,0002-8824-27,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN [174062],394.3,138.01,,,0
NDC,0002-8926-01,OLARATUMAB 10 MG/ML INTRAVENOUS SOLUTION [176961],200.38,70.13,,,0
NDC,0002-9401-01,DONANEMAB-AZBT 17.5 MG/ML INTRAVENOUS SOLUTION [202402],120.33,42.12,,,0
NDC,0003-0293-05,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],376.22,131.68,,,0
NDC,0003-0293-28,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],3762.24,1316.78,,,0
NDC,0003-0371-13,BELATACEPT 250 MG INTRAVENOUS SOLUTION [152147],4113.98,1439.89,,,0
NDC,0003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION [11584],470.28,164.6,,,0
NDC,0003-0524-11,DASATINIB 70 MG TABLET [76719],124.6,43.61,,,0
NDC,0003-0527-11,DASATINIB 20 MG TABLET [76717],159.18,55.71,,,0
NDC,0003-0893-21,APIXABAN 2.5 MG TABLET [160239],9.35,3.27,,,0
NDC,0003-0893-31,APIXABAN 2.5 MG TABLET [160239],9.35,3.27,,,0
NDC,0003-0894-21,APIXABAN 5 MG TABLET [160240],9.35,3.27,,,0
NDC,0003-0894-31,APIXABAN 5 MG TABLET [160240],9.35,3.27,,,0
NDC,0003-1611-12,ENTECAVIR 0.5 MG TABLET [41147],45.75,16.01,,,0
NDC,0003-1612-12,ENTECAVIR 1 MG TABLET [41148],45.75,16.01,,,0
NDC,0003-2187-10,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [70287],3016.48,1055.77,,,0
NDC,0003-2187-13,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [70287],3016.48,1055.77,,,0
NDC,0003-2291-11,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [172819],7652.58,2678.4,,,0
NDC,0003-2327-11,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [150123],3332.63,1166.42,,,0
NDC,0003-2328-22,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [150124],3332.63,1166.42,,,0
NDC,0003-2560-16,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],129.27,45.24,,,0
NDC,0003-2570-16,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],258.53,90.49,,,0
NDC,0003-3624-12,ATAZANAVIR 150 MG CAPSULE [36149],24.39,8.54,,,0
NDC,0003-3631-12,ATAZANAVIR 200 MG CAPSULE [36150],24.39,8.54,,,0
NDC,0003-3734-13,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [181190],1374.78,481.17,,,0
NDC,0003-3772-11,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [168601],1374.78,481.17,,,0
NDC,0003-3774-12,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [168602],1374.78,481.17,,,0
NDC,0003-4215-11,SAXAGLIPTIN 5 MG TABLET [99497],10.83,3.79,,,0
NDC,0003-4522-11,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION [172820],10203.44,3571.2,,,0
NDC,0003-6120-01,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION [204400]",5388.21,1885.87,,,0
NDC,0003-7125-11,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [194013],2368.83,829.09,,,0
NDC,0004-0038-22,VALGANCICLOVIR 450 MG TABLET [30148],88.4,30.94,,,0
NDC,0004-0039-09,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],25.16,8.81,,,0
NDC,0004-0191-09,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [70544],869.7,304.39,,,0
NDC,0004-0241-26,GRANISETRON HCL 1 MG TABLET [14720],52.45,18.36,,,0
NDC,0004-0259-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],9.0,3.15,,,0
NDC,0004-0260-01,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],17.99,6.3,,,0
NDC,0004-0260-43,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],17.99,6.3,,,0
NDC,0004-0261-29,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],36.08,12.63,,,0
NDC,0004-0298-09,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],752.19,263.27,,,0
NDC,0004-0350-09,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION [34034],1294.68,453.14,,,0
NDC,0004-0800-85,OSELTAMIVIR 75 MG CAPSULE [26546],15.19,5.32,,,0
NDC,0004-0820-09,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [152607],7.54,2.64,,,0
NDC,0004-1101-50,CAPECITABINE 500 MG TABLET [22994],45.19,15.82,,,0
NDC,0004-6940-03,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],300.21,105.07,,,0
NDC,0004-6940-04,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],300.21,105.07,,,0
NDC,0005-2000-10,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [192186],506.43,177.25,,,0
NDC,0005434462,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID [144603],0.09,0.03,,,0
NDC,0006-0032-20,IVERMECTIN 3 MG TABLET [25820],4.65,1.63,,,0
NDC,0006-0112-01,SITAGLIPTIN PHOSPHATE 50 MG TABLET [77616],18.24,6.38,,,0
NDC,0006-0112-28,SITAGLIPTIN PHOSPHATE 50 MG TABLET [77616],18.24,6.38,,,0
NDC,0006-0112-31,SITAGLIPTIN PHOSPHATE 50 MG TABLET [77616],18.24,6.38,,,0
NDC,0006-0112-54,SITAGLIPTIN PHOSPHATE 50 MG TABLET [77616],6.37,2.23,,,0
NDC,0006-0117-01,MONTELUKAST 10 MG TABLET [22509],5.87,2.06,,,0
NDC,0006-0117-28,MONTELUKAST 10 MG TABLET [22509],5.87,2.06,,,0
NDC,0006-0117-54,MONTELUKAST 10 MG TABLET [22509],5.87,2.06,,,0
NDC,0006-0221-01,SITAGLIPTIN PHOSPHATE 25 MG TABLET [77615],18.24,6.38,,,0
NDC,0006-0221-28,SITAGLIPTIN PHOSPHATE 25 MG TABLET [77615],7.38,2.58,,,0
NDC,0006-0221-31,SITAGLIPTIN PHOSPHATE 25 MG TABLET [77615],18.24,6.38,,,0
NDC,0006-0221-54,SITAGLIPTIN PHOSPHATE 25 MG TABLET [77615],18.24,6.38,,,0
NDC,0006-0227-61,RALTEGRAVIR 400 MG TABLET [88608],31.84,11.14,,,0
NDC,0006-0275-01,MONTELUKAST 5 MG CHEWABLE TABLET [22510],5.24,1.83,,,0
NDC,0006-0275-28,MONTELUKAST 5 MG CHEWABLE TABLET [22510],5.24,1.83,,,0
NDC,0006-0275-31,MONTELUKAST 5 MG CHEWABLE TABLET [22510],6.22,2.18,,,0
NDC,0006-0277-01,SITAGLIPTIN PHOSPHATE 100 MG TABLET [77617],18.24,6.38,,,0
NDC,0006-0277-28,SITAGLIPTIN PHOSPHATE 100 MG TABLET [77617],18.24,6.38,,,0
NDC,0006-0277-54,SITAGLIPTIN PHOSPHATE 100 MG TABLET [77617],18.24,6.38,,,0
NDC,0006-0568-40,VORINOSTAT 100 MG CAPSULE [77539],125.08,43.78,,,0
NDC,0006-0705-20,NORFLOXACIN 400 MG TABLET [10748],4.03,1.41,,,0
NDC,0006-0711-01,MONTELUKAST 4 MG CHEWABLE TABLET [27234],5.24,1.83,,,0
NDC,0006-0711-54,MONTELUKAST 4 MG CHEWABLE TABLET [27234],6.22,2.18,,,0
NDC,0006-0951-28,LOSARTAN 25 MG TABLET [14823],1.79,0.63,,,0
NDC,0006-0951-54,LOSARTAN 25 MG TABLET [14823],2.77,0.97,,,0
NDC,0006-0960-28,LOSARTAN 100 MG TABLET [22588],3.17,1.11,,,0
NDC,0006-3026-01,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [169490],4719.09,1651.68,,,0
NDC,0006-3026-04,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [169490],4719.09,1651.68,,,0
NDC,0006-3061-00,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],173.88,60.86,,,0
NDC,0006-3061-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],173.88,60.86,,,0
NDC,0006-3074-02,ELBASVIR 50 MG-GRAZOPREVIR 100 MG TABLET [174160],1001.14,350.4,,,0
NDC,0006-3075-01,LETERMOVIR 240 MG TABLET [180900],248.87,87.1,,,0
NDC,0006-3075-02,LETERMOVIR 240 MG TABLET [180900],248.87,87.1,,,0
NDC,0006-3075-03,LETERMOVIR 240 MG TABLET [180900],248.87,87.1,,,0
NDC,0006-3075-04,LETERMOVIR 240 MG TABLET [180900],248.87,87.1,,,0
NDC,0006-3076-01,LETERMOVIR 480 MG TABLET [180901],248.87,87.1,,,0
NDC,0006-3076-02,LETERMOVIR 480 MG TABLET [180901],248.87,87.1,,,0
NDC,0006-3076-03,LETERMOVIR 480 MG TABLET [180901],248.87,87.1,,,0
NDC,0006-3076-04,LETERMOVIR 480 MG TABLET [180901],248.87,87.1,,,0
NDC,0006-3514-58,IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION [9602],206.15,72.15,,,0
NDC,0006-3516-59,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],412.3,144.3,,,0
NDC,0006-3519-36,DORZOLAMIDE 2 % EYE DROPS [14471],248.93,87.12,,,0
NDC,0006-3558-35,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION [24576],284.1,99.44,,,0
NDC,0006-3603-01,RALTEGRAVIR 100 MG POWDER PACKET FOR ORAL SUSPENSION [166196],25.24,8.84,,,0
NDC,0006-3603-61,RALTEGRAVIR 100 MG POWDER PACKET FOR ORAL SUSPENSION [166196],25.24,8.84,,,0
NDC,0006-3628-36,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],66.02,23.11,,,0
NDC,0006-3801-01,RIZATRIPTAN 10 MG DISINTEGRATING TABLET [27630],36.57,12.8,,,0
NDC,0006-3801-12,RIZATRIPTAN 10 MG DISINTEGRATING TABLET [27630],32.6,11.41,,,0
NDC,0006-3801-18,RIZATRIPTAN 10 MG DISINTEGRATING TABLET [27630],36.57,12.8,,,0
NDC,0006-3822-10,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],4200.3,1470.11,,,0
NDC,0006-3823-10,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION [29568],5880.42,2058.15,,,0
NDC,0006-3841-30,MONTELUKAST 4 MG ORAL GRANULES IN PACKET [36023],27.06,9.47,,,0
NDC,0006-3843-71,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],448.38,156.93,,,0
NDC,0006-3916-68,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],1.17,0.41,,,0
NDC,0006-3918-68,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [12329]",1.31,0.46,,,0
NDC,0006-3919-68,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [9409]",2.52,0.88,,,0
NDC,0006-4084-00,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION [24188]",110.93,38.83,,,0
NDC,0006-4121-02,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE [168538]",1577.02,551.96,,,0
NDC,0006-4171-00,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT [42622]",611.8,214.13,,,0
NDC,0006-4305-01,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [179338],3019.79,1056.93,,,0
NDC,0006-4681-00,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [10512]",628.76,220.06,,,0
NDC,0006-4681-01,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [10512]",628.76,220.06,,,0
NDC,0006-4827-00,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [14757]",503.78,176.32,,,0
NDC,0006-4827-01,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [14757]",503.78,176.32,,,0
NDC,0006-4837-01,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [106013],234.16,81.96,,,0
NDC,0006-4837-03,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [106013],234.16,81.96,,,0
NDC,0006-4898-00,HEPAT B-HIB/OMPC CONJ-VAC (PF) 5 MCG-7.5 MCG-125 MCG/0.5 ML IM SUSP [112373],260.26,91.09,,,0
NDC,0006-4943-00,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037],770.49,269.67,,,0
NDC,0006-4943-01,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037],770.49,269.67,,,0
NDC,0006-4992-00,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP [112538],735.7,257.49,,,0
NDC,0006-4999-00,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT [42622]",611.8,214.13,,,0
NDC,0006-5004-01,LETERMOVIR 480 MG/24 ML INTRAVENOUS SOLUTION [180903],47.29,16.55,,,0
NDC,0006-5004-02,LETERMOVIR 480 MG/24 ML INTRAVENOUS SOLUTION [180903],47.29,16.55,,,0
NDC,0006-5033-01,TRASTUZUMAB-DTTB 150 MG INTRAVENOUS SOLUTION [187847],1324.66,463.63,,,0
NDC,0006-5033-02,TRASTUZUMAB-DTTB 150 MG INTRAVENOUS SOLUTION [187847],1324.66,463.63,,,0
NDC,0006-5034-01,TRASTUZUMAB-DTTB 420 MG INTRAVENOUS SOLUTION [187900],3709.04,1298.16,,,0
NDC,0006-5034-02,TRASTUZUMAB-DTTB 420 MG INTRAVENOUS SOLUTION [187900],3709.04,1298.16,,,0
NDC,0006-5423-02,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [172418],211.73,74.11,,,0
NDC,0006-5423-12,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [172418],211.73,74.11,,,0
NDC,0006-8895-35,TIMOLOL MALEATE 0.25 % EYE DROPS [11561],116.35,40.72,,,0
NDC,0006-9117-54,MONTELUKAST 10 MG TABLET [22509],7.61,2.66,,,0
NDC,0006-9275-31,MONTELUKAST 5 MG CHEWABLE TABLET [22510],7.61,2.66,,,0
NDC,0007-3230-01,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],1610.55,563.69,,,0
NDC,0007-3230-11,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],1610.55,563.69,,,0
NDC,0007-3232-01,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [109786],1610.55,563.69,,,0
NDC,0007-3232-11,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [109786],1610.55,563.69,,,0
NDC,0007-3234-01,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [39803],1610.55,563.69,,,0
NDC,0007-3234-11,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [39803],1610.55,563.69,,,0
NDC,0007-3236-01,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [109787],1288.44,450.95,,,0
NDC,0007-3236-02,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [109787],1288.44,450.95,,,0
NDC,0007-3236-11,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [109787],1610.55,563.69,,,0
NDC,0007-3260-36,TOSITUMOMAB (WITH MALTOSE) 14 MG/ML INTRAVENOUS SOLUTION [36264],4752.59,1663.41,,,0
NDC,0007-3370-13,"CARVEDILOL PHOSPHATE ER 10 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77664]",9.18,3.21,,,0
NDC,0007-3371-13,"CARVEDILOL PHOSPHATE ER 20 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77665]",9.18,3.21,,,0
NDC,0007-3372-13,"CARVEDILOL PHOSPHATE ER 40 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77666]",9.18,3.21,,,0
NDC,0007-3373-13,"CARVEDILOL PHOSPHATE ER 80 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77667]",10.55,3.69,,,0
NDC,0007-3387-13,"CARVEDILOL PHOSPHATE ER 40 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77666]",10.55,3.69,,,0
NDC,0007-4140-20,CARVEDILOL 6.25 MG TABLET [15747],6.85,2.4,,,0
NDC,0007-4141-20,CARVEDILOL 12.5 MG TABLET [15749],6.85,2.4,,,0
NDC,0007-4142-20,CARVEDILOL 25 MG TABLET [15748],6.85,2.4,,,0
NDC,0007-4401-01,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION [70267],519.24,181.73,,,0
NDC,0007-4401-06,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION [70267],519.24,181.73,,,0
NDC,0007-4407-01,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],2628.41,919.94,,,0
NDC,0007-4471-20,TRANYLCYPROMINE 10 MG TABLET [11574],5.61,1.96,,,0
NDC,0007-4640-13,ELTROMBOPAG OLAMINE 25 MG TABLET [94579],114.56,40.1,,,0
NDC,0007-4883-13,"ROPINIROLE ER 6 MG TABLET,EXTENDED RELEASE 24 HR [97631]",14.77,5.17,,,0
NDC,0007-4890-20,ROPINIROLE 0.25 MG TABLET [21688],5.62,1.97,,,0
NDC,0007-5500-40,ALBENDAZOLE 200 MG TABLET [8979],2.47,0.86,,,0
NDC,0008-0100-01,INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN [180016],85132.48,29796.37,,,0
NDC,0008-0407-03,"ANTIVENIN, MICRURUS FULVIUS SOLUTION FOR INJECTION [13919]",22064.5,7722.58,,,0
NDC,0008-0423-01,"ANTIVENIN, MICRURUS FULVIUS SOLUTION FOR INJECTION [13919]",22064.5,7722.58,,,0
NDC,0008-0423-03,"ANTIVENIN, MICRURUS FULVIUS SOLUTION FOR INJECTION [13919]",22064.5,7722.58,,,0
NDC,0008-0607-04,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.38,0.13,,,0
NDC,0008-0833-02,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",14.07,4.93,,,0
NDC,0008-0833-03,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",14.07,4.93,,,0
NDC,0008-0836-02,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",15.33,5.37,,,0
NDC,0008-0836-03,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",15.33,5.37,,,0
NDC,0008-0837-02,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",11.48,4.02,,,0
NDC,0008-0837-03,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",11.48,4.02,,,0
NDC,0008-0841-81,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",14.48,5.07,,,0
NDC,0008-0841-99,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",8.35,2.92,,,0
NDC,0008-0843-81,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",14.48,5.07,,,0
NDC,0008-0923-51,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,0008-0923-55,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,0008-0941-01,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,0008-1030-04,SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],60.56,21.19,,,0
NDC,0008-1030-06,SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],60.56,21.19,,,0
NDC,0008-1040-05,SIROLIMUS 0.5 MG TABLET [144827],17.19,6.02,,,0
NDC,0008-1040-10,SIROLIMUS 0.5 MG TABLET [144827],17.19,6.02,,,0
NDC,0008-1041-05,SIROLIMUS 1 MG TABLET [28958],34.37,12.03,,,0
NDC,0008-1041-10,SIROLIMUS 1 MG TABLET [28958],34.37,12.03,,,0
NDC,0008-1042-05,SIROLIMUS 2 MG TABLET [35262],68.75,24.06,,,0
NDC,0008-1179-01,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],1522.93,533.03,,,0
NDC,0008-1218-01,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION [91651],617.8,216.23,,,0
NDC,0008-4510-01,GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN [180062],32521.31,11382.46,,,0
NDC,0008-4990-01,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
NDC,0008-4990-02,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
NDC,0008-4990-19,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
NDC,0008-4990-20,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
NDC,0009-0003-02,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION [113948],343.6,120.26,,,0
NDC,0009-0011-03,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [144624],63.13,22.1,,,0
NDC,0009-0011-04,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [144624],63.13,22.1,,,0
NDC,0009-0012-01,HYDROCORTISONE 5 MG TABLET [10209],0.36,0.13,,,0
NDC,0009-0013-05,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION [144623],63.13,22.1,,,0
NDC,0009-0013-06,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION [144623],63.13,22.1,,,0
NDC,0009-0016-12,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION [144622],63.13,22.1,,,0
NDC,0009-0017-58,TRIAZOLAM 0.25 MG TABLET [8139],5.73,2.0,,,0
NDC,0009-0018-20,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION [113949]",687.2,240.52,,,0
NDC,0009-0020-01,METHYLPREDNISOLONE 2 MG TABLET [10573],1.64,0.57,,,0
NDC,0009-0022-01,METHYLPREDNISOLONE 8 MG TABLET [10576],1.79,0.63,,,0
NDC,0009-0031-01,HYDROCORTISONE 10 MG TABLET [3733],1.7,0.59,,,0
NDC,0009-0039-28,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [113946],67.0,23.45,,,0
NDC,0009-0039-30,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [113946],67.0,23.45,,,0
NDC,0009-0039-32,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [113946],67.0,23.45,,,0
NDC,0009-0039-33,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [113946],67.0,23.45,,,0
NDC,0009-0044-01,HYDROCORTISONE 20 MG TABLET [3734],3.22,1.13,,,0
NDC,0009-0047-22,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [113947],42.95,15.03,,,0
NDC,0009-0047-26,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [113947],42.95,15.03,,,0
NDC,0009-0047-27,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [113947],42.95,15.03,,,0
NDC,0009-0073-01,METHYLPREDNISOLONE 16 MG TABLET [4992],2.88,1.01,,,0
NDC,0009-0176-01,METHYLPREDNISOLONE 32 MG TABLET [10575],10.03,3.51,,,0
NDC,0009-0190-09,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG/2 ML SOLUTION FOR INJECTION [106779],85.9,30.07,,,0
NDC,0009-0190-16,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG/2 ML SOLUTION FOR INJECTION [106779],85.9,30.07,,,0
NDC,0009-0215-05,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],5240.07,1834.03,,,0
NDC,0009-0225-03,CLINDAMYCIN HCL 150 MG CAPSULE [1740],3.74,1.31,,,0
NDC,0009-0280-03,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],72.14,25.25,,,0
NDC,0009-0280-52,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],72.14,25.25,,,0
NDC,0009-0342-01,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE [28025]",185.68,64.99,,,0
NDC,0009-0353-01,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 CM TOPICAL SPONGE [28022]",185.68,64.99,,,0
NDC,0009-0395-02,CLINDAMYCIN HCL 300 MG CAPSULE [9621],7.59,2.66,,,0
NDC,0009-0417-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],168.29,58.9,,,0
NDC,0009-0436-01,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION [9123],0.14,0.05,,,0
NDC,0009-0450-03,COLESTIPOL 1 GRAM TABLET [13884],29.76,10.42,,,0
NDC,0009-0698-01,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",687.2,240.52,,,0
NDC,0009-0728-09,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],307.1,107.48,,,0
NDC,0009-0746-30,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,0009-0746-35,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,0009-0758-01,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10581],343.6,120.26,,,0
NDC,0009-0760-04,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],6.76,2.37,,,0
NDC,0009-0775-20,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],307.1,107.48,,,0
NDC,0009-0775-26,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],76.78,26.87,,,0
NDC,0009-0856-05,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],363.92,127.37,,,0
NDC,0009-0856-08,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],363.92,127.37,,,0
NDC,0009-0902-18,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],307.1,107.48,,,0
NDC,0009-3073-01,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],163.63,57.27,,,0
NDC,0009-3073-03,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],72.14,25.25,,,0
NDC,0009-3169-01,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],5240.07,1834.03,,,0
NDC,0009-3169-06,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],5240.07,1834.03,,,0
NDC,0009-3375-01,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],6.14,2.15,,,0
NDC,0009-3375-02,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],6.14,2.15,,,0
NDC,0009-3381-01,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9625],6.14,2.15,,,0
NDC,0009-3381-02,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9625],6.14,2.15,,,0
NDC,0009-3382-01,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],6.14,2.15,,,0
NDC,0009-3382-02,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],6.14,2.15,,,0
NDC,0009-3475-01,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],121.11,42.39,,,0
NDC,0009-3475-03,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],121.11,42.39,,,0
NDC,0009-3794-01,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [16156],1700.74,595.26,,,0
NDC,0009-4541-01,TOLTERODINE 1 MG TABLET [22782],6.04,2.11,,,0
NDC,0009-4541-02,TOLTERODINE 1 MG TABLET [22782],8.44,2.95,,,0
NDC,0009-4544-01,TOLTERODINE 2 MG TABLET [22783],6.2,2.17,,,0
NDC,0009-5091-01,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [13671],41.13,14.4,,,0
NDC,0009-5135-03,LINEZOLID 600 MG TABLET [28224],170.07,59.52,,,0
NDC,0009-5136-01,LINEZOLID 100 MG/5 ML ORAL SUSPENSION [28225],27.33,9.56,,,0
NDC,0009-5140-01,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
NDC,0009-5140-04,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
NDC,0009-5191-04,"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR [29435]",12.29,4.3,,,0
NDC,0009-7224-01,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [10475]",425.96,149.09,,,0
NDC,0009-7224-02,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [10475]",425958.0,149085.3,,,0
NDC,0009-7529-01,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [17450],1150.57,402.7,,,0
NDC,0009-7529-03,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [17450],230.12,80.54,,,0
NDC,0009-7663-04,EXEMESTANE 25 MG TABLET [26551],38.37,13.43,,,0
NDC,0013-0101-10,SULFASALAZINE 500 MG TABLET [7562],1.59,0.56,,,0
NDC,0013-0102-01,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE [7563]",0.62,0.22,,,0
NDC,0013-0132-02,ESTRAMUSTINE 140 MG CAPSULE [9971],16.76,5.87,,,0
NDC,0013-1114-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,0013-1114-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,0013-2576-91,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [22144],437.29,153.05,,,0
NDC,0013-2586-91,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [22144],416.47,145.77,,,0
NDC,0013-5301-17,RIFABUTIN 150 MG CAPSULE [11290],19.45,6.81,,,0
NDC,0013-8303-04,LATANOPROST 0.005 % EYE DROPS [18621],358.51,125.48,,,0
NDC,0013-8727-89,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],343.61,120.26,,,0
NDC,0015-1910-12,IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],6377.49,2232.12,,,0
NDC,0015-1911-13,IXABEPILONE 45 MG INTRAVENOUS SOLUTION [88653],19132.47,6696.36,,,0
NDC,0015-3012-60,CARMUSTINE 100 MG INTRAVENOUS SOLUTION [28911],519.24,181.73,,,0
NDC,0015-3030-20,LOMUSTINE 10 MG CAPSULE [10459],8.82,3.09,,,0
NDC,0015-3031-20,LOMUSTINE 40 MG CAPSULE [10461],26.57,9.3,,,0
NDC,0015-3075-19,TENIPOSIDE 50 MG/5 ML INTRAVENOUS SOLUTION [11501],498.62,174.52,,,0
NDC,0015-3080-60,MITOTANE 500 MG TABLET [10633],4.8,1.68,,,0
NDC,0015-3404-20,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION [17451],157.54,55.14,,,0
NDC,0019-0862-07,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION [10330],0.66,0.23,,,0
NDC,0019-0862-50,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION [10330],0.66,0.23,,,0
NDC,0019-0952-11,IOTHALAMATE MEGLUMINE 30 % INTRAVENOUS SOLUTION [10331],1.29,0.45,,,0
NDC,0019-0953-11,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION [10333],1.23,0.43,,,0
NDC,0019-0953-15,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION [10333],1.23,0.43,,,0
NDC,0019-1177-02,GADOVERSETAMIDE 2.5 MMOL/5 ML (330.9 MG/ML) INTRAVENOUS SOLUTION [109945],50.25,17.59,,,0
NDC,0019-1177-15,GADOVERSETAMIDE 7.5 MMOL/15 ML(330.9 MG/ML) INTRAVENOUS SYRINGE [109930],50.25,17.59,,,0
NDC,0019-1177-20,GADOVERSETAMIDE 10 MMOL/20 ML (330.9 MG/ML) INTRAVENOUS SYRINGE [109929],50.25,17.59,,,0
NDC,0019-1177-21,GADOVERSETAMIDE 10 MMOL/20 ML (330.9 MG/ML) INTRAVENOUS SYRINGE [109929],4.68,1.64,,,0
NDC,0019-1177-30,GADOVERSETAMIDE 15 MMOL/30 ML (330.9MG/ML) INTRAVENOUS SYRINGE [109931],50.25,17.59,,,0
NDC,0019-1188-75,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],0.14,0.05,,,0
NDC,0019-1188-81,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],1.02,0.36,,,0
NDC,0019-1323-21,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [39700],0.28,0.1,,,0
NDC,0019-1332-21,IOVERSOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [14356],6.44,2.25,,,0
NDC,0019-1333-06,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [13178],6.44,2.25,,,0
NDC,0019-1333-21,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [13178],6.44,2.25,,,0
NDC,0019-1333-77,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SYRINGE [106277],6.44,2.25,,,0
NDC,0019-1333-81,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SYRINGE [106277],6.44,2.25,,,0
NDC,0019-1333-87,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SYRINGE [106277],6.44,2.25,,,0
NDC,0019-1333-91,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SYRINGE [106277],6.44,2.25,,,0
NDC,0019-4816-04,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828],2.34,0.82,,,0
NDC,0019-4816-05,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828],2.34,0.82,,,0
NDC,0023-1145-01,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [32700],1255.88,439.56,,,0
NDC,0023-2181-05,KETOROLAC 0.5 % EYE DROPS [19733],28.57,10.0,,,0
NDC,0023-3205-03,BIMATOPROST 0.01 % EYE DROPS [147996],315.54,110.44,,,0
NDC,0023-4554-30,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE [38321],1.22,0.43,,,0
NDC,0023-5858-01,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE [169837],2308.08,807.83,,,0
NDC,0023-5886-15,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [27459],47.35,16.57,,,0
NDC,0023-5990-02,TESTOSTERONE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH [154165],17.87,6.25,,,0
NDC,0023-5990-60,TESTOSTERONE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH [154165],17.87,6.25,,,0
NDC,0023-5992-04,TESTOSTERONE 4 MG/24 HR TRANSDERMAL 24 HOUR PATCH [27453],35.74,12.51,,,0
NDC,0023-5992-30,TESTOSTERONE 4 MG/24 HR TRANSDERMAL 24 HOUR PATCH [27453],35.74,12.51,,,0
NDC,0023-6082-01,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [181942],219.03,76.66,,,0
NDC,0023-6082-10,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [181942],219.03,76.66,,,0
NDC,0023-6112-01,"LIPASE-PROTEASE-AMYLASE 20,000-63,000-84,000 UNIT CAPSULE, DELAYED REL [180938]",7.38,2.58,,,0
NDC,0023-6115-01,"LIPASE-PROTEASE-AMYLASE 5,000-17,000-24,000 UNIT CAPSULE, DELAYED REL [181457]",1.9,0.67,,,0
NDC,0023-7824-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS [103278]",66.29,23.2,,,0
NDC,0023-9163-30,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE [35209],18.94,6.63,,,0
NDC,0023-9211-05,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS [87834],108.95,38.13,,,0
NDC,0023-9211-10,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS [87834],108.95,38.13,,,0
NDC,0023-9321-05,BRIMONIDINE 0.1 % EYE DROPS [70262],236.75,82.86,,,0
NDC,0024-0590-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [41598],53.75,18.81,,,0
NDC,0024-0654-01,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION [187556],500.6,175.21,,,0
NDC,0024-0656-01,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION [187556],500.57,175.2,,,0
NDC,0024-1352-02,PHENYLEPHRINE 1 % NASAL SPRAY [103139],2.25,0.79,,,0
NDC,0024-1596-01,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET [6541],2.05,0.72,,,0
NDC,0024-1951-04,PENTAZOCINE 50 MG-NALOXONE 0.5 MG TABLET [10908],1.56,0.55,,,0
NDC,0024-2301-10,BETAXOLOL 10 MG TABLET [9269],1.31,0.46,,,0
NDC,0024-2791-50,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],82.46,28.86,,,0
NDC,0024-2792-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],82.46,28.86,,,0
NDC,0024-4142-10,DRONEDARONE 400 MG TABLET [98329],10.97,3.84,,,0
NDC,0024-4142-60,DRONEDARONE 400 MG TABLET [98329],12.67,4.43,,,0
NDC,0024-4200-10,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR [36982]",12.32,4.31,,,0
NDC,0024-5150-10,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [33591],3764.81,1317.68,,,0
NDC,0024-5151-75,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION [76868],1254.94,439.23,,,0
NDC,0024-5823-15,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [144888],9707.1,3397.48,,,0
NDC,0024-5824-11,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [144888],9707.1,3397.48,,,0
NDC,0024-5840-01,ZIV-AFLIBERCEPT 100 MG/4 ML (25 MG/ML) INTRAVENOUS SOLUTION [157765],1698.09,594.33,,,0
NDC,0024-5843-01,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],3799.6,1329.86,,,0
NDC,0024-5843-05,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],3799.6,1329.86,,,0
NDC,0024-5850-90,IRBESARTAN 75 MG TABLET [21847],7.27,2.55,,,0
NDC,0024-5852-30,IRBESARTAN 300 MG TABLET [21849],18.41,6.44,,,0
NDC,0024-5869-01,INSULIN GLARGINE (U-300) CONC. 300 UNIT/ML (1.5 ML) SUBCUTANEOUS PEN [169685],709.74,248.41,,,0
NDC,0024-5869-03,INSULIN GLARGINE (U-300) CONC. 300 UNIT/ML (1.5 ML) SUBCUTANEOUS PEN [169685],709.74,248.41,,,0
NDC,0024101510,FERROUS GLUCONATE 240 MG (27 MG IRON) TABLET [25938],0.06,0.02,,,0
NDC,0025-0061-31,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],2.98,1.04,,,0
NDC,0025-1381-31,OXAPROZIN 600 MG TABLET [10825],8.28,2.9,,,0
NDC,0025-1451-34,MISOPROSTOL 100 MCG TABLET [10628],4.19,1.47,,,0
NDC,0025-1461-34,MISOPROSTOL 200 MCG TABLET [10629],5.78,2.02,,,0
NDC,0025-1520-34,CELECOXIB 100 MG CAPSULE [24500],9.53,3.34,,,0
NDC,0025-1525-34,CELECOXIB 200 MG CAPSULE [24501],15.64,5.47,,,0
NDC,0025-1710-03,EPLERENONE 25 MG TABLET [36983],8.7,3.04,,,0
NDC,0025-1720-03,EPLERENONE 50 MG TABLET [36984],14.08,4.93,,,0
NDC,0025-1891-31,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE [8531]",3.21,1.12,,,0
NDC,0025-2732-31,"DISOPYRAMIDE PHOSPHATE ER 100 MG CAPSULE,EXTENDED RELEASE [2537]",4.23,1.48,,,0
NDC,0025-2742-31,"DISOPYRAMIDE PHOSPHATE ER 150 MG CAPSULE,EXTENDED RELEASE [37653]",5.0,1.75,,,0
NDC,0026-2855-48,NIMODIPINE 30 MG CAPSULE [10722],8.23,2.88,,,0
NDC,0028-0264-01,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",3.21,1.12,,,0
NDC,0029-1526-03,MUPIROCIN CALCIUM 2 % NASAL OINTMENT [16958],43.81,15.33,,,0
NDC,0029-1526-11,MUPIROCIN CALCIUM 2 % NASAL OINTMENT [16958],43.81,15.33,,,0
NDC,0029-1527-22,MUPIROCIN CALCIUM 2 % TOPICAL CREAM [22251],17.35,6.07,,,0
NDC,0029-3207-13,"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [32632]",3.69,1.29,,,0
NDC,0029-3208-13,"PAROXETINE ER 37.5 MG TABLET,EXTENDED RELEASE 24 HR [32633]",3.8,1.33,,,0
NDC,0029-3215-48,PAROXETINE 10 MG/5 ML ORAL SUSPENSION [22959],10.82,3.79,,,0
NDC,0032-0045-70,"LIPASE-PROTEASE-AMYLASE 3,000-9,500-15,000 UNIT CAPSULE, DELAYED REL [152487]",4.46,1.56,,,0
NDC,0032-0046-70,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL [98034]",3.68,1.29,,,0
NDC,0032-0047-70,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL [98035]",9.47,3.31,,,0
NDC,0032-1103-01,PERINDOPRIL ERBUMINE 8 MG TABLET [13161],2.98,1.04,,,0
NDC,0032-1203-70,"LIPASE-PROTEASE-AMYLASE 3,000-9,500-15,000 UNIT CAPSULE, DELAYED REL [152487]",1.67,0.58,,,0
NDC,0032-1206-01,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL [98034]",1.98,0.69,,,0
NDC,0032-1206-07,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL [98034]",1.98,0.69,,,0
NDC,0032-1212-01,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL [98035]",3.96,1.38,,,0
NDC,0032-1212-07,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL [98035]",3.96,1.38,,,0
NDC,0032-1224-01,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL [98036]",7.84,2.74,,,0
NDC,0032-1224-07,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL [98036]",7.71,2.7,,,0
NDC,0032-2636-01,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL [98036]",14.88,5.21,,,0
NDC,0032-3016-13,"LIPASE-PROTEASE-AMYLASE 36,000-114,000-180,000 UNIT CAPSULE,DELAY REL [162290]",11.9,4.17,,,0
NDC,0037-0241-30,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY [19179],15.38,5.38,,,0
NDC,0037-0430-01,FELBAMATE 400 MG TABLET [10024],14.7,5.14,,,0
NDC,0037-0431-01,FELBAMATE 600 MG TABLET [10025],16.85,5.9,,,0
NDC,0037-0442-67,FELBAMATE 600 MG/5 ML ORAL SUSPENSION [10023],27.06,9.47,,,0
NDC,0037-2001-01,CARISOPRODOL 350 MG TABLET [1395],4.91,1.72,,,0
NDC,0037-5010-01,TORSEMIDE 10 MG TABLET [18292],1.97,0.69,,,0
NDC,0037-6822-10,HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM [28849],22.05,7.72,,,0
NDC,0037-6823-15,PRAMOXINE 1 % TOPICAL FOAM [19749],3.31,1.16,,,0
NDC,0037-6824-10,HYDROCORTISONE-PRAMOXINE 1 %-1 % TOPICAL FOAM [11105],21.78,7.62,,,0
NDC,0039485932,HYDROCORTISONE 1 % LOTION [3728],0.19,0.07,,,0
NDC,00409488717,NDC Description Not Available,48.96,17.14,,,0
NDC,0043-0017-18,SIMETHICONE 125 MG CHEWABLE TABLET [7226],0.21,0.07,,,0
NDC,0043-0117-18,SIMETHICONE 125 MG CHEWABLE TABLET [7226],0.21,0.07,,,0
NDC,0045-0065-55,LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION [18925],293.76,102.82,,,0
NDC,0045-0066-01,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107001],5.88,2.06,,,0
NDC,0045-0067-01,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107002],293.76,102.82,,,0
NDC,0045-0068-01,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [18924],5.88,2.06,,,0
NDC,0045008002,"LACTASE 3,000 UNIT TABLET [22469]",0.11,0.04,,,0
NDC,0045064660,BUDESONIDE 32 MCG/ACTUATION NASAL SPRAY [27022],42.48,14.87,,,0
NDC,0046-0749-05,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION [9972],655.81,229.53,,,0
NDC,0046-1100-81,CONJUGATED ESTROGENS 0.3 MG TABLET [9973],6.7,2.35,,,0
NDC,0046-1101-81,CONJUGATED ESTROGENS 0.45 MG TABLET [36198],6.7,2.35,,,0
NDC,0046-1102-81,CONJUGATED ESTROGENS 0.625 MG TABLET [9974],6.7,2.35,,,0
NDC,0046-1103-81,CONJUGATED ESTROGENS 0.9 MG TABLET [9975],6.7,2.35,,,0
NDC,0046-1104-81,CONJUGATED ESTROGENS 1.25 MG TABLET [2938],6.7,2.35,,,0
NDC,0049-0013-81,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,0049-0013-83,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,0049-0014-81,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,0049-0014-83,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,0049-0520-83,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],365.92,128.07,,,0
NDC,0049-0520-84,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],365.92,128.07,,,0
NDC,0049-0530-22,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],1463.67,512.28,,,0
NDC,0049-0530-28,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],1463.67,512.28,,,0
NDC,0049-1550-66,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR [37649]",0.78,0.27,,,0
NDC,0049-1560-66,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR [37650]",1.52,0.53,,,0
NDC,0049-1620-30,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",0.78,0.27,,,0
NDC,0049-2110-66,MECLIZINE 25 MG TABLET [12025],1.22,0.43,,,0
NDC,0049-2330-45,ELETRIPTAN 20 MG TABLET [34683],76.92,26.92,,,0
NDC,0049-2340-45,ELETRIPTAN 40 MG TABLET [34684],76.92,26.92,,,0
NDC,0049-2760-66,DOXAZOSIN 2 MG TABLET [9895],5.75,2.01,,,0
NDC,0049-2770-66,DOXAZOSIN 4 MG TABLET [9896],6.04,2.11,,,0
NDC,0049-3170-30,VORICONAZOLE 50 MG TABLET [33008],1.49,0.52,,,0
NDC,0049-3180-30,VORICONAZOLE 200 MG TABLET [33009],3.72,1.3,,,0
NDC,0049-3190-28,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [33010],1133.82,396.84,,,0
NDC,0049-3435-26,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.89,0.31,,,0
NDC,0049-3436-26,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,0049-3920-83,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [33175],695.76,243.51,,,0
NDC,0049-3960-41,ZIPRASIDONE 20 MG CAPSULE [29778],14.67,5.14,,,0
NDC,0049-3970-41,ZIPRASIDONE 40 MG CAPSULE [29779],12.77,4.47,,,0
NDC,0049-3980-41,ZIPRASIDONE 60 MG CAPSULE [29780],17.81,6.23,,,0
NDC,0049-3990-41,ZIPRASIDONE 80 MG CAPSULE [29781],15.5,5.42,,,0
NDC,0049-4940-23,SERTRALINE 20 MG/ML ORAL CONCENTRATE [28011],18.94,6.63,,,0
NDC,0051-0021-21,DRONABINOL 2.5 MG CAPSULE [9904],10.92,3.82,,,0
NDC,0051-8450-01,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [36093],46.27,16.19,,,0
NDC,0051-8450-30,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [36093],46.27,16.19,,,0
NDC,0052-0105-30,MIRTAZAPINE 15 MG TABLET [17466],5.34,1.87,,,0
NDC,0052-0118-06,ASENAPINE 5 MG SUBLINGUAL TABLET [99754],11.5,4.02,,,0
NDC,0052-0118-90,ASENAPINE 5 MG SUBLINGUAL TABLET [99754],11.49,4.02,,,0
NDC,0052-0119-90,ASENAPINE 10 MG SUBLINGUAL TABLET [99755],11.49,4.02,,,0
NDC,0052-0274-01,ETONOGESTREL 68 MG SUBDERMAL IMPLANT [77012],2853.84,998.85,,,0
NDC,0052-0450-15,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0052-0450-16,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0052-0602-02,BCG LIVE 50 MG INTRAVESICAL SUSPENSION [21570],884.73,309.65,,,0
NDC,0052-2139-04,ASENAPINE 5 MG SUBLINGUAL TABLET [99754],12.63,4.42,,,0
NDC,0052-4330-01,ETONOGESTREL 68 MG SUBDERMAL IMPLANT [77012],2853.84,998.85,,,0
NDC,0053-7615-05,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION [70404],7730.62,2705.72,,,0
NDC,0053-7615-10,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION [70405]",15461.24,5411.43,,,0
NDC,0053-7670-31,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,0053-7670-32,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.42,1.2,,,0
NDC,0053-7670-91,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,0053-7670-92,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.42,1.2,,,0
NDC,0053-7680-32,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,0053-7680-33,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,0053-7680-91,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,0053-7680-92,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,0054-0003-85,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION [14233],32.74,11.46,,,0
NDC,0054-0007-25,CALCITRIOL 0.25 MCG CAPSULE [9350],0.95,0.33,,,0
NDC,0054-0010-20,FLECAINIDE 50 MG TABLET [10043],0.57,0.2,,,0
NDC,0054-0010-21,FLECAINIDE 50 MG TABLET [10043],0.57,0.2,,,0
NDC,0054-0011-20,FLECAINIDE 100 MG TABLET [10041],0.94,0.33,,,0
NDC,0054-0011-21,FLECAINIDE 100 MG TABLET [10041],0.94,0.33,,,0
NDC,0054-0017-20,PREDNISONE 10 MG TABLET [6494],0.21,0.07,,,0
NDC,0054-0018-20,PREDNISONE 20 MG TABLET [6496],0.23,0.08,,,0
NDC,0054-0018-25,PREDNISONE 20 MG TABLET [6496],0.21,0.07,,,0
NDC,0054-0018-29,PREDNISONE 20 MG TABLET [6496],0.2,0.07,,,0
NDC,0054-0019-20,PREDNISONE 50 MG TABLET [6498],0.34,0.12,,,0
NDC,0054-0019-25,PREDNISONE 50 MG TABLET [6498],0.33,0.11,,,0
NDC,0054-0020-25,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",0.43,0.15,,,0
NDC,0054-0021-25,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",0.33,0.12,,,0
NDC,0054-0028-21,CILOSTAZOL 50 MG TABLET [24473],0.32,0.11,,,0
NDC,0054-0036-21,CLARITHROMYCIN 250 MG TABLET [9616],0.98,0.34,,,0
NDC,0054-0037-21,CLARITHROMYCIN 500 MG TABLET [9617],0.98,0.34,,,0
NDC,0054-0052-21,ZIDOVUDINE 300 MG TABLET [17961],6.08,2.13,,,0
NDC,0054-0056-25,PILOCARPINE 5 MG TABLET [12803],0.56,0.2,,,0
NDC,0054-0057-46,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION [43556],10.82,3.79,,,0
NDC,0054-0062-58,CITALOPRAM 10 MG/5 ML ORAL SOLUTION [28228],12.18,4.26,,,0
NDC,0054-0064-47,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],90.19,31.57,,,0
NDC,0054-0065-13,TERBINAFINE HCL 250 MG TABLET [12724],13.08,4.58,,,0
NDC,0054-0077-25,TORSEMIDE 20 MG TABLET [18293],0.21,0.07,,,0
NDC,0054-0079-28,BALSALAZIDE 750 MG CAPSULE [29299],0.75,0.26,,,0
NDC,0054-0080-13,EXEMESTANE 25 MG TABLET [26551],10.86,3.8,,,0
NDC,0054-0088-26,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],0.57,0.2,,,0
NDC,0054-0090-21,GALANTAMINE 4 MG TABLET [29806],0.64,0.22,,,0
NDC,0054-0097-20,OXCARBAZEPINE 150 MG TABLET [27049],0.42,0.15,,,0
NDC,0054-0099-20,OXCARBAZEPINE 600 MG TABLET [21157],0.8,0.28,,,0
NDC,0054-0107-20,RAMIPRIL 2.5 MG CAPSULE [11260],0.22,0.08,,,0
NDC,0054-0116-25,ROPINIROLE 0.25 MG TABLET [21688],0.3,0.1,,,0
NDC,0054-0163-25,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],0.55,0.19,,,0
NDC,0054-0163-29,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],0.52,0.18,,,0
NDC,0054-0166-25,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],1.1,0.38,,,0
NDC,0054-0166-29,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],0.68,0.24,,,0
NDC,0054-0176-13,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],1.5,0.52,,,0
NDC,0054-0177-13,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [34712],2.77,0.97,,,0
NDC,0054-0199-59,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION [30479],5.15,1.8,,,0
NDC,0054-0220-20,QUETIAPINE 25 MG TABLET [21823],0.28,0.1,,,0
NDC,0054-0221-20,QUETIAPINE 100 MG TABLET [21824],0.47,0.16,,,0
NDC,0054-0224-63,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],13.53,4.73,,,0
NDC,0054-0235-24,MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],0.76,0.27,,,0
NDC,0054-0235-25,MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],0.43,0.15,,,0
NDC,0054-0236-24,MORPHINE 30 MG IMMEDIATE RELEASE TABLET [5179],1.29,0.45,,,0
NDC,0054-0236-25,MORPHINE 30 MG IMMEDIATE RELEASE TABLET [5179],0.12,0.04,,,0
NDC,0054-0237-55,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],12.72,4.45,,,0
NDC,0054-0237-63,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],12.72,4.45,,,0
NDC,0054-0243-24,CODEINE SULFATE 15 MG TABLET [1801],0.72,0.25,,,0
NDC,0054-0244-24,CODEINE SULFATE 30 MG TABLET [1802],0.86,0.3,,,0
NDC,0054-0244-25,CODEINE SULFATE 30 MG TABLET [1802],0.78,0.27,,,0
NDC,0054-0250-13,IRBESARTAN 75 MG TABLET [21847],0.22,0.08,,,0
NDC,0054-0252-13,IRBESARTAN 300 MG TABLET [21849],0.37,0.13,,,0
NDC,0054-0264-24,HYDROMORPHONE 4 MG TABLET [3761],0.3,0.1,,,0
NDC,0054-0283-25,OXYMORPHONE 5 MG TABLET [76675],2.59,0.91,,,0
NDC,0054-0319-50,LINEZOLID 100 MG/5 ML ORAL SUSPENSION [28225],27.33,9.56,,,0
NDC,0054-0349-25,PHENOXYBENZAMINE 10 MG CAPSULE [10945],107.99,37.8,,,0
NDC,0054-0382-25,CYCLOPHOSPHAMIDE 25 MG CAPSULE [166193],7.49,2.62,,,0
NDC,0054-0383-25,CYCLOPHOSPHAMIDE 50 MG CAPSULE [166194],13.74,4.81,,,0
NDC,0054-0386-63,HYDROMORPHONE 1 MG/ML ORAL LIQUID [10225],13.53,4.73,,,0
NDC,0054-0404-50,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],71.7,25.1,,,0
NDC,0054-0407-13,RITONAVIR 100 MG TABLET [100995],5.33,1.87,,,0
NDC,0054-0425-23,RUFINAMIDE 200 MG TABLET [95691],3.07,1.07,,,0
NDC,0054-0426-23,RUFINAMIDE 400 MG TABLET [95692],6.14,2.15,,,0
NDC,0054-0427-25,FLUCYTOSINE 250 MG CAPSULE [10051],65.66,22.98,,,0
NDC,0054-0428-25,FLUCYTOSINE 500 MG CAPSULE [10052],127.04,44.47,,,0
NDC,0054-0434-25,DIPYRIDAMOLE 25 MG TABLET [2528],0.2,0.07,,,0
NDC,0054-0436-25,DIPYRIDAMOLE 75 MG TABLET [2530],0.44,0.15,,,0
NDC,0054-0449-49,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [77371],24.35,8.52,,,0
NDC,0054-0520-21,BOSENTAN 62.5 MG TABLET [31875],19.39,6.79,,,0
NDC,0054-0521-21,BOSENTAN 125 MG TABLET [31876],19.39,6.79,,,0
NDC,0054-0523-63,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,0054-0622-63,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION [163375],23.0,8.05,,,0
NDC,0054-1100-58,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],45.3,15.85,,,0
NDC,0054-3000-01,BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG-CAFFEINE 40 MG-CODEINE 30 MG CAP [30350],1.09,0.38,,,0
NDC,0054-3090-36,BUTORPHANOL 10 MG/ML NASAL SPRAY [9335],235.94,82.58,,,0
NDC,0054-3120-41,CALCITRIOL 1 MCG/ML ORAL SOLUTION [16218],114.99,40.25,,,0
NDC,0054-3194-46,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID [2515],6.76,2.37,,,0
NDC,0054-3270-99,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",38.14,13.35,,,0
NDC,0054-3294-46,FUROSEMIDE 10 MG/ML ORAL SOLUTION [3292],1.23,0.43,,,0
NDC,0054-3294-50,FUROSEMIDE 10 MG/ML ORAL SOLUTION [3292],1.23,0.43,,,0
NDC,0054-3500-49,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],0.97,0.34,,,0
NDC,0054-3505-47,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],7.17,2.51,,,0
NDC,0054-3532-44,LORAZEPAM 2 MG/ML ORAL CONCENTRATE [4571],7.44,2.6,,,0
NDC,0054-3555-63,METHADONE 5 MG/5 ML ORAL SOLUTION [4952],1.29,0.45,,,0
NDC,0054-3556-63,METHADONE 10 MG/5 ML ORAL SOLUTION [4951],5.95,2.08,,,0
NDC,0054-3630-63,NAPROXEN 125 MG/5 ML ORAL SUSPENSION [10691],20.29,7.1,,,0
NDC,0054-3686-63,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG/5 ML ORAL SOLUTION [17847],4.06,1.42,,,0
NDC,0054-3722-50,PREDNISONE 5 MG/5 ML ORAL SOLUTION [6492],2.06,0.72,,,0
NDC,0054-3722-63,PREDNISONE 5 MG/5 ML ORAL SOLUTION [6492],2.06,0.72,,,0
NDC,0054-3727-63,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [6654],5.41,1.89,,,0
NDC,0054-4084-25,AZATHIOPRINE 50 MG TABLET [9183],0.33,0.12,,,0
NDC,0054-4146-22,CLOTRIMAZOLE 10 MG TROCHE [9644],1.98,0.69,,,0
NDC,0054-4146-23,CLOTRIMAZOLE 10 MG TROCHE [9644],1.74,0.61,,,0
NDC,0054-4180-25,DEXAMETHASONE 0.75 MG TABLET [2323],0.21,0.07,,,0
NDC,0054-4181-25,DEXAMETHASONE 1 MG TABLET [2324],0.21,0.07,,,0
NDC,0054-4183-25,DEXAMETHASONE 2 MG TABLET [2326],0.5,0.17,,,0
NDC,0054-4184-25,DEXAMETHASONE 4 MG TABLET [2327],0.99,0.35,,,0
NDC,0054-4299-31,FUROSEMIDE 40 MG TABLET [3295],0.04,0.01,,,0
NDC,0054-4497-10,LEUCOVORIN CALCIUM 10 MG TABLET [4395],5.54,1.94,,,0
NDC,0054-4498-10,LEUCOVORIN CALCIUM 15 MG TABLET [4396],5.3,1.85,,,0
NDC,0054-4499-11,LEUCOVORIN CALCIUM 25 MG TABLET [4397],12.32,4.31,,,0
NDC,0054-4581-11,MERCAPTOPURINE 50 MG TABLET [10531],3.17,1.11,,,0
NDC,0054-4582-49,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION [166424],49.57,17.35,,,0
NDC,0054-4741-25,PREDNISONE 1 MG TABLET [6493],0.2,0.07,,,0
NDC,0054-4742-25,PREDNISONE 2.5 MG TABLET [6495],0.13,0.05,,,0
NDC,0054-4858-06,TRIAZOLAM 0.125 MG TABLET [8138],0.65,0.23,,,0
NDC,0054-4859-25,TRIAZOLAM 0.25 MG TABLET [8139],2.93,1.03,,,0
NDC,0054-8084-25,AZATHIOPRINE 50 MG TABLET [9183],0.39,0.14,,,0
NDC,0054-8146-22,CLOTRIMAZOLE 10 MG TROCHE [9644],2.75,0.96,,,0
NDC,0054-8174-25,DEXAMETHASONE 1 MG TABLET [2324],0.31,0.11,,,0
NDC,0054-8175-25,DEXAMETHASONE 4 MG TABLET [2327],1.0,0.35,,,0
NDC,0054-8176-25,DEXAMETHASONE 2 MG TABLET [2326],0.62,0.22,,,0
NDC,0054-8179-25,DEXAMETHASONE 0.5 MG TABLET [2322],0.17,0.06,,,0
NDC,0054-8180-25,DEXAMETHASONE 0.75 MG TABLET [2323],0.22,0.08,,,0
NDC,0054-8207-16,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION [154697]",9.2,3.22,,,0
NDC,0054-8297-25,FUROSEMIDE 20 MG TABLET [3294],0.17,0.06,,,0
NDC,0054-8298-16,FUROSEMIDE 40 MG/5 ML (8 MG/ML) ORAL SOLUTION [3293],13.53,4.73,,,0
NDC,0054-8299-25,FUROSEMIDE 40 MG TABLET [3295],0.19,0.07,,,0
NDC,0054-8301-25,FUROSEMIDE 80 MG TABLET [3296],0.14,0.05,,,0
NDC,0054-8496-19,LEUCOVORIN CALCIUM 5 MG TABLET [4398],1.58,0.55,,,0
NDC,0054-8527-25,LITHIUM CARBONATE 300 MG CAPSULE [4529],0.29,0.1,,,0
NDC,0054-8529-04,LITHIUM CITRATE 8 MEQ/5 ML (5 ML) ORAL SOLUTION [159620],2.71,0.95,,,0
NDC,0054-8535-16,LOPERAMIDE 1 MG/5 ML ORAL LIQUID [4561],1.35,0.47,,,0
NDC,0054-8550-25,METHOTREXATE SODIUM 2.5 MG TABLET [4973],3.05,1.07,,,0
NDC,0054-8648-16,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG/5 ML ORAL SOLUTION [17847],4.06,1.42,,,0
NDC,0054-8724-25,PREDNISONE 5 MG TABLET [6497],0.2,0.07,,,0
NDC,0054-8739-25,PREDNISONE 1 MG TABLET [6493],0.22,0.08,,,0
NDC,0054-8740-25,PREDNISONE 2.5 MG TABLET [6495],0.14,0.05,,,0
NDC,0054-8858-25,TRIAZOLAM 0.125 MG TABLET [8138],2.19,0.77,,,0
NDC,0054-8859-25,TRIAZOLAM 0.25 MG TABLET [8139],2.19,0.77,,,0
NDC,0054-9817-25,PREDNISONE 10 MG TABLET [6494],0.19,0.07,,,0
NDC,0054311763,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION [1299]",0.27,0.1,,,0
NDC,0054412025,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",0.05,0.02,,,0
NDC,0056-0168-01,WARFARIN 4 MG TABLET [21372],2.23,0.78,,,0
NDC,0056-0168-70,WARFARIN 4 MG TABLET [21372],2.23,0.78,,,0
NDC,0056-0168-75,WARFARIN 4 MG TABLET [21372],2.23,0.78,,,0
NDC,0056-0169-01,WARFARIN 1 MG TABLET [11664],2.06,0.72,,,0
NDC,0056-0169-70,WARFARIN 1 MG TABLET [11664],2.06,0.72,,,0
NDC,0056-0169-75,WARFARIN 1 MG TABLET [11664],2.06,0.72,,,0
NDC,0056-0170-01,WARFARIN 2 MG TABLET [8749],2.15,0.75,,,0
NDC,0056-0170-75,WARFARIN 2 MG TABLET [8749],2.15,0.75,,,0
NDC,0056-0172-01,WARFARIN 5 MG TABLET [8751],2.31,0.81,,,0
NDC,0056-0172-70,WARFARIN 5 MG TABLET [8751],2.31,0.81,,,0
NDC,0056-0172-75,WARFARIN 5 MG TABLET [8751],2.31,0.81,,,0
NDC,0056-0173-01,WARFARIN 7.5 MG TABLET [8752],3.08,1.08,,,0
NDC,0056-0173-70,WARFARIN 7.5 MG TABLET [8752],3.08,1.08,,,0
NDC,0056-0173-75,WARFARIN 7.5 MG TABLET [8752],3.08,1.08,,,0
NDC,0056-0174-01,WARFARIN 10 MG TABLET [8748],3.2,1.12,,,0
NDC,0056-0174-75,WARFARIN 10 MG TABLET [8748],3.2,1.12,,,0
NDC,0056-0176-01,WARFARIN 2.5 MG TABLET [8750],2.22,0.78,,,0
NDC,0056-0176-70,WARFARIN 2.5 MG TABLET [8750],2.22,0.78,,,0
NDC,0056-0176-75,WARFARIN 2.5 MG TABLET [8750],2.22,0.78,,,0
NDC,0056-0188-01,WARFARIN 3 MG TABLET [19433],2.23,0.78,,,0
NDC,0056-0188-70,WARFARIN 3 MG TABLET [19433],2.23,0.78,,,0
NDC,0056-0188-75,WARFARIN 3 MG TABLET [19433],2.23,0.78,,,0
NDC,0056-0189-01,WARFARIN 6 MG TABLET [19434],2.98,1.04,,,0
NDC,0056-0189-70,WARFARIN 6 MG TABLET [19434],2.98,1.04,,,0
NDC,0056-0189-75,WARFARIN 6 MG TABLET [19434],2.98,1.04,,,0
NDC,0056-0189-90,WARFARIN 6 MG TABLET [19434],1.99,0.7,,,0
NDC,0056-0511-68,CARBIDOPA 25 MG TABLET [26703],3.43,1.2,,,0
NDC,0056-0601-68,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [12329]",1.09,0.38,,,0
NDC,0062-0175-12,TRETINOIN 0.05 % TOPICAL CREAM [11577],235.4,82.39,,,0
NDC,0062-2085-12,ALMOTRIPTAN MALATE 12.5 MG TABLET [30322],26.6,9.31,,,0
NDC,0062-5350-01,TERCONAZOLE 0.4 % VAGINAL CREAM [11510],87.94,30.78,,,0
NDC,0062-5351-01,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY [11512],14.66,5.13,,,0
NDC,0062-5356-01,TERCONAZOLE 0.8 % VAGINAL CREAM [11511],367.98,128.79,,,0
NDC,0062-9800-01,PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE [12912],3.67,1.29,,,0
NDC,0064-5010-30,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT [9682],2.98,1.04,,,0
NDC,0065-0002-03,"NEPAFENAC 0.1 % EYE DROPS,SUSPENSION [42486]",355.8,124.53,,,0
NDC,0065-0023-15,CARBACHOL 0.01 % INTRAOCULAR SOLUTION [19704],95.32,33.36,,,0
NDC,0065-0092-65,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],26.25,9.19,,,0
NDC,0065-0215-35,PILOCARPINE 4 % EYE GEL [11029],147.46,51.61,,,0
NDC,0065-0246-10,"BETAXOLOL 0.25 % EYE DROPS,SUSPENSION [19703]",163.7,57.29,,,0
NDC,0065-0271-05,OLOPATADINE 0.1 % EYE DROPS [19452],117.16,41.01,,,0
NDC,0065-0303-55,ATROPINE 1 % EYE DROPS [736],50.06,17.52,,,0
NDC,0065-0395-15,CYCLOPENTOLATE 0.5 % EYE DROPS [9699],117.7,41.19,,,0
NDC,0065-0396-02,CYCLOPENTOLATE 1 % EYE DROPS [2025],30.33,10.62,,,0
NDC,0065-0397-02,CYCLOPENTOLATE 2 % EYE DROPS [9700],66.97,23.44,,,0
NDC,0065-0397-05,CYCLOPENTOLATE 2 % EYE DROPS [9700],43.32,15.16,,,0
NDC,0065-0411-30,POVIDONE-IODINE 5 % EYE SOLUTION [19791],169.11,59.19,,,0
NDC,0065-0530-01,BALANCED SALT SOLUTION NON-SURGICAL NO.3 EYE WASH [10780],110.93,38.83,,,0
NDC,0065-0543-01,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION [89128],716.37,250.73,,,0
NDC,0065-0631-36,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT [19495]",102.82,35.99,,,0
NDC,0065-0643-05,TOBRAMYCIN 0.3 % EYE DROPS [7995],27.33,9.56,,,0
NDC,0065-0644-35,TOBRAMYCIN 0.3 % EYE OINTMENT [19769],219.16,76.71,,,0
NDC,0065-0645-15,"NATAMYCIN 5 % EYE DROPS,SUSPENSION [10692]",1059.29,370.75,,,0
NDC,0065-0647-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [11567]",121.76,42.61,,,0
NDC,0065-0648-35,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT [11566],168.53,58.98,,,0
NDC,0065-0654-35,CIPROFLOXACIN 0.3 % EYE OINTMENT [23234],519.5,181.82,,,0
NDC,0065-0656-05,CIPROFLOXACIN 0.3 % EYE DROPS [9610],69.81,24.43,,,0
NDC,0065-0660-10,APRACLONIDINE 1 % EYE DROPS IN A DROPPERETTE [9120],114.99,40.25,,,0
NDC,0065-0665-05,APRACLONIDINE 0.5 % EYE DROPS [9119],505.97,177.09,,,0
NDC,0065-0665-10,APRACLONIDINE 0.5 % EYE DROPS [9119],505.97,177.09,,,0
NDC,0065-0728-12,PILOCARPINE 1 % EYE DROPS [6279],60.88,21.31,,,0
NDC,0065-0741-14,TETRACAINE HCL (PF) 0.5 % EYE DROPS [149689],10.24,3.58,,,0
NDC,0065-0752-12,PILOCARPINE 2 % EYE DROPS [6280],64.94,22.73,,,0
NDC,0065-0795-15,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION [10781],124.46,43.56,,,0
NDC,0065-0795-50,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION [10781],8.3,2.9,,,0
NDC,0065-0800-50,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION [14123],1.78,0.62,,,0
NDC,0065-0800-94,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION [14123],1.78,0.62,,,0
NDC,0065-4013-03,MOXIFLOXACIN 0.5 % EYE DROPS [35699],166.85,58.4,,,0
NDC,0065-8531-10,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION [22986]",86.04,30.11,,,0
NDC,0065-8533-02,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [36576]",597.96,209.29,,,0
NDC,0065-9240-07,DIFLUPREDNATE 0.05 % EYE DROPS [92859],142.98,50.04,,,0
NDC,0067-0117-18,SIMETHICONE 125 MG CHEWABLE TABLET [7226],0.21,0.07,,,0
NDC,0067-0215-28,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,0067-2070-60,CAFFEINE 200 MG TABLET [1259],0.1,0.03,,,0
NDC,0067-2086-01,PHENYLEPHRINE 1 % NASAL SPRAY [103139],0.72,0.25,,,0
NDC,0067-3998-30,TERBINAFINE HCL 1 % TOPICAL CREAM [27023],0.25,0.09,,,0
NDC,0067-4345-04,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,0067-4345-09,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,0067-5124-07,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],6.76,2.37,,,0
NDC,0067-5124-09,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],6.76,2.37,,,0
NDC,0067-5125-07,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],6.76,2.37,,,0
NDC,0067-5125-09,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],6.76,2.37,,,0
NDC,0067-5125-14,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],6.76,2.37,,,0
NDC,0067-5126-07,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,0067-5126-09,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,0067-5126-14,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,0067-5126-28,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,0067-6128-14,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],6.76,2.37,,,0
NDC,0067-6129-14,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],6.76,2.37,,,0
NDC,0067-6286-42,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE [27691]",0.6,0.21,,,0
NDC,0067-8100-30,TERBINAFINE HCL 1 % TOPICAL CREAM [27023],0.25,0.09,,,0
NDC,0067-8152-03,DICLOFENAC 1 % TOPICAL GEL [100611],2.04,0.71,,,0
NDC,0067120176,DICLOFENAC 1 % TOPICAL GEL [100611],2.04,0.71,,,0
NDC,0068-0015-01,DESIPRAMINE 50 MG TABLET [2287],3.5,1.22,,,0
NDC,0068-0597-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],673.72,235.8,,,0
NDC,0068-0599-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],673.72,235.8,,,0
NDC,0069-0006-03,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0069-0006-04,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0069-0029-18,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.88,51.41,,,0
NDC,0069-0043-01,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [110555]",7.09,2.48,,,0
NDC,0069-0043-02,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [110555]",7.09,2.48,,,0
NDC,0069-0058-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,0069-0059-03,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,0069-0059-04,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,0069-0091-03,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,0069-0094-01,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,0069-0094-02,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,0069-0103-03,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [41673],278.18,97.36,,,0
NDC,0069-0112-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],673.72,235.8,,,0
NDC,0069-0113-02,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,0069-0121-01,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,0069-0121-02,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,0069-0122-01,BENZONATATE 100 MG CAPSULE [988],1.96,0.68,,,0
NDC,0069-0171-01,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],381.38,133.48,,,0
NDC,0069-0238-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [187132],276.01,96.6,,,0
NDC,0069-0248-01,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,0069-0248-10,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,0069-0249-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [187132],276.01,96.6,,,0
NDC,0069-0302-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,0069-0305-01,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION [187402],3391.08,1186.88,,,0
NDC,0069-0306-01,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION [187402],3391.08,1186.88,,,0
NDC,0069-0315-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION [187130],894.86,313.2,,,0
NDC,0069-0324-01,PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [190062],23763.13,8317.09,,,0
NDC,0069-0338-01,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/12.5 ML INTRAVENOUS SOLUTION [100417],9.76,3.41,,,0
NDC,0069-0342-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION [187130],894.86,313.2,,,0
NDC,0069-0343-02,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [112879],15.25,5.34,,,0
NDC,0069-0807-60,MARAVIROC 150 MG TABLET [87998],15.62,5.47,,,0
NDC,0069-0808-60,MARAVIROC 300 MG TABLET [87999],15.62,5.47,,,0
NDC,0069-0809-01,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION [176812],3824.06,1338.42,,,0
NDC,0069-0950-50,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],0.91,0.32,,,0
NDC,0069-0961-01,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344],15629.97,5470.49,,,0
NDC,0069-0971-93,DOXYCYCLINE 50 MG/5 ML ORAL SYRUP [2621],2.16,0.76,,,0
NDC,0069-0971-95,DOXYCYCLINE 50 MG/5 ML ORAL SYRUP [2621],2.16,0.76,,,0
NDC,0069-1305-01,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION [182218]",128.76,45.07,,,0
NDC,0069-1305-10,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION [182218]",128.76,45.07,,,0
NDC,0069-1307-01,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [182220]",257.52,90.13,,,0
NDC,0069-1307-10,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [182220]",257.52,90.13,,,0
NDC,0069-1308-01,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [182221]",643.8,225.33,,,0
NDC,0069-1308-10,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [182221]",643.8,225.33,,,0
NDC,0069-1309-01,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [182222]",2575.2,901.32,,,0
NDC,0069-1309-04,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [182222]",2575.2,901.32,,,0
NDC,0069-1311-01,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION [190085]",1287.6,450.66,,,0
NDC,0069-1311-10,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION [190085]",1287.6,450.66,,,0
NDC,0069-1340-05,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0069-1340-16,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0069-1530-41,AMLODIPINE 5 MG TABLET [9071],8.07,2.82,,,0
NDC,0069-1530-68,AMLODIPINE 5 MG TABLET [9071],2.27,0.79,,,0
NDC,0069-1540-41,AMLODIPINE 10 MG TABLET [9069],11.06,3.87,,,0
NDC,0069-2522-02,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION [199168],23763.31,8317.16,,,0
NDC,0069-2590-01,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],788.28,275.9,,,0
NDC,0069-2599-99,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],1576.56,551.79,,,0
NDC,0069-2600-66,NIFEDIPINE 10 MG CAPSULE [5558],2.76,0.97,,,0
NDC,0069-3032-20,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [112879],15.25,5.34,,,0
NDC,0069-3034-20,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],15.25,5.34,,,0
NDC,0069-3060-75,AZITHROMYCIN 250 MG TABLET [20943],2.16,0.76,,,0
NDC,0069-3060-86,AZITHROMYCIN 250 MG TABLET [20943],34.33,12.01,,,0
NDC,0069-3150-83,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,0069-3150-84,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,0069-3858-10,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],4090.79,1431.78,,,0
NDC,0069-4494-02,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION [199168],23763.31,8317.16,,,0
NDC,0069-4543-02,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,0069-4547-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,0069-4547-02,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,0069-5471-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,0069-5474-02,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,0069-5800-43,DOFETILIDE 125 MCG CAPSULE [26965],29.76,10.42,,,0
NDC,0069-5810-43,DOFETILIDE 250 MCG CAPSULE [26966],10.97,3.84,,,0
NDC,0069-5820-43,DOFETILIDE 500 MCG CAPSULE [26967],10.97,3.84,,,0
NDC,0069-6001-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,0069-6001-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,0069-6001-21,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,0069-6001-25,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,0071-0007-40,PHENYTOIN 50 MG CHEWABLE TABLET [11018],2.13,0.75,,,0
NDC,0071-0155-40,ATORVASTATIN 10 MG TABLET [19176],12.96,4.53,,,0
NDC,0071-0156-40,ATORVASTATIN 20 MG TABLET [19178],18.48,6.47,,,0
NDC,0071-0157-40,ATORVASTATIN 40 MG TABLET [19177],18.48,6.47,,,0
NDC,0071-0158-92,ATORVASTATIN 80 MG TABLET [28645],18.48,6.47,,,0
NDC,0071-0350-60,PHENELZINE 15 MG TABLET [10933],2.55,0.89,,,0
NDC,0071-0369-40,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],1.77,0.62,,,0
NDC,0071-0418-13,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],1.54,0.54,,,0
NDC,0071-0530-40,QUINAPRIL 10 MG TABLET [11251],4.87,1.7,,,0
NDC,0071-0805-40,GABAPENTIN 300 MG CAPSULE [18308],5.81,2.03,,,0
NDC,0071-1012-68,PREGABALIN 25 MG CAPSULE [42162],9.64,3.37,,,0
NDC,0071-1013-41,PREGABALIN 50 MG CAPSULE [42163],10.6,3.71,,,0
NDC,0071-1014-41,PREGABALIN 75 MG CAPSULE [42164],10.6,3.71,,,0
NDC,0071-1014-68,PREGABALIN 75 MG CAPSULE [42164],9.64,3.37,,,0
NDC,0071-2012-23,GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],10.82,3.79,,,0
NDC,0071-2012-47,GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],10.82,3.79,,,0
NDC,0071-3740-66,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE [11019],1.38,0.48,,,0
NDC,0074-0561-11,VENETOCLAX 10 MG TABLET [174540],12.32,4.31,,,0
NDC,0074-0566-11,VENETOCLAX 50 MG TABLET [174541],61.64,21.57,,,0
NDC,0074-0576-11,VENETOCLAX 100 MG TABLET [174542],123.27,43.14,,,0
NDC,0074-1044-01,TELISOTUZUMAB VEDOTIN-TLLV 20 MG INTRAVENOUS SOLUTION [206406],9673.04,3385.56,,,0
NDC,0074-1055-01,TELISOTUZUMAB VEDOTIN-TLLV 100 MG INTRAVENOUS SOLUTION [206405],48365.21,16927.82,,,0
NDC,0074-1564-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.85,10.8,,,0
NDC,0074-1658-01,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [22960],43.81,15.33,,,0
NDC,0074-1940-63,RITONAVIR 80 MG/ML ORAL SOLUTION [16440],7.04,2.46,,,0
NDC,0074-2586-11,CLARITHROMYCIN 500 MG TABLET [9617],8.19,2.87,,,0
NDC,0074-2625-28,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET [179968],605.08,211.78,,,0
NDC,0074-3188-13,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION [12886],14.34,5.02,,,0
NDC,0074-3189-90,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],1.03,0.36,,,0
NDC,0074-3333-30,RITONAVIR 100 MG TABLET [100995],8.57,3.0,,,0
NDC,0074-3346-03,LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21045],12519.75,4381.91,,,0
NDC,0074-3641-03,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT [13691],6512.19,2279.27,,,0
NDC,0074-3641-04,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT [13691],6512.19,2279.27,,,0
NDC,0074-3641-07,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT [13691],6512.19,2279.27,,,0
NDC,0074-3642-03,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT [152471],4173.25,1460.64,,,0
NDC,0074-3663-03,LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21044],15648.29,5476.9,,,0
NDC,0074-3663-04,LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21044],15648.29,5476.9,,,0
NDC,0074-3799-02,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE KIT [34652],7990.88,2796.81,,,0
NDC,0074-3826-11,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",3.52,1.23,,,0
NDC,0074-3956-46,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION [28929],24.89,8.71,,,0
NDC,0074-4314-30,PARICALCITOL 2 MCG CAPSULE [41498],26.02,9.11,,,0
NDC,0074-4317-30,PARICALCITOL 1 MCG CAPSULE [41497],13.01,4.55,,,0
NDC,0074-4341-13,LEVOTHYROXINE 25 MCG TABLET [4420],0.45,0.16,,,0
NDC,0074-4341-19,LEVOTHYROXINE 25 MCG TABLET [4420],1.5,0.53,,,0
NDC,0074-4341-90,LEVOTHYROXINE 25 MCG TABLET [4420],1.5,0.53,,,0
NDC,0074-4380-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],21.92,7.67,,,0
NDC,0074-4382-20,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],66.23,23.18,,,0
NDC,0074-4552-11,LEVOTHYROXINE 50 MCG TABLET [4421],1.5,0.53,,,0
NDC,0074-4552-13,LEVOTHYROXINE 50 MCG TABLET [4421],0.51,0.18,,,0
NDC,0074-4552-90,LEVOTHYROXINE 50 MCG TABLET [4421],1.5,0.53,,,0
NDC,0074-4637-01,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION [31688],8.51,2.98,,,0
NDC,0074-4914-18,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE [106195],51.54,18.04,,,0
NDC,0074-5015-01,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [194884],3160.83,1106.29,,,0
NDC,0074-5182-11,LEVOTHYROXINE 75 MCG TABLET [4422],1.5,0.53,,,0
NDC,0074-5182-90,LEVOTHYROXINE 75 MCG TABLET [4422],1.5,0.53,,,0
NDC,0074-6114-11,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [27631]",1.8,0.63,,,0
NDC,0074-6122-90,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],0.57,0.2,,,0
NDC,0074-6123-90,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],1.03,0.36,,,0
NDC,0074-6212-11,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",0.95,0.33,,,0
NDC,0074-6212-13,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",1.78,0.62,,,0
NDC,0074-6214-11,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",2.28,0.8,,,0
NDC,0074-6214-13,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",3.66,1.28,,,0
NDC,0074-6215-11,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",4.19,1.47,,,0
NDC,0074-6215-13,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",6.76,2.36,,,0
NDC,0074-6227-13,ERYTHROMYCIN 500 MG TABLET [2890],2.56,0.9,,,0
NDC,0074-6304-13,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE [102623]",1.6,0.56,,,0
NDC,0074-6369-10,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION [2899],4.06,1.42,,,0
NDC,0074-6594-13,LEVOTHYROXINE 88 MCG TABLET [10403],0.57,0.2,,,0
NDC,0074-6594-90,LEVOTHYROXINE 88 MCG TABLET [10403],1.5,0.53,,,0
NDC,0074-6624-11,LEVOTHYROXINE 100 MCG TABLET [4423],1.5,0.53,,,0
NDC,0074-6624-13,LEVOTHYROXINE 100 MCG TABLET [4423],0.58,0.2,,,0
NDC,0074-6624-90,LEVOTHYROXINE 100 MCG TABLET [4423],1.5,0.53,,,0
NDC,0074-6799-22,LOPINAVIR-RITONAVIR 200 MG-50 MG TABLET [43391],8.54,2.99,,,0
NDC,0074-7068-11,LEVOTHYROXINE 125 MCG TABLET [4424],1.5,0.53,,,0
NDC,0074-7068-90,LEVOTHYROXINE 125 MCG TABLET [4424],1.5,0.53,,,0
NDC,0074-7069-11,LEVOTHYROXINE 150 MCG TABLET [4425],1.5,0.53,,,0
NDC,0074-7069-90,LEVOTHYROXINE 150 MCG TABLET [4425],1.5,0.53,,,0
NDC,0074-7070-13,LEVOTHYROXINE 175 MCG TABLET [10406],0.83,0.29,,,0
NDC,0074-7070-90,LEVOTHYROXINE 175 MCG TABLET [10406],1.5,0.52,,,0
NDC,0074-7126-11,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",6.18,2.16,,,0
NDC,0074-7148-11,LEVOTHYROXINE 200 MCG TABLET [4426],1.5,0.53,,,0
NDC,0074-7148-90,LEVOTHYROXINE 200 MCG TABLET [4426],1.5,0.53,,,0
NDC,0074-7149-13,LEVOTHYROXINE 300 MCG TABLET [4427],1.13,0.39,,,0
NDC,0074-7149-90,LEVOTHYROXINE 300 MCG TABLET [4427],1.5,0.53,,,0
NDC,0074-7269-50,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION [28844],29.63,10.37,,,0
NDC,0074-9296-13,LEVOTHYROXINE 112 MCG TABLET [10404],0.66,0.23,,,0
NDC,0074-9296-90,LEVOTHYROXINE 112 MCG TABLET [10404],1.5,0.53,,,0
NDC,0075-0620-40,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,0075-0621-60,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
NDC,0075-0622-01,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],427.73,149.7,,,0
NDC,0075-0622-80,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],427.73,149.7,,,0
NDC,0075-0623-00,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,0075-0623-03,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,0075-0624-30,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [104989],427.73,149.7,,,0
NDC,0075-1506-16,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],15.74,5.51,,,0
NDC,0075-2451-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,0075-2451-53,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,0075-2912-01,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,0075-2912-02,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,0075-2915-01,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
NDC,0075-7700-60,RILUZOLE 50 MG TABLET [16124],34.6,12.11,,,0
NDC,0075-8003-01,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [148171],2396.49,838.77,,,0
NDC,0075-8004-04,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
NDC,0078-0053-03,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],46.38,16.23,,,0
NDC,0078-0054-05,METHYLERGONOVINE 0.2 MG TABLET [10572],1.43,0.5,,,0
NDC,0078-0109-01,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],63.39,22.19,,,0
NDC,0078-0109-61,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],63.39,22.19,,,0
NDC,0078-0126-05,CLOZAPINE 25 MG TABLET [9648],5.39,1.89,,,0
NDC,0078-0127-06,CLOZAPINE 100 MG TABLET [9647],12.51,4.38,,,0
NDC,0078-0149-23,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],6360.8,2226.28,,,0
NDC,0078-0176-05,FLUVASTATIN 20 MG CAPSULE [12411],5.09,1.78,,,0
NDC,0078-0180-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],77.8,27.23,,,0
NDC,0078-0180-61,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],77.8,27.23,,,0
NDC,0078-0181-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,0078-0182-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,0078-0182-61,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,0078-0234-05,FLUVASTATIN 40 MG CAPSULE [12412],5.09,1.78,,,0
NDC,0078-0234-15,FLUVASTATIN 40 MG CAPSULE [12412],5.1,1.78,,,0
NDC,0078-0246-15,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],2.6,0.91,,,0
NDC,0078-0246-61,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],2.62,0.92,,,0
NDC,0078-0248-15,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],10.39,3.64,,,0
NDC,0078-0248-61,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],10.41,3.64,,,0
NDC,0078-0249-15,LETROZOLE 2.5 MG TABLET [21509],25.72,9.0,,,0
NDC,0078-0274-22,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION [28844],82.46,28.86,,,0
NDC,0078-0323-06,RIVASTIGMINE 1.5 MG CAPSULE [28278],4.74,1.66,,,0
NDC,0078-0323-44,RIVASTIGMINE 1.5 MG CAPSULE [28278],5.73,2.01,,,0
NDC,0078-0323-61,RIVASTIGMINE 1.5 MG CAPSULE [28278],5.74,2.01,,,0
NDC,0078-0324-06,RIVASTIGMINE 3 MG CAPSULE [28279],4.74,1.66,,,0
NDC,0078-0324-61,RIVASTIGMINE 3 MG CAPSULE [28279],5.74,2.01,,,0
NDC,0078-0325-06,RIVASTIGMINE 4.5 MG CAPSULE [28280],4.74,1.66,,,0
NDC,0078-0325-44,RIVASTIGMINE 4.5 MG CAPSULE [28280],5.73,2.01,,,0
NDC,0078-0326-06,RIVASTIGMINE 6 MG CAPSULE [28281],4.74,1.66,,,0
NDC,0078-0326-44,RIVASTIGMINE 6 MG CAPSULE [28281],5.73,2.01,,,0
NDC,0078-0327-05,ENTACAPONE 200 MG TABLET [26547],7.71,2.7,,,0
NDC,0078-0331-84,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION [23082],10411.14,3643.9,,,0
NDC,0078-0339-31,RIVASTIGMINE 2 MG/ML ORAL SOLUTION [29395],20.29,7.1,,,0
NDC,0078-0346-45,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [27461],46.0,16.1,,,0
NDC,0078-0357-52,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION [30479],5.41,1.89,,,0
NDC,0078-0358-06,VALSARTAN 80 MG TABLET [31209],3.25,1.14,,,0
NDC,0078-0358-34,VALSARTAN 80 MG TABLET [31209],9.06,3.17,,,0
NDC,0078-0358-61,VALSARTAN 80 MG TABLET [31209],3.26,1.14,,,0
NDC,0078-0359-06,VALSARTAN 160 MG TABLET [31210],3.5,1.22,,,0
NDC,0078-0359-34,VALSARTAN 160 MG TABLET [31210],9.75,3.41,,,0
NDC,0078-0359-61,VALSARTAN 160 MG TABLET [31210],3.5,1.22,,,0
NDC,0078-0365-42,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [27457],47.35,16.57,,,0
NDC,0078-0366-15,FAMCICLOVIR 125 MG TABLET [16082],10.9,3.81,,,0
NDC,0078-0368-15,FAMCICLOVIR 500 MG TABLET [13358],23.8,8.33,,,0
NDC,0078-0385-66,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE [38062]",6.59,2.31,,,0
NDC,0078-0386-66,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE [38063]",13.18,4.61,,,0
NDC,0078-0387-25,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
NDC,0078-0401-34,IMATINIB 100 MG TABLET [32979],93.64,32.77,,,0
NDC,0078-0404-05,AMLODIPINE 2.5 MG-BENAZEPRIL 10 MG CAPSULE [14820],6.98,2.44,,,0
NDC,0078-0405-05,AMLODIPINE 5 MG-BENAZEPRIL 10 MG CAPSULE [14821],10.96,3.83,,,0
NDC,0078-0406-05,AMLODIPINE 5 MG-BENAZEPRIL 20 MG CAPSULE [14822],11.57,4.05,,,0
NDC,0078-0407-05,CARBIDOPA 12.5 MG-LEVODOPA 50 MG-ENTACAPONE 200 MG TABLET [36135],7.65,2.68,,,0
NDC,0078-0408-05,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET [36136],7.65,2.68,,,0
NDC,0078-0409-05,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET [36137],7.65,2.68,,,0
NDC,0078-0415-20,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET [144523],30.39,10.64,,,0
NDC,0078-0415-61,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET [144523],30.42,10.65,,,0
NDC,0078-0417-20,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET [144525],10.13,3.55,,,0
NDC,0078-0417-61,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET [144525],10.13,3.55,,,0
NDC,0078-0419-34,"DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR [40402]",4.97,1.74,,,0
NDC,0078-0423-06,VALSARTAN 40 MG TABLET [33541],2.72,0.95,,,0
NDC,0078-0423-15,VALSARTAN 40 MG TABLET [33541],7.58,2.65,,,0
NDC,0078-0423-61,VALSARTAN 40 MG TABLET [33541],2.72,0.95,,,0
NDC,0078-0435-61,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],29.42,10.3,,,0
NDC,0078-0438-15,IMATINIB 400 MG TABLET [36092],337.41,118.09,,,0
NDC,0078-0439-05,METHYLPHENIDATE 5 MG TABLET [4988],0.76,0.27,,,0
NDC,0078-0440-05,METHYLPHENIDATE 10 MG TABLET [4986],1.08,0.38,,,0
NDC,0078-0457-05,OXCARBAZEPINE 600 MG TABLET [21157],18.51,6.48,,,0
NDC,0078-0467-91,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],148.17,51.86,,,0
NDC,0078-0485-15,ALISKIREN 150 MG TABLET [78653],5.5,1.93,,,0
NDC,0078-0485-35,ALISKIREN 150 MG TABLET [78653],3.81,1.33,,,0
NDC,0078-0486-15,ALISKIREN 300 MG TABLET [78654],6.94,2.43,,,0
NDC,0078-0494-61,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],60.34,21.12,,,0
NDC,0078-0494-71,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],60.34,21.12,,,0
NDC,0078-0495-61,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION [8993],3371.84,1180.14,,,0
NDC,0078-0501-15,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [82504],35.17,12.31,,,0
NDC,0078-0501-61,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [82504],35.17,12.31,,,0
NDC,0078-0502-15,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH [82505],83.88,29.36,,,0
NDC,0078-0502-61,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH [82505],83.88,29.36,,,0
NDC,0078-0508-83,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [103670],1.35,0.47,,,0
NDC,0078-0510-05,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR [27634]",1.56,0.55,,,0
NDC,0078-0511-05,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR [27635]",3.12,1.09,,,0
NDC,0078-0527-05,CARBIDOPA 50 MG-LEVODOPA 200 MG-ENTACAPONE 200 MG TABLET [88583],7.65,2.68,,,0
NDC,0078-0544-05,CARBIDOPA 18.75 MG-LEVODOPA 75 MG-ENTACAPONE 200 MG TABLET [94236],7.65,2.68,,,0
NDC,0078-0568-45,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET [96948],19.43,6.8,,,0
NDC,0078-0607-15,FINGOLIMOD 0.5 MG CAPSULE [148059],347.43,121.6,,,0
NDC,0078-0641-81,PASIREOTIDE PAMOATE 20 MG IM SUSPENSION [169371],15945.99,5581.1,,,0
NDC,0078-0642-81,PASIREOTIDE PAMOATE 40 MG IM SUSPENSION [169372],15945.99,5581.1,,,0
NDC,0078-0643-81,PASIREOTIDE PAMOATE 60 MG IM SUSPENSION [169373],15945.99,5581.1,,,0
NDC,0078-0649-30,IMATINIB 400 MG TABLET [36092],337.41,118.09,,,0
NDC,0078-0659-20,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [170929],11.13,3.9,,,0
NDC,0078-0659-35,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [170929],7.72,2.7,,,0
NDC,0078-0659-61,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [170929],7.71,2.7,,,0
NDC,0078-0659-67,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [170929],11.13,3.9,,,0
NDC,0078-0669-13,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION [100265],669.45,234.31,,,0
NDC,0078-0669-61,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION [100265],669.45,234.31,,,0
NDC,0078-0685-15,ELTROMBOPAG OLAMINE 25 MG TABLET [94579],223.66,78.28,,,0
NDC,0078-0690-61,"OFATUMUMAB 1,000 MG/50 ML INTRAVENOUS SOLUTION [152577]",669.45,234.31,,,0
NDC,0078-0696-20,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET [170931],11.13,3.9,,,0
NDC,0078-0696-35,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET [170931],7.72,2.7,,,0
NDC,0078-0696-61,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET [170931],7.71,2.7,,,0
NDC,0078-0698-02,MIDOSTAURIN 25 MG CAPSULE [179038],192.52,67.38,,,0
NDC,0078-0698-19,MIDOSTAURIN 25 MG CAPSULE [179038],192.51,67.38,,,0
NDC,0078-0698-51,MIDOSTAURIN 25 MG CAPSULE [179038],192.51,67.38,,,0
NDC,0078-0734-61,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION [178000],74850.0,26197.5,,,0
NDC,0078-0777-20,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [170930],11.13,3.9,,,0
NDC,0078-0777-35,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [170930],7.72,2.7,,,0
NDC,0078-0777-61,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [170930],7.71,2.7,,,0
NDC,0078-0790-61,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [169321]",9266.58,3243.3,,,0
NDC,0078-0797-61,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [169319]",18533.15,6486.6,,,0
NDC,0078-0799-75,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [36576]",79.73,27.91,,,0
NDC,0078-0804-61,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [169320]",27799.73,9729.91,,,0
NDC,0078-0811-81,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [169321]",9266.58,3243.3,,,0
NDC,0078-0818-81,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [169319]",18533.15,6486.6,,,0
NDC,0078-0825-81,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [169320]",27799.73,9729.91,,,0
NDC,0078-0855-26,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION [22986]",86.04,30.11,,,0
NDC,0078-0876-01,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT [11566],168.53,58.98,,,0
NDC,0078-0883-61,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION [186676],907.63,317.67,,,0
NDC,0078-0939-26,MOXIFLOXACIN 0.5 % EYE DROPS [35699],166.85,58.4,,,0
NDC,0078-1000-60,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE [193424],10968.08,3838.83,,,0
NDC,0081079887,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT [108388]",0.24,0.09,,,0
NDC,0085-0566-05,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [9266],262.84,91.99,,,0
NDC,0085-1132-01,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],64.01,22.4,,,0
NDC,0085-1132-04,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],50.52,17.68,,,0
NDC,0085-1133-01,INTERFERON ALFA-2B 10 MILLION UNIT/ML INJECTION SOLUTION [19898],1211.13,423.9,,,0
NDC,0085-1136-01,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],23.55,8.24,,,0
NDC,0085-1177-01,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION [23124],62.8,21.98,,,0
NDC,0085-1279-01,PEGINTERFERON ALFA-2B 150 MCG/0.5 ML SUBCUTANEOUS KIT [103848],2965.93,1038.08,,,0
NDC,0085-1288-01,MOMETASONE 50 MCG/ACTUATION NASAL SPRAY [21905],36.61,12.81,,,0
NDC,0085-1291-01,PEGINTERFERON ALFA-2B 80 MCG/0.5 ML SUBCUTANEOUS KIT [102397],127.17,44.51,,,0
NDC,0085-1297-01,PEGINTERFERON ALFA-2B 120 MCG/0.5 ML SUBCUTANEOUS PEN KIT [29586],2824.74,988.66,,,0
NDC,0085-1297-02,PEGINTERFERON ALFA-2B 120 MCG/0.5 ML SUBCUTANEOUS PEN KIT [29586],2824.74,988.66,,,0
NDC,0085-1323-01,PEGINTERFERON ALFA-2B 50 MCG/0.5 ML SUBCUTANEOUS PEN KIT [29584],2562.16,896.75,,,0
NDC,0085-1323-02,PEGINTERFERON ALFA-2B 50 MCG/0.5 ML SUBCUTANEOUS PEN KIT [29584],2562.16,896.75,,,0
NDC,0085-1328-01,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [77371],24.35,8.52,,,0
NDC,0085-1341-04,MOMETASONE 220 MCG/ACTUATION(14 DOSES) BREATH ACTIVATED POWDER INHALER [110176],501.91,175.67,,,0
NDC,0085-1341-06,MOMETASONE 220 MCG/ACTUATION(14 DOSES) BREATH ACTIVATED POWDER INHALER [110176],501.91,175.67,,,0
NDC,0085-1366-01,TEMOZOLOMIDE 100 MG CAPSULE [25894],244.72,85.65,,,0
NDC,0085-1366-02,TEMOZOLOMIDE 100 MG CAPSULE [25894],266.74,93.36,,,0
NDC,0085-1366-03,TEMOZOLOMIDE 100 MG CAPSULE [25894],455.6,159.46,,,0
NDC,0085-1366-04,TEMOZOLOMIDE 100 MG CAPSULE [25894],455.6,159.46,,,0
NDC,0085-1366-05,TEMOZOLOMIDE 100 MG CAPSULE [25894],455.6,159.46,,,0
NDC,0085-1381-01,TEMOZOLOMIDE 100 MG INTRAVENOUS SOLUTION [97260],587.53,205.63,,,0
NDC,0085-1401-01,FORMOTEROL FUMARATE 12 MCG CAPSULE WITH INHALATION DEVICE [20951],4.05,1.42,,,0
NDC,0085-1402-01,FORMOTEROL FUMARATE 12 MCG CAPSULE WITH INHALATION DEVICE [20951],5.0,1.75,,,0
NDC,0085-1402-02,FORMOTEROL FUMARATE 12 MCG CAPSULE WITH INHALATION DEVICE [20951],5.0,1.75,,,0
NDC,0085-1461-02,MOMETASONE 110 MCG/ACTUATION(30 DOSES) BREATH ACTIVATED POWDER INHALER [91877],644.39,225.54,,,0
NDC,0085-1519-01,TEMOZOLOMIDE 20 MG CAPSULE [25893],58.15,20.35,,,0
NDC,0085-1519-02,TEMOZOLOMIDE 20 MG CAPSULE [25893],48.95,17.13,,,0
NDC,0085-1519-03,TEMOZOLOMIDE 20 MG CAPSULE [25893],91.12,31.89,,,0
NDC,0085-1519-04,TEMOZOLOMIDE 20 MG CAPSULE [25893],91.12,31.89,,,0
NDC,0085-1519-05,TEMOZOLOMIDE 20 MG CAPSULE [25893],91.12,31.89,,,0
NDC,0085-1701-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]",1.34,0.47,,,0
NDC,0085-1722-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE [37662]",2.81,0.98,,,0
NDC,0085-1733-01,MOXIFLOXACIN 400 MG TABLET [26854],30.45,10.66,,,0
NDC,0085-1733-02,MOXIFLOXACIN 400 MG TABLET [26854],27.71,9.7,,,0
NDC,0085-1733-03,MOXIFLOXACIN 400 MG TABLET [26854],30.45,10.66,,,0
NDC,0085-1733-05,MOXIFLOXACIN 400 MG TABLET [26854],12.57,4.4,,,0
NDC,0085-1737-01,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [31906],1.5,0.53,,,0
NDC,0085-1741-02,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],981.79,343.63,,,0
NDC,0085-1747-01,PRAZIQUANTEL 600 MG TABLET [11113],12.52,4.38,,,0
NDC,0085-1762-01,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],4.91,1.72,,,0
NDC,0085-2028-01,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",3.32,1.16,,,0
NDC,0085-3315-03,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH [27473],44.64,15.63,,,0
NDC,0085-3315-30,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH [27473],44.64,15.63,,,0
NDC,0085-4320-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [9266],52.57,18.4,,,0
NDC,0085-4324-02,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [164566]",68.53,23.99,,,0
NDC,0085-4331-01,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [165689],141.59,49.56,,,0
NDC,0085-4350-01,INTERFERON ALFA-2B 10 MILLION UNIT (1 ML) SOLUTION FOR INJECTION [10299],150.97,52.84,,,0
NDC,0085-4602-02,INHALATIONAL SPACING DEVICE [107271],188.05,65.82,,,0
NDC,0085-4610-01,MOMETASONE-FORMOTEROL HFA 200 MCG-5 MCG/ACTUATION AEROSOL INHALER [144892],87.0,30.45,,,0
NDC,0085-4610-05,MOMETASONE-FORMOTEROL HFA 200 MCG-5 MCG/ACTUATION AEROSOL INHALER [144892],92.22,32.28,,,0
NDC,0085-7206-07,MOMETASONE-FORMOTEROL HFA 100 MCG-5 MCG/ACTUATION AEROSOL INHALER [144891],92.22,32.28,,,0
NDC,0085411508,LECITHIN-GLYCERIN-DIMETHICONE LOTION [108017],10.82,3.79,,,0
NDC,0087-2771-32,IRBESARTAN 75 MG TABLET [21847],2.7,0.95,,,0
NDC,0087-2773-31,IRBESARTAN 300 MG TABLET [21849],3.42,1.2,,,0
NDC,0087-2773-32,IRBESARTAN 300 MG TABLET [21849],3.42,1.2,,,0
NDC,0087-6632-41,DIDANOSINE 10 MG/ML (FINAL CONC.) ORAL SOLUTION [9844],20.29,7.1,,,0
NDC,0087-6674-17,"DIDANOSINE 400 MG CAPSULE,DELAYED RELEASE [29110]",14.33,5.02,,,0
NDC,0087040203,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS [188756],0.2,0.07,,,0
NDC,0087040501,PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS [188402],1.35,0.47,,,0
NDC,0087074002,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],4.06,1.42,,,0
NDC,0087086644,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],1.44,0.5,,,0
NDC,0088-1090-47,"FEXOFENADINE 60 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXT.RELEASE,12 HR [27522]",2.07,0.73,,,0
NDC,0088-1111-14,NILUTAMIDE 150 MG TABLET [25420],139.73,48.91,,,0
NDC,0088-2219-01,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [111670],100.93,35.32,,,0
NDC,0088-2219-05,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [111670],100.93,35.32,,,0
NDC,0088-2220-33,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [28282],740.85,259.3,,,0
NDC,0088-2220-60,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [111670],100.93,35.32,,,0
NDC,0088165475,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],0.08,0.03,,,0
NDC,0091-4150-60,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS [9943]",14.88,5.21,,,0
NDC,0093-0010-06,TOLTERODINE 1 MG TABLET [22782],2.65,0.93,,,0
NDC,0093-0011-98,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.14,0.05,,,0
NDC,0093-0028-01,ENALAPRIL MALEATE 10 MG TABLET [9924],0.58,0.2,,,0
NDC,0093-0051-01,CARVEDILOL 3.125 MG TABLET [18551],0.06,0.02,,,0
NDC,0093-0053-01,BUSPIRONE 5 MG TABLET [9324],0.05,0.02,,,0
NDC,0093-0053-05,BUSPIRONE 5 MG TABLET [9324],0.05,0.02,,,0
NDC,0093-0054-01,BUSPIRONE 10 MG TABLET [9323],0.07,0.02,,,0
NDC,0093-0058-05,TRAMADOL 50 MG TABLET [14632],0.21,0.07,,,0
NDC,0093-0132-01,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET [27639],0.46,0.16,,,0
NDC,0093-0135-01,CARVEDILOL 6.25 MG TABLET [15747],0.06,0.02,,,0
NDC,0093-0147-01,NAPROXEN 250 MG TABLET [5391],0.07,0.02,,,0
NDC,0093-0147-19,NAPROXEN 250 MG TABLET [5391],0.16,0.06,,,0
NDC,0093-0147-93,NAPROXEN 250 MG TABLET [5391],0.16,0.06,,,0
NDC,0093-0148-01,NAPROXEN 375 MG TABLET [5392],0.09,0.03,,,0
NDC,0093-0150-01,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],0.18,0.06,,,0
NDC,0093-0199-01,VENLAFAXINE 25 MG TABLET [12203],0.31,0.11,,,0
NDC,0093-0222-19,SUMATRIPTAN 25 MG TABLET [15327],3.8,1.33,,,0
NDC,0093-0223-90,SUMATRIPTAN 50 MG TABLET [15328],3.47,1.21,,,0
NDC,0093-0290-19,BUPROPION HCL 100 MG TABLET [9321],0.72,0.25,,,0
NDC,0093-0290-93,BUPROPION HCL 100 MG TABLET [9321],0.33,0.12,,,0
NDC,0093-0311-01,LOPERAMIDE 2 MG CAPSULE [4560],0.37,0.13,,,0
NDC,0093-0318-01,DILTIAZEM 30 MG TABLET [2475],12.27,4.29,,,0
NDC,0093-0318-05,DILTIAZEM 30 MG TABLET [2475],0.03,0.00945,,,0
NDC,0093-0319-01,DILTIAZEM 60 MG TABLET [2476],0.04,0.02,,,0
NDC,0093-0320-01,DILTIAZEM 90 MG TABLET [2477],0.32,0.11,,,0
NDC,0093-0321-01,DILTIAZEM 120 MG TABLET [2474],0.43,0.15,,,0
NDC,0093-0657-01,CALCITRIOL 0.25 MCG CAPSULE [9350],0.96,0.33,,,0
NDC,0093-0658-01,CALCITRIOL 0.5 MCG CAPSULE [9351],1.53,0.53,,,0
NDC,0093-0661-16,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP [252],23.0,8.05,,,0
NDC,0093-0670-06,GEMFIBROZIL 600 MG TABLET [3378],0.27,0.09,,,0
NDC,0093-0670-19,GEMFIBROZIL 600 MG TABLET [3378],0.28,0.1,,,0
NDC,0093-0670-93,GEMFIBROZIL 600 MG TABLET [3378],0.28,0.1,,,0
NDC,0093-0688-01,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET [27638],0.44,0.15,,,0
NDC,0093-0711-01,FLURBIPROFEN 100 MG TABLET [10078],0.47,0.16,,,0
NDC,0093-0733-01,METOPROLOL TARTRATE 50 MG TABLET [5009],0.04,0.01,,,0
NDC,0093-0734-10,METOPROLOL TARTRATE 100 MG TABLET [5008],0.07,0.03,,,0
NDC,0093-0739-56,DONEPEZIL 10 MG TABLET [18787],0.13,0.05,,,0
NDC,0093-0752-01,ATENOLOL 50 MG TABLET [718],0.14,0.05,,,0
NDC,0093-0755-01,DIFLUNISAL 500 MG TABLET [2436],1.65,0.58,,,0
NDC,0093-0755-06,DIFLUNISAL 500 MG TABLET [2436],1.65,0.58,,,0
NDC,0093-0771-98,PRAVASTATIN 10 MG TABLET [11110],0.26,0.09,,,0
NDC,0093-0787-01,ATENOLOL 25 MG TABLET [717],0.13,0.04,,,0
NDC,0093-0810-01,NORTRIPTYLINE 10 MG CAPSULE [5674],0.2,0.07,,,0
NDC,0093-0811-01,NORTRIPTYLINE 25 MG CAPSULE [5675],0.27,0.09,,,0
NDC,0093-0812-01,NORTRIPTYLINE 50 MG CAPSULE [5676],0.33,0.11,,,0
NDC,0093-0813-01,NORTRIPTYLINE 75 MG CAPSULE [5677],0.45,0.16,,,0
NDC,0093-0832-01,CLONAZEPAM 0.5 MG TABLET [9637],0.02,0.00525,,,0
NDC,0093-0840-15,KETOCONAZOLE 2 % TOPICAL CREAM [10368],4.08,1.43,,,0
NDC,0093-0900-01,KETOCONAZOLE 200 MG TABLET [10369],2.22,0.78,,,0
NDC,0093-0924-01,OXAPROZIN 600 MG TABLET [10825],2.93,1.03,,,0
NDC,0093-1010-42,MUPIROCIN 2 % TOPICAL OINTMENT [10674],7.56,2.64,,,0
NDC,0093-1015-01,NABUMETONE 500 MG TABLET [10676],0.97,0.34,,,0
NDC,0093-1016-01,NABUMETONE 750 MG TABLET [10677],1.15,0.4,,,0
NDC,0093-1022-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]",1.63,0.57,,,0
NDC,0093-1022-19,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]",2.01,0.7,,,0
NDC,0093-1023-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE [37662]",1.92,0.67,,,0
NDC,0093-1023-19,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE [37662]",2.4,0.84,,,0
NDC,0093-1024-06,NEFAZODONE 100 MG TABLET [13444],1.37,0.48,,,0
NDC,0093-1048-01,METFORMIN 500 MG TABLET [10544],0.06,0.02,,,0
NDC,0093-1060-01,SOTALOL 120 MG TABLET [15723],0.38,0.13,,,0
NDC,0093-1062-01,SOTALOL 160 MG TABLET [11419],0.48,0.17,,,0
NDC,0093-1078-53,CEFPROZIL 500 MG TABLET [9473],2.79,0.98,,,0
NDC,0093-1118-01,"ETODOLAC ER 600 MG TABLET,EXTENDED RELEASE 24 HR [27621]",2.62,0.92,,,0
NDC,0093-1136-56,ACITRETIN 25 MG CAPSULE [13979],15.38,5.38,,,0
NDC,0093-1174-01,PENICILLIN V POTASSIUM 500 MG TABLET [6093],0.33,0.11,,,0
NDC,0093-1177-01,NEOMYCIN 500 MG TABLET [5472],1.11,0.39,,,0
NDC,0093-1712-01,WARFARIN 1 MG TABLET [11664],0.22,0.08,,,0
NDC,0093-1721-01,WARFARIN 5 MG TABLET [8751],0.24,0.08,,,0
NDC,0093-2047-56,PIOGLITAZONE 30 MG TABLET [25529],0.43,0.15,,,0
NDC,0093-2047-98,PIOGLITAZONE 30 MG TABLET [25529],0.43,0.15,,,0
NDC,0093-2048-98,PIOGLITAZONE 15 MG TABLET [25528],0.28,0.1,,,0
NDC,0093-2055-06,TOLTERODINE 2 MG TABLET [22783],2.72,0.95,,,0
NDC,0093-2056-05,TOLTERODINE 1 MG TABLET [22782],2.65,0.93,,,0
NDC,0093-2056-06,TOLTERODINE 1 MG TABLET [22782],2.65,0.93,,,0
NDC,0093-2056-19,TOLTERODINE 1 MG TABLET [22782],14.88,5.21,,,0
NDC,0093-2056-42,TOLTERODINE 1 MG TABLET [22782],2.68,0.94,,,0
NDC,0093-2060-98,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],4.58,1.6,,,0
NDC,0093-2061-98,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],1.53,0.53,,,0
NDC,0093-2064-06,CILOSTAZOL 100 MG TABLET [24474],0.36,0.13,,,0
NDC,0093-2065-06,CILOSTAZOL 50 MG TABLET [24473],17.81,6.23,,,0
NDC,0093-2085-17,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],15.74,5.51,,,0
NDC,0093-2130-01,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],1.0,0.35,,,0
NDC,0093-2131-01,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],1.66,0.58,,,0
NDC,0093-2158-01,TRIMETHOPRIM 100 MG TABLET [8182],0.31,0.11,,,0
NDC,0093-2203-01,METOCLOPRAMIDE 10 MG TABLET [5005],0.07,0.03,,,0
NDC,0093-2203-10,METOCLOPRAMIDE 10 MG TABLET [5005],0.07,0.02,,,0
NDC,0093-2210-01,SUCRALFATE TABLET G-TUBE TOPICAL ONLY [411461],0.27,0.09,,,0
NDC,0093-2210-19,SUCRALFATE 1 GRAM TABLET [11442],0.25,0.09,,,0
NDC,0093-2210-93,SUCRALFATE 1 GRAM TABLET [11442],0.25,0.09,,,0
NDC,0093-2210-98,SUCRALFATE TABLET G-TUBE TOPICAL ONLY [411461],0.27,0.09,,,0
NDC,0093-2274-34,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],1.41,0.49,,,0
NDC,0093-2929-01,CYPROHEPTADINE 4 MG TABLET [2033],0.66,0.23,,,0
NDC,0093-2929-93,CYPROHEPTADINE 4 MG TABLET [2033],0.34,0.12,,,0
NDC,0093-3008-19,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",11.96,4.18,,,0
NDC,0093-3008-93,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",11.96,4.18,,,0
NDC,0093-3066-19,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE [152449],12233.29,4281.65,,,0
NDC,0093-3066-34,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE [152449],12233.29,4281.65,,,0
NDC,0093-3066-93,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE [152449],12233.29,4281.65,,,0
NDC,0093-3107-93,AMOXICILLIN 250 MG CAPSULE [450],0.12,0.04,,,0
NDC,0093-3109-93,AMOXICILLIN 500 MG CAPSULE [451],0.18,0.06,,,0
NDC,0093-3123-01,DICLOXACILLIN 250 MG CAPSULE [2414],0.68,0.24,,,0
NDC,0093-3125-01,DICLOXACILLIN 500 MG CAPSULE [2415],1.37,0.48,,,0
NDC,0093-3127-01,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE [2535],1.99,0.7,,,0
NDC,0093-3129-01,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE [2536],2.25,0.79,,,0
NDC,0093-3145-01,CEPHALEXIN 250 MG CAPSULE [9499],0.13,0.05,,,0
NDC,0093-3145-05,CEPHALEXIN 250 MG CAPSULE [9499],0.08,0.03,,,0
NDC,0093-3147-01,CEPHALEXIN 500 MG CAPSULE [9500],0.22,0.08,,,0
NDC,0093-3196-01,CEFADROXIL 500 MG CAPSULE [9436],0.53,0.19,,,0
NDC,0093-3212-01,CLONAZEPAM 1 MG TABLET [9638],0.04,0.01,,,0
NDC,0093-3334-06,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION) [175147],230.52,80.68,,,0
NDC,0093-3422-01,CYCLOBENZAPRINE 10 MG TABLET [2017],0.07,0.02,,,0
NDC,0093-3425-01,LORAZEPAM 0.5 MG TABLET [4572],0.04,0.02,,,0
NDC,0093-3426-01,LORAZEPAM 1 MG TABLET [4573],0.05,0.02,,,0
NDC,0093-3427-01,LORAZEPAM 2 MG TABLET [4574],0.08,0.03,,,0
NDC,0093-4085-63,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],60.34,21.12,,,0
NDC,0093-4127-73,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],2.71,0.95,,,0
NDC,0093-4127-74,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],2.71,0.95,,,0
NDC,0093-4137-64,CEFDINIR 250 MG/5 ML ORAL SUSPENSION [39522],4.78,1.67,,,0
NDC,0093-4146-04,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,0093-4146-64,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,0093-4155-73,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],21.65,7.58,,,0
NDC,0093-4155-79,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],21.65,7.58,,,0
NDC,0093-4155-80,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],21.65,7.58,,,0
NDC,0093-4161-76,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],16.24,5.68,,,0
NDC,0093-4161-78,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],16.24,5.68,,,0
NDC,0093-4177-73,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],2.44,0.85,,,0
NDC,0093-4232-01,BUMETANIDE 0.5 MG TABLET [9309],0.69,0.24,,,0
NDC,0093-4233-01,BUMETANIDE 1 MG TABLET [9310],0.7,0.24,,,0
NDC,0093-4234-01,BUMETANIDE 2 MG TABLET [9311],1.3,0.45,,,0
NDC,0093-4234-10,BUMETANIDE 2 MG TABLET [9311],1.07,0.38,,,0
NDC,0093-4359-19,CLOZAPINE 25 MG TABLET [9648],0.65,0.23,,,0
NDC,0093-4359-93,CLOZAPINE 25 MG TABLET [9648],0.65,0.23,,,0
NDC,0093-4443-01,GABAPENTIN 600 MG TABLET [25855],0.65,0.23,,,0
NDC,0093-4444-01,GABAPENTIN 800 MG TABLET [25856],0.78,0.27,,,0
NDC,0093-4741-19,CITALOPRAM 20 MG TABLET [21062],0.24,0.08,,,0
NDC,0093-4741-93,CITALOPRAM 20 MG TABLET [21062],0.24,0.08,,,0
NDC,0093-4742-19,CITALOPRAM 40 MG TABLET [23490],0.24,0.08,,,0
NDC,0093-4742-93,CITALOPRAM 40 MG TABLET [23490],0.24,0.08,,,0
NDC,0093-5124-01,BENAZEPRIL 5 MG TABLET [9223],0.16,0.06,,,0
NDC,0093-5127-01,BENAZEPRIL 40 MG TABLET [9222],0.16,0.06,,,0
NDC,0093-5141-56,ALENDRONATE 10 MG TABLET [15661],0.33,0.12,,,0
NDC,0093-5245-19,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],1.78,0.62,,,0
NDC,0093-5245-65,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],1.78,0.62,,,0
NDC,0093-5263-98,SOLIFENACIN 5 MG TABLET [40392],0.55,0.19,,,0
NDC,0093-5268-01,ZALEPLON 5 MG CAPSULE [25997],0.48,0.17,,,0
NDC,0093-5270-56,BISOPROLOL FUMARATE 5 MG TABLET [18288],0.92,0.32,,,0
NDC,0093-5272-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]",0.86,0.3,,,0
NDC,0093-5290-56,VORICONAZOLE 200 MG TABLET [33009],20.58,7.2,,,0
NDC,0093-5360-01,URSODIOL 250 MG TABLET [22660],2.15,0.75,,,0
NDC,0093-5401-89,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],1.65,0.58,,,0
NDC,0093-5420-88,CABERGOLINE 0.5 MG TABLET [19226],16.25,5.69,,,0
NDC,0093-5502-01,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",1.36,0.48,,,0
NDC,0093-5517-98,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],0.22,0.08,,,0
NDC,0093-5732-01,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [169332]",4.51,1.58,,,0
NDC,0093-5740-19,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],15.58,5.45,,,0
NDC,0093-5740-65,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],15.58,5.45,,,0
NDC,0093-5742-19,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],46.75,16.36,,,0
NDC,0093-5742-65,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],46.75,16.36,,,0
NDC,0093-5768-56,OLANZAPINE 5 MG TABLET [17936],0.23,0.08,,,0
NDC,0093-5769-56,OLANZAPINE 7.5 MG TABLET [17938],0.28,0.1,,,0
NDC,0093-5770-56,OLANZAPINE 10 MG TABLET [17937],0.35,0.12,,,0
NDC,0093-5786-98,ENTECAVIR 0.5 MG TABLET [41147],35.55,12.44,,,0
NDC,0093-6137-32,DIAZEPAM 2.5 MG RECTAL KIT [87865],1630.19,570.57,,,0
NDC,0093-6138-32,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT [110354],467.64,163.68,,,0
NDC,0093-6815-19,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],36.53,12.78,,,0
NDC,0093-6815-55,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],36.53,12.78,,,0
NDC,0093-7102-12,GRISEOFULVIN MICROSIZE 125 MG/5 ML ORAL SUSPENSION [10138],1.92,0.67,,,0
NDC,0093-7113-06,NEFAZODONE 150 MG TABLET [13445],1.44,0.5,,,0
NDC,0093-7146-18,AZITHROMYCIN 250 MG TABLET [20943],2.5,0.88,,,0
NDC,0093-7146-56,AZITHROMYCIN 250 MG TABLET [20943],2.12,0.74,,,0
NDC,0093-7147-56,AZITHROMYCIN 600 MG TABLET [17387],4.6,1.61,,,0
NDC,0093-7155-19,SIMVASTATIN 40 MG TABLET [11366],0.19,0.07,,,0
NDC,0093-7155-93,SIMVASTATIN 40 MG TABLET [11366],0.22,0.08,,,0
NDC,0093-7157-06,CLARITHROMYCIN 250 MG TABLET [9616],3.62,1.27,,,0
NDC,0093-7165-01,CELECOXIB 100 MG CAPSULE [24500],1.2,0.42,,,0
NDC,0093-7166-01,CELECOXIB 200 MG CAPSULE [24501],1.99,0.7,,,0
NDC,0093-7180-01,OFLOXACIN 200 MG TABLET [10770],50.06,17.52,,,0
NDC,0093-7181-01,OFLOXACIN 300 MG TABLET [10771],4.55,1.59,,,0
NDC,0093-7201-98,PRAVASTATIN 20 MG TABLET [11111],0.27,0.09,,,0
NDC,0093-7227-58,RIBAVIRIN 200 MG CAPSULE [11286],1.33,0.47,,,0
NDC,0093-7227-63,RIBAVIRIN 200 MG CAPSULE [11286],1.36,0.47,,,0
NDC,0093-7227-72,RIBAVIRIN 200 MG CAPSULE [11286],1.37,0.48,,,0
NDC,0093-7230-06,CILOSTAZOL 50 MG TABLET [24473],1.37,0.48,,,0
NDC,0093-7254-01,GLIMEPIRIDE 1 MG TABLET [16355],0.1,0.03,,,0
NDC,0093-7255-01,GLIMEPIRIDE 2 MG TABLET [16356],0.16,0.06,,,0
NDC,0093-7267-01,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0.13,0.04,,,0
NDC,0093-7272-56,PIOGLITAZONE 30 MG TABLET [25529],0.43,0.15,,,0
NDC,0093-7272-98,PIOGLITAZONE 30 MG TABLET [25529],0.43,0.15,,,0
NDC,0093-7290-56,RALOXIFENE 60 MG TABLET [22143],3.87,1.35,,,0
NDC,0093-7295-05,CARVEDILOL 12.5 MG TABLET [15749],0.06,0.02,,,0
NDC,0093-7296-01,CARVEDILOL 25 MG TABLET [15748],0.06,0.02,,,0
NDC,0093-7303-18,MIRTAZAPINE 15 MG DISINTEGRATING TABLET [29531],1.95,0.68,,,0
NDC,0093-7303-65,MIRTAZAPINE 15 MG DISINTEGRATING TABLET [29531],1.95,0.68,,,0
NDC,0093-7316-01,DESMOPRESSIN 0.1 MG TABLET [16052],3.57,1.25,,,0
NDC,0093-7317-01,DESMOPRESSIN 0.2 MG TABLET [16053],5.14,1.8,,,0
NDC,0093-7325-01,TRANDOLAPRIL 1 MG TABLET [17017],0.44,0.16,,,0
NDC,0093-7327-01,TRANDOLAPRIL 4 MG TABLET [17019],0.44,0.16,,,0
NDC,0093-7335-06,TOPIRAMATE 15 MG SPRINKLE CAPSULE [27641],1.08,0.38,,,0
NDC,0093-7336-06,TOPIRAMATE 25 MG SPRINKLE CAPSULE [27642],1.32,0.46,,,0
NDC,0093-7338-01,TAMSULOSIN 0.4 MG CAPSULE [27856],0.84,0.3,,,0
NDC,0093-7353-01,CALCITRIOL 0.5 MCG CAPSULE [9351],1.53,0.53,,,0
NDC,0093-7366-98,LOSARTAN 100 MG TABLET [22588],0.17,0.06,,,0
NDC,0093-7380-01,VENLAFAXINE 37.5 MG TABLET [12207],0.32,0.11,,,0
NDC,0093-7381-01,VENLAFAXINE 50 MG TABLET [12204],0.33,0.12,,,0
NDC,0093-7382-01,VENLAFAXINE 75 MG TABLET [12206],0.35,0.12,,,0
NDC,0093-7383-01,VENLAFAXINE 100 MG TABLET [12205],0.37,0.13,,,0
NDC,0093-7384-56,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",0.26,0.09,,,0
NDC,0093-7442-56,FLUVASTATIN 20 MG CAPSULE [12411],4.0,1.4,,,0
NDC,0093-7443-01,FLUVASTATIN 40 MG CAPSULE [12412],4.0,1.4,,,0
NDC,0093-7443-56,FLUVASTATIN 40 MG CAPSULE [12412],4.0,1.4,,,0
NDC,0093-7466-56,IRBESARTAN 300 MG TABLET [21849],0.55,0.19,,,0
NDC,0093-7600-57,TEMOZOLOMIDE 20 MG CAPSULE [25893],38.8,13.58,,,0
NDC,0093-7601-57,TEMOZOLOMIDE 100 MG CAPSULE [25894],193.98,67.89,,,0
NDC,0093-7610-56,OLMESARTAN 5 MG TABLET [32761],0.11,0.04,,,0
NDC,0093-7611-98,OLMESARTAN 20 MG TABLET [32762],0.14,0.05,,,0
NDC,0093-7612-98,OLMESARTAN 40 MG TABLET [32763],0.19,0.07,,,0
NDC,0093-7620-56,LETROZOLE 2.5 MG TABLET [21509],0.3,0.1,,,0
NDC,0093-7772-19,CLOZAPINE 100 MG TABLET [9647],1.66,0.58,,,0
NDC,0093-7772-93,CLOZAPINE 100 MG TABLET [9647],1.66,0.58,,,0
NDC,0093-8034-01,GLYBURIDE MICRONIZED 1.5 MG TABLET [14777],0.17,0.06,,,0
NDC,0093-8035-01,GLYBURIDE MICRONIZED 3 MG TABLET [14778],0.19,0.07,,,0
NDC,0093-8117-56,FAMCICLOVIR 125 MG TABLET [16082],1.48,0.52,,,0
NDC,0093-8118-56,FAMCICLOVIR 250 MG TABLET [16081],1.61,0.56,,,0
NDC,0093-8119-56,FAMCICLOVIR 500 MG TABLET [13358],3.23,1.13,,,0
NDC,0093-8122-01,DOXAZOSIN 4 MG TABLET [9896],0.71,0.25,,,0
NDC,0093-8123-01,DOXAZOSIN 8 MG TABLET [9897],0.74,0.26,,,0
NDC,0093-8232-56,IRBESARTAN 300 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET [25089],0.45,0.16,,,0
NDC,0093-8310-18,ELETRIPTAN 20 MG TABLET [34683],18.44,6.45,,,0
NDC,0093-8310-19,ELETRIPTAN 20 MG TABLET [34683],18.44,6.45,,,0
NDC,0093-8311-18,ELETRIPTAN 40 MG TABLET [34684],18.44,6.45,,,0
NDC,0093-8311-19,ELETRIPTAN 40 MG TABLET [34684],18.44,6.45,,,0
NDC,0093-8342-01,GLYBURIDE 1.25 MG TABLET [10125],0.13,0.04,,,0
NDC,0093-8343-01,GLYBURIDE 2.5 MG TABLET [10126],0.16,0.06,,,0
NDC,0093-8344-01,GLYBURIDE 5 MG TABLET [3489],0.04,0.01,,,0
NDC,0093-8675-75,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],1.86,0.65,,,0
NDC,0093-8675-78,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],1.86,0.65,,,0
NDC,0093-8739-01,MEXILETINE 150 MG CAPSULE [10595],1.29,0.45,,,0
NDC,0093-8740-01,MEXILETINE 200 MG CAPSULE [10596],1.57,0.55,,,0
NDC,0093-8741-01,MEXILETINE 250 MG CAPSULE [10597],1.84,0.64,,,0
NDC,0093-8943-01,ACYCLOVIR 400 MG TABLET [8971],0.18,0.06,,,0
NDC,0093-8943-93,ACYCLOVIR 400 MG TABLET [8971],0.21,0.07,,,0
NDC,0093-9018-19,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],1.1,0.38,,,0
NDC,0093-9018-65,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],1.1,0.38,,,0
NDC,0093-9020-19,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],4.4,1.54,,,0
NDC,0093-9020-65,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],4.4,1.54,,,0
NDC,0093-9149-01,VENLAFAXINE 50 MG TABLET [12204],0.33,0.12,,,0
NDC,0093-9168-71,HYDROCORTISONE 100 MG/60 ML ENEMA [10210],79.82,27.94,,,0
NDC,0093-9175-01,"QUINIDINE SULFATE ER 300 MG TABLET,EXTENDED RELEASE [14639]",0.79,0.28,,,0
NDC,0093-9411-01,METHAZOLAMIDE 25 MG TABLET [4961],0.22,0.08,,,0
NDC,0093-9424-01,METHAZOLAMIDE 50 MG TABLET [4962],0.32,0.11,,,0
NDC,0093-9477-53,GLYBURIDE 1.25 MG TABLET [10125],0.2,0.07,,,0
NDC,0093-9604-12,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],13.53,4.73,,,0
NDC,0093-9609-95,DOXEPIN 5 % TOPICAL CREAM [12666],51.51,18.03,,,0
NDC,0093-9652-01,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0.28,0.1,,,0
NDC,0093-9701-01,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0.22,0.08,,,0
NDC,0096-0707-35,ALUMINUM CHLORIDE 20 % TOPICAL SOLUTION [9028],0.77,0.27,,,0
NDC,0096-0707-37,ALUMINUM CHLORIDE 20 % TOPICAL SOLUTION [9028],0.77,0.27,,,0
NDC,0113-0344-05,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE [34769],1.83,0.64,,,0
NDC,0113-0441-73,DOXYLAMINE SUCCINATE 25 MG TABLET [14847],0.26,0.09,,,0
NDC,0115-1070-01,DIPYRIDAMOLE 25 MG TABLET [2528],0.39,0.14,,,0
NDC,0115-1071-01,DIPYRIDAMOLE 50 MG TABLET [2529],0.63,0.22,,,0
NDC,0115-1072-01,DIPYRIDAMOLE 75 MG TABLET [2530],0.84,0.29,,,0
NDC,0115-1365-29,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],14.88,5.21,,,0
NDC,0115-1365-30,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],14.88,5.21,,,0
NDC,0115-1470-52,MOMETASONE 0.1 % TOPICAL CREAM [10646],18.31,6.41,,,0
NDC,0115-1645-01,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],1.24,0.43,,,0
NDC,0115-1661-01,PROPRANOLOL 40 MG TABLET [6658],0.25,0.09,,,0
NDC,0115-1669-08,ACITRETIN 25 MG CAPSULE [13979],30.77,10.77,,,0
NDC,0115-1694-49,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [29032]",126.27,44.19,,,0
NDC,0115-1753-08,ACITRETIN 25 MG CAPSULE [13979],15.38,5.38,,,0
NDC,0115-2611-01,TERBUTALINE 2.5 MG TABLET [11508],2.8,0.98,,,0
NDC,0115-2622-01,TERBUTALINE 5 MG TABLET [11509],3.4,1.19,,,0
NDC,0115-2790-06,CHLOROQUINE 250 MG TABLET [1637],3.1,1.08,,,0
NDC,0115-3511-01,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0.82,0.29,,,0
NDC,0115-4411-01,DANTROLENE 25 MG CAPSULE [9718],0.81,0.28,,,0
NDC,0115-4422-01,DANTROLENE 50 MG CAPSULE [9719],1.31,0.46,,,0
NDC,0115-4433-01,DANTROLENE 100 MG CAPSULE [9717],1.64,0.57,,,0
NDC,0115-6811-08,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",0.42,0.15,,,0
NDC,0115-7018-13,MINOCYCLINE 100 MG CAPSULE [5110],1.28,0.45,,,0
NDC,0115-7033-01,FLUDROCORTISONE 0.1 MG TABLET [10054],0.59,0.21,,,0
NDC,0121-0431-30,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [28836],0.04,0.02,,,0
NDC,0121-0489-05,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR [2511],0.74,0.26,,,0
NDC,0121-0489-10,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR [2511],0.74,0.26,,,0
NDC,0121-0544-10,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.54,0.19,,,0
NDC,0121-0544-16,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.01,0.00385,,,0
NDC,0121-0576-16,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],1.35,0.47,,,0
NDC,0121-0581-04,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],13.53,4.73,,,0
NDC,0121-0646-16,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION [365],14.17,4.96,,,0
NDC,0121-0657-00,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION [113785],1.35,0.47,,,0
NDC,0121-0657-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION [113785],1.35,0.47,,,0
NDC,0121-0657-21,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [113787],0.33,0.12,,,0
NDC,0121-0658-16,TRIHEXYPHENIDYL 0.4 MG/ML ORAL ELIXIR [8165],0.04,0.02,,,0
NDC,0121-0659-30,SORBITOL 70 % SOLUTION [7413],10.82,3.79,,,0
NDC,0121-0671-16,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP [10810],6.76,2.37,,,0
NDC,0121-0675-16,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION [8428],6.49,2.27,,,0
NDC,0121-0675-85,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION [8428],6.49,2.27,,,0
NDC,0121-0721-04,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],0.58,0.2,,,0
NDC,0121-0759-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],298.92,104.62,,,0
NDC,0121-0766-16,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION [1299]",0.27,0.1,,,0
NDC,0121-0770-01,LORAZEPAM 2 MG/ML ORAL CONCENTRATE [4571],7.44,2.6,,,0
NDC,0121-0820-16,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR [7820],6.76,2.37,,,0
NDC,0121-0853-40,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],23.0,8.05,,,0
NDC,0121-0868-00,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,0121-0868-05,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,0121-0868-16,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,0121-0868-50,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,0121-0873-16,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],0.17,0.06,,,0
NDC,0121-0885-08,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION [11117],4.15,1.45,,,0
NDC,0121-0893-15,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0.12,0.04,,,0
NDC,0121-0903-15,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],0.97,0.34,,,0
NDC,0121-0905-94,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION [154697]",9.2,3.22,,,0
NDC,0121-0942-16,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],3.79,1.33,,,0
NDC,0121-0948-16,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],2.34,0.82,,,0
NDC,0121-0978-10,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR [2511],0.74,0.26,,,0
NDC,0121-1016-05,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,0121-1016-18,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,0121-1154-00,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],0.1,0.03,,,0
NDC,0121-1154-40,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],0.1,0.03,,,0
NDC,0121-1276-00,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],0.77,0.27,,,0
NDC,0121-1276-10,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],0.77,0.27,,,0
NDC,0121-1488-10,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],0.14,0.05,,,0
NDC,0121-1576-10,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],13.53,4.73,,,0
NDC,0121-1744-10,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],0.14,0.05,,,0
NDC,0121-1761-30,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0.04,0.02,,,0
NDC,0121-1781-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION [8943],0.23,0.08,,,0
NDC,0121-1870-00,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.54,0.19,,,0
NDC,0121-1870-10,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.54,0.19,,,0
NDC,0121-1971-00,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [113787],0.33,0.12,,,0
NDC,0121-1971-21,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [113787],0.33,0.12,,,0
NDC,0121-4766-05,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION [1299]",1.35,0.47,,,0
NDC,0121-4772-15,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],1.35,0.47,,,0
NDC,0121-4776-10,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [159625],2.58,0.9,,,0
NDC,0121-4776-35,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [159625],2.58,0.9,,,0
NDC,0121-4810-00,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,0121-4810-05,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,0121-4827-05,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,0121-4827-40,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,0121-4839-05,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,0121-4839-40,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,0121-4950-15,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],1.29,0.45,,,0
NDC,0121-4950-40,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],1.29,0.45,,,0
NDC,0121053005,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],1.35,0.47,,,0
NDC,0121059515,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],48.7,17.05,,,0
NDC,0121059516,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],3.25,1.14,,,0
NDC,0121059530,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],3.25,1.14,,,0
NDC,0121067616,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION [22646]",0.56,0.2,,,0
NDC,0121119000,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],3.25,1.14,,,0
NDC,0121472215,SENNA LEAF EXTRACT 176 MG/5 ML ORAL SYRUP [109928],13.53,4.73,,,0
NDC,0131-1810-67,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],9.47,3.31,,,0
NDC,0131-2477-35,LACOSAMIDE 50 MG TABLET [96968],11.27,3.94,,,0
NDC,0131-2477-60,LACOSAMIDE 50 MG TABLET [96968],12.4,4.34,,,0
NDC,0131-2478-35,LACOSAMIDE 100 MG TABLET [96969],17.62,6.17,,,0
NDC,0131-2478-60,LACOSAMIDE 100 MG TABLET [96969],19.38,6.78,,,0
NDC,0131-2479-35,LACOSAMIDE 150 MG TABLET [96970],18.66,6.53,,,0
NDC,0131-2479-60,LACOSAMIDE 150 MG TABLET [96970],20.53,7.18,,,0
NDC,0131-2480-35,LACOSAMIDE 200 MG TABLET [96971],18.67,6.53,,,0
NDC,0131-2480-60,LACOSAMIDE 200 MG TABLET [96971],20.54,7.19,,,0
NDC,0132-0202-20,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA [111234],0.07,0.02,,,0
NDC,0132-0301-40,MINERAL OIL ENEMA [5087],2.71,0.95,,,0
NDC,0132-0703-36,BISACODYL 10 MG/30 ML ENEMA [9281],2.71,0.95,,,0
NDC,0135-0071-27,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0.03,0.0091,,,0
NDC,0135-0200-01,DOCOSANOL 10 % TOPICAL CREAM [29287],30.53,10.69,,,0
NDC,0135-0200-03,DOCOSANOL 10 % TOPICAL CREAM [29287],30.53,10.69,,,0
NDC,0135-0510-01,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE [34769],1.83,0.64,,,0
NDC,0135-0512-01,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE [34769],1.83,0.64,,,0
NDC,0143-1201-25,COLCHICINE 0.6 MG TABLET [1821],0.75,0.26,,,0
NDC,0143-1202-01,CORTISONE 25 MG TABLET [1935],2.5,0.88,,,0
NDC,0143-1254-01,HYDROCORTISONE 20 MG TABLET [3734],0.91,0.32,,,0
NDC,0143-1473-01,PREDNISONE 10 MG TABLET [6494],0.04,0.01,,,0
NDC,0143-1475-01,PREDNISONE 5 MG TABLET [6497],0.03,0.01,,,0
NDC,0143-1477-01,PREDNISONE 20 MG TABLET [6496],0.07,0.02,,,0
NDC,0143-1763-01,TRIHEXYPHENIDYL 5 MG TABLET [8167],0.15,0.05,,,0
NDC,0143-1787-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],0.63,0.22,,,0
NDC,0143-3142-50,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],1.2,0.42,,,0
NDC,0143-3145-01,EPHEDRINE SULFATE 25 MG CAPSULE [2834],0.27,0.09,,,0
NDC,0143-3367-01,FLURAZEPAM 15 MG CAPSULE [3223],0.06,0.02,,,0
NDC,0143-3370-01,FLURAZEPAM 30 MG CAPSULE [3224],0.08,0.03,,,0
NDC,0143-9022-01,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,0143-9022-02,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1.0,0.35,,,0
NDC,0143-9086-01,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [112879],15.25,5.34,,,0
NDC,0143-9093-01,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],381.38,133.48,,,0
NDC,0143-9098-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],10552.3,3693.3,,,0
NDC,0143-9128-01,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],124.98,43.74,,,0
NDC,0143-9164-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],1576.56,551.79,,,0
NDC,0143-9192-01,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],0.6,0.21,,,0
NDC,0143-9204-01,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [148171],2396.49,838.77,,,0
NDC,0143-9205-01,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
NDC,0143-9210-01,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION [1635],0.71,0.25,,,0
NDC,0143-9210-10,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION [1635],0.71,0.25,,,0
NDC,0143-9217-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [22144],437.29,153.05,,,0
NDC,0143-9218-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [22144],416.47,145.77,,,0
NDC,0143-9234-01,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,0143-9234-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,0143-9240-01,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],2217.4,776.09,,,0
NDC,0143-9241-01,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],4434.8,1552.18,,,0
NDC,0143-9245-10,DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],127.05,44.47,,,0
NDC,0143-9261-01,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,0143-9262-01,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,0143-9262-25,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,0143-9273-01,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [9859],302.78,105.97,,,0
NDC,0143-9273-10,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [9859],302.78,105.97,,,0
NDC,0143-9279-01,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],5197.92,1819.27,,,0
NDC,0143-9284-01,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,0143-9284-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,0143-9285-01,AMOXICILLIN 875 MG TABLET [23458],0.44,0.15,,,0
NDC,0143-9298-01,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],82.46,28.86,,,0
NDC,0143-9298-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],82.46,28.86,,,0
NDC,0143-9300-01,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,0143-9300-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,0143-9307-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [22144],416.47,145.77,,,0
NDC,0143-9311-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0143-9318-01,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,0143-9318-10,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,0143-9331-01,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,0143-9331-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,0143-9334-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,0143-9375-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],190.69,66.74,,,0
NDC,0143-9375-10,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],190.69,66.74,,,0
NDC,0143-9376-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,0143-9377-01,ARGATROBAN 1 MG/ML INFUSION FOR EKOS [410383],22.36,7.82,,,0
NDC,0143-9384-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],869.4,304.29,,,0
NDC,0143-9385-01,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,0143-9386-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [148497]",0.73,0.25,,,0
NDC,0143-9386-10,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [148497]",0.73,0.25,,,0
NDC,0143-9392-01,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],684.55,239.59,,,0
NDC,0143-9392-10,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],684.55,239.59,,,0
NDC,0143-9428-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],869.4,304.29,,,0
NDC,0143-9431-01,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,0143-9431-10,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,0143-9501-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,0143-9501-25,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,0143-9503-01,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],325.18,113.81,,,0
NDC,0143-9504-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,0143-9505-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,0143-9507-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0143-9507-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0143-9508-10,KETAMINE 50 MG/ML INJECTION SOLUTION [4238],2.67,0.94,,,0
NDC,0143-9510-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,0143-9514-01,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],36.4,12.74,,,0
NDC,0143-9514-25,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],36.4,12.74,,,0
NDC,0143-9519-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [82178],90.19,31.57,,,0
NDC,0143-9519-10,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [82178],90.19,31.57,,,0
NDC,0143-9532-01,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,0143-9532-25,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,0143-9547-01,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [112879],15.25,5.34,,,0
NDC,0143-9550-01,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],33.54,11.74,,,0
NDC,0143-9551-01,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],33.54,11.74,,,0
NDC,0143-9551-10,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],221.61,77.56,,,0
NDC,0143-9552-01,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],121.11,42.39,,,0
NDC,0143-9553-01,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION [15426],121.11,42.39,,,0
NDC,0143-9554-01,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION [4392],83.85,29.35,,,0
NDC,0143-9555-01,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION [4394],34.6,12.11,,,0
NDC,0143-9559-01,ARGATROBAN 1 MG/ML INFUSION FOR EKOS [410383],26.28,9.2,,,0
NDC,0143-9564-01,PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],903.23,316.13,,,0
NDC,0143-9564-10,PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],903.23,316.13,,,0
NDC,0143-9567-25,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [103648],484.45,169.56,,,0
NDC,0143-9570-01,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],82.46,28.86,,,0
NDC,0143-9570-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],82.46,28.86,,,0
NDC,0143-9574-01,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,0143-9574-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,0143-9577-10,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,0143-9594-25,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [110675],6.44,2.25,,,0
NDC,0143-9633-01,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],6.48,2.27,,,0
NDC,0143-9633-10,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],6.83,2.39,,,0
NDC,0143-9637-01,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.85,10.8,,,0
NDC,0143-9637-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.85,10.8,,,0
NDC,0143-9660-01,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0143-9660-10,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0143-9673-01,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,0143-9673-10,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],103.08,36.08,,,0
NDC,0143-9673-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,0143-9679-10,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,0143-9680-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,0143-9681-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,0143-9681-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,0143-9683-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],5.48,1.92,,,0
NDC,0143-9689-01,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,0143-9689-10,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,0143-9700-01,CORTISONE 25 MG TABLET [1935],2.5,0.88,,,0
NDC,0143-9701-01,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [17450],230.12,80.54,,,0
NDC,0143-9704-25,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,0143-9709-01,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],8.26,2.89,,,0
NDC,0143-9709-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],8.26,2.89,,,0
NDC,0143-9710-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],25.0,8.75,,,0
NDC,0143-9718-01,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
NDC,0143-9718-10,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
NDC,0143-9719-01,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [14961],5.0,1.75,,,0
NDC,0143-9719-10,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [14961],5.0,1.75,,,0
NDC,0143-9720-01,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107001],5.88,2.06,,,0
NDC,0143-9720-24,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107001],5.88,2.06,,,0
NDC,0143-9721-01,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [18924],5.88,2.06,,,0
NDC,0143-9721-24,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [18924],5.88,2.06,,,0
NDC,0143-9722-24,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107002],5.88,2.06,,,0
NDC,0143-9724-01,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",23.05,8.07,,,0
NDC,0143-9729-01,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],52.83,18.49,,,0
NDC,0143-9729-05,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],52.83,18.49,,,0
NDC,0143-9738-01,PREDNISONE 20 MG TABLET [6496],0.19,0.07,,,0
NDC,0143-9738-05,PREDNISONE 20 MG TABLET [6496],0.18,0.06,,,0
NDC,0143-9738-10,PREDNISONE 20 MG TABLET [6496],0.18,0.06,,,0
NDC,0143-9746-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],190.69,66.74,,,0
NDC,0143-9746-10,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],190.69,66.74,,,0
NDC,0143-9782-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,0143-9783-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],5.48,1.92,,,0
NDC,0143-9784-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],5.48,1.92,,,0
NDC,0143-9785-01,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.85,10.8,,,0
NDC,0143-9785-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.85,10.8,,,0
NDC,0143-9786-01,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],58.17,20.36,,,0
NDC,0143-9786-10,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],116.35,40.72,,,0
NDC,0143-9788-25,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,0143-9803-50,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],0.28,0.1,,,0
NDC,0143-9850-01,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10581],343.6,120.26,,,0
NDC,0143-9851-01,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",687.2,240.52,,,0
NDC,0143-9853-16,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],1.86,0.65,,,0
NDC,0143-9853-75,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],1.86,0.65,,,0
NDC,0143-9857-25,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,0143-9858-01,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],120.64,42.23,,,0
NDC,0143-9858-25,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],120.64,42.23,,,0
NDC,0143-9859-01,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,0143-9859-25,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,0143-9871-01,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],54.76,19.17,,,0
NDC,0143-9872-01,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],141.73,49.6,,,0
NDC,0143-9873-01,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0143-9873-10,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0143-9873-25,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0143-9875-01,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,0143-9875-25,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,0143-9881-25,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],386.53,135.29,,,0
NDC,0143-9882-25,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],77.31,27.06,,,0
NDC,0143-9888-15,AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION [453],18.94,6.63,,,0
NDC,0143-9889-01,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],21.65,7.58,,,0
NDC,0143-9889-15,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],21.65,7.58,,,0
NDC,0143-9889-80,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],94.7,33.15,,,0
NDC,0143-9891-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0143-9918-01,GLYBURIDE MICRONIZED 1.5 MG TABLET [14777],0.04,0.02,,,0
NDC,0143-9919-01,GLYBURIDE MICRONIZED 3 MG TABLET [14778],0.05,0.02,,,0
NDC,0143-9923-90,CEFAZOLIN 500 MG SOLUTION FOR INJECTION [1448],44.05,15.42,,,0
NDC,0143-9924-90,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,0143-9928-01,CIPROFLOXACIN 500 MG TABLET [25119],0.32,0.11,,,0
NDC,0143-9951-01,AMOXICILLIN 875 MG TABLET [23458],0.44,0.15,,,0
NDC,0143-9951-20,AMOXICILLIN 875 MG TABLET [23458],0.48,0.17,,,0
NDC,0143-9977-22,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [103648],484.45,169.56,,,0
NDC,0143-9979-22,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],242.23,84.78,,,0
NDC,0143-9979-90,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],242.23,84.78,,,0
NDC,0143-9982-50,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],94.7,33.15,,,0
NDC,0143-9982-75,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],94.7,33.15,,,0
NDC,0143-9983-03,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,0143-9983-91,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,0143-9985-01,CEFACLOR 250 MG CAPSULE [9430],1.55,0.54,,,0
NDC,0145-0091-25,ACITRETIN 25 MG CAPSULE [13979],54.15,18.95,,,0
NDC,0145-0628-05,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION [23063],0.2,0.07,,,0
NDC,0149-0033-05,DANTROLENE 100 MG CAPSULE [9717],1.96,0.68,,,0
NDC,0149-0710-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],3.57,1.25,,,0
NDC,0165-0022-41,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.19,0.07,,,0
NDC,0168-0002-15,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM [8114],2.89,1.01,,,0
NDC,0168-0003-15,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM [8112],1.1,0.39,,,0
NDC,0168-0003-80,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM [8112],0.42,0.15,,,0
NDC,0168-0004-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],2.89,1.01,,,0
NDC,0168-0004-16,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0.25,0.09,,,0
NDC,0168-0004-80,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],43.29,15.15,,,0
NDC,0168-0005-80,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT [8117],0.52,0.18,,,0
NDC,0168-0006-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],2.98,1.04,,,0
NDC,0168-0006-16,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],0.25,0.09,,,0
NDC,0168-0007-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",4.33,1.52,,,0
NDC,0168-0007-30,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",97.4,34.09,,,0
NDC,0168-0015-31,HYDROCORTISONE 1 % TOPICAL CREAM [3726],0.48,0.17,,,0
NDC,0168-0020-31,HYDROCORTISONE 1 % TOPICAL OINTMENT [3731],0.85,0.3,,,0
NDC,0168-0029-38,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT [849]",236.75,82.86,,,0
NDC,0168-0035-04,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [113122],0.19,0.07,,,0
NDC,0168-0035-45,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT IN A PACKET [157589],2.32,0.81,,,0
NDC,0168-0054-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",6.49,2.27,,,0
NDC,0168-0054-30,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",3.25,1.14,,,0
NDC,0168-0055-15,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM [1027],29.76,10.42,,,0
NDC,0168-0062-02,ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0.41,0.14,,,0
NDC,0168-0062-31,ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0.41,0.14,,,0
NDC,0168-0071-15,GENTAMICIN 0.1 % TOPICAL CREAM [3423],132.58,46.4,,,0
NDC,0168-0078-15,GENTAMICIN 0.1 % TOPICAL OINTMENT [3424],132.58,46.4,,,0
NDC,0168-0080-31,HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],82.52,28.88,,,0
NDC,0168-0081-15,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM [5754]",27.72,9.7,,,0
NDC,0168-0089-15,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT [5755]",4.6,1.61,,,0
NDC,0168-0099-15,KETOCONAZOLE 2 % TOPICAL CREAM [10368],4.08,1.43,,,0
NDC,0168-0099-30,KETOCONAZOLE 2 % TOPICAL CREAM [10368],131.23,45.93,,,0
NDC,0168-0099-60,KETOCONAZOLE 2 % TOPICAL CREAM [10368],0.67,0.23,,,0
NDC,0168-0146-30,HYDROCORTISONE 2.5 % TOPICAL OINTMENT [3732],63.58,22.25,,,0
NDC,0168-0154-31,HYDROCORTISONE 1 % TOPICAL CREAM [3726],0.48,0.17,,,0
NDC,0168-0201-60,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION [1742],2.25,0.79,,,0
NDC,0168-0204-37,LIDOCAINE 5 % TOPICAL OINTMENT [156477],6.68,2.34,,,0
NDC,0168-0301-30,CLOBETASOL-EMOLLIENT 0.05 % TOPICAL CREAM [34484],5.24,1.83,,,0
NDC,0168-0337-60,TRIAMCINOLONE ACETONIDE 0.1 % LOTION [8116],6.07,2.12,,,0
NDC,0168-0352-22,MUPIROCIN 2 % TOPICAL OINTMENT [10674],7.56,2.64,,,0
NDC,0169-0081-81,REPAGLINIDE 0.5 MG TABLET [22584],6.26,2.19,,,0
NDC,0169-0082-81,REPAGLINIDE 1 MG TABLET [22586],6.26,2.19,,,0
NDC,0169-0084-81,REPAGLINIDE 2 MG TABLET [22585],6.26,2.19,,,0
NDC,0169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION [10289],197.56,69.14,,,0
NDC,0169-2660-15,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [172414],222.6,77.91,,,0
NDC,0169-3696-19,INSULIN ASPAR PROT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS PEN [33666],300.21,105.07,,,0
NDC,0169-6339-10,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [106823],100.07,35.02,,,0
NDC,0169-7010-01,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853]",18038.11,6313.34,,,0
NDC,0169-7050-01,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855]",90190.56,31566.7,,,0
NDC,0169-7201-01,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853]",18038.11,6313.34,,,0
NDC,0169-7205-01,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855]",90190.56,31566.7,,,0
NDC,0169-7501-11,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION [28534],72.02,25.21,,,0
NDC,0172-2083-00,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.09,0.03,,,0
NDC,0172-2083-10,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.09,0.03,,,0
NDC,0172-2083-60,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.04,0.01,,,0
NDC,0172-2089-10,HYDROCHLOROTHIAZIDE 50 MG TABLET [3721],0.12,0.04,,,0
NDC,0172-2089-60,HYDROCHLOROTHIAZIDE 50 MG TABLET [3721],0.08,0.03,,,0
NDC,0172-3649-00,GLIPIZIDE 5 MG TABLET [10117],0.06,0.02,,,0
NDC,0172-3649-10,GLIPIZIDE 5 MG TABLET [10117],0.06,0.02,,,0
NDC,0172-3650-00,GLIPIZIDE 10 MG TABLET [10116],0.09,0.03,,,0
NDC,0172-3650-60,GLIPIZIDE 10 MG TABLET [10116],0.06,0.02,,,0
NDC,0172-3757-00,LISINOPRIL 2.5 MG TABLET [13089],0.08,0.03,,,0
NDC,0172-3757-10,LISINOPRIL 2.5 MG TABLET [13089],0.08,0.03,,,0
NDC,0172-3757-60,LISINOPRIL 2.5 MG TABLET [13089],0.04,0.01,,,0
NDC,0172-3759-00,LISINOPRIL 10 MG TABLET [10449],0.1,0.04,,,0
NDC,0172-3759-10,LISINOPRIL 10 MG TABLET [10449],0.1,0.04,,,0
NDC,0172-3761-00,LISINOPRIL 40 MG TABLET [10450],0.17,0.06,,,0
NDC,0172-3761-10,LISINOPRIL 40 MG TABLET [10450],0.17,0.06,,,0
NDC,0172-3925-60,DIAZEPAM 2 MG TABLET [2404],0.02,0.0084,,,0
NDC,0172-3926-60,DIAZEPAM 5 MG TABLET [2405],0.02,0.00735,,,0
NDC,0172-3927-60,DIAZEPAM 10 MG TABLET [2403],0.02,0.0077,,,0
NDC,0172-4097-60,BACLOFEN 20 MG TABLET [861],0.36,0.13,,,0
NDC,0172-4285-00,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [11639]",0.72,0.25,,,0
NDC,0172-4285-10,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [11639]",0.72,0.25,,,0
NDC,0172-4364-10,LABETALOL 100 MG TABLET [10373],0.4,0.14,,,0
NDC,0172-4365-10,LABETALOL 200 MG TABLET [10374],0.57,0.2,,,0
NDC,0172-4381-10,GABAPENTIN 100 MG CAPSULE [18309],0.4,0.14,,,0
NDC,0172-4382-10,GABAPENTIN 300 MG CAPSULE [18308],0.97,0.34,,,0
NDC,0172-4383-10,GABAPENTIN 400 MG CAPSULE [18307],1.16,0.4,,,0
NDC,0172-4430-59,MISOPROSTOL 100 MCG TABLET [10628],0.66,0.23,,,0
NDC,0172-4443-10,GABAPENTIN 600 MG TABLET [25855],0.67,0.23,,,0
NDC,0172-4444-10,GABAPENTIN 800 MG TABLET [25856],0.8,0.28,,,0
NDC,0172-4870-00,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [19146],10.82,3.79,,,0
NDC,0172-4870-10,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [19146],0.31,0.11,,,0
NDC,0172-4960-58,FLUTAMIDE 125 MG CAPSULE [10081],3.5,1.23,,,0
NDC,0172-5311-00,CIPROFLOXACIN 250 MG TABLET [25118],0.27,0.09,,,0
NDC,0172-5311-10,CIPROFLOXACIN 250 MG TABLET [25118],0.27,0.09,,,0
NDC,0172-5312-60,CIPROFLOXACIN 500 MG TABLET [25119],0.86,0.3,,,0
NDC,0172-5312-70,CIPROFLOXACIN 500 MG TABLET [25119],0.86,0.3,,,0
NDC,0172-5313-00,CIPROFLOXACIN 750 MG TABLET [25120],0.34,0.12,,,0
NDC,0172-5313-10,CIPROFLOXACIN 750 MG TABLET [25120],0.34,0.12,,,0
NDC,0172-5410-10,FLUCONAZOLE 50 MG TABLET [10046],0.34,0.12,,,0
NDC,0172-5411-10,FLUCONAZOLE 100 MG TABLET [10044],0.58,0.2,,,0
NDC,0172-5411-60,FLUCONAZOLE 100 MG TABLET [10044],1.0,0.35,,,0
NDC,0172-5413-10,FLUCONAZOLE 200 MG TABLET [10045],0.91,0.32,,,0
NDC,0172-5413-60,FLUCONAZOLE 200 MG TABLET [10045],1.33,0.47,,,0
NDC,0172-5663-00,BUSPIRONE 5 MG TABLET [9324],0.22,0.08,,,0
NDC,0172-5663-10,BUSPIRONE 5 MG TABLET [9324],0.22,0.08,,,0
NDC,0172-5664-00,BUSPIRONE 10 MG TABLET [9323],0.29,0.1,,,0
NDC,0172-5728-00,FAMOTIDINE 20 MG TABLET [10011],0.1,0.04,,,0
NDC,0172-5728-10,FAMOTIDINE 20 MG TABLET [10011],0.1,0.04,,,0
NDC,0172-5728-60,FAMOTIDINE 20 MG TABLET [10011],0.14,0.05,,,0
NDC,0172-5728-70,FAMOTIDINE 20 MG TABLET [10011],0.14,0.05,,,0
NDC,0172-6406-05,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION [9690],15.56,5.45,,,0
NDC,0172-6406-49,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION [9690],15.56,5.45,,,0
NDC,0172-7313-20,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION [28844],82.46,28.86,,,0
NDC,0173-0045-35,MELPHALAN 2 MG TABLET [10523],7.1,2.48,,,0
NDC,0173-0107-93,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [11691],14.17,4.96,,,0
NDC,0173-0108-55,ZIDOVUDINE 100 MG CAPSULE [11692],2.53,0.89,,,0
NDC,0173-0108-56,ZIDOVUDINE 100 MG CAPSULE [11692],2.48,0.87,,,0
NDC,0173-0113-18,ZIDOVUDINE 10 MG/ML ORAL SYRUP [11693],23.0,8.05,,,0
NDC,0173-0201-55,PYRIMETHAMINE 25 MG TABLET [11246],0.91,0.32,,,0
NDC,0173-0242-55,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],0.64,0.22,,,0
NDC,0173-0242-56,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],0.91,0.32,,,0
NDC,0173-0249-56,DIGOXIN 250 MCG (0.25 MG) TABLET [2445],0.91,0.32,,,0
NDC,0173-0260-10,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [102724],31.57,11.05,,,0
NDC,0173-0262-10,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION [9853],202.69,70.94,,,0
NDC,0173-0352-10,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],242.23,84.78,,,0
NDC,0173-0388-79,BECLOMETHASONE DIPROPIONATE (AQUEOUS) 42 MCG (0.042 %) NASAL SPRAY [77822],330.1,115.53,,,0
NDC,0173-0442-02,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0173-0449-02,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97342],976.64,341.82,,,0
NDC,0173-0453-01,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",38.14,13.35,,,0
NDC,0173-0470-01,LAMIVUDINE 150 MG TABLET [15880],6.36,2.23,,,0
NDC,0173-0471-00,LAMIVUDINE 10 MG/ML ORAL SOLUTION [15881],6.76,2.37,,,0
NDC,0173-0518-01,DILUENT FOR EPOPROSTENOL (GLYCINE) INTRAVENOUS SOLUTION [103219],147.46,51.61,,,0
NDC,0173-0523-00,SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY [20039],236.75,82.86,,,0
NDC,0173-0524-00,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY [20038],236.75,82.86,,,0
NDC,0173-0547-00,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,0173-0633-02,LAMOTRIGINE 25 MG TABLET [13981],15.92,5.57,,,0
NDC,0173-0635-35,CHLORAMBUCIL 2 MG TABLET [9513],4.64,1.62,,,0
NDC,0173-0642-55,LAMOTRIGINE 100 MG TABLET [13982],18.18,6.36,,,0
NDC,0173-0643-60,LAMOTRIGINE 150 MG TABLET [14266],19.93,6.97,,,0
NDC,0173-0644-60,LAMOTRIGINE 200 MG TABLET [13983],21.69,7.59,,,0
NDC,0173-0662-00,LAMIVUDINE 100 MG TABLET [24419],16.26,5.69,,,0
NDC,0173-0681-01,ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION [28245],206.99,72.45,,,0
NDC,0173-0682-20,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],53.61,18.76,,,0
NDC,0173-0682-21,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],53.61,18.76,,,0
NDC,0173-0682-24,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],53.61,18.76,,,0
NDC,0173-0712-04,DUTASTERIDE 0.5 MG CAPSULE [34089],9.17,3.21,,,0
NDC,0173-0713-25,BUSULFAN 2 MG TABLET [9325],5.36,1.88,,,0
NDC,0173-0715-20,FLUTICASONE PROPIONATE 45 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER [77173],932.12,326.24,,,0
NDC,0173-0715-22,FLUTICASONE PROPIONATE 45 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER [77173],932.12,326.24,,,0
NDC,0173-0716-20,FLUTICASONE PROPIONATE 115 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER [77174],1159.4,405.79,,,0
NDC,0173-0716-22,FLUTICASONE PROPIONATE 115 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER [77174],1159.4,405.79,,,0
NDC,0173-0717-20,FLUTICASONE PROPIONATE 230 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER [77175],1523.32,533.16,,,0
NDC,0173-0717-22,FLUTICASONE PROPIONATE 230 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER [77175],1523.32,533.16,,,0
NDC,0173-0718-20,FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER [40697],560.08,196.03,,,0
NDC,0173-0719-20,FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER [15474],57.38,20.08,,,0
NDC,0173-0720-20,FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER [15475],1120.17,392.06,,,0
NDC,0173-0721-00,FOSAMPRENAVIR 700 MG TABLET [37182],12.08,4.23,,,0
NDC,0173-0727-00,FOSAMPRENAVIR 50 MG/ML ORAL SUSPENSION [87839],6.38,2.23,,,0
NDC,0173-0730-02,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",5.48,1.92,,,0
NDC,0173-0731-01,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",7.23,2.53,,,0
NDC,0173-0735-00,SUMATRIPTAN 25 MG TABLET [15327],33.72,11.8,,,0
NDC,0173-0736-01,SUMATRIPTAN 50 MG TABLET [15328],73.51,25.73,,,0
NDC,0173-0783-02,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],2.42,0.85,,,0
NDC,0173-0786-01,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR [37643]",5.63,1.97,,,0
NDC,0173-0788-01,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR [37644]",7.13,2.5,,,0
NDC,0173-0789-01,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR [37645]",7.13,2.5,,,0
NDC,0173-0792-20,PROPAFENONE 150 MG TABLET [11146],6.36,2.22,,,0
NDC,0173-0823-18,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR [37643]",12.17,4.26,,,0
NDC,0173-0826-18,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR [37645]",15.42,5.4,,,0
NDC,0173-0881-01,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION [172678],14608.65,5113.03,,,0
NDC,0173-0892-42,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE [185327],14608.65,5113.03,,,0
NDC,0173-0898-03,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [191444],3587.39,1255.59,,,0
NDC,0173-0933-56,VALACYCLOVIR 500 MG TABLET [13133],13.33,4.66,,,0
NDC,0173-0949-55,ACYCLOVIR 400 MG TABLET [8971],8.34,2.92,,,0
NDC,0173-0953-96,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],36.53,12.78,,,0
NDC,0173-3001-01,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",610.14,213.55,,,0
NDC,0178-0610-01,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [11083]",2.14,0.75,,,0
NDC,0182-0418-01,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET [110379],0.02,0.00525,,,0
NDC,0182-0554-00,HYDRALAZINE 25 MG TABLET [3700],0.24,0.08,,,0
NDC,0182-0554-89,HYDRALAZINE 25 MG TABLET [3700],0.24,0.08,,,0
NDC,0182-0555-89,HYDRALAZINE 50 MG TABLET [3701],0.31,0.11,,,0
NDC,0182-0556-00,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.09,0.03,,,0
NDC,0182-0556-89,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.09,0.03,,,0
NDC,0182-0557-89,HYDROCHLOROTHIAZIDE 50 MG TABLET [3721],0.12,0.04,,,0
NDC,0182-0905-00,HYDRALAZINE 10 MG TABLET [3698],0.19,0.07,,,0
NDC,0182-0905-89,HYDRALAZINE 10 MG TABLET [3698],0.2,0.07,,,0
NDC,0182-1259-00,TRAZODONE 50 MG TABLET [8085],0.08,0.03,,,0
NDC,0182-1259-89,TRAZODONE 50 MG TABLET [8085],0.05,0.02,,,0
NDC,0182-1260-00,TRAZODONE 100 MG TABLET [8083],0.12,0.04,,,0
NDC,0182-1260-89,TRAZODONE 100 MG TABLET [8083],0.09,0.03,,,0
NDC,0182-1331-00,CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],0.29,0.1,,,0
NDC,0182-2647-89,GLYBURIDE 5 MG TABLET [3489],0.19,0.07,,,0
NDC,0182-8202-89,LABETALOL 100 MG TABLET [10373],0.18,0.06,,,0
NDC,0182-8203-89,LABETALOL 200 MG TABLET [10374],0.3,0.1,,,0
NDC,0182-8236-89,ATENOLOL 50 MG TABLET [718],0.09,0.03,,,0
NDC,0182-8642-89,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.07,0.02,,,0
NDC,0185-0010-01,LABETALOL 100 MG TABLET [10373],0.07,0.02,,,0
NDC,0185-0034-51,TIZANIDINE 2 MG TABLET [14792],0.65,0.23,,,0
NDC,0185-0041-09,FOSINOPRIL 10 MG TABLET [10094],0.34,0.12,,,0
NDC,0185-0042-09,FOSINOPRIL 20 MG TABLET [10095],0.34,0.12,,,0
NDC,0185-0043-01,MIDODRINE 5 MG TABLET [10610],0.44,0.15,,,0
NDC,0185-0047-09,FOSINOPRIL 40 MG TABLET [16036],0.34,0.12,,,0
NDC,0185-0055-01,METOLAZONE 5 MG TABLET [10588],0.68,0.24,,,0
NDC,0185-0117-01,LABETALOL 200 MG TABLET [10374],0.58,0.2,,,0
NDC,0185-0122-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],1.56,0.55,,,0
NDC,0185-0128-01,BUMETANIDE 0.5 MG TABLET [9309],0.45,0.16,,,0
NDC,0185-0129-01,BUMETANIDE 1 MG TABLET [9310],0.45,0.16,,,0
NDC,0185-0130-01,BUMETANIDE 2 MG TABLET [9311],0.84,0.29,,,0
NDC,0185-0145-01,NABUMETONE 500 MG TABLET [10676],0.46,0.16,,,0
NDC,0185-0146-01,NABUMETONE 750 MG TABLET [10677],0.51,0.18,,,0
NDC,0185-0223-60,CILOSTAZOL 100 MG TABLET [24474],0.6,0.21,,,0
NDC,0185-0410-60,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0.68,0.24,,,0
NDC,0185-0415-01,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0.45,0.16,,,0
NDC,0185-0415-60,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0.45,0.16,,,0
NDC,0185-0644-01,PHENTERMINE 15 MG CAPSULE [6230],1.25,0.44,,,0
NDC,0185-0704-01,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18290],0.21,0.07,,,0
NDC,0185-0707-01,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18289],0.21,0.07,,,0
NDC,0185-0707-30,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18289],0.2,0.07,,,0
NDC,0185-0720-60,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE [14628]",2.4,0.84,,,0
NDC,0185-0757-01,SULFADIAZINE 500 MG TABLET [7554],4.04,1.41,,,0
NDC,0185-0771-01,BISOPROLOL FUMARATE 5 MG TABLET [18288],0.88,0.31,,,0
NDC,0185-0771-30,BISOPROLOL FUMARATE 5 MG TABLET [18288],0.88,0.31,,,0
NDC,0185-0801-01,RIFAMPIN 150 MG CAPSULE [11292],2.59,0.91,,,0
NDC,0185-0932-30,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],1.1,0.38,,,0
NDC,0185-0933-30,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],4.4,1.54,,,0
NDC,0185-0940-98,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET [9588],21.65,7.58,,,0
NDC,0185-1047-01,QUINIDINE SULFATE 300 MG TABLET [6778],0.46,0.16,,,0
NDC,0185-1125-88,FLUTAMIDE 125 MG CAPSULE [10081],1.57,0.55,,,0
NDC,0185-4346-01,QUINIDINE SULFATE 200 MG TABLET [6777],0.25,0.09,,,0
NDC,0185-4350-01,ISONIAZID 300 MG TABLET [4027],0.25,0.09,,,0
NDC,0185-5156-01,"PAPAVERINE ER 150 MG CAPSULE,EXTENDED RELEASE [20880]",12.18,4.26,,,0
NDC,0185-5380-76,FERROUS FUM 110 MG IRON-B12-INT.FACTOR-VIT C-FOLIC ACID 0.5 MG CAPSULE [28030],0.34,0.12,,,0
NDC,0185-5600-01,METOLAZONE 10 MG TABLET [10586],0.9,0.32,,,0
NDC,0185-7322-60,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [30510],18.04,6.31,,,0
NDC,0186-0004-31,CANDESARTAN 4 MG TABLET [23229],3.55,1.24,,,0
NDC,0186-0016-28,CANDESARTAN 16 MG TABLET [23231],2.94,1.03,,,0
NDC,0186-0114-01,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [15985]",147.46,51.61,,,0
NDC,0186-0277-13,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],0.3,0.11,,,0
NDC,0186-0776-60,TICAGRELOR 60 MG TABLET [171858],7.3,2.56,,,0
NDC,0186-0777-39,TICAGRELOR 90 MG TABLET [152743],7.3,2.56,,,0
NDC,0186-0867-54,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION [18193],72.15,25.25,,,0
NDC,0186-1070-08,BUDESONIDE 32 MCG/ACTUATION NASAL SPRAY [27022],49.4,17.29,,,0
NDC,0186-1088-39,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",1.2,0.42,,,0
NDC,0186-1090-39,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",1.2,0.42,,,0
NDC,0186-1092-39,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",1.8,0.63,,,0
NDC,0186-1094-05,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [30072]",2.86,1.0,,,0
NDC,0186-5022-28,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE [29745]",7.89,2.76,,,0
NDC,0186-5040-54,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE [29746]",9.18,3.21,,,0
NDC,0186-5042-28,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE [29746]",7.89,2.76,,,0
NDC,0187-0007-14,RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION [11285],21542.92,7540.02,,,0
NDC,0187-0658-20,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT [110354],467.64,163.68,,,0
NDC,0187-0730-90,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",60.58,21.2,,,0
NDC,0187-0842-01,BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG TABLET [8955],16.24,5.68,,,0
NDC,0187-0938-01,TOLCAPONE 100 MG TABLET [22050],118.54,41.49,,,0
NDC,0187-1704-05,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],58.76,20.57,,,0
NDC,0187-3012-20,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP [11238],13.53,4.73,,,0
NDC,0187-3013-30,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE [11240]",37.39,13.09,,,0
NDC,0187-3554-10,FLUCYTOSINE 250 MG CAPSULE [10051],76.84,26.9,,,0
NDC,0187-3555-10,FLUCYTOSINE 500 MG CAPSULE [10052],148.69,52.04,,,0
NDC,0187-4100-10,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],49.44,17.31,,,0
NDC,0187-4302-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],489.85,171.45,,,0
NDC,0187-4330-01,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,0187-4330-05,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,0187074631,DEXTROSE-DEXTRIN-MALTOSE 24 GRAM/31 GRAM ORAL GEL [162916],0.65,0.23,,,0
NDC,0187074633,DEXTROSE-DEXTRIN-MALTOSE 24 GRAM/31 GRAM ORAL GEL [162916],0.635,0.225,,,0
NDC,0187526802,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [38978],5.8,2.03,,,0
NDC,0206-2404-01,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,0206-2404-02,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,0206-2405-01,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0206-2405-02,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0206-2408-01,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0206-2408-02,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0206-8852-08,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,0206-8852-16,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,0206-8854-08,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0206-8854-16,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0206-8855-08,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0206-8855-16,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0212-2821-07,GUAR GUM ORAL POWDER [102158],47.35,16.57,,,0
NDC,0212-2841-07,PROTEIN ORAL POWDER [6682],16.24,5.68,,,0
NDC,0223-1760-01,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",0.08,0.03,,,0
NDC,0223-1760-02,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",0.08,0.03,,,0
NDC,0225-0810-47,PHENYLEPHRINE 1 % NASAL SPRAY [103139],2.25,0.79,,,0
NDC,0228-2127-10,CLONIDINE HCL 0.1 MG TABLET [1755],0.02,0.00805,,,0
NDC,0228-2129-10,CLONIDINE HCL 0.3 MG TABLET [1757],0.04,0.01,,,0
NDC,0228-2348-10,PROPYLTHIOURACIL 50 MG TABLET WRAPPER [410342],0.75,0.26,,,0
NDC,0228-2497-10,NIFEDIPINE 10 MG CAPSULE [5558],0.86,0.3,,,0
NDC,0228-2538-10,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0.32,0.11,,,0
NDC,0228-2550-06,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE [15340]",0.32,0.11,,,0
NDC,0228-2551-06,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0.39,0.14,,,0
NDC,0228-2551-11,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0.39,0.14,,,0
NDC,0228-2571-11,INDAPAMIDE 2.5 MG TABLET [3879],0.12,0.04,,,0
NDC,0228-2597-11,INDAPAMIDE 1.25 MG TABLET [10264],0.32,0.11,,,0
NDC,0228-2620-11,ISOSORBIDE MONONITRATE 20 MG TABLET [10357],0.51,0.18,,,0
NDC,0228-2778-11,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]",1.68,0.59,,,0
NDC,0228-2779-11,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]",1.96,0.69,,,0
NDC,0228-2780-11,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE [38226]",0.72,0.25,,,0
NDC,0228-2781-11,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE [37661]",3.19,1.12,,,0
NDC,0228-2878-11,OXYCODONE 15 MG TABLET [28899],0.79,0.28,,,0
NDC,0228-2879-11,OXYCODONE 30 MG TABLET [28900],1.24,0.43,,,0
NDC,0228-2890-06,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",1.28,0.45,,,0
NDC,0228-2891-03,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.36,0.48,,,0
NDC,0228-2892-03,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.36,0.48,,,0
NDC,0228-2996-11,TAMSULOSIN 0.4 MG CAPSULE [27856],0.5,0.18,,,0
NDC,0228-3004-11,CLONAZEPAM 1 MG TABLET [9638],0.05,0.02,,,0
NDC,0228-3090-11,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE [32709]",4.58,1.6,,,0
NDC,0228-3091-11,"MORPHINE ER 60 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE [32710]",8.9,3.12,,,0
NDC,0228-3156-03,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],1.37,0.48,,,0
NDC,02434091,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION [9452],51.82,18.14,,,0
NDC,02434105,CEFOTAXIME 2 GRAM SOLUTION FOR INJECTION [9454],103.64,36.27,,,0
NDC,0245-0003-08,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION [6445],3.86,1.35,,,0
NDC,0245-0003-31,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION [6445],3.86,1.35,,,0
NDC,0245-0008-35,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY [15738],94.7,33.15,,,0
NDC,0245-0012-01,SOTALOL 80 MG TABLET [11421],1.6,0.56,,,0
NDC,0245-0012-89,SOTALOL 80 MG TABLET [11421],1.6,0.56,,,0
NDC,0245-0013-01,SOTALOL 120 MG TABLET [15723],2.12,0.74,,,0
NDC,0245-0013-89,SOTALOL 120 MG TABLET [15723],2.12,0.74,,,0
NDC,0245-0084-11,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]",1.68,0.59,,,0
NDC,0245-0147-01,AMIODARONE 200 MG TABLET [9066],0.37,0.13,,,0
NDC,0245-0147-60,AMIODARONE 200 MG TABLET [9066],0.28,0.1,,,0
NDC,0245-0147-89,AMIODARONE 200 MG TABLET [9066],0.37,0.13,,,0
NDC,0245-0147-90,AMIODARONE 200 MG TABLET [9066],0.28,0.1,,,0
NDC,0245-0180-01,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",0.19,0.07,,,0
NDC,0245-0180-89,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",0.19,0.07,,,0
NDC,0245-0181-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.37,0.13,,,0
NDC,0245-0181-89,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.37,0.13,,,0
NDC,0245-0182-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.69,0.24,,,0
NDC,0245-0182-89,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.69,0.24,,,0
NDC,0245-0212-01,MIDODRINE 5 MG TABLET [10610],3.01,1.05,,,0
NDC,0245-0212-11,MIDODRINE 5 MG TABLET [10610],1.64,0.57,,,0
NDC,0245-0212-89,MIDODRINE 5 MG TABLET [10610],3.01,1.05,,,0
NDC,0245-0536-60,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET [9588],21.65,7.58,,,0
NDC,0245-0536-89,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET [9588],21.65,7.58,,,0
NDC,0245-0860-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592],7.29,2.55,,,0
NDC,0245-5317-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0.49,0.17,,,0
NDC,0245-5317-89,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0.49,0.17,,,0
NDC,0245-5319-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.54,0.19,,,0
NDC,0245-5319-11,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.5,0.18,,,0
NDC,0245-5319-89,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.54,0.19,,,0
NDC,0245019111,FOLIC ACID-VIT B6-VIT B12 2.2 MG-25 MG-1 MG TABLET [43344],1.29,0.45,,,0
NDC,0254-1007-52,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],50.52,17.68,,,0
NDC,0254-1010-19,DIAZOXIDE 50 MG/ML ORAL SUSPENSION [19713],5.97,2.09,,,0
NDC,0254-3012-78,ALVIMOPAN 12 MG CAPSULE [91870],157.11,54.99,,,0
NDC,0254-3028-02,LUBIPROSTONE 8 MCG CAPSULE [91534],1.0,0.35,,,0
NDC,0254-3029-02,LUBIPROSTONE 24 MCG CAPSULE [70472],1.0,0.35,,,0
NDC,0259-0108-28,"BIOTIN 2,500 MCG TABLET [32550]",1.29,0.45,,,0
NDC,0259-0501-16,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION [148555],3.65,1.28,,,0
NDC,0264-1510-31,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],4.24,1.49,,,0
NDC,0264-1510-32,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],3.09,1.08,,,0
NDC,0264-1800-31,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.79,0.28,,,0
NDC,0264-1800-32,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.99,0.7,,,0
NDC,0264-1933-10,AMINO ACID 10 % INTRAVENOUS SOLUTION [102153],0.15,0.05,,,0
NDC,0264-1940-20,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
NDC,0264-2101-00,"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0.22,0.08,,,0
NDC,0264-2101-10,"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0.22,0.08,,,0
NDC,0264-2101-50,"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0.22,0.08,,,0
NDC,0264-2201-00,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],166.4,58.24,,,0
NDC,0264-2201-10,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],166.21,58.17,,,0
NDC,0264-2304-00,ACETIC ACID 0.25 % IRRIGATION SOLUTION [8963],236.75,82.86,,,0
NDC,0264-3103-11,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [25365],88.11,30.84,,,0
NDC,0264-3105-11,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [154641],166.24,58.18,,,0
NDC,0264-3123-11,"CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK [91039]",155.9,54.57,,,0
NDC,0264-3125-11,CEFOXITIN 2 GRAM/50 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [91040],311.8,109.13,,,0
NDC,0264-3153-11,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK [9492],241.29,84.45,,,0
NDC,0264-3155-11,CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9493],482.58,168.9,,,0
NDC,0264-3183-11,MEROPENEM 500 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [172419],233.15,81.6,,,0
NDC,0264-3185-11,MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [172420],466.29,163.2,,,0
NDC,0264-3193-11,CEFEPIME 1 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [144775],110.14,38.55,,,0
NDC,0264-3195-11,CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [144776],220.29,77.1,,,0
NDC,0264-4400-54,MAGNESIUM SULFATE 3G IN D5 IVPB (MAG SULF 1G X 3 BAGS) [411513],1.03,0.36,,,0
NDC,0264-4460-30,FAT EMULSION 20 % INTRAVENOUS [10014],0.4,0.14,,,0
NDC,0264-4500-00,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION [184861],0.04,0.01,,,0
NDC,0264-5535-32,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],3.33,1.16,,,0
NDC,0264-5802-00,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.42,0.15,,,0
NDC,0264-5802-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.42,0.15,,,0
NDC,0264-5804-00,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0.2,0.07,,,0
NDC,0264-7385-50,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0.07,0.02,,,0
NDC,0264-7385-60,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0.04,0.02,,,0
NDC,0264-7386-50,"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0.22,0.08,,,0
NDC,0264-7386-60,"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0.22,0.08,,,0
NDC,0264-7387-50,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0.02,0.0084,,,0
NDC,0264-7388-60,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],166.21,58.17,,,0
NDC,0264-7510-00,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],0.31,0.11,,,0
NDC,0264-7510-10,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],0.62,0.22,,,0
NDC,0264-7510-20,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],1.24,0.43,,,0
NDC,0264-7520-00,DEXTROSE 10 % IV BOLUS [400302],0.31,0.11,,,0
NDC,0264-7520-20,DEXTROSE 10 % IV BOLUS [400302],1.23,0.43,,,0
NDC,0264-7578-10,MANNITOL 20 % INTRAVENOUS SOLUTION [4749],2.09,0.73,,,0
NDC,0264-7610-00,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9815],405.86,142.05,,,0
NDC,0264-7610-10,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9815],405.86,142.05,,,0
NDC,0264-7612-00,DEXTROSE 5 % AND 0.45 % NACL IV BOLUS [400295],0.31,0.11,,,0
NDC,0264-7616-00,DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9812],308.45,107.96,,,0
NDC,0264-7625-00,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION [9791],279.78,97.92,,,0
NDC,0264-7635-00,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9801],0.27,0.1,,,0
NDC,0264-7638-00,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9807],308.45,107.96,,,0
NDC,0264-7645-00,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV [9800],0.34,0.12,,,0
NDC,0264-7652-00,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [9795],308.45,107.96,,,0
NDC,0264-7655-00,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.3 % SODIUM CHLORIDE IV [9794],308.45,107.96,,,0
NDC,0264-7707-00,ELECTROLYTE-S (PH 7.4) IV BOLUS [410109],0.22,0.08,,,0
NDC,0264-7750-00,LACTATED RINGERS INTRAVENOUS SOLUTION FOR SEPSIS [409911],0.31,0.11,,,0
NDC,0264-7750-10,LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0.31,0.11,,,0
NDC,0264-7751-00,DEXTROSE 5 % AND LACTATED RINGERS IV BOLUS [400297],308.45,107.96,,,0
NDC,0264-7800-00,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],0.21,0.07,,,0
NDC,0264-7800-01,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.42,0.15,,,0
NDC,0264-7800-09,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],0.21,0.07,,,0
NDC,0264-7800-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],0.4,0.14,,,0
NDC,0264-7800-20,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.79,0.28,,,0
NDC,0264-7802-00,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0.2,0.07,,,0
NDC,0264-7802-10,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0.4,0.14,,,0
NDC,0264-7805-10,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],1.35,0.47,,,0
NDC,0264-7850-00,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0.13,0.05,,,0
NDC,0264-7865-00,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],293.76,102.82,,,0
NDC,0264-9341-55,AMINO ACID 10 % INTRAVENOUS SOLUTION [102153],0.15,0.05,,,0
NDC,0264-9554-10,THEOPHYLLINE 400 MG/500 ML IN DEXTROSE 5 % INTRAVENOUS [105072],0.04,0.01,,,0
NDC,0264-9587-20,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [15846]",2.05,0.72,,,0
NDC,0264-9594-20,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION [14868],0.88,0.31,,,0
NDC,0264-9872-10,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",0.68,0.24,,,0
NDC,0268-0247-05,HISTAMINE 1 MG/ML (2.75 MG/ML) PERCUTANEOUS SOLUTION [181407],158.38,55.43,,,0
NDC,0268-6100-10,ALLERGENIC EXTRACT-FOOD-ALMOND 1:10 PERCUTANEOUS SOLUTION [176832],25.5,8.92,,,0
NDC,0270-0445-35,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828],2.34,0.82,,,0
NDC,0270-0556-15,SINCALIDE 5 MCG SOLUTION FOR INJECTION [11368],803.98,281.39,,,0
NDC,0270-1316-04,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [10328],6.44,2.25,,,0
NDC,0270-5164-13,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION [41137],24.69,8.64,,,0
NDC,0270-5164-14,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION [41137],24.69,8.64,,,0
NDC,0270-5164-15,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION [41137],24.69,8.64,,,0
NDC,0270-7020-38,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION [196331],11.3,3.95,,,0
NDC,0270-7099-16,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION [171776],420.38,147.13,,,0
NDC,0281-0326-08,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT [5606],131.23,45.93,,,0
NDC,0281-0330-10,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [29313],4908.94,1718.13,,,0
NDC,0283-0610-43,BENZOCAINE 20 % MUCOSAL SPRAY [27666],46.11,16.14,,,0
NDC,0310-0201-30,ANASTROZOLE 1 MG TABLET [16205],17.49,6.12,,,0
NDC,0310-0210-20,ZOLMITRIPTAN 2.5 MG TABLET [21588],24.42,8.55,,,0
NDC,0310-0211-25,ZOLMITRIPTAN 5 MG TABLET [22219],26.98,9.44,,,0
NDC,0310-0271-39,QUETIAPINE 100 MG TABLET [21824],6.67,2.33,,,0
NDC,0310-0272-39,QUETIAPINE 200 MG TABLET [21825],12.58,4.4,,,0
NDC,0310-0274-39,QUETIAPINE 300 MG TABLET [29267],16.49,5.77,,,0
NDC,0310-0274-60,QUETIAPINE 300 MG TABLET [29267],16.49,5.77,,,0
NDC,0310-0275-39,QUETIAPINE 25 MG TABLET [21823],3.88,1.36,,,0
NDC,0310-0280-39,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [95676]",8.21,2.87,,,0
NDC,0310-0281-39,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR [96233]",14.75,5.16,,,0
NDC,0310-0281-60,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR [96233]",14.75,5.16,,,0
NDC,0310-0282-39,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [82089]",16.23,5.68,,,0
NDC,0310-0283-39,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [82090]",21.28,7.45,,,0
NDC,0310-0321-30,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,0310-0321-65,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,0310-0325-20,MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],209.77,73.42,,,0
NDC,0310-0325-64,MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],209.77,73.42,,,0
NDC,0310-0402-60,ZAFIRLUKAST 20 MG TABLET [17960],1.9,0.66,,,0
NDC,0310-0720-10,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,0310-0720-50,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,0310-0751-39,ROSUVASTATIN 10 MG TABLET [35134],8.7,3.04,,,0
NDC,0310-0752-39,ROSUVASTATIN 20 MG TABLET [35135],8.7,3.04,,,0
NDC,0310-0752-90,ROSUVASTATIN 20 MG TABLET [35135],2.12,0.74,,,0
NDC,0310-0754-30,ROSUVASTATIN 40 MG TABLET [35136],9.22,3.23,,,0
NDC,0310-0755-90,ROSUVASTATIN 5 MG TABLET [36612],9.22,3.23,,,0
NDC,0310-0950-36,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT [10137],4809.73,1683.41,,,0
NDC,0310-0951-30,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT [16254],14429.2,5050.22,,,0
NDC,0310-1105-01,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET [182780],86.79,30.38,,,0
NDC,0310-1105-30,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET [182780],86.79,30.38,,,0
NDC,0310-1105-39,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET [182780],86.79,30.38,,,0
NDC,0310-1730-30,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE [180718],25975.2,9091.32,,,0
NDC,0310-1745-01,BENRALIZUMAB 10 MG/0.5 ML SUBCUTANEOUS SYRINGE [201624],13092.86,4582.5,,,0
NDC,0310-1830-30,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS AUTO-INJECTOR [186299],25975.2,9091.32,,,0
NDC,0310-3040-00,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION [192406],7958.02,2785.31,,,0
NDC,0310-3200-01,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION [184235]",8824.98,3088.74,,,0
NDC,0310-3200-04,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION [184235]",8824.98,3088.74,,,0
NDC,0310-4500-12,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [179044],2050.57,717.7,,,0
NDC,0310-4505-25,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [196215],13868.2,4853.87,,,0
NDC,0310-4535-30,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [196215],13868.2,4853.87,,,0
NDC,0310-4611-50,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [179044],2050.57,717.7,,,0
NDC,0310-4700-01,MOXETUMOMAB PASUDOTOX-TDFK 1 MG INTRAVENOUS SOLUTION [183328],20600.0,7210.0,,,0
NDC,0310-6512-01,EXENATIDE 5 MCG/DOSE (250 MCG/ML)1.2 ML SUBCUTANEOUS PEN INJECTOR [110086],1455.45,509.41,,,0
NDC,0310-6524-01,EXENATIDE 10 MCG/DOSE(250 MCG/ML)2.4 ML SUBCUTANEOUS PEN INJECTOR [41283],727.72,254.7,,,0
NDC,0310-8280-60,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [95676]",0.71,0.25,,,0
NDC,0310-8283-60,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [82090]",1.02,0.36,,,0
NDC,0316-0229-75,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION [23063],0.2,0.07,,,0
NDC,0327-0001-10,OXYCHLOROSENE SODIUM TOPICAL POWDER FOR SOLUTION [167970],16.24,5.68,,,0
NDC,0327-0011-05,CITRIC ACID-GLUCONOLAC-MAG CARB 6.602 G-0.198 G/100 ML IRRIGATION SOLN [9613],190.69,66.74,,,0
NDC,0338-0004-04,"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0.22,0.08,,,0
NDC,0338-0008-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],869.4,304.29,,,0
NDC,0338-0013-04,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0.13,0.05,,,0
NDC,0338-0013-08,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0.04,0.02,,,0
NDC,0338-0017-01,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],1.39,0.49,,,0
NDC,0338-0017-02,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],1.24,0.43,,,0
NDC,0338-0017-03,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],0.62,0.22,,,0
NDC,0338-0017-04,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],0.31,0.11,,,0
NDC,0338-0017-18,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],3.09,1.08,,,0
NDC,0338-0017-31,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],4.24,1.49,,,0
NDC,0338-0017-38,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],3.09,1.08,,,0
NDC,0338-0017-41,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],4.24,1.49,,,0
NDC,0338-0017-48,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],3.09,1.08,,,0
NDC,0338-0023-04,DEXTROSE 10 % IV BOLUS [400302],0.31,0.11,,,0
NDC,0338-0043-03,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],201.58,70.55,,,0
NDC,0338-0043-04,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0.2,0.07,,,0
NDC,0338-0048-04,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0.11,0.04,,,0
NDC,0338-0048-05,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],166.4,58.24,,,0
NDC,0338-0049-01,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.32,0.46,,,0
NDC,0338-0049-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],0.42,0.15,,,0
NDC,0338-0049-04,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.42,0.15,,,0
NDC,0338-0049-11,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],208.34,72.92,,,0
NDC,0338-0049-18,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],208.34,72.92,,,0
NDC,0338-0049-31,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],208.34,72.92,,,0
NDC,0338-0049-38,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],208.34,72.92,,,0
NDC,0338-0049-41,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],208.34,72.92,,,0
NDC,0338-0049-48,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],2.08,0.73,,,0
NDC,0338-0054-03,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],1.35,0.47,,,0
NDC,0338-0063-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,0338-0069-10,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,0338-0072-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,0338-0077-04,DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9812],0.31,0.11,,,0
NDC,0338-0080-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,0338-0085-04,DEXTROSE 5 % AND 0.45 % NACL IV BOLUS [400295],0.31,0.11,,,0
NDC,0338-0086-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,0338-0089-04,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9815],405.86,142.05,,,0
NDC,0338-0108-20,NOREPINEPHRINE INFUSION 8 MG/250 ML D5W (PREMIX) [408582],0.48,0.17,,,0
NDC,0338-0116-20,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV [147779],0.97,0.34,,,0
NDC,0338-0117-04,LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0.31,0.11,,,0
NDC,0338-0125-04,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [9788],0.31,0.11,,,0
NDC,0338-0126-12,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION [186027],0.93,0.33,,,0
NDC,0338-0221-04,ELECTROLYTE-A INTRAVENOUS SOLUTION [28113],0.05,0.02,,,0
NDC,0338-0353-03,MANNITOL 10 % INTRAVENOUS SOLUTION [4747],131.23,45.93,,,0
NDC,0338-0357-03,MANNITOL 20 % INTRAVENOUS SOLUTION [4749],2.09,0.73,,,0
NDC,0338-0503-48,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [15906],1.29,0.45,,,0
NDC,0338-0511-41,GENTAMICIN 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [15912],1.31,0.46,,,0
NDC,0338-0519-09,FAT EMULSION 20 % INTRAVENOUS [10014],0.4,0.14,,,0
NDC,0338-0551-11,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [110390],4.41,1.54,,,0
NDC,0338-0551-18,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [110390],208.34,72.92,,,0
NDC,0338-0553-11,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [110389],2.98,1.04,,,0
NDC,0338-0553-18,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [110389],2.08,0.73,,,0
NDC,0338-0667-04,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV [9805],308.45,107.96,,,0
NDC,0338-0675-04,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9807],308.45,107.96,,,0
NDC,0338-0683-04,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION [9791],279.78,97.92,,,0
NDC,0338-0691-04,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],293.76,102.82,,,0
NDC,0338-0695-04,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0.29,0.1,,,0
NDC,0338-0703-48,POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11079],0.77,0.27,,,0
NDC,0338-0704-34,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36046],0.13,0.05,,,0
NDC,0338-0705-48,POTASSIUM CHLORIDE 40 MEQ IVPB (KCL 20 MEQ/100 ML X 2 BAGS) [411516],0.39,0.14,,,0
NDC,0338-0709-48,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11074],0.19,0.07,,,0
NDC,0338-0719-06,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0.02,0.0084,,,0
NDC,0338-0807-04,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [9796],308.45,107.96,,,0
NDC,0338-0811-04,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS [16014],351.74,123.11,,,0
NDC,0338-0960-48,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [91237],490.89,171.81,,,0
NDC,0338-1005-02,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [112990],0.46,0.16,,,0
NDC,0338-1007-02,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14845]",0.93,0.33,,,0
NDC,0338-1009-02,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14846]",1.86,0.65,,,0
NDC,0338-1025-41,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK [15960],4.39,1.54,,,0
NDC,0338-1049-02,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],1.43,0.5,,,0
NDC,0338-1055-48,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],3.33,1.16,,,0
NDC,0338-1073-02,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS [15981],1.54,0.54,,,0
NDC,0338-1075-02,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [18315]",175.23,61.33,,,0
NDC,0338-1077-02,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV [15982]",2.8,0.98,,,0
NDC,0338-1101-04,AMINO ACID 5 % NO.6 IN DEXTROSE 20 % INTRAVENOUS SOLUTION [27933],0.01,0.0035,,,0
NDC,0338-1123-04,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION [27963],0.01,0.0035,,,0
NDC,0338-1130-03,PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION [112486],0.36,0.13,,,0
NDC,0338-1305-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
NDC,0338-1305-03,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
NDC,0338-1708-40,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [112209],4.12,1.44,,,0
NDC,0338-1709-40,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [16162],1.03,0.36,,,0
NDC,0338-3508-41,CEFAZOLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [172692],1.76,0.62,,,0
NDC,0338-3552-48,VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [92895],2.15,0.75,,,0
NDC,0338-3583-01,VANCOMYCIN 1 GRAM/200 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK [175221],2.15,0.75,,,0
NDC,0338-3612-24,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],11.82,4.14,,,0
NDC,0338-3612-50,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],11.82,4.14,,,0
NDC,0338-3814-24,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],12.28,4.3,,,0
NDC,0338-3814-50,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],12.28,4.3,,,0
NDC,0338-3993-01,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],1160.47,406.16,,,0
NDC,0338-4303-10,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYNTHET-CALCIUM 10 ML TOPICAL KIT [181637],2066.65,723.33,,,0
NDC,0338-6010-48,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [14961],5.0,1.75,,,0
NDC,0338-6011-37,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
NDC,0338-6045-37,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,0338-6046-48,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.85,0.3,,,0
NDC,0338-6304-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.79,0.28,,,0
NDC,0338-6304-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],0.4,0.14,,,0
NDC,0338-8701-01,FIBRINOGEN-THROMBIN 9.5 CM X 4.8 CM TOPICAL PATCH [147963],2733.12,956.59,,,0
NDC,0338-8702-02,FIBRINOGEN-THROMBIN 4.8 CM X 4.8 CM TOPICAL PATCH [147962],1602.88,561.01,,,0
NDC,0338-9159-30,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [110389],2.08,0.73,,,0
NDC,0338-9542-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.42,0.15,,,0
NDC,0338-9543-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.21,0.07,,,0
NDC,0338-9550-50,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.99,0.7,,,0
NDC,0338-9557-12,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,0338-9564-01,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE [181648],230.81,80.78,,,0
NDC,0338-9637-01,THROMBIN(HUM PLAS)-FIBRIN-APROT-CA 2.5 TO 6.5 UNIT/ML(2ML) TOPICAL SYR [112897],1380.72,483.25,,,0
NDC,0338-9647-12,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV [179319],5.19,1.82,,,0
NDC,0378-0018-01,METOPROLOL TARTRATE 25 MG TABLET [37637],0.05,0.02,,,0
NDC,0378-0023-01,DILTIAZEM 30 MG TABLET [2475],0.15,0.05,,,0
NDC,0378-0045-01,DILTIAZEM 60 MG TABLET [2476],0.24,0.08,,,0
NDC,0378-0047-01,METOPROLOL TARTRATE 100 MG TABLET [5008],0.07,0.03,,,0
NDC,0378-0047-10,METOPROLOL TARTRATE 100 MG TABLET [5008],0.06,0.02,,,0
NDC,0378-0052-01,PINDOLOL 5 MG TABLET [6297],1.06,0.37,,,0
NDC,0378-0069-01,INDAPAMIDE 1.25 MG TABLET [10264],0.29,0.1,,,0
NDC,0378-0078-01,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0.26,0.09,,,0
NDC,0378-0088-01,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [12329]",0.69,0.24,,,0
NDC,0378-0094-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [9409]",1.4,0.49,,,0
NDC,0378-0135-01,DILTIAZEM 90 MG TABLET [2477],0.32,0.11,,,0
NDC,0378-0135-05,DILTIAZEM 90 MG TABLET [2477],0.32,0.11,,,0
NDC,0378-0137-01,ALLOPURINOL 100 MG TABLET [310],0.28,0.1,,,0
NDC,0378-0144-91,TAMOXIFEN 10 MG TABLET [7711],0.38,0.13,,,0
NDC,0378-0148-89,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],2.74,0.96,,,0
NDC,0378-0182-01,PROPRANOLOL 10 MG TABLET [6656],0.28,0.1,,,0
NDC,0378-0182-10,PROPRANOLOL 10 MG TABLET [6656],0.28,0.1,,,0
NDC,0378-0183-01,PROPRANOLOL 20 MG TABLET [6657],0.36,0.12,,,0
NDC,0378-0183-10,PROPRANOLOL 20 MG TABLET [6657],0.36,0.12,,,0
NDC,0378-0184-01,PROPRANOLOL 40 MG TABLET [6658],0.5,0.18,,,0
NDC,0378-0185-01,PROPRANOLOL 80 MG TABLET [6660],0.1,0.04,,,0
NDC,0378-0222-01,CHLORTHALIDONE 25 MG TABLET [1661],0.27,0.09,,,0
NDC,0378-0228-93,PIOGLITAZONE 30 MG TABLET [25529],0.43,0.15,,,0
NDC,0378-0353-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]",0.34,0.12,,,0
NDC,0378-0360-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]",0.5,0.17,,,0
NDC,0378-0373-01,HYDROXYCHLOROQUINE 200 MG TABLET [10235],0.33,0.12,,,0
NDC,0378-0390-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE [37662]",0.81,0.28,,,0
NDC,0378-0415-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0.7,0.24,,,0
NDC,0378-0433-01,BUPROPION HCL 75 MG TABLET [9322],0.5,0.18,,,0
NDC,0378-0437-01,SPIRONOLACTONE 100 MG TABLET [11425],1.33,0.47,,,0
NDC,0378-0503-01,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18290],0.37,0.13,,,0
NDC,0378-0525-01,DILTIAZEM 120 MG TABLET [2474],0.43,0.15,,,0
NDC,0378-0616-01,THIORIDAZINE 50 MG TABLET [7900],0.33,0.12,,,0
NDC,0378-0618-01,THIORIDAZINE 100 MG TABLET [7895],0.39,0.14,,,0
NDC,0378-0771-01,CYCLOBENZAPRINE 5 MG TABLET [35184],0.04,0.02,,,0
NDC,0378-0871-16,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],98.76,34.57,,,0
NDC,0378-0871-99,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],98.76,34.57,,,0
NDC,0378-0872-16,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],162.34,56.82,,,0
NDC,0378-0872-99,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],162.34,56.82,,,0
NDC,0378-0873-16,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],215.1,75.29,,,0
NDC,0378-0873-99,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],215.1,75.29,,,0
NDC,0378-0923-93,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],0.53,0.19,,,0
NDC,0378-1005-01,AZATHIOPRINE 50 MG TABLET [9183],0.47,0.16,,,0
NDC,0378-1020-77,NICARDIPINE 20 MG CAPSULE [10712],1.78,0.62,,,0
NDC,0378-1049-01,DOXEPIN 10 MG CAPSULE [2608],0.47,0.16,,,0
NDC,0378-1066-01,MELOXICAM 7.5 MG TABLET [20566],0.1,0.03,,,0
NDC,0378-1101-01,PRAZOSIN 1 MG CAPSULE [6468],0.15,0.05,,,0
NDC,0378-1125-01,GLYBURIDE MICRONIZED 3 MG TABLET [14778],0.25,0.09,,,0
NDC,0378-1132-01,NADOLOL 80 MG TABLET [5332],2.48,0.87,,,0
NDC,0378-1150-01,BUSPIRONE 10 MG TABLET [9323],0.11,0.04,,,0
NDC,0378-1171-10,NADOLOL 40 MG TABLET [5331],1.8,0.63,,,0
NDC,0378-1200-01,ACEBUTOLOL 200 MG CAPSULE [8939],0.31,0.11,,,0
NDC,0378-1258-91,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR [37643]",5.85,2.05,,,0
NDC,0378-1261-91,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR [37645]",7.41,2.59,,,0
NDC,0378-1452-01,ESTRADIOL 0.5 MG TABLET [12491],0.14,0.05,,,0
NDC,0378-1454-01,ESTRADIOL 1 MG TABLET [9967],0.17,0.06,,,0
NDC,0378-1610-01,DICYCLOMINE 10 MG CAPSULE [2418],0.08,0.03,,,0
NDC,0378-1610-05,DICYCLOMINE 10 MG CAPSULE [2418],0.08,0.03,,,0
NDC,0378-1620-01,DICYCLOMINE 20 MG TABLET [2420],0.14,0.05,,,0
NDC,0378-1813-77,LEVOTHYROXINE 125 MCG TABLET [4424],0.5,0.17,,,0
NDC,0378-1902-01,MIDODRINE 5 MG TABLET [10610],1.95,0.68,,,0
NDC,0378-2003-93,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR [32631]",2.01,0.7,,,0
NDC,0378-2042-01,BROMOCRIPTINE 2.5 MG TABLET [9297],2.08,0.73,,,0
NDC,0378-2072-01,LISINOPRIL 2.5 MG TABLET [13089],0.01,0.00385,,,0
NDC,0378-2074-01,LISINOPRIL 10 MG TABLET [10449],0.02,0.007,,,0
NDC,0378-2076-01,LISINOPRIL 40 MG TABLET [10450],0.04,0.01,,,0
NDC,0378-2146-01,SPIRONOLACTONE 25 MG TABLET [7437],0.16,0.06,,,0
NDC,0378-2246-93,IMATINIB 400 MG TABLET [36092],11.7,4.1,,,0
NDC,0378-2402-01,TRIFLUOPERAZINE 2 MG TABLET [8163],0.6,0.21,,,0
NDC,0378-2405-01,TRIFLUOPERAZINE 5 MG TABLET [8164],0.76,0.27,,,0
NDC,0378-2410-01,TRIFLUOPERAZINE 10 MG TABLET [8162],1.2,0.42,,,0
NDC,0378-2675-01,AMITRIPTYLINE 75 MG TABLET [437],0.86,0.3,,,0
NDC,0378-3007-01,CAPTOPRIL 12.5 MG TABLET [9401],1.01,0.35,,,0
NDC,0378-3017-01,CAPTOPRIL 50 MG TABLET [9403],1.88,0.66,,,0
NDC,0378-3020-01,FAMOTIDINE 20 MG TABLET [10011],0.1,0.04,,,0
NDC,0378-3065-77,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],0.36,0.12,,,0
NDC,0378-3066-77,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],0.65,0.23,,,0
NDC,0378-3266-94,ETOPOSIDE 50 MG CAPSULE [10001],75.33,26.37,,,0
NDC,0378-3515-01,MIRTAZAPINE 15 MG TABLET [17466],0.2,0.07,,,0
NDC,0378-3545-01,MIRTAZAPINE 45 MG TABLET [24945],0.36,0.12,,,0
NDC,0378-3547-25,MERCAPTOPURINE 50 MG TABLET [10531],2.78,0.97,,,0
NDC,0378-3547-52,MERCAPTOPURINE 50 MG TABLET [10531],3.09,1.08,,,0
NDC,0378-3611-01,LIOTHYRONINE 5 MCG TABLET [10443],0.82,0.29,,,0
NDC,0378-3612-01,LIOTHYRONINE 25 MCG TABLET [4504],0.79,0.28,,,0
NDC,0378-3634-01,CARVEDILOL 25 MG TABLET [15748],0.16,0.06,,,0
NDC,0378-3925-93,FEBUXOSTAT 40 MG TABLET [97133],2.53,0.89,,,0
NDC,0378-3979-93,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [78064]",24.45,8.56,,,0
NDC,0378-3980-93,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR [78065]",24.45,8.56,,,0
NDC,0378-4024-01,DOXAZOSIN 4 MG TABLET [9896],0.48,0.17,,,0
NDC,0378-4028-01,DOXAZOSIN 8 MG TABLET [9897],0.48,0.17,,,0
NDC,0378-4145-91,RILUZOLE 50 MG TABLET [16124],2.82,0.99,,,0
NDC,0378-4151-01,TRAMADOL 50 MG TABLET [14632],0.26,0.09,,,0
NDC,0378-4151-05,TRAMADOL 50 MG TABLET [14632],0.23,0.08,,,0
NDC,0378-5168-93,LAMIVUDINE 100 MG TABLET [24419],4.61,1.61,,,0
NDC,0378-5210-77,AMLODIPINE 10 MG TABLET [9069],0.12,0.04,,,0
NDC,0378-5375-01,DOXEPIN 75 MG CAPSULE [2613],1.36,0.48,,,0
NDC,0378-5436-77,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [162222]",12.21,4.27,,,0
NDC,0378-5575-93,MODAFINIL 200 MG TABLET [24703],3.17,1.11,,,0
NDC,0378-5807-93,VALSARTAN 40 MG TABLET [33541],0.27,0.09,,,0
NDC,0378-5814-77,VALSARTAN 160 MG TABLET [31210],0.44,0.16,,,0
NDC,0378-6172-01,METOLAZONE 2.5 MG TABLET [10587],1.8,0.63,,,0
NDC,0378-6173-01,METOLAZONE 5 MG TABLET [10588],2.05,0.72,,,0
NDC,0378-6174-01,METOLAZONE 10 MG TABLET [10586],2.46,0.86,,,0
NDC,0378-6333-80,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [39720]",0.82,0.29,,,0
NDC,0378-6410-01,DOXEPIN 100 MG CAPSULE [2609],1.48,0.52,,,0
NDC,0378-6470-16,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,0378-6470-99,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,0378-6605-01,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [24470]",2.34,0.82,,,0
NDC,0378-6725-01,ZONISAMIDE 25 MG CAPSULE [36987],0.21,0.07,,,0
NDC,0378-6982-32,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",9.02,3.16,,,0
NDC,0378-6982-88,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",9.02,3.16,,,0
NDC,0378-6989-66,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],9.2,3.22,,,0
NDC,0378-6989-93,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],9.2,3.22,,,0
NDC,0378-6990-58,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,0378-6990-98,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,0378-7005-01,LOXAPINE SUCCINATE 5 MG CAPSULE [4601],0.55,0.19,,,0
NDC,0378-7010-01,LOXAPINE SUCCINATE 10 MG CAPSULE [4599],0.72,0.25,,,0
NDC,0378-7029-01,PROMETHAZINE 25 MG TABLET [6622],0.22,0.08,,,0
NDC,0378-7155-01,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",4.45,1.56,,,0
NDC,0378-7180-93,QUININE 324 MG CAPSULE [109705],5.65,1.98,,,0
NDC,0378-7970-31,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],9.2,3.22,,,0
NDC,0378-8020-93,FLUVASTATIN 20 MG CAPSULE [12411],4.0,1.4,,,0
NDC,0378-8021-93,FLUVASTATIN 40 MG CAPSULE [12412],4.0,1.4,,,0
NDC,0378-8023-35,OLOPATADINE 0.1 % EYE DROPS [19452],117.16,41.01,,,0
NDC,0378-8043-21,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [163599],34.02,11.91,,,0
NDC,0378-8117-45,DOXEPIN 5 % TOPICAL CREAM [12666],51.51,18.03,,,0
NDC,0378-8270-31,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,0378-8270-55,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,0378-8300-01,CARBIDOPA 12.5 MG-LEVODOPA 50 MG-ENTACAPONE 200 MG TABLET [36135],3.0,1.05,,,0
NDC,0378-8301-01,CARBIDOPA 18.75 MG-LEVODOPA 75 MG-ENTACAPONE 200 MG TABLET [94236],3.0,1.05,,,0
NDC,0378-8302-01,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET [36136],3.0,1.05,,,0
NDC,0378-8304-01,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET [36137],3.0,1.05,,,0
NDC,0378-8305-01,CARBIDOPA 50 MG-LEVODOPA 200 MG-ENTACAPONE 200 MG TABLET [88583],3.0,1.05,,,0
NDC,0378-9070-16,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [82504],35.17,12.31,,,0
NDC,0378-9071-16,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH [82505],83.88,29.36,,,0
NDC,0378-9071-93,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH [82505],83.88,29.36,,,0
NDC,0378-9102-16,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [27471],32.47,11.36,,,0
NDC,0378-9102-93,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [27471],32.47,11.36,,,0
NDC,0378-9104-16,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],32.47,11.36,,,0
NDC,0378-9104-93,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],32.47,11.36,,,0
NDC,0378-9112-16,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],33.82,11.84,,,0
NDC,0378-9112-93,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],33.82,11.84,,,0
NDC,0378-9116-16,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH [27475],35.17,12.31,,,0
NDC,0378-9116-93,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH [27475],35.17,12.31,,,0
NDC,0378-9119-16,FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],140.7,49.24,,,0
NDC,0378-9119-98,FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],140.7,49.24,,,0
NDC,0378-9121-16,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],194.81,68.18,,,0
NDC,0378-9121-98,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],194.81,68.18,,,0
NDC,0378-9122-16,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],281.4,98.49,,,0
NDC,0378-9122-98,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],281.4,98.49,,,0
NDC,0378-9123-16,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],422.09,147.73,,,0
NDC,0378-9123-98,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],422.09,147.73,,,0
NDC,0378-9124-16,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,0378-9124-98,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,0378-9639-43,BUTORPHANOL 10 MG/ML NASAL SPRAY [9335],589.85,206.45,,,0
NDC,0378-9671-31,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [30510],18.04,6.31,,,0
NDC,0378-9681-44,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,0378-9681-96,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,0378-9682-44,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],18.04,6.31,,,0
NDC,0378-9682-96,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],18.04,6.31,,,0
NDC,0378699789,SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],0.64,0.23,,,0
NDC,0386-0001-06,ETHYL CHLORIDE 100 % TOPICAL SPRAY [2951],213.75,74.81,,,0
NDC,0386000102,ETHYL CHLORIDE 100 % TOPICAL SPRAY [2951],2.06,0.72,,,0
NDC,0386000103,ETHYL CHLORIDE 100 % TOPICAL SPRAY [2951],2.06,0.72,,,0
NDC,0386000802,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY [39802],1.22,0.43,,,0
NDC,0395-0413-96,CALAMINE 8 %-ZINC OXIDE 8 % LOTION [78879],0.05,0.02,,,0
NDC,0395-0605-94,CITRIC ACID ANHYDROUS (BULK) 100 % GRANULES [1702],0.45,0.16,,,0
NDC,0395-1031-16,GLYCERIN 99.5 % TOPICAL SOLUTION [110583],0.17,0.06,,,0
NDC,0395-1031-96,GLYCERIN 99.5 % TOPICAL SOLUTION [110583],24.35,8.52,,,0
NDC,0395-2775-16,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION [102146],48.7,17.05,,,0
NDC,0395009016,COMPOUNDING VEHICLE SYRUP NO.23 [182304],1.35,0.47,,,0
NDC,0395266216,CHERRY FLAVOR (BULK) ORAL LIQUID [1562],0.11,0.04,,,0
NDC,0406-0123-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.2,0.07,,,0
NDC,0406-0123-23,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.44,0.15,,,0
NDC,0406-0123-62,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.44,0.15,,,0
NDC,0406-0124-01,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.21,0.07,,,0
NDC,0406-0124-23,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.49,0.17,,,0
NDC,0406-0124-62,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.49,0.17,,,0
NDC,0406-0127-01,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR [32654]",4.0,1.4,,,0
NDC,0406-0365-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.3,0.1,,,0
NDC,0406-0365-23,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.3,0.1,,,0
NDC,0406-0365-62,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.3,0.1,,,0
NDC,0406-0366-01,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.34,0.12,,,0
NDC,0406-0366-23,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.34,0.12,,,0
NDC,0406-0366-62,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.34,0.12,,,0
NDC,0406-0484-23,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],0.13,0.05,,,0
NDC,0406-0484-62,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],0.4,0.14,,,0
NDC,0406-0512-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0.18,0.06,,,0
NDC,0406-0512-23,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0.41,0.14,,,0
NDC,0406-0512-62,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0.41,0.14,,,0
NDC,0406-0522-01,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],0.49,0.17,,,0
NDC,0406-0522-62,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],1.6,0.56,,,0
NDC,0406-0523-23,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],1.89,0.66,,,0
NDC,0406-0523-62,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],1.89,0.66,,,0
NDC,0406-0552-01,OXYCODONE 5 MG TABLET [10814],0.2,0.07,,,0
NDC,0406-0552-23,OXYCODONE 5 MG TABLET [10814],0.45,0.16,,,0
NDC,0406-0552-62,OXYCODONE 5 MG TABLET [10814],0.46,0.16,,,0
NDC,0406-1121-01,METHYLPHENIDATE 5 MG TABLET [4988],0.33,0.12,,,0
NDC,0406-1122-01,METHYLPHENIDATE 10 MG TABLET [4986],0.48,0.17,,,0
NDC,0406-1144-01,METHYLPHENIDATE 10 MG TABLET [4986],0.28,0.1,,,0
NDC,0406-1170-03,NALTREXONE 50 MG TABLET [10685],1.5,0.52,,,0
NDC,0406-1236-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0.19,0.07,,,0
NDC,0406-3243-01,HYDROMORPHONE 2 MG TABLET [3760],0.15,0.05,,,0
NDC,0406-3244-01,HYDROMORPHONE 4 MG TABLET [3761],0.08,0.03,,,0
NDC,0406-3245-52,HYDROMORPHONE (BULK) 100 % POWDER [3762],130.46,45.66,,,0
NDC,0406-6221-05,METHADONE 10 MG/5 ML ORAL SOLUTION [4951],5.95,2.08,,,0
NDC,0406-6225-05,METHADONE 5 MG/5 ML ORAL SOLUTION [4952],1.29,0.45,,,0
NDC,0406-8003-30,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],71.7,25.1,,,0
NDC,0406-8315-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0.67,0.23,,,0
NDC,0406-8315-23,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0.84,0.29,,,0
NDC,0406-8315-62,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0.84,0.29,,,0
NDC,0406-8330-23,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",1.59,0.56,,,0
NDC,0406-8330-62,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",1.59,0.56,,,0
NDC,0406-8380-23,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]",3.1,1.08,,,0
NDC,0406-8380-62,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]",3.11,1.09,,,0
NDC,0406-8390-23,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [20919]",4.6,1.61,,,0
NDC,0406-8390-62,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [20919]",4.6,1.61,,,0
NDC,0406-8515-01,OXYCODONE 15 MG TABLET [28899],0.32,0.11,,,0
NDC,0406-8515-23,OXYCODONE 15 MG TABLET [28899],0.99,0.35,,,0
NDC,0406-8515-62,OXYCODONE 15 MG TABLET [28899],0.99,0.35,,,0
NDC,0406-8530-01,OXYCODONE 30 MG TABLET [28900],0.49,0.17,,,0
NDC,0406-8530-23,OXYCODONE 30 MG TABLET [28900],1.54,0.54,,,0
NDC,0406-8530-62,OXYCODONE 30 MG TABLET [28900],1.54,0.54,,,0
NDC,0406-9050-76,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],281.4,98.49,,,0
NDC,0406-9915-01,TEMAZEPAM 7.5 MG CAPSULE [11500],32.42,11.35,,,0
NDC,0407-1411-10,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION [10319],18.04,6.31,,,0
NDC,0407-1411-20,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION [10319],18.04,6.31,,,0
NDC,0407-1412-08,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],18.48,6.47,,,0
NDC,0407-1412-10,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],18.48,6.47,,,0
NDC,0407-1412-20,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],18.48,6.47,,,0
NDC,0407-1412-30,IOHEXOL 240 MG IODINE/ML ORAL SOLUTION [409813],18.48,6.47,,,0
NDC,0407-1412-33,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],18.48,6.47,,,0
NDC,0407-1412-34,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],18.48,6.47,,,0
NDC,0407-1412-35,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [10321],18.48,6.47,,,0
NDC,0407-1413-10,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-30,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-43,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-45,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-53,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-59,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-61,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-62,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-63,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-65,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-66,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1413-68,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [10322],3.86,1.35,,,0
NDC,0407-1414-72,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],4.0,1.4,,,0
NDC,0407-1414-76,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],4.01,1.4,,,0
NDC,0407-1414-89,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],4.01,1.4,,,0
NDC,0407-1414-90,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],4.01,1.4,,,0
NDC,0407-1414-91,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],4.01,1.4,,,0
NDC,0407-1414-93,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],4.01,1.4,,,0
NDC,0407-1414-94,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],4.01,1.4,,,0
NDC,0407-1414-98,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],4.01,1.4,,,0
NDC,0407-2222-01,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION [17594],198.42,69.45,,,0
NDC,0407-2222-17,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION [17594],3.97,1.39,,,0
NDC,0407-2222-19,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION [17594],3.97,1.39,,,0
NDC,0407-2222-21,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION [17594],3.97,1.39,,,0
NDC,0407-2223-01,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],3.97,1.39,,,0
NDC,0407-2223-16,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],3.97,1.39,,,0
NDC,0407-2223-17,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],3.97,1.39,,,0
NDC,0407-2223-19,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],3.97,1.39,,,0
NDC,0407-2223-21,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],3.97,1.39,,,0
NDC,0407-2223-23,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],3.97,1.39,,,0
NDC,0409-0001-01,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [164137],25.74,9.01,,,0
NDC,0409-0001-25,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [164137],25.74,9.01,,,0
NDC,0409-0040-05,KETAMINE 100 MG/ML INJECTION SOLUTION [4237],7.3,2.56,,,0
NDC,0409-0040-10,KETAMINE 100 MG/ML INJECTION SOLUTION [4237],7.3,2.56,,,0
NDC,0409-0106-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,0409-0122-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,0409-0147-10,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",1.43,0.5,,,0
NDC,0409-0152-24,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],3.33,1.16,,,0
NDC,0409-0181-01,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION [154385],22.83,7.99,,,0
NDC,0409-0183-01,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION [154388],22.83,7.99,,,0
NDC,0409-0185-01,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
NDC,0409-0186-01,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],4090.79,1431.78,,,0
NDC,0409-0201-02,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION [150059],342.51,119.88,,,0
NDC,0409-0201-10,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION [150058],930.0,325.5,,,0
NDC,0409-0201-20,DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLUTION [150060],342.51,119.88,,,0
NDC,0409-0212-02,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],25.0,8.75,,,0
NDC,0409-0212-11,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],25.0,8.75,,,0
NDC,0409-0220-01,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],220.29,77.1,,,0
NDC,0409-0220-11,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],1118.36,391.43,,,0
NDC,0409-0302-01,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION [149783],279.7,97.9,,,0
NDC,0409-0367-01,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
NDC,0409-0805-01,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,0409-0829-01,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],129.27,45.24,,,0
NDC,0409-0829-11,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],129.27,45.24,,,0
NDC,0409-1036-30,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [112610],2.1,0.74,,,0
NDC,0409-1067-20,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [112609],3.16,1.1,,,0
NDC,0409-1103-01,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],66.23,23.18,,,0
NDC,0409-1103-11,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],66.23,23.18,,,0
NDC,0409-1120-11,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE [111111],180.38,63.13,,,0
NDC,0409-1120-12,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE [111111],180.38,63.13,,,0
NDC,0409-1141-02,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],1.17,0.41,,,0
NDC,0409-1141-12,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],1.17,0.41,,,0
NDC,0409-1144-01,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],70.35,24.62,,,0
NDC,0409-1144-05,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.17,12.31,,,0
NDC,0409-1144-65,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.17,12.31,,,0
NDC,0409-1159-01,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,0409-1159-02,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,0409-1159-09,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,0409-1159-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,0409-1159-19,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,0409-1162-02,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,0409-1162-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,0409-1162-19,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,0409-1163-18,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [102417],0.05,0.02,,,0
NDC,0409-1165-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],114.99,40.25,,,0
NDC,0409-1171-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,0409-1171-02,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,0409-1174-01,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,0409-1174-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,0409-1178-03,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE [110365],68.08,23.83,,,0
NDC,0409-1178-30,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE [110365],68.08,23.83,,,0
NDC,0409-1180-59,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE [110369],68.08,23.83,,,0
NDC,0409-1180-69,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE [110369],68.08,23.83,,,0
NDC,0409-1207-03,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],124.98,43.74,,,0
NDC,0409-1207-13,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],124.98,43.74,,,0
NDC,0409-1207-15,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],124.98,43.74,,,0
NDC,0409-1207-25,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],124.98,43.74,,,0
NDC,0409-1215-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],52.05,18.22,,,0
NDC,0409-1219-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],52.05,18.22,,,0
NDC,0409-1253-01,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],68.08,23.83,,,0
NDC,0409-1253-11,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],68.08,23.83,,,0
NDC,0409-1273-03,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106139],77.31,27.06,,,0
NDC,0409-1273-32,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106139],77.31,27.06,,,0
NDC,0409-1276-32,FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE [113124],23.0,8.05,,,0
NDC,0409-1283-03,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE [106243],20.55,7.19,,,0
NDC,0409-1283-09,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE [106243],20.55,7.19,,,0
NDC,0409-1283-10,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE [106243],20.55,7.19,,,0
NDC,0409-1283-31,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE [106243],20.55,7.19,,,0
NDC,0409-1304-03,HYDROMORPHONE 4 MG/ML INJECTION SYRINGE [3759],82.22,28.78,,,0
NDC,0409-1304-31,HYDROMORPHONE 4 MG/ML INJECTION SYRINGE [3759],82.22,28.78,,,0
NDC,0409-1319-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],1576.56,551.79,,,0
NDC,0409-1323-05,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],2.84,0.99,,,0
NDC,0409-1323-15,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],2.84,0.99,,,0
NDC,0409-1410-05,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,0409-1412-04,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0409-1412-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0409-1412-34,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0409-1443-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,0409-1463-01,NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],42.52,14.88,,,0
NDC,0409-1463-49,NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],42.52,14.88,,,0
NDC,0409-1464-01,NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],42.52,14.88,,,0
NDC,0409-1465-01,NALBUPHINE 20 MG/ML INJECTION SOLUTION [5340],85.04,29.76,,,0
NDC,0409-1482-02,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],1.43,0.5,,,0
NDC,0409-1513-02,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
NDC,0409-1541-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [14983]",2.57,0.9,,,0
NDC,0409-1541-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [14983]",2.57,0.9,,,0
NDC,0409-1559-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,0409-1559-19,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,0409-1559-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,0409-1560-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,0409-1560-18,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,0409-1626-01,BUTORPHANOL 2 MG/ML INJECTION SOLUTION [9334],177.8,62.23,,,0
NDC,0409-1626-09,BUTORPHANOL 2 MG/ML INJECTION SOLUTION [9334],177.8,62.23,,,0
NDC,0409-1626-21,BUTORPHANOL 2 MG/ML INJECTION SOLUTION [9334],177.8,62.23,,,0
NDC,0409-1630-10,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.88,4.51,,,0
NDC,0409-1630-15,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.88,4.51,,,0
NDC,0409-1631-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],6.36,2.23,,,0
NDC,0409-1631-40,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],6.36,2.23,,,0
NDC,0409-1632-01,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,0409-1632-21,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,0409-1638-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,0409-1639-10,FUROSEMIDE 10 MG/ML INJECTION SYRINGE [105420],14.82,5.19,,,0
NDC,0409-1660-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,0409-1660-35,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,0409-1746-30,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [14983]",2.57,0.9,,,0
NDC,0409-1746-71,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [14983]",2.57,0.9,,,0
NDC,0409-1749-29,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [14984]",2.57,0.9,,,0
NDC,0409-1761-02,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],27.06,9.47,,,0
NDC,0409-1761-18,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],27.06,9.47,,,0
NDC,0409-1762-30,MORPHINE 2 MG/ML INJECTION SYRINGE [5170],52.83,18.49,,,0
NDC,0409-1778-05,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0409-1778-15,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0409-1866-02,TETRACAINE 2 % TOPICAL SOLUTION [19766],234.04,81.92,,,0
NDC,0409-1886-02,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,0409-1886-22,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,0409-1890-01,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [165655],52.83,18.49,,,0
NDC,0409-1890-03,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [165655],52.83,18.49,,,0
NDC,0409-1891-01,MORPHINE 4 MG/ML INTRAVENOUS SYRINGE [165656],52.83,18.49,,,0
NDC,0409-1891-03,MORPHINE 4 MG/ML INTRAVENOUS SYRINGE [165656],52.83,18.49,,,0
NDC,0409-1902-01,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],9.08,3.18,,,0
NDC,0409-1902-11,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],9.08,3.18,,,0
NDC,0409-1966-02,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0.24,0.08,,,0
NDC,0409-1983-01,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
NDC,0409-1983-10,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
NDC,0409-2025-20,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],8.76,3.07,,,0
NDC,0409-2025-60,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],8.76,3.07,,,0
NDC,0409-2051-05,KETAMINE 100 MG/ML INJECTION SOLUTION [4237],7.3,2.56,,,0
NDC,0409-2053-10,KETAMINE 50 MG/ML INJECTION SOLUTION [4238],2.67,0.94,,,0
NDC,0409-2122-02,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],58.17,20.36,,,0
NDC,0409-2168-03,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],2576.87,901.91,,,0
NDC,0409-2265-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,0409-2285-05,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0409-2300-24,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [91237],4.91,1.72,,,0
NDC,0409-2305-04,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [164137],25.74,9.01,,,0
NDC,0409-2305-05,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [164137],25.74,9.01,,,0
NDC,0409-2305-16,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [164137],25.74,9.01,,,0
NDC,0409-2305-17,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [164137],25.74,9.01,,,0
NDC,0409-2305-50,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [164137],25.74,9.01,,,0
NDC,0409-2308-02,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [164138],128.72,45.05,,,0
NDC,0409-2308-22,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [164138],128.72,45.05,,,0
NDC,0409-2308-70,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [164138],128.72,45.05,,,0
NDC,0409-2336-10,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],148.17,51.86,,,0
NDC,0409-2337-15,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],148.17,51.86,,,0
NDC,0409-2337-25,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],148.17,51.86,,,0
NDC,0409-2344-01,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],8.76,3.07,,,0
NDC,0409-2344-02,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],8.76,3.07,,,0
NDC,0409-2344-62,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],8.76,3.07,,,0
NDC,0409-2344-68,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],8.76,3.07,,,0
NDC,0409-2344-88,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],8.76,3.07,,,0
NDC,0409-2346-31,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS [15981],1.54,0.54,,,0
NDC,0409-2346-32,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS [15981],1.54,0.54,,,0
NDC,0409-2347-32,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [18315]",175.23,61.33,,,0
NDC,0409-2504-10,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],217.37,76.08,,,0
NDC,0409-2552-01,HYDROMORPHONE 1 MG/ML INJECTION SOLUTION [176807],0.87,0.31,,,0
NDC,0409-2552-11,HYDROMORPHONE 1 MG/ML INJECTION SOLUTION [176807],20.55,7.19,,,0
NDC,0409-2596-05,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,0409-2596-15,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,0409-2720-02,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,0409-2720-03,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,0409-2720-31,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,0409-2721-01,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,0409-2721-30,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,0409-2723-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,0409-2723-30,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,0409-2776-02,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
NDC,0409-2776-23,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [14961],499.91,174.97,,,0
NDC,0409-3024-01,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],489.85,171.45,,,0
NDC,0409-3150-05,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15848]",0.74,0.26,,,0
NDC,0409-3177-01,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [14870]",2.11,0.74,,,0
NDC,0409-3177-16,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [14870]",2.11,0.74,,,0
NDC,0409-3178-01,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",4.06,1.42,,,0
NDC,0409-3178-02,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",4.06,1.42,,,0
NDC,0409-3178-03,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",4.06,1.42,,,0
NDC,0409-3178-16,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",4.06,1.42,,,0
NDC,0409-3178-17,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",4.06,1.42,,,0
NDC,0409-3182-01,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",1.43,0.5,,,0
NDC,0409-3182-03,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",1.43,0.5,,,0
NDC,0409-3182-11,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",1.43,0.5,,,0
NDC,0409-3183-01,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",7.37,2.58,,,0
NDC,0409-3189-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-3189-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-3213-02,DIAZEPAM 5 MG/ML INJECTION SOLUTION [2401],77.31,27.06,,,0
NDC,0409-3294-61,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],37.88,13.26,,,0
NDC,0409-3299-05,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-3299-06,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-3299-15,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-3299-16,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-3299-25,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-3299-26,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-3299-46,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-3300-01,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],4.91,1.72,,,0
NDC,0409-3300-24,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],4.91,1.72,,,0
NDC,0409-3308-03,ACETYLCYSTEINE 20% (200 MG/ML) ORAL SOLN [152975],6.04,2.12,,,0
NDC,0409-3308-11,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],6.04,2.12,,,0
NDC,0409-3375-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,0409-3375-14,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,0409-3375-25,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,0409-3382-21,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],181.28,63.45,,,0
NDC,0409-3383-02,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,0409-3385-11,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0409-3385-13,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0409-3390-04,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0409-3390-11,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0409-3414-01,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],30.92,10.82,,,0
NDC,0409-3414-11,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],30.92,10.82,,,0
NDC,0409-3414-18,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],61.84,21.65,,,0
NDC,0409-3414-21,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],30.92,10.82,,,0
NDC,0409-3505-01,MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],209.77,73.42,,,0
NDC,0409-3505-11,MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],209.77,73.42,,,0
NDC,0409-3506-01,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,0409-3506-11,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,0409-3507-01,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],412.3,144.3,,,0
NDC,0409-3507-21,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],412.3,144.3,,,0
NDC,0409-3578-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,0409-3613-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],0.83,0.29,,,0
NDC,0409-3724-11,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV [15982]",2.8,0.98,,,0
NDC,0409-3724-32,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV [15982]",2.8,0.98,,,0
NDC,0409-3726-01,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.58,51.3,,,0
NDC,0409-3726-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.58,51.3,,,0
NDC,0409-3793-01,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,0409-3793-19,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,0409-3795-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,0409-3795-19,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,0409-3814-12,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION [29464],61.72,21.6,,,0
NDC,0409-3863-02,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],0.6,0.21,,,0
NDC,0409-3977-03,"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION [864]",0.01,0.0049,,,0
NDC,0409-4031-01,MANNITOL 25 % INTRAVENOUS SOLUTION [4750],108.23,37.88,,,0
NDC,0409-4031-16,MANNITOL 25 % INTRAVENOUS SOLUTION [4750],108.23,37.88,,,0
NDC,0409-4090-01,ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION [8865],31.12,10.89,,,0
NDC,0409-4091-01,MANGANESE CHLORIDE 0.1 MG/ML INTRAVENOUS SOLUTION [4744],9.29,3.25,,,0
NDC,0409-4092-11,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [102141],7.9,2.76,,,0
NDC,0409-4208-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [14984]",2.57,0.9,,,0
NDC,0409-4208-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [14984]",2.57,0.9,,,0
NDC,0409-4275-01,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION [4451],4.51,1.58,,,0
NDC,0409-4275-16,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION [4451],4.51,1.58,,,0
NDC,0409-4276-01,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,0409-4276-02,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,0409-4276-16,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,0409-4276-17,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,0409-4277-01,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],3.35,1.17,,,0
NDC,0409-4277-02,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],3.35,1.17,,,0
NDC,0409-4277-16,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],3.35,1.17,,,0
NDC,0409-4277-17,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],3.35,1.17,,,0
NDC,0409-4279-02,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,0409-4279-16,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,0409-4282-01,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [110675],6.44,2.25,,,0
NDC,0409-4282-02,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [110675],6.44,2.25,,,0
NDC,0409-4282-11,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [110675],6.44,2.25,,,0
NDC,0409-4282-12,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [110675],6.44,2.25,,,0
NDC,0409-4283-01,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION [4455],17.78,6.22,,,0
NDC,0409-4283-11,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION [4455],17.78,6.22,,,0
NDC,0409-4332-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,0409-4332-11,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,0409-4346-16,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],1.39,0.49,,,0
NDC,0409-4346-73,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],1.39,0.49,,,0
NDC,0409-4520-02,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [15846]",2.05,0.72,,,0
NDC,0409-4520-30,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [15846]",2.05,0.72,,,0
NDC,0409-4688-02,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,0409-4688-06,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,0409-4688-12,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,0409-4688-16,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,0409-4688-18,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.85,0.3,,,0
NDC,0409-4688-22,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.85,0.3,,,0
NDC,0409-4688-23,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.85,0.3,,,0
NDC,0409-4688-29,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.85,0.3,,,0
NDC,0409-4699-24,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,0409-4699-54,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,0409-4712-01,LIDOCAINE (PF) 50 MG/ML (5 %) IN 7.5 % DEXTROSE INTRATHECAL SOLUTION [27396],131.23,45.93,,,0
NDC,0409-4713-02,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,0409-4713-12,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,0409-4713-32,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,0409-4713-42,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,0409-4713-65,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,0409-4755-03,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0409-4755-18,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0409-4759-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [10777],0.4,0.14,,,0
NDC,0409-4777-02,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],4.91,1.72,,,0
NDC,0409-4777-23,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [91237],4.91,1.72,,,0
NDC,0409-4778-86,CIPROFLOXACIN 400 MG/40 ML INTRAVENOUS SOLUTION [9609],490.89,171.81,,,0
NDC,0409-4857-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,0409-4887-10,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",1.52,0.53,,,0
NDC,0409-4887-17,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",1.52,0.53,,,0
NDC,0409-4887-20,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",1.52,0.53,,,0
NDC,0409-4887-23,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",1.52,0.53,,,0
NDC,0409-4887-24,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",1.52,0.53,,,0
NDC,0409-4887-50,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",1.52,0.53,,,0
NDC,0409-4888-01,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],2.98,1.04,,,0
NDC,0409-4888-02,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],2.98,1.04,,,0
NDC,0409-4888-03,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],2.98,1.04,,,0
NDC,0409-4888-06,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],2.98,1.04,,,0
NDC,0409-4888-10,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],2.98,1.04,,,0
NDC,0409-4888-12,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],2.98,1.04,,,0
NDC,0409-4888-20,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],2.98,1.04,,,0
NDC,0409-4902-34,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [106061],3.17,1.11,,,0
NDC,0409-4902-64,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [106061],3.17,1.11,,,0
NDC,0409-4903-11,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],2.84,0.99,,,0
NDC,0409-4903-34,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],2.84,0.99,,,0
NDC,0409-4911-11,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.88,4.51,,,0
NDC,0409-4911-34,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.88,4.51,,,0
NDC,0409-4921-20,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
NDC,0409-4921-34,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
NDC,0409-4928-34,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],6.36,2.23,,,0
NDC,0409-4933-01,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
NDC,0409-4933-05,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
NDC,0409-4933-10,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
NDC,0409-4933-11,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
NDC,0409-5017-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],1576.56,551.79,,,0
NDC,0409-5082-11,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],155.9,54.57,,,0
NDC,0409-5082-16,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],155.9,54.57,,,0
NDC,0409-5084-11,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],623.6,218.26,,,0
NDC,0409-5092-52,CEFTAZIDIME 1 GRAM INTRAVENOUS SOLUTION [27290],155.9,54.57,,,0
NDC,0409-5239-01,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [112209],4.12,1.44,,,0
NDC,0409-5534-14,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE [7306],7.71,2.7,,,0
NDC,0409-5534-24,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE [7306],7.71,2.7,,,0
NDC,0409-5534-34,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE [7306],7.71,2.7,,,0
NDC,0409-5555-12,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [102894],5.88,2.06,,,0
NDC,0409-5922-01,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [107465],8.25,2.89,,,0
NDC,0409-5933-01,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
NDC,0409-6043-01,AMMONIUM CHLORIDE 5 MEQ/ML INTRAVENOUS SOLUTION [28418],67.64,23.67,,,0
NDC,0409-6102-02,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,0409-6102-04,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,0409-6102-10,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,0409-6102-18,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,0409-6102-19,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,0409-6102-20,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,0409-6102-37,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,0409-6478-44,"ERYTHROMYCIN LACTOBIONATE 1,000 MG INTRAVENOUS SOLUTION [2902]",584.95,204.73,,,0
NDC,0409-6482-01,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],292.48,102.37,,,0
NDC,0409-6482-11,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],292.48,102.37,,,0
NDC,0409-6509-01,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],788.28,275.9,,,0
NDC,0409-6510-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],78.83,27.59,,,0
NDC,0409-6533-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,0409-6533-11,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,0409-6562-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],168.29,58.9,,,0
NDC,0409-6625-02,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [102823],2.06,0.72,,,0
NDC,0409-6625-14,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [102823],2.06,0.72,,,0
NDC,0409-6625-22,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [102823],2.06,0.72,,,0
NDC,0409-6625-25,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [102823],2.06,0.72,,,0
NDC,0409-6625-30,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [102823],2.06,0.72,,,0
NDC,0409-6625-35,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [102823],2.11,0.74,,,0
NDC,0409-6629-02,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,0409-6629-12,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,0409-6636-01,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
NDC,0409-6637-14,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [7309],2.06,0.72,,,0
NDC,0409-6637-24,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [7309],2.06,0.72,,,0
NDC,0409-6637-34,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [7309],2.06,0.72,,,0
NDC,0409-6648-02,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION [2365],158.28,55.4,,,0
NDC,0409-6651-06,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
NDC,0409-6651-19,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
NDC,0409-6653-05,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
NDC,0409-6653-18,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
NDC,0409-6657-73,SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [7320],0.01,0.0049,,,0
NDC,0409-6660-01,SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [7320],0.01,0.0049,,,0
NDC,0409-6660-75,SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [7320],0.01,0.0049,,,0
NDC,0409-6695-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0409-6695-02,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0409-6695-11,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0409-6695-12,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0409-6727-11,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [16162],1.03,0.36,,,0
NDC,0409-6727-23,MAGNESIUM SULFATE 3G IN D5 IVPB (MAG SULF 1G X 3 BAGS) [411513],1.03,0.36,,,0
NDC,0409-6729-03,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [112310],4.94,1.73,,,0
NDC,0409-6729-11,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [112209],4.12,1.44,,,0
NDC,0409-6729-24,MAGNESIUM SULFATE 4G IN SW IVPB (MAG SULF 2G X 2 BAGS) [411514],4.12,1.44,,,0
NDC,0409-6778-02,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0409-6778-11,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0409-6780-02,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0409-7037-01,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-7037-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-7074-26,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11074],0.19,0.07,,,0
NDC,0409-7075-26,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11076],0.39,0.14,,,0
NDC,0409-7077-26,POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11079],0.77,0.27,,,0
NDC,0409-7113-09,POTASSIUM CHLORIDE 40 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS [11063],308.45,107.96,,,0
NDC,0409-7116-09,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0.29,0.1,,,0
NDC,0409-7118-07,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0.07,0.02,,,0
NDC,0409-7120-07,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0.02,0.0084,,,0
NDC,0409-7241-01,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [151040],126.27,44.19,,,0
NDC,0409-7241-10,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [151040],126.27,44.19,,,0
NDC,0409-7295-01,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],527.55,184.64,,,0
NDC,0409-7295-11,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],10.55,3.69,,,0
NDC,0409-7299-25,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-7299-45,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-7299-73,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-7299-83,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0409-7332-01,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,0409-7335-03,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],482.58,168.9,,,0
NDC,0409-7335-13,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],482.58,168.9,,,0
NDC,0409-7337-01,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,0409-7337-11,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],103.32,36.16,,,0
NDC,0409-7338-01,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],120.64,42.23,,,0
NDC,0409-7338-11,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],120.64,42.23,,,0
NDC,0409-7391-72,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0.62,0.22,,,0
NDC,0409-7391-82,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0.62,0.22,,,0
NDC,0409-7418-03,DEXTRAN 40 10 % IN 5 % DEXTROSE INTRAVENOUS [18010],121.11,42.39,,,0
NDC,0409-7517-16,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [106061],3.17,1.11,,,0
NDC,0409-7517-66,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [106061],3.17,1.11,,,0
NDC,0409-7620-03,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",0.68,0.24,,,0
NDC,0409-7650-52,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",1.73,0.61,,,0
NDC,0409-7650-62,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",1.73,0.61,,,0
NDC,0409-7715-13,MANNITOL 20 % INTRAVENOUS SOLUTION [4749],2.09,0.73,,,0
NDC,0409-7730-36,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],4.05,1.42,,,0
NDC,0409-7793-52,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [15846]",2.05,0.72,,,0
NDC,0409-7793-62,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [15846]",2.05,0.72,,,0
NDC,0409-7809-11,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14845]",0.93,0.33,,,0
NDC,0409-7809-22,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14845]",0.93,0.33,,,0
NDC,0409-7810-11,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14846]",1.86,0.65,,,0
NDC,0409-7810-22,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14846]",1.86,0.65,,,0
NDC,0409-7811-24,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],3.33,1.16,,,0
NDC,0409-7811-37,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],3.33,1.16,,,0
NDC,0409-7884-23,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [15906],1.29,0.45,,,0
NDC,0409-7902-09,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9801],0.27,0.1,,,0
NDC,0409-7903-09,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9804],308.45,107.96,,,0
NDC,0409-7918-19,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0.1,0.03,,,0
NDC,0409-7922-25,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],1.24,0.43,,,0
NDC,0409-7922-61,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],1.39,0.49,,,0
NDC,0409-7926-09,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9814],0.31,0.11,,,0
NDC,0409-7930-09,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [2357],0.31,0.11,,,0
NDC,0409-7936-19,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION [2365],158.28,55.4,,,0
NDC,0409-7953-09,LACTATED RINGERS INTRAVENOUS SOLUTION FOR SEPSIS [409911],0.31,0.11,,,0
NDC,0409-7983-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.79,0.28,,,0
NDC,0409-7983-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.42,0.15,,,0
NDC,0409-7983-09,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION FOR SEPSIS [409910],0.21,0.07,,,0
NDC,0409-7983-25,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.79,0.28,,,0
NDC,0409-7983-53,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.79,0.28,,,0
NDC,0409-7983-61,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.32,0.46,,,0
NDC,0409-7984-23,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],2.08,0.73,,,0
NDC,0409-7984-37,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],2.08,0.73,,,0
NDC,0409-7985-02,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0.81,0.28,,,0
NDC,0409-7990-09,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0.13,0.05,,,0
NDC,0409-8061-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0409-8062-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0409-8183-01,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],37.88,13.26,,,0
NDC,0409-8183-25,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],37.88,13.26,,,0
NDC,0409-8300-10,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,0409-8300-20,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,0409-9042-16,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [14983]",2.57,0.9,,,0
NDC,0409-9042-17,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [14983]",2.57,0.9,,,0
NDC,0409-9045-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [14984]",2.57,0.9,,,0
NDC,0409-9045-16,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [14984]",3.83,1.34,,,0
NDC,0409-9045-17,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [14984]",2.57,0.9,,,0
NDC,0409-9093-31,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9093-32,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9093-35,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9093-37,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9093-38,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9094-09,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9094-11,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9094-12,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9094-16,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9094-18,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9094-22,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9094-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9094-28,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9094-31,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0409-9094-41,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],10.95,3.83,,,0
NDC,0409-9157-01,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION TGH NEWBORN/NICU [409548],38.31,13.41,,,0
NDC,0409-9157-25,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION [102266],38.31,13.41,,,0
NDC,0409-9157-31,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION TGH NEWBORN/NICU [409548],38.31,13.41,,,0
NDC,0409-9157-50,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION TGH NEWBORN/NICU [409548],38.31,13.41,,,0
NDC,0409-9158-01,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],38.65,13.53,,,0
NDC,0409-9158-11,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],38.65,13.53,,,0
NDC,0409-9158-25,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],38.65,13.53,,,0
NDC,0409-9158-31,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],38.65,13.53,,,0
NDC,0409-9158-50,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],38.65,13.53,,,0
NDC,0409-9158-55,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],38.65,13.53,,,0
NDC,0409-9257-39,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36046],0.13,0.05,,,0
NDC,0409-9301-30,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.25,,,0
NDC,0409-9301-31,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.25,,,0
NDC,0409-9303-11,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.88,4.51,,,0
NDC,0409-9303-21,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.88,4.51,,,0
NDC,0409-9558-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-9558-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-9558-11,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-9558-31,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-9558-49,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-9558-50,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-9558-69,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0409-9631-04,FUROSEMIDE 10 MG/ML INJECTION SYRINGE [105420],14.82,5.19,,,0
NDC,0409-9631-14,FUROSEMIDE 10 MG/ML INJECTION SYRINGE [105420],15.64,5.48,,,0
NDC,0430-0170-15,"DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR [40402]",12.7,4.45,,,0
NDC,0430-0170-23,"DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR [40402]",12.7,4.45,,,0
NDC,0430-3020-15,CALCIPOTRIENE 0.005 % TOPICAL CREAM [16034],430.21,150.57,,,0
NDC,0436-0672-16,SODIUM HYPOCHLORITE 0.125 % SOLUTION [76720],0.09,0.03,,,0
NDC,0436-0936-16,SODIUM HYPOCHLORITE 0.25 % SOLUTION [15950],0.09,0.03,,,0
NDC,0436-0946-16,SODIUM HYPOCHLORITE 0.5 % SOLUTION [2110],0.09,0.03,,,0
NDC,0456-0400-10,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION [148283],315.11,110.29,,,0
NDC,0456-0458-01,THYROID (PORK) 30 MG TABLET [113540],0.92,0.32,,,0
NDC,0456-0459-01,THYROID (PORK) 60 MG TABLET [113541],1.02,0.36,,,0
NDC,0456-0600-01,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [148284],472.67,165.44,,,0
NDC,0456-0600-10,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [148284],472.67,165.44,,,0
NDC,0456-0644-16,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR [7820],6.76,2.37,,,0
NDC,0456-1201-30,LINACLOTIDE 145 MCG CAPSULE [159992],17.17,6.01,,,0
NDC,0456-1402-30,NEBIVOLOL 2.5 MG TABLET [89285],5.8,2.03,,,0
NDC,0456-1402-63,NEBIVOLOL 2.5 MG TABLET [89285],5.91,2.07,,,0
NDC,0456-1405-11,NEBIVOLOL 5 MG TABLET [89284],5.91,2.07,,,0
NDC,0456-1405-63,NEBIVOLOL 5 MG TABLET [89284],5.91,2.07,,,0
NDC,0456-1410-11,NEBIVOLOL 10 MG TABLET [89286],2.9,1.02,,,0
NDC,0456-1410-30,NEBIVOLOL 10 MG TABLET [89286],5.8,2.03,,,0
NDC,0456-1410-63,NEBIVOLOL 10 MG TABLET [89286],2.9,1.02,,,0
NDC,0456-2010-01,ESCITALOPRAM 10 MG TABLET [33512],13.95,4.88,,,0
NDC,0456-2010-11,ESCITALOPRAM 10 MG TABLET [33512],7.61,2.66,,,0
NDC,0456-2010-63,ESCITALOPRAM 10 MG TABLET [33512],7.61,2.66,,,0
NDC,0456-2020-11,ESCITALOPRAM 20 MG TABLET [33513],7.94,2.78,,,0
NDC,0456-2020-63,ESCITALOPRAM 20 MG TABLET [33513],7.94,2.78,,,0
NDC,0456-2101-08,ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION [34897],10.82,3.79,,,0
NDC,0456-2405-06,ASENAPINE 5 MG SUBLINGUAL TABLET [99754],20.01,7.0,,,0
NDC,0456-2405-11,ASENAPINE 5 MG SUBLINGUAL TABLET [99754],20.01,7.0,,,0
NDC,0456-2405-60,ASENAPINE 5 MG SUBLINGUAL TABLET [99754],20.01,7.0,,,0
NDC,0456-2405-63,ASENAPINE 5 MG SUBLINGUAL TABLET [99754],20.01,7.0,,,0
NDC,0456-2700-01,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [169701],1270.38,444.63,,,0
NDC,0456-2700-10,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [169701],1270.38,444.63,,,0
NDC,0456-3205-11,MEMANTINE 5 MG TABLET [37170],7.41,2.59,,,0
NDC,0456-3205-63,MEMANTINE 5 MG TABLET [37170],7.41,2.59,,,0
NDC,0456-3210-11,MEMANTINE 10 MG TABLET [36966],7.41,2.59,,,0
NDC,0456-3210-60,MEMANTINE 10 MG TABLET [36966],7.41,2.59,,,0
NDC,0456-3210-63,MEMANTINE 10 MG TABLET [36966],7.41,2.59,,,0
NDC,0456-3407-33,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [162221]",15.49,5.42,,,0
NDC,0456-3414-33,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [162222]",15.49,5.42,,,0
NDC,0456-4123-63,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE [27467]",306.27,107.19,,,0
NDC,0456-4300-01,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],63.23,22.13,,,0
NDC,0456-4300-08,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],63.23,22.13,,,0
NDC,0469-0320-14,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE [169749],92.56,32.4,,,0
NDC,0469-0420-01,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION [169746],1063.1,372.09,,,0
NDC,0469-0420-99,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION [169746],1063.1,372.09,,,0
NDC,0469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE [169749],312.02,109.21,,,0
NDC,0469-0520-14,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE [169749],100.97,35.34,,,0
NDC,0469-0607-73,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",3.49,1.22,,,0
NDC,0469-0617-11,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",6.03,2.11,,,0
NDC,0469-0617-73,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",6.98,2.44,,,0
NDC,0469-0647-73,"TACROLIMUS XL 0.5 MG CAPSULE,EXTENDED RELEASE 24 HR [163699]",2.72,0.95,,,0
NDC,0469-0657-11,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",30.16,10.56,,,0
NDC,0469-0657-73,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",34.87,12.21,,,0
NDC,0469-0677-73,"TACROLIMUS XL 1 MG CAPSULE,EXTENDED RELEASE 24 HR [163700]",5.44,1.91,,,0
NDC,0469-0687-73,"TACROLIMUS XL 5 MG CAPSULE,EXTENDED RELEASE 24 HR [163701]",27.23,9.53,,,0
NDC,0469-0871-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],249.96,87.48,,,0
NDC,0469-2601-30,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR [158587]",14.9,5.21,,,0
NDC,0469-3016-01,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION [12935],452.24,158.28,,,0
NDC,0469-3051-30,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION [21900],179.09,62.68,,,0
NDC,0469-3211-10,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],1417.28,496.05,,,0
NDC,0469-3211-99,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],1417.28,496.05,,,0
NDC,0469-3425-10,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION [203352],5535.36,1937.38,,,0
NDC,0469-6501-89,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],180.38,63.13,,,0
NDC,0472-0013-04,GRISEOFULVIN MICROSIZE 125 MG/5 ML ORAL SUSPENSION [10138],1.92,0.67,,,0
NDC,0472-0082-16,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],36.53,12.78,,,0
NDC,0472-0235-16,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],13.53,4.73,,,0
NDC,0472-0242-60,PERMETHRIN 5 % TOPICAL CREAM [10917],267.87,93.75,,,0
NDC,0472-0321-26,HYDROCORTISONE 1 % TOPICAL CREAM [3726],0.77,0.27,,,0
NDC,0472-0337-30,HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],82.52,28.88,,,0
NDC,0472-0343-56,HYDROCORTISONE 1 % TOPICAL CREAM [3726],13.53,4.73,,,0
NDC,0472-0400-30,CLOBETASOL 0.05 % TOPICAL CREAM [9630],30.24,10.58,,,0
NDC,0472-0402-50,CLOBETASOL 0.05 % SCALP SOLUTION [9632],0.56,0.2,,,0
NDC,0472-0755-16,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP [2032],13.53,4.73,,,0
NDC,0472-0825-16,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP [252],23.0,8.05,,,0
NDC,0472-0882-82,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS [24385],634.49,222.07,,,0
NDC,0472-1270-16,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0.27,0.1,,,0
NDC,0472-1285-16,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],23.0,8.05,,,0
NDC,0472-1400-16,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP [2032],13.53,4.73,,,0
NDC,0472-5002-08,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION [6255],12.18,4.26,,,0
NDC,0480-9277-06,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION) [175147],230.52,80.68,,,0
NDC,0486112501,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET [11067],0.68,0.24,,,0
NDC,0487-0201-00,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [30510],18.04,6.31,,,0
NDC,0487-0201-01,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [30510],18.04,6.31,,,0
NDC,0487-0201-03,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [30510],18.04,6.31,,,0
NDC,0487-5901-99,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION [2851],4.06,1.42,,,0
NDC,0487-9501-00,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,0487-9501-01,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,0487-9501-03,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,0487-9501-25,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,0487-9601-01,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],36.53,12.78,,,0
NDC,0487-9701-01,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],22.32,7.81,,,0
NDC,0487-9801-01,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],9.2,3.22,,,0
NDC,0487-9901-30,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION [109390],21.48,7.52,,,0
NDC,0487900330,SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],0.64,0.23,,,0
NDC,0487900360,SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],0.64,0.23,,,0
NDC,0487900760,SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],1.69,0.59,,,0
NDC,0496-0882-05,LIDOCAINE 4 % TOPICAL CREAM [23461],20.29,7.1,,,0
NDC,0496-0882-06,LIDOCAINE 4 % TOPICAL CREAM [23461],20.29,7.1,,,0
NDC,0496-0882-07,LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT [30183],101.46,35.51,,,0
NDC,0501-3200-01,DIPHENHYDRAMINE-ZINC ACETATE 1 %-0.1 % TOPICAL CREAM [22409],0.43,0.15,,,0
NDC,0517-0020-10,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
NDC,0517-0031-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",45.1,15.78,,,0
NDC,0517-0031-25,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",45.1,15.78,,,0
NDC,0517-0132-25,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION [9348],171.36,59.98,,,0
NDC,0517-0401-25,ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],51.54,18.04,,,0
NDC,0517-0650-01,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION [163592],275.93,96.58,,,0
NDC,0517-0710-01,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [22185],3380.0,1183.0,,,0
NDC,0517-0720-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [9266],52.57,18.4,,,0
NDC,0517-0740-01,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],46.38,16.23,,,0
NDC,0517-0740-20,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],46.38,16.23,,,0
NDC,0517-0781-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,0517-0866-10,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],63.39,22.19,,,0
NDC,0517-0901-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,0517-0901-25,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,0517-0960-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,0517-0960-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,0517-1001-01,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION [190365],128.84,45.1,,,0
NDC,0517-1001-25,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION [190365],128.84,45.1,,,0
NDC,0517-1045-25,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],311.8,109.13,,,0
NDC,0517-1355-25,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0517-1550-25,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [102823],2.06,0.72,,,0
NDC,0517-1820-01,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],1660.8,581.28,,,0
NDC,0517-1905-25,DOPAMINE 400 MG/5 ML (80 MG/ML) INTRAVENOUS SOLUTION [112987],46.56,16.29,,,0
NDC,0517-2096-25,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0517-2310-05,IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [152458],54.11,18.94,,,0
NDC,0517-2340-01,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],51.54,18.04,,,0
NDC,0517-2340-10,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],51.54,18.04,,,0
NDC,0517-2350-25,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],10.55,3.69,,,0
NDC,0517-2502-10,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN [1262],36.85,12.9,,,0
NDC,0517-2602-25,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,0517-2710-25,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [102969],6.36,2.23,,,0
NDC,0517-2930-25,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],35.17,12.31,,,0
NDC,0517-3050-25,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",4.25,1.49,,,0
NDC,0517-3065-01,MORRHUATE SODIUM 5 % INTRAVENOUS SOLUTION [5185],13.53,4.73,,,0
NDC,0517-3415-25,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0.62,0.22,,,0
NDC,0517-3450-25,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],31.12,10.89,,,0
NDC,0517-3605-01,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,0517-3605-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,0517-3900-25,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,0517-4002-25,PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],28.99,10.15,,,0
NDC,0517-4602-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,0517-4605-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,0517-4810-25,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [5599],358.51,125.48,,,0
NDC,0517-5023-25,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION [7302],0.7,0.25,,,0
NDC,0517-5602-25,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION [3770],118.54,41.49,,,0
NDC,0517-5702-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,0517-5710-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,0517-6110-25,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878],31.12,10.89,,,0
NDC,0517-6202-25,TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS [18267],2.61,0.91,,,0
NDC,0517-6510-25,SELENIUM 40 MCG/ML INTRAVENOUS SOLUTION [77308],36.53,12.78,,,0
NDC,0517-6560-01,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION [185289],138.68,48.54,,,0
NDC,0517-6710-01,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [102969],6.36,2.23,,,0
NDC,0517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [102969],6.36,2.23,,,0
NDC,0517-7604-01,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],6.04,2.12,,,0
NDC,0517-7604-25,ACETYLCYSTEINE 20% (200 MG/ML) ORAL SOLN [152975],6.04,2.12,,,0
NDC,0517-8210-25,TRACE ELEMENTS CR-CU-MN-SE-ZN 10 MCG-1 MG-0.5 MG-60 MCG-5MG/ML IV SOLN [18259],1.35,0.47,,,0
NDC,0517-8510-25,TRACE ELEMENTS CR-CU-MN-SE-ZN 4-400-100-20 MCG-1000 MCG/ML IV SOLUTION [18260],0.63,0.22,,,0
NDC,0517-9120-01,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],1.39,0.49,,,0
NDC,0517-9120-25,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],1.39,0.49,,,0
NDC,0517-9191-01,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],1.39,0.49,,,0
NDC,0517-9191-25,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],1.39,0.49,,,0
NDC,0517-9302-01,"TRACE ELEMENTS ZINC 1,000 MCG-CU 60 MCG-MANG 3 MCG-SE 6 MCG/ML IV SOLN [192639]",1729.8,605.43,,,0
NDC,0517-9302-25,"TRACE ELEMENTS ZINC 1,000 MCG-CU 60 MCG-MANG 3 MCG-SE 6 MCG/ML IV SOLN [192639]",21.84,7.64,,,0
NDC,0517-9305-25,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [189331],1952.51,683.38,,,0
NDC,0517-9702-25,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],36.4,12.74,,,0
NDC,0525-0906-90,FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-2 MG TABLET [38624],1.19,0.42,,,0
NDC,0527-0586-01,DICYCLOMINE 10 MG CAPSULE [2418],0.2,0.07,,,0
NDC,0527-1282-01,DICYCLOMINE 20 MG TABLET [2420],0.1,0.04,,,0
NDC,0527-1311-01,TERBUTALINE 5 MG TABLET [11509],5.32,1.86,,,0
NDC,0527-1313-01,PILOCARPINE 5 MG TABLET [12803],0.41,0.14,,,0
NDC,0527-1315-01,RIFAMPIN 300 MG CAPSULE [11293],1.34,0.47,,,0
NDC,0527-1315-06,RIFAMPIN 300 MG CAPSULE [11293],1.36,0.48,,,0
NDC,0527-1318-01,TERBUTALINE 2.5 MG TABLET [11508],4.35,1.52,,,0
NDC,0527-1367-01,PROBENECID 500 MG TABLET [6561],2.02,0.71,,,0
NDC,0527-1368-01,DANAZOL 100 MG CAPSULE [9714],3.81,1.33,,,0
NDC,0527-1369-01,DANAZOL 200 MG CAPSULE [2120],6.34,2.22,,,0
NDC,0527-1369-06,DANAZOL 200 MG CAPSULE [2120],7.2,2.52,,,0
NDC,0527-1392-01,DANAZOL 50 MG CAPSULE [9715],2.54,0.89,,,0
NDC,0527-1395-01,LOXAPINE SUCCINATE 10 MG CAPSULE [4599],0.72,0.25,,,0
NDC,0527-1552-01,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [8922],5.51,1.93,,,0
NDC,0527-1788-01,FLUPHENAZINE 1 MG TABLET [3218],1.5,0.52,,,0
NDC,0527-1789-01,FLUPHENAZINE 2.5 MG TABLET [3220],2.32,0.81,,,0
NDC,0527-1790-01,FLUPHENAZINE 5 MG TABLET [3221],3.14,1.1,,,0
NDC,0527-1791-01,FLUPHENAZINE 10 MG TABLET [3219],3.96,1.39,,,0
NDC,0527-1818-43,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY [20038],236.75,82.86,,,0
NDC,0527-1947-48,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION [28929],24.89,8.71,,,0
NDC,0527-1948-66,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],30.85,10.8,,,0
NDC,0527-1948-70,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],30.85,10.8,,,0
NDC,0527-1961-74,COCAINE 4 % NASAL SOLUTION [181941],212.26,74.29,,,0
NDC,0527-2133-35,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [164566]",16.04,5.61,,,0
NDC,0527-2215-37,METOLAZONE 2.5 MG TABLET [10587],1.49,0.52,,,0
NDC,0527-2216-37,METOLAZONE 5 MG TABLET [10588],1.7,0.6,,,0
NDC,0527-2217-37,METOLAZONE 10 MG TABLET [10586],2.04,0.71,,,0
NDC,0527-2961-37,CHLORPROMAZINE 10 MG TABLET [1653],0.7,0.25,,,0
NDC,0527-4118-37,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE [38226]",0.27,0.09,,,0
NDC,0527-5125-70,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],0.17,0.06,,,0
NDC,0527-5137-62,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [152607],7.54,2.64,,,0
NDC,0527-6004-80,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],7.17,2.51,,,0
NDC,0536-0770-85,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,0536-0825-85,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],0.14,0.05,,,0
NDC,0536-0940-94,TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0.45,0.16,,,0
NDC,0536-1002-94,TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0.45,0.16,,,0
NDC,0536-1007-15,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0.02,0.00665,,,0
NDC,0536-1019-01,SIMETHICONE 80 MG CHEWABLE TABLET [7227],0.04,0.01,,,0
NDC,0536-1021-07,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],0.06,0.02,,,0
NDC,0536-1046-10,SODIUM BICARBONATE 325 MG TABLET [7311],0.02,0.00525,,,0
NDC,0536-1054-29,ASPIRIN 325 MG TABLET [681],0.02,0.00525,,,0
NDC,0536-1055-56,BENZOYL PEROXIDE 5 % TOPICAL GEL [991],62.23,21.78,,,0
NDC,0536-1142-63,LEVONORGESTREL 1.5 MG TABLET [99445],7.54,2.64,,,0
NDC,0536-1202-07,LIDOCAINE 4 % TOPICAL PATCH [102208],3.77,1.32,,,0
NDC,0536-1217-94,TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0.45,0.16,,,0
NDC,0536-1228-58,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [27889],0.21,0.07,,,0
NDC,0536-1232-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE [685]",0.02,0.00805,,,0
NDC,0536-1234-41,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.02,0.0077,,,0
NDC,0536-1247-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.04,0.01,,,0
NDC,0536-1248-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.02,0.00805,,,0
NDC,0536-1248-10,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.02,0.00595,,,0
NDC,0536-1265-95,CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0.54,0.19,,,0
NDC,0536-1268-12,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION [23063],0.2,0.07,,,0
NDC,0536-1271-80,POVIDONE-IODINE 10 % TOPICAL OINTMENT [6455],0.81,0.28,,,0
NDC,0536-1288-06,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [164218],1.35,0.47,,,0
NDC,0536-1303-75,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.98,0.69,,,0
NDC,0536-1304-85,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.54,0.19,,,0
NDC,0536-1306-08,SIMETHICONE 180 MG CAPSULE [24400],0.06,0.02,,,0
NDC,0536-1316-28,ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0.28,0.1,,,0
NDC,0536-1325-94,POLYVINYL ALCOHOL 1.4 % EYE DROPS [27994],1.21,0.42,,,0
NDC,0536-1327-01,ACETAMINOPHEN 325 MG TABLET [101],0.02,0.00595,,,0
NDC,0536-1349-57,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],0.22,0.08,,,0
NDC,0536-1408-94,POLYVINYL ALCOHOL 1.4 % EYE DROPS [27994],1.21,0.42,,,0
NDC,0536-1850-85,PSEUDOEPHEDRINE 30 MG/5 ML ORAL LIQUID [157362],1.35,0.47,,,0
NDC,0536-1850-97,PSEUDOEPHEDRINE 30 MG/5 ML ORAL LIQUID [157362],1.35,0.47,,,0
NDC,0536-2220-75,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.98,0.69,,,0
NDC,0536-2425-58,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [27889],0.21,0.07,,,0
NDC,0536-2470-85,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [28836],21.33,7.47,,,0
NDC,0536-2525-25,CAPSAICIN 0.025 % TOPICAL CREAM [1350],1.58,0.55,,,0
NDC,0536-3000-94,CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0.81,0.28,,,0
NDC,0536-3086-41,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.02,0.0077,,,0
NDC,0536-3985-01,MECLIZINE 12.5 MG TABLET [12024],0.03,0.01,,,0
NDC,0536-4089-56,BENZOYL PEROXIDE 5 % TOPICAL GEL [991],62.23,21.78,,,0
NDC,0536-4306-05,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],0.05,0.02,,,0
NDC,0536-4306-11,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],0.06,0.02,,,0
NDC,0536-4540-10,SODIUM BICARBONATE 325 MG TABLET [7311],0.02,0.00525,,,0
NDC,0536-4544-10,SODIUM BICARBONATE 650 MG TABLET [7312],0.02,0.0056,,,0
NDC,0536-5700-28,ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0.28,0.1,,,0
NDC,0536-5895-88,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],6.76,2.37,,,0
NDC,0536279059,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID [144603],0.09,0.03,,,0
NDC,0536333401,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.02,0.0056,,,0
NDC,0536354201,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [2008],0.01,0.0049,,,0
NDC,0536355601,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0.03,0.01,,,0
NDC,0536407401,"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE [5536]",0.05,0.02,,,0
NDC,0536407601,NIACIN 100 MG TABLET [5539],0.02,0.007,,,0
NDC,0536430401,PEDIATRIC MULTIVITAMIN CHEWABLE TABLET [17687],0.03,0.01,,,0
NDC,0536440801,PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0.02,0.00875,,,0
NDC,0536490201,"BETA CAROTENE 7,500 MCG (25,000 UNIT) CAPSULE [1006]",0.04,0.01,,,0
NDC,0548-3301-00,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [106061],3.17,1.11,,,0
NDC,0548-3304-00,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],6.36,2.23,,,0
NDC,0548-3316-00,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
NDC,0548-3339-00,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.88,4.51,,,0
NDC,0548-3352-00,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [7309],2.06,0.72,,,0
NDC,0548-3369-00,NALOXONE 1 MG/ML INJECTION SYRINGE [5374],130.13,45.55,,,0
NDC,0548-3390-00,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],2.84,0.99,,,0
NDC,0548-5400-00,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,0548-5400-25,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,0548-5601-00,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [104989],427.73,149.7,,,0
NDC,0548-5602-00,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,0548-5603-00,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
NDC,0548-5604-00,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],427.73,149.7,,,0
NDC,0548-5605-00,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,0548-5606-00,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,0548-5607-00,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
NDC,0548-5900-00,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],440.64,154.23,,,0
NDC,0548-9501-00,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,0548-9602-00,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [163426],35.71,12.5,,,0
NDC,0555-0066-02,ISONIAZID 100 MG TABLET [4026],0.12,0.04,,,0
NDC,0555-0071-01,ISONIAZID 300 MG TABLET [4027],0.07,0.02,,,0
NDC,0555-0071-02,ISONIAZID 300 MG TABLET [4027],0.05,0.02,,,0
NDC,0555-0159-02,CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],0.17,0.06,,,0
NDC,0555-0252-02,DIPYRIDAMOLE 25 MG TABLET [2528],0.38,0.13,,,0
NDC,0555-0285-02,DIPYRIDAMOLE 50 MG TABLET [2529],0.61,0.21,,,0
NDC,0555-0286-02,DIPYRIDAMOLE 75 MG TABLET [2530],0.81,0.28,,,0
NDC,0555-0301-38,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK [4991],0.28,0.1,,,0
NDC,0555-0590-01,"DIDANOSINE 400 MG CAPSULE,DELAYED RELEASE [29110]",8.85,3.1,,,0
NDC,0555-0606-02,MEGESTROL 20 MG TABLET [4870],0.25,0.09,,,0
NDC,0555-0607-02,MEGESTROL 40 MG TABLET [4871],0.44,0.15,,,0
NDC,0555-0633-02,DANAZOL 50 MG CAPSULE [9715],2.54,0.89,,,0
NDC,0555-0634-02,DANAZOL 100 MG CAPSULE [9714],3.81,1.33,,,0
NDC,0555-0635-02,DANAZOL 200 MG CAPSULE [2120],6.34,2.22,,,0
NDC,0555-0701-02,DEMECLOCYCLINE 150 MG TABLET [9726],6.33,2.22,,,0
NDC,0555-0702-84,DEMECLOCYCLINE 300 MG TABLET [9727],11.46,4.01,,,0
NDC,0555-0762-02,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [103898],4.3,1.5,,,0
NDC,0555-0779-02,MEDROXYPROGESTERONE 10 MG TABLET [4854],0.26,0.09,,,0
NDC,0555-0779-04,MEDROXYPROGESTERONE 10 MG TABLET [4854],0.26,0.09,,,0
NDC,0555-0808-02,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],26.89,9.41,,,0
NDC,0555-0872-02,MEDROXYPROGESTERONE 2.5 MG TABLET [4855],0.14,0.05,,,0
NDC,0555-0886-02,ESTRADIOL 1 MG TABLET [9967],0.05,0.02,,,0
NDC,0555-0887-02,ESTRADIOL 2 MG TABLET [9968],0.4,0.14,,,0
NDC,0555-0899-02,ESTRADIOL 0.5 MG TABLET [12491],0.27,0.09,,,0
NDC,0555-0971-02,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [103898],0.87,0.3,,,0
NDC,0555-0980-37,NIMODIPINE 30 MG CAPSULE [10722],6.98,2.44,,,0
NDC,0555-0980-40,NIMODIPINE 30 MG CAPSULE [10722],6.66,2.33,,,0
NDC,0555-0997-02,FLUDROCORTISONE 0.1 MG TABLET [10054],0.55,0.19,,,0
NDC,0555-1009-01,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],98.76,34.57,,,0
NDC,0555-1009-16,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],98.76,34.57,,,0
NDC,0555-1010-01,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],162.34,56.82,,,0
NDC,0555-1010-16,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],162.34,56.82,,,0
NDC,0555-1011-16,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],215.1,75.29,,,0
NDC,0555-1131-11,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],148.17,51.86,,,0
NDC,0555-9016-58,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET [10749],0.78,0.27,,,0
NDC,0573-2871-10,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [164218],2.76,0.96,,,0
NDC,0573-2871-93,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [164218],2.76,0.96,,,0
NDC,0574-0106-01,BROMOCRIPTINE 2.5 MG TABLET [9297],3.0,1.05,,,0
NDC,0574-0106-03,BROMOCRIPTINE 2.5 MG TABLET [9297],3.31,1.16,,,0
NDC,0574-0107-70,CLOTRIMAZOLE 10 MG TROCHE [9644],1.29,0.45,,,0
NDC,0574-0107-77,CLOTRIMAZOLE 10 MG TROCHE [9644],1.14,0.4,,,0
NDC,0574-0110-01,MOEXIPRIL 7.5 MG TABLET [15025],1.05,0.37,,,0
NDC,0574-0112-15,MOEXIPRIL 15 MG TABLET [15026],1.1,0.38,,,0
NDC,0574-0120-76,ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSPENSION [81428],0.1,0.03,,,0
NDC,0574-0121-08,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION [109510],0.1,0.03,,,0
NDC,0574-0121-76,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION [109510],0.1,0.03,,,0
NDC,0574-0152-10,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [77411],17.59,6.16,,,0
NDC,0574-0220-01,LIOTHYRONINE 5 MCG TABLET [10443],0.64,0.22,,,0
NDC,0574-0222-01,LIOTHYRONINE 25 MCG TABLET [4504],0.84,0.29,,,0
NDC,0574-0241-01,REPAGLINIDE 1 MG TABLET [22586],0.2,0.07,,,0
NDC,0574-0242-01,REPAGLINIDE 2 MG TABLET [22585],0.2,0.07,,,0
NDC,0574-0292-01,AMILORIDE 5 MG TABLET [391],0.22,0.08,,,0
NDC,0574-0412-07,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,0574-0520-08,ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSPENSION [81428],0.1,0.03,,,0
NDC,0574-0520-76,ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSPENSION [81428],0.1,0.03,,,0
NDC,0574-0521-76,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION [109510],0.1,0.03,,,0
NDC,0574-0618-16,MINERAL OIL ORAL [5086],0.03,0.01,,,0
NDC,0574-0790-01,METHAZOLAMIDE 25 MG TABLET [4961],2.3,0.8,,,0
NDC,0574-0791-01,METHAZOLAMIDE 50 MG TABLET [4962],4.6,1.61,,,0
NDC,0574-0805-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],27.0,9.45,,,0
NDC,0574-0823-01,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
NDC,0574-0850-05,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [9859],302.78,105.97,,,0
NDC,0574-0850-10,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [9859],302.78,105.97,,,0
NDC,0574-0858-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,0574-0866-01,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],63.39,22.19,,,0
NDC,0574-0866-10,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],63.39,22.19,,,0
NDC,0574-2004-16,SODIUM POLYSTYRENE SULFONATE 15 GRAM ORAL POWDER [7356],0.19,0.07,,,0
NDC,0574-2008-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",5.28,1.85,,,0
NDC,0574-2020-01,HYDROCORTISONE 100 MG/60 ML ENEMA [10210],1.33,0.47,,,0
NDC,0574-2020-07,HYDROCORTISONE 100 MG/60 ML ENEMA [10210],79.82,27.94,,,0
NDC,0574-4021-35,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT [856]",15.46,5.41,,,0
NDC,0574-4022-35,BACITRACIN 500 UNIT/GRAM EYE OINTMENT [852],106.83,37.39,,,0
NDC,0574-4024-11,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],37.94,13.28,,,0
NDC,0574-4024-35,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],37.9,13.27,,,0
NDC,0574-4024-50,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],37.94,13.28,,,0
NDC,0574-4031-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [11567]",121.76,42.61,,,0
NDC,0574-4250-35,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT [38701]",80.4,28.14,,,0
NDC,0574-7034-12,ASPIRIN 300 MG RECTAL SUPPOSITORY [693],1.17,0.41,,,0
NDC,0574-7040-12,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY [24731],26.76,9.37,,,0
NDC,0574-7050-12,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],0.35,0.12,,,0
NDC,0574-7110-12,MORPHINE 5 MG RECTAL SUPPOSITORY [5183],4.0,1.4,,,0
NDC,0574-7112-12,MORPHINE 10 MG RECTAL SUPPOSITORY [5180],5.0,1.75,,,0
NDC,0574-7114-12,MORPHINE 20 MG RECTAL SUPPOSITORY [5181],6.0,2.1,,,0
NDC,0574-7226-12,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],8.71,3.05,,,0
NDC,0574-7236-12,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],3.25,1.14,,,0
NDC,0574007216,"PROPYLENE GLYCOL (BULK) 99.5 % (NOT LESS THAN, USP) LIQUID [27847]",41.94,14.68,,,0
NDC,0574017810,GLYCERIN (BULK) 100 % LIQUID [28815],94.7,33.15,,,0
NDC,0574030316,COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL [172700],1.35,0.47,,,0
NDC,0574030416,COMPOUNDING VEHICLE SYRUP NO.23 [182304],1.35,0.47,,,0
NDC,0575-6200-30,DIAZOXIDE 50 MG/ML ORAL SUSPENSION [19713],6.26,2.19,,,0
NDC,0591-0149-26,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],82.46,28.86,,,0
NDC,0591-0149-87,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],82.46,28.86,,,0
NDC,0591-0240-01,LORAZEPAM 0.5 MG TABLET [4572],0.04,0.02,,,0
NDC,0591-0241-01,LORAZEPAM 1 MG TABLET [4573],0.03,0.01,,,0
NDC,0591-0242-01,LORAZEPAM 2 MG TABLET [4574],0.05,0.02,,,0
NDC,0591-0343-01,VERAPAMIL 80 MG TABLET [8530],0.05,0.02,,,0
NDC,0591-0347-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [19146],0.04,0.01,,,0
NDC,0591-0348-01,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],0.05,0.02,,,0
NDC,0591-0369-01,LOXAPINE SUCCINATE 5 MG CAPSULE [4601],0.55,0.19,,,0
NDC,0591-0370-01,LOXAPINE SUCCINATE 10 MG CAPSULE [4599],0.72,0.25,,,0
NDC,0591-0371-01,LOXAPINE SUCCINATE 25 MG CAPSULE [4600],0.66,0.23,,,0
NDC,0591-0404-01,VERAPAMIL 40 MG TABLET [8529],0.16,0.05,,,0
NDC,0591-0424-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [8132],0.28,0.1,,,0
NDC,0591-0444-01,GUANFACINE 1 MG TABLET [10149],8.0,2.8,,,0
NDC,0591-0460-01,GLIPIZIDE 5 MG TABLET [10117],0.05,0.02,,,0
NDC,0591-0487-01,ESTRADIOL 1 MG TABLET [9967],0.31,0.11,,,0
NDC,0591-0488-01,ESTRADIOL 2 MG TABLET [9968],0.4,0.14,,,0
NDC,0591-0528-01,ESTRADIOL 0.5 MG TABLET [12491],0.27,0.09,,,0
NDC,0591-0583-01,PROPAFENONE 225 MG TABLET [11147],0.51,0.18,,,0
NDC,0591-0605-01,LABETALOL 100 MG TABLET [10373],0.41,0.14,,,0
NDC,0591-0658-01,BUSPIRONE 10 MG TABLET [9323],0.09,0.03,,,0
NDC,0591-0698-01,HYDROXYCHLOROQUINE 200 MG TABLET [10235],0.2,0.07,,,0
NDC,0591-0794-01,DICYCLOMINE 10 MG CAPSULE [2418],0.2,0.07,,,0
NDC,0591-0795-01,DICYCLOMINE 20 MG TABLET [2420],0.04,0.01,,,0
NDC,0591-0795-10,DICYCLOMINE 20 MG TABLET [2420],0.04,0.01,,,0
NDC,0591-0900-30,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",0.17,0.06,,,0
NDC,0591-2136-57,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,0591-2136-68,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,0591-2136-80,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,0591-2136-95,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,0591-2160-39,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],9.75,3.41,,,0
NDC,0591-2190-45,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION [70678]",181.28,63.45,,,0
NDC,0591-2232-60,TAMOXIFEN 10 MG TABLET [7711],0.38,0.13,,,0
NDC,0591-2258-54,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,0591-2258-79,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,0591-2266-30,ACITRETIN 25 MG CAPSULE [13979],30.77,10.77,,,0
NDC,0591-2464-01,DESMOPRESSIN 0.1 MG TABLET [16052],3.81,1.33,,,0
NDC,0591-2466-18,FLUTAMIDE 125 MG CAPSULE [10081],1.55,0.54,,,0
NDC,0591-2472-60,TAMOXIFEN 10 MG TABLET [7711],0.38,0.13,,,0
NDC,0591-2512-60,BOSENTAN 125 MG TABLET [31876],22.1,7.74,,,0
NDC,0591-2579-20,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],25.16,8.81,,,0
NDC,0591-2605-01,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.42,0.15,,,0
NDC,0591-2888-30,"HYDROXOCOBALAMIN 1,000 MCG/ML INTRAMUSCULAR SOLUTION [3768]",0.76,0.26,,,0
NDC,0591-2981-35,DOCOSANOL 10 % TOPICAL CREAM [29287],30.53,10.69,,,0
NDC,0591-2985-39,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],9.75,3.41,,,0
NDC,0591-2992-39,PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],62.64,21.92,,,0
NDC,0591-2998-01,URSODIOL 250 MG TABLET [22660],2.15,0.75,,,0
NDC,0591-3041-01,HYDROXYCHLOROQUINE 200 MG TABLET [10235],3.27,1.14,,,0
NDC,0591-3159-01,URSODIOL 300 MG CAPSULE [11624],1.02,0.36,,,0
NDC,0591-3193-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]",0.86,0.3,,,0
NDC,0591-3194-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]",1.63,0.57,,,0
NDC,0591-3198-54,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],194.81,68.18,,,0
NDC,0591-3198-72,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],194.81,68.18,,,0
NDC,0591-3202-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.38,0.13,,,0
NDC,0591-3212-54,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],281.4,98.49,,,0
NDC,0591-3212-72,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],281.4,98.49,,,0
NDC,0591-3213-54,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],422.09,147.73,,,0
NDC,0591-3213-72,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],422.09,147.73,,,0
NDC,0591-3214-54,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,0591-3214-72,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,0591-3217-26,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [36093],46.27,16.19,,,0
NDC,0591-3217-30,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [36093],46.27,16.19,,,0
NDC,0591-3219-01,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [8922],1.1,0.38,,,0
NDC,0591-3220-01,BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG-CAFFEINE 40 MG-CODEINE 30 MG CAP [30350],1.09,0.38,,,0
NDC,0591-3256-01,CYCLOBENZAPRINE 5 MG TABLET [35184],0.17,0.06,,,0
NDC,0591-3369-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],0.67,0.23,,,0
NDC,0591-3369-05,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],0.62,0.22,,,0
NDC,0591-3514-01,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [20919]",2.79,0.98,,,0
NDC,0591-3540-60,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0.25,0.09,,,0
NDC,0591-3541-60,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0.67,0.23,,,0
NDC,0591-3600-54,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],194.81,68.18,,,0
NDC,0591-3601-54,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],362.57,126.9,,,0
NDC,0591-3603-54,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,0591-3720-30,TRANEXAMIC ACID 650 MG TABLET [145031],4.18,1.46,,,0
NDC,0591-3768-30,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],22.32,7.81,,,0
NDC,0591-4012-01,VALPROIC ACID 250 MG CAPSULE [8429],0.4,0.14,,,0
NDC,0591-4102-01,PERPHENAZINE 4 MG TABLET [6158],0.62,0.22,,,0
NDC,0591-4103-01,PERPHENAZINE 8 MG TABLET [6159],0.75,0.26,,,0
NDC,0591-4375-30,"DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR [40402]",8.85,3.1,,,0
NDC,0591-5019-02,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,0591-5335-01,TRIHEXYPHENIDYL 2 MG TABLET [8166],0.15,0.05,,,0
NDC,0591-5337-01,TRIHEXYPHENIDYL 5 MG TABLET [8167],0.3,0.11,,,0
NDC,0591-5347-01,PROBENECID 500 MG TABLET [6561],0.59,0.21,,,0
NDC,0591-5442-01,PREDNISONE 10 MG TABLET [6494],0.05,0.02,,,0
NDC,0591-5443-10,PREDNISONE 20 MG TABLET [6496],0.07,0.02,,,0
NDC,0591-5454-01,QUINIDINE SULFATE 300 MG TABLET [6778],0.34,0.12,,,0
NDC,0591-5535-50,DOXYCYCLINE HYCLATE 50 MG CAPSULE [2624],1.8,0.63,,,0
NDC,0591-5554-01,PROPRANOLOL 10 MG TABLET [6656],0.28,0.1,,,0
NDC,0591-5556-01,PROPRANOLOL 40 MG TABLET [6658],0.06,0.02,,,0
NDC,0591-5557-01,PROPRANOLOL 80 MG TABLET [6660],0.6,0.21,,,0
NDC,0591-5571-01,TRIMETHOPRIM 100 MG TABLET [8182],0.31,0.11,,,0
NDC,0591-5643-01,MINOXIDIL 10 MG TABLET [5114],0.46,0.16,,,0
NDC,0591-5658-01,CYCLOBENZAPRINE 10 MG TABLET [2017],0.08,0.03,,,0
NDC,0591-5660-01,SULINDAC 200 MG TABLET [7579],0.29,0.1,,,0
NDC,0591-5694-01,MINOCYCLINE 50 MG CAPSULE [5111],0.26,0.09,,,0
NDC,0591-5695-50,MINOCYCLINE 100 MG CAPSULE [5110],0.56,0.19,,,0
NDC,0591-5731-05,BACLOFEN 20 MG TABLET [861],0.09,0.03,,,0
NDC,0591-5788-01,NORTRIPTYLINE 50 MG CAPSULE [5676],0.18,0.06,,,0
NDC,0591-5789-01,NORTRIPTYLINE 75 MG CAPSULE [5677],0.24,0.08,,,0
NDC,0591-5882-01,METHYLPHENIDATE 5 MG TABLET [4988],0.59,0.21,,,0
NDC,0592800100,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET [167998]",0.16,0.06,,,0
NDC,0597-0001-60,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [27644]",9.4,3.29,,,0
NDC,0597-0024-02,IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION [168062],267.84,93.74,,,0
NDC,0597-0031-34,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],98.76,34.57,,,0
NDC,0597-0032-34,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],162.34,56.82,,,0
NDC,0597-0033-34,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],215.1,75.29,,,0
NDC,0597-0035-10,SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION [195867],3408.87,1193.1,,,0
NDC,0597-0039-37,TELMISARTAN 20 MG TABLET [29176],4.68,1.64,,,0
NDC,0597-0041-37,TELMISARTAN 80 MG TABLET [24336],4.68,1.64,,,0
NDC,0597-0046-60,NEVIRAPINE 200 MG TABLET [17403],15.1,5.28,,,0
NDC,0597-0047-24,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [24119],31.12,10.89,,,0
NDC,0597-0058-01,TAMSULOSIN 0.4 MG CAPSULE [27856],9.73,3.4,,,0
NDC,0597-0087-17,IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER [41142],118.26,41.39,,,0
NDC,0597-0107-54,DABIGATRAN ETEXILATE 75 MG CAPSULE [148297],3.64,1.28,,,0
NDC,0597-0107-60,DABIGATRAN ETEXILATE 75 MG CAPSULE [148297],3.64,1.28,,,0
NDC,0597-0135-54,DABIGATRAN ETEXILATE 150 MG CAPSULE [148231],6.68,2.34,,,0
NDC,0597-0135-60,DABIGATRAN ETEXILATE 150 MG CAPSULE [148231],6.68,2.34,,,0
NDC,0597-0149-60,DABIGATRAN ETEXILATE 75 MG CAPSULE [148297],6.68,2.34,,,0
NDC,0597-0152-37,EMPAGLIFLOZIN 10 MG TABLET [167446],19.78,6.92,,,0
NDC,0597-0153-37,EMPAGLIFLOZIN 25 MG TABLET [167445],19.78,6.92,,,0
NDC,0597-0155-70,TIOTROPIUM 2.5 MCG-OLODATEROL 2.5 MCG/ACTUATION MIST FOR INHALATION [170694],64.86,22.7,,,0
NDC,0597-0184-61,PRAMIPEXOLE 0.25 MG TABLET [21290],7.37,2.58,,,0
NDC,0597-0185-61,PRAMIPEXOLE 0.5 MG TABLET [22719],7.37,2.58,,,0
NDC,0597-0185-90,PRAMIPEXOLE 0.5 MG TABLET [22719],7.02,2.46,,,0
NDC,0597-0190-61,PRAMIPEXOLE 1 MG TABLET [21288],7.37,2.58,,,0
NDC,0597-0190-90,PRAMIPEXOLE 1 MG TABLET [21288],7.02,2.46,,,0
NDC,0597-0192-61,OLODATEROL 2.5 MCG/ACTUATION MIST FOR INHALATION [167488],216.15,75.65,,,0
NDC,0597-0197-05,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [172572],156.01,54.6,,,0
NDC,0597-0355-09,DABIGATRAN ETEXILATE 75 MG CAPSULE [148297],3.31,1.16,,,0
NDC,0597-0360-82,DABIGATRAN ETEXILATE 150 MG CAPSULE [148231],3.31,1.16,,,0
NDC,0603-0026-22,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.01,0.00385,,,0
NDC,0603-0179-29,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0.01,0.00455,,,0
NDC,0603-0179-55,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0.01,0.00455,,,0
NDC,0603-0209-22,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.03,0.01,,,0
NDC,0603-0235-16,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],0.07,0.02,,,0
NDC,0603-0263-29,ACETAMINOPHEN 325 MG TABLET [101],0.01,0.0035,,,0
NDC,0603-0282-21,SENNOSIDES 8.6 MG TABLET [11349],0.02,0.00805,,,0
NDC,0603-0648-88,CAPSAICIN 0.025 % TOPICAL CREAM [1350],1.58,0.55,,,0
NDC,0603-0823-58,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,0603-0823-94,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,0603-0894-50,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.98,0.69,,,0
NDC,0603-1161-58,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION [163375],23.0,8.05,,,0
NDC,0603-1384-58,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],13.53,4.73,,,0
NDC,0603-1394-47,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],7.17,2.51,,,0
NDC,0603-1481-49,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,0603-1508-58,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],3.79,1.33,,,0
NDC,0603-1567-58,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION [11117],1.55,0.54,,,0
NDC,0603-1584-58,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0.64,0.23,,,0
NDC,0603-1841-58,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION [8428],6.49,2.27,,,0
NDC,0603-2115-21,ALLOPURINOL 100 MG TABLET [310],0.31,0.11,,,0
NDC,0603-2213-21,AMITRIPTYLINE 25 MG TABLET [435],0.29,0.1,,,0
NDC,0603-2216-21,AMITRIPTYLINE 100 MG TABLET [433],1.14,0.4,,,0
NDC,0603-2338-20,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],0.44,0.16,,,0
NDC,0603-2406-02,BACLOFEN 10 MG TABLET [860],0.19,0.07,,,0
NDC,0603-2406-21,BACLOFEN 10 MG TABLET [860],0.18,0.06,,,0
NDC,0603-2407-21,BACLOFEN 20 MG TABLET [861],0.36,0.13,,,0
NDC,0603-2433-21,BENZTROPINE 0.5 MG TABLET [998],0.14,0.05,,,0
NDC,0603-2434-21,BENZTROPINE 1 MG TABLET [999],0.16,0.06,,,0
NDC,0603-2435-21,BENZTROPINE 2 MG TABLET [1000],0.2,0.07,,,0
NDC,0603-2438-21,BENZTROPINE 1 MG TABLET [999],0.16,0.06,,,0
NDC,0603-2439-21,BENZTROPINE 2 MG TABLET [1000],0.2,0.07,,,0
NDC,0603-2544-21,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],1.12,0.39,,,0
NDC,0603-2553-21,BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG-CAFFEINE 40 MG-CODEINE 30 MG CAP [30350],0.38,0.13,,,0
NDC,0603-2582-21,CARISOPRODOL 350 MG TABLET [1395],0.1,0.03,,,0
NDC,0603-3078-21,CYCLOBENZAPRINE 5 MG TABLET [35184],0.06,0.02,,,0
NDC,0603-3162-21,FOLIC ACID 1 MG TABLET [3233],0.08,0.03,,,0
NDC,0603-3339-21,DIPHENHYDRAMINE 25 MG CAPSULE [2509],0.02,0.0063,,,0
NDC,0603-3583-21,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [27491]",0.81,0.28,,,0
NDC,0603-3739-21,FUROSEMIDE 20 MG TABLET [3294],0.02,0.007,,,0
NDC,0603-3856-21,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.04,0.01,,,0
NDC,0603-3890-21,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.38,0.13,,,0
NDC,0603-3890-22,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.38,0.13,,,0
NDC,0603-3891-21,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.42,0.15,,,0
NDC,0603-3899-19,HYDROCORTISONE 5 MG TABLET [10209],0.29,0.1,,,0
NDC,0603-3900-21,HYDROCORTISONE 10 MG TABLET [3733],0.48,0.17,,,0
NDC,0603-3901-21,HYDROCORTISONE 20 MG TABLET [3734],0.86,0.3,,,0
NDC,0603-4209-21,LISINOPRIL 2.5 MG TABLET [13089],0.02,0.0056,,,0
NDC,0603-4211-21,LISINOPRIL 10 MG TABLET [10449],0.03,0.0098,,,0
NDC,0603-4214-21,LISINOPRIL 40 MG TABLET [10450],0.07,0.03,,,0
NDC,0603-4226-02,LOSARTAN 100 MG TABLET [22588],0.09,0.03,,,0
NDC,0603-4485-21,METHOCARBAMOL 500 MG TABLET [4971],0.11,0.04,,,0
NDC,0603-4486-21,METHOCARBAMOL 750 MG TABLET [4972],0.16,0.06,,,0
NDC,0603-4662-02,MODAFINIL 200 MG TABLET [24703],15.6,5.46,,,0
NDC,0603-4975-21,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0.49,0.17,,,0
NDC,0603-4979-21,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],0.73,0.26,,,0
NDC,0603-4992-21,OXYCODONE 30 MG TABLET [28900],0.95,0.33,,,0
NDC,0603-4998-21,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0.22,0.08,,,0
NDC,0603-5165-21,PHENOBARBITAL 16.2 MG TABLET [6215],0.43,0.15,,,0
NDC,0603-5166-21,PHENOBARBITAL 32.4 MG TABLET [6217],0.54,0.19,,,0
NDC,0603-5168-21,PHENOBARBITAL 97.2 MG TABLET [6220],0.95,0.33,,,0
NDC,0603-5338-32,PREDNISONE 10 MG TABLET [6494],0.03,0.01,,,0
NDC,0603-5339-21,PREDNISONE 20 MG TABLET [6496],0.21,0.07,,,0
NDC,0603-5339-32,PREDNISONE 20 MG TABLET [6496],0.2,0.07,,,0
NDC,0603-5448-21,PROPAFENONE 150 MG TABLET [11146],0.25,0.09,,,0
NDC,0603-5449-21,PROPAFENONE 225 MG TABLET [11147],0.38,0.13,,,0
NDC,0603-5450-21,PROPAFENONE 300 MG TABLET [11148],1.08,0.38,,,0
NDC,0603-5483-21,PROPRANOLOL 20 MG TABLET [6657],0.2,0.07,,,0
NDC,0603-5484-21,PROPRANOLOL 40 MG TABLET [6658],0.25,0.09,,,0
NDC,0603-5486-21,PROPRANOLOL 80 MG TABLET [6660],0.38,0.13,,,0
NDC,0603-5770-21,SOTALOL 120 MG TABLET [15723],0.16,0.05,,,0
NDC,0603-5771-21,SOTALOL 160 MG TABLET [11419],0.18,0.06,,,0
NDC,0603-5803-21,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE [7563]",0.27,0.1,,,0
NDC,0603-6160-21,TRAZODONE 50 MG TABLET [8085],0.05,0.02,,,0
NDC,0603-6161-21,TRAZODONE 100 MG TABLET [8083],0.09,0.03,,,0
NDC,0603-6241-21,TRIHEXYPHENIDYL 5 MG TABLET [8167],0.17,0.06,,,0
NDC,0603-6330-20,VALGANCICLOVIR 450 MG TABLET [30148],16.83,5.89,,,0
NDC,0603-7818-74,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",6.49,2.27,,,0
NDC,0603-7818-78,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",3.25,1.14,,,0
NDC,0603-7862-74,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],2.89,1.01,,,0
NDC,0603-7864-49,TRIAMCINOLONE ACETONIDE 0.1 % LOTION [8116],6.07,2.12,,,0
NDC,0641-0376-21,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],67.0,23.45,,,0
NDC,0641-0376-25,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],67.0,23.45,,,0
NDC,0641-0400-12,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,0641-0400-37,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,0641-0410-12,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,0641-0410-37,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,0641-0477-21,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],76.02,26.61,,,0
NDC,0641-0477-25,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],76.02,26.61,,,0
NDC,0641-0493-21,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],77.31,27.06,,,0
NDC,0641-0493-25,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],154.61,54.11,,,0
NDC,0641-0928-21,PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],67.0,23.45,,,0
NDC,0641-0928-25,PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],67.0,23.45,,,0
NDC,0641-0955-21,PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],67.0,23.45,,,0
NDC,0641-1397-31,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],110.8,38.78,,,0
NDC,0641-1397-35,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],110.8,38.78,,,0
NDC,0641-1398-31,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],1.29,0.45,,,0
NDC,0641-1398-35,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],1.29,0.45,,,0
NDC,0641-1410-31,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [102724],31.57,11.05,,,0
NDC,0641-1410-35,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [102724],31.57,11.05,,,0
NDC,0641-1495-35,PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],67.0,23.45,,,0
NDC,0641-2470-45,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,0641-2555-41,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],77.31,27.06,,,0
NDC,0641-2555-45,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],77.31,27.06,,,0
NDC,0641-2965-41,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],365.27,127.85,,,0
NDC,0641-2965-45,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],36.53,12.78,,,0
NDC,0641-6001-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0641-6001-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0641-6006-01,ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],51.54,18.04,,,0
NDC,0641-6006-10,ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],51.54,18.04,,,0
NDC,0641-6007-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0641-6007-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0641-6008-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0641-6008-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0641-6013-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,0641-6013-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,0641-6015-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,0641-6015-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,0641-6019-01,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],61.72,21.6,,,0
NDC,0641-6019-10,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],61.72,21.6,,,0
NDC,0641-6020-01,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION [29464],61.72,21.6,,,0
NDC,0641-6020-10,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION [29464],61.72,21.6,,,0
NDC,0641-6022-01,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,0641-6022-25,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,0641-6024-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6024-10,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6025-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6025-10,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6026-05,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6027-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6027-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6028-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6028-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6029-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6029-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,0641-6030-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],10.95,3.83,,,0
NDC,0641-6032-01,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],124.19,43.47,,,0
NDC,0641-6032-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],124.19,43.47,,,0
NDC,0641-6044-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0641-6044-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0641-6046-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0641-6046-10,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0641-6048-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0641-6048-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0641-6050-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0641-6050-10,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,0641-6053-01,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],68.08,23.83,,,0
NDC,0641-6053-25,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],68.08,23.83,,,0
NDC,0641-6054-01,MEPERIDINE (PF) 100 MG/ML INJECTION SOLUTION [110368],68.08,23.83,,,0
NDC,0641-6054-25,MEPERIDINE (PF) 100 MG/ML INJECTION SOLUTION [110368],68.08,23.83,,,0
NDC,0641-6060-01,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,0641-6060-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,0641-6065-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],25.0,8.75,,,0
NDC,0641-6067-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],25.0,8.75,,,0
NDC,0641-6076-01,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INJECTION SOLUTION [5489],15.84,5.54,,,0
NDC,0641-6076-10,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INJECTION SOLUTION [5489],15.84,5.54,,,0
NDC,0641-6078-01,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0641-6078-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0641-6080-01,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0641-6080-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0641-6084-01,PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],67.0,23.45,,,0
NDC,0641-6084-25,PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],67.0,23.45,,,0
NDC,0641-6088-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,0641-6088-25,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,0641-6103-01,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],21.4,7.49,,,0
NDC,0641-6103-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],21.4,7.49,,,0
NDC,0641-6114-25,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,0641-6116-01,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,0641-6116-10,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,0641-6117-01,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,0641-6117-10,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,0641-6119-01,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,0641-6120-01,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,0641-6125-01,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION [172455],52.83,18.49,,,0
NDC,0641-6125-25,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION [172455],52.83,18.49,,,0
NDC,0641-6127-01,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [27390],52.83,18.49,,,0
NDC,0641-6127-25,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [27390],52.83,18.49,,,0
NDC,0641-6132-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],52.05,18.22,,,0
NDC,0641-6132-25,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],52.05,18.22,,,0
NDC,0641-6135-01,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,0641-6135-25,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,0641-6136-01,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,0641-6136-25,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,0641-6137-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,0641-6138-01,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],77.31,27.06,,,0
NDC,0641-6138-25,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],77.31,27.06,,,0
NDC,0641-6141-01,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INJECTION SOLUTION [5489],15.84,5.54,,,0
NDC,0641-6141-10,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INJECTION SOLUTION [5489],15.84,5.54,,,0
NDC,0641-6142-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,0641-6142-25,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],4.0,1.4,,,0
NDC,0641-6145-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,0641-6145-25,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,0641-6146-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,0641-6146-25,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,0641-6149-01,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [163426],35.71,12.5,,,0
NDC,0641-6149-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [163426],35.71,12.5,,,0
NDC,0641-6161-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0641-6161-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0641-6162-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0641-6162-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,0641-6166-01,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [147620]",512.15,179.25,,,0
NDC,0641-6166-10,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [147620]",512.15,179.25,,,0
NDC,0641-6174-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],77.8,27.23,,,0
NDC,0641-6174-10,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],77.8,27.23,,,0
NDC,0641-6175-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,0641-6175-10,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,0641-6176-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,0641-6176-10,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,0641-6182-01,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],112.1,39.23,,,0
NDC,0641-6182-10,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],112.1,39.23,,,0
NDC,0641-6184-01,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [102724],31.57,11.05,,,0
NDC,0641-6184-25,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [102724],31.57,11.05,,,0
NDC,0641-6188-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,0641-6188-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,0641-6189-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,0641-6196-01,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,0641-6196-10,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,0641-6205-01,NALOXONE 1 MG/ML INJECTION SYRINGE [5374],130.13,45.55,,,0
NDC,0641-6205-10,NALOXONE 1 MG/ML INJECTION SYRINGE [5374],130.13,45.55,,,0
NDC,0641-6228-01,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,0641-6228-25,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,0641-6231-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,0641-6231-25,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,0641-6244-01,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106139],77.31,27.06,,,0
NDC,0641-6244-10,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106139],77.31,27.06,,,0
NDC,0641-6261-01,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,0641-9217-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,0641-9217-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,0641-9219-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,0641-9219-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,0677-1597-01,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0.16,0.06,,,0
NDC,0703-0018-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,0703-0031-01,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],72.14,25.25,,,0
NDC,0703-0051-01,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],121.11,42.39,,,0
NDC,0703-0110-03,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,0703-0113-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,0703-0113-03,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,0703-0125-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,0703-0241-01,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],376.22,131.68,,,0
NDC,0703-0335-01,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,0703-0666-01,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION [32931],21.07,7.37,,,0
NDC,0703-1153-01,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,0703-1153-03,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,0703-2045-03,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],66.23,23.18,,,0
NDC,0703-2056-01,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],21.92,7.67,,,0
NDC,0703-2056-03,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],21.92,7.67,,,0
NDC,0703-2085-03,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],124.19,43.47,,,0
NDC,0703-2394-03,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0703-2914-01,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,0703-2914-03,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,0703-3018-11,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],0.85,0.3,,,0
NDC,0703-3018-12,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],0.85,0.3,,,0
NDC,0703-3067-11,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [13671],41.13,14.4,,,0
NDC,0703-3125-01,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344],15629.97,5470.49,,,0
NDC,0703-3154-01,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],2217.4,776.09,,,0
NDC,0703-3155-01,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],4434.8,1552.18,,,0
NDC,0703-3213-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,0703-3217-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,0703-3218-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,0703-3301-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],77.8,27.23,,,0
NDC,0703-3301-04,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],77.8,27.23,,,0
NDC,0703-3311-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,0703-3311-04,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,0703-3321-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,0703-3321-04,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,0703-3427-11,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION [87922],1.61,0.56,,,0
NDC,0703-3678-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [82178],90.19,31.57,,,0
NDC,0703-3985-01,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [41598],53.75,18.81,,,0
NDC,0703-4094-01,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],217.37,76.08,,,0
NDC,0703-4154-11,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [22144],2186.48,765.27,,,0
NDC,0703-4155-11,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [22144],416.47,145.77,,,0
NDC,0703-4239-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,0703-4246-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,0703-4248-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,0703-4412-11,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [112836],100.45,35.16,,,0
NDC,0703-4432-11,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [91055],1150.57,402.7,,,0
NDC,0703-4502-01,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],30.92,10.82,,,0
NDC,0703-4502-04,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],61.84,21.65,,,0
NDC,0703-4636-01,STREPTOZOCIN 1 GRAM INTRAVENOUS SOLUTION [11436],1245.92,436.07,,,0
NDC,0703-4680-01,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [10634]",888.41,310.94,,,0
NDC,0703-4685-01,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [10634]",888.41,310.94,,,0
NDC,0703-4686-01,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [10634]",888.41,310.94,,,0
NDC,0703-4714-01,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION [149783],279.7,97.9,,,0
NDC,0703-4764-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,0703-4767-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,0703-4805-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
NDC,0703-5040-01,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],15.25,5.34,,,0
NDC,0703-5046-01,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [112879],15.25,5.34,,,0
NDC,0703-5054-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,0703-5075-01,DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],127.05,44.47,,,0
NDC,0703-5145-01,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],121.11,42.39,,,0
NDC,0703-5145-91,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],121.11,42.39,,,0
NDC,0703-5233-11,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],221.61,77.56,,,0
NDC,0703-5233-13,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],221.61,77.56,,,0
NDC,0703-5233-91,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],221.61,77.56,,,0
NDC,0703-5328-03,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION [4294],60.88,21.31,,,0
NDC,0703-5653-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,0703-5657-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,0703-5747-11,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,0703-5748-11,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,0703-5854-01,FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],892.54,312.39,,,0
NDC,0703-6121-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],168.29,58.9,,,0
NDC,0703-6801-01,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,0703-7221-01,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0703-7221-04,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,0703-7351-01,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97342],488.32,170.91,,,0
NDC,0703-7971-01,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [112332],95.34,33.37,,,0
NDC,0703-7971-03,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [112332],95.34,33.37,,,0
NDC,0703-8510-21,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
NDC,0703-8510-23,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
NDC,0703-8530-21,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [104989],427.73,149.7,,,0
NDC,0703-8530-23,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [104989],427.73,149.7,,,0
NDC,0703-8540-21,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,0703-8540-23,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,0703-8560-21,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
NDC,0703-8560-23,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
NDC,0703-8580-21,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,0703-8580-23,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,0703-8610-21,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,0703-8610-23,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,0703-8680-21,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],427.73,149.7,,,0
NDC,0703-8680-23,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],427.73,149.7,,,0
NDC,0703-8777-01,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],249.96,87.48,,,0
NDC,0703-9040-01,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [147620]",512.15,179.25,,,0
NDC,0703-9040-03,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [147620]",512.15,179.25,,,0
NDC,0703-9060-31,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
NDC,0703-9258-09,DILUENT FOR EPOPROSTENOL (GLYCINE) INTRAVENOUS SOLUTION [103219],147.46,51.61,,,0
NDC,0703-9416-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,0703-9503-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],4.33,1.51,,,0
NDC,0703-9503-03,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],4.33,1.51,,,0
NDC,0703-9514-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],3.1,1.09,,,0
NDC,0703-9514-03,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],3.1,1.09,,,0
NDC,0703-9514-91,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],4.33,1.51,,,0
NDC,0703-9514-93,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],1.25,0.44,,,0
NDC,0713-0109-01,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],0.1,0.04,,,0
NDC,0713-0109-06,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],0.1,0.04,,,0
NDC,0713-0109-50,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],0.12,0.04,,,0
NDC,0713-0118-06,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0.49,0.17,,,0
NDC,0713-0118-12,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0.49,0.17,,,0
NDC,0713-0118-50,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0.48,0.17,,,0
NDC,0713-0132-12,PROMETHAZINE 50 MG RECTAL SUPPOSITORY [6624],26.82,9.39,,,0
NDC,0713-0135-12,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],8.71,3.05,,,0
NDC,0713-0165-50,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],0.56,0.2,,,0
NDC,0713-0293-32,ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0.41,0.14,,,0
NDC,0713-0351-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,0713-0351-09,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,0713-0503-06,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],11.5,4.02,,,0
NDC,0713-0503-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],11.5,4.02,,,0
NDC,0713-0503-24,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],10.92,3.82,,,0
NDC,0713-0526-12,PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],62.64,21.92,,,0
NDC,0713-0536-06,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],9.75,3.41,,,0
NDC,0713-0536-12,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],9.75,3.41,,,0
NDC,0713-0552-73,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY [11512],27.21,9.52,,,0
NDC,0713-0634-15,MOMETASONE 0.1 % TOPICAL CREAM [10646],18.31,6.41,,,0
NDC,0713-0676-53,TRIAMCINOLONE ACETONIDE 0.1 % LOTION [8116],6.07,2.12,,,0
NDC,0713-0678-31,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",3.25,1.14,,,0
NDC,0713-0683-15,GENTAMICIN 0.1 % TOPICAL CREAM [3423],8.84,3.09,,,0
NDC,0713-0850-04,GRISEOFULVIN MICROSIZE 125 MG/5 ML ORAL SUSPENSION [10138],1.92,0.67,,,0
NDC,0713-0936-81,COLESEVELAM 625 MG TABLET [28372],0.42,0.15,,,0
NDC,0781-1032-01,TRIFLUOPERAZINE 2 MG TABLET [8163],0.9,0.32,,,0
NDC,0781-1036-01,TRIFLUOPERAZINE 10 MG TABLET [8162],1.71,0.6,,,0
NDC,0781-1046-13,PERPHENAZINE 2 MG TABLET [6157],1.57,0.55,,,0
NDC,0781-1047-13,PERPHENAZINE 4 MG TABLET [6158],2.15,0.75,,,0
NDC,0781-1048-13,PERPHENAZINE 8 MG TABLET [6159],2.61,0.91,,,0
NDC,0781-1053-01,BUPROPION HCL 75 MG TABLET [9322],0.54,0.19,,,0
NDC,0781-1061-01,ALPRAZOLAM 0.25 MG TABLET [324],0.02,0.00875,,,0
NDC,0781-1061-05,ALPRAZOLAM 0.25 MG TABLET [324],0.04,0.01,,,0
NDC,0781-1071-01,METHAZOLAMIDE 50 MG TABLET [4962],6.13,2.15,,,0
NDC,0781-1072-01,METHAZOLAMIDE 25 MG TABLET [4961],3.06,1.07,,,0
NDC,0781-1077-01,ALPRAZOLAM 0.5 MG TABLET [325],0.05,0.02,,,0
NDC,0781-1079-01,ALPRAZOLAM 1 MG TABLET [326],0.05,0.02,,,0
NDC,0781-1123-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [8132],0.28,0.1,,,0
NDC,0781-1181-01,NADOLOL 20 MG TABLET [5330],2.74,0.96,,,0
NDC,0781-1183-01,NADOLOL 80 MG TABLET [5332],4.41,1.54,,,0
NDC,0781-1205-01,PENICILLIN V POTASSIUM 250 MG TABLET [6092],0.55,0.19,,,0
NDC,0781-1228-10,METOPROLOL TARTRATE 100 MG TABLET [5008],0.07,0.03,,,0
NDC,0781-1393-13,HALOPERIDOL 2 MG TABLET [3581],0.18,0.06,,,0
NDC,0781-1397-13,HALOPERIDOL 10 MG TABLET [3580],1.44,0.5,,,0
NDC,0781-1452-01,GLIPIZIDE 5 MG TABLET [10117],0.04,0.02,,,0
NDC,0781-1487-01,AMITRIPTYLINE 25 MG TABLET [435],0.29,0.1,,,0
NDC,0781-1488-01,AMITRIPTYLINE 50 MG TABLET [436],0.57,0.2,,,0
NDC,0781-1490-01,AMITRIPTYLINE 100 MG TABLET [433],1.14,0.4,,,0
NDC,0781-1496-69,AZITHROMYCIN 250 MG TABLET [20943],3.4,1.19,,,0
NDC,0781-1506-01,ATENOLOL 50 MG TABLET [718],0.04,0.01,,,0
NDC,0781-1506-10,ATENOLOL 50 MG TABLET [718],0.02,0.00595,,,0
NDC,0781-1556-01,ISOSORBIDE DINITRATE 10 MG TABLET [4064],0.87,0.3,,,0
NDC,0781-1556-10,ISOSORBIDE DINITRATE 10 MG TABLET [4064],0.87,0.3,,,0
NDC,0781-1556-13,ISOSORBIDE DINITRATE 10 MG TABLET [4064],0.87,0.3,,,0
NDC,0781-1655-01,PENICILLIN V POTASSIUM 500 MG TABLET [6093],0.93,0.33,,,0
NDC,0781-1681-31,ONDANSETRON HCL 8 MG TABLET [10779],1.02,0.36,,,0
NDC,0781-1695-01,ISOSORBIDE DINITRATE 20 MG TABLET [4065],0.95,0.33,,,0
NDC,0781-1762-01,IMIPRAMINE 10 MG TABLET [3860],0.26,0.09,,,0
NDC,0781-1764-01,IMIPRAMINE 25 MG TABLET [3861],0.34,0.12,,,0
NDC,0781-1764-13,IMIPRAMINE 25 MG TABLET [3861],0.45,0.16,,,0
NDC,0781-1766-01,IMIPRAMINE 50 MG TABLET [3862],0.23,0.08,,,0
NDC,0781-1766-13,IMIPRAMINE 50 MG TABLET [3862],0.61,0.21,,,0
NDC,0781-1818-01,FUROSEMIDE 20 MG TABLET [3294],0.04,0.01,,,0
NDC,0781-1852-20,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],1.14,0.4,,,0
NDC,0781-1874-31,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET [22992],3.32,1.16,,,0
NDC,0781-1971-01,DESIPRAMINE 10 MG TABLET [2283],0.9,0.31,,,0
NDC,0781-1972-01,DESIPRAMINE 25 MG TABLET [2286],1.46,0.51,,,0
NDC,0781-1973-01,DESIPRAMINE 50 MG TABLET [2287],2.74,0.96,,,0
NDC,0781-2020-01,AMOXICILLIN 250 MG CAPSULE [450],0.12,0.04,,,0
NDC,0781-2037-01,CLOMIPRAMINE 50 MG CAPSULE [1754],6.74,2.36,,,0
NDC,0781-2048-01,AMANTADINE HCL 100 MG CAPSULE [364],1.62,0.57,,,0
NDC,0781-2076-01,TAMSULOSIN 0.4 MG CAPSULE [27856],0.5,0.18,,,0
NDC,0781-2081-02,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],0.63,0.22,,,0
NDC,0781-2103-01,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",3.14,1.1,,,0
NDC,0781-2148-01,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE [27692]",2.0,0.7,,,0
NDC,0781-2201-01,TEMAZEPAM 15 MG CAPSULE [7753],0.09,0.03,,,0
NDC,0781-2248-01,DICLOXACILLIN 250 MG CAPSULE [2414],0.3,0.1,,,0
NDC,0781-2258-01,DICLOXACILLIN 500 MG CAPSULE [2415],0.6,0.21,,,0
NDC,0781-2350-01,INDOMETHACIN 50 MG CAPSULE [3898],0.23,0.08,,,0
NDC,0781-2355-01,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE [27692]",4.54,1.59,,,0
NDC,0781-2615-13,RIVASTIGMINE 3 MG CAPSULE [28279],3.4,1.19,,,0
NDC,0781-2822-01,FLUOXETINE 20 MG CAPSULE [10070],0.05,0.02,,,0
NDC,0781-3003-95,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],124.19,43.47,,,0
NDC,0781-3009-70,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,0781-3009-95,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,0781-3032-95,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,0781-3033-95,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,0781-3040-72,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION [11237],14.95,5.23,,,0
NDC,0781-3040-95,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION [11237],14.95,5.23,,,0
NDC,0781-3059-72,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [102724],31.57,11.05,,,0
NDC,0781-3059-95,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [102724],31.57,11.05,,,0
NDC,0781-3071-75,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0781-3071-95,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,0781-3079-01,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,0781-3079-12,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,0781-3098-95,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,0781-3099-85,OXACILLIN 1 GRAM SOLUTION FOR INJECTION [103765],78.44,27.45,,,0
NDC,0781-3099-95,OXACILLIN 1 GRAM SOLUTION FOR INJECTION [103765],78.44,27.45,,,0
NDC,0781-3101-80,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],156.87,54.9,,,0
NDC,0781-3101-95,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],156.87,54.9,,,0
NDC,0781-3110-90,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,0781-3110-95,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,0781-3113-90,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0781-3113-95,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0781-3114-91,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0781-3114-95,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0781-3152-70,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],21.92,7.67,,,0
NDC,0781-3152-95,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],21.92,7.67,,,0
NDC,0781-3153-80,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],66.23,23.18,,,0
NDC,0781-3153-95,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],66.23,23.18,,,0
NDC,0781-3156-95,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [148497]",0.73,0.25,,,0
NDC,0781-3158-94,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,0781-3158-95,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,0781-3159-72,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [38263],139.15,48.7,,,0
NDC,0781-3178-91,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],311.8,109.13,,,0
NDC,0781-3178-95,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],311.8,109.13,,,0
NDC,0781-3182-73,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [22185],3380.0,1183.0,,,0
NDC,0781-3204-70,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,0781-3204-95,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,0781-3206-85,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,0781-3206-95,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,0781-3207-85,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],120.64,42.23,,,0
NDC,0781-3207-95,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],120.64,42.23,,,0
NDC,0781-3208-85,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,0781-3208-95,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,0781-3209-90,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],482.58,168.9,,,0
NDC,0781-3209-95,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],482.58,168.9,,,0
NDC,0781-3220-70,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0781-3220-75,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0781-3220-92,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0781-3220-95,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,0781-3222-80,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],279.59,97.86,,,0
NDC,0781-3223-91,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],220.29,77.1,,,0
NDC,0781-3232-94,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,0781-3233-94,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],1064.62,372.62,,,0
NDC,0781-3234-34,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE [167935],1397.95,489.28,,,0
NDC,0781-3234-71,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE [167935],1397.95,489.28,,,0
NDC,0781-3240-09,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],4.91,1.72,,,0
NDC,0781-3240-48,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],4.91,1.72,,,0
NDC,0781-3253-94,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,0781-3288-09,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9625],10.24,3.58,,,0
NDC,0781-3288-91,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9625],10.24,3.58,,,0
NDC,0781-3289-09,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],12.28,4.3,,,0
NDC,0781-3289-91,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],12.28,4.3,,,0
NDC,0781-3290-09,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],12.28,4.3,,,0
NDC,0781-3290-91,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],12.28,4.3,,,0
NDC,0781-3315-70,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [41598],53.75,18.81,,,0
NDC,0781-3342-46,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [18924],5.88,2.06,,,0
NDC,0781-3343-09,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107001],5.88,2.06,,,0
NDC,0781-3344-94,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,0781-3350-94,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0781-3350-95,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0781-3367-94,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0781-3367-95,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0781-3402-78,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],73.44,25.7,,,0
NDC,0781-3402-95,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],73.44,25.7,,,0
NDC,0781-3404-85,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.88,51.41,,,0
NDC,0781-3404-95,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.88,51.41,,,0
NDC,0781-3407-78,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],73.44,25.7,,,0
NDC,0781-3407-95,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],73.44,25.7,,,0
NDC,0781-3408-80,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],293.76,102.82,,,0
NDC,0781-3408-95,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],293.76,102.82,,,0
NDC,0781-3411-70,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,0781-3411-95,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,0781-3416-94,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [33010],1079.83,377.94,,,0
NDC,0781-3420-80,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION [32931],21.07,7.37,,,0
NDC,0781-3422-71,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,0781-3433-46,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
NDC,0781-3433-95,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
NDC,0781-3440-71,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],440.64,154.23,,,0
NDC,0781-3440-95,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],440.64,154.23,,,0
NDC,0781-3451-70,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,0781-3451-96,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,0781-3452-46,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,0781-3452-95,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,0781-3481-70,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
NDC,0781-3481-92,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
NDC,0781-3495-95,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,0781-3498-95,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION [180972],801.09,280.38,,,0
NDC,0781-5017-01,DICLOFENAC POTASSIUM 50 MG TABLET [9836],1.05,0.37,,,0
NDC,0781-5022-01,METHYLPREDNISOLONE 4 MG TABLET [4993],1.14,0.4,,,0
NDC,0781-5022-07,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK [4991],1.14,0.4,,,0
NDC,0781-5056-31,LEFLUNOMIDE 10 MG TABLET [23872],0.83,0.29,,,0
NDC,0781-5057-31,LEFLUNOMIDE 20 MG TABLET [23873],0.83,0.29,,,0
NDC,0781-5076-86,MEFLOQUINE 250 MG TABLET [10520],7.94,2.78,,,0
NDC,0781-5185-01,LEVOTHYROXINE 112 MCG TABLET [10404],0.15,0.05,,,0
NDC,0781-5218-01,DESIPRAMINE 10 MG TABLET [2283],1.21,0.42,,,0
NDC,0781-5238-06,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],0.64,0.22,,,0
NDC,0781-5238-64,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],0.64,0.22,,,0
NDC,0781-5257-13,ONDANSETRON HCL 4 MG TABLET [10778],1.57,0.55,,,0
NDC,0781-5274-06,DONEPEZIL 5 MG TABLET [18786],52.76,18.47,,,0
NDC,0781-5274-13,DONEPEZIL 5 MG TABLET [18786],0.15,0.05,,,0
NDC,0781-5275-13,DONEPEZIL 10 MG TABLET [18787],1.02,0.36,,,0
NDC,0781-5311-06,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],4.52,1.58,,,0
NDC,0781-5311-08,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],4.52,1.58,,,0
NDC,0781-5325-01,BROMOCRIPTINE 2.5 MG TABLET [9297],5.0,1.75,,,0
NDC,0781-5409-64,BICALUTAMIDE 50 MG TABLET [15746],2.78,0.97,,,0
NDC,0781-5420-31,PIOGLITAZONE 15 MG TABLET [25528],0.37,0.13,,,0
NDC,0781-5438-20,CEFPODOXIME 100 MG TABLET [9468],5.39,1.89,,,0
NDC,0781-5613-01,CARBIDOPA 12.5 MG-LEVODOPA 50 MG-ENTACAPONE 200 MG TABLET [36135],3.0,1.05,,,0
NDC,0781-5625-01,CARBIDOPA 18.75 MG-LEVODOPA 75 MG-ENTACAPONE 200 MG TABLET [94236],3.0,1.05,,,0
NDC,0781-5637-01,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET [36136],3.0,1.05,,,0
NDC,0781-5654-01,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET [36137],3.0,1.05,,,0
NDC,0781-5669-01,CARBIDOPA 50 MG-LEVODOPA 200 MG-ENTACAPONE 200 MG TABLET [88583],3.0,1.05,,,0
NDC,0781-5690-92,EZETIMIBE 10 MG TABLET [34153],0.29,0.1,,,0
NDC,0781-5702-92,LOSARTAN 100 MG TABLET [22588],0.26,0.09,,,0
NDC,0781-5749-01,METHYLPHENIDATE 10 MG TABLET [4986],0.84,0.3,,,0
NDC,0781-5936-31,CANDESARTAN 4 MG TABLET [23229],2.64,0.93,,,0
NDC,0781-6023-46,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION [12886],14.34,5.02,,,0
NDC,0781-6023-52,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION [12886],14.34,5.02,,,0
NDC,0781-6039-55,AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION [453],18.94,6.63,,,0
NDC,0781-6039-58,AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION [453],18.94,6.63,,,0
NDC,0781-6041-46,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],21.65,7.58,,,0
NDC,0781-6041-55,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],21.65,7.58,,,0
NDC,0781-6053-70,DORZOLAMIDE 2 % EYE DROPS [14471],248.93,87.12,,,0
NDC,0781-6078-46,CEFDINIR 250 MG/5 ML ORAL SUSPENSION [39522],4.78,1.67,,,0
NDC,0781-6135-94,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],365.92,128.07,,,0
NDC,0781-6135-95,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],365.92,128.07,,,0
NDC,0781-6136-94,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],1463.67,512.28,,,0
NDC,0781-6139-57,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],1.86,0.65,,,0
NDC,0781-6157-52,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],16.24,5.68,,,0
NDC,0781-6157-57,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],16.24,5.68,,,0
NDC,0781-6169-46,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION [9466],7.58,2.65,,,0
NDC,0781-6169-52,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION [9466],6.49,2.27,,,0
NDC,0781-6270-43,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION [30479],5.41,1.89,,,0
NDC,0781-6524-86,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY [20038],236.75,82.86,,,0
NDC,0781-7066-27,MOMETASONE 0.1 % TOPICAL CREAM [10646],18.31,6.41,,,0
NDC,0781-7077-87,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592],7.29,2.55,,,0
NDC,0781-7090-04,KETOCONAZOLE 2 % SHAMPOO [14132],1.4,0.49,,,0
NDC,0781-7109-55,FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],140.7,49.24,,,0
NDC,0781-7117-35,CALCIPOTRIENE 0.005 % TOPICAL CREAM [16034],7.17,2.51,,,0
NDC,0781-7135-93,MOXIFLOXACIN 0.5 % EYE DROPS [35699],205.19,71.82,,,0
NDC,0781-7171-56,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],60.34,21.12,,,0
NDC,0781-7515-14,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],36.53,12.78,,,0
NDC,0781-7515-87,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],36.53,12.78,,,0
NDC,0781-7516-14,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],22.32,7.81,,,0
NDC,0781-7516-87,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],22.32,7.81,,,0
NDC,0781-8032-01,TRIFLUOPERAZINE 2 MG TABLET [8163],0.9,0.32,,,0
NDC,0781-8075-01,CAPTOPRIL 50 MG TABLET [9403],1.4,0.49,,,0
NDC,0781-8940-70,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION [4294],57.98,20.29,,,0
NDC,0781-9038-95,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],21.92,7.67,,,0
NDC,0781-9039-95,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],95.11,33.29,,,0
NDC,0781-9109-85,OXACILLIN 1 GRAM SOLUTION FOR INJECTION [103765],78.44,27.45,,,0
NDC,0781-9109-95,OXACILLIN 1 GRAM SOLUTION FOR INJECTION [103765],78.44,27.45,,,0
NDC,0781-9111-80,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],156.87,54.9,,,0
NDC,0781-9111-88,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],156.87,54.9,,,0
NDC,0781-9111-95,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],156.87,54.9,,,0
NDC,0781-9158-94,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,0781-9158-95,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,0781-9167-95,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,0781-9168-71,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,0781-9168-95,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,0781-9210-90,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,0781-9210-95,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,0781-9213-95,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0781-9214-95,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,0781-9221-91,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],12.28,4.3,,,0
NDC,0781-9222-09,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],12.28,4.3,,,0
NDC,0781-9222-91,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],12.28,4.3,,,0
NDC,0781-9253-94,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,0781-9324-70,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,0781-9324-95,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,0781-9326-85,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,0781-9326-95,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,0781-9327-85,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],120.64,42.23,,,0
NDC,0781-9328-85,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,0781-9329-90,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],482.58,168.9,,,0
NDC,0781-9329-95,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],482.58,168.9,,,0
NDC,0781-9339-85,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,0781-9350-94,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,0781-9401-78,AMPICILLIN 125 MG SOLUTION FOR INJECTION [471],146.88,51.41,,,0
NDC,0781-9401-95,AMPICILLIN 125 MG SOLUTION FOR INJECTION [471],146.88,51.41,,,0
NDC,0781-9402-78,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],73.44,25.7,,,0
NDC,0781-9402-95,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],73.44,25.7,,,0
NDC,0781-9404-85,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.88,51.41,,,0
NDC,0781-9407-78,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],73.44,25.7,,,0
NDC,0781-9407-95,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],73.44,25.7,,,0
NDC,0781-9408-80,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],293.76,102.82,,,0
NDC,0832-0038-01,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0.46,0.16,,,0
NDC,0832-0038-89,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0.46,0.16,,,0
NDC,0832-0086-00,FLUOXYMESTERONE 10 MG TABLET [3212],4.78,1.67,,,0
NDC,0832-0300-00,CHLORPROMAZINE 10 MG TABLET [1653],0.13,0.04,,,0
NDC,0832-0301-00,CHLORPROMAZINE 25 MG TABLET [1656],3.78,1.32,,,0
NDC,0832-0301-01,CHLORPROMAZINE 25 MG TABLET [1656],5.48,1.92,,,0
NDC,0832-0301-89,CHLORPROMAZINE 25 MG TABLET [1656],5.48,1.92,,,0
NDC,0832-0302-01,CHLORPROMAZINE 50 MG TABLET [1657],7.81,2.73,,,0
NDC,0832-0302-89,CHLORPROMAZINE 50 MG TABLET [1657],7.81,2.73,,,0
NDC,0832-0304-00,CHLORPROMAZINE 200 MG TABLET [1655],10.99,3.85,,,0
NDC,0832-0310-11,VALPROIC ACID 250 MG CAPSULE [8429],0.44,0.15,,,0
NDC,0832-0465-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",5.28,1.85,,,0
NDC,0832-0511-01,BETHANECHOL CHLORIDE 10 MG TABLET [1043],0.32,0.11,,,0
NDC,0832-0511-89,BETHANECHOL CHLORIDE 10 MG TABLET [1043],0.63,0.22,,,0
NDC,0832-0512-01,BETHANECHOL CHLORIDE 25 MG TABLET [1044],0.91,0.32,,,0
NDC,0832-0512-89,BETHANECHOL CHLORIDE 25 MG TABLET [1044],0.91,0.32,,,0
NDC,0832-0513-89,BETHANECHOL CHLORIDE 50 MG TABLET [1046],1.51,0.53,,,0
NDC,0832-0590-11,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0.5,0.17,,,0
NDC,0832-0740-60,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR [37643]",2.19,0.77,,,0
NDC,0832-1008-11,VALPROIC ACID 250 MG CAPSULE [8429],0.44,0.15,,,0
NDC,0832-1025-50,BACLOFEN 20 MG TABLET [861],0.49,0.17,,,0
NDC,0832-1080-00,BENZTROPINE 0.5 MG TABLET [998],0.13,0.05,,,0
NDC,0832-1081-00,BENZTROPINE 1 MG TABLET [999],0.15,0.05,,,0
NDC,0832-1211-01,WARFARIN 1 MG TABLET [11664],0.1,0.04,,,0
NDC,0832-1211-89,WARFARIN 1 MG TABLET [11664],0.37,0.13,,,0
NDC,0832-1212-01,WARFARIN 2 MG TABLET [8749],0.1,0.04,,,0
NDC,0832-1212-89,WARFARIN 2 MG TABLET [8749],0.38,0.13,,,0
NDC,0832-1213-01,WARFARIN 2.5 MG TABLET [8750],0.1,0.04,,,0
NDC,0832-1213-89,WARFARIN 2.5 MG TABLET [8750],0.39,0.14,,,0
NDC,0832-1214-01,WARFARIN 3 MG TABLET [19433],0.11,0.04,,,0
NDC,0832-1214-89,WARFARIN 3 MG TABLET [19433],0.4,0.14,,,0
NDC,0832-1215-00,WARFARIN 4 MG TABLET [21372],0.09,0.03,,,0
NDC,0832-1215-01,WARFARIN 4 MG TABLET [21372],0.11,0.04,,,0
NDC,0832-1215-89,WARFARIN 4 MG TABLET [21372],0.4,0.14,,,0
NDC,0832-1216-01,WARFARIN 5 MG TABLET [8751],0.11,0.04,,,0
NDC,0832-1217-01,WARFARIN 6 MG TABLET [19434],0.16,0.06,,,0
NDC,0832-1217-89,WARFARIN 6 MG TABLET [19434],0.56,0.2,,,0
NDC,0832-1218-01,WARFARIN 7.5 MG TABLET [8752],0.16,0.06,,,0
NDC,0832-1218-89,WARFARIN 7.5 MG TABLET [8752],0.58,0.2,,,0
NDC,0832-1219-01,WARFARIN 10 MG TABLET [8748],0.16,0.06,,,0
NDC,0832-1219-89,WARFARIN 10 MG TABLET [8748],0.61,0.21,,,0
NDC,0832-1410-03,MOXIFLOXACIN 0.5 % EYE DROPS [35699],166.85,58.4,,,0
NDC,0832-1690-11,ETHACRYNIC ACID 25 MG TABLET [9980],2.5,0.88,,,0
NDC,0832-6021-00,CHLORPROMAZINE 200 MG TABLET [1655],3.36,1.18,,,0
NDC,0832-7122-11,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",0.09,0.03,,,0
NDC,0832-7123-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.22,0.08,,,0
NDC,0832-7123-11,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.18,0.06,,,0
NDC,0832-7123-89,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.22,0.08,,,0
NDC,0832-7124-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.29,0.1,,,0
NDC,0832-7124-89,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.29,0.1,,,0
NDC,0869-0166-38,MAGNESIUM CITRATE ORAL SOLUTION [4712],0.02,0.0084,,,0
NDC,0869-0667-38,MAGNESIUM CITRATE ORAL SOLUTION [4712],0.02,0.0084,,,0
NDC,0869-2153-10,CALAMINE 8 %-ZINC OXIDE 8 % LOTION [78879],4.06,1.42,,,0
NDC,0904-0004-14,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0.5,0.17,,,0
NDC,0904-0012-61,CHLORPHENIRAMINE 4 MG TABLET [1645],0.03,0.01,,,0
NDC,0904-0036-20,LOPERAMIDE 1 MG/5 ML ORAL LIQUID [4561],0.27,0.1,,,0
NDC,0904-0201-61,AMITRIPTYLINE 25 MG TABLET [435],0.43,0.15,,,0
NDC,0904-0202-61,AMITRIPTYLINE 50 MG TABLET [436],0.74,0.26,,,0
NDC,0904-0274-61,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [113008]",0.09,0.03,,,0
NDC,0904-0411-61,PROPRANOLOL 10 MG TABLET [6656],0.27,0.09,,,0
NDC,0904-0428-04,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],2.14,0.75,,,0
NDC,0904-0428-61,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],1.41,0.49,,,0
NDC,0904-0430-61,DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0.08,0.03,,,0
NDC,0904-0643-60,"NITROGLYCERIN ER 2.5 MG CAPSULE,EXTENDED RELEASE [5600]",0.3,0.1,,,0
NDC,0904-0644-60,"NITROGLYCERIN ER 6.5 MG CAPSULE,EXTENDED RELEASE [5601]",0.35,0.12,,,0
NDC,0904-1055-61,BENZTROPINE 0.5 MG TABLET [998],0.09,0.03,,,0
NDC,0904-1056-61,BENZTROPINE 1 MG TABLET [999],0.09,0.03,,,0
NDC,0904-1057-61,BENZTROPINE 2 MG TABLET [1000],0.14,0.05,,,0
NDC,0904-1070-61,METOCLOPRAMIDE 10 MG TABLET [5005],0.07,0.02,,,0
NDC,0904-1086-61,DIPYRIDAMOLE 25 MG TABLET [2528],0.23,0.08,,,0
NDC,0904-1087-61,DIPYRIDAMOLE 50 MG TABLET [2529],0.35,0.12,,,0
NDC,0904-1088-61,DIPYRIDAMOLE 75 MG TABLET [2530],0.46,0.16,,,0
NDC,0904-1102-31,POVIDONE-IODINE 10 % TOPICAL OINTMENT [6455],23.0,8.05,,,0
NDC,0904-1145-61,CYPROHEPTADINE 4 MG TABLET [2033],0.12,0.04,,,0
NDC,0904-1152-60,SULFASALAZINE 500 MG TABLET [7562],0.08,0.03,,,0
NDC,0904-1228-00,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,0904-1258-92,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0.01,0.00385,,,0
NDC,0904-1315-46,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],0.06,0.02,,,0
NDC,0904-1453-61,METRONIDAZOLE 250 MG TABLET [5015],0.4,0.14,,,0
NDC,0904-1907-05,GENTAMICIN 0.3 % EYE DROPS [3428],217.81,76.23,,,0
NDC,0904-1982-61,ACETAMINOPHEN 325 MG TABLET [101],0.02,0.00875,,,0
NDC,0904-2056-61,DIPHENHYDRAMINE 50 MG CAPSULE [2510],0.05,0.02,,,0
NDC,0904-2151-61,ISOSORBIDE DINITRATE 10 MG TABLET [4064],0.79,0.28,,,0
NDC,0904-2154-61,ISOSORBIDE DINITRATE 20 MG TABLET [4065],0.87,0.3,,,0
NDC,0904-2244-61,DOCUSATE SODIUM 100 MG CAPSULE [2566],0.03,0.01,,,0
NDC,0904-2270-60,NIACIN 50 MG TABLET [5541],0.01,0.00385,,,0
NDC,0904-2271-60,NIACIN 100 MG TABLET [5539],0.01,0.00455,,,0
NDC,0904-2500-91,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],0.05,0.02,,,0
NDC,0904-2533-00,CALAMINE 8 %-ZINC OXIDE 8 % LOTION [78879],4.06,1.42,,,0
NDC,0904-2533-21,CALAMINE 8 %-ZINC OXIDE 8 % LOTION [78879],0.05,0.02,,,0
NDC,0904-2614-61,ALLOPURINOL 300 MG TABLET [311],0.1,0.03,,,0
NDC,0904-2674-60,HYDROCORTISONE 20 MG TABLET [3734],0.52,0.18,,,0
NDC,0904-2725-61,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0.19,0.07,,,0
NDC,0904-2728-35,SULFACETAMIDE SODIUM 10 % EYE DROPS [7359],2.98,1.04,,,0
NDC,0904-2821-61,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0.6,0.21,,,0
NDC,0904-2920-61,VERAPAMIL 80 MG TABLET [8530],0.08,0.03,,,0
NDC,0904-2924-61,VERAPAMIL 120 MG TABLET [8528],0.1,0.03,,,0
NDC,0904-2992-35,TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0.45,0.16,,,0
NDC,0904-3220-35,CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0.81,0.28,,,0
NDC,0904-3365-61,BACLOFEN 10 MG TABLET [860],0.37,0.13,,,0
NDC,0904-3571-61,MEGESTROL 40 MG TABLET [4871],0.23,0.08,,,0
NDC,0904-3854-61,CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],0.51,0.18,,,0
NDC,0904-3855-61,CARBAMAZEPINE 200 MG TABLET [1357],0.09,0.03,,,0
NDC,0904-3865-75,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],0.09,0.03,,,0
NDC,0904-3990-61,TRAZODONE 50 MG TABLET [8085],0.12,0.04,,,0
NDC,0904-3991-61,TRAZODONE 100 MG TABLET [8083],0.18,0.06,,,0
NDC,0904-4040-73,ASPIRIN 81 MG CHEWABLE TABLET [679],0.02,0.0077,,,0
NDC,0904-4315-60,"BETA CAROTENE 7,500 MCG (25,000 UNIT) CAPSULE [1006]",0.03,0.01,,,0
NDC,0904-5045-61,CAPTOPRIL 12.5 MG TABLET [9401],1.41,0.49,,,0
NDC,0904-5046-61,CAPTOPRIL 25 MG TABLET [9402],1.5,0.52,,,0
NDC,0904-5047-61,CAPTOPRIL 50 MG TABLET [9403],1.69,0.59,,,0
NDC,0904-5053-59,PSEUDOEPHEDRINE 30 MG TABLET [6714],0.02,0.00735,,,0
NDC,0904-5053-60,PSEUDOEPHEDRINE 30 MG TABLET [6714],0.02,0.00735,,,0
NDC,0904-5058-60,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],0.07,0.02,,,0
NDC,0904-5068-60,SIMETHICONE 80 MG CHEWABLE TABLET [7227],0.02,0.00665,,,0
NDC,0904-5165-59,SENNOSIDES 8.6 MG TABLET [11349],0.02,0.00595,,,0
NDC,0904-5165-61,SENNOSIDES 8.6 MG TABLET [11349],0.04,0.01,,,0
NDC,0904-5168-38,WHITE PETROLATUM-MINERAL OIL 83 %-15 % EYE OINTMENT [112093],3.86,1.35,,,0
NDC,0904-5174-16,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,0904-5256-46,ACETAMINOPHEN 80 MG CHEWABLE TABLET [99],0.04,0.01,,,0
NDC,0904-5282-61,RIFAMPIN 300 MG CAPSULE [11293],1.11,0.39,,,0
NDC,0904-5306-60,DIPHENHYDRAMINE 25 MG CAPSULE [2509],0.02,0.0084,,,0
NDC,0904-5306-61,DIPHENHYDRAMINE 25 MG CAPSULE [2509],0.03,0.01,,,0
NDC,0904-5307-60,DIPHENHYDRAMINE 50 MG CAPSULE [2510],0.02,0.00875,,,0
NDC,0904-5309-20,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0.47,0.16,,,0
NDC,0904-5314-35,SODIUM CHLORIDE 5 % EYE DROPS [7332],2.25,0.79,,,0
NDC,0904-5379-61,GEMFIBROZIL 600 MG TABLET [3378],0.24,0.08,,,0
NDC,0904-5392-61,ATENOLOL 25 MG TABLET [717],0.06,0.02,,,0
NDC,0904-5448-61,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE [10911]",0.25,0.09,,,0
NDC,0904-5495-46,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],32.47,11.36,,,0
NDC,0904-5496-46,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],33.82,11.84,,,0
NDC,0904-5512-61,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.04,0.01,,,0
NDC,0904-5522-61,DOXAZOSIN 1 MG TABLET [9894],0.85,0.3,,,0
NDC,0904-5524-61,DOXAZOSIN 4 MG TABLET [9896],0.86,0.3,,,0
NDC,0904-5553-61,FAMOTIDINE 20 MG TABLET [10011],0.06,0.02,,,0
NDC,0904-5590-61,NAPROXEN 375 MG TABLET [5392],0.1,0.04,,,0
NDC,0904-5591-61,NAPROXEN 500 MG TABLET [5393],0.12,0.04,,,0
NDC,0904-5609-61,ENALAPRIL MALEATE 2.5 MG TABLET [9925],0.46,0.16,,,0
NDC,0904-5610-61,ENALAPRIL MALEATE 10 MG TABLET [9924],0.5,0.18,,,0
NDC,0904-5611-61,ENALAPRIL MALEATE 20 MG TABLET [9926],0.71,0.25,,,0
NDC,0904-5631-61,GABAPENTIN 100 MG CAPSULE [18309],0.08,0.03,,,0
NDC,0904-5632-61,GABAPENTIN 300 MG CAPSULE [18308],0.12,0.04,,,0
NDC,0904-5633-61,GABAPENTIN 400 MG CAPSULE [18307],0.14,0.05,,,0
NDC,0904-5635-61,METFORMIN 850 MG TABLET [14719],0.09,0.03,,,0
NDC,0904-5653-61,TERAZOSIN 10 MG CAPSULE [14552],0.17,0.06,,,0
NDC,0904-5656-61,CLONIDINE HCL 0.1 MG TABLET [1755],0.05,0.02,,,0
NDC,0904-5657-61,CLONIDINE HCL 0.2 MG TABLET [1756],0.07,0.02,,,0
NDC,0904-5658-61,CLONIDINE HCL 0.3 MG TABLET [1757],0.08,0.03,,,0
NDC,0904-5676-61,PAROXETINE 10 MG TABLET [16632],0.8,0.28,,,0
NDC,0904-5678-61,PAROXETINE 30 MG TABLET [10856],0.74,0.26,,,0
NDC,0904-5703-61,TIZANIDINE 4 MG TABLET [14793],0.24,0.08,,,0
NDC,0904-5711-30,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.4,0.14,,,0
NDC,0904-5711-35,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.81,0.28,,,0
NDC,0904-5727-20,LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],5.95,2.08,,,0
NDC,0904-5780-51,FAMOTIDINE 20 MG TABLET [10011],0.11,0.04,,,0
NDC,0904-5784-61,FLUOXETINE 10 MG CAPSULE [10069],0.09,0.03,,,0
NDC,0904-5785-61,FLUOXETINE 20 MG CAPSULE [10070],0.1,0.03,,,0
NDC,0904-5790-61,ACYCLOVIR 400 MG TABLET [8971],0.4,0.14,,,0
NDC,0904-5791-46,ACETAMINOPHEN 80 MG CHEWABLE TABLET [99],0.05,0.02,,,0
NDC,0904-5794-61,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0.1,0.03,,,0
NDC,0904-5797-61,FUROSEMIDE 40 MG TABLET [3295],0.05,0.02,,,0
NDC,0904-5800-61,SIMVASTATIN 10 MG TABLET [11364],0.11,0.04,,,0
NDC,0904-5801-61,SIMVASTATIN 20 MG TABLET [11365],0.13,0.05,,,0
NDC,0904-5808-61,LISINOPRIL 10 MG TABLET [10449],0.06,0.02,,,0
NDC,0904-5810-61,LISINOPRIL 40 MG TABLET [10450],0.12,0.04,,,0
NDC,0904-5853-40,IBUPROFEN 400 MG TABLET [3843],0.06,0.02,,,0
NDC,0904-5853-61,IBUPROFEN 400 MG TABLET [3843],0.07,0.02,,,0
NDC,0904-5854-60,IBUPROFEN 600 MG TABLET [3844],0.09,0.03,,,0
NDC,0904-5854-61,IBUPROFEN 600 MG TABLET [3844],0.08,0.03,,,0
NDC,0904-5855-61,IBUPROFEN 800 MG TABLET [3845],0.07,0.03,,,0
NDC,0904-5858-61,ALPRAZOLAM 0.25 MG TABLET [324],0.06,0.02,,,0
NDC,0904-5859-61,ALPRAZOLAM 0.5 MG TABLET [325],0.05,0.02,,,0
NDC,0904-5860-61,ALPRAZOLAM 1 MG TABLET [326],0.06,0.02,,,0
NDC,0904-5880-61,DIAZEPAM 5 MG TABLET [2405],0.06,0.02,,,0
NDC,0904-5891-61,PRAVASTATIN 10 MG TABLET [11110],0.39,0.14,,,0
NDC,0904-5892-61,PRAVASTATIN 20 MG TABLET [11111],0.24,0.08,,,0
NDC,0904-5894-30,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.98,0.69,,,0
NDC,0904-5904-60,BENZONATATE 100 MG CAPSULE [988],0.23,0.08,,,0
NDC,0904-5921-61,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],1.35,0.47,,,0
NDC,0904-5922-61,DIGOXIN 250 MCG (0.25 MG) TABLET [2445],1.35,0.47,,,0
NDC,0904-5928-61,LABETALOL 100 MG TABLET [10373],0.32,0.11,,,0
NDC,0904-5929-61,LABETALOL 200 MG TABLET [10374],0.16,0.06,,,0
NDC,0904-5959-61,CLINDAMYCIN HCL 150 MG CAPSULE [1740],0.38,0.13,,,0
NDC,0904-5981-61,LORAZEPAM 1 MG TABLET [4573],0.07,0.02,,,0
NDC,0904-5982-61,LORAZEPAM 2 MG TABLET [4574],0.08,0.03,,,0
NDC,0904-6007-60,LORAZEPAM 0.5 MG TABLET [4572],0.06,0.02,,,0
NDC,0904-6007-61,LORAZEPAM 0.5 MG TABLET [4572],0.08,0.03,,,0
NDC,0904-6008-61,LORAZEPAM 1 MG TABLET [4573],0.09,0.03,,,0
NDC,0904-6009-61,LORAZEPAM 2 MG TABLET [4574],0.11,0.04,,,0
NDC,0904-6051-61,LEVETIRACETAM 250 MG TABLET [26816],0.18,0.06,,,0
NDC,0904-6052-61,LEVETIRACETAM 500 MG TABLET [26817],0.21,0.07,,,0
NDC,0904-6069-61,NAPROXEN 250 MG TABLET [5391],0.07,0.02,,,0
NDC,0904-6073-61,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",3.27,1.15,,,0
NDC,0904-6074-61,LORATADINE 10 MG TABLET [10466],0.24,0.08,,,0
NDC,0904-6078-61,GABAPENTIN 100 MG CAPSULE [18309],0.09,0.03,,,0
NDC,0904-6082-61,ZOLPIDEM 5 MG TABLET [11701],0.09,0.03,,,0
NDC,0904-6084-61,CITALOPRAM 10 MG TABLET [30264],0.06,0.02,,,0
NDC,0904-6085-61,CITALOPRAM 20 MG TABLET [21062],0.06,0.02,,,0
NDC,0904-6086-61,CITALOPRAM 40 MG TABLET [23490],0.07,0.02,,,0
NDC,0904-6088-61,SERTRALINE 50 MG TABLET [11351],0.1,0.04,,,0
NDC,0904-6089-61,SERTRALINE 100 MG TABLET [11350],0.1,0.04,,,0
NDC,0904-6090-61,METFORMIN 500 MG TABLET [10544],0.06,0.02,,,0
NDC,0904-6091-61,METFORMIN 850 MG TABLET [14719],0.08,0.03,,,0
NDC,0904-6097-61,CARVEDILOL 25 MG TABLET [15748],0.08,0.03,,,0
NDC,0904-6098-61,CARVEDILOL 3.125 MG TABLET [18551],0.08,0.03,,,0
NDC,0904-6101-61,CLONAZEPAM 0.5 MG TABLET [9637],0.06,0.02,,,0
NDC,0904-6103-61,CLONAZEPAM 2 MG TABLET [9639],0.08,0.03,,,0
NDC,0904-6107-61,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0.1,0.03,,,0
NDC,0904-6109-61,PAROXETINE 10 MG TABLET [16632],0.8,0.28,,,0
NDC,0904-6111-61,PAROXETINE 30 MG TABLET [10856],0.74,0.26,,,0
NDC,0904-6113-61,PRAVASTATIN 10 MG TABLET [11110],0.23,0.08,,,0
NDC,0904-6121-61,ACYCLOVIR 400 MG TABLET [8971],0.4,0.14,,,0
NDC,0904-6125-61,TERAZOSIN 10 MG CAPSULE [14552],0.14,0.05,,,0
NDC,0904-6129-61,BUPROPION HCL 100 MG TABLET [9321],0.62,0.22,,,0
NDC,0904-6156-61,TAMSULOSIN 0.4 MG CAPSULE [27856],0.39,0.14,,,0
NDC,0904-6162-61,METOPROLOL TARTRATE 25 MG TABLET [37637],0.07,0.02,,,0
NDC,0904-6172-61,CARBAMAZEPINE 200 MG TABLET [1357],0.9,0.31,,,0
NDC,0904-6235-61,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.3,0.1,,,0
NDC,0904-6237-61,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.19,0.07,,,0
NDC,0904-6238-61,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0.25,0.09,,,0
NDC,0904-6246-61,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",0.28,0.1,,,0
NDC,0904-6247-61,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",0.33,0.12,,,0
NDC,0904-6248-61,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",0.35,0.12,,,0
NDC,0904-6249-61,LEVOFLOXACIN 250 MG TABLET [18918],0.23,0.08,,,0
NDC,0904-6250-61,LEVOFLOXACIN 500 MG TABLET [18919],0.31,0.11,,,0
NDC,0904-6269-08,ZIPRASIDONE 20 MG CAPSULE [29778],4.82,1.69,,,0
NDC,0904-6270-45,ZIPRASIDONE 40 MG CAPSULE [29779],2.76,0.97,,,0
NDC,0904-6271-08,ZIPRASIDONE 60 MG CAPSULE [29780],5.8,2.03,,,0
NDC,0904-6271-45,ZIPRASIDONE 60 MG CAPSULE [29780],2.74,0.96,,,0
NDC,0904-6272-08,ZIPRASIDONE 80 MG CAPSULE [29781],5.8,2.03,,,0
NDC,0904-6277-61,QUETIAPINE 25 MG TABLET [21823],0.29,0.1,,,0
NDC,0904-6279-61,QUETIAPINE 100 MG TABLET [21824],0.47,0.16,,,0
NDC,0904-6280-61,QUETIAPINE 200 MG TABLET [21825],0.95,0.33,,,0
NDC,0904-6283-61,OLANZAPINE 2.5 MG TABLET [21057],0.34,0.12,,,0
NDC,0904-6284-61,OLANZAPINE 5 MG TABLET [17936],0.36,0.13,,,0
NDC,0904-6285-61,OLANZAPINE 10 MG TABLET [17937],0.48,0.17,,,0
NDC,0904-6288-89,ASPIRIN 81 MG CHEWABLE TABLET [679],0.02,0.0056,,,0
NDC,0904-6290-61,ATORVASTATIN 10 MG TABLET [19176],0.25,0.09,,,0
NDC,0904-6291-61,ATORVASTATIN 20 MG TABLET [19178],0.3,0.11,,,0
NDC,0904-6292-61,ATORVASTATIN 40 MG TABLET [19177],0.32,0.11,,,0
NDC,0904-6293-04,ATORVASTATIN 80 MG TABLET [28645],0.43,0.15,,,0
NDC,0904-6294-61,CLOPIDOGREL 75 MG TABLET [22142],0.24,0.08,,,0
NDC,0904-6297-61,NAPROXEN 500 MG TABLET [5393],0.12,0.04,,,0
NDC,0904-6300-61,CARVEDILOL 3.125 MG TABLET [18551],0.08,0.03,,,0
NDC,0904-6301-61,CARVEDILOL 6.25 MG TABLET [15747],0.09,0.03,,,0
NDC,0904-6302-61,CARVEDILOL 12.5 MG TABLET [15749],0.08,0.03,,,0
NDC,0904-6303-61,CARVEDILOL 25 MG TABLET [15748],0.08,0.03,,,0
NDC,0904-6305-21,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [27889],0.21,0.07,,,0
NDC,0904-6310-61,MONTELUKAST 10 MG TABLET [22509],0.33,0.12,,,0
NDC,0904-6315-61,ESCITALOPRAM 20 MG TABLET [33513],0.18,0.06,,,0
NDC,0904-6322-06,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",0.55,0.19,,,0
NDC,0904-6322-61,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",0.88,0.31,,,0
NDC,0904-6323-61,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",1.05,0.37,,,0
NDC,0904-6324-61,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",1.22,0.43,,,0
NDC,0904-6326-61,METFORMIN 500 MG TABLET [10544],0.06,0.02,,,0
NDC,0904-6327-61,METFORMIN 850 MG TABLET [14719],0.08,0.03,,,0
NDC,0904-6338-60,PSEUDOEPHEDRINE 30 MG TABLET [6714],0.02,0.00735,,,0
NDC,0904-6340-61,METOPROLOL TARTRATE 25 MG TABLET [37637],0.06,0.02,,,0
NDC,0904-6341-61,METOPROLOL TARTRATE 50 MG TABLET [5009],0.05,0.02,,,0
NDC,0904-6342-61,METOPROLOL TARTRATE 100 MG TABLET [5008],0.06,0.02,,,0
NDC,0904-6351-61,LEVOFLOXACIN 250 MG TABLET [18918],0.22,0.08,,,0
NDC,0904-6352-61,LEVOFLOXACIN 500 MG TABLET [18919],0.24,0.09,,,0
NDC,0904-6353-61,LEVOFLOXACIN 750 MG TABLET [28964],0.44,0.15,,,0
NDC,0904-6356-02,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [164218],1.35,0.47,,,0
NDC,0904-6357-61,RISPERIDONE 0.25 MG TABLET [25519],0.17,0.06,,,0
NDC,0904-6358-61,RISPERIDONE 0.5 MG TABLET [25520],0.2,0.07,,,0
NDC,0904-6359-61,RISPERIDONE 1 MG TABLET [18313],0.17,0.06,,,0
NDC,0904-6360-61,RISPERIDONE 2 MG TABLET [18311],0.19,0.07,,,0
NDC,0904-6361-61,RISPERIDONE 3 MG TABLET [18312],0.2,0.07,,,0
NDC,0904-6362-61,RISPERIDONE 4 MG TABLET [18310],0.22,0.08,,,0
NDC,0904-6364-45,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",2.52,0.88,,,0
NDC,0904-6365-61,TRAMADOL 50 MG TABLET [14632],0.07,0.03,,,0
NDC,0904-6366-61,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",1.45,0.51,,,0
NDC,0904-6367-61,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.44,0.5,,,0
NDC,0904-6368-61,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.44,0.5,,,0
NDC,0904-6370-61,AMLODIPINE 5 MG TABLET [9071],0.08,0.03,,,0
NDC,0904-6371-61,AMLODIPINE 10 MG TABLET [9069],0.11,0.04,,,0
NDC,0904-6373-61,ROPINIROLE 0.25 MG TABLET [21688],0.49,0.17,,,0
NDC,0904-6374-61,ROPINIROLE 1 MG TABLET [21689],0.57,0.2,,,0
NDC,0904-6376-61,OLANZAPINE 10 MG TABLET [17937],0.48,0.17,,,0
NDC,0904-6377-61,OLANZAPINE 5 MG TABLET [17936],0.36,0.13,,,0
NDC,0904-6378-61,CIPROFLOXACIN 500 MG TABLET [25119],0.29,0.1,,,0
NDC,0904-6389-61,LOSARTAN 100 MG TABLET [22588],0.75,0.26,,,0
NDC,0904-6391-61,LOSARTAN 25 MG TABLET [14823],0.58,0.2,,,0
NDC,0904-6401-61,TAMSULOSIN 0.4 MG CAPSULE [27856],0.44,0.16,,,0
NDC,0904-6406-04,MOXIFLOXACIN 400 MG TABLET [26854],7.71,2.7,,,0
NDC,0904-6406-06,MOXIFLOXACIN 400 MG TABLET [26854],10.67,3.73,,,0
NDC,0904-6407-61,"BISACODYL 5 MG TABLET,DELAYED RELEASE [1079]",0.03,0.00945,,,0
NDC,0904-6408-61,DONEPEZIL 5 MG TABLET [18786],0.14,0.05,,,0
NDC,0904-6409-61,DONEPEZIL 10 MG TABLET [18787],0.14,0.05,,,0
NDC,0904-6412-92,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0.02,0.00525,,,0
NDC,0904-6418-61,TIZANIDINE 4 MG TABLET [14793],0.53,0.18,,,0
NDC,0904-6420-61,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.38,0.13,,,0
NDC,0904-6422-13,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,0904-6422-81,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,0904-6422-86,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,0904-6423-04,MODAFINIL 100 MG TABLET [24702],9.32,3.26,,,0
NDC,0904-6424-04,MODAFINIL 200 MG TABLET [24703],14.1,4.94,,,0
NDC,0904-6425-61,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",1.74,0.61,,,0
NDC,0904-6426-61,ESCITALOPRAM 10 MG TABLET [33512],0.15,0.05,,,0
NDC,0904-6427-61,ESCITALOPRAM 20 MG TABLET [33513],0.18,0.06,,,0
NDC,0904-6434-59,SENNOSIDES 8.6 MG TABLET [11349],0.02,0.00595,,,0
NDC,0904-6436-04,TEMAZEPAM 7.5 MG CAPSULE [11500],3.5,1.23,,,0
NDC,0904-6437-61,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0.3,0.1,,,0
NDC,0904-6440-61,HYDRALAZINE 10 MG TABLET [3698],0.1,0.04,,,0
NDC,0904-6441-61,HYDRALAZINE 25 MG TABLET [3700],0.12,0.04,,,0
NDC,0904-6442-61,HYDRALAZINE 50 MG TABLET [3701],0.14,0.05,,,0
NDC,0904-6443-61,HYDRALAZINE 100 MG TABLET [3699],0.23,0.08,,,0
NDC,0904-6444-61,OXYCODONE 5 MG TABLET [10814],0.25,0.09,,,0
NDC,0904-6449-61,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0.38,0.13,,,0
NDC,0904-6450-61,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0.41,0.14,,,0
NDC,0904-6452-04,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",1.46,0.51,,,0
NDC,0904-6452-61,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",1.6,0.56,,,0
NDC,0904-6453-61,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.44,0.5,,,0
NDC,0904-6454-61,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.44,0.5,,,0
NDC,0904-6457-80,DOCUSATE SODIUM 100 MG CAPSULE [2566],0.01,0.00455,,,0
NDC,0904-6461-61,PROMETHAZINE 25 MG TABLET [6622],0.12,0.04,,,0
NDC,0904-6467-07,CLOPIDOGREL 300 MG TABLET [89346],13.29,4.65,,,0
NDC,0904-6467-10,CLOPIDOGREL 300 MG TABLET [89346],8.18,2.86,,,0
NDC,0904-6468-61,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",0.51,0.18,,,0
NDC,0904-6469-61,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",0.52,0.18,,,0
NDC,0904-6474-61,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.3,0.1,,,0
NDC,0904-6475-61,BACLOFEN 10 MG TABLET [860],0.42,0.15,,,0
NDC,0904-6476-61,BACLOFEN 20 MG TABLET [861],0.67,0.23,,,0
NDC,0904-6477-61,DONEPEZIL 5 MG TABLET [18786],0.14,0.05,,,0
NDC,0904-6478-61,DONEPEZIL 10 MG TABLET [18787],0.14,0.05,,,0
NDC,0904-6485-61,LISINOPRIL 10 MG TABLET [10449],0.06,0.02,,,0
NDC,0904-6487-61,LISINOPRIL 40 MG TABLET [10450],0.12,0.04,,,0
NDC,0904-6488-38,WHITE PETROLATUM-MINERAL OIL 83 %-15 % EYE OINTMENT [112093],1.1,0.39,,,0
NDC,0904-6490-35,SODIUM CHLORIDE 5 % EYE DROPS [7332],2.25,0.79,,,0
NDC,0904-6500-61,FLUCONAZOLE 100 MG TABLET [10044],1.42,0.5,,,0
NDC,0904-6501-61,FLUCONAZOLE 200 MG TABLET [10045],2.04,0.71,,,0
NDC,0904-6502-61,CELECOXIB 100 MG CAPSULE [24500],1.21,0.42,,,0
NDC,0904-6503-61,CELECOXIB 200 MG CAPSULE [24501],1.99,0.7,,,0
NDC,0904-6505-61,MEMANTINE 5 MG TABLET [37170],0.43,0.15,,,0
NDC,0904-6506-61,MEMANTINE 10 MG TABLET [36966],0.43,0.15,,,0
NDC,0904-6509-04,ARIPIPRAZOLE 2 MG TABLET [70306],24.17,8.46,,,0
NDC,0904-6510-61,ARIPIPRAZOLE 5 MG TABLET [36438],22.38,7.83,,,0
NDC,0904-6513-04,ARIPIPRAZOLE 20 MG TABLET [34371],31.88,11.16,,,0
NDC,0904-6516-61,MECLIZINE 12.5 MG TABLET [12024],0.44,0.15,,,0
NDC,0904-6519-61,MIRTAZAPINE 15 MG TABLET [17466],0.16,0.05,,,0
NDC,0904-6522-61,SENNOSIDES 8.6 MG TABLET [11349],0.04,0.01,,,0
NDC,0904-6529-61,MONTELUKAST 10 MG TABLET [22509],0.33,0.12,,,0
NDC,0904-6545-61,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]",2.05,0.72,,,0
NDC,0904-6550-61,PROPRANOLOL 10 MG TABLET [6656],0.23,0.08,,,0
NDC,0904-6551-61,ONDANSETRON HCL 4 MG TABLET [10778],0.5,0.17,,,0
NDC,0904-6552-61,ONDANSETRON HCL 8 MG TABLET [10779],0.63,0.22,,,0
NDC,0904-6553-04,LINEZOLID 600 MG TABLET [28224],6.19,2.17,,,0
NDC,0904-6554-61,TRAZODONE 50 MG TABLET [8085],0.12,0.04,,,0
NDC,0904-6555-61,TRAZODONE 100 MG TABLET [8083],0.18,0.06,,,0
NDC,0904-6557-61,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",1.14,0.4,,,0
NDC,0904-6558-61,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",1.25,0.44,,,0
NDC,0904-6564-61,BENZONATATE 100 MG CAPSULE [988],0.49,0.17,,,0
NDC,0904-6565-61,VALACYCLOVIR 500 MG TABLET [13133],2.44,0.85,,,0
NDC,0904-6567-61,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.34,0.12,,,0
NDC,0904-6571-61,ALLOPURINOL 100 MG TABLET [310],0.33,0.12,,,0
NDC,0904-6572-61,ALLOPURINOL 300 MG TABLET [311],0.67,0.24,,,0
NDC,0904-6575-61,PHENOBARBITAL 32.4 MG TABLET [6217],0.38,0.13,,,0
NDC,0904-6583-04,LAMIVUDINE 150 MG TABLET [15880],7.7,2.69,,,0
NDC,0904-6585-61,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0.59,0.21,,,0
NDC,0904-6586-61,GABAPENTIN 800 MG TABLET [25856],0.59,0.21,,,0
NDC,0904-6596-04,VORICONAZOLE 50 MG TABLET [33008],8.1,2.83,,,0
NDC,0904-6597-61,DRONABINOL 2.5 MG CAPSULE [9904],4.72,1.65,,,0
NDC,0904-6599-61,PERPHENAZINE 2 MG TABLET [6157],1.5,0.52,,,0
NDC,0904-6602-61,ROSUVASTATIN 5 MG TABLET [36612],1.2,0.42,,,0
NDC,0904-6603-61,ROSUVASTATIN 10 MG TABLET [35134],1.2,0.42,,,0
NDC,0904-6615-61,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [27631]",0.89,0.31,,,0
NDC,0904-6617-61,HYDROXYZINE HCL 25 MG TABLET [3774],0.25,0.09,,,0
NDC,0904-6619-61,ISOSORBIDE DINITRATE 10 MG TABLET [4064],0.61,0.21,,,0
NDC,0904-6620-61,ISOSORBIDE DINITRATE 20 MG TABLET [4065],0.71,0.25,,,0
NDC,0904-6622-61,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],1.34,0.47,,,0
NDC,0904-6623-61,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",1.3,0.45,,,0
NDC,0904-6624-61,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",10.17,3.56,,,0
NDC,0904-6627-35,CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0.81,0.28,,,0
NDC,0904-6636-61,BUPROPION HCL 100 MG TABLET [9321],1.64,0.57,,,0
NDC,0904-6637-61,GLIPIZIDE 5 MG TABLET [10117],0.33,0.12,,,0
NDC,0904-6638-61,QUETIAPINE 25 MG TABLET [21823],0.29,0.1,,,0
NDC,0904-6640-61,QUETIAPINE 100 MG TABLET [21824],0.47,0.16,,,0
NDC,0904-6641-61,QUETIAPINE 200 MG TABLET [21825],0.95,0.33,,,0
NDC,0904-6642-61,QUETIAPINE 300 MG TABLET [29267],0.45,0.16,,,0
NDC,0904-6663-61,ACETAZOLAMIDE 250 MG TABLET [113],3.61,1.26,,,0
NDC,0904-6664-04,EZETIMIBE 10 MG TABLET [34153],11.01,3.85,,,0
NDC,0904-6665-61,GABAPENTIN 100 MG CAPSULE [18309],10.82,3.79,,,0
NDC,0904-6666-61,GABAPENTIN 300 MG CAPSULE [18308],0.16,0.06,,,0
NDC,0904-6667-61,GABAPENTIN 400 MG CAPSULE [18307],0.2,0.07,,,0
NDC,0904-6671-04,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],1.16,0.41,,,0
NDC,0904-6703-10,LEUCOVORIN CALCIUM 25 MG TABLET [4397],9.44,3.3,,,0
NDC,0904-6704-61,PRAMIPEXOLE 0.25 MG TABLET [21290],0.26,0.09,,,0
NDC,0904-6705-06,PROPRANOLOL 20 MG TABLET [6657],0.43,0.15,,,0
NDC,0904-6705-61,PROPRANOLOL 20 MG TABLET [6657],1.12,0.39,,,0
NDC,0904-6708-06,AZITHROMYCIN 250 MG TABLET [20943],1.24,0.43,,,0
NDC,0904-6708-61,AZITHROMYCIN 250 MG TABLET [20943],2.1,0.73,,,0
NDC,0904-6709-61,GLYCOPYRROLATE 1 MG TABLET [10130],1.08,0.38,,,0
NDC,0904-6733-61,HALOPERIDOL 10 MG TABLET [3580],1.15,0.4,,,0
NDC,0904-6734-61,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [162221]",2.59,0.91,,,0
NDC,0904-6745-61,DRONABINOL 2.5 MG CAPSULE [9904],4.72,1.65,,,0
NDC,0904-6747-40,IBUPROFEN 200 MG TABLET [3841],0.02,0.00525,,,0
NDC,0904-6747-80,IBUPROFEN 200 MG TABLET [3841],0.01,0.0042,,,0
NDC,0904-6748-60,"BISACODYL 5 MG TABLET,DELAYED RELEASE [1079]",0.02,0.0056,,,0
NDC,0904-6761-30,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.4,0.14,,,0
NDC,0904-6767-20,LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],5.95,2.08,,,0
NDC,0904-6773-61,ACETAMINOPHEN 325 MG TABLET [101],0.05,0.02,,,0
NDC,0904-6778-61,ROSUVASTATIN 5 MG TABLET [36612],1.0,0.35,,,0
NDC,0904-6780-61,ROSUVASTATIN 20 MG TABLET [35135],1.23,0.43,,,0
NDC,0904-6781-61,ROSUVASTATIN 40 MG TABLET [35136],1.35,0.47,,,0
NDC,0904-6786-61,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE [38063]",9.76,3.42,,,0
NDC,0904-6787-44,MAGNESIUM CITRATE ORAL SOLUTION [4712],0.02,0.0084,,,0
NDC,0904-6789-61,BENZTROPINE 2 MG TABLET [1000],0.58,0.2,,,0
NDC,0904-6794-89,ASPIRIN 81 MG CHEWABLE TABLET [679],0.02,0.0056,,,0
NDC,0904-6798-61,LISINOPRIL 10 MG TABLET [10449],0.05,0.02,,,0
NDC,0904-6800-61,LISINOPRIL 40 MG TABLET [10450],0.14,0.05,,,0
NDC,0904-6801-61,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [95676]",0.75,0.26,,,0
NDC,0904-6802-61,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR [96233]",0.79,0.28,,,0
NDC,0904-6803-61,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [82089]",1.1,0.38,,,0
NDC,0904-6818-61,MIDODRINE 5 MG TABLET [10610],0.87,0.3,,,0
NDC,0904-6820-76,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [113787],0.33,0.12,,,0
NDC,0904-6821-04,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],2.27,0.79,,,0
NDC,0904-6828-05,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,0904-6828-92,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,0904-6828-94,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,0904-6830-06,FINASTERIDE 5 MG TABLET [10037],0.68,0.24,,,0
NDC,0904-6830-61,FINASTERIDE 5 MG TABLET [10037],1.03,0.36,,,0
NDC,0904-6835-07,FLUCYTOSINE 500 MG CAPSULE [10052],160.12,56.04,,,0
NDC,0904-6836-20,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],0.1,0.04,,,0
NDC,0904-6860-61,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.2,0.07,,,0
NDC,0904-6861-61,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.2,0.07,,,0
NDC,0904-6861-90,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.32,0.11,,,0
NDC,0904-6867-04,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],31.99,11.2,,,0
NDC,0904-6868-61,TRAZODONE 50 MG TABLET [8085],0.12,0.04,,,0
NDC,0904-6869-61,TRAZODONE 100 MG TABLET [8083],0.18,0.06,,,0
NDC,0904-6882-10,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],85.59,29.96,,,0
NDC,0904-6888-06,MINOCYCLINE 100 MG CAPSULE [5110],1.15,0.4,,,0
NDC,0904-6901-04,IMATINIB 100 MG TABLET [32979],44.52,15.58,,,0
NDC,0904-6914-61,METHYLPREDNISOLONE 4 MG TABLET [4993],1.86,0.65,,,0
NDC,0904-6915-61,METOLAZONE 5 MG TABLET [10588],3.55,1.24,,,0
NDC,0904-6925-61,SERTRALINE 50 MG TABLET [11351],0.4,0.14,,,0
NDC,0904-6926-61,SERTRALINE 100 MG TABLET [11350],0.46,0.16,,,0
NDC,0904-6927-61,SPIRONOLACTONE 25 MG TABLET [7437],0.16,0.05,,,0
NDC,0904-6931-81,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,0904-6931-86,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,0904-6938-06,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],1.81,0.63,,,0
NDC,0904-6939-61,HYDROXYUREA 500 MG CAPSULE [10236],0.96,0.34,,,0
NDC,0904-6949-61,LEVOTHYROXINE 25 MCG TABLET [4420],0.46,0.16,,,0
NDC,0904-6953-61,LEVOTHYROXINE 100 MCG TABLET [4423],0.59,0.21,,,0
NDC,0904-6966-61,OXYCODONE 5 MG TABLET [10814],0.33,0.11,,,0
NDC,0904-6985-16,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,0904-6987-61,DICYCLOMINE 10 MG CAPSULE [2418],0.57,0.2,,,0
NDC,0904-6988-61,DICYCLOMINE 20 MG TABLET [2420],0.56,0.2,,,0
NDC,0904-6990-61,PSEUDOEPHEDRINE 30 MG TABLET [6714],0.04,0.01,,,0
NDC,0904-6991-04,PREGABALIN 25 MG CAPSULE [42162],1.32,0.46,,,0
NDC,0904-6991-61,PREGABALIN 25 MG CAPSULE [42162],0.78,0.27,,,0
NDC,0904-6992-61,PREGABALIN 50 MG CAPSULE [42163],0.75,0.26,,,0
NDC,0904-6993-61,AMIODARONE 200 MG TABLET [9066],0.3,0.1,,,0
NDC,0904-6998-60,DOCUSATE SODIUM 100 MG CAPSULE [2566],0.02,0.00595,,,0
NDC,0904-7000-61,PREGABALIN 75 MG CAPSULE [42164],0.77,0.27,,,0
NDC,0904-7009-06,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET [34713],3.1,1.08,,,0
NDC,0904-7024-04,VORICONAZOLE 200 MG TABLET [33009],23.16,8.11,,,0
NDC,0904-7039-07,CLOMIPRAMINE 50 MG CAPSULE [1754],15.24,5.33,,,0
NDC,0904-7041-61,ALLOPURINOL 100 MG TABLET [310],0.33,0.12,,,0
NDC,0904-7043-04,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",1.46,0.51,,,0
NDC,0904-7043-61,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",1.6,0.56,,,0
NDC,0904-7045-61,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.44,0.5,,,0
NDC,0904-7046-61,HYDROXYCHLOROQUINE 200 MG TABLET [10235],1.39,0.49,,,0
NDC,0904-7047-61,LOSARTAN 25 MG TABLET [14823],0.58,0.2,,,0
NDC,0904-7057-61,METHOCARBAMOL 500 MG TABLET [4971],0.26,0.09,,,0
NDC,0904-7058-61,METHOCARBAMOL 750 MG TABLET [4972],0.32,0.11,,,0
NDC,0904-7064-25,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,0904-7064-41,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,0904-7070-07,NADOLOL 20 MG TABLET [5330],3.06,1.07,,,0
NDC,0904-7074-61,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],0.62,0.22,,,0
NDC,0904-7076-61,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",0.58,0.2,,,0
NDC,0904-7083-61,CIPROFLOXACIN 500 MG TABLET [25119],0.29,0.1,,,0
NDC,0904-7084-04,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.32,0.46,,,0
NDC,0904-7093-61,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0.28,0.1,,,0
NDC,0904-7094-61,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],0.82,0.29,,,0
NDC,0904-7095-61,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],1.2,0.42,,,0
NDC,0904-7105-61,CAPTOPRIL 12.5 MG TABLET [9401],1.41,0.49,,,0
NDC,0904-7107-61,RIVASTIGMINE 1.5 MG CAPSULE [28278],3.28,1.15,,,0
NDC,0904-7109-61,LABETALOL 100 MG TABLET [10373],0.34,0.12,,,0
NDC,0904-7110-61,LABETALOL 200 MG TABLET [10374],0.44,0.16,,,0
NDC,0904-7115-61,DOCUSATE SODIUM 100 MG CAPSULE [2566],0.04,0.01,,,0
NDC,0904-7118-61,METOPROLOL TARTRATE 50 MG TABLET [5009],0.11,0.04,,,0
NDC,0904-7119-06,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],1.01,0.35,,,0
NDC,0904-7120-04,COLCHICINE 0.6 MG TABLET [1821],4.8,1.68,,,0
NDC,0904-7122-61,BUSPIRONE 5 MG TABLET [9324],0.13,0.05,,,0
NDC,0904-7123-61,LEVETIRACETAM 250 MG TABLET [26816],0.18,0.06,,,0
NDC,0904-7124-61,LEVETIRACETAM 500 MG TABLET [26817],0.21,0.07,,,0
NDC,0904-7126-61,METRONIDAZOLE 500 MG TABLET [5016],0.7,0.25,,,0
NDC,0904-7141-10,METHOTREXATE SODIUM 2.5 MG TABLET [4973],2.98,1.04,,,0
NDC,0904-7144-61,DRONABINOL 2.5 MG CAPSULE [9904],4.72,1.65,,,0
NDC,0904-7153-61,BENZONATATE 100 MG CAPSULE [988],0.49,0.17,,,0
NDC,0904-7154-04,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],2.34,0.82,,,0
NDC,0904-7162-61,METFORMIN 500 MG TABLET [10544],0.06,0.02,,,0
NDC,0904-7168-61,URSODIOL 300 MG CAPSULE [11624],4.39,1.54,,,0
NDC,0904-7179-61,TRAMADOL 50 MG TABLET [14632],0.15,0.05,,,0
NDC,0904-7190-04,NEBIVOLOL 10 MG TABLET [89286],3.14,1.1,,,0
NDC,0904-7200-61,LISINOPRIL 40 MG TABLET [10450],0.14,0.05,,,0
NDC,0904-7205-46,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],0.08,0.03,,,0
NDC,0904-7219-61,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",0.48,0.17,,,0
NDC,0904-7236-61,MEGESTROL 40 MG TABLET [4871],0.23,0.08,,,0
NDC,0904-7252-61,SENNOSIDES 8.6 MG TABLET [11349],0.04,0.01,,,0
NDC,0904-7257-61,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.19,0.07,,,0
NDC,0904-7262-61,OXCARBAZEPINE 150 MG TABLET [27049],0.57,0.2,,,0
NDC,0904-7263-61,OXCARBAZEPINE 300 MG TABLET [21061],0.84,0.3,,,0
NDC,0904-7264-61,OXCARBAZEPINE 600 MG TABLET [21157],1.67,0.59,,,0
NDC,0904-7276-41,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,0904-7276-70,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,0904-7276-92,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,0904-7280-80,DOCUSATE SODIUM 100 MG CAPSULE [2566],0.02,0.00525,,,0
NDC,0904-7307-61,CARVEDILOL 12.5 MG TABLET [15749],16.24,5.68,,,0
NDC,0904-7325-62,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0.04,0.02,,,0
NDC,0904-7355-04,LURASIDONE 20 MG TABLET [155626],0.69,0.24,,,0
NDC,0904-7364-61,RISPERIDONE 3 MG TABLET [18312],70.35,24.62,,,0
NDC,0904-7367-06,ARIPIPRAZOLE 5 MG TABLET [36438],48.7,17.05,,,0
NDC,0904-7427-30,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.4,0.14,,,0
NDC,0904-7440-61,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.0,0.35,,,0
NDC,0904-7495-06,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],14.88,5.21,,,0
NDC,0904-7496-61,TRAMADOL 50 MG TABLET [14632],18.94,6.63,,,0
NDC,0904-7505-04,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",48.7,17.05,,,0
NDC,0904-7809-61,CYCLOBENZAPRINE 10 MG TABLET [2017],0.06,0.02,,,0
NDC,0904-7822-31,CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],16.24,5.68,,,0
NDC,0904-7914-61,IBUPROFEN 200 MG TABLET [3841],0.07,0.02,,,0
NDC,0904-7925-61,GLIPIZIDE 10 MG TABLET [10116],0.06,0.02,,,0
NDC,0904-7927-60,"BISACODYL 5 MG TABLET,DELAYED RELEASE [1079]",0.01,0.0049,,,0
NDC,0904-7927-61,"BISACODYL 5 MG TABLET,DELAYED RELEASE [1079]",0.03,0.00945,,,0
NDC,0904-7955-44,CAFFEINE 200 MG TABLET [1259],0.06,0.02,,,0
NDC,0904027060,"VITAMIN E (DL, ACETATE) 45 MG (100 UNIT) CAPSULE [110185]",0.02,0.00595,,,0
NDC,0904027460,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [113008]",0.04,0.02,,,0
NDC,0904027472,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [113008]",0.05,0.02,,,0
NDC,0904051860,PYRIDOXINE (VITAMIN B6) 100 MG TABLET [6745],0.02,0.007,,,0
NDC,0904052060,PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0.02,0.00595,,,0
NDC,0904052360,ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],0.02,0.00735,,,0
NDC,0904052361,ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],0.03,0.01,,,0
NDC,0904053061,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET [157320],0.03,0.01,,,0
NDC,0904053913,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET [157320],0.02,0.00805,,,0
NDC,0904053961,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET [157320],0.04,0.01,,,0
NDC,0904113213,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [2008],0.01,0.00385,,,0
NDC,0904188260,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET [110379],0.01,0.0049,,,0
NDC,0904188261,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET [110379],0.03,0.01,,,0
NDC,0904188361,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",0.03,0.01,,,0
NDC,0904188372,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",0.02,0.00595,,,0
NDC,0904188380,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",0.01,0.00385,,,0
NDC,0904262160,PEDIATRIC MULTIVITAMIN NO.17 CHEWABLE TABLET [181433],0.02,0.00735,,,0
NDC,0904421713,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0.03,0.0091,,,0
NDC,0904522452,"LACTASE 3,000 UNIT TABLET [22469]",0.08,0.03,,,0
NDC,0904533260,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],0.02,0.0077,,,0
NDC,0904539561,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0.13,0.04,,,0
NDC,0904546052,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],0.02,0.0077,,,0
NDC,0904546072,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],0.02,0.0063,,,0
NDC,0904582360,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [103849],0.01,0.0049,,,0
NDC,0904582460,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.02,0.0056,,,0
NDC,0904582461,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.04,0.01,,,0
NDC,0904582489,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.02,0.0056,,,0
NDC,0904582493,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.02,0.00525,,,0
NDC,0904588246,COENZYME Q10 100 MG CAPSULE [24678],0.35,0.12,,,0
NDC,0904598426,AMMONIUM LACTATE 12 % LOTION [10380],0.23,0.08,,,0
NDC,0904660961,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.07,0.03,,,0
NDC,0904759160,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0.01,0.0042,,,0
NDC,0904759161,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0.03,0.01,,,0
NDC,0904759182,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0.02,0.00525,,,0
NDC,0941-0409-01,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L [27796],0.02,0.00805,,,0
NDC,0941-0411-06,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L [27797],0.02,0.00805,,,0
NDC,0941-0411-11,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L [27797],0.02,0.00805,,,0
NDC,0941-0413-01,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L [27801],0.02,0.00805,,,0
NDC,0941-0413-06,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L [27801],0.02,0.00805,,,0
NDC,0941-0415-01,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L [27805],0.02,0.00805,,,0
NDC,0941-0415-04,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L [27805],0.02,0.00805,,,0
NDC,0941-0457-01,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L [27800],0.02,0.00805,,,0
NDC,0941-0459-02,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L [27803],0.02,0.00805,,,0
NDC,0941-0679-06,PERITONEAL DIALYSIS 28 AND ICODEXTRIN 7.5 % CA 3.5 MEQ/L-MAG 0.5 MEQ/L [110989],0.17,0.06,,,0
NDC,0941-0679-52,PERITONEAL DIALYSIS 28 AND ICODEXTRIN 7.5 % CA 3.5 MEQ/L-MAG 0.5 MEQ/L [110989],0.17,0.06,,,0
NDC,0942-9504-10,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION [90999],2.71,0.95,,,0
NDC,0944-0491-01,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,0944-0491-02,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,0944-0493-01,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,0944-0493-02,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,0944-0493-03,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,0944-0493-04,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,0944-0495-05,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,0944-0495-06,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,0944-2700-04,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [170501]",54.78,19.17,,,0
NDC,0944-2700-05,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [170501]",54.78,19.17,,,0
NDC,0944-2700-06,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [170501]",54.78,19.17,,,0
NDC,0944-2700-07,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [170501]",54.78,19.17,,,0
NDC,0944-2700-10,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [170501]",54.78,19.17,,,0
NDC,0944-2700-11,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [170501]",54.78,19.17,,,0
NDC,0944-2700-12,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [170501]",54.78,19.17,,,0
NDC,0944-2700-13,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [170501]",54.78,19.17,,,0
NDC,0944-2831-10,ANTIHEMOPHILIC FACTOR (RECOMB) 250 (+/-) UNIT INTRAVENOUS SOLUTION [24924],1018.48,356.47,,,0
NDC,0944-2832-10,ANTIHEMOPHILIC FACTOR (RECOMB) 500 (+/-) UNIT INTRAVENOUS SOLUTION [24925],2036.96,712.93,,,0
NDC,0944-2833-10,"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [24926]",4073.91,1425.87,,,0
NDC,0944-2842-10,ANTIHEMOPHILIC FACTOR (RECOMB) 500 (+/-) UNIT INTRAVENOUS SOLUTION [24925],2036.96,712.93,,,0
NDC,0944-2843-10,"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [24926]",4073.91,1425.87,,,0
NDC,0944-2967-03,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN [70575]",693.18,242.61,,,0
NDC,0944-2967-05,"RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT (1,000 MCG)/4.4 ML INJ. SOLN [70574]",1971.89,690.16,,,0
NDC,0944-3810-01,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519],5875.76,2056.52,,,0
NDC,0955-0250-50,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",1.59,0.56,,,0
NDC,0955-1004-10,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,0955-1006-10,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
NDC,0955-1008-10,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],427.73,149.7,,,0
NDC,0955-1010-10,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,0955-1012-01,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,0955-1012-10,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,0955-1015-10,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
NDC,0955-1020-01,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [148171],2396.49,838.77,,,0
NDC,0955-1021-04,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
NDC,0955-1052-01,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],14.88,5.21,,,0
NDC,0955-1052-90,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],14.88,5.21,,,0
NDC,0955-1054-01,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET [99695],14.88,5.21,,,0
NDC,0955-1720-50,DOXERCALCIFEROL 0.5 MCG CAPSULE [38830],6.0,2.1,,,0
NDC,0955-1722-50,DOXERCALCIFEROL 2.5 MCG CAPSULE [25354],13.9,4.86,,,0
NDC,0990-7074-26,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11074],0.19,0.07,,,0
NDC,0990-7075-26,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11076],0.39,0.14,,,0
NDC,0990-7077-26,POTASSIUM CHLORIDE 80 MEQ IVPB (KCL 40 MEQ/100 ML X 2 BAGS) - ICU/CENTRAL LINE ONLY [410205],0.77,0.27,,,0
NDC,0990-7118-07,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0.07,0.02,,,0
NDC,0990-7715-03,MANNITOL 20 % INTRAVENOUS SOLUTION [4749],2.09,0.73,,,0
NDC,0990-7715-13,MANNITOL 20 % INTRAVENOUS SOLUTION [4749],2.09,0.73,,,0
NDC,0990-7902-09,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9801],0.27,0.1,,,0
NDC,0990-7918-19,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0.1,0.03,,,0
NDC,0990-7922-61,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],2.06,0.72,,,0
NDC,0990-7935-19,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION [2359],0.08,0.03,,,0
NDC,0990-7984-23,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.99,0.7,,,0
NDC,0990-7985-02,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0.81,0.28,,,0
NDC,0990-7990-09,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0.13,0.05,,,0
NDC,0998-0016-15,PROPARACAINE 0.5 % EYE DROPS [6644],12.72,4.45,,,0
NDC,0998-0203-15,PILOCARPINE 1 % EYE DROPS [6279],60.88,21.31,,,0
NDC,0998-0204-15,PILOCARPINE 2 % EYE DROPS [6280],64.94,22.73,,,0
NDC,0998-0206-15,PILOCARPINE 4 % EYE DROPS [6282],6.85,2.4,,,0
NDC,0998-0315-05,HOMATROPINE 5 % EYE DROPS [3664],154.22,53.98,,,0
NDC,0998-0355-15,TROPICAMIDE 1 % EYE DROPS [8250],18.31,6.41,,,0
NDC,0998-0408-15,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS [27980],2.71,0.95,,,0
NDC,0998-0630-06,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS [10708]",49.24,17.24,,,0
NDC,1000670020,"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE [5536]",0.09,0.03,,,0
NDC,1000670028,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.07,0.03,,,0
NDC,1000670033,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.04,0.01,,,0
NDC,1000670038,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],0.05,0.02,,,0
NDC,10019-033-72,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,10019-035-74,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,10019-037-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,10019-037-27,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,10019-037-30,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,10019-037-83,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,10019-038-67,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,10019-045-02,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,10019-050-43,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],181.28,63.45,,,0
NDC,10019-055-61,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",4.91,1.72,,,0
NDC,10019-075-87,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",6.82,2.39,,,0
NDC,10019-105-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,10019-105-02,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,10019-105-44,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,10019-115-01,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],36.53,12.78,,,0
NDC,10019-115-39,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],36.53,12.78,,,0
NDC,10019-120-01,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],36.53,12.78,,,0
NDC,10019-120-39,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],36.53,12.78,,,0
NDC,10019-163-12,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,10019-163-39,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,10019-291-02,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,10019-510-79,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,10019-553-01,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,10019-553-02,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,10019-553-03,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,10019-553-04,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,10019-553-88,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,10019-553-90,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],86.58,30.3,,,0
NDC,10019-630-02,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,10019-630-33,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,10019-637-02,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,10019-637-33,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,10019-672-10,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",4.91,1.72,,,0
NDC,10019-905-01,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,10019-905-02,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,10019-905-17,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,10019-925-01,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],386.82,135.39,,,0
NDC,10019-925-82,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],386.82,135.39,,,0
NDC,10019-926-02,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],1160.47,406.16,,,0
NDC,10019-926-16,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],1160.47,406.16,,,0
NDC,10019-953-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
NDC,10019-953-62,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
NDC,10019-955-01,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],1064.62,372.62,,,0
NDC,10019-955-50,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],1064.62,372.62,,,0
NDC,10019-956-01,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],2129.23,745.23,,,0
NDC,10019-956-16,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],2129.23,745.23,,,0
NDC,10019-991-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],10552.3,3693.3,,,0
NDC,10122-325-01,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],6.48,2.27,,,0
NDC,10122-325-10,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],6.83,2.39,,,0
NDC,10122-510-01,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION [27047],1196.05,418.62,,,0
NDC,10122-510-03,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION [110451],1179.24,412.73,,,0
NDC,10122-610-01,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION [93936],5.58,1.95,,,0
NDC,10122-610-10,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION [93936],5.58,1.95,,,0
NDC,10122-611-01,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION [112863],5.58,1.95,,,0
NDC,10122-611-10,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION [112863],5.58,1.95,,,0
NDC,10122-620-01,CANGRELOR 50 MG INTRAVENOUS SOLUTION [170853],4335.5,1517.42,,,0
NDC,10122-620-10,CANGRELOR 50 MG INTRAVENOUS SOLUTION [170853],4335.5,1517.42,,,0
NDC,10135-104-04,GLYCERIN TOPICAL LIQUID [34879],12.18,4.26,,,0
NDC,10135-139-01,PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0.01,0.00455,,,0
NDC,10135-175-16,CAFFEINE 200 MG TABLET [1259],0.04,0.02,,,0
NDC,10135-669-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.02,0.0084,,,0
NDC,10135-747-01,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],0.18,0.06,,,0
NDC,10139-071-10,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,10139-071-18,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,10139-905-10,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],440.64,154.23,,,0
NDC,10147-0150-1,ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],16.24,5.68,,,0
NDC,10147-0750-4,KETOCONAZOLE 2 % SHAMPOO [14132],1.4,0.49,,,0
NDC,10147-0810-4,GRISEOFULVIN MICROSIZE 125 MG/5 ML ORAL SUSPENSION [10138],1.92,0.67,,,0
NDC,10147-0911-1,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,10147-0921-3,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],56.69,19.84,,,0
NDC,10147-0952-1,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [78064]",25.44,8.9,,,0
NDC,10147-0952-3,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [78064]",11.01,3.85,,,0
NDC,10147-1700-3,ITRACONAZOLE 100 MG CAPSULE [10364],7.42,2.6,,,0
NDC,10337-804-03,DOXEPIN 5 % TOPICAL CREAM [12666],76.08,26.63,,,0
NDC,1035-6101-10,WHITE PETROLATUM 41 % TOPICAL OINTMENT [107703],5.07,1.77,,,0
NDC,10361-778-31,BARIUM SULFATE 700 MG TABLET [100992],7.71,2.7,,,0
NDC,10361-793-01,SOD BICARB-CITRIC AC-SIMETH 2.21 GRAM-1.53 GRAM/4 GRAM GRANULES EFFERV [159469],11.86,4.15,,,0
NDC,10370-101-03,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",0.83,0.29,,,0
NDC,10370-268-01,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],107.69,37.69,,,0
NDC,10370-830-11,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0.96,0.34,,,0
NDC,10454-711-10,"RIMABOTULINUMTOXINB 5,000 UNIT/ML INTRAMUSCULAR SOLUTION [29449]",4251.84,1488.14,,,0
NDC,10454-712-10,"RIMABOTULINUMTOXINB 10,000 UNIT/2 ML INTRAMUSCULAR SOLUTION [102732]",2334.65,817.13,,,0
NDC,10572-100-01,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION [10839],0.04,0.02,,,0
NDC,10631-098-08,AMMONIUM LACTATE 12 % LOTION [10380],0.23,0.08,,,0
NDC,10702-003-01,PROMETHAZINE 25 MG TABLET [6622],0.14,0.05,,,0
NDC,10702-013-01,BETAXOLOL 10 MG TABLET [9269],0.72,0.25,,,0
NDC,10702-018-01,OXYCODONE 5 MG TABLET [10814],0.08,0.03,,,0
NDC,10702-018-50,OXYCODONE 5 MG TABLET [10814],0.08,0.03,,,0
NDC,10702-070-01,OXYMORPHONE 5 MG TABLET [76675],1.01,0.35,,,0
NDC,10702-101-01,METHYLPHENIDATE 10 MG TABLET [4986],0.14,0.05,,,0
NDC,10702-253-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],0.19,0.07,,,0
NDC,1085808100,RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE [21381],4.06,1.42,,,0
NDC,1093911233,MAGNESIUM CITRATE ORAL SOLUTION [4712],0.02,0.0084,,,0
NDC,1093913801,"ALUM, AMMONIUM TOPICAL POWDER [106985]",4.06,1.42,,,0
NDC,1093914533,PRAMOXINE-CALAMINE 1 %-8 % LOTION [103530],6.76,2.37,,,0
NDC,1093914833,CALAMINE 8 %-ZINC OXIDE 8 % LOTION [78879],0.05,0.02,,,0
NDC,1093915133,MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES [27322],4.06,1.42,,,0
NDC,1093920444,TERBINAFINE HCL 1 % TOPICAL CREAM [27023],0.25,0.09,,,0
NDC,1093921444,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.09,0.03,,,0
NDC,1093936933,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],16.24,5.68,,,0
NDC,1093941433,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.41,0.14,,,0
NDC,1093944344,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",1.0,0.35,,,0
NDC,1093945533,CAFFEINE 200 MG TABLET [1259],0.19,0.07,,,0
NDC,1093945944,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [27889],0.21,0.07,,,0
NDC,1093946833,DOXYLAMINE SUCCINATE 25 MG TABLET [14847],1.0,0.35,,,0
NDC,1093948533,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],0.11,0.04,,,0
NDC,1093952633,PYRIDOXINE (VITAMIN B6) 100 MG TABLET [6745],0.06,0.02,,,0
NDC,1093956833,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT [108388]",1.43,0.5,,,0
NDC,1093958233,COLLOIDAL OATMEAL TOPICAL PACKET [81870],2.71,0.95,,,0
NDC,1093960244,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.98,0.69,,,0
NDC,1093970733,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],6.76,2.37,,,0
NDC,1093973944,PERMETHRIN 1 % TOPICAL LIQUID [10918],0.62,0.22,,,0
NDC,1093979544,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],16.24,5.68,,,0
NDC,1093979744,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [164218],1.35,0.47,,,0
NDC,1093986544,DOCUSATE SODIUM 100 MG CAPSULE [2566],1.0,0.35,,,0
NDC,1093990844,MAGNESIUM CITRATE ORAL SOLUTION [4712],0.02,0.0084,,,0
NDC,1093991444,SENNOSIDES 8.6 MG TABLET [11349],1.0,0.35,,,0
NDC,11098-050-01,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],181.28,63.45,,,0
NDC,11098-526-03,DIMERCAPROL 100 MG/ML INTRAMUSCULAR SOLUTION [9872],161.05,56.37,,,0
NDC,11227-010-30,ALVIMOPAN 12 MG CAPSULE [91870],84.14,29.45,,,0
NDC,11227-010-31,ALVIMOPAN 12 MG CAPSULE [91870],84.14,29.45,,,0
NDC,11523-0096-2,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [113122],0.19,0.07,,,0
NDC,11523-4332-3,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR [27521]",1.35,0.47,,,0
NDC,11523-7161-3,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR [27521]",0.98,0.34,,,0
NDC,11523-7197-1,LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],5.95,2.08,,,0
NDC,11523-7204-1,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [113122],0.15,0.05,,,0
NDC,11523-7234-1,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,11523-7268-3,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,11523-7268-8,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,1152372688,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,11704-370-01,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION [154258],2556.01,894.6,,,0
NDC,11980-022-05,"SULFACETAMIDE 10 %-PREDNISOLONE 0.2 % EYE DROPS,SUSPENSION [11452]",44.64,15.63,,,0
NDC,11980-180-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",39.14,13.7,,,0
NDC,11980-779-05,OFLOXACIN 0.3 % EYE DROPS [19746],16.72,5.85,,,0
NDC,11994-011-04,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [31270],431.63,151.07,,,0
NDC,11994-012-01,GADOFOSVESET TRISODIUM 2.5 MMOL/10 ML (0.25 MMOL/ML) INTRAVENOUS SOLN [150055],56.82,19.89,,,0
NDC,11994-012-02,GADOFOSVESET TRISODIUM 3.75 MMOL/15 ML(0.25 MMOL/ML) INTRAVENOUS SOLN [150054],56.82,19.89,,,0
NDC,12496-0757-1,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [110148],69.58,24.35,,,0
NDC,12496-0757-5,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [110148],69.58,24.35,,,0
NDC,12496-1278-2,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],5.47,1.91,,,0
NDC,12496-1283-2,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET [34713],5.39,1.89,,,0
NDC,12496-1306-2,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET [34714],9.66,3.38,,,0
NDC,1254717162,DIPHENHYDRAMINE-ZINC ACETATE 1 %-0.1 % TOPICAL CREAM [22409],0.43,0.15,,,0
NDC,12870-0001-1,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [11359],12.18,4.26,,,0
NDC,12870-0001-2,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [11359],12.18,4.26,,,0
NDC,12948-001-12,ISOSORBIDE 20 MG-HYDRALAZINE 37.5 MG TABLET [41893],2.03,0.71,,,0
NDC,13107-055-01,OXYCODONE 5 MG TABLET [10814],0.12,0.04,,,0
NDC,13107-068-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [103898],0.37,0.13,,,0
NDC,13107-079-01,TRAZODONE 50 MG TABLET [8085],0.07,0.02,,,0
NDC,13107-085-01,LORAZEPAM 2 MG TABLET [4574],0.08,0.03,,,0
NDC,13107-156-30,PAROXETINE 30 MG TABLET [10856],0.28,0.1,,,0
NDC,13310-119-01,COLCHICINE 0.6 MG TABLET [1821],4.85,1.7,,,0
NDC,13310-153-07,QUININE 324 MG CAPSULE [109705],6.55,2.29,,,0
NDC,13517-100-30,DIAZOXIDE 50 MG/ML ORAL SUSPENSION [19713],5.97,2.09,,,0
NDC,13517-107-16,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],3.79,1.33,,,0
NDC,13517-110-01,PHENOBARBITAL 16.2 MG TABLET [6215],0.42,0.15,,,0
NDC,13517-113-01,PHENOBARBITAL 97.2 MG TABLET [6220],0.95,0.33,,,0
NDC,13517-625-01,PHENOBARBITAL 16.2 MG TABLET [6215],0.2,0.07,,,0
NDC,13533-318-01,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [178970],2870.57,1004.7,,,0
NDC,13533-318-05,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [178970],2620.86,917.3,,,0
NDC,13533-318-10,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [178970],2870.57,1004.7,,,0
NDC,13533-318-50,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [178970],2620.86,917.3,,,0
NDC,13533-603-20,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],7730.62,2705.72,,,0
NDC,13533-606-12,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],7730.62,2705.72,,,0
NDC,13533-634-02,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE [112573],1494.59,523.11,,,0
NDC,13533-636-03,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE [111127],943.14,330.1,,,0
NDC,13533-685-25,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,13533-690-25,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,13533-690-26,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,13533-800-20,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [148492],50.11,17.54,,,0
NDC,13533-800-21,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [148492],50.11,17.54,,,0
NDC,13533-800-24,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [148494],50.11,17.54,,,0
NDC,13533-800-25,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [148494],50.11,17.54,,,0
NDC,13533-800-71,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [148493],50.11,17.54,,,0
NDC,13533-800-72,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [148493],50.11,17.54,,,0
NDC,13668-009-01,CITALOPRAM 10 MG TABLET [30264],0.07,0.02,,,0
NDC,13668-010-01,CITALOPRAM 20 MG TABLET [21062],0.05,0.02,,,0
NDC,13668-011-01,CITALOPRAM 40 MG TABLET [23490],0.06,0.02,,,0
NDC,13668-031-60,TOPIRAMATE 25 MG TABLET [18920],0.12,0.04,,,0
NDC,13668-048-60,LAMOTRIGINE 150 MG TABLET [14266],0.09,0.03,,,0
NDC,13668-102-90,DONEPEZIL 5 MG TABLET [18786],0.15,0.05,,,0
NDC,13668-104-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0.12,0.04,,,0
NDC,13668-105-01,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0.13,0.05,,,0
NDC,13668-133-01,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0.38,0.13,,,0
NDC,13668-134-01,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [27491]",0.68,0.24,,,0
NDC,13668-185-90,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],0.71,0.25,,,0
NDC,13668-202-30,"DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR [40402]",3.28,1.15,,,0
NDC,13668-484-50,MINOCYCLINE 100 MG CAPSULE [5110],0.68,0.24,,,0
NDC,13668-574-10,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],0.17,0.06,,,0
NDC,13668-586-30,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE [102623]",4.99,1.75,,,0
NDC,13668-589-06,RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],52.76,18.47,,,0
NDC,1381152501,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [38978],0.1,0.03,,,0
NDC,13925-515-10,PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],734.41,257.04,,,0
NDC,14290-545-92,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],61.68,21.59,,,0
NDC,14550-512-02,GABAPENTIN 300 MG CAPSULE [18308],0.09,0.03,,,0
NDC,14789-011-01,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,14789-011-07,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,14789-012-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],489.85,171.45,,,0
NDC,14789-014-01,EPHEDRINE SULFATE 50 MG/ML INJECTION SOLUTION [2833],54.11,18.94,,,0
NDC,14789-015-05,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,14789-104-05,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,14789-104-07,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,14789-109-10,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11074],0.19,0.07,,,0
NDC,14789-109-16,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11074],0.19,0.07,,,0
NDC,14789-116-05,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],292.48,102.37,,,0
NDC,14789-122-05,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],25.0,8.75,,,0
NDC,14789-122-07,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],25.0,8.75,,,0
NDC,14789-201-05,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,14789-250-07,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION [187945],10.17,3.56,,,0
NDC,14789-250-10,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION [187945],10.17,3.56,,,0
NDC,14789-300-02,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],52.83,18.49,,,0
NDC,14789-400-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,14789-900-10,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],9.08,3.18,,,0
NDC,14789-901-07,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],9.08,3.18,,,0
NDC,14789-901-10,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],9.08,3.18,,,0
NDC,15054-0043-1,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS [172592],1202.3,420.8,,,0
NDC,15054-1060-4,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE [88570],99825.0,34938.75,,,0
NDC,15054-1090-4,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE [87860],99825.0,34938.75,,,0
NDC,15054-1120-4,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],79860.0,27951.0,,,0
NDC,15630-04884,SUBCUTANEOUS INSULIN PUMP [112555],6195.0,2168.25,,,0
NDC,16252-536-08,CABERGOLINE 0.5 MG TABLET [19226],16.25,5.69,,,0
NDC,16252-541-30,TRANDOLAPRIL 1 MG TABLET [17017],0.4,0.14,,,0
NDC,16252-543-90,TRANDOLAPRIL 4 MG TABLET [17019],0.44,0.16,,,0
NDC,16477-505-01,PREDNISOLONE 5 MG TABLET [6483],7.22,2.53,,,0
NDC,1650002322,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET [155899]",2.71,0.95,,,0
NDC,16571-101-50,DICLOFENAC 0.1 % EYE DROPS [19714],54.23,18.98,,,0
NDC,16571-105-01,AMITRIPTYLINE 10 MG TABLET [432],0.06,0.02,,,0
NDC,16571-120-25,CIPROFLOXACIN 0.3 % EYE DROPS [9610],139.61,48.86,,,0
NDC,16571-160-10,TRIHEXYPHENIDYL 2 MG TABLET [8166],0.15,0.05,,,0
NDC,16571-161-10,TRIHEXYPHENIDYL 5 MG TABLET [8167],0.3,0.11,,,0
NDC,16571-202-10,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE [15340]",0.24,0.09,,,0
NDC,16571-203-10,"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE [15339]",1.06,0.37,,,0
NDC,16571-330-16,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],3.79,1.33,,,0
NDC,16571-411-10,CIPROFLOXACIN 250 MG TABLET [25118],0.18,0.06,,,0
NDC,16571-412-10,CIPROFLOXACIN 500 MG TABLET [25119],0.21,0.07,,,0
NDC,16571-661-01,MECLIZINE 25 MG TABLET [12025],0.32,0.11,,,0
NDC,16571-672-01,PHENOBARBITAL 30 MG TABLET [6216],0.35,0.12,,,0
NDC,16571-673-01,PHENOBARBITAL 32.4 MG TABLET [6217],0.54,0.19,,,0
NDC,16571-675-16,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],3.79,1.33,,,0
NDC,16571-691-01,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET [36136],1.0,0.35,,,0
NDC,16571-723-48,MAFENIDE 85 MG/G TOPICAL CREAM [10478],1.28,0.45,,,0
NDC,16571-723-60,MAFENIDE 85 MG/G TOPICAL CREAM [10478],3.69,1.29,,,0
NDC,16571-778-09,DONEPEZIL 5 MG TABLET [18786],0.1,0.04,,,0
NDC,16714-006-01,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [104989],427.73,149.7,,,0
NDC,16714-006-10,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [104989],427.73,149.7,,,0
NDC,16714-014-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0.91,0.32,,,0
NDC,16714-016-01,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,16714-016-10,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,16714-021-04,PROPRANOLOL 10 MG TABLET [6656],0.05,0.02,,,0
NDC,16714-022-04,PROPRANOLOL 20 MG TABLET [6657],0.06,0.02,,,0
NDC,16714-022-10,PROPRANOLOL 20 MG TABLET [6657],0.04,0.02,,,0
NDC,16714-023-04,PROPRANOLOL 40 MG TABLET [6658],0.06,0.02,,,0
NDC,16714-023-10,PROPRANOLOL 40 MG TABLET [6658],0.05,0.02,,,0
NDC,16714-025-04,PROPRANOLOL 80 MG TABLET [6660],0.07,0.02,,,0
NDC,16714-025-10,PROPRANOLOL 80 MG TABLET [6660],0.07,0.02,,,0
NDC,16714-026-01,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
NDC,16714-026-10,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
NDC,16714-036-01,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],0.8,0.28,,,0
NDC,16714-036-10,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],427.73,149.7,,,0
NDC,16714-041-10,ALLOPURINOL 100 MG TABLET [310],0.11,0.04,,,0
NDC,16714-042-04,ALLOPURINOL 300 MG TABLET [311],0.12,0.04,,,0
NDC,16714-042-10,ALLOPURINOL 300 MG TABLET [311],0.21,0.07,,,0
NDC,16714-046-01,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,16714-046-10,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,16714-055-01,MUPIROCIN CALCIUM 2 % TOPICAL CREAM [22251],16.52,5.78,,,0
NDC,16714-056-01,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,16714-056-10,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,16714-066-01,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
NDC,16714-066-10,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
NDC,16714-067-01,CARBIDOPA 25 MG TABLET [26703],8.84,3.09,,,0
NDC,16714-071-04,BACLOFEN 10 MG TABLET [860],0.16,0.05,,,0
NDC,16714-072-04,BACLOFEN 20 MG TABLET [861],0.27,0.09,,,0
NDC,16714-072-05,BACLOFEN 20 MG TABLET [861],0.49,0.17,,,0
NDC,16714-081-04,HYDROXYZINE HCL 10 MG TABLET [3772],0.24,0.08,,,0
NDC,16714-081-10,HYDROXYZINE HCL 10 MG TABLET [3772],0.11,0.04,,,0
NDC,16714-082-10,HYDROXYZINE HCL 25 MG TABLET [3774],0.18,0.06,,,0
NDC,16714-083-10,HYDROXYZINE HCL 50 MG TABLET [3775],0.18,0.06,,,0
NDC,16714-087-01,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [163599],34.02,11.91,,,0
NDC,16714-111-04,TRAMADOL 50 MG TABLET [14632],0.11,0.04,,,0
NDC,16714-111-10,TRAMADOL 50 MG TABLET [14632],0.05,0.02,,,0
NDC,16714-111-12,TRAMADOL 50 MG TABLET [14632],0.06,0.02,,,0
NDC,16714-143-01,ARIPIPRAZOLE 10 MG TABLET [34369],1.18,0.41,,,0
NDC,16714-160-01,ONDANSETRON HCL 8 MG TABLET [10779],0.32,0.11,,,0
NDC,16714-207-01,CEFDINIR 250 MG/5 ML ORAL SUSPENSION [39522],10.82,3.79,,,0
NDC,16714-207-02,CEFDINIR 250 MG/5 ML ORAL SUSPENSION [39522],10.82,3.79,,,0
NDC,16714-209-01,CEFPROZIL 500 MG TABLET [9473],6.78,2.37,,,0
NDC,16714-227-01,"CARVEDILOL PHOSPHATE ER 10 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77664]",7.91,2.77,,,0
NDC,16714-229-01,"CARVEDILOL PHOSPHATE ER 40 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77666]",7.84,2.75,,,0
NDC,16714-232-02,CEFUROXIME AXETIL 250 MG TABLET [9495],0.45,0.16,,,0
NDC,16714-233-02,CEFUROXIME AXETIL 500 MG TABLET [9496],0.65,0.23,,,0
NDC,16714-234-01,PENICILLIN V POTASSIUM 250 MG TABLET [6092],0.2,0.07,,,0
NDC,16714-245-30,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY [40369]",11.72,4.1,,,0
NDC,16714-267-02,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT [8117],0.52,0.18,,,0
NDC,16714-293-01,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],94.7,33.15,,,0
NDC,16714-294-01,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],1.86,0.65,,,0
NDC,16714-294-02,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],1.86,0.65,,,0
NDC,16714-296-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],1.29,0.45,,,0
NDC,16714-297-02,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],1.51,0.53,,,0
NDC,16714-298-01,AMOXICILLIN 250 MG CAPSULE [450],0.05,0.02,,,0
NDC,16714-299-02,AMOXICILLIN 500 MG CAPSULE [451],0.18,0.06,,,0
NDC,16714-299-03,AMOXICILLIN 500 MG CAPSULE [451],0.09,0.03,,,0
NDC,16714-300-01,FAMCICLOVIR 125 MG TABLET [16082],0.68,0.24,,,0
NDC,16714-313-01,VENLAFAXINE 50 MG TABLET [12204],0.34,0.12,,,0
NDC,16714-314-01,VENLAFAXINE 75 MG TABLET [12206],0.36,0.13,,,0
NDC,16714-315-01,VENLAFAXINE 100 MG TABLET [12205],0.42,0.15,,,0
NDC,16714-321-01,LEFLUNOMIDE 10 MG TABLET [23872],5.04,1.76,,,0
NDC,16714-331-01,LEFLUNOMIDE 20 MG TABLET [23873],5.16,1.81,,,0
NDC,16714-332-01,GABAPENTIN 800 MG TABLET [25856],0.29,0.1,,,0
NDC,16714-332-02,GABAPENTIN 800 MG TABLET [25856],0.3,0.11,,,0
NDC,16714-338-01,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],1.81,0.63,,,0
NDC,16714-351-03,FLUOXETINE 10 MG CAPSULE [10069],0.06,0.02,,,0
NDC,16714-354-01,LEVETIRACETAM 250 MG TABLET [26816],0.27,0.09,,,0
NDC,16714-354-02,LEVETIRACETAM 250 MG TABLET [26816],0.27,0.09,,,0
NDC,16714-355-01,LEVETIRACETAM 500 MG TABLET [26817],0.28,0.1,,,0
NDC,16714-355-02,LEVETIRACETAM 500 MG TABLET [26817],0.36,0.13,,,0
NDC,16714-358-01,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],13.53,4.73,,,0
NDC,16714-360-01,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET [10749],0.76,0.26,,,0
NDC,16714-360-04,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET [10749],0.76,0.26,,,0
NDC,16714-361-04,FAMOTIDINE 20 MG TABLET [10011],0.1,0.04,,,0
NDC,16714-361-06,FAMOTIDINE 20 MG TABLET [10011],0.1,0.04,,,0
NDC,16714-371-02,LAMOTRIGINE 25 MG TABLET [13981],0.11,0.04,,,0
NDC,16714-373-04,LAMOTRIGINE 150 MG TABLET [14266],0.18,0.06,,,0
NDC,16714-374-04,LAMOTRIGINE 200 MG TABLET [13983],0.21,0.07,,,0
NDC,16714-393-01,CEFDINIR 250 MG/5 ML ORAL SUSPENSION [39522],4.78,1.67,,,0
NDC,16714-394-01,CEFPODOXIME 100 MG TABLET [9468],5.39,1.89,,,0
NDC,16714-399-01,CEFPROZIL 500 MG TABLET [9473],4.72,1.65,,,0
NDC,16714-400-02,CEFUROXIME AXETIL 250 MG TABLET [9495],1.61,0.56,,,0
NDC,16714-401-02,CEFUROXIME AXETIL 500 MG TABLET [9496],3.16,1.1,,,0
NDC,16714-403-01,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION [9466],6.49,2.27,,,0
NDC,16714-403-02,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION [9466],6.49,2.27,,,0
NDC,16714-442-01,ENALAPRIL MALEATE 2.5 MG TABLET [9925],0.39,0.14,,,0
NDC,16714-444-01,ENALAPRIL MALEATE 10 MG TABLET [9924],0.51,0.18,,,0
NDC,16714-445-01,ENALAPRIL MALEATE 20 MG TABLET [9926],0.73,0.26,,,0
NDC,16714-446-01,AMITRIPTYLINE 10 MG TABLET [432],0.11,0.04,,,0
NDC,16714-447-01,AMITRIPTYLINE 25 MG TABLET [435],0.22,0.08,,,0
NDC,16714-449-01,AMITRIPTYLINE 75 MG TABLET [437],0.67,0.23,,,0
NDC,16714-450-01,AMITRIPTYLINE 100 MG TABLET [433],0.88,0.31,,,0
NDC,16714-452-01,QUETIAPINE 25 MG TABLET [21823],0.18,0.06,,,0
NDC,16714-455-01,QUETIAPINE 200 MG TABLET [21825],0.65,0.23,,,0
NDC,16714-469-01,CLONAZEPAM 0.5 MG TABLET [9637],0.04,0.01,,,0
NDC,16714-476-01,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET [22992],4.75,1.66,,,0
NDC,16714-478-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0.91,0.32,,,0
NDC,16714-478-02,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],1.51,0.53,,,0
NDC,16714-483-01,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],6.76,2.37,,,0
NDC,16714-494-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],0.65,0.23,,,0
NDC,16714-500-01,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
NDC,16714-501-01,TERBINAFINE HCL 250 MG TABLET [12724],0.27,0.09,,,0
NDC,16714-503-01,GABAPENTIN 100 MG CAPSULE [18309],0.1,0.03,,,0
NDC,16714-505-01,GABAPENTIN 400 MG CAPSULE [18307],0.19,0.07,,,0
NDC,16714-510-01,CARISOPRODOL 350 MG TABLET [1395],0.1,0.03,,,0
NDC,16714-514-01,VORICONAZOLE 50 MG TABLET [33008],6.17,2.16,,,0
NDC,16714-522-01,FINASTERIDE 5 MG TABLET [10037],0.79,0.28,,,0
NDC,16714-531-10,SUMATRIPTAN 25 MG TABLET [15327],1.77,0.62,,,0
NDC,16714-531-11,SUMATRIPTAN 25 MG TABLET [15327],1.77,0.62,,,0
NDC,16714-532-10,SUMATRIPTAN 50 MG TABLET [15328],1.77,0.62,,,0
NDC,16714-532-11,SUMATRIPTAN 50 MG TABLET [15328],1.77,0.62,,,0
NDC,16714-559-01,PRAVASTATIN 20 MG TABLET [11111],0.26,0.09,,,0
NDC,16714-571-01,BICALUTAMIDE 50 MG TABLET [15746],0.71,0.25,,,0
NDC,16714-571-02,BICALUTAMIDE 50 MG TABLET [15746],0.7,0.25,,,0
NDC,16714-581-02,LOSARTAN 25 MG TABLET [14823],0.17,0.06,,,0
NDC,16714-583-02,LOSARTAN 100 MG TABLET [22588],0.32,0.11,,,0
NDC,16714-585-01,PRAMIPEXOLE 0.25 MG TABLET [21290],0.18,0.06,,,0
NDC,16714-601-01,SERTRALINE 20 MG/ML ORAL CONCENTRATE [28011],18.94,6.63,,,0
NDC,16714-601-02,SERTRALINE 20 MG/ML ORAL CONCENTRATE [28011],18.94,6.63,,,0
NDC,16714-611-04,SERTRALINE 25 MG TABLET [19882],0.12,0.04,,,0
NDC,16714-612-04,SERTRALINE 50 MG TABLET [11351],0.13,0.05,,,0
NDC,16714-613-04,SERTRALINE 100 MG TABLET [11350],0.12,0.04,,,0
NDC,16714-621-01,ZOLPIDEM 5 MG TABLET [11701],0.04,0.01,,,0
NDC,16714-631-01,ALENDRONATE 10 MG TABLET [15661],0.33,0.12,,,0
NDC,16714-631-02,ALENDRONATE 10 MG TABLET [15661],0.36,0.13,,,0
NDC,16714-633-01,ALENDRONATE 70 MG TABLET [29048],0.69,0.24,,,0
NDC,16714-633-02,ALENDRONATE 70 MG TABLET [29048],0.87,0.3,,,0
NDC,16714-643-01,MOXIFLOXACIN 0.5 % EYE DROPS [35699],166.85,58.4,,,0
NDC,16714-651-02,CIPROFLOXACIN 250 MG TABLET [25118],0.18,0.06,,,0
NDC,16714-652-02,CIPROFLOXACIN 500 MG TABLET [25119],0.24,0.09,,,0
NDC,16714-653-01,CIPROFLOXACIN 750 MG TABLET [25120],0.33,0.12,,,0
NDC,16714-656-01,VENLAFAXINE 37.5 MG TABLET [12207],0.29,0.1,,,0
NDC,16714-658-01,VENLAFAXINE 75 MG TABLET [12206],0.36,0.13,,,0
NDC,16714-659-01,VENLAFAXINE 100 MG TABLET [12205],0.42,0.15,,,0
NDC,16714-661-01,GABAPENTIN 100 MG CAPSULE [18309],0.1,0.03,,,0
NDC,16714-661-02,GABAPENTIN 100 MG CAPSULE [18309],0.08,0.03,,,0
NDC,16714-662-01,GABAPENTIN 300 MG CAPSULE [18308],0.13,0.04,,,0
NDC,16714-663-01,GABAPENTIN 400 MG CAPSULE [18307],0.19,0.07,,,0
NDC,16714-671-01,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],0.64,0.22,,,0
NDC,16714-681-02,SIMVASTATIN 5 MG TABLET [11367],0.11,0.04,,,0
NDC,16714-682-02,SIMVASTATIN 10 MG TABLET [11364],0.03,0.0098,,,0
NDC,16714-683-02,SIMVASTATIN 20 MG TABLET [11365],0.12,0.04,,,0
NDC,16714-684-02,SIMVASTATIN 40 MG TABLET [11366],0.14,0.05,,,0
NDC,16714-690-01,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,16714-690-10,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,16714-691-01,FLUCONAZOLE 100 MG TABLET [10044],1.11,0.39,,,0
NDC,16714-696-01,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION [14233],32.74,11.46,,,0
NDC,16714-698-01,VALACYCLOVIR 500 MG TABLET [13133],0.81,0.28,,,0
NDC,16714-698-03,VALACYCLOVIR 500 MG TABLET [13133],0.74,0.26,,,0
NDC,16714-700-01,LAMOTRIGINE 25 MG TABLET [13981],0.11,0.04,,,0
NDC,16714-701-01,LAMOTRIGINE 100 MG TABLET [13982],0.12,0.04,,,0
NDC,16714-702-01,LAMOTRIGINE 150 MG TABLET [14266],0.18,0.06,,,0
NDC,16714-703-01,LAMOTRIGINE 200 MG TABLET [13983],0.21,0.07,,,0
NDC,16714-704-01,IMATINIB 100 MG TABLET [32979],43.81,15.33,,,0
NDC,16714-717-01,ENTECAVIR 0.5 MG TABLET [41147],9.53,3.34,,,0
NDC,16714-718-01,ENTECAVIR 1 MG TABLET [41148],14.76,5.17,,,0
NDC,16714-720-02,FLUOXETINE 10 MG CAPSULE [10069],0.08,0.03,,,0
NDC,16714-721-02,FLUOXETINE 20 MG CAPSULE [10070],0.07,0.02,,,0
NDC,16714-733-01,CELECOXIB 200 MG CAPSULE [24501],1.64,0.57,,,0
NDC,16714-743-02,ITRACONAZOLE 100 MG CAPSULE [10364],4.69,1.64,,,0
NDC,16714-750-01,CLONAZEPAM 1 MG TABLET [9638],0.04,0.02,,,0
NDC,16714-753-01,HYDROXYCHLOROQUINE 200 MG TABLET [10235],1.26,0.44,,,0
NDC,16714-765-01,VALGANCICLOVIR 450 MG TABLET [30148],13.97,4.89,,,0
NDC,16714-766-01,CEFIXIME 100 MG/5 ML ORAL SUSPENSION [9446],12.99,4.55,,,0
NDC,16714-769-01,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",5.28,1.85,,,0
NDC,16714-795-02,TERBINAFINE HCL 250 MG TABLET [12724],0.21,0.07,,,0
NDC,16714-816-01,BICALUTAMIDE 50 MG TABLET [15746],0.71,0.25,,,0
NDC,16714-819-01,OSELTAMIVIR 75 MG CAPSULE [26546],9.56,3.35,,,0
NDC,16714-821-01,METHYLPHENIDATE 5 MG TABLET [4988],0.32,0.11,,,0
NDC,16714-825-01,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR [37643]",5.3,1.86,,,0
NDC,16714-829-01,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",3.13,1.1,,,0
NDC,16714-833-01,BUMETANIDE 2 MG TABLET [9311],1.59,0.56,,,0
NDC,16714-834-01,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],217.37,76.08,,,0
NDC,16714-844-01,AMIODARONE 200 MG TABLET [9066],0.3,0.11,,,0
NDC,16714-849-01,CLOMIPRAMINE 25 MG CAPSULE [9635],6.83,2.39,,,0
NDC,16714-852-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",0.65,0.23,,,0
NDC,16714-855-01,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [30072]",1.58,0.55,,,0
NDC,16714-889-01,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],448.38,156.93,,,0
NDC,16714-889-10,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],448.38,156.93,,,0
NDC,16714-894-01,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",0.22,0.08,,,0
NDC,16714-895-01,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR [37649]",0.19,0.07,,,0
NDC,16714-896-01,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR [37650]",0.39,0.14,,,0
NDC,16714-907-01,ALBENDAZOLE 200 MG TABLET [8979],191.18,66.91,,,0
NDC,16714-908-01,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],4434.8,1552.18,,,0
NDC,16714-909-01,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
NDC,16714-928-01,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,16714-964-01,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [27644]",4.95,1.73,,,0
NDC,16714-973-01,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],37.51,13.13,,,0
NDC,16714-976-01,DICLOFENAC 1 % TOPICAL GEL [100611],2.04,0.71,,,0
NDC,16714-986-01,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],2.89,1.01,,,0
NDC,16729-001-01,GLIMEPIRIDE 1 MG TABLET [16355],0.09,0.03,,,0
NDC,16729-002-01,GLIMEPIRIDE 2 MG TABLET [16356],0.14,0.05,,,0
NDC,16729-003-01,GLIMEPIRIDE 4 MG TABLET [16357],0.27,0.1,,,0
NDC,16729-020-15,PIOGLITAZONE 15 MG TABLET [25528],0.13,0.05,,,0
NDC,16729-021-15,PIOGLITAZONE 30 MG TABLET [25529],0.18,0.06,,,0
NDC,16729-023-10,BICALUTAMIDE 50 MG TABLET [15746],6.08,2.13,,,0
NDC,16729-035-10,ANASTROZOLE 1 MG TABLET [16205],0.3,0.1,,,0
NDC,16729-042-01,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",0.58,0.2,,,0
NDC,16729-049-54,TEMOZOLOMIDE 20 MG CAPSULE [25893],6.13,2.15,,,0
NDC,16729-050-54,TEMOZOLOMIDE 100 MG CAPSULE [25894],24.99,8.75,,,0
NDC,16729-078-01,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [12329]",0.34,0.12,,,0
NDC,16729-079-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [9409]",0.63,0.22,,,0
NDC,16729-090-01,FINASTERIDE 5 MG TABLET [10037],0.08,0.03,,,0
NDC,16729-092-03,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
NDC,16729-096-12,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [82090]",0.53,0.19,,,0
NDC,16729-108-11,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],5197.92,1819.27,,,0
NDC,16729-109-12,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR [96233]",0.42,0.15,,,0
NDC,16729-114-08,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,16729-114-31,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,16729-115-05,MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],1299.48,454.82,,,0
NDC,16729-132-12,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [95676]",0.14,0.05,,,0
NDC,16729-136-00,CLONAZEPAM 0.5 MG TABLET [9637],0.04,0.01,,,0
NDC,16729-137-00,CLONAZEPAM 1 MG TABLET [9638],0.04,0.02,,,0
NDC,16729-138-00,CLONAZEPAM 2 MG TABLET [9639],0.06,0.02,,,0
NDC,16729-169-01,ESCITALOPRAM 10 MG TABLET [33512],0.12,0.04,,,0
NDC,16729-174-01,AMITRIPTYLINE 75 MG TABLET [437],0.22,0.08,,,0
NDC,16729-183-01,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.01,0.0049,,,0
NDC,16729-184-01,HYDROCHLOROTHIAZIDE 50 MG TABLET [3721],0.03,0.00945,,,0
NDC,16729-202-01,BUSPIRONE 10 MG TABLET [9323],0.02,0.0056,,,0
NDC,16729-214-01,DOXAZOSIN 8 MG TABLET [9897],0.48,0.17,,,0
NDC,16729-216-15,SERTRALINE 50 MG TABLET [11351],0.09,0.03,,,0
NDC,16729-223-61,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],1522.93,533.03,,,0
NDC,16729-224-05,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,16729-239-30,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,16729-239-93,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,16729-242-31,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
NDC,16729-243-31,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION [149783],279.7,97.9,,,0
NDC,16729-251-05,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [91300],12497.84,4374.24,,,0
NDC,16729-267-63,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [148171],2396.49,838.77,,,0
NDC,16729-267-64,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
NDC,16729-276-11,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],0.85,0.3,,,0
NDC,16729-276-67,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [82204],4.7,1.65,,,0
NDC,16729-276-68,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [82200],4.7,1.65,,,0
NDC,16729-277-03,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [82178],90.19,31.57,,,0
NDC,16729-277-30,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [82178],90.19,31.57,,,0
NDC,16729-277-35,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [82178],90.19,31.57,,,0
NDC,16729-278-10,ARIPIPRAZOLE 2 MG TABLET [70306],0.31,0.11,,,0
NDC,16729-284-15,ROSUVASTATIN 5 MG TABLET [36612],0.07,0.02,,,0
NDC,16729-287-15,ROSUVASTATIN 40 MG TABLET [35136],0.08,0.03,,,0
NDC,16729-288-11,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,16729-295-12,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,16729-306-10,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,16729-321-10,OLMESARTAN 20 MG TABLET [32762],0.14,0.05,,,0
NDC,16729-321-15,OLMESARTAN 20 MG TABLET [32762],0.14,0.05,,,0
NDC,16729-364-68,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
NDC,16729-434-05,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
NDC,16729-434-45,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
NDC,16729-442-10,CINACALCET 90 MG TABLET [38102],1.3,0.46,,,0
NDC,16729-443-15,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",0.13,0.04,,,0
NDC,16729-447-15,LEVOTHYROXINE 25 MCG TABLET [4420],0.1,0.03,,,0
NDC,16729-458-15,LEVOTHYROXINE 300 MCG TABLET [4427],0.19,0.07,,,0
NDC,16729-484-45,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.27,4.29,,,0
NDC,16729-502-03,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,16729-512-43,ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],51.54,18.04,,,0
NDC,16729-526-08,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION [190365],18.84,6.59,,,0
NDC,16729-526-63,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION [190365],18.84,6.59,,,0
NDC,16951-0125-1,NORMOCARB HF 25 SOLUTION FOR INJECTION [150625],177.22,62.03,,,0
NDC,16951-0135-1,NORMOCARB HF 35 SOLUTION FOR INJECTION [150626],81.17,28.41,,,0
NDC,17238-520-05,PHENYLEPHRINE 10 % EYE DROPS [19636],24.89,8.71,,,0
NDC,17238-610-15,HYPROMELLOSE 2.5 % EYE DROPS [38092],0.81,0.28,,,0
NDC,17238-900-11,FLUORESCEIN 1 MG EYE STRIPS [27663],33.82,11.84,,,0
NDC,17238-900-30,FLUORESCEIN 1 MG EYE STRIPS [27663],33.82,11.84,,,0
NDC,17238-900-99,FLUORESCEIN 1 MG EYE STRIPS [27663],33.82,11.84,,,0
NDC,17271-701-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0.79,0.28,,,0
NDC,17271-701-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],1.99,0.7,,,0
NDC,17271-720-03,DEXTROSE 5% IN WATER (D5W) IV BOLUS [411414],3.09,1.08,,,0
NDC,17314-9600-1,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,17433-9876-0,DOCUSATE SODIUM 283 MG/5 ML ENEMA [154260],1.35,0.47,,,0
NDC,17433-9876-3,DOCUSATE SODIUM 283 MG/5 ML ENEMA [154260],1.35,0.47,,,0
NDC,17474-0123-5,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",2.84,0.99,,,0
NDC,17478-012-02,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],52.83,18.49,,,0
NDC,17478-030-02,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,17478-030-05,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,17478-030-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,17478-030-55,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,17478-040-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,17478-041-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],52.05,18.22,,,0
NDC,17478-050-01,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],181.28,63.45,,,0
NDC,17478-050-02,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],181.28,63.45,,,0
NDC,17478-062-35,WHITE PETROLATUM-MINERAL OIL 83 %-15 % EYE OINTMENT [112093],1.1,0.39,,,0
NDC,17478-064-12,HYPROMELLOSE 2.5 % EYE DROPS [38092],0.81,0.28,,,0
NDC,17478-069-14,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,17478-070-31,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],37.94,13.28,,,0
NDC,17478-070-35,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],37.94,13.28,,,0
NDC,17478-081-30,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.25,,,0
NDC,17478-097-02,CYCLOPENTOLATE 2 % EYE DROPS [9700],66.97,23.44,,,0
NDC,17478-100-02,CYCLOPENTOLATE 1 % EYE DROPS [2025],30.33,10.62,,,0
NDC,17478-100-12,CYCLOPENTOLATE 1 % EYE DROPS [2025],8.65,3.03,,,0
NDC,17478-101-12,TROPICAMIDE 0.5 % EYE DROPS [8249],15.33,5.37,,,0
NDC,17478-102-12,TROPICAMIDE 1 % EYE DROPS [8250],18.31,6.41,,,0
NDC,17478-114-30,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,17478-122-50,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],12.28,4.3,,,0
NDC,17478-200-20,PHENYLEPHRINE 2.5 % EYE DROPS [6246],26.75,9.36,,,0
NDC,17478-201-02,PHENYLEPHRINE 2.5 % EYE DROPS [6246],26.75,9.36,,,0
NDC,17478-201-15,PHENYLEPHRINE 2.5 % EYE DROPS [6246],26.75,9.36,,,0
NDC,17478-205-10,PHENYLEPHRINE 10 % EYE DROPS [19636],24.89,8.71,,,0
NDC,17478-206-05,PHENYLEPHRINE 10 % EYE DROPS [19636],24.89,8.71,,,0
NDC,17478-209-10,KETOROLAC 0.5 % EYE DROPS [19733],28.57,10.0,,,0
NDC,17478-209-19,KETOROLAC 0.5 % EYE DROPS [19733],60.34,21.12,,,0
NDC,17478-215-02,ATROPINE 1 % EYE DROPS [736],50.06,17.52,,,0
NDC,17478-215-05,ATROPINE 1 % EYE DROPS [736],50.06,17.52,,,0
NDC,17478-215-15,ATROPINE 1 % EYE DROPS [736],50.06,17.52,,,0
NDC,17478-221-12,SULFACETAMIDE SODIUM 10 % EYE DROPS [7359],2.98,1.04,,,0
NDC,17478-238-35,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT [856]",15.46,5.41,,,0
NDC,17478-253-10,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],25.0,8.75,,,0
NDC,17478-263-12,PROPARACAINE 0.5 % EYE DROPS [6644],12.72,4.45,,,0
NDC,17478-283-10,GENTAMICIN 0.3 % EYE DROPS [3428],217.81,76.23,,,0
NDC,17478-288-10,TIMOLOL MALEATE 0.5 % EYE DROPS [11562],12.63,4.42,,,0
NDC,17478-288-11,TIMOLOL MALEATE 0.5 % EYE DROPS [11562],12.63,4.42,,,0
NDC,17478-288-12,TIMOLOL MALEATE 0.5 % EYE DROPS [11562],12.63,4.42,,,0
NDC,17478-291-11,CROMOLYN 4 % EYE DROPS [9691],350.39,122.64,,,0
NDC,17478-380-20,METHADONE 10 MG/ML INJECTION SOLUTION [10546],206.25,72.19,,,0
NDC,17478-403-03,FLUORESCEIN 0.6 MG EYE STRIPS [27662],33.82,11.84,,,0
NDC,17478-404-01,FLUORESCEIN 1 MG EYE STRIPS [27663],33.82,11.84,,,0
NDC,17478-420-40,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],29.09,10.18,,,0
NDC,17478-422-40,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],752.19,263.27,,,0
NDC,17478-447-08,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],45.3,15.85,,,0
NDC,17478-501-01,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],46.38,16.23,,,0
NDC,17478-515-00,EPHEDRINE SULFATE 50 MG/ML INJECTION SOLUTION [2833],54.11,18.94,,,0
NDC,17478-524-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,17478-526-03,DIMERCAPROL 100 MG/ML INTRAMUSCULAR SOLUTION [9872],53.68,18.79,,,0
NDC,17478-538-02,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],112.09,39.23,,,0
NDC,17478-540-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,17478-540-05,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,17478-540-50,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,17478-542-02,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],249.96,87.48,,,0
NDC,17478-622-35,SODIUM CHLORIDE 5 % EYE OINTMENT [7331],6.57,2.3,,,0
NDC,17478-623-12,SODIUM CHLORIDE 5 % EYE DROPS [7332],2.25,0.79,,,0
NDC,17478-625-12,LATANOPROST 0.005 % EYE DROPS [18621],143.4,50.19,,,0
NDC,17478-701-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],690.6,241.71,,,0
NDC,17478-703-11,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS [103278]",6.63,2.32,,,0
NDC,17478-713-10,OFLOXACIN 0.3 % EYE DROPS [19746],16.72,5.85,,,0
NDC,17478-713-11,OFLOXACIN 0.3 % EYE DROPS [19746],15.0,5.25,,,0
NDC,17478-714-25,CIPROFLOXACIN 0.3 % EYE DROPS [9610],139.61,48.86,,,0
NDC,17478-792-01,LIDOCAINE (PF) 3.5 % EYE GEL [94220],36.51,12.78,,,0
NDC,17478-792-10,LIDOCAINE (PF) 3.5 % EYE GEL [94220],36.51,12.78,,,0
NDC,17478-792-25,LIDOCAINE (PF) 3.5 % EYE GEL [94220],36.51,12.78,,,0
NDC,17478-892-25,DICLOFENAC 0.1 % EYE DROPS [19714],64.94,22.73,,,0
NDC,17478-931-01,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION [9348],171.36,59.98,,,0
NDC,17478-934-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,17478-934-15,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,17478-937-05,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,17478-937-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,17478-937-25,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,17478-953-02,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],249.96,87.48,,,0
NDC,17478-957-40,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],752.19,263.27,,,0
NDC,17856-600-02,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION [158528],3.3,1.16,,,0
NDC,18657-117-01,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION [76338]",575.98,201.59,,,0
NDC,18657-117-04,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION [76338]",575.98,201.59,,,0
NDC,1990301021,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.52,0.53,,,0
NDC,2055500301,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",0.02,0.00735,,,0
NDC,2055502101,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0.01,0.0049,,,0
NDC,2055502500,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET [110379],0.04,0.01,,,0
NDC,2055504000,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],0.18,0.06,,,0
NDC,21695-230-15,NABUMETONE 500 MG TABLET [10676],3.26,1.14,,,0
NDC,21695-313-01,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE [17381],2241.88,784.66,,,0
NDC,23155-004-01,HYDRALAZINE 100 MG TABLET [3699],0.14,0.05,,,0
NDC,23155-008-01,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.04,0.01,,,0
NDC,23155-023-01,BUSPIRONE 5 MG TABLET [9324],0.05,0.02,,,0
NDC,23155-026-01,VERAPAMIL 80 MG TABLET [8530],0.11,0.04,,,0
NDC,23155-043-03,LEFLUNOMIDE 10 MG TABLET [23872],0.73,0.26,,,0
NDC,23155-044-03,LEFLUNOMIDE 20 MG TABLET [23873],0.73,0.26,,,0
NDC,23155-045-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [19146],0.28,0.1,,,0
NDC,23155-070-01,METHIMAZOLE 5 MG TABLET [10553],0.15,0.05,,,0
NDC,23155-102-01,METFORMIN 500 MG TABLET [10544],0.04,0.01,,,0
NDC,23155-108-00,NIMODIPINE 30 MG CAPSULE [10722],7.75,2.71,,,0
NDC,23155-108-11,NIMODIPINE 30 MG CAPSULE [10722],9.2,3.22,,,0
NDC,23155-108-30,NIMODIPINE 30 MG CAPSULE [10722],7.5,2.62,,,0
NDC,23155-111-01,PROPRANOLOL 20 MG TABLET [6657],0.2,0.07,,,0
NDC,23155-112-01,PROPRANOLOL 40 MG TABLET [6658],0.25,0.09,,,0
NDC,23155-118-01,CALCITRIOL 0.25 MCG CAPSULE [9350],0.97,0.34,,,0
NDC,23155-119-01,CALCITRIOL 0.5 MCG CAPSULE [9351],1.53,0.53,,,0
NDC,23155-160-32,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,23155-166-31,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,23155-166-41,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,23155-178-01,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0.4,0.14,,,0
NDC,23155-186-31,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],29.42,10.3,,,0
NDC,23155-194-01,NIFEDIPINE 10 MG CAPSULE [5558],0.38,0.13,,,0
NDC,23155-213-31,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
NDC,23155-216-31,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378],1552.05,543.22,,,0
NDC,23155-240-31,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],61.84,21.65,,,0
NDC,23155-240-41,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],61.84,21.65,,,0
NDC,23155-250-01,VENLAFAXINE 100 MG TABLET [12205],0.14,0.05,,,0
NDC,23155-287-01,ACETAZOLAMIDE 125 MG TABLET [112],0.26,0.09,,,0
NDC,23155-290-32,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [147620]",512.15,179.25,,,0
NDC,23155-290-42,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [147620]",512.15,179.25,,,0
NDC,23155-294-31,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,23155-294-42,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,23155-313-31,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],325.18,113.81,,,0
NDC,23155-473-31,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,23155-473-32,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,23155-473-33,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,23155-473-41,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,23155-473-42,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,23155-473-44,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,23155-486-01,VERAPAMIL 120 MG TABLET [8528],0.09,0.03,,,0
NDC,23155-497-31,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,23155-497-42,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,23155-512-00,NIMODIPINE 30 MG CAPSULE [10722],1.2,0.42,,,0
NDC,23155-512-11,NIMODIPINE 30 MG CAPSULE [10722],1.2,0.42,,,0
NDC,23155-512-30,NIMODIPINE 30 MG CAPSULE [10722],1.2,0.42,,,0
NDC,23155-540-25,DOXERCALCIFEROL 2.5 MCG CAPSULE [25354],15.28,5.35,,,0
NDC,23155-547-31,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,23155-547-41,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,23155-547-42,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,23155-578-01,DESIPRAMINE 10 MG TABLET [2283],0.88,0.31,,,0
NDC,23155-600-31,MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],25.74,9.01,,,0
NDC,23155-600-41,MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],25.74,9.01,,,0
NDC,23155-603-51,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],6.76,2.37,,,0
NDC,23155-606-01,GLYCOPYRROLATE 1 MG TABLET [10130],0.12,0.04,,,0
NDC,23155-649-41,CARMUSTINE 100 MG INTRAVENOUS SOLUTION [28911],519.24,181.73,,,0
NDC,23155-660-31,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,23155-661-42,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,23155-662-01,CALCITRIOL 0.25 MCG CAPSULE [9350],0.27,0.09,,,0
NDC,23155-663-01,CALCITRIOL 0.5 MCG CAPSULE [9351],0.42,0.15,,,0
NDC,23155-689-31,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,23155-689-41,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,23155-704-01,ENALAPRIL MALEATE 2.5 MG TABLET [9925],0.17,0.06,,,0
NDC,23155-723-01,LABETALOL 100 MG TABLET [10373],0.29,0.1,,,0
NDC,23155-724-01,LABETALOL 200 MG TABLET [10374],0.41,0.14,,,0
NDC,23155-771-31,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],0.6,0.21,,,0
NDC,23155-773-01,ENALAPRIL MALEATE 20 MG TABLET [9926],0.32,0.11,,,0
NDC,23155-786-41,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [147620]",512.15,179.25,,,0
NDC,23155-837-11,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],1.1,0.38,,,0
NDC,23155-837-30,CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],1.1,0.38,,,0
NDC,2335910010,MULTIVIT-MINERALS NO.73-IRON FUMARATE 106 MG-FOLIC ACID 1 MG CAPSULE [33637],0.47,0.17,,,0
NDC,23594-505-01,PREDNISOLONE 5 MG TABLET [6483],15.45,5.41,,,0
NDC,23594-505-50,PREDNISOLONE 5 MG TABLET [6483],14.06,4.92,,,0
NDC,24090-470-88,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]",17.68,6.19,,,0
NDC,24090-471-88,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]",20.66,7.23,,,0
NDC,24090-473-88,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE [38226]",24.85,8.7,,,0
NDC,24090-479-88,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE [37661]",25.94,9.08,,,0
NDC,24201-010-20,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION [6097],152.67,53.44,,,0
NDC,24201-201-01,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [41793],165.05,57.77,,,0
NDC,24201-201-05,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [41793],165.05,57.77,,,0
NDC,24201-400-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],6360.8,2226.28,,,0
NDC,24208-002-01,HYALURONIDASE (OVINE) 200 UNIT/ML INJECTION SOLUTION [40449],257.69,90.19,,,0
NDC,24208-002-02,HYALURONIDASE (OVINE) 200 UNIT/ML INJECTION SOLUTION [40449],257.69,90.19,,,0
NDC,24208-277-15,SODIUM CHLORIDE 5 % EYE DROPS [7332],2.25,0.79,,,0
NDC,24208-290-05,TOBRAMYCIN 0.3 % EYE DROPS [7995],27.33,9.56,,,0
NDC,24208-295-05,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [11567]",70.16,24.56,,,0
NDC,24208-295-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [11567]",121.76,42.61,,,0
NDC,24208-314-25,FLURBIPROFEN 0.03 % EYE DROPS [10080],58.44,20.46,,,0
NDC,24208-315-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS [103278]",6.63,2.32,,,0
NDC,24208-385-55,SODIUM CHLORIDE 5 % EYE OINTMENT [7331],6.57,2.3,,,0
NDC,24208-385-56,SODIUM CHLORIDE 5 % EYE OINTMENT [7331],6.57,2.3,,,0
NDC,24208-410-05,OFLOXACIN 0.3 % EAR DROPS [22257],86.31,30.21,,,0
NDC,24208-410-10,OFLOXACIN 0.3 % EAR DROPS [22257],86.31,30.21,,,0
NDC,24208-411-05,BRIMONIDINE 0.2 % EYE DROPS [17881],7.57,2.65,,,0
NDC,24208-416-01,FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT [41193],81349.31,28472.26,,,0
NDC,24208-434-05,OFLOXACIN 0.3 % EYE DROPS [19746],16.72,5.85,,,0
NDC,24208-457-05,DICLOFENAC 0.1 % EYE DROPS [19714],54.23,18.98,,,0
NDC,24208-457-25,DICLOFENAC 0.1 % EYE DROPS [19714],64.94,22.73,,,0
NDC,24208-463-25,LATANOPROST 0.005 % EYE DROPS [18621],143.4,50.19,,,0
NDC,24208-485-10,DORZOLAMIDE 2 % EYE DROPS [14471],24.89,8.71,,,0
NDC,24208-486-10,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],66.02,23.11,,,0
NDC,24208-503-07,LOTEPREDNOL ETABONATE 0.5 % EYE GEL DROPS [160476],108.79,38.08,,,0
NDC,24208-508-01,LOTEPREDNOL ETABONATE 0.5 % EYE GEL DROPS [160476],108.79,38.08,,,0
NDC,24208-539-20,ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT [32559],442.38,154.83,,,0
NDC,24208-555-55,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT [856]",15.46,5.41,,,0
NDC,24208-580-60,GENTAMICIN 0.3 % EYE DROPS [3428],43.56,15.25,,,0
NDC,24208-585-59,TROPICAMIDE 1 % EYE DROPS [8250],18.31,6.41,,,0
NDC,24208-585-64,TROPICAMIDE 1 % EYE DROPS [8250],18.31,6.41,,,0
NDC,24208-590-64,TROPICAMIDE 0.5 % EYE DROPS [8249],15.33,5.37,,,0
NDC,24208-631-10,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION [34814]",377.45,132.11,,,0
NDC,24208-635-62,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP [28810]",330.1,115.53,,,0
NDC,24208-670-04,SULFACETAMIDE SODIUM 10 % EYE DROPS [7359],2.98,1.04,,,0
NDC,24208-676-15,PILOCARPINE 1 % EYE DROPS [6279],60.88,21.31,,,0
NDC,24208-686-15,PILOCARPINE 4 % EYE DROPS [6282],102.82,35.99,,,0
NDC,24208-720-02,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS [2335],217.81,76.23,,,0
NDC,24208-730-06,PROPARACAINE 0.5 % EYE DROPS [6644],12.72,4.45,,,0
NDC,24208-735-01,CYCLOPENTOLATE 1 % EYE DROPS [2025],30.33,10.62,,,0
NDC,24208-735-06,CYCLOPENTOLATE 1 % EYE DROPS [2025],8.65,3.03,,,0
NDC,24208-740-59,PHENYLEPHRINE 2.5 % EYE DROPS [6246],26.75,9.36,,,0
NDC,24208-750-60,ATROPINE 1 % EYE DROPS [736],50.06,17.52,,,0
NDC,24208-780-55,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT [38701]",80.4,28.14,,,0
NDC,24208-785-55,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT [849]",236.75,82.86,,,0
NDC,24208-790-62,"NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS [5474]",258.4,90.44,,,0
NDC,24208-795-35,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT [19495]",102.82,35.99,,,0
NDC,24208-816-05,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION [24576],56.82,19.89,,,0
NDC,24208-819-05,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION [24576],56.82,19.89,,,0
NDC,24208-830-60,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS [10708]",49.24,17.24,,,0
NDC,24208-910-19,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],37.94,13.28,,,0
NDC,24208-910-55,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],37.94,13.28,,,0
NDC,24338-010-09,ISOSORBIDE 20 MG-HYDRALAZINE 37.5 MG TABLET [41893],4.34,1.52,,,0
NDC,24338-010-18,ISOSORBIDE 20 MG-HYDRALAZINE 37.5 MG TABLET [41893],3.83,1.34,,,0
NDC,24338-104-13,ERYTHROMYCIN 500 MG TABLET [2890],17.49,6.12,,,0
NDC,24338-122-03,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE [102623]",8.54,2.99,,,0
NDC,24338-122-13,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE [102623]",7.36,2.58,,,0
NDC,24338-124-03,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE [2892]",10.75,3.76,,,0
NDC,24338-134-02,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION [2899],4.06,1.42,,,0
NDC,24338-136-10,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION [2899],4.06,1.42,,,0
NDC,24338-230-05,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY) [188119],31.48,11.02,,,0
NDC,24338-230-12,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY) [188119],31.48,11.02,,,0
NDC,24338-260-10,NIMODIPINE 60 MG/10 ML ORAL SYRINGE (FOR ORAL USE ONLY) [188120],31.48,11.02,,,0
NDC,24338-260-12,NIMODIPINE 60 MG/10 ML ORAL SYRINGE (FOR ORAL USE ONLY) [188120],31.48,11.02,,,0
NDC,24338-300-65,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL [27096],167.31,58.56,,,0
NDC,2435730030,POTASSIUM ALUM (BULK) POWDER [346],23.64,8.27,,,0
NDC,24477-030-25,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,24477-323-01,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],6.83,2.39,,,0
NDC,24477-323-02,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],6.83,2.39,,,0
NDC,24571-103-05,BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L [112905],65.93,23.08,,,0
NDC,24571-108-05,BICARBONATE DIALYSIS SOLN 11 (NO POTASSIUM) CALC 2.5 MEQ-MAG 1.5 MEQ/L [112904],177.22,62.03,,,0
NDC,24658-760-16,SODIUM POLYSTYRENE SULFONATE 15 GRAM ORAL POWDER [7356],0.19,0.07,,,0
NDC,24689-793-02,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],0.63,0.22,,,0
NDC,24987-242-56,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],12.42,4.35,,,0
NDC,24987-249-55,DIGOXIN 250 MCG (0.25 MG) TABLET [2445],7.2,2.52,,,0
NDC,24987-249-56,DIGOXIN 250 MCG (0.25 MG) TABLET [2445],10.44,3.65,,,0
NDC,24987-260-10,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [102724],31.57,11.05,,,0
NDC,24987-262-10,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION [9853],202.69,70.94,,,0
NDC,24987-378-10,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],155.9,54.57,,,0
NDC,24987-379-34,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],311.8,109.13,,,0
NDC,24987-562-10,HYDROXYCHLOROQUINE 200 MG TABLET [10235],8.58,3.0,,,0
NDC,24987-700-60,RILUZOLE 50 MG TABLET [16124],44.81,15.68,,,0
NDC,25010-210-27,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],11246.43,3936.25,,,0
NDC,25010-215-15,ETHACRYNIC ACID 25 MG TABLET [9980],24.44,8.56,,,0
NDC,25010-405-15,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],10.27,3.6,,,0
NDC,25010-711-15,CARBIDOPA 25 MG TABLET [26703],29.58,10.35,,,0
NDC,25010-817-56,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION [24576],56.82,19.89,,,0
NDC,25021-101-10,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,25021-102-99,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,25021-106-10,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,25021-112-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,25021-113-82,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.85,0.3,,,0
NDC,25021-113-87,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,25021-114-87,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],4.91,1.72,,,0
NDC,25021-115-04,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],76.78,26.87,,,0
NDC,25021-121-20,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],110.14,38.55,,,0
NDC,25021-122-50,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],220.29,77.1,,,0
NDC,25021-127-20,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],155.9,54.57,,,0
NDC,25021-127-66,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],155.9,54.57,,,0
NDC,25021-128-50,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],311.8,109.13,,,0
NDC,25021-131-82,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],3.33,1.16,,,0
NDC,25021-132-81,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107002],5.88,2.06,,,0
NDC,25021-132-82,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [18924],5.88,2.06,,,0
NDC,25021-132-83,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107001],5.88,2.06,,,0
NDC,25021-135-10,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],73.44,25.7,,,0
NDC,25021-136-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.88,51.41,,,0
NDC,25021-142-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,25021-143-30,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,25021-146-10,OXACILLIN 1 GRAM SOLUTION FOR INJECTION [103765],78.44,27.45,,,0
NDC,25021-146-66,OXACILLIN 1 GRAM SOLUTION FOR INJECTION [103765],78.44,27.45,,,0
NDC,25021-157-99,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],788.28,275.9,,,0
NDC,25021-158-99,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],1576.56,551.79,,,0
NDC,25021-159-10,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,25021-162-24,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],156.87,54.9,,,0
NDC,25021-164-30,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,25021-165-30,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,25021-166-48,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,25021-173-04,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [147620]",512.15,179.25,,,0
NDC,25021-177-50,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,25021-179-15,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
NDC,25021-179-16,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
NDC,25021-184-66,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.85,0.3,,,0
NDC,25021-184-82,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.85,0.3,,,0
NDC,25021-184-87,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,25021-191-10,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],1417.28,496.05,,,0
NDC,25021-191-11,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],1417.28,496.05,,,0
NDC,25021-192-82,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [91237],4.91,1.72,,,0
NDC,25021-192-87,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],4.91,1.72,,,0
NDC,25021-201-10,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
NDC,25021-201-66,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
NDC,25021-201-67,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
NDC,25021-204-01,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],10.34,3.62,,,0
NDC,25021-204-05,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [41673],278.18,97.36,,,0
NDC,25021-205-05,FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],1591.53,557.03,,,0
NDC,25021-207-25,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [112879],15.25,5.34,,,0
NDC,25021-209-50,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],4090.79,1431.78,,,0
NDC,25021-219-20,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,25021-223-20,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],72.4,25.34,,,0
NDC,25021-229-05,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION [113295],14.48,5.07,,,0
NDC,25021-230-02,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [91055],1150.57,402.7,,,0
NDC,25021-230-05,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [17450],230.12,80.54,,,0
NDC,25021-231-20,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,25021-234-10,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
NDC,25021-235-50,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],4090.79,1431.78,,,0
NDC,25021-236-04,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION [149783],279.7,97.9,,,0
NDC,25021-242-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION [41294],604.94,211.73,,,0
NDC,25021-245-01,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [148171],2396.49,838.77,,,0
NDC,25021-245-04,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
NDC,25021-251-50,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],5197.92,1819.27,,,0
NDC,25021-253-50,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,25021-255-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,25021-259-50,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION [70267],519.24,181.73,,,0
NDC,25021-301-02,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],249.96,87.48,,,0
NDC,25021-303-05,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,25021-305-20,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],1660.8,581.28,,,0
NDC,25021-305-66,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],1660.77,581.27,,,0
NDC,25021-307-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],249.96,87.48,,,0
NDC,25021-310-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],489.85,171.45,,,0
NDC,25021-311-04,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,25021-313-87,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
NDC,25021-315-99,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,25021-316-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,25021-318-02,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],249.96,87.48,,,0
NDC,25021-319-05,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,25021-319-25,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,25021-321-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,25021-400-10,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,25021-400-67,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,25021-401-02,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [110555]",7.09,2.48,,,0
NDC,25021-402-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,25021-402-10,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,25021-415-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,25021-418-82,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK [185777]",0.76,0.27,,,0
NDC,25021-451-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],77.8,27.23,,,0
NDC,25021-452-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,25021-453-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,25021-461-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,25021-462-74,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,25021-500-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,25021-601-03,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
NDC,25021-602-03,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [77411],17.59,6.16,,,0
NDC,25021-608-51,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,25021-651-02,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],112.09,39.23,,,0
NDC,25021-657-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,25021-662-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,25021-662-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,25021-670-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],21.92,7.67,,,0
NDC,25021-673-76,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [112833],2.22,0.78,,,0
NDC,25021-673-77,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [112833],2.22,0.78,,,0
NDC,25021-674-20,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,25021-700-01,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,25021-701-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,25021-703-60,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97342],976.64,341.82,,,0
NDC,25021-780-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,25021-791-20,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],9.47,3.31,,,0
NDC,25021-801-66,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
NDC,25021-806-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,25021-812-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],27.0,9.45,,,0
NDC,25021-813-10,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION [4394],34.6,12.11,,,0
NDC,25021-814-30,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION [4392],83.85,29.35,,,0
NDC,25021-815-30,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION [15426],121.11,42.39,,,0
NDC,25021-816-30,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],121.11,42.39,,,0
NDC,25021-817-10,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],325.18,113.81,,,0
NDC,25021-822-73,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [70544],869.7,304.39,,,0
NDC,25021-823-10,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,25021-826-82,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK [163733],6.23,2.18,,,0
NDC,25021-827-61,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [70544],869.7,304.39,,,0
NDC,25021-830-82,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],29.42,10.3,,,0
NDC,25208-002-02,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS [113057],8.79,3.08,,,0
NDC,25431-424-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],690.6,241.71,,,0
NDC,25682-001-01,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [81696],1024.61,358.61,,,0
NDC,25682-025-01,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [189514],11431.14,4000.9,,,0
NDC,25682-028-01,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [189514],11431.14,4000.9,,,0
NDC,27241-003-06,RISPERIDONE 0.5 MG TABLET [25520],0.13,0.05,,,0
NDC,27241-042-21,ALMOTRIPTAN MALATE 12.5 MG TABLET [30322],33.0,11.55,,,0
NDC,27241-042-68,ALMOTRIPTAN MALATE 12.5 MG TABLET [30322],33.0,11.55,,,0
NDC,27241-097-06,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",0.3,0.1,,,0
NDC,27241-098-09,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",0.3,0.1,,,0
NDC,27241-099-03,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",0.3,0.1,,,0
NDC,27241-139-09,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [152607],7.54,2.64,,,0
NDC,27241-159-19,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],25.16,8.81,,,0
NDC,27241-199-90,DROXIDOPA 100 MG CAPSULE [167193],1.11,0.39,,,0
NDC,27437-050-56,METHYLERGONOVINE 0.2 MG TABLET [10572],62.21,21.77,,,0
NDC,27437-106-01,NITAZOXANIDE 100 MG/5 ML ORAL SUSPENSION [34708],23.0,8.05,,,0
NDC,27808-002-01,RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],52.76,18.47,,,0
NDC,27808-082-02,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],71.7,25.1,,,0
NDC,27808-086-01,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR [9582],6.22,2.18,,,0
NDC,28595-120-49,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL [27096],167.31,58.56,,,0
NDC,29033-003-01,SUCRALFATE TABLET G-TUBE TOPICAL ONLY [411461],0.29,0.1,,,0
NDC,29033-004-12,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [27633]",1.64,0.57,,,0
NDC,29033-026-02,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],0.7,0.25,,,0
NDC,29300-113-16,LAMOTRIGINE 150 MG TABLET [14266],0.11,0.04,,,0
NDC,29300-116-16,TOPIRAMATE 50 MG TABLET [37616],0.12,0.04,,,0
NDC,29300-125-01,MELOXICAM 15 MG TABLET [20580],0.05,0.02,,,0
NDC,29300-126-01,BISOPROLOL FUMARATE 5 MG TABLET [18288],0.58,0.2,,,0
NDC,29300-130-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [19146],0.1,0.04,,,0
NDC,29300-135-01,CLONIDINE HCL 0.1 MG TABLET [1755],0.05,0.02,,,0
NDC,29300-136-01,CLONIDINE HCL 0.2 MG TABLET [1756],0.06,0.02,,,0
NDC,29300-137-01,CLONIDINE HCL 0.3 MG TABLET [1757],0.11,0.04,,,0
NDC,29300-138-01,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",0.18,0.06,,,0
NDC,29300-187-01,BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18291],0.42,0.15,,,0
NDC,29300-187-13,BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18291],0.48,0.17,,,0
NDC,29300-188-13,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18290],0.48,0.17,,,0
NDC,29300-189-01,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18289],0.42,0.15,,,0
NDC,29300-226-01,METRONIDAZOLE 250 MG TABLET [5015],0.3,0.11,,,0
NDC,29300-227-01,METRONIDAZOLE 500 MG TABLET [5016],0.51,0.18,,,0
NDC,29300-227-05,METRONIDAZOLE 500 MG TABLET [5016],0.5,0.18,,,0
NDC,29300-244-01,BUSPIRONE 5 MG TABLET [9324],0.05,0.02,,,0
NDC,300450080021,"LACTASE 3,000 UNIT TABLET [22469]",2.45,0.86,,,0
NDC,30698-060-01,FUROSEMIDE 40 MG TABLET [3295],1.1,0.38,,,0
NDC,30698-144-01,CALCITRIOL 0.5 MCG CAPSULE [9351],2.65,0.93,,,0
NDC,31357-040-25,AZITHROMYCIN 1 % EYE DROPS [81880],212.4,74.34,,,0
NDC,3160402612,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],1.0,0.35,,,0
NDC,31722-014-90,DROXIDOPA 100 MG CAPSULE [167193],1.11,0.39,,,0
NDC,31722-015-90,DROXIDOPA 200 MG CAPSULE [167194],2.22,0.78,,,0
NDC,31722-016-47,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION [148555],3.65,1.28,,,0
NDC,31722-053-60,IVABRADINE 5 MG TABLET [169314],27.86,9.75,,,0
NDC,31722-103-30,CINACALCET 30 MG TABLET [38100],0.73,0.26,,,0
NDC,31722-105-30,CINACALCET 90 MG TABLET [38102],2.17,0.76,,,0
NDC,31722-143-01,CAPTOPRIL 50 MG TABLET [9403],1.49,0.52,,,0
NDC,31722-225-05,GEMFIBROZIL 600 MG TABLET [3378],0.22,0.08,,,0
NDC,31722-228-01,ZONISAMIDE 100 MG CAPSULE [27780],0.49,0.17,,,0
NDC,31722-268-90,QUINAPRIL 10 MG TABLET [11251],0.17,0.06,,,0
NDC,31722-405-05,GABAPENTIN 600 MG TABLET [25855],0.65,0.23,,,0
NDC,31722-505-60,NEVIRAPINE 200 MG TABLET [17403],0.17,0.06,,,0
NDC,31722-522-01,HYDRALAZINE 100 MG TABLET [3699],0.51,0.18,,,0
NDC,31722-530-01,TORSEMIDE 10 MG TABLET [18292],0.18,0.06,,,0
NDC,31722-532-01,TORSEMIDE 100 MG TABLET [18294],0.45,0.16,,,0
NDC,31722-533-01,METHOCARBAMOL 500 MG TABLET [4971],0.12,0.04,,,0
NDC,31722-534-01,METHOCARBAMOL 750 MG TABLET [4972],0.14,0.05,,,0
NDC,31722-537-12,LEVETIRACETAM 500 MG TABLET [26817],0.33,0.11,,,0
NDC,31722-542-01,INDOMETHACIN 25 MG CAPSULE [3897],0.19,0.07,,,0
NDC,31722-543-01,INDOMETHACIN 50 MG CAPSULE [3898],0.22,0.08,,,0
NDC,31722-556-12,LOPINAVIR-RITONAVIR 200 MG-50 MG TABLET [43391],7.37,2.58,,,0
NDC,31722-562-24,ABACAVIR 20 MG/ML ORAL SOLUTION [24439],4.06,1.42,,,0
NDC,31722-565-01,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE [14628]",1.25,0.44,,,0
NDC,31722-574-47,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],13.53,4.73,,,0
NDC,31722-580-60,MARAVIROC 300 MG TABLET [87999],23.51,8.23,,,0
NDC,31722-585-30,NEBIVOLOL 2.5 MG TABLET [89285],0.42,0.15,,,0
NDC,31722-586-30,NEBIVOLOL 5 MG TABLET [89284],0.42,0.15,,,0
NDC,31722-587-30,NEBIVOLOL 10 MG TABLET [89286],0.42,0.15,,,0
NDC,31722-681-47,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],36.53,12.78,,,0
NDC,31722-700-90,LOSARTAN 25 MG TABLET [14823],0.14,0.05,,,0
NDC,31722-702-30,LOSARTAN 100 MG TABLET [22588],0.26,0.09,,,0
NDC,31722-702-90,LOSARTAN 100 MG TABLET [22588],0.26,0.09,,,0
NDC,31722-728-30,MONTELUKAST 5 MG CHEWABLE TABLET [22510],0.36,0.12,,,0
NDC,31722-729-30,IRBESARTAN 75 MG TABLET [21847],0.35,0.12,,,0
NDC,31722-731-30,IRBESARTAN 300 MG TABLET [21849],0.44,0.16,,,0
NDC,31722-731-90,IRBESARTAN 300 MG TABLET [21849],0.44,0.16,,,0
NDC,31722-777-01,ACYCLOVIR 400 MG TABLET [8971],0.18,0.06,,,0
NDC,31722-813-60,LACOSAMIDE 100 MG TABLET [96969],0.67,0.24,,,0
NDC,31722-834-30,ENTECAVIR 1 MG TABLET [41148],1.33,0.47,,,0
NDC,31722-868-03,TOLVAPTAN 15 MG TABLET [97893],60.0,21.0,,,0
NDC,31722-868-31,TOLVAPTAN 15 MG TABLET [97893],60.0,21.0,,,0
NDC,31722-882-90,ROSUVASTATIN 5 MG TABLET [36612],0.19,0.07,,,0
NDC,3172293847,CHERRY FLAVOR (BULK) ORAL LIQUID [1562],0.11,0.04,,,0
NDC,3172295901,COMPOUNDING VEHICLE SYRUP NO.23 [182304],1.35,0.47,,,0
NDC,32909-105-10,BARIUM SULFATE 81 % (W/W) ORAL POWDER [99696],3.58,1.25,,,0
NDC,32909-115-00,"BARIUM SULFATE 40 % (W/V), 30 % (W/W) ORAL SUSPENSION [39786]",0.25,0.09,,,0
NDC,32909-122-07,"BARIUM SULFATE 40 % (W/V), 29% (W/W) ORAL SUSPENSION [113530]",0.83,0.29,,,0
NDC,32909-125-22,"BARIUM SULFATE 40 % (W/V), 30% (W/W) ORAL PASTE [113419]",0.08,0.03,,,0
NDC,32909-168-02,"BARIUM SULFATE 105 % (W/V), 58 % (W/W) ORAL SUSPENSION [97296]",0.27,0.09,,,0
NDC,32909-186-02,BARIUM SULFATE 60 % (W/V) ORAL SUSPENSION [12748],1.35,0.47,,,0
NDC,32909-764-01,BARIUM SULFATE 98 % ORAL POWDER FOR SUSPENSION [19436],22.89,8.01,,,0
NDC,32909-770-01,BARIUM SULFATE 60 % ORAL CREAM [96947],182.64,63.92,,,0
NDC,32909-814-53,"BARIUM SULFATE 40 % (W/V), 30 % (W/W) ORAL SUSPENSION [39786]",1.5,0.53,,,0
NDC,32909-926-03,"BARIUM SULFATE 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION [93052]",0.06,0.02,,,0
NDC,3290994503,"BARIUM SULFATE 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION [93052]",28.41,9.94,,,0
NDC,33342-004-09,NEVIRAPINE 200 MG TABLET [17403],0.17,0.06,,,0
NDC,33342-033-10,PRAMIPEXOLE 0.5 MG TABLET [22719],0.17,0.06,,,0
NDC,33342-047-07,IRBESARTAN 75 MG TABLET [21847],0.23,0.08,,,0
NDC,33342-054-07,PIOGLITAZONE 15 MG TABLET [25528],0.13,0.05,,,0
NDC,33342-055-07,PIOGLITAZONE 30 MG TABLET [25529],0.18,0.06,,,0
NDC,33342-055-10,PIOGLITAZONE 30 MG TABLET [25529],0.18,0.06,,,0
NDC,33342-056-07,PIOGLITAZONE 45 MG TABLET [25530],0.19,0.07,,,0
NDC,33342-089-09,RIVASTIGMINE 1.5 MG CAPSULE [28278],0.33,0.12,,,0
NDC,33342-090-09,RIVASTIGMINE 3 MG CAPSULE [28279],0.33,0.12,,,0
NDC,33342-092-09,RIVASTIGMINE 6 MG CAPSULE [28281],0.33,0.12,,,0
NDC,33342-094-02,RIZATRIPTAN 10 MG DISINTEGRATING TABLET [27630],0.99,0.35,,,0
NDC,33342-094-41,RIZATRIPTAN 10 MG DISINTEGRATING TABLET [27630],0.99,0.35,,,0
NDC,33342-097-09,TOLTERODINE 1 MG TABLET [22782],0.41,0.14,,,0
NDC,33342-098-09,TOLTERODINE 2 MG TABLET [22783],0.42,0.15,,,0
NDC,33342-116-07,CANDESARTAN 16 MG TABLET [23231],1.03,0.36,,,0
NDC,33342-258-66,OSELTAMIVIR 75 MG CAPSULE [26546],2.5,0.88,,,0
NDC,33342-327-80,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM [8112],0.42,0.15,,,0
NDC,35356-033-30,SERTRALINE 25 MG TABLET [19882],44.64,15.63,,,0
NDC,35356-351-01,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],29.42,10.3,,,0
NDC,35573-311-10,ISOMETHEPTENE-DICHLORALPHEN-ACETAMINOPHEN 65 MG-100 MG-325 MG CAPSULE [4018],2.66,0.93,,,0
NDC,35573-428-51,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.38,0.13,,,0
NDC,35573-428-80,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.38,0.13,,,0
NDC,35664-01053,GELATIN MEDICATED BANDAGE 4 X 10 YARD GELOCAST [409162],22.29,7.8,,,0
NDC,36000-001-24,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],3.33,1.16,,,0
NDC,36000-002-06,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.89,0.31,,,0
NDC,36000-002-10,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.89,0.31,,,0
NDC,36000-003-06,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,36000-003-10,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,36000-008-24,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [91237],4.91,1.72,,,0
NDC,36000-009-24,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9611],4.91,1.72,,,0
NDC,36000-012-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,36000-033-10,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,36000-047-24,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [18924],5.88,2.06,,,0
NDC,36000-065-05,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,36000-149-01,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],5.48,1.92,,,0
NDC,36000-149-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],5.48,1.92,,,0
NDC,36000-162-01,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,36000-242-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,36000-282-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,36000-283-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,36000-284-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,36000-326-01,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],217.37,76.08,,,0
NDC,36000-326-02,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],217.37,76.08,,,0
NDC,37205-110-38,MAGNESIUM CITRATE ORAL SOLUTION [4712],0.04,0.02,,,0
NDC,3786400029,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.03,0.0091,,,0
NDC,3786476099,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0.03,0.01,,,0
NDC,38779-0242-5,NYSTATIN (BULK) 500 MILLION UNIT POWDER [13130],1130.99,395.85,,,0
NDC,38779-0598-8,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION [102146],48.7,17.05,,,0
NDC,3877903585,VALINE (BULK) POWDER [14210],0.68,0.24,,,0
NDC,3877903595,ISOLEUCINE (BULK) 100 % CRYSTALS [157670],1.43,0.5,,,0
NDC,3877910408,BETAINE (BULK) 100 % POWDER [40790],0.21,0.07,,,0
NDC,3877924655,GLYCINE (BULK) POWDER [3494],0.42,0.15,,,0
NDC,39328-048-16,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],4.06,1.42,,,0
NDC,39328-062-50,SODIUM HYPOCHLORITE 0.5 % SOLUTION [2110],0.09,0.03,,,0
NDC,39328-063-25,SODIUM HYPOCHLORITE 0.25 % SOLUTION [15950],0.09,0.03,,,0
NDC,3932806412,SODIUM HYPOCHLORITE 0.125 % SOLUTION [76720],0.09,0.03,,,0
NDC,3932806712,SODIUM HYPOCHLORITE 0.125 % SOLUTION [76720],0.09,0.03,,,0
NDC,3932855750,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],4.06,1.42,,,0
NDC,39822-0170-2,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",59.53,20.83,,,0
NDC,39822-0190-1,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],0.65,0.23,,,0
NDC,39822-0190-7,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],325.18,113.81,,,0
NDC,39822-0310-5,NEOMYCIN 500 MG TABLET [5472],1.36,0.47,,,0
NDC,39822-0310-7,NEOMYCIN 500 MG TABLET [5472],1.36,0.47,,,0
NDC,39822-0412-1,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],1762.58,616.9,,,0
NDC,39822-0412-6,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],1762.58,616.9,,,0
NDC,39822-0500-1,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,39822-0500-4,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,39822-0615-1,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,39822-0615-2,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],2.49,0.87,,,0
NDC,39822-0617-1,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,39822-0617-2,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,39822-0706-2,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION [7508],30.92,10.82,,,0
NDC,39822-0710-1,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [22185],3380.0,1183.0,,,0
NDC,39822-1000-1,TRANEXAMIC ACID 10% RESPIRATORY ONLY [410227],24.35,8.52,,,0
NDC,39822-1055-5,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],535.99,187.6,,,0
NDC,39822-1055-7,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],535.99,187.6,,,0
NDC,39822-1077-1,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [33010],1079.83,377.94,,,0
NDC,39822-1201-1,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION [70678]",181.28,63.45,,,0
NDC,39822-1201-2,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION [70678]",181.28,63.45,,,0
NDC,39822-1220-1,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION [70678]",181.28,63.45,,,0
NDC,39822-2000-1,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",21.96,7.68,,,0
NDC,39822-4000-1,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,39822-4025-1,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,39822-4025-2,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,39822-4050-2,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],77.31,27.06,,,0
NDC,39822-4050-3,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],77.31,27.06,,,0
NDC,39822-4050-5,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],77.31,27.06,,,0
NDC,39822-4050-6,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],77.31,27.06,,,0
NDC,39822-4200-1,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,39822-4200-2,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,39822-4200-5,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,39822-4200-6,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,39822-5525-2,PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],67.0,23.45,,,0
NDC,39822-5525-3,PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],67.0,23.45,,,0
NDC,40042-052-10,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",23.06,8.07,,,0
NDC,40076-715-30,DOXEPIN 5 % TOPICAL CREAM [12666],76.08,26.63,,,0
NDC,40085-028-16,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM [8112],0.19,0.07,,,0
NDC,40085-716-45,DOXEPIN 5 % TOPICAL CREAM [12666],51.51,18.03,,,0
NDC,4009310572,"BETA CAROTENE 7,500 MCG (25,000 UNIT) CAPSULE [1006]",0.05,0.02,,,0
NDC,4110080289,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR [27521]",1.35,0.47,,,0
NDC,4110080676,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,4110081088,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR [27521]",1.35,0.47,,,0
NDC,4110081123,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],1.07,0.37,,,0
NDC,4110081124,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [113122],0.19,0.07,,,0
NDC,41167-4120-0,FEXOFENADINE 180 MG TABLET [25425],1.02,0.36,,,0
NDC,41167-4131-2,FEXOFENADINE 60 MG TABLET [21529],0.67,0.23,,,0
NDC,41167-4310-2,"FEXOFENADINE 60 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXT.RELEASE,12 HR [27522]",1.07,0.37,,,0
NDC,41167-5800-3,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],4.16,1.46,,,0
NDC,41167-5800-5,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],3.7,1.29,,,0
NDC,4116700609,DOXYLAMINE SUCCINATE 25 MG TABLET [14847],0.23,0.08,,,0
NDC,4116758003,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],4.42,1.55,,,0
NDC,4116758005,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],3.92,1.37,,,0
NDC,41616-220-90,KETOROLAC 0.5 % EYE DROPS [19733],28.57,10.0,,,0
NDC,41616-882-44,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,41616-931-40,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,41616-931-44,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,4167936503,MCT OIL (MODULAR) [6071212],0.07,0.02,,,0
NDC,42002-301-07,HYDROCORTISONE ACETATE 1 % RECTAL OINTMENT [107504],10.82,3.79,,,0
NDC,42023-103-01,EPINEPHRINE 1 MG/ML NASAL SOLUTION [19604],28.9,10.11,,,0
NDC,42023-105-01,METHOHEXITAL 500 MG SOLUTION FOR INJECTION [70545],0.83,0.29,,,0
NDC,42023-107-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,42023-114-10,KETAMINE 50 MG/ML INJECTION SOLUTION [4238],2.67,0.94,,,0
NDC,42023-116-25,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,42023-119-25,TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION [102759],76.02,26.61,,,0
NDC,42023-131-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,42023-131-06,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,42023-140-25,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,42023-146-25,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,42023-151-01,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
NDC,42023-157-01,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],11246.43,3936.25,,,0
NDC,42023-157-99,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],11246.43,3936.25,,,0
NDC,42023-159-01,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [151040],126.27,44.19,,,0
NDC,42023-159-25,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [151040],126.27,44.19,,,0
NDC,42023-163-01,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],29.42,10.3,,,0
NDC,42023-164-01,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [168412],198.24,69.39,,,0
NDC,42023-164-10,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [168412],220.64,77.23,,,0
NDC,42023-164-25,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [168412],220.64,77.23,,,0
NDC,42023-168-01,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [2850],126.27,44.19,,,0
NDC,42023-172-04,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],752.19,263.27,,,0
NDC,42023-173-01,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],300.21,105.07,,,0
NDC,42023-173-25,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],300.21,105.07,,,0
NDC,42023-182-01,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],2628.41,919.94,,,0
NDC,42023-187-01,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,42023-187-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,42023-189-01,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [163426],35.71,12.5,,,0
NDC,42023-189-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [163426],35.71,12.5,,,0
NDC,42023-190-01,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [168412],220.64,77.23,,,0
NDC,42023-192-01,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,42023-192-10,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,42023-201-01,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [153980],365.28,127.85,,,0
NDC,42023-205-01,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],6360.8,2226.28,,,0
NDC,42023-206-01,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION [32931],21.07,7.37,,,0
NDC,42023-213-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,42023-213-25,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,42023-214-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,42023-214-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,42023-215-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,42023-216-01,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [175364],54.11,18.94,,,0
NDC,42023-216-25,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [175364],54.11,18.94,,,0
NDC,42023-219-01,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION [193676],14.7,5.14,,,0
NDC,42023-219-10,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION [193676],14.7,5.14,,,0
NDC,42023-221-01,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],448.38,156.93,,,0
NDC,42023-230-01,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],1417.28,496.05,,,0
NDC,42023-230-10,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],1417.28,496.05,,,0
NDC,42023-243-01,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION [187945],10.17,3.56,,,0
NDC,42023-622-01,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [187403],80.2,28.07,,,0
NDC,42023-622-10,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [187403],80.2,28.07,,,0
NDC,42043-120-20,CEFPODOXIME 100 MG TABLET [9468],4.31,1.51,,,0
NDC,42192-339-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],0.45,0.16,,,0
NDC,42192-345-90,FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-2 MG TABLET [38624],3.68,1.29,,,0
NDC,42192-34590,FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-2 MG TABLET [38624],3.68,1.29,,,0
NDC,42192-605-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,42192-605-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,42192-608-06,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION [158528],3.3,1.16,,,0
NDC,42192-608-16,GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],10.82,3.79,,,0
NDC,42192-608-40,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION [158528],3.3,1.16,,,0
NDC,42192-801-01,PHENAZOPYRIDINE 100 MG TABLET [6193],0.85,0.3,,,0
NDC,42192-802-01,PHENAZOPYRIDINE 200 MG TABLET [6194],1.2,0.42,,,0
NDC,42211-101-11,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION [3900],10.82,3.79,,,0
NDC,42211-102-43,INDOMETHACIN 50 MG RECTAL SUPPOSITORY [3901],925.91,324.07,,,0
NDC,42291-076-30,CLOBETASOL 0.05 % TOPICAL CREAM [9630],30.24,10.58,,,0
NDC,42291-088-30,ACITRETIN 25 MG CAPSULE [13979],3.96,1.39,,,0
NDC,42291-140-90,ATENOLOL 25 MG TABLET [717],0.04,0.01,,,0
NDC,42291-180-01,BUMETANIDE 2 MG TABLET [9311],1.06,0.37,,,0
NDC,42291-186-90,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",0.22,0.08,,,0
NDC,42291-379-35,LIDOCAINE 5 % TOPICAL OINTMENT [156477],6.68,2.34,,,0
NDC,42291-411-60,DOFETILIDE 125 MCG CAPSULE [26965],0.29,0.1,,,0
NDC,42291-412-60,DOFETILIDE 250 MCG CAPSULE [26966],0.31,0.11,,,0
NDC,42291-413-60,DOFETILIDE 500 MCG CAPSULE [26967],0.29,0.1,,,0
NDC,42291-415-30,FAMCICLOVIR 250 MG TABLET [16081],0.45,0.16,,,0
NDC,42291-548-90,PHENAZOPYRIDINE 100 MG TABLET [6193],0.64,0.22,,,0
NDC,42291-621-30,MONTELUKAST 10 MG TABLET [22509],0.14,0.05,,,0
NDC,42291-622-90,MONTELUKAST 4 MG CHEWABLE TABLET [27234],0.2,0.07,,,0
NDC,42291-623-30,MONTELUKAST 5 MG CHEWABLE TABLET [22510],0.22,0.08,,,0
NDC,42291-623-90,MONTELUKAST 5 MG CHEWABLE TABLET [22510],0.21,0.07,,,0
NDC,42291-657-12,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],0.18,0.06,,,0
NDC,42291-772-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],0.08,0.03,,,0
NDC,42291-775-60,RILUZOLE 50 MG TABLET [16124],9.79,3.43,,,0
NDC,42291-817-90,TORSEMIDE 10 MG TABLET [18292],0.49,0.17,,,0
NDC,42291-858-90,VALSARTAN 160 MG TABLET [31210],0.15,0.05,,,0
NDC,42291-880-90,VALSARTAN 40 MG TABLET [33541],0.32,0.11,,,0
NDC,42291-899-90,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",0.11,0.04,,,0
NDC,42292-001-01,METRONIDAZOLE 500 MG TABLET [5016],0.66,0.23,,,0
NDC,42292-001-20,METRONIDAZOLE 500 MG TABLET [5016],0.66,0.23,,,0
NDC,42292-002-01,DIGOXIN 250 MCG (0.25 MG) TABLET [2445],1.35,0.47,,,0
NDC,42292-002-20,DIGOXIN 250 MCG (0.25 MG) TABLET [2445],1.35,0.47,,,0
NDC,42292-003-01,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],1.35,0.47,,,0
NDC,42292-003-20,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],1.35,0.47,,,0
NDC,42292-011-01,HYDROXYCHLOROQUINE 200 MG TABLET [10235],2.91,1.02,,,0
NDC,42292-011-06,HYDROXYCHLOROQUINE 200 MG TABLET [10235],2.91,1.02,,,0
NDC,42292-018-01,CLINDAMYCIN HCL 150 MG CAPSULE [1740],0.33,0.12,,,0
NDC,42292-018-20,CLINDAMYCIN HCL 150 MG CAPSULE [1740],0.33,0.12,,,0
NDC,42292-025-01,GABAPENTIN 800 MG TABLET [25856],0.93,0.32,,,0
NDC,42292-025-08,GABAPENTIN 800 MG TABLET [25856],0.93,0.32,,,0
NDC,42292-029-01,ROSUVASTATIN 5 MG TABLET [36612],1.39,0.49,,,0
NDC,42292-029-20,ROSUVASTATIN 5 MG TABLET [36612],1.39,0.49,,,0
NDC,42292-031-01,ROSUVASTATIN 20 MG TABLET [35135],1.39,0.49,,,0
NDC,42292-031-20,ROSUVASTATIN 20 MG TABLET [35135],1.39,0.49,,,0
NDC,42292-037-03,OLMESARTAN 40 MG TABLET [32763],6.98,2.44,,,0
NDC,42292-038-01,LEVOTHYROXINE 88 MCG TABLET [10403],0.51,0.18,,,0
NDC,42292-038-20,LEVOTHYROXINE 88 MCG TABLET [10403],0.51,0.18,,,0
NDC,42292-039-01,LEVOTHYROXINE 112 MCG TABLET [10404],0.59,0.21,,,0
NDC,42292-039-20,LEVOTHYROXINE 112 MCG TABLET [10404],0.59,0.21,,,0
NDC,42292-040-01,LEVOTHYROXINE 175 MCG TABLET [10406],0.73,0.26,,,0
NDC,42292-040-20,LEVOTHYROXINE 175 MCG TABLET [10406],0.73,0.26,,,0
NDC,42292-054-03,COLCHICINE 0.6 MG TABLET [1821],9.29,3.25,,,0
NDC,42367-520-25,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [172857],3519.1,1231.68,,,0
NDC,42367-531-33,PEMETREXED 25 MG/ML INTRAVENOUS SOLUTION [193533],1155.0,404.25,,,0
NDC,42367-540-32,DANTROLENE 250 MG INTRAVENOUS SUSPENSION [167409],8452.14,2958.25,,,0
NDC,42385-977-01,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",6.76,2.37,,,0
NDC,42494-339-01,FLUCYTOSINE 250 MG CAPSULE [10051],51.02,17.86,,,0
NDC,42494-340-01,FLUCYTOSINE 500 MG CAPSULE [10052],99.27,34.74,,,0
NDC,42494-409-01,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],12.99,4.55,,,0
NDC,42494-416-01,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],76.02,26.61,,,0
NDC,42494-416-25,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],76.02,26.61,,,0
NDC,42494-423-01,RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION [11285],21542.92,7540.02,,,0
NDC,42543-140-50,HYDROCORTISONE 5 MG TABLET [10209],0.17,0.06,,,0
NDC,42543-142-01,HYDROCORTISONE 20 MG TABLET [3734],0.51,0.18,,,0
NDC,42543-700-01,CARISOPRODOL 350 MG TABLET [1395],0.08,0.03,,,0
NDC,42571-141-26,DORZOLAMIDE 2 % EYE DROPS [14471],24.89,8.71,,,0
NDC,42571-147-26,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],66.02,23.11,,,0
NDC,42571-160-30,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET [22992],2.17,0.76,,,0
NDC,42571-162-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0.6,0.21,,,0
NDC,42571-162-42,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0.6,0.21,,,0
NDC,42571-357-07,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],2.34,0.82,,,0
NDC,42658-008-01,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2850.75,997.76,,,0
NDC,42658-010-01,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],54.76,19.17,,,0
NDC,42658-021-01,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],221.61,77.56,,,0
NDC,42658-021-02,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],32.78,11.47,,,0
NDC,42702-102-15,PHENYLEPHRINE 2.5 % EYE DROPS [6246],26.75,9.36,,,0
NDC,42702-103-05,PHENYLEPHRINE 10 % EYE DROPS [19636],24.89,8.71,,,0
NDC,42769-1380-7,HYDROCORTISONE 100 MG/60 ML ENEMA [10210],1.33,0.47,,,0
NDC,42794-003-08,ADEFOVIR 10 MG TABLET [33816],29.83,10.44,,,0
NDC,42794-009-08,FLUCYTOSINE 250 MG CAPSULE [10051],30.0,10.5,,,0
NDC,42794-010-08,FLUCYTOSINE 500 MG CAPSULE [10052],56.67,19.83,,,0
NDC,42794-018-12,LIOTHYRONINE 5 MCG TABLET [10443],0.68,0.24,,,0
NDC,42799-119-01,BUMETANIDE 0.5 MG TABLET [9309],0.34,0.12,,,0
NDC,42799-120-01,BUMETANIDE 1 MG TABLET [9310],0.34,0.12,,,0
NDC,42799-121-01,BUMETANIDE 2 MG TABLET [9311],0.68,0.24,,,0
NDC,42799-129-01,DILTIAZEM 30 MG TABLET [2475],0.12,0.04,,,0
NDC,42799-405-01,ETHACRYNIC ACID 25 MG TABLET [9980],2.5,0.88,,,0
NDC,42799-806-01,IVERMECTIN 3 MG TABLET [25820],4.14,1.45,,,0
NDC,42799-815-01,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],298.92,104.62,,,0
NDC,42806-008-01,OXYCODONE 30 MG TABLET [28900],0.49,0.17,,,0
NDC,42806-050-01,MEPERIDINE 50 MG TABLET [4908],0.74,0.26,,,0
NDC,42806-058-01,FLAVOXATE 100 MG TABLET [10039],0.4,0.14,,,0
NDC,42806-087-01,ESTRADIOL 0.5 MG TABLET [12491],0.07,0.03,,,0
NDC,42806-123-01,SOTALOL 160 MG TABLET [11419],1.63,0.57,,,0
NDC,42806-134-24,LEUCOVORIN CALCIUM 15 MG TABLET [4396],5.3,1.85,,,0
NDC,42806-144-48,DEMECLOCYCLINE 300 MG TABLET [9727],22.92,8.02,,,0
NDC,42806-151-34,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],29.76,10.42,,,0
NDC,42806-265-98,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET [9588],21.65,7.58,,,0
NDC,42806-266-95,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET [9588],21.65,7.58,,,0
NDC,42806-266-98,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET [9588],21.65,7.58,,,0
NDC,42806-358-01,LEUCOVORIN CALCIUM 5 MG TABLET [4398],1.19,0.42,,,0
NDC,42806-359-25,LEUCOVORIN CALCIUM 25 MG TABLET [4397],8.94,3.13,,,0
NDC,42806-501-09,NICARDIPINE 20 MG CAPSULE [10712],3.33,1.17,,,0
NDC,42806-512-30,QUINIDINE SULFATE 300 MG TABLET [6778],12.72,4.45,,,0
NDC,42806-513-30,QUINIDINE SULFATE 200 MG TABLET [6777],12.07,4.22,,,0
NDC,42806-549-09,DUTASTERIDE 0.5 MG CAPSULE [34089],0.33,0.12,,,0
NDC,42806-658-30,ENTECAVIR 0.5 MG TABLET [41147],0.27,0.09,,,0
NDC,42806-659-30,ENTECAVIR 1 MG TABLET [41148],0.3,0.1,,,0
NDC,42806-714-01,BENZONATATE 100 MG CAPSULE [988],0.15,0.05,,,0
NDC,42806-757-60,SULFADIAZINE 500 MG TABLET [7554],16.03,5.61,,,0
NDC,42858-001-01,OXYCODONE 5 MG TABLET [10814],0.07,0.02,,,0
NDC,42858-001-10,OXYCODONE 5 MG TABLET [10814],0.45,0.16,,,0
NDC,42858-005-01,OXYCODONE 30 MG TABLET [28900],0.25,0.09,,,0
NDC,42858-104-01,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],0.11,0.04,,,0
NDC,42858-301-01,HYDROMORPHONE 2 MG TABLET [3760],0.09,0.03,,,0
NDC,42858-301-25,HYDROMORPHONE 2 MG TABLET [3760],0.17,0.06,,,0
NDC,42858-302-25,HYDROMORPHONE 4 MG TABLET [3761],0.22,0.08,,,0
NDC,42858-304-16,HYDROMORPHONE 1 MG/ML ORAL LIQUID [10225],13.53,4.73,,,0
NDC,42858-416-16,HYDROMORPHONE 1 MG/ML ORAL LIQUID [10225],13.53,4.73,,,0
NDC,42858-502-03,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [34712],0.6,0.21,,,0
NDC,42858-801-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0.21,0.07,,,0
NDC,42858-802-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",0.39,0.14,,,0
NDC,42858-803-01,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]",0.74,0.26,,,0
NDC,42937-702-10,PHENAZOPYRIDINE 200 MG TABLET [6194],1.65,0.58,,,0
NDC,42998-0679-1,SECOBARBITAL SODIUM 100 MG CAPSULE [7126],30.83,10.79,,,0
NDC,42998-302-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],489.85,171.45,,,0
NDC,42998-303-01,AMOBARBITAL 500 MG SOLUTION FOR INJECTION [9075],171.36,59.98,,,0
NDC,42998-402-05,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,43066-006-01,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION [150058],930.0,325.5,,,0
NDC,43066-007-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,43066-013-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,43066-016-10,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],6.83,2.39,,,0
NDC,43066-024-10,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [94576],6.83,2.39,,,0
NDC,43066-090-01,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,43066-090-25,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,43066-360-20,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [152106]",1.74,0.61,,,0
NDC,43066-995-24,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],12.28,4.3,,,0
NDC,43199-040-50,LIDOCAINE 4 % TOPICAL CREAM [23461],20.29,7.1,,,0
NDC,4329255606,CALCIUM 250 MG (AS CITRATE) TABLET [15700],0.02,0.0077,,,0
NDC,43386-090-19,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION [10839],0.04,0.02,,,0
NDC,43386-140-01,METHYLERGONOVINE 0.2 MG TABLET [10572],1.4,0.49,,,0
NDC,43386-140-28,METHYLERGONOVINE 0.2 MG TABLET [10572],53.75,18.81,,,0
NDC,43386-160-06,MISOPROSTOL 100 MCG TABLET [10628],0.66,0.23,,,0
NDC,43386-160-12,MISOPROSTOL 100 MCG TABLET [10628],0.66,0.23,,,0
NDC,43386-161-01,MISOPROSTOL 200 MCG TABLET [10629],0.96,0.34,,,0
NDC,43386-330-01,TRIMETHOPRIM 100 MG TABLET [8182],0.31,0.11,,,0
NDC,43386-360-21,PHENELZINE 15 MG TABLET [10933],0.66,0.23,,,0
NDC,43386-660-03,TRIMETHOBENZAMIDE 300 MG CAPSULE [32311],1.35,0.47,,,0
NDC,43386-770-01,FLUCYTOSINE 500 MG CAPSULE [10052],20.0,7.0,,,0
NDC,43386-771-01,FLUCYTOSINE 250 MG CAPSULE [10051],10.0,3.5,,,0
NDC,43393-001-01,MIFEPRISTONE 200 MG TABLET [28975],67.0,23.45,,,0
NDC,43393-001-06,MIFEPRISTONE 200 MG TABLET [28975],67.0,23.45,,,0
NDC,43478-242-20,TRETINOIN 0.05 % TOPICAL CREAM [11577],11.77,4.12,,,0
NDC,43528-003-01,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE [182784],972.84,340.49,,,0
NDC,43528-003-05,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE [182784],972.84,340.49,,,0
NDC,43547-268-10,ROPINIROLE 0.25 MG TABLET [21688],0.5,0.18,,,0
NDC,43547-270-10,ROPINIROLE 1 MG TABLET [21689],0.5,0.18,,,0
NDC,43547-275-03,DONEPEZIL 5 MG TABLET [18786],0.17,0.06,,,0
NDC,43547-277-09,IRBESARTAN 75 MG TABLET [21847],0.3,0.1,,,0
NDC,43547-282-10,ESCITALOPRAM 20 MG TABLET [33513],0.15,0.05,,,0
NDC,43547-288-10,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0.25,0.09,,,0
NDC,43547-335-10,BENAZEPRIL 5 MG TABLET [9223],0.07,0.02,,,0
NDC,43547-337-10,BENAZEPRIL 20 MG TABLET [9221],0.12,0.04,,,0
NDC,43547-338-10,BENAZEPRIL 40 MG TABLET [9222],0.15,0.05,,,0
NDC,43547-341-06,RISPERIDONE 1 MG TABLET [18313],0.2,0.07,,,0
NDC,43547-351-10,LISINOPRIL 2.5 MG TABLET [13089],0.04,0.01,,,0
NDC,43547-353-10,LISINOPRIL 10 MG TABLET [10449],0.07,0.02,,,0
NDC,43547-356-10,LISINOPRIL 40 MG TABLET [10450],0.16,0.06,,,0
NDC,43547-367-03,VALSARTAN 40 MG TABLET [33541],0.23,0.08,,,0
NDC,43547-374-09,IRBESARTAN 75 MG TABLET [21847],0.3,0.1,,,0
NDC,43547-376-09,IRBESARTAN 300 MG TABLET [21849],0.4,0.14,,,0
NDC,43547-377-03,VORICONAZOLE 50 MG TABLET [33008],5.72,2.0,,,0
NDC,43547-401-10,FUROSEMIDE 20 MG TABLET [3294],0.05,0.02,,,0
NDC,43547-416-10,LISINOPRIL 10 MG TABLET [10449],0.07,0.02,,,0
NDC,43547-544-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,43547-544-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,43547-688-10,CIPROFLOXACIN 250 MG TABLET [25118],60.88,21.31,,,0
NDC,43598-006-14,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],9.65,3.38,,,0
NDC,43598-021-14,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],12.88,4.51,,,0
NDC,43598-050-25,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,43598-053-11,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,43598-106-10,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106139],77.31,27.06,,,0
NDC,43598-128-11,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10581],343.6,120.26,,,0
NDC,43598-129-01,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION [10578],7.6,2.66,,,0
NDC,43598-129-25,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION [10578],7.6,2.66,,,0
NDC,43598-142-06,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION [70267],519.24,181.73,,,0
NDC,43598-142-11,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION [70267],519.24,181.73,,,0
NDC,43598-160-01,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],2.34,0.82,,,0
NDC,43598-160-31,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],2.34,0.82,,,0
NDC,43598-165-30,OLANZAPINE 7.5 MG TABLET [17938],0.28,0.1,,,0
NDC,43598-204-51,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],55.47,19.41,,,0
NDC,43598-219-01,AMOXICILLIN 875 MG TABLET [23458],0.44,0.15,,,0
NDC,43598-221-14,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],1.69,0.59,,,0
NDC,43598-262-02,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,43598-262-23,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,43598-283-35,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,43598-305-62,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,43598-330-11,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
NDC,43598-345-30,IMATINIB 400 MG TABLET [36092],13.65,4.78,,,0
NDC,43598-387-11,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],15583.95,5454.38,,,0
NDC,43598-405-11,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],38.65,13.53,,,0
NDC,43598-405-16,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],38.65,13.53,,,0
NDC,43598-409-05,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],18.04,6.31,,,0
NDC,43598-409-25,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],18.04,6.31,,,0
NDC,43598-410-05,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,43598-410-25,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,43598-413-11,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,43598-436-11,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0.85,0.3,,,0
NDC,43598-436-35,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0.85,0.3,,,0
NDC,43598-446-70,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],6.76,2.37,,,0
NDC,43598-446-71,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],6.76,2.37,,,0
NDC,43598-446-74,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],6.76,2.37,,,0
NDC,43598-447-70,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],6.76,2.37,,,0
NDC,43598-447-71,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],6.76,2.37,,,0
NDC,43598-447-74,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],6.76,2.37,,,0
NDC,43598-448-28,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,43598-448-70,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,43598-448-71,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,43598-448-74,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,43598-476-11,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
NDC,43598-486-24,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE [34769],1.83,0.64,,,0
NDC,43598-486-72,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE [34769],1.83,0.64,,,0
NDC,43598-529-36,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [163426],35.71,12.5,,,0
NDC,43598-549-10,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,43598-549-52,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,43598-558-30,ARIPIPRAZOLE 20 MG TABLET [34371],0.79,0.28,,,0
NDC,43598-578-60,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION) [175147],0.83,0.29,,,0
NDC,43598-587-23,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],489.85,171.45,,,0
NDC,43598-628-57,CARMUSTINE 100 MG INTRAVENOUS SOLUTION [28911],519.24,181.73,,,0
NDC,43598-672-01,PYRIMETHAMINE 25 MG TABLET [11246],292.5,102.38,,,0
NDC,43598-672-30,PYRIMETHAMINE 25 MG TABLET [11246],292.5,102.38,,,0
NDC,43598-678-11,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,43598-698-11,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],363.92,127.37,,,0
NDC,43598-698-58,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],363.92,127.37,,,0
NDC,43598-725-11,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [175364],54.11,18.94,,,0
NDC,43598-725-25,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [175364],54.11,18.94,,,0
NDC,43598-741-01,RAMELTEON 8 MG TABLET [42064],9.73,3.4,,,0
NDC,43598-741-30,RAMELTEON 8 MG TABLET [42064],9.73,3.4,,,0
NDC,43598-750-11,NALOXONE 1 MG/ML INJECTION SYRINGE [5374],130.13,45.55,,,0
NDC,43598-750-58,NALOXONE 1 MG/ML INJECTION SYRINGE [5374],130.13,45.55,,,0
NDC,43598-839-36,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],21.4,7.49,,,0
NDC,43598-848-11,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [33175],695.76,243.51,,,0
NDC,43598-848-58,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [33175],695.76,243.51,,,0
NDC,43598-859-11,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],869.4,304.29,,,0
NDC,43598-901-58,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],448.38,156.93,,,0
NDC,43598-931-09,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,43598-948-11,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],869.4,304.29,,,0
NDC,43598-975-11,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,43598-975-58,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,43825-102-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [148497]",0.73,0.25,,,0
NDC,43825-200-01,TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [196136],3283.62,1149.27,,,0
NDC,4390035111,NOVASOURCE RENAL [6071230],0.01,0.0049,,,0
NDC,4390035180,NOVASOURCE RENAL [6071230],0.02,0.00595,,,0
NDC,4390094469,NOVASOURCE RENAL (ORAL SUPPLEMENT) [6071214],0.01,0.0049,,,0
NDC,4390099290,IMPACT ADVANCED RECOVERY [6071231],0.03,0.0098,,,0
NDC,43975-220-10,CARBIDOPA 25 MG TABLET [26703],8.75,3.06,,,0
NDC,43975-242-03,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [162221]",3.05,1.07,,,0
NDC,43975-253-14,TEMOZOLOMIDE 20 MG CAPSULE [25893],16.08,5.63,,,0
NDC,43975-351-03,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR [78065]",2.17,0.76,,,0
NDC,44087-0044-3,INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE [22532],1051.36,367.98,,,0
NDC,44087-0044-9,INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE [22532],944.62,330.62,,,0
NDC,44087-1005-2,SOMATROPIN 5 MG SUBCUTANEOUS SOLUTION [27314],1977.75,692.21,,,0
NDC,44087-1520-1,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [10634]",2332.07,816.22,,,0
NDC,44087-3535-1,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION [178056],838.05,293.32,,,0
NDC,44183-440-01,ISOMETHEPTENE-DICHLORALPHEN-ACETAMINOPHEN 65 MG-100 MG-325 MG CAPSULE [4018],3.58,1.25,,,0
NDC,44206-251-05,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,44206-251-10,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,44206-251-90,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,44206-251-91,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,44206-300-01,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE [38072]",1.86,0.65,,,0
NDC,44206-300-10,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE [38072]",1.86,0.65,,,0
NDC,44206-300-90,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE [38072]",1393.35,487.67,,,0
NDC,44206-310-25,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,44206-310-50,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,44206-310-90,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,44206-310-91,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,44206-436-05,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [170502]",50.56,17.69,,,0
NDC,44206-436-90,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [170502]",50.56,17.69,,,0
NDC,44206-437-10,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [170502]",50.56,17.69,,,0
NDC,44206-437-91,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [170502]",50.56,17.69,,,0
NDC,44206-438-20,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [170502]",50.56,17.69,,,0
NDC,44206-438-92,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [170502]",50.56,17.69,,,0
NDC,44206-439-40,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [170502]",50.56,17.69,,,0
NDC,44206-439-93,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [170502]",50.56,17.69,,,0
NDC,44206-532-11,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],141.37,49.48,,,0
NDC,44206-532-90,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],141.37,49.48,,,0
NDC,4444-0257-01,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION [409086],1798.99,629.65,,,0
NDC,44567-101-10,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],73.44,25.7,,,0
NDC,44567-103-10,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],293.76,102.82,,,0
NDC,44567-211-10,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,44567-235-25,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],155.9,54.57,,,0
NDC,44567-236-10,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],311.8,109.13,,,0
NDC,44567-240-10,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],110.14,38.55,,,0
NDC,44567-241-10,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],220.29,77.1,,,0
NDC,44567-245-85,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],155.9,54.57,,,0
NDC,44567-311-10,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],365.92,128.07,,,0
NDC,44567-312-01,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],1463.67,512.28,,,0
NDC,44567-401-01,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,44567-401-10,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,44567-402-01,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION [200008],419.66,146.88,,,0
NDC,44567-410-24,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [16162],1.03,0.36,,,0
NDC,44567-420-00,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [112209],4.12,1.44,,,0
NDC,44567-420-24,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [112209],4.12,1.44,,,0
NDC,44567-506-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,44567-509-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,44567-510-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,44567-511-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,44567-601-04,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,44567-610-01,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [172557],25.0,8.75,,,0
NDC,44567-610-10,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [172557],25.0,8.75,,,0
NDC,44567-611-01,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [172557],25.0,8.75,,,0
NDC,44567-611-10,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [172557],25.0,8.75,,,0
NDC,44567-620-01,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [184196]",7.36,2.58,,,0
NDC,44567-620-24,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [184196]",7.36,2.58,,,0
NDC,44567-621-01,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION [185254]",7.36,2.58,,,0
NDC,44567-621-24,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION [185254]",7.36,2.58,,,0
NDC,44567-701-25,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,44567-702-25,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],482.58,168.9,,,0
NDC,44567-707-25,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,44567-708-10,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,44567-802-10,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,44567-803-10,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,44567-811-10,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN STERILE WATER INTRAVENOUS SOLN [181409]",2.85,1.0,,,0
NDC,44567-820-10,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],448.38,156.93,,,0
NDC,45802-004-03,HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],82.52,28.88,,,0
NDC,45802-040-64,SELENIUM SULFIDE 2.5 % LOTION [172814],4.06,1.42,,,0
NDC,45802-046-11,GENTAMICIN 0.1 % TOPICAL OINTMENT [3424],132.58,46.4,,,0
NDC,45802-046-35,GENTAMICIN 0.1 % TOPICAL OINTMENT [3424],132.58,46.4,,,0
NDC,45802-048-11,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",97.4,34.09,,,0
NDC,45802-048-35,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",4.33,1.52,,,0
NDC,45802-049-35,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL OINTMENT [8119],116.35,40.72,,,0
NDC,45802-054-35,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT [8117],1.52,0.53,,,0
NDC,45802-055-05,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],0.25,0.09,,,0
NDC,45802-055-35,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],2.98,1.04,,,0
NDC,45802-056-35,GENTAMICIN 0.1 % TOPICAL CREAM [3423],8.84,3.09,,,0
NDC,45802-059-11,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",3.25,1.14,,,0
NDC,45802-059-35,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",6.49,2.27,,,0
NDC,45802-063-35,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM [8112],2.25,0.79,,,0
NDC,45802-064-05,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0.25,0.09,,,0
NDC,45802-064-35,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],2.89,1.01,,,0
NDC,45802-065-35,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM [8114],2.89,1.01,,,0
NDC,45802-088-01,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],50.46,17.66,,,0
NDC,45802-098-28,MESALAMINE 4 GRAM/60 ML ENEMA [10535],1.67,0.58,,,0
NDC,45802-098-46,MESALAMINE 4 GRAM/60 ML ENEMA [10535],1.67,0.58,,,0
NDC,45802-098-51,MESALAMINE 4 GRAM/60 ML ENEMA [10535],1.67,0.58,,,0
NDC,45802-109-01,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],3.92,1.37,,,0
NDC,45802-112-22,MUPIROCIN 2 % TOPICAL OINTMENT [10674],7.56,2.64,,,0
NDC,45802-132-75,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],0.93,0.33,,,0
NDC,45802-174-53,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],0.22,0.08,,,0
NDC,45802-188-16,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [164218],1.35,0.47,,,0
NDC,45802-210-01,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL [27096],167.31,58.56,,,0
NDC,45802-244-14,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT [5755]",4.6,1.61,,,0
NDC,45802-269-37,PERMETHRIN 5 % TOPICAL CREAM [10917],267.87,93.75,,,0
NDC,45802-315-75,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],0.51,0.18,,,0
NDC,45802-344-05,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE [34769],1.83,0.64,,,0
NDC,45802-395-04,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [113122],0.19,0.07,,,0
NDC,45802-395-10,VITAMIN A AND D TOPICAL OINTMENT [8723],0.04,0.01,,,0
NDC,45802-410-59,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.41,0.14,,,0
NDC,45802-419-54,AMMONIUM LACTATE 12 % LOTION [10380],0.23,0.08,,,0
NDC,45802-432-62,PSEUDOEPHEDRINE 30 MG TABLET [6714],0.04,0.02,,,0
NDC,45802-434-11,CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],16.24,5.68,,,0
NDC,45802-438-03,HYDROCORTISONE 1 % TOPICAL CREAM [3726],0.48,0.17,,,0
NDC,45802-465-64,KETOCONAZOLE 2 % SHAMPOO [14132],1.4,0.49,,,0
NDC,45802-562-02,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION [1742],2.25,0.79,,,0
NDC,45802-650-78,LORATADINE 10 MG TABLET [10466],0.06,0.02,,,0
NDC,45802-717-08,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY [11512],27.21,9.52,,,0
NDC,45802-730-00,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],0.28,0.1,,,0
NDC,45802-730-30,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],0.35,0.12,,,0
NDC,45802-730-32,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],0.28,0.1,,,0
NDC,45802-730-33,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],0.2,0.07,,,0
NDC,45802-732-00,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0.31,0.11,,,0
NDC,45802-732-30,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0.31,0.11,,,0
NDC,45802-732-33,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0.2,0.07,,,0
NDC,45802-758-00,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],9.75,3.41,,,0
NDC,45802-758-30,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],9.75,3.41,,,0
NDC,45802-759-00,PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],62.64,21.92,,,0
NDC,45802-759-30,PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],62.64,21.92,,,0
NDC,45802-925-94,CLOBETASOL 0.05 % TOPICAL GEL [13203],0.52,0.18,,,0
NDC,45802-952-26,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0.47,0.16,,,0
NDC,45802-952-43,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0.47,0.16,,,0
NDC,45802-953-01,DICLOFENAC 1 % TOPICAL GEL [100611],2.04,0.71,,,0
NDC,4580252555,AMMONIUM LACTATE 12 % LOTION [10380],0.23,0.08,,,0
NDC,45963-342-02,DESIPRAMINE 25 MG TABLET [2286],1.12,0.39,,,0
NDC,45963-343-02,DESIPRAMINE 50 MG TABLET [2287],2.11,0.74,,,0
NDC,45963-438-64,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],0.17,0.06,,,0
NDC,45963-555-11,GABAPENTIN 100 MG CAPSULE [18309],0.06,0.02,,,0
NDC,45963-556-11,GABAPENTIN 300 MG CAPSULE [18308],0.09,0.03,,,0
NDC,45963-607-56,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [41673],278.18,97.36,,,0
NDC,45963-613-59,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,45963-733-60,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],15.25,5.34,,,0
NDC,45963-734-52,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
NDC,45963-734-54,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [148171],2396.49,838.77,,,0
NDC,45963-765-52,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
NDC,46017-012-08,CAFFEINE 200 MG TABLET [1259],3.68,1.29,,,0
NDC,4601701808,CAFFEINE 200 MG TABLET [1259],0.14,0.05,,,0
NDC,4601701816,CAFFEINE 200 MG TABLET [1259],0.14,0.05,,,0
NDC,4601701840,CAFFEINE 200 MG TABLET [1259],0.14,0.05,,,0
NDC,46287-006-60,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP [176404],2.0,0.7,,,0
NDC,46287-009-01,ISONIAZID 50 MG/5 ML ORAL SOLUTION [4025],13.53,4.73,,,0
NDC,46287-012-16,SODIUM POLYSTYRENE SULFONATE 15 GRAM ORAL POWDER [7356],127.17,44.51,,,0
NDC,46287-506-30,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.98,0.69,,,0
NDC,4628750030,SORBITOL 70 % SOLUTION [7413],10.82,3.79,,,0
NDC,4628750704,WHITE PETROLATUM-MINERAL OIL TOPICAL OINTMENT [108065],47.35,16.57,,,0
NDC,47335-049-40,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,47335-050-40,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,47335-061-86,DOFETILIDE 125 MCG CAPSULE [26965],1.6,0.56,,,0
NDC,47335-151-40,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,47335-153-40,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
NDC,47335-187-88,CARBIDOPA 25 MG-LEVODOPA 100 MG DISINTEGRATING TABLET [39497],4.18,1.46,,,0
NDC,47335-188-88,CARBIDOPA 25 MG-LEVODOPA 250 MG DISINTEGRATING TABLET [39498],5.29,1.85,,,0
NDC,47335-220-90,KETOROLAC 0.5 % EYE DROPS [19733],28.57,10.0,,,0
NDC,47335-236-83,AMBRISENTAN 5 MG TABLET [82307],38.4,13.44,,,0
NDC,47335-237-83,AMBRISENTAN 10 MG TABLET [82308],38.4,13.44,,,0
NDC,47335-289-40,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
NDC,47335-290-40,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [77411],17.59,6.16,,,0
NDC,47335-290-44,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [77411],17.59,6.16,,,0
NDC,47335-300-40,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,47335-330-40,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],1660.8,581.28,,,0
NDC,47335-380-83,CINACALCET 60 MG TABLET [38101],1.47,0.51,,,0
NDC,47335-485-83,BICALUTAMIDE 50 MG TABLET [15746],0.5,0.18,,,0
NDC,47335-631-49,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],36.53,12.78,,,0
NDC,47335-675-81,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [27480]",0.77,0.27,,,0
NDC,47335-707-86,TOPIRAMATE 25 MG TABLET [18920],0.07,0.02,,,0
NDC,47335-710-86,TOPIRAMATE 50 MG TABLET [37616],0.09,0.03,,,0
NDC,47335-712-86,TOPIRAMATE 200 MG TABLET [18921],0.15,0.05,,,0
NDC,47335-779-91,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY [19179],15.38,5.38,,,0
NDC,47335-835-83,"GALANTAMINE ER 8 MG 24 HR CAPSULE,EXTENDED RELEASE [41138]",4.58,1.6,,,0
NDC,47335-836-83,"GALANTAMINE ER 16 MG 24 HR CAPSULE,EXTENDED RELEASE [41139]",4.58,1.6,,,0
NDC,47335-837-83,"GALANTAMINE ER 24 MG 24 HR CAPSULE,EXTENDED RELEASE [41140]",4.58,1.6,,,0
NDC,47335-891-60,TEMOZOLOMIDE 20 MG CAPSULE [25893],6.13,2.15,,,0
NDC,47335-891-72,TEMOZOLOMIDE 20 MG CAPSULE [25893],6.13,2.15,,,0
NDC,47335-892-60,TEMOZOLOMIDE 100 MG CAPSULE [25894],24.99,8.75,,,0
NDC,47335-892-72,TEMOZOLOMIDE 100 MG CAPSULE [25894],24.99,8.75,,,0
NDC,47335-931-40,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,47335-931-44,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,47335-993-01,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],3.33,1.16,,,0
NDC,47426-301-02,BUPIVACAINE-MELOXICAM ER 400 MG-12 MG/14 ML SURGICAL SITE INSTILL SOLN [191745],182.29,63.8,,,0
NDC,47682-100-47,IBUPROFEN 200 MG TABLET [3841],0.07,0.02,,,0
NDC,47781-014-01,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR [17010]",1.28,0.45,,,0
NDC,47781-108-30,EXEMESTANE 25 MG TABLET [26551],3.33,1.17,,,0
NDC,47781-200-50,MELPHALAN 2 MG TABLET [10523],9.16,3.21,,,0
NDC,47781-265-01,OXYCODONE 30 MG TABLET [28900],0.71,0.25,,,0
NDC,47781-332-01,CARBIDOPA 25 MG TABLET [26703],1.46,0.51,,,0
NDC,47781-335-30,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE [11240]",16.12,5.64,,,0
NDC,47781-369-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]",0.94,0.33,,,0
NDC,47781-424-11,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],194.81,68.18,,,0
NDC,47781-424-47,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],194.81,68.18,,,0
NDC,47781-427-11,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],422.09,147.73,,,0
NDC,47781-427-47,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],422.09,147.73,,,0
NDC,47781-428-11,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,47781-428-47,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,47781-466-71,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [33010],1133.82,396.84,,,0
NDC,47781-470-13,OSELTAMIVIR 75 MG CAPSULE [26546],10.2,3.57,,,0
NDC,47781-490-50,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],1.23,0.43,,,0
NDC,47781-577-01,METHENAMINE HIPPURATE 1 GRAM TABLET [10549],1.74,0.61,,,0
NDC,47781-578-07,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],343.61,120.26,,,0
NDC,47781-583-68,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,47781-583-93,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,47781-584-68,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,47781-584-93,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,47781-586-29,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],29.09,10.18,,,0
NDC,47781-587-17,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,47781-587-20,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,47781-589-22,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,47781-589-91,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,47781-593-07,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,47781-595-07,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,47781-597-07,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,47781-597-91,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,47781-598-07,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,47781-598-91,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,47781-624-07,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],148.17,51.86,,,0
NDC,47781-643-90,LEVOTHYROXINE 50 MCG TABLET [4421],0.1,0.03,,,0
NDC,47783-101-01,ECALLANTIDE 10 MG/ML (1 ML) SUBCUTANEOUS SOLUTION [100698],11812.31,4134.31,,,0
NDC,48102-014-90,METHAZOLAMIDE 25 MG TABLET [4961],3.61,1.26,,,0
NDC,48102-047-11,DEXAMETHASONE 4 MG TABLET [2327],1.0,0.35,,,0
NDC,48102-047-20,DEXAMETHASONE 4 MG TABLET [2327],1.0,0.35,,,0
NDC,48102-100-01,METHAZOLAMIDE 25 MG TABLET [4961],3.06,1.07,,,0
NDC,48102-101-01,METHAZOLAMIDE 50 MG TABLET [4962],6.13,2.15,,,0
NDC,48433-128-01,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",0.23,0.08,,,0
NDC,48433-230-15,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION [102146],48.7,17.05,,,0
NDC,4843310401,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.17,0.06,,,0
NDC,4843310801,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [147676],0.14,0.05,,,0
NDC,4843312810,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",0.23,0.08,,,0
NDC,48783-112-08,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR [163451],63.7,22.3,,,0
NDC,48818-001-01,PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [99982],29140.0,10199.0,,,0
NDC,48818-001-02,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [113705],30452.4,10658.34,,,0
NDC,4898500153,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,4898500155,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],6.76,2.37,,,0
NDC,49281-124-88,FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE [202357],342.0,119.7,,,0
NDC,49281-215-10,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP [112409],213.88,74.86,,,0
NDC,49281-215-15,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [112408],427.76,149.72,,,0
NDC,49281-215-58,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP [112409],427.76,149.72,,,0
NDC,49281-215-88,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [112408],427.76,149.72,,,0
NDC,49281-291-10,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [112408],213.88,74.86,,,0
NDC,49281-291-83,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP [112409],213.88,74.86,,,0
NDC,49281-489-01,"MENINGOCOCCAL VACCINE A,C,Y,W-135 (PF) 50 MCG SUBCUTANEOUS SOLUTION [112481]",1047.11,366.49,,,0
NDC,49281-545-03,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],85.04,29.76,,,0
NDC,49281-545-05,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],85.04,29.76,,,0
NDC,49281-547-58,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],85.04,29.76,,,0
NDC,49281-574-15,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [199041],1712.5,599.38,,,0
NDC,49281-575-15,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [199040],3425.0,1198.75,,,0
NDC,49281-589-05,"MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION [40540]",399.42,139.8,,,0
NDC,49281-589-58,"MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION [40540]",399.42,139.8,,,0
NDC,49281-790-51,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE [14678],238.36,83.43,,,0
NDC,49281-820-10,"TETANUS TOXOID,ADSORBED (PF) 5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION [112479]",345.3,120.86,,,0
NDC,49281-860-10,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [102806],76.02,26.61,,,0
NDC,49281-860-78,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [102806],76.02,26.61,,,0
NDC,49281-880-01,BCG LIVE 81 MG INTRAVESICAL SUSPENSION [14234],794.9,278.22,,,0
NDC,49348-011-34,CALAMINE 8 %-ZINC OXIDE 8 % LOTION [78879],0.05,0.02,,,0
NDC,49348-018-75,MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES [27322],4.06,1.42,,,0
NDC,49348-028-27,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.41,0.14,,,0
NDC,49348-032-10,"BISACODYL 5 MG TABLET,DELAYED RELEASE [1079]",0.02,0.00875,,,0
NDC,49348-037-29,TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0.45,0.16,,,0
NDC,49348-045-34,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,49348-045-37,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,49348-150-78,PERMETHRIN 1 % TOPICAL LIQUID [10918],0.62,0.22,,,0
NDC,49348-177-44,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],0.11,0.04,,,0
NDC,49348-188-10,SIMETHICONE 80 MG CHEWABLE TABLET [7227],0.03,0.00945,,,0
NDC,49348-190-13,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],0.07,0.03,,,0
NDC,49348-198-78,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [164218],1.35,0.47,,,0
NDC,49348-229-34,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0.47,0.16,,,0
NDC,49348-230-27,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.41,0.14,,,0
NDC,49348-231-27,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.41,0.14,,,0
NDC,49348-274-72,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT [108388]",1.43,0.5,,,0
NDC,49348-277-34,LOPERAMIDE 1 MG/5 ML ORAL LIQUID [4561],0.27,0.1,,,0
NDC,49348-337-36,PRAMOXINE-CALAMINE 1 %-8 % LOTION [103530],6.76,2.37,,,0
NDC,49348-356-25,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],0.09,0.03,,,0
NDC,49348-395-29,CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0.81,0.28,,,0
NDC,49348-426-84,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],0.21,0.07,,,0
NDC,49348-430-30,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION [93073],0.36,0.13,,,0
NDC,49348-460-30,PERMETHRIN 1 % TOPICAL LIQUID [10918],0.62,0.22,,,0
NDC,49348-504-49,MAGNESIUM CITRATE ORAL SOLUTION [4712],0.02,0.0084,,,0
NDC,49348-574-06,DOXYLAMINE SUCCINATE 25 MG TABLET [14847],0.12,0.04,,,0
NDC,49348-636-34,LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],5.95,2.08,,,0
NDC,49348-696-49,MAGNESIUM CITRATE ORAL SOLUTION [4712],0.02,0.0084,,,0
NDC,49348-706-14,IBUPROFEN 200 MG TABLET [3841],0.02,0.0084,,,0
NDC,49348-759-13,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],0.06,0.02,,,0
NDC,49348-771-03,CAFFEINE 200 MG TABLET [1259],0.07,0.02,,,0
NDC,49348-790-72,TERBINAFINE HCL 1 % TOPICAL CREAM [27023],0.25,0.09,,,0
NDC,49348-852-16,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE [34769],1.83,0.64,,,0
NDC,49348-863-48,SIMETHICONE 125 MG CHEWABLE TABLET [7226],0.11,0.04,,,0
NDC,49348-973-10,ACETAMINOPHEN 325 MG TABLET [101],0.06,0.02,,,0
NDC,49348-980-15,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.04,0.01,,,0
NDC,49348-980-23,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.03,0.01,,,0
NDC,49348-991-36,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [27889],0.21,0.07,,,0
NDC,4934839410,PYRIDOXINE (VITAMIN B6) 100 MG TABLET [6745],0.06,0.02,,,0
NDC,4934871236,BORIC ACID (BULK) POWDER [1131],0.1,0.03,,,0
NDC,4934887410,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.09,0.03,,,0
NDC,49401-101-01,BELIMUMAB 120 MG INTRAVENOUS SOLUTION [149975],2656.54,929.79,,,0
NDC,49401-102-01,BELIMUMAB 400 MG INTRAVENOUS SOLUTION [149976],8855.12,3099.29,,,0
NDC,49411-050-30,AMINOCAPROIC ACID 500 MG TABLET [9063],21.48,7.52,,,0
NDC,49411-052-08,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],45.3,15.85,,,0
NDC,49452-2850-1,ETHYL ALCOHOL (BULK) LIQUID [16626],265.16,92.81,,,0
NDC,49452-3550-1,HYDROCHLORIC ACID (BULK) 37 % LIQUID [10203],205.63,71.97,,,0
NDC,49452-3710-3,IODINE (BULK) CRYSTALS [3960],48.7,17.05,,,0
NDC,49452-3730-2,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION [3961],48.7,17.05,,,0
NDC,4945235601,HYDROCHLORIC ACID (BULK) 37 % LIQUID [10203],163.7,57.29,,,0
NDC,49471-001-05,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION [9260],2006.57,702.3,,,0
NDC,49483-003-10,"BISACODYL 5 MG TABLET,DELAYED RELEASE [1079]",0.01,0.0042,,,0
NDC,49483-340-01,ACETAMINOPHEN 325 MG TABLET [101],0.03,0.00945,,,0
NDC,49483-602-01,IBUPROFEN 400 MG TABLET [3843],0.05,0.02,,,0
NDC,49483-687-03,PARICALCITOL 1 MCG CAPSULE [41497],1.0,0.35,,,0
NDC,49483-688-03,PARICALCITOL 2 MCG CAPSULE [41498],2.0,0.7,,,0
NDC,49502-101-01,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR [29031]",132.58,46.4,,,0
NDC,49502-101-02,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR [29031]",132.58,46.4,,,0
NDC,49502-102-01,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [29032]",132.58,46.4,,,0
NDC,49502-102-02,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [29032]",132.58,46.4,,,0
NDC,49502-500-01,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [29032]",132.58,46.4,,,0
NDC,49502-500-02,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [29032]",132.58,46.4,,,0
NDC,49502-501-01,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR [29031]",132.58,46.4,,,0
NDC,49502-501-02,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR [29031]",132.58,46.4,,,0
NDC,49502-640-15,SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],20.29,7.1,,,0
NDC,49502-672-30,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [30510],18.04,6.31,,,0
NDC,49502-806-32,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION [183818],45.65,15.98,,,0
NDC,49502-806-93,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION [183818],45.65,15.98,,,0
NDC,49591-051-05,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN [110643],188.63,66.02,,,0
NDC,49591-051-51,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN [110643],188.63,66.02,,,0
NDC,49591-532-51,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],141.37,49.48,,,0
NDC,49702-203-18,LAMIVUDINE 150 MG TABLET [15880],6.93,2.43,,,0
NDC,49702-205-48,LAMIVUDINE 10 MG/ML ORAL SOLUTION [15881],6.76,2.37,,,0
NDC,49702-207-18,FOSAMPRENAVIR 700 MG TABLET [37182],19.31,6.76,,,0
NDC,49702-208-53,FOSAMPRENAVIR 50 MG/ML ORAL SUSPENSION [87839],6.38,2.23,,,0
NDC,49702-213-05,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [11691],14.17,4.96,,,0
NDC,49702-221-44,ABACAVIR 300 MG TABLET [24438],9.31,3.26,,,0
NDC,49702-222-48,ABACAVIR 20 MG/ML ORAL SOLUTION [24439],4.06,1.42,,,0
NDC,49702-223-18,MARAVIROC 150 MG TABLET [87998],28.84,10.09,,,0
NDC,49702-224-18,MARAVIROC 300 MG TABLET [87999],28.84,10.09,,,0
NDC,49702-228-13,DOLUTEGRAVIR 50 MG TABLET [163662],71.03,24.86,,,0
NDC,49708-153-07,QUININE 324 MG CAPSULE [109705],6.55,2.29,,,0
NDC,49708-644-90,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR [7820],6.76,2.37,,,0
NDC,49884-009-01,ISOSORBIDE DINITRATE 30 MG TABLET [4066],1.05,0.37,,,0
NDC,49884-022-01,ISOSORBIDE DINITRATE 20 MG TABLET [4065],0.95,0.33,,,0
NDC,49884-032-01,TRANYLCYPROMINE 10 MG TABLET [11574],2.67,0.94,,,0
NDC,49884-034-01,MECLIZINE 12.5 MG TABLET [12024],0.26,0.09,,,0
NDC,49884-042-33,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION [148555],3.65,1.28,,,0
NDC,49884-054-01,IMIPRAMINE 10 MG TABLET [3860],0.18,0.06,,,0
NDC,49884-055-01,IMIPRAMINE 25 MG TABLET [3861],0.23,0.08,,,0
NDC,49884-056-01,IMIPRAMINE 50 MG TABLET [3862],0.3,0.11,,,0
NDC,49884-058-02,BOSENTAN 62.5 MG TABLET [31875],19.39,6.79,,,0
NDC,49884-059-02,BOSENTAN 125 MG TABLET [31876],19.39,6.79,,,0
NDC,49884-065-01,GLYCOPYRROLATE 1 MG TABLET [10130],0.43,0.15,,,0
NDC,49884-087-01,DEXAMETHASONE 4 MG TABLET [2327],0.1,0.04,,,0
NDC,49884-117-01,AMILORIDE 5 MG TABLET [391],0.9,0.32,,,0
NDC,49884-122-01,LABETALOL 100 MG TABLET [10373],0.41,0.14,,,0
NDC,49884-123-01,LABETALOL 200 MG TABLET [10374],0.58,0.2,,,0
NDC,49884-210-02,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR [37644]",7.41,2.59,,,0
NDC,49884-211-02,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR [37645]",7.41,2.59,,,0
NDC,49884-222-01,DOXEPIN 150 MG CAPSULE [2610],0.77,0.27,,,0
NDC,49884-222-03,DOXEPIN 150 MG CAPSULE [2610],0.78,0.27,,,0
NDC,49884-228-09,EZETIMIBE 10 MG TABLET [34153],2.09,0.73,,,0
NDC,49884-231-83,PRAZIQUANTEL 600 MG TABLET [11113],66.43,23.25,,,0
NDC,49884-235-33,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR [9582],6.22,2.18,,,0
NDC,49884-256-01,MINOXIDIL 2.5 MG TABLET [5115],0.21,0.07,,,0
NDC,49884-257-01,MINOXIDIL 10 MG TABLET [5114],0.45,0.16,,,0
NDC,49884-289-01,MEGESTROL 20 MG TABLET [4870],0.19,0.07,,,0
NDC,49884-304-02,ZAFIRLUKAST 20 MG TABLET [17960],1.52,0.53,,,0
NDC,49884-311-52,RISPERIDONE 0.5 MG DISINTEGRATING TABLET [35686],3.5,1.22,,,0
NDC,49884-311-55,RISPERIDONE 0.5 MG DISINTEGRATING TABLET [35686],3.5,1.22,,,0
NDC,49884-311-91,RISPERIDONE 0.5 MG DISINTEGRATING TABLET [35686],3.5,1.22,,,0
NDC,49884-315-52,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],4.09,1.43,,,0
NDC,49884-315-55,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],4.09,1.43,,,0
NDC,49884-321-52,OLANZAPINE 10 MG DISINTEGRATING TABLET [28160],1.26,0.44,,,0
NDC,49884-321-55,OLANZAPINE 10 MG DISINTEGRATING TABLET [28160],1.26,0.44,,,0
NDC,49884-330-01,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE [37661]",2.52,0.88,,,0
NDC,49884-412-01,URSODIOL 250 MG TABLET [22660],1.42,0.5,,,0
NDC,49884-465-64,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET [9588],21.65,7.58,,,0
NDC,49884-465-65,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET [9588],21.65,7.58,,,0
NDC,49884-501-01,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",13.96,4.89,,,0
NDC,49884-534-11,MODAFINIL 100 MG TABLET [24702],13.39,4.69,,,0
NDC,49884-640-01,METHIMAZOLE 5 MG TABLET [10553],0.24,0.08,,,0
NDC,49884-658-09,CANDESARTAN 4 MG TABLET [23229],2.35,0.82,,,0
NDC,49884-660-09,CANDESARTAN 16 MG TABLET [23231],2.35,0.82,,,0
NDC,49884-673-14,CABERGOLINE 0.5 MG TABLET [19226],22.0,7.7,,,0
NDC,49884-677-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]",0.86,0.3,,,0
NDC,49884-678-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]",1.52,0.53,,,0
NDC,49884-724-01,HYDROXYUREA 500 MG CAPSULE [10236],0.56,0.2,,,0
NDC,49884-746-01,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR [37650]",0.57,0.2,,,0
NDC,49884-768-52,TOLVAPTAN 15 MG TABLET [97893],60.0,21.0,,,0
NDC,49884-768-54,TOLVAPTAN 15 MG TABLET [97893],60.0,21.0,,,0
NDC,49884-832-11,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",1.77,0.62,,,0
NDC,49884-867-02,DRONABINOL 2.5 MG CAPSULE [9904],4.71,1.65,,,0
NDC,49884-902-52,MAFENIDE 50 GRAM TOPICAL PACKET [23233],723.78,253.32,,,0
NDC,49884-902-78,MAFENIDE 50 GRAM TOPICAL PACKET [23233],723.78,253.32,,,0
NDC,49884-922-02,MERCAPTOPURINE 50 MG TABLET [10531],2.1,0.74,,,0
NDC,49884-935-47,DICLOFENAC 1 % TOPICAL GEL [100611],2.04,0.71,,,0
NDC,49884-936-64,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET [9588],21.65,7.58,,,0
NDC,49884-936-65,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET [9588],21.65,7.58,,,0
NDC,49938-101-30,DAPSONE 100 MG TABLET [2131],2.8,0.98,,,0
NDC,49938-102-30,DAPSONE 25 MG TABLET [2132],2.28,0.8,,,0
NDC,5001856112,SUCROSE 24 % ORAL DROPS [192387],1.05,0.37,,,0
NDC,50111-309-01,HYDROXYZINE HCL 50 MG TABLET [3775],0.49,0.17,,,0
NDC,50111-327-01,HYDRALAZINE 25 MG TABLET [3700],0.08,0.03,,,0
NDC,50111-328-01,HYDRALAZINE 50 MG TABLET [3701],0.1,0.03,,,0
NDC,50111-328-03,HYDRALAZINE 50 MG TABLET [3701],0.2,0.07,,,0
NDC,50111-333-01,METRONIDAZOLE 250 MG TABLET [5015],0.3,0.11,,,0
NDC,50111-334-01,METRONIDAZOLE 500 MG TABLET [5016],0.51,0.18,,,0
NDC,50111-334-02,METRONIDAZOLE 500 MG TABLET [5016],0.48,0.17,,,0
NDC,50111-397-01,HYDRALAZINE 100 MG TABLET [3699],0.37,0.13,,,0
NDC,50111-398-01,HYDRALAZINE 10 MG TABLET [3698],0.12,0.04,,,0
NDC,50111-433-01,TRAZODONE 50 MG TABLET [8085],0.07,0.02,,,0
NDC,50111-434-01,TRAZODONE 100 MG TABLET [8083],0.12,0.04,,,0
NDC,50111-441-01,TRAZODONE 150 MG TABLET [8084],0.36,0.13,,,0
NDC,50111-467-01,PROPRANOLOL 10 MG TABLET [6656],0.28,0.1,,,0
NDC,50111-468-01,PROPRANOLOL 20 MG TABLET [6657],0.34,0.12,,,0
NDC,50111-468-03,PROPRANOLOL 20 MG TABLET [6657],0.33,0.11,,,0
NDC,50111-469-01,PROPRANOLOL 40 MG TABLET [6658],0.48,0.17,,,0
NDC,50111-469-03,PROPRANOLOL 40 MG TABLET [6658],0.46,0.16,,,0
NDC,50111-471-01,PROPRANOLOL 80 MG TABLET [6660],0.6,0.21,,,0
NDC,50111-560-01,TRAZODONE 50 MG TABLET [8085],0.07,0.02,,,0
NDC,50111-648-01,FLUOXETINE 20 MG CAPSULE [10070],0.06,0.02,,,0
NDC,50111-787-10,AZITHROMYCIN 250 MG TABLET [20943],2.84,0.99,,,0
NDC,50111-789-10,AZITHROMYCIN 600 MG TABLET [17387],5.51,1.93,,,0
NDC,50111-852-01,VALPROIC ACID 250 MG CAPSULE [8429],0.37,0.13,,,0
NDC,50111-901-01,ETHOSUXIMIDE 250 MG CAPSULE [9989],1.78,0.62,,,0
NDC,50111-916-01,TORSEMIDE 10 MG TABLET [18292],0.53,0.18,,,0
NDC,50111-917-01,TORSEMIDE 20 MG TABLET [18293],0.62,0.22,,,0
NDC,50111-918-01,TORSEMIDE 100 MG TABLET [18294],1.94,0.68,,,0
NDC,50111-990-01,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",1.21,0.42,,,0
NDC,5019014123,SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],1.69,0.59,,,0
NDC,5019014263,SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],0.64,0.23,,,0
NDC,50222-260-06,CALCIPOTRIENE 0.005 % TOPICAL CREAM [16034],7.17,2.51,,,0
NDC,50228-192-60,LACOSAMIDE 50 MG TABLET [96968],0.08,0.03,,,0
NDC,50228-382-60,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [82089]",0.13,0.05,,,0
NDC,50228-383-60,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [82090]",0.17,0.06,,,0
NDC,50228-423-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",0.67,0.23,,,0
NDC,50228-427-90,SOLIFENACIN 5 MG TABLET [40392],0.33,0.12,,,0
NDC,50228-458-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.1,0.04,,,0
NDC,50228-459-01,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0.12,0.04,,,0
NDC,50228-465-01,NABUMETONE 500 MG TABLET [10676],0.12,0.04,,,0
NDC,50228-466-01,NABUMETONE 750 MG TABLET [10677],0.12,0.04,,,0
NDC,50242-037-06,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [181599],23405.55,8191.94,,,0
NDC,50242-040-62,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION [36151],6215.4,2175.39,,,0
NDC,50242-041-10,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [31310],498.2,174.37,,,0
NDC,50242-041-63,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [31310],261.55,91.54,,,0
NDC,50242-041-64,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [31310],523.11,183.09,,,0
NDC,50242-044-06,ALTEPLASE 50 MG INTRAVENOUS SOLUTION [9003],13077.63,4577.17,,,0
NDC,50242-044-13,ALTEPLASE 50 MG INTRAVENOUS SOLUTION [9003],13077.63,4577.17,,,0
NDC,50242-051-10,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]",310.32,108.61,,,0
NDC,50242-051-21,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]",310.32,108.61,,,0
NDC,50242-053-06,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]",310.32,108.61,,,0
NDC,50242-060-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [38022],918.47,321.46,,,0
NDC,50242-060-10,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [38022],874.73,306.16,,,0
NDC,50242-061-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [38022],918.47,321.46,,,0
NDC,50242-061-10,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [38022],874.73,306.16,,,0
NDC,50242-070-01,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [164450]",767.48,268.62,,,0
NDC,50242-077-01,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION [184803]",5106.0,1787.1,,,0
NDC,50242-085-25,ALTEPLASE 100 MG INTRAVENOUS SOLUTION [9002],26155.26,9154.34,,,0
NDC,50242-085-27,ALTEPLASE 100 MG INTRAVENOUS SOLUTION [9002],26155.26,9154.34,,,0
NDC,50242-087-01,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION [161720],25645.04,8975.77,,,0
NDC,50242-088-01,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [161667],16028.15,5609.85,,,0
NDC,50242-100-39,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [12211],158.02,55.31,,,0
NDC,50242-100-40,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [12211],395.04,138.26,,,0
NDC,50242-103-01,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION [189431],3546.44,1241.25,,,0
NDC,50242-105-01,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [185337],79184.49,27714.57,,,0
NDC,50242-132-01,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [178977],7123.22,2493.13,,,0
NDC,50242-135-01,TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [99452],529.8,185.43,,,0
NDC,50242-137-01,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [113941],504.58,176.6,,,0
NDC,50242-142-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION [196693],2055.21,719.32,,,0
NDC,50242-145-01,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [157349],1235.86,432.55,,,0
NDC,50242-150-01,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [178074],6569.98,2299.49,,,0
NDC,50242-159-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION [196693],2055.21,719.32,,,0
NDC,50242-917-01,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [175376]",698.48,244.47,,,0
NDC,50242-918-01,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION [184573],2317.71,811.2,,,0
NDC,50242-921-01,EMICIZUMAB-KXWH 60 MG/0.4 ML SUBCUTANEOUS SOLUTION [180730],16263.7,5692.3,,,0
NDC,50242-922-01,EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION [180731],46554.0,16293.9,,,0
NDC,50242-923-01,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION [180732],46554.0,16293.9,,,0
NDC,50268-038-11,AMITRIPTYLINE 25 MG TABLET [435],0.42,0.15,,,0
NDC,50268-038-15,AMITRIPTYLINE 25 MG TABLET [435],0.42,0.15,,,0
NDC,50268-042-12,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE [8962]",4.43,1.55,,,0
NDC,50268-050-11,ACEBUTOLOL 200 MG CAPSULE [8939],1.48,0.52,,,0
NDC,50268-050-15,ACEBUTOLOL 200 MG CAPSULE [8939],1.48,0.52,,,0
NDC,50268-057-13,ATOMOXETINE 25 MG CAPSULE [34446],3.51,1.23,,,0
NDC,50268-059-13,ATOMOXETINE 60 MG CAPSULE [34448],4.77,1.67,,,0
NDC,50268-061-11,ACYCLOVIR 400 MG TABLET [8971],0.29,0.1,,,0
NDC,50268-061-15,ACYCLOVIR 400 MG TABLET [8971],0.29,0.1,,,0
NDC,50268-069-11,AMANTADINE HCL 100 MG CAPSULE [364],2.0,0.7,,,0
NDC,50268-069-15,AMANTADINE HCL 100 MG CAPSULE [364],2.0,0.7,,,0
NDC,50268-071-11,AMILORIDE 5 MG TABLET [391],0.72,0.25,,,0
NDC,50268-071-15,AMILORIDE 5 MG TABLET [391],0.72,0.25,,,0
NDC,50268-074-13,AZITHROMYCIN 250 MG TABLET [20943],1.05,0.37,,,0
NDC,50268-075-11,ANASTROZOLE 1 MG TABLET [16205],0.98,0.34,,,0
NDC,50268-075-15,ANASTROZOLE 1 MG TABLET [16205],0.98,0.34,,,0
NDC,50268-083-15,AMLODIPINE 2.5 MG TABLET [9070],0.14,0.05,,,0
NDC,50268-084-15,AMLODIPINE 5 MG TABLET [9071],0.1,0.03,,,0
NDC,50268-085-15,AMLODIPINE 10 MG TABLET [9069],0.1,0.04,,,0
NDC,50268-086-11,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,50268-086-12,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,50268-087-11,ARIPIPRAZOLE 2 MG TABLET [70306],1.04,0.36,,,0
NDC,50268-088-11,ARIPIPRAZOLE 5 MG TABLET [36438],0.48,0.17,,,0
NDC,50268-088-15,ARIPIPRAZOLE 5 MG TABLET [36438],0.48,0.17,,,0
NDC,50268-098-11,AZITHROMYCIN 250 MG TABLET [20943],1.5,0.52,,,0
NDC,50268-098-15,AZITHROMYCIN 250 MG TABLET [20943],1.5,0.52,,,0
NDC,50268-102-11,BALSALAZIDE 750 MG CAPSULE [29299],1.81,0.63,,,0
NDC,50268-102-13,BALSALAZIDE 750 MG CAPSULE [29299],1.81,0.63,,,0
NDC,50268-106-11,BACLOFEN 10 MG TABLET [860],0.52,0.18,,,0
NDC,50268-106-15,BACLOFEN 10 MG TABLET [860],0.52,0.18,,,0
NDC,50268-109-15,BENAZEPRIL 5 MG TABLET [9223],0.63,0.22,,,0
NDC,50268-112-11,BENAZEPRIL 40 MG TABLET [9222],0.79,0.28,,,0
NDC,50268-112-15,BENAZEPRIL 40 MG TABLET [9222],0.79,0.28,,,0
NDC,50268-127-11,BISOPROLOL FUMARATE 5 MG TABLET [18288],1.16,0.41,,,0
NDC,50268-127-15,BISOPROLOL FUMARATE 5 MG TABLET [18288],1.16,0.41,,,0
NDC,50268-130-15,BUMETANIDE 0.5 MG TABLET [9309],1.26,0.44,,,0
NDC,50268-132-11,BUMETANIDE 2 MG TABLET [9311],1.72,0.6,,,0
NDC,50268-132-15,BUMETANIDE 2 MG TABLET [9311],1.72,0.6,,,0
NDC,50268-140-13,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.5,0.52,,,0
NDC,50268-144-11,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET [34713],3.9,1.36,,,0
NDC,50268-144-15,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET [34713],3.9,1.36,,,0
NDC,50268-145-15,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET [34714],5.02,1.76,,,0
NDC,50268-148-11,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],1.4,0.49,,,0
NDC,50268-148-15,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],1.4,0.49,,,0
NDC,50268-151-11,CEPHALEXIN 250 MG CAPSULE [9499],0.4,0.14,,,0
NDC,50268-151-15,CEPHALEXIN 250 MG CAPSULE [9499],0.4,0.14,,,0
NDC,50268-152-11,CEPHALEXIN 500 MG CAPSULE [9500],0.44,0.16,,,0
NDC,50268-152-15,CEPHALEXIN 500 MG CAPSULE [9500],0.44,0.16,,,0
NDC,50268-154-11,CAPECITABINE 500 MG TABLET [22994],24.31,8.51,,,0
NDC,50268-154-13,CAPECITABINE 500 MG TABLET [22994],24.31,8.51,,,0
NDC,50268-163-11,CHLORPROMAZINE 25 MG TABLET [1656],2.51,0.88,,,0
NDC,50268-163-15,CHLORPROMAZINE 25 MG TABLET [1656],2.51,0.88,,,0
NDC,50268-167-11,CHLORTHALIDONE 25 MG TABLET [1661],0.86,0.3,,,0
NDC,50268-167-15,CHLORTHALIDONE 25 MG TABLET [1661],0.77,0.27,,,0
NDC,50268-168-15,CELECOXIB 100 MG CAPSULE [24500],1.1,0.38,,,0
NDC,50268-171-11,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [27632]",3.17,1.11,,,0
NDC,50268-171-13,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [27632]",3.17,1.11,,,0
NDC,50268-176-11,CILOSTAZOL 50 MG TABLET [24473],1.09,0.38,,,0
NDC,50268-176-15,CILOSTAZOL 50 MG TABLET [24473],1.09,0.38,,,0
NDC,50268-177-11,CILOSTAZOL 100 MG TABLET [24474],1.06,0.37,,,0
NDC,50268-177-15,CILOSTAZOL 100 MG TABLET [24474],1.06,0.37,,,0
NDC,50268-179-11,CLARITHROMYCIN 500 MG TABLET [9617],2.24,0.78,,,0
NDC,50268-179-13,CLARITHROMYCIN 500 MG TABLET [9617],2.24,0.78,,,0
NDC,50268-184-11,CLOPIDOGREL 300 MG TABLET [89346],9.58,3.35,,,0
NDC,50268-184-12,CLOPIDOGREL 300 MG TABLET [89346],9.58,3.35,,,0
NDC,50268-187-11,COLCHICINE 0.6 MG TABLET [1821],3.72,1.3,,,0
NDC,50268-187-15,COLCHICINE 0.6 MG TABLET [1821],3.72,1.3,,,0
NDC,50268-189-11,CYPROHEPTADINE 4 MG TABLET [2033],0.65,0.23,,,0
NDC,50268-189-15,CYPROHEPTADINE 4 MG TABLET [2033],0.65,0.23,,,0
NDC,50268-190-11,CYCLOBENZAPRINE 5 MG TABLET [35184],0.68,0.24,,,0
NDC,50268-190-15,CYCLOBENZAPRINE 5 MG TABLET [35184],0.68,0.24,,,0
NDC,50268-191-11,CYCLOBENZAPRINE 10 MG TABLET [2017],0.18,0.06,,,0
NDC,50268-191-15,CYCLOBENZAPRINE 10 MG TABLET [2017],0.18,0.06,,,0
NDC,50268-221-15,DESMOPRESSIN 0.2 MG TABLET [16053],2.72,0.95,,,0
NDC,50268-270-13,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.04,0.37,,,0
NDC,50268-277-11,DOXYCYCLINE HYCLATE 50 MG CAPSULE [2624],1.56,0.55,,,0
NDC,50268-277-15,DOXYCYCLINE HYCLATE 50 MG CAPSULE [2624],1.67,0.58,,,0
NDC,50268-278-11,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],2.54,0.89,,,0
NDC,50268-278-15,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],2.54,0.89,,,0
NDC,50268-282-11,DUTASTERIDE 0.5 MG CAPSULE [34089],0.95,0.33,,,0
NDC,50268-282-13,DUTASTERIDE 0.5 MG CAPSULE [34089],0.95,0.33,,,0
NDC,50268-291-11,ESTRADIOL 1 MG TABLET [9967],0.42,0.15,,,0
NDC,50268-291-15,ESTRADIOL 1 MG TABLET [9967],0.42,0.15,,,0
NDC,50268-295-11,ENTACAPONE 200 MG TABLET [26547],5.0,1.75,,,0
NDC,50268-295-15,ENTACAPONE 200 MG TABLET [26547],5.0,1.75,,,0
NDC,50268-297-11,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",1.4,0.49,,,0
NDC,50268-297-15,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",1.4,0.49,,,0
NDC,50268-303-11,FAMOTIDINE 20 MG TABLET [10011],0.14,0.05,,,0
NDC,50268-303-15,FAMOTIDINE 20 MG TABLET [10011],0.14,0.05,,,0
NDC,50268-323-11,FINASTERIDE 5 MG TABLET [10037],1.02,0.36,,,0
NDC,50268-323-15,FINASTERIDE 5 MG TABLET [10037],1.02,0.36,,,0
NDC,50268-324-15,FLAVOXATE 100 MG TABLET [10039],1.27,0.44,,,0
NDC,50268-330-11,FLUDROCORTISONE 0.1 MG TABLET [10054],0.67,0.23,,,0
NDC,50268-330-15,FLUDROCORTISONE 0.1 MG TABLET [10054],0.67,0.23,,,0
NDC,50268-337-15,FLUCONAZOLE 100 MG TABLET [10044],1.7,0.6,,,0
NDC,50268-339-11,FLUCONAZOLE 200 MG TABLET [10045],2.5,0.87,,,0
NDC,50268-339-15,FLUCONAZOLE 200 MG TABLET [10045],2.5,0.87,,,0
NDC,50268-345-11,FOLIC ACID 1 MG TABLET [3233],0.11,0.04,,,0
NDC,50268-345-15,FOLIC ACID 1 MG TABLET [3233],0.11,0.04,,,0
NDC,50268-349-11,GABAPENTIN 400 MG CAPSULE [18307],0.19,0.07,,,0
NDC,50268-349-15,GABAPENTIN 400 MG CAPSULE [18307],0.19,0.07,,,0
NDC,50268-351-15,GABAPENTIN 600 MG TABLET [25855],0.72,0.25,,,0
NDC,50268-352-11,GABAPENTIN 800 MG TABLET [25856],1.21,0.42,,,0
NDC,50268-352-13,GABAPENTIN 800 MG TABLET [25856],1.21,0.42,,,0
NDC,50268-362-11,GLIPIZIDE 10 MG TABLET [10116],0.6,0.21,,,0
NDC,50268-362-15,GLIPIZIDE 10 MG TABLET [10116],0.6,0.21,,,0
NDC,50268-405-11,HYDROCORTISONE 5 MG TABLET [10209],1.63,0.57,,,0
NDC,50268-405-15,HYDROCORTISONE 5 MG TABLET [10209],1.63,0.57,,,0
NDC,50268-430-11,INDOMETHACIN 25 MG CAPSULE [3897],0.36,0.13,,,0
NDC,50268-430-15,INDOMETHACIN 25 MG CAPSULE [3897],0.36,0.13,,,0
NDC,50268-448-15,ISOSORBIDE DINITRATE 10 MG TABLET [4064],0.82,0.29,,,0
NDC,50268-449-11,ISOSORBIDE DINITRATE 20 MG TABLET [4065],1.0,0.35,,,0
NDC,50268-449-15,ISOSORBIDE DINITRATE 20 MG TABLET [4065],1.0,0.35,,,0
NDC,50268-451-11,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0.69,0.24,,,0
NDC,50268-451-15,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0.69,0.24,,,0
NDC,50268-476-11,LETROZOLE 2.5 MG TABLET [21509],0.56,0.19,,,0
NDC,50268-476-15,LETROZOLE 2.5 MG TABLET [21509],0.56,0.19,,,0
NDC,50268-477-15,LEFLUNOMIDE 10 MG TABLET [23872],2.47,0.87,,,0
NDC,50268-518-11,LOSARTAN 100 MG TABLET [22588],0.74,0.26,,,0
NDC,50268-518-15,LOSARTAN 100 MG TABLET [22588],0.74,0.26,,,0
NDC,50268-520-11,METHOCARBAMOL 500 MG TABLET [4971],0.3,0.1,,,0
NDC,50268-520-15,METHOCARBAMOL 500 MG TABLET [4971],0.3,0.1,,,0
NDC,50268-522-11,MECLIZINE 12.5 MG TABLET [12024],0.48,0.17,,,0
NDC,50268-525-11,MELOXICAM 7.5 MG TABLET [20566],0.16,0.06,,,0
NDC,50268-525-15,MELOXICAM 7.5 MG TABLET [20566],0.16,0.06,,,0
NDC,50268-526-11,MELOXICAM 15 MG TABLET [20580],0.2,0.07,,,0
NDC,50268-526-15,MELOXICAM 15 MG TABLET [20580],0.2,0.07,,,0
NDC,50268-530-11,METAXALONE 800 MG TABLET [33963],2.23,0.78,,,0
NDC,50268-530-15,METAXALONE 800 MG TABLET [33963],2.23,0.78,,,0
NDC,50268-531-11,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0.31,0.11,,,0
NDC,50268-531-15,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0.31,0.11,,,0
NDC,50268-540-15,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",0.64,0.22,,,0
NDC,50268-542-15,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",0.83,0.29,,,0
NDC,50268-569-11,MINOCYCLINE 100 MG CAPSULE [5110],1.07,0.37,,,0
NDC,50268-569-13,MINOCYCLINE 100 MG CAPSULE [5110],1.07,0.37,,,0
NDC,50268-570-11,MODAFINIL 100 MG TABLET [24702],6.36,2.23,,,0
NDC,50268-570-12,MODAFINIL 100 MG TABLET [24702],6.36,2.23,,,0
NDC,50268-573-11,MONTELUKAST 4 MG CHEWABLE TABLET [27234],1.05,0.37,,,0
NDC,50268-573-15,MONTELUKAST 4 MG CHEWABLE TABLET [27234],1.05,0.37,,,0
NDC,50268-574-11,MONTELUKAST 5 MG CHEWABLE TABLET [22510],0.94,0.33,,,0
NDC,50268-574-15,MONTELUKAST 5 MG CHEWABLE TABLET [22510],0.94,0.33,,,0
NDC,50268-575-11,MONTELUKAST 10 MG TABLET [22509],0.42,0.15,,,0
NDC,50268-575-15,MONTELUKAST 10 MG TABLET [22509],0.42,0.15,,,0
NDC,50268-585-11,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.28,0.1,,,0
NDC,50268-585-15,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.28,0.1,,,0
NDC,50268-594-11,NAPROXEN 250 MG TABLET [5391],0.26,0.09,,,0
NDC,50268-594-15,NAPROXEN 250 MG TABLET [5391],0.26,0.09,,,0
NDC,50268-600-11,NIFEDIPINE 10 MG CAPSULE [5558],1.5,0.52,,,0
NDC,50268-600-15,NIFEDIPINE 10 MG CAPSULE [5558],1.5,0.52,,,0
NDC,50268-603-11,NORTRIPTYLINE 10 MG CAPSULE [5674],0.39,0.14,,,0
NDC,50268-603-15,NORTRIPTYLINE 10 MG CAPSULE [5674],0.39,0.14,,,0
NDC,50268-604-11,NORTRIPTYLINE 25 MG CAPSULE [5675],0.49,0.17,,,0
NDC,50268-604-15,NORTRIPTYLINE 25 MG CAPSULE [5675],0.49,0.17,,,0
NDC,50268-605-15,NORTRIPTYLINE 50 MG CAPSULE [5676],0.52,0.18,,,0
NDC,50268-611-11,OLANZAPINE 7.5 MG TABLET [17938],0.45,0.16,,,0
NDC,50268-611-15,OLANZAPINE 7.5 MG TABLET [17938],0.45,0.16,,,0
NDC,50268-621-11,ONDANSETRON HCL 4 MG TABLET [10778],0.5,0.18,,,0
NDC,50268-621-15,ONDANSETRON HCL 4 MG TABLET [10778],0.5,0.18,,,0
NDC,50268-623-15,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],1.8,0.63,,,0
NDC,50268-624-11,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],2.87,1.0,,,0
NDC,50268-624-15,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],2.87,1.0,,,0
NDC,50268-625-11,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],2.6,0.91,,,0
NDC,50268-625-15,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],2.6,0.91,,,0
NDC,50268-630-11,QUETIAPINE 25 MG TABLET [21823],0.16,0.06,,,0
NDC,50268-632-11,QUETIAPINE 100 MG TABLET [21824],0.21,0.07,,,0
NDC,50268-632-15,QUETIAPINE 100 MG TABLET [21824],0.21,0.07,,,0
NDC,50268-636-11,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.28,0.1,,,0
NDC,50268-636-15,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.28,0.1,,,0
NDC,50268-642-11,PAROXETINE 30 MG TABLET [10856],0.46,0.16,,,0
NDC,50268-642-15,PAROXETINE 30 MG TABLET [10856],0.46,0.16,,,0
NDC,50268-646-11,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],1.26,0.44,,,0
NDC,50268-646-15,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],1.26,0.44,,,0
NDC,50268-683-11,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [164566]",30.52,10.68,,,0
NDC,50268-683-12,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [164566]",30.52,10.68,,,0
NDC,50268-684-11,PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],1.34,0.47,,,0
NDC,50268-685-11,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],1.48,0.52,,,0
NDC,50268-685-15,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],1.48,0.52,,,0
NDC,50268-687-15,PRIMIDONE 250 MG TABLET [6544],0.65,0.23,,,0
NDC,50268-694-11,RALOXIFENE 60 MG TABLET [22143],3.11,1.09,,,0
NDC,50268-694-15,RALOXIFENE 60 MG TABLET [22143],3.11,1.09,,,0
NDC,50268-701-11,PROPRANOLOL 20 MG TABLET [6657],0.51,0.18,,,0
NDC,50268-701-15,PROPRANOLOL 20 MG TABLET [6657],0.51,0.18,,,0
NDC,50268-709-11,ROSUVASTATIN 10 MG TABLET [35134],0.68,0.24,,,0
NDC,50268-709-15,ROSUVASTATIN 10 MG TABLET [35134],0.68,0.24,,,0
NDC,50268-717-11,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],0.74,0.26,,,0
NDC,50268-717-15,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],0.74,0.26,,,0
NDC,50268-718-11,SIROLIMUS 1 MG TABLET [28958],9.41,3.29,,,0
NDC,50268-718-13,SIROLIMUS 1 MG TABLET [28958],9.41,3.29,,,0
NDC,50268-722-11,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",1.58,0.55,,,0
NDC,50268-722-15,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",1.58,0.55,,,0
NDC,50268-728-11,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],0.3,0.1,,,0
NDC,50268-728-15,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],0.3,0.1,,,0
NDC,50268-730-11,SULFASALAZINE 500 MG TABLET [7562],0.4,0.14,,,0
NDC,50268-730-15,SULFASALAZINE 500 MG TABLET [7562],0.4,0.14,,,0
NDC,50268-751-11,TOPIRAMATE 50 MG TABLET [37616],0.22,0.08,,,0
NDC,50268-751-15,TOPIRAMATE 50 MG TABLET [37616],0.21,0.07,,,0
NDC,50268-755-11,TORSEMIDE 10 MG TABLET [18292],0.31,0.11,,,0
NDC,50268-755-15,TORSEMIDE 10 MG TABLET [18292],0.31,0.11,,,0
NDC,50268-756-15,TORSEMIDE 20 MG TABLET [18293],0.4,0.14,,,0
NDC,50268-757-11,TORSEMIDE 100 MG TABLET [18294],0.48,0.17,,,0
NDC,50268-757-15,TORSEMIDE 100 MG TABLET [18294],0.48,0.17,,,0
NDC,50268-758-11,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],2.35,0.82,,,0
NDC,50268-758-12,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],2.29,0.8,,,0
NDC,50268-764-11,TERAZOSIN 1 MG CAPSULE [14550],0.83,0.29,,,0
NDC,50268-764-15,TERAZOSIN 1 MG CAPSULE [14550],0.83,0.29,,,0
NDC,50268-765-11,TERAZOSIN 2 MG CAPSULE [14551],0.84,0.29,,,0
NDC,50268-766-11,TERAZOSIN 5 MG CAPSULE [14553],0.84,0.29,,,0
NDC,50268-766-15,TERAZOSIN 5 MG CAPSULE [14553],0.84,0.29,,,0
NDC,50268-787-12,VALGANCICLOVIR 450 MG TABLET [30148],15.94,5.58,,,0
NDC,50268-788-15,VALACYCLOVIR 500 MG TABLET [13133],1.79,0.63,,,0
NDC,50268-798-11,VENLAFAXINE 25 MG TABLET [12203],0.94,0.33,,,0
NDC,50268-798-15,VENLAFAXINE 25 MG TABLET [12203],0.94,0.33,,,0
NDC,50268-816-11,ZONISAMIDE 100 MG CAPSULE [27780],0.6,0.21,,,0
NDC,50268-816-15,ZONISAMIDE 100 MG CAPSULE [27780],0.6,0.21,,,0
NDC,50268-819-15,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",0.49,0.17,,,0
NDC,5026858211,NIACIN 100 MG TABLET [5539],0.37,0.13,,,0
NDC,5026858215,NIACIN 100 MG TABLET [5539],0.37,0.13,,,0
NDC,5026885111,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [147676],0.19,0.07,,,0
NDC,5026885115,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [147676],0.19,0.07,,,0
NDC,5026885211,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [2008],0.18,0.06,,,0
NDC,5026885215,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [2008],0.18,0.06,,,0
NDC,5026885511,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0.21,0.07,,,0
NDC,5026885515,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0.21,0.07,,,0
NDC,5026885811,PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0.24,0.08,,,0
NDC,5026885815,PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0.24,0.08,,,0
NDC,5026885911,PYRIDOXINE (VITAMIN B6) 100 MG TABLET [6745],0.24,0.08,,,0
NDC,5026885915,PYRIDOXINE (VITAMIN B6) 100 MG TABLET [6745],0.24,0.08,,,0
NDC,5032300604,PHENYLEPHRINE 1 % NASAL SPRAY [103139],2.25,0.79,,,0
NDC,50383-021-05,TIMOLOL MALEATE 0.5 % EYE DROPS [11562],26.79,9.38,,,0
NDC,50383-042-48,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION [11117],0.05,0.02,,,0
NDC,50383-063-10,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],0.14,0.05,,,0
NDC,50383-063-12,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],0.14,0.05,,,0
NDC,50383-171-04,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION [41623],4.33,1.51,,,0
NDC,50383-233-10,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],66.02,23.11,,,0
NDC,50383-267-30,CLOBETASOL 0.05 % TOPICAL CREAM [9630],30.24,10.58,,,0
NDC,50383-269-30,CLOBETASOL 0.05 % TOPICAL GEL [13203],0.52,0.18,,,0
NDC,50383-282-02,CIPROFLOXACIN 0.3 % EYE DROPS [9610],139.61,48.86,,,0
NDC,50383-286-04,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],30.85,10.8,,,0
NDC,50383-286-16,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],30.85,10.8,,,0
NDC,50383-311-47,GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],10.82,3.79,,,0
NDC,50383-349-10,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.54,0.19,,,0
NDC,50383-349-11,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.54,0.19,,,0
NDC,50383-363-17,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],0.97,0.34,,,0
NDC,50383-587-16,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,50383-618-04,LOPERAMIDE 1 MG/5 ML ORAL LIQUID [4561],0.27,0.1,,,0
NDC,50383-618-10,LOPERAMIDE 1 MG/5 ML ORAL LIQUID [4561],0.27,0.1,,,0
NDC,50383-618-11,LOPERAMIDE 1 MG/5 ML ORAL LIQUID [4561],0.27,0.1,,,0
NDC,50383-700-16,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",38.14,13.35,,,0
NDC,50383-705-30,LORAZEPAM 2 MG/ML ORAL CONCENTRATE [4571],7.44,2.6,,,0
NDC,50383-740-16,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP [252],23.0,8.05,,,0
NDC,50383-741-20,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251],23.62,8.27,,,0
NDC,50383-771-10,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.54,0.19,,,0
NDC,50383-771-11,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.54,0.19,,,0
NDC,50383-771-16,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.01,0.00385,,,0
NDC,50383-775-04,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],0.97,0.34,,,0
NDC,50383-775-15,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],0.97,0.34,,,0
NDC,50383-775-17,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],0.97,0.34,,,0
NDC,50383-792-16,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION [8428],6.49,2.27,,,0
NDC,50383-795-16,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],0.17,0.06,,,0
NDC,50383-796-16,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],4.06,1.42,,,0
NDC,50383-807-16,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION [365],14.17,4.96,,,0
NDC,50383-810-16,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],36.53,12.78,,,0
NDC,50383-824-16,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],23.0,8.05,,,0
NDC,50383-855-16,PAREGORIC 2 MG/5 ML ORAL LIQUID [6047],4.06,1.42,,,0
NDC,50383-889-15,ACETIC ACID 2 % EAR SOLUTION [17801],14.34,5.02,,,0
NDC,50383-924-93,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],0.75,0.26,,,0
NDC,50383-933-55,LIDOCAINE 5 % TOPICAL OINTMENT [156477],7.17,2.51,,,0
NDC,50383-965-04,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],71.7,25.1,,,0
NDC,5038362750,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],4.06,1.42,,,0
NDC,5038377816,FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR [175492],0.27,0.09,,,0
NDC,50419-002-33,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],3799.6,1329.86,,,0
NDC,50419-250-01,RIOCIGUAT 0.5 MG TABLET [164328],145.01,50.75,,,0
NDC,50419-250-91,RIOCIGUAT 0.5 MG TABLET [164328],145.01,50.75,,,0
NDC,50419-251-01,RIOCIGUAT 1 MG TABLET [164329],145.01,50.75,,,0
NDC,50419-251-91,RIOCIGUAT 1 MG TABLET [164329],145.01,50.75,,,0
NDC,50419-253-01,RIOCIGUAT 2 MG TABLET [164331],145.01,50.75,,,0
NDC,50419-253-91,RIOCIGUAT 2 MG TABLET [164331],145.01,50.75,,,0
NDC,50419-254-01,RIOCIGUAT 2.5 MG TABLET [164332],145.01,50.75,,,0
NDC,50419-320-01,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [93574],202.28,70.8,,,0
NDC,50419-488-58,SORAFENIB 200 MG TABLET [43675],200.58,70.2,,,0
NDC,50419-523-25,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT [112966],382.67,133.93,,,0
NDC,50419-523-35,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT [112966],382.67,133.93,,,0
NDC,50419-524-01,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT [112966],382.67,133.93,,,0
NDC,50419-524-35,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT [112966],382.67,133.93,,,0
NDC,50419-747-01,PRAZIQUANTEL 600 MG TABLET [11113],83.04,29.06,,,0
NDC,5042827915,SENNOSIDES 8.6 MG TABLET [11349],1.0,0.35,,,0
NDC,50458-091-05,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],194.81,68.18,,,0
NDC,50458-092-05,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],281.4,98.49,,,0
NDC,50458-093-05,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],422.09,147.73,,,0
NDC,50458-094-05,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,50458-098-01,PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE [12912],10.92,3.82,,,0
NDC,50458-164-20,LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION [18925],293.76,102.82,,,0
NDC,50458-166-01,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107001],5.88,2.06,,,0
NDC,50458-167-01,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107002],293.76,102.82,,,0
NDC,50458-168-01,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [18924],5.88,2.06,,,0
NDC,50458-170-01,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],30.85,10.8,,,0
NDC,50458-210-01,ALMOTRIPTAN MALATE 12.5 MG TABLET [30322],42.7,14.95,,,0
NDC,50458-255-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,50458-290-01,ITRACONAZOLE 100 MG CAPSULE [10364],28.15,9.85,,,0
NDC,50458-295-15,ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],16.24,5.68,,,0
NDC,50458-300-01,RISPERIDONE 1 MG TABLET [18313],4.9,1.72,,,0
NDC,50458-305-03,RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],52.76,18.47,,,0
NDC,50458-315-28,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],12.3,4.3,,,0
NDC,50458-320-01,RISPERIDONE 2 MG TABLET [18311],8.19,2.87,,,0
NDC,50458-330-01,RISPERIDONE 3 MG TABLET [18312],9.62,3.37,,,0
NDC,50458-341-60,"LIPASE 4,200-PROTEASE 14,200-AMYLASE 24,600 UNIT CAPSULE,DELAYED REL [176846]",1.2,0.42,,,0
NDC,50458-342-60,"LIPASE 10,500-PROTEASE 35,500-AMYLASE 61,500 UNIT CAPSULE,DELAYED REL [176845]",3.0,1.05,,,0
NDC,50458-343-60,"LIPASE 16,800-PROTEASE 56,800-AMYLASE 98,400 UNIT CAPSULE, DELAYED REL [176843]",4.82,1.69,,,0
NDC,50458-346-60,"LIPASE 21,000-PROTEASE 54,700-AMYLASE 83,900 UNIT CAPSULE,DELAYED REL [176844]",6.01,2.1,,,0
NDC,50458-395-30,RISPERIDONE 0.5 MG DISINTEGRATING TABLET [35686],9.67,3.38,,,0
NDC,50458-396-60,GALANTAMINE 4 MG TABLET [29806],5.0,1.75,,,0
NDC,50458-401-01,DORIPENEM 500 MG INTRAVENOUS SOLUTION [88615],0.37,0.13,,,0
NDC,50458-401-02,DORIPENEM 500 MG INTRAVENOUS SOLUTION [88615],193.27,67.64,,,0
NDC,50458-402-01,DORIPENEM 250 MG INTRAVENOUS SOLUTION [148329],96.63,33.82,,,0
NDC,50458-543-60,"CANAGLIFLOZIN 150 MG-METFORMIN 1,000 MG TABLET [167466]",9.98,3.49,,,0
NDC,50458-550-01,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [78064]",12.26,4.29,,,0
NDC,50458-550-10,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [78064]",40.07,14.03,,,0
NDC,50458-551-01,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR [78065]",12.26,4.29,,,0
NDC,50458-551-10,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR [78065]",40.07,14.03,,,0
NDC,50458-577-18,RIVAROXABAN 2.5 MG TABLET [183092],9.04,3.16,,,0
NDC,50458-577-60,RIVAROXABAN 2.5 MG TABLET [183092],9.04,3.16,,,0
NDC,50458-578-01,RIVAROXABAN 15 MG TABLET [154123],18.08,6.33,,,0
NDC,50458-578-10,RIVAROXABAN 15 MG TABLET [154123],18.08,6.33,,,0
NDC,50458-579-10,RIVAROXABAN 20 MG TABLET [154124],18.08,6.33,,,0
NDC,50458-580-01,RIVAROXABAN 10 MG TABLET [152682],18.08,6.33,,,0
NDC,50458-580-10,RIVAROXABAN 10 MG TABLET [152682],18.08,6.33,,,0
NDC,50458-585-01,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR [28750]",12.9,4.51,,,0
NDC,50458-588-01,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR [32654]",13.22,4.63,,,0
NDC,50458-590-10,RISPERIDONE 0.25 MG TABLET [25519],1.58,0.55,,,0
NDC,50458-591-10,RISPERIDONE 0.5 MG TABLET [25520],1.73,0.61,,,0
NDC,50458-592-10,RISPERIDONE 1 MG TABLET [18313],1.84,0.64,,,0
NDC,50458-593-10,RISPERIDONE 2 MG TABLET [18311],3.07,1.08,,,0
NDC,50458-594-10,RISPERIDONE 3 MG TABLET [18312],3.61,1.26,,,0
NDC,50458-595-10,RISPERIDONE 4 MG TABLET [18310],4.85,1.7,,,0
NDC,50458-596-01,RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],52.76,18.47,,,0
NDC,50458-601-28,RISPERIDONE 0.5 MG DISINTEGRATING TABLET [35686],3.92,1.37,,,0
NDC,50458-602-28,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],4.58,1.6,,,0
NDC,50458-639-65,TOPIRAMATE 25 MG TABLET [18920],6.55,2.29,,,0
NDC,50458-640-65,TOPIRAMATE 50 MG TABLET [37616],13.08,4.58,,,0
NDC,50458-641-65,TOPIRAMATE 100 MG TABLET [18922],17.86,6.25,,,0
NDC,50458-642-65,TOPIRAMATE 200 MG TABLET [18921],20.91,7.32,,,0
NDC,50458-645-65,TOPIRAMATE 25 MG SPRINKLE CAPSULE [27642],7.49,2.62,,,0
NDC,50458-647-65,TOPIRAMATE 15 MG SPRINKLE CAPSULE [27641],6.2,2.17,,,0
NDC,50458-805-01,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [24470]",6.36,2.22,,,0
NDC,50458-815-01,"OXYBUTYNIN CHLORIDE ER 15 MG TABLET,EXTENDED RELEASE 24 HR [24723]",6.52,2.28,,,0
NDC,50458-920-10,LEVOFLOXACIN 250 MG TABLET [18918],26.21,9.17,,,0
NDC,50458-925-10,LEVOFLOXACIN 500 MG TABLET [18919],30.04,10.51,,,0
NDC,50458-930-10,LEVOFLOXACIN 750 MG TABLET [28964],56.24,19.69,,,0
NDC,5047-4508-42,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE [28913],304.11,106.44,,,0
NDC,5047-4508-48,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE [28913],306.82,107.39,,,0
NDC,5047-45083-2,SODIUM HYALURONATE 0.6 ML INTRAOCULAR SYRINGE [409168],193.16,67.6,,,0
NDC,50474-001-48,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],13.53,4.73,,,0
NDC,50474-002-63,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,50474-470-09,BRIVARACETAM 25 MG TABLET [175127],22.92,8.02,,,0
NDC,50474-470-66,BRIVARACETAM 25 MG TABLET [175127],22.92,8.02,,,0
NDC,50474-570-09,BRIVARACETAM 50 MG TABLET [175128],22.92,8.02,,,0
NDC,50474-570-66,BRIVARACETAM 50 MG TABLET [175128],22.92,8.02,,,0
NDC,50474-594-40,LEVETIRACETAM 250 MG TABLET [26816],7.73,2.71,,,0
NDC,50474-595-40,LEVETIRACETAM 500 MG TABLET [26817],9.45,3.31,,,0
NDC,50474-770-09,BRIVARACETAM 100 MG TABLET [175130],22.92,8.02,,,0
NDC,50474-770-66,BRIVARACETAM 100 MG TABLET [175130],22.92,8.02,,,0
NDC,50474-870-15,BRIVARACETAM 10 MG/ML ORAL SOLUTION [175125],14.86,5.2,,,0
NDC,50474-970-63,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION [175124],382.1,133.74,,,0
NDC,50474-970-75,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION [175124],382.1,133.74,,,0
NDC,50484-010-30,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT [9682],2.98,1.04,,,0
NDC,50532-115-10,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR [17010]",0.79,0.28,,,0
NDC,50580-110-51,IBUPROFEN 200 MG TABLET [3841],0.04,0.01,,,0
NDC,50580-230-02,IBUPROFEN 200 MG TABLET [3841],0.07,0.03,,,0
NDC,50580-230-06,IBUPROFEN 200 MG TABLET [3841],0.04,0.01,,,0
NDC,50580-424-01,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION [93073],0.36,0.13,,,0
NDC,50580-458-11,ACETAMINOPHEN 325 MG TABLET [101],1.0,0.35,,,0
NDC,50580-501-10,ACETAMINOPHEN 325 MG TABLET [101],0.05,0.02,,,0
NDC,50580-501-30,ACETAMINOPHEN 325 MG TABLET [101],0.01,0.00455,,,0
NDC,50580-501-80,ACETAMINOPHEN 325 MG TABLET [101],0.04,0.02,,,0
NDC,50580-534-08,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,50580-600-03,ACETAMINOPHEN 325 MG TABLET [101],0.04,0.02,,,0
NDC,50580-646-01,BUDESONIDE 32 MCG/ACTUATION NASAL SPRAY [27022],42.48,14.87,,,0
NDC,50632-010-01,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]",1224.94,428.73,,,0
NDC,50633-110-12,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [29313],4908.94,1718.13,,,0
NDC,50633-120-11,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432],3726.16,1304.16,,,0
NDC,50633-210-11,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION [156744]",142446.15,49856.15,,,0
NDC,50633-310-11,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION [154258],2556.01,894.6,,,0
NDC,50742-112-01,DESIPRAMINE 10 MG TABLET [2283],0.12,0.04,,,0
NDC,50742-113-01,DESIPRAMINE 25 MG TABLET [2286],0.15,0.05,,,0
NDC,50742-114-01,DESIPRAMINE 50 MG TABLET [2287],0.29,0.1,,,0
NDC,50742-190-01,CYPROHEPTADINE 4 MG TABLET [2033],0.09,0.03,,,0
NDC,50742-238-30,QUININE 324 MG CAPSULE [109705],0.67,0.23,,,0
NDC,50742-249-90,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0.22,0.08,,,0
NDC,50742-310-25,MAFENIDE 50 GRAM TOPICAL PACKET [23233],723.78,253.32,,,0
NDC,50742-310-50,MAFENIDE 50 GRAM TOPICAL PACKET [23233],723.78,253.32,,,0
NDC,50742-362-60,IVABRADINE 5 MG TABLET [169314],27.86,9.75,,,0
NDC,50742-363-60,IVABRADINE 7.5 MG TABLET [169315],27.86,9.75,,,0
NDC,50742-401-02,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [91055],1150.57,402.7,,,0
NDC,50742-405-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [41598],53.75,18.81,,,0
NDC,50742-406-20,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],53.31,18.66,,,0
NDC,50742-416-05,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
NDC,50742-438-10,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],280.68,98.24,,,0
NDC,50742-447-45,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,50742-448-60,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,50742-463-16,DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLUTION [150060],342.51,119.88,,,0
NDC,50742-515-01,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH [27473],44.64,15.63,,,0
NDC,50742-515-30,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH [27473],44.64,15.63,,,0
NDC,50742-519-02,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION [189068],719.59,251.86,,,0
NDC,50742-520-05,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION [189068],719.59,251.86,,,0
NDC,50742-615-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",0.11,0.04,,,0
NDC,50742-616-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",0.11,0.04,,,0
NDC,50742-620-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]",0.25,0.09,,,0
NDC,50742-621-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]",0.32,0.11,,,0
NDC,50742-622-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE [37662]",0.56,0.2,,,0
NDC,50742-638-60,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [82090]",0.4,0.14,,,0
NDC,50742-645-01,TRIAZOLAM 0.125 MG TABLET [8138],0.75,0.26,,,0
NDC,50742-646-01,TRIAZOLAM 0.25 MG TABLET [8139],0.75,0.26,,,0
NDC,50742-656-01,CARISOPRODOL 350 MG TABLET [1395],0.14,0.05,,,0
NDC,50881-006-03,RETIFANLIMAB-DLWR 500 MG/20 ML INTRAVENOUS SOLUTION [197587],2463.24,862.13,,,0
NDC,50881-013-03,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION [189078],4620.64,1617.22,,,0
NDC,51079-015-01,NEOMYCIN 500 MG TABLET [5472],0.98,0.34,,,0
NDC,51079-015-20,NEOMYCIN 500 MG TABLET [5472],0.98,0.34,,,0
NDC,51079-020-01,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",18.24,6.38,,,0
NDC,51079-020-03,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",18.24,6.38,,,0
NDC,51079-023-01,METOLAZONE 2.5 MG TABLET [10587],2.74,0.96,,,0
NDC,51079-023-20,METOLAZONE 2.5 MG TABLET [10587],2.74,0.96,,,0
NDC,51079-024-01,METOLAZONE 5 MG TABLET [10588],3.11,1.09,,,0
NDC,51079-024-20,METOLAZONE 5 MG TABLET [10588],3.11,1.09,,,0
NDC,51079-026-01,TORSEMIDE 20 MG TABLET [18293],0.85,0.3,,,0
NDC,51079-027-01,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE [12197]",1.07,0.37,,,0
NDC,51079-027-20,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE [12197]",1.07,0.37,,,0
NDC,51079-028-20,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",7.75,2.71,,,0
NDC,51079-047-01,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",3.16,1.11,,,0
NDC,51079-047-20,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",3.16,1.11,,,0
NDC,51079-051-01,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.28,0.1,,,0
NDC,51079-051-20,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.28,0.1,,,0
NDC,51079-055-20,CARISOPRODOL 350 MG TABLET [1395],0.25,0.09,,,0
NDC,51079-0557-20,CLOPIDOGREL 75 MG TABLET [22142],63.58,22.25,,,0
NDC,51079-058-01,CHLORTHALIDONE 25 MG TABLET [1661],1.91,0.67,,,0
NDC,51079-058-20,CHLORTHALIDONE 25 MG TABLET [1661],1.91,0.67,,,0
NDC,51079-067-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0.41,0.14,,,0
NDC,51079-067-20,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0.41,0.14,,,0
NDC,51079-072-01,FUROSEMIDE 20 MG TABLET [3294],0.06,0.02,,,0
NDC,51079-072-20,FUROSEMIDE 20 MG TABLET [3294],0.06,0.02,,,0
NDC,51079-073-01,FUROSEMIDE 40 MG TABLET [3295],0.07,0.02,,,0
NDC,51079-073-20,FUROSEMIDE 40 MG TABLET [3295],0.07,0.02,,,0
NDC,51079-073-30,FUROSEMIDE 40 MG TABLET [3295],0.05,0.02,,,0
NDC,51079-074-01,HYDRALAZINE 10 MG TABLET [3698],0.23,0.08,,,0
NDC,51079-074-20,HYDRALAZINE 10 MG TABLET [3698],0.23,0.08,,,0
NDC,51079-075-01,HYDRALAZINE 25 MG TABLET [3700],0.22,0.08,,,0
NDC,51079-075-20,HYDRALAZINE 25 MG TABLET [3700],0.22,0.08,,,0
NDC,51079-076-01,HYDRALAZINE 50 MG TABLET [3701],0.28,0.1,,,0
NDC,51079-076-20,HYDRALAZINE 50 MG TABLET [3701],0.28,0.1,,,0
NDC,51079-083-01,ISONIAZID 300 MG TABLET [4027],1.03,0.36,,,0
NDC,51079-083-20,ISONIAZID 300 MG TABLET [4027],1.03,0.36,,,0
NDC,51079-086-01,MIRTAZAPINE 15 MG TABLET [17466],0.16,0.06,,,0
NDC,51079-086-20,MIRTAZAPINE 15 MG TABLET [17466],0.16,0.06,,,0
NDC,51079-087-01,MIRTAZAPINE 30 MG TABLET [17465],0.24,0.08,,,0
NDC,51079-087-20,MIRTAZAPINE 30 MG TABLET [17465],0.24,0.08,,,0
NDC,51079-088-01,MIRTAZAPINE 45 MG TABLET [24945],0.29,0.1,,,0
NDC,51079-088-20,MIRTAZAPINE 45 MG TABLET [24945],0.29,0.1,,,0
NDC,51079-089-01,MECLIZINE 12.5 MG TABLET [12024],0.57,0.2,,,0
NDC,51079-089-20,MECLIZINE 12.5 MG TABLET [12024],0.57,0.2,,,0
NDC,51079-090-01,MECLIZINE 25 MG TABLET [12025],0.68,0.24,,,0
NDC,51079-090-20,MECLIZINE 25 MG TABLET [12025],0.68,0.24,,,0
NDC,51079-093-01,VALACYCLOVIR 500 MG TABLET [13133],3.05,1.07,,,0
NDC,51079-093-03,VALACYCLOVIR 500 MG TABLET [13133],3.05,1.07,,,0
NDC,51079-103-01,SPIRONOLACTONE 25 MG TABLET [7437],0.18,0.06,,,0
NDC,51079-103-20,SPIRONOLACTONE 25 MG TABLET [7437],0.18,0.06,,,0
NDC,51079-105-01,FOLIC ACID 1 MG TABLET [3233],0.1,0.04,,,0
NDC,51079-105-20,FOLIC ACID 1 MG TABLET [3233],0.1,0.04,,,0
NDC,51079-107-01,AMITRIPTYLINE 25 MG TABLET [435],0.29,0.1,,,0
NDC,51079-107-20,AMITRIPTYLINE 25 MG TABLET [435],0.29,0.1,,,0
NDC,51079-109-01,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",2.04,0.71,,,0
NDC,51079-109-03,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",2.04,0.71,,,0
NDC,51079-118-01,DICYCLOMINE 10 MG CAPSULE [2418],0.5,0.17,,,0
NDC,51079-118-20,DICYCLOMINE 10 MG CAPSULE [2418],0.5,0.17,,,0
NDC,51079-119-01,DICYCLOMINE 20 MG TABLET [2420],0.5,0.17,,,0
NDC,51079-119-20,DICYCLOMINE 20 MG TABLET [2420],0.5,0.17,,,0
NDC,51079-126-01,METRONIDAZOLE 500 MG TABLET [5016],0.66,0.23,,,0
NDC,51079-126-20,METRONIDAZOLE 500 MG TABLET [5016],0.66,0.23,,,0
NDC,51079-128-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0.24,0.09,,,0
NDC,51079-128-20,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0.2,0.07,,,0
NDC,51079-130-01,CHLORPROMAZINE 50 MG TABLET [1657],9.22,3.23,,,0
NDC,51079-130-20,CHLORPROMAZINE 50 MG TABLET [1657],9.22,3.23,,,0
NDC,51079-131-01,AMITRIPTYLINE 10 MG TABLET [432],0.14,0.05,,,0
NDC,51079-131-20,AMITRIPTYLINE 10 MG TABLET [432],0.14,0.05,,,0
NDC,51079-133-01,AMITRIPTYLINE 50 MG TABLET [436],0.57,0.2,,,0
NDC,51079-133-20,AMITRIPTYLINE 50 MG TABLET [436],0.57,0.2,,,0
NDC,51079-141-01,CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],0.53,0.19,,,0
NDC,51079-141-20,CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],0.53,0.19,,,0
NDC,51079-142-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",0.56,0.2,,,0
NDC,51079-142-20,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",0.56,0.2,,,0
NDC,51079-146-01,BENAZEPRIL 20 MG TABLET [9221],0.69,0.24,,,0
NDC,51079-146-20,BENAZEPRIL 20 MG TABLET [9221],0.69,0.24,,,0
NDC,51079-147-01,AMITRIPTYLINE 75 MG TABLET [437],0.86,0.3,,,0
NDC,51079-147-20,AMITRIPTYLINE 75 MG TABLET [437],0.86,0.3,,,0
NDC,51079-149-01,SERTRALINE 25 MG TABLET [19882],0.21,0.07,,,0
NDC,51079-149-20,SERTRALINE 25 MG TABLET [19882],0.21,0.07,,,0
NDC,51079-150-01,SERTRALINE 50 MG TABLET [11351],0.21,0.07,,,0
NDC,51079-150-20,SERTRALINE 50 MG TABLET [11351],0.21,0.07,,,0
NDC,51079-154-01,OLANZAPINE 10 MG TABLET [17937],0.52,0.18,,,0
NDC,51079-154-20,OLANZAPINE 10 MG TABLET [17937],0.52,0.18,,,0
NDC,51079-161-01,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],0.23,0.08,,,0
NDC,51079-161-20,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],0.23,0.08,,,0
NDC,51079-163-01,CHLORPHENIRAMINE 4 MG TABLET [1645],0.05,0.02,,,0
NDC,51079-163-20,CHLORPHENIRAMINE 4 MG TABLET [1645],0.05,0.02,,,0
NDC,51079-164-01,VORICONAZOLE 50 MG TABLET [33008],8.53,2.99,,,0
NDC,51079-164-03,VORICONAZOLE 50 MG TABLET [33008],8.53,2.99,,,0
NDC,51079-165-01,VORICONAZOLE 200 MG TABLET [33009],32.94,11.53,,,0
NDC,51079-165-03,VORICONAZOLE 200 MG TABLET [33009],32.94,11.53,,,0
NDC,51079-169-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",0.88,0.31,,,0
NDC,51079-169-20,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",0.88,0.31,,,0
NDC,51079-170-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",0.88,0.31,,,0
NDC,51079-170-20,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",0.88,0.31,,,0
NDC,51079-171-03,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",1.23,0.43,,,0
NDC,51079-172-01,METFORMIN 500 MG TABLET [10544],0.12,0.04,,,0
NDC,51079-172-20,METFORMIN 500 MG TABLET [10544],0.12,0.04,,,0
NDC,51079-182-01,CIPROFLOXACIN 500 MG TABLET [25119],0.19,0.07,,,0
NDC,51079-182-20,CIPROFLOXACIN 500 MG TABLET [25119],0.19,0.07,,,0
NDC,51079-190-01,INDOMETHACIN 25 MG CAPSULE [3897],0.22,0.08,,,0
NDC,51079-190-20,INDOMETHACIN 25 MG CAPSULE [3897],0.22,0.08,,,0
NDC,51079-191-01,INDOMETHACIN 50 MG CAPSULE [3898],0.26,0.09,,,0
NDC,51079-191-20,INDOMETHACIN 50 MG CAPSULE [3898],0.26,0.09,,,0
NDC,51079-204-01,ABACAVIR 300 MG TABLET [24438],8.64,3.02,,,0
NDC,51079-204-06,ABACAVIR 300 MG TABLET [24438],8.64,3.02,,,0
NDC,51079-205-01,ALLOPURINOL 100 MG TABLET [310],0.31,0.11,,,0
NDC,51079-205-20,ALLOPURINOL 100 MG TABLET [310],0.31,0.11,,,0
NDC,51079-206-01,ALLOPURINOL 300 MG TABLET [311],0.63,0.22,,,0
NDC,51079-206-20,ALLOPURINOL 300 MG TABLET [311],0.63,0.22,,,0
NDC,51079-208-01,ATORVASTATIN 10 MG TABLET [19176],0.31,0.11,,,0
NDC,51079-208-20,ATORVASTATIN 10 MG TABLET [19176],0.31,0.11,,,0
NDC,51079-209-01,ATORVASTATIN 20 MG TABLET [19178],0.37,0.13,,,0
NDC,51079-209-20,ATORVASTATIN 20 MG TABLET [19178],0.37,0.13,,,0
NDC,51079-210-01,ATORVASTATIN 40 MG TABLET [19177],0.49,0.17,,,0
NDC,51079-210-20,ATORVASTATIN 40 MG TABLET [19177],0.49,0.17,,,0
NDC,51079-211-01,ATORVASTATIN 80 MG TABLET [28645],0.54,0.19,,,0
NDC,51079-211-03,ATORVASTATIN 80 MG TABLET [28645],0.54,0.19,,,0
NDC,51079-213-01,CILOSTAZOL 100 MG TABLET [24474],0.31,0.11,,,0
NDC,51079-213-20,CILOSTAZOL 100 MG TABLET [24474],0.31,0.11,,,0
NDC,51079-215-01,CELECOXIB 200 MG CAPSULE [24501],5.03,1.76,,,0
NDC,51079-215-20,CELECOXIB 200 MG CAPSULE [24501],5.03,1.76,,,0
NDC,51079-216-01,METRONIDAZOLE 250 MG TABLET [5015],0.39,0.14,,,0
NDC,51079-216-20,METRONIDAZOLE 250 MG TABLET [5015],0.39,0.14,,,0
NDC,51079-217-01,METRONIDAZOLE 500 MG TABLET [5016],0.66,0.23,,,0
NDC,51079-217-20,METRONIDAZOLE 500 MG TABLET [5016],0.66,0.23,,,0
NDC,51079-223-01,MONTELUKAST 10 MG TABLET [22509],0.61,0.21,,,0
NDC,51079-223-20,MONTELUKAST 10 MG TABLET [22509],0.61,0.21,,,0
NDC,51079-224-01,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0.42,0.15,,,0
NDC,51079-224-20,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0.42,0.15,,,0
NDC,51079-246-01,LORATADINE 10 MG TABLET [10466],0.41,0.14,,,0
NDC,51079-246-20,LORATADINE 10 MG TABLET [10466],0.41,0.14,,,0
NDC,51079-255-01,METOPROLOL TARTRATE 25 MG TABLET [37637],0.1,0.03,,,0
NDC,51079-255-20,METOPROLOL TARTRATE 25 MG TABLET [37637],0.1,0.03,,,0
NDC,51079-273-01,ENTACAPONE 200 MG TABLET [26547],5.68,1.99,,,0
NDC,51079-273-03,ENTACAPONE 200 MG TABLET [26547],5.68,1.99,,,0
NDC,51079-278-01,PROPRANOLOL 20 MG TABLET [6657],0.06,0.02,,,0
NDC,51079-278-20,PROPRANOLOL 20 MG TABLET [6657],0.06,0.02,,,0
NDC,51079-279-01,PROPRANOLOL 40 MG TABLET [6658],0.07,0.02,,,0
NDC,51079-279-20,PROPRANOLOL 40 MG TABLET [6658],0.07,0.02,,,0
NDC,51079-280-01,PROPRANOLOL 80 MG TABLET [6660],0.12,0.04,,,0
NDC,51079-283-01,METOCLOPRAMIDE 10 MG TABLET [5005],0.15,0.05,,,0
NDC,51079-283-20,METOCLOPRAMIDE 10 MG TABLET [5005],0.15,0.05,,,0
NDC,51079-284-01,DIAZEPAM 2 MG TABLET [2404],0.06,0.02,,,0
NDC,51079-284-20,DIAZEPAM 2 MG TABLET [2404],0.06,0.02,,,0
NDC,51079-285-01,DIAZEPAM 5 MG TABLET [2405],0.07,0.02,,,0
NDC,51079-285-20,DIAZEPAM 5 MG TABLET [2405],0.07,0.02,,,0
NDC,51079-286-01,DIAZEPAM 10 MG TABLET [2403],0.07,0.03,,,0
NDC,51079-286-20,DIAZEPAM 10 MG TABLET [2403],0.07,0.03,,,0
NDC,51079-294-01,TAMSULOSIN 0.4 MG CAPSULE [27856],0.58,0.2,,,0
NDC,51079-294-20,TAMSULOSIN 0.4 MG CAPSULE [27856],0.58,0.2,,,0
NDC,51079-298-01,VALPROIC ACID 250 MG CAPSULE [8429],0.38,0.13,,,0
NDC,51079-298-20,VALPROIC ACID 250 MG CAPSULE [8429],0.28,0.1,,,0
NDC,51079-299-01,CLONIDINE HCL 0.1 MG TABLET [1755],0.1,0.04,,,0
NDC,51079-299-20,CLONIDINE HCL 0.1 MG TABLET [1755],0.1,0.04,,,0
NDC,51079-301-01,CLONIDINE HCL 0.3 MG TABLET [1757],0.16,0.06,,,0
NDC,51079-301-20,CLONIDINE HCL 0.3 MG TABLET [1757],0.16,0.06,,,0
NDC,51079-306-01,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,51079-306-30,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,51079-321-01,FINASTERIDE 5 MG TABLET [10037],1.26,0.44,,,0
NDC,51079-321-20,FINASTERIDE 5 MG TABLET [10037],1.26,0.44,,,0
NDC,51079-323-01,ANASTROZOLE 1 MG TABLET [16205],0.46,0.16,,,0
NDC,51079-323-06,ANASTROZOLE 1 MG TABLET [16205],0.46,0.16,,,0
NDC,51079-345-01,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],2.26,0.79,,,0
NDC,51079-345-05,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],2.26,0.79,,,0
NDC,51079-348-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],3.86,1.35,,,0
NDC,51079-348-20,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],3.86,1.35,,,0
NDC,51079-361-20,CLARITHROMYCIN 250 MG TABLET [9616],1.27,0.44,,,0
NDC,51079-375-01,CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],0.49,0.17,,,0
NDC,51079-379-01,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],1.0,0.35,,,0
NDC,51079-379-20,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],1.14,0.4,,,0
NDC,51079-383-01,URSODIOL 300 MG CAPSULE [11624],5.95,2.08,,,0
NDC,51079-383-20,URSODIOL 300 MG CAPSULE [11624],5.95,2.08,,,0
NDC,51079-385-01,CARBAMAZEPINE 200 MG TABLET [1357],0.9,0.31,,,0
NDC,51079-385-20,CARBAMAZEPINE 200 MG TABLET [1357],0.9,0.31,,,0
NDC,51079-386-20,LORAZEPAM 1 MG TABLET [4573],0.19,0.07,,,0
NDC,51079-387-01,LORAZEPAM 2 MG TABLET [4574],0.23,0.08,,,0
NDC,51079-387-20,LORAZEPAM 2 MG TABLET [4574],0.23,0.08,,,0
NDC,51079-391-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0.77,0.27,,,0
NDC,51079-391-20,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0.77,0.27,,,0
NDC,51079-392-01,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0.85,0.3,,,0
NDC,51079-392-20,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0.85,0.3,,,0
NDC,51079-402-01,CIPROFLOXACIN 250 MG TABLET [25118],0.2,0.07,,,0
NDC,51079-403-01,CIPROFLOXACIN 500 MG TABLET [25119],0.19,0.07,,,0
NDC,51079-409-01,ATORVASTATIN 10 MG TABLET [19176],0.31,0.11,,,0
NDC,51079-409-20,ATORVASTATIN 10 MG TABLET [19176],0.31,0.11,,,0
NDC,51079-410-01,ATORVASTATIN 20 MG TABLET [19178],0.37,0.13,,,0
NDC,51079-410-20,ATORVASTATIN 20 MG TABLET [19178],0.37,0.13,,,0
NDC,51079-411-01,ATORVASTATIN 40 MG TABLET [19177],0.49,0.17,,,0
NDC,51079-411-20,ATORVASTATIN 40 MG TABLET [19177],0.49,0.17,,,0
NDC,51079-412-01,ATORVASTATIN 80 MG TABLET [28645],0.54,0.19,,,0
NDC,51079-412-03,ATORVASTATIN 80 MG TABLET [28645],0.54,0.19,,,0
NDC,51079-413-01,HYDROXYZINE HCL 10 MG TABLET [3772],0.23,0.08,,,0
NDC,51079-413-20,HYDROXYZINE HCL 10 MG TABLET [3772],0.23,0.08,,,0
NDC,51079-418-01,TEMAZEPAM 15 MG CAPSULE [7753],0.11,0.04,,,0
NDC,51079-418-20,TEMAZEPAM 15 MG CAPSULE [7753],0.11,0.04,,,0
NDC,51079-424-20,CILOSTAZOL 100 MG TABLET [24474],0.31,0.11,,,0
NDC,51079-425-01,GLIMEPIRIDE 2 MG TABLET [16356],0.44,0.15,,,0
NDC,51079-425-20,GLIMEPIRIDE 2 MG TABLET [16356],0.44,0.15,,,0
NDC,51079-426-01,GLIMEPIRIDE 4 MG TABLET [16357],0.44,0.15,,,0
NDC,51079-426-20,GLIMEPIRIDE 4 MG TABLET [16357],0.44,0.15,,,0
NDC,51079-431-01,HALOPERIDOL 10 MG TABLET [3580],1.67,0.59,,,0
NDC,51079-431-20,HALOPERIDOL 10 MG TABLET [3580],1.67,0.59,,,0
NDC,51079-433-01,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],0.71,0.25,,,0
NDC,51079-433-20,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],0.71,0.25,,,0
NDC,51079-434-01,MEGESTROL 20 MG TABLET [4870],0.38,0.13,,,0
NDC,51079-434-20,MEGESTROL 20 MG TABLET [4870],0.38,0.13,,,0
NDC,51079-435-01,MEGESTROL 40 MG TABLET [4871],0.43,0.15,,,0
NDC,51079-436-01,DOXEPIN 10 MG CAPSULE [2608],0.53,0.19,,,0
NDC,51079-436-20,DOXEPIN 10 MG CAPSULE [2608],0.53,0.19,,,0
NDC,51079-437-01,DOXEPIN 25 MG CAPSULE [2611],0.7,0.25,,,0
NDC,51079-437-20,DOXEPIN 25 MG CAPSULE [2611],0.7,0.25,,,0
NDC,51079-438-01,DOXEPIN 50 MG CAPSULE [2612],0.97,0.34,,,0
NDC,51079-438-20,DOXEPIN 50 MG CAPSULE [2612],0.97,0.34,,,0
NDC,51079-440-01,LEVOTHYROXINE 50 MCG TABLET [4421],0.5,0.17,,,0
NDC,51079-440-20,LEVOTHYROXINE 50 MCG TABLET [4421],0.14,0.05,,,0
NDC,51079-441-01,LEVOTHYROXINE 75 MCG TABLET [4422],0.55,0.19,,,0
NDC,51079-441-20,LEVOTHYROXINE 75 MCG TABLET [4422],0.15,0.05,,,0
NDC,51079-442-01,LEVOTHYROXINE 100 MCG TABLET [4423],0.56,0.2,,,0
NDC,51079-442-20,LEVOTHYROXINE 100 MCG TABLET [4423],0.16,0.05,,,0
NDC,51079-443-01,LEVOTHYROXINE 125 MCG TABLET [4424],0.66,0.23,,,0
NDC,51079-443-20,LEVOTHYROXINE 125 MCG TABLET [4424],0.18,0.06,,,0
NDC,51079-444-01,LEVOTHYROXINE 25 MCG TABLET [4420],0.44,0.15,,,0
NDC,51079-444-20,LEVOTHYROXINE 25 MCG TABLET [4420],0.12,0.04,,,0
NDC,51079-445-01,LEVOTHYROXINE 150 MCG TABLET [4425],0.68,0.24,,,0
NDC,51079-445-20,LEVOTHYROXINE 150 MCG TABLET [4425],0.19,0.07,,,0
NDC,51079-446-01,DESMOPRESSIN 0.2 MG TABLET [16053],3.88,1.36,,,0
NDC,51079-446-03,DESMOPRESSIN 0.2 MG TABLET [16053],3.88,1.36,,,0
NDC,51079-450-01,AMLODIPINE 2.5 MG TABLET [9070],0.17,0.06,,,0
NDC,51079-450-20,AMLODIPINE 2.5 MG TABLET [9070],0.17,0.06,,,0
NDC,51079-451-01,AMLODIPINE 5 MG TABLET [9071],0.17,0.06,,,0
NDC,51079-451-20,AMLODIPINE 5 MG TABLET [9071],0.17,0.06,,,0
NDC,51079-451-56,AMLODIPINE 5 MG TABLET [9071],0.09,0.03,,,0
NDC,51079-452-01,AMLODIPINE 10 MG TABLET [9069],0.25,0.09,,,0
NDC,51079-452-20,AMLODIPINE 10 MG TABLET [9069],0.25,0.09,,,0
NDC,51079-453-01,MIDODRINE 5 MG TABLET [10610],1.14,0.4,,,0
NDC,51079-453-20,MIDODRINE 5 MG TABLET [10610],1.14,0.4,,,0
NDC,51079-454-01,SIMVASTATIN 10 MG TABLET [11364],0.12,0.04,,,0
NDC,51079-454-20,SIMVASTATIN 10 MG TABLET [11364],0.12,0.04,,,0
NDC,51079-455-01,SIMVASTATIN 20 MG TABLET [11365],0.12,0.04,,,0
NDC,51079-455-20,SIMVASTATIN 20 MG TABLET [11365],0.12,0.04,,,0
NDC,51079-456-20,SIMVASTATIN 40 MG TABLET [11366],0.12,0.04,,,0
NDC,51079-457-01,MELOXICAM 7.5 MG TABLET [20566],0.14,0.05,,,0
NDC,51079-457-20,MELOXICAM 7.5 MG TABLET [20566],0.14,0.05,,,0
NDC,51079-458-01,PRAVASTATIN 20 MG TABLET [11111],0.62,0.22,,,0
NDC,51079-458-20,PRAVASTATIN 20 MG TABLET [11111],0.62,0.22,,,0
NDC,51079-459-01,MELOXICAM 15 MG TABLET [20580],0.18,0.06,,,0
NDC,51079-459-20,MELOXICAM 15 MG TABLET [20580],0.18,0.06,,,0
NDC,51079-461-01,RISPERIDONE 0.5 MG TABLET [25520],0.33,0.12,,,0
NDC,51079-461-20,RISPERIDONE 0.5 MG TABLET [25520],0.33,0.12,,,0
NDC,51079-462-01,RISPERIDONE 1 MG TABLET [18313],0.46,0.16,,,0
NDC,51079-462-20,RISPERIDONE 1 MG TABLET [18313],0.46,0.16,,,0
NDC,51079-466-01,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE [15340]",0.36,0.13,,,0
NDC,51079-466-20,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE [15340]",0.36,0.13,,,0
NDC,51079-467-01,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",1.04,0.36,,,0
NDC,51079-467-20,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0.97,0.34,,,0
NDC,51079-468-01,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [27491]",1.86,0.65,,,0
NDC,51079-468-20,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [27491]",1.74,0.61,,,0
NDC,51079-474-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.27,0.09,,,0
NDC,51079-474-20,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.22,0.08,,,0
NDC,51079-475-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.32,0.11,,,0
NDC,51079-475-08,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.32,0.11,,,0
NDC,51079-476-01,CHLORZOXAZONE 500 MG TABLET [1664],0.21,0.07,,,0
NDC,51079-476-20,CHLORZOXAZONE 500 MG TABLET [1664],0.21,0.07,,,0
NDC,51079-480-01,VENLAFAXINE 37.5 MG TABLET [12207],0.61,0.21,,,0
NDC,51079-480-20,VENLAFAXINE 37.5 MG TABLET [12207],0.61,0.21,,,0
NDC,51079-481-01,AMANTADINE HCL 100 MG CAPSULE [364],2.12,0.74,,,0
NDC,51079-481-20,AMANTADINE HCL 100 MG CAPSULE [364],2.12,0.74,,,0
NDC,51079-482-01,VENLAFAXINE 75 MG TABLET [12206],1.22,0.43,,,0
NDC,51079-482-20,VENLAFAXINE 75 MG TABLET [12206],1.22,0.43,,,0
NDC,51079-485-01,FLUPHENAZINE 1 MG TABLET [3218],0.48,0.17,,,0
NDC,51079-485-20,FLUPHENAZINE 1 MG TABLET [3218],0.48,0.17,,,0
NDC,51079-486-01,FLUPHENAZINE 2.5 MG TABLET [3220],0.57,0.2,,,0
NDC,51079-486-20,FLUPHENAZINE 2.5 MG TABLET [3220],0.57,0.2,,,0
NDC,51079-487-01,FLUPHENAZINE 5 MG TABLET [3221],0.67,0.23,,,0
NDC,51079-487-20,FLUPHENAZINE 5 MG TABLET [3221],0.67,0.23,,,0
NDC,51079-488-01,FLUPHENAZINE 10 MG TABLET [3219],0.76,0.27,,,0
NDC,51079-488-20,FLUPHENAZINE 10 MG TABLET [3219],0.76,0.27,,,0
NDC,51079-498-01,LAMOTRIGINE 25 MG TABLET [13981],0.12,0.04,,,0
NDC,51079-498-20,LAMOTRIGINE 25 MG TABLET [13981],0.12,0.04,,,0
NDC,51079-499-01,LAMOTRIGINE 100 MG TABLET [13982],0.16,0.06,,,0
NDC,51079-499-20,LAMOTRIGINE 100 MG TABLET [13982],0.16,0.06,,,0
NDC,51079-509-01,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE [38063]",8.1,2.84,,,0
NDC,51079-509-20,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE [38063]",8.1,2.84,,,0
NDC,51079-510-01,CAPECITABINE 500 MG TABLET [22994],35.11,12.29,,,0
NDC,51079-510-05,CAPECITABINE 500 MG TABLET [22994],35.11,12.29,,,0
NDC,51079-511-01,MECLIZINE 25 MG TABLET [12025],0.68,0.24,,,0
NDC,51079-511-20,MECLIZINE 25 MG TABLET [12025],0.68,0.24,,,0
NDC,51079-513-01,PIOGLITAZONE 15 MG TABLET [25528],1.62,0.57,,,0
NDC,51079-513-20,PIOGLITAZONE 15 MG TABLET [25528],1.62,0.57,,,0
NDC,51079-515-20,PIOGLITAZONE 45 MG TABLET [25530],4.87,1.71,,,0
NDC,51079-517-01,CHLORPROMAZINE 200 MG TABLET [1655],17.68,6.19,,,0
NDC,51079-517-20,CHLORPROMAZINE 200 MG TABLET [1655],17.68,6.19,,,0
NDC,51079-518-01,CHLORPROMAZINE 10 MG TABLET [1653],4.42,1.55,,,0
NDC,51079-518-20,CHLORPROMAZINE 10 MG TABLET [1653],4.42,1.55,,,0
NDC,51079-519-01,CHLORPROMAZINE 25 MG TABLET [1656],6.37,2.23,,,0
NDC,51079-519-20,CHLORPROMAZINE 25 MG TABLET [1656],6.37,2.23,,,0
NDC,51079-520-01,FINASTERIDE 5 MG TABLET [10037],1.26,0.44,,,0
NDC,51079-520-20,FINASTERIDE 5 MG TABLET [10037],1.26,0.44,,,0
NDC,51079-524-01,ONDANSETRON HCL 4 MG TABLET [10778],0.52,0.18,,,0
NDC,51079-524-20,ONDANSETRON HCL 4 MG TABLET [10778],0.52,0.18,,,0
NDC,51079-525-01,ONDANSETRON HCL 8 MG TABLET [10779],0.7,0.24,,,0
NDC,51079-525-20,ONDANSETRON HCL 8 MG TABLET [10779],0.7,0.24,,,0
NDC,51079-526-01,FEXOFENADINE 180 MG TABLET [25425],1.27,0.44,,,0
NDC,51079-526-20,FEXOFENADINE 180 MG TABLET [25425],1.27,0.44,,,0
NDC,51079-527-01,FUROSEMIDE 80 MG TABLET [3296],0.12,0.04,,,0
NDC,51079-527-20,FUROSEMIDE 80 MG TABLET [3296],0.12,0.04,,,0
NDC,51079-529-01,FEXOFENADINE 60 MG TABLET [21529],1.3,0.45,,,0
NDC,51079-538-01,LORATADINE 10 MG TABLET [10466],0.41,0.14,,,0
NDC,51079-538-20,LORATADINE 10 MG TABLET [10466],0.41,0.14,,,0
NDC,51079-539-01,REPAGLINIDE 1 MG TABLET [22586],3.12,1.09,,,0
NDC,51079-539-03,REPAGLINIDE 1 MG TABLET [22586],3.12,1.09,,,0
NDC,51079-541-01,PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],0.4,0.14,,,0
NDC,51079-541-20,PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],0.4,0.14,,,0
NDC,51079-542-01,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0.81,0.28,,,0
NDC,51079-542-20,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0.81,0.28,,,0
NDC,51079-543-01,ESCITALOPRAM 10 MG TABLET [33512],0.3,0.1,,,0
NDC,51079-543-20,ESCITALOPRAM 10 MG TABLET [33512],0.3,0.1,,,0
NDC,51079-544-01,ESCITALOPRAM 20 MG TABLET [33513],0.31,0.11,,,0
NDC,51079-544-20,ESCITALOPRAM 20 MG TABLET [33513],0.31,0.11,,,0
NDC,51079-555-01,REPAGLINIDE 2 MG TABLET [22585],3.12,1.09,,,0
NDC,51079-555-03,REPAGLINIDE 2 MG TABLET [22585],2.9,1.02,,,0
NDC,51079-557-01,CLOPIDOGREL 75 MG TABLET [22142],0.28,0.1,,,0
NDC,51079-557-20,CLOPIDOGREL 75 MG TABLET [22142],0.28,0.1,,,0
NDC,51079-558-01,CLOPIDOGREL 300 MG TABLET [89346],20.77,7.27,,,0
NDC,51079-558-03,CLOPIDOGREL 300 MG TABLET [89346],20.77,7.27,,,0
NDC,51079-561-01,MODAFINIL 100 MG TABLET [24702],14.9,5.22,,,0
NDC,51079-561-03,MODAFINIL 100 MG TABLET [24702],14.9,5.22,,,0
NDC,51079-562-01,MODAFINIL 200 MG TABLET [24703],22.98,8.04,,,0
NDC,51079-562-03,MODAFINIL 200 MG TABLET [24703],22.98,8.04,,,0
NDC,51079-563-01,AMITRIPTYLINE 100 MG TABLET [433],1.14,0.4,,,0
NDC,51079-563-20,AMITRIPTYLINE 100 MG TABLET [433],1.14,0.4,,,0
NDC,51079-565-01,THIORIDAZINE 10 MG TABLET [7894],0.38,0.13,,,0
NDC,51079-565-20,THIORIDAZINE 10 MG TABLET [7894],0.38,0.13,,,0
NDC,51079-566-01,THIORIDAZINE 25 MG TABLET [7899],0.53,0.19,,,0
NDC,51079-567-01,THIORIDAZINE 50 MG TABLET [7900],0.66,0.23,,,0
NDC,51079-567-20,THIORIDAZINE 50 MG TABLET [7900],0.66,0.23,,,0
NDC,51079-572-01,TRIFLUOPERAZINE 1 MG TABLET [8161],1.12,0.39,,,0
NDC,51079-572-20,TRIFLUOPERAZINE 1 MG TABLET [8161],1.12,0.39,,,0
NDC,51079-573-01,TRIFLUOPERAZINE 2 MG TABLET [8163],1.67,0.58,,,0
NDC,51079-573-20,TRIFLUOPERAZINE 2 MG TABLET [8163],1.67,0.58,,,0
NDC,51079-574-01,TRIFLUOPERAZINE 5 MG TABLET [8164],2.12,0.74,,,0
NDC,51079-574-20,TRIFLUOPERAZINE 5 MG TABLET [8164],2.12,0.74,,,0
NDC,51079-575-01,TRIFLUOPERAZINE 10 MG TABLET [8162],2.57,0.9,,,0
NDC,51079-575-20,TRIFLUOPERAZINE 10 MG TABLET [8162],2.57,0.9,,,0
NDC,51079-580-01,THIORIDAZINE 100 MG TABLET [7895],0.76,0.26,,,0
NDC,51079-580-20,THIORIDAZINE 100 MG TABLET [7895],0.76,0.26,,,0
NDC,51079-581-01,LEUCOVORIN CALCIUM 5 MG TABLET [4398],2.62,0.92,,,0
NDC,51079-581-06,LEUCOVORIN CALCIUM 5 MG TABLET [4398],2.62,0.92,,,0
NDC,51079-582-01,LEUCOVORIN CALCIUM 25 MG TABLET [4397],11.0,3.85,,,0
NDC,51079-582-05,LEUCOVORIN CALCIUM 25 MG TABLET [4397],11.0,3.85,,,0
NDC,51079-584-01,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],2.3,0.81,,,0
NDC,51079-584-20,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],2.3,0.81,,,0
NDC,51079-585-01,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],2.7,0.95,,,0
NDC,51079-585-20,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],2.7,0.95,,,0
NDC,51079-598-01,CLINDAMYCIN HCL 150 MG CAPSULE [1740],0.54,0.19,,,0
NDC,51079-598-20,CLINDAMYCIN HCL 150 MG CAPSULE [1740],0.54,0.19,,,0
NDC,51079-599-01,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],1.24,0.44,,,0
NDC,51079-599-20,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],1.24,0.44,,,0
NDC,51079-620-01,AZATHIOPRINE 50 MG TABLET [9183],0.55,0.19,,,0
NDC,51079-620-06,AZATHIOPRINE 50 MG TABLET [9183],0.55,0.19,,,0
NDC,51079-623-81,MAFENIDE 85 MG/G TOPICAL CREAM [10478],3.69,1.29,,,0
NDC,51079-623-82,MAFENIDE 85 MG/G TOPICAL CREAM [10478],5.12,1.79,,,0
NDC,51079-623-83,MAFENIDE 85 MG/G TOPICAL CREAM [10478],1.28,0.45,,,0
NDC,51079-624-84,MAFENIDE 50 GRAM TOPICAL PACKET [23233],723.78,253.32,,,0
NDC,51079-624-85,MAFENIDE 50 GRAM TOPICAL PACKET [23233],723.78,253.32,,,0
NDC,51079-628-20,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0.19,0.07,,,0
NDC,51079-630-01,PRAZOSIN 1 MG CAPSULE [6468],1.51,0.53,,,0
NDC,51079-630-20,PRAZOSIN 1 MG CAPSULE [6468],1.51,0.53,,,0
NDC,51079-631-01,PRAZOSIN 2 MG CAPSULE [6469],2.1,0.74,,,0
NDC,51079-631-20,PRAZOSIN 2 MG CAPSULE [6469],2.1,0.74,,,0
NDC,51079-632-01,PRAZOSIN 5 MG CAPSULE [6470],3.59,1.26,,,0
NDC,51079-632-20,PRAZOSIN 5 MG CAPSULE [6470],3.59,1.26,,,0
NDC,51079-644-01,CYCLOBENZAPRINE 10 MG TABLET [2017],0.12,0.04,,,0
NDC,51079-644-20,CYCLOBENZAPRINE 10 MG TABLET [2017],0.12,0.04,,,0
NDC,51079-651-01,DOXEPIN 100 MG CAPSULE [2609],1.66,0.58,,,0
NDC,51079-651-20,DOXEPIN 100 MG CAPSULE [2609],1.66,0.58,,,0
NDC,51079-657-01,ALBUTEROL SULFATE 2 MG TABLET [253],5.88,2.06,,,0
NDC,51079-657-20,ALBUTEROL SULFATE 2 MG TABLET [253],5.88,2.06,,,0
NDC,51079-667-01,SULINDAC 200 MG TABLET [7579],1.28,0.45,,,0
NDC,51079-667-20,SULINDAC 200 MG TABLET [7579],1.28,0.45,,,0
NDC,51079-670-01,METHOTREXATE SODIUM 2.5 MG TABLET [4973],2.77,0.97,,,0
NDC,51079-670-05,METHOTREXATE SODIUM 2.5 MG TABLET [4973],2.77,0.97,,,0
NDC,51079-672-01,CLARITHROMYCIN 250 MG TABLET [9616],5.57,1.95,,,0
NDC,51079-672-20,CLARITHROMYCIN 250 MG TABLET [9616],5.57,1.95,,,0
NDC,51079-673-01,CLARITHROMYCIN 500 MG TABLET [9617],5.57,1.95,,,0
NDC,51079-683-01,VERAPAMIL 120 MG TABLET [8528],0.12,0.04,,,0
NDC,51079-684-01,ATENOLOL 50 MG TABLET [718],0.09,0.03,,,0
NDC,51079-684-20,ATENOLOL 50 MG TABLET [718],0.09,0.03,,,0
NDC,51079-685-01,ATENOLOL 100 MG TABLET [716],0.22,0.08,,,0
NDC,51079-685-20,ATENOLOL 100 MG TABLET [716],0.22,0.08,,,0
NDC,51079-690-01,LOPERAMIDE 2 MG CAPSULE [4560],0.73,0.25,,,0
NDC,51079-690-20,LOPERAMIDE 2 MG CAPSULE [4560],0.73,0.25,,,0
NDC,51079-692-01,BICALUTAMIDE 50 MG TABLET [15746],1.36,0.47,,,0
NDC,51079-692-03,BICALUTAMIDE 50 MG TABLET [15746],1.36,0.47,,,0
NDC,51079-700-20,GLYCOPYRROLATE 1 MG TABLET [10130],1.07,0.38,,,0
NDC,51079-723-01,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",2.73,0.96,,,0
NDC,51079-723-20,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",2.73,0.96,,,0
NDC,51079-724-01,ZOLPIDEM 5 MG TABLET [11701],0.11,0.04,,,0
NDC,51079-724-20,ZOLPIDEM 5 MG TABLET [11701],0.11,0.04,,,0
NDC,51079-726-01,TOPIRAMATE 25 MG TABLET [18920],0.14,0.05,,,0
NDC,51079-727-01,TOPIRAMATE 50 MG TABLET [37616],0.21,0.07,,,0
NDC,51079-727-20,TOPIRAMATE 50 MG TABLET [37616],0.21,0.07,,,0
NDC,51079-728-01,TOPIRAMATE 100 MG TABLET [18922],0.25,0.09,,,0
NDC,51079-728-20,TOPIRAMATE 100 MG TABLET [18922],0.25,0.09,,,0
NDC,51079-733-01,HALOPERIDOL 0.5 MG TABLET [3578],0.29,0.1,,,0
NDC,51079-733-20,HALOPERIDOL 0.5 MG TABLET [3578],0.29,0.1,,,0
NDC,51079-734-01,HALOPERIDOL 1 MG TABLET [3579],0.41,0.14,,,0
NDC,51079-734-20,HALOPERIDOL 1 MG TABLET [3579],0.41,0.14,,,0
NDC,51079-735-01,HALOPERIDOL 2 MG TABLET [3581],0.56,0.2,,,0
NDC,51079-735-20,HALOPERIDOL 2 MG TABLET [3581],0.56,0.2,,,0
NDC,51079-736-01,HALOPERIDOL 5 MG TABLET [3583],0.91,0.32,,,0
NDC,51079-736-20,HALOPERIDOL 5 MG TABLET [3583],0.91,0.32,,,0
NDC,51079-745-01,DILTIAZEM 30 MG TABLET [2475],0.17,0.06,,,0
NDC,51079-745-20,DILTIAZEM 30 MG TABLET [2475],0.17,0.06,,,0
NDC,51079-746-01,DILTIAZEM 60 MG TABLET [2476],0.27,0.09,,,0
NDC,51079-746-20,DILTIAZEM 60 MG TABLET [2476],0.27,0.09,,,0
NDC,51079-747-01,DILTIAZEM 90 MG TABLET [2477],0.37,0.13,,,0
NDC,51079-747-20,DILTIAZEM 90 MG TABLET [2477],0.37,0.13,,,0
NDC,51079-753-01,SUCRALFATE 1 GRAM TABLET [11442],0.32,0.11,,,0
NDC,51079-753-20,SUCRALFATE TABLET G-TUBE TOPICAL ONLY [411461],0.32,0.11,,,0
NDC,51079-755-20,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0.45,0.16,,,0
NDC,51079-759-01,ATENOLOL 25 MG TABLET [717],0.17,0.06,,,0
NDC,51079-759-20,ATENOLOL 25 MG TABLET [717],0.17,0.06,,,0
NDC,51079-762-01,SERTRALINE 25 MG TABLET [19882],0.21,0.07,,,0
NDC,51079-762-20,SERTRALINE 25 MG TABLET [19882],0.21,0.07,,,0
NDC,51079-763-20,SERTRALINE 50 MG TABLET [11351],0.21,0.07,,,0
NDC,51079-766-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",1.47,0.51,,,0
NDC,51079-766-08,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",1.47,0.51,,,0
NDC,51079-767-01,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",2.48,0.87,,,0
NDC,51079-767-08,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",2.48,0.87,,,0
NDC,51079-768-01,ZONISAMIDE 100 MG CAPSULE [27780],0.82,0.29,,,0
NDC,51079-768-20,ZONISAMIDE 100 MG CAPSULE [27780],0.76,0.27,,,0
NDC,51079-771-01,CARVEDILOL 3.125 MG TABLET [18551],0.13,0.05,,,0
NDC,51079-771-20,CARVEDILOL 3.125 MG TABLET [18551],0.13,0.05,,,0
NDC,51079-774-01,PAROXETINE 20 MG TABLET [10855],0.29,0.1,,,0
NDC,51079-774-20,PAROXETINE 20 MG TABLET [10855],0.29,0.1,,,0
NDC,51079-776-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [19146],0.16,0.06,,,0
NDC,51079-776-20,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [19146],0.16,0.06,,,0
NDC,51079-777-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.32,0.11,,,0
NDC,51079-777-20,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.32,0.11,,,0
NDC,51079-777-21,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.32,0.11,,,0
NDC,51079-778-01,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.36,0.13,,,0
NDC,51079-778-20,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.36,0.13,,,0
NDC,51079-778-21,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.36,0.13,,,0
NDC,51079-783-20,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0.38,0.13,,,0
NDC,51079-788-20,ALPRAZOLAM 0.25 MG TABLET [324],0.05,0.02,,,0
NDC,51079-789-01,ALPRAZOLAM 0.5 MG TABLET [325],0.1,0.04,,,0
NDC,51079-789-20,ALPRAZOLAM 0.5 MG TABLET [325],0.1,0.04,,,0
NDC,51079-790-01,ALPRAZOLAM 1 MG TABLET [326],0.12,0.04,,,0
NDC,51079-790-20,ALPRAZOLAM 1 MG TABLET [326],0.12,0.04,,,0
NDC,51079-793-01,NAPROXEN 250 MG TABLET [5391],0.16,0.06,,,0
NDC,51079-793-20,NAPROXEN 250 MG TABLET [5391],0.16,0.06,,,0
NDC,51079-795-01,NAPROXEN 500 MG TABLET [5393],0.24,0.09,,,0
NDC,51079-795-20,NAPROXEN 500 MG TABLET [5393],0.24,0.09,,,0
NDC,51079-801-01,METOPROLOL TARTRATE 50 MG TABLET [5009],0.08,0.03,,,0
NDC,51079-801-20,METOPROLOL TARTRATE 50 MG TABLET [5009],0.08,0.03,,,0
NDC,51079-802-01,METOPROLOL TARTRATE 100 MG TABLET [5008],0.11,0.04,,,0
NDC,51079-802-20,METOPROLOL TARTRATE 100 MG TABLET [5008],0.11,0.04,,,0
NDC,51079-806-01,HYDROXYZINE HCL 25 MG TABLET [3774],0.23,0.08,,,0
NDC,51079-806-20,HYDROXYZINE HCL 25 MG TABLET [3774],0.23,0.08,,,0
NDC,51079-810-01,GLIPIZIDE 5 MG TABLET [10117],0.32,0.11,,,0
NDC,51079-810-20,GLIPIZIDE 5 MG TABLET [10117],0.32,0.11,,,0
NDC,51079-811-01,GLIPIZIDE 10 MG TABLET [10116],0.63,0.22,,,0
NDC,51079-811-20,GLIPIZIDE 10 MG TABLET [10116],0.63,0.22,,,0
NDC,51079-812-01,NADOLOL 20 MG TABLET [5330],5.16,1.81,,,0
NDC,51079-812-20,NADOLOL 20 MG TABLET [5330],5.16,1.81,,,0
NDC,51079-813-01,NADOLOL 40 MG TABLET [5331],6.02,2.11,,,0
NDC,51079-813-20,NADOLOL 40 MG TABLET [5331],6.02,2.11,,,0
NDC,51079-816-01,HYDROXYZINE HCL 50 MG TABLET [3775],0.29,0.1,,,0
NDC,51079-816-20,HYDROXYZINE HCL 50 MG TABLET [3775],0.29,0.1,,,0
NDC,51079-817-01,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",1.1,0.38,,,0
NDC,51079-817-20,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",1.1,0.38,,,0
NDC,51079-818-01,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",1.15,0.4,,,0
NDC,51079-818-20,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",1.15,0.4,,,0
NDC,51079-819-01,CARISOPRODOL 350 MG TABLET [1395],0.25,0.09,,,0
NDC,51079-819-20,CARISOPRODOL 350 MG TABLET [1395],0.25,0.09,,,0
NDC,51079-820-01,LEVETIRACETAM 250 MG TABLET [26816],0.56,0.2,,,0
NDC,51079-820-20,LEVETIRACETAM 250 MG TABLET [26816],0.56,0.2,,,0
NDC,51079-821-01,LEVETIRACETAM 500 MG TABLET [26817],0.58,0.2,,,0
NDC,51079-821-20,LEVETIRACETAM 500 MG TABLET [26817],0.58,0.2,,,0
NDC,51079-852-01,GALANTAMINE 4 MG TABLET [29806],3.19,1.12,,,0
NDC,51079-852-03,GALANTAMINE 4 MG TABLET [29806],3.19,1.12,,,0
NDC,51079-863-01,CAPTOPRIL 12.5 MG TABLET [9401],1.43,0.5,,,0
NDC,51079-863-20,CAPTOPRIL 12.5 MG TABLET [9401],1.43,0.5,,,0
NDC,51079-864-01,CAPTOPRIL 25 MG TABLET [9402],1.55,0.54,,,0
NDC,51079-864-20,CAPTOPRIL 25 MG TABLET [9402],1.55,0.54,,,0
NDC,51079-865-01,LAMOTRIGINE 150 MG TABLET [14266],0.18,0.06,,,0
NDC,51079-865-20,LAMOTRIGINE 150 MG TABLET [14266],0.18,0.06,,,0
NDC,51079-866-01,LAMOTRIGINE 200 MG TABLET [13983],0.21,0.07,,,0
NDC,51079-866-20,LAMOTRIGINE 200 MG TABLET [13983],0.21,0.07,,,0
NDC,51079-868-01,INDAPAMIDE 2.5 MG TABLET [3879],0.61,0.21,,,0
NDC,51079-868-20,INDAPAMIDE 2.5 MG TABLET [3879],0.61,0.21,,,0
NDC,51079-869-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE [8531]",2.11,0.74,,,0
NDC,51079-869-20,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE [8531]",2.11,0.74,,,0
NDC,51079-870-01,CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],0.4,0.14,,,0
NDC,51079-870-20,CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],0.4,0.14,,,0
NDC,51079-871-01,SUCRALFATE 1 GRAM TABLET [11442],0.32,0.11,,,0
NDC,51079-871-20,SUCRALFATE 1 GRAM TABLET [11442],0.32,0.11,,,0
NDC,51079-872-01,GLYBURIDE 2.5 MG TABLET [10126],0.26,0.09,,,0
NDC,51079-872-20,GLYBURIDE 2.5 MG TABLET [10126],0.26,0.09,,,0
NDC,51079-873-01,GLYBURIDE 5 MG TABLET [3489],0.36,0.13,,,0
NDC,51079-873-20,GLYBURIDE 5 MG TABLET [3489],0.36,0.13,,,0
NDC,51079-881-01,CLONAZEPAM 0.5 MG TABLET [9637],0.1,0.03,,,0
NDC,51079-881-20,CLONAZEPAM 0.5 MG TABLET [9637],0.09,0.03,,,0
NDC,51079-882-01,CLONAZEPAM 1 MG TABLET [9638],0.11,0.04,,,0
NDC,51079-882-20,CLONAZEPAM 1 MG TABLET [9638],0.11,0.04,,,0
NDC,51079-883-01,CLONAZEPAM 2 MG TABLET [9639],0.13,0.05,,,0
NDC,51079-883-20,CLONAZEPAM 2 MG TABLET [9639],0.13,0.05,,,0
NDC,51079-888-01,METOCLOPRAMIDE 10 MG TABLET [5005],0.8,0.28,,,0
NDC,51079-888-20,METOCLOPRAMIDE 10 MG TABLET [5005],0.8,0.28,,,0
NDC,51079-889-01,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE [10911]",0.2,0.07,,,0
NDC,51079-889-20,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE [10911]",0.2,0.07,,,0
NDC,51079-890-01,RIFAMPIN 300 MG CAPSULE [11293],2.28,0.8,,,0
NDC,51079-891-01,BUMETANIDE 0.5 MG TABLET [9309],0.2,0.07,,,0
NDC,51079-891-20,BUMETANIDE 0.5 MG TABLET [9309],0.2,0.07,,,0
NDC,51079-892-01,BUMETANIDE 1 MG TABLET [9310],0.24,0.09,,,0
NDC,51079-892-20,BUMETANIDE 1 MG TABLET [9310],0.24,0.09,,,0
NDC,51079-893-01,BUMETANIDE 2 MG TABLET [9311],0.4,0.14,,,0
NDC,51079-893-20,BUMETANIDE 2 MG TABLET [9311],0.4,0.14,,,0
NDC,51079-894-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [11639]",1.93,0.68,,,0
NDC,51079-894-20,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [11639]",1.93,0.68,,,0
NDC,51079-895-20,PROMETHAZINE 25 MG TABLET [6622],0.35,0.12,,,0
NDC,51079-899-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [11640]",2.08,0.73,,,0
NDC,51079-899-20,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [11640]",2.08,0.73,,,0
NDC,51079-902-01,LOXAPINE SUCCINATE 25 MG CAPSULE [4600],0.99,0.35,,,0
NDC,51079-902-20,LOXAPINE SUCCINATE 25 MG CAPSULE [4600],0.99,0.35,,,0
NDC,51079-903-01,LOXAPINE SUCCINATE 50 MG CAPSULE [4602],1.24,0.44,,,0
NDC,51079-903-20,LOXAPINE SUCCINATE 50 MG CAPSULE [4602],1.24,0.44,,,0
NDC,51079-905-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],0.57,0.2,,,0
NDC,51079-905-20,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],0.57,0.2,,,0
NDC,51079-905-56,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],0.57,0.2,,,0
NDC,51079-921-01,CLOZAPINE 25 MG TABLET [9648],0.65,0.23,,,0
NDC,51079-921-20,CLOZAPINE 25 MG TABLET [9648],0.5,0.17,,,0
NDC,51079-922-01,CLOZAPINE 100 MG TABLET [9647],1.65,0.58,,,0
NDC,51079-922-20,CLOZAPINE 100 MG TABLET [9647],1.33,0.47,,,0
NDC,51079-923-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [9409]",0.89,0.31,,,0
NDC,51079-923-20,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [9409]",0.89,0.31,,,0
NDC,51079-928-20,LABETALOL 100 MG TABLET [10373],0.45,0.16,,,0
NDC,51079-929-01,LABETALOL 200 MG TABLET [10374],0.64,0.22,,,0
NDC,51079-929-20,LABETALOL 200 MG TABLET [10374],0.64,0.22,,,0
NDC,51079-930-01,CARVEDILOL 6.25 MG TABLET [15747],0.13,0.05,,,0
NDC,51079-930-20,CARVEDILOL 6.25 MG TABLET [15747],0.13,0.05,,,0
NDC,51079-931-01,CARVEDILOL 12.5 MG TABLET [15749],0.13,0.05,,,0
NDC,51079-931-20,CARVEDILOL 12.5 MG TABLET [15749],0.13,0.05,,,0
NDC,51079-932-01,CARVEDILOL 25 MG TABLET [15748],0.13,0.05,,,0
NDC,51079-932-20,CARVEDILOL 25 MG TABLET [15748],0.13,0.05,,,0
NDC,51079-936-01,TERAZOSIN 1 MG CAPSULE [14550],0.24,0.08,,,0
NDC,51079-936-20,TERAZOSIN 1 MG CAPSULE [14550],0.24,0.08,,,0
NDC,51079-937-01,TERAZOSIN 2 MG CAPSULE [14551],0.16,0.06,,,0
NDC,51079-937-20,TERAZOSIN 2 MG CAPSULE [14551],0.16,0.06,,,0
NDC,51079-938-01,TERAZOSIN 5 MG CAPSULE [14553],0.29,0.1,,,0
NDC,51079-938-20,TERAZOSIN 5 MG CAPSULE [14553],0.29,0.1,,,0
NDC,51079-941-01,ALENDRONATE 10 MG TABLET [15661],0.48,0.17,,,0
NDC,51079-941-05,ALENDRONATE 10 MG TABLET [15661],0.44,0.16,,,0
NDC,51079-942-01,ALENDRONATE 70 MG TABLET [29048],1.36,0.48,,,0
NDC,51079-942-05,ALENDRONATE 70 MG TABLET [29048],1.36,0.48,,,0
NDC,51079-943-01,BUPROPION HCL 75 MG TABLET [9322],1.23,0.43,,,0
NDC,51079-943-20,BUPROPION HCL 75 MG TABLET [9322],1.23,0.43,,,0
NDC,51079-944-01,BUPROPION HCL 100 MG TABLET [9321],1.64,0.57,,,0
NDC,51079-944-20,BUPROPION HCL 100 MG TABLET [9321],1.64,0.57,,,0
NDC,51079-950-01,ENALAPRIL MALEATE 2.5 MG TABLET [9925],0.48,0.17,,,0
NDC,51079-950-20,ENALAPRIL MALEATE 2.5 MG TABLET [9925],0.48,0.17,,,0
NDC,51079-952-01,ENALAPRIL MALEATE 10 MG TABLET [9924],0.65,0.23,,,0
NDC,51079-952-20,ENALAPRIL MALEATE 10 MG TABLET [9924],0.65,0.23,,,0
NDC,51079-953-01,ENALAPRIL MALEATE 20 MG TABLET [9926],0.92,0.32,,,0
NDC,51079-953-20,ENALAPRIL MALEATE 20 MG TABLET [9926],0.92,0.32,,,0
NDC,51079-956-01,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18289],0.16,0.06,,,0
NDC,51079-957-01,DOXAZOSIN 1 MG TABLET [9894],3.14,1.1,,,0
NDC,51079-957-20,DOXAZOSIN 1 MG TABLET [9894],3.14,1.1,,,0
NDC,51079-958-01,DOXAZOSIN 2 MG TABLET [9895],3.13,1.1,,,0
NDC,51079-958-20,DOXAZOSIN 2 MG TABLET [9895],3.13,1.1,,,0
NDC,51079-959-01,DOXAZOSIN 4 MG TABLET [9896],3.29,1.15,,,0
NDC,51079-959-20,DOXAZOSIN 4 MG TABLET [9896],3.29,1.15,,,0
NDC,51079-966-01,FAMOTIDINE 20 MG TABLET [10011],0.1,0.04,,,0
NDC,51079-966-20,FAMOTIDINE 20 MG TABLET [10011],0.1,0.04,,,0
NDC,51079-972-01,METFORMIN 500 MG TABLET [10544],0.13,0.05,,,0
NDC,51079-972-20,METFORMIN 500 MG TABLET [10544],0.13,0.05,,,0
NDC,51079-975-01,LOVASTATIN 20 MG TABLET [10470],0.58,0.2,,,0
NDC,51079-975-20,LOVASTATIN 20 MG TABLET [10470],0.58,0.2,,,0
NDC,51079-978-01,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [12329]",0.38,0.13,,,0
NDC,51079-978-20,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [12329]",0.38,0.13,,,0
NDC,51079-980-01,SPIRONOLACTONE 100 MG TABLET [11425],1.06,0.37,,,0
NDC,51079-980-08,SPIRONOLACTONE 100 MG TABLET [11425],1.06,0.37,,,0
NDC,51079-980-20,SPIRONOLACTONE 100 MG TABLET [11425],1.06,0.37,,,0
NDC,51079-982-01,LISINOPRIL 10 MG TABLET [10449],0.12,0.04,,,0
NDC,51079-982-20,LISINOPRIL 10 MG TABLET [10449],0.12,0.04,,,0
NDC,51079-984-01,LISINOPRIL 40 MG TABLET [10450],0.16,0.06,,,0
NDC,51079-984-20,LISINOPRIL 40 MG TABLET [10450],0.16,0.06,,,0
NDC,51079-985-01,BUSPIRONE 5 MG TABLET [9324],0.1,0.04,,,0
NDC,51079-985-20,BUSPIRONE 5 MG TABLET [9324],0.1,0.04,,,0
NDC,51079-986-01,BUSPIRONE 10 MG TABLET [9323],1.34,0.47,,,0
NDC,51079-986-20,BUSPIRONE 10 MG TABLET [9323],0.14,0.05,,,0
NDC,51079-989-01,NABUMETONE 500 MG TABLET [10676],1.03,0.36,,,0
NDC,51079-989-20,NABUMETONE 500 MG TABLET [10676],1.03,0.36,,,0
NDC,51079-991-01,TRAMADOL 50 MG TABLET [14632],0.08,0.03,,,0
NDC,51079-991-20,TRAMADOL 50 MG TABLET [14632],0.08,0.03,,,0
NDC,51079-991-30,TRAMADOL 50 MG TABLET [14632],0.06,0.02,,,0
NDC,51079-991-56,TRAMADOL 50 MG TABLET [14632],0.06,0.02,,,0
NDC,51079-992-01,FLUVOXAMINE 50 MG TABLET [10085],0.5,0.18,,,0
NDC,51079-992-20,FLUVOXAMINE 50 MG TABLET [10085],0.5,0.18,,,0
NDC,51079-993-01,FLUVOXAMINE 100 MG TABLET [10084],0.59,0.21,,,0
NDC,51079-993-20,FLUVOXAMINE 100 MG TABLET [10084],0.59,0.21,,,0
NDC,51079-996-01,PROPAFENONE 150 MG TABLET [11146],0.76,0.26,,,0
NDC,51079-996-20,PROPAFENONE 150 MG TABLET [11146],0.76,0.26,,,0
NDC,51079-997-01,FLUOXETINE 10 MG CAPSULE [10069],0.14,0.05,,,0
NDC,51079-998-01,TIZANIDINE 4 MG TABLET [14793],0.74,0.26,,,0
NDC,51079-998-20,TIZANIDINE 4 MG TABLET [14793],0.74,0.26,,,0
NDC,51101-2826-5,GENT VIOLET-BRLNT GRN-PROFLAV 2.29 MG-2.29 MG-1.14 MG/ML TOPICAL SWAB [110041],2.71,0.95,,,0
NDC,51144-003-01,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION [192713],508.99,178.15,,,0
NDC,51144-020-01,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [186954],8124.63,2843.62,,,0
NDC,51144-030-01,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION [186955],12186.95,4265.43,,,0
NDC,51144-050-01,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [152163],26705.0,9346.75,,,0
NDC,51224-010-60,BENZONATATE 100 MG CAPSULE [988],0.23,0.08,,,0
NDC,51224-013-01,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,51224-013-10,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,51224-013-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,51224-162-12,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET [155899]",2.71,0.95,,,0
NDC,51224-162-99,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET [155899]",2.71,0.95,,,0
NDC,51248-150-01,SOLIFENACIN 5 MG TABLET [40392],12.85,4.5,,,0
NDC,51248-150-03,SOLIFENACIN 5 MG TABLET [40392],12.85,4.5,,,0
NDC,51248-150-52,SOLIFENACIN 5 MG TABLET [40392],12.85,4.5,,,0
NDC,51248-150-55,SOLIFENACIN 5 MG TABLET [40392],29.76,10.42,,,0
NDC,51285-769-93,LEVONORGESTREL 0.75 MG TABLET [26755],16.25,5.69,,,0
NDC,51293-607-01,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],2.46,0.86,,,0
NDC,51293-801-01,PHENAZOPYRIDINE 100 MG TABLET [6193],1.76,0.61,,,0
NDC,51293-802-01,PHENAZOPYRIDINE 200 MG TABLET [6194],2.6,0.91,,,0
NDC,51293-810-01,PHENAZOPYRIDINE 100 MG TABLET [6193],0.32,0.11,,,0
NDC,51407-153-90,ROSUVASTATIN 5 MG TABLET [36612],0.06,0.02,,,0
NDC,51525-0115-1,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR [17010]",0.79,0.28,,,0
NDC,5155200556,ACETIC ACID (BULK) 5 % LIQUID [14702],0.42,0.15,,,0
NDC,5155200558,ACETIC ACID (BULK) 5 % LIQUID [14702],0.42,0.15,,,0
NDC,5164576099,FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0.03,0.01,,,0
NDC,5164578508,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.03,0.0091,,,0
NDC,51660-141-90,VALSARTAN 80 MG TABLET [31209],0.34,0.12,,,0
NDC,51672-1258-2,CLOBETASOL 0.05 % TOPICAL CREAM [9630],30.24,10.58,,,0
NDC,51672-1259-2,CLOBETASOL 0.05 % TOPICAL OINTMENT [9631],4.98,1.74,,,0
NDC,51672-1263-1,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM [5754]",27.72,9.7,,,0
NDC,51672-1267-5,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE [8121],98.76,34.57,,,0
NDC,51672-1270-1,DESOXIMETASONE 0.25 % TOPICAL CREAM [2296],146.11,51.14,,,0
NDC,51672-1272-1,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT [5755]",4.6,1.61,,,0
NDC,51672-1282-1,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],2.89,1.01,,,0
NDC,51672-1282-2,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],1.04,0.36,,,0
NDC,51672-1284-1,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],2.98,1.04,,,0
NDC,51672-1289-1,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",6.49,2.27,,,0
NDC,51672-1289-2,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",3.25,1.14,,,0
NDC,51672-1293-2,CLOBETASOL 0.05 % SCALP SOLUTION [9632],0.56,0.2,,,0
NDC,51672-1293-3,CLOBETASOL 0.05 % SCALP SOLUTION [9632],0.56,0.2,,,0
NDC,51672-1302-0,TERCONAZOLE 0.8 % VAGINAL CREAM [11511],367.98,128.79,,,0
NDC,51672-1312-0,MUPIROCIN 2 % TOPICAL OINTMENT [10674],7.56,2.64,,,0
NDC,51672-1312-1,MUPIROCIN 2 % TOPICAL OINTMENT [10674],7.56,2.64,,,0
NDC,51672-1394-0,TRETINOIN 0.05 % TOPICAL CREAM [11577],11.77,4.12,,,0
NDC,51672-2018-2,HYDROCORTISONE 1 % TOPICAL OINTMENT [3731],0.85,0.3,,,0
NDC,51672-2030-5,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.81,0.28,,,0
NDC,51672-2080-2,TERBINAFINE HCL 1 % TOPICAL CREAM [27023],0.25,0.09,,,0
NDC,51672-2115-0,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0.7,0.24,,,0
NDC,51672-2115-4,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0.43,0.15,,,0
NDC,51672-3020-9,LIDOCAINE 5 % TOPICAL OINTMENT [156477],6.68,2.34,,,0
NDC,51672-4001-1,NORTRIPTYLINE 10 MG CAPSULE [5674],0.2,0.07,,,0
NDC,51672-4001-5,NORTRIPTYLINE 10 MG CAPSULE [5674],0.1,0.04,,,0
NDC,51672-4002-1,NORTRIPTYLINE 25 MG CAPSULE [5675],0.27,0.09,,,0
NDC,51672-4002-5,NORTRIPTYLINE 25 MG CAPSULE [5675],0.14,0.05,,,0
NDC,51672-4005-1,CARBAMAZEPINE 200 MG TABLET [1357],0.41,0.14,,,0
NDC,51672-4011-5,CLOMIPRAMINE 25 MG CAPSULE [9635],0.33,0.12,,,0
NDC,51672-4012-5,CLOMIPRAMINE 50 MG CAPSULE [1754],0.44,0.16,,,0
NDC,51672-4016-1,ETODOLAC 200 MG CAPSULE [9997],1.08,0.38,,,0
NDC,51672-4017-1,ETODOLAC 300 MG CAPSULE [9998],1.29,0.45,,,0
NDC,51672-4022-1,ACETAZOLAMIDE 125 MG TABLET [112],0.26,0.09,,,0
NDC,51672-4023-1,ACETAZOLAMIDE 250 MG TABLET [113],0.35,0.12,,,0
NDC,51672-4026-6,KETOCONAZOLE 200 MG TABLET [10369],2.16,0.76,,,0
NDC,51672-4040-1,ENALAPRIL MALEATE 20 MG TABLET [9926],0.32,0.11,,,0
NDC,51672-4042-1,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET [1759],1.0,0.35,,,0
NDC,51672-4047-9,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [103670],1.35,0.47,,,0
NDC,51672-4069-1,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION [6255],12.18,4.26,,,0
NDC,51672-4132-4,LAMOTRIGINE 150 MG TABLET [14266],0.12,0.04,,,0
NDC,51672-4133-4,LAMOTRIGINE 200 MG TABLET [13983],0.14,0.05,,,0
NDC,51672-4227-8,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [163599],34.02,11.91,,,0
NDC,51672-4245-1,ENALAPRIL MALEATE 10 MG TABLET [9924],0.22,0.08,,,0
NDC,51672-5204-1,DESOXIMETASONE 0.25 % TOPICAL CREAM [2296],146.11,51.14,,,0
NDC,51672-5316-9,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION [148555],3.65,1.28,,,0
NDC,51715-100-03,BUPIVACAINE HCL 100 MG IMPLANT [190067],881.51,308.53,,,0
NDC,51715-100-04,BUPIVACAINE HCL 100 MG IMPLANT [190067],881.51,308.53,,,0
NDC,51715-100-10,BUPIVACAINE HCL 100 MG IMPLANT [190067],881.51,308.53,,,0
NDC,51754-0108-1,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK [185777]",0.76,0.27,,,0
NDC,51754-0108-3,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK [185777]",0.76,0.27,,,0
NDC,51754-0203-1,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.17,12.31,,,0
NDC,51754-0203-4,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.17,12.31,,,0
NDC,51754-0500-1,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
NDC,51754-0501-3,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [77411],17.59,6.16,,,0
NDC,51754-0502-1,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
NDC,51754-1000-1,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,51754-2001-4,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],37.88,13.26,,,0
NDC,51754-5001-1,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [102823],2.06,0.72,,,0
NDC,51754-5001-4,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [102823],2.06,0.72,,,0
NDC,51754-5012-4,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [102894],5.88,2.06,,,0
NDC,51754-5060-1,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [9266],52.57,18.4,,,0
NDC,51801-011-30,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET [87912],0.55,0.19,,,0
NDC,51801-012-30,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET [87912],0.55,0.19,,,0
NDC,51801-013-30,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET [87911],0.48,0.17,,,0
NDC,51801-014-30,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET [87911],0.48,0.17,,,0
NDC,51862-079-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.3,0.1,,,0
NDC,51862-180-15,PRAMOXINE 1 % TOPICAL FOAM [19749],3.31,1.16,,,0
NDC,51862-320-01,LIOTHYRONINE 5 MCG TABLET [10443],1.06,0.37,,,0
NDC,51862-321-01,LIOTHYRONINE 25 MCG TABLET [4504],1.39,0.49,,,0
NDC,51862-453-01,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],98.76,34.57,,,0
NDC,51862-453-04,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],98.76,34.57,,,0
NDC,51862-454-01,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],162.34,56.82,,,0
NDC,51862-454-04,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],162.34,56.82,,,0
NDC,51862-460-47,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],3.08,1.08,,,0
NDC,51862-486-01,TRIMETHOPRIM 100 MG TABLET [8182],1.86,0.65,,,0
NDC,5192722120,"PHENYLALANINE, L- (BULK) 100 % POWDER [151185]",3.0,1.05,,,0
NDC,5192746490,LEUCINE (BULK) POWDER [14208],1.82,0.64,,,0
NDC,51991-002-98,METHADONE 10 MG/ML INJECTION SOLUTION [10546],206.25,72.19,,,0
NDC,51991-064-98,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],29.42,10.3,,,0
NDC,51991-073-01,BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG-CAFFEINE 40 MG-CODEINE 30 MG CAP [30350],0.61,0.21,,,0
NDC,51991-074-01,CODEINE-BUTALBITAL-ASA-CAFFEINE 30 MG-50 MG-325 MG-40 MG CAPSULE [1235],2.28,0.8,,,0
NDC,51991-144-17,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],46.38,16.23,,,0
NDC,51991-144-99,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],46.38,16.23,,,0
NDC,51991-293-01,OXCARBAZEPINE 300 MG TABLET [21061],0.55,0.19,,,0
NDC,51991-294-01,OXCARBAZEPINE 600 MG TABLET [21157],1.62,0.57,,,0
NDC,51991-381-60,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET [144523],12.5,4.38,,,0
NDC,51991-381-99,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET [144523],12.5,4.38,,,0
NDC,51991-526-33,TERBINAFINE HCL 250 MG TABLET [12724],0.14,0.05,,,0
NDC,51991-622-01,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],1.58,0.55,,,0
NDC,51991-651-16,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],13.53,4.73,,,0
NDC,51991-716-41,RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],52.76,18.47,,,0
NDC,51991-728-67,HYDROCORTISONE 100 MG/60 ML ENEMA [10210],1.33,0.47,,,0
NDC,51991-738-01,NEOMYCIN 500 MG TABLET [5472],0.7,0.25,,,0
NDC,51991-749-90,DUTASTERIDE 0.5 MG CAPSULE [34089],0.33,0.12,,,0
NDC,51991-759-33,LETROZOLE 2.5 MG TABLET [21509],0.25,0.09,,,0
NDC,51991-838-01,CYPROHEPTADINE 4 MG TABLET [2033],0.66,0.23,,,0
NDC,51991-906-01,TETRACYCLINE 250 MG CAPSULE [7796],1.66,0.58,,,0
NDC,51991-907-01,TETRACYCLINE 500 MG CAPSULE [7797],3.28,1.15,,,0
NDC,51991-934-98,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],29.09,10.18,,,0
NDC,51991-942-98,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],343.61,120.26,,,0
NDC,5199120301,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0.13,0.04,,,0
NDC,5199120311,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0.13,0.04,,,0
NDC,5199120399,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0.13,0.04,,,0
NDC,5199138490,FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-2 MG TABLET [38624],0.77,0.27,,,0
NDC,5199161690,CYANOCOBALAMIN 2 MG-LEVOMEFOLATE CAL 1.13 MG-PYRIDOXINE 25 MG TABLET [161547],4.52,1.58,,,0
NDC,52015-080-01,FIDAXOMICIN 200 MG TABLET [151049],781.48,273.52,,,0
NDC,52054-330-10,PYRIMETHAMINE 25 MG TABLET [11246],750.0,262.5,,,0
NDC,52054-550-22,ALBENDAZOLE 200 MG TABLET [8979],242.67,84.93,,,0
NDC,52054-550-28,ALBENDAZOLE 200 MG TABLET [8979],101.99,35.7,,,0
NDC,52244-100-10,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR [27418]",7.37,2.58,,,0
NDC,52244-200-10,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR [27419]",10.96,3.84,,,0
NDC,52244-300-10,"THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR [27421]",13.47,4.71,,,0
NDC,52244-400-10,"THEOPHYLLINE ER 400 MG CAPSULE,EXTENDED RELEASE 24 HR [31783]",18.05,6.32,,,0
NDC,52244-429-10,METHOCARBAMOL 500 MG TABLET [4971],1.88,0.66,,,0
NDC,52268-100-01,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION [10839],0.04,0.02,,,0
NDC,52427-429-90,ATENOLOL 25 MG TABLET [717],13.36,4.67,,,0
NDC,52427-430-90,ATENOLOL 50 MG TABLET [718],13.36,4.67,,,0
NDC,52427-431-90,ATENOLOL 100 MG TABLET [716],13.36,4.67,,,0
NDC,52536-006-09,ISOSORBIDE 20 MG-HYDRALAZINE 37.5 MG TABLET [41893],2.78,0.97,,,0
NDC,52536-183-03,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE [2892]",6.28,2.2,,,0
NDC,52536-600-11,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION [193654],19.03,6.66,,,0
NDC,52544-046-13,PODOFILOX 0.5 % TOPICAL SOLUTION [11038],370.68,129.74,,,0
NDC,52544-076-54,TESTOSTERONE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH [154165],17.87,6.25,,,0
NDC,52544-076-60,TESTOSTERONE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH [154165],17.87,6.25,,,0
NDC,52544-077-30,TESTOSTERONE 4 MG/24 HR TRANSDERMAL 24 HOUR PATCH [27453],35.74,12.51,,,0
NDC,52544-077-54,TESTOSTERONE 4 MG/24 HR TRANSDERMAL 24 HOUR PATCH [27453],35.74,12.51,,,0
NDC,52544-471-08,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [27459],47.35,16.57,,,0
NDC,52544-471-54,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [27459],47.35,16.57,,,0
NDC,52544-473-08,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [27461],46.0,16.1,,,0
NDC,52544-922-26,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],412.3,144.3,,,0
NDC,52544-930-01,URSODIOL 300 MG CAPSULE [11624],9.51,3.33,,,0
NDC,52544-931-02,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [181942],219.03,76.66,,,0
NDC,52544-931-07,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [181942],219.03,76.66,,,0
NDC,52565-008-14,LIDOCAINE 5 % TOPICAL OINTMENT [156477],24.43,8.55,,,0
NDC,52565-009-50,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],7.17,2.51,,,0
NDC,52565-018-59,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION [1742],2.25,0.79,,,0
NDC,52565-056-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],2.89,1.01,,,0
NDC,52565-082-30,CLOBETASOL 0.05 % TOPICAL GEL [13203],0.52,0.18,,,0
NDC,52565-122-07,LIDOCAINE 4 % TOPICAL CREAM [23461],20.29,7.1,,,0
NDC,52609-0001-5,MELPHALAN 2 MG TABLET [10523],11.32,3.96,,,0
NDC,52609-3001-0,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],7741.66,2709.58,,,0
NDC,52609-3002-0,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],7741.66,2709.58,,,0
NDC,52652-1950-2,LEVOTHYROXINE 20 MCG/ML ORAL SOLUTION [190349],7.63,2.67,,,0
NDC,52652-4001-1,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION [177482],14.62,5.12,,,0
NDC,52652-5001-1,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION [185458],12.16,4.26,,,0
NDC,52652-6001-1,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION [193654],19.03,6.66,,,0
NDC,52817-160-60,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [95676]",0.27,0.09,,,0
NDC,52817-162-60,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [82089]",0.52,0.18,,,0
NDC,52817-163-60,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [82090]",0.6,0.21,,,0
NDC,52817-235-10,RAMELTEON 8 MG TABLET [42064],1.13,0.4,,,0
NDC,52817-260-10,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0.05,0.02,,,0
NDC,52817-330-10,CYCLOBENZAPRINE 5 MG TABLET [35184],0.04,0.01,,,0
NDC,52817-332-00,CYCLOBENZAPRINE 10 MG TABLET [2017],0.02,0.0056,,,0
NDC,52817-815-08,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],45.3,15.85,,,0
NDC,52817-816-15,ACETIC ACID 2 % EAR SOLUTION [17801],14.34,5.02,,,0
NDC,53014-531-07,METHYLPHENIDATE 5 MG TABLET [4988],0.53,0.19,,,0
NDC,53014-548-67,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR [9582],6.22,2.18,,,0
NDC,53150-697-01,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],6.36,2.23,,,0
NDC,53270-0126-1,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION [170692],2299.49,804.82,,,0
NDC,53276-1010-01,MICROFIBRILLAR COLLAGEN HEMOSTAT TOPICAL POWDER IN PACKET [156487],202.56,70.9,,,0
NDC,53276-1010-09,MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 35 MM SHEETS [10605],658.84,230.59,,,0
NDC,53436-084-01,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET [172666],116.15,40.65,,,0
NDC,53436-084-30,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET [172666],116.15,40.65,,,0
NDC,53489-118-02,DOXYCYCLINE HYCLATE 50 MG CAPSULE [2624],0.81,0.28,,,0
NDC,53489-119-02,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],1.23,0.43,,,0
NDC,53489-141-01,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE [12197]",7.25,2.54,,,0
NDC,53489-143-01,SPIRONOLACTONE 25 MG TABLET [7437],0.1,0.04,,,0
NDC,53489-157-01,ALLOPURINOL 300 MG TABLET [311],0.15,0.05,,,0
NDC,53489-176-01,ALBUTEROL SULFATE 2 MG TABLET [253],0.6,0.21,,,0
NDC,53489-329-06,SPIRONOLACTONE 100 MG TABLET [11425],0.79,0.28,,,0
NDC,53489-332-01,IMIPRAMINE 50 MG TABLET [3862],0.31,0.11,,,0
NDC,53489-368-01,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR [27489]",1.08,0.38,,,0
NDC,53489-370-01,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [27491]",1.95,0.68,,,0
NDC,53489-376-01,TRIMETHOBENZAMIDE 300 MG CAPSULE [32311],1.31,0.46,,,0
NDC,53489-386-01,MINOXIDIL 2.5 MG TABLET [5115],0.23,0.08,,,0
NDC,53489-517-01,TRAZODONE 150 MG TABLET [8084],0.36,0.13,,,0
NDC,53489-551-01,PROPAFENONE 150 MG TABLET [11146],0.47,0.16,,,0
NDC,53489-552-01,PROPAFENONE 225 MG TABLET [11147],1.25,0.44,,,0
NDC,53489-553-01,PROPAFENONE 300 MG TABLET [11148],1.88,0.66,,,0
NDC,53489-648-01,TEMAZEPAM 7.5 MG CAPSULE [11500],6.96,2.44,,,0
NDC,53746-188-01,NAPROXEN 250 MG TABLET [5391],0.07,0.02,,,0
NDC,53746-190-01,NAPROXEN 500 MG TABLET [5393],0.12,0.04,,,0
NDC,53746-190-05,NAPROXEN 500 MG TABLET [5393],0.11,0.04,,,0
NDC,53746-271-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],0.19,0.07,,,0
NDC,53746-361-01,FOLIC ACID 1 MG TABLET [3233],0.05,0.02,,,0
NDC,53746-466-01,IBUPROFEN 800 MG TABLET [3845],0.16,0.06,,,0
NDC,53746-554-01,DEMECLOCYCLINE 150 MG TABLET [9726],6.33,2.22,,,0
NDC,53746-669-01,ACEBUTOLOL 200 MG CAPSULE [8939],0.78,0.27,,,0
NDC,53746-711-01,GUANFACINE 1 MG TABLET [10149],0.56,0.2,,,0
NDC,54092-172-12,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [27632]",1.77,0.62,,,0
NDC,54092-173-12,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [27633]",1.77,0.62,,,0
NDC,54092-189-81,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE [10533]",3.04,1.06,,,0
NDC,54092-191-12,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE [39575]",6.07,2.13,,,0
NDC,54092-252-45,LANTHANUM 500 MG CHEWABLE TABLET [39975],12.01,4.2,,,0
NDC,54092-252-90,LANTHANUM 500 MG CHEWABLE TABLET [39975],12.01,4.2,,,0
NDC,54092-476-12,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [78310]",9.36,3.28,,,0
NDC,54092-547-01,PRUCALOPRIDE 2 MG TABLET [184402],16.85,5.9,,,0
NDC,54092-702-02,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE [152449],12233.29,4281.65,,,0
NDC,54092-702-03,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE [152449],12233.29,4281.65,,,0
NDC,54162-000-05,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT IN A PACKET [157589],2.32,0.81,,,0
NDC,54162-185-01,MINERAL OIL TOPICAL [5090],0.4,0.14,,,0
NDC,54162-185-25,MINERAL OIL TOPICAL [5090],0.4,0.14,,,0
NDC,54162-190-16,MINERAL OIL ORAL [5086],0.03,0.01,,,0
NDC,54162-550-07,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION [23063],0.2,0.07,,,0
NDC,54288-100-01,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
NDC,54288-103-10,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [168421],11.0,3.85,,,0
NDC,54288-105-02,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [184188],641.44,224.5,,,0
NDC,54288-105-15,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [184188],641.44,224.5,,,0
NDC,54288-119-25,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [151040],126.27,44.19,,,0
NDC,54288-123-01,EPINEPHRINE 1 MG/ML NASAL SOLUTION [19604],28.9,10.11,,,0
NDC,54288-135-01,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",5.6,1.96,,,0
NDC,54288-141-04,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],752.19,263.27,,,0
NDC,54288-147-01,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION [4985],72.08,25.23,,,0
NDC,54288-164-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,54288-165-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,54288-166-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,54288-167-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,54323-215-02,BALSAM PERU-ZINC OXIDE TOPICAL OINTMENT [108007],10.82,3.79,,,0
NDC,54482-145-08,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION [41623],4.33,1.51,,,0
NDC,54482-147-01,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],62.36,21.83,,,0
NDC,54482-301-01,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519],5875.76,2056.52,,,0
NDC,54531-100-01,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],61.68,21.59,,,0
NDC,54629-0071-01,NIACIN 100 MG TABLET [5539],0.03,0.0098,,,0
NDC,54629-0103-02,"BETA CAROTENE 7,500 MCG (25,000 UNIT) CAPSULE [1006]",0.06,0.02,,,0
NDC,54629-0586-05,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0.1,0.03,,,0
NDC,54643-5646-1,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN [109726]",70.35,24.62,,,0
NDC,54643-5647-0,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN [109726]",70.35,24.62,,,0
NDC,54643-5649-1,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION [159131]",7.04,2.46,,,0
NDC,54643-9007-1,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION [159131]",7.04,2.46,,,0
NDC,5475800628,DEXTROSE 1.2 GRAM/3 ML (40 %) ORAL GEL IN SYRINGE (ORAL USE ONLY) [189475],0.81,0.28,,,0
NDC,54766-093-06,AURANOFIN 3 MG CAPSULE [9179],24.86,8.7,,,0
NDC,54766-149-23,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],6360.8,2226.28,,,0
NDC,54799-503-15,HYPROMELLOSE 2.5 % EYE DROPS [38092],0.81,0.28,,,0
NDC,54838-502-80,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],3.86,1.35,,,0
NDC,54838-511-80,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],4.06,1.42,,,0
NDC,54838-540-70,CITALOPRAM 10 MG/5 ML ORAL SOLUTION [28228],2.44,0.85,,,0
NDC,54838-551-70,ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION [34897],10.82,3.79,,,0
NDC,54838-558-40,LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],5.95,2.08,,,0
NDC,54838-566-70,LAMIVUDINE 10 MG/ML ORAL SOLUTION [15881],6.76,2.37,,,0
NDC,5483800180,FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR [175492],0.27,0.09,,,0
NDC,5483800650,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],1.44,0.5,,,0
NDC,5483801150,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],4.06,1.42,,,0
NDC,54868-0753-0,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [106251]",141.73,49.6,,,0
NDC,54868-0954-0,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],213.51,74.73,,,0
NDC,54868-4339-1,MELPHALAN 2 MG TABLET [10523],6.76,2.37,,,0
NDC,54868-4577-1,BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18291],0.21,0.07,,,0
NDC,54868-5384-1,EXENATIDE 10 MCG/DOSE(250 MCG/ML)2.4 ML SUBCUTANEOUS PEN INJECTOR [41283],727.72,254.7,,,0
NDC,54879-001-01,ETHAMBUTOL 100 MG TABLET [9982],0.38,0.13,,,0
NDC,54879-002-01,ETHAMBUTOL 400 MG TABLET [9983],0.6,0.21,,,0
NDC,54879-021-01,CYCLOPHOSPHAMIDE 25 MG CAPSULE [166193],5.0,1.75,,,0
NDC,54879-022-01,CYCLOPHOSPHAMIDE 50 MG CAPSULE [166194],7.0,2.45,,,0
NDC,54879-037-25,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,54932-501-81,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],3.79,1.33,,,0
NDC,55111-112-30,MOXIFLOXACIN 400 MG TABLET [26854],2.94,1.03,,,0
NDC,55111-143-30,FLUCONAZOLE 50 MG TABLET [10046],1.12,0.39,,,0
NDC,55111-144-30,FLUCONAZOLE 100 MG TABLET [10044],1.76,0.62,,,0
NDC,55111-146-30,FLUCONAZOLE 200 MG TABLET [10045],2.88,1.01,,,0
NDC,55111-162-01,OFLOXACIN 400 MG TABLET [10772],4.5,1.58,,,0
NDC,55111-196-30,CLOPIDOGREL 75 MG TABLET [22142],0.17,0.06,,,0
NDC,55111-196-90,CLOPIDOGREL 75 MG TABLET [22142],0.17,0.06,,,0
NDC,55111-230-90,PRAVASTATIN 20 MG TABLET [11111],0.14,0.05,,,0
NDC,55111-262-79,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],1.73,0.61,,,0
NDC,55111-262-81,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],1.73,0.61,,,0
NDC,55111-263-79,OLANZAPINE 10 MG DISINTEGRATING TABLET [28160],2.54,0.89,,,0
NDC,55111-263-81,OLANZAPINE 10 MG DISINTEGRATING TABLET [28160],2.54,0.89,,,0
NDC,55111-291-09,SUMATRIPTAN 25 MG TABLET [15327],1.77,0.62,,,0
NDC,55111-292-09,SUMATRIPTAN 50 MG TABLET [15328],1.77,0.62,,,0
NDC,55111-292-98,SUMATRIPTAN 50 MG TABLET [15328],1.77,0.62,,,0
NDC,55111-320-01,GLIMEPIRIDE 1 MG TABLET [16355],0.09,0.03,,,0
NDC,55111-354-60,RIVASTIGMINE 4.5 MG CAPSULE [28280],0.58,0.2,,,0
NDC,55111-355-60,RIVASTIGMINE 6 MG CAPSULE [28281],0.58,0.2,,,0
NDC,55111-372-90,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],1.01,0.35,,,0
NDC,55111-469-01,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [30072]",0.58,0.2,,,0
NDC,55111-532-01,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [27631]",0.49,0.17,,,0
NDC,55111-556-10,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,55111-593-30,MONTELUKAST 4 MG CHEWABLE TABLET [27234],0.83,0.29,,,0
NDC,55111-652-07,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,55111-652-37,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,55111-654-01,SIROLIMUS 2 MG TABLET [35262],13.5,4.73,,,0
NDC,55111-671-06,CLOPIDOGREL 300 MG TABLET [89346],20.77,7.27,,,0
NDC,55111-671-31,CLOPIDOGREL 300 MG TABLET [89346],20.77,7.27,,,0
NDC,55111-679-10,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [109786],1610.55,563.69,,,0
NDC,55111-679-11,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [109786],1610.55,563.69,,,0
NDC,55111-680-02,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [39803],1610.55,563.69,,,0
NDC,55111-680-11,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [39803],1610.55,563.69,,,0
NDC,55111-685-07,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
NDC,55111-688-52,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],29.42,10.3,,,0
NDC,55111-725-90,MONTELUKAST 10 MG TABLET [22509],0.42,0.15,,,0
NDC,55111-729-01,ALLOPURINOL 100 MG TABLET [310],0.11,0.04,,,0
NDC,55111-762-60,VALGANCICLOVIR 450 MG TABLET [30148],23.43,8.2,,,0
NDC,55111-789-27,SEVELAMER CARBONATE 800 MG TABLET [89201],1.85,0.65,,,0
NDC,55135-132-01,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [187946],7749.2,2712.22,,,0
NDC,55150-112-10,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],73.44,25.7,,,0
NDC,55150-113-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.88,51.41,,,0
NDC,55150-114-20,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],293.76,102.82,,,0
NDC,55150-116-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,55150-117-20,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,55150-119-30,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,55150-120-30,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,55150-121-50,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,55150-125-02,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,55150-127-15,OXACILLIN 1 GRAM SOLUTION FOR INJECTION [103765],78.44,27.45,,,0
NDC,55150-128-24,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],156.87,54.9,,,0
NDC,55150-154-10,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],33.26,11.64,,,0
NDC,55150-154-11,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],33.26,11.64,,,0
NDC,55150-155-20,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],33.26,11.64,,,0
NDC,55150-158-72,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,55150-161-02,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,55150-163-30,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,55150-164-02,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [110675],6.44,2.25,,,0
NDC,55150-166-13,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/12.5 ML INTRAVENOUS SOLUTION [100417],9.76,3.41,,,0
NDC,55150-168-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,55150-170-30,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,55150-173-01,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97342],976.64,341.82,,,0
NDC,55150-174-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,55150-180-03,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,55150-182-18,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,55150-183-10,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,55150-183-11,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,55150-187-03,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
NDC,55150-188-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,55150-194-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],36.53,12.78,,,0
NDC,55150-197-20,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.26,,,0
NDC,55150-198-30,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.25,,,0
NDC,55150-201-20,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.88,4.51,,,0
NDC,55150-202-00,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,55150-202-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],289.9,101.46,,,0
NDC,55150-208-30,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,55150-209-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,55150-218-99,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],23.55,8.24,,,0
NDC,55150-219-10,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION [23124],62.8,21.98,,,0
NDC,55150-221-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,55150-222-20,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,55150-225-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,55150-226-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,55150-228-10,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
NDC,55150-230-00,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],1610.55,563.69,,,0
NDC,55150-230-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],1610.55,563.69,,,0
NDC,55150-233-00,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [109787],1610.55,563.69,,,0
NDC,55150-233-10,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [109787],1610.55,563.69,,,0
NDC,55150-234-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",59.53,20.83,,,0
NDC,55150-235-01,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,55150-235-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,55150-237-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,55150-238-05,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,55150-241-01,ARGATROBAN 1 MG/ML INFUSION FOR EKOS [410383],23.47,8.22,,,0
NDC,55150-241-10,ARGATROBAN 1 MG/ML INFUSION FOR EKOS [410383],23.47,8.22,,,0
NDC,55150-242-51,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
NDC,55150-251-10,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,55150-252-20,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,55150-255-20,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],3.35,1.17,,,0
NDC,55150-256-50,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],3.35,1.17,,,0
NDC,55150-259-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],27.0,9.45,,,0
NDC,55150-282-09,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],448.38,156.93,,,0
NDC,55150-282-20,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],448.38,156.93,,,0
NDC,55150-288-01,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
NDC,55150-288-10,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
NDC,55150-329-01,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,55150-329-25,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,55150-335-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,55150-337-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],10552.3,3693.3,,,0
NDC,55150-360-01,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,55150-360-25,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,55150-365-01,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION [21900],179.09,62.68,,,0
NDC,55150-370-25,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [168412],220.64,77.23,,,0
NDC,55150-376-01,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,55150-386-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,55150-391-01,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION [100581],3382.15,1183.75,,,0
NDC,55150-392-01,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [91300],12497.84,4374.24,,,0
NDC,55150-393-01,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,55150-425-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,55150-435-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],343.61,120.26,,,0
NDC,55150-437-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],343.61,120.26,,,0
NDC,55150-459-01,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],363.92,127.37,,,0
NDC,55150-459-10,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],363.92,127.37,,,0
NDC,55292-201-11,SUCCIMER 100 MG CAPSULE [11438],24.04,8.41,,,0
NDC,55292-702-54,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION [179235],34779.2,12172.72,,,0
NDC,55292-702-55,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION [179235],34779.2,12172.72,,,0
NDC,55292-811-55,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2850.75,997.76,,,0
NDC,55390-002-10,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,55390-007-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.85,10.8,,,0
NDC,55390-011-10,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],116.35,40.72,,,0
NDC,55390-026-01,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [10009],43.26,15.14,,,0
NDC,55390-029-10,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,55390-030-10,THIOTEPA 15 MG SOLUTION FOR INJECTION [7901],143.02,50.06,,,0
NDC,55390-035-01,DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION [2607],510.03,178.51,,,0
NDC,55390-037-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,55390-045-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
NDC,55390-054-01,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],121.11,42.39,,,0
NDC,55390-059-10,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],112.09,39.23,,,0
NDC,55390-060-02,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],343.61,120.26,,,0
NDC,55390-062-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],36.53,12.78,,,0
NDC,55390-066-10,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],252.53,88.39,,,0
NDC,55390-067-10,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],249.96,87.48,,,0
NDC,55390-070-01,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [41673],278.18,97.36,,,0
NDC,55390-073-10,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,55390-077-10,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,55390-078-01,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [14961],5.0,1.75,,,0
NDC,55390-100-10,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [110148],69.58,24.35,,,0
NDC,55390-114-05,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,55390-114-20,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,55390-114-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,55390-115-01,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],54.76,19.17,,,0
NDC,55390-122-10,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],63.39,22.19,,,0
NDC,55390-123-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],673.72,235.8,,,0
NDC,55390-124-01,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],54.76,19.17,,,0
NDC,55390-135-01,FLOXURIDINE 0.5 GRAM SOLUTION FOR INJECTION [3177],677.72,237.2,,,0
NDC,55390-139-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",59.53,20.83,,,0
NDC,55390-147-10,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,55390-161-10,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,55390-162-10,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],1494.59,523.11,,,0
NDC,55390-184-01,BUTORPHANOL 2 MG/ML INJECTION SOLUTION [9334],177.8,62.23,,,0
NDC,55390-207-01,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [13671],41.13,14.4,,,0
NDC,55390-233-01,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],381.38,133.48,,,0
NDC,55390-236-10,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION [112881],18.9,6.61,,,0
NDC,55390-237-01,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [112879],15.25,5.34,,,0
NDC,55390-243-01,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],381.38,133.48,,,0
NDC,55390-244-01,PENTOSTATIN 10 MG INTRAVENOUS SOLUTION [10910],4406.45,1542.26,,,0
NDC,55390-251-01,MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],1299.48,454.82,,,0
NDC,55390-252-01,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],5197.92,1819.27,,,0
NDC,55390-267-01,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],331.13,115.9,,,0
NDC,55390-281-10,DAUNORUBICIN 20 MG INTRAVENOUS SOLUTION [9721],886.44,310.26,,,0
NDC,55390-291-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,55390-308-03,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION [20803],2642.58,924.9,,,0
NDC,55390-309-10,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,55390-315-10,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97342],488.32,170.91,,,0
NDC,55390-357-03,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
NDC,55390-404-20,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION [1635],179.09,62.68,,,0
NDC,55390-412-01,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],56.69,19.84,,,0
NDC,55390-460-01,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],325.98,114.09,,,0
NDC,55390-475-10,KETAMINE 50 MG/ML INJECTION SOLUTION [4238],293.57,102.75,,,0
NDC,55390-481-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,55390-560-90,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],175.23,61.33,,,0
NDC,55390-565-30,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,55390-566-05,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,55390-566-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,55390-763-20,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,55390-805-10,DAUNORUBICIN 20 MG INTRAVENOUS SOLUTION [9721],886.44,310.26,,,0
NDC,55390-824-01,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION [15426],121.11,42.39,,,0
NDC,55390-825-01,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],121.11,42.39,,,0
NDC,55513-002-01,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION [76962],674.9,236.21,,,0
NDC,55513-002-04,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION [76962],674.9,236.21,,,0
NDC,55513-003-01,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION [76963],1079.83,377.94,,,0
NDC,55513-003-04,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION [76963],1079.83,377.94,,,0
NDC,55513-004-01,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION [110896],1619.75,566.91,,,0
NDC,55513-004-04,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION [110896],1619.75,566.91,,,0
NDC,55513-005-01,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION [110897],2699.58,944.85,,,0
NDC,55513-005-04,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION [110897],2699.58,944.85,,,0
NDC,55513-032-01,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE [76334],13497.91,4724.27,,,0
NDC,55513-073-30,CINACALCET 30 MG TABLET [38100],26.89,9.41,,,0
NDC,55513-074-30,CINACALCET 60 MG TABLET [38101],53.78,18.82,,,0
NDC,55513-075-30,CINACALCET 90 MG TABLET [38102],80.67,28.23,,,0
NDC,55513-111-01,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE [110869],13497.91,4724.27,,,0
NDC,55513-132-01,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [185359],3808.18,1332.86,,,0
NDC,55513-141-01,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION [186405],6397.65,2239.18,,,0
NDC,55513-150-01,BLINATUMOMAB 35 MCG INTRAVENOUS SOLUTION [179177],14150.72,4952.75,,,0
NDC,55513-160-01,BLINATUMOMAB 35 MCG INTRAVENOUS KIT [168516],14150.72,4952.75,,,0
NDC,55513-190-01,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [32267],48777.2,17072.02,,,0
NDC,55513-192-01,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR [169456],48777.2,17072.02,,,0
NDC,55513-206-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [185244],652.09,228.23,,,0
NDC,55513-207-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [185244],652.09,228.23,,,0
NDC,55513-221-01,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION [93566],5069.85,1774.45,,,0
NDC,55513-222-01,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION [93567],2961.0,1036.35,,,0
NDC,55513-223-01,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION [186689],1192.5,417.38,,,0
NDC,55513-224-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION [190176],247.95,86.78,,,0
NDC,55513-326-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION [190176],247.98,86.79,,,0
NDC,55513-710-21,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [144734],5998.68,2099.54,,,0
NDC,55513-730-01,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [148402],6782.12,2373.74,,,0
NDC,55513-800-60,IVABRADINE 5 MG TABLET [169314],9.46,3.31,,,0
NDC,55513-800-80,IVABRADINE 5 MG TABLET [169314],7.16,2.51,,,0
NDC,55513-810-60,IVABRADINE 7.5 MG TABLET [169315],9.46,3.31,,,0
NDC,55513-954-01,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [77484],771.77,270.12,,,0
NDC,5552000161,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/DROP (400 UNIT/DROP) ORAL DROPS [94209],2.66,0.93,,,0
NDC,5555-0020-01,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],13.53,4.73,,,0
NDC,5555-0021-01,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],11.58,4.05,,,0
NDC,5555-0022-01,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],12.76,4.47,,,0
NDC,5555-0023-01,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],11.58,4.05,,,0
NDC,5555-0024-01,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],11.58,4.05,,,0
NDC,5555-0042-01,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID [144603],0.09,0.03,,,0
NDC,5555-0043-01,FENTANYL (PF) 2 MCG/ML-ROPIVACAINE 0.2 %-NACL EPIDURAL PUMP RESERVOIR [110282],165.89,58.06,,,0
NDC,5555-0045-01,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11074],0.19,0.07,,,0
NDC,5555-0048-01,CALCIUM CHLORIDE 1 G IN SODIUM CHLORIDE 0.9% 100ML [408256],5.77,2.02,,,0
NDC,5555-0049-01,CALCIUM CHLORIDE 1 G IN SODIUM CHLORIDE 0.9% 100ML [408256],6.06,2.12,,,0
NDC,5555-0050-01,POLYHEXAMETHYLENE BIGUANIDE 0.02% OPHTHALMIC DROPS (PATIENT SUPPLIED MEDICATION) [408441],1.62,0.57,,,0
NDC,5555-0056-01,VANCOMYCIN 25 MG/ML ORAL SUSPENSION TGH [408675],3.53,1.24,,,0
NDC,5555-0057-01,VANCOMYCIN 25 MG/ML ORAL SUSPENSION TGH [408675],3.53,1.24,,,0
NDC,5555-0058-01,VANCOMYCIN 25 MG/ML ORAL SUSPENSION TGH [408675],3.53,1.24,,,0
NDC,5555-0064-01,METOPROLOL 10 MG/ML ORAL SUSPENSION TGH [408132],17.01,5.95,,,0
NDC,5555-0065-01,METOPROLOL 10 MG/ML ORAL SUSPENSION TGH [408132],17.01,5.95,,,0
NDC,5555-0066-01,METOPROLOL 10 MG/ML ORAL SUSPENSION TGH [408132],17.01,5.95,,,0
NDC,5555-0070-01,METOPROLOL 10 MG/ML ORAL SUSPENSION TGH [408132],17.01,5.95,,,0
NDC,5555-0075-01,GLYCERIN TOPICAL LIQUID SYRINGE NICU [408697],13.53,4.73,,,0
NDC,5555-0080-01,PEDIATRIC MULTIVITAMIN NO.197 250 MCG-50 MG-10 MCG-5 MG/ML ORAL DROPS [190896],0.2,0.07,,,0
NDC,5555-0080-05,PEDIATRIC MULTIVITAMIN NO.197 250 MCG-50 MG-10 MCG-5 MG/ML ORAL DROPS [190896],0.2,0.07,,,0
NDC,5555-0085-01,VANCOMYCIN W/HEPARIN LINE LOCK SOLUTION (SIMPLE) [411186],1.82,0.64,,,0
NDC,5555-0086-01,VANCOMYCIN W/HEPARIN LINE LOCK SOLUTION (SIMPLE) [411186],1.82,0.64,,,0
NDC,5555-0090-01,"HEPARIN 2,000 UNITS/500 ML 0.9% SODIUM CHLORIDE IRRIGATION (PHARMACY PREMIX) [411238]",175.36,61.38,,,0
NDC,5555-0090-02,"HEPARIN 2,000 UNITS/500 ML 0.9% SODIUM CHLORIDE IRRIGATION (PHARMACY PREMIX) [411238]",139.93,48.98,,,0
NDC,5555-0091-01,"HEPARIN 10,000 UNITS/1000 ML 0.9% SODIUM CHLORIDE IRRIGATION (PHARMACY PREMIX) [411239]",308.13,107.85,,,0
NDC,5555-0091-02,"HEPARIN 10,000 UNITS/1000 ML 0.9% SODIUM CHLORIDE IRRIGATION (PHARMACY PREMIX) [411239]",237.26,83.04,,,0
NDC,5555-0091-03,"HEPARIN 10,000 UNITS/1000 ML 0.9% SODIUM CHLORIDE IRRIGATION (PHARMACY PREMIX) [411239]",308.13,107.84,,,0
NDC,5555-0091-04,"HEPARIN 10,000 UNITS/1000 ML 0.9% SODIUM CHLORIDE IRRIGATION (PHARMACY PREMIX) [411239]",371.19,129.92,,,0
NDC,5555-0092-01,DOBUTAMINE 125MG/125ML (1MG/ML) IN D5W [411242],1.54,0.54,,,0
NDC,5555-0094-01,REMIFENTANIL 2MG IN 0.9% NS 100ML (20MCG/ML) ANESTHESIA ONLY (PHARMACY PREMIX) [411284],6.85,2.4,,,0
NDC,5555-0096-01,SUCROSE 82.3% (CHERRY SYRUP) ORAL SOLUTION [409111],0.53,0.18,,,0
NDC,5555-0097-01,ZINC SULFATE 2.5 MG (ZINC)/ML ORAL SUSPENSION TGH [147581],1.35,0.47,,,0
NDC,5555-0098-01,ZINC SULFATE 2.5 MG (ZINC)/ML ORAL SUSPENSION TGH [147581],1.35,0.47,,,0
NDC,5555-0099-01,ZINC SULFATE 2.5 MG (ZINC)/ML ORAL SUSPENSION TGH [147581],1.35,0.47,,,0
NDC,5555-0100-01,FUROSEMIDE 80MG/50ML IVPB [411307],14.82,5.19,,,0
NDC,5555-0100-03,"BUPIVACAINE 0.5%, LIDOCAINE 2%, HYALURONIDASE 150 UNITS (HYLENEX) OPTH INJ 10ML [411323]",575.98,201.59,,,0
NDC,5555-0100-04,"BUPIVACAINE 0.75%, LIDOCAINE 4%, HYALURONDIASE 150 UNITS (HYLENEX) OPTH INJ 10ML [411324]",575.98,201.59,,,0
NDC,5555-0102-01,METHYLPREDNISOLONE SOD SUC 40 MG/4 ML IV SYRINGE [411339],27.49,9.62,,,0
NDC,5555-0103-01,IRON SUCROSE 300MG/100ML IN NS (PHARMACY PREMIX) ADULT [411363],7.73,2.71,,,0
NDC,5555-0106-01,TOBRAMYCIN 100MG/100 ML IVPB (STANDARD DOSING) [411407],4.73,1.65,,,0
NDC,5555-0107-01,LABETALOL 40 MG/ML ORAL SUSPENSION TGH [152330],3.51,1.23,,,0
NDC,5555-0108-01,LABETALOL 40 MG/ML ORAL SUSPENSION TGH [152330],3.51,1.23,,,0
NDC,5555-0109-01,LABETALOL 40 MG/ML ORAL SUSPENSION TGH [152330],3.51,1.23,,,0
NDC,5555-0110-01,BUTT PASTE TRIPLE (PHARMACY PREMIX) [411422],2.32,0.81,,,0
NDC,5555-0112-01,SODIUM CHLORIDE 5 % HYPERTONIC INJECTION (PHARMACY PREMIX) [411044],1.45,0.51,,,0
NDC,5555-0113-01,BUTT PASTE HAPPY HINEY WITH A AND D (PHARMACY PREMIX) [411267],0.2,0.07,,,0
NDC,5555-0119-01,BUTT PASTE HAPPY HINEY WITH NYSTATIN (PHARMACY PREMIX) [411456],3.1,1.09,,,0
NDC,5555-0120-01,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE [180712],2.5,0.87,,,0
NDC,5555-0121-01,SODIUM PHENYLBUTYRATE 200 MG/ML ORAL SUSPENSION [410148],37.72,13.2,,,0
NDC,5555-0121-02,SODIUM PHENYLBUTYRATE 200 MG/ML ORAL SUSPENSION [410148],37.72,13.2,,,0
NDC,5555-0121-03,SODIUM PHENYLBUTYRATE 200 MG/ML ORAL SUSPENSION [410148],37.72,13.2,,,0
NDC,5555-0127-01,HYDROMORPHONE 55 MG/55 ML IN 0.9% SODIUM CHLORIDE PCA SYRINGE (PHARMACY PREMIX) [410206],20.55,7.19,,,0
NDC,5555-0133-01,FENTANYL IV 10 MCG/ML 0.9% NS INJECTION (NICU) [410237],24.61,8.61,,,0
NDC,5555-0143-01,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [172418],141.15,49.4,,,0
NDC,55566-0302-1,CORTICORELIN OVINE TRIFLUTATE 100 MCG INTRAVENOUS SOLUTION [21285],3183.7,1114.29,,,0
NDC,55566-1501-1,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION [1676]",1123.88,393.36,,,0
NDC,55566-1801-1,SOMATROPIN 5 MG SUBCUTANEOUS SOLUTION [27314],1977.75,692.21,,,0
NDC,55566-2100-2,TRANEXAMIC ACID 650 MG TABLET [145031],4.83,1.69,,,0
NDC,55566-2110-2,TRANEXAMIC ACID 650 MG TABLET [145031],5.43,1.9,,,0
NDC,55566-2200-0,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,55566-2300-0,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,55566-2800-0,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE [27467]",1409.68,493.39,,,0
NDC,55566-5030-0,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,55566-5030-1,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,55566-5040-1,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,55566-6500-1,PROGESTERONE MICRONIZED 100 MG VAGINAL INSERT [82391],14.18,4.96,,,0
NDC,55566-6500-2,PROGESTERONE MICRONIZED 100 MG VAGINAL INSERT [82391],14.18,4.96,,,0
NDC,55566-6500-3,PROGESTERONE MICRONIZED 100 MG VAGINAL INSERT [82391],14.18,4.96,,,0
NDC,55566-8303-1,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION [96986],2648.52,926.98,,,0
NDC,55566-8403-1,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [96987],3972.78,1390.47,,,0
NDC,5618412041,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.98,0.69,,,0
NDC,5618412105,PHENYLEPHRINE 0.125 % NASAL DROPS [36952],0.3,0.1,,,0
NDC,5707400177,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET [155899]",2.71,0.95,,,0
NDC,57237-006-30,FLUCONAZOLE 200 MG TABLET [10045],0.67,0.23,,,0
NDC,57237-014-01,TAMSULOSIN 0.4 MG CAPSULE [27856],0.24,0.08,,,0
NDC,57237-018-30,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",0.33,0.12,,,0
NDC,57237-018-90,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",0.31,0.11,,,0
NDC,57237-040-01,PENICILLIN V POTASSIUM 250 MG TABLET [6092],0.08,0.03,,,0
NDC,57237-041-01,PENICILLIN V POTASSIUM 500 MG TABLET [6093],0.2,0.07,,,0
NDC,57237-045-60,CLARITHROMYCIN 500 MG TABLET [9617],0.94,0.33,,,0
NDC,57237-048-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.24,0.08,,,0
NDC,57237-075-50,ONDANSETRON HCL 4 MG TABLET [10778],0.15,0.05,,,0
NDC,57237-077-10,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],0.25,0.09,,,0
NDC,57237-091-01,TRANDOLAPRIL 4 MG TABLET [17019],0.44,0.16,,,0
NDC,57237-101-01,METOPROLOL TARTRATE 50 MG TABLET [5009],0.03,0.01,,,0
NDC,57237-114-90,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR [36982]",0.28,0.1,,,0
NDC,57237-157-01,REPAGLINIDE 0.5 MG TABLET [22584],0.31,0.11,,,0
NDC,57237-169-90,ROSUVASTATIN 10 MG TABLET [35134],0.19,0.07,,,0
NDC,57237-171-90,ROSUVASTATIN 40 MG TABLET [35136],0.19,0.07,,,0
NDC,57237-212-90,MONTELUKAST 4 MG CHEWABLE TABLET [27234],0.1,0.04,,,0
NDC,57237-223-01,RAMIPRIL 2.5 MG CAPSULE [11260],0.11,0.04,,,0
NDC,57237-225-01,RAMIPRIL 10 MG CAPSULE [11259],0.13,0.05,,,0
NDC,57237-232-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],0.06,0.02,,,0
NDC,57237-274-24,LAMIVUDINE 10 MG/ML ORAL SOLUTION [15881],6.76,2.37,,,0
NDC,57664-135-60,NIMODIPINE 30 MG CAPSULE [10722],5.0,1.75,,,0
NDC,57664-135-65,NIMODIPINE 30 MG CAPSULE [10722],5.0,1.75,,,0
NDC,57664-167-58,METOPROLOL TARTRATE 100 MG TABLET [5008],0.04,0.01,,,0
NDC,57664-223-88,OXYCODONE 5 MG TABLET [10814],0.26,0.09,,,0
NDC,57664-377-08,TRAMADOL 50 MG TABLET [14632],0.11,0.04,,,0
NDC,57664-395-88,VENLAFAXINE 75 MG TABLET [12206],0.36,0.13,,,0
NDC,57664-397-51,METFORMIN 500 MG TABLET [10544],0.05,0.02,,,0
NDC,57664-435-51,METFORMIN 850 MG TABLET [14719],0.07,0.03,,,0
NDC,57664-506-52,METOPROLOL TARTRATE 25 MG TABLET [37637],0.02,0.00805,,,0
NDC,57664-507-88,CITALOPRAM 10 MG TABLET [30264],0.06,0.02,,,0
NDC,57664-508-88,CITALOPRAM 20 MG TABLET [21062],0.06,0.02,,,0
NDC,57664-509-88,CITALOPRAM 40 MG TABLET [23490],0.06,0.02,,,0
NDC,57664-655-88,PINDOLOL 5 MG TABLET [6297],0.88,0.31,,,0
NDC,57664-664-83,"CARVEDILOL PHOSPHATE ER 20 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77665]",8.26,2.89,,,0
NDC,57664-666-83,"CARVEDILOL PHOSPHATE ER 80 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77667]",8.26,2.89,,,0
NDC,57664-683-31,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
NDC,57664-683-57,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
NDC,57664-756-99,OLMESARTAN 20 MG TABLET [32762],0.24,0.09,,,0
NDC,57664-808-88,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],0.25,0.09,,,0
NDC,57665-002-02,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519],5875.76,2056.52,,,0
NDC,57782-397-26,CROMOLYN 5.2 MG/SPRAY (4 %) NASAL SPRAY [24325],166.4,58.24,,,0
NDC,57894-030-01,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [23796],3756.52,1314.78,,,0
NDC,57894-420-01,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION [166351],4442.86,1555.0,,,0
NDC,57894-421-01,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION [166352],17771.43,6220.0,,,0
NDC,57894-449-01,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION [196219],590.0,206.5,,,0
NDC,57894-450-01,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION [196218],5310.0,1858.5,,,0
NDC,57894-469-01,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION [199140],35841.46,12544.51,,,0
NDC,57894-470-01,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION [199139],1792.07,627.23,,,0
NDC,57894-501-00,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [191759],2250.5,787.68,,,0
NDC,57894-501-01,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [191759],2250.5,787.68,,,0
NDC,57894-502-05,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [172747],402.59,140.91,,,0
NDC,57894-502-20,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [172747],468.85,164.1,,,0
NDC,57894-503-01,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [188129]",1944.26,680.49,,,0
NDC,57894-650-02,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [202967],6728.3,2354.9,,,0
NDC,57896-102-01,ACETAMINOPHEN 325 MG TABLET [101],0.02,0.00665,,,0
NDC,57896-102-10,ACETAMINOPHEN 325 MG TABLET [101],0.01,0.00385,,,0
NDC,57896-116-03,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],0.22,0.08,,,0
NDC,57896-184-05,PEG 400-HYPROMELLOSE-GLYCERIN 1 %-0.2 %-0.2 % EYE DROPS [41412],0.36,0.12,,,0
NDC,57896-303-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.02,0.0063,,,0
NDC,57896-304-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.02,0.0063,,,0
NDC,57896-339-05,CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0.81,0.28,,,0
NDC,57896-443-01,BISACODYL 10 MG RECTAL SUPPOSITORY [1080],0.1,0.03,,,0
NDC,57896-454-01,SENNOSIDES 8.6 MG TABLET [11349],0.02,0.00735,,,0
NDC,57896-763-15,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0.02,0.00735,,,0
NDC,57896-791-01,SIMETHICONE 80 MG CHEWABLE TABLET [7227],0.02,0.0084,,,0
NDC,57896-911-36,ASPIRIN 81 MG CHEWABLE TABLET [679],0.02,0.0063,,,0
NDC,57896-921-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE [685]",0.02,0.00525,,,0
NDC,57896-921-10,"ASPIRIN 325 MG TABLET,DELAYED RELEASE [685]",0.01,0.00385,,,0
NDC,57896-981-12,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.01,0.00385,,,0
NDC,5789645101,SENNOSIDES 8.6 MG TABLET [11349],0.02,0.00735,,,0
NDC,5789663412,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.03,0.0091,,,0
NDC,5789663506,"MAGNESIUM 70 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE [177503]",0.09,0.03,,,0
NDC,5789675201,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [113008]",0.07,0.02,,,0
NDC,5789684216,ASCORBIC ACID (VITAMIN C) 500 MG/5 ML ORAL SYRUP [107292],0.1,0.03,,,0
NDC,58016-087-00,TRIAMTERENE 100 MG CAPSULE [8131],1.95,0.68,,,0
NDC,58063-100-01,CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT [21672],15442.23,5404.78,,,0
NDC,58063-600-50,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,58160-810-43,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [112304]",188.42,65.95,,,0
NDC,58160-810-52,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [112304]",188.42,65.95,,,0
NDC,58160-811-43,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [111379],618.72,216.55,,,0
NDC,58160-811-52,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [111379],618.72,216.55,,,0
NDC,58160-816-01,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],85.04,29.76,,,0
NDC,58160-816-05,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],85.04,29.76,,,0
NDC,58160-818-11,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931],85.04,29.76,,,0
NDC,58160-819-12,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT [180420]",566.03,198.11,,,0
NDC,58160-820-01,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP [111318],260.26,91.09,,,0
NDC,58160-820-11,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP [111318],260.26,91.09,,,0
NDC,58160-820-43,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [111317],194.57,68.1,,,0
NDC,58160-820-52,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [111317],194.57,68.1,,,0
NDC,58160-821-01,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP [111321],395.55,138.44,,,0
NDC,58160-821-11,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP [111321],395.55,138.44,,,0
NDC,58160-826-43,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [111392]",272.6,95.41,,,0
NDC,58160-826-52,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [111392]",272.6,95.41,,,0
NDC,58160-827-03,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION [196347]",1026.54,359.29,,,0
NDC,58160-827-30,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION [196347]",1026.54,359.29,,,0
NDC,58160-842-01,"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [163377]",213.88,74.86,,,0
NDC,58160-842-11,"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [163377]",134.0,46.9,,,0
NDC,58160-842-43,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [163376]",604.5,211.58,,,0
NDC,58160-842-52,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [163376]",604.5,211.58,,,0
NDC,58160-884-41,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [202356],134.4,47.04,,,0
NDC,58160-955-09,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) [101034]",513.28,179.65,,,0
NDC,58160-964-12,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]",1224.94,428.73,,,0
NDC,58160-966-01,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]",1224.94,428.73,,,0
NDC,58160-976-20,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [169327]",1601.04,560.36,,,0
NDC,58177-002-04,"DISOPYRAMIDE PHOSPHATE ER 150 MG CAPSULE,EXTENDED RELEASE [37653]",1.75,0.61,,,0
NDC,58177-301-04,KETOROLAC 10 MG TABLET [10371],0.93,0.33,,,0
NDC,58177-368-11,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",1.35,0.47,,,0
NDC,58181-3030-5,LOMUSTINE 10 MG CAPSULE [10459],17.14,6.0,,,0
NDC,58181-3031-5,LOMUSTINE 40 MG CAPSULE [10461],44.41,15.54,,,0
NDC,58181-3040-5,LOMUSTINE 10 MG CAPSULE [10459],104.16,36.46,,,0
NDC,58181-3041-5,LOMUSTINE 40 MG CAPSULE [10461],416.62,145.82,,,0
NDC,58232-4021-1,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],0.2,0.07,,,0
NDC,58281-560-01,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION [9209],69.51,24.33,,,0
NDC,58281-560-02,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION [9209],69.51,24.33,,,0
NDC,58281-561-02,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [9208]",263.33,92.17,,,0
NDC,58281-562-01,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION [21880],127.36,44.57,,,0
NDC,58281-563-01,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [9208]",263.33,92.17,,,0
NDC,58281-563-02,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [9208]",263.33,92.17,,,0
NDC,58394-634-03,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION [164076],7086.4,2480.24,,,0
NDC,58394-635-03,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION [164072]",14172.8,4960.48,,,0
NDC,58406-021-01,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE [39837],5400.28,1890.1,,,0
NDC,58406-021-04,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE [39837],5400.28,1890.1,,,0
NDC,58406-435-01,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE [39837],5400.28,1890.1,,,0
NDC,58406-435-04,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE [39837],5400.28,1890.1,,,0
NDC,58468-0040-1,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION [35775],31464.34,11012.52,,,0
NDC,58468-0041-1,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION [38494],4494.91,1573.22,,,0
NDC,58468-0080-1,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION [24585],2209.37,773.28,,,0
NDC,58468-0100-1,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],531.89,186.16,,,0
NDC,58468-0100-2,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],531.89,186.16,,,0
NDC,58468-0120-1,DOXERCALCIFEROL 0.5 MCG CAPSULE [38830],14.54,5.09,,,0
NDC,58468-0121-1,DOXERCALCIFEROL 2.5 MCG CAPSULE [25354],33.67,11.79,,,0
NDC,58468-0130-1,SEVELAMER CARBONATE 800 MG TABLET [89201],5.95,2.08,,,0
NDC,58468-0131-1,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET [99695],14.88,5.21,,,0
NDC,58468-0131-2,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET [99695],14.88,5.21,,,0
NDC,58468-0132-1,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],14.88,5.21,,,0
NDC,58468-0132-2,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],14.88,5.21,,,0
NDC,58468-0180-2,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],3799.6,1329.86,,,0
NDC,58468-0200-1,ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION [168452],58225.06,20378.77,,,0
NDC,58468-1849-4,THYROTROPIN ALFA 1.1 MG (0.9 MG/ML FINAL CONC.) INTRAMUSCULAR SOLUTION [24409],5111.23,1788.93,,,0
NDC,5852600540,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [38978],0.91,0.32,,,0
NDC,5852600541,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [38978],0.91,0.32,,,0
NDC,58602-702-04,LORATADINE 10 MG TABLET [10466],0.2,0.07,,,0
NDC,58657-528-16,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,58657-645-01,CARISOPRODOL 350 MG TABLET [1395],0.12,0.04,,,0
NDC,5865731116,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN [11057],6.76,2.37,,,0
NDC,58790-002-28,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE [38321],13.53,4.73,,,0
NDC,58914-012-10,DICYCLOMINE 10 MG CAPSULE [2418],0.55,0.19,,,0
NDC,58914-080-52,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],252.53,88.39,,,0
NDC,58914-170-14,SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],1.54,0.54,,,0
NDC,58914-171-10,SUCRALFATE 1 GRAM TABLET [11442],4.72,1.65,,,0
NDC,58914-501-01,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY [40369]",38.73,13.55,,,0
NDC,58914-501-56,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY [40369]",38.73,13.55,,,0
NDC,58914-785-10,URSODIOL 250 MG TABLET [22660],5.51,1.93,,,0
NDC,58914-785-50,URSODIOL 250 MG TABLET [22660],2.91,1.02,,,0
NDC,58980-012-05,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT [108388]",1.43,0.5,,,0
NDC,58980-401-05,DOCUSATE SODIUM 283 MG/5 ML ENEMA [154260],1.35,0.47,,,0
NDC,59011-410-10,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [169330]",4.89,1.71,,,0
NDC,59011-410-20,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [169330]",5.02,1.76,,,0
NDC,59011-420-10,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [169332]",9.12,3.19,,,0
NDC,59011-420-20,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [169332]",9.36,3.27,,,0
NDC,59011-440-10,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [169334]",15.62,5.47,,,0
NDC,59011-440-20,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [169334]",16.02,5.61,,,0
NDC,59011-445-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,59011-445-05,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,59011-451-01,HYDROMORPHONE 1 MG/ML ORAL LIQUID [10225],13.53,4.73,,,0
NDC,59011-452-01,HYDROMORPHONE 2 MG TABLET [3760],1.77,0.62,,,0
NDC,59011-452-10,HYDROMORPHONE 2 MG TABLET [3760],2.0,0.7,,,0
NDC,59011-454-01,HYDROMORPHONE 4 MG TABLET [3761],2.7,0.94,,,0
NDC,5901642019,"MAGNESIUM L-LACTATE ER 84 MG TABLET,EXTENDED RELEASE [4715]",0.2,0.07,,,0
NDC,59137-231-01,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION [183087],8949.28,3132.25,,,0
NDC,59148-006-13,ARIPIPRAZOLE 2 MG TABLET [70306],19.46,6.81,,,0
NDC,59148-007-35,ARIPIPRAZOLE 5 MG TABLET [36438],29.73,10.41,,,0
NDC,59148-008-35,ARIPIPRAZOLE 10 MG TABLET [34369],29.73,10.41,,,0
NDC,59148-009-35,ARIPIPRAZOLE 15 MG TABLET [34370],29.73,10.41,,,0
NDC,59148-010-35,ARIPIPRAZOLE 20 MG TABLET [34371],42.04,14.72,,,0
NDC,59148-011-35,ARIPIPRAZOLE 30 MG TABLET [34372],42.04,14.72,,,0
NDC,59148-019-71,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE [161615]",2719.23,951.73,,,0
NDC,59148-020-50,TOLVAPTAN 15 MG TABLET [97893],520.2,182.07,,,0
NDC,59148-021-50,TOLVAPTAN 30 MG TABLET [97894],539.64,188.88,,,0
NDC,59148-046-70,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,59148-070-90,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],681.62,238.57,,,0
NDC,59212-002-01,TRIAMTERENE 50 MG CAPSULE [11588],13.4,4.69,,,0
NDC,59212-200-10,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR [36982]",26.75,9.36,,,0
NDC,59212-249-55,DIGOXIN 250 MCG (0.25 MG) TABLET [2445],16.55,5.79,,,0
NDC,59212-700-48,PREDNISOLONE 10 MG DISINTEGRATING TABLET [77790],29.1,10.19,,,0
NDC,59310-579-20,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],428.86,150.1,,,0
NDC,59310-579-22,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],50.46,17.66,,,0
NDC,59310-610-31,RESLIZUMAB 10 MG/ML INTRAVENOUS SOLUTION [174455],486.46,170.26,,,0
NDC,59338-775-01,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [98312],267.12,93.49,,,0
NDC,59338-775-10,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [98312],267.12,93.49,,,0
NDC,59353-004-01,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [182220]",257.52,90.13,,,0
NDC,59365-5128-1,COPPER 380 SQUARE MM INTRAUTERINE DEVICE [163477],2724.12,953.44,,,0
NDC,59366-2807-2,HYDROCORTISONE 5 MG TABLET [10209],0.21,0.07,,,0
NDC,59366-2817-3,HYDROCORTISONE 10 MG TABLET [3733],0.35,0.12,,,0
NDC,59390-182-13,HYPROMELLOSE 2.5 % EYE DROPS [38092],0.81,0.28,,,0
NDC,59572-102-01,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,59572-711-01,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION [186656],17206.0,6022.1,,,0
NDC,59572-775-01,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION [186657],51618.0,18066.3,,,0
NDC,59572-962-10,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344],15629.97,5470.49,,,0
NDC,59627-002-07,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE [159550],2867.35,1003.57,,,0
NDC,59627-222-05,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE KIT [36417],7947.93,2781.78,,,0
NDC,59630-266-01,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION [187410],656.46,229.76,,,0
NDC,59630-266-10,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION [187410],656.46,229.76,,,0
NDC,59630-300-20,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL [27096],1224.34,428.52,,,0
NDC,59630-320-01,DORIPENEM 500 MG INTRAVENOUS SOLUTION [88615],193.27,67.64,,,0
NDC,59630-320-10,DORIPENEM 500 MG INTRAVENOUS SOLUTION [88615],193.27,67.64,,,0
NDC,59630-450-08,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],4.6,1.61,,,0
NDC,59630-700-48,PREDNISOLONE 10 MG DISINTEGRATING TABLET [77790],6.86,2.4,,,0
NDC,59630-710-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],1.26,0.44,,,0
NDC,59651-026-75,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],55.47,19.41,,,0
NDC,59651-214-30,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY [19179],15.38,5.38,,,0
NDC,59651-251-01,NADOLOL 40 MG TABLET [5331],13.53,4.73,,,0
NDC,59651-256-01,PROPAFENONE 150 MG TABLET [11146],0.23,0.08,,,0
NDC,59651-257-01,PROPAFENONE 225 MG TABLET [11147],0.38,0.13,,,0
NDC,59651-296-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]",0.45,0.16,,,0
NDC,59651-299-60,TAMOXIFEN 10 MG TABLET [7711],0.19,0.07,,,0
NDC,59651-332-01,FLUCYTOSINE 500 MG CAPSULE [10052],20.0,7.0,,,0
NDC,59651-420-11,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION [167930],7.63,2.67,,,0
NDC,59651-457-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.07,0.02,,,0
NDC,59651-484-01,PREDNISONE 1 MG TABLET [6493],0.1,0.04,,,0
NDC,59651-485-01,PREDNISONE 2.5 MG TABLET [6495],0.12,0.04,,,0
NDC,59651-488-01,PREDNISONE 20 MG TABLET [6496],0.17,0.06,,,0
NDC,59651-489-01,PREDNISONE 50 MG TABLET [6498],0.3,0.11,,,0
NDC,59651-491-01,PREDNISOLONE 5 MG TABLET [6483],12.36,4.33,,,0
NDC,59651-516-30,EXEMESTANE 25 MG TABLET [26551],1.67,0.58,,,0
NDC,59651-658-04,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],63.58,22.25,,,0
NDC,59676-225-28,SIMEPREVIR 150 MG CAPSULE [164565],790.0,276.5,,,0
NDC,59676-278-01,RILPIVIRINE HCL 25 MG TABLET [151230],45.01,15.75,,,0
NDC,59676-302-01,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION [9939]",264.34,92.52,,,0
NDC,59676-302-02,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION [9939]",156.18,54.66,,,0
NDC,59676-320-00,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION [14643]",1738.29,608.4,,,0
NDC,59676-320-04,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION [14643]",2643.4,925.19,,,0
NDC,59676-562-01,DARUNAVIR 600 MG TABLET [92851],34.92,12.22,,,0
NDC,59676-565-01,DARUNAVIR 100 MG/ML ORAL SUSPENSION [161452],14.44,5.05,,,0
NDC,59676-566-30,DARUNAVIR 800 MG TABLET [159948],69.84,24.45,,,0
NDC,59676-570-01,ETRAVIRINE 100 MG TABLET [89432],12.24,4.28,,,0
NDC,59676-610-01,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION [172409],11691.32,4091.96,,,0
NDC,59676-800-30,DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET [182564],153.1,53.58,,,0
NDC,59676-960-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,59702-661-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-300 MG-40 MG CAPSULE [145128],2.0,0.7,,,0
NDC,59730-4203-1,"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION [91047]",927.93,324.78,,,0
NDC,59746-015-04,METHYLPREDNISOLONE 32 MG TABLET [10575],3.7,1.3,,,0
NDC,59746-020-22,RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],2.18,0.76,,,0
NDC,59746-113-06,PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],0.2,0.07,,,0
NDC,59746-115-06,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0.32,0.11,,,0
NDC,59746-173-06,PREDNISONE 10 MG TABLET [6494],0.18,0.06,,,0
NDC,59746-175-06,PREDNISONE 20 MG TABLET [6496],0.06,0.02,,,0
NDC,59746-175-09,PREDNISONE 20 MG TABLET [6496],0.06,0.02,,,0
NDC,59746-211-06,CYCLOBENZAPRINE 5 MG TABLET [35184],0.16,0.06,,,0
NDC,59746-247-60,LAMOTRIGINE 150 MG TABLET [14266],0.26,0.09,,,0
NDC,59746-307-12,OLANZAPINE 10 MG DISINTEGRATING TABLET [28160],1.26,0.44,,,0
NDC,59746-307-32,OLANZAPINE 10 MG DISINTEGRATING TABLET [28160],1.26,0.44,,,0
NDC,59746-330-90,DONEPEZIL 10 MG TABLET [18787],0.06,0.02,,,0
NDC,59746-383-06,TERAZOSIN 1 MG CAPSULE [14550],0.1,0.03,,,0
NDC,59746-384-06,TERAZOSIN 2 MG CAPSULE [14551],0.1,0.04,,,0
NDC,59746-385-06,TERAZOSIN 5 MG CAPSULE [14553],0.11,0.04,,,0
NDC,59746-386-06,TERAZOSIN 10 MG CAPSULE [14552],0.18,0.06,,,0
NDC,59762-0016-1,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],6.76,2.37,,,0
NDC,59762-0049-1,METHYLPREDNISOLONE 8 MG TABLET [10576],1.61,0.56,,,0
NDC,59762-0050-1,METHYLPREDNISOLONE 16 MG TABLET [4992],2.83,0.99,,,0
NDC,59762-0051-1,METHYLPREDNISOLONE 32 MG TABLET [10575],4.28,1.5,,,0
NDC,59762-0067-1,SERTRALINE 20 MG/ML ORAL CONCENTRATE [28011],18.94,6.63,,,0
NDC,59762-0073-1,HYDROCORTISONE 5 MG TABLET [10209],0.17,0.06,,,0
NDC,59762-0074-1,HYDROCORTISONE 10 MG TABLET [3733],0.29,0.1,,,0
NDC,59762-0075-1,HYDROCORTISONE 20 MG TABLET [3734],0.51,0.18,,,0
NDC,59762-0104-1,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE [7563]",0.27,0.1,,,0
NDC,59762-0104-5,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE [7563]",0.27,0.1,,,0
NDC,59762-0157-1,ATORVASTATIN 40 MG TABLET [19177],0.3,0.11,,,0
NDC,59762-0170-6,TOLTERODINE 1 MG TABLET [22782],1.49,0.52,,,0
NDC,59762-0180-2,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",0.23,0.08,,,0
NDC,59762-0180-3,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",0.41,0.14,,,0
NDC,59762-0182-3,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",0.5,0.17,,,0
NDC,59762-0245-3,DONEPEZIL 5 MG TABLET [18786],0.44,0.15,,,0
NDC,59762-0246-3,DONEPEZIL 10 MG TABLET [18787],0.44,0.15,,,0
NDC,59762-0333-2,LATANOPROST 0.005 % EYE DROPS [18621],143.4,50.19,,,0
NDC,59762-0401-1,SUCRALFATE TABLET G-TUBE TOPICAL ONLY [411461],0.16,0.06,,,0
NDC,59762-0409-6,ATAZANAVIR 200 MG CAPSULE [36150],14.63,5.12,,,0
NDC,59762-0450-1,COLESTIPOL 1 GRAM TABLET [13884],0.33,0.11,,,0
NDC,59762-0531-1,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION [6255],12.18,4.26,,,0
NDC,59762-0540-1,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",0.27,0.09,,,0
NDC,59762-0800-2,TOLTERODINE 2 MG TABLET [22783],1.53,0.53,,,0
NDC,59762-1001-1,SIROLIMUS 0.5 MG TABLET [144827],4.36,1.52,,,0
NDC,59762-1004-1,NIFEDIPINE 10 MG CAPSULE [5558],0.72,0.25,,,0
NDC,59762-1005-1,CABERGOLINE 0.5 MG TABLET [19226],5.85,2.05,,,0
NDC,59762-1050-2,AMOXICILLIN 875 MG TABLET [23458],0.26,0.09,,,0
NDC,59762-1050-5,AMOXICILLIN 875 MG TABLET [23458],0.26,0.09,,,0
NDC,59762-1061-1,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0.41,0.14,,,0
NDC,59762-1205-6,SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],60.56,21.19,,,0
NDC,59762-1307-2,LINEZOLID 600 MG TABLET [28224],7.22,2.53,,,0
NDC,59762-1308-1,LINEZOLID 100 MG/5 ML ORAL SUSPENSION [28225],27.33,9.56,,,0
NDC,59762-1350-1,RIFABUTIN 150 MG CAPSULE [11290],14.0,4.9,,,0
NDC,59762-1530-5,AMLODIPINE 5 MG TABLET [9071],0.2,0.07,,,0
NDC,59762-1540-4,AMLODIPINE 10 MG TABLET [9069],0.32,0.11,,,0
NDC,59762-1540-5,AMLODIPINE 10 MG TABLET [9069],0.32,0.11,,,0
NDC,59762-1710-1,EPLERENONE 25 MG TABLET [36983],3.1,1.08,,,0
NDC,59762-1720-1,EPLERENONE 50 MG TABLET [36984],2.48,0.87,,,0
NDC,59762-1720-2,EPLERENONE 50 MG TABLET [36984],1.4,0.49,,,0
NDC,59762-1851-3,SUMATRIPTAN 50 MG TABLET [15328],1.64,0.57,,,0
NDC,59762-1851-9,SUMATRIPTAN 50 MG TABLET [15328],1.64,0.57,,,0
NDC,59762-2198-7,AZITHROMYCIN 250 MG TABLET [20943],0.22,0.08,,,0
NDC,59762-2250-2,ETHOSUXIMIDE 250 MG CAPSULE [9989],1.2,0.42,,,0
NDC,59762-2440-7,DOXAZOSIN 4 MG TABLET [9896],0.48,0.17,,,0
NDC,59762-3060-2,AZITHROMYCIN 250 MG TABLET [20943],2.12,0.74,,,0
NDC,59762-3060-3,AZITHROMYCIN 250 MG TABLET [20943],3.4,1.19,,,0
NDC,59762-3080-1,AZITHROMYCIN 600 MG TABLET [17387],4.6,1.61,,,0
NDC,59762-3130-1,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],29.76,10.42,,,0
NDC,59762-3140-1,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],29.76,10.42,,,0
NDC,59762-3304-3,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0.38,0.13,,,0
NDC,59762-3717-4,TRIAZOLAM 0.125 MG TABLET [8138],2.93,1.03,,,0
NDC,59762-3717-9,TRIAZOLAM 0.125 MG TABLET [8138],2.93,1.03,,,0
NDC,59762-3718-4,TRIAZOLAM 0.25 MG TABLET [8139],2.93,1.03,,,0
NDC,59762-3719-1,ALPRAZOLAM 0.25 MG TABLET [324],0.04,0.01,,,0
NDC,59762-3720-1,ALPRAZOLAM 0.5 MG TABLET [325],0.06,0.02,,,0
NDC,59762-3721-1,ALPRAZOLAM 1 MG TABLET [326],0.07,0.03,,,0
NDC,59762-3728-2,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION [1742],2.25,0.79,,,0
NDC,59762-3740-1,MEDROXYPROGESTERONE 2.5 MG TABLET [4855],0.13,0.05,,,0
NDC,59762-3741-1,MEDROXYPROGESTERONE 5 MG TABLET [4856],0.21,0.07,,,0
NDC,59762-3742-2,MEDROXYPROGESTERONE 10 MG TABLET [4854],0.26,0.09,,,0
NDC,59762-4537-1,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,59762-4537-2,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,59762-4900-3,SERTRALINE 50 MG TABLET [11351],0.24,0.08,,,0
NDC,59762-4910-3,SERTRALINE 100 MG TABLET [11350],0.24,0.08,,,0
NDC,59762-4940-1,SERTRALINE 20 MG/ML ORAL CONCENTRATE [28011],18.94,6.63,,,0
NDC,59762-5000-1,SULFASALAZINE 500 MG TABLET [7562],0.18,0.06,,,0
NDC,59762-5000-5,SULFASALAZINE 500 MG TABLET [7562],0.18,0.06,,,0
NDC,59762-5007-1,MISOPROSTOL 100 MCG TABLET [10628],0.32,0.11,,,0
NDC,59762-5010-1,CLINDAMYCIN HCL 300 MG CAPSULE [9621],0.58,0.2,,,0
NDC,59762-5010-2,CLINDAMYCIN HCL 300 MG CAPSULE [9621],0.46,0.16,,,0
NDC,59762-5018-1,FLUCONAZOLE 200 MG TABLET [10045],2.16,0.76,,,0
NDC,59762-5022-1,QUINAPRIL 40 MG TABLET [11253],0.92,0.32,,,0
NDC,59762-5025-1,GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],10.82,3.79,,,0
NDC,59762-5030-1,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION [14233],32.74,11.46,,,0
NDC,59762-5032-1,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR [37649]",0.29,0.1,,,0
NDC,59762-6443-2,SERTRALINE 50 MG TABLET [11351],0.1,0.03,,,0
NDC,60219-1076-1,AZATHIOPRINE 50 MG TABLET [9183],0.45,0.16,,,0
NDC,60219-1721-7,ETRAVIRINE 100 MG TABLET [89432],10.73,3.75,,,0
NDC,60219-1749-3,ATROPINE 1 % EYE DROPS [736],50.06,17.52,,,0
NDC,60219-2348-1,TRAMADOL 50 MG TABLET [14632],0.11,0.04,,,0
NDC,60232-7100-3,EMOLLIENT LOTION [102986],0.15,0.05,,,0
NDC,60258-111-30,VITAMIN E 50 UNIT/ML ORAL DROPS [11648],23.0,8.05,,,0
NDC,60258-801-16,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],4.06,1.42,,,0
NDC,60258-802-15,HYOSCYAMINE 0.125 MG/ML ORAL DROPS [3782],4.06,1.42,,,0
NDC,6025800216,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN [11057],6.76,2.37,,,0
NDC,6025800316,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION [22646]",0.72,0.25,,,0
NDC,6025800601,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [70284]",13.53,4.73,,,0
NDC,6025800615,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [70284]",13.53,4.73,,,0
NDC,6025817101,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.07,0.02,,,0
NDC,6025817201,MAGNESIUM GLUCONATE 27 MG MAGNESIUM (500 MG) TABLET [110852],0.14,0.05,,,0
NDC,6025817901,MULTIVITAMIN NO.51-FERROUS FUMARATE 106.5 MG-FOLIC ACID 1 MG CAPSULE [110781],0.61,0.21,,,0
NDC,6025818501,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0.09,0.03,,,0
NDC,60267-705-50,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION [7364],6.48,2.27,,,0
NDC,60429-177-01,BICALUTAMIDE 50 MG TABLET [15746],0.16,0.05,,,0
NDC,60429-177-30,BICALUTAMIDE 50 MG TABLET [15746],0.18,0.06,,,0
NDC,60429-749-01,SOTALOL 120 MG TABLET [15723],0.18,0.06,,,0
NDC,60429-989-01,CLOZAPINE 25 MG TABLET [9648],0.2,0.07,,,0
NDC,60432-038-16,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],0.17,0.06,,,0
NDC,60432-065-00,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],55.47,19.41,,,0
NDC,60432-065-75,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],55.47,19.41,,,0
NDC,60432-092-16,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP [10810],6.76,2.37,,,0
NDC,60432-129-16,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [103670],1.35,0.47,,,0
NDC,60432-133-50,CLOBETASOL 0.05 % SCALP SOLUTION [9632],0.56,0.2,,,0
NDC,60432-150-16,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],3.86,1.35,,,0
NDC,60432-212-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],298.92,104.62,,,0
NDC,60432-264-15,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",38.14,13.35,,,0
NDC,60432-464-00,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],0.97,0.34,,,0
NDC,60432-465-50,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],7.17,2.51,,,0
NDC,60432-537-16,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,60432-561-60,TRIAMCINOLONE ACETONIDE 0.1 % LOTION [8116],6.07,2.12,,,0
NDC,60432-608-16,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0.64,0.23,,,0
NDC,60432-613-04,FUROSEMIDE 10 MG/ML ORAL SOLUTION [3292],1.23,0.43,,,0
NDC,60432-621-16,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION [8428],6.49,2.27,,,0
NDC,60432-622-16,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],1.35,0.47,,,0
NDC,60432-741-15,ACETIC ACID 2 % EAR SOLUTION [17801],14.34,5.02,,,0
NDC,60432-831-16,LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],13.53,4.73,,,0
NDC,60505-0033-6,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE [10911]",0.42,0.15,,,0
NDC,60505-0034-0,GEMFIBROZIL 600 MG TABLET [3378],0.32,0.11,,,0
NDC,60505-0040-1,ETODOLAC 300 MG CAPSULE [9998],1.29,0.45,,,0
NDC,60505-0041-1,ETODOLAC 400 MG TABLET [9999],1.06,0.37,,,0
NDC,60505-0080-0,SOTALOL 80 MG TABLET [11421],0.28,0.1,,,0
NDC,60505-0081-0,SOTALOL 160 MG TABLET [11419],0.48,0.17,,,0
NDC,60505-0082-0,SOTALOL 240 MG TABLET [11420],0.66,0.23,,,0
NDC,60505-0092-0,KETOCONAZOLE 200 MG TABLET [10369],1.85,0.65,,,0
NDC,60505-0096-0,DOXAZOSIN 8 MG TABLET [9897],0.03,0.01,,,0
NDC,60505-0112-0,GABAPENTIN 100 MG CAPSULE [18309],0.24,0.09,,,0
NDC,60505-0113-0,GABAPENTIN 300 MG CAPSULE [18308],0.4,0.14,,,0
NDC,60505-0142-0,GLIPIZIDE 10 MG TABLET [10116],0.08,0.03,,,0
NDC,60505-0165-1,FLUVOXAMINE 50 MG TABLET [10085],0.55,0.19,,,0
NDC,60505-0166-1,FLUVOXAMINE 100 MG TABLET [10084],0.6,0.21,,,0
NDC,60505-0175-0,QUINAPRIL 40 MG TABLET [11253],0.22,0.08,,,0
NDC,60505-0223-1,SOTALOL 120 MG TABLET [15723],0.64,0.23,,,0
NDC,60505-0235-1,TORSEMIDE 100 MG TABLET [18294],1.94,0.68,,,0
NDC,60505-0252-3,TIZANIDINE 4 MG TABLET [14793],0.2,0.07,,,0
NDC,60505-0257-1,DESMOPRESSIN 0.1 MG TABLET [16052],0.73,0.26,,,0
NDC,60505-0268-1,BENAZEPRIL 40 MG TABLET [9222],0.37,0.13,,,0
NDC,60505-0363-1,OFLOXACIN 0.3 % EAR DROPS [22257],86.31,30.21,,,0
NDC,60505-0402-5,PAROXETINE 10 MG/5 ML ORAL SUSPENSION [22959],10.82,3.79,,,0
NDC,60505-0551-2,TIMOLOL MALEATE 0.5 % EYE DROPS [11562],12.63,4.42,,,0
NDC,60505-0575-1,OLOPATADINE 0.1 % EYE DROPS [19452],117.16,41.01,,,0
NDC,60505-0582-4,MOXIFLOXACIN 0.5 % EYE DROPS [35699],166.85,58.4,,,0
NDC,60505-0593-4,TRAVOPROST 0.004 % EYE DROPS [102561],174.25,60.99,,,0
NDC,60505-0681-0,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],220.29,77.1,,,0
NDC,60505-0681-1,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],220.29,77.1,,,0
NDC,60505-0681-4,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],220.29,77.1,,,0
NDC,60505-0687-4,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,60505-0749-4,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,60505-0749-5,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,60505-0750-0,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,60505-0750-1,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,60505-0750-4,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],60.32,21.11,,,0
NDC,60505-0751-1,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],120.64,42.23,,,0
NDC,60505-0751-4,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [9490],120.64,42.23,,,0
NDC,60505-0752-3,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,60505-0752-4,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,60505-0753-4,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],482.58,168.9,,,0
NDC,60505-0759-5,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],155.9,54.57,,,0
NDC,60505-0769-0,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,60505-0823-6,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY [15738],94.7,33.15,,,0
NDC,60505-0829-1,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",38.14,13.35,,,0
NDC,60505-0833-5,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY [19179],15.38,5.38,,,0
NDC,60505-0834-0,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],110.14,38.55,,,0
NDC,60505-0834-4,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],110.14,38.55,,,0
NDC,60505-0839-2,BUDESONIDE 32 MCG/ACTUATION NASAL SPRAY [27022],49.4,17.29,,,0
NDC,60505-1003-1,KETOROLAC 0.5 % EYE DROPS [19733],28.57,10.0,,,0
NDC,60505-1003-2,KETOROLAC 0.5 % EYE DROPS [19733],78.01,27.3,,,0
NDC,60505-1309-1,CIPROFLOXACIN 500 MG TABLET [25119],0.3,0.1,,,0
NDC,60505-1321-1,MIDODRINE 5 MG TABLET [10610],0.73,0.26,,,0
NDC,60505-2502-1,LEFLUNOMIDE 10 MG TABLET [23872],2.67,0.93,,,0
NDC,60505-2503-1,LEFLUNOMIDE 20 MG TABLET [23873],2.77,0.97,,,0
NDC,60505-2510-2,FOSINOPRIL 10 MG TABLET [10094],0.34,0.12,,,0
NDC,60505-2511-2,FOSINOPRIL 20 MG TABLET [10095],0.34,0.12,,,0
NDC,60505-2512-2,FOSINOPRIL 40 MG TABLET [16036],0.34,0.12,,,0
NDC,60505-2518-3,CITALOPRAM 10 MG TABLET [30264],0.11,0.04,,,0
NDC,60505-2521-1,CILOSTAZOL 50 MG TABLET [24473],0.36,0.13,,,0
NDC,60505-2542-6,GALANTAMINE 4 MG TABLET [29806],2.29,0.8,,,0
NDC,60505-2551-1,GABAPENTIN 600 MG TABLET [25855],0.65,0.23,,,0
NDC,60505-2552-1,GABAPENTIN 800 MG TABLET [25856],0.78,0.27,,,0
NDC,60505-2554-1,MELOXICAM 15 MG TABLET [20580],0.22,0.08,,,0
NDC,60505-2578-9,ATORVASTATIN 10 MG TABLET [19176],0.17,0.06,,,0
NDC,60505-2579-9,ATORVASTATIN 20 MG TABLET [19178],0.24,0.08,,,0
NDC,60505-2580-9,ATORVASTATIN 40 MG TABLET [19177],0.24,0.08,,,0
NDC,60505-2604-0,ZOLPIDEM 5 MG TABLET [11701],0.1,0.03,,,0
NDC,60505-2652-3,EPLERENONE 50 MG TABLET [36984],3.47,1.21,,,0
NDC,60505-2653-0,TRAZODONE 50 MG TABLET [8085],0.08,0.03,,,0
NDC,60505-2655-1,TRAZODONE 150 MG TABLET [8084],0.36,0.13,,,0
NDC,60505-2656-1,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [8132],0.28,0.1,,,0
NDC,60505-2657-1,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],0.28,0.1,,,0
NDC,60505-2671-9,ATORVASTATIN 80 MG TABLET [28645],0.24,0.08,,,0
NDC,60505-2831-3,ATOMOXETINE 18 MG CAPSULE [34445],3.7,1.3,,,0
NDC,60505-2850-1,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR [36982]",0.35,0.12,,,0
NDC,60505-2985-3,ANASTROZOLE 1 MG TABLET [16205],1.3,0.46,,,0
NDC,60505-3110-3,OLANZAPINE 2.5 MG TABLET [21057],0.33,0.12,,,0
NDC,60505-3112-0,OLANZAPINE 7.5 MG TABLET [17938],0.28,0.1,,,0
NDC,60505-3170-7,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],0.81,0.28,,,0
NDC,60505-3250-6,LAMIVUDINE 100 MG TABLET [24419],11.72,4.1,,,0
NDC,60505-3251-6,LAMIVUDINE 150 MG TABLET [15880],3.75,1.31,,,0
NDC,60505-3255-3,LETROZOLE 2.5 MG TABLET [21509],0.37,0.13,,,0
NDC,60505-3285-6,RILUZOLE 50 MG TABLET [16124],2.64,0.92,,,0
NDC,60505-3438-3,SELEGILINE 5 MG TABLET [11340],1.47,0.51,,,0
NDC,60505-3638-3,TRANEXAMIC ACID 650 MG TABLET [145031],4.18,1.46,,,0
NDC,60505-3664-3,PAROXETINE 20 MG TABLET [10855],6.43,2.25,,,0
NDC,60505-3679-3,"CARVEDILOL PHOSPHATE ER 20 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77665]",7.93,2.77,,,0
NDC,60505-3681-3,"CARVEDILOL PHOSPHATE ER 80 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77667]",7.93,2.77,,,0
NDC,60505-3947-3,ADEFOVIR 10 MG TABLET [33816],29.83,10.44,,,0
NDC,60505-4362-3,LINEZOLID 600 MG TABLET [28224],5.88,2.06,,,0
NDC,60505-4632-3,CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],4.4,1.54,,,0
NDC,60505-4642-3,PRASUGREL HCL 5 MG TABLET [98372],0.82,0.29,,,0
NDC,60505-4643-3,PRASUGREL HCL 10 MG TABLET [98373],0.82,0.29,,,0
NDC,60505-4713-3,"CARVEDILOL PHOSPHATE ER 10 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77664]",7.93,2.77,,,0
NDC,60505-6020-2,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],283.46,99.21,,,0
NDC,60505-6074-0,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN [110643],943.14,330.1,,,0
NDC,60505-6076-4,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,60505-6078-0,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],644.22,225.48,,,0
NDC,60505-6078-4,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],1610.55,563.69,,,0
NDC,60505-6079-0,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [109786],1610.55,563.69,,,0
NDC,60505-6079-4,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [109786],1610.55,563.69,,,0
NDC,60505-6080-0,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [39803],1610.55,563.69,,,0
NDC,60505-6080-4,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [39803],1610.55,563.69,,,0
NDC,60505-6081-0,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [109787],1610.55,563.69,,,0
NDC,60505-6081-4,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [109787],1610.55,563.69,,,0
NDC,60505-6128-1,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [17450],230.12,80.54,,,0
NDC,60505-6129-2,BUDESONIDE 32 MCG/ACTUATION NASAL SPRAY [27022],7.22,2.53,,,0
NDC,60505-6132-6,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [41598],53.75,18.81,,,0
NDC,60505-6142-0,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,60505-6143-0,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,60505-6143-4,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,60505-6144-0,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],110.14,38.55,,,0
NDC,60505-6144-4,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],110.14,38.55,,,0
NDC,60505-6146-0,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],110.14,38.55,,,0
NDC,60505-6146-4,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],110.14,38.55,,,0
NDC,60505-6147-0,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],220.29,77.1,,,0
NDC,60505-6147-4,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],220.29,77.1,,,0
NDC,60505-6148-0,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,60505-6148-4,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],241.29,84.45,,,0
NDC,60505-6156-4,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,60505-6193-1,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],217.37,76.08,,,0
NDC,60505-6209-3,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [162222]",3.82,1.34,,,0
NDC,60505-6226-0,ATROPINE 1 % EYE DROPS [736],50.06,17.52,,,0
NDC,60505-6229-4,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,60505-6236-6,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],148.17,51.86,,,0
NDC,60505-6238-6,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],148.17,51.86,,,0
NDC,60505-7006-0,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],194.81,68.18,,,0
NDC,60505-7006-2,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],194.81,68.18,,,0
NDC,60505-7007-0,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],281.4,98.49,,,0
NDC,60505-7007-2,FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],281.4,98.49,,,0
NDC,60505-7008-0,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],422.09,147.73,,,0
NDC,60505-7008-2,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],422.09,147.73,,,0
NDC,60505-7009-0,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,60505-7009-2,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,60505-7061-0,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],6.76,2.37,,,0
NDC,60505-7062-0,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],6.76,2.37,,,0
NDC,60505-7063-0,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.76,2.37,,,0
NDC,60505-7081-0,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],185.54,64.94,,,0
NDC,60505-7081-2,FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],185.54,64.94,,,0
NDC,60505-7083-2,FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],422.09,147.73,,,0
NDC,60505-7084-0,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,60505-7084-2,FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],505.97,177.09,,,0
NDC,60574-4113-1,PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION [41675],4132.98,1446.54,,,0
NDC,60574-4114-1,PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION [110156],8265.96,2893.09,,,0
NDC,60631-040-30,AZILSARTAN MEDOXOMIL 40 MG TABLET [149917],7.2,2.52,,,0
NDC,60631-080-30,AZILSARTAN MEDOXOMIL 80 MG TABLET [149919],7.83,2.74,,,0
NDC,60687-100-01,URSODIOL 300 MG CAPSULE [11624],5.95,2.08,,,0
NDC,60687-100-11,URSODIOL 300 MG CAPSULE [11624],5.95,2.08,,,0
NDC,60687-103-25,FAMCICLOVIR 500 MG TABLET [13358],2.29,0.8,,,0
NDC,60687-103-95,FAMCICLOVIR 500 MG TABLET [13358],2.29,0.8,,,0
NDC,60687-105-21,MEDROXYPROGESTERONE 10 MG TABLET [4854],1.4,0.49,,,0
NDC,60687-112-11,ANASTROZOLE 1 MG TABLET [16205],0.91,0.32,,,0
NDC,60687-112-21,ANASTROZOLE 1 MG TABLET [16205],0.91,0.32,,,0
NDC,60687-113-01,CLONIDINE HCL 0.1 MG TABLET [1755],0.3,0.11,,,0
NDC,60687-113-11,CLONIDINE HCL 0.1 MG TABLET [1755],0.3,0.11,,,0
NDC,60687-114-01,LABETALOL 100 MG TABLET [10373],0.31,0.11,,,0
NDC,60687-114-11,LABETALOL 100 MG TABLET [10373],0.31,0.11,,,0
NDC,60687-115-01,BENZONATATE 100 MG CAPSULE [988],0.46,0.16,,,0
NDC,60687-115-11,BENZONATATE 100 MG CAPSULE [988],0.46,0.16,,,0
NDC,60687-118-11,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],2.67,0.93,,,0
NDC,60687-118-21,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],2.67,0.93,,,0
NDC,60687-120-11,DESMOPRESSIN 0.2 MG TABLET [16053],2.55,0.89,,,0
NDC,60687-120-21,DESMOPRESSIN 0.2 MG TABLET [16053],2.55,0.89,,,0
NDC,60687-121-25,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [39720]",2.26,0.79,,,0
NDC,60687-124-01,CLONIDINE HCL 0.2 MG TABLET [1756],0.3,0.11,,,0
NDC,60687-124-11,CLONIDINE HCL 0.2 MG TABLET [1756],0.3,0.11,,,0
NDC,60687-128-01,VALSARTAN 80 MG TABLET [31209],1.01,0.35,,,0
NDC,60687-128-11,VALSARTAN 80 MG TABLET [31209],1.01,0.35,,,0
NDC,60687-129-01,DOCUSATE SODIUM 100 MG CAPSULE [2566],0.18,0.06,,,0
NDC,60687-129-11,DOCUSATE SODIUM 100 MG CAPSULE [2566],0.18,0.06,,,0
NDC,60687-134-01,PREDNISONE 10 MG TABLET [6494],0.18,0.06,,,0
NDC,60687-134-11,PREDNISONE 10 MG TABLET [6494],0.18,0.06,,,0
NDC,60687-138-01,PYRAZINAMIDE 500 MG TABLET [6738],4.25,1.49,,,0
NDC,60687-138-11,PYRAZINAMIDE 500 MG TABLET [6738],4.25,1.49,,,0
NDC,60687-139-01,VALSARTAN 160 MG TABLET [31210],1.14,0.4,,,0
NDC,60687-139-11,VALSARTAN 160 MG TABLET [31210],1.14,0.4,,,0
NDC,60687-145-01,PREDNISONE 20 MG TABLET [6496],0.2,0.07,,,0
NDC,60687-145-11,PREDNISONE 20 MG TABLET [6496],0.2,0.07,,,0
NDC,60687-149-11,CAPECITABINE 500 MG TABLET [22994],25.4,8.89,,,0
NDC,60687-149-94,CAPECITABINE 500 MG TABLET [22994],25.4,8.89,,,0
NDC,60687-152-01,CEPHALEXIN 250 MG CAPSULE [9499],0.32,0.11,,,0
NDC,60687-152-11,CEPHALEXIN 250 MG CAPSULE [9499],0.32,0.11,,,0
NDC,60687-155-01,METFORMIN 500 MG TABLET [10544],0.13,0.05,,,0
NDC,60687-157-11,ARIPIPRAZOLE 2 MG TABLET [70306],9.34,3.27,,,0
NDC,60687-157-21,ARIPIPRAZOLE 2 MG TABLET [70306],9.34,3.27,,,0
NDC,60687-158-01,ISONIAZID 300 MG TABLET [4027],0.97,0.34,,,0
NDC,60687-158-11,ISONIAZID 300 MG TABLET [4027],0.97,0.34,,,0
NDC,60687-161-01,HALOPERIDOL 5 MG TABLET [3583],0.91,0.32,,,0
NDC,60687-161-11,HALOPERIDOL 5 MG TABLET [3583],0.91,0.32,,,0
NDC,60687-163-01,CEPHALEXIN 500 MG CAPSULE [9500],0.36,0.13,,,0
NDC,60687-163-11,CEPHALEXIN 500 MG CAPSULE [9500],0.36,0.13,,,0
NDC,60687-168-01,ARIPIPRAZOLE 5 MG TABLET [36438],8.22,2.88,,,0
NDC,60687-168-11,ARIPIPRAZOLE 5 MG TABLET [36438],8.22,2.88,,,0
NDC,60687-171-01,DONEPEZIL 5 MG TABLET [18786],0.14,0.05,,,0
NDC,60687-171-11,DONEPEZIL 5 MG TABLET [18786],0.14,0.05,,,0
NDC,60687-173-11,MEMANTINE 5 MG TABLET [37170],0.48,0.17,,,0
NDC,60687-173-57,MEMANTINE 5 MG TABLET [37170],0.48,0.17,,,0
NDC,60687-178-01,PRAVASTATIN 20 MG TABLET [11111],0.7,0.25,,,0
NDC,60687-179-01,ARIPIPRAZOLE 10 MG TABLET [34369],8.22,2.88,,,0
NDC,60687-179-11,ARIPIPRAZOLE 10 MG TABLET [34369],8.22,2.88,,,0
NDC,60687-184-11,MEMANTINE 10 MG TABLET [36966],0.67,0.23,,,0
NDC,60687-184-57,MEMANTINE 10 MG TABLET [36966],0.67,0.23,,,0
NDC,60687-188-11,ENTACAPONE 200 MG TABLET [26547],4.12,1.44,,,0
NDC,60687-188-21,ENTACAPONE 200 MG TABLET [26547],4.12,1.44,,,0
NDC,60687-189-11,LINEZOLID 600 MG TABLET [28224],6.17,2.16,,,0
NDC,60687-189-21,LINEZOLID 600 MG TABLET [28224],6.17,2.16,,,0
NDC,60687-191-11,ARIPIPRAZOLE 15 MG TABLET [34370],9.48,3.32,,,0
NDC,60687-191-21,ARIPIPRAZOLE 15 MG TABLET [34370],9.48,3.32,,,0
NDC,60687-192-11,IMATINIB 100 MG TABLET [32979],44.67,15.63,,,0
NDC,60687-192-21,IMATINIB 100 MG TABLET [32979],44.67,15.63,,,0
NDC,60687-195-01,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [27480]",0.81,0.28,,,0
NDC,60687-195-11,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [27480]",0.81,0.28,,,0
NDC,60687-199-01,MELOXICAM 15 MG TABLET [20580],0.16,0.06,,,0
NDC,60687-199-11,MELOXICAM 15 MG TABLET [20580],0.16,0.06,,,0
NDC,60687-206-11,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0.81,0.28,,,0
NDC,60687-210-01,SIMVASTATIN 40 MG TABLET [11366],0.17,0.06,,,0
NDC,60687-210-11,SIMVASTATIN 40 MG TABLET [11366],0.17,0.06,,,0
NDC,60687-211-11,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",0.74,0.26,,,0
NDC,60687-211-21,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",0.74,0.26,,,0
NDC,60687-213-11,ARIPIPRAZOLE 30 MG TABLET [34372],12.81,4.48,,,0
NDC,60687-213-21,ARIPIPRAZOLE 30 MG TABLET [34372],12.81,4.48,,,0
NDC,60687-215-01,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]",1.99,0.7,,,0
NDC,60687-215-11,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]",1.99,0.7,,,0
NDC,60687-217-01,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",0.61,0.21,,,0
NDC,60687-217-11,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",0.61,0.21,,,0
NDC,60687-224-01,GEMFIBROZIL 600 MG TABLET [3378],0.26,0.09,,,0
NDC,60687-224-11,GEMFIBROZIL 600 MG TABLET [3378],0.26,0.09,,,0
NDC,60687-226-01,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]",2.29,0.8,,,0
NDC,60687-226-11,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]",2.29,0.8,,,0
NDC,60687-227-11,LEUCOVORIN CALCIUM 25 MG TABLET [4397],10.71,3.75,,,0
NDC,60687-227-94,LEUCOVORIN CALCIUM 25 MG TABLET [4397],10.71,3.75,,,0
NDC,60687-228-01,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",1.59,0.56,,,0
NDC,60687-228-11,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",1.59,0.56,,,0
NDC,60687-229-01,LOPERAMIDE 2 MG CAPSULE [4560],0.85,0.3,,,0
NDC,60687-229-11,LOPERAMIDE 2 MG CAPSULE [4560],0.85,0.3,,,0
NDC,60687-230-01,ZONISAMIDE 100 MG CAPSULE [27780],0.55,0.19,,,0
NDC,60687-230-11,ZONISAMIDE 100 MG CAPSULE [27780],0.55,0.19,,,0
NDC,60687-230-65,ZONISAMIDE 100 MG CAPSULE [27780],1.11,0.39,,,0
NDC,60687-231-01,SERTRALINE 25 MG TABLET [19882],0.37,0.13,,,0
NDC,60687-231-11,SERTRALINE 25 MG TABLET [19882],0.37,0.13,,,0
NDC,60687-234-01,ROSUVASTATIN 5 MG TABLET [36612],1.4,0.49,,,0
NDC,60687-234-11,ROSUVASTATIN 5 MG TABLET [36612],1.4,0.49,,,0
NDC,60687-242-01,SERTRALINE 50 MG TABLET [11351],0.39,0.14,,,0
NDC,60687-242-11,SERTRALINE 50 MG TABLET [11351],0.39,0.14,,,0
NDC,60687-245-01,ROSUVASTATIN 10 MG TABLET [35134],1.4,0.49,,,0
NDC,60687-245-11,ROSUVASTATIN 10 MG TABLET [35134],1.4,0.49,,,0
NDC,60687-253-01,SERTRALINE 100 MG TABLET [11350],0.44,0.16,,,0
NDC,60687-253-11,SERTRALINE 100 MG TABLET [11350],0.44,0.16,,,0
NDC,60687-256-01,ROSUVASTATIN 20 MG TABLET [35135],1.4,0.49,,,0
NDC,60687-256-11,ROSUVASTATIN 20 MG TABLET [35135],1.4,0.49,,,0
NDC,60687-266-11,RALOXIFENE 60 MG TABLET [22143],5.7,2.0,,,0
NDC,60687-266-21,RALOXIFENE 60 MG TABLET [22143],5.45,1.91,,,0
NDC,60687-269-32,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]",1.32,0.46,,,0
NDC,60687-269-33,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]",1.32,0.46,,,0
NDC,60687-270-01,GLYCOPYRROLATE 1 MG TABLET [10130],1.04,0.36,,,0
NDC,60687-270-11,GLYCOPYRROLATE 1 MG TABLET [10130],1.04,0.36,,,0
NDC,60687-272-11,CEFUROXIME AXETIL 250 MG TABLET [9495],3.78,1.32,,,0
NDC,60687-272-94,CEFUROXIME AXETIL 250 MG TABLET [9495],3.78,1.32,,,0
NDC,60687-273-11,VORICONAZOLE 200 MG TABLET [33009],31.7,11.09,,,0
NDC,60687-273-21,VORICONAZOLE 200 MG TABLET [33009],31.7,11.09,,,0
NDC,60687-281-01,NORTRIPTYLINE 10 MG CAPSULE [5674],0.37,0.13,,,0
NDC,60687-281-11,NORTRIPTYLINE 10 MG CAPSULE [5674],0.37,0.13,,,0
NDC,60687-282-01,AZITHROMYCIN 250 MG TABLET [20943],1.74,0.61,,,0
NDC,60687-282-11,AZITHROMYCIN 250 MG TABLET [20943],1.74,0.61,,,0
NDC,60687-284-11,EZETIMIBE 10 MG TABLET [34153],10.33,3.62,,,0
NDC,60687-284-21,EZETIMIBE 10 MG TABLET [34153],10.33,3.62,,,0
NDC,60687-286-11,BROMOCRIPTINE 2.5 MG TABLET [9297],6.9,2.41,,,0
NDC,60687-286-21,BROMOCRIPTINE 2.5 MG TABLET [9297],6.9,2.41,,,0
NDC,60687-292-11,DONEPEZIL 5 MG TABLET [18786],0.14,0.05,,,0
NDC,60687-299-25,ITRACONAZOLE 100 MG CAPSULE [10364],3.33,1.17,,,0
NDC,60687-299-95,ITRACONAZOLE 100 MG CAPSULE [10364],3.33,1.17,,,0
NDC,60687-302-25,NADOLOL 20 MG TABLET [5330],2.92,1.02,,,0
NDC,60687-302-95,NADOLOL 20 MG TABLET [5330],2.92,1.02,,,0
NDC,60687-303-01,DONEPEZIL 10 MG TABLET [18787],0.14,0.05,,,0
NDC,60687-303-11,DONEPEZIL 10 MG TABLET [18787],0.14,0.05,,,0
NDC,60687-305-32,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [27644]",10.5,3.68,,,0
NDC,60687-305-33,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [27644]",10.5,3.68,,,0
NDC,60687-309-11,LINEZOLID 600 MG TABLET [28224],6.17,2.16,,,0
NDC,60687-309-21,LINEZOLID 600 MG TABLET [28224],6.17,2.16,,,0
NDC,60687-312-01,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.85,0.65,,,0
NDC,60687-312-11,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.85,0.65,,,0
NDC,60687-314-25,AZITHROMYCIN 600 MG TABLET [17387],5.31,1.86,,,0
NDC,60687-314-95,AZITHROMYCIN 600 MG TABLET [17387],5.31,1.86,,,0
NDC,60687-320-11,COLCHICINE 0.6 MG TABLET [1821],9.29,3.25,,,0
NDC,60687-320-21,COLCHICINE 0.6 MG TABLET [1821],9.29,3.25,,,0
NDC,60687-321-11,RAMIPRIL 1.25 MG CAPSULE [11258],1.61,0.56,,,0
NDC,60687-321-21,RAMIPRIL 1.25 MG CAPSULE [11258],1.61,0.56,,,0
NDC,60687-326-25,ATOMOXETINE 40 MG CAPSULE [34447],6.32,2.21,,,0
NDC,60687-326-95,ATOMOXETINE 40 MG CAPSULE [34447],6.32,2.21,,,0
NDC,60687-328-31,SEVELAMER CARBONATE 800 MG TABLET [89201],5.45,1.91,,,0
NDC,60687-328-33,SEVELAMER CARBONATE 800 MG TABLET [89201],5.45,1.91,,,0
NDC,60687-332-01,RAMIPRIL 2.5 MG CAPSULE [11260],0.15,0.05,,,0
NDC,60687-332-11,RAMIPRIL 2.5 MG CAPSULE [11260],0.15,0.05,,,0
NDC,60687-345-01,CALCITRIOL 0.25 MCG CAPSULE [9350],0.74,0.26,,,0
NDC,60687-345-11,CALCITRIOL 0.25 MCG CAPSULE [9350],0.74,0.26,,,0
NDC,60687-349-01,QUETIAPINE 100 MG TABLET [21824],0.53,0.19,,,0
NDC,60687-349-11,QUETIAPINE 100 MG TABLET [21824],0.53,0.19,,,0
NDC,60687-352-25,FLUCYTOSINE 250 MG CAPSULE [10051],81.86,28.65,,,0
NDC,60687-352-95,FLUCYTOSINE 250 MG CAPSULE [10051],81.86,28.65,,,0
NDC,60687-354-01,RAMIPRIL 10 MG CAPSULE [11259],0.49,0.17,,,0
NDC,60687-354-11,RAMIPRIL 10 MG CAPSULE [11259],0.49,0.17,,,0
NDC,60687-355-01,LORAZEPAM 1 MG TABLET [4573],0.14,0.05,,,0
NDC,60687-355-11,LORAZEPAM 1 MG TABLET [4573],0.14,0.05,,,0
NDC,60687-356-01,BENZTROPINE 0.5 MG TABLET [998],0.49,0.17,,,0
NDC,60687-356-11,BENZTROPINE 0.5 MG TABLET [998],0.49,0.17,,,0
NDC,60687-357-01,METHIMAZOLE 5 MG TABLET [10553],0.5,0.18,,,0
NDC,60687-357-11,METHIMAZOLE 5 MG TABLET [10553],0.5,0.18,,,0
NDC,60687-363-25,FLUCYTOSINE 500 MG CAPSULE [10052],156.67,54.83,,,0
NDC,60687-364-25,RITONAVIR 100 MG TABLET [100995],9.38,3.28,,,0
NDC,60687-364-95,RITONAVIR 100 MG TABLET [100995],9.38,3.28,,,0
NDC,60687-368-01,BENZTROPINE 1 MG TABLET [999],0.49,0.17,,,0
NDC,60687-368-11,BENZTROPINE 1 MG TABLET [999],0.49,0.17,,,0
NDC,60687-369-01,DICYCLOMINE 10 MG CAPSULE [2418],0.55,0.19,,,0
NDC,60687-369-11,DICYCLOMINE 10 MG CAPSULE [2418],0.55,0.19,,,0
NDC,60687-373-11,EZETIMIBE 10 MG TABLET [34153],10.33,3.62,,,0
NDC,60687-373-21,EZETIMIBE 10 MG TABLET [34153],10.33,3.62,,,0
NDC,60687-374-01,NABUMETONE 500 MG TABLET [10676],1.18,0.41,,,0
NDC,60687-374-11,NABUMETONE 500 MG TABLET [10676],1.18,0.41,,,0
NDC,60687-375-01,DRONABINOL 2.5 MG CAPSULE [9904],5.15,1.8,,,0
NDC,60687-375-11,DRONABINOL 2.5 MG CAPSULE [9904],5.15,1.8,,,0
NDC,60687-377-01,ALPRAZOLAM 0.25 MG TABLET [324],0.3,0.11,,,0
NDC,60687-377-11,ALPRAZOLAM 0.25 MG TABLET [324],0.3,0.11,,,0
NDC,60687-379-01,BENZTROPINE 2 MG TABLET [1000],0.56,0.2,,,0
NDC,60687-379-11,BENZTROPINE 2 MG TABLET [1000],0.56,0.2,,,0
NDC,60687-380-01,DICYCLOMINE 20 MG TABLET [2420],0.45,0.16,,,0
NDC,60687-381-11,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],67.38,23.58,,,0
NDC,60687-381-94,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],67.38,23.58,,,0
NDC,60687-384-01,BUMETANIDE 1 MG TABLET [9310],1.08,0.38,,,0
NDC,60687-384-25,BUMETANIDE 1 MG TABLET [9310],1.63,0.57,,,0
NDC,60687-384-95,BUMETANIDE 1 MG TABLET [9310],1.63,0.57,,,0
NDC,60687-385-25,COLESEVELAM 625 MG TABLET [28372],3.33,1.17,,,0
NDC,60687-385-95,COLESEVELAM 625 MG TABLET [28372],3.33,1.17,,,0
NDC,60687-389-11,COLCHICINE 0.6 MG TABLET [1821],9.29,3.25,,,0
NDC,60687-389-21,COLCHICINE 0.6 MG TABLET [1821],9.29,3.25,,,0
NDC,60687-390-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",0.97,0.34,,,0
NDC,60687-393-01,QUETIAPINE 300 MG TABLET [29267],0.67,0.23,,,0
NDC,60687-394-79,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],9.2,3.22,,,0
NDC,60687-394-83,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],9.2,3.22,,,0
NDC,60687-395-79,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,60687-395-83,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,60687-398-01,MIDODRINE 5 MG TABLET [10610],0.75,0.26,,,0
NDC,60687-398-11,MIDODRINE 5 MG TABLET [10610],0.75,0.26,,,0
NDC,60687-401-01,LORAZEPAM 0.5 MG TABLET [4572],0.14,0.05,,,0
NDC,60687-401-11,LORAZEPAM 0.5 MG TABLET [4572],0.14,0.05,,,0
NDC,60687-402-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",0.97,0.34,,,0
NDC,60687-405-79,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [30510],18.04,6.31,,,0
NDC,60687-410-11,METHYLERGONOVINE 0.2 MG TABLET [10572],55.0,19.25,,,0
NDC,60687-410-94,METHYLERGONOVINE 0.2 MG TABLET [10572],55.0,19.25,,,0
NDC,60687-413-01,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",1.4,0.49,,,0
NDC,60687-413-11,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",1.4,0.49,,,0
NDC,60687-419-11,CHLORPROMAZINE 10 MG TABLET [1653],4.29,1.5,,,0
NDC,60687-424-01,METRONIDAZOLE 500 MG TABLET [5016],0.75,0.26,,,0
NDC,60687-424-11,METRONIDAZOLE 500 MG TABLET [5016],0.75,0.26,,,0
NDC,60687-425-01,NIFEDIPINE 10 MG CAPSULE [5558],1.15,0.4,,,0
NDC,60687-425-11,NIFEDIPINE 10 MG CAPSULE [5558],1.15,0.4,,,0
NDC,60687-428-11,FINASTERIDE 5 MG TABLET [10037],0.9,0.32,,,0
NDC,60687-428-65,FINASTERIDE 5 MG TABLET [10037],0.8,0.28,,,0
NDC,60687-432-01,TRAZODONE 150 MG TABLET [8084],0.57,0.2,,,0
NDC,60687-432-11,TRAZODONE 150 MG TABLET [8084],0.57,0.2,,,0
NDC,60687-433-11,AMITRIPTYLINE 25 MG TABLET [435],0.43,0.15,,,0
NDC,60687-435-11,CLARITHROMYCIN 500 MG TABLET [9617],4.98,1.74,,,0
NDC,60687-435-21,CLARITHROMYCIN 500 MG TABLET [9617],4.98,1.74,,,0
NDC,60687-436-01,CELECOXIB 100 MG CAPSULE [24500],1.45,0.51,,,0
NDC,60687-436-11,CELECOXIB 100 MG CAPSULE [24500],1.45,0.51,,,0
NDC,60687-438-01,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],1.1,0.38,,,0
NDC,60687-438-11,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],1.1,0.38,,,0
NDC,60687-439-01,LABETALOL 100 MG TABLET [10373],0.45,0.16,,,0
NDC,60687-439-11,LABETALOL 100 MG TABLET [10373],0.45,0.16,,,0
NDC,60687-443-01,TRAZODONE 50 MG TABLET [8085],0.13,0.05,,,0
NDC,60687-443-11,TRAZODONE 50 MG TABLET [8085],0.13,0.05,,,0
NDC,60687-444-01,AMITRIPTYLINE 50 MG TABLET [436],0.58,0.2,,,0
NDC,60687-446-01,IBUPROFEN 400 MG TABLET [3843],0.12,0.04,,,0
NDC,60687-446-11,IBUPROFEN 400 MG TABLET [3843],0.12,0.04,,,0
NDC,60687-447-01,CELECOXIB 200 MG CAPSULE [24501],2.02,0.71,,,0
NDC,60687-447-11,CELECOXIB 200 MG CAPSULE [24501],2.02,0.71,,,0
NDC,60687-450-01,LABETALOL 200 MG TABLET [10374],0.58,0.2,,,0
NDC,60687-450-11,LABETALOL 200 MG TABLET [10374],0.58,0.2,,,0
NDC,60687-453-01,LEVOTHYROXINE 25 MCG TABLET [4420],0.47,0.16,,,0
NDC,60687-453-11,LEVOTHYROXINE 25 MCG TABLET [4420],0.47,0.16,,,0
NDC,60687-457-01,IBUPROFEN 600 MG TABLET [3844],0.19,0.07,,,0
NDC,60687-463-01,CHLORPROMAZINE 200 MG TABLET [1655],16.81,5.88,,,0
NDC,60687-463-11,CHLORPROMAZINE 200 MG TABLET [1655],16.81,5.88,,,0
NDC,60687-464-11,LEVOTHYROXINE 50 MCG TABLET [4421],0.47,0.16,,,0
NDC,60687-465-01,SPIRONOLACTONE 25 MG TABLET [7437],0.19,0.07,,,0
NDC,60687-465-11,SPIRONOLACTONE 25 MG TABLET [7437],0.19,0.07,,,0
NDC,60687-468-01,IBUPROFEN 800 MG TABLET [3845],0.19,0.07,,,0
NDC,60687-468-11,IBUPROFEN 800 MG TABLET [3845],0.19,0.07,,,0
NDC,60687-472-01,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],1.78,0.62,,,0
NDC,60687-472-11,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],1.78,0.62,,,0
NDC,60687-473-11,PREGABALIN 25 MG CAPSULE [42162],1.35,0.47,,,0
NDC,60687-479-01,CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],0.49,0.17,,,0
NDC,60687-479-11,CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],0.49,0.17,,,0
NDC,60687-481-11,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],2.04,0.71,,,0
NDC,60687-481-21,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [34711],2.04,0.71,,,0
NDC,60687-483-01,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],2.75,0.96,,,0
NDC,60687-483-11,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],2.75,0.96,,,0
NDC,60687-484-01,PREGABALIN 50 MG CAPSULE [42163],1.35,0.47,,,0
NDC,60687-484-11,PREGABALIN 50 MG CAPSULE [42163],1.35,0.47,,,0
NDC,60687-486-01,LEVOTHYROXINE 88 MCG TABLET [10403],0.58,0.2,,,0
NDC,60687-486-11,LEVOTHYROXINE 88 MCG TABLET [10403],0.58,0.2,,,0
NDC,60687-487-01,SPIRONOLACTONE 100 MG TABLET [11425],0.73,0.26,,,0
NDC,60687-487-11,SPIRONOLACTONE 100 MG TABLET [11425],0.73,0.26,,,0
NDC,60687-488-01,AMLODIPINE 5 MG TABLET [9071],0.16,0.05,,,0
NDC,60687-488-11,AMLODIPINE 5 MG TABLET [9071],0.16,0.05,,,0
NDC,60687-492-21,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [34712],3.5,1.22,,,0
NDC,60687-493-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [11639]",1.41,0.49,,,0
NDC,60687-493-11,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [11639]",1.41,0.49,,,0
NDC,60687-494-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],0.62,0.22,,,0
NDC,60687-495-01,PREGABALIN 75 MG CAPSULE [42164],1.35,0.47,,,0
NDC,60687-495-11,PREGABALIN 75 MG CAPSULE [42164],1.35,0.47,,,0
NDC,60687-496-01,AMLODIPINE 10 MG TABLET [9069],0.16,0.05,,,0
NDC,60687-496-11,AMLODIPINE 10 MG TABLET [9069],0.16,0.05,,,0
NDC,60687-497-01,LEVOTHYROXINE 100 MCG TABLET [4423],0.6,0.21,,,0
NDC,60687-500-01,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",1.6,0.56,,,0
NDC,60687-500-11,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",1.6,0.56,,,0
NDC,60687-502-01,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],1.24,0.43,,,0
NDC,60687-502-11,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],1.24,0.43,,,0
NDC,60687-503-01,BACLOFEN 10 MG TABLET [860],0.57,0.2,,,0
NDC,60687-503-11,BACLOFEN 10 MG TABLET [860],0.57,0.2,,,0
NDC,60687-504-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [11640]",1.51,0.53,,,0
NDC,60687-507-01,GABAPENTIN 600 MG TABLET [25855],0.66,0.23,,,0
NDC,60687-507-11,GABAPENTIN 600 MG TABLET [25855],0.66,0.23,,,0
NDC,60687-508-01,LEVOTHYROXINE 112 MCG TABLET [10404],0.68,0.24,,,0
NDC,60687-508-11,LEVOTHYROXINE 112 MCG TABLET [10404],0.68,0.24,,,0
NDC,60687-513-11,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],1.68,0.59,,,0
NDC,60687-513-65,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],1.68,0.59,,,0
NDC,60687-518-01,GABAPENTIN 800 MG TABLET [25856],0.93,0.32,,,0
NDC,60687-518-11,GABAPENTIN 800 MG TABLET [25856],0.93,0.32,,,0
NDC,60687-519-01,LEVOTHYROXINE 125 MCG TABLET [4424],0.71,0.25,,,0
NDC,60687-519-11,LEVOTHYROXINE 125 MCG TABLET [4424],0.71,0.25,,,0
NDC,60687-525-11,CINACALCET 30 MG TABLET [38100],25.83,9.04,,,0
NDC,60687-525-21,CINACALCET 30 MG TABLET [38100],25.83,9.04,,,0
NDC,60687-527-21,URSODIOL 250 MG TABLET [22660],3.5,1.22,,,0
NDC,60687-528-01,CIPROFLOXACIN 250 MG TABLET [25118],0.3,0.11,,,0
NDC,60687-528-11,CIPROFLOXACIN 250 MG TABLET [25118],0.3,0.11,,,0
NDC,60687-530-01,LEVOTHYROXINE 150 MCG TABLET [4425],0.73,0.26,,,0
NDC,60687-531-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0.26,0.09,,,0
NDC,60687-534-78,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,60687-535-01,BUMETANIDE 2 MG TABLET [9311],1.48,0.52,,,0
NDC,60687-535-11,BUMETANIDE 2 MG TABLET [9311],1.48,0.52,,,0
NDC,60687-537-01,PROPAFENONE 150 MG TABLET [11146],0.77,0.27,,,0
NDC,60687-537-11,PROPAFENONE 150 MG TABLET [11146],0.77,0.27,,,0
NDC,60687-538-11,FEBUXOSTAT 40 MG TABLET [97133],2.5,0.88,,,0
NDC,60687-538-21,FEBUXOSTAT 40 MG TABLET [97133],2.5,0.88,,,0
NDC,60687-544-01,CLONAZEPAM 0.5 MG TABLET [9637],0.59,0.21,,,0
NDC,60687-550-01,METRONIDAZOLE 500 MG TABLET [5016],0.75,0.26,,,0
NDC,60687-550-11,METRONIDAZOLE 500 MG TABLET [5016],0.75,0.26,,,0
NDC,60687-551-01,DIGOXIN 250 MCG (0.25 MG) TABLET [2445],1.16,0.4,,,0
NDC,60687-551-11,DIGOXIN 250 MCG (0.25 MG) TABLET [2445],1.16,0.4,,,0
NDC,60687-552-01,LEVOTHYROXINE 200 MCG TABLET [4426],1.0,0.35,,,0
NDC,60687-552-11,LEVOTHYROXINE 200 MCG TABLET [4426],1.0,0.35,,,0
NDC,60687-553-11,ISONIAZID 300 MG TABLET [4027],1.1,0.38,,,0
NDC,60687-555-01,CLONAZEPAM 1 MG TABLET [9638],0.59,0.21,,,0
NDC,60687-555-11,CLONAZEPAM 1 MG TABLET [9638],0.59,0.21,,,0
NDC,60687-559-01,METHOCARBAMOL 500 MG TABLET [4971],0.25,0.09,,,0
NDC,60687-559-11,METHOCARBAMOL 500 MG TABLET [4971],0.25,0.09,,,0
NDC,60687-568-01,METHOCARBAMOL 750 MG TABLET [4972],0.31,0.11,,,0
NDC,60687-568-11,METHOCARBAMOL 750 MG TABLET [4972],0.31,0.11,,,0
NDC,60687-570-01,PRAMIPEXOLE 0.25 MG TABLET [21290],0.3,0.1,,,0
NDC,60687-570-11,PRAMIPEXOLE 0.25 MG TABLET [21290],0.3,0.1,,,0
NDC,60687-573-01,DILTIAZEM 60 MG TABLET [2476],0.45,0.16,,,0
NDC,60687-573-11,DILTIAZEM 60 MG TABLET [2476],0.45,0.16,,,0
NDC,60687-578-11,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE [8962]",4.76,1.66,,,0
NDC,60687-578-21,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE [8962]",4.76,1.66,,,0
NDC,60687-579-01,HYDROMORPHONE 2 MG TABLET [3760],0.25,0.09,,,0
NDC,60687-579-11,HYDROMORPHONE 2 MG TABLET [3760],0.25,0.09,,,0
NDC,60687-580-01,GABAPENTIN 100 MG CAPSULE [18309],0.12,0.04,,,0
NDC,60687-580-11,GABAPENTIN 100 MG CAPSULE [18309],0.12,0.04,,,0
NDC,60687-581-11,PRAMIPEXOLE 0.5 MG TABLET [22719],0.83,0.29,,,0
NDC,60687-581-21,PRAMIPEXOLE 0.5 MG TABLET [22719],0.83,0.29,,,0
NDC,60687-583-11,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR [27635]",3.36,1.18,,,0
NDC,60687-583-21,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR [27635]",3.36,1.18,,,0
NDC,60687-585-01,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.25,0.09,,,0
NDC,60687-585-11,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.25,0.09,,,0
NDC,60687-587-01,PROPRANOLOL 10 MG TABLET [6656],0.25,0.09,,,0
NDC,60687-587-11,PROPRANOLOL 10 MG TABLET [6656],0.25,0.09,,,0
NDC,60687-590-01,HYDROMORPHONE 4 MG TABLET [3761],0.3,0.1,,,0
NDC,60687-590-11,HYDROMORPHONE 4 MG TABLET [3761],0.3,0.1,,,0
NDC,60687-591-01,GABAPENTIN 300 MG CAPSULE [18308],0.14,0.05,,,0
NDC,60687-591-11,GABAPENTIN 300 MG CAPSULE [18308],0.14,0.05,,,0
NDC,60687-592-11,PRAMIPEXOLE 1 MG TABLET [21288],0.98,0.34,,,0
NDC,60687-592-21,PRAMIPEXOLE 1 MG TABLET [21288],0.98,0.34,,,0
NDC,60687-593-01,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.21,0.07,,,0
NDC,60687-593-11,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.21,0.07,,,0
NDC,60687-595-01,FAMOTIDINE 20 MG TABLET [10011],0.2,0.07,,,0
NDC,60687-595-11,FAMOTIDINE 20 MG TABLET [10011],0.2,0.07,,,0
NDC,60687-599-21,FLUCYTOSINE 250 MG CAPSULE [10051],81.86,28.65,,,0
NDC,60687-602-01,GABAPENTIN 400 MG CAPSULE [18307],0.19,0.07,,,0
NDC,60687-602-11,GABAPENTIN 400 MG CAPSULE [18307],0.19,0.07,,,0
NDC,60687-603-11,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],0.31,0.11,,,0
NDC,60687-603-65,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],0.31,0.11,,,0
NDC,60687-606-01,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE [15340]",0.53,0.19,,,0
NDC,60687-606-11,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE [15340]",0.53,0.19,,,0
NDC,60687-607-21,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [91073]",2.14,0.75,,,0
NDC,60687-609-01,PROPRANOLOL 40 MG TABLET [6658],0.56,0.2,,,0
NDC,60687-609-11,PROPRANOLOL 40 MG TABLET [6658],0.56,0.2,,,0
NDC,60687-610-11,FLUCYTOSINE 500 MG CAPSULE [10052],156.67,54.83,,,0
NDC,60687-610-21,FLUCYTOSINE 500 MG CAPSULE [10052],156.67,54.83,,,0
NDC,60687-612-11,VALSARTAN 40 MG TABLET [33541],0.83,0.29,,,0
NDC,60687-612-21,VALSARTAN 40 MG TABLET [33541],0.83,0.29,,,0
NDC,60687-622-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.16,0.06,,,0
NDC,60687-622-11,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.16,0.06,,,0
NDC,60687-623-01,VALSARTAN 80 MG TABLET [31209],1.07,0.37,,,0
NDC,60687-623-11,VALSARTAN 80 MG TABLET [31209],1.07,0.37,,,0
NDC,60687-627-01,LORAZEPAM 0.5 MG TABLET [4572],0.14,0.05,,,0
NDC,60687-627-11,LORAZEPAM 0.5 MG TABLET [4572],0.14,0.05,,,0
NDC,60687-629-11,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],3.3,1.15,,,0
NDC,60687-629-21,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],2.33,0.82,,,0
NDC,60687-631-01,METOCLOPRAMIDE 10 MG TABLET [5005],0.6,0.21,,,0
NDC,60687-631-11,METOCLOPRAMIDE 10 MG TABLET [5005],0.6,0.21,,,0
NDC,60687-632-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0.6,0.21,,,0
NDC,60687-633-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],2.94,1.03,,,0
NDC,60687-633-11,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],2.94,1.03,,,0
NDC,60687-634-01,VALSARTAN 160 MG TABLET [31210],1.21,0.42,,,0
NDC,60687-634-11,VALSARTAN 160 MG TABLET [31210],1.21,0.42,,,0
NDC,60687-636-01,ONDANSETRON HCL 4 MG TABLET [10778],0.75,0.26,,,0
NDC,60687-636-11,ONDANSETRON HCL 4 MG TABLET [10778],0.75,0.26,,,0
NDC,60687-638-01,LORAZEPAM 1 MG TABLET [4573],0.14,0.05,,,0
NDC,60687-638-11,LORAZEPAM 1 MG TABLET [4573],0.14,0.05,,,0
NDC,60687-640-01,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0.52,0.18,,,0
NDC,60687-640-11,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0.52,0.18,,,0
NDC,60687-641-21,NEBIVOLOL 5 MG TABLET [89284],2.92,1.02,,,0
NDC,60687-647-01,ONDANSETRON HCL 8 MG TABLET [10779],0.96,0.34,,,0
NDC,60687-647-11,ONDANSETRON HCL 8 MG TABLET [10779],0.96,0.34,,,0
NDC,60687-649-01,LORAZEPAM 2 MG TABLET [4574],0.23,0.08,,,0
NDC,60687-649-11,LORAZEPAM 2 MG TABLET [4574],0.23,0.08,,,0
NDC,60687-651-11,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [27543],1.29,0.45,,,0
NDC,60687-651-21,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [27543],1.29,0.45,,,0
NDC,60687-652-21,NEBIVOLOL 10 MG TABLET [89286],3.5,1.22,,,0
NDC,60687-656-11,LISINOPRIL 2.5 MG TABLET [13089],0.55,0.19,,,0
NDC,60687-656-21,LISINOPRIL 2.5 MG TABLET [13089],0.55,0.19,,,0
NDC,60687-657-01,LEVETIRACETAM 500 MG TABLET [26817],0.27,0.09,,,0
NDC,60687-657-11,LEVETIRACETAM 500 MG TABLET [26817],0.27,0.09,,,0
NDC,60687-658-01,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0.67,0.23,,,0
NDC,60687-658-11,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0.67,0.23,,,0
NDC,60687-661-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.36,0.13,,,0
NDC,60687-661-11,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.36,0.13,,,0
NDC,60687-663-11,METAXALONE 800 MG TABLET [33963],5.6,1.96,,,0
NDC,60687-663-21,METAXALONE 800 MG TABLET [33963],5.6,1.96,,,0
NDC,60687-669-01,METHIMAZOLE 5 MG TABLET [10553],0.6,0.21,,,0
NDC,60687-669-11,METHIMAZOLE 5 MG TABLET [10553],0.6,0.21,,,0
NDC,60687-672-11,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],1.63,0.57,,,0
NDC,60687-672-65,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],1.63,0.57,,,0
NDC,60687-679-21,BISOPROLOL FUMARATE 5 MG TABLET [18288],1.3,0.46,,,0
NDC,60687-681-01,FOLIC ACID 1 MG TABLET [3233],0.17,0.06,,,0
NDC,60687-681-11,FOLIC ACID 1 MG TABLET [3233],0.17,0.06,,,0
NDC,60687-683-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [19146],0.17,0.06,,,0
NDC,60687-683-11,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [19146],0.17,0.06,,,0
NDC,60687-686-01,HYDROXYZINE HCL 50 MG TABLET [3775],0.38,0.13,,,0
NDC,60687-687-57,LACOSAMIDE 100 MG TABLET [96969],3.07,1.07,,,0
NDC,60687-691-01,DEMECLOCYCLINE 150 MG TABLET [9726],6.94,2.43,,,0
NDC,60687-691-11,DEMECLOCYCLINE 150 MG TABLET [9726],6.94,2.43,,,0
NDC,60687-693-01,LAMOTRIGINE 150 MG TABLET [14266],0.41,0.14,,,0
NDC,60687-694-21,METHENAMINE HIPPURATE 1 GRAM TABLET [10549],2.46,0.86,,,0
NDC,60687-699-21,CEFDINIR 300 MG CAPSULE [22289],3.37,1.18,,,0
NDC,60687-704-01,LAMOTRIGINE 200 MG TABLET [13983],0.44,0.15,,,0
NDC,60687-704-11,LAMOTRIGINE 200 MG TABLET [13983],0.44,0.15,,,0
NDC,60687-715-21,COLESTIPOL 1 GRAM TABLET [13884],29.76,10.42,,,0
NDC,60687-717-01,DILTIAZEM 30 MG TABLET [2475],0.44,0.15,,,0
NDC,60687-717-11,DILTIAZEM 30 MG TABLET [2475],0.44,0.15,,,0
NDC,60687-720-11,LAMIVUDINE 150 MG TABLET [15880],7.5,2.62,,,0
NDC,60687-720-21,LAMIVUDINE 150 MG TABLET [15880],7.5,2.62,,,0
NDC,60687-722-01,OXCARBAZEPINE 300 MG TABLET [21061],0.88,0.31,,,0
NDC,60687-725-01,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.25,0.09,,,0
NDC,60687-725-11,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.25,0.09,,,0
NDC,60687-730-01,MECLIZINE 25 MG TABLET [12025],0.59,0.21,,,0
NDC,60687-730-11,MECLIZINE 25 MG TABLET [12025],0.59,0.21,,,0
NDC,60687-732-21,DESMOPRESSIN 0.2 MG TABLET [16053],36.53,12.78,,,0
NDC,60687-733-01,OXCARBAZEPINE 600 MG TABLET [21157],1.55,0.54,,,0
NDC,60687-734-01,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.6,0.56,,,0
NDC,60687-734-11,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.6,0.56,,,0
NDC,60687-736-11,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.22,0.08,,,0
NDC,60687-736-65,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.22,0.08,,,0
NDC,60687-740-24,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [113787],0.33,0.12,,,0
NDC,60687-740-37,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [113787],0.33,0.12,,,0
NDC,60687-745-01,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.6,0.56,,,0
NDC,60687-745-11,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.6,0.56,,,0
NDC,60687-746-01,MISOPROSTOL 200 MCG TABLET [10629],2.27,0.79,,,0
NDC,60687-746-11,MISOPROSTOL 200 MCG TABLET [10629],2.27,0.79,,,0
NDC,60687-756-09,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",14.88,5.21,,,0
NDC,60687-773-01,DEXAMETHASONE 2 MG TABLET [2326],9.82,3.44,,,0
NDC,60687-793-11,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",67.64,23.67,,,0
NDC,60687-793-21,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",67.64,23.67,,,0
NDC,60687-822-01,HYDRALAZINE 25 MG TABLET [3700],14.88,5.21,,,0
NDC,60687-822-11,HYDRALAZINE 25 MG TABLET [3700],14.88,5.21,,,0
NDC,60687-833-01,HYDRALAZINE 50 MG TABLET [3701],14.88,5.21,,,0
NDC,60687-833-11,HYDRALAZINE 50 MG TABLET [3701],14.88,5.21,,,0
NDC,60687-846-11,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],14.88,5.21,,,0
NDC,60687-846-65,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],14.88,5.21,,,0
NDC,60687-854-01,PREDNISONE 50 MG TABLET [6498],103.08,36.08,,,0
NDC,60687-854-11,PREDNISONE 50 MG TABLET [6498],103.08,36.08,,,0
NDC,60687-868-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",27.06,9.47,,,0
NDC,60758-119-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",18.67,6.53,,,0
NDC,60758-119-15,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",39.14,13.7,,,0
NDC,60758-802-05,TIMOLOL MALEATE 0.25 % EYE DROPS [11561],23.27,8.14,,,0
NDC,60793-104-01,METHIMAZOLE 5 MG TABLET [10553],2.06,0.72,,,0
NDC,60793-115-01,LIOTHYRONINE 5 MCG TABLET [10443],0.38,0.13,,,0
NDC,60793-116-01,LIOTHYRONINE 25 MCG TABLET [4504],0.53,0.19,,,0
NDC,60793-130-10,"PENICILLIN G PROCAINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE [10904]",97.92,34.27,,,0
NDC,60793-131-10,PENICILLIN G PROCAINE 1.2 MILLION UNIT/2 ML INTRAMUSCULAR SYRINGE [104262],97.92,34.27,,,0
NDC,60793-136-01,METAXALONE 800 MG TABLET [33963],10.63,3.72,,,0
NDC,60793-205-05,"THROMBIN (BOVINE) 5,000 UNIT NASAL SPRAY SYRINGE [158411]",492.44,172.35,,,0
NDC,60793-215-05,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION [112065]",492.44,172.35,,,0
NDC,60793-217-20,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SOLUTION [102931]",1578.78,552.57,,,0
NDC,60793-217-22,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY SYRINGE [158413]",1578.78,552.57,,,0
NDC,60793-605-01,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE [32709]",5.3,1.86,,,0
NDC,60793-606-01,"MORPHINE ER 60 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE [32710]",10.3,3.61,,,0
NDC,60793-700-01,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE [10897]",141.73,49.6,,,0
NDC,60793-700-10,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE [10897]",141.73,49.6,,,0
NDC,60793-701-02,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [106251]",70.86,24.8,,,0
NDC,60793-701-10,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [106251]",70.86,24.8,,,0
NDC,60793-702-04,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE [106250]",309.22,108.23,,,0
NDC,60793-702-10,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE [106250]",309.22,108.23,,,0
NDC,60793-705-05,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SPRAY SYRINGE [158412]",492.44,172.35,,,0
NDC,60793-802-01,NADOLOL 80 MG TABLET [5332],6.74,2.36,,,0
NDC,60846-517-01,PHENAZOPYRIDINE 100 MG TABLET [6193],3.5,1.22,,,0
NDC,60846-520-01,PHENAZOPYRIDINE 200 MG TABLET [6194],4.5,1.58,,,0
NDC,60951-794-70,OXYMORPHONE 5 MG TABLET [76675],2.23,0.78,,,0
NDC,60977-016-02,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION [29464],617.16,216.01,,,0
NDC,60977-016-73,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION [29464],61.72,21.6,,,0
NDC,60977-017-01,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],61.72,21.6,,,0
NDC,60977-017-73,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],61.72,21.6,,,0
NDC,60977-112-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,60977-141-01,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [6462],331.93,116.17,,,0
NDC,60977-141-27,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [6462],331.93,116.17,,,0
NDC,61269-410-20,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION [17451],157.54,55.14,,,0
NDC,61269-981-35,DOCOSANOL 10 % TOPICAL CREAM [29287],30.53,10.69,,,0
NDC,61314-012-05,OFLOXACIN 0.3 % EYE DROPS [19746],16.72,5.85,,,0
NDC,61314-014-05,DICLOFENAC 0.1 % EYE DROPS [19714],54.23,18.98,,,0
NDC,61314-014-25,DICLOFENAC 0.1 % EYE DROPS [19714],64.94,22.73,,,0
NDC,61314-015-05,OFLOXACIN 0.3 % EAR DROPS [22257],431.56,151.05,,,0
NDC,61314-016-01,PROPARACAINE 0.5 % EYE DROPS [6644],12.72,4.45,,,0
NDC,61314-019-10,DORZOLAMIDE 2 % EYE DROPS [14471],24.89,8.71,,,0
NDC,61314-030-02,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],66.02,23.11,,,0
NDC,61314-044-75,TRIFLURIDINE 1 % EYE DROPS [11595],107.87,37.75,,,0
NDC,61314-126-05,KETOROLAC 0.5 % EYE DROPS [19733],28.57,10.0,,,0
NDC,61314-126-10,KETOROLAC 0.5 % EYE DROPS [19733],78.01,27.3,,,0
NDC,61314-143-05,BRIMONIDINE 0.2 % EYE DROPS [17881],7.57,2.65,,,0
NDC,61314-203-15,PILOCARPINE 1 % EYE DROPS [6279],30.44,10.65,,,0
NDC,61314-204-15,PILOCARPINE 2 % EYE DROPS [6280],32.47,11.36,,,0
NDC,61314-225-05,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION [24576],56.82,19.89,,,0
NDC,61314-226-05,TIMOLOL MALEATE 0.25 % EYE DROPS [11561],23.27,8.14,,,0
NDC,61314-226-10,TIMOLOL MALEATE 0.25 % EYE DROPS [11561],11.64,4.07,,,0
NDC,61314-227-05,TIMOLOL MALEATE 0.5 % EYE DROPS [11562],12.63,4.42,,,0
NDC,61314-227-10,TIMOLOL MALEATE 0.5 % EYE DROPS [11562],12.63,4.42,,,0
NDC,61314-237-10,CROMOLYN 4 % EYE DROPS [9691],35.04,12.26,,,0
NDC,61314-238-05,CARTEOLOL 1 % EYE DROPS [9417],82.52,28.88,,,0
NDC,61314-271-05,OLOPATADINE 0.1 % EYE DROPS [19452],117.16,41.01,,,0
NDC,61314-303-01,ATROPINE 1 % EYE DROPS [736],50.06,17.52,,,0
NDC,61314-342-01,PHENYLEPHRINE 2.5 % EYE DROPS [6246],26.75,9.36,,,0
NDC,61314-342-02,PHENYLEPHRINE 2.5 % EYE DROPS [6246],26.75,9.36,,,0
NDC,61314-354-01,TROPICAMIDE 0.5 % EYE DROPS [8249],15.33,5.37,,,0
NDC,61314-355-01,TROPICAMIDE 1 % EYE DROPS [8250],18.31,6.41,,,0
NDC,61314-355-02,TROPICAMIDE 1 % EYE DROPS [8250],18.31,6.41,,,0
NDC,61314-396-01,CYCLOPENTOLATE 1 % EYE DROPS [2025],30.33,10.62,,,0
NDC,61314-396-03,CYCLOPENTOLATE 1 % EYE DROPS [2025],8.65,3.03,,,0
NDC,61314-547-01,LATANOPROST 0.005 % EYE DROPS [18621],143.4,50.19,,,0
NDC,61314-547-03,LATANOPROST 0.005 % EYE DROPS [18621],143.4,50.19,,,0
NDC,61314-628-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS [103278]",6.63,2.32,,,0
NDC,61314-630-06,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS [10708]",49.24,17.24,,,0
NDC,61314-631-36,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT [19495]",102.82,35.99,,,0
NDC,61314-633-05,GENTAMICIN 0.3 % EYE DROPS [3428],43.56,15.25,,,0
NDC,61314-637-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",39.14,13.7,,,0
NDC,61314-637-10,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",39.14,13.7,,,0
NDC,61314-641-75,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP [35126]",458.62,160.52,,,0
NDC,61314-643-05,TOBRAMYCIN 0.3 % EYE DROPS [7995],27.33,9.56,,,0
NDC,61314-645-11,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP [28810]",330.1,115.53,,,0
NDC,61314-647-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [11567]",121.76,42.61,,,0
NDC,61314-656-05,CIPROFLOXACIN 0.3 % EYE DROPS [9610],27.28,9.55,,,0
NDC,61314-656-25,CIPROFLOXACIN 0.3 % EYE DROPS [9610],28.86,10.1,,,0
NDC,61314-665-05,APRACLONIDINE 0.5 % EYE DROPS [9119],101.19,35.42,,,0
NDC,61314-701-01,SULFACETAMIDE SODIUM 10 % EYE DROPS [7359],2.98,1.04,,,0
NDC,61314-866-01,PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [186644],23766.36,8318.22,,,0
NDC,61442-121-01,FAMOTIDINE 20 MG TABLET [10011],0.07,0.02,,,0
NDC,61442-126-01,MELOXICAM 7.5 MG TABLET [20566],0.04,0.01,,,0
NDC,61442-127-01,MELOXICAM 15 MG TABLET [20580],0.05,0.02,,,0
NDC,61553-009-02,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [145352],225.93,79.07,,,0
NDC,61553-224-02,ROPIVACAINE (PF) 0.1 % IN 0.9 % SODIUM CHLORIDE EPIDURAL SOLUTION [110257],204.86,71.7,,,0
NDC,61553-300-28,REMIFENTANIL 50 MCG/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE [409907],14.67,5.14,,,0
NDC,61553-360-65,EPINEPHRINE HCL 100 MCG/10 ML(10 MCG/ML) IN 0.9 % SOD CHLOR IV SYRINGE [174390],2.6,0.91,,,0
NDC,61553-500-36,KETAMINE 50MG/ML IV SYRINGE [409560],10.02,3.51,,,0
NDC,61553-651-76,MORPHINE 55 MG/55 ML IN 0.9 % SODIUM CHLORIDE INJECTABLE PCA SYRINGE [110293],5.76,2.02,,,0
NDC,61553-653-76,MORPHINE 55 MG/55 ML IN 0.9 % SODIUM CHLORIDE INJECTABLE PCA SYRINGE [110293],5.76,2.02,,,0
NDC,61553-670-67,"FENTANYL (PF) 1,250 MCG/25 ML (50 MCG/ML) IN 0.9 % NACL PCA SYRINGE [110275]",22.15,7.75,,,0
NDC,61553-672-44,FENTANYL (PF) 50 MCG/ML INTRAVENOUS PCA SYRINGE [113225],22.15,7.75,,,0
NDC,61553-672-67,"FENTANYL (PF) 1,250 MCG/25 ML (50 MCG/ML) IN 0.9 % NACL PCA SYRINGE [110275]",22.15,7.75,,,0
NDC,61553-683-76,HYDROMORPHONE HIGH DOSE 1MG/ML CONTINOUS INFUSION [409648],20.55,7.19,,,0
NDC,61553-844-48,FENTANYL (PF) 2 MCG/ML-ROPIVACAINE 0.2 %-NACL EPIDURAL PUMP RESERVOIR [110282],1.63,0.57,,,0
NDC,61570-047-10,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION [70678]",181.28,63.45,,,0
NDC,61570-048-20,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION [70678]",181.28,63.45,,,0
NDC,61570-052-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],1.24,0.44,,,0
NDC,61570-072-01,ESTERIFIED ESTROGENS 0.3 MG TABLET [9963],1.85,0.65,,,0
NDC,61570-073-01,ESTERIFIED ESTROGENS 0.625 MG TABLET [9964],2.63,0.92,,,0
NDC,61570-074-01,ESTERIFIED ESTROGENS 1.25 MG TABLET [9965],3.67,1.29,,,0
NDC,61570-110-01,RAMIPRIL 1.25 MG CAPSULE [11258],5.33,1.87,,,0
NDC,61570-112-56,RAMIPRIL 5 MG CAPSULE [11261],2.06,0.72,,,0
NDC,61570-120-01,RAMIPRIL 10 MG CAPSULE [11259],7.73,2.71,,,0
NDC,61570-131-20,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],1.85,0.65,,,0
NDC,61570-131-40,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0.67,0.24,,,0
NDC,61570-131-50,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],1.57,0.55,,,0
NDC,61570-131-55,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],1.57,0.55,,,0
NDC,61570-131-98,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],677.78,237.22,,,0
NDC,61570-260-10,QUINUPRISTIN-DALFOPRISTIN 500 MG INTRAVENOUS SOLUTION [26335],365.92,128.07,,,0
NDC,61703-262-05,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,61703-305-38,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION [113295],14.48,5.07,,,0
NDC,61703-305-58,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION [113295],14.48,5.07,,,0
NDC,61703-309-06,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],100.45,35.16,,,0
NDC,61703-309-16,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [112836],100.45,35.16,,,0
NDC,61703-309-25,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [112836],100.45,35.16,,,0
NDC,61703-319-22,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],72.4,25.34,,,0
NDC,61703-323-22,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],4434.8,1552.18,,,0
NDC,61703-324-18,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],4.85,1.7,,,0
NDC,61703-326-18,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],109.0,38.15,,,0
NDC,61703-332-18,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],2217.4,776.09,,,0
NDC,61703-339-22,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,61703-339-50,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,61703-339-56,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,61703-342-09,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,61703-342-22,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,61703-342-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,61703-343-18,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [10634]",2332.07,816.22,,,0
NDC,61703-344-18,FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],1671.1,584.89,,,0
NDC,61703-349-09,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [17450],230.12,80.54,,,0
NDC,61703-349-16,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [91055],1150.57,402.7,,,0
NDC,61703-359-93,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [13671],41.13,14.4,,,0
NDC,61703-360-22,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,61703-363-18,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [41598],53.75,18.81,,,0
NDC,61703-363-22,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],53.31,18.66,,,0
NDC,61703-408-25,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [82178],90.19,31.57,,,0
NDC,61703-408-41,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [82178],90.19,31.57,,,0
NDC,61703-418-07,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION [11641]",131.9,46.17,,,0
NDC,61703-418-18,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION [11641]",131.9,46.17,,,0
NDC,6170341977,VITAMIN E 50 UNIT/ML ORAL DROPS [11648],23.0,8.05,,,0
NDC,61744-050-01,MILTEFOSINE 50 MG CAPSULE [174012],1833.59,641.76,,,0
NDC,61748-011-01,ETHAMBUTOL 100 MG TABLET [9982],0.42,0.15,,,0
NDC,61748-012-01,PYRAZINAMIDE 500 MG TABLET [6738],4.92,1.72,,,0
NDC,61748-012-06,PYRAZINAMIDE 500 MG TABLET [6738],1.16,0.41,,,0
NDC,61748-012-11,PYRAZINAMIDE 500 MG TABLET [6738],5.2,1.82,,,0
NDC,61748-014-11,ETHAMBUTOL 400 MG TABLET [9983],1.3,0.46,,,0
NDC,61748-015-11,RIFAMPIN 150 MG CAPSULE [11292],1.12,0.39,,,0
NDC,61748-018-01,RIFAMPIN 300 MG CAPSULE [11293],1.29,0.45,,,0
NDC,61748-025-01,ETHOSUXIMIDE 250 MG CAPSULE [9989],1.2,0.42,,,0
NDC,61748-044-16,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],45.3,15.85,,,0
NDC,61748-045-01,AMINOCAPROIC ACID 500 MG TABLET [9063],4.38,1.53,,,0
NDC,61748-045-11,AMINOCAPROIC ACID 500 MG TABLET [9063],4.48,1.57,,,0
NDC,61748-054-16,TRIHEXYPHENIDYL 0.4 MG/ML ORAL ELIXIR [8165],18.94,6.63,,,0
NDC,61748-113-48,DEMECLOCYCLINE 300 MG TABLET [9727],8.33,2.92,,,0
NDC,61755-008-01,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [408338],5255.98,1839.59,,,0
NDC,61874-130-30,CARIPRAZINE 3 MG CAPSULE [174022],45.92,16.07,,,0
NDC,61874-145-30,CARIPRAZINE 4.5 MG CAPSULE [174023],45.92,16.07,,,0
NDC,61953-0014-1,THROMBIN(HUM-PLAS)-FIBRIN-CAL 500 UNIT-80 MG/ML (10ML) TOPICAL SYRINGE [189857],469.25,164.24,,,0
NDC,61958-0101-1,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378],1552.05,543.22,,,0
NDC,61958-0401-1,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],8.52,2.98,,,0
NDC,61958-0501-1,ADEFOVIR 10 MG TABLET [33816],54.34,19.02,,,0
NDC,61958-0601-1,EMTRICITABINE 200 MG CAPSULE [36252],17.88,6.26,,,0
NDC,61958-0602-1,EMTRICITABINE 10 MG/ML ORAL SOLUTION [42989],3.1,1.09,,,0
NDC,61958-0701-1,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [39255],37.46,13.11,,,0
NDC,61958-0801-1,AMBRISENTAN 5 MG TABLET [82307],412.47,144.37,,,0
NDC,61958-0801-2,AMBRISENTAN 5 MG TABLET [82307],288.58,101.0,,,0
NDC,61958-0801-3,AMBRISENTAN 5 MG TABLET [82307],288.57,101.0,,,0
NDC,61958-0801-5,AMBRISENTAN 5 MG TABLET [82307],412.47,144.37,,,0
NDC,61958-0802-1,AMBRISENTAN 10 MG TABLET [82308],412.47,144.37,,,0
NDC,61958-0802-2,AMBRISENTAN 10 MG TABLET [82308],288.58,101.0,,,0
NDC,61958-0802-3,AMBRISENTAN 10 MG TABLET [82308],288.57,101.0,,,0
NDC,61958-0802-5,AMBRISENTAN 10 MG TABLET [82308],412.47,144.37,,,0
NDC,61958-0901-1,AZTREONAM LYSINE 75 MG/ML SOLUTION FOR NEBULIZATION [100393],47.49,16.62,,,0
NDC,61958-1001-1,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",4.31,1.51,,,0
NDC,61958-1003-1,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",6.85,2.4,,,0
NDC,61958-1201-1,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET [158511],132.71,46.45,,,0
NDC,61958-1401-1,COBICISTAT 150 MG TABLET [168193],9.44,3.31,,,0
NDC,61958-1501-1,SOFOSBUVIR 400 MG TABLET [164592],1000.0,350.0,,,0
NDC,61958-1901-1,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET [172685],126.51,44.28,,,0
NDC,61958-2002-1,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET [174506],71.97,25.19,,,0
NDC,61958-2002-2,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET [174506],71.97,25.19,,,0
NDC,61958-2101-1,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR ALAFENAM 25 MG TABLET [174309],115.13,40.3,,,0
NDC,61958-2201-1,SOFOSBUVIR 400 MG-VELPATASVIR 100 MG TABLET [175577],3426.98,1199.44,,,0
NDC,61958-2301-1,TENOFOVIR ALAFENAMIDE 25 MG TABLET [177023],148.17,51.86,,,0
NDC,61958-2401-1,SOFOSBUVIR 400 MG-VELPATASVIR 100 MG-VOXILAPREVIR 100 MG TABLET [179331],3426.98,1199.44,,,0
NDC,61958-2501-1,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET [181442],416.83,145.89,,,0
NDC,61958-2501-3,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET [181442],126.51,44.28,,,0
NDC,61958-2901-1,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION [409086],1798.99,629.65,,,0
NDC,61958-2901-2,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION [409086],1798.99,629.65,,,0
NDC,61990-0212-0,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,61990-0212-2,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,61990-0213-1,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,61990-0611-0,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,61990-0611-2,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,62037-777-60,"CLARITHROMYCIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [27602]",3.76,1.31,,,0
NDC,62135-308-01,CIPROFLOXACIN 250 MG TABLET [25118],2.94,1.03,,,0
NDC,62135-309-01,CIPROFLOXACIN 500 MG TABLET [25119],3.44,1.2,,,0
NDC,62135-481-42,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],2.44,0.85,,,0
NDC,62135-502-47,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],3.86,1.35,,,0
NDC,62135-511-47,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],4.06,1.42,,,0
NDC,62135-520-47,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP [10810],6.76,2.37,,,0
NDC,62135-550-47,ISONIAZID 50 MG/5 ML ORAL SOLUTION [4025],13.53,4.73,,,0
NDC,62135-712-42,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],0.97,0.34,,,0
NDC,62135-813-47,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,62175-107-01,ISOSORBIDE MONONITRATE 20 MG TABLET [10357],0.51,0.18,,,0
NDC,62175-119-37,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0.22,0.08,,,0
NDC,62175-128-37,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0.21,0.07,,,0
NDC,62175-180-46,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.14,0.05,,,0
NDC,62175-181-46,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.14,0.05,,,0
NDC,62175-210-32,MONTELUKAST 10 MG TABLET [22509],0.79,0.28,,,0
NDC,62175-310-37,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR [28750]",5.18,1.81,,,0
NDC,62175-452-32,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET [34713],0.65,0.23,,,0
NDC,62175-490-64,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR [9582],6.22,2.18,,,0
NDC,62175-490-70,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR [9582],6.22,2.18,,,0
NDC,6220500020,ENTERAL PUMP ACCESSORY FOR FAT HYDROLYSIS CARTRIDGE [174371],266.84,93.39,,,0
NDC,62332-001-31,FAMOTIDINE 20 MG TABLET [10011],0.1,0.04,,,0
NDC,62332-001-91,FAMOTIDINE 20 MG TABLET [10011],0.1,0.04,,,0
NDC,62332-040-60,LAMOTRIGINE 200 MG TABLET [13983],0.1,0.04,,,0
NDC,62332-061-30,LEFLUNOMIDE 10 MG TABLET [23872],5.0,1.75,,,0
NDC,62332-062-30,LEFLUNOMIDE 20 MG TABLET [23873],5.0,1.75,,,0
NDC,62332-096-31,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET [27639],0.44,0.15,,,0
NDC,62332-121-90,PREGABALIN 75 MG CAPSULE [42164],0.17,0.06,,,0
NDC,62332-190-30,FEBUXOSTAT 40 MG TABLET [97133],1.77,0.62,,,0
NDC,62332-198-60,ASENAPINE 5 MG SUBLINGUAL TABLET [99754],6.0,2.1,,,0
NDC,62332-367-06,CLONAZEPAM 1 MG DISINTEGRATING TABLET [42228],1.07,0.37,,,0
NDC,62332-599-01,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,62332-599-25,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,62332-600-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,62332-600-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,62332-618-31,CYCLOPHOSPHAMIDE 25 MG CAPSULE [166193],1.68,0.59,,,0
NDC,62332-619-31,CYCLOPHOSPHAMIDE 50 MG CAPSULE [166194],2.93,1.02,,,0
NDC,62332-634-06,DABIGATRAN ETEXILATE 75 MG CAPSULE [148297],1.0,0.35,,,0
NDC,62332-751-50,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],0.85,0.3,,,0
NDC,62372-630-15,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.52,0.53,,,0
NDC,62484-0020-2,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION [166424],49.57,17.35,,,0
NDC,6253000011,UREA 15 GRAM ORAL POWDER PACKET [179172],12.11,4.24,,,0
NDC,62541-402-10,"LIPASE 4,200-PROTEASE 14,200-AMYLASE 24,600 UNIT CAPSULE,DELAYED REL [176846]",4.62,1.62,,,0
NDC,62541-403-10,"LIPASE 10,500-PROTEASE 35,500-AMYLASE 61,500 UNIT CAPSULE,DELAYED REL [176845]",10.14,3.55,,,0
NDC,62541-404-10,"LIPASE 16,800-PROTEASE 56,800-AMYLASE 98,400 UNIT CAPSULE, DELAYED REL [176843]",16.28,5.7,,,0
NDC,62541-405-10,"LIPASE 21,000-PROTEASE 54,700-AMYLASE 83,900 UNIT CAPSULE,DELAYED REL [176844]",20.28,7.1,,,0
NDC,62542-301-04,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR [9582],6.22,2.18,,,0
NDC,62542-301-17,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR [9582],6.22,2.18,,,0
NDC,62559-138-07,HYDROCORTISONE 100 MG/60 ML ENEMA [10210],1.33,0.47,,,0
NDC,62559-160-01,FLUVOXAMINE 100 MG TABLET [10084],0.65,0.23,,,0
NDC,62559-190-16,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],1.35,0.47,,,0
NDC,62559-231-01,PROPAFENONE 225 MG TABLET [11147],0.4,0.14,,,0
NDC,62559-232-01,PROPAFENONE 300 MG TABLET [11148],1.15,0.4,,,0
NDC,62559-265-30,TRANEXAMIC ACID 650 MG TABLET [145031],2.67,0.93,,,0
NDC,62559-440-02,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION [2899],4.06,1.42,,,0
NDC,62559-522-01,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE [38226]",81.2,28.42,,,0
NDC,62559-532-01,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE [38226]",0.27,0.09,,,0
NDC,62559-670-30,ANASTROZOLE 1 MG TABLET [16205],54.41,19.04,,,0
NDC,62559-721-01,TERBUTALINE 2.5 MG TABLET [11508],1.0,0.35,,,0
NDC,62559-722-01,TERBUTALINE 5 MG TABLET [11509],1.22,0.43,,,0
NDC,62559-731-01,FELBAMATE 600 MG TABLET [10025],1.08,0.38,,,0
NDC,62559-820-01,MEXILETINE 150 MG CAPSULE [10595],0.63,0.22,,,0
NDC,62559-850-60,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [27644]",0.8,0.28,,,0
NDC,62559-921-14,TEMOZOLOMIDE 20 MG CAPSULE [25893],7.42,2.6,,,0
NDC,62584-048-11,"DIDANOSINE 400 MG CAPSULE,DELAYED RELEASE [29110]",11.99,4.2,,,0
NDC,62584-142-01,OXCARBAZEPINE 150 MG TABLET [27049],0.32,0.11,,,0
NDC,62584-142-11,OXCARBAZEPINE 150 MG TABLET [27049],0.32,0.11,,,0
NDC,62584-143-01,OXCARBAZEPINE 300 MG TABLET [21061],0.62,0.22,,,0
NDC,62584-143-11,OXCARBAZEPINE 300 MG TABLET [21061],0.62,0.22,,,0
NDC,62584-145-01,OXCARBAZEPINE 600 MG TABLET [21157],1.08,0.38,,,0
NDC,62584-145-11,OXCARBAZEPINE 600 MG TABLET [21157],1.08,0.38,,,0
NDC,62584-159-01,DEMECLOCYCLINE 150 MG TABLET [9726],6.94,2.43,,,0
NDC,62584-159-11,DEMECLOCYCLINE 150 MG TABLET [9726],6.94,2.43,,,0
NDC,62584-163-11,DEMECLOCYCLINE 300 MG TABLET [9727],12.61,4.41,,,0
NDC,62584-163-65,DEMECLOCYCLINE 300 MG TABLET [9727],12.61,4.41,,,0
NDC,62584-259-01,METFORMIN 500 MG TABLET [10544],0.09,0.03,,,0
NDC,62584-259-11,METFORMIN 500 MG TABLET [10544],0.09,0.03,,,0
NDC,62584-265-01,METOPROLOL TARTRATE 25 MG TABLET [37637],0.08,0.03,,,0
NDC,62584-265-11,METOPROLOL TARTRATE 25 MG TABLET [37637],0.08,0.03,,,0
NDC,62584-266-01,METOPROLOL TARTRATE 50 MG TABLET [5009],0.11,0.04,,,0
NDC,62584-266-11,METOPROLOL TARTRATE 50 MG TABLET [5009],0.11,0.04,,,0
NDC,62584-267-01,METOPROLOL TARTRATE 100 MG TABLET [5008],0.28,0.1,,,0
NDC,62584-267-11,METOPROLOL TARTRATE 100 MG TABLET [5008],0.28,0.1,,,0
NDC,62584-467-01,ATENOLOL 50 MG TABLET [718],0.12,0.04,,,0
NDC,62584-467-11,ATENOLOL 50 MG TABLET [718],0.12,0.04,,,0
NDC,62584-612-11,AMANTADINE HCL 100 MG CAPSULE [364],0.66,0.23,,,0
NDC,62584-713-01,ALLOPURINOL 300 MG TABLET [311],0.74,0.26,,,0
NDC,62584-713-11,ALLOPURINOL 300 MG TABLET [311],0.74,0.26,,,0
NDC,62584-733-01,HYDRALAZINE 25 MG TABLET [3700],0.24,0.08,,,0
NDC,62584-734-01,HYDRALAZINE 50 MG TABLET [3701],0.35,0.12,,,0
NDC,62584-734-11,HYDRALAZINE 50 MG TABLET [3701],0.31,0.11,,,0
NDC,62584-747-01,IBUPROFEN 600 MG TABLET [3844],0.06,0.02,,,0
NDC,62584-747-11,IBUPROFEN 600 MG TABLET [3844],0.06,0.02,,,0
NDC,62584-886-01,TRIHEXYPHENIDYL 2 MG TABLET [8166],0.22,0.08,,,0
NDC,62584-886-11,TRIHEXYPHENIDYL 2 MG TABLET [8166],0.22,0.08,,,0
NDC,62584-887-11,TRIHEXYPHENIDYL 5 MG TABLET [8167],0.57,0.2,,,0
NDC,62584-887-21,TRIHEXYPHENIDYL 5 MG TABLET [8167],0.57,0.2,,,0
NDC,62584-897-01,FOLIC ACID 1 MG TABLET [3233],0.15,0.05,,,0
NDC,62584-897-11,FOLIC ACID 1 MG TABLET [3233],0.15,0.05,,,0
NDC,62584-974-01,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [27480]",0.33,0.12,,,0
NDC,62584-974-11,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [27480]",0.33,0.12,,,0
NDC,62584-975-01,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0.39,0.14,,,0
NDC,62584-975-11,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0.39,0.14,,,0
NDC,62584-976-01,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",0.61,0.21,,,0
NDC,62584-976-11,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",0.61,0.21,,,0
NDC,62584-977-01,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",0.79,0.28,,,0
NDC,62584-977-11,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",0.79,0.28,,,0
NDC,62584-988-01,ALLOPURINOL 100 MG TABLET [310],0.41,0.14,,,0
NDC,62584-988-11,ALLOPURINOL 100 MG TABLET [310],0.41,0.14,,,0
NDC,62592-720-50,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION [40917],964.88,337.71,,,0
NDC,62756-060-40,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION [153876],167.68,58.69,,,0
NDC,62756-094-40,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,62756-094-44,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,62756-130-01,ONDANSETRON HCL 4 MG TABLET [10778],0.31,0.11,,,0
NDC,62756-138-02,GABAPENTIN 300 MG CAPSULE [18308],0.08,0.03,,,0
NDC,62756-142-01,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0.09,0.03,,,0
NDC,62756-143-01,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR [35771]",0.19,0.07,,,0
NDC,62756-146-86,RIVASTIGMINE 3 MG CAPSULE [28279],3.86,1.35,,,0
NDC,62756-147-86,RIVASTIGMINE 4.5 MG CAPSULE [28280],0.58,0.2,,,0
NDC,62756-148-86,RIVASTIGMINE 6 MG CAPSULE [28281],0.58,0.2,,,0
NDC,62756-183-18,OXCARBAZEPINE 150 MG TABLET [27049],0.28,0.1,,,0
NDC,62756-183-88,OXCARBAZEPINE 150 MG TABLET [27049],0.3,0.1,,,0
NDC,62756-184-88,OXCARBAZEPINE 300 MG TABLET [21061],0.55,0.19,,,0
NDC,62756-202-01,GABAPENTIN 600 MG TABLET [25855],0.15,0.05,,,0
NDC,62756-233-01,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION [21900],179.09,62.68,,,0
NDC,62756-258-02,ZONISAMIDE 25 MG CAPSULE [36987],0.21,0.07,,,0
NDC,62756-351-44,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,62756-511-83,LETROZOLE 2.5 MG TABLET [21509],0.25,0.09,,,0
NDC,62756-513-44,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,62756-529-26,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,62756-529-40,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,62756-712-86,TOPIRAMATE 200 MG TABLET [18921],0.49,0.17,,,0
NDC,62756-796-88,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",0.06,0.02,,,0
NDC,62756-798-88,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.25,0.09,,,0
NDC,62856-177-08,CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT [21672],15442.23,5404.78,,,0
NDC,62856-212-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [196950],440.77,154.27,,,0
NDC,62856-215-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [196950],440.77,154.27,,,0
NDC,62856-243-41,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE [25896]",7.41,2.59,,,0
NDC,62856-243-90,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE [25896]",15.99,5.6,,,0
NDC,62856-245-41,DONEPEZIL 5 MG TABLET [18786],15.35,5.37,,,0
NDC,62856-246-41,DONEPEZIL 10 MG TABLET [18787],15.35,5.37,,,0
NDC,62856-272-30,PERAMPANEL 2 MG TABLET [164618],63.96,22.39,,,0
NDC,62856-276-30,PERAMPANEL 6 MG TABLET [164620],126.93,44.43,,,0
NDC,62856-282-30,PERAMPANEL 12 MG TABLET [165481],126.93,44.43,,,0
NDC,62856-389-01,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [148361],2778.67,972.53,,,0
NDC,62856-582-30,RUFINAMIDE 200 MG TABLET [95691],3.52,1.23,,,0
NDC,62856-582-52,RUFINAMIDE 200 MG TABLET [95691],13.2,4.62,,,0
NDC,62856-583-52,RUFINAMIDE 400 MG TABLET [95692],26.4,9.24,,,0
NDC,62856-584-46,RUFINAMIDE 40 MG/ML ORAL SUSPENSION [149957],14.19,4.97,,,0
NDC,62856-600-01,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,62856-602-10,BEXAROTENE 75 MG CAPSULE [27027],2.71,0.95,,,0
NDC,62856-604-22,BEXAROTENE 1 % TOPICAL GEL [28640],7040.28,2464.1,,,0
NDC,62856-705-10,PILOCARPINE 5 MG TABLET [12803],1.68,0.59,,,0
NDC,62935-220-04,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],12519.75,4381.91,,,0
NDC,62935-221-04,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],12519.75,4381.91,,,0
NDC,62935-222-05,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],1355.07,474.27,,,0
NDC,62935-223-05,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],1355.07,474.27,,,0
NDC,62935-227-10,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],12519.75,4381.91,,,0
NDC,62935-303-30,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE [35236],16693.0,5842.55,,,0
NDC,62935-305-29,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE [35236],16693.0,5842.55,,,0
NDC,62935-453-45,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],25039.5,8763.82,,,0
NDC,62935-454-44,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],25039.5,8763.82,,,0
NDC,62935-461-50,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],25039.5,8763.82,,,0
NDC,62935-753-75,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE [32893],4173.25,1460.64,,,0
NDC,62935-754-74,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE [32893],4173.25,1460.64,,,0
NDC,62991-1035-1,CLOTRIMAZOLE (BULK) POWDER [12312],2.69,0.94,,,0
NDC,62991-1095-1,LIDOCAINE HCL (BULK) 100 % POWDER [112982],2.08,0.73,,,0
NDC,62991-1095-2,LIDOCAINE HCL (BULK) 100 % POWDER [112982],2.08,0.73,,,0
NDC,62991-1708-3,TETRACAINE (BULK) 100 % WAX [22422],1.35,0.47,,,0
NDC,6299115861,ARGININE HCL(L-ARGININE)(BULK) 100 % POWDER [22345],0.71,0.25,,,0
NDC,6299116951,RIBOFLAVIN (VITAMIN B2) (BULK) POWDER [22624],1.27,0.44,,,0
NDC,6299125421,ALPHA LIPOIC ACID (BULK) 100 % POWDER [150910],22.88,8.01,,,0
NDC,6299127531,CITRULLINE (BULK) POWDER [19153],3.12,1.09,,,0
NDC,6299127532,CITRULLINE (BULK) POWDER [19153],3.12,1.09,,,0
NDC,6299130541,SODIUM METABISULFITE (BULK) POWDER [23272],0.1,0.03,,,0
NDC,63010-020-36,DELAVIRDINE 100 MG DISPERSIBLE TABLET [20639],0.81,0.28,,,0
NDC,63020-049-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],10552.3,3693.3,,,0
NDC,63020-049-04,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],10552.3,3693.3,,,0
NDC,63020-533-30,PONATINIB 30 MG TABLET [190352],670.87,234.8,,,0
NDC,6304420301,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0.1,0.03,,,0
NDC,63187-803-20,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],66.29,23.2,,,0
NDC,63261-250-21,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [10358],1845.04,645.76,,,0
NDC,63304-086-90,DROXIDOPA 100 MG CAPSULE [167193],1.11,0.39,,,0
NDC,63304-241-59,CALCITRIOL 1 MCG/ML ORAL SOLUTION [16218],114.99,40.25,,,0
NDC,63304-296-05,HYDROXYCHLOROQUINE 200 MG TABLET [10235],0.52,0.18,,,0
NDC,63304-520-20,CEFPODOXIME 100 MG TABLET [9468],3.63,1.27,,,0
NDC,63304-581-10,METOPROLOL TARTRATE 100 MG TABLET [5008],0.04,0.01,,,0
NDC,63304-625-01,FUROSEMIDE 40 MG TABLET [3295],0.04,0.01,,,0
NDC,63304-693-01,CLINDAMYCIN HCL 300 MG CAPSULE [9621],0.43,0.15,,,0
NDC,63304-696-05,MINOCYCLINE 100 MG CAPSULE [5110],0.64,0.23,,,0
NDC,63304-761-01,AMOXICILLIN 400 MG CHEWABLE TABLET [25244],0.41,0.14,,,0
NDC,63304-773-01,LORAZEPAM 1 MG TABLET [4573],0.07,0.02,,,0
NDC,63304-794-01,FLECAINIDE 50 MG TABLET [10043],0.5,0.17,,,0
NDC,63304-977-03,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION [33229],54.11,18.94,,,0
NDC,63323-010-01,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],124.98,43.74,,,0
NDC,63323-010-02,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],62.49,21.87,,,0
NDC,63323-010-20,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],124.98,43.74,,,0
NDC,63323-011-15,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION [25518],118.54,41.49,,,0
NDC,63323-012-01,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,63323-012-03,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,63323-012-07,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,63323-012-11,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,63323-012-12,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,63323-012-17,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,63323-012-30,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],43.81,15.33,,,0
NDC,63323-013-01,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,63323-013-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,63323-013-09,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,63323-013-21,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,63323-013-26,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,63323-024-01,MANNITOL 25 % INTRAVENOUS SOLUTION [4750],2.16,0.76,,,0
NDC,63323-024-25,MANNITOL 25 % INTRAVENOUS SOLUTION [4750],2.16,0.76,,,0
NDC,63323-025-10,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION [1676]",1122.78,392.97,,,0
NDC,63323-044-00,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",45.1,15.78,,,0
NDC,63323-044-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",45.1,15.78,,,0
NDC,63323-064-01,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,63323-064-02,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,63323-064-03,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,63323-064-04,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],49.08,17.18,,,0
NDC,63323-064-10,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,63323-064-11,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],10.31,3.61,,,0
NDC,63323-064-20,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,63323-064-21,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,63323-064-23,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,63323-064-43,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,63323-064-50,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],51.54,18.04,,,0
NDC,63323-083-05,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [102894],5.88,2.06,,,0
NDC,63323-086-05,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],10.55,3.69,,,0
NDC,63323-086-15,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],10.55,3.69,,,0
NDC,63323-088-61,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],1.17,0.41,,,0
NDC,63323-088-63,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],1.17,0.41,,,0
NDC,63323-089-50,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [102823],2.06,0.72,,,0
NDC,63323-093-01,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],1.17,0.41,,,0
NDC,63323-093-30,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],1.17,0.41,,,0
NDC,63323-095-61,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],1.17,0.41,,,0
NDC,63323-101-61,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],15.25,5.34,,,0
NDC,63323-102-13,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
NDC,63323-103-51,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,63323-103-64,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,63323-103-65,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,63323-104-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,63323-104-05,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,63323-104-06,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,63323-104-25,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,63323-104-50,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,63323-106-02,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [112209],4.12,1.44,,,0
NDC,63323-106-05,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [112209],4.12,1.44,,,0
NDC,63323-106-15,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [112310],2.67,0.93,,,0
NDC,63323-106-26,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [112209],4.12,1.44,,,0
NDC,63323-108-00,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [16162],1.03,0.36,,,0
NDC,63323-108-01,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [16162],1.03,0.36,,,0
NDC,63323-113-10,PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],734.41,257.04,,,0
NDC,63323-117-01,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [82204],4.7,1.65,,,0
NDC,63323-117-10,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [82200],4.7,1.65,,,0
NDC,63323-117-20,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [82204],4.7,1.65,,,0
NDC,63323-117-28,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [82204],4.7,1.65,,,0
NDC,63323-117-51,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],0.85,0.3,,,0
NDC,63323-117-61,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],0.13,0.05,,,0
NDC,63323-117-68,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],0.13,0.05,,,0
NDC,63323-120-20,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],72.4,25.34,,,0
NDC,63323-125-53,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],4090.79,1431.78,,,0
NDC,63323-127-10,DACARBAZINE 100 MG INTRAVENOUS SOLUTION [2090],128.84,45.1,,,0
NDC,63323-128-20,DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],127.05,44.47,,,0
NDC,63323-130-02,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],297.63,104.17,,,0
NDC,63323-130-11,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],297.63,104.17,,,0
NDC,63323-132-10,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [10634]",16.93,5.92,,,0
NDC,63323-136-10,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],2217.4,776.09,,,0
NDC,63323-137-20,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],4434.8,1552.18,,,0
NDC,63323-139-40,SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [7320],0.01,0.0049,,,0
NDC,63323-140-10,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],54.76,19.17,,,0
NDC,63323-142-10,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],1025.6,358.96,,,0
NDC,63323-143-97,TRACE ELEMENTS #1 5.33 MCG-0.34 MG-0.54 MG/ML INTRAVENOUS SOLUTION [163109],1.35,0.47,,,0
NDC,63323-147-10,TRACE ELEMENTS PEDI ZN-CU-MN-SE-F-I 521 MCG-53.7 MCG-3.6 MCG/ML IV [163108],2.61,0.91,,,0
NDC,63323-161-00,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,63323-161-01,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,63323-161-12,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,63323-161-21,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,63323-162-00,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,63323-162-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,63323-162-12,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,63323-165-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,63323-165-02,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,63323-165-03,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,63323-165-05,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,63323-165-30,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,63323-170-05,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0.62,0.22,,,0
NDC,63323-170-15,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0.62,0.22,,,0
NDC,63323-172-45,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,63323-172-60,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,63323-173-02,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [111972],128.84,45.1,,,0
NDC,63323-180-01,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION [6744],2.58,0.9,,,0
NDC,63323-184-10,FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],83.88,29.36,,,0
NDC,63323-184-11,FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],83.88,29.36,,,0
NDC,63323-185-07,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",1.52,0.53,,,0
NDC,63323-185-10,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",1.52,0.53,,,0
NDC,63323-185-20,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",1.52,0.53,,,0
NDC,63323-185-50,"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]",1.52,0.53,,,0
NDC,63323-186-03,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],0.31,0.11,,,0
NDC,63323-186-10,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],2.98,1.04,,,0
NDC,63323-186-20,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],0.32,0.11,,,0
NDC,63323-187-30,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],1.17,0.41,,,0
NDC,63323-192-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION [41294],604.94,211.73,,,0
NDC,63323-193-05,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [17450],230.12,80.54,,,0
NDC,63323-201-03,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,63323-201-10,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,63323-205-00,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [408346],3.06,1.07,,,0
NDC,63323-205-21,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [408346],4.28,1.5,,,0
NDC,63323-205-31,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [408346],3.06,1.07,,,0
NDC,63323-205-50,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [408346],4.28,1.5,,,0
NDC,63323-208-05,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION [110678],6.44,2.25,,,0
NDC,63323-221-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,63323-221-10,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,63323-221-16,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,63323-229-05,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],128.84,45.1,,,0
NDC,63323-229-21,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],25.77,9.02,,,0
NDC,63323-229-30,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],25.77,9.02,,,0
NDC,63323-229-35,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],25.77,9.02,,,0
NDC,63323-236-10,CEFAZOLIN 500 MG SOLUTION FOR INJECTION [1448],44.05,15.42,,,0
NDC,63323-237-10,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],88.11,30.84,,,0
NDC,63323-238-61,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],881.05,308.37,,,0
NDC,63323-248-10,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION [4419],658.54,230.49,,,0
NDC,63323-259-30,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0.24,0.08,,,0
NDC,63323-260-01,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [112610],2.1,0.74,,,0
NDC,63323-260-30,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [112610],2.1,0.74,,,0
NDC,63323-260-37,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [112610],2.1,0.74,,,0
NDC,63323-262-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,63323-262-03,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,63323-262-06,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,63323-262-55,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,63323-265-30,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",687.2,240.52,,,0
NDC,63323-269-20,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,63323-269-22,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,63323-269-27,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,63323-269-29,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,63323-269-35,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,63323-269-37,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,63323-269-50,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,63323-269-65,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,63323-269-67,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,63323-270-25,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,63323-270-26,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,63323-270-50,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,63323-270-57,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.52,2.28,,,0
NDC,63323-270-65,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,63323-272-05,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],908.35,317.92,,,0
NDC,63323-273-01,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97342],976.64,341.82,,,0
NDC,63323-276-01,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [110555]",7.09,2.48,,,0
NDC,63323-276-02,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [110555]",7.09,2.48,,,0
NDC,63323-278-10,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION [8594],34.11,11.94,,,0
NDC,63323-280-01,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,63323-280-03,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,63323-280-04,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,63323-280-10,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.82,5.19,,,0
NDC,63323-282-60,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],307.1,107.48,,,0
NDC,63323-284-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,63323-284-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,63323-284-21,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,63323-284-26,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,63323-286-11,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.25,,,0
NDC,63323-286-30,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.25,,,0
NDC,63323-286-31,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.25,,,0
NDC,63323-286-35,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.25,,,0
NDC,63323-286-95,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.14,2.15,,,0
NDC,63323-287-20,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION [18193],0.63,0.22,,,0
NDC,63323-288-01,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.88,4.51,,,0
NDC,63323-288-06,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.88,4.51,,,0
NDC,63323-288-07,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],11.58,4.05,,,0
NDC,63323-288-10,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.88,4.51,,,0
NDC,63323-288-20,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.88,4.51,,,0
NDC,63323-288-21,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.88,4.51,,,0
NDC,63323-288-27,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.88,4.51,,,0
NDC,63323-294-20,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [112609],3.16,1.1,,,0
NDC,63323-294-27,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [112609],3.16,1.1,,,0
NDC,63323-295-61,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],788.28,275.9,,,0
NDC,63323-300-20,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,63323-300-30,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,63323-303-01,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],1762.58,616.9,,,0
NDC,63323-303-51,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],1762.58,616.9,,,0
NDC,63323-306-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,63323-306-02,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,63323-306-05,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,63323-306-30,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,63323-307-51,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,63323-309-20,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,63323-311-10,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,63323-311-19,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,63323-311-50,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,63323-311-59,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,63323-311-61,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,63323-311-66,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,63323-314-61,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],1576.56,551.79,,,0
NDC,63323-315-01,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],300.21,105.07,,,0
NDC,63323-315-10,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],300.21,105.07,,,0
NDC,63323-321-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",59.53,20.83,,,0
NDC,63323-322-01,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],412.3,144.3,,,0
NDC,63323-322-21,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],412.3,144.3,,,0
NDC,63323-322-25,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],412.3,144.3,,,0
NDC,63323-322-93,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],412.3,144.3,,,0
NDC,63323-322-94,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],412.3,144.3,,,0
NDC,63323-325-03,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],33.26,11.64,,,0
NDC,63323-325-09,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],33.26,11.64,,,0
NDC,63323-325-10,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],33.26,11.64,,,0
NDC,63323-325-20,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],33.26,11.64,,,0
NDC,63323-326-20,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],110.14,38.55,,,0
NDC,63323-349-25,IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION [9602],206.15,72.15,,,0
NDC,63323-349-93,IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION [9602],206.15,72.15,,,0
NDC,63323-349-94,IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION [9602],206.15,72.15,,,0
NDC,63323-351-20,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],673.72,235.8,,,0
NDC,63323-355-60,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [107001],5.88,2.06,,,0
NDC,63323-360-01,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,63323-360-03,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,63323-360-05,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,63323-365-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],77.8,27.23,,,0
NDC,63323-368-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,63323-369-20,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,63323-371-10,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,63323-371-19,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,63323-373-02,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,63323-376-00,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,63323-376-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],298.92,104.62,,,0
NDC,63323-377-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],777.97,272.29,,,0
NDC,63323-388-10,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],73.44,25.7,,,0
NDC,63323-389-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.88,51.41,,,0
NDC,63323-393-06,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,63323-398-01,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,63323-398-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,63323-399-23,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],293.76,102.82,,,0
NDC,63323-400-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,63323-400-09,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,63323-400-41,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,63323-401-01,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],129.27,45.24,,,0
NDC,63323-401-20,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],129.27,45.24,,,0
NDC,63323-401-26,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],129.27,45.24,,,0
NDC,63323-402-01,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],258.53,90.49,,,0
NDC,63323-402-03,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],258.53,90.49,,,0
NDC,63323-402-20,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],129.27,45.24,,,0
NDC,63323-402-24,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],258.53,90.49,,,0
NDC,63323-402-30,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],258.53,90.49,,,0
NDC,63323-403-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,63323-403-04,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,63323-403-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,63323-405-10,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",23.06,8.07,,,0
NDC,63323-407-03,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
NDC,63323-412-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,63323-417-01,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],21.92,7.67,,,0
NDC,63323-417-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [16168],21.92,7.67,,,0
NDC,63323-418-20,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],66.23,23.18,,,0
NDC,63323-421-01,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,63323-421-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,63323-424-05,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],5.48,1.92,,,0
NDC,63323-424-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],5.48,1.92,,,0
NDC,63323-426-02,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,63323-426-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,63323-426-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,63323-434-00,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [148497]",0.73,0.25,,,0
NDC,63323-434-41,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [148497]",0.73,0.25,,,0
NDC,63323-452-00,MORPHINE 2 MG/ML INJECTION SOLUTION [102091],52.83,18.49,,,0
NDC,63323-452-01,MORPHINE 2 MG/ML INJECTION SOLUTION [102091],52.83,18.49,,,0
NDC,63323-454-00,MORPHINE 4 MG/ML INJECTION SOLUTION [181936],52.83,18.49,,,0
NDC,63323-454-01,MORPHINE 4 MG/ML INJECTION SOLUTION [181936],52.83,18.49,,,0
NDC,63323-459-09,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,63323-460-30,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION [107004]",3.11,1.09,,,0
NDC,63323-460-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION [107004]",3.11,1.09,,,0
NDC,63323-462-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [14984]",2.57,0.9,,,0
NDC,63323-462-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [14984]",2.57,0.9,,,0
NDC,63323-464-02,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,63323-464-17,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,63323-464-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,63323-464-37,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],3.83,1.34,,,0
NDC,63323-466-03,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,63323-466-17,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,63323-466-30,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,63323-466-37,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],3.83,1.34,,,0
NDC,63323-468-02,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [14983]",2.57,0.9,,,0
NDC,63323-468-17,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [14983]",2.57,0.9,,,0
NDC,63323-468-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [14983]",2.57,0.9,,,0
NDC,63323-472-17,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],114.99,40.25,,,0
NDC,63323-472-37,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],114.99,40.25,,,0
NDC,63323-473-02,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],27.06,9.47,,,0
NDC,63323-474-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,63323-478-01,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION [1635],0.71,0.25,,,0
NDC,63323-478-20,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION [1635],14.17,4.96,,,0
NDC,63323-478-27,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION [1635],179.09,62.68,,,0
NDC,63323-481-01,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [14870]",2.11,0.74,,,0
NDC,63323-481-50,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [14870]",2.11,0.74,,,0
NDC,63323-481-57,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [14870]",2.11,0.74,,,0
NDC,63323-482-03,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",4.06,1.42,,,0
NDC,63323-482-05,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",4.06,1.42,,,0
NDC,63323-482-26,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",4.06,1.42,,,0
NDC,63323-482-27,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",4.06,1.42,,,0
NDC,63323-482-57,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",4.06,1.42,,,0
NDC,63323-483-01,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",1.43,0.5,,,0
NDC,63323-483-03,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",1.43,0.5,,,0
NDC,63323-483-27,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",1.43,0.5,,,0
NDC,63323-483-57,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",1.43,0.5,,,0
NDC,63323-484-57,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION [4451],4.51,1.58,,,0
NDC,63323-485-01,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,63323-485-26,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,63323-485-27,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,63323-485-57,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],1.37,0.48,,,0
NDC,63323-486-01,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],5.79,2.03,,,0
NDC,63323-486-02,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],5.79,2.03,,,0
NDC,63323-486-05,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],3.35,1.17,,,0
NDC,63323-486-27,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],3.35,1.17,,,0
NDC,63323-486-57,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],3.35,1.17,,,0
NDC,63323-487-30,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [15985]",147.46,51.61,,,0
NDC,63323-487-31,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [15985]",0.94,0.33,,,0
NDC,63323-488-30,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION [15956]",236.75,82.86,,,0
NDC,63323-488-37,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION [15956]",7.89,2.76,,,0
NDC,63323-489-01,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",7.37,2.58,,,0
NDC,63323-489-17,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",7.37,2.58,,,0
NDC,63323-489-21,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",7.37,2.58,,,0
NDC,63323-489-27,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",7.37,2.58,,,0
NDC,63323-490-89,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION [4455],17.78,6.22,,,0
NDC,63323-491-57,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [110677],225.48,78.92,,,0
NDC,63323-492-08,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,63323-492-27,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,63323-492-37,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,63323-492-80,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,63323-492-89,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,63323-492-97,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [110674],2.02,0.71,,,0
NDC,63323-494-01,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],27.71,9.7,,,0
NDC,63323-494-05,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.85,10.8,,,0
NDC,63323-496-97,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [110675],6.44,2.25,,,0
NDC,63323-506-01,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [111053],80.2,28.07,,,0
NDC,63323-507-01,MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],209.77,73.42,,,0
NDC,63323-507-20,MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],209.77,73.42,,,0
NDC,63323-508-01,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,63323-508-21,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,63323-508-30,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,63323-508-31,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],419.66,146.88,,,0
NDC,63323-516-10,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],78.75,27.56,,,0
NDC,63323-517-01,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",1.73,0.61,,,0
NDC,63323-517-74,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",1.73,0.61,,,0
NDC,63323-523-01,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [15846]",2.05,0.72,,,0
NDC,63323-523-74,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV [15846]",2.05,0.72,,,0
NDC,63323-526-03,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],2628.41,919.94,,,0
NDC,63323-531-01,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],427.73,149.7,,,0
NDC,63323-531-90,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],427.73,149.7,,,0
NDC,63323-533-01,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [104989],427.73,149.7,,,0
NDC,63323-533-83,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [104989],427.73,149.7,,,0
NDC,63323-537-01,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
NDC,63323-537-84,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
NDC,63323-540-05,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,63323-540-11,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,63323-540-15,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,63323-540-31,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,63323-542-04,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,63323-542-07,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,63323-542-09,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,63323-542-14,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,63323-562-10,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,63323-562-41,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,63323-564-21,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,63323-564-97,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,63323-568-83,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [104989],427.73,149.7,,,0
NDC,63323-568-84,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,63323-568-87,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,63323-568-88,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
NDC,63323-568-90,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [9931],427.73,149.7,,,0
NDC,63323-568-95,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,63323-568-96,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [104992],427.73,149.7,,,0
NDC,63323-569-84,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [103547],1352.86,473.5,,,0
NDC,63323-569-90,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,63323-569-99,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [31921],641.59,224.56,,,0
NDC,63323-574-86,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE [152449],12233.29,4281.65,,,0
NDC,63323-579-01,SINCALIDE 5 MCG SOLUTION FOR INJECTION [11368],803.98,281.39,,,0
NDC,63323-579-05,SINCALIDE 5 MCG SOLUTION FOR INJECTION [11368],803.98,281.39,,,0
NDC,63323-585-15,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1288.44,450.95,,,0
NDC,63323-596-06,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [170587],766.62,268.32,,,0
NDC,63323-596-08,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [170587],766.62,268.32,,,0
NDC,63323-596-11,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [170587],766.62,268.32,,,0
NDC,63323-596-13,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [170587],766.62,268.32,,,0
NDC,63323-596-16,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [170587],766.62,268.32,,,0
NDC,63323-597-10,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],148.17,51.86,,,0
NDC,63323-599-30,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],148.17,51.86,,,0
NDC,63323-604-00,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],141.73,49.6,,,0
NDC,63323-604-01,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],141.73,49.6,,,0
NDC,63323-605-01,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,63323-605-84,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,63323-605-94,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [104991],427.73,149.7,,,0
NDC,63323-607-01,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
NDC,63323-607-88,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [104990],427.73,149.7,,,0
NDC,63323-614-00,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,63323-614-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,63323-614-21,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,63323-614-55,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,63323-616-03,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,63323-616-09,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,63323-617-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],25.0,8.75,,,0
NDC,63323-617-20,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],25.0,8.75,,,0
NDC,63323-626-55,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0.4,0.14,,,0
NDC,63323-642-50,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],10.31,3.61,,,0
NDC,63323-649-07,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [153980],365.28,127.85,,,0
NDC,63323-649-16,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [153980],245.16,85.81,,,0
NDC,63323-651-02,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],249.96,87.48,,,0
NDC,63323-651-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],249.96,87.48,,,0
NDC,63323-652-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],36.53,12.78,,,0
NDC,63323-658-20,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],1660.8,581.28,,,0
NDC,63323-659-03,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION [10267],367.98,128.79,,,0
NDC,63323-660-05,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,63323-664-00,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],67.0,23.45,,,0
NDC,63323-664-01,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],67.0,23.45,,,0
NDC,63323-665-00,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],190.69,66.74,,,0
NDC,63323-665-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],190.69,66.74,,,0
NDC,63323-690-30,ACETYLCYSTEINE 20% (200 MG/ML) ORAL SOLN [152975],6.04,2.12,,,0
NDC,63323-694-04,ACETYLCYSTEINE 20% (200 MG/ML) ORAL SOLN [152975],6.04,2.12,,,0
NDC,63323-704-08,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],146.88,51.41,,,0
NDC,63323-705-08,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],293.76,102.82,,,0
NDC,63323-707-20,AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],73.44,25.7,,,0
NDC,63323-710-50,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION [15426],121.11,42.39,,,0
NDC,63323-715-05,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,63323-724-01,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],684.55,239.59,,,0
NDC,63323-724-05,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],684.55,239.59,,,0
NDC,63323-729-01,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],1417.28,496.05,,,0
NDC,63323-729-10,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],1417.28,496.05,,,0
NDC,63323-731-01,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION [9348],171.36,59.98,,,0
NDC,63323-733-10,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],33.11,11.59,,,0
NDC,63323-735-10,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],109.0,38.15,,,0
NDC,63323-738-09,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [10009],43.26,15.14,,,0
NDC,63323-738-20,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [10009],43.26,15.14,,,0
NDC,63323-739-11,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,63323-739-12,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,63323-751-00,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,63323-751-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,63323-751-05,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,63323-763-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,63323-771-39,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,63323-778-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],21.4,7.49,,,0
NDC,63323-781-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,63323-781-21,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,63323-806-02,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,63323-806-05,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,63323-806-12,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,63323-806-13,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.9,7.67,,,0
NDC,63323-806-50,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],10.95,3.83,,,0
NDC,63323-812-01,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],149.4,52.29,,,0
NDC,63323-812-20,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],149.4,52.29,,,0
NDC,63323-813-01,OXACILLIN 1 GRAM SOLUTION FOR INJECTION [103765],78.44,27.45,,,0
NDC,63323-813-20,OXACILLIN 1 GRAM SOLUTION FOR INJECTION [103765],78.44,27.45,,,0
NDC,63323-815-04,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [147620]",512.15,179.25,,,0
NDC,63323-820-00,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [176382],0.93,0.33,,,0
NDC,63323-820-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [176382],0.93,0.33,,,0
NDC,63323-820-03,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [176382],0.24,0.08,,,0
NDC,63323-820-04,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [176382],0.37,0.13,,,0
NDC,63323-820-50,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [176382],0.24,0.08,,,0
NDC,63323-820-74,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [176382],0.37,0.13,,,0
NDC,63323-851-03,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,63323-851-10,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [10224],205.54,71.94,,,0
NDC,63323-852-25,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION [102776],20.55,7.19,,,0
NDC,63323-871-15,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,63323-881-01,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0.62,0.22,,,0
NDC,63323-881-16,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0.62,0.22,,,0
NDC,63323-883-30,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [112879],15.25,5.34,,,0
NDC,63323-884-01,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0.62,0.22,,,0
NDC,63323-884-06,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0.62,0.22,,,0
NDC,63323-885-10,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION [185024],76.7,26.85,,,0
NDC,63323-915-01,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION [10178]",14.17,4.96,,,0
NDC,63323-924-03,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0.24,0.08,,,0
NDC,63323-924-30,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0.24,0.08,,,0
NDC,63323-960-10,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
NDC,63323-963-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],27.0,9.45,,,0
NDC,63323-965-03,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
NDC,63323-965-10,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
NDC,63323-965-20,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],3.86,1.35,,,0
NDC,63323-966-00,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],29.42,10.3,,,0
NDC,63323-970-02,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],52.83,18.49,,,0
NDC,63323-981-21,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,63323-981-23,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,63323-983-23,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,63323018520,Sterile Water: 25 Vial In 1 Tray (63323-185-20)  / 20 Ml In 1 Vial (63323-185-08),15.82,5.54,,,0
NDC,6332325402,"MINERAL OIL, LIGHT STERILE [186875]",4.46,1.56,,,0
NDC,6332325410,"MINERAL OIL, LIGHT STERILE [186875]",4.46,1.56,,,0
NDC,63402-202-30,ESLICARBAZEPINE 200 MG TABLET [165574],39.96,13.99,,,0
NDC,63402-204-30,ESLICARBAZEPINE 400 MG TABLET [165576],39.96,13.99,,,0
NDC,63402-206-60,ESLICARBAZEPINE 600 MG TABLET [165577],39.96,13.99,,,0
NDC,63402-208-30,ESLICARBAZEPINE 800 MG TABLET [165575],39.96,13.99,,,0
NDC,63402-302-30,LURASIDONE 20 MG TABLET [155626],47.29,16.55,,,0
NDC,63402-304-01,LURASIDONE 40 MG TABLET [148579],44.88,15.71,,,0
NDC,63402-304-10,LURASIDONE 40 MG TABLET [148579],44.88,15.71,,,0
NDC,63402-304-30,LURASIDONE 40 MG TABLET [148579],47.29,16.55,,,0
NDC,63402-512-00,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,63402-512-24,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,63402-513-24,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],18.04,6.31,,,0
NDC,63402-911-01,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],7.73,2.71,,,0
NDC,63402-911-30,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],7.73,2.71,,,0
NDC,63402-911-64,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],15.46,5.41,,,0
NDC,63459-101-01,MODAFINIL 100 MG TABLET [24702],24.45,8.56,,,0
NDC,63459-101-30,MODAFINIL 100 MG TABLET [24702],47.28,16.55,,,0
NDC,63459-103-10,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION [186584],325.58,113.95,,,0
NDC,63459-104-50,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION [186584],325.58,113.95,,,0
NDC,63459-201-01,MODAFINIL 200 MG TABLET [24703],36.99,12.95,,,0
NDC,63459-201-30,MODAFINIL 200 MG TABLET [24703],71.43,25.0,,,0
NDC,63459-303-43,TRASTUZUMAB-PKRB 150 MG INTRAVENOUS SOLUTION [187581],1402.5,490.88,,,0
NDC,63459-305-47,TRASTUZUMAB-PKRB 420 MG INTRAVENOUS SOLUTION [187401],3927.0,1374.45,,,0
NDC,63459-307-41,TRASTUZUMAB-PKRB 420 MG INTRAVENOUS SOLUTION [187401],3927.0,1374.45,,,0
NDC,63459-348-04,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [172857],3519.1,1231.68,,,0
NDC,63459-390-08,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION [100581],3382.15,1183.75,,,0
NDC,63459-391-20,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [91300],12497.84,4374.24,,,0
NDC,63459-601-06,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION [180972],801.09,280.38,,,0
NDC,63459-601-11,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION [180972],801.09,280.38,,,0
NDC,63459-910-11,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE [164500],2683.8,939.33,,,0
NDC,63459-912-11,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE [164501],2683.8,939.33,,,0
NDC,63481-612-70,OXYMORPHONE 5 MG TABLET [76675],7.56,2.65,,,0
NDC,63481-623-75,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],1.23,0.43,,,0
NDC,63481-628-70,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],26.13,9.15,,,0
NDC,63481-684-47,DICLOFENAC 1 % TOPICAL GEL [100611],2.04,0.71,,,0
NDC,63629-2147-1,FLUCYTOSINE 250 MG CAPSULE [10051],28.12,9.84,,,0
NDC,63646-010-04,KETOCONAZOLE 2 % SHAMPOO [14132],1.4,0.49,,,0
NDC,63653-1171-3,CLOPIDOGREL 75 MG TABLET [22142],6.45,2.26,,,0
NDC,63653-1332-2,CLOPIDOGREL 300 MG TABLET [89346],25.78,9.02,,,0
NDC,63713-019-85,MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER 1G INSTAT [409167],589.23,206.23,,,0
NDC,63713-050-24,"FIBRINOGEN-THROMBIN 2"" X 4"" TOPICAL PATCH [171915]",5757.57,2015.15,,,0
NDC,63713-050-25,"FIBRINOGEN-THROMBIN 2"" X 4"" TOPICAL PATCH [171915]",5757.57,2015.15,,,0
NDC,6371301974,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE [28025]",185.68,64.99,,,0
NDC,6371301975,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 CM TOPICAL SPONGE [28022]",185.68,64.99,,,0
NDC,63736-0238-24,WHITE PETROLATUM 57.7 %-MINERAL OIL 31.9 % EYE OINTMENT [171949],132.07,46.23,,,0
NDC,63736-024-03,PERMETHRIN 1 % TOPICAL LIQUID [10918],0.62,0.22,,,0
NDC,6373612002,PERMETHRIN 1 % TOPICAL LIQUID [10918],0.62,0.22,,,0
NDC,6373612003,PERMETHRIN 1 % TOPICAL LIQUID [10918],0.62,0.22,,,0
NDC,63739-004-10,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],0.53,0.19,,,0
NDC,63739-008-33,VORICONAZOLE 200 MG TABLET [33009],19.75,6.91,,,0
NDC,63739-014-10,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [27480]",0.32,0.11,,,0
NDC,63739-016-10,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",0.51,0.18,,,0
NDC,63739-023-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE [685]",0.03,0.01,,,0
NDC,63739-029-10,BENZONATATE 100 MG CAPSULE [988],0.46,0.16,,,0
NDC,63739-032-10,BACLOFEN 20 MG TABLET [861],0.5,0.18,,,0
NDC,63739-046-10,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0.4,0.14,,,0
NDC,63739-047-10,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.39,0.14,,,0
NDC,63739-048-10,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0.44,0.16,,,0
NDC,63739-049-10,CARISOPRODOL 350 MG TABLET [1395],0.32,0.11,,,0
NDC,63739-051-10,AMIODARONE 200 MG TABLET [9066],0.21,0.07,,,0
NDC,63739-059-10,CLINDAMYCIN HCL 150 MG CAPSULE [1740],0.56,0.2,,,0
NDC,63739-060-10,CLONIDINE HCL 0.1 MG TABLET [1755],0.09,0.03,,,0
NDC,63739-061-10,CLONIDINE HCL 0.2 MG TABLET [1756],0.11,0.04,,,0
NDC,63739-066-10,CYCLOBENZAPRINE 10 MG TABLET [2017],0.11,0.04,,,0
NDC,63739-073-10,DIAZEPAM 5 MG TABLET [2405],0.08,0.03,,,0
NDC,63739-079-10,DILTIAZEM 30 MG TABLET [2475],0.15,0.05,,,0
NDC,63739-080-10,DILTIAZEM 60 MG TABLET [2476],0.24,0.08,,,0
NDC,63739-086-10,VALPROIC ACID 250 MG CAPSULE [8429],0.43,0.15,,,0
NDC,63739-087-02,ACETAMINOPHEN 325 MG TABLET [101],0.05,0.02,,,0
NDC,63739-089-01,DOCUSATE SODIUM 100 MG CAPSULE [2566],0.03,0.01,,,0
NDC,63739-107-10,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0.31,0.11,,,0
NDC,63739-108-10,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.37,0.13,,,0
NDC,63739-110-10,FOLIC ACID 1 MG TABLET [3233],0.15,0.05,,,0
NDC,63739-111-10,FUROSEMIDE 20 MG TABLET [3294],0.07,0.02,,,0
NDC,63739-112-10,FUROSEMIDE 40 MG TABLET [3295],0.07,0.02,,,0
NDC,63739-113-10,FUROSEMIDE 80 MG TABLET [3296],0.13,0.05,,,0
NDC,63739-119-10,GLYBURIDE 5 MG TABLET [3489],0.2,0.07,,,0
NDC,63739-126-10,HYDRALAZINE 25 MG TABLET [3700],0.24,0.08,,,0
NDC,63739-127-10,HYDRALAZINE 50 MG TABLET [3701],0.3,0.1,,,0
NDC,63739-128-10,HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0.08,0.03,,,0
NDC,63739-133-10,METHYLPREDNISOLONE 4 MG TABLET [4993],1.69,0.59,,,0
NDC,63739-134-01,IBUPROFEN 200 MG TABLET [3841],0.05,0.02,,,0
NDC,63739-154-10,LORAZEPAM 0.5 MG TABLET [4572],0.27,0.09,,,0
NDC,63739-155-10,LORAZEPAM 1 MG TABLET [4573],0.27,0.1,,,0
NDC,63739-159-77,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0.04,0.02,,,0
NDC,63739-160-10,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,63739-160-70,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,63739-161-10,METHYLPREDNISOLONE 4 MG TABLET [4993],0.22,0.08,,,0
NDC,63739-165-10,MEGESTROL 40 MG TABLET [4871],0.5,0.18,,,0
NDC,63739-166-10,METHOCARBAMOL 500 MG TABLET [4971],0.21,0.07,,,0
NDC,63739-167-10,METHOCARBAMOL 750 MG TABLET [4972],0.22,0.08,,,0
NDC,63739-172-10,METOCLOPRAMIDE 10 MG TABLET [5005],0.11,0.04,,,0
NDC,63739-175-10,METRONIDAZOLE 250 MG TABLET [5015],0.11,0.04,,,0
NDC,63739-176-10,METRONIDAZOLE 500 MG TABLET [5016],0.2,0.07,,,0
NDC,63739-178-30,CLOPIDOGREL 300 MG TABLET [89346],13.29,4.65,,,0
NDC,63739-192-10,PHENOBARBITAL 16.2 MG TABLET [6215],0.58,0.2,,,0
NDC,63739-196-01,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [28836],0.04,0.02,,,0
NDC,63739-196-10,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [28836],0.04,0.02,,,0
NDC,63739-200-10,PHENOBARBITAL 16.2 MG TABLET [6215],0.58,0.2,,,0
NDC,63739-201-10,PHENOBARBITAL 32.4 MG TABLET [6217],0.71,0.25,,,0
NDC,63739-203-01,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,63739-203-02,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,63739-207-10,PREDNISONE 5 MG TABLET [6497],0.08,0.03,,,0
NDC,63739-208-10,PREDNISONE 10 MG TABLET [6494],0.11,0.04,,,0
NDC,63739-209-10,PREDNISONE 20 MG TABLET [6496],0.09,0.03,,,0
NDC,63739-212-02,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.05,0.02,,,0
NDC,63739-212-10,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.04,0.01,,,0
NDC,63739-213-10,PROMETHAZINE 25 MG TABLET [6622],0.43,0.15,,,0
NDC,63739-217-10,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],1.2,0.42,,,0
NDC,63739-225-10,SIMETHICONE 80 MG CHEWABLE TABLET [7227],0.08,0.03,,,0
NDC,63739-226-10,SPIRONOLACTONE 25 MG TABLET [7437],0.33,0.12,,,0
NDC,63739-228-10,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0.34,0.12,,,0
NDC,63739-231-10,TEMAZEPAM 15 MG CAPSULE [7753],0.13,0.05,,,0
NDC,63739-236-10,GABAPENTIN 300 MG CAPSULE [18308],0.16,0.06,,,0
NDC,63739-251-10,VALPROIC ACID 250 MG CAPSULE [8429],0.41,0.14,,,0
NDC,63739-253-40,VALPROIC ACID 250 MG CAPSULE [8429],0.26,0.09,,,0
NDC,63739-261-10,SUCRALFATE 1 GRAM TABLET [11442],0.38,0.13,,,0
NDC,63739-263-10,CLONAZEPAM 0.5 MG TABLET [9637],0.11,0.04,,,0
NDC,63739-264-10,CLONAZEPAM 1 MG TABLET [9638],0.13,0.05,,,0
NDC,63739-265-10,LITHIUM CARBONATE 300 MG CAPSULE [4529],0.19,0.07,,,0
NDC,63739-269-10,TAMOXIFEN 10 MG TABLET [7711],0.48,0.17,,,0
NDC,63739-272-01,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.04,0.01,,,0
NDC,63739-272-10,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.05,0.02,,,0
NDC,63739-275-10,HYDROMORPHONE 2 MG TABLET [3760],0.15,0.05,,,0
NDC,63739-283-10,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [27480]",0.85,0.3,,,0
NDC,63739-284-10,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",1.03,0.36,,,0
NDC,63739-285-10,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",1.51,0.53,,,0
NDC,63739-293-10,METOCLOPRAMIDE 10 MG TABLET [5005],0.11,0.04,,,0
NDC,63739-331-10,TORSEMIDE 20 MG TABLET [18293],1.04,0.36,,,0
NDC,63739-349-10,LISINOPRIL 10 MG TABLET [10449],0.13,0.05,,,0
NDC,63739-354-01,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.07,0.03,,,0
NDC,63739-354-10,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.11,0.04,,,0
NDC,63739-355-10,MIRTAZAPINE 15 MG TABLET [17466],0.38,0.13,,,0
NDC,63739-356-10,MIRTAZAPINE 30 MG TABLET [17465],0.6,0.21,,,0
NDC,63739-357-33,VALGANCICLOVIR 450 MG TABLET [30148],66.25,23.19,,,0
NDC,63739-365-10,OXYCODONE 5 MG TABLET [10814],0.31,0.11,,,0
NDC,63739-366-10,LABETALOL 200 MG TABLET [10374],0.97,0.34,,,0
NDC,63739-367-10,ISOSORBIDE DINITRATE 20 MG TABLET [4065],0.8,0.28,,,0
NDC,63739-374-10,GABAPENTIN 100 MG CAPSULE [18309],0.26,0.09,,,0
NDC,63739-375-10,GABAPENTIN 300 MG CAPSULE [18308],0.4,0.14,,,0
NDC,63739-376-10,GABAPENTIN 400 MG CAPSULE [18307],0.69,0.24,,,0
NDC,63739-387-10,AMIODARONE 200 MG TABLET [9066],0.48,0.17,,,0
NDC,63739-391-10,GABAPENTIN 600 MG TABLET [25855],0.88,0.31,,,0
NDC,63739-403-10,NAPROXEN 500 MG TABLET [5393],0.21,0.07,,,0
NDC,63739-404-10,METOLAZONE 5 MG TABLET [10588],0.95,0.33,,,0
NDC,63739-407-10,PAROXETINE 10 MG TABLET [16632],1.54,0.54,,,0
NDC,63739-411-10,LEVETIRACETAM 500 MG TABLET [26817],0.19,0.07,,,0
NDC,63739-415-10,RIFAMPIN 300 MG CAPSULE [11293],1.62,0.57,,,0
NDC,63739-431-10,SENNOSIDES 8.6 MG TABLET [11349],0.07,0.02,,,0
NDC,63739-432-02,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.05,0.02,,,0
NDC,63739-432-10,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],0.06,0.02,,,0
NDC,63739-434-01,ASPIRIN 81 MG CHEWABLE TABLET [679],0.05,0.02,,,0
NDC,63739-434-02,ASPIRIN 81 MG CHEWABLE TABLET [679],0.07,0.02,,,0
NDC,63739-435-10,SIMVASTATIN 5 MG TABLET [11367],0.21,0.07,,,0
NDC,63739-436-10,SIMVASTATIN 10 MG TABLET [11364],0.22,0.08,,,0
NDC,63739-437-10,SIMVASTATIN 20 MG TABLET [11365],0.24,0.08,,,0
NDC,63739-438-10,SIMVASTATIN 40 MG TABLET [11366],0.24,0.08,,,0
NDC,63739-440-01,ACETAMINOPHEN 325 MG TABLET [101],0.03,0.00945,,,0
NDC,63739-442-10,IBUPROFEN 400 MG TABLET [3843],0.06,0.02,,,0
NDC,63739-443-10,IBUPROFEN 600 MG TABLET [3844],0.07,0.02,,,0
NDC,63739-444-10,IBUPROFEN 800 MG TABLET [3845],0.08,0.03,,,0
NDC,63739-446-10,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0.69,0.24,,,0
NDC,63739-447-10,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.74,0.26,,,0
NDC,63739-449-10,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.48,0.52,,,0
NDC,63739-454-10,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",1.59,0.56,,,0
NDC,63739-478-01,DOCUSATE SODIUM 100 MG CAPSULE [2566],0.03,0.0098,,,0
NDC,63739-478-10,DOCUSATE SODIUM 100 MG CAPSULE [2566],0.03,0.01,,,0
NDC,63739-479-10,BACLOFEN 10 MG TABLET [860],0.46,0.16,,,0
NDC,63739-480-10,BACLOFEN 20 MG TABLET [861],0.71,0.25,,,0
NDC,63739-482-10,METOCLOPRAMIDE 10 MG TABLET [5005],0.09,0.03,,,0
NDC,63739-483-10,HYDROXYZINE HCL 10 MG TABLET [3772],0.23,0.08,,,0
NDC,63739-484-10,FAMOTIDINE 20 MG TABLET [10011],0.07,0.02,,,0
NDC,63739-486-10,HYDROXYZINE HCL 25 MG TABLET [3774],0.26,0.09,,,0
NDC,63739-499-10,LORAZEPAM 0.5 MG TABLET [4572],0.07,0.03,,,0
NDC,63739-500-10,LORAZEPAM 1 MG TABLET [4573],0.09,0.03,,,0
NDC,63739-501-10,LORAZEPAM 2 MG TABLET [4574],0.12,0.04,,,0
NDC,63739-512-10,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",0.36,0.13,,,0
NDC,63739-513-10,LOSARTAN 25 MG TABLET [14823],0.53,0.19,,,0
NDC,63739-515-10,LOSARTAN 100 MG TABLET [22588],0.69,0.24,,,0
NDC,63739-518-10,PREDNISONE 5 MG TABLET [6497],0.17,0.06,,,0
NDC,63739-519-10,PREDNISONE 10 MG TABLET [6494],0.19,0.07,,,0
NDC,63739-522-01,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.05,0.02,,,0
NDC,63739-522-10,"ASPIRIN 81 MG TABLET,DELAYED RELEASE [688]",0.04,0.01,,,0
NDC,63739-523-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE [685]",0.05,0.02,,,0
NDC,63739-525-10,VALACYCLOVIR 500 MG TABLET [13133],3.86,1.35,,,0
NDC,63739-531-10,CYCLOBENZAPRINE 10 MG TABLET [2017],0.08,0.03,,,0
NDC,63739-532-10,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.26,0.09,,,0
NDC,63739-537-10,FOLIC ACID 1 MG TABLET [3233],0.11,0.04,,,0
NDC,63739-542-10,FUROSEMIDE 40 MG TABLET [3295],0.05,0.02,,,0
NDC,63739-544-10,SPIRONOLACTONE 25 MG TABLET [7437],0.23,0.08,,,0
NDC,63739-555-10,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE [27692]",2.11,0.74,,,0
NDC,63739-556-10,MIDODRINE 5 MG TABLET [10610],1.1,0.38,,,0
NDC,63739-559-10,CIPROFLOXACIN 500 MG TABLET [25119],0.18,0.06,,,0
NDC,63739-560-10,GABAPENTIN 600 MG TABLET [25855],0.66,0.23,,,0
NDC,63739-564-10,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.29,0.1,,,0
NDC,63739-567-10,TAMSULOSIN 0.4 MG CAPSULE [27856],0.4,0.14,,,0
NDC,63739-570-10,SIMVASTATIN 5 MG TABLET [11367],0.2,0.07,,,0
NDC,63739-571-10,SIMVASTATIN 10 MG TABLET [11364],0.15,0.05,,,0
NDC,63739-572-10,SIMVASTATIN 20 MG TABLET [11365],0.17,0.06,,,0
NDC,63739-573-10,SIMVASTATIN 40 MG TABLET [11366],0.17,0.06,,,0
NDC,63739-575-10,AZITHROMYCIN 250 MG TABLET [20943],2.22,0.78,,,0
NDC,63739-576-10,RIVASTIGMINE 1.5 MG CAPSULE [28278],3.36,1.18,,,0
NDC,63739-577-10,RIVASTIGMINE 3 MG CAPSULE [28279],3.36,1.18,,,0
NDC,63739-588-10,PREDNISONE 20 MG TABLET [6496],0.46,0.16,,,0
NDC,63739-591-10,GABAPENTIN 100 MG CAPSULE [18309],0.09,0.03,,,0
NDC,63739-631-10,AMLODIPINE 10 MG TABLET [9069],0.1,0.03,,,0
NDC,63739-640-10,METFORMIN 500 MG TABLET [10544],0.07,0.02,,,0
NDC,63739-644-10,ALPRAZOLAM 0.25 MG TABLET [324],0.06,0.02,,,0
NDC,63739-645-10,FAMOTIDINE 20 MG TABLET [10011],0.09,0.03,,,0
NDC,63739-649-10,PRAVASTATIN 20 MG TABLET [11111],0.56,0.2,,,0
NDC,63739-665-10,QUETIAPINE 100 MG TABLET [21824],0.5,0.18,,,0
NDC,63739-669-10,ALPRAZOLAM 0.5 MG TABLET [325],0.06,0.02,,,0
NDC,63739-670-10,LAMOTRIGINE 25 MG TABLET [13981],0.21,0.07,,,0
NDC,63739-671-10,TRAMADOL 50 MG TABLET [14632],0.07,0.03,,,0
NDC,63739-672-01,IBUPROFEN 400 MG TABLET [3843],0.06,0.02,,,0
NDC,63739-672-10,IBUPROFEN 400 MG TABLET [3843],0.06,0.02,,,0
NDC,63739-675-10,GABAPENTIN 100 MG CAPSULE [18309],0.12,0.04,,,0
NDC,63739-678-10,DONEPEZIL 10 MG TABLET [18787],0.14,0.05,,,0
NDC,63739-682-10,ACYCLOVIR 400 MG TABLET [8971],0.54,0.19,,,0
NDC,63739-684-01,IBUPROFEN 600 MG TABLET [3844],0.08,0.03,,,0
NDC,63739-684-10,IBUPROFEN 600 MG TABLET [3844],0.1,0.03,,,0
NDC,63739-689-10,GABAPENTIN 300 MG CAPSULE [18308],0.16,0.05,,,0
NDC,63739-691-01,IBUPROFEN 800 MG TABLET [3845],0.1,0.04,,,0
NDC,63739-691-10,IBUPROFEN 800 MG TABLET [3845],0.1,0.03,,,0
NDC,63739-693-10,GABAPENTIN 400 MG CAPSULE [18307],0.18,0.06,,,0
NDC,63739-698-10,LOSARTAN 100 MG TABLET [22588],0.69,0.24,,,0
NDC,63739-700-10,CIPROFLOXACIN 250 MG TABLET [25118],0.2,0.07,,,0
NDC,63739-701-10,MELOXICAM 7.5 MG TABLET [20566],0.14,0.05,,,0
NDC,63739-704-10,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.55,0.19,,,0
NDC,63739-707-33,VORICONAZOLE 200 MG TABLET [33009],33.55,11.74,,,0
NDC,63739-760-01,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,63739-760-02,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,63739-777-10,HYDROXYCHLOROQUINE 200 MG TABLET [10235],3.62,1.27,,,0
NDC,63739-791-10,HYDROMORPHONE 4 MG TABLET [3761],0.18,0.06,,,0
NDC,63739-797-33,NIMODIPINE 30 MG CAPSULE [10722],2.87,1.01,,,0
NDC,63739-877-10,TEMAZEPAM 15 MG CAPSULE [7753],0.13,0.05,,,0
NDC,63739-888-10,PAROXETINE 10 MG TABLET [16632],0.61,0.21,,,0
NDC,63739-902-10,GABAPENTIN 100 MG CAPSULE [18309],0.09,0.03,,,0
NDC,63739-903-10,GABAPENTIN 300 MG CAPSULE [18308],0.16,0.06,,,0
NDC,63739-932-11,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [148171],2396.49,838.77,,,0
NDC,63739-943-10,SUCRALFATE 1 GRAM TABLET [11442],0.28,0.1,,,0
NDC,63739-953-11,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,63739-953-25,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,63739-963-10,PAROXETINE 20 MG TABLET [10855],0.22,0.08,,,0
NDC,63739-971-17,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [148172],2396.49,838.77,,,0
NDC,63739-973-10,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.72,0.25,,,0
NDC,63739-974-10,BACLOFEN 20 MG TABLET [861],1.01,0.35,,,0
NDC,63739-984-10,GABAPENTIN 400 MG CAPSULE [18307],0.19,0.07,,,0
NDC,63739-988-32,ZIPRASIDONE 20 MG CAPSULE [29778],2.78,0.97,,,0
NDC,6373929101,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],0.04,0.02,,,0
NDC,6380710001,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],0.14,0.05,,,0
NDC,6380750055,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",2.84,0.99,,,0
NDC,63824-008-50,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [166197]",0.37,0.13,,,0
NDC,63824-056-32,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [27543],0.61,0.21,,,0
NDC,63824-056-34,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [27543],0.52,0.18,,,0
NDC,63824-171-63,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR [9773],0.59,0.21,,,0
NDC,6382405640,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [27543],0.47,0.16,,,0
NDC,63833-386-02,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [166446]",3838.5,1343.48,,,0
NDC,63833-387-02,"HUM PROTHROMBIN CPLX, 4-FACTOR 1,000 UNIT (800-1,240 UNIT) IV SOLUTION [166620]",11174.52,3911.08,,,0
NDC,63833-396-01,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [166446]",7.68,2.69,,,0
NDC,63833-615-02,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION [70404],7730.62,2705.72,,,0
NDC,63833-616-02,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT IV (FACTOR VIII) [408726]",15461.24,5411.43,,,0
NDC,63833-626-01,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION [70405]",15461.24,5411.43,,,0
NDC,63833-825-02,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT [155896],10554.08,3693.93,,,0
NDC,63833-835-01,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SOLUTION [156688],8957.7,3135.2,,,0
NDC,63851-501-01,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]",1224.94,428.73,,,0
NDC,63851-501-02,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]",1224.94,428.73,,,0
NDC,64067-216-01,METHOXSALEN 20 MCG/ML INJECTION SOLUTION [24933],58.12,20.34,,,0
NDC,64116-011-01,INTERFERON GAMMA-1B 100 MCG (2 MILLION UNIT)/0.5 ML SUBCUTANEOUS SOLN [10307],846.5,296.28,,,0
NDC,64125-101-01,ISOMETHEPTENE-DICHLORALPHEN-ACETAMINOPHEN 65 MG-100 MG-325 MG CAPSULE [4018],0.98,0.34,,,0
NDC,64125-132-01,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],1.57,0.55,,,0
NDC,64193-324-01,"ANTI-INHIBITOR COAGULANT COMPLEX 700 UNIT-1,300 UNIT INTRAVENOUS SOLN [186024]",13.44,4.7,,,0
NDC,64193-424-02,"ANTI-INHIBITOR COAGULANT COMPLEX 700 UNIT-1,300 UNIT INTRAVENOUS SOLN [186024]",13.44,4.7,,,0
NDC,64253-400-30,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.88,4.51,,,0
NDC,64253-400-91,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.88,4.51,,,0
NDC,64253-900-30,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],6.36,2.23,,,0
NDC,64253-900-91,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],6.36,2.23,,,0
NDC,64281-110-05,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN [189071],155.68,54.49,,,0
NDC,64281-110-06,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN [189071],155.68,54.49,,,0
NDC,64370-532-02,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [41673],278.18,97.36,,,0
NDC,64376-811-01,PHENAZOPYRIDINE 100 MG TABLET [6193],0.16,0.06,,,0
NDC,64380-171-01,IMIPRAMINE 50 MG TABLET [3862],0.19,0.07,,,0
NDC,64380-176-01,TRANYLCYPROMINE 10 MG TABLET [11574],1.07,0.37,,,0
NDC,64380-185-01,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR [37644]",0.75,0.26,,,0
NDC,64380-186-01,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR [37645]",1.0,0.35,,,0
NDC,64380-726-06,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],0.2,0.07,,,0
NDC,64380-737-06,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",0.22,0.08,,,0
NDC,64380-741-06,BUSPIRONE 5 MG TABLET [9324],0.05,0.02,,,0
NDC,64380-741-08,BUSPIRONE 5 MG TABLET [9324],0.03,0.01,,,0
NDC,64380-742-07,BUSPIRONE 10 MG TABLET [9323],1.3,0.46,,,0
NDC,64380-783-06,PREDNISONE 5 MG TABLET [6497],0.09,0.03,,,0
NDC,64380-799-01,OSELTAMIVIR 75 MG CAPSULE [26546],1.85,0.65,,,0
NDC,64380-808-06,IBUPROFEN 600 MG TABLET [3844],0.07,0.02,,,0
NDC,64380-809-06,IBUPROFEN 400 MG TABLET [3843],0.05,0.02,,,0
NDC,64380-827-06,KETOCONAZOLE 200 MG TABLET [10369],1.05,0.37,,,0
NDC,64380-834-06,ACETAZOLAMIDE 250 MG TABLET [113],0.35,0.12,,,0
NDC,64380-878-06,ETHOSUXIMIDE 250 MG CAPSULE [9989],0.42,0.15,,,0
NDC,64380-883-04,CINACALCET 30 MG TABLET [38100],1.37,0.48,,,0
NDC,64380-885-04,CINACALCET 90 MG TABLET [38102],2.03,0.71,,,0
NDC,64380-918-06,URSODIOL 250 MG TABLET [22660],0.75,0.26,,,0
NDC,64380-970-25,HYDROCORTISONE 5 MG TABLET [10209],0.52,0.18,,,0
NDC,64380-971-06,HYDROCORTISONE 10 MG TABLET [3733],0.86,0.3,,,0
NDC,64406-101-01,ADUCANUMAB-AVWA 100 MG/ML INTRAVENOUS SOLUTION [191989],1937.38,678.08,,,0
NDC,64406-102-02,ADUCANUMAB-AVWA 100 MG/ML INTRAVENOUS SOLUTION [191989],1937.38,678.08,,,0
NDC,64455-799-42,"DILTIAZEM CD 360 MG CAPSULE,EXTENDED RELEASE 24 HR [29278]",13.84,4.84,,,0
NDC,64543-111-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],1.07,0.37,,,0
NDC,64679-034-02,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,64679-631-02,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,64679-699-01,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],156.87,54.9,,,0
NDC,64679-699-02,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],156.87,54.9,,,0
NDC,64679-703-01,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],482.58,168.9,,,0
NDC,64679-729-01,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,64679-729-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,64679-730-01,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,64679-730-02,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,64679-757-01,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,64679-758-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,64679-758-04,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,64679-781-02,ENTACAPONE 200 MG TABLET [26547],0.62,0.22,,,0
NDC,64679-782-04,CARBIDOPA 12.5 MG-LEVODOPA 50 MG-ENTACAPONE 200 MG TABLET [36135],3.0,1.05,,,0
NDC,64679-783-04,CARBIDOPA 18.75 MG-LEVODOPA 75 MG-ENTACAPONE 200 MG TABLET [94236],3.0,1.05,,,0
NDC,64679-786-04,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET [36137],3.0,1.05,,,0
NDC,64679-902-01,CAPTOPRIL 12.5 MG TABLET [9401],0.47,0.17,,,0
NDC,64679-904-01,CAPTOPRIL 50 MG TABLET [9403],0.88,0.31,,,0
NDC,64679-921-01,CEFUROXIME AXETIL 250 MG TABLET [9495],1.84,0.64,,,0
NDC,64679-922-01,CEFUROXIME AXETIL 500 MG TABLET [9496],3.56,1.24,,,0
NDC,64679-922-02,CEFUROXIME AXETIL 500 MG TABLET [9496],3.26,1.14,,,0
NDC,64679-945-01,ZONISAMIDE 25 MG CAPSULE [36987],0.13,0.05,,,0
NDC,64679-966-01,BETHANECHOL CHLORIDE 10 MG TABLET [1043],0.42,0.15,,,0
NDC,64720-128-10,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],1.58,0.55,,,0
NDC,64720-130-10,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [103898],1.15,0.4,,,0
NDC,64720-139-10,METHENAMINE HIPPURATE 1 GRAM TABLET [10549],1.74,0.61,,,0
NDC,64720-203-10,ROPINIROLE 1 MG TABLET [21689],2.48,0.87,,,0
NDC,64720-237-10,METHYLPHENIDATE 5 MG TABLET [4988],0.58,0.2,,,0
NDC,64720-321-10,METAXALONE 800 MG TABLET [33963],4.08,1.43,,,0
NDC,64720-333-10,HYDROCORTISONE 20 MG TABLET [3734],0.91,0.32,,,0
NDC,64764-046-13,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE [27692]",13.84,4.84,,,0
NDC,64764-080-60,LUBIPROSTONE 8 MCG CAPSULE [91534],6.18,2.16,,,0
NDC,64764-119-01,COLCHICINE 0.6 MG TABLET [1821],7.19,2.52,,,0
NDC,64764-151-04,PIOGLITAZONE 15 MG TABLET [25528],12.95,4.53,,,0
NDC,64764-151-05,PIOGLITAZONE 15 MG TABLET [25528],12.95,4.53,,,0
NDC,64764-240-60,LUBIPROSTONE 24 MCG CAPSULE [70472],6.18,2.16,,,0
NDC,64764-300-20,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [166472],21275.6,7446.46,,,0
NDC,64764-301-15,PIOGLITAZONE 30 MG TABLET [25529],19.79,6.93,,,0
NDC,64764-451-24,PIOGLITAZONE 45 MG TABLET [25530],21.47,7.51,,,0
NDC,64764-543-11,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",13.84,4.84,,,0
NDC,64764-543-30,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",13.84,4.84,,,0
NDC,64764-544-11,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",13.84,4.84,,,0
NDC,64764-544-30,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",13.84,4.84,,,0
NDC,64764-677-30,FEBUXOSTAT 80 MG TABLET [97134],11.0,3.85,,,0
NDC,64764-730-30,VORTIOXETINE 10 MG TABLET [164665],15.54,5.44,,,0
NDC,64764-800-28,MARIBAVIR 200 MG TABLET [193310],222.32,77.81,,,0
NDC,64764-800-56,MARIBAVIR 200 MG TABLET [193310],724.76,253.67,,,0
NDC,64764-805-10,RAMELTEON 8 MG TABLET [42064],12.97,4.54,,,0
NDC,64764-805-30,RAMELTEON 8 MG TABLET [42064],12.97,4.54,,,0
NDC,64764-844-30,AZILSARTAN MEDOXOMIL 40 MG TABLET [149917],4.99,1.75,,,0
NDC,64764-884-30,AZILSARTAN MEDOXOMIL 80 MG TABLET [149919],5.42,1.9,,,0
NDC,64764-918-30,FEBUXOSTAT 40 MG TABLET [97133],11.0,3.85,,,0
NDC,64850-500-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [103898],0.2,0.07,,,0
NDC,64896-661-01,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE [169441]",13.31,4.66,,,0
NDC,64896-662-01,"CARBIDOPA ER 36.25 MG-LEVODOPA 145 MG CAPSULE,EXTENDED RELEASE [169442]",13.31,4.66,,,0
NDC,64896-663-01,"CARBIDOPA ER 48.75 MG-LEVODOPA 195 MG CAPSULE,EXTENDED RELEASE [169443]",13.31,4.66,,,0
NDC,64896-664-01,"CARBIDOPA ER 61.25 MG-LEVODOPA 245 MG CAPSULE,EXTENDED RELEASE [169444]",13.31,4.66,,,0
NDC,64896-671-51,ZOLMITRIPTAN 2.5 MG TABLET [21588],129.36,45.28,,,0
NDC,64950-217-03,ISONIAZID 300 MG TABLET [4027],10.82,3.79,,,0
NDC,64950-354-05,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,64950-354-50,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,64950-354-55,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,64950-362-04,COCAINE 4 % NASAL SOLUTION [181941],212.26,74.29,,,0
NDC,64980-119-01,METHENAMINE HIPPURATE 1 GRAM TABLET [10549],1.13,0.4,,,0
NDC,64980-133-01,DIPYRIDAMOLE 25 MG TABLET [2528],0.23,0.08,,,0
NDC,64980-134-01,DIPYRIDAMOLE 50 MG TABLET [2529],1.91,0.67,,,0
NDC,64980-135-01,DIPYRIDAMOLE 75 MG TABLET [2530],2.55,0.89,,,0
NDC,64980-177-50,CHLOROQUINE 250 MG TABLET [1637],3.1,1.08,,,0
NDC,64980-179-01,FLUCYTOSINE 250 MG CAPSULE [10051],65.66,22.98,,,0
NDC,64980-180-01,FLUCYTOSINE 500 MG CAPSULE [10052],127.04,44.46,,,0
NDC,64980-220-03,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE [11240]",6.63,2.32,,,0
NDC,64980-294-10,SODIUM BICARBONATE 650 MG TABLET [7312],0.01,0.00385,,,0
NDC,64980-33992,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],1.11,0.39,,,0
NDC,64980-378-03,ATOMOXETINE 80 MG CAPSULE [70508],1.91,0.67,,,0
NDC,64980-447-15,CALCITRIOL 1 MCG/ML ORAL SOLUTION [16218],114.99,40.25,,,0
NDC,64980-503-12,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION [41623],4.33,1.51,,,0
NDC,64980-504-48,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP [2032],13.53,4.73,,,0
NDC,64980-511-10,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],6.76,2.37,,,0
NDC,64980-513-01,TIMOLOL MALEATE 0.25 % EYE DROPS [11561],11.64,4.07,,,0
NDC,64980-513-05,TIMOLOL MALEATE 0.25 % EYE DROPS [11561],23.27,8.14,,,0
NDC,64980-514-05,TIMOLOL MALEATE 0.5 % EYE DROPS [11562],12.63,4.42,,,0
NDC,64980-515-05,OFLOXACIN 0.3 % EYE DROPS [19746],16.72,5.85,,,0
NDC,64980-517-05,OLOPATADINE 0.1 % EYE DROPS [19452],117.16,41.01,,,0
NDC,64980-526-60,NITAZOXANIDE 500 MG TABLET [39254],130.09,45.53,,,0
NDC,64980-592-48,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],0.17,0.06,,,0
NDC,6498010401,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET [11067],0.34,0.12,,,0
NDC,6498014612,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET [10384]",1.29,0.45,,,0
NDC,6498014698,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET [10384]",1.29,0.45,,,0
NDC,6498029410,DIPHENHYDRAMINE 25 MG CAPSULE [2509],1.0,0.35,,,0
NDC,6498033901,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.1,0.04,,,0
NDC,6498033990,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.1,0.04,,,0
NDC,65162-002-03,PRASUGREL HCL 10 MG TABLET [98373],0.65,0.23,,,0
NDC,65162-033-10,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],0.25,0.09,,,0
NDC,65162-034-16,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],0.22,0.08,,,0
NDC,65162-047-10,OXYCODONE 5 MG TABLET [10814],0.12,0.04,,,0
NDC,65162-058-27,SEVELAMER CARBONATE 800 MG TABLET [89201],0.39,0.14,,,0
NDC,65162-087-74,ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],16.24,5.68,,,0
NDC,65162-188-10,NAPROXEN 250 MG TABLET [5391],0.07,0.02,,,0
NDC,65162-189-10,NAPROXEN 375 MG TABLET [5392],0.09,0.03,,,0
NDC,65162-351-09,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],0.1,0.04,,,0
NDC,65162-361-10,FOLIC ACID 1 MG TABLET [3233],0.05,0.02,,,0
NDC,65162-361-11,FOLIC ACID 1 MG TABLET [3233],0.05,0.02,,,0
NDC,65162-415-03,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET [34714],1.99,0.7,,,0
NDC,65162-416-03,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET [34713],1.11,0.39,,,0
NDC,65162-442-10,MECLIZINE 25 MG TABLET [12025],0.19,0.07,,,0
NDC,65162-465-10,IBUPROFEN 600 MG TABLET [3844],0.11,0.04,,,0
NDC,65162-466-50,IBUPROFEN 800 MG TABLET [3845],0.16,0.06,,,0
NDC,65162-468-19,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],6.76,2.37,,,0
NDC,65162-478-10,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],1.41,0.49,,,0
NDC,65162-515-10,SPIRONOLACTONE 100 MG TABLET [11425],0.77,0.27,,,0
NDC,65162-517-10,PHENAZOPYRIDINE 100 MG TABLET [6193],0.85,0.3,,,0
NDC,65162-520-10,PHENAZOPYRIDINE 200 MG TABLET [6194],1.64,0.57,,,0
NDC,65162-536-10,BENZONATATE 100 MG CAPSULE [988],0.3,0.1,,,0
NDC,65162-536-50,BENZONATATE 100 MG CAPSULE [988],0.23,0.08,,,0
NDC,65162-544-10,PRIMIDONE 50 MG TABLET [11129],0.26,0.09,,,0
NDC,65162-545-10,PRIMIDONE 250 MG TABLET [6544],0.36,0.13,,,0
NDC,65162-553-10,METAXALONE 800 MG TABLET [33963],1.5,0.52,,,0
NDC,65162-573-10,BETHANECHOL CHLORIDE 25 MG TABLET [1044],0.46,0.16,,,0
NDC,65162-590-20,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],0.46,0.16,,,0
NDC,65162-627-11,TRAMADOL 50 MG TABLET [14632],0.02,0.00665,,,0
NDC,65162-636-09,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.11,0.04,,,0
NDC,65162-649-78,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION [30479],5.41,1.89,,,0
NDC,65162-676-84,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY [19179],15.38,5.38,,,0
NDC,65162-681-10,PHENAZOPYRIDINE 100 MG TABLET [6193],0.32,0.11,,,0
NDC,65162-682-10,PHENAZOPYRIDINE 200 MG TABLET [6194],0.48,0.17,,,0
NDC,65162-686-88,FELBAMATE 600 MG/5 ML ORAL SUSPENSION [10023],27.06,9.47,,,0
NDC,65162-687-84,LORAZEPAM 2 MG/ML ORAL CONCENTRATE [4571],7.44,2.6,,,0
NDC,65162-689-88,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],4.6,1.61,,,0
NDC,65162-691-79,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],0.64,0.22,,,0
NDC,65162-698-90,GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],10.82,3.79,,,0
NDC,65162-705-88,ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION [34897],10.82,3.79,,,0
NDC,65162-711-10,GUANFACINE 1 MG TABLET [10149],3.26,1.14,,,0
NDC,65162-734-09,FELBAMATE 400 MG TABLET [10024],2.4,0.84,,,0
NDC,65162-750-09,DUTASTERIDE 0.5 MG CAPSULE [34089],0.5,0.18,,,0
NDC,65162-751-10,BENAZEPRIL 5 MG TABLET [9223],0.07,0.02,,,0
NDC,65162-754-10,BENAZEPRIL 40 MG TABLET [9222],0.16,0.06,,,0
NDC,65162-778-10,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",2.22,0.78,,,0
NDC,65162-802-14,TEMOZOLOMIDE 20 MG CAPSULE [25893],6.13,2.15,,,0
NDC,65162-833-66,DICLOFENAC 1 % TOPICAL GEL [100611],2.04,0.71,,,0
NDC,65162-842-06,LUBIPROSTONE 24 MCG CAPSULE [70472],1.0,0.35,,,0
NDC,65162-879-03,LURASIDONE 20 MG TABLET [155626],0.67,0.23,,,0
NDC,65162-880-03,LURASIDONE 40 MG TABLET [148579],0.67,0.23,,,0
NDC,65162-891-29,MOMETASONE 50 MCG/ACTUATION NASAL SPRAY [21905],36.61,12.81,,,0
NDC,65162-893-74,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION [40446],31.12,10.89,,,0
NDC,65162-901-03,ARIPIPRAZOLE 20 MG TABLET [34371],0.4,0.14,,,0
NDC,65162-914-46,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],60.34,21.12,,,0
NDC,65162-997-04,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [27461],46.0,16.1,,,0
NDC,65162-997-08,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH [27461],46.0,16.1,,,0
NDC,65197-001-01,PHENOXYBENZAMINE 10 MG CAPSULE [10945],239.98,83.99,,,0
NDC,65197-002-01,TRIAMTERENE 50 MG CAPSULE [11588],9.58,3.35,,,0
NDC,65197-003-01,TRIAMTERENE 100 MG CAPSULE [8131],9.58,3.35,,,0
NDC,65197-401-01,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [113122],0.19,0.07,,,0
NDC,65219-020-03,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],293.76,102.82,,,0
NDC,65219-020-23,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],293.76,102.82,,,0
NDC,65219-054-09,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],10.55,3.69,,,0
NDC,65219-054-29,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],10.55,3.69,,,0
NDC,65219-162-01,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [184196]",7.36,2.58,,,0
NDC,65219-162-10,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [184196]",7.36,2.58,,,0
NDC,65219-259-05,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,65219-259-45,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,65219-371-10,PEGFILGRASTIM-FPGK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [196550],42470.4,14864.64,,,0
NDC,65219-429-50,ARGATROBAN 1 MG/ML INFUSION FOR EKOS [410383],22.36,7.82,,,0
NDC,65219-566-20,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],5197.92,1819.27,,,0
NDC,65219-570-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,65219-570-04,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,65219-572-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,65219-572-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,65250-266-04,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153726],52.93,18.53,,,0
NDC,65250-266-09,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153726],52.93,18.53,,,0
NDC,65250-266-20,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153726],52.93,18.53,,,0
NDC,65293-001-01,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,65293-005-50,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION [93936],5.58,1.95,,,0
NDC,65293-005-55,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION [93936],5.58,1.95,,,0
NDC,65293-014-01,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],61.68,21.59,,,0
NDC,65293-014-10,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],61.68,21.59,,,0
NDC,65483-093-06,AURANOFIN 3 MG CAPSULE [9179],21.89,7.66,,,0
NDC,65483-590-10,AZATHIOPRINE 50 MG TABLET [9183],6.69,2.34,,,0
NDC,65483-702-10,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",17.45,6.11,,,0
NDC,65597-101-30,OLMESARTAN 5 MG TABLET [32761],6.59,2.31,,,0
NDC,65597-103-10,OLMESARTAN 20 MG TABLET [32762],4.85,1.7,,,0
NDC,65597-103-30,OLMESARTAN 20 MG TABLET [32762],2.56,0.9,,,0
NDC,65597-103-90,OLMESARTAN 20 MG TABLET [32762],6.98,2.44,,,0
NDC,65597-104-10,OLMESARTAN 40 MG TABLET [32763],6.75,2.36,,,0
NDC,65597-104-30,OLMESARTAN 40 MG TABLET [32763],11.19,3.92,,,0
NDC,65597-104-90,OLMESARTAN 40 MG TABLET [32763],9.03,3.16,,,0
NDC,65597-701-18,COLESEVELAM 625 MG TABLET [28372],3.72,1.3,,,0
NDC,65597-801-01,DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION [204490],16921.13,5922.4,,,0
NDC,65628-080-03,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION TGH [147582],3.27,1.14,,,0
NDC,65628-202-05,METRONIDAZOLE 50 MG/ML ORAL SUSPENSION [411173],1.38,0.48,,,0
NDC,65649-101-02,BALSALAZIDE 750 MG CAPSULE [29299],6.35,2.22,,,0
NDC,65649-301-03,RIFAXIMIN 200 MG TABLET [39063],10.24,3.58,,,0
NDC,65649-301-05,RIFAXIMIN 200 MG TABLET [39063],7.92,2.77,,,0
NDC,65649-303-02,RIFAXIMIN 550 MG TABLET [144489],52.66,18.43,,,0
NDC,65649-303-03,RIFAXIMIN 550 MG TABLET [144489],52.66,18.43,,,0
NDC,65649-311-12,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION [9525],2.44,0.85,,,0
NDC,65649-551-02,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION [91651],617.8,216.23,,,0
NDC,65726-261-15,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR [37643]",5.36,1.88,,,0
NDC,65862-015-01,AMOXICILLIN 875 MG TABLET [23458],0.35,0.12,,,0
NDC,65862-016-01,AMOXICILLIN 250 MG CAPSULE [450],0.05,0.02,,,0
NDC,65862-017-01,AMOXICILLIN 500 MG CAPSULE [451],0.09,0.03,,,0
NDC,65862-021-06,MIRTAZAPINE 15 MG DISINTEGRATING TABLET [29531],0.43,0.15,,,0
NDC,65862-024-60,ZIDOVUDINE 300 MG TABLET [17961],0.9,0.31,,,0
NDC,65862-027-60,NEVIRAPINE 200 MG TABLET [17403],0.67,0.23,,,0
NDC,65862-034-20,CEFUROXIME AXETIL 250 MG TABLET [9495],1.84,0.64,,,0
NDC,65862-035-60,CEFUROXIME AXETIL 500 MG TABLET [9496],3.26,1.14,,,0
NDC,65862-048-24,ZIDOVUDINE 10 MG/ML ORAL SYRUP [11693],23.0,8.05,,,0
NDC,65862-049-30,EFAVIRENZ 600 MG TABLET [32298],107.43,37.6,,,0
NDC,65862-063-01,METOPROLOL TARTRATE 50 MG TABLET [5009],0.04,0.01,,,0
NDC,65862-063-99,METOPROLOL TARTRATE 50 MG TABLET [5009],0.03,0.01,,,0
NDC,65862-064-01,METOPROLOL TARTRATE 100 MG TABLET [5008],0.04,0.01,,,0
NDC,65862-071-75,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],16.24,5.68,,,0
NDC,65862-074-24,CITALOPRAM 10 MG/5 ML ORAL SOLUTION [28228],2.44,0.85,,,0
NDC,65862-077-01,CIPROFLOXACIN 500 MG TABLET [25119],0.3,0.11,,,0
NDC,65862-078-50,CIPROFLOXACIN 750 MG TABLET [25120],0.54,0.19,,,0
NDC,65862-095-20,CEFPODOXIME 100 MG TABLET [9468],2.09,0.73,,,0
NDC,65862-098-01,MELOXICAM 15 MG TABLET [20580],0.05,0.02,,,0
NDC,65862-118-01,BENAZEPRIL 40 MG TABLET [9222],0.09,0.03,,,0
NDC,65862-143-05,CARVEDILOL 6.25 MG TABLET [15747],0.05,0.02,,,0
NDC,65862-144-05,CARVEDILOL 12.5 MG TABLET [15749],0.05,0.02,,,0
NDC,65862-146-36,SUMATRIPTAN 25 MG TABLET [15327],0.33,0.12,,,0
NDC,65862-149-90,FINASTERIDE 5 MG TABLET [10037],0.13,0.05,,,0
NDC,65862-176-01,PENICILLIN V POTASSIUM 500 MG TABLET [6093],0.25,0.09,,,0
NDC,65862-186-01,CLINDAMYCIN HCL 300 MG CAPSULE [9621],0.43,0.15,,,0
NDC,65862-187-30,ONDANSETRON HCL 4 MG TABLET [10778],0.18,0.06,,,0
NDC,65862-199-01,GABAPENTIN 300 MG CAPSULE [18308],0.08,0.03,,,0
NDC,65862-201-90,LOSARTAN 25 MG TABLET [14823],0.08,0.03,,,0
NDC,65862-203-30,LOSARTAN 100 MG TABLET [22588],0.11,0.04,,,0
NDC,65862-203-90,LOSARTAN 100 MG TABLET [22588],0.14,0.05,,,0
NDC,65862-209-01,MINOCYCLINE 50 MG CAPSULE [5111],0.26,0.09,,,0
NDC,65862-219-60,CEFDINIR 250 MG/5 ML ORAL SUSPENSION [39522],4.78,1.67,,,0
NDC,65862-225-60,CLARITHROMYCIN 250 MG TABLET [9616],0.93,0.33,,,0
NDC,65862-226-60,CLARITHROMYCIN 500 MG TABLET [9617],0.93,0.33,,,0
NDC,65862-230-60,LAMOTRIGINE 200 MG TABLET [13983],0.1,0.04,,,0
NDC,65862-288-01,PERINDOPRIL ERBUMINE 8 MG TABLET [13161],0.65,0.23,,,0
NDC,65862-290-84,RIBAVIRIN 200 MG CAPSULE [11286],1.33,0.47,,,0
NDC,65862-293-90,ROSUVASTATIN 5 MG TABLET [36612],0.07,0.02,,,0
NDC,65862-296-90,ROSUVASTATIN 40 MG TABLET [35136],0.08,0.03,,,0
NDC,65862-301-30,EMTRICITABINE 200 MG CAPSULE [36252],16.07,5.62,,,0
NDC,65862-306-12,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],0.58,0.2,,,0
NDC,65862-313-30,"DIDANOSINE 400 MG CAPSULE,DELAYED RELEASE [29110]",13.17,4.61,,,0
NDC,65862-357-05,CLOPIDOGREL 75 MG TABLET [22142],0.17,0.06,,,0
NDC,65862-357-90,CLOPIDOGREL 75 MG TABLET [22142],0.17,0.06,,,0
NDC,65862-362-01,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET [27639],0.32,0.11,,,0
NDC,65862-374-01,ESCITALOPRAM 10 MG TABLET [33512],0.12,0.04,,,0
NDC,65862-375-01,ESCITALOPRAM 20 MG TABLET [33513],0.15,0.05,,,0
NDC,65862-390-10,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],0.61,0.21,,,0
NDC,65862-419-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],0.06,0.02,,,0
NDC,65862-420-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0.06,0.02,,,0
NDC,65862-458-60,GALANTAMINE 4 MG TABLET [29806],0.66,0.23,,,0
NDC,65862-475-01,RAMIPRIL 2.5 MG CAPSULE [11260],0.19,0.07,,,0
NDC,65862-496-47,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],23.0,8.05,,,0
NDC,65862-502-20,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],0.44,0.15,,,0
NDC,65862-503-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0.48,0.17,,,0
NDC,65862-523-01,GABAPENTIN 600 MG TABLET [25855],0.18,0.06,,,0
NDC,65862-528-30,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",0.32,0.11,,,0
NDC,65862-528-90,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",0.32,0.11,,,0
NDC,65862-534-75,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],94.7,33.15,,,0
NDC,65862-536-50,LEVOFLOXACIN 250 MG TABLET [18918],0.32,0.11,,,0
NDC,65862-537-50,LEVOFLOXACIN 500 MG TABLET [18919],0.38,0.13,,,0
NDC,65862-538-20,LEVOFLOXACIN 750 MG TABLET [28964],0.72,0.25,,,0
NDC,65862-559-90,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.1,0.04,,,0
NDC,65862-560-90,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.14,0.05,,,0
NDC,65862-618-90,QUINAPRIL 10 MG TABLET [11251],0.17,0.06,,,0
NDC,65862-639-30,IRBESARTAN 300 MG TABLET [21849],0.44,0.16,,,0
NDC,65862-656-03,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],0.83,0.29,,,0
NDC,65862-656-10,OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],0.83,0.29,,,0
NDC,65862-672-01,REPAGLINIDE 2 MG TABLET [22585],0.31,0.11,,,0
NDC,65862-687-30,RITONAVIR 100 MG TABLET [100995],2.67,0.93,,,0
NDC,65862-692-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],0.34,0.12,,,0
NDC,65862-697-90,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",0.43,0.15,,,0
NDC,65862-706-55,AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION [453],18.94,6.63,,,0
NDC,65862-707-01,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],21.65,7.58,,,0
NDC,65862-711-60,ATAZANAVIR 150 MG CAPSULE [36149],2.97,1.04,,,0
NDC,65862-712-60,ATAZANAVIR 200 MG CAPSULE [36150],2.97,1.04,,,0
NDC,65862-743-30,OLMESARTAN 40 MG TABLET [32763],0.19,0.07,,,0
NDC,65862-751-50,CEFIXIME 100 MG/5 ML ORAL SUSPENSION [9446],12.99,4.55,,,0
NDC,65862-757-05,OLOPATADINE 0.1 % EYE DROPS [19452],117.16,41.01,,,0
NDC,65862-782-01,METHENAMINE HIPPURATE 1 GRAM TABLET [10549],0.8,0.28,,,0
NDC,65862-830-30,PRASUGREL HCL 10 MG TABLET [98373],0.82,0.29,,,0
NDC,65862-832-30,CINACALCET 60 MG TABLET [38101],0.9,0.32,,,0
NDC,65862-840-03,MOXIFLOXACIN 0.5 % EYE DROPS [35699],166.85,58.4,,,0
NDC,65862-841-30,ENTECAVIR 0.5 MG TABLET [41147],2.13,0.75,,,0
NDC,65862-859-01,FAMOTIDINE 20 MG TABLET [10011],0.1,0.04,,,0
NDC,65862-921-27,SEVELAMER CARBONATE 800 MG TABLET [89201],0.39,0.14,,,0
NDC,65862-936-30,PARICALCITOL 1 MCG CAPSULE [41497],1.48,0.52,,,0
NDC,65862-946-01,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],66.02,23.11,,,0
NDC,66215-101-03,BOSENTAN 62.5 MG TABLET [31875],203.36,71.18,,,0
NDC,66215-101-06,BOSENTAN 62.5 MG TABLET [31875],203.36,71.18,,,0
NDC,66215-102-03,BOSENTAN 125 MG TABLET [31876],203.36,71.18,,,0
NDC,66215-102-06,BOSENTAN 125 MG TABLET [31876],203.36,71.18,,,0
NDC,66215-401-01,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION [153876],167.68,58.69,,,0
NDC,66215-402-01,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION [153876],167.68,58.69,,,0
NDC,66215-501-15,MACITENTAN 10 MG TABLET [164407],402.66,140.93,,,0
NDC,66215-501-30,MACITENTAN 10 MG TABLET [164407],402.66,140.93,,,0
NDC,66220-017-03,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION [20803],2642.58,924.9,,,0
NDC,66220-207-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],27.0,9.45,,,0
NDC,66302-101-01,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION [32931],21.07,7.37,,,0
NDC,66435-201-99,INTERFERON ALFACON-1 9 MCG/0.3 ML SUBCUTANEOUS SOLUTION [21850],405.86,142.05,,,0
NDC,66479-021-82,AMINOCAPROIC ACID 500 MG TABLET [9063],2.78,0.97,,,0
NDC,66479-023-56,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],45.3,15.85,,,0
NDC,66479-521-01,"CLONIDINE (PF) 5,000 MCG/10 ML EPIDURAL SOLUTION [27113]",1.29,0.45,,,0
NDC,66479-530-02,METHADONE 10 MG/ML INJECTION SOLUTION [10546],206.25,72.19,,,0
NDC,66479-581-10,OXYCODONE 15 MG TABLET [28899],1.46,0.51,,,0
NDC,66479-583-05,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],27.06,9.47,,,0
NDC,66490-041-01,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [9859],302.78,105.97,,,0
NDC,66490-650-20,DIAZEPAM 2.5 MG RECTAL KIT [87865],1630.19,570.57,,,0
NDC,66530-254-20,TRETINOIN 0.05 % TOPICAL CREAM [11577],11.77,4.12,,,0
NDC,66553-001-01,ASPIRIN 325 MG TABLET [681],0.05,0.02,,,0
NDC,66553-002-01,ASPIRIN 81 MG CHEWABLE TABLET [679],0.05,0.02,,,0
NDC,66553-004-01,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0.06,0.02,,,0
NDC,66553-008-01,SODIUM BICARBONATE 650 MG TABLET [7312],0.06,0.02,,,0
NDC,66553-009-01,PSEUDOEPHEDRINE 30 MG TABLET [6714],0.06,0.02,,,0
NDC,66582-414-28,EZETIMIBE 10 MG TABLET [34153],11.5,4.02,,,0
NDC,66582-414-29,EZETIMIBE 10 MG TABLET [34153],11.5,4.02,,,0
NDC,66658-112-03,PALIFERMIN 6.25 MG INTRAVENOUS SOLUTION [40400],13490.0,4721.5,,,0
NDC,66658-112-06,PALIFERMIN 6.25 MG INTRAVENOUS SOLUTION [40400],13490.0,4721.5,,,0
NDC,66658-230-01,PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION [110156],8265.96,2893.09,,,0
NDC,66658-234-01,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE [31784],1087.89,380.76,,,0
NDC,66658-234-07,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE [31784],1087.89,380.76,,,0
NDC,66658-505-01,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION [184197],5358.35,1875.42,,,0
NDC,66685-1001-1,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],1.13,0.4,,,0
NDC,66685-1002-2,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],0.95,0.33,,,0
NDC,66685-1012-0,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],94.7,33.15,,,0
NDC,66685-1012-1,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],94.7,33.15,,,0
NDC,66685-1012-2,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],94.7,33.15,,,0
NDC,66689-009-01,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0.47,0.16,,,0
NDC,66689-009-50,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0.47,0.16,,,0
NDC,66689-020-01,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [159625],2.58,0.9,,,0
NDC,66689-020-50,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [159625],2.58,0.9,,,0
NDC,66689-023-01,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],1.35,0.47,,,0
NDC,66689-023-50,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],1.35,0.47,,,0
NDC,66689-024-50,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,66689-031-01,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],2.71,0.95,,,0
NDC,66689-031-50,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],2.71,0.95,,,0
NDC,66689-032-01,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],12.72,4.45,,,0
NDC,66689-032-50,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],12.72,4.45,,,0
NDC,66689-037-01,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,66689-037-50,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,66689-037-99,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,66689-053-01,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [28836],0.04,0.02,,,0
NDC,66689-053-99,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [28836],0.04,0.02,,,0
NDC,66689-054-01,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION [113785],1.35,0.47,,,0
NDC,66689-054-99,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION [113785],1.35,0.47,,,0
NDC,66689-056-01,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [113787],0.33,0.12,,,0
NDC,66689-060-01,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0.04,0.02,,,0
NDC,66689-060-99,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0.04,0.02,,,0
NDC,66689-062-01,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,66689-105-02,LEVOTHYROXINE 20 MCG/ML ORAL SOLUTION [190349],7.63,2.67,,,0
NDC,66689-105-04,LEVOTHYROXINE 20 MCG/ML ORAL SOLUTION [190349],7.63,2.67,,,0
NDC,66689-201-08,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION [109510],0.1,0.03,,,0
NDC,66689-203-08,ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSPENSION [81428],0.1,0.03,,,0
NDC,66689-305-16,SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],1.54,0.54,,,0
NDC,66689-307-08,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],36.08,12.63,,,0
NDC,66689-333-16,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP [2032],13.53,4.73,,,0
NDC,66689-401-01,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,66689-401-50,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,66689-403-16,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,66689-710-06,GENT VIOLET-BRLNT GRN-PROFLAV 2.29 MG-2.29 MG-1.14 MG/ML TOPICAL SWAB [110041],2.71,0.95,,,0
NDC,66689-711-16,METHADONE 5 MG/5 ML ORAL SOLUTION [4952],1.29,0.45,,,0
NDC,66689-712-16,METHADONE 10 MG/5 ML ORAL SOLUTION [4951],5.95,2.08,,,0
NDC,66733-948-23,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION [37989],60.01,21.0,,,0
NDC,66733-958-23,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION [113003],60.01,21.0,,,0
NDC,66758-005-02,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION [4294],60.88,21.31,,,0
NDC,66758-008-01,EPHEDRINE SULFATE 50 MG/ML INJECTION SOLUTION [2833],54.11,18.94,,,0
NDC,66758-008-02,EPHEDRINE SULFATE 50 MG/ML INJECTION SOLUTION [2833],54.11,18.94,,,0
NDC,66758-016-03,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,66758-016-04,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,66758-017-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,66758-050-01,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION [150059],342.51,119.88,,,0
NDC,66758-050-03,DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLUTION [150060],342.51,119.88,,,0
NDC,66758-170-06,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0.49,0.17,,,0
NDC,66758-170-13,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0.49,0.17,,,0
NDC,66758-190-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.5,0.18,,,0
NDC,66758-190-06,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.54,0.19,,,0
NDC,66758-190-13,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.54,0.19,,,0
NDC,66780-210-07,EXENATIDE 5 MCG/DOSE (250 MCG/ML)1.2 ML SUBCUTANEOUS PEN INJECTOR [110086],1455.45,509.41,,,0
NDC,66780-210-08,EXENATIDE 10 MCG/DOSE(250 MCG/ML)2.4 ML SUBCUTANEOUS PEN INJECTOR [41283],1485.44,519.9,,,0
NDC,66780-212-01,EXENATIDE 10 MCG/DOSE(250 MCG/ML)2.4 ML SUBCUTANEOUS PEN INJECTOR [41283],727.72,254.7,,,0
NDC,66794-206-02,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,66794-206-41,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,66794-207-02,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,66794-219-43,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
NDC,66794-219-63,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [106069],2.87,1.01,,,0
NDC,66794-230-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,66794-230-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,66794-649-02,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [153980],365.28,127.85,,,0
NDC,66993-002-10,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM [9969],21.04,7.37,,,0
NDC,66993-019-68,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],53.61,18.76,,,0
NDC,66993-022-27,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,66993-022-35,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,66993-023-27,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],18.04,6.31,,,0
NDC,66993-023-35,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],18.04,6.31,,,0
NDC,66993-057-04,HYDROXYCHLOROQUINE 200 MG TABLET [10235],1.14,0.4,,,0
NDC,66993-066-02,PHENOXYBENZAMINE 10 MG CAPSULE [10945],27.5,9.62,,,0
NDC,66993-068-51,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.38,0.13,,,0
NDC,66993-068-80,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.38,0.13,,,0
NDC,66993-079-96,FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER [15474],57.38,20.08,,,0
NDC,66993-121-30,TRANEXAMIC ACID 650 MG TABLET [145031],4.34,1.52,,,0
NDC,66993-160-30,LEFLUNOMIDE 10 MG TABLET [23872],1.81,0.63,,,0
NDC,66993-165-02,COLCHICINE 0.6 MG TABLET [1821],5.61,1.96,,,0
NDC,66993-185-50,DOXERCALCIFEROL 0.5 MCG CAPSULE [38830],13.07,4.57,,,0
NDC,66993-422-47,LANTHANUM 500 MG CHEWABLE TABLET [39975],10.79,3.78,,,0
NDC,66993-422-85,LANTHANUM 500 MG CHEWABLE TABLET [39975],10.79,3.78,,,0
NDC,66993-489-83,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2850.75,997.76,,,0
NDC,66993-490-36,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [76780],139.15,48.7,,,0
NDC,66993-490-84,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [76780],139.15,48.7,,,0
NDC,66993-709-30,MIRTAZAPINE 15 MG DISINTEGRATING TABLET [29531],1.82,0.64,,,0
NDC,66993-709-51,MIRTAZAPINE 15 MG DISINTEGRATING TABLET [29531],1.82,0.64,,,0
NDC,66993-831-02,TRIAMTERENE 50 MG CAPSULE [11588],9.54,3.34,,,0
NDC,66993-844-35,PREDNISOLONE 10 MG DISINTEGRATING TABLET [77790],11.51,4.03,,,0
NDC,66993-844-51,PREDNISOLONE 10 MG DISINTEGRATING TABLET [77790],11.51,4.03,,,0
NDC,66993-844-62,PREDNISOLONE 10 MG DISINTEGRATING TABLET [77790],11.51,4.03,,,0
NDC,66993-935-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592],7.29,2.55,,,0
NDC,66993-942-15,MUPIROCIN CALCIUM 2 % TOPICAL CREAM [22251],17.35,6.07,,,0
NDC,67253-200-10,PENICILLIN V POTASSIUM 250 MG TABLET [6092],0.27,0.1,,,0
NDC,67253-201-10,PENICILLIN V POTASSIUM 500 MG TABLET [6093],0.46,0.16,,,0
NDC,67253-203-10,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],2.71,0.95,,,0
NDC,67253-203-20,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],2.71,0.95,,,0
NDC,67253-660-10,PYRAZINAMIDE 500 MG TABLET [6738],2.24,0.78,,,0
NDC,67253-900-10,ALPRAZOLAM 0.25 MG TABLET [324],0.02,0.00875,,,0
NDC,67253-961-24,ZIDOVUDINE 10 MG/ML ORAL SYRUP [11693],14.88,5.21,,,0
NDC,67263-345-83,LEUCOVORIN CALCIUM 10 MG TABLET [4395],8.7,3.05,,,0
NDC,67386-122-52,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [76780],139.15,48.7,,,0
NDC,67386-130-51,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION [187526],5430.71,1900.75,,,0
NDC,67386-201-11,SUCCIMER 100 MG CAPSULE [11438],8.24,2.89,,,0
NDC,67386-313-21,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [163599],34.02,11.91,,,0
NDC,67386-501-52,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION [6097],152.67,53.44,,,0
NDC,67386-511-51,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION [10267],367.98,128.79,,,0
NDC,67386-611-52,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],52.83,18.49,,,0
NDC,67386-711-55,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],1660.8,581.28,,,0
NDC,67386-811-55,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2850.75,997.76,,,0
NDC,67386-820-19,DROXIDOPA 100 MG CAPSULE [167193],39.24,13.73,,,0
NDC,67405-651-55,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],0.86,0.3,,,0
NDC,67425-002-10,HYALURONIDASE (OVINE) 200 UNIT/ML INJECTION SOLUTION [40449],309.22,108.23,,,0
NDC,67457-001-00,KETAMINE 50 MG/ML INJECTION SOLUTION [4238],2.67,0.94,,,0
NDC,67457-001-10,KETAMINE 50 MG/ML INJECTION SOLUTION [4238],2.67,0.94,,,0
NDC,67457-118-50,ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION [654],70.35,24.62,,,0
NDC,67457-124-10,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0.74,0.26,,,0
NDC,67457-153-00,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,67457-153-03,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,67457-153-09,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,67457-153-18,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,67457-153-99,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,67457-163-02,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [41793],165.05,57.77,,,0
NDC,67457-177-50,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION [112827],378.8,132.58,,,0
NDC,67457-182-00,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],36.53,12.78,,,0
NDC,67457-182-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],36.53,12.78,,,0
NDC,67457-183-20,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,67457-196-00,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,67457-196-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],43.81,15.33,,,0
NDC,67457-197-00,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,67457-197-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,67457-198-05,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],684.55,239.59,,,0
NDC,67457-198-99,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],684.55,239.59,,,0
NDC,67457-208-50,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],343.61,120.26,,,0
NDC,67457-210-05,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378],1552.05,543.22,,,0
NDC,67457-211-02,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [22185],3380.0,1183.0,,,0
NDC,67457-217-20,METHADONE 10 MG/ML INJECTION SOLUTION [10546],206.25,72.19,,,0
NDC,67457-218-10,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",23.06,8.07,,,0
NDC,67457-220-05,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [10358],1845.04,645.76,,,0
NDC,67457-224-10,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],45.73,16.0,,,0
NDC,67457-228-00,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,67457-228-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,67457-228-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,67457-251-00,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,67457-251-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,67457-254-30,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,67457-263-30,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],1660.8,581.28,,,0
NDC,67457-291-00,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],353.77,123.82,,,0
NDC,67457-292-00,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],52.05,18.22,,,0
NDC,67457-292-02,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],52.05,18.22,,,0
NDC,67457-297-50,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],11246.43,3936.25,,,0
NDC,67457-317-25,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],217.37,76.08,,,0
NDC,67457-323-25,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [31906],1.5,0.53,,,0
NDC,67457-339-00,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,67457-339-50,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,67457-340-00,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,67457-340-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,67457-341-05,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],788.28,275.9,,,0
NDC,67457-342-10,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],1576.56,551.79,,,0
NDC,67457-348-10,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,67457-349-03,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,67457-349-10,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,67457-352-02,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],279.78,97.92,,,0
NDC,67457-352-10,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],279.78,97.92,,,0
NDC,67457-374-12,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,67457-374-99,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,67457-380-12,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [22960],43.81,15.33,,,0
NDC,67457-380-25,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [22960],43.81,15.33,,,0
NDC,67457-385-10,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,67457-385-99,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.17,4.96,,,0
NDC,67457-386-81,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],752.19,263.27,,,0
NDC,67457-390-54,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
NDC,67457-418-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,67457-418-05,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,67457-420-10,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],78.75,27.56,,,0
NDC,67457-422-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,67457-422-54,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,67457-423-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,67457-423-12,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],103.08,36.08,,,0
NDC,67457-424-10,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,67457-425-51,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,67457-426-00,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,67457-426-12,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],67.0,23.45,,,0
NDC,67457-428-00,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,67457-428-30,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,67457-430-10,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],4.85,1.7,,,0
NDC,67457-433-00,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,67457-433-22,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,67457-437-00,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],297.63,104.17,,,0
NDC,67457-437-10,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],297.63,104.17,,,0
NDC,67457-438-00,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,67457-438-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,67457-440-00,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,67457-440-22,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,67457-444-00,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],5.48,1.92,,,0
NDC,67457-444-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],5.48,1.92,,,0
NDC,67457-445-60,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],673.72,235.8,,,0
NDC,67457-446-10,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],109.0,38.15,,,0
NDC,67457-450-10,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],54.76,19.17,,,0
NDC,67457-452-20,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],72.4,25.34,,,0
NDC,67457-462-01,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],4090.79,1431.78,,,0
NDC,67457-464-20,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
NDC,67457-469-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [41598],53.75,18.81,,,0
NDC,67457-473-00,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,67457-473-22,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],109.52,38.33,,,0
NDC,67457-491-54,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,67457-492-15,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,67457-493-46,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],37.45,13.11,,,0
NDC,67457-513-05,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2850.75,997.76,,,0
NDC,67457-516-00,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,67457-516-22,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,67457-516-25,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [17764],71.08,24.88,,,0
NDC,67457-517-00,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,67457-517-01,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,67457-519-20,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],5197.92,1819.27,,,0
NDC,67457-521-00,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,67457-521-22,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],177.8,62.23,,,0
NDC,67457-522-00,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,67457-522-37,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],266.71,93.35,,,0
NDC,67457-523-00,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,67457-523-45,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,67457-524-33,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [70544],869.7,304.39,,,0
NDC,67457-528-10,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION [4392],83.85,29.35,,,0
NDC,67457-529-20,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION [15426],121.11,42.39,,,0
NDC,67457-530-35,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],121.11,42.39,,,0
NDC,67457-531-02,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION [150059],342.51,119.88,,,0
NDC,67457-567-00,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [16162],1.03,0.36,,,0
NDC,67457-571-00,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,67457-571-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],386.92,135.42,,,0
NDC,67457-582-00,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],1610.55,563.69,,,0
NDC,67457-582-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],1610.55,563.69,,,0
NDC,67457-583-00,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [109786],1610.55,563.69,,,0
NDC,67457-583-04,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [109786],1610.55,563.69,,,0
NDC,67457-584-00,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [39803],1610.55,563.69,,,0
NDC,67457-584-06,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [39803],1610.55,563.69,,,0
NDC,67457-585-00,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [109787],1610.55,563.69,,,0
NDC,67457-585-08,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [109787],1610.55,563.69,,,0
NDC,67457-603-05,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,67457-603-99,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",204.79,71.68,,,0
NDC,67457-611-00,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,67457-611-10,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,67457-612-00,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,67457-612-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,67457-619-10,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],29.42,10.3,,,0
NDC,67457-629-10,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION [23124],62.8,21.98,,,0
NDC,67457-631-10,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],23.55,8.24,,,0
NDC,67457-640-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,67457-657-25,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",4.91,1.72,,,0
NDC,67457-658-10,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",6.82,2.39,,,0
NDC,67457-675-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],6360.8,2226.28,,,0
NDC,67457-790-00,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,67457-790-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.51,14.18,,,0
NDC,67457-833-06,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [182492],33916.68,11870.84,,,0
NDC,67457-839-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],489.85,171.45,,,0
NDC,67457-844-50,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION [40917],964.88,337.71,,,0
NDC,67457-845-50,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION [186583],14280.9,4998.32,,,0
NDC,67457-847-44,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION [186583],14280.9,4998.32,,,0
NDC,67457-852-00,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,67457-852-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,67457-853-50,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],325.18,113.81,,,0
NDC,67457-855-00,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],249.96,87.48,,,0
NDC,67457-855-02,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],249.96,87.48,,,0
NDC,67457-857-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],249.96,87.48,,,0
NDC,67457-860-00,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,67457-887-00,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,67457-887-01,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,67457-887-99,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],443.1,155.08,,,0
NDC,67457-889-10,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],869.4,304.29,,,0
NDC,67457-925-00,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,67457-925-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,67457-940-10,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [148497]",0.73,0.25,,,0
NDC,67457-991-15,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION [186586],5100.32,1785.11,,,0
NDC,67467-623-02,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,67467-623-03,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,67546-111-11,NITAZOXANIDE 500 MG TABLET [39254],21.1,7.38,,,0
NDC,67546-111-12,NITAZOXANIDE 500 MG TABLET [39254],134.63,47.12,,,0
NDC,67546-212-21,NITAZOXANIDE 100 MG/5 ML ORAL SUSPENSION [34708],23.0,8.05,,,0
NDC,67618-148-03,POVIDONE-IODINE 5 % TOPICAL AEROSOL [11088],77.11,26.99,,,0
NDC,67618-300-10,SENNOSIDES 8.6 MG TABLET [11349],0.21,0.07,,,0
NDC,67618-300-50,SENNOSIDES 8.6 MG TABLET [11349],0.18,0.06,,,0
NDC,67850-024-00,AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],73.44,25.7,,,0
NDC,67871-4790-6,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION [9984],359.47,125.82,,,0
NDC,67877-105-01,BENZONATATE 100 MG CAPSULE [988],0.3,0.1,,,0
NDC,67877-124-05,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],1.57,0.55,,,0
NDC,67877-124-40,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],1.57,0.55,,,0
NDC,67877-124-50,SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],1.57,0.55,,,0
NDC,67877-146-01,TEMAZEPAM 15 MG CAPSULE [7753],0.11,0.04,,,0
NDC,67877-198-90,AMLODIPINE 5 MG TABLET [9071],0.02,0.007,,,0
NDC,67877-220-01,CEPHALEXIN 250 MG CAPSULE [9499],0.17,0.06,,,0
NDC,67877-222-01,GABAPENTIN 100 MG CAPSULE [18309],0.04,0.01,,,0
NDC,67877-223-01,GABAPENTIN 300 MG CAPSULE [18308],0.07,0.02,,,0
NDC,67877-230-22,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],36.08,12.63,,,0
NDC,67877-251-45,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0.25,0.09,,,0
NDC,67877-286-60,RILUZOLE 50 MG TABLET [16124],0.66,0.23,,,0
NDC,67877-319-05,IBUPROFEN 400 MG TABLET [3843],0.06,0.02,,,0
NDC,67877-320-01,IBUPROFEN 600 MG TABLET [3844],0.09,0.03,,,0
NDC,67877-321-01,IBUPROFEN 800 MG TABLET [3845],0.16,0.06,,,0
NDC,67877-414-01,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR [35771]",0.07,0.02,,,0
NDC,67877-419-33,LINEZOLID 600 MG TABLET [28224],3.5,1.22,,,0
NDC,67877-419-84,LINEZOLID 600 MG TABLET [28224],3.5,1.22,,,0
NDC,67877-426-12,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE [38062]",0.18,0.06,,,0
NDC,67877-427-12,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE [38063]",0.37,0.13,,,0
NDC,67877-446-90,OLMESARTAN 20 MG TABLET [32762],0.26,0.09,,,0
NDC,67877-484-33,TELMISARTAN 80 MG TABLET [24336],0.84,0.29,,,0
NDC,67877-543-60,CEFDINIR 300 MG CAPSULE [22289],0.83,0.29,,,0
NDC,67877-545-88,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],2.44,0.85,,,0
NDC,67877-636-33,TOLVAPTAN 30 MG TABLET [97894],480.52,168.18,,,0
NDC,67877-658-61,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [163599],34.02,11.91,,,0
NDC,67877-748-01,SIROLIMUS 2 MG TABLET [35262],9.98,3.49,,,0
NDC,67877-749-57,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],63.23,22.13,,,0
NDC,67877-753-60,DRONABINOL 2.5 MG CAPSULE [9904],1.69,0.59,,,0
NDC,67919-011-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,67919-020-10,ALVIMOPAN 12 MG CAPSULE [91870],181.84,63.64,,,0
NDC,67919-030-01,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION [168581],406.78,142.37,,,0
NDC,68001-114-06,"LEVETIRACETAM ER 750 MG TABLET,EXTENDED RELEASE 24 HR [97382]",0.77,0.27,,,0
NDC,68001-265-22,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,68001-265-23,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,68001-265-25,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,68001-265-26,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,68001-265-27,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],44.35,15.52,,,0
NDC,68001-266-27,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],0.85,0.3,,,0
NDC,68001-266-30,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [82200],4.7,1.65,,,0
NDC,68001-266-31,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [82204],4.7,1.65,,,0
NDC,68001-266-32,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],0.13,0.05,,,0
NDC,68001-283-24,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,68001-283-27,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,68001-283-32,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,68001-283-33,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,68001-286-38,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],121.11,42.39,,,0
NDC,68001-286-39,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],70.0,24.5,,,0
NDC,68001-313-56,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4172.08,1460.23,,,0
NDC,68001-342-34,GEMCITABINE 100 MG/ML INTRAVENOUS SOLUTION [181162],34.22,11.98,,,0
NDC,68001-345-26,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,68001-345-36,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,68001-355-25,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],217.37,76.08,,,0
NDC,68001-389-36,MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],1299.48,454.82,,,0
NDC,68001-418-38,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],121.11,42.39,,,0
NDC,68001-421-22,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],869.4,304.29,,,0
NDC,68001-422-37,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,68001-424-85,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,68001-437-25,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],470.63,164.72,,,0
NDC,68001-442-26,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],1064.62,372.62,,,0
NDC,68001-443-27,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],2129.23,745.23,,,0
NDC,68001-482-25,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],217.37,76.08,,,0
NDC,68084-009-01,METOCLOPRAMIDE 10 MG TABLET [5005],0.1,0.03,,,0
NDC,68084-009-11,METOCLOPRAMIDE 10 MG TABLET [5005],0.1,0.03,,,0
NDC,68084-018-01,ALPRAZOLAM 0.25 MG TABLET [324],0.06,0.02,,,0
NDC,68084-018-11,ALPRAZOLAM 0.25 MG TABLET [324],0.06,0.02,,,0
NDC,68084-019-01,ALPRAZOLAM 0.5 MG TABLET [325],0.07,0.02,,,0
NDC,68084-019-11,ALPRAZOLAM 0.5 MG TABLET [325],0.07,0.02,,,0
NDC,68084-020-01,ALPRAZOLAM 1 MG TABLET [326],0.08,0.03,,,0
NDC,68084-020-11,ALPRAZOLAM 1 MG TABLET [326],0.08,0.03,,,0
NDC,68084-021-11,ABACAVIR 300 MG TABLET [24438],8.82,3.09,,,0
NDC,68084-021-21,ABACAVIR 300 MG TABLET [24438],8.82,3.09,,,0
NDC,68084-022-01,NIFEDIPINE 10 MG CAPSULE [5558],1.15,0.4,,,0
NDC,68084-022-11,NIFEDIPINE 10 MG CAPSULE [5558],1.15,0.4,,,0
NDC,68084-027-01,WARFARIN 2.5 MG TABLET [8750],0.32,0.11,,,0
NDC,68084-027-11,WARFARIN 2.5 MG TABLET [8750],0.32,0.11,,,0
NDC,68084-031-01,NORTRIPTYLINE 10 MG CAPSULE [5674],0.37,0.13,,,0
NDC,68084-031-11,NORTRIPTYLINE 10 MG CAPSULE [5674],0.37,0.13,,,0
NDC,68084-032-01,NORTRIPTYLINE 25 MG CAPSULE [5675],0.42,0.15,,,0
NDC,68084-032-11,NORTRIPTYLINE 25 MG CAPSULE [5675],0.42,0.15,,,0
NDC,68084-040-01,MISOPROSTOL 100 MCG TABLET [10628],2.07,0.72,,,0
NDC,68084-040-11,MISOPROSTOL 100 MCG TABLET [10628],2.07,0.72,,,0
NDC,68084-041-01,MISOPROSTOL 200 MCG TABLET [10629],2.27,0.79,,,0
NDC,68084-041-11,MISOPROSTOL 200 MCG TABLET [10629],2.27,0.79,,,0
NDC,68084-043-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",0.56,0.2,,,0
NDC,68084-043-11,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",0.56,0.2,,,0
NDC,68084-046-01,PAROXETINE 30 MG TABLET [10856],0.95,0.33,,,0
NDC,68084-046-11,PAROXETINE 30 MG TABLET [10856],0.95,0.33,,,0
NDC,68084-051-01,NABUMETONE 500 MG TABLET [10676],0.66,0.23,,,0
NDC,68084-051-11,NABUMETONE 500 MG TABLET [10676],0.66,0.23,,,0
NDC,68084-053-01,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0.39,0.14,,,0
NDC,68084-053-11,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0.39,0.14,,,0
NDC,68084-054-01,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",0.61,0.21,,,0
NDC,68084-054-11,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",0.61,0.21,,,0
NDC,68084-055-01,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",1.46,0.51,,,0
NDC,68084-055-11,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",1.46,0.51,,,0
NDC,68084-056-01,METHOCARBAMOL 500 MG TABLET [4971],0.21,0.07,,,0
NDC,68084-056-11,METHOCARBAMOL 500 MG TABLET [4971],0.21,0.07,,,0
NDC,68084-057-01,METHOCARBAMOL 750 MG TABLET [4972],0.22,0.08,,,0
NDC,68084-057-11,METHOCARBAMOL 750 MG TABLET [4972],0.22,0.08,,,0
NDC,68084-059-11,ZAFIRLUKAST 20 MG TABLET [17960],2.87,1.0,,,0
NDC,68084-059-21,ZAFIRLUKAST 20 MG TABLET [17960],2.87,1.0,,,0
NDC,68084-065-01,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [38978],0.76,0.27,,,0
NDC,68084-065-11,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [38978],0.76,0.27,,,0
NDC,68084-069-01,CIPROFLOXACIN 250 MG TABLET [25118],0.3,0.11,,,0
NDC,68084-069-11,CIPROFLOXACIN 250 MG TABLET [25118],0.3,0.11,,,0
NDC,68084-070-01,CIPROFLOXACIN 500 MG TABLET [25119],0.35,0.12,,,0
NDC,68084-070-11,CIPROFLOXACIN 500 MG TABLET [25119],0.35,0.12,,,0
NDC,68084-071-01,CIPROFLOXACIN 750 MG TABLET [25120],0.72,0.25,,,0
NDC,68084-071-11,CIPROFLOXACIN 750 MG TABLET [25120],0.72,0.25,,,0
NDC,68084-075-11,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],27.53,9.63,,,0
NDC,68084-075-21,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],27.53,9.63,,,0
NDC,68084-077-01,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],1.78,0.62,,,0
NDC,68084-077-11,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],1.78,0.62,,,0
NDC,68084-078-01,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],2.75,0.96,,,0
NDC,68084-078-11,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],2.75,0.96,,,0
NDC,68084-081-01,GABAPENTIN 400 MG CAPSULE [18307],0.19,0.07,,,0
NDC,68084-081-65,GABAPENTIN 400 MG CAPSULE [18307],0.38,0.13,,,0
NDC,68084-082-01,ISOSORBIDE DINITRATE 10 MG TABLET [4064],0.93,0.33,,,0
NDC,68084-082-11,ISOSORBIDE DINITRATE 10 MG TABLET [4064],0.93,0.33,,,0
NDC,68084-083-01,ISOSORBIDE DINITRATE 20 MG TABLET [4065],0.91,0.32,,,0
NDC,68084-083-11,ISOSORBIDE DINITRATE 20 MG TABLET [4065],0.91,0.32,,,0
NDC,68084-091-01,METOCLOPRAMIDE 10 MG TABLET [5005],0.1,0.03,,,0
NDC,68084-091-11,METOCLOPRAMIDE 10 MG TABLET [5005],0.1,0.03,,,0
NDC,68084-093-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.36,0.13,,,0
NDC,68084-093-11,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0.36,0.13,,,0
NDC,68084-094-01,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0.5,0.18,,,0
NDC,68084-094-11,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0.5,0.18,,,0
NDC,68084-097-01,ATORVASTATIN 10 MG TABLET [19176],0.37,0.13,,,0
NDC,68084-097-11,ATORVASTATIN 10 MG TABLET [19176],0.37,0.13,,,0
NDC,68084-098-01,ATORVASTATIN 20 MG TABLET [19178],0.45,0.16,,,0
NDC,68084-098-11,ATORVASTATIN 20 MG TABLET [19178],0.45,0.16,,,0
NDC,68084-099-01,ATORVASTATIN 40 MG TABLET [19177],0.45,0.16,,,0
NDC,68084-099-11,ATORVASTATIN 40 MG TABLET [19177],0.45,0.16,,,0
NDC,68084-103-09,ZIPRASIDONE 20 MG CAPSULE [29778],2.77,0.97,,,0
NDC,68084-103-11,ZIPRASIDONE 20 MG CAPSULE [29778],2.77,0.97,,,0
NDC,68084-104-09,ZIPRASIDONE 40 MG CAPSULE [29779],2.77,0.97,,,0
NDC,68084-104-11,ZIPRASIDONE 40 MG CAPSULE [29779],2.77,0.97,,,0
NDC,68084-105-09,ZIPRASIDONE 60 MG CAPSULE [29780],2.77,0.97,,,0
NDC,68084-105-11,ZIPRASIDONE 60 MG CAPSULE [29780],2.77,0.97,,,0
NDC,68084-106-09,ZIPRASIDONE 80 MG CAPSULE [29781],2.77,0.97,,,0
NDC,68084-106-11,ZIPRASIDONE 80 MG CAPSULE [29781],2.77,0.97,,,0
NDC,68084-108-01,ACYCLOVIR 400 MG TABLET [8971],0.39,0.14,,,0
NDC,68084-108-11,ACYCLOVIR 400 MG TABLET [8971],0.39,0.14,,,0
NDC,68084-110-01,BETHANECHOL CHLORIDE 25 MG TABLET [1044],0.55,0.19,,,0
NDC,68084-110-11,BETHANECHOL CHLORIDE 25 MG TABLET [1044],0.55,0.19,,,0
NDC,68084-111-01,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR [37649]",0.6,0.21,,,0
NDC,68084-111-11,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR [37649]",0.6,0.21,,,0
NDC,68084-112-01,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR [37650]",0.88,0.31,,,0
NDC,68084-112-11,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR [37650]",0.88,0.31,,,0
NDC,68084-119-01,MIRTAZAPINE 15 MG TABLET [17466],0.24,0.08,,,0
NDC,68084-119-11,MIRTAZAPINE 15 MG TABLET [17466],0.24,0.08,,,0
NDC,68084-120-01,MIRTAZAPINE 30 MG TABLET [17465],0.34,0.12,,,0
NDC,68084-120-11,MIRTAZAPINE 30 MG TABLET [17465],0.34,0.12,,,0
NDC,68084-121-01,MIRTAZAPINE 45 MG TABLET [24945],0.59,0.21,,,0
NDC,68084-121-11,MIRTAZAPINE 45 MG TABLET [24945],0.4,0.14,,,0
NDC,68084-122-11,GABAPENTIN 600 MG TABLET [25855],0.66,0.23,,,0
NDC,68084-124-01,TRAZODONE 50 MG TABLET [8085],0.06,0.02,,,0
NDC,68084-124-11,TRAZODONE 50 MG TABLET [8085],0.06,0.02,,,0
NDC,68084-125-01,TRAZODONE 100 MG TABLET [8083],0.1,0.04,,,0
NDC,68084-125-11,TRAZODONE 100 MG TABLET [8083],0.1,0.04,,,0
NDC,68084-126-01,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [38978],0.91,0.32,,,0
NDC,68084-126-11,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [38978],0.91,0.32,,,0
NDC,68084-127-01,NAPROXEN 500 MG TABLET [5393],0.2,0.07,,,0
NDC,68084-127-11,NAPROXEN 500 MG TABLET [5393],0.2,0.07,,,0
NDC,68084-135-11,METAXALONE 800 MG TABLET [33963],5.6,1.96,,,0
NDC,68084-135-21,METAXALONE 800 MG TABLET [33963],5.6,1.96,,,0
NDC,68084-149-01,METHYLPREDNISOLONE 4 MG TABLET [4993],1.67,0.58,,,0
NDC,68084-149-11,METHYLPREDNISOLONE 4 MG TABLET [4993],1.67,0.58,,,0
NDC,68084-155-01,PROMETHAZINE 25 MG TABLET [6622],0.41,0.14,,,0
NDC,68084-155-11,PROMETHAZINE 25 MG TABLET [6622],0.41,0.14,,,0
NDC,68084-161-01,SIMVASTATIN 5 MG TABLET [11367],0.23,0.08,,,0
NDC,68084-166-01,BETHANECHOL CHLORIDE 10 MG TABLET [1043],0.39,0.14,,,0
NDC,68084-166-11,BETHANECHOL CHLORIDE 10 MG TABLET [1043],0.39,0.14,,,0
NDC,68084-172-01,FAMOTIDINE 20 MG TABLET [10011],0.08,0.03,,,0
NDC,68084-172-11,FAMOTIDINE 20 MG TABLET [10011],0.08,0.03,,,0
NDC,68084-174-01,DRONABINOL 2.5 MG CAPSULE [9904],5.15,1.8,,,0
NDC,68084-174-11,DRONABINOL 2.5 MG CAPSULE [9904],5.15,1.8,,,0
NDC,68084-179-11,RIBAVIRIN 200 MG CAPSULE [11286],2.0,0.7,,,0
NDC,68084-179-65,RIBAVIRIN 200 MG CAPSULE [11286],1.8,0.63,,,0
NDC,68084-180-01,SERTRALINE 25 MG TABLET [19882],0.16,0.06,,,0
NDC,68084-180-11,SERTRALINE 25 MG TABLET [19882],0.16,0.06,,,0
NDC,68084-181-01,SERTRALINE 50 MG TABLET [11351],0.16,0.06,,,0
NDC,68084-181-11,SERTRALINE 50 MG TABLET [11351],0.16,0.06,,,0
NDC,68084-182-01,SERTRALINE 100 MG TABLET [11350],0.15,0.05,,,0
NDC,68084-182-11,SERTRALINE 100 MG TABLET [11350],0.15,0.05,,,0
NDC,68084-184-01,OXYCODONE 15 MG TABLET [28899],0.95,0.33,,,0
NDC,68084-184-11,OXYCODONE 15 MG TABLET [28899],0.95,0.33,,,0
NDC,68084-185-01,OXYCODONE 30 MG TABLET [28900],1.39,0.49,,,0
NDC,68084-185-11,OXYCODONE 30 MG TABLET [28900],1.39,0.49,,,0
NDC,68084-186-01,PRAVASTATIN 10 MG TABLET [11110],0.67,0.23,,,0
NDC,68084-186-11,PRAVASTATIN 10 MG TABLET [11110],0.67,0.23,,,0
NDC,68084-189-01,ZOLPIDEM 5 MG TABLET [11701],0.12,0.04,,,0
NDC,68084-189-11,ZOLPIDEM 5 MG TABLET [11701],0.12,0.04,,,0
NDC,68084-190-01,ZONISAMIDE 25 MG CAPSULE [36987],0.42,0.15,,,0
NDC,68084-190-11,ZONISAMIDE 25 MG CAPSULE [36987],0.42,0.15,,,0
NDC,68084-195-01,ROPINIROLE 0.25 MG TABLET [21688],0.65,0.23,,,0
NDC,68084-195-11,ROPINIROLE 0.25 MG TABLET [21688],0.65,0.23,,,0
NDC,68084-199-01,LISINOPRIL 40 MG TABLET [10450],0.19,0.07,,,0
NDC,68084-199-11,LISINOPRIL 40 MG TABLET [10450],0.19,0.07,,,0
NDC,68084-202-01,PRIMIDONE 50 MG TABLET [11129],0.81,0.28,,,0
NDC,68084-202-11,PRIMIDONE 50 MG TABLET [11129],0.81,0.28,,,0
NDC,68084-203-01,PRIMIDONE 250 MG TABLET [6544],0.87,0.31,,,0
NDC,68084-203-11,PRIMIDONE 250 MG TABLET [6544],0.87,0.31,,,0
NDC,68084-204-01,MINOXIDIL 2.5 MG TABLET [5115],0.52,0.18,,,0
NDC,68084-204-11,MINOXIDIL 2.5 MG TABLET [5115],0.52,0.18,,,0
NDC,68084-205-01,MINOXIDIL 10 MG TABLET [5114],0.64,0.22,,,0
NDC,68084-205-11,MINOXIDIL 10 MG TABLET [5114],0.64,0.22,,,0
NDC,68084-208-01,SPIRONOLACTONE 100 MG TABLET [11425],0.84,0.29,,,0
NDC,68084-208-11,SPIRONOLACTONE 100 MG TABLET [11425],0.84,0.29,,,0
NDC,68084-209-11,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]",1.33,0.47,,,0
NDC,68084-210-01,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]",1.52,0.53,,,0
NDC,68084-210-11,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]",1.52,0.53,,,0
NDC,68084-213-01,URSODIOL 300 MG CAPSULE [11624],5.95,2.08,,,0
NDC,68084-213-11,URSODIOL 300 MG CAPSULE [11624],5.95,2.08,,,0
NDC,68084-214-01,BENZONATATE 100 MG CAPSULE [988],0.46,0.16,,,0
NDC,68084-214-11,BENZONATATE 100 MG CAPSULE [988],0.46,0.16,,,0
NDC,68084-220-01,ONDANSETRON HCL 4 MG TABLET [10778],0.75,0.26,,,0
NDC,68084-220-11,ONDANSETRON HCL 4 MG TABLET [10778],0.75,0.26,,,0
NDC,68084-221-01,ONDANSETRON HCL 8 MG TABLET [10779],0.96,0.34,,,0
NDC,68084-221-11,ONDANSETRON HCL 8 MG TABLET [10779],0.96,0.34,,,0
NDC,68084-224-11,HYDROCORTISONE 20 MG TABLET [3734],0.41,0.14,,,0
NDC,68084-224-21,HYDROCORTISONE 20 MG TABLET [3734],0.41,0.14,,,0
NDC,68084-229-01,AZATHIOPRINE 50 MG TABLET [9183],0.68,0.24,,,0
NDC,68084-229-11,AZATHIOPRINE 50 MG TABLET [9183],0.68,0.24,,,0
NDC,68084-231-01,GLYCOPYRROLATE 1 MG TABLET [10130],1.0,0.35,,,0
NDC,68084-231-11,GLYCOPYRROLATE 1 MG TABLET [10130],1.0,0.35,,,0
NDC,68084-241-01,MIDODRINE 5 MG TABLET [10610],1.18,0.41,,,0
NDC,68084-241-11,MIDODRINE 5 MG TABLET [10610],1.18,0.41,,,0
NDC,68084-244-01,CLINDAMYCIN HCL 300 MG CAPSULE [9621],1.11,0.39,,,0
NDC,68084-244-11,CLINDAMYCIN HCL 300 MG CAPSULE [9621],1.11,0.39,,,0
NDC,68084-248-01,LORATADINE 10 MG TABLET [10466],0.29,0.1,,,0
NDC,68084-248-11,LORATADINE 10 MG TABLET [10466],0.29,0.1,,,0
NDC,68084-251-11,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",3.44,1.2,,,0
NDC,68084-252-11,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",2.53,0.89,,,0
NDC,68084-252-21,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",2.53,0.89,,,0
NDC,68084-253-01,HYDROXYZINE HCL 10 MG TABLET [3772],0.27,0.09,,,0
NDC,68084-253-11,HYDROXYZINE HCL 10 MG TABLET [3772],0.27,0.09,,,0
NDC,68084-254-01,HYDROXYZINE HCL 25 MG TABLET [3774],0.39,0.14,,,0
NDC,68084-254-11,HYDROXYZINE HCL 25 MG TABLET [3774],0.32,0.11,,,0
NDC,68084-255-01,HYDROXYZINE HCL 50 MG TABLET [3775],0.38,0.13,,,0
NDC,68084-255-11,HYDROXYZINE HCL 50 MG TABLET [3775],0.38,0.13,,,0
NDC,68084-256-11,TERBUTALINE 2.5 MG TABLET [11508],1.45,0.51,,,0
NDC,68084-256-21,TERBUTALINE 2.5 MG TABLET [11508],1.45,0.51,,,0
NDC,68084-259-01,AMLODIPINE 5 MG TABLET [9071],0.16,0.06,,,0
NDC,68084-259-11,AMLODIPINE 5 MG TABLET [9071],0.16,0.06,,,0
NDC,68084-261-01,CARVEDILOL 3.125 MG TABLET [18551],0.12,0.04,,,0
NDC,68084-261-11,CARVEDILOL 3.125 MG TABLET [18551],0.12,0.04,,,0
NDC,68084-262-01,CARVEDILOL 6.25 MG TABLET [15747],0.12,0.04,,,0
NDC,68084-262-11,CARVEDILOL 6.25 MG TABLET [15747],0.12,0.04,,,0
NDC,68084-263-01,CARVEDILOL 12.5 MG TABLET [15749],0.11,0.04,,,0
NDC,68084-263-11,CARVEDILOL 12.5 MG TABLET [15749],0.12,0.04,,,0
NDC,68084-264-01,CARVEDILOL 25 MG TABLET [15748],0.12,0.04,,,0
NDC,68084-264-11,CARVEDILOL 25 MG TABLET [15748],0.12,0.04,,,0
NDC,68084-266-01,RAMIPRIL 2.5 MG CAPSULE [11260],0.17,0.06,,,0
NDC,68084-266-11,RAMIPRIL 2.5 MG CAPSULE [11260],0.17,0.06,,,0
NDC,68084-268-01,RAMIPRIL 10 MG CAPSULE [11259],0.46,0.16,,,0
NDC,68084-268-11,RAMIPRIL 10 MG CAPSULE [11259],0.46,0.16,,,0
NDC,68084-269-01,HYDROXYCHLOROQUINE 200 MG TABLET [10235],1.95,0.68,,,0
NDC,68084-269-11,HYDROXYCHLOROQUINE 200 MG TABLET [10235],1.95,0.68,,,0
NDC,68084-272-01,RISPERIDONE 1 MG TABLET [18313],0.42,0.15,,,0
NDC,68084-272-11,RISPERIDONE 1 MG TABLET [18313],0.42,0.15,,,0
NDC,68084-275-01,METHIMAZOLE 5 MG TABLET [10553],0.37,0.13,,,0
NDC,68084-275-11,METHIMAZOLE 5 MG TABLET [10553],0.37,0.13,,,0
NDC,68084-277-01,RISPERIDONE 4 MG TABLET [18310],2.46,0.86,,,0
NDC,68084-277-11,RISPERIDONE 4 MG TABLET [18310],0.51,0.18,,,0
NDC,68084-278-01,AZITHROMYCIN 250 MG TABLET [20943],1.74,0.61,,,0
NDC,68084-278-11,AZITHROMYCIN 250 MG TABLET [20943],1.74,0.61,,,0
NDC,68084-280-01,ETHAMBUTOL 400 MG TABLET [9983],1.41,0.49,,,0
NDC,68084-281-01,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [12329]",0.78,0.27,,,0
NDC,68084-281-11,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [12329]",0.78,0.27,,,0
NDC,68084-282-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [9409]",0.83,0.29,,,0
NDC,68084-282-11,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [9409]",0.73,0.25,,,0
NDC,68084-283-01,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.28,0.1,,,0
NDC,68084-283-11,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.28,0.1,,,0
NDC,68084-284-01,HYDROXYUREA 500 MG CAPSULE [10236],0.92,0.32,,,0
NDC,68084-284-11,HYDROXYUREA 500 MG CAPSULE [10236],0.92,0.32,,,0
NDC,68084-286-11,FEXOFENADINE 60 MG TABLET [21529],0.89,0.31,,,0
NDC,68084-288-01,FLUDROCORTISONE 0.1 MG TABLET [10054],0.84,0.3,,,0
NDC,68084-288-11,FLUDROCORTISONE 0.1 MG TABLET [10054],0.84,0.3,,,0
NDC,68084-289-01,MINOCYCLINE 100 MG CAPSULE [5110],0.75,0.26,,,0
NDC,68084-289-11,MINOCYCLINE 100 MG CAPSULE [5110],0.75,0.26,,,0
NDC,68084-292-01,PHENAZOPYRIDINE 100 MG TABLET [6193],1.17,0.41,,,0
NDC,68084-292-11,PHENAZOPYRIDINE 100 MG TABLET [6193],1.17,0.41,,,0
NDC,68084-293-01,PHENAZOPYRIDINE 200 MG TABLET [6194],2.29,0.8,,,0
NDC,68084-293-11,PHENAZOPYRIDINE 200 MG TABLET [6194],2.29,0.8,,,0
NDC,68084-294-11,RAMIPRIL 1.25 MG CAPSULE [11258],1.47,0.51,,,0
NDC,68084-294-21,RAMIPRIL 1.25 MG CAPSULE [11258],1.47,0.51,,,0
NDC,68084-295-11,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",1.13,0.4,,,0
NDC,68084-295-21,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",1.13,0.4,,,0
NDC,68084-299-01,TAMSULOSIN 0.4 MG CAPSULE [27856],0.59,0.21,,,0
NDC,68084-299-11,TAMSULOSIN 0.4 MG CAPSULE [27856],0.59,0.21,,,0
NDC,68084-300-11,DANTROLENE 25 MG CAPSULE [9718],1.63,0.57,,,0
NDC,68084-300-21,DANTROLENE 25 MG CAPSULE [9718],1.63,0.57,,,0
NDC,68084-305-11,ROPINIROLE 0.25 MG TABLET [21688],0.65,0.23,,,0
NDC,68084-307-01,ROPINIROLE 1 MG TABLET [21689],0.65,0.23,,,0
NDC,68084-307-11,ROPINIROLE 1 MG TABLET [21689],0.65,0.23,,,0
NDC,68084-313-01,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [27631]",0.84,0.29,,,0
NDC,68084-313-11,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [27631]",0.84,0.29,,,0
NDC,68084-315-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.37,0.13,,,0
NDC,68084-315-11,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.37,0.13,,,0
NDC,68084-318-01,LAMOTRIGINE 25 MG TABLET [13981],0.14,0.05,,,0
NDC,68084-318-11,LAMOTRIGINE 25 MG TABLET [13981],0.19,0.07,,,0
NDC,68084-319-01,LAMOTRIGINE 100 MG TABLET [13982],0.19,0.07,,,0
NDC,68084-319-11,LAMOTRIGINE 100 MG TABLET [13982],0.19,0.07,,,0
NDC,68084-325-11,MERCAPTOPURINE 50 MG TABLET [10531],1.67,0.58,,,0
NDC,68084-325-21,MERCAPTOPURINE 50 MG TABLET [10531],1.67,0.58,,,0
NDC,68084-326-01,GLIMEPIRIDE 2 MG TABLET [16356],0.16,0.06,,,0
NDC,68084-326-11,GLIMEPIRIDE 2 MG TABLET [16356],0.54,0.19,,,0
NDC,68084-327-01,GLIMEPIRIDE 4 MG TABLET [16357],0.76,0.27,,,0
NDC,68084-327-11,GLIMEPIRIDE 4 MG TABLET [16357],0.76,0.27,,,0
NDC,68084-331-01,VENLAFAXINE 75 MG TABLET [12206],0.74,0.26,,,0
NDC,68084-331-11,VENLAFAXINE 75 MG TABLET [12206],0.74,0.26,,,0
NDC,68084-333-01,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0.67,0.23,,,0
NDC,68084-333-11,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0.67,0.23,,,0
NDC,68084-334-11,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET [27638],3.3,1.15,,,0
NDC,68084-335-11,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET [27639],0.72,0.25,,,0
NDC,68084-335-21,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET [27639],0.72,0.25,,,0
NDC,68084-336-01,LEVETIRACETAM 250 MG TABLET [26816],0.35,0.12,,,0
NDC,68084-336-11,LEVETIRACETAM 250 MG TABLET [26816],0.35,0.12,,,0
NDC,68084-337-01,LEVETIRACETAM 500 MG TABLET [26817],0.39,0.14,,,0
NDC,68084-337-11,LEVETIRACETAM 500 MG TABLET [26817],0.39,0.14,,,0
NDC,68084-342-11,TOPIRAMATE 25 MG TABLET [18920],0.3,0.1,,,0
NDC,68084-343-01,TOPIRAMATE 50 MG TABLET [37616],0.41,0.14,,,0
NDC,68084-343-11,TOPIRAMATE 50 MG TABLET [37616],0.41,0.14,,,0
NDC,68084-344-01,TOPIRAMATE 100 MG TABLET [18922],0.48,0.17,,,0
NDC,68084-344-11,TOPIRAMATE 100 MG TABLET [18922],0.48,0.17,,,0
NDC,68084-345-11,TOPIRAMATE 200 MG TABLET [18921],1.0,0.35,,,0
NDC,68084-345-21,TOPIRAMATE 200 MG TABLET [18921],1.0,0.35,,,0
NDC,68084-346-01,LOSARTAN 25 MG TABLET [14823],0.51,0.18,,,0
NDC,68084-346-11,LOSARTAN 25 MG TABLET [14823],0.51,0.18,,,0
NDC,68084-348-01,LOSARTAN 100 MG TABLET [22588],0.69,0.24,,,0
NDC,68084-348-11,LOSARTAN 100 MG TABLET [22588],0.69,0.24,,,0
NDC,68084-354-01,OXYCODONE 5 MG TABLET [10814],0.46,0.16,,,0
NDC,68084-354-11,OXYCODONE 5 MG TABLET [10814],0.46,0.16,,,0
NDC,68084-355-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0.39,0.14,,,0
NDC,68084-355-11,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0.39,0.14,,,0
NDC,68084-357-11,RIFAMPIN 150 MG CAPSULE [11292],1.59,0.56,,,0
NDC,68084-357-21,RIFAMPIN 150 MG CAPSULE [11292],1.59,0.56,,,0
NDC,68084-358-01,RIFAMPIN 300 MG CAPSULE [11293],1.09,0.38,,,0
NDC,68084-358-11,RIFAMPIN 300 MG CAPSULE [11293],1.09,0.38,,,0
NDC,68084-360-09,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.69,0.24,,,0
NDC,68084-360-11,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.69,0.24,,,0
NDC,68084-361-01,PROPAFENONE 150 MG TABLET [11146],0.81,0.28,,,0
NDC,68084-372-01,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],0.26,0.09,,,0
NDC,68084-372-11,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],0.26,0.09,,,0
NDC,68084-376-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],0.38,0.13,,,0
NDC,68084-376-11,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],0.54,0.19,,,0
NDC,68084-380-01,CARISOPRODOL 350 MG TABLET [1395],0.19,0.07,,,0
NDC,68084-380-11,CARISOPRODOL 350 MG TABLET [1395],0.19,0.07,,,0
NDC,68084-381-01,BENZTROPINE 0.5 MG TABLET [998],0.49,0.17,,,0
NDC,68084-381-11,BENZTROPINE 0.5 MG TABLET [998],0.49,0.17,,,0
NDC,68084-387-11,SOTALOL 80 MG TABLET [11421],0.36,0.13,,,0
NDC,68084-388-01,BENZTROPINE 1 MG TABLET [999],0.49,0.17,,,0
NDC,68084-388-11,BENZTROPINE 1 MG TABLET [999],0.49,0.17,,,0
NDC,68084-389-01,BENZTROPINE 2 MG TABLET [1000],0.56,0.2,,,0
NDC,68084-389-11,BENZTROPINE 2 MG TABLET [1000],0.56,0.2,,,0
NDC,68084-396-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],1.04,0.36,,,0
NDC,68084-396-11,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],1.63,0.57,,,0
NDC,68084-397-01,CYCLOBENZAPRINE 10 MG TABLET [2017],0.06,0.02,,,0
NDC,68084-397-11,CYCLOBENZAPRINE 10 MG TABLET [2017],0.06,0.02,,,0
NDC,68084-398-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [19146],0.16,0.06,,,0
NDC,68084-400-01,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0.46,0.16,,,0
NDC,68084-400-11,OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0.46,0.16,,,0
NDC,68084-404-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",1.24,0.43,,,0
NDC,68084-404-11,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",1.24,0.43,,,0
NDC,68084-408-01,VALACYCLOVIR 500 MG TABLET [13133],3.2,1.12,,,0
NDC,68084-408-11,VALACYCLOVIR 500 MG TABLET [13133],3.2,1.12,,,0
NDC,68084-411-11,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE [14628]",2.4,0.84,,,0
NDC,68084-411-21,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE [14628]",2.73,0.96,,,0
NDC,68084-415-11,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",2.19,0.77,,,0
NDC,68084-423-01,HYDROMORPHONE 2 MG TABLET [3760],0.17,0.06,,,0
NDC,68084-423-11,HYDROMORPHONE 2 MG TABLET [3760],0.17,0.06,,,0
NDC,68084-430-98,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,68084-430-99,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],9.02,3.16,,,0
NDC,68084-435-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0.53,0.18,,,0
NDC,68084-436-01,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0.58,0.2,,,0
NDC,68084-440-01,PRAMIPEXOLE 0.25 MG TABLET [21290],0.21,0.07,,,0
NDC,68084-440-11,PRAMIPEXOLE 0.25 MG TABLET [21290],0.21,0.07,,,0
NDC,68084-444-01,CARBAMAZEPINE 200 MG TABLET [1357],0.57,0.2,,,0
NDC,68084-444-11,CARBAMAZEPINE 200 MG TABLET [1357],0.57,0.2,,,0
NDC,68084-446-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],2.94,1.03,,,0
NDC,68084-446-11,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],2.94,1.03,,,0
NDC,68084-447-01,HYDRALAZINE 10 MG TABLET [3698],0.19,0.07,,,0
NDC,68084-447-11,HYDRALAZINE 10 MG TABLET [3698],0.19,0.07,,,0
NDC,68084-448-11,ANASTROZOLE 1 MG TABLET [16205],0.61,0.21,,,0
NDC,68084-448-21,ANASTROZOLE 1 MG TABLET [16205],0.61,0.21,,,0
NDC,68084-449-01,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",1.98,0.69,,,0
NDC,68084-450-01,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",1.5,0.52,,,0
NDC,68084-450-11,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",1.5,0.52,,,0
NDC,68084-451-01,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",11.96,4.18,,,0
NDC,68084-451-11,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",11.96,4.18,,,0
NDC,68084-463-01,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",1.27,0.45,,,0
NDC,68084-463-11,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",1.27,0.45,,,0
NDC,68084-469-01,HYDROCORTISONE 10 MG TABLET [3733],1.45,0.51,,,0
NDC,68084-469-11,HYDROCORTISONE 10 MG TABLET [3733],1.45,0.51,,,0
NDC,68084-472-01,HYDROMORPHONE 4 MG TABLET [3761],0.22,0.08,,,0
NDC,68084-472-11,HYDROMORPHONE 4 MG TABLET [3761],0.22,0.08,,,0
NDC,68084-473-01,GEMFIBROZIL 600 MG TABLET [3378],0.21,0.07,,,0
NDC,68084-473-11,GEMFIBROZIL 600 MG TABLET [3378],0.21,0.07,,,0
NDC,68084-479-01,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],1.4,0.49,,,0
NDC,68084-479-11,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],1.4,0.49,,,0
NDC,68084-481-01,LEVOFLOXACIN 250 MG TABLET [18918],0.41,0.14,,,0
NDC,68084-481-11,LEVOFLOXACIN 250 MG TABLET [18918],0.41,0.14,,,0
NDC,68084-482-01,LEVOFLOXACIN 500 MG TABLET [18919],0.58,0.2,,,0
NDC,68084-482-11,LEVOFLOXACIN 500 MG TABLET [18919],0.58,0.2,,,0
NDC,68084-483-01,LEVOFLOXACIN 750 MG TABLET [28964],0.5,0.18,,,0
NDC,68084-483-11,LEVOFLOXACIN 750 MG TABLET [28964],0.5,0.18,,,0
NDC,68084-487-11,BISOPROLOL FUMARATE 5 MG TABLET [18288],1.14,0.4,,,0
NDC,68084-487-21,BISOPROLOL FUMARATE 5 MG TABLET [18288],1.14,0.4,,,0
NDC,68084-490-01,MECLIZINE 12.5 MG TABLET [12024],0.49,0.17,,,0
NDC,68084-490-11,MECLIZINE 12.5 MG TABLET [12024],0.49,0.17,,,0
NDC,68084-491-01,MECLIZINE 25 MG TABLET [12025],0.59,0.21,,,0
NDC,68084-491-11,MECLIZINE 25 MG TABLET [12025],0.59,0.21,,,0
NDC,68084-494-01,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],1.38,0.48,,,0
NDC,68084-494-11,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],1.38,0.48,,,0
NDC,68084-499-01,GLYCOPYRROLATE 1 MG TABLET [10130],0.88,0.31,,,0
NDC,68084-499-11,GLYCOPYRROLATE 1 MG TABLET [10130],0.88,0.31,,,0
NDC,68084-500-01,PRAVASTATIN 10 MG TABLET [11110],0.67,0.23,,,0
NDC,68084-500-11,PRAVASTATIN 10 MG TABLET [11110],0.67,0.23,,,0
NDC,68084-505-01,AMLODIPINE 5 MG TABLET [9071],0.16,0.06,,,0
NDC,68084-505-11,AMLODIPINE 5 MG TABLET [9071],0.16,0.06,,,0
NDC,68084-508-01,DIGOXIN 125 MCG (0.125 MG) TABLET [2444],0.18,0.06,,,0
NDC,68084-511-01,SIMVASTATIN 10 MG TABLET [11364],0.17,0.06,,,0
NDC,68084-511-11,SIMVASTATIN 10 MG TABLET [11364],0.17,0.06,,,0
NDC,68084-512-01,SIMVASTATIN 20 MG TABLET [11365],0.24,0.08,,,0
NDC,68084-512-11,SIMVASTATIN 20 MG TABLET [11365],0.24,0.08,,,0
NDC,68084-513-01,SIMVASTATIN 40 MG TABLET [11366],0.17,0.06,,,0
NDC,68084-513-11,SIMVASTATIN 40 MG TABLET [11366],0.17,0.06,,,0
NDC,68084-525-01,OLANZAPINE 2.5 MG TABLET [21057],0.44,0.15,,,0
NDC,68084-525-11,OLANZAPINE 2.5 MG TABLET [21057],0.44,0.15,,,0
NDC,68084-530-01,QUETIAPINE 25 MG TABLET [21823],0.57,0.2,,,0
NDC,68084-530-11,QUETIAPINE 25 MG TABLET [21823],0.57,0.2,,,0
NDC,68084-533-01,QUETIAPINE 200 MG TABLET [21825],1.8,0.63,,,0
NDC,68084-533-11,QUETIAPINE 200 MG TABLET [21825],1.8,0.63,,,0
NDC,68084-534-01,QUETIAPINE 300 MG TABLET [29267],0.67,0.23,,,0
NDC,68084-534-11,QUETIAPINE 300 MG TABLET [29267],0.67,0.23,,,0
NDC,68084-536-01,CLOPIDOGREL 75 MG TABLET [22142],0.26,0.09,,,0
NDC,68084-536-11,CLOPIDOGREL 75 MG TABLET [22142],0.26,0.09,,,0
NDC,68084-539-01,TORSEMIDE 20 MG TABLET [18293],0.36,0.12,,,0
NDC,68084-539-11,TORSEMIDE 20 MG TABLET [18293],0.36,0.12,,,0
NDC,68084-541-01,ACETAZOLAMIDE 250 MG TABLET [113],3.49,1.22,,,0
NDC,68084-541-11,ACETAZOLAMIDE 250 MG TABLET [113],3.49,1.22,,,0
NDC,68084-542-01,NABUMETONE 500 MG TABLET [10676],0.66,0.23,,,0
NDC,68084-542-11,NABUMETONE 500 MG TABLET [10676],0.66,0.23,,,0
NDC,68084-549-11,TEMAZEPAM 7.5 MG CAPSULE [11500],3.01,1.05,,,0
NDC,68084-549-21,TEMAZEPAM 7.5 MG CAPSULE [11500],3.01,1.05,,,0
NDC,68084-564-01,ATORVASTATIN 10 MG TABLET [19176],0.54,0.19,,,0
NDC,68084-564-11,ATORVASTATIN 10 MG TABLET [19176],0.54,0.19,,,0
NDC,68084-565-01,ATORVASTATIN 20 MG TABLET [19178],0.74,0.26,,,0
NDC,68084-565-11,ATORVASTATIN 20 MG TABLET [19178],0.74,0.26,,,0
NDC,68084-572-01,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [166197]",0.84,0.29,,,0
NDC,68084-572-11,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [166197]",0.84,0.29,,,0
NDC,68084-589-01,ATORVASTATIN 40 MG TABLET [19177],0.74,0.26,,,0
NDC,68084-589-11,ATORVASTATIN 40 MG TABLET [19177],0.74,0.26,,,0
NDC,68084-590-25,ATORVASTATIN 80 MG TABLET [28645],0.68,0.24,,,0
NDC,68084-590-95,ATORVASTATIN 80 MG TABLET [28645],0.68,0.24,,,0
NDC,68084-591-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0.53,0.18,,,0
NDC,68084-591-11,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0.53,0.18,,,0
NDC,68084-592-01,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0.7,0.24,,,0
NDC,68084-592-11,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0.7,0.24,,,0
NDC,68084-593-01,SUCRALFATE 1 GRAM TABLET [11442],0.41,0.14,,,0
NDC,68084-593-11,SUCRALFATE 1 GRAM TABLET [11442],0.41,0.14,,,0
NDC,68084-594-01,GABAPENTIN 100 MG CAPSULE [18309],0.09,0.03,,,0
NDC,68084-594-11,GABAPENTIN 100 MG CAPSULE [18309],0.09,0.03,,,0
NDC,68084-594-65,GABAPENTIN 100 MG CAPSULE [18309],0.17,0.06,,,0
NDC,68084-595-65,GABAPENTIN 400 MG CAPSULE [18307],0.38,0.13,,,0
NDC,68084-601-01,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.36,0.13,,,0
NDC,68084-601-11,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0.36,0.13,,,0
NDC,68084-602-01,PERPHENAZINE 4 MG TABLET [6158],1.75,0.61,,,0
NDC,68084-602-11,PERPHENAZINE 4 MG TABLET [6158],1.75,0.61,,,0
NDC,68084-604-11,DESMOPRESSIN 0.2 MG TABLET [16053],2.35,0.82,,,0
NDC,68084-605-01,FLUOXETINE 20 MG CAPSULE [10070],0.13,0.05,,,0
NDC,68084-605-11,FLUOXETINE 20 MG CAPSULE [10070],0.13,0.05,,,0
NDC,68084-606-11,DESMOPRESSIN 0.1 MG TABLET [16052],1.9,0.66,,,0
NDC,68084-606-21,DESMOPRESSIN 0.1 MG TABLET [16052],1.9,0.66,,,0
NDC,68084-607-01,PERPHENAZINE 8 MG TABLET [6159],2.11,0.74,,,0
NDC,68084-607-11,PERPHENAZINE 8 MG TABLET [6159],2.11,0.74,,,0
NDC,68084-608-01,TRAZODONE 150 MG TABLET [8084],0.57,0.2,,,0
NDC,68084-608-11,TRAZODONE 150 MG TABLET [8084],0.57,0.2,,,0
NDC,68084-609-01,CLOPIDOGREL 75 MG TABLET [22142],0.35,0.12,,,0
NDC,68084-609-11,CLOPIDOGREL 75 MG TABLET [22142],0.35,0.12,,,0
NDC,68084-612-11,BICALUTAMIDE 50 MG TABLET [15746],1.37,0.48,,,0
NDC,68084-612-21,BICALUTAMIDE 50 MG TABLET [15746],1.37,0.48,,,0
NDC,68084-618-01,ESCITALOPRAM 20 MG TABLET [33513],0.32,0.11,,,0
NDC,68084-618-11,ESCITALOPRAM 20 MG TABLET [33513],0.32,0.11,,,0
NDC,68084-619-01,MONTELUKAST 5 MG CHEWABLE TABLET [22510],0.81,0.28,,,0
NDC,68084-619-11,MONTELUKAST 5 MG CHEWABLE TABLET [22510],0.81,0.28,,,0
NDC,68084-620-01,MONTELUKAST 10 MG TABLET [22509],0.5,0.18,,,0
NDC,68084-620-11,MONTELUKAST 10 MG TABLET [22509],0.5,0.18,,,0
NDC,68084-621-11,MODAFINIL 100 MG TABLET [24702],11.0,3.85,,,0
NDC,68084-621-21,MODAFINIL 100 MG TABLET [24702],11.0,3.85,,,0
NDC,68084-622-11,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],0.98,0.34,,,0
NDC,68084-622-21,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],0.98,0.34,,,0
NDC,68084-623-11,MINOCYCLINE 100 MG CAPSULE [5110],0.94,0.33,,,0
NDC,68084-623-65,MINOCYCLINE 100 MG CAPSULE [5110],0.94,0.33,,,0
NDC,68084-632-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0.6,0.21,,,0
NDC,68084-632-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0.6,0.21,,,0
NDC,68084-635-11,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],1.24,0.44,,,0
NDC,68084-635-21,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],1.24,0.44,,,0
NDC,68084-636-25,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],3.3,1.15,,,0
NDC,68084-636-95,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],3.3,1.15,,,0
NDC,68084-640-11,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",0.36,0.13,,,0
NDC,68084-643-01,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.25,0.09,,,0
NDC,68084-643-11,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",0.25,0.09,,,0
NDC,68084-645-01,TIZANIDINE 4 MG TABLET [14793],0.63,0.22,,,0
NDC,68084-647-01,ALPRAZOLAM 0.25 MG TABLET [324],0.12,0.04,,,0
NDC,68084-647-11,ALPRAZOLAM 0.25 MG TABLET [324],0.12,0.04,,,0
NDC,68084-649-01,PIOGLITAZONE 15 MG TABLET [25528],0.52,0.18,,,0
NDC,68084-649-11,PIOGLITAZONE 15 MG TABLET [25528],0.52,0.18,,,0
NDC,68084-651-25,CLARITHROMYCIN 500 MG TABLET [9617],4.98,1.74,,,0
NDC,68084-651-95,CLARITHROMYCIN 500 MG TABLET [9617],4.98,1.74,,,0
NDC,68084-654-01,SOTALOL 80 MG TABLET [11421],1.27,0.45,,,0
NDC,68084-654-11,SOTALOL 80 MG TABLET [11421],1.27,0.45,,,0
NDC,68084-655-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",0.56,0.2,,,0
NDC,68084-655-11,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [10455]",0.56,0.2,,,0
NDC,68084-658-01,IBUPROFEN 400 MG TABLET [3843],0.12,0.04,,,0
NDC,68084-658-11,IBUPROFEN 400 MG TABLET [3843],0.12,0.04,,,0
NDC,68084-659-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",0.97,0.34,,,0
NDC,68084-659-11,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",0.97,0.34,,,0
NDC,68084-666-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",0.97,0.34,,,0
NDC,68084-666-11,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",0.97,0.34,,,0
NDC,68084-675-11,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",1.77,0.62,,,0
NDC,68084-675-21,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",1.77,0.62,,,0
NDC,68084-676-01,METOCLOPRAMIDE 10 MG TABLET [5005],0.6,0.21,,,0
NDC,68084-676-11,METOCLOPRAMIDE 10 MG TABLET [5005],0.6,0.21,,,0
NDC,68084-683-01,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.6,0.56,,,0
NDC,68084-683-11,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.6,0.56,,,0
NDC,68084-692-01,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.6,0.56,,,0
NDC,68084-692-11,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.6,0.56,,,0
NDC,68084-697-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0.8,0.28,,,0
NDC,68084-697-11,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0.8,0.28,,,0
NDC,68084-698-01,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",0.5,0.17,,,0
NDC,68084-698-11,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",0.5,0.17,,,0
NDC,68084-703-01,IBUPROFEN 600 MG TABLET [3844],0.19,0.07,,,0
NDC,68084-703-11,IBUPROFEN 600 MG TABLET [3844],0.19,0.07,,,0
NDC,68084-708-25,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0.61,0.21,,,0
NDC,68084-708-95,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0.61,0.21,,,0
NDC,68084-709-01,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",0.55,0.19,,,0
NDC,68084-709-11,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",0.55,0.19,,,0
NDC,68084-710-01,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],1.72,0.6,,,0
NDC,68084-710-11,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],1.72,0.6,,,0
NDC,68084-713-01,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",0.62,0.22,,,0
NDC,68084-713-11,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",0.62,0.22,,,0
NDC,68084-721-11,MODAFINIL 200 MG TABLET [24703],16.9,5.92,,,0
NDC,68084-721-21,MODAFINIL 200 MG TABLET [24703],16.9,5.92,,,0
NDC,68084-722-11,MOXIFLOXACIN 400 MG TABLET [26854],11.5,4.02,,,0
NDC,68084-722-65,MOXIFLOXACIN 400 MG TABLET [26854],11.5,4.02,,,0
NDC,68084-723-01,OLANZAPINE 5 MG TABLET [17936],0.5,0.17,,,0
NDC,68084-723-11,OLANZAPINE 5 MG TABLET [17936],0.5,0.17,,,0
NDC,68084-728-01,FLUCONAZOLE 100 MG TABLET [10044],1.87,0.65,,,0
NDC,68084-728-11,FLUCONAZOLE 100 MG TABLET [10044],1.87,0.65,,,0
NDC,68084-729-11,GALANTAMINE 4 MG TABLET [29806],3.5,1.22,,,0
NDC,68084-729-21,GALANTAMINE 4 MG TABLET [29806],3.5,1.22,,,0
NDC,68084-735-01,FLUCONAZOLE 200 MG TABLET [10045],2.69,0.94,,,0
NDC,68084-735-11,FLUCONAZOLE 200 MG TABLET [10045],2.69,0.94,,,0
NDC,68084-737-01,CITALOPRAM 10 MG TABLET [30264],0.18,0.06,,,0
NDC,68084-737-11,CITALOPRAM 10 MG TABLET [30264],0.18,0.06,,,0
NDC,68084-740-01,OLANZAPINE 10 MG TABLET [17937],0.78,0.27,,,0
NDC,68084-740-11,OLANZAPINE 10 MG TABLET [17937],0.78,0.27,,,0
NDC,68084-742-01,LORAZEPAM 1 MG TABLET [4573],0.16,0.05,,,0
NDC,68084-742-11,LORAZEPAM 1 MG TABLET [4573],0.16,0.05,,,0
NDC,68084-744-01,CITALOPRAM 20 MG TABLET [21062],0.11,0.04,,,0
NDC,68084-744-11,CITALOPRAM 20 MG TABLET [21062],0.11,0.04,,,0
NDC,68084-748-25,GUANFACINE 1 MG TABLET [10149],1.56,0.55,,,0
NDC,68084-748-95,GUANFACINE 1 MG TABLET [10149],1.56,0.55,,,0
NDC,68084-750-25,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [8132],0.7,0.24,,,0
NDC,68084-750-95,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [8132],0.7,0.24,,,0
NDC,68084-753-11,CYCLOBENZAPRINE 5 MG TABLET [35184],0.5,0.17,,,0
NDC,68084-753-25,CYCLOBENZAPRINE 5 MG TABLET [35184],0.5,0.17,,,0
NDC,68084-753-65,CYCLOBENZAPRINE 5 MG TABLET [35184],33.82,11.84,,,0
NDC,68084-753-95,CYCLOBENZAPRINE 5 MG TABLET [35184],0.5,0.17,,,0
NDC,68084-762-01,GABAPENTIN 300 MG CAPSULE [18308],0.14,0.05,,,0
NDC,68084-762-11,GABAPENTIN 300 MG CAPSULE [18308],0.14,0.05,,,0
NDC,68084-765-11,LISINOPRIL 2.5 MG TABLET [13089],0.55,0.19,,,0
NDC,68084-765-21,LISINOPRIL 2.5 MG TABLET [13089],0.55,0.19,,,0
NDC,68084-765-25,LISINOPRIL 2.5 MG TABLET [13089],0.55,0.19,,,0
NDC,68084-765-95,LISINOPRIL 2.5 MG TABLET [13089],0.55,0.19,,,0
NDC,68084-772-01,IBUPROFEN 800 MG TABLET [3845],0.17,0.06,,,0
NDC,68084-772-11,IBUPROFEN 800 MG TABLET [3845],0.17,0.06,,,0
NDC,68084-774-01,GABAPENTIN 400 MG CAPSULE [18307],0.16,0.06,,,0
NDC,68084-774-11,GABAPENTIN 400 MG CAPSULE [18307],0.16,0.06,,,0
NDC,68084-776-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.22,0.08,,,0
NDC,68084-776-11,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.22,0.08,,,0
NDC,68084-776-35,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.2,0.07,,,0
NDC,68084-776-95,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",0.2,0.07,,,0
NDC,68084-782-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.29,0.1,,,0
NDC,68084-782-11,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.36,0.12,,,0
NDC,68084-782-61,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",0.36,0.12,,,0
NDC,68084-783-01,GABAPENTIN 100 MG CAPSULE [18309],0.12,0.04,,,0
NDC,68084-783-11,GABAPENTIN 100 MG CAPSULE [18309],0.12,0.04,,,0
NDC,68084-790-25,CLOMIPRAMINE 25 MG CAPSULE [9635],10.54,3.69,,,0
NDC,68084-790-95,CLOMIPRAMINE 25 MG CAPSULE [9635],10.54,3.69,,,0
NDC,68084-797-01,GABAPENTIN 600 MG TABLET [25855],0.66,0.23,,,0
NDC,68084-797-11,GABAPENTIN 600 MG TABLET [25855],0.66,0.23,,,0
NDC,68084-799-32,BALSALAZIDE 750 MG CAPSULE [29299],1.38,0.48,,,0
NDC,68084-799-33,BALSALAZIDE 750 MG CAPSULE [29299],1.38,0.48,,,0
NDC,68084-802-01,GABAPENTIN 800 MG TABLET [25856],0.93,0.32,,,0
NDC,68084-802-11,GABAPENTIN 800 MG TABLET [25856],0.93,0.32,,,0
NDC,68084-803-11,LETROZOLE 2.5 MG TABLET [21509],0.73,0.26,,,0
NDC,68084-803-21,LETROZOLE 2.5 MG TABLET [21509],0.73,0.26,,,0
NDC,68084-804-01,VALSARTAN 80 MG TABLET [31209],4.55,1.59,,,0
NDC,68084-804-11,VALSARTAN 80 MG TABLET [31209],4.55,1.59,,,0
NDC,68084-805-11,METHYLPHENIDATE 5 MG TABLET [4988],1.83,0.64,,,0
NDC,68084-805-21,METHYLPHENIDATE 5 MG TABLET [4988],1.83,0.64,,,0
NDC,68084-808-01,TRAMADOL 50 MG TABLET [14632],0.13,0.05,,,0
NDC,68084-808-11,TRAMADOL 50 MG TABLET [14632],0.13,0.05,,,0
NDC,68084-813-09,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.18,0.06,,,0
NDC,68084-813-11,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",0.18,0.06,,,0
NDC,68084-818-25,CLOMIPRAMINE 50 MG CAPSULE [1754],13.72,4.8,,,0
NDC,68084-818-95,CLOMIPRAMINE 50 MG CAPSULE [1754],13.72,4.8,,,0
NDC,68084-822-01,VALSARTAN 160 MG TABLET [31210],4.89,1.71,,,0
NDC,68084-822-11,VALSARTAN 160 MG TABLET [31210],4.89,1.71,,,0
NDC,68084-823-11,METHYLPHENIDATE 10 MG TABLET [4986],1.48,0.52,,,0
NDC,68084-844-01,VENLAFAXINE 37.5 MG TABLET [12207],0.86,0.3,,,0
NDC,68084-844-11,VENLAFAXINE 37.5 MG TABLET [12207],0.86,0.3,,,0
NDC,68084-845-01,OXCARBAZEPINE 150 MG TABLET [27049],0.54,0.19,,,0
NDC,68084-845-11,OXCARBAZEPINE 150 MG TABLET [27049],0.54,0.19,,,0
NDC,68084-851-01,DOXAZOSIN 2 MG TABLET [9895],0.91,0.32,,,0
NDC,68084-851-25,DOXAZOSIN 2 MG TABLET [9895],0.85,0.3,,,0
NDC,68084-851-95,DOXAZOSIN 2 MG TABLET [9895],0.85,0.3,,,0
NDC,68084-853-01,OXCARBAZEPINE 300 MG TABLET [21061],0.88,0.31,,,0
NDC,68084-853-11,OXCARBAZEPINE 300 MG TABLET [21061],0.88,0.31,,,0
NDC,68084-854-01,CARVEDILOL 6.25 MG TABLET [15747],0.12,0.04,,,0
NDC,68084-854-11,CARVEDILOL 6.25 MG TABLET [15747],0.12,0.04,,,0
NDC,68084-855-01,BACLOFEN 10 MG TABLET [860],0.57,0.2,,,0
NDC,68084-855-11,BACLOFEN 10 MG TABLET [860],0.57,0.2,,,0
NDC,68084-856-01,VENLAFAXINE 75 MG TABLET [12206],0.94,0.33,,,0
NDC,68084-856-11,VENLAFAXINE 75 MG TABLET [12206],0.94,0.33,,,0
NDC,68084-859-01,LEVETIRACETAM 250 MG TABLET [26816],0.25,0.09,,,0
NDC,68084-859-11,LEVETIRACETAM 250 MG TABLET [26816],0.25,0.09,,,0
NDC,68084-865-01,CARVEDILOL 12.5 MG TABLET [15749],0.12,0.04,,,0
NDC,68084-865-11,CARVEDILOL 12.5 MG TABLET [15749],0.12,0.04,,,0
NDC,68084-867-01,OXCARBAZEPINE 600 MG TABLET [21157],1.55,0.54,,,0
NDC,68084-868-01,BACLOFEN 20 MG TABLET [861],0.94,0.33,,,0
NDC,68084-869-11,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],0.98,0.34,,,0
NDC,68084-869-21,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],0.98,0.34,,,0
NDC,68084-870-01,LEVETIRACETAM 500 MG TABLET [26817],0.27,0.09,,,0
NDC,68084-870-11,LEVETIRACETAM 500 MG TABLET [26817],0.27,0.09,,,0
NDC,68084-875-01,MONTELUKAST 10 MG TABLET [22509],0.5,0.18,,,0
NDC,68084-875-11,MONTELUKAST 10 MG TABLET [22509],0.5,0.18,,,0
NDC,68084-876-01,CARVEDILOL 25 MG TABLET [15748],0.12,0.04,,,0
NDC,68084-876-11,CARVEDILOL 25 MG TABLET [15748],0.12,0.04,,,0
NDC,68084-878-01,PIOGLITAZONE 15 MG TABLET [25528],0.93,0.33,,,0
NDC,68084-878-11,PIOGLITAZONE 15 MG TABLET [25528],0.93,0.33,,,0
NDC,68084-895-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.53,0.19,,,0
NDC,68084-895-09,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.53,0.19,,,0
NDC,68084-895-11,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0.53,0.19,,,0
NDC,68084-896-25,VENLAFAXINE 25 MG TABLET [12203],1.05,0.37,,,0
NDC,68084-896-95,VENLAFAXINE 25 MG TABLET [12203],1.05,0.37,,,0
NDC,68084-908-25,RILUZOLE 50 MG TABLET [16124],4.31,1.51,,,0
NDC,68084-908-95,RILUZOLE 50 MG TABLET [16124],4.31,1.51,,,0
NDC,68084-920-32,AZITHROMYCIN 600 MG TABLET [17387],4.99,1.75,,,0
NDC,68084-920-33,AZITHROMYCIN 600 MG TABLET [17387],4.99,1.75,,,0
NDC,68084-928-25,PILOCARPINE 5 MG TABLET [12803],2.28,0.8,,,0
NDC,68084-928-95,PILOCARPINE 5 MG TABLET [12803],2.28,0.8,,,0
NDC,68084-929-32,TRANEXAMIC ACID 650 MG TABLET [145031],6.18,2.16,,,0
NDC,68084-929-33,TRANEXAMIC ACID 650 MG TABLET [145031],6.18,2.16,,,0
NDC,68084-930-25,HYDROCORTISONE 20 MG TABLET [3734],1.73,0.61,,,0
NDC,68084-930-95,HYDROCORTISONE 20 MG TABLET [3734],1.73,0.61,,,0
NDC,68084-934-32,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [8922],2.49,0.87,,,0
NDC,68084-934-33,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [8922],2.49,0.87,,,0
NDC,68084-947-32,QUININE 324 MG CAPSULE [109705],4.41,1.54,,,0
NDC,68084-947-33,QUININE 324 MG CAPSULE [109705],4.41,1.54,,,0
NDC,68084-950-01,FLUPHENAZINE 10 MG TABLET [3219],13.43,4.7,,,0
NDC,68084-950-11,FLUPHENAZINE 10 MG TABLET [3219],13.43,4.7,,,0
NDC,68084-964-25,PROPYLTHIOURACIL 50 MG TABLET WRAPPER [410342],2.8,0.98,,,0
NDC,68084-964-95,PROPYLTHIOURACIL 50 MG TABLET WRAPPER [410342],2.8,0.98,,,0
NDC,68084-965-25,VALGANCICLOVIR 450 MG TABLET [30148],42.5,14.88,,,0
NDC,68084-965-95,VALGANCICLOVIR 450 MG TABLET [30148],42.5,14.88,,,0
NDC,68084-966-01,METRONIDAZOLE 500 MG TABLET [5016],0.75,0.26,,,0
NDC,68084-966-11,METRONIDAZOLE 500 MG TABLET [5016],0.75,0.26,,,0
NDC,68084-969-01,CELECOXIB 100 MG CAPSULE [24500],2.35,0.82,,,0
NDC,68084-969-11,CELECOXIB 100 MG CAPSULE [24500],2.35,0.82,,,0
NDC,68084-974-25,PRAMIPEXOLE 0.5 MG TABLET [22719],0.74,0.26,,,0
NDC,68084-974-95,PRAMIPEXOLE 0.5 MG TABLET [22719],0.74,0.26,,,0
NDC,68084-976-01,CELECOXIB 200 MG CAPSULE [24501],2.02,0.71,,,0
NDC,68084-976-11,CELECOXIB 200 MG CAPSULE [24501],2.02,0.71,,,0
NDC,68084-976-32,CELECOXIB 200 MG CAPSULE [24501],5.03,1.76,,,0
NDC,68084-976-33,CELECOXIB 200 MG CAPSULE [24501],5.03,1.76,,,0
NDC,68084-983-01,OXYCODONE 30 MG TABLET [28900],1.39,0.49,,,0
NDC,68084-988-32,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0.74,0.26,,,0
NDC,68084-988-33,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0.74,0.26,,,0
NDC,6808476425,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET [11067],1.33,0.47,,,0
NDC,6808476495,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET [11067],1.33,0.47,,,0
NDC,68094-001-59,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],12.72,4.45,,,0
NDC,68094-001-62,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],12.72,4.45,,,0
NDC,68094-002-61,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],0.9,0.32,,,0
NDC,68094-018-59,DIPHENHYDRAMINE 25 MG TABLET [2505],0.63,0.22,,,0
NDC,68094-019-59,GUANFACINE 1 MG TABLET [10149],1.43,0.5,,,0
NDC,68094-019-62,GUANFACINE 1 MG TABLET [10149],1.43,0.5,,,0
NDC,68094-034-64,SEVELAMER CARBONATE 800 MG TABLET [89201],1.9,0.66,,,0
NDC,68094-048-61,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [166197]",0.88,0.31,,,0
NDC,68094-063-59,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [159625],2.58,0.9,,,0
NDC,68094-063-62,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [159625],2.58,0.9,,,0
NDC,68094-108-59,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],0.52,0.18,,,0
NDC,68094-108-62,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],0.52,0.18,,,0
NDC,68094-129-59,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],0.52,0.18,,,0
NDC,68094-129-62,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],0.52,0.18,,,0
NDC,68094-217-59,LOPERAMIDE 1 MG/5 ML ORAL LIQUID [4561],0.27,0.1,,,0
NDC,68094-217-62,LOPERAMIDE 1 MG/5 ML ORAL LIQUID [4561],0.27,0.1,,,0
NDC,68094-503-59,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0.47,0.16,,,0
NDC,68094-503-61,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0.47,0.16,,,0
NDC,68094-503-62,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0.47,0.16,,,0
NDC,68094-528-59,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [159625],2.58,0.9,,,0
NDC,68094-528-62,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [159625],2.58,0.9,,,0
NDC,68094-533-58,PHENYTOIN 100 MG/4 ML ORAL SYRINGE  (FOR ORAL USE ONLY) [144852],12.18,4.26,,,0
NDC,68094-599-59,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,68094-599-61,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,68094-599-62,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,68094-714-59,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],1.35,0.47,,,0
NDC,68094-714-62,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],1.35,0.47,,,0
NDC,68094-750-59,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION [154697]",9.2,3.22,,,0
NDC,68094-750-62,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION [154697]",9.2,3.22,,,0
NDC,68094-757-59,LITHIUM CITRATE 8 MEQ/5 ML (5 ML) ORAL SOLUTION [159620],2.71,0.95,,,0
NDC,68094-757-62,LITHIUM CITRATE 8 MEQ/5 ML (5 ML) ORAL SOLUTION [159620],2.71,0.95,,,0
NDC,68094-763-59,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],0.64,0.22,,,0
NDC,68094-763-62,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],0.64,0.22,,,0
NDC,68094-764-59,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP [148176],5.45,1.91,,,0
NDC,68094-764-62,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP [148176],5.45,1.91,,,0
NDC,68094-853-62,NALTREXONE 50 MG TABLET [10685],2.28,0.8,,,0
NDC,68135-927-01,VALOCTOCOGENE ROXAPARVOVEC-RVOX 2X10EXP13 VG/ML INTRAVENOUS SUSPENSION [198795],261271.88,91445.16,,,0
NDC,68135-927-48,VALOCTOCOGENE ROXAPARVOVEC-RVOX 2X10EXP13 VG/ML INTRAVENOUS SUSPENSION [198795],261271.88,91445.16,,,0
NDC,6817600010,PEDIATRIC MULTIVITAMIN NO.128-VITAMIN K 500 MCG/ML ORAL LIQUID [172850],1.3,0.45,,,0
NDC,6817600012,"VIT A 600 MCG-VIT D3  50 MCG-VIT E 101 MG-VIT K1 1,000 MCG CAPSULE [172841]",0.43,0.15,,,0
NDC,68180-122-01,CEPHALEXIN 500 MG CAPSULE [9500],0.3,0.1,,,0
NDC,68180-150-01,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [10010],10.71,3.75,,,0
NDC,68180-151-06,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR [158587]",13.26,4.64,,,0
NDC,68180-202-03,CEFIXIME 100 MG/5 ML ORAL SUSPENSION [9446],12.99,4.55,,,0
NDC,68180-210-09,LOSARTAN 25 MG TABLET [14823],0.15,0.05,,,0
NDC,68180-212-09,LOSARTAN 100 MG TABLET [22588],0.18,0.06,,,0
NDC,68180-246-06,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [162221]",1.33,0.47,,,0
NDC,68180-280-01,ETHAMBUTOL 100 MG TABLET [9982],0.46,0.16,,,0
NDC,68180-296-09,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",0.3,0.1,,,0
NDC,68180-303-60,CEFUROXIME AXETIL 500 MG TABLET [9496],3.26,1.14,,,0
NDC,68180-311-01,IMIPRAMINE 10 MG TABLET [3860],0.18,0.06,,,0
NDC,68180-320-09,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",0.23,0.08,,,0
NDC,68180-334-07,ZIPRASIDONE 80 MG CAPSULE [29781],1.5,0.52,,,0
NDC,68180-351-09,SERTRALINE 25 MG TABLET [19882],0.1,0.04,,,0
NDC,68180-353-09,SERTRALINE 100 MG TABLET [11350],0.21,0.07,,,0
NDC,68180-354-07,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",0.67,0.23,,,0
NDC,68180-376-09,LOSARTAN 25 MG TABLET [14823],0.04,0.02,,,0
NDC,68180-405-01,CEFIXIME 100 MG/5 ML ORAL SUSPENSION [9446],12.99,4.55,,,0
NDC,68180-441-01,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],2.44,0.85,,,0
NDC,68180-441-02,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],2.44,0.85,,,0
NDC,68180-501-01,MELOXICAM 7.5 MG TABLET [20566],0.04,0.01,,,0
NDC,68180-512-01,LISINOPRIL 2.5 MG TABLET [13089],0.25,0.09,,,0
NDC,68180-554-09,QUINAPRIL 40 MG TABLET [11253],0.17,0.06,,,0
NDC,68180-566-01,TRANDOLAPRIL 1 MG TABLET [17017],0.63,0.22,,,0
NDC,68180-591-01,RAMIPRIL 10 MG CAPSULE [11259],0.38,0.13,,,0
NDC,68180-592-06,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [91073]",0.98,0.34,,,0
NDC,68180-604-06,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [169839]",0.98,0.34,,,0
NDC,68180-659-06,RIFAMPIN 300 MG CAPSULE [11293],3.67,1.29,,,0
NDC,68180-678-01,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [152607],7.54,2.64,,,0
NDC,68180-723-04,CEFDINIR 250 MG/5 ML ORAL SUSPENSION [39522],4.78,1.67,,,0
NDC,68180-819-52,LANTHANUM 500 MG CHEWABLE TABLET [39975],5.56,1.94,,,0
NDC,68180-962-04,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],60.34,21.12,,,0
NDC,68180-962-56,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],60.34,21.12,,,0
NDC,68180-980-01,LISINOPRIL 10 MG TABLET [10449],0.04,0.02,,,0
NDC,68180-980-03,LISINOPRIL 10 MG TABLET [10449],0.04,0.02,,,0
NDC,68180-984-05,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],22.32,7.81,,,0
NDC,68180-984-30,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],22.32,7.81,,,0
NDC,68209-623-01,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,68209-623-02,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,68209-623-03,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,68220-113-10,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],2.68,0.94,,,0
NDC,68220-115-10,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR [17010]",4.58,1.6,,,0
NDC,68220-142-10,HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM [28849],220.52,77.18,,,0
NDC,68220-143-15,PRAMOXINE 1 % TOPICAL FOAM [19749],3.31,1.16,,,0
NDC,68220-144-10,HYDROCORTISONE-PRAMOXINE 1 %-1 % TOPICAL FOAM [11105],217.81,76.23,,,0
NDC,68308-405-47,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0.39,0.14,,,0
NDC,68308-475-47,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],1.52,0.53,,,0
NDC,68308-480-47,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],1.8,0.63,,,0
NDC,68382-004-14,TOPIRAMATE 15 MG SPRINKLE CAPSULE [27641],1.08,0.38,,,0
NDC,68382-005-14,TOPIRAMATE 25 MG SPRINKLE CAPSULE [27642],1.32,0.46,,,0
NDC,68382-016-01,LEVOFLOXACIN 500 MG TABLET [18919],0.65,0.23,,,0
NDC,68382-016-18,LEVOFLOXACIN 500 MG TABLET [18919],0.65,0.23,,,0
NDC,68382-024-01,ATENOLOL 100 MG TABLET [716],0.09,0.03,,,0
NDC,68382-034-10,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",0.26,0.09,,,0
NDC,68382-036-06,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",0.5,0.17,,,0
NDC,68382-050-01,MELOXICAM 7.5 MG TABLET [20566],0.06,0.02,,,0
NDC,68382-051-01,MELOXICAM 15 MG TABLET [20580],0.05,0.02,,,0
NDC,68382-066-16,SIMVASTATIN 10 MG TABLET [11364],0.06,0.02,,,0
NDC,68382-079-01,HALOPERIDOL 5 MG TABLET [3583],0.62,0.22,,,0
NDC,68382-080-01,HALOPERIDOL 10 MG TABLET [3580],0.8,0.28,,,0
NDC,68382-092-01,CARVEDILOL 3.125 MG TABLET [18551],0.05,0.02,,,0
NDC,68382-094-01,CARVEDILOL 12.5 MG TABLET [15749],0.05,0.02,,,0
NDC,68382-095-01,CARVEDILOL 25 MG TABLET [15748],0.05,0.02,,,0
NDC,68382-106-01,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [27631]",0.56,0.2,,,0
NDC,68382-121-16,AMLODIPINE 2.5 MG TABLET [9070],0.03,0.0091,,,0
NDC,68382-122-16,AMLODIPINE 5 MG TABLET [9071],0.03,0.00945,,,0
NDC,68382-123-05,AMLODIPINE 10 MG TABLET [9069],0.04,0.01,,,0
NDC,68382-123-16,AMLODIPINE 10 MG TABLET [9069],0.04,0.02,,,0
NDC,68382-132-01,TAMSULOSIN 0.4 MG CAPSULE [27856],0.28,0.1,,,0
NDC,68382-132-10,TAMSULOSIN 0.4 MG CAPSULE [27856],0.28,0.1,,,0
NDC,68382-137-16,LOSARTAN 100 MG TABLET [22588],0.26,0.09,,,0
NDC,68382-140-14,TOPIRAMATE 100 MG TABLET [18922],0.12,0.04,,,0
NDC,68382-144-06,RAMIPRIL 1.25 MG CAPSULE [11258],0.31,0.11,,,0
NDC,68382-198-16,PRAMIPEXOLE 0.5 MG TABLET [22719],0.17,0.06,,,0
NDC,68382-260-12,RIBAVIRIN 200 MG CAPSULE [11286],1.33,0.47,,,0
NDC,68382-267-06,PARICALCITOL 2 MCG CAPSULE [41498],17.74,6.21,,,0
NDC,68382-395-04,RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION [11285],21542.92,7540.02,,,0
NDC,68382-396-01,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION [40917],964.88,337.71,,,0
NDC,68382-444-05,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [10010],10.71,3.75,,,0
NDC,68382-446-14,BOSENTAN 62.5 MG TABLET [31875],19.39,6.79,,,0
NDC,68382-447-14,BOSENTAN 125 MG TABLET [31876],19.39,6.79,,,0
NDC,68382-470-01,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION [10267],367.98,128.79,,,0
NDC,68382-473-78,TELMISARTAN 80 MG TABLET [24336],1.5,0.52,,,0
NDC,68382-537-01,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [11083]",0.56,0.2,,,0
NDC,68382-545-08,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,68382-547-06,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR [162222]",1.38,0.48,,,0
NDC,68382-583-01,LIOTHYRONINE 25 MCG TABLET [4504],0.62,0.22,,,0
NDC,68382-765-05,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION [12886],14.34,5.02,,,0
NDC,68382-765-06,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION [12886],14.34,5.02,,,0
NDC,68382-771-30,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",6.32,2.21,,,0
NDC,68382-771-77,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET [34594]",6.32,2.21,,,0
NDC,68382-772-30,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",6.32,2.21,,,0
NDC,68382-772-77,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET [34595]",6.32,2.21,,,0
NDC,68382-773-16,EZETIMIBE 10 MG TABLET [34153],0.32,0.11,,,0
NDC,68382-786-01,DOXAZOSIN 8 MG TABLET [9897],0.03,0.0098,,,0
NDC,68382-798-01,LABETALOL 100 MG TABLET [10373],0.2,0.07,,,0
NDC,68382-805-01,TRAZODONE 50 MG TABLET [8085],0.07,0.02,,,0
NDC,68382-806-01,TRAZODONE 100 MG TABLET [8083],0.12,0.04,,,0
NDC,68382-807-01,TRAZODONE 150 MG TABLET [8084],0.36,0.13,,,0
NDC,68382-910-01,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],297.63,104.17,,,0
NDC,68382-910-10,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],297.63,104.17,,,0
NDC,68382-982-06,"LAMOTRIGINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [97967]",1.96,0.69,,,0
NDC,68462-101-30,FLUCONAZOLE 50 MG TABLET [10046],0.67,0.23,,,0
NDC,68462-120-90,NICARDIPINE 20 MG CAPSULE [10712],8.12,2.84,,,0
NDC,68462-126-01,GABAPENTIN 600 MG TABLET [25855],0.2,0.07,,,0
NDC,68462-127-01,GABAPENTIN 800 MG TABLET [25856],0.24,0.08,,,0
NDC,68462-128-01,ZONISAMIDE 25 MG CAPSULE [36987],0.13,0.05,,,0
NDC,68462-131-59,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0.25,0.09,,,0
NDC,68462-137-01,OXCARBAZEPINE 150 MG TABLET [27049],1.25,0.44,,,0
NDC,68462-139-01,OXCARBAZEPINE 600 MG TABLET [21157],4.21,1.47,,,0
NDC,68462-157-13,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],0.46,0.16,,,0
NDC,68462-157-40,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],0.46,0.16,,,0
NDC,68462-162-01,CARVEDILOL 3.125 MG TABLET [18551],0.06,0.02,,,0
NDC,68462-163-01,CARVEDILOL 6.25 MG TABLET [15747],0.06,0.02,,,0
NDC,68462-174-01,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET [9960],1.93,0.68,,,0
NDC,68462-180-22,MUPIROCIN 2 % TOPICAL OINTMENT [10674],7.56,2.64,,,0
NDC,68462-190-05,NAPROXEN 500 MG TABLET [5393],0.12,0.04,,,0
NDC,68462-195-90,PRAVASTATIN 10 MG TABLET [11110],0.25,0.09,,,0
NDC,68462-208-01,MOEXIPRIL 15 MG TABLET [15026],1.04,0.36,,,0
NDC,68462-209-01,MOEXIPRIL 7.5 MG TABLET [15025],0.99,0.35,,,0
NDC,68462-228-01,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET [27638],0.41,0.14,,,0
NDC,68462-229-01,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET [27639],0.44,0.15,,,0
NDC,68462-233-01,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR [27489]",0.38,0.13,,,0
NDC,68462-234-01,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0.38,0.13,,,0
NDC,68462-235-01,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [27491]",0.68,0.24,,,0
NDC,68462-255-01,ROPINIROLE 1 MG TABLET [21689],0.12,0.04,,,0
NDC,68462-260-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE [8531]",0.31,0.11,,,0
NDC,68462-262-90,ROSUVASTATIN 10 MG TABLET [35134],0.19,0.07,,,0
NDC,68462-263-90,ROSUVASTATIN 20 MG TABLET [35135],0.19,0.07,,,0
NDC,68462-265-30,ATOMOXETINE 10 MG CAPSULE [34444],1.59,0.56,,,0
NDC,68462-268-30,ATOMOXETINE 40 MG CAPSULE [34447],1.74,0.61,,,0
NDC,68462-271-30,ATOMOXETINE 100 MG CAPSULE [70509],1.88,0.66,,,0
NDC,68462-291-11,LINEZOLID 600 MG TABLET [28224],5.88,2.06,,,0
NDC,68462-291-13,LINEZOLID 600 MG TABLET [28224],5.88,2.06,,,0
NDC,68462-292-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [11639]",0.6,0.21,,,0
NDC,68462-293-05,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [11640]",0.31,0.11,,,0
NDC,68462-302-01,INDOMETHACIN 50 MG CAPSULE [3898],0.27,0.1,,,0
NDC,68462-302-05,INDOMETHACIN 50 MG CAPSULE [3898],0.24,0.08,,,0
NDC,68462-314-17,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM [5754]",27.72,9.7,,,0
NDC,68462-317-32,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,68462-331-90,PRAMIPEXOLE 0.25 MG TABLET [21290],0.11,0.04,,,0
NDC,68462-332-90,PRAMIPEXOLE 0.5 MG TABLET [22719],0.11,0.04,,,0
NDC,68462-333-90,PRAMIPEXOLE 1 MG TABLET [21288],0.11,0.04,,,0
NDC,68462-344-01,HYDRALAZINE 100 MG TABLET [3699],0.5,0.18,,,0
NDC,68462-361-01,HYDROXYZINE HCL 25 MG TABLET [3774],0.64,0.23,,,0
NDC,68462-381-60,RILUZOLE 50 MG TABLET [16124],1.32,0.46,,,0
NDC,68462-386-30,SOLIFENACIN 5 MG TABLET [40392],0.33,0.12,,,0
NDC,68462-404-44,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET [23814],5.84,2.04,,,0
NDC,68462-404-67,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET [23814],5.84,2.04,,,0
NDC,68462-406-01,INDOMETHACIN 25 MG CAPSULE [3897],0.22,0.08,,,0
NDC,68462-409-60,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR [37644]",2.78,0.97,,,0
NDC,68462-418-20,LIDOCAINE 5 % TOPICAL OINTMENT [156477],6.68,2.34,,,0
NDC,68462-421-69,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,68462-436-30,OLMESARTAN 5 MG TABLET [32761],0.11,0.04,,,0
NDC,68462-437-30,OLMESARTAN 20 MG TABLET [32762],0.14,0.05,,,0
NDC,68462-437-90,OLMESARTAN 20 MG TABLET [32762],0.14,0.05,,,0
NDC,68462-438-30,OLMESARTAN 40 MG TABLET [32763],0.19,0.07,,,0
NDC,68462-438-90,OLMESARTAN 40 MG TABLET [32763],0.19,0.07,,,0
NDC,68462-468-40,RIZATRIPTAN 10 MG DISINTEGRATING TABLET [27630],1.62,0.57,,,0
NDC,68462-468-46,RIZATRIPTAN 10 MG DISINTEGRATING TABLET [27630],1.62,0.57,,,0
NDC,68462-473-01,URSODIOL 250 MG TABLET [22660],1.42,0.5,,,0
NDC,68462-497-76,ZOLMITRIPTAN 2.5 MG TABLET [21588],4.2,1.47,,,0
NDC,68462-501-65,CALCIPOTRIENE 0.005 % TOPICAL CREAM [16034],7.17,2.51,,,0
NDC,68462-564-17,MUPIROCIN CALCIUM 2 % TOPICAL CREAM [22251],17.35,6.07,,,0
NDC,68462-573-30,VORICONAZOLE 200 MG TABLET [33009],7.5,2.62,,,0
NDC,68462-639-45,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0.82,0.29,,,0
NDC,68462-792-01,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],29.45,10.31,,,0
NDC,68516-3202-2,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [10008]",5521.87,1932.65,,,0
NDC,68516-5214-1,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,68516-5214-2,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,68516-5214-3,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,68516-5214-4,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,68516-5214-5,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,68516-5216-1,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,68516-5216-2,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,68516-5216-3,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,68516-5216-4,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",11.65,4.08,,,0
NDC,68546-170-60,DEUTETRABENAZINE 6 MG TABLET [178087],78.68,27.54,,,0
NDC,68546-317-30,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE [167935],1397.95,489.28,,,0
NDC,68547-501-02,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION [181206],5448.87,1907.1,,,0
NDC,6858500641,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.12,0.04,,,0
NDC,6858500698,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0.1,0.04,,,0
NDC,6858500801,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],0.1,0.03,,,0
NDC,68682-007-10,DILTIAZEM 60 MG TABLET [2476],1.31,0.46,,,0
NDC,68682-009-10,DILTIAZEM 120 MG TABLET [2474],2.4,0.84,,,0
NDC,68682-011-10,ETHACRYNIC ACID 25 MG TABLET [9980],2.25,0.79,,,0
NDC,68682-012-27,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],11246.43,3936.25,,,0
NDC,68682-019-06,RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION [11285],21542.92,7540.02,,,0
NDC,68682-105-10,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]",0.34,0.12,,,0
NDC,68682-106-10,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]",0.45,0.16,,,0
NDC,68682-107-10,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE [37662]",0.56,0.2,,,0
NDC,68682-302-10,PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],1.02,0.36,,,0
NDC,68682-310-01,METYROSINE 250 MG CAPSULE [10594],331.26,115.94,,,0
NDC,68682-409-10,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],4.29,1.5,,,0
NDC,68682-455-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592],7.29,2.55,,,0
NDC,68682-650-20,DIAZEPAM 2.5 MG RECTAL KIT [87865],1630.19,570.57,,,0
NDC,68682-652-20,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT [110354],467.64,163.68,,,0
NDC,68682-813-05,TIMOLOL MALEATE 0.5 % EYE DROPS [11562],12.63,4.42,,,0
NDC,68682-993-98,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [27480]",0.77,0.27,,,0
NDC,68727-712-01,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [188506],24094.9,8433.22,,,0
NDC,68727-745-01,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION [179999],32273.74,11295.81,,,0
NDC,68727-745-02,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION [179999],32273.74,11295.81,,,0
NDC,68727-950-01,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION [203482],12298.88,4304.61,,,0
NDC,68803-612-10,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE [88317],418.03,146.31,,,0
NDC,68803-722-05,C.I. ACID BLUE 90  0.025 % INTRAOCULAR SYRINGE [188707],898.46,314.46,,,0
NDC,68803-722-25,C.I. ACID BLUE 90  0.025 % INTRAOCULAR SYRINGE [188707],898.46,314.46,,,0
NDC,68817-134-50,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [40475],12240.15,4284.05,,,0
NDC,68820-017-08,CEFPROZIL 500 MG TABLET [9473],9.04,3.17,,,0
NDC,68820-065-37,CEFDINIR 250 MG/5 ML ORAL SUSPENSION [39522],10.82,3.79,,,0
NDC,68850-010-01,ETHAMBUTOL 100 MG TABLET [9982],0.48,0.17,,,0
NDC,68850-012-02,ETHAMBUTOL 400 MG TABLET [9983],0.78,0.27,,,0
NDC,68982-141-01,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 500 UNIT IV SOLUTION [172622]",4500.0,1575.0,,,0
NDC,68982-143-01,"ANTIHEMOPHILIC FVIII,HEK CELL,B-DOMAIN DELETED 1,000 UNIT IV SOLUTION [172623]",9000.0,3150.0,,,0
NDC,68982-623-02,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,68982-850-04,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION [167944]",68.67,24.03,,,0
NDC,68992-3010-1,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR [171649]",6.57,2.3,,,0
NDC,68992-3010-3,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR [171649]",6.57,2.3,,,0
NDC,68992-3040-1,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR [171650]",26.27,9.19,,,0
NDC,68992-3040-3,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR [171650]",26.27,9.19,,,0
NDC,68992-3075-1,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR [171648]",4.92,1.72,,,0
NDC,68992-3075-3,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR [171648]",4.93,1.72,,,0
NDC,69097-098-43,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],55.47,19.41,,,0
NDC,69097-123-03,TOPIRAMATE 50 MG TABLET [37616],0.09,0.03,,,0
NDC,69097-125-03,TOPIRAMATE 200 MG TABLET [18921],0.15,0.05,,,0
NDC,69097-224-16,ALENDRONATE 70 MG TABLET [29048],0.88,0.31,,,0
NDC,69097-224-76,ALENDRONATE 70 MG TABLET [29048],0.88,0.31,,,0
NDC,69097-237-72,ALBENDAZOLE 200 MG TABLET [8979],32.5,11.38,,,0
NDC,69097-316-02,EXEMESTANE 25 MG TABLET [26551],1.67,0.58,,,0
NDC,69097-319-32,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],22.32,7.81,,,0
NDC,69097-319-53,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],22.32,7.81,,,0
NDC,69097-361-08,GRISEOFULVIN MICROSIZE 125 MG/5 ML ORAL SUSPENSION [10138],1.92,0.67,,,0
NDC,69097-411-02,CINACALCET 60 MG TABLET [38101],0.9,0.32,,,0
NDC,69097-522-35,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,69097-524-44,DICLOFENAC 1 % TOPICAL GEL [100611],2.04,0.71,,,0
NDC,69097-526-03,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION) [175147],0.83,0.29,,,0
NDC,69097-708-96,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],38.65,13.53,,,0
NDC,69097-709-96,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION TGH NEWBORN/NICU [409548],38.31,13.41,,,0
NDC,69097-805-40,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4172.08,1460.23,,,0
NDC,69097-817-03,TOPIRAMATE 50 MG TABLET [37616],0.09,0.03,,,0
NDC,69097-843-05,QUINAPRIL 40 MG TABLET [11253],0.17,0.06,,,0
NDC,69097-856-05,FOSINOPRIL 10 MG TABLET [10094],0.34,0.12,,,0
NDC,69097-857-05,FOSINOPRIL 20 MG TABLET [10095],0.34,0.12,,,0
NDC,69097-858-05,FOSINOPRIL 40 MG TABLET [16036],0.34,0.12,,,0
NDC,69097-870-67,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],79860.0,27951.0,,,0
NDC,69097-915-91,FLUTAMIDE 125 MG CAPSULE [10081],1.55,0.54,,,0
NDC,69097-934-98,LANTHANUM 500 MG CHEWABLE TABLET [39975],5.56,1.94,,,0
NDC,69238-1051-1,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],53.59,18.76,,,0
NDC,69238-1051-3,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],40.0,14.0,,,0
NDC,69238-1062-1,CHLORPROMAZINE 200 MG TABLET [1655],3.36,1.18,,,0
NDC,69238-1069-1,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.22,0.08,,,0
NDC,69238-1100-2,DOXYCYCLINE HYCLATE 100 MG CAPSULE [2623],0.28,0.1,,,0
NDC,69238-1125-9,NADOLOL 80 MG TABLET [5332],0.49,0.17,,,0
NDC,69238-1126-1,ETHACRYNIC ACID 25 MG TABLET [9980],2.25,0.79,,,0
NDC,69238-1471-1,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE [102623]",6.71,2.35,,,0
NDC,69238-1472-3,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE [2892]",8.45,2.96,,,0
NDC,69238-1491-1,BUMETANIDE 2 MG TABLET [9311],0.68,0.24,,,0
NDC,69238-1503-1,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION [2899],4.06,1.42,,,0
NDC,69238-1535-2,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [163599],34.02,11.91,,,0
NDC,69238-1574-1,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION [167930],7.63,2.67,,,0
NDC,69238-1594-3,SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],60.56,21.19,,,0
NDC,69238-1595-2,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],36.08,12.63,,,0
NDC,69238-1596-8,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],45.3,15.85,,,0
NDC,69238-1605-8,METHYLERGONOVINE 0.2 MG TABLET [10572],16.5,5.78,,,0
NDC,69238-1731-2,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP [11238],13.53,4.73,,,0
NDC,69238-1747-8,PILOCARPINE 4 % EYE DROPS [6282],6.85,2.4,,,0
NDC,69238-2081-1,PROPRANOLOL 80 MG TABLET [6660],0.38,0.13,,,0
NDC,69238-2122-9,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],298.92,104.62,,,0
NDC,69238-2141-7,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION [177482],14.62,5.12,,,0
NDC,69292-530-01,PROPRANOLOL 10 MG TABLET [6656],0.16,0.06,,,0
NDC,69292-532-01,PROPRANOLOL 20 MG TABLET [6657],0.2,0.07,,,0
NDC,69292-564-01,METOLAZONE 5 MG TABLET [10588],0.68,0.24,,,0
NDC,69292-605-60,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION [43556],10.82,3.79,,,0
NDC,69292-722-25,FLURBIPROFEN 0.03 % EYE DROPS [10080],58.44,20.46,,,0
NDC,69315-117-01,FUROSEMIDE 40 MG TABLET [3295],0.04,0.01,,,0
NDC,69315-127-10,FOLIC ACID 1 MG TABLET [3233],0.06,0.02,,,0
NDC,69315-133-01,IMIPRAMINE 10 MG TABLET [3860],0.18,0.06,,,0
NDC,69315-134-01,IMIPRAMINE 25 MG TABLET [3861],0.24,0.08,,,0
NDC,69315-210-01,METHENAMINE HIPPURATE 1 GRAM TABLET [10549],1.74,0.61,,,0
NDC,69315-211-01,NIFEDIPINE 10 MG CAPSULE [5558],0.86,0.3,,,0
NDC,69315-306-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",5.28,1.85,,,0
NDC,69315-504-47,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,69315-904-01,LORAZEPAM 0.5 MG TABLET [4572],0.08,0.03,,,0
NDC,69315-905-01,LORAZEPAM 1 MG TABLET [4573],0.08,0.03,,,0
NDC,69315-905-05,LORAZEPAM 1 MG TABLET [4573],0.08,0.03,,,0
NDC,69339-150-01,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],0.77,0.27,,,0
NDC,69339-150-19,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],0.77,0.27,,,0
NDC,69339-163-17,LUBIPROSTONE 24 MCG CAPSULE [70472],13.12,4.59,,,0
NDC,69344-101-01,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION [3900],10.82,3.79,,,0
NDC,69344-102-33,INDOMETHACIN 50 MG RECTAL SUPPOSITORY [3901],925.91,324.07,,,0
NDC,69367-302-01,CELECOXIB 200 MG CAPSULE [24501],0.3,0.1,,,0
NDC,69367-391-01,AMITRIPTYLINE 75 MG TABLET [437],12.18,4.26,,,0
NDC,6936722001,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",0.08,0.03,,,0
NDC,69374-314-05,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION [188813]",25.74,9.01,,,0
NDC,69374-315-25,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [154407],1.44,0.51,,,0
NDC,69374-316-25,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV [145349],0.72,0.25,,,0
NDC,69374-330-05,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251],23.62,8.27,,,0
NDC,69374-515-50,ROPIVACAINE 123 MG-CLONIDINE 0.04 MG-KETOR 15 MG/50 ML PERIART SYRINGE [185506],3.21,1.12,,,0
NDC,69374-521-31,KETAMINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [187575],0.3,0.1,,,0
NDC,69374-542-06,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN [189071],4896.0,1713.6,,,0
NDC,69374-544-10,EPINEPHRINE HCL 100 MCG/10 ML(10 MCG/ML) IN 0.9 % SOD CHLOR IV SYRINGE [174390],2.6,0.91,,,0
NDC,69374-901-05,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE [113094],11.42,4.0,,,0
NDC,69374-914-50,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [7309],2.06,0.72,,,0
NDC,69374-925-10,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
NDC,69374-946-34,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],31.31,10.96,,,0
NDC,69374-953-50,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [106061],3.17,1.11,,,0
NDC,69374-957-10,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [144861],5.8,2.03,,,0
NDC,69387-104-30,PARICALCITOL 2 MCG CAPSULE [41498],8.33,2.92,,,0
NDC,69413-330-10,PYRIMETHAMINE 25 MG TABLET [11246],750.0,262.5,,,0
NDC,69413-330-30,PYRIMETHAMINE 25 MG TABLET [11246],750.0,262.5,,,0
NDC,69452-116-45,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [163599],34.02,11.91,,,0
NDC,69452-131-17,DOFETILIDE 125 MCG CAPSULE [26965],0.76,0.27,,,0
NDC,69452-133-17,DOFETILIDE 500 MCG CAPSULE [26967],0.76,0.27,,,0
NDC,69452-150-20,VALPROIC ACID 250 MG CAPSULE [8429],0.35,0.12,,,0
NDC,69452-151-20,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",0.36,0.13,,,0
NDC,69452-157-73,RIZATRIPTAN 10 MG DISINTEGRATING TABLET [27630],0.99,0.35,,,0
NDC,69452-207-13,CALCITRIOL 0.25 MCG CAPSULE [9350],0.27,0.09,,,0
NDC,69452-208-20,CALCITRIOL 0.5 MCG CAPSULE [9351],0.42,0.15,,,0
NDC,69452-209-20,NIMODIPINE 30 MG CAPSULE [10722],2.87,1.01,,,0
NDC,69452-223-84,RUFINAMIDE 40 MG/ML ORAL SUSPENSION [149957],14.19,4.97,,,0
NDC,69536-100-15,PHENYLEPHRINE 1 % NASAL SPRAY [103139],2.25,0.79,,,0
NDC,69536-146-19,LEVONORGESTREL 1.5 MG TABLET [99445],30.26,10.59,,,0
NDC,69536-162-88,LEVONORGESTREL 1.5 MG TABLET [99445],32.5,11.38,,,0
NDC,69543-131-20,ALENDRONATE 70 MG TABLET [29048],2.79,0.98,,,0
NDC,69543-382-90,OLANZAPINE 7.5 MG TABLET [17938],0.19,0.07,,,0
NDC,69543-386-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,69543-386-30,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,6954323460,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS [9943]",14.88,5.21,,,0
NDC,6954326810,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET [11067],0.34,0.12,,,0
NDC,69584-427-10,IMIPRAMINE 50 MG TABLET [3862],0.09,0.03,,,0
NDC,69616-272-30,PERAMPANEL 2 MG TABLET [164618],63.96,22.39,,,0
NDC,69616-276-30,PERAMPANEL 6 MG TABLET [164620],126.93,44.43,,,0
NDC,69618-015-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE [685]",0.02,0.0056,,,0
NDC,69618-024-01,DIPHENHYDRAMINE 25 MG CAPSULE [2509],0.02,0.007,,,0
NDC,69618-033-01,SIMETHICONE 80 MG CHEWABLE TABLET [7227],0.02,0.0077,,,0
NDC,69618-048-01,SENNOSIDES 8.6 MG TABLET [11349],0.02,0.00525,,,0
NDC,69618-059-51,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.98,0.69,,,0
NDC,69618-064-01,SENNOSIDES 8.6 MG TABLET [11349],0.02,0.00525,,,0
NDC,69680-115-30,AMINOCAPROIC ACID 500 MG TABLET [9063],5.97,2.09,,,0
NDC,69680-130-60,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR [37643]",0.82,0.29,,,0
NDC,69680-132-60,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR [37645]",0.98,0.34,,,0
NDC,69784-230-20,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,69784-231-10,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,69784-231-20,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0.7,0.25,,,0
NDC,69784-620-25,BUSULFAN 2 MG TABLET [9325],137.37,48.08,,,0
NDC,69784-810-01,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION [40917],964.88,337.71,,,0
NDC,69794-050-50,TRIHEPTANOIN 8.3 KCAL/ML ORAL LIQUID [188775],35.22,12.33,,,0
NDC,69800-0250-1,"IMMUNE GLOBULIN,GAMMA(IGG)-SLRA HUMAN 10 % INTRAVENOUS SOLUTION [186677]",267.31,93.56,,,0
NDC,69800-0250-2,"IMMUNE GLOBULIN,GAMMA(IGG)-SLRA HUMAN 10 % INTRAVENOUS SOLUTION [186677]",267.31,93.56,,,0
NDC,69853-0102-1,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION [184235]",8824.98,3088.74,,,0
NDC,69918-101-01,DESMOPRESSIN 0.1 MG TABLET [16052],1.05,0.37,,,0
NDC,69918-201-01,DESMOPRESSIN 0.2 MG TABLET [16053],1.18,0.41,,,0
NDC,69918-301-30,TRANEXAMIC ACID 650 MG TABLET [145031],4.34,1.52,,,0
NDC,69918-731-01,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,69918-731-10,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,69918-735-10,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,69918-899-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,69918-899-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,69918-901-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],190.69,66.74,,,0
NDC,70010-063-01,METFORMIN 500 MG TABLET [10544],0.02,0.00875,,,0
NDC,70010-135-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.35,0.12,,,0
NDC,70010-135-05,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0.35,0.12,,,0
NDC,70010-139-01,NAPROXEN 500 MG TABLET [5393],0.06,0.02,,,0
NDC,70010-754-01,METHOCARBAMOL 500 MG TABLET [4971],0.05,0.02,,,0
NDC,70010-754-05,METHOCARBAMOL 500 MG TABLET [4971],0.05,0.02,,,0
NDC,70010-770-01,METHOCARBAMOL 750 MG TABLET [4972],0.06,0.02,,,0
NDC,70010-770-05,METHOCARBAMOL 750 MG TABLET [4972],0.06,0.02,,,0
NDC,70020-1910-1,IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],6377.49,2232.12,,,0
NDC,70020-1910-2,IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],6377.49,2232.12,,,0
NDC,70020-1911-1,IXABEPILONE 45 MG INTRAVENOUS SOLUTION [88653],19132.47,6696.36,,,0
NDC,70020-1911-2,IXABEPILONE 45 MG INTRAVENOUS SOLUTION [88653],19132.47,6696.36,,,0
NDC,70030-14926,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],7.0,2.45,,,0
NDC,70069-005-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",45.1,15.78,,,0
NDC,70069-005-10,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",45.1,15.78,,,0
NDC,70069-012-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,70069-012-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,70069-021-01,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [111053],80.2,28.07,,,0
NDC,70069-021-25,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [111053],80.2,28.07,,,0
NDC,70069-051-01,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],66.05,23.12,,,0
NDC,70069-064-01,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.25,,,0
NDC,70069-064-25,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [152684],6.44,2.25,,,0
NDC,70069-121-01,TROPICAMIDE 1 % EYE DROPS [8250],18.31,6.41,,,0
NDC,70069-131-01,TOBRAMYCIN 0.3 % EYE DROPS [7995],27.33,9.56,,,0
NDC,70069-231-01,BRIMONIDINE 0.2 % EYE DROPS [17881],7.57,2.65,,,0
NDC,70069-261-01,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],489.85,171.45,,,0
NDC,70069-301-25,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,70069-362-10,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],1.22,0.43,,,0
NDC,70069-421-01,LATANOPROST 0.005 % EYE DROPS [18621],143.4,50.19,,,0
NDC,70069-441-05,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],252.53,88.39,,,0
NDC,70069-671-01,NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],42.52,14.88,,,0
NDC,70069-671-10,NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],42.52,14.88,,,0
NDC,70069-727-25,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,70069-747-25,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],10.55,3.69,,,0
NDC,70069-801-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,70069-801-25,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,70069-816-10,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [164137],25.74,9.01,,,0
NDC,70074-62315,"PROTEIN HYDROLYSATE,MILK 1 GRAM-4 KCAL/6 ML ORAL LIQUID [161545]",2.45,0.86,,,0
NDC,70092-1009-44,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [154396],32.31,11.31,,,0
NDC,70092-1046-46,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [144861],5.8,2.03,,,0
NDC,70092-1068-07,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [109869],0.38,0.13,,,0
NDC,70092-1114-50,HYDROMORPHONE (PF) 10 MG/50 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE [159095],2.99,1.05,,,0
NDC,70092-1120-43,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE [152464],10.02,3.51,,,0
NDC,70092-1177-35,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [172557],25.0,8.75,,,0
NDC,70092-1259-75,FENTANYL (PF) 2 MCG/ML-ROPIVACAINE 0.2 %-NACL EPIDURAL PUMP RESERVOIR [110282],1.63,0.57,,,0
NDC,70092-1415-47,"FENTANYL (PF) 1,000 MCG/20 ML (50 MCG/ML) INTRAVENOUS PCA SYRINGE [180935]",26.02,9.11,,,0
NDC,70092-1433-50,ROPIV 2.46-EPI 0.005-CLONID 0.0008-KETOROL 0.3 MG/ML PERIARTICULR SYRG [181207],3.21,1.12,,,0
NDC,70092-1475-50,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [106061],3.17,1.11,,,0
NDC,70092-1497-47,"FENTANYL (PF) 1,000 MCG/20 ML (50 MCG/ML) INTRAVENOUS PCA SYRINGE [180935]",26.02,9.11,,,0
NDC,70092-1611-44,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL [179962],10.09,3.53,,,0
NDC,70092-1617-46,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE [180712],1.79,0.63,,,0
NDC,70092-1661-46,VASOPRESSIN 5 UNIT/5 ML (1 UNIT/ML) IN DEXTROSE 5 % IV SYRINGE [194861],29.85,10.45,,,0
NDC,70092-9054-05,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [145352],0.78,0.27,,,0
NDC,70092-9114-50,HYDROMORPHONE IN NS 10 MG/50 ML (0.2 MG/ML) IV INFUSION [408678],2.99,1.05,,,0
NDC,70092-9120-43,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE [152464],10.02,3.51,,,0
NDC,70092-9259-75,FENTANYL (PF) 2 MCG/ML-ROPIVACAINE 0.2 %-NACL EPIDURAL PUMP RESERVOIR [110282],1.63,0.57,,,0
NDC,70092-9338-07,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [145355],0.62,0.22,,,0
NDC,70092-9599-07,VANCOMYCIN 1.5 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN [174531],0.47,0.17,,,0
NDC,70100-424-01,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],690.6,241.71,,,0
NDC,70100-424-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],690.6,241.71,,,0
NDC,70100-825-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],690.6,241.71,,,0
NDC,70114-101-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [183757],26793.3,9377.66,,,0
NDC,70114-130-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR [200602],27860.0,9751.0,,,0
NDC,70114-340-01,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION [200070],5127.15,1794.5,,,0
NDC,70121-1003-1,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],23.55,8.24,,,0
NDC,70121-1390-1,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,70121-1390-7,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],71.08,24.88,,,0
NDC,70121-1395-1,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,70121-1395-5,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,70121-1397-7,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,70121-1463-2,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,70121-1479-7,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [163426],35.71,12.5,,,0
NDC,70121-1568-1,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE [193919],1890.0,661.5,,,0
NDC,70121-1568-7,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE [193919],1890.0,661.5,,,0
NDC,70121-1570-1,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE [193920],1890.0,661.5,,,0
NDC,70121-1570-7,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE [193920],1890.0,661.5,,,0
NDC,70121-1573-1,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],163.63,57.27,,,0
NDC,70121-1573-5,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],163.63,57.27,,,0
NDC,70121-1574-1,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],121.11,42.39,,,0
NDC,70121-1574-5,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],121.11,42.39,,,0
NDC,70121-1578-1,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,70121-1578-7,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,70121-1604-1,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,70121-1604-7,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,70121-1605-1,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,70121-1627-1,PEGFILGRASTIM-PBBK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [195806],26550.0,9292.5,,,0
NDC,70121-1658-1,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION [180972],801.09,280.38,,,0
NDC,70121-1680-1,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],363.92,127.37,,,0
NDC,70121-1680-7,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],363.92,127.37,,,0
NDC,70121-1716-1,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",4.91,1.72,,,0
NDC,70121-1717-7,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",6.82,2.39,,,0
NDC,70121-1719-1,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [112209],4.12,1.44,,,0
NDC,70121-1743-4,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION [70267],519.24,181.73,,,0
NDC,70121-1754-1,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION [194802],621.52,217.53,,,0
NDC,70121-1754-7,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION [194802],621.52,217.53,,,0
NDC,70121-1755-1,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION [194802],621.52,217.53,,,0
NDC,70121-1755-7,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION [194802],621.52,217.53,,,0
NDC,70199-026-11,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION [11641]",131.9,46.17,,,0
NDC,70257-051-51,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN [110643],188.63,66.02,,,0
NDC,70257-532-50,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],141.37,49.48,,,0
NDC,70257-532-51,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],141.37,49.48,,,0
NDC,70257-560-01,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION [9209],69.51,24.33,,,0
NDC,70257-560-02,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION [9209],69.51,24.33,,,0
NDC,70257-561-02,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [9208]",263.33,92.17,,,0
NDC,70257-562-11,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION [21880],127.36,44.57,,,0
NDC,70257-562-55,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION [21880],127.36,44.57,,,0
NDC,70257-563-01,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [9208]",263.33,92.17,,,0
NDC,70257-563-02,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [9208]",263.33,92.17,,,0
NDC,70377-007-12,ROSUVASTATIN 10 MG TABLET [35134],0.19,0.07,,,0
NDC,70377-060-12,LABETALOL 100 MG TABLET [10373],0.41,0.14,,,0
NDC,70377-118-31,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],4.6,1.61,,,0
NDC,70408-146-34,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0.64,0.23,,,0
NDC,70408-239-32,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],4.6,1.61,,,0
NDC,70408-644-34,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR [7820],6.76,2.37,,,0
NDC,70436-019-82,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,70436-020-82,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,70436-027-80,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],23.55,8.24,,,0
NDC,70436-089-55,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],300.21,105.07,,,0
NDC,70436-203-82,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],8.76,3.07,,,0
NDC,70512-812-01,LIDOCAINE 4 % TOPICAL PATCH [102208],3.77,1.32,,,0
NDC,70512-812-30,LIDOCAINE 4 % TOPICAL PATCH [102208],3.77,1.32,,,0
NDC,70515-260-10,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [102724],31.57,11.05,,,0
NDC,70515-262-10,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION [9853],202.69,70.94,,,0
NDC,70515-263-10,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION [9853],202.69,70.94,,,0
NDC,70594-023-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,70594-023-04,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,70594-023-09,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],373.65,130.78,,,0
NDC,70594-048-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],1576.56,551.79,,,0
NDC,70594-053-01,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
NDC,70594-064-02,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,70594-112-01,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],363.92,127.37,,,0
NDC,70594-112-02,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],363.92,127.37,,,0
NDC,70655-002-06,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.85,0.3,,,0
NDC,70655-002-10,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0.85,0.3,,,0
NDC,70655-088-06,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0.89,0.31,,,0
NDC,70677-0025-1,DOXYLAMINE SUCCINATE 25 MG TABLET [14847],0.11,0.04,,,0
NDC,70677-0029-1,LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],5.95,2.08,,,0
NDC,70677-0051-1,MAGNESIUM CITRATE ORAL SOLUTION [4712],0.02,0.0084,,,0
NDC,70677-0058-1,SENNOSIDES 8.6 MG TABLET [11349],0.02,0.0063,,,0
NDC,70677-0138-1,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],0.1,0.04,,,0
NDC,70677-0143-1,DICLOFENAC 1 % TOPICAL GEL [100611],2.04,0.71,,,0
NDC,70677-1037-1,OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0.4,0.14,,,0
NDC,70677-1078-1,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",1.98,0.69,,,0
NDC,70677-1111-1,MAGNESIUM CITRATE ORAL SOLUTION [4712],0.02,0.0084,,,0
NDC,70677-1125-1,DICLOFENAC 1 % TOPICAL GEL [100611],2.04,0.71,,,0
NDC,70677-1153-1,CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0.18,0.06,,,0
NDC,70677-1189-1,ASPIRIN 325 MG TABLET [681],1.0,0.35,,,0
NDC,70677-1270-1,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],2.45,0.86,,,0
NDC,70700-166-22,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,70700-166-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],89.29,31.25,,,0
NDC,70700-186-23,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [82200],0.17,0.06,,,0
NDC,70700-187-22,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [82204],4.7,1.65,,,0
NDC,70700-187-23,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [82204],4.7,1.65,,,0
NDC,70700-188-22,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],0.85,0.3,,,0
NDC,70700-189-22,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],0.13,0.05,,,0
NDC,70700-268-94,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],63.23,22.13,,,0
NDC,70700-268-99,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],63.23,22.13,,,0
NDC,70710-1010-2,OSELTAMIVIR 75 MG CAPSULE [26546],3.2,1.12,,,0
NDC,70710-1014-1,PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],28.13,9.85,,,0
NDC,70710-1021-8,ALBENDAZOLE 200 MG TABLET [8979],119.04,41.66,,,0
NDC,70710-1157-3,LEFLUNOMIDE 10 MG TABLET [23872],1.09,0.38,,,0
NDC,70710-1180-3,AMBRISENTAN 10 MG TABLET [82308],28.58,10.0,,,0
NDC,70710-1344-1,RAMELTEON 8 MG TABLET [42064],1.92,0.67,,,0
NDC,70710-1344-3,RAMELTEON 8 MG TABLET [42064],1.92,0.67,,,0
NDC,70710-1359-1,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],9.47,3.31,,,0
NDC,70710-1359-6,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],9.47,3.31,,,0
NDC,70710-1478-1,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [22185],3380.0,1183.0,,,0
NDC,70710-1525-9,CARMUSTINE 100 MG INTRAVENOUS SOLUTION [28911],519.24,181.73,,,0
NDC,70710-1530-1,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,70710-1610-6,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION [180972],801.09,280.38,,,0
NDC,70710-1643-1,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.17,12.31,,,0
NDC,70710-1643-7,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.17,12.31,,,0
NDC,70710-1726-1,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION [70267],519.24,181.73,,,0
NDC,70710-1726-8,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION [70267],519.24,181.73,,,0
NDC,70720-950-36,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT [10137],4809.73,1683.41,,,0
NDC,70748-175-01,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],7.73,2.71,,,0
NDC,70748-175-30,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],7.73,2.71,,,0
NDC,70748-217-16,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE [38062]",0.18,0.06,,,0
NDC,70752-102-12,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP [252],23.0,8.05,,,0
NDC,70752-138-12,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0.64,0.23,,,0
NDC,70756-011-11,CHLORTHALIDONE 25 MG TABLET [1661],0.02,0.00595,,,0
NDC,70756-201-11,AMITRIPTYLINE 10 MG TABLET [432],0.06,0.02,,,0
NDC,70756-205-11,AMITRIPTYLINE 100 MG TABLET [433],0.3,0.1,,,0
NDC,70756-609-15,OFLOXACIN 0.3 % EAR DROPS [22257],86.31,30.21,,,0
NDC,70756-611-25,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [175364],54.11,18.94,,,0
NDC,70756-614-30,PHENYLEPHRINE 10 % EYE DROPS [19636],24.89,8.71,,,0
NDC,70756-629-25,PHENYLEPHRINE 2.5 % EYE DROPS [6246],26.75,9.36,,,0
NDC,70839-150-30,ALISKIREN 150 MG TABLET [78653],9.69,3.39,,,0
NDC,70839-300-30,ALISKIREN 300 MG TABLET [78654],12.22,4.28,,,0
NDC,70842-160-01,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],61.68,21.59,,,0
NDC,70842-160-10,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],61.68,21.59,,,0
NDC,70860-100-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,70860-100-41,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,70860-105-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",157.66,55.18,,,0
NDC,70860-125-41,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,70860-125-66,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],182.96,64.04,,,0
NDC,70860-126-20,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],365.92,128.07,,,0
NDC,70860-126-41,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],365.92,128.07,,,0
NDC,70860-127-51,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],1463.67,512.28,,,0
NDC,70860-200-05,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,70860-200-17,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,70860-200-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [10843]",41.65,14.58,,,0
NDC,70860-206-51,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],5.36,1.88,,,0
NDC,70860-211-41,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,70860-211-74,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [32767],1316.78,460.87,,,0
NDC,70860-300-05,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],17.86,6.25,,,0
NDC,70860-301-05,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,70860-301-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,70860-301-25,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,70860-301-41,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,70860-301-42,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,70860-301-43,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],31.12,10.89,,,0
NDC,70860-406-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,70860-406-41,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,70860-451-10,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [153980],245.16,85.81,,,0
NDC,70860-601-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,70860-601-42,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,70860-605-03,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,70860-605-41,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,70860-651-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,70860-700-01,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],95.71,33.5,,,0
NDC,70860-700-41,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,70860-701-03,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,70860-701-41,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,70860-751-41,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [112130],43.26,15.14,,,0
NDC,70860-776-41,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [94096],180.38,63.13,,,0
NDC,70860-778-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,70860-778-41,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [154534],31.84,11.15,,,0
NDC,70860-784-05,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.85,10.8,,,0
NDC,70954-135-10,DAPSONE 25 MG TABLET [2132],0.98,0.34,,,0
NDC,70954-136-10,DAPSONE 100 MG TABLET [2131],1.21,0.42,,,0
NDC,70954-148-10,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP [11238],13.53,4.73,,,0
NDC,70954-168-10,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION [167930],7.63,2.67,,,0
NDC,70954-188-10,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],36.53,12.78,,,0
NDC,70954-211-10,TRIHEXYPHENIDYL 5 MG TABLET [8167],0.22,0.08,,,0
NDC,70954-316-10,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [10010],10.71,3.75,,,0
NDC,70954-319-10,PAROXETINE 10 MG/5 ML ORAL SUSPENSION [22959],10.82,3.79,,,0
NDC,70954-484-10,PYRAZINAMIDE 500 MG TABLET [6738],4.55,1.59,,,0
NDC,70954-496-10,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],4.6,1.61,,,0
NDC,70954-518-10,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],7.17,2.51,,,0
NDC,70954-637-10,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION [3900],10.82,3.79,,,0
NDC,70954-852-30,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],30.85,10.8,,,0
NDC,71019-076-07,EPINEPHRINE HCL 100 MCG/10 ML(10 MCG/ML) IN 0.9 % SOD CHLOR IV SYRINGE [174390],2.6,0.91,,,0
NDC,71019-224-01,NOREPINEPHRINE 0.16 MG/10 ML (16 MCG/ML) IN 0.9 % NACL IV SYRINGE [179307],3.48,1.22,,,0
NDC,71019-263-19,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [144861],5.8,2.03,,,0
NDC,71019-263-20,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [144861],5.8,2.03,,,0
NDC,71179-018-40,CAFFEINE 200 MG TABLET [1259],3.68,1.29,,,0
NDC,71205-909-60,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0.17,0.06,,,0
NDC,71225-126-03,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,71225-126-06,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [162237],3.08,1.08,,,0
NDC,71247-126-01,LABETALOL 100 MG TABLET [10373],0.41,0.14,,,0
NDC,71285-0427-1,AAS 3 % NO.2 PEDI-D5W-CALCIUM 2.33 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN [176427],0.6,0.21,,,0
NDC,71285-0428-1,AMINO ACID 3 % PEDI-D10W-CALC 2.33 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN [179220],0.6,0.21,,,0
NDC,71288-005-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],109.52,38.33,,,0
NDC,71288-006-30,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,71288-006-31,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,71288-016-15,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,71288-017-15,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
NDC,71288-019-11,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],966.33,338.21,,,0
NDC,71288-027-30,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [33010],1133.82,396.84,,,0
NDC,71288-032-21,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],219.03,76.66,,,0
NDC,71288-101-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [41598],53.75,18.81,,,0
NDC,71288-102-10,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION [100581],3382.15,1183.75,,,0
NDC,71288-103-20,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [91300],12497.84,4374.24,,,0
NDC,71288-106-10,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],2217.4,776.09,,,0
NDC,71288-107-20,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],4434.8,1552.18,,,0
NDC,71288-109-20,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],72.4,25.34,,,0
NDC,71288-113-10,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],818.16,286.36,,,0
NDC,71288-114-50,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],4090.79,1431.78,,,0
NDC,71288-115-30,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,71288-118-10,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [35839],10552.3,3693.3,,,0
NDC,71288-119-20,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,71288-129-02,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2850.75,997.76,,,0
NDC,71288-137-20,MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],1299.48,454.82,,,0
NDC,71288-138-50,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],5197.92,1819.27,,,0
NDC,71288-165-54,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION [70267],519.24,181.73,,,0
NDC,71288-167-50,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],15583.95,5454.38,,,0
NDC,71288-201-85,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],180.38,63.13,,,0
NDC,71288-202-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],489.85,171.45,,,0
NDC,71288-400-03,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [110555]",7.09,2.48,,,0
NDC,71288-403-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,71288-403-02,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",70.86,24.8,,,0
NDC,71288-427-10,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],5475.86,1916.55,,,0
NDC,71288-427-11,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],100.0,35.0,,,0
NDC,71288-505-03,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [27103],38.21,13.37,,,0
NDC,71288-713-20,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],66.23,23.18,,,0
NDC,71288-713-21,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],66.23,23.18,,,0
NDC,71288-803-20,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],752.19,263.27,,,0
NDC,71288-803-21,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],752.19,263.27,,,0
NDC,71288-808-75,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,71288-808-76,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,7132180060,"MAGNESIUM L-LACTATE ER 84 MG TABLET,EXTENDED RELEASE [4715]",0.23,0.08,,,0
NDC,71336-1000-1,PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION [182835],8595.3,3008.36,,,0
NDC,71336-1003-1,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE [194876],1014483.5,355069.22,,,0
NDC,7135101001,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [70284]",13.53,4.73,,,0
NDC,7135101099,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [70284]",13.53,4.73,,,0
NDC,71399-0122-4,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [113122],0.19,0.07,,,0
NDC,71399-0125-8,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0.74,0.26,,,0
NDC,71399-8014-1,ACETAMINOPHEN 325 MG TABLET [101],0.04,0.01,,,0
NDC,7139974015,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],1.44,0.5,,,0
NDC,7139974805,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],4.06,1.42,,,0
NDC,71469-231-01,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION [183087],8949.28,3132.25,,,0
NDC,71837-1000-1,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION [203881],4382.16,1533.76,,,0
NDC,71837-1000-2,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION [203881],4382.16,1533.76,,,0
NDC,71839-104-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],869.4,304.29,,,0
NDC,71839-107-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1932.66,676.43,,,0
NDC,71839-108-01,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION [182205],1352.86,473.5,,,0
NDC,71858-0050-4,LEVOTHYROXINE 150 MCG CAPSULE [114097],4.57,1.6,,,0
NDC,72078-002-00,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,72078-002-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],22.55,7.89,,,0
NDC,72078-035-00,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],684.55,239.59,,,0
NDC,72078-035-02,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION [18400],684.55,239.59,,,0
NDC,72078-046-18,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],48.38,16.93,,,0
NDC,7214003147,WHITE PETROLATUM 41 % TOPICAL OINTMENT [107703],0.12,0.04,,,0
NDC,7214003263,WHITE PETROLATUM 41 % TOPICAL OINTMENT [107703],0.06,0.02,,,0
NDC,7214045231,WHITE PETROLATUM 41 % TOPICAL OINTMENT [107703],0.31,0.11,,,0
NDC,72162-1789-1,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0.32,0.11,,,0
NDC,72162-1793-9,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]",0.5,0.18,,,0
NDC,72162-2071-2,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0.64,0.23,,,0
NDC,72196-0428-1,AMINO ACID 3 % PEDI-D10W-CALC 2.33 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN [179220],0.6,0.21,,,0
NDC,72205-012-90,PREGABALIN 50 MG CAPSULE [42163],0.07,0.02,,,0
NDC,72205-051-08,ALBENDAZOLE 200 MG TABLET [8979],29.88,10.46,,,0
NDC,72205-054-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],869.4,304.29,,,0
NDC,72205-059-76,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION [167930],7.63,2.67,,,0
NDC,72205-101-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,72205-101-07,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,72205-102-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],1.04,0.36,,,0
NDC,72205-102-07,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.84,4.14,,,0
NDC,72205-185-30,DARUNAVIR 800 MG TABLET [159948],2.0,0.7,,,0
NDC,72241-023-05,CELECOXIB 100 MG CAPSULE [24500],0.07,0.02,,,0
NDC,72252-505-02,DIAZEPAM 5 MG/SPRAY (0.1 ML) NASAL SPRAY [187201],1017.12,355.99,,,0
NDC,72252-510-02,DIAZEPAM 10 MG/SPRAY (0.1 ML) NASAL SPRAY [187202],1078.16,377.35,,,0
NDC,72266-102-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],29.09,10.18,,,0
NDC,72266-118-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,72266-118-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,72266-124-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [10777],0.4,0.14,,,0
NDC,72266-147-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,72266-147-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],14.2,4.97,,,0
NDC,72266-158-01,MOXIFLOXACIN 0.5 % EYE DROPS [35699],166.85,58.4,,,0
NDC,72266-160-01,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [33175],695.76,243.51,,,0
NDC,72266-160-10,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [33175],695.76,243.51,,,0
NDC,72266-163-06,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],1762.58,616.9,,,0
NDC,72266-196-01,TOBRAMYCIN 0.3 % EYE DROPS [7995],27.33,9.56,,,0
NDC,72266-234-25,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,72485-101-01,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],67.0,23.45,,,0
NDC,72485-101-25,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],67.0,23.45,,,0
NDC,72485-104-01,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [77412],0.43,0.15,,,0
NDC,72485-113-10,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [102077],1167.6,408.66,,,0
NDC,72485-201-01,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],4380.68,1533.24,,,0
NDC,72485-404-10,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],355.61,124.46,,,0
NDC,72485-670-31,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],37.94,13.28,,,0
NDC,72493-103-03,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [187951],53440.0,18704.0,,,0
NDC,72578-056-01,FELBAMATE 400 MG TABLET [10024],1.4,0.49,,,0
NDC,72579-121-01,TISLELIZUMAB-JSGR 10 MG/ML INTRAVENOUS SOLUTION [202625],1800.38,630.13,,,0
NDC,72603-103-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",577.22,202.03,,,0
NDC,72603-107-01,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],7923.89,2773.36,,,0
NDC,72603-167-01,METHAZOLAMIDE 50 MG TABLET [4962],4.21,1.47,,,0
NDC,72603-206-01,GEMFIBROZIL 600 MG TABLET [3378],13.53,4.73,,,0
NDC,72603-212-01,DEXAMETHASONE 0.5 MG TABLET [2322],12.88,4.51,,,0
NDC,72603-219-25,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],12.88,4.51,,,0
NDC,72603-261-01,RUFINAMIDE 40 MG/ML ORAL SUSPENSION [149957],14.19,4.97,,,0
NDC,72603-305-01,LACOSAMIDE 10 MG/ML ORAL SOLUTION [144700],6.41,2.24,,,0
NDC,72606-569-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [148357],869.4,304.29,,,0
NDC,72611-716-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],327.24,114.54,,,0
NDC,72611-719-01,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,72611-719-25,KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],100.5,35.17,,,0
NDC,72611-722-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,72611-722-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],201.0,70.35,,,0
NDC,72611-734-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],29.09,10.18,,,0
NDC,72611-749-01,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,72611-749-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],128.72,45.05,,,0
NDC,72611-756-01,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,72611-757-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [12734],34.36,12.03,,,0
NDC,72611-761-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,72611-761-10,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],78.83,27.59,,,0
NDC,72626-2601-1,LEDIPASVIR 90 MG-SOFOSBUVIR 400 MG TABLET [168260],428.57,150.0,,,0
NDC,72677-551-01,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION [188502],18340.0,6419.0,,,0
NDC,72694-954-01,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519],5875.76,2056.52,,,0
NDC,72888-026-01,LAMOTRIGINE 100 MG TABLET [13982],0.04,0.01,,,0
NDC,72888-082-01,ISOSORBIDE DINITRATE 10 MG TABLET [4064],0.21,0.07,,,0
NDC,72888-100-20,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION [40446],31.12,10.89,,,0
NDC,72888-125-26,LIDOCAINE HCL 2 % MUCOSAL SOLUTION [103461],0.38,0.13,,,0
NDC,72888-154-01,CLONAZEPAM 2 MG TABLET [9639],0.05,0.02,,,0
NDC,72893-001-01,MELPHALAN 50 MG-BETADEX SULFOBUTYL ETHER SODIUM INTRAVENOUS SOLUTION [177483],12000.0,4200.0,,,0
NDC,72893-016-02,EFBEMALENOGRASTIM ALFA-VUXW 20 MG/ML SUBCUTANEOUS SYRINGE [206282],15914.16,5569.96,,,0
NDC,72903-853-01,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION [196389],1075.94,376.58,,,0
NDC,73070-100-11,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION [28534],72.02,25.21,,,0
NDC,73070-403-10,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [172414],222.6,77.91,,,0
NDC,73070-403-15,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [172414],222.6,77.91,,,0
NDC,73090-420-01,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION [166351],4442.86,1555.0,,,0
NDC,73090-421-01,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION [166352],17771.43,6220.0,,,0
NDC,73150-150-06,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION [196893],5669.9,1984.46,,,0
NDC,73380-4700-1,MOXETUMOMAB PASUDOTOX-TDFK 1 MG INTRAVENOUS SOLUTION [183328],2207.0,772.45,,,0
NDC,73462-101-01,TRILACICLIB 300 MG INTRAVENOUS SOLUTION [190675],4901.1,1715.38,,,0
NDC,73475-3041-5,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION [193443],1029.23,360.23,,,0
NDC,73475-3102-3,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN [198543]",13395.6,4688.46,,,0
NDC,73534-505-01,PREDNISOLONE 5 MG TABLET [6483],15.45,5.41,,,0
NDC,73535-208-01,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION [189078],4620.64,1617.22,,,0
NDC,73562-112-01,"LIPASE-PROTEASE-AMYLASE 20,000-63,000-84,000 UNIT CAPSULE, DELAYED REL [180938]",7.78,2.72,,,0
NDC,73562-115-01,"LIPASE-PROTEASE-AMYLASE 5,000-17,000-24,000 UNIT CAPSULE, DELAYED REL [181457]",2.01,0.7,,,0
NDC,73594-9310-1,FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION [189312],1481.8,518.63,,,0
NDC,73607-002-01,ARTESUNATE 110 MG INTRAVENOUS SOLUTION [191293],17228.81,6030.08,,,0
NDC,73607-011-11,ARTESUNATE 110 MG INTRAVENOUS SOLUTION [191293],17228.81,6030.08,,,0
NDC,73650-316-01,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION [196401],6925.0,2423.75,,,0
NDC,73650-316-10,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION [196401],6925.0,2423.75,,,0
NDC,73650-316-14,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION [196401],6925.0,2423.75,,,0
NDC,74312-01220,"BETA CAROTENE 7,500 MCG (25,000 UNIT) CAPSULE [1006]",0.06,0.02,,,0
NDC,7431200650,PYRIDOXINE (VITAMIN B6) 100 MG TABLET [6745],0.05,0.02,,,0
NDC,7431201380,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0.06,0.02,,,0
NDC,7431205800,"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE [5536]",0.06,0.02,,,0
NDC,7431207760,"ARGININE HCL (L-ARGININE) 1,000 MG TABLET [39390]",0.13,0.05,,,0
NDC,74527-022-01,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [190827],718.56,251.5,,,0
NDC,74527-022-02,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [190827],718.56,251.5,,,0
NDC,74527-022-03,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [190827],718.56,251.5,,,0
NDC,75826-114-10,PHENAZOPYRIDINE 100 MG TABLET [6193],0.27,0.09,,,0
NDC,75826-115-10,PHENAZOPYRIDINE 200 MG TABLET [6194],0.37,0.13,,,0
NDC,75826-142-10,PHENOBARBITAL 97.2 MG TABLET [6220],0.2,0.07,,,0
NDC,75834-158-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [11640]",0.24,0.08,,,0
NDC,75834-170-01,ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0.78,0.27,,,0
NDC,75834-170-02,ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0.41,0.14,,,0
NDC,75834-171-01,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,75834-171-19,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],4.12,1.44,,,0
NDC,75834-243-30,ERYTHROMYCIN 500 MG TABLET [2890],8.33,2.92,,,0
NDC,75834-320-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [11639]",0.6,0.21,,,0
NDC,7583401060,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS [9943]",14.88,5.21,,,0
NDC,75907-043-01,TRIMETHOPRIM 100 MG TABLET [8182],13.53,4.73,,,0
NDC,75987-050-06,GLYCEROL PHENYLBUTYRATE 1.1 GRAM/ML ORAL LIQUID [161463],656.4,229.74,,,0
NDC,75987-070-09,SODIUM PHENYLBUTYRATE 0.94 GRAM/GRAM ORAL POWDER [17601],177.24,62.03,,,0
NDC,75987-130-15,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION [187231],57372.97,20080.54,,,0
NDC,76014-003-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [163426],35.71,12.5,,,0
NDC,76014-003-33,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [163426],35.71,12.5,,,0
NDC,76014-004-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,76014-004-25,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,76014-004-30,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,76014-004-32,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,76014-004-33,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],57.98,20.29,,,0
NDC,76014-005-25,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [175364],54.11,18.94,,,0
NDC,76014-005-30,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [175364],54.11,18.94,,,0
NDC,76045-001-20,MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE [111887],25.74,9.01,,,0
NDC,76045-004-01,MORPHINE 2 MG/ML INJECTION SYRINGE [5170],52.83,18.49,,,0
NDC,76045-004-10,MORPHINE 2 MG/ML INJECTION SYRINGE [5170],52.83,18.49,,,0
NDC,76045-004-11,MORPHINE 2 MG/ML INJECTION SYRINGE [5170],52.83,18.49,,,0
NDC,76045-005-10,MORPHINE 4 MG/ML INJECTION SYRINGE [5172],52.83,18.49,,,0
NDC,76045-009-01,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE [3757],20.55,7.19,,,0
NDC,76045-009-10,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE [3757],20.55,7.19,,,0
NDC,76045-009-11,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE [3757],20.55,7.19,,,0
NDC,76045-010-10,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE [111619],41.11,14.39,,,0
NDC,76045-011-10,HYDROMORPHONE (PF) 4 MG/ML INJECTION SYRINGE [111618],82.22,28.78,,,0
NDC,76045-102-10,DIPHENHYDRAMINE 50 MG/ML INJECTION SYRINGE [104982],67.0,23.45,,,0
NDC,76045-103-20,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE [111111],180.38,63.13,,,0
NDC,76075-101-01,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION [157997],125.59,43.96,,,0
NDC,76075-102-01,CARFILZOMIB 30 MG INTRAVENOUS SOLUTION [175520],3767.66,1318.68,,,0
NDC,76075-103-01,CARFILZOMIB 10 MG INTRAVENOUS SOLUTION [182772],1255.89,439.56,,,0
NDC,76125-790-25,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,76125-790-26,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",3.41,1.19,,,0
NDC,76204-100-01,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],9.2,3.22,,,0
NDC,76204-200-01,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,76204-200-60,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],7.16,2.51,,,0
NDC,76204-600-01,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [30510],18.04,6.31,,,0
NDC,76204-600-05,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [30510],18.04,6.31,,,0
NDC,76204-800-01,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,76204-800-11,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],9.02,3.16,,,0
NDC,76204-900-01,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],18.04,6.31,,,0
NDC,76204-900-11,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],18.04,6.31,,,0
NDC,76234-002-01,PERINDOPRIL ERBUMINE 8 MG TABLET [13161],2.98,1.04,,,0
NDC,76282-202-90,FOSINOPRIL 40 MG TABLET [16036],0.69,0.24,,,0
NDC,76282-212-18,SERTRALINE 25 MG TABLET [19882],0.02,0.007,,,0
NDC,76282-214-18,SERTRALINE 100 MG TABLET [11350],0.03,0.01,,,0
NDC,76282-214-90,SERTRALINE 100 MG TABLET [11350],0.03,0.01,,,0
NDC,76282-257-01,NABUMETONE 500 MG TABLET [10676],0.65,0.23,,,0
NDC,76282-258-01,NABUMETONE 750 MG TABLET [10677],0.68,0.24,,,0
NDC,76282-412-30,FINASTERIDE 5 MG TABLET [10037],0.1,0.03,,,0
NDC,76282-412-90,FINASTERIDE 5 MG TABLET [10037],0.09,0.03,,,0
NDC,76310-024-25,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],0.6,0.21,,,0
NDC,76310-024-45,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],0.6,0.21,,,0
NDC,76329-1240-1,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION PF TGH NEWBORN/NICU [410427],65.22,22.83,,,0
NDC,76329-3013-5,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [112833],2.22,0.78,,,0
NDC,76329-3015-5,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [112833],2.22,0.78,,,0
NDC,76329-3301-1,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [106061],3.17,1.11,,,0
NDC,76329-3304-1,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],6.36,2.23,,,0
NDC,76329-3316-1,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
NDC,76329-3318-1,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],12.63,4.42,,,0
NDC,76329-3339-1,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.88,4.51,,,0
NDC,76329-3340-1,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],12.88,4.51,,,0
NDC,76329-3352-1,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [7309],2.06,0.72,,,0
NDC,76329-3369-1,NALOXONE 1 MG/ML INJECTION SYRINGE [5374],130.13,45.55,,,0
NDC,76329-3390-1,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],2.84,0.99,,,0
NDC,76329-8261-0,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.6,27.51,,,0
NDC,76329-8261-1,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],78.61,27.51,,,0
NDC,76329-9060-0,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [2850],126.27,44.19,,,0
NDC,76329-9061-0,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [2850],126.27,44.19,,,0
NDC,76385-103-01,BENZTROPINE 0.5 MG TABLET [998],0.1,0.03,,,0
NDC,76385-104-01,BENZTROPINE 1 MG TABLET [999],0.11,0.04,,,0
NDC,76388-635-25,CHLORAMBUCIL 2 MG TABLET [9513],26.52,9.28,,,0
NDC,76388-635-50,CHLORAMBUCIL 2 MG TABLET [9513],20.27,7.1,,,0
NDC,76388-713-25,BUSULFAN 2 MG TABLET [9325],23.42,8.2,,,0
NDC,76439-104-10,AMOXICILLIN 500 MG CAPSULE [451],0.1,0.03,,,0
NDC,76439-201-90,FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-2 MG TABLET [38624],0.77,0.27,,,0
NDC,76439-234-60,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS [9943]",14.88,5.21,,,0
NDC,76439-302-10,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],0.8,0.28,,,0
NDC,76478-501-20,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION [6097],152.67,53.44,,,0
NDC,76478-711-40,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],1660.8,581.28,,,0
NDC,76961-101-01,EFLAPEGRASTIM-XNST 13.2 MG/0.6 ML SUBCUTANEOUS SYRINGE [196148],25947.0,9081.45,,,0
NDC,77333-049-20,ASPIRIN 81 MG CHEWABLE TABLET [679],1.0,0.35,,,0
NDC,77333-049-25,ASPIRIN 81 MG CHEWABLE TABLET [679],1.0,0.35,,,0
NDC,77333-120-25,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],16.24,5.68,,,0
NDC,77333-120-50,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],0.55,0.19,,,0
NDC,77333-812-10,SIMETHICONE 80 MG CHEWABLE TABLET [7227],0.18,0.06,,,0
NDC,77333-812-25,SIMETHICONE 80 MG CHEWABLE TABLET [7227],1.0,0.35,,,0
NDC,77333-827-10,SODIUM BICARBONATE 650 MG TABLET [7312],0.15,0.05,,,0
NDC,77333-827-25,SODIUM BICARBONATE 650 MG TABLET [7312],1.0,0.35,,,0
NDC,77333-844-10,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",0.23,0.08,,,0
NDC,77333-844-25,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",0.23,0.08,,,0
NDC,7733311810,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],0.19,0.07,,,0
NDC,7733311825,CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],16.24,5.68,,,0
NDC,7733343025,"LACTASE 3,000 UNIT TABLET [22469]",2.45,0.86,,,0
NDC,7733343050,"LACTASE 3,000 UNIT TABLET [22469]",0.44,0.15,,,0
NDC,7733383110,SODIUM BICARBONATE 650 MG TABLET [7312],0.15,0.05,,,0
NDC,7733383125,SODIUM BICARBONATE 650 MG TABLET [7312],1.0,0.35,,,0
NDC,7733383510,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",0.23,0.08,,,0
NDC,7733383525,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [94158]",0.23,0.08,,,0
NDC,7733386110,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET [113353],1.0,0.35,,,0
NDC,7733393410,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [147676],0.16,0.06,,,0
NDC,7733393425,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [147676],1.0,0.35,,,0
NDC,7733393810,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0.18,0.06,,,0
NDC,7733393825,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",1.0,0.35,,,0
NDC,7733394010,PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0.14,0.05,,,0
NDC,7733394025,PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],1.0,0.35,,,0
NDC,7733394810,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [103849],0.19,0.07,,,0
NDC,7733394825,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [103849],1.0,0.35,,,0
NDC,7733395110,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [113008]",0.21,0.07,,,0
NDC,7733395125,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [113008]",1.0,0.35,,,0
NDC,7733398310,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],0.2,0.07,,,0
NDC,7733398325,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],6.76,2.37,,,0
NDC,7811201103,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [27889],0.21,0.07,,,0
NDC,7811273623,CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0.81,0.28,,,0
NDC,78206-114-03,MOMETASONE 220 MCG/ACTUATION(14 DOSES) BREATH ACTIVATED POWDER INHALER [110176],501.91,175.67,,,0
NDC,78206-115-01,MOMETASONE 110 MCG/ACTUATION(30 DOSES) BREATH ACTIVATED POWDER INHALER [91877],644.39,225.54,,,0
NDC,78206-118-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [9266],52.57,18.4,,,0
NDC,78206-121-01,LOSARTAN 25 MG TABLET [14823],3.18,1.11,,,0
NDC,78206-123-02,LOSARTAN 100 MG TABLET [22588],5.82,2.04,,,0
NDC,78206-126-02,MOMETASONE-FORMOTEROL HFA 200 MCG-5 MCG/ACTUATION AEROSOL INHALER [144892],92.22,32.28,,,0
NDC,78206-127-01,MOMETASONE-FORMOTEROL HFA 100 MCG-5 MCG/ACTUATION AEROSOL INHALER [144891],82.86,29.0,,,0
NDC,78206-127-02,MOMETASONE-FORMOTEROL HFA 100 MCG-5 MCG/ACTUATION AEROSOL INHALER [144891],92.22,32.28,,,0
NDC,78206-145-01,ETONOGESTREL 68 MG SUBDERMAL IMPLANT [77012],2853.84,998.85,,,0
NDC,78206-162-01,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [179338],3019.79,1056.93,,,0
NDC,7985410011,"BETA CAROTENE 7,500 MCG (25,000 UNIT) CAPSULE [1006]",0.06,0.02,,,0
NDC,7985420130,NIACIN 100 MG TABLET [5539],0.03,0.0098,,,0
NDC,79952-110-01,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [191436],128473.33,44965.67,,,0
NDC,8020-8000-04,DERMAID ALOE CREAM 4 OZ [408639],2.92,1.02,,,0
NDC,80446-401-01,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION [193621],193340.0,67669.0,,,0
NDC,8065183085,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE [28913],960.21,336.07,,,0
NDC,8065183135,CHONDROITIN-SOD HYALURON 3 %-4 %(0.35 ML)1 %(0.4 ML)INTRAOCULAR SYRING [28916],896.75,313.86,,,0
NDC,8065183150,CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING [28917],1507.47,527.61,,,0
NDC,8065183905,CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE [28923],1582.84,554.0,,,0
NDC,8068100300,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET [157320],0.04,0.01,,,0
NDC,8068102500,PYRIDOXINE (VITAMIN B6) 100 MG TABLET [6745],0.02,0.00805,,,0
NDC,8068104900,PEDIATRIC MULTIVITAMIN NO.42 CHEWABLE TABLET [158366],0.1,0.03,,,0
NDC,8068105700,NIACIN 100 MG TABLET [5539],0.02,0.0056,,,0
NDC,8068107100,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [2008],0.02,0.0056,,,0
NDC,8068113400,"VITAMIN E (DL, ACETATE) 45 MG (100 UNIT) CAPSULE [110185]",0.02,0.00595,,,0
NDC,8068116800,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.02,0.0063,,,0
NDC,8068116900,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [82639]",0.02,0.00595,,,0
NDC,80725-610-25,CHLORAMBUCIL 2 MG TABLET [9513],520.43,182.15,,,0
NDC,80803-153-50,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION [193305],55244.0,19335.4,,,0
NDC,80830-2362-2,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [184196]",7.36,2.58,,,0
NDC,80830-2363-9,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION [185254]",7.36,2.58,,,0
NDC,81033-002-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION [113785],1.35,0.47,,,0
NDC,81033-002-20,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [113787],0.33,0.12,,,0
NDC,81033-002-30,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [113787],0.33,0.12,,,0
NDC,81033-002-50,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION [113785],1.35,0.47,,,0
NDC,81033-104-42,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],26.79,9.38,,,0
NDC,81284-315-05,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION [195809],80.0,28.0,,,0
NDC,81284-411-10,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [9859],302.78,105.97,,,0
NDC,81284-612-00,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,81284-612-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [154637]",24.35,8.52,,,0
NDC,81284-831-05,PHYSOSTIGMINE 0.4 MG/ML INTRAVENOUS SOLUTION [200495],72.08,25.23,,,0
NDC,81298-8554-1,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV [179319],11.91,4.17,,,0
NDC,81298-8554-3,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV [179319],5.19,1.82,,,0
NDC,81298-8660-3,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],25.0,8.75,,,0
NDC,8137-003690,PRAMOXINE-CALAMINE-CAMPHOR 1 %-3 %-0.3 % LOTION [91004],0.04,0.02,,,0
NDC,8137-008902,LUBRICANTS TOPICAL GEL [10474],43.29,15.15,,,0
NDC,8137-008912,LUBRICANTS TOPICAL GEL [10474],0.08,0.03,,,0
NDC,81370-08912,LUBRICANTS TOPICAL GEL [10474],0.08,0.03,,,0
NDC,8137003640,COLLOIDAL OATMEAL TOPICAL PACKET [81870],2.71,0.95,,,0
NDC,8164219344,BALSAM PERU-ZINC OXIDE TOPICAL OINTMENT [108007],10.82,3.79,,,0
NDC,81665-103-10,ISOSORBIDE MONONITRATE 20 MG TABLET [10357],13.53,4.73,,,0
NDC,81665-108-30,ISONIAZID 300 MG TABLET [4027],10.82,3.79,,,0
NDC,82154-0449-1,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION [34034],1294.68,453.14,,,0
NDC,82260-819-05,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION [24576],58.82,20.59,,,0
NDC,82625-8801-1,NALOXEGOL 12.5 MG TABLET [169479],13.19,4.62,,,0
NDC,82625-8802-1,NALOXEGOL 25 MG TABLET [169480],45.65,15.98,,,0
NDC,82625-8802-3,NALOXEGOL 25 MG TABLET [169480],13.19,4.62,,,0
NDC,82667-012-05,"NATAMYCIN 5 % EYE DROPS,SUSPENSION [10692]",70.62,24.72,,,0
NDC,82705-002-01,EPCORITAMAB-BYSP 4 MG/0.8 ML SUBCUTANEOUS SOLUTION [198173],5486.93,1920.42,,,0
NDC,82705-010-01,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION [198172],65842.93,23045.02,,,0
NDC,8290236712,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET [10384]",1.29,0.45,,,0
NDC,8290306414,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",2.84,0.99,,,0
NDC,8290306510,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",2.84,0.99,,,0
NDC,8290306511,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",2.84,0.99,,,0
NDC,8290306546,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],0.14,0.05,,,0
NDC,8290306547,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],0.14,0.05,,,0
NDC,82959-111-01,IMETELSTAT 188 MG INTRAVENOUS SOLUTION [202122],34194.69,11968.14,,,0
NDC,83257-001-11,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION [186586],5281.95,1848.68,,,0
NDC,83257-004-12,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION [186583],14789.46,5176.31,,,0
NDC,83257-005-41,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [182492],33916.68,11870.84,,,0
NDC,83490-107-60,SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],6.76,2.37,,,0
NDC,8349020760,SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],1.69,0.59,,,0
NDC,8349030760,SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],1.69,0.59,,,0
NDC,83980-005-01,PROPRANOLOL 10 MG TABLET [6656],18.94,6.63,,,0
NDC,8452175017,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],0.14,0.05,,,0
NDC,8544636971,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE [28913],289.46,101.31,,,0
NDC,8544636981,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE [28913],286.9,100.41,,,0
NDC,8881570121,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],0.14,0.05,,,0
NDC,8881579121,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [7319],0.14,0.05,,,0
NDC,8881580125,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",2.84,0.99,,,0
NDC,90205-02200,EMOLLIENT TOPICAL CREAM [77778],0.22,0.08,,,0
NDC,90205-0710-0,EMOLLIENT LOTION [102986],0.15,0.05,,,0
NDC,90205-22000,EMOLLIENT TOPICAL CREAM [77778],0.09,0.03,,,0
NDC,90769-02200,EMOLLIENT TOPICAL CREAM [77778],0.22,0.08,,,0
NDC,9277161208,AMMONIUM LACTATE 12 % LOTION [10380],0.23,0.08,,,0
NDC,9871606252,PEPTAMEN JUNIOR (ORAL SUPPLEMENT) [6071210],0.03,0.0098,,,0
NDC,9871616252,PEPTAMEN JUNIOR [6071235],0.03,0.0098,,,0
NDC,9871667350,PEPTAMEN JUNIOR [6071235],0.03,0.01,,,0
NDC,99207-130-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592],7.29,2.55,,,0
NDC,9999-0001-01,ASCORBIC ACID (VITAMIN C) 500 MG/5 ML ORAL SYRUP [107292],2.2,0.77,,,0
NDC,9999-0004-01,"HEPARIN (NO BASE SPECIFIED) 25,000 UNIT/250 ML IV [408181]",2.05,0.72,,,0
NDC,9999-0005-01,AMIKACIN NEBULIZER SOLUTION > = 1000 MG [408160],215.1,75.29,,,0
NDC,9999-0007-01,NITROGLYCERIN IV 1000 MCG/10 ML CATH LAB (IC) [150629],104.17,36.46,,,0
NDC,9999-0008-01,SODIUM BICARBONATE 8.4 % NEBULIZER SOLUTION [408083],102.82,35.99,,,0
NDC,9999-0013-01,FAT EMULSION 20 % INTRAVENOUS SYRINGE NICU ONLY [409556],0.41,0.14,,,0
NDC,9999-0014-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0015-01,GLUTAMATE ASPARTATE MICROPLEGIA  (CAPS) [408164],7.35,2.57,,,0
NDC,9999-0016-01,SODIUM HYPOCHLORITE 5 % LIQUID BULK [409163],69.0,24.15,,,0
NDC,9999-0017-01,IODINE TINCTURE 3.5 % TOPICAL SOLUTION [408182],1.7,0.6,,,0
NDC,9999-0018-01,INSULIN REGULAR 100 UNIT/ML SCHEDULED SUB-Q [147574],211.05,73.87,,,0
NDC,9999-0019-01,METOPROLOL 10 MG/ML ORAL SUSPENSION TGH [408132],17.86,6.25,,,0
NDC,9999-0022-01,ZINC SULFATE 2.5 MG (ZINC)/ML ORAL SUSPENSION TGH [147581],1.35,0.47,,,0
NDC,9999-0026-01,MISOPROSTOL 25 MCG TAB (VAGINAL) [408271],21.65,7.58,,,0
NDC,9999-0028-01,FENTANYL IV 3000 MCG/60 ML SYRINGE HIGH DOSE [408284],2.03,0.71,,,0
NDC,9999-0030-37,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],3.86,1.35,,,0
NDC,9999-0035-01,AZATHIOPRINE 50 MG/ML ORAL SUSPENSION TGH [147586],83.88,29.36,,,0
NDC,9999-0035-42,GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],0.14,0.05,,,0
NDC,9999-0036-01,TACROLIMUS 0.5 MG/ML ORAL SUSPENSION TGH [408304],44.64,15.63,,,0
NDC,9999-0037-01,ADDITIVE FOR DIALYSIS CALCIUM CHLORIDE 12.5 GRAMS [408307],6.76,2.37,,,0
NDC,9999-0038-01,ADDITIVE FOR DIALYSIS DEXTROSE 24 GRAMS [408308],13.53,4.73,,,0
NDC,9999-0039-01,ADDITIVE FOR DIALYSIS POTASSIUM CHLORIDE 12.7 GRAMS [408309],13.53,4.73,,,0
NDC,9999-0042-01,HYDROCHLORIC ACID 1.0 M STOCK SOLUTION [408315],54.11,18.94,,,0
NDC,9999-0043-01,POLYHEXAMETHYLENE BIGUANIDE 20 % [408126],59.53,20.83,,,0
NDC,9999-0044-01,SODIUM CITRATE 0.5 % PLAIN 4000 ML [408466],119.05,41.67,,,0
NDC,9999-0045-01,RIFAMPIN 10 MG/ML ORAL SUSPENSION TGH [150613],3.79,1.33,,,0
NDC,9999-0046-01,SODIUM CITRATE 0.5 % W/ 3 MEQ K /L 4000 ML [408467],119.05,41.67,,,0
NDC,9999-0047-01,MEDICINAL LEECHES (HIRUDO MEDICINALIS) [150624],113.64,39.77,,,0
NDC,9999-0049-01,POTASSIUM PHOSPHATE DIBASIC INGREDIENT ROUNDING ONLY [408521],3.51,1.23,,,0
NDC,9999-0050-01,SODIUM PHOSPHATE 3 MMOLE/ML INGREDIENT ROUNDING ONLY [408522],3.51,1.23,,,0
NDC,9999-0051-01,CENTRISOL PART A SB-130 ACID CONCENTRATE (DIALYSIS) [150749],176.52,61.78,,,0
NDC,9999-0052-01,OXYTOCIN 30 UNITS/500 ML IN SODIUM CHLORIDE (INDUCTION) [408316],0.34,0.12,,,0
NDC,9999-0052-11,CENTRISOL PART A SB-145 ACID CONCENTRATE (DIALYSIS) [150750],176.52,61.78,,,0
NDC,9999-0053-01,CENTRISOL PART A SB-152 ACID CONCENTRATE (DIALYSIS) [150751],176.52,61.78,,,0
NDC,9999-0055-01,BEVACIZUMAB 25 MG/ML INTRAVITREAL STANDARD SYRINGE [150633],7347.77,2571.72,,,0
NDC,9999-0056-01,SPIRONOLACTONE 10 MG/ML ORAL SUSPENSION TGH [150915],16.24,5.68,,,0
NDC,9999-0057-01,ATENOLOL 2 MG/ML ORAL SUSPENSION TGH [408542],23.0,8.05,,,0
NDC,9999-0059-01,ACETAZOLAMIDE 50 MG/ML ORAL SUSPENSION TGH [152296],4.06,1.42,,,0
NDC,9999-0062-01,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR [9582],6.22,2.18,,,0
NDC,9999-0063-01,HYDROMORPHONE 1 MG/ML ORAL LIQUID [10225],13.53,4.73,,,0
NDC,9999-0064-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID [2515],33.82,11.84,,,0
NDC,9999-0065-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID [2515],6.76,2.37,,,0
NDC,9999-0069-01,METHADONE 10 MG/5 ML ORAL SOLUTION [4951],5.95,2.08,,,0
NDC,9999-0072-01,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],71.7,25.1,,,0
NDC,9999-0073-01,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],63.58,22.25,,,0
NDC,9999-0073-02,OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],5.41,1.89,,,0
NDC,9999-0074-01,CAPTOPRIL 1 MG/ML ORAL SUSPENSION TGH [408145],8.76,3.07,,,0
NDC,9999-0075-01,CALCIUM CITRATE CHEWABLE LOZENGE 500 MG + 300 MG D3 [408583],0.15,0.05,,,0
NDC,9999-0077-01,"PROPOFOL (PF) 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS EMULSION [411012]",6.52,2.28,,,0
NDC,9999-0079-01,BUMETANIDE 12.5 MG FOR INFUSION 50 ML [408089],591.88,207.16,,,0
NDC,9999-0084-01,LORAZEPAM 2 MG/ML ORAL CONCENTRATE [4571],59.53,20.83,,,0
NDC,9999-0088-01,SUCROSE 24 % ORAL SOLUTION [40840035],13.53,4.73,,,0
NDC,9999-0095-01,"FENTANYL IN NS (PF) 1,250 MCG/25 ML CONT INFUSION [408650]",22.15,7.75,,,0
NDC,9999-0099-01,MORPHINE IN 0.9 % SOD. CHLORIDE 55 MG/55 CONT INFUSION [408653],6.05,2.12,,,0
NDC,9999-0100-01,HYDROMORPHONE IN NS 10 MG/50 ML (0.2 MG/ML) IV INFUSION [408678],3.06,1.07,,,0
NDC,9999-0101-01,PRISMASATE B22GK 4/0 DIALYSIS SOLUTION [408462],185.34,64.87,,,0
NDC,9999-0102-01,PRISMASATE BGK 4/0/1.2 DIALYSIS SOLUTION [408463],185.34,64.87,,,0
NDC,9999-0103-01,PRISMASATE BGK 2/0 DIALYSIS SOLUTION [408464],185.34,64.87,,,0
NDC,9999-0104-01,PRISMASOL ZERO K DIALYSIS SOLUTION [408465],185.34,64.87,,,0
NDC,9999-0115-01,HYDROCHLOROTHIAZIDE 10 MG/ML ORAL SUSPENSION TGH [152324],3.51,1.23,,,0
NDC,9999-0116-01,LISINOPRIL 1 MG/ML ORAL SUSPENSION TGH [152331],3.51,1.23,,,0
NDC,9999-0118-01,ALLOPURINOL 20 MG/ML ORAL SUSPENSION TGH [152297],3.51,1.23,,,0
NDC,9999-0119-01,AMIODARONE 5 MG/ML ORAL SUSPENSION TGH [152298],0.68,0.24,,,0
NDC,9999-0120-01,BETHANECHOL 1 MG/ML ORAL SUSPENSION TGH [152301],3.51,1.23,,,0
NDC,9999-0122-01,CARVEDILOL 1 MG/ML ORAL SUSPENSION TGH [152304],3.51,1.23,,,0
NDC,9999-0123-01,CHLOROQUINE 10MG(CHLORO. BASE)/ML ORAL SUSPENSION TGH [152305],3.51,1.23,,,0
NDC,9999-0124-01,CIPROFLOXACIN 50 MG/ML ORAL SUSPENSION TGH [152306],3.51,1.23,,,0
NDC,9999-0125-01,CLONAZEPAM 0.1 MG/ML ORAL SUSPENSION TGH [152307],3.51,1.23,,,0
NDC,9999-0126-01,CLONIDINE 0.1 MG/ML ORAL SUSPENSION TGH [408590],3.51,1.23,,,0
NDC,9999-0128-01,DANTROLENE 5 MG/ML ORAL SUSPENSION TGH [152309],3.51,1.23,,,0
NDC,9999-0129-01,DAPSONE 2 MG/ML ORAL SUSPENSION TGH [152310],3.51,1.23,,,0
NDC,9999-0131-01,DILTIAZEM 12 MG/ML ORAL SUSPENSION TGH [152313],3.51,1.23,,,0
NDC,9999-0132-01,DEXAMETHASONE 1 MG/ML ORAL SUSPENSION TGH [152311],3.51,1.23,,,0
NDC,9999-0133-01,DIPYRIDAMOLE 10 MG/ML ORAL SUSPENSION TGH [152314],3.51,1.23,,,0
NDC,9999-0134-01,ETOPOSIDE 10 MG/ML ORAL SUSPENSION TGH [152315],3.51,1.23,,,0
NDC,9999-0136-01,FOLIC ACID CONCENTRATED 1 MG/ML ORAL SUSPENSION TGH [152318],3.51,1.23,,,0
NDC,9999-0142-01,HYDRALAZINE 4 MG/ML ORAL SUSPENSION TGH [152323],32.47,11.36,,,0
NDC,9999-0143-01,HYDROCORTISONE 5 MG/ML ORAL SUSPENSION TGH [152325],3.51,1.23,,,0
NDC,9999-0144-01,HYDROXYCHLOROQUINE 25 MG/ML ORAL SUSPENSION TGH [152326],3.51,1.23,,,0
NDC,9999-0145-01,HYDROXYUREA 100 MG/ML ORAL SUSPENSION TGH [152327],3.51,1.23,,,0
NDC,9999-0146-01,ISONIAZID 10 MG/ML ORAL SUSPENSION TGH [152328],3.51,1.23,,,0
NDC,9999-0148-01,KETOCONAZOLE 20 MG/ML ORAL SUSPENSION TGH [152329],3.51,1.23,,,0
NDC,9999-0149-01,LABETALOL 40 MG/ML ORAL SUSPENSION TGH [152330],3.51,1.23,,,0
NDC,9999-0151-01,METHOTREXATE 2 MG/ML ORAL SUSPENSION TGH [152332],3.51,1.23,,,0
NDC,9999-0154-01,MAGNESIUM OXIDE 100 MG/ML ORAL SUSPENSION TGH [408621],3.51,1.23,,,0
NDC,9999-0157-01,MYCOPHENOLATE 100 MG/ML ORAL SUSPENSION TGH [408641],18.04,6.31,,,0
NDC,9999-0158-01,NADOLOL 10 MG/ML ORAL SUSPENSION TGH [408642],3.51,1.23,,,0
NDC,9999-0160-01,NIMODIPINE 30 MG/1 ML ORAL SOLUTION TGH [408644],58.99,20.65,,,0
NDC,9999-0161-01,ONDANSETRON 0.5 MG/ML ORAL SUSPENSION TGH [408645],3.51,1.23,,,0
NDC,9999-0166-01,CARBIDOPA 0.1MG-LEVODOPA 1MG/ML ORAL SUSPENSION TGH [408654],3.51,1.23,,,0
NDC,9999-0167-01,PHENAZOPYRIDINE 10 MG/ML ORAL SUSPENSION TGH [408655],3.51,1.23,,,0
NDC,9999-0168-01,PHYTONADIONE 1 MG/ML ORAL SUSPENSION TGH [408656],3.51,1.23,,,0
NDC,9999-0169-01,PROCAINAMIDE 50 MG/ML ORAL SUSPENSION TGH [408657],12.18,4.26,,,0
NDC,9999-0170-01,PYRAZINAMIDE 100 MG/ML ORAL SUSPENSION TGH [408658],4.83,1.69,,,0
NDC,9999-0171-01,PYRIDOXINE 1 MG/ML ORAL SUSPENSION TGH [408659],3.51,1.23,,,0
NDC,9999-0172-01,PYRIMETHAMINE 2 MG/ML ORAL SUSPENSION TGH [408660],222.77,77.97,,,0
NDC,9999-0173-01,QUINIDINE 10 MG/ML ORAL SUSPENSION TGH [408661],3.51,1.23,,,0
NDC,9999-0174-01,RIFABUTIN 20 MG/ML ORAL SUSPENSION TGH [408662],3.51,1.23,,,0
NDC,9999-0175-01,SEVELAMER 50 MG/ML ORAL SUSPENSION TGH [408663],3.51,1.23,,,0
NDC,9999-0177-01,SODIUM CHLORIDE 4 MEQ/ML ORAL SOLUTION TGH [152295],3.51,1.23,,,0
NDC,9999-0178-01,SOTALOL 5 MG/ML ORAL SUSPENSION TGH [408666],3.51,1.23,,,0
NDC,9999-0180-01,SULFADIAZINE 100 MG/ML ORAL SUSPENSION TGH [408668],3.51,1.23,,,0
NDC,9999-0181-01,SULFASALAZINE 100 MG/ML ORAL SUSPENSION TGH [408669],3.51,1.23,,,0
NDC,9999-0183-01,TOPIRAMATE 6 MG/ML ORAL SUSPENSION TGH [408671],3.51,1.23,,,0
NDC,9999-0184-01,TRIMETHOPRIM 10 MG/ML ORAL SUSPENSION TGH [408672],3.51,1.23,,,0
NDC,9999-0185-01,URSODIOL 60 MG/ML ORAL SUSPENSION TGH [408673],3.51,1.23,,,0
NDC,9999-0186-01,VALACYCLOVIR 50 MG/ML ORAL SUSPENSION TGH [408674],3.51,1.23,,,0
NDC,9999-0187-01,VANCOMYCIN 25 MG/ML ORAL SUSPENSION TGH [408675],3.93,1.38,,,0
NDC,9999-0188-01,VERAPAMIL 50 MG/ML ORAL SUSPENSION TGH [408676],3.51,1.23,,,0
NDC,9999-0189-01,ZIPRASIDONE 2.5 MG/ML ORAL SUSPENSION TGH [408677],3.51,1.23,,,0
NDC,9999-0196-01,KETAMINE INFUSION 100MG/50ML SYRINGE [408344],0.11,0.04,,,0
NDC,9999-0212-01,NITROGLYCERIN 2 MG IN 10 ML INJECTION CARDIAC [408681],60.88,21.31,,,0
NDC,9999-0234-01,DEXTROSE 10 %-0.45 % NACL NON COMPOUNDED [408687],208.34,72.92,,,0
NDC,9999-0238-01,NOREPINEPHRINE INFUSION 16 MG/250 ML D5W (PREMIX) [408581],360.77,126.27,,,0
NDC,9999-0239-01,NOREPINEPHRINE INFUSION 8 MG/250 ML D5W (PREMIX) [408582],180.38,63.13,,,0
NDC,9999-0243-01,LIDOCAINE INJ FOR PICC INSERTION TGH NONBILLABLE [408693],53.0,18.55,,,0
NDC,9999-0247-01,GLYCERIN TOPICAL LIQUID SYRINGE NICU [408697],13.53,4.73,,,0
NDC,9999-0248-01,FUROSEMIDE (LASIX) 2 MG/ML IV SYRINGE NICU [152910],14.02,4.91,,,0
NDC,9999-0249-01,ACETYLCYSTEINE PEDIATRIC 10 % COMPOUNDED RECTAL SOLUTION [408698],181.28,63.45,,,0
NDC,9999-0251-01,CALCIUM CARBONATE 100 MG/ML ORAL SUSPENSION TGH [152911],1.35,0.47,,,0
NDC,9999-0252-01,"HEPARIN (NO BASE SPECIFIED) 25,000 UNIT/500 ML IV [408712]",0.74,0.26,,,0
NDC,9999-0255-01,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT IV (FACTOR VIII) [408726]",15461.24,5411.43,,,0
NDC,9999-0256-01,DILTIAZEM 5 MG/ML IV ANESTHESIA [152969],81.17,28.41,,,0
NDC,9999-0257-01,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT IV (FVIII) [408727],7730.62,2705.72,,,0
NDC,9999-0260-01,FUROSEMIDE 300MG/100ML IN NS (PHARMACY PREMIX) [408578],444.52,155.58,,,0
NDC,9999-0262-01,INSULIN REGULAR 1 UNIT/ML ENDOTOOL INFUSION (PHARMACY PREMIX) [408597],19.76,6.91,,,0
NDC,9999-0265-01,AMIODARONE IV 450MG/250ML D5W INFUSION STANDARD (PHARMACY PREMIX) [408594],2551.11,892.89,,,0
NDC,9999-0266-01,AMIODARONE IV 900MG/250ML D5W INFUSION DOUBLE (PHARMACY PREMIX) [408595],5102.22,1785.78,,,0
NDC,9999-0267-01,DILTIAZEM 125MG/125ML D5W (PHARMACY PREMIX) [408596],777.88,272.26,,,0
NDC,9999-0268-01,ZZ DOXORUBICIN 2 MG/ML PEDS INTRAVENOUS INFUSION [115100015],15.25,5.34,,,0
NDC,9999-0275-01,PENTAMIDINE 300 MG SOLUTION FOR INHALATION RT [152974],734.41,257.04,,,0
NDC,9999-0277-01,POTASSIUM CHLORIDE 0.4 MEQ/ML IV (NICU/PEDIATRIC) [152998],0.77,0.27,,,0
NDC,9999-0278-01,METRONIDAZOLE IN SODIUM CHLORIDE 5 MG/ML PEDIATRIC INFUSION [408740],3.33,1.16,,,0
NDC,9999-0279-01,METRONIDAZOLE IN SODIUM CHLORIDE 250/750/1000 MG IVPB [408742],3.33,1.16,,,0
NDC,9999-0281-01,LEVOFLOXACIN IN D5W 5 MG/ML PEDIATRIC INFUSION [408745],6.17,2.16,,,0
NDC,9999-0282-01,FLUCONAZOLE IN SODIUM CHLORIDE 2 MG/ML PEDIATRIC SYRINGE [408747],0.93,0.33,,,0
NDC,9999-0283-01,FLUCONAZOLE IN SODIUM CHLORIDE 2 MG/ML CUSTOM [408748],0.89,0.31,,,0
NDC,9999-0284-01,CIPROFLOXACIN IN D5W 2 MG/ML PEDIATRIC SYRINGE [408746],5.16,1.8,,,0
NDC,9999-0285-01,LINEZOLID 2 MG/ML IV PEDIATRIC INFUSION [408749],3.02,1.06,,,0
NDC,9999-0287-01,SODIUM CHLORIDE 0.9 % CRRT TRUE REPLACEMENT FLUID [408768],0.42,0.15,,,0
NDC,9999-0294-01,SODIUM CHLORIDE 0.9 % CRRT POST FILTER FLUID [408961],0.42,0.15,,,0
NDC,9999-0298-01,SODIUM CHLORIDE 0.9 % CRRT PRIME FILTER FLUID [408973],0.42,0.15,,,0
NDC,9999-0299-01,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP ED ONLY 5ML SYRINGE [408974],4.06,1.42,,,0
NDC,9999-0310-01,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS, CUSTOM [408603]",1.98,0.69,,,0
NDC,9999-0312-01,3% SODIUM AS 50:50 CHLORIDE ACETATE 500ML-(PHARMACY PREMIX) [408606],1.17,0.41,,,0
NDC,9999-0313-01,VANCOMYCIN 1250MG/250ML NS-(PHARMACY PREMIX) [408615],0.79,0.28,,,0
NDC,9999-0314-01,VANCOMYCIN 1.5 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN [174531],0.47,0.17,,,0
NDC,9999-0315-01,VANCOMYCIN 1750MG/500ML NS-(PHARMACY PREMIX) [408617],0.55,0.19,,,0
NDC,9999-0316-01,VANCOMYCIN 2000MG/500ML NS-(PHARMACY PREMIX) [408618],0.63,0.22,,,0
NDC,9999-0317-01,VANCOMYCIN 750MG/250ML NS-(PHARMACY PREMIX) [408648],0.47,0.17,,,0
NDC,9999-0318-01,MYCOPHENOLATE 1000MG/250ML D5W-(PHARMACY PREMIX) [408649],6.02,2.11,,,0
NDC,9999-0319-01,MYCOPHENOLATE 500MG/100ML D5W-(PHARMACY PREMIX) [408665],7.52,2.63,,,0
NDC,9999-0320-01,MYCOPHENOLATE 250MG/50ML D5W-(PHARMACY PREMIX) [408689],7.52,2.63,,,0
NDC,9999-0321-01,MYCOPHENOLATE 750MG/250ML D5W-(PHARMACY PREMIX) [408695],4.51,1.58,,,0
NDC,9999-0323-01,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [154641],3.52,1.23,,,0
NDC,9999-0333-01,ACETIC ACID (BULK) 5 % LIQUID [14702],0.42,0.15,,,0
NDC,9999-0335-01,MIDAZOLAM IV 5 MG/ML INFUSION 60ML BAG BURST SUPPRESS [408986],128.72,45.05,,,0
NDC,9999-0340-01,EDETATE DISODIUM 3% OPHTHALMIC SOLUTION (PATIENT SUPPLIED MEDICATION) [408997],50.0,17.5,,,0
NDC,9999-0342-01,SODIUM BICARBONATE INFUSION 1 MEQ/ML PEDIATRIC [408998],2.06,0.72,,,0
NDC,9999-0343-01,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],0.54,0.19,,,0
NDC,9999-0344-01,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [28836],1.35,0.47,,,0
NDC,9999-0345-01,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0.5,0.17,,,0
NDC,9999-0347-01,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [11359],12.18,4.26,,,0
NDC,9999-0353-01,AMPHOTERICIN B LIPOSOME (AMBISOME) 4 MG/ML NEBULIZER SOLUTION [409073],45.02,15.76,,,0
NDC,9999-0354-01,CLONIDINE 5 MCG/ML ORAL SUSPENSION TGH [409074],3.51,1.23,,,0
NDC,9999-0358-01,REGULAR INSULIN FOR PUMP REFILL [409092],19.76,6.91,,,0
NDC,9999-0359-01,NOVOLOG (ASPART) INSULIN FOR PUMP REFILL [409094],72.02,25.21,,,0
NDC,9999-0360-01,HUMALOG (LISPRO) INSULIN FOR PUMP REFILL [409093],771.77,270.12,,,0
NDC,9999-0362-01,FAT EMULSION 20 % INTRAVENOUS SYRINGE NICU ONLY [409556],0.4,0.14,,,0
NDC,9999-0363-01,PRISMASATE BGK 4/2.5 DIALYSIS SOLUTION [161122],177.22,62.03,,,0
NDC,9999-0365-01,FAT EMULSION 20 % INTRAVENOUS SYRINGE NICU ONLY [409556],0.4,0.14,,,0
NDC,9999-0366-01,FAT EMULSION 20 % INTRAVENOUS SYRINGE NICU ONLY [409556],0.4,0.14,,,0
NDC,9999-0368-01,METHADONE 1 MG/1 ML ORAL SOLUTION [409128],1.35,0.47,,,0
NDC,9999-0370-01,KETAMINE 10 MG/ML ORAL SOLUTION [409130],58.71,20.55,,,0
NDC,9999-0371-01,SODIUM GLYCEROPHOSPHATE 1 MMOL/ML IV INGREDIENT ROUNDING ONLY [409132],2.34,0.82,,,0
NDC,9999-0372-01,HYALURONIC ACID 0.15% (BLINK CONTACTS) GE CENTER ONLY [409149],4.93,1.73,,,0
NDC,9999-0373-01,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [112990],0.44,0.16,,,0
NDC,9999-0374-01,DOPAMINE 32 MG/20 ML (1.6 MG/ML) IN D5W NICU ONLY [409156],2.13,0.75,,,0
NDC,9999-0375-01,DOPAMINE 64 MG/20 ML (3.2 MG/ML) IN D5W NICU ONLY [409157],2.58,0.9,,,0
NDC,9999-0378-01,HEMOSTATIC MATRIX SYRINGE (SURGIFLO) [409779],388.99,136.15,,,0
NDC,9999-0380-01,SODIUM CHLORIDE 0.2% (MIXTURE INGREDIENT ONLY) [408266],1.32,0.46,,,0
NDC,9999-0383-01,"HEPARIN (PORCINE) 10,000 UNIT/ML FOR THERAPEUTIC DOSES SUBQ [409812]",708.64,248.02,,,0
NDC,9999-0386-01,IOHEXOL 240 MG IODINE/ML ORAL SOLUTION [409813],18.48,6.47,,,0
NDC,9999-0389-01,FAT EMULSION 20 % INTRAVENOUS SYRINGE NICU ONLY [409556],0.4,0.14,,,0
NDC,9999-0390-01,FAT EMULSION 20 % INTRAVENOUS SYRINGE NICU ONLY [409556],0.4,0.14,,,0
NDC,9999-0391-01,IOHEXOL 240 MG IODINE/ML ORAL SOLUTION [409813],18.48,6.47,,,0
NDC,9999-0393-01,IBUPROFEN 800 MG FOR MOD DEVICE [409825],108.23,37.88,,,0
NDC,9999-0394-01,GELATIN ABSORBABLE POWDER HEMOSTAT SURGIFOAM [409166],213.58,74.75,,,0
NDC,9999-0395-01,FAT EMULSION 20 % INTRAVENOUS SYRINGE NICU ONLY [409556],0.4,0.14,,,0
NDC,9999-0397-01,OXYCODONE-ACETAMINOPHEN TABLET 5-325 MG FOR MOD DEVICE [409830],216.46,75.76,,,0
NDC,9999-0398-01,NXSTAGE RFP 400 DIALYSIS FLUID NON CITRATE [161126],0.03,0.0091,,,0
NDC,9999-0399-01,NXSTAGE RFP 402 DIALYSIS FLUID ZERO K NON CITRATE [161127],0.03,0.0091,,,0
NDC,9999-0407-01,SODIUM CHLORIDE 0.9 % PIRRT PRIME FILTER FLUID [409202],0.42,0.15,,,0
NDC,9999-0408-01,SODIUM CHLORIDE 0.9 % CRRT CITRATE TRUE REPLACEMENT FLUID [409203],0.42,0.15,,,0
NDC,9999-0409-01,SODIUM CHLORIDE 0.9 % CRRT NON CITRATE TRUE REPLACEMENT FLUID [409204],0.42,0.15,,,0
NDC,9999-0413-01,FAT EMULSION 20 % INTRAVENOUS SYRINGE NICU ONLY [409556],0.4,0.14,,,0
NDC,9999-0415-01,MAGNESIUM SULFATE 20 GRAMS/500ML IN NS INTRAVENOUS SOLUTION [409014],2.67,0.93,,,0
NDC,9999-0417-01,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [112680],2.48,0.87,,,0
NDC,9999-0422-01,"HEPARIN (NO BASE SPECIFIED) 2,000 UNIT/20 ML NICU SYRINGE DOUBLE CONC [408978]",2.05,0.72,,,0
NDC,9999-0425-01,FAMOTIDINE IV SYRINGE NICU [409106],7.63,2.67,,,0
NDC,9999-0426-01,FAMOTIDINE IV SYRINGE NICU [409106],7.63,2.67,,,0
NDC,9999-0427-01,SODIUM PHOSPHATE 3 MMOL/ML PEDIATRIC ORAL SOLUTION [409177],0.62,0.22,,,0
NDC,9999-0428-01,POTASSIUM CHLORIDE 0.1 MEQ/ML IV (NICU/PEDIATRIC) [409247],0.7,0.24,,,0
NDC,9999-0430-01,METHADONE 10 MG/ML ORAL CONCENTRATE [15996],0.34,0.12,,,0
NDC,9999-0433-01,NXSTAGE RFP 402 PEDIATRIC DIALYSIS FLUID ZERO K NON CITRATE [409222],0.03,0.0091,,,0
NDC,9999-0434-01,CINACALCET 5 MG/ML ORAL SUSPENSION TGH  [409404],17.36,6.08,,,0
NDC,9999-0435-01,LACOSAMIDE IV 10 MG/ML PEDIATRIC SYRINGE [408752],9.47,3.31,,,0
NDC,9999-0443-01,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],16.24,5.68,,,0
NDC,9999-0444-01,MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],63.58,22.25,,,0
NDC,9999-0446-01,PREDNISONE 5 MG/5 ML ORAL SOLUTION [6492],2.06,0.72,,,0
NDC,9999-0447-01,LOPERAMIDE 1 MG/5 ML ORAL LIQUID [4561],0.27,0.1,,,0
NDC,9999-0448-01,FECAL MICROBIOTA TRANSPLANT TGH CUSTOM [409375],10.22,3.58,,,0
NDC,9999-0450-01,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE PEDS INTRAVENOUS SOLUTION [115100019],0.31,0.11,,,0
NDC,9999-0456-01,"IMMUNE GLOB, 10% NICU SYRINGE [409384]",50.56,17.69,,,0
NDC,9999-0457-01,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 CM TOPICAL SPONGE [28022]",185.68,64.99,,,0
NDC,9999-0458-01,VANCOMYCIN 1 GRAM/250 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS [409401],356.44,124.75,,,0
NDC,9999-0459-01,PENICILLIN G IV 5 MU MBP SIMPLE RECORD [409402],659.44,230.8,,,0
NDC,9999-0462-01,FAT EMULSION 20 % INTRAVENOUS SYRINGE NICU ONLY [409556],0.4,0.14,,,0
NDC,9999-0468-01,DOPAMINE 16 MG/20 ML (0.8 MG/ML) IN D5W NICU ONLY [409464],2.58,0.9,,,0
NDC,9999-0469-01,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION [185254]",2.81,0.98,,,0
NDC,9999-0470-01,U-500 INSULIN FOR PUMP REFILL [409095],1256.22,439.68,,,0
NDC,9999-0473-01,FLUCYTOSINE 50 MG/ML ORAL SUSPENSION TGH [409835],66.23,23.18,,,0
NDC,9999-0475-01,PHENOL 10 % 2 ML INJECTION [409902],107.72,37.7,,,0
NDC,9999-0479-01,GLYCEROL 100 % 2 ML STERILE INJECTION [409566],122.58,42.9,,,0
NDC,9999-0480-01,FAT EMULSION 20 % INTRAVENOUS SYRINGE NICU ONLY [409556],0.4,0.14,,,0
NDC,9999-0481-01,BLEOMYCIN SULFATE (BLEO 15K) 15000 IU NON-USP [409571],0.04,0.01,,,0
NDC,9999-0482-01,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK [9492],241.29,84.45,,,0
NDC,9999-0483-01,CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9493],482.58,168.9,,,0
NDC,9999-0495-01,ROPIVACAINE 0.2% IN NS EPIDURAL 250 ML (ADS) [409590],1.05,0.37,,,0
NDC,9999-0496-01,ROPIVACAINE 0.2% IN NS NERVE BLOCK 250 ML (ADS) [409591],1.05,0.37,,,0
NDC,9999-0498-01,FENTANYL 3 MCG/ML IN NS EPIDURAL 250 ML (ADS) [409592],2.11,0.74,,,0
NDC,9999-0499-01,FONDAPARINUX 2.5 MG/0.5 ML SYRINGE (DOSE < 2.5 MG) [409450],1610.55,563.69,,,0
NDC,9999-0504-01,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK [15960],4.39,1.54,,,0
NDC,9999-0505-01,ROPIVACAINE 0.1% IN NS 250 ML EPIDURAL (ADS) [409659],2.58,0.9,,,0
NDC,9999-0507-01,SODIUM POLYSTYRENE SULFONATE TGH ORAL SUSPENSION NICU [409701],2.0,0.7,,,0
NDC,9999-0508-01,ETHAMBUTOL 50 MG/ML ORAL SUSPENSION [409703],2.58,0.9,,,0
NDC,9999-0509-01,CARBOPLATIN 10 MG/ML IN SWFI CHEMO SYRINGE HIPEC PROTOCOL [115100057],37.45,13.11,,,0
NDC,9999-0513-01,CISPLATIN 1 MG/ML IN SWFI CHEMO SYRINGE HIPEC PROTOCOL [115100058],5.36,1.88,,,0
NDC,9999-0514-01,MITOMYCIN 1 MG/ML IN NS CHEMO SYRINGE HIPEC PROTOCOL [115100059],5197.92,1819.27,,,0
NDC,9999-0515-01,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP [148176],4.23,1.48,,,0
NDC,9999-0517-01,VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [92895],2.15,0.75,,,0
NDC,9999-0518-01,PEDIATRIC MULTIVITAMIN NO.197-FERROUS SULFATE 11 MG/ML ORAL DROPS [190881],0.23,0.08,,,0
NDC,9999-0519-01,PEDIATRIC MULTIVITAMIN NO.197-FERROUS SULFATE 11 MG/ML ORAL DROPS [190881],0.23,0.08,,,0
NDC,9999-0520-01,CALCIUM CHLORIDE 100 MG/ML (10%) INFUSION ONE-STEP MED [409734],63.58,22.25,,,0
NDC,9999-0521-01,BEVACIZUMAB (AVASTIN) 25MG/ML INTRALESIONAL INJ [409913],918.47,321.46,,,0
NDC,9999-0523-01,KETAMINE 50MG/ML IV SYRINGE [409560],10.02,3.51,,,0
NDC,9999-0526-01,FENTANYL IN NS (PF) 50 MCG/ML CONT INFUSION [409958],22.15,7.75,,,0
NDC,9999-0528-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [82178],90.19,31.57,,,0
NDC,9999-0529-01,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [15906],1.29,0.45,,,0
NDC,9999-0532-01,PHENYLEPHRINE 100 MG/250 ML NS (PHARMACY PREMIX) [409634],579.8,202.93,,,0
NDC,9999-0533-01,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],79.88,27.96,,,0
NDC,9999-0534-01,PHENYLEPHRINE 25 MG/250 ML NS (PHARMACY PREMIX) [409637],144.95,50.73,,,0
NDC,9999-0535-01,KETAMINE 50MG/ML IV SYRINGE [409560],10.02,3.51,,,0
NDC,9999-0536-01,FENTANYL IN NS (PF) 50 MCG/ML CONT INFUSION [409958],23.51,8.23,,,0
NDC,9999-0541-01,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",13.53,4.73,,,0
NDC,9999-0542-01,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],1.44,0.5,,,0
NDC,9999-0543-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0544-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0545-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0546-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0547-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0548-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0549-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0550-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0551-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0553-01,NEONATAL TPN HOLIDAY FLUIDS 1/4 NS + HEPARIN (TGH COMPOUND) 100 ML [408454],0.02,0.0077,,,0
NDC,9999-0557-01,DOXYCYCLINE IN NS FOR PLEURODESIS [408539],1417.28,496.05,,,0
NDC,9999-0558-01,OXYCODONE 5 MG TABLET FOR MOD DEVICE [409009],18.94,6.63,,,0
NDC,9999-0560-01,EPINEPHRINE IV 15MG/250ML NS (CONCENTRATED) PHARMACY PREMIX [409641],2020.26,707.09,,,0
NDC,9999-0561-01,EPINEPHRINE IV 7.5MG/250ML NS (STANDARD) PHARMACY PREMIX [409644],1010.13,353.55,,,0
NDC,9999-0563-01,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],1.44,0.5,,,0
NDC,9999-0564-01,FLUOROURACIL 50MG/ML SYRINGE OR USE ONLY [409650],2.13,0.74,,,0
NDC,9999-0569-01,LOPERAMIDE 1 MG/ML IN WATER ORAL SOLUTION TGH (NICU) [409660],5.41,1.89,,,0
NDC,9999-0570-01,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE (PEDS) DOSE 5MG OR GREATER [409671],427.73,149.7,,,0
NDC,9999-0571-01,SODIUM CHLORIDE 2.5 MEQ/ML ORAL SOLUTION TGH [409705],3.51,1.23,,,0
NDC,9999-0592-01,LC BEADS 70-150 MICRON DOXORUBICIN CHEMOEMBOLIZATION TGH [409697],10.9,3.81,,,0
NDC,9999-0593-01,LC BEADS 100-300 MICRON DOXORUBICIN CHEMOEMBOLIZATION TGH [409629],10.38,3.63,,,0
NDC,9999-0594-01,CHEMOEMBOLIZATION IDARUBICIN STANDARD TACE TGH [409382],416.47,145.77,,,0
NDC,9999-0595-01,LINEZOLID 2 MG/ML PEDIATRIC SYRINGE (PREMIX) [411046],2.87,1.01,,,0
NDC,9999-0601-01,KETAMINE 50MG/ML IV SYRINGE [409560],2.67,0.94,,,0
NDC,9999-0604-01,PANTOPRAZOLE 80MG/100ML 0.9% NS PHARMACY PREMIX [409882],579.8,202.93,,,0
NDC,9999-0605-01,METRONIDAZOLE 5 MG/ML PEDIATRIC SYRINGE (PREMIX) [411310],3.33,1.16,,,0
NDC,9999-0608-01,SODIUM CHLORIDE 0.225 % WITH 0.5 UNIT/ML HEPARIN 100 ML INFUSION [409885],0.34,0.12,,,0
NDC,9999-0608-02,SODIUM CHLORIDE 0.225 % WITH 0.5 UNIT/ML HEPARIN 100 ML INFUSION [409885],0.68,0.24,,,0
NDC,9999-0609-01,SODIUM CHLORIDE 0.45 % WITH 0.5 UNIT/ML HEPARIN 250 ML INFUSION [409887],0.84,0.3,,,0
NDC,9999-0609-02,SODIUM CHLORIDE 0.45 % WITH 0.5 UNIT/ML HEPARIN 250 ML INFUSION [409887],1.77,0.62,,,0
NDC,9999-0610-01,POTASSIUM PHOSPHATE 3 MMOL/ML PEDIATRIC ORAL SOLUTION [409888],527.55,184.64,,,0
NDC,9999-0611-01,LC BEADS 70-150 MICRON IRINOTECAN CHEMOEMBOLIZATION TGH [409892],57.53,20.13,,,0
NDC,9999-0612-01,FLUCONAZOLE 800MG/400ML IVPB CUSTOM [409891],0.89,0.31,,,0
NDC,9999-0613-01,LC BEADS 100-300 MICRON IRINOTECAN CHEMOEMBOLIZATION TGH  [409894],57.53,20.13,,,0
NDC,9999-0614-01,CHEMOEMBOLIZATION IRINOTECAN STANDARD TACE TGH [409896],230.11,80.54,,,0
NDC,9999-0615-01,CHEMOEMBOLIZATION DOXORUBICIN STANDARD TACE TGH (SIMPLE) [409898],15.26,5.34,,,0
NDC,9999-0617-01,SODIUM ACETATE 0.225% WITH 0.5 UNIT/ML HEPARIN 100 ML INFUSION [409928],0.34,0.12,,,0
NDC,9999-0617-02,SODIUM ACETATE 0.225% WITH 0.5 UNIT/ML HEPARIN 100 ML INFUSION [409928],0.68,0.24,,,0
NDC,9999-0619-01,PHENYLEPHRINE 10 MG/100 ML NS (ANESTHESIA) PHARMACY PREMIX [409994],57.98,20.29,,,0
NDC,9999-0624-01,ARGATROBAN 50 MG/50 ML (1 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [152130],26.28,9.2,,,0
NDC,9999-0628-01,CLINDAMYCIN 12 MG/ML PEDIATRIC SYRINGE (PREMIX SANDOZ) [411312],12.28,4.3,,,0
NDC,9999-0629-01,MILRINONE 200 MCG/ML PEDIATRIC SYRINGE (PREMIX) [411045],2.48,0.87,,,0
NDC,9999-0637-01,MIDAZOLAM IV 5 MG/ML INFUSION 60ML BAG HIGH DOSE SEDATION [410094],128.72,45.05,,,0
NDC,9999-0638-01,ACETIC ACID 3% TOPICAL SOLUTION [411029],0.42,0.15,,,0
NDC,9999-0639-01,ACETIC ACID 3% TOPICAL SOLUTION [411029],0.42,0.15,,,0
NDC,9999-0640-01,KETAMINE 1500 MG IN 300 ML NS INFUSION PHARMACY PREMIX [411035],0.27,0.09,,,0
NDC,9999-0642-01,PENICILLIN G POTASSIUM 2000 UNIT/0.2ML SOLUTION FOR INJECTION [411038],0.15,0.05,,,0
NDC,9999-0645-01,PENICILLIN V POTASSIUM ORAL DESENSITIZATION SOLN (STEP 1) 0.625 MG/ML [410045],43.86,15.35,,,0
NDC,9999-0650-01,SULFAMETHOXAZOLE/TRIMETHOPRIM 0.004-0.0008 MG/ML ORAL SOLN (ORAL DESENSITIZATION DOSE 1) [411063],23.0,8.05,,,0
NDC,9999-0659-01,POTASSIUM PHOSPHATE 3 MMOL/ML PEDIATRIC ORAL SOLUTION [409888],10.55,3.69,,,0
NDC,9999-0660-01,POTASSIUM PHOSPHATE 3 MMOL/ML PEDIATRIC ORAL SOLUTION [409888],10.55,3.69,,,0
NDC,9999-0661-01,POTASSIUM PHOSPHATE 3 MMOL/ML PEDIATRIC ORAL SOLUTION [409888],10.55,3.69,,,0
NDC,9999-0665-02,VANCOMYCIN 1 GRAM/250 ML IN DEXTROSE 5 % INTRAVENOUS [411105],0.63,0.22,,,0
NDC,9999-0672-01,CEFEPIME 40MG/ML PEDIATRIC SYRINGE (PREMIX BBRAUN) [411170],4.41,1.54,,,0
NDC,9999-0674-01,CEFTRIAXONE 40MG/ML PEDIATRIC SYRINGE (PREMIX BBRAUN) [411187],9.65,3.38,,,0
NDC,9999-0679-01,HEPARIN (IMPELLA) 25 UNITS/ML IN DEXTROSE 5 % 500 ML (PHARMACY PREMIX) [411231],1.13,0.39,,,0
NDC,9999-0682-01,VANCOMYCIN 5 MG/ML PEDIATRIC SYRINGE (PREMIX BAXTER) [411309],2.15,0.75,,,0
NDC,9999-0683-01,OXYTOCIN 15 UNITS/250 ML IN SODIUM CHLORIDE (INDUCTION) [411243],0.34,0.12,,,0
NDC,9999-0686-01,SODIUM PHOSPHATE 15 MMOL/100 ML DEXTROSE INFUSION (PHARMACY PREMIX) [411276],427.62,149.67,,,0
NDC,9999-0687-01,SODIUM PHOSPHATE 30 MMOL/100 ML DEXTROSE INFUSION (PHARMACY PREMIX) [411277],430.74,150.76,,,0
NDC,9999-0688-01,METHOHEXITAL 15 MG/1.5 ML INJECTION CATH LAB [411296],8.32,2.91,,,0
NDC,9999-0690-01,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],4.06,1.42,,,0
NDC,9999-0691-01,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],4.06,1.42,,,0
NDC,9999-0692-01,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],4.06,1.42,,,0
NDC,9999-0693-01,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [95693],4.06,1.42,,,0
NDC,9999-0700-01,ACETYLCHOLINE 2 MCG/2 ML (1 MCG/ML) SYRINGE 1 (PHARMACY PREMIX) [411270],0.92,0.32,,,0
NDC,9999-0701-01,ACETYLCHOLINE 20 MCG/2 ML (10 MCG/ML) SYRINGE 2 (PHARMACY PREMIX) [411271],1.72,0.6,,,0
NDC,9999-0702-01,ACETYLCHOLINE 50 MCG/2 ML (25 MCG/ML) SYRINGE 3 (PHARMACY PREMIX) [411272],3.05,1.07,,,0
NDC,9999-0703-01,ACETYLCHOLINE 100 MCG/2 ML (50 MCG/ML) SYRINGE 4 (PHARMACY PREMIX) [411273],5.26,1.84,,,0
NDC,9999-0705-01,POTASSIUM PHOSPHATE 30 MMOL INFUSION (PHARMACY PREMIX) [411282],10.55,3.69,,,0
NDC,9999-0708-01,MEROPENEM 20 MG/ML PEDIATRIC SYRINGE (PREMIX BBRAUN) [411313],9.33,3.26,,,0
NDC,9999-0709-01,LEVOFLOXACIN 5 MG/ML PEDIATRIC SYRINGE (PREMIX SAGENT) [411360],5.88,2.06,,,0
NDC,9999-0710-01,ZINC SULFATE 2.5 MG (ZINC)/ML ORAL SUSPENSION TGH [147581],1.35,0.47,,,0
NDC,9999-0711-01,ZINC SULFATE 2.5 MG (ZINC)/ML ORAL SUSPENSION TGH [147581],1.35,0.47,,,0
NDC,9999-0712-01,ZINC SULFATE 2.5 MG (ZINC)/ML ORAL SUSPENSION TGH [147581],1.35,0.47,,,0
NDC,9999-0717-01,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS SYRINGE PEDI/NICU ONLY [411317],0.93,0.33,,,0
NDC,9999-0718-01,ENOXAPARIN 100 MG/ML SUBQ SYRINGE (ADULT) DOSE LESS THAN 30 MG [411334],427.73,149.7,,,0
NDC,9999-0720-01,EPOPROSTENOL (VELETRI) INHALATION SOLUTION 40 MCG/ML (PHARMACY PREMIX) [411333],432.3,151.3,,,0
NDC,9999-0722-01,NEONATAL STARTER TPN IN 10% DEXTROSE + HEPARIN 0.5 UNIT/ML (TGH COMPOUND) [411350],0.15,0.05,,,0
NDC,9999-0723-01,NEONATAL STARTER TPN IN 5% DEXTROSE + HEPARIN 0.5 UNIT/ML (TGH COMPOUND) [411351],0.15,0.05,,,0
NDC,9999-0727-01,CEFOXITIN 40 MG/ML PEDIATRIC SYRINGE (PREMIX BBRAUN) [411269],6.24,2.18,,,0
NDC,9999-0732-01,NITROGLYCERIN 2 MG IN 10 ML INJECTION CARDIAC [408681],60.88,21.31,,,0
NDC,9999-0733-01,SILDENAFIL (PULMONARY HYPERTENSION) 0.8 MG/ML INJECTION PEDIATRIC [411392],12.5,4.38,,,0
NDC,9999-0734-01,METHOHEXITAL 100 MG/4 ML INJECTION FOR ECT [411399],25.3,8.86,,,0
NDC,9999-0736-01,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJ FOR ECT [411412],36.85,12.9,,,0
NDC,9999-0738-01,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION [193676],11.91,4.17,,,0
NDC,9999-0743-01,PENICILLIN G 4 MILLION UNITS/100 ML D5W (PHARMACY PREMIX) [411458],6.75,2.36,,,0
NDC,9999-0746-01,HONEY 80 % TOPICAL GEL [160350],51.22,17.93,,,0
NDC,9999-0752-01,DAPTOMYCIN 1 MG/ML-HEPARIN 100 UNITS/ML IN LR 2 ML SYRINGE [411047],27.06,9.47,,,0
NDC,9999-0754-01,FENTANYL 200 MCG/20 ML INFUSION (NICU) [411492],4.38,1.53,,,0
NDC,9999-0769-01,CANNABIDIOL (EPIDIOLEX) 100MG/ML ORAL SYRINGE [410130],56.56,19.8,,,0
NDC,9999-0780-01,AZTREONAM 1 GRAM IN 0.9% NS VIA ELASTOMERIC HOMEPUMP 100 ML (200 ML/HR)(PHARMACY PREMIX) [410194],129.27,45.24,,,0
NDC,9999-0781-01,AZTREONAM 2 GRAM IN 0.9% NS VIA ELASTOMERIC HOMEPUMP 100 ML (200 ML/HR)(PHARMACY PREMIX) [410195],258.53,90.49,,,0
NDC,9999-0799-01,INSULIN REGULAR U-100 (HUMULIN R/NOVOLIN R) 10 UNITS/0.1 ML INJECTION SYRINGE [410201],19.76,6.91,,,0
NDC,9999-0807-01,PHENYLEPHRINE 2 MG/10 ML (200 MCG/ML) INJECTION SYRINGE FOR PRIAPISM [410226],5.8,2.03,,,0
NDC,9999-0808-01,PHENYLEPHRINE 2.5 MG/10 ML (250 MCG/ML) INJECTION SYRINGE FOR PRIAPISM [410228],0.08,0.03,,,0
NDC,9999-0810-01,SOAP [411534],0.02,0.00525,,,0
NDC,9999-0822-01,DEXAMETHASONE 12 MG IN 0.9% NS 100 ML INFUSION IVPB [410325],5.08,1.78,,,0
NDC,9999-0833-01,DIPHENHYDRAMINE 50MG/50ML IN 0.9% SODIUM CHLORIDE IVPB [410294],43.0,15.05,,,0
NDC,9999-0848-01,ANAKINRA 100 MG/0.67 ML INJECTION SYRINGE FOR IV ADMINISTRATION [115100187],1087.89,380.76,,,0
NDC,9999-0849-01,TRETINOIN (ANTINEOPLASTIC) 2.5 MG/ML ORAL SLURRY TGH [410361],29.92,10.47,,,0
NDC,9999-0851-01,ANAKINRA 100 MG/0.67 ML INJECTION SYRINGE FOR IV ADMINISTRATION [115100187],1087.89,380.76,,,0
NDC,9999-0852-01,ANAKINRA 100 MG/0.67 ML INJECTION SYRINGE FOR IV ADMINISTRATION [115100187],1087.89,380.76,,,0
NDC,9999-0856-01,NIVOLUMAB 50 MG/5 ML (PF) INTRATHECAL SYRINGE [115100188],1374.78,481.17,,,0
NDC,9999-0871-01,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],1.83,0.64,,,0
NDC,9999-0873-01,NITAZOXANIDE 100 MG/5 ML ORAL SUSPENSION [34708],2.38,0.83,,,0
NDC,9999-0889-01,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV [179319],6.4,2.24,,,0
NDC,9999-0893-01,VASOPRESSIN 40 UNIT/100 ML INTRAVENOUS SOLUTION [410449],11.91,4.17,,,0
NDC,9999-1001-01,LINEZOLID 2 MG/ML IV CUSTOM INFUSION [408255],3.02,1.06,,,0
NDC,9999-1021-46,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION [102146],48.7,17.05,,,0
NDC,9999-1060-61,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [106061],3.17,1.11,,,0
NDC,9999-1559-35,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION [154697]",9.2,3.22,,,0
NDC,9999-4094-23,NITROGLYCERIN 20 MG/100 ML (200 MCG/ML) IN 5% DEXTROSE INTRAVENOUS [409423],1.43,0.5,,,0
NDC,9999-9293-02,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],1.26,0.44,,,0
NDC,9999-9313-10,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [31310],523.11,183.09,,,0